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 CDM,PX-111000000,INTERMED MED/SURG/GYN PRIVATE - FACILITY,4092.0,2659.8,2271.0,4092.0,793 CDM,PX-111000001,MED/SURG/GYN PRIVATE - FACILITY,3277.0,2130.05,1818.8,3277.0,793 CDM,PX-111000003,TELEMETRY MED/SURG/GYN PRIV - FACILITY,3767.0,2448.55,2090.6,3767.0,793 CDM,PX-111000006,TELEMETRY DUMMY CHARGE - FACILITY,1.0,0.65,0.6,1.0,768 CDM,PX-111000007,INPATIENT ONLY ROOM AND BOARD FACILITY,1.0,0.65,0.6,1.0,768 CDM,PX-161000000,ADVANCED CARE AT HOME R&B FACILITY,5700.0,3705.0,3163.6,5700.0,793 CDM,PX-200000000,INTENSIVE CARE - FACILITY,7221.0,4693.65,4007.6,7221.0,793 CDM,PX-206000000,INTERMEDIATE INTENSIVE CARE - FACILITY,4606.0,2993.9,2556.4,4606.0,793 CDM,PX-230000002,HC MARS DAILY TREATMENT,5163.0,3355.95,837.4,5008.11,884 CDM,PX-250000006,HEPZATO,684886.36,187500.0,187500.0,187500.0,3 CDM,PX-260000000,HC INJ THER IV PUSH SNGL INITIAL,641.0,416.65,196.38,621.77,884 CDM,PX-260000001,HC INJ THER SUBQ/IM,111.0,72.15,40.52,107.67,885 CDM,PX-260000002,HC IV INF HYDRAT EA ADD HR,122.0,79.3,43.23,118.34,885 CDM,PX-260000003,HC IV INF HYDRAT INIT 31MIN-1HR,379.0,246.35,138.34,367.63,884 CDM,PX-260000004,HC IV INF THER ADD SEQ NEW 1ST HR,249.0,161.85,66.48,241.53,884 CDM,PX-260000005,HC IV INF THER CONCURR (MAX 1),153.0,99.45,55.85,148.41,880 CDM,PX-260000006,HC IV INF THER EA ADD HR,171.0,111.15,43.23,165.87,884 CDM,PX-260000007,HC IV INF THER INIT 1ST HR,473.0,307.45,172.65,458.81,885 CDM,PX-260000008,HC IV PUSH EA ADD SEQ DRUG,213.0,138.45,77.75,206.61,880 CDM,PX-260000009,HC IV PUSH EA ADD SEQ NEW DRUG,236.0,153.4,43.23,228.92,885 CDM,PX-260000011,HC SQ INF THER 1 DRUG 1ST HR,586.0,380.9,196.38,568.42,884 CDM,PX-260000014,HC APPLICATION OF ON BODY INJECTOR,115.0,74.75,41.98,111.55,884 CDM,PX-260000015,HC INJ THER INTRA ARTERIAL,855.0,555.75,196.38,855.0,884 CDM,PX-260000025,"HC IV INJ BEBTELOVIMAB, INCL INJ AND POST ADMIN MONITORING",536.0,348.4,195.64,525.28,883 CDM,PX-260000026,HC UNLISTED THER/PROP/DIAG INJ/INF,179.0,116.35,43.23,173.63,884 CDM,PX-270000203,HC OXYGEN HOURLY,28.0,18.2,13.92,28.0,880 CDM,PX-272001036,HC TR CATH PWP SOLO 1LUM TPS 4F,504.0,327.6,250.49,488.88,880 CDM,PX-272001052,HC EMST75LITE TRAINER,288.0,187.2,143.14,279.36,880 CDM,PX-272001057,HC RMST 75 TRAINER KIT,522.0,339.3,259.43,506.34,880 CDM,PX-272001069,HC TRDCR COM PVP,240.0,156.0,119.28,240.0,880 CDM,PX-274000092,HC ORTHO WHF RIG WO JT CPF FIT&ADJUST,413.0,268.45,229.22,498.04,884 CDM,PX-274000096,HC ORTHO WRST COCK-UP OTS,160.0,104.0,88.8,156.8,884 CDM,PX-274000128,HC SLING ARM,52.0,33.8,13.73,50.96,880 CDM,PX-274000146,HC TRACH SPEAKING VALVE,153.0,99.45,84.92,184.85,880 CDM,PX-274000279,HC WHFO W/O JOINTS PRE OTS,396.0,257.4,219.78,388.08,884 CDM,PX-278000253,HC SHORT RF COOLED PROBE KIT SINERGY 14GAX75,1518.0,986.7,842.49,1472.46,880 CDM,PX-278000254,HC LONG RF COOLED KT SNR 17X150,1530.0,994.5,849.15,1484.1,880 CDM,PX-278000255,HC SCS TRIAL LEAD 50X5,1020.0,663.0,566.1,989.4,880 CDM,PX-278000256,HC SCS TRIAL OR IMPLANT INSERTION NEEDLE KIT,160.0,104.0,88.8,160.0,880 CDM,PX-278000257,HC SCS TRIAL RX2 COUDE EPIDURAL NEEDLE,160.0,104.0,88.8,160.0,880 CDM,PX-278000272,HC IMPL URINARY TRACT SYNTH 1 KIT,3000.0,1950.0,316.1,2850.0,880 CDM,PX-279000000,HC WOUND VAC TX 1ST DEVICE USED,170.0,110.5,84.49,170.0,880 CDM,PX-279000001,HC WND VAC TX 2ND DEV-SME DAY USE,170.0,110.5,84.49,170.0,880 CDM,PX-300000004,HC ABL1 KD VARIANTS,554.0,360.1,275.34,537.38,884 CDM,PX-300000007,HC ACADV FULL GENE ANALYSIS (ACADV),700.0,455.0,282.88,679.0,884 CDM,PX-300000015,HC AMYL KNOWN MUTATION,500.0,325.0,185.2,485.0,884 CDM,PX-300000020,HC APOB APOLIPOPROTEIN E GENOTYPE,400.0,260.0,137.0,388.0,884 CDM,PX-300000027,HC ARSA GENE KNOWN MUTATION,500.0,325.0,185.2,485.0,884 CDM,PX-300000028,HC ARTERIAL PUNCTURE TEC,247.0,160.55,122.76,239.59,884 CDM,PX-300000036,HC BCR/ABL1 MAJOR BKPT QUAL/QUANT,529.0,343.85,163.96,513.13,884 CDM,PX-300000037,HC BCR/ABL1 MINOR BKPT QUAL/QUANT,476.0,309.4,144.84,461.72,884 CDM,PX-300000043,HC BMT/STEM CELL TX ALLO,9489.0,6167.85,5228.44,66786.18,884 CDM,PX-300000044,HC BMT/STEM CELL TX AUTO,6747.0,4385.55,1437.93,6544.59,884 CDM,PX-300000049,HC BTD FULL GENE ANALYSIS (BTD),700.0,455.0,274.83,679.0,884 CDM,PX-300000053,HC BWS/RSS MOLECULAR ANALYSIS,386.0,250.9,137.0,374.42,884 CDM,PX-300000055,HC C9ORF72 MOLECULAR ANALYSIS,700.0,455.0,347.9,679.0,880 CDM,PX-300000056,HC CALR MUTATION ANALYSIS,493.0,320.45,121.63,478.21,884 CDM,PX-300000060,HC CATH COLLECT URINE SPECIMEN,218.0,141.7,9.34,213.64,884 CDM,PX-300000063,HC CDKN1C FULL GENE ANALYSIS,700.0,455.0,347.9,679.0,880 CDM,PX-300000074,HC CFTR GENE KNOWN MUTATION,500.0,325.0,97.22,490.0,856 CDM,PX-300000077,HC CHIMERISM ANLYS NO CELL SELECT,706.0,458.9,207.46,684.82,884 CDM,PX-300000078,HC CHIMERISM ANLYS W CELL SELECT,1139.0,740.35,260.79,1104.83,884 CDM,PX-300000082,HC COLLECTION SPECIMEN CAP BLOOD,32.0,20.8,17.76,31.36,880 CDM,PX-300000083,HC COMPARATIVE STR MARKERS 2,828.0,538.2,233.07,803.16,884 CDM,PX-300000084,HC COMPARATIVE STR MARKERS,800.0,520.0,233.07,776.0,884 CDM,PX-300000098,HC CYP2C19 GENE ANALYSIS,600.0,390.0,291.36,582.0,884 CDM,PX-300000100,HC CYP2C9 GENE COM VARIANTS,600.0,390.0,174.81,600.0,884 CDM,PX-300000108,HC DAZ/SRY DELETION,400.0,260.0,185.2,388.0,884 CDM,PX-300000109,HC DMD DUPLICATION/DELETION ANALYSIS,700.0,455.0,279.0,700.0,884 CDM,PX-300000114,HC EGFR GENE ANALYSIS COM VAR,1200.0,780.0,324.58,1164.0,884 CDM,PX-300000117,HC EXOME COMPARATOR,1240.0,806.0,616.28,13800.0,884 CDM,PX-300000118,HC EXOME,5334.0,3467.1,2651.0,5497.0,884 CDM,PX-300000120,HC F2 GENE ANLYS 20210G A/B VAR,400.0,260.0,65.69,388.0,884 CDM,PX-300000121,HC F5 LEIDEN VAR,400.0,260.0,73.37,388.0,884 CDM,PX-300000122,HC F8 INVERSION ANALYSIS 2,400.0,260.0,185.2,388.0,884 CDM,PX-300000139,HC FLT3 GENE,159.0,103.35,79.02,154.23,884 CDM,PX-300000140,HC FLTITD VARIANCE,294.0,191.1,146.12,285.18,884 CDM,PX-300000141,HC FMR1 FRAGL X SYNDRM ANLY FUP,416.0,270.4,44.89,416.0,884 CDM,PX-300000142,HC FMR1 FRAGL X SYNDRM ANLY,500.0,325.0,57.04,490.0,884 CDM,PX-300000143,HC FOXL2 MUT (C402G) ANALYSIS,994.0,646.1,494.02,964.18,880 CDM,PX-300000145,HC GAA FULL GENE SEQUENCE (GAAN),700.0,455.0,282.88,679.0,884 CDM,PX-300000146,HC GAA KNOWN MUTATION,500.0,325.0,185.2,485.0,884 CDM,PX-300000151,HC GAUCHER DISEASE FULL GENE ANA (GBA),700.0,455.0,347.9,679.0,880 CDM,PX-300000152,HC GAUCHER DISEASE KNOWN MUTATION,500.0,325.0,185.2,485.0,884 CDM,PX-300000158,HC GLA FULL GENE ANALYSIS (GLA),700.0,455.0,301.35,679.0,884 CDM,PX-300000159,HC GLA KNOWN MUTATION,500.0,325.0,185.2,485.0,884 CDM,PX-300000171,HC HEREDIATRY ERYTHROCYTOSIS MUT,700.0,455.0,347.9,679.0,880 CDM,PX-300000173,HC HEXA FULL GENE ANALYSIS (HEXAN),700.0,455.0,282.88,679.0,884 CDM,PX-300000174,HC HEXA GENE KNOWN MUTATION,500.0,325.0,185.2,485.0,884 CDM,PX-300000176,HC HFE HEMOCHROMATOSIS GEN ANALYS,400.0,260.0,65.36,392.0,884 CDM,PX-300000177,HC HLA CL I ABC TYPING HR,2382.0,1548.3,335.38,2310.54,884 CDM,PX-300000178,HC HLA CL I ABC TYPING LR,1667.0,1083.55,403.59,1616.99,884 CDM,PX-300000180,HC HLA CL II TYPING HR,922.0,599.3,123.68,894.34,884 CDM,PX-300000181,HC HLA CONFIRM TYPING LR,1666.0,1082.9,404.52,1616.02,884 CDM,PX-300000184,HC HLA DP TYPING LR,839.0,545.35,122.22,813.83,884 CDM,PX-300000187,HC HLA I TYPING 1 ANTIGEN LR,431.0,280.15,74.33,418.07,884 CDM,PX-300000189,HC HLA II TYPING 1 LOCUS LR,828.0,538.2,122.22,803.16,884 CDM,PX-300000190,HC HLAB 5701,600.0,390.0,169.9,582.0,884 CDM,PX-300000192,HC HLAB 5801,600.0,390.0,169.9,582.0,884 CDM,PX-300000193,HC HLA-C CONFIRM TYPING LR,642.0,417.3,127.43,642.0,884 CDM,PX-300000203,HC IDUA FULL GENE ANALYSIS (IDUA),700.0,455.0,282.88,679.0,884 CDM,PX-300000206,HC IGH GENE REARRANGE,271.0,176.15,134.69,262.87,884 CDM,PX-300000207,HC IGH SOMATIC HYPERMUTATION,716.0,465.4,294.52,694.52,884 CDM,PX-300000208,HC IGK REARRANGE ABN CLONAL POP,253.0,164.45,125.74,245.41,884 CDM,PX-300000216,HC JAK2 GENE ANALYSIS V617F,400.0,260.0,91.66,388.0,884 CDM,PX-300000233,HC MCAD MUTATION SCREEN (ACADM),700.0,455.0,347.9,679.0,880 CDM,PX-300000234,HC MCR MICROARRAY POC TUMOR FFPE,1700.0,1105.0,844.9,1666.0,884 CDM,PX-300000235,HC MCR MICROARRAY POC,1700.0,1105.0,844.9,1666.0,884 CDM,PX-300000240,HC MELANOMA PANEL TUMOR,1416.0,920.4,597.91,1373.52,884 CDM,PX-300000244,HC MGMT METHYLATION ANALYSIS,500.0,325.0,124.64,485.0,884 CDM,PX-300000245,HC MICROARRAY BLOOD,1700.0,1105.0,844.9,1666.0,884 CDM,PX-300000247,HC MICROARRAY PRENATAL,1700.0,1105.0,844.9,1666.0,884 CDM,PX-300000248,HC MICROSATELLITE INSTABILITY,1200.0,780.0,348.56,1164.0,884 CDM,PX-300000252,HC MLH1 HYPERMETHYLATION ANALYSIS,500.0,325.0,192.32,485.0,884 CDM,PX-300000259,HC MOPATH PROCEDURE LEVEL 4,902.0,586.3,185.2,874.94,884 CDM,PX-300000270,HC MSH2 KNOWN MUTATION,500.0,325.0,248.5,500.0,884 CDM,PX-300000289,HC PML/RARALPHA BKPT QUAL/QUANT,454.0,295.1,207.31,440.38,884 CDM,PX-300000290,HC PMP22 GENE DUP/DELETE,500.0,325.0,248.5,872.11,884 CDM,PX-300000294,HC PMS2 KNOWN FAMILIAL VARIANTS,500.0,325.0,248.5,490.0,884 CDM,PX-300000301,HC PRSS1 FULL GENE ANALYSIS,700.0,455.0,274.83,679.0,884 CDM,PX-300000315,HC SDH KNOWN MUTATION,500.0,325.0,185.2,485.0,884 CDM,PX-300000330,HC SNRPN/UBE3A METHYLATION ANALYSIS,500.0,325.0,51.07,490.0,884 CDM,PX-300000331,HC SOLID TUMOR TARGETED CANCER PANEL,2458.0,1597.7,597.91,2384.26,884 CDM,PX-300000332,HC SPEC HANDLE &/OR CONVEY OTHER,77.0,50.05,38.27,74.69,880 CDM,PX-300000336,HC SPUTUM OBTN SPECIMEN AERO,212.0,137.8,105.36,212.0,884 CDM,PX-300000337,HC STR MARKERS SPECIMEN ANAL ADD,300.0,195.0,149.1,350.53,884 CDM,PX-300000355,HC TRB GENE REARRANGE AMPLIFY,623.0,404.95,208.92,604.31,884 CDM,PX-300000356,HC TREC IMMUNE RECONSTITUTION,700.0,455.0,347.9,679.0,880 CDM,PX-300000357,HC TRG GENE REARRANGEMENT ANALYS,612.0,397.8,201.5,593.64,884 CDM,PX-300000368,HC UPD UNIPARENTAL DISOMY,700.0,455.0,150.33,700.0,856 CDM,PX-300000370,HC VENIPUNCTURE,42.0,27.3,9.34,40.74,886 CDM,PX-300000371,HC VHL GENE FULL GENE ANALYSIS,700.0,455.0,274.83,679.0,884 CDM,PX-300000372,HC VHL KNOWN MUTATION,500.0,325.0,185.2,485.0,884 CDM,PX-300000378,HC SPEC COLLECT ARTERIAL LINE,29.0,18.85,15.98,3117.0,884 CDM,PX-300000402,HC IDS KNOWN MUTATION,500.0,325.0,185.2,485.0,884 CDM,PX-300000408,HC X-ALD KNOWN MUTATION,500.0,325.0,185.2,485.0,884 CDM,PX-300000414,HC X-ALD FULL GENE ANALYSIS (ABCD1),700.0,455.0,301.35,679.0,884 CDM,PX-300000417,HC ONCOHEME NGS FOR HEMATOLOGIC CANCER,2538.0,1649.7,759.53,2461.86,884 CDM,PX-300000475,HC MLH1 HYPERMETHYLATION ANALYSIS 3,500.0,325.0,192.32,485.0,884 CDM,PX-300000484,HC KCNQ1OT1 METHYLATION ANALYSIS,314.0,204.1,137.0,304.58,884 CDM,PX-300000486,HC CYP21A2 COMMON VARIANTS,356.0,231.4,150.33,356.0,856 CDM,PX-300000491,HC CYP21A2 FULL GENE ANALYSIS,644.0,418.6,301.35,624.68,884 CDM,PX-300000504,HC CHLAMYDIA AB,146.0,94.9,11.82,143.08,884 CDM,PX-300000515,HC MONONUCLEAR CELL ANTIGEN,250.0,162.5,26.78,242.5,884 CDM,PX-300000523,HC BPGM FULL GENE ANALYSIS,700.0,455.0,347.9,679.0,880 CDM,PX-300000526,HC MITOCHONDRIAL FULL GENE ANALYSIS,1707.0,1109.55,848.38,1707.0,884 CDM,PX-300000580,HC KIT ASP816VAL MUT ANALYSIS - 1,593.0,385.45,124.87,575.21,884 CDM,PX-300000585,HC UGT1A1 GENE ANALYSIS 3,600.0,390.0,234.0,582.0,884 CDM,PX-300000586,HC REF COLOGUARD,657.0,427.05,326.53,643.86,884 CDM,PX-300000588,HC NEXT GEN AML 8,1896.0,1232.4,759.53,1839.12,884 CDM,PX-300000610,HC APC FAMILIAL ADNMATUS KNWN MUT,500.0,325.0,248.5,500.0,884 CDM,PX-300000614,HC MLH1 GENE KNOWN VARIANTS,500.0,325.0,248.5,500.0,884 CDM,PX-300000615,HC MSH6 GENE KNOWN VARIANTS,500.0,325.0,248.5,490.0,856 CDM,PX-300000632,"HC GAMMA GLOBIN FULL GENE SEQUENCING, V",561.0,364.65,278.82,544.17,880 CDM,PX-300000650,HC GENOTYPE CARBAMAZEPINE,300.0,195.0,166.5,291.0,884 CDM,PX-300000657,HC GENE BRCA1 KNOWN VARIANT,500.0,325.0,248.5,500.0,884 CDM,PX-300000658,HC GENE BRCA2 KNOWN VARIANT,500.0,325.0,248.5,500.0,884 CDM,PX-300000696,HC CFDNA BRAF V600 TEST,900.0,585.0,175.4,873.0,884 CDM,PX-300000703,HC NFCT DS STRN TYP WHL GEN SEQ,896.0,582.4,427.26,896.0,884 CDM,PX-300000728,"HC KRAS GENE ADDTL VAR, PANEL",450.0,292.5,193.25,436.5,884 CDM,PX-300000729,"HC KRAS GENE VAR-EXON 2, PANEL",450.0,292.5,193.25,436.5,884 CDM,PX-300000735,HC SERPINA1 FULL GENE ANALYSIS,700.0,455.0,347.9,679.0,880 CDM,PX-300000747,HC ALLERGEN IGE RECOMB/PURIFY EA,76.0,49.4,17.93,74.48,884 CDM,PX-300000748,HC DMD GENE MLPA,500.0,325.0,185.2,485.0,884 CDM,PX-300000754,HC CYP3A4 GENOTYPE,600.0,390.0,174.81,588.0,856 CDM,PX-300000755,HC CYP3A5 GENOTYPE,600.0,390.0,174.81,600.0,884 CDM,PX-300000756,HC DPYD GENOTYPE,600.0,390.0,174.81,582.0,884 CDM,PX-300000757,HC DPYD FULL GENE SEQUENCING,1000.0,650.0,174.81,970.0,884 CDM,PX-300000760,HC G6PD FULL GENE ANALYSIS,1000.0,650.0,497.0,970.0,884 CDM,PX-300000763,HC IL28B POLYMORPHISM GENOTYPE,600.0,390.0,73.37,600.0,884 CDM,PX-300000764,HC SLCO1B1 GENOTYPE STATIN,600.0,390.0,174.81,600.0,884 CDM,PX-300000765,HC HBB - BETA-GLOB GEN SEQ,500.0,325.0,248.5,485.0,884 CDM,PX-300000767,HC ALPHA GLOBIN GENE SEQUENCE,700.0,455.0,202.4,686.0,884 CDM,PX-300000768,HC HBA1/HBA2 ALPHA GLOBIN GENE SEQ,500.0,325.0,248.5,690.0,884 CDM,PX-300000769,HC BETA GLOBIN CLUSTER LOCUS DUP/DELETE,700.0,455.0,202.4,686.0,884 CDM,PX-300000776,HC PTEN GENE KNOWN MUT,500.0,325.0,46.6,500.0,884 CDM,PX-300000777,HC GALC GENE,700.0,455.0,137.0,679.0,884 CDM,PX-300000778,HC CFDNA EGFR T790M,900.0,585.0,324.58,873.0,884 CDM,PX-300000783,HC JAK2 GENE TRGT SEQ ANALYSIS,400.0,260.0,121.91,388.0,884 CDM,PX-300000791,HC CYP1A2 GENE COMMON VARIANTS,600.0,390.0,174.81,600.0,884 CDM,PX-300000792,HC COMT GENE,600.0,390.0,174.81,600.0,884 CDM,PX-300000794,HC RX METAB ADVERSE REACT TARGET SEQ ANALYSIS,600.0,390.0,298.2,853.61,884 CDM,PX-300000795,HC RX METAB WARFARIN TARGET SEQ ANALYSIS,700.0,455.0,134.13,700.0,884 CDM,PX-300000796,HC TPMT NUDT15 GENE COMMON VARIANTS,600.0,390.0,298.2,582.0,884 CDM,PX-300000803,HC KVAR1 SINGLE VARIANT KNOWN GENE,500.0,325.0,185.2,485.0,884 CDM,PX-300000835,HC PKLR FULL GENE AND DELETION,500.0,325.0,248.5,485.0,884 CDM,PX-300000882,HC BCR/ABL1 MAJOR BKPT QUAL/QUANT A1 (BADX-NCCI),164.0,106.6,81.51,188.55,884 CDM,PX-300000883,HC BCR/ABL1 MINOR BKPT QUAL/QUANT A1 (BADX-NCCI),154.0,100.1,76.54,166.57,884 CDM,PX-300000884,HC BCR/ABL1 OTHR BKPT QUAL/QUANT A1 (BADX-NCCI),214.0,139.1,106.36,246.81,884 CDM,PX-300000896,"HC CXCR4, GENE MUTATION, REFLEX",574.0,373.1,285.28,556.78,880 CDM,PX-300001096,HC BRAF MUTATION ANALYSIS V600E 1,900.0,585.0,175.4,873.0,884 CDM,PX-300001097,HC CALR MUTATION ANALYSIS 1,493.0,320.45,121.63,478.21,884 CDM,PX-300001100,"HC NPC1/NPC2 GENES, KNOWN MUTATION",500.0,325.0,185.2,485.0,884 CDM,PX-300001113,HC EGFR GENE ANALYSIS COM VAR (EGFRT),1200.0,780.0,324.58,1164.0,884 CDM,PX-300001114,HC JAK2 GENE ANALYSIS (MPNR),477.0,310.05,91.66,462.69,884 CDM,PX-300001115,HC JAK2 GENE ANALYSIS (PVJAK),334.0,217.1,91.66,323.98,884 CDM,PX-300001137,HC F8 INVERSION ANALYSIS (F8INP/F8INP),626.0,406.9,185.2,607.22,884 CDM,PX-300001146,HC CYP2D6 GEN COM&SLCT RAR VRNT,600.0,390.0,298.2,777.83,884 CDM,PX-300001147,HC CYP2D6 FULL GENE SEQUENCE,600.0,390.0,298.2,690.0,856 CDM,PX-300001148,HC CYP2D6 GEN CYP2D6-2D7 HYBRID,600.0,390.0,298.2,600.0,884 CDM,PX-300001152,HC CYP2D6 3' GENE DUP/MLT,600.0,390.0,298.2,600.0,884 CDM,PX-300001153,HC IG PARAPROTEIN QUAL SERUM,194.0,126.1,43.43,188.18,884 CDM,PX-300001169,HC BCR/ABL1 MAJOR BKPT QUAL/QUANT A1 (BCRFX-NCCI),164.0,106.6,81.51,188.55,884 CDM,PX-300001170,HC BCR/ABL1 MINOR BKPT QUAL/QUANT A1 (BCRFX-NCCI),154.0,100.1,76.54,166.57,884 CDM,PX-300001171,HC BCR/ABL1 OTHR BKPT QUAL/QUANT A1 (BCRFX-NCCI),214.0,139.1,106.36,246.81,884 CDM,PX-300001172,HC BRAF MUTATION ANALYSIS V600 TUMOR (RASFP),469.0,304.85,175.4,454.93,884 CDM,PX-300001174,HC KRAS GENE ANALYSIS 2 (RASFP),593.0,385.45,193.25,575.21,884 CDM,PX-300001186,HC SPINK1 FULL GENE ANALYSIS (HPPAN),163.0,105.95,81.01,316.05,884 CDM,PX-300001225,"HC REFLEX ANALYSIS, NGSHM",713.0,463.45,354.36,873.46,884 CDM,PX-300001227,HC GENE G6PD SEQ,500.0,325.0,248.5,500.0,884 CDM,PX-300001228,HC GENE GJB2 SEQ,500.0,325.0,61.52,500.0,884 CDM,PX-300001229,HC GENE HBA1/HBA2 SEQ,500.0,325.0,248.5,500.0,884 CDM,PX-300001230,HC GENE PMP22 SEQ,500.0,325.0,46.6,500.0,884 CDM,PX-300001231,HC GENE HBB SEQ,500.0,325.0,248.5,500.0,884 CDM,PX-300001237,HC GENE IDH1 (NGAMT),372.0,241.8,184.88,360.84,884 CDM,PX-300001238,HC GENE IDH2 (NGAMT),373.0,242.45,185.38,361.81,884 CDM,PX-300001239,HC FLT3 GENE DUP VAR (NGAMT),225.0,146.25,111.83,218.25,884 CDM,PX-300001240,HC FLT3 GENE DOMAIN VAR (NGAMT),300.0,195.0,83.0,291.0,884 CDM,PX-300001249,HC NRAS GENE VAR EXON 2 & 3 (RASFP),730.0,474.5,295.79,708.1,884 CDM,PX-300001337,HC AR GENE CHARAC ALLELES,400.0,260.0,137.0,388.0,884 CDM,PX-300001338,HC ATN1 GENE DETC ABNOR ALLELES,500.0,325.0,137.0,500.0,884 CDM,PX-300001344,HC HTT GENE DETC ABNOR ALLELES,400.0,260.0,137.0,400.0,884 CDM,PX-300001345,HC MYD88 GENE PRO VRNT,410.0,266.5,175.4,397.7,884 CDM,PX-300001346,HC MYD88 GENE PRO VRNT (LPLFX),395.0,256.75,175.4,383.15,884 CDM,PX-300001348,HC SMN1 GENE DOS/DELETION (SMNCS),400.0,260.0,137.0,392.0,884 CDM,PX-300001349,HC SMN1 GENE DOS/DELETION (SMNDX),400.0,260.0,137.0,392.0,884 CDM,PX-300001350,HC SMN1 GENE FULL GENE SEQ,1000.0,650.0,301.35,1000.0,884 CDM,PX-300001352,HC TERT GENE TARGETED SEQ ALYS,1015.0,659.75,185.2,984.55,884 CDM,PX-300001374,HC 81403 GENES 3 (RASFP),519.0,337.35,185.2,503.43,884 CDM,PX-300001430,HC HLA II TYPING 1 LOCUS LR (SSOGP),833.0,541.45,122.22,808.01,884 CDM,PX-300001431,HC HLA I & II TYPING LR (SSOGP),1735.0,1127.75,402.12,1682.95,884 CDM,PX-300001438,HC KIT TARGETED (GISTP),879.0,571.35,329.51,852.63,884 CDM,PX-300001439,HC PDGFRA TARGETED (GISTP),535.0,347.75,265.9,518.95,884 CDM,PX-300001441,HC IDH1 GENES KNOWN MUTATION (IDH12),488.0,317.2,193.25,473.36,884 CDM,PX-300001442,HC IDH2 COMMON EXON 4 VARIANTS (IDH12),560.0,364.0,278.32,543.2,884 CDM,PX-300001484,HC CHD GENETIC RISK SCORE,800.0,520.0,397.6,776.0,880 CDM,PX-300001485,HC CYP2B6 GENOTYPE (2B6V),600.0,390.0,298.2,582.0,880 CDM,PX-300001549,HC FLCN GENE KNOWN MUTATION (FMTT),500.0,325.0,185.2,485.0,884 CDM,PX-300001562,HC AGXT KNOWN MUTATION (FMTT),500.0,325.0,185.2,485.0,884 CDM,PX-300001567,HC APAOA1 KNOWN MUTATION (FMTT),500.0,325.0,185.2,485.0,884 CDM,PX-300001577,HC HLA CLASS I TYPING LOW RESOL (HLABD),1593.0,1035.45,403.59,1545.21,884 CDM,PX-300001578,HC HLA II LOW RESOL DRB1/3/4/5 & DQB1 (HLABD),852.0,553.8,220.74,826.44,884 CDM,PX-300001581,HC UGT1A1 FULL GENE SEQ (UGTFG),1000.0,650.0,274.83,970.0,884 CDM,PX-300001584,HC WHOLE MITOCHON GENOME (MITOP),793.0,515.45,394.12,1076.4,884 CDM,PX-300001585,HC MITOCHON FULL GENOME ANALYSIS (MEC),2500.0,1625.0,1242.5,2425.0,880 CDM,PX-300001589,HC SARCOMA TARGETED GENE FUSION PANEL,2769.0,1799.85,1376.19,3357.54,884 CDM,PX-300001593,"HC LYMPH3CX, LG BCELL LYMPHOMA MRNA",3029.0,1968.85,1505.41,2938.13,884 CDM,PX-300001595,HC SERPINC1 FULL GENE NGS,1022.0,664.3,507.93,991.34,880 CDM,PX-300001609,HC VWF FULL GENE NGS,1095.0,711.75,544.22,2300.0,884 CDM,PX-300001619,HC HBB BETA-GLOB GEN SEQ (WBSQR),500.0,325.0,248.5,485.0,884 CDM,PX-300001620,HC GAMMA GLOBIN FULL GENE SEQ (WGSQR),400.0,260.0,198.8,388.0,880 CDM,PX-300001625,HC CYTOGEN NEOPLASIA MICROARRAY 1,2200.0,1430.0,1093.4,2134.0,884 CDM,PX-300001626,HC CYTOGEN NEOPLASIA MICROARRAY 2,2200.0,1430.0,1093.4,2134.0,884 CDM,PX-300001627,HC CYTOGEN NEOPLASIA MICROARRAY 3,2200.0,1430.0,1093.4,2134.0,884 CDM,PX-300001630,HC BETA GLOBIN CLUSTER LOCUS DEL/DUP,700.0,455.0,202.4,686.0,884 CDM,PX-300001663,HC NPM1 MUTATION ANALYSIS (NPM1Q),410.0,266.5,203.77,397.7,884 CDM,PX-300001669,HC HLA I & II TYPING HR,2884.0,1874.6,345.57,2797.48,884 CDM,PX-300001674,HC BRAF V600 SOMATIC MUT ANALYSIS TUMORE,900.0,585.0,175.4,873.0,884 CDM,PX-300001688,HC NTRK TRANSLOC ANALYSIS,2000.0,1300.0,518.28,1940.0,884 CDM,PX-300001689,HC MPL GENE SEQ ALYS EXON 10,598.0,388.7,185.2,580.06,884 CDM,PX-300001693,HC TP53 GENE TARGET SEQ,566.0,367.9,281.3,549.02,884 CDM,PX-300001694,HC TP53 GENE TARGET SEQ (NGAMT),738.0,479.7,329.51,715.86,884 CDM,PX-300001713,HC CDG GENE PANEL (CDGGP),2500.0,1625.0,1242.5,2815.84,884 CDM,PX-300001714,HC MOPATH PROC LEVEL 6 (APGP),623.0,404.95,301.35,604.31,884 CDM,PX-300001715,HC MOPATH PROC LEVEL 7 (APGP),585.0,380.25,282.88,567.45,884 CDM,PX-300001716,HC MOPATH PROC (APGP),207.0,134.55,102.88,200.79,880 CDM,PX-300001717,HC CHOLESTASIS GENE PANEL (CHLGP),2500.0,1625.0,1242.5,2815.84,884 CDM,PX-300001718,HC CONGENITAL LACTIC ACIDOSIS PANEL (CLADP),1040.0,676.0,516.88,2815.84,884 CDM,PX-300001719,HC MITOCHON FULL GENOME ANALYSIS (CLADP),935.0,607.75,464.7,1480.05,884 CDM,PX-300001720,HC WHOLE MITOCHON GENOME LARGE DEL (CLADP),525.0,341.25,260.93,1076.4,884 CDM,PX-300001721,HC UREA CYCLE DISORDERS GENE PANEL (UCDP),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300001722,HC METHYL ACIDURIA GENE PANEL (MMAGP),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300001723,HC MMA PA COMBINED GENE PANEL (MPAGP),2080.0,1352.0,1033.76,2815.84,884 CDM,PX-300001724,HC MOPATH PROC LEVEL 6 (PCGP),625.0,406.25,301.35,606.25,884 CDM,PX-300001725,HC MOPATH PROC LEVEL 7 (PCGP),584.0,379.6,282.88,566.48,884 CDM,PX-300001726,HC MOPATH PROC (PCGP),207.0,134.55,102.88,200.79,880 CDM,PX-300001727,HC KETONE DISORDERS GENE PANEL (KETGP),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300001729,HC HEXB FULL GENE ANALYSIS (HEXBZ),1000.0,650.0,497.0,970.0,880 CDM,PX-300001730,HC CYSTINURIA GENE PANEL (CYSGP),2080.0,1352.0,1033.76,2017.6,880 CDM,PX-300001731,HC 3-METHYLGLUT ACIDURIA PANEL (3MGAP),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300001732,HC MOPATH PROC LEVEL 7 (TYRGP),1478.0,960.7,282.88,1433.66,884 CDM,PX-300001733,HC MOPATH PROC (TYRGP),522.0,339.3,259.43,506.34,880 CDM,PX-300001734,HC MOPATH PROC LEVEL 6 (PHEGP),624.0,405.6,301.35,605.28,884 CDM,PX-300001735,HC MOPATH PROC LEVEL 7 (PHEGP),585.0,380.25,282.88,567.45,884 CDM,PX-300001736,HC MOPATH PROC (PHEGP),206.0,133.9,102.38,199.82,880 CDM,PX-300001737,HC MOPATH PROC LEVEL 6 (MSUDP),481.0,312.65,239.06,466.57,884 CDM,PX-300001738,HC MOPATH PROC LEVEL 7 (MSUDP),453.0,294.45,225.14,439.41,884 CDM,PX-300001739,HC MOPATH PROC (MSUDP),160.0,104.0,79.52,155.2,880 CDM,PX-300001742,HC FATTY ACID OXIDATION GENE PANEL (HFAOP),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300001743,HC GALACTOSEMIA FULL GENE ANALYSIS (GALZ),1000.0,650.0,282.88,970.0,884 CDM,PX-300001744,HC BATTEN DISEASE GENE PANEL (NCLGP),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300001745,HC LSD GENE PANEL (LSDGP),2500.0,1625.0,1242.5,2815.84,884 CDM,PX-300001746,HC GLYCOGEN STORAGE DIS GENE PANEL (GSDGP),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300001747,HC PEROXISOMAL DISORDER GENE PANEL (PDGP),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300001760,HC AMINOGLYCOSIDE-INDUCED HEARING LOSS (AIHL),400.0,260.0,137.0,388.0,884 CDM,PX-300001765,HC APOL1 GENOTYPE,400.0,260.0,198.8,388.0,880 CDM,PX-300001771,HC CTFR COMMON VARIANTS (CFMP),281.0,182.65,139.66,640.09,884 CDM,PX-300001772,HC CTFR DUP/DEL (CFMP),219.0,142.35,108.84,500.33,884 CDM,PX-300001773,HC CTFR COMMON VARIANTS (CFSMN),352.0,228.8,174.94,640.09,884 CDM,PX-300001774,HC SMN1/SMN2 DOSAGE/DELETION (CFSMN),173.0,112.45,85.98,169.54,884 CDM,PX-300001775,HC CTFR DUP/DEL (CFSMN),275.0,178.75,136.68,500.33,884 CDM,PX-300001776,HC CTFR COMMON VARIANTS (CSFP),282.0,183.3,140.15,640.09,884 CDM,PX-300001777,HC SMN1/SMN2 DOSAGE/DELETION (CSFP),139.0,90.35,69.08,157.55,884 CDM,PX-300001778,HC FMR1 GENE (CSFP),43.0,27.95,21.37,41.71,880 CDM,PX-300001779,HC HBA1/HBA2 GENE (CSFP),43.0,27.95,21.37,117.6,884 CDM,PX-300001780,HC HBB GENE (CSFP),73.0,47.45,36.28,201.03,884 CDM,PX-300001781,HC CTFR DUP/DEL (CSFP),220.0,143.0,109.34,500.33,884 CDM,PX-300001785,HC GALACTOSEMIA MUTATION PANEL (GALMP),800.0,520.0,137.0,776.0,884 CDM,PX-300001797,HC F5 LEIDEN VAR (F5DNA),400.0,260.0,73.37,388.0,884 CDM,PX-300001803,"HC KRAS GENE ANALYSIS, EXON 2 VAR (KRASP)",490.0,318.5,193.25,475.3,884 CDM,PX-300001804,"HC KRAS GENE ANALYSIS, ADDTL VAR (KRASP)",410.0,266.5,193.25,397.7,884 CDM,PX-300001806,HC INV(16) CBFB-MYH11 QUANT,545.0,354.25,137.0,528.65,884 CDM,PX-300001808,HC ATAXIN 1 GENE (SCAP),140.0,91.0,69.58,157.55,884 CDM,PX-300001809,HC ATAXIN 2 GENE (SCAP),140.0,91.0,69.58,157.55,884 CDM,PX-300001810,HC ATAXIN 3 GENE (SCAP),140.0,91.0,69.58,157.55,884 CDM,PX-300001811,HC ATAXIN 7 GENE (SCAP),140.0,91.0,69.58,157.55,884 CDM,PX-300001813,HC ATAXIN 1 GENE (SCARA),500.0,325.0,137.0,500.0,884 CDM,PX-300001814,HC ATAXIN 2 GENE (SCARA),500.0,325.0,137.0,500.0,884 CDM,PX-300001815,HC ATAXIN 3 GENE (SCARA),500.0,325.0,137.0,500.0,884 CDM,PX-300001816,HC ATAXIN 7 GENE (SCARA),500.0,325.0,137.0,500.0,884 CDM,PX-300001818,HC BAP1 FULL GENE,1000.0,650.0,497.0,970.0,880 CDM,PX-300001819,HC FLCN FULL GENE,1000.0,650.0,497.0,970.0,880 CDM,PX-300001820,HC CDH1 FULL GENE,1000.0,650.0,282.88,970.0,884 CDM,PX-300001821,HC HEREDITARY GI CANCER PANEL,2000.0,1300.0,994.0,1940.0,884 CDM,PX-300001822,HC HEREDITARY ENDOCRINE CANCER PANEL,2000.0,1300.0,994.0,2000.0,884 CDM,PX-300001823,HC BRCA1/2 FULL GENE,2000.0,1300.0,994.0,2098.61,884 CDM,PX-300001824,HC HEREDITARY PGL/PCC PANEL,2000.0,1300.0,994.0,2000.0,884 CDM,PX-300001825,HC FH FULL GENE,1000.0,650.0,301.35,970.0,884 CDM,PX-300001826,HC NF1 FULL GENE,1000.0,650.0,497.0,2300.0,884 CDM,PX-300001827,HC PTEN FULL GENE,1000.0,650.0,497.0,970.0,884 CDM,PX-300001828,HC RET FULL GENE,1000.0,650.0,282.88,970.0,884 CDM,PX-300001829,HC STK11 FULL GENE,1000.0,650.0,301.35,970.0,884 CDM,PX-300001830,HC VHL FULL GENE,1000.0,650.0,274.83,970.0,884 CDM,PX-300001846,HC PTEN GENE (RENCP),284.0,184.6,141.15,690.0,884 CDM,PX-300001847,HC TP53 GENE (RENCP),302.0,196.3,150.09,738.13,884 CDM,PX-300001848,HC MOPATH PROC LEVEL 5 (RENCP),129.0,83.85,64.11,316.05,884 CDM,PX-300001849,HC MOPATH PROC LEVEL 6 (RENCP),142.0,92.3,70.57,346.55,884 CDM,PX-300001850,HC MOPATH PROC LEVEL 7 (RENCP),134.0,87.1,66.6,325.31,884 CDM,PX-300001851,HC MOPATH PROC LEVEL 8 (RENCP),397.0,258.05,197.31,973.21,884 CDM,PX-300001852,HC MOPATH PROC (RENCP),65.0,42.25,32.31,63.05,880 CDM,PX-300001853,HC TP53 GENE (WILMP),1383.0,898.95,641.85,1341.51,884 CDM,PX-300001854,HC WT1 GENE (WILMP),402.0,261.3,199.79,389.94,884 CDM,PX-300001855,HC MOPATH PROC (WILMP),215.0,139.75,106.86,208.55,880 CDM,PX-300001856,HC BRCA1/BRCA2 (XCP),240.0,156.0,119.28,2098.61,884 CDM,PX-300001857,HC APC GENE (XCP),110.0,71.5,54.67,897.0,884 CDM,PX-300001858,HC MLH1 GENE (XCP),55.0,35.75,27.34,776.71,884 CDM,PX-300001859,HC MSH2 GENE (XCP),52.0,33.8,25.84,438.96,884 CDM,PX-300001860,HC MSH6 GENE (XCP),170.0,110.5,84.49,738.13,884 CDM,PX-300001861,HC PALB2 GENE (XCP),180.0,117.0,89.46,777.98,884 CDM,PX-300001862,HC PMS2 GENE DUP/DEL (XCP),30.0,19.5,14.91,234.03,884 CDM,PX-300001863,HC PTEN GENE (XCP),87.0,56.55,43.24,690.0,884 CDM,PX-300001864,HC TP53 GENE (XCP),95.0,61.75,47.22,738.13,884 CDM,PX-300001865,HC EPCAM GENE DUP/DEL (XCP),26.0,16.9,12.92,212.98,884 CDM,PX-300001866,HC MOPATH PROC LEVEL 5 (XCP),43.0,27.95,21.37,316.05,884 CDM,PX-300001867,HC MOPATH PROC LEVEL 6 (XCP),49.0,31.85,24.35,346.55,884 CDM,PX-300001868,HC MOPATH PROC LEVEL 7 (XCP),42.0,27.3,20.87,325.31,884 CDM,PX-300001869,HC MOPATH PROC LEVEL 8 (XCP),120.0,78.0,59.64,973.21,884 CDM,PX-300001870,HC MOPATH PROC LEVEL 9 (XCP),245.0,159.25,121.77,2300.0,884 CDM,PX-300001871,HC MOPATH PROC (XCP),16.0,10.4,7.95,15.52,880 CDM,PX-300001872,HC BRCA1/BRCA2 (COMCP),263.0,170.95,130.71,2098.61,884 CDM,PX-300001873,HC APC GENE SEQ (COMCP),113.0,73.45,56.16,897.0,884 CDM,PX-300001874,HC MLH1 GENE SEQ (COMCP),99.0,64.35,49.2,776.71,884 CDM,PX-300001875,HC MSH2 GENE SEQ (COMCP),55.0,35.75,27.34,438.96,884 CDM,PX-300001876,HC MSH6 GENE SEQ (COMCP),252.0,163.8,125.24,738.13,884 CDM,PX-300001877,HC PALB2 GENE SEQ (COMCP),268.0,174.2,133.2,777.98,884 CDM,PX-300001878,HC PMS2 (DUP/DEL) (COMCP),30.0,19.5,14.91,234.03,884 CDM,PX-300001879,HC PTEN GENE SEQ (COMCP),87.0,56.55,43.24,690.0,884 CDM,PX-300001880,HC TP53 GENE SEQ (COMCP),93.0,60.45,46.22,738.13,884 CDM,PX-300001881,HC EPCAM (DUP/DEL) (COMCP),23.0,14.95,11.43,212.98,884 CDM,PX-300001882,HC MOPATH PROC LEVEL 5 (COMCP),33.0,21.45,16.4,316.05,884 CDM,PX-300001883,HC MOPATH PROC LEVEL 6 (COMCP),35.0,22.75,17.4,346.55,884 CDM,PX-300001884,HC MOPATH PROC LEVEL 7 (COMCP),33.0,21.45,16.4,325.31,884 CDM,PX-300001885,HC MOPATH PROC LEVEL 9 (COMCP),235.0,152.75,116.8,2300.0,884 CDM,PX-300001886,HC MOPATH PROC (COMCP),12.0,7.8,5.96,11.64,880 CDM,PX-300001913,"HC RUNX1/RUNX1T1, QUANT",545.0,354.25,137.0,528.65,884 CDM,PX-300001916,HC FXN REPEAT EXPANSION ANALYSIS (AFXN),700.0,455.0,137.0,700.0,884 CDM,PX-300001926,HC WHOLE EXOME SEQ (WESDX),3000.0,1950.0,1491.0,5497.0,884 CDM,PX-300001927,HC EXOME COMPARATOR (G226),1500.0,975.0,745.5,13800.0,884 CDM,PX-300001931,HC NAT2F FULL GENE SEQ (NAT2Q),600.0,390.0,298.2,582.0,880 CDM,PX-300001935,HC KRAS GENE ANALYSIS 2 (KRASW),450.0,292.5,193.25,436.5,884 CDM,PX-300001936,"HC KRAS GENE ANALYSIS, ADDTL VAR (KRASW)",450.0,292.5,193.25,436.5,884 CDM,PX-300001938,HC CSTB REPEAT EXPAND ANLYS (CSTB),700.0,455.0,137.0,700.0,884 CDM,PX-300001939,HC COMP EPILEPSY GENE PANEL (EPPAN),2500.0,1625.0,1242.5,2815.84,884 CDM,PX-300001940,HC NOTCH3 GENE FULL ANLYS (NTC3Z),1000.0,650.0,497.0,970.0,880 CDM,PX-300001941,HC MECP2 GENE FULL ANLYS (MCP2Z),1000.0,650.0,497.0,1000.0,884 CDM,PX-300001943,HC MOPATH PROC LEVEL 6 (HMEP),129.0,83.85,64.11,346.55,884 CDM,PX-300001944,HC MOPATH PROC LEVEL 7 (HMEP),122.0,79.3,60.63,325.31,884 CDM,PX-300001945,HC MOPATH PROC LEVEL 8 (HMEP),363.0,235.95,180.41,973.21,884 CDM,PX-300001946,HC MOPATH PROC LEVEL 9 (HMEP),858.0,557.7,426.43,2300.0,884 CDM,PX-300001947,HC MOPATH PROC (HMEP),43.0,27.95,21.37,41.71,880 CDM,PX-300001948,HC MOPATH PROC LEVEL 7 (TSCP1),400.0,260.0,198.8,388.0,884 CDM,PX-300001949,HC MOPATH PROC LEVEL 8 (TSCP1),1600.0,1040.0,795.2,1552.0,884 CDM,PX-300001950,HC INFECT AGENT HIV NEXT-GEN SEQ ANALYSIS,1555.0,1010.75,725.0,1523.9,884 CDM,PX-300001954,HC PIK3CA GENE ANALYSIS (PIK3T),1200.0,780.0,274.83,1164.0,884 CDM,PX-300001955,HC PIK3CA GENE ANALYSIS (PIK3B),1200.0,780.0,274.83,1164.0,884 CDM,PX-300001957,HC WHOLE EXOME SEQ REANALYSIS (WESR),1500.0,975.0,320.0,1500.0,884 CDM,PX-300001959,HC MOPATH PROC LEVEL 5 (RSCGP),119.0,77.35,59.14,316.05,884 CDM,PX-300001960,HC MOPATH PROC LEVEL 6 (RSCGP),130.0,84.5,64.61,346.55,884 CDM,PX-300001961,HC MOPATH PROC LEVEL 7 (RSCGP),123.0,79.95,61.13,325.31,884 CDM,PX-300001962,HC MOPATH PROC LEVEL 8 (RSCGP),368.0,239.2,182.9,973.21,884 CDM,PX-300001963,HC MOPATH PROC (RSCGP),44.0,28.6,21.87,42.68,880 CDM,PX-300001964,HC MOPATH PROC LEVEL 6 (RFSGS),81.0,52.65,40.26,346.55,884 CDM,PX-300001965,HC MOPATH PROC LEVEL 7 (RFSGS),77.0,50.05,38.27,325.31,884 CDM,PX-300001966,HC MOPATH PROC LEVEL 8 (RFSGS),230.0,149.5,114.31,973.21,884 CDM,PX-300001967,HC MOPATH PROC LEVEL 9 (RFSGS),542.0,352.3,269.37,2300.0,884 CDM,PX-300001968,HC MOPATH PROC (RFSGS),26.0,16.9,12.92,25.22,880 CDM,PX-300001969,HC MOPATH PROC LEVEL 8 (ALAGP),1789.0,1162.85,846.27,1735.33,884 CDM,PX-300001970,HC MOPATH PROC (ALAGP),211.0,137.15,104.87,204.67,880 CDM,PX-300001971,HC MOPATH PROC LEVEL 8 (ALPGP),392.0,254.8,194.82,973.21,884 CDM,PX-300001972,HC MOPATH PROC LEVEL 9 (ALPGP),737.0,479.05,366.29,2300.0,884 CDM,PX-300001973,HC MOPATH PROC (ALPGP),134.0,87.1,66.6,129.98,880 CDM,PX-300001974,HC MOPATH PROC LEVEL 6 (CASRG),1000.0,650.0,301.35,970.0,884 CDM,PX-300001975,HC MOPATH PROC LEVEL 5 (CKDGP),45.0,29.25,22.37,316.05,884 CDM,PX-300001976,HC MOPATH PROC LEVEL 6 (CKDGP),51.0,33.15,25.35,346.55,884 CDM,PX-300001977,HC MOPATH PROC LEVEL 7 (CKDGP),48.0,31.2,23.86,325.31,884 CDM,PX-300001978,HC MOPATH PROC LEVEL 8 (CKDGP),144.0,93.6,71.57,973.21,884 CDM,PX-300001979,HC MOPATH PROC LEVEL 9 (CKDGP),341.0,221.65,169.48,2300.0,884 CDM,PX-300001980,HC MOPATH PROC (CKDGP),17.0,11.05,8.45,16.49,880 CDM,PX-300001981,HC MOPATH PROC LEVEL 6 (ADPKP),353.0,229.45,175.44,346.55,884 CDM,PX-300001982,HC MOPATH PROC LEVEL 7 (ADPKP),331.0,215.15,164.51,325.31,884 CDM,PX-300001983,HC MOPATH PROC LEVEL 8 (ADPKP),868.0,564.2,431.4,973.21,884 CDM,PX-300001984,HC MOPATH PROC (ADPKP),117.0,76.05,58.15,113.49,880 CDM,PX-300001985,HC MOPATH PROC LEVEL 5 (AHUGP),1467.0,953.55,274.83,1422.99,884 CDM,PX-300001986,HC MOPATH PROC (AHUGP),533.0,346.45,264.9,517.01,880 CDM,PX-300001987,HC MOPATH PROC LEVEL 5 (RBART),365.0,237.25,181.41,354.05,884 CDM,PX-300001988,HC MOPATH PROC LEVEL 7 (RBART),377.0,245.05,187.37,365.69,884 CDM,PX-300001989,HC MOPATH PROC LEVEL 8 (RBART),1125.0,731.25,559.13,1091.25,884 CDM,PX-300001990,HC MOPATH PROC (RBART),133.0,86.45,66.1,129.01,880 CDM,PX-300001991,HC MOPATH PROC LEVEL 2 (NEPHP),13.0,8.45,6.46,157.55,884 CDM,PX-300001992,HC MOPATH PROC LEVEL 5 (NEPHP),21.0,13.65,10.44,316.05,884 CDM,PX-300001993,HC MOPATH PROC LEVEL 6 (NEPHP),22.0,14.3,10.93,346.55,884 CDM,PX-300001994,HC MOPATH PROC LEVEL 7 (NEPHP),21.0,13.65,10.44,325.31,884 CDM,PX-300001995,HC MOPATH PROC LEVEL 8 (NEPHP),63.0,40.95,31.31,973.21,884 CDM,PX-300001996,HC MOPATH PROC LEVEL 9 (NEPHP),151.0,98.15,75.05,2300.0,884 CDM,PX-300001997,HC MOPATH PROC (NEPHP),10.0,6.5,4.97,9.7,880 CDM,PX-300001998,HC NUC MITOCHON GENE PANEL (NMITO),2500.0,1625.0,1242.5,3822.6,884 CDM,PX-300001999,HC MITOCHON FULL GENOME (CMITO),1160.0,754.0,576.52,1480.05,884 CDM,PX-300002000,HC MITOCHON NUCLEAR (CMITO),2996.0,1947.4,1489.01,3822.6,884 CDM,PX-300002001,HC MITOCHON DELETION (CMITO),844.0,548.6,419.47,1076.4,884 CDM,PX-300002005,HC MOPATH PROC (PKLRG),200.0,130.0,99.4,194.0,880 CDM,PX-300002011,HC BRCA1/2 MUTATION ANALYSIS (BRCAT),1600.0,1040.0,468.0,1600.0,884 CDM,PX-300002012,HC TP53 MUTATION ANALYSIS (TP53),1200.0,780.0,596.4,1164.0,884 CDM,PX-300002013,HC IDH1/IDH2 MUTATIONS ANALYSIS (IDHT),1600.0,1040.0,795.2,1552.0,880 CDM,PX-300002014,HC ESR1 MUTATIONS ANALYSIS (ESR1T),1200.0,780.0,596.4,1164.0,880 CDM,PX-300002019,HC B-CATENIN MUTATIONS ANALYSIS (CTNBT),1200.0,780.0,596.4,1164.0,880 CDM,PX-300002020,HC FOXL2 MUTATIONS ANALYSIS (XL2T),1200.0,780.0,596.4,1164.0,880 CDM,PX-300002021,HC MOPATH PROC LEVEL 7 (BRFKT),1600.0,1040.0,282.88,1552.0,884 CDM,PX-300002022,HC MOPATH PROC (BRFKT),1600.0,1040.0,795.2,1552.0,880 CDM,PX-300002027,HC IDH1 GENE (IDHQ),217.0,141.05,107.85,222.24,884 CDM,PX-300002028,HC IDH2 GENE (IDHQ),331.0,215.15,164.51,340.16,884 CDM,PX-300002032,HC CARDIOMYOPATHY AND ARRHYTHMIA PANEL,2500.0,1625.0,584.9,2425.0,884 CDM,PX-300002033,HC COMPREHENSIVE AORTOPATHY GENE PANEL,2000.0,1300.0,504.0,1940.0,884 CDM,PX-300002034,HC COMPREHENSIVE ARRHYTHMIA GENE PANEL,2000.0,1300.0,584.9,1940.0,884 CDM,PX-300002035,HC COMPREHENSIVE CARDIOMYOPATHY PANEL,2500.0,1625.0,584.9,2425.0,884 CDM,PX-300002036,HC DILATED CARDIOMYOPATHY/LVNC PANEL,2500.0,1625.0,584.9,2425.0,884 CDM,PX-300002037,HC HYPERTROPHIC CARDIOMYOPATHY PANEL,2000.0,1300.0,584.9,1940.0,884 CDM,PX-300002038,HC HYPERTRIGLYCERIDEMIA GENE PANEL,2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002039,HC FBN1 FULL GENE ANALYSIS,1000.0,650.0,497.0,2300.0,884 CDM,PX-300002040,HC MARFAN AND RELATED CONDITIONS PANEL,2000.0,1300.0,504.0,1940.0,884 CDM,PX-300002041,HC NOONAN SYNDROME AND RELATED PANEL,2000.0,1300.0,994.0,2465.14,884 CDM,PX-300002042,HC PRIMARY CILIARY DYSKINESIA PANEL,2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002043,HC PRKAR1A FULL GENE ANALYSIS,1000.0,650.0,497.0,970.0,880 CDM,PX-300002044,"HC BRUGADA SYNDROME, SCN5A FULL GENE",1000.0,650.0,497.0,973.21,884 CDM,PX-300002050,HC MOPATH PROC LEVEL 5 (CHDGG),79.0,51.35,39.26,316.05,884 CDM,PX-300002051,HC MOPATH PROC LEVEL 6 (CHDGG),86.0,55.9,42.74,346.55,884 CDM,PX-300002052,HC MOPATH PROC LEVEL 7 (CHDGG),81.0,52.65,40.26,325.31,884 CDM,PX-300002053,HC MOPATH PROC LEVEL 8 (CHDGG),242.0,157.3,120.27,973.21,884 CDM,PX-300002054,HC MOPATH PROC LEVEL 9 (CHDGG),422.0,274.3,209.73,2300.0,884 CDM,PX-300002055,HC MOPATH PROC (CHDGG),29.0,18.85,14.41,28.13,880 CDM,PX-300002056,HC MOPATH PROC LEVEL 6 (CPVTG),250.0,162.5,124.25,346.55,884 CDM,PX-300002057,HC MOPATH PROC LEVEL 9 (CPVTG),1667.0,1083.55,828.5,2300.0,884 CDM,PX-300002058,HC MOPATH PROC (CPVTG),83.0,53.95,41.25,80.51,880 CDM,PX-300002059,HC MOPATH PROC LEVEL 6 (CVHBG),136.0,88.4,67.59,346.55,884 CDM,PX-300002060,HC MOPATH PROC LEVEL 7 (CVHBG),126.0,81.9,62.62,325.31,884 CDM,PX-300002061,HC MOPATH PROC LEVEL 9 (CVHBG),897.0,583.05,445.81,2300.0,884 CDM,PX-300002062,HC MOPATH PROC (CVHBG),45.0,29.25,22.37,43.65,880 CDM,PX-300002063,HC MOPATH PROC LEVEL 9 (EDSGG),973.0,632.45,483.58,2300.0,884 CDM,PX-300002064,HC MOPATH PROC (EDSGG),54.0,35.1,26.84,52.38,880 CDM,PX-300002065,HC MOPATH PROC LEVEL 7 (HCHLG),230.0,149.5,114.31,325.31,884 CDM,PX-300002066,HC MOPATH PROC LEVEL 8 (HCHLG),1378.0,895.7,684.87,1336.66,884 CDM,PX-300002067,HC MOPATH PROC (HCHLG),162.0,105.3,80.51,157.14,880 CDM,PX-300002068,HC MOPATH PROC LEVEL 7 (HHTGG),595.0,386.75,282.88,577.15,884 CDM,PX-300002069,HC MOPATH PROC (HHTGG),215.0,139.75,106.86,208.55,880 CDM,PX-300002070,HC MOPATH PROC LEVEL 7 (HYPBG),470.0,305.5,233.59,455.9,884 CDM,PX-300002071,HC MOPATH PROC LEVEL 8 (HYPBG),1350.0,877.5,670.95,1309.5,884 CDM,PX-300002072,HC MOPATH PROC (HYPBG),180.0,117.0,89.46,174.6,880 CDM,PX-300002073,HC MOPATH PROC LEVEL 7 (LIPOG),230.0,149.5,114.31,325.31,884 CDM,PX-300002074,HC MOPATH PROC LEVEL 8 (LIPOG),1440.0,936.0,715.68,2300.0,884 CDM,PX-300002075,HC MOPATH PROC (LIPOG),100.0,65.0,49.7,97.0,880 CDM,PX-300002076,HC MOPATH PROC LEVEL 4 (LQTSG),220.0,143.0,109.34,213.4,884 CDM,PX-300002077,HC MOPATH PROC LEVEL 7 (LQTSG),325.0,211.25,161.53,325.31,884 CDM,PX-300002078,HC MOPATH PROC LEVEL 8 (LQTSG),1005.0,653.25,499.49,974.85,884 CDM,PX-300002079,HC MOPATH PROC (LQTSG),125.0,81.25,62.13,121.25,880 CDM,PX-300002080,HC MOPATH PROC LEVEL 7 (OIBFG),133.0,86.45,66.1,325.31,884 CDM,PX-300002081,HC MOPATH PROC LEVEL 9 (OIBFG),838.0,544.7,416.49,2300.0,884 CDM,PX-300002082,HC MOPATH PROC (OIBFG),58.0,37.7,28.83,56.26,880 CDM,PX-300002083,HC MOPATH PROC LEVEL 4 (SQTSG),435.0,282.75,185.2,421.95,884 CDM,PX-300002084,HC MOPATH PROC LEVEL 7 (SQTSG),665.0,432.25,282.88,645.05,884 CDM,PX-300002085,HC MOPATH PROC (SQTSG),235.0,152.75,116.8,227.95,880 CDM,PX-300002087,HC FOCUSED ADPKD GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002088,HC AHUS/TMA/C3G GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002089,HC ALAGILLE SYNDROME GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002090,HC ALPORT SYNDROME GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002091,HC ACUTE PORPHYRIA GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002092,HC BRAF/KIT MUTATION ANALYSIS TUMOR (MEC),1600.0,1040.0,795.2,1552.0,880 CDM,PX-300002094,HC CYSTIC FIBROSIS (CF) MUTATION PANEL (MEC),500.0,325.0,248.5,485.0,880 CDM,PX-300002095,HC CF AND SMA CARRIER SCREEN PANEL (MEC),800.0,520.0,397.6,776.0,880 CDM,PX-300002096,HC CYSTIC KIDNEY DISEASE GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002097,HC CONGENITAL LACTIC ACIDOSIS PANEL (MEC),2500.0,1625.0,1242.5,2425.0,880 CDM,PX-300002098,HC HEREDITARY COMMON CANCER PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002099,"HC CARRIER SCREEN, FOCUSED PANEL (MEC)",800.0,520.0,397.6,776.0,880 CDM,PX-300002100,"HC CYP21A2 GENE, FULL GENE ANALYSIS (CYPZ) (MEC)",1000.0,650.0,497.0,970.0,880 CDM,PX-300002101,"HC FLT3 MUTATION ANALYSIS, BLOOD (MEC)",459.0,298.35,228.12,445.23,880 CDM,PX-300002103,HC HEMIPLEGIC MIGRAINE GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002107,HC MSUD GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002108,HC COMPREHENSIVE NEPHROLOGY GENE PANEL (MEC),2500.0,1625.0,1242.5,2425.0,880 CDM,PX-300002112,HC PORPHYRIA COMPREHENSIVE GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002113,HC PHENYLALANINE DISORDERS GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002116,HC BARTTER SYNDROME GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002117,HC HEREDITARY RENAL CANCER PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002118,HC FSGS/NEPHROTIC SYNDROME GENE PANEL (MEC),2500.0,1625.0,1242.5,2425.0,880 CDM,PX-300002119,HC RENAL STONE/ELECTROLYTE GENE PANEL (MEC),2500.0,1625.0,1242.5,2425.0,880 CDM,PX-300002120,HC SPINOCEREBELLAR ATAXIA PANEL (MEC),700.0,455.0,347.9,679.0,880 CDM,PX-300002121,"HC T CELL RECEPTOR GENE REARRANGE, BM (MEC)",1145.0,744.25,569.07,1110.65,880 CDM,PX-300002123,HC TUBEROUS SCLEROSIS GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002124,HC TYROSINE DISORDERS GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002125,HC HEREDITARY WILMS TUMOR PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002126,HC HEREDITARY EXPANDED CANCER PANEL (MEC),2500.0,1625.0,1242.5,2425.0,880 CDM,PX-300002128,HC CONGENITAL HEART DISEASE GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002129,HC CPVT GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002130,HC CEREBROVASCULAR GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002131,HC EHLERS-DANLOS SYNDROME GENE PANEL (EDSGG)(MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002132,HC HYPERCHOLESTEROLEMIA GENE PANEL (HCHLG)(MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002133,HC HHT AND VASCULAR GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002134,HC HYPOBETALIPOPROTEINEMIA GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002135,HC LIPODYSTROPHY GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002136,HC LONG QT SYNDROME GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002137,HC OSTEO IMPERF AND BONE FRAGILITY GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002138,HC SHORT QT SYNDROME GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002139,HC ARRHYTHMOGENIC CARDIOMYOPATHY PANEL (ARVGG),2000.0,1300.0,584.9,1940.0,884 CDM,PX-300002140,HC ATAXIA GENE PANEL (ATAXP),2500.0,1625.0,1242.5,2815.84,884 CDM,PX-300002141,HC CONGENITAL MYASTHENIA GENE PANEL (CMSP),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300002142,"HC DMD GENE, FULL GENE ANALYSIS (DMDZ)",1000.0,650.0,497.0,2300.0,884 CDM,PX-300002143,HC DISTAL WEAKNESS GENE PANEL (DWPAN),2500.0,1625.0,1242.5,2815.84,884 CDM,PX-300002144,HC MOTOR AND SENSORY NEUROPATHY PANEL (IMSNP),2500.0,1625.0,584.9,2425.0,884 CDM,PX-300002145,HC SENSORY NEUROPATHY GENE PANEL (ISNP),2000.0,1300.0,584.9,1940.0,884 CDM,PX-300002146,HC SPASTIC PARAPLEGIA GENE PANEL (ISPP),2500.0,1625.0,584.9,2425.0,884 CDM,PX-300002147,HC LGMD AND CMS GENE PANEL (LGCMP),2500.0,1625.0,1242.5,2815.84,884 CDM,PX-300002148,HC MUSCULAR DYSTROPHY GENE PANEL (MDYSP),2500.0,1625.0,1242.5,2815.84,884 CDM,PX-300002149,HC MOTOR NEURON DISEASE GENE PANEL (MNDP),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300002150,HC NEUROMUSCULAR GENE PANEL (MUPAN),2500.0,1625.0,1242.5,2815.84,884 CDM,PX-300002151,HC PERIPHERAL NEUROPATHY GENE PANEL (PEPAN),2500.0,1625.0,584.9,2425.0,884 CDM,PX-300002152,HC RHABDO/METABOLIC MYOPATHY PANEL (RABMP),2500.0,1625.0,1242.5,2815.84,884 CDM,PX-300002153,"HC SEPTIN9 GENE, FULL GENE ANALYSIS (SEP9Z)",1000.0,650.0,497.0,970.0,880 CDM,PX-300002154,"HC SOD1 GENE, FULL GENE ANALYSIS (SOD1Z)",1000.0,650.0,274.83,970.0,884 CDM,PX-300002155,"HC TTR GENE, FULL GENE ANALYSIS (TTRZ)",1000.0,650.0,274.83,970.0,884 CDM,PX-300002156,HC MOPATH PROC LEVEL 4 (AFTDP),69.0,44.85,34.29,212.98,884 CDM,PX-300002157,HC MOPATH PROC LEVEL 5 (AFTDP),102.0,66.3,50.69,316.05,884 CDM,PX-300002158,HC MOPATH PROC LEVEL 6 (AFTDP),112.0,72.8,55.66,346.55,884 CDM,PX-300002159,HC MOPATH PROC LEVEL 7 (AFTDP),105.0,68.25,52.19,325.31,884 CDM,PX-300002160,HC MOPATH PROC LEVEL 8 (AFTDP),314.0,204.1,156.06,973.21,884 CDM,PX-300002161,HC MOPATH PROC (AFTDP),37.0,24.05,18.39,35.89,880 CDM,PX-300002162,HC FTD/ALS GENE PANEL AFTDP (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002163,HC MOPATH PROC LEVEL 5 (EDMDP),573.0,372.45,274.83,555.81,884 CDM,PX-300002164,HC MOPATH PROC LEVEL 6 (EDMDP),628.0,408.2,301.35,609.16,884 CDM,PX-300002165,HC MOPATH PROC LEVEL 7 (EDMDP),295.0,191.75,146.62,325.31,884 CDM,PX-300002166,HC MOPATH PROC (EDMDP),209.0,135.85,103.87,202.73,880 CDM,PX-300002167,HC EMERY-DREIFUS GENE PANEL EDMDP (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002168,HC MOPATH PROC LEVEL 5 (IMNP),380.0,247.0,188.86,368.6,884 CDM,PX-300002169,HC MOPATH PROC LEVEL 6 (IMNP),380.0,247.0,188.86,368.6,884 CDM,PX-300002170,HC MOPATH PROC LEVEL 7 (IMNP),380.0,247.0,188.86,368.6,884 CDM,PX-300002171,HC MOPATH PROC (IMNP),100.0,65.0,49.7,97.0,880 CDM,PX-300002172,HC MOTOR NEUROPATHY GENE PANEL IMNP (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002173,HC MOPATH PROC LEVEL 4 (PARDP),60.0,39.0,29.82,212.98,884 CDM,PX-300002174,HC MOPATH PROC LEVEL 5 (PARDP),88.0,57.2,43.74,316.05,884 CDM,PX-300002175,HC MOPATH PROC LEVEL 6 (PARDP),98.0,63.7,48.71,346.55,884 CDM,PX-300002176,HC MOPATH PROC LEVEL 7 (PARDP),92.0,59.8,45.72,325.31,884 CDM,PX-300002177,HC MOPATH PROC LEVEL 8 (PARDP),275.0,178.75,136.68,973.21,884 CDM,PX-300002178,HC MOPATH PROC LEVEL 9 (PARDP),649.0,421.85,322.55,2300.0,884 CDM,PX-300002179,HC MOPATH PROC (PARDP),32.0,20.8,15.9,31.04,880 CDM,PX-300002180,HC PARKINSON DIS GENE PANEL PARDP (MEC),2500.0,1625.0,1242.5,2425.0,880 CDM,PX-300002181,HC MOPATH PROC LEVEL 4 (SMCP),470.0,305.5,185.2,455.9,884 CDM,PX-300002182,HC MOPATH PROC LEVEL 7 (SMCP),460.0,299.0,228.62,446.2,884 CDM,PX-300002183,HC MOPATH PROC (SMCP),150.0,97.5,74.55,145.5,880 CDM,PX-300002184,HC MUSCLE CHANNEL GENE PANEL SMCP (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002185,HC ALLERGEN IGE RECOMB/PURIFY EA 2,78.0,50.7,17.93,76.44,884 CDM,PX-300002186,HC B-CELL LYMPHOMA NGS,2538.0,1649.7,759.53,2461.86,884 CDM,PX-300002187,HC T-CELL LYMPHOMA NGS,2070.0,1345.5,759.53,2007.9,884 CDM,PX-300002188,HC HISTIOCYTIC NEOPLASM NGS,1896.0,1232.4,759.53,1839.12,884 CDM,PX-300002190,HC CHRONIC LYMPHOID NEOPLASM NGS,2070.0,1345.5,759.53,2007.9,884 CDM,PX-300002193,HC SARCOMA TARGETED GENE PANEL (SARCP),2000.0,1300.0,994.0,3357.54,884 CDM,PX-300002194,HC GENOME SEQUENCE ANALYSIS (WGSDX),4000.0,2600.0,1988.0,5785.88,884 CDM,PX-300002495,HC GENOME SEQ ANALYSIS EA COMPARATOR (G227),2000.0,1300.0,994.0,3116.44,884 CDM,PX-300002496,HC GENOME RE-EVALUATION (WGSR),1500.0,975.0,745.5,2688.3,856 CDM,PX-300002497,HC MAYOCOMPLETE LUNG REARRANGEMENTS (MCLNR),1200.0,780.0,596.4,1176.0,884 CDM,PX-300002499,HC HEARING LOSS GENE PANEL (AHLP),1763.0,1145.95,876.21,1868.75,856 CDM,PX-300002500,HC HEARING LOSS DUP/DEL ANALYSIS PANEL (AHLP),737.0,479.05,366.29,781.51,856 CDM,PX-300002501,HC AUDIOLOGENE HEARING LOSS PANEL (AHLP-MEC),2500.0,1625.0,1242.5,2425.0,880 CDM,PX-300002503,HC ATP7B FULL GENE ANALYSIS (WNDZ),1000.0,650.0,282.88,970.0,884 CDM,PX-300002504,HC BRAF MUTATION ANALYSIS V600 TUMOR (MBRAF),469.0,304.85,175.4,454.93,884 CDM,PX-300002505,HC BRAF MUTATION ANALYSIS V600 TUMOR (TBRAF),469.0,304.85,175.4,454.93,884 CDM,PX-300002506,HC BRAF MUTATION ANALYSIS V600 TUMOR (WBRAF),748.0,486.2,175.4,725.56,884 CDM,PX-300002510,HC ALPS GENE PANEL (ALPSG),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300002511,HC BTK GENE FULL ANALYSIS (BTKSG),1000.0,650.0,282.88,970.0,884 CDM,PX-300002512,HC CFTR GENE FULL ANALYSIS (CFTRN),1000.0,650.0,497.0,970.0,884 CDM,PX-300002513,HC EBV/LYMPHOPROLIFERATION GENE PANEL (EBLPD),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300002514,HC GATA2 GENE FULL ANAYLYIS (GATAS),1000.0,650.0,497.0,970.0,880 CDM,PX-300002515,HC HYPER-IGE SYNDROME GENE PANEL (HIESG),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300002516,HC HLH GENE PANEL (HLHGP),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300002517,HC VIRAL SUSCEPTIBILITY GENE PANEL (VIRID),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300002518,HC DYSREGULATION/AUTOIMM GENE PANEL (IMMAU),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300002519,HC CONGENITAL NEUTROPENIA GENE PANEL (SCCNP),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300002520,HC TELOMERE DISORDERS GENE PANEL (TELDP),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300002521,HC CFTR GENE (HPANP),800.0,520.0,397.6,776.0,884 CDM,PX-300002522,HC CTRC GENE (HPANP),400.0,260.0,198.8,388.0,884 CDM,PX-300002523,HC MOPATH PROC LEVEL 5 (HPANP),400.0,260.0,198.8,388.0,884 CDM,PX-300002524,HC HEREDITARY PANCREATITIS GENE PANEL (HPANP-MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002525,HC RBC ENZYME SEQUENCING NGS (NENZ),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300002526,HC HEREDITARY HEMOLYTICS ANEMIA (NHHA),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300002527,HC CYB5 AND CYB5 REDUCTASE NGS (NCYB),3550.0,2307.5,1764.35,3443.5,880 CDM,PX-300002528,HC CDA SEQUENCING NGS (NCDA),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002529,HC SLCA1 FULL GENE SEQ (NMEM),1500.0,975.0,301.35,1455.0,884 CDM,PX-300002530,HC MOPATH PROC (NMEM),500.0,325.0,248.5,485.0,880 CDM,PX-300002531,HC RBC MEMBRANE SEQUENCING (NMEM-MEC),3550.0,2307.5,1764.35,3443.5,880 CDM,PX-300002532,HC VHL FULL GENE (NHEM),1466.0,952.9,274.83,1422.02,884 CDM,PX-300002533,HC MOPATH PROC (NHEM),534.0,347.1,265.4,517.98,880 CDM,PX-300002534,HC ERYTHROCYTOSIS FOCUSED PANEL NGS (NHEM-MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002535,HC VHL FULL GENE (NHEP),813.0,528.45,274.83,788.61,884 CDM,PX-300002536,HC PKLR FULL GENE (NHEP),892.0,579.8,301.35,865.24,884 CDM,PX-300002537,HC MOPATH PROC (NHEP),295.0,191.75,146.62,286.15,880 CDM,PX-300002538,HC ERYTHROCYTOSIS FULL PANEL NGS (NHEP-MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002539,HC GENE AR (FMTT),500.0,325.0,185.2,500.0,884 CDM,PX-300002540,HC GENE FXN (FMTT),500.0,325.0,185.2,500.0,884 CDM,PX-300002541,HC GENE PALB2 (FMTT),500.0,325.0,248.5,500.0,884 CDM,PX-300002542,HC ALLERGEN IGE RECOMB/PURIFY EA 3,75.0,48.75,17.93,73.5,884 CDM,PX-300002544,HC F2 GENE ANLYS 20210G A/B VAR (PTMUT),400.0,260.0,65.69,388.0,884 CDM,PX-300002552,HC PSYCH PHARMACOGENOMICS PANEL (PSYQP),1500.0,975.0,745.5,1470.0,884 CDM,PX-300002554,HC IDH1 GENES COMMON VARIANTS (IDHFT),495.0,321.75,193.25,480.15,884 CDM,PX-300002555,HC IDH2 COMMON VARIANTS (IDHFT),495.0,321.75,246.02,480.15,884 CDM,PX-300002558,HC JAK2 V617F MUTATION (JAKFM),743.0,482.95,91.66,720.71,884 CDM,PX-300002559,HC CALR GENE MUTATION EXON 9 (CALFM),493.0,320.45,121.63,478.21,884 CDM,PX-300002560,HC MPL EXON 10 MUTATION (MPLFM),598.0,388.7,185.2,580.06,884 CDM,PX-300002561,HC JAK2 V617F MUTATION (JAKFB),743.0,482.95,91.66,720.71,884 CDM,PX-300002562,HC CALR GENE MUTATION EXON 9 (CALFB),493.0,320.45,121.63,478.21,884 CDM,PX-300002563,HC MPL EXON 10 MUTATION (MPLFB),1225.0,796.25,185.2,1188.25,884 CDM,PX-300002564,HC THROMBOCYTOPENIA GENE PANEL (GNHTC),1775.0,1153.75,882.18,2815.84,884 CDM,PX-300002565,"HC PROS GENE, FULL GENE (GNPRS)",1000.0,650.0,497.0,970.0,880 CDM,PX-300002566,"HC SERPINC1 GENE, FULL GENE (GNANT)",1000.0,650.0,497.0,970.0,880 CDM,PX-300002567,"HC F7 GENE, FULL GENE (GNF7)",1450.0,942.5,720.65,1406.5,880 CDM,PX-300002568,"HC F11 GENE, FULL GENE (GNF11)",1450.0,942.5,720.65,1406.5,880 CDM,PX-300002569,"HC PROC GENE, FULL GENE (GNPRC)",1000.0,650.0,497.0,970.0,880 CDM,PX-300002570,"HC ADAMTS13 GENE, FULL GENE (GNADM)",1000.0,650.0,497.0,970.0,880 CDM,PX-300002571,"HC MYH9 GENE, FULL GENE (GNMY9)",1450.0,942.5,720.65,1406.5,880 CDM,PX-300002572,HC STORAGE POOL DEFICIENCY PANEL (GNSPD),1775.0,1153.75,882.18,2815.84,884 CDM,PX-300002573,HC PLATELET FUNCTION DEFECT PANEL (GNPFD),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300002574,"HC F8 GENE, FULL GENE (GNHMA)",1450.0,942.5,720.65,1406.5,884 CDM,PX-300002575,"HC F9 GENE, FULL GENE (GNHMB)",1000.0,650.0,497.0,1000.0,884 CDM,PX-300002576,"HC F13A1 AND B GENES, FULL GENE (GNF13)",2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002577,"HC FGA/B/G GENES, FULL GENE (GNFIB)",2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002578,HC VWF GENE (GNVWD),1900.0,1235.0,944.3,2300.0,884 CDM,PX-300002579,HC GP1BA GENE (GNVWD),100.0,65.0,49.7,97.0,880 CDM,PX-300002580,HC VWF AND GP1BA GENES (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002581,HC HEREDITARY ANGIOEDEMA PANEL (GNANG),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002583,HC BLEEDING COMPREHENSIVE PANEL (GNBLC),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300002584,HC THROMBOSIS COMPREHENSIVE PANEL (GNTHR),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300002585,HC PLATELET COMPREHENSIVE PANEL (GNPLT),2500.0,1625.0,1242.5,2815.84,884 CDM,PX-300002586,HC MACROTHROMBOCYTOPENIA PANEL (GNMTC),1775.0,1153.75,882.18,2815.84,884 CDM,PX-300002590,HC AUTOINFLAMMATORY GENE PANEL (AUTOG),2500.0,1625.0,1242.5,2815.84,884 CDM,PX-300002591,HC BCELL/ANTIBODY DEFICIENCY GENE PANEL (BCELL),2500.0,1625.0,1242.5,2815.84,884 CDM,PX-300002592,HC EARLY ONSET IBD GENE PANEL (EOIBD),2500.0,1625.0,1242.5,2815.84,884 CDM,PX-300002593,HC SCID GENE PANEL (SCIDP),2000.0,1300.0,994.0,2815.84,884 CDM,PX-300002594,"HC F9 GENE, FULL GENE (GNBLF)",296.0,192.4,147.11,690.0,884 CDM,PX-300002595,"HC F8 GENE, FULL GENE (GNBLF)",418.0,271.7,207.75,973.21,884 CDM,PX-300002596,HC VWF GENE (GNBLF),987.0,641.55,490.54,2300.0,884 CDM,PX-300002597,HC MOPATH PROC (GNBLF),50.0,32.5,24.85,48.5,880 CDM,PX-300002598,HC BLEEDING FOCUSED GENE PANEL (MEC),1750.0,1137.5,869.75,1697.5,880 CDM,PX-300002599,HC BRCA1/BRCA2 GENE (BRTP),710.0,461.5,352.87,2098.61,884 CDM,PX-300002600,HC PALB2 GENE (BRTP),263.0,170.95,130.71,777.98,884 CDM,PX-300002601,HC PTEN GENE (BRTP),233.0,151.45,115.8,690.0,884 CDM,PX-300002602,HC TP53 GENE (BRTP),250.0,162.5,124.25,738.13,884 CDM,PX-300002603,HC STK11 GENE (BRTP),118.0,76.7,58.65,346.55,884 CDM,PX-300002604,HC CDH1 GENE (BRTP),110.0,71.5,54.67,325.31,884 CDM,PX-300002605,HC ATM GENE (BRTP),777.0,505.05,386.17,2300.0,884 CDM,PX-300002606,HC MOPATH PROC (BRTP),39.0,25.35,19.38,37.83,880 CDM,PX-300002607,HC RAPID HERED BREAST CANCER TEST (MEC),2500.0,1625.0,1242.5,2425.0,880 CDM,PX-300002608,HC HISTONE GENES MUTATION ANALYSIS (HISGT),1600.0,1040.0,597.91,1552.0,884 CDM,PX-300002609,HC MAYCOMPLETE ADULT DG PANEL (MCADG),1600.0,1040.0,597.91,1552.0,884 CDM,PX-300002615,HC FH MUTATION ANALYSIS (TFH),1200.0,780.0,301.35,1164.0,884 CDM,PX-300002616,HC DICER1 MUTATION ANALYSIS (DICET),1200.0,780.0,596.4,1164.0,880 CDM,PX-300002617,HC POLE MUTATION ANALYSIS (POLET),1200.0,780.0,596.4,1164.0,880 CDM,PX-300002618,HC MYOD1 MUTATION ANALYSIS (MYODT),1200.0,780.0,596.4,1164.0,880 CDM,PX-300002619,HC ALK MUTATION ANALYSIS (ALKT),1200.0,780.0,596.4,1164.0,880 CDM,PX-300002621,HC VHL GENE (MCFRC),280.0,182.0,139.16,316.05,884 CDM,PX-300002622,HC TSC1 GENE (MCFRC),290.0,188.5,144.13,325.31,884 CDM,PX-300002623,HC TSC2 GENE (MCFRC),850.0,552.5,422.45,973.21,884 CDM,PX-300002624,HC MOPATH PROC (MCFRC),180.0,117.0,89.46,174.6,880 CDM,PX-300002625,HC MAYOCOMPLETE FIBROMYOMATOUS RCC (MEC),1600.0,1040.0,795.2,1552.0,880 CDM,PX-300002629,HC SDHD GENE (SDHMP),400.0,260.0,198.8,388.0,884 CDM,PX-300002630,HC MOPATH PROC LEVEL 6 (SDHMP),400.0,260.0,198.8,388.0,884 CDM,PX-300002631,HC SDHA GENE (SDHMP),400.0,260.0,198.8,388.0,884 CDM,PX-300002632,HC SDH GENES MUTATION ANALYSIS (MEC),1600.0,1040.0,795.2,1552.0,880 CDM,PX-300002633,HC BCR/ABL1 P190 QUANT (P190B),463.0,300.95,144.84,449.11,884 CDM,PX-300002634,HC BCR/ABL1 P190 QUANT (P190M),463.0,300.95,144.84,449.11,884 CDM,PX-300002635,HC BCR/ABL1 P210 QUANT (P210M),463.0,300.95,163.96,449.11,884 CDM,PX-300002640,HC TERT PROMOTER ANALYSIS DDPCR (TERTD),900.0,585.0,185.2,873.0,884 CDM,PX-300002645,HC NTRK GENES MUTATION ANALYSIS (NTRKM),1600.0,1040.0,795.2,1552.0,880 CDM,PX-300002646,HC IGH/IK GENE REARRANGE BCGET/BCGBM/BCGR/BCGRV (MEC),526.0,341.9,261.42,510.22,880 CDM,PX-300002647,HC CELIAC ASSOCIATED HLA-DQ TYPING,756.0,491.4,122.22,733.32,884 CDM,PX-300002648,HC CYP2C19 GENOTYPE (CYPR),600.0,390.0,291.36,582.0,884 CDM,PX-300002649,HC BACTERIAL VAGINOSIS AMP RNA,431.0,280.15,142.63,422.38,884 CDM,PX-300002650,HC MITOCHON DELETION HETEROPLASMY (DMITO),500.0,325.0,248.5,485.0,880 CDM,PX-300002651,HC POSTMORTEM AORTOPATHY PANEL,1900.0,1235.0,504.0,1843.0,884 CDM,PX-300002652,HC POSTMORTEM ARRHYTHMIA GENE PANEL,1900.0,1235.0,584.9,1843.0,884 CDM,PX-300002653,HC POSTMORTEM CARDIOMYOPATHY PANEL,1900.0,1235.0,584.9,1843.0,884 CDM,PX-300002654,HC POSTMORTEM CARDIOMYOP/ARRYTHM PANEL,1900.0,1235.0,584.9,1843.0,884 CDM,PX-300002655,HC POSTMORTEM MYASTHENIA GENE PANEL,1900.0,1235.0,944.3,2815.84,884 CDM,PX-300002656,HC POSTMORTEM HLH GENE PANEL,1900.0,1235.0,944.3,2815.84,884 CDM,PX-300002659,HC MAYOCOMPLETE LIQUID BIOPSY PANEL(MCLBP),3600.0,2340.0,1345.31,3492.0,884 CDM,PX-300002660,HC MAYOCOMPLETE SOLID TUM PANEL (MCSTP),3600.0,2340.0,1789.2,3492.0,884 CDM,PX-300002661,HC MAYOCOMPLETE BLAD/PROS PANEL (MCBPP),1600.0,1040.0,795.2,1552.0,884 CDM,PX-300002662,HC MAYOCOMPLETE CRC PANEL TEST (MCCRC),1600.0,1040.0,795.2,1552.0,884 CDM,PX-300002663,HC MAYOCOMPLETE ENDOMETRIAL PANEL (MCECP),1600.0,1040.0,795.2,1552.0,884 CDM,PX-300002664,HC MAYOCOMPLETE GIST PANEL TEST (MCGST),1600.0,1040.0,795.2,1552.0,884 CDM,PX-300002665,HC MAYCOCOMPLETE GYN PANEL TEST (MCGYN),1600.0,1040.0,795.2,1552.0,884 CDM,PX-300002666,HC MAYOCOMPLETE KIDNEY CANCER PANEL TEST (MCKCP),1600.0,1040.0,795.2,1552.0,884 CDM,PX-300002667,HC MAYOCOMPLETE LUNG CANCER MUTATIONS (MCLNM),1600.0,1040.0,795.2,1552.0,884 CDM,PX-300002668,HC MAYOCOMPLETE LUNG CANCER PANEL TEST (MCLNG),2800.0,1820.0,896.87,2716.0,884 CDM,PX-300002669,HC MAYOCOMPLETE MELANOMA PANEL TEST (MCMLN),1600.0,1040.0,795.2,1552.0,884 CDM,PX-300002670,HC MAYOCOMPLETE OVARY CANCER PANEL (MCOCP),1600.0,1040.0,795.2,1552.0,884 CDM,PX-300002671,HC MAYOCOMPLETE SARCOMA MUTATION PANEL (MCSMP),1600.0,1040.0,795.2,1552.0,884 CDM,PX-300002673,HC MAYOCOMPLETE SARCOMA PANEL TEST (MCSRC),846.0,549.9,420.46,1031.4,884 CDM,PX-300002677,HC NPM1 MUTATION ANALYSIS (NPMFB),986.0,640.9,246.52,956.42,884 CDM,PX-300002678,HC NPM1 MUTATION ANALYSIS (NPMFM),410.0,266.5,203.77,397.7,884 CDM,PX-300002680,HC BRCA1/BRCA2 GENE (T1GS),114.0,74.1,56.66,2098.61,884 CDM,PX-300002681,HC MLH1 GENE SEQ (T1GS),42.0,27.3,20.87,776.71,884 CDM,PX-300002682,HC MSH2 GENE SEQ (T1GS),24.0,15.6,11.93,438.96,884 CDM,PX-300002683,HC MSH6 GENE SEQ (T1GS),40.0,26.0,19.88,738.13,884 CDM,PX-300002684,HC PMS2 GENE FULL SEQ PNL (T1GS),42.0,27.3,20.87,777.98,884 CDM,PX-300002685,HC MOPATH PROC LEVEL 4 (T1GS),11.0,7.15,5.47,212.98,884 CDM,PX-300002686,HC MOPATH PROC LEVEL 8 (T1GS),53.0,34.45,26.34,973.21,884 CDM,PX-300002687,HC MOPATH PROC LEVEL 7 (T1GS),9.0,5.85,4.47,325.31,884 CDM,PX-300002688,HC MOPATH PROC (T1GS),6.0,3.9,2.98,5.82,880 CDM,PX-300002689,HC TIER 1 GENOMIC SCREEN (MEC),350.0,227.5,173.95,339.5,880 CDM,PX-300002690,HC MGMT PROMOTER METHYLATION (MGMTF),593.0,385.45,124.64,575.21,884 CDM,PX-300002706,HC ALPHA GLOBIN CLUSTER LOCUS DEL/DUP (WAGDR),700.0,455.0,202.4,686.0,884 CDM,PX-300002708,HC BCR/ABL1 RNA QUAL DIAG (BADX-MEC-NCCI),538.0,349.7,267.39,521.86,880 CDM,PX-300002709,HC BCR/ABL1 REFLEX QUAL/QUANT (BCRFX-MEC-NCCI),538.0,349.7,267.39,521.86,880 CDM,PX-300002714,HC NEURO-ONC EXPAND PANEL (NONCP),1800.0,1170.0,894.6,3357.54,884 CDM,PX-300002715,HC PMS2 GENE SEQ (COMCP),101.0,65.65,50.2,777.98,884 CDM,PX-300002719,HC PMS2 GENE SEQ (XCP),99.0,64.35,49.2,777.98,884 CDM,PX-300002725,HC PKLR FULL GENE (PKLRZ),1000.0,650.0,301.35,970.0,884 CDM,PX-300002727,HC METAGENOMIC SEQUENCING,3189.0,2072.85,1584.93,3093.33,884 CDM,PX-300002728,HC IDH1/IDH2/TERT NGS,1600.0,1040.0,674.24,1552.0,884 CDM,PX-300002733,HC HEREDITARY BREAST/GYN CANCER PANEL (BRGYP),2000.0,1300.0,994.0,1960.0,856 CDM,PX-300002734,HC HEREDITARY PROSTATE CANCER PANEL (PRS8P),2000.0,1300.0,994.0,1960.0,856 CDM,PX-300002735,HC LYNCH SYNDROME PANEL (LYNCP),2000.0,1300.0,994.0,1940.0,884 CDM,PX-300002736,HC HEREDITARY THYROID CANCER PANEL (THYRP),2000.0,1300.0,994.0,2000.0,884 CDM,PX-300002737,HC HEREDITARY PANCREATIC CANCER PANEL (PANCP),2000.0,1300.0,994.0,1960.0,856 CDM,PX-300002739,HC ALPHA GLOBIN CLUSTER DEL/DUP (AGDD),700.0,455.0,202.4,686.0,884 CDM,PX-300002744,HC RAPID WHOLE GENOME SEQ,5500.0,3575.0,2733.5,5785.88,884 CDM,PX-300002745,HC RAPID WHOLE GENOME SEQ COMPARATOR,3000.0,1950.0,1491.0,3116.44,884 CDM,PX-300002748,HC WHOLE EXOME SEQ REANAL (WESPR),1500.0,975.0,320.0,1500.0,884 CDM,PX-300002749,HC WHOLE EXOME SEQ REANAL COMPARATOR (WESPR),1500.0,975.0,745.5,13800.0,884 CDM,PX-300002750,HC UBA1 MUTATION QUANTITATIVE (UBA1Q),836.0,543.4,185.2,810.92,884 CDM,PX-300002753,HC RAPID HERED BREAST CANCER PANEL (BRTP),2500.0,1625.0,1242.5,2450.0,856 CDM,PX-300002754,HC D816V VARIANT ANALYSIS (KITQ),768.0,499.2,124.87,744.96,884 CDM,PX-300002762,HC KRAS MUTATION ANALYSIS (KRASW DEX-Z),828.0,538.2,411.52,803.16,880 CDM,PX-300002768,HC HBB GENE DEL/DUP (CSFP),73.0,47.45,36.28,232.76,884 CDM,PX-300002770,HC NEURO-ONC PANEL FUSIONS (NONCR),2000.0,1300.0,994.0,3357.54,884 CDM,PX-300002774,HC UGT1A1 FULL GENE SEQ (UGTFZ DEX-Z),1000.0,650.0,234.0,970.0,884 CDM,PX-300002779,HC COMBINED MTDNA+NUCLEAR GENE PANEL (CMITO DEX-Z),5000.0,3250.0,2485.0,4850.0,880 CDM,PX-300002784,HC CFTR GENE FULL SEQUENCE (PANGP),570.0,370.5,283.29,573.85,884 CDM,PX-300002785,HC MOPATH PROC LEVEL 5 (PANGP),314.0,204.1,156.06,316.05,884 CDM,PX-300002786,HC MOPATH PROC LEVEL 6 (PANGP),344.0,223.6,170.97,346.55,884 CDM,PX-300002787,HC MOPATH PROC (PANGP),114.0,74.1,56.66,110.58,880 CDM,PX-300002788,HC EXP PANCREATITIS GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002789,HC INBORN ERR OF IMMUNITY GENE PANEL (IEICP),2500.0,1625.0,1242.5,2815.84,884 CDM,PX-300002790,HC COMBINED IMMUNODEF GENE PANEL (COMID),2500.0,1625.0,1242.5,2815.84,884 CDM,PX-300002791,HC ANGIOEDEMA/COMPLEMENT GENE PANEL (AECDP),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002792,HC BONE MARROW FAILURE GENE PANEL (BMFGP),2500.0,1625.0,1242.5,2815.84,884 CDM,PX-300002793,HC PULMONARY FIBROSIS GENE PANEL (IPFGP),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002794,HC CFTR GENE FULL SEQUENCE (PHCGD),832.0,540.8,413.5,807.04,884 CDM,PX-300002795,"HC G6PD GENE, FULL SEQ (PHCGD)",1001.0,650.65,497.5,970.97,884 CDM,PX-300002796,HC MOPATH PROC (PHCGD),167.0,108.55,83.0,161.99,880 CDM,PX-300002797,HC CGD/PHAGOCYTE DISORDER GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002798,HC NEURO-ONC PANEL MUT (NONCM),1600.0,1040.0,795.2,1552.0,884 CDM,PX-300002799,HC CYSTIC FIBROSIS PANEL (CFMP DEX-Z),500.0,325.0,248.5,485.0,880 CDM,PX-300002803,HC MLH1/BRAF ANALYSIS (BRMLH DEX-Z),1400.0,910.0,695.8,1358.0,880 CDM,PX-300002804,HC COMPREHENSIVE NGS MYELOID PANEL (NGSMC),4555.0,2960.75,2263.84,4418.35,884 CDM,PX-300002805,HC MAYOCOMPLETE SOLID TUM PANEL (MCSTP DEX-Z),3600.0,2340.0,1789.2,3492.0,880 CDM,PX-300002807,HC MOTOR NEURON DISEASE GENE PAN (MNDP DEX-Z),2000.0,1300.0,994.0,1940.0,880 CDM,PX-300002812,HC AUTOANTIBODY TO NON-HLA,105.0,68.25,52.19,374.67,884 CDM,PX-300002813,HC RAPID WHOLE GENOME SEQ,5500.0,3575.0,2733.5,8719.53,884 CDM,PX-300002814,HC RAPID WHOLE GENOME SEQ COMPARATOR,3000.0,1950.0,1491.0,4359.77,884 CDM,PX-300002815,HC RT QUIC PRION CSF,120.0,78.0,59.64,622.14,884 CDM,PX-300002818,HC BCR/ABL1 P210 QUANT (P210B),742.0,482.3,163.96,719.74,884 CDM,PX-300002819,HC PML/RARA QUANT PCR B,928.0,603.2,207.31,900.16,884 CDM,PX-300002821,HC NEURO-ONC EXPAND PANEL (NONCP DEX-Z),3600.0,2340.0,1789.2,3492.0,880 CDM,PX-300002822,HC CFTR GENE FULL ANALYSIS (CFTRN DEX-Z),1000.0,650.0,497.0,970.0,880 CDM,PX-300002823,HC TTR GENE FULL GENE ANALYSIS (TTRZ DEX-Z),1000.0,650.0,497.0,970.0,880 CDM,PX-300002824,HC BREAST CA GENOMIC SEQ XCP,2500.0,1625.0,1242.5,2450.0,856 CDM,PX-300002825,HC COLON CA GENOMIC SEQ XCP,2500.0,1625.0,1242.5,2425.0,884 CDM,PX-300002826,HC NEUROENDOCRINE CA GENOMIC SEQ XCP,2500.0,1625.0,1242.5,2500.0,884 CDM,PX-300002832,HC MITOCHONDRIAL FULL GENOME ANAL (MITOP DEX-Z),2500.0,1625.0,1242.5,2425.0,880 CDM,PX-300002835,HC MAYOCOMPLETE TARGETED RNASEQ PANEL (MCRSP),2000.0,1300.0,994.0,3357.54,884 CDM,PX-300002836,HC MAYOCOMPLETE TRANSCRIP RNASEQ (MCRSQ),2000.0,1300.0,994.0,3357.54,884 CDM,PX-300002837,HC SOLID ORGAN NEOPLASM RNA (MCSRC),2754.0,1790.1,1368.74,3357.54,884 CDM,PX-300002838,HC SOLID ORGAN NEOPLASM RNA (NONCP),1800.0,1170.0,894.6,3357.54,884 CDM,PX-300002839,HC INBORN ERR OF IMMUNITY GENE PANEL (IEICP DEX-Z)),2500.0,1625.0,1242.5,2425.0,880 CDM,PX-300002840,HC MAYO COMPLETE ACUTE MYELOID LEUKEMIA (MEC),1756.0,1141.4,872.73,1703.32,880 CDM,PX-301000000,HC 14-3-3 PROTEIN CSF,121.0,78.65,17.27,117.37,884 CDM,PX-301000002,HC 5 HIAA ASSAY,166.0,107.9,12.9,162.68,884 CDM,PX-301000003,HC A1AT PROTEOTYPE,228.0,148.2,24.09,221.16,884 CDM,PX-301000007,HC ACHR GANGLIONIC AB RIA,344.0,223.6,18.4,337.12,884 CDM,PX-301000008,HC ACHR MODULATING AB RIA,317.0,206.05,18.4,310.66,884 CDM,PX-301000011,HC ACTH STIMULATION PANEL ADRENAL,353.0,229.45,32.62,342.41,884 CDM,PX-301000012,HC ACTH,469.0,304.85,38.62,454.93,884 CDM,PX-301000013,HC ACUTE HEPATITIS PANEL,711.0,462.15,47.63,696.78,884 CDM,PX-301000015,HC ACYLCARNITINE QUANT EA 2,467.0,303.55,16.87,452.99,884 CDM,PX-301000016,HC COL CHROMOTOGRAPHY QUAL/QUAN 3,161.0,104.65,24.09,156.17,884 CDM,PX-301000019,HC ADMA MS QUANT,214.0,139.1,24.09,207.58,884 CDM,PX-301000020,HC AFP L3 FRACTN ISOFRM TTL AFP,560.0,364.0,64.41,548.8,884 CDM,PX-301000021,HC IMMUNOASSAY TUMOR OTHER QUANT,444.0,288.6,20.81,430.68,884 CDM,PX-301000022,HC ALBUMIN SERUM/PLASMA/WHOLE BLD,54.0,35.1,4.95,52.38,884 CDM,PX-301000023,HC ALBUMIN URINE/OTHER SOURCE QUANT,91.0,59.15,7.78,88.27,884 CDM,PX-301000025,HC ALDOLASE ASSAY,146.0,94.9,9.71,143.08,884 CDM,PX-301000026,HC ALDOSTERONE SERUM,435.0,282.75,40.75,421.95,884 CDM,PX-301000027,HC ALDOSTERONE URINE,453.0,294.45,40.75,439.41,884 CDM,PX-301000028,HC ALK PHOSPHATASE ISOENZYMES,188.0,122.2,14.78,184.24,884 CDM,PX-301000029,HC ALK PHOSPHATASE,68.0,44.2,5.18,65.96,884 CDM,PX-301000031,HC ALPHA 1 ANTITRYPSIN TOTAL,182.0,118.3,13.44,178.36,884 CDM,PX-301000035,HC ALPHA FETOPROTEIN SERUM,237.0,154.05,16.77,229.89,884 CDM,PX-301000037,HC ALPHA GALACTOSIDASE LEUKOCYTE,274.0,178.1,22.17,265.78,884 CDM,PX-301000038,HC ALPHA GALACTOSIDASE PLASMA,300.0,195.0,22.17,291.0,884 CDM,PX-301000041,HC ALPHA MANNOSIDASE LEUKOCYTES,93.0,60.45,22.17,90.21,884 CDM,PX-301000042,HC ALPHA SUBUNIT/APGH,191.0,124.15,14.12,185.27,884 CDM,PX-301000043,HC ALPHA1 ANTITRYPSIN PHENOTYPE,286.0,185.9,14.46,280.28,884 CDM,PX-301000045,HC ALT/SGPT,78.0,50.7,5.3,75.66,884 CDM,PX-301000046,HC ALUMINUM ASSAY,366.0,237.9,25.48,355.02,884 CDM,PX-301000048,HC AMIKACIN ASSAY,252.0,163.8,15.08,246.96,884 CDM,PX-301000050,HC AMINO ACIDS 2 TO 5 QUANT EA,384.0,249.6,19.61,376.32,884 CDM,PX-301000051,HC AMINO ACIDS 6 OR MORE QUANT EA,40.0,26.0,16.87,39.2,884 CDM,PX-301000052,HC ENZYME ACTIVITY IN BLOOD CELLS 4,282.0,183.3,22.17,273.54,884 CDM,PX-301000053,HC AMINOLEVULINIC ACID,253.0,164.45,16.45,245.41,884 CDM,PX-301000054,HC DRUG THERAPEUTIC DRUG 2,245.0,159.25,18.64,237.65,884 CDM,PX-301000055,HC AMMONIA ASSAY,197.0,128.05,14.57,191.09,884 CDM,PX-301000060,HC AMYLASE ASSAY,103.0,66.95,6.48,99.91,884 CDM,PX-301000061,HC AMYLASE PANCREATIC ASSAY,104.0,67.6,6.48,100.88,884 CDM,PX-301000062,HC AMYLASE ASSAY 2,114.0,74.1,6.48,110.58,884 CDM,PX-301000063,HC COL CHROMOTOGRAPHY QUAL/QUAN 10,228.0,148.2,24.09,221.16,884 CDM,PX-301000065,HC ANDROSTENEDIONE,471.0,306.15,29.28,461.58,884 CDM,PX-301000066,HC ANGIOTENSIN I CONVERT ENZYME,240.0,156.0,14.6,232.8,884 CDM,PX-301000080,HC APOLIPOPROTEIN EACH,141.0,91.65,21.09,138.18,884 CDM,PX-301000083,HC ARSENIC ASSAY URINE/SERUM/WB EA,229.0,148.85,18.97,222.13,884 CDM,PX-301000084,HC ARYLSULFATASE A LEUKOCYTES,300.0,195.0,22.17,291.0,884 CDM,PX-301000085,HC ARYLSULFATASE A URINE,90.0,58.5,8.1,87.3,884 CDM,PX-301000087,HC ASCORBIC ACID/VITAMIN C BLOOD,138.0,89.7,9.89,135.24,884 CDM,PX-301000088,HC AST/SGOT,57.0,37.05,5.18,55.29,884 CDM,PX-301000090,HC BASIC MET PANEL IONIZED CA,81.0,52.65,13.73,79.38,884 CDM,PX-301000091,HC BASIC METABOLIC PANEL TOTAL CA,355.0,230.75,8.46,344.35,885 CDM,PX-301000093,HC BETA 2 MICROGLOBULIN,261.0,169.65,16.18,255.78,884 CDM,PX-301000094,HC BETA GALACTOSIDASE ANY SOURCE,195.0,126.75,22.17,189.15,884 CDM,PX-301000098,HC BETA HUMAN CHORIONIC GONADTRPN,203.0,131.95,15.05,196.91,884 CDM,PX-301000100,HC BILE ACID FRACT AND TOTAL,224.0,145.6,24.09,217.28,884 CDM,PX-301000101,HC BILE ACIDS TOTAL,210.0,136.5,17.12,203.7,884 CDM,PX-301000102,HC BILIRUBIN DIRECT,66.0,42.9,5.02,64.02,884 CDM,PX-301000103,HC BILIRUBIN TOTAL,67.0,43.55,5.02,64.99,884 CDM,PX-301000104,HC BIOTINIDASE EA SPECIMEN,44.0,28.6,16.87,43.12,884 CDM,PX-301000105,HC BLD GASES ANY COMBINATION,249.0,161.85,26.07,241.53,884 CDM,PX-301000108,HC BLD GASES W DIRECT MEAS O2 SAT,283.0,183.95,78.77,274.51,884 CDM,PX-301000111,HC BULLOUS PEMPHGD EACH,178.0,115.7,11.53,172.66,884 CDM,PX-301000115,HC C PEPTIDE ASSAY,223.0,144.95,20.81,216.31,884 CDM,PX-301000116,HC C1 ESTERASE INHIB AG S,188.0,122.2,13.6,184.24,884 CDM,PX-301000117,HC C1 ESTERASE INHIBITOR QUANT,270.0,175.5,17.27,261.9,884 CDM,PX-301000118,HC CA URINE QUANT TIMED SPECIMEN,87.0,56.55,6.03,85.26,884 CDM,PX-301000119,HC CADMIUM BLOOD,213.0,138.45,23.64,206.61,884 CDM,PX-301000120,HC CADMIUM URINE,213.0,138.45,23.64,206.61,884 CDM,PX-301000122,HC CAFFEINE ASSAY,167.0,108.55,92.69,167.0,880 CDM,PX-301000123,HC CALCITONIN LYMPH NODE,387.0,251.55,26.79,379.26,884 CDM,PX-301000126,HC CALCIUM IONIZED,183.0,118.95,13.68,177.51,884 CDM,PX-301000127,HC CALCIUM TOTAL,72.0,46.8,5.16,69.84,884 CDM,PX-301000128,HC CALCULUS INFRARED SPECTROSCOPY,165.0,107.25,12.9,160.05,884 CDM,PX-301000129,HC CALPROTECTIN FECAL,370.0,240.5,19.63,362.6,884 CDM,PX-301000131,HC CARBAMAZEPINE FREE ASSAY,190.0,123.5,13.25,186.2,884 CDM,PX-301000132,HC CARBAMAZEPINE/TEGRETOL ASSAY,190.0,123.5,14.57,186.2,884 CDM,PX-301000133,HC CARBOHYDRATE DEF TRANSFERRIN,391.0,254.15,18.06,383.18,884 CDM,PX-301000134,HC SUGARS MULT QUAL,165.0,107.25,5.5,161.7,884 CDM,PX-301000135,HC CARBOXYHEMOGLOBIN QUANT,150.0,97.5,12.32,145.5,884 CDM,PX-301000136,HC CARCINOEMBRYONIC ANTIGEN/CEA,209.0,135.85,18.96,202.73,884 CDM,PX-301000137,HC CARNITINE QUANT EA SPECIMEN,40.0,26.0,16.87,39.2,884 CDM,PX-301000139,HC CATECHOLAMINES FRACTIONATED,325.0,211.25,25.25,315.25,884 CDM,PX-301000140,HC CENTOMERE AB MULT,172.0,111.8,11.53,166.84,884 CDM,PX-301000144,HC CERULOPLASMIN,150.0,97.5,10.74,147.0,884 CDM,PX-301000145,HC CHEMILUMINESCENT ASSAY,160.0,104.0,14.12,155.2,884 CDM,PX-301000146,HC CHLORIDE BLOOD,46.0,29.9,4.6,44.62,884 CDM,PX-301000147,HC CHLORIDE OTHER SOURCE,127.0,82.55,5.0,127.0,884 CDM,PX-301000148,HC CHLORIDE URINE,54.0,35.1,5.75,52.92,884 CDM,PX-301000150,HC CHOLESTEROL NON SERUM,89.0,57.85,8.1,86.33,884 CDM,PX-301000151,HC CHOLESTEROL TOTAL,49.0,31.85,4.35,47.53,884 CDM,PX-301000155,HC CHOLINESTERASE SERUM,128.0,83.2,7.87,124.16,884 CDM,PX-301000162,HC CITRATE ASSAY,319.0,207.35,27.8,312.62,884 CDM,PX-301000163,HC CLOZAPINE ASSAY,139.0,90.35,20.15,136.22,884 CDM,PX-301000164,HC CO2 ASSAY,66.0,42.9,4.88,64.02,884 CDM,PX-301000167,HC COENZYME Q10 REDUC&TOTAL,231.0,150.15,24.09,224.07,884 CDM,PX-301000168,HC COL CHR/MS NES,207.0,134.55,24.09,200.79,884 CDM,PX-301000169,HC COL CHR/MS STABLE MULT QUANT,214.0,139.1,24.09,207.58,884 CDM,PX-301000170,HC COLLAGEN CROSS LINKS,288.0,187.2,18.68,282.24,884 CDM,PX-301000171,HC COMPREHENSIVE METABOLIC PANEL,544.0,353.6,10.56,527.68,885 CDM,PX-301000173,HC COPPER ASSAY SERUM,157.0,102.05,12.41,152.29,884 CDM,PX-301000174,HC COPPER ASSAY TISSUE,160.0,104.0,12.41,155.2,884 CDM,PX-301000175,HC COPPER ASSAY URINE,162.0,105.3,12.41,157.14,884 CDM,PX-301000177,HC CORTICOSTERONE,346.0,224.9,22.52,346.0,884 CDM,PX-301000178,HC CORTISOL FREE,236.0,153.4,16.71,228.92,884 CDM,PX-301000179,HC CREATINE ASSAY,95.0,61.75,4.64,93.1,884 CDM,PX-301000182,HC CREATINE KINASE TOTAL,81.0,52.65,6.51,78.57,884 CDM,PX-301000183,HC CREATININE BLOOD,53.0,34.45,5.12,51.41,884 CDM,PX-301000184,HC CREATININE CLEARANCE,146.0,94.9,9.46,141.62,884 CDM,PX-301000185,HC CREATININE OTHER SOURCE,105.0,68.25,5.18,101.85,884 CDM,PX-301000187,HC CRMP 5 WESTERN BLOT,469.0,304.85,29.21,454.93,884 CDM,PX-301000188,HC CRYOFIBRINOGEN ASSAY,113.0,73.45,14.14,110.74,884 CDM,PX-301000189,HC CRYOGLOBULIN QUAL,115.0,74.75,6.47,112.7,884 CDM,PX-301000191,HC CYCLOSPORINE ASSAY,335.0,217.75,18.05,324.95,884 CDM,PX-301000192,HC CYSTATIN C,173.0,112.45,18.52,167.81,884 CDM,PX-301000196,HC DEOXYCORTISOL 21,163.0,105.95,24.09,158.11,884 CDM,PX-301000197,HC DES GAMMA CARBOXY PROTHROMBIN,687.0,446.55,64.41,666.39,884 CDM,PX-301000198,HC DESMOGLEIN EACH,172.0,111.8,11.53,166.84,884 CDM,PX-301000199,HC DESOXYCORTICOSTERONE 11,408.0,265.2,30.98,395.76,884 CDM,PX-301000201,HC DHEA SULFATE,223.0,144.95,22.23,218.54,884 CDM,PX-301000202,HC DHEA,313.0,203.45,25.27,303.61,884 CDM,PX-301000206,HC DIGOXIN FREE ASSAY,119.0,77.35,13.28,116.62,884 CDM,PX-301000207,HC DIGOXIN TOTAL ASSAY,176.0,114.4,13.28,170.72,884 CDM,PX-301000209,HC DISACCHARIDES ANALYSIS,271.0,176.15,22.17,262.87,884 CDM,PX-301000211,HC D-LACTATE,113.0,73.45,11.57,109.61,884 CDM,PX-301000223,HC ELECTROLYTE PANEL,97.0,63.05,51.74,94.09,880 CDM,PX-301000224,HC ELECTROPHORETIC TECH NES,313.0,203.45,61.5,306.74,884 CDM,PX-301000226,HC ERYTHROPOIETIN ASSAY,232.0,150.8,18.79,225.04,884 CDM,PX-301000227,HC ESTRADIOL ASSAY,271.0,176.15,27.94,265.58,884 CDM,PX-301000229,HC ESTROGENS FRACTIONATED,572.0,371.8,32.3,560.56,884 CDM,PX-301000231,HC ETHOSUXIMIDE ASSAY,237.0,154.05,16.34,232.26,884 CDM,PX-301000232,HC EVEROLIMUS ASSAY,304.0,197.6,13.73,297.92,884 CDM,PX-301000234,HC IMMUNOASSAY MULT STEP METHOD A1,184.0,119.6,11.53,178.48,884 CDM,PX-301000237,HC FATTY ACID NONESTERFIED,117.0,76.05,18.77,113.49,884 CDM,PX-301000238,HC FATTY ACID VERY LONG CHAIN,40.0,26.0,19.75,38.8,884 CDM,PX-301000239,HC COL CHROMOTOGRAPHY QUAL/QUAN 2,217.0,141.05,24.09,210.49,884 CDM,PX-301000240,HC FECAL FAT QUANT,299.0,194.35,16.8,293.02,884 CDM,PX-301000241,HC FECAL LACTOFERRIN QUAL,199.0,129.35,19.7,193.03,884 CDM,PX-301000246,HC FERRITIN ASSAY,195.0,126.75,13.63,189.15,884 CDM,PX-301000254,HC FLUCYTOSINE ASSAY,191.0,124.15,18.64,185.27,884 CDM,PX-301000256,HC FLUORIDE ASSAY,194.0,126.1,18.54,190.12,884 CDM,PX-301000257,HC FLUOXETINE ASSAY,200.0,130.0,18.64,194.0,884 CDM,PX-301000261,HC FOLIC ACID SERUM ASSAY,226.0,146.9,14.7,219.22,884 CDM,PX-301000262,HC FRATAXIN QUANT,128.0,83.2,17.27,124.16,884 CDM,PX-301000264,HC FRUCTOSAMINE ASSAY,146.0,94.9,16.76,143.08,884 CDM,PX-301000266,HC FSH/FOLLICLE STIM HORMONE,201.0,130.65,18.58,194.97,884 CDM,PX-301000267,HC G6PD QUANT,156.0,101.4,9.7,151.32,884 CDM,PX-301000268,HC GABAPENTIN ASSAY,274.0,178.1,21.67,268.52,884 CDM,PX-301000270,HC GALACTITOL,209.0,135.85,24.09,202.73,884 CDM,PX-301000278,HC GALECTIN 3,126.0,81.9,44.25,123.48,884 CDM,PX-301000279,HC GALT QUANT,90.0,58.5,21.07,90.0,884 CDM,PX-301000280,HC GAMMA GLUTAMYL TRANSFERASE,78.0,50.7,7.2,75.66,884 CDM,PX-301000285,HC GASTRIN ASSAY,228.0,148.2,17.63,223.44,884 CDM,PX-301000286,HC GENERAL HEALTH PANEL,305.0,198.25,151.59,295.85,880 CDM,PX-301000287,HC GENTAMICIN ASSAY 2,151.0,98.15,16.38,146.47,884 CDM,PX-301000288,HC GENTAMICIN ASSAY,163.0,105.95,16.38,158.11,884 CDM,PX-301000292,HC GLUCAGON ASSAY,267.0,173.55,14.29,258.99,884 CDM,PX-301000293,HC GLUCOPSYCHOSINE BLD SPOT QUANT,171.0,111.15,24.09,165.87,884 CDM,PX-301000294,HC GLUCOSE BLOOD QUANT,52.0,33.8,3.93,50.44,885 CDM,PX-301000295,HC GLUCOSE BLOOD REAGENT STRIP,44.0,28.6,5.04,44.0,884 CDM,PX-301000296,HC GLUCOSE BODY FLUID,120.0,78.0,3.93,116.4,884 CDM,PX-301000298,HC GLUCOSE POSTDOSE,116.0,75.4,4.75,112.52,884 CDM,PX-301000299,HC GLUTATHIONE ASSAY,133.0,86.45,15.45,130.34,884 CDM,PX-301000302,HC GUANIDINOACETATE QUANT,171.0,111.15,24.09,165.87,884 CDM,PX-301000305,HC HAPTOGLOBIN ASSAY QUANT,136.0,88.4,12.58,131.92,884 CDM,PX-301000307,HC HDL CHOLESTEROL,112.0,72.8,8.19,108.64,884 CDM,PX-301000308,HC HEAVY METAL QUANT EA 2,227.0,147.55,21.96,220.19,884 CDM,PX-301000309,HC IODINE LAB,40.0,26.0,19.88,39.2,884 CDM,PX-301000312,HC HEMOGLOBIN CHROMATOGRAPHY QUANT,184.0,119.6,18.06,178.48,884 CDM,PX-301000313,HC HEMOGLOBIN GLYCATED A1C,145.0,94.25,9.71,140.65,884 CDM,PX-301000314,HC HEMOGLOBIN PLASMA ASSAY,62.0,40.3,7.31,60.76,884 CDM,PX-301000315,HC HEMOGLOBIN UNSTABLE SCREEN,131.0,85.15,9.47,128.38,884 CDM,PX-301000316,HC HEMOGLOBIN VAR ANALYSIS QUANT,40.0,26.0,19.88,39.2,884 CDM,PX-301000317,HC HEMOSIDERIN ASSAY QUAL,130.0,84.5,4.75,127.4,884 CDM,PX-301000318,HC HEPATIC FUNCTION PANEL,139.0,90.35,8.17,134.83,884 CDM,PX-301000321,HC HEXOKINASE,303.0,196.95,22.17,293.91,884 CDM,PX-301000322,HC HEXOSAMINIDASE ASSAY,230.0,149.5,16.87,225.4,884 CDM,PX-301000323,HC HEXOSAMINIDASE LEUKOCYTES,223.0,144.95,16.87,218.54,884 CDM,PX-301000328,HC HGH SUPRESSION PANEL,613.0,398.45,129.33,594.61,884 CDM,PX-301000333,HC HOMOCYSTEINE ASSAY,248.0,161.2,17.92,243.04,884 CDM,PX-301000334,HC HOMOVANILLIC ACID ASSAY,126.0,81.9,22.41,122.22,884 CDM,PX-301000335,HC HUMAN GROWTH HORMONE ASSAY,191.0,124.15,16.67,185.27,884 CDM,PX-301000337,HC HYDROXYPROGESTERONE ASSAY,263.0,170.95,27.17,255.11,884 CDM,PX-301000339,HC HYPEROXALURIA,191.0,124.15,24.09,185.27,884 CDM,PX-301000342,HC IGFBP 3 QUANT,298.0,193.7,17.27,289.06,884 CDM,PX-301000344,HC IMMUNOASSAY MULT STEP METHOD,102.0,66.3,11.53,98.94,884 CDM,PX-301000345,HC IMMUNOASSAY QUANT NOS,271.0,176.15,17.27,262.87,884 CDM,PX-301000347,HC IMMUNOGLOBGULINS EA,142.0,92.3,9.3,137.74,884 CDM,PX-301000348,HC IMMUNOGLOBIN SUBCLASSES EA,220.0,143.0,8.02,215.6,884 CDM,PX-301000349,HC IMMUNOGLOBULIN IGD,146.0,94.9,9.3,141.62,884 CDM,PX-301000350,HC IMMUNOGLOBULIN IGE ASSAY,188.0,122.2,16.46,184.24,884 CDM,PX-301000351,HC CHEMILUMINESCENT ASSAY 1,194.0,126.1,14.12,188.18,884 CDM,PX-301000353,HC INHIBIN B QUANT,298.0,193.7,17.27,289.06,884 CDM,PX-301000354,HC INSULIN ASSAY FREE,226.0,146.9,12.95,221.48,884 CDM,PX-301000355,HC INSULIN ASSAY TOTAL,170.0,110.5,11.43,164.9,884 CDM,PX-301000359,HC IRON ASSAY TOTAL,106.0,68.9,6.47,102.82,884 CDM,PX-301000360,HC IRON BINDING CAPACITY,94.0,61.1,8.74,91.18,884 CDM,PX-301000364,HC KETONE QUANT,164.0,106.6,8.17,159.08,884 CDM,PX-301000368,HC LACTATE DEHYDROGENASE/LDH,78.0,50.7,6.04,75.66,884 CDM,PX-301000370,HC LACTIC ACID/LACTATE ASSAY,198.0,128.7,11.57,192.06,884 CDM,PX-301000372,HC LAMOTRIGINE ASSAY,189.0,122.85,13.25,185.22,884 CDM,PX-301000376,HC LEAD BLOOD,105.0,68.25,12.11,102.9,884 CDM,PX-301000377,HC LEAD URINE,106.0,68.9,12.11,103.88,884 CDM,PX-301000380,HC COL CHROMOTOGRAPHY QUAL/QUAN 6,231.0,150.15,24.09,224.07,884 CDM,PX-301000381,HC LEVETIRACETAM/KEPPRA ASSAY,156.0,101.4,13.25,152.88,884 CDM,PX-301000382,HC LIDOCAINE ASSAY,89.0,57.85,14.69,89.0,884 CDM,PX-301000383,HC LIPASE ASSAY,122.0,79.3,6.89,118.34,884 CDM,PX-301000384,HC LIPID PANEL,238.0,154.7,13.39,230.86,884 CDM,PX-301000385,HC LIPOPROTEIN A,127.0,82.55,14.32,123.19,884 CDM,PX-301000387,HC LIPOPROTEIN HIGH RESOLUTION,420.0,273.0,33.86,411.6,884 CDM,PX-301000389,HC LITHIUM ASSAY,125.0,81.25,6.61,122.5,884 CDM,PX-301000390,HC LP CHOLESTEROL,151.0,98.15,11.26,147.98,884 CDM,PX-301000392,HC LUTEINIZING HORMONE,201.0,130.65,18.52,196.98,884 CDM,PX-301000396,HC LYSOSOMAL DISORDER SN QUANT,225.0,146.25,24.09,218.25,884 CDM,PX-301000398,HC MAGNESIUM ASSAY,103.0,66.95,6.7,99.91,884 CDM,PX-301000399,HC MANGANESE ASSAY BLOOD,170.0,110.5,26.65,166.6,884 CDM,PX-301000401,HC IMMUNOASSAY QUANT NOS 2,245.0,159.25,17.27,237.65,884 CDM,PX-301000406,HC MERCURY QUANT,213.0,138.45,16.26,208.74,884 CDM,PX-301000407,HC METANEPHRINES URINE,351.0,228.15,16.94,343.98,884 CDM,PX-301000408,HC METANEPHRINES,387.0,251.55,16.94,379.26,884 CDM,PX-301000411,HC METHEMOGLOBIN QUANT,118.0,76.7,8.2,114.46,884 CDM,PX-301000412,HC METHEMOGLOBIN REDUCTASE,197.0,128.05,22.17,191.09,884 CDM,PX-301000416,HC METHYLHISTAMINE QUANT,231.0,150.15,24.09,224.07,884 CDM,PX-301000420,HC MEXILETINE SERUM,213.0,138.45,18.64,206.61,884 CDM,PX-301000421,HC MICROALBUMIN QUANT URINE,149.0,96.85,5.78,144.53,884 CDM,PX-301000433,HC MYCOPHENOLIC ACID ASSAY,335.0,217.75,18.05,324.95,884 CDM,PX-301000434,HC MYELOPEROXIDASE AB EACH,170.0,110.5,11.53,164.9,884 CDM,PX-301000437,HC MYOGLOBIN,201.0,130.65,12.92,196.98,884 CDM,PX-301000440,HC NATRIURETIC PEPTIDE/BNP,311.0,202.15,39.26,301.67,884 CDM,PX-301000441,HC NEPHELOMETRY EA ANALYTE NES,56.0,36.4,13.6,54.88,884 CDM,PX-301000444,HC NEURON SPECIFIC ENOLASE QUANT SERUM,280.0,182.0,17.27,271.6,884 CDM,PX-301000445,HC NEURON SPECIFIC ENOLASE QUANT,128.0,83.2,17.27,124.16,884 CDM,PX-301000450,HC NICKEL SERUM,191.0,124.15,24.51,185.27,884 CDM,PX-301000453,HC NITROGEN TOTAL,62.0,40.3,30.81,60.76,880 CDM,PX-301000455,HC NMR LIPOPROFILE,166.0,107.9,34.19,162.68,884 CDM,PX-301000457,HC NUCLEOTIDASE 5 ASSAY,178.0,115.7,11.15,174.44,884 CDM,PX-301000458,HC OB PANEL INCL HIV,666.0,432.9,74.86,652.68,884 CDM,PX-301000461,HC OCCULT BLOOD FECES DIAGNOSTIC,47.0,30.55,4.23,46.06,884 CDM,PX-301000463,HC OLIGOCLONAL BANDS,285.0,185.25,27.39,276.45,884 CDM,PX-301000468,HC ORGANIC ACID 1 QUANT 2,388.0,252.2,21.21,380.24,884 CDM,PX-301000469,HC ORGANIC ACID 1 QUANT,407.0,264.55,21.21,398.86,884 CDM,PX-301000470,HC ORGANIC ACIDS QUAL,386.0,250.9,16.45,374.42,884 CDM,PX-301000471,HC ORGANIC ACIDS TOTAL QUANT,354.0,230.1,23.6,343.38,884 CDM,PX-301000472,HC OSMOLALITY ASSAY BLOOD,115.0,74.75,6.61,111.55,884 CDM,PX-301000473,HC OSMOLALITY ASSAY URINE,134.0,87.1,6.82,129.98,884 CDM,PX-301000474,HC OSMOLALITY STOOL,286.0,185.9,142.14,280.28,880 CDM,PX-301000475,HC OSTEOCALCIN ASSAY,315.0,204.75,29.85,308.7,884 CDM,PX-301000476,HC OXCARBAZEPINE ASSAY,215.0,139.75,13.25,210.7,884 CDM,PX-301000479,HC OXYLATE ASSAY,146.0,94.9,14.45,143.08,884 CDM,PX-301000480,HC OXYLATE URINE,161.0,104.65,14.45,157.78,884 CDM,PX-301000482,HC PANCREATIC POLYPEPTIDE QUANT RIA,348.0,226.2,18.4,341.04,884 CDM,PX-301000483,HC PARATHORMONE/PTH,569.0,369.85,41.28,551.93,884 CDM,PX-301000484,HC IMMUNOASSAY MULT STEP METHOD A3,179.0,116.35,11.53,173.63,884 CDM,PX-301000487,HC PBG DEAMINASE,284.0,184.6,22.17,275.48,884 CDM,PX-301000493,HC PH URINE,54.0,35.1,3.58,52.38,884 CDM,PX-301000497,HC PHENOBARBITAL ASSAY,183.0,118.95,15.3,179.34,884 CDM,PX-301000500,HC PHENYTOIN FREE ASSAY,193.0,125.45,13.76,189.14,884 CDM,PX-301000501,HC PHENYTOIN TOTAL ASSAY,195.0,126.75,13.25,191.1,884 CDM,PX-301000504,HC PHOSPHOHEXOSE ISOMERASE,350.0,227.5,10.73,343.0,884 CDM,PX-301000506,HC PHOSPHORUS ASSAY URINE,76.0,49.4,5.78,74.48,884 CDM,PX-301000507,HC PHOSPHORUS ASSAY,57.0,37.05,4.74,55.29,884 CDM,PX-301000508,HC COL CHROMOTOGRAPHY QUAL/QUAN 8,176.0,114.4,24.09,170.72,884 CDM,PX-301000510,HC PLASMINOGN ACTIVATR 1 ANTG,345.0,224.25,17.19,338.1,884 CDM,PX-301000512,HC PORPHOBILINOGEN URINE QUANT,153.0,99.45,8.44,148.41,884 CDM,PX-301000513,HC PORPHYRINS FECES QUANT,323.0,209.95,39.11,316.54,884 CDM,PX-301000514,HC PORPHYRINS FRACTION,210.0,136.5,24.09,203.7,884 CDM,PX-301000515,HC PORPHYRINS TOTAL,92.0,59.8,8.1,89.24,884 CDM,PX-301000516,HC PORPHYRINS URINE QUANT/FRACT,243.0,157.95,14.71,235.71,884 CDM,PX-301000517,HC PORPHYRINS,93.0,60.45,8.1,90.21,884 CDM,PX-301000521,HC POTASSIUM QUANTITATIVE STOOL,133.0,86.45,66.1,130.34,880 CDM,PX-301000522,HC POTASSIUM SER/PLASMA/WHOLE BLD,50.0,32.5,4.76,48.5,884 CDM,PX-301000523,HC POTASSIUM URINE,65.0,42.25,4.73,63.05,884 CDM,PX-301000524,HC PREALBUMIN,176.0,114.4,14.59,170.72,884 CDM,PX-301000528,HC PRIMIDONE ASSAY,302.0,196.3,16.59,295.96,884 CDM,PX-301000530,HC PROCAINAMIDE W NAPA ASSAY,218.0,141.7,16.75,218.0,884 CDM,PX-301000532,HC PROCOLLAGEN I INTACT TERM RIA,362.0,235.3,18.4,354.76,884 CDM,PX-301000533,HC PROGESTERONE ASSAY,253.0,164.45,20.86,247.94,884 CDM,PX-301000536,HC PROINSULIN ASSAY,291.0,189.15,26.69,282.27,884 CDM,PX-301000537,HC PROLACTIN ASSAY,260.0,169.0,19.38,254.8,884 CDM,PX-301000542,HC PROSTAGLANDIN ASSAY EACH,565.0,367.25,41.77,553.7,884 CDM,PX-301000545,HC PROTEIN ELECTROPHORESIS SERUM,154.0,100.1,10.74,149.38,884 CDM,PX-301000546,HC PROTEIN ELECTROPHORESIS URINE,253.0,164.45,17.83,247.94,884 CDM,PX-301000547,HC PROTEIN TOTAL BODY FLUID,74.0,48.1,4.0,71.78,884 CDM,PX-301000548,HC PROTEIN TOTAL CSF,78.0,50.7,4.0,75.66,884 CDM,PX-301000550,HC PROTEIN TOTAL SERUM/PLASMA,62.0,40.3,3.67,60.14,884 CDM,PX-301000551,HC PROTEIN TOTAL URINE,69.0,44.85,3.67,66.93,884 CDM,PX-301000552,HC PROTEINASE 3 AB EACH,170.0,110.5,11.53,164.9,884 CDM,PX-301000555,HC PSA FREE,183.0,118.95,18.39,179.34,884 CDM,PX-301000556,HC PSA TOTAL,251.0,163.15,18.39,243.47,884 CDM,PX-301000558,HC PTH RELATED PEPTIDE/PTHRP,187.0,121.55,14.12,181.39,884 CDM,PX-301000560,HC PYRIDOXIC ACID QUANT,217.0,141.05,24.09,210.49,884 CDM,PX-301000561,HC PYRUVATE ASSAY,143.0,92.95,14.48,140.14,884 CDM,PX-301000563,HC PYRUVATE KINASE ASSAY,306.0,198.9,9.44,299.88,884 CDM,PX-301000565,HC QUINIDINE ASSAY,142.0,92.3,14.6,142.0,884 CDM,PX-301000566,HC REDUCING SUBSTANCE URINE OR STOOL,119.0,77.35,5.5,116.62,884 CDM,PX-301000567,HC RENAL FUNCTION PANEL,209.0,135.85,8.68,202.73,884 CDM,PX-301000568,HC RENIN ACTIVITY 1 BLOOD,345.0,224.25,21.99,338.1,884 CDM,PX-301000569,HC RETINOL BINDING PROTEIN,175.0,113.75,13.6,171.5,884 CDM,PX-301000571,HC THERAPEUTIC DRUG NES,227.0,147.55,18.64,220.19,884 CDM,PX-301000573,HC IMMUNOASSAY MULT STEP METHOD A2,179.0,116.35,11.53,173.63,884 CDM,PX-301000579,HC SELENIUM ASSAY,250.0,162.5,25.53,245.0,884 CDM,PX-301000580,HC SEROTONIN ASSAY,387.0,251.55,30.98,379.26,884 CDM,PX-301000582,HC SEX HORMONE BINDING GLOBULIN,244.0,158.6,21.73,239.12,884 CDM,PX-301000584,HC SIROLIMUS ASSAY,313.0,203.45,13.73,303.61,884 CDM,PX-301000589,HC SODIUM ASSAY OTHER SOURCES,146.0,94.9,4.86,146.0,884 CDM,PX-301000590,HC SODIUM ASSAY URINE,83.0,53.95,5.06,80.51,884 CDM,PX-301000591,HC SODIUM SERUM/PLASMA/WHOLE BLD,56.0,36.4,4.81,54.32,884 CDM,PX-301000592,HC SOLUBLE TRANSFERRIN RECEPTOR,340.0,221.0,36.57,333.2,884 CDM,PX-301000593,HC SOMATOMEDIN/IGF1,382.0,248.3,21.26,374.36,884 CDM,PX-301000598,HC STEROLS PLASMA QUANT,207.0,134.55,24.09,200.79,884 CDM,PX-301000600,HC STRIATIONAL AB QUANT,250.0,162.5,17.27,242.5,884 CDM,PX-301000602,HC SULFAMETHOXAZOLE ASSAY,211.0,137.15,18.64,204.67,884 CDM,PX-301000603,HC SULFATE ASSAY URINE,55.0,35.75,5.49,53.9,884 CDM,PX-301000604,HC SULFHEMOGLOBIN QUANT,129.0,83.85,8.8,126.42,884 CDM,PX-301000606,HC SYN GLUCOCORTICOID SCRN URINE,219.0,142.35,18.64,212.43,884 CDM,PX-301000607,HC SYN GLUCOCORTICOID SCRN,220.0,143.0,18.64,213.4,884 CDM,PX-301000608,HC T3 FREE,245.0,159.25,16.94,237.65,884 CDM,PX-301000609,HC T3 OR T4 UPTAKE,75.0,48.75,6.47,73.5,856 CDM,PX-301000610,HC T3 REVERSE,315.0,204.75,15.76,308.7,884 CDM,PX-301000611,HC T3 TOTAL,165.0,107.25,14.18,160.05,884 CDM,PX-301000612,HC T4 FREE,185.0,120.25,9.02,179.45,884 CDM,PX-301000613,HC T4 TOTAL,89.0,57.85,6.87,87.22,884 CDM,PX-301000614,HC TACROLIMUS ASSAY,317.0,206.05,13.73,307.49,884 CDM,PX-301000617,HC TESTOSTERONE FREE,305.0,198.25,25.47,298.9,884 CDM,PX-301000618,HC TESTOSTERONE TOTAL SERUM,327.0,212.55,25.81,320.46,884 CDM,PX-301000628,HC THYROGLOBULIN LYMPH NODE,197.0,128.05,16.06,191.09,884 CDM,PX-301000629,HC THYROGLOBULIN SERUM,219.0,142.35,16.06,212.43,884 CDM,PX-301000630,HC THYROID STIM IMMUNOGLOBIN,575.0,373.75,50.86,563.5,884 CDM,PX-301000631,HC THYROID STIMULATING HORMONE,282.0,183.3,16.8,273.54,884 CDM,PX-301000633,HC THYROTROPIN RECEPTOR ANTIBODY QUANT,306.0,198.9,17.27,296.82,884 CDM,PX-301000634,HC THYROXINE BIND GLOBULIN,244.0,158.6,14.78,236.68,884 CDM,PX-301000637,HC TOBRAMYCIN ASSAY,203.0,131.95,16.13,198.94,884 CDM,PX-301000638,HC TOPIRAMATE ASSAY 2,234.0,152.1,11.92,226.98,884 CDM,PX-301000640,HC TOTAL LIGHT CHAIN EA,186.0,120.9,13.6,182.28,884 CDM,PX-301000643,HC TRANSFERRIN,230.0,149.5,12.76,223.1,884 CDM,PX-301000646,HC TRIGLYCERIDES,63.0,40.95,5.74,61.11,884 CDM,PX-301000647,HC TRIMETHOPRIM ASSAY,204.0,132.6,18.64,197.88,884 CDM,PX-301000649,HC TROPONIN QUANT,255.0,165.75,12.47,247.35,884 CDM,PX-301000651,HC TRYPTASE SERUM,276.0,179.4,17.27,267.72,884 CDM,PX-301000656,HC UPG DECARBOXYLASE,96.0,62.4,22.17,93.12,884 CDM,PX-301000658,HC UREA NITROGEN URINE,68.0,44.2,35.99,65.96,880 CDM,PX-301000659,HC UREA NITROGEN/BUN,50.0,32.5,3.95,48.5,884 CDM,PX-301000660,HC URIC ACID BLOOD,56.0,36.4,4.52,54.32,884 CDM,PX-301000661,HC URIC ACID OTHER SOURCE,67.0,43.55,5.08,65.66,884 CDM,PX-301000664,HC UROPORPHYRINOGEN III SYNTHASE,96.0,62.4,22.17,93.12,884 CDM,PX-301000665,HC VALPROIC ACID ASSAY,219.0,142.35,13.54,214.62,884 CDM,PX-301000666,HC VALPROIC ACID FREE ASSAY,171.0,111.15,13.54,167.58,884 CDM,PX-301000667,HC VANCOMYCIN ASSAY,234.0,152.1,13.54,226.98,884 CDM,PX-301000668,HC VANILLYLMANDELIC ACID URINE,125.0,81.25,15.5,122.5,884 CDM,PX-301000669,HC VASOACTIVE INTESTINAL PEPTIDE,562.0,365.3,35.33,550.76,884 CDM,PX-301000673,HC VGKC COMPLEX AB RIA,350.0,227.5,18.4,343.0,884 CDM,PX-301000674,HC VITAMIN A ASSAY,199.0,129.35,11.61,193.03,884 CDM,PX-301000675,HC VITAMIN B1 THIAMINE ASSAY,238.0,154.7,21.23,230.86,884 CDM,PX-301000676,HC VITAMIN B12 ASSAY,235.0,152.75,15.08,227.95,885 CDM,PX-301000677,HC VITAMIN B2 ASSAY,234.0,152.1,20.24,229.32,884 CDM,PX-301000678,HC VITAMIN B6 ASSAY,356.0,231.4,28.1,345.32,884 CDM,PX-301000679,HC VITAMIN D 1 25 DIHYDROXY,393.0,255.45,38.5,385.14,884 CDM,PX-301000680,HC VITAMIN D 25 HYDROXY,366.0,237.9,29.6,355.02,884 CDM,PX-301000681,HC VITAMIN E ASSAY,168.0,109.2,14.18,162.96,884 CDM,PX-301000682,HC VITAMIN K ASSAY,300.0,195.0,13.72,294.0,884 CDM,PX-301000686,HC WESTERN BLOT TEST BAND ID EA,473.0,307.45,29.21,458.81,884 CDM,PX-301000689,HC ZINC ASSAY,174.0,113.1,11.39,168.78,884 CDM,PX-301000690,HC ZONISAMIDE ASSAY,267.0,173.55,13.25,261.66,884 CDM,PX-301000692,HC CORTISOL TOTAL,207.0,134.55,16.3,200.79,884 CDM,PX-301000696,HC OCCULT BLOOD GASTRIC,25.0,16.25,5.32,24.5,884 CDM,PX-301000698,HC THEOPHYLLINE ASSAY,196.0,127.4,14.14,192.08,884 CDM,PX-301000715,HC TUBULAR REABSORPTION PHOSPHATE,56.0,36.4,5.78,54.88,884 CDM,PX-301000751,HC GDF15,298.0,193.7,17.27,289.06,884 CDM,PX-301000755,HC COL CHROMOTOGRAPHY QUAL/QUAN 4,171.0,111.15,24.09,165.87,884 CDM,PX-301000770,HC BETA HCG QUANTITATIVE,198.0,128.7,15.05,192.06,884 CDM,PX-301000778,HC QUANTITATIVE ASSAY DRUG,219.0,142.35,18.64,212.43,884 CDM,PX-301000786,HC ALLO ISOLEUCINE PANEL,263.0,170.95,19.61,257.74,884 CDM,PX-301000789,HC OXYSTEROLS QUANT,221.0,143.65,24.09,214.37,884 CDM,PX-301000790,HC PURINE AND PYRIMIDINE PANEL,250.0,162.5,24.09,242.5,884 CDM,PX-301000796,HC LYSOSOMAL ACID LIPASE,290.0,188.5,22.17,281.3,884 CDM,PX-301000811,HC EOSINOPHILS U,176.0,114.4,87.47,170.72,880 CDM,PX-301000812,HC CELL COUNT FLUID W DIFF COUNT,130.0,84.5,5.6,126.1,884 CDM,PX-301000814,HC CELL COUNT W DIFF BODY FLUID,133.0,86.45,5.6,129.01,884 CDM,PX-301000817,HC CRYSTAL EXAM FLUID/TISSUE,155.0,100.75,7.33,150.35,884 CDM,PX-301000818,HC DRUG TEST PRSMV CHEM ANLYZR1,592.0,384.8,62.14,574.24,885 CDM,PX-301000820,HC DRUG TEST PRSMV CHEM ANLYZR3,676.0,439.4,62.14,655.72,885 CDM,PX-301000822,HC DRUG TEST PRSMV CHEM ANLYZR5,625.0,406.25,62.14,606.25,885 CDM,PX-301000823,HC DRUG TEST PRSMV CHEM ANLYZR6,610.0,396.5,62.14,591.7,885 CDM,PX-301000824,HC DRUG TEST PRSMV CHEM ANLYZR7,637.0,414.05,62.14,617.89,885 CDM,PX-301000825,HC DRUG TEST PRSMV INSTRMNT,125.0,81.25,17.14,121.25,884 CDM,PX-301000826,HC FENTANYL SCREEN,421.0,273.65,62.14,408.37,885 CDM,PX-301000828,HC TESTOSTERONE BIOAVAILABLE DRCT MEAS,591.0,384.15,51.28,579.18,884 CDM,PX-301000837,HC PSA TOTAL ULTRASENSITIVE,251.0,163.15,18.39,243.47,884 CDM,PX-301000838,HC IMMUNOGLOBULIN CSF,133.0,86.45,9.3,129.01,884 CDM,PX-301000840,"HC HB VARIANT, A2 AND F QUAN",198.0,128.7,12.87,194.04,884 CDM,PX-301000841,HC ASSAY CARBOXYHB QUANT,122.0,79.3,12.32,118.34,884 CDM,PX-301000843,HC AMIKACIN ASSAY 2,252.0,163.8,15.08,246.96,884 CDM,PX-301000845,HC ENZYME ACTIVITY IN BLOOD CELLS 2,262.0,170.3,22.17,254.14,884 CDM,PX-301000851,HC HEAVY METAL QUANT EA,227.0,147.55,21.96,220.19,884 CDM,PX-301000852,HC CALCITONIN SERUM,403.0,261.95,26.79,394.94,884 CDM,PX-301000855,HC ADALIMUMAB,276.0,179.4,17.27,267.72,884 CDM,PX-301000860,"HC 7AC4, BILE ACID SYNTH",207.0,134.55,24.09,200.79,884 CDM,PX-301000861,HC PORPHOBILINOGEN,217.0,141.05,24.09,210.49,884 CDM,PX-301000866,HC CYSTATIN C 2,182.0,118.3,18.52,176.54,884 CDM,PX-301000876,HC ECULIZUMAB ASSAY,217.0,141.05,18.64,210.49,884 CDM,PX-301000878,HC ALDOSTERONE PLASMA,446.0,289.9,40.75,432.62,884 CDM,PX-301000879,"HC 24, 25 DIHYDROXY",217.0,141.05,24.09,210.49,884 CDM,PX-301000886,HC HEAVY METAL QUANT EA 4,225.0,146.25,21.96,218.25,884 CDM,PX-301000887,HC CHROMIUM ASSAY 2,198.0,128.7,20.28,192.06,884 CDM,PX-301000888,HC APIXABAN ANTI-XA,263.0,170.95,18.64,255.11,884 CDM,PX-301000889,HC RIVAROXABAN ANTI-XA,206.0,133.9,18.64,199.82,884 CDM,PX-301000933,HC ASSAY OF GLUCOSIDASE,662.0,430.3,21.48,648.76,884 CDM,PX-301000942,HC COL CHROMOTOGRAPHY QUAL/QUAN 7,225.0,146.25,24.09,218.25,884 CDM,PX-301000943,HC AMYLOID PROTEIN 2,221.0,143.65,24.09,214.37,884 CDM,PX-301000949,HC THYROGLOBULIN MASS SPEC,215.0,139.75,16.06,208.55,884 CDM,PX-301000955,HC DRUG ASSAY CYCLOSPORINE,323.0,209.95,18.05,313.31,884 CDM,PX-301000956,HC THERAPEUTIC DRUG NES 1,247.0,160.55,18.64,239.59,884 CDM,PX-301000961,HC DRUG TEST PRSMV CHEM ANLYZR12,629.0,408.85,62.14,610.13,885 CDM,PX-301000962,HC DRUG SCRN ANLYZR10 RX MAINT,590.0,383.5,62.14,572.3,885 CDM,PX-301000975,HC ALPHA 1 ANTITRYPSIN TOTAL 1,177.0,115.05,13.44,173.46,884 CDM,PX-301000976,HC ARSENIC ASSAY URINE/SERUM/WB EA 1,228.0,148.2,18.97,221.16,884 CDM,PX-301000978,HC CARCINOEMBRYONIC ANTIGEN/CEA 1,183.0,118.95,18.96,177.51,884 CDM,PX-301000979,HC CARCINOEMBRYONIC ANTIGEN/CEA 2,236.0,153.4,18.96,228.92,884 CDM,PX-301000980,HC CORTISOL FREE 1,239.0,155.35,16.71,231.83,884 CDM,PX-301000981,HC PORPHYRINS FRACTION 1,171.0,111.15,24.09,165.87,884 CDM,PX-301000984,HC LUTEINIZING HORMONE 1,212.0,137.8,18.52,207.76,884 CDM,PX-301000989,HC IMMUNOASSAY QUANT NOS 4,270.0,175.5,17.27,261.9,884 CDM,PX-301000991,HC IMMUNOASSAY QUANT NOS 1,245.0,159.25,17.27,237.65,884 CDM,PX-301000994,HC RETINOL BINDING PROTEIN 1,189.0,122.85,13.6,185.22,884 CDM,PX-301000999,HC PROCALCITONIN 1,269.0,174.85,27.22,260.93,884 CDM,PX-301001002,HC TRIGLYCERIDES 1,60.0,39.0,5.74,58.2,884 CDM,PX-301001004,HC NITROGEN TOTAL 1,127.0,82.55,63.12,124.46,880 CDM,PX-301001005,HC EOSINOPHIL COUNT 1,160.0,104.0,79.52,155.2,880 CDM,PX-301001025,HC CARBOXYHEMOGLOBIN QUANT 3,150.0,97.5,12.32,145.5,884 CDM,PX-301001026,HC METHEMOGLOBIN QUANT 3,101.0,65.65,8.2,97.97,884 CDM,PX-301001040,HC COL CHROMOTOGRAPHY QUAL/QUAN 5,191.0,124.15,24.09,185.27,884 CDM,PX-301001053,HC LYSOSOMAL DISORDER QUANT,40.0,26.0,19.88,39.2,884 CDM,PX-301001058,HC LIVER DIS 10 ASSAYS W/NASH,1288.0,837.2,503.4,1262.24,884 CDM,PX-301001060,HC IGG/IGM MONOS GM1 TITER,137.0,89.05,17.27,132.89,884 CDM,PX-301001061,HC IGG/IGM ASIALO GM1 TITER,105.0,68.25,17.27,101.85,884 CDM,PX-301001062,HC IGG/IMM DISIALO GD1B TITER,264.0,171.6,17.27,256.08,884 CDM,PX-301001063,HC COPEPTIN PROAVP,661.0,429.65,33.94,647.78,884 CDM,PX-301001066,HC OREXIN A RIA,350.0,227.5,18.4,343.0,884 CDM,PX-301001079,HC PHOSPHOLIPASE A2 RECEPT,296.0,192.4,17.27,287.12,884 CDM,PX-301001080,HC DULOXETINE ASSAY,201.0,130.65,18.64,194.97,884 CDM,PX-301001089,HC GALACTOSE 1 PHOS,122.0,79.3,11.53,119.56,884 CDM,PX-301001091,HC CERAMIDES,157.0,102.05,78.03,153.86,884 CDM,PX-301001095,HC ANDROSTENEDIONE (CAH21),471.0,306.15,29.28,461.58,884 CDM,PX-301001096,HC CORTISOL 1,182.0,118.3,16.3,176.54,884 CDM,PX-301001097,HC 17-HYDROXYPROGESTERONE (CAH21),263.0,170.95,27.17,255.11,884 CDM,PX-301001103,HC DRUG ASSAY INFLIXIMAB,350.0,227.5,38.57,343.0,884 CDM,PX-301001104,HC DRUG ASSAY ADALIMUMAB,353.0,229.45,38.57,345.94,884 CDM,PX-301001105,HC DRUG ASSAY LACOSAMIDE,464.0,301.6,27.11,454.72,884 CDM,PX-301001106,HC DRUG ASSAY POSACONAZOLE,589.0,382.85,27.11,577.22,884 CDM,PX-301001107,HC DRUG ASSAY VORICONAZOLE,596.0,387.4,27.11,578.12,884 CDM,PX-301001108,HC DRUG ASSAY VEDOLIZUMAB,615.0,399.75,38.57,602.7,884 CDM,PX-301001112,HC PSA SCREENING,251.0,163.15,18.39,243.47,884 CDM,PX-301001116,HC PROTEIN WESTERN BLOT TEST 1,394.0,256.1,29.21,382.18,884 CDM,PX-301001117,HC PROTEIN WESTERN BLOT TEST 2,289.0,187.85,29.21,280.33,884 CDM,PX-301001120,HC INTACT FIBROBLAST GF 23,285.0,185.25,17.27,276.45,884 CDM,PX-301001137,HC IMMUNOASSAY QUANT NOS 5,269.0,174.85,17.27,260.93,884 CDM,PX-301001141,HC HEAVY METAL QUANT EA 8,231.0,150.15,21.96,224.07,884 CDM,PX-301001142,HC CHROMIUM ASSAY 3,188.0,122.2,20.28,182.36,884 CDM,PX-301001143,HC THIOPURINE METABOLITES,220.0,143.0,18.64,213.4,884 CDM,PX-301001145,HC HOMOCYSTEINE ASSAY 2 (CMMPP/CMMPS-NCCI),233.0,151.45,17.92,228.34,884 CDM,PX-301001146,HC ORGANIC ACIDS TOTAL QUANT 2 (CMMPP/CMMPS-NCCI),544.0,353.6,23.6,527.68,884 CDM,PX-301001147,HC AMINO ACIDS QUANT 2-5 EA 2 (CMMPP/CMMPS-NCCI),233.0,151.45,19.61,228.34,884 CDM,PX-301001148,HC COL CHROMOTOGRAPHY (CMMPP/CMMPS-MEC-NCCI),1010.0,656.5,24.09,979.7,884 CDM,PX-301001156,HC CYTOKINE PANEL,21.0,13.65,10.44,20.37,884 CDM,PX-301001157,HC DRUG ASSAY ACETAMINOPHEN,231.0,150.15,18.64,224.07,884 CDM,PX-301001158,HC DRUG ASSAY AMIODARONE,244.0,158.6,18.64,239.12,884 CDM,PX-301001159,HC DRUG ASSAY CARBAMAZEPINE 10-11,239.0,155.35,18.64,234.22,884 CDM,PX-301001160,HC DRUG ASSAY FELBAMATE,270.0,175.5,18.64,264.6,884 CDM,PX-301001161,HC DRUG ASSAY SALICYLATE,211.0,137.15,18.64,206.78,884 CDM,PX-301001162,HC DRUG ASSAY FLECAINIDE,231.0,150.15,18.64,226.38,884 CDM,PX-301001163,HC DRUG ASSAY ITRACONAZOLE,584.0,379.6,27.11,572.32,884 CDM,PX-301001165,HC DRUG ASSAY METHOTREXATE,519.0,337.35,38.57,508.62,884 CDM,PX-301001166,HC DRUG ASSAY RUFINAMIDE,401.0,260.65,27.11,392.98,884 CDM,PX-301001167,HC ASSAY OF ALCOHOL NON-URINE/BREATH,217.0,141.05,17.27,210.49,884 CDM,PX-301001176,HC PROTEIN WESTERN BLOT TEST 3,479.0,311.35,29.21,464.63,884 CDM,PX-301001183,HC BIOTIN,425.0,276.25,17.06,416.5,884 CDM,PX-301001185,HC DRUG TEST PRSMV CHEM ANLYZR14 (CSMPU),583.0,378.95,62.14,565.51,885 CDM,PX-301001189,HC GLUCOSE OTHER FLUID,117.0,76.05,3.93,113.49,884 CDM,PX-301001191,HC RIBOFLAVIN B2,259.0,168.35,20.24,253.82,884 CDM,PX-301001194,HC DRUG TEST DEF 1-3 CLASSES,445.0,289.25,114.43,431.65,884 CDM,PX-301001195,HC DRUG TEST DEF 4-5 CLASSES,472.0,306.8,114.43,457.84,884 CDM,PX-301001196,HC DRUG TEST DEF 6-7 CLASSES,496.0,322.4,114.43,481.12,884 CDM,PX-301001197,HC DRUG TEST DEF 8-10 CLASSES,524.0,340.6,156.59,513.52,884 CDM,PX-301001198,HC DRUG TEST DEF 11-14 CLASSES,566.0,367.9,156.59,554.68,884 CDM,PX-301001199,HC DRUG TEST DEF 15-17 CLASSES,594.0,386.1,198.74,576.18,885 CDM,PX-301001200,HC DRUG TEST DEF 18-21 CLASSES,635.0,412.75,198.74,615.95,885 CDM,PX-301001203,HC ALBUMIN SERUM/PLASMA/WHOLE BLD 2,57.0,37.05,4.95,55.29,884 CDM,PX-301001210,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAN,80.0,52.0,9.64,77.6,884 CDM,PX-301001217,HC ASSAY OF INTERLEUKIN-6 (IL-6),247.0,160.55,17.27,239.59,884 CDM,PX-301001218,HC DRUG ASSAY HYDROXYCHLOROQUINE,470.0,305.5,18.64,460.6,884 CDM,PX-301001219,HC ELASTASE PANCREATIC FECAL QUANT,181.0,117.65,22.97,177.38,884 CDM,PX-301001220,HC IG LIGHT CHAINS FREE EA,253.0,164.45,17.27,245.41,884 CDM,PX-301001221,HC IG LIGHT CHAINS FREE EA 2,167.0,108.55,17.27,161.99,884 CDM,PX-301001222,HC IG LIGHT CHAINS FREE EA 3,244.0,158.6,17.27,236.68,884 CDM,PX-301001223,HC MANGANESE ASSAY 2,202.0,131.3,26.65,197.96,884 CDM,PX-301001228,HC IG PARAPROTEIN QUAL URINE,133.0,86.45,43.43,129.01,884 CDM,PX-301001230,HC DRUG TEST PRSMV CHEM ANLYZR15 (CSMEU),429.0,278.85,62.14,416.13,885 CDM,PX-301001231,HC ASSAY OF NOS VITAMIN,330.0,214.5,17.06,323.4,884 CDM,PX-301001232,HC GLUCOSE BLOOD QUANT 2,44.0,28.6,3.93,42.68,885 CDM,PX-301001233,HC NATRIURETIC PEPTIDE/BNP 2,291.0,189.15,39.26,282.27,884 CDM,PX-301001235,HC SEROTONIN RELEASE ASSAY,173.0,112.45,24.09,167.81,884 CDM,PX-301001243,HC ASSAY TPMT,102.0,66.3,22.17,99.96,884 CDM,PX-301001244,HC NEUROFILAMENT LIGHT CHAIN,565.0,367.25,280.81,553.7,880 CDM,PX-301001246,HC PERAMPANEL,220.0,143.0,18.64,213.4,884 CDM,PX-301001260,HC ASSAY OF INTERLEUKIN-6 (CYPAN),36.0,23.4,17.27,34.92,884 CDM,PX-301001262,HC IMMUNOASSAY QUANT NOS 6,101.0,65.65,17.27,97.97,884 CDM,PX-301001264,HC IMMUNOASSAY MULT STEP METHOD A4,177.0,115.05,11.53,171.69,884 CDM,PX-301001266,HC COL CHROMOTOGRAPHY QUAL/QUAN LTE4/NMH,171.0,111.15,24.09,165.87,884 CDM,PX-301001273,HC IMMUNOASSAY QUANT NOS 7,271.0,176.15,17.27,262.87,884 CDM,PX-301001276,HC RT-QUIC PRION,121.0,78.65,60.14,118.58,880 CDM,PX-301001277,HC ANTIMULLERIAN HORMONE,168.0,109.2,38.62,164.64,884 CDM,PX-301001279,HC ACH RECP MUSC BINDING AB,81.0,52.65,18.4,79.38,884 CDM,PX-301001280,HC MUSK AUTO AB,81.0,52.65,18.4,79.38,884 CDM,PX-301001281,HC MALABSORPTION EVAL PANEL QUANT,629.0,408.85,61.54,616.42,884 CDM,PX-301001282,HC DRUG TEST PRSMV CHEM ANLYZR16,339.0,220.35,62.14,328.83,885 CDM,PX-301001286,HC COPPER ASSAY 2,147.0,95.55,12.41,142.59,884 CDM,PX-301001289,HC IMMUNOASSAY MULT STEP METHOD A5,104.0,67.6,11.53,100.88,884 CDM,PX-301001290,HC AMINO ACIDS 2 TO 5 QUANT EA 2,280.0,182.0,19.61,274.4,884 CDM,PX-301001292,HC AMINO ACIDS 6 OR MORE QUANT EA 2 (AAPD-R),377.0,245.05,16.87,369.46,884 CDM,PX-301001294,HC DRUG THERAPEUTIC DRUG 3,204.0,132.6,18.64,197.88,884 CDM,PX-301001296,HC DRUG THERAPEUTIC DRUG 5,219.0,142.35,18.64,212.43,884 CDM,PX-301001297,HC DRUG THERAPEUTIC DRUG 6,206.0,133.9,18.64,199.82,884 CDM,PX-301001299,HC DRUG THERAPEUTIC DRUG 8,213.0,138.45,18.64,206.61,884 CDM,PX-301001301,HC DRUG THERAPEUTIC DRUG 10,219.0,142.35,18.64,212.43,884 CDM,PX-301001302,HC DRUG THERAPEUTIC DRUG 11,204.0,132.6,18.64,197.88,884 CDM,PX-301001303,HC COL CHROMOTOGRAPHY QUAL/QUAN 9,165.0,107.25,24.09,160.05,884 CDM,PX-301001304,HC DRUG THERAPEUTIC DRUG 12,213.0,138.45,18.64,206.61,884 CDM,PX-301001306,HC DRUG THERAPEUTIC DRUG 13,213.0,138.45,18.64,206.61,884 CDM,PX-301001309,HC ASSAY IGA/IGD/IGG/IGM EACH 2,133.0,86.45,9.3,129.01,884 CDM,PX-301001310,HC IMMUNOGLOBIN SUBCLASSES EA 2,233.0,151.45,8.02,228.34,884 CDM,PX-301001313,HC CHEMILUMINESCENT ASSAY 2,162.0,105.3,14.12,157.14,884 CDM,PX-301001316,HC CYTOKINE PANEL (CYTH1),97.0,63.05,17.27,94.09,884 CDM,PX-301001321,HC OSMOLALITY ASSAY URINE 2,120.0,78.0,6.82,116.4,884 CDM,PX-301001322,HC BETA-AMYLOID 1-42,160.0,104.0,79.52,155.2,884 CDM,PX-301001323,HC TAU PHOSPHORYLATED EA,160.0,104.0,79.52,155.2,884 CDM,PX-301001324,HC TOTAL TAU,160.0,104.0,79.52,155.2,884 CDM,PX-301001325,HC BETA-AMYLOID 1-42 2,270.0,175.5,128.92,261.9,884 CDM,PX-301001326,HC TAU PHOSPHORYLATED EA 2,160.0,104.0,79.52,155.2,884 CDM,PX-301001327,HC TOTAL TAU 2,270.0,175.5,128.92,261.9,884 CDM,PX-301001330,HC ACTH 1,392.0,254.8,38.62,380.24,884 CDM,PX-301001332,HC NEUROFILAMENT LIGHT CHAIN ASSAY,603.0,391.95,116.23,584.91,884 CDM,PX-301001333,HC HEMOGLOBIN GLYCATED A1C 2,145.0,94.25,9.71,140.65,884 CDM,PX-301001341,HC AMINOLEVULINIC ACID 2,253.0,164.45,16.45,245.41,884 CDM,PX-301001343,HC ALUMINUM ASSAY 1,387.0,251.55,25.48,375.39,884 CDM,PX-301001345,HC PORPHOBILINOGEN URINE QUANT 2,153.0,99.45,8.44,148.41,884 CDM,PX-301001346,HC PORPHYRINS URINE QUANT/FRACT 2,243.0,157.95,14.71,235.71,884 CDM,PX-301001351,HC IMMUNOASSAY QUANT NOS 8,271.0,176.15,17.27,262.87,884 CDM,PX-301001352,HC VITAMIN A ASSAY 2,199.0,129.35,11.61,193.03,884 CDM,PX-301001353,HC VITAMIN E ASSAY 2,168.0,109.2,14.18,162.96,884 CDM,PX-302000007,HC AHG INDIRECT TITER EA,106.0,68.9,52.68,180.89,884 CDM,PX-302000009,HC ALLERGEN IGE QUANT/SEMI EA,68.0,44.2,5.22,66.64,884 CDM,PX-302000010,HC ALLERGEN IGG QUANT/SEMI EA,53.0,34.45,7.82,51.94,884 CDM,PX-302000011,HC ALLO ANTIBODY TITER,93.0,60.45,46.22,180.89,884 CDM,PX-302000012,HC ALPHA-FETOPROTEIN CSF QUANT,461.0,299.65,20.81,447.17,884 CDM,PX-302000013,HC AMPA R AB CBA,211.0,137.15,12.05,204.67,884 CDM,PX-302000014,HC AMPA R AB IF TITER,114.0,74.1,12.05,111.72,884 CDM,PX-302000015,HC AMPHIPHYSIN AB TITER,202.0,131.3,12.05,195.94,884 CDM,PX-302000016,HC ANTI PHOSPHATIDYLSERINE AB,187.0,121.55,16.07,183.26,884 CDM,PX-302000018,HC ANTIBODY ELUTION RBC EACH,223.0,144.95,110.83,216.31,884 CDM,PX-302000020,HC ANTIBODY ID RBC EACH PANEL,209.0,135.85,103.87,380.59,884 CDM,PX-302000022,HC ANTIBODY SCREEN RBC EA SERUM,107.0,69.55,48.11,103.79,885 CDM,PX-302000023,HC ANTI-DIPTHERIA TOXOID IGG,145.0,94.25,14.99,140.65,884 CDM,PX-302000025,HC ANTINUCLEAR ANTIBODIES TITER,104.0,67.6,11.16,100.88,884 CDM,PX-302000026,HC ANTINUCLEAR ANTIBODIES/ANA,203.0,131.95,12.09,196.91,884 CDM,PX-302000028,HC ANTISTREPTOLYSIN O TITER,150.0,97.5,7.3,147.0,884 CDM,PX-302000030,HC ANTI-TETANUS TOXOID IGG,158.0,102.7,14.99,153.26,884 CDM,PX-302000032,HC ASPERGILLUS AB EACH,168.0,109.2,15.05,164.64,884 CDM,PX-302000033,HC B CELL TOTAL COUNT,390.0,253.5,37.73,378.3,884 CDM,PX-302000035,HC BARTONELLA AB EACH,190.0,123.5,10.18,186.2,884 CDM,PX-302000037,HC BETA 2 GLYCOPROTEIN I AB EA,234.0,152.1,25.45,226.98,884 CDM,PX-302000038,HC BLASTOMYCES AB,237.0,154.05,12.9,232.26,884 CDM,PX-302000041,HC BLOOD TYPING ABO,69.0,44.85,34.29,141.27,885 CDM,PX-302000042,HC BLOOD TYPING DONOR UNIT EA AG BS,231.0,150.15,114.81,380.59,884 CDM,PX-302000043,HC BLOOD TYPING DONOR UNIT EA AG,226.0,146.9,112.32,380.59,884 CDM,PX-302000045,HC BLOOD TYPING RH(D),98.0,63.7,34.49,95.06,885 CDM,PX-302000046,HC BORDETELLA AB EACH,214.0,139.1,13.19,207.58,884 CDM,PX-302000047,HC BRUCELLA AB EACH AGGLUTINATION,157.0,102.05,8.93,153.86,884 CDM,PX-302000048,HC BRUCELLA AB EACH,161.0,104.65,8.93,157.78,884 CDM,PX-302000049,HC CARDIOLIPIN AB EA IG CLASS,228.0,148.2,25.45,223.44,884 CDM,PX-302000052,HC CHIKUNGUNYA AB EA,266.0,172.9,12.88,258.02,884 CDM,PX-302000054,HC CHLAMYDIA IGM AB,172.0,111.8,12.68,168.56,884 CDM,PX-302000055,HC CHROMOGRANIN A QUANT,419.0,272.35,20.81,406.43,884 CDM,PX-302000056,HC COCCIDIOIDES AB,219.0,142.35,11.47,212.43,884 CDM,PX-302000057,HC COLD AGGLUTININ SCREEN,83.0,53.95,8.07,80.51,884 CDM,PX-302000058,HC COLD AGGLUTININ TITER,116.0,75.4,8.06,113.68,884 CDM,PX-302000060,HC COMPATIBILITY TEST AG EA,215.0,139.75,106.86,208.55,884 CDM,PX-302000061,HC COMPATIBILITY TEST ELECTRONIC,173.0,112.45,85.98,180.89,884 CDM,PX-302000062,HC COMPATIBILITY TEST IMM SPIN EA,289.0,187.85,143.63,280.33,884 CDM,PX-302000065,HC COMPLEMENT COMPONENT C1Q,193.0,125.45,12.0,187.21,884 CDM,PX-302000066,HC COMPLEMENT COMPONENT C5/C2,213.0,138.45,12.0,206.61,884 CDM,PX-302000067,HC COMPLEMENT COMPONENT,204.0,132.6,12.0,197.88,884 CDM,PX-302000068,HC COMPLMENT FUNC ACTVTY EA ALT PATHWAY,240.0,156.0,12.0,235.2,884 CDM,PX-302000069,HC COMPLEMENT FUNC ACTVTY EA,213.0,138.45,12.0,208.74,884 CDM,PX-302000070,HC COMPLEMENT TOTAL,313.0,203.45,20.32,306.74,884 CDM,PX-302000072,HC C-REACTIVE PROTEIN,106.0,68.9,5.18,102.82,884 CDM,PX-302000073,HC CRMP 5 IGG TITER,202.0,131.3,12.05,195.94,884 CDM,PX-302000074,HC CRP HIGH SENSITIVITY,150.0,97.5,12.95,147.0,884 CDM,PX-302000078,HC CRYPTOCOCCAL ANTIGEN,127.0,82.55,16.07,123.19,884 CDM,PX-302000081,HC CYCLIC CITRULLINATED PEPT AB,203.0,131.95,12.95,198.94,884 CDM,PX-302000084,HC CYTOMEGALOVIRUS AB IGM,236.0,153.4,16.85,228.92,884 CDM,PX-302000085,HC CYTOMEGALOVIRUS AB,218.0,141.7,14.39,211.46,884 CDM,PX-302000088,HC DENGUE FEVER EA,266.0,172.9,12.88,258.02,884 CDM,PX-302000089,HC DEOXYRIBONUCLEASE AB,243.0,157.95,13.25,238.14,884 CDM,PX-302000095,HC DIRECT COOMBS EA ANTISERUM,120.0,78.0,54.47,116.4,884 CDM,PX-302000096,HC DNA AB NATIVE/DOUBLE STRANDED,191.0,124.15,13.74,187.18,884 CDM,PX-302000098,HC FLUORESCENT NONINF AG AB EA 9,209.0,135.85,12.05,202.73,884 CDM,PX-302000099,HC ECHINOCOCCUS AB IGG,321.0,208.65,13.01,311.37,884 CDM,PX-302000100,HC EHRLICHIA ANTIBODY,217.0,141.05,10.18,212.66,884 CDM,PX-302000101,HC ENCEPHALITIS CALIFORNIA AB IGG,164.0,106.6,13.19,159.08,884 CDM,PX-302000102,HC ENCEPHALITIS CALIFORNIA AB IGM,164.0,106.6,13.19,159.08,884 CDM,PX-302000103,HC ENCEPHALITIS EAST EQUINE AB IGG,222.0,144.3,13.19,215.34,884 CDM,PX-302000104,HC ENCEPHALITIS EAST EQUINE AB IGM,231.0,150.15,13.19,224.07,884 CDM,PX-302000105,HC ENCEPHALITIS ST LOUIS AB IGG,190.0,123.5,13.19,184.3,884 CDM,PX-302000106,HC ENCEPHALITIS ST LOUIS AB IGM,189.0,122.85,13.19,183.33,884 CDM,PX-302000107,HC ENCEPHALITIS WEST EQUINE AB IGG,206.0,133.9,13.19,199.82,884 CDM,PX-302000108,HC ENCEPHALITIS WEST EQUINE AB IGM,206.0,133.9,13.19,199.82,884 CDM,PX-302000112,HC EPSTEIN BARR EARLY AG AB,187.0,121.55,13.12,183.26,884 CDM,PX-302000113,HC EPSTEIN-BARR NUCLEAR AG AB,213.0,138.45,15.29,206.61,884 CDM,PX-302000114,HC EPSTEIN-BARR VIRAL CAPSID AB EA,227.0,147.55,18.14,220.19,884 CDM,PX-302000115,HC EXTRACT NUC AG EA AB,209.0,135.85,17.93,202.73,884 CDM,PX-302000116,HC FLOW CYTOMETRIC CROSSMATCH,789.0,512.85,109.49,765.33,884 CDM,PX-302000120,HC FLUORESCENT NONINF AG AB EA 7,213.0,138.45,12.05,206.61,884 CDM,PX-302000121,HC GABA B R AB IF TITER,115.0,74.75,12.05,112.7,884 CDM,PX-302000122,HC GAD65 AB,251.0,163.15,23.57,243.47,884 CDM,PX-302000124,HC GLIAL NUCLEAR AB TITER,202.0,131.3,12.05,195.94,884 CDM,PX-302000125,HC GRANULOCYTE ANTIBODY,184.0,119.6,15.05,178.48,884 CDM,PX-302000127,HC HAV AB TOTAL,175.0,113.75,12.39,169.75,884 CDM,PX-302000128,HC HAV IGM AB,188.0,122.2,11.26,182.36,884 CDM,PX-302000129,HC HBV CORE AB TOTAL,180.0,117.0,12.05,174.6,884 CDM,PX-302000130,HC HBV CORE IGM AB,208.0,135.2,11.77,201.76,884 CDM,PX-302000131,HC HBV E AB,183.0,118.95,11.57,179.34,884 CDM,PX-302000132,HC HBV SURFACE AB QUANT,159.0,103.35,14.99,154.23,884 CDM,PX-302000133,HC HBV SURFACE AB,148.0,96.2,10.74,143.56,884 CDM,PX-302000134,HC HCV AB CADAVER SCREEN,327.0,212.55,14.27,317.19,884 CDM,PX-302000135,HC HCV AB CONFIRMATION,219.0,142.35,114.28,219.0,880 CDM,PX-302000136,HC HCV AB W REFLEX,327.0,212.55,14.27,317.19,884 CDM,PX-302000143,HC HEPARIN - PF4 ANTIBODY (HIT),469.0,304.85,18.37,454.93,884 CDM,PX-302000145,HC HERPES SIMPLEX TYPE 1 AB,203.0,131.95,13.19,196.91,884 CDM,PX-302000146,HC HERPES SIMPLEX TYPE 2 AB,214.0,139.1,19.35,207.58,884 CDM,PX-302000147,HC HETEROPHILE AB SCREEN,47.0,30.55,5.18,46.06,884 CDM,PX-302000148,HC HEV AB,266.0,172.9,12.88,258.02,884 CDM,PX-302000150,HC HISTOPLASMA AB EA,210.0,136.5,13.79,205.8,884 CDM,PX-302000151,HC HIV 1 AB,156.0,101.4,8.89,152.88,884 CDM,PX-302000155,HC HIV 2 AB,200.0,130.0,13.52,196.0,884 CDM,PX-302000158,HC HLA AB CLASS I SOLID PHASE,1467.0,953.55,323.75,1422.99,884 CDM,PX-302000159,HC HLA AB CLASS II SOLID PHASE,1337.0,869.05,325.8,1296.89,884 CDM,PX-302000172,HC HTLV AB CONFIRMATORY TEST,255.0,165.75,19.35,247.35,884 CDM,PX-302000173,HC HTLV I AB,256.0,166.4,12.88,248.32,884 CDM,PX-302000175,HC HUMAN EPIDIDYMIS PROTEIN 4/HE4,681.0,442.65,20.81,660.57,884 CDM,PX-302000176,HC IA2 AB,255.0,165.75,23.57,247.35,884 CDM,PX-302000177,HC IFE OTHER FLUIDS,370.0,240.5,29.35,358.9,884 CDM,PX-302000178,HC IFE SERUM,435.0,282.75,22.34,421.95,884 CDM,PX-302000179,HC IFE URINE,361.0,234.65,29.35,350.17,884 CDM,PX-302000181,HC IMMUNOASSAY TUMOR CA 125,398.0,258.7,20.81,386.06,884 CDM,PX-302000182,HC IMMUNOASSAY TUMOR CA 15.3,279.0,181.35,20.81,273.42,884 CDM,PX-302000183,HC IMMUNOASSAY TUMOR CA 19-9,322.0,209.3,20.81,312.34,884 CDM,PX-302000184,HC IMMUNOASSAY TUMOR CA 27.29/CA 15-3,507.0,329.55,20.81,496.86,884 CDM,PX-302000191,HC INHIBIN A,137.0,89.05,15.59,134.26,884 CDM,PX-302000192,HC INSULIN AB,474.0,308.1,21.41,464.52,884 CDM,PX-302000194,HC INTRAOP/POSTOP BLOOD SALVAGE,906.0,588.9,450.28,878.82,884 CDM,PX-302000195,HC INTRINSIC FACTOR AB,352.0,228.8,15.08,344.96,884 CDM,PX-302000197,HC LEGIONELLA AB,299.0,194.35,15.3,299.0,884 CDM,PX-302000198,HC LEISHMANIA AB,280.0,182.0,12.25,274.4,856 CDM,PX-302000199,HC LEPTOSPIRA AB,293.0,190.45,16.2,287.14,856 CDM,PX-302000203,HC LYME DISEASE AB,241.0,156.65,17.03,233.77,884 CDM,PX-302000204,HC LYME DISEASE CONFIRMATORY TEST,256.0,166.4,15.49,250.88,884 CDM,PX-302000206,HC LYMPHOCYTE BLASTOGENESIS AG,392.0,254.8,49.03,380.24,884 CDM,PX-302000207,HC LYMPHOCYTE BLASTOGENESIS MITOGENS,392.0,254.8,49.03,380.24,884 CDM,PX-302000210,HC M PNEUMONIAE AB EIA,177.0,115.05,13.24,173.46,884 CDM,PX-302000211,HC M PNEUMONIAE AB,177.0,115.05,13.24,173.46,884 CDM,PX-302000214,HC MICROSOMAL AB EA/TPO,278.0,180.7,14.55,269.66,884 CDM,PX-302000215,HC MICROSOMAL AB EA,245.0,159.25,14.55,237.65,884 CDM,PX-302000218,HC MONONUCLEAR CELL AG EA,252.0,163.8,26.78,244.44,884 CDM,PX-302000220,HC MUMPS AB IGG,161.0,104.65,13.05,156.17,884 CDM,PX-302000221,HC MUMPS AB IGM,168.0,109.2,13.05,162.96,884 CDM,PX-302000223,HC NATURAL KILLER TOTAL COUNT,556.0,361.4,37.73,539.32,884 CDM,PX-302000227,HC FLUORESCENT NONINF AG AB EA 6,211.0,137.15,12.05,204.67,884 CDM,PX-302000228,HC FLUORESCENT AB TITER EA 2,125.0,81.25,12.05,122.5,884 CDM,PX-302000232,HC PARVOVIRUS AB,232.0,150.8,15.03,225.04,884 CDM,PX-302000235,HC PLATELET ANTIBODIES,488.0,317.2,18.37,473.36,884 CDM,PX-302000237,HC PLATELET ANTIBODY CROSSMATCH,509.0,330.85,18.37,493.73,884 CDM,PX-302000238,HC PRETREAT RBC AB ID DRUG EA,285.0,185.25,54.47,276.45,884 CDM,PX-302000239,HC PRETREAT RBC AB ID ENZYME EA,181.0,117.65,89.96,180.89,884 CDM,PX-302000242,HC PRETREAT SERUM AB ID ABSRP EA,242.0,157.3,54.47,234.74,884 CDM,PX-302000243,HC PRETREAT SERUM AB ID DILUTION,225.0,146.25,26.7,225.0,884 CDM,PX-302000244,HC PRETREAT SERUM AB ID INCUBATE,218.0,141.7,108.35,218.0,884 CDM,PX-302000245,HC PRETREAT SERUM RBC ID,177.0,115.05,87.97,474.32,884 CDM,PX-302000246,HC PROTOZOA AB NES,163.0,105.95,12.39,159.74,884 CDM,PX-302000247,HC PRTZA BABESIA MICROTI AB,191.0,124.15,12.39,187.18,884 CDM,PX-302000250,HC TRYPANOSOMA CRUZI AB IGG,188.0,122.2,12.39,184.24,884 CDM,PX-302000251,HC PURKINJE CELL AB TITER,202.0,131.3,12.05,195.94,884 CDM,PX-302000252,HC Q FEVER/COXIELLA BRUNETII AB IGG,125.0,81.25,12.12,122.5,884 CDM,PX-302000253,HC Q FEVER/COXIELLA BRUNETII AB IGM,128.0,83.2,12.12,125.44,884 CDM,PX-302000255,HC RBC AG NOT ABO/RH(D) EA,148.0,96.2,73.56,380.59,884 CDM,PX-302000260,HC RH PHENOTYPING COMPLETE,72.0,46.8,34.49,72.0,884 CDM,PX-302000262,HC RHEUMATOID FACTOR QUANT,102.0,66.3,5.67,99.96,884 CDM,PX-302000263,HC RICKETTSIA AB IGG,219.0,142.35,19.35,214.62,884 CDM,PX-302000264,HC RICKETTSIA AB IGM,219.0,142.35,19.35,214.62,884 CDM,PX-302000266,HC RPR,63.0,40.95,4.27,61.11,884 CDM,PX-302000267,HC RUBELLA AB IGG,127.0,82.55,14.39,123.19,884 CDM,PX-302000269,HC RUBEOLA AB IGG,201.0,130.65,12.88,194.97,884 CDM,PX-302000270,HC RUBEOLA AB IGM,224.0,145.6,12.88,217.28,884 CDM,PX-302000274,HC SCHISTOSOMA AB,318.0,206.7,13.01,308.46,884 CDM,PX-302000277,HC SPLIT BLOOD EA UNIT,670.0,435.5,157.3,649.9,884 CDM,PX-302000278,HC SPOROTHRIX AB,227.0,147.55,12.25,222.46,884 CDM,PX-302000279,HC STEM CELLS TOTAL COUNT,523.0,339.95,77.78,507.31,884 CDM,PX-302000282,HC STRONGYLOIDES AB IGG,318.0,206.7,13.01,308.46,884 CDM,PX-302000283,HC SYPHILIS IGG AB,160.0,104.0,13.24,155.2,884 CDM,PX-302000284,HC SYPHILIS TPPA,177.0,115.05,13.24,171.69,884 CDM,PX-302000286,HC T CELL ABSOLUTE CD4/CD8 RATIO,541.0,351.65,46.98,524.77,884 CDM,PX-302000288,HC T CELL TOTAL COUNT,383.0,248.95,37.73,371.51,884 CDM,PX-302000289,HC TB INTRADERMAL TEST,61.0,39.65,33.86,59.17,880 CDM,PX-302000296,HC THYROGLOBULIN AB,255.0,165.75,15.91,247.35,884 CDM,PX-302000297,HC TOXOPLASMA AB IGG,201.0,130.65,14.39,194.97,884 CDM,PX-302000298,HC TOXOPLASMA IGM AB,238.0,154.7,14.41,230.86,884 CDM,PX-302000301,HC VARICELLA ZOSTER AB IGM,217.0,141.05,12.88,210.49,884 CDM,PX-302000302,HC VARICELLA ZOSTER AB,200.0,130.0,12.88,194.0,884 CDM,PX-302000303,HC VDRL,71.0,46.15,4.27,68.87,884 CDM,PX-302000305,HC WEST NILE VIRUS AB IGG,191.0,124.15,14.39,185.27,884 CDM,PX-302000306,HC WEST NILE VIRUS AB IGM,192.0,124.8,16.85,186.24,884 CDM,PX-302000314,HC COMPLEMENT AG EA COMPONENT,184.0,119.6,12.0,178.48,884 CDM,PX-302000316,HC HCV AB SCREEN,293.0,190.45,14.27,284.21,884 CDM,PX-302000331,HC NUCLEAR ANTIGEN ANTIBODY,222.0,144.3,17.93,215.34,884 CDM,PX-302000345,HC FLUORESCENT ANTIBODY SCREEN,214.0,139.1,12.05,207.58,884 CDM,PX-302000364,HC HIV-1 AG W/HIV-1 & HIV-2 AB,205.0,133.25,24.08,198.85,884 CDM,PX-302000367,HC ANTINUCLEAR ANTIBODIES HEP2,157.0,102.05,11.16,152.29,884 CDM,PX-302000370,HC CASPR2-IGG AB TITER,218.0,141.7,12.05,211.46,884 CDM,PX-302000371,HC LGI1-IGG AB CBA TITER,218.0,141.7,12.05,211.46,884 CDM,PX-302000372,HC SYPHILIS NON-TREPONEMAL AB QUAN,49.0,31.85,4.4,48.02,884 CDM,PX-302000373,"HC ZNT8, AB",258.0,167.7,23.57,250.26,884 CDM,PX-302000395,"HC HDV TOTAL AB, S",270.0,175.5,17.16,264.6,884 CDM,PX-302000401,HC ZIKA VIRUS AB,349.0,226.85,16.85,342.02,884 CDM,PX-302000412,HC FLUORESCENT AB TITER EA LEV 2,102.0,66.3,12.05,99.96,884 CDM,PX-302000413,HC FLUORESCENT NONINFCT AG AB EA LEV2,204.0,132.6,12.05,197.88,884 CDM,PX-302000451,HC COMPLEMENT ANTIGEN EACH 1,206.0,133.9,12.0,199.82,884 CDM,PX-302000453,HC COMPLEMENT FUNC ACTVTY EA 3,223.0,144.95,12.0,218.54,884 CDM,PX-302000454,HC COMPLEMENT FUNC ACTVTY EA 2,197.0,128.05,12.0,193.06,884 CDM,PX-302000457,HC FLUORESCENT AB TITER EA 3,142.0,92.3,12.05,139.16,884 CDM,PX-302000458,HC IMMUNOASSAY TUMOR CA 19-9 1,301.0,195.65,20.81,291.97,884 CDM,PX-302000459,HC LYMPHOCYTE BLASTOGENESIS AG 1,392.0,254.8,49.03,380.24,884 CDM,PX-302000464,HC EHRLICHIA ANTIBODY 1,217.0,141.05,10.18,212.66,884 CDM,PX-302000466,HC HEV AB 1,266.0,172.9,12.88,258.02,884 CDM,PX-302000497,HC THSD7A AB,219.0,142.35,12.05,212.43,884 CDM,PX-302000498,HC ANTIBODY TREPONEMA PALLIDUM,176.0,114.4,31.33,176.0,884 CDM,PX-302000499,HC SYPHILIS TST NON-TREPONEMAL AB,96.0,62.4,18.09,94.08,884 CDM,PX-302000510,HC PARANEOPLASTIC PEMPHIGUS,216.0,140.4,12.05,209.52,884 CDM,PX-302000513,HC BLASTOMYCES AB EIA,234.0,152.1,12.9,229.32,884 CDM,PX-302000514,HC REF CYTOMEGALOVIRUS AB IGM,212.0,137.8,16.85,205.64,884 CDM,PX-302000515,HC GFAP IFA TITER,132.0,85.8,12.05,129.36,884 CDM,PX-302000516,HC GFAP IFA,219.0,142.35,12.05,212.43,884 CDM,PX-302000517,HC GFAP CBA,194.0,126.1,12.05,188.18,884 CDM,PX-302000518,HC SRP IFA TITER,133.0,86.45,12.05,130.34,884 CDM,PX-302000519,HC CELLULAR FUNCTION W STIM 1,440.0,286.0,135.86,426.8,884 CDM,PX-302000520,HC CELLULAR FUNCTION W STIM 2,494.0,321.1,135.86,479.18,884 CDM,PX-302000521,HC MONONUCLEAR CELL AG EA 1,255.0,165.75,26.78,247.35,884 CDM,PX-302000523,HC MONONUCLEAR CELL AG EA 3,247.0,160.55,26.78,239.59,884 CDM,PX-302000524,HC MONONUCLEAR CELL AG EA 4,271.0,176.15,26.78,262.87,884 CDM,PX-302000525,HC T CELL TOTAL COUNT 1,339.0,220.35,37.73,328.83,884 CDM,PX-302000533,HC FRANCISELLA TULARENSIS 1,130.0,84.5,14.16,127.4,884 CDM,PX-302000534,HC FRANCISELLA TULARENSIS 2,141.0,91.65,14.16,138.18,884 CDM,PX-302000538,HC HTLV 1/2 AB SCRN,246.0,159.9,12.88,238.62,884 CDM,PX-302000539,HC HTLV 1/2 AB CONFIRM,295.0,191.75,19.35,286.15,884 CDM,PX-302000541,HC FLUORESCENT NONINF AG AB EA 4,204.0,132.6,12.05,197.88,884 CDM,PX-302000542,HC FLUORESCENT NONINF AG AB EA 5,296.0,192.4,12.05,287.12,884 CDM,PX-302000544,HC SARS-COV-2 ANTIBODY,94.0,61.1,42.13,91.18,884 CDM,PX-302000546,HC MONONUCLEAR CELL AG EA 5,252.0,163.8,26.78,244.44,884 CDM,PX-302000559,HC TB TEST CELL IMMUNITY MEASURE 2,409.0,265.85,61.98,396.73,885 CDM,PX-302000560,HC S PNEUMONIAE IGG AB TOTAL,130.0,84.5,14.99,126.1,884 CDM,PX-302000565,HC MONONUCLEAR CELL AG EA 7,252.0,163.8,26.78,244.44,884 CDM,PX-302000567,HC REF HBV SURFACE AB,128.0,83.2,10.74,124.16,884 CDM,PX-302000572,HC SARS-COV-2 SPIKE AB,94.0,61.1,42.13,91.18,884 CDM,PX-302000574,HC IFE SERUM 2,502.0,326.3,22.34,486.94,884 CDM,PX-302000587,HC FUNGUS AB NES EACH 2,229.0,148.85,12.25,224.42,884 CDM,PX-302000589,HC HBS ANTIGEN SCREEN CONFIRM,173.0,112.45,96.02,167.81,880 CDM,PX-302000596,HC HAEMOPHILUS INFL B AB IGG,318.0,206.7,15.84,308.46,884 CDM,PX-302000597,HC NEUROFASCIN 155 IGG4,223.0,144.95,12.05,216.31,884 CDM,PX-302000598,HC POWASSAN VIRUS IGM,246.0,159.9,12.88,238.62,884 CDM,PX-302000599,HC LYME DISEASE CONFIRMATORY TEST 2,287.0,186.55,15.49,281.26,884 CDM,PX-302000600,HC LYME DISEASE AB 4,276.0,179.4,17.03,267.72,884 CDM,PX-302000602,HC ENDOMYSIAL AB EA IG CLASS,182.0,118.3,12.09,178.36,884 CDM,PX-302000604,HC TISSUE TRANSGLUTAMINASE EA IG CLASS,229.0,148.85,11.53,224.42,884 CDM,PX-302000605,HC GLIADIN AB EA IG CLASS,226.0,146.9,12.05,219.22,884 CDM,PX-302000606,HC MOG-IGG1 AB FLOW CYTO EA,276.0,179.4,37.73,270.48,884 CDM,PX-302000607,HC AQUAPORIN-4 AB FLOW CYTO EA,276.0,179.4,37.73,267.72,884 CDM,PX-302000608,HC AQUAPORIN-4 AB FLOW CYTO EA 2,276.0,179.4,37.73,267.72,884 CDM,PX-302000609,HC MITOCHONDRIAL AB EA,297.0,193.05,25.45,288.09,884 CDM,PX-302000611,HC VOLTAGE-GTD CA CHNL AB EA,323.0,209.95,12.05,316.54,884 CDM,PX-302000612,HC ACTIN SMOOTH MUSCLE AB EA,228.0,148.2,12.05,221.16,884 CDM,PX-302000613,HC ANCA SCREEN EA AB,254.0,165.1,12.05,248.92,884 CDM,PX-302000614,HC ANCA SCREEN EA AB 2,260.0,169.0,12.05,254.8,884 CDM,PX-302000616,HC SYPHILIS TEST RPR QUAL,77.0,50.05,4.27,74.69,884 CDM,PX-302000619,HC HELMINTH AB NES 2,264.0,171.6,13.01,256.08,884 CDM,PX-302000620,HC PRTZA ENTAMOEBA HISTOLYTICA AB 2,177.0,115.05,12.39,173.46,884 CDM,PX-302000621,HC TRICHINELLA 2,178.0,115.7,12.56,172.66,884 CDM,PX-302000622,HC FLUORESCENT NONINF AG AB EA 8,221.0,143.65,12.05,214.37,884 CDM,PX-302000623,HC CONTACTIN-1 IGG CBA,220.0,143.0,12.05,213.4,884 CDM,PX-302000628,HC CHLAMYDIA AB 2,125.0,81.25,11.82,122.5,884 CDM,PX-302000629,HC CHLAMYDIA IGM AB 2,149.0,96.85,12.68,146.02,884 CDM,PX-302000630,HC QFEVER ANTIBODY SCRN,95.0,61.75,12.12,93.1,884 CDM,PX-302000631,HC HELMINTH AB NES 3,264.0,171.6,13.01,256.08,884 CDM,PX-302000636,HC ACHR MODULATE FLOW CYTO,53.0,34.45,12.05,51.94,884 CDM,PX-302000637,HC GLYCINE ALPHA 1 LCBA,143.0,92.95,36.57,140.14,884 CDM,PX-302000638,HC KELCH LIKE PROTEIN 11 QUAL,143.0,92.95,36.57,138.71,884 CDM,PX-302000640,"HC HEP B SCRN SURF AB (HBBSN, HBSNQ, HBSQN)",128.0,83.2,10.74,124.16,884 CDM,PX-302000641,"HC HEP B SCRN CORE AB TOT (HBCSN, HBCT2)",151.0,98.15,12.05,146.47,884 CDM,PX-302000642,HC HEP B SCRN HIGH RISK INDIV,241.0,156.65,133.76,233.77,880 CDM,PX-302000643,"HC RARE SUBEPI BLISTERING VARIANTS, S",216.0,140.4,12.05,209.52,884 CDM,PX-302000645,HC FLUORESCENT NONINF AG AB EA 10,296.0,192.4,12.05,287.12,884 CDM,PX-302000649,HC COCCIDIOIDES AB 2,219.0,142.35,11.47,212.43,884 CDM,PX-302000654,HC COMPLEMENT FUNC ACTVTY EA 6,185.0,120.25,12.0,181.3,884 CDM,PX-302000656,HC ANTIBODY ID LEUKOCYTE AB,165.0,107.25,15.05,160.05,884 CDM,PX-302000657,HC STREP PNEUM AB MULTIPLEX,357.0,232.05,92.03,346.29,884 CDM,PX-302000658,HC NUCLEAR ANTIGEN ANTIBODY 2,177.0,115.05,17.93,171.69,884 CDM,PX-302000667,HC B CELL TOTAL COUNT 2,390.0,253.5,37.73,378.3,884 CDM,PX-302000668,HC NATURAL KILLER TOTAL COUNT 2,556.0,361.4,37.73,539.32,884 CDM,PX-305000005,HC ALPHA 2 PLASMIN INHIBITOR,243.0,157.95,7.71,235.71,884 CDM,PX-305000006,HC ANTITHROMBIN III ACTIVITY,259.0,168.35,11.85,251.23,884 CDM,PX-305000007,HC ANTITHROMBIN III ANTIGEN,226.0,146.9,10.81,221.48,884 CDM,PX-305000008,HC APC RESISTANCE V,278.0,180.7,15.32,272.44,884 CDM,PX-305000009,HC APTT MIXING STUDY EACH,119.0,77.35,6.47,115.43,884 CDM,PX-305000013,HC BONE MARROW SMEAR INTERP,470.0,305.5,233.59,855.44,884 CDM,PX-305000015,HC CBC AUTO WO DIFF,112.0,72.8,6.47,108.64,886 CDM,PX-305000016,HC CBC W AUTO DIFF,101.0,65.65,7.77,97.97,885 CDM,PX-305000017,HC CHROMOGENIC FACTOR X ACTIVITY,408.0,265.2,17.9,395.76,884 CDM,PX-305000018,HC CLOT SOLUBILITY FACTOR XIII,262.0,170.3,9.11,256.76,884 CDM,PX-305000019,HC COAGULATION TIME ACTIVATED,35.0,22.75,4.28,33.95,884 CDM,PX-305000021,HC FACTOR II ACTIVITY,345.0,224.25,12.98,338.1,884 CDM,PX-305000022,HC FACTOR INHIBITOR BETHESDA TITER,438.0,284.7,12.87,429.24,884 CDM,PX-305000023,HC FACTOR INHIBITOR SCREEN,374.0,243.1,12.87,366.52,884 CDM,PX-305000024,HC FACTOR IX ASSAY,369.0,239.85,19.04,357.93,884 CDM,PX-305000025,HC FACTOR V ACTIVITY,402.0,261.3,17.65,393.96,884 CDM,PX-305000026,HC FACTOR VII ACTIVITY,369.0,239.85,17.9,357.93,884 CDM,PX-305000027,HC FACTOR VIII 1 STAGE ASSAY,319.0,207.35,17.9,309.43,884 CDM,PX-305000028,HC FACTOR X ASSAY,408.0,265.2,17.9,395.76,884 CDM,PX-305000029,HC FACTOR XI ASSAY,356.0,231.4,17.9,345.32,884 CDM,PX-305000030,HC FACTOR XII ASSAY,368.0,239.2,19.35,360.64,884 CDM,PX-305000032,HC FDP SEMIQUANT,193.0,125.45,6.89,187.21,884 CDM,PX-305000033,HC FIBRINOGEN ACTIVITY,113.0,73.45,9.72,109.61,884 CDM,PX-305000034,HC FIBRINOGEN ANTIGEN,85.0,55.25,14.46,83.3,884 CDM,PX-305000035,HC FIBRINOLYSINS/COAGULOPATHY I&R,187.0,121.55,15.48,183.26,884 CDM,PX-305000037,HC HEMATOCRIT,36.0,23.4,2.37,34.92,884 CDM,PX-305000038,HC HEMOGLOBIN,44.0,28.6,2.37,42.68,884 CDM,PX-305000039,HC HEPARIN ASSAY,469.0,304.85,13.09,454.93,884 CDM,PX-305000040,HC HEPARIN-PROTAMINE TOL,153.0,99.45,13.09,153.0,884 CDM,PX-305000041,HC HEXAGONAL PHOSPHOLIPID ASSAY,222.0,144.3,17.98,217.56,884 CDM,PX-305000043,HC IMMATURE PLT FRACTION,178.0,115.7,35.74,178.0,884 CDM,PX-305000045,HC LEUKOCYTE (WBC) COUNT AUTO,41.0,26.65,2.54,39.77,884 CDM,PX-305000046,HC MURAMIDASE (LYSOZYME),197.0,128.05,18.75,193.06,884 CDM,PX-305000047,HC OSMOTIC FRAGILITY INCUBATED,155.0,100.75,13.36,151.9,884 CDM,PX-305000048,HC PLASMINOGEN ACTIVITY,359.0,233.35,6.53,348.23,884 CDM,PX-305000049,HC PLATELET AGGREGATION EA,225.0,146.25,24.91,218.25,884 CDM,PX-305000050,HC PLATELET COUNT AUTO,58.0,37.7,4.48,56.26,884 CDM,PX-305000051,HC PLATELET NEUTRALIZATION,242.0,157.3,17.98,234.74,884 CDM,PX-305000052,HC PROTEIN C ACTIVITY,289.0,187.85,13.84,283.22,884 CDM,PX-305000053,HC PROTEIN C ANTIGEN,438.0,284.7,12.01,429.24,884 CDM,PX-305000054,HC PROTEIN S FREE,337.0,219.05,15.32,330.26,884 CDM,PX-305000055,HC PROTEIN S TOTAL,384.0,249.6,11.61,376.32,884 CDM,PX-305000056,HC PROTHROMBIN MIXING STUDIES,100.0,65.0,3.94,97.0,884 CDM,PX-305000057,HC PROTHROMBIN TIME,78.0,50.7,4.29,75.66,884 CDM,PX-305000059,HC RBC SICKLING REDUCTION,102.0,66.3,5.51,98.94,884 CDM,PX-305000060,HC REPTILASE TEST,181.0,117.65,9.85,177.38,884 CDM,PX-305000062,HC RETICULOCYTE COUNT MANUAL,99.0,64.35,4.31,99.0,884 CDM,PX-305000063,HC RISTOCETIN COFACTOR,386.0,250.9,22.94,378.28,884 CDM,PX-305000064,HC RUSSELL VIPER VENOM DILUTED,168.0,109.2,9.58,162.96,884 CDM,PX-305000065,HC SEDIMENTATION RATE AUTOMATED,54.0,35.1,2.7,52.38,884 CDM,PX-305000067,HC SOLUBLE FIBIRIN MONOMER COMPLEX,221.0,143.65,80.46,216.58,884 CDM,PX-305000070,HC THROMBIN TIME,105.0,68.25,5.77,101.85,884 CDM,PX-305000071,HC THROMBOPLASTIN TIME (APTT),101.0,65.65,6.01,97.97,884 CDM,PX-305000073,HC VISCOSITY,161.0,104.65,11.67,156.17,884 CDM,PX-305000074,HC VON WILLEBRAND FACTOR ACTIVITY,359.0,233.35,30.86,348.23,884 CDM,PX-305000075,HC VON WILLEBRAND FACTOR ANTIGEN,347.0,225.55,22.94,336.59,884 CDM,PX-305000077,HC BLOOD MANUAL DIFF,59.0,38.35,3.8,57.23,884 CDM,PX-305000078,HC D-DIMER QUANT,248.0,161.2,10.18,240.56,884 CDM,PX-305000079,HC WILLEBRAND FACTOR MULTIMERANALYSIS,559.0,363.35,22.94,547.82,884 CDM,PX-305000081,HC BLOOD SMEAR WO DIFF WBC,56.0,36.4,3.43,54.32,884 CDM,PX-305000084,HC OCCULT BLOOD FECES IMMUNOASSAY,136.0,88.4,15.92,133.28,884 CDM,PX-305000089,HC THROMBOPLASTIN TIME PARTIAL,101.0,65.65,6.01,97.97,884 CDM,PX-305000098,"HC PS/PT AB,IGG/IGM,S",187.0,121.55,16.07,183.26,884 CDM,PX-305000100,HC CHROMOGENIC FIX,259.0,168.35,11.89,251.23,884 CDM,PX-305000101,HC CHROMOGENIC FVIII 2,287.0,186.55,11.89,278.39,884 CDM,PX-305000124,HC CHROMOGENIC FACTOR VIII INHIBITOR,443.0,287.95,12.87,434.14,884 CDM,PX-305000125,HC VWD 2N (NORMANDY),347.0,225.55,22.94,336.59,884 CDM,PX-305000132,HC RETICYTE/HGB CONCENTRATE,54.0,35.1,5.57,52.38,884 CDM,PX-305000139,HC COAG FUNCTIONAL ACTIVITY NOS 2,792.0,514.8,30.86,768.24,884 CDM,PX-305000140,HC FACTOR INHIBITOR TEST,374.0,243.1,12.87,366.52,884 CDM,PX-306000002,HC DETECT AGENT NOS DNA AMP,223.0,144.95,35.09,216.31,884 CDM,PX-306000003,HC DETECT AGENT NOS DNA QUANT 1,198.0,128.7,42.84,192.06,884 CDM,PX-306000004,HC AG DETECT NOS EIA MULT,137.0,89.05,11.98,132.89,884 CDM,PX-306000005,HC AGENT NOS ASSAY W OPTIC,149.0,96.85,16.07,144.53,884 CDM,PX-306000006,HC ANTIMICROBIAL SUSCEPTIBILITY,70.0,45.5,4.75,67.9,884 CDM,PX-306000008,HC ASPERGILLUS AG EIA,261.0,169.65,11.98,253.17,884 CDM,PX-306000009,HC BABESIA (BABPB/LBAB/BABPR/LBABP-NCCI),237.0,154.05,35.09,229.89,884 CDM,PX-306000011,HC BARTONELLA BY RAPID PCR,509.0,330.85,70.2,493.73,884 CDM,PX-306000012,HC BETA LACTAMASE,73.0,47.45,4.75,70.81,884 CDM,PX-306000014,HC BK VIRUS DNA QN BY RAPID PCR,294.0,191.1,42.84,285.18,884 CDM,PX-306000016,HC BORDETELLA (BPRPV/BPRP-NCCI),223.0,144.95,35.09,216.31,884 CDM,PX-306000019,HC C DIFFICILE TOXIN AMPL PROBE,304.0,197.6,37.27,294.88,884 CDM,PX-306000022,HC CARBAPENEMASE,70.0,45.5,4.75,67.9,884 CDM,PX-306000025,HC CHLAMYDIA TRACH DNA AMPL PROBE,141.0,91.65,35.09,138.18,884 CDM,PX-306000027,HC CLOSTRIDIUM TOXIN AG EIA,165.0,107.25,11.98,160.05,884 CDM,PX-306000028,HC CMV DNA AMPL PROBE QUAL,854.0,555.1,35.09,828.38,884 CDM,PX-306000029,HC CMV PCR QUANT,752.0,488.8,42.84,729.44,884 CDM,PX-306000030,HC COCCIDIOIDES BY RAPID PCR,213.0,138.45,35.09,206.61,884 CDM,PX-306000032,HC CONC FOR INFECTIOUS AGENT,65.0,42.25,6.68,63.05,884 CDM,PX-306000034,HC COXIELLA BURNETII/Q FEVER PC,239.0,155.35,35.09,231.83,884 CDM,PX-306000037,HC CRYPTOCOCCUS AG W OPTIC,143.0,92.95,16.07,138.71,884 CDM,PX-306000038,HC CRYPTOSPORIDIUM AG EIA,104.0,67.6,13.82,101.92,884 CDM,PX-306000039,HC CULT AEROBIC COMM KIT ID EA,63.0,40.95,8.08,61.11,884 CDM,PX-306000040,HC CULT AEROBIC DEFIN ID EA ISOL,94.0,61.1,8.08,91.18,884 CDM,PX-306000041,HC CULT AEROBIC OTHER PRESUMPT ID,126.0,81.9,8.62,122.22,884 CDM,PX-306000043,HC CULT AFB PRES ID,150.0,97.5,10.8,145.5,884 CDM,PX-306000044,HC CULT ANAEROBIC DEFIN ID EA ISOL,109.0,70.85,8.08,105.73,884 CDM,PX-306000045,HC CULT ANAEROBIC ISOL PRES ID,175.0,113.75,9.47,169.75,884 CDM,PX-306000046,HC CULT BLOOD ISOL W PRES ID,276.0,179.4,10.32,267.72,884 CDM,PX-306000048,HC CULT FUNGI DEFIN ID MOLD,141.0,91.65,10.32,136.77,884 CDM,PX-306000049,HC CULT FUNGI DEFIN ID YEAST,129.0,83.85,10.32,125.13,884 CDM,PX-306000050,HC CULT FUNGI PRES ID BLOOD,173.0,112.45,20.46,167.81,884 CDM,PX-306000051,HC CULT FUNGI PRES ID HAIR/SK/NA,125.0,81.25,7.71,122.5,884 CDM,PX-306000052,HC CULT FUNGI PRESUMPT ID OTHER,118.0,76.7,8.41,114.46,884 CDM,PX-306000053,HC CULT ID BY SEQUENCING ANAEROBE,681.0,442.65,115.36,660.57,884 CDM,PX-306000054,HC CULTURE TYPING BY NUC ACID SEQ 1,713.0,463.45,115.36,691.61,884 CDM,PX-306000055,HC CULTURE TYPING BY NUC ACID SEQ 3,721.0,468.65,115.36,699.37,884 CDM,PX-306000056,HC CULT MYCOBACTERIA DEFIN ID,117.0,76.05,14.61,113.49,884 CDM,PX-306000059,HC CULT SINGLE SPECIFIC ORG EACH,85.0,55.25,6.63,82.45,884 CDM,PX-306000061,HC CULT STOOL AEROBIC SALM SHIG,120.0,78.0,9.44,117.6,884 CDM,PX-306000062,HC CULT TYPE ID BY AMPL PROBE,110.0,71.5,35.09,106.7,884 CDM,PX-306000066,HC CULT/COLONY COUNT QUANT URINE,105.0,68.25,8.07,101.85,884 CDM,PX-306000069,HC DETECT AGENT NOS DNA QUANT,387.0,251.55,42.84,375.39,884 CDM,PX-306000071,HC EHRLICHIA/ANAPLASMA (EHRL/EPCRB-NCCI),215.0,139.75,35.09,208.55,884 CDM,PX-306000072,HC EIA HEP B AG NEUTRALIZATION,151.0,98.15,83.81,146.47,880 CDM,PX-306000075,HC ENTEROVIRUS,288.0,187.2,35.09,279.36,884 CDM,PX-306000076,HC EPSTEIN BARR AMPL PROBE,212.0,137.8,35.09,205.64,884 CDM,PX-306000081,HC GASTROINTESTIONAL PATHOGEN PANEL,834.0,542.1,414.5,808.98,884 CDM,PX-306000083,HC GIARDIA AG EIA,122.0,79.3,11.98,119.56,884 CDM,PX-306000085,HC H PYLORI STOOL AG EIA,252.0,163.8,14.38,246.96,884 CDM,PX-306000088,HC HEP B PCR QUANT,829.0,538.85,42.84,804.13,884 CDM,PX-306000089,HC HEP B SURF AG,122.0,79.3,10.33,118.34,884 CDM,PX-306000092,HC HEP C GENOTYPE DNA REVERSE,1646.0,1069.9,257.45,1613.08,884 CDM,PX-306000093,HC HEP C PCR QUANT,752.0,488.8,42.84,729.44,884 CDM,PX-306000094,HC HEPATITIS BE AG EIA,137.0,89.05,11.53,132.89,884 CDM,PX-306000096,HC HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/HSVC/LHSVC/HSVZA/HSVA-NCCI),298.0,193.7,35.09,289.06,884 CDM,PX-306000098,HC HHV-6 BY RAPID PCR,376.0,244.4,35.09,364.72,884 CDM,PX-306000100,HC HISTOPLASMA CAPSULATUM AG EIA,320.0,208.0,13.25,313.6,884 CDM,PX-306000101,HC HIV 1 PCR QUANT,743.0,482.95,85.1,720.71,884 CDM,PX-306000103,HC HIV-1 AG W HIV-1 & HIV-2 AB SCRN,210.0,136.5,24.08,203.7,884 CDM,PX-306000106,HC HOMOGENIZATION TISS FOR CULT,110.0,71.5,5.88,106.7,884 CDM,PX-306000108,"HC HPV HIGH RISK, SCREENING",212.0,137.8,35.09,205.64,884 CDM,PX-306000109,HC ID MTBCX SPECIATION PCR,146.0,94.9,35.09,141.62,884 CDM,PX-306000110,HC INF AGENT NOS AMPL PROBE EA ORGSM,225.0,146.25,35.09,218.25,884 CDM,PX-306000115,HC JC VIRUS DETECTION BY PCR,225.0,146.25,35.09,218.25,884 CDM,PX-306000119,HC LEGIONELLA AG URINE W OPTIC,145.0,94.25,16.07,140.65,884 CDM,PX-306000121,HC LEGIONELLA SPECIES DETECTION,468.0,304.2,70.2,453.96,884 CDM,PX-306000123,HC MACROSCOPIC EXAM ARTHROPOD,99.0,64.35,4.27,96.03,884 CDM,PX-306000124,HC MACROSCOPIC EXAM PARASITE,77.0,50.05,4.31,75.46,884 CDM,PX-306000125,HC MALARIA AG W OPTIC,136.0,88.4,16.07,131.92,884 CDM,PX-306000126,HC MALARIA DETECTION RAPID PCR,146.0,94.9,35.09,141.62,884 CDM,PX-306000129,HC MRSA AMPL PROBE,228.0,148.2,35.09,221.16,884 CDM,PX-306000130,HC MTB COMPLEX BY RAPID PCR,302.0,196.3,41.68,292.94,884 CDM,PX-306000131,HC CULTURE TYPING BY NUC ACID SEQ 2,618.0,401.7,115.36,599.46,884 CDM,PX-306000133,HC MYCOBACTERIA BROTH PROBE ID,106.0,68.9,35.09,102.82,884 CDM,PX-306000135,HC MYCOBACTERIA PROBE ID,106.0,68.9,35.09,102.82,884 CDM,PX-306000137,HC MYCOPLASMA HOMINIS AMP PROBE,235.0,152.75,35.09,227.95,884 CDM,PX-306000138,HC MYCOPLASMA PNEUMO AMPL PROBE,212.0,137.8,35.09,205.64,884 CDM,PX-306000139,HC NEISSERIA GONORR DNA AMPL,250.0,162.5,35.09,245.0,884 CDM,PX-306000144,HC OVA & PARASITE CONC & ID,127.0,82.55,8.9,124.46,884 CDM,PX-306000146,HC PARVOVIRUS B19 BY RAPID PCR,235.0,152.75,35.09,227.95,884 CDM,PX-306000150,HC RESP VIRUS 12 TO 25 TARGETS,834.0,542.1,414.5,834.0,884 CDM,PX-306000151,HC RESP VIRUS 3 TO 5 TARGETS,617.0,401.05,142.63,604.66,884 CDM,PX-306000153,HC ROTAVIRUS AG EIA,179.0,116.35,11.98,175.42,856 CDM,PX-306000157,HC SEROTYPING AGGLUT EA METH >2,43.0,27.95,5.18,42.14,884 CDM,PX-306000159,HC SEROTYPING AGGLUT EA METH 2,55.0,35.75,5.18,53.9,884 CDM,PX-306000161,HC SHIGA TOXIN AG W OPTIC,117.0,76.05,16.07,113.49,884 CDM,PX-306000162,HC INF AGENT NOS AMPL PROBE EA ORGSM 2,116.0,75.4,35.09,112.52,884 CDM,PX-306000163,HC SMEAR ACID FAST ANY SOURCE,95.0,61.75,5.39,92.15,884 CDM,PX-306000164,HC SMEAR COMPLEX STAIN O&P,140.0,91.0,17.98,135.8,884 CDM,PX-306000166,HC SMEAR GRAM STAIN,75.0,48.75,4.27,72.75,884 CDM,PX-306000168,HC SMEAR PNEUMOCYSTIS,89.0,57.85,5.39,86.33,884 CDM,PX-306000169,HC SMEAR WET MOUNT,56.0,36.4,5.82,54.88,884 CDM,PX-306000170,HC SPECIAL STAIN INCL OR PARASITE,102.0,66.3,5.99,98.94,884 CDM,PX-306000172,HC STREP A DIRECT,77.0,50.05,16.53,74.69,884 CDM,PX-306000174,HC STREP PNEUMONIAE AG W OPTIC,147.0,95.55,16.07,142.59,884 CDM,PX-306000178,HC SUSCEPT MACROBROTH EA DRUG,116.0,75.4,6.64,112.52,884 CDM,PX-306000179,HC SUSCEPTIBILITY DISK PER PLATE,54.0,35.1,7.48,52.38,884 CDM,PX-306000181,HC SUSCEPTIBILITY PER PLATE 1,116.0,75.4,8.65,112.52,884 CDM,PX-306000182,HC SUSCEPTIBILITY PER PLATE 2,128.0,83.2,8.65,124.16,884 CDM,PX-306000183,HC SUSCEPTIBLITY PANEL YEAST,122.0,79.3,8.65,118.34,884 CDM,PX-306000186,HC TOXOPLASMA GONDII AMPL PB,237.0,154.05,35.09,229.89,884 CDM,PX-306000187,HC TOXOPLASMA GONDII PCR CSF,227.0,147.55,35.09,220.19,884 CDM,PX-306000189,HC TRICHOMONAS VAG AMP PROBE,267.0,173.55,35.09,258.99,884 CDM,PX-306000192,HC UREAPLASMA PCR (URBRP/URPRP/URRP?NCCI),235.0,152.75,35.09,227.95,884 CDM,PX-306000194,HC VARICELLA ZOSTER VIRUS DETECT,211.0,137.15,35.09,204.67,884 CDM,PX-306000197,HC VIRUS ID ADD TESTING,178.0,115.7,20.2,178.0,884 CDM,PX-306000199,HC VIRUS ID SHELL VIAL,174.0,113.1,19.56,174.0,884 CDM,PX-306000201,HC WEST NILE AMPL PROBE,231.0,150.15,35.09,224.07,884 CDM,PX-306000202,HC WHIPPLES DISEASE DNA DETECT,224.0,145.6,35.09,217.28,884 CDM,PX-306000203,HC CYTOMEGALOVIRUS DETECTION/PCR,352.0,228.8,35.09,341.44,884 CDM,PX-306000207,HC MICROSPORIDIA PCR,230.0,149.5,35.09,223.1,884 CDM,PX-306000209,HC STOOL CULT AEROBIC BACT EA,108.0,70.2,9.44,104.76,884 CDM,PX-306000211,HC SUSCEPTIBILITY ANAEROBIC,62.0,40.3,4.75,60.14,884 CDM,PX-306000220,HC CULT TYPE ID BY AMPL PROBE 2,146.0,94.9,35.09,141.62,884 CDM,PX-306000226,HC Q FEVER PCR,175.0,113.75,35.09,169.75,884 CDM,PX-306000232,HC CNS DNA AMP PROBE TYPE 12-25,834.0,542.1,414.5,808.98,884 CDM,PX-306000234,HC STAIN SLIDE EXAM,150.0,97.5,17.98,145.5,884 CDM,PX-306000235,HC GNC MULTIPLEX AMPL PROBE,93.0,60.45,35.09,90.21,884 CDM,PX-306000242,HC BALAMUTHIA MANDRILLARIS AMPL PROBE (FLARP-NCCI),181.0,117.65,35.09,175.57,884 CDM,PX-306000243,HC NAEGLERIA FOWLERI AMPL PROBE (FLARP-NCCI),181.0,117.65,35.09,175.57,884 CDM,PX-306000244,"HC ACANTHAMOEBA SPECIES, PCR",150.0,97.5,35.09,145.5,884 CDM,PX-306000245,HC BORRELIA MIYAMOTOI PCR,200.0,130.0,35.09,194.0,884 CDM,PX-306000265,HC ZIKA VIRUS AMPL PROBE,667.0,433.55,51.31,667.0,884 CDM,PX-306000270,HC EBV DNA DETECT QUANT,345.0,224.25,42.84,334.65,884 CDM,PX-306000283,HC HIV-1 AG W HIV-1 & HIV-2 AB DIAG,221.0,143.65,24.08,214.37,884 CDM,PX-306000287,HC CMV PCR QUANT A1,812.0,527.8,42.84,787.64,884 CDM,PX-306000297,HC CULT AEROBIC DEFIN ID EA ISOL 2,87.0,56.55,8.08,84.39,884 CDM,PX-306000299,HC CULT SINGLE SPECIFIC ORG EACH 1,55.0,35.75,6.63,53.35,884 CDM,PX-306000300,HC SEROTYPING AGGLUT EA METH >2 1,56.0,36.4,5.18,54.88,884 CDM,PX-306000302,HC SUSCEPTIBILITY PER PLATE 3,105.0,68.25,8.65,101.85,884 CDM,PX-306000304,HC HIV-1 AG W HIV-1 & HIV-2 AB SCRN 1,205.0,133.25,24.08,198.85,884 CDM,PX-306000305,HC HEP C PCR QUANT 1,648.0,421.2,42.84,628.56,884 CDM,PX-306000306,HC ZIKA VIRUS AMPL PROBE 1,593.0,385.45,51.31,593.0,884 CDM,PX-306000307,HC BORRELIA MIYAMOTOI PCR 1,228.0,148.2,35.09,221.16,884 CDM,PX-306000309,HC MULT ORGANISM AMPL PROBE 1,480.0,312.0,70.2,465.6,884 CDM,PX-306000310,HC HEP C GENOTYPE DNA REVERSE 1,1461.0,949.65,257.45,1431.78,884 CDM,PX-306000320,"HC GROUP A STREP PCR, THROAT",159.0,103.35,35.09,155.82,884 CDM,PX-306000331,"HC CHIKUNGUNYA VIRUS, PCR",234.0,152.1,35.09,226.98,884 CDM,PX-306000332,HC CULT FUNGI DEFIN ID YEAST 2,129.0,83.85,10.32,125.13,884 CDM,PX-306000338,HC SUSCEPTIBILITY PER PLATE 4,115.0,74.75,8.65,111.55,884 CDM,PX-306000347,HC B BURGDORFERI PCR (PBORB/PBORR-NCCI),370.0,240.5,35.09,358.9,884 CDM,PX-306000348,HC B MAYONII PCR (PBORB/PBORR-NCCI),223.0,144.95,35.09,216.31,884 CDM,PX-306000349,HC B GARINII/B AFZELII PCR (PBORB/PBORR-NCCI),223.0,144.95,35.09,216.31,884 CDM,PX-306000351,HC FUNGITELL,164.0,106.6,11.98,159.08,884 CDM,PX-306000352,"HC CRYPTOCOCCUS AG SCRN, LFA",149.0,96.85,16.07,144.53,884 CDM,PX-306000353,"HC CRYPTOCOCCUS AG TITER, LFA",143.0,92.95,16.07,138.71,884 CDM,PX-306000356,HC DENGUE VIRUS PCR,235.0,152.75,35.09,227.95,884 CDM,PX-306000357,HC M GENITALIUM AMP PROBE,123.0,79.95,35.09,120.54,884 CDM,PX-306000363,HC SARS-COVID19,99.0,64.35,49.2,96.03,884 CDM,PX-306000366,HC SARS-COVID19 2,102.0,66.3,50.69,98.94,884 CDM,PX-306000370,HC DNA/RNA AMPLIFIED PROBE EACH,158.0,102.7,35.09,153.26,884 CDM,PX-306000372,HC SARS-COVID19 3,94.0,61.1,46.72,91.18,884 CDM,PX-306000373,HC CANDIDA AMP PROBE,144.0,93.6,35.09,139.68,884 CDM,PX-306000374,HC CANDIDA DNA AMP PROBE 2,245.0,159.25,35.09,237.65,884 CDM,PX-306000376,HC BRBS PCR AND SEQUENCING,223.0,144.95,35.09,216.31,884 CDM,PX-306000383,HC SARSCOV2 & INF A&B AMP PRB,313.0,203.45,142.63,306.74,884 CDM,PX-306000384,HC NFCT DS RNA 4 TARGETS UPPER RESP,327.0,212.55,162.52,317.19,880 CDM,PX-306000385,HC CULT STOOL ADD PATHOGENS EA 2,114.0,74.1,9.44,110.58,884 CDM,PX-306000386,HC DNA/RNA AMPLIFIED PROBE EACH 2,111.0,72.15,35.09,107.67,884 CDM,PX-306000389,HC RSV DNA/RNA AMP PROBE,575.0,373.75,70.2,563.5,884 CDM,PX-306000390,HC RESPIR PATH 22 TARGETS,834.0,542.1,414.5,808.98,884 CDM,PX-306000393,HC INFECT DIS 3 TARGETS UPPER RESP SPEC,310.0,201.5,154.07,310.0,880 CDM,PX-306000395,HC RESP VIRUS 12-25 TARGETS (VRPPB-NCCI),816.0,530.4,405.55,816.0,884 CDM,PX-306000396,HC DETECT AGENT NOS DNA AMP (VRPPB-NCCI),103.0,66.95,35.09,99.91,884 CDM,PX-306000397,HC RESPIRATORY PATHOGEN PANEL (VRPPB-MEC-NCCI),1086.0,705.9,539.74,1053.42,880 CDM,PX-306000398,HC DETECT AGENT NOS DNA AMP 2,221.0,143.65,35.09,214.37,884 CDM,PX-306000401,HC BLASTOMYCES AG QUANT EIA,152.0,98.8,11.98,147.44,884 CDM,PX-306000409,HC ACANTHAMOEBA SPECIES (FLARP-NCCI),175.0,113.75,35.09,169.75,884 CDM,PX-306000410,HC BCB BCID MULTIPLEX PCR,174.0,113.1,35.09,168.78,884 CDM,PX-306000418,HC CULTURE TYPE BLD PATH 6+ TARGET,436.0,283.4,216.69,427.28,884 CDM,PX-306000421,"HC SARSCOV2,INF A/B, RSV MULT AMP PROBE",318.0,206.7,142.63,311.64,884 CDM,PX-306000422,HC SARSCOV CORONAVIRUS AG IA,77.0,50.05,35.33,74.69,884 CDM,PX-306000430,HC INFECT AGNT DETECT ORTHOPOXVIRUS,107.0,69.55,51.31,107.0,884 CDM,PX-306000433,HC HEPATITIS B SURFACE AG QUAN,70.0,45.5,25.32,67.9,884 CDM,PX-306000434,HC ANAPLASMA PHAGOCYTOPHILUM (EHRL/EPCRB-NCCI),197.0,128.05,35.09,193.06,884 CDM,PX-306000435,HC EHRLICHIA CHAFFEENSIS (EHRL/EPCRB-NCCI),177.0,115.05,35.09,173.46,884 CDM,PX-306000436,HC BABESIA (LBAB/LBABP-NCCI),146.0,94.9,35.09,143.08,884 CDM,PX-306000437,HC BORRELIA MIYAMOTOI AMP PRB,158.0,102.7,35.09,154.84,884 CDM,PX-306000438,HC BORRELIA MIYAMOTOI AMP PRB 2,141.0,91.65,35.09,138.18,884 CDM,PX-306000441,HC EHRLICHIA/ANAPLASMA (EHRL/EPCRB-MEC NCCI),804.0,522.6,399.59,779.88,880 CDM,PX-306000443,HC BABESIA (BABPB/LBAB/BABPR/LBABP-MEC NCCI),620.0,403.0,308.14,601.4,880 CDM,PX-306000444,HC HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/HSVC/LHSVC-MEC NCCI),524.0,340.6,260.43,508.28,880 CDM,PX-306000454,HC UREAPLASMA PCR (URBRP/URPRP/URRP?MEC NCCI),470.0,305.5,233.59,455.9,880 CDM,PX-306000458,HC HIV-1 DNA AMPL PROBE 2,545.0,354.25,35.09,528.65,884 CDM,PX-306000459,HC HIV-2 PROBE & REVRSE TRNSCR 2,801.0,520.65,35.09,784.98,884 CDM,PX-306000460,HC BLASTOMYCES AG,145.0,94.25,11.98,140.65,884 CDM,PX-306000463,HC HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/LHSVC/HSVC/HSVA-MEC NCCI),272.0,176.8,35.09,263.84,884 CDM,PX-306000465,HC VARICELLA ZOSTER VIRUS (HSVZA/LHSVZ-NCCI),740.0,481.0,35.09,717.8,884 CDM,PX-306000467,HC HDV DNA DETECT QUANT,440.0,286.0,42.84,431.2,884 CDM,PX-306000470,HC RESPIR PATHOGEN 22 TARGETS 2,834.0,542.1,414.5,808.98,884 CDM,PX-306000471,"HC HEP B SCRN SURF AG IA (HBGPS, HBGSN)",110.0,71.5,10.33,106.7,884 CDM,PX-306000473,HC HERPES & VARICELLA ZOSTER (LHSVZ-MEC NCCI),1363.0,885.95,677.41,1322.11,880 CDM,PX-306000474,HC MULT ORGANISM AMPL PROBE 3,291.0,189.15,70.2,282.27,884 CDM,PX-306000480,HC AG DETECT NOS EIA MULT 2,152.0,98.8,11.98,147.44,884 CDM,PX-306000482,HC MULT ORGANISM AMPL PROBE (CGRNA/MCTGC-MEC-NCCI),434.0,282.1,70.2,420.98,884 CDM,PX-306000483,HC CHLAMYDIA TRACH DNA AMPL PROBE (CGRNA/MCTGC-NCCI),297.0,193.05,35.09,291.06,884 CDM,PX-306000484,HC NEISSERIA GONORR DNA AMPL (CGRNA/MCTGC),150.0,97.5,35.09,147.0,884 CDM,PX-306000487,HC HHV-6 DNA QUANT,794.0,516.1,41.76,770.18,884 CDM,PX-306000494,"HC MYCOBACT TUBERC, RIFAMPIN RESIST",319.0,207.35,76.77,309.43,884 CDM,PX-306000497,"HC HELICO PYLORI, CLARITHROMYCIN RESIST 3",146.0,94.9,35.09,143.08,884 CDM,PX-306000498,HC PNEUMOCYSTIS JIROVECII AMP PROBE,182.0,118.3,35.09,176.54,884 CDM,PX-306000499,HC HPV SEPARATE HI-RISK TYPES,292.0,189.8,70.2,283.24,884 CDM,PX-306000500,HC HPV SEPARATE HI-RISK TYPES 2,200.0,130.0,70.2,194.0,884 CDM,PX-306000506,HC LYME DISEASE PCR (PBORB/PBORR/LYMPV-MEC-NCCI),275.0,178.75,70.2,266.75,884 CDM,PX-306000507,HC HERPES SIMPLEX (HSVSW-NCCI),298.0,193.7,35.09,289.06,884 CDM,PX-306000508,HC HERPES SIMPLEX (HSVSW-MEC NCCI),596.0,387.4,35.09,578.12,884 CDM,PX-306000509,HC CARBAPENEMASE ENZYME DETECT,66.0,42.9,32.8,66.0,880 CDM,PX-306000513,HC INFECT AGENT CHLAM/GONORR MULTIPLEX,281.0,182.65,70.18,281.0,884 CDM,PX-307000003,HC URINALYSIS AUTO SINGLE COMP,26.0,16.9,2.25,25.22,884 CDM,PX-307000004,HC URINALYSIS AUTO W MICRO,61.0,39.65,3.17,59.17,884 CDM,PX-307000005,HC URINALYSIS AUTO WO MICRO,26.0,16.9,2.25,25.22,884 CDM,PX-307000010,HC URINE AUTO SPECIFIC GRAVITY,26.0,16.9,2.25,25.22,884 CDM,PX-307000012,HC VOLUME MEASUREMENT,38.0,24.7,3.64,36.86,884 CDM,PX-307000013,HC PREG TEST URINE VIS COMP,72.0,46.8,8.61,69.84,884 CDM,PX-310000004,HC CHROMO ANALYSIS <20 CELLS (REDUC),1116.0,725.4,144.61,1082.52,884 CDM,PX-310000005,HC CHROMO ANALYSIS 15-20 CELL BAND,1036.0,673.4,125.49,1004.92,884 CDM,PX-310000007,HC CHROMO ANLYS ADD CELL COUNT EA,245.0,159.25,26.91,237.65,884 CDM,PX-310000008,HC CHROMO ANLYS ADD KARYOTYPE EA 2,249.0,161.85,33.47,241.53,884 CDM,PX-310000010,HC CHROMOSOME ANALYSIS 20-25 CELL,1116.0,725.4,144.61,1082.52,884 CDM,PX-310000015,HC CRYOPRESERVE FREEZING&STORAGE CELLS,395.0,256.75,13.07,387.1,884 CDM,PX-310000020,HC CYTOG INTERPHASE 100-300 ISH,359.0,233.35,51.19,348.23,884 CDM,PX-310000023,HC CYTOG INTRPHASE 25-99 CELL,330.0,214.5,42.38,320.1,884 CDM,PX-310000025,HC MOL CYTOG DNA PROBE EA,176.0,114.4,21.42,170.72,884 CDM,PX-310000028,HC TISS CULT AMNIOTIC/CHR CELLS,693.0,450.45,150.3,672.21,884 CDM,PX-310000029,HC TISS CULT BONE MARROW,977.0,635.05,143.75,947.69,884 CDM,PX-310000030,HC TISS CULT LYMPHOCYTE,750.0,487.5,116.49,727.5,884 CDM,PX-310000031,HC TISS CULT SKN/OTH SOLID TISS BX,657.0,427.05,140.73,643.86,884 CDM,PX-310000045,HC IF STUDY EA AB DIR METHOD,656.0,426.4,157.3,636.32,884 CDM,PX-310000046,HC IMMUNOFLUORESCENCE EA ADD,383.0,248.95,190.35,371.51,880 CDM,PX-310000091,HC MOL CYTOG DNA PROBE CELL SUSP EA,173.0,112.45,21.42,167.81,884 CDM,PX-310000092,HC CYTOG INTERPHASE CELL SUSP 100-300 ISH,394.0,256.1,51.19,382.18,884 CDM,PX-310000093,HC MOL CYTOG DNA PROBE SORT CELL EA,161.0,104.65,21.42,156.17,884 CDM,PX-310000094,HC CYTOG INTERPHASE SORT CELL 25-99 CELL,325.0,211.25,42.38,315.25,884 CDM,PX-310000099,HC PATH CONSULT HIGH COMPLEX 41-60 MIN,600.0,390.0,157.3,582.0,884 CDM,PX-311000003,HC CYTO SMEAR NONGYN EXTND STUDY,236.0,153.4,48.11,236.0,884 CDM,PX-311000005,HC CYTOP GYN THIN PREP MANUAL,235.0,152.75,20.26,230.3,884 CDM,PX-311000007,HC CYTOP NONGYN LIQUID BASED,526.0,341.9,48.11,510.22,884 CDM,PX-311000009,HC CYTOP NONGYN SMEAR INTERP,534.0,347.1,34.49,517.98,884 CDM,PX-311000010,HC CYTOP SMEAR NONGYN W PREP,181.0,117.65,26.7,175.57,884 CDM,PX-311000012,HC FLOW CELL CYCLE/DNA ANALYSIS,695.0,451.75,48.11,674.15,884 CDM,PX-311000013,HC FLOW CYTO EA ADD MARKER,236.0,153.4,117.29,228.92,880 CDM,PX-311000014,HC FLOW CYTO FIRST MARKER 2,404.0,262.6,200.79,391.88,884 CDM,PX-311000015,HC FLOW CYTO FIRST MARKER,390.0,253.5,193.83,380.59,884 CDM,PX-311000022,HC CYTOP CONCEN SMEARS & INTERP,392.0,254.8,34.49,380.24,885 CDM,PX-311000024,HC CYTOP FNA IMMEDIATE EVAL,325.0,211.25,157.3,315.25,884 CDM,PX-311000025,HC CYTOP FNA INTERP & REPORT,607.0,394.55,48.11,588.79,884 CDM,PX-311000031,HC CYTOP GYN THIN PREP MANUAL SCRN,235.0,152.75,20.26,227.95,884 CDM,PX-312000001,HC CONSULT SURG TOUCH PREP INIT,861.0,559.65,427.92,855.44,884 CDM,PX-312000002,HC CONSULT SURG WO FROZEN,238.0,154.7,54.47,230.86,884 CDM,PX-312000003,HC DECALCIFICATION PROC,143.0,92.95,71.07,138.71,880 CDM,PX-312000004,HC ELECTRON MICROSCOPY DX,2708.0,1760.2,743.86,2626.76,884 CDM,PX-312000006,HC FROZEN SECTION ADD TISS BLOCK,290.0,188.5,144.13,281.3,880 CDM,PX-312000007,HC HISTOCHEMISTRY FOR ENZYME,861.0,559.65,427.92,855.44,884 CDM,PX-312000010,HC IMMUNO STAIN EA MULTIPLEX AB,813.0,528.45,330.94,788.61,884 CDM,PX-312000012,HC INSITU HYBRID EA ADD PROBE,612.0,397.8,304.16,593.64,880 CDM,PX-312000015,HC LVL 6 SURG PATH GROSS MICRO,1614.0,1049.1,743.86,1565.58,884 CDM,PX-312000016,HC MICRODISSECTION LASER,910.0,591.5,452.27,882.7,880 CDM,PX-312000017,HC MICRODISSECTION MANUAL,909.0,590.85,451.77,881.73,880 CDM,PX-312000021,HC NERVE TEASING PREP,1209.0,785.85,600.87,1172.73,884 CDM,PX-312000022,HC PROSTATE BIOPSY GROSS MICRO,736.0,478.4,48.11,713.92,884 CDM,PX-312000023,HC SPECIAL STAIN HISTOCHEMICAL,652.0,423.8,324.04,632.44,880 CDM,PX-312000026,HC TUMOR IMMUNOHISTO CAT EA AB,1305.0,848.25,330.94,1265.85,884 CDM,PX-312000027,HC TUMOR IMMUNOHISTO MANUAL EA AB,571.0,371.15,157.3,553.87,884 CDM,PX-312000028,HC CONSULT SLIDE W PREP,669.0,434.85,48.11,655.62,884 CDM,PX-312000030,HC FROZEN SECTION 1ST BLOCK,484.0,314.6,157.3,469.48,885 CDM,PX-312000031,HC IMMUNO STAIN PER SPEC EA ADD AB,322.0,209.3,160.03,312.34,880 CDM,PX-312000032,HC IMMUNO STAIN PER SPEC INITIAL AB,460.0,299.0,157.3,446.2,884 CDM,PX-312000034,HC INSITU HYBRID INITIAL PROBE,697.0,453.05,157.3,676.09,884 CDM,PX-312000035,HC LVL 1 SURG PATH GROSS MICRO,211.0,137.15,26.7,204.67,884 CDM,PX-312000036,HC LVL 2 SURG PATH GROSS MICRO,314.0,204.1,34.49,304.58,885 CDM,PX-312000037,HC LVL 3 SURG PATH GROSS MICRO,456.0,296.4,48.11,442.32,884 CDM,PX-312000039,HC LVL 4 SURG PATH GROSS MICRO,714.0,464.1,48.11,692.58,888 CDM,PX-312000041,HC LVL 5 SURG PATH GROSS MICRO,1050.0,682.5,330.94,1018.5,886 CDM,PX-312000042,HC SPECIAL STAIN GROUP 1,431.0,280.15,48.11,418.07,884 CDM,PX-312000044,HC SPECIAL STAIN GROUP 2,333.0,216.45,122.84,323.01,885 CDM,PX-312000074,HC MORPH INSITU MAN EA MULTIPLEX A1,2103.0,1366.95,157.3,2039.91,884 CDM,PX-312000082,HC MORPH INSITU MAN EA MULTIPLEX A2,2054.0,1335.1,157.3,1992.38,884 CDM,PX-312000083,HC MORPH INSITU MAN EA MULTIPLEX A3,2033.0,1321.45,157.3,1972.01,884 CDM,PX-312000084,HC MORPH INSITU MAN EA MULTIPLEX A4,2076.0,1349.4,157.3,2013.72,884 CDM,PX-312000085,HC MORPH INSITU MAN EA MULTIPLEX A5,729.0,473.85,157.3,707.13,884 CDM,PX-312000086,HC MORPH INSITU MAN EA MULTIPLEX A6,1598.0,1038.7,157.3,1550.06,884 CDM,PX-312000087,HC MORPH INSITU MAN EA MULTIPLEX A7,1568.0,1019.2,157.3,1520.96,884 CDM,PX-312000107,HC MORPH INSITU MAN EA MULTIPLEX A8,1746.0,1134.9,157.3,1693.62,884 CDM,PX-312000122,HC MORPH INSITU MAN EA MULTIPLEX A9,1284.0,834.6,157.3,1245.48,884 CDM,PX-312000123,HC MORPH INSITU MAN EA MULTIPLEX A10,1827.0,1187.55,157.3,1772.19,884 CDM,PX-312000124,HC MORPH INSITU MAN EA MULTIPLEX A11,1830.0,1189.5,157.3,1775.1,884 CDM,PX-312000125,HC MICRODISSECTION LASER 2,913.0,593.45,453.76,885.61,880 CDM,PX-320000000,HC 3D WO IND WORKSTATION,704.0,457.6,390.72,682.88,880 CDM,PX-320000002,HC ANGIO FU THRU CATH S&I,6939.0,4510.35,396.0,6730.83,884 CDM,PX-320000003,HC ANGIO ILIAC ARTY W CATH,5837.0,3794.05,396.0,5661.89,880 CDM,PX-320000005,HC ANGIO PULMONARY NONSEL S&I,6469.0,4204.85,396.0,6469.0,884 CDM,PX-320000008,HC ANGIOGRAPHY EXT BILAT S&I,6892.0,4479.8,396.0,6685.24,884 CDM,PX-320000009,HC ANGIOGRAPHY EXT UNILAT S&I,7216.0,4690.4,396.0,6999.52,884 CDM,PX-320000012,HC ANGIOGRAPHY SEL ADD VSSL S&I,2984.0,1939.6,396.0,2894.48,880 CDM,PX-320000013,HC ANGIOGRAPHY SPINAL SEL S&I,12414.0,8069.1,396.0,12041.58,884 CDM,PX-320000014,HC ANGIOGRAPHY VISCERAL SEL S&I,12450.0,8092.5,396.0,12076.5,884 CDM,PX-320000015,HC AORTOGRAPHY ABD LWR EXT S&I,6347.0,4125.55,396.0,6220.06,884 CDM,PX-320000016,HC AORTOGRAPHY ABDOMINAL S&I,6648.0,4321.2,396.0,6448.56,884 CDM,PX-320000017,HC AORTOGRAPHY THORACIC S&I,11857.0,7707.05,396.0,11501.29,884 CDM,PX-320000023,HC CHG DRN CATH W CNTRST S&I,1243.0,807.95,396.0,1205.71,880 CDM,PX-320000040,HC ENDO CATH PANCREATIC SYSTEM,1272.0,826.8,396.0,1233.84,880 CDM,PX-320000042,HC ERCP CATH BILIARY S&I,1212.0,787.8,396.0,1175.64,880 CDM,PX-320000043,HC ERCP CATH BILIARY&PANCREAS S&I,6694.0,4351.1,396.0,6493.18,880 CDM,PX-320000049,HC FLUORO GUIDE NDL PLC,1073.0,697.45,396.0,1040.81,880 CDM,PX-320000050,HC FLUORO GUIDE PLC CVAD,890.0,578.5,396.0,863.3,880 CDM,PX-320000051,HC FLUORO GUIDE SPINE INJ,839.0,545.35,396.0,813.83,880 CDM,PX-320000052,HC FLUOROSCOPY EXAM UP TO 1 HR,726.0,471.9,220.29,704.22,884 CDM,PX-320000054,HC GUIDE DRN PERC PLC CATH S&I,818.0,531.7,396.0,793.46,880 CDM,PX-320000060,HC INJ SNGL TNDN/SHTH/LGMNT,710.0,461.5,283.4,3045.0,884 CDM,PX-320000061,HC INTRALUMINAL DILATION S&I,1415.0,919.75,396.0,1372.55,880 CDM,PX-320000064,HC INTRO LONG G TUBE W FL S&I,949.0,616.85,396.0,920.53,880 CDM,PX-320000072,HC LYMPHANGIOGRPH EXT ONLY UNILAT,3782.0,2458.3,396.0,3668.54,884 CDM,PX-320000074,HC LYMPHANGIOGRPH PELV/ABD UNILAT,6939.0,4510.35,396.0,6730.83,884 CDM,PX-320000099,HC THRPY TXCATH EMBL S&I,4208.0,2735.2,396.0,4081.76,880 CDM,PX-320000103,HC TXHEP PORT PERC WO HEMO EVAL,7174.0,4663.1,396.0,6958.78,884 CDM,PX-320000110,HC UROGRAPHY ANTEGRADE S&I,1072.0,696.8,322.11,1039.84,884 CDM,PX-320000111,HC UROGRAPHY RETRO WO OR W KUB,1246.0,809.9,322.11,1208.62,884 CDM,PX-320000114,HC VENO HEPATIC W HEMODYN S&I,7318.0,4756.7,396.0,7098.46,884 CDM,PX-320000116,HC VENO RENAL BILAT SEL S&I,8284.0,5384.6,396.0,8035.48,884 CDM,PX-320000117,HC VENO RENAL UNILAT SEL S&I,7473.0,4857.45,396.0,7248.81,884 CDM,PX-320000118,HC VENOGRAPHY EXT BILAT S&I,3613.0,2348.45,396.0,3504.61,884 CDM,PX-320000119,HC VENOGRAPHY EXT UNILAT S&I,3670.0,2385.5,396.0,3559.9,884 CDM,PX-320000120,HC VENOGRAPHY IVC S&I,7265.0,4722.25,396.0,7047.05,884 CDM,PX-320000121,HC VENOGRAPHY SINUS OR JUG S&I,7023.0,4564.95,396.0,6812.31,884 CDM,PX-320000122,HC VENOGRAPHY SUPERIOR SAG SINUS,7098.0,4613.7,396.0,6885.06,884 CDM,PX-320000123,HC VENOGRAPHY SVC S&I,3569.0,2319.85,396.0,3461.93,884 CDM,PX-320000124,HC VENOGRM SEL EA ADD VSSL STUDY,679.0,441.35,80.35,658.63,884 CDM,PX-320000145,HC XR COLON AIR CNTRST,859.0,558.35,161.94,841.82,884 CDM,PX-320000152,HC XR FACIAL BONES 1-2V,416.0,270.4,80.35,440.0,884 CDM,PX-320000157,HC XR FISTULA/ABSC/SINUS TRCT S&I,1199.0,779.35,396.0,1163.03,884 CDM,PX-320000158,HC XR FOOT 1V,385.0,250.25,80.35,440.0,884 CDM,PX-320000165,HC XR HAND MIN 3V,467.0,303.55,80.35,457.66,884 CDM,PX-320000176,HC XR HUMERUS MIN 1V,365.0,237.25,80.35,440.0,884 CDM,PX-320000213,HC XR SHOULDER COMPLT MIN 2V,498.0,323.7,80.35,483.06,884 CDM,PX-320000234,HC XR SPINE THORACOLUMBAR 2-3V,1030.0,669.5,96.52,999.1,884 CDM,PX-320000237,HC XR SPINE THORACOLUMBAR 6>V,1214.0,789.1,96.52,1189.72,884 CDM,PX-320000255,HC XR UGI DOUBLE CONTRAST,665.0,432.25,161.94,645.05,884 CDM,PX-320000304,HC XR ESOPHAGUS DBL CONTRAST,1020.0,663.0,161.94,999.6,884 CDM,PX-320000305,HC XR SMALL BOWEL FOLLOW THROUGH,294.0,191.1,163.17,440.0,880 CDM,PX-320000312,HC 3D W IND WORKSTATION,563.0,365.95,312.47,546.11,880 CDM,PX-324000010,HC XR EXAM CHEST 1V,224.0,145.6,80.35,357.0,884 CDM,PX-324000011,HC XR EXAM CHEST 2V,274.0,178.1,80.35,357.0,884 CDM,PX-324000012,HC XR EXAM CHEST 3V,350.0,227.5,80.35,357.0,884 CDM,PX-331000000,HC CHEMO ADMIN CNS REQ SP PUNC,1039.0,675.35,304.96,1007.83,884 CDM,PX-331000002,HC CHEMO HORM ANTI-NEO SQ/IM,218.0,141.7,66.48,211.46,884 CDM,PX-331000003,HC CHEMO IV PUSH EA ADD,405.0,263.25,66.48,392.85,884 CDM,PX-331000004,HC CHEMO IV PUSH SNGL,558.0,362.7,277.33,541.26,884 CDM,PX-331000005,HC CHEMO NON-HORM ANTI-NEO SQ/IM,372.0,241.8,66.48,360.84,884 CDM,PX-333000000,HC 3D RAD THER ISODOSE FIELD PLAN,4326.0,2811.9,1277.93,4196.22,884 CDM,PX-333000001,HC BASIC CALCULATE RADTN DOSE,412.0,267.8,124.1,399.64,884 CDM,PX-333000002,HC BRACHYTHX ISODOSE PLN SMPL,878.0,570.7,265.16,851.66,884 CDM,PX-333000003,HC BRACHYTX ISODOSE PLAN COMPLEX,1154.0,750.1,345.7,1119.38,884 CDM,PX-333000005,HC CONSULT RAD PHYSICS SPECIAL,1023.0,664.95,124.1,992.31,884 CDM,PX-333000006,HC CONSULT RAD PHYSICS/ WEEK,879.0,571.35,124.1,852.63,884 CDM,PX-333000008,HC DESIGN MLC DEV FOR IMRT,2290.0,1488.5,345.7,2221.3,884 CDM,PX-333000009,HC GUIDANCE FOR LOC RAD TX,488.0,317.2,147.38,473.36,880 CDM,PX-333000019,HC IMRT RADIOTHERAPY PLAN,11090.0,7208.5,1277.93,10757.3,884 CDM,PX-333000022,HC INTERS RADTN APP COMPLEX,1467.0,953.55,443.03,1422.99,884 CDM,PX-333000034,HC RAD TX DEV DESIGN COMPLEX,887.0,576.55,267.87,860.39,884 CDM,PX-333000035,HC RAD TX DEV DESIGN INTERMEDIATE,328.0,213.2,99.06,318.16,884 CDM,PX-333000036,HC RAD TX DEV DESIGN SIMPLE,325.0,211.25,98.15,315.25,884 CDM,PX-333000037,HC RADTN STEREOTACTIC CRAN COBALT,14852.0,9653.8,4485.3,14406.44,884 CDM,PX-333000038,HC RADTN STEREOTACTIC CRAN LINEAR,18450.0,11992.5,5571.9,17896.5,884 CDM,PX-333000043,HC RADTN TX DEL >=1 MEV SMPL,1620.0,1053.0,94.2,1571.4,884 CDM,PX-333000046,HC RESP MOTION MANAGEMENT SIM,1890.0,1228.5,570.78,1833.3,880 CDM,PX-333000047,HC SET RAD SIM THER FIELD CMPLX,4623.0,3004.95,345.7,4484.31,884 CDM,PX-333000049,HC SET RAD SIM THER FIELD SMPL,1851.0,1203.15,124.1,1795.47,884 CDM,PX-333000050,HC SPECIAL DOSIMETRY,316.0,205.4,95.43,306.52,884 CDM,PX-333000051,HC SPECIAL TELETX PORT PLAN,1596.0,1037.4,345.7,1548.12,884 CDM,PX-333000052,HC SPECIAL TX PROC,1373.0,892.45,414.65,1331.81,884 CDM,PX-333000053,HC STEREOTACTIC BODY RADTN DEL,18178.0,11815.7,1650.86,17632.66,884 CDM,PX-333000054,HC SUPERVISION/HANDLING RADTN,366.0,237.9,110.53,355.02,880 CDM,PX-333000055,HC TELETHX ISODOSE PLN CMPLX,885.0,575.25,267.27,858.45,884 CDM,PX-333000056,HC TELETHX ISODOSE PLN SMPL,876.0,569.4,264.55,849.72,884 CDM,PX-333000057,HC THER RADIOLOGY PORT FILMS,155.0,100.75,46.81,150.35,880 CDM,PX-333000061,HC SURFACE APP RADIATION SOURCE,417.0,271.05,94.2,404.49,884 CDM,PX-333000064,HC HDR RDNCL/ICAV BRACHTX > 12CHNL,6986.0,4540.9,643.04,6776.42,884 CDM,PX-333000065,HC HDR RDNCL/ICAV BRACHTX 1 CHNL,1082.0,703.3,326.76,1049.54,884 CDM,PX-333000066,HC HDR RDNCL/ICAV BRACHTX 2-12CHNL,4699.0,3054.35,643.04,4558.03,884 CDM,PX-333000082,HC INS UTERINE TANDEM/VAG OVOIDS,19517.0,12686.05,4618.63,18931.49,884 CDM,PX-333000083,HC INS VAG BRACHYTHRPY DEV,1267.0,823.55,281.35,3045.0,884 CDM,PX-333000088,HC US GUIDE INTERS RADIOTHER,3634.0,2362.1,1097.47,3524.98,880 CDM,PX-333000089,HC CT GUIDE NDL PLC,2875.0,1868.75,868.25,2788.75,880 CDM,PX-333000092,HC RADTN TX DEL >=1 MEV INT 3D,1900.0,1235.0,356.1,1843.0,884 CDM,PX-333000093,HC RADTN TX DEL >=1 MEV INT IMRT,7044.0,4578.6,356.1,6832.68,884 CDM,PX-333000094,HC RADTN TX DEL >=1 MEV INT IMRT HYPO,8805.0,5723.25,356.1,8540.85,884 CDM,PX-333000095,HC RADTN TX DEL >=1 MEV INT 3D HYPO,2375.0,1543.75,356.1,2303.75,884 CDM,PX-333000096,HC RADTN TX DEL >=1 MEV COMPLEX 2D,2100.0,1365.0,510.15,2037.0,884 CDM,PX-333000097,HC RADTN TX DEL >=1 MEV COMPLEX 3D,2100.0,1365.0,510.15,2037.0,884 CDM,PX-333000098,HC RADTN TX DEL >=1 MEV COMPLEX IMRT,7044.0,4578.6,510.15,6832.68,884 CDM,PX-333000099,HC RADTN TX DEL >=1 MEV COMPLEX IMRT HYPO,8805.0,5723.25,510.15,8540.85,884 CDM,PX-333000100,HC RADTN TX DEL >=1 MEV COMPLEX 3D HYPO,2625.0,1706.25,510.15,2546.25,884 CDM,PX-335000000,HC CHEMO INF SEQ DIF DRUG 1ST HR,482.0,313.3,66.48,467.54,885 CDM,PX-335000001,HC CHEMO IV INF > 8HR W PUMP,1059.0,688.35,304.96,1037.82,884 CDM,PX-335000002,HC CHEMO IV INF 1ST HR,938.0,609.7,304.96,909.86,885 CDM,PX-335000003,HC CHEMO IV INF EA ADD HR,226.0,146.9,66.48,219.22,885 CDM,PX-335000004,HC ADMIN CHEMO ARTERY PUSH,718.0,466.7,304.96,696.46,884 CDM,PX-340000012,HC CSF FLOW CISTERNOGRAPHY,2380.0,1547.0,501.31,2977.0,884 CDM,PX-340000013,HC CSF FLOW SHUNT EVAL,3101.0,2015.65,501.31,3007.97,884 CDM,PX-340000015,HC CSF LEAKAGE DETECTION,5096.0,3312.4,1195.31,4943.12,884 CDM,PX-340000021,HC GASTRIC MUCOSA IMAGING,2347.0,1525.55,369.1,2977.0,884 CDM,PX-340000040,HC LYMPH NODE IMAGING,1924.0,1250.6,501.31,2977.0,884 CDM,PX-340000075,HC CARDIAC SHUNT DECTECTION,2812.0,1827.8,369.1,2977.0,884 CDM,PX-340000084,HC CDS MECHANISM NDS CO MC AUC PROG,1.0,0.65,0.56,2977.0,880 CDM,PX-340000086,HC TUMOR LOC SPECT 2+ AREA 1 DAY OR 1 AREA 2+ DAY,5528.0,3593.2,1195.31,5362.16,884 CDM,PX-340000089,HC CDSM EVICORE,1.0,0.65,0.56,2977.0,880 CDM,PX-340000090,HC CDSM MEDCURRENT,1.0,0.65,0.56,2977.0,880 CDM,PX-340000091,HC CDSM MEDICALIS,1.0,0.65,0.56,2977.0,880 CDM,PX-340000092,HC CDSM AIM,1.0,0.65,0.56,2977.0,880 CDM,PX-340000093,HC CDSM CRANBERRY PK,1.0,0.65,0.56,2977.0,880 CDM,PX-340000095,HC CDSM STANSON,1.0,0.65,0.56,2977.0,880 CDM,PX-340000096,HC CDSM AGILEMD,1.0,0.65,0.56,2977.0,880 CDM,PX-340000097,HC CDSM EVIDENCECARE,1.0,0.65,0.56,2977.0,880 CDM,PX-340000098,HC CDSM INVENIQA,1.0,0.65,0.56,2977.0,880 CDM,PX-340000099,HC CDSM RELIANT,1.0,0.65,0.56,2977.0,880 CDM,PX-340000100,HC CDSM SPEED OF CARE,1.0,0.65,0.56,2977.0,880 CDM,PX-340000101,HC CDSM HEALTHHELP,1.0,0.65,0.56,2977.0,880 CDM,PX-340000102,HC CDSM INFINX,1.0,0.65,0.56,2977.0,880 CDM,PX-340000103,HC CDSM LOGICNETS,1.0,0.65,0.56,2977.0,880 CDM,PX-340000104,HC CDSM CURBSIDE,1.0,0.65,0.56,2977.0,880 CDM,PX-340000105,HC CDSM EHEALTHLINE,1.0,0.65,0.56,2977.0,880 CDM,PX-340000106,HC CDSM INTERMOUNTAIN,1.0,0.65,0.56,2977.0,880 CDM,PX-340000107,HC CDSM PERSIVIA,1.0,0.65,0.56,2977.0,880 CDM,PX-340000108,HC CDSM QUALIFIED NOS,1.0,0.65,0.56,2977.0,880 CDM,PX-350000000,HC 3D W IND WORKSTATION,563.0,365.95,312.47,3826.0,880 CDM,PX-350000005,HC CT GUIDE NDL PLC,2850.0,1852.5,1581.75,3826.0,880 CDM,PX-350000007,HC CT GUIDE TISS ABLT,2688.0,1747.2,1491.84,3826.0,880 CDM,PX-350000009,HC CT LTD FU STDY,1185.0,770.25,80.35,3826.0,884 CDM,PX-350000014,HC CTA NECK WO/W CNTRST,1976.0,1284.4,161.94,3826.0,884 CDM,PX-350000031,HC 3D WO IND WORKSTATION,1153.0,749.45,639.92,3826.0,880 CDM,PX-351000002,HC CT HEAD/BRAIN WO CNTRST,1697.0,1103.05,96.52,3826.0,884 CDM,PX-351000010,HC CTA HEAD WO/W CNTRST,2136.0,1388.4,161.94,3826.0,884 CDM,PX-352000001,HC CT ABD&PELVIS WO CNTRST,2887.0,1876.55,220.29,3826.0,884 CDM,PX-352000006,HC CT CERV SPINE W CNTRST,3415.0,2219.75,322.11,3826.0,884 CDM,PX-352000007,HC CT CERV SPINE WO CNTRST,2715.0,1764.75,96.52,3826.0,884 CDM,PX-352000008,HC CT CERV SPINE WO/W CNTRST,2798.0,1818.7,161.94,3826.0,884 CDM,PX-352000011,HC CT LUMBAR SPINE W CNTRST,1917.0,1246.05,322.11,3826.0,884 CDM,PX-352000013,HC CT LUMBAR SPINE WO/W CNTRST,2167.0,1408.55,161.94,3826.0,884 CDM,PX-352000021,HC CT THORAC SPINE W CNTRST,3398.0,2208.7,161.94,3826.0,884 CDM,PX-352000023,HC CT THORAC SPINE WO/W CNTRST,6507.0,4229.55,161.94,6311.79,884 CDM,PX-352000027,HC CT UPR EXT W CNTRST,2313.0,1503.45,322.11,3826.0,884 CDM,PX-352000032,HC CTA CHEST WO/W CNTRST,2604.0,1692.6,161.94,3826.0,884 CDM,PX-352000035,HC CTA PELVIS WO/W CNTRST,2477.0,1610.05,161.94,3826.0,884 CDM,PX-352000039,HC CT THORAX LOW DOSE LUNG CA SCRN WO CNTRST,2334.0,1517.1,96.52,3826.0,884 CDM,PX-360000002,HC OR LEVEL 1 EA 15 MIN,759.0,493.35,421.25,6376.0,1759 CDM,PX-360000003,HC OR LEVEL 10 EA 15 MIN,2259.0,1468.35,1253.75,6376.0,1759 CDM,PX-360000004,HC OR LEVEL 10,14371.0,9341.15,5739.0,14371.0,1759 CDM,PX-360000005,HC OR LEVEL 11 EA 15 MIN,2435.0,1582.75,1351.43,6376.0,1759 CDM,PX-360000006,HC OR LEVEL 11,15276.0,9929.4,5739.0,15276.0,1759 CDM,PX-360000007,HC OR LEVEL 12 EA 15 MIN,2502.0,1626.3,1388.61,6376.0,1759 CDM,PX-360000008,HC OR LEVEL 12,17071.0,11096.15,5739.0,17071.0,1759 CDM,PX-360000011,HC OR LEVEL 1,4052.0,2633.8,2248.86,6376.0,1759 CDM,PX-360000014,HC OR LEVEL 2 EA 15 MIN,875.0,568.75,485.63,6376.0,1759 CDM,PX-360000015,HC OR LEVEL 2,4364.0,2836.6,2422.02,6376.0,1759 CDM,PX-360000016,HC OR LEVEL 3 EA 15 MIN,1037.0,674.05,575.54,6376.0,1759 CDM,PX-360000017,HC OR LEVEL 3,4824.0,3135.6,2677.32,6376.0,1759 CDM,PX-360000018,HC OR LEVEL 4 EA 15 MIN,1192.0,774.8,661.56,6376.0,1759 CDM,PX-360000019,HC OR LEVEL 4,5862.0,3810.3,3253.41,6376.0,1759 CDM,PX-360000020,HC OR LEVEL 5 EA 15 MIN,1326.0,861.9,735.93,6376.0,1759 CDM,PX-360000021,HC OR LEVEL 5,7178.0,4665.7,3983.79,7178.0,1759 CDM,PX-360000022,HC OR LEVEL 6 EA 15 MIN,1546.0,1004.9,858.03,6376.0,1759 CDM,PX-360000023,HC OR LEVEL 6,7858.0,5107.7,4361.19,7858.0,1759 CDM,PX-360000024,HC OR LEVEL 7 EA 15 MIN,1657.0,1077.05,919.64,6376.0,1759 CDM,PX-360000025,HC OR LEVEL 7,9236.0,6003.4,5125.98,9236.0,1759 CDM,PX-360000026,HC OR LEVEL 8 EA 15 MIN,1773.0,1152.45,984.02,6376.0,1759 CDM,PX-360000027,HC OR LEVEL 8,10316.0,6705.4,5725.38,10316.0,1759 CDM,PX-360000028,HC OR LEVEL 9 EA 15 MIN,2053.0,1334.45,1139.42,6376.0,1759 CDM,PX-360000029,HC OR LEVEL 9,12727.0,8272.55,5739.0,12727.0,1759 CDM,PX-361000000,HC ABLATION BN TMR RADIOFREQUENCY,15424.0,10025.6,8560.32,18616.79,884 CDM,PX-361000002,HC ABLATION RENAL TUMOR PERC CRYO,22496.0,14622.4,9814.25,21821.12,884 CDM,PX-361000003,HC ABLATION RENAL TUMORS UNILAT RF,13284.0,8634.6,5581.68,13605.0,884 CDM,PX-361000004,HC ABLT >=1 LVR TMR PERC RADIOFREQ,13569.0,8819.85,5581.68,13605.0,884 CDM,PX-361000005,HC ABLT OPN LIVER TMR RF,24542.0,15952.3,1427.5,23805.74,884 CDM,PX-361000006,HC ABLT PERC LIVER TMR CRYOABLAT,13252.0,8613.8,7354.86,13605.0,884 CDM,PX-361000010,HC ANGIO BALN PERC INTRACRANIAL,5016.0,3260.4,1355.57,22248.0,884 CDM,PX-361000015,HC ARTHCS ASP/INJ INT JT W US,1589.0,1032.85,651.72,3191.0,884 CDM,PX-361000016,HC ARTHCS ASP/INJ INT JT WO US,699.0,454.35,283.4,3045.0,884 CDM,PX-361000017,HC ARTHCS ASP/INJ JOINT/BURSA W US,676.0,439.4,283.4,3045.0,884 CDM,PX-361000018,HC ARTHCS ASP/INJ MJR JT W US,688.0,447.2,283.4,3045.0,884 CDM,PX-361000019,HC ARTHCS ASP/INJ MJR JT WO US,665.0,432.25,283.4,3045.0,884 CDM,PX-361000020,HC ARTHCS ASP/INJ SM JT WO US,677.0,440.05,283.4,3045.0,884 CDM,PX-361000038,HC ARTL CATH/CNULA MONITOR PERC,2271.0,1476.15,1260.41,6376.0,880 CDM,PX-361000039,HC ASP BLADDER/INS SUPUBIC CATH,4469.0,2904.85,1930.0,5243.0,884 CDM,PX-361000042,HC ASP INJ THYROID CYST,1482.0,963.3,653.8,3191.0,884 CDM,PX-361000044,HC ASP/INJ CYST GANGLION,690.0,448.5,283.4,3045.0,884 CDM,PX-361000045,HC ASPIRATION/INJ RENAL CYST PERC,1600.0,1040.0,653.8,3191.0,884 CDM,PX-361000046,HC BALN DIL URETER STRICTURE W IMG,4602.0,2991.3,2554.11,6376.0,880 CDM,PX-361000052,HC BIOPSY PANCREAS PERC NEEDLE,3491.0,2269.15,1524.88,4396.0,884 CDM,PX-361000053,HC BIOPSY PLEURA PERCUTANEOUS NDL,3602.0,2341.3,1524.88,4396.0,884 CDM,PX-361000055,HC BIOPSY RENAL NEEDLE/TROC PERC,3808.0,2475.2,1524.88,4396.0,884 CDM,PX-361000056,HC BIOPSY THYROID PERC CORE NDL,1656.0,1076.4,653.8,3191.0,884 CDM,PX-361000059,HC BLN DILAT BIL DUCT PERC EA,3743.0,2432.95,2077.37,6376.0,880 CDM,PX-361000061,HC BONE MARROW BIOPSY NDL/TROCAR,3763.0,2445.95,1524.88,4396.0,884 CDM,PX-361000063,HC BRONCH DEST TMR RLF STENOSIS,8560.0,5564.0,3442.28,13605.0,884 CDM,PX-361000064,HC BRONCH DX W CELL WASH FLUOR,3917.0,2546.05,1643.33,4396.0,884 CDM,PX-361000065,HC BRONCH OCCLUS VALVE ADD LOBE,11263.0,7320.95,5739.0,11263.0,880 CDM,PX-361000066,HC BRONCH RMVL BRONCHL VALVE INIT,8056.0,5236.4,3442.28,13605.0,884 CDM,PX-361000067,HC BRONCH TRANSBRONCH LUNG BX EA,2676.0,1739.4,1485.18,6376.0,880 CDM,PX-361000068,HC BRONCH TRANSBRONCH LUNG BX SNG,7998.0,5198.7,3442.28,13605.0,884 CDM,PX-361000069,HC BRONCH TRANSBRONCH NDL ASP BX,12013.0,7808.45,3442.28,13605.0,884 CDM,PX-361000070,HC BRONCH TRANSBRONCH NDL ASP EA,5871.0,3816.15,3258.41,6376.0,880 CDM,PX-361000071,HC BRONCH W BALN OCC INIT LOBE,15004.0,9752.6,6515.97,14553.88,884 CDM,PX-361000072,HC BRONCH W COMP ASST IMG NAV,9901.0,6435.65,5495.06,9603.97,880 CDM,PX-361000073,HC BRONCH W PLC BRNCL STENT INIT,15499.0,10074.35,6515.97,15034.03,884 CDM,PX-361000074,HC BRONCH W TRACH STENT PLCMNT,14944.0,9713.6,6515.97,14495.68,884 CDM,PX-361000076,HC BRONCHOSCOPY DX W BRUSHING,3787.0,2461.55,1643.33,4396.0,884 CDM,PX-361000077,HC BRONCHOSCOPY W ALVEOLAR LAVAGE,4086.0,2655.9,1643.33,4396.0,884 CDM,PX-361000078,HC BRONCHOSCOPY W ASP THER INIT,3973.0,2582.45,1643.33,4396.0,884 CDM,PX-361000079,HC BRONCHOSCOPY W ASP THER SUBSQ,991.0,644.15,361.11,3117.0,884 CDM,PX-361000080,HC BRONCHOSCOPY W BX >=1 SITE,3955.0,2570.75,1643.33,4396.0,884 CDM,PX-361000081,HC BRONCHOSCOPY W REMOVAL FB,4058.0,2637.7,1643.33,4396.0,884 CDM,PX-361000083,HC BX ABD/RETROPERITNL MASS PERC,3694.0,2401.1,1524.88,4396.0,884 CDM,PX-361000085,HC BX BN TROCAR/NDL DEEP,3626.0,2356.9,1524.88,4396.0,884 CDM,PX-361000086,HC BX BN TROCAR/NDL SUPFCL,3626.0,2356.9,1524.88,4396.0,885 CDM,PX-361000087,HC BX BREAST W LOC MR GUID 1ST,3925.0,2551.25,1524.88,4396.0,884 CDM,PX-361000088,HC BX BREAST W LOC MR GUID ADD,2954.0,1920.1,1639.47,6376.0,880 CDM,PX-361000092,HC BX BRST W DEV 1ST LESN US GUID,6700.0,4355.0,1524.88,6566.0,884 CDM,PX-361000097,HC BX MUS PERC NDL,3737.0,2429.05,1524.88,4396.0,884 CDM,PX-361000099,HC BX NDL LIVER PERC,3674.0,2388.1,1524.88,4396.0,884 CDM,PX-361000101,HC BX SALIVARY GLAND NEEDLE,1584.0,1029.6,653.8,3191.0,884 CDM,PX-361000108,HC BX/EXCISN LYMPH NODE NDL SUPFCL,3623.0,2354.95,1524.88,4396.0,884 CDM,PX-361000111,HC CATH 2ND+ORD RENAL ARTERY UNILAT,12330.0,8014.5,5137.54,13605.0,884 CDM,PX-361000112,HC CATH ASPIRATION NASOTRACHEAL,459.0,298.35,202.18,3045.0,884 CDM,PX-361000113,HC CATH PORTAL VEIN PERC,4556.0,2961.4,2528.58,6376.0,880 CDM,PX-361000114,HC CATH VEN SEL ORGAN BLD SAMPLNG,2805.0,1823.25,1556.78,6376.0,880 CDM,PX-361000116,HC CAUTERIZE CHEM GRANULATION TIS,462.0,300.3,185.24,3045.0,884 CDM,PX-361000117,HC CESSATION THROMBLYS RMVL CATH,7365.0,4787.25,2915.22,8220.0,884 CDM,PX-361000118,HC CHANGE CYSTOSTOMY TUBE SIMPLE,678.0,440.7,230.68,3045.0,884 CDM,PX-361000120,HC CHANGE URETEROSTOMY TUBE/STENT,4380.0,2847.0,1930.0,5243.0,884 CDM,PX-361000124,HC CHOLECYSTOSTOMY PERC W CATH PLC,8431.0,5480.15,3305.69,13605.0,884 CDM,PX-361000134,HC CONV EXT BIL DRN CATH INTRNL-EXTRNL,8576.0,5574.4,3305.69,13605.0,884 CDM,PX-361000135,HC CONV NEPHROST TO NEPHROURET CATH,4444.0,2888.6,1930.0,5243.0,884 CDM,PX-361000136,HC CONVERSION TO GASTRO-JEJ TUBE,4313.0,2803.45,1771.68,5243.0,884 CDM,PX-361000149,HC DECLOT IMPL VAD/CATH,833.0,541.45,304.96,3045.0,884 CDM,PX-361000150,HC DEST BENIGN LESN OTHR<=14,451.0,293.15,185.24,3045.0,884 CDM,PX-361000154,HC DEST PREMALIGNANT LESN =>15,2935.0,1907.75,375.32,3117.0,884 CDM,PX-361000155,HC DIL INTRACRANIAL VSPASM INIT,4767.0,3098.55,2645.69,6376.0,880 CDM,PX-361000156,HC DIL INTRACRNL VSPASM ADD DIFF,2138.0,1389.7,1186.59,6376.0,880 CDM,PX-361000157,HC DIL INTRACRNL VSPASM ADD SAME,2097.0,1363.05,1163.84,6376.0,880 CDM,PX-361000161,HC DRN PERITNM FLUID CATH W IMG,3719.0,2417.35,1524.88,4396.0,884 CDM,PX-361000162,HC DRN PERITON ABSC OPN,23082.0,15003.3,1576.58,23082.0,884 CDM,PX-361000164,HC DRN TRANSREC/VAG FL CATH W IMG,3747.0,2435.55,1524.88,4396.0,884 CDM,PX-361000165,HC DRN VISC FLUID CATH PERC W IMG,3448.0,2241.2,1524.88,4396.0,884 CDM,PX-361000175,HC ENDOLUMINAL BX BIL TREE PERC,3683.0,2393.95,2044.07,6376.0,880 CDM,PX-361000191,HC EVASC TEMP BALN ARTL OCCLUSION,25929.0,16853.85,10658.45,25151.13,884 CDM,PX-361000195,HC EXCHG BIL DRN CATH PERC W IMG,8440.0,5486.0,3305.69,13605.0,884 CDM,PX-361000196,HC EXCHG NEPHROST CATH PERC,4432.0,2880.8,1930.0,5243.0,884 CDM,PX-361000197,HC EXCHNG DRN CATH RAD GUIDANCE,4425.0,2876.25,1771.68,5243.0,884 CDM,PX-361000198,HC EXCISN BEN LESN F/E/EY/NO 1.1-2CM,1668.0,1084.2,653.8,3191.0,884 CDM,PX-361000199,HC EXCISN BEN LESN TR/EXT >4CM,3647.0,2370.55,1524.88,4396.0,884 CDM,PX-361000200,HC EXCISN BEN LESN TR/EXT 0.6-1CM,933.0,606.45,375.32,3117.0,884 CDM,PX-361000201,HC EXCISN BEN LESN TR/EXT 1.1-2CM,1679.0,1091.35,653.8,3191.0,884 CDM,PX-361000208,HC EXCISN LESN MLG NK/EXT 1.1-2CM,1538.0,999.7,653.8,3191.0,884 CDM,PX-361000209,HC EXCISN LESN MLG TR/LMB 2.1-3CM,1601.0,1040.65,653.8,3191.0,884 CDM,PX-361000210,HC EXCISN NAIL BED PRTL/COMPLT,887.0,576.55,375.32,3117.0,884 CDM,PX-361000213,HC EXCISN TMR BK/FLNK SUBQ >=3CM,5382.0,3498.3,1524.88,5220.54,884 CDM,PX-361000224,HC I&D ABSC SMPL/SNGL,5413.0,3518.45,185.24,5304.74,884 CDM,PX-361000226,HC I&D HEMA/SEROMA/FLUID COLL,4824.0,3135.6,1524.88,4679.28,884 CDM,PX-361000233,HC IMG GUIDE FLUID CATH DRAIN,1642.0,1067.3,653.8,3191.0,884 CDM,PX-361000238,HC IMPL TWIST DRILL HOLE VEN CATH,5542.0,3602.3,319.36,22248.0,884 CDM,PX-361000241,HC INJ ANES AGENT CELIAC PLEX,2160.0,1404.0,816.61,3191.0,884 CDM,PX-361000248,HC INJ ANES FORAMEN EPI LUMB SNGL,2171.0,1411.15,816.61,3191.0,884 CDM,PX-361000253,HC INJ ANES OTHER PERIPHERAL NRV,1600.0,1040.0,651.72,3191.0,884 CDM,PX-361000259,HC INJ ANK ARTHROGRAPHY,1064.0,691.6,590.52,6376.0,880 CDM,PX-361000260,HC INJ ANTEGRD NFROSGRM&/URTGRM EXIST,1464.0,951.6,643.8,3191.0,884 CDM,PX-361000261,HC INJ ANTEGRD NFROSGRM&/URTGRM NEW,1459.0,948.35,643.8,3191.0,884 CDM,PX-361000264,HC INJ CHOLANGIO PERC EXIST ACCESS,8391.0,5454.15,3305.69,13605.0,884 CDM,PX-361000266,HC INJ CNTRST EVAL ABSC/CYST,998.0,648.7,553.89,6376.0,880 CDM,PX-361000267,HC INJ CNTRST RAD EVAL CVAD FLUOR,520.0,338.0,196.38,3045.0,884 CDM,PX-361000268,HC INJ CONTRAST RAD EVAL GI TUBE,604.0,392.6,220.29,3045.0,884 CDM,PX-361000269,HC INJ CYSTOGRAPHY/VUCG,744.0,483.6,412.92,6376.0,880 CDM,PX-361000270,HC INJ DISCOGRAPHY LUMBAR EA LVL,3566.0,2317.9,1979.13,6376.0,880 CDM,PX-361000271,HC INJ EPI BLD/CLOT PATCH,1705.0,1108.25,651.72,3191.0,884 CDM,PX-361000275,HC INJ EXT VENOGRPH W NDLCATH,1965.0,1277.25,1090.58,6376.0,880 CDM,PX-361000280,HC INJ FACET JT LUMB/SAC 1 LVL,2242.0,1457.3,816.61,3191.0,884 CDM,PX-361000281,HC INJ FACET JT LUMB/SAC 2 LVL,1829.0,1188.85,1015.1,6376.0,880 CDM,PX-361000283,HC INJ ILEAL CON/URETEROPYLGRPHY,1462.0,950.3,811.41,6376.0,880 CDM,PX-361000286,HC INJ MYELOGRAPHY CT WO C1/C2,1729.0,1123.85,959.6,6376.0,880 CDM,PX-361000289,HC INJ PERC TX EXT PSEUDOARYSM,1340.0,871.0,579.17,3117.0,884 CDM,PX-361000292,HC INJ PROC HIP ARTHGRPH WO ANES,1391.0,904.15,772.01,6376.0,880 CDM,PX-361000293,HC INJ PROCEDURE LYMPHANGIOGRAPHY,2309.0,1500.85,1281.5,6376.0,880 CDM,PX-361000295,HC INJ RETROGRADE URCG,421.0,273.65,233.66,6376.0,880 CDM,PX-361000296,HC INJ SCLEROSING SOLN SNGL VEIN,854.0,555.1,375.32,3117.0,884 CDM,PX-361000297,HC INJ SHOULDER ARTHGM,507.0,329.55,281.39,6376.0,880 CDM,PX-361000298,HC INJ SI JT W IMA W ARTHROGRPHY,2781.0,1807.65,75.24,6376.0,884 CDM,PX-361000299,HC INJ SINUS TRACT DX,1332.0,865.8,739.26,6376.0,880 CDM,PX-361000302,HC INJ SNGL TNDN/SHTH/LGMNT,696.0,452.4,283.4,3045.0,884 CDM,PX-361000305,HC INJ URETERO/URETEROPYELOGRAPHY,1555.0,1010.75,863.03,6376.0,880 CDM,PX-361000306,HC INJ WRIST ARTHGM,731.0,475.15,405.71,6376.0,880 CDM,PX-361000309,HC INS HEPATIC SHUNT (TIPS),21270.0,13825.5,11804.85,22248.0,884 CDM,PX-361000312,HC INS INTRAPERITONEAL CATH W IMG,8407.0,5464.55,3305.69,13605.0,884 CDM,PX-361000313,HC INS MARK THOR FOR RT PERC,3164.0,2056.6,1277.93,4396.0,884 CDM,PX-361000314,HC INS NON-TUN CVC >5YR,7510.0,4881.5,2915.22,8220.0,884 CDM,PX-361000324,HC INS STNT INTRACRANIAL,14184.0,9219.6,1464.52,22248.0,884 CDM,PX-361000325,HC INS TEMP INDW BLAD CATH SMPL,489.0,317.85,122.84,479.22,884 CDM,PX-361000328,HC INS TUBE THORACOSTOMY,3480.0,2262.0,1453.38,4396.0,884 CDM,PX-361000330,HC INS TUNL CVAD W PORT >= 5 YR,7332.0,4765.8,2915.22,8220.0,884 CDM,PX-361000331,HC INS TUNL CVC WO PORT >=5YR,7745.0,5034.25,2915.22,8220.0,884 CDM,PX-361000337,HC INSERT DUODEN/JEJUN TUBE PERC,4234.0,2752.1,1771.68,5243.0,884 CDM,PX-361000339,HC INSERT EVASC VENA CAVA FILTER,12753.0,8289.45,5137.54,13605.0,884 CDM,PX-361000340,HC INSERT GASTROSTOMY TUBE PERC,4127.0,2682.55,1771.68,5243.0,884 CDM,PX-361000341,HC INSERTION/CATH PLEURAL CAVITY,8284.0,5384.6,3305.69,13605.0,884 CDM,PX-361000343,HC INSTILLATION FIBRINOLYSIS INIT,1388.0,902.2,579.17,3117.0,884 CDM,PX-361000344,HC INT RPR SCLP/AX/TR/EXT 7.6-12.5,925.0,601.25,375.32,3117.0,884 CDM,PX-361000348,HC INTRAVASC US NONCORONARY ADD VSL,6040.0,3926.0,3352.2,6376.0,880 CDM,PX-361000349,HC INTRAVASC US NONCORONARY INIT VSL,5281.0,3432.65,2930.96,6376.0,880 CDM,PX-361000351,HC INTRO CATH RT HEART/PULM ARTY,1741.0,1131.65,966.26,6376.0,880 CDM,PX-361000352,HC INTRO CATH SUPR/INF VENA CAVA,2457.0,1597.05,1363.64,6376.0,880 CDM,PX-361000354,HC INTRO GI TUBE LONG,2079.0,1351.35,837.4,3191.0,884 CDM,PX-361000358,HC INTRO NDL/CATH EXT ARTY,2535.0,1647.75,1406.93,6376.0,880 CDM,PX-361000359,HC INTRO NDL/CATH VEIN,293.0,190.45,162.62,6376.0,880 CDM,PX-361000362,HC INTRODUCTION CATHETER AORTA,2809.0,1825.85,1559.0,6376.0,880 CDM,PX-361000377,HC MANIP KNEE JT W ANES,4908.0,3190.2,1484.62,4760.76,884 CDM,PX-361000381,HC MCHNL RMVL INTRALU OBSTR CVAD,7182.0,4668.3,1453.38,6966.54,884 CDM,PX-361000382,HC MCHNL RMVL PRICATH OBSTR CVAD,7116.0,4625.4,2915.22,8220.0,884 CDM,PX-361000384,HC MYELOGRAPHY LUMB INJ >2 RGNS,1843.0,1197.95,723.77,3191.0,884 CDM,PX-361000385,HC MYELOGRAPHY LUMB INJ S&I CERV,1868.0,1214.2,723.77,3191.0,884 CDM,PX-361000386,HC MYELOGRAPHY LUMB INJ S&I LUMB,1856.0,1206.4,723.77,3191.0,884 CDM,PX-361000387,HC MYELOGRAPHY LUMB INJ S&I THOR,1941.0,1261.65,723.77,3191.0,884 CDM,PX-361000388,HC NDL ASP ABSC/HEMA/BULLA/CYST,914.0,594.1,375.32,3117.0,884 CDM,PX-361000392,HC NONSEL CATH THOR AORTA W ANGIO,21416.0,13920.4,2915.22,20773.52,884 CDM,PX-361000402,HC PARACENTESIS ABD W IMG,2125.0,1381.25,837.4,3191.0,884 CDM,PX-361000403,HC PARACENTESIS ABD WO IMG,2080.0,1352.0,837.4,3191.0,884 CDM,PX-361000404,HC PERC ASP INTERDISCAL DX,1508.0,980.2,653.8,3191.0,884 CDM,PX-361000405,HC PERC ASP SPINAL CORD CYST,5313.0,3453.45,816.61,5153.61,884 CDM,PX-361000407,HC PERC CERVICOTHORACIC INJECT,6932.0,4505.8,3020.95,13605.0,884 CDM,PX-361000412,HC PERC LUMBOSACRAL INJECTION,6866.0,4462.9,3020.95,13605.0,884 CDM,PX-361000413,HC PERC VERT AGMNT MECH EA ADD,16571.0,10771.15,5739.0,16073.87,880 CDM,PX-361000414,HC PERC VERT AGMNTJ CAV CRTJ LMBR,16055.0,10435.75,6699.47,15573.35,884 CDM,PX-361000415,HC PERC VERTEBPLSTY CAVTY IMG GUID 1,16484.0,10714.6,6699.47,15989.48,884 CDM,PX-361000420,HC PLC ACCESS BIL TREE SM BOWEL NEW,17125.0,11131.25,5977.11,16611.25,884 CDM,PX-361000421,HC PLC BILIARY DRN CATH EXTRNL,8162.0,5305.3,3305.69,13605.0,884 CDM,PX-361000422,HC PLC BILIARY DRN CATH INTRNL-EXTRNL,8350.0,5427.5,3305.69,13605.0,884 CDM,PX-361000423,HC PLC BREAST LOC DEV MAMMO 1ST,5044.0,3278.6,1524.88,4943.12,884 CDM,PX-361000427,HC PLC CATH REN ARTY >=2ND ORD BI,10962.0,7125.3,2915.22,10633.14,884 CDM,PX-361000428,HC PLC CATH SEGM PULM ARTY,4982.0,3238.3,2765.01,6376.0,880 CDM,PX-361000432,HC PLC INTERS RAD DEVICE PROSTATE,5713.0,3713.45,1277.93,5541.61,884 CDM,PX-361000433,HC PLC LOC DEV PERC W IMG 1ST LESN,1737.0,1129.05,653.8,3191.0,884 CDM,PX-361000434,HC PLC LOC DEV PERC W IMG ADD LESN,2022.0,1314.3,1122.21,6376.0,880 CDM,PX-361000435,HC PLC NEPHROSTOMY CATH PERC NEW,4684.0,3044.6,1930.0,5243.0,884 CDM,PX-361000436,HC PLC NEPHROURETERAL CATH PERC NEW,8017.0,5211.05,3254.52,13605.0,884 CDM,PX-361000437,HC PLC OCCL DEV ARTY/VEIN,1557.0,1012.05,864.14,6376.0,880 CDM,PX-361000438,HC PLC OPN/PERC STENT EA ADD,26772.0,17401.8,14540.0,25968.84,880 CDM,PX-361000439,HC PLC OPN/PERC STENT INIT,24952.0,16218.8,10658.45,24203.44,884 CDM,PX-361000440,HC PLC OPN/PERC STENT SAME EA ADD,15730.0,10224.5,8730.15,16155.0,880 CDM,PX-361000441,HC PLC OPN/PERC STENT SAME INIT,25630.0,16659.5,10658.45,24861.1,884 CDM,PX-361000443,HC PLC STENT CAROTID EMBO PROTECT,12205.0,7933.25,960.18,22248.0,884 CDM,PX-361000445,HC PLC STNT BILE DUCT PERC EXIST,13024.0,8465.6,5581.68,13605.0,884 CDM,PX-361000446,HC PLC STNT BILE DUCT PERC NEW W CATH,12675.0,8238.75,5581.68,13605.0,884 CDM,PX-361000447,HC PLC STNT BILE DUCT PERC NEW WO CATH,12493.0,8120.45,5581.68,13605.0,884 CDM,PX-361000448,HC PLC STNT CARTD WO EMBO PROTECT,11158.0,7252.7,5739.0,11158.0,880 CDM,PX-361000449,HC PLC TUBE NASAL/OROGAST W FLUOR,906.0,588.9,412.45,3117.0,884 CDM,PX-361000450,HC PLC URETER STNT NEW W NEPHROST CATH,7864.0,5111.6,3254.52,13605.0,884 CDM,PX-361000451,HC PLC URETER STNT NEW WO NEPHROST CATH,11924.0,7750.6,3254.52,13605.0,884 CDM,PX-361000452,HC PLC URETER STNT PRE-EXIST NEPHROST TRCT,7869.0,5114.85,3254.52,13605.0,884 CDM,PX-361000453,HC PLC VERT/CAROTID STENT INIT,4760.0,3094.0,2641.8,6376.0,880 CDM,PX-361000454,HC PLEURA DRAIN PERC W IMG GUID,3698.0,2403.7,1453.38,4396.0,884 CDM,PX-361000455,HC PLEURA DRAIN PERC WO IMG GUID,4127.0,2682.55,1771.68,5243.0,884 CDM,PX-361000458,HC PUNC CISTERNAL/LAT C1-C12 WO,3493.0,2270.45,283.4,3493.0,884 CDM,PX-361000461,HC PUNCTURE SPINAL LUMBAR DX,1500.0,975.0,651.72,3191.0,884 CDM,PX-361000462,HC PUNCTURE SPINAL THER DRN CSF,1572.0,1021.8,651.72,3191.0,884 CDM,PX-361000464,HC REMOVAL LUNG/PLEURAL CATHETER,1392.0,904.8,579.17,3117.0,884 CDM,PX-361000465,HC REMOVAL URETER STENT PERC S&I,4756.0,3091.4,1930.0,5243.0,884 CDM,PX-361000466,HC REPAIR CV CATH W SUBQ PORT,3646.0,2369.9,1453.38,4396.0,884 CDM,PX-361000467,HC REPAIR ECTROPION EXTENSIVE,8849.0,5751.85,2195.07,8583.53,884 CDM,PX-361000469,HC REPO PREV PLC CVC FLUORO GUID,3618.0,2351.7,1453.38,4396.0,884 CDM,PX-361000471,HC REPOSITION GASTROSTOMY TUBE,674.0,438.1,230.68,3045.0,884 CDM,PX-361000491,HC REVISE HEPATIC SHUNT (TIPS),13506.0,8778.9,5254.87,13605.0,884 CDM,PX-361000493,HC RF ABLT PULM TUMORS UNILAT,13519.0,8787.35,5581.68,13605.0,884 CDM,PX-361000494,HC RMVL BIL DRN CATH W FLURO,2100.0,1365.0,837.4,3191.0,884 CDM,PX-361000495,HC RMVL BIL DUCT &/ GALBLDR CALC,3886.0,2525.9,2156.73,6376.0,880 CDM,PX-361000505,HC RMVL NEPHROSTOMY TUBE W FLUORO,1449.0,941.85,643.8,3191.0,884 CDM,PX-361000509,HC RMVL TUN CV CATH WO SUBQ PORT,1477.0,960.05,579.17,3117.0,884 CDM,PX-361000510,HC RMVL TUNL CVAD W SUBQ PORT/PMP,3710.0,2411.5,1453.38,4396.0,884 CDM,PX-361000511,HC RMVL TUNL INTRAPERITONEAL CATH,7227.0,4697.55,2915.22,8220.0,884 CDM,PX-361000515,HC RMVL/RPLC TRANSNEPH STNT W S&I,4434.0,2882.1,1930.0,5243.0,884 CDM,PX-361000517,HC RPLC COMPLT PICC CVC WO PORT W GUIDE/S&I,3489.0,2267.85,1453.38,4396.0,884 CDM,PX-361000518,HC RPLC COMPLT TUNL CVAD W PORT,7171.0,4661.15,2915.22,8220.0,884 CDM,PX-361000519,HC RPLC COMPLT TUNL CVC WO PORT,7154.0,4650.1,2915.22,8220.0,884 CDM,PX-361000520,HC RPLC CVC NONTUNL COMPLT,3656.0,2376.4,1453.38,4396.0,884 CDM,PX-361000521,HC RPLC DUOD/JEJ TUBE PERC,2169.0,1409.85,837.4,3191.0,884 CDM,PX-361000522,HC RPLC GASTROST/CECOST TUBE PERC,2128.0,1383.2,837.4,3191.0,884 CDM,PX-361000526,HC RPLC TUBE GASTRO-JEJ W FLUORO,2280.0,1482.0,837.4,3191.0,884 CDM,PX-361000527,HC RPLC URETER STNT PERC S&I,4641.0,3016.65,1930.0,5243.0,884 CDM,PX-361000528,HC RPLC URETR STNT TXURETHRAL S&I,4485.0,2915.25,1930.0,5243.0,884 CDM,PX-361000541,HC RTREV/RMVL EVASC VENACAVA FLTR,7445.0,4839.25,2915.22,8220.0,884 CDM,PX-361000542,HC RTREV/RMVL INTRAVASC FB W IMG,7404.0,4812.6,2915.22,8220.0,884 CDM,PX-361000543,HC SCLEROTHERAPY FLUID COLLECT PERC,3640.0,2366.0,1524.88,4396.0,884 CDM,PX-361000544,HC SEL CATH 1ST/2ND ORD THRC/BRCH,4491.0,2919.15,2492.51,6376.0,880 CDM,PX-361000545,HC SEL CATH 2ND ORDER ABD PLV/LE,4968.0,3229.2,2757.24,6376.0,880 CDM,PX-361000546,HC SEL CATH 3RD+ ORD SEL ABD LE,4822.0,3134.3,2676.21,6376.0,880 CDM,PX-361000547,HC SEL CATH 3RD+ORD SEL THRC/BRCH,4231.0,2750.15,2348.21,6376.0,880 CDM,PX-361000548,HC SEL CATH CARTD ANGIO EXTRACRAN,7688.0,4997.2,2915.22,8220.0,884 CDM,PX-361000549,HC SEL CATH CARTD ANGIO INTRCR,13023.0,8464.95,5137.54,13605.0,884 CDM,PX-361000550,HC SEL CATH EA 1ST ORD ABD PLV/LE,4091.0,2659.15,2270.51,6376.0,880 CDM,PX-361000551,HC SEL CATH EA 1ST ORD THRC/BRCH,7634.0,4962.1,4236.87,7404.98,880 CDM,PX-361000552,HC SEL CATH EA 2ND+ ORD ABD LE,2582.0,1678.3,1433.01,6376.0,880 CDM,PX-361000553,HC SEL CATH EA 2ND+ ORD THRC/BRCH,1486.0,965.9,824.73,6376.0,880 CDM,PX-361000554,HC SEL CATH EXT CARTD W ANGIO,9045.0,5879.25,5019.98,8773.65,880 CDM,PX-361000555,HC SEL CATH INT CARTD W ANGIO,9186.0,5970.9,5098.23,8910.42,880 CDM,PX-361000556,HC SEL CATH INTRNL CARTD ARTERY,12256.0,7966.4,5137.54,13605.0,884 CDM,PX-361000557,HC SEL CATH PLC LT/RT PULM ARTERY,2680.0,1742.0,1487.4,6376.0,880 CDM,PX-361000558,HC SEL CATH PLC VEN SYS 1ST ORDER,3494.0,2271.1,1939.17,6376.0,880 CDM,PX-361000559,HC SEL CATH PLC VEN SYS 2ND ORDER,3741.0,2431.65,2076.26,6376.0,880 CDM,PX-361000560,HC SEL CATH RENAL ARTY&ANGIO BIL,7375.0,4793.75,2915.22,8220.0,884 CDM,PX-361000561,HC SEL CATH RENAL ARTY&ANGIO UNILAT,7445.0,4839.25,2915.22,8220.0,884 CDM,PX-361000562,HC SEL CATH SUBCL ARTY ANGIO VERT,7350.0,4777.5,2915.22,8220.0,884 CDM,PX-361000563,HC SEL CATH VERT ARTY ANGIO VERT,12498.0,8123.7,5137.54,13605.0,884 CDM,PX-361000570,HC THORACENTESIS PLEURA W IMG,1401.0,910.65,579.17,3117.0,884 CDM,PX-361000571,HC THORACENTESIS PLEURA WO IMG,1364.0,886.6,579.17,3117.0,884 CDM,PX-361000573,HC THRMBC MECH PRIM PERC SBSQ VSL,9152.0,5948.8,5079.36,8968.96,880 CDM,PX-361000574,HC THRMBC PERC MECH TRLUML RPT TX,7443.0,4837.95,4130.87,8220.0,880 CDM,PX-361000577,HC THRMBCT MECH PRIM PERC INIT VSL,24614.0,15999.1,12244.0,23875.58,884 CDM,PX-361000578,HC THRMBCT MECH TRLUML VEIN,24756.0,16091.4,10658.45,24013.32,884 CDM,PX-361000585,HC TRANSCATH ARTL THPY W S&I INIT,11786.0,7660.9,5137.54,13605.0,884 CDM,PX-361000586,HC TRANSCATH ARTL/VEN THPY W S&I,7296.0,4742.4,2915.22,8220.0,884 CDM,PX-361000588,HC TRANSCATH VEN THPY W S&I INIT,7473.0,4857.45,2915.22,8220.0,884 CDM,PX-361000589,HC TRANSCATHETER BIOPSY,12414.0,8069.1,5137.54,13605.0,884 CDM,PX-361000592,HC TXCATH OCCL/EMBL CNS,14772.0,9601.8,8198.46,22248.0,884 CDM,PX-361000593,HC TXCATH OCCL/EMBL NON CNS,25550.0,16607.5,10658.45,24783.5,884 CDM,PX-361000611,HC URETER EMBL/OCCL W IMG GUIDE,14411.0,9367.15,5739.0,13978.67,880 CDM,PX-361000614,HC VASC EMBL/OCCLUDE ARTERIAL,25703.0,16706.95,12244.0,24931.91,884 CDM,PX-361000615,HC VASC EMBL/OCCLUDE HEMORRHAGE,25026.0,16266.9,10658.45,24275.22,884 CDM,PX-361000616,HC VASC EMBL/OCCLUDE TMR INFARCT,25901.0,16835.65,10658.45,25123.97,884 CDM,PX-361000617,HC VASC EMBL/OCCLUDE VENOUS,26606.0,17293.9,10658.45,25807.82,884 CDM,PX-361000618,HC VERTEBROPLASTY ADDL INJECT,3978.0,2585.7,2207.79,6376.0,880 CDM,PX-361000626,HC BRONCH RMVL BRONCHL VALVE ADD,4861.0,3159.65,1643.33,4861.0,884 CDM,PX-361000628,HC INSTILLATION AGT PLEURODESIS,2325.0,1511.25,579.17,3117.0,884 CDM,PX-361000630,HC INCISN/RMVL FB SUBQ SMPL,1592.0,1034.8,375.32,3117.0,884 CDM,PX-361000636,HC RMVL SKIN TAGS <=15,892.0,579.8,185.24,3045.0,884 CDM,PX-361000638,HC SHAVE LESN TR/EXT <=0.5CM,856.0,556.4,375.32,3117.0,884 CDM,PX-361000639,HC SHAVE LESN TR/EXT 0.6-1.0 CM,445.0,289.25,185.24,3045.0,884 CDM,PX-361000640,HC SHAVE LESN TR/EXT 1.1-2.0CM,446.0,289.9,185.24,3045.0,884 CDM,PX-361000644,HC SHAVE S/N/H/F/G LESN 1.1-2.0CM,446.0,289.9,185.24,3045.0,884 CDM,PX-361000646,HC SHAVE F/E/EY/NO/L/M LESN <=0.5CM,446.0,289.9,185.24,3045.0,884 CDM,PX-361000647,HC SHAVE F/E/EY/NO/L/M LESN 0.6-1.0CM,3359.0,2183.35,185.24,3291.82,884 CDM,PX-361000649,HC SHAVE F/E/EY/NO/L/M LESN >2.0 CM,824.0,535.6,375.32,3117.0,884 CDM,PX-361000650,HC EXCISN BEN LESN TR/LMB <=0.5CM,2347.0,1525.55,653.8,3191.0,884 CDM,PX-361000651,HC EXCISN BEN LESN TR/EXT 2.1-3CM,1672.0,1086.8,653.8,3191.0,884 CDM,PX-361000652,HC EXCISN BEN LESN TR/EXT 3.1-4CM,3650.0,2372.5,1524.88,4396.0,884 CDM,PX-361000653,HC EXCISN BEN LESN S/N/H/F <=0.5,3706.0,2408.9,1524.88,4396.0,884 CDM,PX-361000654,HC EXCISN BEN LESN S/N/H/F .6-1CM,1679.0,1091.35,653.8,3191.0,884 CDM,PX-361000655,HC EXCISN BEN LESN S/N/H 1.1-2CM,3852.0,2503.8,1524.88,4396.0,884 CDM,PX-361000656,HC EXCISN BEN LESN S/N/H 2.1-3CM,3647.0,2370.55,1524.88,4396.0,884 CDM,PX-361000657,HC EXCISN BEN LESN S/N/H 3.1-4CM,3674.0,2388.1,1524.88,4396.0,884 CDM,PX-361000658,HC EXCISN BEN LESN S/N/H/F >4.0CM,6011.0,3907.15,2681.85,8220.0,884 CDM,PX-361000659,HC EXCISN BEN LESN F/E/EY/NO/L/M<=.5CM,1618.0,1051.7,653.8,3191.0,884 CDM,PX-361000660,HC EXCISN BEN LESN F/E/EY/NO/L .6-1CM,1608.0,1045.2,653.8,3191.0,884 CDM,PX-361000661,HC EXCISN BEN LESN F/E/EY/NO 2.1-3CM,3466.0,2252.9,1524.88,4396.0,884 CDM,PX-361000663,HC EXCISN BEN LESN F/E/EY/NO/L/M >4CM,5770.0,3750.5,2681.85,8220.0,884 CDM,PX-361000664,HC EXCISN SKN HDRDNTS AXLRY SMPL,5730.0,3724.5,2681.85,8220.0,884 CDM,PX-361000665,HC EXCISN SKN HDRDNTS INGNL SMPL,6923.0,4499.95,2681.85,8220.0,884 CDM,PX-361000668,HC EXCISN LESN MLG TR/LMB .6-1CM,1570.0,1020.5,653.8,3191.0,884 CDM,PX-361000669,HC EXCISN LESN MLG TR/LMB 1.1-2CM,944.0,613.6,375.32,3117.0,884 CDM,PX-361000670,HC EXCISN LESN MLG TR/LMB 3.1-4CM,1635.0,1062.75,653.8,3191.0,884 CDM,PX-361000671,HC EXCISN LESN MLG TR/LMB >4CM,3443.0,2237.95,1524.88,4396.0,884 CDM,PX-361000673,HC EXCISN LESN MLG NK/EXT .6-1CM,3520.0,2288.0,653.8,3449.6,884 CDM,PX-361000674,HC EXCISN LESN MLG NK/EXT 2.1-3CM,3525.0,2291.25,1524.88,4396.0,884 CDM,PX-361000675,HC EXCISN LESN MLG NK/EXT 3.1-4CM,3524.0,2290.6,1524.88,4396.0,884 CDM,PX-361000676,HC EXCISN LESN MLG NK/EXT >4CM,6026.0,3916.9,2681.85,8220.0,884 CDM,PX-361000678,HC EXCISN LESN MLG F/E/EY/NO/L .6-1CM,1615.0,1049.75,653.8,3191.0,884 CDM,PX-361000679,HC EXCISN LESN MLG F/E/EY/NO 1.1-2CM,1485.0,965.25,653.8,3191.0,884 CDM,PX-361000680,HC EXCISN LESN MLG F/E/EY/NO 2.1-3CM,3490.0,2268.5,1524.88,4396.0,884 CDM,PX-361000681,HC EXCISN LESN MLG F/E/EY/NO 3.1-4CM,3524.0,2290.6,1524.88,4396.0,884 CDM,PX-361000682,HC EXCISN LESN MLG F/E/EY/NO/L/M >4CM,5535.0,3597.75,2681.85,8220.0,884 CDM,PX-361000683,HC AVUL NAIL PLATE SMPL,492.0,319.8,185.24,3045.0,884 CDM,PX-361000685,HC BX NAIL UNIT,1608.0,1045.2,653.8,3191.0,884 CDM,PX-361000686,HC INJ INTRALESN <=7 LESN,451.0,293.15,185.24,3045.0,884 CDM,PX-361000688,HC SMPL RPR S/NK/TR/EXT <=2.5CM,591.0,384.15,185.24,3045.0,884 CDM,PX-361000689,HC SMPL S/NK/TR/EXT 2.6-7.5CM,640.0,416.0,185.24,3045.0,884 CDM,PX-361000690,HC SMPL RPR S/N/TR/EXT 7.6-12.5CM,658.0,427.7,185.24,3045.0,884 CDM,PX-361000691,HC SMPL RPR F/E/EY/NO/L/M<=2.5CM,720.0,468.0,185.24,3045.0,884 CDM,PX-361000692,HC SMPL RPR F/E/EY/NO/L/M 2.6-5CM,993.0,645.45,185.24,3045.0,884 CDM,PX-361000693,HC INT RPR SCLP/AX/TR/EXT <=2.5,933.0,606.45,375.32,3117.0,884 CDM,PX-361000694,HC INT RPR SCLP/AX/TR/EXT 2.6-7.5,925.0,601.25,375.32,3117.0,884 CDM,PX-361000695,HC INT RPR SCLP/AX/TR/EXT 12.6-20,910.0,591.5,375.32,3117.0,884 CDM,PX-361000696,HC INT RPR SCLP/AX/TR/EXT 20-30,1294.0,841.1,682.37,3117.0,884 CDM,PX-361000697,HC INT RPR NK/HND/FT/EXG <=2.5,892.0,579.8,375.32,3117.0,884 CDM,PX-361000698,HC INT RPR NK/HND/FT/EXG 2.6-7.5,917.0,596.05,375.32,3117.0,884 CDM,PX-361000699,HC INT RPR F/E/EY/NO/L/M <=2.5,896.0,582.4,375.32,3117.0,884 CDM,PX-361000700,HC INT F/E/EY/NO/L/M 2.6-5,913.0,593.45,375.32,3117.0,884 CDM,PX-361000701,HC INT RPR F/E/EY/NO/L/M 5.1-7.5,943.0,612.95,375.32,3117.0,884 CDM,PX-361000702,HC INT RPR F/E/EY/NO/L/M 7.6-12.5,901.0,585.65,375.32,3117.0,884 CDM,PX-361000704,HC CMPLX RPR TRUNK 2.6-7.5CM,1356.0,881.4,682.37,3117.0,884 CDM,PX-361000705,HC CMPLX RPR TRUNK EA <=5CM,1494.0,971.1,829.17,6376.0,880 CDM,PX-361000706,HC CMPLX RPR SCLP/LIMB 1.1-2.5CM,1356.0,881.4,375.32,3117.0,884 CDM,PX-361000707,HC CMPLX RPR SCLP/LIMB 2.6-7.5CM,1403.0,911.95,375.32,3117.0,884 CDM,PX-361000708,HC CMPLX RPR SCLP/LIMB ADD 5CM,3080.0,2002.0,1709.4,6376.0,880 CDM,PX-361000709,HC CMPLX RPR FACE/AX/EXT 1.1-2.5,912.0,592.8,375.32,3117.0,884 CDM,PX-361000710,HC CMPLX RPR FACE/AX/EXT 2.6-7.5,1393.0,905.45,375.32,3117.0,884 CDM,PX-361000711,HC CMPLX RPR FACE/AX/EXT ADD 5CM,1259.0,818.35,698.75,6376.0,880 CDM,PX-361000712,HC CMPLX RPR EY/NO/E/L 1.1-2.5CM,1312.0,852.8,682.37,3117.0,884 CDM,PX-361000715,HC TISS XFER TR DEFECT 10-30SCM,4086.0,2655.9,617.76,5243.0,856 CDM,PX-361000716,HC TISS XFER SCLP/LIMB <=10SCM,4079.0,2651.35,1904.97,5243.0,884 CDM,PX-361000717,HC TISS XFER FACE/NK/EXT <=10SCM,4526.0,2941.9,1904.97,5243.0,884 CDM,PX-361000718,HC TISS XFER FACE/NK/EXT 10-30CM,4301.0,2795.65,1904.97,5243.0,884 CDM,PX-361000719,HC TISS XFER EAR/EY/N/LIP <=10SCM,4481.0,2912.65,1904.97,5243.0,884 CDM,PX-361000720,HC TISS XFER EY/N/E/LIP 10.1-30SCM,4336.0,2818.4,1904.97,5243.0,884 CDM,PX-361000724,HC GRFT FULL THCK F/G/HF <=20SCM,4150.0,2697.5,1904.97,5243.0,884 CDM,PX-361000725,HC GRFT FULL THCK EY/NO/E/L <=20SCM,4322.0,2809.3,1904.97,5243.0,884 CDM,PX-361000732,HC DEST PREMALIGNANT LESN 1ST,448.0,291.2,185.24,3045.0,884 CDM,PX-361000733,HC DEST PREMALIGNANT LESN 2-14,266.0,172.9,147.63,6376.0,880 CDM,PX-361000736,HC DEST LESN MLG T/A/L <=0.5CM,858.0,557.7,185.24,3045.0,884 CDM,PX-361000737,HC DEST LESN MLG T/A/L .6-1CM,458.0,297.7,185.24,3045.0,884 CDM,PX-361000738,HC DEST LESN MLG TR/LIMB 1.1-2CM,461.0,299.65,185.24,3045.0,884 CDM,PX-361000739,HC DEST LESN MLG TR/LIMB 2.1-3CM,432.0,280.8,185.24,3045.0,884 CDM,PX-361000740,HC DEST LESN MLG TR/LIMB 3.1-4CM,1140.0,741.0,375.32,3117.0,884 CDM,PX-361000741,HC DEST LESN MLG TR/LIMB >4CM,1427.0,927.55,375.32,3117.0,884 CDM,PX-361000742,HC DEST LESN MLG S/NK/EXT<=.5CM,450.0,292.5,185.24,3045.0,884 CDM,PX-361000743,HC DEST LESN MLG S/NK/EXT .6-1CM,431.0,280.15,185.24,3045.0,884 CDM,PX-361000744,HC DEST LESN MLG S/NK/EXT 1.1-2CM,437.0,284.05,185.24,3045.0,884 CDM,PX-361000745,HC DEST LESN MLG S/NK/EXT 2.1-3CM,855.0,555.75,375.32,3117.0,884 CDM,PX-361000746,HC DEST LESN MLG S/NK/EXT 3.1-4CM,1232.0,800.8,375.32,3117.0,884 CDM,PX-361000747,HC DEST LESN MLG F/E/EY/NO/L/M <=.5CM,450.0,292.5,185.24,3045.0,884 CDM,PX-361000748,HC DEST LESN MLG F/E/EY/NO/L/M .6-1CM,808.0,525.2,185.24,3045.0,884 CDM,PX-361000749,HC DEST LESN MLG F/E/EY/NO/L/M 1.1-2CM,870.0,565.5,185.24,3045.0,884 CDM,PX-361000750,HC DEST SKIN MLG LESN 2.1-3.0 CM,858.0,557.7,375.32,3117.0,884 CDM,PX-361000753,HC MOHS HD/NK/EXDT/EXG 1 STAGE,1426.0,926.9,682.37,3117.0,884 CDM,PX-361000754,HC MOHS HD/NK/EXDT/EXG ADD STAGE,2059.0,1338.35,1142.75,6376.0,880 CDM,PX-361000755,HC MOHS TR/LIMB 1 STAGE 1-5,1386.0,900.9,682.37,3117.0,884 CDM,PX-361000756,HC MOHS EA BLOCK AFTER FIRST 5,1712.0,1112.8,950.16,6376.0,880 CDM,PX-361000758,HC EXCISN TMR FACE/SCALP SUBFAS <2CM,3560.0,2314.0,1524.88,4396.0,884 CDM,PX-361000759,HC GRFT EAR CRTLG AUTOGENOUS,13123.0,8529.95,5465.62,13605.0,884 CDM,PX-361000760,HC EXCISN TMR NK/THORAX SUBQ <3CM,3577.0,2325.05,1524.88,4396.0,884 CDM,PX-361000762,HC EXCISN TMR BACK/FLNK SUBQ <3CM,3647.0,2370.55,1524.88,4396.0,884 CDM,PX-361000766,HC EXCISN TMR SHOULDER SUBQ >=3CM,3490.0,2268.5,1524.88,4396.0,884 CDM,PX-361000768,HC EXCISN TMR ARM/ELB SUBQ >=3CM,6026.0,3916.9,2681.85,8220.0,884 CDM,PX-361000769,HC EXCISN TMR ARM/ELBOW SUBQ <3CM,3480.0,2262.0,1524.88,4396.0,884 CDM,PX-361000770,HC EXCISN TMR WRST SUBQ>=3CM,5160.0,3354.0,1524.88,5005.2,884 CDM,PX-361000771,HC EXCISN TMR WRST SUBQ<3CM,3683.0,2393.95,1524.88,4396.0,884 CDM,PX-361000783,HC BIOPSY LIP,525.0,341.25,218.68,3045.0,884 CDM,PX-361000784,HC EXCISN LIP TRANSV WEDGE W CLSR,11868.0,7714.2,3061.08,13605.0,884 CDM,PX-361000792,HC DESTRUCTION LESION VULVA SMPL,6669.0,4334.85,1904.97,6535.62,884 CDM,PX-361000793,HC BX VULVA/PERINEUM 1 LESN,1682.0,1093.3,850.38,3191.0,884 CDM,PX-361000794,HC BX VULVA/PERINEUM ADD LESN,1633.0,1061.45,906.32,6376.0,880 CDM,PX-361000795,HC BX EYELID SKIN & LID MARGIN,635.0,412.75,293.05,3045.0,884 CDM,PX-361000797,HC BIOPSY EXTERNAL EAR,512.0,332.8,218.68,3045.0,884 CDM,PX-361000822,HC INT RPR NK/HND/FT/EXG 7.6-12.5,1355.0,880.75,682.37,3117.0,884 CDM,PX-361000826,HC INT RPR F/E/EY/NO/L/M 12.6-20,875.0,568.75,375.32,3117.0,884 CDM,PX-361000827,HC INT RPR F/E/EY/NO/L/M 20.1-30,858.0,557.7,375.32,3117.0,884 CDM,PX-361000828,HC CMPLX RPR EY/NO/E/L 2.6-7.5CM,1371.0,891.15,682.37,3117.0,884 CDM,PX-361000830,HC TISS XFER SCLP/LIMB 10-30SCM,4330.0,2814.5,1904.97,5243.0,884 CDM,PX-361000831,HC TISS XFER ADJ 30.1-60SCM,8760.0,5694.0,3271.83,13605.0,884 CDM,PX-361000834,HC GRFT FULL THCK SCLP <= 20 SCM,4281.0,2782.65,1904.97,5243.0,884 CDM,PX-361000839,HC GRFT F/N/H/F/G <=100SCM ADD,13731.0,8925.15,5739.0,13731.0,880 CDM,PX-361000840,HC FORM PEDCL FACE/NK/AX/EXG/EXT,4290.0,2788.5,1904.97,5243.0,884 CDM,PX-361000841,HC FORM PEDCL EYNOEL,4451.0,2893.15,1904.97,5243.0,884 CDM,PX-361000844,HC DELAY FLAP EY/NO/E/L,4339.0,2820.35,1904.97,5243.0,884 CDM,PX-361000845,HC FHD FLAP W/VAS PEDCL,9016.0,5860.4,3271.83,13605.0,884 CDM,PX-361000847,HC DERMABRASION SEGMNTL FACE,3853.0,2504.45,653.8,3737.41,884 CDM,PX-361000849,HC DERMABRASION SUPERFICIAL ANY,862.0,560.3,375.32,3117.0,884 CDM,PX-361000857,HC DEST SKIN MAL LES >4.0 CM,1385.0,900.25,375.32,3117.0,884 CDM,PX-361000858,HC MOHS TR/LIMB EA ADD STAGE,1676.0,1089.4,930.18,6376.0,880 CDM,PX-361000861,HC EXCISN TMR FACE/SCLP SUBQ>=2CM,3544.0,2303.6,1524.88,4396.0,884 CDM,PX-361000862,HC EXCISN TMR FACE/SCALP SUBFAS >=2CM,9431.0,6130.15,2681.85,9148.07,884 CDM,PX-361000876,HC EXCISN TMR PELVIS/HIP SUBQ<3CM,6026.0,3916.9,2681.85,8220.0,884 CDM,PX-361000881,HC EXC/SURG PLN SKN/NOSE RHINOPHY,8047.0,5230.55,3061.08,13605.0,884 CDM,PX-361000884,HC BX TONGUE ANTR 2/3,2200.0,1430.0,497.95,3117.0,884 CDM,PX-361000889,HC CHEMO INTRALESNAL <=7 LESN,141.0,91.65,66.48,6376.0,884 CDM,PX-361000890,HC CHEMO INTRALESIONAL >7,508.0,330.2,196.38,6376.0,884 CDM,PX-361000917,HC BRONCH W EBUS 1-2 NODE SAMPLE,8055.0,5235.75,3442.28,13605.0,884 CDM,PX-361000918,HC BRONCH W EBUS >=3 NODE SAMPLE,8111.0,5272.15,3442.28,13605.0,884 CDM,PX-361000919,HC BRONCH W EBUS DX/TX PERIPH LESN,13063.0,8490.95,5739.0,12671.11,880 CDM,PX-361000942,HC PUNCTURE C1-C2 W INJECTION,3493.0,2270.45,283.4,3388.21,884 CDM,PX-361000950,HC AV FISTULA IMAGING,3484.0,2264.6,1453.38,4396.0,884 CDM,PX-361000951,HC AV FISTULA PTA,12142.0,7892.3,5254.87,13605.0,884 CDM,PX-361000952,HC AV FISTULA STENT,23743.0,15432.95,10658.45,23030.71,884 CDM,PX-361000953,HC AV FISTULA THROMBECTOMY,12725.0,8271.25,5254.87,13605.0,884 CDM,PX-361000954,HC AV FISTULA PTA THROMBECTOMY,24562.0,15965.3,10658.45,23825.14,884 CDM,PX-361000955,HC AV FISTULA STENT THROMBECTOMY,39629.0,25758.85,12244.0,38836.42,884 CDM,PX-361000956,HC AV FISTULA PTA CENTRAL,14979.0,9736.35,5739.0,14529.63,880 CDM,PX-361000957,HC AV FISTULA STENT CENTRAL,19539.0,12700.35,5739.0,18952.83,880 CDM,PX-361000958,HC AV FISTULA EMBOLIZATION,19316.0,12555.4,5739.0,18736.52,880 CDM,PX-361000959,HC PTA ARTERIAL INITIAL,12976.0,8434.4,5254.87,13605.0,884 CDM,PX-361000960,HC PTA ARTERIAL EA ADD,9183.0,5968.95,5096.57,8907.51,880 CDM,PX-361000961,HC PTA VENOUS INITIAL,13101.0,8515.65,5254.87,13605.0,884 CDM,PX-361000962,HC PTA VENOUS EA ADD,2809.0,1825.85,1559.0,6376.0,880 CDM,PX-361000965,HC ABLT THRPY REDUC/ERADCTN BN TMR,16554.0,10760.1,6699.47,16057.38,884 CDM,PX-361000967,HC INS TUNL CVC WO PORT < 5 YR,11989.0,7792.85,5137.54,13605.0,884 CDM,PX-361000976,HC CRYOSURG ABLATION PROSTATE,17995.0,11696.75,8740.13,17455.15,884 CDM,PX-361000980,HC PERC ARTL M-THROMB &/NFS INTRCR,14363.0,9335.95,822.85,22248.0,884 CDM,PX-361000981,HC EVASC INTRCRNL PROLNG RX ADMIN INIT,6011.0,3907.15,572.97,22248.0,884 CDM,PX-361000982,HC EVASC INTRCRNL PROLNG RX ADMIN ADD,2064.0,1341.6,245.05,22248.0,884 CDM,PX-361000984,HC INS INTERS DEV RAD THPY PERC INTRA-ABD,3164.0,2056.6,1277.93,4396.0,884 CDM,PX-361000985,HC PERC SAC AUGMENTATION UNLAT INJ,23811.0,15477.15,5739.0,23096.67,884 CDM,PX-361000986,HC PLC INTERS DEV FOR RADTN THRPY,5713.0,3713.45,227.74,5541.61,884 CDM,PX-361000990,HC RMVL URETER STNT TXURETHRL S&I,4485.0,2915.25,1930.0,5243.0,884 CDM,PX-361001020,HC INJ SPINE LUMB/SAC W IMG,1630.0,1059.5,651.72,3191.0,884 CDM,PX-361001025,HC ABLATE PULM TUMOR PERQ CRYBL,12822.0,8334.3,7116.21,13605.0,884 CDM,PX-361001031,HC BRONCH REV TRACH/BRNCL STENT,14397.0,9358.05,6515.97,13965.09,884 CDM,PX-361001038,HC PERQ VERTEBRAL AUGMENTATION,39861.0,25909.65,6699.47,38665.17,884 CDM,PX-361001041,HC DX BONE MARROW BX & ASPIR,6131.0,3985.15,2681.85,8220.0,884 CDM,PX-361001043,HC PLC STENT PLC ANTEGRADE CARTD,16865.0,10962.25,795.73,16865.0,884 CDM,PX-361001075,HC INJ ELBOW ARTHGM,1948.0,1266.2,1081.14,6376.0,880 CDM,PX-361001083,HC ABLTJ PERC CRYOABLTJ IMG GDN UXTR/PERPH NERVE,8154.0,5300.1,1802.9,7909.38,884 CDM,PX-361001084,HC ABLT PERC LWR EXT PERIPH NRV,7911.0,5142.15,1802.9,7673.67,884 CDM,PX-361001085,HC ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV,26738.0,17379.7,5739.0,25935.86,884 CDM,PX-361001094,HC PLC BREAST LOC DEV MR GUID 1ST,3343.0,2172.95,653.8,3242.71,884 CDM,PX-361001096,HC CANNULATION THORACIC DUCT,758.0,492.7,420.69,6376.0,880 CDM,PX-361001109,HC DESTRCT TRIGEM 2/3 DIV RADMNTR,4397.0,2858.05,1802.9,5243.0,884 CDM,PX-361001119,HC CHANGE CYSTOSTOMY TUBE COMPL,5902.0,3836.3,643.8,5783.96,884 CDM,PX-361001122,HC TANGNTL BX SKIN SINGLE LES,459.0,298.35,254.75,3045.0,884 CDM,PX-361001123,HC TANGNTL BX SKIN EA SEP/ADDL,902.0,586.3,500.61,6376.0,880 CDM,PX-361001124,HC PUNCH BX SKIN SINGLE LESION,905.0,588.25,375.32,3117.0,884 CDM,PX-361001125,HC PUNCH BX SKIN EA SEP/ADDL,916.0,595.4,508.38,6376.0,880 CDM,PX-361001126,HC INCAL BX SKN SINGLE LES,1372.0,891.8,682.37,3117.0,884 CDM,PX-361001127,HC INCAL BX SKN EA SEP/ADDL,4258.0,2767.7,2363.19,6376.0,880 CDM,PX-361001129,HC INSJ PICC RS&I 5 YR+,3613.0,2348.45,1453.38,4396.0,884 CDM,PX-361001131,HC FNA BX W/US GDN 1ST LES,1696.0,1102.4,653.8,3191.0,884 CDM,PX-361001132,HC FNA BX W/US GDN EA ADDL,912.0,592.8,506.16,6376.0,880 CDM,PX-361001141,HC RPLC GTUBE WO REVISION OF GASTRO TRACT W/O IMAG,3791.0,2464.15,230.68,3715.18,884 CDM,PX-361001146,HC BRONCHOSCOPY BALLOON OCCLUSION,14536.0,9448.4,6515.97,14099.92,884 CDM,PX-361001170,HC ROBOTIC BRONCH TRANSBRONCH LUNG BX SNG,8238.0,5354.7,3442.28,13605.0,884 CDM,PX-361001171,HC ROBOTIC BRONCH W EBUS DX/TX PERIPH LESN,13455.0,8745.75,5739.0,13051.35,880 CDM,PX-361001172,HC ROBOTIC BRONCH TRANSBRONCH LUNG BX EA,2756.0,1791.4,1529.58,6376.0,880 CDM,PX-361001173,HC ROBOTIC BRONCH TRANSBRONCH NDL ASP EA,8677.0,5640.05,4815.74,8416.69,880 CDM,PX-361001174,HC ROBOTIC BRONCH TRANSBRONCH NDL ASP BX,12373.0,8042.45,3442.28,13605.0,884 CDM,PX-361001175,HC ROBOTIC BRONCH W EBUS >=3 NODE SAMPLE,8354.0,5430.1,3442.28,13605.0,884 CDM,PX-361001176,HC ROBOTIC BRONCHOSCOPY W ALVEOLAR LAVAGE,4209.0,2735.85,1643.33,4396.0,884 CDM,PX-361001177,HC ROBOTIC BRONCH W EBUS 1-2 NODE SAMPLE,8297.0,5393.05,3442.28,13605.0,884 CDM,PX-361001178,HC ROBOTIC BRONCHOSCOPY W BX >=1 SITE,4074.0,2648.1,1643.33,4396.0,884 CDM,PX-361001179,HC ROBOTIC BRONCHOSCOPY DX W BRUSHING,3901.0,2535.65,1643.33,4396.0,884 CDM,PX-361001180,HC MECHANICAL REMOVAL OF FIBRIN SHEATH,3439.0,2235.35,579.17,3335.83,884 CDM,PX-361001184,HC ROBOTIC BRONCH DX W CELL WASH FLUOR,7001.0,4550.65,1643.33,6790.97,884 CDM,PX-361001185,HC ROBOTIC BRONCH W PLCMT FIDUCIAL MARKER,28903.0,18786.95,6515.97,28035.91,884 CDM,PX-361001186,HC ROBOTIC BRONCH W COMP ASST IMG NAV,10198.0,6628.7,5659.89,9892.06,880 CDM,PX-361001187,HC ROBOTIC BRONCH W TRACHEAL/BRONCH DIL,14592.0,9484.8,3442.28,14154.24,884 CDM,PX-361001190,HC ROBOTIC BRONCHOSCOPY W REMOVAL FB,8214.0,5339.1,1643.33,7967.58,884 CDM,PX-361001194,HC ROBOTIC BRONCH DEST TMR RLF STENOSIS,14887.0,9676.55,3442.28,14440.39,884 CDM,PX-361001195,HC ROBOTIC BRONCHOSCOPY W ASP THER INIT,5355.0,3480.75,1643.33,5194.35,884 CDM,PX-361001200,HC PUNCTURE SPINAL LUMBAR DX W GUID,1713.0,1113.45,651.72,3191.0,884 CDM,PX-361001201,HC PUNCTURE SPINAL THER DRN CSF W GUID,1678.0,1090.7,651.72,3191.0,884 CDM,PX-361001204,HC DESTRCT TRIGEM 2ND/3RD DIV,8182.0,5318.3,1802.9,7936.54,884 CDM,PX-361001208,HC GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC,39379.0,25596.35,3271.83,39379.0,884 CDM,PX-361001216,HC TX MISSED ABORTION SURG 1ST T,13276.0,8629.4,2988.75,13010.48,884 CDM,PX-361001217,"HC US TRTMT, NOT LEIOMYOMATA",25918.0,16846.7,5739.0,25140.46,884 CDM,PX-361001218,HC BX LUNG/MEDIASTINUM PERC NDL,3580.0,2327.0,1524.88,4396.0,884 CDM,PX-361001220,"HC ABLT IRR ELECTROPORATION 1+ TMR, PERC",34882.0,22673.3,5739.0,33835.54,884 CDM,PX-361001227,HC INJECTION FOR SPLEEN X-RAY,2323.0,1509.95,1289.27,6376.0,880 CDM,PX-361001232,HC REVASC INTRA LITHOTRIP-STENT,37593.0,24435.45,5739.0,36465.21,884 CDM,PX-361001233,HC ABLATION B9 THYROID NODULE PERQ LASER W/IMG GDN,6956.0,4521.4,1524.88,6747.32,884 CDM,PX-361001239,HC THER DES INTRA BAS NRV 1ST 2 BOD LUM/SAC,29914.0,19444.1,11853.62,29016.58,884 CDM,PX-361001240,HC THER DES INTRA BAS NRV EA ADD BOD LUM/SAC,10741.0,6981.65,5739.0,10418.77,880 CDM,PX-361001241,HC DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX,665.0,432.25,369.08,4396.0,884 CDM,PX-361001242,HC PERC SACRL AUGMNTATION BILAT,29827.0,19387.55,5739.0,28932.19,884 CDM,PX-361001281,HC TISS XFER ADJ ADD 30SCM,4316.0,2805.4,2395.38,6376.0,880 CDM,PX-361001284,HC BLEPH UPR EYELID,6977.0,4535.05,1904.97,6767.69,884 CDM,PX-361001300,HC HISTOTRIPSY OF MALIGNANT HEPATOCELLAR TISSUE,28051.0,18233.15,5739.0,27209.47,884 CDM,PX-361001303,HC PERC RF ABLATION THYROID,25253.0,16414.45,5581.68,24495.41,884 CDM,PX-361001309,HC VASC EMB/OCC W/PRS CATH W IMAGING,43680.0,28392.0,5739.0,42369.6,884 CDM,PX-361001311,HC ABLT TRURL PRST8 TIS THRM US,7314.0,4754.1,447.34,7314.0,884 CDM,PX-361001312,HC ABLT TRURL PRST8 TIS TRNSDCR,52160.0,33904.0,12181.17,50595.2,884 CDM,PX-361001313,HC ABLTJ 1/+THYR NDUL 1LOBE PRQ,6766.0,4397.9,1524.88,6563.02,884 CDM,PX-361001321,HC CHEMOSATURATION OF LIVER,12587.0,8181.55,653.8,12209.39,884 CDM,PX-361001322,HC ISOLATION FILTRATION LIVER BLOOD SUPPLY,24027.0,15617.55,579.17,23306.19,884 CDM,PX-361001347,HC PEF BRONCH ABLT 3D NAV EBUS,72800.0,47320.0,5739.0,72800.0,884 CDM,PX-361001361,HC REVSC EVASC FPVT ANGIO SF 1,23774.0,15453.1,5254.87,23774.0,884 CDM,PX-361001399,HC BX PRST8 TRCT US GUIDED,14724.0,9570.6,3254.52,14724.0,884 CDM,PX-370000010,HC RN SEDATION CARE,690.0,448.5,342.93,690.0,880 CDM,PX-370000013,HC MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,167.0,108.55,83.0,161.99,880 CDM,PX-370000021,HC ANESTHESIA LEVEL 1,4093.0,2660.45,2034.22,4093.0,880 CDM,PX-370000022,HC ANESTHESIA LEVEL 2,4277.0,2780.05,2125.67,4277.0,880 CDM,PX-370000023,HC ANESTHESIA LEVEL 3,4325.0,2811.25,2149.53,4325.0,880 CDM,PX-370000024,HC ANESTHESIA LEVEL 4,4365.0,2837.25,2169.41,4365.0,880 CDM,PX-370000025,HC ANESTHESIA LEVEL 5,4368.0,2839.2,2170.9,4368.0,880 CDM,PX-370000026,HC ANESTHESIA LEVEL 6,4375.0,2843.75,2174.38,4375.0,880 CDM,PX-370000027,HC ANESTHESIA LEVEL 7,4616.0,3000.4,2294.15,4616.0,880 CDM,PX-370000028,HC ANESTHESIA LEVEL 8,6675.0,4338.75,3317.48,6675.0,880 CDM,PX-370000029,HC ANESTHESIA LEVEL 9,7696.0,5002.4,3824.91,7696.0,880 CDM,PX-370000030,HC ANESTHESIA LEVEL 10,11838.0,7694.7,5883.49,11838.0,880 CDM,PX-390000001,HC BLOOD WHOLE EA UNIT,306.0,198.9,152.08,296.82,884 CDM,PX-390000003,HC CRYOPRECIPITATE EA UNIT,134.0,87.1,66.6,129.98,884 CDM,PX-390000005,HC FFP SNGL DONOR,995.0,646.75,85.98,965.15,884 CDM,PX-390000006,HC GRANULOCYTES PHER PROC EA UNIT,4447.0,2890.55,2210.16,4447.0,880 CDM,PX-390000007,HC CRYOPRESERVE/STORAGE,6106.0,3968.9,407.32,5922.82,884 CDM,PX-390000008,HC HPC HARVEST AUTOLOGOUS,6443.0,4187.95,1437.93,6249.71,884 CDM,PX-390000009,HC IAT RBC WASHED EA UNIT ADDTL,399.0,259.35,198.3,423.87,884 CDM,PX-390000010,HC IAT RBC WASHED INITIAL UNIT,1709.0,1110.85,368.58,1657.73,884 CDM,PX-390000012,HC PLT HLA MATCHED LR EA UNIT,1809.0,1175.85,708.06,1754.73,884 CDM,PX-390000018,HC PLT PHERESIS LR IRRAD EA UNIT,1763.0,1145.95,680.61,1710.11,884 CDM,PX-390000020,HC RBC DEGLYCEROLIZED LR/IR/E,1146.0,744.9,422.69,1111.62,884 CDM,PX-390000023,HC RBC LR IRRAD EA UNIT,974.0,633.1,265.41,944.78,884 CDM,PX-390000025,HC FROZEN PLASMA 8-24 HR EA UNIT,1015.0,659.75,73.77,984.55,884 CDM,PX-390000033,HC T CELL DEPLETION,23568.0,15319.2,407.32,22860.96,884 CDM,PX-390000034,HC PLASMA DEPLETION,3574.0,2323.1,407.32,3466.78,884 CDM,PX-390000035,HC TRANSPLANT CELL CONCENTRATION,4444.0,2888.6,407.32,4310.68,884 CDM,PX-390000041,HC PLT PHERESIS PATHOGEN REDUCED EA UNIT,1941.0,1261.65,607.43,1882.77,884 CDM,PX-390000043,HC RBC WASHED EA UNIT,832.0,540.8,368.58,807.04,884 CDM,PX-390000044,HC IAT BLOOD WHOLE EA UNIT,226.0,146.9,112.32,219.22,884 CDM,PX-390000055,HC 2 TX CRYOPRESERVE/STORAGE,7877.0,5120.05,407.32,7640.69,884 CDM,PX-390000056,HC 3 TX CRYOPRESERVE/STORAGE,9071.0,5896.15,407.32,8798.87,884 CDM,PX-390000064,HC FRESH CELL ADMIN PREPARATION,3126.0,2031.9,407.32,3117.0,884 CDM,PX-391000000,HC BLOOD TRANSFUSION,1468.0,954.2,407.32,3117.0,884 CDM,PX-399000001,HC THAW,3126.0,2031.9,407.32,3117.0,884 CDM,PX-399000002,HC THAW & WASH,5957.0,3872.05,407.32,5778.29,884 CDM,PX-399000003,HC RBC DEPLETION,2710.0,1761.5,407.32,3117.0,884 CDM,PX-399000006,HC HPC HARVEST ALLOGENIC,6156.0,4001.4,69.39,6376.0,884 CDM,PX-402000008,HC OB US < 14 WKS SINGLE FETUS,576.0,374.4,96.52,716.0,884 CDM,PX-402000020,HC US ABD LTD,890.0,578.5,96.52,863.3,884 CDM,PX-402000024,HC US CHEST,647.0,420.55,96.52,716.0,884 CDM,PX-402000026,HC US ENDOMYOCARDIAL BX S&I,726.0,471.9,402.93,716.0,880 CDM,PX-402000027,HC US EXT LTD,454.0,295.1,96.52,716.0,884 CDM,PX-402000028,HC US EXT NON-VASC COMPLETE,451.0,293.15,96.52,716.0,884 CDM,PX-402000032,HC US GUIDE INTRAOPERATIVE,921.0,598.65,511.16,893.37,880 CDM,PX-402000033,HC US GUIDE PLC NDL,791.0,514.15,439.01,767.27,881 CDM,PX-402000034,HC US GUIDE TISS ABLT,926.0,601.9,513.93,898.22,880 CDM,PX-402000035,HC US GUIDE VASC ACCESS,514.0,334.1,285.27,716.0,880 CDM,PX-402000036,HC US HEAD&NECK SOFT TISS,762.0,495.3,96.52,739.14,884 CDM,PX-402000046,HC US OB TRANSVAGINAL,493.0,320.45,96.52,716.0,884 CDM,PX-402000047,HC US OPHTHALMIC DX B-SCAN,459.0,298.35,96.52,716.0,884 CDM,PX-402000052,HC US PREGNANT UTERUS LIMITED,719.0,467.35,96.52,716.0,884 CDM,PX-402000054,HC US RETROPERITONEAL LTD,564.0,366.6,96.52,716.0,884 CDM,PX-402000055,HC US SCROTUM,798.0,518.7,96.52,774.06,884 CDM,PX-402000071,HC US ABD AORTA SCREEN AAA,979.0,636.35,96.52,959.42,884 CDM,PX-402000086,HC US PARENCHYMA,312.0,202.8,96.52,716.0,884 CDM,PX-402000090,HC US NRV&ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY,459.0,298.35,96.52,716.0,884 CDM,PX-404000003,HC PET BRAIN METABOLIC EVAL,7856.0,5106.4,1320.23,7698.88,884 CDM,PX-404000010,HC PET/CT TRUNK,6147.0,3995.55,1320.23,5962.59,884 CDM,PX-404000011,HC PET/CT WHOLE BODY,8526.0,5541.9,1320.23,8355.48,884 CDM,PX-404000014,HC MYOCARDIAL PET CT PERFUSION SNGL,5723.0,3719.95,1320.23,5608.54,884 CDM,PX-404000015,HC MYOCARDIAL PET CT PERFUSION MULT,6855.0,4455.75,2033.78,6649.35,884 CDM,PX-410000002,HC CPAP INIT & MGMT,740.0,481.0,202.18,717.8,884 CDM,PX-410000003,HC DEMO/EVAL PAT USE INHALE,541.0,351.65,202.18,524.77,884 CDM,PX-410000005,HC MANIP CHST WALL INIT,259.0,168.35,122.84,251.23,884 CDM,PX-410000006,HC MANIP CHST WALL SUBSQ,257.0,167.05,122.84,249.29,884 CDM,PX-410000007,HC MECH CHST WALL OSC LUNG FUNC,949.0,616.85,202.18,949.0,884 CDM,PX-410000008,HC PENTAMIDINE TX AERO INHAL,452.0,293.8,202.18,438.44,884 CDM,PX-410000009,HC RESP THER EXERCISE GROUP,239.0,155.35,34.49,231.83,884 CDM,PX-410000010,HC THER PROC FUNC 1-1 EA 15MIN,153.0,99.45,26.7,148.41,884 CDM,PX-410000011,HC THER PROC MUS 1-1 EA 15MIN,170.0,110.5,26.7,166.6,884 CDM,PX-410000012,HC TRACHEOTOMY TUBE CHANGE,576.0,374.4,218.68,3045.0,884 CDM,PX-410000014,HC TX INHAL AERO SPUTUM,452.0,293.8,202.18,438.44,884 CDM,PX-410000015,HC VENT MGMT INPT/OBS SUBSQ DAY,1536.0,998.4,570.39,1489.92,884 CDM,PX-410000016,HC VENTIL MGMT IP INIT DAY,1727.0,1122.55,570.39,1675.19,884 CDM,PX-410000024,HC TX CONT AERO AAO EA ADD HR,301.0,195.65,149.6,301.0,880 CDM,PX-410000026,HC ARTERIAL PUNCTURE,292.0,189.8,122.84,283.24,884 CDM,PX-420000035,HC FUNCTIONAL JOB ANALYSIS,96.0,62.4,46.18,94.08,880 CDM,PX-420000036,HC GAIT TRAINING EA 15MIN PT,135.0,87.75,28.62,130.95,883 CDM,PX-420000037,HC GROUP THERAPY PT,176.0,114.4,17.85,170.72,883 CDM,PX-420000042,HC HOME MGMT TRAIN EA 15MIN PT,152.0,98.8,31.82,147.44,883 CDM,PX-420000050,HC MANUAL THERAPY EA 15MIN PT,133.0,86.45,27.32,130.34,883 CDM,PX-420000059,HC NEUROMUSCULAR RE-ED EA15MIN PT,150.0,97.5,32.21,145.5,883 CDM,PX-420000067,HC PROSTH TRAIN INIT ENC EA 15MIN PT,133.0,86.45,39.55,130.34,883 CDM,PX-420000082,HC THER FUNCT ACTVTY EA 15MIN PT,155.0,100.75,34.36,150.35,883 CDM,PX-420000083,HC THER MASSAGE EA 15MIN PT,103.0,66.95,29.12,100.94,883 CDM,PX-420000085,HC THERAPEUTIC EXERC EA 15MIN PT,142.0,92.3,28.62,137.74,883 CDM,PX-420000093,HC WHEELCHAIR MGMT EA 15MIN PT,101.0,65.65,30.58,98.98,883 CDM,PX-420000100,HC PHYSICAL PERF TEST EA 15MIN PT,283.0,183.95,33.09,277.34,883 CDM,PX-420000111,HC PT EVAL LOW COMPLEX,384.0,249.6,96.0,372.48,883 CDM,PX-420000112,HC PT RE-EVAL EST PLAN CARE,256.0,166.4,66.09,250.88,883 CDM,PX-420000113,HC PT EVAL HIGH COMPLEX,419.0,272.35,96.0,406.43,883 CDM,PX-420000114,HC PT EVAL MOD COMPLEX,397.0,258.05,96.0,385.09,883 CDM,PX-420000127,HC ASSIST TECH ASSESS EA 15 MIN PT,235.0,152.75,37.18,235.0,883 CDM,PX-420000134,HC THER INTV COG FUNC INITIAL 15MIN PT,130.0,84.5,19.76,126.1,884 CDM,PX-420000157,HC CAREGIVER TRAINING INITIAL 30 MINS PT,276.0,179.4,39.65,267.72,884 CDM,PX-420000158,HC CAREGIVER TRAINING ADDL 15 MINS PT,136.0,88.4,20.91,136.0,884 CDM,PX-420000159,HC GROUP CAREGIVER TRAINING PT,118.0,76.7,9.46,118.0,884 CDM,PX-430000008,HC BIOFEEDBACK TRAINING ANY OT,287.0,186.55,16.43,278.39,884 CDM,PX-430000018,HC COMM/WORK REINTGRT EA 15MIN OT,164.0,106.6,31.54,160.72,883 CDM,PX-430000024,HC EVAL COGNITIVE TESTING OT,321.0,208.65,101.58,314.58,883 CDM,PX-430000026,HC GAIT TRAINING EA 15MIN OT,135.0,87.75,28.62,130.95,883 CDM,PX-430000027,HC GROUP THERAPY OT,176.0,114.4,17.85,170.72,883 CDM,PX-430000034,HC HOME MGMT TRAIN EA 15MIN OT,152.0,98.8,31.82,147.44,883 CDM,PX-430000035,HC HOT/COLD PACK OT,42.0,27.3,20.2,41.16,880 CDM,PX-430000038,HC MANUAL THERAPY EA 15MIN OT,133.0,86.45,27.32,130.34,883 CDM,PX-430000046,HC NEUROMUSCULAR RE-ED EA15MIN OT,150.0,97.5,32.21,145.5,883 CDM,PX-430000047,HC ORTH TRAIN INIT ENC EA 15MIN OT,138.0,89.7,44.98,135.24,883 CDM,PX-430000053,HC PHYSICAL PERF TEST EA 15MIN OT,283.0,183.95,33.09,277.34,883 CDM,PX-430000058,HC SENSORY INTEG EA 15 MIN OT,99.0,64.35,47.62,97.02,883 CDM,PX-430000067,HC THER FUNCT ACTVTY EA 15MIN OT,155.0,100.75,34.36,150.35,883 CDM,PX-430000068,HC THER MASSAGE EA 15MIN OT,103.0,66.95,29.12,100.94,883 CDM,PX-430000069,HC THERAPEUTIC EXERC EA 15MIN OT,142.0,92.3,28.62,137.74,883 CDM,PX-430000092,HC OT EVAL LOW COMPLEX,384.0,249.6,98.56,372.48,883 CDM,PX-430000093,HC OT EVAL MOD COMPLEX,397.0,258.05,98.56,385.09,883 CDM,PX-430000094,HC OT EVAL HIGH COMPLEX,419.0,272.35,98.56,406.43,883 CDM,PX-430000095,HC OT RE-EVAL EST PLAN CARE,256.0,166.4,67.05,248.32,883 CDM,PX-430000100,HC APP MULTILYR COMPRSN SYS LWR LEG OT,703.0,456.95,150.03,688.94,884 CDM,PX-430000101,HC ORTH/PROST TRAIN SBQ ENC EA 15MIN OT,139.0,90.35,48.79,136.22,883 CDM,PX-430000106,HC THER INTV COG FUNC INITIAL 15MIN OT,130.0,84.5,19.76,126.1,884 CDM,PX-430000107,HC THER INTV COG FUNC EA ADD15MIN OT,123.0,79.95,18.27,119.31,884 CDM,PX-430000128,HC CAREGIVER TRAINING INITIAL 30 MINS OT,276.0,179.4,39.65,267.72,884 CDM,PX-430000129,HC CAREGIVER TRAINING ADDL 15 MINS OT,136.0,88.4,20.91,136.0,884 CDM,PX-430000130,HC GROUP CAREGIVER TRAINING OT,118.0,76.7,9.46,118.0,884 CDM,PX-440000000,HC ANALYSIS BEHAV/QUAL VOICE ST,416.0,270.4,108.1,407.68,883 CDM,PX-440000005,HC EVAL COGNITIVE TESTING ST,239.0,155.35,101.58,234.22,883 CDM,PX-440000028,HC THRPY SPEECH/LANG/COMM/APD ST,286.0,185.9,74.9,280.28,883 CDM,PX-440000029,HC TX SWALLOWING DYSFUNCTION ST,249.0,161.85,82.62,244.02,883 CDM,PX-440000053,HC THER INTV COG FUNC INITIAL 15MIN ST,100.0,65.0,19.76,97.0,884 CDM,PX-440000054,HC THER INTV COG FUNC EA ADD15MIN ST,101.0,65.65,18.27,97.97,884 CDM,PX-440000062,HC CAREGIVER TRAINING INITIAL 30 MINS ST,268.0,174.2,39.65,259.96,884 CDM,PX-444000003,HC EVAL PROSTHETIC VOICE ST,608.0,395.2,70.19,595.84,883 CDM,PX-444000004,HC EVAL SPEECH FLUENCY ST,522.0,339.3,130.88,511.56,883 CDM,PX-444000005,HC EVAL SPEECH PRODUCTION ST,376.0,244.4,110.52,368.48,883 CDM,PX-444000006,HC EVAL SPEECH PRODUCTN W LANG ST,448.0,291.2,215.49,434.56,883 CDM,PX-444000007,HC EVAL SPEECH-GEN DEV 1STHR ST,1046.0,679.9,119.77,1014.62,883 CDM,PX-444000008,HC EVAL SWALLOW FBROPT ENDO ST,675.0,438.75,54.46,661.5,884 CDM,PX-444000009,HC EVAL SWALLOW FUNC FLUORO ST,850.0,552.5,90.33,833.0,884 CDM,PX-444000010,HC EVAL SWALLOW FUNC ST,471.0,306.15,57.33,456.87,884 CDM,PX-450000003,HC ANOSCOPY DIAGNOSTIC,697.0,453.05,122.84,697.0,884 CDM,PX-450000013,HC APP SPLINT FINGER STATIC,480.0,312.0,122.84,480.0,884 CDM,PX-450000014,HC APP SPLINT LONG ARM,1740.0,1131.0,150.03,1740.0,884 CDM,PX-450000015,HC APP SPLINT LONG LEG,791.0,514.15,150.03,791.0,884 CDM,PX-450000017,HC APP SPLINT SHORT ARM STATIC,530.0,344.5,122.84,530.0,884 CDM,PX-450000018,HC APP SPLINT SHORT LEG,541.0,351.65,150.03,541.0,884 CDM,PX-450000019,HC ARTERIAL PUNCTURE,383.0,248.95,122.84,383.0,884 CDM,PX-450000020,HC ARTHCS ASP/INJ INT JT WO US,673.0,437.45,283.4,3045.0,884 CDM,PX-450000021,HC ARTHCS ASP/INJ MJR JT WO US,655.0,425.75,283.4,3045.0,884 CDM,PX-450000022,HC ARTHCS ASP/INJ SM JT WO US,678.0,440.7,283.4,3045.0,884 CDM,PX-450000024,HC ARTL CATH/CNULA MONITOR PERC,859.0,558.35,426.92,859.0,880 CDM,PX-450000029,HC AVUL NAIL PLATE SMPL,456.0,296.4,185.24,3045.0,884 CDM,PX-450000030,HC BLEPHAROTOMY DRN ABSC EYELID,1288.0,837.2,293.05,3045.0,884 CDM,PX-450000032,HC BRONCH DX W CELL WASH FLUOR,3944.0,2563.6,1643.33,4396.0,884 CDM,PX-450000037,HC CANALITH REPOSITIONING PROC,132.0,85.8,29.86,132.0,884 CDM,PX-450000039,HC CARDIOVSN ELECT EXTERNAL,2076.0,1349.4,610.23,2076.0,884 CDM,PX-450000043,HC CHANGE CYSTOSTOMY TUBE SIMPLE,667.0,433.55,230.68,3045.0,884 CDM,PX-450000048,HC CLSD TX BIMALOR ANK WO MANIP,3040.0,1976.0,227.74,3045.0,884 CDM,PX-450000049,HC CLSD TX CALCANEAL FX WO MANIP,921.0,598.65,227.74,3045.0,884 CDM,PX-450000050,HC CLSD TX CLAVICLE FX WO MANIP,513.0,333.45,227.74,3045.0,884 CDM,PX-450000051,HC CLSD TX CMC DISLOC W MANIP,818.0,531.7,227.74,3045.0,884 CDM,PX-450000052,HC CLSD TX CRPL FX WO MANIP EA BN,779.0,506.35,227.74,3045.0,884 CDM,PX-450000053,HC CLSD TX CRPL SCPHD FX W MANIP,3739.0,2430.35,1484.62,4396.0,884 CDM,PX-450000054,HC CLSD TX CRPL SCPHD FX WO MANIP,968.0,629.2,227.74,3045.0,884 CDM,PX-450000055,HC CLSD TX DISCL ACROMIOCLAV W MANIP,3322.0,2159.3,227.74,3322.0,884 CDM,PX-450000058,HC CLSD TX DISLOC CLAV WO MANIP,3359.0,2183.35,227.74,3359.0,884 CDM,PX-450000059,HC CLSD TX DISLOC ELBOW W ANES,2273.0,1477.45,488.22,4396.0,856 CDM,PX-450000060,HC CLSD TX DISLOC ELBOW WO ANES,3281.0,2132.65,227.74,3281.0,884 CDM,PX-450000063,HC CLSD TX DISLOC SHLDR W ANES,3442.0,2237.3,1484.62,4396.0,884 CDM,PX-450000065,HC CLSD TX DISLOC SHLDR W NECK FX,4651.0,3023.15,1484.62,4651.0,884 CDM,PX-450000066,HC CLSD TX DISLOC SHLDR WO ANES,769.0,499.85,227.74,3045.0,884 CDM,PX-450000067,HC CLSD TX DISLOC TMJ,3322.0,2159.3,227.74,3322.0,884 CDM,PX-450000068,HC CLSD TX DIST FIB FX W MANIP,3314.0,2154.1,227.74,3314.0,884 CDM,PX-450000069,HC CLSD TX DIST FIB WO MANIP,831.0,540.15,227.74,3045.0,884 CDM,PX-450000070,HC CLSD TX DIST RDL FX W MANIP,3590.0,2333.5,1484.62,4396.0,884 CDM,PX-450000071,HC CLSD TX DIST RDL FX WO MANIP,810.0,526.5,227.74,3045.0,884 CDM,PX-450000072,HC CLSD TX DISTL PHAL FX W MANIP EA,945.0,614.25,227.74,3045.0,884 CDM,PX-450000073,HC CLSD TX DISTL PHAL WO MANIP EA,688.0,447.2,227.74,3045.0,884 CDM,PX-450000075,HC CLSD TX FEM FX DIST WO MANIP,3478.0,2260.7,227.74,3478.0,884 CDM,PX-450000077,HC CLSD TX FEM FX PROX WO MANIP,3178.0,2065.7,227.74,3178.0,884 CDM,PX-450000079,HC CLSD TX FEMORAL FX W MANIP,5527.0,3592.55,1484.62,22248.0,884 CDM,PX-450000081,HC CLSD TX GRT TBERSTY FX WO MANIP,767.0,498.55,227.74,3045.0,884 CDM,PX-450000083,HC CLSD TX GRT TOE FX WO MANIP,638.0,414.7,227.74,3045.0,884 CDM,PX-450000084,HC CLSD TX HIP DISLOC W ANES,4147.0,2695.55,1484.62,4396.0,884 CDM,PX-450000085,HC CLSD TX HIP DISLOC WO ANES,1208.0,785.2,227.74,3045.0,884 CDM,PX-450000086,HC CLSD TX HUM CONDYL FX WO MANIP,3162.0,2055.3,227.74,3162.0,884 CDM,PX-450000089,HC CLSD TX HUM FX W MANIP W/WO TRCTN,4651.0,3023.15,1484.62,4651.0,884 CDM,PX-450000090,HC CLSD TX HUM SHAFT FX WO MANIP,828.0,538.2,227.74,3045.0,884 CDM,PX-450000091,HC CLSD TX I-P DISLOC W ANEST,3210.0,2086.5,258.23,3210.0,884 CDM,PX-450000092,HC CLSD TX I-P DISLOC W MANIP WO ANES,806.0,523.9,227.74,3045.0,884 CDM,PX-450000093,HC CLSD TX I-P DISLOC WO ANEST,3351.0,2178.15,227.74,3351.0,884 CDM,PX-450000096,HC CLSD TX MCP DISLOC W MANIP WO ANS,2940.0,1911.0,227.74,3045.0,884 CDM,PX-450000098,HC CLSD TX MDL MALLEOL W MANIP,4147.0,2695.55,1484.62,4396.0,884 CDM,PX-450000100,HC CLSD TX METATARSAL FX WO MANIP,715.0,464.75,227.74,3045.0,884 CDM,PX-450000102,HC CLSD TX METCARP FX WO MANIP EA BN,747.0,485.55,227.74,3045.0,884 CDM,PX-450000106,HC CLSD TX PATELLA FX WO MANIP,865.0,562.25,227.74,3045.0,884 CDM,PX-450000108,HC CLSD TX PATLLR DISLOC WO ANES,858.0,557.7,227.74,3045.0,884 CDM,PX-450000109,HC CLSD TX PHAL SHFT FX W MANIP EA,3251.0,2113.15,227.74,3251.0,884 CDM,PX-450000110,HC CLSD TX PHAL SHFT FX WO MANIP EA,681.0,442.65,227.74,3045.0,884 CDM,PX-450000111,HC CLSD TX PHALANX FX W MANIP,3145.0,2044.25,227.74,3145.0,884 CDM,PX-450000112,HC CLSD TX PHALANX FX WO MANIP,618.0,401.7,227.74,3045.0,884 CDM,PX-450000116,HC CLSD TX PROX FIBULA WO MANIP,800.0,520.0,227.74,3045.0,884 CDM,PX-450000117,HC CLSD TX PROX HUMRL FX W MANIP,4171.0,2711.15,1484.62,4396.0,884 CDM,PX-450000118,HC CLSD TX PROX HUMRL FX WO MANIP,876.0,569.4,227.74,3045.0,884 CDM,PX-450000119,HC CLSD TX RADL HD/NK FX WO MANIP,759.0,493.35,227.74,3045.0,884 CDM,PX-450000121,HC CLSD TX RDL & ULNAR FX WO MANIP,3052.0,1983.8,227.74,3052.0,884 CDM,PX-450000122,HC CLSD TX SCAPULAR FX W/WO MANIP,3775.0,2453.75,1484.62,4396.0,884 CDM,PX-450000124,HC CLSD TX SUPRA HUM FX W MANIP,6717.0,4366.05,1484.62,6717.0,884 CDM,PX-450000125,HC CLSD TX SUPRA HUM FX WO MANIP,912.0,592.8,227.74,3045.0,884 CDM,PX-450000126,HC CLSD TX TALUS FX WO MANIP,775.0,503.75,227.74,3045.0,884 CDM,PX-450000127,HC CLSD TX TARSAL BN WO MANIP,899.0,584.35,227.74,3045.0,884 CDM,PX-450000130,HC CLSD TX TIB FX WO MANIP,696.0,452.4,227.74,3045.0,884 CDM,PX-450000131,HC CLSD TX TIB SHAFT FX W MANIP,3470.0,2255.5,1484.62,4396.0,884 CDM,PX-450000132,HC CLSD TX TIB SHAFT FX WO MANIP,995.0,646.75,227.74,3045.0,884 CDM,PX-450000134,HC CLSD TX TIB W/WO ANES WO MANIP,4659.0,3028.35,227.74,4659.0,884 CDM,PX-450000135,HC CLSD TX TRIMALOR ANK FX MANIP,4064.0,2641.6,1484.62,4396.0,884 CDM,PX-450000136,HC CLSD TX TRIMALOR ANK WO MANIP,976.0,634.4,227.74,3045.0,884 CDM,PX-450000137,HC CLSD TX ULNAR FX STYLOID,3158.0,2052.7,227.74,3158.0,884 CDM,PX-450000138,HC CLSD TX ULNAR PROX FX WO MANIP,917.0,596.05,227.74,3045.0,884 CDM,PX-450000139,HC CLSD TX ULNAR SHAFT FX WO MANIP,1226.0,796.9,227.74,3045.0,884 CDM,PX-450000143,HC CMPLX RPR EY/NO/E/L 1.1-2.5CM,1369.0,889.85,682.37,3117.0,884 CDM,PX-450000144,HC CMPLX RPR EY/NO/E/L 2.6-7.5CM,1393.0,905.45,682.37,3117.0,884 CDM,PX-450000147,HC CMPLX RPR FACE/AX/EXT 2.6-7.5,1427.0,927.55,375.32,3117.0,884 CDM,PX-450000148,HC CMPLX RPR FACE/AX/EXT ADD 5CM,1259.0,818.35,625.72,1259.0,880 CDM,PX-450000153,HC CMPLX RPR TRUNK 2.6-7.5CM,1417.0,921.05,682.37,3117.0,884 CDM,PX-450000154,HC CMPLX RPR TRUNK EA <=5CM,1561.0,1014.65,775.82,1561.0,880 CDM,PX-450000158,HC CPR,1414.0,919.1,199.36,1414.0,884 CDM,PX-450000160,HC CRITICAL CARE 30-74MIN,3862.0,2510.3,762.65,3862.0,884 CDM,PX-450000162,HC CRITICAL CARE ADD 30MIN,667.0,433.55,331.5,667.0,880 CDM,PX-450000163,HC CTRL NASAL HEMR ANTERIOR CMPLX,608.0,395.2,122.84,608.0,884 CDM,PX-450000164,HC CTRL NASAL HEMR ANTERIOR SMPL,610.0,396.5,122.84,610.0,884 CDM,PX-450000166,HC CTRL NSL HEMR PST PCK/CAUT INIT,538.0,349.7,122.84,538.0,884 CDM,PX-450000167,HC CYSTHRSCPY W CALIB&/DIL URETH,5280.0,3432.0,1930.0,5280.0,884 CDM,PX-450000172,HC DBRD BURN PRTL THCK <5%,755.0,490.75,185.24,3045.0,884 CDM,PX-450000173,HC DBRD BURN PRTL THCK >10%,3331.0,2165.15,375.32,3331.0,884 CDM,PX-450000174,HC DBRD BURN PRTL THCK 5-10%,3162.0,2055.3,185.24,3162.0,884 CDM,PX-450000179,HC DBRD OPN FX SKIN & SUBQ TISS,2493.0,1620.45,653.8,3191.0,884 CDM,PX-450000182,HC DBRD SEL OPN WND<=20SCM,433.0,281.45,185.24,433.0,884 CDM,PX-450000183,HC DBRD SKIN & SUBQ TISS<=20SCM,1852.0,1203.8,375.32,3117.0,884 CDM,PX-450000195,HC DRAIN ABSC EXTERNAL EAR SIMPLE,1514.0,984.1,653.8,3191.0,884 CDM,PX-450000197,HC DRAINAGE SCROTUM ABSCESS,4838.0,3144.7,1524.88,4838.0,884 CDM,PX-450000198,HC DRN ABSC HEMA DENTOAVEOLAR,420.0,273.0,122.84,420.0,884 CDM,PX-450000200,HC DRN MOUTH LESION SMPL,1039.0,675.35,576.65,3191.0,884 CDM,PX-450000203,HC ED VISIT LEVEL 1,416.0,270.4,77.85,416.0,884 CDM,PX-450000205,HC ED VISIT LEVEL 2,718.0,466.7,141.76,994.0,884 CDM,PX-450000207,HC ED VISIT LEVEL 3,1219.0,792.35,252.03,1219.0,884 CDM,PX-450000209,HC ED VISIT LEVEL 4,1978.0,1285.7,385.25,3400.0,884 CDM,PX-450000211,HC ED VISIT LEVEL 5,3048.0,1981.2,549.84,3400.0,884 CDM,PX-450000217,HC EVAC SUBUNGUAL HEMA,366.0,237.9,122.84,366.0,884 CDM,PX-450000224,HC EXCISN INGROWN TOENAIL,2986.0,1940.9,375.32,3117.0,884 CDM,PX-450000225,HC EXCISN NAIL BED PRTL/COMPLT,870.0,565.5,375.32,3117.0,884 CDM,PX-450000231,HC I&D ABSC CMPLX/MULT,1384.0,899.6,375.32,3117.0,884 CDM,PX-450000232,HC I&D ABSC FGR SMPL,3162.0,2055.3,185.24,3162.0,884 CDM,PX-450000233,HC I&D ABSC SMPL/SNGL,1234.0,802.1,185.24,3045.0,884 CDM,PX-450000234,HC I&D ABSCESS PERITONSILLAR,3178.0,2065.7,129.76,3178.0,856 CDM,PX-450000235,HC I&D BARTHOLINS GLAND ABSCESS,825.0,536.25,186.66,3045.0,884 CDM,PX-450000237,HC I&D HEMA/SEROMA/FLUID COLL,4978.0,3235.7,1524.88,4978.0,884 CDM,PX-450000240,HC I&D PERIANAL ABSCESS SUPFCL,2021.0,1313.65,858.61,3191.0,884 CDM,PX-450000241,HC I&D PILONIDAL CYST CMPLX,3061.0,1989.65,173.61,3191.0,856 CDM,PX-450000242,HC I&D PILONIDAL CYST SMPL,1532.0,995.8,653.8,3191.0,884 CDM,PX-450000243,HC I&D RECTAL ABSCESS,2563.0,1665.95,445.37,3260.0,856 CDM,PX-450000245,HC I&D VULVA/PERINEAL ABSCESS,3566.0,2317.9,281.35,3566.0,884 CDM,PX-450000246,HC I&D WND POSTOP CMPLX,9431.0,6130.15,2681.85,9431.0,884 CDM,PX-450000247,HC INCISN THROMB HEMM EXTRNL,3493.0,2270.45,230.68,3493.0,884 CDM,PX-450000248,HC INCISN/RMVL FB SUBQ CMPLX,4259.0,2768.35,1524.88,4396.0,884 CDM,PX-450000249,HC INCISN/RMVL FB SUBQ SMPL,1592.0,1034.8,375.32,3117.0,884 CDM,PX-450000252,HC INJ ANES FEM NERVE W GUIDANCE,1540.0,1001.0,651.72,3191.0,884 CDM,PX-450000255,HC INJ ANES OTHER PERIPHERAL NRV,1631.0,1060.15,651.72,3191.0,884 CDM,PX-450000257,HC INJ ANES TRIGEMINAL NRV,676.0,439.4,283.4,3045.0,884 CDM,PX-450000258,HC INJ EPI BLD/CLOT PATCH,1697.0,1103.05,651.72,3191.0,884 CDM,PX-450000261,HC INJ SNGL TNDN/SHTH/LGMNT,3493.0,2270.45,283.4,3493.0,884 CDM,PX-450000263,HC INJ TRIGGER PNT<=2 MUS,712.0,462.8,283.4,3045.0,884 CDM,PX-450000265,HC INS NON-INDWELLING BLAD CATH,278.0,180.7,122.84,278.0,884 CDM,PX-450000266,HC INS NON-TUN CVC >5YR,7262.0,4720.3,2915.22,8220.0,884 CDM,PX-450000269,HC INS TEMP INDW BLAD CATH SMPL,504.0,327.6,122.84,504.0,884 CDM,PX-450000270,HC INS TEMP INDWL BLAD CATH COMPL,578.0,375.7,118.8,578.0,884 CDM,PX-450000271,HC INS TUBE THORACOSTOMY,3480.0,2262.0,1453.38,4396.0,884 CDM,PX-450000275,HC INT F/E/EY/NO/L/M 2.6-5,891.0,579.15,375.32,3117.0,884 CDM,PX-450000276,HC INT RPR F/E/EY/NO/L/M <=2.5,880.0,572.0,375.32,3117.0,884 CDM,PX-450000279,HC INT RPR F/E/EY/NO/L/M 5.1-7.5,918.0,596.7,375.32,3117.0,884 CDM,PX-450000281,HC INT RPR NK/HND/FT/EXG <=2.5,854.0,555.1,375.32,3117.0,884 CDM,PX-450000282,HC INT RPR NK/HND/FT/EXG 12.6-20,3577.0,2325.05,682.37,3577.0,884 CDM,PX-450000283,HC INT RPR NK/HND/FT/EXG 2.6-7.5,923.0,599.95,375.32,3117.0,884 CDM,PX-450000284,HC INT RPR NK/HND/FT/EXG 7.6-12.5,1394.0,906.1,682.37,3117.0,884 CDM,PX-450000285,HC INT RPR SCLP/AX/TR/EXT <=2.5,893.0,580.45,375.32,3117.0,884 CDM,PX-450000286,HC INT RPR SCLP/AX/TR/EXT >30.0,7638.0,4964.7,1904.97,7638.0,884 CDM,PX-450000287,HC INT RPR SCLP/AX/TR/EXT 12.6-20,943.0,612.95,375.32,3117.0,884 CDM,PX-450000288,HC INT RPR SCLP/AX/TR/EXT 2.6-7.5,913.0,593.45,375.32,3117.0,884 CDM,PX-450000290,HC INT RPR SCLP/AX/TR/EXT 7.6-12.5,922.0,599.3,375.32,3117.0,884 CDM,PX-450000292,HC INTRO NDL/CATH VEIN,280.0,182.0,139.16,280.0,880 CDM,PX-450000293,HC INTUB W ETT,555.0,360.75,218.68,3045.0,884 CDM,PX-450000294,HC INTUB&ASP/LAVAGE GASTRIC THER,3162.0,2055.3,199.36,3162.0,884 CDM,PX-450000295,HC IRRI BLAD SMPL LAVAGE&/INSTILL,912.0,592.8,230.68,3045.0,884 CDM,PX-450000296,HC IRRIG CORP CAVERNOSA PRIAPISM,3162.0,2055.3,230.68,3162.0,884 CDM,PX-450000299,HC LARYNG FLEX FBROPTIC RMVL FB,1485.0,965.25,824.18,3117.0,880 CDM,PX-450000300,HC LARYNG FLEX FIBEROPTIC DX,436.0,283.4,184.29,3045.0,884 CDM,PX-450000306,HC MEAS PST VOID RESID US NON IMG,312.0,202.8,54.47,312.0,884 CDM,PX-450000313,HC NASAL ENDOSCOPY DX UNI/BILAT,651.0,423.15,184.29,3045.0,884 CDM,PX-450000314,HC NASOPHARYNGOSCOPY W ENDO,616.0,400.4,184.29,616.0,884 CDM,PX-450000315,HC NDL ASP ABSC/HEMA/BULLA/CYST,914.0,594.1,375.32,3117.0,884 CDM,PX-450000322,HC PARACENTESIS ABD W IMG,2154.0,1400.1,837.4,3191.0,884 CDM,PX-450000323,HC PARACENTESIS ABD WO IMG,2066.0,1342.9,837.4,3191.0,884 CDM,PX-450000327,HC PLC NEEDLE INTRAOSSEUS INF,1045.0,679.25,412.45,3117.0,884 CDM,PX-450000329,HC PLC TUBE NASAL/OROGAST W FLUOR,879.0,571.35,412.45,3117.0,884 CDM,PX-450000330,HC PLEURA DRAIN PERC WO IMG GUID,4179.0,2716.35,1771.68,5243.0,884 CDM,PX-450000331,HC PUNCTURE SPINAL LUMBAR DX,1568.0,1019.2,651.72,3191.0,884 CDM,PX-450000332,HC PUNCTURE SPINAL THER DRN CSF,1572.0,1021.8,651.72,3191.0,884 CDM,PX-450000335,HC REMOVAL FB CORNEA W SLIT LAMP,537.0,349.05,122.84,537.0,884 CDM,PX-450000336,HC REMOVAL FB CORNEA WO SLIT LAMP,3204.0,2082.6,412.45,3204.0,884 CDM,PX-450000340,HC RMVL FB EAR CANAL EXTRNL,457.0,297.05,122.84,457.0,884 CDM,PX-450000341,HC RMVL FB EYE SUBCONJUNCT,2891.0,1879.15,412.45,3117.0,884 CDM,PX-450000342,HC RMVL FB EYE SUPFCL,431.0,280.15,122.84,431.0,884 CDM,PX-450000343,HC RMVL FB FT SUBCUTANEOUS,2106.0,1368.9,653.8,3191.0,884 CDM,PX-450000344,HC RMVL FB INTRANASAL OFFICE PROC,460.0,299.0,122.84,460.0,884 CDM,PX-450000347,HC RMVL IMPACT CERUMEN W/INSTRUMENT UNILAT,221.0,143.65,54.47,221.0,884 CDM,PX-450000355,HC RPLC DUOD/JEJ TUBE PERC,2159.0,1403.35,837.4,3191.0,884 CDM,PX-450000359,HC RPR LAC <=2.5CM ANTR 2/3 TNG,3577.0,2325.05,412.45,3577.0,884 CDM,PX-450000362,HC RPR LIP F THICK >HALF VERTC HT,4201.0,2730.65,1432.54,4396.0,884 CDM,PX-450000363,HC RPR LIP FULL THICK VERMIL ONLY,2274.0,1478.1,497.95,3117.0,884 CDM,PX-450000364,HC RPR NAIL BED,2099.0,1364.35,682.37,3117.0,884 CDM,PX-450000373,HC SMPL RPR F/E/EY/N/L/M 12.6-20CM,992.0,644.8,375.32,3117.0,884 CDM,PX-450000374,HC SMPL RPR F/E/EY/N/L/M 7.6-12.5CM,3246.0,2109.9,185.24,3246.0,884 CDM,PX-450000375,HC SMPL RPR F/E/EY/NO/L/M 2.6-5CM,1038.0,674.7,185.24,3045.0,884 CDM,PX-450000376,HC SMPL RPR F/E/EY/NO/L/M 5.1-7.5CM,619.0,402.35,185.24,3045.0,884 CDM,PX-450000377,HC SMPL RPR F/E/EY/NO/L/M<=2.5CM,734.0,477.1,185.24,3045.0,884 CDM,PX-450000378,HC SMPL RPR S/N/TR/EXT 7.6-12.5CM,671.0,436.15,185.24,3045.0,884 CDM,PX-450000379,HC SMPL RPR S/NK/TR/EXT <=2.5CM,595.0,386.75,185.24,3045.0,884 CDM,PX-450000380,HC SMPL RPR S/NK/TR/EXT 12.6-20CM,860.0,559.0,375.32,3117.0,884 CDM,PX-450000381,HC SMPL RPR S/NK/TR/EXT 20.1-30CM,3937.0,2559.05,375.32,3937.0,884 CDM,PX-450000382,HC SMPL RPR SCLP/NK/TR/EXT >30CM,2829.0,1838.85,185.24,3045.0,884 CDM,PX-450000383,HC SMPL S/NK/TR/EXT 2.6-7.5CM,653.0,424.45,185.24,3045.0,884 CDM,PX-450000390,HC THORACENTESIS PLEURA W IMG,1429.0,928.85,579.17,3117.0,884 CDM,PX-450000391,HC THORACENTESIS PLEURA WO IMG,1397.0,908.05,579.17,3117.0,884 CDM,PX-450000392,HC THROMBOLYSIS CEREBRAL INFUS,3177.0,2065.05,304.96,3177.0,884 CDM,PX-450000393,HC TRACHEOBRONCH EST TRACH INC,1112.0,722.8,497.95,3117.0,884 CDM,PX-450000394,HC TRACHEOSTOMY EMR CRICOTHYROID,839.0,545.35,218.68,3045.0,884 CDM,PX-450000395,HC TRACHEOTOMY TUBE CHANGE,939.0,610.35,218.68,3045.0,884 CDM,PX-450000397,HC TX BURN 1ST DEGREE INIT,3180.0,2067.0,185.24,3180.0,884 CDM,PX-450000398,HC TX ELBOW NURSEMAID FX W MANIP,3281.0,2132.65,227.74,3281.0,884 CDM,PX-450000400,HC TX I-P DISLOC W MANIP W ANES,3943.0,2562.95,258.23,3943.0,884 CDM,PX-450000401,HC TX POST HIP ARTHR DISLOC ANES,3308.0,2150.2,1484.62,4396.0,884 CDM,PX-450000403,HC TX RADIAL SHAFT FX WO MANIP,883.0,573.95,227.74,3045.0,884 CDM,PX-450000404,HC TX WND DEHIS SMPL,3299.0,2144.35,682.37,3299.0,884 CDM,PX-450000414,HC VENI >=3 YR W MD,300.0,195.0,149.1,300.0,880 CDM,PX-450000423,HC RMVL IMPACT CERUMEN IRRIG UNILAT,257.0,167.05,54.47,257.0,884 CDM,PX-450000425,HC TX INHAL AERO SPUTUM,452.0,293.8,202.18,452.0,884 CDM,PX-450000433,HC CLSD TX MANDIB FX WO MANIP,3299.0,2144.35,497.95,3299.0,884 CDM,PX-450000434,HC CLSD TX SCAPULAR FX WO MANIP,765.0,497.25,227.74,3045.0,884 CDM,PX-450000435,HC CLSD TX HUM EPICNDY FX WO MANIP,2855.0,1855.75,227.74,3045.0,884 CDM,PX-450000448,HC CLSD TX ULNAR HCOX FX W MANIP,5355.0,3480.75,1484.62,5355.0,884 CDM,PX-450000450,HC I&D ABSC FINGER COMPLICATED,5056.0,3286.4,1524.88,5056.0,884 CDM,PX-450000454,HC TX PERC FGR PROX/MID W MANIP EA,7028.0,4568.2,3020.95,13605.0,884 CDM,PX-450000459,HC CLSD TX FEMORAL FX WO MANIP,7741.0,5031.65,1484.62,7741.0,884 CDM,PX-450000461,HC CLSD TX FEMORAL SHAFT WO MANIP,2771.0,1801.15,227.74,3045.0,884 CDM,PX-450000482,HC US GUIDE VASC ACCESS,492.0,319.8,244.52,492.0,880 CDM,PX-450000495,HC IV INF THER CONCURR (MAX 1),348.0,226.2,172.96,348.0,880 CDM,PX-450000496,HC INJ THER SUBQ/IM,223.0,144.95,66.48,223.0,885 CDM,PX-450000512,HC INJ TRIGGER PNT >=3 MUS,1781.0,1157.65,283.4,3045.0,884 CDM,PX-450000515,HC CLSD TX TIB FX W/WO MANIP,15608.0,10145.2,3020.95,15608.0,884 CDM,PX-450000518,HC ARTHCS ASP/INJ MJR JT W US,697.0,453.05,283.4,3045.0,884 CDM,PX-450000519,HC INJ CORPCAV W PHARM AGENT,3493.0,2270.45,230.68,3493.0,884 CDM,PX-450000559,HC INJ THER IV PUSH SNGL INITIAL,500.0,325.0,196.38,500.0,884 CDM,PX-450000560,HC IV INF HYDRAT EA ADD HR,218.0,141.7,43.23,218.0,885 CDM,PX-450000561,HC IV INF HYDRAT INIT 31MIN-1HR,539.0,350.35,196.38,539.0,884 CDM,PX-450000562,HC IV INF THER ADD SEQ NEW 1ST HR,213.0,138.45,66.48,213.0,884 CDM,PX-450000563,HC IV INF THER EA ADD HR,227.0,147.55,43.23,227.0,884 CDM,PX-450000564,HC IV INF THER INIT 1ST HR,655.0,425.75,196.38,655.0,885 CDM,PX-450000565,HC IV PUSH EA ADD SEQ DRUG,222.0,144.3,110.33,222.0,880 CDM,PX-450000566,HC IV PUSH EA ADD SEQ NEW DRUG,274.0,178.1,43.23,274.0,885 CDM,PX-450000583,HC RPR LIP F THICK 6YR W/O CONG,4827.0,3137.55,230.29,14881.0,884 CDM,PX-481000210,HC PERI DRAIN W FLUOR/US GUIDE CONG,3727.0,2422.55,271.39,14881.0,884 CDM,PX-481000212,"HC TRNSCTH TRICUSP VLV REPAIR, INIT",17225.0,11196.25,9559.88,17225.0,880 CDM,PX-481000213,"HC TRNSCTH TRICUS VLV REP, EA ADDL",2699.0,1754.35,1497.95,14881.0,880 CDM,PX-481000219,HC REVASC INTRAVASC LITHOTRIPSY,13194.0,8576.1,7322.67,14881.0,884 CDM,PX-481000224,HC TIS CGEN CAR ANOMAL 1ST SHNT,25524.0,16590.6,1002.49,24758.28,884 CDM,PX-481000226,HC PTA PULMONARY ARTY ADD VSSL,7030.0,4569.5,3901.65,16155.0,880 CDM,PX-481000230,HC TCAT RMVL/DBLK ICAR MAS PERQ,22165.0,14407.25,5254.87,21500.05,884 CDM,PX-481000232,HC TTVI/RPLCMT W/PRSTC VLV PERQ,13945.0,9064.25,7739.48,14881.0,880 CDM,PX-481000234,HC R HRT CATH CHD NML NT CNJ,12029.0,7818.85,2993.19,14881.0,884 CDM,PX-481000235,HC R HRT CATH CHD ABNL NT CNJ,11804.0,7672.6,2993.19,14881.0,884 CDM,PX-481000237,HC R&L HRT CATH CHD NML NT CNJ,11483.0,7463.95,2993.19,14881.0,884 CDM,PX-481000238,HC R&L HRT CATH CHD ABNL NT CNJ,11043.0,7177.95,2993.19,14881.0,884 CDM,PX-481000239,HC CAR OUTP MEAS DRG CATH CHD,3054.0,1985.1,1694.97,14881.0,880 CDM,PX-481000240,HC TCAT PLMT&RMVL CEPD PERQ,1530.0,994.5,849.15,14881.0,880 CDM,PX-481000247,HC NJX CTH SLCT P-ART ANGRP UNI,1473.0,957.45,817.52,14881.0,880 CDM,PX-481000248,HC NJX CATH SLCT P-ART ANGRP BI,1492.0,969.8,828.06,14881.0,880 CDM,PX-481000249,HC NJX CATH SLCT PULM VN ANGRPH,1359.0,883.35,754.25,14881.0,880 CDM,PX-481000251,HC INTRVAS DPLR ANGIO INIT IFR,5821.0,3783.65,118.8,14881.0,884 CDM,PX-481000277,HC PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL,62385.0,40550.25,13392.0,60513.45,884 CDM,PX-481000287,HC PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY,3231.0,2100.15,1793.21,14881.0,880 CDM,PX-481000295,HC PRQ TCAT THER RX NTRAC BALO1,22638.0,14714.7,10658.45,21958.86,884 CDM,PX-481000296,HC PRQ TCAT THR RX NTRC BAL SEP,16234.0,10552.1,9009.87,15746.98,880 CDM,PX-481000400,HC INTRAVASC US NONCORONARY ADD VSL,11018.0,7161.7,6114.99,14881.0,880 CDM,PX-481000418,HC PERQ TCAT PLMT NTRAC ST 2+LES 2+ST 2+C SEGMENTS,76573.0,49772.45,13392.0,76573.0,884 CDM,PX-481000422,HC SEL CATH PLC VEN SYS 1ST ORDER,7731.0,5025.15,4290.71,14881.0,880 CDM,PX-481000423,HC VENO RENAL UNILAT SEL S&I,16859.0,10958.35,2915.22,16353.23,884 CDM,PX-481000429,HC VENOGRAPHY EXT BILAT S&I,16415.0,10669.75,1453.38,15922.55,884 CDM,PX-481000432,HC SEL CATH PLC VEN SYS 2ND ORDER,11572.0,7521.8,6422.46,14881.0,880 CDM,PX-481000441,HC ANGIO PULMONARY NONSEL S&I,16415.0,10669.75,9110.33,15922.55,880 CDM,PX-482000003,HC ERGONOVINE PROVOCATION TEST,1083.0,703.95,412.45,4677.0,884 CDM,PX-482000004,HC CV STRESS TEST TRACE ONLY,1381.0,897.65,199.36,4677.0,884 CDM,PX-483000001,HC ECHO 2D CONG CARD COMPLT W CNTST,2909.0,1890.85,504.49,4677.0,884 CDM,PX-483000002,HC ECHO 2D CONG CARD LTD W CNTRST,2748.0,1786.2,504.49,4677.0,884 CDM,PX-483000012,HC ECHO TEE,1610.0,1046.5,893.55,4677.0,880 CDM,PX-483000014,HC ECHO TTE STRESS W CONT ECG,1461.0,949.65,504.49,4677.0,884 CDM,PX-483000016,HC ECHO TTE W CONT ECG W CNTRST,2942.0,1912.3,504.49,4677.0,884 CDM,PX-483000017,HC ECHO TEE WO/W CNTRST CONGNTAL,2873.0,1867.45,504.49,4677.0,884 CDM,PX-483000027,HC ECHO TTE 2D FU/LIMITED,1056.0,686.4,220.29,4677.0,884 CDM,PX-483000033,HC 3D ECHO IMG CGEN CAR ANOMAL,436.0,283.4,241.98,4677.0,880 CDM,PX-490000000,HC PATIENT DOC NOT EXP FALL,1.0,0.65,0.5,1.0,880 CDM,PX-490000001,HC PATIENT WO IV ANTIBIO ORDER,1.0,0.65,0.5,1.0,880 CDM,PX-510000324,HC DEST PLANTAR DIGITAL NERVE,3322.0,2159.3,283.4,3222.34,884 CDM,PX-510000655,HC OFFICE CONSULT LEVEL 2,631.0,410.15,122.92,618.38,883 CDM,PX-510000656,HC OFFICE CONSULT LEVEL 3,637.0,414.05,122.92,617.89,883 CDM,PX-510000657,HC OFFICE CONSULT LEVEL 4,763.0,495.95,122.92,740.11,883 CDM,PX-510000658,HC OFFICE CONSULT LEVEL 5,1015.0,659.75,122.92,984.55,883 CDM,PX-510000701,HC POSTOPERATIVE FOLLOW-UP VISIT,475.0,308.75,122.92,460.75,883 CDM,PX-510000893,HC VISIT EST PATIENT LEVEL 1,218.0,141.7,7.79,211.46,884 CDM,PX-510000894,HC VISIT EST PATIENT LEVEL 2,224.0,145.6,31.82,217.28,885 CDM,PX-510000895,HC VISIT EST PATIENT LEVEL 3,250.0,162.5,58.48,242.5,884 CDM,PX-510000896,HC VISIT EST PATIENT LEVEL 4,416.0,270.4,86.17,403.52,885 CDM,PX-510000897,HC VISIT EST PATIENT LEVEL 5,559.0,363.35,122.92,542.23,884 CDM,PX-510000899,HC VISIT NEW PATIENT LEVEL 2,303.0,196.95,41.92,296.94,884 CDM,PX-510000900,HC VISIT NEW PATIENT LEVEL 3,366.0,237.9,73.61,355.02,884 CDM,PX-510000901,HC VISIT NEW PATIENT LEVEL 4,501.0,325.65,119.97,485.97,884 CDM,PX-510000902,HC VISIT NEW PATIENT LEVEL 5,650.0,422.5,122.92,630.5,884 CDM,PX-510002061,HC DX BONE MARROW BX & ASPIR,6131.0,3985.15,2681.85,8220.0,884 CDM,PX-510002229,HC CONNECTED CARE- REMOTE MONITORING INITIAL SET UP EDUCATION,62.0,40.3,30.81,141.36,884 CDM,PX-510002230,HC CONNECTED CARE- REMOTE MONITORING DAILY RECORDING,191.0,124.15,34.46,187.18,884 CDM,PX-510002233,"HC CONNECTED CARE- REMOTE MONITORING INTERACTIVE COMMUNICATION, FIRST 20 MIN",154.0,100.1,26.85,150.92,884 CDM,PX-510002234,"HC CONNECTED CARE- REMOTE MONITORING INTRATV COMMUNICATION, ADDL 20 MIN",129.0,83.85,26.85,126.42,884 CDM,PX-510002372,HC REMOTE MONITORING DAILY RECORDING 2-15 DAYS,191.0,124.15,34.46,191.0,884 CDM,PX-510002373,"HC REMOTE MONITORING INTERACTIVE COMMUNICATION, FIRST 10 MIN",75.0,48.75,13.59,75.0,856 CDM,PX-511000014,HC PAIN REHAB CTR FULL DAY,229.0,148.85,113.81,222.13,881 CDM,PX-511000015,HC PAIN REHAB CTR HALF DAY,220.0,143.0,109.34,213.4,881 CDM,PX-511000016,HC HLTH BHV IVNTJ GRP EA ADDL 15,130.0,84.5,64.61,126.1,880 CDM,PX-610000007,HC MRI GUIDE/MONITOR TISS ABLATE,7320.0,4758.0,4062.6,7100.4,880 CDM,PX-610000030,HC CAD BREAST MRI,1.0,0.65,0.56,5278.0,880 CDM,PX-611000005,HC MRI BRAIN WO CNTRST,1986.0,1290.9,220.29,5278.0,884 CDM,PX-611000007,HC MRI FUNCT BRAIN NOT REQ MD,3347.0,2175.55,220.29,5278.0,884 CDM,PX-612000014,HC MR THORAC SPINE LTD WO CNTRST,1034.0,672.1,220.29,5278.0,884 CDM,PX-614000007,HC MRI ABDOMEN WO/W CNTRST,5164.0,3356.6,322.11,5278.0,884 CDM,PX-614000012,HC MRI CHEST W CNTRST,6055.0,3935.75,723.77,5873.35,884 CDM,PX-614000013,HC MRI CHEST WO CNTRST,2693.0,1750.45,220.29,5278.0,884 CDM,PX-614000019,HC MRI LWR EXT NONJNT WO CNTRST,1929.0,1253.85,220.29,5278.0,884 CDM,PX-614000021,HC MRI ORBIT/FACE/NCK W CNTRST,3306.0,2148.9,322.11,5278.0,884 CDM,PX-614000027,HC MRI TMJ,3207.0,2084.55,220.29,5278.0,884 CDM,PX-614000038,HC MRI BREAST UNILAT WO/W CNTRST,2177.0,1415.05,227.26,5278.0,884 CDM,PX-614000040,HC MRI BREAST BILAT WO/W CNTRST,4603.0,2991.95,224.07,5278.0,884 CDM,PX-615000001,HC MRA HEAD W CNTRST,7105.0,4618.25,322.11,6891.85,884 CDM,PX-615000002,HC MRA HEAD WO CNTRST,1958.0,1272.7,220.29,5278.0,884 CDM,PX-615000003,HC MRA HEAD WO/W CNTRST,4136.0,2688.4,322.11,5278.0,884 CDM,PX-615000006,HC MRA NECK WO/W CNTRST,4283.0,2783.95,322.11,5278.0,884 CDM,PX-618000009,HC MRA PELVIS WO/W CNTRST,2201.0,1430.65,243.73,5278.0,884 CDM,PX-618000016,HC MRA SPINE W CNTRST,4040.0,2626.0,244.37,5278.0,884 CDM,PX-636000002,HC NITRIC OXIDE PER HOUR,206.0,133.9,102.38,199.82,880 CDM,PX-636000313,HC I125 SEED 2301 1.0-2.0 MCI EA,572.0,371.8,174.06,554.84,884 CDM,PX-636000378,"HC BRACHYTX, NON-STR,HDR IR-192",1250.0,812.5,357.49,1212.5,884 CDM,PX-710000000,HC PACU LEVEL 1,446.0,289.9,221.66,446.0,880 CDM,PX-710000001,HC PACU LEVEL 2,908.0,590.2,451.28,908.0,880 CDM,PX-710000002,HC PACU LEVEL 3,1133.0,736.45,563.1,1133.0,880 CDM,PX-710000003,HC PACU LEVEL 4,1285.0,835.25,638.65,1285.0,880 CDM,PX-710000004,HC PACU LEVEL 5,1505.0,978.25,747.99,1505.0,880 CDM,PX-710000005,HC PACU LEVEL 1 EA 15 MIN,216.0,140.4,107.35,216.0,880 CDM,PX-710000006,HC PACU LEVEL 2 EA 15 MIN,227.0,147.55,112.82,227.0,880 CDM,PX-710000007,HC PACU LEVEL 3 EA 15 MIN,228.0,148.2,113.32,228.0,880 CDM,PX-710000008,HC PACU LEVEL 4 EA 15 MIN,234.0,152.1,116.3,234.0,880 CDM,PX-710000009,HC PACU LEVEL 5 EA 15 MIN,238.0,154.7,118.29,238.0,880 CDM,PX-730000002,HC EKG RHYTHM 1-3 LEAD TRACE ONLY,193.0,125.45,54.47,357.0,884 CDM,PX-730000005,HC EKG 12 LEAD TRACE ONLY,325.0,211.25,54.47,357.0,884 CDM,PX-731000000,HC EVENT MONITOR 30DAY RECORDING,335.0,217.75,34.46,440.0,884 CDM,PX-731000001,HC EVENT MONITR 30DAY TRANS/ANLYS,2040.0,1326.0,87.78,1978.8,884 CDM,PX-731000004,HC HOLTER MONITR<=48HRS RECORDING,367.0,238.55,122.84,440.0,885 CDM,PX-731000005,HC HOLTER MONITR<=48HRS SCN/REPRT,447.0,290.55,54.47,440.0,885 CDM,PX-731000008,HC LT CONT REC>48 HR & <= 7 DY REC,674.0,438.1,34.49,674.0,884 CDM,PX-731000009,HC LT CONT REC>48 HR&<=7 DY SCR/RPT,2080.0,1352.0,122.84,2080.0,884 CDM,PX-731000010,HC LT CONT REC>7 DY & <= 15 DY REC,659.0,428.35,34.49,659.0,884 CDM,PX-732000001,HC REMOTE 30 DAY ECG TECH SUPP,5078.0,3300.7,344.53,4925.66,885 CDM,PX-740000001,HC EEG COMA/SLEEP,2019.0,1312.35,199.36,1958.43,884 CDM,PX-740000003,HC EEG EXTEND MONITOR >60MIN,3060.0,1989.0,199.36,2968.2,884 CDM,PX-740000004,HC EEG EXTEND MONITOR 41-60MIN,1620.0,1053.0,199.36,1571.4,884 CDM,PX-740000005,HC EEG INCL AWAKE & ASLEEP,1821.0,1183.65,199.36,1766.37,884 CDM,PX-740000006,HC EEG INCL AWAKE & DROWSY,1608.0,1045.2,199.36,1559.76,884 CDM,PX-740000010,HC ELECTROCORTICOGRAM AT SURGERY,921.0,598.65,511.16,921.0,880 CDM,PX-740000011,HC MAPPING CORTICAL EA ADD HR,3155.0,2050.75,586.0,3060.35,880 CDM,PX-740000012,HC MAPPING CORTICAL INITIAL HR,2241.0,1456.65,586.0,2173.77,884 CDM,PX-740000014,HC WADA ACTIVATION TEST W EEG,3348.0,2176.2,586.0,3247.56,884 CDM,PX-740000019,HC LONG TERM EEG SET UP,1013.0,658.45,199.36,982.61,884 CDM,PX-740000020,HC EEG 2-12 HOURS WITHOUT VIDEO UNMONITORED,665.0,432.25,199.36,652.0,884 CDM,PX-740000023,HC EEG 12-26 HOURS WITHOUT VIDEO UNMONITORED,1637.0,1064.05,344.53,1587.89,884 CDM,PX-740000026,HC VEEG 2-12 HOURS WITH VIDEO UNMONITORED,1419.0,922.35,199.36,1376.43,884 CDM,PX-740000028,HC VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING,4989.0,3242.85,344.53,4839.33,884 CDM,PX-740000029,HC VEEG 12-26 HOURS WITH VIDEO UNMONITORED,2094.0,1361.1,344.53,2031.18,884 CDM,PX-740000030,HC VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR,3420.0,2223.0,344.53,3317.4,884 CDM,PX-740000031,HC VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR,5330.0,3464.5,586.0,5170.1,884 CDM,PX-740000033,HC VEEG BY TECH 2-12 HR INTERMITTENT MONITORING,3175.0,2063.75,344.53,3079.75,884 CDM,PX-750000002,HC ANOSCOPY W BX SINGLE/MULTIPLE,4076.0,2649.4,1104.83,3953.72,884 CDM,PX-750000008,HC CANCER SCREEN FLEX SIG,3122.0,2029.3,858.61,3028.34,884 CDM,PX-750000009,HC CAPSULE ENDO INTRALUMINAL,4380.0,2847.0,837.4,4292.4,884 CDM,PX-750000013,HC COLONOSCOPY DIAGNOSTIC,3332.0,2165.8,858.61,3232.04,885 CDM,PX-750000014,HC COLONOSCOPY FLEX STENT PLC,21921.0,14248.65,5605.1,21482.58,884 CDM,PX-750000015,HC COLONOSCOPY SCREEN NOT HI RI,3426.0,2226.9,858.61,3323.22,884 CDM,PX-750000016,HC COLONOSCOPY SCREENING HI RI,3329.0,2163.85,858.61,3229.13,884 CDM,PX-750000017,HC COLONOSCOPY STOMA ABLATION,4076.0,2649.4,1104.83,4076.0,884 CDM,PX-750000018,HC COLONOSCOPY STOMA BX SNGL/MULT,3340.0,2171.0,1104.83,3260.0,884 CDM,PX-750000019,HC COLONOSCOPY STOMA DX,3422.0,2224.3,858.61,3319.34,884 CDM,PX-750000020,HC COLONOSCOPY STOMA EMR,3778.0,2455.7,1104.83,3664.66,884 CDM,PX-750000021,HC COLONOSCOPY STOMA INJ SUBMUC,6709.0,4360.85,1104.83,6507.73,884 CDM,PX-750000022,HC COLONOSCOPY STOMA W BAL DIL,4546.0,2954.9,1104.83,4409.62,884 CDM,PX-750000023,HC COLONOSCOPY STOMA W CTRL BLEED,9132.0,5935.8,1104.83,9132.0,884 CDM,PX-750000025,HC COLONOSCOPY STOMA W US NDL BX,7412.0,4817.8,1104.83,7189.64,884 CDM,PX-750000026,HC COLONOSCOPY W BALN DIL,3668.0,2384.2,1104.83,3557.96,884 CDM,PX-750000027,HC COLONOSCOPY W BAND LIG,2777.0,1805.05,1104.83,3260.0,884 CDM,PX-750000028,HC COLONOSCOPY W BIOPSY,3582.0,2328.3,1104.83,3474.54,885 CDM,PX-750000029,HC COLONOSCOPY W CTRL BLEED,3276.0,2129.4,1104.83,3260.0,884 CDM,PX-750000030,HC COLONOSCOPY W DECOMPRESSION,2883.0,1873.95,1104.83,3260.0,884 CDM,PX-750000031,HC COLONOSCOPY W EMR,6045.0,3929.25,2562.69,5863.65,884 CDM,PX-750000032,HC COLONOSCOPY W EUS EXAM,3232.0,2100.8,1104.83,3260.0,884 CDM,PX-750000034,HC COLONOSCOPY W RMVL FB,3610.0,2346.5,1104.83,3501.7,884 CDM,PX-750000035,HC COLONOSCOPY W RMVL LESN SNARE,3527.0,2292.55,1104.83,3421.19,884 CDM,PX-750000036,HC COLONOSCOPY W RMVL SNARE,3522.0,2289.3,1104.83,3416.34,884 CDM,PX-750000037,HC COLONOSCOPY W RMVL TMR HOT BX,3044.0,1978.6,1104.83,3260.0,884 CDM,PX-750000039,HC COLONOSCOPY W SUBMUC INJ,3374.0,2193.1,1104.83,3272.78,884 CDM,PX-750000040,HC COLONOSCOPY W TMR ABLATE,3178.0,2065.7,1104.83,3260.0,884 CDM,PX-750000041,HC COLONOSCOPY W TRANS EUS FNA/BX,3686.0,2395.9,1104.83,3612.28,884 CDM,PX-750000042,HC COLONOSCOPY W US EXAM,6983.0,4538.95,1104.83,6773.51,884 CDM,PX-750000045,HC CONVERSION TO GASTRO-JEJ TUBE,4313.0,2803.45,1771.68,5243.0,884 CDM,PX-750000050,HC DIL ESOPHAGUS UNGUIDED SOUND,5189.0,3372.85,837.4,5189.0,884 CDM,PX-750000051,HC DILATION ESOPHAGUS GUIDE WIRE,6384.0,4149.6,1771.68,6192.48,884 CDM,PX-750000055,HC EGD W DIRECT SUBMUCOSAL INJ,3533.0,2296.45,837.4,3427.01,884 CDM,PX-750000056,HC EGD BALN DILATION ESOPH <30MM,4296.0,2792.4,1771.68,5243.0,884 CDM,PX-750000057,HC EGD BAND LIGATION VARICIES,4235.0,2752.75,1771.68,5243.0,884 CDM,PX-750000058,HC EGD CTRL BLEED ANY,4179.0,2716.35,1771.68,5243.0,884 CDM,PX-750000059,HC EGD DILATION GASTR/DUOD STRICT,4235.0,2752.75,1771.68,5243.0,884 CDM,PX-750000060,HC EGD DX W RMVL HOT BX,7294.0,4741.1,1771.68,7075.18,884 CDM,PX-750000061,HC EGD FLEX RMVL FB,3475.0,2258.75,837.4,3370.75,884 CDM,PX-750000063,HC EGD INSERT GUIDE WIRE,3119.0,2027.35,837.4,3191.0,884 CDM,PX-750000064,HC EGD INTRALUMINAL TUBE/CATH INS,4207.0,2734.55,1771.68,5243.0,884 CDM,PX-750000065,HC EGD PERC PLC GASTROTOMY TUBE,4179.0,2716.35,1771.68,5243.0,884 CDM,PX-750000066,HC EGD TRANSORAL DX,3548.0,2306.2,837.4,3441.56,884 CDM,PX-750000067,HC EGD W BALN DIL > 30MM,4207.0,2734.55,1771.68,5243.0,884 CDM,PX-750000068,HC EGD W BIOPSY SNGL/MULT,3548.0,2306.2,837.4,3441.56,885 CDM,PX-750000069,HC EGD W EMR,4179.0,2716.35,1771.68,5243.0,884 CDM,PX-750000071,HC EGD W EUS FNA BX,6656.0,4326.4,1771.68,6456.32,884 CDM,PX-750000072,HC EGD W EUS FNA/BX ESOPH ONLY,4268.0,2774.2,1771.68,5243.0,884 CDM,PX-750000073,HC EGD W EUS LTD,4348.0,2826.2,1771.68,5243.0,884 CDM,PX-750000074,HC EGD W EUS TRANSMURAL INJ,6559.0,4263.35,1771.68,6362.23,884 CDM,PX-750000075,HC EGD W EUS,4207.0,2734.55,1771.68,5243.0,884 CDM,PX-750000077,HC EGD W LESION ABLATION,4085.0,2655.25,1771.68,5243.0,884 CDM,PX-750000078,HC EGD W RMVL SNARE,4399.0,2859.35,1771.68,5243.0,884 CDM,PX-750000079,HC EGD W STENT PLC,12657.0,8227.05,5605.1,13605.0,884 CDM,PX-750000080,HC EGD W TRANSMURAL DRN,12690.0,8248.5,5605.1,13605.0,884 CDM,PX-750000081,HC ENDO EVAL SM INTST POUCH BX,3625.0,2356.25,858.61,3516.25,885 CDM,PX-750000082,HC ENDO EVAL SM INTST POUCH DX,3643.0,2367.95,858.61,3533.71,884 CDM,PX-750000083,HC ENDO PANCREATIC NECROSECTOMY,4190.0,2723.5,653.8,4064.3,884 CDM,PX-750000084,HC ENDO SM INTESTINE W ABLATION,4100.0,2665.0,1771.68,5243.0,884 CDM,PX-750000085,HC ENDO SM INTESTINE W BX,4179.0,2716.35,1771.68,5243.0,884 CDM,PX-750000086,HC ENDO SM INTESTINE W CTRL BLEED,3931.0,2555.15,1771.68,5243.0,884 CDM,PX-750000087,HC ENDO SM INTESTINE W ILIUM BX,4256.0,2766.4,1771.68,5243.0,884 CDM,PX-750000088,HC ENDO SM INTESTINE W RMVL FB,8051.0,5233.15,1771.68,7809.47,884 CDM,PX-750000089,HC ENDO SM INTESTINE W STENT PLC,16491.0,10719.15,5605.1,16491.0,884 CDM,PX-750000090,HC ENDO SM INTSTN W G-J TUBE,19216.0,12490.4,1771.68,18639.52,884 CDM,PX-750000091,HC ENDO SM INTSTN W ILIUM CTRL,3931.0,2555.15,1771.68,5243.0,884 CDM,PX-750000093,HC ENDO SM INTSTN W PLC TUBE PERC,7593.0,4935.45,1771.68,7365.21,884 CDM,PX-750000096,HC ENDO UPPER SM INTESTINE,4107.0,2669.55,1771.68,5243.0,884 CDM,PX-750000097,HC ENDOSCOPIC PANCREATOSCOPY,6429.0,4178.85,3195.21,6236.13,880 CDM,PX-750000098,HC ENTEROSCOPY RMVL POLYP SNARE,4207.0,2734.55,1771.68,5243.0,884 CDM,PX-750000099,HC ENTEROSCOPY W ILEUM W/WO BX,4134.0,2687.1,1771.68,5243.0,884 CDM,PX-750000100,HC ERCP ABLATION W DIL,13209.0,8585.85,3559.66,13605.0,884 CDM,PX-750000101,HC ERCP DUCT STENT PLC W DIL,12572.0,8171.8,5605.1,13605.0,884 CDM,PX-750000102,HC ERCP DX,7875.0,5118.75,3559.66,13605.0,884 CDM,PX-750000103,HC ERCP SPHINC/PAPILLOT,7822.0,5084.3,3559.66,13605.0,884 CDM,PX-750000104,HC ERCP STENT EXCHANGE W DIL,12572.0,8171.8,5605.1,13605.0,884 CDM,PX-750000105,HC ERCP W BX,7570.0,4920.5,3559.66,13605.0,884 CDM,PX-750000106,HC ERCP W DESTRUCT CALCULI,12077.0,7850.05,5605.1,13605.0,884 CDM,PX-750000108,HC ERCP W RMVL FB/STNT DUCT,8083.0,5253.95,1771.68,7840.51,884 CDM,PX-750000109,HC ERCP W RMVL STONE,7988.0,5192.2,3559.66,13605.0,884 CDM,PX-750000110,HC ERCP W TRANS BALN DIL,7699.0,5004.35,3559.66,13605.0,884 CDM,PX-750000115,HC ESOPHAGOGASTRIC TAMPONADE,24344.0,15823.6,192.56,24344.0,884 CDM,PX-750000118,HC ESOPHAGOSCOPY FLEX RMVL FB,6126.0,3981.9,1771.68,5942.22,884 CDM,PX-750000119,HC ESOPHAGOSCOPY LESION W ABLT,14107.0,9169.55,3559.66,13683.79,884 CDM,PX-750000120,HC ESOPHAGOSCOPY RETROGRADE BALN,6385.0,4150.25,1771.68,6193.45,884 CDM,PX-750000122,HC ESOPHAGOSCOPY RIGID TRANSORAL,25661.0,16679.65,5465.62,24891.17,884 CDM,PX-750000124,HC ESOPHAGOSCOPY W CTRL BLEED,6053.0,3934.45,1771.68,6053.0,884 CDM,PX-750000127,HC ESOPHAGOSCOPY W EUS EXAM,7901.0,5135.65,1771.68,7663.97,884 CDM,PX-750000128,HC ESOPHAGOSCOPY W EUS FNA/BX,13425.0,8726.25,1771.68,13156.5,884 CDM,PX-750000131,HC ESOPHAGOSCOPY W RMVL SNARE,10518.0,6836.7,1771.68,10518.0,884 CDM,PX-750000132,HC ESOPHSCOPY DILATE BALN <30MM,4165.0,2707.25,1771.68,5243.0,884 CDM,PX-750000134,HC ESOPHSCOPY FLEX GUIDE WIRE DIL,4063.0,2640.95,1771.68,5243.0,884 CDM,PX-750000135,HC ESOPHSCOPY FLEX TRANSNASAL DX,7003.0,4551.95,837.4,6792.91,884 CDM,PX-750000136,HC ESOPHSCOPY FLEX TRANSORAL DX,3255.0,2115.75,837.4,3191.0,884 CDM,PX-750000137,HC ESOPHSCOPY FLEX TXORAL W BX,4107.0,2669.55,1771.68,5243.0,884 CDM,PX-750000140,HC ESOPHSCOPY TXORAL STENT PLC,12225.0,7946.25,5605.1,13605.0,884 CDM,PX-750000170,HC LIGATION OF HEMORRHOID(S),4536.0,2948.4,858.61,4445.28,884 CDM,PX-750000172,HC ILEOSCOPY STOMA DX,4079.0,2651.35,837.4,3956.63,884 CDM,PX-750000173,HC ILEOSCOPY STOMA W BALN DIL,8332.0,5415.8,1771.68,8082.04,884 CDM,PX-750000174,HC ILEOSCOPY STOMA W BX SNGL/MULT,3815.0,2479.75,837.4,3700.55,884 CDM,PX-750000185,HC LOWER DBL BALLOON,4256.0,2766.4,837.4,4128.32,884 CDM,PX-750000191,HC PLC TUBE NASAL/OROGAST W FLUOR,906.0,588.9,412.45,3117.0,884 CDM,PX-750000192,HC PREPARE FECAL MICRO INSTILL,1349.0,876.85,748.7,6376.0,883 CDM,PX-750000200,HC REPOSITION GASTROSTOMY TUBE,674.0,438.1,230.68,3045.0,884 CDM,PX-750000202,HC RPLC GASTROST/CECOST TUBE PERC,3915.0,2544.75,837.4,3797.55,884 CDM,PX-750000204,HC SIGMOID FLEX EMR,6206.0,4033.9,2562.69,6019.82,884 CDM,PX-750000205,HC SIGMOID FLEX W BAND LIG,8031.0,5220.15,1104.83,8031.0,884 CDM,PX-750000206,HC SIGMOID FLEX W CTRL BLEED,3226.0,2096.9,1104.83,3260.0,884 CDM,PX-750000207,HC SIGMOID FLEX W DECOMPRESSION,1934.0,1257.1,858.61,3191.0,884 CDM,PX-750000208,HC SIGMOID FLEX W DIL BALN,3335.0,2167.75,1104.83,3260.0,884 CDM,PX-750000209,HC SIGMOID FLEX W EUS EXAM,3367.0,2188.55,858.61,3265.99,884 CDM,PX-750000210,HC SIGMOID FLEX W EUS FNA/BX,2943.0,1912.95,1104.83,3260.0,884 CDM,PX-750000211,HC SIGMOID FLEX W RMVL FB,6759.0,4393.35,1104.83,6556.23,884 CDM,PX-750000213,HC SIGMOID FLEX W RMVL TMR SNARE,3513.0,2283.45,1104.83,3407.61,884 CDM,PX-750000214,HC SIGMOID FLEX W SUBMUCOSAL INJ,5151.0,3348.15,858.61,4996.47,884 CDM,PX-750000215,HC SIGMOIDOSCOPY FLEXIBLE DX,2174.0,1413.1,858.61,3191.0,884 CDM,PX-750000216,HC SIGMOIDOSCOPY FLEXIBLE W BX,2179.0,1416.35,858.61,3191.0,884 CDM,PX-750000228,HC SIGMOIDOSCOPY W ABLATION,7081.0,4602.65,1104.83,6868.57,884 CDM,PX-750000229,HC SIGMOIDOSCOPY W PLCMT STENT,12391.0,8054.15,5605.1,13605.0,884 CDM,PX-750000230,HC EGD FLEX TRANSORAL W FUNDOPLASTY,21854.0,14205.1,9814.25,21198.38,884 CDM,PX-750000232,HC PREPARE FECAL MICROBIOTA,1349.0,876.85,748.7,6376.0,883 CDM,PX-750000237,HC PROCTOSIGMOID RIGID W DIL,14176.0,9214.4,1104.83,13750.72,884 CDM,PX-750000262,HC ESOPH BALLOON DISTENSION STUDY,3359.0,2183.35,344.53,3258.23,884 CDM,PX-750000269,HC TORE PROCEDURE,4026.0,2616.9,837.4,11286.38,884 CDM,PX-750000272,HC RPLC GTUBE WO REVISION OF GASTRO TRACT W/O IMAG,1203.0,781.95,230.68,3045.0,884 CDM,PX-750000280,HC EUS GUIDED GASTROJEJUNOSTOMY,9408.0,6115.2,837.4,9125.76,884 CDM,PX-750000281,HC CHROMENDOSCOPY BILIARY TRACT,3374.0,2193.1,837.4,3272.78,884 CDM,PX-750000283,HC EUS RADIO FREQUENCY ABLATION,13569.0,8819.85,653.8,13161.93,884 CDM,PX-750000286,HC ENDO PGM,462.0,300.3,256.41,3191.0,884 CDM,PX-750000293,HC PANC LITHOTRIPSY SHOCK WAVE,5174.0,3363.1,653.8,5018.78,884 CDM,PX-750000294,HC ZENKER'S PERORAL ENDOSCOPIC MYOTOMY (Z-POEM),8977.0,5835.05,837.4,8707.69,884 CDM,PX-750000297,HC EGD FLX TRANSNASAL DX BR/WA,5311.0,3452.15,1771.68,5151.67,884 CDM,PX-750000298,HC EGD FLX TRANSNASAL BX 1/MLT,3153.0,2049.45,1567.04,3058.41,884 CDM,PX-750000299,HC EGD FLX TRANSNASAL TUBE/CATH,6225.0,4046.25,3093.83,6038.25,884 CDM,PX-750000301,HC PERORAL ENDOSCOPIC MYOTOMY (POEM),8977.0,5835.05,4982.24,13605.0,884 CDM,PX-750000302,HC LOWER DBL BALLOON W/ BIOPSY,4134.0,2687.1,837.4,4009.98,884 CDM,PX-750000303,HC GASTRIC PERORAL ENDOSCOPIC MYOTOMY (G-POEM),8977.0,5835.05,837.4,8707.69,884 CDM,PX-750000304,HC DIVERTICULUM PERORAL ENDOSCOPIC MYOTOMY (D-POEM),7254.0,4715.1,837.4,7036.38,884 CDM,PX-750000305,HC ESD ESOPHAGUS,7544.0,4903.6,837.4,7317.68,884 CDM,PX-750000306,HC ESD STOMACH,5015.0,3259.75,837.4,4864.55,884 CDM,PX-750000308,HC ESD COLON,6045.0,3929.25,858.61,5863.65,884 CDM,PX-750000309,HC ESD RECTUM,6607.0,4294.55,858.61,6474.86,884 CDM,PX-750000311,HC EGD FLX TRNSORL DPLMNT BALLOON,6673.0,4337.45,1771.68,6472.81,884 CDM,PX-750000312,HC EGD FLX TRNSORL RMVL BALLOON,3450.0,2242.5,837.4,3450.0,884 CDM,PX-750000327,HC ENDOSCOPIC SUTURING PROCEDURE,4187.0,2721.55,837.4,4061.39,884 CDM,PX-750000328,HC CHROMOENDOSCOPY COLON,3374.0,2193.1,858.61,3272.78,884 CDM,PX-750000332,HC ERCP CATH BILIARY S&I,1473.0,957.45,732.08,1428.81,880 CDM,PX-750000333,HC ENDO CATH PANCREATIC SYSTEM,3456.0,2246.4,1717.63,3352.32,880 CDM,PX-750000334,HC ERCP CATH BILIARY&PANCREAS S&I,8171.0,5311.15,4060.99,7925.87,880 CDM,PX-750000336,HC INTRALUMINAL DILATION S&I,2700.0,1755.0,1341.9,2619.0,880 CDM,PX-750000339,HC GSTR RSTCV PX TRNSORL ESG,1872.0,1216.8,1038.96,11286.38,884 CDM,PX-761000009,HC ARTHCS ASP/INJ INT JT W US,1589.0,1032.85,651.72,3191.0,884 CDM,PX-761000010,HC ARTHCS ASP/INJ INT JT WO US,699.0,454.35,283.4,3045.0,884 CDM,PX-761000011,HC ARTHCS ASP/INJ JOINT/BURSA W US,676.0,439.4,283.4,3045.0,884 CDM,PX-761000012,HC ARTHCS ASP/INJ MJR JT W US,688.0,447.2,283.4,3045.0,884 CDM,PX-761000013,HC ARTHCS ASP/INJ MJR JT WO US,665.0,432.25,283.4,3045.0,884 CDM,PX-761000014,HC ARTHCS ASP/INJ SM JT WO US,677.0,440.05,283.4,3045.0,884 CDM,PX-761000018,HC ASP/INJ CYST GANGLION,690.0,448.5,283.4,3045.0,884 CDM,PX-761000024,HC BONE MARROW ASPIRATION ONLY,3583.0,2328.95,1524.88,4396.0,884 CDM,PX-761000025,HC BONE MARROW BIOPSY NDL/TROCAR,3763.0,2445.95,1524.88,4396.0,884 CDM,PX-761000031,HC CHEMODENERV 1 EXT 1-4 MUSCLE,1667.0,1083.55,651.72,3191.0,884 CDM,PX-761000032,HC CHEMODENERV FACIAL TRIGEM BIL,3463.0,2250.95,283.4,3393.74,884 CDM,PX-761000033,HC CHEMODENERV NECK MUSCLE UNILAT,2721.0,1768.65,283.4,3045.0,884 CDM,PX-761000034,HC CHEMODENERV TRUNK 1-5 MUS,1620.0,1053.0,651.72,3191.0,884 CDM,PX-761000036,HC COLLECT BLOOD FROM IMPLANT VAD,281.0,182.65,122.84,272.57,884 CDM,PX-761000037,HC COLLECT BLOOD PICC VENOUS NOS,289.0,187.85,122.84,280.33,884 CDM,PX-761000040,HC DBRD SEL OPN WND ADD 20SCM,792.0,514.8,393.62,776.16,880 CDM,PX-761000041,HC DBRD SEL OPN WND<=20SCM,442.0,287.3,185.24,428.74,884 CDM,PX-761000043,HC DECLOT IMPL VAD/CATH,833.0,541.45,304.96,3045.0,884 CDM,PX-761000044,HC DEST CERV/THOR FACET JT ADD,2560.0,1664.0,1272.32,2483.2,880 CDM,PX-761000045,HC DEST CERV/THOR FACET JT,4707.0,3059.55,1802.9,5243.0,884 CDM,PX-761000046,HC DEST LUMB/SAC FACET JT ADD,3099.0,2014.35,1540.2,3006.03,880 CDM,PX-761000047,HC DEST LUMB/SAC FACET JT,4728.0,3073.2,1802.9,5243.0,884 CDM,PX-761000048,HC DEST NERVE CELIAC PLEX,2150.0,1397.5,816.61,3191.0,884 CDM,PX-761000050,HC DEST OTHER PERIPHERAL NERVE,2081.0,1352.65,816.61,3191.0,884 CDM,PX-761000055,HC ELASTOGRAPHY LIVER WO IMG I&R,2424.0,1575.6,118.8,2375.52,884 CDM,PX-761000056,HC ELEC ANLYS PUMP W RPRG&RFLL,677.0,440.05,283.57,3045.0,884 CDM,PX-761000057,HC EMG ANAL/URETHRAL NOT NEEDLE,1370.0,890.5,118.8,1328.9,884 CDM,PX-761000064,HC FNA BX WO IMG 1ST LESION,909.0,590.85,375.32,3117.0,884 CDM,PX-761000065,HC HYSTEROSCOPY DIAGNOSTIC,7504.0,4877.6,2988.75,8220.0,884 CDM,PX-761000066,HC HYSTEROSCOPY RMVL IMPACTED FB,10635.0,6912.75,2988.75,10315.95,884 CDM,PX-761000068,HC HYSTERSCPY W BX ENDOMETR/POLYP,7318.0,4756.7,2988.75,8220.0,884 CDM,PX-761000070,HC I&D HEMA/SEROMA/FLUID COLL,4824.0,3135.6,1524.88,4679.28,884 CDM,PX-761000071,HC I&D VULVA/PERINEAL ABSCESS,3603.0,2341.95,281.35,3530.94,884 CDM,PX-761000072,HC INJ ANES AGENT CELIAC PLEX,2160.0,1404.0,816.61,3191.0,884 CDM,PX-761000074,HC INJ ANES AGENT LUMBAR/THORACIC,2150.0,1397.5,816.61,3191.0,884 CDM,PX-761000075,HC INJ ANES AXILLARY NERVE W GUIDANCE,1995.0,1296.75,816.61,3191.0,884 CDM,PX-761000076,HC INJ ANES BRACHIAL PLEX W GUIDANCE,2150.0,1397.5,816.61,3191.0,884 CDM,PX-761000078,HC INJ ANES FEM NERVE CONT W GUIDANCE,2169.0,1409.85,816.61,3191.0,884 CDM,PX-761000079,HC INJ ANES FEM NERVE W GUIDANCE,1578.0,1025.7,651.72,3191.0,884 CDM,PX-761000081,HC INJ ANES FORAMEN EPI LUMB ADD,1733.0,1126.45,861.3,1681.01,880 CDM,PX-761000082,HC INJ ANES FORAMEN EPI LUMB SNGL,2171.0,1411.15,816.61,3191.0,884 CDM,PX-761000083,HC INJ ANES FORAMEN SNGL CRV/THRC,2155.0,1400.75,816.61,3191.0,884 CDM,PX-761000084,HC INJ ANES GREATER OCCIPITAL NRV,674.0,438.1,283.4,3045.0,884 CDM,PX-761000085,HC INJ ANES ILIOINGUINAL NRV,1641.0,1066.65,651.72,3191.0,884 CDM,PX-761000086,HC INJ ANES INTERCOSTAL NRV EA ADDL LEVEL,2211.0,1437.15,816.61,3191.0,884 CDM,PX-761000087,HC INJ ANES INTERCOSTAL NRV SNGL LVL,1713.0,1113.45,651.72,3191.0,884 CDM,PX-761000089,HC INJ ANES OTHER PERIPHERAL NRV,1600.0,1040.0,651.72,3191.0,884 CDM,PX-761000091,HC INJ ANES SPENOPLTN GANGLION,654.0,425.1,283.4,3045.0,884 CDM,PX-761000092,HC INJ ANES STELLATE GANGLION,2190.0,1423.5,816.61,3191.0,884 CDM,PX-761000093,HC INJ ANES STEROID PLANTAR NRV,676.0,439.4,283.4,3045.0,884 CDM,PX-761000094,HC INJ ANES SUPR HYPOGASTRIC PLEX,2150.0,1397.5,816.61,3191.0,884 CDM,PX-761000095,HC INJ ANES TRANSABDOM PLANE BIL,9871.0,6416.15,4905.89,9574.87,880 CDM,PX-761000096,HC INJ ANES TRIGEMINAL NRV,667.0,433.55,283.4,3045.0,884 CDM,PX-761000098,HC INJ EPI BLD/CLOT PATCH,1705.0,1108.25,651.72,3191.0,884 CDM,PX-761000101,HC INJ FACET JT CERV/THOR >=3 LVL,1574.0,1023.1,782.28,1526.78,880 CDM,PX-761000102,HC INJ FACET JT CERV/THOR 1 LVL,2135.0,1387.75,816.61,3191.0,884 CDM,PX-761000103,HC INJ FACET JT CERV/THOR 2 LVL,1575.0,1023.75,782.78,1527.75,880 CDM,PX-761000104,HC INJ FACET JT LUMB/SAC >= 3 LVL,1617.0,1051.05,803.65,1568.49,880 CDM,PX-761000105,HC INJ FACET JT LUMB/SAC 1 LVL,2242.0,1457.3,816.61,3191.0,884 CDM,PX-761000106,HC INJ FACET JT LUMB/SAC 2 LVL,1829.0,1188.85,909.01,1774.13,880 CDM,PX-761000109,HC INJ NRV BLOCK PUDENDAL,2296.0,1492.4,816.61,3191.0,884 CDM,PX-761000111,HC INJ SI JT W IMA W ARTHROGRPHY,2781.0,1807.65,75.24,6376.0,884 CDM,PX-761000112,HC INJ SNGL TENDN ORIGIN/INS,690.0,448.5,283.4,3045.0,884 CDM,PX-761000113,HC INJ SNGL TNDN/SHTH/LGMNT,696.0,452.4,283.4,3045.0,884 CDM,PX-761000114,HC INJ THER CARPAL TUNNEL,661.0,429.65,283.4,3045.0,884 CDM,PX-761000116,HC INJ TRIGGER PNT >=3 MUS,689.0,447.85,283.4,3045.0,884 CDM,PX-761000117,HC INJ TRIGGER PNT<=2 MUS,727.0,472.55,283.4,3045.0,884 CDM,PX-761000127,HC INS PICC WO PORT/PUMP >=5YR WO GUIDE,3868.0,2514.2,1453.38,4396.0,884 CDM,PX-761000130,HC INS TEMP INDW BLAD CATH SMPL,489.0,317.85,122.84,479.22,884 CDM,PX-761000135,HC INTRO NDL/CATH VEIN,293.0,190.45,145.62,284.21,880 CDM,PX-761000136,HC INTUB W ETT,573.0,372.45,218.68,3045.0,884 CDM,PX-761000140,HC IRRIG IMP VAD,143.0,92.95,54.47,138.71,884 CDM,PX-761000141,HC LARYNG FLEX FIBEROPTIC DX,433.0,281.45,184.29,3045.0,884 CDM,PX-761000143,HC MEAS PST VOID RESID US NON IMG,311.0,202.15,54.47,304.78,884 CDM,PX-761000146,HC NEG PRESS WND THRPY <=50SCM,424.0,275.6,185.24,411.28,884 CDM,PX-761000149,HC PAR/CUT BENIGN SKIN LESN SNGL,3359.0,2183.35,185.24,3291.82,884 CDM,PX-761000155,HC PULSED RF ANY PERIPHERAL NRV,640.0,416.0,283.4,3045.0,884 CDM,PX-761000157,HC PULSED RF CERV/THOR FAC JT,4707.0,3059.55,283.4,4565.79,884 CDM,PX-761000160,HC PUNC SHUNT TUBE ASP INJ PROC,1646.0,1069.9,651.72,3191.0,884 CDM,PX-761000161,HC PUNCTURE SPINAL LUMBAR DX,1500.0,975.0,651.72,3191.0,884 CDM,PX-761000164,HC REFILL/MAINT PORTABLE PUMP,768.0,499.2,196.38,752.64,884 CDM,PX-761000166,HC REV/RMVL PERIPH NEUROSTIM ELEC,8205.0,5333.25,3227.86,13605.0,884 CDM,PX-761000169,HC SKN GRFT A/TR/L <=100SCM/1ST 25,7638.0,4964.7,682.37,7485.24,884 CDM,PX-761000170,HC SKN GRFT F/N/G/HF <=100SCM,7638.0,4964.7,682.37,7408.86,884 CDM,PX-761000172,HC THORACENTESIS PLEURA W IMG,1401.0,910.65,579.17,3117.0,884 CDM,PX-761000177,HC VISIT EST PATIENT LEVEL 1,218.0,141.7,7.79,211.46,884 CDM,PX-761000178,HC VISIT EST PATIENT LEVEL 2,224.0,145.6,31.82,217.28,885 CDM,PX-761000183,HC ELEC ANLYS PUMP W RPRG,3101.0,2015.65,283.57,3045.0,884 CDM,PX-761000184,HC ELEC ANLYS PUMP WO RPRG/REFILL,3101.0,2015.65,283.57,3045.0,884 CDM,PX-761000185,HC IMPL NEUROSTIM ELEC PERC EPI,15522.0,10089.3,5884.02,15056.34,884 CDM,PX-761000186,HC IMPL NEUROSTIM PERIPHERAL PERC,15054.0,9785.1,5884.02,14602.38,884 CDM,PX-761000187,HC INJ ANES BRACHIAL PLEXUS CONT W GUIDANCE,2140.0,1391.0,816.61,3191.0,884 CDM,PX-761000188,HC INJ ANES SUPRASCAPULAR NERVE,1577.0,1025.05,651.72,3191.0,884 CDM,PX-761000189,HC NASOPHARYNGOSCOPY W ENDO,591.0,384.15,184.29,573.27,884 CDM,PX-761000194,HC TAP BLOCK UNILAT BY INJ,7200.0,4680.0,3578.4,7056.0,880 CDM,PX-761000200,HC REMOVAL LUNG/PLEURAL CATHETER,1392.0,904.8,579.17,3117.0,884 CDM,PX-761000201,HC THORACENTESIS PLEURA WO IMG,1364.0,886.6,579.17,3117.0,884 CDM,PX-761000209,HC BRONCH W TRACHEAL/BRONCH DIL,8560.0,5564.0,3442.28,13605.0,884 CDM,PX-761000210,HC BRONCHOSCOPY W EXCISN TUMOR,16808.0,10925.2,3442.28,16303.76,884 CDM,PX-761000211,HC BRONCH DEST TMR RLF STENOSIS,8560.0,5564.0,3442.28,13605.0,884 CDM,PX-761000218,HC THORSC DX LUNG/MED/PLRL W/O BX,23364.0,15186.6,5581.68,22663.08,884 CDM,PX-761000222,HC THORACOSCOPY W/BX OF PLEURA,12615.0,8199.75,5581.68,13605.0,884 CDM,PX-761000225,HC NASAL ENDOSCOPY DX UNI/BILAT,3214.0,2089.1,184.29,3149.72,884 CDM,PX-761000226,HC LARYNG W/WO TRACHEO DX NOT NB,4696.0,3052.4,1643.33,4602.08,884 CDM,PX-761000227,HC TRACHEOBRONCH EST TRACH INC,1162.0,755.3,497.95,3117.0,884 CDM,PX-761000228,HC INCISN/RMVL FB SUBQ SMPL,1592.0,1034.8,375.32,3117.0,884 CDM,PX-761000229,HC DBRD SKIN & SUBQ TISS<=20SCM,3577.0,2325.05,375.32,3505.46,884 CDM,PX-761000230,HC DBRD MUS/FASCIA<=20SCM,4430.0,2879.5,682.37,4341.4,884 CDM,PX-761000231,HC DBRD BONE MUS/FASCIA<=20SCM,6505.0,4228.25,1524.88,6374.9,884 CDM,PX-761000237,HC PREP WND HD/EXT EA ADD 100SCM,3577.0,2325.05,375.32,3469.69,884 CDM,PX-761000238,HC SKN GRFT A/TR/L <=100SCM PEDS,20031.0,13020.15,1904.97,19430.07,884 CDM,PX-761000239,HC CAUTERIZE CHEM GRANULATION TIS,462.0,300.3,185.24,3045.0,884 CDM,PX-761000241,HC STRAPPING UNNA BOOT,344.0,223.6,150.03,337.12,884 CDM,PX-761000242,HC APP MULTILYR COMPRSN SYS LWR LEG,1151.0,748.15,150.03,1127.98,884 CDM,PX-761000249,HC INJ MYELOGRAPHY CT WO C1/C2,1729.0,1123.85,859.31,1677.13,880 CDM,PX-761000253,HC INJ ANES SCIATIC NERVE W GUIDANCE,1572.0,1021.8,651.72,3191.0,884 CDM,PX-761000257,HC CHEMODENERV FACIAL MUS UNILAT,3493.0,2270.45,283.4,3423.14,884 CDM,PX-761000258,HC NEG PRESS WND THRPY >50SCM,853.0,554.45,375.32,835.94,884 CDM,PX-761000259,HC PREP WND TR/EXT PEDS 100SCM,6014.0,3909.1,682.37,5893.72,884 CDM,PX-761000260,HC PREP WND TR/EXT EA ADD 100SCM,13849.0,9001.85,6882.95,13849.0,880 CDM,PX-761000262,HC GRFT F/N/G/HF <=100SCM 1ST,21282.0,13833.3,1904.97,21282.0,884 CDM,PX-761000263,HC CYSTHRSCPY INJ CHEMODENRVATION,13854.0,9005.1,1930.0,13438.38,884 CDM,PX-761000269,HC NJX INTRLMNR CRV/THOR WO IMG GUID,2088.0,1357.2,816.61,3191.0,884 CDM,PX-761000270,HC INJ SPINE LUMB/SAC WO IMG,2006.0,1303.9,816.61,3191.0,884 CDM,PX-761000273,HC INJ SPINE LUMB/SAC W IMG,1630.0,1059.5,651.72,3191.0,884 CDM,PX-761000274,HC INJ SPINE CERV/THOR W IMG,1657.0,1077.05,651.72,3191.0,884 CDM,PX-761000277,HC MIDLINE REMOVAL,245.0,159.25,7.79,237.65,884 CDM,PX-761000278,HC DX BONE MARROW BX & ASPIR,6131.0,3985.15,2681.85,8220.0,884 CDM,PX-761000283,HC PARAVERTEB BLOCK THOR SNGL,1631.0,1060.15,651.72,3191.0,884 CDM,PX-761000284,HC PICC PLACEMENT - BY PICC STAT WO GUIDE,3764.0,2446.6,1453.38,4396.0,884 CDM,PX-761000285,HC RMVL SKIN TAGS <=15,892.0,579.8,185.24,3045.0,884 CDM,PX-761000287,HC BX VULVA/PERINEUM 1 LESN,9343.0,6072.95,850.38,9062.71,884 CDM,PX-761000288,HC EXCISN OF VAGINAL CYST/TUMOR,11524.0,7490.6,2988.75,11178.28,884 CDM,PX-761000291,HC COLPOSCOPY CERVIX W BX & ECC,739.0,480.35,281.35,3045.0,884 CDM,PX-761000292,HC COLPOSCOPY CERVIX W BX,3753.0,2439.45,281.35,3677.94,884 CDM,PX-761000293,HC COLPOSCOPY CERVIX W ECC,3562.0,2315.3,281.35,3490.76,884 CDM,PX-761000295,HC BIOPSY CERVIX SNGL/MULT LESN,2552.0,1658.8,850.38,3191.0,884 CDM,PX-761000296,HC CURETTAGE ENDOCERVICAL,2655.0,1725.75,850.38,3191.0,884 CDM,PX-761000297,HC CONIZATION CERVIX KNIFE/LASER,12498.0,8123.7,2988.75,12123.06,884 CDM,PX-761000298,HC CONIZATION CX EXCISN LOOP ELEC,6982.0,4538.3,2988.75,8220.0,884 CDM,PX-761000299,HC BX ENDOMETRIAL WO CERVIX DIL,3134.0,2037.1,186.66,3045.0,884 CDM,PX-761000301,HC INSERT OF INTRAUTERINE DEVICE,1707.0,1109.55,947.39,6376.0,880 CDM,PX-761000302,HC REMOVAL OF INTRAUTERINE DEVICE,738.0,479.7,281.35,3045.0,884 CDM,PX-761000303,HC HYST W LYSIS INTRAUTER ADHES,15154.0,9850.1,4618.63,14699.38,884 CDM,PX-761000305,HC HYSTEROSCOPY RMVL LEIOMYOMATA,11791.0,7664.15,4618.63,13605.0,884 CDM,PX-761000306,HC HYSTEROSCOPY ENDOMETRIAL ABLT,11791.0,7664.15,4618.63,13605.0,884 CDM,PX-761000307,HC INJ THER SUBQ/IM,233.0,151.45,66.48,226.01,885 CDM,PX-761000308,HC CHEMODENERV EA ADD EXT 1-4 MUS,1521.0,988.65,755.94,1475.37,880 CDM,PX-761000312,HC CHEMODENERV ECCRINE GLND AXIL BOTH,653.0,424.45,283.4,3045.0,884 CDM,PX-761000314,HC INJ ANES SCIATIC NRV CONT INFUS W GUIDANCE,2134.0,1387.1,816.61,3191.0,884 CDM,PX-761000315,HC INJ ANES VAGUS NRV,647.0,420.55,283.4,3045.0,884 CDM,PX-761000318,HC CHEMODENERV 1 EXT >=5 MUS,2500.0,1625.0,651.72,3191.0,884 CDM,PX-761000322,HC EXCISN BEN LESN TR/LMB <=0.5CM,2347.0,1525.55,653.8,3191.0,884 CDM,PX-761000325,HC INCISN TNDN SHEATH,3626.0,2356.9,1484.62,4396.0,884 CDM,PX-761000326,HC TX PERC FGR PROX/MID W MANIP EA,7344.0,4773.6,3020.95,13605.0,884 CDM,PX-761000330,HC BX PROSTATE NDL TRANSPRNEAL,8005.0,5203.25,3254.52,13605.0,884 CDM,PX-761000331,HC TPRNL PLMT BIODEGRDABL MATRL,10968.0,7129.2,4950.41,13605.0,884 CDM,PX-761000332,HC APP STEREOTACTIC HEADFRAME,8282.0,5383.3,159.25,8033.54,884 CDM,PX-761000333,HC NEUROPLASTY MEDN NRV CARP TUNL,4480.0,2912.0,1802.9,5243.0,884 CDM,PX-761000334,HC BIOPSY OF NERVE,4318.0,2806.7,1802.9,5243.0,884 CDM,PX-761000337,HC UNLISTED PROC DENTOALVEOLAR,840.0,546.0,218.68,3045.0,884 CDM,PX-761000359,HC FNA BX W/US GDN 1ST LES,1696.0,1102.4,653.8,3191.0,884 CDM,PX-761000360,HC FNA BX W/US GDN EA ADDL,912.0,592.8,453.26,884.64,880 CDM,PX-761000367,HC NJX CNTRST KNE ARTHG/CT/MRI,1046.0,679.9,519.86,1014.62,880 CDM,PX-761000376,HC EXCISN LESN TNDN SHTH HND/FGR,3601.0,2340.65,1484.62,4396.0,884 CDM,PX-761000379,HC MANIP KNEE JT W ANES,4908.0,3190.2,1484.62,4760.76,884 CDM,PX-761000397,HC INSJ PICC RS&I 5 YR+,3613.0,2348.45,1453.38,4396.0,884 CDM,PX-761000398,HC VENI >=3 YR W RN,282.0,183.3,140.15,276.36,880 CDM,PX-761000408,HC EXCISN TMR HND/FGR SUBQ <1.5CM,8951.0,5818.15,1524.88,8682.47,884 CDM,PX-761000410,HC MANIP W ANES SHLDR INC APP FIX,3323.0,2159.95,1484.62,4396.0,884 CDM,PX-761000411,HC RMVL IMPLANT SUPERFICIAL,3580.0,2327.0,1524.88,4396.0,884 CDM,PX-761000413,HC CHEMODENERV EXT EA ADD > 4 MUS,2001.0,1300.65,994.5,1940.97,880 CDM,PX-761000415,HC EMG NEEDLE GUID CHEMODENERV,1115.0,724.75,554.16,1081.55,880 CDM,PX-761000417,HC TENOTOMY ELBOW PERCUTANEOUS,7076.0,4599.4,3020.95,13605.0,884 CDM,PX-761000419,HC US EXT NON-VASC COMPLETE,268.0,174.2,96.52,259.96,884 CDM,PX-761000420,HC US EXT LTD,422.0,274.3,96.52,409.34,884 CDM,PX-761000422,HC VASECTOMY INCL SEMEN EXAM,4442.0,2887.3,1930.0,5243.0,884 CDM,PX-761000729,HC INJ ANES/STEROID NERVES SACROILIAC JNT,1632.0,1060.8,651.72,3191.0,884 CDM,PX-761000730,HC INJ ANES/STEROID GENICULAR NERVE,1635.0,1062.75,651.72,3191.0,884 CDM,PX-761000731,HC DEST NEURO AGNT GENICULAR NERVE,4255.0,2765.75,1802.9,5243.0,884 CDM,PX-761000732,HC RF ABLATION NERVES SACROILIAC JNT,4421.0,2873.65,1802.9,5243.0,884 CDM,PX-761000735,HC DEST LESN VAGINAL SIMPLE,6596.0,4287.4,106.79,8220.0,856 CDM,PX-761000739,HC TISS XFER ADJ 30.1-60SCM,8760.0,5694.0,3271.83,13605.0,884 CDM,PX-761000749,HC INCISN EXTENSOR TNDN SHTH WRST,3637.0,2364.05,1484.62,4396.0,884 CDM,PX-761000750,HC CLSD TX DIST RDL FX W MANIP,3435.0,2232.75,1484.62,4396.0,884 CDM,PX-761000753,HC FASCTMY PALM PRTL W SNGL DIG,12627.0,8207.55,3020.95,13605.0,884 CDM,PX-761000754,HC TRNSF TNDN DORSUM WO GRFT EA,6851.0,4453.15,3020.95,13605.0,884 CDM,PX-761000756,HC EXCISN BN DISTAL PHAL PRTL,3447.0,2240.55,1484.62,4396.0,884 CDM,PX-761000771,HC BMAC INJ PAIN ONLY,879.0,571.35,412.45,861.42,884 CDM,PX-761000784,HC TNTMY ACHIL TNDN PERC LOC ANES,3456.0,2246.4,1484.62,4396.0,884 CDM,PX-761000785,HC EXCISN TMR FACE/SCLP SUB>=2CM,3686.0,2395.9,1524.88,4396.0,884 CDM,PX-761000787,HC DESTRUCTION LESION VULVA SMPL,6669.0,4334.85,1904.97,6535.62,884 CDM,PX-761000813,HC BMAC INJ MULTI SITE PAIN ONLY,658.0,427.7,327.03,644.84,884 CDM,PX-761000816,HC EXCISN NAIL BED PRTL/COMPLT,887.0,576.55,375.32,3117.0,884 CDM,PX-761000819,HC PELVIC EXAMINATION UNDER ANES,12607.0,8194.55,2988.75,12228.79,884 CDM,PX-761000820,HC ENDOMETRIAL CRYOABLAT W US,17336.0,11268.4,4618.63,17336.0,884 CDM,PX-761000830,HC CYSTOURETHROSCOPY,2404.0,1562.6,643.8,3191.0,884 CDM,PX-761000831,HC TX INCOMPLETE ABORTION,10779.0,7006.35,2988.75,10779.0,884 CDM,PX-761000832,HC BX VAGINAL MUCOSA SMPL,2541.0,1651.65,850.38,3191.0,884 CDM,PX-761000833,HC PLC INTERS RAD DEVICE PROSTATE,4771.0,3101.15,1277.93,4627.87,884 CDM,PX-761000834,HC ABORTION INDUCED BY D&C,9890.0,6428.5,2988.75,9890.0,884 CDM,PX-761000835,HC EXCISN BEN LESN S/N/H/F <=0.5,3706.0,2408.9,1524.88,4396.0,884 CDM,PX-761000838,HC CHEMODENERV TRUNK OVER 5 MUS,4958.0,3222.7,651.72,4809.26,884 CDM,PX-761000839,HC D&C NONOBSTETRICAL,10360.0,6734.0,2988.75,10049.2,884 CDM,PX-761000841,HC EXCISN BARTHOLIN GLAND/CYST,9914.0,6444.1,2988.75,9914.0,884 CDM,PX-761000844,HC TRACHELORRHAPHY UTERINE CERVIX,9914.0,6444.1,2988.75,9914.0,884 CDM,PX-761000852,HC TX1 PLANT FASC PROC W KIT,3291.0,2139.15,227.74,3192.27,884 CDM,PX-761000856,HC RMVL DRUG IMPL,3831.0,2490.15,412.45,3754.38,884 CDM,PX-761000859,HC TISS XFER FACE/NK/EXT <=10SCM,4526.0,2941.9,1904.97,5243.0,884 CDM,PX-761000860,HC OPN TX BIMALOR ANK FX,21602.0,14041.3,735.49,21169.96,856 CDM,PX-761000867,HC HYMENECTOMY PARTL/REV HYMEN RG,8782.0,5708.3,186.55,8606.36,856 CDM,PX-761000868,HC ARTHRT EXPL DRN LOOSE/FB I-P JT,5651.0,3673.15,1484.62,5481.47,884 CDM,PX-761000869,HC EXCISN TMR ARM/ELB SUBQ >=3CM,6026.0,3916.9,2681.85,8220.0,884 CDM,PX-761000872,HC TRANSCERVICAL UTERINE FIBROID ABLTJ W/US GDN RF,29981.0,19487.65,6846.48,29081.57,884 CDM,PX-761000875,HC BX MUS DEEP,15420.0,10023.0,2681.85,15420.0,884 CDM,PX-761000880,HC ENDO INJ IMPL MATRL URETH&/BLAD,15249.0,9911.85,3254.52,14791.53,884 CDM,PX-761000886,HC CYSTHRSCPY DIL BLAD GNRL ANES,13472.0,8756.8,1930.0,13067.84,884 CDM,PX-761000887,HC RPR NAIL BED,897.0,583.05,497.84,3117.0,884 CDM,PX-761000890,HC RMVL FB MUS SMPL,6416.0,4170.4,1524.88,6223.52,884 CDM,PX-761000897,HC BLEPH LWR EYELID,7024.0,4565.6,1904.97,7024.0,884 CDM,PX-761000900,HC BLEPH LWR EYELID W FAT PAD,7024.0,4565.6,1904.97,6813.28,884 CDM,PX-761000901,HC BLEPH UPR EYELID W EXCESS SKIN LID,7024.0,4565.6,1904.97,6813.28,884 CDM,PX-761000902,HC REPAIR BROW PTOSIS,5672.0,3686.8,2195.07,5501.84,884 CDM,PX-761000903,HC CORREC LAGOPHTHALMOS W IMPLNT,9787.0,6361.55,2195.07,9493.39,884 CDM,PX-761000904,HC GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS,6856.0,4456.4,1904.97,6856.0,884 CDM,PX-761000906,HC FASCIOTOMY PALMAR OPEN PARTIAL,12258.0,7967.7,3020.95,13605.0,884 CDM,PX-761000912,HC TX WND DEHIS W PACKING,3485.0,2265.25,375.32,3380.45,884 CDM,PX-761000914,HC REPAIR OF ECTROPION SUTURE,12262.0,7970.3,2195.07,12016.76,884 CDM,PX-761000915,HC OTOPLASTY PROTRUDING EAR,12742.0,8282.3,7071.81,13605.0,880 CDM,PX-761000916,HC FIX PERC SKEL DIST PHAL FX EA,12123.0,7879.95,3020.95,13605.0,884 CDM,PX-761000917,HC LAPS ABLTJ UTERINE FIBROIDS W/INTRAOP US GDN,29500.0,19175.0,9814.25,29500.0,884 CDM,PX-761000918,HC RHYTIDECTOMY FOREHEAD,7024.0,4565.6,1904.97,7024.0,884 CDM,PX-761000919,HC RPR BLEPH CONJ-TARSO-MULLER'S,9002.0,5851.3,2195.07,8731.94,884 CDM,PX-761000925,HC FASCTMY PALM PRTL EA ADD DIG,8582.0,5578.3,4265.25,8324.54,880 CDM,PX-761000926,HC TENOLYSIS FLEXOR PALM/FINGER,6108.0,3970.2,1484.62,5924.76,884 CDM,PX-761000927,HC MYOMECTOMY 1-4 MYOMA VAG APPR,9067.0,5893.55,2988.75,8794.99,884 CDM,PX-761000946,HC FASCIOTOMY PALMAR PERCUTANEOUS,6682.0,4343.3,1484.62,6548.36,884 CDM,PX-761000948,HC EXCISN LESN MLG NK/EXT .6-1CM,3520.0,2288.0,653.8,3449.6,884 CDM,PX-761000949,HC GRFT FULL THCK F/G/HF <=20SCM,4150.0,2697.5,1904.97,5243.0,884 CDM,PX-761000950,HC BX/EXC LYMPHNODE OPN AXILLARY,15204.0,9882.6,3615.02,14747.88,884 CDM,PX-761000951,HC CAPSULECTOMY MCP JT EA,12883.0,8373.95,3020.95,13605.0,884 CDM,PX-761000952,HC EXCISN BN PROX/MID PHAL PRTL,6425.0,4176.25,1484.62,6232.25,884 CDM,PX-761000953,HC BMMSC-CKD ADMIN,1290.0,838.5,407.32,3117.0,884 CDM,PX-761000954,HC EXCISN TMR WRST SUBQ>=3CM,5160.0,3354.0,1524.88,5005.2,884 CDM,PX-761000955,HC I&D ABSC CMPLX/MULT,3367.0,2188.55,375.32,3299.66,884 CDM,PX-761000958,HC RHYTIDECTOMY SUPERFICIAL,15607.0,10144.55,3271.83,15607.0,884 CDM,PX-761000960,HC CYSTOMETROGRAM COMPLEX,3744.0,2433.6,230.68,3669.12,884 CDM,PX-761000961,HC CMG CMPLX VOID&URTTHRAL PRES,3661.0,2379.65,643.8,3551.17,884 CDM,PX-761000962,HC UROFLOWMETRY CMPLX,3493.0,2270.45,199.36,3388.21,884 CDM,PX-761000963,HC VOIDING PRES STUDY INTRABD,1262.0,820.3,627.21,1224.14,880 CDM,PX-761000964,HC CMG CMPLX W VOIDING PRESSURE,3661.0,2379.65,643.8,3587.78,884 CDM,PX-761000965,HC CYSTHRSCPY RMVL FB/STENT SMPL,13048.0,8481.2,1930.0,12656.56,884 CDM,PX-761000966,HC SYNO EXT TNDN SHTH WRST SNGL,6682.0,4343.3,1484.62,6481.54,884 CDM,PX-761000968,HC EXCISN NEUROFIBROMA CUTAN NRV,8154.0,5300.1,1802.9,7909.38,884 CDM,PX-761000969,HC CYSTOURETHROSCOPY WITH BX,17440.0,11336.0,1930.0,16916.8,884 CDM,PX-761000970,HC LIGATION/BIOPSY TEMPORAL ARTY,14685.0,9545.25,1524.88,14391.3,884 CDM,PX-761000972,HC EXCISN OF VAGINAL SEPTUM,13276.0,8629.4,2988.75,12877.72,884 CDM,PX-761000975,HC OPN TX CARPAL BONE FX EA BONE,15608.0,10145.2,3020.95,15139.76,884 CDM,PX-761000976,HC FLUOROSCOPY EXAM UP TO 1 HR,732.0,475.8,220.29,710.04,884 CDM,PX-761000978,HC COMPOSITE SKIN GRAFT,7638.0,4964.7,1904.97,7408.86,884 CDM,PX-761000981,HC RHYTIDECTOMY NK W TGHTNNG,15608.0,10145.2,3271.83,15608.0,884 CDM,PX-761000987,HC SKN SUBST GRFT A/TR/L ADD 25SCM,6000.0,3900.0,2982.0,5880.0,880 CDM,PX-761000988,HC SKN GRFT A/TR/L ADD 100SCM PEDS,17669.0,11484.85,8781.49,17138.93,880 CDM,PX-761000990,HC GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS,31052.0,20183.8,3271.83,31052.0,884 CDM,PX-761000994,HC CYSTHRSCPY FULG BLAD TMR MED,14724.0,9570.6,3254.52,14429.52,884 CDM,PX-761000995,HC CYSTHRSCPY W CALIB&DIL URETH,8824.0,5735.6,1930.0,8559.28,884 CDM,PX-761000996,HC BLEPH UPR EYELID,6991.0,4544.15,1904.97,6781.27,884 CDM,PX-761000997,HC RHYTIDECTOMY CHEEK/CHIN/NECK,15285.0,9935.25,3271.83,15285.0,884 CDM,PX-761000999,HC TRANSCANAL LABYRINTH PERFUSION,6185.0,4020.25,1432.54,6061.3,884 CDM,PX-761001000,HC LAP W FULG/EXC LESN OV/VISC/PERIT,24360.0,15834.0,677.63,23872.8,856 CDM,PX-761001001,HC RPR EXTNSR TNDN SECNDRY W TISS,15608.0,10145.2,3020.95,15608.0,884 CDM,PX-761001003,HC BX PROSTATE TRCT US GUIDED,13200.0,8580.0,3254.52,13200.0,884 CDM,PX-761001004,HC BX PROST TRCT US W/MRI FUS 1ST,13681.0,8892.65,3254.52,13681.0,884 CDM,PX-761001005,HC BX PROSTATE TPRNL US GUIDED,13200.0,8580.0,3254.52,13200.0,884 CDM,PX-761001006,HC BX PROST TPRNL US W/MRI FUS 1ST,13681.0,8892.65,3254.52,13681.0,884 CDM,PX-761001007,HC BX PROST TRCT MRI-US FUS 1ST,13681.0,8892.65,3254.52,13681.0,884 CDM,PX-761001008,HC BX PROST TPRNL MRI-US FUS 1ST,13681.0,8892.65,3254.52,13681.0,884 CDM,PX-761001009,HC FX NASAL INFR TURB THERAPEUTIC,14118.0,9176.7,3061.08,14118.0,884 CDM,PX-761001010,HC CYSTHRSCPY RMVL FB/STENT CMPLX,8224.0,5345.6,1930.0,8059.52,884 CDM,PX-761001012,HC EXCISION HYDROCELE UNILATERAL,14956.0,9721.4,3305.69,14656.88,884 CDM,PX-761001015,HC DEST LESN ANUS SMPL ELECTRO,13914.0,9044.1,1904.97,13914.0,884 CDM,PX-761001016,HC ANOSCOPY DX W HRA & CHEM W BX,8031.0,5220.15,1104.83,7870.38,884 CDM,PX-761001017,HC RPR EXTNSR TNDN DIST INS,15007.0,9754.55,3020.95,15007.0,884 CDM,PX-761001019,HC RESECTION OF SCROTUM,14724.0,9570.6,3254.52,14724.0,884 CDM,PX-761001021,HC BIOPSY PROSTATE INCISIONAL,14724.0,9570.6,3254.52,14724.0,884 CDM,PX-761001031,HC RPR BLEPHAROPT LEVAT RSECT EXT,29681.0,19292.65,2195.07,29087.38,884 CDM,PX-761001032,HC CLOSURE LACRIMAL PUNCTUM,2915.0,1894.75,293.05,3045.0,884 CDM,PX-762000003,HC OBS INTERMEDIATE PER HR,153.0,99.45,84.92,5101.0,1759 CDM,PX-762000004,HC OBSERVATION DIRECT ADMIT,113.0,73.45,62.72,5101.0,1765 CDM,PX-762000005,HC OBSERVATION PER HR,113.0,73.45,62.72,5101.0,1759 CDM,PX-762000007,HC OBSERVATION HOURLY CARVE-OUT I,113.0,73.45,62.72,5101.0,1759 CDM,PX-762000008,HC OBSERVATION HOURLY CARVE-OUT II,113.0,73.45,62.72,5101.0,1759 CDM,PX-762000009,HC OBSERVATION HOURLY CARVE-OUT III,113.0,73.45,62.72,5101.0,1759 CDM,PX-762000010,HC OBSERVATION HOURLY CARVE-OUT IV,113.0,73.45,62.72,5101.0,1759 CDM,PX-762000011,HC INTERMEDIATE OBSERVATION HOURLY CARVE-OUT I,153.0,99.45,84.92,5101.0,1759 CDM,PX-762000012,HC INTERMEDIATE OBSERVATION HOURLY CARVE-OUT II,153.0,99.45,84.92,5101.0,1759 CDM,PX-762000013,HC INTERMEDIATE OBSERVATION HOURLY CARVE-OUT III,153.0,99.45,84.92,5101.0,1759 CDM,PX-762000014,HC INTERMEDIATE OBSERVATION HOURLY CARVE-OUT IV,153.0,99.45,84.92,5101.0,1759 CDM,PX-762000019,HC INTERMEDIATE OBSERVATION DIRECT ADMIT,153.0,99.45,84.92,5101.0,1765 CDM,PX-771000001,HC ADMIN FLU VACC,90.0,58.5,20.5,87.3,884 CDM,PX-771000002,HC ADMIN HEPATITIS B VACCINE,105.0,68.25,58.28,101.85,880 CDM,PX-771000003,HC ADMIN PNEUMOCCAL VACC,98.0,63.7,54.39,95.06,880 CDM,PX-771000005,HC ADMIN VACC ADD,55.0,35.75,27.34,53.9,880 CDM,PX-771000007,HC ADMIN VACC SNGL,101.0,65.65,50.2,98.98,884 CDM,PX-771000031,HC ADMIN FLU VACC ADD,96.0,62.4,20.5,93.12,883 CDM,PX-771000032,HC ADMIN PNEUMOCCAL VACC ADD,99.0,64.35,54.95,96.03,880 CDM,PX-771000033,HC ADMIN HEPATITIS B VACCINE ADD,102.0,66.3,56.61,98.94,880 CDM,PX-771000088,HC ADMIN COVID-19 VACCINE,100.0,65.0,37.52,97.0,884 CDM,PX-780000000,HC TELE ORIG SITE FEE,131.0,85.15,65.11,128.38,880 CDM,PX-801000000,HC HEMODIALYSIS TREATMENT IP,2695.0,1751.75,633.66,2614.15,884 CDM,PX-802000000,HC PERITONEAL DIALYSIS,2050.0,1332.5,385.25,1988.5,884 CDM,PX-803000000,HC CAPD TREATMENT IP,2106.0,1368.9,385.25,2042.82,884 CDM,PX-804000000,HC CCPD TREATMENT IP,1927.0,1252.55,385.25,1869.19,884 CDM,PX-811000002,HC KIDNEY ACQUISITION LRD/LURD,130800.0,85020.0,65007.6,130800.0,880 CDM,PX-812000000,HC HEART ACQUISITION,287700.0,187005.0,142986.9,287700.0,881 CDM,PX-812000015,HC LUNG ACQUISITION,339800.0,220870.0,168880.6,339800.0,881 CDM,PX-815000000,HC BMT ACQUISITION UNRELATED,120586.0,78380.9,59931.24,120586.0,880 CDM,PX-815000001,HC BMT ACQUISITION RELATED ALLO,120586.0,78380.9,59931.24,120586.0,880 CDM,PX-815000009,HC BMMSC-CKD AQUISITION UNRELATED,10350.0,6727.5,5143.95,10350.0,880 CDM,PX-815000013,"HC BMMSC-CKD ACQUISITION UNRELATED, HALF PORTION",5175.0,3363.75,2571.98,5175.0,880 CDM,PX-821000001,HC DIALYSIS TRAIN BY NONMD,1047.0,680.55,265.63,1015.59,884 CDM,PX-821000002,HC HEMODIALYSIS TX ACUTE - NON CERT,2834.0,1842.1,633.66,2748.98,884 CDM,PX-821000004,HC HEMODIALYSIS TREATMENT,2637.0,1714.05,265.63,2557.89,884 CDM,PX-821000005,HC HEMODIALYSIS TX ACUTE - CERT,2403.0,1561.95,221.33,2330.91,884 CDM,PX-821000006,HC HOME RETRAINING BY NON MD,1049.0,681.85,265.63,1017.53,884 CDM,PX-821000007,HC HEMODIALYSIS TREATMENT FOR TRANSIENT,2594.0,1686.1,265.63,2516.18,884 CDM,PX-821000008,HC HOME HEMO TREATMENT,2337.0,1519.05,265.63,2266.89,884 CDM,PX-829000000,HC EMERGENCY DIALYSIS,2482.0,1613.3,633.66,2407.54,884 CDM,PX-831000000,HC PERITONEAL DIALYSIS OUTPATIENT,2635.0,1712.75,385.25,2555.95,884 CDM,PX-841000000,HC CAPD TRAINING NON MD,1129.0,733.85,265.63,1095.13,884 CDM,PX-841000001,HC CAPD TREATMENT,976.0,634.4,265.63,946.72,884 CDM,PX-841000002,HC CAPD RETRAINING NON MD,1135.0,737.75,265.63,1100.95,884 CDM,PX-851000000,HC CCPD TRAINING NON MD,1167.0,758.55,265.63,1131.99,884 CDM,PX-851000001,HC CCPD TREATMENT,1050.0,682.5,265.63,1018.5,884 CDM,PX-851000002,HC CCPD RETRAINING NON MD,1126.0,731.9,265.63,1092.22,884 CDM,PX-871000001,HC CAR-T; HARVESTING CELLS,12990.0,8443.5,5739.0,12600.3,880 CDM,PX-872000003,HC CAR-T; PREP FRESH CELLS FOR TRANSPORT,4365.0,2837.25,2422.58,6376.0,880 CDM,PX-873000001,HC CAR-T; RECEIPT AND PREP OF CELLS FOR ADMIN,15420.0,10023.0,5739.0,14957.4,880 CDM,PX-874000001,HC CAR-T CLL ADMN AUTOLOGOUS,13809.0,8975.85,304.96,13394.73,884 CDM,PX-881000000,HC CRRT/ULTRAFILTRATION/ ACUTE,2049.0,1331.85,385.25,1987.53,884 CDM,PX-891000000,YESCARTA,2270000.0,503580.0,503580.0,503580.0,18 CDM,PX-891000001,HC TISAGENLECLEUCEL CAR-POS T,2360000.0,1534000.0,410300.0,2289200.0,884 CDM,PX-891000010,BREYANZI,2520000.0,531350.4,531350.4,531350.4,6 CDM,PX-891000011,TECARTUS (LEUKEMIA),2080000.0,462000.0,462000.0,462000.0,16 CDM,PX-891000012,ABECMA,2380000.0,531350.4,531350.4,531350.4,1 CDM,PX-891000015,CARVYKTI,2500000.0,555310.44,555310.44,555310.44,13 CDM,PX-891000016,AMONTANAAGVI,2530000.0,562000.0,562000.0,562000.0,1 CDM,PX-891000017,HC OBECABTAGENE AUROLEUCEL (AUCATZYL),2370000.0,1540500.0,1177890.0,2370000.0,880 CDM,PX-914000012,HC PSYTX PAT 60 MIN,631.0,410.15,313.61,618.38,880 CDM,PX-914000038,HC HLTH BHV ASSMT/REASSESSMENT,515.0,334.75,255.96,499.55,880 CDM,PX-914000039,HC HLTH BHV IVNTJ INDIV 1ST 30,539.0,350.35,267.88,528.22,880 CDM,PX-914000040,HC HLTH BHV IVNTJ INDIV EA ADDL 15,272.0,176.8,135.18,266.56,880 CDM,PX-915000000,HC GROUP PSYTX,493.0,320.45,245.02,493.0,880 CDM,PX-915000015,HC HLTH BHV IVNTJ GRP 1ST 30,252.0,163.8,125.24,252.0,881 CDM,PX-915000016,HC HLTH BHV IVNTJ GRP EA ADDL 15,131.0,85.15,65.11,131.0,880 CDM,PX-920000005,HC BRONCH DX W CELL WASH FLUOR,4000.0,2600.0,1643.33,4396.0,884 CDM,PX-920000036,HC IONM 1-1 REMOTE EA 15 MIN,347.0,225.55,172.46,336.59,880 CDM,PX-920000037,HC IONM REMOTE >=1 PATIENT PER HR,1547.0,1005.55,768.86,1500.59,880 CDM,PX-920000048,HC PHYSIOLOGIC RECORDING TREMOR,566.0,367.9,118.8,549.02,884 CDM,PX-920000053,HC SLEEP STUDY UNATTENDED,1592.0,1034.8,199.36,1560.16,884 CDM,PX-920000059,HC TRCRAN DPLR INTRCR CMPLT,773.0,502.45,220.29,749.81,884 CDM,PX-920000060,HC TRCRAN DPLR INTRCR EMBOLI W IV,2182.0,1418.3,96.52,2116.54,884 CDM,PX-920000061,HC TRCRAN DPLR INTRCR LTD,1396.0,907.4,96.52,1354.12,884 CDM,PX-920000062,HC TRCRAN EMBOLI DETECT WO IV INJ,904.0,587.6,96.52,876.88,884 CDM,PX-920000085,HC INTERO VAD IN PERSON,418.0,271.7,87.78,405.46,884 CDM,PX-920000093,HC DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD,1154.0,750.1,220.29,1130.92,884 CDM,PX-921000002,HC DUP SCAN ABD PELV LTD,875.0,568.75,96.52,848.75,884 CDM,PX-921000003,HC DUP SCAN AORTA IVC COMPLT,1412.0,917.8,220.29,1383.76,884 CDM,PX-921000004,HC DUP SCAN AORTA IVC LTD,1094.0,711.1,96.52,1072.12,884 CDM,PX-921000006,HC DUP SCAN EXT VEIN UNILAT/LTD,810.0,526.5,96.52,785.7,884 CDM,PX-921000011,HC DUPLEX SCAN EXTRACRAN ARTY UNILAT,1000.0,650.0,96.52,980.0,884 CDM,PX-922000001,HC AUTONOMIC TEST SUDOMOTOR,671.0,436.15,122.84,650.87,885 CDM,PX-922000002,HC AUTONOMIC TEST SYMPATH ADRENERGIC,1384.0,899.6,122.84,1342.48,884 CDM,PX-922000005,HC CTR MOTOR STDY UPPR/LWR LIMBS,2269.0,1474.85,792.85,2200.93,884 CDM,PX-922000008,HC EMG ANAL/URETHRAL NEEDLE,1342.0,872.3,230.68,3045.0,884 CDM,PX-922000009,HC EMG NDL EA EXT LTD NRV CONDCT,680.0,442.0,337.96,659.6,880 CDM,PX-922000010,HC EMG NDL EXT CMPLT W NRV CONDCT,529.0,343.85,262.91,513.13,880 CDM,PX-922000011,HC EMG NDL NON-EXT W NRV CONDCT,434.0,282.1,215.7,420.98,880 CDM,PX-922000016,HC EMG NEEDLE CRANIAL NRV BIL,932.0,605.8,199.36,904.04,884 CDM,PX-922000017,HC EMG NEEDLE CRANIAL NRV UNILAT,770.0,500.5,199.36,746.9,884 CDM,PX-922000021,HC EMG NEEDLE LIMITED,391.0,254.15,122.84,379.27,884 CDM,PX-922000031,HC ORBICULARIS OCULI REFLEX TEST,582.0,378.3,54.47,564.54,884 CDM,PX-922000035,HC SOMATOSENS TEST LOWER EXT,3289.0,2137.85,199.36,3190.33,884 CDM,PX-922000038,HC SOMATOSENS TEST UPPER EXT,1798.0,1168.7,199.36,1744.06,884 CDM,PX-922000039,HC SOMATOSENS UPPR/LWR LIMBS,2785.0,1810.25,792.85,2701.45,884 CDM,PX-922000040,HC TEST ANS PARASYM & SYMP W TILT,839.0,545.35,199.36,813.83,885 CDM,PX-922000041,HC TEST NEURMUSC JUNC EA NRV,605.0,393.25,118.8,586.85,884 CDM,PX-924000011,HC RAPID DESENSITIZATION EA HOUR,1495.0,971.75,412.45,1450.15,884 CDM,PX-929000002,HC DYNAMIC SURFACE EMG 1-12 MUS,2358.0,1532.7,199.36,2287.26,884 CDM,PX-940000036,HC PHLEBOTOMY THERAPEUTIC,612.0,397.8,122.84,593.64,885 CDM,PX-942000009,HC SELF-MGMT EDUC & TRAIN 1 PT,168.0,109.2,83.5,162.96,880 CDM,PX-942000010,HC SMOKING CESSATN >10 MIN,147.0,95.55,34.59,144.06,884 CDM,PX-942000011,HC SMOKING CESSATN 3-10MIN,81.0,52.65,34.59,79.38,884 CDM,PX-943000004,HC CARDIAC REHAB W CONT ECG MON,397.0,258.05,119.02,385.09,884 CDM,PX-943000005,HC CARDIAC REHAB WO ECG EA SESN,598.0,388.7,119.02,580.06,884 CDM,PX-948000002,HC PULM REHAB WO CONT OXIMTRY MNTR PER SESS,311.0,202.15,54.47,304.78,884 CDM,PX-948000003,HC PULM REHAB W/CONT OXIMTRY MNTR PER SESS,308.0,200.2,54.47,298.76,884 CDM,PX-949000004,HC APHERESIS THERAPEUTIC WBC,5605.0,3643.25,1437.93,5605.0,884 CDM,PX-949000005,HC APHERESIS THERAPEUTIC RBC,5145.0,3344.25,1437.93,4990.65,884 CDM,PX-949000006,HC APHERESIS THERAPEUTIC PLT,2962.0,1925.3,407.32,3117.0,884 CDM,PX-949000007,HC APHERESIS THERAPEUTIC PLASMA,5031.0,3270.15,1437.93,4880.07,884 CDM,PX-949000008,HC LDL APHERESIS,9922.0,6449.3,4021.32,13605.0,884 CDM,PX-949000009,HC PHOTOPHERESIS EXTRACORPOREAL,11226.0,7296.9,4021.32,13605.0,884 CDM,PX-960002015,HC ASP/INJ CYST BN,9308.0,6050.2,653.8,9028.76,884 CDM,PX-960002303,HC ECONSULT INTERNAL,107.0,69.55,30.68,104.86,884 CDM,PX-972000007,HC CT ABDOMEN W CNTRST,5789.0,3762.85,161.94,5615.33,884 CDM,PX-990000014,HC PATIENT AMENITIES,2300.0,1495.0,1143.1,2300.0,880 CDM,RX-10001,ETOPOSIDE 50 MG CAPSULE,270.8,176.02,77.46,270.8,884 CDM,RX-100011,"PALIPERIDONE ER 1.5 MG TABLET,EXTENDED RELEASE 24 HR",12.1,7.87,6.01,12.1,884 CDM,RX-10010,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,87.2,56.68,43.34,87.2,884 CDM,RX-10011,FAMOTIDINE 20 MG TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-10014,FAT EMULSION 20 % INTRAVENOUS,200.4,130.26,99.6,200.4,880 CDM,RX-10024,FELBAMATE 400 MG TABLET,8.1,5.27,4.03,8.1,884 CDM,RX-10025,FELBAMATE 600 MG TABLET,11.4,7.41,5.67,11.4,884 CDM,RX-100344,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),12379.0,8046.35,30.78,12007.63,884 CDM,RX-10036,FILGRASTIM 300 MCG/ML INJECTION SOLUTION,1276.2,829.53,1.0,1237.91,884 CDM,RX-10037,FINASTERIDE 5 MG TABLET,6.9,4.49,3.43,6.9,884 CDM,RX-10039,FLAVOXATE 100 MG TABLET,8.6,5.59,4.27,8.6,884 CDM,RX-100417,SILDENAFIL 10 MG/12.5 ML INTRAVENOUS SOLUTION,159.5,103.68,79.27,159.5,880 CDM,RX-10043,FLECAINIDE 50 MG TABLET,6.8,4.42,3.38,6.8,884 CDM,RX-10044,FLUCONAZOLE 100 MG TABLET,9.3,6.05,4.62,9.3,884 CDM,RX-10045,FLUCONAZOLE 200 MG TABLET,10.9,7.09,5.42,10.9,884 CDM,RX-10046,FLUCONAZOLE 50 MG TABLET,7.2,4.68,3.58,7.2,884 CDM,RX-10049,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,88.3,57.4,43.89,85.65,880 CDM,RX-10050,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,89.7,58.31,44.58,87.01,880 CDM,RX-10051,FLUCYTOSINE 250 MG CAPSULE,33.8,21.97,16.8,33.8,884 CDM,RX-10052,FLUCYTOSINE 500 MG CAPSULE,70.3,45.7,34.94,70.3,884 CDM,RX-10053,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION (WETTED),531.2,345.28,264.01,515.26,880 CDM,RX-10054,FLUDROCORTISONE 0.1 MG TABLET,6.8,4.42,3.38,6.8,884 CDM,RX-10059,FLUORESCEIN 100 MG/ML (10 %) INTRAVENOUS SOLUTION,209.9,136.44,104.32,203.6,880 CDM,RX-10061,FLUORESCEIN 0.25 %-BENOXINATE 0.4 % EYE DROPS,126.3,82.1,62.77,126.3,880 CDM,RX-100611,DICLOFENAC 1 % TOPICAL GEL,66.1,42.97,32.85,66.1,884 CDM,RX-10063,"FLUOROMETHOLONE ACETATE 0.1 % EYE DROPS,SUSPENSION",432.7,281.26,215.05,432.7,884 CDM,RX-10065,FLUOROURACIL 5 % TOPICAL CREAM,200.6,130.39,99.7,200.6,884 CDM,RX-10069,FLUOXETINE 10 MG CAPSULE,5.4,3.51,2.68,5.4,884 CDM,RX-10070,FLUOXETINE 20 MG CAPSULE,5.4,3.51,2.68,5.4,884 CDM,RX-100740,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION,367.5,238.88,172.31,356.48,884 CDM,RX-100745,ESTRADIOL 10 MCG VAGINAL TABLET,68.5,44.53,34.04,68.5,884 CDM,RX-10080,FLURBIPROFEN 0.03 % EYE DROPS,168.7,109.66,83.84,168.7,884 CDM,RX-10085,FLUVOXAMINE 50 MG TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-10094,FOSINOPRIL 10 MG TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-10095,FOSINOPRIL 20 MG TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-100992,BARIUM SULFATE 700 MG TABLET,11.8,7.67,5.86,11.8,880 CDM,RX-100995,RITONAVIR 100 MG TABLET,35.8,23.27,17.79,35.8,884 CDM,RX-101,ACETAMINOPHEN 325 MG TABLET,0.5,0.33,0.25,0.5,884 CDM,RX-10101,GANCICLOVIR SODIUM 500 MG/10 ML INTRAVENOUS SOLUTION (WETTED),162.1,105.37,80.56,158.86,880 CDM,RX-101034,"MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)",208.25,135.365,86.08,236.0,1760 CDM,RX-10106,GENTAMICIN 80 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,83.1,54.02,41.3,80.61,880 CDM,RX-10108,GENTAMICIN 100 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,83.8,54.47,41.65,81.29,880 CDM,RX-10116,GLIPIZIDE 10 MG TABLET,6.8,4.42,3.38,6.8,884 CDM,RX-10117,GLIPIZIDE 5 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-10125,GLYBURIDE 1.25 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-10126,GLYBURIDE 2.5 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-10130,GLYCOPYRROLATE 1 MG TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-10137,GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT,4871.4,3166.41,733.67,4773.97,884 CDM,RX-10144,GUAIFENESIN 200 MG TABLET,0.5,0.33,0.25,0.5,884 CDM,RX-10149,GUANFACINE 1 MG TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-10176,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",43.3,28.15,21.52,42.0,880 CDM,RX-10177,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",42.1,27.37,20.92,40.84,880 CDM,RX-102,ACETAMINOPHEN 500 MG TABLET,0.5,0.33,0.25,0.5,884 CDM,RX-10209,HYDROCORTISONE 5 MG TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-10210,HYDROCORTISONE 100 MG/60 ML ENEMA,29.4,19.11,14.61,29.4,884 CDM,RX-10225,HYDROMORPHONE 1 MG/ML ORAL LIQUID,12.5,8.125,5.22,1378.7,3536 CDM,RX-10227,HYDROMORPHONE 3 MG RECTAL SUPPOSITORY,41.9,27.24,20.82,41.9,884 CDM,RX-10235,HYDROXYCHLOROQUINE 200 MG TABLET,9.3,6.05,4.62,9.3,884 CDM,RX-10236,HYDROXYUREA 500 MG CAPSULE,8.0,5.2,3.98,8.0,884 CDM,RX-10246,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,0.5,0.33,0.25,0.5,884 CDM,RX-10248,IFOSFAMIDE 1 GRAM/20 ML INTRAVENOUS SOLUTION (WETTED),314.8,204.62,156.46,305.36,880 CDM,RX-10249,IFOSFAMIDE 3 GRAM/60 ML INTRAVENOUS SOLUTION (WETTED),539.6,350.74,268.18,523.41,880 CDM,RX-10264,INDAPAMIDE 1.25 MG TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-10266,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,676.7,439.86,336.32,676.7,880 CDM,RX-1027,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL CREAM,99.1,64.42,49.25,99.1,884 CDM,RX-1028,BETAMETHASONE DIPROPIONATE 0.05 % LOTION,124.6,80.99,61.93,124.6,884 CDM,RX-10284,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,171.7,111.61,85.33,171.7,884 CDM,RX-10286,INSULIN NPH-REGULAR 70-30 100 UNIT/ML SUBCUTANEOUS SUSP,171.7,111.61,85.33,171.7,884 CDM,RX-10289,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,171.7,111.61,85.33,171.7,884 CDM,RX-1029,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL OINTMENT,95.0,61.75,47.22,95.0,884 CDM,RX-103,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,0.5,0.33,0.25,0.5,884 CDM,RX-1031,BETAMETHASONE VALERATE 0.1 % TOPICAL CREAM,95.1,61.82,47.26,95.1,884 CDM,RX-10318,IOHEXOL 140 MG IODINE/ML INTRAVENOUS SOLUTION,76.9,49.99,38.22,74.59,880 CDM,RX-10319,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION,157.7,102.51,78.38,152.97,880 CDM,RX-10323,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,76.9,49.99,38.22,74.59,880 CDM,RX-10325,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION,118.1,76.77,58.7,114.56,880 CDM,RX-10333,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION,94.9,61.69,47.17,92.05,880 CDM,RX-10356,ISOSORBIDE MONONITRATE 10 MG TABLET,15.0,9.75,7.46,15.0,884 CDM,RX-10357,ISOSORBIDE MONONITRATE 20 MG TABLET,16.8,10.92,8.35,16.8,884 CDM,RX-10358,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION,415.1,269.82,8.73,402.65,884 CDM,RX-10362,ISRADIPINE 2.5 MG CAPSULE,9.9,6.44,4.92,9.9,884 CDM,RX-10364,ITRACONAZOLE 100 MG CAPSULE,13.8,8.97,6.86,13.8,884 CDM,RX-10368,KETOCONAZOLE 2 % TOPICAL CREAM,66.0,42.9,32.8,66.0,884 CDM,RX-10369,KETOCONAZOLE 200 MG TABLET,7.9,5.14,3.93,7.9,884 CDM,RX-10371,KETOROLAC 10 MG TABLET,6.3,4.09,3.13,6.3,884 CDM,RX-10373,LABETALOL 100 MG TABLET,6.4,4.16,3.18,6.4,884 CDM,RX-10374,LABETALOL 200 MG TABLET,7.0,4.55,3.48,7.0,884 CDM,RX-10380,AMMONIUM LACTATE 12 % LOTION,29.6,19.24,14.71,29.6,884 CDM,RX-10384,"LACTOBACILLUS ACIDOPHILUS, BULGARICUS 100 MILLION CELL GRANULES PACKET",6.3,4.09,3.13,6.3,884 CDM,RX-103890,TAMSULOSIN 0.4 MG CAPSULE,6.0,3.9,2.98,6.0,884 CDM,RX-103935,SOTALOL 150 MG/10 ML (15 MG/ML) INTRAVENOUS SOLUTION,15357.5,9982.38,25.05,14896.78,884 CDM,RX-10394,LEVOBUNOLOL 0.5 % EYE DROPS,95.8,62.27,47.61,95.8,884 CDM,RX-104,ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY,0.5,0.33,0.25,0.5,884 CDM,RX-104006,LEVOTHYROXINE 25 MCG CAPSULE,18.2,11.83,9.05,18.2,884 CDM,RX-104008,LEVOTHYROXINE 75 MCG CAPSULE,18.4,11.96,9.14,18.4,884 CDM,RX-104009,LEVOTHYROXINE 88 MCG CAPSULE,20.3,13.2,10.09,20.3,884 CDM,RX-104013,LEVOTHYROXINE 137 MCG CAPSULE,21.7,14.11,10.78,21.7,884 CDM,RX-104014,LEVOTHYROXINE 150 MCG CAPSULE,18.4,11.96,9.14,18.4,884 CDM,RX-10403,LEVOTHYROXINE 88 MCG TABLET,6.5,4.22,3.23,6.5,884 CDM,RX-10404,LEVOTHYROXINE 112 MCG TABLET,6.8,4.42,3.38,6.8,884 CDM,RX-10405,LEVOTHYROXINE 137 MCG TABLET,6.9,4.49,3.43,6.9,884 CDM,RX-104159,"BARIUM SULFATE 40 % (W/V), 30% (W/W) ORAL PASTE",161.8,105.17,80.41,161.8,880 CDM,RX-104207,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,39.0,25.35,19.38,39.0,880 CDM,RX-104208,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,35.9,23.34,17.84,35.9,880 CDM,RX-10426,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",36.1,23.47,17.94,36.1,880 CDM,RX-104264,TERIPARATIDE 20 MCG/DOSE (560 MCG/2.24 ML) SUBCUTANEOUS PEN INJECTOR,9866.5,6413.23,4903.65,9866.5,884 CDM,RX-10427,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",39.9,25.94,19.83,39.9,880 CDM,RX-10428,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",38.9,25.29,19.33,38.9,880 CDM,RX-10429,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",39.4,25.61,19.58,39.4,880 CDM,RX-1043,BETHANECHOL CHLORIDE 10 MG TABLET,6.3,4.09,3.13,6.3,884 CDM,RX-10430,"LIDOCAINE-EPINEPHRINE 2%-1:100,000 INJECTION SOLUTION",36.0,23.4,17.89,36.0,880 CDM,RX-10431,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",55.5,36.08,27.58,55.5,880 CDM,RX-10434,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,81.0,52.65,40.26,81.0,880 CDM,RX-1044,BETHANECHOL CHLORIDE 25 MG TABLET,7.0,4.55,3.48,7.0,884 CDM,RX-10442,LIOTHYRONINE 10 MCG/ML INTRAVENOUS SOLUTION,3770.2,2450.63,41.19,3770.2,884 CDM,RX-10443,LIOTHYRONINE 5 MCG TABLET,6.1,3.97,3.03,6.1,884 CDM,RX-10449,LISINOPRIL 10 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-1045,BETHANECHOL CHLORIDE 5 MG TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-10451,LISINOPRIL 5 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-10454,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",6.5,4.22,3.23,6.5,884 CDM,RX-10455,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",7.1,4.62,3.53,7.1,884 CDM,RX-104555,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET,30.9,20.09,15.36,30.9,884 CDM,RX-104572,PITAVASTATIN CALCIUM 1 MG TABLET,14.1,9.16,7.01,14.1,884 CDM,RX-104575,GANCICLOVIR 0.15 % EYE GEL,1411.6,917.54,701.57,1411.6,884 CDM,RX-104576,TRANEXAMIC ACID 650 MG TABLET,19.3,12.55,9.59,19.3,884 CDM,RX-10460,LOMUSTINE 100 MG CAPSULE,3983.8,2589.47,1979.95,3983.8,884 CDM,RX-104604,RIFAXIMIN 550 MG TABLET,194.3,126.3,96.57,194.3,884 CDM,RX-10461,LOMUSTINE 40 MG CAPSULE,1481.4,962.91,736.26,1481.4,884 CDM,RX-10466,LORATADINE 10 MG TABLET,2.8,1.82,1.39,2.8,884 CDM,RX-10471,LOVASTATIN 40 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-10475,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION",18895.0,12281.75,5135.09,18895.0,884 CDM,RX-104764,SIROLIMUS 0.5 MG TABLET,12.3,8.0,6.11,12.3,884 CDM,RX-10478,MAFENIDE 85 MG/G TOPICAL CREAM,278.2,180.83,138.27,278.2,884 CDM,RX-104877,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,58.0,37.7,28.83,58.0,884 CDM,RX-10491,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,2.3,1.5,1.14,2.3,884 CDM,RX-105,ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY,0.5,0.33,0.25,0.5,884 CDM,RX-10512,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT",151.5,98.48,75.3,148.47,880 CDM,RX-10518,MEDIUM CHAIN TRIGLYCERIDES (MCT) 7.7 KCAL/ML ORAL OIL,3.2,2.08,1.59,3.2,884 CDM,RX-10520,MEFLOQUINE 250 MG TABLET,23.8,15.47,11.83,23.8,884 CDM,RX-10522,MELPHALAN HCL 50 MG/10 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),447.7,291.01,95.9,434.27,884 CDM,RX-10529,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,40.8,26.52,20.28,39.58,881 CDM,RX-10531,MERCAPTOPURINE 50 MG TABLET,8.5,5.53,4.22,8.5,884 CDM,RX-10533,"MESALAMINE ER 250 MG CAPSULE,EXTENDED RELEASE",14.9,9.69,7.41,14.9,884 CDM,RX-10535,MESALAMINE 4 GRAM/60 ML ENEMA,30.2,19.63,15.01,30.2,884 CDM,RX-10537,MESNA 100 MG/ML INTRAVENOUS SOLUTION,70.3,45.7,34.94,68.19,881 CDM,RX-105410,BIMATOPROST 0.01 % EYE DROPS,834.0,542.1,414.5,834.0,884 CDM,RX-105417,GEMCITABINE 2 GRAM/52.6 ML INTRAVENOUS SOLUTION (WETTED),708.6,460.59,352.17,687.34,880 CDM,RX-10544,METFORMIN 500 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-10546,METHADONE 10 MG/ML INJECTION SOLUTION,132.7,86.26,65.95,128.72,880 CDM,RX-105482,LACOSAMIDE 10 MG/ML ORAL SOLUTION,124.9,81.19,62.08,124.9,880 CDM,RX-10549,METHENAMINE HIPPURATE 1 GRAM TABLET,6.6,4.29,3.28,6.6,884 CDM,RX-105502,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE,6944.5,4513.93,29.38,6736.17,884 CDM,RX-10552,METHIMAZOLE 10 MG TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-10553,METHIMAZOLE 5 MG TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-105633,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",42.3,27.5,21.02,42.3,880 CDM,RX-105634,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",44.1,28.67,21.92,44.1,880 CDM,RX-105637,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,39.3,25.55,19.53,38.12,880 CDM,RX-105638,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,42.1,27.37,20.92,40.84,880 CDM,RX-105640,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,36.1,23.47,17.94,35.02,880 CDM,RX-105644,CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION,55345.9,35974.84,227.28,54238.98,884 CDM,RX-10571,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,107.2,69.68,53.28,105.06,880 CDM,RX-10572,METHYLERGONOVINE 0.2 MG TABLET,50.1,32.56,24.9,50.1,884 CDM,RX-10577,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",169.0,109.85,83.99,163.93,880 CDM,RX-10578,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,90.6,58.89,45.03,87.88,880 CDM,RX-10579,METHYLPREDNISOLONE SODIUM SUCCINATE 2 GRAM INTRAVENOUS SOLUTION,409.3,266.05,203.42,397.02,880 CDM,RX-10580,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION,40.6,26.39,20.18,39.38,880 CDM,RX-10581,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION,134.3,87.3,66.75,130.27,880 CDM,RX-10587,METOLAZONE 2.5 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-10588,METOLAZONE 5 MG TABLET,16.4,10.66,8.15,16.4,884 CDM,RX-105899,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,45.5,29.58,22.61,44.14,880 CDM,RX-105900,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,47.7,31.01,23.71,46.27,880 CDM,RX-105901,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,54.0,35.1,26.84,52.38,880 CDM,RX-105902,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,63.2,41.08,31.41,61.3,880 CDM,RX-105903,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,70.3,45.7,34.94,68.19,880 CDM,RX-105904,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,72.8,47.32,36.18,70.62,880 CDM,RX-10592,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,120.3,78.19,59.79,120.3,884 CDM,RX-10595,MEXILETINE 150 MG CAPSULE,6.2,4.03,3.08,6.2,884 CDM,RX-10596,MEXILETINE 200 MG CAPSULE,6.9,4.49,3.43,6.9,884 CDM,RX-10597,MEXILETINE 250 MG CAPSULE,7.3,4.75,3.63,7.3,884 CDM,RX-105970,INCOBOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION,1064.7,692.06,5.57,1032.76,884 CDM,RX-105971,INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION,1916.8,1245.92,5.57,1859.3,884 CDM,RX-106079,ULIPRISTAL 30 MG TABLET,126.8,82.42,63.02,126.8,880 CDM,RX-10608,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,75.7,49.21,37.62,73.43,880 CDM,RX-10609,MIDODRINE 2.5 MG TABLET,7.7,5.01,3.83,7.7,884 CDM,RX-10610,MIDODRINE 5 MG TABLET,6.7,4.36,3.33,6.7,884 CDM,RX-10612,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION,1116.5,725.73,2.67,1083.01,884 CDM,RX-106120,HEXAMINOLEVULINATE 100 MG INTRAVESICAL SOLUTION,4268.8,2774.72,2121.59,4140.74,880 CDM,RX-106176,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,16.5,10.73,8.2,16.5,884 CDM,RX-106177,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,15.1,9.81,7.5,15.1,884 CDM,RX-106249,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT",114.5,74.43,56.91,114.5,880 CDM,RX-10628,MISOPROSTOL 100 MCG TABLET,6.6,4.29,3.28,6.6,884 CDM,RX-10629,MISOPROSTOL 200 MCG TABLET,12.6,8.19,6.26,12.6,884 CDM,RX-10630,MITOMYCIN 20 MG/40 ML INTRAVENOUS SOLUTION (WETTED),391.2,254.28,20.35,379.46,884 CDM,RX-10631,MITOMYCIN 40 MG/80 ML INTRAVENOUS SOLUTION (WETTED),690.6,448.89,20.35,669.88,884 CDM,RX-10632,MITOMYCIN 5 MG/10 ML INTRAVENOUS SOLUTION (WETTED),450.1,292.57,20.35,436.6,884 CDM,RX-106348,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,37.6,24.44,18.69,36.47,883 CDM,RX-106349,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,35.5,23.08,17.64,34.44,880 CDM,RX-106363,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,36.0,23.4,17.89,36.0,880 CDM,RX-10646,MOMETASONE 0.1 % TOPICAL CREAM,112.9,73.39,56.11,112.9,884 CDM,RX-10648,MOMETASONE 0.1 % TOPICAL OINTMENT,64.0,41.6,31.81,64.0,884 CDM,RX-106490,DABIGATRAN ETEXILATE 75 MG CAPSULE,14.8,9.62,7.36,14.8,884 CDM,RX-106491,DABIGATRAN ETEXILATE 150 MG CAPSULE,10.7,6.96,5.32,10.7,884 CDM,RX-10674,MUPIROCIN 2 % TOPICAL OINTMENT,59.0,38.35,29.32,59.0,884 CDM,RX-10676,NABUMETONE 500 MG TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-106773,ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION,1221.0,793.65,89.34,1196.58,884 CDM,RX-106783,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,131.6,85.54,65.41,127.65,880 CDM,RX-106804,DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION,12413.4,8068.71,29.38,12041.0,884 CDM,RX-10685,NALTREXONE 50 MG TABLET,10.8,7.02,5.37,10.8,884 CDM,RX-1069,BIOTIN 10 MG TABLET,2.2,1.43,1.09,2.2,884 CDM,RX-10692,"NATAMYCIN 5 % EYE DROPS,SUSPENSION",2926.0,1901.9,1454.22,2926.0,884 CDM,RX-10708,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",107.9,70.14,53.63,107.9,884 CDM,RX-10712,NICARDIPINE 20 MG CAPSULE,10.5,6.83,5.22,10.5,884 CDM,RX-10713,NICARDIPINE 30 MG CAPSULE,15.7,10.21,7.8,15.7,884 CDM,RX-10717,NICOTINE (POLACRILEX) 2 MG GUM,3.2,2.08,1.59,3.2,884 CDM,RX-10722,NIMODIPINE 30 MG CAPSULE,8.7,5.66,4.32,8.7,884 CDM,RX-10723,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION,3367.2,2188.68,1673.5,3367.2,884 CDM,RX-10724,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,6.2,4.03,3.08,6.2,884 CDM,RX-10747,NORETHINDRONE ACETATE 5 MG TABLET,6.3,4.09,3.13,6.3,884 CDM,RX-10749,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-10757,NORTRIPTYLINE 10 MG/5 ML ORAL SOLUTION,589.3,383.05,292.88,589.3,884 CDM,RX-107664,PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION,118975.3,77333.95,3660.83,115406.04,884 CDM,RX-107670,CEFTAROLINE FOSAMIL 400 MG INTRAVENOUS SOLUTION,867.3,563.75,4.23,867.3,884 CDM,RX-107671,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION,867.3,563.75,4.23,867.3,884 CDM,RX-107672,DEXTROMETHORPHAN 20 MG-QUINIDINE 10 MG CAPSULE,93.9,61.03,46.67,93.9,884 CDM,RX-10772,OFLOXACIN 400 MG TABLET,52.2,33.93,25.94,52.2,884 CDM,RX-10773,OLSALAZINE 250 MG CAPSULE,50.3,32.7,25.0,50.3,884 CDM,RX-107750,IMMUNE GLOBU G 1 GRAM/10 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,570.0,370.5,48.96,552.9,884 CDM,RX-107752,IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,2449.7,1592.31,48.96,2376.21,884 CDM,RX-107753,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,4874.4,3168.36,48.96,4728.17,884 CDM,RX-107754,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,9323.8,6060.47,48.96,9044.09,884 CDM,RX-10778,ONDANSETRON HCL 4 MG TABLET,6.1,3.97,3.03,6.1,884 CDM,RX-10779,ONDANSETRON HCL 8 MG TABLET,6.8,4.42,3.38,6.8,884 CDM,RX-107798,BACLOFEN 50 MCG/ML (1 ML) INTRATHECAL SYRINGE,271.3,176.35,134.84,265.87,880 CDM,RX-107799,"BACLOFEN 10,000 MCG/20 ML (500 MCG/ML) INTRATHECAL SOLUTION",661.3,429.85,181.22,648.07,884 CDM,RX-107800,"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SOLUTION",2325.0,1511.25,181.22,2278.5,884 CDM,RX-107829,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION,499.9,324.94,248.45,499.9,884 CDM,RX-1079,"BISACODYL 5 MG TABLET,DELAYED RELEASE",2.1,1.37,1.04,2.1,884 CDM,RX-1080,BISACODYL 10 MG RECTAL SUPPOSITORY,3.0,1.95,1.49,3.0,884 CDM,RX-108027,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,105.6,68.64,52.48,103.49,880 CDM,RX-108028,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,70.6,45.89,35.09,69.19,880 CDM,RX-108029,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,87.7,57.01,43.59,85.95,880 CDM,RX-108032,"DALTEPARIN (PORCINE) 5,000 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRINGE",99.4,64.61,49.4,96.42,880 CDM,RX-108033,"DALTEPARIN (PORCINE) 7,500 ANTI-XA UNIT/0.3 ML SUBCUTANEOUS SYRINGE",100.7,65.46,50.05,97.68,880 CDM,RX-108039,TESTOSTERONE 1 % (50 MG/5 GRAM) TRANSDERMAL GEL PACKET,57.8,37.57,28.73,57.8,884 CDM,RX-10804,OXICONAZOLE 1 % TOPICAL CREAM,573.1,372.52,284.83,573.1,884 CDM,RX-108044,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE,1112.2,722.93,2.93,1078.83,884 CDM,RX-108047,DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,2199.4,1429.61,2.93,2133.42,884 CDM,RX-108048,DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE,3386.6,2201.29,2.93,3285.0,884 CDM,RX-108049,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE",1535.8,998.27,30.01,1489.73,884 CDM,RX-108050,"PENICILLIN G BENZATHINE 2,400,000 UNIT/4 ML INTRAMUSCULAR SYRINGE",3316.0,2155.4,30.01,3216.52,884 CDM,RX-108051,"PENICILLIN G BENZATHINE AND PROCAINE 1,200,000 UNIT/2 ML IM SYRINGE",969.9,630.43,19.52,969.9,884 CDM,RX-108065,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,6988.65,4542.625,73.2,10584.45,1768 CDM,RX-108068,IBUPROFEN 800 MG/8 ML (100 MG/ML) INTRAVENOUS SOLUTION,76.8,49.92,38.17,76.8,880 CDM,RX-108072,CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION,6658.5,4328.02,78.37,6525.33,884 CDM,RX-108074,FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION,1958.0,1272.7,1.0,1899.26,884 CDM,RX-108075,FILGRASTIM 300 MCG/0.5 ML INJECTION SYRINGE,1345.2,874.38,1.0,1304.84,884 CDM,RX-108076,FILGRASTIM 480 MCG/0.8 ML INJECTION SYRINGE,2168.1,1409.27,1.0,2103.06,884 CDM,RX-108078,"RIMABOTULINUMTOXINB 2,500 UNIT/0.5 ML INTRAMUSCULAR SOLUTION",1315.8,855.27,13.29,1289.48,884 CDM,RX-108096,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,555.1,360.82,275.88,544.0,880 CDM,RX-108118,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,88.0,57.2,43.74,85.36,880 CDM,RX-108119,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,92.5,60.13,45.97,89.73,880 CDM,RX-108120,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,93.4,60.71,46.42,90.6,880 CDM,RX-108127,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION,52.0,33.8,25.84,50.96,880 CDM,RX-10813,OXYCODONE 5 MG/5 ML ORAL SOLUTION,24.3,15.8,12.08,24.3,884 CDM,RX-108130,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,82.4,53.56,40.95,79.93,880 CDM,RX-108131,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,45.3,29.45,22.51,43.94,880 CDM,RX-108132,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,84.1,54.67,41.8,81.58,880 CDM,RX-10814,OXYCODONE 5 MG TABLET,11.6,7.54,5.77,11.6,884 CDM,RX-108150,HEPATITIS B VIRUS VACCINE RECOMB (PF) 40 MCG/ML INTRAMUSCULAR SUSP,165.5,107.58,82.25,162.19,880 CDM,RX-10839,PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION,75.0,48.75,37.28,75.0,884 CDM,RX-10854,PAROMOMYCIN 250 MG CAPSULE,406.3,264.1,201.93,406.3,884 CDM,RX-10855,PAROXETINE 20 MG TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-108781,IOFLUPANE I 123 5 MCI/2.5 ML (185 MBQ/2.5 ML) INTRAVENOUS SOLUTION,6311.0,4102.15,1387.74,6121.67,884 CDM,RX-108842,BELIMUMAB 120 MG INTRAVENOUS SOLUTION,2687.9,1747.14,56.07,2607.26,884 CDM,RX-108843,BELIMUMAB 400 MG INTRAVENOUS SOLUTION,8634.0,5612.1,56.07,8374.98,884 CDM,RX-10895,PENICILLAMINE 250 MG TABLET,178.0,115.7,88.47,178.0,884 CDM,RX-1090,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,0.5,0.33,0.25,0.5,884 CDM,RX-109034,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,53.8,34.97,26.74,52.72,880 CDM,RX-10910,PENTOSTATIN 10 MG/5 ML INTRAVENOUS SOLUTION (WETTED),10071.5,6546.48,2608.16,10071.5,884 CDM,RX-10917,PERMETHRIN 5 % TOPICAL CREAM,123.8,80.47,61.53,123.8,884 CDM,RX-10918,PERMETHRIN 1 % TOPICAL LIQUID,77.5,50.38,38.52,77.5,884 CDM,RX-10933,PHENELZINE 15 MG TABLET,6.9,4.49,3.43,6.9,884 CDM,RX-109401,ROFLUMILAST 500 MCG TABLET,6.9,4.49,3.43,6.9,884 CDM,RX-109402,VILAZODONE 10 MG TABLET,22.1,14.37,10.98,22.1,884 CDM,RX-109403,VILAZODONE 20 MG TABLET,22.1,14.37,10.98,22.1,884 CDM,RX-109404,VILAZODONE 40 MG TABLET,8.2,5.33,4.08,8.2,884 CDM,RX-10945,PHENOXYBENZAMINE 10 MG CAPSULE,93.3,60.65,46.37,93.3,884 CDM,RX-10947,PHENTOLAMINE 5 MG INJECTION SOLUTION,1235.6,803.14,432.02,1198.53,884 CDM,RX-109481,KIT FOR PREPARATION OF TC 99M-PENTETIC ACID 20 MG IV SOLUTION,1484.0,964.6,823.62,2977.0,880 CDM,RX-109773,LINAGLIPTIN 5 MG TABLET,57.5,37.38,28.58,57.5,884 CDM,RX-109776,ABIRATERONE 250 MG TABLET,9.1,5.92,4.52,9.1,884 CDM,RX-109784,SODIUM NITRITE-SODIUM THIOSULFATE 300 MG/10 ML-12.5 GRAM/50 ML IV SOLN,863.7,561.4,2.23,863.7,884 CDM,RX-109817,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,444.0,288.6,0.8,430.68,884 CDM,RX-109909,RILPIVIRINE HCL 25 MG TABLET,166.7,108.36,82.85,166.7,884 CDM,RX-11018,PHENYTOIN 50 MG CHEWABLE TABLET,8.7,5.66,4.32,8.7,884 CDM,RX-11019,PHENYTOIN SODIUM EXTENDED 30 MG CAPSULE,10.1,6.57,5.02,10.1,884 CDM,RX-11021,BERACTANT 25 MG/ML IN 0.9 % SODIUM CHLORIDE INTRATRACHEAL SUSPENSION,1774.3,1153.3,881.83,1774.3,880 CDM,RX-11023,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,52.4,34.06,26.04,50.83,880 CDM,RX-11024,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,218.7,142.16,108.69,218.7,884 CDM,RX-110250,RIVAROXABAN 10 MG TABLET,52.1,33.87,25.89,52.1,884 CDM,RX-110257,AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE (PREMIX:ISO-OSMOTIC/CNR IN D5W),262.8,170.82,130.61,254.92,880 CDM,RX-110267,LOTEPREDNOL ETABONATE 0.5 % EYE OINTMENT,1098.6,714.09,546.0,1098.6,884 CDM,RX-110360,FIDAXOMICIN 200 MG TABLET,414.6,269.49,206.06,414.6,884 CDM,RX-110427,TICAGRELOR 90 MG TABLET,6.6,4.29,3.28,6.6,884 CDM,RX-110435,"IMMUNE GLOB,GAMM(IGG) 5 %-SORB-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",4881.0,3172.65,2425.86,4881.0,880 CDM,RX-11046,CALCIUM POLYCARBOPHIL 625 MG TABLET,0.5,0.33,0.25,0.5,884 CDM,RX-11050,POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE,2.4,1.56,1.19,2.4,884 CDM,RX-11057,POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN,2.5,1.63,1.24,2.5,884 CDM,RX-11067,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,6.1,3.97,3.03,6.1,884 CDM,RX-110675,BELATACEPT 250 MG INTRAVENOUS SOLUTION,3861.2,2509.78,3.89,3745.36,884 CDM,RX-11074,POTASSIUM CHLORIDE 10 MEQ/100 ML INTRAVENOUS PIGGYBACK,84.5,54.93,42.0,81.97,880 CDM,RX-11075,POTASSIUM CHLORIDE 10 MEQ/50 ML INTRAVENOUS PIGGYBACK,84.1,54.67,41.8,81.58,880 CDM,RX-110751,LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT,4327.2,2812.68,176.45,4197.38,884 CDM,RX-11076,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,84.5,54.93,42.0,81.97,880 CDM,RX-11077,POTASSIUM CHLORIDE 20 MEQ/50 ML INTRAVENOUS PIGGYBACK,83.3,54.15,41.4,80.8,880 CDM,RX-11081,NACL 0.9% KCL 20 MEQ/L IV SOLP,82.0,53.3,40.75,79.54,880 CDM,RX-11083,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE",6.1,3.97,3.03,6.1,884 CDM,RX-11099,PRAMOXINE 1 % LOTION,73.4,47.71,36.48,73.4,884 CDM,RX-110998,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,6.9,4.49,3.43,6.9,884 CDM,RX-11110,PRAVASTATIN 10 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-11111,PRAVASTATIN 20 MG TABLET,6.8,4.42,3.38,6.8,884 CDM,RX-11113,PRAZIQUANTEL 600 MG TABLET,207.1,134.62,102.93,207.1,884 CDM,RX-111153,ZINC OXIDE-COD LIVER OIL 40 % TOPICAL PASTE,61.2,39.78,30.42,61.2,884 CDM,RX-11117,PREDNISOLONE 15 MG/5 ML ORAL SOLUTION,550.4,357.76,273.55,550.4,884 CDM,RX-111183,BENZOCAINE 15 MG-MENTHOL 2.6 MG LOZENGES,8.5,5.53,4.22,8.5,884 CDM,RX-111197,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",4136.5,2688.7250000000004,45.31,7806.56,3536 CDM,RX-111216,IODINE-POTASSIUM IODIDE 5 %-10 % TOPICAL SOLUTION,75.55,49.11,36.68,77.3,1760 CDM,RX-11129,PRIMIDONE 50 MG TABLET,7.7,5.01,3.83,7.7,884 CDM,RX-111348,BRENTUXIMAB VEDOTIN 50 MG/10 ML INTRAVENOUS SOLUTION (WETTED),49566.5,32218.23,258.64,48575.17,884 CDM,RX-11138,PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY,33.3,21.65,16.55,33.3,884 CDM,RX-111395,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE,9485.9,6165.84,4714.49,9485.9,884 CDM,RX-11143,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,17.5,11.38,8.7,17.5,884 CDM,RX-111437,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION,4067.4,2643.81,5.19,4067.4,884 CDM,RX-11144,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,12.1,7.87,6.01,12.1,884 CDM,RX-11146,PROPAFENONE 150 MG TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-11150,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,77.8,50.57,38.67,75.47,882 CDM,RX-112,ACETAZOLAMIDE 125 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-11218,PSYLLIUM HUSK 3.4 GRAM ORAL POWDER PACKET,3.7,2.4,1.84,3.7,884 CDM,RX-11238,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,34.3,22.3,17.05,34.3,884 CDM,RX-11239,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,8.6,5.59,4.27,8.6,884 CDM,RX-11240,"PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE",27.2,17.68,13.52,27.2,884 CDM,RX-112458,PEGINTERFERON ALFA-2A 180 MCG/0.5 ML SUBCUTANEOUS SYRINGE,4159.9,2703.94,2067.47,4035.1,880 CDM,RX-11246,PYRIMETHAMINE 25 MG TABLET,660.7,429.46,328.37,660.7,884 CDM,RX-112480,POLIDOCANOL 0.5 % (10 MG/2 ML) INTRAVENOUS SOLUTION,39.2,25.48,19.48,39.2,880 CDM,RX-11251,QUINAPRIL 10 MG TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-11254,QUINAPRIL 5 MG TABLET,20.6,13.39,10.24,20.6,884 CDM,RX-11258,RAMIPRIL 1.25 MG CAPSULE,5.3,3.45,2.63,5.3,884 CDM,RX-11260,RAMIPRIL 2.5 MG CAPSULE,5.2,3.38,2.58,5.2,884 CDM,RX-11261,RAMIPRIL 5 MG CAPSULE,5.3,3.45,2.63,5.3,884 CDM,RX-112703,CLOBAZAM 10 MG TABLET,20.1,13.07,9.99,20.1,884 CDM,RX-112781,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,633.7,411.91,1.47,614.69,884 CDM,RX-112834,RIVAROXABAN 15 MG TABLET,52.1,33.87,25.89,52.1,884 CDM,RX-11285,RIBAVIRIN 6 GRAM/300 ML SOLUTION FOR INHALATION (WETTED),20083.2,13054.08,9981.35,20083.2,880 CDM,RX-11286,RIBAVIRIN 200 MG CAPSULE,9.5,6.18,4.72,9.5,884 CDM,RX-11287,RIBAVIRIN 200 MG TABLET,6.7,4.36,3.33,6.7,884 CDM,RX-11290,RIFABUTIN 150 MG CAPSULE,43.9,28.54,21.82,43.9,884 CDM,RX-11291,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,307.2,199.68,152.68,297.98,880 CDM,RX-11292,RIFAMPIN 150 MG CAPSULE,16.4,10.66,8.15,16.4,884 CDM,RX-112925,FLUOCINOLONE 0.01 % SCALP OIL AND SHOWER CAP,123.1,80.02,61.18,123.1,884 CDM,RX-11293,RIFAMPIN 300 MG CAPSULE,10.8,7.02,5.37,10.8,884 CDM,RX-112936,RUXOLITINIB 5 MG TABLET,964.5,626.92,479.36,964.5,884 CDM,RX-113,ACETAZOLAMIDE 250 MG TABLET,14.7,9.56,7.31,14.7,884 CDM,RX-113027,ZOLPIDEM 3.5 MG SUBLINGUAL TABLET,35.6,23.14,17.69,35.6,884 CDM,RX-113058,LEVOTHYROXINE 500 MCG INTRAVENOUS POWDER FOR SOLUTION,1497.7,973.51,744.36,1452.77,880 CDM,RX-113060,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,348.6,226.59,173.25,338.14,880 CDM,RX-113077,TRAVOPROST 0.004 % EYE DROPS,184.8,120.12,91.85,184.8,884 CDM,RX-113082,RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION,10.6,6.89,5.27,10.6,884 CDM,RX-113088,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP",273.9,178.04,136.13,268.42,880 CDM,RX-113146,PENTETATE INDIUM DISODIUM IN-111 1.5 MCI/1.5 ML INTRATHECAL SOLUTION,11758.0,7642.7,745.62,11405.26,885 CDM,RX-11327,SALICYLIC ACID-SULFUR 2 %-2 % SHAMPOO,58.3,37.9,28.98,58.3,884 CDM,RX-11338,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION,1274.9,828.69,50.37,1236.65,884 CDM,RX-11340,SELEGILINE 5 MG TABLET,8.0,5.2,3.98,8.0,884 CDM,RX-113475,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,95.7,62.21,47.56,92.83,880 CDM,RX-113476,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",88.2,57.33,43.84,85.55,880 CDM,RX-113477,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",87.4,56.81,43.44,84.78,880 CDM,RX-11349,SENNOSIDES 8.6 MG TABLET,2.2,1.43,1.09,2.2,884 CDM,RX-11351,SERTRALINE 50 MG TABLET,6.1,3.97,3.03,6.1,884 CDM,RX-113587,LURASIDONE 20 MG TABLET,6.3,4.09,3.13,6.3,884 CDM,RX-11359,SILVER NITRATE APPLICATORS 75 %-25 % TOPICAL STICK,26.3,17.09,13.07,26.3,880 CDM,RX-11364,SIMVASTATIN 10 MG TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-11365,SIMVASTATIN 20 MG TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-11367,SIMVASTATIN 5 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-11368,SINCALIDE 5 MCG SOLUTION FOR INJECTION,338.5,220.03,168.23,331.73,880 CDM,RX-113740,DORZOLAMIDE-TIMOLOL (PF) 2 %-0.5 % EYE DROPS IN A DROPPERETTE,10.4,6.76,5.17,10.4,884 CDM,RX-11395,SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA,5.3,3.45,2.63,5.3,884 CDM,RX-114,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,138.8,90.22,68.98,134.64,880 CDM,RX-11403,NACL 0.9% IRRIGATION SOLN,85.0,55.25,28.33,118.5,3520 CDM,RX-11404,SODIUM CHLORIDE 2 % EYE DROPS,107.9,70.14,53.63,107.9,884 CDM,RX-11421,SOTALOL 80 MG TABLET,8.6,5.59,4.27,8.6,884 CDM,RX-11426,SPIRONOLACTONE 50 MG TABLET,6.0,3.9,2.98,6.0,884 CDM,RX-11438,SUCCIMER 100 MG CAPSULE,81.7,53.11,40.6,81.7,884 CDM,RX-11441,SUCRALFATE 100 MG/ML ORAL SUSPENSION,13.3,8.64,6.61,13.3,884 CDM,RX-11442,SUCRALFATE 1 GRAM TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-11443,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION,82.5,53.63,41.0,82.5,880 CDM,RX-114555,"MAGNESIUM 64 MG (MAGNESIUM CHLORIDE) TABLET,DELAYED RELEASE",2.3,1.5,1.14,2.3,884 CDM,RX-11500,TEMAZEPAM 7.5 MG CAPSULE,20.2,13.13,10.04,20.2,884 CDM,RX-11507,TERBUTALINE 1 MG/ML INJECTION SOLUTION,41.6,27.04,20.68,40.77,880 CDM,RX-11508,TERBUTALINE 2.5 MG TABLET,11.3,7.35,5.62,11.3,884 CDM,RX-11510,TERCONAZOLE 0.4 % VAGINAL CREAM,140.8,91.52,69.98,140.8,884 CDM,RX-11512,TERCONAZOLE 80 MG VAGINAL SUPPOSITORY,92.0,59.8,45.72,92.0,884 CDM,RX-11561,TIMOLOL MALEATE 0.25 % EYE DROPS,63.6,41.34,31.61,63.6,884 CDM,RX-11562,TIMOLOL MALEATE 0.5 % EYE DROPS,66.0,42.9,32.8,66.0,884 CDM,RX-11565,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,245.2,159.38,121.86,237.84,880 CDM,RX-11566,TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT,995.9,647.34,494.96,995.9,880 CDM,RX-11567,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",133.5,86.78,66.35,133.5,880 CDM,RX-11573,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",44.9,29.19,22.32,44.9,880 CDM,RX-11584,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION,37.6,24.44,18.69,36.47,880 CDM,RX-11588,TRIAMTERENE 50 MG CAPSULE,36.0,23.4,17.89,36.0,884 CDM,RX-11595,TRIFLURIDINE 1 % EYE DROPS,678.8,441.22,337.36,678.8,884 CDM,RX-11596,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS",70.3,45.7,34.94,70.3,884 CDM,RX-116023,RALTEGRAVIR 100 MG CHEWABLE TABLET,35.4,23.01,17.59,35.4,884 CDM,RX-116024,"GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION",162548.8,105656.72,427.72,162548.8,884 CDM,RX-116027,IVERMECTIN 0.5 % LOTION,524.9,341.19,260.88,524.9,884 CDM,RX-116035,"LIPASE-PROTEASE-AMYLASE (PORCINE) 10,440-39,150-39,150 UNIT TABLET",19.2,12.48,9.54,19.2,884 CDM,RX-116052,ROTIGOTINE 1 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,99.0,64.35,49.2,99.0,884 CDM,RX-11608,TROMETHAMINE 36 MG/ML (0.3 M) INTRAVENOUS SOLUTION,1137.5,739.38,565.34,1137.5,880 CDM,RX-116128,FLORBETAPIR F-18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION,13597.5,8838.38,1825.64,13189.58,884 CDM,RX-11624,URSODIOL 300 MG CAPSULE,6.5,4.22,3.23,6.5,884 CDM,RX-11627,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,864.9,562.18,429.86,838.95,880 CDM,RX-11628,VANCOMYCIN 125 MG CAPSULE,9.5,6.18,4.72,9.5,884 CDM,RX-11629,VANCOMYCIN 250 MG CAPSULE,15.9,10.34,7.9,15.9,884 CDM,RX-11630,VANCOMYCIN 50 MG/ML ORAL SOLUTION,515.4,335.01,256.15,515.4,884 CDM,RX-11634,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,45.6,29.64,22.66,45.6,880 CDM,RX-116345,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,40.3,26.2,20.03,39.09,880 CDM,RX-11641,"VITAMIN A PALMITATE 50,000 UNIT/ML INTRAMUSCULAR SOLUTION",2657.9,1727.64,1320.98,2578.16,880 CDM,RX-116596,PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION,26140.6,16991.39,17.02,25617.79,884 CDM,RX-116728,IPRATROPIUM 20 MCG-ALBUTEROL 100 MCG/ACTUATION MIST FOR INHALATION,1312.0,852.8,652.06,1312.0,884 CDM,RX-116806,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,76.1,49.47,37.82,73.82,880 CDM,RX-116809,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,144.8,94.12,71.97,140.46,880 CDM,RX-116842,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",45.7,29.7,22.71,45.7,884 CDM,RX-11691,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION,156.8,101.92,1.51,156.8,884 CDM,RX-11692,ZIDOVUDINE 100 MG CAPSULE,10.0,6.5,4.97,10.0,884 CDM,RX-11693,ZIDOVUDINE 10 MG/ML ORAL SYRUP,10.5,6.83,5.22,10.5,884 CDM,RX-11701,ZOLPIDEM 5 MG TABLET,10.3,6.7,5.12,10.3,884 CDM,RX-117032,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,114.0,74.1,56.66,110.58,880 CDM,RX-117047,CARFILZOMIB 60 MG/30 ML INTRAVENOUS SOLUTION (WETTED),13718.0,8916.7,55.65,13443.64,884 CDM,RX-117351,ENZALUTAMIDE 40 MG CAPSULE,441.8,287.17,219.57,441.8,884 CDM,RX-117352,LINACLOTIDE 145 MCG CAPSULE,35.6,23.14,17.69,35.6,884 CDM,RX-117842,PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION,106034.7,68922.55,28424.06,102853.66,884 CDM,RX-11892,"DILTIAZEM ER 120 MG CAPSULE,EXTENDED RELEASE 12 HR",24.6,15.99,12.23,24.6,884 CDM,RX-119007,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",14.5,9.43,7.21,14.5,884 CDM,RX-119012,"DICLOFENAC 50 MG-MISOPROSTOL 200 MCG TABLET,IMMED.AND DELAYED RELEASE",13.8,8.97,6.86,13.8,884 CDM,RX-119040,APIXABAN 2.5 MG TABLET,23.5,15.28,11.68,23.5,884 CDM,RX-119049,ICOSAPENT ETHYL 1 GRAM CAPSULE,13.2,8.58,6.56,13.2,884 CDM,RX-119050,BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM,24.3,15.8,12.08,24.3,884 CDM,RX-119053,LOTEPREDNOL ETABONATE 0.5 % EYE GEL DROPS,302.8,196.82,150.49,302.8,880 CDM,RX-119062,"OXCARBAZEPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",44.5,28.93,22.12,44.5,884 CDM,RX-119063,"OXCARBAZEPINE ER 600 MG TABLET,EXTENDED RELEASE 24 HR",83.4,54.21,41.45,83.4,884 CDM,RX-119109,TOFACITINIB 5 MG TABLET,250.6,162.89,124.55,250.6,884 CDM,RX-119142,ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION,54.9,35.69,27.29,54.9,880 CDM,RX-119149,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,51.6,33.54,25.65,51.6,880 CDM,RX-119168,DARUNAVIR 800 MG TABLET,12.0,7.8,5.96,12.0,884 CDM,RX-119246,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",12.7,8.26,6.31,12.7,884 CDM,RX-119248,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",21.3,13.85,10.59,21.3,884 CDM,RX-119255,FERRIC SUBSULFATE 0.2 GRAM TO 0.22 GRAM/ML TOPICAL SOLN AND APPLICATOR,67.2,43.68,33.4,67.2,880 CDM,RX-11929,GADODIAMIDE 5 MMOL/10 ML (287 MG/ML) INTRAVENOUS SOLUTION,105.7,68.71,52.53,102.53,880 CDM,RX-119320,B COMPLEX-C-MIN-FE-FA 106 MG IRON-1 MG TABLET,0.5,0.33,0.25,0.5,884 CDM,RX-119483,PONATINIB 15 MG TABLET,2392.0,1554.8,1188.82,2392.0,884 CDM,RX-119672,LEVONORGESTREL 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE,1820.5,1183.33,904.79,1784.09,880 CDM,RX-119842,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,42.6,27.69,21.17,41.32,880 CDM,RX-119843,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,42.6,27.69,21.17,41.32,880 CDM,RX-120068,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,45.1,29.32,22.41,43.75,880 CDM,RX-120086,ADO-TRASTUZUMAB EMTANSINE 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED),15924.0,10350.6,42.16,15605.52,884 CDM,RX-120087,ADO-TRASTUZUMAB EMTANSINE 160 MG/8 ML MG INTRAVENOUS SOLUTION (WETTED),25208.4,16385.46,42.16,24704.23,884 CDM,RX-120094,LEVOCARNITINE (SUGAR FREE) 100 MG/ML ORAL SOLUTION,93.3,60.65,46.37,93.3,884 CDM,RX-120105,IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION,52.6,34.19,26.14,52.6,880 CDM,RX-12024,MECLIZINE 12.5 MG TABLET,6.3,4.09,3.13,6.3,884 CDM,RX-120245,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,11.3,7.35,5.62,11.3,884 CDM,RX-12025,MECLIZINE 25 MG TABLET,6.5,4.22,3.23,6.5,884 CDM,RX-120289,"ERYTHROMYCIN 500 MG TABLET,DELAYED RELEASE",38.8,25.22,19.28,38.8,884 CDM,RX-120304,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION,76.8,49.92,42.62,74.5,880 CDM,RX-120314,"ERYTHROMYCIN 250 MG TABLET,DELAYED RELEASE",26.8,17.42,13.32,26.8,884 CDM,RX-120359,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,7.6,4.94,3.78,7.6,884 CDM,RX-120393,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,48.4,31.46,24.05,46.95,880 CDM,RX-120398,DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE),81.8,53.17,40.65,81.8,884 CDM,RX-120423,PARICALCITOL 2 MCG/ML INTRAVENOUS SOLUTION,51.7,33.6,28.69,50.15,880 CDM,RX-120475,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,69.0,44.85,34.29,69.0,880 CDM,RX-120477,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION,119.1,77.42,59.19,115.53,880 CDM,RX-120479,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,0.5,0.33,0.25,0.5,884 CDM,RX-120526,BELLADONNA ALKALOIDS-OPIUM 16.2 MG-30 MG RECTAL SUPPOSITORY,86.4,56.16,42.94,86.4,880 CDM,RX-120532,PHENYLEPHRINE 1 % NASAL SPRAY,9.5,6.18,4.72,9.5,884 CDM,RX-120624,LIDOCAINE VISCOUS 2 % MUCOSAL SOLUTION,6.8,4.42,3.38,6.8,884 CDM,RX-120651,MICONAZOLE NITRATE 200 MG VAGINAL SUPPOSITORY,153.9,100.04,76.49,153.9,880 CDM,RX-120747,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,11.1,7.22,5.52,11.1,884 CDM,RX-12098,"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR",8.2,5.33,4.08,8.2,884 CDM,RX-121432,MULTIVITAMIN TABLET,0.5,0.33,0.25,0.5,884 CDM,RX-121440,"TACROLIMUS ER 0.5 MG CAPSULE,EXTENDED RELEASE 24 HR (ASTAGRAF)",11.9,7.74,5.91,11.9,884 CDM,RX-121469,"TACROLIMUS ER 1 MG CAPSULE,EXTENDED RELEASE 24 HR (ASTAGRAF)",18.8,12.22,9.34,18.8,884 CDM,RX-121470,"TACROLIMUS ER 5 MG CAPSULE,EXTENDED RELEASE 24 HR (ASTAGRAF)",73.7,47.91,36.63,73.7,884 CDM,RX-121505,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,383.6,249.34,190.65,372.09,880 CDM,RX-121529,"LIPASE-PROTEASE-AMYLASE (PORK)36,000-114,000-180K UNIT CAPSULE,DEL REL",50.0,32.5,24.85,50.0,884 CDM,RX-121562,CANAGLIFLOZIN 100 MG TABLET,70.1,45.57,34.84,70.1,884 CDM,RX-121732,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (ALSO CNR),205.0,133.25,101.89,205.0,880 CDM,RX-12197,"QUINIDINE GLUCONATE ER 324 MG TABLET,EXTENDED RELEASE",20.6,13.39,10.24,20.6,884 CDM,RX-122008,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,111.5,72.47,55.42,111.5,880 CDM,RX-122009,FLUTICASONE FUROATE 100 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,362.4,235.56,180.11,362.4,884 CDM,RX-12203,VENLAFAXINE 25 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-12206,VENLAFAXINE 75 MG TABLET,8.2,5.33,4.08,8.2,884 CDM,RX-12207,VENLAFAXINE 37.5 MG TABLET,6.4,4.16,3.18,6.4,884 CDM,RX-122091,"RADIUM RA 223 DICHLOR 1,100 KBQ/ML (30 MICROCURIE/ML) INTRAVENOUS SOLN",10470.0,6805.5,172.22,10155.9,884 CDM,RX-12211,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION,515.2,334.88,256.05,515.2,884 CDM,RX-122149,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",6997.25,4548.215,50.74,17412.47,3536 CDM,RX-122171,"ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION",143.6,93.34,71.37,140.73,880 CDM,RX-12218,COLESTIPOL 5 GRAM ORAL PACKET,11.8,7.67,5.86,11.8,884 CDM,RX-122185,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,37.3,24.25,18.54,36.18,880 CDM,RX-122186,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,90.4,58.76,44.93,87.69,880 CDM,RX-122190,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,55.7,36.2,27.68,54.03,880 CDM,RX-122196,EMOLLIENT TOPICAL CREAM,29.0,18.85,14.41,29.0,884 CDM,RX-1222,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,39.4,25.61,19.58,38.22,880 CDM,RX-122267,NEOSTIGMINE METHYLSULFATE 1 MG/ML INJECTABLE SOLUTION,43.6,28.34,21.67,42.29,880 CDM,RX-122363,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",26.8,17.42,13.32,26.8,884 CDM,RX-122368,"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",69.8,45.37,34.69,69.8,884 CDM,RX-122524,"BUPIVACAINE-EPINEPHRINE (PF) 0.75 %-1:200,000 INJECTION SOLUTION",45.2,29.38,22.46,45.2,880 CDM,RX-122542,OXYMETAZOLINE 0.05 % NASAL MIST,28.0,18.2,13.92,28.0,884 CDM,RX-122614,GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION,7730.9,5025.09,11.04,7498.97,884 CDM,RX-122648,FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION,4292.8,2790.32,1.11,4164.02,884 CDM,RX-122743,MELATONIN 3 MG DISINTEGRATING TABLET,2.3,1.5,1.14,2.3,884 CDM,RX-122752,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION,68.5,44.53,34.04,66.45,880 CDM,RX-122784,DOLUTEGRAVIR 50 MG TABLET,263.0,170.95,130.71,263.0,884 CDM,RX-122823,"TOPIRAMATE XR 25 MG CAPSULE,EXTENDED RELEASE 24 HR",31.4,20.41,15.61,31.4,884 CDM,RX-122827,"TOPIRAMATE XR 100 MG CAPSULE,EXTENDED RELEASE 24 HR",63.4,41.21,31.51,63.4,884 CDM,RX-122828,"TOPIRAMATE XR 200 MG CAPSULE,EXTENDED RELEASE 24 HR",92.5,60.13,45.97,92.5,884 CDM,RX-123,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,22.9,14.89,11.38,22.9,880 CDM,RX-123049,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,44.6,28.99,22.17,44.6,880 CDM,RX-123070,BORTEZOMIB 3.5 MG/3.5 ML INJECTION POWDER FOR SOLUTION (WETTED),300.8,195.52,149.5,294.78,880 CDM,RX-123075,WHITE PETROLATUM-MINERAL OIL TOPICAL OINTMENT,94.9,61.69,47.17,94.9,884 CDM,RX-123144,GENTAMICIN 120 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,84.1,54.67,41.8,81.58,880 CDM,RX-123206,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",15.8,10.27,7.85,15.8,884 CDM,RX-123439,BALANCED SALT SOLUTION (BSS) INTRAOCULAR IRRIGATION,20.5,13.33,10.19,20.5,880 CDM,RX-1235,CODEINE-BUTALBITAL-ASA-CAFFEINE 30 MG-50 MG-325 MG-40 MG CAPSULE,15.5,10.07,7.7,15.5,884 CDM,RX-123518,ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION,10.8,7.02,5.37,10.8,884 CDM,RX-123562,ACTIVATED CHARCOAL 50 GRAM/240 ML ORAL SUSPENSION,81.2,52.78,40.36,81.2,884 CDM,RX-12370,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,75.7,49.21,37.62,73.43,880 CDM,RX-123732,DILTIAZEM 125 MG/125 ML (1 MG/ML) IN DEXTROSE 5 % IV,205.7,133.71,102.23,205.7,880 CDM,RX-123752,VANCOMYCIN 1 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,214.2,139.23,106.46,214.2,880 CDM,RX-123800,SODIUM CHLORIDE-ALOE VERA NASAL GEL,13.0,8.45,6.46,13.0,884 CDM,RX-123851,ORA-BLEND SF (SUGAR FREE),73.1,47.52,36.33,73.1,880 CDM,RX-123853,PHENOL 89 % TOPICAL SWAB,22.9,14.89,11.38,22.9,880 CDM,RX-123945,COMPOUNDING VEHICLE SUSPENSION SUGAR-FREE NO.3 ORAL,75.0,48.75,37.28,75.0,880 CDM,RX-124022,ROPIVACAINE (PF) 0.2 % IN 0.9 % SODIUM CHLORIDE EPIDURAL SOLUTION,331.3,215.35,164.66,331.3,880 CDM,RX-124096,"ASPIRIN-SOD BICARB-CITRIC ACID 325 MG-1,916 MG-1,000 MG EFFERVES TAB",2.4,1.56,1.19,2.4,884 CDM,RX-124107,MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE,90.6,58.89,45.03,87.88,881 CDM,RX-124116,NACL 0.9% IV PGBK (MINI-BAG PLUS)(BRAND SPLIT),85.1,55.315,42.25,85.2,1760 CDM,RX-124117,D5W IV PGBK (MINI-BAG PLUS)(BRAND SPLIT),85.1,55.315,42.25,82.64,1760 CDM,RX-124137,BCG LIVE 50 MG INTRAVESICAL SUSPENSION,965.2,627.38,3.26,945.9,884 CDM,RX-124142,VITAMIN B COMPLEX-VITAMIN C 100 MG-FOLIC ACID 1 MG TABLET,2.6,1.69,1.29,2.6,884 CDM,RX-124235,VIT C-VIT E-COPPER-ZINC OX-LUTEIN 226 MG-90 MG-5 MG-0.8 MG CAPSULE,2.8,1.82,1.39,2.8,884 CDM,RX-124248,"SOD, POT CHLOR-SOD CIT-RICE 2.3-1.5-2.9 GRAM-160 KCAL/50 GRAM PWD PKT",12.4,8.06,6.16,12.4,884 CDM,RX-124399,LIDOCAINE (PF) 20 MG/ML (2 %) INTRAVENOUS SOLUTION,36.4,23.66,18.09,35.67,880 CDM,RX-124412,TRIAMCINOLONE ACETONIDE 55 MCG NASAL SPRAY AEROSOL,102.3,66.5,50.84,102.3,884 CDM,RX-124422,TOBRAMYCIN 0.3 % EYE DROPS,65.9,42.84,32.75,65.9,884 CDM,RX-124441,PERAMPANEL 2 MG TABLET,63.9,41.54,31.76,63.9,884 CDM,RX-124466,"LEVOMILNACIPRAN ER 20 MG CAPSULE,24 HR,EXTENDED RELEASE",65.5,42.58,32.55,65.5,884 CDM,RX-124537,VORTIOXETINE 10 MG TABLET,64.3,41.8,31.96,64.3,884 CDM,RX-124588,RIOCIGUAT 0.5 MG TABLET,495.1,321.82,246.06,495.1,884 CDM,RX-124592,RIOCIGUAT 2.5 MG TABLET,530.4,344.76,263.61,530.4,884 CDM,RX-124656,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,119.8,77.87,59.54,117.4,880 CDM,RX-124657,MACITENTAN 10 MG TABLET,919.6,597.74,457.04,919.6,884 CDM,RX-124667,HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE,634.8,412.62,7.95,615.76,884 CDM,RX-124668,HYLAN G-F 20 48 MG/6 ML INTRA-ARTICULAR SYRINGE,1654.3,1075.3,7.95,1604.67,884 CDM,RX-124716,TBO-FILGRASTIM 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,1089.0,707.85,0.28,1089.0,884 CDM,RX-124717,TBO-FILGRASTIM 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1236.2,803.53,0.28,1236.2,884 CDM,RX-124722,"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT",2.5,1.63,1.24,2.5,884 CDM,RX-124764,PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT,9.8,6.37,4.87,9.8,884 CDM,RX-124767,"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION",32169.3,20910.04,79.0,31525.91,884 CDM,RX-124768,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 730 MG/100 ML SOLN,96.0,62.4,47.71,96.0,880 CDM,RX-124833,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,71.2,46.28,35.39,69.06,880 CDM,RX-124838,INSULIN ASPART (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,103.7,67.41,51.54,103.7,884 CDM,RX-124840,INSULIN GLARGINE (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,114.0,74.1,56.66,114.0,884 CDM,RX-124843,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS PEN,163.3,106.15,81.16,163.3,884 CDM,RX-124845,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN,117.7,76.5,58.5,117.7,884 CDM,RX-124850,IBRUTINIB 140 MG CAPSULE,412.1,267.87,204.81,412.1,884 CDM,RX-124854,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,96.6,62.79,48.01,96.6,884 CDM,RX-124856,INSULIN ASPAR PROT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS PEN,103.7,67.41,51.54,103.7,884 CDM,RX-124857,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS PEN,117.2,76.18,58.25,117.2,884 CDM,RX-124865,LIRAGLUTIDE 0.6 MG/0.1 ML (18 MG/3 ML) SUBCUTANEOUS PEN INJECTOR,1069.5,695.18,531.54,1069.5,884 CDM,RX-124887,ESLICARBAZEPINE 200 MG TABLET,22.4,14.56,11.13,22.4,884 CDM,RX-124888,ESLICARBAZEPINE 400 MG TABLET,149.4,97.11,74.25,149.4,884 CDM,RX-124889,ESLICARBAZEPINE 600 MG TABLET,149.4,97.11,74.25,149.4,884 CDM,RX-12491,ESTRADIOL 0.5 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-124917,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",120.4,78.26,59.84,120.4,884 CDM,RX-124929,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION,42.4,27.56,21.07,41.13,880 CDM,RX-124985,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",620.3,403.2,308.29,601.69,880 CDM,RX-124987,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",620.3,403.2,308.29,601.69,880 CDM,RX-125001,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,93.1,60.52,46.27,90.31,880 CDM,RX-125030,SUCROFERRIC OXYHYDROXIDE 2500 MG (500 MG SUCROFERRIC) CHEWABLE TABLET,63.9,41.54,35.46,62.62,880 CDM,RX-125036,UMECLIDINIUM 62.5 MCG-VILANTEROL 25 MCG/ACTUATION POWDR FOR INHALATION,261.4,169.91,129.92,261.4,884 CDM,RX-125048,"TREPROSTINIL DIOLAMINE ER 1 MG TABLET,EXTENDED RELEASE",221.3,143.85,109.99,221.3,884 CDM,RX-125049,"TREPROSTINIL DIOLAMINE ER 2.5 MG TABLET,EXTENDED RELEASE",505.9,328.84,251.43,505.9,884 CDM,RX-125074,DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET,49.0,31.85,24.35,49.0,884 CDM,RX-125179,SODIUM-CL-POTASSIUM-CITRATE 70 MEQ-60 MEQ-20 MEQ-30 MEQ ORAL PACKET,9.4,6.11,4.67,9.4,884 CDM,RX-125429,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION,340.8,221.52,0.21,340.8,884 CDM,RX-125504,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION,511.3,332.35,254.12,495.96,880 CDM,RX-125508,TOBRAMYCIN 0.3 % EYE OINTMENT,940.6,611.39,467.48,940.6,884 CDM,RX-125509,APREMILAST 30 MG TABLET,305.3,198.45,151.73,305.3,884 CDM,RX-12556,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,11.5,7.48,5.72,11.5,884 CDM,RX-125567,"FACTOR IX RECOMB, FC FUSION PROTEIN 500 UNIT INTRAVENOUS SOLUTION",51.1,33.22,3.59,49.57,884 CDM,RX-125568,"FACTOR IX RECOMB, FC FUSION PROTEIN 1,000 UNIT INTRAVENOUS SOLUTION",51.1,33.22,3.59,49.57,884 CDM,RX-125569,"FACTOR IX RECOMB, FC FUSION PROTEIN 2,000 UNIT INTRAVENOUS SOLUTION",51.1,33.22,3.59,49.57,884 CDM,RX-125570,"FACTOR IX RECOMB, FC FUSION PROTEIN 3,000 UNIT INTRAVENOUS SOLUTION",51.1,33.22,3.59,49.57,884 CDM,RX-125686,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION,17492.9,11370.385,74.36,28277.7,1768 CDM,RX-125720,SILTUXIMAB 100 MG INTRAVENOUS SOLUTION,6574.5,4273.43,165.83,6443.01,884 CDM,RX-125721,SILTUXIMAB 400 MG INTRAVENOUS SOLUTION,24947.9,16216.14,165.83,24448.94,884 CDM,RX-12580,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,6.4,4.16,3.18,6.4,884 CDM,RX-1259,CAFFEINE 200 MG TABLET,2.4,1.56,1.19,2.4,884 CDM,RX-126113,DROXIDOPA 100 MG CAPSULE,9.2,5.98,4.57,9.2,884 CDM,RX-126119,"TOPIRAMATE XR 100 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24 HR",52.7,34.26,26.19,52.7,884 CDM,RX-126166,SODIUM HYALURONATE 30 MG/2 ML INTRA-ARTICULAR SYRINGE,601.3,390.85,114.54,583.26,884 CDM,RX-126167,USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRINGE,56382.2,36648.43,28021.95,56382.2,884 CDM,RX-126168,USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE,112339.3,73020.55,55832.63,112339.3,884 CDM,RX-126190,ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE,4339.8,2820.87,2156.88,4339.8,880 CDM,RX-126192,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS SYRINGE,8254.4,5365.36,4102.44,8254.4,880 CDM,RX-126194,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",6.2,4.03,3.08,6.2,884 CDM,RX-1262,CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN,114.3,74.3,56.81,110.87,880 CDM,RX-126219,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION,38124.2,24780.73,21.31,36980.47,884 CDM,RX-126226,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,77.3,50.25,38.42,74.98,880 CDM,RX-126228,HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN,48.7,31.66,24.2,47.73,880 CDM,RX-126249,ERLOTINIB 25 MG TABLET,72.3,47.0,35.93,72.3,884 CDM,RX-126250,ERLOTINIB 100 MG TABLET,171.9,111.74,85.43,171.9,884 CDM,RX-126251,ERLOTINIB 150 MG TABLET,193.4,125.71,96.12,193.4,884 CDM,RX-126285,ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE,965.8,627.77,480.0,965.8,884 CDM,RX-126340,"FACTOR VIII RECOMB, FC FUSION PROTEIN 500 UNIT INTRAVENOUS SOLUTION",46.2,30.03,2.43,46.2,884 CDM,RX-126342,"FACTOR VIII RECOMB, FC FUSION PROTEIN 1,000 UNIT INTRAVENOUS SOLUTION",46.2,30.03,2.43,46.2,884 CDM,RX-126344,"FACTOR VIII RECOMB, FC FUSION PROTEIN 2,000 UNIT INTRAVENOUS SOLUTION",46.2,30.03,2.43,46.2,884 CDM,RX-126404,CYCLOPHOSPHAMIDE 25 MG CAPSULE,29.4,19.11,14.61,28.81,880 CDM,RX-126405,CYCLOPHOSPHAMIDE 50 MG CAPSULE,14.3,9.3,7.11,14.01,880 CDM,RX-126466,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,86.2,56.03,42.84,83.61,880 CDM,RX-126566,"C1 ESTERASE INHIBITOR, RECOMBINANT 2,100 UNIT INTRAVENOUS SOLUTION",22793.8,14815.97,36.77,22109.99,884 CDM,RX-126579,DANTROLENE 250 MG INTRAVENOUS SUSPENSION,8503.8,5527.47,4226.39,8503.8,880 CDM,RX-126619,GRANISETRON (PF) 1 MG/ML (1 ML) INTRAVENOUS SOLUTION,43.6,28.34,21.67,42.29,881 CDM,RX-126630,EMPAGLIFLOZIN 10 MG TABLET,37.2,24.18,18.49,37.2,884 CDM,RX-126632,EMPAGLIFLOZIN 25 MG TABLET,37.2,24.18,18.49,37.2,884 CDM,RX-126781,"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION",521.7,339.11,259.28,511.27,884 CDM,RX-126885,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE,2211.3,1437.35,593.0,2211.3,884 CDM,RX-126967,"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:100,000 DENTAL CARTRIDGE",41.2,26.78,20.48,41.2,880 CDM,RX-127028,GADOPENTETATE DIMEGLUMINE 10 MMOL/20 ML(469.01 MG/ML) INTRAVENOUS SOLN,169.1,109.92,84.04,164.03,880 CDM,RX-127190,DIMETHYL SULFOXIDE 50 % INTRAVESICAL SOLUTION,2088.9,1357.79,748.85,2088.9,884 CDM,RX-127193,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,21.4,13.91,10.64,21.4,880 CDM,RX-127211,CLEVIDIPINE 50 MG/100 ML INTRAVENOUS EMULSION,663.3,431.15,2.85,663.3,884 CDM,RX-12724,TERBINAFINE HCL 250 MG TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-127262,BICARBONATE HEMODIALYSIS SOLUTION NO.9 K 4 MEQ-CA 2.5 MEQ-MG 1.5 MEQ/L,247.5,160.88,123.01,247.5,880 CDM,RX-127263,BICARBONATE DIALYSIS SOLN 11 (NO POTASSIUM) CALC 2.5 MEQ-MAG 1.5 MEQ/L,231.3,150.35,114.96,231.3,880 CDM,RX-127264,BICARBONATE HEMODIALYSIS SOLUTION NO.2 K 2 MEQ-CA 3.5 MEQ-MG 1 MEQ/L,231.3,150.35,114.96,231.3,880 CDM,RX-127331,TIOTROPIUM BROMIDE 2.5 MCG/ACTUATION MIST FOR INHALATION,165.5,107.58,82.25,165.5,884 CDM,RX-127337,PIRFENIDONE 267 MG CAPSULE,10.8,7.02,5.37,10.8,884 CDM,RX-127348,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE",251.2,163.28,124.85,246.18,880 CDM,RX-127350,UMECLIDINIUM 62.5 MCG/ACTUATION BLISTER POWDER FOR INHALATION,184.7,120.06,91.8,184.7,884 CDM,RX-127353,PHENYLEPHRINE 1 %-KETOROLAC 0.3 % INTRAOCULAR CONCENTRATE FOR IRRIG,1493.3,970.65,96.91,1448.5,885 CDM,RX-127367,SUVOREXANT 10 MG TABLET,57.9,37.63,28.78,57.9,884 CDM,RX-127374,FLUTICASONE FUROATE 100 MCG/ACTUATION BLISTER POWDER FOR INHALATION,269.3,175.05,133.84,269.3,884 CDM,RX-127375,FLUTICASONE FUROATE 200 MCG/ACTUATION BLISTER POWDER FOR INHALATION,340.2,221.13,169.08,340.2,884 CDM,RX-127395,NALOXEGOL 12.5 MG TABLET,56.1,36.47,27.88,56.1,884 CDM,RX-127396,NALOXEGOL 25 MG TABLET,56.1,36.47,27.88,56.1,884 CDM,RX-127401,DOPAMINE 200 MG/250 ML (800 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN,99.5,64.68,49.45,96.52,880 CDM,RX-127467,TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,647.3,420.75,321.71,634.35,880 CDM,RX-127552,DARUNAVIR 800 MG-COBICISTAT 150 MG TABLET,270.6,175.89,134.49,270.6,884 CDM,RX-127575,SOTALOL 5 MG/ML ORAL SOLUTION,1710.0,1111.5,849.87,1710.0,884 CDM,RX-127662,CHROMIUM CHLORIDE 4 MCG/ML INTRAVENOUS SOLUTION,116.8,75.92,58.05,116.8,880 CDM,RX-127665,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,155.5,101.08,44.33,221.35,2640 CDM,RX-127668,PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION,154.7,100.56,76.89,154.7,880 CDM,RX-127694,DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,79.8,51.87,39.66,79.8,880 CDM,RX-127749,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,52.6,34.19,26.14,51.02,881 CDM,RX-127771,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE",308.0,200.2,153.08,298.76,880 CDM,RX-127772,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE",287.7,187.01,142.99,279.07,880 CDM,RX-127841,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,791.0,514.15,9.07,767.27,884 CDM,RX-127964,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,22884.8,14875.12,60.29,22427.1,884 CDM,RX-127972,SECUKINUMAB 150 MG/ML SUBCUTANEOUS PEN INJECTOR,15352.4,9979.06,7630.14,15352.4,884 CDM,RX-127973,SECUKINUMAB 150 MG/ML SUBCUTANEOUS SYRINGE,30279.8,19681.87,15049.06,30279.8,884 CDM,RX-127980,MULTIVITAMIN-IRON-FOLIC ACID 400 MCG-CALCIUM AND MINERALS TABLET,0.5,0.33,0.25,0.5,884 CDM,RX-12799,POVIDONE-IODINE 0.3 % VAGINAL SOLUTION,14.5,9.43,7.21,14.5,880 CDM,RX-128033,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV,195.5,127.08,97.16,195.5,880 CDM,RX-128102,LENVATINIB 20 MG/DAY (10 MG X 2) CAPSULE,1339.6,870.74,665.78,1339.6,884 CDM,RX-128147,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,28.3,18.4,14.07,28.3,884 CDM,RX-128154,ORAL SYRUP LIQUID,48.5,31.53,24.1,48.5,884 CDM,RX-128163,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION,1565.0,1017.25,104.73,1518.05,884 CDM,RX-128183,"BARIUM SULFATE 40 % (W/V), 29% (W/W) ORAL SUSPENSION",8.6,5.59,4.27,8.6,880 CDM,RX-128196,THYROID (PORK) 15 MG TABLET,8.0,5.2,3.98,8.0,884 CDM,RX-128197,THYROID (PORK) 30 MG TABLET,8.5,5.53,4.22,8.5,884 CDM,RX-128199,THYROID (PORK) 60 MG TABLET,7.5,4.88,3.73,7.5,884 CDM,RX-128209,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE,297.3,193.25,147.76,297.3,884 CDM,RX-128211,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION,1254.5,815.43,1.01,1229.41,884 CDM,RX-128229,LEVONORGESTREL 20.4 MCG/24 HR (UP TO 8 YRS) 52 MG INTRAUTERINE DEVICE,1252.3,814.0,622.39,1214.73,880 CDM,RX-128267,TREPROSTINIL 1.74 MG/2.9 ML (0.6 MG/ML) SOLUTION FOR NEBULIZATION,4109.3,2671.05,2042.32,4109.3,884 CDM,RX-128328,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,44.3,28.8,22.02,44.3,880 CDM,RX-128355,LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET,2.7,1.75,1.34,2.7,884 CDM,RX-128434,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",6.8,4.42,3.38,6.8,884 CDM,RX-128477,PHENOL 1.5 % TOPICAL LIQUID,115.3,74.94,57.3,115.3,880 CDM,RX-128540,IVABRADINE 5 MG TABLET,9.1,5.92,4.52,9.1,884 CDM,RX-128541,IVABRADINE 7.5 MG TABLET,12.3,8.0,6.11,12.3,884 CDM,RX-128589,SODIUM CITRATE 4 % INTRA-CATHETER INJECTION SYRINGE (PREMIX/CNR),46.3,30.1,23.01,46.3,880 CDM,RX-128612,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,56.4,36.66,28.03,54.71,881 CDM,RX-128613,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,69.0,44.85,34.29,66.93,880 CDM,RX-128614,METHYLPREDNISOLONE SOD SUCC (PF) 500 MG/4 ML INTRAVENOUS SOLUTION,213.6,138.84,106.16,207.19,880 CDM,RX-128615,"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION",262.7,170.76,130.56,254.82,880 CDM,RX-128716,PHENYLEPHRINE 0.5 MG/5 ML (100 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE,70.6,45.89,35.09,70.6,880 CDM,RX-128729,KIT FOR PREPARATION OF TC-99M-MEDRONATE SODIUM 20 MG IV SOLUTION,410.0,266.5,227.55,2977.0,880 CDM,RX-128734,KIT FOR THE PREPARATION OF TC-99M-MEBROFENIN 45 MG IV SOLUTION,558.0,362.7,309.69,2977.0,880 CDM,RX-128761,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION,136.2,88.53,67.69,132.11,880 CDM,RX-128831,BICARBONATE DIALYSIS SOLN WITHOUT CALCIUM NO15 POT 4 MEQ-MAG 1.2 MEQ/L,231.3,150.35,114.96,231.3,880 CDM,RX-128840,VANCOMYCIN 1.25 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,227.2,147.68,112.92,220.38,880 CDM,RX-128841,VANCOMYCIN 1.5 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,228.9,148.79,113.76,222.03,880 CDM,RX-12886,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION,600.3,390.2,298.35,600.3,884 CDM,RX-128928,ETHIODIZED OIL 480 MG IODINE/ML FOR INJECTION,4527.5,2942.88,2250.17,4527.5,880 CDM,RX-128957,BICARB HEMODIALYSIS SOLN WITHOUT CALCIUM NO 16 POT 4 MEQ-MAG 1.5 MEQ/L,110.0,71.5,54.67,110.0,880 CDM,RX-129043,KIT FOR PREPARATION OF TC 99M-SODIUM THIOSULFATE 2 MG SOLUTION,451.0,293.15,250.31,2977.0,880 CDM,RX-129046,KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION,531.0,345.15,294.71,2977.0,880 CDM,RX-129115,TETRACAINE HCL (PF) 0.5 % EYE DROPS,49.9,32.44,24.8,49.9,880 CDM,RX-12912,PENTOSAN POLYSULFATE SODIUM 100 MG CAPSULE,48.1,31.27,23.91,48.1,884 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),203.7,132.41,101.24,203.7,880 CDM,RX-129134,KIT FOR PREPARATION OF TC-99M-MEDRONATE SODIUM IV SOLUTION,547.0,355.55,303.59,2977.0,880 CDM,RX-129164,AMIODARONE 450 MG/250 ML (1.8 MG/ML) IN DEXTROSE 5 % INTRAVENOUS SOLN,231.3,150.35,114.96,231.3,880 CDM,RX-129199,LIDOCAINE 0.9 % BUFFERED WITH 8.4 % SODIUM BICARB (1 ML) INJ SYRINGE,60.2,39.13,29.92,60.2,880 CDM,RX-12933,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",8.8,5.72,4.37,8.54,880 CDM,RX-129337,LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT,946.2,615.03,176.45,917.81,884 CDM,RX-12934,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE",28.5,18.52,14.16,27.65,880 CDM,RX-12935,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION,1038.0,674.7,263.15,1038.0,884 CDM,RX-129471,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,127.1,82.62,63.17,123.29,880 CDM,RX-129613,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (CNR/ROBOT),225.6,146.64,112.12,225.6,880 CDM,RX-129766,MORPHINE (PF) 2 MG/2 ML(1 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,91.2,59.28,45.33,91.2,880 CDM,RX-1299,"CALCIUM CARBONATE 1,250 MG (500 MG CALCIUM)/5 ML ORAL SUSPENSION",0.5,0.33,0.25,0.5,884 CDM,RX-129990,MORPHINE (PF) 1 MG/ML IN 0.9% NACL FOR INFUSION TITRATION,138.1,89.77,68.64,138.1,880 CDM,RX-1300,"CALCIUM CARBONATE 1,250 MG (500 MG CALCIUM) TABLET",0.5,0.33,0.25,0.5,884 CDM,RX-130144,B1-B2-B3-B5-B6-IRON-METHN-CHOLN 2.5 MG-50 MG-18 MG IRON/15 ML ORAL LIQ,0.5,0.33,0.25,0.5,884 CDM,RX-13024,POTASSIUM IODIDE 130 MG TABLET,4.5,2.93,2.24,4.5,884 CDM,RX-130353,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",15185.5,9870.58,203.58,14729.94,884 CDM,RX-130355,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",22527.7,14643.01,203.58,21851.87,884 CDM,RX-130356,"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",11691.1,7599.22,203.58,11340.37,884 CDM,RX-130426,EPOPROSTENOL 0.5 MG INTRAVENOUS SOLUTION,88.6,57.59,44.03,85.94,880 CDM,RX-130504,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,70.3,45.7,34.94,68.19,880 CDM,RX-1306,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,51.2,33.28,25.45,51.2,880 CDM,RX-13073,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",5.8,3.77,2.88,5.8,884 CDM,RX-13089,LISINOPRIL 2.5 MG TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-130895,SQUARIC ACID DIBUTYLESTER 150 MG IN BUTYL ALCOHOL (BULK) LIQUID,200.5,130.32,99.65,200.5,884 CDM,RX-13092,FENTANYL CITRATE (BULK) 100 % POWDER,1624.6,1055.99,807.43,1575.86,880 CDM,RX-130961,HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE,79.8,51.87,39.66,77.41,880 CDM,RX-131151,OXYBUTYNIN 3.9 MG/24 HOUR TRANSDERMAL 4 DAY PATCH,15.9,10.34,7.9,15.9,884 CDM,RX-131198,FLUDEOXYGLUCOSE F-18 20 MCI TO 500 MCI/ML INTRAVENOUS SOLUTION,840.0,546.0,466.2,2977.0,880 CDM,RX-1312,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,170.4,110.76,84.69,165.29,880 CDM,RX-131303,"PEDI MULTIVIT NO.22-VIT D3 37.5 MCG-VIT K 1,000 MCG CHEWABLE TABLET",0.5,0.33,0.25,0.5,884 CDM,RX-13133,VALACYCLOVIR 500 MG TABLET,9.6,6.24,4.77,9.6,884 CDM,RX-131402,EMOLLIENT COMBINATION NO.92 TOPICAL LOTION,12.0,7.8,5.96,12.0,884 CDM,RX-13159,PERINDOPRIL ERBUMINE 2 MG TABLET,6.1,3.97,3.03,6.1,884 CDM,RX-131693,FLUTICASONE FUROATE 200 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,362.4,235.56,180.11,362.4,884 CDM,RX-13184,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",7.0,4.55,3.48,7.0,884 CDM,RX-131981,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR,17371.8,11291.67,89.34,16850.65,884 CDM,RX-132046,KIT FOR THE PREPARATION OF TC-99M-TETROFOSMIN 1.38 MG IV SOLUTION,372.0,241.8,206.46,2977.0,880 CDM,RX-13358,FAMCICLOVIR 500 MG TABLET,12.5,8.13,6.21,12.5,884 CDM,RX-13384,PRAMOXINE-CALAMINE 1 %-8 % LOTION,63.7,41.41,31.66,63.7,884 CDM,RX-13444,NEFAZODONE 100 MG TABLET,9.8,6.37,4.87,9.8,884 CDM,RX-13445,NEFAZODONE 150 MG TABLET,10.3,6.7,5.12,10.3,884 CDM,RX-1350,CAPSAICIN 0.025 % TOPICAL CREAM,14.0,9.1,6.96,14.0,884 CDM,RX-13545,INDIUM 111-PENTETREOTIDE 3 MCI/ML-10 MCG INTRAVENOUS KIT,11901.0,7735.65,2000.94,11901.0,884 CDM,RX-1355,CARBAMAZEPINE 100 MG CHEWABLE TABLET,6.4,4.16,3.18,6.4,884 CDM,RX-1357,CARBAMAZEPINE 200 MG TABLET,6.9,4.49,3.43,6.9,884 CDM,RX-13583,TETRACAINE HCL (BULK) POWDER,89.0,57.85,44.23,89.0,880 CDM,RX-1359,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,55.9,36.34,27.78,55.9,884 CDM,RX-13691,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT,4500.2,2925.13,1730.32,4410.2,884 CDM,RX-13884,COLESTIPOL 1 GRAM TABLET,7.4,4.81,3.68,7.4,884 CDM,RX-1395,CARISOPRODOL 350 MG TABLET,10.3,6.7,5.12,10.3,884 CDM,RX-13979,ACITRETIN 25 MG CAPSULE,56.5,36.73,28.08,56.5,884 CDM,RX-13981,LAMOTRIGINE 25 MG TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-13982,LAMOTRIGINE 100 MG TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-14087,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,12.1,7.87,6.01,12.1,884 CDM,RX-14100,"DILTIAZEM ER 60 MG CAPSULE,EXTENDED RELEASE 12 HR",17.0,11.05,8.45,17.0,884 CDM,RX-14101,"DILTIAZEM ER 90 MG CAPSULE,EXTENDED RELEASE 12 HR",19.1,12.42,9.49,19.1,884 CDM,RX-14122,PAMIDRONATE 90 MG/10 ML INTRAVENOUS SOLUTION (WETTED),246.3,160.1,122.41,238.91,880 CDM,RX-14123,BALANCED SALT SOLUTION (BSS PLUS) INTRAOCULAR IRRIGATION,229.0,148.85,113.81,229.0,880 CDM,RX-14132,KETOCONAZOLE 2 % SHAMPOO,83.2,54.08,41.35,83.2,884 CDM,RX-14196,CONJ ESTROGEN-MEDROXYPROGESTERONE 0.625 MG-2.5 MG TABLET,34.5,22.43,17.15,34.5,884 CDM,RX-14233,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,58.7,38.16,29.17,58.7,884 CDM,RX-14348,IOPROMIDE 300 MG IODINE/ML INJECTION SOLUTION,37.25,24.215,17.64,37.83,1760 CDM,RX-14349,IOPROMIDE 370 MG IODINE/ML INJECTION SOLUTION,35.5,23.08,17.64,34.44,1760 CDM,RX-1445,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,37.7,24.51,18.74,36.57,880 CDM,RX-14471,DORZOLAMIDE 2 % EYE DROPS,92.8,60.32,46.12,92.8,884 CDM,RX-14472,PORFIMER 75 MG INTRAVENOUS SOLUTION,77051.3,50083.35,24228.42,74739.76,884 CDM,RX-1448,CEFAZOLIN 500 MG SOLUTION FOR INJECTION,40.4,26.26,20.08,39.19,880 CDM,RX-14550,TERAZOSIN 1 MG CAPSULE,5.6,3.64,2.78,5.6,884 CDM,RX-14551,TERAZOSIN 2 MG CAPSULE,5.6,3.64,2.78,5.6,884 CDM,RX-14553,TERAZOSIN 5 MG CAPSULE,5.6,3.64,2.78,5.6,884 CDM,RX-14626,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",5.8,3.77,2.88,5.8,884 CDM,RX-14628,"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE",13.0,8.45,6.46,13.0,884 CDM,RX-14632,TRAMADOL 50 MG TABLET,10.6,6.89,5.27,10.6,884 CDM,RX-14634,CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION,7041.2,4576.78,1808.65,6829.96,884 CDM,RX-14643,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION",652.7,424.26,8.54,633.12,884 CDM,RX-1465,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,43.1,28.02,21.42,42.24,880 CDM,RX-14702,ACETIC ACID (BULK) 5 % LIQUID (NON-STERILE),68.5,44.53,34.04,68.5,884 CDM,RX-14719,METFORMIN 850 MG TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-14720,GRANISETRON HCL 1 MG TABLET,9.3,6.05,4.62,9.3,884 CDM,RX-14792,TIZANIDINE 2 MG TABLET,7.6,4.94,3.78,7.6,884 CDM,RX-14793,TIZANIDINE 4 MG TABLET,6.8,4.42,3.38,6.8,884 CDM,RX-14823,LOSARTAN 25 MG TABLET,6.2,4.03,3.08,6.2,884 CDM,RX-14824,LOSARTAN 50 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-14825,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,180.5,117.33,89.71,180.5,884 CDM,RX-14846,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",191.5,124.48,95.18,185.76,880 CDM,RX-14847,DOXYLAMINE SUCCINATE 25 MG TABLET,3.1,2.02,1.54,3.1,884 CDM,RX-14868,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,87.3,56.75,43.39,84.68,880 CDM,RX-14953,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,76.6,49.79,38.07,76.6,884 CDM,RX-15025,MOEXIPRIL 7.5 MG TABLET,7.8,5.07,3.88,7.8,884 CDM,RX-15065,FAMOTIDINE 10 MG TABLET,2.3,1.5,1.14,2.3,884 CDM,RX-15113,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,5.7,3.71,2.83,5.53,880 CDM,RX-15156,DEXRAZOXANE HCL 250 MG/25 ML INTRAVENOUS SOLUTION (WETTED) (RECONSTITUTE WITH SWFI),293.3,190.65,63.06,287.43,884 CDM,RX-15157,DEXRAZOXANE HCL 500 MG/50 ML INTRAVENOUS SOLUTION (WETTED) (RECONSTITUTE WITH SWFI),547.5,355.88,63.06,536.55,884 CDM,RX-15327,SUMATRIPTAN 25 MG TABLET,6.1,3.97,3.03,6.1,884 CDM,RX-15328,SUMATRIPTAN 50 MG TABLET,6.5,4.22,3.23,6.5,884 CDM,RX-15330,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,121.8,79.17,60.53,118.15,880 CDM,RX-15339,"DICLOFENAC SODIUM 25 MG TABLET,DELAYED RELEASE",7.7,5.01,3.83,7.7,884 CDM,RX-15370,LEUCOVORIN CALCIUM 10 MG/ML INJECTION SOLUTION,259.5,168.68,128.97,254.31,880 CDM,RX-15426,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,76.0,49.4,37.77,74.48,880 CDM,RX-15440,RIMANTADINE 100 MG TABLET,12.9,8.39,6.41,12.9,884 CDM,RX-15595,BUPIVACAINE (BULK) 100 % POWDER,158.8,103.22,78.92,154.04,880 CDM,RX-15661,ALENDRONATE 10 MG TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-15706,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,13.2,8.58,6.56,13.2,884 CDM,RX-15723,SOTALOL 120 MG TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-15738,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY,208.0,135.2,103.38,208.0,884 CDM,RX-15746,BICALUTAMIDE 50 MG TABLET,6.6,4.29,3.28,6.6,884 CDM,RX-15747,CARVEDILOL 6.25 MG TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-15748,CARVEDILOL 25 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-15797,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,35.3,22.95,17.54,35.3,884 CDM,RX-15847,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",87.3,56.75,43.39,84.68,880 CDM,RX-15849,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",102.2,66.43,50.79,99.13,880 CDM,RX-15852,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,153.4,99.71,76.24,148.8,880 CDM,RX-15858,NITROGLYCERIN 25 MG/250 ML (100 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,187.4,121.81,93.14,181.78,880 CDM,RX-15859,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,189.0,122.85,93.93,183.33,880 CDM,RX-15880,LAMIVUDINE 150 MG TABLET,24.2,15.73,12.03,24.2,884 CDM,RX-15881,LAMIVUDINE 10 MG/ML ORAL SOLUTION,169.9,110.44,84.44,169.9,884 CDM,RX-15895,ACARBOSE 50 MG TABLET,6.7,4.36,3.33,6.7,884 CDM,RX-15950,SODIUM HYPOCHLORITE 0.25 % SOLUTION,106.2,69.03,52.78,106.2,884 CDM,RX-15981,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS,98.7,64.16,49.05,95.74,880 CDM,RX-15982,"DOBUTAMINE 1,000 MG/250 ML(4,000 MCG/ML) IN 5 % DEXTROSE IV",201.2,130.78,100.0,195.16,880 CDM,RX-16005,TRETINOIN 10 MG CAPSULE,45.0,29.25,22.37,45.0,884 CDM,RX-16013,ISOPROPYL ALCOHOL 70 % SOLUTION,146.5,95.23,72.81,146.5,884 CDM,RX-16034,CALCIPOTRIENE 0.005 % TOPICAL CREAM,302.2,196.43,150.19,302.2,884 CDM,RX-16036,FOSINOPRIL 40 MG TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-16052,DESMOPRESSIN 0.1 MG TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-16070,IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY,124.2,80.73,61.73,124.2,880 CDM,RX-16071,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,163.1,106.02,81.06,163.1,880 CDM,RX-16081,FAMCICLOVIR 250 MG TABLET,6.5,4.22,3.23,6.5,884 CDM,RX-16124,RILUZOLE 50 MG TABLET,7.2,4.68,3.58,7.2,884 CDM,RX-16162,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,79.9,51.94,39.71,77.5,880 CDM,RX-16169,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,229.6,149.24,114.11,229.6,880 CDM,RX-16205,ANASTROZOLE 1 MG TABLET,7.0,4.55,3.48,7.0,884 CDM,RX-16218,CALCITRIOL 1 MCG/ML ORAL SOLUTION,12.4,8.06,6.16,12.4,884 CDM,RX-1623,CHLORDIAZEPOXIDE 25 MG CAPSULE,5.6,3.64,2.78,5.6,884 CDM,RX-1624,CHLORDIAZEPOXIDE 5 MG CAPSULE,5.7,3.71,2.83,5.7,884 CDM,RX-16254,GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT,12498.5,8124.03,733.67,12248.53,884 CDM,RX-162678,TRABECTEDIN 1 MG/20 ML INTRAVENOUS SOLUTION (WETTED),15172.1,9861.87,391.07,14868.66,884 CDM,RX-162685,INSULIN DEGLUDEC (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,145.3,94.45,72.21,145.3,884 CDM,RX-162686,INSULIN DEGLUDEC (U-200) 200 UNIT/ML (3 ML) SUBCUTANEOUS PEN,230.5,149.82,114.56,230.5,884 CDM,RX-162695,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,1305.5,848.58,0.46,1266.34,884 CDM,RX-162696,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,862.8,560.82,0.46,836.92,884 CDM,RX-162702,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION (RESTRICTED)",2356.7,1531.86,78.8,2286.0,884 CDM,RX-162703,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION (RESTRICTED)",6145.2,3994.38,78.8,5960.84,884 CDM,RX-162732,CANGRELOR 50 MG INTRAVENOUS SOLUTION,4068.3,2644.4,19.98,4068.3,884 CDM,RX-162802,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET,46.5,30.23,23.11,46.5,880 CDM,RX-162803,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET,46.5,30.23,23.11,46.5,880 CDM,RX-162804,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET,46.5,30.23,23.11,46.5,880 CDM,RX-162829,BREXPIPRAZOLE 1 MG TABLET,166.3,108.1,82.65,166.3,884 CDM,RX-162859,"TACROLIMUS ER 0.75 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",20.0,13.0,9.94,20.0,884 CDM,RX-162860,"TACROLIMUS ER 1 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",24.9,16.18,12.38,24.9,884 CDM,RX-162861,"TACROLIMUS ER 4 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",83.9,54.54,41.7,83.9,884 CDM,RX-16299,DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM,56.6,36.79,28.13,56.6,884 CDM,RX-163068,SULFUR HEXAFLUORIDE MICROSPHERES 25 MG INTRAVENOUS SUSPENSION,618.9,402.29,307.59,600.33,880 CDM,RX-163106,EVOLOCUMAB 140 MG/ML SUBCUTANEOUS SYRINGE,1140.2,741.13,566.68,1140.2,884 CDM,RX-163152,TICAGRELOR 60 MG TABLET,24.6,15.99,12.23,24.6,884 CDM,RX-163293,ARTIFICIAL SALIVA(CARBOXYMETHYLCELLULOSE-ELECTROLYTES) SPRAY PUMP,107.2,69.68,53.28,107.2,884 CDM,RX-163352,SODIUM IODIDE-131 (I-131) THERAPY SOLUTION,47.0,30.55,20.77,45.59,884 CDM,RX-1634,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,43.5,28.28,21.62,42.2,880 CDM,RX-163412,IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,6890.7,4478.96,3424.68,6890.7,880 CDM,RX-163432,IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS,11835.8,7693.27,66.0,11599.08,884 CDM,RX-163453,BUPRENORPHINE HCL 450 MCG BUCCAL FILM,70.8,46.02,35.19,70.8,884 CDM,RX-163454,BUPRENORPHINE HCL 600 MCG BUCCAL FILM,74.3,48.3,36.93,74.3,884 CDM,RX-163463,TALIMOGENE LAHERPAREPVEC 10EXP6 (1 MILLION) PFU/ML SUSP FOR INJECTION,475.1,308.82,73.94,475.1,884 CDM,RX-163464,TALIMOGENE LAHERPAREPVEC 10EXP8 (100 MILLION)PFU/ML SUSP FOR INJECTION,27953.9,18170.04,73.94,27953.9,884 CDM,RX-163475,WHEAT DEXTRIN 3 GRAM/4 GRAM ORAL POWDER PACKET,3.7,2.4,1.84,3.7,884 CDM,RX-1635,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,43.9,28.54,21.82,42.58,880 CDM,RX-163500,PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET,88.1,57.27,43.79,88.1,884 CDM,RX-163501,PATIROMER CALCIUM SORBITEX 16.8 GRAM ORAL POWDER PACKET,88.1,57.27,43.79,88.1,884 CDM,RX-163511,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION,12759.5,8293.67,31.27,12376.72,884 CDM,RX-163518,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFENAM 10 MG TABLET,491.3,319.35,244.18,491.3,884 CDM,RX-16355,GLIMEPIRIDE 1 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-16356,GLIMEPIRIDE 2 MG TABLET,7.1,4.62,3.53,7.1,884 CDM,RX-163579,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION,12687.8,8247.07,71.37,12434.04,884 CDM,RX-163623,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 250 (+/-) UNIT IV SOLUTION",44.0,28.6,2.1,42.68,884 CDM,RX-163624,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 500 (+/-) UNIT IV SOLUTION",44.0,28.6,2.1,42.68,884 CDM,RX-163625,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 1,000(+/-) UNIT IV SOLUTION",44.0,28.6,2.1,42.68,884 CDM,RX-163626,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 2,000(+/-) UNIT IV SOLUTION",44.0,28.6,2.1,42.68,884 CDM,RX-163649,ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION,9279.7,6031.81,7.89,9094.11,884 CDM,RX-163650,ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION,12222.8,7944.82,7.89,11978.34,884 CDM,RX-163658,NALOXONE 4 MG/ACTUATION NASAL SPRAY,126.3,82.1,62.77,126.3,884 CDM,RX-163687,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,5696.0,3702.4,13.49,5582.08,884 CDM,RX-16369,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,45.8,29.77,22.76,44.43,880 CDM,RX-16371,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,55.2,35.88,27.43,53.54,880 CDM,RX-163742,SELEXIPAG 200 MCG TABLET,904.2,587.73,449.39,904.2,884 CDM,RX-1638,CHLOROQUINE 500 MG TABLET,31.2,20.28,15.51,31.2,884 CDM,RX-1645,CHLORPHENIRAMINE 4 MG TABLET,2.3,1.5,1.14,2.3,884 CDM,RX-1649,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,130.6,84.89,64.91,127.99,880 CDM,RX-165203,DABIGATRAN ETEXILATE 110 MG CAPSULE,14.8,9.62,7.36,14.8,884 CDM,RX-165206,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,621.8,404.17,309.03,621.8,880 CDM,RX-165275,PHOSPHATE DIALYSIS SOLN WITHOUT DEXTR K 4 MEQ-CA 2.5 MEQ-PO4 1 MMOL/L,231.3,150.35,114.96,231.3,880 CDM,RX-1653,CHLORPROMAZINE 10 MG TABLET,6.4,4.16,3.18,6.4,884 CDM,RX-166055,CARIPRAZINE 1.5 MG CAPSULE,170.1,110.57,84.54,170.1,884 CDM,RX-166058,CARIPRAZINE 6 MG CAPSULE,170.1,110.57,84.54,170.1,884 CDM,RX-166064,URIDINE TRIACETATE 10 GRAM ORAL GRANULES IN PACKET,13921.4,9048.91,6918.94,13921.4,884 CDM,RX-166069,ZINC SULFATE HEPTAHYDRATE (BULK) 100 % POWDER,5.9,3.84,2.93,5.9,880 CDM,RX-1661,CHLORTHALIDONE 25 MG TABLET,10.5,6.83,5.22,10.5,884 CDM,RX-166105,INCOBOTULINUMTOXINA 200 UNIT INTRAMUSCULAR SOLUTION,4008.4,2605.46,5.57,3888.15,884 CDM,RX-16632,PAROXETINE 10 MG TABLET,7.0,4.55,3.48,7.0,884 CDM,RX-1664,CHLORZOXAZONE 500 MG TABLET,6.0,3.9,2.98,6.0,884 CDM,RX-166601,INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN,1112.9,723.39,553.11,1112.9,884 CDM,RX-166660,"FACTOR IX RECOMBINANT,ALBUMIN FUSION PROTEIN 500(+/-) UNIT IV SOLUTION",58.4,37.96,5.32,56.65,884 CDM,RX-166661,"FACTOR IX RECOMB, ALBUMIN FUSION PROTEIN 1,000 (+/-) UNIT IV SOLUTION",58.4,37.96,5.32,56.65,884 CDM,RX-166758,IXEKIZUMAB 80 MG/ML SUBCUTANEOUS AUTO-INJECTOR,20234.8,13152.62,10056.7,20234.8,884 CDM,RX-166759,IXEKIZUMAB 80 MG/ML SUBCUTANEOUS SYRINGE,28302.5,18396.63,14066.34,28302.5,884 CDM,RX-167314,"ANTIHEMOPHILIC FACTOR-VWF 1,000(VWF 1,000) UNIT/10 ML INTRAVENOUS SOLN",39.5,25.68,1.29,38.32,884 CDM,RX-167317,DEFIBROTIDE 80 MG/ML INTRAVENOUS SOLUTION,5759.4,3743.61,2862.42,5759.4,880 CDM,RX-167382,EMTRICITABINE 200 MG-TENOFOVIR ALAFENAMIDE FUMARATE 25 MG TABLET,242.7,157.76,120.62,242.7,884 CDM,RX-167446,VENETOCLAX 10 MG TABLET,53.4,34.71,26.54,53.4,884 CDM,RX-167448,VENETOCLAX 100 MG TABLET,460.0,299.0,228.62,460.0,884 CDM,RX-167476,VANCOMYCIN 1 GRAM/200 ML IN 0.9 % SOD. CHLORIDE INTRAVENOUS PIGGYBACK,105.8,68.77,52.58,102.63,880 CDM,RX-16830,MELATONIN 3 MG TABLET,2.5,1.63,1.24,2.5,884 CDM,RX-169252,BRIVARACETAM 50 MG/5 ML INTRAVENOUS SOLUTION,56.7,36.85,28.18,55.57,880 CDM,RX-169254,BRIVARACETAM 10 MG TABLET,95.9,62.34,47.66,95.9,884 CDM,RX-169255,BRIVARACETAM 25 MG TABLET,95.9,62.34,47.66,95.9,884 CDM,RX-169256,BRIVARACETAM 50 MG TABLET,95.9,62.34,47.66,95.9,884 CDM,RX-17010,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR",5.9,3.84,2.93,5.9,884 CDM,RX-170144,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),6.9,4.49,3.43,6.9,884 CDM,RX-17017,TRANDOLAPRIL 1 MG TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-17019,TRANDOLAPRIL 4 MG TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-17023,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-170260,CARFILZOMIB 30 MG/15 ML INTRAVENOUS SOLUTION (WETTED),7084.1,4604.67,55.65,6942.42,884 CDM,RX-17050,BACLOFEN (BULK) 100 % POWDER,140.0,91.0,69.58,135.8,880 CDM,RX-170725,LEECH (MEDICINAL),98.3,63.9,48.86,98.3,880 CDM,RX-170808,GLYCOPYRROLATE 9 MCG-FORMOTEROL 4.8 MCG HFA AEROSOL INHALER,1103.9,717.54,548.64,1103.9,884 CDM,RX-17122,GEMCITABINE 1 GRAM/26.3 ML INTRAVENOUS SOLUTION (WETTED),271.6,176.54,134.99,263.45,880 CDM,RX-171418,"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",9.4,6.11,4.67,9.4,884 CDM,RX-171419,"THEOPHYLLINE ER 600 MG TABLET,EXTENDED RELEASE 24 HR",11.3,7.35,5.62,11.3,884 CDM,RX-171424,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,228.0,148.2,113.32,228.0,880 CDM,RX-171879,METHYLENE BLUE (ANTIDOTE) 0.5 % (5 MG/ML) INTRAVENOUS SOLUTION,355.9,231.34,8.73,345.22,884 CDM,RX-171881,KIT FOR THE PREPARATION OF GA-68-DOTATATE 40 MCG INTRAVENOUS SOLN,197.5,128.38,49.63,2977.0,884 CDM,RX-172004,USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION,8721.1,5668.72,12.99,8459.47,884 CDM,RX-172384,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION,1749.3,1137.05,19.99,1696.82,884 CDM,RX-172388,"GRANISETRON ER 10 MG/0.4 ML LIQUID,EXTENDED REL. SUBCUTANEOUS SYRINGE",3523.8,2290.47,4.29,3523.8,884 CDM,RX-172405,LEVONORGESTREL 17.5 MCG/24 HR (UP TO 5 YRS) 19.5MG INTRAUTERINE DEVICE,1676.2,1089.53,833.07,1642.68,880 CDM,RX-17280,SELEGILINE 5 MG CAPSULE,7.2,4.68,3.58,7.2,884 CDM,RX-17285,TOPOTECAN 4 MG/4 ML INTRAVENOUS SOLUTION (WETTED),299.6,194.74,148.9,293.61,880 CDM,RX-17377,RISPERIDONE 1 MG/ML ORAL SOLUTION,5.6,3.64,2.78,5.6,884 CDM,RX-17378,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION,1445.7,939.71,546.29,1402.33,884 CDM,RX-17379,MEROPENEM 500 MG INTRAVENOUS SOLUTION,45.9,29.84,22.81,44.52,880 CDM,RX-1738,CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE,6.6,4.29,3.28,6.6,884 CDM,RX-17380,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,54.2,35.23,26.94,52.57,880 CDM,RX-17387,AZITHROMYCIN 600 MG TABLET,9.6,6.24,4.77,9.6,884 CDM,RX-1740,CLINDAMYCIN HCL 150 MG CAPSULE,5.8,3.77,2.88,5.8,884 CDM,RX-17403,NEVIRAPINE 200 MG TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-17405,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,229.1,148.91,113.86,229.1,884 CDM,RX-17464,BUSPIRONE 15 MG TABLET,6.4,4.16,3.18,6.4,884 CDM,RX-17466,MIRTAZAPINE 15 MG TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-175414,"FACTOR IX RECOMB, FC FUSION PROTEIN 4,000 UNIT INTRAVENOUS SOLUTION",51.1,33.22,3.59,49.57,884 CDM,RX-175440,"PEDI MULTIVIT NO.22-VIT D3 3,000 UNIT-VIT K 1,000 MCG CHEWABLE TABLET",0.5,0.33,0.25,0.5,884 CDM,RX-175461,TENOFOVIR ALAFENAMIDE 25 MG TABLET,172.4,112.06,85.68,172.4,884 CDM,RX-1755,CLONIDINE HCL 0.1 MG TABLET,6.1,3.97,3.03,6.1,884 CDM,RX-1756,CLONIDINE HCL 0.2 MG TABLET,6.1,3.97,3.03,6.1,884 CDM,RX-1757,CLONIDINE HCL 0.3 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-175701,BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION,14596.4,9487.66,39.83,14304.47,884 CDM,RX-175785,NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION,549046.1,356879.97,1280.25,538065.18,884 CDM,RX-17595,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,110.8,72.02,55.07,107.48,880 CDM,RX-17600,SODIUM PHENYLBUTYRATE 500 MG TABLET,46.2,30.03,22.96,46.2,884 CDM,RX-176354,"IMMUNE GLOB,GAMM(IGG) 10%-SORB-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",3219.7,2092.81,774.28,4881.5,1760 CDM,RX-176471,LINACLOTIDE 72 MCG CAPSULE,35.6,23.14,17.69,35.6,884 CDM,RX-176504,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 1,500(+/-) UNIT IV SOLUTION",44.0,28.6,2.1,42.68,884 CDM,RX-1767,CLOTRIMAZOLE 1 % TOPICAL CREAM,61.0,39.65,30.32,61.0,884 CDM,RX-1768,CLOTRIMAZOLE 1 % TOPICAL SOLUTION,109.7,71.31,54.52,109.7,884 CDM,RX-1769,CLOTRIMAZOLE 1 % VAGINAL CREAM,63.1,41.02,31.36,63.1,884 CDM,RX-177126,THIOTEPA 100 MG/10 ML SOLUTION FOR INJECTION (WETTED),1449.5,942.18,10.54,1406.02,884 CDM,RX-177146,OXYMETAZOLINE 1 % TOPICAL CREAM,1961.8,1275.17,975.01,1961.8,884 CDM,RX-177216,"FACTOR VIII RECOMB, FC FUSION PROTEIN 4,000 UNIT INTRAVENOUS SOLUTION",46.2,30.03,2.43,46.2,884 CDM,RX-177309,AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION,8413.3,5468.65,100.09,8245.03,884 CDM,RX-177327,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION,80596.0,52387.4,59.41,78178.12,884 CDM,RX-177328,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,7711.5,5012.48,3832.62,7711.5,884 CDM,RX-177340,DEUTETRABENAZINE 6 MG TABLET,275.0,178.75,136.68,275.0,884 CDM,RX-17801,ACETIC ACID 2 % EAR SOLUTION,123.7,80.41,61.48,123.7,884 CDM,RX-17837,ALBUTEROL SULFATE 90 MCG/ACTUATION AEROSOL HFA INHALER,127.8,83.07,63.52,127.8,884 CDM,RX-178542,TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION,5564.6,3616.99,75.03,5397.66,884 CDM,RX-178584,MIDOSTAURIN 25 MG CAPSULE,760.6,494.39,378.02,760.6,884 CDM,RX-178590,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,10628.5,6908.53,85.12,16529.56,1768 CDM,RX-178633,EDARAVONE 30 MG/100 ML INTRAVENOUS SOLUTION,3507.5,2279.88,20.99,3507.5,884 CDM,RX-17881,BRIMONIDINE 0.2 % EYE DROPS,69.6,45.24,34.59,69.6,884 CDM,RX-179233,DRONABINOL 5 MG/ML ORAL SOLUTION,64.0,41.6,31.81,64.0,884 CDM,RX-179245,"RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",22033.4,14321.71,36.69,21592.73,884 CDM,RX-179279,UREA 15 GRAM ORAL POWDER PACKET,16.3,10.6,8.1,16.3,884 CDM,RX-179339,HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION,43276.9,28129.99,34.18,42411.36,884 CDM,RX-179343,"RITUXIMAB 1,600 MG/13.4 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",25116.7,16325.86,36.69,24614.37,884 CDM,RX-17936,OLANZAPINE 5 MG TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-17937,OLANZAPINE 10 MG TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-179412,GUSELKUMAB 100 MG/ML SUBCUTANEOUS SYRINGE,53582.0,34828.3,26630.25,53582.0,884 CDM,RX-179442,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION,1565.5,1017.58,27.0,1518.54,884 CDM,RX-17960,ZAFIRLUKAST 20 MG TABLET,7.5,4.88,3.73,7.5,884 CDM,RX-179935,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,1006.3,654.1,500.13,1006.3,884 CDM,RX-179936,GLECAPREVIR 100 MG-PIBRENTASVIR 40 MG TABLET,519.7,337.81,258.29,519.7,884 CDM,RX-179982,ENASIDENIB 100 MG TABLET,3643.6,2368.34,1810.87,3643.6,884 CDM,RX-179989,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL GEL,71.3,46.35,35.44,71.3,880 CDM,RX-180015,MAGNESIUM 200 MG (AS MAGNESIUM OXIDE) TABLET,2.2,1.43,1.09,2.2,884 CDM,RX-180021,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG/20 ML IN LIPOSOME IV SOLUTION (WETTED),43226.0,28096.9,256.09,41929.22,884 CDM,RX-180034,INOTUZUMAB OZOGAMICIN 0.9 MG/3.6 ML (0.25 MG/ML INITIAL CONCENTRATION) IV SOLN (WETTED),91425.4,59426.51,2698.05,88682.64,884 CDM,RX-1802,CODEINE SULFATE 30 MG TABLET,12.8,8.32,6.36,12.8,884 CDM,RX-180236,FLUCICLOVINE F18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION,12387.6,8051.94,322.27,12387.6,884 CDM,RX-180268,GEMTUZUMAB OZOGAMICIN 4.5 MG/4.5 ML (1 MG/ML INITIAL CONCENTRATION) IV SOLN (WETTED),39614.3,25749.3,236.62,38425.87,884 CDM,RX-180301,COPANLISIB 60 MG INTRAVENOUS SOLUTION,20046.6,13030.29,9963.16,20046.6,880 CDM,RX-180304,BARIUM SULFATE 2 % (W/V) ORAL SUSPENSION,17.6,11.44,8.75,17.6,880 CDM,RX-18072,DIMETHYL SULFOXIDE (BULK) 99.99 % LIQUID,12.9,8.39,6.41,12.51,880 CDM,RX-181063,ETELCALCETIDE 5 MG/ML INTRAVENOUS SOLUTION,868.8,564.72,482.18,842.74,880 CDM,RX-181073,BECLOMETHASONE DIPROP 40 MCG/ACTUATION HFA BREATH ACTIVATED AEROSOL,718.2,466.83,356.95,718.2,884 CDM,RX-181078,MEROPENEM-VABORBACTAM 2 GRAM INTRAVENOUS SOLUTION,894.3,581.29,2.18,894.3,884 CDM,RX-181122,FLUTICASONE FUR. 100 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,584.6,379.99,290.55,584.6,884 CDM,RX-181158,TRIAMCINOLONE ACETONIDE ER 32 MG INTRA-ARTICULAR SUSPENSION EXT.RELEAS,2840.2,1846.13,18.3,2783.4,884 CDM,RX-181219,"VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT",225.4,146.51,112.02,220.89,880 CDM,RX-181221,VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50 MCG IM SUSPENSION,201.8,131.17,100.29,197.76,880 CDM,RX-181321,LETERMOVIR 240 MG TABLET,903.8,587.47,449.19,903.8,884 CDM,RX-181322,LETERMOVIR 480 MG TABLET,903.8,587.47,449.19,903.8,884 CDM,RX-181330,EPINEPHRINE HCL 100 MCG/10 ML (10 MCG/ML) IN D5W INTRAVENOUS SYRINGE,70.1,45.57,34.84,70.1,880 CDM,RX-181339,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE,20302.2,13196.43,164.59,19896.16,884 CDM,RX-181354,EMICIZUMAB-KXWH 105 MG/0.7 ML SUBCUTANEOUS SOLUTION,44284.4,28784.86,56.1,44284.4,884 CDM,RX-181355,EMICIZUMAB-KXWH 150 MG/ML SUBCUTANEOUS SOLUTION,61821.8,40184.17,56.1,61821.8,884 CDM,RX-181401,"LIPASE-PROTEASE-AMYLASE (PORK) 20,000-63,000-84K UNIT CAPSULE, DEL REL",32.9,21.39,16.35,32.9,884 CDM,RX-18192,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,38.4,24.96,19.08,37.25,880 CDM,RX-18193,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION,40.3,26.2,20.03,39.09,880 CDM,RX-18194,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,51.2,33.28,25.45,49.66,880 CDM,RX-18195,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,38.9,25.29,19.33,37.73,882 CDM,RX-1821,COLCHICINE 0.6 MG TABLET,16.8,10.92,8.35,16.8,884 CDM,RX-182171,"FIBRINOGEN 1 GRAM (700 MG-1,300 MG) INTRAVENOUS SOLUTION",39.1,25.42,1.23,39.1,884 CDM,RX-182747,BORTEZOMIB 3.5 MG/3.5 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),6219.3,4042.55,6.97,6219.3,884 CDM,RX-182748,"MOMETASONE 1,350 MCG SINUS IMPLANT",4177.1,2715.12,11.35,4177.1,884 CDM,RX-182777,ANGIOTENSIN II 2.5 MG/ML INTRAVENOUS SOLUTION,7507.0,4879.55,3730.98,7281.79,880 CDM,RX-182838,LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION,197251.0,128213.15,316.99,191333.47,883 CDM,RX-18288,BISOPROLOL FUMARATE 5 MG TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-18289,BISOPROLOL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,6.6,4.29,3.28,6.6,884 CDM,RX-18290,BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,6.3,4.09,3.13,6.3,884 CDM,RX-18291,BISOPROLOL 2.5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,6.1,3.97,3.03,6.1,884 CDM,RX-18293,TORSEMIDE 20 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-18295,TORSEMIDE 5 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-18302,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,45.7,29.7,22.71,44.33,880 CDM,RX-18303,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,43.6,28.34,21.67,42.29,880 CDM,RX-18304,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,48.4,31.46,24.05,46.95,880 CDM,RX-18307,GABAPENTIN 400 MG CAPSULE,5.3,3.45,2.63,5.3,884 CDM,RX-18308,GABAPENTIN 300 MG CAPSULE,5.5,3.58,2.73,5.5,884 CDM,RX-18309,GABAPENTIN 100 MG CAPSULE,5.4,3.51,2.68,5.4,884 CDM,RX-18313,RISPERIDONE 1 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-18385,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",7.6,4.94,3.78,7.6,884 CDM,RX-18386,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",5.2,3.38,2.58,5.2,884 CDM,RX-183931,GLUTAMINE (SICKLE CELL) 5 GRAM ORAL POWDER PACKET,86.6,56.29,43.04,86.6,884 CDM,RX-183958,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET,471.1,306.21,234.14,471.1,884 CDM,RX-183974,"LIPASE-PROTEASE-AMYLASE (PORK) 25,000-79,000-105K UNIT CAPSULE,DEL REL",39.5,25.68,19.63,39.5,884 CDM,RX-18398,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,170.3,110.69,84.64,170.3,880 CDM,RX-18399,REMIFENTANIL 5 MG INTRAVENOUS SOLUTION,909.1,590.91,451.82,909.1,880 CDM,RX-18400,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION,250.6,162.89,124.55,250.6,880 CDM,RX-18551,CARVEDILOL 3.125 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-185986,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION,30127.3,19582.74,172.22,30127.3,884 CDM,RX-185996,GENTAMICIN 320 MCG/ML IN 4 % SODIUM CITRATE INTRA-CATHETER SOLUTION,35.3,22.95,17.54,35.3,880 CDM,RX-186031,ROFLUMILAST 250 MCG TABLET,15.7,10.21,7.8,15.7,884 CDM,RX-186060,STERILE TALC 4 GRAM INTRAPLEURAL SUSPENSION,646.5,420.23,321.31,646.5,880 CDM,RX-18621,LATANOPROST 0.005 % EYE DROPS,63.5,41.28,31.56,63.5,884 CDM,RX-18786,DONEPEZIL 5 MG TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-188271,COCAINE 4 % NASAL SOLUTION,960.8,624.52,477.52,931.98,880 CDM,RX-188272,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION,75.8,49.27,18.11,73.53,884 CDM,RX-188336,"LIPASE-PROTEASE-AMYLASE(PORK)10,000-32,000-42,000 UNIT CAPSULE,DEL REL",19.2,12.48,9.54,19.2,884 CDM,RX-188342,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,1803.6,1172.34,279.85,1767.53,884 CDM,RX-188373,BUROSUMAB-TWZA 20 MG/ML SUBCUTANEOUS SOLUTION,38181.8,24818.17,484.14,37418.16,884 CDM,RX-188401,ADALIMUMAB (CITRATE FREE) 40 MG/0.4 ML SUBCUTANEOUS PEN KIT (RESTRICTED),12918.2,8396.83,6420.35,12918.2,884 CDM,RX-188411,ADALIMUMAB (CITRATE FREE) 10 MG/0.1 ML SUBCUTANEOUS SYRINGE KIT (RESTRICTED),12918.2,8396.83,6420.35,12918.2,884 CDM,RX-188412,ADALIMUMAB (CITRATE FREE) 20 MG/0.2 ML SUBCUTANEOUS SYRINGE KIT (RESTRICTED),12918.2,8396.83,6420.35,12918.2,884 CDM,RX-188451,FOSTAMATINIB 100 MG TABLET,853.7,554.9,424.29,853.7,884 CDM,RX-188461,BACLOFEN 5 MG TABLET,9.9,6.44,4.92,9.9,884 CDM,RX-18877,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,10.0,6.5,4.97,10.0,884 CDM,RX-188809,BARICITINIB 2 MG TABLET,306.6,199.29,152.38,306.6,884 CDM,RX-188821,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION",117.9,76.64,7.85,114.36,884 CDM,RX-188822,"EPOETIN ALFA-EPBX 3,000 UNIT/ML INJECTION SOLUTION",151.8,98.67,7.85,147.25,884 CDM,RX-188823,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION",185.7,120.71,7.85,180.13,884 CDM,RX-188824,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",389.3,253.05,7.85,377.62,884 CDM,RX-188825,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION",1481.8,963.17,7.85,1437.35,884 CDM,RX-188887,TOFACITINIB 10 MG TABLET,372.4,242.06,185.08,372.4,884 CDM,RX-188907,ORA-SWEET SYRUP,66.9,43.49,33.25,66.9,884 CDM,RX-18908,NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,91.7,59.61,45.57,91.7,880 CDM,RX-189119,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,4976.2,3234.53,99.13,4826.91,884 CDM,RX-189159,PIMAVANSERIN 34 MG CAPSULE,569.2,369.98,282.89,569.2,884 CDM,RX-18918,LEVOFLOXACIN 250 MG TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-18919,LEVOFLOXACIN 500 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-189191,DARUNAVIR 800 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFEN 10 MG TABLET,519.9,337.94,258.39,519.9,884 CDM,RX-18920,TOPIRAMATE 25 MG TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-18922,TOPIRAMATE 100 MG TABLET,6.4,4.16,3.18,6.4,884 CDM,RX-189695,CARFILZOMIB 10 MG/5 ML INTRAVENOUS SOLUTION (WETTED),2661.4,1729.91,55.65,2608.17,884 CDM,RX-189704,PARENTERAL AMINO ACID 15 % COMBINATION (CLINISOL SF) INTRAVENOUS SOLUTION,869.0,564.85,431.89,869.0,880 CDM,RX-189705,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET,80.4,52.26,39.96,80.4,884 CDM,RX-189706,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET,80.4,52.26,39.96,80.4,884 CDM,RX-189711,HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE,187.4,121.81,104.01,181.78,880 CDM,RX-189722,ADALIMUMAB (CITRATE FREE) 80 MG/0.8 ML SUBCUTANEOUS PEN KIT (RESTRICTED),25411.5,16517.47,12629.52,25411.5,884 CDM,RX-189723,ADALIMUMAB (CITRATE FREE) 80 MG/0.8 ML (X 1) AND 40 MG/0.4 ML (X 2) SUBCUTAN PEN KIT (RESTRICTED),50397.8,32758.57,25047.71,50397.8,884 CDM,RX-190262,FILGRASTIM-AAFI 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,342.4,222.56,0.3,332.13,884 CDM,RX-190263,FILGRASTIM-AAFI 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,592.8,385.32,0.3,575.02,884 CDM,RX-190348,FLUDEOXYGLUCOSE F-18 INTRAVENOUS SOLUTION,840.0,546.0,466.2,2977.0,880 CDM,RX-190634,EVEROLIMUS (IMMUNOSUPPRESSIVE) 1 MG TABLET,34.7,22.56,17.25,34.7,884 CDM,RX-190637,KIT FOR PREPARATION OF TC-99M-BICISATE 0.9 MG INTRAVENOUS SOLUTION,6996.0,4547.4,775.52,6786.12,884 CDM,RX-190640,AMINOLEVULINIC ACID HCL 30 MG/ML ORAL SOLUTION,9648.0,6271.2,4795.06,9648.0,884 CDM,RX-190645,RIVAROXABAN 2.5 MG TABLET,27.7,18.0,13.77,27.7,884 CDM,RX-190682,CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION,42721.2,27768.78,29.29,41866.78,884 CDM,RX-190766,KIT FOR THE PREP OF TC-99M-TILMANOCEPT 250 MCG SOLUTION FOR INJECTION,712.5,463.13,395.44,2977.0,880 CDM,RX-191036,OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE,2865.7,1862.71,44.6,2808.39,884 CDM,RX-191038,OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE,6219.6,4042.74,44.6,6095.21,884 CDM,RX-191404,OMADACYCLINE 100 MG INTRAVENOUS SOLUTION,1812.7,1178.26,4.02,1776.45,884 CDM,RX-191414,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,12179.0,7916.35,106.33,11813.63,884 CDM,RX-191751,ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION,348.9,226.79,173.4,348.9,880 CDM,RX-191754,GALCANEZUMAB-GNLM 120 MG/ML SUBCUTANEOUS SYRINGE,2880.1,1872.07,1431.41,2880.1,884 CDM,RX-191759,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION",103.4,67.21,51.39,100.3,880 CDM,RX-19176,ATORVASTATIN 10 MG TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-191765,"BARIUM SULFATE 40 % (W/V), 29 % (W/W) (1,500 CPS) ORAL SUSPENSION",8.4,5.46,4.17,8.4,880 CDM,RX-19177,ATORVASTATIN 40 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-19178,ATORVASTATIN 20 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-19179,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,74.2,48.23,36.88,74.2,884 CDM,RX-192141,PRUCALOPRIDE 2 MG TABLET,58.0,37.7,28.83,58.0,884 CDM,RX-192158,FILGRASTIM-AAFI 300 MCG/ML INJECTION SOLUTION,342.4,222.56,0.3,332.13,884 CDM,RX-192159,FILGRASTIM-AAFI 480 MCG/1.6 ML INJECTION SOLUTION,592.8,385.32,0.3,575.02,884 CDM,RX-192180,CAPLACIZUMAB-YHDP 11 MG INJECTION KIT,27021.6,17564.04,802.49,26210.95,884 CDM,RX-19226,CABERGOLINE 0.5 MG TABLET,14.5,9.43,7.21,14.5,884 CDM,RX-192293,"TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION",127037.5,82574.38,356.93,127037.5,884 CDM,RX-192456,TACROLIMUS 0.2 MG ORAL GRANULES IN PACKET,21.9,14.24,10.88,21.9,880 CDM,RX-192458,TACROLIMUS 1 MG ORAL GRANULES IN PACKET,30.2,19.63,15.01,29.29,880 CDM,RX-192545,NETARSUDIL 0.02 %-LATANOPROST 0.005 % EYE DROPS,1097.7,713.51,545.56,1097.7,884 CDM,RX-192748,ONABOTULINUMTOXINA (COSMETIC) 100 UNIT INTRAMUSCULAR SOLUTION,2404.0,1562.6,6.5,2331.88,884 CDM,RX-192755,"TRASTUZUMAB 600 MG-HYALURONIDASE-OYSK 10,000 UNIT/5 ML SUBCUT SOLUTION",15793.5,10265.78,61.44,15477.63,884 CDM,RX-192795,ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE,9762.4,6345.56,12.07,9469.53,884 CDM,RX-192813,PARENTERAL AMINO ACID 15 % COMBINATION (PLENAMINE) INTRAVENOUS SOLUTION (CAPS FORMULARY ONLY),880.5,572.3299999999999,401.33,953.5,1760 CDM,RX-193028,ALPROSTADIL 20 MCG INTRACAVERNOSAL SYRINGE,511.2,332.28,254.07,511.2,884 CDM,RX-193273,SELENIUM 60 MCG/ML INTRAVENOUS SOLUTION,706.5,459.23,351.13,706.5,880 CDM,RX-193313,POLATUZUMAB VEDOTIN-PIIQ 140 MG/7 ML INTRAVENOUS SOLUTION (WETTED),74023.5,48115.28,136.67,71802.8,884 CDM,RX-19333,CLONIDINE (PF) 100 MCG/ML EPIDURAL SOLUTION,45.8,29.77,22.76,44.43,880 CDM,RX-1935,CORTISONE 25 MG TABLET,55.2,35.88,27.43,55.2,884 CDM,RX-193545,KIT FOR TC 99M-LABELED RED BLOOD CELLS INTRAVENOUS SOLUTION,854.0,555.1,473.97,2977.0,880 CDM,RX-193547,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,6745.9,4384.835,27.86,10207.7,1768 CDM,RX-193548,KIT FOR PREP TC-99M-MERTIATIDE (BETIATIDE) 1 MG INTRAVENOUS SOLUTION,1235.0,802.75,685.43,2977.0,880 CDM,RX-193551,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",204.3,132.79,101.54,198.17,880 CDM,RX-193582,TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION,14195.2,9226.88,47.55,13911.3,884 CDM,RX-193694,DAROLUTAMIDE 300 MG TABLET,366.5,238.23,182.15,366.5,884 CDM,RX-194006,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",96.0,62.4,47.71,96.0,880 CDM,RX-194307,KIT FOR PREPARATION OF TC-99M-SODIUM OXIDRONATE 3.15 MG IV SOLUTION,192.0,124.8,106.56,2977.0,880 CDM,RX-19433,WARFARIN 3 MG TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-19436,BARIUM SULFATE 98 % ORAL POWDER FOR SUSPENSION,21.1,13.72,10.49,21.1,880 CDM,RX-194365,SEMAGLUTIDE 14 MG TABLET,113.2,73.58,56.26,113.2,884 CDM,RX-19452,OLOPATADINE 0.1 % EYE DROPS,67.6,43.94,33.6,67.6,884 CDM,RX-194541,CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION,114779.8,74606.87,82.08,111336.41,884 CDM,RX-194550,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE SPRINKLE",29.2,18.98,14.51,29.2,884 CDM,RX-194593,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS AUTO-INJECTOR,22885.1,14875.32,164.59,22427.4,884 CDM,RX-194606,GALLIUM-67 CITRATE 74 MBQ/ML (2 MCI/ML) INTRAVENOUS SOLUTION,284.0,184.6,157.62,2977.0,880 CDM,RX-194701,TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION,5359.1,3483.42,47.55,5251.92,884 CDM,RX-19483,"CALCIUM CARBONATE 1,250 MG (500 MG CALCIUM)-VITAMIN D3 5 MCG (200 UNIT) TABLET",0.5,0.33,0.25,0.5,884 CDM,RX-194917,PHENYLEPHRINE 0.1 MG/ML INTRAVENOUS SOLUTION,51.7,33.6,25.69,51.7,880 CDM,RX-194930,BARICITINIB 1 MG TABLET,306.6,199.29,152.38,306.6,884 CDM,RX-194968,PEGFILGRASTIM-BMEZ 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,14593.7,9485.91,30.32,14155.89,884 CDM,RX-195000,CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLUTION,9573.0,6222.45,129.48,9285.81,884 CDM,RX-195013,ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION,5814.8,3779.62,11.01,5640.36,884 CDM,RX-195280,"MINERAL OIL, LIGHT STERILE",19.8,12.87,9.84,19.8,884 CDM,RX-195531,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,4435.2,2882.885,25.77,6689.77,1768 CDM,RX-195532,ZINC SULFATE 3 MG/ML INTRAVENOUS SOLUTION,115.4,75.01,57.35,115.4,880 CDM,RX-195533,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,5214.1,3389.17,27.85,8138.4,1770 CDM,RX-195632,TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION,70245.2,45659.38,359.19,68137.84,884 CDM,RX-195821,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION,9507.4,6179.81,27.99,9317.25,884 CDM,RX-195825,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION,982.8,638.82,2.42,982.8,884 CDM,RX-196123,CENOBAMATE 50 MG TABLET,145.7,94.71,72.41,145.7,884 CDM,RX-196147,EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION,7899.1,5134.42,19.97,7662.13,884 CDM,RX-196157,RIMEGEPANT 75 MG DISINTEGRATING TABLET,433.8,281.97,215.6,433.8,884 CDM,RX-196167,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,17725.6,11521.64,81.9,17371.09,884 CDM,RX-19636,PHENYLEPHRINE 10 % EYE DROPS,121.4,78.91,60.34,121.4,880 CDM,RX-196472,ELTROMBOPAG OLAMINE 25 MG ORAL POWDER PACKET,838.4,544.96,416.68,838.4,884 CDM,RX-196580,SACITUZUMAB GOVITECAN-HZIY 180 MG/18 ML INTRAVENOUS SOLUTION (WETTED),10201.5,6630.98,36.28,9997.47,884 CDM,RX-196729,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION,2867.8,1864.07,6.73,2781.77,884 CDM,RX-196785,INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION,1514.6,984.49,20.41,1469.16,884 CDM,RX-196809,NIMODIPINE 30 MG/5 ML ORAL SYRINGE (FOR ORAL USE ONLY),160.2,104.13,79.62,160.2,884 CDM,RX-196810,NIMODIPINE 60 MG/10 ML ORAL SYRINGE (FOR ORAL USE ONLY),165.6,107.64,82.3,165.6,884 CDM,RX-196819,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN",42150.8,27398.02,55.57,41307.78,884 CDM,RX-19696,BENZOCAINE 20 % MUCOSAL AEROSOL SPRAY,151.9,98.74,75.49,151.9,880 CDM,RX-19703,"BETAXOLOL 0.25 % EYE DROPS,SUSPENSION",1324.5,860.93,658.28,1324.5,884 CDM,RX-19704,CARBACHOL 0.01 % INTRAOCULAR SOLUTION,56.4,36.66,28.03,56.4,880 CDM,RX-19711,CLINDAMYCIN 1 % LOTION,124.8,81.12,62.03,124.8,884 CDM,RX-19713,DIAZOXIDE 50 MG/ML ORAL SUSPENSION,1466.1,952.97,728.65,1466.1,884 CDM,RX-19714,DICLOFENAC 0.1 % EYE DROPS,78.4,50.96,38.96,78.4,884 CDM,RX-19732,HYDROCORTISONE ACETATE 10 % (80 MG) RECTAL FOAM,1348.9,876.79,670.4,1348.9,884 CDM,RX-19733,KETOROLAC 0.5 % EYE DROPS,79.8,51.87,39.66,79.8,880 CDM,RX-19741,METRONIDAZOLE 0.75 % TOPICAL GEL,355.2,230.88,176.53,355.2,884 CDM,RX-197426,BRILLIANT BLUE 0.025% OPHTHALMIC SOLUTION,733.3,476.65,364.45,733.3,880 CDM,RX-197433,DILUENT FOR EPOPROSTENOL (GLYCINE) PH 11.7 - 12.3 INTRAVENOUS SOLUTION,116.0,75.4,57.65,116.0,880 CDM,RX-19746,OFLOXACIN 0.3 % EYE DROPS,81.2,52.78,40.36,81.2,884 CDM,RX-19749,PRAMOXINE 1 % TOPICAL FOAM,346.7,225.36,172.31,346.7,884 CDM,RX-197892,BUDESONIDE 160 MCG-GLYCOPYR 9 MCG-FORMOT 4.8 MCG/ACTUATION HFA INHALER,1873.9,1218.04,931.33,1873.9,884 CDM,RX-197894,METHACHOLINE 0 MG TO 48 MG/3 ML (0 MG TO 16 MG/ML) NEBULIZATION SOLN,2337.2,1519.18,1161.59,2290.46,880 CDM,RX-197901,TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION,5553.7,3609.91,14.31,5387.09,884 CDM,RX-19791,POVIDONE-IODINE 5 % EYE SOLUTION,36.4,23.66,18.09,36.4,880 CDM,RX-19805,METRONIDAZOLE 0.75 % TOPICAL CREAM,150.1,97.57,74.6,150.1,884 CDM,RX-19809,CROMOLYN 100 MG/5 ML ORAL CONCENTRATE,47.7,31.01,23.71,47.7,884 CDM,RX-198139,TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION,141.9,92.24,70.52,141.9,880 CDM,RX-198230,"MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION",168.9,109.79,83.94,165.52,880 CDM,RX-198242,"SMALLPOX,MPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP",406.4,264.16,0.01,398.27,884 CDM,RX-198280,COPPER CU-64 DOTATATE 148 MBQ/4 ML (4 MCI/4 ML) INTRAVENOUS SOLUTION,8500.0,5525.0,594.28,8330.0,884 CDM,RX-198317,SORBITOL-MANNITOL-XANTHAN GUM ORAL LIQUID,5.1,3.32,2.53,5.1,884 CDM,RX-198336,POLATUZUMAB VEDOTIN-PIIQ 30 MG/1.5 ML INTRAVENOUS SOLUTION (WETTED),16215.8,10540.27,136.67,15729.33,884 CDM,RX-198343,ERAVACYCLINE 100 MG INTRAVENOUS SOLUTION,590.9,384.09,1.3,573.17,884 CDM,RX-198548,FLUTICASONE FUR. 200 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,584.6,379.99,290.55,584.6,884 CDM,RX-198568,AMINO ACID 6 % IN DEXTROSE 5 % WATER INTRAVENOUS SOLUTION,779.5,506.68,387.41,779.5,880 CDM,RX-198575,AMINO ACIDS 8 %-DEXTROSE 14 %-ELECTROLYTES INTRAVENOUS SOLUTION,960.0,624.0,477.12,960.0,880 CDM,RX-198576,AMINO ACIDS 8 %-DEXTROSE 10 %-ELECTROLYTES INTRAVENOUS SOLUTION,872.3,567.0,433.53,872.3,880 CDM,RX-198578,AMINO ACID 8 % IN DEXTROSE 14 % WATER INTRAVENOUS SOLUTION,804.0,522.6,399.59,804.0,880 CDM,RX-19882,SERTRALINE 25 MG TABLET,6.0,3.9,2.98,6.0,884 CDM,RX-198995,REMIMAZOLAM 20 MG INTRAVENOUS SOLUTION,149.6,97.24,74.35,145.11,880 CDM,RX-199036,GALLIUM GA-68 GOZETOTIDE 18.5 MBQ TO 185 MBQ/ML (0.5-5 MCI/ML) IV SOLN,591.6,384.54,328.34,2977.0,884 CDM,RX-199108,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,6659.35,4328.58,26.51,10474.93,1768 CDM,RX-19928,ITRACONAZOLE 10 MG/ML ORAL SOLUTION,512.3,333.0,254.61,512.3,884 CDM,RX-199455,"CABOTEGRAVIR ER 400 MG/2 ML-RILPIVIRINE ER 600 MG/2ML IM SUSPENSION,ER (RESTRICTED)",18159.4,11803.61,23.65,17614.62,884 CDM,RX-199456,VERICIGUAT 2.5 MG TABLET,70.7,45.96,35.14,70.7,884 CDM,RX-199457,VERICIGUAT 5 MG TABLET,70.7,45.96,35.14,70.7,884 CDM,RX-199645,HISTAMINE DIHYDROCHLORIDE 10 MG/ML INTRADERMAL INJECTION SOLUTION,983.8,639.47,488.95,983.8,880 CDM,RX-199680,"PHYTONADIONE (VITAMIN K1) 1,000 MCG CAPSULE",2.5,1.63,1.24,2.5,884 CDM,RX-199691,TRILACICLIB 300 MG/20 ML INTRAVENOUS SOLUTION (WETTED),6440.6,4186.39,5.46,6440.6,884 CDM,RX-199948,ENZALUTAMIDE 40 MG TABLET,441.8,287.17,219.57,441.8,884 CDM,RX-199949,ENZALUTAMIDE 80 MG TABLET,823.5,535.28,409.28,823.5,884 CDM,RX-20032,NELFINAVIR 250 MG TABLET,18.9,12.29,9.39,18.9,884 CDM,RX-200465,THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION,8159.7,5303.81,2116.32,7914.91,884 CDM,RX-200479,"CABOTEGRAVIR ER 600 MG/3 ML-RILPIVIRINE ER 900 MG/3ML IM SUSPENSION,ER (RESTRICTED)",27026.5,17567.22,23.65,26215.71,884 CDM,RX-200492,MULTIVITAMIN-MINERALS-IRON FUMARATE 19 MG-FOLIC ACID 400 MCG TABLET,2.2,1.43,1.09,2.2,884 CDM,RX-200613,LONCASTUXIMAB TESIRINE-LPYL 10 MG/2 ML INTRAVENOUS SOLUTION (WETTED),109311.7,71052.6,216.9,109311.7,884 CDM,RX-200621,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION,46212.8,30038.32,243.71,45288.54,884 CDM,RX-20077,MESNA 400 MG TABLET,187.0,121.55,92.94,187.0,884 CDM,RX-2008,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET,2.6,1.69,1.29,2.6,884 CDM,RX-200961,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION,14646.6,9520.29,22.54,14353.67,884 CDM,RX-2010,CYANOCOBALAMIN (VIT B-12) 250 MCG TABLET,2.6,1.69,1.29,2.6,884 CDM,RX-201100,"PIFLUFOLASTAT F 18 37 MBQ/ML TO 2,960 MBQ/ML (1-80 MCI/ML) IV SOLUTION",11500.0,7475.0,346.49,11270.0,884 CDM,RX-2012,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,2.6,1.69,1.29,2.6,884 CDM,RX-201221,SEMAGLUTIDE (WEIGHT LOSS) 2.4 MG/0.75 ML SUBCUTANEOUS PEN INJECTOR,1297.2,843.18,644.71,1297.2,884 CDM,RX-201275,NIMODIPINE 60 MG/10 ML ORAL SOLUTION,152.3,99.0,75.69,152.3,1768 CDM,RX-201407,FLUORODOPA F-18 0.42 MCI/ML TO 8.33 MCI/ML INTRAVENOUS SOLUTION,28061.9,18240.24,2680.0,27220.04,880 CDM,RX-201497,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,322.9,209.89,179.21,313.21,880 CDM,RX-20156,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION,243.3,158.15,120.92,236.0,880 CDM,RX-2017,CYCLOBENZAPRINE 10 MG TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-201765,ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION,21019.6,13662.74,18.08,20389.01,884 CDM,RX-201788,AVALGLUCOSIDASE ALFA-NGPT 100 MG INTRAVENOUS SOLUTION,8024.3,5215.8,80.91,7863.81,884 CDM,RX-202117,TISOTUMAB VEDOTIN-TFTV 40 MG/4 ML INTRAVENOUS SOLUTION (WETTED),28050.4,18232.76,188.76,27489.39,884 CDM,RX-202263,GLECAPREVIR 50 MG-PIBRENTASVIR 20 MG ORAL PELLETS IN PACKET,308.8,200.72,153.47,308.8,884 CDM,RX-202326,AVACOPAN 10 MG CAPSULE,371.2,241.28,184.49,371.2,884 CDM,RX-2025,CYCLOPENTOLATE 1 % EYE DROPS,63.2,41.08,31.41,63.2,884 CDM,RX-202516,ASCIMINIB 40 MG TABLET,1172.2,761.93,582.58,1172.2,884 CDM,RX-202713,"NIRMATRELVIR 300 MG (150 MG X2)-RITONAVIR 100 MG TABLET,DOSE PACK",164.8,107.12,81.91,164.8,884 CDM,RX-202724,INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE,13435.7,8733.21,12.32,13032.63,884 CDM,RX-202754,SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION,26657.1,17327.12,84.57,26657.1,884 CDM,RX-202759,MARIBAVIR 200 MG TABLET,760.3,494.2,377.87,760.3,884 CDM,RX-202818,EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION (RESTRICTED),24103.3,15667.15,32.15,23380.2,884 CDM,RX-202821,"CABOTEGRAVIR ER 600 MG/3 ML (200 MG/ML) IM SUSPENSION,EXTENDED RELEASE",16196.6,10527.79,7.02,15710.7,884 CDM,RX-202982,"UPADACITINIB ER 30 MG TABLET,EXTENDED RELEASE 24 HR",751.4,488.41,373.45,751.4,884 CDM,RX-203033,TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION,80668.9,52434.79,217.09,78248.83,884 CDM,RX-203169,KIT FOR PREPARATION OF GA-68-GOZETOTIDE 25 MCG INTRAVENOUS SOLUTION,10000.0,6500.0,362.5,9700.0,884 CDM,RX-203191,FARICIMAB-SVOA 6 MG/0.05 ML INTRAVITREAL SOLUTION (WRAPPER),9306.5,6049.23,33.88,9027.31,884 CDM,RX-203205,SUTIMLIMAB-JOME 50 MG/ML INTRAVENOUS SOLUTION,8026.8,5217.42,18.86,7786.0,884 CDM,RX-2033,CYPROHEPTADINE 4 MG TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-203366,"LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN",161500.0,104975.0,255.84,156655.0,883 CDM,RX-203379,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION,53.8,34.97,26.74,52.19,882 CDM,RX-203441,FILGRASTIM-AYOW 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,291.1,189.22,0.38,282.37,884 CDM,RX-203442,FILGRASTIM-AYOW 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,417.3,271.25,0.38,404.78,884 CDM,RX-203461,MEDIUM CHAIN TRIGLYCERIDES (MCT) 14 GRAM-130 KCAL/15 ML ORAL OIL,3.2,2.08,1.59,3.2,884 CDM,RX-203531,"UPADACITINIB ER 45 MG TABLET,EXTENDED RELEASE 24 HR",1442.7,937.76,717.02,1442.7,884 CDM,RX-203844,AMLODIPINE 1 MG/ML ORAL SOLUTION,57.4,37.31,28.53,57.4,884 CDM,RX-204314,BROLUCIZUMAB-DBLL 6 MG/0.05 ML INTRAVITREAL SYRINGE,8350.2,5427.63,346.11,8183.2,884 CDM,RX-204401,VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE,328216.0,213340.4,5003.64,318369.52,884 CDM,RX-204409,RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION,38300.4,24895.26,14.94,37151.39,884 CDM,RX-20446,ANAGRELIDE 0.5 MG CAPSULE,7.4,4.81,3.68,7.4,884 CDM,RX-205029,PAFOLACIANINE 3.2 MG/1.6 ML INTRAVENOUS SOLUTION,16362.5,10635.63,8132.16,16362.5,880 CDM,RX-205410,ZONISAMIDE 100 MG/5 ML ORAL SUSPENSION,16.7,10.86,8.3,16.7,884 CDM,RX-20566,MELOXICAM 7.5 MG TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-205801,TERLIPRESSIN 0.85 MG/5 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),3939.2,2560.48,1957.78,3860.42,880 CDM,RX-205880,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,86145.4,55994.51,140.9,155483.66,1768 CDM,RX-205883,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION,34284.4,22284.86,33.58,33598.71,884 CDM,RX-205884,TECLISTAMAB-CQYV 10 MG/ML SUBCUTANEOUS SOLUTION,7084.3,4604.8,33.58,6942.61,884 CDM,RX-206042,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION (WRAPPER),211.3,137.35,57.45,257.05,2640 CDM,RX-206058,"MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION",243.3,158.15,120.92,243.3,880 CDM,RX-206100,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION,26060.1,16939.06,69.49,25538.9,884 CDM,RX-206414,PIFLUFOLASTAT F 18 296 MBQ TO 370 MBQ (8 MCI TO 10 MCI) IV SYRINGE,11500.0,7475.0,346.49,11270.0,884 CDM,RX-206437,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION,37762.2,24545.43,654.63,70487.18,1768 CDM,RX-206683,UBLITUXIMAB-XIIY 25 MG/ML INTRAVENOUS SOLUTION,44551.6,28958.54,70.75,43215.05,884 CDM,RX-206740,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION,1914.1999999999998,1244.23,1.32,2628.31,1768 CDM,RX-207067,BEVACIZUMAB-ADCD 25 MG/ML INTRAVENOUS SOLUTION,3628.5,2358.5299999999997,39.96,5472.81,1768 CDM,RX-20718,IMIQUIMOD 5 % TOPICAL CREAM PACKET,8.4,5.46,4.17,8.4,884 CDM,RX-207840,TOFERSEN 100 MG/15 ML (6.7 MG/ML) INTRATHECAL SOLUTION,58735.7,38178.21,159.4,56973.63,884 CDM,RX-20803,AMIFOSTINE CRYSTALLINE 500 MG INTRAVENOUS SOLUTION,4148.7,2696.66,2061.9,4024.24,880 CDM,RX-208099,EPINEPHRINE 4 MG/250 ML (16 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN,246.7,160.35,122.61,246.7,880 CDM,RX-20813,EDETATE DISODIUM (BULK) 100 % POWDER,107.5,69.88,53.43,107.5,880 CDM,RX-208249,EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION,63140.7,41041.46,55.84,61246.48,884 CDM,RX-20825001,EPCORITAMAB-BYSP 0.8 MG/ML SUBCUTANEOUS DILUTION,5674.3,3688.3,55.84,5504.07,884 CDM,RX-20825002,EPCORITAMAB-BYSP 0.16 MG/ML SUBCUTANEOUS DILUTION,5674.3,3688.3,55.84,5504.07,884 CDM,RX-20825004,EPCORITAMAB-BYSP 3 MG/0.6 ML SUBCUTANEOUS SOLUTION,5674.3,3688.3,55.84,5504.07,884 CDM,RX-208285,"FLOTUFOLASTAT F 18 296-5,846 MBQ/ML (8-158 MCI/ML) IV SOLUTION",12295.6,7992.14,671.22,11926.73,884 CDM,RX-208602,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION,26098.65,16964.125,2767.88,40243.26,1768 CDM,RX-208615,"EFGARTIGIMOD ALFA 1008 MG-HYALURON-QVFC 11,200 UNIT/5.6 ML SUBCUT SOLN",61963.4,40276.21,33.89,60724.13,884 CDM,RX-208633,ROZANOLIXIZUMAB-NOLI 140 MG/ML SUBCUTANEOUS SOLUTION,35727.7,23223.01,23.17,34655.87,884 CDM,RX-208862,NADOFARAGENE FIRADENOVEC-VNCG 3X10EXP11 VP/ML INTRAVESICAL SUSPENSION,57543.8,37403.47,28599.27,72843.62,884 CDM,RX-20887,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,45.3,29.45,22.51,45.3,880 CDM,RX-208897,"RESPIRATORY SYNCYTIAL VIRUS VACCINE, ANTIGEN (2 OF 2) 120 MCG IM SUSP",417.4,271.31,207.45,417.4,880 CDM,RX-208898,"RSVPREF3 ANTIGEN-AS01E ADJUVANT(PF) 120 MCG/0.5 ML IM SUSPENSION, KIT",417.4,271.31,207.45,417.4,880 CDM,RX-208907,"RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION",382.9,248.89,190.3,375.24,880 CDM,RX-208977,QUIZARTINIB 17.7 MG TABLET,1807.7,1175.01,898.43,1807.7,884 CDM,RX-2090,DACARBAZINE 100 MG/10 ML INTRAVENOUS SOLUTION (WETTED),242.7,157.76,120.62,237.85,880 CDM,RX-2091,DACARBAZINE 200 MG/20 ML INTRAVENOUS SOLUTION (WETTED),241.1,156.72,119.83,236.28,880 CDM,RX-209350,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION,39105.8,25418.77,72.62,37932.63,884 CDM,RX-209351,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION,3564.6,2316.99,72.62,3457.66,884 CDM,RX-209379,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION,38755.35,25190.98,184.07,47656.97,1768 CDM,RX-209403,AFLIBERCEPT 8 MG/0.07 ML INTRAVITREAL SOLUTION FOR INJECTION,10915.7,7095.21,311.38,10588.23,884 CDM,RX-20943,AZITHROMYCIN 250 MG TABLET,7.3,4.75,3.63,7.3,884 CDM,RX-20952,LEVOCARNITINE 330 MG TABLET,7.8,5.07,3.88,7.8,884 CDM,RX-20954,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,145.7,94.71,80.86,141.33,880 CDM,RX-210053,SECUKINUMAB 25 MG/ML INTRAVENOUS SOLUTION,8649.8,5622.37,17.84,8390.31,884 CDM,RX-210296,MEROPENEM 2 GRAM INTRAVENOUS SOLUTION,136.1,88.47,67.64,132.02,880 CDM,RX-210341,MIRIKIZUMAB-MRKZ 300 MG/15 ML (20 MG/ML) INTRAVENOUS SOLUTION,36201.8,23531.17,43.05,35115.75,884 CDM,RX-210352,TORIPALIMAB-TPZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION,36838.5,23945.03,39.41,36838.5,884 CDM,RX-21044,LEUPROLIDE ACETATE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,12650.4,8222.76,1730.32,12397.39,884 CDM,RX-21045,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,2388.6,1552.59,176.45,2316.94,884 CDM,RX-21057,OLANZAPINE 2.5 MG TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-21061,OXCARBAZEPINE 300 MG TABLET,7.7,5.01,3.83,7.7,884 CDM,RX-21062,CITALOPRAM 20 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-21063,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,47.5,30.88,23.61,46.08,880 CDM,RX-210658,TRAVOPROST 75 MCG INTRACAMERAL IMPLANT,41910.0,27241.5,195.72,40652.7,884 CDM,RX-210875,PEGFILGRASTIM-CBQV 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUT INJECTOR,15995.2,10396.88,106.33,15515.34,884 CDM,RX-21108,LEUPROLIDE 30 MG (4 MONTH) INTRAMUSCULAR SYRINGE KIT,3034.7,1972.56,176.45,2943.66,884 CDM,RX-211284,KIT FOR THE PREPARATION OF TECHNETIUM TC 99M-LABELED CARBON INHALATION AEROSOL,949.5,617.17,328.6,2977.0,884 CDM,RX-211333,MELPHALAN HCL 50 MG/10 ML INTRA-ARTERIAL SOLUTION (WETTED),684825.0,445136.25,795.0,684825.0,884 CDM,RX-21135,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY (NON-REFRIGERATED),128.7,83.66,63.96,128.7,884 CDM,RX-211413,PEMIVIBART 125 MG/ML INTRAVENOUS SOLUTION (EUA),2870.9,1866.09,1426.84,2784.77,880 CDM,RX-211540,CENOBAMATE 25 MG TABLET,138.6,90.09,68.88,138.6,884 CDM,RX-211544,TOCILIZUMAB-AAZG 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,1400.6,910.39,4.42,1358.58,884 CDM,RX-211545,TOCILIZUMAB-AAZG 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,3414.1,2219.17,4.42,3311.68,884 CDM,RX-211546,TOCILIZUMAB-AAZG 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,6803.1,4422.02,4.42,6599.01,884 CDM,RX-212006,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION,58068.9,37744.79,1564.64,56326.83,884 CDM,RX-212007,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION,6211.9,4037.74,1564.64,6025.54,884 CDM,RX-21225,ALPROSTADIL 40 MCG INTRACAVERNOSAL SOLUTION,630.6,409.89,313.41,611.68,880 CDM,RX-212319,APREPITANT 32 MG/4.4 ML (7.2 MG/ML) INTRAVENOUS EMULSION,312.3,203.0,1.91,302.93,884 CDM,RX-212362,IMETELSTAT 47 MG/1.5 ML INTRAVENOUS SOLUTION (WETTED),10373.7,6742.91,57.03,10166.23,884 CDM,RX-212364,IMETELSTAT 188 MG/6 ML INTRAVENOUS SOLUTION (WETTED),40144.8,26094.12,57.03,39341.9,884 CDM,RX-212696,VANCOMYCIN 2 GRAM INTRAVENOUS SOLUTION,197.3,128.25,98.06,191.38,880 CDM,RX-21287,PRAMIPEXOLE 0.125 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-21288,PRAMIPEXOLE 1 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-21290,PRAMIPEXOLE 0.25 MG TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-21300,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE",5.9,3.84,2.93,5.9,884 CDM,RX-2132,DAPSONE 25 MG TABLET,7.0,4.55,3.48,7.0,884 CDM,RX-213274,GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,54721.6,35569.04,75.97,53079.95,884 CDM,RX-213284,"OCRELIZUMAB 920 MG-HYALURONIDASE-OCSQ 23,000 UNIT/23 ML SUBCUT SOLN",160766.9,104498.49,47.23,160766.9,884 CDM,RX-213287,"ATEZOLIZUMAB 1,875 MG-HYALURONIDASE-TQJS 30,000 UNIT/15 ML SUBCUT SOLN",44967.8,29229.07,31.58,44068.44,884 CDM,RX-21374,MYCOPHENOLATE MOFETIL 500 MG TABLET,7.6,4.94,3.78,7.37,880 CDM,RX-213990,ZANIDATAMAB-HRII 300 MG/6 ML INTRAVENOUS SOLUTION (WETTED),14099.6,9164.74,25.05,14099.6,884 CDM,RX-214256,ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION,45981.2,29887.78,32.91,45981.2,884 CDM,RX-214809,AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION,31235.3,20302.95,55.65,42831.03,1768 CDM,RX-214815,USTEKINUMAB-KFCE 45 MG/0.5 ML SUBCUTANEOUS SYRINGE,5839.0,3795.35,2901.98,5839.0,884 CDM,RX-214816,USTEKINUMAB-KFCE 90 MG/ML SUBCUTANEOUS SYRINGE,11253.1,7314.52,5592.79,11253.1,884 CDM,RX-214818,USTEKINUMAB-KFCE 130 MG/26 ML INTRAVENOUS SOLUTION,1799.7,1169.81,24.98,1763.71,884 CDM,RX-214825,USTEKINUMAB-STBA 45 MG/0.5 ML SUBCUTANEOUS SYRINGE,7585.3,4930.44,3769.89,7585.3,884 CDM,RX-214827,USTEKINUMAB-STBA 90 MG/ML SUBCUTANEOUS SYRINGE,14745.6,9584.64,7328.56,14745.6,884 CDM,RX-214828,USTEKINUMAB-STBA 130 MG/26 ML INTRAVENOUS SOLUTION,1333.0,866.45,662.5,1333.0,880 CDM,RX-214843,"NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION",30665.2,19932.38,27.36,30665.2,884 CDM,RX-21492,NEFAZODONE 50 MG TABLET,9.3,6.05,4.62,9.3,884 CDM,RX-214933,DATOPOTAMAB DERUXTECAN-DLNK 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED),19054.9,12385.69,51.56,19054.9,884 CDM,RX-21509,LETROZOLE 2.5 MG TABLET,6.5,4.22,3.23,6.5,884 CDM,RX-21529,FEXOFENADINE 60 MG TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-215434,TREOSULFAN 5 GRAM/100 ML INTRAVENOUS SOLUTION (WETTED),11887.5,7726.88,32.33,11887.5,884 CDM,RX-215437,HYDROXYUREA (SICKLE CELL) 100 MG/ML ORAL SOLUTION,2283.2,1484.08,1134.75,2283.2,884 CDM,RX-215439,TREOSULFAN 1 GRAM/20 ML INTRAVENOUS SOLUTION (WETTED),2737.5,1779.38,32.33,2737.5,884 CDM,RX-215462,GLUCOSE 3.75 GRAM CHEWABLE TABLET,9.5,6.18,4.72,9.5,884 CDM,RX-215504,SUZETRIGINE 50 MG TABLET,56.7,36.85,28.18,56.7,884 CDM,RX-216005,CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET,7.9,5.14,3.93,7.9,880 CDM,RX-21688,ROPINIROLE 0.25 MG TABLET,6.3,4.09,3.13,6.3,884 CDM,RX-21689,ROPINIROLE 1 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-217239,DENOSUMAB-BBDZ 60 MG/ML SUBCUTANEOUS SYRINGE,6762.9,4395.89,27.54,6762.9,884 CDM,RX-217575,"FAT EMULSION OLIVE, SOYBEAN OIL 20 % INTRAVENOUS (CLINOLIPID)",189.9,123.44,94.38,189.9,880 CDM,RX-217665,"ALBUMIN, IODINATED I-131 0.025 MCI/ML INTRAVENOUS SYRINGE",509.0,330.85,282.5,2977.0,880 CDM,RX-217951,FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE,92.5,60.13,45.97,89.73,880 CDM,RX-217955,FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,25.3,16.45,14.04,24.54,880 CDM,RX-21823,QUETIAPINE 25 MG TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-21824,QUETIAPINE 100 MG TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-21827,TIAGABINE 4 MG TABLET,25.7,16.7,12.77,25.7,884 CDM,RX-218412,COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE,158.6,103.09,87.39,153.84,880 CDM,RX-218550,COVID VAC 2025-26 (6MO-11YR)(MODERNA) (PF) 25 MCG/0.25 ML IM SYRINGE,144.3,93.8,71.72,141.41,880 CDM,RX-21867,METYRAPONE 250 MG CAPSULE,219.4,142.61,109.04,219.4,884 CDM,RX-21900,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,506.1,328.97,21.48,490.92,884 CDM,RX-21905,MOMETASONE 50 MCG/ACTUATION NASAL SPRAY,146.9,95.49,73.01,146.9,884 CDM,RX-219415,BELANTAMAB MAFODOTIN-BLMF 70 MG INTRAVENOUS SOLUTION,89955.0,58470.75,44707.64,89955.0,880 CDM,RX-219828,LENACAPAVIR (PREP) 309 MG/ML SUBCUTANEOUS SOLUTION,53042.8,34477.82,26362.27,53042.8,880 CDM,RX-220045,FLUDARABINE 50 MG INTRAVENOUS SOLUTION,531.2,345.28,264.01,515.26,880 CDM,RX-220047,TOPOTECAN 4 MG INTRAVENOUS SOLUTION,299.6,194.74,148.9,293.61,880 CDM,RX-220048,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,113.0,73.45,56.16,109.61,880 CDM,RX-220051,DACARBAZINE 100 MG INTRAVENOUS SOLUTION,242.7,157.76,120.62,237.85,880 CDM,RX-220052,VORICONAZOLE 200 MG INTRAVENOUS POWDER FOR SOLUTION,70.9,46.09,35.24,68.77,880 CDM,RX-220054,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,238.3,154.9,118.44,233.53,880 CDM,RX-220056,IXABEPILONE 45 MG INTRAVENOUS SOLUTION,22989.2,14942.98,139.21,22529.42,884 CDM,RX-220057,BENDAMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION,8056.0,5236.4,1.88,8056.0,884 CDM,RX-220061,IMETELSTAT 47 MG INTRAVENOUS SOLUTION,10373.7,6742.91,57.03,10166.23,884 CDM,RX-220460,CEFAZOLIN 10 GRAM INTRAVENOUS SOLUTION,53.4,34.71,26.54,53.4,880 CDM,RX-220553,VARICELLA-ZOSTER GLYCOE VACCINE-AS01B ADJ(PF) 50 MCG/0.5 ML IM SYRINGE,337.1,219.12,167.54,337.1,880 CDM,RX-22120,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP",413.5,268.77,205.51,405.23,884 CDM,RX-22142,CLOPIDOGREL 75 MG TABLET,6.0,3.9,2.98,6.0,884 CDM,RX-22143,RALOXIFENE 60 MG TABLET,22.5,14.63,11.18,22.5,884 CDM,RX-22148,ACARBOSE 25 MG TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-22149,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",15866.9,10313.49,75.22,15390.89,884 CDM,RX-22185,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,1917.2,1246.18,6.28,1878.86,884 CDM,RX-22240,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,45.4,29.51,22.56,45.4,884 CDM,RX-22243,FINASTERIDE 1 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-22251,MUPIROCIN CALCIUM 2 % TOPICAL CREAM,136.2,88.53,67.69,136.2,884 CDM,RX-22257,OFLOXACIN 0.3 % EAR DROPS,446.5,290.23,221.91,446.5,884 CDM,RX-22289,CEFDINIR 300 MG CAPSULE,6.7,4.36,3.33,6.7,884 CDM,RX-22469,"LACTASE 3,000 UNIT TABLET",2.4,1.56,1.19,2.4,884 CDM,RX-22472,KETOROLAC 15 MG/ML INJECTION SOLUTION,37.9,24.64,0.3,36.76,885 CDM,RX-22473,KETOROLAC 30 MG/ML INJECTION SOLUTION (INCLUDES REPACKAGED VOLUMES),38.0,24.7,0.3,36.86,885 CDM,RX-22509,MONTELUKAST 10 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-22510,MONTELUKAST 5 MG CHEWABLE TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-22560,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,58.0,37.7,28.83,58.0,884 CDM,RX-22584,REPAGLINIDE 0.5 MG TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-22586,REPAGLINIDE 1 MG TABLET,15.3,9.95,7.6,15.3,884 CDM,RX-22646,"POTASSIUM CITRATE-CITRIC ACID 1,100 MG-334 MG/5 ML ORAL SOLUTION",6.1,3.97,3.03,6.1,884 CDM,RX-22660,URSODIOL 250 MG TABLET,12.3,8.0,6.11,12.3,884 CDM,RX-22661,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION,323.1,210.02,160.58,313.41,880 CDM,RX-22672,BECLOMETHASONE DIPROP (BULK) POWDER,123.8,80.47,61.53,123.8,884 CDM,RX-22710,"LOTEPREDNOL ETABONATE 0.5 % EYE DROPS,SUSPENSION",354.9,230.69,176.39,354.9,884 CDM,RX-22719,PRAMIPEXOLE 0.5 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-22782,TOLTERODINE 1 MG TABLET,6.8,4.42,3.38,6.8,884 CDM,RX-22783,TOLTERODINE 2 MG TABLET,6.5,4.22,3.23,6.5,884 CDM,RX-2283,DESIPRAMINE 10 MG TABLET,7.9,5.14,3.93,7.9,884 CDM,RX-22836,SILDENAFIL 25 MG TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-22837,SILDENAFIL 50 MG TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-2286,DESIPRAMINE 25 MG TABLET,8.5,5.53,4.22,8.5,884 CDM,RX-2291,DESONIDE 0.05 % TOPICAL CREAM,77.0,50.05,38.27,77.0,884 CDM,RX-22953,"BRINZOLAMIDE 1 % EYE DROPS,SUSPENSION",513.5,333.78,255.21,513.5,884 CDM,RX-22959,PAROXETINE 10 MG/5 ML ORAL SUSPENSION,31.9,20.74,15.85,31.9,884 CDM,RX-2296,DESOXIMETASONE 0.25 % TOPICAL CREAM,77.0,50.05,38.27,77.0,884 CDM,RX-22982,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,80.4,52.26,39.96,80.4,884 CDM,RX-22986,"CIPROFLOXACIN 0.2 %-HYDROCORTISONE 1 % EAR DROPS,SUSPENSION",997.1,648.12,495.56,997.1,880 CDM,RX-22988,CIPROFLOXACIN 500 MG/5 ML ORAL SUSPENSION,483.6,314.34,240.35,483.6,884 CDM,RX-22992,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET,11.1,7.22,5.52,11.1,884 CDM,RX-22993,CAPECITABINE 150 MG TABLET,6.7,4.36,0.04,6.5,884 CDM,RX-22994,CAPECITABINE 500 MG TABLET,6.3,4.09,0.04,6.11,884 CDM,RX-23015,RISEDRONATE 30 MG TABLET,147.9,96.14,73.51,147.9,884 CDM,RX-23050,TIROFIBAN 5 MG/100 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,143.8,93.47,71.47,140.92,880 CDM,RX-23063,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION,66.4,43.16,33.0,66.4,884 CDM,RX-23082,BASILIXIMAB 20 MG INTRAVENOUS SOLUTION,16910.6,10991.89,4686.85,16403.28,884 CDM,RX-23122,PROGESTERONE MICRONIZED 100 MG CAPSULE,5.9,3.84,2.93,5.9,884 CDM,RX-23123,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,344.1,223.67,2.99,337.22,884 CDM,RX-23124,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION,119.6,77.74,2.99,117.21,884 CDM,RX-23128,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,50.2,32.63,24.95,48.69,880 CDM,RX-2320,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,66.9,43.49,33.25,66.9,884 CDM,RX-2322,DEXAMETHASONE 0.5 MG TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-23229,CANDESARTAN 4 MG TABLET,7.6,4.94,3.78,7.6,884 CDM,RX-2323,DEXAMETHASONE 0.75 MG TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-23231,CANDESARTAN 16 MG TABLET,8.4,5.46,4.17,8.4,884 CDM,RX-2324,DEXAMETHASONE 1 MG TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-2326,DEXAMETHASONE 2 MG TABLET,7.2,4.68,3.58,7.2,884 CDM,RX-2327,DEXAMETHASONE 4 MG TABLET,8.5,5.53,4.22,8.5,884 CDM,RX-2332,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,37.1,24.12,18.44,35.99,881 CDM,RX-2335,DEXAMETHASONE SODIUM PHOSPHATE 0.1 % EYE DROPS,193.3,125.65,96.07,193.3,884 CDM,RX-23461,LIDOCAINE 4 % TOPICAL CREAM,60.6,39.39,30.12,60.6,884 CDM,RX-23490,CITALOPRAM 40 MG TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-2350,DEXTRAN 40 10 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,1201.3,780.85,597.05,1201.3,880 CDM,RX-2354,DEXTROAMPHETAMINE SULFATE 5 MG TABLET,11.6,7.54,5.77,11.6,884 CDM,RX-2357,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION (ML/HR DOSING),82.0,53.3,39.01,82.9,2640 CDM,RX-2359,DEXTROSE 20 % IN WATER (D20W) INTRAVENOUS SOLUTION,192.3,125.0,95.57,192.3,880 CDM,RX-2361,DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE,125.1,81.32,62.17,125.1,880 CDM,RX-23617,LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION,206.5,134.23,102.63,202.37,880 CDM,RX-2364,D5W IV SOLP,82.0,53.3,40.75,79.54,880 CDM,RX-2365,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION,91.5,59.48,45.48,91.5,880 CDM,RX-2367,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION,189.0,122.85,93.93,189.0,880 CDM,RX-23796,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,4692.8,3050.32,31.09,4552.02,884 CDM,RX-23814,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET,24.7,16.06,12.28,24.7,884 CDM,RX-23872,LEFLUNOMIDE 10 MG TABLET,7.1,4.62,3.53,7.1,884 CDM,RX-23873,LEFLUNOMIDE 20 MG TABLET,11.3,7.35,5.62,11.3,884 CDM,RX-23968,MYCOPHENOLATE 500 MG/15 ML INTRAVENOUS SOLUTION (WETTED),113.0,73.45,56.16,109.61,880 CDM,RX-2404,DIAZEPAM 2 MG TABLET,10.3,6.7,5.12,10.3,884 CDM,RX-2405,DIAZEPAM 5 MG TABLET,10.2,6.63,5.07,10.2,884 CDM,RX-2414,DICLOXACILLIN 250 MG CAPSULE,7.3,4.75,3.63,7.3,884 CDM,RX-2417,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,67.8,44.07,33.7,67.8,880 CDM,RX-2418,DICYCLOMINE 10 MG CAPSULE,6.6,4.29,3.28,6.6,884 CDM,RX-2420,DICYCLOMINE 20 MG TABLET,6.5,4.22,3.23,6.5,884 CDM,RX-24216,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,2.5,1.63,1.24,2.5,884 CDM,RX-24268,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",6.1,3.97,3.03,6.1,884 CDM,RX-24329,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",197.2,128.18,98.01,191.28,880 CDM,RX-24335,TELMISARTAN 40 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-2436,DIFLUNISAL 500 MG TABLET,9.0,5.85,4.47,9.0,884 CDM,RX-24419,LAMIVUDINE 100 MG TABLET,38.1,24.77,18.94,38.1,884 CDM,RX-24425,VALRUBICIN 40 MG/ML INTRAVESICAL SOLUTION,5577.9,3625.64,1323.35,5466.34,884 CDM,RX-24438,ABACAVIR 300 MG TABLET,24.9,16.18,12.38,24.9,884 CDM,RX-2444,DIGOXIN 125 MCG (0.125 MG) TABLET,8.2,5.33,4.08,8.2,884 CDM,RX-2445,DIGOXIN 250 MCG (0.25 MG) TABLET,8.9,5.79,4.42,8.9,884 CDM,RX-24470,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",10.0,6.5,4.97,10.0,884 CDM,RX-24473,CILOSTAZOL 50 MG TABLET,7.7,5.01,3.83,7.7,884 CDM,RX-24500,CELECOXIB 100 MG CAPSULE,8.4,5.46,4.17,8.4,884 CDM,RX-24513,"EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION",2335.7,1518.21,8.54,2265.63,884 CDM,RX-24521,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",5.9,3.84,2.93,5.9,884 CDM,RX-24559,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,2.1,1.37,1.04,2.1,884 CDM,RX-24575,TIMOLOL MALEATE 0.25 % EYE GEL FORMING SOLUTION,481.4,312.91,239.26,481.4,884 CDM,RX-24576,TIMOLOL MALEATE 0.5 % EYE GEL FORMING SOLUTION,494.8,321.62,245.92,494.8,884 CDM,RX-24585,ANTI-THYMOCYTE GLOBULIN (RABBIT) 25 MG INTRAVENOUS SOLUTION,4728.0,3073.2,999.37,4586.16,884 CDM,RX-24586,LACTULOSE 20 GRAM ORAL PACKET,38.8,25.22,19.28,38.8,884 CDM,RX-24678,COENZYME Q10 100 MG CAPSULE,2.6,1.69,1.29,2.6,884 CDM,RX-24695,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,316.8,205.92,0.88,307.3,884 CDM,RX-24702,MODAFINIL 100 MG TABLET,29.4,19.11,14.61,29.4,884 CDM,RX-24731,BELLADONNA ALKALOIDS-OPIUM 16.2 MG-60 MG RECTAL SUPPOSITORY,100.7,65.46,50.05,100.7,880 CDM,RX-2475,DILTIAZEM 30 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-2476,DILTIAZEM 60 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-2477,DILTIAZEM 90 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-2485,DIMENHYDRINATE 50 MG TABLET,2.1,1.37,1.04,2.1,884 CDM,RX-24914,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",8.0,5.2,3.98,7.76,880 CDM,RX-24915,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,11.6,7.54,5.77,11.6,884 CDM,RX-24916,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,10.3,6.7,5.12,10.3,884 CDM,RX-24932,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,72.1,46.87,35.83,69.94,880 CDM,RX-24933,METHOXSALEN 20 MCG/ML INJECTION SOLUTION,2932.2,1905.93,1457.3,2932.2,880 CDM,RX-250,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,6.3,4.09,3.13,6.3,884 CDM,RX-2508,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,37.3,24.25,18.54,36.18,880 CDM,RX-2509,DIPHENHYDRAMINE 25 MG CAPSULE,2.4,1.56,1.19,2.4,884 CDM,RX-2510,DIPHENHYDRAMINE 50 MG CAPSULE,2.1,1.37,1.04,2.1,884 CDM,RX-2511,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR,19.7,12.81,9.79,19.7,884 CDM,RX-25118,CIPROFLOXACIN 250 MG TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-25119,CIPROFLOXACIN 500 MG TABLET,6.0,3.9,2.98,6.0,884 CDM,RX-25120,CIPROFLOXACIN 750 MG TABLET,6.4,4.16,3.18,6.4,884 CDM,RX-2516,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,6.2,4.03,3.08,6.2,884 CDM,RX-25174,HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,283.3,184.15,140.8,283.3,880 CDM,RX-25238,"VERAPAMIL ER 120 MG 24 HR CAPSULE,EXTENDED RELEASE",11.2,7.28,5.57,11.2,884 CDM,RX-25246,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,23.7,15.41,11.78,23.7,884 CDM,RX-2528,DIPYRIDAMOLE 25 MG TABLET,6.6,4.29,3.28,6.6,884 CDM,RX-253,ALBUTEROL SULFATE 2 MG TABLET,7.0,4.55,3.48,7.0,884 CDM,RX-2535,DISOPYRAMIDE PHOSPHATE 100 MG CAPSULE,11.5,7.48,5.72,11.5,884 CDM,RX-25354,DOXERCALCIFEROL 2.5 MCG CAPSULE,53.8,34.97,26.74,53.8,884 CDM,RX-2536,DISOPYRAMIDE PHOSPHATE 150 MG CAPSULE,12.4,8.06,6.16,12.4,884 CDM,RX-2537,"DISOPYRAMIDE PHOSPHATE ER 100 MG CAPSULE,EXTENDED RELEASE",18.7,12.16,9.29,18.7,884 CDM,RX-25424,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,6.7,4.36,3.33,6.7,884 CDM,RX-25425,FEXOFENADINE 180 MG TABLET,6.3,4.09,3.13,6.3,884 CDM,RX-25471,KETOTIFEN 0.025 % (0.035 %) EYE DROPS,73.9,48.04,36.73,73.9,884 CDM,RX-2551,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",8.2,5.33,4.08,8.2,884 CDM,RX-25518,CHLORAMPHENICOL SODIUM SUCCINATE 1 GRAM/10 ML INTRAVENOUS SOLUTION (WETTED),186.3,121.1,50.26,186.3,884 CDM,RX-25519,RISPERIDONE 0.25 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-2552,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",5.5,3.58,2.73,5.5,884 CDM,RX-25520,RISPERIDONE 0.5 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-25528,PIOGLITAZONE 15 MG TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-25531,HETASTARCH IN LACT ELECTROLYTE 6 % INTRAVENOUS SOLUTION,1828.8,1188.72,908.91,1828.8,880 CDM,RX-2566,DOCUSATE SODIUM 100 MG CAPSULE,2.2,1.43,1.09,2.2,884 CDM,RX-25820,IVERMECTIN 3 MG TABLET,15.5,10.07,7.7,15.5,884 CDM,RX-25892,TEMOZOLOMIDE 5 MG CAPSULE,12.7,8.26,6.31,12.7,884 CDM,RX-25893,TEMOZOLOMIDE 20 MG CAPSULE,21.4,13.91,10.64,21.4,884 CDM,RX-25894,TEMOZOLOMIDE 100 MG CAPSULE,25.9,16.84,12.87,25.9,884 CDM,RX-25895,TEMOZOLOMIDE 250 MG CAPSULE,53.0,34.45,26.34,53.0,884 CDM,RX-25896,"RABEPRAZOLE 20 MG TABLET,DELAYED RELEASE",6.0,3.9,2.98,6.0,884 CDM,RX-2595,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,47.2,30.68,23.46,45.78,880 CDM,RX-25997,ZALEPLON 5 MG CAPSULE,6.6,4.29,3.28,6.6,884 CDM,RX-2608,DOXEPIN 10 MG CAPSULE,6.8,4.42,3.38,6.8,884 CDM,RX-2611,DOXEPIN 25 MG CAPSULE,7.3,4.75,3.63,7.3,884 CDM,RX-2614,DOXEPIN 10 MG/ML ORAL CONCENTRATE,6.9,4.49,3.43,6.9,884 CDM,RX-2619,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION (WETTED),1168.5,759.53,580.74,1145.13,880 CDM,RX-2622,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,89.5,58.18,44.48,87.71,880 CDM,RX-26224,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",5.8,3.77,2.88,5.8,884 CDM,RX-26225,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",5.8,3.77,2.88,5.8,884 CDM,RX-26226,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,39.8,25.87,19.78,38.61,880 CDM,RX-2623,DOXYCYCLINE HYCLATE 100 MG CAPSULE,9.3,6.05,4.62,9.3,884 CDM,RX-2624,DOXYCYCLINE HYCLATE 50 MG CAPSULE,9.6,6.24,4.77,9.6,884 CDM,RX-26336,SIROLIMUS 1 MG/ML ORAL SOLUTION,15.1,9.81,7.5,14.65,880 CDM,RX-26371,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",7.8,5.07,3.88,7.8,884 CDM,RX-26429,ROPINIROLE 4 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-26431,IMIGLUCERASE 400 UNIT INTRAVENOUS SOLUTION,6993.1,4545.52,43.19,6783.31,884 CDM,RX-2654,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,64.9,42.19,32.26,62.95,880 CDM,RX-26546,OSELTAMIVIR 75 MG CAPSULE,7.6,4.94,3.78,7.6,884 CDM,RX-26547,ENTACAPONE 200 MG TABLET,6.9,4.49,3.43,6.9,884 CDM,RX-26551,EXEMESTANE 25 MG TABLET,8.4,5.46,4.17,8.4,884 CDM,RX-26703,CARBIDOPA 25 MG TABLET,7.3,4.75,3.63,7.3,884 CDM,RX-26816,LEVETIRACETAM 250 MG TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-26817,LEVETIRACETAM 500 MG TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-26818,LEVETIRACETAM 750 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-26854,MOXIFLOXACIN 400 MG TABLET,12.9,8.39,6.41,12.9,884 CDM,RX-26965,DOFETILIDE 125 MCG CAPSULE,14.4,9.36,7.16,14.4,884 CDM,RX-26966,DOFETILIDE 250 MCG CAPSULE,17.6,11.44,8.75,17.6,884 CDM,RX-26967,DOFETILIDE 500 MCG CAPSULE,6.0,3.9,2.98,6.0,884 CDM,RX-27023,TERBINAFINE HCL 1 % TOPICAL CREAM,70.2,45.63,34.89,70.2,884 CDM,RX-27027,BEXAROTENE 75 MG CAPSULE,46.0,29.9,22.86,46.0,884 CDM,RX-27032,METHACHOLINE CHLORIDE 100 MG POWDER FOR INHALATION (NON-STERILE),284.1,184.67,141.2,278.42,880 CDM,RX-27038,"PREDNISOLONE ACETATE 0.12 % EYE DROPS,SUSPENSION",531.0,345.15,263.91,531.0,884 CDM,RX-27049,OXCARBAZEPINE 150 MG TABLET,6.7,4.36,3.33,6.7,884 CDM,RX-27050,NORETHINDRONE ACETATE 1 MG-ETHINYL ESTRADIOL 5 MCG TABLET,9.4,6.11,4.67,9.4,884 CDM,RX-27096,NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL,425.6,276.64,211.52,425.6,880 CDM,RX-27112,RISEDRONATE 5 MG TABLET,13.3,8.64,6.61,13.3,884 CDM,RX-27113,"CLONIDINE (PF) 5,000 MCG/10 ML EPIDURAL SOLUTION",44.7,29.06,22.22,43.36,880 CDM,RX-27181,"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",6.2,4.03,3.08,6.2,884 CDM,RX-27182,"NIACIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",6.5,4.22,3.23,6.5,884 CDM,RX-27253,CEVIMELINE 30 MG CAPSULE,8.2,5.33,4.08,8.2,884 CDM,RX-27392,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION,1173.5,762.78,583.23,1138.3,880 CDM,RX-27418,"THEOPHYLLINE ER 100 MG CAPSULE,EXTENDED RELEASE 24 HR",18.0,11.7,8.95,18.0,884 CDM,RX-27419,"THEOPHYLLINE ER 200 MG CAPSULE,EXTENDED RELEASE 24 HR",24.3,15.8,12.08,24.3,884 CDM,RX-27430,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,220.3,143.19,109.49,220.3,880 CDM,RX-27431,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",1641.2,1066.78,108.47,1608.38,884 CDM,RX-27456,TESTOSTERONE 75 MG IMPLANT PELLET,343.8,223.47,76.11,343.8,884 CDM,RX-27458,ESTRADIOL 0.0375 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,37.8,24.57,18.79,37.8,884 CDM,RX-27459,ESTRADIOL 0.05 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,36.8,23.92,18.29,36.8,884 CDM,RX-27460,ESTRADIOL 0.075 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,34.7,22.56,17.25,34.7,884 CDM,RX-27461,ESTRADIOL 0.1 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,33.8,21.97,16.8,33.8,884 CDM,RX-27462,ESTRADIOL 0.025 MG/24 HR WEEKLY TRANSDERMAL PATCH,56.4,36.66,28.03,56.4,884 CDM,RX-27463,ESTRADIOL 0.075 MG/24 HR WEEKLY TRANSDERMAL PATCH,57.6,37.44,28.63,57.6,884 CDM,RX-27466,DEXTROSE 40 % ORAL GEL,14.6,9.49,7.26,14.6,884 CDM,RX-27471,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH,6.8,4.42,3.38,6.8,884 CDM,RX-27472,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH,7.3,4.75,3.63,7.3,884 CDM,RX-27473,NITROGLYCERIN 0.3 MG/HR TRANSDERMAL 24 HOUR PATCH,169.7,110.31,84.34,169.7,884 CDM,RX-27474,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH,7.5,4.88,3.73,7.5,884 CDM,RX-27475,NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH,8.2,5.33,4.08,8.2,884 CDM,RX-27489,"FELODIPINE ER 2.5 MG TABLET,EXTENDED RELEASE 24 HR",6.3,4.09,3.13,6.3,884 CDM,RX-27490,"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",6.3,4.09,3.13,6.3,884 CDM,RX-27505,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,89.9,58.44,44.68,89.9,884 CDM,RX-27506,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,144.4,93.86,71.77,144.4,884 CDM,RX-27507,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,196.5,127.73,97.66,196.5,884 CDM,RX-27521,"LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR",4.3,2.8,2.14,4.3,884 CDM,RX-27522,"FEXOFENADINE 60 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXT.RELEASE,12 HR",8.2,5.33,4.08,8.2,884 CDM,RX-27629,RIZATRIPTAN 5 MG DISINTEGRATING TABLET,7.8,5.07,3.88,7.8,884 CDM,RX-27631,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",8.0,5.2,3.98,8.0,884 CDM,RX-27634,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",5.9,3.84,2.93,5.9,884 CDM,RX-27635,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",17.4,11.31,8.65,17.4,884 CDM,RX-27636,"CARBAMAZEPINE ER 400 MG TABLET,EXTENDED RELEASE,12 HR",25.3,16.45,12.57,25.3,884 CDM,RX-27644,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",7.7,5.01,3.83,7.7,884 CDM,RX-27659,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",12.6,8.19,6.26,12.6,884 CDM,RX-27660,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",7.9,5.14,3.93,7.9,884 CDM,RX-27663,FLUORESCEIN 1 MG EYE STRIPS,5.6,3.64,2.78,5.6,880 CDM,RX-27680,TROLAMINE SALICYLATE 10 % TOPICAL CREAM,60.5,39.33,30.07,60.5,884 CDM,RX-27691,"LANSOPRAZOLE 15 MG CAPSULE,DELAYED RELEASE",14.5,9.43,7.21,14.5,884 CDM,RX-27692,"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE",8.3,5.4,4.13,8.3,884 CDM,RX-27694,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",5.3,3.45,2.63,5.3,884 CDM,RX-27697,ONDANSETRON 4 MG DISINTEGRATING TABLET,6.5,4.22,3.23,6.5,884 CDM,RX-27735,DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION,37.6,24.44,18.69,36.47,880 CDM,RX-27780,ZONISAMIDE 100 MG CAPSULE,6.8,4.42,3.38,6.8,884 CDM,RX-27796,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,96.0,62.400000000000006,44.23,103.0,1760 CDM,RX-27800,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,187.75,122.03999999999999,44.23,286.5,1760 CDM,RX-27801,PERITON. DIALYSIS SOLN 13-2.5 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,189.0,122.85,93.93,189.0,880 CDM,RX-27804,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,96.0,62.400000000000006,44.23,103.0,1760 CDM,RX-27838,NACL 0.9% IV SOLP,81.5,52.974999999999994,39.91,88.08,5280 CDM,RX-27857,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",5.3,3.45,2.63,5.3,884 CDM,RX-27858,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",7.1,4.62,3.53,7.1,884 CDM,RX-27860,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,6.7,4.36,3.33,6.7,884 CDM,RX-27862,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,6.7,4.36,3.33,6.7,884 CDM,RX-27863,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,6.5,4.22,3.23,6.5,884 CDM,RX-2787,LANOLIN-MINERAL OIL LOTION,56.7,36.85,28.18,56.7,884 CDM,RX-27886,POVIDONE-IODINE 10 % TOPICAL SWAB,5.4,3.51,2.68,5.4,880 CDM,RX-27905,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,27.1,17.61,13.47,27.1,884 CDM,RX-27906,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,38.4,24.96,19.08,38.4,884 CDM,RX-27907,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,43.8,28.47,21.77,43.8,884 CDM,RX-27908,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,66.1,42.97,32.85,66.1,884 CDM,RX-27927,AMINO ACID 4.25 % NO.1 IN DEXTROSE 5 % INTRAVENOUS SOLUTION,737.5,479.38,366.54,737.5,880 CDM,RX-27931,AMINO ACID 5 % NO.6 IN DEXTROSE 15 % INTRAVENOUS SOLUTION,758.5,493.03,376.97,758.5,880 CDM,RX-27951,AMINO ACID 4.25 % NO.1-DEXTROSE 10 %-ELETROLYTES NO.39 IV SOLUTION,755.0,490.75,375.24,755.0,880 CDM,RX-27964,AMINO ACID 5 % NO.6-DEXTROSE 20 %-ELECTROLYTES NO.23 IV SOLUTION,727.0,472.55,361.32,727.0,880 CDM,RX-27980,ARTIFICIAL TEARS (HYPROMELLOSE) 0.5 % EYE DROPS,113.1,73.52,56.21,113.1,884 CDM,RX-27992,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE LIQUID GEL DROPS,78.2,50.83,38.87,78.2,884 CDM,RX-28028,GELATIN ABSORBABLE EYE FILM,749.3,487.05,372.4,749.3,880 CDM,RX-28055,CALAMINE 8 %-ZINC OXIDE 8 % LOTION,55.0,35.75,27.34,55.0,884 CDM,RX-28113,ELECTROLYTE INTRAVENOUS SOLUTION,85.5,55.58,42.49,82.94,880 CDM,RX-28116,ELECTROLYTE-R (PH 7.4) INTRAVENOUS SOLUTION,83.8,54.47,41.65,83.8,880 CDM,RX-28159,OLANZAPINE 5 MG DISINTEGRATING TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-28169,ESTRADIOL-NORETHINDRONE ACET 1 MG-0.5 MG TABLET,53.0,34.45,26.34,53.0,884 CDM,RX-28188,CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID,60.2,39.13,29.92,60.2,884 CDM,RX-28203,LIDOCAINE 5 % TOPICAL PATCH,9.9,6.44,4.92,9.9,884 CDM,RX-28224,LINEZOLID 600 MG TABLET,15.7,10.21,7.8,15.7,884 CDM,RX-28225,LINEZOLID 100 MG/5 ML ORAL SUSPENSION,1320.9,858.59,656.49,1320.9,884 CDM,RX-28226,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,101.3,65.85,50.35,98.26,880 CDM,RX-28228,CITALOPRAM 10 MG/5 ML ORAL SOLUTION,8.3,5.4,4.13,8.3,884 CDM,RX-28229,VERTEPORFIN 15 MG INTRAVENOUS SOLUTION,6836.5,4443.73,11.54,6631.41,884 CDM,RX-28235,PENTAMIDINE 300 MG SOLUTION FOR INHALATION,206.5,134.23,102.63,200.31,880 CDM,RX-28245,ZANAMIVIR 5 MG/ACTUATION BLISTER POWDER FOR INHALATION,236.0,153.4,117.29,236.0,884 CDM,RX-28246,SALMETEROL 50 MCG/DOSE BLISTER POWDER FOR INHALATION,1262.4,820.56,627.41,1262.4,884 CDM,RX-28277,DOXERCALCIFEROL 4 MCG/2 ML INTRAVENOUS SOLUTION,43.5,28.28,24.14,42.2,880 CDM,RX-28278,RIVASTIGMINE 1.5 MG CAPSULE,14.2,9.23,7.06,14.2,884 CDM,RX-28351,AZELASTINE 0.05 % EYE DROPS,67.4,43.81,33.5,67.4,884 CDM,RX-28372,COLESEVELAM 625 MG TABLET,6.1,3.97,3.03,6.1,884 CDM,RX-28384,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,12.3,8.0,6.11,12.3,884 CDM,RX-28408,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,46.8,30.42,23.26,46.8,884 CDM,RX-28409,ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,48.1,31.27,23.91,48.1,884 CDM,RX-2850,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,68.4,44.46,33.99,66.35,880 CDM,RX-28534,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION,189.1,122.92,93.98,189.1,884 CDM,RX-28572,CALCIUM 315 MG (AS CITRATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.5,0.33,0.25,0.5,884 CDM,RX-2863,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",5.5,3.58,2.73,5.5,884 CDM,RX-2864,ERGOLOID 1 MG TABLET,25.1,16.32,12.47,25.1,884 CDM,RX-28643,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",8.4,5.46,4.17,8.4,884 CDM,RX-28645,ATORVASTATIN 80 MG TABLET,6.7,4.36,3.33,6.7,884 CDM,RX-28775,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,16.6,10.79,8.25,16.6,884 CDM,RX-28810,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP",206.1,133.97,102.43,206.1,884 CDM,RX-28824,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,75.9,49.34,37.72,75.9,884 CDM,RX-28842,CYCLOSPORINE MODIFIED 25 MG CAPSULE,6.6,4.29,3.28,6.6,884 CDM,RX-28843,CYCLOSPORINE MODIFIED 100 MG CAPSULE,9.3,6.05,4.62,9.3,884 CDM,RX-28844,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION,515.6,335.14,256.25,515.6,884 CDM,RX-2888,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,44.4,28.86,22.07,44.4,884 CDM,RX-28899,OXYCODONE 15 MG TABLET,12.1,7.87,6.01,12.1,884 CDM,RX-28911,CARMUSTINE 100 MG/30 ML INTRAVENOUS SOLUTION (WETTED),1696.3,1102.6,238.46,1645.41,884 CDM,RX-28912,DACTINOMYCIN 0.5 MG/ML INTRAVENOUS SOLUTION (WETTED),1805.5,1173.58,328.34,1751.34,884 CDM,RX-28913,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE,300.7,195.46,149.45,300.7,880 CDM,RX-28923,CHONDROITIN-SOD HYALURON 4%-3% (40 MG-30 MG/ML) INTRAOCULAR SYRINGE,244.7,159.06,121.62,244.7,880 CDM,RX-28929,LOPINAVIR-RITONAVIR 400 MG-100 MG/5 ML ORAL SOLUTION,60.7,39.45,30.17,60.7,884 CDM,RX-28947,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,575.6,374.14,0.8,558.33,884 CDM,RX-28958,SIROLIMUS 1 MG TABLET,33.4,21.71,16.6,32.4,880 CDM,RX-28964,LEVOFLOXACIN 750 MG TABLET,6.5,4.22,3.23,6.5,884 CDM,RX-2899,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,639.0,415.35,317.58,639.0,884 CDM,RX-28995,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",5.2,3.38,2.58,5.2,884 CDM,RX-2901,ERYTHROMYCIN ETHYLSUCCINATE 400 MG TABLET,46.7,30.36,23.21,46.7,884 CDM,RX-2903,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,284.0,184.6,141.15,275.48,880 CDM,RX-29048,ALENDRONATE 70 MG TABLET,6.1,3.97,3.03,6.1,884 CDM,RX-29071,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,439.0,285.35,218.18,425.83,880 CDM,RX-29072,ALENDRONATE 35 MG TABLET,6.1,3.97,3.03,6.1,884 CDM,RX-29176,TELMISARTAN 20 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-29270,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",6.3,4.09,3.13,6.3,884 CDM,RX-29272,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",6.3,4.09,3.13,6.3,884 CDM,RX-29274,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",6.4,4.16,3.18,6.4,884 CDM,RX-29276,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",9.9,6.44,4.92,9.9,884 CDM,RX-29280,LEVONORGESTREL 21 MCG/24 HR (UP TO 8 YEARS) 52 MG INTRAUTERINE DEVICE,1676.2,1089.53,833.07,1625.91,880 CDM,RX-29299,BALSALAZIDE 750 MG CAPSULE,7.4,4.81,3.68,7.4,884 CDM,RX-29302,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,122.5,79.63,60.88,122.5,884 CDM,RX-29313,CROTALIDAE POLYVAL IMMUNE FAB 1 GRAM SOLUTION FOR INJECTION,5198.1,3378.77,1828.72,5198.1,884 CDM,RX-29335,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,43.8,28.47,21.77,43.8,880 CDM,RX-2938,CONJUGATED ESTROGENS 1.25 MG TABLET,28.6,18.59,14.21,28.6,884 CDM,RX-29396,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,186.2,121.03,92.54,180.61,880 CDM,RX-29424,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,76.1,49.47,37.82,76.1,884 CDM,RX-29434,"TOLTERODINE ER 2 MG CAPSULE,EXTENDED RELEASE 24 HR",6.1,3.97,3.03,6.1,884 CDM,RX-29437,NATEGLINIDE 60 MG TABLET,12.8,8.32,6.36,12.8,884 CDM,RX-29443,TACROLIMUS 0.1 % TOPICAL OINTMENT,140.9,91.59,70.03,140.9,884 CDM,RX-29531,MIRTAZAPINE 15 MG DISINTEGRATING TABLET,6.3,4.09,3.13,6.3,884 CDM,RX-29567,CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION,258.5,168.03,128.47,250.75,880 CDM,RX-29568,CASPOFUNGIN 70 MG INTRAVENOUS SOLUTION,294.4,191.36,146.32,285.57,880 CDM,RX-29676,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL,5.6,3.64,2.78,5.6,880 CDM,RX-29745,"ESOMEPRAZOLE MAGNESIUM 20 MG CAPSULE,DELAYED RELEASE",34.8,22.62,17.3,34.8,884 CDM,RX-29746,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",34.8,22.62,17.3,34.8,884 CDM,RX-29778,ZIPRASIDONE 20 MG CAPSULE,12.5,8.13,6.21,12.5,884 CDM,RX-29780,ZIPRASIDONE 60 MG CAPSULE,12.2,7.93,6.06,12.2,884 CDM,RX-29805,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",411.7,267.61,204.61,399.35,880 CDM,RX-29806,GALANTAMINE 4 MG TABLET,19.4,12.61,9.64,19.4,884 CDM,RX-29834,HYPROMELLOSE 2 % INTRAOCULAR SYRINGE,143.8,93.47,71.47,143.8,880 CDM,RX-29858,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",7.1,4.62,3.53,7.1,884 CDM,RX-29967,BUSPIRONE 7.5 MG TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-30070,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",6.9,4.49,3.43,6.9,884 CDM,RX-30148,VALGANCICLOVIR 450 MG TABLET,67.6,43.94,33.6,67.6,884 CDM,RX-30210,METHOTREXATE SODIUM 5 MG TABLET,52.0,33.8,25.84,50.44,880 CDM,RX-30264,CITALOPRAM 10 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-30275,CARDIOPLEGIC SOLUTION 16 MEQ/L (POTASSIUM) FOR PERFUSION,289.8,188.37,144.03,289.8,880 CDM,RX-30479,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,519.8,337.87,258.34,519.8,884 CDM,RX-30538,GUAR GUM ORAL PACKET,4.2,2.73,2.09,4.2,884 CDM,RX-3071,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,8.3,5.4,4.13,8.3,884 CDM,RX-30807,"FENTANYL (PF) 10 MCG/ML IN NACL 0.9%, 250 ML",191.0,124.15,94.93,191.0,880 CDM,RX-30851,MORPHINE 1 MG/ML IN 0.9 % NACL FOR INFUSION TITRATION,197.5,128.38,98.16,197.5,880 CDM,RX-30961,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,8.7,5.66,4.32,8.7,880 CDM,RX-310,ALLOPURINOL 100 MG TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-31025,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",373.9,243.04,185.83,366.42,880 CDM,RX-311,ALLOPURINOL 300 MG TABLET,6.4,4.16,3.18,6.4,884 CDM,RX-31158,BRIMONIDINE 0.15 % EYE DROPS,322.7,209.76,160.38,322.7,884 CDM,RX-31209,VALSARTAN 80 MG TABLET,8.8,5.72,4.37,8.8,884 CDM,RX-3123070,BORTEZOMIB 3.5 MG SOLUTION FOR INJECTION (SUBQ EQUIVALENCY),238.3,154.9,118.44,233.53,880 CDM,RX-31310,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION,800.8,520.52,94.45,776.78,884 CDM,RX-31432,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION,17712.2,11512.93,5168.23,17712.2,884 CDM,RX-31576,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",7.4,4.81,3.68,7.4,884 CDM,RX-31684,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,17.3,11.25,8.6,17.3,884 CDM,RX-31708,TRIPTORELIN PAMOATE 11.25 MG IM SUSPENSION,9416.8,6120.92,474.84,9228.46,884 CDM,RX-3177,FLOXURIDINE 0.5 GRAM/5 ML SOLUTION FOR INJECTION (WETTED),16113.8,10473.97,4128.02,16113.8,884 CDM,RX-3183,FLUOCINOLONE 0.01 % TOPICAL CREAM,173.2,112.58,86.08,173.2,884 CDM,RX-3186,FLUOCINOLONE 0.01 % TOPICAL SOLUTION,121.1,78.72,60.19,121.1,884 CDM,RX-3187,FLUOCINONIDE 0.05 % TOPICAL CREAM,119.3,77.55,59.29,119.3,884 CDM,RX-31875,BOSENTAN 62.5 MG TABLET,66.8,43.42,33.2,66.8,884 CDM,RX-31876,BOSENTAN 125 MG TABLET,773.8,502.97,384.58,773.8,884 CDM,RX-3188,FLUOCINONIDE 0.05 % TOPICAL GEL,331.1,215.22,164.56,331.1,884 CDM,RX-3189,FLUOCINONIDE 0.05 % TOPICAL OINTMENT,104.6,67.99,51.99,104.6,884 CDM,RX-3190,FLUOCINONIDE 0.05 % TOPICAL SOLUTION,109.0,70.85,54.17,109.0,884 CDM,RX-31906,MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,282.5,183.63,140.4,274.03,880 CDM,RX-31921,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,95.5,62.08,47.46,92.64,880 CDM,RX-31922,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,87.7,57.01,43.59,85.07,880 CDM,RX-320403204,BORTEZOMIB 1.5 MG SOLUTION FOR SUBQ INJECTION (CNR),241.7,157.1,120.12,236.87,880 CDM,RX-3208,"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION",297.6,193.44,147.91,297.6,884 CDM,RX-3218,FLUPHENAZINE 1 MG TABLET,12.7,8.26,6.31,12.7,884 CDM,RX-32215,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,61.3,39.85,30.47,60.07,880 CDM,RX-32267,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,17371.8,11291.67,89.34,16850.65,884 CDM,RX-3232,FOLIC ACID 5 MG/ML INJECTION SOLUTION,154.3,100.3,76.69,149.67,880 CDM,RX-3233,FOLIC ACID 1 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-3234,FOLIC ACID 400 MCG TABLET,2.7,1.75,1.34,2.7,884 CDM,RX-324,ALPRAZOLAM 0.25 MG TABLET,10.2,6.63,5.07,10.2,884 CDM,RX-32589,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION,73.5,47.78,36.53,71.3,880 CDM,RX-326,ALPRAZOLAM 1 MG TABLET,10.2,6.63,5.07,10.2,884 CDM,RX-32631,"PAROXETINE ER 12.5 MG TABLET,EXTENDED RELEASE 24 HR",8.7,5.66,4.32,8.7,884 CDM,RX-32700,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION,2404.0,1562.6,6.5,2331.88,884 CDM,RX-32761,OLMESARTAN 5 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-32762,OLMESARTAN 20 MG TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-32855,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION,147.6,95.94,73.36,143.17,880 CDM,RX-32893,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE,550.6,357.89,176.45,534.08,884 CDM,RX-32895,RISEDRONATE 35 MG TABLET,10.2,6.63,5.07,10.2,884 CDM,RX-3291,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,49.6,32.24,23.61,54.71,2640 CDM,RX-3292,FUROSEMIDE 10 MG/ML ORAL SOLUTION,27.1,17.61,13.47,27.1,884 CDM,RX-3293,FUROSEMIDE 40 MG/5 ML (8 MG/ML) ORAL SOLUTION,12.7,8.26,6.31,12.7,884 CDM,RX-32931,TREPROSTINIL STRAIGHT DRUG INFUSION 1 MG/ML,1638.0,1064.7,54.71,1588.86,884 CDM,RX-32932,TREPROSTINIL STRAIGHT DRUG INFUSION 2.5 MG/ML,2971.5,1931.48,54.71,2882.36,884 CDM,RX-32933,TREPROSTINIL STRAIGHT DRUG INFUSION 5 MG/ML,5493.0,3570.45,54.71,5328.21,884 CDM,RX-32934,TREPROSTINIL STRAIGHT DRUG INFUSION 10 MG/ML,10536.1,6848.47,54.71,10220.02,884 CDM,RX-3294,FUROSEMIDE 20 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-3295,FUROSEMIDE 40 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-3296,FUROSEMIDE 80 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-32979,IMATINIB 100 MG TABLET,15.2,9.88,7.55,15.2,884 CDM,RX-33005,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",12.0,7.8,5.96,12.0,884 CDM,RX-33008,VORICONAZOLE 50 MG TABLET,28.1,18.27,13.97,28.1,884 CDM,RX-33009,VORICONAZOLE 200 MG TABLET,9.4,6.11,4.67,9.4,884 CDM,RX-33010,VORICONAZOLE 200 MG/20 ML INTRAVENOUS SOLUTION (WETTED),70.9,46.09,35.24,68.77,880 CDM,RX-33175,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,91.1,59.22,45.28,89.28,880 CDM,RX-33227,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,6.2,4.03,3.08,6.2,884 CDM,RX-33228,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,6.2,4.03,3.08,6.2,884 CDM,RX-33230,AMOXICILLIN (7:1) 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,32.7,21.26,16.25,32.7,884 CDM,RX-33512,ESCITALOPRAM 10 MG TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-33541,VALSARTAN 40 MG TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-33591,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,4386.2,2851.03,377.52,4254.61,884 CDM,RX-33669,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE,1501.7,976.11,176.45,1456.65,884 CDM,RX-3378,GEMFIBROZIL 600 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-33816,ADEFOVIR 10 MG TABLET,100.1,65.07,49.75,100.1,884 CDM,RX-33963,METAXALONE 800 MG TABLET,6.9,4.49,3.43,6.9,884 CDM,RX-34034,PEGINTERFERON ALFA-2A 180 MCG/ML SUBCUTANEOUS SOLUTION,4600.4,2990.26,2286.4,4462.39,880 CDM,RX-34089,DUTASTERIDE 0.5 MG CAPSULE,5.7,3.71,2.83,5.7,884 CDM,RX-34090,"ALBUTEROL SULFATE ER 4 MG TABLET,EXTENDED RELEASE,12 HR",9.7,6.31,4.82,9.7,884 CDM,RX-3423,GENTAMICIN 0.1 % TOPICAL CREAM,98.4,63.96,48.9,98.4,884 CDM,RX-3424,GENTAMICIN 0.1 % TOPICAL OINTMENT,103.8,67.47,51.59,103.8,884 CDM,RX-3426,GENTAMICIN 40 MG/ML INJECTION SOLUTION,41.3,26.85,20.53,40.06,880 CDM,RX-3428,GENTAMICIN 0.3 % EYE DROPS,63.9,41.54,31.76,63.9,884 CDM,RX-3430,GENTIAN VIOLET 1 % TOPICAL SOLUTION,74.6,48.49,37.08,74.6,880 CDM,RX-34369,ARIPIPRAZOLE 10 MG TABLET,6.9,4.49,3.43,6.9,884 CDM,RX-34418,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",7.9,5.14,3.93,7.9,884 CDM,RX-34444,ATOMOXETINE 10 MG CAPSULE,9.2,5.98,4.57,9.2,884 CDM,RX-34447,ATOMOXETINE 40 MG CAPSULE,7.6,4.94,3.78,7.6,884 CDM,RX-34448,ATOMOXETINE 60 MG CAPSULE,7.1,4.62,3.53,7.1,884 CDM,RX-34505,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,10.8,7.02,5.37,10.8,884 CDM,RX-34544,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,11.8,7.67,5.86,11.8,884 CDM,RX-34594,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET",51.7,33.6,25.69,51.7,884 CDM,RX-34595,"LANSOPRAZOLE 30 MG DELAYED RELEASE,DISINTEGRATING TABLET",25.3,16.45,12.57,25.3,884 CDM,RX-346,ALUMINUM POTASSIUM SULFATE (ALUM) POWDER (STERILE),251.1,163.22,124.8,251.1,880 CDM,RX-34684,ELETRIPTAN 40 MG TABLET,18.8,12.22,9.34,18.8,884 CDM,RX-34711,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,16.6,10.79,8.25,16.1,880 CDM,RX-34713,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,17.6,11.44,8.75,17.6,884 CDM,RX-34714,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,13.2,8.58,6.56,13.2,884 CDM,RX-3489,GLYBURIDE 5 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-34897,ESCITALOPRAM 5 MG/5 ML ORAL SOLUTION,7.9,5.14,3.93,7.9,884 CDM,RX-3493,GLYCINE 1.5 % UROLOGIC SOLUTION FOR IRRIGATION,81.5,52.98,40.51,81.5,880 CDM,RX-35126,"NEOMYCIN 3.5 MG-POLYMYXIN 10,000 UNIT-HYDROCORT 10 MG/ML EYE DROP,SUSP",468.3,304.39,232.75,468.3,884 CDM,RX-35134,ROSUVASTATIN 10 MG TABLET,6.8,4.42,3.38,6.8,884 CDM,RX-35135,ROSUVASTATIN 20 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-35168,URSODIOL (BULK) 100 % POWDER,1029.3,669.05,511.56,1029.3,884 CDM,RX-35184,CYCLOBENZAPRINE 5 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-35209,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,12.8,8.32,6.36,12.8,884 CDM,RX-35236,LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE,1860.0,1209.0,176.45,1804.2,884 CDM,RX-353,ALUMINUM HYDROXIDE GEL 320 MG/5 ML ORAL SUSPENSION,20.3,13.2,10.09,20.3,884 CDM,RX-3542,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,0.5,0.33,0.25,0.5,884 CDM,RX-35488,APREPITANT 80 MG CAPSULE,332.2,215.93,165.1,322.23,880 CDM,RX-35489,APREPITANT 125 MG CAPSULE,576.4,374.66,286.47,559.11,880 CDM,RX-35639,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",671.1,436.22,333.54,650.97,880 CDM,RX-35640,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,61.3,39.85,30.47,59.46,880 CDM,RX-35699,MOXIFLOXACIN 0.5 % EYE DROPS,81.4,52.91,40.46,81.4,880 CDM,RX-35771,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",5.3,3.45,2.63,5.3,884 CDM,RX-35775,AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION,30658.6,19928.09,230.15,30045.43,884 CDM,RX-3578,HALOPERIDOL 0.5 MG TABLET,6.1,3.97,3.03,6.1,884 CDM,RX-3579,HALOPERIDOL 1 MG TABLET,6.2,4.03,3.08,6.2,884 CDM,RX-3583,HALOPERIDOL 5 MG TABLET,7.8,5.07,3.88,7.8,884 CDM,RX-3584,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,38.3,24.9,19.04,37.15,881 CDM,RX-3585,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,5.4,3.51,2.68,5.4,884 CDM,RX-35942,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",6.1,3.97,3.03,6.1,884 CDM,RX-35943,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",6.3,4.09,3.13,6.3,884 CDM,RX-36046,NACL 0.45% KCL 20 MEQ/L IV SOLP,85.5,55.58,42.49,82.94,880 CDM,RX-36092,IMATINIB 400 MG TABLET,412.8,268.32,205.16,412.8,884 CDM,RX-36135,CARBIDOPA 12.5 MG-LEVODOPA 50 MG-ENTACAPONE 200 MG TABLET,7.3,4.75,3.63,7.3,884 CDM,RX-36136,CARBIDOPA 25 MG-LEVODOPA 100 MG-ENTACAPONE 200 MG TABLET,7.1,4.62,3.53,7.1,884 CDM,RX-36137,CARBIDOPA 37.5 MG-LEVODOPA 150 MG-ENTACAPONE 200 MG TABLET,7.6,4.94,3.78,7.6,884 CDM,RX-36149,ATAZANAVIR 150 MG CAPSULE,14.7,9.56,7.31,14.7,884 CDM,RX-36150,ATAZANAVIR 200 MG CAPSULE,14.7,9.56,7.31,14.7,884 CDM,RX-36151,OMALIZUMAB 150 MG SUBCUTANEOUS SOLUTION,6219.6,4042.74,44.6,6095.21,884 CDM,RX-36198,CONJUGATED ESTROGENS 0.45 MG TABLET,28.6,18.59,14.21,28.6,884 CDM,RX-36252,EMTRICITABINE 200 MG CAPSULE,58.5,38.03,29.07,58.5,884 CDM,RX-36267,ESTRADIOL 0.0375 MG/24 HR WEEKLY TRANSDERMAL PATCH,57.5,37.38,28.58,57.5,884 CDM,RX-36268,ESTRADIOL 0.06 MG/24 HR WEEKLY TRANSDERMAL PATCH,52.4,34.06,26.04,52.4,884 CDM,RX-364,AMANTADINE HCL 100 MG CAPSULE,9.6,6.24,4.77,9.6,884 CDM,RX-36438,ARIPIPRAZOLE 5 MG TABLET,6.6,4.29,3.28,6.6,884 CDM,RX-365,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,15.9,10.34,7.9,15.9,884 CDM,RX-36576,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",284.4,184.86,141.35,284.4,880 CDM,RX-36591,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,43.0,27.95,21.37,41.71,880 CDM,RX-36612,ROSUVASTATIN 5 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-36775,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",10.0,6.5,4.97,10.0,884 CDM,RX-36776,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",10.2,6.63,5.07,10.2,884 CDM,RX-36959,AMIODARONE 100 MG TABLET,7.0,4.55,3.48,7.0,884 CDM,RX-36962,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID,5.8,3.77,2.88,5.8,884 CDM,RX-3697,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,49.5,32.17,24.6,48.02,880 CDM,RX-36976,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,10.1,6.57,5.02,10.1,884 CDM,RX-3698,HYDRALAZINE 10 MG TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-36982,"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR",5.4,3.51,2.68,5.4,884 CDM,RX-36983,EPLERENONE 25 MG TABLET,7.4,4.81,3.68,7.4,884 CDM,RX-36986,TADALAFIL 20 MG TABLET,6.2,4.03,3.08,6.2,884 CDM,RX-36987,ZONISAMIDE 25 MG CAPSULE,5.3,3.45,2.63,5.3,884 CDM,RX-36989,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,96.2,62.53,47.81,93.31,880 CDM,RX-3700,HYDRALAZINE 25 MG TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-3701,HYDRALAZINE 50 MG TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-37170,MEMANTINE 5 MG TABLET,6.0,3.9,2.98,6.0,884 CDM,RX-37182,FOSAMPRENAVIR 700 MG TABLET,55.0,35.75,27.34,55.0,884 CDM,RX-3720,HYDROCHLOROTHIAZIDE 25 MG TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-3721,HYDROCHLOROTHIAZIDE 50 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-3725,HYDROCORTISONE 0.5 % TOPICAL CREAM,63.1,41.02,31.36,63.1,884 CDM,RX-3727,HYDROCORTISONE 2.5 % TOPICAL CREAM,58.6,38.09,29.12,58.6,884 CDM,RX-3728,HYDROCORTISONE 1 % LOTION,68.2,44.33,33.9,68.2,884 CDM,RX-3729,HYDROCORTISONE 2.5 % LOTION,75.7,49.21,37.62,75.7,884 CDM,RX-3731,HYDROCORTISONE 1 % TOPICAL OINTMENT,57.3,37.24,28.48,57.3,884 CDM,RX-3732,HYDROCORTISONE 2.5 % TOPICAL OINTMENT,62.6,40.69,31.11,62.6,884 CDM,RX-3733,HYDROCORTISONE 10 MG TABLET,10.2,6.63,5.07,10.2,884 CDM,RX-3734,HYDROCORTISONE 20 MG TABLET,6.6,4.29,3.28,6.6,884 CDM,RX-37343,SACCHAROMYCES BOULARDII 250 MG CAPSULE,4.3,2.8,2.14,4.3,884 CDM,RX-3738,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,44.7,29.06,22.22,44.7,884 CDM,RX-37400,TADALAFIL 5 MG TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-37459,CONJ ESTROGEN-MEDROXYPROGESTERONE 0.3 MG-1.5 MG TABLET,34.5,22.43,17.15,34.5,884 CDM,RX-3752,HYDROGEN PEROXIDE 3 % SOLUTION,3.95,2.57,1.24,5.4,1768 CDM,RX-3760,HYDROMORPHONE 2 MG TABLET,10.7,6.96,5.32,10.7,884 CDM,RX-37635,ESCITALOPRAM 5 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-37637,METOPROLOL TARTRATE 25 MG TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-37643,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR",6.7,4.36,3.33,6.7,884 CDM,RX-37644,"PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR",14.1,9.16,7.01,14.1,884 CDM,RX-37645,"PROPAFENONE ER 425 MG CAPSULE,EXTENDED RELEASE 12 HR",14.1,9.16,7.01,14.1,884 CDM,RX-37648,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",5.3,3.45,2.63,5.3,884 CDM,RX-37649,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",5.4,3.51,2.68,5.4,884 CDM,RX-37651,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",0.5,0.33,0.25,0.5,884 CDM,RX-3770,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,138.8,90.22,68.98,134.64,880 CDM,RX-3772,HYDROXYZINE HCL 10 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-3774,HYDROXYZINE HCL 25 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-3775,HYDROXYZINE HCL 50 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-37848,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,44.6,28.99,22.17,44.6,884 CDM,RX-37894,PEMETREXED DISODIUM 500 MG/20 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),375.9,244.34,4.36,368.38,884 CDM,RX-37989,CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION,3554.3,2310.3,78.37,3483.21,884 CDM,RX-38062,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",15.6,10.14,7.75,15.13,880 CDM,RX-38063,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",35.1,22.82,17.44,35.1,884 CDM,RX-38092,HYPROMELLOSE 2.5 % EYE DROPS,118.7,77.16,58.99,118.7,880 CDM,RX-38100,CINACALCET 30 MG TABLET,6.5,4.22,3.61,6.31,880 CDM,RX-38103,VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,1347.5,875.88,669.71,1347.5,884 CDM,RX-38213,"ORPHENADRINE CITRATE ER 100 MG TABLET,EXTENDED RELEASE",6.0,3.9,2.98,6.0,884 CDM,RX-38224,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",11.8,7.67,5.86,11.8,884 CDM,RX-38225,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",5.8,3.77,2.88,5.8,884 CDM,RX-38226,"PROPRANOLOL ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE",5.9,3.84,2.93,5.9,884 CDM,RX-38245,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,7.3,4.75,3.63,7.3,884 CDM,RX-38263,OLANZAPINE 10 MG INJECTION SOLUTION,95.8,62.27,47.61,92.93,880 CDM,RX-38270,CYCLOPHOSPHAMIDE 1 GRAM/50 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),733.2,476.58,0.48,711.2,884 CDM,RX-38271,CYCLOPHOSPHAMIDE 500 MG/25 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),349.5,227.18,0.48,339.02,884 CDM,RX-38280,CYCLOPHOSPHAMIDE 2 GRAM/100 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),1621.7,1054.11,0.48,1573.05,884 CDM,RX-38285,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,0.5,0.33,0.25,0.5,884 CDM,RX-38303,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,122.2,79.43,60.73,118.53,880 CDM,RX-38315,TIOTROPIUM BROMIDE 18 MCG CAPSULE WITH INHALATION DEVICE,215.2,139.88,106.95,215.2,884 CDM,RX-38318,NELFINAVIR 625 MG TABLET,39.6,25.74,19.68,39.6,884 CDM,RX-38321,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE,3.2,2.08,1.59,3.2,884 CDM,RX-3841,IBUPROFEN 200 MG TABLET,0.5,0.33,0.25,0.5,884 CDM,RX-38421,MIRTAZAPINE 7.5 MG TABLET,6.9,4.49,3.43,6.9,884 CDM,RX-3843,IBUPROFEN 400 MG TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-3844,IBUPROFEN 600 MG TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-38488,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,12.6,8.19,6.26,12.6,884 CDM,RX-38494,AGALSIDASE BETA 5 MG INTRAVENOUS SOLUTION,4743.4,3083.21,230.15,4648.53,884 CDM,RX-3860,IMIPRAMINE 10 MG TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-3861,IMIPRAMINE 25 MG TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-38701,"NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT",122.4,79.56,60.83,122.4,880 CDM,RX-3879,INDAPAMIDE 2.5 MG TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-38830,DOXERCALCIFEROL 0.5 MCG CAPSULE,28.6,18.59,14.21,28.6,884 CDM,RX-38907,TINIDAZOLE 500 MG TABLET,16.5,10.73,8.2,16.5,884 CDM,RX-3897,INDOMETHACIN 25 MG CAPSULE,6.0,3.9,2.98,6.0,884 CDM,RX-38977,TROSPIUM 20 MG TABLET,6.0,3.9,2.98,6.0,884 CDM,RX-3901,INDOMETHACIN 50 MG RECTAL SUPPOSITORY,561.9,365.24,279.26,561.9,880 CDM,RX-391,AMILORIDE 5 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-39136,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",67.5,43.88,33.55,67.5,884 CDM,RX-39254,NITAZOXANIDE 500 MG TABLET,284.3,184.8,141.3,284.3,884 CDM,RX-39255,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,7.2,4.68,3.58,7.2,884 CDM,RX-39265,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,267.0,173.55,132.7,261.66,880 CDM,RX-39275,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",5.3,3.45,2.63,5.3,884 CDM,RX-39276,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",5.6,3.64,2.78,5.6,884 CDM,RX-39522,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,55.9,36.34,27.78,55.9,884 CDM,RX-39575,"MESALAMINE ER 500 MG CAPSULE,EXTENDED RELEASE",24.7,16.06,12.28,24.7,884 CDM,RX-39720,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",7.0,4.55,3.48,7.0,884 CDM,RX-39744,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,46.7,30.36,23.21,46.7,880 CDM,RX-39801,BIOTIN 1 MG TABLET,2.2,1.43,1.09,2.2,884 CDM,RX-39918,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,70.0,45.505,23.41,90.11,1760 CDM,RX-40009,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,8.1,5.27,4.03,8.1,884 CDM,RX-40010,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-400291,NACL 0.9% IV BOLUS,75.6,49.14,37.37,75.37,5280 CDM,RX-400292,NACL 0.45% IV BOLUS,86.85,56.455,40.75,91.7,2640 CDM,RX-400293,D5W IV BOLUS,80.3,52.2,38.17,102.2,5280 CDM,RX-400294,D5-NACL 0.9% IV BOLUS,82.0,53.3,40.75,79.54,1760 CDM,RX-400295,D5-NACL 0.45% IV BOLUS,80.3,52.2,39.91,80.3,880 CDM,RX-400296,LACTATED RINGERS IV BOLUS,82.0,53.3,40.75,79.54,880 CDM,RX-400297,D5LR IV BOLUS,82.0,53.3,40.75,79.54,880 CDM,RX-400302,DEXTROSE 10 % IV BOLUS,78.5,51.03,37.72,82.9,2640 CDM,RX-400403,HEPATITIS B IMMUNE GLOBULIN > 312 UNITS/ML IVPB BAG OF STRAIGHT DRUG (WRAPPER),10987.7,7142.01,66.64,10987.7,884 CDM,RX-400503,METOPROLOL TARTRATE 12.5 MG PO PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-400641,ASPIRIN 1 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,282.0,183.3,140.15,282.0,884 CDM,RX-400801,HUM PROTHROMBIN CPLX (PCC) 4FACTOR (KCENTRA) (BRAND SPLIT) IV INFUSION,42.7,27.76,2.14,41.85,884 CDM,RX-400922,INSULIN LISPRO SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),117.7,76.5,58.5,114.17,880 CDM,RX-400924,INSULIN ASPART SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),103.7,67.41,51.54,100.59,880 CDM,RX-400926,INSULIN GLULISINE SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),253.25,164.615,81.16,332.9,1760 CDM,RX-400928,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML SUBCUTANEOUS INJECTION CARB CALCULATOR SCHEDULED,171.7,111.61,85.33,166.55,880 CDM,RX-400929,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML SUBCUTANEOUS INJECTION CARB CALCULATOR PRN SNACKS,171.7,111.61,85.33,166.55,880 CDM,RX-40120,NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION,33722.1,21919.37,24.0,32710.44,884 CDM,RX-4027,ISONIAZID 300 MG TABLET,15.6,10.14,7.75,15.6,884 CDM,RX-403,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,69.2,44.98,34.39,69.2,880 CDM,RX-40320,ESZOPICLONE 1 MG TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-40369,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",11.6,7.54,5.77,11.6,884 CDM,RX-40392,SOLIFENACIN 5 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-40402,"DARIFENACIN ER 7.5 MG TABLET,EXTENDED RELEASE 24 HR",8.8,5.72,4.37,8.8,884 CDM,RX-40404,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION,794.0,516.1,4.19,794.0,884 CDM,RX-40475,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,3284.4,2134.86,10.54,3218.71,884 CDM,RX-40573,ZICONOTIDE 25 MCG/ML INTRATHECAL SOLUTION,22771.5,14801.48,10.14,22771.5,884 CDM,RX-4064,ISOSORBIDE DINITRATE 10 MG TABLET,6.9,4.49,3.43,6.9,884 CDM,RX-4065,ISOSORBIDE DINITRATE 20 MG TABLET,7.4,4.81,3.68,7.4,884 CDM,RX-4067,ISOSORBIDE DINITRATE 40 MG TABLET,64.6,41.99,32.11,64.6,884 CDM,RX-4068,ISOSORBIDE DINITRATE 5 MG TABLET,7.2,4.68,3.58,7.2,884 CDM,RX-40697,FLUTICASONE PROPIONATE 44 MCG/ACTUATION HFA AEROSOL INHALER,463.9,301.54,230.56,463.9,884 CDM,RX-407,AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION,93.3,60.65,46.37,90.5,880 CDM,RX-4080014468,ACETAMINOPHEN-CODEINE 120-12 MG/5 ML ORAL LIQUID (WRAPPER),21.4,13.91,10.64,21.4,884 CDM,RX-40801,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE,2565.0,1667.25,176.45,2488.05,884 CDM,RX-408124838,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR SCHEDULED),103.7,67.41,51.54,103.7,884 CDM,RX-408124843,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR SCHEDULED),163.3,106.15,81.16,163.3,884 CDM,RX-408124845,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR SCHEDULED),117.7,76.5,58.5,117.7,884 CDM,RX-4082619,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION (EMBOLIZATION POWDER-NO ROUNDING),1168.5,759.53,580.74,1145.13,880 CDM,RX-4082636,BACITRACIN 500 UNIT/GRAM TOPICAL PACKET (WRAPPER),2.4,1.56,1.19,2.4,884 CDM,RX-40828534,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),189.1,122.92,93.98,189.1,884 CDM,RX-4083818,BACITRACIN 500 UNIT/GRAM TOPICAL OINTMENT (WRAPPER),8.5,5.53,4.22,8.5,884 CDM,RX-40840043,METRONIDAZOLE 5 MG/ML IV - DRAWN UP FROM PREMIX BAG,80.6,52.39,40.06,78.18,880 CDM,RX-40840048,FAT EMULSION 20 % IV RATE BASED (TOXICITY USE ONLY),200.4,130.26,99.6,200.4,880 CDM,RX-40840065,XENON-133 IN AIR GAS FOR INHALATION (WRAPPER),492.0,319.8,273.06,2977.0,880 CDM,RX-40840090,FAT EMULSION 20 % IV INJECTION (ANESTHESIA TOXICITY),200.4,130.26,99.6,200.4,880 CDM,RX-40841000,INSULIN LISPRO SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML,229.1,148.91,113.86,222.23,880 CDM,RX-40841002,INSULIN GLULISINE SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,343.2,223.08,170.57,332.9,880 CDM,RX-40841003,INSULIN ASPART SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,189.1,122.92,93.98,183.43,880 CDM,RX-40841005,INSULIN REGULAR SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,171.7,111.61,85.33,166.55,880 CDM,RX-40841006,INSULIN ASPART (NIACINAMIDE) SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,301.4,195.91,149.8,292.36,880 CDM,RX-40872,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,74.6,48.49,37.08,72.36,880 CDM,RX-4087974,LACTOBACILLUS RHAMNOSUS GG 10-15 BILLION CELL (WRAPPER),3.8,2.47,1.89,3.8,884 CDM,RX-40887889,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),343.2,223.08,170.57,332.9,880 CDM,RX-40891054,IRINOTECAN 20 MG/ML INTRAVENOUS SOLUTION (FOR ORAL USE)(WRAPPER),125.1,81.32,62.17,122.6,880 CDM,RX-4089105401,IRINOTECAN 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),125.1,81.32,62.17,122.6,880 CDM,RX-4089296,GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) INTRAVENOUS SOLUTION (WRAPPER),36.9,23.99,18.34,35.79,880 CDM,RX-40917,SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION,33989.4,22093.11,16892.73,33989.4,880 CDM,RX-41010026501,OFATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),12583.4,8179.214999999999,71.57,22510.7,1706 CDM,RX-41010805501,PANITUMUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),17835.95,11593.37,173.03,27702.15,1768 CDM,RX-41010806201,TOCILIZUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER) (RESTRICTED),5280.2,3432.13,5.71,9831.34,2652 CDM,RX-41010891001,DOCETAXEL 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),422.8,274.82,210.13,414.34,880 CDM,RX-41010895501,IPILIMUMAB 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER),86559.59999999999,56263.744999999995,183.48,135460.79,1768 CDM,RX-41011063001,MITOMYCIN 0.5 MG/ML SYRINGE (FOR OR USE ONLY),371.4,241.41,20.35,360.26,884 CDM,RX-41011278701,GEMCITABINE 38 MG/ML INTRAVENOUS SOLUTION (WRAPPER),114.1,74.17,56.71,110.68,880 CDM,RX-41011278702,GEMCITABINE 38 MG/ML IV SOLUTION FOR BLADDER INSTILLATION (WRAPPER),316.2,205.53,157.15,306.71,880 CDM,RX-41011694701,DOCETAXEL 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),713.0,463.45,354.36,698.74,880 CDM,RX-41011694702,DOCETAXEL 20 MG/ML IV SOLUTION FOR BLADDER INSTILLATION (WRAPPER),713.0,463.45,354.36,698.74,880 CDM,RX-410117162,ZIV-AFLIBERCEPT 25 MG/ML INTRAVENOUS SOLUTION (WRAPPER),3433.5,2231.78,7.88,3433.5,884 CDM,RX-41012724901,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),290.0,188.5,144.13,284.2,880 CDM,RX-41012784401,NIVOLUMAB 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),13039.6,8475.74,32.96,30051.9,2652 CDM,RX-41012818201,CYTARABINE (PF) 20 MG/ML INJECTION SOLUTION (WRAPPER),265.9,172.84,132.15,257.92,880 CDM,RX-4101420301,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),133.4,86.71,66.3,130.73,880 CDM,RX-41019253401,ATEZOLIZUMAB 60 MG/ML INTRAVENOUS SOLUTION (WRAPPER),38290.15,24888.6,91.34,44068.44,1768 CDM,RX-41020825002,EPCORITAMAB-BYSP 0.8 MG/ML (CNR),5253.9,3415.04,55.84,5096.28,884 CDM,RX-41020825003,EPCORITAMAB-BYSP 0.16 MG/ML (CNR),2371.7,1541.61,55.84,2300.55,884 CDM,RX-41027136101,TELISOTUZUMAB VEDOTIN-TLLV 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),31732.05,20625.835,143.99,52586.7,1768 CDM,RX-41039265001,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION (FOR DESENSITIZATION),267.0,173.55,132.7,261.66,880 CDM,RX-41041000013,FLUOROURACIL CHEMO IVPB 50 MG/ML STRAIGHT DRUG (C-SERIES),137.8,89.57,68.49,133.67,880 CDM,RX-41041001901,ETOPOSIDE CHEMO UNDILUTED IVPB,119.8,77.87,59.54,117.4,880 CDM,RX-4107842001,AZACITIDINE 100 MG SOLUTION FOR INJECTION (SUBQ EQUIVALENCY),276.5,179.73,137.42,268.21,880 CDM,RX-41082200,FLUOROURACIL INFUSION PUMP (COMPOUNDED BY NON-MAYO PHARMACY),110.6,71.89,54.97,107.28,880 CDM,RX-4108220401,FLUOROURACIL 50 MG/ML INTRAVENOUS SOLUTION (WRAPPER),120.1,78.07,59.69,116.5,880 CDM,RX-410859701,VINCRISTINE 1 MG/ML PF INTRAVENOUS SOLUTION (WRAPPER),144.8,94.12,71.97,140.46,880 CDM,RX-4108800801,EPIRUBICIN 2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),1066.9,693.49,530.25,1066.9,880 CDM,RX-410928901,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION (IM/SUBQ EQUIVALENCY),259.3,168.55,128.87,251.52,880 CDM,RX-4109961001,OXALIPLATIN 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER),137.8,89.57,68.49,133.67,880 CDM,RX-41124,PHENOL 89% TOPICAL LIQUID (COMMERCIAL NON-STERILE),7.5,4.88,3.73,7.35,880 CDM,RX-41135,DONEPEZIL 5 MG DISINTEGRATING TABLET,6.1,3.97,3.03,6.1,884 CDM,RX-41137,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,47.3,30.75,23.51,45.88,880 CDM,RX-41142,IPRATROPIUM BROMIDE 17 MCG/ACTUATION HFA AEROSOL INHALER,938.2,609.83,466.29,938.2,884 CDM,RX-41146,BROMFENAC 0.09 % EYE DROPS,294.8,191.62,146.52,294.8,884 CDM,RX-41147,ENTECAVIR 0.5 MG TABLET,72.0,46.8,35.78,72.0,884 CDM,RX-41294,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,1394.9,906.68,693.27,1353.05,880 CDM,RX-41382,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,72.0,46.8,35.78,72.0,884 CDM,RX-41463,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,37.6,24.44,18.69,37.6,880 CDM,RX-41497,PARICALCITOL 1 MCG CAPSULE,8.3,5.4,4.13,8.3,884 CDM,RX-41652,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,116.5,75.72,57.9,113.01,880 CDM,RX-41657,"SODIUM CHLORIDE, SODIUM BICARB-NASAL RINSE SQUEEZE BOTTLE WITH PACKET",72.7,47.26,36.13,72.7,884 CDM,RX-41793,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION,293.3,190.65,145.77,293.3,880 CDM,RX-41828,MOMETASONE 220 MCG/ACTUATION(14 DOSES) BREATH ACTIVATED POWDER INHALER,174.6,113.49,86.78,174.6,884 CDM,RX-41831,LIDOCAINE 5 % TOPICAL OINTMENT,78.7,51.16,39.11,78.7,880 CDM,RX-41832,SILDENAFIL 20 MG TABLET,7.2,4.68,3.58,7.2,884 CDM,RX-41899,METRONIDAZOLE 1 % TOPICAL GEL,256.2,166.53,127.33,256.2,884 CDM,RX-42064,RAMELTEON 8 MG TABLET,9.7,6.31,4.82,9.7,884 CDM,RX-42119,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,8.3,5.4,4.13,8.3,884 CDM,RX-42162,PREGABALIN 25 MG CAPSULE,12.3,8.0,6.11,12.3,884 CDM,RX-42164,PREGABALIN 75 MG CAPSULE,11.9,7.74,5.91,11.9,884 CDM,RX-42219,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,3.7,2.4,1.84,3.7,884 CDM,RX-4237,KETAMINE 100 MG/ML INJECTION SOLUTION,91.1,59.22,45.28,88.37,880 CDM,RX-4238,KETAMINE 50 MG/ML INJECTION SOLUTION,59.1,38.42,29.37,59.1,880 CDM,RX-42622,"MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT",403.8,262.47,200.69,395.72,880 CDM,RX-4318,LACTATED RINGERS INTRAVENOUS SOLUTION,82.0,53.3,40.75,79.54,880 CDM,RX-4319,LACTATED RINGERS IRRIGATION SOLUTION,81.5,52.98,40.51,79.06,880 CDM,RX-432,AMITRIPTYLINE 10 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-43391,LOPINAVIR-RITONAVIR 200 MG-50 MG TABLET,22.2,14.43,11.03,22.2,884 CDM,RX-43416,DEFERASIROX 250 MG DISPERSIBLE TABLET,17.6,11.44,8.75,17.6,884 CDM,RX-43417,DEFERASIROX 500 MG DISPERSIBLE TABLET,19.6,12.74,9.74,19.6,884 CDM,RX-43464,NORETHINDRONE ACETATE 0.5 MG-ETHINYL ESTRADIOL 2.5 MCG TABLET,12.1,7.87,6.01,12.1,884 CDM,RX-435,AMITRIPTYLINE 25 MG TABLET,6.3,4.09,3.13,6.3,884 CDM,RX-436,AMITRIPTYLINE 50 MG TABLET,6.7,4.36,3.33,6.7,884 CDM,RX-43717,LIDOCAINE HCL 4 % LARYNGOTRACHEAL SOLUTION,34.5,22.43,17.15,34.5,880 CDM,RX-4392,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION,64.0,41.6,31.81,62.72,880 CDM,RX-4393,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION,115.9,75.33,57.6,113.58,880 CDM,RX-4394,LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION,60.1,39.06,29.87,58.9,880 CDM,RX-4398,LEUCOVORIN CALCIUM 5 MG TABLET,8.0,5.2,3.98,8.0,884 CDM,RX-4420,LEVOTHYROXINE 25 MCG TABLET,6.2,4.03,3.08,6.2,884 CDM,RX-4421,LEVOTHYROXINE 50 MCG TABLET,6.2,4.03,3.08,6.2,884 CDM,RX-4422,LEVOTHYROXINE 75 MCG TABLET,10.7,6.96,5.32,10.7,884 CDM,RX-4423,LEVOTHYROXINE 100 MCG TABLET,6.6,4.29,3.28,6.6,884 CDM,RX-4424,LEVOTHYROXINE 125 MCG TABLET,6.8,4.42,3.38,6.8,884 CDM,RX-4425,LEVOTHYROXINE 150 MCG TABLET,6.9,4.49,3.43,6.9,884 CDM,RX-4426,LEVOTHYROXINE 200 MCG TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-4450,LIDOCAINE HCL 4 % (40 MG/ML) TOPICAL SOLUTION,124.2,80.73,61.73,124.2,880 CDM,RX-4452,LIDOCAINE 10 MG/ML (1 %) INJECTION SOLUTION (WRAPPER),36.3,23.6,18.04,36.3,880 CDM,RX-4453,LIDOCAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,36.8,23.92,18.29,36.8,880 CDM,RX-4455,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION,37.6,24.44,18.69,37.6,880 CDM,RX-4459,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,65.4,42.51,32.5,65.4,880 CDM,RX-4496,LINCOMYCIN 300 MG/ML INJECTION SOLUTION,59.2,38.48,29.42,59.2,880 CDM,RX-450,AMOXICILLIN 250 MG CAPSULE,5.3,3.45,2.63,5.3,884 CDM,RX-4504,LIOTHYRONINE 25 MCG TABLET,7.0,4.55,3.48,7.0,884 CDM,RX-451,AMOXICILLIN 500 MG CAPSULE,5.5,3.58,2.73,5.5,884 CDM,RX-4526,LISINOPRIL 20 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-4528,LITHIUM CARBONATE 150 MG CAPSULE,5.6,3.64,2.78,5.6,884 CDM,RX-4529,LITHIUM CARBONATE 300 MG CAPSULE,5.8,3.77,2.88,5.8,884 CDM,RX-454,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,20.8,13.52,10.34,20.8,884 CDM,RX-4560,LOPERAMIDE 2 MG CAPSULE,7.4,4.81,3.68,7.4,884 CDM,RX-4571,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,10.5,6.83,5.22,10.5,884 CDM,RX-4572,LORAZEPAM 0.5 MG TABLET,10.2,6.63,5.07,10.2,884 CDM,RX-4573,LORAZEPAM 1 MG TABLET,10.3,6.7,5.12,10.3,884 CDM,RX-464,AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION,181.9,118.24,90.4,176.44,880 CDM,RX-466,AMPICILLIN 500 MG CAPSULE,7.0,4.55,3.48,7.0,884 CDM,RX-469,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,64.5,41.93,32.06,62.57,880 CDM,RX-4712,MAGNESIUM CITRATE ORAL SOLUTION,0.5,0.33,0.25,0.5,884 CDM,RX-4715,"MAGNESIUM L-LACTATE ER 84 MG TABLET,EXTENDED RELEASE",5.9,3.84,2.93,5.9,884 CDM,RX-4719,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,82.7,53.76,41.1,80.22,880 CDM,RX-472,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,97.6,63.44,48.51,94.67,880 CDM,RX-4720,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,43.6,28.34,21.67,42.29,881 CDM,RX-4749,MANNITOL 20 % INTRAVENOUS SOLUTION,195.5,127.08,97.16,195.5,880 CDM,RX-4750,MANNITOL 25 % INTRAVENOUS SOLUTION,53.6,34.84,26.64,53.6,880 CDM,RX-4854,MEDROXYPROGESTERONE 10 MG TABLET,9.9,6.44,4.92,9.9,884 CDM,RX-4855,MEDROXYPROGESTERONE 2.5 MG TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-4870,MEGESTROL 20 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-4871,MEGESTROL 40 MG TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-4903,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION,76.7,49.86,38.12,74.4,880 CDM,RX-4904,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION,77.0,50.05,38.27,74.69,880 CDM,RX-4908,MEPERIDINE 50 MG TABLET,132.4,86.06,65.8,132.4,884 CDM,RX-4915,MEPIVACAINE 2 % INJECTION SOLUTION,38.7,25.16,19.23,37.54,880 CDM,RX-4952,METHADONE 5 MG/5 ML ORAL SOLUTION,11.0,7.154999999999999,5.42,11.1,2652 CDM,RX-4953,METHADONE 10 MG TABLET,11.3,7.35,5.62,11.3,884 CDM,RX-4954,METHADONE 5 MG TABLET,11.3,7.35,5.62,11.3,884 CDM,RX-4962,METHAZOLAMIDE 50 MG TABLET,12.4,8.06,6.16,12.4,884 CDM,RX-4971,METHOCARBAMOL 500 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-4972,METHOCARBAMOL 750 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-4973,METHOTREXATE SODIUM 2.5 MG TABLET,12.9,8.39,6.41,12.9,884 CDM,RX-4974,METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTION,121.5,78.97,60.39,117.86,880 CDM,RX-4982,METHYLDOPA 250 MG TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-4983,METHYLDOPA 500 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-4984,METHYLDOPATE 250 MG/5 ML INTRAVENOUS SOLUTION,200.0,130.0,99.4,200.0,880 CDM,RX-4985,METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION,646.4,420.16,8.73,627.01,884 CDM,RX-4988,METHYLPHENIDATE 5 MG TABLET,18.9,12.29,9.39,18.9,884 CDM,RX-4991,METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK,60.5,39.33,30.07,58.69,880 CDM,RX-4992,METHYLPREDNISOLONE 16 MG TABLET,13.4,8.71,6.66,13.0,880 CDM,RX-4993,METHYLPREDNISOLONE 4 MG TABLET,9.7,6.31,4.82,9.41,880 CDM,RX-4994,METHYLPREDNISOLONE ACETATE 20 MG/ML SUSPENSION FOR INJECTION,48.1,31.27,23.91,46.66,880 CDM,RX-4995,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,39.7,25.81,19.73,38.51,880 CDM,RX-4996,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,61.4,39.91,30.52,59.56,880 CDM,RX-5002,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,40.2,26.13,19.98,38.99,880 CDM,RX-5005,METOCLOPRAMIDE 10 MG TABLET,7.0,4.55,3.48,7.0,884 CDM,RX-5006,METOCLOPRAMIDE 5 MG TABLET,6.9,4.49,3.43,6.9,884 CDM,RX-500677,CEFEPIME 5 MG/ML LOCK SOLUTION (CNR),35.9,23.34,17.84,34.82,880 CDM,RX-5008,METOPROLOL TARTRATE 100 MG TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-5009,METOPROLOL TARTRATE 50 MG TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-5015,METRONIDAZOLE 250 MG TABLET,6.2,4.03,3.08,6.2,884 CDM,RX-5016,METRONIDAZOLE 500 MG TABLET,7.0,4.55,3.48,7.0,884 CDM,RX-5018,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,80.6,52.39,40.06,78.18,881 CDM,RX-5039,MICONAZOLE NITRATE 2 % TOPICAL CREAM,62.9,40.88,31.26,62.9,884 CDM,RX-5040,MICONAZOLE NITRATE 2 % VAGINAL CREAM,20.5,13.33,10.19,20.5,884 CDM,RX-5086,MINERAL OIL ORAL,6.0,3.9,2.98,6.0,884 CDM,RX-5087,MINERAL OIL ENEMA,8.1,5.27,4.03,8.1,884 CDM,RX-5111,MINOCYCLINE 50 MG CAPSULE,5.7,3.71,2.83,5.7,884 CDM,RX-5114,MINOXIDIL 10 MG TABLET,7.1,4.62,3.53,7.1,884 CDM,RX-5115,MINOXIDIL 2.5 MG TABLET,7.0,4.55,3.48,7.0,884 CDM,RX-5176,MORPHINE 10 MG/5 ML ORAL SOLUTION,17.6,11.44,8.75,17.6,884 CDM,RX-5178,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,11.1,7.22,5.52,11.1,884 CDM,RX-5179,MORPHINE 30 MG IMMEDIATE RELEASE TABLET,11.9,7.74,5.91,11.9,884 CDM,RX-5330,NADOLOL 20 MG TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-5331,NADOLOL 40 MG TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-5333,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,50.1,32.56,24.9,48.6,880 CDM,RX-5335,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,54.4,35.36,27.04,52.77,880 CDM,RX-5339,NALBUPHINE 10 MG/ML INJECTION SOLUTION,49.6,32.24,24.65,48.11,880 CDM,RX-5373,NALOXONE 0.4 MG/ML INJECTION SOLUTION,46.9,30.49,23.31,45.96,880 CDM,RX-5384,NAPHAZOLINE 0.025 %-PHENIRAMINE 0.3 % EYE DROPS,80.9,52.59,40.21,80.9,884 CDM,RX-5391,NAPROXEN 250 MG TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-5392,NAPROXEN 375 MG TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-5393,NAPROXEN 500 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-5472,NEOMYCIN 500 MG TABLET,8.5,5.53,4.22,8.5,884 CDM,RX-5474,"NEOMYCIN 1.75 MG-POLYMYXIN 10,000 UNIT-GRAMICIDIN 0.025MG/ML EYE DROPS",214.7,139.56,106.71,214.7,884 CDM,RX-5541,NIACIN 50 MG TABLET,2.1,1.37,1.04,2.1,884 CDM,RX-5542,NIACIN 500 MG TABLET,2.1,1.37,1.04,2.1,884 CDM,RX-5548,NIACINAMIDE 500 MG TABLET,2.1,1.37,1.04,2.1,884 CDM,RX-5558,NIFEDIPINE 10 MG CAPSULE,6.3,4.09,3.13,6.3,884 CDM,RX-5593,NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE,7.8,5.07,3.88,7.8,884 CDM,RX-5595,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,11.6,7.54,5.77,11.6,884 CDM,RX-5599,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,96.0,62.4,47.71,93.12,880 CDM,RX-5600,"NITROGLYCERIN ER 2.5 MG CAPSULE,EXTENDED RELEASE",6.7,4.36,3.33,6.7,884 CDM,RX-5601,"NITROGLYCERIN ER 6.5 MG CAPSULE,EXTENDED RELEASE",7.7,5.01,3.83,7.7,884 CDM,RX-5603,NITROGLYCERIN 0.3 MG SUBLINGUAL TABLET,123.8,80.47,61.53,123.8,880 CDM,RX-5604,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,16.2,10.53,8.05,16.2,880 CDM,RX-5605,NITROGLYCERIN 0.6 MG SUBLINGUAL TABLET,123.8,80.47,61.53,123.8,880 CDM,RX-5606,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT,162.6,105.69,80.81,162.6,884 CDM,RX-5674,NORTRIPTYLINE 10 MG CAPSULE,5.5,3.58,2.73,5.5,884 CDM,RX-5675,NORTRIPTYLINE 25 MG CAPSULE,5.6,3.64,2.78,5.6,884 CDM,RX-5749,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",64.1,41.67,31.86,64.1,884 CDM,RX-5750,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",60.1,39.06,29.87,60.1,884 CDM,RX-5751,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",6.7,4.36,3.33,6.7,884 CDM,RX-5752,"NYSTATIN 500,000 UNIT TABLET",6.5,4.22,3.23,6.5,884 CDM,RX-5754,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM",75.4,49.01,37.47,75.4,884 CDM,RX-5755,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT",107.2,69.68,53.28,107.2,884 CDM,RX-5926,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,54.2,35.23,26.94,53.12,880 CDM,RX-5938,OXYBUTYNIN CHLORIDE 5 MG TABLET,6.2,4.03,3.08,6.2,884 CDM,RX-5940,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,11.7,7.61,5.81,11.7,884 CDM,RX-5943,OXYMETAZOLINE 0.05 % NASAL SPRAY,26.0,16.9,12.92,26.0,884 CDM,RX-5944,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,39.2,25.48,19.48,38.02,880 CDM,RX-6030,PAPAVERINE 30 MG/ML INJECTION SOLUTION,110.9,72.08,55.12,110.9,884 CDM,RX-6085,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,541.3,351.85,269.03,530.47,880 CDM,RX-6086,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,55.8,36.27,27.73,54.68,880 CDM,RX-6091,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION,26.7,17.36,13.27,26.7,884 CDM,RX-6092,PENICILLIN V POTASSIUM 250 MG TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-6093,PENICILLIN V POTASSIUM 500 MG TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-6097,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,2042.1,1327.37,27.99,2042.1,884 CDM,RX-6193,PHENAZOPYRIDINE 100 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-6212,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,12.8,8.32,6.36,12.8,884 CDM,RX-6213,PHENOBARBITAL 100 MG TABLET,10.8,7.02,5.37,10.8,884 CDM,RX-6214,PHENOBARBITAL 15 MG TABLET,11.0,7.15,5.47,11.0,884 CDM,RX-6218,PHENOBARBITAL 60 MG TABLET,11.4,7.41,5.67,11.4,884 CDM,RX-6219,PHENOBARBITAL 64.8 MG TABLET,7.1,4.62,3.53,7.1,884 CDM,RX-622,ARGININE (L-ARGININE) 500 MG TABLET,2.3,1.5,1.14,2.3,884 CDM,RX-6221,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,186.1,120.97,92.49,186.1,880 CDM,RX-6224,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,133.2,86.58,66.2,133.2,880 CDM,RX-6227,PHENOL LIQUID,20.8,13.52,10.34,20.8,880 CDM,RX-6242,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,79.3,51.55,39.41,79.3,880 CDM,RX-6244,PHENYLEPHRINE 0.5 % NASAL SPRAY,15.7,10.21,7.8,15.7,880 CDM,RX-6246,PHENYLEPHRINE 2.5 % EYE DROPS,215.6,140.14,107.15,215.6,880 CDM,RX-6256,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,39.9,25.94,19.83,39.9,880 CDM,RX-6257,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,10.0,6.5,4.97,10.0,884 CDM,RX-6279,PILOCARPINE 1 % EYE DROPS,182.7,118.76,90.8,182.7,884 CDM,RX-6280,PILOCARPINE 2 % EYE DROPS,181.0,117.65,89.96,181.0,884 CDM,RX-6296,PINDOLOL 10 MG TABLET,9.0,5.85,4.47,9.0,884 CDM,RX-6297,PINDOLOL 5 MG TABLET,7.0,4.55,3.48,7.0,884 CDM,RX-6356,PODOPHYLLUM RESIN 25 % TOPICAL LIQUID,388.3,252.4,192.99,388.3,884 CDM,RX-6393,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",91.8,59.67,45.62,91.8,880 CDM,RX-6420,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,60.0,39.0,29.82,60.0,880 CDM,RX-6423,POTASSIUM BICARBONATE-CITRIC ACID 25 MEQ EFFERVESCENT TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-6429,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,40.7,26.46,20.23,39.48,880 CDM,RX-6432,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,60.0,39.0,12.62,94.6,1768 CDM,RX-6434,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,10.0,6.5,4.97,10.0,884 CDM,RX-6455,POVIDONE-IODINE 10 % TOPICAL OINTMENT,7.7,5.01,3.83,7.7,884 CDM,RX-6458,POVIDONE-IODINE 10 % TOPICAL SOLUTION (NON-STERILE),16.9,10.99,8.4,16.9,880 CDM,RX-6462,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION,351.3,228.35,174.6,351.3,880 CDM,RX-6468,PRAZOSIN 1 MG CAPSULE,8.6,5.59,4.27,8.6,884 CDM,RX-6469,PRAZOSIN 2 MG CAPSULE,11.2,7.28,5.57,11.2,884 CDM,RX-6470,PRAZOSIN 5 MG CAPSULE,18.4,11.96,9.14,18.4,884 CDM,RX-6487,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",154.4,100.36,76.74,154.4,884 CDM,RX-6492,PREDNISONE 5 MG/5 ML ORAL SOLUTION,922.5,599.63,458.48,894.83,880 CDM,RX-6493,PREDNISONE 1 MG TABLET,5.4,3.51,2.68,5.24,880 CDM,RX-6494,PREDNISONE 10 MG TABLET,5.5,3.58,2.73,5.34,880 CDM,RX-6495,PREDNISONE 2.5 MG TABLET,5.5,3.58,2.73,5.34,880 CDM,RX-6496,PREDNISONE 20 MG TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-6497,PREDNISONE 5 MG TABLET,5.6,3.64,2.78,5.43,880 CDM,RX-6498,PREDNISONE 50 MG TABLET,6.0,3.9,2.98,5.82,880 CDM,RX-6541,PRIMAQUINE 26.3 MG (15 MG BASE) TABLET,11.7,7.61,5.81,11.7,884 CDM,RX-6544,PRIMIDONE 250 MG TABLET,6.8,4.42,3.38,6.8,884 CDM,RX-6561,PROBENECID 500 MG TABLET,7.0,4.55,3.48,7.0,884 CDM,RX-6562,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,1539.4,1000.61,294.69,1493.22,884 CDM,RX-6580,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,42.1,27.37,20.92,40.84,880 CDM,RX-6582,PROCHLORPERAZINE MALEATE 10 MG TABLET,9.7,6.31,4.82,9.7,884 CDM,RX-6583,PROCHLORPERAZINE MALEATE 5 MG TABLET,8.8,5.72,4.37,8.8,884 CDM,RX-6597,PROGESTERONE 50 MG/ML INTRAMUSCULAR OIL,35.5,23.08,17.64,35.5,880 CDM,RX-6618,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,42.1,27.37,20.92,40.84,880 CDM,RX-6620,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,68.5,44.53,34.04,68.5,884 CDM,RX-6621,PROMETHAZINE 12.5 MG TABLET,6.7,4.36,3.33,6.7,884 CDM,RX-6622,PROMETHAZINE 25 MG TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-6624,PROMETHAZINE 50 MG RECTAL SUPPOSITORY,90.8,59.02,45.13,90.8,884 CDM,RX-663,ASCORBIC ACID (VITAMIN C) 250 MG TABLET,2.1,1.37,1.04,2.1,884 CDM,RX-664,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,2.2,1.43,1.09,2.2,884 CDM,RX-6644,PROPARACAINE 0.5 % EYE DROPS,152.1,98.87,75.59,152.1,880 CDM,RX-6654,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,157.9,102.64,78.48,157.9,884 CDM,RX-6656,PROPRANOLOL 10 MG TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-6658,PROPRANOLOL 40 MG TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-6662,PROPYLTHIOURACIL 50 MG TABLET,15.2,9.88,7.55,15.2,884 CDM,RX-6677,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,166.3,108.1,82.65,161.31,880 CDM,RX-6714,PSEUDOEPHEDRINE 30 MG TABLET,2.1,1.37,1.04,2.1,884 CDM,RX-6715,PSEUDOEPHEDRINE 60 MG TABLET,10.3,6.7,5.12,10.3,884 CDM,RX-6716,"PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE",3.9,2.54,1.94,3.9,884 CDM,RX-6738,PYRAZINAMIDE 500 MG TABLET,15.9,10.34,7.9,15.9,884 CDM,RX-6744,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION,92.2,59.93,45.82,90.36,880 CDM,RX-6746,PYRIDOXINE (VITAMIN B6) 25 MG TABLET,2.1,1.37,1.04,2.1,884 CDM,RX-6748,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,2.5,1.63,1.24,2.5,884 CDM,RX-6777,QUINIDINE SULFATE 200 MG TABLET,46.4,30.16,23.06,46.4,884 CDM,RX-6778,QUINIDINE SULFATE 300 MG TABLET,48.4,31.46,24.05,48.4,884 CDM,RX-6781,QUININE 324 MG CAPSULE,11.2,7.28,5.57,11.2,884 CDM,RX-679,ASPIRIN 81 MG CHEWABLE TABLET,0.5,0.33,0.25,0.5,884 CDM,RX-681,ASPIRIN 325 MG TABLET,0.5,0.33,0.25,0.5,884 CDM,RX-685,"ASPIRIN 325 MG TABLET,DELAYED RELEASE",0.5,0.33,0.25,0.5,884 CDM,RX-693,ASPIRIN 300 MG RECTAL SUPPOSITORY,0.5,0.33,0.25,0.5,884 CDM,RX-700080,VASOPRESSIN 20 UNIT/ML INJ SOLN (WRAPPER),89.3,58.05,44.38,86.62,880 CDM,RX-700081,WITCH HAZEL TOPICAL PADS (WRAPPER),25.5,16.58,12.67,25.5,884 CDM,RX-700128,ZOLEDRONIC ACID 4 MG/100 ML IN MANNITOL-WATER IV (WRAPPER),228.4,148.46,113.51,221.55,880 CDM,RX-700129,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL-WATER IV (WRAPPER),291.4,189.41,144.83,282.66,880 CDM,RX-700132,"MVI, ADULT INTRAVENOUS SOLUTION (WRAPPER)",71.8,46.67,35.68,69.65,880 CDM,RX-700255,"DIPH,PERTUS(ACEL),TET PED (PF) 25-58-10 LF-MCG-LF/0.5ML IM (WRAPPER)",49.6,32.24,24.65,48.61,880 CDM,RX-700256,"DIPH,PERTUS(ACEL),TET,POL (PF) 25 LF-58 MCG-10 LF/0.5 ML IM (WRAPPER)",86.6,56.29,43.04,84.87,880 CDM,RX-700257,"DIPH,PERTUSS(ACEL),TET VAC(PF) 0.5 ML IM (WRAPPER)",66.8,43.42,33.2,65.46,880 CDM,RX-700262,HEPATITIS A VIRUS VACCINE (PF) 0.5 ML IM (WRAPPER),48.5,31.53,24.1,47.53,880 CDM,RX-700263,HEPATITIS A VIRUS VACCINE (PF) 1 ML IM (WRAPPER),144.0,93.6,71.57,141.12,880 CDM,RX-700265,PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ (WRAPPER),171.0,111.15,94.91,171.0,880 CDM,RX-700267,TETANUS AND DIPHTHER. TOX (PF) 0.5 ML IM (WRAPPER),53.8,34.97,26.74,52.72,880 CDM,RX-700268,TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML IM (WRAPPER),169.7,110.31,84.34,166.31,880 CDM,RX-700347,ZINC 1 MG/ML INJECTION (TPN)(WRAPPER),101.1,65.72,50.25,101.1,880 CDM,RX-700348,COPPER 0.4 MG/ML INJECTION (TPN)(WRAPPER),99.4,64.61,49.4,96.42,880 CDM,RX-700351,MANGANESE 0.1 MG/ML INJECTION (TPN)(WRAPPER),113.0,73.45,56.16,113.0,880 CDM,RX-700355,HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML IM (WRAPPER),37.4,24.31,18.59,36.65,880 CDM,RX-700356,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM (WRAPPER),48.9,31.79,24.3,47.92,880 CDM,RX-700358,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/1 ML IM (WRAPPER),120.7,78.46,59.99,118.29,880 CDM,RX-700366,CALCIUM GLUCONATE STRAIGHT DRUG INFUSION 100 ML,170.4,110.76,84.69,165.29,880 CDM,RX-700375,SODIUM CHLORIDE 0.9 % FLUSH BAG,78.0,50.7,37.47,80.3,5280 CDM,RX-700383,"HEPARIN 10,000 UNITS/500 ML NACL 0.9% (APHERESIS) (CNR/RST PROD LAB)",186.5,121.23,92.69,186.5,880 CDM,RX-700384,HYDROCORTISONE 1%-MENTHOL 1% IN VANICREAM-ROSE WATER LOTION,283.9,184.54,141.1,283.9,884 CDM,RX-700393,"METOPROLOL SUCCINATE ER 12.5 MG PARTIAL (1/2) TABLET, EXTENDED RELEASE",5.9,3.84,2.93,5.9,884 CDM,RX-700397,ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS INJECTION (WRAPPER) (RESTRICTED),13080.5,8502.33,6501.01,13080.5,884 CDM,RX-700398,ADENOSINE 3 MG/ML INTRAVENOUS (WRAPPER),91.2,59.28,45.33,88.46,880 CDM,RX-700399,B COMPLEX-VITAMIN C-FA (NEPHRO VITAMINS) TAB/CAP (WRAPPER),5.6,3.64,2.78,5.6,884 CDM,RX-700401,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION (WRAPPER),188.5,122.53,93.68,188.5,884 CDM,RX-700403,CERTOLIZUMAB PEGOL 400 MG/2 ML SUBCUTANEOUS INJECTION (WRAPPER) (RESTRICTED),5540.3,3601.2,3.91,5429.49,884 CDM,RX-700404,WHITE PETROLATUM TOPICAL OINTMENT BULK (WRAPPER),79.2,51.48,39.36,79.2,884 CDM,RX-700406,DIAZEPAM 5 MG/ML INJECTION (WRAPPER),171.7,111.61,85.33,166.55,880 CDM,RX-700408,DOCUSATE SODIUM 283 MG ENEMA (WRAPPER),9.8,6.37,4.87,9.8,884 CDM,RX-700410,ESMOLOL 100 MG/10 ML INTRAVENOUS INJECTION (WRAPPER),62.8,40.82,31.21,60.92,880 CDM,RX-700411,ETOMIDATE 2 MG/ML INTRAVENOUS INJECTION (WRAPPER),42.8,27.82,21.27,42.8,880 CDM,RX-700412,FOSPHENYTOIN 50 MG PE/ML INJECTION SOLUTION (WRAPPER),79.1,51.419999999999995,1.47,106.8,1768 CDM,RX-700415,MORPHINE (PF) 10 MG/ML INJECTION (WRAPPER),78.3,50.9,38.92,75.95,880 CDM,RX-700416,MORPHINE 2 MG/ML INJECTION (WRAPPER),75.1,48.82,37.32,72.85,880 CDM,RX-700417,MORPHINE 4 MG/ML INJECTION (WRAPPER),78.1,50.77,38.82,75.76,880 CDM,RX-700419,FENTANYL (PF) 50 MCG/ML INJECTION (WRAPPER),74.4,48.36,36.48,192.0,4400 CDM,RX-700420,LORAZEPAM 2 MG/ML INJECTION SOLUTION (WRAPPER),73.35,47.68,36.38,71.3,1760 CDM,RX-700425,KETAMINE 10 MG/ML INJECTION (WRAPPER),98.3,63.9,48.86,98.3,880 CDM,RX-700426,LABETALOL 5 MG/ML INJECTION (WRAPPER),64.1,41.67,31.86,62.18,881 CDM,RX-700429,VANCOMYCIN 1 MG/ML INTRADISCAL INJECTION DILUTION (RADIANT),35.2,22.88,17.49,34.14,880 CDM,RX-700433,CEFAZOLIN 5 MG/ML IN NACL 0.9% INJECTION DILUTION (RADIANT MIXTURE INGREDIENT) CNR,36.4,23.66,18.09,35.31,880 CDM,RX-700435,CLINDAMYCIN 5 MG/ML INJECTION SOLUTION DILUTION (RADIANT),44.8,29.12,22.27,44.8,880 CDM,RX-700458,AZTREONAM 1 GRAM IM EQUIVALENCY,128.4,83.46,63.81,124.55,880 CDM,RX-700494,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INJECTION (WRAPPER),71.5,46.48,35.54,69.36,880 CDM,RX-700503,SUCCINYLCHOLINE INJECTION 20 MG/ML (WRAPPER),55.9,36.34,27.78,55.9,880 CDM,RX-700505,ZINC OXIDE TOPICAL OINTMENT (WRAPPER),10.4,6.76,5.17,10.4,884 CDM,RX-700506,WHITE PETROLATUM-MINERAL OIL EYE OINTMENT (WRAPPER),21.3,13.85,10.59,21.3,884 CDM,RX-700507,DIPHENHYDRAMINE-LIDO-ALUM-MAG HYDROX-SIMETH 25-200-400-400-40 MG/30 ML (CNR),27.1,17.61,13.47,27.1,880 CDM,RX-700610,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION (WRAPPER),216.4,140.66,107.55,209.91,880 CDM,RX-700635,"HEPARIN 10,000 UNITS + ACD-A 1000 ML (APHERESIS)(CNR)",190.9,124.09,94.88,190.9,880 CDM,RX-700646,CEFUROXIME 100 MG/ML INJECTION (NEO/PED),36.3,23.6,18.04,35.57,880 CDM,RX-700652,CIPROFLOXACIN IV SYRINGE 2 MG/ML (NEO/PED) - DRAWN UP FROM PREMIX BAG,82.4,53.56,40.95,79.93,880 CDM,RX-700682,CEFUROXIME 1 MG/0.1 ML INTRAOCULAR SYRINGE (CNR),366.9,238.49,182.35,359.56,880 CDM,RX-700684,METOPROLOL 5 MG/5 ML INTRAVENOUS SOLUTION (WRAPPER),36.3,23.6,18.04,35.21,880 CDM,RX-700686,METHOTREXATE 400 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),304.9,198.19,151.54,295.75,880 CDM,RX-700690,VANCOMYCIN 100 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),35.4,23.01,17.59,34.34,880 CDM,RX-700701,CEFAZOLIN 1 GRAM IM EQUIVALENCY,37.7,24.51,18.74,36.57,880 CDM,RX-700702,CEFEPIME 1 GRAM IM EQUIVALENCY,45.9,29.84,22.81,44.52,880 CDM,RX-700707,CEFOXITIN 1 GRAM IM EQUIVALENCY,47.6,30.94,23.66,46.17,880 CDM,RX-700709,CEFTAZIDIME 1 GRAM IM EQUIVALENCY,47.3,30.75,23.51,45.88,880 CDM,RX-700719,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION (FOR IM USE ONLY),39.2,25.48,19.48,38.02,880 CDM,RX-700720,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION (FOR IM USE ONLY),43.1,28.02,21.42,41.81,880 CDM,RX-700722,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION (IM EQUIVALENCY),191.3,124.35,95.08,185.56,880 CDM,RX-700723,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION (IM EQUIVALENCY),79.0,51.35,39.26,76.63,880 CDM,RX-700725,DOXYCYCLINE HYCLATE 100 MG POWDER FOR SOLN (SCLEROSING),89.5,58.18,44.48,89.5,880 CDM,RX-700728,ERTAPENEM 1 GRAM IM EQUIVALENCY,87.7,57.01,43.59,85.07,880 CDM,RX-700741,METHOHEXITAL 500 MG SOLUTION FOR INJECTION (IM EQUIVALENCY),423.1,275.01,210.28,423.1,880 CDM,RX-700755,OCTREOTIDE ACETATE 50 MCG/ML INJECTION (WRAPPER),39.8,25.87,19.78,39.8,884 CDM,RX-700783,DIAZEPAM 5 MG SUPPOSITORY,23.6,15.34,11.73,23.6,884 CDM,RX-700800,ROCURONIUM 10 MG/ML INJECTION (WRAPPER),42.5,27.63,21.12,42.5,880 CDM,RX-700802,EPHEDRINE (PF) 5 MG/ML INTRAVENOUS INJECTION (WRAPPER),39.3,25.55,19.53,39.3,880 CDM,RX-700803,GLYCOPYRROLATE 0.2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),38.8,25.22,19.28,37.64,881 CDM,RX-700804,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION (WRAPPER),72.0,46.8,35.78,69.84,881 CDM,RX-700827,COLISTIN (COLISTIMETHATE) INJECTION FOR INHALATION 25 MG/ML,77.8,50.57,38.67,75.47,880 CDM,RX-700831,OCTREOTIDE ACETATE 500 MCG/ML INJECTION (WRAPPER),90.9,59.09,45.18,90.9,884 CDM,RX-700832,EPHEDRINE SULFATE 50 MG/ML INJECTION (WRAPPER),49.5,32.17,24.6,49.5,880 CDM,RX-700848,PENTAMIDINE INHALATION SOLUTION 50 MG/ML (PHARMACY PREPARED CNR OR DISPENSE PREP),206.5,134.23,102.63,200.31,880 CDM,RX-700850,"POLYMYXIN B SULFATE 500,000 UNIT SOLN FOR INJ (IM EQUIVALENCY)",91.8,59.67,45.62,91.8,880 CDM,RX-700852,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION (IM EQUIVALENCY),727.6,472.94,361.62,727.6,880 CDM,RX-700866,SODIUM ACETATE 0.28% (0.034 MEQ/ML) INJ VIAL 100 ML,79.6,51.74,39.56,79.6,880 CDM,RX-700877,HYDROCORTISONE 2.5% IN VANICREAM,91.4,59.41,45.43,91.4,884 CDM,RX-700924,ETHANOL (ETHYL ALCOHOL) 70% LOCK SOLUTION (CNR),1458.4,947.96,724.82,1458.4,880 CDM,RX-700963,GENTAMICIN 20 MCG/ML-POLYMYXIN B 500 UNITS/ML IN NACL 0.9% (DABS MODIFIED) IRRIGATION (CNR BOTTLES),115.3,74.94,57.3,115.3,880 CDM,RX-701007,ALLOPURINOL 50 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701008,ALLOPURINOL 150 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-701012,AMILORIDE 2.5 MG PARTIAL (1/2) TABLET,6.0,3.9,2.98,6.0,884 CDM,RX-701014,AMITRIPTYLINE 5 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701017,AMITRIPTYLINE 12.5 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-701027,ASPIRIN 40.5 MG PARTIAL (1/2) CHEWABLE TABLET,0.5,0.33,0.25,0.5,884 CDM,RX-701030,ATENOLOL 12.5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701038,BETHANECHOL CHLORIDE 12.5 MG PARTIAL (1/2) TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-701039,BETHANECHOL CHLORIDE 2.5 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-701040,CAFFEINE 100 MG PARTIAL (1/2) TABLET,2.2,1.43,1.09,2.2,884 CDM,RX-701044,CARBAMAZEPINE 50 MG PARTIAL (1/2) CHEWABLE TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-701045,CARBAMAZEPINE 100 MG PARTIAL (1/2) TABLET,8.8,5.72,4.37,8.8,884 CDM,RX-701051,CHLORPHENIRAMINE 2 MG PO PARTIAL (1/2) TABLET,2.1,1.37,1.04,2.1,884 CDM,RX-701055,CHLORPROMAZINE 12.5 MG PARTIAL (1/2) TABLET,12.3,8.0,6.11,12.3,884 CDM,RX-701059,CHLORTHALIDONE 12.5 MG PARTIAL (1/2) TABLET,6.6,4.29,3.28,6.6,884 CDM,RX-701061,CHLORZOXAZONE 250 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-701064,CLONIDINE HCL 0.05 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701073,COLCHICINE 0.3 MG PARTIAL (1/2) TABLET,12.1,7.87,6.01,12.1,884 CDM,RX-701074,CORTISONE 12.5 MG PARTIAL (1/2) TABLET,29.4,19.11,14.61,29.4,884 CDM,RX-701075,CYANOCOBALAMIN (VIT B-12) 50 MCG PARTIAL (1/2) TABLET,2.1,1.37,1.04,2.1,884 CDM,RX-701080,CYPROHEPTADINE 2 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-701082,DAPSONE 12.5 MG PARTIAL (1/2) TABLET,8.0,5.2,3.98,8.0,884 CDM,RX-701089,DEXAMETHASONE 0.25 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701103,DIGOXIN 62.5 MCG PARTIAL (1/2) TABLET,6.5,4.22,3.23,6.5,884 CDM,RX-701106,DILTIAZEM 15 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701108,DILTIAZEM 45 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-701109,DIMENHYDRINATE 25 MG PARTIAL (1/2) TABLET,2.1,1.37,1.04,2.1,884 CDM,RX-701111,DIPYRIDAMOLE 12.5 MG PARTIAL (1/2) TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-701120,ERYTHROMYCIN ETHYLSUCCINATE 200 MG PARTIAL (1/2) TABLET,24.8,16.12,12.33,24.8,884 CDM,RX-701130,FOLIC ACID 0.5 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701132,FUROSEMIDE 10 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701135,GEMFIBROZIL 300 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701137,HALOPERIDOL 0.25 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701142,HALOPERIDOL 2.5 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-701143,HYDRALAZINE 5 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701145,HYDRALAZINE 12.5 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701153,HYDROXYZINE HCL 5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701154,HYDROXYZINE HCL 12.5 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-701161,IMIPRAMINE 5 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701171,ISOSORBIDE DINITRATE 2.5 MG PARTIAL (1/2) TABLET,6.4,4.16,3.18,6.4,884 CDM,RX-701175,LEUCOVORIN CALCIUM 2.5 MG PARTIAL (1/2) TABLET,7.1,4.62,3.53,7.1,884 CDM,RX-701177,LEVOTHYROXINE 12.5 MCG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-701179,LEVOTHYROXINE 37.5 MCG PARTIAL (1/2) TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-701181,LEVOTHYROXINE 62.5 MCG PARTIAL (1/2) TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-701185,LIOTHYRONINE 12.5 MCG PARTIAL (1/2) TABLET,6.2,4.03,3.08,6.2,884 CDM,RX-701188,LITHIUM CARBONATE 150 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-701190,LORAZEPAM 0.25 MG PARTIAL (1/2) TABLET,10.1,6.57,5.02,10.1,884 CDM,RX-701199,MEDROXYPROGESTERONE 5 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701200,MEDROXYPROGESTERONE 1.25 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701202,MEGESTROL 10 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701213,METHOCARBAMOL 250 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701217,METHYLDOPA 125 MG PARTIAL (1/2) TABLET,17.2,11.18,8.55,17.2,884 CDM,RX-701226,METOCLOPRAMIDE 2.5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701229,METRONIDAZOLE 125 MG PARTIAL (1/2) TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-701232,MINOXIDIL 1.25 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701235,NADOLOL 10 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701238,NAPROXEN 125 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-701239,NAPROXEN 187.5 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-701243,NEOMYCIN 250 MG PARTIAL (1/2) TABLET,6.3,4.09,3.13,6.3,884 CDM,RX-701251,OXYBUTYNIN CHLORIDE 2.5 MG PARTIAL (1/2) TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-701252,PENICILLIN V POTASSIUM 125 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701257,PHENAZOPYRIDINE 50 MG PARTIAL (1/2) TABLET,7.9,5.14,3.93,7.9,884 CDM,RX-701270,PINDOLOL 2.5 MG PARTIAL (1/2) TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-701272,PREDNISONE 0.5 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.04,880 CDM,RX-701274,PREDNISONE 1.25 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.04,880 CDM,RX-701279,PRIMIDONE 125 MG PARTIAL (1/2) TABLET,6.0,3.9,2.98,6.0,884 CDM,RX-701280,PROBENECID 250 MG PARTIAL (1/2) TABLET,7.3,4.75,3.63,7.3,884 CDM,RX-701282,PROCHLORPERAZINE MALEATE 2.5 MG PARTIAL (1/2) TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-701283,PROMETHAZINE 6.25 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701287,PROPRANOLOL 5 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-701292,PROPYLTHIOURACIL 25 MG PARTIAL (1/2) TABLET,8.9,5.79,4.42,8.9,884 CDM,RX-701295,PYRAZINAMIDE 250 MG PARTIAL (1/2) TABLET,11.8,7.67,5.86,11.8,884 CDM,RX-701299,QUINIDINE SULFATE 150 MG PARTIAL (1/2) TABLET,25.7,16.7,12.77,25.7,884 CDM,RX-701302,SALSALATE 250 MG PARTIAL (1/2) TABLET,7.1,4.62,3.53,7.1,884 CDM,RX-701303,SALSALATE 375 MG PARTIAL (1/2) TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-701311,SPIRONOLACTONE 12.5 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701314,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-701315,SULFASALAZINE 250 MG PARTIAL (1/2) TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-701318,TAMOXIFEN 5 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-701334,TRAZODONE 25 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701335,TRIAMTERENE 18.75 MG-HYDROCHLOROTHIAZIDE 12.5 MG PARTIAL (1/2) TABLET,6.1,3.97,3.03,6.1,884 CDM,RX-701343,TRIHEXYPHENIDYL 1 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701345,TRIMETHOPRIM 50 MG PARTIAL (1/2) TABLET,7.2,4.68,3.58,7.2,884 CDM,RX-701346,VERAPAMIL 60 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701347,VERAPAMIL 20 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701351,WARFARIN 1.25 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701353,WARFARIN 3.75 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701363,AMLODIPINE 1.25 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701369,AZATHIOPRINE 25 MG PARTIAL (1/2) TABLET,5.8,3.77,2.88,5.63,880 CDM,RX-701373,BENAZEPRIL 2.5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701374,BETAXOLOL 5 MG PARTIAL (1/2) TABLET,6.1,3.97,3.03,6.1,884 CDM,RX-701376,BROMOCRIPTINE 1.25 MG PARTIAL (1/2) TABLET,7.5,4.88,3.73,7.5,884 CDM,RX-701377,BUMETANIDE 0.25 MG PARTIAL (1/2) TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-701380,BUPROPION HCL 50 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-701381,BUPROPION HCL 37.5 MG PARTIAL (1/2) TABLET,6.7,4.36,3.33,6.7,884 CDM,RX-701383,BUSPIRONE 2.5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701389,CAPTOPRIL 6.25 MG PARTIAL (1/2) TABLET,6.5,4.22,3.23,6.5,884 CDM,RX-701392,CARBIDOPA 5 MG-LEVODOPA 50 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701393,CARBIDOPA 12.5 MG-LEVODOPA 50 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701394,CARBIDOPA 12.5 MG-LEVODOPA 125 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-701400,CEFUROXIME AXETIL 125 MG PARTIAL (1/2) TABLET,11.2,7.28,5.57,11.2,884 CDM,RX-701408,CLARITHROMYCIN 125 MG PARTIAL (1/2) TABLET,6.6,4.29,3.28,6.6,884 CDM,RX-701410,CLONAZEPAM 0.25 MG PARTIAL (1/2) TABLET,10.7,6.96,5.32,10.7,884 CDM,RX-701414,CLOZAPINE 12.5 MG PARTIAL (1/2) TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-701420,DOXAZOSIN 0.5 MG PARTIAL (1/2) TABLET,6.4,4.16,3.18,6.4,884 CDM,RX-701425,ENALAPRIL MALEATE 1.25 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-701437,CONJUGATED ESTROGENS 0.15 MG PARTIAL (1/2) TABLET,13.6,8.84,6.76,13.6,884 CDM,RX-701440,ETHACRYNIC ACID 12.5 MG PARTIAL (1/2) TABLET,36.0,23.4,17.89,36.0,884 CDM,RX-701441,ETHAMBUTOL 50 MG PARTIAL (1/2) TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-701450,FELBAMATE 200 MG PARTIAL (1/2) TABLET,10.8,7.02,5.37,10.8,884 CDM,RX-701451,FELBAMATE 300 MG PARTIAL (1/2) TABLET,8.8,5.72,4.37,8.8,884 CDM,RX-701452,FINASTERIDE 2.5 MG PARTIAL (1/2) TABLET,6.0,3.9,2.98,6.0,884 CDM,RX-701456,FLECAINIDE 25 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701459,FLUCONAZOLE 25 MG PARTIAL (1/2) TABLET,6.0,3.9,2.98,6.0,884 CDM,RX-701460,FLUDROCORTISONE 0.05 MG PARTIAL (1/2) TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-701465,FOSINOPRIL 5 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701468,GLIPIZIDE 2.5 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-701469,GLYBURIDE 0.625 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701471,GLYCOPYRROLATE 0.5 MG PARTIAL (1/2) TABLET,6.6,4.29,3.28,6.6,884 CDM,RX-701475,GUANFACINE 0.5 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701477,HYDROCORTISONE 2.5 MG PARTIAL (1/2) TABLET,6.5,4.22,3.23,6.5,884 CDM,RX-701479,HYDROXYCHLOROQUINE 100 MG PARTIAL (1/2) TABLET,7.4,4.81,3.68,7.4,884 CDM,RX-701480,INDAPAMIDE 0.625 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-701482,ISOSORBIDE MONONITRATE 5 MG PARTIAL (1/2) TABLET,9.9,6.44,4.92,9.9,884 CDM,RX-701484,KETOCONAZOLE 100 MG PARTIAL (1/2) TABLET,7.5,4.88,3.73,7.5,884 CDM,RX-701485,KETOROLAC 5 MG PARTIAL (1/2) TABLET,6.5,4.22,3.23,6.5,884 CDM,RX-701486,LABETALOL 50 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-701489,LEVOTHYROXINE 44 MCG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701490,LEVOTHYROXINE 56 MCG PARTIAL (1/2) TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-701499,"LITHIUM CARBONATE ER 225 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE",6.0,3.9,2.98,6.0,884 CDM,RX-701500,LORATADINE 5 MG PARTIAL (1/2) TABLET,2.4,1.56,1.19,2.4,884 CDM,RX-701508,MERCAPTOPURINE 25 MG PARTIAL (1/2) TABLET,7.0,4.55,3.48,7.0,884 CDM,RX-701509,METFORMIN 250 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701510,METHENAMINE HIPPURATE 0.5 GRAM PARTIAL (1/2) TABLET,8.8,5.72,4.37,8.8,884 CDM,RX-701512,METHIMAZOLE 2.5 MG PARTIAL (1/2) TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-701518,METOLAZONE 1.25 MG PARTIAL (1/2) TABLET,6.7,4.36,3.33,6.7,884 CDM,RX-701520,MIDODRINE 1.25 MG PARTIAL (1/2) TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-701522,MISOPROSTOL 50 MCG PARTIAL (1/2) TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-701527,NALTREXONE 25 MG PARTIAL (1/2) TABLET,8.3,5.4,4.13,8.3,884 CDM,RX-701528,NORETHINDRONE ACETATE 2.5 MG PARTIAL (1/2) TABLET,7.9,5.14,3.93,7.9,884 CDM,RX-701533,ONDANSETRON HCL 2 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701536,OXYCODONE 2.5 MG PARTIAL (1/2) TABLET,10.4,6.76,5.17,10.4,884 CDM,RX-701546,PHENYTOIN 25 MG PARTIAL (1/2) CHEWABLE TABLET,6.1,3.97,3.03,6.1,884 CDM,RX-701547,PHYTONADIONE (VITAMIN K1) 2.5 MG PARTIAL (1/2) TABLET,91.3,59.35,45.38,91.3,884 CDM,RX-701550,PRAVASTATIN 5 MG PARTIAL (1/2) TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-701553,PRAZIQUANTEL 300 MG PARTIAL (1/2) TABLET,98.2,63.83,48.81,98.2,884 CDM,RX-701554,PRIMIDONE 25 MG PARTIAL (1/2) TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-701555,PROPAFENONE 75 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-701556,PROPAFENONE 112.5 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-701560,PYRIDOSTIGMINE BROMIDE 30 MG PARTIAL (1/2) TABLET,6.0,3.9,2.98,6.0,884 CDM,RX-701561,"PYRIDOSTIGMINE BROMIDE ER 90 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE",21.2,13.78,10.54,21.2,884 CDM,RX-701566,QUINAPRIL 2.5 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701578,SIMVASTATIN 2.5 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-701580,SOTALOL 40 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701584,SUCRALFATE 0.5 GRAM PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-701592,WARFARIN 0.5 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701595,MECLIZINE 6.25 MG PARTIAL (1/2) TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-701597,"THEOPHYLLINE ER 150 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE,12 HR",10.7,6.96,5.32,10.7,884 CDM,RX-701598,"QUINIDINE GLUCONATE ER 162 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE",16.9,10.99,8.4,16.9,884 CDM,RX-701599,VENLAFAXINE 12.5 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-701603,VENLAFAXINE 18.75 MG PARTIAL (1/2) TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-701607,ESTRADIOL 0.25 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701608,TERBINAFINE HCL 125 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701613,PILOCARPINE 2.5 MG PARTIAL (1/2) TABLET,8.8,5.72,4.37,8.8,884 CDM,RX-701616,LISINOPRIL 1.25 MG PARTIAL (1/2) TABLET,6.0,3.9,2.98,6.0,884 CDM,RX-701618,VALACYCLOVIR 250 MG PARTIAL (1/2) TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-701623,"VERAPAMIL ER (SR) 60 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE",5.4,3.51,2.68,5.4,884 CDM,RX-701626,NEFAZODONE 50 MG PARTIAL (1/2) TABLET,6.9,4.49,3.43,6.9,884 CDM,RX-701627,NEFAZODONE 75 MG PARTIAL (1/2) TABLET,7.0,4.55,3.48,7.0,884 CDM,RX-701631,LAMOTRIGINE 12.5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701638,"VERAPAMIL ER (SR) 90 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE",5.3,3.45,2.63,5.3,884 CDM,RX-701639,TRAMADOL 25 MG PARTIAL (1/2) TABLET (RESTRICTED),10.3,6.7,5.12,10.3,884 CDM,RX-701640,METFORMIN 425 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701641,GRANISETRON HCL 0.5 MG PARTIAL (1/2) TABLET,8.5,5.53,4.22,8.5,884 CDM,RX-701644,TIZANIDINE 1 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701646,LOSARTAN 12.5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701648,DOXYLAMINE SUCCINATE 12.5 MG PARTIAL (1/2) TABLET,2.4,1.56,1.19,2.4,884 CDM,RX-701650,MOEXIPRIL 3.75 MG PARTIAL (1/2) TABLET,6.1,3.97,3.03,6.1,884 CDM,RX-701657,RIMANTADINE 50 MG PARTIAL (1/2) TABLET,8.6,5.59,4.27,8.6,884 CDM,RX-701659,SOTALOL 60 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701666,ACARBOSE 25 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-701669,DESMOPRESSIN 0.05 MG PARTIAL (1/2) TABLET,7.9,5.14,3.93,7.9,884 CDM,RX-701673,RILUZOLE 25 MG PARTIAL (1/2) TABLET,7.8,5.07,3.88,7.8,884 CDM,RX-701675,GLIMEPIRIDE 0.5 MG PARTIAL (1/2) TABLET,6.4,4.16,3.18,6.4,884 CDM,RX-701678,PAROXETINE 5 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701682,"HYOSCYAMINE ER 0.188 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE,12 HR",5.9,3.84,2.93,5.9,884 CDM,RX-701683,TRANDOLAPRIL 0.5 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-701686,HYOSCYAMINE 0.0625 MG PARTIAL (1/2) SUBLINGUAL TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701701,BISOPROLOL FUMARATE 2.5 MG PARTIAL (1/2) TABLET,6.3,4.09,3.13,6.3,884 CDM,RX-701702,BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 3.125 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701704,BISOPROLOL 1.25 MG-HYDROCHLOROTHIAZIDE 3.125 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701708,TORSEMIDE 2.5 MG PARTIAL (1/2) TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-701714,CARVEDILOL 1.5625 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701715,DONEPEZIL 2.5 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701717,LEVOFLOXACIN 125 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701719,TOPIRAMATE 12.5 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701722,ATORVASTATIN 5 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701725,CABERGOLINE 0.25 MG PARTIAL (1/2) TABLET,18.2,11.83,9.05,18.2,884 CDM,RX-701726,WARFARIN 1.5 MG PARTIAL (1/2) TABLET,8.7,5.66,4.32,8.7,884 CDM,RX-701731,SERTRALINE 12.5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701737,FLUVOXAMINE 12.5 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-701741,AZITHROMYCIN 125 MG PARTIAL (1/2) TABLET,6.2,4.03,3.08,6.2,884 CDM,RX-701743,OLANZAPINE 1.25 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701748,PRAMIPEXOLE 0.0625 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701754,NEFAZODONE 25 MG PARTIAL (1/2) TABLET,6.8,4.42,3.38,6.8,884 CDM,RX-701756,FEXOFENADINE 30 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-701758,ROPINIROLE 0.125 MG PARTIAL (1/2) TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-701766,QUETIAPINE 12.5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701775,CLOPIDOGREL 37.5 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-701787,REPAGLINIDE 0.25 MG PARTIAL (1/2) TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-701793,URSODIOL 125 MG PARTIAL (1/2) TABLET,8.6,5.59,4.27,8.6,884 CDM,RX-701795,TOLTERODINE 0.5 MG PARTIAL (1/2) TABLET,7.2,4.68,3.58,7.2,884 CDM,RX-701797,SILDENAFIL 12.5 MG PARTIAL (1/2) TABLET,48.0,31.2,23.86,48.0,884 CDM,RX-701804,CANDESARTAN 2 MG PARTIAL (1/2) TABLET,8.7,5.66,4.32,8.7,884 CDM,RX-701814,LEFLUNOMIDE 5 MG PARTIAL (1/2) TABLET,8.7,5.66,4.32,8.7,884 CDM,RX-701822,LAMIVUDINE 50 MG PARTIAL (1/2) TABLET,12.6,8.19,6.26,12.6,884 CDM,RX-701824,CILOSTAZOL 25 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701826,"ISOSORBIDE MONONITRATE ER 15 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE 24 HR",5.3,3.45,2.63,5.3,884 CDM,RX-701827,CHOLECALCIFEROL (VITAMIN D3) 5 MCG (200 UNIT) PARTIAL (1/2) TABLET,2.3,1.5,1.14,2.3,884 CDM,RX-701839,CIPROFLOXACIN 125 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701846,RISPERIDONE 0.125 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701848,PIOGLITAZONE 7.5 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-701858,ENTACAPONE 100 MG PARTIAL (1/2) TABLET,11.8,7.67,5.86,11.8,884 CDM,RX-701860,CARBIDOPA 12.5 MG PARTIAL (1/2) TABLET,6.4,4.16,3.18,6.4,884 CDM,RX-701861,LEVETIRACETAM 125 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-701863,LEVETIRACETAM 375 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-701864,MOXIFLOXACIN 200 MG PARTIAL (1/2) TABLET,7.9,5.14,3.93,7.9,884 CDM,RX-701867,OXCARBAZEPINE 75 MG PARTIAL (1/2) TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-701874,ESTRADIOL-NORETHINDRONE ACET 0.5 MG-0.25 MG PARTIAL (1/2) TABLET,54.9,35.69,27.29,54.9,884 CDM,RX-701878,COLESEVELAM 312.5 MG PARTIAL (1/2) TABLET,10.5,6.83,5.22,10.5,884 CDM,RX-701895,TELMISARTAN 10 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-701904,GALANTAMINE 2 MG PARTIAL (1/2) TABLET,10.7,6.96,5.32,10.7,884 CDM,RX-701908,BUSPIRONE 3.75 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701909,VALGANCICLOVIR 225 MG PARTIAL (1/2) TABLET,22.1,14.37,10.98,22.1,884 CDM,RX-701911,CITALOPRAM 5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701919,TENOFOVIR DISOPROXIL FUMARATE 150 MG PARTIAL (1/2) TABLET,9.9,6.44,4.92,9.9,884 CDM,RX-701923,BOSENTAN 31.25 MG PARTIAL (1/2) TABLET,386.5,251.23,192.09,386.5,884 CDM,RX-701939,VALSARTAN 20 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-701942,METAXALONE 400 MG PARTIAL (1/2) TABLET,8.7,5.66,4.32,8.7,884 CDM,RX-701943,EZETIMIBE 5 MG PARTIAL (1/2) TABLET,15.9,10.34,7.9,15.9,884 CDM,RX-701957,CYCLOBENZAPRINE 2.5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701960,"POTASSIUM CHLORIDE ER 5 MEQ PARTIAL (1/2) TABLET,EXTENDED RELEASE(PART/CRYST)",5.6,3.64,2.78,5.6,884 CDM,RX-701966,ARIPIPRAZOLE 2.5 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-701967,ROSUVASTATIN 2.5 MG PARTIAL (1/2) TABLET,6.7,4.36,3.33,6.7,884 CDM,RX-701969,AMIODARONE 50 MG PARTIAL (1/2) TABLET,9.6,6.24,4.77,9.6,884 CDM,RX-701971,EPLERENONE 12.5 MG PARTIAL (1/2) TABLET,23.7,15.41,11.78,23.7,884 CDM,RX-701977,MEMANTINE 2.5 MG PARTIAL (1/2) TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-701982,ESCITALOPRAM 2.5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-701984,CINACALCET 15 MG PARTIAL (1/2) TABLET,50.8,33.02,25.25,50.8,884 CDM,RX-701989,MIRTAZAPINE 3.75 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-701995,TROSPIUM 10 MG PARTIAL (1/2) TABLET (RESTRICTED),6.1,3.97,3.03,6.1,884 CDM,RX-702005,FENOFIBRATE NANOCRYSTALLIZED 24 MG PARTIAL (1/2) TABLET,6.4,4.16,3.18,6.4,884 CDM,RX-702006,FENOFIBRATE NANOCRYSTALLIZED 72.5 MG PARTIAL (1/2) TABLET,7.6,4.94,3.78,7.6,884 CDM,RX-702010,SOLIFENACIN 2.5 MG PARTIAL (1/2) TABLET,24.9,16.18,12.38,24.9,884 CDM,RX-702015,ENTECAVIR 0.25 MG PARTIAL (1/2) TABLET,31.1,20.22,15.46,31.1,884 CDM,RX-702017,SILDENAFIL 10 MG PARTIAL (1/2) TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-702019,RAMELTEON 4 MG PARTIAL (1/2) TABLET,25.4,16.51,12.62,25.4,884 CDM,RX-702027,ARIPIPRAZOLE 1 MG PARTIAL (1/2) TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-702044,HYDROCHLOROTHIAZIDE 6.25 MG PARTIAL (1/2) TABLET,6.0,3.9,2.98,6.0,884 CDM,RX-702065,NEBIVOLOL 1.25 MG PARTIAL (1/2) TABLET,13.0,8.45,6.46,13.0,884 CDM,RX-702082,RUFINAMIDE 100 MG PARTIAL (1/2) TABLET,21.3,13.85,10.59,21.3,884 CDM,RX-702095,FEBUXOSTAT 20 MG PARTIAL (1/2) TABLET,22.0,14.3,10.93,22.0,884 CDM,RX-702103,DRONEDARONE 200 MG PARTIAL (1/2) TABLET,21.9,14.24,10.88,21.9,884 CDM,RX-702149,CLOBAZAM 5 MG PARTIAL (1/2) TABLET,10.8,7.02,5.37,10.8,884 CDM,RX-702156,LURASIDONE 10 MG PARTIAL (1/2) TABLET,62.6,40.69,31.11,62.6,884 CDM,RX-702158,APIXABAN 1.25 MG PARTIAL (1/2) TABLET,17.3,11.25,8.6,17.3,884 CDM,RX-702180,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM (WRAPPER)",453.1,294.51,225.19,444.04,880 CDM,RX-702184,VORTIOXETINE 5 MG PARTIAL (1/2) TABLET,25.4,16.51,12.62,25.4,884 CDM,RX-702210,ALLOPURINOL 25 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-702211,ALLOPURINOL 75 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-702215,ARIPIPRAZOLE 0.5 MG PARTIAL (1/4) TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-702218,ATENOLOL 6.25 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702220,ATORVASTATIN 2.5 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702222,BISOPROLOL FUMARATE 1.25 MG PARTIAL (1/4) TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-702223,BOSENTAN 15.625 MG PARTIAL (1/4) TABLET,186.9,121.49,92.89,186.9,884 CDM,RX-702224,BUMETANIDE 0.125 MG PARTIAL (1/4) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-702225,CAPTOPRIL 3.125 MG PARTIAL (1/4) TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-702226,CARBAMAZEPINE 25 MG CHEWABLE PARTIAL (1/4) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-702227,CARBIDOPA 6.25 MG-LEVODOPA 25 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-702228,CARVEDILOL 0.7813 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-702229,CHLORTHALIDONE 6.25 MG PARTIAL (1/4) TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-702230,CIPROFLOXACIN 62.5 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-702231,CITALOPRAM 2.5 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702232,CLONIDINE HCL 0.025 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702233,CLOZAPINE 6.25 MG PARTIAL (1/4) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-702234,CYCLOBENZAPRINE 1.25 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702236,DESMOPRESSIN 0.025 MG PARTIAL (1/4) TABLET,6.5,4.22,3.23,6.5,884 CDM,RX-702237,DIGOXIN 31.25 MCG PARTIAL (1/4) TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-702238,DILTIAZEM 7.5 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702239,ENALAPRIL MALEATE 0.625 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702241,EZETIMIBE 2.5 MG PARTIAL (1/4) TABLET,10.5,6.83,5.22,10.5,884 CDM,RX-702242,FELBAMATE 100 MG PARTIAL (1/4) TABLET,7.9,5.14,3.93,7.9,884 CDM,RX-702243,FELBAMATE 150 MG PARTIAL (1/4) TABLET,6.9,4.49,3.43,6.9,884 CDM,RX-702244,FINASTERIDE 1.25 MG PARTIAL (1/4) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-702245,FLECAINIDE 12.5 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-702246,FLUCONAZOLE 12.5 MG PARTIAL (1/4) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-702247,FLUDROCORTISONE 0.025 MG PARTIAL (1/4) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-702248,FOLIC ACID 0.25 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-702249,FOSINOPRIL 2.5 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-702250,FUROSEMIDE 5 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702252,GLIMEPIRIDE 0.25 MG PARTIAL (1/4) TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-702253,GLIPIZIDE 1.25 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702254,GLYCOPYRROLATE 0.25 MG PARTIAL (1/4) TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-702255,GUANFACINE 0.25 MG PARTIAL (1/4) TABLET,6.3,4.09,3.13,6.3,884 CDM,RX-702256,HALOPERIDOL 0.125 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702257,HYDRALAZINE 2.5 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702258,HYDROCORTISONE 1.25 MG PARTIAL (1/4) TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-702259,HYDROXYCHLOROQUINE 50 MG PARTIAL (1/4) TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-702260,ISONIAZID 25 MG PARTIAL (1/4) TABLET,6.5,4.22,3.23,6.5,884 CDM,RX-702261,"ISOSORBIDE MONONITRATE ER 7.5 MG EXTENDED RELEASE 24 HR, PARTIAL (1/4) TABLET",5.3,3.45,2.63,5.3,884 CDM,RX-702262,LABETALOL 25 MG PARTIAL (1/4) TABLET TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-702263,LAMIVUDINE 25 MG PARTIAL (1/4) TABLET TABLET,14.6,9.49,7.26,14.6,884 CDM,RX-702265,LAMOTRIGINE 6.25 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702267,LISINOPRIL 0.625 MG PARTIAL (1/4) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-702268,LITHIUM CARBONATE 75 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-702269,LOSARTAN 6.25 MG PARTIAL (1/4) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-702270,MEGESTROL 5 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-702271,MERCAPTOPURINE 12.5 MG PARTIAL (1/4) TABLET,6.0,3.9,2.98,6.0,884 CDM,RX-702272,METAXALONE 200 MG PARTIAL (1/4) TABLET,6.9,4.49,3.43,6.9,884 CDM,RX-702273,METFORMIN 125 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702275,METOCLOPRAMIDE 1.25 MG PARTIAL (1/4) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-702276,METOLAZONE 0.625 MG PARTIAL (1/4) TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-702277,METOPROLOL TARTRATE 6.25 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702278,"METOPROLOL SUCCINATE ER 6.25 MG EXTENDED RELEASE 24 HR, PARTIAL (1/4) TABLET",5.2,3.38,2.58,5.2,884 CDM,RX-702279,MINOXIDIL 0.625 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-702281,MISOPROSTOL 25 MCG PARTIAL (1/4) TABLET,5.5,3.58,2.73,5.5,884 CDM,RX-702283,NADOLOL 5 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-702284,NALTREXONE 12.5 MG PARTIAL (1/4) TABLET,6.7,4.36,3.33,6.7,884 CDM,RX-702285,NAPROXEN 62.5 MG PARTIAL (1/4) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-702287,NEOMYCIN 125 MG PARTIAL (1/4) TABLET,5.7,3.71,2.83,5.7,884 CDM,RX-702288,OLANZAPINE 0.625 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-702289,ONDANSETRON HCL 1 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702290,OXYBUTYNIN CHLORIDE 1.25 MG PARTIAL (1/4) TABLET,5.3,3.45,2.63,5.3,884 CDM,RX-702291,PAROXETINE 2.5 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702292,PHENAZOPYRIDINE 25 MG PARTIAL (1/4) TABLET,6.5,4.22,3.23,6.5,884 CDM,RX-702294,PHENYTOIN 12.5 MG CHEWABLE PARTIAL (1/4) TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-702295,PHYTONADIONE (VITAMIN K1) 1.25 MG PARTIAL (1/4) TABLET,54.6,35.49,27.14,54.6,884 CDM,RX-702296,PRAVASTATIN 2.5 MG PARTIAL (1/4) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-702297,PRAZIQUANTEL 150 MG PARTIAL (1/4) TABLET,54.1,35.17,26.89,54.1,884 CDM,RX-702298,PRIMIDONE 12.5 MG PARTIAL (1/4) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-702299,PYRIDOSTIGMINE BROMIDE 15 MG PARTIAL (1/4) TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-702300,QUETIAPINE 6.25 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-702301,"QUINIDINE GLUCONATE ER 81 MG PARTIAL (1/4) TABLET,EXTENDED RELEASE",11.0,7.15,5.47,11.0,884 CDM,RX-702302,ROSUVASTATIN 1.25 MG PARTIAL (1/4) TABLET,5.9,3.84,2.93,5.9,884 CDM,RX-702303,SALSALATE 125 MG PARTIAL (1/4) TABLET,6.1,3.97,3.03,6.1,884 CDM,RX-702304,SILDENAFIL 5 MG PARTIAL (1/4) TABLET,5.4,3.51,2.68,5.4,884 CDM,RX-702305,SILDENAFIL 6.25 MG PARTIAL (1/4) TABLET,25.5,16.58,12.67,25.5,884 CDM,RX-702306,SOTALOL 20 MG PARTIAL (1/4) TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-702307,SPIRONOLACTONE 6.25 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702309,TOPIRAMATE 6.25 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702310,TRAZODONE 12.5 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702311,TRIAMTERENE 9.375 MG-HYDROCHLOROTHIAZIDE 6.25 MG PARTIAL (1/4) TABLET,5.6,3.64,2.78,5.6,884 CDM,RX-702312,TRIHEXYPHENIDYL 0.5 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-702313,VALSARTAN 10 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-702315,VERAPAMIL 10 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 CDM,RX-702316,VERAPAMIL 30 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702317,WARFARIN 0.25 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702318,WARFARIN 0.625 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 CDM,RX-702320,ANTIHEMOPHILIC FACTOR-VWF -- HUMATE-P (BRAND SPLIT) (RESTRICTED),40.5,26.33,1.49,39.29,884 CDM,RX-702324,"ANTIHEMOPHILIC FVIII,FULL LENGTH (ALB-FREE) -- ADVATE (BRAND SPLIT) (RESTRICTED)",41.3,26.85,1.61,40.06,884 CDM,RX-702328,COAGULATION FACTOR IX (RECOMB) -- BENEFIX (BRAND SPLIT) (RESTRICTED),39.6,25.74,1.85,38.81,884 CDM,RX-702339,KIT FOR PREPARATION OF TC 99M-SODIUM THIOSULFATE 2 MG SOLN (FILTERED),451.0,293.15,250.31,2977.0,880 CDM,RX-702353,RUBIDIUM RB-82 CHLORIDE INTRAVENOUS SOLUTION,661.0,429.65,366.86,2977.0,880 CDM,RX-702354,YTTRIUM-90 MICROSPHERES 3 GBQ/5 ML FOR INTRAVENOUS SOLUTION,41487.5,26966.88,17771.01,40242.88,884 CDM,RX-702355,YTTRIUM-90 MICROSPHERES 3-20 GBQ/0.6 ML FOR INTRAVENOUS SOLUTION,42870.0,27865.5,17771.01,41583.9,884 CDM,RX-702356,IODINE-125 (I-125) SEED,495.0,321.75,274.73,2977.0,880 CDM,RX-702357,CHOLINE-11 (C-11) 33.1 MCI/ML INTRAVENOUS SOLUTION,6840.0,4446.0,2516.43,6634.8,884 CDM,RX-702358,SODIUM FLUORIDE F-18 (F-18) 91.5 MCI/ML INTRAVENOUS SOLUTION,375.0,243.75,208.13,2977.0,880 CDM,RX-702359,SODIUM IODIDE-131 (I-131) > 100 MICROCURIE DIAGNOSTIC CAPSULE,42.5,27.63,23.59,2977.0,880 CDM,RX-702361,INDIUM-111 CHARCOAL CAPSULE,506.0,328.9,280.83,2977.0,880 CDM,RX-702362,AMMONIA (N-13) 37.5 MCI/ML INTRAVENOUS SOLUTION,1327.5,862.88,736.76,2977.0,880 CDM,RX-702363,CHROMIC PHOSPHATE P-32 45 MCI/3 ML INJECTION SUSPENSION,1100.0,715.0,546.7,1100.0,880 CDM,RX-702364,SODIUM PHOSPHATE P-32 10 MCI/4 ML INTRAVENOUS SOLUTION,1080.0,702.0,278.24,1047.6,884 CDM,RX-702369,INDIUM IN-111 OXYQUINOLINE WBC INTRAVENOUS SOLN,6563.0,4265.95,1103.19,6366.11,884 CDM,RX-702378,CEFUROXIME 50 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.2,3.38,2.58,5.2,884 CDM,RX-702382,AMIKACIN 250 MG/ML SOLUTION FOR INHALATION,40.2,26.13,19.98,38.99,880 CDM,RX-702406,AZITHROMYCIN 500 MG/250 ML IN 0.9% NACL (CNR),83.8,54.47,41.65,81.29,880 CDM,RX-702420,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),36.5,23.73,18.14,35.41,880 CDM,RX-702424,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/1 ML IM (WRAPPER),65.1,42.32,32.35,63.8,880 CDM,RX-702450,"PENICILLIN G POTASSIUM 10,000 UNIT/ML SYRINGE-SKIN TEST (CNR)",75.1,48.82,37.32,73.6,880 CDM,RX-702462,GENTAMICIN 80 MG/1000 ML STERILE IRRIGATION (WILSON'S SOLUTION) (CNR),346.0,224.9,171.96,346.0,880 CDM,RX-702466,LIDOCAINE 0.5 MG/ML-EPINEPHRINE 1 MCG/ML IN LACTATED RINGERS (TUMESCENT-PLASTICS)(CNR),45.4,29.51,22.56,45.4,880 CDM,RX-702471,VANCOMYCIN 1000 MG/260 ML NACL 0.9% (CNR),86.0,55.9,42.74,83.42,880 CDM,RX-702529,FOSAPREPITANT 150 MG/250 ML IN 0.9% NACL (CNR),257.3,167.25,127.88,249.58,880 CDM,RX-702588,"ACD-A 1000 ML + HEPARIN 5,000 UNITS (APHERESIS)",208.5,135.53,103.62,208.5,880 CDM,RX-702606,PAPAVERINE 30 MG-PHENTOLAMINE 1 MG-ALPROSTADIL 10 MCG/ML (TRIPLET AGENT AN1) INJECTION,256.1,166.47,127.28,256.1,884 CDM,RX-702608,PAPAVERINE 18 MG-PHENTOLAMINE 0.6 MG-ALPROSTADIL 6 MCG/ML (TRIPLE AGENT AN) INJECTION,243.4,158.21,120.97,243.4,884 CDM,RX-702611,MORPHINE 1 MG/ML INHALATION SOLUTION (CNR),11.3,7.35,5.62,11.3,880 CDM,RX-702628,LIDOCAINE (PF) 40 MG/ML (4 %) INJ SOLUTION FOR RESPIRATORY ROUTES,11.1,7.22,5.52,11.1,880 CDM,RX-702657,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 10% IV SOLUTION (RESTRICTED)",2356.7,1531.86,78.8,2286.0,884 CDM,RX-702658,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 10% IV SOLUTION (RESTRICTED)",6145.2,3994.38,78.8,5960.84,884 CDM,RX-702670,"HIGH K BLOOD CARDIOPLEGIA SOLUTION (CNR) KCL 100, NA BICARB 50 MEQ IN LR 1000 ML",214.4,139.36,106.56,214.4,880 CDM,RX-702671,"LOW K BLOOD CARDIOPLEGIA SOLUTION (CNR) KCL 50 MEQ, NA BICARB 50 MEQ IN LR 1000 ML",199.0,129.35,98.9,199.0,880 CDM,RX-702685,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION INFUSION (BAG-HYPERBARIC USE),77.8,50.57,38.67,75.47,880 CDM,RX-702691,TRANEXAMIC ACID 100 MG/ML IV SOLUTION FOR NASAL SPRAY,354.3,230.3,176.09,354.3,880 CDM,RX-702702,D5W 500 ML FOR IMPELLA,140.35,91.22999999999999,39.91,200.4,2640 CDM,RX-702714,MITOMYCIN 0.5 MG/ML TOPICAL TRACHEAL SOLUTION (CNR),88.0,57.2,20.35,85.36,884 CDM,RX-702722,SILVER NITRATE 10 % CONC IRRIGATION (STERILE) (RST PROD LAB),219.3,142.54,108.99,219.3,880 CDM,RX-702729,RANIBIZUMAB 0.3 MG/0.05 ML INTRAVITREAL SOLUTION (WRAPPER),4788.4,3112.46,86.38,4788.4,884 CDM,RX-702738,ASCORBIC ACID (ASCORBATE SODIUM)(VITAMIN C) 500 MG/ML INJ SOLN (WRAPPER),39.6,25.74,19.68,38.41,880 CDM,RX-702744,CALCIUM CHLORIDE 1 GM/60 ML IN 0.9% NACL (CNR),105.1,68.32,52.23,105.1,880 CDM,RX-7028,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION",39.5,25.68,19.63,39.5,880 CDM,RX-702803,SULFUR HEXAFLUORIDE MICROSPHERES (DIAGNOSTIC) INTRAVENOUS SUSPENSION,618.9,402.29,307.59,600.33,880 CDM,RX-702804,LIDOCAINE 10 MG/ML (1%) STRAIGHT DRUG FOR INTRAPLEURAL USE (WRAPPER),37.4,24.31,18.59,37.4,880 CDM,RX-702833,HYDROMORPHONE (PF) 0.1 MG/ML (100 MCG/ML) INTRATHECAL INJECTION DILUTION (CNR),70.2,45.63,34.89,68.09,880 CDM,RX-702834,HEPARIN 5000 UNITS-NITROGLYCERIN 4 MG-VERAPAMIL 10 MG IN NACL 0.9% 1009.8 ML NON-PVC (CNR),239.4,155.61,118.98,239.4,880 CDM,RX-702835,PAPAVERINE 30 MG-PHENTOLAMINE 2 MG-ALPROSTADIL 20 MCG/ML (AN2) INJECTION (FLA-CNR),686.7,446.36,341.29,686.7,884 CDM,RX-702838,MILRINONE 40 MG/100 ML (400 MCG/ML) IN NACL 0.9% (CNR),196.8,127.92,97.81,190.9,880 CDM,RX-70284,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",3.2,2.08,1.59,3.2,884 CDM,RX-702842,IOTHALAMATE MEGLUMINE 30% INJECTION (WRAPPER) CNR/PROD LAB/COMMERCIAL,35.4,23.01,17.59,34.34,880 CDM,RX-702848,"EMBOLIZATION MICROSPHERES (ONCOZENE) 100 MIC, 3 ML AFTER DRUG ADDITION",6810.0,4426.5,3384.57,6810.0,880 CDM,RX-70285,FLUOCINOLONE ACETONIDE OIL 0.01 % EAR DROPS,157.7,102.51,78.38,157.7,884 CDM,RX-702853,ALUMINUM CHLORIDE 70% SOLUTION,99.0,64.35,49.2,99.0,884 CDM,RX-702854,TRICHLOROACETIC ACID 30 % TOPICAL SOLUTION (CNR),88.0,57.2,43.74,88.0,880 CDM,RX-702857,ONABOTULINUMTOXINA 2 UNITS/0.1 ML (CNR),300.0,195.0,6.5,349.2,1768 CDM,RX-702862,TRICHLOROACETIC ACID 20% TOPICAL SOLUTION (CNR),78.3,50.9,38.92,78.3,880 CDM,RX-70287,ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION,6290.6,4088.89,44.11,6101.88,884 CDM,RX-702882,ROPIVACAINE PNC 0.2% AMBIT PUMP 600 ML - FLA (CNR),568.3,369.4,282.45,551.25,880 CDM,RX-702887,LIDOCAINE 0.1%-EPINEPHRINE 0.62 MCG/ML IN NACL 0.9% 1000 ML BAG (CNR),91.3,59.35,45.38,91.3,880 CDM,RX-702900,GENTAMICIN IRRIGATION 10 MG IN NACL 0.9% 500 ML (CNR) FLA,53.5,34.78,26.59,51.9,880 CDM,RX-702934,SARGRAMOSTIM 250 MCG/ML SOLUTION FOR INHALATION (USING INJECTION VIAL),980.0,637.0,50.37,950.6,884 CDM,RX-702938,ASPIRIN 0.1 MG/ML ORAL SOLUTION FOR DESENSITIZATION,5.4,3.51,2.68,5.4,884 CDM,RX-702941,NACL 0.9% INTRAPLEURAL FLUSH,80.1,52.07,38.32,81.3,3520 CDM,RX-703000,"PENICILLIN G 500,000 UNITS/ML STOCK SOLUTION FOR DESENSITIZATION",189.4,123.11,94.13,183.72,880 CDM,RX-703008,AMPICILLIN 250 MG/ML STOCK SOLUTION FOR DESENSITIZATION,114.4,74.36,56.86,110.97,880 CDM,RX-703018,NAFCILLIN 250 MG/ML STOCK SOLUTION FOR DESENSITIZATION,68.9,44.79,34.24,68.9,880 CDM,RX-703033,CLOPIDOGREL 0.5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.6,3.64,2.78,5.6,884 CDM,RX-703036,CIPROFLOXACIN 10 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.8,3.77,2.88,5.8,884 CDM,RX-703039,CEFPODOXIME 5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,7.1,4.62,3.53,7.1,884 CDM,RX-703042,AMOXICILLIN 5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.2,3.38,2.58,5.2,884 CDM,RX-703048,CEPHALEXIN 5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.1,3.32,2.53,5.1,884 CDM,RX-703051,PENICILLIN V POTASSIUM 5 MG/ML STOCK SOLUTION FOR ORAL DESENSITIZATION,5.1,3.32,2.53,5.1,884 CDM,RX-703057,SULFAMETHOXAZOLE 10 MG-TRIMETHOPRIM 2 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.5,3.58,2.73,5.5,884 CDM,RX-703058,CEFAZOLIN 200 MG/ML STOCK SOLUTION FOR DESENSITIZATION,50.2,32.63,24.95,48.69,880 CDM,RX-70306,ARIPIPRAZOLE 2 MG TABLET,5.8,3.77,2.88,5.8,884 CDM,RX-703061,CEFEPIME 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,59.0,38.35,29.32,57.23,880 CDM,RX-703073,CEFTAZIDIME 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,137.1,89.12,68.14,132.99,880 CDM,RX-703076,CEFTRIAXONE FOR DESENSITIZATION 100 MG/ML STOCK SOLUTION,77.7,50.51,38.62,75.37,880 CDM,RX-703088,AZTREONAM 250 MG/ML STOCK SOLUTION FOR DESENSITIZATION,531.6,345.54,264.21,531.6,880 CDM,RX-703093,PIPERACILLIN-TAZOBACTAM 225 MG/ML STOCK SOLUTION FOR DESENSITIZATION,245.6,159.64,122.06,238.23,880 CDM,RX-703100,ALTEPLASE 12.5 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),386.5,251.23,94.45,374.91,884 CDM,RX-703105,CEFTAZIDIME 2.25 MG/0.1 ML INTRAOCULAR INJECTION (CNR),36.7,23.86,18.24,35.6,880 CDM,RX-703106,DEXAMETHASONE 400 MCG/0.1 ML (4 MG/ML) INTRAOCULAR INJECTION (1 ML PARABEN-FREE COMMERCIAL VIAL),115.9,75.33,57.6,112.42,880 CDM,RX-703118,MEROPENEM 50 MG/ML STOCK SOLUTION FOR DESENSITIZATION,87.7,57.01,43.59,85.07,880 CDM,RX-703128,AZITHROMYCIN 2 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,8.2,5.33,4.08,8.2,884 CDM,RX-703130,AZITHROMYCIN 100 MG/ML STOCK SOLUTION FOR IV DESENSITIZATION,46.4,30.16,23.06,45.01,880 CDM,RX-703143,CLARITHROMYCIN 50 MG/ML ORAL SOLUTION FOR DESENSITIZATION,5.1,3.32,2.53,5.1,884 CDM,RX-703146,ERTAPENEM 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,141.5,91.98,70.33,137.26,880 CDM,RX-703150,VANCOMYCIN 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,120.2,78.13,59.74,116.59,880 CDM,RX-703164,AMPHOTERICIN B LIPOSOME 4 MG/ML STOCK SOLUTION FOR DESENSITIZATION,354.3,230.3,21.48,343.67,884 CDM,RX-703243,NEONATAL STD BASE SOLUTION - SODIUM ACETATE 0.28% WITH HEPARIN 1 UNIT/ML INFUSION (CNR),66.1,42.97,32.85,66.1,880 CDM,RX-703245,VANCOMYCIN 2 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),37.0,24.05,18.39,35.89,880 CDM,RX-703249,GENTAMICIN 1 MG/ML-HEPARIN 2500 UNITS/ML LOCK SOLUTION (CNR),39.5,25.68,19.63,38.32,880 CDM,RX-703314,VALPROIC ACID (AS SODIUM SALT) 50 MG/ML ORAL SOLUTION (WRAPPER),9.7,6.31,4.82,9.7,884 CDM,RX-703315,PHENYTOIN 25 MG/ML ORAL SUSPENSION (WRAPPER),6.0,3.9,2.98,6.0,884 CDM,RX-703316,MEGESTROL 40 MG/ML ORAL SUSPENSION (WRAPPER),19.3,12.55,9.59,19.3,884 CDM,RX-703317,LITHIUM CITRATE 8 MEQ/5 ML ORAL SOLUTION (WRAPPER),42.8,27.82,21.27,42.8,884 CDM,RX-703318,MIDAZOLAM 2 MG/ML SYRUP (WRAPPER),227.9,148.13,113.27,227.9,884 CDM,RX-703359,"MESALAMINE 400 MG CAPSULE, DELAYED RELEASE (WRAPPER)",12.8,8.32,6.36,12.8,884 CDM,RX-703360,"OMEGA 3-DHA-EPA-FISH OIL 1,000 MG CAPSULE (WRAPPER)",2.7,1.75,1.34,2.7,884 CDM,RX-703361,SODIUM POLYSTYRENE SULFONATE-SORBITOL ORAL SUSP 15 GM/60 ML (WRAPPER),82.8,53.82,41.15,82.8,884 CDM,RX-703362,VITAMIN E 45 MG (100 UNIT) CAPSULE (WRAPPER),2.1,1.37,1.04,2.1,884 CDM,RX-703363,"HEPARIN (PORCINE) 5,000 UNITS/ML INJECTION SOLUTION (WRAPPER)",39.1,25.42,19.43,37.93,881 CDM,RX-703366,GLUCAGON 1 MG/ML INJECTION (WRAPPER),563.1,366.02,148.99,546.21,884 CDM,RX-703367,HYALURONIDASE 150 UNIT/ML INJECTION (WRAPPER),228.5,148.53,113.56,223.93,880 CDM,RX-703374,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9% NACL SYRINGE (WRAPPER),37.0,24.05,18.39,35.89,880 CDM,RX-703378,CEFAZOLIN 3 G/65 ML IN 0.9% NACL (CNR),86.4,56.16,42.94,83.81,880 CDM,RX-7034,SALSALATE 500 MG TABLET,6.4,4.16,3.18,6.4,884 CDM,RX-703409,LIDOCAINE 0.9 %-SODIUM BICARBONATE 0.84% BUFFERED (WRAPPER),35.2,22.88,17.49,35.2,880 CDM,RX-703425,MITOMYCIN 40 MG INTRAVENOUS SOLUTION 2 MG/ML (BLADDER INSTILL EQUIVALENCY),690.6,448.89,20.35,669.88,884 CDM,RX-703426,MITOMYCIN 20 MG INTRAVENOUS SOLUTION 2 MG/ML (BLADDER INSTILL EQUIVALENCY),395.3,256.95,20.35,383.44,884 CDM,RX-703434,INSULIN REGULAR INFUSION 100 U/100 ML (1 UNIT/ML) IN NACL 0.9% (CNR/PREMIX) WRAPPER,202.0,131.3,100.39,195.94,880 CDM,RX-703437,NITROGLYCERIN 100 MCG/1 ML IN NACL 0.9% DILUTION INJECTION,51.0,33.15,25.35,51.0,880 CDM,RX-703444,KETAMINE 10 MG/ML ORAL SOLUTION (REPACKAGED INJ FOR ORAL ADMIN),10.3,6.7,5.12,10.3,880 CDM,RX-703459,OCTREOTIDE ACETATE 100 MCG/ML INJECTION (WRAPPER),42.9,27.89,21.32,42.9,884 CDM,RX-703471,VANCOMYCIN 1.25 GRAM/262.5 ML IN 0.9% NACL (CNR),191.9,124.74,95.37,186.14,880 CDM,RX-703472,VANCOMYCIN 1.5 GRAM/265 ML IN 0.9% NACL (CNR),199.4,129.61,99.1,193.42,880 CDM,RX-703473,VANCOMYCIN 1.75 GRAM/267.5 ML IN 0.9% NACL (CNR/ROBOT),208.3,135.4,103.53,202.05,880 CDM,RX-703483,MENTHOL (ANY STRENGTH) LOZENGES (WRAPPER),2.3,1.5,1.14,2.3,884 CDM,RX-703484,MULTIVITAMIN/MINERAL-PRENATAL (WRAPPER),5.2,3.38,2.58,5.2,884 CDM,RX-703487,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR (WRAPPER),98.9,64.28,49.15,96.92,880 CDM,RX-703491,VITAMIN E 180 MG (400 UNIT) CAPSULE (WRAPPER),2.3,1.5,1.14,2.3,884 CDM,RX-7035,SALSALATE 750 MG TABLET,6.3,4.09,3.13,6.3,884 CDM,RX-703537,N-BUTYRIC ACID ENEMA (SHORT CHAIN FATTY ACID),33.8,21.97,16.8,33.8,884 CDM,RX-703542,NITROGLYCERIN IN D5W 100 MCG/ML INTRA-ARTERIAL SYRINGE,36.9,23.99,18.34,36.9,880 CDM,RX-703582,CANTHARIDIN 0.7% TOPICAL SOLUTION IN FLEXIBLE COLLODION,218.2,141.83,108.45,218.2,880 CDM,RX-703601,ASPIRIN 20.25 MG PARTIAL (1/4) CHEWABLE TABLET,0.5,0.33,0.25,0.5,884 CDM,RX-703607,AMINOCAPROIC ACID 15 G/300 ML (50 MG/ML) IN 0.9% NACL (CNR),204.6,132.99,101.69,204.6,880 CDM,RX-703612,AZATHIOPRINE 5 MG/ML ORAL SUSPENSION,458.3,297.89,227.78,444.55,880 CDM,RX-703623,CLOPIDOGREL 5 MG/ML ORAL SUSPENSION,66.6,43.29,33.1,66.6,884 CDM,RX-703678,AMPHOTERICIN B 5 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),182.2,118.43,90.55,176.73,880 CDM,RX-703692,GANCICLOVIR 2000 MCG/0.05 ML INTRAOCULAR INJECTION (CNR),224.1,145.66,111.38,219.62,880 CDM,RX-703696,METHYLPREDNISOLONE SOD SUCC (PF) 10 MG/ML (1%) OPHTHALMIC SOLUTION (CNR),79.3,51.55,39.41,79.3,884 CDM,RX-703698,MITOMYCIN 0.4 MG/ML (0.04 %) IN HYPROMELLOSE OPHTHALMIC SOLUTION (CNR),127.3,82.75,63.27,127.3,880 CDM,RX-703714,URSODIOL 20 MG/ML ORAL SUSPENSION (CNR),645.0,419.25,320.57,645.0,884 CDM,RX-703818,DIGOXIN 50 MCG/ML ORAL SOLUTION (WRAPPER),413.4,268.71,205.46,413.4,884 CDM,RX-703838,ROPIVACAINE PNC 0.2% STRAIGHT DRUG 200 ML (FLA),187.3,121.75,93.09,181.68,880 CDM,RX-703843,TOBRAMYCIN 15 MG/ML (1.5%) OPHTHALMIC SOLUTION (CNR),73.9,48.04,36.73,73.9,884 CDM,RX-703846,VANCOMYCIN 25 MG/0.5 ML (PF) SUBCONJUNCTIVAL INJECTION,754.7,490.56,375.09,732.06,880 CDM,RX-703848,VANCOMYCIN 50 MG/ML (5%) OPHTHALMIC SOLUTION (CNR),59.6,38.74,29.62,59.6,884 CDM,RX-703849,VANCOMYCIN 1000 MCG/0.1 ML INTRAOCULAR SOLUTION (CNR),35.5,23.08,17.64,34.44,880 CDM,RX-703851,VORICONAZOLE 100 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),154.5,100.43,76.79,149.87,880 CDM,RX-703853,CEFAZOLIN 5 MG/ML LOCK SOLUTION (CNR),35.3,22.95,17.54,34.24,1760 CDM,RX-703854,CEFAZOLIN 5 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),36.3,23.6,18.04,35.21,880 CDM,RX-703855,CEFAZOLIN 5 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR),35.8,23.27,17.79,34.73,1760 CDM,RX-703856,CEFAZOLIN 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),36.5,23.73,18.14,35.41,880 CDM,RX-703857,CEFEPIME 5 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),35.8,23.27,17.79,34.73,1760 CDM,RX-703858,CEFEPIME 5 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR),36.0,23.4,17.89,34.92,880 CDM,RX-703859,CEFEPIME 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),37.7,24.51,18.74,36.57,880 CDM,RX-703860,VANCOMYCIN 5 MG/ML LOCK SOLUTION (CNR),36.5,23.73,18.14,35.41,880 CDM,RX-703861,VANCOMYCIN 5 MG/ML-SODIUM CITRATE 3.8% LOCK SOLUTION (CNR),35.4,23.01,17.59,34.34,1760 CDM,RX-703862,VANCOMYCIN 2.5 MG/ML-GENTAMICIN 1 MG/ML LOCK SOLUTION (CNR),35.8,23.27,17.79,35.8,880 CDM,RX-703863,VANCOMYCIN 2.5 MG/ML-GENTAMICIN 1 MG/ML-SODIUM CITRATE 3.8% LOCK SOLN (CNR),35.4,23.01,17.59,35.4,880 CDM,RX-703864,VANCOMYCIN 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),37.2,24.18,18.49,36.08,880 CDM,RX-703865,AMPHOTERICIN B 2.5 MG/ML LOCK SOLUTION (CNR) (RESTRICTED),51.7,33.6,25.69,50.15,880 CDM,RX-703866,DAPTOMYCIN 5 MG/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),36.4,23.66,18.09,35.31,880 CDM,RX-703868,ETHAMBUTOL 10 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.1,3.32,2.53,5.1,884 CDM,RX-703873,DAPTOMYCIN 5 MG/ML-HEPARIN 100 UNITS/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),51.2,33.28,25.45,49.66,880 CDM,RX-703874,AMIKACIN 5 MG/ML LOCK SOLUTION (CNR),36.2,23.53,17.99,35.11,880 CDM,RX-703876,GENTAMICIN 5 MG/ML LOCK SOLUTION (CNR),36.3,23.6,18.04,35.21,880 CDM,RX-703877,GENTAMICIN 1 MG/ML-SODIUM CITRATE 3.9% LOCK SOLUTION (CNR),35.4,23.01,17.59,34.34,880 CDM,RX-703878,ETHANOL (ETHYL ALCOHOL) 30%-SODIUM CITRATE 2.8% LOCK SOLUTION (CNR)(RESTRICTED),725.0,471.25,360.33,725.0,880 CDM,RX-703881,LINEZOLID 2 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR) (RESTRICTED),36.0,23.4,17.89,34.92,880 CDM,RX-703904,SODIUM CHLORIDE INTRATHECAL PUMP INFUSION,40.3,26.2,20.03,40.3,880 CDM,RX-70392,SULFACETAMIDE-PREDNISOLONE 10 %-0.23 % (0.25 %) EYE DROPS,105.2,68.38,52.28,105.2,884 CDM,RX-703921,LINEZOLID 2 MG/ML LOCK SOLUTION (REPACKAGED BAG) IN 5% DEXTROSE (RESTRICTED),35.3,22.95,17.54,34.24,880 CDM,RX-703922,LINEZOLID 1 MG/ML IN SODIUM CITRATE 2% LOCK SOLUTION (CNR) (RESTRICTED),36.5,23.73,18.14,35.41,880 CDM,RX-703923,DAPTOMYCIN 5 MG/ML-HEPARIN 1000 UNITS/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),38.0,24.7,18.89,36.86,880 CDM,RX-703959,INSULIN ASPART SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,189.1,122.92,93.98,183.43,880 CDM,RX-703960,INSULIN GLULISINE SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,343.2,223.08,170.57,332.9,880 CDM,RX-703961,INSULIN LISPRO SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,229.1,148.91,113.86,222.23,880 CDM,RX-703963,INSULIN REGULAR SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML BASAL,171.7,111.61,85.33,166.55,880 CDM,RX-703964,SODIUM BICARBONATE 1 MEQ/ML ORAL SOLUTION,33.4,21.71,16.6,33.4,880 CDM,RX-703971,ADENOSINE 6 MCG/ML INTRAVENOUS SOLUTION,35.2,22.88,17.49,34.14,880 CDM,RX-704000,HUM PROTHROMBIN CPLX (PCC) 4FACTOR (KCENTRA) (BRAND SPLIT) IV,42.7,27.76,2.14,41.85,884 CDM,RX-704013,METHACHOLINE CHLORIDE 25 MG/ML SOLUTION FOR CHALLENGE,46.6,30.29,23.16,45.67,880 CDM,RX-704014,METHACHOLINE CHLORIDE 10 MG/ML SOLUTION FOR CHALLENGE,22.4,14.56,11.13,21.95,880 CDM,RX-704015,METHACHOLINE CHLORIDE 2.5 MG/ML SOLUTION FOR CHALLENGE,9.0,5.85,4.47,8.82,880 CDM,RX-704016,METHACHOLINE CHLORIDE 0.25 MG/ML SOLUTION FOR CHALLENGE,5.5,3.58,2.73,5.39,880 CDM,RX-704017,METHACHOLINE CHLORIDE 0.025 MG/ML SOLUTION FOR CHALLENGE,5.5,3.58,2.73,5.39,880 CDM,RX-704032,SODIUM CHLORIDE 1 GRAM TABLET (WRAPPER),2.3,1.5,1.14,2.3,884 CDM,RX-704037,DEXAMETHASONE 10 MG/ML INJECTION SOLUTION (WRAPPER),38.5,25.03,19.13,37.35,880 CDM,RX-704038,BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (WRAPPER),36.2,23.53,17.99,35.11,880 CDM,RX-704039,BUPIVACAINE 0.5 % (5 MG/ML) INJECTION SOLUTION (WRAPPER),36.1,23.47,17.94,35.02,880 CDM,RX-704040,RANIBIZUMAB 0.5 MG/0.05 ML INTRAVITREAL SOLUTION (WRAPPER),7697.3,5003.25,86.38,7697.3,884 CDM,RX-704041,LIDOCAINE 20 MG/ML (2 %) INJECTION SOLUTION (WRAPPER),35.9,23.34,17.84,35.9,880 CDM,RX-704058,ZINC SULFATE 44 MG/ML (10 MG/ML ELEMENTAL) ORAL SUSPENSION,8.1,5.27,4.03,8.1,884 CDM,RX-704064,NACL 0.45% IV SOLP CRRT,89.0,57.85,40.75,211.8,2640 CDM,RX-704111,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 NACL INJECTION ANES ONLY,81.9,53.24,40.7,81.9,880 CDM,RX-704113,NITROGLYCERIN 50 MG/250 ML INJECTION ANES,189.0,122.85,93.93,183.33,880 CDM,RX-704115,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION ANES ONLY,70.6,45.89,35.09,70.6,880 CDM,RX-704117,KETAMINE 10 MG/ML INFUSION (WRAPPER) ANES ONLY,98.3,63.9,48.86,98.3,880 CDM,RX-704122,OXYCODONE 20 MG/ML ORAL CONCENTRATE (WRAPPER),13.0,8.45,6.46,13.0,884 CDM,RX-704130,MESNA 100 MG/ML INJECTION FOR ORAL USE,32.5,21.13,16.15,31.53,880 CDM,RX-704146,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INJECTION FOR ORAL USE,101.4,65.91,22.07,164.4,2640 CDM,RX-704149,LIDOCAINE 10 MG/ML (1%) INJECTION FOR INHALATION USE,35.3,22.95,17.54,35.3,880 CDM,RX-704154,SODIUM CHLORIDE 2.5 MEQ/ML INJECTION FOR ORAL USE,6.6,4.29,3.28,6.6,880 CDM,RX-704158,CALCIUM CHLORIDE 100 MG/ML (10%) INJECTION FOR ORAL USE,21.3,13.85,10.59,21.3,880 CDM,RX-704159,CALCIUM GLUCONATE 100 MG/ML (10%) INJECTION FOR ORAL USE,114.4,74.36,56.86,110.97,880 CDM,RX-704166,VALPROATE SODIUM 100 MG/ML INJECTION FOR ORAL USE,13.0,8.45,6.46,12.61,880 CDM,RX-704176,MIDAZOLAM 5 MG/ML INJECTION FOR NASAL,75.5,49.08,37.52,73.24,880 CDM,RX-704181,IRON SUCROSE 20 MG/ML INJECTION WRAPPER,116.1,75.47,57.7,112.62,880 CDM,RX-704266,TRANEXAMIC ACID 100 MG/ML INHALATION SOLUTION (VIAL & REPACKAGED INJ),40.1,26.07,19.93,40.1,880 CDM,RX-704294,"WATER FOR IRRIGATION, STERILE SOLUTION (WRAPPER INCLUDES SWFI)",54.7,35.56,27.19,54.7,880 CDM,RX-70434,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",6.0,3.9,2.98,6.0,884 CDM,RX-704346,CIPROFLOXACIN IVPB 2 MG/ML (NEO/PED) - DRAWN UP FROM PREMIX BAG,84.1,54.67,41.8,81.58,880 CDM,RX-704373,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION (MIXTURE RECORD USE ONLY),91.5,59.48,45.48,91.5,880 CDM,RX-704395,"GENTAMICIN 0.08 MG/ML-RIFAMPIN 0.6 MG/ML IN NACL 0.9% IRRIGATION (1,000 ML BAG) CNR",646.0,419.9,321.06,646.0,880 CDM,RX-704419,DEXTROSE 20 % IN WATER (D20W) IV BOLUS (NEO/PED),192.3,125.0,95.57,192.3,880 CDM,RX-704421,CALCIUM CHLORIDE 100 MG/ML (10 %) IV BOLUS (NEO/PED),55.9,36.34,27.78,55.9,880 CDM,RX-704423,CALCIUM GLUCONATE 100 MG/ML (10 %) IV BOLUS (NEO/PED),170.4,110.76,84.69,165.29,880 CDM,RX-704427,ANTI-INHIBITOR COAGULANT COMPLEX (FEIBA)(WRAPPER),44.4,28.86,2.41,44.4,884 CDM,RX-704432,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION (PEDS HYPERKALEMIA),171.7,111.61,85.33,171.7,884 CDM,RX-704475,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION (WRAPPER)",60.2,39.13,29.92,58.39,880 CDM,RX-704529,HYALURONIDASE 30 UNIT/0.2 ML SYRINGES (EXTRAVASATION) 150 UNIT VIAL,228.5,148.53,113.56,223.93,880 CDM,RX-704534,SODIUM CHLORIDE 3 % INTRAVENOUS BOLUS SOLUTION,83.8,54.47,41.65,83.8,880 CDM,RX-704535,KIT FOR PREPARATION OF TC-99M-EXAMETAZIME WBC 0.5 MG INTRAVENOUS KIT,225.0,146.25,124.88,2977.0,884 CDM,RX-704542,"DESVENLAFAXINE ER 50 MG TABLET,EXTENDED RELEASE 24 HOUR (WRAPPER)",7.0,4.55,3.48,7.0,884 CDM,RX-704544,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION (FOR IM USE ONLY),37.4,24.31,18.59,36.28,880 CDM,RX-704546,PENTAMIDINE 300 MG SOLUTION FOR INHALATION (USING INJECTION SOLN),157.6,102.44,78.33,152.87,880 CDM,RX-704557,FLUCONAZOLE 2 MG/ML-SODIUM CHLORIDE(ISO) IVPB DRAWN UP FROM PREMIX BAG,82.4,53.56,40.95,79.93,880 CDM,RX-704566,ALPHA-1-PROTEINASE INHIBITOR (PROLASTIN C LIQUID)(BRAND SPLIT) 1000 MG +/-/20 ML,37.1,24.12,5.46,35.99,884 CDM,RX-704567,ALPHA-1-PROTEINASE INHIBITOR -- ZEMAIRA (BRAND SPLIT),37.3,24.25,5.46,36.18,884 CDM,RX-704580,SODIUM IODIDE-123 >/= 1 MILLICURIE CAPSULE,76.0,49.4,42.18,2977.0,880 CDM,RX-704581,IBANDRONATE 3 MG/3 ML INTRAVENOUS SOLUTION (WRAPPER),269.3,175.05,133.84,263.91,880 CDM,RX-704593,KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION (MIBI),145.0,94.25,80.48,2977.0,880 CDM,RX-704615,HYDROCORTISONE 1 %-PRAMOXINE 1 % FOAM (WRAPPER),618.5,402.03,307.39,618.5,884 CDM,RX-704618,MORPHINE CONCENTRATE 20 MG/ML ORAL SOLUTION (WRAPPER),10.25,6.665,5.07,10.3,1768 CDM,RX-704619,GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION (WRAPPER),36.9,23.99,18.34,35.79,880 CDM,RX-704620,GADOBUTROL 15 MMOL/15 ML (1 MMOL/ML) INTRAVENOUS SOLUTION (WRAPPER),36.9,23.99,18.34,35.79,880 CDM,RX-704643,THIAMINE (VITAMIN B1) 100 MG TABLET (WRAPPER),2.6,1.69,1.29,2.6,884 CDM,RX-704645,MITOMYCIN 1 MG/ML WITH IOHEXOL INTRAVENOUS SOLUTION (FOR OR USE ONLY),371.4,241.41,20.35,360.26,884 CDM,RX-704646,GEMCITABINE 190 MG/5 ML INTRATUMORAL SYRINGE (FOR OR USE ONLY),144.9,94.19,72.02,140.55,880 CDM,RX-704649,RITUXIMAB 10 MG/ML INTRAOCULAR SYRINGE (FOR OR USE ONLY),137.1,89.12,68.14,132.99,884 CDM,RX-704657,EPINEPHRINE 1 MG IN NACL 0.9% 3000 ML IRRIGATION SOLUTION (CNR),57.5,37.38,28.58,57.5,880 CDM,RX-704658,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION (WRAPPER),557.7,362.51,277.18,557.7,884 CDM,RX-704660,SODIUM IODIDE-123 < 1 MILLICURIE CAPSULE,76.0,49.4,42.18,2977.0,880 CDM,RX-704661,SODIUM IODIDE-123 < 1 MILLICURIE ORAL SOLUTION,76.0,49.4,42.18,2977.0,880 CDM,RX-704662,SODIUM IODIDE-123 >/= 1 MILLICURIE ORAL SOLUTION,759.0,493.35,421.25,2977.0,880 CDM,RX-704663,SODIUM IODIDE-131 (I-131) 100 MICROCURIE DIAGNOSTIC SOLUTION,42.5,27.63,23.59,2977.0,880 CDM,RX-704665,SODIUM IODIDE-131 (I-131) 2.0 CM,824.0,535.6,375.32,3117.0,884 CPT,11400,HC EXCISN BEN LESN TR/LMB <=0.5CM,2347.0,1525.55,653.8,3191.0,1768 CPT,11400,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.5 CM OR LESS FACILITY",,,653.8,3191.0,23 CPT,11401,HC EXCISN BEN LESN TR/EXT 0.6-1CM,933.0,606.45,375.32,3117.0,884 CPT,11401,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,375.32,3117.0,23 CPT,11402,HC EXCISN BEN LESN TR/EXT 1.1-2CM,1679.0,1091.35,653.8,3191.0,884 CPT,11402,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 1.1-2.0 CM FACILITY",,,653.8,3191.0,23 CPT,11403,HC EXCISN BEN LESN TR/EXT 2.1-3CM,1672.0,1086.8,653.8,3191.0,884 CPT,11403,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 2.1-3.0 CM FACILITY-EXPRESS CARE",,,653.8,3191.0,23 CPT,11404,HC EXCISN BEN LESN TR/EXT 3.1-4CM,3650.0,2372.5,1524.88,4396.0,884 CPT,11404,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 3.1-4.0 CM FACILITY",,,1524.88,4396.0,23 CPT,11406,HC EXCISN BEN LESN TR/EXT >4CM,3647.0,2370.55,1524.88,4396.0,884 CPT,11406,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, MORE THAN 4.0 CM FACILITY",,,1524.88,13605.0,23 CPT,11420,HC EXCISN BEN LESN S/N/H/F <=0.5,3706.0,2408.9,1524.88,4396.0,1768 CPT,11420,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.5 CM OR LESS FACILITY",,,4618.63,13605.0,23 CPT,11421,HC EXCISN BEN LESN S/N/H/F .6-1CM,1679.0,1091.35,653.8,3191.0,884 CPT,11421,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.6-1.0 CM FACILITY",,,653.8,3191.0,23 CPT,11422,HC EXCISN BEN LESN S/N/H 1.1-2CM,3852.0,2503.8,1524.88,4396.0,884 CPT,11422,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 1.1-2.0 CM FACILITY",,,1524.88,4396.0,23 CPT,11423,HC EXCISN BEN LESN S/N/H 2.1-3CM,3647.0,2370.55,1524.88,4396.0,884 CPT,11423,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 2.1-3.0 CM FACILITY",,,1524.88,4396.0,23 CPT,11424,HC EXCISN BEN LESN S/N/H 3.1-4CM,3674.0,2388.1,1524.88,4396.0,884 CPT,11424,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 3.1-4.0 CM FACILITY",,,1524.88,4396.0,23 CPT,11426,HC EXCISN BEN LESN S/N/H/F >4.0CM,6011.0,3907.15,2681.85,8220.0,884 CPT,11426,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, MORE THAN 4.0 CM FACILITY",,,2988.75,8220.0,23 CPT,11440,HC EXCISN BEN LESN F/E/EY/NO/L/M<=.5CM,1618.0,1051.7,653.8,3191.0,884 CPT,11440,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.5 CM OR LESS FACILITY",,,2681.85,8220.0,23 CPT,11441,HC EXCISN BEN LESN F/E/EY/NO/L .6-1CM,1608.0,1045.2,653.8,3191.0,884 CPT,11441,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.6-1.0 CM FACILITY",,,653.8,3191.0,23 CPT,11442,HC EXCISN BEN LESN F/E/EY/NO 1.1-2CM,1668.0,1084.2,653.8,3191.0,884 CPT,11442,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 1.1-2.0 CM FACILITY",,,653.8,3191.0,23 CPT,11443,HC EXCISN BEN LESN F/E/EY/NO 2.1-3CM,3466.0,2252.9,1524.88,4396.0,884 CPT,11443,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.1-3.0 CM FACILITY",,,1524.88,4396.0,23 CPT,11444,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 3.1-4.0 CM FACILITY",,,2681.85,8220.0,23 CPT,11446,HC EXCISN BEN LESN F/E/EY/NO/L/M >4CM,5770.0,3750.5,2681.85,8220.0,884 CPT,11446,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, MORE THAN 4.0 CM FACILITY",,,2681.85,8220.0,23 CPT,11450,HC EXCISN SKN HDRDNTS AXLRY SMPL,5730.0,3724.5,2681.85,8220.0,884 CPT,11450,REMOVAL OF SKIN AND TISSUE OF UNDERARMS FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR FACILITY,,,2681.85,8220.0,23 CPT,11451,REMOVAL OF SKIN AND TISSUE OF UNDERARMS FOR INFLAMED SWEAT GLANDS WITH COMPLEX REPAIR,,,2681.85,8220.0,23 CPT,11462,HC EXCISN SKN HDRDNTS INGNL SMPL,6923.0,4499.95,2681.85,8220.0,884 CPT,11462,REMOVAL OF SKIN AND TISSUE OF GROIN FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR FACILITY,,,2681.85,8220.0,23 CPT,11463,REMOVAL OF SKIN AND TISSUE OF GROIN FOR INFLAMED SWEAT GLANDS WITH COMPLICATED REPAIR,,,2681.85,8220.0,23 CPT,11470,REMOVAL OF SKIN AND TISSUE OF ANUS OR NAVEL FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR FACILITY,,,2681.85,8220.0,23 CPT,11471,REMOVAL OF SKIN AND TISSUE OF ANUS OR NAVEL FOR INFLAMED SWEAT GLANDS WITH COMPLICATED REPAIR,,,2681.85,13605.0,23 CPT,11600,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.5 CM OR LESS FACILITY",,,3615.02,13605.0,23 CPT,11601,HC EXCISN LESN MLG TR/LMB .6-1CM,1570.0,1020.5,653.8,3191.0,884 CPT,11601,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,3615.02,13605.0,23 CPT,11602,HC EXCISN LESN MLG TR/LMB 1.1-2CM,944.0,613.6,375.32,3117.0,884 CPT,11602,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 1.1-2.0 CM FACILITY",,,375.32,3117.0,23 CPT,11603,HC EXCISN LESN MLG TR/LMB 2.1-3CM,1601.0,1040.65,653.8,3191.0,884 CPT,11603,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 2.1-3.0 CM FACILITY",,,653.8,3191.0,23 CPT,11604,HC EXCISN LESN MLG TR/LMB 3.1-4CM,1635.0,1062.75,653.8,3191.0,884 CPT,11604,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 3.1-4.0 CM FACILITY",,,653.8,3191.0,23 CPT,11606,HC EXCISN LESN MLG TR/LMB >4CM,3443.0,2237.95,1524.88,4396.0,884 CPT,11606,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, MORE THAN 4.0 CM FACILITY",,,6130.69,13605.0,23 CPT,11621,HC EXCISN LESN MLG NK/EXT .6-1CM,3520.0,2288.0,653.8,3449.6,1768 CPT,11621,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.6-1.0 CM FACILITY",,,2681.85,8220.0,23 CPT,11622,HC EXCISN LESN MLG NK/EXT 1.1-2CM,1538.0,999.7,653.8,3191.0,884 CPT,11622,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 1.1-2.0 CM FACILITY",,,653.8,3191.0,23 CPT,11623,HC EXCISN LESN MLG NK/EXT 2.1-3CM,3525.0,2291.25,1524.88,4396.0,884 CPT,11623,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 2.1-3.0 CM FACILITY",,,1524.88,4396.0,23 CPT,11624,HC EXCISN LESN MLG NK/EXT 3.1-4CM,3524.0,2290.6,1524.88,4396.0,884 CPT,11624,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 3.1-4.0 CM FACILITY",,,1524.88,4396.0,23 CPT,11626,HC EXCISN LESN MLG NK/EXT >4CM,6026.0,3916.9,2681.85,8220.0,884 CPT,11626,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, MORE THAN 4.0 CM FACILITY",,,2681.85,8220.0,23 CPT,11641,HC EXCISN LESN MLG F/E/EY/NO/L .6-1CM,1615.0,1049.75,653.8,3191.0,884 CPT,11641,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.6-1.0 CM FACILITY",,,2681.85,8220.0,23 CPT,11642,HC EXCISN LESN MLG F/E/EY/NO 1.1-2CM,1485.0,965.25,653.8,3191.0,884 CPT,11642,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 1.1-2.0 CM FACILITY",,,1524.88,4396.0,23 CPT,11643,HC EXCISN LESN MLG F/E/EY/NO 2.1-3CM,3490.0,2268.5,1524.88,4396.0,884 CPT,11643,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.1-3.0 CM FACILITY",,,1524.88,4396.0,23 CPT,11644,HC EXCISN LESN MLG F/E/EY/NO 3.1-4CM,3524.0,2290.6,1524.88,4396.0,884 CPT,11644,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 3.1-4.0 CM FACILITY",,,1524.88,4396.0,23 CPT,11646,HC EXCISN LESN MLG F/E/EY/NO/L/M >4CM,5535.0,3597.75,2681.85,8220.0,884 CPT,11646,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, MORE THAN 4.0 CM FACILITY",,,2681.85,13605.0,23 CPT,11730,HC AVUL NAIL PLATE SMPL,474.0,308.1,185.24,3045.0,1768 CPT,11730,"SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED, FIRST NAIL FACILITY",,,185.24,3045.0,23 CPT,11740,HC EVAC SUBUNGUAL HEMA,366.0,237.9,122.84,366.0,884 CPT,11750,HC EXCISN NAIL BED PRTL/COMPLT,878.5,571.025,375.32,3117.0,2652 CPT,11750,PERMANENT REMOVAL FINGERNAIL OR TOENAIL FACILITY,,,3020.95,13605.0,23 CPT,11755,BIOPSY OF FINGERNAIL OR TOENAIL FACILITY,,,653.8,3191.0,23 CPT,11755,HC BX NAIL UNIT,1608.0,1045.2,653.8,3191.0,884 CPT,11760,HC RPR NAIL BED,1498.0,973.6999999999999,497.84,3117.0,1768 CPT,11765,HC EXCISN INGROWN TOENAIL,2986.0,1940.9,375.32,3117.0,884 CPT,11770,SIMPLE REMOVAL OF CYST OF TAILBONE FACILITY,,,2681.85,8220.0,23 CPT,11771,EXTENSIVE REMOVAL OF CYST OF TAILBONE PROFESSIONAL,,,2681.85,8220.0,23 CPT,11772,COMPLICATED REMOVAL OF CYST OF TAILBONE PROFESSIONAL,,,2681.85,8220.0,23 CPT,11900,HC INJ INTRALESN <=7 LESN,451.0,293.15,185.24,3045.0,884 CPT,11900,"INJECTION INTO SKIN GROWTH, 1-7 GROWTHS FACILITY",,,185.24,3045.0,23 CPT,11901,"INJECTION INTO SKIN GROWTH, MORE THAN 7 GROWTHS FACILITY",,,6.5,3191.0,23 CPT,11950,"INJECTION OF FILLING MATERIAL UNDER SKIN, 1.0 CC OR LESS FACILITY",,,185.24,3045.0,23 CPT,11960,INSERTION OF TISSUE EXPANDER,,,3271.83,13605.0,23 CPT,11970,REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT IMPLANT,,,6699.47,13605.0,23 CPT,11971,REMOVAL OF TISSUE EXPANDER,,,2681.85,8220.0,23 CPT,11981,INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE FACILITY,,,682.37,3117.0,23 CPT,11982,HC RMVL DRUG IMPL,3831.0,2490.15,412.45,3754.38,884 CPT,11982,REMOVAL OF DRUG DELIVERY IMPLANT FROM TISSUE FACILITY,,,412.45,3117.0,23 CPT,12001,HC SMPL RPR S/NK/TR/EXT <=2.5CM,593.0,385.45,185.24,3045.0,1768 CPT,12001,"SIMPLE REPAIR OF SURFACE WOUND OF SCALP, NECK, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.5 CM OR LESS FACILITY",,,682.37,3117.0,23 CPT,12002,HC SMPL S/NK/TR/EXT 2.6-7.5CM,646.5,420.225,185.24,3045.0,1768 CPT,12002,"SIMPLE REPAIR OF SURFACE WOUND OF SCALP, NECK, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.6-7.5 CM FACILITY",,,682.37,3117.0,23 CPT,12004,HC SMPL RPR S/N/TR/EXT 7.6-12.5CM,664.5,431.92499999999995,185.24,3045.0,1768 CPT,12005,HC SMPL RPR S/NK/TR/EXT 12.6-20CM,860.0,559.0,375.32,3117.0,884 CPT,12006,HC SMPL RPR S/NK/TR/EXT 20.1-30CM,3937.0,2559.05,375.32,3937.0,884 CPT,12007,HC SMPL RPR SCLP/NK/TR/EXT >30CM,2829.0,1838.85,185.24,3045.0,884 CPT,12011,HC SMPL RPR F/E/EY/NO/L/M<=2.5CM,727.0,472.55,185.24,3045.0,1768 CPT,12011,"SIMPLE REPAIR OF SURFACE WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.5 CM OR LESS FACILITY",,,682.37,3117.0,23 CPT,12013,HC SMPL RPR F/E/EY/NO/L/M 2.6-5CM,1015.5,660.075,185.24,3045.0,1768 CPT,12013,"SIMPLE REPAIR OF SURFACE WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.6-5.0 CM FACILITY",,,682.37,3117.0,23 CPT,12014,HC SMPL RPR F/E/EY/NO/L/M 5.1-7.5CM,619.0,402.35,185.24,3045.0,884 CPT,12014,"SIMPLE REPAIR OF SURFACE WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 5.1-7.5 CM FACILITY",,,682.37,3117.0,23 CPT,12015,HC SMPL RPR F/E/EY/N/L/M 7.6-12.5CM,3246.0,2109.9,185.24,3246.0,884 CPT,12016,HC SMPL RPR F/E/EY/N/L/M 12.6-20CM,992.0,644.8,375.32,3117.0,884 CPT,12020,HC TX WND DEHIS SMPL,3299.0,2144.35,682.37,3299.0,884 CPT,12020,SIMPLE CLOSURE OF SURFACE WOUND REOPENING FACILITY,,,682.37,3117.0,23 CPT,12021,HC TX WND DEHIS W PACKING,3485.0,2265.25,375.32,3380.45,884 CPT,12021,REPAIR OF SEPARATION OF WOUND CLOSURE WITH INSERTION OF PACKING FACILITY,,,375.32,3117.0,23 CPT,12031,HC INT RPR SCLP/AX/TR/EXT <=2.5,913.0,593.45,375.32,3117.0,1768 CPT,12031,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.5 CM OR LESS FACILITY",,,375.32,3191.0,23 CPT,12032,HC INT RPR SCLP/AX/TR/EXT 2.6-7.5,919.0,597.35,375.32,3117.0,1768 CPT,12032,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.6-7.5 CM FACILITY",,,375.32,3191.0,23 CPT,12034,HC INT RPR SCLP/AX/TR/EXT 7.6-12.5,923.5,600.275,375.32,3117.0,1768 CPT,12034,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 7.6-12.5 CM FACILITY",,,375.32,3191.0,23 CPT,12035,HC INT RPR SCLP/AX/TR/EXT 12.6-20,926.5,602.225,375.32,3117.0,1768 CPT,12035,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 12.6-20.0 CM FACILITY",,,375.32,3191.0,23 CPT,12036,HC INT RPR SCLP/AX/TR/EXT 20-30,1294.0,841.1,682.37,3117.0,884 CPT,12036,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 20.1-30.0 CM FACILITY",,,2681.85,4396.0,23 CPT,12037,HC INT RPR SCLP/AX/TR/EXT >30.0,7638.0,4964.7,1904.97,7638.0,884 CPT,12037,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, MORE THAN 30.0 CM",,,1524.88,5243.0,23 CPT,12041,HC INT RPR NK/HND/FT/EXG <=2.5,873.0,567.45,375.32,3117.0,1768 CPT,12041,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 2.5 CM OR LESS FACILITY",,,682.37,3117.0,23 CPT,12042,HC INT RPR NK/HND/FT/EXG 2.6-7.5,920.0,598.0,375.32,3117.0,1768 CPT,12042,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 2.6-7.5 CM FACILITY",,,375.32,3117.0,23 CPT,12044,HC INT RPR NK/HND/FT/EXG 7.6-12.5,1374.5,893.425,682.37,3117.0,1768 CPT,12044,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 7.6-12.5 CM FACILITY",,,1524.88,4396.0,23 CPT,12045,HC INT RPR NK/HND/FT/EXG 12.6-20,3577.0,2325.05,682.37,3577.0,884 CPT,12045,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 12.6-20.0 CM FACILITY",,,2681.85,4396.0,23 CPT,12051,HC INT RPR F/E/EY/NO/L/M <=2.5,888.0,577.2,375.32,3117.0,1768 CPT,12051,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.5 CM OR LESS FACILITY",,,375.32,3191.0,23 CPT,12052,HC INT F/E/EY/NO/L/M 2.6-5,902.0,586.3,375.32,3117.0,1768 CPT,12052,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.6-5.0 CM FACILITY",,,375.32,3117.0,23 CPT,12053,HC INT RPR F/E/EY/NO/L/M 5.1-7.5,930.5,604.825,375.32,3117.0,1768 CPT,12053,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 5.1-7.5 CM FACILITY",,,375.32,3117.0,23 CPT,12054,HC INT RPR F/E/EY/NO/L/M 7.6-12.5,901.0,585.65,375.32,3117.0,884 CPT,12054,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 7.6-12.5 CM FACILITY",,,682.37,3117.0,23 CPT,12055,HC INT RPR F/E/EY/NO/L/M 12.6-20,875.0,568.75,375.32,3117.0,884 CPT,12055,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 12.6-20.0 CM FACILITY",,,375.32,3117.0,23 CPT,12056,HC INT RPR F/E/EY/NO/L/M 20.1-30,858.0,557.7,375.32,3117.0,884 CPT,12056,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 20.1-30.0 CM FACILITY",,,2681.85,8220.0,23 CPT,13101,"COMPLICATED REPAIR OF WOUND OF TRUNK, 2.6-7.5 CM FACILITY",,,682.37,3117.0,23 CPT,13101,HC CMPLX RPR TRUNK 2.6-7.5CM,1386.5,901.2249999999999,682.37,3117.0,1768 CPT,13102,"COMPLICATED REPAIR OF WOUND OF TRUNK, EACH ADDITIONAL 5.0 CM OR LESS FACILITY",,,1524.88,4396.0,23 CPT,13102,HC CMPLX RPR TRUNK EA <=5CM,1527.5,992.875,775.82,6376.0,1760 CPT,13120,"COMPLICATED REPAIR OF WOUND OF SCALP, ARMS, OR LEGS, 1.1-2.5 CM FACILITY",,,375.32,3117.0,23 CPT,13120,HC CMPLX RPR SCLP/LIMB 1.1-2.5CM,1356.0,881.4,375.32,3117.0,884 CPT,13121,"COMPLICATED REPAIR OF WOUND OF SCALP, ARMS, OR LEGS, 2.6-7.5 CM FACILITY",,,1524.88,4396.0,23 CPT,13121,HC CMPLX RPR SCLP/LIMB 2.6-7.5CM,1403.0,911.95,375.32,3117.0,884 CPT,13122,"COMPLICATED REPAIR OF WOUND OF SCALP, ARMS, OR LEGS, EACH ADDITIONAL 5.0 CM OR LESS FACILITY",,,2681.85,8220.0,23 CPT,13122,HC CMPLX RPR SCLP/LIMB ADD 5CM,3080.0,2002.0,1709.4,6376.0,880 CPT,13131,"COMPLICATED REPAIR OF WOUND OF FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, 1.1-2.5 CM FACILITY",,,375.32,3117.0,23 CPT,13131,HC CMPLX RPR FACE/AX/EXT 1.1-2.5,912.0,592.8,375.32,3117.0,884 CPT,13132,"COMPLICATED REPAIR OF WOUND OF FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, 2.6-7.5 CM FACILITY",,,375.32,3117.0,23 CPT,13132,HC CMPLX RPR FACE/AX/EXT 2.6-7.5,1410.0,916.5,375.32,3117.0,1768 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",,,2681.85,8220.0,23 CPT,13133,HC CMPLX RPR FACE/AX/EXT ADD 5CM,1259.0,818.35,625.72,6376.0,1760 CPT,13151,"COMPLICATED REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIP, 1.1-2.5 CM FACILITY",,,682.37,3117.0,23 CPT,13151,HC CMPLX RPR EY/NO/E/L 1.1-2.5CM,1340.5,871.325,682.37,3117.0,1768 CPT,13152,"COMPLICATED REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIP, 2.6-7.5 CM FACILITY",,,682.37,3117.0,23 CPT,13152,HC CMPLX RPR EY/NO/E/L 2.6-7.5CM,1382.0,898.3,682.37,3117.0,1768 CPT,13153,"COMPLICATED REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIP, EACH ADDITIONAL 5.0 CM OR LESS FACILITY",,,682.37,3117.0,23 CPT,13160,EXTENSIVE OR COMPLICATED REPAIR OF SURFACE WOUND REOPENING FACILITY,,,3271.83,5243.0,23 CPT,14000,"REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN, 10.0 SQ CM OR LESS",,,7546.27,13605.0,23 CPT,14001,HC TISS XFER TR DEFECT 10-30SCM,4086.0,2655.9,617.76,5243.0,856 CPT,14001,"REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN, 10.1-30.0 SQ CM PROFESSIONAL",,,1904.97,5243.0,23 CPT,14020,HC TISS XFER SCLP/LIMB <=10SCM,4079.0,2651.35,1904.97,5243.0,884 CPT,14020,"REPAIR OF WOUND OF SCALP, ARMS, OR LEGS BY TRANSFERRING SKIN, 10.0 SQ CM OR LESS FACILITY",,,1904.97,5243.0,23 CPT,14021,HC TISS XFER SCLP/LIMB 10-30SCM,4330.0,2814.5,1904.97,5243.0,884 CPT,14021,"REPAIR OF WOUND OF SCALP, ARMS, OR LEGS BY TRANSFERRING SKIN, 10.1-30.0 SQ CM FACILITY",,,1904.97,5243.0,23 CPT,14040,HC TISS XFER FACE/NK/EXT <=10SCM,4526.0,2941.9,1904.97,5243.0,1768 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",,,1904.97,5243.0,23 CPT,14041,HC TISS XFER FACE/NK/EXT 10-30CM,4301.0,2795.65,1904.97,5243.0,884 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",,,1904.97,5243.0,23 CPT,14060,HC TISS XFER EAR/EY/N/LIP <=10SCM,4481.0,2912.65,1904.97,5243.0,884 CPT,14060,"REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIPS BY TRANSFERRING SKIN, 10.0 SQ CM OR LESS FACILITY",,,1904.97,5243.0,23 CPT,14061,HC TISS XFER EY/N/E/LIP 10.1-30SCM,4336.0,2818.4,1904.97,5243.0,884 CPT,14061,"REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIPS BY TRANSFERRING SKIN, 10.1-30.0 SQ CM FACILITY",,,1904.97,5243.0,23 CPT,14301,HC TISS XFER ADJ 30.1-60SCM,8760.0,5694.0,3271.83,13605.0,1768 CPT,14301,"REPAIR OF WOUND BY TRANSFERRING SKIN, 30.1-60.0 SQ CM FACILITY",,,2681.85,13605.0,23 CPT,14302,HC TISS XFER ADJ ADD 30SCM,4316.0,2805.4,2395.38,6376.0,880 CPT,14302,"REPAIR OF WOUND BY TRANSFERRING SKIN, EACH ADDITIONAL 30.0 SQ CM FACILITY",,,6130.69,13605.0,23 CPT,15002,HC PREP WND TR/EXT PEDS 100SCM,6014.0,3909.1,682.37,5893.72,884 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",,,682.37,784.72,4 CPT,15003,HC PREP WND TR/EXT EA ADD 100SCM,13849.0,9001.85,6882.95,13849.0,880 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",,,1904.97,5243.0,23 CPT,15004,HC PREP WND HD/EXT EA ADD 100SCM,3577.0,2325.05,375.32,3469.69,884 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",,,375.32,5243.0,23 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",,,1904.97,5243.0,23 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",,,1904.97,5243.0,23 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",,,12244.0,13605.0,19 CPT,15121,"PARTIAL THICKNESS SELF SKIN GRAFT OF FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, FEET, FINGERS, OR TOES, EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN",,,3271.83,13605.0,23 CPT,15220,"FULL THICKNESS SKIN GRAFT TO SCALP, ARMS, OR LEGS, 20.0 SQ CM OR LESS FACILITY",,,1904.97,5243.0,23 CPT,15220,HC GRFT FULL THCK SCLP <= 20 SCM,4281.0,2782.65,1904.97,5243.0,884 CPT,15221,"FULL THICKNESS SKIN GRAFT TO SCALP, ARMS, OR LEGS, EACH ADDITIONAL 20.0 SQ CM FACILITY",,,1524.88,5243.0,23 CPT,15240,"FULL THICKNESS SKIN GRAFT TO FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, 20.0 SQ CM OR LESS FACILITY",,,2681.85,8220.0,23 CPT,15240,HC GRFT FULL THCK F/G/HF <=20SCM,4150.0,2697.5,1904.97,5243.0,1768 CPT,15241,"FULL THICKNESS SKIN GRAFT TO FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, EACH ADDITIONAL 20.0 SQ CM FACILITY",,,1904.97,5243.0,23 CPT,15260,"FULL THICKNESS SKIN GRAFT TO NOSE, EARS, EYELIDS, OR LIPS, 20.0 SQ CM OR LESS FACILITY",,,1904.97,5243.0,23 CPT,15260,HC GRFT FULL THCK EY/NO/E/L <=20SCM,4322.0,2809.3,1904.97,5243.0,884 CPT,15261,"FULL THICKNESS SKIN GRAFT TO NOSE, EARS, EYELIDS, OR LIPS, EACH ADDITIONAL 20.0 SQ CM FACILITY",,,2195.07,13605.0,23 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",,,682.37,5243.0,23 CPT,15271,HC SKN GRFT A/TR/L <=100SCM/1ST 25,7638.0,4964.7,682.37,7485.24,884 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",,,682.37,784.72,4 CPT,15272,HC SKN SUBST GRFT A/TR/L ADD 25SCM,6000.0,3900.0,2982.0,5880.0,880 CPT,15273,HC SKN GRFT A/TR/L <=100SCM PEDS,20031.0,13020.15,1904.97,19430.07,884 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",,,1904.97,13605.0,23 CPT,15274,HC SKN GRFT A/TR/L ADD 100SCM PEDS,17669.0,11484.85,8781.49,17138.93,880 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",,,1904.97,13605.0,23 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",,,682.37,5243.0,23 CPT,15275,HC SKN GRFT F/N/G/HF <=100SCM,7638.0,4964.7,682.37,7408.86,884 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 ",,,682.37,784.72,4 CPT,15277,HC GRFT F/N/G/HF <=100SCM 1ST,21282.0,13833.3,1904.97,21282.0,884 CPT,15277,"SKIN SUBSTITUTE GRAFT TO WOUND 100.0 SQ CM OR MORE OF FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, FEET, FINGERS, OR TOES, 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDRE",,,3061.08,13605.0,23 CPT,15278,HC GRFT F/N/H/F/G <=100SCM ADD,13731.0,8925.15,5739.0,13731.0,880 CPT,15278,"SKIN SUBSTITUTE GRAFT TO WOUND 100.0 SQ CM OR MORE OF FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, FEET, FINGERS, OR TOES, EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INF",,,5465.62,13605.0,23 CPT,15574,"CREATION OF FLAP GRAFT TO FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET FACILITY",,,1904.97,5243.0,23 CPT,15574,HC FORM PEDCL FACE/NK/AX/EXG/EXT,4290.0,2788.5,1904.97,5243.0,884 CPT,15576,"CREATION OF FLAP GRAFT TO EYELIDS, NOSE, EARS, LIPS, OR MOUTH FACILITY",,,1904.97,5243.0,23 CPT,15576,HC FORM PEDCL EYNOEL,4451.0,2893.15,1904.97,5243.0,884 CPT,15620,"TRANSFER OF SKIN FLAP TO FOREHEAD, CHEEKS, CHIN, NECK, UNDERARMS, GENITALS, HANDS, OR FEET FACILITY",,,1904.97,5243.0,23 CPT,15630,HC DELAY FLAP EY/NO/E/L,4339.0,2820.35,1904.97,5243.0,884 CPT,15630,"TRANSFER OF SKIN FLAP TO EYELIDS, NOSE, EARS, OR LIPS FACILITY",,,1904.97,5243.0,23 CPT,15650,TRANSFER OF SKIN FLAP,,,5465.62,13605.0,23 CPT,15730,CREATION OF FLAP GRAFT TO MIDFACE,,,3271.83,13605.0,23 CPT,15731,"CREATION OF FLAP GRAFT TO NOSE, FOREHEAD, TEMPLE, OR SCALP FACILITY",,,3271.83,13605.0,23 CPT,15731,HC FHD FLAP W/VAS PEDCL,9016.0,5860.4,3271.83,13605.0,884 CPT,15733,CREATION OF FLAP GRAFT TO HEAD AND/OR NECK,,,9814.25,13605.0,23 CPT,15734,CREATION OF MUSCLE GRAFT TO TRUNK,,,5581.68,13605.0,23 CPT,15736,CREATION OF MUSCLE GRAFT TO ARM,,,1904.97,5243.0,23 CPT,15738,CREATION OF MUSCLE GRAFT TO LEG,,,3271.83,13605.0,23 CPT,15750,CREATION OF NERVE AND BLOOD VESSEL SKIN GRAFT,,,3271.83,13605.0,23 CPT,15760,GRAFT WITH CLOSURE OF WOUND FACILITY,,,1904.97,5243.0,23 CPT,15760,HC COMPOSITE SKIN GRAFT,7638.0,4964.7,1904.97,7408.86,884 CPT,15769,HC GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC,39379.0,25596.35,3271.83,39379.0,884 CPT,15769,SELF SOFT TISSUE GRAFT,,,4618.63,13605.0,23 CPT,15770,"CREATION OF SKIN, FAT AND MUSCLE GRAFT",,,3629.76,13605.0,23 CPT,15771,"GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO TRUNK, BREASTS, SCALP, ARMS, OR LEGS, 50.0 CC OR LESS",,,1524.88,13605.0,23 CPT,15771,HC GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS,31052.0,20183.8,3271.83,31052.0,884 CPT,15772,"GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO TRUNK, BREASTS, SCALP, ARMS, OR LEGS, EACH ADDITIONAL 50.0 CC",,,2681.85,13605.0,23 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",,,1904.97,5243.0,23 CPT,15773,HC GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS,6856.0,4456.4,1904.97,6856.0,884 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",,,1904.97,5243.0,23 CPT,15777,IMPLANTATION OF BIOLOGIC IMPLANT TO SOFT TISSUE,,,12723.59,14632.13,4 CPT,15780,DERMABRASION OF SKIN OF TOTAL FACE FACILITY,,,2681.85,8220.0,23 CPT,15781,HC DERMABRASION SEGMNTL FACE,3853.0,2504.45,653.8,3737.41,884 CPT,15781,SCRAPING OF SKIN OF FACE FACILITY,,,653.8,3191.0,23 CPT,15783,HC DERMABRASION SUPERFICIAL ANY,862.0,560.3,375.32,3117.0,884 CPT,15788,CHEMICAL PEEL OF OUTER LAYER OF SKIN OF FACE FACILITY,,,3271.83,13605.0,23 CPT,15789,CHEMICAL PEEL OF DEEP LAYER OF SKIN OF FACE,,,682.37,13605.0,23 CPT,15819,REMOVAL OF EXTRA SKIN OF NECK,,,5739.0,6376.0,19 CPT,15820,HC BLEPH LWR EYELID,7024.0,4565.6,1904.97,7024.0,884 CPT,15820,REPAIR OF LOWER EYELID DEFECT FACILITY,,,5465.62,13605.0,23 CPT,15821,HC BLEPH LWR EYELID W FAT PAD,7024.0,4565.6,1904.97,6813.28,884 CPT,15821,REMOVAL OF EXCESSIVE SKIN OF LOWER EYELID AND FAT AROUND EYE FACILITY,,,1904.97,5243.0,23 CPT,15822,HC BLEPH UPR EYELID,6984.0,4539.6,1904.97,6781.27,1768 CPT,15822,REMOVAL OF EXCESSIVE SKIN OF UPPER EYELID FACILITY,,,1904.97,5243.0,23 CPT,15823,HC BLEPH UPR EYELID W EXCESS SKIN LID,7024.0,4565.6,1904.97,6813.28,884 CPT,15823,REMOVAL OF EXCESSIVE SKIN AND FAT OF UPPER EYELID PROFESSIONAL,,,1904.97,5243.0,23 CPT,15824,HC RHYTIDECTOMY FOREHEAD,7024.0,4565.6,1904.97,7024.0,884 CPT,15824,REMOVAL OF WRINKLES AND EXTRA SKIN OF FOREHEAD FACILITY,,,1904.97,13605.0,23 CPT,15825,HC RHYTIDECTOMY NK W TGHTNNG,15608.0,10145.2,3271.83,15608.0,884 CPT,15825,"INCISION, STRETCHING, AND SUTURE OF NECK SKIN FACILITY",,,3271.83,13605.0,23 CPT,15826,"INCISION, STRETCHING, AND SUTURE OF SKIN BETWEEN EYEBROWS",,,3271.83,13605.0,23 CPT,15828,HC RHYTIDECTOMY CHEEK/CHIN/NECK,15285.0,9935.25,3271.83,15285.0,884 CPT,15828,"REMOVAL OF WRINKLES AND EXTRA SKIN OF CHEEKS, CHIN, AND NECK",,,3271.83,13605.0,23 CPT,15829,HC RHYTIDECTOMY SUPERFICIAL,15607.0,10144.55,3271.83,15607.0,884 CPT,15829,"REMOVAL OF WRINKLES AND EXTRA SKIN WITH GRAFTING OF CHEEKS, CHIN, AND NECK FACILITY",,,3271.83,13605.0,23 CPT,15830,REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN,,,6130.69,13605.0,23 CPT,15832,REMOVAL OF EXTRA SKIN AND TISSUE OF THIGH,,,2681.85,8220.0,23 CPT,15834,REMOVAL OF EXTRA SKIN AND TISSUE OF HIP,,,6130.69,13605.0,23 CPT,15835,REMOVAL OF EXTRA SKIN AND TISSUE OF BUTTOCK,,,6130.69,13605.0,23 CPT,15836,REMOVAL OF EXTRA SKIN AND TISSUE OF ARM,,,2681.85,8220.0,23 CPT,15838,REMOVAL OF EXTRA SKIN AND TISSUE OF CHIN,,,2681.85,8220.0,23 CPT,15839,REMOVAL OF EXTRA SKIN AND TISSUE OF OTHER AREA PROFESSIONAL,,,2681.85,8220.0,23 CPT,15840,TISSUE GRAFT TO TREAT FACIAL PARALYSIS,,,2195.07,13605.0,23 CPT,15847,EXTENSIVE REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN,,,6130.69,13605.0,23 CPT,15852,DRESSING CHANGE UNDER ANESTHESIA,,,682.37,3117.0,23 CPT,15860,INJECTION OF AGENT INTO VEIN TO ASSESS BLOOD FLOW OF SKIN GRAFT OR FLAP,,,12244.0,14632.13,23 CPT,15876,SUCTION ASSISTED REMOVAL OF FAT OF HEAD AND NECK,,,3271.83,13605.0,23 CPT,15877,SUCTION ASSISTED REMOVAL OF FAT OF BODY,,,6699.47,13605.0,23 CPT,15879,SUCTION ASSISTED REMOVAL OF FAT OF LEG,,,3271.83,13605.0,23 CPT,15934,REMOVAL OF PRESSURE SORE TISSUE OF SACRUM WITH SKIN GRAFT,,,3271.83,13605.0,23 CPT,15937,REMOVAL OF PRESSURE SORE AND BONE AT SACRUM IN PREPARATION OF MUSCLE FLAP OR SKIN GRAFT,,,1904.97,5243.0,23 CPT,15941,REMOVAL OF PRESSURE SORE TISSUE AND LOWER PELVIC BONE WITH CLOSURE,,,2681.85,8220.0,23 CPT,16000,HC TX BURN 1ST DEGREE INIT,3180.0,2067.0,185.24,3180.0,884 CPT,16020,HC DBRD BURN PRTL THCK <5%,755.0,490.75,185.24,3045.0,884 CPT,16025,HC DBRD BURN PRTL THCK 5-10%,3162.0,2055.3,185.24,3162.0,884 CPT,16030,HC DBRD BURN PRTL THCK >10%,3331.0,2165.15,375.32,3331.0,884 CPT,17000,"DESTRUCTION OF PRECANCER SKIN GROWTH, 1 GROWTH FACILITY",,,185.24,3045.0,23 CPT,17000,HC DEST PREMALIGNANT LESN 1ST,448.0,291.2,185.24,3045.0,884 CPT,17003,"DESTRUCTION OF PRECANCER SKIN GROWTH, 2-14 GROWTHS FACILITY",,,375.32,3117.0,23 CPT,17003,HC DEST PREMALIGNANT LESN 2-14,266.0,172.9,147.63,6376.0,880 CPT,17004,"DESTRUCTION OF PRECANCER SKIN GROWTH, 15 OR MORE GROWTHS FACILITY",,,375.32,3117.0,23 CPT,17004,HC DEST PREMALIGNANT LESN =>15,2935.0,1907.75,375.32,3117.0,884 CPT,17110,"DESTRUCTION OF SKIN GROWTH, 1-14 GROWTHS FACILITY",,,682.37,3117.0,23 CPT,17110,HC DEST BENIGN LESN OTHR<=14,451.0,293.15,185.24,3045.0,884 CPT,17250,APPLICATION OF CHEMICAL TO STOP TISSUE REGROWTH IN WOUND FACILITY,,,837.4,3191.0,23 CPT,17250,HC CAUTERIZE CHEM GRANULATION TIS,462.0,300.3,185.24,3045.0,1768 CPT,17260,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 0.5 CM OR LESS FACILITY",,,122.92,3045.0,23 CPT,17260,HC DEST LESN MLG T/A/L <=0.5CM,858.0,557.7,185.24,3045.0,884 CPT,17261,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,185.24,3045.0,23 CPT,17261,HC DEST LESN MLG T/A/L .6-1CM,458.0,297.7,185.24,3045.0,884 CPT,17262,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 1.1-2.0 CM FACILITY",,,185.24,3045.0,23 CPT,17262,HC DEST LESN MLG TR/LIMB 1.1-2CM,461.0,299.65,185.24,3045.0,884 CPT,17263,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 2.1-3.0 CM FACILITY",,,185.24,3045.0,23 CPT,17263,HC DEST LESN MLG TR/LIMB 2.1-3CM,432.0,280.8,185.24,3045.0,884 CPT,17264,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 3.1-4.0 CM FACILITY",,,375.32,3117.0,23 CPT,17264,HC DEST LESN MLG TR/LIMB 3.1-4CM,1140.0,741.0,375.32,3117.0,884 CPT,17266,HC DEST LESN MLG TR/LIMB >4CM,1427.0,927.55,375.32,3117.0,884 CPT,17270,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.5 CM OR LESS FACILITY",,,185.24,3045.0,23 CPT,17270,HC DEST LESN MLG S/NK/EXT<=.5CM,450.0,292.5,185.24,3045.0,884 CPT,17271,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.6-1.0 CM FACILITY",,,185.24,3045.0,23 CPT,17271,HC DEST LESN MLG S/NK/EXT .6-1CM,431.0,280.15,185.24,3045.0,884 CPT,17272,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 1.1-2.0 CM FACILITY",,,185.24,3045.0,23 CPT,17272,HC DEST LESN MLG S/NK/EXT 1.1-2CM,437.0,284.05,185.24,3045.0,884 CPT,17273,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 2.1-3.0 CM FACILITY",,,375.32,3117.0,23 CPT,17273,HC DEST LESN MLG S/NK/EXT 2.1-3CM,855.0,555.75,375.32,3117.0,884 CPT,17274,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 3.1-4.0 CM FACILITY",,,375.32,3117.0,23 CPT,17274,HC DEST LESN MLG S/NK/EXT 3.1-4CM,1232.0,800.8,375.32,3117.0,884 CPT,17276,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, MORE THAN 4.0 CM FACILITY",,,375.32,3117.0,23 CPT,17276,HC DEST SKIN MAL LES >4.0 CM,1385.0,900.25,375.32,3117.0,884 CPT,17280,HC DEST LESN MLG F/E/EY/NO/L/M <=.5CM,450.0,292.5,185.24,3045.0,884 CPT,17281,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.6-1.0 CM FACILITY",,,185.24,3045.0,23 CPT,17281,HC DEST LESN MLG F/E/EY/NO/L/M .6-1CM,808.0,525.2,185.24,3045.0,884 CPT,17282,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 1.1-2.0 CM FACILITY",,,185.24,3117.0,23 CPT,17282,HC DEST LESN MLG F/E/EY/NO/L/M 1.1-2CM,870.0,565.5,185.24,3045.0,884 CPT,17283,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.1-3.0 CM FACILITY",,,375.32,3117.0,23 CPT,17283,HC DEST SKIN MLG LESN 2.1-3.0 CM,858.0,557.7,375.32,3117.0,884 CPT,17311,HC MOHS HD/NK/EXDT/EXG 1 STAGE,1426.0,926.9,682.37,3117.0,884 CPT,17311,"REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF HEAD, NECK, HANDS, FEET, OR GENITALS, 1-5 TISSUE BLOCKS FACILITY",,,682.37,3117.0,23 CPT,17312,HC MOHS HD/NK/EXDT/EXG ADD STAGE,2059.0,1338.35,1142.75,6376.0,880 CPT,17312,"REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF HEAD, NECK, HANDS, FEET, OR GENITALS, EACH ADDITIONAL STAGE, 1-5 TISSUE BLOCKS FACILITY",,,682.37,3117.0,23 CPT,17313,HC MOHS TR/LIMB 1 STAGE 1-5,1386.0,900.9,682.37,3117.0,884 CPT,17313,"REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF TRUNK, ARMS, OR LEGS, 1-5 TISSUE BLOCKS FACILITY",,,682.37,3117.0,23 CPT,17314,HC MOHS TR/LIMB EA ADD STAGE,1676.0,1089.4,930.18,6376.0,880 CPT,17314,"REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF TRUNK, ARMS, OR LEGS, EACH ADDITIONAL STAGE, 1-5 TISSUE BLOCKS FACILITY",,,682.37,3117.0,23 CPT,17315,HC MOHS EA BLOCK AFTER FIRST 5,1712.0,1112.8,950.16,6376.0,880 CPT,17315,"REMOVAL AND MICROSCOPIC EXAM OF GROWTH, EACH ADDITIONAL BLOCK AFTER 5 TISSUE BLOCKS FACILITY",,,682.37,3117.0,23 CPT,17999,LASER DEST LESN <10 SQ CM - FACILITY,,,6.5,3117.0,23 CPT,19083,HC BX BRST W DEV 1ST LESN US GUID,6700.0,4355.0,1524.88,6566.0,884 CPT,19085,"BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI, FIRST GROWTH FACILITY",,,1524.88,4396.0,23 CPT,19085,HC BX BREAST W LOC MR GUID 1ST,3925.0,2551.25,1524.88,4396.0,884 CPT,19086,"BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI, EACH ADDITIONAL GROWTH FACILITY",,,2681.85,4396.0,23 CPT,19086,HC BX BREAST W LOC MR GUID ADD,2954.0,1920.1,1639.47,6376.0,880 CPT,19101,BIOPSY OF BREAST THROUGH INCISION,,,3615.02,13605.0,23 CPT,19110,EXPLORATION OF BREAST NIPPLE PROFESSIONAL,,,3615.02,13605.0,23 CPT,19120,"REMOVAL OF GROWTH AND TISSUE OF BREAST, DUCT, OR NIPPLE PROFESSIONAL",,,3615.02,13605.0,23 CPT,19125,"REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER, FIRST GROWTH PROFESSIONAL",,,3615.02,13605.0,23 CPT,19281,HC PLC BREAST LOC DEV MAMMO 1ST,5044.0,3278.6,1524.88,4943.12,884 CPT,19285,"PLACEMENT OF LOCATING DEVICE IN BREAST USING ULTRASOUND GUIDANCE, FIRST GROWTH FACILITY",,,3615.02,13605.0,23 CPT,19287,HC PLC BREAST LOC DEV MR GUID 1ST,3343.0,2172.95,653.8,3242.71,884 CPT,19287,"PLACEMENT OF LOCATING DEVICE IN BREAST USING MRI GUIDANCE, FIRST GROWTH FACILITY",,,653.8,3191.0,23 CPT,19300,REMOVAL OF EXTRA BREAST TISSUE IN MALE,,,3615.02,13605.0,23 CPT,19301,PARTIAL REMOVAL OF BREAST PROFESSIONAL,,,3615.02,13605.0,23 CPT,19302,PARTIAL REMOVAL OF BREAST AND UNDERARM LYMPH NODES PROFESSIONAL,,,6130.69,13605.0,23 CPT,19303,SIMPLE COMPLETE REMOVAL OF BREAST PROFESSIONAL,,,6130.69,13605.0,23 CPT,19307,REMOVAL OF BREAST AND UNDERARM LYMPH NODES,,,6130.69,13605.0,23 CPT,19316,REPAIR FOR SAGGING OF THE BREAST,,,6130.69,13605.0,23 CPT,19318,BREAST REDUCTION PROFESSIONAL,,,6130.69,13605.0,23 CPT,19325,INSERTION OF BREAST IMPLANT,,,7546.27,13605.0,23 CPT,19328,REMOVAL OF INTACT BREAST IMPLANT,,,3271.83,13605.0,23 CPT,19330,REMOVAL OF RUPTURED BREAST IMPLANT AND IMPLANT MATERIAL,,,7546.27,13605.0,23 CPT,19340,PLACEMENT OF IMPLANT ON SAME DAY OF BREAST RECONSTRUCTION,,,12723.59,14632.13,4 CPT,19342,PLACEMENT OF IMPLANT ON SEPARATE DAY OF BREAST RECONSTRUCTION,,,6699.47,13605.0,23 CPT,19350,RECONSTRUCTION OF NIPPLE OR AREA AROUND NIPPLE,,,3615.02,13605.0,23 CPT,19357,RECONSTRUCTION OF BREAST USING TISSUE EXPANDER,,,12723.59,14632.13,4 CPT,19370,REVISION OF CAPSULE AROUND BREAST IMPLANT,,,6699.47,13605.0,23 CPT,19371,REMOVAL OF CAPSULE AROUND BREAST IMPLANT,,,3615.02,13605.0,23 CPT,19380,SURGICAL CHANGE TO RECONSTRUCTED BREAST,,,7546.27,13605.0,23 CPT,19499,TOMO GUIDED BREAST BIOPSY - FACILITY,,,3615.02,13605.0,23 CPT,20200,BIOPSY OF MUSCLE FACILITY,,,1524.88,4396.0,23 CPT,20205,DEEP BIOPSY OF MUSCLE,,,2681.85,8220.0,23 CPT,20205,HC BX MUS DEEP,15420.0,10023.0,2681.85,15420.0,884 CPT,20206,HC BX MUS PERC NDL,3737.0,2429.05,1524.88,4396.0,884 CPT,20206,NEEDLE BIOPSY OF MUSCLE FACILITY,,,1524.88,4396.0,23 CPT,20220,BIOPSY OF BONE USING NEEDLE OR TROCAR FACILITY,,,1524.88,4396.0,23 CPT,20220,HC BX BN TROCAR/NDL SUPFCL,3626.0,2356.9,1524.88,4396.0,885 CPT,20225,DEEP BIOPSY OF BONE USING NEEDLE OR TROCAR FACILITY,,,1524.88,4396.0,23 CPT,20225,HC BX BN TROCAR/NDL DEEP,3626.0,2356.9,1524.88,4396.0,884 CPT,20240,BIOPSY OF SURFACE BONE,,,2681.85,8220.0,23 CPT,20245,BIOPSY OF DEEP BONE,,,11853.62,13631.66,23 CPT,20251,BIOPSY OF UPPER OR LOWER SPINE BONE,,,6699.47,13605.0,23 CPT,20501,HC INJ SINUS TRACT DX,1332.0,865.8,739.26,6376.0,880 CPT,20501,INJECTION OF ABNORMAL MUSCLE DRAINAGE TRACT FOR X-RAY STUDY FACILITY,,,5739.0,6376.0,19 CPT,20520,HC RMVL FB MUS SMPL,6416.0,4170.4,1524.88,6223.52,884 CPT,20520,REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON FACILITY,,,1524.88,4396.0,23 CPT,20525,COMPLICATED REMOVAL OF FOREIGN BODY IN DEEP MUSCLE OR TENDON FACILITY,,,2681.85,8220.0,23 CPT,20526,HC INJ THER CARPAL TUNNEL,661.0,429.65,283.4,3045.0,884 CPT,20526,INJECTION OF CARPAL TUNNEL FACILITY,,,283.4,3045.0,23 CPT,20550,HC INJ SNGL TNDN/SHTH/LGMNT,710.0,461.5,283.4,3493.0,3536 CPT,20550,INJECTION INTO TENDON OR LIGAMENT FACILITY,,,283.4,3045.0,23 CPT,20551,HC INJ SNGL TENDN ORIGIN/INS,690.0,448.5,283.4,3045.0,884 CPT,20551,INJECTION INTO TENDON AT ATTACHMENT TO BONE OR MUSCLE FACILITY,,,283.4,3045.0,23 CPT,20552,HC INJ TRIGGER PNT<=2 MUS,719.5,467.675,283.4,3045.0,1768 CPT,20552,"INJECTION OF TRIGGER POINTS, 1-2 MUSCLES FACILITY-EXPRESS CARE",,,283.4,3045.0,23 CPT,20553,HC INJ TRIGGER PNT >=3 MUS,1235.0,802.75,283.4,3045.0,1768 CPT,20553,"INJECTION OF TRIGGER POINTS, 3 OR MORE MUSCLES FACILITY",,,283.4,3045.0,23 CPT,20600,ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT FACILITY,,,283.4,3045.0,23 CPT,20600,HC ARTHCS ASP/INJ SM JT WO US,677.5,440.375,283.4,3045.0,2652 CPT,20604,ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT USING ULTRASOUND GUIDANCE FACILITY,,,283.4,3045.0,23 CPT,20604,HC ARTHCS ASP/INJ JOINT/BURSA W US,676.0,439.4,283.4,3045.0,1768 CPT,20605,ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT FACILITY-EXPRESS CARE,,,283.4,3045.0,23 CPT,20605,HC ARTHCS ASP/INJ INT JT WO US,686.0,445.9,283.4,3045.0,2652 CPT,20606,ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT USING ULTRASOUND GUIDANCE FACILITY,,,651.72,3191.0,23 CPT,20606,HC ARTHCS ASP/INJ INT JT W US,1582.0,1028.3,651.72,3191.0,2652 CPT,20610,ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT FACILITY,,,283.4,3045.0,23 CPT,20610,HC ARTHCS ASP/INJ MJR JT WO US,660.0,429.0,283.4,3045.0,2652 CPT,20611,ASPIRATION AND/OR INJECTION OF FLUID LARGE JOINT USING ULTRASOUND GUIDANCE FACILITY,,,283.4,3045.0,23 CPT,20611,HC ARTHCS ASP/INJ MJR JT W US,692.5,450.125,283.4,3045.0,2652 CPT,20612,ASPIRATION AND/OR INJECTION OF CYST OF TENDON FACILITY,,,283.4,3045.0,23 CPT,20612,HC ASP/INJ CYST GANGLION,690.0,448.5,283.4,3045.0,1768 CPT,20615,ASPIRATION AND INJECTION OF CYST OF BONE FACILITY,,,653.8,3191.0,23 CPT,20615,HC ASP/INJ CYST BN,9308.0,6050.2,653.8,9028.76,884 CPT,20650,INSERTION OF WIRE OR PIN TO BONE FOR TRACTION FACILITY,,,3020.95,13605.0,23 CPT,20670,HC RMVL IMPLANT SUPERFICIAL,3580.0,2327.0,1524.88,4396.0,884 CPT,20670,REMOVAL OF SURFACE IMPLANT FROM BONE FACILITY,,,1524.88,4396.0,23 CPT,20680,REMOVAL OF DEEP IMPLANT FROM BONE PROFESSIONAL,,,2681.85,8220.0,23 CPT,20690,PLACEMENT OF SINGLE DIRECTION EXTERNAL BONE STABILIZING DEVICE TO ARM OR LEG,,,6699.47,13605.0,23 CPT,20692,PLACEMENT OF MULTIPLE DIRECTION EXTERNAL BONE STABILIZING DEVICE TO ARM OR LEG,,,11853.62,13631.66,23 CPT,20694,REMOVAL OF EXTERNAL BONE STABILIZING DEVICE UNDER ANESTHESIA,,,6699.47,13605.0,23 CPT,20696,PLACEMENT OF MULTIPLE DIRECTION EXTERNAL BONE STABILIZING DEVICE TO ARM OR LEG USING IMAGING,,,25052.13,28809.95,4 CPT,20702,INSERTION OF DRUG-DELIVERY DEVICE IN BONE,,,1453.38,8220.0,23 CPT,20900,HARVEST OF GRAFT FROM SMALL BONE PROFESSIONAL,,,11853.62,13631.66,23 CPT,20902,HARVEST OF GRAFT FROM LARGE BONE,,,11853.62,13631.66,23 CPT,20910,RIB CARTILAGE GRAFT-EXPRESS CARE,,,5465.62,13605.0,23 CPT,20930,PLACEMENT OF FRAGMENTED BONE GRAFT OR MATERIAL TO SPINE TO PROMOTE BONE GROWTH,,,11853.62,13631.66,23 CPT,20931,GRAFT OF DONOR BONE TO SPINE,,,11853.62,13631.66,23 CPT,20936,HARVEST OF BONE FROM SAME SPINE INCISION FOR GRAFT,,,11853.62,13631.66,23 CPT,20937,HARVEST OF BONE FRAGMENT FOR SPINE BONE GRAFT,,,12244.0,28809.95,23 CPT,20939,ASPIRATION OF BONE MARROW FOR SPINE BONE GRAFT,,,12244.0,28809.95,23 CPT,20962,BONE GRAFT WITH MICROVASCULAR CONNECTION,,,6699.47,22248.0,23 CPT,20982,DESTRUCTION OF GROWTHS AND ADJACENT SOFT TISSUE FACILITY,,,12244.0,18616.79,23 CPT,20982,HC ABLATION BN TMR RADIOFREQUENCY,15424.0,10025.6,8560.32,18616.79,884 CPT,20983,FREEZING OF GROWTH OF BONE AND ADJACENT SOFT TISSUE FACILITY,,,6699.47,13605.0,23 CPT,20983,HC ABLT THRPY REDUC/ERADCTN BN TMR,16554.0,10760.1,6699.47,16057.38,884 CPT,20999,UNLISTED PROC MUSCKELTAL SYS - FACILITY,,,11853.62,13631.66,23 CPT,21011,"REMOVAL OF GROWTH UNDER SKIN OF FACE OR SCALP, LESS THAN 2.0 CM FACILITY",,,1524.88,4396.0,23 CPT,21012,HC EXCISN TMR FACE/SCLP SUB>=2CM,3686.0,2395.9,1524.88,4396.0,884 CPT,21012,HC EXCISN TMR FACE/SCLP SUBQ>=2CM,3544.0,2303.6,1524.88,4396.0,884 CPT,21012,"REMOVAL OF GROWTH UNDER SKIN OF FACE OR SCALP, 2.0 CM OR MORE FACILITY",,,1524.88,4396.0,23 CPT,21013,HC EXCISN TMR FACE/SCALP SUBFAS <2CM,3560.0,2314.0,1524.88,4396.0,884 CPT,21013,"REMOVAL OF GROWTH OF MUSCLE OF FACE OR SCALP, LESS THAN 2.0 CM PROFESSIONAL",,,1524.88,5243.0,23 CPT,21014,HC EXCISN TMR FACE/SCALP SUBFAS >=2CM,9431.0,6130.15,2681.85,9148.07,884 CPT,21014,"REMOVAL OF GROWTH OF MUSCLE OF FACE OR SCALP, 2.0 CM OR MORE FACILITY",,,2681.85,8220.0,23 CPT,21030,REMOVAL OF GROWTH OR CYST OF JAW OR UPPER CHEEK,,,5465.62,13605.0,23 CPT,21040,REMOVAL OF GROWTH OR CYST OF LOWER JAW BONE,,,3061.08,13605.0,23 CPT,21044,REMOVAL OF GROWTH OF LOWER JAW BONE,,,5465.62,13605.0,23 CPT,21046,REMOVAL OF GROWTH OR CYST OF LOWER JAW BONE THROUGH MOUTH,,,5465.62,13605.0,23 CPT,21120,IMPLANTATION OF GRAFT TO ENLARGE CHIN BONE,,,5465.62,13605.0,23 CPT,21121,ENLARGEMENT OF CHIN BY MOVEMENT OF BONE,,,5465.62,13605.0,23 CPT,21137,REPAIR OF BONY DEFECT OF FOREHEAD,,,5465.62,13605.0,23 CPT,21139,REPAIR OF FRONTAL SINUS THROUGH FOREHEAD,,,5465.62,13605.0,23 CPT,21206,INCISION OR PARTIAL REMOVAL OF UPPER JAW BONE,,,5465.62,13605.0,23 CPT,21209,INCISION AND REPAIR OF BONY DEFECT OF CHEEK BONE INCLUDING BONY SEGMENT REDUCTION,,,5465.62,13605.0,23 CPT,21230,HARVEST OF RIB CARTILAGE FOR GRAFTING,,,5465.62,13605.0,23 CPT,21235,HC GRFT EAR CRTLG AUTOGENOUS,13123.0,8529.95,5465.62,13605.0,884 CPT,21235,OBTAINING EAR CARTILAGE FOR GRAFTING FACILITY,,,5465.62,13605.0,23 CPT,21256,RECONSTRUCTION OF EYE SOCKET BONE WITH BONE GRAFT,,,5465.62,13605.0,23 CPT,21282,TIGHTENING OF TENDON OF OUTER EDGE OF LOWER EYELID,,,3061.08,13605.0,23 CPT,21320,CLOSED TREATMENT OF BROKEN NOSE BONE WITH PLACEMENT OF STABILIZING DEVICE,,,3061.08,13605.0,23 CPT,21325,TREATMENT OF BROKEN NOSE BONE,,,3061.08,13605.0,23 CPT,21337,CLOSED TREATMENT OF BROKEN BONE SEPARATING NOSE AIRWAYS,,,3061.08,13605.0,23 CPT,21344,TREATMENT OF COMPLICATED BROKEN FRONT SINUS BONE,,,5465.62,22248.0,23 CPT,21365,TREATMENT OF COMPLICATED BROKEN CHEEK BONE WITH PLACEMENT OF INTERNAL STABILIZING DEVICE,,,5465.62,13605.0,23 CPT,21401,CLOSED TREATMENT OF BROKEN EYE BONE WITH MANIPULATION,,,5465.62,13605.0,23 CPT,21450,HC CLSD TX MANDIB FX WO MANIP,3299.0,2144.35,497.95,3299.0,884 CPT,21480,HC CLSD TX DISLOC TMJ,3322.0,2159.3,227.74,3322.0,884 CPT,21501,I&D DEEP ABSC/HEMATOMA NECK/CHEST - PROFESSIONAL,,,9814.25,13605.0,23 CPT,21552,"REMOVAL OF GROWTH OF SOFT TISSUE UNDER SKIN OF NECK OR FRONT OF CHEST, 3.0 CM OR MORE FACILITY",,,2681.85,8220.0,23 CPT,21554,"REMOVAL OF GROWTH OF MUSCLE OF NECK OR FRONT OF CHEST, 5.0 CM OR MORE",,,2681.85,8220.0,23 CPT,21555,HC EXCISN TMR NK/THORAX SUBQ <3CM,3577.0,2325.05,1524.88,4396.0,884 CPT,21555,"REMOVAL OF GROWTH UNDER SKIN OF NECK OR FRONT OF CHEST, LESS THAN 3.0 CM FACILITY",,,1524.88,4396.0,23 CPT,21556,"REMOVAL OF GROWTH OF MUSCLE OF NECK OR FRONT OF CHEST, LESS THAN 5.0 CM PROFESSIONAL",,,2681.85,8220.0,23 CPT,21557,"EXTENSIVE REMOVAL OF GROWTH OF NECK OR FRONT OF CHEST, LESS THAN 5.0 CM",,,2681.85,8220.0,23 CPT,21558,"EXTENSIVE REMOVAL OF GROWTH OF NECK OR FRONT OF CHEST, 5.0 CM OR MORE",,,2681.85,8220.0,23 CPT,21615,REMOVAL OF FIRST AND/OR EXTRA RIB AT NECK,,,6699.47,22248.0,23 CPT,21620,PARTIAL REMOVAL OF CHEST BONE,,,3020.95,22248.0,23 CPT,21750,TREATMENT OF BROKEN CHEST BONE FOLLOWING SURGERY,,,6699.47,22248.0,23 CPT,21899,UNLISTED PROC NK/THORAX - FACILITY,,,218.68,3191.0,23 CPT,21930,HC EXCISN TMR BACK/FLNK SUBQ <3CM,3647.0,2370.55,1524.88,4396.0,884 CPT,21930,"REMOVAL OF GROWTH UNDER SKIN OF BACK OR LOWER SIDES, LESS THAN 3.0 CM FACILITY",,,1524.88,4396.0,23 CPT,21931,HC EXCISN TMR BK/FLNK SUBQ >=3CM,5382.0,3498.3,1524.88,5220.54,884 CPT,21931,"REMOVAL OF GROWTH UNDER SKIN OF BACK OR LOWER SIDES, 3.0 CM OR MORE FACILITY",,,1524.88,4396.0,23 CPT,21932,"REMOVAL OF GROWTH OF MUSCLE OF BACK OR LOWER SIDES, LESS THAN 5.0 CM",,,2681.85,8220.0,23 CPT,21933,"REMOVAL OF GROWTH OF MUSCLE OF BACK OR LOWER SIDES, 5.0 CM OR MORE PROFESSIONAL",,,2681.85,8220.0,23 CPT,21936,"EXTENSIVE REMOVAL OF GROWTH OF BACK OR LOWER SIDE, 5.0 CM OR MORE",,,2681.85,8220.0,23 CPT,22015,DRAINAGE OF ABSCESS OF DEEP TISSUE OF LOWER SPINE OR SACRUM,,,6699.47,22248.0,23 CPT,22102,REMOVAL OF REAR PIECE OF LOWER SPINE BONE,,,6699.47,13605.0,23 CPT,22510,HC PERC CERVICOTHORACIC INJECT,6932.0,4505.8,3020.95,13605.0,884 CPT,22510,STABILIZATION OF UPPER SPINE BONE FACILITY,,,6699.47,13605.0,23 CPT,22511,HC PERC LUMBOSACRAL INJECTION,6866.0,4462.9,3020.95,13605.0,884 CPT,22511,STABILIZATION OF LOWER SPINE BONE FACILITY,,,6699.47,13605.0,23 CPT,22512,HC VERTEBROPLASTY ADDL INJECT,3978.0,2585.7,2207.79,6376.0,880 CPT,22512,"STABILIZATION OF SPINE BONE, EACH ADDITIONAL BONE FACILITY",,,6699.47,13605.0,23 CPT,22513,HC PERC VERTEBPLSTY CAVTY IMG GUID 1,16484.0,10714.6,6699.47,15989.48,884 CPT,22513,HC PERQ VERTEBRAL AUGMENTATION,39861.0,25909.65,6699.47,38665.17,884 CPT,22513,TREATMENT OF BROKEN MIDDLE SPINE BONE WITH PLACEMENT OF STABILIZING DEVICE USING IMAGING GUIDANCE FACILITY,,,11853.62,13631.66,23 CPT,22514,HC PERC VERT AGMNTJ CAV CRTJ LMBR,16055.0,10435.75,6699.47,15573.35,884 CPT,22514,TREATMENT OF BROKEN LOWER SPINE BONE WITH PLACEMENT OF STABILIZING DEVICE FACILITY,,,6699.47,13605.0,23 CPT,22515,HC PERC VERT AGMNT MECH EA ADD,16571.0,10771.15,5739.0,16073.87,880 CPT,22515,"TREATMENT OF BROKEN SPINE BONE WITH STABILIZING DEVICE, EACH ADDITIONAL SEGMENT FACILITY",,,11853.62,13631.66,23 CPT,22551,"FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE, 1 DISC",,,11853.62,22248.0,23 CPT,22552,"FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE, EACH ADDITIONAL DISC",,,11853.62,13631.66,23 CPT,22554,FUSION OF UPPER SPINE BONES THROUGH FRONT OF NECK WITH PARTIAL REMOVAL OF DISC,,,11853.62,22248.0,23 CPT,22558,FUSION OF LOWER SPINE BONE THROUGH ABDOMEN WITH PARTIAL REMOVAL OF DISC,,,20023.0,28809.95,23 CPT,22585,"FUSION OF SPINE BONES THROUGH FRONT OF BODY WITH PARTIAL REMOVAL OF DISC, EACH ADDITIONAL DISC",,,11853.62,22248.0,23 CPT,22600,FUSION OF SPINE IN NECK BY POSTERIOR APPROACH,,,16188.51,22248.0,23 CPT,22610,FUSION OF SPINE IN UPPER BACK,,,16188.51,22248.0,23 CPT,22612,FUSION OF SPINE IN LOWER BACK,,,20023.0,28809.95,23 CPT,22630,"FUSION OF LOWER SPINE BONE AND PARTIAL REMOVAL OF SPINE BONE OR DISC THROUGH BACK, 1 DISC",,,12244.0,28809.95,23 CPT,22632,"FUSION OF LOWER BACK SPINE BONE AND PARTIAL REMOVAL OF SPINE BONE OR DISC THROUGH BACK, EACH ADDITIONAL DISC",,,12244.0,28809.95,23 CPT,22633,FUSION OF SPINE IN LOWER BACK WITH PARTIAL REMOVAL OF SPINE BONE AND DISC,,,12244.0,28809.95,23 CPT,22634,FUSION OF ADDITIONAL SEGMENT OF SPINE WITH PARTIAL REMOVAL OF SPINE BONE AND DISC,,,12244.0,28809.95,23 CPT,22840,PLACEMENT OF STABILIZING DEVICE TO BACK OF 1 SPINE BONE IN NECK,,,12244.0,28809.95,23 CPT,22842,"PLACEMENT OF STABILIZING DEVICE TO BACK, 3-6 SPINE BONE SEGMENTS",,,12244.0,28809.95,23 CPT,22845,"PLACEMENT OF STABILIZING DEVICE TO FRONT, 2-3 SPINE BONE SEGMENTS",,,11853.62,13631.66,23 CPT,22846,"PLACEMENT OF STABILIZING DEVICE TO FRONT, 4-7 SPINE BONE SEGMENTS",,,11853.62,22248.0,23 CPT,22853,INSERTION OF CAGE OR MESH DEVICE TO SPINE BONE AND DISC SPACE DURING SPINE FUSION,,,11853.62,13631.66,23 CPT,22854,INSERTION OF CAGE OR MESH DEVICE IN DISC SPACE DURING SPINE FUSION,,,11853.62,22248.0,23 CPT,22855,REMOVAL OF STABILIZING DEVICE FROM FRONT OF SPINE,,,16188.51,22248.0,23 CPT,22856,"INSERTION OF ARTIFICIAL UPPER SPINE DISC, ANTERIOR APPROACH",,,16188.51,22248.0,23 CPT,22858,INSERTION OF ARTIFICIAL UPPER SPINE DISC ANTERIOR APPROACH,,,12244.0,18616.79,23 CPT,22899,UNLISTED PROCEDURE SPINE - FACILITY,,,227.74,3045.0,23 CPT,22900,"REMOVAL OF GROWTH OF MUSCLE OF ABDOMEN, LESS THAN 5.0 CM",,,2681.85,8220.0,23 CPT,22901,"REMOVAL OF GROWTH OF MUSCLE OF ABDOMEN, 5.0 CM OR MORE FACILITY",,,2681.85,8220.0,23 CPT,22902,"REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL, LESS THAN 3.0 CM FACILITY-EXPRESS CARE",,,1524.88,4396.0,23 CPT,22903,"REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL, 3.0 CM OR MORE FACILITY",,,2681.85,8220.0,23 CPT,22904,"EXTENSIVE REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL, LESS THAN 5.0 CM",,,2681.85,8220.0,23 CPT,22999,CRYOABLATION ABDOMINAL - FACILITY,,,227.74,3045.0,23 CPT,23071,HC EXCISN TMR SHOULDER SUBQ >=3CM,3490.0,2268.5,1524.88,4396.0,884 CPT,23071,"REMOVAL OF GROWTH UNDER SKIN OF SHOULDER AREA, 3.0 CM OR MORE PROFESSIONAL",,,3615.02,13605.0,23 CPT,23073,"REMOVAL OF GROWTH OF MUSCLE OF SHOULDER, 5.0 CM OR MORE",,,2681.85,8220.0,23 CPT,23075,"REMOVAL OF GROWTH UNDER SKIN OF SHOULDER AREA, LESS THAN 3.0 CM FACILITY",,,1524.88,4396.0,23 CPT,23076,"REMOVAL OF GROWTH OF MUSCLE OF SHOULDER, LESS THAN 5.0 CM",,,2681.85,8220.0,23 CPT,23105,REMOVAL OF SHOULDER JOINT LINING,,,6699.47,13605.0,23 CPT,23120,PARTIAL REMOVAL OF COLLAR BONE PROFESSIONAL,,,3020.95,13605.0,23 CPT,23156,REMOVAL OF CYST OR GROWTH OF TOP OF UPPER ARM BONE WITH DONOR BONE GRAFT,,,11853.62,13631.66,23 CPT,23210,EXTENSIVE REMOVAL OF GROWTH OF SHOULDER BLADE,,,6699.47,22248.0,23 CPT,23220,EXTENSIVE REMOVAL OF GROWTH OF UPPER END OF UPPER ARM,,,16188.51,22248.0,23 CPT,23350,HC INJ SHOULDER ARTHGM,507.0,329.55,281.39,6376.0,880 CPT,23350,INJECTION OF CONTRAST FOR IMAGING OF SHOULDER JOINT FACILITY,,,723.77,6376.0,23 CPT,23395,RELOCATION OF ONE MUSCLE OF SHOULDER OR UPPER ARM,,,6699.47,13605.0,23 CPT,23410,REPAIR OF ACUTE TORN SHOULDER ROTATOR CUFF PROFESSIONAL,,,6699.47,13605.0,23 CPT,23412,REPAIR OF CHRONIC TORN SHOULDER ROTATOR CUFF PROFESSIONAL,,,6699.47,13605.0,23 CPT,23430,ANCHORING OF BICEPS TENDON PROFESSIONAL,,,12244.0,18616.79,23 CPT,23450,REATTACHMENT OF SHOULDER JOINT CAPSULE WITHOUT BONE TRANSFER,,,6699.47,13605.0,23 CPT,23462,REATTACHMENT OF SHOULDER JOINT CAPSULE WITH BONE TRANSFER (CORACOID BONE),,,6699.47,13605.0,23 CPT,23466,REPAIR AND TIGHTENING OF SHOULDER JOINT CAPSULE,,,6699.47,13605.0,23 CPT,23470,PARTIAL REPLACEMENT OF SHOULDER JOINT,,,11853.62,13631.66,23 CPT,23472,"PROSTHETIC REPAIR OF SHOULDER JOINT, TOTAL SHOULDER PROFESSIONAL",,,12244.0,18616.79,23 CPT,23473,REVISION OF TOTAL SHOULDER REPAIR,,,11853.62,13631.66,23 CPT,23474,"REVISION OF TOTAL SHOULDER REPAIR, TOTAL SHOULDER",,,11853.62,22248.0,23 CPT,23500,HC CLSD TX CLAVICLE FX WO MANIP,513.0,333.45,227.74,3045.0,884 CPT,23515,TREATMENT OF BROKEN COLLAR BONE PROFESSIONAL,,,6699.47,13605.0,23 CPT,23540,HC CLSD TX DISLOC CLAV WO MANIP,3359.0,2183.35,227.74,3359.0,884 CPT,23545,HC CLSD TX DISCL ACROMIOCLAV W MANIP,3322.0,2159.3,227.74,3322.0,884 CPT,23550,TREATMENT OF DISLOCATED JOINT BETWEEN COLLAR BONE AND SHOULDER,,,6699.47,13605.0,23 CPT,23570,HC CLSD TX SCAPULAR FX WO MANIP,765.0,497.25,227.74,3045.0,884 CPT,23575,HC CLSD TX SCAPULAR FX W/WO MANIP,3775.0,2453.75,1484.62,4396.0,884 CPT,23585,TREATMENT OF BROKEN SHOULDER BLADE,,,6699.47,13605.0,23 CPT,23600,HC CLSD TX PROX HUMRL FX WO MANIP,876.0,569.4,227.74,3045.0,884 CPT,23605,HC CLSD TX PROX HUMRL FX W MANIP,4171.0,2711.15,1484.62,4396.0,884 CPT,23615,TREATMENT OF BROKEN TOP OF UPPER ARM BONE,,,11853.62,13631.66,23 CPT,23620,HC CLSD TX GRT TBERSTY FX WO MANIP,767.0,498.55,227.74,3045.0,884 CPT,23650,HC CLSD TX DISLOC SHLDR WO ANES,769.0,499.85,227.74,3045.0,884 CPT,23655,HC CLSD TX DISLOC SHLDR W ANES,3442.0,2237.3,1484.62,4396.0,884 CPT,23675,HC CLSD TX DISLOC SHLDR W NECK FX,4651.0,3023.15,1484.62,4651.0,884 CPT,23700,HC MANIP W ANES SHLDR INC APP FIX,3323.0,2159.95,1484.62,4396.0,884 CPT,23929,TENOTOMY SHLDR TX1 PROCEDURE FACILITY,,,2915.22,8220.0,23 CPT,23930,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF UPPER ARM OR ELBOW,,,2681.85,8220.0,23 CPT,24000,"INCISION OF ELBOW JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,3020.95,13605.0,23 CPT,24006,INCISION OF ELBOW WITH RELEASE OF JOINT CAPSULE,,,3020.95,13605.0,23 CPT,24071,HC EXCISN TMR ARM/ELB SUBQ >=3CM,6026.0,3916.9,2681.85,8220.0,1768 CPT,24071,"REMOVAL OF GROWTH UNDER SKIN OF UPPER ARM OR ELBOW, 3.0 CM OR MORE FACILITY",,,2681.85,8220.0,23 CPT,24073,"REMOVAL OF GROWTH OF MUSCLE OF UPPER ARM OR ELBOW, 5.0 CM OR MORE PROFESSIONAL",,,2681.85,8220.0,23 CPT,24075,HC EXCISN TMR ARM/ELBOW SUBQ <3CM,3480.0,2262.0,1524.88,4396.0,884 CPT,24075,"REMOVAL OF GROWTH UNDER SKIN OF UPPER ARM OR ELBOW, LESS THAN 3.0 CM FACILITY",,,1524.88,4396.0,23 CPT,24076,"REMOVAL OF GROWTH OF MUSCLE OF UPPER ARM OR ELBOW, LESS THAN 5.0 CM",,,2681.85,8220.0,23 CPT,24079,"EXTENSIVE REMOVAL OF GROWTH OF UPPER ARM OR ELBOW, 5.0 CM OR MORE",,,6699.47,13605.0,23 CPT,24101,INCISION AND EXPLORATION OF ELBOW JOINT PROFESSIONAL,,,3020.95,13605.0,23 CPT,24105,REMOVAL OF FLUID-FILLED SAC OF ELBOW,,,6699.47,13605.0,23 CPT,24116,REMOVAL OF CYST OR GROWTH OF UPPER ARM BONE AND DONOR BONE GRAFT,,,11853.62,13631.66,23 CPT,24147,PARTIAL REMOVAL OF INFECTED ELBOW BONE PROFESSIONAL,,,6699.47,13605.0,23 CPT,24149,EXTENSIVE REMOVAL OF BONY GROWTH AND TISSUE FROM ELBOW TO INCREASE ELBOW MOTION,,,6699.47,13605.0,23 CPT,24164,REMOVAL OF FOREARM BONE PROSTHESIS AT ELBOW JOINT,,,3020.95,13605.0,23 CPT,24220,HC INJ ELBOW ARTHGM,1948.0,1266.2,1081.14,6376.0,880 CPT,24220,INJECTION OF CONTRAST FOR IMAGING OF ELBOW JOINT FACILITY,,,322.11,6376.0,23 CPT,24300,MANIPULATION OF ELBOW UNDER ANESTHESIA,,,3020.95,13605.0,23 CPT,24305,LENGTHENING OF TENDON OF UPPER ARM OR ELBOW,,,3020.95,13605.0,23 CPT,24330,RELOCATION OF FOREARM TENDONS,,,6699.47,13605.0,23 CPT,24341,REPAIR OF TENDON OR MUSCLE OF UPPER ARM OR ELBOW,,,6699.47,13605.0,23 CPT,24342,REINSERTION OF TORN UPPER ARM TENDON PROFESSIONAL,,,6699.47,13605.0,23 CPT,24343,REPAIR OF LIGAMENT OF THUMB SIDE OF ELBOW,,,11853.62,13631.66,23 CPT,24345,REPAIR OF LIGAMENT OF SMALL FINGER SIDE OF ELBOW,,,11853.62,13631.66,23 CPT,24357,HC TENOTOMY ELBOW PERCUTANEOUS,7076.0,4599.4,3020.95,13605.0,884 CPT,24357,INCISION OF ELBOW TENDON FACILITY,,,3020.95,13605.0,23 CPT,24359,INCISION AND REPAIR OF ELBOW TENDON WITH REMOVAL OF TISSUE OR BONE,,,3020.95,13605.0,23 CPT,24360,REPAIR OF ELBOW JOINT WITH TISSUE GRAFT,,,6699.47,13605.0,23 CPT,24400,INCISION OR PARTIAL REMOVAL OF UPPER ARM BONE,,,6699.47,13605.0,23 CPT,24498,STABILIZATION OF UPPER ARM BONE WITH DEVICE,,,11853.62,13631.66,23 CPT,24500,HC CLSD TX HUM SHAFT FX WO MANIP,828.0,538.2,227.74,3045.0,884 CPT,24505,HC CLSD TX HUM FX W MANIP W/WO TRCTN,4651.0,3023.15,1484.62,4651.0,884 CPT,24515,TREATMENT OF BROKEN MIDDLE PART OF UPPER ARM BONE WITH PLACEMENT OF STABILIZING DEVICE (PLATE/SCREWS),,,11853.62,13631.66,23 CPT,24516,TREATMENT OF BROKEN MIDDLE PART OF UPPER ARM BONE WITH PLACEMENT OF STABILIZING DEVICE (IMPLANT),,,11853.62,13631.66,23 CPT,24530,HC CLSD TX SUPRA HUM FX WO MANIP,912.0,592.8,227.74,3045.0,884 CPT,24535,HC CLSD TX SUPRA HUM FX W MANIP,6717.0,4366.05,1484.62,6717.0,884 CPT,24546,TREATMENT OF BROKEN UPPER ARM BONE AT ELBOW WITH EXTENSION,,,11853.62,13631.66,23 CPT,24560,HC CLSD TX HUM EPICNDY FX WO MANIP,2855.0,1855.75,227.74,3045.0,884 CPT,24576,HC CLSD TX HUM CONDYL FX WO MANIP,3162.0,2055.3,227.74,3162.0,884 CPT,24600,HC CLSD TX DISLOC ELBOW WO ANES,3281.0,2132.65,227.74,3281.0,884 CPT,24605,HC CLSD TX DISLOC ELBOW W ANES,2273.0,1477.45,488.22,4396.0,856 CPT,24615,TREATMENT OF DISLOCATED ELBOW,,,6699.47,13605.0,23 CPT,24640,HC TX ELBOW NURSEMAID FX W MANIP,3281.0,2132.65,227.74,3281.0,884 CPT,24650,CLOSED TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE AT ELBOW FACILITY,,,1802.9,5243.0,23 CPT,24650,HC CLSD TX RADL HD/NK FX WO MANIP,759.0,493.35,227.74,3045.0,884 CPT,24665,TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE AT ELBOW,,,11853.62,13631.66,23 CPT,24666,TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE AT ELBOW WITH PROSTHESIS,,,11853.62,13631.66,23 CPT,24670,CLOSED TREATMENT OF BROKEN FOREARM BONE ON SMALL FINGER SIDE AT ELBOW FACILITY,,,1802.9,5243.0,23 CPT,24670,HC CLSD TX ULNAR PROX FX WO MANIP,917.0,596.05,227.74,3045.0,884 CPT,24675,HC CLSD TX ULNAR HCOX FX W MANIP,5355.0,3480.75,1484.62,5355.0,884 CPT,24685,TREATMENT OF BROKEN FOREARM BONE ON SMALL FINGER SIDE AT ELBOW PROFESSIONAL,,,6699.47,13605.0,23 CPT,24999,TX1 TENOTOMY ELBOW PERCUTANEOUS FACILITY,,,227.74,3045.0,23 CPT,25000,HC INCISN EXTENSOR TNDN SHTH WRST,3637.0,2364.05,1484.62,4396.0,884 CPT,25000,INCISION OR THE TENDON COVERING ON THE TOP SIDE OF THE WRIST FACILITY,,,1484.62,4396.0,23 CPT,25020,"INCISION OF TISSUE OF FOREARM AND/OR WRIST MUSCLE COMPARTMENT ON ONE SIDE OF THE FOREARM TO RELIEVE PRESSURE, WITHOUT REMOVAL OF TISSUE",,,3020.95,13605.0,23 CPT,25071,HC EXCISN TMR WRST SUBQ>=3CM,5160.0,3354.0,1524.88,5005.2,1768 CPT,25071,"REMOVAL OF GROWTH UNDER SKIN OF FOREARM OR WRIST, 3.0 CM OR MORE FACILITY",,,1524.88,4396.0,23 CPT,25073,"REMOVAL OF GROWTH OF MUSCLE OF FOREARM OR WRIST, 3.0 CM OR MORE",,,2681.85,8220.0,23 CPT,25075,HC EXCISN TMR WRST SUBQ<3CM,3683.0,2393.95,1524.88,4396.0,884 CPT,25075,"REMOVAL OF GROWTH UNDER SKIN OF FOREARM OR WRIST, LESS THAN 3.0 CM FACILITY",,,1524.88,4396.0,23 CPT,25076,"REMOVAL OF GROWTH OF MUSCLE OF FOREARM OR WRIST, LESS THAN 3.0 CM",,,1524.88,4396.0,23 CPT,25078,"EXTENSIVE REMOVAL OF GROWTH OF FOREARM OR WRIST, 3.0 CM OR MORE",,,2681.85,8220.0,23 CPT,25109,REMOVAL OF TENDON OF FOREARM AND/OR WRIST,,,6699.47,13605.0,23 CPT,25111,REMOVAL OF FIRST CYST OF WRIST PROFESSIONAL,,,1484.62,4396.0,23 CPT,25112,REMOVAL OF RECURRENT CYST OF WRIST FACILITY,,,1484.62,4396.0,23 CPT,25115,EXTENSIVE REMOVAL OF GROWTH OF SOFT TISSUE STRUCTURES IN PALM SIDE OF WRIST,,,1484.62,4396.0,23 CPT,25116,EXTENSIVE REMOVAL OF GROWTH OF SOFT TISSUE STRUCTURES IN TOP SIDE OF WRIST,,,3020.95,13605.0,23 CPT,25118,HC SYNO EXT TNDN SHTH WRST SNGL,6682.0,4343.3,1484.62,6481.54,884 CPT,25118,REMOVAL OF LINING OF TENDON COVERING OF WRIST FACILITY,,,1484.62,4396.0,23 CPT,25120,REMOVAL OF CYST OR GROWTH OF LOWER FOREARM BONE,,,3020.95,13605.0,23 CPT,25135,REMOVAL OF CYST OR GROWTH OF WRIST BONE WITH SELF BONE GRAFT,,,6699.47,22248.0,23 CPT,25145,REMOVAL OF FRAGMENT OF DEAD FOREARM OR WRIST BONE ON SMALL FINGER SIDE,,,6699.47,22248.0,23 CPT,25151,REMOVAL OF DISEASED PART OF FOREARM BONE ON THUMB SIDE-EXPRESS CARE,,,3020.95,13605.0,23 CPT,25170,EXTENSIVE REMOVAL OF GROWTH OF FOREARM BONE (RADIUS OR ULNA),,,12244.0,18616.79,23 CPT,25210,REMOVAL OF WRIST BONE,,,6699.47,13605.0,23 CPT,25215,REMOVAL OF MULTIPLE WRIST BONES,,,3020.95,13605.0,23 CPT,25230,PARTIAL REMOVAL OF WRIST BONE NEAR THUMB,,,3020.95,13605.0,23 CPT,25240,REMOVAL OR PARTIAL REMOVAL OF LOWER END OF FOREARM BONE ON SMALL FINGER SIDE AT WRIST,,,3020.95,13605.0,23 CPT,25246,HC INJ WRIST ARTHGM,731.0,475.15,405.71,6376.0,880 CPT,25246,INJECTION OF CONTRAST FOR IMAGING OF WRIST FACILITY,,,723.77,6376.0,23 CPT,25248,REMOVAL OF DEEP FOREIGN BODY IN FOREARM OR WRIST,,,1484.62,4396.0,23 CPT,25270,REPAIR OF FOREARM AND/OR WRIST TENDON OR MUSCLE,,,3020.95,13605.0,23 CPT,25280,LENGTHENING OR SHORTENING OF TENDON OF FOREARM AND/OR WRIST,,,6699.47,13605.0,23 CPT,25290,"INCISION OF TENDON OF FOREARM AND/OR WRIST, OPEN PROCEDURE",,,3020.95,13605.0,23 CPT,25310,RELOCATION OF TENDON OF FOREARM AND/OR WRIST PROFESSIONAL,,,3020.95,13605.0,23 CPT,25320,RECONSTRUCTION OF WRIST JOINT,,,6699.47,13605.0,23 CPT,25332,REPAIR OF WRIST JOINT,,,3020.95,13605.0,23 CPT,25360,INCISION OR PARTIAL REMOVAL OF FOREARM BONE ON SMALL FINGER SIDE,,,6699.47,13605.0,23 CPT,25390,SHORTENING OF ONE OF THE FOREARM BONES,,,6699.47,13605.0,23 CPT,25400,REPAIR NON-HEALED FRACTURE OF FOREARM BONE,,,6699.47,13605.0,23 CPT,25405,REPAIR NON-HEALED FRACTURE OF FOREARM BONE WITH PATIENT-DERIVED BONE GRAFT,,,6699.47,13605.0,23 CPT,25415,TREATMENT OF BOTH NONHEALED BROKEN FOREARM BONES,,,6699.47,13605.0,23 CPT,25440,"REPAIR OF NON-HEALED WRIST BONE, SCAPHOID OR NAVICULAR AT THE BASE OF THE THUMB",,,6699.47,13605.0,23 CPT,25442,ARTHROPLASTY OR REPLACEMENT OF THE END OF THE FOREARM BONE ON THE SMALL FINGER SIDE AT THE WRIST LEVEL,,,12244.0,18616.79,23 CPT,25445,"ARTHROPLASTY OR REPLACEMENT OF WRIST BONE, ONE WRIST BONE (TRAPEZIUM BONE)",,,6699.47,13605.0,23 CPT,25447,REMOVAL OF BONE JOINTS BETWEEN WRIST AND FINGERS PROFESSIONAL,,,3020.95,13605.0,23 CPT,25448,REPLACEMENT OF JOINT BETWEEN WRIST AND FINGERS USING TENDON OR STITCHES PROFESSIONAL,,,3020.95,13605.0,23 CPT,25500,HC TX RADIAL SHAFT FX WO MANIP,883.0,573.95,227.74,3045.0,884 CPT,25530,HC CLSD TX ULNAR SHAFT FX WO MANIP,1226.0,796.9,227.74,3045.0,884 CPT,25545,TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON SMALL FINGER SIDE,,,6699.47,13605.0,23 CPT,25560,HC CLSD TX RDL & ULNAR FX WO MANIP,3052.0,1983.8,227.74,3052.0,884 CPT,25574,TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES WITH PLACEMENT OF STABILIZING DEVICE TO BONE,,,6699.47,13605.0,23 CPT,25575,TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES WITH PLACEMENT OF STABILIZING DEVICE ON BOTH BONES,,,6699.47,13605.0,23 CPT,25600,HC CLSD TX DIST RDL FX WO MANIP,810.0,526.5,227.74,3045.0,884 CPT,25605,HC CLSD TX DIST RDL FX W MANIP,3512.5,2283.125,1484.62,4396.0,1768 CPT,25607,"TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST, ABOVE WRIST, WITH PLACEMENT OF STABILIZING DEVICE PROFESSIONAL",,,6699.47,13605.0,23 CPT,25608,TREATMENT OF 2 BROKEN LOWER FOREARM BONE PIECES ON THUMB SIDE INSIDE WRIST JOINT WITH PLACEMENT OF STABILIZING DEVICE PROFESSIONAL,,,6699.47,13605.0,23 CPT,25609,TREATMENT OF 3 OR MORE BROKEN LOWER FOREARM BONE PIECES ON THUMB SIDE INSIDE WRIST JOINT WITH PLACEMENT OF STABILIZING DEVICE PROFESSIONAL,,,6699.47,13605.0,23 CPT,25622,HC CLSD TX CRPL SCPHD FX WO MANIP,968.0,629.2,227.74,3045.0,884 CPT,25624,HC CLSD TX CRPL SCPHD FX W MANIP,3739.0,2430.35,1484.62,4396.0,884 CPT,25628,TREATMENT OF BROKEN WRIST BONE LOCATED NEAR BASE OF THUMB,,,6699.47,13605.0,23 CPT,25630,HC CLSD TX CRPL FX WO MANIP EA BN,779.0,506.35,227.74,3045.0,884 CPT,25645,HC OPN TX CARPAL BONE FX EA BONE,15608.0,10145.2,3020.95,15139.76,884 CPT,25645,TREATMENT OF OTHER BROKEN WRIST BONES FACILITY,,,3020.95,13605.0,23 CPT,25650,HC CLSD TX ULNAR FX STYLOID,3158.0,2052.7,227.74,3158.0,884 CPT,25652,TREATMENT OF BROKEN BASE OF FOREARM BONE ON SMALL FINGER SIDE AT WRIST,,,6699.47,13605.0,23 CPT,25810,FUSION OF WRIST JOINT WITH GRAFT FROM HIP OR OTHER BONE,,,11853.62,13631.66,23 CPT,25825,FUSION OF PART OF WRIST JOINT WITH PATIENT-DERIVED BONE GRAFT,,,6699.47,13605.0,23 CPT,25830,FUSION OF BOTH FOREARM BONES AT WRIST,,,6699.47,13605.0,23 CPT,25999,UNLISTED PROC FOREARM/WRIST PROFESSIONAL-EXPRESS CARE,,,3020.95,13605.0,23 CPT,26010,HC I&D ABSC FGR SMPL,3162.0,2055.3,185.24,3162.0,884 CPT,26011,HC I&D ABSC FINGER COMPLICATED,5056.0,3286.4,1524.88,5056.0,884 CPT,26040,HC FASCIOTOMY PALMAR PERCUTANEOUS,6682.0,4343.3,1484.62,6548.36,884 CPT,26040,RELEASE OF TISSUE OF PALM FACILITY,,,1484.62,4396.0,23 CPT,26045,HC FASCIOTOMY PALMAR OPEN PARTIAL,12258.0,7967.7,3020.95,13605.0,884 CPT,26055,HC INCISN TNDN SHEATH,3626.0,2356.9,1484.62,4396.0,884 CPT,26055,INCISION OF TENDON COVERING OF FINGER FACILITY,,,1484.62,4396.0,23 CPT,26080,HC ARTHRT EXPL DRN LOOSE/FB I-P JT,5651.0,3673.15,1484.62,5481.47,884 CPT,26080,"INCISION OF FINGER JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY FACILITY",,,1484.62,4396.0,23 CPT,26111,REMOVAL (1.5 CENTIMETERS OR GREATER) TISSUE BENEATH THE SKIN GROWTH OF HAND OR FINGER PROFESSIONAL,,,1524.88,4396.0,23 CPT,26113,"REMOVAL OF GROWTH OF MUSCLE OF HAND OR FINGER, 1.5 CM OR MORE FACILITY",,,1524.88,4396.0,23 CPT,26115,HC EXCISN TMR HND/FGR SUBQ <1.5CM,8951.0,5818.15,1524.88,8682.47,884 CPT,26115,REMOVAL (LESS THAN 1.5 CENTIMETERS) TISSUE BENEATH THE SKIN GROWTH OF HAND OR FINGER PROFESSIONAL,,,1524.88,4396.0,23 CPT,26116,"REMOVAL OF GROWTH OF MUSCLE OF HAND OR FINGER, LESS THAN 1.5 CM FACILITY",,,1524.88,4396.0,23 CPT,26117,"EXTENSIVE REMOVAL OF GROWTH OF HAND OR FINGER, LESS THAN 3.0 CM",,,2681.85,8220.0,23 CPT,26121,REMOVAL OF CONNECTIVE TISSUE OF PALM FACILITY,,,3020.95,13605.0,23 CPT,26123,HC FASCTMY PALM PRTL W SNGL DIG,12627.0,8207.55,3020.95,13605.0,884 CPT,26123,"REMOVAL OF CONNECTIVE TISSUE OF PALM AND RELEASE OF FINGER, FIRST DIGIT PROFESSIONAL",,,3020.95,13605.0,23 CPT,26125,HC FASCTMY PALM PRTL EA ADD DIG,8582.0,5578.3,4265.25,8324.54,880 CPT,26125,"REMOVAL OF CONNECTIVE TISSUE OF PALM AND RELEASE OF FINGER, EACH ADDITIONAL DIGIT PROFESSIONAL",,,3020.95,13605.0,23 CPT,26160,HC EXCISN LESN TNDN SHTH HND/FGR,3601.0,2340.65,1484.62,4396.0,884 CPT,26160,REMOVAL OF GROWTH OF TENDON FINGER OR HAND PROFESSIONAL,,,1484.62,4396.0,23 CPT,26200,REMOVAL OF CYST OR GROWTH FROM HAND BONE,,,1484.62,4396.0,23 CPT,26210,REMOVAL OF CYST OR GROWTH OF FINGER BONE,,,1484.62,4396.0,23 CPT,26230,PARTIAL REMOVAL OF HAND BONE,,,3020.95,13605.0,23 CPT,26235,HC EXCISN BN PROX/MID PHAL PRTL,6425.0,4176.25,1484.62,6232.25,884 CPT,26235,PARTIAL REMOVAL OF FINGER BONE NEAREST HAND OR MIDDLE OF FINGER FACILITY,,,1484.62,4396.0,23 CPT,26236,HC EXCISN BN DISTAL PHAL PRTL,3447.0,2240.55,1484.62,4396.0,884 CPT,26236,PARTIAL REMOVAL OF FINGER BONE AT END OF FINGER FACILITY,,,1484.62,4396.0,23 CPT,26340,MANIPULATION OF FINGER JOINT UNDER ANESTHESIA FACILITY,,,3020.95,13605.0,23 CPT,26350,REPAIR OF FINGER TENDON OF UNDER SIDE OF HAND OTHER THAN UPPER MOST PART OF PALM AND FINGERS,,,3020.95,13605.0,23 CPT,26352,REPAIR OF FINGER TENDON ON UNDER SIDE OF HAND WITH A GRAFT NOT IN ZONE 2,,,6699.47,13605.0,23 CPT,26356,PRIMARY REPAIR OF FINGER TENDON ON UNDERSIDE OF THE HAND WITHOUT A GRAFT IN ZONE 2 FACILITY,,,3020.95,13605.0,23 CPT,26410,REPAIR OF TENDON ON TOP OF HAND FACILITY,,,1484.62,4396.0,23 CPT,26418,REPAIR OF TENDON ON TOP SIDE OF FINGER FACILITY,,,1484.62,4396.0,23 CPT,26420,REPAIR OF TENDON OF TOP SIDE OF FINGER WITH GRAFT,,,3020.95,13605.0,23 CPT,26426,HC RPR EXTNSR TNDN SECNDRY W TISS,15608.0,10145.2,3020.95,15608.0,884 CPT,26433,HC RPR EXTNSR TNDN DIST INS,15007.0,9754.55,3020.95,15007.0,884 CPT,26437,REPAIR OF TENDON ON UPPER SIDE OF HAND FACILITY,,,3020.95,13605.0,23 CPT,26440,HC TENOLYSIS FLEXOR PALM/FINGER,6108.0,3970.2,1484.62,5924.76,884 CPT,26440,RELEASE OF TENDON OF PALM OR FINGER FACILITY,,,1484.62,4396.0,23 CPT,26442,RELEASE OF TENDON OF PALM AND FINGER,,,3020.95,13605.0,23 CPT,26445,RELEASE OF TENDON OF TOP OF HAND OR FINGER FACILITY,,,3020.95,13605.0,23 CPT,26471,SUTURE OF TENDON TO FIRST JOINT OF FINGER,,,3020.95,13605.0,23 CPT,26480,HC TRNSF TNDN DORSUM WO GRFT EA,6851.0,4453.15,3020.95,13605.0,884 CPT,26480,TRANSFER OF TENDON TO BACK OF HAND,,,3020.95,13605.0,23 CPT,26496,"TRANSFER OF TENDON TO THUMB, PALM, OR WRIST",,,3020.95,13605.0,23 CPT,26498,"TRANSFER OF TENDONS OF HAND, ALL 4 FINGERS",,,3020.95,13605.0,23 CPT,26499,CORRECTION CLAW FINGER,,,3020.95,13605.0,23 CPT,26510,TRANSFER OF FINGER TENDON-EXPRESS CARE,,,3020.95,13605.0,23 CPT,26516,"REPAIR OF JOINT CAPSULE OF HAND AND PALM, 1 FINGER",,,6699.47,13605.0,23 CPT,26520,HC CAPSULECTOMY MCP JT EA,12883.0,8373.95,3020.95,13605.0,884 CPT,26520,INCISION OR REMOVAL OF JOINT CAPSULE BETWEEN HAND AND FINGER FACILITY,,,6699.47,13605.0,23 CPT,26525,REPAIR OF JOINT CAPSULE OF FINGER,,,3020.95,13605.0,23 CPT,26531,REPAIR OF JOINT BETWEEN HAND AND FINGER BONES WITH PROSTHESIS,,,6699.47,13605.0,23 CPT,26536,REPLACEMENT OF FINGER JOINT WITH PROSTHESIS PROFESSIONAL,,,6699.47,13605.0,23 CPT,26540,REPAIR OF LIGAMENT OF FINGER OR HAND AND FINGER JOINT,,,3020.95,13605.0,23 CPT,26541,REPAIR OF LIGAMENT OF FINGER OR HAND TO FINGER JOINT WITH GRAFT,,,3020.95,13605.0,23 CPT,26545,REPAIR OF LIGAMENT OF FINGER JOINT WITH GRAFT,,,3020.95,13605.0,23 CPT,26546,REPAIR OF NONHEALED HAND OR FINGER BONE,,,6699.47,13605.0,23 CPT,26565,INCISION OR REMOVAL OF HAND BONE,,,6699.47,13605.0,23 CPT,26593,RELEASE OF HAND MUSCLE,,,3020.95,13605.0,23 CPT,26600,HC CLSD TX METCARP FX WO MANIP EA BN,747.0,485.55,227.74,3045.0,884 CPT,26608,TREATMENT OF BROKEN FINGER BONE WITH STABILIZING DEVICE ACCESSED THROUGH SKIN,,,3020.95,13605.0,23 CPT,26615,TREATMENT OF BROKEN MIDHAND BONE,,,3020.95,13605.0,23 CPT,26650,PLACEMENT OF STABILIZING DEVICE FOR BROKEN THUMB AT WRIST WITH MANIPULATION,,,3020.95,13605.0,23 CPT,26665,TREATMENT OF BROKEN THUMB AT WRIST,,,3020.95,13605.0,23 CPT,26670,HC CLSD TX CMC DISLOC W MANIP,818.0,531.7,227.74,3045.0,884 CPT,26676,PLACEMENT OF STABILIZING DEVICE FOR DISLOCATED HAND BONE AT WRIST JOINT WITH MANIPULATION,,,3020.95,13605.0,23 CPT,26685,TREATMENT OF BROKEN HAND BONE AT WRIST,,,3020.95,13605.0,23 CPT,26700,HC CLSD TX MCP DISLOC W MANIP WO ANS,2940.0,1911.0,227.74,3045.0,884 CPT,26715,TREATMENT OF DISLOCATED HAND JOINT AT BASE OF FINGER,,,3020.95,13605.0,23 CPT,26720,HC CLSD TX PHAL SHFT FX WO MANIP EA,681.0,442.65,227.74,3045.0,884 CPT,26725,HC CLSD TX PHAL SHFT FX W MANIP EA,3251.0,2113.15,227.74,3251.0,884 CPT,26727,HC TX PERC FGR PROX/MID W MANIP EA,7186.0,4670.9,3020.95,13605.0,1768 CPT,26727,PLACEMENT OF STABILIZING DEVICE FOR BROKEN FINGER OR THUMB AT MIDPORTION OR PART NEAR HAND WITH MANIPULATION PROFESSIONAL,,,3020.95,13605.0,23 CPT,26735,TREATMENT OF BROKEN FINGER AT MIDPORTION OR PART NEAR HAND,,,3020.95,13605.0,23 CPT,26746,TREATMENT OF BROKEN FINGER OR HAND AT BASE OF FINGER,,,6699.47,13605.0,23 CPT,26750,HC CLSD TX DISTL PHAL WO MANIP EA,688.0,447.2,227.74,3045.0,884 CPT,26755,HC CLSD TX DISTL PHAL FX W MANIP EA,945.0,614.25,227.74,3045.0,884 CPT,26756,HC FIX PERC SKEL DIST PHAL FX EA,12123.0,7879.95,3020.95,13605.0,884 CPT,26756,PLACEMENT OF STABILIZING DEVICE FOR BROKEN END OF FINGER OR THUMB PROFESSIONAL,,,3020.95,13605.0,23 CPT,26770,HC CLSD TX I-P DISLOC W MANIP WO ANES,806.0,523.9,227.74,3045.0,884 CPT,26775,HC TX I-P DISLOC W MANIP W ANES,3943.0,2562.95,258.23,3943.0,884 CPT,26776,PLACEMENT OF STABILIZING DEVICE FOR DISLOCATED FINGER JOINT WITH MANIPULATION,,,3020.95,13605.0,23 CPT,26820,FUSION OF THUMB,,,6699.47,13605.0,23 CPT,26841,FUSION OF THUMB AT WRIST,,,6699.47,13605.0,23 CPT,26850,FUSION OF JOINT BETWEEN FINGER AND HAND,,,6699.47,13605.0,23 CPT,26852,FUSION OF FINGER JOINT AT HAND WITH SELF BONE GRAFT,,,6699.47,13605.0,23 CPT,26860,"FUSION OF FINGER JOINT, INITIAL JOINT PROFESSIONAL",,,3020.95,13605.0,23 CPT,26861,"FUSION OF FINGER JOINT, EACH ADDITIONAL JOINT",,,6699.47,13605.0,23 CPT,26862,"FUSION OF FINGER JOINT WITH SELF BONE GRAFT, INITIAL JOINT",,,3020.95,13605.0,23 CPT,26951,AMPUTATION OF FINGER OR THUMB WITH DIRECT CLOSURE FACILITY,,,3020.95,13605.0,23 CPT,26952,AMPUTATION OF FINGER OR THUMB WITH TISSUE FLAP FACILITY,,,3615.02,13605.0,23 CPT,26989,UNLISTED PROC HANDS/FINGERS PROFESSIONAL,,,3020.95,13605.0,23 CPT,27006,INCISION OF TENDON OF HIP (ABDUCTOR AND/OR EXTENSOR),,,3020.95,13605.0,23 CPT,27043,"REMOVAL OF GROWTH UNDER SKIN OF PELVIS AND HIP, 3.0 CM OR MORE PROFESSIONAL",,,2681.85,8220.0,23 CPT,27045,"REMOVAL OF GROWTH OF MUSCLE OF PELVIS AND HIP, 5.0 CM OR MORE",,,2681.85,8220.0,23 CPT,27047,HC EXCISN TMR PELVIS/HIP SUBQ<3CM,6026.0,3916.9,2681.85,8220.0,884 CPT,27048,"REMOVAL OF GROWTH OF SOFT TISSUE OF PELVIS AND HIP, LESS THAN 5.0 CM",,,2681.85,8220.0,23 CPT,27059,"EXTENSIVE REMOVAL OF GROWTH OF PELVIS AND HIP, 5.0 CM OR MORE",,,2681.85,13605.0,23 CPT,27062,REMOVAL OF FLUID-FILLED SAC (BURSA) OR CALCIUM DEPOSIT OF PELVIS PROFESSIONAL,,,3020.95,13605.0,23 CPT,27080,REMOVAL OF TAILBONE,,,3020.95,13605.0,23 CPT,27086,"REMOVAL OF FOREIGN BODY IN TISSUE OF PELVIS OR HIP, ACCESSED BENEATH THE SKIN",,,2681.85,8220.0,23 CPT,27093,HC INJ PROC HIP ARTHGRPH WO ANES,1391.0,904.15,772.01,6376.0,880 CPT,27093,INJECTION OF CONTRAST FOR IMAGING OF HIP JOINT FACILITY,,,723.77,6376.0,23 CPT,27096,HC INJ SI JT W IMA W ARTHROGRPHY,2781.0,1807.65,75.24,6376.0,1768 CPT,27096,INJECTION OF ANESTHETIC OR STEROID INTO JOINT BETWEEN LOWER SPINE AND HIP BONE USING IMAGING GUIDANCE FACILITY,,,75.24,6376.0,23 CPT,27130,REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS PROFESSIONAL,,,11853.62,13631.66,23 CPT,27132,TOTAL HIP REPLACEMENT AFTER PREVIOUS HIP SURGERY PROFESSIONAL,,,11853.62,22248.0,23 CPT,27134,REVISION OF THIGH BONE AND HIP JOINT PROSTHESIS,,,11853.62,22248.0,23 CPT,27138,REVISION OF THIGH BONE PROSTHESIS,,,11853.62,22248.0,23 CPT,27187,STABILIZATION OF UPPER THIGH BONE WITH DEVICE,,,6699.47,22248.0,23 CPT,27216,PLACEMENT OF STABILIZING DEVICE FOR BROKEN AND/OR DISLOCATED BONE ON SIDE OF PELVIS,,,96.52,111.0,4 CPT,27230,HC CLSD TX FEM FX PROX WO MANIP,3178.0,2065.7,227.74,3178.0,884 CPT,27236,TREATMENT OF UPPER END OF BROKEN THIGH BONE WITH PLACEMENT OF STABILIZING DEVICE OR PROSTHETIC REPLACEMENT,,,6699.47,22248.0,23 CPT,27238,HC CLSD TX FEMORAL FX WO MANIP,7741.0,5031.65,1484.62,7741.0,884 CPT,27240,HC CLSD TX FEMORAL FX W MANIP,5527.0,3592.55,1484.62,22248.0,884 CPT,27252,HC CLSD TX HIP DISLOC W ANES,4147.0,2695.55,1484.62,4396.0,884 CPT,27265,HC CLSD TX HIP DISLOC WO ANES,1208.0,785.2,227.74,3045.0,884 CPT,27266,HC TX POST HIP ARTHR DISLOC ANES,3308.0,2150.2,1484.62,4396.0,884 CPT,27279,FUSION OF PELVIC JOINT USING IMAGING GUIDANCE,,,12244.0,18616.79,23 CPT,27299,UNLISTED PROC PELVIS/HIP JOINT - FACILITY,,,3020.95,13605.0,23 CPT,27301,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF THIGH OR KNEE,,,6699.47,13605.0,23 CPT,27324,BIOPSY OF DEEP TISSUE OF THIGH OR KNEE,,,2681.85,8220.0,23 CPT,27327,"REMOVAL OF GROWTH UNDER SKIN OF THIGH OR KNEE, 3.0 CM OR MORE FACILITY",,,1524.88,4396.0,23 CPT,27328,"REMOVAL OF GROWTH OF MUSCLE OF THIGH OR KNEE, 5.0 CM OR LESS FACILITY",,,3020.95,13605.0,23 CPT,27329,"EXTENSIVE REMOVAL OF GROWTH OF THIGH OR KNEE, LESS THAN 5.0 CM",,,2681.85,8220.0,23 CPT,27337,REMOVAL OF GROWTH UNDER SKIN THIGH OR KNEE 3 CM OR GREATER FACILITY,,,2681.85,8220.0,23 CPT,27339,"REMOVAL OF GROWTH OF MUSCLE OF THIGH OR KNEE, 5.0 CM OR MORE PROFESSIONAL",,,2681.85,8220.0,23 CPT,27345,REMOVAL OF CYST OF BACK OF KNEE,,,3615.02,13605.0,23 CPT,27347,REMOVAL OF GROWTH OF KNEE CARTILAGE OR CAPSULE,,,11853.62,13631.66,23 CPT,27355,REMOVAL OF CYST OR GROWTH OF THIGH BONE,,,3020.95,13605.0,23 CPT,27357,REMOVAL OF CYST OR GROWTH OF THIGH BONE WITH SELF BONE GRAFT,,,11853.62,13631.66,23 CPT,27364,"EXTENSIVE REMOVAL OF GROWTH OF THIGH OR KNEE, 5.0 CM OR MORE",,,2681.85,8220.0,23 CPT,27369,HC NJX CNTRST KNE ARTHG/CT/MRI,1046.0,679.9,519.86,1014.62,880 CPT,27369,INJECTION OF CONTRAST FOR IMAGING OF KNEE JOINT FACILITY,,,161.94,3826.0,23 CPT,27372,REMOVAL OF FOREIGN BODY DEEP IN TISSUE OF THIGH OR KNEE,,,2681.85,8220.0,23 CPT,27380,PRIMARY SUTURE OF TENDON BELOW KNEE PROFESSIONAL,,,6699.47,13605.0,23 CPT,27385,PRIMARY SUTURE OF RUPTURED MUSCLE OF THIGH PROFESSIONAL,,,6699.47,13605.0,23 CPT,27386,SECONDARY SUTURE OF RUPTURED MUSCLE OF THIGH,,,11853.62,13631.66,23 CPT,27405,PRIMARY REPAIR OF TORN LIGAMENT OR JOINT CAPSULE AT OUTSIDE PART OF KNEE,,,6699.47,13605.0,23 CPT,27415,IMPLANTATION OF DONOR CARTILAGE CELLS INTO KNEE JOINT,,,11853.62,13631.66,23 CPT,27416,IMPLANTATION OF SELF CARTILAGE CELLS INTO KNEE BONE,,,6699.47,13605.0,23 CPT,27418,REPAIR OF UPPER END OF SHIN BONE AT KNEE JOINT PROFESSIONAL,,,6699.47,13605.0,23 CPT,27422,REPAIR OF DISLOCATING KNEECAP WITH REALIGNMENT PROFESSIONAL,,,6699.47,13605.0,23 CPT,27425,RELEASE OF LIGAMENTS OF KNEE JOINT,,,3020.95,13605.0,23 CPT,27427,RECONSTRUCTION OF LIGAMENTS OUTSIDE KNEE JOINT PROFESSIONAL,,,6699.47,13605.0,23 CPT,27430,REPAIR OF MUSCLE GROUP ABOVE KNEE JOINT,,,6699.47,13605.0,23 CPT,27438,REPAIR OF KNEECAP WITH PROSTHESIS PROFESSIONAL,,,11853.62,13631.66,23 CPT,27442,REPAIR OF END OF THIGH OR LOWER LEG BONE AT KNEE JOINT WITH PROSTHESIS PROFESSIONAL,,,11853.62,13631.66,23 CPT,27445,KNEE JOINT REPLACEMENT USING HINGED PROSTHESIS,,,10.74,22248.0,23 CPT,27446,REPLACEMENT OF KNEE JOINT ON SIDE OF KNEE,,,11853.62,13631.66,23 CPT,27447,"REPLACEMENT OF KNEE JOINT, BOTH SIDES OF KNEE PROFESSIONAL",,,11853.62,13631.66,23 CPT,27450,INCISION OR PARTIAL REMOVAL OF MIDDLE PORTION OF THIGH BONE WITH STABILIZING DEVICE,,,6699.47,22248.0,23 CPT,27457,"INCISION OR PARTIAL REMOVAL OF UPPER PORTION OF LOWER LEG BONE TO REPAIR DEFORMITY, AFTER BONE GROWTH COMPLETED",,,11853.62,22248.0,23 CPT,27470,REPAIR OF NONHEALED BROKEN THIGH BONE,,,6699.47,22248.0,23 CPT,27486,REVISION OF COMPONENT OF TOTAL KNEE JOINT PROSTHESIS PROFESSIONAL,,,11853.62,22248.0,23 CPT,27487,REVISION OF THIGH AND LOWER LEG BONE COMPONENTS OF TOTAL KNEE JOINT PROSTHESIS PROFESSIONAL,,,16188.51,22248.0,23 CPT,27500,HC CLSD TX FEMORAL SHAFT WO MANIP,2771.0,1801.15,227.74,3045.0,884 CPT,27508,HC CLSD TX FEM FX DIST WO MANIP,3478.0,2260.7,227.74,3478.0,884 CPT,27514,TREATMENT OF BROKEN SIDE OF LOWER END OF THIGH BONE,,,11853.62,22248.0,23 CPT,27520,HC CLSD TX PATELLA FX WO MANIP,865.0,562.25,227.74,3045.0,884 CPT,27524,TREATMENT OF BROKEN KNEECAP WITH PLACEMENT OF STABILIZING DEVICE AND/OR REMOVAL OF KNEECAP PROFESSIONAL,,,6699.47,13605.0,23 CPT,27530,HC CLSD TX TIB FX WO MANIP,696.0,452.4,227.74,3045.0,884 CPT,27532,HC CLSD TX TIB FX W/WO MANIP,15608.0,10145.2,3020.95,15608.0,884 CPT,27560,HC CLSD TX PATLLR DISLOC WO ANES,858.0,557.7,227.74,3045.0,884 CPT,27570,HC MANIP KNEE JT W ANES,4908.0,3190.2,1484.62,4760.76,1768 CPT,27570,MANIPULATION OF KNEE JOINT UNDER ANESTHESIA FACILITY,,,1484.62,4396.0,23 CPT,27594,SECONDARY CLOSURE OR REVISION OF SCAR AT PREVIOUS THIGH AMPUTATION,,,3020.95,13605.0,23 CPT,27596,RE-AMPUTATION OF THIGH THROUGH THIGH BONE,,,3020.95,22248.0,23 CPT,27599,UNLISTED PROCEDURE FEMUR/KNEE - FACILITY,,,227.74,3045.0,23 CPT,27600,INCISION OF CONNECTIVE TISSUE OF FRONT OR SIDE OF LOWER LEG TO RELIEVE PRESSURE,,,3020.95,13605.0,23 CPT,27601,INCISION OF CONNECTIVE TISSUE OF BACK OF LOWER LEG TO RELIEVE PRESSURE,,,3020.95,13605.0,23 CPT,27602,INCISION OF CONNECTIVE TISSUE OF FRONT AND/OR SIDE AND BACK OF LOWER LEG TO RELIEVE PRESSURE,,,3020.95,13605.0,23 CPT,27604,DRAINAGE OF INFECTED FLUID-FILLED SAC (BURSA) OF LEG OR ANKLE,,,3020.95,13605.0,23 CPT,27605,HC TNTMY ACHIL TNDN PERC LOC ANES,3456.0,2246.4,1484.62,4396.0,884 CPT,27606,INCISION OF ACHILLES TENDON UNDER ANESTHESIA,,,11853.62,13631.66,23 CPT,27612,INCISION OF ANKLE JOINT WITH RELEASE OF JOINT LINING,,,3020.95,13605.0,23 CPT,27613,BIOPSY OF SURFACE TISSUE OF LEG OR ANKLE FACILITY,,,1524.88,4396.0,23 CPT,27614,BIOPSY OF DEEP TISSUE OF LEG OR ANKLE,,,2681.85,8220.0,23 CPT,27616,"EXTENSIVE REMOVAL OF GROWTH OF LEG OR ANKLE, 5.0 CM OR MORE",,,2681.85,8220.0,23 CPT,27618,"REMOVAL OF GROWTH UNDER SKIN OF LEG OR ANKLE, LESS THAN 3.0 CM FACILITY",,,1524.88,4396.0,23 CPT,27619,"REMOVAL OF GROWTH OF MUSCLE OF LEG OR ANKLE, LESS THAN 5.0 CM",,,2681.85,8220.0,23 CPT,27620,INCISION AND EXPLORATION OF ANKLE JOINT,,,3020.95,13605.0,23 CPT,27626,REMOVAL OF MEMBRANE COVERING ANKLE JOINT AND TENDON,,,6699.47,13605.0,23 CPT,27632,"REMOVAL OF GROWTH UNDER SKIN OF LEG OR ANKLE, 3.0 CM OR MORE PROFESSIONAL",,,2681.85,8220.0,23 CPT,27634,"REMOVAL OF GROWTH OF MUSCLE OF LEG OR ANKLE, 5.0 CM OR MORE",,,2681.85,8220.0,23 CPT,27635,REMOVAL OF CYST OR GROWTH OF LOWER LEG BONE PROFESSIONAL,,,3020.95,13605.0,23 CPT,27638,REMOVAL OF CYST OR GROWTH OF LOWER LEG BONE WITH BONE GRAFT,,,6699.47,13605.0,23 CPT,27640,PARTIAL REMOVAL OF SHIN BONE,,,3020.95,13605.0,23 CPT,27641,PARTIAL REMOVAL OF OUTER LOWER LEG BONE,,,3020.95,13605.0,23 CPT,27648,HC INJ ANK ARTHROGRAPHY,1064.0,691.6,590.52,6376.0,880 CPT,27648,INJECTION FOR X-RAY IMAGING OF ANKLE FACILITY,,,723.77,6376.0,23 CPT,27650,REPAIR OF RUPTURED ACHILLES TENDON PROFESSIONAL,,,6699.47,13605.0,23 CPT,27654,SECONDARY REPAIR OF RUPTURED ACHILLES TENDON PROFESSIONAL,,,6699.47,13605.0,23 CPT,27658,PRIMARY REPAIR OF TENDON ON BACK OF LEG,,,3020.95,13605.0,23 CPT,27659,SECONDARY REPAIR OF TENDON ON BACK OF LEG,,,6699.47,13605.0,23 CPT,27664,PRIMARY REPAIR OF TENDON ON FRONT OF LEG,,,11853.62,13631.66,23 CPT,27665,SECONDARY REPAIR OF TENDON ON FRONT OF LEG,,,6699.47,13605.0,23 CPT,27675,REPAIR OF DISLOCATING LOWER LEG TENDONS WITHOUT A CUT THROUGH THE LOWER LEG BONE ON THE OUTSIDE OF THE LEG (FIBULA) PROFESSIONAL,,,6699.47,13605.0,23 CPT,27680,RELEASE OF LEG AND/OR ANKLE TENDON PROFESSIONAL,,,3020.95,13605.0,23 CPT,27685,LENGTHENING OR SHORTENING OF TENDON OF LEG OR ANKLE PROFESSIONAL,,,25052.13,28809.95,4 CPT,27687,LENGTHENING OF CALF MUSCLE PROFESSIONAL,,,6699.47,13605.0,23 CPT,27690,TRANSFER OF TENDON AND MUSCLE REROUTING AT LOWER LEG OR ANKLE PROFESSIONAL,,,6699.47,13605.0,23 CPT,27691,TRANSFER OF DEEP TENDON OF FOOT WITH MUSCLE REROUTING PROFESSIONAL,,,6699.47,13605.0,23 CPT,27692,"TRANSFER OF TENDON WITH MUSCLE REROUTING AT FOOT, EACH ADDITIONAL TENDON",,,6699.47,13605.0,23 CPT,27695,PRIMARY REPAIR OF DISRUPTED ANKLE LIGAMENT PROFESSIONAL,,,6699.47,13605.0,23 CPT,27698,SECONDARY REPAIR OF DISRUPTED COLLATERAL LIGAMENT OF ANKLE PROFESSIONAL,,,6699.47,13605.0,23 CPT,27700,RECONSTRUCTION OF ANKLE JOINT,,,6699.47,13605.0,23 CPT,27702,RECONSTRUCTION OF ANKLE JOINT WITH PROSTHESIS PROFESSIONAL,,,12244.0,28809.95,23 CPT,27709,INCISION OR PARTIAL REMOVAL OF SHIN AND OUTER LOWER LEG BONES,,,11853.62,13631.66,23 CPT,27724,REPAIR OF NONHEALED BROKEN SHIN BONE WITH SELF GRAFT FROM HIP OR OTHER BONE,,,6699.47,22248.0,23 CPT,27726,REPAIR OF NONHEALED BROKEN OUTER LOWER LEG BONE WITH PLACEMENT OF STABILIZING DEVICE,,,6699.47,22248.0,23 CPT,27745,PLACEMENT OF STABILIZING DEVICE FOR SHIN BONE,,,25052.13,28809.95,4 CPT,27750,HC CLSD TX TIB SHAFT FX WO MANIP,995.0,646.75,227.74,3045.0,884 CPT,27752,HC CLSD TX TIB SHAFT FX W MANIP,3470.0,2255.5,1484.62,4396.0,884 CPT,27758,TREATMENT BROKEN MIDDLE PART OF SHIN BONE WITH PLATE OR SCREWS,,,11853.62,13631.66,23 CPT,27759,TREATMENT OF BROKEN PART OF SHIN BONE WITH ROD,,,11853.62,13631.66,23 CPT,27762,HC CLSD TX MDL MALLEOL W MANIP,4147.0,2695.55,1484.62,4396.0,884 CPT,27766,TREATMENT OF INSIDE PORTION OF BROKEN SHIN BONE AT ANKLE PROFESSIONAL,,,6699.47,13605.0,23 CPT,27780,HC CLSD TX PROX FIBULA WO MANIP,800.0,520.0,227.74,3045.0,884 CPT,27786,HC CLSD TX DIST FIB WO MANIP,831.0,540.15,227.74,3045.0,884 CPT,27788,HC CLSD TX DIST FIB FX W MANIP,3314.0,2154.1,227.74,3314.0,884 CPT,27792,TREATMENT OF BROKEN OUTER LOWER LEG BONE AT ANKLE PROFESSIONAL,,,6699.47,13605.0,23 CPT,27808,HC CLSD TX BIMALOR ANK WO MANIP,3040.0,1976.0,227.74,3045.0,884 CPT,27814,HC OPN TX BIMALOR ANK FX,21602.0,14041.3,735.49,21169.96,856 CPT,27814,TREATMENT OF BOTH BROKEN LOWER LEG BONES AT ANKLE PROFESSIONAL,,,6699.47,13605.0,23 CPT,27816,HC CLSD TX TRIMALOR ANK WO MANIP,976.0,634.4,227.74,3045.0,884 CPT,27818,CLOSED TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE WITH MANIPULATION FACILITY,,,11853.62,13631.66,23 CPT,27818,HC CLSD TX TRIMALOR ANK FX MANIP,4064.0,2641.6,1484.62,4396.0,884 CPT,27822,TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE PROFESSIONAL,,,6699.47,13605.0,23 CPT,27823,TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE WITH FIXATION OF POSTERIOR LIP PROFESSIONAL,,,6699.47,13605.0,23 CPT,27824,HC CLSD TX TIB W/WO ANES WO MANIP,4659.0,3028.35,227.74,4659.0,884 CPT,27825,CLOSED TREATMENT OF BROKEN SHIN BONE AT LOWER WEIGHT BEARING JOINT WITH MANIPULATION AND/OR TRACTION FACILITY,,,12244.0,18616.79,23 CPT,27828,TREATMENT OF BROKEN LOWER WEIGHT BEARING JOINT OF BOTH LOWER LEG BONES,,,11853.62,13631.66,23 CPT,27829,TREATMENT OF LIGAMENT TEAR AT ANKLE JOINT PROFESSIONAL,,,6699.47,13605.0,23 CPT,27848,TREATMENT OF DISLOCATED ANKLE WITH REPAIR OR PLACEMENT OF STABILIZING DEVICE,,,6699.47,13605.0,23 CPT,27870,"FUSION OF ANKLE JOINT, OPEN PROCEDURE PROFESSIONAL",,,16188.51,18616.79,4 CPT,27871,FUSION OF LOWER LEG BONE AT KNEE OR ANKLE JOINT,,,11853.62,13631.66,23 CPT,27884,SECONDARY CLOSURE OR REVISION OF SCAR OF LOWER LEG BONE AMPUTATION,,,3020.95,13605.0,23 CPT,27892,INCISION OF CONNECTIVE TISSUE OF LOWER LEG TO RELIEVE PRESSURE WITH REMOVAL OF MUSCLE AND/OR NERVE,,,25052.13,28809.95,4 CPT,27899,UNLISTED PROCEDURE LEG/ANKLE - FACILITY,,,227.74,3045.0,23 CPT,28005,INCISION OF FOOT BONE,,,6699.47,13605.0,23 CPT,28008,INCISION OF CONNECTIVE TISSUE OF FOOT AND/OR TOE FACILITY,,,11853.62,13631.66,23 CPT,28010,REPAIR OF TOE TENDON FACILITY,,,6699.47,13605.0,23 CPT,28011,REPAIR OF MULTIPLE TOE TENDONS PROFESSIONAL,,,6699.47,13605.0,23 CPT,28020,"INCISION OF FOOT AT ANKLE JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,6699.47,13605.0,23 CPT,28035,RELEASE OF NERVE BETWEEN TISSUE AND ANKLE BONE,,,1802.9,5243.0,23 CPT,28039,REMOVAL (1.5 CENTIMETERS OR GREATER) TISSUE GROWTH BENEATH THE SKIN OF FOOT OR TOE PROFESSIONAL,,,2681.85,8220.0,23 CPT,28041,"REMOVAL OF GROWTH OF MUSCLE OF FOOT OR TOE, 1.5 CM OR MORE PROFESSIONAL",,,2681.85,8220.0,23 CPT,28043,REMOVAL (LESS THAN 1.5 CENTIMETERS) TISSUE GROWTH BENEATH THE SKIN OF FOOT OR TOE PROFESSIONAL,,,6699.47,13605.0,23 CPT,28045,"REMOVAL OF GROWTH OF MUSCLE OF FOOT OR TOE, LESS THAN 1.5 CM PROFESSIONAL",,,2681.85,8220.0,23 CPT,28047,"EXTENSIVE REMOVAL OF GROWTH OF FOOT OR TOE, 3.0 CM OR MORE",,,2681.85,8220.0,23 CPT,28060,PARTIAL REMOVAL OF CONNECTIVE TISSUE AT SOLE OF FOOT,,,3020.95,13605.0,23 CPT,28072,REMOVAL OF JOINT LINING OF TOE JOINT AT FOOT,,,3020.95,13605.0,23 CPT,28080,REMOVAL OF FIBROUS NERVE GROWTH FROM BETWEEN TOES PROFESSIONAL,,,3020.95,13605.0,23 CPT,28086,REMOVAL OF LINING OF TENDON ON UNDER SURFACE OF FOOT PROFESSIONAL,,,6699.47,13605.0,23 CPT,28088,REMOVAL OF LINING OF TENDON ON UPPER SURFACE OF FOOT,,,11853.62,13631.66,23 CPT,28092,REMOVAL OF GROWTH OF TENDON COVERING OR JOINT CAPSULE OF TOES PROFESSIONAL,,,3020.95,13605.0,23 CPT,28100,REMOVAL OF CYST OR GROWTH OF HEEL OR ANKLE BONE PROFESSIONAL,,,6699.47,13605.0,23 CPT,28102,REMOVAL OF CYST OR GROWTH OF HEEL OR ANKLE BONE WITH SELF BONE GRAFT,,,25052.13,28809.95,4 CPT,28103,REMOVAL OF CYST OR GROWTH OF HEEL OR ANKLE BONE WITH DONOR BONE GRAFT PROFESSIONAL,,,6699.47,13605.0,23 CPT,28104,REMOVAL OF CYST OR GROWTH OF FOOT BONE,,,6699.47,13605.0,23 CPT,28110,REMOVAL OF BUNION AT FIFTH TOE JOINT PROFESSIONAL,,,6699.47,13605.0,23 CPT,28112,"REMOVAL OF TOE BONE AT SECOND, THIRD, OR FOURTH JOINTS PROFESSIONAL",,,6699.47,13605.0,23 CPT,28113,COMPLETE REMOVAL OF FOOT BONE AT FIFTH TOE JOINT PROFESSIONAL,,,6699.47,13605.0,23 CPT,28116,REMOVAL OF ABNORMAL BONES AT ANKLE JOINT PROFESSIONAL,,,6699.47,13605.0,23 CPT,28118,REMOVAL OF HEEL BONE PROFESSIONAL,,,6699.47,13605.0,23 CPT,28119,REMOVAL OF HEEL BONE SPUR,,,6699.47,13605.0,23 CPT,28120,PARTIAL REMOVAL OF INFECTED FOOT OR HEEL BONE PROFESSIONAL,,,6699.47,13605.0,23 CPT,28122,PARTIAL REMOVAL OF FOOT OR HEEL BONE PROFESSIONAL,,,3020.95,13605.0,23 CPT,28124,PARTIAL REMOVAL OF TOE BONE PROFESSIONAL,,,3020.95,13605.0,23 CPT,28126,REMOVAL OF TOE BONE AT FOOT,,,3020.95,13605.0,23 CPT,28160,PARTIAL REMOVAL OF TOE AT JOINT PROFESSIONAL,,,6699.47,13605.0,23 CPT,28190,HC RMVL FB FT SUBCUTANEOUS,2106.0,1368.9,653.8,3191.0,884 CPT,28192,"REMOVAL OF FOREIGN BODY OF FOOT TISSUE, DEEP",,,1524.88,4396.0,23 CPT,28200,REPAIR OF TENDON ON SOLE OF FOOT PROFESSIONAL,,,6699.47,13605.0,23 CPT,28208,REPAIR OF TENDON OF TOP SIDE OF FOOT,,,11853.62,13631.66,23 CPT,28220,REMOVAL OF SCAR TISSUE OF TENDON ON BOTTOM SIDE OF FOOT PROFESSIONAL,,,3020.95,13605.0,23 CPT,28225,REMOVAL OF SCAR TISSUE OF TENDON ON TOP SIDE OF FOOT,,,3020.95,13605.0,23 CPT,28226,REMOVAL OF SCAR TISSUE OF MULTIPLE TENDONS AT TOP OF FOOT,,,3020.95,13605.0,23 CPT,28230,INCISION TO LENGTHEN FOOT TENDON FACILITY,,,3020.95,13605.0,23 CPT,28232,INCISION TO LENGTHEN TOE TENDON FACILITY,,,6699.47,13605.0,23 CPT,28234,INCISION TO RELEASE FOOT TENDON PROFESSIONAL,,,11853.62,13631.66,23 CPT,28240,RELEASE OR LENGTHENING OF TENDON IN FOOT,,,11853.62,13631.66,23 CPT,28260,INCISION OF ANKLE JOINT CAPSULE TO CORRECT FOOT DEFORMITY,,,6699.47,13605.0,23 CPT,28261,INCISION OF ANKLE JOINT CAPSULE AND LENGTHENING OF TENDON,,,25052.13,28809.95,4 CPT,28262,EXTENSIVE REPAIR OF FOOT DEFECT WITH TENDON LENGTHENING AND RELIEF OF TENSION IN FOOT,,,6699.47,13605.0,23 CPT,28264,RELEASE OF CAPSULE OF MIDFOOT,,,3020.95,13605.0,23 CPT,28270,INCISION OF JOINT CAPSULE OF FOOT AND TOE PROFESSIONAL,,,3020.95,13605.0,23 CPT,28285,CORRECTION OF TOE JOINT DEFORMITY PROFESSIONAL,,,6699.47,13605.0,23 CPT,28288,REMOVAL OF FOOT BONE SPUR PROFESSIONAL,,,6699.47,13605.0,23 CPT,28289,CORRECTION OF RIGID DEFORMITY OF FIRST JOINT OF BIG TOE PROFESSIONAL,,,6699.47,13605.0,23 CPT,28291,CORRECTION OF RIGID DEFORMITY OF FIRST JOINT OF BIG TOE USING IMPLANT,,,6699.47,13605.0,23 CPT,28292,CORRECTION OF BUNION PROFESSIONAL,,,11853.62,13631.66,23 CPT,28296,CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF MIDFOOT BONE TOWARD TOE AREA PROFESSIONAL,,,6699.47,13605.0,23 CPT,28297,CORRECTION OF BUNION WITH FOREFOOT AND MIDFOOT BONE FUSION PROFESSIONAL,,,11853.62,13631.66,23 CPT,28298,CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF BIG TOE PROFESSIONAL,,,6699.47,13605.0,23 CPT,28299,CORR BUNION DOUBLE OSTEOTOMY - PROFESSIONAL,,,6699.47,13605.0,23 CPT,28300,INCISION OR PARTIAL REMOVAL OF HEEL BONE PROFESSIONAL,,,6699.47,13605.0,23 CPT,28304,INCISION OR PARTIAL REMOVAL OF FOOT BONE PROFESSIONAL,,,6699.47,13605.0,23 CPT,28306,INCISION OR PARTIAL REMOVAL OF BIG TOE BONE TO STRAIGHTEN TOE,,,6699.47,13605.0,23 CPT,28308,INCISION OR PARTIAL REMOVAL OF FOOT BONE (OTHER THAN BIG TOE) TO STRAIGHTEN TOE PROFESSIONAL,,,6699.47,13605.0,23 CPT,28309,INCISION OR PARTIAL REMOVAL OF MULTIPLE FOOT BONES TO STRAIGHTEN TOES,,,6699.47,13605.0,23 CPT,28310,INCISION OR PARTIAL REMOVAL OF BIG TOE BONE AT FIRST TOE BONE LEVEL TO STRAIGHTEN TOE,,,6699.47,13605.0,23 CPT,28312,INCISION OR PARTIAL REMOVAL OF TOE BONE TO STRAIGHTEN TOE,,,6699.47,13605.0,23 CPT,28313,RECONSTRUCTION OF SOFT TISSUE ANGULAR DEFORMITY OF TOE,,,11853.62,13631.66,23 CPT,28315,REMOVAL OF SMALL BONE UNDERLYING LONG BONE OF FOOT AT BIG TOE JOINT PROFESSIONAL,,,3020.95,13605.0,23 CPT,28322,REPAIR OF NONHEALED BROKEN FOREFOOT BONE PROFESSIONAL,,,6699.47,13605.0,23 CPT,28345,REMOVAL OF CONGENITAL WEB SPACE DEFORMITY OF TOES,,,6699.47,13605.0,23 CPT,28400,HC CLSD TX CALCANEAL FX WO MANIP,921.0,598.65,227.74,3045.0,884 CPT,28430,HC CLSD TX TALUS FX WO MANIP,775.0,503.75,227.74,3045.0,884 CPT,28445,TREATMENT OF BROKEN BONE BETWEEN FOOT AND ANKLE,,,6699.47,13605.0,23 CPT,28450,HC CLSD TX TARSAL BN WO MANIP,899.0,584.35,227.74,3045.0,884 CPT,28465,TREATMENT OF BROKEN HIND PORTION OF FOOT PROFESSIONAL,,,6699.47,13605.0,23 CPT,28470,HC CLSD TX METATARSAL FX WO MANIP,715.0,464.75,227.74,3045.0,884 CPT,28485,TREATMENT OF BROKEN MIDPORTION OF FOOT PROFESSIONAL,,,6699.47,13605.0,23 CPT,28490,HC CLSD TX GRT TOE FX WO MANIP,638.0,414.7,227.74,3045.0,884 CPT,28505,TREATMENT OF BROKEN GREAT TOE,,,3020.95,13605.0,23 CPT,28510,HC CLSD TX PHALANX FX WO MANIP,618.0,401.7,227.74,3045.0,884 CPT,28515,HC CLSD TX PHALANX FX W MANIP,3145.0,2044.25,227.74,3145.0,884 CPT,28555,TREATMENT OF DISLOCATED MIDFOOT OR HINDFOOT BONES,,,11853.62,13631.66,23 CPT,28585,TREATMENT OF DISLOCATED ANKLE JOINT,,,6699.47,13605.0,23 CPT,28615,TREATMENT OF DISLOCATED MIDFOOT BONE PROFESSIONAL,,,6699.47,13605.0,23 CPT,28645,TREATMENT OF DISLOCATED JOINT BETWEEN TOE AND FOOT PROFESSIONAL,,,6699.47,13605.0,23 CPT,28660,HC CLSD TX I-P DISLOC WO ANEST,3351.0,2178.15,227.74,3351.0,884 CPT,28665,HC CLSD TX I-P DISLOC W ANEST,3210.0,2086.5,258.23,3210.0,884 CPT,28715,FUSION OF 3 BONES OF ANKLE PROFESSIONAL,,,11853.62,13631.66,23 CPT,28725,FUSION OF FOOT BELOW ANKLE PROFESSIONAL,,,12244.0,18616.79,23 CPT,28730,FUSION OF MULTIPLE FOOT JOINTS PROFESSIONAL,,,11853.62,13631.66,23 CPT,28735,FUSION OF MULTIPLE FOOT JOINTS WITH BONE INCISION TO CORRECT A FOOT DEFORMITY,,,11853.62,13631.66,23 CPT,28740,FUSION OF FOOT IN MIDFOOT REGION PROFESSIONAL,,,11853.62,13631.66,23 CPT,28750,FUSION OF BIG TOE AT JOINT WITH FOOT PROFESSIONAL,,,11853.62,13631.66,23 CPT,28755,FUSION OF BIG TOE BETWEEN TOE JOINTS,,,11853.62,13631.66,23 CPT,28805,AMPUTATION OF FOOT ACROSS INSTEP PROFESSIONAL,,,3020.95,13605.0,23 CPT,28810,AMPUTATION OF TOE AND MIDFOOT BONE PROFESSIONAL,,,3020.95,13605.0,23 CPT,28820,AMPUTATION OF TOE AT JOINT BETWEEN FOREFOOT AND TOES PROFESSIONAL,,,3020.95,13605.0,23 CPT,28825,AMPUTATION OF TOE AT TOE JOINT PROFESSIONAL,,,3020.95,13605.0,23 CPT,28899,HC TX1 PLANT FASC PROC W KIT,3291.0,2139.15,227.74,3192.27,884 CPT,28899,TX1 PLANT FASC PROC W KIT FACILITY,,,227.74,3045.0,23 CPT,29105,HC APP SPLINT LONG ARM,1740.0,1131.0,150.03,1740.0,884 CPT,29125,HC APP SPLINT SHORT ARM STATIC,530.0,344.5,122.84,530.0,884 CPT,29130,HC APP SPLINT FINGER STATIC,480.0,312.0,122.84,480.0,884 CPT,29505,HC APP SPLINT LONG LEG,791.0,514.15,150.03,791.0,884 CPT,29515,HC APP SPLINT SHORT LEG,541.0,351.65,150.03,541.0,884 CPT,29580,HC STRAPPING UNNA BOOT,344.0,223.6,150.03,337.12,884 CPT,29581,HC APP MULTILYR COMPRSN SYS LWR LEG,1151.0,748.15,150.03,1127.98,884 CPT,29581,HC APP MULTILYR COMPRSN SYS LWR LEG OT,703.0,456.95,150.03,688.94,884 CPT,29805,DIAGNOSTIC EXAM OF SHOULDER USING AN ENDOSCOPE,,,3020.95,13605.0,23 CPT,29806,REPAIR OF SHOULDER JOINT CAPSULE USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 CPT,29807,REPAIR OF SHOULDER SOCKET USING AN ENDOSCOPE PROFESSIONAL-EXPRESS CARE,,,6699.47,13605.0,23 CPT,29822,LIMITED REMOVAL OF ABNORMAL SHOULDER JOINT TISSUE USING ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 CPT,29823,REMOVAL OF EXTENSIVE SHOULDER JOINT TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 CPT,29824,PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 CPT,29825,REMOVAL OF SHOULDER SCAR TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,3020.95,13605.0,23 CPT,29826,SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 CPT,29827,REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 CPT,29828,RELEASE OF TENDON CONNECTING BICEPS MUSCLE AND SHOULDER USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 CPT,29834,REMOVAL OF LOOSE OR FOREIGN BODY IN ELBOW JOINT USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 CPT,29837,REMOVAL OF ELBOW JOINT TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,3020.95,13605.0,23 CPT,29838,REMOVAL OF EXTENSIVE DAMAGED TISSUE FROM ELBOW JOINT USING AN ENDOSCOPE,,,3020.95,13605.0,23 CPT,29840,DIAGNOSTIC EXAM OF WRIST USING AN ENDOSCOPE,,,6699.47,13605.0,23 CPT,29844,PARTIAL REMOVAL OF WRIST JOINT LINING USING AN ENDOSCOPE,,,3020.95,13605.0,23 CPT,29845,REMOVAL OF ENTIRE WRIST JOINT LINING USING AN ENDOSCOPE,,,3020.95,13605.0,23 CPT,29846,REMOVAL OR REPAIR OF WRIST CARTILAGE USING AN ENDOSCOPE,,,6699.47,13605.0,23 CPT,29848,RELEASE OF WRIST LIGAMENT USING AN ENDOSCOPE,,,1484.62,4396.0,23 CPT,29866,REPAIR OF KNEE CARTILAGE AND BONE WITH PATIENT-DERIVED HEALTHY CARTILAGE TRANSPLANT USING AN ENDOSCOPE,,,6699.47,13605.0,23 CPT,29867,REPAIR OF KNEE CARTILAGE AND BONE WITH DONOR CARTILAGE GRAFT USING AN ENDOSCOPE,,,11853.62,22248.0,23 CPT,29873,RELEASE OF LIGAMENTS AT OUTER SIDE OF KNEE JOINT USING AN ENDOSCOPE PROFESSIONAL,,,3020.95,13605.0,23 CPT,29874,REMOVAL OF LOOSE OR FOREIGN BODY IN KNEE JOINT USING AN ENDOSCOPE PROFESSIONAL,,,3020.95,13605.0,23 CPT,29875,PARTIAL REMOVAL OF KNEE JOINT LINING USING AN ENDOSCOPE PROFESSIONAL,,,3020.95,13605.0,23 CPT,29876,REMOVAL OF JOINT LINING FROM MULTIPLE KNEE JOINT COMPARTMENTS USING AN ENDOSCOPE PROFESSIONAL,,,3020.95,13605.0,23 CPT,29877,REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE PROFESSIONAL,,,3020.95,13605.0,23 CPT,29880,REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE PROFESSIONAL,,,3020.95,13605.0,23 CPT,29881,REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE PROFESSIONAL,,,3020.95,13605.0,23 CPT,29882,REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE PROFESSIONAL,,,11853.62,13631.66,23 CPT,29883,REPAIR OF INSIDE AND OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE,,,6699.47,13605.0,23 CPT,29884,REMOVAL OF SCAR TISSUE FROM KNEE USING AN ENDOSCOPE PROFESSIONAL,,,3020.95,13605.0,23 CPT,29888,REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE PROFESSIONAL,,,11853.62,13631.66,23 CPT,29891,REMOVAL OF SHIN AND/OR ANKLE BONE DEFECT USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 CPT,29894,REMOVAL OF LOOSE OR FOREIGN BODY IN ANKLE USING AN ENDOSCOPE,,,6699.47,13605.0,23 CPT,29895,PARTIAL REMOVAL OF ANKLE JOINT LINING USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 CPT,29897,REMOVAL OF LIMITED DEAD OR INFECTED TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 CPT,29898,REMOVAL OF EXTENSIVE DEAD OR INFECTED TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 CPT,29906,REMOVAL OF DEAD OR INFECTED ANKLE JOINT TISSUE USING AN ENDOSCOPE,,,3020.95,13605.0,23 CPT,29914,RESHAPING OF THIGH BONE AT HIP JOINT USING AN ENDOSCOPE,,,6699.47,13605.0,23 CPT,29915,RESHAPING OF HIP SOCKET USING AN ENDOSCOPE,,,6699.47,13605.0,23 CPT,29916,REPAIR OF HIP JOINT SOCKET CARTILAGE USING AN ENDOSCOPE,,,6699.47,13605.0,23 CPT,29999,UNLISTED PROCEDURE ARTHROSCOPY - PROFESSIONAL,,,6699.47,13605.0,23 CPT,30100,BIOPSY OF LINING OF NOSE FACILITY,,,1432.54,4396.0,23 CPT,30115,EXTENSIVE REMOVAL OF NASAL POLYP,,,3061.08,13605.0,23 CPT,30117,REMOVAL OR DESTRUCTION OF GROWTH OF NOSE THROUGH NOSE FACILITY,,,3061.08,13605.0,23 CPT,30120,HC EXC/SURG PLN SKN/NOSE RHINOPHY,8047.0,5230.55,3061.08,13605.0,884 CPT,30120,REMOVAL OR SCRAPING OF SKIN ON NOSE FACILITY,,,3061.08,13605.0,23 CPT,30130,REMOVAL OF NASAL AIR PASSAGE,,,3061.08,13605.0,23 CPT,30140,REMOVAL OF NASAL AIR PASSAGE UNDER LINING TISSUE PROFESSIONAL,,,3061.08,13605.0,23 CPT,30150,PARTIAL REMOVAL OF NOSE,,,5465.62,13605.0,23 CPT,30220,INSERTION OF IMPLANT TO CLOSE NASAL PASSAGE FACILITY,,,6515.97,13605.0,23 CPT,30300,HC RMVL FB INTRANASAL OFFICE PROC,460.0,299.0,122.84,460.0,884 CPT,30400,RESHAPING OF TIP OF NOSE,,,5465.62,13605.0,23 CPT,30410,"RESHAPING OF BONE, CARTILAGE, AND/OR TIP OF NOSE",,,5465.62,13605.0,23 CPT,30420,RESHAPING OF BONY CARTILAGE DIVIDING NASAL PASSAGES PROFESSIONAL,,,5465.62,13605.0,23 CPT,30430,REVISION TO RESHAPE NOSE OR SMALL AMOUNT OF TIP OF NOSE AFTER PREVIOUS REPAIR,,,5465.62,13605.0,23 CPT,3044F,3044F MOST RECENT HEMOGLOBIN A1C LEVEL <7.0% PROFESSIONAL,,,2915.22,4677.0,23 CPT,30450,REVISION TO RESHAPE NASAL BONES AND TIP OF NOSE AFTER PREVIOUS REPAIR,,,5465.62,13605.0,23 CPT,30465,REPAIR OF NASAL PASSAGE PROFESSIONAL,,,5465.62,13605.0,23 CPT,30469,REPAIR OF COLLAPSED NASAL VALVE,,,5465.62,13605.0,23 CPT,3051F,3051F MOST RECENT HG A1C>EQUAL TO 7.0%&<8.0% PROFESSIONAL,,,122.84,141.27,4 CPT,30520,RESHAPING OF NASAL CARTILAGE PROFESSIONAL,,,5465.62,13605.0,23 CPT,3052F,3052F MOST RECENT HG A1C>EQUAL TO 8.0%&=1 SITE,3955.0,2570.75,1643.33,4396.0,884 CPT,31625,HC ROBOTIC BRONCHOSCOPY W BX >=1 SITE,4074.0,2648.1,1643.33,4396.0,884 CPT,31626,HC ROBOTIC BRONCH W PLCMT FIDUCIAL MARKER,28903.0,18786.95,6515.97,28035.91,884 CPT,31627,COMPUTER-ASSISTED IMAGE-GUIDED NAVIGATION OF LUNG AIRWAYS USING AN ENDOSCOPE FACILITY,,,6515.97,13605.0,23 CPT,31627,HC BRONCH W COMP ASST IMG NAV,9901.0,6435.65,5495.06,9603.97,880 CPT,31627,HC ROBOTIC BRONCH W COMP ASST IMG NAV,10198.0,6628.7,5659.89,9892.06,880 CPT,31628,"BIOPSY OF LOBE OF LUNG USING AN ENDOSCOPE, 1 LOBE FACILITY",,,6515.97,13605.0,23 CPT,31628,HC BRONCH TRANSBRONCH LUNG BX SNG,7998.0,5198.7,3442.28,13605.0,884 CPT,31628,HC ROBOTIC BRONCH TRANSBRONCH LUNG BX SNG,8238.0,5354.7,3442.28,13605.0,884 CPT,31629,HC BRONCH TRANSBRONCH NDL ASP BX,12013.0,7808.45,3442.28,13605.0,884 CPT,31629,HC ROBOTIC BRONCH TRANSBRONCH NDL ASP BX,12373.0,8042.45,3442.28,13605.0,884 CPT,31629,"NEEDLE BIOPSY OF WINDPIPE CARTILAGE, AIRWAY, AND/OR LUNG USING AN ENDOSCOPE FACILITY",,,6515.97,13605.0,23 CPT,31630,DILATION OF WINDPIPE CARTILAGE OR TREATMENT OF BROKEN WINDPIPE CARTILAGE USING AN ENDOSCOPE FACILITY,,,3442.28,13605.0,23 CPT,31630,HC BRONCH W TRACHEAL/BRONCH DIL,8560.0,5564.0,3442.28,13605.0,884 CPT,31630,HC ROBOTIC BRONCH W TRACHEAL/BRONCH DIL,14592.0,9484.8,3442.28,14154.24,884 CPT,31631,HC BRONCH W TRACH STENT PLCMNT,14944.0,9713.6,6515.97,14495.68,884 CPT,31631,PLACEMENT OF STENT INTO WINDPIPE USING AN ENDOSCOPE FACILITY,,,6515.97,13605.0,23 CPT,31632,"BIOPSY OF LOBE OF LUNG USING AN ENDOSCOPE, EACH ADDITIONAL LOBE FACILITY",,,3442.28,13605.0,23 CPT,31632,HC BRONCH TRANSBRONCH LUNG BX EA,2676.0,1739.4,1485.18,6376.0,880 CPT,31632,HC ROBOTIC BRONCH TRANSBRONCH LUNG BX EA,2756.0,1791.4,1529.58,6376.0,880 CPT,31633,HC BRONCH TRANSBRONCH NDL ASP EA,5871.0,3816.15,3258.41,6376.0,880 CPT,31633,HC ROBOTIC BRONCH TRANSBRONCH NDL ASP EA,8677.0,5640.05,4815.74,8416.69,880 CPT,31633,"NEEDLE BIOPSY OF LOBE OF LUNG USING AN ENDOSCOPE, EACH ADDITIONAL LOBE FACILITY",,,6515.97,13605.0,23 CPT,31634,EXAM OF LUNG AIRWAYS WITH REPAIR OF AIR LEAK USING AN ENDOSCOPE FACILITY,,,6515.97,13605.0,23 CPT,31634,HC BRONCHOSCOPY BALLOON OCCLUSION,14536.0,9448.4,6515.97,14099.92,884 CPT,31635,HC BRONCHOSCOPY W REMOVAL FB,4058.0,2637.7,1643.33,4396.0,884 CPT,31635,HC ROBOTIC BRONCHOSCOPY W REMOVAL FB,8214.0,5339.1,1643.33,7967.58,884 CPT,31635,REMOVAL OF FOREIGN BODY IN LUNG AIRWAYS USING AN ENDOSCOPE FACILITY,,,1643.33,4396.0,23 CPT,31636,HC BRONCH W PLC BRNCL STENT INIT,15499.0,10074.35,6515.97,15034.03,884 CPT,31636,"PLACEMENT OF STENT IN LUNG AIRWAY USING AN ENDOSCOPE, FIRST STENT FACILITY",,,6515.97,13605.0,23 CPT,31638,HC BRONCH REV TRACH/BRNCL STENT,14397.0,9358.05,6515.97,13965.09,884 CPT,31638,REVISION OF PREVIOUSLY INSERTED LUNG AIRWAY STENT USING AN ENDOSCOPE FACILITY,,,6515.97,13605.0,23 CPT,31640,HC BRONCHOSCOPY W EXCISN TUMOR,16808.0,10925.2,3442.28,16303.76,884 CPT,31640,REMOVAL OF GROWTH OF LUNG AIRWAYS USING AN ENDOSCOPE FACILITY,,,3442.28,13605.0,23 CPT,31641,DESTRUCTION OF GROWTH OR NARROWING OF LUNG AIRWAY USING AN ENDOSCOPE FACILITY,,,3442.28,13605.0,23 CPT,31641,HC BRONCH DEST TMR RLF STENOSIS,8560.0,5564.0,3442.28,13605.0,1768 CPT,31641,HC ROBOTIC BRONCH DEST TMR RLF STENOSIS,14887.0,9676.55,3442.28,14440.39,884 CPT,31645,ASPIRATION OF INITIAL SECRETION OF LUNG AIRWAY USING AN ENDOSCOPE FACILITY,,,3442.28,13605.0,23 CPT,31645,HC BRONCHOSCOPY W ASP THER INIT,3973.0,2582.45,1643.33,4396.0,884 CPT,31645,HC ROBOTIC BRONCHOSCOPY W ASP THER INIT,5355.0,3480.75,1643.33,5194.35,884 CPT,31646,HC BRONCHOSCOPY W ASP THER SUBSQ,991.0,644.15,361.11,3117.0,884 CPT,31647,ASSESSMENT OF INITIAL LOBE OF LUNG FOR AIR LEAK AND AIRWAY SIZING WITH INSERTION OF BRONCHIAL VALVE IN LUNG AIRWAY USING AN ENDOSCOPE FACILITY,,,6515.97,13605.0,23 CPT,31647,HC BRONCH W BALN OCC INIT LOBE,15004.0,9752.6,6515.97,14553.88,884 CPT,31648,HC BRONCH RMVL BRONCHL VALVE INIT,8056.0,5236.4,3442.28,13605.0,884 CPT,31648,"REMOVAL OF BRONCHIAL VALVES OF LUNG AIRWAYS OF LOBE OF LUNG USING AN ENDOSCOPE, INITIAL LOBE FACILITY",,,3442.28,13605.0,23 CPT,31649,HC BRONCH RMVL BRONCHL VALVE ADD,4861.0,3159.65,1643.33,4861.0,884 CPT,31651,HC BRONCH OCCLUS VALVE ADD LOBE,11263.0,7320.95,5739.0,11263.0,880 CPT,31652,"EXAM OF LUNG AIRWAYS AND SAMPLING OF LYMPH NODES USING AN ENDOSCOPE AND ULTRASOUND GUIDANCE, 1-2 LYMPH NODES FACILITY",,,6515.97,13605.0,23 CPT,31652,HC BRONCH W EBUS 1-2 NODE SAMPLE,8055.0,5235.75,3442.28,13605.0,884 CPT,31652,HC ROBOTIC BRONCH W EBUS 1-2 NODE SAMPLE,8297.0,5393.05,3442.28,13605.0,884 CPT,31653,"EXAM OF LUNG AIRWAYS AND SAMPLING OF LYMPH NODES USING AN ENDOSCOPE AND ULTRASOUND GUIDANCE, 3 OR MORE LYMPH NODES FACILITY",,,3442.28,13605.0,23 CPT,31653,HC BRONCH W EBUS >=3 NODE SAMPLE,8111.0,5272.15,3442.28,13605.0,884 CPT,31653,HC ROBOTIC BRONCH W EBUS >=3 NODE SAMPLE,8354.0,5430.1,3442.28,13605.0,884 CPT,31654,EXAM OF LUNG AIRWAYS WITH DIAGNOSTIC OR THERAPEUTIC PROCEDURE ON GROWTHS USING AN ENDOSCOPE AND ULTRASOUND FACILITY,,,6515.97,13605.0,23 CPT,31654,HC BRONCH W EBUS DX/TX PERIPH LESN,13063.0,8490.95,5739.0,12671.11,880 CPT,31654,HC ROBOTIC BRONCH W EBUS DX/TX PERIPH LESN,13455.0,8745.75,5739.0,13051.35,880 CPT,31720,HC CATH ASPIRATION NASOTRACHEAL,459.0,298.35,202.18,3045.0,884 CPT,31750,REPAIR OF WINDPIPE CARTILAGE THROUGH NECK,,,7546.27,13605.0,23 CPT,31785,REMOVAL OF GROWTH OF WINDPIPE CARTILAGE,,,5465.62,13605.0,23 CPT,31820,CLOSURE OF PERMANENT WINDPIPE OPENING OR ABNORMAL DRAINAGE TRACT,,,3061.08,13605.0,23 CPT,31899,UNLISTED PROC TRACHEA BRONCHI - FACILITY,,,3061.08,13605.0,23 CPT,32400,HC BIOPSY PLEURA PERCUTANEOUS NDL,3602.0,2341.3,1524.88,4396.0,884 CPT,32400,NEEDLE BIOPSY OF LINING OF LUNG FACILITY,,,1524.88,4396.0,23 CPT,32408,"CORE NEEDLE BIOPSY OF LUNG OR CENTER CAVITY OF CHEST (MEDIASTINUM), ACCESSED THROUGH SKIN FACILITY",,,1524.88,4396.0,23 CPT,32408,HC BX LUNG/MEDIASTINUM PERC NDL,3580.0,2327.0,1524.88,4396.0,884 CPT,32550,HC INSERTION/CATH PLEURAL CAVITY,8284.0,5384.6,3305.69,13605.0,884 CPT,32550,INSERTION OF INDWELLING TUBE FOR DRAINAGE OF LUNG FLUID FACILITY,,,3305.69,13605.0,23 CPT,32551,HC INS TUBE THORACOSTOMY,3480.0,2262.0,1453.38,4396.0,1768 CPT,32552,HC REMOVAL LUNG/PLEURAL CATHETER,1392.0,904.8,579.17,3117.0,1768 CPT,32552,REMOVAL OF INDWELLING TUBE IN LINING OF LUNG FACILITY,,,579.17,3117.0,23 CPT,32553,HC INS MARK THOR FOR RT PERC,3164.0,2056.6,1277.93,4396.0,884 CPT,32554,ASPIRATION OF FLUID FROM CHEST CAVITY FACILITY,,,579.17,3117.0,23 CPT,32554,HC THORACENTESIS PLEURA WO IMG,1380.5,897.325,579.17,3117.0,2652 CPT,32555,ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE FACILITY,,,579.17,3117.0,23 CPT,32555,HC THORACENTESIS PLEURA W IMG,1415.0,919.75,579.17,3117.0,2652 CPT,32556,DRAINAGE OF FLUID FROM CHEST CAVITY WITH INSERTION OF INDWELLING TUBE FACILITY,,,6515.97,13605.0,23 CPT,32556,HC PLEURA DRAIN PERC WO IMG GUID,4153.0,2699.45,1771.68,5243.0,1768 CPT,32557,DRAINAGE OF FLUID FROM CHEST CAVITY WITH INSERTION OF INDWELLING TUBE USING IMAGING GUIDANCE FACILITY,,,2915.22,4396.0,23 CPT,32557,HC PLEURA DRAIN PERC W IMG GUID,3663.5,2381.2749999999996,1453.38,4396.0,1768 CPT,32560,HC INSTILLATION AGT PLEURODESIS,2325.0,1511.25,579.17,3117.0,884 CPT,32560,INSTILLATION OF AGENT ONTO LUNG SURFACE USING CHEST TUBE FACILITY,,,5581.68,13605.0,23 CPT,32561,HC INSTILLATION FIBRINOLYSIS INIT,1388.0,902.2,579.17,3117.0,884 CPT,32561,INITIAL INSTILLATION OF AGENT ONTO LUNG LINING USING CHEST TUBE FACILITY-EXPRESS CARE,,,1453.38,4396.0,23 CPT,32601,HC THORSC DX LUNG/MED/PLRL W/O BX,23364.0,15186.6,5581.68,22663.08,884 CPT,32609,BIOPSY OF LUNG LINING USING AN ENDOSCOPE FACILITY,,,5581.68,13605.0,23 CPT,32609,HC THORACOSCOPY W/BX OF PLEURA,12615.0,8199.75,5581.68,13605.0,884 CPT,32664,REMOVAL OF NERVES TO CHEST CAVITY USING AN ENDOSCOPE,,,1729.6,22248.0,23 CPT,32994,DESTRUCTION OF GROWTH OF LUNG USING EXTREME COLD FACILITY,,,9814.25,13605.0,23 CPT,32994,HC ABLATE PULM TUMOR PERQ CRYBL,12822.0,8334.3,7116.21,13605.0,884 CPT,32998,DESTRUCTION OF GROWTH OF LUNG USING RADIOFREQUENCY FACILITY,,,5581.68,13605.0,23 CPT,32998,HC RF ABLT PULM TUMORS UNILAT,13519.0,8787.35,5581.68,13605.0,884 CPT,32999,UNLISTED PROC LUNGS & PLEURA - FACILITY,,,579.17,3117.0,23 CPT,33016,DRAINAGE OF HEART SAC USING IMAGING GUIDANCE FACILITY,,,1453.38,14881.0,23 CPT,33016,HC PERICARDIOCENTESIS W IMAGE GUIDE,4738.0,3079.7,1453.38,14881.0,884 CPT,33017,HC PERI DRN W FLUOR/US >6YR W/O CONG,4827.0,3137.55,230.29,14881.0,884 CPT,33018,HC PERI DRAIN W FLUOR/US GUIDE CONG,3727.0,2422.55,271.39,14881.0,884 CPT,33206,HC INS/RPLC PCMKR ATRIAL,38609.0,25095.85,9650.05,37450.73,884 CPT,33206,INSERTION OF PACEMAKER AND UPPER HEART CHAMBER ELECTRODE FACILITY,,,12244.0,20451.38,20 CPT,33207,HC INS/RPLC PCMKR VENT,29965.0,19477.25,9650.05,29066.05,884 CPT,33207,INSERTION OF PACEMAKER AND LOWER HEART CHAMBER ELECTRODE FACILITY,,,9650.05,14881.0,20 CPT,33208,HC INS/RPLC PCMKR ATRIAL & VENT,28188.0,18322.2,4677.0,27342.36,884 CPT,33208,INSERTION OF PACEMAKER AND UPPER AND LOWER HEART CHAMBER ELECTRODE FACILITY,,,9650.05,13605.0,19 CPT,33210,HC INS/RPLC TEMP ELEC/PCMKR SNGL,19717.0,12816.05,4677.0,19717.0,884 CPT,33210,INSERTION OF TEMPORARY PACEMAKER LEAD IN SINGLE HEART CHAMBER FACILITY,,,14540.0,27752.26,23 CPT,33212,HC INS PCMKR PLS GEN EXIST 1 LEAD,24399.0,15859.35,7640.45,23911.02,884 CPT,33213,HC INS PCMKR PLS GEN EXIST 2 LEAD,30248.0,19661.2,9650.05,29340.56,884 CPT,33214,HC UPGRADE IMPL PCMKR SYS,31418.0,20421.7,9650.05,30475.46,884 CPT,33215,HC REPOSITION PCMKR/LEAD RA/RV,10101.0,6565.65,2915.22,14881.0,884 CPT,33216,HC INS SNGL ELTRD/PPCMKR/ICD,20410.0,13266.5,7640.45,19797.7,884 CPT,33216,INSERTION OF 1 ELECTRODE FOR PERMANENT PACEMAKER OR DEFIBRILLATOR FACILITY,,,7640.45,14881.0,20 CPT,33217,HC INSERT ELECTRODE IMPLANT DUAL,45321.0,29458.65,7640.45,43961.37,884 CPT,33218,HC RPR SNGL ELTRD/PPCMKR/ICD,17252.0,11213.8,3450.24,16906.96,884 CPT,33218,REPAIR OF ELECTRODE FOR PERMANENT PACEMAKER OR DEFIBRILLATOR FACILITY,,,9650.05,14881.0,20 CPT,33222,HC RELOCATION SKIN POCKET PCMKR,4974.0,3233.1,1904.97,14881.0,884 CPT,33222,RELOCATION OF PACEMAKER SKIN POCKET FACILITY,,,1904.97,5243.0,23 CPT,33223,HC RELOCATION SKIN POCKET DFIB,4974.0,3233.1,1904.97,14881.0,884 CPT,33223,RELOCATION OF DEFIBRILLATOR SKIN POCKET FACILITY,,,1904.97,14881.0,20 CPT,33224,HC INS PACING ELCTD LV LEAD CONN,38118.0,24776.7,9650.05,37355.64,884 CPT,33224,INSERTION OF LEFT LOWER HEART ELECTRODE AND ATTACHMENT TO PACEMAKER OR DEFIBRILLATOR FACILITY,,,9650.05,14881.0,20 CPT,33225,HC INS PACING ELCTD LV LEAD ADD,36807.0,23924.55,13392.0,35702.79,880 CPT,33225,INSERTION OF LEFT LOWER HEART ELECTRODE FOR PACEMAKER OR DEFIBRILLATOR FACILITY,,,14881.0,33327.59,17 CPT,33227,HC RPLC PERM GEN SNGL LEAD,24072.0,15646.8,7640.45,23590.56,884 CPT,33227,REMOVAL AND REPLACEMENT OF SINGLE LEAD PERMANENT PACEMAKER FACILITY,,,7640.45,14881.0,20 CPT,33228,HC RPLC PERM GEN DUAL LEAD,38200.0,24830.0,9650.05,37054.0,884 CPT,33228,REMOVAL AND REPLACEMENT OF DUAL LEAD PERMANENT PACEMAKER FACILITY,,,9650.05,14881.0,20 CPT,33229,HC RPLC PERM GEN MULT LEAD,43842.0,28497.3,13392.0,42526.74,884 CPT,33229,REMOVAL AND REPLACEMENT OF MULTIPLE LEAD PERMANENT PACEMAKER FACILITY,,,12244.0,20451.38,20 CPT,33230,HC INS PULSE GEN W EXST DUAL LEAD,87716.0,57015.4,13392.0,87716.0,884 CPT,33231,HC INS PULSE GEN W EXST MULT LEAD,37554.0,24410.1,13392.0,37554.0,884 CPT,33231,INSERTION OF DEFIBRILLATOR WITH EXISTING MULTIPLE LEADS FACILITY,,,7640.45,8786.52,4 CPT,33233,HC RMVL PCMKR PULSE GEN ONLY,18999.0,12349.35,7640.45,18429.03,884 CPT,33233,REMOVAL OF PERMANENT PACEMAKER PULSE GENERATOR FACILITY,,,9650.05,14881.0,20 CPT,33234,HC RMVL PCMKR ELEC 1 LEAD SYS,12040.0,7826.0,3450.24,14881.0,884 CPT,33234,REMOVAL OF SINGLE ELECTRODE FROM RIGHT HEART FACILITY,,,9650.05,14881.0,20 CPT,33235,HC RMVL PCMKR ELEC DUAL LEAD SYS,11886.0,7725.9,3450.24,14881.0,884 CPT,33235,REMOVAL OF DUAL ELECTRODES FROM RIGHT HEART FACILITY,,,12244.0,20451.38,20 CPT,33241,HC RMVL ICD GEN ONLY SUBQ,13138.0,8539.7,3450.24,14881.0,884 CPT,33241,REMOVAL OF DEFIBRILLATOR FACILITY,,,12244.0,33327.59,20 CPT,33244,HC RMVL ICD ELEC TRANSVEN EXTRACT,12561.0,8164.65,3450.24,14881.0,884 CPT,33244,REMOVAL OF DEFIBRILLATOR ELECTRODES THROUGH VEIN FACILITY,,,12244.0,33327.59,23 CPT,33249,HC INS/RPLC DFIB W TRANSVEN LEAD,81856.0,53206.4,13392.0,79400.32,884 CPT,33249,INSERTION OF IMPLANTABLE DEFIBRILLATOR SYSTEM FACILITY,,,12244.0,33327.59,20 CPT,33262,HC RMVL&RPLC ICD GEN SNGL LEAD,86280.0,56082.0,13392.0,83691.6,884 CPT,33262,REMOVAL AND REPLACEMENT OF SINGLE LEAD DEFIBRILLATOR FACILITY,,,12244.0,23617.44,20 CPT,33263,HC RMVL&RPLC ICD GEN DUAL LEAD,80078.0,52050.7,13392.0,77675.66,884 CPT,33263,REMOVAL AND REPLACEMENT OF DUAL LEAD DEFIBRILLATOR FACILITY,,,12244.0,23617.44,20 CPT,33264,HC RMVL&RPLC ICD GEN MULTI LEAD,75791.0,49264.15,13392.0,73517.27,884 CPT,33264,REMOVAL AND REPLACEMENT OF MULTIPLE LEAD DEFIBRILLATOR FACILITY,,,13392.0,33327.59,20 CPT,33266,EXTENSIVE RECONSTRUCTION OF UPPER HEART CHAMBER AND ALTERATION OF ELECTRICAL PATHWAY USING AN ENDOSCOPE,,,1857.39,22248.0,23 CPT,33269,EXCLUSION OF APPENDAGE OF LEFT UPPER CHAMBER OF HEART USING AN ENDOSCOPE,,,845.14,22248.0,23 CPT,33270,HC INS/RPLC SUBQ ICD W SUBQ ELEC,84414.0,54869.1,13392.0,81881.58,884 CPT,33270,INSERTION OR REPLACEMENT OF DEFIBRILLATOR WITH ELECTRODE FACILITY,,,12244.0,33327.59,20 CPT,33272,HC RMVL SQ IPLT DFB ELEC,20844.0,13548.6,3450.24,20218.68,884 CPT,33272,REMOVAL OF DEFIBRILLATOR ELECTRODE FACILITY,,,28980.51,33327.59,4 CPT,33274,HC RPLC/INSRT TRANSCATH LEADLS PM,39382.0,25598.3,4677.0,38200.54,884 CPT,33274,INSERTION OF PERMANENT LEADLESS PACEMAKER USING IMAGING GUIDANCE FACILITY,,,12244.0,20451.38,19 CPT,33275,HC TRANSCATH REMOVAL LEADLESS PM VENTRICULAR,13141.0,8541.65,2915.22,12746.77,884 CPT,33275,REMOVAL OF PERMANENT LEADLESS PACEMAKER USING IMAGING GUIDANCE FACILITY,,,28980.51,33327.59,4 CPT,33276,HC INSN PHRNC NRV STIM SYS,90331.0,58715.15,5739.0,88524.38,884 CPT,33285,HC IMPL PT ACTV CARD EVENT RECORD,19998.0,12998.7,4677.0,19398.06,884 CPT,33285,INSERTION OF HEART RHYTHM MONITOR UNDER SKIN FACILITY,,,7640.45,13605.0,19 CPT,33286,HC RMVL IMPL CARDIAC EVENT RECORD,2709.0,1760.85,653.8,4677.0,884 CPT,33286,REMOVAL OF HEART RHYTHM MONITOR FROM UNDER THE SKIN FACILITY,,,653.8,4677.0,23 CPT,33340,HC PERC TXCATH CLSR LT ATR APNDG,20148.0,13096.2,648.98,19543.56,884 CPT,33340,REPAIR OF LEFT UPPER HEART CHAMBER WITH IMPLANT WITH REVIEW BY RADIOLOGIST FACILITY,,,14540.0,27752.26,10 CPT,33361,HC RPLC AORTIC VLV PERC FEM ARTY,21384.0,13899.6,1160.0,20742.48,884 CPT,33370,HC TCAT PLMT&RMVL CEPD PERQ,1530.0,994.5,849.15,14881.0,880 CPT,33370,PLACEMENT AND SUBSEQUENT REMOVAL OF DEVICE TO PROTECT BRAIN FROM EMBOLISM THROUGH CATHETER USING IMAGING GUIDANCE FACILITY,,,10658.45,16155.0,23 CPT,33418,HC TXCATH MITRAL VALVE REPAIR INI,3184.0,2069.6,1693.26,16155.0,884 CPT,33419,HC TRNSCATH MITR VLV RPR ADD PROST,2285.0,1485.25,1268.18,16155.0,880 CPT,33477,HC TRANSCATH PULM VLV IMPL PERC,22587.0,14681.55,1189.84,22248.0,884 CPT,33477,INSERTION OF PULMONARY VALVE FACILITY,,,1189.84,22248.0,19 CPT,33745,HC TIS CGEN CAR ANOMAL 1ST SHNT,25524.0,16590.6,1002.49,24758.28,884 CPT,33894,HC EVASC ST RPR THRC/AA ACRS BR,5322.0,3459.3,914.74,22248.0,884 CPT,33902,HC PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL,62385.0,40550.25,13392.0,60513.45,884 CPT,33902,"PLACEMENT OF STENT IN PULMONARY ARTERY WITH ABNORMAL ANATOMICAL CONNECTIONS, ON ONE SIDE OF BODY FACILITY",,,12244.0,19463.88,20 CPT,33967,HC INS INTRA AORTIC BLN DEV PERC,10452.0,6793.8,241.75,14881.0,884 CPT,33990,HC INS PERC VENT ASSIST DEV LEFT HEART ARTERIAL ONLY W IMG,18013.0,11708.45,336.82,18013.0,884 CPT,33992,"HC RMVL PERC VENT ASSIST DEV LEFT HEART,ART &/OR ART&VEN",13603.0,8841.95,177.81,14881.0,884 CPT,34707,REPAIR OF GROIN ARTERY WITH GRAFT FOR OTHER THAN RUPTURE WITH REVIEW BY RADIOLOGIST,,,1135.69,22248.0,23 CPT,35011,REPAIR OF ANEURYSM OR ARM ARTERY WITH GRAFT,,,5137.54,13605.0,23 CPT,35045,REPAIR OF ANEURYSM OR FOREARM ARTERY WITH GRAFT,,,5137.54,13605.0,23 CPT,35190,REPAIR OF ABNORMAL ARTERY-VEIN CONNECTION IN ARM OR LEG,,,5137.54,13605.0,23 CPT,35206,REPAIR OF BLOOD VESSEL OF ARM,,,12244.0,20451.38,23 CPT,35221,REPAIR OF BLOOD VESSEL OF ABDOMEN,,,1437.61,22248.0,23 CPT,35226,REPAIR OF BLOOD VESSEL OF LEG,,,14540.0,27752.26,23 CPT,35281,REPAIR OF BLOOD VESSEL OF ABDOMEN WITH GRAFT,,,1599.86,22248.0,23 CPT,35606,BYPASS OF DISEASED OR BLOCKED NECK TO CHEST ARTERY WITH OTHER THAN VEIN,,,1151.92,22248.0,23 CPT,35661,BYPASS OF DISEASED OR BLOCKED UPPER LEG TO OPPOSITE UPPER LEG ARTERY WITH OTHER THAN VEIN,,,1060.34,22248.0,23 CPT,35800,"EXPLORATION OF NECK FOR BLEEDING, BLOOD CLOT, OR INFECTION AFTER SURGERY",,,5137.54,22248.0,23 CPT,35820,"EXPLORATION OF CHEST FOR BLEEDING, BLOOD CLOT, OR INFECTION AFTER SURGERY",,,2002.48,22248.0,23 CPT,35876,REMOVAL OF BLOOD CLOT AND REVISION OF ARTERY OR VEIN GRAFT,,,5137.54,13605.0,23 CPT,36000,HC INTRO NDL/CATH VEIN,286.5,186.225,139.16,6376.0,2640 CPT,36000,INSERTION OF NEEDLE OR TUBE INTO VEIN FACILITY,,,1104.83,3260.0,23 CPT,36002,HC INJ PERC TX EXT PSEUDOARYSM,1340.0,871.0,579.17,3117.0,884 CPT,36005,HC INJ EXT VENOGRPH W NDLCATH,1960.0,1274.0,1085.03,14881.0,1760 CPT,36005,INJECTION FOR X-RAY IMAGING PROCEDURE INTO VEIN OF ARM OR LEG FACILITY,,,5254.87,13605.0,23 CPT,36010,HC INTRO CATH SUPR/INF VENA CAVA,3974.0,2583.1,1363.64,14881.0,1760 CPT,36010,INSERTION OF TUBE INTO VENA CAVA FACILITY,,,2915.22,8220.0,23 CPT,36011,HC SEL CATH PLC VEN SYS 1ST ORDER,5612.5,3648.125,1939.17,14881.0,1760 CPT,36011,"INSERTION OF TUBE INTO VEIN, FIRST ORDER BRANCH FACILITY",,,5137.54,13605.0,23 CPT,36012,HC SEL CATH PLC VEN SYS 2ND ORDER,7656.5,4976.725,2076.26,14881.0,1760 CPT,36012,"INSERTION OF TUBE INTO VEIN, SECOND ORDER BRANCH FACILITY",,,5254.87,13605.0,23 CPT,36013,HC INTRO CATH RT HEART/PULM ARTY,1741.0,1131.65,966.26,6376.0,880 CPT,36013,INSERTION OF TUBE INTO RIGHT HEART OR MAIN PULMONARY ARTERY FACILITY,,,5254.87,14881.0,23 CPT,36014,HC SEL CATH PLC LT/RT PULM ARTERY,2680.0,1742.0,1487.4,6376.0,880 CPT,36014,INSERTION OF TUBE INTO LEFT OR RIGHT PULMONARY ARTERY FACILITY,,,12244.0,19463.88,23 CPT,36015,HC PLC CATH SEGM PULM ARTY,4982.0,3238.3,2765.01,6376.0,880 CPT,36015,INSERTION OF TUBE INTO ARTERY OF LOBE OF LUNG FACILITY,,,10658.45,13605.0,23 CPT,36140,HC INTRO NDL/CATH EXT ARTY,2535.0,1647.75,1406.93,6376.0,880 CPT,36140,INSERTION OF NEEDLE OR TUBE INTO ARTERY OF ARM OR LEG FACILITY,,,5739.0,6376.0,19 CPT,36200,HC INTRODUCTION CATHETER AORTA,2809.0,1825.85,1559.0,14881.0,1760 CPT,36200,INSERTION OF TUBE INTO AORTA FACILITY,,,2915.22,6376.0,10 CPT,36215,HC SEL CATH EA 1ST ORD THRC/BRCH,7634.0,4962.1,4236.87,7404.98,880 CPT,36215,"INSERTION OF TUBE INTO CHEST OR ARM ARTERY, EACH FIRST ORDER BRANCH FACILITY",,,1524.88,4396.0,23 CPT,36216,HC SEL CATH 1ST/2ND ORD THRC/BRCH,4491.0,2919.15,2492.51,6376.0,880 CPT,36216,"INSERTION OF TUBE INTO CHEST OR ARM ARTERY, INITIAL SECOND ORDER BRANCH FACILITY",,,2915.22,6376.0,10 CPT,36217,HC SEL CATH 3RD+ORD SEL THRC/BRCH,4231.0,2750.15,2348.21,6376.0,880 CPT,36217,"INSERTION OF TUBE INTO CHEST OR ARM ARTERY, INITIAL THIRD ORDER BRANCH FACILITY",,,2915.22,6376.0,10 CPT,36218,HC SEL CATH EA 2ND+ ORD THRC/BRCH,1486.0,965.9,824.73,6376.0,880 CPT,36221,HC NONSEL CATH THOR AORTA W ANGIO,21416.0,13920.4,2915.22,20773.52,1768 CPT,36221,INSERTION OF TUBE INTO CHEST AORTA FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,5137.54,13605.0,23 CPT,36222,HC SEL CATH CARTD ANGIO EXTRACRAN,7688.0,4997.2,2915.22,8220.0,884 CPT,36222,INSERTION OF TUBE INTO EXTRACRANIAL ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,5137.54,13605.0,23 CPT,36223,HC SEL CATH CARTD ANGIO INTRCR,13023.0,8464.95,5137.54,13605.0,884 CPT,36223,INSERTION OF TUBE INTO INTRACRANIAL ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,5137.54,13605.0,23 CPT,36224,HC SEL CATH INTRNL CARTD ARTERY,12256.0,7966.4,5137.54,13605.0,884 CPT,36224,INSERTION OF TUBE INTO INTERNAL NECK ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,5137.54,13605.0,23 CPT,36225,HC SEL CATH SUBCL ARTY ANGIO VERT,7350.0,4777.5,2915.22,8220.0,884 CPT,36225,INSERTION OF TUBE INTO CHEST ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,5137.54,13605.0,23 CPT,36226,HC SEL CATH VERT ARTY ANGIO VERT,12498.0,8123.7,5137.54,13605.0,884 CPT,36226,INSERTION OF TUBE INTO BRAIN ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,5137.54,13605.0,23 CPT,36227,HC SEL CATH EXT CARTD W ANGIO,9045.0,5879.25,5019.98,8773.65,880 CPT,36227,INSERTION OF TUBE INTO EXTERNAL NECK ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,5137.54,13605.0,23 CPT,36228,HC SEL CATH INT CARTD W ANGIO,9186.0,5970.9,5098.23,8910.42,880 CPT,36228,INSERTION OF TUBE INTO NECK OR BRAIN ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,5137.54,13605.0,23 CPT,36245,HC SEL CATH EA 1ST ORD ABD PLV/LE,4091.0,2659.15,2270.51,6376.0,880 CPT,36245,"INSERTION OF TUBE INTO ABDOMINAL, PELVIC, OR LEG ARTERY, EACH FIRST ORDER BRANCH FACILITY",,,816.61,3191.0,23 CPT,36246,HC SEL CATH 2ND ORDER ABD PLV/LE,4968.0,3229.2,2757.24,6376.0,880 CPT,36246,"INSERTION OF TUBE INTO ABDOMINAL, PELVIC, OR LEG ARTERY, INITIAL SECOND ORDER BRANCH FACILITY",,,5137.54,6376.0,23 CPT,36247,HC SEL CATH 3RD+ ORD SEL ABD LE,4822.0,3134.3,2676.21,6376.0,880 CPT,36247,"INSERTION OF TUBE INTO ABDOMINAL, PELVIC, OR LEG ARTERY, INITIAL THIRD ORDER BRANCH FACILITY",,,5137.54,6376.0,10 CPT,36248,HC SEL CATH EA 2ND+ ORD ABD LE,2582.0,1678.3,1433.01,6376.0,880 CPT,36248,"INSERTION OF TUBE INTO ABDOMINAL, PELVIC, OR LEG ARTERY, ADDITIONAL SECOND, THIRD, AND BEYOND FACILITY",,,5137.54,6376.0,23 CPT,36251,HC SEL CATH RENAL ARTY&ANGIO UNILAT,7445.0,4839.25,2915.22,14881.0,1768 CPT,36251,INSERTION OF TUBE INTO FIRST ORDER MAIN AND ACCESSORY ARTERIES OF KIDNEY FOR IMAGING WITH REVIEW BY RADIOLOGIST FACILITY,,,5137.54,8220.0,23 CPT,36252,HC SEL CATH RENAL ARTY&ANGIO BIL,7375.0,4793.75,2915.22,14881.0,1768 CPT,36252,INSERTION OF TUBE INTO FIRST ORDER MAIN AND ACCESSORY ARTERIES OF BOTH KIDNEYS FOR IMAGING WITH REVIEW BY RADIOLOGIST FACILITY,,,4677.0,14881.0,23 CPT,36253,HC CATH 2ND+ORD RENAL ARTERY UNILAT,12330.0,8014.5,5137.54,13605.0,884 CPT,36253,INSERTION OF TUBE INTO SECOND OR THIRD ORDER BRANCHES OF ARTERIES OF KIDNEY FOR IMAGING WITH REVIEW BY RADIOLOGIST FACILITY,,,10658.45,13605.0,23 CPT,36254,HC PLC CATH REN ARTY >=2ND ORD BI,10962.0,7125.3,2915.22,10633.14,884 CPT,36260,INSERTION OF IMPLANTABLE ARTERIAL INFUSION PUMP,,,5137.54,22248.0,23 CPT,36261,REVISION OF IMPLANTED ARTERIAL INFUSION PUMP,,,3450.24,13605.0,23 CPT,36410,HC VENI >=3 YR W MD,300.0,195.0,149.1,300.0,880 CPT,36410,HC VENI >=3 YR W RN,282.0,183.3,140.15,276.36,880 CPT,36410,INSERTION OF NEEDLE INTO VEIN (3 YEARS OR OLDER) FACILITY,,,196.38,225.84,4 CPT,36415,HC VENIPUNCTURE,42.0,27.3,9.34,40.74,886 CPT,36415,INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE FACILITY,,,5581.68,13605.0,23 CPT,36416,HC COLLECTION SPECIMEN CAP BLOOD,32.0,20.8,17.76,31.36,880 CPT,36430,HC BLOOD TRANSFUSION,1468.0,954.2,407.32,3117.0,884 CPT,36430,TRANSFUSION OF BLOOD OR BLOOD PRODUCTS FACILITY,,,407.32,3117.0,23 CPT,36468,"INJECTION OF CHEMICAL AGENT INTO SPIDER VEIN OF ARM, LEG, OR TRUNK FACILITY",,,2915.22,8220.0,23 CPT,36470,HC INJ SCLEROSING SOLN SNGL VEIN,854.0,555.1,375.32,3117.0,884 CPT,36470,INJECTION OF CHEMICAL AGENT INTO SINGLE INCOMPETENT VEIN FACILITY,,,2915.22,8220.0,23 CPT,36471,INJECTION OF CHEMICAL AGENT INTO MULTIPLE INCOMPETENT VEINS OF LEG FACILITY,,,2915.22,8220.0,23 CPT,36475,DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE FACILITY,,,2915.22,8220.0,23 CPT,36478,LASER DESTRUCTION OF INCOMPETENT VEIN OF ARM OR LEG USING IMAGING GUIDANCE FACILITY,,,2915.22,8220.0,23 CPT,36479,"LASER DESTRUCTION OF INCOMPETENT VEINS OF ARM OR LEG USING IMAGING GUIDANCE, SUBSEQUENT FACILITY",,,2915.22,8220.0,23 CPT,36481,HC CATH PORTAL VEIN PERC,4556.0,2961.4,2528.58,6376.0,880 CPT,36481,INSERTION OF TUBE INTO PORTAL VEIN OF LIVER FACILITY,,,12244.0,19463.88,23 CPT,36500,HC CATH VEN SEL ORGAN BLD SAMPLNG,2805.0,1823.25,1556.78,6376.0,880 CPT,36500,INSERTION OF TUBE INTO VEIN WITH COLLECTION OF BLOOD SAMPLE FACILITY,,,5137.54,6376.0,23 CPT,36511,HC APHERESIS THERAPEUTIC WBC,5605.0,3643.25,1437.93,5605.0,884 CPT,36512,HC APHERESIS THERAPEUTIC RBC,5145.0,3344.25,1437.93,4990.65,884 CPT,36512,MECHANICAL SEPARATION OF RED BLOOD CELLS FROM BLOOD FACILITY,,,1437.93,4396.0,23 CPT,36513,HC APHERESIS THERAPEUTIC PLT,2962.0,1925.3,407.32,3117.0,884 CPT,36514,HC APHERESIS THERAPEUTIC PLASMA,5031.0,3270.15,1437.93,4880.07,884 CPT,36514,MECHANICAL SEPARATION OF PLASMA FROM BLOOD FACILITY,,,1437.93,4396.0,23 CPT,36516,HC LDL APHERESIS,9922.0,6449.3,4021.32,13605.0,884 CPT,36516,MECHANICAL SEPARATION OF PLASMA AND ABNORMAL ANTIBODIES FROM BLOOD FACILITY,,,4021.32,13605.0,23 CPT,36522,HC PHOTOPHERESIS EXTRACORPOREAL,11226.0,7296.9,4021.32,13605.0,884 CPT,36522,MECHANICAL SEPARATION OF WHITE BLOOD CELLS AND PLATELETS FROM BLOOD FACILITY,,,4021.32,13605.0,23 CPT,36556,HC INS NON-TUN CVC >5YR,7386.0,4800.9,2915.22,8220.0,1768 CPT,36556,INSERTION OF NON-TUNNELED CENTRAL VENOUS TUBE FOR INFUSION (5 YEARS OR OLDER) FACILITY,,,2915.22,8220.0,23 CPT,36557,HC INS TUNL CVC WO PORT < 5 YR,11989.0,7792.85,5137.54,13605.0,884 CPT,36558,HC INS TUNL CVC WO PORT >=5YR,7745.0,5034.25,2915.22,8220.0,884 CPT,36558,INSERTION OF TUNNELED CENTRAL VENOUS TUBE FOR INFUSION (5 YEARS OR OLDER) FACILITY,,,2915.22,8220.0,23 CPT,36560,INSERTION OF CENTRAL VENOUS TUBE WITH PORT (YOUNGER THAN 5 YEARS) FACILITY,,,2915.22,8220.0,23 CPT,36561,HC INS TUNL CVAD W PORT >= 5 YR,7332.0,4765.8,2915.22,8220.0,884 CPT,36561,INSERTION OF CENTRAL VENOUS TUBE WITH PORT (5 YEARS OR OLDER) FACILITY,,,2915.22,8220.0,23 CPT,36569,HC INS PICC WO PORT/PUMP >=5YR WO GUIDE,3868.0,2514.2,1453.38,4396.0,884 CPT,36569,HC PICC PLACEMENT - BY PICC STAT WO GUIDE,3764.0,2446.6,1453.38,4396.0,884 CPT,36573,HC INSJ PICC RS&I 5 YR+,3613.0,2348.45,1453.38,4396.0,1768 CPT,36573,"INSERTION OF TUBE FOR INFUSION WITH IMAGING GUIDANCE AND REVIEW BY RADIOLOGIST, PATIENT 5 YEARS OR OLDER FACILITY",,,1453.38,4396.0,23 CPT,36576,HC REPAIR CV CATH W SUBQ PORT,3646.0,2369.9,1453.38,4396.0,884 CPT,36576,REPAIR OF CENTRAL VENOUS TUBE FOR INFUSION WITH PORT OR PUMP FACILITY,,,1453.38,4396.0,23 CPT,36578,"REPLACEMENT OF CENTRAL VENOUS TUBE, TUBE ONLY FACILITY",,,2915.22,8220.0,23 CPT,36580,HC RPLC CVC NONTUNL COMPLT,3656.0,2376.4,1453.38,4396.0,884 CPT,36581,HC RPLC COMPLT TUNL CVC WO PORT,7154.0,4650.1,2915.22,8220.0,884 CPT,36581,REPLACEMENT OF TUNNELED CENTRAL VENOUS TUBE FACILITY,,,2915.22,8220.0,23 CPT,36582,HC RPLC COMPLT TUNL CVAD W PORT,7171.0,4661.15,2915.22,8220.0,884 CPT,36582,REPLACEMENT OF TUNNELED CENTRAL VENOUS TUBE WITH PORT FACILITY,,,2915.22,8220.0,23 CPT,36584,HC RPLC COMPLT PICC CVC WO PORT W GUIDE/S&I,3489.0,2267.85,1453.38,4396.0,884 CPT,36584,REPLACEMENT OF PERIPHERALLY INSERTED CENTRAL VENOUS TUBE (PICC) WITH REVIEW BY RADIOLOGIST FACILITY,,,1453.38,4396.0,23 CPT,36589,HC RMVL TUN CV CATH WO SUBQ PORT,1477.0,960.05,579.17,3117.0,884 CPT,36589,REMOVAL OF TUNNELED CENTRAL VENOUS TUBE FACILITY,,,579.17,3117.0,23 CPT,36590,HC RMVL TUNL CVAD W SUBQ PORT/PMP,3710.0,2411.5,1453.38,4396.0,884 CPT,36590,REMOVAL OF CENTRAL VENOUS TUBE WITH PORT OR PUMP FACILITY,,,1453.38,4396.0,23 CPT,36591,COLLECTION OF BLOOD SAMPLE FROM IMPLANTED DEVICE FACILITY,,,837.4,3191.0,23 CPT,36591,HC COLLECT BLOOD FROM IMPLANT VAD,281.0,182.65,122.84,272.57,884 CPT,36592,COLLECTION OF BLOOD SAMPLE FROM CENTRAL VENOUS TUBE FACILITY,,,196.38,225.84,4 CPT,36592,HC COLLECT BLOOD PICC VENOUS NOS,289.0,187.85,122.84,280.33,884 CPT,36593,DECLOTTING OF CENTRAL VENOUS TUBE FACILITY,,,304.96,3045.0,23 CPT,36593,HC DECLOT IMPL VAD/CATH,833.0,541.45,304.96,3045.0,1768 CPT,36595,HC MCHNL RMVL PRICATH OBSTR CVAD,7116.0,4625.4,2915.22,8220.0,884 CPT,36595,MECHANICAL REMOVAL OF OBSTRUCTIVE MATERIAL FROM CENTRAL VENOUS TUBE FACILITY,,,2915.22,13605.0,23 CPT,36596,HC MCHNL RMVL INTRALU OBSTR CVAD,7182.0,4668.3,1453.38,6966.54,884 CPT,36596,MECHANICAL REMOVAL OF TISSUE OR OBSTRUCTIVE MATERIAL FROM CENTRAL VENOUS TUBE FACILITY,,,1453.38,4396.0,23 CPT,36597,HC REPO PREV PLC CVC FLUORO GUID,3618.0,2351.7,1453.38,4396.0,884 CPT,36597,REPOSITIONING OF CENTRAL VENOUS TUBE USING FLUOROSCOPIC GUIDANCE FACILITY,,,1453.38,4396.0,23 CPT,36598,CONTRAST INJECTION FOR IMAGING TO EVALUATE CENTRAL VENOUS ACCESS DEVICE FACILITY,,,196.38,3045.0,23 CPT,36598,HC INJ CNTRST RAD EVAL CVAD FLUOR,520.0,338.0,196.38,3045.0,884 CPT,36600,ARTERY PUNCTURE COLLECTION OF BLOOD SAMPLE FACILITY,,,2993.19,3442.17,4 CPT,36600,HC ARTERIAL PUNCTURE,337.5,219.375,122.84,383.0,1768 CPT,36600,HC ARTERIAL PUNCTURE TEC,247.0,160.55,122.76,239.59,884 CPT,36620,HC ARTL CATH/CNULA MONITOR PERC,1565.0,1017.25,426.92,6376.0,1760 CPT,36680,HC PLC NEEDLE INTRAOSSEUS INF,1045.0,679.25,412.45,3117.0,884 CPT,36680,INSERTION OF NEEDLE FOR INFUSION INTO BONE FACILITY,,,11853.62,13631.66,23 CPT,36818,RELOCATION OF MAJOR UPPER ARM VEIN WITH CONNECTION TO ARM ARTERY FOR HEMODIALYSIS,,,5137.54,13605.0,23 CPT,36819,RELOCATION OF UPPER ARM SURFACE VEIN WITH CONNECTION TO ARM ARTERY FOR HEMODIALYSIS,,,5137.54,13605.0,23 CPT,36820,RELOCATION OF FOREARM VEIN WITH CONNECTION TO ARM ARTERY FOR HEMODIALYSIS,,,5137.54,13605.0,23 CPT,36821,RELOCATION OF ARM VEIN WITH CONNECTION TO ARM ARTERY FOR HEMODIALYSIS,,,2915.22,8220.0,23 CPT,36830,CREATION OF ARTERY-VEIN CONNECTION USING TUBE GRAFT FOR HEMODIALYSIS,,,5137.54,13605.0,23 CPT,36832,REVISION OF HEMODIALYSIS GRAFT FACILITY,,,5137.54,13605.0,23 CPT,36833,REVISION OF HEMODIALYSIS GRAFT WITH REMOVAL OF BLOOD CLOT,,,5137.54,13605.0,23 CPT,36838,REPAIR OF HEMODIALYSIS ACCESS IN ARM,,,5137.54,13605.0,23 CPT,36901,HC AV FISTULA IMAGING,3484.0,2264.6,1453.38,4396.0,884 CPT,36901,INSERTION OF NEEDLE AND/OR TUBE INTO HEMODIALYSIS CIRCUIT WITH REVIEW BY RADIOLOGIST FACILITY,,,2915.22,4396.0,23 CPT,36902,HC AV FISTULA PTA,12142.0,7892.3,5254.87,13605.0,884 CPT,36902,INSERTION OF NEEDLE AND/OR TUBE INTO HEMODIALYSIS CIRCUIT AND BALLOON DILATION OF DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,5254.87,13605.0,23 CPT,36903,HC AV FISTULA STENT,23743.0,15432.95,10658.45,23030.71,884 CPT,36903,INSERTION OF NEEDLE AND/OR TUBE INTO HEMODIALYSIS CIRCUIT AND INSERTION OF STENT IN DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,10658.45,13605.0,23 CPT,36904,HC AV FISTULA THROMBECTOMY,12725.0,8271.25,5254.87,13605.0,884 CPT,36904,REMOVAL AND/OR DISSOLVING OF BLOOD CLOT IN HEMODIALYSIS CIRCUIT AND BALLOON DILATION OF DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,5254.87,13605.0,23 CPT,36905,HC AV FISTULA PTA THROMBECTOMY,24562.0,15965.3,10658.45,23825.14,884 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",,,10658.45,13605.0,23 CPT,36906,HC AV FISTULA STENT THROMBECTOMY,39629.0,25758.85,12244.0,38836.42,884 CPT,36907,BALLOON DILATION OF DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,2915.22,4396.0,23 CPT,36907,HC AV FISTULA PTA CENTRAL,14979.0,9736.35,5739.0,14529.63,880 CPT,36908,HC AV FISTULA STENT CENTRAL,19539.0,12700.35,5739.0,18952.83,880 CPT,36909,HC AV FISTULA EMBOLIZATION,19316.0,12555.4,5739.0,18736.52,880 CPT,36909,PERMANENT BLOCKAGE OF HEMODIALYSIS CIRCUIT WITH REVIEW BY RADIOLOGIST FACILITY,,,2915.22,4396.0,23 CPT,37182,HC INS HEPATIC SHUNT (TIPS),21270.0,13825.5,11804.85,22248.0,884 CPT,37182,INSERTION OF SHUNTS TO BYPASS BLOOD FLOW TO LIVER WITH REVIEW BY RADIOLOGIST FACILITY,,,16925.12,22248.0,23 CPT,37183,HC REVISE HEPATIC SHUNT (TIPS),13506.0,8778.9,5254.87,13605.0,884 CPT,37183,REVISION OF SHUNTS TO BYPASS BLOOD FLOW TO LIVER WITH REVIEW BY RADIOLOGIST FACILITY,,,5254.87,13605.0,23 CPT,37184,HC THRMBCT MECH PRIM PERC INIT VSL,24614.0,15999.1,12244.0,23875.58,884 CPT,37185,HC THRMBC MECH PRIM PERC SBSQ VSL,9152.0,5948.8,5079.36,8968.96,880 CPT,37187,HC THRMBCT MECH TRLUML VEIN,24756.0,16091.4,10658.45,24013.32,884 CPT,37187,"REMOVAL AND DISSOLVING OF BLOOD CLOT FROM VEIN USING FLUOROSCOPIC GUIDANCE, INITIAL TREATMENT FACILITY",,,10658.45,13605.0,23 CPT,37188,HC THRMBC PERC MECH TRLUML RPT TX,7443.0,4837.95,4130.87,8220.0,880 CPT,37191,HC INSERT EVASC VENA CAVA FILTER,12753.0,8289.45,5137.54,13605.0,884 CPT,37191,INSERTION OF VENA CAVA FILTER WITH REVIEW BY RADIOLOGIST FACILITY,,,5137.54,13605.0,23 CPT,37193,HC RTREV/RMVL EVASC VENACAVA FLTR,7445.0,4839.25,2915.22,8220.0,884 CPT,37193,REMOVAL OF VENA CAVA FILTER WITH REVIEW BY RADIOLOGIST FACILITY,,,2915.22,8220.0,23 CPT,37195,HC THROMBOLYSIS CEREBRAL INFUS,3177.0,2065.05,304.96,3177.0,884 CPT,37197,HC RTREV/RMVL INTRAVASC FB W IMG,7404.0,4812.6,2915.22,8220.0,884 CPT,37197,RETRIEVAL OF FOREIGN BODY IN BLOOD VESSEL WITH REVIEW BY RADIOLOGIST FACILITY,,,2915.22,8220.0,23 CPT,37200,BIOPSY OF BLOOD VESSEL USING TUBE FACILITY,,,5137.54,13605.0,23 CPT,37200,HC TRANSCATHETER BIOPSY,12414.0,8069.1,5137.54,13605.0,884 CPT,37211,HC TRANSCATH ARTL THPY W S&I INIT,11786.0,7660.9,5137.54,13605.0,884 CPT,37212,HC TRANSCATH VEN THPY W S&I INIT,7473.0,4857.45,2915.22,8220.0,884 CPT,37213,HC TRANSCATH ARTL/VEN THPY W S&I,7296.0,4742.4,2915.22,8220.0,884 CPT,37214,HC CESSATION THROMBLYS RMVL CATH,7365.0,4787.25,2915.22,8220.0,884 CPT,37215,HC PLC STENT CAROTID EMBO PROTECT,12205.0,7933.25,960.18,22248.0,884 CPT,37215,INSERTION OF STENT AND BLOOD CLOT PROTECTION DEVICE IN NECK ARTERY WITH REVIEW BY RADIOLOGIST FACILITY,,,960.18,22248.0,23 CPT,37216,HC PLC STNT CARTD WO EMBO PROTECT,11158.0,7252.7,5739.0,11158.0,880 CPT,37218,HC PLC STENT PLC ANTEGRADE CARTD,16865.0,10962.25,795.73,16865.0,884 CPT,37220,"BALLOON DILATION OF GROIN ARTERY, INITIAL VESSEL FACILITY",,,4.28,13605.0,23 CPT,37221,"INSERTION OF STENT IN GROIN ARTERY, INITIAL VESSEL FACILITY",,,21.4,13605.0,23 CPT,37222,"BALLOON DILATION OF GROIN ARTERY, EACH ADDITIONAL VESSEL FACILITY",,,12.84,13605.0,23 CPT,37223,"INSERTION OF STENT IN GROIN ARTERY, ADDITIONAL VESSEL FACILITY",,,12244.0,13605.0,19 CPT,37224,BALLOON DILATION OF ARTERY OF LEG FACILITY,,,12244.0,13605.0,19 CPT,37225,REMOVAL OF PLAQUE IN ARTERIES OF LEG FACILITY,,,3020.95,13605.0,23 CPT,37226,INSERTION OF STENT IN ARTERIES OF LEG FACILITY,,,2915.22,13605.0,23 CPT,37228,"BALLOON DILATION OF ARTERY OF LEG, INITIAL VESSEL FACILITY",,,13.73,13605.0,22 CPT,37230,"INSERTION OF STENT IN ARTERY OF LEG, INITIAL VESSEL FACILITY",,,34.24,13605.0,23 CPT,37232,"BALLOON DILATION OF ARTERY OF LEG, EACH ADDITIONAL VESSEL FACILITY",,,4.28,13605.0,23 CPT,37236,HC PLC OPN/PERC STENT INIT,24952.0,16218.8,10658.45,24203.44,1768 CPT,37236,"INSERTION OF STENT IN ARTERY (EXCEPT LOWER EXTREMITY, CHEST, HEART, NECK AND BRAIN) WITH REVIEW BY RADIOLOGIST, INITIAL ARTERY FACILITY",,,10658.45,16155.0,23 CPT,37237,HC PLC OPN/PERC STENT EA ADD,26772.0,17401.8,14540.0,25968.84,880 CPT,37237,"INSERTION OF STENT IN ARTERY (EXCEPT LOWER EXTREMITY, CHEST, HEART, NECK AND BRAIN) WITH REVIEW BY RADIOLOGIST, EACH ADDITIONAL ARTERY FACILITY",,,10658.45,16155.0,23 CPT,37238,HC PLC OPN/PERC STENT SAME INIT,25630.0,16659.5,10658.45,24861.1,1768 CPT,37238,"INSERTION OF STENT IN VEIN WITH REVIEW BY RADIOLOGIST, INITIAL VEIN FACILITY",,,10658.45,16155.0,23 CPT,37239,HC PLC OPN/PERC STENT SAME EA ADD,15730.0,10224.5,8730.15,16155.0,880 CPT,37239,"INSERTION OF STENT IN VEIN WITH REVIEW BY RADIOLOGIST, EACH ADDITIONAL VEIN FACILITY",,,10658.45,16155.0,23 CPT,37241,HC VASC EMBL/OCCLUDE VENOUS,26606.0,17293.9,10658.45,25807.82,884 CPT,37241,OCCLUSION OF VEIN WITH REVIEW BY RADIOLOGIST FACILITY,,,12244.0,19463.88,23 CPT,37242,HC VASC EMBL/OCCLUDE ARTERIAL,25703.0,16706.95,12244.0,24931.91,1768 CPT,37242,OCCLUSION OF ARTERY WITH REVIEW BY RADIOLOGIST FACILITY,,,12244.0,19463.88,23 CPT,37243,HC VASC EMBL/OCCLUDE TMR INFARCT,25901.0,16835.65,10658.45,25123.97,884 CPT,37243,OCCLUSION OF GROWTHS OR OBSTRUCTED VESSELS WITH REVIEW BY RADIOLOGIST FACILITY,,,10658.45,13605.0,23 CPT,37244,HC VASC EMBL/OCCLUDE HEMORRHAGE,25026.0,16266.9,10658.45,24275.22,884 CPT,37244,OCCLUSION OF ARTERY OR VEIN BLEEDING WITH REVIEW BY RADIOLOGIST FACILITY,,,10658.45,13605.0,23 CPT,37246,"BALLOON DILATION OF ARTERY WITH REVIEW BY RADIOLOGIST, INITIAL ARTERY FACILITY",,,5254.87,13605.0,23 CPT,37246,HC PTA ARTERIAL INITIAL,18391.0,11954.15,4677.0,23091.82,1768 CPT,37247,"BALLOON DILATION OF ARTERY WITH REVIEW BY RADIOLOGIST, EACH ADDITIONAL ARTERY FACILITY",,,5254.87,13605.0,23 CPT,37247,HC PTA ARTERIAL EA ADD,9183.0,5968.95,5096.57,8907.51,880 CPT,37248,"BALLOON DILATION OF VEIN WITH REVIEW BY RADIOLOGIST, INITIAL VEIN FACILITY",,,5254.87,13605.0,23 CPT,37248,HC PTA VENOUS INITIAL,13101.0,8515.65,5254.87,14881.0,1768 CPT,37249,"BALLOON DILATION OF VEIN WITH REVIEW BY RADIOLOGIST, EACH ADDITIONAL VEIN FACILITY",,,5254.87,14881.0,23 CPT,37249,HC PTA VENOUS EA ADD,2809.0,1825.85,1559.0,6376.0,880 CPT,37252,HC INTRAVASC US NONCORONARY INIT VSL,5413.0,3518.45,2930.96,14881.0,1760 CPT,37252,"ULTRASOUND EVALUATION OF BLOOD VESSEL WITH REVIEW BY RADIOLOGIST, INITIAL VESSEL FACILITY",,,2915.22,6376.0,23 CPT,37253,HC INTRAVASC US NONCORONARY ADD VSL,8529.0,5543.85,3352.2,14881.0,1760 CPT,37253,"ULTRASOUND EVALUATION OF BLOOD VESSEL WITH REVIEW BY RADIOLOGIST, EACH ADDITIONAL VESSEL FACILITY",,,5254.87,13605.0,23 CPT,37263,HC REVSC EVASC FPVT ANGIO SF 1,23774.0,15453.1,5254.87,23774.0,884 CPT,37500,TYING OF VEINS IN LEG MUSCLES USING AN ENDOSCOPE,,,579.17,13605.0,23 CPT,37600,TYING OF EXTERNAL NECK ARTERY,,,2915.22,8220.0,23 CPT,37607,TYING OR BANDING OF SURGICALLY CREATED ARTERY-VEIN CONNECTION FACILITY,,,2915.22,8220.0,23 CPT,37609,HC LIGATION/BIOPSY TEMPORAL ARTY,14685.0,9545.25,1524.88,14391.3,884 CPT,37609,TYING OR BIOPSY OF ARTERY ON SIDE OF SKULL FACILITY,,,1524.88,4396.0,23 CPT,37700,TYING AND DIVISION OF LONG LEG VEIN,,,2915.22,8220.0,23 CPT,37722,"TYING, INCISION, AND STRIPPING OF LONG LEG VEIN",,,2915.22,8220.0,23 CPT,37760,"TYING OF VARICOSE VEINS, RADICAL PROCEDURE INCLUDING SKIN GRAFT",,,2915.22,8220.0,23 CPT,37761,"TYING OF VARICOSE VEINS, SIMPLE PROCEDURE USING ULTRASOUND",,,2915.22,8220.0,23 CPT,37765,"REMOVAL OF VARICOSE VEINS OF ARM OR LEG, 10-20 INCISIONS FACILITY",,,2915.22,8220.0,23 CPT,37766,"REMOVAL OF VARICOSE VEINS OF ARM OR LEG, MORE THAN 20 INCISIONS FACILITY",,,2915.22,8220.0,23 CPT,37780,TYING AND DIVISION OF SHORT LEG VEIN,,,2915.22,8220.0,23 CPT,37799,HC ISOLATION FILTRATION LIVER BLOOD SUPPLY,24027.0,15617.55,579.17,23306.19,884 CPT,37799,HC MECHANICAL REMOVAL OF FIBRIN SHEATH,3439.0,2235.35,579.17,3335.83,884 CPT,37799,HC SPEC COLLECT ARTERIAL LINE,29.0,18.85,15.98,3117.0,884 CPT,37799,SPEC COLLECT ARTERIAL LINE - FACILITY,,,2915.22,8220.0,23 CPT,38120,EXAM OF SPLEEN USING AN ENDOSCOPE,,,9814.25,13605.0,23 CPT,38129,UNLISTED PROC LAP SPLEEN,,,9814.25,22248.0,23 CPT,38200,HC INJECTION FOR SPLEEN X-RAY,2323.0,1509.95,1289.27,6376.0,880 CPT,38200,INJECTION PROCEDURE FOR IMAGING OF SPLEEN FACILITY,,,5254.87,13605.0,23 CPT,38205,HC HPC HARVEST ALLOGENIC,6156.0,4001.4,69.39,6376.0,884 CPT,38206,COLLECTION OF STEM CELLS FOR TRANSPLANTATION FACILITY,,,1437.93,4396.0,23 CPT,38206,HC HPC HARVEST AUTOLOGOUS,6443.0,4187.95,1437.93,6249.71,884 CPT,38207,HC 2 TX CRYOPRESERVE/STORAGE,7877.0,5120.05,407.32,7640.69,884 CPT,38207,HC 3 TX CRYOPRESERVE/STORAGE,9071.0,5896.15,407.32,8798.87,884 CPT,38207,HC CRYOPRESERVE/STORAGE,6106.0,3968.9,407.32,5922.82,884 CPT,38207,PRESERVATION AND STORAGE OF STEM CELLS FOR TRANSPLANTATION FACILITY,,,407.32,4396.0,23 CPT,38208,HC THAW,3126.0,2031.9,407.32,3117.0,884 CPT,38208,THAWING OF FROZEN STEM CELLS FOR TRANSPLANTATION FACILITY,,,407.32,3117.0,23 CPT,38209,HC THAW & WASH,5957.0,3872.05,407.32,5778.29,884 CPT,38210,HC T CELL DEPLETION,23568.0,15319.2,407.32,22860.96,884 CPT,38210,PREPARATION OF STEM CELLS FOR TRANSPLANTATION WITH REMOVAL OF T CELLS FACILITY,,,407.32,4396.0,23 CPT,38212,HC RBC DEPLETION,2710.0,1761.5,407.32,3117.0,884 CPT,38214,HC PLASMA DEPLETION,3574.0,2323.1,407.32,3466.78,884 CPT,38214,PREPARATION OF STEM CELLS FOR TRANSPLANTATION WITH REDUCTION OF BLOOD FLUID (PLASMA) VOLUME FACILITY,,,407.32,4396.0,23 CPT,38215,HC TRANSPLANT CELL CONCENTRATION,4444.0,2888.6,407.32,4310.68,884 CPT,38215,PREPARATION OF STEM CELLS FOR TRANSPLANTATION WITH CELL CONCENTRATION IN BLOOD FLUID (PLASMA) FACILITY,,,407.32,4396.0,23 CPT,38220,HC BONE MARROW ASPIRATION ONLY,3583.0,2328.95,1524.88,4396.0,884 CPT,38221,BIOPSY OF BONE MARROW FACILITY,,,1524.88,4396.0,23 CPT,38221,HC BONE MARROW BIOPSY NDL/TROCAR,3763.0,2445.95,1524.88,4396.0,1768 CPT,38222,BIOPSY AND ASPIRATION OF BONE MARROW SAMPLE FOR DIAGNOSIS FACILITY,,,2681.85,8220.0,23 CPT,38222,HC DX BONE MARROW BX & ASPIR,6191.0,4024.15,2681.85,8220.0,3536 CPT,38225,"HARVESTING OF BLOOD-DERIVED T WHITE BLOOD CELLS (T LYMPHOCYTES) FOR CHIMERIC ANTIGEN RECEPTOR T-CELL (CAR-T) THERAPY, PER DAY FACILITY",,,2915.22,8220.0,23 CPT,38225,HC CAR-T; HARVESTING CELLS,12990.0,8443.5,5739.0,12600.3,880 CPT,38226,HC CAR-T; PREP FRESH CELLS FOR TRANSPORT,4365.0,2837.25,2422.58,6376.0,880 CPT,38226,PREPARATION OF BLOOD-DERIVED T WHITE BLOOD CELLS (T LYMPHOCYTES) FOR TRANSPORTATION FOR CHIMERIC ANTIGEN RECEPTOR T-CELL (CAR-T) THERAPY FACILITY,,,2915.22,8220.0,23 CPT,38227,HC CAR-T; RECEIPT AND PREP OF CELLS FOR ADMIN,15420.0,10023.0,5739.0,14957.4,880 CPT,38228,HC CAR-T CLL ADMN AUTOLOGOUS,13809.0,8975.85,304.96,13394.73,884 CPT,38240,HC BMT/STEM CELL TX ALLO,9489.0,6167.85,5228.44,66786.18,884 CPT,38241,HC BMT/STEM CELL TX AUTO,6747.0,4385.55,1437.93,6544.59,884 CPT,38242,TRANSPLANTATION OF DONOR WHITE BLOOD CELLS FACILITY,,,1437.93,4396.0,23 CPT,38243,TRANSPLANTATION OF DONOR STEM CELLS FACILITY,,,407.32,3117.0,23 CPT,38308,INCISION OR OTHER OPERATION ON LYMPHATIC CHANNELS,,,5581.68,13605.0,23 CPT,38380,SUTURE AND/OR TYING OF CHEST LYMPH DUCT THROUGH NECK,,,5465.62,22248.0,23 CPT,38381,SUTURE AND/OR TYING OF CHEST LYMPH DUCT THROUGH BACK,,,5465.62,22248.0,23 CPT,38500,BIOPSY OR REMOVAL OF LYMPH NODES PROFESSIONAL,,,3615.02,13605.0,23 CPT,38505,HC BX/EXCISN LYMPH NODE NDL SUPFCL,3623.0,2354.95,1524.88,4396.0,884 CPT,38505,NEEDLE BIOPSY OR REMOVAL OF SURFACE LYMPH NODES FACILITY,,,1524.88,4396.0,23 CPT,38510,BIOPSY OR REMOVAL OF DEEP LYMPH NODES OF NECK,,,6130.69,13605.0,23 CPT,38525,BIOPSY OR REMOVAL OF DEEP LYMPH NODES OF UNDERARM PROFESSIONAL,,,6130.69,13605.0,23 CPT,38525,HC BX/EXC LYMPHNODE OPN AXILLARY,15204.0,9882.6,3615.02,14747.88,884 CPT,38530,BIOPSY OR REMOVAL OF LYMPH NODES OF BREAST,,,12723.59,14632.13,4 CPT,38531,BIOPSY OR REMOVAL OF LYMPH NODES OF GROIN PROFESSIONAL,,,3615.02,13605.0,23 CPT,38550,REMOVAL OF CONGENITAL DEFECT OF LYMPH NODES AT UNDERARM OR NECK,,,3615.02,13605.0,23 CPT,38570,BIOPSY AND REMOVAL OF LYMPH NODES OF ABDOMINAL CAVITY USING AN ENDOSCOPE,,,9814.25,13605.0,23 CPT,38571,REMOVAL OF LYMPH NODES OF BOTH SIDES OF PELVIS USING AN ENDOSCOPE,,,9814.25,13605.0,23 CPT,38572,REMOVAL OF LYMPH NODES OF BOTH SIDES OF PELVIS AND ABDOMINAL LYMPH NODE BIOPSY USING AN ENDOSCOPE,,,9814.25,13605.0,23 CPT,38573,REMOVAL OF LYMPH NODES OF BOTH SIDES OF PELVIS WITH BIOPSY AND WASHING OF ABDOMEN USING AN ENDOSCOPE,,,9814.25,13605.0,23 CPT,38589,UNLISTED PROC LAP LYMPH SYS,,,5581.68,13605.0,23 CPT,38700,REMOVAL OF LYMPH NODES FROM CHIN TO THYROID CARTILAGE,,,6130.69,13605.0,23 CPT,38724,"REMOVAL OF LYMPH NODES, MUSCLE, AND TISSUE OF NECK",,,1308.74,22248.0,23 CPT,38740,PARTIAL REMOVAL OF LYMPH NODES OF UNDERARM,,,5581.68,13605.0,23 CPT,38745,REMOVAL OF LYMPH NODES OF UNDERARM PROFESSIONAL,,,5581.68,13605.0,23 CPT,38747,REMOVAL OF LYMPH NODES OF ABDOMINAL ORGAN,,,5137.54,22248.0,23 CPT,38760,REMOVAL OF LYMPH NODES OF GROIN,,,6130.69,13605.0,23 CPT,38770,REMOVAL OF LYMPH NODES OF GROIN AND PELVIS,,,768.99,22248.0,23 CPT,38790,HC INJ PROCEDURE LYMPHANGIOGRAPHY,2309.0,1500.85,1281.5,6376.0,880 CPT,38790,INJECTION PROCEDURE FOR IMAGING OF LYMPHATIC SYSTEM FACILITY,,,2915.22,6376.0,23 CPT,38792,INJECTION OF RADIOACTIVE MATERIAL FOR X-RAY IDENTIFICATION OF LYMPH NODE FACILITY,,,6130.69,13605.0,23 CPT,38794,EXPOSURE OF LYMPH DUCT OF CHEST CAVITY FACILITY,,,10658.45,13605.0,23 CPT,38794,HC CANNULATION THORACIC DUCT,758.0,492.7,420.69,6376.0,880 CPT,38900,IMAGING OF LYMPH NODES DURING SURGERY PROFESSIONAL,,,6130.69,13605.0,23 CPT,38999,HC BMMSC-CKD ADMIN,1290.0,838.5,407.32,3117.0,884 CPT,38999,HC FRESH CELL ADMIN PREPARATION,3126.0,2031.9,407.32,3117.0,884 CPT,38999,UNLISTED PROC HEMIC/LYMPHATIC - FACILITY,,,407.32,3117.0,23 CPT,40490,BIOPSY OF LIP FACILITY,,,218.68,3045.0,23 CPT,40490,HC BIOPSY LIP,525.0,341.25,218.68,3045.0,884 CPT,40510,HC EXCISN LIP TRANSV WEDGE W CLSR,11868.0,7714.2,3061.08,13605.0,884 CPT,40510,REMOVAL OF WEDGE OF LIP TISSUE WITH CLOSURE FACILITY,,,3061.08,13605.0,23 CPT,40525,REMOVAL OF LIP WITH REPAIR USING LOCAL TISSUE GRAFT,,,3061.08,13605.0,23 CPT,40527,REMOVAL OF LIP WITH REPAIR USING TISSUE GRAFT,,,5465.62,13605.0,23 CPT,40650,HC RPR LIP FULL THICK VERMIL ONLY,2274.0,1478.1,497.95,3117.0,884 CPT,40650,REPAIR OF LIP AND BORDER FACILITY,,,3061.08,13605.0,23 CPT,40652,HC RPR LIP F THICK HALF VERTC HT,4201.0,2730.65,1432.54,4396.0,884 CPT,40799,UNLISTED PROCEDURE LIPS,,,218.68,13605.0,23 CPT,40800,HC DRN MOUTH LESION SMPL,1039.0,675.35,576.65,3191.0,884 CPT,40808,BIOPSY OF MOUTH FACILITY,,,497.95,3117.0,23 CPT,40810,REMOVAL OF GROWTH OF TISSUE OF MOUTH FACILITY,,,3061.08,13605.0,23 CPT,40812,REMOVAL OF GROWTH OF MOUTH WITH SIMPLE REPAIR FACILITY,,,1432.54,4396.0,23 CPT,40816,COMPLEX REMOVAL OF TISSUE AND MUSCLE GROWTH OF MOUTH FACILITY,,,3061.08,13605.0,23 CPT,40818,REMOVAL OF MOUTH TISSUE FOR GRAFTING,,,497.95,13605.0,23 CPT,40820,DESTRUCTION OF GROWTH OR SCAR OF MOUTH FACILITY,,,3061.08,13605.0,23 CPT,41100,BIOPSY OF FRONT 2/3 OF TONGUE FACILITY,,,497.95,3117.0,23 CPT,41100,HC BX TONGUE ANTR 2/3,2200.0,1430.0,497.95,3117.0,884 CPT,41105,BIOPSY OF BACK 1/3 OF TONGUE,,,3061.08,13605.0,23 CPT,41110,REMOVAL OF GROWTH OF TONGUE WITHOUT CLOSURE FACILITY,,,3061.08,13605.0,23 CPT,41112,REMOVAL OF GROWTH OF FRONT 2/3 OF TONGUE WITH SWITCHES FACILITY,,,3061.08,13605.0,23 CPT,41113,REMOVAL OF GROWTH OF BACK 1/3 OF TONGUE WITH SUTURING,,,3061.08,13605.0,23 CPT,41115,REMOVAL OF TISSUE CONNECTING TONGUE AND FLOOR OF MOUTH,,,1432.54,4396.0,23 CPT,41116,REMOVAL OF GROWTH OF FLOOR OF MOUTH,,,3061.08,13605.0,23 CPT,41120,REMOVAL OF LESS THAN HALF OF TONGUE,,,5465.62,13605.0,23 CPT,41250,HC RPR LAC <=2.5CM ANTR 2/3 TNG,3577.0,2325.05,412.45,3577.0,884 CPT,41252,"REPAIR OF LACERATED TONGUE OR FLOOR OF MOUTH, MORE THAN 2.6 CM FACILITY",,,4950.41,13605.0,23 CPT,41599,UNLISTED PROC TNG/FLOOR OF MOUTH,,,218.68,3045.0,23 CPT,41800,HC DRN ABSC HEMA DENTOAVEOLAR,420.0,273.0,122.84,420.0,884 CPT,41825,REMOVAL OF DENTAL BONE GROWTH,,,3061.08,13605.0,23 CPT,41899,HC UNLISTED PROC DENTOALVEOLAR,840.0,546.0,218.68,3045.0,884 CPT,41899,UNLISTED PROC DENTOALVEOLAR - FACILITY,,,218.68,3045.0,23 CPT,42100,BIOPSY OF ROOF OF MOUTH FACILITY,,,1432.54,4396.0,23 CPT,42104,REMOVAL OF GROWTH OF ROOF OF MOUTH FACILITY,,,3061.08,13605.0,23 CPT,42120,PARTIAL REMOVAL OF ROOF OF MOUTH,,,5465.62,13605.0,23 CPT,42160,DESTRUCTION OF GROWTH OR SOFT TISSUE OF ROOF OF MOUTH FACILITY,,,3061.08,13605.0,23 CPT,42330,UNCOMPLICATED REMOVAL OF SALIVA GLAND STONE FROM INSIDE MOUTH FACILITY,,,3061.08,13605.0,23 CPT,42335,COMPLICATED REMOVAL OF SALIVA GLAND STONE FROM INSIDE MOUTH,,,3061.08,13605.0,23 CPT,42400,HC BX SALIVARY GLAND NEEDLE,1584.0,1029.6,653.8,3191.0,884 CPT,42400,NEEDLE BIOPSY OF SALIVA GLAND FACILITY,,,653.8,3191.0,23 CPT,42408,REMOVAL OF SALIVARY CYST UNDER TONGUE,,,3061.08,13605.0,23 CPT,42410,"REMOVAL OF GROWTH OF SALIVA GLAND OR SALIVA GLAND, LATERAL LOBE",,,5465.62,13605.0,23 CPT,42415,REMOVAL OF GROWTH OF SALIVA GLAND WITH RELEASE OF FACIAL NERVE,,,5465.62,13605.0,23 CPT,42420,REMOVAL OF GROWTH OF SALIVA GLAND OR SALIVA GLAND WITH RELEASE OF FACIAL NERVE,,,5465.62,13605.0,23 CPT,42440,REMOVAL OF SALIVA GLAND UNDER FLOOR OF MOUTH,,,5465.62,13605.0,23 CPT,42450,REMOVAL OF SALIVA GLAND UNDER TONGUE,,,5465.62,13605.0,23 CPT,42699,UNLISTED PROC SALIV GLANDS/DUCTS,,,218.68,3045.0,23 CPT,42700,HC I&D ABSCESS PERITONSILLAR,3178.0,2065.7,129.76,3178.0,856 CPT,42800,BIOPSY OF BACK OF THROAT FACILITY,,,1432.54,4396.0,23 CPT,42804,SIMPLE BIOPSY OF GROWTH OF THROAT BEHIND NOSE FACILITY,,,3061.08,13605.0,23 CPT,42808,REMOVAL OR DESTRUCTION OF GROWTH OF THROAT,,,3061.08,13605.0,23 CPT,42810,REMOVAL OF CONGENITAL SKIN AND TISSUE CYST OF NECK,,,3061.08,13605.0,23 CPT,42815,REMOVAL OF CONGENITAL CYST OR ABNORMAL DRAINAGE TRACT OF NECK AND/OR THROAT,,,5465.62,13605.0,23 CPT,42821,REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER),,,3061.08,13605.0,23 CPT,42826,REMOVAL OF TONSILS (12 YEARS OR OLDER),,,3061.08,13605.0,23 CPT,42831,PRIMARY REMOVAL OF ADENOIDS (12 YEARS OR OLDER) PROFESSIONAL,,,3061.08,13605.0,23 CPT,42842,"EXTENSIVE REMOVAL OF TONSILS, TISSUE, MUSCLE, AND BONE",,,5465.62,13605.0,23 CPT,42870,REMOVAL OR DESTRUCTION OF GROWTH OF TONGUE LYMPH NODE,,,5465.62,13605.0,23 CPT,42890,PARTIAL REMOVAL OF THROAT,,,5465.62,13605.0,23 CPT,42975,EVALUATION OF SLEEP-DISORDERED BREATHING BY EXAMINATION OF UPPER AIRWAY USING AN ENDOSCOPE PROFESSIONAL,,,1643.33,4396.0,23 CPT,42975,HC DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX,665.0,432.25,369.08,4396.0,884 CPT,42999,UNLISTED PROC PHARYNX/ADEN/TONSL,,,3061.08,13605.0,23 CPT,43101,REMOVAL OF GROWTH OF ESOPHAGUS THROUGH CHEST OR ABDOMEN,,,9814.25,22248.0,23 CPT,43130,REMOVAL OF DEFECT IN WALL OF ESOPHAGUS THROUGH NECK,,,5465.62,13605.0,23 CPT,43180,HC ESOPHAGOSCOPY RIGID TRANSORAL,25661.0,16679.65,5465.62,24891.17,884 CPT,43191,DIAGNOSTIC EXAM OF ESOPHAGUS USING AN ENDOSCOPE,,,3061.08,13605.0,23 CPT,43192,INJECTION INTO ESOPHAGUS USING AN ENDOSCOPE,,,1771.68,5243.0,23 CPT,43195,"BALLOON DILATION OF ESOPHAGUS USING A RIGID ENDOSCOPE, LESS THAN 3.0 CM",,,3559.66,13605.0,23 CPT,43197,DIAGNOSTIC EXAM OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH NOSE FACILITY,,,837.4,3260.0,23 CPT,43197,HC ESOPHSCOPY FLEX TRANSNASAL DX,7003.0,4551.95,837.4,6792.91,884 CPT,43200,DIAGNOSTIC EXAM OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH MOUTH FACILITY,,,837.4,3191.0,23 CPT,43200,HC ESOPHSCOPY FLEX TRANSORAL DX,3255.0,2115.75,837.4,3191.0,884 CPT,43202,BIOPSY OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH MOUTH FACILITY,,,1771.68,5243.0,23 CPT,43202,HC ESOPHSCOPY FLEX TXORAL W BX,4107.0,2669.55,1771.68,5243.0,884 CPT,43210,HC EGD FLEX TRANSORAL W FUNDOPLASTY,21854.0,14205.1,9814.25,21198.38,884 CPT,43212,HC ESOPHSCOPY TXORAL STENT PLC,12225.0,7946.25,5605.1,13605.0,884 CPT,43212,PLACEMENT OF STENT IN ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,5605.1,13605.0,23 CPT,43213,HC ESOPHAGOSCOPY RETROGRADE BALN,6385.0,4150.25,1771.68,6193.45,884 CPT,43214,"BALLOON DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE, 3.0 CM OR MORE",,,1771.68,5243.0,23 CPT,43215,HC ESOPHAGOSCOPY FLEX RMVL FB,6126.0,3981.9,1771.68,5942.22,884 CPT,43217,HC ESOPHAGOSCOPY W RMVL SNARE,10518.0,6836.7,1771.68,10518.0,884 CPT,43220,"BALLOON DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE, LESS THAN 3.0 CM FACILITY",,,1771.68,5243.0,23 CPT,43220,HC ESOPHSCOPY DILATE BALN <30MM,4165.0,2707.25,1771.68,5243.0,884 CPT,43226,HC ESOPHSCOPY FLEX GUIDE WIRE DIL,4063.0,2640.95,1771.68,5243.0,884 CPT,43227,HC ESOPHAGOSCOPY W CTRL BLEED,6053.0,3934.45,1771.68,6053.0,884 CPT,43229,DESTRUCTION OF POLYP OR GROWTH OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,3559.66,13605.0,23 CPT,43229,HC ESOPHAGOSCOPY LESION W ABLT,14107.0,9169.55,3559.66,13683.79,884 CPT,43231,HC ESOPHAGOSCOPY W EUS EXAM,7901.0,5135.65,1771.68,7663.97,884 CPT,43231,ULTRASOUND EXAM OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,1771.68,5243.0,23 CPT,43232,HC ESOPHAGOSCOPY W EUS FNA/BX,13425.0,8726.25,1771.68,13156.5,884 CPT,43232,ULTRASOUND GUIDED FINE NEEDLE ASPIRATION OR BIOPSY OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,6515.97,13605.0,23 CPT,43233,"BALLOON DILATION OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE, 3.0 CM OR MORE FACILITY",,,1771.68,5243.0,23 CPT,43233,HC EGD W BALN DIL > 30MM,4207.0,2734.55,1771.68,5243.0,884 CPT,43235,"DIAGNOSTIC EXAM OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,837.4,3191.0,23 CPT,43235,HC EGD TRANSORAL DX,3548.0,2306.2,837.4,3441.56,884 CPT,43236,HC EGD W DIRECT SUBMUCOSAL INJ,3533.0,2296.45,837.4,3427.01,884 CPT,43236,"INJECTION OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,837.4,3191.0,23 CPT,43237,HC EGD W EUS LTD,4348.0,2826.2,1771.68,5243.0,884 CPT,43237,"ULTRASOUND EXAM OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE THROUGH MOUTH FACILITY",,,1771.68,5243.0,23 CPT,43238,HC EGD W EUS FNA/BX ESOPH ONLY,4268.0,2774.2,1771.68,5243.0,884 CPT,43238,ULTRASOUND GUIDED NEEDLE ASPIRATION OR BIOPSY OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,1771.68,5243.0,23 CPT,43239,"BIOPSY OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,837.4,3260.0,23 CPT,43239,HC EGD W BIOPSY SNGL/MULT,3548.0,2306.2,837.4,3441.56,885 CPT,43240,"DRAINAGE OF FLUID COLLECTION OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,5605.1,13605.0,23 CPT,43240,HC EGD W TRANSMURAL DRN,12690.0,8248.5,5605.1,13605.0,884 CPT,43241,HC EGD INTRALUMINAL TUBE/CATH INS,4207.0,2734.55,1771.68,5243.0,884 CPT,43241,"INSERTION OF TUBE OR TUBE IN ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,3559.66,5243.0,23 CPT,43242,HC EGD W EUS FNA BX,6656.0,4326.4,1771.68,6456.32,884 CPT,43242,"ULTRASOUND GUIDED NEEDLE ASPIRATION OR BIOPSY OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,1771.68,5243.0,23 CPT,43244,HC EGD BAND LIGATION VARICIES,4235.0,2752.75,1771.68,5243.0,884 CPT,43244,TYING OF DILATED VEINS OF STOMACH AND/OR ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,1771.68,5243.0,23 CPT,43245,DILATION OF STOMACH OUTLET USING A FLEXIBLE ENDOSCOPE FACILITY,,,1771.68,5243.0,23 CPT,43245,HC EGD DILATION GASTR/DUOD STRICT,4235.0,2752.75,1771.68,5243.0,884 CPT,43246,HC EGD PERC PLC GASTROTOMY TUBE,4179.0,2716.35,1771.68,5243.0,884 CPT,43246,INSERTION OF STOMACH TUBE USING A FLEXIBLE ENDOSCOPE FACILITY,,,1771.68,5243.0,23 CPT,43247,HC EGD FLEX RMVL FB,3475.0,2258.75,837.4,3370.75,884 CPT,43247,"REMOVAL OF FOREIGN BODIES OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,837.4,3191.0,23 CPT,43248,HC EGD INSERT GUIDE WIRE,3119.0,2027.35,837.4,3191.0,884 CPT,43248,INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,837.4,3191.0,23 CPT,43249,"BALLOON DILATION OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE, LESS THAN 3.0 CM FACILITY",,,1771.68,5243.0,23 CPT,43249,HC EGD BALN DILATION ESOPH <30MM,4296.0,2792.4,1771.68,5243.0,884 CPT,43250,HC EGD DX W RMVL HOT BX,7294.0,4741.1,1771.68,7075.18,884 CPT,43250,"REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE WITH ELECTRICAL CAUTERY FACILITY",,,1771.68,5243.0,23 CPT,43251,HC EGD W RMVL SNARE,4399.0,2859.35,1771.68,5243.0,884 CPT,43251,"REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE FACILITY",,,1771.68,5243.0,23 CPT,43253,HC EGD W EUS TRANSMURAL INJ,6559.0,4263.35,1771.68,6362.23,884 CPT,43253,"INJECTION OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE OR MARKER IN ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,1771.68,5243.0,23 CPT,43254,HC EGD W EMR,4179.0,2716.35,1771.68,5243.0,884 CPT,43254,"REMOVAL OF TISSUE LINING OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,1771.68,5243.0,23 CPT,43255,"CONTROL OF BLEEDING OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,1771.68,5243.0,23 CPT,43255,HC EGD CTRL BLEED ANY,4179.0,2716.35,1771.68,5243.0,884 CPT,43259,HC EGD W EUS,4207.0,2734.55,1771.68,5243.0,884 CPT,43259,"ULTRASOUND EXAM OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,1771.68,5243.0,23 CPT,43260,"DIAGNOSTIC EXAM OF GALLBLADDER AND PANCREATIC, LIVER, AND BILE DUCTS USING AN ENDOSCOPE FACILITY",,,3559.66,13605.0,23 CPT,43260,HC ERCP DX,7875.0,5118.75,3559.66,13605.0,884 CPT,43261,"BIOPSY OF GALLBLADDER, PANCREATIC, LIVER, AND BILE DUCTS USING A FLEXIBLE ENDOSCOPE FACILITY",,,3559.66,13605.0,23 CPT,43261,HC ERCP W BX,7570.0,4920.5,3559.66,13605.0,884 CPT,43262,HC ERCP SPHINC/PAPILLOT,7822.0,5084.3,3559.66,13605.0,884 CPT,43262,INCISION OF PANCREATIC OUTLET USING A FLEXIBLE ENDOSCOPE FACILITY,,,3559.66,13605.0,23 CPT,43264,HC ERCP W RMVL STONE,7988.0,5192.2,3559.66,13605.0,884 CPT,43264,REMOVAL OF STONE OR DEBRIS FROM BILE OR PANCREATIC DUCT USING A FLEXIBLE ENDOSCOPE FACILITY,,,3559.66,13605.0,23 CPT,43265,DESTRUCTION OF STONE OF BILE OR PANCREATIC DUCT USING A FLEXIBLE ENDOSCOPE FACILITY,,,5605.1,13605.0,23 CPT,43265,HC ERCP W DESTRUCT CALCULI,12077.0,7850.05,5605.1,13605.0,884 CPT,43266,HC EGD W STENT PLC,12657.0,8227.05,5605.1,13605.0,884 CPT,43266,"PLACEMENT OF STENT IN ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,5605.1,13605.0,23 CPT,43270,"DESTRUCTION OF POLYP OR GROWTH OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,1771.68,5243.0,23 CPT,43270,HC EGD W LESION ABLATION,4085.0,2655.25,1771.68,5243.0,884 CPT,43273,EXAM OF COMMON BILE AND/OR PANCREATIC DUCT USING A FLEXIBLE ENDOSCOPE FACILITY,,,3559.66,13605.0,23 CPT,43273,HC ENDOSCOPIC PANCREATOSCOPY,6429.0,4178.85,3195.21,6236.13,880 CPT,43274,HC ERCP DUCT STENT PLC W DIL,12572.0,8171.8,5605.1,13605.0,884 CPT,43274,INSERTION OF STENT INTO PANCREATIC OR BILE DUCT USING A FLEXIBLE ENDOSCOPE FACILITY,,,5605.1,13605.0,23 CPT,43275,HC ERCP W RMVL FB/STNT DUCT,8083.0,5253.95,1771.68,7840.51,884 CPT,43275,REMOVAL OF STENT FROM PANCREATIC OR BILE DUCT USING A FLEXIBLE ENDOSCOPE FACILITY,,,3559.66,13605.0,23 CPT,43276,HC ERCP STENT EXCHANGE W DIL,12572.0,8171.8,5605.1,13605.0,884 CPT,43276,REPLACEMENT OF STENT IN PANCREATIC OR BILE DUCT USING A FLEXIBLE ENDOSCOPE FACILITY,,,5605.1,13605.0,23 CPT,43277,BALLOON DILATION OF PANCREATIC OR BILE DUCT OR SPHINCTER USING A FLEXIBLE ENDOSCOPE FACILITY,,,3559.66,13605.0,23 CPT,43277,HC ERCP W TRANS BALN DIL,7699.0,5004.35,3559.66,13605.0,884 CPT,43278,DESTRUCTION OF POLYP OR GROWTH OF GALLBLADDER AND/OR BILE DUCT USING A FLEXIBLE ENDOSCOPE FACILITY,,,5605.1,13605.0,23 CPT,43278,HC ERCP ABLATION W DIL,13209.0,8585.85,3559.66,13605.0,884 CPT,43279,REPAIR OF MUSCLE AT LOWER ESOPHAGUS AND STOMACH USING AN ENDOSCOPE,,,9814.25,22248.0,23 CPT,43280,STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS USING AN ENDOSCOPE,,,9814.25,13605.0,23 CPT,43281,REPAIR OF HERNIA OF MUSCLE AT ESOPHAGUS AND STOMACH USING AN ENDOSCOPE,,,9814.25,22248.0,23 CPT,43282,REPAIR OF HERNIA OF MUSCLE AT ESOPHAGUS AND STOMACH WITH IMPLANTATION OF MESH USING AN ENDOSCOPE,,,9814.25,13605.0,23 CPT,43283,LENGTHENING OF ESOPHAGUS USING AN ENDOSCOPE,,,9814.25,22248.0,23 CPT,43284,INSERTION OF MAGNETIC BAND AROUND BASE OF ESOPHAGUS TO TIGHTEN OPENING INTO STOMACH USING AN ENDOSCOPE,,,9814.25,13605.0,23 CPT,43285,REMOVAL OF MAGNETIC BAND FROM BASE OF ESOPHAGUS USING AN ENDOSCOPE,,,5581.68,13605.0,23 CPT,43289,UNLISTED PROC LAP ESOPHAGUS,,,5581.68,13605.0,23 CPT,43290,HC EGD FLX TRNSORL DPLMNT BALLOON,6673.0,4337.45,1771.68,6472.81,884 CPT,43290,PLACEMENT OF BALLOON IN STOMACH FOR WEIGHT LOSS USING FLEXIBLE ENDOSCOPE FACILITY,,,1771.68,5243.0,23 CPT,43291,HC EGD FLX TRNSORL RMVL BALLOON,3450.0,2242.5,837.4,3450.0,884 CPT,43450,HC DIL ESOPHAGUS UNGUIDED SOUND,5189.0,3372.85,837.4,5189.0,884 CPT,43453,HC DILATION ESOPHAGUS GUIDE WIRE,6384.0,4149.6,1771.68,6192.48,884 CPT,43460,HC ESOPHAGOGASTRIC TAMPONADE,24344.0,15823.6,192.56,24344.0,884 CPT,43497,HC PERORAL ENDOSCOPIC MYOTOMY (POEM),8977.0,5835.05,4982.24,13605.0,884 CPT,43497,INCISION OF MUSCLE OF LOWER ESOPHAGUS USING AN ENDOSCOPE FACILITY,,,5605.1,13605.0,23 CPT,43499,HC ENDOSCOPIC SUTURING PROCEDURE,4187.0,2721.55,837.4,4061.39,884 CPT,43499,HC ESD ESOPHAGUS,7544.0,4903.6,837.4,7317.68,884 CPT,43499,HC ZENKER'S PERORAL ENDOSCOPIC MYOTOMY (Z-POEM),8977.0,5835.05,837.4,8707.69,884 CPT,43499,UNLISTED PROCEDURE ESOPHAGUS - FACILITY,,,837.4,3191.0,23 CPT,43644,BYPASS OF STOMACH USING AN ENDOSCOPE,,,1728.79,22248.0,23 CPT,43651,INCISION OF VAGUS NERVE IN STOMACH USING AN ENDOSCOPE,,,9814.25,13605.0,23 CPT,43653,CREATION OF SURGICAL OPENING FROM STOMACH TO SKIN USING AN ENDOSCOPE,,,5581.68,13605.0,23 CPT,43659,UNLISTED PROCEDURE LAP STOMACH,,,5581.68,13605.0,23 CPT,43752,HC PLC TUBE NASAL/OROGAST W FLUOR,892.5,580.125,412.45,3117.0,2652 CPT,43752,INSERTION OF STOMACH TUBE THROUGH NOSE OR MOUTH USING FLUOROSCOPIC GUIDANCE FACILITY,,,412.45,3117.0,23 CPT,43753,HC INTUB&ASP/LAVAGE GASTRIC THER,3162.0,2055.3,199.36,3162.0,884 CPT,43761,HC REPOSITION GASTROSTOMY TUBE,674.0,438.1,230.68,3045.0,1768 CPT,43761,REPOSITIONING OF ORAL OR NASAL FEEDING TUBE IN SMALL BOWEL FACILITY,,,230.68,3045.0,23 CPT,43762,HC RPLC GTUBE WO REVISION OF GASTRO TRACT W/O IMAG,1203.0,781.95,230.68,3715.18,2652 CPT,43762,REPLACEMENT OF STOMACH STOMA TUBE FACILITY,,,230.68,3045.0,23 CPT,43772,REMOVAL OF STOMACH REDUCTION DEVICE USING AN ENDOSCOPE,,,3559.66,13605.0,23 CPT,43774,REMOVAL OF STOMACH REDUCTION DEVICE AND PORT USING AN ENDOSCOPE,,,5581.68,13605.0,23 CPT,43775,PARTIAL REMOVAL OF STOMACH FOR WEIGHT LOSS USING AN ENDOSCOPE,,,1081.33,22248.0,23 CPT,43887,REMOVAL OF PORT FOR SALINE INJECTION INTO STOMACH BANDING DEVICE,,,1904.97,5243.0,23 CPT,43889,HC GSTR RSTCV PX TRNSORL ESG,1872.0,1216.8,1038.96,11286.38,884 CPT,43999,HC ENDO PGM,462.0,300.3,256.41,3191.0,884 CPT,43999,HC ESD STOMACH,5015.0,3259.75,837.4,4864.55,884 CPT,43999,HC EUS GUIDED GASTROJEJUNOSTOMY,9408.0,6115.2,837.4,9125.76,884 CPT,43999,HC GASTRIC PERORAL ENDOSCOPIC MYOTOMY (G-POEM),8977.0,5835.05,837.4,8707.69,884 CPT,43999,HC TORE PROCEDURE,4026.0,2616.9,837.4,11286.38,884 CPT,43999,UNLISTED PROCEDURE STOMACH - FACILITY,,,837.4,3191.0,20 CPT,44015,INSERTION OF FEEDING TUBE OR TUBE INTO UPPER SMALL BOWEL,,,5581.68,22248.0,23 CPT,44140,PARTIAL REMOVAL OF LARGE BOWEL WITH CONNECTION,,,1326.22,22248.0,23 CPT,44180,RELEASE OF SMALL BOWEL SCAR TISSUE USING AN ENDOSCOPE,,,5581.68,13605.0,23 CPT,44186,CREATION OF OPENING FROM SMALL BOWEL TO SKIN WITH INSERTION OF A TUBE FOR DECOMPRESSION OR FEEDING USING AN ENDOSCOPE,,,5581.68,13605.0,23 CPT,44202,PARTIAL REMOVAL AND RECONNECTION OF SMALL BOWEL USING AN ENDOSCOPE,,,1367.88,22248.0,23 CPT,44204,PARTIAL REMOVAL OF LARGE BOWEL USING AN ENDOSCOPE,,,1493.92,22248.0,23 CPT,44238,UNLISTED PROC LAP INTESTINE,,,5581.68,13605.0,23 CPT,44314,RECONSTRUCTION OF OPENING FROM SMALL BOWEL TO SKIN,,,3271.83,22248.0,23 CPT,44340,SIMPLE REVISION OF SUPERFICIAL SCAR TISSUE FROM SURGICALLY CREATED OPENING OF LARGE BOWEL TO SKIN,,,3271.83,13605.0,23 CPT,44360,DIAGNOSTIC EXAM OF SMALL BOWEL (EXCLUDING LOWER SMALL INTESTINE) USING AN ENDOSCOPE FACILITY,,,1771.68,5243.0,23 CPT,44360,HC ENDO UPPER SM INTESTINE,4107.0,2669.55,1771.68,5243.0,884 CPT,44361,BIOPSY OF SMALL BOWEL (EXCEPT ILEUM) USING AN ENDOSCOPE FACILITY,,,1771.68,5243.0,23 CPT,44361,HC ENDO SM INTESTINE W BX,4179.0,2716.35,1771.68,5243.0,884 CPT,44363,HC ENDO SM INTESTINE W RMVL FB,8051.0,5233.15,1771.68,7809.47,884 CPT,44363,REMOVAL OF FOREIGN BODIES FROM SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,1771.68,5243.0,23 CPT,44364,HC ENTEROSCOPY RMVL POLYP SNARE,4207.0,2734.55,1771.68,5243.0,884 CPT,44364,REMOVAL OF SMALL BOWEL POLYPS OR GROWTHS USING AN ENDOSCOPE FACILITY,,,1771.68,5243.0,23 CPT,44366,CONTROL OF BLEEDING OF FIRST OR SECOND PART OF SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,1771.68,5243.0,23 CPT,44366,HC ENDO SM INTESTINE W CTRL BLEED,3931.0,2555.15,1771.68,5243.0,884 CPT,44369,DESTRUCTION OF POLYP OR GROWTH OF SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,1771.68,5243.0,23 CPT,44369,HC ENDO SM INTESTINE W ABLATION,4100.0,2665.0,1771.68,5243.0,884 CPT,44370,HC ENDO SM INTESTINE W STENT PLC,16491.0,10719.15,5605.1,16491.0,884 CPT,44372,HC ENDO SM INTSTN W PLC TUBE PERC,7593.0,4935.45,1771.68,7365.21,884 CPT,44373,HC ENDO SM INTSTN W G-J TUBE,19216.0,12490.4,1771.68,18639.52,884 CPT,44376,DIAGNOSTIC EXAM OF SMALL BOWEL (INCLUDING LOWER SMALL INTESTINE) USING AN ENDOSCOPE FACILITY,,,1771.68,5243.0,23 CPT,44376,HC ENTEROSCOPY W ILEUM W/WO BX,4134.0,2687.1,1771.68,5243.0,884 CPT,44377,BIOPSY OF SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,1771.68,5243.0,23 CPT,44377,HC ENDO SM INTESTINE W ILIUM BX,4256.0,2766.4,1771.68,5243.0,884 CPT,44378,CONTROL OF BLEEDING OF SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,1771.68,5243.0,23 CPT,44378,HC ENDO SM INTSTN W ILIUM CTRL,3931.0,2555.15,1771.68,5243.0,884 CPT,44380,DIAGNOSTIC EXAM OF SMALL BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM SMALL BOWEL TO SKIN FACILITY,,,837.4,3191.0,23 CPT,44380,HC ILEOSCOPY STOMA DX,4079.0,2651.35,837.4,3956.63,884 CPT,44381,BALLOON DILATION OF SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,1771.68,5243.0,23 CPT,44381,HC ILEOSCOPY STOMA W BALN DIL,8332.0,5415.8,1771.68,8082.04,884 CPT,44382,BIOPSY OF SMALL BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LOWER SMALL BOWEL TO SKIN FACILITY,,,837.4,3191.0,23 CPT,44382,HC ILEOSCOPY STOMA W BX SNGL/MULT,3815.0,2479.75,837.4,3700.55,884 CPT,44385,DIAGNOSTIC EXAM OF SURGICALLY CREATED POUCH OF SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,858.61,3191.0,23 CPT,44385,HC ENDO EVAL SM INTST POUCH DX,3643.0,2367.95,858.61,3533.71,884 CPT,44386,BIOPSY OF SMALL BOWEL POUCH USING AN ENDOSCOPE FACILITY,,,858.61,3191.0,23 CPT,44386,HC ENDO EVAL SM INTST POUCH BX,3625.0,2356.25,858.61,3516.25,885 CPT,44388,DIAGNOSTIC EXAM OF LARGE BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LARGE BOWEL TO SKIN FACILITY,,,858.61,3191.0,23 CPT,44388,HC COLONOSCOPY STOMA DX,3422.0,2224.3,858.61,3319.34,884 CPT,44389,BIOPSY OF LARGE BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LARGE BOWEL TO SKIN FACILITY,,,1104.83,3260.0,23 CPT,44389,HC COLONOSCOPY STOMA BX SNGL/MULT,3340.0,2171.0,1104.83,3260.0,884 CPT,44391,HC COLONOSCOPY STOMA W CTRL BLEED,9132.0,5935.8,1104.83,9132.0,884 CPT,44394,HC COLONOSCOPY W RMVL LESN SNARE,3527.0,2292.55,1104.83,3421.19,884 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,,,1104.83,3260.0,23 CPT,44401,HC COLONOSCOPY STOMA ABLATION,4076.0,2649.4,1104.83,4076.0,884 CPT,44403,HC COLONOSCOPY STOMA EMR,3778.0,2455.7,1104.83,3664.66,884 CPT,44403,REMOVAL OF LINING OF LARGE BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LARGE BOWEL TO SKIN FACILITY,,,1104.83,3260.0,23 CPT,44404,HC COLONOSCOPY STOMA INJ SUBMUC,6709.0,4360.85,1104.83,6507.73,884 CPT,44405,BALLOON DILATION OF LARGE BOWEL USING AN ENDOSCOPE FACILITY,,,1104.83,3260.0,23 CPT,44405,HC COLONOSCOPY STOMA W BAL DIL,4546.0,2954.9,1104.83,4409.62,884 CPT,44406,HC COLONOSCOPY W US EXAM,6983.0,4538.95,1104.83,6773.51,884 CPT,44406,ULTRASOUND EXAM OF LARGE BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LARGE BOWEL TO SKIN FACILITY,,,2562.69,5316.0,23 CPT,44407,FINE NEEDLE ASPIRATION AND/OR BIOPSY OF LARGE BOWEL WITH ULTRASOUND GUIDANCE USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LARGE BOWEL TO SKIN FACILITY,,,1104.83,3260.0,23 CPT,44407,HC COLONOSCOPY STOMA W US NDL BX,7412.0,4817.8,1104.83,7189.64,884 CPT,44500,DILATION OF STOMACH AND/OR SMALL BOWEL USING LONG GASTROINTESTINAL TUBE FACILITY,,,837.4,3191.0,23 CPT,44500,HC INTRO GI TUBE LONG,2079.0,1351.35,837.4,3191.0,884 CPT,44620,CLOSURE OF SURGICALLY CREATED LARGE OR SMALL BOWEL OPENING,,,844.8,22248.0,23 CPT,44625,CLOSURE OF SURGICALLY CREATED LARGE OR SMALL BOWEL OPENING WITH BOWEL REMOVAL AND REATTACHMENT,,,980.82,22248.0,23 CPT,44705,ASSESSMENT AND OVERSEEING PREPARATION OF DONOR FECAL SPECIMEN FACILITY,,,858.61,3191.0,23 CPT,44705,HC PREPARE FECAL MICROBIOTA,1349.0,876.85,748.7,6376.0,883 CPT,44799,HC DIVERTICULUM PERORAL ENDOSCOPIC MYOTOMY (D-POEM),7254.0,4715.1,837.4,7036.38,884 CPT,44799,HC LOWER DBL BALLOON,4256.0,2766.4,837.4,4128.32,884 CPT,44799,HC LOWER DBL BALLOON W/ BIOPSY,4134.0,2687.1,837.4,4009.98,884 CPT,44799,UNLISTED PROC SMALL INTESTINE - FACILITY,,,837.4,3191.0,23 CPT,44970,REMOVAL OF APPENDIX USING AN ENDOSCOPE PROFESSIONAL,,,5581.68,13605.0,23 CPT,44979,UNLISTED PROC LAP APPENDIX,,,5581.68,13605.0,23 CPT,45100,BIOPSY OF ANAL AND/OR RECTAL WALL THROUGH ANUS PROFESSIONAL,,,2562.69,5316.0,23 CPT,45171,REMOVAL OF GROWTH OF RECTUM THROUGH ANUS,,,2562.69,5316.0,23 CPT,45172,REMOVAL OF GROWTH OF RECTUM THROUGH ANUS WITH REMOVAL OF A PORTION OF MUSCLE,,,2562.69,5316.0,23 CPT,45303,DILATION OF RECTUM AND/OR LOWER LARGE BOWEL USING AN ENDOSCOPE FACILITY,,,1104.83,3260.0,23 CPT,45303,HC PROCTOSIGMOID RIGID W DIL,14176.0,9214.4,1104.83,13750.72,884 CPT,45330,DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,858.61,3191.0,23 CPT,45330,HC SIGMOIDOSCOPY FLEXIBLE DX,2174.0,1413.1,858.61,3191.0,884 CPT,45331,BIOPSY OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,858.61,3191.0,23 CPT,45331,HC SIGMOIDOSCOPY FLEXIBLE W BX,2179.0,1416.35,858.61,3191.0,884 CPT,45332,HC SIGMOID FLEX W RMVL FB,6759.0,4393.35,1104.83,6556.23,884 CPT,45332,SIGMOIDOSCOPY FLEXIBLE WITH REMOVAL OF FOREIGN BODY FACILITY,,,1104.83,3260.0,23 CPT,45334,CONTROL OF BLEEDING OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,1104.83,3260.0,23 CPT,45334,HC SIGMOID FLEX W CTRL BLEED,3226.0,2096.9,1104.83,3260.0,884 CPT,45335,HC SIGMOID FLEX W SUBMUCOSAL INJ,5151.0,3348.15,858.61,4996.47,884 CPT,45335,INJECTION BENEATH LINING OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,858.61,3260.0,23 CPT,45337,HC SIGMOID FLEX W DECOMPRESSION,1934.0,1257.1,858.61,3191.0,884 CPT,45338,HC SIGMOID FLEX W RMVL TMR SNARE,3513.0,2283.45,1104.83,3407.61,884 CPT,45338,REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE FACILITY,,,1771.68,5243.0,23 CPT,45340,BALLOON DILATION OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,1104.83,3260.0,23 CPT,45340,HC SIGMOID FLEX W DIL BALN,3335.0,2167.75,1104.83,3260.0,884 CPT,45341,HC SIGMOID FLEX W EUS EXAM,3367.0,2188.55,858.61,3265.99,884 CPT,45341,ULTRASOUND EXAM OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,858.61,3191.0,23 CPT,45342,FINE NEEDLE ASPIRATION AND/OR BIOPSY OF LOWER LARGE BOWEL WITH ULTRASOUND GUIDANCE USING A FLEXIBLE ENDOSCOPE FACILITY,,,1104.83,3260.0,23 CPT,45342,HC SIGMOID FLEX W EUS FNA/BX,2943.0,1912.95,1104.83,3260.0,884 CPT,45346,DESTRUCTION OF POLYP OR GROWTH OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,1771.68,5243.0,23 CPT,45346,HC SIGMOIDOSCOPY W ABLATION,7081.0,4602.65,1104.83,6868.57,884 CPT,45347,HC SIGMOIDOSCOPY W PLCMT STENT,12391.0,8054.15,5605.1,13605.0,884 CPT,45347,INSERTION OF STENT INTO LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,5605.1,13605.0,23 CPT,45349,HC SIGMOID FLEX EMR,6206.0,4033.9,2562.69,6019.82,884 CPT,45349,REMOVAL OF LOWER PORTION OF LARGE BOWEL TISSUE USING A FLEXIBLE ENDOSCOPE FACILITY,,,2562.69,5316.0,23 CPT,45350,HC SIGMOID FLEX W BAND LIG,8031.0,5220.15,1104.83,8031.0,884 CPT,45378,DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,858.61,3191.0,23 CPT,45378,HC COLONOSCOPY DIAGNOSTIC,3332.0,2165.8,858.61,3232.04,885 CPT,45379,HC COLONOSCOPY W RMVL FB,3610.0,2346.5,1104.83,3501.7,884 CPT,45379,REMOVAL OF FOREIGN BODIES IN LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,1104.83,3260.0,23 CPT,45380,BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,1104.83,3260.0,23 CPT,45380,HC COLONOSCOPY W BIOPSY,3582.0,2328.3,1104.83,3474.54,885 CPT,45381,HC COLONOSCOPY W SUBMUC INJ,3374.0,2193.1,1104.83,3272.78,884 CPT,45381,INJECTION BENEATH LINING OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,1104.83,3260.0,23 CPT,45382,CONTROL OF BLEEDING OF UPPER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,1104.83,3260.0,23 CPT,45382,HC COLONOSCOPY W CTRL BLEED,3276.0,2129.4,1104.83,3260.0,884 CPT,45384,HC COLONOSCOPY W RMVL TMR HOT BX,3044.0,1978.6,1104.83,3260.0,884 CPT,45384,REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE WITH ELECTRICAL CAUTERY FACILITY,,,1104.83,3260.0,23 CPT,45385,HC COLONOSCOPY W RMVL SNARE,3522.0,2289.3,1104.83,3416.34,884 CPT,45385,REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE FACILITY,,,1104.83,3260.0,23 CPT,45386,BALLOON DILATION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,1104.83,3260.0,23 CPT,45386,HC COLONOSCOPY W BALN DIL,3668.0,2384.2,1104.83,3557.96,884 CPT,45388,DESTRUCTION OF POLYP OR GROWTH OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY-EXPRESS CARE,,,1771.68,5243.0,23 CPT,45388,HC COLONOSCOPY W TMR ABLATE,3178.0,2065.7,1104.83,3260.0,884 CPT,45389,HC COLONOSCOPY FLEX STENT PLC,21921.0,14248.65,5605.1,21482.58,884 CPT,45389,INSERTION OF STENT IN LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,5605.1,13605.0,23 CPT,45390,HC COLONOSCOPY W EMR,6045.0,3929.25,2562.69,5863.65,884 CPT,45390,REMOVAL OF LARGE BOWEL TISSUE USING A FLEXIBLE ENDOSCOPE FACILITY,,,2562.69,5316.0,23 CPT,45391,HC COLONOSCOPY W EUS EXAM,3232.0,2100.8,1104.83,3260.0,884 CPT,45391,ULTRASOUND EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,1104.83,3260.0,23 CPT,45392,FINE NEEDLE ASPIRATION AND/OR BIOPSY OF LARGE BOWEL WITH ULTRASOUND GUIDANCE USING A FLEXIBLE ENDOSCOPE FACILITY,,,1104.83,3260.0,23 CPT,45392,HC COLONOSCOPY W TRANS EUS FNA/BX,3686.0,2395.9,1104.83,3612.28,884 CPT,45393,HC COLONOSCOPY W DECOMPRESSION,2883.0,1873.95,1104.83,3260.0,884 CPT,45398,HC COLONOSCOPY W BAND LIG,2777.0,1805.05,1104.83,3260.0,884 CPT,45399,HC CHROMOENDOSCOPY COLON,3374.0,2193.1,858.61,3272.78,884 CPT,45399,HC ESD COLON,6045.0,3929.25,858.61,5863.65,884 CPT,45399,UNLISTED PROCEDURE COLON - FACILITY,,,858.61,3260.0,23 CPT,45400,REPAIR OF RECTAL PROLAPSE USING AN ENDOSCOPE,,,1930.0,22248.0,23 CPT,45499,UNLISTED PROCEDURE LAP RECTUM,,,5581.68,13605.0,23 CPT,45560,REPAIR OF BULGING OF RECTUM INTO VAGINA,,,9814.25,13605.0,23 CPT,45905,DILATION OF SPHINCTER OF ANUS UNDER ANESTHESIA,,,1104.83,3260.0,23 CPT,45915,REMOVAL OF IMPACTED STOOL OR FOREIGN BODY IN RECTUM UNDER ANESTHESIA PROFESSIONAL,,,1104.83,3260.0,23 CPT,45990,DIAGNOSTIC EXAM OF ANUS AND RECTUM UNDER ANESTHESIA FACILITY,,,2562.69,5316.0,23 CPT,45999,HC ESD RECTUM,6607.0,4294.55,858.61,6474.86,884 CPT,46020,INSERTION OF DRAIN (SETON) INTO ANUS,,,2562.69,5316.0,23 CPT,46030,REMOVAL OF DRAIN (SETON) FROM ANUS,,,2562.69,5316.0,23 CPT,46040,DRAINAGE OF DEEP ABSCESS IN RECTUM FACILITY,,,1104.83,3260.0,23 CPT,46040,HC I&D RECTAL ABSCESS,2563.0,1665.95,445.37,3260.0,856 CPT,46045,INCISION AND DRAINAGE OF ABSCESS WITHIN WALL OF RECTUM UNDER ANESTHESIA,,,2562.69,5316.0,23 CPT,46050,DRAINAGE OF SUPERFICIAL RECTAL ABSCESS SURROUNDING ANUS FACILITY,,,2562.69,5316.0,23 CPT,46050,HC I&D PERIANAL ABSCESS SUPFCL,2021.0,1313.65,858.61,3191.0,884 CPT,46080,INCISION OF SPHINCTER OF ANUS,,,2562.69,5316.0,23 CPT,46083,HC INCISN THROMB HEMM EXTRNL,3493.0,2270.45,230.68,3493.0,884 CPT,46200,REMOVAL OF CHRONIC TEAR OF ANUS,,,2562.69,5316.0,23 CPT,46220,REMOVAL OF SINGLE EXTERNAL NONCANCER GROWTH OF ANUS FACILITY,,,1104.83,3260.0,23 CPT,46221,HC LIGATION OF HEMORRHOID(S),4536.0,2948.4,858.61,4445.28,884 CPT,46221,REMOVAL OF EXTERNAL HEMORRHOIDS BY RUBBER BANDING FACILITY,,,858.61,3191.0,23 CPT,46230,REMOVAL OF MULTIPLE EXTERNAL NONCANCER GROWTHS OF ANUS FACILITY,,,2562.69,5316.0,23 CPT,46250,REMOVAL OF MULTIPLE EXTERNAL HEMORRHOIDS,,,2562.69,5316.0,23 CPT,46255,REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP PROFESSIONAL,,,2562.69,5316.0,23 CPT,46258,REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP WITH REMOVAL OF ABNORMAL DRAINAGE TRACT IN ANUS,,,2562.69,5316.0,23 CPT,46260,REMOVAL OF MULTIPLE HEMORRHOID GROUPS PROFESSIONAL,,,2562.69,5316.0,23 CPT,46270,REPAIR OF ABNORMAL ANAL DRAINAGE TRACT PROFESSIONAL,,,2562.69,5316.0,23 CPT,46275,REPAIR OF ABNORMAL DRAINAGE TRACT IN ANAL SPHINCTER,,,2562.69,5316.0,23 CPT,46280,REPAIR OF ABNORMAL DRAINAGE TRACT AROUND ANAL SPHINCTER,,,2562.69,5316.0,23 CPT,46288,REPAIR OF ABNORMAL ANAL DRAINAGE TRACT WITH RECTAL TISSUE FLAP,,,2562.69,5316.0,23 CPT,46320,REMOVAL OF EXTERNAL HEMORRHOID WITH BLOOD CLOT FACILITY,,,1104.83,3260.0,23 CPT,46505,INJECTION OF AGENT TO DESTROY NERVE TO INTERNAL SPHINCTER OF ANUS FACILITY,,,1104.83,3260.0,23 CPT,46600,HC ANOSCOPY DIAGNOSTIC,697.0,453.05,122.84,697.0,884 CPT,46606,BIOPSY OF ANUS USING AN ENDOSCOPE FACILITY,,,1104.83,3260.0,23 CPT,46606,HC ANOSCOPY W BX SINGLE/MULTIPLE,4076.0,2649.4,1104.83,3953.72,884 CPT,46607,HC ANOSCOPY DX W HRA & CHEM W BX,8031.0,5220.15,1104.83,7870.38,884 CPT,46612,REMOVAL OF MULTIPLE ANAL POLYPS OR GROWTHS USING AN ENDOSCOPE WITH ELECTRICAL CAUTERY OR MECHANICAL SNARE,,,2562.69,5316.0,23 CPT,46750,"REPAIR OF ANAL MUSCLE FOR INCONTINENCE OR PROLAPSE, ADULT",,,9814.25,13605.0,23 CPT,46910,HC DEST LESN ANUS SMPL ELECTRO,13914.0,9044.1,1904.97,13914.0,884 CPT,46910,SIMPLE DESTRUCTION OF GROWTH OF ANUS,,,1904.97,5243.0,23 CPT,46922,SIMPLE REMOVAL OF GROWTH OF ANUS PROFESSIONAL,,,2562.69,5316.0,23 CPT,46924,EXTENSIVE DESTRUCTION OF GROWTH OF ANUS,,,2562.69,5316.0,23 CPT,46930,DESTRUCTION OF INTERNAL HEMORRHOIDS USING HEAT,,,2562.69,5316.0,23 CPT,46948,TYING OF ARTERIES TO MULTIPLE INTERNAL HEMORRHOID GROUPS,,,2562.69,5316.0,23 CPT,46999,UNLISTED PROCEDURE ANUS - PROFESSIONAL,,,2562.69,5316.0,23 CPT,47000,HC BX NDL LIVER PERC,3674.0,2388.1,1524.88,4396.0,884 CPT,47000,NEEDLE BIOPSY OF LIVER THROUGH SKIN FACILITY,,,1524.88,4396.0,23 CPT,47001,NEEDLE BIOPSY OF LIVER,,,9814.25,13605.0,23 CPT,47379,UNLISTED PROCEDURE LAP LIVER,,,5581.68,13605.0,23 CPT,47380,HC ABLT OPN LIVER TMR RF,24542.0,15952.3,1427.5,23805.74,884 CPT,47382,DESTRUCTION OF GROWTH OF LIVER THROUGH SKIN USING RADIOFREQUENCY FACILITY,,,5581.68,13605.0,23 CPT,47382,HC ABLT >=1 LVR TMR PERC RADIOFREQ,13569.0,8819.85,5581.68,13605.0,884 CPT,47383,DESTRUCTION OF GROWTH OF LIVER THROUGH SKIN USING FREEZING FACILITY,,,9814.25,13605.0,23 CPT,47383,HC ABLT PERC LIVER TMR CRYOABLAT,13252.0,8613.8,7354.86,13605.0,884 CPT,47399,HC CHEMOSATURATION OF LIVER,12587.0,8181.55,653.8,12209.39,884 CPT,47490,HC CHOLECYSTOSTOMY PERC W CATH PLC,8431.0,5480.15,3305.69,13605.0,884 CPT,47490,INSERTION OF TUBE INTO GALLBLADDER USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,3305.69,13605.0,23 CPT,47531,HC INJ CHOLANGIO PERC EXIST ACCESS,8391.0,5454.15,3305.69,13605.0,884 CPT,47531,INJECTION OF BILE DUCT FOR X-RAY THROUGH ALREADY EXISTING SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,3305.69,13605.0,22 CPT,47531,INJECTION OF BILE DUCT FOR X-RAY THROUGH ALREADY EXISTING SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY-EXPRESS CARE,,,12244.0,12244.0,1 CPT,47533,HC PLC BILIARY DRN CATH EXTRNL,8162.0,5305.3,3305.69,13605.0,884 CPT,47533,PLACEMENT OF EXTERNAL DRAINAGE TUBE OF BILIARY DUCT USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,3305.69,13605.0,23 CPT,47534,HC PLC BILIARY DRN CATH INTRNL-EXTRNL,8350.0,5427.5,3305.69,13605.0,884 CPT,47534,PLACEMENT OF INTERNAL-EXTERNAL DRAINAGE TUBE OF BILIARY DUCT USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,3305.69,13605.0,23 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,,,5581.68,13605.0,23 CPT,47535,HC CONV EXT BIL DRN CATH INTRNL-EXTRNL,8576.0,5574.4,3305.69,13605.0,884 CPT,47536,HC EXCHG BIL DRN CATH PERC W IMG,8440.0,5486.0,3305.69,13605.0,884 CPT,47536,REPLACEMENT OF LIVER DUCT DRAINAGE TUBE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,3305.69,13605.0,23 CPT,47537,HC RMVL BIL DRN CATH W FLURO,2100.0,1365.0,837.4,3191.0,884 CPT,47537,REMOVAL OF BILIARY DRAINAGE TUBE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,837.4,3191.0,23 CPT,47538,HC PLC STNT BILE DUCT PERC EXIST,13024.0,8465.6,5581.68,13605.0,884 CPT,47538,PLACEMENT OF STENT OF BILIARY DUCT THROUGH EXISTING SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,5581.68,13605.0,23 CPT,47539,HC PLC STNT BILE DUCT PERC NEW WO CATH,12493.0,8120.45,5581.68,13605.0,884 CPT,47539,PLACEMENT OF STENT OF BILIARY DUCT THROUGH NEW SKIN ACCESS USING IMAGING WITH REVIEW BY RADIOLOGIST FACILITY,,,5581.68,13605.0,23 CPT,47540,HC PLC STNT BILE DUCT PERC NEW W CATH,12675.0,8238.75,5581.68,13605.0,884 CPT,47540,PLACEMENT OF STENT AND DRAINAGE TUBE OF BILIARY DUCT USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,5581.68,13605.0,23 CPT,47541,HC PLC ACCESS BIL TREE SM BOWEL NEW,17125.0,11131.25,5977.11,16611.25,884 CPT,47541,PLACEMENT OF ACCESS DEVICE INTO BILIARY TRACT USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,5977.11,13605.0,23 CPT,47542,BALLOON DILATION OF BILE DUCT USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,3305.69,13605.0,23 CPT,47542,HC BLN DILAT BIL DUCT PERC EA,3743.0,2432.95,2077.37,6376.0,880 CPT,47543,BIOPSY OF BILE DUCT OR LIVER DUCT USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,3305.69,13605.0,23 CPT,47543,HC ENDOLUMINAL BX BIL TREE PERC,3683.0,2393.95,2044.07,6376.0,880 CPT,47544,HC RMVL BIL DUCT &/ GALBLDR CALC,3886.0,2525.9,2156.73,6376.0,880 CPT,47544,REMOVAL OF BILIARY DUCT OR GALLBLADDER STONE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,5605.1,13605.0,23 CPT,47562,REMOVAL OF GALLBLADDER USING AN ENDOSCOPE PROFESSIONAL,,,5581.68,13605.0,23 CPT,47563,REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE PROFESSIONAL,,,5581.68,13605.0,23 CPT,47564,REMOVAL OF GALLBLADDER WITH EXPLORATION OF COMMON BILE DUCT USING AN ENDOSCOPE,,,9814.25,13605.0,23 CPT,47600,REMOVAL OF GALLBLADDER,,,5137.54,22248.0,23 CPT,47999,HC CHROMENDOSCOPY BILIARY TRACT,3374.0,2193.1,837.4,3272.78,884 CPT,47999,HC MARS DAILY TREATMENT,5163.0,3355.95,837.4,5008.11,884 CPT,47999,UNLISTED PROC BILIARY TRACT - FACILITY,,,5605.1,13605.0,23 CPT,48102,HC BIOPSY PANCREAS PERC NEEDLE,3491.0,2269.15,1524.88,4396.0,884 CPT,48140,PARTIAL REMOVAL OF PANCREAS,,,1547.89,22248.0,23 CPT,48155,REMOVAL OF PANCREAS,,,1811.54,22248.0,23 CPT,48999,ENDO PANCREATIC NECROSECTOMY - FACILITY,,,653.8,3191.0,23 CPT,48999,HC ENDO PANCREATIC NECROSECTOMY,4190.0,2723.5,653.8,4064.3,884 CPT,48999,HC EUS RADIO FREQUENCY ABLATION,13569.0,8819.85,653.8,13161.93,884 CPT,48999,HC PANC LITHOTRIPSY SHOCK WAVE,5174.0,3363.1,653.8,5018.78,884 CPT,49002,REOPENING OF RECENT ABDOMINAL INCISION,,,1034.71,22248.0,23 CPT,49020,HC DRN PERITON ABSC OPN,23082.0,15003.3,1576.58,23082.0,884 CPT,49082,DRAINAGE OF FLUID FROM ABDOMINAL CAVITY FACILITY,,,837.4,3191.0,23 CPT,49082,HC PARACENTESIS ABD WO IMG,2073.0,1347.45,837.4,3191.0,1768 CPT,49083,DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE FACILITY,,,837.4,3191.0,23 CPT,49083,HC PARACENTESIS ABD W IMG,2139.5,1390.675,837.4,3191.0,1768 CPT,49180,HC BX ABD/RETROPERITNL MASS PERC,3694.0,2401.1,1524.88,4396.0,884 CPT,49180,NEEDLE BIOPSY OF GROWTH OF ABDOMINAL CAVITY FACILITY,,,1524.88,4396.0,23 CPT,49185,HC SCLEROTHERAPY FLUID COLLECT PERC,3640.0,2366.0,1524.88,4396.0,884 CPT,49185,INJECTION OF CHEMICAL AGENT INTO FLUID COLLECTION USING IMAGING GUIDANCE FACILITY,,,1524.88,4396.0,23 CPT,49203,"REMOVAL OR DESTRUCTION OF CYSTS OR GROWTHS OF ABDOMINAL CAVITY, 5.0 CM OR LESS",,,2681.85,8220.0,23 CPT,49215,REMOVAL OF GROWTH OF PELVIS OR SACRUM,,,2117.03,22248.0,23 CPT,49250,REMOVAL OF NAVEL AND SURROUNDING TISSUE,,,6130.69,13605.0,23 CPT,49320,DIAGNOSTIC EXAM OF ABDOMEN USING AN ENDOSCOPE,,,5581.68,13605.0,23 CPT,49321,BIOPSY OF ABDOMEN USING AN ENDOSCOPE,,,5581.68,13605.0,23 CPT,49322,ASPIRATION OF ABDOMINAL CAVITY OR CYST USING AN ENDOSCOPE,,,9814.25,13605.0,23 CPT,49324,INSERTION OF ABDOMINAL CAVITY TUBE USING AN ENDOSCOPE,,,5581.68,13605.0,23 CPT,49325,REVISION OF ABDOMINAL CAVITY TUBE USING AN ENDOSCOPE,,,5581.68,13605.0,23 CPT,49326,SUTURE OF INTERNAL ABDOMINAL LINING USING AN ENDOSCOPE,,,5581.68,13605.0,23 CPT,49329,LAP REMOVAL IUD PROFESSIONAL,,,5581.68,13605.0,23 CPT,49405,DRAINAGE OF FLUID COLLECTION BY TUBE THROUGH SKIN USING IMAGING GUIDANCE FACILITY,,,1524.88,4396.0,23 CPT,49405,HC DRN VISC FLUID CATH PERC W IMG,3448.0,2241.2,1524.88,4396.0,884 CPT,49406,DRAINAGE OF FLUID COLLECTION OF ABDOMINAL CAVITY BY TUBE USING IMAGING GUIDANCE FACILITY,,,1524.88,4396.0,23 CPT,49406,HC DRN PERITNM FLUID CATH W IMG,3719.0,2417.35,1524.88,4396.0,884 CPT,49407,HC DRN TRANSREC/VAG FL CATH W IMG,3747.0,2435.55,1524.88,4396.0,884 CPT,49411,HC INS INTERS DEV RAD THPY PERC INTRA-ABD,3164.0,2056.6,1277.93,4396.0,884 CPT,49418,HC INS INTRAPERITONEAL CATH W IMG,8407.0,5464.55,3305.69,13605.0,884 CPT,49418,INSERTION OF ABDOMINAL TUBE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,3305.69,13605.0,23 CPT,49422,HC RMVL TUNL INTRAPERITONEAL CATH,7227.0,4697.55,2915.22,8220.0,884 CPT,49422,REMOVAL OF ABDOMINAL CAVITY TUBE FACILITY,,,2915.22,8220.0,23 CPT,49423,EXCHANGE OF ABDOMINAL CAVITY DRAINAGE TUBE USING IMAGING GUIDANCE FACILITY,,,1771.68,5243.0,23 CPT,49423,HC EXCHNG DRN CATH RAD GUIDANCE,4425.0,2876.25,1771.68,5243.0,884 CPT,49424,HC INJ CNTRST EVAL ABSC/CYST,998.0,648.7,553.89,6376.0,880 CPT,49424,INJECTION OF CONTRAST THROUGH ABDOMINAL CAVITY TUBE FOR X-RAY STUDY FACILITY,,,504.49,6376.0,23 CPT,49440,HC INSERT GASTROSTOMY TUBE PERC,4127.0,2682.55,1771.68,5243.0,884 CPT,49440,INSERTION OF STOMACH TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST FACILITY,,,1771.68,5243.0,23 CPT,49441,HC INSERT DUODEN/JEJUN TUBE PERC,4234.0,2752.1,1771.68,5243.0,884 CPT,49441,INSERTION OF SMALL BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST FACILITY,,,1771.68,5243.0,23 CPT,49446,CONVERSION OF STOMACH TUBE TO STOMACH-TO-SMALL BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST FACILITY,,,3559.66,5243.0,23 CPT,49446,HC CONVERSION TO GASTRO-JEJ TUBE,4313.0,2803.45,1771.68,5243.0,1768 CPT,49450,HC RPLC GASTROST/CECOST TUBE PERC,3021.5,1963.975,837.4,3797.55,1768 CPT,49450,REPLACEMENT OF STOMACH OR LARGE BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST FACILITY,,,837.4,3191.0,23 CPT,49451,HC RPLC DUOD/JEJ TUBE PERC,2164.0,1406.6,837.4,3191.0,1768 CPT,49451,REPLACEMENT OF SMALL BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST FACILITY,,,837.4,3191.0,23 CPT,49452,HC RPLC TUBE GASTRO-JEJ W FLUORO,2280.0,1482.0,837.4,3191.0,884 CPT,49452,REPLACEMENT OF STOMACH-TO-SMALL BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST FACILITY,,,837.4,3191.0,23 CPT,49465,"CONTRAST INJECTION FOR X-RAY IMAGING THROUGH EXISTING TUBE IN STOMACH, SMALL BOWEL OR LARGE BOWEL FACILITY",,,220.29,3045.0,23 CPT,49465,HC INJ CONTRAST RAD EVAL GI TUBE,604.0,392.6,220.29,3045.0,884 CPT,49505,REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) PROFESSIONAL,,,3305.69,13605.0,23 CPT,49507,REPAIR OF TRAPPED GROIN HERNIA (5 YEARS OR OLDER) PROFESSIONAL,,,3305.69,13605.0,23 CPT,49520,REPAIR OF GROIN HERNIA THAT IS NOT TRAPPED PROFESSIONAL,,,3305.69,13605.0,23 CPT,49521,REPAIR OF TRAPPED OR STRANGULATED GROIN HERNIA PROFESSIONAL,,,5977.11,13605.0,23 CPT,49591,"INITIAL REPAIR OF SLIDING HERNIA OF ABDOMEN, LESS THAN 3 CM IN LENGTH PROFESSIONAL",,,3305.69,13605.0,23 CPT,49592,"INITIAL REPAIR OF ENTRAPPED HERNIA OF ABDOMEN, LESS THAN 3 CM IN LENGTH PROFESSIONAL",,,5581.68,13605.0,23 CPT,49593,"INITIAL REPAIR OF SLIDING HERNIA OF ABDOMEN, 3-10 CM IN LENGTH PROFESSIONAL",,,5977.11,13605.0,23 CPT,49594,"INITIAL REPAIR OF ENTRAPPED HERNIA OF ABDOMEN, 3-10 CM IN LENGTH PROFESSIONAL",,,5581.68,13605.0,23 CPT,49595,"INITIAL REPAIR OF SLIDING HERNIA OF ABDOMEN, MORE THAN 10 CM IN LENGTH",,,5977.11,13605.0,23 CPT,49596,"INITIAL REPAIR OF ENTRAPPED HERNIA OF ABDOMEN, MORE THAN 10 CM IN LENGTH",,,5581.68,22248.0,23 CPT,49613,"REPAIR OF RECURRENT SLIDING HERNIA OF ABDOMEN, LESS THAN 3 CM IN LENGTH PROFESSIONAL",,,3305.69,22248.0,23 CPT,49614,"REPAIR OF RECURRENT ENTRAPPED HERNIA OF ABDOMEN, LESS THAN 3 CM IN LENGTH PROFESSIONAL",,,5581.68,13605.0,23 CPT,49615,"REPAIR OF RECURRENT SLIDING HERNIA OF ABDOMEN, 3-10 CM IN LENGTH",,,5977.11,13605.0,23 CPT,49616,"REPAIR OF RECURRENT ENTRAPPED HERNIA OF ABDOMEN, 3-10 CM IN LENGTH PROFESSIONAL",,,843.24,22248.0,23 CPT,49617,"REPAIR OF RECURRENT SLIDING HERNIA OF ABDOMEN, MORE THAN 10 CM IN LENGTH",,,5581.68,22248.0,23 CPT,49618,"REPAIR OF RECURRENT ENTRAPPED HERNIA OF ABDOMEN, MORE THAN 10 CM IN LENGTH",,,1218.27,22248.0,23 CPT,49622,REPAIR OF ENTRAPPED HERNIA NEXT TO STOMA,,,3305.69,22248.0,23 CPT,49623,REMOVAL OF MESH AT SAME TIME AS HERNIA REPAIR PROFESSIONAL,,,5977.11,13605.0,23 CPT,49650,REPAIR OF GROIN HERNIA USING AN ENDOSCOPE PROFESSIONAL,,,5581.68,13605.0,23 CPT,49651,REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE PROFESSIONAL,,,5581.68,13605.0,23 CPT,49653,REPAIR OF TRAPPED HERNIA USING AN ENDOSCOPE,,,0.3,0.35,3 CPT,49656,REPAIR OF RECURRENT INCISIONAL HERNIA USING AN ENDOSCOPE,,,185.24,3045.0,23 CPT,49657,REPAIR OF RECURRENT TRAPPED INCISIONAL HERNIA USING AN ENDOSCOPE,,,19.65,22.6,3 CPT,49659,UNLISTED PROC LAP HERNIA,,,9814.25,13605.0,23 CPT,49900,SUTURE OF POSTSURGICAL OPENING IN ABDOMINAL WALL,,,838.4,22248.0,23 CPT,49905,REPAIR OF ABDOMEN USING ABDOMINAL LINING GRAFT,,,9814.25,22248.0,23 CPT,49999,UNLISTED PROC ABD/PERIT/OMEN - FACILITY,,,1524.88,4396.0,23 CPT,50080,SIMPLE SURGICAL TREATMENT OF KIDNEY STONE WITH IMAGING GUIDANCE,,,8740.13,13605.0,23 CPT,50081,COMPLEX SURGICAL TREATMENT OF KIDNEY STONE WITH IMAGING GUIDANCE,,,8740.13,13605.0,23 CPT,50200,HC BIOPSY RENAL NEEDLE/TROC PERC,3808.0,2475.2,1524.88,4396.0,884 CPT,50200,NEEDLE BIOPSY OF KIDNEY FACILITY,,,1524.88,4396.0,23 CPT,50382,HC RPLC URETER STNT PERC S&I,4641.0,3016.65,1930.0,5243.0,884 CPT,50382,REMOVAL AND REPLACEMENT OF STENT IN URETER WITH REVIEW BY RADIOLOGIST FACILITY,,,1930.0,5243.0,23 CPT,50384,HC REMOVAL URETER STENT PERC S&I,4756.0,3091.4,1930.0,5243.0,884 CPT,50384,REMOVAL OF STENT IN URETER THROUGH SKIN WITH REVIEW BY RADIOLOGIST FACILITY,,,1930.0,5243.0,23 CPT,50385,HC RPLC URETR STNT TXURETHRAL S&I,4485.0,2915.25,1930.0,5243.0,884 CPT,50385,REMOVAL AND REPLACEMENT OF STENT IN URETER THROUGH URETHRA WITH REVIEW BY RADIOLOGIST FACILITY,,,1930.0,5243.0,23 CPT,50386,HC RMVL URETER STNT TXURETHRL S&I,4485.0,2915.25,1930.0,5243.0,884 CPT,50386,REMOVAL OF STENT IN URETER THROUGH URETER WITH REVIEW BY RADIOLOGIST FACILITY,,,1930.0,5243.0,23 CPT,50387,HC RMVL/RPLC TRANSNEPH STNT W S&I,4434.0,2882.1,1930.0,5243.0,884 CPT,50387,REMOVAL AND REPLACEMENT OF STENT IN KIDNEY AND URETER USING FLUOROSCOPIC GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,1930.0,5243.0,23 CPT,50389,HC RMVL NEPHROSTOMY TUBE W FLUORO,1449.0,941.85,643.8,3191.0,884 CPT,50389,REMOVAL OF KIDNEY DRAINAGE TUBE USING FLUOROSCOPIC GUIDANCE FACILITY,,,643.8,3191.0,23 CPT,50390,ASPIRATION AND/OR INJECTION OF CYST OF KIDNEY FACILITY,,,653.8,3191.0,23 CPT,50390,HC ASPIRATION/INJ RENAL CYST PERC,1600.0,1040.0,653.8,3191.0,884 CPT,50430,HC INJ ANTEGRD NFROSGRM&/URTGRM NEW,1459.0,948.35,643.8,3191.0,884 CPT,50430,INJECTION PROCEDURE FOR IMAGING OF KIDNEY AND URETER THROUGH NEW SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,4950.41,13605.0,23 CPT,50431,HC INJ ANTEGRD NFROSGRM&/URTGRM EXIST,1464.0,951.6,643.8,3191.0,884 CPT,50431,INJECTION PROCEDURE FOR IMAGING OF KIDNEY AND URETER THROUGH ALREADY EXISTING SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,643.8,3191.0,23 CPT,50432,HC PLC NEPHROSTOMY CATH PERC NEW,4684.0,3044.6,1930.0,5243.0,884 CPT,50432,PLACEMENT OF TUBE OF KIDNEY USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,3254.52,5243.0,23 CPT,50433,HC PLC NEPHROURETERAL CATH PERC NEW,8017.0,5211.05,3254.52,13605.0,884 CPT,50433,PLACEMENT OF TUBE OF KIDNEY AND URINARY TUBE THROUGH NEW SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,3254.52,13605.0,23 CPT,50434,CONVERSION OF KIDNEY TUBE TO NEPHROURETERAL TUBE USING IMAGING GUIDANCE AND STUDY OF KIDNEY AND URETER WITH REVIEW BY RADIOLOGIST FACILITY,,,1930.0,5243.0,23 CPT,50434,HC CONV NEPHROST TO NEPHROURET CATH,4444.0,2888.6,1930.0,5243.0,884 CPT,50435,HC EXCHG NEPHROST CATH PERC,4432.0,2880.8,1930.0,5243.0,884 CPT,50435,REPLACEMENT OF KIDNEY DRAINAGE TUBE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,1930.0,5243.0,23 CPT,50436,DILATION OF EXISTING OPENING INTO URINARY TRACT USING IMAGING GUIDANCE FACILITY,,,8740.13,13605.0,23 CPT,50437,DILATION OF EXISTING OPENING INTO URINARY TRACT AND CREATION OF NEW ACCESS INTO URINE COLLECTING SYSTEM OF KIDNEY USING IMAGING GUIDANCE FACILITY,,,8740.13,13605.0,23 CPT,50541,DESTRUCTION OF CYST OF KIDNEY USING AN ENDOSCOPE,,,9814.25,13605.0,23 CPT,50543,PARTIAL REMOVAL OF KIDNEY USING AN ENDOSCOPE,,,9814.25,13605.0,23 CPT,50544,REPAIR OF KIDNEY USING AN ENDOSCOPE,,,9814.25,13605.0,23 CPT,50555,BIOPSY OF KIDNEY USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM KIDNEY TO SKIN,,,8740.13,13605.0,23 CPT,50561,REMOVAL OF FOREIGN BODY OR STONE IN KIDNEY USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM KIDNEY TO SKIN,,,4950.41,13605.0,23 CPT,50580,REMOVAL OF FOREIGN BODY OR STONE IN KIDNEY USING AN ENDOSCOPE,,,9814.25,13605.0,23 CPT,50592,DESTRUCTION OF GROWTH OF KIDNEY USING RADIOFREQUENCY FACILITY,,,5581.68,13605.0,23 CPT,50592,HC ABLATION RENAL TUMORS UNILAT RF,13284.0,8634.6,5581.68,13605.0,884 CPT,50593,DESTRUCTION OF GROWTH OF KIDNEY BY FREEZING FACILITY,,,9814.25,13605.0,23 CPT,50593,HC ABLATION RENAL TUMOR PERC CRYO,22496.0,14622.4,9814.25,21821.12,884 CPT,50605,INSERTION OF STENT IN URETER,,,9814.25,22248.0,23 CPT,50606,BIOPSY OF URETER AND/OR RENAL PELVIS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,3254.52,13605.0,23 CPT,50684,HC INJ URETERO/URETEROPYELOGRAPHY,1555.0,1010.75,863.03,6376.0,880 CPT,50688,CHANGE OF TUBE OR STENT IN URETER FACILITY,,,1930.0,5243.0,23 CPT,50688,HC CHANGE URETEROSTOMY TUBE/STENT,4380.0,2847.0,1930.0,5243.0,884 CPT,50690,HC INJ ILEAL CON/URETEROPYLGRPHY,1462.0,950.3,811.41,6376.0,880 CPT,50690,INJECTION OF BLADDER AND URETER FOR IMAGING FACILITY,,,322.11,6376.0,23 CPT,50693,HC PLC URETER STNT PRE-EXIST NEPHROST TRCT,7869.0,5114.85,3254.52,13605.0,884 CPT,50693,PLACEMENT OF STENT OF URETER THROUGH EXISTING SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,3254.52,13605.0,23 CPT,50694,HC PLC URETER STNT NEW WO NEPHROST CATH,11924.0,7750.6,3254.52,13605.0,884 CPT,50694,PLACEMENT OF STENT OF URETER THROUGH NEW SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,3254.52,13605.0,23 CPT,50695,HC PLC URETER STNT NEW W NEPHROST CATH,7864.0,5111.6,3254.52,13605.0,884 CPT,50695,PLACEMENT OF STENT OF URETER AND SEPARATE TUBE IN KIDNEY THROUGH NEW SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,3254.52,13605.0,23 CPT,50705,BLOCKING OF URETER USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,1930.0,5243.0,23 CPT,50705,HC URETER EMBL/OCCL W IMG GUIDE,14411.0,9367.15,5739.0,13978.67,880 CPT,50706,BALLOON DILATION TREATMENT OF STRICTURE OF URETER USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,3254.52,13605.0,23 CPT,50706,HC BALN DIL URETER STRICTURE W IMG,4602.0,2991.3,2554.11,6376.0,880 CPT,50727,REVISION OF OPENING FROM URINARY TRACT TO SKIN,,,3254.52,13605.0,23 CPT,50760,REMOVAL AND RECONNECTION OF DISEASED OR INJURED PORTION OF URETER,,,1071.3,22248.0,23 CPT,50947,REPOSITIONING OF URETER AND INSERTION OF STENT USING AN ENDOSCOPE,,,9814.25,13605.0,23 CPT,50948,REPOSITIONING OF URETER USING AN ENDOSCOPE,,,9814.25,13605.0,23 CPT,50949,UNLISTED PROC LAP URETER,,,5581.68,13605.0,23 CPT,50951,EXAM OF KIDNEY AND URETER USING AN ENDOSCOPE INSERTED THROUGH AN ALREADY CREATED URETER OPENING,,,3254.52,13605.0,23 CPT,50955,BIOPSY OF KIDNEY OR URETER USING AN ENDOSCOPE INSERTED THROUGH AN ALREADY CREATED OPENING IN URETER,,,4950.41,13605.0,23 CPT,50957,DESTRUCTION AND/OR REMOVAL OF GROWTH OF KIDNEY OR URETER USING AN ENDOSCOPE INSERTED THROUGH AN ALREADY CREATED OPENING IN URETER,,,4950.41,13605.0,23 CPT,50980,REMOVAL OF FOREIGN BODY OR STONE IN KIDNEY OR URETER USING AN ENDOSCOPE,,,9814.25,13605.0,23 CPT,51050,INCISION OF BLADDER WITH REMOVAL OF BLADDER STONE,,,4950.41,13605.0,23 CPT,51102,ASPIRATION OF BLADDER WITH INSERTION OF BLADDER TUBE TO SKIN FACILITY,,,1930.0,5243.0,23 CPT,51102,HC ASP BLADDER/INS SUPUBIC CATH,4469.0,2904.85,1930.0,5243.0,884 CPT,51600,HC INJ CYSTOGRAPHY/VUCG,744.0,483.6,412.92,6376.0,880 CPT,51600,INJECTION PROCEDURE FOR IMAGING OF BLADDER DURING VOIDING FACILITY,,,220.29,6376.0,23 CPT,51610,HC INJ RETROGRADE URCG,421.0,273.65,233.66,6376.0,880 CPT,51610,INJECTION PROCEDURE THROUGH BLADDER AND URETHRA FOR X-RAY IMAGING FACILITY,,,220.29,6376.0,23 CPT,51700,HC IRRI BLAD SMPL LAVAGE&/INSTILL,912.0,592.8,230.68,3045.0,884 CPT,51701,HC INS NON-INDWELLING BLAD CATH,278.0,180.7,122.84,278.0,884 CPT,51702,HC INS TEMP INDW BLAD CATH SMPL,496.5,322.725,122.84,504.0,2652 CPT,51703,COMPLICATED INSERTION OF BLADDER TUBE FACILITY,,,5581.68,13605.0,23 CPT,51703,HC INS TEMP INDWL BLAD CATH COMPL,578.0,375.7,118.8,578.0,884 CPT,51705,HC CHANGE CYSTOSTOMY TUBE SIMPLE,672.5,437.125,230.68,3045.0,1768 CPT,51705,SIMPLE CHANGE OF BLADDER TUBE FACILITY,,,3254.52,13605.0,23 CPT,51710,HC CHANGE CYSTOSTOMY TUBE COMPL,5902.0,3836.3,643.8,5783.96,884 CPT,51715,HC ENDO INJ IMPL MATRL URETH&/BLAD,15249.0,9911.85,3254.52,14791.53,884 CPT,51715,INJECTION OF IMPLANT MATERIAL BENEATH LINING OF BLADDER AND/OR URETHRA USING AN ENDOSCOPE FACILITY,,,3254.52,13605.0,23 CPT,51726,HC CYSTOMETROGRAM COMPLEX,3744.0,2433.6,230.68,3669.12,884 CPT,51728,COMPLEX MEASUREMENT OF PRESSURE OF URINE FLOW IN BLADDER WITH VOIDING PRESSURE STUDIES FACILITY,,,643.8,3191.0,23 CPT,51728,HC CMG CMPLX W VOIDING PRESSURE,3661.0,2379.65,643.8,3587.78,884 CPT,51729,COMPLEX MEASUREMENT OF PRESSURE OF URINE FLOW IN BLADDER WITH URETHRA PRESSURE AND VOIDING PRESSURE STUDIES FACILITY,,,643.8,3191.0,23 CPT,51729,HC CMG CMPLX VOID&URTTHRAL PRES,3661.0,2379.65,643.8,3551.17,884 CPT,51741,ELECTRONIC ASSESSMENT OF BLADDER EMPTYING FACILITY,,,643.8,3191.0,23 CPT,51741,HC UROFLOWMETRY CMPLX,3493.0,2270.45,199.36,3388.21,884 CPT,51784,HC EMG ANAL/URETHRAL NOT NEEDLE,1370.0,890.5,118.8,1328.9,884 CPT,51784,NON-NEEDLE MEASUREMENT AND RECORDING OF ELECTRICAL ACTIVITY OF MUSCLES AT BLADDER AND BOWEL OPENINGS FACILITY,,,643.8,3191.0,23 CPT,51785,HC EMG ANAL/URETHRAL NEEDLE,1342.0,872.3,230.68,3045.0,884 CPT,51797,HC VOIDING PRES STUDY INTRABD,1262.0,820.3,627.21,1224.14,880 CPT,51797,INSERTION OF DEVICE INTO ABDOMEN WITH PRESSURE AND URINE FLOW RATE STUDY FACILITY,,,643.8,3191.0,23 CPT,51798,HC MEAS PST VOID RESID US NON IMG,311.5,202.47500000000002,54.47,312.0,1768 CPT,51798,ULTRASOUND MEASUREMENT OF BLADDER CAPACITY AFTER VOIDING FACILITY,,,643.8,3191.0,23 CPT,51800,REPAIR OF BLADDER AND/OR URETHRA,,,2988.75,22248.0,23 CPT,51860,"SUTURE OF SIMPLE WOUND, INJURY, OR RUPTURE OF BLADDER",,,8740.13,13605.0,23 CPT,51999,UNLISTED PROC LAP BLADDER,,,5581.68,13605.0,23 CPT,52000,DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE FACILITY,,,643.8,3191.0,23 CPT,52000,HC CYSTOURETHROSCOPY,2404.0,1562.6,643.8,3191.0,884 CPT,52005,INSERTION OF TUBE INTO URETER USING AN ENDOSCOPE THROUGH BLADDER AREA,,,5581.68,13605.0,23 CPT,52204,BIOPSY OF BLADDER USING AN ENDOSCOPE FACILITY,,,3254.52,5243.0,23 CPT,52204,HC CYSTOURETHROSCOPY WITH BX,17440.0,11336.0,1930.0,16916.8,884 CPT,52214,"DESTRUCTION OF TISSUE OF BLADDER, URETHRA, OR SURROUNDING GLANDS USING AN ENDOSCOPE FACILITY",,,3254.52,13605.0,23 CPT,52224,"DESTRUCTION OF GROWTH OF BLADDER AND URETHRA USING AN ENDOSCOPE, LESS THAN 0.5 CM FACILITY",,,3254.52,13605.0,23 CPT,52234,"DESTRUCTION AND/OR REMOVAL OF GROWTH OF BLADDER AND URETHRA USING AN ENDOSCOPE, 0.5-2.0 CM FACILITY",,,3254.52,13605.0,23 CPT,52235,"DESTRUCTION AND/OR REMOVAL OF GROWTH OF BLADDER AND URETHRA USING AN ENDOSCOPE, 2.0-5.0 CM PROFESSIONAL",,,3254.52,13605.0,23 CPT,52235,HC CYSTHRSCPY FULG BLAD TMR MED,14724.0,9570.6,3254.52,14429.52,884 CPT,52240,DESTRUCTION AND/OR REMOVAL OF LARGE GROWTH OF BLADDER USING AN ENDOSCOPE PROFESSIONAL,,,4950.41,13605.0,23 CPT,52260,DILATION OF BLADDER USING AN ENDOSCOPE UNDER GENERAL OR SPINAL ANESTHESIA FACILITY,,,3254.52,5243.0,23 CPT,52260,HC CYSTHRSCPY DIL BLAD GNRL ANES,13472.0,8756.8,1930.0,13067.84,884 CPT,52276,INCISION OF URETHRA USING AN ENDOSCOPE,,,1930.0,5243.0,23 CPT,52281,DILATION OF URETHRA USING AN ENDOSCOPE FACILITY,,,1930.0,5243.0,23 CPT,52281,HC CYSTHRSCPY W CALIB&/DIL URETH,5280.0,3432.0,1930.0,5280.0,884 CPT,52281,HC CYSTHRSCPY W CALIB&DIL URETH,8824.0,5735.6,1930.0,8559.28,884 CPT,52283,STEROID INJECTION INTO URETHRA STRICTURE USING AN ENDOSCOPE,,,1930.0,5243.0,23 CPT,52284,DRUG DELIVERY USING A DRUG-COATED BALLOON FOR MALE TREATMENT OF URETHRAL STRICTURE USING AN ENDOSCOPE PROFESSIONAL,,,4950.41,13605.0,23 CPT,52287,EXAM WITH INJECTIONS OF CHEMICAL FOR DESTRUCTION OF BLADDER USING AN ENDOSCOPE FACILITY,,,1930.0,5243.0,23 CPT,52287,HC CYSTHRSCPY INJ CHEMODENRVATION,13854.0,9005.1,1930.0,13438.38,884 CPT,52305,REMOVAL OF BLADDER POUCHES USING AN ENDOSCOPE,,,4950.41,13605.0,23 CPT,52310,HC CYSTHRSCPY RMVL FB/STENT SMPL,13048.0,8481.2,1930.0,12656.56,884 CPT,52310,"SIMPLE REMOVAL OF FOREIGN BODY, STONE, OR STENT IN URETHRA OR BLADDER USING AN ENDOSCOPE FACILITY",,,1930.0,5243.0,23 CPT,52315,"COMPLICATED REMOVAL OF FOREIGN BODY, STONE, OR STENT IN URETHRA OR BLADDER USING AN ENDOSCOPE FACILITY",,,1930.0,5243.0,23 CPT,52315,HC CYSTHRSCPY RMVL FB/STENT CMPLX,8224.0,5345.6,1930.0,8059.52,884 CPT,52317,"CRUSHING, FRAGMENTING, AND REMOVAL OF BLADDER STONES, LESS THAN 2.5 CM PROFESSIONAL",,,4950.41,13605.0,23 CPT,52318,"CRUSHING, FRAGMENTING, AND REMOVAL OF BLADDER STONES, MORE THAN 2.5 CM PROFESSIONAL",,,4950.41,13605.0,23 CPT,52327,INJECTION OF IMPLANT MATERIAL IN BLADDER USING AN ENDOSCOPE,,,4950.41,13605.0,23 CPT,52332,INSERTION OF STENT IN URETER USING AN ENDOSCOPE PROFESSIONAL-EXPRESS CARE,,,3254.52,13605.0,23 CPT,52334,INSERTION OF GUIDE WIRE THROUGH KIDNEY INTO URETER USING AN ENDOSCOPE,,,8740.13,13605.0,23 CPT,52341,DILATION OF BLADDER AND URETHRA USING AN ENDOSCOPE,,,3254.52,13605.0,23 CPT,52344,REPAIR OF STRICTURE OF URETER USING AN ENDOSCOPE,,,4950.41,13605.0,23 CPT,52346,REPAIR OF STRICTURE IN KIDNEY WITH EXAM OF URINARY TRACT USING AN ENDOSCOPE,,,4950.41,13605.0,23 CPT,52351,"DIAGNOSTIC EXAM OF BLADDER, URETHRA, AND URETER OR KIDNEY USING AN ENDOSCOPE PROFESSIONAL",,,3254.52,13605.0,23 CPT,52352,REMOVAL OR MANIPULATION OF STONE IN URETER OR KIDNEY USING AN ENDOSCOPE PROFESSIONAL,,,3254.52,13605.0,23 CPT,52353,CRUSHING OF STONE OF URETER USING AN ENDOSCOPE PROFESSIONAL,,,4950.41,13605.0,23 CPT,52354,BIOPSY AND/OR DESTRUCTION OF GROWTH OF URETER OR KIDNEY USING AN ENDOSCOPE PROFESSIONAL,,,4950.41,13605.0,23 CPT,52356,CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE PROFESSIONAL,,,4950.41,13605.0,23 CPT,52441,"INSERTION OF IMPLANT IN URETHRA WITHIN PROSTATE GLAND USING AN ENDOSCOPE, 1 IMPLANT",,,190.44,219.01,4 CPT,52442,"INSERTION OF IMPLANT IN URETHRA WITHIN PROSTATE GLAND USING AN ENDOSCOPE, EACH ADDITIONAL IMPLANT",,,137.88,158.56,4 CPT,52450,INCISION OF PROSTATE PROFESSIONAL,,,3254.52,13605.0,23 CPT,52500,REMOVAL OF BLADDER NECK THROUGH URETHRA-EXPRESS CARE,,,3254.52,13605.0,23 CPT,52601,REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE PROFESSIONAL,,,4950.41,13605.0,23 CPT,52630,COMPLETE REMOVAL OF REMAINING OR REGROWN PROSTATE TISSUE WITH CONTROL OF BLEEDING USING AN ENDOSCOPE,,,4950.41,13605.0,23 CPT,52640,REMOVAL OF POSTSURGICAL TIGHTENING OF BLADDER NECK,,,3254.52,13605.0,23 CPT,52648,COMPLETE LASER VAPORIZATION OF PROSTATE INCLUDING CONTROL OF BLEEDING USING AN ENDOSCOPE,,,4950.41,13605.0,23 CPT,52649,COMPLETE LASER FRAGMENTATION OF PROSTATE INCLUDING CONTROL OF BLEEDING USING AN ENDOSCOPE PROFESSIONAL,,,4950.41,13605.0,23 CPT,53020,INCISION OF EXTERNAL URINARY OPENING,,,1930.0,5243.0,23 CPT,53215,REMOVAL OF BLADDER AND URETHRA IN MALE,,,4950.41,13605.0,23 CPT,53220,REMOVAL OR DESTRUCTION OF CANCER URETHRA,,,3254.52,13605.0,23 CPT,53230,REMOVAL OF POUCH OF URETHRA IN FEMALE,,,4950.41,13605.0,23 CPT,53260,REMOVAL OR DESTRUCTION OF POLYPS OF URETHRA,,,3254.52,13605.0,23 CPT,53265,REMOVAL OR DESTRUCTION OF GROWTH OF URETHRA,,,1930.0,5243.0,23 CPT,53400,"REPAIR OF ABNORMAL DRAINAGE TRACT, POUCH, OR STRICTURE OF URETHRA, FIRST STAGE",,,4950.41,13605.0,23 CPT,53410,RECONSTRUCTION OF URETHRA IN MALE,,,4950.41,13605.0,23 CPT,53415,RECONSTRUCTION OR REPAIR OF URETHRA,,,4950.41,22248.0,23 CPT,53430,RECONSTRUCTION OF URETHRA IN FEMALE,,,4950.41,13605.0,23 CPT,53440,CREATION OF SLING AROUND URETHRA IN MALE TO CONTROL LEAKAGE,,,12181.17,14008.35,23 CPT,53442,REMOVAL OR REVISION OF SLING IN MALE FOR URINARY INCONTINENCE,,,12244.0,22006.27,23 CPT,53445,INSERTION OF INFLATABLE URETHRA OR BLADDER NECK SPHINCTER,,,12244.0,22006.27,23 CPT,53446,REMOVAL OF INFLATABLE URETHRA OR BLADDER NECK SPHINCTER,,,4950.41,13605.0,23 CPT,53447,REMOVAL AND REPLACEMENT OF INFLATABLE URETHRA OR BLADDER NECK SPHINCTER,,,12244.0,22006.27,23 CPT,53451,INSERTION OF ADJUSTABLE BALLOON CONTINENCE DEVICE ON BOTH SIDES OF URETHRA USING IMAGING GUIDANCE,,,12181.17,14008.35,23 CPT,53500,RELEASE OF SCAR TISSUE OF URETHRA USING AN ENDOSCOPE,,,4618.63,13605.0,23 CPT,53505,SUTURE OF WOUND OR INJURY OF URETHRA IN PENIS,,,4950.41,13605.0,23 CPT,53605,DILATION OF NARROWING OF URETHRA IN MALE UNDER GENERAL OR SPINAL ANESTHESIA,,,3254.52,13605.0,23 CPT,53665,DILATION OF URETHRA IN FEMALE UNDER GENERAL OR SPINAL ANESTHESIA,,,1930.0,5243.0,23 CPT,53899,UNLISTED PROC URINARY SYSTEM - FACILITY,,,1930.0,5243.0,23 CPT,54001,INCISION OF FORESKIN,,,1930.0,5243.0,23 CPT,54056,SIMPLE DESTRUCTION OF GROWTH OF PENIS USING FREEZING FACILITY,,,375.32,3117.0,23 CPT,54065,DESTRUCTION OF MULTIPLE GROWTHS OF PENIS FACILITY,,,1930.0,5243.0,23 CPT,54111,"REMOVAL OF ABNORMALLY THICKENED TISSUE IN PENIS WITH GRAFT, 5.0 CM OR LESS",,,4950.41,13605.0,23 CPT,54112,"REMOVAL OF ABNORMALLY THICKENED TISSUE IN PENIS WITH GRAFT, MORE THAN 5.0 CM",,,8740.13,13605.0,23 CPT,54120,PARTIAL AMPUTATION OF PENIS,,,3254.52,13605.0,23 CPT,54161,REMOVAL OF FORESKIN (OLDER THAN 28 DAYS) FACILITY,,,1930.0,5243.0,23 CPT,54162,REMOVAL OF SCAR TISSUE AFTER FORESKIN REMOVAL FACILITY,,,1930.0,5243.0,23 CPT,54220,HC IRRIG CORP CAVERNOSA PRIAPISM,3162.0,2055.3,230.68,3162.0,884 CPT,54235,HC INJ CORPCAV W PHARM AGENT,3493.0,2270.45,230.68,3493.0,884 CPT,54235,INJECTION PROCEDURE TO CAUSE ERECTION FACILITY,,,3254.52,13605.0,23 CPT,54360,SURGERY TO CORRECT ABNORMAL PENIS ANGLE,,,3254.52,13605.0,23 CPT,54405,INSERTION OF MULTICOMPONENT INFLATABLE PENILE IMPLANT,,,12244.0,22006.27,23 CPT,54406,REMOVAL OF ALL COMPONENTS OF INFLATABLE PENILE IMPLANT,,,3254.52,13605.0,23 CPT,54408,REPAIR OF MULTICOMPONENT INFLATABLE PENILE IMPLANT,,,4950.41,13605.0,23 CPT,54410,REMOVAL AND REPLACEMENT OF MULTICOMPONENT INFLATABLE PENILE IMPLANT DURING SAME SURGERY,,,12244.0,22006.27,23 CPT,54411,REMOVAL AND REPLACEMENT OF INFECTED COMPONENTS OF INFLATABLE PENILE IMPLANT,,,12244.0,22006.27,23 CPT,54416,REMOVAL AND REPLACEMENT OF NONINFLATABLE PENILE IMPLANT,,,12244.0,22006.27,23 CPT,54512,REMOVAL OF GROWTH OF TESTICLE,,,3305.69,13605.0,23 CPT,54520,SIMPLE REMOVAL OF TESTICLE,,,3254.52,13605.0,23 CPT,54530,REMOVAL OF GROWTH OF TESTICLE THROUGH GROIN,,,3305.69,13605.0,23 CPT,54640,REPOSITIONING AND SUTURE OF MISPLACED TESTICLE PROFESSIONAL,,,3305.69,13605.0,23 CPT,54700,"INCISION AND DRAINAGE OF SPERM RESERVOIR, TESTIS, AND/OR SCROTAL AREA FACILITY",,,3305.69,13605.0,23 CPT,54830,REMOVAL OF GROWTH OF SPERM DUCT,,,3254.52,13605.0,23 CPT,54840,REMOVAL OF FLUID ACCUMULATION IN SPERM RESERVOIR,,,1930.0,5243.0,23 CPT,55000,ASPIRATION OF FLUID COLLECTION IN TESTICLE AND SPERM RESERVOIR FACILITY,,,653.8,3191.0,23 CPT,55040,HC EXCISION HYDROCELE UNILATERAL,14956.0,9721.4,3305.69,14656.88,884 CPT,55040,REMOVAL OF FLUID COLLECTION IN TESTICLE AND SPERM RESERVOIR PROFESSIONAL,,,3305.69,13605.0,23 CPT,55041,REMOVAL OF FLUID COLLECTION IN BOTH TESTICLES AND SPERM RESERVOIRS,,,3305.69,13605.0,23 CPT,55100,DRAINAGE OF ABSCESS OF SCROTUM FACILITY,,,2562.69,5316.0,23 CPT,55100,HC DRAINAGE SCROTUM ABSCESS,4838.0,3144.7,1524.88,4838.0,884 CPT,55110,SEARCH OF SCROTUM,,,3254.52,13605.0,23 CPT,55150,HC RESECTION OF SCROTUM,14724.0,9570.6,3254.52,14724.0,884 CPT,55150,REMOVAL OF DISEASED OR INJURED SCROTUM,,,3254.52,13605.0,23 CPT,55250,HC VASECTOMY INCL SEMEN EXAM,4442.0,2887.3,1930.0,5243.0,884 CPT,55250,REMOVAL OF SPERM DUCT FACILITY,,,1930.0,5243.0,23 CPT,55530,REMOVAL OF SPERMATIC CORD VENOUS DILATION OR TYING OF SPERMATIC VEINS,,,3305.69,13605.0,23 CPT,55700,BIOPSY OF PROSTATE GLAND FACILITY,,,48.11,5243.0,23 CPT,55705,HC BIOPSY PROSTATE INCISIONAL,14724.0,9570.6,3254.52,14724.0,884 CPT,55706,HC BX PROSTATE NDL TRANSPRNEAL,8005.0,5203.25,3254.52,13605.0,884 CPT,55706,NEEDLE BIOPSY OF PROSTATE GLAND USING IMAGE GUIDANCE FACILITY,,,3254.52,13605.0,23 CPT,55707,HC BX PROSTATE TRCT US GUIDED,13200.0,8580.0,3254.52,13200.0,884 CPT,55707,HC BX PRST8 TRCT US GUIDED,14724.0,9570.6,3254.52,14724.0,884 CPT,55708,HC BX PROST TRCT US W/MRI FUS 1ST,13681.0,8892.65,3254.52,13681.0,884 CPT,55709,HC BX PROSTATE TPRNL US GUIDED,13200.0,8580.0,3254.52,13200.0,884 CPT,55710,HC BX PROST TPRNL US W/MRI FUS 1ST,13681.0,8892.65,3254.52,13681.0,884 CPT,55711,HC BX PROST TRCT MRI-US FUS 1ST,13681.0,8892.65,3254.52,13681.0,884 CPT,55712,HC BX PROST TPRNL MRI-US FUS 1ST,13681.0,8892.65,3254.52,13681.0,884 CPT,55866,SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE,,,9814.25,13605.0,23 CPT,55867,SIMPLE SURGICAL SUBTOTAL REMOVAL OF PROSTATE USING LAPAROSCOPE,,,9814.25,13605.0,23 CPT,55873,DESTRUCTION OF PROSTATE USING IMAGING GUIDANCE FACILITY,,,8740.13,13605.0,23 CPT,55873,HC CRYOSURG ABLATION PROSTATE,17995.0,11696.75,8740.13,17455.15,884 CPT,55874,HC TPRNL PLMT BIODEGRDABL MATRL,10968.0,7129.2,4950.41,13605.0,884 CPT,55874,INJECTION OF BIODEGRADABLE MATERIAL NEXT TO PROSTATE FACILITY,,,4950.41,13605.0,23 CPT,55876,HC PLC INTERS RAD DEVICE PROSTATE,5242.0,3407.3,1277.93,5541.61,1768 CPT,55876,PLACEMENT OF DEVICE IN PROSTATE FOR RADIATION THERAPY FACILITY,,,4950.41,13605.0,23 CPT,55881,HC ABLT TRURL PRST8 TIS THRM US,7314.0,4754.1,447.34,7314.0,884 CPT,55882,HC ABLT TRURL PRST8 TIS TRNSDCR,52160.0,33904.0,12181.17,50595.2,884 CPT,55882,INSERTION OF ULTRASOUND TRANSDUCER THROUGH URETHRA FOR DELIVERY OF HEAT ULTRASOUND FOR DESTRUCTION OF PROSTATE TISSUE USING MRI GUIDANCE FACILITY,,,12181.17,14008.35,23 CPT,55899,UNLISTED PROC MALE GENITAL SYS - FACILITY,,,230.68,3045.0,23 CPT,56405,HC I&D VULVA/PERINEAL ABSCESS,3584.5,2329.925,281.35,3566.0,1768 CPT,56420,HC I&D BARTHOLINS GLAND ABSCESS,825.0,536.25,186.66,3045.0,884 CPT,56440,CREATION OF DRAINAGE TRACT FOR GLAND CYST OF FEMALE GENITALS FACILITY,,,2988.75,8220.0,23 CPT,56441,REMOVAL OF SCAR TISSUE OF FEMALE GENITALS FACILITY,,,2988.75,8220.0,23 CPT,56501,HC DESTRUCTION LESION VULVA SMPL,6669.0,4334.85,1904.97,6535.62,1768 CPT,56501,SIMPLE DESTRUCTION OF GROWTH OF EXTERNAL FEMALE GENITALS FACILITY,,,1904.97,5243.0,23 CPT,56605,"BIOPSY OF GROWTH OF EXTERNAL FEMALE GENITALS, FIRST GROWTH FACILITY",,,850.38,3191.0,23 CPT,56605,HC BX VULVA/PERINEUM 1 LESN,5512.5,3583.125,850.38,9062.71,1768 CPT,56606,"BIOPSY OF GROWTH OF EXTERNAL FEMALE GENITALS, EACH ADDITIONAL GROWTH FACILITY",,,850.38,3191.0,23 CPT,56606,HC BX VULVA/PERINEUM ADD LESN,1633.0,1061.45,906.32,6376.0,880 CPT,56620,SIMPLE PARTIAL REMOVAL OF EXTERNAL FEMALE GENITALS PROFESSIONAL,,,2988.75,8220.0,23 CPT,56700,HC HYMENECTOMY PARTL/REV HYMEN RG,8782.0,5708.3,186.55,8606.36,856 CPT,56740,HC EXCISN BARTHOLIN GLAND/CYST,9914.0,6444.1,2988.75,9914.0,884 CPT,56740,REMOVAL OF CYST OF FEMALE GENITAL GLAND,,,2988.75,8220.0,23 CPT,56810,REPAIR OF SKIN IN AREA BETWEEN ANUS AND GENITALS PROFESSIONAL,,,2988.75,8220.0,23 CPT,57061,HC DEST LESN VAGINAL SIMPLE,6596.0,4287.4,106.79,8220.0,856 CPT,57061,SIMPLE DESTRUCTION OF GROWTH OF VAGINA FACILITY,,,2988.75,8220.0,23 CPT,57065,EXTENSIVE DESTRUCTION OF GROWTH OF VAGINA,,,2988.75,8220.0,23 CPT,57100,HC BX VAGINAL MUCOSA SMPL,2541.0,1651.65,850.38,3191.0,884 CPT,57100,SIMPLE BIOPSY OF VAGINAL MUCOUS MEMBRANE FACILITY,,,2988.75,8220.0,23 CPT,57106,PARTIAL REMOVAL OF VAGINAL WALL,,,2988.75,8220.0,23 CPT,57120,SUTURE CLOSURE OF VAGINA AND VAGINAL OPENING,,,6846.48,13605.0,23 CPT,57130,HC EXCISN OF VAGINAL SEPTUM,13276.0,8629.4,2988.75,12877.72,884 CPT,57130,REMOVAL OF ABNORMAL TISSUE DIVIDING VAGINA FACILITY,,,2988.75,8220.0,23 CPT,57135,HC EXCISN OF VAGINAL CYST/TUMOR,11524.0,7490.6,2988.75,11178.28,884 CPT,57135,REMOVAL OF CYST OR GROWTH OF VAGINAL FACILITY,,,3254.52,13605.0,23 CPT,57155,HC INS UTERINE TANDEM/VAG OVOIDS,19517.0,12686.05,4618.63,18931.49,884 CPT,57155,INSERTION OF DEVICE INTO UTERUS FOR RADIATION THERAPY FACILITY,,,4618.63,13605.0,19 CPT,57156,HC INS VAG BRACHYTHRPY DEV,1267.0,823.55,281.35,3045.0,884 CPT,57156,INSERTION OF DEVICE INTO VAGINA FOR RADIATION THERAPY FACILITY,,,281.35,3045.0,19 CPT,57240,REPAIR OF BLADDER HERNIA INTO VAGINAL WALL,,,4618.63,13605.0,23 CPT,57250,REPAIR OF HERNIATED RECTUM INTO VAGINAL WALL,,,4618.63,13605.0,23 CPT,57260,"PLASTIC REPAIR OF VAGINA AND TISSUE SEPARATING VAGINA, RECTUM, AND BLADDER",,,4618.63,13605.0,23 CPT,57265,REPAIR OF BULGING OF RECTUM AND BLADDER INTO VAGINAL WALL,,,4618.63,13605.0,23 CPT,57267,INSERTION OF ARTIFICIAL MATERIAL FOR PELVIC FLOOR DEFECT,,,6846.48,13605.0,23 CPT,57282,REPAIR OF PELVIC LIGAMENTS THROUGH VAGINA,,,6846.48,13605.0,23 CPT,57283,REPAIR OF PROLAPSING VAGINAL VAULT THROUGH VAGINA,,,6846.48,13605.0,23 CPT,57285,REPAIR OF VAGINAL WALL DEFECT THROUGH VAGINA,,,6846.48,13605.0,23 CPT,57287,REMOVAL OR REVISION OF INCONTINENCE SLING,,,1930.0,8220.0,23 CPT,57288,CREATION OF SLING AROUND URETHRA IN FEMALE TO CONTROL LEAKAGE,,,4618.63,13605.0,23 CPT,57295,REVISION OF PROSTHETIC VAGINAL GRAFT,,,2988.75,8220.0,23 CPT,57300,CLOSURE OF ABNORMAL DRAINAGE TRACT FROM RECTUM TO VAGINA THROUGH VAGINA OR ANUS,,,2988.75,8220.0,23 CPT,57311,CLOSURE OF ABNORMAL DRAINAGE TRACT FROM URETHRA TO VAGINA WITH TRANSPLANT,,,2988.75,22248.0,23 CPT,57410,HC PELVIC EXAMINATION UNDER ANES,12607.0,8194.55,2988.75,12228.79,884 CPT,57410,PELVIC EXAM UNDER ANESTHESIA FACILITY,,,2988.75,8220.0,23 CPT,57420,EXAM OF VAGINA AND CERVIX USING AN ENDOSCOPE FACILITY,,,2988.75,8220.0,23 CPT,57421,BIOPSY OF VAGINA AND CERVIX USING AN ENDOSCOPE FACILITY,,,850.38,3191.0,23 CPT,57425,SURGICAL REPAIR OF VAGINAL DEFECT USING AN ENDOSCOPE,,,9814.25,13605.0,23 CPT,57426,REVISION OR REMOVAL OF PROSTHETIC VAGINAL GRAFT USING AN ENDOSCOPE,,,9814.25,13605.0,23 CPT,57454,BIOPSY AND SCRAPING OF CERVIX USING AN ENDOSCOPE FACILITY,,,2988.75,8220.0,23 CPT,57454,HC COLPOSCOPY CERVIX W BX & ECC,739.0,480.35,281.35,3045.0,884 CPT,57455,BIOPSY OF CERVIX USING AN ENDOSCOPE FACILITY,,,2988.75,8220.0,23 CPT,57455,HC COLPOSCOPY CERVIX W BX,3753.0,2439.45,281.35,3677.94,884 CPT,57456,HC COLPOSCOPY CERVIX W ECC,3562.0,2315.3,281.35,3490.76,884 CPT,57456,SCRAPING OF CERVIX USING AN ENDOSCOPE FACILITY,,,2988.75,8220.0,23 CPT,57500,BIOPSY OF CERVIX OR REMOVAL OF GROWTH FACILITY,,,850.38,3191.0,23 CPT,57500,HC BIOPSY CERVIX SNGL/MULT LESN,2552.0,1658.8,850.38,3191.0,884 CPT,57505,HC CURETTAGE ENDOCERVICAL,2655.0,1725.75,850.38,3191.0,884 CPT,57505,SCRAPING OF TISSUE OF CERVIX FACILITY,,,850.38,3191.0,23 CPT,57510,ELECTRO OR THERMAL DESTRUCTION OF CERVIX FACILITY,,,4618.63,13605.0,23 CPT,57520,HC CONIZATION CERVIX KNIFE/LASER,12498.0,8123.7,2988.75,12123.06,884 CPT,57520,REMOVAL OR DESTRUCTION OF CERVIX WITH COLD KNIFE OR LASER FACILITY,,,2988.75,8220.0,23 CPT,57522,HC CONIZATION CX EXCISN LOOP ELEC,6982.0,4538.3,2988.75,8220.0,884 CPT,57522,REMOVAL OR DESTRUCTION OF CERVIX USING LOOP ELECTRODE FACILITY-EXPRESS CARE,,,2988.75,8220.0,23 CPT,57530,AMPUTATION OF CERVIX,,,6846.48,13605.0,23 CPT,57550,REMOVAL OF REMAINING CERVIX THROUGH VAGINA,,,4618.63,13605.0,23 CPT,57720,HC TRACHELORRHAPHY UTERINE CERVIX,9914.0,6444.1,2988.75,9914.0,884 CPT,57800,DILATION OF CERVICAL CANAL FACILITY,,,2988.75,8220.0,23 CPT,58100,BIOPSY OF LINING OF UTERUS FACILITY,,,186.66,3045.0,23 CPT,58100,HC BX ENDOMETRIAL WO CERVIX DIL,3134.0,2037.1,186.66,3045.0,884 CPT,58120,DILATION AND SCRAPING OF UTERUS FACILITY,,,2988.75,8220.0,23 CPT,58120,HC D&C NONOBSTETRICAL,10360.0,6734.0,2988.75,10049.2,884 CPT,58145,HC MYOMECTOMY 1-4 MYOMA VAG APPR,9067.0,5893.55,2988.75,8794.99,884 CPT,58145,"REMOVAL OF GROWTH OF UTERUS THROUGH VAGINA, 1-4 GROWTHS FACILITY",,,2988.75,8220.0,23 CPT,58146,REMOVAL OF 5 OR MORE GROWTHS OF UTERUS THROUGH ABDOMEN-EXPRESS CARE,,,1062.61,22248.0,23 CPT,58150,REMOVAL OF UTERUS AND CERVIX THROUGH ABDOMEN,,,979.27,22248.0,23 CPT,58260,"REMOVAL OF UTERUS THROUGH VAGINA, 250.0 G OR LESS",,,6846.48,13605.0,23 CPT,58262,"REMOVAL OF UTERUS, TUBES, AND/OR OVARIES THROUGH VAGINA, 250.0 G OR LESS",,,6846.48,13605.0,23 CPT,58291,"REMOVAL OF UTERUS, TUBES, AND/OR OVARIES THROUGH VAGINA, MORE THAN 250.0 G",,,6846.48,13605.0,23 CPT,58300,HC INSERT OF INTRAUTERINE DEVICE,1707.0,1109.55,947.39,6376.0,880 CPT,58300,INSERTION OF IUD FOR PREGNANCY PREVENTION FACILITY,,,2988.75,8220.0,23 CPT,58301,HC REMOVAL OF INTRAUTERINE DEVICE,738.0,479.7,281.35,3045.0,884 CPT,58301,REMOVAL OF IUD FACILITY,,,4618.63,13605.0,23 CPT,58350,INJECTION OF X-RAY CONTRAST INTO FALLOPIAN TUBE,,,9814.25,13605.0,23 CPT,58356,HC ENDOMETRIAL CRYOABLAT W US,17336.0,11268.4,4618.63,17336.0,884 CPT,58542,"PARTIAL REMOVAL OF UTERUS, TUBES, AND/OR OVARIES WITH RETENTION OF CERVIX USING AN ENDOSCOPE, 250.0 G OR LESS",,,9814.25,13605.0,23 CPT,58544,"PARTIAL REMOVAL OF UTERUS, TUBES, AND/OR OVARIES WITH RETENTION OF CERVIX USING AN ENDOSCOPE, MORE THAN 250.0 G",,,9814.25,13605.0,23 CPT,58545,"REMOVAL OF GROWTH OF UTERUS USING AN ENDOSCOPE, 250.0 G OR LESS",,,5581.68,13605.0,23 CPT,58546,"REMOVAL OF GROWTH OF UTERUS USING AN ENDOSCOPE, MORE THAN 250.0 G",,,9814.25,13605.0,23 CPT,58555,DIAGNOSTIC EXAM OF UTERUS USING AN ENDOSCOPE FACILITY,,,2988.75,8220.0,23 CPT,58555,HC HYSTEROSCOPY DIAGNOSTIC,7504.0,4877.6,2988.75,8220.0,884 CPT,58558,BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE FACILITY,,,2988.75,8220.0,23 CPT,58558,HC HYSTERSCPY W BX ENDOMETR/POLYP,7318.0,4756.7,2988.75,8220.0,884 CPT,58559,HC HYST W LYSIS INTRAUTER ADHES,15154.0,9850.1,4618.63,14699.38,884 CPT,58559,RELEASE OF SCAR TISSUE OF UTERUS USING AN ENDOSCOPE FACILITY,,,4618.63,13605.0,23 CPT,58560,RELEASE OF SCAR TISSUE OF UTERUS AND RELEASE OR REMOVAL AND SEPTUM USING AN ENDOSCOPE,,,4618.63,13605.0,23 CPT,58561,HC HYSTEROSCOPY RMVL LEIOMYOMATA,11791.0,7664.15,4618.63,13605.0,884 CPT,58561,REMOVAL OF GROWTH OF MUSCLE OF UTERUS USING AN ENDOSCOPE FACILITY,,,4618.63,13605.0,23 CPT,58562,HC HYSTEROSCOPY RMVL IMPACTED FB,10635.0,6912.75,2988.75,10315.95,884 CPT,58562,REMOVAL OF FOREIGN BODY IN UTERUS USING AN ENDOSCOPE FACILITY,,,4618.63,13605.0,23 CPT,58563,EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE FACILITY,,,4618.63,13605.0,23 CPT,58563,HC HYSTEROSCOPY ENDOMETRIAL ABLT,11791.0,7664.15,4618.63,13605.0,884 CPT,58570,"REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE, 250.0 G OR LESS",,,9814.25,13605.0,23 CPT,58571,"REMOVAL OF UTERUS, TUBES, AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE, 250.0 G OR LESS PROFESSIONAL",,,9814.25,13605.0,23 CPT,58572,"REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE, MORE THAN 250.0 G",,,9814.25,13605.0,23 CPT,58573,"REMOVAL OF UTERUS, TUBES, AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE, MORE THAN 250.0 G PROFESSIONAL",,,9814.25,13605.0,23 CPT,58575,REMOVAL OF UTERUS FOR REMOVAL OF GROWTH USING AN ENDOSCOPE,,,1869.34,22248.0,23 CPT,58578,UNLISTED PROC LAP UTRS,,,5581.68,13605.0,23 CPT,58580,DESTRUCTION OF UTERINE FIBROID(S) USING HEAT WITH ULTRASOUND GUIDANCE AND MONITORING FACILITY,,,6846.48,13605.0,23 CPT,58580,HC TRANSCERVICAL UTERINE FIBROID ABLTJ W/US GDN RF,29981.0,19487.65,6846.48,29081.57,884 CPT,58661,REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE PROFESSIONAL,,,5581.68,13605.0,23 CPT,58662,DESTRUCTION OR REMOVAL OF OVARY OR GROWTH OF PELVIS USING AN ENDOSCOPE PROFESSIONAL,,,9814.25,13605.0,23 CPT,58662,HC LAP W FULG/EXC LESN OV/VISC/PERIT,24360.0,15834.0,677.63,23872.8,856 CPT,58674,HC LAPS ABLTJ UTERINE FIBROIDS W/INTRAOP US GDN,29500.0,19175.0,9814.25,29500.0,884 CPT,58679,UNLISTED PROC LAP OVIDUCT/OVARY,,,5581.68,13605.0,23 CPT,58825,RELOCATION OF OVARIES BEHIND UTERUS,,,5581.68,22248.0,23 CPT,58950,"REMOVAL OF LINING OF ABDOMEN, OVARIES, AND FALLOPIAN TUBES",,,1119.24,22248.0,23 CPT,58954,"REMOVAL OF LINING OF ABDOMEN, UTERUS, OVARIES, FALLOPIAN TUBES, AND LYMPH NODES OF PELVIS AND AORTA FOR REDUCTION OF GROWTH",,,3254.52,22248.0,23 CPT,58956,"REMOVAL OF LINING OF ABDOMEN, UTERUS, OVARIES, AND FALLOPIAN TUBES",,,5581.68,22248.0,23 CPT,58999,UNLISTED PROC FEMALE GENT - FACILITY,,,3254.52,13605.0,23 CPT,59812,HC TX INCOMPLETE ABORTION,10779.0,7006.35,2988.75,10779.0,884 CPT,59812,TREATMENT OF MISCARRIAGE FACILITY,,,2988.75,8220.0,23 CPT,59820,HC TX MISSED ABORTION SURG 1ST T,13276.0,8629.4,2988.75,13010.48,884 CPT,59840,HC ABORTION INDUCED BY D&C,9890.0,6428.5,2988.75,9890.0,884 CPT,59840,INDUCED ABORTION BY DILATION AND SCRAPING OF UTERINE,,,2988.75,8220.0,23 CPT,59897,UNL FETAL INVASIVE PROC US FACILITY,,,186.66,3045.0,23 CPT,60100,HC BIOPSY THYROID PERC CORE NDL,1656.0,1076.4,653.8,3191.0,884 CPT,60100,NEEDLE BIOPSY OF THYROID THROUGH SKIN FACILITY,,,653.8,3191.0,23 CPT,60200,INCISION OF CYST OR GROWTH OF THYROID,,,5581.68,13605.0,23 CPT,60210,PARTIAL REMOVAL OF THYROID LOBE ON SIDE OF NECK,,,5581.68,13605.0,23 CPT,60212,PARTIAL REMOVAL OF THYROID LOBES ON BOTH SIDES OF NECK AND CONNECTING TISSUE,,,5581.68,13605.0,23 CPT,60220,REMOVAL OF THYROID LOBE ON SIDE OF NECK,,,5581.68,13605.0,23 CPT,60240,REMOVAL OF THYROID,,,9814.25,13605.0,23 CPT,60252,REMOVAL OF THYROID AND SURROUNDING LYMPH NODES WITH LIMITED NECK REMOVAL,,,5465.62,13605.0,23 CPT,60260,REMOVAL OF REMAINING THYROID TISSUE FROM PRIOR OPERATION,,,5465.62,22248.0,23 CPT,60270,REMOVAL OF THYROID FROM UNDER BREASTBONE,,,1293.68,22248.0,23 CPT,60271,REMOVAL OF THYROID THROUGH CHEST OR BACK,,,5465.62,13605.0,23 CPT,60280,REMOVAL OF CYST OF THYROID OR DRAINAGE OF THYROID GLAND DUCT,,,5581.68,13605.0,23 CPT,60300,ASPIRATION AND/OR INJECTION OF CYST OF THYROID FACILITY,,,653.8,3191.0,23 CPT,60300,HC ASP INJ THYROID CYST,1482.0,963.3,653.8,3191.0,884 CPT,60500,REMOVAL OR EXPLORATION OF PARATHYROID GLANDS,,,5465.62,13605.0,23 CPT,60502,REMOVAL OR RE-EXPLORATION OF PARATHYROID GLANDS,,,5465.62,13605.0,23 CPT,60512,REMOVAL AND REIMPLANTATION OF PARATHYROID TISSUE,,,9814.25,13605.0,23 CPT,60600,REMOVAL OF GROWTH OF CAROTID ARTERY,,,1308.54,22248.0,23 CPT,60650,REMOVAL OR EXPLORATION OF ADRENAL GLAND THROUGH ABDOMEN USING AN ENDOSCOPE,,,1169.07,22248.0,23 CPT,60660,HC ABLTJ 1/+THYR NDUL 1LOBE PRQ,6766.0,4397.9,1524.88,6563.02,884 CPT,60699,HC PERC RF ABLATION THYROID,25253.0,16414.45,5581.68,24495.41,884 CPT,60699,UNLISTED PROC ENDOCRINE - FACILITY,,,5581.68,13605.0,23 CPT,61050,HC PUNC CISTERNAL/LAT C1-C12 WO,3493.0,2270.45,283.4,3493.0,884 CPT,61055,HC PUNCTURE C1-C2 W INJECTION,3493.0,2270.45,283.4,3388.21,884 CPT,61070,ASPIRATION OF CEREBROSPINAL FLUID AND INJECTION IN SHUNT TUBING OR RESERVOIR FACILITY,,,651.72,3191.0,23 CPT,61070,HC PUNC SHUNT TUBE ASP INJ PROC,1646.0,1069.9,651.72,3191.0,884 CPT,61107,HC IMPL TWIST DRILL HOLE VEN CATH,5542.0,3602.3,319.36,22248.0,1768 CPT,61210,BURR HOLE FOR INSERTION OF BRAIN TUBE OR MONITORING DEVICE,,,372.74,22248.0,23 CPT,61215,INSERTION OF DEVICE FOR CONTINUOUS INFUSION IN BRAIN,,,8102.51,13605.0,23 CPT,61500,REMOVAL OF GROWTH OF BRAIN OR OTHER GROWTH OF SKULL BONE,,,1904.97,5243.0,23 CPT,61570,REMOVAL OF FOREIGN BODY IN BRAIN,,,1990.07,22248.0,23 CPT,61623,BALLOON OCCLUSION OF HEAD OR NECK ARTERY WITH REVIEW BY RADIOLOGIST FACILITY,,,10658.45,13605.0,23 CPT,61623,HC EVASC TEMP BALN ARTL OCCLUSION,25929.0,16853.85,10658.45,25151.13,884 CPT,61624,HC TXCATH OCCL/EMBL CNS,14772.0,9601.8,8198.46,22248.0,884 CPT,61624,OCCLUSION OF CENTRAL NERVOUS SYSTEM OR SPINAL CORD ARTERY FACILITY-EXPRESS CARE,,,16925.12,22248.0,23 CPT,61626,HC TXCATH OCCL/EMBL NON CNS,25550.0,16607.5,10658.45,24783.5,884 CPT,61626,OCCLUSION OF HEAD OR NECK ARTERY FACILITY,,,12244.0,19463.88,23 CPT,61630,HC ANGIO BALN PERC INTRACRANIAL,5016.0,3260.4,1355.57,22248.0,884 CPT,61635,HC INS STNT INTRACRANIAL,14184.0,9219.6,1464.52,22248.0,884 CPT,61640,HC DIL INTRACRANIAL VSPASM INIT,4767.0,3098.55,2645.69,6376.0,880 CPT,61641,HC DIL INTRACRNL VSPASM ADD SAME,2097.0,1363.05,1163.84,6376.0,880 CPT,61642,HC DIL INTRACRNL VSPASM ADD DIFF,2138.0,1389.7,1186.59,6376.0,880 CPT,61645,HC PERC ARTL M-THROMB &/NFS INTRCR,14363.0,9335.95,822.85,22248.0,884 CPT,61650,HC EVASC INTRCRNL PROLNG RX ADMIN INIT,6011.0,3907.15,572.97,22248.0,884 CPT,61650,"INFUSION OF CHEMICAL AGENT INTO ARTERY OF BRAIN WITH INSERTION OF TUBE AND IMAGING, INITIAL TERRITORY FACILITY",,,16925.12,22248.0,23 CPT,61651,HC EVASC INTRCRNL PROLNG RX ADMIN ADD,2064.0,1341.6,245.05,22248.0,884 CPT,61781,COMPUTER-ASSISTED PROCEDURE INSIDE BRAIN,,,6699.47,13605.0,23 CPT,61782,COMPUTER-ASSISTED PROCEDURE OUTSIDE MEMBRANE COVERING BRAIN,,,6515.97,13605.0,23 CPT,61783,COMPUTER-ASSISTED SPINAL PROCEDURE,,,12244.0,28809.95,23 CPT,61800,COMPUTER-ASSISTED RADIOSURGERY APPLICATION OF HEADFRAME FACILITY,,,6800.18,7820.21,4 CPT,61800,HC APP STEREOTACTIC HEADFRAME,8282.0,5383.3,159.25,8033.54,884 CPT,61863,"REMOVAL OF SKULL BONE WITH COMPUTER-ASSISTED INSERTION OF NEUROSTIMULATOR ELECTRODES IN BRAIN, FIRST ARRAY",,,20023.0,32763.62,23 CPT,61864,"REMOVAL OF SKULL BONE WITH COMPUTER-ASSISTED INSERTION OF NEUROSTIMULATOR ELECTRODES IN BRAIN, EACH ADDITIONAL ARRAY",,,28490.1,32763.62,4 CPT,61867,"REMOVAL OF SKULL BONE WITH COMPUTER-ASSISTED INSERTION OF NEUROSTIMULATOR ELECTRODES IN BRAIN WITH RECORDING, FIRST ARRAY",,,20023.0,32763.62,23 CPT,61868,"REMOVAL OF SKULL BONE WITH COMPUTER-ASSISTED INSERTION OF NEUROSTIMULATOR ELECTRODES IN BRAIN WITH RECORDING, EACH ADDITIONAL ARRAY",,,28490.1,32763.62,4 CPT,61880,REVISION OR REMOVAL OF BRAIN NEUROSTIMULATOR ELECTRODES,,,10287.76,13605.0,23 CPT,61885,INSERTION OF BRAIN NEUROSTIMULATOR PULSE DEVICE WITH CONNECTION TO SINGLE ELECTRODE ARRAY,,,12244.0,32763.62,23 CPT,61886,INSERTION OF BRAIN NEUROSTIMULATOR PULSE DEVICE WITH CONNECTION TO 2 OR MORE ELECTRODE ARRAYS,,,12244.0,32763.62,23 CPT,61888,REMOVAL OF BRAIN NEUROSTIMULATOR DEVICE,,,10287.76,13605.0,23 CPT,61889,INSERTION OF SKULL-MOUNTED CRANIAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER,,,1903.95,2189.54,4 CPT,62100,REMOVAL OF SKULL BONE FOR REPAIR OF CEREBROSPINAL FLUID LEAK,,,6515.97,22248.0,23 CPT,62121,REMOVAL OF SKULL BONE FOR REPAIR OF HERNIATED BRAIN AT SKULL BASE,,,5465.62,22248.0,23 CPT,62143,REPLACEMENT OF SKULL BONE FLAP OR SKULL PLATE,,,1120.04,22248.0,23 CPT,62223,"CREATION OF BRAIN FLUID DRAINAGE SHUNT, VENTRICULO-PERITONEAL, -PLEURAL, OTHER TERMINUS",,,2182.28,22248.0,23 CPT,62230,INSERTION OR REVISION OF CEREBROSPINAL FLUID DRAINAGE SHUNT VALVE OR TUBE,,,8102.51,13605.0,23 CPT,62267,ASPIRATION OF SPINAL DISC TISSUE FOR DIAGNOSTIC PURPOSES FACILITY,,,653.8,3191.0,23 CPT,62267,HC PERC ASP INTERDISCAL DX,1508.0,980.2,653.8,3191.0,884 CPT,62268,ASPIRATION OF FLUID FROM CYST OF SPINAL CORD OR FLUID-FILLED CAVITY FACILITY,,,816.61,3191.0,23 CPT,62268,HC PERC ASP SPINAL CORD CYST,5313.0,3453.45,816.61,5153.61,884 CPT,62270,HC PUNCTURE SPINAL LUMBAR DX,1534.0,997.1,651.72,3191.0,2652 CPT,62272,HC PUNCTURE SPINAL THER DRN CSF,1572.0,1021.8,651.72,3191.0,1768 CPT,62273,HC INJ EPI BLD/CLOT PATCH,1701.0,1105.65,651.72,3191.0,2652 CPT,62273,INJECTION OF BLOOD OR BLOOD CLOT INTO SPINAL CANAL FACILITY,,,651.72,3191.0,23 CPT,62284,HC INJ MYELOGRAPHY CT WO C1/C2,1729.0,1123.85,859.31,6376.0,1760 CPT,62284,INJECTION OF CONTRAST FOR IMAGING OF LOWER SPINAL CANAL FACILITY,,,3443.0,3826.0,19 CPT,62290,HC INJ DISCOGRAPHY LUMBAR EA LVL,3566.0,2317.9,1979.13,6376.0,880 CPT,62290,INJECTION OF CONTRAST FOR IMAGING OF EACH LEVEL OF LOWER SPINE FACILITY,,,1802.9,6376.0,23 CPT,62302,HC MYELOGRAPHY LUMB INJ S&I CERV,1868.0,1214.2,723.77,3191.0,884 CPT,62302,X-RAY OF UPPER SPINAL CANAL WITH REVIEW BY RADIOLOGIST FACILITY,,,723.77,3191.0,23 CPT,62303,HC MYELOGRAPHY LUMB INJ S&I THOR,1941.0,1261.65,723.77,3191.0,884 CPT,62303,X-RAY OF MIDDLE SPINAL CANAL WITH REVIEW BY RADIOLOGIST FACILITY,,,723.77,3191.0,23 CPT,62304,HC MYELOGRAPHY LUMB INJ S&I LUMB,1856.0,1206.4,723.77,3191.0,884 CPT,62304,X-RAY OF LOWER SPINAL CANAL WITH REVIEW BY RADIOLOGIST FACILITY,,,723.77,3191.0,23 CPT,62305,HC MYELOGRAPHY LUMB INJ >2 RGNS,1843.0,1197.95,723.77,3191.0,884 CPT,62305,X-RAY OF MULTIPLE REGIONS OF SPINAL CANAL WITH REVIEW BY RADIOLOGIST FACILITY,,,723.77,3191.0,23 CPT,62320,INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL FACILITY,,,651.72,3191.0,23 CPT,62321,HC INJ SPINE CERV/THOR W IMG,1657.0,1077.05,651.72,3191.0,884 CPT,62321,INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE FACILITY,,,651.72,3191.0,23 CPT,62322,HC INJ SPINE LUMB/SAC WO IMG,2006.0,1303.9,816.61,3191.0,884 CPT,62322,INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL FACILITY,,,11853.62,13631.66,23 CPT,62323,HC INJ SPINE LUMB/SAC W IMG,1630.0,1059.5,651.72,3191.0,1768 CPT,62323,INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE FACILITY,,,651.72,3191.0,23 CPT,62324,HC NJX INTRLMNR CRV/THOR WO IMG GUID,2088.0,1357.2,816.61,3191.0,884 CPT,62328,HC PUNCTURE SPINAL LUMBAR DX W GUID,1713.0,1113.45,651.72,3191.0,1768 CPT,62328,REMOVAL OF SPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST USING IMAGING GUIDANCE FACILITY,,,651.72,3191.0,23 CPT,62329,HC PUNCTURE SPINAL THER DRN CSF W GUID,1678.0,1090.7,651.72,3191.0,884 CPT,62329,REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP USING IMAGING GUIDANCE FACILITY,,,651.72,3191.0,23 CPT,62350,"INSERTION, REVISION, OR REPOSITIONING OF SPINAL CANAL TUBE FOR MEDICATION ADMINISTRATION",,,12244.0,19137.09,23 CPT,62355,REMOVAL OF IMPLANTED TUBE IN SPINAL CANAL,,,3154.04,13605.0,23 CPT,62362,INSERTION OF PROGRAMMABLE SPINAL CANAL DRUG INFUSION PUMP,,,12244.0,19137.09,23 CPT,62365,REMOVAL OF SPINAL CANAL DRUG INFUSION PUMP OR DEVICE,,,3154.04,13605.0,23 CPT,62367,HC ELEC ANLYS PUMP WO RPRG/REFILL,3101.0,2015.65,283.57,3045.0,884 CPT,62368,HC ELEC ANLYS PUMP W RPRG,3101.0,2015.65,283.57,3045.0,884 CPT,62370,HC ELEC ANLYS PUMP W RPRG&RFLL,677.0,440.05,283.57,3045.0,884 CPT,62380,RELEASE OF LOWER SPINAL CORD AND/OR NERVE ROOT USING ENDOSCOPE,,,6699.47,13605.0,23 CPT,63001,"PARTIAL REMOVAL OF SPINE BONE WITH EXPLORATION AND/OR RELEASE OF UPPER SPINAL CORD OR NERVES, 1-2 SEGMENTS",,,6699.47,13605.0,23 CPT,63003,"PARTIAL REMOVAL OF SPINE BONE WITH EXPLORATION AND/OR RELEASE OF MIDDLE SPINAL CORD OR NERVES, 1-2 SEGMENTS",,,6699.47,13605.0,23 CPT,63005,"PARTIAL REMOVAL OF SPINE BONE WITH EXPLORATION AND/OR RELEASE OF LOWER SPINAL CORD OR NERVES, 1-2 SEGMENTS",,,6699.47,13605.0,23 CPT,63015,"PARTIAL REMOVAL OF SPINE BONE WITH EXPLORATION AND/OR RELEASE OF UPPER SPINAL CORD OR NERVES, MORE THAN 2 SEGMENTS",,,6699.47,13605.0,23 CPT,63017,"PARTIAL REMOVAL OF SPINE BONE WITH EXPLORATION AND/OR RELEASE OF LOWER SPINAL CORD OR NERVES, MORE THAN 2 SEGMENTS",,,6699.47,13605.0,23 CPT,63020,"PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF UPPER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC, 1 INTERSPACE",,,6699.47,13605.0,23 CPT,63030,PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC,,,6699.47,13605.0,23 CPT,63035,"PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF UPPER OR LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC, EACH ADDITIONAL INTERSPACE",,,6699.47,13605.0,23 CPT,63042,"PARTIAL REMOVAL OF SPINE BONE WITH RE-EXPLORATION, RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC, 1 INTERSPACE",,,6699.47,13605.0,23 CPT,63045,"PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF UPPER SPINAL CORD AND/OR NERVES, 1 SEGMENT",,,6699.47,13605.0,23 CPT,63046,"PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF MIDDLE SPINAL CORD AND/OR NERVES, 1 SEGMENT",,,16188.51,22248.0,23 CPT,63047,"PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES, 1 SEGMENT",,,6699.47,13605.0,23 CPT,63048,"PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF SPINAL CORD AND/OR NERVES, EACH ADDITIONAL SEGMENT",,,6699.47,13605.0,23 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,,,12244.0,28809.95,23 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,,,12244.0,28809.95,23 CPT,63056,"RELEASE OF LOWER SPINAL CORD AND/OR NERVES, SINGLE SEGMENT",,,6699.47,13605.0,23 CPT,63057,"RELEASE OF MIDDLE OR LOWER SPINAL CORD AND/OR NERVES, SINGLE SEGMENT",,,6699.47,13605.0,23 CPT,63081,"REMOVAL OF UPPER SPINE BONE WITH RELEASE OF SPINAL CORD AND/OR NERVES, ANTERIOR APPROACH, SINGLE SEGMENT",,,11853.62,22248.0,23 CPT,63265,REMOVAL OF UPPER SPINE BONE AND GROWTH OUTSIDE SPINE MEMBRANE,,,6699.47,13605.0,23 CPT,63267,REMOVAL OF GROWTH OF LOWER SPINE BONE OUTSIDE SPINE MEMBRANE,,,6699.47,13605.0,23 CPT,63281,"REMOVAL OR BIOPSY OF GROWTH OF MIDDLE SPINE BONE WITHIN SPINE MEMBRANE, EXTRAMEDULLARY",,,2222.3,22248.0,23 CPT,63650,HC IMPL NEUROSTIM ELEC PERC EPI,15522.0,10089.3,5884.02,15056.34,884 CPT,63650,INSERTION OF SPINAL NEUROSTIMULATOR ELECTRODE ARRAY THROUGH SKIN FACILITY,,,5884.02,13605.0,23 CPT,63655,REMOVAL OF SPINE BONE FOR INSERTION OF NEUROSTIMULATOR ELECTRODE PLATE IN SPINE,,,28490.1,32763.62,4 CPT,63662,REMOVAL OF SPINAL NEUROSTIMULATOR ELECTRODE PLATE USING FLUOROSCOPIC GUIDANCE,,,3227.86,13605.0,23 CPT,63663,REVISION OF SPINAL NEUROSTIMULATOR ELECTRODE ARRAY USING FLUOROSCOPIC GUIDANCE,,,12244.0,32763.62,23 CPT,63664,REVISION OF SPINAL NEUROSTIMULATOR ELECTRODE PLATE USING FLUOROSCOPIC GUIDANCE,,,12244.0,32763.62,23 CPT,63685,INSERTION OR REPLACEMENT OF SPINAL NEUROSTIMULATOR GENERATOR OR RECEIVER PROFESSIONAL,,,12244.0,32763.62,23 CPT,63688,REMOVAL OR REVISION OF SPINAL NEUROSTIMULATOR GENERATOR OR RECEIVER PROFESSIONAL,,,3227.86,13605.0,23 CPT,64400,HC INJ ANES TRIGEMINAL NRV,671.5,436.475,283.4,3045.0,1768 CPT,64400,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO FACE NERVE FACILITY,,,283.4,3045.0,23 CPT,64405,HC INJ ANES GREATER OCCIPITAL NRV,674.0,438.1,283.4,3045.0,884 CPT,64405,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE FACILITY,,,283.4,3045.0,23 CPT,64408,HC INJ ANES VAGUS NRV,647.0,420.55,283.4,3045.0,884 CPT,64408,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO VAGUS NERVE FACILITY,,,283.4,3045.0,23 CPT,64415,HC INJ ANES BRACHIAL PLEX W GUIDANCE,2933.5,1906.775,816.61,3717.0,1768 CPT,64415,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO ARM NERVE BUNDLE (BRACHIAL PLEXUS) PROFESSIONAL,,,816.61,3191.0,23 CPT,64416,CONTINUOUS INFUSION OF ANESTHETIC AGENT AND/OR STEROID INTO ARM NERVE BUNDLE THROUGH CATHETER FACILITY,,,816.61,3191.0,23 CPT,64416,HC INJ ANES BRACHIAL PLEXUS CONT W GUIDANCE,2140.0,1391.0,816.61,3191.0,884 CPT,64417,HC INJ ANES AXILLARY NERVE W GUIDANCE,1995.0,1296.75,816.61,3191.0,884 CPT,64417,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER ARM AND SHOULDER NERVE (AXILLARY NERVE) FACILITY,,,816.61,3191.0,23 CPT,64418,HC INJ ANES SUPRASCAPULAR NERVE,1577.0,1025.05,651.72,3191.0,884 CPT,64418,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO SUPRASCAPULAR SHOULDER NERVE FACILITY,,,651.72,3191.0,23 CPT,64420,HC INJ ANES INTERCOSTAL NRV SNGL LVL,1713.0,1113.45,651.72,3191.0,884 CPT,64420,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO RIB NERVE FACILITY,,,651.72,3191.0,23 CPT,64421,HC INJ ANES INTERCOSTAL NRV EA ADDL LEVEL,2211.0,1437.15,816.61,3191.0,884 CPT,64421,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO MULTIPLE RIB NERVES FOR REGIONAL NERVE BLOCK FACILITY,,,816.61,3191.0,23 CPT,64425,HC INJ ANES ILIOINGUINAL NRV,1641.0,1066.65,651.72,3191.0,884 CPT,64425,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO LOWER ABDOMEN AND GROIN NERVE FACILITY-EXPRESS CARE,,,651.72,3191.0,23 CPT,64430,HC INJ NRV BLOCK PUDENDAL,2296.0,1492.4,816.61,3191.0,884 CPT,64430,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO EXTERNAL GENITALS AND ANUS NERVE FACILITY,,,816.61,3191.0,23 CPT,64445,HC INJ ANES SCIATIC NERVE W GUIDANCE,1603.5,1042.275,651.72,3191.0,1768 CPT,64445,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO LOWER BACK AND LEG NERVE (SCIATIC NERVE) PROFESSIONAL,,,651.72,3191.0,23 CPT,64446,HC INJ ANES SCIATIC NRV CONT INFUS W GUIDANCE,2134.0,1387.1,816.61,3191.0,884 CPT,64447,HC INJ ANES FEM NERVE W GUIDANCE,1559.0,1013.35,651.72,3191.0,1768 CPT,64447,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO THIGH NERVE (FEMORAL NERVE) PROFESSIONAL,,,651.72,3191.0,23 CPT,64448,CONTINUOUS INFUSION OF ANESTHETIC AGENT AND/OR STEROID INTO THIGH NERVE (FEMORAL NERVE) THROUGH CATHETER FACILITY,,,816.61,3191.0,23 CPT,64448,HC INJ ANES FEM NERVE CONT W GUIDANCE,2169.0,1409.85,816.61,3191.0,884 CPT,64450,HC INJ ANES OTHER PERIPHERAL NRV,1615.5,1050.075,651.72,3191.0,2652 CPT,64450,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO OTHER NERVE OR BRANCH FACILITY,,,651.72,3191.0,23 CPT,64451,HC INJ ANES/STEROID NERVES SACROILIAC JNT,1632.0,1060.8,651.72,3191.0,884 CPT,64451,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO SPINE AND PELVIS NERVE USING IMAGING GUIDANCE FACILITY,,,651.72,3191.0,23 CPT,64454,HC INJ ANES/STEROID GENICULAR NERVE,1635.0,1062.75,651.72,3191.0,884 CPT,64454,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO KNEE NERVE BRANCH USING IMAGING GUIDANCE FACILITY,,,651.72,3191.0,23 CPT,64455,HC INJ ANES STEROID PLANTAR NRV,676.0,439.4,283.4,3045.0,884 CPT,64455,INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO FOOT NERVE FACILITY,,,283.4,3045.0,23 CPT,64461,HC PARAVERTEB BLOCK THOR SNGL,1631.0,1060.15,651.72,3191.0,884 CPT,64461,"INJECTION OF ANESTHETIC AGENT INTO THORACIC VERTEBRA USING IMAGING GUIDANCE, SINGLE SITE FACILITY",,,651.72,3191.0,23 CPT,64463,INJECTION OF ANESTHETIC AGENT THROUGH TUBE INTO THORACIC VERTEBRA USING IMAGING GUIDANCE FACILITY,,,651.72,3191.0,23 CPT,64466,HC THRC FASCIAL PLN BLK UNI NJX,2866.0,1862.9,1424.4,2866.0,880 CPT,64466,UNILATERAL THORACIC FASCIAL PLANE BLOCK BY INJECTION(S) FACILITY,,,,,0 CPT,64468,BILATERAL THORACIC FASCIAL PLANE BLOCK BY INJECTION(S) FACILITY,,,6699.47,13605.0,23 CPT,64468,HC THRC FASCIAL PLN BLK BI NJX,728.0,473.2,361.82,728.0,880 CPT,64473,HC LWR XTR FSCL PLN BLK UNI NJX,2108.0,1370.2,1047.68,2108.0,880 CPT,64473,UNILATERAL LOWER EXTREMITY FASCIAL PLANE BLOCK BY INJECTION(S) FACILITY,,,3020.95,13605.0,23 CPT,64479,HC INJ ANES FORAMEN SNGL CRV/THRC,2155.0,1400.75,816.61,3191.0,884 CPT,64479,"INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO UPPER OR MIDDLE SPINE NERVE ROOT USING IMAGING GUIDANCE, SINGLE LEVEL FACILITY",,,816.61,3191.0,23 CPT,64480,"INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO UPPER OR MIDDLE SPINE NERVE ROOT USING IMAGING GUIDANCE, EACH ADDITIONAL LEVEL FACILITY",,,816.61,3191.0,23 CPT,64483,HC INJ ANES FORAMEN EPI LUMB SNGL,2171.0,1411.15,816.61,3191.0,1768 CPT,64483,"INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE, SINGLE LEVEL FACILITY",,,816.61,3191.0,23 CPT,64484,HC INJ ANES FORAMEN EPI LUMB ADD,1733.0,1126.45,861.3,1681.01,880 CPT,64484,"INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE, EACH ADDITIONAL LEVEL FACILITY",,,816.61,3191.0,23 CPT,64486,HC TAP BLOCK UNILAT BY INJ,7200.0,4680.0,3578.4,7056.0,880 CPT,64488,HC INJ ANES TRANSABDOM PLANE BIL,9871.0,6416.15,4905.89,9574.87,880 CPT,64488,INJECTION OF LOCAL ANESTHETIC FOR ABDOMINAL WALL PAIN CONTROL ON BOTH SIDES USING IMAGING GUIDANCE FACILITY,,,199.36,229.26,4 CPT,64490,HC INJ FACET JT CERV/THOR 1 LVL,2135.0,1387.75,816.61,3191.0,884 CPT,64490,"INJECTION OF UPPER OR MIDDLE SPINE FACET JOINT USING IMAGING GUIDANCE, SINGLE LEVEL FACILITY",,,816.61,3191.0,23 CPT,64491,HC INJ FACET JT CERV/THOR 2 LVL,1575.0,1023.75,782.78,1527.75,880 CPT,64491,"INJECTION OF UPPER OR MIDDLE SPINE FACET JOINT USING IMAGING GUIDANCE, SECOND LEVEL FACILITY",,,816.61,3191.0,23 CPT,64492,HC INJ FACET JT CERV/THOR >=3 LVL,1574.0,1023.1,782.28,1526.78,880 CPT,64492,"INJECTION OF UPPER OR MIDDLE SPINE FACET JOINT USING IMAGING GUIDANCE, THIRD AND ANY ADDITIONAL LEVEL FACILITY",,,816.61,3191.0,23 CPT,64493,HC INJ FACET JT LUMB/SAC 1 LVL,2242.0,1457.3,816.61,3191.0,1768 CPT,64493,"INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE, SINGLE LEVEL FACILITY",,,816.61,3191.0,23 CPT,64494,HC INJ FACET JT LUMB/SAC 2 LVL,1829.0,1188.85,909.01,6376.0,1760 CPT,64494,"INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE, SECOND LEVEL FACILITY",,,816.61,3191.0,23 CPT,64495,HC INJ FACET JT LUMB/SAC >= 3 LVL,1617.0,1051.05,803.65,1568.49,880 CPT,64495,"INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE, THIRD AND ANY ADDITIONAL LEVEL FACILITY",,,816.61,3191.0,23 CPT,64505,HC INJ ANES SPENOPLTN GANGLION,654.0,425.1,283.4,3045.0,884 CPT,64505,"INJECTION OF ANESTHETIC AGENT, TRIGEMINAL NERVE BUNDLE FACILITY",,,283.4,3045.0,23 CPT,64510,HC INJ ANES STELLATE GANGLION,2190.0,1423.5,816.61,3191.0,884 CPT,64510,INJECTION OF ANESTHETIC AGENT INTO SYMPATHETIC NERVE BUNDLE FACILITY,,,816.61,3191.0,23 CPT,64517,HC INJ ANES SUPR HYPOGASTRIC PLEX,2150.0,1397.5,816.61,3191.0,884 CPT,64517,INJECTION OF ANESTHETIC AGENT INTO SACRAL NERVE BUNDLE FACILITY,,,816.61,3191.0,23 CPT,64520,HC INJ ANES AGENT LUMBAR/THORACIC,2150.0,1397.5,816.61,3191.0,884 CPT,64520,INJECTION OF ANESTHETIC AGENT INTO MIDDLE OR LOWER SPINE SYMPATHETIC NERVE FACILITY,,,816.61,3191.0,23 CPT,64530,HC INJ ANES AGENT CELIAC PLEX,2160.0,1404.0,816.61,3191.0,1768 CPT,64530,INJECTION OF ANESTHETIC AGENT INTO ABDOMINAL SYMPATHETIC NERVE BUNDLE FACILITY,,,816.61,3191.0,23 CPT,64555,HC IMPL NEUROSTIM PERIPHERAL PERC,15054.0,9785.1,5884.02,14602.38,884 CPT,64555,INSERTION OF PERIPHERAL NERVE NEUROSTIMULATOR ELECTRODE THROUGH SKIN FACILITY,,,5884.02,13605.0,23 CPT,64561,INSERTION OF SACRAL NERVE NEUROSTIMULATOR ELECTRODE ARRAY FACILITY,,,5884.02,13605.0,23 CPT,64568,INSERTION OF CRANIAL NERVE NEUROSTIMULATOR ELECTRODE AND GENERATOR,,,12244.0,46766.99,23 CPT,64569,REVISION OF CRANIAL NERVE NEUROSTIMULATOR ELECTRODES,,,10287.76,13605.0,23 CPT,64570,REMOVAL OF CRANIAL NERVE NEUROSTIMULATOR ELECTRODES,,,3154.04,13605.0,23 CPT,64581,INSERTION OF SACRAL NERVE NEUROSTIMULATOR ELECTRODE,,,12244.0,20598.36,23 CPT,64582,INSERTION OF HYPOGLOSSAL NERVE NEUROSTIMULATOR ELECTRODE AND GENERATOR AND BREATHING SENSOR ELECTRODE PROFESSIONAL,,,12244.0,32763.62,23 CPT,64584,REMOVAL OF HYPOGLOSSAL NERVE NEUROSTIMULATOR ELECTRODE AND GENERATOR AND BREATHING SENSOR ELECTRODE,,,3154.04,13605.0,23 CPT,64585,HC REV/RMVL PERIPH NEUROSTIM ELEC,8205.0,5333.25,3227.86,13605.0,884 CPT,64585,REVISION OF PERIPHERAL NEUROSTIMULATOR ELECTRODES FACILITY,,,3227.86,13605.0,23 CPT,64590,"INSERTION OR REPLACEMENT OF PERIPHERAL, SACRAL, OR GASTRIC NEUROSTIMULATOR GENERATOR OR RECEIVER PROFESSIONAL",,,12244.0,20598.36,23 CPT,64595,"REMOVAL OR REVISION OF A PERIPHERAL, SACRAL, OR GASTRIC NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER FACILITY",,,3227.86,13605.0,23 CPT,64605,DESTRUCTION OF SECOND AND THIRD DIVISION OF FACE NERVE BRANCH FACILITY,,,1802.9,5243.0,23 CPT,64605,HC DESTRCT TRIGEM 2ND/3RD DIV,8182.0,5318.3,1802.9,7936.54,884 CPT,64610,DESTRUCTION OF FACE NERVE BRANCH UNDER X-RAY MONITORING FACILITY,,,1802.9,5243.0,23 CPT,64610,HC DESTRCT TRIGEM 2/3 DIV RADMNTR,4397.0,2858.05,1802.9,5243.0,884 CPT,64611,INJECTION OF CHEMICAL FOR PARALYSIS OF SALIVARY GLANDS ON BOTH SIDES OF MOUTH FACILITY,,,283.4,3045.0,23 CPT,64612,HC CHEMODENERV FACIAL MUS UNILAT,3493.0,2270.45,283.4,3423.14,884 CPT,64612,INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON SIDE OF FACE FACILITY-EXPRESS CARE,,,283.4,3045.0,23 CPT,64615,HC CHEMODENERV FACIAL TRIGEM BIL,3463.0,2250.95,283.4,3393.74,884 CPT,64615,INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE FACILITY,,,283.4,3191.0,23 CPT,64616,HC CHEMODENERV NECK MUSCLE UNILAT,2721.0,1768.65,283.4,3045.0,884 CPT,64616,INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON SIDE OF NECK EXCLUDING VOICE BOX FACILITY,,,283.4,3045.0,23 CPT,64624,DESTRUCTION OF NERVE BRANCHES OF KNEE USING IMAGING GUIDANCE FACILITY,,,1802.9,5243.0,23 CPT,64624,HC DEST NEURO AGNT GENICULAR NERVE,4255.0,2765.75,1802.9,5243.0,884 CPT,64625,DESTRUCTION OF NERVES SUPPLYING JOINT BETWEEN SPINE AND PELVIS USING IMAGING GUIDANCE FACILITY,,,1802.9,5243.0,23 CPT,64625,HC RF ABLATION NERVES SACROILIAC JNT,4421.0,2873.65,1802.9,5243.0,884 CPT,64628,HC THER DES INTRA BAS NRV 1ST 2 BOD LUM/SAC,29914.0,19444.1,11853.62,29016.58,884 CPT,64628,"HEAT DESTRUCTION OF INTRAOSSEOUS BASIVERTEBRAL NERVE IN BONES OF SPINE IN LOWER BACK, FIRST TWO BONES FACILITY",,,11853.62,13631.66,23 CPT,64629,HC THER DES INTRA BAS NRV EA ADD BOD LUM/SAC,10741.0,6981.65,5739.0,10418.77,880 CPT,64629,HEAT DESTRUCTION OF INTRAOSSEOUS BASIVERTEBRAL NERVE IN ADDITIONAL BONE OF SPINE IN LOWER BACK FACILITY-EXPRESS CARE,,,11853.62,13631.66,23 CPT,64630,DESTRUCTION OF EXTERNAL GENITAL NERVE,,,816.61,3191.0,23 CPT,64632,DESTRUCTION OF FOOT NERVE FACILITY,,,283.4,3826.0,23 CPT,64632,HC DEST PLANTAR DIGITAL NERVE,3322.0,2159.3,283.4,3222.34,884 CPT,64633,"DESTRUCTION OF UPPER OR MIDDLE SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE, SINGLE FACET JOINT FACILITY",,,1802.9,5243.0,23 CPT,64633,HC DEST CERV/THOR FACET JT,4707.0,3059.55,1802.9,5243.0,884 CPT,64634,"DESTRUCTION OF UPPER OR MIDDLE SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE, EACH ADDITIONAL FACET JOINT FACILITY",,,1802.9,5243.0,23 CPT,64634,HC DEST CERV/THOR FACET JT ADD,2560.0,1664.0,1272.32,2483.2,880 CPT,64635,"DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE, SINGLE FACET JOINT FACILITY",,,1802.9,5243.0,23 CPT,64635,HC DEST LUMB/SAC FACET JT,4728.0,3073.2,1802.9,5243.0,884 CPT,64636,"DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE, EACH ADDITIONAL FACET JOINT FACILITY",,,1802.9,5243.0,23 CPT,64636,HC DEST LUMB/SAC FACET JT ADD,3099.0,2014.35,1540.2,3006.03,880 CPT,64640,DESTRUCTION OF PERIPHERAL NERVE OR BRANCH FACILITY,,,816.61,3191.0,23 CPT,64640,HC DEST OTHER PERIPHERAL NERVE,2081.0,1352.65,816.61,3191.0,884 CPT,64642,HC CHEMODENERV 1 EXT 1-4 MUSCLE,1667.0,1083.55,651.72,3191.0,884 CPT,64642,"INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON ARM OR LEG, 1-4 MUSCLES, FIRST EXTREMITY FACILITY",,,651.72,3191.0,23 CPT,64643,HC CHEMODENERV EA ADD EXT 1-4 MUS,1521.0,988.65,755.94,1475.37,880 CPT,64643,"INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON ARM OR LEG, 1-4 MUSCLES, EACH ADDITIONAL EXTREMITY FACILITY",,,6.5,3191.0,23 CPT,64644,HC CHEMODENERV 1 EXT >=5 MUS,2500.0,1625.0,651.72,3191.0,884 CPT,64644,"INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON ARM OR LEG, 5 OR MORE MUSCLES, FIRST EXTREMITY FACILITY",,,651.72,3191.0,23 CPT,64645,HC CHEMODENERV EXT EA ADD > 4 MUS,2001.0,1300.65,994.5,1940.97,880 CPT,64645,"INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON ARM OR LEG, 5 OR MORE MUSCLES, EACH ADDITIONAL EXTREMITY FACILITY",,,6.5,3191.0,23 CPT,64646,HC CHEMODENERV TRUNK 1-5 MUS,1620.0,1053.0,651.72,3191.0,884 CPT,64646,"INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON TRUNK, 1-5 MUSCLES FACILITY",,,651.72,3191.0,23 CPT,64647,HC CHEMODENERV TRUNK OVER 5 MUS,4958.0,3222.7,651.72,4809.26,884 CPT,64647,"INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON TRUNK, 6 OR MORE MUSCLES FACILITY",,,651.72,3191.0,23 CPT,64650,HC CHEMODENERV ECCRINE GLND AXIL BOTH,653.0,424.45,283.4,3045.0,884 CPT,64650,INJECTION OF CHEMICAL FOR PARALYSIS OF UNDERARM SWEAT GLANDS FACILITY,,,283.4,3117.0,23 CPT,64653,INJECTION OF CHEMICAL FOR PARALYSIS OF SWEAT GLANDS FACILITY,,,283.4,3117.0,23 CPT,64680,HC DEST NERVE CELIAC PLEX,2150.0,1397.5,816.61,3191.0,884 CPT,64680,INJECTION OF AGENT TO DESTROY ABDOMINAL NERVE BUNDLE FACILITY,,,816.61,3191.0,23 CPT,64702,RELEASE OF FINGER NERVE,,,1802.9,5243.0,23 CPT,64704,RELEASE OF HAND OR FOOT NERVE,,,1802.9,5243.0,23 CPT,64708,RELEASE OF ARM OR LEG NERVE PROFESSIONAL,,,3020.95,13605.0,23 CPT,64712,RELEASE OF SCIATIC NERVE,,,2681.85,8220.0,23 CPT,64713,RELEASE OF MAJOR ARM OR LEG NERVE,,,2681.85,8220.0,23 CPT,64716,RELEASE AND/OR RELOCATION OF CRANIAL NERVE,,,1802.9,5243.0,23 CPT,64718,RELEASE AND/OR RELOCATION OF ELBOW NERVE PROFESSIONAL,,,1802.9,5243.0,23 CPT,64719,RELEASE AND/OR RELOCATION OF WRIST NERVE,,,1802.9,5243.0,23 CPT,64721,HC NEUROPLASTY MEDN NRV CARP TUNL,4480.0,2912.0,1802.9,5243.0,884 CPT,64721,RELEASE AND/OR RELOCATION OF HAND NERVE PROFESSIONAL,,,1802.9,5243.0,23 CPT,64722,RELEASE OF UNSPECIFIED NERVE,,,1802.9,5243.0,23 CPT,64742,INCISION OR REMOVAL OF FACE NERVE,,,1802.9,13605.0,23 CPT,64772,INCISION OR REMOVAL OF SPINAL NERVE PROFESSIONAL,,,3020.95,13605.0,23 CPT,64774,REMOVAL OF GROWTH OF SKIN NERVE,,,1802.9,5243.0,23 CPT,64776,"REMOVAL OF GROWTH OF FINGER OR TOE NERVE, SAME DIGIT",,,1802.9,5243.0,23 CPT,64782,"REMOVAL OF GROWTH OF NERVE OF HAND OR FOOT NERVE, FIRST NERVE",,,3020.95,13605.0,23 CPT,64784,REMOVAL OF GROWTH OF PERIPHERAL NERVE,,,1802.9,13605.0,23 CPT,64786,REMOVAL OR GROWTH OF SCIATIC NERVE,,,3154.04,13605.0,23 CPT,64787,IMPLANTATION OF NERVE END INTO BONE OR MUSCLE,,,1802.9,5243.0,23 CPT,64788,HC EXCISN NEUROFIBROMA CUTAN NRV,8154.0,5300.1,1802.9,7909.38,884 CPT,64788,REMOVAL OF GROWTH OF SKIN NERVE OR NERVE LINING FACILITY,,,1802.9,5243.0,23 CPT,64790,REMOVAL OF GROWTH OF MAJOR PERIPHERAL NERVE OR NERVE LINING,,,8102.51,13605.0,23 CPT,64792,"REMOVAL OF GROWTH OF MAJOR PERIPHERAL NERVE OR NERVE LINING, EXTENSIVE INCLUDING GROWTH",,,3154.04,13605.0,23 CPT,64795,BIOPSY OF NERVE FACILITY,,,1802.9,5243.0,23 CPT,64795,HC BIOPSY OF NERVE,4318.0,2806.7,1802.9,5243.0,884 CPT,64820,REMOVAL OF FINGER OR TOE SYMPATHETIC NERVE,,,3020.95,13605.0,23 CPT,64821,REMOVAL OF LOWER ARM RADIAL ARTERY SYMPATHETIC NERVE,,,3020.95,13605.0,23 CPT,64822,REMOVAL OF LOWER ARM ULNAR ARTERY SYMPATHETIC NERVE,,,3020.95,13605.0,23 CPT,64823,REMOVAL OF HAND SYMPATHETIC NERVE,,,3020.95,13605.0,23 CPT,64831,"SUTURE OF HAND OR FOOT DIGITAL NERVE, FIRST DIGITAL NERVE",,,3020.95,13605.0,23 CPT,64835,SUTURE OF HAND MEDIAN MOTOR NERVE,,,3154.04,13605.0,23 CPT,64864,SUTURE OF FACE NERVE OUTSIDE SKULL,,,8102.51,13605.0,23 CPT,64897,"GRAFT OF MULTIPLE ARM OR LEG NERVES, 4.0 CM OR LESS",,,8102.51,13605.0,23 CPT,64905,"TRANSFER OF NERVE TO INJURED NERVE, STAGE 1 OF 2",,,8102.51,13605.0,23 CPT,64912,"REPAIR OF NERVE USING NERVE GRAFT, FIRST STRAND",,,8102.51,13605.0,23 CPT,64999,HC PULSED RF ANY PERIPHERAL NRV,640.0,416.0,283.4,3045.0,884 CPT,64999,HC PULSED RF CERV/THOR FAC JT,4707.0,3059.55,283.4,4565.79,884 CPT,64999,UNLISTED PROCEDURE NERVOUS SYS - FACILITY,,,283.4,3045.0,23 CPT,65101,REMOVAL OF EYEBALL,,,3629.76,13605.0,23 CPT,65103,REMOVAL OF EYEBALL WITH INSERTION OF IMPLANT,,,3629.76,13605.0,23 CPT,65105,REMOVAL OF EYEBALL WITH INSERTION OF IMPLANT ATTACHED TO MUSCLES,,,3629.76,13605.0,23 CPT,65205,HC RMVL FB EYE SUPFCL,431.0,280.15,122.84,431.0,884 CPT,65210,HC RMVL FB EYE SUBCONJUNCT,2891.0,1879.15,412.45,3117.0,884 CPT,65220,HC REMOVAL FB CORNEA WO SLIT LAMP,3204.0,2082.6,412.45,3204.0,884 CPT,65222,HC REMOVAL FB CORNEA W SLIT LAMP,537.0,349.05,122.84,537.0,884 CPT,65270,REPAIR OF LACERATED CONJUNCTIVA,,,3629.76,13605.0,23 CPT,65280,REPAIR OF PERFORATING LACERATION OF CORNEA AND/OR SCLERA,,,4913.02,13605.0,23 CPT,65400,REMOVAL OF GROWTH OF CORNEA FACILITY,,,920.39,3191.0,23 CPT,65420,REMOVAL OR RELOCATION OF CORNEAL CONJUNCTIVA,,,2130.75,5243.0,23 CPT,65426,REMOVAL OR RELOCATION OF CORNEAL CONJUNCTIVA WITH GRAFT PROFESSIONAL,,,2195.07,5243.0,23 CPT,65430,SCRAPING OF CORNEA FOR DIAGNOSIS FACILITY,,,2130.75,5243.0,23 CPT,65435,REMOVAL OF OUTER LAYER OF CORNEA FACILITY,,,920.39,3191.0,23 CPT,65436,REMOVAL OF OUTER LAYER OF CORNEA WITH APPLICATION OF CHELATING AGENT FACILITY,,,2195.07,5243.0,23 CPT,65450,DESTRUCTION OF GROWTH OF CORNEA,,,2130.75,5243.0,23 CPT,65730,PENETRATING TRANSPLANTATION OF TISSUE FROM 1 CORNEA TO OTHER CORNEA (EXCEPT IN APHAKIA OR PSEUDOPHAKIA),,,3816.28,13605.0,23 CPT,65750,PENETRATING TRANSPLANTATION OF TISSUE FROM 1 CORNEA TO OTHER CORNEA (IN APHAKIA),,,4913.02,13605.0,23 CPT,65756,TRANSPLANTATION OF OUTER LAYER OF CORNEAL TISSUE PROFESSIONAL,,,3816.28,13605.0,23 CPT,65779,PLACEMENT OF AMNIOTIC MEMBRANE ON EYE SURFACE WITH SUTURES FOR WOUND HEALING,,,2195.07,13605.0,23 CPT,65800,REMOVAL OF EYE FLUID FACILITY,,,2130.75,5243.0,23 CPT,65815,REMOVAL OF BLOOD FROM EYE PROFESSIONAL,,,2130.75,5243.0,23 CPT,65820,INCISION TO IMPROVE EYE FLUID FLOW,,,3816.28,13605.0,23 CPT,65860,LASER REMOVAL OF SCAR TISSUE OF EYE,,,4913.02,13605.0,23 CPT,65865,REMOVAL OF SCAR TISSUE IN EYE (GONIOSYNECHIAE) PROFESSIONAL,,,3816.28,13605.0,23 CPT,65870,REMOVAL OF SCAR TISSUE IN EYE (ANTERIOR SYNECHIAE) PROFESSIONAL,,,3816.28,13605.0,23 CPT,65875,REMOVAL OF SCAR TISSUE IN EYE (POSTERIOR SYNECHIAE),,,3816.28,13605.0,23 CPT,65900,REMOVAL OF OUTER LINING OF CORNEA,,,3816.28,13605.0,23 CPT,65920,REMOVAL OF IMPLANTED LENS OF EYE,,,2130.75,5243.0,23 CPT,65930,REMOVAL OF BLOOD CLOT OF EYE,,,2130.75,5243.0,23 CPT,66020,INJECTION OF AIR OR LIQUID INTO EYE,,,2130.75,5243.0,23 CPT,66170,CREATION OF EYE FLUID DRAINAGE TRACT FOR TREATMENT OF GLAUCOMA PROFESSIONAL,,,2130.75,5243.0,23 CPT,66172,CREATION OF EYE FLUID DRAINAGE TRACT FOR TREATMENT OF GLAUCOMA WITH PREVIOUS SCARRING,,,2130.75,5243.0,23 CPT,66174,DILATION OF FLUID OUTFLOW DRAINAGE WITHIN EYE PROFESSIONAL,,,3816.28,13605.0,23 CPT,66175,DILATION OF FLUID OUTFLOW DRAINAGE WITHIN EYE WITH INSERTION OF DEVICE TO MAINTAIN OPEN CHANNEL-EXPRESS CARE,,,4913.02,13605.0,23 CPT,66179,CREATION OF SHUNT TO IMPROVE EYE FLUID FLOW PROFESSIONAL,,,4913.02,13605.0,23 CPT,66180,CREATION OF SHUNT TO IMPROVE EYE FLUID FLOW USING TISSUE GRAFT PROFESSIONAL,,,4913.02,13605.0,23 CPT,66183,INSERTION OF EYE FLUID DRAINAGE DEVICE PROFESSIONAL,,,3816.28,13605.0,23 CPT,66184,REVISION OF EYE FLUID DRAINAGE SHUNT PROFESSIONAL,,,2130.75,5243.0,23 CPT,66250,REVISION OR REPAIR OF OPERATIVE WOUND OF EYE PROFESSIONAL,,,2195.07,13605.0,23 CPT,66505,INCISION AND DRAINAGE OF EYE FLUID ACCUMULATION OF IRIS,,,2130.75,5243.0,23 CPT,66625,REMOVAL OF MARGIN OF IRIS TO IMPROVE EYE FLUID FLOW,,,3816.28,13605.0,23 CPT,66680,REPAIR OF IRIS AND LENS,,,2130.75,5243.0,23 CPT,66710,DESTRUCTION OF LENS TISSUE USING LASER PROFESSIONAL,,,2195.07,5243.0,23 CPT,66740,DESTRUCTION OF TISSUE OF EYELID BORDER,,,3816.28,13605.0,23 CPT,66762,CREATION OF OPENING OF IRIS FOR EYE FLUID DRAINAGE USING A LASER,,,3816.28,13605.0,23 CPT,66825,REPOSITIONING OF LENS PROSTHESIS,,,2130.75,5243.0,23 CPT,66850,ASPIRATION OF LENS MATERIAL BY FRAGMENTING AND ASPIRATION PROFESSIONAL,,,3816.28,13605.0,23 CPT,66982,COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS PROFESSIONAL,,,2130.75,5243.0,23 CPT,66984,REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS PROFESSIONAL,,,2130.75,5243.0,23 CPT,66985,INSERTION OF PROSTHETIC LENS,,,3816.28,13605.0,23 CPT,66986,EXCHANGE OF PROSTHETIC LENS PROFESSIONAL,,,2130.75,5243.0,23 CPT,66989,COMPLEX EXTRACAPSULAR REMOVAL OF CATARACT WITH INSERTION OF ARTIFICIAL LENS AND INSERTION OF DRAINAGE DEVICE IN FRONT CHAMBER OF EYE PROFESSIONAL,,,4913.02,13605.0,23 CPT,66991,EXTRACAPSULAR REMOVAL OF CATARACT WITH INSERTION OF ARTIFICIAL LENS AND INSERTION OF DRAINAGE DEVICE IN FRONT CHAMBER OF EYE PROFESSIONAL,,,4913.02,13605.0,23 CPT,66999,UNLISTED PROC ANTR SEGMENT EYE,,,2130.75,5243.0,23 CPT,67005,PARTIAL REMOVAL OF EYE FLUID BETWEEN LENS AND RETINA PROFESSIONAL,,,2130.75,5243.0,23 CPT,67010,PARTIAL REMOVAL OF EYE FLUID BETWEEN LENS AND RETINA WITH MECHANICAL REMOVAL OF EYE FLUID,,,2130.75,5243.0,23 CPT,67015,ASPIRATION OR RELEASE OF EYE FLUID BETWEEN LENS AND RETINA,,,2130.75,5243.0,23 CPT,67025,INJECTION OF SYNTHETIC EYE FLUID,,,2130.75,5243.0,23 CPT,67028,INJECTION OF DRUG INTO EYE FACILITY,,,304.96,3045.0,23 CPT,67036,REMOVAL OF EYE FLUID (VITREOUS) BETWEEN LENS AND RETINA,,,3816.28,13605.0,23 CPT,67039,DESTRUCTION OF EYE FLUID (VITREOUS) BETWEEN LENS AND RETINA USING A LASER,,,3816.28,13605.0,23 CPT,67040,DESTRUCTION OF EYE FLUID (VITREOUS) BETWEEN LENS AND RETINA AND ALL OF RETINA USING A LASER,,,3816.28,13605.0,23 CPT,67041,REMOVAL OF MEMBRANE OF RETINA,,,3816.28,13605.0,23 CPT,67042,REMOVAL OF MEMBRANE OF RETINA WITH REMOVAL OF INTERNAL LIMITING MEMBRANE OF RETINA,,,3816.28,13605.0,23 CPT,67107,REPAIR OF DETACHED RETINA AND DRAINAGE OF EYE FLUID BETWEEN LENS AND RETINA,,,3816.28,13605.0,23 CPT,67108,REPAIR OF DETACHED RETINA WITH DRAINAGE AND REMOVAL OF EYE FLUID BETWEEN LENS AND RETINA,,,3816.28,13605.0,23 CPT,67110,REPAIR OF DETACHED RETINA BY INJECTION OF AIR OR GAS,,,2130.75,5243.0,23 CPT,67113,COMPLEX REPAIR OF DETACHED RETINA AND DRAINAGE OF EYE FLUID BETWEEN LENS AND RETINA,,,4913.02,13605.0,23 CPT,67120,REMOVAL OF IMPLANT MATERIAL FROM OUTSIDE OF EYE PROFESSIONAL,,,2130.75,5243.0,23 CPT,67145,PHOTOCOAGULATION TREATMENT TO PREVENT DETACHMENT OF RETINA FACILITY,,,507.8,3117.0,23 CPT,67218,DESTRUCTION OF GROWTH OF RETINA BY IMPLANTATION OF RADIATION SOURCE,,,3629.76,13605.0,23 CPT,67227,DESTRUCTION OF LEAKING BLOOD VESSELS OF RETINA,,,3629.76,13605.0,23 CPT,67228,DESTRUCTION OF LEAKING BLOOD VESSELS OF RETINA USING LASER FACILITY,,,507.8,3117.0,23 CPT,67255,REPAIR OF DEFECT OF SCLERA WITH GRAFT PROFESSIONAL,,,3816.28,13605.0,23 CPT,67299,UNLISTED PROC POSTR SEGMENT,,,2130.75,5243.0,23 CPT,67311,REALIGNMENT OF HORIZONTAL EYE MUSCLE,,,2195.07,5243.0,23 CPT,67312,REALIGNMENT OF EYE BY REPAIR OF 2 HORIZONTAL MUSCLES,,,3629.76,13605.0,23 CPT,67314,REALIGNMENT OF VERTICAL EYE MUSCLE,,,2195.07,5243.0,23 CPT,67318,REALIGNMENT OF EYE MUSCLE AT UPPER INNER EDGE OF EYE,,,2195.07,5243.0,23 CPT,67332,REALIGNMENT OF EYE MUSCLE COMPLICATED BY SCARRING OR RESTRICTIVE MUSCLE MOVEMENT,,,3629.76,13605.0,23 CPT,67340,REALIGNMENT AND REPAIR OF DETACHED EYE MUSCLE,,,3629.76,13605.0,23 CPT,67400,EXPLORATION OF CAVITY BEHIND EYE-EXPRESS CARE,,,3629.76,13605.0,23 CPT,67412,REMOVAL OF GROWTH OF CAVITY BEHIND EYE,,,6515.97,13605.0,23 CPT,67515,INJECTION OF DRUG OR SUBSTANCE INTO MEMBRANE COVERING EYEBALL FACILITY,,,2130.75,5243.0,23 CPT,67560,REMOVAL OR REVISION OF IMPLANT OUTSIDE EYE MUSCLES,,,3629.76,13605.0,23 CPT,67570,RELEASE OF OPTIC NERVE,,,3629.76,13605.0,23 CPT,67700,HC BLEPHAROTOMY DRN ABSC EYELID,1288.0,837.2,293.05,3045.0,884 CPT,67810,BIOPSY OF EYELID FACILITY,,,293.05,3045.0,23 CPT,67810,HC BX EYELID SKIN & LID MARGIN,635.0,412.75,293.05,3045.0,884 CPT,67825,REMOVAL OF EYELASHES FACILITY,,,2195.07,5243.0,23 CPT,67840,REMOVAL OF GROWTH OF EYELID FACILITY,,,920.39,5243.0,23 CPT,67875,TEMPORARY CLOSURE OF EYELIDS BY SUTURE FACILITY,,,3629.76,13605.0,23 CPT,67880,CREATION OF PERMANENT EYELID MARGIN SCARRING FACILITY,,,2195.07,5243.0,23 CPT,67882,CREATION OF PERMANENT EYELID MARGIN SCARRING WITH RELOCATION OF EYELID TISSUE,,,2195.07,5243.0,23 CPT,67900,HC REPAIR BROW PTOSIS,5672.0,3686.8,2195.07,5501.84,884 CPT,67900,REPAIR OF BROW PARALYSIS PROFESSIONAL,,,2195.07,5243.0,23 CPT,67903,SHORTENING OR ADVANCEMENT OF UPPER EYELID MUSCLE TO CORRECT DROOPING OR PARALYSIS PROFESSIONAL,,,2195.07,5243.0,23 CPT,67904,HC RPR BLEPHAROPT LEVAT RSECT EXT,29681.0,19292.65,2195.07,29087.38,884 CPT,67904,REPAIR OF TENDON OF UPPER EYELID FACILITY,,,2195.07,5243.0,23 CPT,67908,HC RPR BLEPH CONJ-TARSO-MULLER'S,9002.0,5851.3,2195.07,8731.94,884 CPT,67908,"REMOVAL OF TISSUE, MUSCLE, AND MEMBRANE TO CORRECT EYELID DROOPING OR PARALYSIS PROFESSIONAL",,,2195.07,5243.0,23 CPT,67909,REVISION OF SURGERY TO CORRECT DROOPING OR PARALYZED UPPER EYELID FACILITY,,,2195.07,5243.0,23 CPT,67911,CORRECTION OF WIDELY-OPENED UPPER EYELID,,,2195.07,5243.0,23 CPT,67912,HC CORREC LAGOPHTHALMOS W IMPLNT,9787.0,6361.55,2195.07,9493.39,884 CPT,67912,RESTORATION OF EYELID BLINKING FUNCTION WITH IMPLANT FACILITY,,,2195.07,5243.0,23 CPT,67914,HC REPAIR OF ECTROPION SUTURE,12262.0,7970.3,2195.07,12016.76,884 CPT,67914,SUTURE REPAIR OF TURNING-OUTWARD UPPER OR LOWER EYELID DEFECT FACILITY,,,2195.07,5243.0,23 CPT,67917,EXTENSIVE REPAIR OF TURNING-OUTWARD EYELID DEFECT PROFESSIONAL,,,2195.07,5243.0,23 CPT,67917,HC REPAIR ECTROPION EXTENSIVE,8849.0,5751.85,2195.07,8583.53,884 CPT,67924,EXTENSIVE REPAIR OF TURNING-INWARD EYELID DEFECT PROFESSIONAL,,,2195.07,5243.0,23 CPT,67950,RECONSTRUCTION OF EYELID MARGIN FACILITY,,,2195.07,5243.0,23 CPT,67961,REMOVAL OF UP TO 1/4 OF EYELID MARGIN AND REPAIR OF EYELID PROFESSIONAL,,,2195.07,5243.0,23 CPT,67966,REMOVAL OF OVER 1/4 OF EYELID MARGIN AND REPAIR OF EYELID,,,2195.07,5243.0,23 CPT,67971,RECONSTRUCTION OF UP TO 2/3 OF EYELID WITH TISSUE FROM OPPOSITE EYELID,,,2195.07,5243.0,23 CPT,67974,RECONSTRUCTION OF UPPER EYELID WITH TISSUE FROM OPPOSITE EYELID,,,3629.76,13605.0,23 CPT,67975,RECONSTRUCTION OF EYELID BY TRANSFER OF EYELID TISSUE FROM OPPOSITE EYELID,,,2195.07,5243.0,23 CPT,67999,UNLISTED PROCEDURE EYELIDS FACILITY,,,293.05,13605.0,23 CPT,68100,BIOPSY OF EYELID LINING FACILITY,,,2195.07,5243.0,23 CPT,68110,"REMOVAL OF GROWTH OF EYELID LINING, 1.0 CM OR LESS FACILITY",,,2195.07,13605.0,23 CPT,68115,"REMOVAL OF GROWTH OF EYELID LINING, MORE THAN 1.0 CM",,,2195.07,13605.0,23 CPT,68135,DESTRUCTION OF GROWTH OF EYELID LINING,,,2195.07,5243.0,23 CPT,68320,REPAIR OF EYELID LINING WITH GRAFT FROM EXTERNAL EYE,,,2195.07,5243.0,23 CPT,68326,RECONSTRUCTION OF CONJUNCTIVA WITH GRAFT FROM OUTER EYE OR REARRANGEMENT PROFESSIONAL,,,3629.76,13605.0,23 CPT,68440,SNIP INCISION OF TEAR DUCT AT INNER CORNER OF EYE PROFESSIONAL,,,3442.28,13605.0,23 CPT,68525,BIOPSY OF TEAR SAC,,,3629.76,13605.0,23 CPT,68700,PLASTIC REPAIR OF TEAR DUCT,,,2195.07,5243.0,23 CPT,68760,HC CLOSURE LACRIMAL PUNCTUM,2915.0,1894.75,293.05,3045.0,884 CPT,68815,PROBING OF NASAL TEAR DUCT WITH INSERTION OF TUBE OR STENT,,,3442.28,13605.0,23 CPT,68816,PROBING OF NASAL TEAR DUCT WITH BALLOON TUBE DILATION,,,3442.28,13605.0,23 CPT,68840,PROBING OF NASAL TEAR DUCT FACILITY,,,2195.07,5243.0,23 CPT,69000,HC DRAIN ABSC EXTERNAL EAR SIMPLE,1514.0,984.1,653.8,3191.0,884 CPT,69100,BIOPSY OF EAR FACILITY,,,218.68,3117.0,23 CPT,69100,HC BIOPSY EXTERNAL EAR,512.0,332.8,218.68,3045.0,884 CPT,69110,PARTIAL REMOVAL OF EXTERNAL EAR WITH SIMPLE REPAIR,,,2681.85,13605.0,23 CPT,69140,REMOVAL OF BONY GROWTHS OF EAR CANAL,,,5465.62,13605.0,23 CPT,69145,REMOVAL OF GROWTH IN SOFT TISSUE OF EAR CANAL FACILITY,,,2681.85,13605.0,23 CPT,69200,HC RMVL FB EAR CANAL EXTRNL,457.0,297.05,122.84,457.0,884 CPT,69209,HC RMVL IMPACT CERUMEN IRRIG UNILAT,257.0,167.05,54.47,257.0,884 CPT,69210,HC RMVL IMPACT CERUMEN W/INSTRUMENT UNILAT,221.0,143.65,54.47,221.0,884 CPT,69220,SIMPLE REMOVAL OF SKIN DEBRIS AND DRAINAGE OF MASTOID CAVITY FACILITY,,,185.24,3045.0,23 CPT,69300,HC OTOPLASTY PROTRUDING EAR,12742.0,8282.3,7071.81,13605.0,880 CPT,69300,REPAIR OF PROTRUDING EAR FACILITY,,,3061.08,13605.0,23 CPT,69310,RECONSTRUCTION OF EAR CANAL,,,5465.62,13605.0,23 CPT,69436,INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA,,,1432.54,4396.0,23 CPT,69440,EXPLORATION OF MIDDLE EAR,,,3061.08,13605.0,23 CPT,69501,INCISION OF MASTOID BONE,,,5465.62,13605.0,23 CPT,69502,REMOVAL OF MIDDLE EAR (MASTOID) BONE,,,5465.62,13605.0,23 CPT,69530,EXTENSIVE REMOVAL OF BONES AROUND INNER EAR AND MASTOID BONE,,,5465.62,13605.0,23 CPT,69602,REVISION OF PREVIOUS MASTOID BONE SURGERY,,,5465.62,13605.0,23 CPT,69610,REPAIR OF EARDRUM,,,5465.62,13605.0,23 CPT,69631,REPAIR OF EARDRUM AND EAR CANAL WITH OPENING TO EAR BONES,,,5465.62,13605.0,23 CPT,69632,"REPAIR OF EARDRUM, EAR CANAL, AND BONES",,,5465.62,13605.0,23 CPT,69633,"REPAIR OF EARDRUM, EAR CANAL, AND BONES WITH INSERTION OF PROSTHESIS",,,5465.62,13605.0,23 CPT,69636,"REPAIR OF EARDRUM, EAR CANAL, AND BONES WITH INCISION OF MIDDLE EAR BONE",,,5465.62,13605.0,23 CPT,69641,COMPLEX REPAIR OF EARDRUM AND EAR CANAL WITH REMOVAL OF MASTOID BONE,,,5465.62,13605.0,23 CPT,69642,"REPAIR OF EARDRUM, EAR CANAL, AND BONES WITH REMOVAL OF MIDDLE EAR BONE",,,5465.62,13605.0,23 CPT,69644,"REPAIR OF EARDRUM, EAR CANAL, AND BONES WITH REMOVAL OF MASTOID BONE, WITH INTACT CANAL WALL",,,5465.62,13605.0,23 CPT,69646,EXTENSIVE REPAIR AND RECONSTRUCTION OF EARDRUM AND EAR CANAL WITH REMOVAL OF MIDDLE EAR BONE,,,5465.62,13605.0,23 CPT,69650,RELEASE OF EAR BONE,,,3061.08,13605.0,23 CPT,69660,INCISION OR REMOVAL OF MIDDLE EAR BONE,,,5465.62,13605.0,23 CPT,69662,REVISION OF OPERATION OF EAR BONE,,,5465.62,13605.0,23 CPT,69667,REPAIR OF OPENING TO COCHLEA,,,3061.08,13605.0,23 CPT,69670,CREATION OF FLAP TO CLOSE MASTOID CAVITY,,,5465.62,13605.0,23 CPT,69705,"DILATION OF CANAL BETWEEN MIDDLE EAR AND THROAT (EUSTACHIAN TUBE) ON ONE SIDE OF BODY, USING ENDOSCOPE INSERTED THROUGH NOSE",,,5465.62,13605.0,23 CPT,69706,"DILATION OF CANAL BETWEEN MIDDLE EAR AND THROAT (EUSTACHIAN TUBE) ON BOTH SIDES OF BODY, USING ENDOSCOPE INSERTED THROUGH NOSE",,,5465.62,13605.0,23 CPT,69716,IMPLANTATION OF COCHLEAR STIMULATING SYSTEM INTO MASTOID BONE OF SKULL WITH MAGNETIC ATTACHMENT TO EXTERNAL SPEECH PROCESSOR,,,11853.62,13631.66,23 CPT,69801,HC TRANSCANAL LABYRINTH PERFUSION,6185.0,4020.25,1432.54,6061.3,884 CPT,69801,INCISION OF FLUID CANAL OF INNER EAR WITH INFUSION OF DRUGS FACILITY,,,1432.54,5243.0,23 CPT,69930,INSERTION OF COCHLEAR DEVICE,,,12244.0,35008.63,23 CPT,69949,UNLISTED PROC INNER EAR,,,218.68,3045.0,23 CPT,69990,USE OF OPERATING MICROSCOPE PROFESSIONAL,,,6699.47,13605.0,23 CPT,70140,HC XR FACIAL BONES 1-2V,416.0,270.4,80.35,440.0,884 CPT,70336,HC MRI TMJ,3207.0,2084.55,220.29,5278.0,884 CPT,70450,HC CT HEAD/BRAIN WO CNTRST,1697.0,1103.05,96.52,3826.0,884 CPT,70496,HC CTA HEAD WO/W CNTRST,2136.0,1388.4,161.94,3826.0,884 CPT,70498,HC CTA NECK WO/W CNTRST,1976.0,1284.4,161.94,3826.0,884 CPT,70542,HC MRI ORBIT/FACE/NCK W CNTRST,3306.0,2148.9,322.11,5278.0,884 CPT,70544,HC MRA HEAD WO CNTRST,1958.0,1272.7,220.29,5278.0,884 CPT,70545,HC MRA HEAD W CNTRST,7105.0,4618.25,322.11,6891.85,884 CPT,70546,HC MRA HEAD WO/W CNTRST,4136.0,2688.4,322.11,5278.0,884 CPT,70549,HC MRA NECK WO/W CNTRST,4283.0,2783.95,322.11,5278.0,884 CPT,70551,HC MRI BRAIN WO CNTRST,1986.0,1290.9,220.29,5278.0,884 CPT,70554,HC MRI FUNCT BRAIN NOT REQ MD,3347.0,2175.55,220.29,5278.0,884 CPT,71045,HC XR EXAM CHEST 1V,224.0,145.6,80.35,357.0,884 CPT,71046,HC XR EXAM CHEST 2V,274.0,178.1,80.35,357.0,884 CPT,71047,HC XR EXAM CHEST 3V,350.0,227.5,80.35,357.0,884 CPT,71271,HC CT THORAX LOW DOSE LUNG CA SCRN WO CNTRST,2334.0,1517.1,96.52,3826.0,884 CPT,71275,HC CTA CHEST WO/W CNTRST,2604.0,1692.6,161.94,3826.0,884 CPT,71550,HC MRI CHEST WO CNTRST,2693.0,1750.45,220.29,5278.0,884 CPT,71551,HC MRI CHEST W CNTRST,6055.0,3935.75,723.77,5873.35,884 CPT,72082,HC XR SPINE THORACOLUMBAR 2-3V,1030.0,669.5,96.52,999.1,884 CPT,72084,HC XR SPINE THORACOLUMBAR 6>V,1214.0,789.1,96.52,1189.72,884 CPT,72125,HC CT CERV SPINE WO CNTRST,2715.0,1764.75,96.52,3826.0,884 CPT,72126,HC CT CERV SPINE W CNTRST,3415.0,2219.75,322.11,3826.0,884 CPT,72127,HC CT CERV SPINE WO/W CNTRST,2798.0,1818.7,161.94,3826.0,884 CPT,72129,HC CT THORAC SPINE W CNTRST,3398.0,2208.7,161.94,3826.0,884 CPT,72130,HC CT THORAC SPINE WO/W CNTRST,6507.0,4229.55,161.94,6311.79,884 CPT,72132,HC CT LUMBAR SPINE W CNTRST,1917.0,1246.05,322.11,3826.0,884 CPT,72133,HC CT LUMBAR SPINE WO/W CNTRST,2167.0,1408.55,161.94,3826.0,884 CPT,72146,HC MR THORAC SPINE LTD WO CNTRST,1034.0,672.1,220.29,5278.0,884 CPT,72191,HC CTA PELVIS WO/W CNTRST,2477.0,1610.05,161.94,3826.0,884 CPT,73030,HC XR SHOULDER COMPLT MIN 2V,498.0,323.7,80.35,483.06,884 CPT,73060,HC XR HUMERUS MIN 1V,365.0,237.25,80.35,440.0,884 CPT,73130,HC XR HAND MIN 3V,467.0,303.55,80.35,457.66,884 CPT,73201,HC CT UPR EXT W CNTRST,2313.0,1503.45,322.11,3826.0,884 CPT,73620,HC XR FOOT 1V,385.0,250.25,80.35,440.0,884 CPT,73718,HC MRI LWR EXT NONJNT WO CNTRST,1929.0,1253.85,220.29,5278.0,884 CPT,74160,HC CT ABDOMEN W CNTRST,5789.0,3762.85,161.94,5615.33,884 CPT,74176,HC CT ABD&PELVIS WO CNTRST,2887.0,1876.55,220.29,3826.0,884 CPT,74183,HC MRI ABDOMEN WO/W CNTRST,5164.0,3356.6,322.11,5278.0,884 CPT,74221,HC XR ESOPHAGUS DBL CONTRAST,1020.0,663.0,161.94,999.6,884 CPT,74246,HC XR UGI DOUBLE CONTRAST,665.0,432.25,161.94,645.05,884 CPT,74248,HC XR SMALL BOWEL FOLLOW THROUGH,294.0,191.1,163.17,440.0,880 CPT,74280,HC XR COLON AIR CNTRST,859.0,558.35,161.94,841.82,884 CPT,74328,HC ERCP CATH BILIARY S&I,1342.5,872.625,396.0,1428.81,1760 CPT,74329,HC ENDO CATH PANCREATIC SYSTEM,2364.0,1536.6,396.0,3352.32,1760 CPT,74330,HC ERCP CATH BILIARY&PANCREAS S&I,7432.5,4831.125,396.0,7925.87,1760 CPT,74340,HC INTRO LONG G TUBE W FL S&I,949.0,616.85,396.0,920.53,880 CPT,74360,HC INTRALUMINAL DILATION S&I,2057.5,1337.375,396.0,2619.0,1760 CPT,74420,HC UROGRAPHY RETRO WO OR W KUB,1246.0,809.9,322.11,1208.62,884 CPT,74425,HC UROGRAPHY ANTEGRADE S&I,1072.0,696.8,322.11,1039.84,884 CPT,75605,HC AORTOGRAPHY THORACIC S&I,11857.0,7707.05,396.0,11501.29,884 CPT,75625,HC AORTOGRAPHY ABDOMINAL S&I,6648.0,4321.2,396.0,6448.56,884 CPT,75630,HC AORTOGRAPHY ABD LWR EXT S&I,6347.0,4125.55,396.0,6220.06,884 CPT,75705,HC ANGIOGRAPHY SPINAL SEL S&I,12414.0,8069.1,396.0,12041.58,884 CPT,75710,HC ANGIOGRAPHY EXT UNILAT S&I,7216.0,4690.4,396.0,6999.52,884 CPT,75716,HC ANGIOGRAPHY EXT BILAT S&I,6892.0,4479.8,396.0,6685.24,884 CPT,75726,HC ANGIOGRAPHY VISCERAL SEL S&I,12450.0,8092.5,396.0,12076.5,884 CPT,75746,HC ANGIO PULMONARY NONSEL S&I,6469.0,4204.85,396.0,6469.0,884 CPT,75774,HC ANGIO PULMONARY NONSEL S&I,16415.0,10669.75,9110.33,15922.55,880 CPT,75774,HC ANGIOGRAPHY SEL ADD VSSL S&I,2984.0,1939.6,396.0,2894.48,880 CPT,75801,HC LYMPHANGIOGRPH EXT ONLY UNILAT,3782.0,2458.3,396.0,3668.54,884 CPT,75805,HC LYMPHANGIOGRPH PELV/ABD UNILAT,6939.0,4510.35,396.0,6730.83,884 CPT,75820,HC VENOGRAPHY EXT UNILAT S&I,3670.0,2385.5,396.0,3559.9,884 CPT,75822,HC VENOGRAPHY EXT BILAT S&I,10014.0,6509.1,396.0,15922.55,1768 CPT,75825,HC VENOGRAPHY IVC S&I,7265.0,4722.25,396.0,7047.05,884 CPT,75827,HC VENOGRAPHY SVC S&I,3569.0,2319.85,396.0,3461.93,884 CPT,75831,HC VENO RENAL UNILAT SEL S&I,12166.0,7907.9,396.0,16353.23,1768 CPT,75833,HC VENO RENAL BILAT SEL S&I,8284.0,5384.6,396.0,8035.48,884 CPT,75860,HC VENOGRAPHY SINUS OR JUG S&I,7023.0,4564.95,396.0,6812.31,884 CPT,75870,HC VENOGRAPHY SUPERIOR SAG SINUS,7098.0,4613.7,396.0,6885.06,884 CPT,75887,HC TXHEP PORT PERC WO HEMO EVAL,7174.0,4663.1,396.0,6958.78,884 CPT,75889,HC VENO HEPATIC W HEMODYN S&I,7318.0,4756.7,396.0,7098.46,884 CPT,75894,HC THRPY TXCATH EMBL S&I,4208.0,2735.2,396.0,4081.76,880 CPT,75898,HC ANGIO FU THRU CATH S&I,6939.0,4510.35,396.0,6730.83,884 CPT,75984,HC CHG DRN CATH W CNTRST S&I,1243.0,807.95,396.0,1205.71,880 CPT,75989,HC GUIDE DRN PERC PLC CATH S&I,818.0,531.7,396.0,793.46,880 CPT,76000,HC FLUOROSCOPY EXAM UP TO 1 HR,729.0,473.85,220.29,710.04,1768 CPT,76080,HC XR FISTULA/ABSC/SINUS TRCT S&I,1199.0,779.35,396.0,1163.03,884 CPT,76376,HC 3D WO IND WORKSTATION,928.5,603.5250000000001,390.72,3826.0,1760 CPT,76377,HC 3D W IND WORKSTATION,563.0,365.95,312.47,3826.0,1760 CPT,76380,HC CT LTD FU STDY,1185.0,770.25,80.35,3826.0,884 CPT,76496,HC VENOGRM SEL EA ADD VSSL STUDY,679.0,441.35,80.35,658.63,884 CPT,76512,HC US OPHTHALMIC DX B-SCAN,459.0,298.35,96.52,716.0,884 CPT,76536,HC US HEAD&NECK SOFT TISS,762.0,495.3,96.52,739.14,884 CPT,76604,HC US CHEST,647.0,420.55,96.52,716.0,884 CPT,76705,HC US ABD LTD,890.0,578.5,96.52,863.3,884 CPT,76706,HC US ABD AORTA SCREEN AAA,979.0,636.35,96.52,959.42,884 CPT,76775,HC US RETROPERITONEAL LTD,564.0,366.6,96.52,716.0,884 CPT,76801,HC OB US < 14 WKS SINGLE FETUS,576.0,374.4,96.52,716.0,884 CPT,76815,HC US PREGNANT UTERUS LIMITED,719.0,467.35,96.52,716.0,884 CPT,76817,HC US OB TRANSVAGINAL,493.0,320.45,96.52,716.0,884 CPT,76870,HC US SCROTUM,798.0,518.7,96.52,774.06,884 CPT,76881,HC US EXT NON-VASC COMPLETE,359.5,233.67499999999998,96.52,716.0,1768 CPT,76882,HC US EXT LTD,438.0,284.70000000000005,96.52,716.0,1768 CPT,76883,HC US NRV&ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY,459.0,298.35,96.52,716.0,884 CPT,76932,HC US ENDOMYOCARDIAL BX S&I,1233.5,801.7750000000001,402.93,4677.0,1760 CPT,76937,HC US GUIDE VASC ACCESS,503.0,326.95000000000005,244.52,716.0,1760 CPT,76940,HC US GUIDE TISS ABLT,926.0,601.9,513.93,898.22,880 CPT,76942,HC US GUIDE PLC NDL,791.0,514.15,439.01,767.27,881 CPT,76965,HC US GUIDE INTERS RADIOTHER,3634.0,2362.1,1097.47,3524.98,880 CPT,76981,HC US PARENCHYMA,312.0,202.8,96.52,716.0,884 CPT,76998,HC US GUIDE INTRAOPERATIVE,921.0,598.65,511.16,893.37,880 CPT,77001,HC FLUORO GUIDE PLC CVAD,890.0,578.5,396.0,863.3,880 CPT,77002,HC FLUORO GUIDE NDL PLC,1073.0,697.45,396.0,1040.81,880 CPT,77003,HC FLUORO GUIDE SPINE INJ,839.0,545.35,396.0,813.83,880 CPT,77012,HC CT GUIDE NDL PLC,2862.5,1860.625,868.25,3826.0,1760 CPT,77013,HC CT GUIDE TISS ABLT,2688.0,1747.2,1491.84,3826.0,880 CPT,77022,HC MRI GUIDE/MONITOR TISS ABLATE,7320.0,4758.0,4062.6,7100.4,880 CPT,77280,HC SET RAD SIM THER FIELD SMPL,1851.0,1203.15,124.1,1795.47,884 CPT,77290,HC SET RAD SIM THER FIELD CMPLX,4623.0,3004.95,345.7,4484.31,884 CPT,77293,HC RESP MOTION MANAGEMENT SIM,1890.0,1228.5,570.78,1833.3,880 CPT,77295,HC 3D RAD THER ISODOSE FIELD PLAN,4326.0,2811.9,1277.93,4196.22,884 CPT,77300,HC BASIC CALCULATE RADTN DOSE,412.0,267.8,124.1,399.64,884 CPT,77301,HC IMRT RADIOTHERAPY PLAN,11090.0,7208.5,1277.93,10757.3,884 CPT,77306,HC TELETHX ISODOSE PLN SMPL,876.0,569.4,264.55,849.72,884 CPT,77307,HC TELETHX ISODOSE PLN CMPLX,885.0,575.25,267.27,858.45,884 CPT,77316,HC BRACHYTHX ISODOSE PLN SMPL,878.0,570.7,265.16,851.66,884 CPT,77318,HC BRACHYTX ISODOSE PLAN COMPLEX,1154.0,750.1,345.7,1119.38,884 CPT,77321,HC SPECIAL TELETX PORT PLAN,1596.0,1037.4,345.7,1548.12,884 CPT,77331,HC SPECIAL DOSIMETRY,316.0,205.4,95.43,306.52,884 CPT,77332,HC RAD TX DEV DESIGN SIMPLE,325.0,211.25,98.15,315.25,884 CPT,77333,HC RAD TX DEV DESIGN INTERMEDIATE,328.0,213.2,99.06,318.16,884 CPT,77334,HC RAD TX DEV DESIGN COMPLEX,887.0,576.55,267.87,860.39,884 CPT,77336,HC CONSULT RAD PHYSICS/ WEEK,879.0,571.35,124.1,852.63,884 CPT,77338,HC DESIGN MLC DEV FOR IMRT,2290.0,1488.5,345.7,2221.3,884 CPT,77370,HC CONSULT RAD PHYSICS SPECIAL,1023.0,664.95,124.1,992.31,884 CPT,77371,HC RADTN STEREOTACTIC CRAN COBALT,14852.0,9653.8,4485.3,14406.44,884 CPT,77372,HC RADTN STEREOTACTIC CRAN LINEAR,18450.0,11992.5,5571.9,17896.5,884 CPT,77373,HC STEREOTACTIC BODY RADTN DEL,18178.0,11815.7,1650.86,17632.66,884 CPT,77387,HC GUIDANCE FOR LOC RAD TX,488.0,317.2,147.38,473.36,880 CPT,77402,HC RADTN TX DEL >=1 MEV SMPL,1620.0,1053.0,94.2,1571.4,884 CPT,77407,HC RADTN TX DEL >=1 MEV INT 3D,1900.0,1235.0,356.1,1843.0,884 CPT,77407,HC RADTN TX DEL >=1 MEV INT 3D HYPO,2375.0,1543.75,356.1,2303.75,884 CPT,77407,HC RADTN TX DEL >=1 MEV INT IMRT,7044.0,4578.6,356.1,6832.68,884 CPT,77407,HC RADTN TX DEL >=1 MEV INT IMRT HYPO,8805.0,5723.25,356.1,8540.85,884 CPT,77412,HC RADTN TX DEL >=1 MEV COMPLEX 2D,2100.0,1365.0,510.15,2037.0,884 CPT,77412,HC RADTN TX DEL >=1 MEV COMPLEX 3D,2100.0,1365.0,510.15,2037.0,884 CPT,77412,HC RADTN TX DEL >=1 MEV COMPLEX 3D HYPO,2625.0,1706.25,510.15,2546.25,884 CPT,77412,HC RADTN TX DEL >=1 MEV COMPLEX IMRT,7044.0,4578.6,510.15,6832.68,884 CPT,77412,HC RADTN TX DEL >=1 MEV COMPLEX IMRT HYPO,8805.0,5723.25,510.15,8540.85,884 CPT,77417,HC THER RADIOLOGY PORT FILMS,155.0,100.75,46.81,150.35,880 CPT,77470,HC SPECIAL TX PROC,1373.0,892.45,414.65,1331.81,884 CPT,77770,HC HDR RDNCL/ICAV BRACHTX 1 CHNL,1082.0,703.3,326.76,1049.54,884 CPT,77771,HC HDR RDNCL/ICAV BRACHTX 2-12CHNL,4699.0,3054.35,643.04,4558.03,884 CPT,77772,HC HDR RDNCL/ICAV BRACHTX > 12CHNL,6986.0,4540.9,643.04,6776.42,884 CPT,77778,HC INTERS RADTN APP COMPLEX,1467.0,953.55,443.03,1422.99,884 CPT,77789,HC SURFACE APP RADIATION SOURCE,417.0,271.05,94.2,404.49,884 CPT,77790,HC SUPERVISION/HANDLING RADTN,366.0,237.9,110.53,355.02,880 CPT,78195,HC LYMPH NODE IMAGING,1924.0,1250.6,501.31,2977.0,884 CPT,78261,HC GASTRIC MUCOSA IMAGING,2347.0,1525.55,369.1,2977.0,884 CPT,78428,HC CARDIAC SHUNT DECTECTION,2812.0,1827.8,369.1,2977.0,884 CPT,78430,HC MYOCARDIAL PET CT PERFUSION SNGL,5723.0,3719.95,1320.23,5608.54,884 CPT,78431,HC MYOCARDIAL PET CT PERFUSION MULT,6855.0,4455.75,2033.78,6649.35,884 CPT,78608,HC PET BRAIN METABOLIC EVAL,7856.0,5106.4,1320.23,7698.88,884 CPT,78630,HC CSF FLOW CISTERNOGRAPHY,2380.0,1547.0,501.31,2977.0,884 CPT,78645,HC CSF FLOW SHUNT EVAL,3101.0,2015.65,501.31,3007.97,884 CPT,78650,HC CSF LEAKAGE DETECTION,5096.0,3312.4,1195.31,4943.12,884 CPT,78815,HC PET/CT TRUNK,6147.0,3995.55,1320.23,5962.59,884 CPT,78816,HC PET/CT WHOLE BODY,8526.0,5541.9,1320.23,8355.48,884 CPT,78831,HC TUMOR LOC SPECT 2+ AREA 1 DAY OR 1 AREA 2+ DAY,5528.0,3593.2,1195.31,5362.16,884 CPT,80047,HC BASIC MET PANEL IONIZED CA,81.0,52.65,13.73,79.38,884 CPT,80048,HC BASIC METABOLIC PANEL TOTAL CA,355.0,230.75,8.46,344.35,885 CPT,80050,HC GENERAL HEALTH PANEL,305.0,198.25,151.59,295.85,880 CPT,80051,HC ELECTROLYTE PANEL,97.0,63.05,51.74,94.09,880 CPT,80053,HC COMPREHENSIVE METABOLIC PANEL,544.0,353.6,10.56,527.68,885 CPT,80061,HC LIPID PANEL,238.0,154.7,13.39,230.86,884 CPT,80069,HC RENAL FUNCTION PANEL,209.0,135.85,8.68,202.73,884 CPT,80074,HC ACUTE HEPATITIS PANEL,711.0,462.15,47.63,696.78,884 CPT,80076,HC HEPATIC FUNCTION PANEL,139.0,90.35,8.17,134.83,884 CPT,80081,HC OB PANEL INCL HIV,666.0,432.9,74.86,652.68,884 CPT,80143,HC DRUG ASSAY ACETAMINOPHEN,231.0,150.15,18.64,224.07,884 CPT,80145,HC DRUG ASSAY ADALIMUMAB,353.0,229.45,38.57,345.94,884 CPT,80150,HC AMIKACIN ASSAY,252.0,163.8,15.08,246.96,884 CPT,80150,HC AMIKACIN ASSAY 2,252.0,163.8,15.08,246.96,884 CPT,80151,HC DRUG ASSAY AMIODARONE,244.0,158.6,18.64,239.12,884 CPT,80155,HC CAFFEINE ASSAY,167.0,108.55,92.69,167.0,880 CPT,80156,HC CARBAMAZEPINE/TEGRETOL ASSAY,190.0,123.5,14.57,186.2,884 CPT,80157,HC CARBAMAZEPINE FREE ASSAY,190.0,123.5,13.25,186.2,884 CPT,80158,HC CYCLOSPORINE ASSAY,335.0,217.75,18.05,324.95,884 CPT,80158,HC DRUG ASSAY CYCLOSPORINE,323.0,209.95,18.05,313.31,884 CPT,80159,HC CLOZAPINE ASSAY,139.0,90.35,20.15,136.22,884 CPT,80161,HC DRUG ASSAY CARBAMAZEPINE 10-11,239.0,155.35,18.64,234.22,884 CPT,80162,HC DIGOXIN TOTAL ASSAY,176.0,114.4,13.28,170.72,884 CPT,80163,HC DIGOXIN FREE ASSAY,119.0,77.35,13.28,116.62,884 CPT,80164,HC VALPROIC ACID ASSAY,219.0,142.35,13.54,214.62,884 CPT,80165,HC VALPROIC ACID FREE ASSAY,171.0,111.15,13.54,167.58,884 CPT,80167,HC DRUG ASSAY FELBAMATE,270.0,175.5,18.64,264.6,884 CPT,80168,HC ETHOSUXIMIDE ASSAY,237.0,154.05,16.34,232.26,884 CPT,80169,HC EVEROLIMUS ASSAY,304.0,197.6,13.73,297.92,884 CPT,80170,HC GENTAMICIN ASSAY,163.0,105.95,16.38,158.11,884 CPT,80170,HC GENTAMICIN ASSAY 2,151.0,98.15,16.38,146.47,884 CPT,80171,HC GABAPENTIN ASSAY,274.0,178.1,21.67,268.52,884 CPT,80175,HC LAMOTRIGINE ASSAY,189.0,122.85,13.25,185.22,884 CPT,80176,HC LIDOCAINE ASSAY,89.0,57.85,14.69,89.0,884 CPT,80177,HC LEVETIRACETAM/KEPPRA ASSAY,156.0,101.4,13.25,152.88,884 CPT,80178,HC LITHIUM ASSAY,125.0,81.25,6.61,122.5,884 CPT,80179,HC DRUG ASSAY SALICYLATE,211.0,137.15,18.64,206.78,884 CPT,80180,HC MYCOPHENOLIC ACID ASSAY,335.0,217.75,18.05,324.95,884 CPT,80181,HC DRUG ASSAY FLECAINIDE,231.0,150.15,18.64,226.38,884 CPT,80183,HC OXCARBAZEPINE ASSAY,215.0,139.75,13.25,210.7,884 CPT,80184,HC PHENOBARBITAL ASSAY,183.0,118.95,15.3,179.34,884 CPT,80185,HC PHENYTOIN TOTAL ASSAY,195.0,126.75,13.25,191.1,884 CPT,80186,HC PHENYTOIN FREE ASSAY,193.0,125.45,13.76,189.14,884 CPT,80187,HC DRUG ASSAY POSACONAZOLE,589.0,382.85,27.11,577.22,884 CPT,80188,HC PRIMIDONE ASSAY,302.0,196.3,16.59,295.96,884 CPT,80189,HC DRUG ASSAY ITRACONAZOLE,584.0,379.6,27.11,572.32,884 CPT,80192,HC PROCAINAMIDE W NAPA ASSAY,218.0,141.7,16.75,218.0,884 CPT,80194,HC QUINIDINE ASSAY,142.0,92.3,14.6,142.0,884 CPT,80195,HC SIROLIMUS ASSAY,313.0,203.45,13.73,303.61,884 CPT,80197,HC TACROLIMUS ASSAY,317.0,206.05,13.73,307.49,884 CPT,80198,HC THEOPHYLLINE ASSAY,196.0,127.4,14.14,192.08,884 CPT,80200,HC TOBRAMYCIN ASSAY,203.0,131.95,16.13,198.94,884 CPT,80201,HC TOPIRAMATE ASSAY 2,234.0,152.1,11.92,226.98,884 CPT,80202,HC VANCOMYCIN ASSAY,234.0,152.1,13.54,226.98,884 CPT,80203,HC ZONISAMIDE ASSAY,267.0,173.55,13.25,261.66,884 CPT,80204,HC DRUG ASSAY METHOTREXATE,519.0,337.35,38.57,508.62,884 CPT,80210,HC DRUG ASSAY RUFINAMIDE,401.0,260.65,27.11,392.98,884 CPT,80220,HC DRUG ASSAY HYDROXYCHLOROQUINE,470.0,305.5,18.64,460.6,884 CPT,80230,HC DRUG ASSAY INFLIXIMAB,350.0,227.5,38.57,343.0,884 CPT,80235,HC DRUG ASSAY LACOSAMIDE,464.0,301.6,27.11,454.72,884 CPT,80280,HC DRUG ASSAY VEDOLIZUMAB,615.0,399.75,38.57,602.7,884 CPT,80285,HC DRUG ASSAY VORICONAZOLE,596.0,387.4,27.11,578.12,884 CPT,80299,HC APIXABAN ANTI-XA,263.0,170.95,18.64,255.11,884 CPT,80299,HC DRUG THERAPEUTIC DRUG 10,219.0,142.35,18.64,212.43,884 CPT,80299,HC DRUG THERAPEUTIC DRUG 11,204.0,132.6,18.64,197.88,884 CPT,80299,HC DRUG THERAPEUTIC DRUG 12,213.0,138.45,18.64,206.61,884 CPT,80299,HC DRUG THERAPEUTIC DRUG 13,213.0,138.45,18.64,206.61,884 CPT,80299,HC DRUG THERAPEUTIC DRUG 2,245.0,159.25,18.64,237.65,884 CPT,80299,HC DRUG THERAPEUTIC DRUG 3,204.0,132.6,18.64,197.88,884 CPT,80299,HC DRUG THERAPEUTIC DRUG 5,219.0,142.35,18.64,212.43,884 CPT,80299,HC DRUG THERAPEUTIC DRUG 6,206.0,133.9,18.64,199.82,884 CPT,80299,HC DRUG THERAPEUTIC DRUG 8,213.0,138.45,18.64,206.61,884 CPT,80299,HC DULOXETINE ASSAY,201.0,130.65,18.64,194.97,884 CPT,80299,HC ECULIZUMAB ASSAY,217.0,141.05,18.64,210.49,884 CPT,80299,HC FLUCYTOSINE ASSAY,191.0,124.15,18.64,185.27,884 CPT,80299,HC FLUOXETINE ASSAY,200.0,130.0,18.64,194.0,884 CPT,80299,HC MEXILETINE SERUM,213.0,138.45,18.64,206.61,884 CPT,80299,HC PERAMPANEL,220.0,143.0,18.64,213.4,884 CPT,80299,HC QUANTITATIVE ASSAY DRUG,219.0,142.35,18.64,212.43,884 CPT,80299,HC RIVAROXABAN ANTI-XA,206.0,133.9,18.64,199.82,884 CPT,80299,HC SULFAMETHOXAZOLE ASSAY,211.0,137.15,18.64,204.67,884 CPT,80299,HC SYN GLUCOCORTICOID SCRN,220.0,143.0,18.64,213.4,884 CPT,80299,HC SYN GLUCOCORTICOID SCRN URINE,219.0,142.35,18.64,212.43,884 CPT,80299,HC THERAPEUTIC DRUG NES,227.0,147.55,18.64,220.19,884 CPT,80299,HC THERAPEUTIC DRUG NES 1,247.0,160.55,18.64,239.59,884 CPT,80299,HC THIOPURINE METABOLITES,220.0,143.0,18.64,213.4,884 CPT,80299,HC TRIMETHOPRIM ASSAY,204.0,132.6,18.64,197.88,884 CPT,80306,HC DRUG TEST PRSMV INSTRMNT,125.0,81.25,17.14,121.25,884 CPT,80307,HC DRUG SCRN ANLYZR10 RX MAINT,590.0,383.5,62.14,572.3,885 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR1,592.0,384.8,62.14,574.24,885 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR12,629.0,408.85,62.14,610.13,885 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR14 (CSMPU),583.0,378.95,62.14,565.51,885 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR15 (CSMEU),429.0,278.85,62.14,416.13,885 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR16,339.0,220.35,62.14,328.83,885 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR3,676.0,439.4,62.14,655.72,885 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR5,625.0,406.25,62.14,606.25,885 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR6,610.0,396.5,62.14,591.7,885 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR7,637.0,414.05,62.14,617.89,885 CPT,80307,HC FENTANYL SCREEN,421.0,273.65,62.14,408.37,885 CPT,80400,HC ACTH STIMULATION PANEL ADRENAL,353.0,229.45,32.62,342.41,884 CPT,80430,HC HGH SUPRESSION PANEL,613.0,398.45,129.33,594.61,884 CPT,80505,HC PATH CONSULT HIGH COMPLEX 41-60 MIN,600.0,390.0,157.3,582.0,884 CPT,81001,HC URINALYSIS AUTO W MICRO,61.0,39.65,3.17,59.17,884 CPT,81003,HC URINALYSIS AUTO SINGLE COMP,26.0,16.9,2.25,25.22,884 CPT,81003,HC URINALYSIS AUTO WO MICRO,26.0,16.9,2.25,25.22,884 CPT,81003,HC URINE AUTO SPECIFIC GRAVITY,26.0,16.9,2.25,25.22,884 CPT,81025,HC PREG TEST URINE VIS COMP,72.0,46.8,8.61,69.84,884 CPT,81050,HC VOLUME MEASUREMENT,38.0,24.7,3.64,36.86,884 CPT,81120,HC GENE IDH1 (NGAMT),372.0,241.8,184.88,360.84,884 CPT,81120,HC IDH1 GENE (IDHQ),217.0,141.05,107.85,222.24,884 CPT,81120,HC IDH1 GENES COMMON VARIANTS (IDHFT),495.0,321.75,193.25,480.15,884 CPT,81120,HC IDH1 GENES KNOWN MUTATION (IDH12),488.0,317.2,193.25,473.36,884 CPT,81121,HC GENE IDH2 (NGAMT),373.0,242.45,185.38,361.81,884 CPT,81121,HC IDH2 COMMON EXON 4 VARIANTS (IDH12),560.0,364.0,278.32,543.2,884 CPT,81121,HC IDH2 COMMON VARIANTS (IDHFT),495.0,321.75,246.02,480.15,884 CPT,81121,HC IDH2 GENE (IDHQ),331.0,215.15,164.51,340.16,884 CPT,81161,HC DMD DUPLICATION/DELETION ANALYSIS,700.0,455.0,279.0,700.0,884 CPT,81162,HC BRCA1/2 FULL GENE,2000.0,1300.0,994.0,2098.61,884 CPT,81162,HC BRCA1/BRCA2 (COMCP),263.0,170.95,130.71,2098.61,884 CPT,81162,HC BRCA1/BRCA2 (XCP),240.0,156.0,119.28,2098.61,884 CPT,81162,HC BRCA1/BRCA2 GENE (BRTP),710.0,461.5,352.87,2098.61,884 CPT,81162,HC BRCA1/BRCA2 GENE (T1GS),114.0,74.1,56.66,2098.61,884 CPT,81163,HC BRCA1/2 MUTATION ANALYSIS (BRCAT),1600.0,1040.0,468.0,1600.0,884 CPT,81170,HC ABL1 KD VARIANTS,554.0,360.1,275.34,537.38,884 CPT,81174,HC GENE AR (FMTT),500.0,325.0,185.2,500.0,884 CPT,81177,HC ATN1 GENE DETC ABNOR ALLELES,500.0,325.0,137.0,500.0,884 CPT,81178,HC ATAXIN 1 GENE (SCAP),140.0,91.0,69.58,157.55,884 CPT,81178,HC ATAXIN 1 GENE (SCARA),500.0,325.0,137.0,500.0,884 CPT,81179,HC ATAXIN 2 GENE (SCAP),140.0,91.0,69.58,157.55,884 CPT,81179,HC ATAXIN 2 GENE (SCARA),500.0,325.0,137.0,500.0,884 CPT,81180,HC ATAXIN 3 GENE (SCAP),140.0,91.0,69.58,157.55,884 CPT,81180,HC ATAXIN 3 GENE (SCARA),500.0,325.0,137.0,500.0,884 CPT,81181,HC ATAXIN 7 GENE (SCAP),140.0,91.0,69.58,157.55,884 CPT,81181,HC ATAXIN 7 GENE (SCARA),500.0,325.0,137.0,500.0,884 CPT,81188,HC CSTB REPEAT EXPAND ANLYS (CSTB),700.0,455.0,137.0,700.0,884 CPT,81194,HC NTRK TRANSLOC ANALYSIS,2000.0,1300.0,518.28,1940.0,884 CPT,81201,HC APC GENE (XCP),110.0,71.5,54.67,897.0,884 CPT,81201,HC APC GENE SEQ (COMCP),113.0,73.45,56.16,897.0,884 CPT,81202,HC APC FAMILIAL ADNMATUS KNWN MUT,500.0,325.0,248.5,500.0,884 CPT,81204,HC AR GENE CHARAC ALLELES,400.0,260.0,137.0,388.0,884 CPT,81206,HC BCR/ABL1 MAJOR BKPT QUAL/QUANT,529.0,343.85,163.96,513.13,884 CPT,81206,HC BCR/ABL1 MAJOR BKPT QUAL/QUANT A1 (BADX-NCCI),164.0,106.6,81.51,188.55,884 CPT,81206,HC BCR/ABL1 MAJOR BKPT QUAL/QUANT A1 (BCRFX-NCCI),164.0,106.6,81.51,188.55,884 CPT,81206,HC BCR/ABL1 P210 QUANT (P210B),742.0,482.3,163.96,719.74,884 CPT,81206,HC BCR/ABL1 P210 QUANT (P210M),463.0,300.95,163.96,449.11,884 CPT,81207,HC BCR/ABL1 MINOR BKPT QUAL/QUANT,476.0,309.4,144.84,461.72,884 CPT,81207,HC BCR/ABL1 MINOR BKPT QUAL/QUANT A1 (BADX-NCCI),154.0,100.1,76.54,166.57,884 CPT,81207,HC BCR/ABL1 MINOR BKPT QUAL/QUANT A1 (BCRFX-NCCI),154.0,100.1,76.54,166.57,884 CPT,81207,HC BCR/ABL1 P190 QUANT (P190B),463.0,300.95,144.84,449.11,884 CPT,81207,HC BCR/ABL1 P190 QUANT (P190M),463.0,300.95,144.84,449.11,884 CPT,81208,HC BCR/ABL1 OTHR BKPT QUAL/QUANT A1 (BADX-NCCI),214.0,139.1,106.36,246.81,884 CPT,81208,HC BCR/ABL1 OTHR BKPT QUAL/QUANT A1 (BCRFX-NCCI),214.0,139.1,106.36,246.81,884 CPT,81210,HC BRAF MUTATION ANALYSIS V600 TUMOR (MBRAF),469.0,304.85,175.4,454.93,884 CPT,81210,HC BRAF MUTATION ANALYSIS V600 TUMOR (RASFP),469.0,304.85,175.4,454.93,884 CPT,81210,HC BRAF MUTATION ANALYSIS V600 TUMOR (TBRAF),469.0,304.85,175.4,454.93,884 CPT,81210,HC BRAF MUTATION ANALYSIS V600 TUMOR (WBRAF),748.0,486.2,175.4,725.56,884 CPT,81210,HC BRAF MUTATION ANALYSIS V600E 1,900.0,585.0,175.4,873.0,884 CPT,81210,HC BRAF V600 SOMATIC MUT ANALYSIS TUMORE,900.0,585.0,175.4,873.0,884 CPT,81210,HC CFDNA BRAF V600 TEST,900.0,585.0,175.4,873.0,884 CPT,81215,HC GENE BRCA1 KNOWN VARIANT,500.0,325.0,248.5,500.0,884 CPT,81217,HC GENE BRCA2 KNOWN VARIANT,500.0,325.0,248.5,500.0,884 CPT,81219,HC CALR GENE MUTATION EXON 9 (CALFB),493.0,320.45,121.63,478.21,884 CPT,81219,HC CALR GENE MUTATION EXON 9 (CALFM),493.0,320.45,121.63,478.21,884 CPT,81219,HC CALR MUTATION ANALYSIS,493.0,320.45,121.63,478.21,884 CPT,81219,HC CALR MUTATION ANALYSIS 1,493.0,320.45,121.63,478.21,884 CPT,81220,HC CTFR COMMON VARIANTS (CFMP),281.0,182.65,139.66,640.09,884 CPT,81220,HC CTFR COMMON VARIANTS (CFSMN),352.0,228.8,174.94,640.09,884 CPT,81220,HC CTFR COMMON VARIANTS (CSFP),282.0,183.3,140.15,640.09,884 CPT,81221,HC CFTR GENE KNOWN MUTATION,500.0,325.0,97.22,490.0,856 CPT,81222,HC CTFR DUP/DEL (CFMP),219.0,142.35,108.84,500.33,884 CPT,81222,HC CTFR DUP/DEL (CFSMN),275.0,178.75,136.68,500.33,884 CPT,81222,HC CTFR DUP/DEL (CSFP),220.0,143.0,109.34,500.33,884 CPT,81223,HC CFTR GENE (HPANP),800.0,520.0,397.6,776.0,884 CPT,81223,HC CFTR GENE FULL ANALYSIS (CFTRN),1000.0,650.0,497.0,970.0,884 CPT,81223,HC CFTR GENE FULL SEQUENCE (PANGP),570.0,370.5,283.29,573.85,884 CPT,81223,HC CFTR GENE FULL SEQUENCE (PHCGD),832.0,540.8,413.5,807.04,884 CPT,81225,HC CYP2C19 GENE ANALYSIS,600.0,390.0,291.36,582.0,884 CPT,81225,HC CYP2C19 GENOTYPE (CYPR),600.0,390.0,291.36,582.0,884 CPT,81227,HC CYP2C9 GENE COM VARIANTS,600.0,390.0,174.81,600.0,884 CPT,81229,HC MCR MICROARRAY POC,1700.0,1105.0,844.9,1666.0,884 CPT,81229,HC MCR MICROARRAY POC TUMOR FFPE,1700.0,1105.0,844.9,1666.0,884 CPT,81229,HC MICROARRAY BLOOD,1700.0,1105.0,844.9,1666.0,884 CPT,81229,HC MICROARRAY PRENATAL,1700.0,1105.0,844.9,1666.0,884 CPT,81230,HC CYP3A4 GENOTYPE,600.0,390.0,174.81,588.0,856 CPT,81231,HC CYP3A5 GENOTYPE,600.0,390.0,174.81,600.0,884 CPT,81232,HC DPYD FULL GENE SEQUENCING,1000.0,650.0,174.81,970.0,884 CPT,81232,HC DPYD GENOTYPE,600.0,390.0,174.81,582.0,884 CPT,81235,HC CFDNA EGFR T790M,900.0,585.0,324.58,873.0,884 CPT,81235,HC EGFR GENE ANALYSIS COM VAR,1200.0,780.0,324.58,1164.0,884 CPT,81235,HC EGFR GENE ANALYSIS COM VAR (EGFRT),1200.0,780.0,324.58,1164.0,884 CPT,81238,"HC F9 GENE, FULL GENE (GNBLF)",296.0,192.4,147.11,690.0,884 CPT,81238,"HC F9 GENE, FULL GENE (GNHMB)",1000.0,650.0,497.0,1000.0,884 CPT,81240,HC F2 GENE ANLYS 20210G A/B VAR,400.0,260.0,65.69,388.0,884 CPT,81240,HC F2 GENE ANLYS 20210G A/B VAR (PTMUT),400.0,260.0,65.69,388.0,884 CPT,81241,HC F5 LEIDEN VAR,400.0,260.0,73.37,388.0,884 CPT,81241,HC F5 LEIDEN VAR (F5DNA),400.0,260.0,73.37,388.0,884 CPT,81243,HC FMR1 FRAGL X SYNDRM ANLY,500.0,325.0,57.04,490.0,884 CPT,81244,HC FMR1 FRAGL X SYNDRM ANLY FUP,416.0,270.4,44.89,416.0,884 CPT,81245,HC FLT3 GENE DUP VAR (NGAMT),225.0,146.25,111.83,218.25,884 CPT,81245,HC FLTITD VARIANCE,294.0,191.1,146.12,285.18,884 CPT,81246,HC FLT3 GENE,159.0,103.35,79.02,154.23,884 CPT,81246,HC FLT3 GENE DOMAIN VAR (NGAMT),300.0,195.0,83.0,291.0,884 CPT,81248,HC GENE G6PD SEQ,500.0,325.0,248.5,500.0,884 CPT,81249,HC G6PD FULL GENE ANALYSIS,1000.0,650.0,497.0,970.0,884 CPT,81249,"HC G6PD GENE, FULL SEQ (PHCGD)",1001.0,650.65,497.5,970.97,884 CPT,81253,HC GENE GJB2 SEQ,500.0,325.0,61.52,500.0,884 CPT,81256,HC HFE HEMOCHROMATOSIS GEN ANALYS,400.0,260.0,65.36,392.0,884 CPT,81257,HC HBA1/HBA2 GENE (CSFP),43.0,27.95,21.37,117.6,884 CPT,81258,HC GENE HBA1/HBA2 SEQ,500.0,325.0,248.5,500.0,884 CPT,81259,HC HBA1/HBA2 ALPHA GLOBIN GENE SEQ,500.0,325.0,248.5,690.0,884 CPT,81261,HC IGH GENE REARRANGE,271.0,176.15,134.69,262.87,884 CPT,81263,HC IGH SOMATIC HYPERMUTATION,716.0,465.4,294.52,694.52,884 CPT,81264,HC IGK REARRANGE ABN CLONAL POP,253.0,164.45,125.74,245.41,884 CPT,81265,HC COMPARATIVE STR MARKERS,800.0,520.0,233.07,776.0,884 CPT,81265,HC COMPARATIVE STR MARKERS 2,828.0,538.2,233.07,803.16,884 CPT,81266,HC STR MARKERS SPECIMEN ANAL ADD,300.0,195.0,149.1,350.53,884 CPT,81267,HC CHIMERISM ANLYS NO CELL SELECT,706.0,458.9,207.46,684.82,884 CPT,81268,HC CHIMERISM ANLYS W CELL SELECT,1139.0,740.35,260.79,1104.83,884 CPT,81269,HC ALPHA GLOBIN CLUSTER DEL/DUP (AGDD),700.0,455.0,202.4,686.0,884 CPT,81269,HC ALPHA GLOBIN CLUSTER LOCUS DEL/DUP (WAGDR),700.0,455.0,202.4,686.0,884 CPT,81269,HC ALPHA GLOBIN GENE SEQUENCE,700.0,455.0,202.4,686.0,884 CPT,81270,HC JAK2 GENE ANALYSIS (MPNR),477.0,310.05,91.66,462.69,884 CPT,81270,HC JAK2 GENE ANALYSIS (PVJAK),334.0,217.1,91.66,323.98,884 CPT,81270,HC JAK2 GENE ANALYSIS V617F,400.0,260.0,91.66,388.0,884 CPT,81270,HC JAK2 V617F MUTATION (JAKFB),743.0,482.95,91.66,720.71,884 CPT,81270,HC JAK2 V617F MUTATION (JAKFM),743.0,482.95,91.66,720.71,884 CPT,81271,HC HTT GENE DETC ABNOR ALLELES,400.0,260.0,137.0,400.0,884 CPT,81272,HC KIT TARGETED (GISTP),879.0,571.35,329.51,852.63,884 CPT,81273,HC D816V VARIANT ANALYSIS (KITQ),768.0,499.2,124.87,744.96,884 CPT,81273,HC KIT ASP816VAL MUT ANALYSIS - 1,593.0,385.45,124.87,575.21,884 CPT,81275,HC KRAS GENE ANALYSIS 2 (KRASW),450.0,292.5,193.25,436.5,884 CPT,81275,HC KRAS GENE ANALYSIS 2 (RASFP),593.0,385.45,193.25,575.21,884 CPT,81275,"HC KRAS GENE ANALYSIS, EXON 2 VAR (KRASP)",490.0,318.5,193.25,475.3,884 CPT,81275,"HC KRAS GENE VAR-EXON 2, PANEL",450.0,292.5,193.25,436.5,884 CPT,81276,"HC KRAS GENE ADDTL VAR, PANEL",450.0,292.5,193.25,436.5,884 CPT,81276,"HC KRAS GENE ANALYSIS, ADDTL VAR (KRASP)",410.0,266.5,193.25,397.7,884 CPT,81276,"HC KRAS GENE ANALYSIS, ADDTL VAR (KRASW)",450.0,292.5,193.25,436.5,884 CPT,81277,HC CYTOGEN NEOPLASIA MICROARRAY 1,2200.0,1430.0,1093.4,2134.0,884 CPT,81277,HC CYTOGEN NEOPLASIA MICROARRAY 2,2200.0,1430.0,1093.4,2134.0,884 CPT,81277,HC CYTOGEN NEOPLASIA MICROARRAY 3,2200.0,1430.0,1093.4,2134.0,884 CPT,81283,HC IL28B POLYMORPHISM GENOTYPE,600.0,390.0,73.37,600.0,884 CPT,81284,HC FXN REPEAT EXPANSION ANALYSIS (AFXN),700.0,455.0,137.0,700.0,884 CPT,81287,HC MGMT METHYLATION ANALYSIS,500.0,325.0,124.64,485.0,884 CPT,81287,HC MGMT PROMOTER METHYLATION (MGMTF),593.0,385.45,124.64,575.21,884 CPT,81288,HC MLH1 HYPERMETHYLATION ANALYSIS,500.0,325.0,192.32,485.0,884 CPT,81288,HC MLH1 HYPERMETHYLATION ANALYSIS 3,500.0,325.0,192.32,485.0,884 CPT,81289,HC GENE FXN (FMTT),500.0,325.0,185.2,500.0,884 CPT,81292,HC MLH1 GENE (XCP),55.0,35.75,27.34,776.71,884 CPT,81292,HC MLH1 GENE SEQ (COMCP),99.0,64.35,49.2,776.71,884 CPT,81292,HC MLH1 GENE SEQ (T1GS),42.0,27.3,20.87,776.71,884 CPT,81293,HC MLH1 GENE KNOWN VARIANTS,500.0,325.0,248.5,500.0,884 CPT,81295,HC MSH2 GENE (XCP),52.0,33.8,25.84,438.96,884 CPT,81295,HC MSH2 GENE SEQ (COMCP),55.0,35.75,27.34,438.96,884 CPT,81295,HC MSH2 GENE SEQ (T1GS),24.0,15.6,11.93,438.96,884 CPT,81296,HC MSH2 KNOWN MUTATION,500.0,325.0,248.5,500.0,884 CPT,81298,HC MSH6 GENE (XCP),170.0,110.5,84.49,738.13,884 CPT,81298,HC MSH6 GENE SEQ (COMCP),252.0,163.8,125.24,738.13,884 CPT,81298,HC MSH6 GENE SEQ (T1GS),40.0,26.0,19.88,738.13,884 CPT,81299,HC MSH6 GENE KNOWN VARIANTS,500.0,325.0,248.5,490.0,856 CPT,81301,HC MICROSATELLITE INSTABILITY,1200.0,780.0,348.56,1164.0,884 CPT,81302,HC MECP2 GENE FULL ANLYS (MCP2Z),1000.0,650.0,497.0,1000.0,884 CPT,81305,HC MYD88 GENE PRO VRNT,410.0,266.5,175.4,397.7,884 CPT,81305,HC MYD88 GENE PRO VRNT (LPLFX),395.0,256.75,175.4,383.15,884 CPT,81307,HC PALB2 GENE (BRTP),263.0,170.95,130.71,777.98,884 CPT,81307,HC PALB2 GENE (XCP),180.0,117.0,89.46,777.98,884 CPT,81307,HC PALB2 GENE SEQ (COMCP),268.0,174.2,133.2,777.98,884 CPT,81308,HC GENE PALB2 (FMTT),500.0,325.0,248.5,500.0,884 CPT,81309,HC PIK3CA GENE ANALYSIS (PIK3B),1200.0,780.0,274.83,1164.0,884 CPT,81309,HC PIK3CA GENE ANALYSIS (PIK3T),1200.0,780.0,274.83,1164.0,884 CPT,81310,HC NPM1 MUTATION ANALYSIS (NPM1Q),410.0,266.5,203.77,397.7,884 CPT,81310,HC NPM1 MUTATION ANALYSIS (NPMFB),986.0,640.9,246.52,956.42,884 CPT,81310,HC NPM1 MUTATION ANALYSIS (NPMFM),410.0,266.5,203.77,397.7,884 CPT,81311,HC NRAS GENE VAR EXON 2 & 3 (RASFP),730.0,474.5,295.79,708.1,884 CPT,81314,HC PDGFRA TARGETED (GISTP),535.0,347.75,265.9,518.95,884 CPT,81315,HC PML/RARA QUANT PCR B,928.0,603.2,207.31,900.16,884 CPT,81315,HC PML/RARALPHA BKPT QUAL/QUANT,454.0,295.1,207.31,440.38,884 CPT,81317,HC PMS2 GENE FULL SEQ PNL (T1GS),42.0,27.3,20.87,777.98,884 CPT,81317,HC PMS2 GENE SEQ (COMCP),101.0,65.65,50.2,777.98,884 CPT,81317,HC PMS2 GENE SEQ (XCP),99.0,64.35,49.2,777.98,884 CPT,81318,HC PMS2 KNOWN FAMILIAL VARIANTS,500.0,325.0,248.5,490.0,884 CPT,81319,HC PMS2 (DUP/DEL) (COMCP),30.0,19.5,14.91,234.03,884 CPT,81319,HC PMS2 GENE DUP/DEL (XCP),30.0,19.5,14.91,234.03,884 CPT,81321,HC PTEN FULL GENE,1000.0,650.0,497.0,970.0,884 CPT,81321,HC PTEN GENE (XCP),87.0,56.55,43.24,690.0,884 CPT,81321,HC PTEN GENE (BRTP),233.0,151.45,115.8,690.0,884 CPT,81321,HC PTEN GENE (RENCP),284.0,184.6,141.15,690.0,884 CPT,81321,HC PTEN GENE SEQ (COMCP),87.0,56.55,43.24,690.0,884 CPT,81322,HC PTEN GENE KNOWN MUT,500.0,325.0,46.6,500.0,884 CPT,81324,HC PMP22 GENE DUP/DELETE,500.0,325.0,248.5,872.11,884 CPT,81326,HC GENE PMP22 SEQ,500.0,325.0,46.6,500.0,884 CPT,81328,HC SLCO1B1 GENOTYPE STATIN,600.0,390.0,174.81,600.0,884 CPT,81329,HC SMN1 GENE DOS/DELETION (SMNCS),400.0,260.0,137.0,392.0,884 CPT,81329,HC SMN1 GENE DOS/DELETION (SMNDX),400.0,260.0,137.0,392.0,884 CPT,81329,HC SMN1/SMN2 DOSAGE/DELETION (CFSMN),173.0,112.45,85.98,169.54,884 CPT,81329,HC SMN1/SMN2 DOSAGE/DELETION (CSFP),139.0,90.35,69.08,157.55,884 CPT,81331,HC SNRPN/UBE3A METHYLATION ANALYSIS,500.0,325.0,51.07,490.0,884 CPT,81336,HC SMN1 GENE FULL GENE SEQ,1000.0,650.0,301.35,1000.0,884 CPT,81339,HC MPL EXON 10 MUTATION (MPLFB),1225.0,796.25,185.2,1188.25,884 CPT,81339,HC MPL EXON 10 MUTATION (MPLFM),598.0,388.7,185.2,580.06,884 CPT,81339,HC MPL GENE SEQ ALYS EXON 10,598.0,388.7,185.2,580.06,884 CPT,81340,HC TRB GENE REARRANGE AMPLIFY,623.0,404.95,208.92,604.31,884 CPT,81342,HC TRG GENE REARRANGEMENT ANALYS,612.0,397.8,201.5,593.64,884 CPT,81345,HC TERT GENE TARGETED SEQ ALYS,1015.0,659.75,185.2,984.55,884 CPT,81345,HC TERT PROMOTER ANALYSIS DDPCR (TERTD),900.0,585.0,185.2,873.0,884 CPT,81350,HC UGT1A1 FULL GENE SEQ (UGTFZ DEX-Z),1000.0,650.0,234.0,970.0,884 CPT,81350,HC UGT1A1 GENE ANALYSIS 3,600.0,390.0,234.0,582.0,884 CPT,81351,HC TP53 GENE (BRTP),250.0,162.5,124.25,738.13,884 CPT,81351,HC TP53 GENE (RENCP),302.0,196.3,150.09,738.13,884 CPT,81351,HC TP53 GENE (WILMP),1383.0,898.95,641.85,1341.51,884 CPT,81351,HC TP53 GENE (XCP),95.0,61.75,47.22,738.13,884 CPT,81351,HC TP53 GENE SEQ (COMCP),93.0,60.45,46.22,738.13,884 CPT,81351,HC TP53 MUTATION ANALYSIS (TP53),1200.0,780.0,596.4,1164.0,884 CPT,81352,HC TP53 GENE TARGET SEQ,566.0,367.9,281.3,549.02,884 CPT,81352,HC TP53 GENE TARGET SEQ (NGAMT),738.0,479.7,329.51,715.86,884 CPT,81361,HC HBB GENE (CSFP),73.0,47.45,36.28,201.03,884 CPT,81362,HC GENE HBB SEQ,500.0,325.0,248.5,500.0,884 CPT,81363,HC BETA GLOBIN CLUSTER LOCUS DEL/DUP,700.0,455.0,202.4,686.0,884 CPT,81363,HC BETA GLOBIN CLUSTER LOCUS DUP/DELETE,700.0,455.0,202.4,686.0,884 CPT,81363,HC HBB GENE DEL/DUP (CSFP),73.0,47.45,36.28,232.76,884 CPT,81364,HC HBB - BETA-GLOB GEN SEQ,500.0,325.0,248.5,485.0,884 CPT,81364,HC HBB BETA-GLOB GEN SEQ (WBSQR),500.0,325.0,248.5,485.0,884 CPT,81370,HC HLA I & II TYPING LR (SSOGP),1735.0,1127.75,402.12,1682.95,884 CPT,81371,HC HLA CONFIRM TYPING LR,1666.0,1082.9,404.52,1616.02,884 CPT,81372,HC HLA CL I ABC TYPING LR,1667.0,1083.55,403.59,1616.99,884 CPT,81372,HC HLA CLASS I TYPING LOW RESOL (HLABD),1593.0,1035.45,403.59,1545.21,884 CPT,81373,HC HLA-C CONFIRM TYPING LR,642.0,417.3,127.43,642.0,884 CPT,81374,HC HLA I TYPING 1 ANTIGEN LR,431.0,280.15,74.33,418.07,884 CPT,81375,HC HLA II LOW RESOL DRB1/3/4/5 & DQB1 (HLABD),852.0,553.8,220.74,826.44,884 CPT,81376,HC CELIAC ASSOCIATED HLA-DQ TYPING,756.0,491.4,122.22,733.32,884 CPT,81376,HC HLA DP TYPING LR,839.0,545.35,122.22,813.83,884 CPT,81376,HC HLA II TYPING 1 LOCUS LR,828.0,538.2,122.22,803.16,884 CPT,81376,HC HLA II TYPING 1 LOCUS LR (SSOGP),833.0,541.45,122.22,808.01,884 CPT,81378,HC HLA I & II TYPING HR,2884.0,1874.6,345.57,2797.48,884 CPT,81379,HC HLA CL I ABC TYPING HR,2382.0,1548.3,335.38,2310.54,884 CPT,81381,HC GENOTYPE CARBAMAZEPINE,300.0,195.0,166.5,291.0,884 CPT,81381,HC HLAB 5701,600.0,390.0,169.9,582.0,884 CPT,81381,HC HLAB 5801,600.0,390.0,169.9,582.0,884 CPT,81382,HC HLA CL II TYPING HR,922.0,599.3,123.68,894.34,884 CPT,81401,HC AMINOGLYCOSIDE-INDUCED HEARING LOSS (AIHL),400.0,260.0,137.0,388.0,884 CPT,81401,HC APOB APOLIPOPROTEIN E GENOTYPE,400.0,260.0,137.0,388.0,884 CPT,81401,HC BWS/RSS MOLECULAR ANALYSIS,386.0,250.9,137.0,374.42,884 CPT,81401,HC GALACTOSEMIA MUTATION PANEL (GALMP),800.0,520.0,137.0,776.0,884 CPT,81401,HC GALC GENE,700.0,455.0,137.0,679.0,884 CPT,81401,HC INV(16) CBFB-MYH11 QUANT,545.0,354.25,137.0,528.65,884 CPT,81401,HC KCNQ1OT1 METHYLATION ANALYSIS,314.0,204.1,137.0,304.58,884 CPT,81401,HC MOPATH PROC LEVEL 2 (NEPHP),13.0,8.45,6.46,157.55,884 CPT,81401,"HC RUNX1/RUNX1T1, QUANT",545.0,354.25,137.0,528.65,884 CPT,81402,HC CYP21A2 COMMON VARIANTS,356.0,231.4,150.33,356.0,856 CPT,81402,HC UPD UNIPARENTAL DISOMY,700.0,455.0,150.33,700.0,856 CPT,81403,HC 81403 GENES 3 (RASFP),519.0,337.35,185.2,503.43,884 CPT,81403,HC AGXT KNOWN MUTATION (FMTT),500.0,325.0,185.2,485.0,884 CPT,81403,HC AMYL KNOWN MUTATION,500.0,325.0,185.2,485.0,884 CPT,81403,HC APAOA1 KNOWN MUTATION (FMTT),500.0,325.0,185.2,485.0,884 CPT,81403,HC ARSA GENE KNOWN MUTATION,500.0,325.0,185.2,485.0,884 CPT,81403,HC DAZ/SRY DELETION,400.0,260.0,185.2,388.0,884 CPT,81403,HC DMD GENE MLPA,500.0,325.0,185.2,485.0,884 CPT,81403,HC EPCAM (DUP/DEL) (COMCP),23.0,14.95,11.43,212.98,884 CPT,81403,HC EPCAM GENE DUP/DEL (XCP),26.0,16.9,12.92,212.98,884 CPT,81403,HC F8 INVERSION ANALYSIS (F8INP/F8INP),626.0,406.9,185.2,607.22,884 CPT,81403,HC F8 INVERSION ANALYSIS 2,400.0,260.0,185.2,388.0,884 CPT,81403,HC FLCN GENE KNOWN MUTATION (FMTT),500.0,325.0,185.2,485.0,884 CPT,81403,HC GAA KNOWN MUTATION,500.0,325.0,185.2,485.0,884 CPT,81403,HC GAUCHER DISEASE KNOWN MUTATION,500.0,325.0,185.2,485.0,884 CPT,81403,HC GLA KNOWN MUTATION,500.0,325.0,185.2,485.0,884 CPT,81403,HC HEXA GENE KNOWN MUTATION,500.0,325.0,185.2,485.0,884 CPT,81403,HC IDS KNOWN MUTATION,500.0,325.0,185.2,485.0,884 CPT,81403,HC KVAR1 SINGLE VARIANT KNOWN GENE,500.0,325.0,185.2,485.0,884 CPT,81403,HC MOPATH PROC LEVEL 4 (AFTDP),69.0,44.85,34.29,212.98,884 CPT,81403,HC MOPATH PROC LEVEL 4 (LQTSG),220.0,143.0,109.34,213.4,884 CPT,81403,HC MOPATH PROC LEVEL 4 (PARDP),60.0,39.0,29.82,212.98,884 CPT,81403,HC MOPATH PROC LEVEL 4 (SMCP),470.0,305.5,185.2,455.9,884 CPT,81403,HC MOPATH PROC LEVEL 4 (SQTSG),435.0,282.75,185.2,421.95,884 CPT,81403,HC MOPATH PROC LEVEL 4 (T1GS),11.0,7.15,5.47,212.98,884 CPT,81403,HC MOPATH PROCEDURE LEVEL 4,902.0,586.3,185.2,874.94,884 CPT,81403,"HC NPC1/NPC2 GENES, KNOWN MUTATION",500.0,325.0,185.2,485.0,884 CPT,81403,HC SDH KNOWN MUTATION,500.0,325.0,185.2,485.0,884 CPT,81403,HC UBA1 MUTATION QUANTITATIVE (UBA1Q),836.0,543.4,185.2,810.92,884 CPT,81403,HC VHL KNOWN MUTATION,500.0,325.0,185.2,485.0,884 CPT,81403,HC X-ALD KNOWN MUTATION,500.0,325.0,185.2,485.0,884 CPT,81404,HC BTD FULL GENE ANALYSIS (BTD),700.0,455.0,274.83,679.0,884 CPT,81404,HC MOPATH PROC LEVEL 5 (COMCP),33.0,21.45,16.4,316.05,884 CPT,81404,HC MOPATH PROC LEVEL 5 (RENCP),129.0,83.85,64.11,316.05,884 CPT,81404,HC MOPATH PROC LEVEL 5 (XCP),43.0,27.95,21.37,316.05,884 CPT,81404,HC MOPATH PROC LEVEL 5 (AFTDP),102.0,66.3,50.69,316.05,884 CPT,81404,HC MOPATH PROC LEVEL 5 (AHUGP),1467.0,953.55,274.83,1422.99,884 CPT,81404,HC MOPATH PROC LEVEL 5 (CHDGG),79.0,51.35,39.26,316.05,884 CPT,81404,HC MOPATH PROC LEVEL 5 (CKDGP),45.0,29.25,22.37,316.05,884 CPT,81404,HC MOPATH PROC LEVEL 5 (EDMDP),573.0,372.45,274.83,555.81,884 CPT,81404,HC MOPATH PROC LEVEL 5 (HPANP),400.0,260.0,198.8,388.0,884 CPT,81404,HC MOPATH PROC LEVEL 5 (IMNP),380.0,247.0,188.86,368.6,884 CPT,81404,HC MOPATH PROC LEVEL 5 (NEPHP),21.0,13.65,10.44,316.05,884 CPT,81404,HC MOPATH PROC LEVEL 5 (PANGP),314.0,204.1,156.06,316.05,884 CPT,81404,HC MOPATH PROC LEVEL 5 (PARDP),88.0,57.2,43.74,316.05,884 CPT,81404,HC MOPATH PROC LEVEL 5 (RBART),365.0,237.25,181.41,354.05,884 CPT,81404,HC MOPATH PROC LEVEL 5 (RSCGP),119.0,77.35,59.14,316.05,884 CPT,81404,HC PRSS1 FULL GENE ANALYSIS,700.0,455.0,274.83,679.0,884 CPT,81404,HC SDHD GENE (SDHMP),400.0,260.0,198.8,388.0,884 CPT,81404,"HC SOD1 GENE, FULL GENE ANALYSIS (SOD1Z)",1000.0,650.0,274.83,970.0,884 CPT,81404,HC SPINK1 FULL GENE ANALYSIS (HPPAN),163.0,105.95,81.01,316.05,884 CPT,81404,"HC TTR GENE, FULL GENE ANALYSIS (TTRZ)",1000.0,650.0,274.83,970.0,884 CPT,81404,HC UGT1A1 FULL GENE SEQ (UGTFG),1000.0,650.0,274.83,970.0,884 CPT,81404,HC VHL FULL GENE,1000.0,650.0,274.83,970.0,884 CPT,81404,HC VHL FULL GENE (NHEM),1466.0,952.9,274.83,1422.02,884 CPT,81404,HC VHL FULL GENE (NHEP),813.0,528.45,274.83,788.61,884 CPT,81404,HC VHL GENE (MCFRC),280.0,182.0,139.16,316.05,884 CPT,81404,HC VHL GENE FULL GENE ANALYSIS,700.0,455.0,274.83,679.0,884 CPT,81405,HC CTRC GENE (HPANP),400.0,260.0,198.8,388.0,884 CPT,81405,HC CYP21A2 FULL GENE ANALYSIS,644.0,418.6,301.35,624.68,884 CPT,81405,HC FH FULL GENE,1000.0,650.0,301.35,970.0,884 CPT,81405,HC FH MUTATION ANALYSIS (TFH),1200.0,780.0,301.35,1164.0,884 CPT,81405,HC GLA FULL GENE ANALYSIS (GLA),700.0,455.0,301.35,679.0,884 CPT,81405,HC MOPATH PROC LEVEL 6 (ADPKP),353.0,229.45,175.44,346.55,884 CPT,81405,HC MOPATH PROC LEVEL 6 (AFTDP),112.0,72.8,55.66,346.55,884 CPT,81405,HC MOPATH PROC LEVEL 6 (APGP),623.0,404.95,301.35,604.31,884 CPT,81405,HC MOPATH PROC LEVEL 6 (CASRG),1000.0,650.0,301.35,970.0,884 CPT,81405,HC MOPATH PROC LEVEL 6 (CHDGG),86.0,55.9,42.74,346.55,884 CPT,81405,HC MOPATH PROC LEVEL 6 (CKDGP),51.0,33.15,25.35,346.55,884 CPT,81405,HC MOPATH PROC LEVEL 6 (COMCP),35.0,22.75,17.4,346.55,884 CPT,81405,HC MOPATH PROC LEVEL 6 (CPVTG),250.0,162.5,124.25,346.55,884 CPT,81405,HC MOPATH PROC LEVEL 6 (CVHBG),136.0,88.4,67.59,346.55,884 CPT,81405,HC MOPATH PROC LEVEL 6 (EDMDP),628.0,408.2,301.35,609.16,884 CPT,81405,HC MOPATH PROC LEVEL 6 (HMEP),129.0,83.85,64.11,346.55,884 CPT,81405,HC MOPATH PROC LEVEL 6 (IMNP),380.0,247.0,188.86,368.6,884 CPT,81405,HC MOPATH PROC LEVEL 6 (MSUDP),481.0,312.65,239.06,466.57,884 CPT,81405,HC MOPATH PROC LEVEL 6 (NEPHP),22.0,14.3,10.93,346.55,884 CPT,81405,HC MOPATH PROC LEVEL 6 (PANGP),344.0,223.6,170.97,346.55,884 CPT,81405,HC MOPATH PROC LEVEL 6 (PARDP),98.0,63.7,48.71,346.55,884 CPT,81405,HC MOPATH PROC LEVEL 6 (PCGP),625.0,406.25,301.35,606.25,884 CPT,81405,HC MOPATH PROC LEVEL 6 (PHEGP),624.0,405.6,301.35,605.28,884 CPT,81405,HC MOPATH PROC LEVEL 6 (RENCP),142.0,92.3,70.57,346.55,884 CPT,81405,HC MOPATH PROC LEVEL 6 (RFSGS),81.0,52.65,40.26,346.55,884 CPT,81405,HC MOPATH PROC LEVEL 6 (RSCGP),130.0,84.5,64.61,346.55,884 CPT,81405,HC MOPATH PROC LEVEL 6 (SDHMP),400.0,260.0,198.8,388.0,884 CPT,81405,HC MOPATH PROC LEVEL 6 (XCP),49.0,31.85,24.35,346.55,884 CPT,81405,HC PKLR FULL GENE (NHEP),892.0,579.8,301.35,865.24,884 CPT,81405,HC PKLR FULL GENE (PKLRZ),1000.0,650.0,301.35,970.0,884 CPT,81405,HC PKLR FULL GENE AND DELETION,500.0,325.0,248.5,485.0,884 CPT,81405,HC SLCA1 FULL GENE SEQ (NMEM),1500.0,975.0,301.35,1455.0,884 CPT,81405,HC STK11 FULL GENE,1000.0,650.0,301.35,970.0,884 CPT,81405,HC STK11 GENE (BRTP),118.0,76.7,58.65,346.55,884 CPT,81405,HC WT1 GENE (WILMP),402.0,261.3,199.79,389.94,884 CPT,81405,HC X-ALD FULL GENE ANALYSIS (ABCD1),700.0,455.0,301.35,679.0,884 CPT,81406,HC ACADV FULL GENE ANALYSIS (ACADV),700.0,455.0,282.88,679.0,884 CPT,81406,HC ATP7B FULL GENE ANALYSIS (WNDZ),1000.0,650.0,282.88,970.0,884 CPT,81406,HC BTK GENE FULL ANALYSIS (BTKSG),1000.0,650.0,282.88,970.0,884 CPT,81406,HC CDH1 FULL GENE,1000.0,650.0,282.88,970.0,884 CPT,81406,HC CDH1 GENE (BRTP),110.0,71.5,54.67,325.31,884 CPT,81406,HC GAA FULL GENE SEQUENCE (GAAN),700.0,455.0,282.88,679.0,884 CPT,81406,HC GALACTOSEMIA FULL GENE ANALYSIS (GALZ),1000.0,650.0,282.88,970.0,884 CPT,81406,HC HEXA FULL GENE ANALYSIS (HEXAN),700.0,455.0,282.88,679.0,884 CPT,81406,HC IDUA FULL GENE ANALYSIS (IDUA),700.0,455.0,282.88,679.0,884 CPT,81406,HC MOPATH PROC LEVEL 7 (ADPKP),331.0,215.15,164.51,325.31,884 CPT,81406,HC MOPATH PROC LEVEL 7 (AFTDP),105.0,68.25,52.19,325.31,884 CPT,81406,HC MOPATH PROC LEVEL 7 (APGP),585.0,380.25,282.88,567.45,884 CPT,81406,HC MOPATH PROC LEVEL 7 (BRFKT),1600.0,1040.0,282.88,1552.0,884 CPT,81406,HC MOPATH PROC LEVEL 7 (CHDGG),81.0,52.65,40.26,325.31,884 CPT,81406,HC MOPATH PROC LEVEL 7 (CKDGP),48.0,31.2,23.86,325.31,884 CPT,81406,HC MOPATH PROC LEVEL 7 (COMCP),33.0,21.45,16.4,325.31,884 CPT,81406,HC MOPATH PROC LEVEL 7 (CVHBG),126.0,81.9,62.62,325.31,884 CPT,81406,HC MOPATH PROC LEVEL 7 (EDMDP),295.0,191.75,146.62,325.31,884 CPT,81406,HC MOPATH PROC LEVEL 7 (HCHLG),230.0,149.5,114.31,325.31,884 CPT,81406,HC MOPATH PROC LEVEL 7 (HHTGG),595.0,386.75,282.88,577.15,884 CPT,81406,HC MOPATH PROC LEVEL 7 (HMEP),122.0,79.3,60.63,325.31,884 CPT,81406,HC MOPATH PROC LEVEL 7 (HYPBG),470.0,305.5,233.59,455.9,884 CPT,81406,HC MOPATH PROC LEVEL 7 (IMNP),380.0,247.0,188.86,368.6,884 CPT,81406,HC MOPATH PROC LEVEL 7 (LIPOG),230.0,149.5,114.31,325.31,884 CPT,81406,HC MOPATH PROC LEVEL 7 (LQTSG),325.0,211.25,161.53,325.31,884 CPT,81406,HC MOPATH PROC LEVEL 7 (MSUDP),453.0,294.45,225.14,439.41,884 CPT,81406,HC MOPATH PROC LEVEL 7 (NEPHP),21.0,13.65,10.44,325.31,884 CPT,81406,HC MOPATH PROC LEVEL 7 (OIBFG),133.0,86.45,66.1,325.31,884 CPT,81406,HC MOPATH PROC LEVEL 7 (PARDP),92.0,59.8,45.72,325.31,884 CPT,81406,HC MOPATH PROC LEVEL 7 (PCGP),584.0,379.6,282.88,566.48,884 CPT,81406,HC MOPATH PROC LEVEL 7 (PHEGP),585.0,380.25,282.88,567.45,884 CPT,81406,HC MOPATH PROC LEVEL 7 (RBART),377.0,245.05,187.37,365.69,884 CPT,81406,HC MOPATH PROC LEVEL 7 (RENCP),134.0,87.1,66.6,325.31,884 CPT,81406,HC MOPATH PROC LEVEL 7 (RFSGS),77.0,50.05,38.27,325.31,884 CPT,81406,HC MOPATH PROC LEVEL 7 (RSCGP),123.0,79.95,61.13,325.31,884 CPT,81406,HC MOPATH PROC LEVEL 7 (SMCP),460.0,299.0,228.62,446.2,884 CPT,81406,HC MOPATH PROC LEVEL 7 (SQTSG),665.0,432.25,282.88,645.05,884 CPT,81406,HC MOPATH PROC LEVEL 7 (T1GS),9.0,5.85,4.47,325.31,884 CPT,81406,HC MOPATH PROC LEVEL 7 (TSCP1),400.0,260.0,198.8,388.0,884 CPT,81406,HC MOPATH PROC LEVEL 7 (TYRGP),1478.0,960.7,282.88,1433.66,884 CPT,81406,HC MOPATH PROC LEVEL 7 (XCP),42.0,27.3,20.87,325.31,884 CPT,81406,HC RET FULL GENE,1000.0,650.0,282.88,970.0,884 CPT,81406,HC SDHA GENE (SDHMP),400.0,260.0,198.8,388.0,884 CPT,81406,HC TSC1 GENE (MCFRC),290.0,188.5,144.13,325.31,884 CPT,81407,"HC BRUGADA SYNDROME, SCN5A FULL GENE",1000.0,650.0,497.0,973.21,884 CPT,81407,"HC F8 GENE, FULL GENE (GNBLF)",418.0,271.7,207.75,973.21,884 CPT,81407,"HC F8 GENE, FULL GENE (GNHMA)",1450.0,942.5,720.65,1406.5,884 CPT,81407,HC MOPATH PROC LEVEL 8 (ADPKP),868.0,564.2,431.4,973.21,884 CPT,81407,HC MOPATH PROC LEVEL 8 (AFTDP),314.0,204.1,156.06,973.21,884 CPT,81407,HC MOPATH PROC LEVEL 8 (ALAGP),1789.0,1162.85,846.27,1735.33,884 CPT,81407,HC MOPATH PROC LEVEL 8 (ALPGP),392.0,254.8,194.82,973.21,884 CPT,81407,HC MOPATH PROC LEVEL 8 (CHDGG),242.0,157.3,120.27,973.21,884 CPT,81407,HC MOPATH PROC LEVEL 8 (CKDGP),144.0,93.6,71.57,973.21,884 CPT,81407,HC MOPATH PROC LEVEL 8 (HCHLG),1378.0,895.7,684.87,1336.66,884 CPT,81407,HC MOPATH PROC LEVEL 8 (HMEP),363.0,235.95,180.41,973.21,884 CPT,81407,HC MOPATH PROC LEVEL 8 (HYPBG),1350.0,877.5,670.95,1309.5,884 CPT,81407,HC MOPATH PROC LEVEL 8 (LQTSG),1005.0,653.25,499.49,974.85,884 CPT,81407,HC MOPATH PROC LEVEL 8 (NEPHP),63.0,40.95,31.31,973.21,884 CPT,81407,HC MOPATH PROC LEVEL 8 (PARDP),275.0,178.75,136.68,973.21,884 CPT,81407,HC MOPATH PROC LEVEL 8 (RBART),1125.0,731.25,559.13,1091.25,884 CPT,81407,HC MOPATH PROC LEVEL 8 (RENCP),397.0,258.05,197.31,973.21,884 CPT,81407,HC MOPATH PROC LEVEL 8 (RFSGS),230.0,149.5,114.31,973.21,884 CPT,81407,HC MOPATH PROC LEVEL 8 (RSCGP),368.0,239.2,182.9,973.21,884 CPT,81407,HC MOPATH PROC LEVEL 8 (T1GS),53.0,34.45,26.34,973.21,884 CPT,81407,HC MOPATH PROC LEVEL 8 (TSCP1),1600.0,1040.0,795.2,1552.0,884 CPT,81407,HC MOPATH PROC LEVEL 8 (XCP),120.0,78.0,59.64,973.21,884 CPT,81407,HC TSC2 GENE (MCFRC),850.0,552.5,422.45,973.21,884 CPT,81408,HC ATM GENE (BRTP),777.0,505.05,386.17,2300.0,884 CPT,81408,"HC DMD GENE, FULL GENE ANALYSIS (DMDZ)",1000.0,650.0,497.0,2300.0,884 CPT,81408,HC FBN1 FULL GENE ANALYSIS,1000.0,650.0,497.0,2300.0,884 CPT,81408,HC MOPATH PROC LEVEL 8 (LIPOG),1440.0,936.0,715.68,2300.0,884 CPT,81408,HC MOPATH PROC LEVEL 9 (ALPGP),737.0,479.05,366.29,2300.0,884 CPT,81408,HC MOPATH PROC LEVEL 9 (CHDGG),422.0,274.3,209.73,2300.0,884 CPT,81408,HC MOPATH PROC LEVEL 9 (CKDGP),341.0,221.65,169.48,2300.0,884 CPT,81408,HC MOPATH PROC LEVEL 9 (COMCP),235.0,152.75,116.8,2300.0,884 CPT,81408,HC MOPATH PROC LEVEL 9 (CPVTG),1667.0,1083.55,828.5,2300.0,884 CPT,81408,HC MOPATH PROC LEVEL 9 (CVHBG),897.0,583.05,445.81,2300.0,884 CPT,81408,HC MOPATH PROC LEVEL 9 (EDSGG),973.0,632.45,483.58,2300.0,884 CPT,81408,HC MOPATH PROC LEVEL 9 (HMEP),858.0,557.7,426.43,2300.0,884 CPT,81408,HC MOPATH PROC LEVEL 9 (NEPHP),151.0,98.15,75.05,2300.0,884 CPT,81408,HC MOPATH PROC LEVEL 9 (OIBFG),838.0,544.7,416.49,2300.0,884 CPT,81408,HC MOPATH PROC LEVEL 9 (PARDP),649.0,421.85,322.55,2300.0,884 CPT,81408,HC MOPATH PROC LEVEL 9 (RFSGS),542.0,352.3,269.37,2300.0,884 CPT,81408,HC MOPATH PROC LEVEL 9 (XCP),245.0,159.25,121.77,2300.0,884 CPT,81408,HC NF1 FULL GENE,1000.0,650.0,497.0,2300.0,884 CPT,81408,HC VWF FULL GENE NGS,1095.0,711.75,544.22,2300.0,884 CPT,81408,HC VWF GENE (GNBLF),987.0,641.55,490.54,2300.0,884 CPT,81408,HC VWF GENE (GNVWD),1900.0,1235.0,944.3,2300.0,884 CPT,81410,HC COMPREHENSIVE AORTOPATHY GENE PANEL,2000.0,1300.0,504.0,1940.0,884 CPT,81410,HC MARFAN AND RELATED CONDITIONS PANEL,2000.0,1300.0,504.0,1940.0,884 CPT,81410,HC POSTMORTEM AORTOPATHY PANEL,1900.0,1235.0,504.0,1843.0,884 CPT,81413,HC COMPREHENSIVE ARRHYTHMIA GENE PANEL,2000.0,1300.0,584.9,1940.0,884 CPT,81415,HC EXOME,5334.0,3467.1,2651.0,5497.0,884 CPT,81415,HC WHOLE EXOME SEQ (WESDX),3000.0,1950.0,1491.0,5497.0,884 CPT,81416,HC EXOME COMPARATOR,1240.0,806.0,616.28,13800.0,884 CPT,81416,HC EXOME COMPARATOR (G226),1500.0,975.0,745.5,13800.0,884 CPT,81416,HC WHOLE EXOME SEQ REANAL COMPARATOR (WESPR),1500.0,975.0,745.5,13800.0,884 CPT,81417,HC WHOLE EXOME SEQ REANAL (WESPR),1500.0,975.0,320.0,1500.0,884 CPT,81417,HC WHOLE EXOME SEQ REANALYSIS (WESR),1500.0,975.0,320.0,1500.0,884 CPT,81418,HC PSYCH PHARMACOGENOMICS PANEL (PSYQP),1500.0,975.0,745.5,1470.0,884 CPT,81419,HC COMP EPILEPSY GENE PANEL (EPPAN),2500.0,1625.0,1242.5,2815.84,884 CPT,81425,HC GENOME SEQUENCE ANALYSIS (WGSDX),4000.0,2600.0,1988.0,5785.88,884 CPT,81425,HC RAPID WHOLE GENOME SEQ,5500.0,3575.0,2733.5,5785.88,884 CPT,81426,HC GENOME SEQ ANALYSIS EA COMPARATOR (G227),2000.0,1300.0,994.0,3116.44,884 CPT,81426,HC RAPID WHOLE GENOME SEQ COMPARATOR,3000.0,1950.0,1491.0,3116.44,884 CPT,81427,HC GENOME RE-EVALUATION (WGSR),1500.0,975.0,745.5,2688.3,856 CPT,81430,HC HEARING LOSS GENE PANEL (AHLP),1763.0,1145.95,876.21,1868.75,856 CPT,81431,HC HEARING LOSS DUP/DEL ANALYSIS PANEL (AHLP),737.0,479.05,366.29,781.51,856 CPT,81432,HC BREAST CA GENOMIC SEQ XCP,2500.0,1625.0,1242.5,2450.0,856 CPT,81432,HC HEREDITARY BREAST/GYN CANCER PANEL (BRGYP),2000.0,1300.0,994.0,1960.0,856 CPT,81432,HC HEREDITARY PANCREATIC CANCER PANEL (PANCP),2000.0,1300.0,994.0,1960.0,856 CPT,81432,HC HEREDITARY PROSTATE CANCER PANEL (PRS8P),2000.0,1300.0,994.0,1960.0,856 CPT,81432,HC RAPID HERED BREAST CANCER PANEL (BRTP),2500.0,1625.0,1242.5,2450.0,856 CPT,81435,HC COLON CA GENOMIC SEQ XCP,2500.0,1625.0,1242.5,2425.0,884 CPT,81435,HC HEREDITARY GI CANCER PANEL,2000.0,1300.0,994.0,1940.0,884 CPT,81435,HC LYNCH SYNDROME PANEL (LYNCP),2000.0,1300.0,994.0,1940.0,884 CPT,81437,HC HEREDITARY ENDOCRINE CANCER PANEL,2000.0,1300.0,994.0,2000.0,884 CPT,81437,HC HEREDITARY PGL/PCC PANEL,2000.0,1300.0,994.0,2000.0,884 CPT,81437,HC HEREDITARY THYROID CANCER PANEL (THYRP),2000.0,1300.0,994.0,2000.0,884 CPT,81437,HC NEUROENDOCRINE CA GENOMIC SEQ XCP,2500.0,1625.0,1242.5,2500.0,884 CPT,81439,HC ARRHYTHMOGENIC CARDIOMYOPATHY PANEL (ARVGG),2000.0,1300.0,584.9,1940.0,884 CPT,81439,HC CARDIOMYOPATHY AND ARRHYTHMIA PANEL,2500.0,1625.0,584.9,2425.0,884 CPT,81439,HC COMPREHENSIVE CARDIOMYOPATHY PANEL,2500.0,1625.0,584.9,2425.0,884 CPT,81439,HC DILATED CARDIOMYOPATHY/LVNC PANEL,2500.0,1625.0,584.9,2425.0,884 CPT,81439,HC HYPERTROPHIC CARDIOMYOPATHY PANEL,2000.0,1300.0,584.9,1940.0,884 CPT,81439,HC POSTMORTEM ARRHYTHMIA GENE PANEL,1900.0,1235.0,584.9,1843.0,884 CPT,81439,HC POSTMORTEM CARDIOMYOP/ARRYTHM PANEL,1900.0,1235.0,584.9,1843.0,884 CPT,81439,HC POSTMORTEM CARDIOMYOPATHY PANEL,1900.0,1235.0,584.9,1843.0,884 CPT,81440,HC MITOCHON NUCLEAR (CMITO),2996.0,1947.4,1489.01,3822.6,884 CPT,81440,HC NUC MITOCHON GENE PANEL (NMITO),2500.0,1625.0,1242.5,3822.6,884 CPT,81441,HC BONE MARROW FAILURE GENE PANEL (BMFGP),2500.0,1625.0,1242.5,2815.84,884 CPT,81442,HC NOONAN SYNDROME AND RELATED PANEL,2000.0,1300.0,994.0,2465.14,884 CPT,81443,HC 3-METHYLGLUT ACIDURIA PANEL (3MGAP),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC ALPS GENE PANEL (ALPSG),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC ATAXIA GENE PANEL (ATAXP),2500.0,1625.0,1242.5,2815.84,884 CPT,81443,HC AUTOINFLAMMATORY GENE PANEL (AUTOG),2500.0,1625.0,1242.5,2815.84,884 CPT,81443,HC BATTEN DISEASE GENE PANEL (NCLGP),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC BCELL/ANTIBODY DEFICIENCY GENE PANEL (BCELL),2500.0,1625.0,1242.5,2815.84,884 CPT,81443,HC BLEEDING COMPREHENSIVE PANEL (GNBLC),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC CDG GENE PANEL (CDGGP),2500.0,1625.0,1242.5,2815.84,884 CPT,81443,HC CHOLESTASIS GENE PANEL (CHLGP),2500.0,1625.0,1242.5,2815.84,884 CPT,81443,HC COMBINED IMMUNODEF GENE PANEL (COMID),2500.0,1625.0,1242.5,2815.84,884 CPT,81443,HC CONGENITAL LACTIC ACIDOSIS PANEL (CLADP),1040.0,676.0,516.88,2815.84,884 CPT,81443,HC CONGENITAL MYASTHENIA GENE PANEL (CMSP),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC CONGENITAL NEUTROPENIA GENE PANEL (SCCNP),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC DISTAL WEAKNESS GENE PANEL (DWPAN),2500.0,1625.0,1242.5,2815.84,884 CPT,81443,HC DYSREGULATION/AUTOIMM GENE PANEL (IMMAU),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC EARLY ONSET IBD GENE PANEL (EOIBD),2500.0,1625.0,1242.5,2815.84,884 CPT,81443,HC EBV/LYMPHOPROLIFERATION GENE PANEL (EBLPD),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC FATTY ACID OXIDATION GENE PANEL (HFAOP),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC GLYCOGEN STORAGE DIS GENE PANEL (GSDGP),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC HEREDITARY HEMOLYTICS ANEMIA (NHHA),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC HLH GENE PANEL (HLHGP),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC HYPER-IGE SYNDROME GENE PANEL (HIESG),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC INBORN ERR OF IMMUNITY GENE PANEL (IEICP),2500.0,1625.0,1242.5,2815.84,884 CPT,81443,HC LGMD AND CMS GENE PANEL (LGCMP),2500.0,1625.0,1242.5,2815.84,884 CPT,81443,HC LSD GENE PANEL (LSDGP),2500.0,1625.0,1242.5,2815.84,884 CPT,81443,HC MACROTHROMBOCYTOPENIA PANEL (GNMTC),1775.0,1153.75,882.18,2815.84,884 CPT,81443,HC METHYL ACIDURIA GENE PANEL (MMAGP),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC MMA PA COMBINED GENE PANEL (MPAGP),2080.0,1352.0,1033.76,2815.84,884 CPT,81443,HC MOTOR NEURON DISEASE GENE PANEL (MNDP),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC MUSCULAR DYSTROPHY GENE PANEL (MDYSP),2500.0,1625.0,1242.5,2815.84,884 CPT,81443,HC NEUROMUSCULAR GENE PANEL (MUPAN),2500.0,1625.0,1242.5,2815.84,884 CPT,81443,HC PEROXISOMAL DISORDER GENE PANEL (PDGP),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC PLATELET COMPREHENSIVE PANEL (GNPLT),2500.0,1625.0,1242.5,2815.84,884 CPT,81443,HC PLATELET FUNCTION DEFECT PANEL (GNPFD),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC POSTMORTEM HLH GENE PANEL,1900.0,1235.0,944.3,2815.84,884 CPT,81443,HC POSTMORTEM MYASTHENIA GENE PANEL,1900.0,1235.0,944.3,2815.84,884 CPT,81443,HC RBC ENZYME SEQUENCING NGS (NENZ),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC RHABDO/METABOLIC MYOPATHY PANEL (RABMP),2500.0,1625.0,1242.5,2815.84,884 CPT,81443,HC SCID GENE PANEL (SCIDP),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC STORAGE POOL DEFICIENCY PANEL (GNSPD),1775.0,1153.75,882.18,2815.84,884 CPT,81443,HC TELOMERE DISORDERS GENE PANEL (TELDP),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC THROMBOCYTOPENIA GENE PANEL (GNHTC),1775.0,1153.75,882.18,2815.84,884 CPT,81443,HC THROMBOSIS COMPREHENSIVE PANEL (GNTHR),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC UREA CYCLE DISORDERS GENE PANEL (UCDP),2000.0,1300.0,994.0,2815.84,884 CPT,81443,HC VIRAL SUSCEPTIBILITY GENE PANEL (VIRID),2000.0,1300.0,994.0,2815.84,884 CPT,81445,HC HISTONE GENES MUTATION ANALYSIS (HISGT),1600.0,1040.0,597.91,1552.0,884 CPT,81445,HC MAYCOMPLETE ADULT DG PANEL (MCADG),1600.0,1040.0,597.91,1552.0,884 CPT,81445,HC MELANOMA PANEL TUMOR,1416.0,920.4,597.91,1373.52,884 CPT,81445,HC SOLID TUMOR TARGETED CANCER PANEL,2458.0,1597.7,597.91,2384.26,884 CPT,81448,HC MOTOR AND SENSORY NEUROPATHY PANEL (IMSNP),2500.0,1625.0,584.9,2425.0,884 CPT,81448,HC PERIPHERAL NEUROPATHY GENE PANEL (PEPAN),2500.0,1625.0,584.9,2425.0,884 CPT,81448,HC SENSORY NEUROPATHY GENE PANEL (ISNP),2000.0,1300.0,584.9,1940.0,884 CPT,81448,HC SPASTIC PARAPLEGIA GENE PANEL (ISPP),2500.0,1625.0,584.9,2425.0,884 CPT,81449,HC MAYOCOMPLETE LUNG REARRANGEMENTS (MCLNR),1200.0,780.0,596.4,1176.0,884 CPT,81450,HC B-CELL LYMPHOMA NGS,2538.0,1649.7,759.53,2461.86,884 CPT,81450,HC CHRONIC LYMPHOID NEOPLASM NGS,2070.0,1345.5,759.53,2007.9,884 CPT,81450,HC HISTIOCYTIC NEOPLASM NGS,1896.0,1232.4,759.53,1839.12,884 CPT,81450,HC NEXT GEN AML 8,1896.0,1232.4,759.53,1839.12,884 CPT,81450,HC ONCOHEME NGS FOR HEMATOLOGIC CANCER,2538.0,1649.7,759.53,2461.86,884 CPT,81450,"HC REFLEX ANALYSIS, NGSHM",713.0,463.45,354.36,873.46,884 CPT,81450,HC T-CELL LYMPHOMA NGS,2070.0,1345.5,759.53,2007.9,884 CPT,81455,HC COMPREHENSIVE NGS MYELOID PANEL (NGSMC),4555.0,2960.75,2263.84,4418.35,884 CPT,81455,HC NEURO-ONC EXPAND PANEL (NONCP),1800.0,1170.0,894.6,3357.54,884 CPT,81455,HC SARCOMA TARGETED GENE FUSION PANEL,2769.0,1799.85,1376.19,3357.54,884 CPT,81456,HC MAYOCOMPLETE TARGETED RNASEQ PANEL (MCRSP),2000.0,1300.0,994.0,3357.54,884 CPT,81456,HC MAYOCOMPLETE TRANSCRIP RNASEQ (MCRSQ),2000.0,1300.0,994.0,3357.54,884 CPT,81456,HC NEURO-ONC PANEL FUSIONS (NONCR),2000.0,1300.0,994.0,3357.54,884 CPT,81456,HC SARCOMA TARGETED GENE PANEL (SARCP),2000.0,1300.0,994.0,3357.54,884 CPT,81456,HC SOLID ORGAN NEOPLASM RNA (MCSRC),2754.0,1790.1,1368.74,3357.54,884 CPT,81456,HC SOLID ORGAN NEOPLASM RNA (NONCP),1800.0,1170.0,894.6,3357.54,884 CPT,81457,HC MAYCOCOMPLETE GYN PANEL TEST (MCGYN),1600.0,1040.0,795.2,1552.0,884 CPT,81457,HC MAYOCOMPLETE BLAD/PROS PANEL (MCBPP),1600.0,1040.0,795.2,1552.0,884 CPT,81457,HC MAYOCOMPLETE CRC PANEL TEST (MCCRC),1600.0,1040.0,795.2,1552.0,884 CPT,81457,HC MAYOCOMPLETE ENDOMETRIAL PANEL (MCECP),1600.0,1040.0,795.2,1552.0,884 CPT,81457,HC MAYOCOMPLETE GIST PANEL TEST (MCGST),1600.0,1040.0,795.2,1552.0,884 CPT,81457,HC MAYOCOMPLETE KIDNEY CANCER PANEL TEST (MCKCP),1600.0,1040.0,795.2,1552.0,884 CPT,81457,HC MAYOCOMPLETE LUNG CANCER MUTATIONS (MCLNM),1600.0,1040.0,795.2,1552.0,884 CPT,81457,HC MAYOCOMPLETE LUNG CANCER PANEL TEST (MCLNG),2800.0,1820.0,896.87,2716.0,884 CPT,81457,HC MAYOCOMPLETE MELANOMA PANEL TEST (MCMLN),1600.0,1040.0,795.2,1552.0,884 CPT,81457,HC MAYOCOMPLETE OVARY CANCER PANEL (MCOCP),1600.0,1040.0,795.2,1552.0,884 CPT,81457,HC MAYOCOMPLETE SARCOMA MUTATION PANEL (MCSMP),1600.0,1040.0,795.2,1552.0,884 CPT,81457,HC MAYOCOMPLETE SARCOMA PANEL TEST (MCSRC),846.0,549.9,420.46,1031.4,884 CPT,81457,HC NEURO-ONC PANEL MUT (NONCM),1600.0,1040.0,795.2,1552.0,884 CPT,81459,HC MAYOCOMPLETE SOLID TUM PANEL (MCSTP),3600.0,2340.0,1789.2,3492.0,884 CPT,81460,HC MITOCHON FULL GENOME (CMITO),1160.0,754.0,576.52,1480.05,884 CPT,81460,HC MITOCHON FULL GENOME ANALYSIS (CLADP),935.0,607.75,464.7,1480.05,884 CPT,81460,HC MITOCHONDRIAL FULL GENE ANALYSIS,1707.0,1109.55,848.38,1707.0,884 CPT,81463,HC MAYOCOMPLETE LIQUID BIOPSY PANEL(MCLBP),3600.0,2340.0,1345.31,3492.0,884 CPT,81465,HC MITOCHON DELETION (CMITO),844.0,548.6,419.47,1076.4,884 CPT,81465,HC WHOLE MITOCHON GENOME (MITOP),793.0,515.45,394.12,1076.4,884 CPT,81465,HC WHOLE MITOCHON GENOME LARGE DEL (CLADP),525.0,341.25,260.93,1076.4,884 CPT,81479,HC ACUTE PORPHYRIA GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,"HC ADAMTS13 GENE, FULL GENE (GNADM)",1000.0,650.0,497.0,970.0,880 CPT,81479,HC AHUS/TMA/C3G GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC ALAGILLE SYNDROME GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC ALK MUTATION ANALYSIS (ALKT),1200.0,780.0,596.4,1164.0,880 CPT,81479,HC ALPORT SYNDROME GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC ANGIOEDEMA/COMPLEMENT GENE PANEL (AECDP),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC APOL1 GENOTYPE,400.0,260.0,198.8,388.0,880 CPT,81479,HC AUDIOLOGENE HEARING LOSS PANEL (AHLP-MEC),2500.0,1625.0,1242.5,2425.0,880 CPT,81479,HC B-CATENIN MUTATIONS ANALYSIS (CTNBT),1200.0,780.0,596.4,1164.0,880 CPT,81479,HC BAP1 FULL GENE,1000.0,650.0,497.0,970.0,880 CPT,81479,HC BARTTER SYNDROME GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC BCR/ABL1 REFLEX QUAL/QUANT (BCRFX-MEC-NCCI),538.0,349.7,267.39,521.86,880 CPT,81479,HC BCR/ABL1 RNA QUAL DIAG (BADX-MEC-NCCI),538.0,349.7,267.39,521.86,880 CPT,81479,HC BLEEDING FOCUSED GENE PANEL (MEC),1750.0,1137.5,869.75,1697.5,880 CPT,81479,HC BPGM FULL GENE ANALYSIS,700.0,455.0,347.9,679.0,880 CPT,81479,HC BRAF/KIT MUTATION ANALYSIS TUMOR (MEC),1600.0,1040.0,795.2,1552.0,880 CPT,81479,HC C9ORF72 MOLECULAR ANALYSIS,700.0,455.0,347.9,679.0,880 CPT,81479,"HC CARRIER SCREEN, FOCUSED PANEL (MEC)",800.0,520.0,397.6,776.0,880 CPT,81479,HC CDA SEQUENCING NGS (NCDA),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC CDKN1C FULL GENE ANALYSIS,700.0,455.0,347.9,679.0,880 CPT,81479,HC CEREBROVASCULAR GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC CF AND SMA CARRIER SCREEN PANEL (MEC),800.0,520.0,397.6,776.0,880 CPT,81479,HC CFTR GENE FULL ANALYSIS (CFTRN DEX-Z),1000.0,650.0,497.0,970.0,880 CPT,81479,HC CGD/PHAGOCYTE DISORDER GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC COMBINED MTDNA+NUCLEAR GENE PANEL (CMITO DEX-Z),5000.0,3250.0,2485.0,4850.0,880 CPT,81479,HC COMPREHENSIVE NEPHROLOGY GENE PANEL (MEC),2500.0,1625.0,1242.5,2425.0,880 CPT,81479,HC CONGENITAL HEART DISEASE GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC CONGENITAL LACTIC ACIDOSIS PANEL (MEC),2500.0,1625.0,1242.5,2425.0,880 CPT,81479,HC CPVT GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,"HC CXCR4, GENE MUTATION, REFLEX",574.0,373.1,285.28,556.78,880 CPT,81479,HC CYB5 AND CYB5 REDUCTASE NGS (NCYB),3550.0,2307.5,1764.35,3443.5,880 CPT,81479,"HC CYP21A2 GENE, FULL GENE ANALYSIS (CYPZ) (MEC)",1000.0,650.0,497.0,970.0,880 CPT,81479,HC CYP2B6 GENOTYPE (2B6V),600.0,390.0,298.2,582.0,880 CPT,81479,HC CYSTIC FIBROSIS (CF) MUTATION PANEL (MEC),500.0,325.0,248.5,485.0,880 CPT,81479,HC CYSTIC FIBROSIS PANEL (CFMP DEX-Z),500.0,325.0,248.5,485.0,880 CPT,81479,HC CYSTIC KIDNEY DISEASE GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC CYSTINURIA GENE PANEL (CYSGP),2080.0,1352.0,1033.76,2017.6,880 CPT,81479,HC DICER1 MUTATION ANALYSIS (DICET),1200.0,780.0,596.4,1164.0,880 CPT,81479,HC EHLERS-DANLOS SYNDROME GENE PANEL (EDSGG)(MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC EMERY-DREIFUS GENE PANEL EDMDP (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC ERYTHROCYTOSIS FOCUSED PANEL NGS (NHEM-MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC ERYTHROCYTOSIS FULL PANEL NGS (NHEP-MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC ESR1 MUTATIONS ANALYSIS (ESR1T),1200.0,780.0,596.4,1164.0,880 CPT,81479,HC EXP PANCREATITIS GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,"HC F11 GENE, FULL GENE (GNF11)",1450.0,942.5,720.65,1406.5,880 CPT,81479,"HC F13A1 AND B GENES, FULL GENE (GNF13)",2000.0,1300.0,994.0,1940.0,880 CPT,81479,"HC F7 GENE, FULL GENE (GNF7)",1450.0,942.5,720.65,1406.5,880 CPT,81479,"HC FGA/B/G GENES, FULL GENE (GNFIB)",2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC FLCN FULL GENE,1000.0,650.0,497.0,970.0,880 CPT,81479,"HC FLT3 MUTATION ANALYSIS, BLOOD (MEC)",459.0,298.35,228.12,445.23,880 CPT,81479,HC FMR1 GENE (CSFP),43.0,27.95,21.37,41.71,880 CPT,81479,HC FOCUSED ADPKD GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC FOXL2 MUT (C402G) ANALYSIS,994.0,646.1,494.02,964.18,880 CPT,81479,HC FOXL2 MUTATIONS ANALYSIS (XL2T),1200.0,780.0,596.4,1164.0,880 CPT,81479,HC FSGS/NEPHROTIC SYNDROME GENE PANEL (MEC),2500.0,1625.0,1242.5,2425.0,880 CPT,81479,HC FTD/ALS GENE PANEL AFTDP (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC GAMMA GLOBIN FULL GENE SEQ (WGSQR),400.0,260.0,198.8,388.0,880 CPT,81479,"HC GAMMA GLOBIN FULL GENE SEQUENCING, V",561.0,364.65,278.82,544.17,880 CPT,81479,HC GATA2 GENE FULL ANAYLYIS (GATAS),1000.0,650.0,497.0,970.0,880 CPT,81479,HC GAUCHER DISEASE FULL GENE ANA (GBA),700.0,455.0,347.9,679.0,880 CPT,81479,HC GP1BA GENE (GNVWD),100.0,65.0,49.7,97.0,880 CPT,81479,HC HEMIPLEGIC MIGRAINE GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC HEREDIATRY ERYTHROCYTOSIS MUT,700.0,455.0,347.9,679.0,880 CPT,81479,HC HEREDITARY ANGIOEDEMA PANEL (GNANG),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC HEREDITARY COMMON CANCER PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC HEREDITARY EXPANDED CANCER PANEL (MEC),2500.0,1625.0,1242.5,2425.0,880 CPT,81479,HC HEREDITARY PANCREATITIS GENE PANEL (HPANP-MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC HEREDITARY RENAL CANCER PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC HEREDITARY WILMS TUMOR PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC HEXB FULL GENE ANALYSIS (HEXBZ),1000.0,650.0,497.0,970.0,880 CPT,81479,HC HHT AND VASCULAR GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC HYPERCHOLESTEROLEMIA GENE PANEL (HCHLG)(MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC HYPERTRIGLYCERIDEMIA GENE PANEL,2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC HYPOBETALIPOPROTEINEMIA GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC IDH1/IDH2 MUTATIONS ANALYSIS (IDHT),1600.0,1040.0,795.2,1552.0,880 CPT,81479,HC IGH/IK GENE REARRANGE BCGET/BCGBM/BCGR/BCGRV (MEC),526.0,341.9,261.42,510.22,880 CPT,81479,HC INBORN ERR OF IMMUNITY GENE PANEL (IEICP DEX-Z)),2500.0,1625.0,1242.5,2425.0,880 CPT,81479,HC KETONE DISORDERS GENE PANEL (KETGP),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC KRAS MUTATION ANALYSIS (KRASW DEX-Z),828.0,538.2,411.52,803.16,880 CPT,81479,HC LIPODYSTROPHY GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC LONG QT SYNDROME GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC MAYO COMPLETE ACUTE MYELOID LEUKEMIA (MEC),1756.0,1141.4,872.73,1703.32,880 CPT,81479,HC MAYOCOMPLETE FIBROMYOMATOUS RCC (MEC),1600.0,1040.0,795.2,1552.0,880 CPT,81479,HC MAYOCOMPLETE SOLID TUM PANEL (MCSTP DEX-Z),3600.0,2340.0,1789.2,3492.0,880 CPT,81479,HC MCAD MUTATION SCREEN (ACADM),700.0,455.0,347.9,679.0,880 CPT,81479,HC MITOCHON DELETION HETEROPLASMY (DMITO),500.0,325.0,248.5,485.0,880 CPT,81479,HC MITOCHON FULL GENOME ANALYSIS (MEC),2500.0,1625.0,1242.5,2425.0,880 CPT,81479,HC MITOCHONDRIAL FULL GENOME ANAL (MITOP DEX-Z),2500.0,1625.0,1242.5,2425.0,880 CPT,81479,HC MLH1/BRAF ANALYSIS (BRMLH DEX-Z),1400.0,910.0,695.8,1358.0,880 CPT,81479,HC MOPATH PROC (ADPKP),117.0,76.05,58.15,113.49,880 CPT,81479,HC MOPATH PROC (AFTDP),37.0,24.05,18.39,35.89,880 CPT,81479,HC MOPATH PROC (AHUGP),533.0,346.45,264.9,517.01,880 CPT,81479,HC MOPATH PROC (ALAGP),211.0,137.15,104.87,204.67,880 CPT,81479,HC MOPATH PROC (ALPGP),134.0,87.1,66.6,129.98,880 CPT,81479,HC MOPATH PROC (APGP),207.0,134.55,102.88,200.79,880 CPT,81479,HC MOPATH PROC (BRFKT),1600.0,1040.0,795.2,1552.0,880 CPT,81479,HC MOPATH PROC (BRTP),39.0,25.35,19.38,37.83,880 CPT,81479,HC MOPATH PROC (CHDGG),29.0,18.85,14.41,28.13,880 CPT,81479,HC MOPATH PROC (CKDGP),17.0,11.05,8.45,16.49,880 CPT,81479,HC MOPATH PROC (COMCP),12.0,7.8,5.96,11.64,880 CPT,81479,HC MOPATH PROC (CPVTG),83.0,53.95,41.25,80.51,880 CPT,81479,HC MOPATH PROC (CVHBG),45.0,29.25,22.37,43.65,880 CPT,81479,HC MOPATH PROC (EDMDP),209.0,135.85,103.87,202.73,880 CPT,81479,HC MOPATH PROC (EDSGG),54.0,35.1,26.84,52.38,880 CPT,81479,HC MOPATH PROC (GNBLF),50.0,32.5,24.85,48.5,880 CPT,81479,HC MOPATH PROC (HCHLG),162.0,105.3,80.51,157.14,880 CPT,81479,HC MOPATH PROC (HHTGG),215.0,139.75,106.86,208.55,880 CPT,81479,HC MOPATH PROC (HMEP),43.0,27.95,21.37,41.71,880 CPT,81479,HC MOPATH PROC (HYPBG),180.0,117.0,89.46,174.6,880 CPT,81479,HC MOPATH PROC (IMNP),100.0,65.0,49.7,97.0,880 CPT,81479,HC MOPATH PROC (LIPOG),100.0,65.0,49.7,97.0,880 CPT,81479,HC MOPATH PROC (LQTSG),125.0,81.25,62.13,121.25,880 CPT,81479,HC MOPATH PROC (MCFRC),180.0,117.0,89.46,174.6,880 CPT,81479,HC MOPATH PROC (MSUDP),160.0,104.0,79.52,155.2,880 CPT,81479,HC MOPATH PROC (NEPHP),10.0,6.5,4.97,9.7,880 CPT,81479,HC MOPATH PROC (NHEM),534.0,347.1,265.4,517.98,880 CPT,81479,HC MOPATH PROC (NHEP),295.0,191.75,146.62,286.15,880 CPT,81479,HC MOPATH PROC (NMEM),500.0,325.0,248.5,485.0,880 CPT,81479,HC MOPATH PROC (OIBFG),58.0,37.7,28.83,56.26,880 CPT,81479,HC MOPATH PROC (PANGP),114.0,74.1,56.66,110.58,880 CPT,81479,HC MOPATH PROC (PARDP),32.0,20.8,15.9,31.04,880 CPT,81479,HC MOPATH PROC (PCGP),207.0,134.55,102.88,200.79,880 CPT,81479,HC MOPATH PROC (PHCGD),167.0,108.55,83.0,161.99,880 CPT,81479,HC MOPATH PROC (PHEGP),206.0,133.9,102.38,199.82,880 CPT,81479,HC MOPATH PROC (PKLRG),200.0,130.0,99.4,194.0,880 CPT,81479,HC MOPATH PROC (RBART),133.0,86.45,66.1,129.01,880 CPT,81479,HC MOPATH PROC (RENCP),65.0,42.25,32.31,63.05,880 CPT,81479,HC MOPATH PROC (RFSGS),26.0,16.9,12.92,25.22,880 CPT,81479,HC MOPATH PROC (RSCGP),44.0,28.6,21.87,42.68,880 CPT,81479,HC MOPATH PROC (SMCP),150.0,97.5,74.55,145.5,880 CPT,81479,HC MOPATH PROC (SQTSG),235.0,152.75,116.8,227.95,880 CPT,81479,HC MOPATH PROC (T1GS),6.0,3.9,2.98,5.82,880 CPT,81479,HC MOPATH PROC (TYRGP),522.0,339.3,259.43,506.34,880 CPT,81479,HC MOPATH PROC (WILMP),215.0,139.75,106.86,208.55,880 CPT,81479,HC MOPATH PROC (XCP),16.0,10.4,7.95,15.52,880 CPT,81479,HC MOTOR NEURON DISEASE GENE PAN (MNDP DEX-Z),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC MOTOR NEUROPATHY GENE PANEL IMNP (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC MSUD GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC MUSCLE CHANNEL GENE PANEL SMCP (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,"HC MYH9 GENE, FULL GENE (GNMY9)",1450.0,942.5,720.65,1406.5,880 CPT,81479,HC MYOD1 MUTATION ANALYSIS (MYODT),1200.0,780.0,596.4,1164.0,880 CPT,81479,HC NAT2F FULL GENE SEQ (NAT2Q),600.0,390.0,298.2,582.0,880 CPT,81479,HC NEURO-ONC EXPAND PANEL (NONCP DEX-Z),3600.0,2340.0,1789.2,3492.0,880 CPT,81479,HC NOTCH3 GENE FULL ANLYS (NTC3Z),1000.0,650.0,497.0,970.0,880 CPT,81479,HC NTRK GENES MUTATION ANALYSIS (NTRKM),1600.0,1040.0,795.2,1552.0,880 CPT,81479,HC OSTEO IMPERF AND BONE FRAGILITY GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC PARKINSON DIS GENE PANEL PARDP (MEC),2500.0,1625.0,1242.5,2425.0,880 CPT,81479,HC PHENYLALANINE DISORDERS GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC POLE MUTATION ANALYSIS (POLET),1200.0,780.0,596.4,1164.0,880 CPT,81479,HC PORPHYRIA COMPREHENSIVE GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC PRIMARY CILIARY DYSKINESIA PANEL,2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC PRKAR1A FULL GENE ANALYSIS,1000.0,650.0,497.0,970.0,880 CPT,81479,"HC PROC GENE, FULL GENE (GNPRC)",1000.0,650.0,497.0,970.0,880 CPT,81479,"HC PROS GENE, FULL GENE (GNPRS)",1000.0,650.0,497.0,970.0,880 CPT,81479,HC PULMONARY FIBROSIS GENE PANEL (IPFGP),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC RAPID HERED BREAST CANCER TEST (MEC),2500.0,1625.0,1242.5,2425.0,880 CPT,81479,HC RBC MEMBRANE SEQUENCING (NMEM-MEC),3550.0,2307.5,1764.35,3443.5,880 CPT,81479,HC RENAL STONE/ELECTROLYTE GENE PANEL (MEC),2500.0,1625.0,1242.5,2425.0,880 CPT,81479,HC SDH GENES MUTATION ANALYSIS (MEC),1600.0,1040.0,795.2,1552.0,880 CPT,81479,"HC SEPTIN9 GENE, FULL GENE ANALYSIS (SEP9Z)",1000.0,650.0,497.0,970.0,880 CPT,81479,HC SERPINA1 FULL GENE ANALYSIS,700.0,455.0,347.9,679.0,880 CPT,81479,HC SERPINC1 FULL GENE NGS,1022.0,664.3,507.93,991.34,880 CPT,81479,"HC SERPINC1 GENE, FULL GENE (GNANT)",1000.0,650.0,497.0,970.0,880 CPT,81479,HC SHORT QT SYNDROME GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC SPINOCEREBELLAR ATAXIA PANEL (MEC),700.0,455.0,347.9,679.0,880 CPT,81479,"HC T CELL RECEPTOR GENE REARRANGE, BM (MEC)",1145.0,744.25,569.07,1110.65,880 CPT,81479,HC TIER 1 GENOMIC SCREEN (MEC),350.0,227.5,173.95,339.5,880 CPT,81479,HC TREC IMMUNE RECONSTITUTION,700.0,455.0,347.9,679.0,880 CPT,81479,HC TTR GENE FULL GENE ANALYSIS (TTRZ DEX-Z),1000.0,650.0,497.0,970.0,880 CPT,81479,HC TUBEROUS SCLEROSIS GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC TYROSINE DISORDERS GENE PANEL (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81479,HC VWF AND GP1BA GENES (MEC),2000.0,1300.0,994.0,1940.0,880 CPT,81513,HC BACTERIAL VAGINOSIS AMP RNA,431.0,280.15,142.63,422.38,884 CPT,81528,HC REF COLOGUARD,657.0,427.05,326.53,643.86,884 CPT,81599,HC CHD GENETIC RISK SCORE,800.0,520.0,397.6,776.0,880 CPT,82010,HC KETONE QUANT,164.0,106.6,8.17,159.08,884 CPT,82017,HC ACYLCARNITINE QUANT EA 2,467.0,303.55,16.87,452.99,884 CPT,82024,HC ACTH,469.0,304.85,38.62,454.93,884 CPT,82024,HC ACTH 1,392.0,254.8,38.62,380.24,884 CPT,82040,HC ALBUMIN SERUM/PLASMA/WHOLE BLD,54.0,35.1,4.95,52.38,884 CPT,82040,HC ALBUMIN SERUM/PLASMA/WHOLE BLD 2,57.0,37.05,4.95,55.29,884 CPT,82042,HC ALBUMIN URINE/OTHER SOURCE QUANT,91.0,59.15,7.78,88.27,884 CPT,82043,HC MICROALBUMIN QUANT URINE,149.0,96.85,5.78,144.53,884 CPT,82077,HC ASSAY OF ALCOHOL NON-URINE/BREATH,217.0,141.05,17.27,210.49,884 CPT,82085,HC ALDOLASE ASSAY,146.0,94.9,9.71,143.08,884 CPT,82088,HC ALDOSTERONE PLASMA,446.0,289.9,40.75,432.62,884 CPT,82088,HC ALDOSTERONE SERUM,435.0,282.75,40.75,421.95,884 CPT,82088,HC ALDOSTERONE URINE,453.0,294.45,40.75,439.41,884 CPT,82103,HC ALPHA 1 ANTITRYPSIN TOTAL,182.0,118.3,13.44,178.36,884 CPT,82103,HC ALPHA 1 ANTITRYPSIN TOTAL 1,177.0,115.05,13.44,173.46,884 CPT,82104,HC ALPHA1 ANTITRYPSIN PHENOTYPE,286.0,185.9,14.46,280.28,884 CPT,82105,HC ALPHA FETOPROTEIN SERUM,237.0,154.05,16.77,229.89,884 CPT,82107,HC AFP L3 FRACTN ISOFRM TTL AFP,560.0,364.0,64.41,548.8,884 CPT,82108,HC ALUMINUM ASSAY,366.0,237.9,25.48,355.02,884 CPT,82108,HC ALUMINUM ASSAY 1,387.0,251.55,25.48,375.39,884 CPT,82135,HC AMINOLEVULINIC ACID,253.0,164.45,16.45,245.41,884 CPT,82135,HC AMINOLEVULINIC ACID 2,253.0,164.45,16.45,245.41,884 CPT,82136,HC ALLO ISOLEUCINE PANEL,263.0,170.95,19.61,257.74,884 CPT,82136,HC AMINO ACIDS 2 TO 5 QUANT EA,384.0,249.6,19.61,376.32,884 CPT,82136,HC AMINO ACIDS 2 TO 5 QUANT EA 2,280.0,182.0,19.61,274.4,884 CPT,82136,HC AMINO ACIDS QUANT 2-5 EA 2 (CMMPP/CMMPS-NCCI),233.0,151.45,19.61,228.34,884 CPT,82139,HC AMINO ACIDS 6 OR MORE QUANT EA,40.0,26.0,16.87,39.2,884 CPT,82139,HC AMINO ACIDS 6 OR MORE QUANT EA 2 (AAPD-R),377.0,245.05,16.87,369.46,884 CPT,82140,HC AMMONIA ASSAY,197.0,128.05,14.57,191.09,884 CPT,82150,HC AMYLASE ASSAY,103.0,66.95,6.48,99.91,884 CPT,82150,HC AMYLASE ASSAY 2,114.0,74.1,6.48,110.58,884 CPT,82150,HC AMYLASE PANCREATIC ASSAY,104.0,67.6,6.48,100.88,884 CPT,82157,HC ANDROSTENEDIONE,471.0,306.15,29.28,461.58,884 CPT,82157,HC ANDROSTENEDIONE (CAH21),471.0,306.15,29.28,461.58,884 CPT,82164,HC ANGIOTENSIN I CONVERT ENZYME,240.0,156.0,14.6,232.8,884 CPT,82166,HC ANTIMULLERIAN HORMONE,168.0,109.2,38.62,164.64,884 CPT,82172,HC APOLIPOPROTEIN EACH,141.0,91.65,21.09,138.18,884 CPT,82175,HC ARSENIC ASSAY URINE/SERUM/WB EA,229.0,148.85,18.97,222.13,884 CPT,82175,HC ARSENIC ASSAY URINE/SERUM/WB EA 1,228.0,148.2,18.97,221.16,884 CPT,82180,HC ASCORBIC ACID/VITAMIN C BLOOD,138.0,89.7,9.89,135.24,884 CPT,82232,HC BETA 2 MICROGLOBULIN,261.0,169.65,16.18,255.78,884 CPT,82234,HC BETA-AMYLOID 1-42,160.0,104.0,79.52,155.2,884 CPT,82234,HC BETA-AMYLOID 1-42 2,270.0,175.5,128.92,261.9,884 CPT,82239,HC BILE ACIDS TOTAL,210.0,136.5,17.12,203.7,884 CPT,82247,HC BILIRUBIN TOTAL,67.0,43.55,5.02,64.99,884 CPT,82248,HC BILIRUBIN DIRECT,66.0,42.9,5.02,64.02,884 CPT,82261,HC BIOTINIDASE EA SPECIMEN,44.0,28.6,16.87,43.12,884 CPT,82271,HC OCCULT BLOOD GASTRIC,25.0,16.25,5.32,24.5,884 CPT,82272,HC OCCULT BLOOD FECES DIAGNOSTIC,47.0,30.55,4.23,46.06,884 CPT,82274,HC OCCULT BLOOD FECES IMMUNOASSAY,136.0,88.4,15.92,133.28,884 CPT,82300,HC CADMIUM BLOOD,213.0,138.45,23.64,206.61,884 CPT,82300,HC CADMIUM URINE,213.0,138.45,23.64,206.61,884 CPT,82306,HC VITAMIN D 25 HYDROXY,366.0,237.9,29.6,355.02,884 CPT,82308,HC CALCITONIN LYMPH NODE,387.0,251.55,26.79,379.26,884 CPT,82308,HC CALCITONIN SERUM,403.0,261.95,26.79,394.94,884 CPT,82310,HC CALCIUM TOTAL,72.0,46.8,5.16,69.84,884 CPT,82330,HC CALCIUM IONIZED,183.0,118.95,13.68,177.51,884 CPT,82340,HC CA URINE QUANT TIMED SPECIMEN,87.0,56.55,6.03,85.26,884 CPT,82365,HC CALCULUS INFRARED SPECTROSCOPY,165.0,107.25,12.9,160.05,884 CPT,82373,HC CARBOHYDRATE DEF TRANSFERRIN,391.0,254.15,18.06,383.18,884 CPT,82374,HC CO2 ASSAY,66.0,42.9,4.88,64.02,884 CPT,82375,HC ASSAY CARBOXYHB QUANT,122.0,79.3,12.32,118.34,884 CPT,82375,HC CARBOXYHEMOGLOBIN QUANT,150.0,97.5,12.32,145.5,884 CPT,82375,HC CARBOXYHEMOGLOBIN QUANT 3,150.0,97.5,12.32,145.5,884 CPT,82378,HC CARCINOEMBRYONIC ANTIGEN/CEA,209.0,135.85,18.96,202.73,884 CPT,82378,HC CARCINOEMBRYONIC ANTIGEN/CEA 1,183.0,118.95,18.96,177.51,884 CPT,82378,HC CARCINOEMBRYONIC ANTIGEN/CEA 2,236.0,153.4,18.96,228.92,884 CPT,82379,HC CARNITINE QUANT EA SPECIMEN,40.0,26.0,16.87,39.2,884 CPT,82384,HC CATECHOLAMINES FRACTIONATED,325.0,211.25,25.25,315.25,884 CPT,82390,HC CERULOPLASMIN,150.0,97.5,10.74,147.0,884 CPT,82397,HC ALPHA SUBUNIT/APGH,191.0,124.15,14.12,185.27,884 CPT,82397,HC CHEMILUMINESCENT ASSAY,160.0,104.0,14.12,155.2,884 CPT,82397,HC CHEMILUMINESCENT ASSAY 1,194.0,126.1,14.12,188.18,884 CPT,82397,HC CHEMILUMINESCENT ASSAY 2,162.0,105.3,14.12,157.14,884 CPT,82397,HC PTH RELATED PEPTIDE/PTHRP,187.0,121.55,14.12,181.39,884 CPT,82435,HC CHLORIDE BLOOD,46.0,29.9,4.6,44.62,884 CPT,82436,HC CHLORIDE URINE,54.0,35.1,5.75,52.92,884 CPT,82438,HC CHLORIDE OTHER SOURCE,127.0,82.55,5.0,127.0,884 CPT,82465,HC CHOLESTEROL TOTAL,49.0,31.85,4.35,47.53,884 CPT,82480,HC CHOLINESTERASE SERUM,128.0,83.2,7.87,124.16,884 CPT,82495,HC CHROMIUM ASSAY 2,198.0,128.7,20.28,192.06,884 CPT,82495,HC CHROMIUM ASSAY 3,188.0,122.2,20.28,182.36,884 CPT,82507,HC CITRATE ASSAY,319.0,207.35,27.8,312.62,884 CPT,82523,HC COLLAGEN CROSS LINKS,288.0,187.2,18.68,282.24,884 CPT,82525,HC COPPER ASSAY 2,147.0,95.55,12.41,142.59,884 CPT,82525,HC COPPER ASSAY SERUM,157.0,102.05,12.41,152.29,884 CPT,82525,HC COPPER ASSAY TISSUE,160.0,104.0,12.41,155.2,884 CPT,82525,HC COPPER ASSAY URINE,162.0,105.3,12.41,157.14,884 CPT,82528,HC CORTICOSTERONE,346.0,224.9,22.52,346.0,884 CPT,82530,HC CORTISOL FREE,236.0,153.4,16.71,228.92,884 CPT,82530,HC CORTISOL FREE 1,239.0,155.35,16.71,231.83,884 CPT,82533,HC CORTISOL 1,182.0,118.3,16.3,176.54,884 CPT,82533,HC CORTISOL TOTAL,207.0,134.55,16.3,200.79,884 CPT,82540,HC CREATINE ASSAY,95.0,61.75,4.64,93.1,884 CPT,82542,"HC 24, 25 DIHYDROXY",217.0,141.05,24.09,210.49,884 CPT,82542,"HC 7AC4, BILE ACID SYNTH",207.0,134.55,24.09,200.79,884 CPT,82542,HC A1AT PROTEOTYPE,228.0,148.2,24.09,221.16,884 CPT,82542,HC ADMA MS QUANT,214.0,139.1,24.09,207.58,884 CPT,82542,HC AMYLOID PROTEIN 2,221.0,143.65,24.09,214.37,884 CPT,82542,HC BILE ACID FRACT AND TOTAL,224.0,145.6,24.09,217.28,884 CPT,82542,HC COENZYME Q10 REDUC&TOTAL,231.0,150.15,24.09,224.07,884 CPT,82542,HC COL CHR/MS NES,207.0,134.55,24.09,200.79,884 CPT,82542,HC COL CHR/MS STABLE MULT QUANT,214.0,139.1,24.09,207.58,884 CPT,82542,HC COL CHROMOTOGRAPHY (CMMPP/CMMPS-MEC-NCCI),1010.0,656.5,24.09,979.7,884 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 10,228.0,148.2,24.09,221.16,884 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 2,217.0,141.05,24.09,210.49,884 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 3,161.0,104.65,24.09,156.17,884 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 4,171.0,111.15,24.09,165.87,884 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 5,191.0,124.15,24.09,185.27,884 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 6,231.0,150.15,24.09,224.07,884 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 7,225.0,146.25,24.09,218.25,884 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 8,176.0,114.4,24.09,170.72,884 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 9,165.0,107.25,24.09,160.05,884 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN LTE4/NMH,171.0,111.15,24.09,165.87,884 CPT,82542,HC DEOXYCORTISOL 21,163.0,105.95,24.09,158.11,884 CPT,82542,HC GALACTITOL,209.0,135.85,24.09,202.73,884 CPT,82542,HC GLUCOPSYCHOSINE BLD SPOT QUANT,171.0,111.15,24.09,165.87,884 CPT,82542,HC GUANIDINOACETATE QUANT,171.0,111.15,24.09,165.87,884 CPT,82542,HC HYPEROXALURIA,191.0,124.15,24.09,185.27,884 CPT,82542,HC LYSOSOMAL DISORDER SN QUANT,225.0,146.25,24.09,218.25,884 CPT,82542,HC METHYLHISTAMINE QUANT,231.0,150.15,24.09,224.07,884 CPT,82542,HC OXYSTEROLS QUANT,221.0,143.65,24.09,214.37,884 CPT,82542,HC PORPHOBILINOGEN,217.0,141.05,24.09,210.49,884 CPT,82542,HC PORPHYRINS FRACTION,210.0,136.5,24.09,203.7,884 CPT,82542,HC PORPHYRINS FRACTION 1,171.0,111.15,24.09,165.87,884 CPT,82542,HC PURINE AND PYRIMIDINE PANEL,250.0,162.5,24.09,242.5,884 CPT,82542,HC PYRIDOXIC ACID QUANT,217.0,141.05,24.09,210.49,884 CPT,82542,HC SEROTONIN RELEASE ASSAY,173.0,112.45,24.09,167.81,884 CPT,82542,HC STEROLS PLASMA QUANT,207.0,134.55,24.09,200.79,884 CPT,82550,HC CREATINE KINASE TOTAL,81.0,52.65,6.51,78.57,884 CPT,82565,HC CREATININE BLOOD,53.0,34.45,5.12,51.41,884 CPT,82570,HC CREATININE OTHER SOURCE,105.0,68.25,5.18,101.85,884 CPT,82575,HC CREATININE CLEARANCE,146.0,94.9,9.46,141.62,884 CPT,82585,HC CRYOFIBRINOGEN ASSAY,113.0,73.45,14.14,110.74,884 CPT,82595,HC CRYOGLOBULIN QUAL,115.0,74.75,6.47,112.7,884 CPT,82607,HC VITAMIN B12 ASSAY,235.0,152.75,15.08,227.95,885 CPT,82610,HC CYSTATIN C,173.0,112.45,18.52,167.81,884 CPT,82610,HC CYSTATIN C 2,182.0,118.3,18.52,176.54,884 CPT,82626,HC DHEA,313.0,203.45,25.27,303.61,884 CPT,82627,HC DHEA SULFATE,223.0,144.95,22.23,218.54,884 CPT,82633,HC DESOXYCORTICOSTERONE 11,408.0,265.2,30.98,395.76,884 CPT,82652,HC VITAMIN D 1 25 DIHYDROXY,393.0,255.45,38.5,385.14,884 CPT,82653,HC ELASTASE PANCREATIC FECAL QUANT,181.0,117.65,22.97,177.38,884 CPT,82657,HC ALPHA GALACTOSIDASE LEUKOCYTE,274.0,178.1,22.17,265.78,884 CPT,82657,HC ALPHA GALACTOSIDASE PLASMA,300.0,195.0,22.17,291.0,884 CPT,82657,HC ALPHA MANNOSIDASE LEUKOCYTES,93.0,60.45,22.17,90.21,884 CPT,82657,HC ARYLSULFATASE A LEUKOCYTES,300.0,195.0,22.17,291.0,884 CPT,82657,HC BETA GALACTOSIDASE ANY SOURCE,195.0,126.75,22.17,189.15,884 CPT,82657,HC DISACCHARIDES ANALYSIS,271.0,176.15,22.17,262.87,884 CPT,82657,HC ENZYME ACTIVITY IN BLOOD CELLS 2,262.0,170.3,22.17,254.14,884 CPT,82657,HC ENZYME ACTIVITY IN BLOOD CELLS 4,282.0,183.3,22.17,273.54,884 CPT,82657,HC HEXOKINASE,303.0,196.95,22.17,293.91,884 CPT,82657,HC LYSOSOMAL ACID LIPASE,290.0,188.5,22.17,281.3,884 CPT,82657,HC METHEMOGLOBIN REDUCTASE,197.0,128.05,22.17,191.09,884 CPT,82657,HC PBG DEAMINASE,284.0,184.6,22.17,275.48,884 CPT,82657,HC UPG DECARBOXYLASE,96.0,62.4,22.17,93.12,884 CPT,82657,HC UROPORPHYRINOGEN III SYNTHASE,96.0,62.4,22.17,93.12,884 CPT,82664,HC ELECTROPHORETIC TECH NES,313.0,203.45,61.5,306.74,884 CPT,82668,HC ERYTHROPOIETIN ASSAY,232.0,150.8,18.79,225.04,884 CPT,82670,HC ESTRADIOL ASSAY,271.0,176.15,27.94,265.58,884 CPT,82671,HC ESTROGENS FRACTIONATED,572.0,371.8,32.3,560.56,884 CPT,82710,HC FECAL FAT QUANT,299.0,194.35,16.8,293.02,884 CPT,82725,HC FATTY ACID NONESTERFIED,117.0,76.05,18.77,113.49,884 CPT,82726,HC FATTY ACID VERY LONG CHAIN,40.0,26.0,19.75,38.8,884 CPT,82728,HC FERRITIN ASSAY,195.0,126.75,13.63,189.15,884 CPT,82735,HC FLUORIDE ASSAY,194.0,126.1,18.54,190.12,884 CPT,82746,HC FOLIC ACID SERUM ASSAY,226.0,146.9,14.7,219.22,884 CPT,82775,HC GALT QUANT,90.0,58.5,21.07,90.0,884 CPT,82777,HC GALECTIN 3,126.0,81.9,44.25,123.48,884 CPT,82784,HC ASSAY IGA/IGD/IGG/IGM EACH 2,133.0,86.45,9.3,129.01,884 CPT,82784,HC IMMUNOGLOBGULINS EA,142.0,92.3,9.3,137.74,884 CPT,82784,HC IMMUNOGLOBULIN CSF,133.0,86.45,9.3,129.01,884 CPT,82784,HC IMMUNOGLOBULIN IGD,146.0,94.9,9.3,141.62,884 CPT,82785,HC IMMUNOGLOBULIN IGE ASSAY,188.0,122.2,16.46,184.24,884 CPT,82787,HC IMMUNOGLOBIN SUBCLASSES EA,220.0,143.0,8.02,215.6,884 CPT,82787,HC IMMUNOGLOBIN SUBCLASSES EA 2,233.0,151.45,8.02,228.34,884 CPT,82803,HC BLD GASES ANY COMBINATION,249.0,161.85,26.07,241.53,884 CPT,82805,HC BLD GASES W DIRECT MEAS O2 SAT,283.0,183.95,78.77,274.51,884 CPT,82941,HC GASTRIN ASSAY,228.0,148.2,17.63,223.44,884 CPT,82943,HC GLUCAGON ASSAY,267.0,173.55,14.29,258.99,884 CPT,82945,HC GLUCOSE BODY FLUID,120.0,78.0,3.93,116.4,884 CPT,82945,HC GLUCOSE OTHER FLUID,117.0,76.05,3.93,113.49,884 CPT,82947,HC GLUCOSE BLOOD QUANT,52.0,33.8,3.93,50.44,885 CPT,82947,HC GLUCOSE BLOOD QUANT 2,44.0,28.6,3.93,42.68,885 CPT,82948,HC GLUCOSE BLOOD REAGENT STRIP,44.0,28.6,5.04,44.0,884 CPT,82950,HC GLUCOSE POSTDOSE,116.0,75.4,4.75,112.52,884 CPT,82955,HC G6PD QUANT,156.0,101.4,9.7,151.32,884 CPT,82963,HC ASSAY OF GLUCOSIDASE,662.0,430.3,21.48,648.76,884 CPT,82977,HC GAMMA GLUTAMYL TRANSFERASE,78.0,50.7,7.2,75.66,884 CPT,82978,HC GLUTATHIONE ASSAY,133.0,86.45,15.45,130.34,884 CPT,82985,HC FRUCTOSAMINE ASSAY,146.0,94.9,16.76,143.08,884 CPT,83001,HC FSH/FOLLICLE STIM HORMONE,201.0,130.65,18.58,194.97,884 CPT,83002,HC LUTEINIZING HORMONE,201.0,130.65,18.52,196.98,884 CPT,83002,HC LUTEINIZING HORMONE 1,212.0,137.8,18.52,207.76,884 CPT,83003,HC HUMAN GROWTH HORMONE ASSAY,191.0,124.15,16.67,185.27,884 CPT,83010,HC HAPTOGLOBIN ASSAY QUANT,136.0,88.4,12.58,131.92,884 CPT,83018,HC HEAVY METAL QUANT EA,227.0,147.55,21.96,220.19,884 CPT,83018,HC HEAVY METAL QUANT EA 2,227.0,147.55,21.96,220.19,884 CPT,83018,HC HEAVY METAL QUANT EA 4,225.0,146.25,21.96,218.25,884 CPT,83018,HC HEAVY METAL QUANT EA 8,231.0,150.15,21.96,224.07,884 CPT,83020,"HC HB VARIANT, A2 AND F QUAN",198.0,128.7,12.87,194.04,884 CPT,83021,HC HEMOGLOBIN CHROMATOGRAPHY QUANT,184.0,119.6,18.06,178.48,884 CPT,83036,HC HEMOGLOBIN GLYCATED A1C,145.0,94.25,9.71,140.65,884 CPT,83036,HC HEMOGLOBIN GLYCATED A1C 2,145.0,94.25,9.71,140.65,884 CPT,83050,HC METHEMOGLOBIN QUANT,118.0,76.7,8.2,114.46,884 CPT,83050,HC METHEMOGLOBIN QUANT 3,101.0,65.65,8.2,97.97,884 CPT,83051,HC HEMOGLOBIN PLASMA ASSAY,62.0,40.3,7.31,60.76,884 CPT,83060,HC SULFHEMOGLOBIN QUANT,129.0,83.85,8.8,126.42,884 CPT,83068,HC HEMOGLOBIN UNSTABLE SCREEN,131.0,85.15,9.47,128.38,884 CPT,83070,HC HEMOSIDERIN ASSAY QUAL,130.0,84.5,4.75,127.4,884 CPT,83080,HC HEXOSAMINIDASE ASSAY,230.0,149.5,16.87,225.4,884 CPT,83080,HC HEXOSAMINIDASE LEUKOCYTES,223.0,144.95,16.87,218.54,884 CPT,83090,HC HOMOCYSTEINE ASSAY,248.0,161.2,17.92,243.04,884 CPT,83090,HC HOMOCYSTEINE ASSAY 2 (CMMPP/CMMPS-NCCI),233.0,151.45,17.92,228.34,884 CPT,83150,HC HOMOVANILLIC ACID ASSAY,126.0,81.9,22.41,122.22,884 CPT,83497,HC 5 HIAA ASSAY,166.0,107.9,12.9,162.68,884 CPT,83498,HC 17-HYDROXYPROGESTERONE (CAH21),263.0,170.95,27.17,255.11,884 CPT,83498,HC HYDROXYPROGESTERONE ASSAY,263.0,170.95,27.17,255.11,884 CPT,83516,HC BULLOUS PEMPHGD EACH,178.0,115.7,11.53,172.66,884 CPT,83516,HC CENTOMERE AB MULT,172.0,111.8,11.53,166.84,884 CPT,83516,HC DESMOGLEIN EACH,172.0,111.8,11.53,166.84,884 CPT,83516,HC IMMUNOASSAY MULT STEP METHOD,102.0,66.3,11.53,98.94,884 CPT,83516,HC IMMUNOASSAY MULT STEP METHOD A1,184.0,119.6,11.53,178.48,884 CPT,83516,HC IMMUNOASSAY MULT STEP METHOD A2,179.0,116.35,11.53,173.63,884 CPT,83516,HC IMMUNOASSAY MULT STEP METHOD A3,179.0,116.35,11.53,173.63,884 CPT,83516,HC IMMUNOASSAY MULT STEP METHOD A4,177.0,115.05,11.53,171.69,884 CPT,83516,HC IMMUNOASSAY MULT STEP METHOD A5,104.0,67.6,11.53,100.88,884 CPT,83516,HC MYELOPEROXIDASE AB EACH,170.0,110.5,11.53,164.9,884 CPT,83516,HC PROTEINASE 3 AB EACH,170.0,110.5,11.53,164.9,884 CPT,83518,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAN,80.0,52.0,9.64,77.6,884 CPT,83519,HC ACHR GANGLIONIC AB RIA,344.0,223.6,18.4,337.12,884 CPT,83519,HC ACHR MODULATING AB RIA,317.0,206.05,18.4,310.66,884 CPT,83519,HC OREXIN A RIA,350.0,227.5,18.4,343.0,884 CPT,83519,HC PANCREATIC POLYPEPTIDE QUANT RIA,348.0,226.2,18.4,341.04,884 CPT,83519,HC PROCOLLAGEN I INTACT TERM RIA,362.0,235.3,18.4,354.76,884 CPT,83519,HC VGKC COMPLEX AB RIA,350.0,227.5,18.4,343.0,884 CPT,83520,HC 14-3-3 PROTEIN CSF,121.0,78.65,17.27,117.37,884 CPT,83520,HC ADALIMUMAB,276.0,179.4,17.27,267.72,884 CPT,83520,HC C1 ESTERASE INHIBITOR QUANT,270.0,175.5,17.27,261.9,884 CPT,83520,HC CYTOKINE PANEL,21.0,13.65,10.44,20.37,884 CPT,83520,HC CYTOKINE PANEL (CYTH1),97.0,63.05,17.27,94.09,884 CPT,83520,HC FRATAXIN QUANT,128.0,83.2,17.27,124.16,884 CPT,83520,HC GDF15,298.0,193.7,17.27,289.06,884 CPT,83520,HC IGFBP 3 QUANT,298.0,193.7,17.27,289.06,884 CPT,83520,HC IGG/IGM ASIALO GM1 TITER,105.0,68.25,17.27,101.85,884 CPT,83520,HC IGG/IGM MONOS GM1 TITER,137.0,89.05,17.27,132.89,884 CPT,83520,HC IGG/IMM DISIALO GD1B TITER,264.0,171.6,17.27,256.08,884 CPT,83520,HC IMMUNOASSAY QUANT NOS,271.0,176.15,17.27,262.87,884 CPT,83520,HC IMMUNOASSAY QUANT NOS 1,245.0,159.25,17.27,237.65,884 CPT,83520,HC IMMUNOASSAY QUANT NOS 2,245.0,159.25,17.27,237.65,884 CPT,83520,HC IMMUNOASSAY QUANT NOS 4,270.0,175.5,17.27,261.9,884 CPT,83520,HC IMMUNOASSAY QUANT NOS 5,269.0,174.85,17.27,260.93,884 CPT,83520,HC IMMUNOASSAY QUANT NOS 6,101.0,65.65,17.27,97.97,884 CPT,83520,HC IMMUNOASSAY QUANT NOS 7,271.0,176.15,17.27,262.87,884 CPT,83520,HC IMMUNOASSAY QUANT NOS 8,271.0,176.15,17.27,262.87,884 CPT,83520,HC INHIBIN B QUANT,298.0,193.7,17.27,289.06,884 CPT,83520,HC INTACT FIBROBLAST GF 23,285.0,185.25,17.27,276.45,884 CPT,83520,HC NEURON SPECIFIC ENOLASE QUANT,128.0,83.2,17.27,124.16,884 CPT,83520,HC NEURON SPECIFIC ENOLASE QUANT SERUM,280.0,182.0,17.27,271.6,884 CPT,83520,HC PHOSPHOLIPASE A2 RECEPT,296.0,192.4,17.27,287.12,884 CPT,83520,HC STRIATIONAL AB QUANT,250.0,162.5,17.27,242.5,884 CPT,83520,HC THYROTROPIN RECEPTOR ANTIBODY QUANT,306.0,198.9,17.27,296.82,884 CPT,83520,HC TRYPTASE SERUM,276.0,179.4,17.27,267.72,884 CPT,83521,HC IG LIGHT CHAINS FREE EA,253.0,164.45,17.27,245.41,884 CPT,83521,HC IG LIGHT CHAINS FREE EA 2,167.0,108.55,17.27,161.99,884 CPT,83521,HC IG LIGHT CHAINS FREE EA 3,244.0,158.6,17.27,236.68,884 CPT,83525,HC INSULIN ASSAY TOTAL,170.0,110.5,11.43,164.9,884 CPT,83527,HC INSULIN ASSAY FREE,226.0,146.9,12.95,221.48,884 CPT,83529,HC ASSAY OF INTERLEUKIN-6 (CYPAN),36.0,23.4,17.27,34.92,884 CPT,83529,HC ASSAY OF INTERLEUKIN-6 (IL-6),247.0,160.55,17.27,239.59,884 CPT,83540,HC IRON ASSAY TOTAL,106.0,68.9,6.47,102.82,884 CPT,83550,HC IRON BINDING CAPACITY,94.0,61.1,8.74,91.18,884 CPT,83605,HC D-LACTATE,113.0,73.45,11.57,109.61,884 CPT,83605,HC LACTIC ACID/LACTATE ASSAY,198.0,128.7,11.57,192.06,884 CPT,83615,HC LACTATE DEHYDROGENASE/LDH,78.0,50.7,6.04,75.66,884 CPT,83630,HC FECAL LACTOFERRIN QUAL,199.0,129.35,19.7,193.03,884 CPT,83655,HC LEAD BLOOD,105.0,68.25,12.11,102.9,884 CPT,83655,HC LEAD URINE,106.0,68.9,12.11,103.88,884 CPT,83690,HC LIPASE ASSAY,122.0,79.3,6.89,118.34,884 CPT,83695,HC LIPOPROTEIN A,127.0,82.55,14.32,123.19,884 CPT,83700,HC LP CHOLESTEROL,151.0,98.15,11.26,147.98,884 CPT,83701,HC LIPOPROTEIN HIGH RESOLUTION,420.0,273.0,33.86,411.6,884 CPT,83704,HC NMR LIPOPROFILE,166.0,107.9,34.19,162.68,884 CPT,83718,HC HDL CHOLESTEROL,112.0,72.8,8.19,108.64,884 CPT,83735,HC MAGNESIUM ASSAY,103.0,66.95,6.7,99.91,884 CPT,83785,HC MANGANESE ASSAY 2,202.0,131.3,26.65,197.96,884 CPT,83785,HC MANGANESE ASSAY BLOOD,170.0,110.5,26.65,166.6,884 CPT,83789,HC HEMOGLOBIN VAR ANALYSIS QUANT,40.0,26.0,19.88,39.2,884 CPT,83789,HC IODINE LAB,40.0,26.0,19.88,39.2,884 CPT,83789,HC LYSOSOMAL DISORDER QUANT,40.0,26.0,19.88,39.2,884 CPT,83825,HC MERCURY QUANT,213.0,138.45,16.26,208.74,884 CPT,83835,HC METANEPHRINES,387.0,251.55,16.94,379.26,884 CPT,83835,HC METANEPHRINES URINE,351.0,228.15,16.94,343.98,884 CPT,83874,HC MYOGLOBIN,201.0,130.65,12.92,196.98,884 CPT,83880,HC NATRIURETIC PEPTIDE/BNP,311.0,202.15,39.26,301.67,884 CPT,83880,HC NATRIURETIC PEPTIDE/BNP 2,291.0,189.15,39.26,282.27,884 CPT,83883,HC C1 ESTERASE INHIB AG S,188.0,122.2,13.6,184.24,884 CPT,83883,HC NEPHELOMETRY EA ANALYTE NES,56.0,36.4,13.6,54.88,884 CPT,83883,HC RETINOL BINDING PROTEIN,175.0,113.75,13.6,171.5,884 CPT,83883,HC RETINOL BINDING PROTEIN 1,189.0,122.85,13.6,185.22,884 CPT,83883,HC TOTAL LIGHT CHAIN EA,186.0,120.9,13.6,182.28,884 CPT,83884,HC NEUROFILAMENT LIGHT CHAIN ASSAY,603.0,391.95,116.23,584.91,884 CPT,83885,HC NICKEL SERUM,191.0,124.15,24.51,185.27,884 CPT,83915,HC NUCLEOTIDASE 5 ASSAY,178.0,115.7,11.15,174.44,884 CPT,83916,HC OLIGOCLONAL BANDS,285.0,185.25,27.39,276.45,884 CPT,83918,HC ORGANIC ACIDS TOTAL QUANT,354.0,230.1,23.6,343.38,884 CPT,83918,HC ORGANIC ACIDS TOTAL QUANT 2 (CMMPP/CMMPS-NCCI),544.0,353.6,23.6,527.68,884 CPT,83919,HC ORGANIC ACIDS QUAL,386.0,250.9,16.45,374.42,884 CPT,83921,HC ORGANIC ACID 1 QUANT,407.0,264.55,21.21,398.86,884 CPT,83921,HC ORGANIC ACID 1 QUANT 2,388.0,252.2,21.21,380.24,884 CPT,83930,HC OSMOLALITY ASSAY BLOOD,115.0,74.75,6.61,111.55,884 CPT,83935,HC OSMOLALITY ASSAY URINE,134.0,87.1,6.82,129.98,884 CPT,83935,HC OSMOLALITY ASSAY URINE 2,120.0,78.0,6.82,116.4,884 CPT,83937,HC OSTEOCALCIN ASSAY,315.0,204.75,29.85,308.7,884 CPT,83945,HC OXYLATE ASSAY,146.0,94.9,14.45,143.08,884 CPT,83945,HC OXYLATE URINE,161.0,104.65,14.45,157.78,884 CPT,83951,HC DES GAMMA CARBOXY PROTHROMBIN,687.0,446.55,64.41,666.39,884 CPT,83970,HC PARATHORMONE/PTH,569.0,369.85,41.28,551.93,884 CPT,83986,HC PH URINE,54.0,35.1,3.58,52.38,884 CPT,83993,HC CALPROTECTIN FECAL,370.0,240.5,19.63,362.6,884 CPT,84075,HC ALK PHOSPHATASE,68.0,44.2,5.18,65.96,884 CPT,84080,HC ALK PHOSPHATASE ISOENZYMES,188.0,122.2,14.78,184.24,884 CPT,84087,HC PHOSPHOHEXOSE ISOMERASE,350.0,227.5,10.73,343.0,884 CPT,84100,HC PHOSPHORUS ASSAY,57.0,37.05,4.74,55.29,884 CPT,84105,HC PHOSPHORUS ASSAY URINE,76.0,49.4,5.78,74.48,884 CPT,84105,HC TUBULAR REABSORPTION PHOSPHATE,56.0,36.4,5.78,54.88,884 CPT,84110,HC PORPHOBILINOGEN URINE QUANT,153.0,99.45,8.44,148.41,884 CPT,84110,HC PORPHOBILINOGEN URINE QUANT 2,153.0,99.45,8.44,148.41,884 CPT,84120,HC PORPHYRINS URINE QUANT/FRACT,243.0,157.95,14.71,235.71,884 CPT,84120,HC PORPHYRINS URINE QUANT/FRACT 2,243.0,157.95,14.71,235.71,884 CPT,84126,HC PORPHYRINS FECES QUANT,323.0,209.95,39.11,316.54,884 CPT,84132,HC POTASSIUM SER/PLASMA/WHOLE BLD,50.0,32.5,4.76,48.5,884 CPT,84133,HC POTASSIUM URINE,65.0,42.25,4.73,63.05,884 CPT,84134,HC PREALBUMIN,176.0,114.4,14.59,170.72,884 CPT,84144,HC PROGESTERONE ASSAY,253.0,164.45,20.86,247.94,884 CPT,84145,HC PROCALCITONIN 1,269.0,174.85,27.22,260.93,884 CPT,84146,HC PROLACTIN ASSAY,260.0,169.0,19.38,254.8,884 CPT,84150,HC PROSTAGLANDIN ASSAY EACH,565.0,367.25,41.77,553.7,884 CPT,84153,HC PSA TOTAL,251.0,163.15,18.39,243.47,884 CPT,84153,HC PSA TOTAL ULTRASENSITIVE,251.0,163.15,18.39,243.47,884 CPT,84154,HC PSA FREE,183.0,118.95,18.39,179.34,884 CPT,84155,HC PROTEIN TOTAL SERUM/PLASMA,62.0,40.3,3.67,60.14,884 CPT,84156,HC PROTEIN TOTAL URINE,69.0,44.85,3.67,66.93,884 CPT,84157,HC PROTEIN TOTAL BODY FLUID,74.0,48.1,4.0,71.78,884 CPT,84157,HC PROTEIN TOTAL CSF,78.0,50.7,4.0,75.66,884 CPT,84165,HC PROTEIN ELECTROPHORESIS SERUM,154.0,100.1,10.74,149.38,884 CPT,84166,HC PROTEIN ELECTROPHORESIS URINE,253.0,164.45,17.83,247.94,884 CPT,84182,HC CRMP 5 WESTERN BLOT,469.0,304.85,29.21,454.93,884 CPT,84182,HC PROTEIN WESTERN BLOT TEST 1,394.0,256.1,29.21,382.18,884 CPT,84182,HC PROTEIN WESTERN BLOT TEST 2,289.0,187.85,29.21,280.33,884 CPT,84182,HC PROTEIN WESTERN BLOT TEST 3,479.0,311.35,29.21,464.63,884 CPT,84182,HC WESTERN BLOT TEST BAND ID EA,473.0,307.45,29.21,458.81,884 CPT,84206,HC PROINSULIN ASSAY,291.0,189.15,26.69,282.27,884 CPT,84207,HC VITAMIN B6 ASSAY,356.0,231.4,28.1,345.32,884 CPT,84210,HC PYRUVATE ASSAY,143.0,92.95,14.48,140.14,884 CPT,84220,HC PYRUVATE KINASE ASSAY,306.0,198.9,9.44,299.88,884 CPT,84238,HC SOLUBLE TRANSFERRIN RECEPTOR,340.0,221.0,36.57,333.2,884 CPT,84244,HC RENIN ACTIVITY 1 BLOOD,345.0,224.25,21.99,338.1,884 CPT,84252,HC RIBOFLAVIN B2,259.0,168.35,20.24,253.82,884 CPT,84252,HC VITAMIN B2 ASSAY,234.0,152.1,20.24,229.32,884 CPT,84255,HC SELENIUM ASSAY,250.0,162.5,25.53,245.0,884 CPT,84260,HC SEROTONIN ASSAY,387.0,251.55,30.98,379.26,884 CPT,84270,HC SEX HORMONE BINDING GLOBULIN,244.0,158.6,21.73,239.12,884 CPT,84295,HC SODIUM SERUM/PLASMA/WHOLE BLD,56.0,36.4,4.81,54.32,884 CPT,84300,HC SODIUM ASSAY URINE,83.0,53.95,5.06,80.51,884 CPT,84302,HC SODIUM ASSAY OTHER SOURCES,146.0,94.9,4.86,146.0,884 CPT,84305,HC SOMATOMEDIN/IGF1,382.0,248.3,21.26,374.36,884 CPT,84311,HC ARYLSULFATASE A URINE,90.0,58.5,8.1,87.3,884 CPT,84311,HC CHOLESTEROL NON SERUM,89.0,57.85,8.1,86.33,884 CPT,84311,HC PORPHYRINS,93.0,60.45,8.1,90.21,884 CPT,84311,HC PORPHYRINS TOTAL,92.0,59.8,8.1,89.24,884 CPT,84376,HC REDUCING SUBSTANCE URINE OR STOOL,119.0,77.35,5.5,116.62,884 CPT,84377,HC SUGARS MULT QUAL,165.0,107.25,5.5,161.7,884 CPT,84378,HC GALACTOSE 1 PHOS,122.0,79.3,11.53,119.56,884 CPT,84392,HC SULFATE ASSAY URINE,55.0,35.75,5.49,53.9,884 CPT,84393,HC TAU PHOSPHORYLATED EA,160.0,104.0,79.52,155.2,884 CPT,84393,HC TAU PHOSPHORYLATED EA 2,160.0,104.0,79.52,155.2,884 CPT,84394,HC TOTAL TAU,160.0,104.0,79.52,155.2,884 CPT,84394,HC TOTAL TAU 2,270.0,175.5,128.92,261.9,884 CPT,84402,HC TESTOSTERONE FREE,305.0,198.25,25.47,298.9,884 CPT,84403,HC TESTOSTERONE TOTAL SERUM,327.0,212.55,25.81,320.46,884 CPT,84410,HC TESTOSTERONE BIOAVAILABLE DRCT MEAS,591.0,384.15,51.28,579.18,884 CPT,84425,HC VITAMIN B1 THIAMINE ASSAY,238.0,154.7,21.23,230.86,884 CPT,84432,HC THYROGLOBULIN LYMPH NODE,197.0,128.05,16.06,191.09,884 CPT,84432,HC THYROGLOBULIN MASS SPEC,215.0,139.75,16.06,208.55,884 CPT,84432,HC THYROGLOBULIN SERUM,219.0,142.35,16.06,212.43,884 CPT,84433,HC ASSAY TPMT,102.0,66.3,22.17,99.96,884 CPT,84436,HC T4 TOTAL,89.0,57.85,6.87,87.22,884 CPT,84439,HC T4 FREE,185.0,120.25,9.02,179.45,884 CPT,84442,HC THYROXINE BIND GLOBULIN,244.0,158.6,14.78,236.68,884 CPT,84443,HC THYROID STIMULATING HORMONE,282.0,183.3,16.8,273.54,884 CPT,84445,HC THYROID STIM IMMUNOGLOBIN,575.0,373.75,50.86,563.5,884 CPT,84446,HC VITAMIN E ASSAY,168.0,109.2,14.18,162.96,884 CPT,84446,HC VITAMIN E ASSAY 2,168.0,109.2,14.18,162.96,884 CPT,84450,HC AST/SGOT,57.0,37.05,5.18,55.29,884 CPT,84460,HC ALT/SGPT,78.0,50.7,5.3,75.66,884 CPT,84466,HC TRANSFERRIN,230.0,149.5,12.76,223.1,884 CPT,84478,HC TRIGLYCERIDES,63.0,40.95,5.74,61.11,884 CPT,84478,HC TRIGLYCERIDES 1,60.0,39.0,5.74,58.2,884 CPT,84479,HC T3 OR T4 UPTAKE,75.0,48.75,6.47,73.5,856 CPT,84480,HC T3 TOTAL,165.0,107.25,14.18,160.05,884 CPT,84481,HC T3 FREE,245.0,159.25,16.94,237.65,884 CPT,84482,HC T3 REVERSE,315.0,204.75,15.76,308.7,884 CPT,84484,HC TROPONIN QUANT,255.0,165.75,12.47,247.35,884 CPT,84520,HC UREA NITROGEN/BUN,50.0,32.5,3.95,48.5,884 CPT,84540,HC UREA NITROGEN URINE,68.0,44.2,35.99,65.96,880 CPT,84550,HC URIC ACID BLOOD,56.0,36.4,4.52,54.32,884 CPT,84560,HC URIC ACID OTHER SOURCE,67.0,43.55,5.08,65.66,884 CPT,84585,HC VANILLYLMANDELIC ACID URINE,125.0,81.25,15.5,122.5,884 CPT,84586,HC VASOACTIVE INTESTINAL PEPTIDE,562.0,365.3,35.33,550.76,884 CPT,84588,HC COPEPTIN PROAVP,661.0,429.65,33.94,647.78,884 CPT,84590,HC VITAMIN A ASSAY,199.0,129.35,11.61,193.03,884 CPT,84590,HC VITAMIN A ASSAY 2,199.0,129.35,11.61,193.03,884 CPT,84591,HC ASSAY OF NOS VITAMIN,330.0,214.5,17.06,323.4,884 CPT,84591,HC BIOTIN,425.0,276.25,17.06,416.5,884 CPT,84597,HC VITAMIN K ASSAY,300.0,195.0,13.72,294.0,884 CPT,84630,HC ZINC ASSAY,174.0,113.1,11.39,168.78,884 CPT,84681,HC C PEPTIDE ASSAY,223.0,144.95,20.81,216.31,884 CPT,84702,HC BETA HCG QUANTITATIVE,198.0,128.7,15.05,192.06,884 CPT,84702,HC BETA HUMAN CHORIONIC GONADTRPN,203.0,131.95,15.05,196.91,884 CPT,84999,HC NITROGEN TOTAL,62.0,40.3,30.81,60.76,880 CPT,84999,HC NITROGEN TOTAL 1,127.0,82.55,63.12,124.46,880 CPT,84999,HC OSMOLALITY STOOL,286.0,185.9,142.14,280.28,880 CPT,84999,HC POTASSIUM QUANTITATIVE STOOL,133.0,86.45,66.1,130.34,880 CPT,84999,HC RT-QUIC PRION,121.0,78.65,60.14,118.58,880 CPT,85007,HC BLOOD MANUAL DIFF,59.0,38.35,3.8,57.23,884 CPT,85008,HC BLOOD SMEAR WO DIFF WBC,56.0,36.4,3.43,54.32,884 CPT,85014,HC HEMATOCRIT,36.0,23.4,2.37,34.92,884 CPT,85018,HC HEMOGLOBIN,44.0,28.6,2.37,42.68,884 CPT,85025,HC CBC W AUTO DIFF,101.0,65.65,7.77,97.97,885 CPT,85027,HC CBC AUTO WO DIFF,112.0,72.8,6.47,108.64,886 CPT,85044,HC RETICULOCYTE COUNT MANUAL,99.0,64.35,4.31,99.0,884 CPT,85046,HC RETICYTE/HGB CONCENTRATE,54.0,35.1,5.57,52.38,884 CPT,85048,HC LEUKOCYTE (WBC) COUNT AUTO,41.0,26.65,2.54,39.77,884 CPT,85049,HC PLATELET COUNT AUTO,58.0,37.7,4.48,56.26,884 CPT,85055,HC IMMATURE PLT FRACTION,178.0,115.7,35.74,178.0,884 CPT,85097,HC BONE MARROW SMEAR INTERP,470.0,305.5,233.59,855.44,884 CPT,85130,HC CHROMOGENIC FIX,259.0,168.35,11.89,251.23,884 CPT,85130,HC CHROMOGENIC FVIII 2,287.0,186.55,11.89,278.39,884 CPT,85210,HC FACTOR II ACTIVITY,345.0,224.25,12.98,338.1,884 CPT,85220,HC FACTOR V ACTIVITY,402.0,261.3,17.65,393.96,884 CPT,85230,HC FACTOR VII ACTIVITY,369.0,239.85,17.9,357.93,884 CPT,85240,HC FACTOR VIII 1 STAGE ASSAY,319.0,207.35,17.9,309.43,884 CPT,85245,HC RISTOCETIN COFACTOR,386.0,250.9,22.94,378.28,884 CPT,85246,HC VON WILLEBRAND FACTOR ANTIGEN,347.0,225.55,22.94,336.59,884 CPT,85246,HC VWD 2N (NORMANDY),347.0,225.55,22.94,336.59,884 CPT,85247,HC WILLEBRAND FACTOR MULTIMERANALYSIS,559.0,363.35,22.94,547.82,884 CPT,85250,HC FACTOR IX ASSAY,369.0,239.85,19.04,357.93,884 CPT,85260,HC CHROMOGENIC FACTOR X ACTIVITY,408.0,265.2,17.9,395.76,884 CPT,85260,HC FACTOR X ASSAY,408.0,265.2,17.9,395.76,884 CPT,85270,HC FACTOR XI ASSAY,356.0,231.4,17.9,345.32,884 CPT,85280,HC FACTOR XII ASSAY,368.0,239.2,19.35,360.64,884 CPT,85291,HC CLOT SOLUBILITY FACTOR XIII,262.0,170.3,9.11,256.76,884 CPT,85300,HC ANTITHROMBIN III ACTIVITY,259.0,168.35,11.85,251.23,884 CPT,85301,HC ANTITHROMBIN III ANTIGEN,226.0,146.9,10.81,221.48,884 CPT,85302,HC PROTEIN C ANTIGEN,438.0,284.7,12.01,429.24,884 CPT,85303,HC PROTEIN C ACTIVITY,289.0,187.85,13.84,283.22,884 CPT,85305,HC PROTEIN S TOTAL,384.0,249.6,11.61,376.32,884 CPT,85306,HC PROTEIN S FREE,337.0,219.05,15.32,330.26,884 CPT,85307,HC APC RESISTANCE V,278.0,180.7,15.32,272.44,884 CPT,85335,HC CHROMOGENIC FACTOR VIII INHIBITOR,443.0,287.95,12.87,434.14,884 CPT,85335,HC FACTOR INHIBITOR BETHESDA TITER,438.0,284.7,12.87,429.24,884 CPT,85335,HC FACTOR INHIBITOR SCREEN,374.0,243.1,12.87,366.52,884 CPT,85335,HC FACTOR INHIBITOR TEST,374.0,243.1,12.87,366.52,884 CPT,85347,HC COAGULATION TIME ACTIVATED,35.0,22.75,4.28,33.95,884 CPT,85362,HC FDP SEMIQUANT,193.0,125.45,6.89,187.21,884 CPT,85366,HC SOLUBLE FIBIRIN MONOMER COMPLEX,221.0,143.65,80.46,216.58,884 CPT,85379,HC D-DIMER QUANT,248.0,161.2,10.18,240.56,884 CPT,85384,HC FIBRINOGEN ACTIVITY,113.0,73.45,9.72,109.61,884 CPT,85385,HC FIBRINOGEN ANTIGEN,85.0,55.25,14.46,83.3,884 CPT,85390,HC FIBRINOLYSINS/COAGULOPATHY I&R,187.0,121.55,15.48,183.26,884 CPT,85397,HC COAG FUNCTIONAL ACTIVITY NOS 2,792.0,514.8,30.86,768.24,884 CPT,85397,HC VON WILLEBRAND FACTOR ACTIVITY,359.0,233.35,30.86,348.23,884 CPT,85410,HC ALPHA 2 PLASMIN INHIBITOR,243.0,157.95,7.71,235.71,884 CPT,85415,HC PLASMINOGN ACTIVATR 1 ANTG,345.0,224.25,17.19,338.1,884 CPT,85420,HC PLASMINOGEN ACTIVITY,359.0,233.35,6.53,348.23,884 CPT,85520,HC HEPARIN ASSAY,469.0,304.85,13.09,454.93,884 CPT,85530,HC HEPARIN-PROTAMINE TOL,153.0,99.45,13.09,153.0,884 CPT,85549,HC MURAMIDASE (LYSOZYME),197.0,128.05,18.75,193.06,884 CPT,85557,HC OSMOTIC FRAGILITY INCUBATED,155.0,100.75,13.36,151.9,884 CPT,85576,HC PLATELET AGGREGATION EA,225.0,146.25,24.91,218.25,884 CPT,85597,HC PLATELET NEUTRALIZATION,242.0,157.3,17.98,234.74,884 CPT,85598,HC HEXAGONAL PHOSPHOLIPID ASSAY,222.0,144.3,17.98,217.56,884 CPT,85610,HC PROTHROMBIN TIME,78.0,50.7,4.29,75.66,884 CPT,85611,HC PROTHROMBIN MIXING STUDIES,100.0,65.0,3.94,97.0,884 CPT,85613,HC RUSSELL VIPER VENOM DILUTED,168.0,109.2,9.58,162.96,884 CPT,85635,HC REPTILASE TEST,181.0,117.65,9.85,177.38,884 CPT,85652,HC SEDIMENTATION RATE AUTOMATED,54.0,35.1,2.7,52.38,884 CPT,85660,HC RBC SICKLING REDUCTION,102.0,66.3,5.51,98.94,884 CPT,85670,HC THROMBIN TIME,105.0,68.25,5.77,101.85,884 CPT,85730,HC THROMBOPLASTIN TIME (APTT),101.0,65.65,6.01,97.97,884 CPT,85730,HC THROMBOPLASTIN TIME PARTIAL,101.0,65.65,6.01,97.97,884 CPT,85732,HC APTT MIXING STUDY EACH,119.0,77.35,6.47,115.43,884 CPT,85810,HC VISCOSITY,161.0,104.65,11.67,156.17,884 CPT,85999,HC EOSINOPHIL COUNT 1,160.0,104.0,79.52,155.2,880 CPT,85999,HC EOSINOPHILS U,176.0,114.4,87.47,170.72,880 CPT,86001,HC ALLERGEN IGG QUANT/SEMI EA,53.0,34.45,7.82,51.94,884 CPT,86003,HC ALLERGEN IGE QUANT/SEMI EA,68.0,44.2,5.22,66.64,884 CPT,86008,HC ALLERGEN IGE RECOMB/PURIFY EA,76.0,49.4,17.93,74.48,884 CPT,86008,HC ALLERGEN IGE RECOMB/PURIFY EA 2,78.0,50.7,17.93,76.44,884 CPT,86008,HC ALLERGEN IGE RECOMB/PURIFY EA 3,75.0,48.75,17.93,73.5,884 CPT,86015,HC ACTIN SMOOTH MUSCLE AB EA,228.0,148.2,12.05,221.16,884 CPT,86021,HC ANTIBODY ID LEUKOCYTE AB,165.0,107.25,15.05,160.05,884 CPT,86021,HC GRANULOCYTE ANTIBODY,184.0,119.6,15.05,178.48,884 CPT,86022,HC HEPARIN - PF4 ANTIBODY (HIT),469.0,304.85,18.37,454.93,884 CPT,86022,HC PLATELET ANTIBODIES,488.0,317.2,18.37,473.36,884 CPT,86022,HC PLATELET ANTIBODY CROSSMATCH,509.0,330.85,18.37,493.73,884 CPT,86036,HC ANCA SCREEN EA AB,254.0,165.1,12.05,248.92,884 CPT,86036,HC ANCA SCREEN EA AB 2,260.0,169.0,12.05,254.8,884 CPT,86038,HC ANTINUCLEAR ANTIBODIES/ANA,203.0,131.95,12.09,196.91,884 CPT,86039,HC ANTINUCLEAR ANTIBODIES HEP2,157.0,102.05,11.16,152.29,884 CPT,86039,HC ANTINUCLEAR ANTIBODIES TITER,104.0,67.6,11.16,100.88,884 CPT,86041,HC ACH RECP MUSC BINDING AB,81.0,52.65,18.4,79.38,884 CPT,86043,HC ACHR MODULATE FLOW CYTO,53.0,34.45,12.05,51.94,884 CPT,86053,HC AQUAPORIN-4 AB FLOW CYTO EA,276.0,179.4,37.73,267.72,884 CPT,86053,HC AQUAPORIN-4 AB FLOW CYTO EA 2,276.0,179.4,37.73,267.72,884 CPT,86060,HC ANTISTREPTOLYSIN O TITER,150.0,97.5,7.3,147.0,884 CPT,86140,HC C-REACTIVE PROTEIN,106.0,68.9,5.18,102.82,884 CPT,86141,HC CRP HIGH SENSITIVITY,150.0,97.5,12.95,147.0,884 CPT,86146,HC BETA 2 GLYCOPROTEIN I AB EA,234.0,152.1,25.45,226.98,884 CPT,86147,HC CARDIOLIPIN AB EA IG CLASS,228.0,148.2,25.45,223.44,884 CPT,86148,HC ANTI PHOSPHATIDYLSERINE AB,187.0,121.55,16.07,183.26,884 CPT,86148,"HC PS/PT AB,IGG/IGM,S",187.0,121.55,16.07,183.26,884 CPT,86156,HC COLD AGGLUTININ SCREEN,83.0,53.95,8.07,80.51,884 CPT,86157,HC COLD AGGLUTININ TITER,116.0,75.4,8.06,113.68,884 CPT,86160,HC COMPLEMENT AG EA COMPONENT,184.0,119.6,12.0,178.48,884 CPT,86160,HC COMPLEMENT ANTIGEN EACH 1,206.0,133.9,12.0,199.82,884 CPT,86160,HC COMPLEMENT COMPONENT,204.0,132.6,12.0,197.88,884 CPT,86160,HC COMPLEMENT COMPONENT C1Q,193.0,125.45,12.0,187.21,884 CPT,86160,HC COMPLEMENT COMPONENT C5/C2,213.0,138.45,12.0,206.61,884 CPT,86161,HC COMPLEMENT FUNC ACTVTY EA,213.0,138.45,12.0,208.74,884 CPT,86161,HC COMPLEMENT FUNC ACTVTY EA 2,197.0,128.05,12.0,193.06,884 CPT,86161,HC COMPLEMENT FUNC ACTVTY EA 3,223.0,144.95,12.0,218.54,884 CPT,86161,HC COMPLEMENT FUNC ACTVTY EA 6,185.0,120.25,12.0,181.3,884 CPT,86161,HC COMPLMENT FUNC ACTVTY EA ALT PATHWAY,240.0,156.0,12.0,235.2,884 CPT,86162,HC COMPLEMENT TOTAL,313.0,203.45,20.32,306.74,884 CPT,86200,HC CYCLIC CITRULLINATED PEPT AB,203.0,131.95,12.95,198.94,884 CPT,86215,HC DEOXYRIBONUCLEASE AB,243.0,157.95,13.25,238.14,884 CPT,86225,HC DNA AB NATIVE/DOUBLE STRANDED,191.0,124.15,13.74,187.18,884 CPT,86231,HC ENDOMYSIAL AB EA IG CLASS,182.0,118.3,12.09,178.36,884 CPT,86235,HC EXTRACT NUC AG EA AB,209.0,135.85,17.93,202.73,884 CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY,222.0,144.3,17.93,215.34,884 CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY 2,177.0,115.05,17.93,171.69,884 CPT,86255,HC AMPA R AB CBA,211.0,137.15,12.05,204.67,884 CPT,86255,HC AMPHIPHYSIN AB TITER,202.0,131.3,12.05,195.94,884 CPT,86255,HC CASPR2-IGG AB TITER,218.0,141.7,12.05,211.46,884 CPT,86255,HC CONTACTIN-1 IGG CBA,220.0,143.0,12.05,213.4,884 CPT,86255,HC CRMP 5 IGG TITER,202.0,131.3,12.05,195.94,884 CPT,86255,HC FLUORESCENT ANTIBODY SCREEN,214.0,139.1,12.05,207.58,884 CPT,86255,HC FLUORESCENT NONINF AG AB EA 10,296.0,192.4,12.05,287.12,884 CPT,86255,HC FLUORESCENT NONINF AG AB EA 4,204.0,132.6,12.05,197.88,884 CPT,86255,HC FLUORESCENT NONINF AG AB EA 5,296.0,192.4,12.05,287.12,884 CPT,86255,HC FLUORESCENT NONINF AG AB EA 6,211.0,137.15,12.05,204.67,884 CPT,86255,HC FLUORESCENT NONINF AG AB EA 7,213.0,138.45,12.05,206.61,884 CPT,86255,HC FLUORESCENT NONINF AG AB EA 8,221.0,143.65,12.05,214.37,884 CPT,86255,HC FLUORESCENT NONINF AG AB EA 9,209.0,135.85,12.05,202.73,884 CPT,86255,HC FLUORESCENT NONINFCT AG AB EA LEV2,204.0,132.6,12.05,197.88,884 CPT,86255,HC GFAP CBA,194.0,126.1,12.05,188.18,884 CPT,86255,HC GFAP IFA,219.0,142.35,12.05,212.43,884 CPT,86255,HC GLIAL NUCLEAR AB TITER,202.0,131.3,12.05,195.94,884 CPT,86255,HC LGI1-IGG AB CBA TITER,218.0,141.7,12.05,211.46,884 CPT,86255,HC NEUROFASCIN 155 IGG4,223.0,144.95,12.05,216.31,884 CPT,86255,HC PARANEOPLASTIC PEMPHIGUS,216.0,140.4,12.05,209.52,884 CPT,86255,HC PURKINJE CELL AB TITER,202.0,131.3,12.05,195.94,884 CPT,86255,"HC RARE SUBEPI BLISTERING VARIANTS, S",216.0,140.4,12.05,209.52,884 CPT,86255,HC THSD7A AB,219.0,142.35,12.05,212.43,884 CPT,86256,HC AMPA R AB IF TITER,114.0,74.1,12.05,111.72,884 CPT,86256,HC FLUORESCENT AB TITER EA 2,125.0,81.25,12.05,122.5,884 CPT,86256,HC FLUORESCENT AB TITER EA 3,142.0,92.3,12.05,139.16,884 CPT,86256,HC FLUORESCENT AB TITER EA LEV 2,102.0,66.3,12.05,99.96,884 CPT,86256,HC GABA B R AB IF TITER,115.0,74.75,12.05,112.7,884 CPT,86256,HC GFAP IFA TITER,132.0,85.8,12.05,129.36,884 CPT,86256,HC SRP IFA TITER,133.0,86.45,12.05,130.34,884 CPT,86258,HC GLIADIN AB EA IG CLASS,226.0,146.9,12.05,219.22,884 CPT,86300,HC IMMUNOASSAY TUMOR CA 15.3,279.0,181.35,20.81,273.42,884 CPT,86300,HC IMMUNOASSAY TUMOR CA 27.29/CA 15-3,507.0,329.55,20.81,496.86,884 CPT,86301,HC IMMUNOASSAY TUMOR CA 19-9,322.0,209.3,20.81,312.34,884 CPT,86301,HC IMMUNOASSAY TUMOR CA 19-9 1,301.0,195.65,20.81,291.97,884 CPT,86304,HC IMMUNOASSAY TUMOR CA 125,398.0,258.7,20.81,386.06,884 CPT,86305,HC HUMAN EPIDIDYMIS PROTEIN 4/HE4,681.0,442.65,20.81,660.57,884 CPT,86308,HC HETEROPHILE AB SCREEN,47.0,30.55,5.18,46.06,884 CPT,86316,HC ALPHA-FETOPROTEIN CSF QUANT,461.0,299.65,20.81,447.17,884 CPT,86316,HC CHROMOGRANIN A QUANT,419.0,272.35,20.81,406.43,884 CPT,86316,HC IMMUNOASSAY TUMOR OTHER QUANT,444.0,288.6,20.81,430.68,884 CPT,86317,HC ANTI-DIPTHERIA TOXOID IGG,145.0,94.25,14.99,140.65,884 CPT,86317,HC ANTI-TETANUS TOXOID IGG,158.0,102.7,14.99,153.26,884 CPT,86317,HC HBV SURFACE AB QUANT,159.0,103.35,14.99,154.23,884 CPT,86317,HC S PNEUMONIAE IGG AB TOTAL,130.0,84.5,14.99,126.1,884 CPT,86334,HC IFE SERUM,435.0,282.75,22.34,421.95,884 CPT,86334,HC IFE SERUM 2,502.0,326.3,22.34,486.94,884 CPT,86335,HC IFE OTHER FLUIDS,370.0,240.5,29.35,358.9,884 CPT,86335,HC IFE URINE,361.0,234.65,29.35,350.17,884 CPT,86336,HC INHIBIN A,137.0,89.05,15.59,134.26,884 CPT,86337,HC INSULIN AB,474.0,308.1,21.41,464.52,884 CPT,86340,HC INTRINSIC FACTOR AB,352.0,228.8,15.08,344.96,884 CPT,86341,HC GAD65 AB,251.0,163.15,23.57,243.47,884 CPT,86341,HC IA2 AB,255.0,165.75,23.57,247.35,884 CPT,86341,"HC ZNT8, AB",258.0,167.7,23.57,250.26,884 CPT,86352,HC CELLULAR FUNCTION W STIM 1,440.0,286.0,135.86,426.8,884 CPT,86352,HC CELLULAR FUNCTION W STIM 2,494.0,321.1,135.86,479.18,884 CPT,86353,HC LYMPHOCYTE BLASTOGENESIS AG,392.0,254.8,49.03,380.24,884 CPT,86353,HC LYMPHOCYTE BLASTOGENESIS AG 1,392.0,254.8,49.03,380.24,884 CPT,86353,HC LYMPHOCYTE BLASTOGENESIS MITOGENS,392.0,254.8,49.03,380.24,884 CPT,86355,HC B CELL TOTAL COUNT,390.0,253.5,37.73,378.3,884 CPT,86355,HC B CELL TOTAL COUNT 2,390.0,253.5,37.73,378.3,884 CPT,86356,HC MONONUCLEAR CELL AG EA,252.0,163.8,26.78,244.44,884 CPT,86356,HC MONONUCLEAR CELL AG EA 1,255.0,165.75,26.78,247.35,884 CPT,86356,HC MONONUCLEAR CELL AG EA 3,247.0,160.55,26.78,239.59,884 CPT,86356,HC MONONUCLEAR CELL AG EA 4,271.0,176.15,26.78,262.87,884 CPT,86356,HC MONONUCLEAR CELL AG EA 5,252.0,163.8,26.78,244.44,884 CPT,86356,HC MONONUCLEAR CELL AG EA 7,252.0,163.8,26.78,244.44,884 CPT,86356,HC MONONUCLEAR CELL ANTIGEN,250.0,162.5,26.78,242.5,884 CPT,86357,HC NATURAL KILLER TOTAL COUNT,556.0,361.4,37.73,539.32,884 CPT,86357,HC NATURAL KILLER TOTAL COUNT 2,556.0,361.4,37.73,539.32,884 CPT,86359,HC T CELL TOTAL COUNT,383.0,248.95,37.73,371.51,884 CPT,86359,HC T CELL TOTAL COUNT 1,339.0,220.35,37.73,328.83,884 CPT,86360,HC T CELL ABSOLUTE CD4/CD8 RATIO,541.0,351.65,46.98,524.77,884 CPT,86363,HC MOG-IGG1 AB FLOW CYTO EA,276.0,179.4,37.73,270.48,884 CPT,86364,HC TISSUE TRANSGLUTAMINASE EA IG CLASS,229.0,148.85,11.53,224.42,884 CPT,86366,HC MUSK AUTO AB,81.0,52.65,18.4,79.38,884 CPT,86367,HC STEM CELLS TOTAL COUNT,523.0,339.95,77.78,507.31,884 CPT,86376,HC MICROSOMAL AB EA,245.0,159.25,14.55,237.65,884 CPT,86376,HC MICROSOMAL AB EA/TPO,278.0,180.7,14.55,269.66,884 CPT,86381,HC MITOCHONDRIAL AB EA,297.0,193.05,25.45,288.09,884 CPT,86431,HC RHEUMATOID FACTOR QUANT,102.0,66.3,5.67,99.96,884 CPT,86480,HC TB TEST CELL IMMUNITY MEASURE 2,409.0,265.85,61.98,396.73,885 CPT,86580,HC TB INTRADERMAL TEST,61.0,39.65,33.86,59.17,880 CPT,86581,HC STREP PNEUM AB MULTIPLEX,357.0,232.05,92.03,346.29,884 CPT,86592,HC RPR,63.0,40.95,4.27,61.11,884 CPT,86592,HC SYPHILIS TEST RPR QUAL,77.0,50.05,4.27,74.69,884 CPT,86592,HC VDRL,71.0,46.15,4.27,68.87,884 CPT,86593,HC SYPHILIS NON-TREPONEMAL AB QUAN,49.0,31.85,4.4,48.02,884 CPT,86596,HC VOLTAGE-GTD CA CHNL AB EA,323.0,209.95,12.05,316.54,884 CPT,86606,HC ASPERGILLUS AB EACH,168.0,109.2,15.05,164.64,884 CPT,86611,HC BARTONELLA AB EACH,190.0,123.5,10.18,186.2,884 CPT,86612,HC BLASTOMYCES AB,237.0,154.05,12.9,232.26,884 CPT,86612,HC BLASTOMYCES AB EIA,234.0,152.1,12.9,229.32,884 CPT,86615,HC BORDETELLA AB EACH,214.0,139.1,13.19,207.58,884 CPT,86617,HC LYME DISEASE CONFIRMATORY TEST,256.0,166.4,15.49,250.88,884 CPT,86617,HC LYME DISEASE CONFIRMATORY TEST 2,287.0,186.55,15.49,281.26,884 CPT,86618,HC LYME DISEASE AB,241.0,156.65,17.03,233.77,884 CPT,86618,HC LYME DISEASE AB 4,276.0,179.4,17.03,267.72,884 CPT,86622,HC BRUCELLA AB EACH,161.0,104.65,8.93,157.78,884 CPT,86622,HC BRUCELLA AB EACH AGGLUTINATION,157.0,102.05,8.93,153.86,884 CPT,86631,HC CHLAMYDIA AB,146.0,94.9,11.82,143.08,884 CPT,86631,HC CHLAMYDIA AB 2,125.0,81.25,11.82,122.5,884 CPT,86632,HC CHLAMYDIA IGM AB,172.0,111.8,12.68,168.56,884 CPT,86632,HC CHLAMYDIA IGM AB 2,149.0,96.85,12.68,146.02,884 CPT,86635,HC COCCIDIOIDES AB,219.0,142.35,11.47,212.43,884 CPT,86635,HC COCCIDIOIDES AB 2,219.0,142.35,11.47,212.43,884 CPT,86638,HC Q FEVER/COXIELLA BRUNETII AB IGG,125.0,81.25,12.12,122.5,884 CPT,86638,HC Q FEVER/COXIELLA BRUNETII AB IGM,128.0,83.2,12.12,125.44,884 CPT,86638,HC QFEVER ANTIBODY SCRN,95.0,61.75,12.12,93.1,884 CPT,86644,HC CYTOMEGALOVIRUS AB,218.0,141.7,14.39,211.46,884 CPT,86645,HC CYTOMEGALOVIRUS AB IGM,236.0,153.4,16.85,228.92,884 CPT,86645,HC REF CYTOMEGALOVIRUS AB IGM,212.0,137.8,16.85,205.64,884 CPT,86651,HC ENCEPHALITIS CALIFORNIA AB IGG,164.0,106.6,13.19,159.08,884 CPT,86651,HC ENCEPHALITIS CALIFORNIA AB IGM,164.0,106.6,13.19,159.08,884 CPT,86652,HC ENCEPHALITIS EAST EQUINE AB IGG,222.0,144.3,13.19,215.34,884 CPT,86652,HC ENCEPHALITIS EAST EQUINE AB IGM,231.0,150.15,13.19,224.07,884 CPT,86653,HC ENCEPHALITIS ST LOUIS AB IGG,190.0,123.5,13.19,184.3,884 CPT,86653,HC ENCEPHALITIS ST LOUIS AB IGM,189.0,122.85,13.19,183.33,884 CPT,86654,HC ENCEPHALITIS WEST EQUINE AB IGG,206.0,133.9,13.19,199.82,884 CPT,86654,HC ENCEPHALITIS WEST EQUINE AB IGM,206.0,133.9,13.19,199.82,884 CPT,86663,HC EPSTEIN BARR EARLY AG AB,187.0,121.55,13.12,183.26,884 CPT,86664,HC EPSTEIN-BARR NUCLEAR AG AB,213.0,138.45,15.29,206.61,884 CPT,86665,HC EPSTEIN-BARR VIRAL CAPSID AB EA,227.0,147.55,18.14,220.19,884 CPT,86666,HC EHRLICHIA ANTIBODY,217.0,141.05,10.18,212.66,884 CPT,86666,HC EHRLICHIA ANTIBODY 1,217.0,141.05,10.18,212.66,884 CPT,86668,HC FRANCISELLA TULARENSIS 1,130.0,84.5,14.16,127.4,884 CPT,86668,HC FRANCISELLA TULARENSIS 2,141.0,91.65,14.16,138.18,884 CPT,86671,HC FUNGUS AB NES EACH 2,229.0,148.85,12.25,224.42,884 CPT,86671,HC SPOROTHRIX AB,227.0,147.55,12.25,222.46,884 CPT,86682,HC ECHINOCOCCUS AB IGG,321.0,208.65,13.01,311.37,884 CPT,86682,HC HELMINTH AB NES 2,264.0,171.6,13.01,256.08,884 CPT,86682,HC HELMINTH AB NES 3,264.0,171.6,13.01,256.08,884 CPT,86682,HC SCHISTOSOMA AB,318.0,206.7,13.01,308.46,884 CPT,86682,HC STRONGYLOIDES AB IGG,318.0,206.7,13.01,308.46,884 CPT,86684,HC HAEMOPHILUS INFL B AB IGG,318.0,206.7,15.84,308.46,884 CPT,86689,HC HTLV 1/2 AB CONFIRM,295.0,191.75,19.35,286.15,884 CPT,86689,HC HTLV AB CONFIRMATORY TEST,255.0,165.75,19.35,247.35,884 CPT,86692,"HC HDV TOTAL AB, S",270.0,175.5,17.16,264.6,884 CPT,86695,HC HERPES SIMPLEX TYPE 1 AB,203.0,131.95,13.19,196.91,884 CPT,86696,HC HERPES SIMPLEX TYPE 2 AB,214.0,139.1,19.35,207.58,884 CPT,86698,HC HISTOPLASMA AB EA,210.0,136.5,13.79,205.8,884 CPT,86701,HC HIV 1 AB,156.0,101.4,8.89,152.88,884 CPT,86702,HC HIV 2 AB,200.0,130.0,13.52,196.0,884 CPT,86704,HC HBV CORE AB TOTAL,180.0,117.0,12.05,174.6,884 CPT,86704,"HC HEP B SCRN CORE AB TOT (HBCSN, HBCT2)",151.0,98.15,12.05,146.47,884 CPT,86705,HC HBV CORE IGM AB,208.0,135.2,11.77,201.76,884 CPT,86706,HC HBV SURFACE AB,148.0,96.2,10.74,143.56,884 CPT,86706,"HC HEP B SCRN SURF AB (HBBSN, HBSNQ, HBSQN)",128.0,83.2,10.74,124.16,884 CPT,86706,HC REF HBV SURFACE AB,128.0,83.2,10.74,124.16,884 CPT,86707,HC HBV E AB,183.0,118.95,11.57,179.34,884 CPT,86708,HC HAV AB TOTAL,175.0,113.75,12.39,169.75,884 CPT,86709,HC HAV IGM AB,188.0,122.2,11.26,182.36,884 CPT,86713,HC LEGIONELLA AB,299.0,194.35,15.3,299.0,884 CPT,86717,HC LEISHMANIA AB,280.0,182.0,12.25,274.4,856 CPT,86720,HC LEPTOSPIRA AB,293.0,190.45,16.2,287.14,856 CPT,86735,HC MUMPS AB IGG,161.0,104.65,13.05,156.17,884 CPT,86735,HC MUMPS AB IGM,168.0,109.2,13.05,162.96,884 CPT,86738,HC M PNEUMONIAE AB,177.0,115.05,13.24,173.46,884 CPT,86738,HC M PNEUMONIAE AB EIA,177.0,115.05,13.24,173.46,884 CPT,86747,HC PARVOVIRUS AB,232.0,150.8,15.03,225.04,884 CPT,86753,HC PROTOZOA AB NES,163.0,105.95,12.39,159.74,884 CPT,86753,HC PRTZA BABESIA MICROTI AB,191.0,124.15,12.39,187.18,884 CPT,86753,HC PRTZA ENTAMOEBA HISTOLYTICA AB 2,177.0,115.05,12.39,173.46,884 CPT,86753,HC TRYPANOSOMA CRUZI AB IGG,188.0,122.2,12.39,184.24,884 CPT,86757,HC RICKETTSIA AB IGG,219.0,142.35,19.35,214.62,884 CPT,86757,HC RICKETTSIA AB IGM,219.0,142.35,19.35,214.62,884 CPT,86762,HC RUBELLA AB IGG,127.0,82.55,14.39,123.19,884 CPT,86765,HC RUBEOLA AB IGG,201.0,130.65,12.88,194.97,884 CPT,86765,HC RUBEOLA AB IGM,224.0,145.6,12.88,217.28,884 CPT,86769,HC SARS-COV-2 ANTIBODY,94.0,61.1,42.13,91.18,884 CPT,86769,HC SARS-COV-2 SPIKE AB,94.0,61.1,42.13,91.18,884 CPT,86777,HC TOXOPLASMA AB IGG,201.0,130.65,14.39,194.97,884 CPT,86778,HC TOXOPLASMA IGM AB,238.0,154.7,14.41,230.86,884 CPT,86780,HC SYPHILIS IGG AB,160.0,104.0,13.24,155.2,884 CPT,86780,HC SYPHILIS TPPA,177.0,115.05,13.24,171.69,884 CPT,86784,HC TRICHINELLA 2,178.0,115.7,12.56,172.66,884 CPT,86787,HC VARICELLA ZOSTER AB,200.0,130.0,12.88,194.0,884 CPT,86787,HC VARICELLA ZOSTER AB IGM,217.0,141.05,12.88,210.49,884 CPT,86788,HC WEST NILE VIRUS AB IGM,192.0,124.8,16.85,186.24,884 CPT,86789,HC WEST NILE VIRUS AB IGG,191.0,124.15,14.39,185.27,884 CPT,86790,HC CHIKUNGUNYA AB EA,266.0,172.9,12.88,258.02,884 CPT,86790,HC DENGUE FEVER EA,266.0,172.9,12.88,258.02,884 CPT,86790,HC HEV AB,266.0,172.9,12.88,258.02,884 CPT,86790,HC HEV AB 1,266.0,172.9,12.88,258.02,884 CPT,86790,HC HTLV 1/2 AB SCRN,246.0,159.9,12.88,238.62,884 CPT,86790,HC HTLV I AB,256.0,166.4,12.88,248.32,884 CPT,86790,HC POWASSAN VIRUS IGM,246.0,159.9,12.88,238.62,884 CPT,86794,HC ZIKA VIRUS AB,349.0,226.85,16.85,342.02,884 CPT,86800,HC THYROGLOBULIN AB,255.0,165.75,15.91,247.35,884 CPT,86803,HC HCV AB CADAVER SCREEN,327.0,212.55,14.27,317.19,884 CPT,86803,HC HCV AB SCREEN,293.0,190.45,14.27,284.21,884 CPT,86803,HC HCV AB W REFLEX,327.0,212.55,14.27,317.19,884 CPT,86804,HC HCV AB CONFIRMATION,219.0,142.35,114.28,219.0,880 CPT,86825,HC FLOW CYTOMETRIC CROSSMATCH,789.0,512.85,109.49,765.33,884 CPT,86832,HC HLA AB CLASS I SOLID PHASE,1467.0,953.55,323.75,1422.99,884 CPT,86833,HC HLA AB CLASS II SOLID PHASE,1337.0,869.05,325.8,1296.89,884 CPT,86850,HC ANTIBODY SCREEN RBC EA SERUM,107.0,69.55,48.11,103.79,885 CPT,86860,HC ANTIBODY ELUTION RBC EACH,223.0,144.95,110.83,216.31,884 CPT,86870,HC ANTIBODY ID RBC EACH PANEL,209.0,135.85,103.87,380.59,884 CPT,86880,HC DIRECT COOMBS EA ANTISERUM,120.0,78.0,54.47,116.4,884 CPT,86886,HC AHG INDIRECT TITER EA,106.0,68.9,52.68,180.89,884 CPT,86886,HC ALLO ANTIBODY TITER,93.0,60.45,46.22,180.89,884 CPT,86891,HC INTRAOP/POSTOP BLOOD SALVAGE,906.0,588.9,450.28,878.82,884 CPT,86900,HC BLOOD TYPING ABO,69.0,44.85,34.29,141.27,885 CPT,86901,HC BLOOD TYPING RH(D),98.0,63.7,34.49,95.06,885 CPT,86902,HC BLOOD TYPING DONOR UNIT EA AG,226.0,146.9,112.32,380.59,884 CPT,86902,HC BLOOD TYPING DONOR UNIT EA AG BS,231.0,150.15,114.81,380.59,884 CPT,86905,HC RBC AG NOT ABO/RH(D) EA,148.0,96.2,73.56,380.59,884 CPT,86906,HC RH PHENOTYPING COMPLETE,72.0,46.8,34.49,72.0,884 CPT,86920,HC COMPATIBILITY TEST IMM SPIN EA,289.0,187.85,143.63,280.33,884 CPT,86922,HC COMPATIBILITY TEST AG EA,215.0,139.75,106.86,208.55,884 CPT,86923,HC COMPATIBILITY TEST ELECTRONIC,173.0,112.45,85.98,180.89,884 CPT,86970,HC PRETREAT RBC AB ID DRUG EA,285.0,185.25,54.47,276.45,884 CPT,86971,HC PRETREAT RBC AB ID ENZYME EA,181.0,117.65,89.96,180.89,884 CPT,86975,HC PRETREAT SERUM RBC ID,177.0,115.05,87.97,474.32,884 CPT,86976,HC PRETREAT SERUM AB ID DILUTION,225.0,146.25,26.7,225.0,884 CPT,86977,HC PRETREAT SERUM AB ID INCUBATE,218.0,141.7,108.35,218.0,884 CPT,86978,HC PRETREAT SERUM AB ID ABSRP EA,242.0,157.3,54.47,234.74,884 CPT,86985,HC SPLIT BLOOD EA UNIT,670.0,435.5,157.3,649.9,884 CPT,87015,HC CONC FOR INFECTIOUS AGENT,65.0,42.25,6.68,63.05,884 CPT,87040,HC CULT BLOOD ISOL W PRES ID,276.0,179.4,10.32,267.72,884 CPT,87045,HC CULT STOOL AEROBIC SALM SHIG,120.0,78.0,9.44,117.6,884 CPT,87046,HC CULT STOOL ADD PATHOGENS EA 2,114.0,74.1,9.44,110.58,884 CPT,87046,HC STOOL CULT AEROBIC BACT EA,108.0,70.2,9.44,104.76,884 CPT,87070,HC CULT AEROBIC OTHER PRESUMPT ID,126.0,81.9,8.62,122.22,884 CPT,87075,HC CULT ANAEROBIC ISOL PRES ID,175.0,113.75,9.47,169.75,884 CPT,87076,HC CULT ANAEROBIC DEFIN ID EA ISOL,109.0,70.85,8.08,105.73,884 CPT,87077,HC CULT AEROBIC COMM KIT ID EA,63.0,40.95,8.08,61.11,884 CPT,87077,HC CULT AEROBIC DEFIN ID EA ISOL,94.0,61.1,8.08,91.18,884 CPT,87077,HC CULT AEROBIC DEFIN ID EA ISOL 2,87.0,56.55,8.08,84.39,884 CPT,87081,HC CULT SINGLE SPECIFIC ORG EACH,85.0,55.25,6.63,82.45,884 CPT,87081,HC CULT SINGLE SPECIFIC ORG EACH 1,55.0,35.75,6.63,53.35,884 CPT,87086,HC CULT/COLONY COUNT QUANT URINE,105.0,68.25,8.07,101.85,884 CPT,87101,HC CULT FUNGI PRES ID HAIR/SK/NA,125.0,81.25,7.71,122.5,884 CPT,87102,HC CULT FUNGI PRESUMPT ID OTHER,118.0,76.7,8.41,114.46,884 CPT,87103,HC CULT FUNGI PRES ID BLOOD,173.0,112.45,20.46,167.81,884 CPT,87106,HC CULT FUNGI DEFIN ID YEAST,129.0,83.85,10.32,125.13,884 CPT,87106,HC CULT FUNGI DEFIN ID YEAST 2,129.0,83.85,10.32,125.13,884 CPT,87107,HC CULT FUNGI DEFIN ID MOLD,141.0,91.65,10.32,136.77,884 CPT,87116,HC CULT AFB PRES ID,150.0,97.5,10.8,145.5,884 CPT,87118,HC CULT MYCOBACTERIA DEFIN ID,117.0,76.05,14.61,113.49,884 CPT,87147,HC SEROTYPING AGGLUT EA METH 2,55.0,35.75,5.18,53.9,884 CPT,87147,HC SEROTYPING AGGLUT EA METH >2,43.0,27.95,5.18,42.14,884 CPT,87147,HC SEROTYPING AGGLUT EA METH >2 1,56.0,36.4,5.18,54.88,884 CPT,87150,HC BCB BCID MULTIPLEX PCR,174.0,113.1,35.09,168.78,884 CPT,87150,HC CULT TYPE ID BY AMPL PROBE,110.0,71.5,35.09,106.7,884 CPT,87150,HC CULT TYPE ID BY AMPL PROBE 2,146.0,94.9,35.09,141.62,884 CPT,87150,HC DNA/RNA AMPLIFIED PROBE EACH,158.0,102.7,35.09,153.26,884 CPT,87150,HC DNA/RNA AMPLIFIED PROBE EACH 2,111.0,72.15,35.09,107.67,884 CPT,87150,HC GNC MULTIPLEX AMPL PROBE,93.0,60.45,35.09,90.21,884 CPT,87150,HC ID MTBCX SPECIATION PCR,146.0,94.9,35.09,141.62,884 CPT,87150,HC MYCOBACTERIA BROTH PROBE ID,106.0,68.9,35.09,102.82,884 CPT,87150,HC MYCOBACTERIA PROBE ID,106.0,68.9,35.09,102.82,884 CPT,87153,HC CULT ID BY SEQUENCING ANAEROBE,681.0,442.65,115.36,660.57,884 CPT,87153,HC CULTURE TYPING BY NUC ACID SEQ 1,713.0,463.45,115.36,691.61,884 CPT,87153,HC CULTURE TYPING BY NUC ACID SEQ 2,618.0,401.7,115.36,599.46,884 CPT,87153,HC CULTURE TYPING BY NUC ACID SEQ 3,721.0,468.65,115.36,699.37,884 CPT,87154,HC CULTURE TYPE BLD PATH 6+ TARGET,436.0,283.4,216.69,427.28,884 CPT,87168,HC MACROSCOPIC EXAM ARTHROPOD,99.0,64.35,4.27,96.03,884 CPT,87169,HC MACROSCOPIC EXAM PARASITE,77.0,50.05,4.31,75.46,884 CPT,87176,HC HOMOGENIZATION TISS FOR CULT,110.0,71.5,5.88,106.7,884 CPT,87177,HC OVA & PARASITE CONC & ID,127.0,82.55,8.9,124.46,884 CPT,87181,HC ANTIMICROBIAL SUSCEPTIBILITY,70.0,45.5,4.75,67.9,884 CPT,87181,HC SUSCEPTIBILITY ANAEROBIC,62.0,40.3,4.75,60.14,884 CPT,87182,HC CARBAPENEMASE ENZYME DETECT,66.0,42.9,32.8,66.0,880 CPT,87184,HC SUSCEPTIBILITY DISK PER PLATE,54.0,35.1,7.48,52.38,884 CPT,87185,HC BETA LACTAMASE,73.0,47.45,4.75,70.81,884 CPT,87185,HC CARBAPENEMASE,70.0,45.5,4.75,67.9,884 CPT,87186,HC SUSCEPTIBILITY PER PLATE 1,116.0,75.4,8.65,112.52,884 CPT,87186,HC SUSCEPTIBILITY PER PLATE 2,128.0,83.2,8.65,124.16,884 CPT,87186,HC SUSCEPTIBILITY PER PLATE 3,105.0,68.25,8.65,101.85,884 CPT,87186,HC SUSCEPTIBILITY PER PLATE 4,115.0,74.75,8.65,111.55,884 CPT,87186,HC SUSCEPTIBLITY PANEL YEAST,122.0,79.3,8.65,118.34,884 CPT,87188,HC SUSCEPT MACROBROTH EA DRUG,116.0,75.4,6.64,112.52,884 CPT,87205,HC SMEAR GRAM STAIN,75.0,48.75,4.27,72.75,884 CPT,87206,HC SMEAR ACID FAST ANY SOURCE,95.0,61.75,5.39,92.15,884 CPT,87206,HC SMEAR PNEUMOCYSTIS,89.0,57.85,5.39,86.33,884 CPT,87207,HC SPECIAL STAIN INCL OR PARASITE,102.0,66.3,5.99,98.94,884 CPT,87209,HC SMEAR COMPLEX STAIN O&P,140.0,91.0,17.98,135.8,884 CPT,87209,HC STAIN SLIDE EXAM,150.0,97.5,17.98,145.5,884 CPT,87210,HC SMEAR WET MOUNT,56.0,36.4,5.82,54.88,884 CPT,87253,HC VIRUS ID ADD TESTING,178.0,115.7,20.2,178.0,884 CPT,87254,HC VIRUS ID SHELL VIAL,174.0,113.1,19.56,174.0,884 CPT,87305,HC ASPERGILLUS AG EIA,261.0,169.65,11.98,253.17,884 CPT,87324,HC CLOSTRIDIUM TOXIN AG EIA,165.0,107.25,11.98,160.05,884 CPT,87328,HC CRYPTOSPORIDIUM AG EIA,104.0,67.6,13.82,101.92,884 CPT,87329,HC GIARDIA AG EIA,122.0,79.3,11.98,119.56,884 CPT,87338,HC H PYLORI STOOL AG EIA,252.0,163.8,14.38,246.96,884 CPT,87340,"HC HEP B SCRN SURF AG IA (HBGPS, HBGSN)",110.0,71.5,10.33,106.7,884 CPT,87340,HC HEP B SURF AG,122.0,79.3,10.33,118.34,884 CPT,87341,HC EIA HEP B AG NEUTRALIZATION,151.0,98.15,83.81,146.47,880 CPT,87350,HC HEPATITIS BE AG EIA,137.0,89.05,11.53,132.89,884 CPT,87385,HC HISTOPLASMA CAPSULATUM AG EIA,320.0,208.0,13.25,313.6,884 CPT,87389,HC HIV-1 AG W HIV-1 & HIV-2 AB DIAG,221.0,143.65,24.08,214.37,884 CPT,87389,HC HIV-1 AG W HIV-1 & HIV-2 AB SCRN,210.0,136.5,24.08,203.7,884 CPT,87389,HC HIV-1 AG W HIV-1 & HIV-2 AB SCRN 1,205.0,133.25,24.08,198.85,884 CPT,87389,HC HIV-1 AG W/HIV-1 & HIV-2 AB,205.0,133.25,24.08,198.85,884 CPT,87425,HC ROTAVIRUS AG EIA,179.0,116.35,11.98,175.42,856 CPT,87426,HC SARSCOV CORONAVIRUS AG IA,77.0,50.05,35.33,74.69,884 CPT,87449,HC AG DETECT NOS EIA MULT,137.0,89.05,11.98,132.89,884 CPT,87449,HC AG DETECT NOS EIA MULT 2,152.0,98.8,11.98,147.44,884 CPT,87449,HC BLASTOMYCES AG,145.0,94.25,11.98,140.65,884 CPT,87449,HC BLASTOMYCES AG QUANT EIA,152.0,98.8,11.98,147.44,884 CPT,87449,HC FUNGITELL,164.0,106.6,11.98,159.08,884 CPT,87467,HC HEPATITIS B SURFACE AG QUAN,70.0,45.5,25.32,67.9,884 CPT,87468,HC ANAPLASMA PHAGOCYTOPHILUM (EHRL/EPCRB-NCCI),197.0,128.05,35.09,193.06,884 CPT,87469,HC BABESIA (LBAB/LBABP-NCCI),146.0,94.9,35.09,143.08,884 CPT,87476,HC B BURGDORFERI PCR (PBORB/PBORR-NCCI),370.0,240.5,35.09,358.9,884 CPT,87478,HC BORRELIA MIYAMOTOI AMP PRB,158.0,102.7,35.09,154.84,884 CPT,87478,HC BORRELIA MIYAMOTOI AMP PRB 2,141.0,91.65,35.09,138.18,884 CPT,87481,HC CANDIDA AMP PROBE,144.0,93.6,35.09,139.68,884 CPT,87481,HC CANDIDA DNA AMP PROBE 2,245.0,159.25,35.09,237.65,884 CPT,87483,HC CNS DNA AMP PROBE TYPE 12-25,834.0,542.1,414.5,808.98,884 CPT,87484,HC EHRLICHIA CHAFFEENSIS (EHRL/EPCRB-NCCI),177.0,115.05,35.09,173.46,884 CPT,87491,HC CHLAMYDIA TRACH DNA AMPL PROBE,141.0,91.65,35.09,138.18,884 CPT,87491,HC CHLAMYDIA TRACH DNA AMPL PROBE (CGRNA/MCTGC-NCCI),297.0,193.05,35.09,291.06,884 CPT,87493,HC C DIFFICILE TOXIN AMPL PROBE,304.0,197.6,37.27,294.88,884 CPT,87494,HC INFECT AGENT CHLAM/GONORR MULTIPLEX,281.0,182.65,70.18,281.0,884 CPT,87496,HC CMV DNA AMPL PROBE QUAL,854.0,555.1,35.09,828.38,884 CPT,87496,HC CYTOMEGALOVIRUS DETECTION/PCR,352.0,228.8,35.09,341.44,884 CPT,87497,HC CMV PCR QUANT,752.0,488.8,42.84,729.44,884 CPT,87497,HC CMV PCR QUANT A1,812.0,527.8,42.84,787.64,884 CPT,87498,HC ENTEROVIRUS,288.0,187.2,35.09,279.36,884 CPT,87507,HC GASTROINTESTIONAL PATHOGEN PANEL,834.0,542.1,414.5,808.98,884 CPT,87513,"HC HELICO PYLORI, CLARITHROMYCIN RESIST 3",146.0,94.9,35.09,143.08,884 CPT,87517,HC HEP B PCR QUANT,829.0,538.85,42.84,804.13,884 CPT,87522,HC HEP C PCR QUANT,752.0,488.8,42.84,729.44,884 CPT,87522,HC HEP C PCR QUANT 1,648.0,421.2,42.84,628.56,884 CPT,87523,HC HDV DNA DETECT QUANT,440.0,286.0,42.84,431.2,884 CPT,87529,HC HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/HSVC/LHSVC/HSVZA/HSVA-NCCI),298.0,193.7,35.09,289.06,884 CPT,87529,HC HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/LHSVC/HSVC/HSVA-MEC NCCI),272.0,176.8,35.09,263.84,884 CPT,87529,HC HERPES SIMPLEX (HSVSW-MEC NCCI),596.0,387.4,35.09,578.12,884 CPT,87529,HC HERPES SIMPLEX (HSVSW-NCCI),298.0,193.7,35.09,289.06,884 CPT,87532,HC HHV-6 BY RAPID PCR,376.0,244.4,35.09,364.72,884 CPT,87533,HC HHV-6 DNA QUANT,794.0,516.1,41.76,770.18,884 CPT,87535,HC HIV-1 DNA AMPL PROBE 2,545.0,354.25,35.09,528.65,884 CPT,87536,HC HIV 1 PCR QUANT,743.0,482.95,85.1,720.71,884 CPT,87538,HC HIV-2 PROBE & REVRSE TRNSCR 2,801.0,520.65,35.09,784.98,884 CPT,87556,HC MTB COMPLEX BY RAPID PCR,302.0,196.3,41.68,292.94,884 CPT,87563,HC M GENITALIUM AMP PROBE,123.0,79.95,35.09,120.54,884 CPT,87564,"HC MYCOBACT TUBERC, RIFAMPIN RESIST",319.0,207.35,76.77,309.43,884 CPT,87581,HC MYCOPLASMA PNEUMO AMPL PROBE,212.0,137.8,35.09,205.64,884 CPT,87591,HC NEISSERIA GONORR DNA AMPL,250.0,162.5,35.09,245.0,884 CPT,87591,HC NEISSERIA GONORR DNA AMPL (CGRNA/MCTGC),150.0,97.5,35.09,147.0,884 CPT,87593,HC INFECT AGNT DETECT ORTHOPOXVIRUS,107.0,69.55,51.31,107.0,884 CPT,87594,HC PNEUMOCYSTIS JIROVECII AMP PROBE,182.0,118.3,35.09,176.54,884 CPT,87624,"HC HPV HIGH RISK, SCREENING",212.0,137.8,35.09,205.64,884 CPT,87626,HC HPV SEPARATE HI-RISK TYPES,292.0,189.8,70.2,283.24,884 CPT,87626,HC HPV SEPARATE HI-RISK TYPES 2,200.0,130.0,70.2,194.0,884 CPT,87631,HC RESP VIRUS 3 TO 5 TARGETS,617.0,401.05,142.63,604.66,884 CPT,87633,HC RESP VIRUS 12 TO 25 TARGETS,834.0,542.1,414.5,834.0,884 CPT,87633,HC RESP VIRUS 12-25 TARGETS (VRPPB-NCCI),816.0,530.4,405.55,816.0,884 CPT,87634,HC RSV DNA/RNA AMP PROBE,575.0,373.75,70.2,563.5,884 CPT,87635,HC SARS-COVID19,99.0,64.35,49.2,96.03,884 CPT,87635,HC SARS-COVID19 2,102.0,66.3,50.69,98.94,884 CPT,87635,HC SARS-COVID19 3,94.0,61.1,46.72,91.18,884 CPT,87636,HC SARSCOV2 & INF A&B AMP PRB,313.0,203.45,142.63,306.74,884 CPT,87637,"HC SARSCOV2,INF A/B, RSV MULT AMP PROBE",318.0,206.7,142.63,311.64,884 CPT,87641,HC MRSA AMPL PROBE,228.0,148.2,35.09,221.16,884 CPT,87651,"HC GROUP A STREP PCR, THROAT",159.0,103.35,35.09,155.82,884 CPT,87661,HC TRICHOMONAS VAG AMP PROBE,267.0,173.55,35.09,258.99,884 CPT,87662,HC ZIKA VIRUS AMPL PROBE,667.0,433.55,51.31,667.0,884 CPT,87662,HC ZIKA VIRUS AMPL PROBE 1,593.0,385.45,51.31,593.0,884 CPT,87798,HC ACANTHAMOEBA SPECIES (FLARP-NCCI),175.0,113.75,35.09,169.75,884 CPT,87798,"HC ACANTHAMOEBA SPECIES, PCR",150.0,97.5,35.09,145.5,884 CPT,87798,HC B GARINII/B AFZELII PCR (PBORB/PBORR-NCCI),223.0,144.95,35.09,216.31,884 CPT,87798,HC B MAYONII PCR (PBORB/PBORR-NCCI),223.0,144.95,35.09,216.31,884 CPT,87798,HC BABESIA (BABPB/LBAB/BABPR/LBABP-NCCI),237.0,154.05,35.09,229.89,884 CPT,87798,HC BALAMUTHIA MANDRILLARIS AMPL PROBE (FLARP-NCCI),181.0,117.65,35.09,175.57,884 CPT,87798,HC BORDETELLA (BPRPV/BPRP-NCCI),223.0,144.95,35.09,216.31,884 CPT,87798,HC BORRELIA MIYAMOTOI PCR,200.0,130.0,35.09,194.0,884 CPT,87798,HC BORRELIA MIYAMOTOI PCR 1,228.0,148.2,35.09,221.16,884 CPT,87798,HC BRBS PCR AND SEQUENCING,223.0,144.95,35.09,216.31,884 CPT,87798,"HC CHIKUNGUNYA VIRUS, PCR",234.0,152.1,35.09,226.98,884 CPT,87798,HC COCCIDIOIDES BY RAPID PCR,213.0,138.45,35.09,206.61,884 CPT,87798,HC COXIELLA BURNETII/Q FEVER PC,239.0,155.35,35.09,231.83,884 CPT,87798,HC DENGUE VIRUS PCR,235.0,152.75,35.09,227.95,884 CPT,87798,HC DETECT AGENT NOS DNA AMP,223.0,144.95,35.09,216.31,884 CPT,87798,HC DETECT AGENT NOS DNA AMP (VRPPB-NCCI),103.0,66.95,35.09,99.91,884 CPT,87798,HC DETECT AGENT NOS DNA AMP 2,221.0,143.65,35.09,214.37,884 CPT,87798,HC EHRLICHIA/ANAPLASMA (EHRL/EPCRB-NCCI),215.0,139.75,35.09,208.55,884 CPT,87798,HC EPSTEIN BARR AMPL PROBE,212.0,137.8,35.09,205.64,884 CPT,87798,HC INF AGENT NOS AMPL PROBE EA ORGSM,225.0,146.25,35.09,218.25,884 CPT,87798,HC INF AGENT NOS AMPL PROBE EA ORGSM 2,116.0,75.4,35.09,112.52,884 CPT,87798,HC JC VIRUS DETECTION BY PCR,225.0,146.25,35.09,218.25,884 CPT,87798,HC MALARIA DETECTION RAPID PCR,146.0,94.9,35.09,141.62,884 CPT,87798,HC MICROSPORIDIA PCR,230.0,149.5,35.09,223.1,884 CPT,87798,HC MYCOPLASMA HOMINIS AMP PROBE,235.0,152.75,35.09,227.95,884 CPT,87798,HC NAEGLERIA FOWLERI AMPL PROBE (FLARP-NCCI),181.0,117.65,35.09,175.57,884 CPT,87798,HC PARVOVIRUS B19 BY RAPID PCR,235.0,152.75,35.09,227.95,884 CPT,87798,HC Q FEVER PCR,175.0,113.75,35.09,169.75,884 CPT,87798,HC TOXOPLASMA GONDII AMPL PB,237.0,154.05,35.09,229.89,884 CPT,87798,HC TOXOPLASMA GONDII PCR CSF,227.0,147.55,35.09,220.19,884 CPT,87798,HC UREAPLASMA PCR (URBRP/URPRP/URRP?NCCI),235.0,152.75,35.09,227.95,884 CPT,87798,HC VARICELLA ZOSTER VIRUS (HSVZA/LHSVZ-NCCI),740.0,481.0,35.09,717.8,884 CPT,87798,HC VARICELLA ZOSTER VIRUS DETECT,211.0,137.15,35.09,204.67,884 CPT,87798,HC WEST NILE AMPL PROBE,231.0,150.15,35.09,224.07,884 CPT,87798,HC WHIPPLES DISEASE DNA DETECT,224.0,145.6,35.09,217.28,884 CPT,87799,HC BK VIRUS DNA QN BY RAPID PCR,294.0,191.1,42.84,285.18,884 CPT,87799,HC DETECT AGENT NOS DNA QUANT,387.0,251.55,42.84,375.39,884 CPT,87799,HC DETECT AGENT NOS DNA QUANT 1,198.0,128.7,42.84,192.06,884 CPT,87799,HC EBV DNA DETECT QUANT,345.0,224.25,42.84,334.65,884 CPT,87801,HC BARTONELLA BY RAPID PCR,509.0,330.85,70.2,493.73,884 CPT,87801,HC LEGIONELLA SPECIES DETECTION,468.0,304.2,70.2,453.96,884 CPT,87801,HC LYME DISEASE PCR (PBORB/PBORR/LYMPV-MEC-NCCI),275.0,178.75,70.2,266.75,884 CPT,87801,HC MULT ORGANISM AMPL PROBE (CGRNA/MCTGC-MEC-NCCI),434.0,282.1,70.2,420.98,884 CPT,87801,HC MULT ORGANISM AMPL PROBE 1,480.0,312.0,70.2,465.6,884 CPT,87801,HC MULT ORGANISM AMPL PROBE 3,291.0,189.15,70.2,282.27,884 CPT,87880,HC STREP A DIRECT,77.0,50.05,16.53,74.69,884 CPT,87899,HC AGENT NOS ASSAY W OPTIC,149.0,96.85,16.07,144.53,884 CPT,87899,HC CRYPTOCOCCAL ANTIGEN,127.0,82.55,16.07,123.19,884 CPT,87899,"HC CRYPTOCOCCUS AG SCRN, LFA",149.0,96.85,16.07,144.53,884 CPT,87899,"HC CRYPTOCOCCUS AG TITER, LFA",143.0,92.95,16.07,138.71,884 CPT,87899,HC CRYPTOCOCCUS AG W OPTIC,143.0,92.95,16.07,138.71,884 CPT,87899,HC LEGIONELLA AG URINE W OPTIC,145.0,94.25,16.07,140.65,884 CPT,87899,HC MALARIA AG W OPTIC,136.0,88.4,16.07,131.92,884 CPT,87899,HC SHIGA TOXIN AG W OPTIC,117.0,76.05,16.07,113.49,884 CPT,87899,HC STREP PNEUMONIAE AG W OPTIC,147.0,95.55,16.07,142.59,884 CPT,87902,HC HEP C GENOTYPE DNA REVERSE,1646.0,1069.9,257.45,1613.08,884 CPT,87902,HC HEP C GENOTYPE DNA REVERSE 1,1461.0,949.65,257.45,1431.78,884 CPT,87999,HC BABESIA (BABPB/LBAB/BABPR/LBABP-MEC NCCI),620.0,403.0,308.14,601.4,880 CPT,87999,HC EHRLICHIA/ANAPLASMA (EHRL/EPCRB-MEC NCCI),804.0,522.6,399.59,779.88,880 CPT,87999,HC HERPES & VARICELLA ZOSTER (LHSVZ-MEC NCCI),1363.0,885.95,677.41,1322.11,880 CPT,87999,HC HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/HSVC/LHSVC-MEC NCCI),524.0,340.6,260.43,508.28,880 CPT,87999,HC RESPIRATORY PATHOGEN PANEL (VRPPB-MEC-NCCI),1086.0,705.9,539.74,1053.42,880 CPT,87999,HC UREAPLASMA PCR (URBRP/URPRP/URRP?MEC NCCI),470.0,305.5,233.59,455.9,880 CPT,88104,HC CYTOP NONGYN SMEAR INTERP,534.0,347.1,34.49,517.98,884 CPT,88108,HC CYTOP CONCEN SMEARS & INTERP,392.0,254.8,34.49,380.24,885 CPT,88112,HC CYTOP NONGYN LIQUID BASED,526.0,341.9,48.11,510.22,884 CPT,88142,HC CYTOP GYN THIN PREP MANUAL,235.0,152.75,20.26,230.3,884 CPT,88161,HC CYTOP SMEAR NONGYN W PREP,181.0,117.65,26.7,175.57,884 CPT,88162,HC CYTO SMEAR NONGYN EXTND STUDY,236.0,153.4,48.11,236.0,884 CPT,88172,HC CYTOP FNA IMMEDIATE EVAL,325.0,211.25,157.3,315.25,884 CPT,88173,HC CYTOP FNA INTERP & REPORT,607.0,394.55,48.11,588.79,884 CPT,88182,HC FLOW CELL CYCLE/DNA ANALYSIS,695.0,451.75,48.11,674.15,884 CPT,88184,HC FLOW CYTO FIRST MARKER,390.0,253.5,193.83,380.59,884 CPT,88184,HC FLOW CYTO FIRST MARKER 2,404.0,262.6,200.79,391.88,884 CPT,88185,HC FLOW CYTO EA ADD MARKER,236.0,153.4,117.29,228.92,880 CPT,88230,HC TISS CULT LYMPHOCYTE,750.0,487.5,116.49,727.5,884 CPT,88233,HC TISS CULT SKN/OTH SOLID TISS BX,657.0,427.05,140.73,643.86,884 CPT,88235,HC TISS CULT AMNIOTIC/CHR CELLS,693.0,450.45,150.3,672.21,884 CPT,88237,HC TISS CULT BONE MARROW,977.0,635.05,143.75,947.69,884 CPT,88240,HC CRYOPRESERVE FREEZING&STORAGE CELLS,395.0,256.75,13.07,387.1,884 CPT,88262,HC CHROMO ANALYSIS 15-20 CELL BAND,1036.0,673.4,125.49,1004.92,884 CPT,88264,HC CHROMO ANALYSIS <20 CELLS (REDUC),1116.0,725.4,144.61,1082.52,884 CPT,88264,HC CHROMOSOME ANALYSIS 20-25 CELL,1116.0,725.4,144.61,1082.52,884 CPT,88271,HC MOL CYTOG DNA PROBE CELL SUSP EA,173.0,112.45,21.42,167.81,884 CPT,88271,HC MOL CYTOG DNA PROBE EA,176.0,114.4,21.42,170.72,884 CPT,88271,HC MOL CYTOG DNA PROBE SORT CELL EA,161.0,104.65,21.42,156.17,884 CPT,88274,HC CYTOG INTERPHASE SORT CELL 25-99 CELL,325.0,211.25,42.38,315.25,884 CPT,88274,HC CYTOG INTRPHASE 25-99 CELL,330.0,214.5,42.38,320.1,884 CPT,88275,HC CYTOG INTERPHASE 100-300 ISH,359.0,233.35,51.19,348.23,884 CPT,88275,HC CYTOG INTERPHASE CELL SUSP 100-300 ISH,394.0,256.1,51.19,382.18,884 CPT,88280,HC CHROMO ANLYS ADD KARYOTYPE EA 2,249.0,161.85,33.47,241.53,884 CPT,88285,HC CHROMO ANLYS ADD CELL COUNT EA,245.0,159.25,26.91,237.65,884 CPT,88300,HC LVL 1 SURG PATH GROSS MICRO,211.0,137.15,26.7,204.67,884 CPT,88302,HC LVL 2 SURG PATH GROSS MICRO,314.0,204.1,34.49,304.58,885 CPT,88304,HC LVL 3 SURG PATH GROSS MICRO,456.0,296.4,48.11,442.32,884 CPT,88305,HC LVL 4 SURG PATH GROSS MICRO,714.0,464.1,48.11,692.58,888 CPT,88307,HC LVL 5 SURG PATH GROSS MICRO,1050.0,682.5,330.94,1018.5,886 CPT,88309,HC LVL 6 SURG PATH GROSS MICRO,1614.0,1049.1,743.86,1565.58,884 CPT,88311,HC DECALCIFICATION PROC,143.0,92.95,71.07,138.71,880 CPT,88312,HC SPECIAL STAIN GROUP 1,431.0,280.15,48.11,418.07,884 CPT,88313,HC SPECIAL STAIN GROUP 2,333.0,216.45,122.84,323.01,885 CPT,88314,HC SPECIAL STAIN HISTOCHEMICAL,652.0,423.8,324.04,632.44,880 CPT,88319,HC HISTOCHEMISTRY FOR ENZYME,861.0,559.65,427.92,855.44,884 CPT,88323,HC CONSULT SLIDE W PREP,669.0,434.85,48.11,655.62,884 CPT,88329,HC CONSULT SURG WO FROZEN,238.0,154.7,54.47,230.86,884 CPT,88331,HC FROZEN SECTION 1ST BLOCK,484.0,314.6,157.3,469.48,885 CPT,88332,HC FROZEN SECTION ADD TISS BLOCK,290.0,188.5,144.13,281.3,880 CPT,88333,HC CONSULT SURG TOUCH PREP INIT,861.0,559.65,427.92,855.44,884 CPT,88341,HC IMMUNO STAIN PER SPEC EA ADD AB,322.0,209.3,160.03,312.34,880 CPT,88342,HC IMMUNO STAIN PER SPEC INITIAL AB,460.0,299.0,157.3,446.2,884 CPT,88344,HC IMMUNO STAIN EA MULTIPLEX AB,813.0,528.45,330.94,788.61,884 CPT,88346,HC IF STUDY EA AB DIR METHOD,656.0,426.4,157.3,636.32,884 CPT,88348,HC ELECTRON MICROSCOPY DX,2708.0,1760.2,743.86,2626.76,884 CPT,88350,HC IMMUNOFLUORESCENCE EA ADD,383.0,248.95,190.35,371.51,880 CPT,88360,HC TUMOR IMMUNOHISTO MANUAL EA AB,571.0,371.15,157.3,553.87,884 CPT,88361,HC TUMOR IMMUNOHISTO CAT EA AB,1305.0,848.25,330.94,1265.85,884 CPT,88362,HC NERVE TEASING PREP,1209.0,785.85,600.87,1172.73,884 CPT,88364,HC INSITU HYBRID EA ADD PROBE,612.0,397.8,304.16,593.64,880 CPT,88365,HC INSITU HYBRID INITIAL PROBE,697.0,453.05,157.3,676.09,884 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A1,2103.0,1366.95,157.3,2039.91,884 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A10,1827.0,1187.55,157.3,1772.19,884 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A11,1830.0,1189.5,157.3,1775.1,884 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A2,2054.0,1335.1,157.3,1992.38,884 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A3,2033.0,1321.45,157.3,1972.01,884 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A4,2076.0,1349.4,157.3,2013.72,884 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A5,729.0,473.85,157.3,707.13,884 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A6,1598.0,1038.7,157.3,1550.06,884 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A7,1568.0,1019.2,157.3,1520.96,884 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A8,1746.0,1134.9,157.3,1693.62,884 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A9,1284.0,834.6,157.3,1245.48,884 CPT,88380,HC MICRODISSECTION LASER,910.0,591.5,452.27,882.7,880 CPT,88380,HC MICRODISSECTION LASER 2,913.0,593.45,453.76,885.61,880 CPT,88381,HC MICRODISSECTION MANUAL,909.0,590.85,451.77,881.73,880 CPT,89051,HC CELL COUNT FLUID W DIFF COUNT,130.0,84.5,5.6,126.1,884 CPT,89051,HC CELL COUNT W DIFF BODY FLUID,133.0,86.45,5.6,129.01,884 CPT,89060,HC CRYSTAL EXAM FLUID/TISSUE,155.0,100.75,7.33,150.35,884 CPT,89220,HC SPUTUM OBTN SPECIMEN AERO,212.0,137.8,105.36,212.0,884 CPT,90471,HC ADMIN VACC SNGL,101.0,65.65,50.2,98.98,884 CPT,90472,HC ADMIN VACC ADD,55.0,35.75,27.34,53.9,880 CPT,90480,HC ADMIN COVID-19 VACCINE,100.0,65.0,37.52,97.0,884 CPT,90837,HC PSYTX PAT 60 MIN,631.0,410.15,313.61,618.38,880 CPT,90853,HC GROUP PSYTX,493.0,320.45,245.02,493.0,880 CPT,90901,HC BIOFEEDBACK TRAINING ANY OT,287.0,186.55,16.43,278.39,884 CPT,90935,HC HEMODIALYSIS TREATMENT IP,2695.0,1751.75,633.66,2614.15,884 CPT,90935,HC HEMODIALYSIS TX ACUTE - NON CERT,2834.0,1842.1,633.66,2748.98,884 CPT,90945,HC CAPD TREATMENT IP,2106.0,1368.9,385.25,2042.82,884 CPT,90945,HC CCPD TREATMENT IP,1927.0,1252.55,385.25,1869.19,884 CPT,90945,HC CRRT/ULTRAFILTRATION/ ACUTE,2049.0,1331.85,385.25,1987.53,884 CPT,90945,HC PERITONEAL DIALYSIS,2050.0,1332.5,385.25,1988.5,884 CPT,90945,HC PERITONEAL DIALYSIS OUTPATIENT,2635.0,1712.75,385.25,2555.95,884 CPT,90999,HC CAPD RETRAINING NON MD,1135.0,737.75,265.63,1100.95,884 CPT,90999,HC CAPD TRAINING NON MD,1129.0,733.85,265.63,1095.13,884 CPT,90999,HC CAPD TREATMENT,976.0,634.4,265.63,946.72,884 CPT,90999,HC CCPD RETRAINING NON MD,1126.0,731.9,265.63,1092.22,884 CPT,90999,HC CCPD TRAINING NON MD,1167.0,758.55,265.63,1131.99,884 CPT,90999,HC CCPD TREATMENT,1050.0,682.5,265.63,1018.5,884 CPT,90999,HC DIALYSIS TRAIN BY NONMD,1047.0,680.55,265.63,1015.59,884 CPT,90999,HC HEMODIALYSIS TREATMENT,2637.0,1714.05,265.63,2557.89,884 CPT,90999,HC HEMODIALYSIS TREATMENT FOR TRANSIENT,2594.0,1686.1,265.63,2516.18,884 CPT,90999,HC HOME HEMO TREATMENT,2337.0,1519.05,265.63,2266.89,884 CPT,90999,HC HOME RETRAINING BY NON MD,1049.0,681.85,265.63,1017.53,884 CPT,91040,HC ESOPH BALLOON DISTENSION STUDY,3359.0,2183.35,344.53,3258.23,884 CPT,91110,HC CAPSULE ENDO INTRALUMINAL,4380.0,2847.0,837.4,4292.4,884 CPT,91200,HC ELASTOGRAPHY LIVER WO IMG I&R,2424.0,1575.6,118.8,2375.52,884 CPT,92250,HC FUNDUS PHOTOGRAPHY,136.0,88.4,67.59,141.27,884 CPT,92507,HC THRPY SPEECH/LANG/COMM/APD ST,286.0,185.9,74.9,280.28,883 CPT,92511,HC NASOPHARYNGOSCOPY W ENDO,603.5,392.275,184.29,616.0,1768 CPT,92521,HC EVAL SPEECH FLUENCY ST,522.0,339.3,130.88,511.56,883 CPT,92522,HC EVAL SPEECH PRODUCTION ST,376.0,244.4,110.52,368.48,883 CPT,92523,HC EVAL SPEECH PRODUCTN W LANG ST,448.0,291.2,215.49,434.56,883 CPT,92524,HC ANALYSIS BEHAV/QUAL VOICE ST,416.0,270.4,108.1,407.68,883 CPT,92526,HC TX SWALLOWING DYSFUNCTION ST,249.0,161.85,82.62,244.02,883 CPT,92597,HC EVAL PROSTHETIC VOICE ST,608.0,395.2,70.19,595.84,883 CPT,92607,HC EVAL SPEECH-GEN DEV 1STHR ST,1046.0,679.9,119.77,1014.62,883 CPT,92610,HC EVAL SWALLOW FUNC ST,471.0,306.15,57.33,456.87,884 CPT,92611,HC EVAL SWALLOW FUNC FLUORO ST,850.0,552.5,90.33,833.0,884 CPT,92612,HC EVAL SWALLOW FBROPT ENDO ST,675.0,438.75,54.46,661.5,884 CPT,92653,HC AUD EVOKED POTENTIAL NEURODIAGNOSTIC,1119.0,727.35,199.36,1085.43,884 CPT,92920,HC PTCA SNGL MJR ARTY/BRNCH,17907.0,11639.55,5254.87,17369.79,884 CPT,92924,HC PTCA W COR ANGIO SNGL MJR,29575.0,19223.75,10658.45,28687.75,884 CPT,92928,HC PLC INTRACOR STNT SNGL,29466.0,19152.9,10658.45,28582.02,884 CPT,92930,HC PERQ TCAT PLMT NTRAC ST 2+LES 2+ST 2+C SEGMENTS,76573.0,49772.45,13392.0,76573.0,884 CPT,92933,HC PTCA INTRACOR STNT SNGL MJR,43394.0,28206.1,14540.0,42526.12,884 CPT,92937,HC PERC REVASC TRANS COR SNGL VESL,35339.0,22970.35,10658.45,34278.83,884 CPT,92941,HC PERC REVASC TRANS MI SNGL VESL,38578.0,25075.7,634.79,37806.44,884 CPT,92943,HC PERC REVASC TRANS CHR SNGL VESL,36402.0,23661.3,10658.45,35309.94,884 CPT,92950,HC CPR,1414.0,919.1,199.36,4677.0,1768 CPT,92960,HC CARDIOVSN ELECT EXTERNAL,2070.0,1345.5,610.23,14881.0,1768 CPT,92961,HC CARDIOVSN ELECT INTERNAL,3218.0,2091.7,610.23,14881.0,884 CPT,92972,HC PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY,3231.0,2100.15,1793.21,14881.0,880 CPT,92973,HC THROMB CRNARY PERC,15867.0,10313.55,8806.19,15867.0,880 CPT,92978,HC IVUS HRT EA VSSL INIT W S&I,10851.0,7053.15,6022.31,14881.0,880 CPT,92979,HC IVUS HRT EA VSSL ADD W S&I,6492.0,4219.8,3603.06,14881.0,880 CPT,92986,HC PERC BALLOON VALVULO AORTIC,14915.0,9694.75,5254.87,16155.0,884 CPT,92987,HC PERC BALLOON VALVULO MITRAL,35178.0,22865.7,10658.45,34122.66,884 CPT,92997,HC PTA PULMONARY ARTY SNGL VSSL,25257.0,16417.05,10658.45,24499.29,884 CPT,92998,HC PTA PULMONARY ARTY ADD VSSL,7030.0,4569.5,3901.65,16155.0,880 CPT,93005,HC EKG 12 LEAD TRACE ONLY,325.0,211.25,54.47,357.0,884 CPT,93017,HC CV STRESS TEST TRACE ONLY,1381.0,897.65,199.36,4677.0,884 CPT,93024,HC ERGONOVINE PROVOCATION TEST,1083.0,703.95,412.45,4677.0,884 CPT,93041,HC EKG RHYTHM 1-3 LEAD TRACE ONLY,193.0,125.45,54.47,357.0,884 CPT,93225,HC HOLTER MONITR<=48HRS RECORDING,367.0,238.55,122.84,440.0,885 CPT,93226,HC HOLTER MONITR<=48HRS SCN/REPRT,447.0,290.55,54.47,440.0,885 CPT,93229,HC REMOTE 30 DAY ECG TECH SUPP,5078.0,3300.7,344.53,4925.66,885 CPT,93242,HC LT CONT REC>48 HR & <= 7 DY REC,674.0,438.1,34.49,674.0,884 CPT,93243,HC LT CONT REC>48 HR&<=7 DY SCR/RPT,2080.0,1352.0,122.84,2080.0,884 CPT,93246,HC LT CONT REC>7 DY & <= 15 DY REC,659.0,428.35,34.49,659.0,884 CPT,93260,HC PROGR DEV EVAL IMPLT SUBQ ICD,563.0,365.95,34.46,4677.0,884 CPT,93270,HC EVENT MONITOR 30DAY RECORDING,335.0,217.75,34.46,440.0,884 CPT,93271,HC EVENT MONITR 30DAY TRANS/ANLYS,2040.0,1326.0,87.78,1978.8,884 CPT,93282,HC PROGR DEV EVAL ICD SNGL LEAD,331.0,215.15,34.46,4677.0,884 CPT,93286,HC PERI-PROC PCMKR EVAL & PROG,304.0,197.6,168.72,4677.0,880 CPT,93288,HC INTERROGATE DEVICE PACEMAKER,657.0,427.05,34.46,4677.0,884 CPT,93289,HC INTERROGATE DEVICE ICD,130.0,84.5,34.46,4677.0,884 CPT,93296,HC INTER PCMKR/ICD REM TECH 90DAYS,370.0,240.5,34.46,4677.0,884 CPT,93308,HC ECHO TTE 2D FU/LIMITED,1056.0,686.4,220.29,4677.0,884 CPT,93319,HC 3D ECHO IMG CGEN CAR ANOMAL,436.0,283.4,241.98,4677.0,880 CPT,93351,HC ECHO TTE STRESS W CONT ECG,1461.0,949.65,504.49,4677.0,884 CPT,93355,HC ECHO TEE,1610.0,1046.5,893.55,4677.0,880 CPT,93356,HC MYOCARDIAL STRAIN IMAGING,551.0,358.15,305.81,4677.0,880 CPT,93451,HC RIGHT HEART CATH,11663.0,7580.95,2993.19,14881.0,1768 CPT,93452,HC LT HRT CATH W VENTRICULOGRAPHY,11538.0,7499.7,2993.19,14881.0,884 CPT,93453,HC RT< HRT CATH W VENTRICLGRPHY,11720.0,7618.0,2993.19,14881.0,884 CPT,93454,HC CATH PLC COR ARTY ANGIO S&I,13385.0,8700.25,2993.19,14881.0,884 CPT,93455,HC CATH PLC COR ARTY/GRFT ANGIO,15685.0,10195.25,2993.19,15214.45,884 CPT,93456,HC CATH PLC COR ARTY/ANG W RT HRT,15843.0,10297.95,2993.19,15367.71,884 CPT,93457,HC CATH PLC ARTY/GRFT ANG W R HRT,13601.0,8840.65,2993.19,14881.0,884 CPT,93458,HC CATH PLC ARTY/VENT ANG W L HRT,18761.0,12194.65,2993.19,18198.17,884 CPT,93459,HC CATH PLC ARTY/GRFT ANG W L HRT,13491.0,8769.15,2993.19,14881.0,884 CPT,93460,HC CATH PLC ART/VEN ANG W R&L HRT,19629.0,12758.85,2993.19,19040.13,884 CPT,93461,HC CATH PLC ART/GRFT ANG W R&L HRT,14082.0,9153.3,2993.19,14881.0,884 CPT,93462,HC LT HRT CATH TXSPTL PUNC,21095.0,13711.75,11707.73,20462.15,880 CPT,93463,HC DRUG ADMIN AND HEMODYN MEAS,562.0,365.3,311.91,4677.0,880 CPT,93464,HC EXERCISE STUDY W HEMODYN MEAS,2114.0,1374.1,1173.27,14881.0,880 CPT,93503,HC INS/PLC FLOW DIR CATH,5303.5,3447.275,1453.38,14881.0,2652 CPT,93505,HC BX ENDOMYOCARDIAL,10597.0,6888.05,2915.22,14881.0,1768 CPT,93563,HC INJ ANGIO CONG HRT CATH S&I,4747.0,3085.55,2634.59,14881.0,880 CPT,93566,HC INJ CATH RT VENT/ATRIAL ANGIO,4097.0,2663.05,2273.84,14881.0,880 CPT,93567,HC INJ CATH SUPRVLV AORTOGRAPHY,4028.0,2618.2,2235.54,14881.0,880 CPT,93568,HC INJ PULM ANGIO S&I,3991.0,2594.15,2215.01,14881.0,880 CPT,93569,HC NJX CTH SLCT P-ART ANGRP UNI,1473.0,957.45,817.52,14881.0,880 CPT,93571,HC INTRVAS DPLR ANGIO INIT,6699.0,4354.35,3717.95,14881.0,880 CPT,93572,HC INTRVAS DPLR ANGIO ADD,4625.0,3006.25,2566.88,14881.0,880 CPT,93573,HC NJX CATH SLCT P-ART ANGRP BI,1492.0,969.8,828.06,14881.0,880 CPT,93574,HC NJX CATH SLCT PULM VN ANGRPH,1359.0,883.35,754.25,14881.0,880 CPT,93580,HC TX CATH CLSR ASD W IMP,42279.0,27481.35,13392.0,41010.63,884 CPT,93581,HC TX CATH CLSR VSD W IMP,47541.0,30901.65,13392.0,47541.0,884 CPT,93583,HC PERC TRANSCATH SEP RED THRPY,34533.0,22446.45,690.93,34533.0,884 CPT,93590,"HC PARAVALVULAR LEAK CLOSURE, INI",58062.0,37740.3,13392.0,56320.14,884 CPT,93591,HC PERC TRANSCATH CLSR AORTIC,46495.0,30221.75,13392.0,45100.15,884 CPT,93592,"HC PARAVLAVULAR LEAK CLOSURE, EA",6303.0,4096.95,3498.17,14881.0,880 CPT,93593,HC R HRT CATH CHD NML NT CNJ,12029.0,7818.85,2993.19,14881.0,884 CPT,93594,HC R HRT CATH CHD ABNL NT CNJ,11804.0,7672.6,2993.19,14881.0,884 CPT,93596,HC R&L HRT CATH CHD NML NT CNJ,11483.0,7463.95,2993.19,14881.0,884 CPT,93597,HC R&L HRT CATH CHD ABNL NT CNJ,11043.0,7177.95,2993.19,14881.0,884 CPT,93598,HC CAR OUTP MEAS DRG CATH CHD,3054.0,1985.1,1694.97,14881.0,880 CPT,93610,HC PACING INTRA ATRIAL,22912.0,14892.8,7201.22,22453.76,884 CPT,93612,HC PACING INTRA VENTRICULAR,25502.0,16576.3,7201.22,24736.94,1768 CPT,93613,HC MAP EPS 3D,13946.0,9064.9,7740.03,16155.0,880 CPT,93618,HC PACING HRT RHYTHM,18838.0,12244.7,1124.12,18340.76,1768 CPT,93619,HC EP EVAL WO ARRHYTHMIA,33305.0,21648.25,7201.22,32638.9,884 CPT,93620,HC EP EVAL W ARRHYTHMIA,18163.0,11805.95,7201.22,17618.11,884 CPT,93621,HC EP EVAL W LT ATRL/COR SIN PCNG,12292.0,7989.8,6822.06,16155.0,880 CPT,93622,HC EP EVAL W LT VENT PACING,9094.0,5911.1,5047.17,16155.0,880 CPT,93623,HC STIM HRT PACING POST IV INF,9722.0,6319.3,5395.71,16155.0,880 CPT,93624,HC EP FOLLOW UP STUDY W ARRYTH,33724.0,21920.6,7201.22,32712.28,884 CPT,93631,HC INTRAOP EPI/ENDO CARD PAC/MAP,2604.0,1692.6,1445.22,16155.0,880 CPT,93641,HC EVAL EPS ICD GENERATOR W TEST,3251.0,2113.15,1804.31,4677.0,880 CPT,93642,HC EVAL EPS ICD SYS,5685.0,3695.25,1124.12,5571.3,884 CPT,93644,HC EP EVAL SUBCUT IMPLT DEFIB,9413.0,6118.45,4210.0,9130.61,880 CPT,93650,HC ABLT AV NODE,16336.0,10618.4,7201.22,16155.0,884 CPT,93653,HC EP EVAL W SUPRAVENT ABLATE,57794.0,37566.1,14540.0,56060.18,884 CPT,93654,HC EP EVAL W VENT TACHY ABLATE,57269.0,37224.85,14540.0,55550.93,884 CPT,93655,HC ABLT ARRHYTHMIA ADD ON,21272.0,13826.8,11805.96,20633.84,880 CPT,93656,HC EP EVAL TX ART FIB PULM VEIN,57269.0,37224.85,14540.0,55550.93,884 CPT,93657,HC ABLT ATRIUM ADD LINEAR CATH,16099.0,10464.35,8934.95,16155.0,880 CPT,93660,HC TILT TABLE EVAL W/WO DRUG,2292.0,1489.8,344.53,4677.0,884 CPT,93662,HC ECHO INTRACARDIAC,7022.0,4564.3,3897.21,6811.34,880 CPT,93668,HC PAD REHAB PER SES,238.0,154.7,54.47,4677.0,884 CPT,93750,HC INTERO VAD IN PERSON,418.0,271.7,87.78,405.46,884 CPT,93797,HC CARDIAC REHAB WO ECG EA SESN,598.0,388.7,119.02,580.06,884 CPT,93798,HC CARDIAC REHAB W CONT ECG MON,397.0,258.05,119.02,385.09,884 CPT,93799,HC DRUG CHALLENGE STUDY,736.0,478.4,118.8,4677.0,884 CPT,93799,HC INTRVAS DPLR ANGIO INIT IFR,5821.0,3783.65,118.8,14881.0,884 CPT,93799,HC LONG QT SYNDROME CHALLENGE TST,5699.0,3704.35,118.8,5528.03,884 CPT,93882,HC DUPLEX SCAN EXTRACRAN ARTY UNILAT,1000.0,650.0,96.52,980.0,884 CPT,93886,HC TRCRAN DPLR INTRCR CMPLT,773.0,502.45,220.29,749.81,884 CPT,93888,HC TRCRAN DPLR INTRCR LTD,1396.0,907.4,96.52,1354.12,884 CPT,93892,HC TRCRAN EMBOLI DETECT WO IV INJ,904.0,587.6,96.52,876.88,884 CPT,93893,HC TRCRAN DPLR INTRCR EMBOLI W IV,2182.0,1418.3,96.52,2116.54,884 CPT,93971,HC DUP SCAN EXT VEIN UNILAT/LTD,810.0,526.5,96.52,785.7,884 CPT,93976,HC DUP SCAN ABD PELV LTD,875.0,568.75,96.52,848.75,884 CPT,93978,HC DUP SCAN AORTA IVC COMPLT,1412.0,917.8,220.29,1383.76,884 CPT,93979,HC DUP SCAN AORTA IVC LTD,1094.0,711.1,96.52,1072.12,884 CPT,93985,HC DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD,1154.0,750.1,220.29,1130.92,884 CPT,94002,HC VENTIL MGMT IP INIT DAY,1727.0,1122.55,570.39,1675.19,884 CPT,94003,HC VENT MGMT INPT/OBS SUBSQ DAY,1536.0,998.4,570.39,1489.92,884 CPT,94010,HC SPIROMETRY,392.0,254.8,199.36,380.24,884 CPT,94060,HC BRONCHODILATION RESPONSIVENESS,702.0,456.3,320.0,687.96,884 CPT,94070,HC EVAL BRONCHOSPASM PROVOCATION,735.0,477.75,320.0,720.3,884 CPT,94150,HC VITAL CAPACITY TOTAL,327.0,212.55,118.8,357.0,884 CPT,94200,"HC MAX BREATH CAPA, MAX VENTIL",178.0,115.7,54.47,357.0,884 CPT,94618,HC PULMONARY STRESS TESTING,376.0,244.4,122.84,368.48,884 CPT,94625,HC PULM REHAB WO CONT OXIMTRY MNTR PER SESS,311.0,202.15,54.47,304.78,884 CPT,94626,HC PULM REHAB W/CONT OXIMTRY MNTR PER SESS,308.0,200.2,54.47,298.76,884 CPT,94640,HC TX INHAL AERO SPUTUM,452.0,293.8,202.18,452.0,1768 CPT,94642,HC PENTAMIDINE TX AERO INHAL,452.0,293.8,202.18,438.44,884 CPT,94645,HC TX CONT AERO AAO EA ADD HR,301.0,195.65,149.6,301.0,880 CPT,94660,HC CPAP INIT & MGMT,740.0,481.0,202.18,717.8,884 CPT,94664,HC DEMO/EVAL PAT USE INHALE,617.0,401.04999999999995,202.18,693.0,1768 CPT,94667,HC MANIP CHST WALL INIT,259.0,168.35,122.84,251.23,884 CPT,94668,HC MANIP CHST WALL SUBSQ,257.0,167.05,122.84,249.29,884 CPT,94669,HC MECH CHST WALL OSC LUNG FUNC,949.0,616.85,202.18,949.0,884 CPT,94681,HC O2 UPTAKE INCL CO2 OUTPUT,800.0,520.0,320.0,776.0,884 CPT,94690,HC O2 UPTAKE EXHAL REST INDIRCT,482.0,313.3,54.47,467.54,884 CPT,94728,HC IMPULSE OSCILLOMETRY,677.0,440.05,118.8,663.46,884 CPT,94760,HC PULSE OX O2 SAT SNGL,88.0,57.2,48.84,357.0,880 CPT,94761,HC PULSE OX O2 SAT MULT,187.0,121.55,103.79,357.0,880 CPT,94762,HC MEAS BLD O2 LVL OVNT MONITOR,359.0,233.35,118.8,357.0,884 CPT,94799,HC CO2 EXPIRED GAS DETRMN INFRARD,559.0,363.35,118.8,547.82,884 CPT,94799,HC RESP MUSCLE STRENGTH,334.0,217.1,118.8,357.0,884 CPT,94799,HC RESP THRPY ADMN/MONT NITRIC,578.0,375.7,118.8,566.44,884 CPT,95012,HC NITRIC OXIDE EXPIRED GAS,161.0,104.65,34.49,357.0,884 CPT,95180,HC RAPID DESENSITIZATION EA HOUR,1495.0,971.75,412.45,1450.15,884 CPT,95700,HC LONG TERM EEG SET UP,1013.0,658.45,199.36,982.61,884 CPT,95705,HC EEG 2-12 HOURS WITHOUT VIDEO UNMONITORED,665.0,432.25,199.36,652.0,884 CPT,95708,HC EEG 12-26 HOURS WITHOUT VIDEO UNMONITORED,1637.0,1064.05,344.53,1587.89,884 CPT,95711,HC VEEG 2-12 HOURS WITH VIDEO UNMONITORED,1419.0,922.35,199.36,1376.43,884 CPT,95712,HC VEEG BY TECH 2-12 HR INTERMITTENT MONITORING,3175.0,2063.75,344.53,3079.75,884 CPT,95713,HC VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING,4989.0,3242.85,344.53,4839.33,884 CPT,95714,HC VEEG 12-26 HOURS WITH VIDEO UNMONITORED,2094.0,1361.1,344.53,2031.18,884 CPT,95715,HC VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR,3420.0,2223.0,344.53,3317.4,884 CPT,95716,HC VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR,5330.0,3464.5,586.0,5170.1,884 CPT,95806,HC SLEEP STUDY UNATTENDED,1592.0,1034.8,199.36,1560.16,884 CPT,95812,HC EEG EXTEND MONITOR 41-60MIN,1620.0,1053.0,199.36,1571.4,884 CPT,95813,HC EEG EXTEND MONITOR >60MIN,3060.0,1989.0,199.36,2968.2,884 CPT,95816,HC EEG INCL AWAKE & DROWSY,1608.0,1045.2,199.36,1559.76,884 CPT,95819,HC EEG INCL AWAKE & ASLEEP,1821.0,1183.65,199.36,1766.37,884 CPT,95822,HC EEG COMA/SLEEP,2019.0,1312.35,199.36,1958.43,884 CPT,95829,HC ELECTROCORTICOGRAM AT SURGERY,921.0,598.65,511.16,921.0,880 CPT,95867,HC EMG NEEDLE CRANIAL NRV UNILAT,770.0,500.5,199.36,746.9,884 CPT,95868,HC EMG NEEDLE CRANIAL NRV BIL,932.0,605.8,199.36,904.04,884 CPT,95870,HC EMG NEEDLE LIMITED,391.0,254.15,122.84,379.27,884 CPT,95874,HC EMG NEEDLE GUID CHEMODENERV,1115.0,724.75,554.16,1081.55,880 CPT,95885,HC EMG NDL EA EXT LTD NRV CONDCT,680.0,442.0,337.96,659.6,880 CPT,95886,HC EMG NDL EXT CMPLT W NRV CONDCT,529.0,343.85,262.91,513.13,880 CPT,95887,HC EMG NDL NON-EXT W NRV CONDCT,434.0,282.1,215.7,420.98,880 CPT,95922,HC AUTONOMIC TEST SYMPATH ADRENERGIC,1384.0,899.6,122.84,1342.48,884 CPT,95923,HC AUTONOMIC TEST SUDOMOTOR,671.0,436.15,122.84,650.87,885 CPT,95924,HC TEST ANS PARASYM & SYMP W TILT,839.0,545.35,199.36,813.83,885 CPT,95925,HC SOMATOSENS TEST UPPER EXT,1798.0,1168.7,199.36,1744.06,884 CPT,95926,HC SOMATOSENS TEST LOWER EXT,3289.0,2137.85,199.36,3190.33,884 CPT,95933,HC ORBICULARIS OCULI REFLEX TEST,582.0,378.3,54.47,564.54,884 CPT,95937,HC TEST NEURMUSC JUNC EA NRV,605.0,393.25,118.8,586.85,884 CPT,95938,HC SOMATOSENS UPPR/LWR LIMBS,2785.0,1810.25,792.85,2701.45,884 CPT,95939,HC CTR MOTOR STDY UPPR/LWR LIMBS,2269.0,1474.85,792.85,2200.93,884 CPT,95941,HC IONM REMOTE >=1 PATIENT PER HR,1547.0,1005.55,768.86,1500.59,880 CPT,95958,HC WADA ACTIVATION TEST W EEG,3348.0,2176.2,586.0,3247.56,884 CPT,95961,HC MAPPING CORTICAL INITIAL HR,2241.0,1456.65,586.0,2173.77,884 CPT,95962,HC MAPPING CORTICAL EA ADD HR,3155.0,2050.75,586.0,3060.35,880 CPT,95992,HC CANALITH REPOSITIONING PROC,132.0,85.8,29.86,132.0,884 CPT,95999,HC PHYSIOLOGIC RECORDING TREMOR,566.0,367.9,118.8,549.02,884 CPT,96002,HC DYNAMIC SURFACE EMG 1-12 MUS,2358.0,1532.7,199.36,2287.26,884 CPT,96125,HC EVAL COGNITIVE TESTING OT,321.0,208.65,101.58,314.58,883 CPT,96125,HC EVAL COGNITIVE TESTING ST,239.0,155.35,101.58,234.22,883 CPT,96156,HC HLTH BHV ASSMT/REASSESSMENT,515.0,334.75,255.96,499.55,880 CPT,96158,HC HLTH BHV IVNTJ INDIV 1ST 30,539.0,350.35,267.88,528.22,880 CPT,96159,HC HLTH BHV IVNTJ INDIV EA ADDL 15,272.0,176.8,135.18,266.56,880 CPT,96164,HC HLTH BHV IVNTJ GRP 1ST 30,252.0,163.8,125.24,252.0,881 CPT,96164,HC PAIN REHAB CTR FULL DAY,229.0,148.85,113.81,222.13,881 CPT,96164,HC PAIN REHAB CTR HALF DAY,220.0,143.0,109.34,213.4,881 CPT,96165,HC HLTH BHV IVNTJ GRP EA ADDL 15,130.5,84.825,64.61,131.0,1760 CPT,96360,HC IV INF HYDRAT INIT 31MIN-1HR,459.0,298.35,138.34,539.0,1768 CPT,96361,HC IV INF HYDRAT EA ADD HR,170.0,110.5,43.23,218.0,1770 CPT,96365,HC IV INF THER INIT 1ST HR,564.0,366.6,172.65,655.0,1770 CPT,96366,HC IV INF THER EA ADD HR,199.0,129.35000000000002,43.23,227.0,1768 CPT,96367,HC IV INF THER ADD SEQ NEW 1ST HR,231.0,150.14999999999998,66.48,241.53,1768 CPT,96368,HC IV INF THER CONCURR (MAX 1),250.5,162.825,55.85,348.0,1760 CPT,96369,HC SQ INF THER 1 DRUG 1ST HR,586.0,380.9,196.38,568.42,884 CPT,96372,HC INJ THER SUBQ/IM,223.0,144.95,40.52,226.01,2655 CPT,96373,HC INJ THER INTRA ARTERIAL,855.0,555.75,196.38,855.0,884 CPT,96374,HC INJ THER IV PUSH SNGL INITIAL,570.5,370.825,196.38,621.77,1768 CPT,96375,HC IV PUSH EA ADD SEQ NEW DRUG,255.0,165.75,43.23,274.0,1770 CPT,96376,HC IV PUSH EA ADD SEQ DRUG,217.5,141.375,77.75,222.0,1760 CPT,96377,HC APPLICATION OF ON BODY INJECTOR,115.0,74.75,41.98,111.55,884 CPT,96379,HC UNLISTED THER/PROP/DIAG INJ/INF,179.0,116.35,43.23,173.63,884 CPT,96401,HC CHEMO NON-HORM ANTI-NEO SQ/IM,372.0,241.8,66.48,360.84,884 CPT,96402,HC CHEMO HORM ANTI-NEO SQ/IM,218.0,141.7,66.48,211.46,884 CPT,96405,HC CHEMO INTRALESNAL <=7 LESN,141.0,91.65,66.48,6376.0,884 CPT,96406,HC CHEMO INTRALESIONAL >7,508.0,330.2,196.38,6376.0,884 CPT,96409,HC CHEMO IV PUSH SNGL,558.0,362.7,277.33,541.26,884 CPT,96411,HC CHEMO IV PUSH EA ADD,405.0,263.25,66.48,392.85,884 CPT,96413,HC CHEMO IV INF 1ST HR,938.0,609.7,304.96,909.86,885 CPT,96415,HC CHEMO IV INF EA ADD HR,226.0,146.9,66.48,219.22,885 CPT,96416,HC CHEMO IV INF > 8HR W PUMP,1059.0,688.35,304.96,1037.82,884 CPT,96417,HC CHEMO INF SEQ DIF DRUG 1ST HR,482.0,313.3,66.48,467.54,885 CPT,96420,HC ADMIN CHEMO ARTERY PUSH,718.0,466.7,304.96,696.46,884 CPT,96450,HC CHEMO ADMIN CNS REQ SP PUNC,1039.0,675.35,304.96,1007.83,884 CPT,96521,HC REFILL/MAINT PORTABLE PUMP,768.0,499.2,196.38,752.64,884 CPT,96523,HC IRRIG IMP VAD,143.0,92.95,54.47,138.71,884 CPT,97010,HC HOT/COLD PACK OT,42.0,27.3,20.2,41.16,880 CPT,97110,HC THERAPEUTIC EXERC EA 15MIN OT,142.0,92.3,28.62,137.74,883 CPT,97110,HC THERAPEUTIC EXERC EA 15MIN PT,142.0,92.3,28.62,137.74,883 CPT,97112,HC NEUROMUSCULAR RE-ED EA15MIN OT,150.0,97.5,32.21,145.5,883 CPT,97112,HC NEUROMUSCULAR RE-ED EA15MIN PT,150.0,97.5,32.21,145.5,883 CPT,97116,HC GAIT TRAINING EA 15MIN OT,135.0,87.75,28.62,130.95,883 CPT,97116,HC GAIT TRAINING EA 15MIN PT,135.0,87.75,28.62,130.95,883 CPT,97124,HC THER MASSAGE EA 15MIN OT,103.0,66.95,29.12,100.94,883 CPT,97124,HC THER MASSAGE EA 15MIN PT,103.0,66.95,29.12,100.94,883 CPT,97129,HC THER INTV COG FUNC INITIAL 15MIN OT,130.0,84.5,19.76,126.1,884 CPT,97129,HC THER INTV COG FUNC INITIAL 15MIN PT,130.0,84.5,19.76,126.1,884 CPT,97129,HC THER INTV COG FUNC INITIAL 15MIN ST,100.0,65.0,19.76,97.0,884 CPT,97130,HC THER INTV COG FUNC EA ADD15MIN OT,123.0,79.95,18.27,119.31,884 CPT,97130,HC THER INTV COG FUNC EA ADD15MIN ST,101.0,65.65,18.27,97.97,884 CPT,97140,HC MANUAL THERAPY EA 15MIN OT,133.0,86.45,27.32,130.34,883 CPT,97140,HC MANUAL THERAPY EA 15MIN PT,133.0,86.45,27.32,130.34,883 CPT,97150,HC GROUP THERAPY OT,176.0,114.4,17.85,170.72,883 CPT,97150,HC GROUP THERAPY PT,176.0,114.4,17.85,170.72,883 CPT,97161,HC PT EVAL LOW COMPLEX,384.0,249.6,96.0,372.48,883 CPT,97162,HC PT EVAL MOD COMPLEX,397.0,258.05,96.0,385.09,883 CPT,97163,HC PT EVAL HIGH COMPLEX,419.0,272.35,96.0,406.43,883 CPT,97164,HC PT RE-EVAL EST PLAN CARE,256.0,166.4,66.09,250.88,883 CPT,97165,HC OT EVAL LOW COMPLEX,384.0,249.6,98.56,372.48,883 CPT,97166,HC OT EVAL MOD COMPLEX,397.0,258.05,98.56,385.09,883 CPT,97167,HC OT EVAL HIGH COMPLEX,419.0,272.35,98.56,406.43,883 CPT,97168,HC OT RE-EVAL EST PLAN CARE,256.0,166.4,67.05,248.32,883 CPT,97530,HC THER FUNCT ACTVTY EA 15MIN OT,155.0,100.75,34.36,150.35,883 CPT,97530,HC THER FUNCT ACTVTY EA 15MIN PT,155.0,100.75,34.36,150.35,883 CPT,97533,HC SENSORY INTEG EA 15 MIN OT,99.0,64.35,47.62,97.02,883 CPT,97535,HC HOME MGMT TRAIN EA 15MIN OT,152.0,98.8,31.82,147.44,883 CPT,97535,HC HOME MGMT TRAIN EA 15MIN PT,152.0,98.8,31.82,147.44,883 CPT,97537,HC COMM/WORK REINTGRT EA 15MIN OT,164.0,106.6,31.54,160.72,883 CPT,97542,HC WHEELCHAIR MGMT EA 15MIN PT,101.0,65.65,30.58,98.98,883 CPT,97550,HC CAREGIVER TRAINING INITIAL 30 MINS OT,276.0,179.4,39.65,267.72,884 CPT,97550,HC CAREGIVER TRAINING INITIAL 30 MINS PT,276.0,179.4,39.65,267.72,884 CPT,97550,HC CAREGIVER TRAINING INITIAL 30 MINS ST,268.0,174.2,39.65,259.96,884 CPT,97551,HC CAREGIVER TRAINING ADDL 15 MINS OT,136.0,88.4,20.91,136.0,884 CPT,97551,HC CAREGIVER TRAINING ADDL 15 MINS PT,136.0,88.4,20.91,136.0,884 CPT,97552,HC GROUP CAREGIVER TRAINING OT,118.0,76.7,9.46,118.0,884 CPT,97552,HC GROUP CAREGIVER TRAINING PT,118.0,76.7,9.46,118.0,884 CPT,97597,HC DBRD SEL OPN WND<=20SCM,437.5,284.375,185.24,433.0,1768 CPT,97598,HC DBRD SEL OPN WND ADD 20SCM,792.0,514.8,393.62,776.16,880 CPT,97605,HC NEG PRESS WND THRPY <=50SCM,424.0,275.6,185.24,411.28,884 CPT,97606,HC NEG PRESS WND THRPY >50SCM,853.0,554.45,375.32,835.94,884 CPT,97750,HC PHYSICAL PERF TEST EA 15MIN OT,283.0,183.95,33.09,277.34,883 CPT,97750,HC PHYSICAL PERF TEST EA 15MIN PT,283.0,183.95,33.09,277.34,883 CPT,97755,HC ASSIST TECH ASSESS EA 15 MIN PT,235.0,152.75,37.18,235.0,883 CPT,97760,HC ORTH TRAIN INIT ENC EA 15MIN OT,138.0,89.7,44.98,135.24,883 CPT,97761,HC PROSTH TRAIN INIT ENC EA 15MIN PT,133.0,86.45,39.55,130.34,883 CPT,97763,HC ORTH/PROST TRAIN SBQ ENC EA 15MIN OT,139.0,90.35,48.79,136.22,883 CPT,98960,HC SELF-MGMT EDUC & TRAIN 1 PT,168.0,109.2,83.5,162.96,880 CPT,99001,HC SPEC HANDLE &/OR CONVEY OTHER,77.0,50.05,38.27,74.69,880 CPT,99024,HC POSTOPERATIVE FOLLOW-UP VISIT,475.0,308.75,122.92,460.75,883 CPT,99070,HC EMST75LITE TRAINER,288.0,187.2,143.14,279.36,880 CPT,99070,HC RMST 75 TRAINER KIT,522.0,339.3,259.43,506.34,880 CPT,99153,HC MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,167.0,108.55,83.0,161.99,880 CPT,99195,HC PHLEBOTOMY THERAPEUTIC,612.0,397.8,122.84,593.64,885 CPT,99199,HC FUNCTIONAL JOB ANALYSIS,96.0,62.4,46.18,94.08,880 CPT,99202,HC VISIT NEW PATIENT LEVEL 2,303.0,196.95,41.92,296.94,884 CPT,99203,HC VISIT NEW PATIENT LEVEL 3,366.0,237.9,73.61,355.02,884 CPT,99204,HC VISIT NEW PATIENT LEVEL 4,501.0,325.65,119.97,485.97,884 CPT,99205,HC VISIT NEW PATIENT LEVEL 5,650.0,422.5,122.92,630.5,884 CPT,99211,HC MIDLINE REMOVAL,245.0,159.25,7.79,237.65,884 CPT,99211,HC VISIT EST PATIENT LEVEL 1,218.0,141.7,7.79,211.46,1768 CPT,99212,HC VISIT EST PATIENT LEVEL 2,224.0,145.6,31.82,217.28,1770 CPT,99213,HC VISIT EST PATIENT LEVEL 3,250.0,162.5,58.48,242.5,884 CPT,99214,HC VISIT EST PATIENT LEVEL 4,416.0,270.4,86.17,403.52,885 CPT,99215,HC VISIT EST PATIENT LEVEL 5,559.0,363.35,122.92,542.23,884 CPT,99242,HC OFFICE CONSULT LEVEL 2,631.0,410.15,122.92,618.38,883 CPT,99243,HC OFFICE CONSULT LEVEL 3,637.0,414.05,122.92,617.89,883 CPT,99244,HC OFFICE CONSULT LEVEL 4,763.0,495.95,122.92,740.11,883 CPT,99245,HC OFFICE CONSULT LEVEL 5,1015.0,659.75,122.92,984.55,883 CPT,99281,HC ED VISIT LEVEL 1,416.0,270.4,77.85,416.0,884 CPT,99282,HC ED VISIT LEVEL 2,718.0,466.7,141.76,994.0,884 CPT,99283,HC ED VISIT LEVEL 3,1219.0,792.35,252.03,1219.0,884 CPT,99284,HC ED VISIT LEVEL 4,1978.0,1285.7,385.25,3400.0,884 CPT,99285,HC ED VISIT LEVEL 5,3048.0,1981.2,549.84,3400.0,884 CPT,99291,HC CRITICAL CARE 30-74MIN,3862.0,2510.3,762.65,3862.0,884 CPT,99292,HC CRITICAL CARE ADD 30MIN,667.0,433.55,331.5,667.0,880 CPT,99406,HC SMOKING CESSATN 3-10MIN,81.0,52.65,34.59,79.38,884 CPT,99407,HC SMOKING CESSATN >10 MIN,147.0,95.55,34.59,144.06,884 CPT,99445,HC REMOTE MONITORING DAILY RECORDING 2-15 DAYS,191.0,124.15,34.46,191.0,884 CPT,99451,HC ECONSULT INTERNAL,107.0,69.55,30.68,104.86,884 CPT,99453,HC CONNECTED CARE- REMOTE MONITORING INITIAL SET UP EDUCATION,62.0,40.3,30.81,141.36,884 CPT,99454,HC CONNECTED CARE- REMOTE MONITORING DAILY RECORDING,191.0,124.15,34.46,187.18,884 CPT,99457,"HC CONNECTED CARE- REMOTE MONITORING INTERACTIVE COMMUNICATION, FIRST 20 MIN",154.0,100.1,26.85,150.92,884 CPT,99458,"HC CONNECTED CARE- REMOTE MONITORING INTRATV COMMUNICATION, ADDL 20 MIN",129.0,83.85,26.85,126.42,884 CPT,99470,"HC REMOTE MONITORING INTERACTIVE COMMUNICATION, FIRST 10 MIN",75.0,48.75,13.59,75.0,856 CPT,C8005,HC PEF BRONCH ABLT 3D NAV EBUS,72800.0,47320.0,5739.0,72800.0,884 CPT,C9797,HC VASC EMB/OCC W/PRS CATH W IMAGING,43680.0,28392.0,5739.0,42369.6,884 CPT,Q2058,HC OBECABTAGENE AUROLEUCEL (AUCATZYL),2370000.0,1540500.0,1177890.0,2370000.0,880 HCPCS,90375,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,1803.6,1172.34,279.85,1767.53,884 HCPCS,90611,"SMALLPOX,MPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP",406.4,264.16,0.01,398.27,884 HCPCS,90619,"MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION",168.9,109.79,83.94,165.52,880 HCPCS,90620,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE",251.2,163.28,124.85,246.18,880 HCPCS,90632,HEPATITIS A VIRUS VACCINE (PF) 1 ML IM (WRAPPER),144.0,93.6,71.57,141.12,880 HCPCS,90633,HEPATITIS A VIRUS VACCINE (PF) 0.5 ML IM (WRAPPER),48.5,31.53,24.1,47.53,880 HCPCS,90647,HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN,48.7,31.66,24.2,47.73,880 HCPCS,90651,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM (WRAPPER)",453.1,294.51,225.19,444.04,880 HCPCS,90651,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML INTRALESIONAL (WRAPPER)",1257.6,817.44,625.03,1232.45,880 HCPCS,90656,FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,25.3,16.45,14.04,24.54,880 HCPCS,90662,FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE,92.5,60.13,45.97,89.73,880 HCPCS,90675,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP",413.5,268.77,205.51,405.23,884 HCPCS,90675,"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION",521.7,339.11,259.28,511.27,884 HCPCS,90677,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,322.9,209.89,179.21,313.21,880 HCPCS,90678,"RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION",382.9,248.89,190.3,375.24,880 HCPCS,90680,"ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION",143.6,93.34,71.37,140.73,880 HCPCS,90691,TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML IM (WRAPPER),169.7,110.31,84.34,166.31,880 HCPCS,90696,"DIPH,PERTUS(ACEL),TET,POL (PF) 25 LF-58 MCG-10 LF/0.5 ML IM (WRAPPER)",86.6,56.29,43.04,84.87,880 HCPCS,90698,DP(A)T-POLIO-HIB CONJ-TET (PF) 0.5 ML IM KIT (WRAPPER),120.60000000000001,78.38999999999999,53.87,130.14,1760 HCPCS,90700,"DIPH,PERTUS(ACEL),TET PED (PF) 25-58-10 LF-MCG-LF/0.5ML IM (WRAPPER)",49.6,32.24,24.65,48.61,880 HCPCS,90707,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT",151.5,98.48,75.3,148.47,880 HCPCS,90710,"MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT",403.8,262.47,200.69,395.72,880 HCPCS,90713,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION,52.0,33.8,25.84,50.96,880 HCPCS,90714,TETANUS AND DIPHTHER. TOX (PF) 0.5 ML IM (WRAPPER),53.8,34.97,26.74,52.72,880 HCPCS,90715,"DIPH,PERTUSS(ACEL),TET VAC(PF) 0.5 ML IM (WRAPPER)",66.8,43.42,33.2,65.46,880 HCPCS,90716,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP",273.9,178.04,136.13,268.42,880 HCPCS,90732,PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ (WRAPPER),171.0,111.15,94.91,171.0,880 HCPCS,90734,"MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)",208.25,135.365,86.08,236.0,1760 HCPCS,90739,HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE,187.4,121.81,104.01,181.78,880 HCPCS,90740,HEPATITIS B VIRUS VACCINE RECOMB (PF) 40 MCG/ML INTRAMUSCULAR SUSP,165.5,107.58,82.25,162.19,880 HCPCS,90744,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM (WRAPPER),48.9,31.79,24.3,47.92,880 HCPCS,90744,HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML IM (WRAPPER),37.4,24.31,18.59,36.65,880 HCPCS,90746,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/1 ML IM (WRAPPER),65.1,42.32,32.35,63.8,880 HCPCS,90746,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/1 ML IM (WRAPPER),120.7,78.46,59.99,118.29,880 HCPCS,90750,"VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT",225.4,146.51,112.02,220.89,880 HCPCS,90750,VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50 MCG IM SUSPENSION,201.8,131.17,100.29,197.76,880 HCPCS,91321,COVID VAC 2025-26 (6MO-11YR)(MODERNA) (PF) 25 MCG/0.25 ML IM SYRINGE,144.3,93.8,71.72,141.41,880 HCPCS,91322,COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM (ALLERGY CLINIC USE-NO LIM),158.6,103.09,87.39,153.84,880 HCPCS,91322,COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE,158.6,103.09,87.39,153.84,880 HCPCS,A4301,VENTRICULAR L23CM STANDARD BARIUM IMPREGNATED RIGHT ANGLED CLIP STAINLESS STEEL STYLET,214.0,139.1,118.77,214.0,600 HCPCS,A4312,TRAY URINARY INDWELLING FOLEY STERILE TRAY TEMPERATURE SENSING DUAL URINE METER STABILIZATION DEVICE LUBRI SIL 16FR LUBRIL SIL,160.86,104.56,32.13,152.82,600 HCPCS,A4550,KT SUT SLD DISP,2670.57,1735.87,1327.27,2590.45,600 HCPCS,A4565,HC SLING ARM,52.0,33.8,13.73,50.96,880 HCPCS,A4641,INDIUM-111 CHARCOAL CAPSULE,506.0,328.9,280.83,2977.0,880 HCPCS,A4641,INVESTIGATIONAL 111 INDIUM ACTIVATED CHARCOAL,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL 111IN-ABD147 INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL 15O-WATER INTRAVENOUS INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL 177LU-FAP-2286 INTRAVENOUS SOLUTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL 177LU-PSMA-617 INTRAVENOUS SOLUTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL 18F RHPSMA-7.3 PSMA (POSLUMA) INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL 18F-FAPI-74 INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL 18F-OP-801 INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL 64CU-SAR-BISPSMA INTRAVENOUS SOLUTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL 67CU-SAR-BISPSMA INTRAVENOUS SOLUTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL 68GA-FAP-22866 INTRAVENOUS SOLUTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL 68GA-FAPI-46 INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL 68GA-GA-NNS309 INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL 68GA-PSMA-11 INJECTION (NOVARTIS KIT RESEARCH ONLY),,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL AC 225 DOTATATE,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL ACETATE C 11 INJECTION (C-11 ACETATE),,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL AV1451 F 18 INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL CLR I-131 INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL CU-64 LNTH-1363S INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL ER176 C 11 INJECTION (ER176 C-11),,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL F-18-PI-2620 INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL FDOPA F 18 INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL FLORBETABEN F-18 INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL FLORTAUCIPIR F-18 INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL FLOTUFOLASTAT F 18 INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL FLT F 18 INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL GA 68 GA-NEOB (GA-68 NEOB) INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,"INVESTIGATIONAL GA 68 TETRAHXETAN GLYPICAN-3, GA-68 DOTA GPC3 (RYZ811) INJECTION",,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL GALLIUM GA 68 VMT02 (GA-68 VMT02),,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL GALLIUM GA-68 DOTATATE (GA-68 DOTATATE),,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL I 123 ALTROPANE,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL IODINE 124I EVUZAMITIDE,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL LEAD PB 203 VMT-ALPHA-NET (PB-203 VMT ALPHA NET) INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL LEAD PB 203 VMT01 (PB-203 VMT01) INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL LEAD PB 212 VMT-ALPHA-NET (PB-212 VMT ALPHA NET) INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL LEAD PB 212 VMT01 INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL LUTETIUM LU 177 EDOTREOTIDE INTRAVENOUS SOLUTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL MK-6240 F-18 INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL NAV4694 F-18 INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL PIB C 11 INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL PIFLUFOLASTAT F 18 INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL PSMA-11-HBED CC GA 68 INJECTION (GA-68 11-HBED),,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL PSMA-R2 GA 68 INJECTION (PSMA-R2 GA-68),,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL PSMA-R2 LU 177 INJECTION (PSMA-R2 LU-177),,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL PSMA1007 F 18 INJECTION (PSMA1007 F-18),,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL TECHNETIUM TC 99M CARBON INHALATION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL TECHNETIUM TC 99M MIP INJECTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL TECHNETIUM TC 99M SULFUR COLLOID SOLUTION,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL TETRAFLUOROBORATE F 18 INJECTION USP,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL YTTRIUM Y 90 GLASS MICROSPHERES,,,2680.0,2977.0,19 HCPCS,A4641,INVESTIGATIONAL ZIRCONIUM ZR 89 CREFMIRLIMAB BERDOXAM,,,2680.0,2977.0,19 HCPCS,A4648,BIOPSY SITE CLOSED COIL,185.64,120.67,103.03,180.07,600 HCPCS,A4648,FOR STANDARD,162.34,105.52,90.1,157.47,600 HCPCS,A4648,IMPLANT GENERATOR NEUROSTIMULATOR PAIN MANAGEMENT SPINE STERILE-EXPRESS CARE,26714.0,17364.1,14826.27,25912.58,600 HCPCS,A4648,IODINE-125 (I-125) SEED,495.0,321.75,274.73,2977.0,880 HCPCS,A4648,MARKER BIOPSY TITANIUM GUIDED,113.4,73.71,62.94,110.0,600 HCPCS,A4648,MARKER BREAST BIOPSY 14GA BARBELL CLIP,179.88,116.92,99.83,174.48,600 HCPCS,A4648,MARKER BREAST BIOPSY 15GA TITANIUM BUTTERFLY RIGID,185.64,120.67,103.03,180.07,600 HCPCS,A4648,MARKER BREAST BIOPSY 15GA TITANIUM HYDROGEL OPEN COIL RIGID NEEDLE WITH RADIOPAQUE CLIP MAMMOTOME,185.64,120.67,103.03,180.07,600 HCPCS,A4648,MARKER BREAST BIOPSY L12CM OD18GA NITINOL Q INTRODUCER FREE HAND FOR ULTRASOUND CELERO AND SERTERA PROFESSIONAL,116.96,76.02,64.91,113.45,600 HCPCS,A4648,MARKER BREAST BIOPSY TITANIUM FLEXIBLE DELIVERY OPEN COIL 8GA,185.64,120.67,103.03,180.07,600 HCPCS,A4648,MARKER BREAST BIOPSY TITANIUM HOURGLASS WITH INTRODUCER DEPLOYMENT FOR STEREOTACTIC GUIDED BREAST SYSTEM,108.5,70.53,60.22,105.25,600 HCPCS,A4648,MARKER BREAST BIOPSY TITANIUM MINI CORK BIOABSORBABLE WITH INTRODUCER DEPLOYMENT FOR STEREOTACTIC GUIDED BREAST SYSTEM,108.2,70.33,60.05,104.95,600 HCPCS,A4648,MARKER FIDUCIAL 0.8MMX3.5MM,485.6,315.64,269.51,471.03,600 HCPCS,A4648,MARKER GOLD LOOSE NON-STERILE 0.8MM DIAMETER 5MM LONG,70.0,45.5,38.85,67.9,600 HCPCS,A4648,MARKER GOLD SEED,120.0,78.0,66.6,116.4,600 HCPCS,A4648,MARKER RADIOLOGY W0.5MMXL1CM,290.0,188.5,160.95,281.3,600 HCPCS,A4648,MARKER TISSUE BREAST-BIOPSY COLLAGEN MAMMOTONE NEEDLE BOWTIE CORMARK 14GA,167.58,108.93,93.01,162.55,600 HCPCS,A4648,MARKER TISSUE CONTINUOUS ADAPTABLE 3D VERAFORM,740.0,481.0,410.7,717.8,600 HCPCS,A4648,MARKER TISSUE GOLD NEEDLE-LOCALIZATION SOFT 17GAX20CM,664.0,431.6,368.52,644.08,600 HCPCS,A4648,MARKER TISSUE TITANIUM DEPLOYMENT DEVICE TOP HAT D BIOABSORBABLE 13CM,108.2,70.33,60.05,104.95,600 HCPCS,A4648,MRK RAD CVC FDCL SFT 0.9X3,114.0,74.1,63.27,110.58,600 HCPCS,A4649,ABUTMENT CRANIOMAXILLOFACIAL DENTAL TITANIUM HEALING LATEX-FREE STERILE REGULAR-PLATFORM 4X5MM,94.8,61.62,52.61,91.96,600 HCPCS,A4649,COVER-SCREW CRANIOMAXILLOFACIAL DENTAL TITANIUM LATEX-FREE STERILE REGULAR-PLATFORM,81.6,53.04,45.29,79.15,600 HCPCS,A4649,FIXATOR EXTERNAL FIXATION KNEE LEFT ANGULAR HINGE EBI,11072.6,7197.19,6145.29,10740.42,600 HCPCS,A4649,GRAFT BONE W14 18XL40MM FIBULA SHAFT STRUCTURAL FREEZE DRIED,1001.96,651.27,556.09,971.9,600 HCPCS,A4649,SCREW BONE CRANIOMAXILLOFACIAL DENTAL TITANIUM STERILE REGULAR PLATFORM SYSTEM 3.75X10MM,610.8,397.02,338.99,592.48,600 HCPCS,A4649,SLEEVE FEMORAL HIP TITANIUM ADAPTER FOR C TAPER HEAD,150.06,97.54,74.58,145.56,600 HCPCS,A4649,SPN DISC CERV SMP,10400.0,6760.0,5772.0,10088.0,600 HCPCS,A4649,WRENCH SURGICAL TORQUE FOR,60.0,39.0,33.3,58.2,600 HCPCS,A6403,LITHOTRIPTER RENTAL ESWL,6176.0,4014.4,0.73,6052.48,600 HCPCS,A6403,RENTAL FEE LITHOTRIPSY SERVICE SURGICAL LASER EXTRACORPOREAL SHOCK UNILATERAL ESWL STANDBY,3969.0,2579.85,0.73,3889.62,600 HCPCS,A6550,DRESSING NEG PRESSURE M 18X12.5X3.3CM POLYURETHANE FOR WOUND 10 PER CASE,234.48,152.41,39.9,222.76,600 HCPCS,A6550,DRESSING NEG PRESSURE M 18X12.5X3.3CM SILVER,373.8,242.97,39.9,355.11,600 HCPCS,A6550,DRESSING THK3.3CM SMALL 10X7.5CM OPEN PORE HYDROPHOBIC NEGATIVE PRESSURE KIT POLYURETHANE STERILE FOAM BLACK 3.3X10X7.5CM DISPOSABLE,189.78,123.36,39.9,180.29,600 HCPCS,A6550,KIT DRESSING ABDOMINAL,2109.74,1371.33,39.9,2004.25,600 HCPCS,A6550,KIT DRESSING LG 26X15X3.2CM WITH 2 DRAPE PAD CONNECTOR DISPOSABLE RULER 5 PER CASE,318.48,207.01,39.9,302.56,600 HCPCS,A6550,KIT WOUND DRESSING NEGATIVE PRESSURE MEDIUM FOAM BLACK SPIRAL WITH DUAL TRACK PAD AND DRAPE STERILE MEDIUM,619.85,402.9,39.9,588.86,600 HCPCS,A6550,SPONGE WOUND DRESSING FOAM NEGATIVE PRESSURE UUM ASSISTED CLOSURE OPEN PORE LG HYDROPHOBIC BLACK 3.3X15X26MM,288.78,187.71,39.9,274.34,600 HCPCS,A7000,CANISTER NEG PRESSURE 500ML WITH GEL,194.28,126.28,96.56,188.45,600 HCPCS,A7041,DRAIN CHEST 500ML DRY SEAL MOBILE NEEDLELESS SAMPLING PORT MULTIPLE TUBE CONNECTOR WITH LEAK DETECTOR WINDOW MINI 500,459.36,298.58,135.41,436.39,600 HCPCS,A7041,DRAIN CHEST SINGLE COLLECTION 1 PATIENT TUBE FOR BAG COMPATIBLE OCEAN,277.38,180.3,135.41,263.51,600 HCPCS,A7521,TUBE TRACHEOSTOMY CUFFED PVC ADULT INNER CANNULA ROUND TIP FENESTRATED LATEX FREE STERILE SINGLE USE 6.4X10.8X74MM,237.36,154.28,83.8,225.49,600 HCPCS,A7521,TUBE TRACHEOSTOMY CUFFED PVC ADULT SWIVEL NECK PROXIMAL FLANGE STERILE 6X11X95MM DISPOSABLE,366.66,238.33,83.8,348.33,600 HCPCS,A7521,TUBE TRACHEOSTOMY CUFFED PVC ADULT TRANSPARENT BEVELED TIP SMOOTH FLEXIBLE UPPER AIRWAY OBSTRUCTION LATEX FREE STERILE SINGLE USE 10X13.8X79MM,266.4,173.16,83.8,253.08,600 HCPCS,A9270,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT,162.6,105.69,80.81,162.6,884 HCPCS,A9500,KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION,531.0,345.15,294.71,2977.0,880 HCPCS,A9500,KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION (MIBI),145.0,94.25,80.48,2977.0,880 HCPCS,A9502,KIT FOR THE PREPARATION OF TC-99M-TETROFOSMIN 1.38 MG IV SOLUTION,372.0,241.8,206.46,2977.0,880 HCPCS,A9503,KIT FOR PREPARATION OF TC-99M-MEDRONATE SODIUM 20 MG IV SOLUTION,410.0,266.5,227.55,2977.0,880 HCPCS,A9503,KIT FOR PREPARATION OF TC-99M-MEDRONATE SODIUM IV SOLUTION,547.0,355.55,303.59,2977.0,880 HCPCS,A9505,THALLOUS CHLORIDE TL-201 37 MBQ/ML (1 MCI/ML) INTRAVENOUS SOLUTION,305.0,198.25,151.59,305.0,880 HCPCS,A9506,KIT FOR THE PREPARATION OF TECHNETIUM TC 99M-LABELED CARBON INHALATION AEROSOL,949.5,617.17,328.6,2977.0,884 HCPCS,A9509,SODIUM IODIDE-123 >/= 1 MILLICURIE CAPSULE,76.0,49.4,42.18,2977.0,880 HCPCS,A9509,SODIUM IODIDE-123 >/= 1 MILLICURIE ORAL SOLUTION,759.0,493.35,421.25,2977.0,880 HCPCS,A9513,INVESTIGATIONAL LUTETIUM DTPA-OMBURTAMAB (LU-177 DTPA-OMBURTAMAB) INTRAVENOUS SOLUTION,,,316.99,65885.28,22 HCPCS,A9513,INVESTIGATIONAL LUTETIUM LU 177 DOTATATE INTRAVENOUS SOLUTION,,,316.99,65885.28,22 HCPCS,A9513,LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION,197251.0,128213.15,316.99,191333.47,883 HCPCS,A9515,CHOLINE-11 (C-11) 33.1 MCI/ML INTRAVENOUS SOLUTION,6840.0,4446.0,2516.43,6634.8,884 HCPCS,A9516,SODIUM IODIDE-123 3.7 MBQ (100 MICROCI) CAPSULE,76.0,49.4,42.18,2977.0,880 HCPCS,A9516,SODIUM IODIDE-123 7.4 MBQ (200 MICROCI) CAPSULE,76.0,49.4,42.18,2977.0,880 HCPCS,A9516,SODIUM IODIDE-123 < 1 MILLICURIE CAPSULE,76.0,49.4,42.18,2977.0,880 HCPCS,A9516,SODIUM IODIDE-123 < 1 MILLICURIE ORAL SOLUTION,76.0,49.4,42.18,2977.0,880 HCPCS,A9517,SODIUM IODIDE-131 (I-131) THERAPY CAPSULE,47.0,30.55,23.36,45.59,884 HCPCS,A9520,KIT FOR THE PREP OF TC-99M-TILMANOCEPT 250 MCG SOLUTION FOR INJECTION,712.5,463.13,395.44,2977.0,880 HCPCS,A9521,KIT FOR PREPARATION OF TC-99M-EXAMETAZIME 0.5 MG INTRAVENOUS KIT,225.0,146.25,124.88,2977.0,884 HCPCS,A9526,AMMONIA (N-13) 37.5 MCI/ML INTRAVENOUS SOLUTION,1327.5,862.88,736.76,2977.0,880 HCPCS,A9528,SODIUM IODIDE-131 (I-131) > 100 MICROCURIE DIAGNOSTIC CAPSULE,42.5,27.63,23.59,2977.0,880 HCPCS,A9529,SODIUM IODIDE-131 (I-131) > 100 MICROCURIE DIAGNOSTIC SOLUTION,42.5,27.63,23.59,2977.0,880 HCPCS,A9530,SODIUM IODIDE-131 (I-131) THERAPY SOLUTION,47.0,30.55,20.77,45.59,884 HCPCS,A9531,SODIUM IODIDE-131 (I-131) 312 UNITS/ML IVPB BAG OF STRAIGHT DRUG (WRAPPER),10987.7,7142.01,66.64,10987.7,884 HCPCS,J1580,GENTAMICIN 1 MG/ML-HEPARIN 2500 UNITS/ML LOCK SOLUTION (CNR),39.5,25.68,19.63,38.32,880 HCPCS,J1580,GENTAMICIN 1 MG/ML-SODIUM CITRATE 3.9% LOCK SOLUTION (CNR),35.4,23.01,17.59,34.34,880 HCPCS,J1580,GENTAMICIN 100 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,83.8,54.47,41.65,81.29,880 HCPCS,J1580,GENTAMICIN 120 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,84.1,54.67,41.8,81.58,880 HCPCS,J1580,GENTAMICIN 40 MG/ML INJECTION SOLUTION,41.3,26.85,20.53,40.06,880 HCPCS,J1580,GENTAMICIN 5 MG/ML LOCK SOLUTION (CNR),36.3,23.6,18.04,35.21,880 HCPCS,J1580,GENTAMICIN 80 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,83.1,54.02,41.3,80.61,880 HCPCS,J1580,GENTAMICIN IRRIGATION 10 MG IN NACL 0.9% 1000 ML (CNR),57.0,37.05,28.33,55.29,880 HCPCS,J1580,GENTAMICIN IRRIGATION 10 MG IN NACL 0.9% 500 ML (CNR) FLA,53.5,34.78,26.59,51.9,880 HCPCS,J1596,GLYCOPYRROLATE 0.2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),38.8,25.22,19.28,37.64,881 HCPCS,J1602,GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION,7730.9,5025.09,11.04,7498.97,884 HCPCS,J1611,GLUCAGON 1 MG/ML INJECTION (WRAPPER),563.1,366.02,148.99,546.21,884 HCPCS,J1626,GRANISETRON (PF) 1 MG/ML (1 ML) INTRAVENOUS SOLUTION,43.6,28.34,21.67,42.29,881 HCPCS,J1627,"GRANISETRON ER 10 MG/0.4 ML LIQUID,EXTENDED REL. SUBCUTANEOUS SYRINGE",3523.8,2290.47,4.29,3523.8,884 HCPCS,J1628,GUSELKUMAB 100 MG/ML SUBCUTANEOUS SYRINGE,53582.0,34828.3,26630.25,53582.0,884 HCPCS,J1628,GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,54721.6,35569.04,75.97,53079.95,884 HCPCS,J1630,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,38.3,24.9,19.04,37.15,881 HCPCS,J1640,HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION,43276.9,28129.99,34.18,42411.36,884 HCPCS,J1644,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",87.3,56.75,43.39,84.68,880 HCPCS,J1644,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",43.3,28.15,21.52,42.0,880 HCPCS,J1644,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",42.1,27.37,20.92,40.84,880 HCPCS,J1644,"HEPARIN (PORCINE) 2,000 UNIT/1,000 ML IN 0.9% NACL (WRAPPER) FLUSH INFUSION",92.5,60.13,45.97,89.73,880 HCPCS,J1644,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",197.2,128.18,98.01,191.28,880 HCPCS,J1644,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",102.2,66.43,50.79,99.13,880 HCPCS,J1644,"HEPARIN (PORCINE) 5,000 UNITS/ML INJECTION SOLUTION (WRAPPER)",39.1,25.42,19.43,37.93,881 HCPCS,J1644,"HEPARIN (PORCINE) SET RATE 25,000 UNIT/250 ML IN 0.45 % NACL",102.2,66.43,50.79,99.13,880 HCPCS,J1645,"DALTEPARIN (PORCINE) 5,000 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRINGE",99.4,64.61,49.4,96.42,880 HCPCS,J1645,"DALTEPARIN (PORCINE) 7,500 ANTI-XA UNIT/0.3 ML SUBCUTANEOUS SYRINGE",100.7,65.46,50.05,97.68,880 HCPCS,J1650,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,70.3,45.7,34.94,68.19,880 HCPCS,J1650,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,72.8,47.32,36.18,70.62,880 HCPCS,J1650,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,95.5,62.08,47.46,92.64,880 HCPCS,J1650,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,45.5,29.58,22.61,44.14,880 HCPCS,J1650,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,47.7,31.01,23.71,46.27,880 HCPCS,J1650,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,54.0,35.1,26.84,52.38,880 HCPCS,J1650,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,63.2,41.08,31.41,61.3,880 HCPCS,J1652,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,87.7,57.01,43.59,85.95,880 HCPCS,J1652,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,61.3,39.85,30.47,60.07,880 HCPCS,J1652,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,105.6,68.64,52.48,103.49,880 HCPCS,J1652,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,70.6,45.89,35.09,69.19,880 HCPCS,J1670,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE,2211.3,1437.35,593.0,2211.3,884 HCPCS,J1720,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION,136.2,88.53,67.69,132.11,880 HCPCS,J1720,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION,119.1,77.42,59.19,115.53,880 HCPCS,J1740,IBANDRONATE 3 MG/3 ML INTRAVENOUS SOLUTION (WRAPPER),269.3,175.05,133.84,263.91,880 HCPCS,J1741,IBUPROFEN 800 MG/8 ML (100 MG/ML) INTRAVENOUS SOLUTION,76.8,49.92,38.17,76.8,880 HCPCS,J1742,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION,367.5,238.88,172.31,356.48,884 HCPCS,J1744,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE,9485.9,6165.84,4714.49,9485.9,884 HCPCS,J1745,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,4692.8,3050.32,31.09,4552.02,884 HCPCS,J1750,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION,75.8,49.27,18.11,73.53,884 HCPCS,J1756,IRON SUCROSE 20 MG/ML INJECTION WRAPPER,116.1,75.47,57.7,112.62,880 HCPCS,J1786,IMIGLUCERASE 400 UNIT INTRAVENOUS SOLUTION,6993.1,4545.52,43.19,6783.31,884 HCPCS,J1790,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,64.9,42.19,32.26,62.95,880 HCPCS,J1800,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,43.8,28.47,21.77,43.8,880 HCPCS,J1805,ESMOLOL 100 MG/10 ML INTRAVENOUS INJECTION (WRAPPER),62.8,40.82,31.21,60.92,880 HCPCS,J1805,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",671.1,436.22,333.54,650.97,880 HCPCS,J1805,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",411.7,267.61,204.61,399.35,880 HCPCS,J1807,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION,1845.4,1199.51,20.97,1845.4,884 HCPCS,J1808,FOLIC ACID 5 MG/ML INJECTION SOLUTION,154.3,100.3,76.69,149.67,880 HCPCS,J1815,INSULIN ASPAR PROT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS PEN,103.7,67.41,51.54,103.7,884 HCPCS,J1815,INSULIN ASPART (NIACINAMIDE) SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,301.4,195.91,149.8,292.36,880 HCPCS,J1815,INSULIN ASPART (NIACINAMIDE) SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML BASAL,301.4,195.91,149.8,292.36,880 HCPCS,J1815,INSULIN ASPART (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,103.7,67.41,51.54,103.7,884 HCPCS,J1815,INSULIN ASPART SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),103.7,67.41,51.54,100.59,880 HCPCS,J1815,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR SCHEDULED),103.7,67.41,51.54,103.7,884 HCPCS,J1815,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION,189.1,122.92,93.98,189.1,884 HCPCS,J1815,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),189.1,122.92,93.98,189.1,884 HCPCS,J1815,INSULIN DEGLUDEC (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,145.3,94.45,72.21,145.3,884 HCPCS,J1815,INSULIN DEGLUDEC (U-200) 200 UNIT/ML (3 ML) SUBCUTANEOUS PEN,230.5,149.82,114.56,230.5,884 HCPCS,J1815,INSULIN GLARGINE (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,114.0,74.1,56.66,114.0,884 HCPCS,J1815,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS PEN,163.3,106.15,81.16,163.3,884 HCPCS,J1815,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR SCHEDULED),163.3,106.15,81.16,163.3,884 HCPCS,J1815,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),343.2,223.08,170.57,332.9,880 HCPCS,J1815,INSULIN GLULISINE SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),253.25,164.615,81.16,332.9,1760 HCPCS,J1815,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN,117.7,76.5,58.5,117.7,884 HCPCS,J1815,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR SCHEDULED),117.7,76.5,58.5,117.7,884 HCPCS,J1815,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,229.1,148.91,113.86,229.1,884 HCPCS,J1815,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS PEN,117.2,76.18,58.25,117.2,884 HCPCS,J1815,INSULIN LISPRO SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),117.7,76.5,58.5,114.17,880 HCPCS,J1815,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,96.6,62.79,48.01,96.6,884 HCPCS,J1815,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,171.7,111.61,85.33,171.7,884 HCPCS,J1815,INSULIN NPH-REGULAR 70-30 100 UNIT/ML SUBCUTANEOUS SUSP,171.7,111.61,85.33,171.7,884 HCPCS,J1815,INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN,1112.9,723.39,553.11,1112.9,884 HCPCS,J1815,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,171.7,111.61,85.33,171.7,884 HCPCS,J1815,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION (PEDS HYPERKALEMIA),171.7,111.61,85.33,171.7,884 HCPCS,J1815,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML SUBCUTANEOUS INJECTION CARB CALCULATOR PRN SNACKS,171.7,111.61,85.33,166.55,880 HCPCS,J1815,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML SUBCUTANEOUS INJECTION CARB CALCULATOR SCHEDULED,171.7,111.61,85.33,166.55,880 HCPCS,J1817,INSULIN ASPART SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,189.1,122.92,93.98,183.43,880 HCPCS,J1817,INSULIN ASPART SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,189.1,122.92,93.98,183.43,880 HCPCS,J1817,INSULIN GLULISINE SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,343.2,223.08,170.57,332.9,880 HCPCS,J1817,INSULIN GLULISINE SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,343.2,223.08,170.57,332.9,880 HCPCS,J1817,INSULIN LISPRO SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML,229.1,148.91,113.86,222.23,880 HCPCS,J1817,INSULIN LISPRO SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,229.1,148.91,113.86,222.23,880 HCPCS,J1817,INSULIN REGULAR SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,171.7,111.61,85.33,166.55,880 HCPCS,J1817,INSULIN REGULAR SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML BASAL,171.7,111.61,85.33,166.55,880 HCPCS,J1833,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION,1254.5,815.43,1.01,1229.41,884 HCPCS,J1836,METRONIDAZOLE 5 MG/ML IV - DRAWN UP FROM PREMIX BAG,80.6,52.39,40.06,78.18,880 HCPCS,J1836,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,80.6,52.39,40.06,78.18,881 HCPCS,J1837,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION,340.8,221.52,0.21,340.8,884 HCPCS,J1885,KETOROLAC 15 MG/ML INJECTION SOLUTION,37.9,24.64,0.3,36.76,885 HCPCS,J1885,KETOROLAC 30 MG/ML INJECTION SOLUTION (INCLUDES REPACKAGED VOLUMES),38.0,24.7,0.3,36.86,885 HCPCS,J1885,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,38.7,25.16,0.3,37.54,884 HCPCS,J1920,LABETALOL 5 MG/ML INJECTION (WRAPPER),64.1,41.67,31.86,62.18,881 HCPCS,J1930,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE,37510.0,24381.5,34.05,36759.8,884 HCPCS,J1930,LANREOTIDE 60 MG/0.2 ML SUBCUTANEOUS SYRINGE,24039.4,15625.61,34.05,23558.61,884 HCPCS,J1930,LANREOTIDE 90 MG/0.3 ML SUBCUTANEOUS SYRINGE,31871.1,20716.22,34.05,31233.68,884 HCPCS,J1932,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE (CIPLA),10209.7,6636.31,29.84,10005.51,884 HCPCS,J1938,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,49.6,32.24,23.61,54.71,2640 HCPCS,J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,43.8,28.47,21.77,42.49,880 HCPCS,J1950,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT,4500.2,2925.13,1730.32,4410.2,884 HCPCS,J1950,LEUPROLIDE ACETATE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,12650.4,8222.76,1730.32,12397.39,884 HCPCS,J1953,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",88.2,57.33,43.84,85.55,880 HCPCS,J1953,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",87.4,56.81,43.44,84.78,880 HCPCS,J1953,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,95.7,62.21,47.56,92.83,880 HCPCS,J1953,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,40.7,26.46,20.23,39.48,880 HCPCS,J1955,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,145.7,94.71,80.86,141.33,880 HCPCS,J1956,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,88.0,57.2,43.74,85.36,880 HCPCS,J1956,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,92.5,60.13,45.97,89.73,880 HCPCS,J1956,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,93.4,60.71,46.42,90.6,880 HCPCS,J2002,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,87.3,56.75,43.39,84.68,880 HCPCS,J2002,LIDOCAINE (PF) 4 MG/ML IN 5 % DEXTROSE PAIN ANES ONLY,87.3,56.75,43.39,84.68,880 HCPCS,J2003,LIDOCAINE (PF) 20 MG/ML (2 %) INTRAVENOUS SOLUTION,36.4,23.66,18.09,35.67,880 HCPCS,J2010,LINCOMYCIN 300 MG/ML INJECTION SOLUTION,59.2,38.48,29.42,59.2,880 HCPCS,J2020,LINEZOLID 1 MG/ML IN SODIUM CITRATE 2% LOCK SOLUTION (CNR) (RESTRICTED),36.5,23.73,18.14,35.41,880 HCPCS,J2020,LINEZOLID 2 MG/ML LOCK SOLUTION (REPACKAGED BAG) IN 5% DEXTROSE (RESTRICTED),35.3,22.95,17.54,34.24,880 HCPCS,J2020,LINEZOLID 2 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR) (RESTRICTED),36.0,23.4,17.89,34.92,880 HCPCS,J2020,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,101.3,65.85,50.35,98.26,880 HCPCS,J2060,LORAZEPAM 2 MG/ML INJECTION SOLUTION (WRAPPER),73.35,47.68,36.38,71.3,1760 HCPCS,J2151,MANNITOL 25 % INTRAVENOUS SOLUTION,53.6,34.84,26.64,53.6,880 HCPCS,J2175,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION,76.7,49.86,38.12,74.4,880 HCPCS,J2175,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION,77.0,50.05,38.27,74.69,880 HCPCS,J2175,MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE,90.6,58.89,45.03,87.88,881 HCPCS,J2182,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION,12759.5,8293.67,31.27,12376.72,884 HCPCS,J2183,MEROPENEM 2 GRAM INTRAVENOUS SOLUTION,136.1,88.47,67.64,132.02,880 HCPCS,J2185,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,54.2,35.23,26.94,52.57,880 HCPCS,J2185,MEROPENEM 50 MG/ML STOCK SOLUTION FOR DESENSITIZATION,87.7,57.01,43.59,85.07,880 HCPCS,J2185,MEROPENEM 500 MG INTRAVENOUS SOLUTION,45.9,29.84,22.81,44.52,880 HCPCS,J2186,MEROPENEM-VABORBACTAM 2 GRAM INTRAVENOUS SOLUTION,894.3,581.29,2.18,894.3,884 HCPCS,J2210,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,107.2,69.68,53.28,105.06,880 HCPCS,J2212,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION (WRAPPER),557.7,362.51,277.18,557.7,884 HCPCS,J2248,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,130.4,84.76,64.81,127.79,880 HCPCS,J2249,REMIMAZOLAM 20 MG INTRAVENOUS SOLUTION,149.6,97.24,74.35,145.11,880 HCPCS,J2250,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION (WRAPPER),72.0,46.8,35.78,69.84,881 HCPCS,J2250,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,70.3,45.7,34.94,68.19,880 HCPCS,J2250,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,74.6,48.49,37.08,72.36,880 HCPCS,J2250,MIDAZOLAM 5 MG/ML INJECTION FOR NASAL,75.5,49.08,37.52,73.24,880 HCPCS,J2250,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,75.7,49.21,37.62,73.43,880 HCPCS,J2251,MIDAZOLAM 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS INFUSION (WRAPPER),133.8,86.97,66.5,133.8,880 HCPCS,J2260,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,55.7,36.2,27.68,54.03,880 HCPCS,J2260,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,90.4,58.76,44.93,87.69,880 HCPCS,J2260,MILRINONE 40 MG/100 ML (400 MCG/ML) IN NACL 0.9% (CNR),196.8,127.92,97.81,190.9,880 HCPCS,J2265,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION,1116.5,725.73,2.67,1083.01,884 HCPCS,J2267,MIRIKIZUMAB-MRKZ 300 MG/15 ML (20 MG/ML) INTRAVENOUS SOLUTION,36201.8,23531.17,43.05,35115.75,884 HCPCS,J2270,MORPHINE (PF) 10 MG/ML INJECTION (WRAPPER),78.3,50.9,38.92,75.95,880 HCPCS,J2270,MORPHINE 2 MG/ML INJECTION (WRAPPER),75.1,48.82,37.32,72.85,880 HCPCS,J2270,MORPHINE 4 MG/ML INJECTION (WRAPPER),78.1,50.77,38.82,75.76,880 HCPCS,J2274,MORPHINE (PF) 1 MG/ML INJECTION REGIONAL SOLUTION,233.3,151.65,115.95,226.3,880 HCPCS,J2274,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,153.4,99.71,76.24,148.8,880 HCPCS,J2274,MORPHINE (PF) 1 MG/ML INTRATHECAL TEST DOSE,71.5,46.48,35.54,69.36,880 HCPCS,J2274,MORPHINE (PF) 10 MG/ML INJECTION SOLUTION,772.6,502.19,383.98,749.42,880 HCPCS,J2274,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION,1173.5,762.78,583.23,1138.3,880 HCPCS,J2274,MORPHINE INTRATHECAL PUMP INFUSION 10 MG/ML,772.6,502.19,383.98,749.42,880 HCPCS,J2274,MORPHINE INTRATHECAL PUMP INFUSION 25 MG/ML,1173.5,762.78,583.23,1138.3,880 HCPCS,J2278,ZICONOTIDE 25 MCG/ML INTRATHECAL SOLUTION,22771.5,14801.48,10.14,22771.5,884 HCPCS,J2278,ZICONOTIDE INTRATHECAL PUMP INFUSION (UNDILUTED) 25 MCG/ML,22771.5,14801.48,10.14,22771.5,884 HCPCS,J2280,MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,282.5,183.63,140.4,274.03,880 HCPCS,J2290,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,50.1,32.56,24.9,48.6,880 HCPCS,J2290,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,54.4,35.36,27.04,52.77,880 HCPCS,J2300,NALBUPHINE 10 MG/ML INJECTION SOLUTION,49.6,32.24,24.65,48.11,880 HCPCS,J2305,NITROGLYCERIN 20 MCG/ML INJECTION FL ANES,189.0,122.85,93.93,183.33,880 HCPCS,J2305,NITROGLYCERIN 25 MG/250 ML (100 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,187.4,121.81,93.14,181.78,880 HCPCS,J2305,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,96.0,62.4,47.71,93.12,880 HCPCS,J2305,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,189.0,122.85,93.93,183.33,880 HCPCS,J2305,NITROGLYCERIN 50 MG/250 ML INJECTION ANES,189.0,122.85,93.93,183.33,880 HCPCS,J2312,NALOXONE 0.4 MG/ML INJECTION SOLUTION,46.9,30.49,23.31,45.96,880 HCPCS,J2315,"NALTREXONE ER 380 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",6652.3,4324.0,4.24,6519.25,884 HCPCS,J2323,NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION,33722.1,21919.37,24.0,32710.44,884 HCPCS,J2326,NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION,549046.1,356879.97,1280.25,538065.18,884 HCPCS,J2327,RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION,38300.4,24895.26,14.94,37151.39,884 HCPCS,J2329,UBLITUXIMAB-XIIY 25 MG/ML INTRAVENOUS SOLUTION,44551.6,28958.54,70.75,43215.05,884 HCPCS,J2350,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION,80596.0,52387.4,59.41,78178.12,884 HCPCS,J2351,"OCRELIZUMAB 920 MG-HYALURONIDASE-OCSQ 23,000 UNIT/23 ML SUBCUT SOLN",160766.9,104498.49,47.23,160766.9,884 HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",11691.1,7599.22,203.58,11340.37,884 HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",15185.5,9870.58,203.58,14729.94,884 HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",22527.7,14643.01,203.58,21851.87,884 HCPCS,J2357,OMALIZUMAB 150 MG SUBCUTANEOUS SOLUTION,6219.6,4042.74,44.6,6095.21,884 HCPCS,J2357,OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE,6219.6,4042.74,44.6,6095.21,884 HCPCS,J2357,OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE,2865.7,1862.71,44.6,2808.39,884 HCPCS,J2359,OLANZAPINE 10 MG INJECTION SOLUTION,95.8,62.27,47.61,92.93,880 HCPCS,J2370,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,79.3,51.55,39.41,79.3,880 HCPCS,J2370,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (CNR/ROBOT),225.6,146.64,112.12,225.6,880 HCPCS,J2371,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9% NACL SYRINGE (WRAPPER),37.0,24.05,18.39,35.89,880 HCPCS,J2372,PHENYLEPHRINE 0.1 MG/ML INTRAVENOUS SOLUTION,51.7,33.6,25.69,51.7,880 HCPCS,J2401,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,43.5,28.28,21.62,42.2,880 HCPCS,J2401,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,43.9,28.54,21.82,42.58,880 HCPCS,J2404,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,75.7,49.21,37.62,73.43,880 HCPCS,J2404,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,339.2,220.48,168.58,329.02,880 HCPCS,J2405,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,37.6,24.44,18.69,36.47,883 HCPCS,J2405,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,35.5,23.08,17.64,34.44,880 HCPCS,J2430,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION,73.5,47.78,36.53,71.3,880 HCPCS,J2430,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION,147.6,95.94,73.36,143.17,880 HCPCS,J2430,PAMIDRONATE 90 MG/10 ML INTRAVENOUS SOLUTION (WETTED),246.3,160.1,122.41,238.91,880 HCPCS,J2469,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,43.0,27.95,21.37,41.71,880 HCPCS,J2470,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,39.8,25.87,19.78,38.61,880 HCPCS,J2501,PARICALCITOL 2 MCG/ML INTRAVENOUS SOLUTION,51.7,33.6,28.69,50.15,880 HCPCS,J2501,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION,76.8,49.92,42.62,74.5,880 HCPCS,J2506,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR,17371.8,11291.67,89.34,16850.65,884 HCPCS,J2506,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,17371.8,11291.67,89.34,16850.65,884 HCPCS,J2507,PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION,118975.3,77333.95,3660.83,115406.04,884 HCPCS,J2515,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,2042.1,1327.37,27.99,2042.1,884 HCPCS,J2516,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,220.3,143.19,109.49,220.3,880 HCPCS,J2540,"PENICILLIN G POTASSIUM 10,000 UNIT/ML SYRINGE-SKIN TEST (CNR)",75.1,48.82,37.32,73.6,880 HCPCS,J2540,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,541.3,351.85,269.03,530.47,880 HCPCS,J2540,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,55.8,36.27,27.73,54.68,880 HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,48.4,31.46,24.05,46.95,880 HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 225 MG/ML STOCK SOLUTION FOR DESENSITIZATION,245.6,159.64,122.06,238.23,880 HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,43.6,28.34,21.67,42.29,880 HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,45.7,29.7,22.71,44.33,880 HCPCS,J2545,PENTAMIDINE 300 MG SOLUTION FOR INHALATION,206.5,134.23,102.63,200.31,880 HCPCS,J2545,PENTAMIDINE INHALATION SOLUTION 50 MG/ML (PHARMACY PREPARED CNR OR DISPENSE PREP),206.5,134.23,102.63,200.31,880 HCPCS,J2550,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,42.1,27.37,20.92,40.84,880 HCPCS,J2560,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,186.1,120.97,92.49,186.1,880 HCPCS,J2560,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,133.2,86.58,66.2,133.2,880 HCPCS,J2562,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,816.7,530.86,25.33,792.2,884 HCPCS,J2590,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,39.2,25.48,19.48,38.02,880 HCPCS,J2597,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,665.9,432.84,330.95,645.92,880 HCPCS,J2598,VASOPRESSIN 20 UNIT/100 ML (0.2 UNIT/ML) IN DEXTROSE 5 % INTRAVENOUS (WRAPPER),217.0,141.05,107.85,210.49,880 HCPCS,J2598,VASOPRESSIN 20 UNIT/ML INJ SOLN (WRAPPER),89.3,58.05,44.38,86.62,880 HCPCS,J2675,PROGESTERONE 50 MG/ML INTRAMUSCULAR OIL,35.5,23.08,17.64,35.5,880 HCPCS,J2690,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,1539.4,1000.61,294.69,1493.22,884 HCPCS,J2700,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,54.2,35.23,26.94,53.12,880 HCPCS,J2704,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,77.8,50.57,38.67,75.47,882 HCPCS,J2704,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION INFUSION,77.8,50.57,38.67,75.47,880 HCPCS,J2704,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION INFUSION (BAG-HYPERBARIC USE),77.8,50.57,38.67,75.47,880 HCPCS,J2710,NEOSTIGMINE METHYLSULFATE 1 MG/ML INJECTABLE SOLUTION,43.6,28.34,21.67,42.29,880 HCPCS,J2720,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,166.3,108.1,82.65,161.31,880 HCPCS,J2730,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION,351.3,228.35,174.6,351.3,880 HCPCS,J2730,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION (IM EQUIVALENCY),727.6,472.94,361.62,727.6,880 HCPCS,J2760,PHENTOLAMINE 5 MG INJECTION SOLUTION,1235.6,803.14,432.02,1198.53,884 HCPCS,J2765,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,40.2,26.13,19.98,38.99,880 HCPCS,J2777,FARICIMAB-SVOA 6 MG/0.05 ML INTRAVITREAL SOLUTION (WRAPPER),9306.5,6049.23,33.88,9027.31,884 HCPCS,J2778,RANIBIZUMAB 0.3 MG/0.05 ML INTRAVITREAL SOLUTION (WRAPPER),4788.4,3112.46,86.38,4788.4,884 HCPCS,J2778,RANIBIZUMAB 0.5 MG/0.05 ML INTRAVITREAL SOLUTION (WRAPPER),7697.3,5003.25,86.38,7697.3,884 HCPCS,J2783,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,4386.2,2851.03,377.52,4254.61,884 HCPCS,J2783,RASBURICASE 7.5 MG INTRAVENOUS SOLUTION,20231.0,13150.15,377.52,19624.07,884 HCPCS,J2785,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,95.9,62.34,47.66,93.98,880 HCPCS,J2790,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE",308.0,200.2,153.08,298.76,880 HCPCS,J2791,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE",287.7,187.01,142.99,279.07,880 HCPCS,J2795,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,51.2,33.28,25.45,49.66,880 HCPCS,J2795,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,38.4,24.96,19.08,37.25,880 HCPCS,J2795,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,38.9,25.29,19.33,37.73,882 HCPCS,J2795,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION,40.3,26.2,20.03,39.09,880 HCPCS,J2795,ROPIVACAINE 0.2 % STRAIGHT DRUG EPIDURAL 200 ML (WRAPPER),160.3,104.2,79.67,155.49,880 HCPCS,J2795,ROPIVACAINE PNC 0.2% AMBIT PUMP 200 ML - FLA,187.3,121.75,93.09,181.68,880 HCPCS,J2795,ROPIVACAINE PNC 0.2% AMBIT PUMP 400 ML - FLA (CNR),615.5,400.08,305.9,597.04,880 HCPCS,J2795,ROPIVACAINE PNC 0.2% AMBIT PUMP 600 ML - FLA (CNR),568.3,369.4,282.45,551.25,880 HCPCS,J2795,ROPIVACAINE PNC 0.2% STRAIGHT DRUG 200 ML (FLA),187.3,121.75,93.09,181.68,880 HCPCS,J2800,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,52.6,34.19,26.14,51.02,881 HCPCS,J2802,ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION,5814.8,3779.62,11.01,5640.36,884 HCPCS,J2802,ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION,11204.3,7282.8,11.01,10868.17,884 HCPCS,J2802,ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION,21983.6,14289.34,11.01,21324.09,884 HCPCS,J2804,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,307.2,199.68,152.68,297.98,880 HCPCS,J2805,SINCALIDE 5 MCG SOLUTION FOR INJECTION,338.5,220.03,168.23,331.73,880 HCPCS,J2820,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION,1274.9,828.69,50.37,1236.65,884 HCPCS,J2820,SARGRAMOSTIM 250 MCG/ML SOLUTION FOR INHALATION (USING INJECTION VIAL),980.0,637.0,50.37,950.6,884 HCPCS,J2850,SECRETIN (HUMAN) 16 MCG INTRAVENOUS SOLUTION,2850.0,1852.5,40.52,2764.5,884 HCPCS,J2860,SILTUXIMAB 100 MG INTRAVENOUS SOLUTION,6574.5,4273.43,165.83,6443.01,884 HCPCS,J2860,SILTUXIMAB 400 MG INTRAVENOUS SOLUTION,24947.9,16216.14,165.83,24448.94,884 HCPCS,J2865,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,93.8,60.97,46.62,90.99,880 HCPCS,J2916,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,72.1,46.87,35.83,69.94,880 HCPCS,J2919,"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION",262.7,170.76,130.56,254.82,880 HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,69.0,44.85,34.29,66.93,880 HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,56.4,36.66,28.03,54.71,881 HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 500 MG/4 ML INTRAVENOUS SOLUTION,213.6,138.84,106.16,207.19,880 HCPCS,J2919,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",169.0,109.85,83.99,163.93,880 HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,90.6,58.89,45.03,87.88,880 HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 2 GRAM INTRAVENOUS SOLUTION,409.3,266.05,203.42,397.02,880 HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION,40.6,26.39,20.18,39.38,880 HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION,134.3,87.3,66.75,130.27,880 HCPCS,J2997,ALTEPLASE 1 MG/ML INTRA-ARTERIAL SYRINGE FOR RADIOLOGY,15834.4,10292.36,94.45,15359.37,884 HCPCS,J2997,ALTEPLASE 1 MG/ML INTRAVENTRICULAR STERILE SYRINGE,800.8,520.52,94.45,776.78,884 HCPCS,J2997,ALTEPLASE 100 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),657.9,427.64,94.45,638.16,884 HCPCS,J2997,ALTEPLASE 100 MG INTRAVENOUS SOLUTION,31010.7,20156.96,94.45,30080.38,884 HCPCS,J2997,ALTEPLASE 12.5 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),386.5,251.23,94.45,374.91,884 HCPCS,J2997,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION,800.8,520.52,94.45,776.78,884 HCPCS,J2997,ALTEPLASE 50 MG INTRAVENOUS SOLUTION,15717.9,10216.64,94.45,15246.36,884 HCPCS,J3000,STREPTOMYCIN 1 GRAM INTRAMUSCULAR SOLUTION,311.2,202.28,154.67,311.2,880 HCPCS,J3010,FENTANYL (PF) 50 MCG/ML INJECTION REGIONAL (WRAPPER) ANES ONLY,76.8,49.92,36.98,186.24,4400 HCPCS,J3030,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,51.9,33.74,25.79,50.34,880 HCPCS,J3032,EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION,7899.1,5134.42,19.97,7662.13,884 HCPCS,J3055,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION,3564.6,2316.99,72.62,3457.66,884 HCPCS,J3055,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION,39105.8,25418.77,72.62,37932.63,884 HCPCS,J3101,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION,30127.3,19582.74,172.22,30127.3,884 HCPCS,J3105,TERBUTALINE 1 MG/ML INJECTION SOLUTION,41.6,27.04,20.68,40.77,880 HCPCS,J3111,ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE,9762.4,6345.56,12.07,9469.53,884 HCPCS,J3230,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,130.6,84.89,64.91,127.99,880 HCPCS,J3240,THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION,8159.7,5303.81,2116.32,7914.91,884 HCPCS,J3241,TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION,70245.2,45659.38,359.19,68137.84,884 HCPCS,J3243,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,116.5,75.72,57.9,113.01,880 HCPCS,J3246,TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,647.3,420.75,321.71,634.35,880 HCPCS,J3246,TIROFIBAN 5 MG/100 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,143.8,93.47,71.47,140.92,880 HCPCS,J3247,SECUKINUMAB 25 MG/ML INTRAVENOUS SOLUTION,8649.8,5622.37,17.84,8390.31,884 HCPCS,J3250,TRIMETHOBENZAMIDE 100 MG/ML INTRAMUSCULAR SOLUTION,261.3,169.85,129.87,253.46,880 HCPCS,J3260,TOBRAMYCIN 1.2 G POWDER VIAL OSM,179.2,116.48,89.06,173.82,880 HCPCS,J3260,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,245.2,159.38,121.86,237.84,880 HCPCS,J3260,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,70.0,45.505,23.41,90.11,1760 HCPCS,J3262,TOCILIZUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER) (RESTRICTED),5280.2,3432.13,5.71,9831.34,2652 HCPCS,J3263,TORIPALIMAB-TPZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION,36838.5,23945.03,39.41,36838.5,884 HCPCS,J3285,TREPROSTINIL STRAIGHT DRUG INFUSION 1 MG/ML,1638.0,1064.7,54.71,1588.86,884 HCPCS,J3285,TREPROSTINIL STRAIGHT DRUG INFUSION 10 MG/ML,10536.1,6848.47,54.71,10220.02,884 HCPCS,J3285,TREPROSTINIL STRAIGHT DRUG INFUSION 2.5 MG/ML,2971.5,1931.48,54.71,2882.36,884 HCPCS,J3285,TREPROSTINIL STRAIGHT DRUG INFUSION 5 MG/ML,5493.0,3570.45,54.71,5328.21,884 HCPCS,J3300,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR SUSPENSION,301.7,196.11,24.5,292.65,884 HCPCS,J3301,TRIAMCINOLONE ACETONIDE 10 MG/ML INTRAPLEURAL SUSPENSION (CATH TIP SYRINGE),218.2,141.83,108.45,211.65,880 HCPCS,J3301,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION,37.6,24.44,18.69,36.47,880 HCPCS,J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,43.1,28.02,21.42,41.81,881 HCPCS,J3304,TRIAMCINOLONE ACETONIDE ER 32 MG INTRA-ARTICULAR SUSPENSION EXT.RELEAS,2840.2,1846.13,18.3,2783.4,884 HCPCS,J3315,TRIPTORELIN PAMOATE 11.25 MG IM SUSPENSION,9416.8,6120.92,474.84,9228.46,884 HCPCS,J3357,USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRINGE,56382.2,36648.43,28021.95,56382.2,884 HCPCS,J3357,USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE,112339.3,73020.55,55832.63,112339.3,884 HCPCS,J3358,USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION,8721.1,5668.72,12.99,8459.47,884 HCPCS,J3360,DIAZEPAM 5 MG/ML INJECTION (WRAPPER),171.7,111.61,85.33,166.55,880 HCPCS,J3370,VANCOMYCIN 1.25 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,227.2,147.68,112.92,220.38,880 HCPCS,J3370,VANCOMYCIN 1.5 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,228.9,148.79,113.76,222.03,880 HCPCS,J3373,VANCOMYCIN 1 G POWDER VIAL OSM,19.6,12.74,9.74,19.01,880 HCPCS,J3373,VANCOMYCIN 1 GRAM/200 ML IN 0.9 % SOD. CHLORIDE INTRAVENOUS PIGGYBACK,105.8,68.77,52.58,102.63,880 HCPCS,J3373,VANCOMYCIN 1 MG/ML INTRADISCAL INJECTION DILUTION (RADIANT),35.2,22.88,17.49,34.14,880 HCPCS,J3373,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",53.7,34.91,26.69,52.09,880 HCPCS,J3373,VANCOMYCIN 1.25 GRAM/262.5 ML IN 0.9% NACL (CNR),191.9,124.74,95.37,186.14,880 HCPCS,J3373,VANCOMYCIN 1.5 GRAM/265 ML IN 0.9% NACL (CNR),199.4,129.61,99.1,193.42,880 HCPCS,J3373,VANCOMYCIN 1.75 GRAM/267.5 ML IN 0.9% NACL (CNR/ROBOT),208.3,135.4,103.53,202.05,880 HCPCS,J3373,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,864.9,562.18,429.86,838.95,880 HCPCS,J3373,VANCOMYCIN 100 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),35.4,23.01,17.59,34.34,880 HCPCS,J3373,VANCOMYCIN 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,120.2,78.13,59.74,116.59,880 HCPCS,J3373,VANCOMYCIN 1000 MCG/0.1 ML INTRAOCULAR SOLUTION (CNR),35.5,23.08,17.64,34.44,880 HCPCS,J3373,VANCOMYCIN 1000 MG/260 ML NACL 0.9% (CNR),86.0,55.9,42.74,83.42,880 HCPCS,J3373,VANCOMYCIN 2 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),37.0,24.05,18.39,35.89,880 HCPCS,J3373,VANCOMYCIN 25 MG/0.5 ML (PF) SUBCONJUNCTIVAL INJECTION,754.7,490.56,375.09,732.06,880 HCPCS,J3373,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,112.2,72.93,55.76,108.83,880 HCPCS,J3373,VANCOMYCIN 5 MG/ML LOCK SOLUTION (CNR),36.5,23.73,18.14,35.41,880 HCPCS,J3373,VANCOMYCIN 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),37.2,24.18,18.49,36.08,880 HCPCS,J3373,VANCOMYCIN 5 MG/ML-SODIUM CITRATE 3.8% LOCK SOLUTION (CNR),35.4,23.01,17.59,34.34,1760 HCPCS,J3373,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,44.9,29.19,22.32,43.55,880 HCPCS,J3374,VANCOMYCIN 2 GRAM INTRAVENOUS SOLUTION,197.3,128.25,98.06,191.38,880 HCPCS,J3379,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,45.3,29.45,22.51,45.3,880 HCPCS,J3380,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION,38124.2,24780.73,21.31,36980.47,884 HCPCS,J3396,VERTEPORFIN 15 MG INTRAVENOUS SOLUTION,6836.5,4443.73,11.54,6631.41,884 HCPCS,J3410,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,138.8,90.22,68.98,134.64,880 HCPCS,J3411,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,38.7,25.16,19.23,37.54,880 HCPCS,J3415,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION,92.2,59.93,45.82,90.36,880 HCPCS,J3424,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION,4067.4,2643.81,5.19,4067.4,884 HCPCS,J3430,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION (WRAPPER),216.4,140.66,107.55,209.91,880 HCPCS,J3430,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,52.4,34.06,26.04,50.83,880 HCPCS,J3465,VORICONAZOLE 100 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),154.5,100.43,76.79,149.87,880 HCPCS,J3465,VORICONAZOLE 200 MG INTRAVENOUS POWDER FOR SOLUTION,70.9,46.09,35.24,68.77,880 HCPCS,J3465,VORICONAZOLE 200 MG POWDER VIAL OSM,32.9,21.39,16.35,31.91,880 HCPCS,J3465,VORICONAZOLE 200 MG/20 ML INTRAVENOUS SOLUTION (WETTED),70.9,46.09,35.24,68.77,880 HCPCS,J3473,HYALURONIDASE 150 UNIT/ML INJECTION (WRAPPER),228.5,148.53,113.56,223.93,880 HCPCS,J3473,HYALURONIDASE 30 UNIT/0.2 ML SYRINGES (EXTRAVASATION) 150 UNIT VIAL,228.5,148.53,113.56,223.93,880 HCPCS,J3475,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,79.9,51.94,39.71,77.5,880 HCPCS,J3475,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,86.2,56.03,42.84,83.61,880 HCPCS,J3475,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,82.7,53.76,41.1,80.22,880 HCPCS,J3475,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,43.6,28.34,21.67,42.29,881 HCPCS,J3480,POTASSIUM CHLORIDE 10 MEQ/100 ML INTRAVENOUS PIGGYBACK,84.5,54.93,42.0,81.97,880 HCPCS,J3480,POTASSIUM CHLORIDE 10 MEQ/50 ML INTRAVENOUS PIGGYBACK,84.1,54.67,41.8,81.58,880 HCPCS,J3480,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,40.7,26.46,20.23,39.48,880 HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,84.5,54.93,42.0,81.97,880 HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/50 ML INTRAVENOUS PIGGYBACK,83.3,54.15,41.4,80.8,880 HCPCS,J3485,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION,156.8,101.92,1.51,156.8,884 HCPCS,J3486,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,91.1,59.22,45.28,89.28,880 HCPCS,J3489,ZOLEDRONIC ACID 4 MG/100 ML IN MANNITOL-WATER IV (WRAPPER),228.4,148.46,113.51,221.55,880 HCPCS,J3489,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,61.3,39.85,30.47,59.46,880 HCPCS,J3489,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL-WATER IV (WRAPPER),291.4,189.41,144.83,282.66,880 HCPCS,J3490,ANGIOTENSIN II 2.5 MG/ML INTRAVENOUS SOLUTION,7507.0,4879.55,3730.98,7281.79,880 HCPCS,J3490,ASCORBIC ACID (ASCORBATE SODIUM)(VITAMIN C) 500 MG/ML INJ SOLN (WRAPPER),39.6,25.74,19.68,38.41,880 HCPCS,J3490,BACLOFEN (BULK) 100 % POWDER,140.0,91.0,69.58,135.8,880 HCPCS,J3490,BENZYLPENICILLOYL POLYLYSINE 0.25 ML INTRADERMAL INJECTION SOLUTION,66.1,42.97,32.85,64.12,880 HCPCS,J3490,BUPIVACAINE (BULK) 100 % POWDER,158.8,103.22,78.92,154.04,880 HCPCS,J3490,CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN,114.3,74.3,56.81,110.87,880 HCPCS,J3490,CLINDAMYCIN IV SYRINGE 12 MG/ML IN D5W (NEO/PED) - DRAWN UP FROM PREMIX BAG,92.4,60.06,45.92,89.63,880 HCPCS,J3490,COPPER 0.4 MG/ML INJECTION (TPN)(WRAPPER),99.4,64.61,49.4,96.42,880 HCPCS,J3490,D5-NACL 0.45% KCL 20 MEQ/L IV SOLP,82.0,53.3,40.75,79.54,880 HCPCS,J3490,D5-NACL 0.9% KCL 20 MEQ/L IV SOLP,85.5,55.58,42.49,82.94,880 HCPCS,J3490,DIMETHYL SULFOXIDE (BULK) 99.99 % LIQUID,12.9,8.39,6.41,12.51,880 HCPCS,J3490,DOXYCYCLINE 100 MG POWDER VIAL OSM,44.2,28.73,21.97,42.87,880 HCPCS,J3490,DOXYCYCLINE 500 MG PLEURODESIS IN SWFI 50 ML,89.5,58.18,44.48,86.82,880 HCPCS,J3490,DOXYCYCLINE HYCLATE 100 MG POWDER FOR SOLN (SCLEROSING) OSM,89.5,58.18,44.48,86.82,880 HCPCS,J3490,ELECTROLYTE INTRAVENOUS SOLUTION,85.5,55.58,42.49,82.94,880 HCPCS,J3490,ELECTROLYTE-A INTRAVENOUS SOLUTION (ANES PERFUSION/OR/IP BOLUS),85.5,55.58,42.49,82.94,880 HCPCS,J3490,FENTANYL CITRATE (BULK) 100 % POWDER,1624.6,1055.99,807.43,1575.86,880 HCPCS,J3490,FERUMOXYTOL IN NACL 0.9 % 30 ML DILUTION (3.0T),37.6,24.44,18.69,36.47,880 HCPCS,J3490,FERUMOXYTOL IN NACL 0.9 % 60 ML DILUTION (1.5T),40.1,26.07,19.93,38.9,880 HCPCS,J3490,FERUMOXYTOL IN NACL 0.9 % DILUTION (PEDIATRIC),38.7,25.16,19.23,37.54,880 HCPCS,J3490,FLUORESCEIN 100 MG/ML (10 %) INTRAVENOUS SOLUTION,209.9,136.44,104.32,203.6,880 HCPCS,J3490,FLUORODOPA F-18 0.42 MCI/ML TO 8.33 MCI/ML INTRAVENOUS SOLUTION,28061.9,18240.24,2680.0,27220.04,880 HCPCS,J3490,FLUOROETHYL-L-TYROSINE F-18 INTRAVENOUS SOLUTION,8675.3,5638.95,2680.0,8415.04,880 HCPCS,J3490,HC NITRIC OXIDE PER HOUR,206.0,133.9,102.38,199.82,880 HCPCS,J3490,INSULIN REGULAR INFUSION 100 U/100 ML (1 UNIT/ML) IN NACL 0.9% (CNR/PREMIX) WRAPPER,202.0,131.3,100.39,195.94,880 HCPCS,J3490,INSULIN REGULAR IV SYRINGE 1 UNIT/ML IN NACL 0.9% (NEO/PED)-DRAWN UP FROM PREMIX BAG/CNR DURING SHORTAGE,202.0,131.3,100.39,195.94,880 HCPCS,J3490,INVESTIGATIONAL SODIUM FLUORIDE F18 USP,,,2680.0,2977.0,19 HCPCS,J3490,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,45.1,29.32,22.41,43.75,880 HCPCS,J3490,KETAMINE 100 MG/ML INJECTION SOLUTION,91.1,59.22,45.28,88.37,880 HCPCS,J3490,"MVI, ADULT INTRAVENOUS SOLUTION (WRAPPER)",71.8,46.67,35.68,69.65,880 HCPCS,J3490,NACL 0.45% KCL 20 MEQ/L IV SOLP,85.5,55.58,42.49,82.94,880 HCPCS,J3490,NACL 0.9% KCL 20 MEQ/L IV SOLP,82.0,53.3,40.75,79.54,880 HCPCS,J3490,PEGINTERFERON ALFA-2A 180 MCG/0.5 ML SUBCUTANEOUS SYRINGE,4159.9,2703.94,2067.47,4035.1,880 HCPCS,J3490,PEGINTERFERON ALFA-2A 180 MCG/ML SUBCUTANEOUS SOLUTION,4600.4,2990.26,2286.4,4462.39,880 HCPCS,J3490,"PENICILLIN G 500,000 UNITS/ML STOCK SOLUTION FOR DESENSITIZATION",189.4,123.11,94.13,183.72,880 HCPCS,J3490,PENTAMIDINE 300 MG SOLUTION FOR INHALATION (USING INJECTION SOLN),157.6,102.44,78.33,152.87,880 HCPCS,J3490,PITTSBURGH COMPOUND B C 11 IV SOLUTION,8825.8,5736.77,2680.0,8561.03,880 HCPCS,J3490,PK1195 C 11 IV SOLUTION,13232.4,8601.06,2680.0,12835.43,880 HCPCS,J3490,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,155.5,101.08,44.33,221.35,2640 HCPCS,J3490,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INJECTION (WRAPPER),71.5,46.48,35.54,69.36,880 HCPCS,J3490,SODIUM HYALURONATE 30 MG/ML INTRAOCULAR SYRINGE,300.7,195.46,149.45,291.68,880 HCPCS,J3490,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,64.2,41.73,31.91,62.27,880 HCPCS,J3490,TAU F 18 IV SOLUTION,8825.8,5736.77,2680.0,8561.03,880 HCPCS,J3490,VALPROATE SODIUM 100 MG/ML INJECTION FOR ORAL USE,13.0,8.45,6.46,12.61,880 HCPCS,J3490,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,45.2,29.38,22.46,43.84,880 HCPCS,J3490,"VITAMIN A PALMITATE 50,000 UNIT/ML INTRAMUSCULAR SOLUTION",2657.9,1727.64,1320.98,2578.16,880 HCPCS,J7030,NACL 0.9 % IV FREE DRIP,82.0,53.3,40.75,79.54,880 HCPCS,J7030,NACL 0.9 % TABLE SOLUTION OSM,8.5,5.53,4.22,8.25,880 HCPCS,J7030,NACL 0.9% IV BOLUS,75.2,48.88,37.37,72.94,880 HCPCS,J7030,NACL 0.9% IV SOLP,82.0,53.3,40.75,79.54,880 HCPCS,J7030,NACL 0.9% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),96.0,62.4,47.71,93.12,880 HCPCS,J7030,SODIUM CHLORIDE 0.9 % FLUSH BAG,75.4,49.01,37.47,73.14,880 HCPCS,J7040,NACL 0.9 % IV FREE DRIP,80.3,52.2,39.91,77.89,880 HCPCS,J7040,NACL 0.9 % TABLE SOLUTION OSM,22.5,14.63,11.18,21.83,880 HCPCS,J7040,NACL 0.9% INTRAPLEURAL FLUSH,77.1,50.12,38.32,74.79,880 HCPCS,J7040,NACL 0.9% IV BOLUS,75.3,48.95,37.42,73.04,880 HCPCS,J7040,NACL 0.9% IV SOLP,81.0,52.65,39.91,88.08,3520 HCPCS,J7040,NACL 0.9% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),82.05,53.335,39.91,81.29,2640 HCPCS,J7040,SODIUM CHLORIDE 0.9 % FLUSH BAG,76.8,49.92,38.17,74.5,880 HCPCS,J7042,D5-NACL 0.9% IV BOLUS,82.0,53.3,40.75,79.54,1760 HCPCS,J7042,D5-NACL 0.9% IV SOLP,82.0,53.3,40.75,79.54,880 HCPCS,J7050,NACL 0.9 % IV FREE DRIP,80.3,52.2,39.91,77.89,880 HCPCS,J7050,NACL 0.9 % TABLE SOLUTION OSM,15.5,10.07,7.7,15.04,880 HCPCS,J7050,NACL 0.9% IV BOLUS,76.5,49.73,37.57,75.37,3520 HCPCS,J7050,NACL 0.9% IV SOLP,80.3,52.2,39.91,77.89,880 HCPCS,J7050,NACL 0.9% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),84.7,55.06,42.1,82.16,880 HCPCS,J7050,SODIUM CHLORIDE 0.9 % FLUSH BAG,76.1,49.47,37.82,73.82,880 HCPCS,J7060,D5W 500 ML FOR IMPELLA,80.3,52.2,39.91,77.89,880 HCPCS,J7060,D5W IV BOLUS,79.0,51.355000000000004,38.62,77.89,1760 HCPCS,J7060,D5W IV FIXED RATE (ANES ONLY),80.75,52.489999999999995,39.91,88.56,4400 HCPCS,J7060,D5W IV PGBK (MINI-BAG PLUS)(BRAND SPLIT),85.1,55.315,42.25,82.64,1760 HCPCS,J7060,D5W IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),87.3,56.75,43.39,84.68,1760 HCPCS,J7070,D5W IV BOLUS,76.8,49.92,38.17,74.5,880 HCPCS,J7070,D5W IV FIXED RATE (ANES ONLY),82.0,53.3,40.75,79.54,880 HCPCS,J7070,D5W IV SOLP,82.0,53.3,40.75,79.54,880 HCPCS,J7070,D5W IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),82.0,53.3,40.75,79.54,880 HCPCS,J7100,DEXTRAN 40 10 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,1201.3,780.85,597.05,1201.3,880 HCPCS,J7100,DEXTRAN 40 10 % IN 5 % DEXTROSE INTRAVENOUS,1171.3,761.35,582.14,1171.3,880 HCPCS,J7120,LACTATED RINGERS FIXED RATE,82.0,53.3,40.75,79.54,880 HCPCS,J7120,LACTATED RINGERS INTRAVENOUS SOLUTION,82.0,53.3,40.75,79.54,880 HCPCS,J7120,LACTATED RINGERS INTRAVENOUS SOLUTION (NON-PVC/NON-DEHP)(BRAND SPLIT),85.5,55.58,42.49,82.94,880 HCPCS,J7120,LACTATED RINGERS INTRAVENOUS SOLUTION (PERFUSION ONLY),82.0,53.3,40.75,79.54,880 HCPCS,J7120,LACTATED RINGERS IRRIGATION SOLUTION,81.5,52.98,40.51,79.06,880 HCPCS,J7120,LACTATED RINGERS IV BOLUS,82.0,53.3,40.75,79.54,880 HCPCS,J7121,D5LR BOLUS (ANES),75.4,49.01,37.47,73.14,880 HCPCS,J7121,D5LR FREE DRIP (ANES),82.0,53.3,40.75,79.54,880 HCPCS,J7121,D5LR IV BOLUS,82.0,53.3,40.75,79.54,880 HCPCS,J7121,D5LR IV SOLP,82.0,53.3,40.75,79.54,880 HCPCS,J7131,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION,83.8,54.47,41.65,81.29,880 HCPCS,J7131,SODIUM CHLORIDE 5 % HYPERTONIC INTRAVENOUS SOLUTION,92.5,60.13,45.97,89.73,880 HCPCS,J7168,HUM PROTHROMBIN CPLX (PCC) 4FACTOR (KCENTRA) (BRAND SPLIT) IV,42.7,27.76,2.14,41.85,884 HCPCS,J7168,HUM PROTHROMBIN CPLX (PCC) 4FACTOR (KCENTRA) (BRAND SPLIT) IV INFUSION,42.7,27.76,2.14,41.85,884 HCPCS,J7170,EMICIZUMAB-KXWH 105 MG/0.7 ML SUBCUTANEOUS SOLUTION,44284.4,28784.86,56.1,44284.4,884 HCPCS,J7170,EMICIZUMAB-KXWH 150 MG/ML SUBCUTANEOUS SOLUTION,61821.8,40184.17,56.1,61821.8,884 HCPCS,J7177,"FIBRINOGEN 1 GRAM (700 MG-1,300 MG) INTRAVENOUS SOLUTION",39.1,25.42,1.23,39.1,884 HCPCS,J7178,"FIBRINOGEN 1 GRAM (900 MG-1,300 MG) INTRAVENOUS SOLUTION (RIASTAP)",40.4,26.26,1.52,40.4,884 HCPCS,J7183,"ANTIHEMOPHILIC FACTOR-VWF 1,000(VWF 1,000) UNIT/10 ML INTRAVENOUS SOLN",39.5,25.68,1.29,38.32,884 HCPCS,J7187,ANTIHEMOPHILIC FACTOR-VWF -- HUMATE-P (BRAND SPLIT) (RESTRICTED),40.5,26.33,1.49,39.29,884 HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION",9462.5,6150.63,2.66,9178.63,884 HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION",45612.5,29648.13,2.66,44244.13,884 HCPCS,J7192,"ANTIHEMOPHILIC FVIII,FULL LENGTH (ALB-FREE) -- ADVATE (BRAND SPLIT) (RESTRICTED)",41.3,26.85,1.61,40.06,884 HCPCS,J7193,COAGULATION FACTOR IX 500 (+/-) UNIT INTRAVENOUS SOLUTION,39.1,25.42,1.4,39.1,884 HCPCS,J7195,COAGULATION FACTOR IX (RECOMB) -- BENEFIX (BRAND SPLIT) (RESTRICTED),39.6,25.74,1.85,38.81,884 HCPCS,J7197,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION,52.1,33.87,4.1,50.54,884 HCPCS,J7198,ANTI-INHIBITOR COAGULANT COMPLEX (FEIBA)(WRAPPER),44.4,28.86,2.41,44.4,884 HCPCS,J7201,"FACTOR IX RECOMB, FC FUSION PROTEIN 1,000 UNIT INTRAVENOUS SOLUTION",51.1,33.22,3.59,49.57,884 HCPCS,J7201,"FACTOR IX RECOMB, FC FUSION PROTEIN 2,000 UNIT INTRAVENOUS SOLUTION",51.1,33.22,3.59,49.57,884 HCPCS,J7201,"FACTOR IX RECOMB, FC FUSION PROTEIN 3,000 UNIT INTRAVENOUS SOLUTION",51.1,33.22,3.59,49.57,884 HCPCS,J7201,"FACTOR IX RECOMB, FC FUSION PROTEIN 4,000 UNIT INTRAVENOUS SOLUTION",51.1,33.22,3.59,49.57,884 HCPCS,J7201,"FACTOR IX RECOMB, FC FUSION PROTEIN 500 UNIT INTRAVENOUS SOLUTION",51.1,33.22,3.59,49.57,884 HCPCS,J7202,"FACTOR IX RECOMB, ALBUMIN FUSION PROTEIN 1,000 (+/-) UNIT IV SOLUTION",58.4,37.96,5.32,56.65,884 HCPCS,J7202,"FACTOR IX RECOMBINANT,ALBUMIN FUSION PROTEIN 500(+/-) UNIT IV SOLUTION",58.4,37.96,5.32,56.65,884 HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 1,000 UNIT INTRAVENOUS SOLUTION",46.2,30.03,2.43,46.2,884 HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 2,000 UNIT INTRAVENOUS SOLUTION",46.2,30.03,2.43,46.2,884 HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 4,000 UNIT INTRAVENOUS SOLUTION",46.2,30.03,2.43,46.2,884 HCPCS,J7205,"FACTOR VIII RECOMB, FC FUSION PROTEIN 500 UNIT INTRAVENOUS SOLUTION",46.2,30.03,2.43,46.2,884 HCPCS,J7207,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 1,000(+/-) UNIT IV SOLUTION",44.0,28.6,2.1,42.68,884 HCPCS,J7207,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 1,500(+/-) UNIT IV SOLUTION",44.0,28.6,2.1,42.68,884 HCPCS,J7207,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 2,000(+/-) UNIT IV SOLUTION",44.0,28.6,2.1,42.68,884 HCPCS,J7207,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 250 (+/-) UNIT IV SOLUTION",44.0,28.6,2.1,42.68,884 HCPCS,J7207,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 500 (+/-) UNIT IV SOLUTION",44.0,28.6,2.1,42.68,884 HCPCS,J7296,LEVONORGESTREL 17.5 MCG/24 HR (UP TO 5 YRS) 19.5MG INTRAUTERINE DEVICE,1676.2,1089.53,833.07,1642.68,880 HCPCS,J7297,LEVONORGESTREL 20.4 MCG/24 HR (UP TO 8 YRS) 52 MG INTRAUTERINE DEVICE,1252.3,814.0,622.39,1214.73,880 HCPCS,J7298,LEVONORGESTREL 21 MCG/24 HR (UP TO 8 YEARS) 52 MG INTRAUTERINE DEVICE,1676.2,1089.53,833.07,1625.91,880 HCPCS,J7301,LEVONORGESTREL 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE,1820.5,1183.33,904.79,1784.09,880 HCPCS,J7307,ETONOGESTREL 68 MG SUBDERMAL IMPLANT,1118.6,727.09,555.94,1096.23,880 HCPCS,J7312,DEXAMETHASONE 0.7 MG INTRAVITREAL IMPLANT,4260.0,2769.0,204.61,4132.2,884 HCPCS,J7324,SODIUM HYALURONATE 30 MG/2 ML INTRA-ARTICULAR SYRINGE,601.3,390.85,114.54,583.26,884 HCPCS,J7325,HYLAN G-F 20 48 MG/6 ML INTRA-ARTICULAR SYRINGE,1654.3,1075.3,7.95,1604.67,884 HCPCS,J7325,HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE,634.8,412.62,7.95,615.76,884 HCPCS,J7355,TRAVOPROST 75 MCG INTRACAMERAL IMPLANT,41910.0,27241.5,195.72,40652.7,884 HCPCS,J7402,"MOMETASONE 1,350 MCG SINUS IMPLANT",4177.1,2715.12,11.35,4177.1,884 HCPCS,J7500,AZATHIOPRINE 25 MG PARTIAL (1/2) TABLET,5.8,3.77,2.88,5.63,880 HCPCS,J7500,AZATHIOPRINE 5 MG/ML ORAL SUSPENSION,458.3,297.89,227.78,444.55,880 HCPCS,J7500,AZATHIOPRINE 50 MG TABLET,5.7,3.71,2.83,5.53,880 HCPCS,J7501,AZATHIOPRINE 100 MG/10 ML SOLUTION FOR INJECTION (WETTED),907.0,589.55,254.07,907.0,884 HCPCS,J7502,CYCLOSPORINE 100 MG CAPSULE,64.6,41.99,32.11,62.66,880 HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG CAPSULE,9.3,6.05,4.62,9.3,884 HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION,515.6,335.14,256.25,515.6,884 HCPCS,J7503,"TACROLIMUS ER 0.75 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",20.0,13.0,9.94,20.0,884 HCPCS,J7503,"TACROLIMUS ER 1 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",24.9,16.18,12.38,24.9,884 HCPCS,J7503,"TACROLIMUS ER 4 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",83.9,54.54,41.7,83.9,884 HCPCS,J7504,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION",18895.0,12281.75,5135.09,18895.0,884 HCPCS,J7507,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",8.0,5.2,3.98,7.76,880 HCPCS,J7507,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",8.8,5.72,4.37,8.54,880 HCPCS,J7507,TACROLIMUS 1 MG ORAL GRANULES IN PACKET,30.2,19.63,15.01,29.29,880 HCPCS,J7507,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE",28.5,18.52,14.16,27.65,880 HCPCS,J7508,"TACROLIMUS ER 0.5 MG CAPSULE,EXTENDED RELEASE 24 HR (ASTAGRAF)",11.9,7.74,5.91,11.9,884 HCPCS,J7508,"TACROLIMUS ER 1 MG CAPSULE,EXTENDED RELEASE 24 HR (ASTAGRAF)",18.8,12.22,9.34,18.8,884 HCPCS,J7508,"TACROLIMUS ER 5 MG CAPSULE,EXTENDED RELEASE 24 HR (ASTAGRAF)",73.7,47.91,36.63,73.7,884 HCPCS,J7509,METHYLPREDNISOLONE 16 MG TABLET,13.4,8.71,6.66,13.0,880 HCPCS,J7509,METHYLPREDNISOLONE 2 MG PARTIAL (1/2) TABLET,7.0,4.55,3.48,6.79,880 HCPCS,J7509,METHYLPREDNISOLONE 4 MG TABLET,9.7,6.31,4.82,9.41,880 HCPCS,J7509,METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK,60.5,39.33,30.07,58.69,880 HCPCS,J7510,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,122.5,79.63,60.88,122.5,884 HCPCS,J7511,ANTI-THYMOCYTE GLOBULIN (RABBIT) 25 MG INTRAVENOUS SOLUTION,4728.0,3073.2,999.37,4586.16,884 HCPCS,J7512,PREDNISONE 0.5 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.04,880 HCPCS,J7512,PREDNISONE 0.625 MG PO PARTIAL (1/4) TABLET,5.1,3.32,2.53,4.95,880 HCPCS,J7512,PREDNISONE 1 MG TABLET,5.4,3.51,2.68,5.24,880 HCPCS,J7512,PREDNISONE 1.25 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.04,880 HCPCS,J7512,PREDNISONE 10 MG TABLET,5.5,3.58,2.73,5.34,880 HCPCS,J7512,PREDNISONE 2.5 MG TABLET,5.5,3.58,2.73,5.34,880 HCPCS,J7512,PREDNISONE 20 MG TABLET,5.7,3.71,2.83,5.7,884 HCPCS,J7512,PREDNISONE 5 MG TABLET,5.6,3.64,2.78,5.43,880 HCPCS,J7512,PREDNISONE 5 MG/5 ML ORAL SOLUTION,922.5,599.63,458.48,894.83,880 HCPCS,J7512,PREDNISONE 50 MG TABLET,6.0,3.9,2.98,5.82,880 HCPCS,J7515,CYCLOSPORINE 25 MG CAPSULE,21.8,14.17,10.83,21.15,880 HCPCS,J7515,CYCLOSPORINE MODIFIED 25 MG CAPSULE,6.6,4.29,3.28,6.6,884 HCPCS,J7516,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION,302.4,196.56,150.29,302.4,880 HCPCS,J7517,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,5.7,3.71,2.83,5.53,880 HCPCS,J7517,MYCOPHENOLATE MOFETIL 500 MG TABLET,7.6,4.94,3.78,7.37,880 HCPCS,J7518,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",15.6,10.14,7.75,15.13,880 HCPCS,J7518,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",35.1,22.82,17.44,35.1,884 HCPCS,J7519,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,113.0,73.45,56.16,109.61,880 HCPCS,J7519,MYCOPHENOLATE 500 MG/15 ML INTRAVENOUS SOLUTION (WETTED),113.0,73.45,56.16,109.61,880 HCPCS,J7520,SIROLIMUS 0.5 MG TABLET,12.3,8.0,6.11,12.3,884 HCPCS,J7520,SIROLIMUS 1 MG TABLET,33.4,21.71,16.6,32.4,880 HCPCS,J7520,SIROLIMUS 1 MG/ML ORAL SOLUTION,15.1,9.81,7.5,14.65,880 HCPCS,J7521,TACROLIMUS 0.2 MG ORAL GRANULES IN PACKET,21.9,14.24,10.88,21.9,880 HCPCS,J7525,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION,1038.0,674.7,263.15,1038.0,884 HCPCS,J7527,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET,30.9,20.09,15.36,30.9,884 HCPCS,J7527,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,58.0,37.7,28.83,58.0,884 HCPCS,J7527,EVEROLIMUS (IMMUNOSUPPRESSIVE) 1 MG TABLET,34.7,22.56,17.25,34.7,884 HCPCS,J7605,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,12.6,8.19,6.26,12.6,884 HCPCS,J7606,FORMOTEROL FUMARATE 20 MCG/2 ML SOLUTION FOR NEBULIZATION,22.4,14.56,11.13,22.4,884 HCPCS,J7611,ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION,10.8,7.02,5.37,10.8,884 HCPCS,J7613,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,6.3,4.09,3.13,6.3,884 HCPCS,J7614,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,11.6,7.54,5.77,11.6,884 HCPCS,J7614,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,10.3,6.7,5.12,10.3,884 HCPCS,J7620,IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML IN SOLN,6.3,4.09,3.13,6.3,884 HCPCS,J7626,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,16.6,10.79,8.25,16.6,884 HCPCS,J7631,CROMOLYN 20 MG/2 ML SOLUTION FOR NEBULIZATION,21.6,14.04,10.74,21.6,884 HCPCS,J7639,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION,515.2,334.88,256.05,515.2,884 HCPCS,J7644,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,6.4,4.16,3.18,6.4,884 HCPCS,J7674,METHACHOLINE CHLORIDE 0.025 MG/ML SOLUTION FOR CHALLENGE,5.5,3.58,2.73,5.39,880 HCPCS,J7674,METHACHOLINE CHLORIDE 0.25 MG/ML SOLUTION FOR CHALLENGE,5.5,3.58,2.73,5.39,880 HCPCS,J7674,METHACHOLINE CHLORIDE 10 MG/ML SOLUTION FOR CHALLENGE,22.4,14.56,11.13,21.95,880 HCPCS,J7674,METHACHOLINE CHLORIDE 100 MG POWDER FOR INHALATION (NON-STERILE),284.1,184.67,141.2,278.42,880 HCPCS,J7674,METHACHOLINE CHLORIDE 2.5 MG/ML SOLUTION FOR CHALLENGE,9.0,5.85,4.47,8.82,880 HCPCS,J7674,METHACHOLINE CHLORIDE 25 MG/ML SOLUTION FOR CHALLENGE,46.6,30.29,23.16,45.67,880 HCPCS,J7674,METHACHOLINE CHLORIDE 5 MG/ML SOLUTION FOR CHALLENGE,167.6,108.94,83.3,164.25,880 HCPCS,J7682,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,45.4,29.51,22.56,45.4,884 HCPCS,J7686,TREPROSTINIL 1.74 MG/2.9 ML (0.6 MG/ML) SOLUTION FOR NEBULIZATION,4109.3,2671.05,2042.32,4109.3,884 HCPCS,J7999,ARGININE 25 MG/ML-LYSINE 25 MG/ML INTRAVENOUS SOLUTION (WRAPPER),1187.5,771.88,590.19,1163.75,880 HCPCS,J7999,METHACHOLINE 0 MG TO 48 MG/3 ML (0 MG TO 16 MG/ML) NEBULIZATION SOLN,2337.2,1519.18,1161.59,2290.46,880 HCPCS,J7999,"MITOMYCIN 200 MCG/ML SUBCONJUNCTIVAL SOLUTION (1,2,& 3 ML VIALS)",46.4,30.165,17.84,55.76,1760 HCPCS,J7999,MITOMYCIN 400 MCG/ML SUBCONJUNTIVAL SOLUTION (1 OR 2 ML CNR),35.9,23.34,17.84,35.18,1760 HCPCS,J8501,APREPITANT 125 MG CAPSULE,576.4,374.66,286.47,559.11,880 HCPCS,J8501,APREPITANT 40 MG CAPSULE,164.2,106.73,81.61,159.27,880 HCPCS,J8501,APREPITANT 80 MG CAPSULE,332.2,215.93,165.1,322.23,880 HCPCS,J8522,CAPECITABINE 150 MG TABLET,6.7,4.36,0.04,6.5,884 HCPCS,J8522,CAPECITABINE 500 MG TABLET,6.3,4.09,0.04,6.11,884 HCPCS,J8530,CYCLOPHOSPHAMIDE 25 MG CAPSULE,29.4,19.11,14.61,28.81,880 HCPCS,J8530,CYCLOPHOSPHAMIDE 50 MG CAPSULE,14.3,9.3,7.11,14.01,880 HCPCS,J8560,ETOPOSIDE 50 MG CAPSULE,270.8,176.02,77.46,270.8,884 HCPCS,J8610,METHOTREXATE SODIUM 2.5 MG TABLET,12.9,8.39,6.41,12.9,884 HCPCS,J8610,METHOTREXATE SODIUM 5 MG TABLET,52.0,33.8,25.84,50.44,880 HCPCS,J8700,TEMOZOLOMIDE 100 MG CAPSULE,25.9,16.84,12.87,25.9,884 HCPCS,J8700,TEMOZOLOMIDE 140 MG CAPSULE,36.5,23.73,18.14,36.5,884 HCPCS,J8700,TEMOZOLOMIDE 20 MG CAPSULE,21.4,13.91,10.64,21.4,884 HCPCS,J8700,TEMOZOLOMIDE 250 MG CAPSULE,53.0,34.45,26.34,53.0,884 HCPCS,J8700,TEMOZOLOMIDE 5 MG CAPSULE,12.7,8.26,6.31,12.7,884 HCPCS,J9000,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),290.0,188.5,144.13,284.2,880 HCPCS,J9000,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION (EMBOLIZATION POWDER-NO ROUNDING),1168.5,759.53,580.74,1145.13,880 HCPCS,J9000,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION (WETTED),1168.5,759.53,580.74,1145.13,880 HCPCS,J9011,DATOPOTAMAB DERUXTECAN-DLNK 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED),19054.9,12385.69,51.56,19054.9,884 HCPCS,J9015,ALDESLEUKIN 22 MILLION UNIT INTRAVENOUS SOLUTION,23050.1,14982.57,3338.87,23050.1,884 HCPCS,J9017,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,439.0,285.35,218.18,425.83,880 HCPCS,J9022,ATEZOLIZUMAB 60 MG/ML INTRAVENOUS SOLUTION (WRAPPER),38290.15,24888.6,91.34,44068.44,1768 HCPCS,J9023,AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION,8413.3,5468.65,100.09,8245.03,884 HCPCS,J9024,"ATEZOLIZUMAB 1,875 MG-HYALURONIDASE-TQJS 30,000 UNIT/15 ML SUBCUT SOLN",44967.8,29229.07,31.58,44068.44,884 HCPCS,J9025,AZACITIDINE 100 MG SOLUTION FOR INJECTION (SUBQ EQUIVALENCY),276.5,179.73,137.42,268.21,880 HCPCS,J9025,AZACITIDINE 100 MG/10 ML SOLUTION FOR INJECTION (WETTED),276.5,179.73,137.42,268.21,880 HCPCS,J9026,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION,6211.9,4037.74,1564.64,6025.54,884 HCPCS,J9026,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION,58068.9,37744.79,1564.64,56326.83,884 HCPCS,J9027,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION,794.0,516.1,4.19,794.0,884 HCPCS,J9029,NADOFARAGENE FIRADENOVEC-VNCG 3X10EXP11 VP/ML INTRAVESICAL SUSPENSION,57543.8,37403.47,28599.27,72843.62,884 HCPCS,J9030,BCG LIVE 50 MG INTRAVESICAL SUSPENSION,965.2,627.38,3.26,945.9,884 HCPCS,J9033,BENDAMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION,8056.0,5236.4,1.88,8056.0,884 HCPCS,J9033,BENDAMUSTINE 100 MG/20 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),8056.0,5236.4,1.88,8056.0,884 HCPCS,J9034,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,5696.0,3702.4,13.49,5582.08,884 HCPCS,J9035,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,6988.65,4542.625,73.2,10584.45,1768 HCPCS,J9036,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION (BELRAPZO),7148.3,4646.4,12.28,7148.3,884 HCPCS,J9038,AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION,31235.3,20302.95,55.65,42831.03,1768 HCPCS,J9039,BLINATUMOMAB 35 MCG INTRAVENOUS (WRAPPER),22414.5,14569.43,164.25,21742.07,884 HCPCS,J9040,BLEOMYCIN 1 UNIT/ML IN BWFI INTRALESIONAL INJECTION (CNR),102.1,66.36,50.74,99.04,880 HCPCS,J9040,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION (IM/SUBQ EQUIVALENCY),259.3,168.55,128.87,251.52,880 HCPCS,J9040,BLEOMYCIN 15 UNIT/3 ML SOLUTION FOR INJECTION (WETTED),259.3,168.55,128.87,251.52,880 HCPCS,J9041,BORTEZOMIB 1.5 MG SOLUTION FOR SUBQ INJECTION (CNR),241.7,157.1,120.12,236.87,880 HCPCS,J9041,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,238.3,154.9,118.44,233.53,880 HCPCS,J9041,BORTEZOMIB 3.5 MG SOLUTION FOR INJECTION (SUBQ EQUIVALENCY),238.3,154.9,118.44,233.53,880 HCPCS,J9041,BORTEZOMIB 3.5 MG/3.5 ML INJECTION POWDER FOR SOLUTION (WETTED),300.8,195.52,149.5,294.78,880 HCPCS,J9042,BRENTUXIMAB VEDOTIN 50 MG/10 ML INTRAVENOUS SOLUTION (WETTED),49566.5,32218.23,258.64,48575.17,884 HCPCS,J9043,CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION,55345.9,35974.84,227.28,54238.98,884 HCPCS,J9045,CARBOPLATIN 0.1 MG INJECTION DESENSITIZATION,120.3,78.19,59.79,117.89,880 HCPCS,J9045,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,267.0,173.55,132.7,261.66,880 HCPCS,J9045,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION (FOR DESENSITIZATION),267.0,173.55,132.7,261.66,880 HCPCS,J9047,CARFILZOMIB 10 MG/5 ML INTRAVENOUS SOLUTION (WETTED),2661.4,1729.91,55.65,2608.17,884 HCPCS,J9047,CARFILZOMIB 30 MG/15 ML INTRAVENOUS SOLUTION (WETTED),7084.1,4604.67,55.65,6942.42,884 HCPCS,J9047,CARFILZOMIB 60 MG/30 ML INTRAVENOUS SOLUTION (WETTED),13718.0,8916.7,55.65,13443.64,884 HCPCS,J9048,BORTEZOMIB 3.5 MG/3.5 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),6219.3,4042.55,6.97,6219.3,884 HCPCS,J9050,CARMUSTINE 100 MG/30 ML INTRAVENOUS SOLUTION (WETTED),1696.3,1102.6,238.46,1645.41,884 HCPCS,J9055,CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION,3554.3,2310.3,78.37,3483.21,884 HCPCS,J9055,CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION,6658.5,4328.02,78.37,6525.33,884 HCPCS,J9057,COPANLISIB 60 MG INTRAVENOUS SOLUTION,20046.6,13030.29,9963.16,20046.6,880 HCPCS,J9060,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,331.3,215.35,164.66,324.67,880 HCPCS,J9061,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION,14646.6,9520.29,22.54,14353.67,884 HCPCS,J9063,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION,26060.1,16939.06,69.49,25538.9,884 HCPCS,J9065,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION,446.8,290.42,10.68,433.4,884 HCPCS,J9075,CYCLOPHOSPHAMIDE 1 GRAM/50 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),733.2,476.58,0.48,711.2,884 HCPCS,J9075,CYCLOPHOSPHAMIDE 2 GRAM/100 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),1621.7,1054.11,0.48,1573.05,884 HCPCS,J9075,CYCLOPHOSPHAMIDE 500 MG/25 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),349.5,227.18,0.48,339.02,884 HCPCS,J9100,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION,243.3,158.15,120.92,236.0,880 HCPCS,J9100,CYTARABINE (PF) 20 MG/ML INJECTION SOLUTION (WRAPPER),265.9,172.84,132.15,257.92,880 HCPCS,J9118,CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION,114779.8,74606.87,82.08,111336.41,884 HCPCS,J9119,CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION,42721.2,27768.78,29.29,41866.78,884 HCPCS,J9120,DACTINOMYCIN 0.5 MG/ML INTRAVENOUS SOLUTION (WETTED),1805.5,1173.58,328.34,1751.34,884 HCPCS,J9130,DACARBAZINE 100 MG INTRAVENOUS SOLUTION,242.7,157.76,120.62,237.85,880 HCPCS,J9130,DACARBAZINE 100 MG/10 ML INTRAVENOUS SOLUTION (WETTED),242.7,157.76,120.62,237.85,880 HCPCS,J9130,DACARBAZINE 200 MG/20 ML INTRAVENOUS SOLUTION (WETTED),241.1,156.72,119.83,236.28,880 HCPCS,J9144,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN",42150.8,27398.02,55.57,41307.78,884 HCPCS,J9145,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION,12687.8,8247.07,71.37,12434.04,884 HCPCS,J9150,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION,323.1,210.02,160.58,313.41,880 HCPCS,J9153,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG/20 ML IN LIPOSOME IV SOLUTION (WETTED),43226.0,28096.9,256.09,41929.22,884 HCPCS,J9155,DEGARELIX 120 MG/3 ML SUBCUTANEOUS SOLUTION (WETTED),2335.5,1518.08,4.45,2265.44,884 HCPCS,J9155,DEGARELIX 80 MG/4 ML SUBCUTANEOUS SOLUTION (WETTED),1663.0,1080.95,4.45,1613.11,884 HCPCS,J9171,DOCETAXEL 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),422.8,274.82,210.13,414.34,880 HCPCS,J9171,DOCETAXEL 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),713.0,463.45,354.36,698.74,880 HCPCS,J9171,DOCETAXEL 20 MG/ML IV SOLUTION FOR BLADDER INSTILLATION (WRAPPER),713.0,463.45,354.36,698.74,880 HCPCS,J9173,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,10628.5,6908.53,85.12,16529.56,1768 HCPCS,J9176,ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION,9279.7,6031.81,7.89,9094.11,884 HCPCS,J9176,ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION,12222.8,7944.82,7.89,11978.34,884 HCPCS,J9178,EPIRUBICIN 2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),1066.9,693.49,530.25,1066.9,880 HCPCS,J9179,ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION,1221.0,793.65,89.34,1196.58,884 HCPCS,J9181,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,119.8,77.87,59.54,117.4,880 HCPCS,J9181,ETOPOSIDE CHEMO UNDILUTED IVPB,119.8,77.87,59.54,117.4,880 HCPCS,J9185,FLUDARABINE 50 MG INTRAVENOUS SOLUTION,531.2,345.28,264.01,515.26,880 HCPCS,J9185,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,1394.9,906.68,693.27,1353.05,880 HCPCS,J9185,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION (WETTED),531.2,345.28,264.01,515.26,880 HCPCS,J9190,FLUOROURACIL 50 MG/ML INTRAVENOUS SOLUTION (WRAPPER),120.1,78.07,59.69,116.5,880 HCPCS,J9190,FLUOROURACIL 500 MG/10 ML INTRALESIONAL INJECTION,108.1,70.27,53.73,104.86,880 HCPCS,J9190,FLUOROURACIL 7.5 MG/0.15 ML SUBCONJUNCTIVAL INJECTION,100.9,65.58,50.15,97.87,880 HCPCS,J9190,FLUOROURACIL CHEMO IVPB 50 MG/ML STRAIGHT DRUG (C-SERIES),137.8,89.57,68.49,133.67,880 HCPCS,J9190,FLUOROURACIL INFUSION PUMP (COMPOUNDED BY NON-MAYO PHARMACY),110.6,71.89,54.97,107.28,880 HCPCS,J9200,FLOXURIDINE 0.5 GRAM/5 ML SOLUTION FOR INJECTION (WETTED),16113.8,10473.97,4128.02,16113.8,884 HCPCS,J9201,GEMCITABINE 1 GRAM/26.3 ML INTRAVENOUS SOLUTION (WETTED),271.6,176.54,134.99,263.45,880 HCPCS,J9201,GEMCITABINE 190 MG/5 ML INTRATUMORAL SYRINGE (FOR OR USE ONLY),144.9,94.19,72.02,140.55,880 HCPCS,J9201,GEMCITABINE 2 GRAM/52.6 ML INTRAVENOUS SOLUTION (WETTED),708.6,460.59,352.17,687.34,880 HCPCS,J9201,GEMCITABINE 38 MG/ML INTRAVENOUS SOLUTION (WRAPPER),114.1,74.17,56.71,110.68,880 HCPCS,J9201,GEMCITABINE 38 MG/ML IV SOLUTION FOR BLADDER INSTILLATION (WRAPPER),316.2,205.53,157.15,306.71,880 HCPCS,J9202,GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT,12498.5,8124.03,733.67,12248.53,884 HCPCS,J9202,GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT,4871.4,3166.41,733.67,4773.97,884 HCPCS,J9203,GEMTUZUMAB OZOGAMICIN 4.5 MG/4.5 ML (1 MG/ML INITIAL CONCENTRATION) IV SOLN (WETTED),39614.3,25749.3,236.62,38425.87,884 HCPCS,J9205,IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS,11835.8,7693.27,66.0,11599.08,884 HCPCS,J9206,IRINOTECAN 20 MG/ML INTRAVENOUS SOLUTION (FOR ORAL USE)(WRAPPER),125.1,81.32,62.17,122.6,880 HCPCS,J9206,IRINOTECAN 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),125.1,81.32,62.17,122.6,880 HCPCS,J9207,IXABEPILONE 15 MG/7.5 ML INTRAVENOUS SOLUTION (WETTED),7963.1,5176.02,139.21,7803.84,884 HCPCS,J9207,IXABEPILONE 45 MG INTRAVENOUS SOLUTION,22989.2,14942.98,139.21,22529.42,884 HCPCS,J9207,IXABEPILONE 45 MG/22.5 ML INTRAVENOUS SOLUTION (WETTED),22989.2,14942.98,139.21,22529.42,884 HCPCS,J9208,IFOSFAMIDE 1 GRAM/20 ML INTRAVENOUS SOLUTION (WETTED),314.8,204.62,156.46,305.36,880 HCPCS,J9208,IFOSFAMIDE 3 GRAM/60 ML INTRAVENOUS SOLUTION (WETTED),539.6,350.74,268.18,523.41,880 HCPCS,J9209,MESNA 100 MG/ML INJECTION FOR ORAL USE,32.5,21.13,16.15,31.53,880 HCPCS,J9209,MESNA 100 MG/ML INTRAVENOUS SOLUTION,70.3,45.7,34.94,68.19,881 HCPCS,J9211,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,406.5,264.23,202.03,406.5,880 HCPCS,J9217,LEUPROLIDE 30 MG (4 MONTH) INTRAMUSCULAR SYRINGE KIT,3034.7,1972.56,176.45,2943.66,884 HCPCS,J9217,LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE,1860.0,1209.0,176.45,1804.2,884 HCPCS,J9217,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE,550.6,357.89,176.45,534.08,884 HCPCS,J9217,LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT,946.2,615.03,176.45,917.81,884 HCPCS,J9217,LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT,4327.2,2812.68,176.45,4197.38,884 HCPCS,J9217,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,2388.6,1552.59,176.45,2316.94,884 HCPCS,J9217,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE,1501.7,976.11,176.45,1456.65,884 HCPCS,J9217,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE,2565.0,1667.25,176.45,2488.05,884 HCPCS,J9220,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJECTION SOLUTION (WRAPPER),1400.0,910.0,9.96,1358.0,884 HCPCS,J9227,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,17725.6,11521.64,81.9,17371.09,884 HCPCS,J9228,IPILIMUMAB 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER),86559.59999999999,56263.744999999995,183.48,135460.79,1768 HCPCS,J9229,INOTUZUMAB OZOGAMICIN 0.9 MG/3.6 ML (0.25 MG/ML INITIAL CONCENTRATION) IV SOLN (WETTED),91425.4,59426.51,2698.05,88682.64,884 HCPCS,J9245,MELPHALAN HCL 50 MG/10 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),447.7,291.01,95.9,434.27,884 HCPCS,J9248,HEPZATO,684886.36,187500.0,187500.0,187500.0,3 HCPCS,J9248,MELPHALAN HCL 50 MG/10 ML INTRA-ARTERIAL SOLUTION (WETTED),684825.0,445136.25,795.0,684825.0,884 HCPCS,J9260,METHOTREXATE 400 MCG/0.05 ML INTRAOCULAR INJECTION (CNR),304.9,198.19,151.54,295.75,880 HCPCS,J9260,METHOTREXATE 400 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),304.9,198.19,151.54,295.75,880 HCPCS,J9260,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,114.0,74.1,56.66,110.58,880 HCPCS,J9260,METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTION,121.5,78.97,60.39,117.86,880 HCPCS,J9263,OXALIPLATIN 5 MG/ML INJECTION DESENSITIZATION,103.2,67.08,51.29,100.1,880 HCPCS,J9263,OXALIPLATIN 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER),137.8,89.57,68.49,133.67,880 HCPCS,J9264,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,3284.4,2134.86,10.54,3218.71,884 HCPCS,J9266,PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION,106034.7,68922.55,28424.06,102853.66,884 HCPCS,J9267,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",373.9,243.04,185.83,366.42,880 HCPCS,J9268,PENTOSTATIN 10 MG/5 ML INTRAVENOUS SOLUTION (WETTED),10071.5,6546.48,2608.16,10071.5,884 HCPCS,J9269,"TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION",127037.5,82574.38,356.93,127037.5,884 HCPCS,J9271,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,22884.8,14875.12,60.29,22427.1,884 HCPCS,J9272,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION,46212.8,30038.32,243.71,45288.54,884 HCPCS,J9273,TISOTUMAB VEDOTIN-TFTV 40 MG/4 ML INTRAVENOUS SOLUTION (WETTED),28050.4,18232.76,188.76,27489.39,884 HCPCS,J9274,TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION,80668.9,52434.79,217.09,78248.83,884 HCPCS,J9276,ZANIDATAMAB-HRII 300 MG/6 ML INTRAVENOUS SOLUTION (WETTED),14099.6,9164.74,25.05,14099.6,884 HCPCS,J9280,MITOMYCIN 0.5 MG/ML SYRINGE (FOR OR USE ONLY),371.4,241.41,20.35,360.26,884 HCPCS,J9280,MITOMYCIN 0.5 MG/ML TOPICAL TRACHEAL SOLUTION (CNR),88.0,57.2,20.35,85.36,884 HCPCS,J9280,MITOMYCIN 1 MG/ML WITH IOHEXOL INTRAVENOUS SOLUTION (FOR OR USE ONLY),371.4,241.41,20.35,360.26,884 HCPCS,J9280,MITOMYCIN 20 MG INTRAVENOUS SOLUTION 2 MG/ML (BLADDER INSTILL EQUIVALENCY),395.3,256.95,20.35,383.44,884 HCPCS,J9280,MITOMYCIN 20 MG/40 ML INTRAVENOUS SOLUTION (WETTED),391.2,254.28,20.35,379.46,884 HCPCS,J9280,MITOMYCIN 40 MG INTRAVENOUS SOLUTION 2 MG/ML (BLADDER INSTILL EQUIVALENCY),690.6,448.89,20.35,669.88,884 HCPCS,J9280,MITOMYCIN 40 MG/80 ML INTRAVENOUS SOLUTION (WETTED),690.6,448.89,20.35,669.88,884 HCPCS,J9280,MITOMYCIN 5 MG/10 ML INTRAVENOUS SOLUTION (WETTED),450.1,292.57,20.35,436.6,884 HCPCS,J9286,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION,26098.65,16964.125,2767.88,40243.26,1768 HCPCS,J9289,"NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION",30665.2,19932.38,27.36,30665.2,884 HCPCS,J9293,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS",538.0,349.7,23.88,538.0,884 HCPCS,J9299,NIVOLUMAB 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),13039.6,8475.74,32.96,30051.9,2652 HCPCS,J9301,"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION",32169.3,20910.04,79.0,31525.91,884 HCPCS,J9302,OFATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),12583.4,8179.214999999999,71.57,22510.7,1706 HCPCS,J9303,PANITUMUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),17835.95,11593.37,173.03,27702.15,1768 HCPCS,J9305,PEMETREXED DISODIUM 100 MG/4 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),240.8,156.52,4.36,235.98,884 HCPCS,J9305,PEMETREXED DISODIUM 500 MG/20 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),375.9,244.34,4.36,368.38,884 HCPCS,J9306,PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION,26140.6,16991.39,17.02,25617.79,884 HCPCS,J9308,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION,17492.9,11370.385,74.36,28277.7,1768 HCPCS,J9309,POLATUZUMAB VEDOTIN-PIIQ 140 MG/7 ML INTRAVENOUS SOLUTION (WETTED),74023.5,48115.28,136.67,71802.8,884 HCPCS,J9309,POLATUZUMAB VEDOTIN-PIIQ 30 MG/1.5 ML INTRAVENOUS SOLUTION (WETTED),16215.8,10540.27,136.67,15729.33,884 HCPCS,J9311,"RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",22033.4,14321.71,36.69,21592.73,884 HCPCS,J9311,"RITUXIMAB 1,600 MG/13.4 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",25116.7,16325.86,36.69,24614.37,884 HCPCS,J9312,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",15866.9,10313.49,75.22,15390.89,884 HCPCS,J9312,RITUXIMAB 10 MG/ML INTRAOCULAR SYRINGE (FOR OR USE ONLY),137.1,89.12,68.14,132.99,884 HCPCS,J9317,SACITUZUMAB GOVITECAN-HZIY 180 MG/18 ML INTRAVENOUS SOLUTION (WETTED),10201.5,6630.98,36.28,9997.47,884 HCPCS,J9319,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),12379.0,8046.35,30.78,12007.63,884 HCPCS,J9321,EPCORITAMAB-BYSP 0.16 MG/ML (CNR),2371.7,1541.61,55.84,2300.55,884 HCPCS,J9321,EPCORITAMAB-BYSP 0.16 MG/ML SUBCUTANEOUS DILUTION,5674.3,3688.3,55.84,5504.07,884 HCPCS,J9321,EPCORITAMAB-BYSP 0.8 MG/ML (CNR),5253.9,3415.04,55.84,5096.28,884 HCPCS,J9321,EPCORITAMAB-BYSP 0.8 MG/ML SUBCUTANEOUS DILUTION,5674.3,3688.3,55.84,5504.07,884 HCPCS,J9321,EPCORITAMAB-BYSP 3 MG/0.6 ML SUBCUTANEOUS SOLUTION,5674.3,3688.3,55.84,5504.07,884 HCPCS,J9321,EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION,63140.7,41041.46,55.84,61246.48,884 HCPCS,J9325,TALIMOGENE LAHERPAREPVEC 10EXP6 (1 MILLION) PFU/ML SUSP FOR INJECTION,475.1,308.82,73.94,475.1,884 HCPCS,J9325,TALIMOGENE LAHERPAREPVEC 10EXP8 (100 MILLION)PFU/ML SUSP FOR INJECTION,27953.9,18170.04,73.94,27953.9,884 HCPCS,J9326,TELISOTUZUMAB VEDOTIN-TLLV 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),31732.05,20625.835,143.99,52586.7,1768 HCPCS,J9328,TEMOZOLOMIDE 100 MG/40 ML INTRAVENOUS SOLUTION (WETTED),4117.7,2676.51,10.39,4117.7,884 HCPCS,J9330,TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN (WETTED),1601.2,1040.78,26.71,1553.16,884 HCPCS,J9331,SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION,26657.1,17327.12,84.57,26657.1,884 HCPCS,J9332,EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION (RESTRICTED),24103.3,15667.15,32.15,23380.2,884 HCPCS,J9333,ROZANOLIXIZUMAB-NOLI 140 MG/ML SUBCUTANEOUS SOLUTION,35727.7,23223.01,23.17,34655.87,884 HCPCS,J9334,"EFGARTIGIMOD ALFA 1008 MG-HYALURON-QVFC 11,200 UNIT/5.6 ML SUBCUT SOLN",61963.4,40276.21,33.89,60724.13,884 HCPCS,J9342,THIOTEPA 100 MG/10 ML SOLUTION FOR INJECTION (WETTED),1449.5,942.18,10.54,1406.02,884 HCPCS,J9342,THIOTEPA 15 MG/1.5 ML SOLUTION FOR INJECTION (WETTED),391.2,254.28,10.54,379.46,884 HCPCS,J9347,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,86145.4,55994.51,140.9,155483.66,1768 HCPCS,J9349,TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION,5553.7,3609.91,14.31,5387.09,884 HCPCS,J9350,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION,37762.2,24545.43,654.63,70487.18,1768 HCPCS,J9351,TOPOTECAN 4 MG INTRAVENOUS SOLUTION,299.6,194.74,148.9,293.61,880 HCPCS,J9351,TOPOTECAN 4 MG/4 ML INTRAVENOUS SOLUTION (WETTED),299.6,194.74,148.9,293.61,880 HCPCS,J9352,TRABECTEDIN 1 MG/20 ML INTRAVENOUS SOLUTION (WETTED),15172.1,9861.87,391.07,14868.66,884 HCPCS,J9354,ADO-TRASTUZUMAB EMTANSINE 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED),15924.0,10350.6,42.16,15605.52,884 HCPCS,J9354,ADO-TRASTUZUMAB EMTANSINE 160 MG/8 ML MG INTRAVENOUS SOLUTION (WETTED),25208.4,16385.46,42.16,24704.23,884 HCPCS,J9355,TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION,5564.6,3616.99,75.03,5397.66,884 HCPCS,J9356,"TRASTUZUMAB 600 MG-HYALURONIDASE-OYSK 10,000 UNIT/5 ML SUBCUT SOLUTION",15793.5,10265.78,61.44,15477.63,884 HCPCS,J9357,VALRUBICIN 40 MG/ML INTRAVESICAL SOLUTION,5577.9,3625.64,1323.35,5466.34,884 HCPCS,J9359,LONCASTUXIMAB TESIRINE-LPYL 10 MG/2 ML INTRAVENOUS SOLUTION (WETTED),109311.7,71052.6,216.9,109311.7,884 HCPCS,J9360,VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION,385.0,250.25,191.35,377.3,880 HCPCS,J9370,VINCRISTINE 1 MG/ML PF INTRAVENOUS SOLUTION (WRAPPER),144.8,94.12,71.97,140.46,880 HCPCS,J9380,TECLISTAMAB-CQYV 10 MG/ML SUBCUTANEOUS SOLUTION,7084.3,4604.8,33.58,6942.61,884 HCPCS,J9380,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION,34284.4,22284.86,33.58,33598.71,884 HCPCS,J9382,ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION,45981.2,29887.78,32.91,45981.2,884 HCPCS,J9390,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),133.4,86.71,66.3,130.73,880 HCPCS,J9395,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,555.1,360.82,275.88,544.0,880 HCPCS,J9400,ZIV-AFLIBERCEPT 25 MG/ML INTRAVENOUS SOLUTION (WRAPPER),3433.5,2231.78,7.88,3433.5,884 HCPCS,J9600,PORFIMER 75 MG INTRAVENOUS SOLUTION,77051.3,50083.35,24228.42,74739.76,884 HCPCS,L1820,CLAMP EXTERNAL-FIXATION LEG LATEX-FREE NON-STERILE LIMB RECONSTRUCTION SYSTEM 16INX46-53CM,235.6,153.14,130.76,230.89,604 HCPCS,L1845,BRACE KNEE ADULT FOR 16-32IN THIGH POST OP COOL,203.46,132.25,112.92,1286.85,604 HCPCS,L2755,BRACE KNEE ANKLE PLATE FLARED EXTENDER PLUS,216.02,140.41,119.89,216.02,600 HCPCS,L3360,IMMOBILIZER ORTHOPEDIC SHOULDER UNILATERAL FOREARM MEDIUM QUICK RELEASE BLACK NONSTERILE 3 13.5 14.5IN,101.04,65.68,54.7,95.99,604 HCPCS,L3360,IMMOBILIZER ORTHOPEDIC SHOULDER UNILATERAL FOREARM SMALL QUICK RELEASE BLACK NONSTERILE 3 11.5 13IN,101.04,65.68,54.7,95.99,604 HCPCS,L3360,IMMOBILIZER ORTHOPEDIC SHOULDER UNILATERAL FOREARM X LARGE QUICK RELEASE BLACK NONSTERILE 3 16.5 17.5IN,101.04,65.68,54.7,95.99,604 HCPCS,L3660,IMMOBILIZER ORTHOPEDIC SHOULDER UNILATERAL FOREARM LARGE QUICK RELEASE BLACK NONSTERILE 3 15 16IN,101.04,65.68,56.08,144.46,604 HCPCS,L3670,IMMOBILIZER SHOULDER ABDUCTION LARGE 10DEG PILLOW CLOSE CLOTH SLING THUMB LOOP PADDED SHOULDER/WAIST STRAP GREY MEASUREMENT GREATER THAN 13IN ULTRASLING ULTRASLING,80.24,52.16,44.53,158.94,604 HCPCS,L3808,HC ORTHO WHF RIG WO JT CPF FIT&ADJUST,413.0,268.45,229.22,498.04,884 HCPCS,L3809,HC WHFO W/O JOINTS PRE OTS,396.0,257.4,219.78,388.08,884 HCPCS,L3908,HC ORTHO WRST COCK-UP OTS,160.0,104.0,88.8,156.8,884 HCPCS,L8501,HC TRACH SPEAKING VALVE,153.0,99.45,84.92,184.85,880 HCPCS,L8509,IMPLANT LARYNGEAL L6MM DIA16FR SILICONE ESOPHAGEAL TRACHEAL INDWELLING VOICE PROSTHESIS RAPID L FLANGE RADIOPAQUE RING RX DOUBLE SEAL BLOM,484.5,314.93,168.1,460.28,604 HCPCS,L8509,IMPLANT OTOLARYNGOLOGY PROSTHESIS VOICE VALVE VOCAL CHORDS INDWELLING SECONDARY VALVE NONSTERILE CLINICIAN PLACED BLOM 16FRX8MM,484.5,314.93,168.1,460.28,604 HCPCS,L8509,PROSTHESIS VOICE L10MM OD16FR TRACHEOESOPHAGEAL INDWELLING,484.5,314.93,168.1,460.28,604 HCPCS,L8509,PROSTHESIS VOICE L12MM OD16FR TRACHEOESOPHAGEAL INDWELLING,484.5,314.93,168.1,460.28,604 HCPCS,L8509,PROSTHESIS VOICE L14MM OD16FR TRACHEOESOPHAGEAL INDWELLING FLANGE,484.5,314.93,168.1,460.28,604 HCPCS,L8600,BREAST SMO RND ULT HIGH 135CC,1700.0,1105.0,943.5,1615.0,600 HCPCS,L8600,BREAST SMO RND ULT HIGH 160CC,1700.0,1105.0,943.5,1615.0,600 HCPCS,L8600,BREAST SMO RND ULT HIGH 270CC,1700.0,1105.0,943.5,1615.0,600 HCPCS,L8600,IMPLANT BREAST 100CC P2.7-5.1CM DIA8.2-16.5CM GEL FILLED MODERATE PLUS FILLED SMOOTH ROUND COHESIVE I,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST 125CC P2.8CM DIA8.9CM GEL FILLED MODERATE PLUS SMOOTH ROUND COHESIVE I,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST 140ML 9X8.5CM 3.8CM PROJECTION SILICONE GEL MD HEIGHT CPG 322 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 150CC P2.9CM DIA9.5CM GEL FILLED MODERATE PLUS SMOOTH ROUND COHESIVE I,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST 150CC P3.7CM DIA8.8CM GEL FILLED HIGH SMOOTH ROUND COHESIVE I,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST 165CC W9XH8.5CM P4.6CM SILICONE GEL HIGH MEDIUM HEIGHT CPG 323 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 165ML 9.5X8.9CM 4CM PROJECTION SILICONE GEL MD HEIGHT CPG 322 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 175CC P3.9CM DIA9.3CM GEL FILLED HIGH SMOOTH ROUND COHESIVE I,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST 195CC W9.5XH8.9CM P4.8CM SILICONE GEL HIGH MEDIUM HEIGHT CPG 323 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 200CC P3.2CM DIA10.5CM GEL FILLED MODERATE PLUS SMOOTH ROUND COHESIVE I,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST 215CC W11XH10.3CM P3.9CM SILICONE GEL MODERATE MEDIUM HEIGHT CPG 321 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 225CC W10XH9.4CM P5.1CM SILICONE GEL MEDIUM HEIGHT HIGH PROJECTION CPG 323 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 255CC DIA12.2CM P2.9CM SILICONE GEL SMOOTH ROUND MODERATE,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST 255CC W11XH10.3CM P4.7CM SILICONE GEL MEDIUM HEIGHT MODERATE PLUS PROJECTION CPG 322 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 260CC W10.5XH9.9CM P5.3CM SILICONE GEL MEDIUM HEIGHT HIGH PROJECTION CPG 323 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 270CC P4.7CM W11XH11.5CM SILICONE GEL FILLED TM PLUS TALL HEIGHT MODERATE PLUS PROJECTION CPG 332 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 275CC DIA12.5CM P3CM SILICONE GEL SMOOTH ROUND MODERATE,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST 295CC DIA9.7CM P5CM SILICONE COHESIVE GEL SMOOTH ROUND HIGH WITH NARROWER WIDTH,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST 295CC W11.5XH10.8CM P4.9CM SILICONE GEL MEDIUM HEIGHT MODERATE PLUS PROJECTION CPG 322 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 300CC W11XH10.3CM P5.6CM SILICONE GEL MEDIUM HEIGHT HIGH PROJECTION CPG 323 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 305CC P4.9CM W11.5XH12CM SILICONE GEL FILLED TM PLUS TALL HEIGHT MODERATE PLUS PROJECTION CPG 332 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 310CC DIA11-10.7CM P4.8-6CM SILICONE SALINE ROUND SMOOTH MODERATE PLUS,800.0,520.0,444.0,1274.13,600 HCPCS,L8600,IMPLANT BREAST 320CC DIA9.8CM P5.1CM SILICONE COHESIVE GEL SMOOTH ROUND HIGH WITH NARROWER WIDTH,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST 330CC W12XH11.3CM P5.1CM SILICONE GEL MEDIUM HEIGHT MODERATE PLUS PROJECTION CPG 322 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 345CC W11.5XH10.8CM P5.8CM SILICONE GEL MEDIUM HEIGHT HIGH PROJECTION CPG 323 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 355CC W13XH12.2CM P4.6CM COHESIVE III SILICONE GEL MODERATE MEDIUM HEIGHT STYLE 321 RETENTION CPG,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 375CC W12.5XH11.8CM P5.3CM SILICONE GEL MEDIUM HEIGHT MODERATE PLUS PROJECTION CPG 322 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 380C DIA11.7-11.4CM P5.2-6.4CM SILICONE SALINE SMOOTH ROUND HIGH,800.0,520.0,444.0,1274.13,600 HCPCS,L8600,IMPLANT BREAST 390CC W12XH11.3CM P6CM SILICONE GEL MEDIUM HEIGHT HIGH PROJECTION CPG 323 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 400CC DIA10.6CM P5.4CM SILICONE COHESIVE GEL SMOOTH ROUND HIGH WITH NARROWER WIDTH,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST 430CC DIA10.9CM P5.6CM SILICONE COHESIVE GEL SMOOTH ROUND HIGH WITH NARROWER WIDTH,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST 445CC W13XH13.5CM P5.5CM SILICONE GEL TALL HEIGHT MODERATE PLUS PROJECTION CPG 332 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 455CC DIA11.2CM P5.7CM SILICONE COHESIVE GEL SMOOTH ROUND HIGH WITH NARROWER WIDTH,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST 475CC W13.5XH12.7CM P5.7CM SILICONE GEL M HEIGHT MODERATE PLUS PROJECTION CPG 322 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 495CC W13.5XH14.1CM P5.7CM SILICONE GEL TALL HEIGHT MODERATE PLUS PROJECTION CPG 332 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 525CC W14XH13.2CM P5.9CM SILICONE GEL M HEIGHT MODERATE PLUS PROJECTION CPG 322 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 535CC DIA12CM P6.1CM SILICONE COHESIVE GEL SMOOTH ROUND HIGH WITH NARROWER WIDTH,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST 550CC DIA14.6CM P4.5CM SILICONE GEL SMOOTH ROUND MODERATE PLUS COHESIVE I,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST 555CC W14XH14.6CM P5.9CM SILICONE GEL TALL HEIGHT MODERATE PLUS PROJECTION CPG 332 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 575CC DIA14.8CM P4.5CM SILICONE GEL SMOOTH ROUND MODERATE PLUS,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST 590CC DIA12.5CM P6.3CM SILICONE COHESIVE GEL SMOOTH ROUND HIGH WITH NARROWER WIDTH,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST 620CC W14XH13.2CM P6.9CM SILICONE GEL M HEIGHT HIGH PROJECTION CPG 323 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 650CC W15XH14.1CM P6.3CM SILICONE GEL M HEIGHT MODERATE PLUS PROJECTION CPG 322 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 700CC DIA13.3CM P6.5CM SILICONE COHESIVE GEL SMOOTH ROUND HIGH WITH NARROWER WIDTH,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST 750CC 16.3CM 4.9CM PROJECTION ROUND HIGH SMOOTH COHESIVE I SILICONE GEL,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST 775CC W17XH16CM P5.9CM SILICONE GEL MODERATE M HEIGHT CPG 321 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST 800-960CC DIA16.1-15.5CM P6-7CM SALINE MODERATE PLUS ROUND SMOOTH,800.0,520.0,444.0,1274.13,600 HCPCS,L8600,IMPLANT BREAST DIA11.8CM P2.9CM 235CC SILICONE ROUND SMOOTH MODERATE,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST DIA15-14.8CM P4.5-5.1CM 575-625CC SILICONE SALINE FILLED PLASTIC SHELL ROUND SMOOTH MODERATE ANTERIOR DIAPHRAGM VALVE,800.0,520.0,444.0,1274.13,600 HCPCS,L8600,IMPLANT BREAST SALINE STYLE 1600 ROUND MODERATE SMOOTH STERILE ANTERIOR DIAPHRAGM 525CC EAF ROUND SMO 525ML,800.0,520.0,444.0,1274.13,600 HCPCS,L8600,IMPLANT BREAST SILICONE GEL ROUND HIGH SMOOTH STERILE LAYER COHESIVE 215CC,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST SILICONE GEL ROUND HIGH SMOOTH STERILE LAYER COHESIVE 240CC,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST SILICONE GEL ROUND HIGH SMOOTH STERILE LAYER COHESIVE 350CC,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST SILICONE GEL ROUND HIGH SMOOTH STERILE LAYER COHESIVE 375CC,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST SILICONE GEL ROUND HIGH SMOOTH STERILE LAYER COHESIVE 480CC,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST SILICONE GEL ROUND MODERATE PLUS SMOOTH STERILE 175CC,1500.0,975.0,832.5,1425.0,600 HCPCS,L8600,IMPLANT BREAST W10.5XH10.9CM 235ML P4.4CM SILICONE GEL MODERATE PLUS TALL HEIGHT CPG 332 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W10.5XH9.9CM 180ML P3.8CM SILICONE GEL MODERATE MEDIUM HEIGHT CPG 321 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W10.5XH9.9CM P4.4CM 225CC SILICONE GEL M HEIGHT MODERATE PLUS CPG 322 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W10XH10.4CM 205ML P4.2CM SILICONE GEL MODERATE PLUS TALL HEIGHT CPG 332 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W10XH9.4CM 195ML P4.2CM SILICONE GEL MODERATE PLUS MEDIUM HEIGHT CPG 322 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W10XH9.4CM P3.7CM 155CC SILICONE GEL M HEIGHT MODERATE CPG 321 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W11.5XH10.8CM 245ML P4CM SILICONE GEL MODERATE MEDIUM HEIGHT CPG 321 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W12.5XH11.8CM 315ML P4.4CM SILICONE GEL MODERATE MEDIUM HEIGHT CPG 321 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W12.5XH13CM P5.3CM 395CC SILICONE GEL TALL HEIGHT MODERATE PLUS CPG 332 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W12XH11.3CM 280ML P4.2CM SILICONE GEL MODERATE MEDIUM HEIGHT CPG 321 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W12XH12.5CM P5.1CM 350CC SILICONE GEL TALL HEIGHT MODERATE PLUS CPG 332 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W13.5XH12.7CM 395ML P4.7CM SILICONE GEL MODERATE MEDIUM HEIGHT CPG 321 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W14.5XH13.6CM 480ML P5CM SILICONE GEL MODERATE MEDIUM HEIGHT CPG 321 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W14.5XH13.6CM 585ML P6.1CM SILICONE GEL MODERATE PLUS M HEIGHT CPG 322 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W14.5XH15.1CM 615ML P6.1CM SILICONE GEL MODERATE PLUS TALL HEIGHT CPG 332 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W14XH13.2CM P4.9CM 440CC SILICONE GEL M HEIGHT MODERATE CPG 321 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W15XH14.1CM 530ML P5.2CM SILICONE GEL MODERATE MEDIUM HEIGHT CPG 321 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W15XH15.6CM 680ML P6.3CM SILICONE GEL MODERATE PLUS TALL HEIGHT CPG 332 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W16XH15CM 640ML P5.6CM SILICONE GEL MODERATE M HEIGHT CPG 321 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W9.5XH8.9CM 135ML P3.5CM SILICONE GEL MODERATE MEDIUM HEIGHT CPG 321 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W9.5XH9.9CM 175ML P4CM SILICONE GEL MODERATE PLUS TALL HEIGHT CPG 332 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W9XH8.5CM 120ML P3.3CM SILICONE GEL MODERATE MEDIUM HEIGHT CPG 321 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8600,IMPLANT BREAST W9XH9.4CM 145ML P3.8CM SILICONE GEL MODERATE PLUS TALL HEIGHT CPG 332 COHESIVE III,2400.0,1560.0,1274.13,2280.0,600 HCPCS,L8604,DEFLUX IMPLANT UROLOGICAL PROSTHESIS BLADDER VESICOURETERAL REFLUX SILICONE GEL INJECTABLE PREFILLED STERILE DISPOSABLE PEDIATRIC 1CC,7270.0,4725.5,4034.85,7051.9,600 HCPCS,L8606,GRAFT UROLOGICAL SYRINGE SYNTHETIC INJECTABLE,945.62,614.65,316.1,898.34,600 HCPCS,L8606,HC IMPL URINARY TRACT SYNTH 1 KIT,3000.0,1950.0,316.1,2850.0,880 HCPCS,L8606,KT BULKAMID URETHRAL,2600.0,1690.0,316.1,2470.0,600 HCPCS,L8610,CONFORMER OPHTHALMIC M W21XL24MM BILATERAL CLEAR VENTED ACRYLIC CUP PREVENT CLOSURE DURING HEALING PROCESS,144.0,93.6,79.92,1046.28,600 HCPCS,L8610,CONFORMER OPHTHALMIC SM W19XL22MM BILATERAL CLEAR VENTED ACRYLIC CUP PREVENT CLOSURE DURING HEALING PROCESS,144.0,93.6,79.92,1046.28,600 HCPCS,L8610,IMPLANT EYELID 0.8GM THK0.6MM 12.7MM GOLD 3D CURVATURE TAPERING SMOOTHLY BLEND SURFACE,530.0,344.5,294.15,1046.28,600 HCPCS,L8610,IMPLANT EYELID 0.8GM THK0.6MM 12.7MM PLATINUM 3D CURVATURE TAPERING SMOOTHLY BLEND SURFACE,800.0,520.0,444.0,1046.28,600 HCPCS,L8610,IMPLANT EYELID 1.2GM THK0.6MM 12.7MM GOLD 3D CURVATURE TAPERING SMOOTHLY BLEND SURFACE,610.0,396.5,338.55,1046.28,600 HCPCS,L8610,IMPLANT EYELID 1.2GM THK0.6MM 12.7MM PLATINUM 3D CURVATURE TAPERING SMOOTHLY BLEND SURFACE,880.0,572.0,488.4,1046.28,600 HCPCS,L8610,IMPLANT EYELID 1.4GM THK0.6MM 12.7MM GOLD 3D CURVATURE TAPERING SMOOTHLY BLEND SURFACE,650.0,422.5,360.75,1046.28,600 HCPCS,L8610,IMPLANT EYELID 1.4GM THK0.6MM 12.7MM PLATINUM 3D CURVATURE TAPERING SMOOTHLY BLEND SURFACE,970.0,630.5,538.35,1046.28,600 HCPCS,L8610,IMPLANT EYELID 1.6GM THK0.6MM 12.7MM GOLD 3D CURVATURE TAPERING SMOOTHLY BLEND SURFACE,710.0,461.5,394.05,1046.28,600 HCPCS,L8610,IMPLANT EYELID 1.6GM THK0.6MM 12.7MM PLATINUM 3D CURVATURE TAPERING SMOOTHLY BLEND SURFACE,1130.0,734.5,627.15,1073.5,600 HCPCS,L8610,IMPLANT EYELID 1.8GM THK0.6MM 12.7MM PLATINUM 3D CURVATURE TAPERING SMOOTHLY BLEND SURFACE,1200.0,780.0,666.0,1140.0,600 HCPCS,L8610,IMPLANT EYELID 1GM THK0.6MM 12.7MM GOLD 3D CURVATURE TAPERING SMOOTHLY BLEND SURFACE,570.0,370.5,316.35,1046.28,600 HCPCS,L8610,IMPLANT GLAUCOMA GLOBAL BERVELDT PLANA,1400.0,910.0,777.0,1330.0,600 HCPCS,L8610,IMPLANT OCULAR DIA14.5MM COMPRESSED DIA12MM PMMA CAPSULAR TENSION RING NONOPTICAL,527.98,343.19,293.03,1046.28,600 HCPCS,L8610,IMPLANT OPHTHALMIC DRAIN ANTERIOR CHAMBER GLAUCOMA STRAIGHT STERILE 250MM,1585.34,1030.47,879.86,1506.07,600 HCPCS,L8610,IMPLANT OPHTHALMIC DRAIN ANTERIOR CHAMBER GLAUCOMA STRAIGHT STERILE 350MM,1585.34,1030.47,879.86,1506.07,600 HCPCS,L8610,IMPLANT OPHTHALMIC SPHERE EYE INERT HARD LIGHTWEIGHT STERILE 18MM,128.0,83.2,71.04,1046.28,600 HCPCS,L8610,IMPLANT OPHTHALMIC SPHERE EYE INERT HARD LIGHTWEIGHT STERILE 20MM,128.0,83.2,71.04,1046.28,600 HCPCS,L8610,IMPLANT OPHTHALMIC STENT CATARACT INTRACOCULAR PRESSURE INJECT,3300.0,2145.0,1046.28,3135.0,600 HCPCS,L8610,IMPLANT OPHTHALMIC STRIP EYE LID MUSCULUS ORBICULARIS OCULAR PTOSIS SLING STERILE 0.64X300MM,116.66,75.83,64.75,1046.28,600 HCPCS,L8610,IMPLANT-TISSUE SYNTHETIC-POLYETHYLENE CRANIOMAXILLOFACIAL-ORBITAL-FLOOR LEFT-REGULAR WEDGE-ENOPHTHALMOS-POROUS LATEX-FREE STERILE 7X22X31MM,1298.08,843.75,720.43,1233.18,600 HCPCS,L8610,RING CAPSULAR DIA13/11MM PMMA TENSION,527.98,343.19,293.03,1046.28,600 HCPCS,L8610,RING FIXATION 10-12.3MM CAPSULAR TENSION EXPANDED COMPRESSIBLE,465.52,302.59,258.36,1046.28,600 HCPCS,L8610,RING FIXATION L10.14MM DIA10MM PMMA PARTIAL TYPE 6E FOR ZONULAR WEAKNESS DISPOSABLE SEGMENT,390.0,253.5,216.45,1046.28,600 HCPCS,L8610,RING OPHTHALMIC PMMA PRELOADED LEFT CAPSULAR TENSION 10-12.3MM,398.0,258.7,220.89,1046.28,600 HCPCS,L8610,RING OPHTHALMIC PMMA PRELOADED RIGHT CAPSULAR TENSION 10-12.3MM,398.0,258.7,220.89,1046.28,600 HCPCS,L8610,WEIGHT EYELID GOLD LOWER ROUND CORNER 1.6GM,650.0,422.5,360.75,1046.28,600 HCPCS,L8610,WEIGHT EYELID GOLD TAPERED ROUND CORNER THIN 0.6GM,490.0,318.5,271.95,1046.28,600 HCPCS,L8610,WEIGHT EYELID PLATINUM 1.0G,810.0,526.5,449.55,1046.28,600 HCPCS,L8613,ABTMNT HD ALT TI 2.5-3.5X2-5.6,834.0,542.1,462.87,792.3,600 HCPCS,L8613,ABTMNT HD ALT TI 3X1.5,834.0,542.1,462.87,792.3,600 HCPCS,L8613,ABTMNT HD ALT TI OD2X2.5 L3-7,874.0,568.1,485.07,830.3,600 HCPCS,L8613,HNDL BUCKET 0.6X3.75,516.0,335.4,286.38,523.08,600 HCPCS,L8613,HNDL BUCKET 0.6X4.00,516.0,335.4,286.38,523.08,600 HCPCS,L8613,HNDL BUCKET 0.6X4.25,516.0,335.4,286.38,523.08,600 HCPCS,L8613,HNDL BUCKET 0.6X4.50,516.0,335.4,286.38,523.08,600 HCPCS,L8613,HNDL BUCKET 0.6X4.75,516.0,335.4,286.38,523.08,600 HCPCS,L8613,IMPLANT L3.75MM PISTON DIA0.5MM NITINOL FLUOROPLASTIC,480.32,312.21,266.58,523.08,600 HCPCS,L8613,IMPLANT L4.25MM PISTON DIA0.5MM NITINOL FLUOROPLASTIC,480.32,312.21,266.58,523.08,600 HCPCS,L8613,IMPLANT L4.9MM DIA1.17MM LONG HYDROXYLAPATITE FULLY CANNULATED STRUT,647.16,420.65,359.17,614.8,600 HCPCS,L8613,IMPLANT L4MM PISTON DIA0.6MM NITINOL FLUOROPLASTIC,480.32,312.21,266.58,523.08,600 HCPCS,L8613,IMPLANT L5.13MM DIA0.76MM SHORT HYDROXYLAPATITE STAPE STRUT,669.76,435.34,371.72,636.27,600 HCPCS,L8613,IMPLANT L9.96MM DIA0.76MM LONG HYDROXYLAPATITE STAPE FULLY CANNULATED STRUT,669.76,435.34,371.72,636.27,600 HCPCS,L8613,IMPLANT M L7.10MM DIA0.76MM HYDROXYLAPATITE STAPE FULLY CANNULATED STRUT,669.76,435.34,371.72,636.27,600 HCPCS,L8613,IMPLANT OSSICULAR L4.5MM DIA0.5MM NITINOL FLUOROPLASTIC PISTON FOR STAPEDECTOMY,480.32,312.21,266.58,523.08,600 HCPCS,L8613,IMPLANT OSSICULAR L4.75MM DIA0.5MM NITINOL FLUOROPLASTIC STAPES PISTON FOR STAPEDECTOMY,480.32,312.21,266.58,523.08,600 HCPCS,L8613,IMPLANT OSSICULAR L5MM PISTON DIA0.6MM STAPES PLATINUM STAINLESS STEEL RIBBON LOOP,261.88,170.22,145.34,523.08,600 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR CUP PISTON BONE ANCHORED TITANIUM BUCKET HANDLE LATEX FREE STERILE 0.4X4MM,516.0,335.4,286.38,523.08,600 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR CUP PISTON BONE ANCHORED TITANIUM BUCKET HANDLE STERILE 0.4X4.25MM,516.0,335.4,286.38,523.08,600 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR PISTON BONE ANCHORED NITINOL FLUOROPLASTIC BUCKET HANDLE LATEX FREE STERILE 0.6X4.5MM STAPLES,668.0,434.2,370.74,634.6,600 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR PISTON PROSTHESIS STAPES NITINOL FLUOROPLASTIC ENCIRCLING LOOP STERILE BUCKET HANDLE COMPATIBLE 0.6X4.75MM,485.9,315.83,269.67,523.08,600 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR PISTON PROSTHESIS STAPES NITINOL FLUOROPLASTIC ENCIRCLING STERILE BUCKET HANDLE COMPATIBLE 0.5X4MM,485.9,315.83,269.67,523.08,600 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR PISTON PROSTHESIS STAPES NITINOL FLUOROPLASTIC STERILE BUCKET HANDLE 0.6X4.25MM,480.32,312.21,266.58,523.08,600 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR PROSTHESIS EAR TITANIUM MONOLITHIC TILTABLE HEAD CENTERED STERILE PRE SIZED 0.6X6.5MM,588.92,382.8,326.85,559.47,600 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR PROSTHESIS EAR TITANIUM MONOLITHIC TILTABLE HEAD CENTERED STERILE PRE SIZED 0.6X6MM,588.92,382.8,326.85,559.47,600 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR PROSTHESIS MYRINGOPEXY TITANIUM HEAD MALLEABLE CENTERED LATEX FREE STERILE PARTIAL 0.5X1.17X3MM,623.12,405.03,345.83,591.96,600 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR STAPE PROSTHESIS MID EAR POLYCEL PARTIAL TOTAL LATEX FREE STERILE FULLY CANNULATED 1.17X4.75MM,391.6,254.54,217.34,523.08,600 HCPCS,L8613,IMPLANT PARTIAL OSSICULAR DIA3.0MM L1.5MM HEAD MALLEABLE CENTERED TITANIUM,623.12,405.03,345.83,591.96,600 HCPCS,L8613,IMPLANT STAPES L3.75MM DIA0.6MM NITINOL MIDDLE EAR STAPES WIRE PISTON FLUOROPLASTIC LOOP,485.9,315.83,269.67,523.08,600 HCPCS,L8613,IMPLANT STAPES L4.50MM DIA0.6MM NITINOL MIDDLE EAR STAPES WIRE PISTON FLUOROPLASTIC LOOP,480.32,312.21,266.58,523.08,600 HCPCS,L8613,LOOP L4.75MM IMPLANT STAPES WIRE,273.92,178.05,152.03,523.08,600 HCPCS,L8613,PISTON L5.5MM DIA0.6MM MALLEUS TO FOOTPLATE NITINOL/FLUOROPLASTIC,588.92,382.8,326.85,559.47,600 HCPCS,L8613,PROSTHESIS L3-7MM SHAFT DIA0.2MM 3.6X2.6MM TITANIUM TOTAL ADJUSTABLE WITH SIZER DISK,974.0,633.1,523.08,925.3,600 HCPCS,L8613,PROSTHESIS L5.25MM SHAFT OD0.4MM NITINOL MIDDLE EAR STAPES PISTON FLUOROPLASTIC 360,513.74,333.93,285.13,523.08,600 HCPCS,L8613,PROSTHESIS L8MM DIA0.8-1MM POLYCEL TOTAL OVAL HEAD,404.8,263.12,224.66,523.08,600 HCPCS,L8613,PROSTHESIS OSSICULAR L1MM HEAD 3MM DISTAL END DIA1.17MM TITANIUM PARTIAL,623.12,405.03,345.83,591.96,600 HCPCS,L8613,PROSTHESIS OSSICULAR L2-5.6MM HEAD DIA2-2.5MM DISTAL END DIA1.45MM TITANIUM PARTIAL ASSURE,874.0,568.1,485.07,830.3,600 HCPCS,L8613,PROSTHESIS STRUT L3.9MM 1.17MM HYDROXYLAPATITE FULLY CANNULATED MD SHAFT,635.14,412.84,352.5,603.38,600 HCPCS,L8613,PSTN HEAR AID NTF 0.6X3.75,646.0,419.9,358.53,613.7,600 HCPCS,L8613,PSTN HEAR AID NTF 0.6X4.0,583.3,379.15,323.73,554.14,600 HCPCS,L8613,PSTN HEAR AID NTF 0.6X4.25,583.3,379.15,323.73,554.14,600 HCPCS,L8613,PSTN HEAR AID NTF 0.6X4.5,583.3,379.15,323.73,554.14,600 HCPCS,L8613,PSTN HEAR AID NTF 0.6X4.75,583.3,379.15,323.73,554.14,600 HCPCS,L8613,TTP VARIAC IMPLANT OTOLARYNGOLOGY OSSICULAR PROSTHESIS MID EAR TITANIUM PARTIAL PROSTHESIS STERILE 0.2X1.75 4.5MM,974.0,633.1,523.08,925.3,600 HCPCS,L8613,TUBE VENTILATION INTERFLANGE DISTANCE 1.5MM FLANGE DIA3MM LUMEN 1.27MM FLUOROPLASTIC COLLAR BUTTON,147.2,95.68,81.7,523.08,600 HCPCS,L8614,IMPLANT COCHLEAR CI24RE,28000.0,18200.0,15540.0,30137.26,600 HCPCS,L8614,IMPLANT COCHLEAR ELECTRODE,28000.0,18200.0,15540.0,30137.26,600 HCPCS,L8614,IMPLANT COCHLEAR WITH SLIM STRAIGHT ELECTRODE CI422,28000.0,18200.0,15540.0,30137.26,600 HCPCS,L8614,IMPLANT HEARING AID WITH SLIM STRAIGHT ELECTRODE,28000.0,18200.0,15540.0,30137.26,600 HCPCS,L8614,IMPLANT KIT OTOLARYNGOLOGY HEARING AID ABUTMENT BONE ANCHORED TITANIUM BONE CONDUCTION STERILE,9800.0,6370.0,5439.0,30137.26,600 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY ABUTMENT HEARING AID MAGNET BONE ANCHORED FOR STERILE,190.0,123.5,105.45,30137.26,600 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE ARRAY COCHLEAR PLATINUM LATEX FREE STERILE 2 FLEXSOFT 0.5X1.3X26.4MM,38000.0,24700.0,21090.0,36100.0,600 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE ARRAY COCHLEAR PLATINUM STERILE 2 FLEX26 0.5X0.8X20.9MM,38000.0,24700.0,21090.0,36100.0,600 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE COCHLEAR LATEX FREE STERILE 3D MID SCALA,29222.0,18994.3,16218.21,30137.26,600 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE COCHLEAR LATEX FREE STERILE 3D SLIMJ HI SLIM J,29222.0,18994.3,16218.21,30137.26,600 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE COCHLEAR PERIMODIOLAR STERILE,28000.0,18200.0,15540.0,30137.26,600 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE COCHLEAR SLIM STRAIGHT STERILE,28000.0,18200.0,15540.0,30137.26,600 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE MID SCALA LATEX FREE STERILE,25222.0,16394.3,13998.21,30137.26,1200 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE SCALA TYMPANI SLIM MODIOLAR STERILE,29000.0,18850.0,16095.0,30137.26,600 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING DEVICE ELECTRODE ARRAY COCHLEAR PLATINUM SOFT 2 FLEX 24,38000.0,24700.0,21090.0,36100.0,600 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING DEVICE ELECTRODE ARRAY COCHLEAR PLATINUM SOFT 2 FLEX 28,38000.0,24700.0,21090.0,36100.0,600 HCPCS,L8614,IMPLANT OTOLOGY L28MM FLEX TIP TECHNOLOGY ARRAY ELECTRODE FOR NORMAL COCHLEAR DUCT,38000.0,24700.0,21090.0,36100.0,600 HCPCS,L8614,KIT PROCESSOR AUDIO DUAL,19360.0,12584.0,10744.8,30137.26,600 HCPCS,L8614,KIT PROCESSOR AUDIO EXTERNAL DUAL 2,19360.0,12584.0,10744.8,30137.26,600 HCPCS,L8614,KIT PROCESSOR AUDIO EXTERNAL DUAL OPUS 2,19360.0,12584.0,10744.8,30137.26,600 HCPCS,L8614,KIT PROCESSOR AUDIO EXTERNAL DUAL OPUS 2 THI,19360.0,12584.0,10744.8,30137.26,600 HCPCS,L8614,KIT PROCESSOR AUDIO EXTERNAL DUAL SONNET/OPUS 2,19360.0,12584.0,10744.8,30137.26,600 HCPCS,L8614,KIT PROCESSOR AUDIO EXTERNAL DUAL SONNET/RONDO,19360.0,12584.0,10744.8,30137.26,600 HCPCS,L8614,MAGNET HEARING AID TITANIUM CONICAL FOR 4 ATTRACT ONE STAGE SURGERY BIM400,3726.0,2421.9,2067.93,30137.26,600 HCPCS,L8614,MAGNET REMOVABLE CI512 COCHLEAR IMPLANT,300.0,195.0,166.5,30137.26,600 HCPCS,L8614,MI1250 2 PIN FLEX28 S-VECTOR MAGNET,38000.0,24700.0,21090.0,36100.0,600 HCPCS,L8614,NEXA WITH ELECTRODE (CI1012),29779.3,19356.54,16527.51,30137.26,600 HCPCS,L8614,NEXA WITH SLIM MODIOLAR ELECTRODE (CI1032),30816.76,20030.89,17103.3,30137.26,600 HCPCS,L8614,NEXA WITH SLIM STRAIGHT ELECTRODE (CI1022),29779.3,19356.54,16527.51,30137.26,600 HCPCS,L8681,ACCESSORY PROGRAMMER NEUROSTIMULATOR PAIN MANAGEMENT SPINAL CORD ENTENDED LATEX FREE STERILE 74X79MM,589.0,382.85,326.9,1755.48,604 HCPCS,L8681,KIT REMOTE 3 FOR DEEP BRAIN STIMULATOR,1200.0,780.0,666.0,1755.48,604 HCPCS,L8681,KIT-REMOTE-CONTROL-4-NEUROSTIMULATOR DEEP-BRAIN-STIMULATION SLLEVE-HOLDER-USB SKIP,1200.0,780.0,666.0,1755.48,604 HCPCS,L8681,PROGRAMMER FOR PERCEPT PC NEUROSTIMULATOR,2995.74,1947.23,1662.64,2845.95,604 HCPCS,L8681,REMOTE PATIENT IMPLANTABLE PULSE GENERATOR SAFE OMNIA,2000.0,1300.0,1110.0,1900.0,604 HCPCS,L8689,ACCESSORY PROGRAMMER NEUROSTIMULATOR PAIN MANAGEMENT PERMANENT LEAD COMPATIBLE STERILE,2565.0,1667.25,1423.58,2655.04,604 HCPCS,L8689,KIT ACCESSORY NEUROSTIMULATOR PAIN MANAGEMENT SPINE PERMANENT TITANIUM COMPATIBLE MULTIPROGRAM NON RECHARGEABLE LATEX FREE STERILE,3000.0,1950.0,1665.0,2850.0,604 HCPCS,L8689,KIT NERVE STIMULATOR SPINAL,2000.0,1300.0,1110.0,2655.04,604 HCPCS,L8689,TOOL NERVE STIMULATOR KIT SPINAL EXTERNAL,2000.0,1300.0,1110.0,2655.04,604 HCPCS,L8690,PROCESSOR HEARING DEVICE COCHLEAR IMPLANT BONE ANCHORED ASSORTED COLORS LATEX FREE NON STERILE,8533.3,5546.65,4735.98,8362.63,600 HCPCS,L8690,PROCESSOR HEARING DEVICE COCHLEAR IMPLANT STERILE OSI300,9318.88,6057.27,5171.98,9132.5,600 HCPCS,L8693,GRAFT ALLOGRAFT 110X6.5MM,1830.08,1189.55,1015.69,2333.91,600 HCPCS,L8693,GRFT BN FIB FD 8X14-18,1147.0,745.55,636.59,2333.91,600 HCPCS,L8699,COIL EMBOLIZATION 10 L10CM OD4MM ADVANCED RESISTANT 2 TIP MARKER MICROCATHETER FOR FRAMING FILLING V-TRACK,2750.0,1787.5,1526.25,2667.5,600 HCPCS,L8699,COIL EMBOLIZATION 10 L15CM OD5MM ADVANCED RESISTANT 2 TIP MARKER MICROCATHETER FOR FRAMING FILLING V-TRACK,2750.0,1787.5,1526.25,2667.5,600 HCPCS,L8699,COIL EMBOLIZATION 10 L15CM OD6MM ADVANCED RESISTANT 2 TIP MARKER MICROCATHETER FOR FRAMING FILLING V-TRACK,2750.0,1787.5,1526.25,2667.5,600 HCPCS,L8699,COIL EMBOLIZATION 10 L20CM LOOP OD5MM RESISTANT 2 TIP MARKER MICROCATHETER FOR FRAMING FILLING V-TRACK,2310.0,1501.5,1282.05,2240.7,600 HCPCS,L8699,COIL EMBOLIZATION 10 L20CM LOOP OD6MM RESISTANT 2 TIP MARKER MICROCATHETER FOR FRAMING FILLING V-TRACK,2310.0,1501.5,1282.05,2240.7,600 HCPCS,L8699,COIL EMBOLIZATION 10 L20CM OD7MM ADVANCED RESISTANT 2 TIP MARKER MICROCATHETER FOR FRAMING FILLING V-TRACK,2750.0,1787.5,1526.25,2667.5,600 HCPCS,L8699,COIL EMBOLIZATION 10 L30CM OD10MM ADVANCED RESISTANT 2 TIP MARKER MICROCATHETER FOR FRAMING FILLING V-TRACK,2750.0,1787.5,1526.25,2667.5,600 HCPCS,L8699,COIL EMBOLIZATION 10 L30CM OD12MM ADVANCED RESISTANT 2 TIP MARKER MICROCATHETER FOR FRAMING FILLING V-TRACK,2750.0,1787.5,1526.25,2667.5,600 HCPCS,L8699,COIL EMBOLIZATION 10 L30CM OD9MM ADVANCED RESISTANT 2 TIP MARKER MICROCATHETER FOR FRAMING FILLING V-TRACK,2750.0,1787.5,1526.25,2667.5,600 HCPCS,L8699,COIL EMBOLIZATION 10 L6CM OD2MM ADVANCED RESISTANT 2 TIP MARKER MICROCATHETER FOR FRAMING FILLING V-TRACK,2750.0,1787.5,1526.25,2667.5,600 HCPCS,L8699,COIL EMBOLIZATION 10 L6CM OD3MM ADVANCED RESISTANT 2 TIP MARKER MICROCATHETER FOR FRAMING FILLING V-TRACK,2750.0,1787.5,1526.25,2667.5,600 HCPCS,L8699,COIL EMBOLIZATION 10 L6CM OD4MM ADVANCED RESISTANT FINISHING,2310.0,1501.5,1282.05,2240.7,600 HCPCS,L8699,COIL EMBOLIZATION L10CM LOOP DIA5MM HYDROGEL ADVANCED RESISTANT LONGER WORKING TIME FOR FILLING V-TRACK,2750.0,1787.5,1526.25,2667.5,600 HCPCS,L8699,COIL EMBOLIZATION L12CM DIA3MM 0.018IN STANDARD PLATINUM 2D RESISTANT DETACHABLE OCCLUSION SYSTEM INTERLOCK-18 FIBERED,554.0,360.1,307.47,537.38,600 HCPCS,L8699,COIL EMBOLIZATION L30CM DIA10MM 0.018IN STANDARD PLATINUM 2D RESISTANT DETACHABLE OCCLUSION SYSTEM INTERLOCK-18 FIBERED,554.0,360.1,307.47,537.38,600 HCPCS,L8699,COIL EMBOLIZATION L30CM DIA6-10MM ADVANCED REVOLUTIONARY DESIGN WITH COMPLEX LOOP FOR FILLING VFC,2125.0,1381.25,1179.38,2061.25,600 HCPCS,L8699,COIL EMBOLIZATION L8CM LOOP DIA4MM HYDROGEL ADVANCED RESISTANT LONGER WORKING TIME FOR FILLING V-TRACK,2750.0,1787.5,1526.25,2667.5,600 HCPCS,L8699,COIL EMBOLIZATION NON COATED PLATINUM PUSHABLE LATEX FREE STERILE SOFT 10 COIL 2MMX4CM,1092.0,709.8,606.06,1059.24,600 HCPCS,L8699,COIL EMBOLIZATION NON COATED PLATINUM PUSHABLE LATEX FREE STERILE SOFT 10 COIL 2MMX6CM,1092.0,709.8,606.06,1059.24,600 HCPCS,L8699,COIL EMBOLIZATION NON COATED PLATINUM PUSHABLE LATEX FREE STERILE SOFT 10 COIL 2MMX8CM,1092.0,709.8,606.06,1059.24,600 HCPCS,L8699,COIL EMBOLIZATION NON COATED PLATINUM PUSHABLE LATEX FREE STERILE SOFT 10 COIL 3MMX10CM,1092.0,709.8,606.06,1059.24,600 HCPCS,L8699,COIL EMBOLIZATION NON COATED PLATINUM PUSHABLE LATEX FREE STERILE SOFT 10 COIL 3MMX8CM,1092.0,709.8,606.06,1059.24,600 HCPCS,L8699,COIL EMBOLIZATION NON COATED PLATINUM PUSHABLE LATEX FREE STERILE SOFT 10 COIL 4MMX10CM,1092.0,709.8,606.06,1059.24,600 HCPCS,L8699,COIL EMBOLIZATION NON COATED PLATINUM PUSHABLE LATEX FREE STERILE SOFT 10 COIL 4MMX8CM,1092.0,709.8,606.06,1059.24,600 HCPCS,L8699,COIL EMBOLIZATION NON COATED PLATINUM PUSHABLE LATEX FREE STERILE SOFT 18 COIL 2MMX8CM,806.0,523.9,447.33,781.82,600 HCPCS,L8699,COIL EMBOLIZATION NON COATED PLATINUM PUSHABLE LATEX FREE STERILE SOFT 18 COIL 3MMX8CM,806.0,523.9,447.33,781.82,600 HCPCS,L8699,COIL EMBOLIZATION SIZE 10 L10CM LOOP DIA3MM ADVANCED RESISTANT FOR FILLING/FINISHING,2310.0,1501.5,1282.05,2240.7,600 HCPCS,L8699,COIL EMBOLIZATION SIZE 10 L12CM LOOP DIA4MM ADVANCED RESISTANT FOR FRAMING/FILLING/FINISHING V-TRACK,1990.0,1293.5,1104.45,1930.3,600 HCPCS,L8699,COIL EMBOLIZATION SIZE 10 L15CM LOOP DIA5MM ADVANCED RESISTANT FOR FILLING/FINISHING,2310.0,1501.5,1282.05,2240.7,600 HCPCS,L8699,COIL EMBOLIZATION SIZE 10 L22CM L LOOP DIA5MM RESISTANT COMPLEX WITH ADVANCED DELIVERY SYSTEM FOR 0.0165IN 2 TIP MARKER MICROCATHETER,1990.0,1293.5,1104.45,1930.3,600 HCPCS,L8699,COIL EMBOLIZATION SIZE 10 L26CM L LOOP DIA6MM RESISTANT COMPLEX WITH ADVANCED DELIVERY SYSTEM FOR 0.0165IN 2 TIP MARKER MICROCATHETER,1990.0,1293.5,1104.45,1930.3,600 HCPCS,L8699,COIL EMBOLIZATION SIZE 10 L31CM L LOOP DIA7MM RESISTANT COMPLEX WITH ADVANCED DELIVERY SYSTEM FOR 0.0165IN 2 TIP MARKER MICROCATHETER,1990.0,1293.5,1104.45,1930.3,600 HCPCS,L8699,COIL EMBOLIZATION SIZE 10 L37CM LOOP DIA8MM ADVANCED RESISTANT FOR FRAMING/FILLING/FINISHING V-TRACK,1990.0,1293.5,1104.45,1930.3,600 HCPCS,L8699,COIL EMBOLIZATION SIZE 10 L4CM L LOOP DIA2.5MM RESISTANT COMPLEX WITH ADVANCED DELIVERY SYSTEM FOR 0.0165IN 2 TIP MARKER MICROCATHETER,1990.0,1293.5,1104.45,1930.3,600 HCPCS,L8699,COIL EMBOLIZATION SIZE 18 L19CM L LOOP DIA6MM RESISTANT COMPLEX WITH ADVANCED DELIVERY SYSTEM FOR 0.0165IN 2 TIP MARKER MICROCATHETER,2100.0,1365.0,1165.5,2037.0,600 HCPCS,L8699,COIL EMBOLIZATION SIZE 18 L23CM L LOOP DIA7MM RESISTANT COMPLEX WITH ADVANCED DELIVERY SYSTEM FOR 0.0165IN 2 TIP MARKER MICROCATHETER,2100.0,1365.0,1165.5,2037.0,600 HCPCS,L8699,COIL EMBOLIZATION SIZE 18 L27CM LOOP DIA8MM ADVANCED FOR FRAMING/FILLING/FINISHING V-TRACK,2100.0,1365.0,1165.5,2037.0,600 HCPCS,L8699,COIL EMBOLIZATION SIZE 18 L31CM LOOP DIA9MM ADVANCED FOR FRAMING/FILLING/FINISHING V-TRACK,2100.0,1365.0,1165.5,2037.0,600 HCPCS,L8699,COIL EMBOLIZATION SIZE 18 L39CM LOOP DIA11MM ADVANCED FOR FRAMING/FILLING/FINISHING V-TRACK,2100.0,1365.0,1165.5,2037.0,600 HCPCS,L8699,COIL EMBOLIZATION SIZE 18 L43CM LOOP DIA12MM ADVANCED FOR FRAMING/FILLING/FINISHING V-TRACK,2100.0,1365.0,1165.5,2037.0,600 HCPCS,L8699,COIL EMBOLIZATION SIZE 18 L47CM LOOP DIA13MM ADVANCED FOR FRAMING/FILLING/FINISHING V-TRACK,2100.0,1365.0,1165.5,2037.0,600 HCPCS,L8699,COIL VASCULAR REGULAR 10MM DIAMETER 30CM LENGTH V TRAK RESISTANT .018IN GUIDEWIRE,962.0,625.3,533.91,933.14,600 HCPCS,L8699,COIL VASCULAR SIZE 18 L10CM DIA4MM PLATINUM SOFT,806.0,523.9,447.33,781.82,600 HCPCS,L8699,COIL VASCULAR SIZE 18 L12CM DIA5MM PLATINUM SOFT,806.0,523.9,447.33,781.82,600 HCPCS,L8699,GRAFT BONE W15-18XL100MM ULNAR SHAFT FREEZE DRIED,1345.32,874.46,746.65,1304.96,600 HCPCS,L8699,GRAFT BONE W22XH10XL22MM WEDGE PRESHAPED FREEZE DRIED FOR FLATFOOT DEFORMITY CORRECTION COTTON WEDGE OSTEOTOMY ENHANCE,2035.44,1323.04,1129.67,1974.38,600 HCPCS,L8699,GRAFT BONE W22XH6XL22MM WEDGE PRESHAPED FREEZE DRIED FOR FLATFOOT DEFORMITY CORRECTION COTTON WEDGE OSTEOTOMY ENHANCE,2035.44,1323.04,1129.67,1974.38,600 HCPCS,L8699,GRAFT BONE W22XH8XL22MM WEDGE PRESHAPED FREEZE DRIED FOR FLATFOOT DEFORMITY CORRECTION COTTON WEDGE OSTEOTOMY ENHANCE,2035.44,1323.04,1129.67,1974.38,600 HCPCS,L8699,IMPLANT CHIN CRANIOMAXILLOFACIAL SILICONE STERILE EXTENDED ANATOMICAL,630.0,409.5,349.65,611.1,600 HCPCS,L8699,IMPLANT CHIN CRANIOMAXILLOFACIAL SILICONE STERILE EXTENDED ANATOMICAL 1.2X5.6CM,450.0,292.5,249.75,436.5,600 HCPCS,L8699,IMPLANT GRAFT BONE WHOLE BONE FEMORAL HEAD FROZEN LATEX FREE STERILE WITH TROCHANTER RIGHT 20-70MM,3282.7,2133.76,1821.9,3184.22,600 HCPCS,L8699,IMPLANT PROSTHESIS UROLOGICAL PROSTATE URETHRA CARTRIDGE STERILE UROLIFT2,2300.0,1495.0,1276.5,2231.0,600 HCPCS,L8699,SPINAL SM W16XH33-46MM 0DEG POSTERIOR THORACOLUMBAR VERTEBRAL BODY REPLACEMENT PARALLEL SELF EXPANDING,7850.0,5102.5,4356.75,7614.5,600 HCPCS,L8699,SYSTEM UROLOGICAL WITH IMPLANT DELIVERY DEVICE FOR TREATMENT OF URINARY OUTFLOW OBSTRUCTION,2150.0,1397.5,1193.25,2085.5,600 HCPCS,M0222,"HC IV INJ BEBTELOVIMAB, INCL INJ AND POST ADMIN MONITORING",536.0,348.4,195.64,525.28,883 HCPCS,P9010,HC BLOOD WHOLE EA UNIT,306.0,198.9,152.08,296.82,884 HCPCS,P9010,HC IAT BLOOD WHOLE EA UNIT,226.0,146.9,112.32,219.22,884 HCPCS,P9012,HC CRYOPRECIPITATE EA UNIT,134.0,87.1,66.6,129.98,884 HCPCS,P9017,HC FFP SNGL DONOR,995.0,646.75,85.98,965.15,884 HCPCS,P9022,HC IAT RBC WASHED EA UNIT ADDTL,399.0,259.35,198.3,423.87,884 HCPCS,P9022,HC IAT RBC WASHED INITIAL UNIT,1709.0,1110.85,368.58,1657.73,884 HCPCS,P9022,HC RBC WASHED EA UNIT,832.0,540.8,368.58,807.04,884 HCPCS,P9037,HC PLT PHERESIS LR IRRAD EA UNIT,1763.0,1145.95,680.61,1710.11,884 HCPCS,P9040,HC RBC LR IRRAD EA UNIT,974.0,633.1,265.41,944.78,884 HCPCS,P9041,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION (PERFUSION ONLY)",163.5,106.28,10.62,160.23,884 HCPCS,P9045,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",163.5,106.28,53.08,158.6,884 HCPCS,P9045,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION (PERFUSION ONLY)",256.75,166.89,53.08,339.5,1768 HCPCS,P9046,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",146.1,94.97,21.23,141.72,884 HCPCS,P9046,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION (PERFUSION ONLY)",146.1,94.97,21.23,141.72,884 HCPCS,P9046,"ALBUMIN, HUMAN 25 % NON-INTRAVENOUS SOLUTION OSM",63.9,41.54,21.23,61.98,884 HCPCS,P9050,HC GRANULOCYTES PHER PROC EA UNIT,4447.0,2890.55,2210.16,4447.0,880 HCPCS,P9052,HC PLT HLA MATCHED LR EA UNIT,1809.0,1175.85,708.06,1754.73,884 HCPCS,P9057,HC RBC DEGLYCEROLIZED LR/IR/E,1146.0,744.9,422.69,1111.62,884 HCPCS,P9059,HC FROZEN PLASMA 8-24 HR EA UNIT,1015.0,659.75,73.77,984.55,884 HCPCS,P9073,HC PLT PHERESIS PATHOGEN REDUCED EA UNIT,1941.0,1261.65,607.43,1882.77,884 HCPCS,P9612,HC CATH COLLECT URINE SPECIMEN,218.0,141.7,9.34,213.64,884 HCPCS,Q0138,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION,636.6,413.79,0.32,617.5,884 HCPCS,Q0162,ONDANSETRON 4 MG DISINTEGRATING TABLET,6.5,4.22,3.23,6.5,884 HCPCS,Q0162,ONDANSETRON HCL 1 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 HCPCS,Q0162,ONDANSETRON HCL 2 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 HCPCS,Q0162,ONDANSETRON HCL 4 MG TABLET,6.1,3.97,3.03,6.1,884 HCPCS,Q0162,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,10.0,6.5,4.97,10.0,884 HCPCS,Q0162,ONDANSETRON HCL 8 MG TABLET,6.8,4.42,3.38,6.8,884 HCPCS,Q0164,PROCHLORPERAZINE MALEATE 10 MG TABLET,9.7,6.31,4.82,9.7,884 HCPCS,Q0164,PROCHLORPERAZINE MALEATE 5 MG TABLET,8.8,5.72,4.37,8.8,884 HCPCS,Q0166,GRANISETRON HCL 0.5 MG PARTIAL (1/2) TABLET,8.5,5.53,4.22,8.5,884 HCPCS,Q0166,GRANISETRON HCL 1 MG TABLET,9.3,6.05,4.62,9.3,884 HCPCS,Q0167,DRONABINOL 2.5 MG CAPSULE,15.8,10.27,7.85,15.8,884 HCPCS,Q0224,PEMIVIBART 125 MG/ML INTRAVENOUS SOLUTION (EUA),2870.9,1866.09,1426.84,2784.77,880 HCPCS,Q0481,CONTROLLER VENTRICULAR ASSIST LEFT II,9000.0,5850.0,4995.0,22365.94,600 HCPCS,Q0481,CONTROLLER VENTRICULAR ASSIST LEFT POCKET II,11000.0,7150.0,6105.0,22365.94,600 HCPCS,Q0481,CONTROLLER VENTRICULAR ASSIST WITH EMERGENCY BACK BATTERY FOR 3 SYSTEM,11880.0,7722.0,6593.4,22365.94,600 HCPCS,Q0484,MODULE DISPLAY LEFT VAD FOR II AND XVE,5600.0,3640.0,3108.0,5604.35,600 HCPCS,Q0485,VENTRICULAR ASSIST LEFT ADAPTER DM TO PM II,600.0,390.0,333.0,600.0,600 HCPCS,Q0495,BATTERY AC-ADAPTER POWER-CORD,12200.0,7930.0,6429.34,12200.0,600 HCPCS,Q0495,BATTERY FOR VENTRICULAR ASSIST DEVICE II,15552.0,10108.8,6429.34,15552.0,600 HCPCS,Q0497,CLIP BATTERY FOR 14V LITHIUM VENTRICULAR ASSIST DEVICE II,1188.0,772.2,659.34,1188.0,600 HCPCS,Q0498,PACK PATIENT VENTRICULAR ASSIST DEVICE CONTROLLER BATTERY,850.0,552.5,471.75,807.5,604 HCPCS,Q0498,PACK SHOULDER NYLON DURABLE ADJUSTABLE,900.0,585.0,499.5,855.0,604 HCPCS,Q0498,PACK WAIST VENTRICULAR ASSIST DEVICE CONTROLLER,850.0,552.5,471.75,807.5,604 HCPCS,Q0498,VEST HOLSTER L LEFT VENTRICULAR ASSIST STRAIGHT WITH BATTERY II GOGEAR,853.2,554.58,473.53,810.54,604 HCPCS,Q0499,BAG VENTRICULAR ASSIST LEFT CONSOLIDATED POCKET CONTROLLER II,702.0,456.3,256.89,702.0,600 HCPCS,Q0499,BAG VENTRICULAR ASSIST TRANSFER BLACK LEFT CONSOLIDATED II,650.0,422.5,256.89,650.0,600 HCPCS,Q0499,BELT STABILIZATION M/L LEFT FABRIC 6 LEAD LOCK FOR II 3 LVAD VENTRICULAR ASSIST DEVICE SYSTEM,100.0,65.0,55.5,256.89,600 HCPCS,Q0499,BELT STABILIZATION SM LEFT FABRIC 6 LEAD LOCK FOR II 3 LVAD VENTRICULAR ASSIST DEVICE SYSTEM,100.0,65.0,55.5,256.89,600 HCPCS,Q0501,BAG SHOWER LEFT VENTRICULAR ASSIST II GOGEAR,486.0,315.9,269.73,786.05,600 HCPCS,Q0501,BAG SHOWER VENTRICULAR ASSIST DEVICE CONTROLLER BATTERY,600.0,390.0,333.0,786.05,600 HCPCS,Q0506,BATTERY REPLACEMENT LITHIUM-ION VENTRICULAR-ASSIST-DEVICE RECHARGEABLE,1500.0,975.0,832.5,1500.0,600 HCPCS,Q0506,SET BATTERY VENTRICULAR ASSIST DEVICE LITHIUM PRODUCT SPECIFIC II,1350.0,877.5,749.25,1350.0,600 HCPCS,Q0508,ADAPTER DC VENTRICULAR ASSIST DEVICE CONTROLLER,4000.0,2600.0,2220.0,3880.0,604 HCPCS,Q0508,BAG EQUIPMENT LEFT VENTRICULAR ASSIST TRAVEL FOR XVE LVAS CONTROLLER ALARM,320.0,208.0,177.6,310.4,604 HCPCS,Q0508,BATTERY CONTROLLER ALARM REPLACEMENT VENTRICULAR ASSIST LVAS XVE,176.66,114.83,98.05,171.36,604 HCPCS,Q0508,VENTRICULAR ASSIST 14V LEFT POWER MODULE FOR II SYSTEM,2500.0,1625.0,1387.5,2425.0,604 HCPCS,Q0508,VENTRICULAR ASSIST DEVICE LEFT EXTENSION,5200.0,3380.0,2886.0,5044.0,604 HCPCS,Q0508,VENTRICULAR ASSIST LEFT ADAPTER AUTOMOBILE DC II,450.0,292.5,249.75,436.5,604 HCPCS,Q0508,VENTRICULAR ASSIST LEFT POWER MODULE II,70.0,45.5,38.85,67.9,604 HCPCS,Q0508,VENTRICULAR ASSIST LEFT POWER MONITOR TO SYSTEM II,800.0,520.0,444.0,776.0,604 HCPCS,Q0508,VENTRICULAR DEVICE MODULAR FOR 3 SYSTEM,10371.24,6741.31,5756.04,10060.1,604 HCPCS,Q2009,FOSPHENYTOIN 50 MG PE/ML INJECTION SOLUTION (WRAPPER),79.1,51.419999999999995,1.47,106.8,1768 HCPCS,Q2026,IMPLANT-OTOLARYNGOLOGY VOICE-PROSTHESIS VOCAL-CHORD TRACHEOESOPHAGEAL CALCIUM-HYDROXLYAPATITE INJECTABLE LATEX-FREE STERILE 1ML,2812.5,1828.13,1397.81,2812.5,600 HCPCS,Q2041,YESCARTA,2270000.0,503580.0,503580.0,503580.0,18 HCPCS,Q2042,HC TISAGENLECLEUCEL CAR-POS T,2360000.0,1534000.0,410300.0,2289200.0,884 HCPCS,Q2050,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",1641.2,1066.78,108.47,1608.38,884 HCPCS,Q2053,TECARTUS (LEUKEMIA),2080000.0,462000.0,462000.0,462000.0,16 HCPCS,Q2054,BREYANZI,2520000.0,531350.4,531350.4,531350.4,6 HCPCS,Q2055,ABECMA,2380000.0,531350.4,531350.4,531350.4,1 HCPCS,Q2056,CARVYKTI,2500000.0,555310.44,555310.44,555310.44,13 HCPCS,Q3014,HC TELE ORIG SITE FEE,131.0,85.15,65.11,128.38,880 HCPCS,Q4100,DURAL GRAFT W5XL7IN PURE COLLAGEN REGENERATION PLUS,2956.38,1921.65,1640.79,2867.69,600 HCPCS,Q4100,GRAFT BIOLOGICAL CRANIAL DURAL COLLAGEN RECTANGLE LATEX FREE STERILE CONFORMABLE RESORBABLE DURAPLASTY DURA 10X12.5CM,1983.36,1289.18,1100.76,1923.86,600 HCPCS,Q4100,GRAFT BIOLOGICAL CRANIAL DURAL COLLAGEN RECTANGLE LATEX FREE STERILE CONFORMABLE RESORBABLE DURAPLASTY DURA 2.5X2.5CM,394.3,256.3,218.84,382.47,600 HCPCS,Q4100,GRAFT BIOLOGICAL CRANIAL DURAL COLLAGEN RECTANGLE LATEX FREE STERILE CONFORMABLE RESORBABLE DURAPLASTY DURA 2.5X7.5CM,588.36,382.43,326.54,570.71,600 HCPCS,Q4100,GRAFT BIOLOGICAL CRANIAL DURAL COLLAGEN RECTANGLE LATEX FREE STERILE DURAPLASTY CONFORMABLE RESORBABLE 12.5X17.5CM,2926.66,1902.33,1624.3,2838.86,600 HCPCS,Q4100,GRAFT BIOLOGICAL CRANIAL DURAL COLLAGEN STERILE RESORBABLE SUTURABLE DURAPLASTY 2X2IN,726.9,472.49,403.43,705.09,600 HCPCS,Q4100,GRAFT DERMAL DERMIS 1MM 16X20CM CORTIVA,23316.48,15155.71,11588.29,22616.99,600 HCPCS,Q4100,GRAFT DURAL W1XL3IN PURE COLLAGEN SUTURABLE REGENERATION,1359.1,883.42,754.3,1318.33,600 HCPCS,Q4100,GRAFT DURAL W2XL2IN THK0.6MM PURIFIED TYPE 1 COLLAGEN HIGHLY ABSORBABLE CONFORMABLE VERSATILE ONLAY,692.92,450.4,384.57,672.13,600 HCPCS,Q4100,GRAFT DURAL W3XL3IN THK0.6MM PURIFIED TYPE 1 COLLAGEN HIGHLY ABSORBABLE CONFORMABLE VERSATILE ONLAY,1209.14,785.94,671.07,1172.87,600 HCPCS,Q4100,GRAFT WOUND THIN 4X5IN BOVINE,5760.0,3744.0,3196.8,5587.2,600 HCPCS,Q4107,GRAFT BONE SUBSTITUTE W4XL7CM THK1.1MM STANDARD REGENERATIVE TISSUE,3694.0,2401.1,114.9,3694.0,604 HCPCS,Q4107,GRAFT HUMAN TISSUE NONMESHED REGENERATIVE TISSUE 5X5CM THK1.5MM HUMAN DERMIS,4122.0,2679.3,114.9,4122.0,604 HCPCS,Q4107,GRAFT HUMAN TISSUE W4XL7CM THK2MM EXTREME HUMAN DERMIS REGENERATIVE TISSUE,5256.0,3416.4,114.9,5256.0,604 HCPCS,Q4107,GRAFT HUMAN TISSUE W5XL10CM THK1.1MM NOMINAL STANDARD HUMAN DERMIS REGENERATIVE TISSUE NONMESHED,4298.0,2793.7,114.9,4298.0,604 HCPCS,Q4107,GRAFT TISSUE SKIN DERMIS REGENERATIVE STERILE 0.5MMX2X4CM,1704.0,1107.6,114.9,1704.0,604 HCPCS,Q4115,GRAFT DURAL 1X3IN EASY VERSATILE RELIABLE,564.24,366.76,114.9,547.31,604 HCPCS,Q4116,GRAFT HUMAN TISSUE THK1.04-2.28MM 2X4CM THICK FREEZE DRIED REGENERATIVE,836.0,543.4,114.9,810.92,604 HCPCS,Q4116,GRAFT HUMAN TISSUE W12XL12CM THK1.04-2.28MM THICK REGENERATIVE TISSUE FREEZE DRIED FOR ABDOMINAL WALL,7974.0,5183.1,114.9,7734.78,604 HCPCS,Q4116,GRAFT HUMAN TISSUE W16XL20CM THK1.04-2.28MM HICK REGENERATIVE TISSUE FREEZE DRIED FOR POST MASTECTOMY BREAST,18762.0,12195.3,114.9,18199.14,604 HCPCS,Q4116,GRAFT HUMAN TISSUE W4XL7CM THK0.53-1.02MM DERMAL MD THICK REGENERATIVE,1472.0,956.8,114.9,1427.84,604 HCPCS,Q4116,GRAFT HUMAN TISSUE W6XL12CM 1.04-2.28MM THICK REGENERATIVE TISSUE FREEZE DRIED FOR POST MASTECTOMY BREAST,3994.0,2596.1,114.9,3874.18,604 HCPCS,Q4116,GRAFT TISSUE ACELLULAR DERMIS FREEZE DRIED REGENERATIVE BREAST STERILE THICK 1.04MM 4X16CM,3352.0,2178.8,114.9,3251.44,604 HCPCS,Q4116,GRAFT TISSUE ACELLULAR DERMIS FREEZE DRIED REGENERATIVE STERILE THIN 1.2MM 6X16CM,5614.0,3649.1,114.9,5445.58,604 HCPCS,Q4116,GRAFT TISSUE ACELLULAR DERMIS FREEZE DRIED REGENERATIVE STERILE THIN 1.2MM 8X16CM,7484.0,4864.6,114.9,7259.48,604 HCPCS,Q4116,GRAFT TISSUE ACELLULAR DERMIS READY TO USE REGENERATIVE STERILE MEDIUM THICK 1.6 +/0.4MM 16X20CM,18710.0,12161.5,114.9,18148.7,604 HCPCS,Q4116,GRAFT TISSUE ACELLULAR DERMIS READY TO USE SPINE STERILE MEDIUM THICK 1.6+/0.4MM PERFORATED 16X20CM,19272.0,12526.8,114.9,18693.84,604 HCPCS,Q4116,GRAFT TISSUE ACELLULAR DERMIS REGENERATIVE STERILE THIN 0.53MM 3X7CM,3379.5,2196.68,114.9,3278.12,604 HCPCS,Q4116,GRAFT TISSUE ACELLULAR DERMIS RTU REGENERATIVE STERILE EXTRA THIN 0.55+/ 0.25MM 2X4CM,1989.0,1292.85,114.9,1929.33,604 HCPCS,Q4116,GRAFT TISSUE ACELLULAR DERMIS RTU REGENERATIVE STERILE MEDIUM 1.04MM 3X7CM,3379.5,2196.68,114.9,3278.12,604 HCPCS,Q4116,GRAFT TISSUE ACELLULAR PERFORATED READY TO USE REGENERATIVE STERILE EXTRA THICK 3.4MM 16X20CM RECT,19272.0,12526.8,114.9,18693.84,604 HCPCS,Q4116,GRAFT TISSUE ACELLULAR PERFORATED READY TO USE REGENERATIVE STERILE THICK 2.4MM 16X20CM RECT,19272.0,12526.8,114.9,18693.84,604 HCPCS,Q4116,GRAFT TISSUE PERFORATED REGENERATIVE STERILE MEDIUM 1.6+/ 0.4MM 9.6X19.3CM,7950.0,5167.5,114.9,7711.5,604 HCPCS,Q4116,GRAFT-TISSUE ACELLULAR DERMIS REGENERATIVE LATEX-FREE STERILE MEDIUM-THICK 1.6 +/- 0.4MM PERFORATED 16X20CM,18797.0,12218.05,114.9,18233.09,604 HCPCS,Q4116,GRAFT-TISSUE ACELLULAR DERMIS REGENERATIVE LATEX-FREE STERILE THICK 2.4+/-0.4MM PERFORATED 16X20CM,37594.0,24436.1,114.9,36466.18,604 HCPCS,Q4116,GRAFT-TISSUE ACELLULAR PERFORATED READY-TO-USE REGENERATIVE LATEX-FREE STERILE EXTRA-THICK 3.4MM ALLODERM-SELECT-DUO 16X20CM,37594.0,24436.1,114.9,36466.18,604 HCPCS,Q4116,IMPLANT HUMAN TISSUE W4XL7CM THICK SKIN REGENERATIVE FREEZE DRIED ASEPTIC GRAFTABLE,1472.0,956.8,114.9,1427.84,604 HCPCS,Q4118,DRESSING BIOLOGICAL 1000MG PORCINE EXTRACELLULAR MICRONIZED PARTICLE MICRO,7863.08,5111.0,3907.95,7627.19,600 HCPCS,Q4118,IMPLANT BIOLOGICAL TISSUE 500MG PORCINE MICRONIZED PARTICLES MICRO,4295.56,2792.11,2134.89,4166.69,600 HCPCS,Q4125,ARTHROFLEX GRAFT TENDON SKIN DERMIS STERILE 40X70MM THICK,10500.0,6825.0,114.9,10185.0,604 HCPCS,Q4125,GRAFT TENDON DECELLULARIZED DERMIS ACHILLES STERILE THICK 0.9 1.99MM ARTHROFLEX 1.75X40X70MM,7400.0,4810.0,114.9,7178.0,604 HCPCS,Q4125,GRAFT TISSUE DECELLULARIZED DERMIS LATEX FREE STERILE ARTHROFLEX MATRACELL 25X30MM,4560.0,2964.0,114.9,4423.2,604 HCPCS,Q4125,GRAFT TISSUE DECELLULARIZED DERMIS STERILE 1.76 2.25MM ARTHROFLEX 2.0X25X30MM,5673.6,3687.84,114.9,5503.39,604 HCPCS,Q4128,GRAFT HUMAN TISSUE W5XL2CM THK0.8-1.7MM THICK HUMAN ACELLULAR DERMIS HYDRATED HD,1027.72,668.02,114.9,996.89,604 HCPCS,Q4128,GRAFT HUMAN TISSUE W5XL5CM THK0.8-1.7MM THICK HUMAN ACELLULAR DERMIS HYDRATED HD,2757.26,1792.22,114.9,2674.54,604 HCPCS,Q4128,GRAFT TISSUE ACELLULAR DERMIS FREEZE DRIED REGENERATIVE BREAST XSM THICK 0.6+/1.7MM PERORATED 9X15CM,4436.0,2883.4,114.9,4302.92,604 HCPCS,Q4128,GRAFT TISSUE ACELLULAR DERMIS STERILE THICK 1.8MM 4X7X1.8 4CM THICK ACELLUAR,2715.75,1765.24,114.9,2634.28,604 HCPCS,Q4130,GRAFT BIOLOGICAL SOFT TISSUE PORCINE RECTANGLE STERILE FIRM DOUBLE POUCHED 6X10CM,9618.0,6251.7,114.9,9329.46,604 HCPCS,Q4130,GRAFT BIOLOGICAL SOFT TISSUE PORCINE RECTANGLE STERILE LAPROSCOPIC REINFORCED 10X16CM,7696.0,5002.4,114.9,7465.12,604 HCPCS,Q4130,GRAFT BIOLOGICAL SOFT TISSUE PORCINE SQUARE STERILE LAPROSCOPIC REINFORCED 10X10CM,4808.0,3125.2,114.9,4663.76,604 HCPCS,Q4130,GRAFT BIOLOGICAL SOFT TISSUE PORCINE STERILE DERMAL FIRM PATCH PLIABLE RECONSTRUCTIVE 16X6CM,4616.0,3000.4,114.9,4477.52,604 HCPCS,Q4130,GRAFT BIOLOGICAL SOFT TISSUE PORCINE STERILE DERMAL PLIABLE RECONSTRUCTIVE 6X10CM,3092.0,2009.8,114.9,2999.24,604 HCPCS,Q4130,GRAFT BIOLOGICAL SOFT TISSUE PORCINE STERILE FIRM STOMA REINFORCED 6X10CM,6156.0,4001.4,114.9,5971.32,604 HCPCS,Q4130,GRAFT BIOLOGICAL SOFT TISSUE PORCINE STERILE RECONSTRUCTIVE 6X8CM,2310.0,1501.5,114.9,2240.7,604 HCPCS,Q4130,MESH SURGICAL HERNIA SYNTHETIC POLYPROYLENE OVAL STERILE 6X8CM,2310.0,1501.5,114.9,2240.7,604 HCPCS,Q4130,TISSUE SOFT GRAFT BIOLOGICAL PORCINE RECONSTRUCTIVE PLIABLE 5X16CM,7696.0,5002.4,114.9,7465.12,604 HCPCS,Q5099,USTEKINUMAB-STBA 130 MG/26 ML INTRAVENOUS SOLUTION,1333.0,866.45,662.5,1333.0,880 HCPCS,Q5100,USTEKINUMAB-KFCE 130 MG/26 ML INTRAVENOUS SOLUTION,1799.7,1169.81,24.98,1763.71,884 HCPCS,Q5100,USTEKINUMAB-KFCE 45 MG/0.5 ML SUBCUTANEOUS SYRINGE,5839.0,3795.35,2901.98,5839.0,884 HCPCS,Q5101,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,862.8,560.82,0.46,836.92,884 HCPCS,Q5101,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,1305.5,848.58,0.46,1266.34,884 HCPCS,Q5103,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION,1749.3,1137.05,19.99,1696.82,884 HCPCS,Q5104,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION,1565.5,1017.58,27.0,1518.54,884 HCPCS,Q5106,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",389.3,253.05,7.85,377.62,884 HCPCS,Q5106,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION",117.9,76.64,7.85,114.36,884 HCPCS,Q5106,"EPOETIN ALFA-EPBX 3,000 UNIT/ML INJECTION SOLUTION",151.8,98.67,7.85,147.25,884 HCPCS,Q5106,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION",185.7,120.71,7.85,180.13,884 HCPCS,Q5106,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION",1481.8,963.17,7.85,1437.35,884 HCPCS,Q5107,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,6745.9,4384.835,27.86,10207.7,1768 HCPCS,Q5108,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,4976.2,3234.53,99.13,4826.91,884 HCPCS,Q5110,FILGRASTIM-AAFI 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,342.4,222.56,0.3,332.13,884 HCPCS,Q5110,FILGRASTIM-AAFI 300 MCG/ML INJECTION SOLUTION,342.4,222.56,0.3,332.13,884 HCPCS,Q5110,FILGRASTIM-AAFI 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,592.8,385.32,0.3,575.02,884 HCPCS,Q5110,FILGRASTIM-AAFI 480 MCG/1.6 ML INJECTION SOLUTION,592.8,385.32,0.3,575.02,884 HCPCS,Q5111,PEGFILGRASTIM-CBQV 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUT INJECTOR,15995.2,10396.88,106.33,15515.34,884 HCPCS,Q5111,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,12179.0,7916.35,106.33,11813.63,884 HCPCS,Q5116,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION,9507.4,6179.81,27.99,9317.25,884 HCPCS,Q5117,TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION,5359.1,3483.42,47.55,5251.92,884 HCPCS,Q5117,TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION,14195.2,9226.88,47.55,13911.3,884 HCPCS,Q5118,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,4435.2,2882.885,25.77,6689.77,1768 HCPCS,Q5119,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,5214.1,3389.17,27.85,8138.4,1770 HCPCS,Q5120,PEGFILGRASTIM-BMEZ 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,14593.7,9485.91,30.32,14155.89,884 HCPCS,Q5121,INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION,1514.6,984.49,20.41,1469.16,884 HCPCS,Q5123,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,6659.35,4328.58,26.51,10474.93,1768 HCPCS,Q5125,FILGRASTIM-AYOW 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,291.1,189.22,0.38,282.37,884 HCPCS,Q5125,FILGRASTIM-AYOW 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,417.3,271.25,0.38,404.78,884 HCPCS,Q5129,BEVACIZUMAB-ADCD 25 MG/ML INTRAVENOUS SOLUTION,3628.5,2358.5299999999997,39.96,5472.81,1768 HCPCS,Q5135,TOCILIZUMAB-AAZG 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,3414.1,2219.17,4.42,3311.68,884 HCPCS,Q5135,TOCILIZUMAB-AAZG 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,6803.1,4422.02,4.42,6599.01,884 HCPCS,Q5135,TOCILIZUMAB-AAZG 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,1400.6,910.39,4.42,1358.58,884 HCPCS,Q5136,DENOSUMAB-BBDZ 60 MG/ML SUBCUTANEOUS SYRINGE,6762.9,4395.89,27.54,6762.9,884 HCPCS,Q9950,SULFUR HEXAFLUORIDE MICROSPHERES (DIAGNOSTIC) INTRAVENOUS SUSPENSION,618.9,402.29,307.59,600.33,880 HCPCS,Q9950,SULFUR HEXAFLUORIDE MICROSPHERES 25 MG INTRAVENOUS SUSPENSION,618.9,402.29,307.59,600.33,880 HCPCS,Q9957,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION,511.3,332.35,254.12,495.96,880 HCPCS,Q9958,DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION,37.6,24.44,18.69,36.47,880 HCPCS,Q9961,IOTHALAMATE MEGLUMINE 30% INJECTION (WRAPPER) CNR/PROD LAB/COMMERCIAL,35.4,23.01,17.59,34.34,880 HCPCS,Q9961,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION,94.9,61.69,47.17,92.05,880 HCPCS,Q9963,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,49.5,32.17,24.6,48.51,880 HCPCS,Q9965,IOHEXOL 140 MG IODINE/ML INTRAVENOUS SOLUTION,76.9,49.99,38.22,74.59,880 HCPCS,Q9965,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION,157.7,102.51,78.38,152.97,880 HCPCS,Q9966,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,42.6,27.69,21.17,41.32,880 HCPCS,Q9966,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION,118.1,76.77,58.7,114.56,880 HCPCS,Q9967,CST VISIPAQUE 320 100ML,194.76,126.59,96.8,188.92,600 HCPCS,Q9967,CST VISIPAQUE 320 150ML,292.02,189.81,145.13,283.26,600 HCPCS,Q9967,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,110.8,72.02,55.07,107.48,880 HCPCS,Q9967,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,42.6,27.69,21.17,41.32,880 HCPCS,Q9967,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,76.9,49.99,38.22,74.59,880 HCPCS,Q9967,"IOHEXOL 7,500 MG IODINE/275 ML NACL 0.9 % INTRAVENOUS SOLUTION (DILUTION)",54.25,35.265,22.51,310.5,5280 HCPCS,Q9967,IOHEXOL 9 MG IODINE/ML ORAL SOLUTION (DILUTION),6.8,4.42,3.38,6.6,880 HCPCS,Q9967,IOPROMIDE 300 MG IODINE/ML INJECTION SOLUTION,37.25,24.215,17.64,37.83,1760 HCPCS,Q9967,IOPROMIDE 370 MG IODINE/ML INJECTION SOLUTION,35.5,23.08,17.64,34.44,1760 HCPCS,Q9968,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION,415.1,269.82,8.73,402.65,884 HCPCS,Q9968,METHYLENE BLUE (ANTIDOTE) 0.5 % (5 MG/ML) INTRAVENOUS SOLUTION,355.9,231.34,8.73,345.22,884 HCPCS,Q9968,METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION,646.4,420.16,8.73,627.01,884 HCPCS,V2623,SPHERE OPHTHALMIC DIA20MM SMOOTH POROUS SUTURE SURFACE TUNNEL,1098.46,714.0,609.65,1443.04,604 HCPCS,V2630,BRUSH CLEANING L18IN DIA15MM POLYPROPYLENE STIFFLINE,170.0,110.5,84.49,182.16,600 HCPCS,V2630,BRUSH CLEANING L24IN DIA7MM NYLON BRISTLE,170.0,110.5,84.49,182.16,600 HCPCS,V2630,EXPANDER BREAST 150 450CC W7XL12CM P3.2 7.2CM SILICONE SALINE ELLIPTICAL SMOOTH SHELL,170.0,110.5,84.49,182.16,600 HCPCS,V2630,EXPANDER BREAST GEL ROUND HIGH PROJECTION TEXTURED 650CC,170.0,110.5,84.49,182.16,600 HCPCS,V2630,EXPANDER BREAST GEL ROUND HIGH PROJECTION TEXTURED 850CC,170.0,110.5,84.49,182.16,600 HCPCS,V2630,EXPANDER BREAST SILICONE ELASTOMER STYLE 133S SXT ROUND SHORT HEIGHT EXTRA PROJECTION SMOOTH 350CC WITH,170.0,110.5,84.49,182.16,600 HCPCS,V2630,EXPANDER BREAST TISSUE LOW POLE PLUS TEXTURED FULL HEIGHT 360 430CC 13CMX11.9CMX5.4 6.3CM,170.0,110.5,84.49,182.16,600 HCPCS,V2630,EXPANDER BREAST W15.7XH11.2CM P7.9CM 650CC LOW HEIGHT BUFFERZONE PATCH STYLE 8100 CPX 4,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR +21.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR +22.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR +22.5 DIOPTER L13MM DIA5.5MM 0.5MM VAULTED HAPTIC ANTERIOR CHAMBER SINGLE PIECE PLANOCONVEX III FOLDABLE PMMA UV ABSORBING,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR +23.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR +23.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR +24.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR +24.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR +25.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR +25.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR +26.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR +26.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR +27.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR +27.5 DIOPTER L13MM DIA5.5MM 0.5MM VAULTED HAPTIC ANTERIOR CHAMBER SINGLE PIECE PLANOCONVEX III FOLDABLE PMMA UV ABSORBING,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR +28.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR +29.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR +30.0 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR +5.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR +6.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR +8.5 DIOPTER L13MM DIA5.5MM 0.5MM VAULTED HAPTIC ANTERIOR CHAMBER SINGLE PIECE PLANOCONVEX III FOLDABLE PMMA UV ABSORBING,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR +9.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +11.0D 23000C+11.00,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +23.0D 23000C+23.00,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +06.5D,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +21.0D,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC FOLDABLE UV ABSORBING CLAREON +16.5D CC60WF.165,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X11.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR EQUICONVEX OPTIC 5.5X12.25 SINGLE PIECE UV LIGHT ABSORBING EZE FIT +0.5D,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR EQUICONVEX OPTIC 6.0X12.75 SINGLE PIECE UV LIGHT ABSORBING EZE FIT +15.0D,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHILIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X10.5 SINGLE PIECE UV LIGHT ABSORBING +26.0D,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 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,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE MULTIPIECE UV LIGHT FILTERING +27.5D,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING NATURAL +30.0D,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL +3.25D TORIC2 IOL 09.5D CYL3.00,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL +3.25D TORIC2 IOL 12.0D CYL3.75,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.5D SND1T5U115,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.0D SND1T6U290,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 5.75X11.0 SINGLE PIECE UV LIGHT ABSORBING SBL 3 +21.5D,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D SND1T3U120,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.0D SV25T6U240,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.0D SV25T3U290,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.0D SV25T5U290,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +7.0D SND1T3U070,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.5D,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL TORIC2 HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 UV BLOCKING +8.5D ZLU150U085,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR STERILE UV AND BLUE LIGHT FILTERING ACRYLIC FOLDABLE ASPHERIC WAVEFRONT SHAPING POSTERIOR CHAMBER INTRAOCULAR LENS DFT015.155,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.5D SN6AT7U105,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D SN6AT8.170,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.5D SN6AT5.215,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.0D SN6AT4.220,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.5D SN6AT6.225,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.5D SN6AT3.275,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +13.0D TFAT40.130,170.0,110.5,84.49,182.16,600 HCPCS,V2630,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +16.5D TFAT40.165,170.0,110.5,84.49,182.16,600 HCPCS,V2630,REAGENT CYTOLOGY 5GM 96PCT BOVINE SERUM ALBUMIN FOR CELL CULTURE DRY LYOPHILIZED POWDER AGAROSE GEL ELECTROPHORESIS LOW ENDOTOXIN,170.0,110.5,84.49,182.16,600 HCPCS,V2632,EXPANDER BREAST 650CC 14X14.6CM 7.3CM PROJECTION TALL HEIGHT STYLE 9300 WITH SUTURE TAB CPX 4,268.0,174.2,133.2,254.6,601 HCPCS,V2632,EXPANDER BREAST SILICONE ELASTOMER STYLE 133S FXT ROUND FULL HEIGHT EXTRA PROJECTION SMOOTH 350CC WITH,268.0,174.2,133.2,254.6,601 HCPCS,V2632,EXPANDER BREAST SILICONE ELASTOMER STYLE 133S MVT ROUND MODERATE HEIGHT VARIABLE PROJECTION SMOOTH 250CC WITH,268.0,174.2,133.2,254.6,601 HCPCS,V2632,EXPANDER BREAST SILICONE ELASTOMER STYLE 133S MVT ROUND MODERATE HEIGHT VARIABLE PROJECTION SMOOTH 600CC WITH,268.0,174.2,133.2,254.6,601 HCPCS,V2632,GLOVE EXAM CHEMO SM TOUCH NITRILE DARK BLUE POWDER FREE,268.0,174.2,133.2,254.6,601 HCPCS,V2632,HEARING AID SET CROS PURE C 199418,268.0,174.2,133.2,254.6,601 HCPCS,V2632,INSULIN SOLUTION FROM BOVINE PANCREAS 1,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR +0.0 DIOPTER L13MM DIA6MM A CONSTANT 118.9 5DEG NATURAL ACRYLIC BLUE LIGHT FILTER MULTIPIECE ASYMMETRIC OPTIC HAPTIC FOLDABLE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +1.0 DIOPTER L13MM D5.2MM DIA6MM 5DEG M OPTIC BLUE POSTERIOR CHAMBER ACRYLIC BICONVEX MULTIPIECE MONOFOCAL ASYMMETRIC FOLDABLE,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR +10.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +10.0 DIOPTER L13MM DIA6MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX ANTERIOR ASPHERIC MONOFOCAL FOLDABLE UV BLOCKING ACRYLIC HYDROPHOBIC,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR +10.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +11.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +11.0 DIOPTER L13MM DIA6MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX ANTERIOR ASPHERIC MONOFOCAL FOLDABLE UV BLOCKING ACRYLIC HYDROPHOBIC,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR +11.0 DIOPTER L13MM DIA6MM ACRYLIC ULTRAVIOLET AND BLUE LIGHT FILTERING BICONVEX ASPHERIC POSTERIOR CHAMBER WITH DELIVERY SYSTEM,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +11.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +12.0 DIOPTER 10DEG L13MM DIA6MM POSTERIOR CHAMBER FOLDABLE ACRYLATE METHACRYLATE COPOLYMER MULTIPIECE ANTERIOR ASYMMETRIC BICONVEX UV BLUE LIGHT FILTERING,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +12.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +12.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +13.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +13.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG HAPTIC ANGLE POSTERIOR CHAMBER ACRYLIC BICONVEX MULTIPIECE MONOFOCAL FOLDABLE ANTERIOR ASYMMETRIC,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +14.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +14.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +15.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +15.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +16.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +16.0 DIOPTER L13MM DIA6MM 0DEG 118.7 A CONSTANT NATURAL ASPHERIC ACRYLIC ASYMMETRIC BICONVEX 1 PIECE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +16.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +17.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +17.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +18.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +19.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +19.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +2.0 DIOPTER 5DEG L13MM DIA6MM A CONSTANT 118.9 POSTERIOR CHAMBER MULTIPIECE PMMA UV ABSORBING,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR +2.0 DIOPTER L13MM DIA6MM 5DEG HAPTIC ANGLE POSTERIOR CHAMBER NATURAL ACRYLIC MULTIPIECE FOLDABLE WITH LIGHT BLUE FILTER,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +20.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +21.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +21.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +22.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +22.5 DIOPTER 10DEG L13MM DIA6.5MM POSTERIOR CHAMBER MULTIPIECE BICONVEX FOLDABLE ACRYLIC,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +23.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +23.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +24.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +24.0 DIOPTER L13MM DIA6MM 0DEG HAPTIC ANGLE A CONSTANT 118.4 POSTERIOR CHAMBER NATURAL ACRYLIC ASYMMETRIC BICONVEX UV ABSORBING FOLDABLE MULTIPIECE,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR +24.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +25.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +25.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +26.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +26.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +27.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +27.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +27.5 DIOPTER L13MM DIA6MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX ANTERIOR ASPHERIC MONOFOCAL FOLDABLE UV BLOCKING ACRYLIC HYDROPHOBIC,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR +28.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +28.0 DIOPTER L13MM DIA6MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX ANTERIOR ASPHERIC MONOFOCAL FOLDABLE UV BLOCKING ACRYLIC HYDROPHOBIC,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR +28.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +28.5 DIOPTER L13MM DIA6MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX ANTERIOR ASPHERIC MONOFOCAL FOLDABLE UV BLOCKING ACRYLIC HYDROPHOBIC,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR +29.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +29.0 DIOPTER L13MM DIA6MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX ANTERIOR ASPHERIC MONOFOCAL FOLDABLE UV BLOCKING ACRYLIC HYDROPHOBIC,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR +29.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +29.5 DIOPTER L13MM DIA6MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX ANTERIOR ASPHERIC MONOFOCAL FOLDABLE UV BLOCKING ACRYLIC HYDROPHOBIC,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR +3.0 DIOPTER 5DEG L13MM DIA6MM A CONSTANT 118.9 POSTERIOR CHAMBER MULTIPIECE PMMA UV ABSORBING,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR +30.0 DIOPTER 0DEG L13MM DIA6MM POSTERIOR CHAMBER FOLDABLE ACRYLATE METHACRYLATE COPOLYMER SINGLE PIECE ANTERIOR ASYMMETRIC BICONVEX UV BLUE LIGHT FILTERING,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR +30.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,298.0,193.7,148.11,283.1,601 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,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +30.0 DIOPTER L13MM DIA6MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX ANTERIOR ASPHERIC MONOFOCAL FOLDABLE UV BLOCKING ACRYLIC HYDROPHOBIC,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR +31.0 DIOPTER 0DEG L13MM DIA6MM POSTERIOR CHAMBER FOLDABLE ACRYLATE METHACRYLATE COPOLYMER SINGLE PIECE ANTERIOR ASYMMETRIC BICONVEX UV BLUE LIGHT FILTERING,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR +32.0 DIOPTER CYLINDER POWER +6.0 DIOPTER 0DEG L13MM DIA6MM POSTERIOR CHAMBER SINGLE PIECE BICONVEX TORIC FOLDABLE ACRYLATE METHACRYLATE COPOLYMER UV ABSORBING,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR +33.0 DIOPTER 0DEG L13MM DIA6MM POSTERIOR CHAMBER FOLDABLE ACRYLATE METHACRYLATE COPOLYMER SINGLE PIECE ANTERIOR ASYMMETRIC BICONVEX UV BLUE LIGHT FILTERING,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR +33.0 DIOPTER L13MM DIA6MM 0DEG HAPTIC ANGLE A CONSTANT 118.4 POSTERIOR CHAMBER ACRYLIC ASYMMETRIC BICONVEX SINGLE PIECE FOLDABLE UV ABSORBING,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR +33.5 DIOPTER ADULT L13MM OD6MM AC D5.4MM 360DEG ACRYLIC 1 PIECE UV BLOCKING HYDROPHOBIC MONOFOCAL DESIGN FROSTED CONTINUOUS POSTERIOR SQUARE,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR +36.0 DIOPTER 0DEG L13MM DIA6MM POSTERIOR CHAMBER FOLDABLE ACRYLATE METHACRYLATE COPOLYMER SINGLE PIECE ANTERIOR ASYMMETRIC BICONVEX UV BLUE LIGHT FILTERING,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR +4.0 DIOPTER 5DEG L13MM DIA6MM A CONSTANT 118.9 POSTERIOR CHAMBER MULTIPIECE PMMA UV ABSORBING,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR +4.0 DIOPTER L13MM DIA6MM 5DEG HAPTIC ANGLE POSTERIOR CHAMBER NATURAL ACRYLIC MULTIPIECE FOLDABLE WITH LIGHT BLUE FILTER,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +40.0 DIOPTER 0DEG L13MM DIA6MM POSTERIOR CHAMBER FOLDABLE ACRYLATE METHACRYLATE COPOLYMER SINGLE PIECE ANTERIOR ASYMMETRIC BICONVEX UV BLUE LIGHT FILTERING,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR +5.0 DIOPTER 5DEG L13MM DIA6MM A CONSTANT 118.9 POSTERIOR CHAMBER MULTIPIECE PMMA UV ABSORBING,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR +5.0 DIOPTER L13MM DIA6MM 5DEG HAPTIC ANGLE POSTERIOR CHAMBER NATURAL ACRYLIC MULTIPIECE FOLDABLE WITH LIGHT BLUE FILTER,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +5.0 DIOPTER L13MM DIA6MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX ANTERIOR ASPHERIC MONOFOCAL FOLDABLE UV BLOCKING ACRYLIC HYDROPHOBIC,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR +6.0 DIOPTER DIA6MM POSTERIOR CHAMBER 1 PIECE BICONVEX MONOFOCAL ACRYLIC HYDROPHOBIC UV BLOCKING,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR +6.5 DIOPTER 10DEG L13MM DIA6MM POSTERIOR CHAMBER FOLDABLE ACRYLATE METHACRYLATE COPOLYMER MULTIPIECE ANTERIOR ASYMMETRIC BICONVEX UV BLUE LIGHT FILTERING,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +6.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +7.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +7.0 DIOPTER L13MM DIA6MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX ANTERIOR ASPHERIC MONOFOCAL FOLDABLE UV BLOCKING ACRYLIC HYDROPHOBIC,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR +7.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +7.5 DIOPTER L13MM DIA6MM 10DEG HAPTIC ANGLE A CONSTANT 118.4 NATURAL POSTERIOR CHAMBER ANTERIOR ASYMMETRIC BICONVEX UV ABSORBING ACRYLIC FOLDABLE MULTIPIECE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +7.5 DIOPTER L13MM DIA6MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX ANTERIOR ASPHERIC MONOFOCAL FOLDABLE UV BLOCKING ACRYLIC HYDROPHOBIC,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR +7.5 DIOPTER L13MM OD6MM ANTERIOR 0DEG ANGULATION 118.7 A CONSTANT ACRYLIC BICONVEX ONE PIECE ANTERIOR ASYMMETRIC,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +8.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +8.0 DIOPTER L13MM DIA6MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL ACRYLIC HYDROPHOBIC UV BLOCKING,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR +8.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +8.5 DIOPTER L13MM DIA6MM 10DEG HAPTIC ANGLE A CONSTANT 118.4 NATURAL POSTERIOR CHAMBER ANTERIOR ASYMMETRIC BICONVEX UV ABSORBING ACRYLIC FOLDABLE MULTIPIECE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +8.5 DIOPTER L13MM OD6MM ANTERIOR 0DEG ANGULATION 118.7 A CONSTANT ACRYLIC BICONVEX ONE PIECE ANTERIOR ASYMMETRIC,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +9.0 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +9.0 DIOPTER L13MM DIA6MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX ANTERIOR ASPHERIC MONOFOCAL FOLDABLE UV BLOCKING ACRYLIC HYDROPHOBIC,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR +9.5 DIOPTER L13MM DIA6.5MM A CONSTANT 118.9 10DEG ACRYLIC POSTERIOR CHAMBER MULTIPIECE MONOFOCAL ANTERIOR ASYMMETRIC BICONVEX FOLDABLE,248.0,161.2,123.26,235.6,601 HCPCS,V2632,LENS INTRAOCULAR +9.5 DIOPTER L13MM DIA6MM 10DEG HAPTIC ANGLE A CONSTANT 118.4 NATURAL ANTERIOR ASYMMETRIC BICONVEX UV ABSORBING ACRYLIC FOLDABLE MULTIPIECE POSTERIOR CHAMBER,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR +9.5 DIOPTER L13MM DIA6MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL ACRYLIC HYDROPHOBIC UV BLOCKING,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR +9.5 DIOPTER L13MM OD6MM HAPTIC ANGLE 0DEG A CONSTANT 118.7 ANTERIOR BICONVEX ONE PIECE,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR -2.0 DIOPTER L13MM D5.2MM DIA6MM 5DEG M OPTIC BLUE POSTERIOR CHAMBER ACRYLIC BICONVEX MULTIPIECE MONOFOCAL ASYMMETRIC FOLDABLE,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR -3.0 DIOPTER L13MM D5.2MM DIA6MM 5DEG M OPTIC BLUE POSTERIOR CHAMBER ACRYLIC BICONVEX MULTIPIECE MONOFOCAL ASYMMETRIC FOLDABLE,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR 10.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 10.5 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 11.5 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 12.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 12.5 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 13.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 13.5 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 14.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 14.5 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 15.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 15.5 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 16.5 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 17.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 17.5 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 18.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 18.5 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR 19.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 19.5 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 20.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 20.5 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR 21.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 21.5 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 22.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 22.5 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 23.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 23.5 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 24.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 24.5 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 25.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 25.5 DIOPTER L13MM 6MM ANTERIOR ASYMMETRIC BICONVEX OPTICS PLANAR HAPTICS ACRYLIC FOLDABLE WITH DELIVERY SYSTEM BLUELIGHT FILTER ASPHERIC,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 26.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 26.5 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 27.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 27.5 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 28.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 28.5 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 29.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 29.5 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 30.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 6MM ANTERIOR ASYMMETRIC BICONVEX OPTIC ASPHERIC SP ACRYLIC FOLDABLE NATURAL UV WITH BLUE LIGHT FILTER PLANAR HAPTICS,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 7.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METHA,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 8.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METHA,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR 9.0 DIOPTER 118.7 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL 1 PIECE BICONVEX ANTERIOR ASYMMETRIC ASPHERIC SURFACE FOLDABLE UV BLUE FILTERING METHA,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR ADULT +10.5 DIOPTER L13MM DIA6MM AC D5.4MM A CONSTANT 118.8 REFRACTIVE INDEX 1.47 360DEG UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR 1 PIECE MONOFOCAL BICONVEX ASPHERIC OPTIC C T,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR ADULT +30.5 DIOPTER L13MM DIA6MM AC D5.4MM A CONSTANT 118.8 REFRACTIVE INDEX 1.47 360DEG UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR 1 PIECE MONOFOCAL BICONVEX ASPHERIC OPTIC C T,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR ADULT +31.0 DIOPTER L13MM DIA6MM AC D5.4MM A CONSTANT 118.8 REFRACTIVE INDEX 1.47 360DEG UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR 1 PIECE MONOFOCAL BICONVEX ASPHERIC OPTIC C T,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR ADULT +31.5 DIOPTER L13MM DIA6MM AC D5.4MM A CONSTANT 118.8 REFRACTIVE INDEX 1.47 360DEG UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR 1 PIECE MONOFOCAL BICONVEX ASPHERIC OPTIC C T,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR ADULT +32.0 DIOPTER L13MM DIA6MM AC D5.4MM A CONSTANT 118.8 REFRACTIVE INDEX 1.47 360DEG UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR 1 PIECE MONOFOCAL BICONVEX ASPHERIC OPTIC C T,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR ADULT +33.0 DIOPTER L13MM DIA6MM AC D5.4MM A CONSTANT 118.8 REFRACTIVE INDEX 1.47 360DEG UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR 1 PIECE MONOFOCAL BICONVEX ASPHERIC OPTIC C T,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR ADULT +34.0 DIOPTER L13MM DIA6MM AC D5.4MM A CONSTANT 118.8 REFRACTIVE INDEX 1.47 360DEG UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR 1 PIECE MONOFOCAL BICONVEX ASPHERIC OPTIC C T,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR ADULT +5.5 DIOPTER L13MM DIA6MM AC D5.4MM A CONSTANT 118.8 REFRACTIVE INDEX 1.47 360DEG UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR 1 PIECE MONOFOCAL BICONVEX ASPHERIC OPTIC C TR,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +10.5D 25000C+10.50,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +22.0D 23000C+22.00,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X13.0 SINGLE PIECE CLAREON +27.5D,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC MENISCUS OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET LIGHT FILTERING NON TORIC EXPAND +3.5D,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +20.0D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +27.0D,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING C +06.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +06.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +07.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +07.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +08.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +08.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +09.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +09.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +10.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +10.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +11.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +11.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +12.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +12.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +13.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +13.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +14.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +14.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +15.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +15.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +16.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +16.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +17.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +17.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +18.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +18.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +19.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +19.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +20.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +20.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +21.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +21.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +22.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +22.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +23.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +23.5D,233.0,151.45,84.49,281.2,1202 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +24.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +24.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +25.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +25.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +26.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +26.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +27.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +27.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +28.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +28.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +29.0D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +29.5D,296.0,192.4,147.11,281.2,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +30.0D,282.0,183.3,133.2,281.2,1202 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE UV LIGHT ABSORBING CLAREON +10.5D,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC FOLDABLE UV ABSORBING CLAREON +08.5D CC60WF.085,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +14.0D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR L13 MM OD6 MM +10.5 D 10 DEG ANTERIOR CHAMBER BICONVEX ASYMMETRIC MULTIPIECE FOLDABLE VIOLET BLUE LIGHT FILTERING,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR L13MM OD6.5MM +17.5 DIOPTER 10DEG BICONVEX 118.9 A CONSTANT MULTIPIECE MONOFOCAL FOLDABLE POSTERIOR CHAMBER ACRYLIC,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR L13MM OD6.5MM +20.0 DIOPTER 10DEG BICONVEX 118.9 A CONSTANT MULTIPIECE MONOFOCAL FOLDABLE POSTERIOR CHAMBER ACRYLIC,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR L13MM OD6.5MM +6.0 DIOPTER 10DEG BICONVEX 118.9 A CONSTANT MULTIPIECE MONOFOCAL FOLDABLE POSTERIOR CHAMBER ACRYLIC,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR L13MM OD6MM +0.0 DIOPTER 5DEG MENISCUS 118.9 A CONSTANT MULTIPIECE UV ABSORBING FOLDABLE POSTERIOR CHAMBER ACRYLIC EXPAND,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR L13MM OD6MM +1.0 DIOPTER 5DEG ACRYLIC POSTERIOR CHAMBER 3 PIECE NATURAL 118.9 A CONSTANT MENISCUS,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR L13MM OD6MM +1.0 DIOPTER 5DEG MENISCUS 118.9 A CONSTANT MULTIPIECE UV ABSORBING FOLDABLE POSTERIOR CHAMBER ACRYLIC EXPAND,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR L13MM OD6MM +3.0 DIOPTER 5DEG MENISCUS 118.9 A CONSTANT MULTIPIECE NATURAL POSTERIOR CHAMBER ACRYLIC EXPAND,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR L13MM OD6MM +4.0 DIOPTER 5DEG MENISCUS 118.9 A CONSTANT MULTIPIECE UV ABSORBING FOLDABLE POSTERIOR CHAMBER ACRYLIC EXPAND,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR L13MM OD6MM +5.0 DIOPTER 5DEG 118.9 A CONSTANT MULTIPIECE UV ABSORBING FOLDABLE POSTERIOR CHAMBER ACRYLIC EXPAND,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC ANTERIOR EQUICONVEX OPTIC 6.0X13.75 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.5D,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC ANTERIOR EQUICONVEX OPTIC 6.0X13.75 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.5D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC ANTERIOR EQUICONVEX OPTIC 6.0X13.75 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +6.5D,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X10.7 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.0D,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +10.0D,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +8.0D,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.5X13.4 SINGLE PIECE UV LIGHT ABSORBING +10.0D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR EQUICONVEX OPTIC 5.5X12.25 SINGLE PIECE UV LIGHT ABSORBING EZE FIT +17.5D,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR EQUICONVEX OPTIC 5.5X12.25 SINGLE PIECE UV LIGHT ABSORBING EZE FIT +25.0D,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR EQUICONVEX OPTIC 5.5X12.25 SINGLE PIECE UV LIGHT ABSORBING EZE FIT +30.0D,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHILIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X10.7 SINGLE PIECE UV LIGHT ABSORBING +16.5D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHILIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X10.7 SINGLE PIECE UV LIGHT ABSORBING +19.5D,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +11.5D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +12.0D ZCB0000120,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +12.0D ZCB0000130,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +14.5D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +15.0D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +15.5D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +16.0D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +17.5D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +22.5D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +24.0D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +24.5D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +25.5D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +27.0D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +32.5D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +6.5D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +8.5D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC BICONVEX OPTIC 6.0X13.0 SINGLE PIECE ULTRAVIOLET BLOCKING +15.0D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE MULTIPIECE UV LIGHT FILTERING +10.5D,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +10.0D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +11.0D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +11.5D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +12.0D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +12.5D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +13.0D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +13.5D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +14.0D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +14.5D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +15.5D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +16.0D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +23.0D DIB00U0230,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +24.5D DIB00U0245,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +30.5D DIB00U0305,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +31.0D DIB00U0310,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +31.5D DIB00U0315,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +32.0D DIB00U0320,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +32.5D DIB00U0325,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +33.0D DIB00U0330,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +33.5D DIB00U0335,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +34.0D DIB00U0340,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +5.0D DIB00U0050,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +5.5D DIB00U0055,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +6.0D DIB00U0060,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +6.5D DIB00U0065,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +7.0D DIB00U0070,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +7.5D DIB00U0075,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +8.0D DIB00U0080,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +8.5D DIB00U0085,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +9.0D DIB00U0090,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +9.5D DIB00U0095,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.0D SA60AT.100,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.5D SA60AT.105,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.0D,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.5D SA60AT.115,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D SA60AT.120,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.5D SA60AT.125,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.0D SA60AT.130,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.5D SA60AT.135,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.0D SA60AT.140,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.5D SA60AT.145,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.0D SA60AT.150,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.5D SA60AT.155,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.0D SA60AT.160,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.5D SA60AT.165,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D SA60AT.170,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.5D SA60AT.175,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.0D SA60AT.180,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.5D SA60AT.185,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.0D SA60AT.190,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.5D SA60AT.195,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.0D SA60AT.200,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.5D SA60AT.205,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.0D SA60AT.210,268.0,174.2,133.2,254.6,1202 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.5D SA60AT.215,268.0,174.2,133.2,254.6,1202 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.0D SA60AT.220,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.5D SA60AT.225,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.0D SA60AT.230,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.5D SA60AT.235,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.0D SA60AT.240,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.5D SA60AT.245,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.0D SA60AT.250,219.0,142.35,84.49,254.6,1202 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.5D SA60AT.255,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.0D SA60AT.260,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.5D SA60AT.265,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.0D SA60AT.270,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.5D SA60AT.275,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.5D SN60WF.275,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.0D SA60AT.280,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.5D SA60AT.285,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.0D SA60AT.290,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.5D SA60AT.295,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +30.0D SA60AT.300,268.0,174.2,133.2,254.6,1202 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +31.0D,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +32.0D,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +6.0D SA60AT.060,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +6.5D SA60AT.065,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +7.0D SA60AT.070,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +7.5D SA60AT.075,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +8.0D SA60AT.080,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +8.5D SA60AT.085,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +9.0D SA60AT.090,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +9.5D SA60AT.095,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING NATURAL +34.0D,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 MULTIPIECE CT LUCIA +24.0D,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.5X13.0 FOLDABLE MULTIPIECE UV LIGHT ABSORBING NONTORIC +29.0D,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR MENISCUS OPTIC 6.0X13.5 FOLDABLE SINGLE PIECE UV BLOCKING 10.0D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +30.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.0D SND1T5U270,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.0D SND1T3U100,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.5D SND1T3U105,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.5D SV25T5U125,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.5D,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.0D SV25T4U260,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +25.0D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +25.5D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +26.5D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +27.0D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +27.5D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +28.0D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +28.5D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +29.0D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +29.5D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +30.0D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +30.5D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +31.0D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +31.5D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +32.0D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +32.5D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +33.0D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +33.5D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +34.0D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +5.0D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +5.5D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +6.0D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +6.5D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +7.0D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +7.5D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +8.0D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +8.5D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +9.5D,250.0,162.5,124.25,237.5,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL TORIC2 HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 UV BLOCKING +30.0D ZLU300U300,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL TORIC2 HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 UV BLOCKING +30.5D ZLU150U305,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL TORIC2 HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 UV BLOCKING +31.5D ZLU150U315,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL TORIC2 PRESBYOPIA CORRECTION SINGLE PIECE +31.0D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR SP NATURAL WITH,298.0,193.7,148.11,283.1,601 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +20.5D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +24.0D,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +28.5D,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +12.5D SA6AT5.125,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +13.5D SA6AT4.135,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +18.5D SA6AT4.185,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +22.0D SA6AT4.220,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +24.0D SA6AT3.240,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +26.5D SA6AT5.265,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D SN6AT5.120,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.5D SN6AT7U185,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.0D SN6AT7U190,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.0D SN6AT5.200,170.0,110.5,84.49,182.16,601 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +8.5D SN6AT3.085,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +10.5D TFAT40.105,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +17.0D TFAT40.170,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +8.5D TFAT40.085,268.0,174.2,133.2,254.6,601 HCPCS,V2632,LENS MC50BD POST BCNVX +10.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +11.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +11.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +12.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +12.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +13.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +13.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +14.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +14.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +15.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +15.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +16.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +16.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +17.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +18.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +18.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +19.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +19.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +20.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +20.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +21.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +21.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +22.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +22.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +23.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +23.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +24.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +24.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +25.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +25.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +26.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +26.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +27.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +27.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +28.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +28.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +29.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +29.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MC50BD POST BCNVX +30.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MNFCL POST BCNVX +10.5D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,LENS MZ60BD POST BCNVX +34.0D,100.0,65.0,49.7,182.16,601 HCPCS,V2632,NEEDLE INTRODUCER 11G 5IN MATCH GROUND BEVEL TIP,268.0,174.2,133.2,254.6,601 HCPCS,V2632,NEO REUSABLE,170.0,110.5,84.49,182.16,601 HCPCS,V2632,OBTURATOR VISUAL CYSTOURETHROSCOPE RED 20FR,268.0,174.2,133.2,254.6,601 HCPCS,V2632,SPONGE SURGICAL MD W1IN TONSIL COTTON DOUBLE STRUNG RADIOPAQUE STERILE,268.0,174.2,133.2,254.6,601 HCPCS,V2632,ZZ LENS TCN TRC ZCT300 +23.5D,930.0,604.5,182.16,883.5,601 HCPCS,V2785,CORNEA FOR KERATOPLAST,10400.0,6760.0,3952.0,10088.0,601 HCPCS,V2785,CORNEA PENETRT KERATOPLSTY PKP,8300.0,5395.0,3154.0,8051.0,601 HCPCS,V2785,PUNCH DONOR CORNEA DIA7.25MM DISPOSABLE,148.0,96.2,56.24,143.56,601 HCPCS,V2785,PUNCH OPHTHALMIC DIA7.75MM DONOR CORNEAL CYLINDRICAL DELICATE NONVACUUM DISPOSABLE,160.0,104.0,60.8,155.2,601 HCPCS,V2785,PUNCH OPHTHALMIC DIA7MM DONOR CORNEAL CYLINDRICAL DELICATE NONVACUUM DISPOSABLE,148.0,96.2,56.24,143.56,601 HCPCS,V2787,26.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR +10.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 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,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR +10.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +11.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +11.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +12.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 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,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR +12.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 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,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR +13.0 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +13.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +13.5 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +13.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +14.0 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +14.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +14.5 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +14.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +15.0 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +15.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +15.5 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +15.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +16.0 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +16.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +16.5 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +16.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +17.0 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +17.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +17.5 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +17.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +18.0 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +18.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 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,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR +18.5 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +18.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 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,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR +19.0 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +19.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +19.5 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +19.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +20.0 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +20.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +20.5 DIOPTER CYLINDER POWER +1.50 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +20.5 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +20.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 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,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR +21.0 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +21.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +21.5 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +21.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 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,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR +22.0 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +22.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +22.5 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +22.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +23.0 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +23.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +23.5 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +23.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 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,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR +24.0 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +24.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +24.5 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +24.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +25.0 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +25.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +25.0 DIOPTER DIA6MM A CONSTANT 118.8 ANTERIOR CHAMBER BICONVEX SYMFONY HYDROPHOBIC ACRYLIC UV BLOCKING,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR +25.5 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +25.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 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,990.0,643.5,492.03,960.3,600 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,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR +26.0 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 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,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR +26.5 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +26.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 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,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR +27.0 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +27.0 DIOPTER L13MM DIA6MM C STYLE HYDROPHOBIC ACRYLIC BICONVEX POSTERIOR ACHROMATIC DIFFRACTIVE SURFACE UV-BLOCKING HYDROPHOBIC ACRYLIC SYMFONY,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR +27.5 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +27.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 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,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR +28.0 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +28.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +28.5 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,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR +28.5 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +28.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 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,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR +29.0 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +29.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 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,990.0,643.5,492.03,960.3,600 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,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR +29.5 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +29.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 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,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR +30.0 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +30.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +30.5 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +30.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +31.0 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +31.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +31.5 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +31.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +32.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +32.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +33.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +33.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +34.0 DIOPTER CYLINDER POWER +3.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV L,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +5.0 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV LI,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +5.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV LI,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +5.5 DIOPTER CYLINDER POWER +3.75 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV LI,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +5.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV LI,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +6.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV LI,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +6.0 DIOPTER CYLINDER POWER 1.50 DIOPTER L13MM DIA6MM 0DEG HAPTIC ANGLE A CONSTANT 119.0 NATURAL PMMA BICONVEX TORIC ASPHERIC,990.0,643.5,492.03,960.3,600 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,990.0,643.5,492.03,960.3,600 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,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR +6.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV LI,1012.0,657.8,502.96,981.64,600 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,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR +7.0 DIOPTER CYLINDER POWER +1.50 DIOPTER 0DEG L13MM DIA6MM POSTERIOR CHAMBER SINGLE PIECE BICONVEX TORIC ASPHERIC ACRYLIC FOLDABLE ACRYLATE METHACRYLATE COPOLYMER UV BLUE LIG,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR +7.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV LI,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +7.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV LI,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +8.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV LI,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +8.0 DIOPTER CYLINDER POWER 1.50 DIOPTER L13MM DIA6MM 0DEG HAPTIC ANGLE A CONSTANT 119.0 NATURAL PMMA BICONVEX TORIC ASPHERIC,990.0,643.5,492.03,960.3,600 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,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR +8.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV LI,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR +9.0 DIOPTER CYLINDER POWER +1.50 DIOPTER L13MM DIA6MM A CONSTANT 119.0 0DEG POSTERIOR CHAMBER NATURAL ACRYLIC UV BLUE LIGHT FILTERING SINGLE PIECE FOLDABLE BICONVEX TORIC ASP,990.0,643.5,492.03,960.3,600 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,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR +9.0 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV LI,1012.0,657.8,502.96,981.64,600 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,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR +9.5 DIOPTER CYLINDER POWER +6.00 DIOPTER DIA6MM HAPTIC OVERALL DIA13MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL EYHANCE TORIC II FOLDABLE SOFT UV LI,1012.0,657.8,502.96,981.64,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR 16.0 DIOPTER 6.0 DIOPTER CYLINDER POWER 119.0 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER TORIC 1 PIECE BICONVEX ASPHERIC OPTIC UV BLUE LIGHT FILTERING ACRYLI,990.0,643.5,492.03,960.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR 23.5 DIOPTER 6.0 DIOPTER CYLINDER POWER 119.0 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER TORIC 1 PIECE BICONVEX ASPHERIC OPTIC UV BLUE LIGHT FILTERING ACRYLI,990.0,643.5,492.03,960.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR 27.0 DIOPTER 5.25 DIOPTER CYLINDER POWER 119.0 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER TORIC 1 PIECE BICONVEX ASPHERIC OPTIC UV BLUE LIGHT FILTERING ACRYL,990.0,643.5,492.03,960.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR 3.330 SINGLE PIECE TORIC IQSN6AT,990.0,643.5,492.03,960.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR 31.0 DIOPTER 6.0 DIOPTER CYLINDER POWER 119.0 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER TORIC 1 PIECE BICONVEX ASPHERIC OPTIC UV BLUE LIGHT FILTERING ACRYLI,990.0,643.5,492.03,960.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 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 360,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR 34.0 DIOPTER 5.25 DIOPTER CYLINDER POWER 119.0 A CONSTANT 0DEG ANGLED HAPTIC L13MM DIA6MM POSTERIOR CHAMBER TORIC 1 PIECE BICONVEX ASPHERIC OPTIC UV BLUE LIGHT FILTERING ACRYL,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR 4.320 SINGLE PIECE TORIC IQSN6AT,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR 4.330 SINGLE PIECE TORIC IQSN6AT,990.0,643.5,492.03,960.3,600 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,1790.0,1163.5,889.63,1736.3,600 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,1790.0,1163.5,889.63,1736.3,600 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,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR 6.5 DIOPTER 5.25 DIOPTER CYLINDER POWER MONOFOCAL FOLDABLE TORIC UV,1010.0,656.5,501.97,979.7,600 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,1790.0,1163.5,889.63,1736.3,600 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,1790.0,1163.5,889.63,1736.3,600 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,1790.0,1163.5,889.63,1736.3,600 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,1790.0,1163.5,889.63,1736.3,600 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,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR 9.00 DIOPTER 1.25 CYLINDRICAL TORIC TRULIGN,1010.0,656.5,501.97,979.7,600 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,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR ASPHERIC TORIC ACRYLATE METHACYLATE COPOLYMER BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE ULTRAVIOLET BLUE LIGHT FILTERING 119 A CONSTANT +8.5D,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR ASPHERIC TORIC ACRYLATE METHACYLATE COPOLYMER BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE ULTRAVIOLET BLUE LIGHT FILTERING 119 A CONSTANT +9.5D,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +10.0D DIU150U100,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +10.5D DIU150U105,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +11.0D DIU150U110,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +11.5D DIU150U115,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +12.0D DIU150U120,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +12.5D DIU150U125,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +13.0D DIU150U130,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +13.5D DIU150U135,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +14.0D DIU150U140,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +14.5D DIU150U145,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +15.0D DIU150U150,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +15.5D DIU150U155,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +16.0D DIU150U160,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +16.5D DIU150U165,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +17.0D DIU150U170,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +17.5D DIU150U175,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +18.0D DIU150U180,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +18.5D DIU150U185,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +19.0D DIU150U190,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +19.5D DIU150U195,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +20.0D DIU150U200,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +21.0D DIU150U210,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +21.5D DIU150U215,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +22.0D DIU150U220,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +22.5D DIU150U225,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +23.0D DIU150U230,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +23.5D DIU150U235,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +24.0D DIU150U240,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +24.5D DIU150U245,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +25.0D DIU150U250,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +25.5D DIU150U255,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +26.0D DIU150U260,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +26.5D DIU150U265,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +27.0D DIU150U270,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +27.5D DIU150U275,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +28.0D DIU150U280,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +28.5D DIU150U285,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +29.0D DIU150U290,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +29.5D DIU150U295,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +29.5D DIU450U295,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +30.0D DIU150U300,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +30.0D DIU450U300,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +30.5D DIU150U305,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +30.5D DIU450U305,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +31.0D DIU150U310,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +31.0D DIU450U310,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +31.5D DIU150U315,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +31.5D DIU450U315,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +32.0D DIU150U320,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +32.0D DIU450U320,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +32.5D DIU150U325,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +32.5D DIU450U325,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +33.0D DIU150U330,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +33.0D DIU450U330,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +33.5D DIU150U335,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +33.5D DIU450U335,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +34.0D DIU150U340,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +34.0D DIU450U340,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +5.0D DIU150U050,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +5.0D DIU225U050,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +5.5D DIU150U055,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +5.5D DIU225U055,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +6.0D DIU150U060,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +6.0D DIU225U060,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +6.5D DIU150U065,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +6.5D DIU225U065,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +7.0D DIU150U070,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +7.0D DIU225U070,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +7.5D DIU150U075,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +7.5D DIU225U075,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +8.0D DIU150U080,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +8.0D DIU225U080,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +8.5D DIU150U085,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +8.5D DIU225U085,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +9.0D DIU150U090,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +9.0D DIU225U090,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +9.5D DIU150U095,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +9.5D DIU225U095,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.0D SN6AT3.100,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.0D SN6AT4.100,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.0D SN6AT5.100,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.0D SN6AT6U100,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.0D SN6AT7U100,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.5D SN6AT3.105,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.5D SN6AT5.105,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.5D SN6AT6U105,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.5D SN6AT7U105,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.5D SN6AT9U105,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.0D SN6AT3.110,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.0D SN6AT4.110,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.0D SN6AT5.110,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.0D SN6AT6U110,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.0D SN6AT7U110,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.0D SN6AT9U110,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.5D SN6AT3.115,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.5D SN6AT4.115,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.5D SN6AT5.115,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.5D SN6AT6U115,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.5D SN6AT7U115,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D SN6AT3.120,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D SN6AT4.120,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D SN6AT5.120,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D SN6AT6U120,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D SN6AT7U120,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D SN6AT8U120,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D SN6AT9U120,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.5D SN6AT3.125,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.5D SN6AT4.125,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.5D SN6AT5.125,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.5D SN6AT6U125,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.5D SN6AT7U125,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.0D SN6AT3.130,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.0D SN6AT5.130,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.0D SN6AT6U130,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.0D SN6AT7U130,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.0D SN6AT8U130,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.5D SN6AT3.135,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.5D SN6AT4.135,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.5D SN6AT5.135,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.5D SN6AT6U135,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.5D SN6AT7U135,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.5D SN6AT8U135,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.0D SN6AT3.140,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.0D SN6AT4.140,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.0D SN6AT5.140,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.0D SN6AT6U140,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.0D SN6AT7U140,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.0D SN6AT8U140,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.0D SN6AT9.140,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.5D SN6AT3.145,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.5D SN6AT4.145,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.5D SN6AT5.145,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.5D SN6AT6U145,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.5D SN6AT7U145,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.5D SN6AT8U145,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.5D SN6AT9.145,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.0D SN6AT3.150,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.0D SN6AT4.150,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.0D SN6AT5.150,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.0D SN6AT6U150,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.0D SN6AT7U150,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.0D SN6AT9 15.0D,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.5D SN6AT3.155,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.5D SN6AT4.155,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.5D SN6AT5.155,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.5D SN6AT6U155,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.5D SN6AT7U155,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.0D SN6AT3.160,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.0D SN6AT4.160,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.0D SN6AT5.160,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.0D SN6AT6U160,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.0D SN6AT7U160,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.0D SN6AT8.160,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.5D SN6AT3.165,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.5D SN6AT4.165,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.5D SN6AT5.165,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.5D SN6AT6U165,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.5D SN6AT7U165,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.5D SN6AT8.165,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.5D SN6AT9U165,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D SN6AT3.170,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D SN6AT4.170,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D SN6AT5.170,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D SN6AT6U170,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D SN6AT7U170,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D SN6AT8.170,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D SN6AT9U170,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.5D SN6AT3.175,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.5D SN6AT4.175,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.5D SN6AT5.175,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.5D SN6AT6U175,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.5D SN6AT7U175,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.5D SN6AT9U175,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.0D SN6AT3.180,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.0D SN6AT4.180,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.0D SN6AT5.180,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.0D SN6AT6U180,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.0D SN6AT7U180,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.0D SN6AT8.180,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.5D SN6AT4.185,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.5D SN6AT5.185,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.5D SN6AT6U185,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.5D SN6AT7U185,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.0D SN6AT3.190,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.0D SN6AT4.190,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.0D SN6AT5.190,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.0D SN6AT6U190,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.0D SN6AT7U190,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.0D SN6AT8U190,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.5D SN6AT3.195,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.5D SN6AT4.195,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.5D SN6AT5.195,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.5D SN6AT6U195,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.5D SN6AT7U195,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.0D SN6AT3.200,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.0D SN6AT4.200,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.0D SN6AT5.200,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.0D SN6AT6U200,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.0D SN6AT7U200,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.0D SN6AT8.200,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.0D SN6AT9U200,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.5D SN6AT3.205,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.5D SN6AT5.205,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.5D SN6AT6U205,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.5D SN6AT7U205,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.5D SN6AT9U205,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.0D SN6AT3.210,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.0D SN6AT4.210,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.0D SN6AT5.210,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.0D SN6AT6U210,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.0D SN6AT7U210,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.0D SN6AT9U210,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.5D SN6AT4.215,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.5D SN6AT5.215,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.5D SN6AT6U215,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.5D SN6AT7U215,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.5D SN6AT8U215,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.5D SN6AT9U215,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.0D SN6AT3.220,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.0D SN6AT4.220,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.0D SN6AT5.220,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.0D SN6AT6U220,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.0D SN6AT7U220,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.0D SN6AT9U220,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.5D SN6AT3.225,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.5D SN6AT4.225,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.5D SN6AT5.225,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.5D SN6AT6.225,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.5D SN6AT7U225,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.5D SN6AT9.225,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.0D SN6AT3.230,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.0D SN6AT4.230,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.0D SN6AT5.230,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.0D SN6AT6U230,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.0D SN6AT7U230,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.5D SN6AT3.235,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.5D SN6AT4.235,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.5D SN6AT5.235,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.5D SN6AT6U235,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.5D SN6AT7U235,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.5D SN6AT8U235,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.0D SN6AT3.240,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.0D SN6AT5.240,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.0D SN6AT6U240,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.0D SN6AT7U240,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.5D SN6AT3.245,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.5D SN6AT4.245,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.5D SN6AT5.245,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.5D SN6AT6U245,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.5D SN6AT7U245,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.0D SN6AT3.250,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.0D SN6AT4.250,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.0D SN6AT5.250,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.0D SN6AT6U250,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.0D SN6AT7U250,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.0D SN6AT9.250,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.5D SN6AT4.255,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.5D SN6AT5.255,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.5D SN6AT6U255,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.5D SN6AT7U255,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.5D SN6AT9U255,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.0D SN6AT3.260,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.0D SN6AT4.260,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.0D SN6AT6U260,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.0D SN6AT7U260,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.5D SN6AT3.265,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.5D SN6AT4.265,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.5D SN6AT6U265,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.5D SN6AT7U265,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.0D SN6AT3.270,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.0D SN6AT5.270,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.0D SN6AT6U270,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.0D SN6AT7U270,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.0D SN6AT9U270,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.5D SN6AT3.275,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.5D SN6AT4.275,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.5D SN6AT5.275,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.5D SN6AT6U275,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.5D SN6AT7U275,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.5D SN6AT9U275,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.0D SN6AT3.280,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.0D SN6AT5.280,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.0D SN6AT6U280,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.0D SN6AT7U280,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.0D SN6AT9U280,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.5D SN6AT3.285,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.5D SN6AT4.285,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.5D SN6AT6U285,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.5D SN6AT7U285,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.5D SN6AT8U285,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.5D SN6AT9U285,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.0D SN6AT4.290,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.0D SN6AT5.290,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.0D SN6AT6U290,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.0D SN6AT7U290,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.0D SN6AT8U290,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.5D SN6AT3.295,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.5D SN6AT6U295,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.5D SN6AT7U295,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.5D SN6AT8 29.5D,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +30.0D SN6AT4.300,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +30.0D SN6AT5.300,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +30.0D SN6AT6U300,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +30.0D SN6AT7U300,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +30.0D SN6AT8U300,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +6.0D SN6AT4.060,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +6.0D SN6AT6U060,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +6.0D SN6AT7U060,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +6.5D SN6AT3.065,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +6.5D SN6AT4.065,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +6.5D SN6AT6U065,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +6.5D SN6AT7U065,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +7.0D SN6AT4.070,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +7.0D SN6AT5.070,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +7.0D SN6AT6U070,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +7.0D SN6AT7U070,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +7.5D SN6AT3.075,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +7.5D SN6AT4.075,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +7.5D SN6AT5.075,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +7.5D SN6AT6U075,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +7.5D SN6AT7U075,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +8.0D SN6AT4.080,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +8.0D SN6AT5.080,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +8.0D SN6AT6U080,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +8.0D SN6AT7U080,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +8.5D SN6AT3.085,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +8.5D SN6AT4.085,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +8.5D SN6AT6U085,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +9.0D SN6AT4.090,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +9.0D SN6AT6U090,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +9.0D SN6AT7U090,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +9.5D SN6AT3.095,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +9.5D SN6AT4.095,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +9.5D SN6AT7U095,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING TORIC +17.5D,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +10.0D ZCT300U100,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +10.0D ZCT600U100,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +10.5D ZCT300U105,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +10.5D ZCT600U105,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +11.0D ZCT300U110,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +11.0D ZCT600U110,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +11.5D ZCT300U115,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +11.5D ZCT600U115,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +12.0D ZCT300U120,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +12.0D ZCT600U120,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +12.5D ZCT300U125,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +12.5D ZCT600U125,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +13.0D ZCT300U130,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +13.0D ZCT600U130,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +13.5D ZCT300U135,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +13.5D ZCT600U135,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +14.0D ZCT300U140,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +14.0D ZCT600U140,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +14.5D ZCT300U145,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +14.5D ZCT600U145,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +15.0D ZCT300U150,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +15.0D ZCT600U150,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +15.5D ZCT300U155,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +15.5D ZCT600U155,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +16.0D ZCT300U160,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +16.0D ZCT600U160,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +16.5D ZCT300U165,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +16.5D ZCT600U165,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +17.0D ZCT300U170,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +17.0D ZCT600U170,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +17.5D ZCT300U175,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +17.5D ZCT600U175,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +18.0D ZCT300U180,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +18.0D ZCT600U180,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +18.5D ZCT300U185,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +18.5D ZCT600U185,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +19.0D ZCT300U190,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +19.0D ZCT600U190,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +19.5D ZCT300U195,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +19.5D ZCT600U195,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +20.0D ZCT300U200,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +20.0D ZCT600U200,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +20.5D ZCT300U205,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +20.5D ZCT600U205,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +21.0D ZCT300U210,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +21.0D ZCT600U210,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +21.5D ZCT300U215,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +21.5D ZCT600U215,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +22.0D ZCT300U220,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +22.0D ZCT600U220,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +22.5D ZCT300U225,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +22.5D ZCT600U225,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +23.0D ZCT300U230,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +23.0D ZCT600U230,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +23.5D ZCT300U235,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +23.5D ZCT600U235,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +24.0D ZCT300U240,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +24.0D ZCT600U240,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +24.5D ZCT300U245,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +24.5D ZCT600U245,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +25.0D ZCT300U250,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +25.0D ZCT600U250,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +25.5D ZCT300U255,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +25.5D ZCT600U255,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +26.0D ZCT300U260,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +26.0D ZCT600U260,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +26.5D ZCT300U265,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +26.5D ZCT600U265,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +27.0D ZCT300U270,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +27.0D ZCT600U270,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +27.5D ZCT300U275,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +27.5D ZCT600U275,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +28.0D ZCT300U280,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +28.0D ZCT600U280,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +28.5D ZCT300U285,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +28.5D ZCT600U285,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +29.0D ZCT300U290,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +29.0D ZCT600U290,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +29.5D ZCT300U295,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +29.5D ZCT600U295,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +30.0D ZCT300U300,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +30.0D ZCT600U300,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +30.5D ZCT300U305,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +30.5D ZCT600U305,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +31.0D ZCT300U310,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +31.0D ZCT600U310,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +31.5D ZCT300U315,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +31.5D ZCT600U315,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +32.0D ZCT300U320,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +32.0D ZCT600U320,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +32.5D ZCT300U325,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +32.5D ZCT600U325,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +33.0D ZCT300U330,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +33.0D ZCT600U330,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +33.5D ZCT300U335,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +33.5D ZCT600U335,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +34.0D ZCT300U340,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +34.0D ZCT600U340,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +5.0D ZCT300U050,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +5.0D ZCT600U050,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +5.5D ZCT300U055,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +5.5D ZCT600U055,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +6.0D ZCT300U060,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +6.0D ZCT600U060,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +6.5D ZCT300U065,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +6.5D ZCT600U065,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +7.0D ZCT300U070,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +7.0D ZCT600U070,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +7.5D ZCT300U075,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +7.5D ZCT600U075,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +8.0D ZCT300U080,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +8.0D ZCT600U080,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +8.5D ZCT300U085,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +8.5D ZCT600U085,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +9.0D ZCT300U090,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +9.0D ZCT600U090,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +9.5D ZCT300U095,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +9.5D ZCT600U095,990.0,643.5,492.03,960.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +10.0D DFW225U100,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +10.5D DFW225U105,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +11.5D DFW225U115,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +12.0D DFW150U120,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +12.0D DFW225U120,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +12.5D DFW150U125,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +12.5D DFW225U125,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +13.0D DFW150U130,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +13.0D DFW225U130,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +13.5D DFW150U135,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +13.5D DFW225U135,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +14.0D DFW150U140,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +14.0D DFW225U140,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +14.5D DFW150U145,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +14.5D DFW225U145,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +15.0D DFW150U150,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +15.0D DFW225U150,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +15.5D DFW150U155,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +15.5D DFW225U155,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +16.0D DFW150U160,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +16.0D DFW225U160,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +16.5D DFW150U165,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +16.5D DFW225U165,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +17.0D DFW150U170,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +17.0D DFW225U170,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +17.5D DFW150U175,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +17.5D DFW225U175,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +18.0D DFW150U180,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +18.0D DFW225U180,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +18.5D DFW150U185,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +18.5D DFW225U185,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +19.0D DFW150U190,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +19.0D DFW225U190,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +19.5D DFW150U195,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +19.5D DFW225U195,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +20.0D DFW150U200,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +20.0D DFW225U200,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +20.5D DFW150U205,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +20.5D DFW225U205,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +21.0D DFW150U210,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +21.0D DFW225U210,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +21.5D DFW150U215,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +21.5D DFW225U215,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +22.0D DFW150U220,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +22.0D DFW225U220,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +22.5D DFW150U225,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +22.5D DFW225U225,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +23.0D DFW150U230,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +23.0D DFW225U230,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +23.5D DFW150U235,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +23.5D DFW225U235,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +24.0D DFW150U240,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +24.0D DFW225U240,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +24.5D DFW150U245,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +24.5D DFW225U245,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +25.0D DFW150U250,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +25.0D DFW225U250,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +25.5D DFW150U255,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +25.5D DFW225U255,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +26.0D DFW150U260,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +26.0D DFW225U260,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +26.5D DFW150U265,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +26.5D DFW225U265,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +27.0D DFW150U270,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +27.0D DFW225U270,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +27.5D DFW150U275,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +27.5D DFW225U275,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +28.0D DFW150U280,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +28.0D DFW225U280,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +28.5D DFW150U285,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +28.5D DFW225U285,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +29.0D DFW150U290,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +29.0D DFW225U290,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +29.5D DFW150U295,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +29.5D DFW225U295,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +30.0D DFW150U300,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +30.0D DFW225U300,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +30.5D DFW150U305,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +30.5D DFW225U305,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +31.0D DFW150U310,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +31.0D DFW225U310,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +31.5D DFW150U315,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +31.5D DFW225U315,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +32.0D DFW150U320,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +32.0D DFW225U320,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +32.5D DFW150U325,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +32.5D DFW225U325,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +33.0D DFW150U330,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +33.0D DFW225U330,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +33.5D DFW150U335,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +33.5D DFW225U335,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +34.0D DFW150U340,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +34.0D DFW225U340,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +5.0D DFW225U050,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +5.5D DFW225U055,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +6.0D DFW225U060,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +6.5D DFW225U065,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +7.0D DFW225U070,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +7.5D DFW225U075,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +8.0D DFW225U080,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +8.5D DFW225U085,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +9.0D DFW225U090,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +9.5D DFW225U095,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +10.0D CNW0T3.100,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +10.0D CNW0T4.100,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +10.0D CNW0T5.100,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +10.5D CNW0T3.105,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +10.5D CNW0T4.105,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +10.5D CNW0T5.105,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +11.0D CNW0T3.110,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +11.0D CNW0T5.110,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +11.5D CNW0T3.115,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +11.5D CNW0T4.115,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +11.5D CNW0T5.115,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +12.0D CNW0T3.120,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +12.0D CNW0T4.120,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +12.5D CNW0T3.125,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +12.5D CNW0T4.125,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +12.5D CNW0T5.125,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +13.0D CNW0T3.130,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +13.0D CNW0T4.130,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +13.5D CNW0T3.135,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +13.5D CNW0T4.135,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +13.5D CNW0T5.135,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +14.0D CNW0T3.140,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +14.0D CNW0T4.140,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +14.0D CNW0T5.140,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +14.5D CNW0T3.145,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +14.5D CNW0T4.145,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +14.5D CNW0T5.145,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +15.0D CNW0T3.150,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +15.0D CNW0T4.150,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +15.0D CNW0T5.150,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +15.5D CNW0T3.155,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +15.5D CNW0T4.155,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +15.5D CNW0T5.155,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +16.0D CNW0T3.160,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +16.0D CNW0T4.160,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +16.0D CNW0T5.160,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +16.5D CNW0T3.165,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +16.5D CNW0T4.165,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +16.5D CNW0T5.165,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +17.0D CNW0T3.170,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +17.0D CNW0T4.170,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +17.5D CNW0T3.175,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +17.5D CNW0T4.175,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +18.0D CNW0T5.180,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +18.5D CNW0T3.185,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +18.5D CNW0T4.185,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +19.0D CNW0T3.190,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +19.0D CNW0T4.190,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +19.0D CNW0T5.190,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +19.5D CNW0T3.195,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +19.5D CNW0T4.195,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +19.5D CNW0T5.195,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +20.0D CNW0T3.200,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +20.0D CNW0T5.200,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +20.5D CNW0T4.205,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +20.5D CNW0T5.205,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +21.0D CNW0T3.210,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +21.0D CNW0T4.210,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +21.0D CNW0T5.210,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +21.5D CNW0T3.215,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +21.5D CNW0T5.215,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +22.0D CNW0T3.220,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +22.0D CNW0T4.220,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +22.0D CNW0T5.220,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +22.5D CNW0T3.225,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +22.5D CNW0T4.225,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +22.5D CNW0T5.225,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +23.0D CNW0T3.230,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +23.0D CNW0T4.230,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +23.0D CNW0T5.230,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +23.5D CNW0T3.235,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +23.5D CNW0T4.235,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +23.5D CNW0T5.235,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +24.0D CNW0T3.240,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +24.0D CNW0T4.240,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +24.0D CNW0T5.240,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +24.5D CNW0T3.245,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +24.5D CNW0T4.245,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +24.5D CNW0T5.245,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +25.0D CNW0T3.250,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +25.0D CNW0T4.250,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +25.0D CNW0T5.250,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +25.5D CNW0T3.255,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +25.5D CNW0T4.255,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +25.5D CNW0T5.255,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +26.0D CNW0T3.260,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +26.0D CNW0T4.260,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +26.0D CNW0T5.260,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +26.5D CNW0T3.265,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +26.5D CNW0T4.265,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +26.5D CNW0T5.265,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +27.0D CNW0T3.270,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +27.0D CNW0T4.270,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +27.0D CNW0T5.270,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +27.5D CNW0T3.275,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +27.5D CNW0T4.275,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +27.5D CNW0T5.275,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +28.0D CNW0T3.280,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +28.0D CNW0T4.280,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +28.0D CNW0T5.280,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +28.5D CNW0T3.285,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +28.5D CNW0T4.285,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +28.5D CNW0T5.285,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +29.0D CNW0T3.290,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +29.0D CNW0T4.290,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +29.0D CNW0T5.290,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +29.5D CNW0T3.295,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +29.5D CNW0T4.295,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +29.5D CNW0T5.295,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +30.0D CNW0T3.300,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +30.0D CNW0T4.300,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +30.0D CNW0T5.300,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +19.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE +20.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+10.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+10.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+11.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+11.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+12.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+12.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+13.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+13.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+14.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+14.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+15.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+15.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+16.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+16.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+17.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+17.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+18.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+18.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+19.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+20.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+20.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+21.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+21.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+22.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+22.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+23.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+23.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+24.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+24.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+25.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+25.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+26.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+26.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+27.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+27.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+28.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+28.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+29.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+29.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+30.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+30.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+31.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+31.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+32.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+32.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+33.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+33.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 2.25X+34.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3.75X+10.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3.75X+10.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3.75X+11.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3.75X+11.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3.75X+12.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3.75X+12.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3.75X+32.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3.75X+32.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3.75X+33.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3.75X+33.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3.75X+34.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3.75X+6.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3.75X+6.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3.75X+7.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3.75X+7.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3.75X+8.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3.75X+8.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3.75X+9.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3.75X+9.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+10.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+10.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+11.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+11.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+12.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+12.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+13.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+13.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+14.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+14.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+15.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+15.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+16.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+16.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+17.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+17.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+18.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+18.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+19.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+19.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+20.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+21.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+21.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+22.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+22.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+23.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+23.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+24.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+24.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+25.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+25.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+26.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+26.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+27.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+27.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+28.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+28.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+29.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+29.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+30.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+30.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+31.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+31.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+32.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+32.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+33.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+33.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+5.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+5.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+6.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+6.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+7.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+7.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+8.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+8.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+9.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 3X+9.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+10.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+10.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+11.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+11.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+12.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+12.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+13.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+13.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+14.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+14.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+15.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+15.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+16.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+16.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+17.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+17.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+18.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+18.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+19.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+19.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+20.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+20.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+21.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+21.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+22.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+22.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+23.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+23.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+24.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+24.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+25.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+25.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+26.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+26.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+27.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+27.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+28.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+28.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 4.5X+29.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 5.25X+20.5D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 6X+26.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 6X+27.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING EYHANCE 6X+34.0D,1012.0,657.8,502.96,981.64,600 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +17.0D TFNT50.170,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +18.0D TFNT40.180,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +18.0D TFNT50U180,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +21.5D TFNT50U215,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +24.5D TFNT50.245,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +25.5D TFNT40.255,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +28.0D TFNT50U280,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +29.0D TFNT40.290,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +6.5D TFNT50.065,1010.0,656.5,501.97,979.7,600 HCPCS,V2787,LENS TCN TRC ZCT600 +10.5D,930.0,604.5,462.21,902.1,600 HCPCS,V2787,TORII SMPCY 05.0D CYL1.50,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,TORII SMPCY 05.5D CYL1.50,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,TORII SMPCY 06.0D CYL1.50,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,TORII SMPCY 06.5D CYL1.50,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,TORII SMPCY 07.0D CYL1.50,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,TORII SMPCY 07.5D CYL1.50,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,TORII SMPCY 08.0D CYL1.50,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,TORII SMPCY 08.5D CYL1.50,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,TORII SMPCY 09.0D CYL1.50,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,TORII SMPCY 09.5D CYL1.50,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,TORII SMPCY 10.0D CYL1.50,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,TORII SMPCY 10.5D CYL1.50,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,TORII SMPCY 11.0D CYL1.50,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,TORII SMPCY 11.0D CYL2.25,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,TORII SMPCY 11.5D CYL1.50,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2787,ZZLENS TCN TRC ZCT600 +12.0D,930.0,604.5,462.21,902.1,600 HCPCS,V2787,ZZLENS TCN TRC ZCT600 +13.0D,930.0,604.5,462.21,902.1,600 HCPCS,V2788,05.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,05.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,06.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,06.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,07.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,07.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,08.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,08.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,09.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,09.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,10.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,10.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,11.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,11.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,12.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,12.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,13.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,13.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,14.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,14.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,15.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,15.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,16.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,16.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,17.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,17.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,18.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,18.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,19.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,19.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,20.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,20.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,21.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,21.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,22.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,22.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,23.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,23.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,24.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,24.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,25.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,25.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,26.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,27.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,27.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,28.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,28.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,29.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,29.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,30.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,30.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,31.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,31.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,32.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,32.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,33.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,33.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,34.0D,1790.0,1163.5,889.63,1736.3,600 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,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR +18.0 DIOPTER CYLINDER DXW225U180,2030.0,1319.5,1008.91,1969.1,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR +23.5 DIOPTER 1.5 CYLINDER DIA13MM UV BLOCKING HYDROPHOBIC ACRYLIC ANTERIOR TORIC ASPHERIC SURFACE BICONVEX WAVEFRONT PROTEC FROSTED SYMFONY,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR +25.0 DIOPTER CYLINDER POWER +2.25 DIOPTER DIA13MM A CONSTANT 119.3 POSTERIOR HYDROPHOBIC ACRYLIC UV BLOCKING ERV FOLDABLE BICONVEX TORIC ASPHERIC SYMFONY,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR +27.5 DIOPTER CYLINDER DXW225U275,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS INTRAOCULAR +27.5 DIOPTER CYLINDER DXW300U275,2030.0,1319.5,1008.91,1969.1,600 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,2030.0,1319.5,1008.91,1969.1,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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 360,1790.0,1163.5,889.63,1736.3,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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 360,1790.0,1163.5,889.63,1736.3,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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 360,1790.0,1163.5,889.63,1736.3,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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 360,1790.0,1163.5,889.63,1736.3,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 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,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR ASPHERICAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR L13MM OD6MM +15.0 DIOPTER 0DEG 118.9 A CONSTANT 1 PIECE MULTIFOCAL ASPHERIC APODIZED DIFFRACTIVE NATURAL,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR L13MM OD6MM +21.5 DIOPTER 0DEG 118.9 A CONSTANT 1 PIECE MULTIFOCAL ASPHERIC APODIZED DIFFRACTIVE NATURAL,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR L13MM OD6MM +22.5 DIOPTER 0DEG 118.9 A CONSTANT 1 PIECE MULTIFOCAL ASPHERIC APODIZED DIFFRACTIVE NATURAL,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.5D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +30.0D,1790.0,1163.5,889.63,1736.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 10.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 10.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 11.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 11.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 12.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 12.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 13.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 13.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 14.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 14.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 15.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 15.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 16.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 16.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 17.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 18.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 19.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 19.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 20.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 21.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 22.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 22.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 23.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 23.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 24.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 24.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 25.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 25.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 26.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 26.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 27.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 27.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 28.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 28.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 29.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 29.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 30.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY 30.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 10.0D CYLINDER 1.50,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 10.5D CYLINDER 2.25,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 11.0D CYLINDER 1.50,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 12.5D CYLINDER 2.25,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 13.5D CYLINDER 2.25,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 14.0D CYLINDER 1.50,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 15.0D CYLINDER 2.25,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 15.5D CYLINDER 2.25,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 16.5D CYLINDER 2.25,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 17.5D CYLINDER 1.50,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 18.5D CYLINDER 1.50,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 20.5D CYLINDER 1.50,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 22.0D CYLINDER 2.25,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 22.5D CYLINDER 1.50,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 23.0D CYLINDER 1.50,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 24.5D CYLINDER 1.50,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 25.5D CYLINDER 1.50,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 26.0D CYLINDER 2.25,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR ODYSSEY TORICII 26.5D CYLINDER 2.25,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR SA25T3 16.0 STERILE UV ABSORBING HYDROPHOBIC ACRYLIC FOLDABLE SINGLE PIECE APODIZED DIFFRACTIVE ASPHERIC MULTIFOCAL TORIC POSTERIOR CHAMBER,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR SYMF ERV OB 13.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.0D SN6AT8U230,990.0,643.5,492.03,960.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +24.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +26.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +26.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +27.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +27.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +28.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +29.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +29.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +30.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +30.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +31.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +31.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +32.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +32.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +33.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +33.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +34.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +5.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +5.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +6.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +6.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +7.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +7.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +8.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +8.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +9.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +9.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +7.0D DFW375U070,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE BLUE LIGHT FILTERING CLAREON +7.5D CNW0T3.075,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC IOL NONPRELOADED +9.00D SE / +4.25D CYL,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC IOL NONPRELOADED +9.00D SE / +5.00D CYL,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +14.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON PANOPTIX +18.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +10.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +11.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +12.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +12.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +13.0D,1990.0,1293.5,989.03,1930.3,1200 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +13.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +14.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +14.5D,1990.0,1293.5,989.03,1930.3,1200 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +15.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +15.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +16.0D,1990.0,1293.5,989.03,1930.3,1200 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +16.5D,1990.0,1293.5,989.03,1930.3,1200 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +17.0D,1990.0,1293.5,989.03,1930.3,1200 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +17.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +18.0D,1990.0,1293.5,989.03,1930.3,1200 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +18.5D,1990.0,1293.5,989.03,1930.3,1200 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +19.0D,1990.0,1293.5,989.03,1930.3,1200 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +19.5D,1990.0,1293.5,989.03,1930.3,1800 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +20.0D,1990.0,1293.5,989.03,1930.3,1200 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +20.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +21.0D,1990.0,1293.5,989.03,1930.3,1200 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +21.5D,1990.0,1293.5,989.03,1930.3,1200 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +22.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +22.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +23.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +23.5D,1990.0,1293.5,989.03,1930.3,1200 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +24.0D,1990.0,1293.5,989.03,1930.3,1200 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +24.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +25.0D,1990.0,1293.5,989.03,1930.3,1200 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +25.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +26.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +26.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +27.0D,1990.0,1293.5,989.03,1930.3,1200 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +27.5D,1990.0,1293.5,989.03,1930.3,1200 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +28.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +28.5D,1990.0,1293.5,989.03,1930.3,1200 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +29.0D,1990.0,1293.5,989.03,1930.3,1200 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +29.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +30.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +30.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +31.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +31.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +32.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +32.5D,1990.0,1293.5,989.03,1930.3,1200 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +33.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +33.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +34.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +5.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +6.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +6.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +7.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +7.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +8.0D,1990.0,1293.5,989.03,1930.3,1200 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +8.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +9.0D,1990.0,1293.5,989.03,1930.3,1200 HCPCS,V2788,LENS INTRAOCULAR TORIC II HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +9.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRC CCWTT4 +10.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +10.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +11.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +11.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +12.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +12.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +13.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +13.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +14.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +15.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +15.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +16.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +16.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +17.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +17.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +18.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +19.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +19.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +20.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +20.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +21.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +21.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +22.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +22.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +23.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +23.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +24.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +24.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +25.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +25.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +26.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +26.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +27.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +27.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +28.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +28.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +29.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +29.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +30.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +31.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +32.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +33.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +34.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +6.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +6.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +7.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +7.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +8.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +8.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +9.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC CCWTT4 +9.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRC2 DRT225 +10.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRC2 DRT225 +11.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRC2 DRT225 +12.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRC2 DRT225 +28.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRC2 DRT225 +29.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRC2 DRT225 +30.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRC2 DRT225 +30.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRC2 DRT225 +31.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRC2 DRT225 +31.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRC2 DRT225 +32.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRC2 DRT225 +33.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRC2 DRT225 +33.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRC2 DRT225 +34.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRC2 DRT225 +5.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRC2 DRT225 +5.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRC2 DRT225 +6.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRC2 DRT225 +6.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRC2 DRT225 +7.0D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRC2 DRT225 +7.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRC2 DRT225 +8.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRC2 DRT225 +9.5D,1990.0,1293.5,989.03,1930.3,600 HCPCS,V2788,LENS TRFCL CCWTT0 +10.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +10.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +11.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +12.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +12.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +13.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +13.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +14.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +16.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +16.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +17.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +18.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +18.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +19.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +20.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +20.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +21.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +21.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +22.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +22.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +23.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +23.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +24.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +24.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +25.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +25.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +26.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +26.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +27.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +27.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +28.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +28.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +29.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +29.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +30.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +31.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +32.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +33.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +34.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +6.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +6.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +7.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +7.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +8.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +8.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +9.0D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS TRFCL CCWTT0 +9.5D,2030.0,1319.5,1008.91,1969.1,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +15.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +16.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +17.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +20.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +21.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +22.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +22.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +23.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +24.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +26.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +26.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +27.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +27.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +28.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +28.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +29.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +29.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +30.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +30.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +31.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +31.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +32.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +32.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +33.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +33.5D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2788,LENS-INTRAOCULAR TORIC HYDROPHOBIC-ACRYLIC BICONVEX-OPTIC 6.0X13.0 FOLDABLE MULTIPIECE ULTRAVIOLET-BLOCKING +34.0D,1968.0,1279.2,978.1,1908.96,600 HCPCS,V2790,GRAFT TISSUE OCULAR AMNIOTIC MEMBRANE FROZEN REGENERATIVE STERILE 1X1.5CM,1290.0,838.5,715.95,1251.3,600 HCPCS,V2790,GRAFT TISSUE OCULAR AMNIOTIC MEMBRANE FROZEN REGENERATIVE STERILE 2X1.5CM,1620.0,1053.0,899.1,1571.4,600 HCPCS,V2790,GRFT AMB OCLR AMNIO 2X3,1250.0,812.5,693.75,1212.5,600 HCPCS,V5270,STREAMER WIRELESS W1.75XH3.75XL3.25IN BLACK SILVER TV WALL PLUG WITH,650.0,422.5,360.75,650.0,600 LOCAL,CASE-0184T,0184T REMOVAL OF RECTAL TUMOR USING AN ENDOSCOPE,,,5605.1,6445.86,23 LOCAL,CASE-0232T,0232T HARVEST AND INJECTIONS OF PLATELET RICH PLASMA USING IMAGING GUIDANCE FACILITY,,,412.45,474.32,4 LOCAL,CASE-10005,"FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE, FIRST GROWTH FACILITY",,,653.8,3191.0,23 LOCAL,CASE-10006,"FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE, EACH ADDITIONAL GROWTH FACILITY",,,653.8,3191.0,23 LOCAL,CASE-10010,"FINE NEEDLE ASPIRATION BIOPSY OF GROWTH USING CT GUIDANCE, EACH ADDITIONAL GROWTH FACILITY",,,653.8,3191.0,23 LOCAL,CASE-10021,"FINE NEEDLE ASPIRATION BIOPSY, FIRST GROWTH FACILITY",,,375.32,3117.0,23 LOCAL,CASE-10030,DRAINAGE OF FLUID COLLECTION IN SOFT TISSUE USING IMAGING GUIDANCE FACILITY,,,653.8,3191.0,23 LOCAL,CASE-10035,"PLACEMENT OF SOFT TISSUE LOCATING DEVICE USING X-RAY, FIRST GROWTH FACILITY",,,653.8,3191.0,23 LOCAL,CASE-10036,"PLACEMENT OF SOFT TISSUE LOCATING DEVICE USING X-RAY, EACH ADDITIONAL GROWTH FACILITY",,,2681.85,8220.0,23 LOCAL,CASE-10040,ACNE SURGERY FACILITY,,,185.24,3045.0,23 LOCAL,CASE-10060,SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS FACILITY,,,185.24,3045.0,23 LOCAL,CASE-10061,COMPLICATED OR MULTIPLE DRAINAGE OF SKIN ABSCESS FACILITY,,,375.32,3117.0,23 LOCAL,CASE-10081,COMPLICATED DRAINAGE OF CYST OF TAILBONE FACILITY,,,653.8,3191.0,23 LOCAL,CASE-10120,"REMOVAL OF FOREIGN BODY FROM TISSUE, ACCESSED BENEATH THE SKIN, SIMPLE FACILITY",,,375.32,3117.0,23 LOCAL,CASE-10121,"REMOVAL OF FOREIGN BODY FROM TISSUE, ACCESSED BENEATH THE SKIN, COMPLEX FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-10140,DRAINAGE OF BLOOD OR FLUID ACCUMULATION FACILITY,,,1802.9,5243.0,23 LOCAL,CASE-10160,"ASPIRATION OF ABSCESS, BLOOD, OR CYST FACILITY",,,375.32,3117.0,23 LOCAL,CASE-10180,COMPLEX DRAINAGE OF WOUND INFECTION AFTER SURGERY FACILITY,,,2681.85,8220.0,23 LOCAL,CASE-11000,"REMOVAL OF INFLAMED OR INFECTED SKIN, UP TO 10% OF BODY SURFACE FACILITY",,,375.32,3117.0,23 LOCAL,CASE-11042,"REMOVAL OF SKIN AND TISSUE, 20.0 SQ CM OR LESS FACILITY",,,375.32,3117.0,23 LOCAL,CASE-11043,"REMOVAL OF MUSCLE AND/OR TISSUE, 20.0 SQ CM OR LESS FACILITY",,,682.37,3117.0,23 LOCAL,CASE-11044,"REMOVAL OF BONE, 20.0 SQ CM OR LESS FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-11045,"REMOVAL OF SKIN AND TISSUE, EACH ADDITIONAL 20.0 SQ CM OR LESS FACILITY",,,6.5,3117.0,23 LOCAL,CASE-11046,"REMOVAL OF MUSCLE AND/OR TISSUE, EACH ADDITIONAL 20.0 SQ CM OR LESS FACILITY",,,682.37,3117.0,23 LOCAL,CASE-11047,"REMOVAL OF BONE, EACH ADDITIONAL 20.0 SQ CM OR LESS",,,1524.88,4396.0,23 LOCAL,CASE-11055,"REMOVAL OF NONCANCER THICKENED SKIN GROWTH, 1 GROWTH FACILITY",,,1484.62,4396.0,23 LOCAL,CASE-11102,"BIOPSY OF RELATED SKIN GROWTH, FIRST GROWTH FACILITY",,,375.32,3117.0,23 LOCAL,CASE-11103,"BIOPSY OF RELATED SKIN GROWTH, EACH ADDITIONAL GROWTH FACILITY",,,375.32,3045.0,23 LOCAL,CASE-11104,"PUNCH BIOPSY, FIRST SKIN GROWTH FACILITY",,,375.32,3117.0,23 LOCAL,CASE-11105,"PUNCH BIOPSY, EACH ADDITIONAL SKIN GROWTH FACILITY",,,375.32,3117.0,23 LOCAL,CASE-11106,"INCISION BIOPSY, FIRST SKIN GROWTH FACILITY",,,9814.25,13605.0,23 LOCAL,CASE-11200,"REMOVAL OF SKIN TAG, 1-15 SKIN TAGS FACILITY",,,2988.75,8220.0,23 LOCAL,CASE-11301,"SHAVING OF SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,185.24,3045.0,23 LOCAL,CASE-11310,"SHAVING OF SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.5 CM OR LESS FACILITY",,,185.24,5243.0,23 LOCAL,CASE-11400,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.5 CM OR LESS FACILITY",,,653.8,3191.0,23 LOCAL,CASE-11401,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,375.32,3117.0,23 LOCAL,CASE-11402,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 1.1-2.0 CM FACILITY",,,653.8,3191.0,23 LOCAL,CASE-11403,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 2.1-3.0 CM FACILITY-EXPRESS CARE",,,653.8,3191.0,23 LOCAL,CASE-11404,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 3.1-4.0 CM FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-11406,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, MORE THAN 4.0 CM FACILITY",,,1524.88,13605.0,23 LOCAL,CASE-11420,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.5 CM OR LESS FACILITY",,,4618.63,13605.0,23 LOCAL,CASE-11421,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.6-1.0 CM FACILITY",,,653.8,3191.0,23 LOCAL,CASE-11422,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 1.1-2.0 CM FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-11423,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 2.1-3.0 CM FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-11424,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 3.1-4.0 CM FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-11426,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, MORE THAN 4.0 CM FACILITY",,,2988.75,8220.0,23 LOCAL,CASE-11440,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.5 CM OR LESS FACILITY",,,2681.85,8220.0,23 LOCAL,CASE-11441,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.6-1.0 CM FACILITY",,,653.8,3191.0,23 LOCAL,CASE-11442,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 1.1-2.0 CM FACILITY",,,653.8,3191.0,23 LOCAL,CASE-11443,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.1-3.0 CM FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-11444,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 3.1-4.0 CM FACILITY",,,2681.85,8220.0,23 LOCAL,CASE-11446,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, MORE THAN 4.0 CM FACILITY",,,2681.85,8220.0,23 LOCAL,CASE-11450,REMOVAL OF SKIN AND TISSUE OF UNDERARMS FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR FACILITY,,,2681.85,8220.0,23 LOCAL,CASE-11451,REMOVAL OF SKIN AND TISSUE OF UNDERARMS FOR INFLAMED SWEAT GLANDS WITH COMPLEX REPAIR,,,2681.85,8220.0,23 LOCAL,CASE-11462,REMOVAL OF SKIN AND TISSUE OF GROIN FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR FACILITY,,,2681.85,8220.0,23 LOCAL,CASE-11463,REMOVAL OF SKIN AND TISSUE OF GROIN FOR INFLAMED SWEAT GLANDS WITH COMPLICATED REPAIR,,,2681.85,8220.0,23 LOCAL,CASE-11470,REMOVAL OF SKIN AND TISSUE OF ANUS OR NAVEL FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR FACILITY,,,2681.85,8220.0,23 LOCAL,CASE-11471,REMOVAL OF SKIN AND TISSUE OF ANUS OR NAVEL FOR INFLAMED SWEAT GLANDS WITH COMPLICATED REPAIR,,,2681.85,13605.0,23 LOCAL,CASE-11600,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.5 CM OR LESS FACILITY",,,3615.02,13605.0,23 LOCAL,CASE-11601,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,3615.02,13605.0,23 LOCAL,CASE-11602,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 1.1-2.0 CM FACILITY",,,375.32,3117.0,23 LOCAL,CASE-11603,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 2.1-3.0 CM FACILITY",,,653.8,3191.0,23 LOCAL,CASE-11604,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 3.1-4.0 CM FACILITY",,,653.8,3191.0,23 LOCAL,CASE-11606,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, MORE THAN 4.0 CM FACILITY",,,6130.69,13605.0,23 LOCAL,CASE-11621,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.6-1.0 CM FACILITY",,,2681.85,8220.0,23 LOCAL,CASE-11622,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 1.1-2.0 CM FACILITY",,,653.8,3191.0,23 LOCAL,CASE-11623,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 2.1-3.0 CM FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-11624,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 3.1-4.0 CM FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-11626,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, MORE THAN 4.0 CM FACILITY",,,2681.85,8220.0,23 LOCAL,CASE-11641,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.6-1.0 CM FACILITY",,,2681.85,8220.0,23 LOCAL,CASE-11642,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 1.1-2.0 CM FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-11643,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.1-3.0 CM FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-11644,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 3.1-4.0 CM FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-11646,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, MORE THAN 4.0 CM FACILITY",,,2681.85,13605.0,23 LOCAL,CASE-11730,"SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED, FIRST NAIL FACILITY",,,185.24,3045.0,23 LOCAL,CASE-11750,PERMANENT REMOVAL FINGERNAIL OR TOENAIL FACILITY,,,3020.95,13605.0,23 LOCAL,CASE-11755,BIOPSY OF FINGERNAIL OR TOENAIL FACILITY,,,653.8,3191.0,23 LOCAL,CASE-11770,SIMPLE REMOVAL OF CYST OF TAILBONE FACILITY,,,2681.85,8220.0,23 LOCAL,CASE-11771,EXTENSIVE REMOVAL OF CYST OF TAILBONE PROFESSIONAL,,,2681.85,8220.0,23 LOCAL,CASE-11772,COMPLICATED REMOVAL OF CYST OF TAILBONE PROFESSIONAL,,,2681.85,8220.0,23 LOCAL,CASE-11900,"INJECTION INTO SKIN GROWTH, 1-7 GROWTHS FACILITY",,,185.24,3045.0,23 LOCAL,CASE-11901,"INJECTION INTO SKIN GROWTH, MORE THAN 7 GROWTHS FACILITY",,,6.5,3191.0,23 LOCAL,CASE-11950,"INJECTION OF FILLING MATERIAL UNDER SKIN, 1.0 CC OR LESS FACILITY",,,185.24,3045.0,23 LOCAL,CASE-11960,INSERTION OF TISSUE EXPANDER,,,3271.83,13605.0,23 LOCAL,CASE-11970,REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT IMPLANT,,,6699.47,13605.0,23 LOCAL,CASE-11971,REMOVAL OF TISSUE EXPANDER,,,2681.85,8220.0,23 LOCAL,CASE-11981,INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE FACILITY,,,682.37,3117.0,23 LOCAL,CASE-11982,REMOVAL OF DRUG DELIVERY IMPLANT FROM TISSUE FACILITY,,,412.45,3117.0,23 LOCAL,CASE-12001,"SIMPLE REPAIR OF SURFACE WOUND OF SCALP, NECK, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.5 CM OR LESS FACILITY",,,682.37,3117.0,23 LOCAL,CASE-12002,"SIMPLE REPAIR OF SURFACE WOUND OF SCALP, NECK, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.6-7.5 CM FACILITY",,,682.37,3117.0,23 LOCAL,CASE-12011,"SIMPLE REPAIR OF SURFACE WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.5 CM OR LESS FACILITY",,,682.37,3117.0,23 LOCAL,CASE-12013,"SIMPLE REPAIR OF SURFACE WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.6-5.0 CM FACILITY",,,682.37,3117.0,23 LOCAL,CASE-12014,"SIMPLE REPAIR OF SURFACE WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 5.1-7.5 CM FACILITY",,,682.37,3117.0,23 LOCAL,CASE-12020,SIMPLE CLOSURE OF SURFACE WOUND REOPENING FACILITY,,,682.37,3117.0,23 LOCAL,CASE-12021,REPAIR OF SEPARATION OF WOUND CLOSURE WITH INSERTION OF PACKING FACILITY,,,375.32,3117.0,23 LOCAL,CASE-12031,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.5 CM OR LESS FACILITY",,,375.32,3191.0,23 LOCAL,CASE-12032,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.6-7.5 CM FACILITY",,,375.32,3191.0,23 LOCAL,CASE-12034,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 7.6-12.5 CM FACILITY",,,375.32,3191.0,23 LOCAL,CASE-12035,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 12.6-20.0 CM FACILITY",,,375.32,3191.0,23 LOCAL,CASE-12036,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 20.1-30.0 CM FACILITY",,,2681.85,4396.0,23 LOCAL,CASE-12037,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, MORE THAN 30.0 CM",,,1524.88,5243.0,23 LOCAL,CASE-12041,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 2.5 CM OR LESS FACILITY",,,682.37,3117.0,23 LOCAL,CASE-12042,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 2.6-7.5 CM FACILITY",,,375.32,3117.0,23 LOCAL,CASE-12044,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 7.6-12.5 CM FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-12045,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 12.6-20.0 CM FACILITY",,,2681.85,4396.0,23 LOCAL,CASE-12051,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.5 CM OR LESS FACILITY",,,375.32,3191.0,23 LOCAL,CASE-12052,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.6-5.0 CM FACILITY",,,375.32,3117.0,23 LOCAL,CASE-12053,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 5.1-7.5 CM FACILITY",,,375.32,3117.0,23 LOCAL,CASE-12054,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 7.6-12.5 CM FACILITY",,,682.37,3117.0,23 LOCAL,CASE-12055,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 12.6-20.0 CM FACILITY",,,375.32,3117.0,23 LOCAL,CASE-12056,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 20.1-30.0 CM FACILITY",,,2681.85,8220.0,23 LOCAL,CASE-13101,"COMPLICATED REPAIR OF WOUND OF TRUNK, 2.6-7.5 CM FACILITY",,,682.37,3117.0,23 LOCAL,CASE-13102,"COMPLICATED REPAIR OF WOUND OF TRUNK, EACH ADDITIONAL 5.0 CM OR LESS FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-13120,"COMPLICATED REPAIR OF WOUND OF SCALP, ARMS, OR LEGS, 1.1-2.5 CM FACILITY",,,375.32,3117.0,23 LOCAL,CASE-13121,"COMPLICATED REPAIR OF WOUND OF SCALP, ARMS, OR LEGS, 2.6-7.5 CM FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-13122,"COMPLICATED REPAIR OF WOUND OF SCALP, ARMS, OR LEGS, EACH ADDITIONAL 5.0 CM OR LESS FACILITY",,,2681.85,8220.0,23 LOCAL,CASE-13131,"COMPLICATED REPAIR OF WOUND OF FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, 1.1-2.5 CM FACILITY",,,375.32,3117.0,23 LOCAL,CASE-13132,"COMPLICATED REPAIR OF WOUND OF FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, 2.6-7.5 CM FACILITY",,,375.32,3117.0,23 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",,,2681.85,8220.0,23 LOCAL,CASE-13151,"COMPLICATED REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIP, 1.1-2.5 CM FACILITY",,,682.37,3117.0,23 LOCAL,CASE-13152,"COMPLICATED REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIP, 2.6-7.5 CM FACILITY",,,682.37,3117.0,23 LOCAL,CASE-13153,"COMPLICATED REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIP, EACH ADDITIONAL 5.0 CM OR LESS FACILITY",,,682.37,3117.0,23 LOCAL,CASE-13160,EXTENSIVE OR COMPLICATED REPAIR OF SURFACE WOUND REOPENING FACILITY,,,3271.83,5243.0,23 LOCAL,CASE-14000,"REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN, 10.0 SQ CM OR LESS",,,7546.27,13605.0,23 LOCAL,CASE-14001,"REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN, 10.1-30.0 SQ CM PROFESSIONAL",,,1904.97,5243.0,23 LOCAL,CASE-14020,"REPAIR OF WOUND OF SCALP, ARMS, OR LEGS BY TRANSFERRING SKIN, 10.0 SQ CM OR LESS FACILITY",,,1904.97,5243.0,23 LOCAL,CASE-14021,"REPAIR OF WOUND OF SCALP, ARMS, OR LEGS BY TRANSFERRING SKIN, 10.1-30.0 SQ CM FACILITY",,,1904.97,5243.0,23 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",,,1904.97,5243.0,23 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",,,1904.97,5243.0,23 LOCAL,CASE-14060,"REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIPS BY TRANSFERRING SKIN, 10.0 SQ CM OR LESS FACILITY",,,1904.97,5243.0,23 LOCAL,CASE-14061,"REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIPS BY TRANSFERRING SKIN, 10.1-30.0 SQ CM FACILITY",,,1904.97,5243.0,23 LOCAL,CASE-14301,"REPAIR OF WOUND BY TRANSFERRING SKIN, 30.1-60.0 SQ CM FACILITY",,,2681.85,13605.0,23 LOCAL,CASE-14302,"REPAIR OF WOUND BY TRANSFERRING SKIN, EACH ADDITIONAL 30.0 SQ CM FACILITY",,,6130.69,13605.0,23 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",,,682.37,784.72,4 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",,,1904.97,5243.0,23 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",,,375.32,5243.0,23 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",,,1904.97,5243.0,23 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",,,1904.97,5243.0,23 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",,,12244.0,13605.0,19 LOCAL,CASE-15121,"PARTIAL THICKNESS SELF SKIN GRAFT OF FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, FEET, FINGERS, OR TOES, EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN",,,3271.83,13605.0,23 LOCAL,CASE-15220,"FULL THICKNESS SKIN GRAFT TO SCALP, ARMS, OR LEGS, 20.0 SQ CM OR LESS FACILITY",,,1904.97,5243.0,23 LOCAL,CASE-15221,"FULL THICKNESS SKIN GRAFT TO SCALP, ARMS, OR LEGS, EACH ADDITIONAL 20.0 SQ CM FACILITY",,,1524.88,5243.0,23 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",,,2681.85,8220.0,23 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",,,1904.97,5243.0,23 LOCAL,CASE-15260,"FULL THICKNESS SKIN GRAFT TO NOSE, EARS, EYELIDS, OR LIPS, 20.0 SQ CM OR LESS FACILITY",,,1904.97,5243.0,23 LOCAL,CASE-15261,"FULL THICKNESS SKIN GRAFT TO NOSE, EARS, EYELIDS, OR LIPS, EACH ADDITIONAL 20.0 SQ CM FACILITY",,,2195.07,13605.0,23 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",,,682.37,5243.0,23 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",,,682.37,784.72,4 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",,,1904.97,13605.0,23 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",,,1904.97,13605.0,23 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",,,682.37,5243.0,23 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 ",,,682.37,784.72,4 LOCAL,CASE-15277,"SKIN SUBSTITUTE GRAFT TO WOUND 100.0 SQ CM OR MORE OF FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, FEET, FINGERS, OR TOES, 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDRE",,,3061.08,13605.0,23 LOCAL,CASE-15278,"SKIN SUBSTITUTE GRAFT TO WOUND 100.0 SQ CM OR MORE OF FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, FEET, FINGERS, OR TOES, EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INF",,,5465.62,13605.0,23 LOCAL,CASE-15574,"CREATION OF FLAP GRAFT TO FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET FACILITY",,,1904.97,5243.0,23 LOCAL,CASE-15576,"CREATION OF FLAP GRAFT TO EYELIDS, NOSE, EARS, LIPS, OR MOUTH FACILITY",,,1904.97,5243.0,23 LOCAL,CASE-15620,"TRANSFER OF SKIN FLAP TO FOREHEAD, CHEEKS, CHIN, NECK, UNDERARMS, GENITALS, HANDS, OR FEET FACILITY",,,1904.97,5243.0,23 LOCAL,CASE-15630,"TRANSFER OF SKIN FLAP TO EYELIDS, NOSE, EARS, OR LIPS FACILITY",,,1904.97,5243.0,23 LOCAL,CASE-15650,TRANSFER OF SKIN FLAP,,,5465.62,13605.0,23 LOCAL,CASE-15730,CREATION OF FLAP GRAFT TO MIDFACE,,,3271.83,13605.0,23 LOCAL,CASE-15731,"CREATION OF FLAP GRAFT TO NOSE, FOREHEAD, TEMPLE, OR SCALP FACILITY",,,3271.83,13605.0,23 LOCAL,CASE-15733,CREATION OF FLAP GRAFT TO HEAD AND/OR NECK,,,9814.25,13605.0,23 LOCAL,CASE-15734,CREATION OF MUSCLE GRAFT TO TRUNK,,,5581.68,13605.0,23 LOCAL,CASE-15736,CREATION OF MUSCLE GRAFT TO ARM,,,1904.97,5243.0,23 LOCAL,CASE-15738,CREATION OF MUSCLE GRAFT TO LEG,,,3271.83,13605.0,23 LOCAL,CASE-15750,CREATION OF NERVE AND BLOOD VESSEL SKIN GRAFT,,,3271.83,13605.0,23 LOCAL,CASE-15760,GRAFT WITH CLOSURE OF WOUND FACILITY,,,1904.97,5243.0,23 LOCAL,CASE-15769,SELF SOFT TISSUE GRAFT,,,4618.63,13605.0,23 LOCAL,CASE-15770,"CREATION OF SKIN, FAT AND MUSCLE GRAFT",,,3629.76,13605.0,23 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",,,1524.88,13605.0,23 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",,,2681.85,13605.0,23 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",,,1904.97,5243.0,23 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",,,1904.97,5243.0,23 LOCAL,CASE-15777,IMPLANTATION OF BIOLOGIC IMPLANT TO SOFT TISSUE,,,12723.59,14632.13,4 LOCAL,CASE-15780,DERMABRASION OF SKIN OF TOTAL FACE FACILITY,,,2681.85,8220.0,23 LOCAL,CASE-15781,SCRAPING OF SKIN OF FACE FACILITY,,,653.8,3191.0,23 LOCAL,CASE-15788,CHEMICAL PEEL OF OUTER LAYER OF SKIN OF FACE FACILITY,,,3271.83,13605.0,23 LOCAL,CASE-15789,CHEMICAL PEEL OF DEEP LAYER OF SKIN OF FACE,,,682.37,13605.0,23 LOCAL,CASE-15819,REMOVAL OF EXTRA SKIN OF NECK,,,5739.0,6376.0,19 LOCAL,CASE-15820,REPAIR OF LOWER EYELID DEFECT FACILITY,,,5465.62,13605.0,23 LOCAL,CASE-15821,REMOVAL OF EXCESSIVE SKIN OF LOWER EYELID AND FAT AROUND EYE FACILITY,,,1904.97,5243.0,23 LOCAL,CASE-15822,REMOVAL OF EXCESSIVE SKIN OF UPPER EYELID FACILITY,,,1904.97,5243.0,23 LOCAL,CASE-15823,REMOVAL OF EXCESSIVE SKIN AND FAT OF UPPER EYELID PROFESSIONAL,,,1904.97,5243.0,23 LOCAL,CASE-15824,REMOVAL OF WRINKLES AND EXTRA SKIN OF FOREHEAD FACILITY,,,1904.97,13605.0,23 LOCAL,CASE-15825,"INCISION, STRETCHING, AND SUTURE OF NECK SKIN FACILITY",,,3271.83,13605.0,23 LOCAL,CASE-15826,"INCISION, STRETCHING, AND SUTURE OF SKIN BETWEEN EYEBROWS",,,3271.83,13605.0,23 LOCAL,CASE-15828,"REMOVAL OF WRINKLES AND EXTRA SKIN OF CHEEKS, CHIN, AND NECK",,,3271.83,13605.0,23 LOCAL,CASE-15829,"REMOVAL OF WRINKLES AND EXTRA SKIN WITH GRAFTING OF CHEEKS, CHIN, AND NECK FACILITY",,,3271.83,13605.0,23 LOCAL,CASE-15830,REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN,,,6130.69,13605.0,23 LOCAL,CASE-15832,REMOVAL OF EXTRA SKIN AND TISSUE OF THIGH,,,2681.85,8220.0,23 LOCAL,CASE-15834,REMOVAL OF EXTRA SKIN AND TISSUE OF HIP,,,6130.69,13605.0,23 LOCAL,CASE-15835,REMOVAL OF EXTRA SKIN AND TISSUE OF BUTTOCK,,,6130.69,13605.0,23 LOCAL,CASE-15836,REMOVAL OF EXTRA SKIN AND TISSUE OF ARM,,,2681.85,8220.0,23 LOCAL,CASE-15838,REMOVAL OF EXTRA SKIN AND TISSUE OF CHIN,,,2681.85,8220.0,23 LOCAL,CASE-15839,REMOVAL OF EXTRA SKIN AND TISSUE OF OTHER AREA PROFESSIONAL,,,2681.85,8220.0,23 LOCAL,CASE-15840,TISSUE GRAFT TO TREAT FACIAL PARALYSIS,,,2195.07,13605.0,23 LOCAL,CASE-15847,EXTENSIVE REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN,,,6130.69,13605.0,23 LOCAL,CASE-15852,DRESSING CHANGE UNDER ANESTHESIA,,,682.37,3117.0,23 LOCAL,CASE-15860,INJECTION OF AGENT INTO VEIN TO ASSESS BLOOD FLOW OF SKIN GRAFT OR FLAP,,,12244.0,14632.13,23 LOCAL,CASE-15876,SUCTION ASSISTED REMOVAL OF FAT OF HEAD AND NECK,,,3271.83,13605.0,23 LOCAL,CASE-15877,SUCTION ASSISTED REMOVAL OF FAT OF BODY,,,6699.47,13605.0,23 LOCAL,CASE-15879,SUCTION ASSISTED REMOVAL OF FAT OF LEG,,,3271.83,13605.0,23 LOCAL,CASE-15934,REMOVAL OF PRESSURE SORE TISSUE OF SACRUM WITH SKIN GRAFT,,,3271.83,13605.0,23 LOCAL,CASE-15937,REMOVAL OF PRESSURE SORE AND BONE AT SACRUM IN PREPARATION OF MUSCLE FLAP OR SKIN GRAFT,,,1904.97,5243.0,23 LOCAL,CASE-15941,REMOVAL OF PRESSURE SORE TISSUE AND LOWER PELVIC BONE WITH CLOSURE,,,2681.85,8220.0,23 LOCAL,CASE-17000,"DESTRUCTION OF PRECANCER SKIN GROWTH, 1 GROWTH FACILITY",,,185.24,3045.0,23 LOCAL,CASE-17003,"DESTRUCTION OF PRECANCER SKIN GROWTH, 2-14 GROWTHS FACILITY",,,375.32,3117.0,23 LOCAL,CASE-17004,"DESTRUCTION OF PRECANCER SKIN GROWTH, 15 OR MORE GROWTHS FACILITY",,,375.32,3117.0,23 LOCAL,CASE-17110,"DESTRUCTION OF SKIN GROWTH, 1-14 GROWTHS FACILITY",,,682.37,3117.0,23 LOCAL,CASE-17250,APPLICATION OF CHEMICAL TO STOP TISSUE REGROWTH IN WOUND FACILITY,,,837.4,3191.0,23 LOCAL,CASE-17260,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 0.5 CM OR LESS FACILITY",,,122.92,3045.0,23 LOCAL,CASE-17261,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,185.24,3045.0,23 LOCAL,CASE-17262,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 1.1-2.0 CM FACILITY",,,185.24,3045.0,23 LOCAL,CASE-17263,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 2.1-3.0 CM FACILITY",,,185.24,3045.0,23 LOCAL,CASE-17264,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 3.1-4.0 CM FACILITY",,,375.32,3117.0,23 LOCAL,CASE-17270,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.5 CM OR LESS FACILITY",,,185.24,3045.0,23 LOCAL,CASE-17271,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.6-1.0 CM FACILITY",,,185.24,3045.0,23 LOCAL,CASE-17272,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 1.1-2.0 CM FACILITY",,,185.24,3045.0,23 LOCAL,CASE-17273,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 2.1-3.0 CM FACILITY",,,375.32,3117.0,23 LOCAL,CASE-17274,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 3.1-4.0 CM FACILITY",,,375.32,3117.0,23 LOCAL,CASE-17276,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, MORE THAN 4.0 CM FACILITY",,,375.32,3117.0,23 LOCAL,CASE-17281,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.6-1.0 CM FACILITY",,,185.24,3045.0,23 LOCAL,CASE-17282,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 1.1-2.0 CM FACILITY",,,185.24,3117.0,23 LOCAL,CASE-17283,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.1-3.0 CM FACILITY",,,375.32,3117.0,23 LOCAL,CASE-17311,"REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF HEAD, NECK, HANDS, FEET, OR GENITALS, 1-5 TISSUE BLOCKS FACILITY",,,682.37,3117.0,23 LOCAL,CASE-17312,"REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF HEAD, NECK, HANDS, FEET, OR GENITALS, EACH ADDITIONAL STAGE, 1-5 TISSUE BLOCKS FACILITY",,,682.37,3117.0,23 LOCAL,CASE-17313,"REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF TRUNK, ARMS, OR LEGS, 1-5 TISSUE BLOCKS FACILITY",,,682.37,3117.0,23 LOCAL,CASE-17314,"REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF TRUNK, ARMS, OR LEGS, EACH ADDITIONAL STAGE, 1-5 TISSUE BLOCKS FACILITY",,,682.37,3117.0,23 LOCAL,CASE-17315,"REMOVAL AND MICROSCOPIC EXAM OF GROWTH, EACH ADDITIONAL BLOCK AFTER 5 TISSUE BLOCKS FACILITY",,,682.37,3117.0,23 LOCAL,CASE-17999,LASER DEST LESN <10 SQ CM - FACILITY,,,6.5,3117.0,23 LOCAL,CASE-19085,"BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI, FIRST GROWTH FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-19086,"BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI, EACH ADDITIONAL GROWTH FACILITY",,,2681.85,4396.0,23 LOCAL,CASE-19101,BIOPSY OF BREAST THROUGH INCISION,,,3615.02,13605.0,23 LOCAL,CASE-19110,EXPLORATION OF BREAST NIPPLE PROFESSIONAL,,,3615.02,13605.0,23 LOCAL,CASE-19120,"REMOVAL OF GROWTH AND TISSUE OF BREAST, DUCT, OR NIPPLE PROFESSIONAL",,,3615.02,13605.0,23 LOCAL,CASE-19125,"REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER, FIRST GROWTH PROFESSIONAL",,,3615.02,13605.0,23 LOCAL,CASE-19285,"PLACEMENT OF LOCATING DEVICE IN BREAST USING ULTRASOUND GUIDANCE, FIRST GROWTH FACILITY",,,3615.02,13605.0,23 LOCAL,CASE-19287,"PLACEMENT OF LOCATING DEVICE IN BREAST USING MRI GUIDANCE, FIRST GROWTH FACILITY",,,653.8,3191.0,23 LOCAL,CASE-19300,REMOVAL OF EXTRA BREAST TISSUE IN MALE,,,3615.02,13605.0,23 LOCAL,CASE-19301,PARTIAL REMOVAL OF BREAST PROFESSIONAL,,,3615.02,13605.0,23 LOCAL,CASE-19302,PARTIAL REMOVAL OF BREAST AND UNDERARM LYMPH NODES PROFESSIONAL,,,6130.69,13605.0,23 LOCAL,CASE-19303,SIMPLE COMPLETE REMOVAL OF BREAST PROFESSIONAL,,,6130.69,13605.0,23 LOCAL,CASE-19307,REMOVAL OF BREAST AND UNDERARM LYMPH NODES,,,6130.69,13605.0,23 LOCAL,CASE-19316,REPAIR FOR SAGGING OF THE BREAST,,,6130.69,13605.0,23 LOCAL,CASE-19318,BREAST REDUCTION PROFESSIONAL,,,6130.69,13605.0,23 LOCAL,CASE-19325,INSERTION OF BREAST IMPLANT,,,7546.27,13605.0,23 LOCAL,CASE-19328,REMOVAL OF INTACT BREAST IMPLANT,,,3271.83,13605.0,23 LOCAL,CASE-19330,REMOVAL OF RUPTURED BREAST IMPLANT AND IMPLANT MATERIAL,,,7546.27,13605.0,23 LOCAL,CASE-19340,PLACEMENT OF IMPLANT ON SAME DAY OF BREAST RECONSTRUCTION,,,12723.59,14632.13,4 LOCAL,CASE-19342,PLACEMENT OF IMPLANT ON SEPARATE DAY OF BREAST RECONSTRUCTION,,,6699.47,13605.0,23 LOCAL,CASE-19350,RECONSTRUCTION OF NIPPLE OR AREA AROUND NIPPLE,,,3615.02,13605.0,23 LOCAL,CASE-19357,RECONSTRUCTION OF BREAST USING TISSUE EXPANDER,,,12723.59,14632.13,4 LOCAL,CASE-19370,REVISION OF CAPSULE AROUND BREAST IMPLANT,,,6699.47,13605.0,23 LOCAL,CASE-19371,REMOVAL OF CAPSULE AROUND BREAST IMPLANT,,,3615.02,13605.0,23 LOCAL,CASE-19380,SURGICAL CHANGE TO RECONSTRUCTED BREAST,,,7546.27,13605.0,23 LOCAL,CASE-19499,TOMO GUIDED BREAST BIOPSY - FACILITY,,,3615.02,13605.0,23 LOCAL,CASE-20200,BIOPSY OF MUSCLE FACILITY,,,1524.88,4396.0,23 LOCAL,CASE-20205,DEEP BIOPSY OF MUSCLE,,,2681.85,8220.0,23 LOCAL,CASE-20206,NEEDLE BIOPSY OF MUSCLE FACILITY,,,1524.88,4396.0,23 LOCAL,CASE-20220,BIOPSY OF BONE USING NEEDLE OR TROCAR FACILITY,,,1524.88,4396.0,23 LOCAL,CASE-20225,DEEP BIOPSY OF BONE USING NEEDLE OR TROCAR FACILITY,,,1524.88,4396.0,23 LOCAL,CASE-20240,BIOPSY OF SURFACE BONE,,,2681.85,8220.0,23 LOCAL,CASE-20245,BIOPSY OF DEEP BONE,,,11853.62,13631.66,23 LOCAL,CASE-20251,BIOPSY OF UPPER OR LOWER SPINE BONE,,,6699.47,13605.0,23 LOCAL,CASE-20501,INJECTION OF ABNORMAL MUSCLE DRAINAGE TRACT FOR X-RAY STUDY FACILITY,,,5739.0,6376.0,19 LOCAL,CASE-20520,REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON FACILITY,,,1524.88,4396.0,23 LOCAL,CASE-20525,COMPLICATED REMOVAL OF FOREIGN BODY IN DEEP MUSCLE OR TENDON FACILITY,,,2681.85,8220.0,23 LOCAL,CASE-20526,INJECTION OF CARPAL TUNNEL FACILITY,,,283.4,3045.0,23 LOCAL,CASE-20550,INJECTION INTO TENDON OR LIGAMENT FACILITY,,,283.4,3045.0,23 LOCAL,CASE-20551,INJECTION INTO TENDON AT ATTACHMENT TO BONE OR MUSCLE FACILITY,,,283.4,3045.0,23 LOCAL,CASE-20552,"INJECTION OF TRIGGER POINTS, 1-2 MUSCLES FACILITY-EXPRESS CARE",,,283.4,3045.0,23 LOCAL,CASE-20553,"INJECTION OF TRIGGER POINTS, 3 OR MORE MUSCLES FACILITY",,,283.4,3045.0,23 LOCAL,CASE-20600,ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT FACILITY,,,283.4,3045.0,23 LOCAL,CASE-20604,ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT USING ULTRASOUND GUIDANCE FACILITY,,,283.4,3045.0,23 LOCAL,CASE-20605,ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT FACILITY-EXPRESS CARE,,,283.4,3045.0,23 LOCAL,CASE-20606,ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT USING ULTRASOUND GUIDANCE FACILITY,,,651.72,3191.0,23 LOCAL,CASE-20610,ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT FACILITY,,,283.4,3045.0,23 LOCAL,CASE-20611,ASPIRATION AND/OR INJECTION OF FLUID LARGE JOINT USING ULTRASOUND GUIDANCE FACILITY,,,283.4,3045.0,23 LOCAL,CASE-20612,ASPIRATION AND/OR INJECTION OF CYST OF TENDON FACILITY,,,283.4,3045.0,23 LOCAL,CASE-20615,ASPIRATION AND INJECTION OF CYST OF BONE FACILITY,,,653.8,3191.0,23 LOCAL,CASE-20650,INSERTION OF WIRE OR PIN TO BONE FOR TRACTION FACILITY,,,3020.95,13605.0,23 LOCAL,CASE-20670,REMOVAL OF SURFACE IMPLANT FROM BONE FACILITY,,,1524.88,4396.0,23 LOCAL,CASE-20680,REMOVAL OF DEEP IMPLANT FROM BONE PROFESSIONAL,,,2681.85,8220.0,23 LOCAL,CASE-20690,PLACEMENT OF SINGLE DIRECTION EXTERNAL BONE STABILIZING DEVICE TO ARM OR LEG,,,6699.47,13605.0,23 LOCAL,CASE-20692,PLACEMENT OF MULTIPLE DIRECTION EXTERNAL BONE STABILIZING DEVICE TO ARM OR LEG,,,11853.62,13631.66,23 LOCAL,CASE-20694,REMOVAL OF EXTERNAL BONE STABILIZING DEVICE UNDER ANESTHESIA,,,6699.47,13605.0,23 LOCAL,CASE-20696,PLACEMENT OF MULTIPLE DIRECTION EXTERNAL BONE STABILIZING DEVICE TO ARM OR LEG USING IMAGING,,,25052.13,28809.95,4 LOCAL,CASE-20702,INSERTION OF DRUG-DELIVERY DEVICE IN BONE,,,1453.38,8220.0,23 LOCAL,CASE-20900,HARVEST OF GRAFT FROM SMALL BONE PROFESSIONAL,,,11853.62,13631.66,23 LOCAL,CASE-20902,HARVEST OF GRAFT FROM LARGE BONE,,,11853.62,13631.66,23 LOCAL,CASE-20910,RIB CARTILAGE GRAFT-EXPRESS CARE,,,5465.62,13605.0,23 LOCAL,CASE-20930,PLACEMENT OF FRAGMENTED BONE GRAFT OR MATERIAL TO SPINE TO PROMOTE BONE GROWTH,,,11853.62,13631.66,23 LOCAL,CASE-20931,GRAFT OF DONOR BONE TO SPINE,,,11853.62,13631.66,23 LOCAL,CASE-20936,HARVEST OF BONE FROM SAME SPINE INCISION FOR GRAFT,,,11853.62,13631.66,23 LOCAL,CASE-20937,HARVEST OF BONE FRAGMENT FOR SPINE BONE GRAFT,,,12244.0,28809.95,23 LOCAL,CASE-20939,ASPIRATION OF BONE MARROW FOR SPINE BONE GRAFT,,,12244.0,28809.95,23 LOCAL,CASE-20962,BONE GRAFT WITH MICROVASCULAR CONNECTION,,,6699.47,22248.0,23 LOCAL,CASE-20982,DESTRUCTION OF GROWTHS AND ADJACENT SOFT TISSUE FACILITY,,,12244.0,18616.79,23 LOCAL,CASE-20983,FREEZING OF GROWTH OF BONE AND ADJACENT SOFT TISSUE FACILITY,,,6699.47,13605.0,23 LOCAL,CASE-20999,UNLISTED PROC MUSCKELTAL SYS - FACILITY,,,11853.62,13631.66,23 LOCAL,CASE-21011,"REMOVAL OF GROWTH UNDER SKIN OF FACE OR SCALP, LESS THAN 2.0 CM FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-21012,"REMOVAL OF GROWTH UNDER SKIN OF FACE OR SCALP, 2.0 CM OR MORE FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-21013,"REMOVAL OF GROWTH OF MUSCLE OF FACE OR SCALP, LESS THAN 2.0 CM PROFESSIONAL",,,1524.88,5243.0,23 LOCAL,CASE-21014,"REMOVAL OF GROWTH OF MUSCLE OF FACE OR SCALP, 2.0 CM OR MORE FACILITY",,,2681.85,8220.0,23 LOCAL,CASE-21030,REMOVAL OF GROWTH OR CYST OF JAW OR UPPER CHEEK,,,5465.62,13605.0,23 LOCAL,CASE-21040,REMOVAL OF GROWTH OR CYST OF LOWER JAW BONE,,,3061.08,13605.0,23 LOCAL,CASE-21044,REMOVAL OF GROWTH OF LOWER JAW BONE,,,5465.62,13605.0,23 LOCAL,CASE-21046,REMOVAL OF GROWTH OR CYST OF LOWER JAW BONE THROUGH MOUTH,,,5465.62,13605.0,23 LOCAL,CASE-21120,IMPLANTATION OF GRAFT TO ENLARGE CHIN BONE,,,5465.62,13605.0,23 LOCAL,CASE-21121,ENLARGEMENT OF CHIN BY MOVEMENT OF BONE,,,5465.62,13605.0,23 LOCAL,CASE-21137,REPAIR OF BONY DEFECT OF FOREHEAD,,,5465.62,13605.0,23 LOCAL,CASE-21139,REPAIR OF FRONTAL SINUS THROUGH FOREHEAD,,,5465.62,13605.0,23 LOCAL,CASE-21206,INCISION OR PARTIAL REMOVAL OF UPPER JAW BONE,,,5465.62,13605.0,23 LOCAL,CASE-21209,INCISION AND REPAIR OF BONY DEFECT OF CHEEK BONE INCLUDING BONY SEGMENT REDUCTION,,,5465.62,13605.0,23 LOCAL,CASE-21230,HARVEST OF RIB CARTILAGE FOR GRAFTING,,,5465.62,13605.0,23 LOCAL,CASE-21235,OBTAINING EAR CARTILAGE FOR GRAFTING FACILITY,,,5465.62,13605.0,23 LOCAL,CASE-21256,RECONSTRUCTION OF EYE SOCKET BONE WITH BONE GRAFT,,,5465.62,13605.0,23 LOCAL,CASE-21282,TIGHTENING OF TENDON OF OUTER EDGE OF LOWER EYELID,,,3061.08,13605.0,23 LOCAL,CASE-21320,CLOSED TREATMENT OF BROKEN NOSE BONE WITH PLACEMENT OF STABILIZING DEVICE,,,3061.08,13605.0,23 LOCAL,CASE-21325,TREATMENT OF BROKEN NOSE BONE,,,3061.08,13605.0,23 LOCAL,CASE-21337,CLOSED TREATMENT OF BROKEN BONE SEPARATING NOSE AIRWAYS,,,3061.08,13605.0,23 LOCAL,CASE-21344,TREATMENT OF COMPLICATED BROKEN FRONT SINUS BONE,,,5465.62,22248.0,23 LOCAL,CASE-21365,TREATMENT OF COMPLICATED BROKEN CHEEK BONE WITH PLACEMENT OF INTERNAL STABILIZING DEVICE,,,5465.62,13605.0,23 LOCAL,CASE-21401,CLOSED TREATMENT OF BROKEN EYE BONE WITH MANIPULATION,,,5465.62,13605.0,23 LOCAL,CASE-21501,I&D DEEP ABSC/HEMATOMA NECK/CHEST - PROFESSIONAL,,,9814.25,13605.0,23 LOCAL,CASE-21552,"REMOVAL OF GROWTH OF SOFT TISSUE UNDER SKIN OF NECK OR FRONT OF CHEST, 3.0 CM OR MORE FACILITY",,,2681.85,8220.0,23 LOCAL,CASE-21554,"REMOVAL OF GROWTH OF MUSCLE OF NECK OR FRONT OF CHEST, 5.0 CM OR MORE",,,2681.85,8220.0,23 LOCAL,CASE-21555,"REMOVAL OF GROWTH UNDER SKIN OF NECK OR FRONT OF CHEST, LESS THAN 3.0 CM FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-21556,"REMOVAL OF GROWTH OF MUSCLE OF NECK OR FRONT OF CHEST, LESS THAN 5.0 CM PROFESSIONAL",,,2681.85,8220.0,23 LOCAL,CASE-21557,"EXTENSIVE REMOVAL OF GROWTH OF NECK OR FRONT OF CHEST, LESS THAN 5.0 CM",,,2681.85,8220.0,23 LOCAL,CASE-21558,"EXTENSIVE REMOVAL OF GROWTH OF NECK OR FRONT OF CHEST, 5.0 CM OR MORE",,,2681.85,8220.0,23 LOCAL,CASE-21615,REMOVAL OF FIRST AND/OR EXTRA RIB AT NECK,,,6699.47,22248.0,23 LOCAL,CASE-21620,PARTIAL REMOVAL OF CHEST BONE,,,3020.95,22248.0,23 LOCAL,CASE-21750,TREATMENT OF BROKEN CHEST BONE FOLLOWING SURGERY,,,6699.47,22248.0,23 LOCAL,CASE-21899,UNLISTED PROC NK/THORAX - FACILITY,,,218.68,3191.0,23 LOCAL,CASE-21930,"REMOVAL OF GROWTH UNDER SKIN OF BACK OR LOWER SIDES, LESS THAN 3.0 CM FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-21931,"REMOVAL OF GROWTH UNDER SKIN OF BACK OR LOWER SIDES, 3.0 CM OR MORE FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-21932,"REMOVAL OF GROWTH OF MUSCLE OF BACK OR LOWER SIDES, LESS THAN 5.0 CM",,,2681.85,8220.0,23 LOCAL,CASE-21933,"REMOVAL OF GROWTH OF MUSCLE OF BACK OR LOWER SIDES, 5.0 CM OR MORE PROFESSIONAL",,,2681.85,8220.0,23 LOCAL,CASE-21936,"EXTENSIVE REMOVAL OF GROWTH OF BACK OR LOWER SIDE, 5.0 CM OR MORE",,,2681.85,8220.0,23 LOCAL,CASE-22015,DRAINAGE OF ABSCESS OF DEEP TISSUE OF LOWER SPINE OR SACRUM,,,6699.47,22248.0,23 LOCAL,CASE-22102,REMOVAL OF REAR PIECE OF LOWER SPINE BONE,,,6699.47,13605.0,23 LOCAL,CASE-22510,STABILIZATION OF UPPER SPINE BONE FACILITY,,,6699.47,13605.0,23 LOCAL,CASE-22511,STABILIZATION OF LOWER SPINE BONE FACILITY,,,6699.47,13605.0,23 LOCAL,CASE-22512,"STABILIZATION OF SPINE BONE, EACH ADDITIONAL BONE FACILITY",,,6699.47,13605.0,23 LOCAL,CASE-22513,TREATMENT OF BROKEN MIDDLE SPINE BONE WITH PLACEMENT OF STABILIZING DEVICE USING IMAGING GUIDANCE FACILITY,,,11853.62,13631.66,23 LOCAL,CASE-22514,TREATMENT OF BROKEN LOWER SPINE BONE WITH PLACEMENT OF STABILIZING DEVICE FACILITY,,,6699.47,13605.0,23 LOCAL,CASE-22515,"TREATMENT OF BROKEN SPINE BONE WITH STABILIZING DEVICE, EACH ADDITIONAL SEGMENT FACILITY",,,11853.62,13631.66,23 LOCAL,CASE-22551,"FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE, 1 DISC",,,11853.62,22248.0,23 LOCAL,CASE-22552,"FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE, EACH ADDITIONAL DISC",,,11853.62,13631.66,23 LOCAL,CASE-22554,FUSION OF UPPER SPINE BONES THROUGH FRONT OF NECK WITH PARTIAL REMOVAL OF DISC,,,11853.62,22248.0,23 LOCAL,CASE-22558,FUSION OF LOWER SPINE BONE THROUGH ABDOMEN WITH PARTIAL REMOVAL OF DISC,,,20023.0,28809.95,23 LOCAL,CASE-22585,"FUSION OF SPINE BONES THROUGH FRONT OF BODY WITH PARTIAL REMOVAL OF DISC, EACH ADDITIONAL DISC",,,11853.62,22248.0,23 LOCAL,CASE-22600,FUSION OF SPINE IN NECK BY POSTERIOR APPROACH,,,16188.51,22248.0,23 LOCAL,CASE-22610,FUSION OF SPINE IN UPPER BACK,,,16188.51,22248.0,23 LOCAL,CASE-22612,FUSION OF SPINE IN LOWER BACK,,,20023.0,28809.95,23 LOCAL,CASE-22630,"FUSION OF LOWER SPINE BONE AND PARTIAL REMOVAL OF SPINE BONE OR DISC THROUGH BACK, 1 DISC",,,12244.0,28809.95,23 LOCAL,CASE-22632,"FUSION OF LOWER BACK SPINE BONE AND PARTIAL REMOVAL OF SPINE BONE OR DISC THROUGH BACK, EACH ADDITIONAL DISC",,,12244.0,28809.95,23 LOCAL,CASE-22633,FUSION OF SPINE IN LOWER BACK WITH PARTIAL REMOVAL OF SPINE BONE AND DISC,,,12244.0,28809.95,23 LOCAL,CASE-22634,FUSION OF ADDITIONAL SEGMENT OF SPINE WITH PARTIAL REMOVAL OF SPINE BONE AND DISC,,,12244.0,28809.95,23 LOCAL,CASE-22840,PLACEMENT OF STABILIZING DEVICE TO BACK OF 1 SPINE BONE IN NECK,,,12244.0,28809.95,23 LOCAL,CASE-22842,"PLACEMENT OF STABILIZING DEVICE TO BACK, 3-6 SPINE BONE SEGMENTS",,,12244.0,28809.95,23 LOCAL,CASE-22845,"PLACEMENT OF STABILIZING DEVICE TO FRONT, 2-3 SPINE BONE SEGMENTS",,,11853.62,13631.66,23 LOCAL,CASE-22846,"PLACEMENT OF STABILIZING DEVICE TO FRONT, 4-7 SPINE BONE SEGMENTS",,,11853.62,22248.0,23 LOCAL,CASE-22853,INSERTION OF CAGE OR MESH DEVICE TO SPINE BONE AND DISC SPACE DURING SPINE FUSION,,,11853.62,13631.66,23 LOCAL,CASE-22854,INSERTION OF CAGE OR MESH DEVICE IN DISC SPACE DURING SPINE FUSION,,,11853.62,22248.0,23 LOCAL,CASE-22855,REMOVAL OF STABILIZING DEVICE FROM FRONT OF SPINE,,,16188.51,22248.0,23 LOCAL,CASE-22856,"INSERTION OF ARTIFICIAL UPPER SPINE DISC, ANTERIOR APPROACH",,,16188.51,22248.0,23 LOCAL,CASE-22858,INSERTION OF ARTIFICIAL UPPER SPINE DISC ANTERIOR APPROACH,,,12244.0,18616.79,23 LOCAL,CASE-22899,UNLISTED PROCEDURE SPINE - FACILITY,,,227.74,3045.0,23 LOCAL,CASE-22900,"REMOVAL OF GROWTH OF MUSCLE OF ABDOMEN, LESS THAN 5.0 CM",,,2681.85,8220.0,23 LOCAL,CASE-22901,"REMOVAL OF GROWTH OF MUSCLE OF ABDOMEN, 5.0 CM OR MORE FACILITY",,,2681.85,8220.0,23 LOCAL,CASE-22902,"REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL, LESS THAN 3.0 CM FACILITY-EXPRESS CARE",,,1524.88,4396.0,23 LOCAL,CASE-22903,"REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL, 3.0 CM OR MORE FACILITY",,,2681.85,8220.0,23 LOCAL,CASE-22904,"EXTENSIVE REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL, LESS THAN 5.0 CM",,,2681.85,8220.0,23 LOCAL,CASE-22999,CRYOABLATION ABDOMINAL - FACILITY,,,227.74,3045.0,23 LOCAL,CASE-23071,"REMOVAL OF GROWTH UNDER SKIN OF SHOULDER AREA, 3.0 CM OR MORE PROFESSIONAL",,,3615.02,13605.0,23 LOCAL,CASE-23073,"REMOVAL OF GROWTH OF MUSCLE OF SHOULDER, 5.0 CM OR MORE",,,2681.85,8220.0,23 LOCAL,CASE-23075,"REMOVAL OF GROWTH UNDER SKIN OF SHOULDER AREA, LESS THAN 3.0 CM FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-23076,"REMOVAL OF GROWTH OF MUSCLE OF SHOULDER, LESS THAN 5.0 CM",,,2681.85,8220.0,23 LOCAL,CASE-23105,REMOVAL OF SHOULDER JOINT LINING,,,6699.47,13605.0,23 LOCAL,CASE-23120,PARTIAL REMOVAL OF COLLAR BONE PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-23156,REMOVAL OF CYST OR GROWTH OF TOP OF UPPER ARM BONE WITH DONOR BONE GRAFT,,,11853.62,13631.66,23 LOCAL,CASE-23210,EXTENSIVE REMOVAL OF GROWTH OF SHOULDER BLADE,,,6699.47,22248.0,23 LOCAL,CASE-23220,EXTENSIVE REMOVAL OF GROWTH OF UPPER END OF UPPER ARM,,,16188.51,22248.0,23 LOCAL,CASE-23350,INJECTION OF CONTRAST FOR IMAGING OF SHOULDER JOINT FACILITY,,,723.77,6376.0,23 LOCAL,CASE-23395,RELOCATION OF ONE MUSCLE OF SHOULDER OR UPPER ARM,,,6699.47,13605.0,23 LOCAL,CASE-23410,REPAIR OF ACUTE TORN SHOULDER ROTATOR CUFF PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-23412,REPAIR OF CHRONIC TORN SHOULDER ROTATOR CUFF PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-23430,ANCHORING OF BICEPS TENDON PROFESSIONAL,,,12244.0,18616.79,23 LOCAL,CASE-23450,REATTACHMENT OF SHOULDER JOINT CAPSULE WITHOUT BONE TRANSFER,,,6699.47,13605.0,23 LOCAL,CASE-23462,REATTACHMENT OF SHOULDER JOINT CAPSULE WITH BONE TRANSFER (CORACOID BONE),,,6699.47,13605.0,23 LOCAL,CASE-23466,REPAIR AND TIGHTENING OF SHOULDER JOINT CAPSULE,,,6699.47,13605.0,23 LOCAL,CASE-23470,PARTIAL REPLACEMENT OF SHOULDER JOINT,,,11853.62,13631.66,23 LOCAL,CASE-23472,"PROSTHETIC REPAIR OF SHOULDER JOINT, TOTAL SHOULDER PROFESSIONAL",,,12244.0,18616.79,23 LOCAL,CASE-23473,REVISION OF TOTAL SHOULDER REPAIR,,,11853.62,13631.66,23 LOCAL,CASE-23474,"REVISION OF TOTAL SHOULDER REPAIR, TOTAL SHOULDER",,,11853.62,22248.0,23 LOCAL,CASE-23515,TREATMENT OF BROKEN COLLAR BONE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-23550,TREATMENT OF DISLOCATED JOINT BETWEEN COLLAR BONE AND SHOULDER,,,6699.47,13605.0,23 LOCAL,CASE-23585,TREATMENT OF BROKEN SHOULDER BLADE,,,6699.47,13605.0,23 LOCAL,CASE-23615,TREATMENT OF BROKEN TOP OF UPPER ARM BONE,,,11853.62,13631.66,23 LOCAL,CASE-23929,TENOTOMY SHLDR TX1 PROCEDURE FACILITY,,,2915.22,8220.0,23 LOCAL,CASE-23930,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF UPPER ARM OR ELBOW,,,2681.85,8220.0,23 LOCAL,CASE-24000,"INCISION OF ELBOW JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,3020.95,13605.0,23 LOCAL,CASE-24006,INCISION OF ELBOW WITH RELEASE OF JOINT CAPSULE,,,3020.95,13605.0,23 LOCAL,CASE-24071,"REMOVAL OF GROWTH UNDER SKIN OF UPPER ARM OR ELBOW, 3.0 CM OR MORE FACILITY",,,2681.85,8220.0,23 LOCAL,CASE-24073,"REMOVAL OF GROWTH OF MUSCLE OF UPPER ARM OR ELBOW, 5.0 CM OR MORE PROFESSIONAL",,,2681.85,8220.0,23 LOCAL,CASE-24075,"REMOVAL OF GROWTH UNDER SKIN OF UPPER ARM OR ELBOW, LESS THAN 3.0 CM FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-24076,"REMOVAL OF GROWTH OF MUSCLE OF UPPER ARM OR ELBOW, LESS THAN 5.0 CM",,,2681.85,8220.0,23 LOCAL,CASE-24079,"EXTENSIVE REMOVAL OF GROWTH OF UPPER ARM OR ELBOW, 5.0 CM OR MORE",,,6699.47,13605.0,23 LOCAL,CASE-24101,INCISION AND EXPLORATION OF ELBOW JOINT PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-24105,REMOVAL OF FLUID-FILLED SAC OF ELBOW,,,6699.47,13605.0,23 LOCAL,CASE-24116,REMOVAL OF CYST OR GROWTH OF UPPER ARM BONE AND DONOR BONE GRAFT,,,11853.62,13631.66,23 LOCAL,CASE-24147,PARTIAL REMOVAL OF INFECTED ELBOW BONE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-24149,EXTENSIVE REMOVAL OF BONY GROWTH AND TISSUE FROM ELBOW TO INCREASE ELBOW MOTION,,,6699.47,13605.0,23 LOCAL,CASE-24164,REMOVAL OF FOREARM BONE PROSTHESIS AT ELBOW JOINT,,,3020.95,13605.0,23 LOCAL,CASE-24220,INJECTION OF CONTRAST FOR IMAGING OF ELBOW JOINT FACILITY,,,322.11,6376.0,23 LOCAL,CASE-24300,MANIPULATION OF ELBOW UNDER ANESTHESIA,,,3020.95,13605.0,23 LOCAL,CASE-24305,LENGTHENING OF TENDON OF UPPER ARM OR ELBOW,,,3020.95,13605.0,23 LOCAL,CASE-24330,RELOCATION OF FOREARM TENDONS,,,6699.47,13605.0,23 LOCAL,CASE-24341,REPAIR OF TENDON OR MUSCLE OF UPPER ARM OR ELBOW,,,6699.47,13605.0,23 LOCAL,CASE-24342,REINSERTION OF TORN UPPER ARM TENDON PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-24343,REPAIR OF LIGAMENT OF THUMB SIDE OF ELBOW,,,11853.62,13631.66,23 LOCAL,CASE-24345,REPAIR OF LIGAMENT OF SMALL FINGER SIDE OF ELBOW,,,11853.62,13631.66,23 LOCAL,CASE-24357,INCISION OF ELBOW TENDON FACILITY,,,3020.95,13605.0,23 LOCAL,CASE-24359,INCISION AND REPAIR OF ELBOW TENDON WITH REMOVAL OF TISSUE OR BONE,,,3020.95,13605.0,23 LOCAL,CASE-24360,REPAIR OF ELBOW JOINT WITH TISSUE GRAFT,,,6699.47,13605.0,23 LOCAL,CASE-24400,INCISION OR PARTIAL REMOVAL OF UPPER ARM BONE,,,6699.47,13605.0,23 LOCAL,CASE-24498,STABILIZATION OF UPPER ARM BONE WITH DEVICE,,,11853.62,13631.66,23 LOCAL,CASE-24515,TREATMENT OF BROKEN MIDDLE PART OF UPPER ARM BONE WITH PLACEMENT OF STABILIZING DEVICE (PLATE/SCREWS),,,11853.62,13631.66,23 LOCAL,CASE-24516,TREATMENT OF BROKEN MIDDLE PART OF UPPER ARM BONE WITH PLACEMENT OF STABILIZING DEVICE (IMPLANT),,,11853.62,13631.66,23 LOCAL,CASE-24546,TREATMENT OF BROKEN UPPER ARM BONE AT ELBOW WITH EXTENSION,,,11853.62,13631.66,23 LOCAL,CASE-24615,TREATMENT OF DISLOCATED ELBOW,,,6699.47,13605.0,23 LOCAL,CASE-24650,CLOSED TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE AT ELBOW FACILITY,,,1802.9,5243.0,23 LOCAL,CASE-24665,TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE AT ELBOW,,,11853.62,13631.66,23 LOCAL,CASE-24666,TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE AT ELBOW WITH PROSTHESIS,,,11853.62,13631.66,23 LOCAL,CASE-24670,CLOSED TREATMENT OF BROKEN FOREARM BONE ON SMALL FINGER SIDE AT ELBOW FACILITY,,,1802.9,5243.0,23 LOCAL,CASE-24685,TREATMENT OF BROKEN FOREARM BONE ON SMALL FINGER SIDE AT ELBOW PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-24999,TX1 TENOTOMY ELBOW PERCUTANEOUS FACILITY,,,227.74,3045.0,23 LOCAL,CASE-25000,INCISION OR THE TENDON COVERING ON THE TOP SIDE OF THE WRIST FACILITY,,,1484.62,4396.0,23 LOCAL,CASE-25020,"INCISION OF TISSUE OF FOREARM AND/OR WRIST MUSCLE COMPARTMENT ON ONE SIDE OF THE FOREARM TO RELIEVE PRESSURE, WITHOUT REMOVAL OF TISSUE",,,3020.95,13605.0,23 LOCAL,CASE-25071,"REMOVAL OF GROWTH UNDER SKIN OF FOREARM OR WRIST, 3.0 CM OR MORE FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-25073,"REMOVAL OF GROWTH OF MUSCLE OF FOREARM OR WRIST, 3.0 CM OR MORE",,,2681.85,8220.0,23 LOCAL,CASE-25075,"REMOVAL OF GROWTH UNDER SKIN OF FOREARM OR WRIST, LESS THAN 3.0 CM FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-25076,"REMOVAL OF GROWTH OF MUSCLE OF FOREARM OR WRIST, LESS THAN 3.0 CM",,,1524.88,4396.0,23 LOCAL,CASE-25078,"EXTENSIVE REMOVAL OF GROWTH OF FOREARM OR WRIST, 3.0 CM OR MORE",,,2681.85,8220.0,23 LOCAL,CASE-25109,REMOVAL OF TENDON OF FOREARM AND/OR WRIST,,,6699.47,13605.0,23 LOCAL,CASE-25111,REMOVAL OF FIRST CYST OF WRIST PROFESSIONAL,,,1484.62,4396.0,23 LOCAL,CASE-25112,REMOVAL OF RECURRENT CYST OF WRIST FACILITY,,,1484.62,4396.0,23 LOCAL,CASE-25115,EXTENSIVE REMOVAL OF GROWTH OF SOFT TISSUE STRUCTURES IN PALM SIDE OF WRIST,,,1484.62,4396.0,23 LOCAL,CASE-25116,EXTENSIVE REMOVAL OF GROWTH OF SOFT TISSUE STRUCTURES IN TOP SIDE OF WRIST,,,3020.95,13605.0,23 LOCAL,CASE-25118,REMOVAL OF LINING OF TENDON COVERING OF WRIST FACILITY,,,1484.62,4396.0,23 LOCAL,CASE-25120,REMOVAL OF CYST OR GROWTH OF LOWER FOREARM BONE,,,3020.95,13605.0,23 LOCAL,CASE-25135,REMOVAL OF CYST OR GROWTH OF WRIST BONE WITH SELF BONE GRAFT,,,6699.47,22248.0,23 LOCAL,CASE-25145,REMOVAL OF FRAGMENT OF DEAD FOREARM OR WRIST BONE ON SMALL FINGER SIDE,,,6699.47,22248.0,23 LOCAL,CASE-25151,REMOVAL OF DISEASED PART OF FOREARM BONE ON THUMB SIDE-EXPRESS CARE,,,3020.95,13605.0,23 LOCAL,CASE-25170,EXTENSIVE REMOVAL OF GROWTH OF FOREARM BONE (RADIUS OR ULNA),,,12244.0,18616.79,23 LOCAL,CASE-25210,REMOVAL OF WRIST BONE,,,6699.47,13605.0,23 LOCAL,CASE-25215,REMOVAL OF MULTIPLE WRIST BONES,,,3020.95,13605.0,23 LOCAL,CASE-25230,PARTIAL REMOVAL OF WRIST BONE NEAR THUMB,,,3020.95,13605.0,23 LOCAL,CASE-25240,REMOVAL OR PARTIAL REMOVAL OF LOWER END OF FOREARM BONE ON SMALL FINGER SIDE AT WRIST,,,3020.95,13605.0,23 LOCAL,CASE-25246,INJECTION OF CONTRAST FOR IMAGING OF WRIST FACILITY,,,723.77,6376.0,23 LOCAL,CASE-25248,REMOVAL OF DEEP FOREIGN BODY IN FOREARM OR WRIST,,,1484.62,4396.0,23 LOCAL,CASE-25270,REPAIR OF FOREARM AND/OR WRIST TENDON OR MUSCLE,,,3020.95,13605.0,23 LOCAL,CASE-25280,LENGTHENING OR SHORTENING OF TENDON OF FOREARM AND/OR WRIST,,,6699.47,13605.0,23 LOCAL,CASE-25290,"INCISION OF TENDON OF FOREARM AND/OR WRIST, OPEN PROCEDURE",,,3020.95,13605.0,23 LOCAL,CASE-25310,RELOCATION OF TENDON OF FOREARM AND/OR WRIST PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-25320,RECONSTRUCTION OF WRIST JOINT,,,6699.47,13605.0,23 LOCAL,CASE-25332,REPAIR OF WRIST JOINT,,,3020.95,13605.0,23 LOCAL,CASE-25360,INCISION OR PARTIAL REMOVAL OF FOREARM BONE ON SMALL FINGER SIDE,,,6699.47,13605.0,23 LOCAL,CASE-25390,SHORTENING OF ONE OF THE FOREARM BONES,,,6699.47,13605.0,23 LOCAL,CASE-25400,REPAIR NON-HEALED FRACTURE OF FOREARM BONE,,,6699.47,13605.0,23 LOCAL,CASE-25405,REPAIR NON-HEALED FRACTURE OF FOREARM BONE WITH PATIENT-DERIVED BONE GRAFT,,,6699.47,13605.0,23 LOCAL,CASE-25415,TREATMENT OF BOTH NONHEALED BROKEN FOREARM BONES,,,6699.47,13605.0,23 LOCAL,CASE-25440,"REPAIR OF NON-HEALED WRIST BONE, SCAPHOID OR NAVICULAR AT THE BASE OF THE THUMB",,,6699.47,13605.0,23 LOCAL,CASE-25442,ARTHROPLASTY OR REPLACEMENT OF THE END OF THE FOREARM BONE ON THE SMALL FINGER SIDE AT THE WRIST LEVEL,,,12244.0,18616.79,23 LOCAL,CASE-25445,"ARTHROPLASTY OR REPLACEMENT OF WRIST BONE, ONE WRIST BONE (TRAPEZIUM BONE)",,,6699.47,13605.0,23 LOCAL,CASE-25447,REMOVAL OF BONE JOINTS BETWEEN WRIST AND FINGERS PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-25448,REPLACEMENT OF JOINT BETWEEN WRIST AND FINGERS USING TENDON OR STITCHES PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-25545,TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON SMALL FINGER SIDE,,,6699.47,13605.0,23 LOCAL,CASE-25574,TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES WITH PLACEMENT OF STABILIZING DEVICE TO BONE,,,6699.47,13605.0,23 LOCAL,CASE-25575,TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES WITH PLACEMENT OF STABILIZING DEVICE ON BOTH BONES,,,6699.47,13605.0,23 LOCAL,CASE-25607,"TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST, ABOVE WRIST, WITH PLACEMENT OF STABILIZING DEVICE PROFESSIONAL",,,6699.47,13605.0,23 LOCAL,CASE-25608,TREATMENT OF 2 BROKEN LOWER FOREARM BONE PIECES ON THUMB SIDE INSIDE WRIST JOINT WITH PLACEMENT OF STABILIZING DEVICE PROFESSIONAL,,,6699.47,13605.0,23 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,,,6699.47,13605.0,23 LOCAL,CASE-25628,TREATMENT OF BROKEN WRIST BONE LOCATED NEAR BASE OF THUMB,,,6699.47,13605.0,23 LOCAL,CASE-25645,TREATMENT OF OTHER BROKEN WRIST BONES FACILITY,,,3020.95,13605.0,23 LOCAL,CASE-25652,TREATMENT OF BROKEN BASE OF FOREARM BONE ON SMALL FINGER SIDE AT WRIST,,,6699.47,13605.0,23 LOCAL,CASE-25810,FUSION OF WRIST JOINT WITH GRAFT FROM HIP OR OTHER BONE,,,11853.62,13631.66,23 LOCAL,CASE-25825,FUSION OF PART OF WRIST JOINT WITH PATIENT-DERIVED BONE GRAFT,,,6699.47,13605.0,23 LOCAL,CASE-25830,FUSION OF BOTH FOREARM BONES AT WRIST,,,6699.47,13605.0,23 LOCAL,CASE-25999,UNLISTED PROC FOREARM/WRIST PROFESSIONAL-EXPRESS CARE,,,3020.95,13605.0,23 LOCAL,CASE-26040,RELEASE OF TISSUE OF PALM FACILITY,,,1484.62,4396.0,23 LOCAL,CASE-26055,INCISION OF TENDON COVERING OF FINGER FACILITY,,,1484.62,4396.0,23 LOCAL,CASE-26080,"INCISION OF FINGER JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY FACILITY",,,1484.62,4396.0,23 LOCAL,CASE-26111,REMOVAL (1.5 CENTIMETERS OR GREATER) TISSUE BENEATH THE SKIN GROWTH OF HAND OR FINGER PROFESSIONAL,,,1524.88,4396.0,23 LOCAL,CASE-26113,"REMOVAL OF GROWTH OF MUSCLE OF HAND OR FINGER, 1.5 CM OR MORE FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-26115,REMOVAL (LESS THAN 1.5 CENTIMETERS) TISSUE BENEATH THE SKIN GROWTH OF HAND OR FINGER PROFESSIONAL,,,1524.88,4396.0,23 LOCAL,CASE-26116,"REMOVAL OF GROWTH OF MUSCLE OF HAND OR FINGER, LESS THAN 1.5 CM FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-26117,"EXTENSIVE REMOVAL OF GROWTH OF HAND OR FINGER, LESS THAN 3.0 CM",,,2681.85,8220.0,23 LOCAL,CASE-26121,REMOVAL OF CONNECTIVE TISSUE OF PALM FACILITY,,,3020.95,13605.0,23 LOCAL,CASE-26123,"REMOVAL OF CONNECTIVE TISSUE OF PALM AND RELEASE OF FINGER, FIRST DIGIT PROFESSIONAL",,,3020.95,13605.0,23 LOCAL,CASE-26125,"REMOVAL OF CONNECTIVE TISSUE OF PALM AND RELEASE OF FINGER, EACH ADDITIONAL DIGIT PROFESSIONAL",,,3020.95,13605.0,23 LOCAL,CASE-26160,REMOVAL OF GROWTH OF TENDON FINGER OR HAND PROFESSIONAL,,,1484.62,4396.0,23 LOCAL,CASE-26200,REMOVAL OF CYST OR GROWTH FROM HAND BONE,,,1484.62,4396.0,23 LOCAL,CASE-26210,REMOVAL OF CYST OR GROWTH OF FINGER BONE,,,1484.62,4396.0,23 LOCAL,CASE-26230,PARTIAL REMOVAL OF HAND BONE,,,3020.95,13605.0,23 LOCAL,CASE-26235,PARTIAL REMOVAL OF FINGER BONE NEAREST HAND OR MIDDLE OF FINGER FACILITY,,,1484.62,4396.0,23 LOCAL,CASE-26236,PARTIAL REMOVAL OF FINGER BONE AT END OF FINGER FACILITY,,,1484.62,4396.0,23 LOCAL,CASE-26340,MANIPULATION OF FINGER JOINT UNDER ANESTHESIA FACILITY,,,3020.95,13605.0,23 LOCAL,CASE-26350,REPAIR OF FINGER TENDON OF UNDER SIDE OF HAND OTHER THAN UPPER MOST PART OF PALM AND FINGERS,,,3020.95,13605.0,23 LOCAL,CASE-26352,REPAIR OF FINGER TENDON ON UNDER SIDE OF HAND WITH A GRAFT NOT IN ZONE 2,,,6699.47,13605.0,23 LOCAL,CASE-26356,PRIMARY REPAIR OF FINGER TENDON ON UNDERSIDE OF THE HAND WITHOUT A GRAFT IN ZONE 2 FACILITY,,,3020.95,13605.0,23 LOCAL,CASE-26410,REPAIR OF TENDON ON TOP OF HAND FACILITY,,,1484.62,4396.0,23 LOCAL,CASE-26418,REPAIR OF TENDON ON TOP SIDE OF FINGER FACILITY,,,1484.62,4396.0,23 LOCAL,CASE-26420,REPAIR OF TENDON OF TOP SIDE OF FINGER WITH GRAFT,,,3020.95,13605.0,23 LOCAL,CASE-26437,REPAIR OF TENDON ON UPPER SIDE OF HAND FACILITY,,,3020.95,13605.0,23 LOCAL,CASE-26440,RELEASE OF TENDON OF PALM OR FINGER FACILITY,,,1484.62,4396.0,23 LOCAL,CASE-26442,RELEASE OF TENDON OF PALM AND FINGER,,,3020.95,13605.0,23 LOCAL,CASE-26445,RELEASE OF TENDON OF TOP OF HAND OR FINGER FACILITY,,,3020.95,13605.0,23 LOCAL,CASE-26471,SUTURE OF TENDON TO FIRST JOINT OF FINGER,,,3020.95,13605.0,23 LOCAL,CASE-26480,TRANSFER OF TENDON TO BACK OF HAND,,,3020.95,13605.0,23 LOCAL,CASE-26496,"TRANSFER OF TENDON TO THUMB, PALM, OR WRIST",,,3020.95,13605.0,23 LOCAL,CASE-26498,"TRANSFER OF TENDONS OF HAND, ALL 4 FINGERS",,,3020.95,13605.0,23 LOCAL,CASE-26499,CORRECTION CLAW FINGER,,,3020.95,13605.0,23 LOCAL,CASE-26510,TRANSFER OF FINGER TENDON-EXPRESS CARE,,,3020.95,13605.0,23 LOCAL,CASE-26516,"REPAIR OF JOINT CAPSULE OF HAND AND PALM, 1 FINGER",,,6699.47,13605.0,23 LOCAL,CASE-26520,INCISION OR REMOVAL OF JOINT CAPSULE BETWEEN HAND AND FINGER FACILITY,,,6699.47,13605.0,23 LOCAL,CASE-26525,REPAIR OF JOINT CAPSULE OF FINGER,,,3020.95,13605.0,23 LOCAL,CASE-26531,REPAIR OF JOINT BETWEEN HAND AND FINGER BONES WITH PROSTHESIS,,,6699.47,13605.0,23 LOCAL,CASE-26536,REPLACEMENT OF FINGER JOINT WITH PROSTHESIS PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-26540,REPAIR OF LIGAMENT OF FINGER OR HAND AND FINGER JOINT,,,3020.95,13605.0,23 LOCAL,CASE-26541,REPAIR OF LIGAMENT OF FINGER OR HAND TO FINGER JOINT WITH GRAFT,,,3020.95,13605.0,23 LOCAL,CASE-26545,REPAIR OF LIGAMENT OF FINGER JOINT WITH GRAFT,,,3020.95,13605.0,23 LOCAL,CASE-26546,REPAIR OF NONHEALED HAND OR FINGER BONE,,,6699.47,13605.0,23 LOCAL,CASE-26565,INCISION OR REMOVAL OF HAND BONE,,,6699.47,13605.0,23 LOCAL,CASE-26593,RELEASE OF HAND MUSCLE,,,3020.95,13605.0,23 LOCAL,CASE-26608,TREATMENT OF BROKEN FINGER BONE WITH STABILIZING DEVICE ACCESSED THROUGH SKIN,,,3020.95,13605.0,23 LOCAL,CASE-26615,TREATMENT OF BROKEN MIDHAND BONE,,,3020.95,13605.0,23 LOCAL,CASE-26650,PLACEMENT OF STABILIZING DEVICE FOR BROKEN THUMB AT WRIST WITH MANIPULATION,,,3020.95,13605.0,23 LOCAL,CASE-26665,TREATMENT OF BROKEN THUMB AT WRIST,,,3020.95,13605.0,23 LOCAL,CASE-26676,PLACEMENT OF STABILIZING DEVICE FOR DISLOCATED HAND BONE AT WRIST JOINT WITH MANIPULATION,,,3020.95,13605.0,23 LOCAL,CASE-26685,TREATMENT OF BROKEN HAND BONE AT WRIST,,,3020.95,13605.0,23 LOCAL,CASE-26715,TREATMENT OF DISLOCATED HAND JOINT AT BASE OF FINGER,,,3020.95,13605.0,23 LOCAL,CASE-26727,PLACEMENT OF STABILIZING DEVICE FOR BROKEN FINGER OR THUMB AT MIDPORTION OR PART NEAR HAND WITH MANIPULATION PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-26735,TREATMENT OF BROKEN FINGER AT MIDPORTION OR PART NEAR HAND,,,3020.95,13605.0,23 LOCAL,CASE-26746,TREATMENT OF BROKEN FINGER OR HAND AT BASE OF FINGER,,,6699.47,13605.0,23 LOCAL,CASE-26756,PLACEMENT OF STABILIZING DEVICE FOR BROKEN END OF FINGER OR THUMB PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-26776,PLACEMENT OF STABILIZING DEVICE FOR DISLOCATED FINGER JOINT WITH MANIPULATION,,,3020.95,13605.0,23 LOCAL,CASE-26820,FUSION OF THUMB,,,6699.47,13605.0,23 LOCAL,CASE-26841,FUSION OF THUMB AT WRIST,,,6699.47,13605.0,23 LOCAL,CASE-26850,FUSION OF JOINT BETWEEN FINGER AND HAND,,,6699.47,13605.0,23 LOCAL,CASE-26852,FUSION OF FINGER JOINT AT HAND WITH SELF BONE GRAFT,,,6699.47,13605.0,23 LOCAL,CASE-26860,"FUSION OF FINGER JOINT, INITIAL JOINT PROFESSIONAL",,,3020.95,13605.0,23 LOCAL,CASE-26861,"FUSION OF FINGER JOINT, EACH ADDITIONAL JOINT",,,6699.47,13605.0,23 LOCAL,CASE-26862,"FUSION OF FINGER JOINT WITH SELF BONE GRAFT, INITIAL JOINT",,,3020.95,13605.0,23 LOCAL,CASE-26951,AMPUTATION OF FINGER OR THUMB WITH DIRECT CLOSURE FACILITY,,,3020.95,13605.0,23 LOCAL,CASE-26952,AMPUTATION OF FINGER OR THUMB WITH TISSUE FLAP FACILITY,,,3615.02,13605.0,23 LOCAL,CASE-26989,UNLISTED PROC HANDS/FINGERS PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-27006,INCISION OF TENDON OF HIP (ABDUCTOR AND/OR EXTENSOR),,,3020.95,13605.0,23 LOCAL,CASE-27043,"REMOVAL OF GROWTH UNDER SKIN OF PELVIS AND HIP, 3.0 CM OR MORE PROFESSIONAL",,,2681.85,8220.0,23 LOCAL,CASE-27045,"REMOVAL OF GROWTH OF MUSCLE OF PELVIS AND HIP, 5.0 CM OR MORE",,,2681.85,8220.0,23 LOCAL,CASE-27048,"REMOVAL OF GROWTH OF SOFT TISSUE OF PELVIS AND HIP, LESS THAN 5.0 CM",,,2681.85,8220.0,23 LOCAL,CASE-27059,"EXTENSIVE REMOVAL OF GROWTH OF PELVIS AND HIP, 5.0 CM OR MORE",,,2681.85,13605.0,23 LOCAL,CASE-27062,REMOVAL OF FLUID-FILLED SAC (BURSA) OR CALCIUM DEPOSIT OF PELVIS PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-27080,REMOVAL OF TAILBONE,,,3020.95,13605.0,23 LOCAL,CASE-27086,"REMOVAL OF FOREIGN BODY IN TISSUE OF PELVIS OR HIP, ACCESSED BENEATH THE SKIN",,,2681.85,8220.0,23 LOCAL,CASE-27093,INJECTION OF CONTRAST FOR IMAGING OF HIP JOINT FACILITY,,,723.77,6376.0,23 LOCAL,CASE-27096,INJECTION OF ANESTHETIC OR STEROID INTO JOINT BETWEEN LOWER SPINE AND HIP BONE USING IMAGING GUIDANCE FACILITY,,,75.24,6376.0,23 LOCAL,CASE-27130,REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS PROFESSIONAL,,,11853.62,13631.66,23 LOCAL,CASE-27132,TOTAL HIP REPLACEMENT AFTER PREVIOUS HIP SURGERY PROFESSIONAL,,,11853.62,22248.0,23 LOCAL,CASE-27134,REVISION OF THIGH BONE AND HIP JOINT PROSTHESIS,,,11853.62,22248.0,23 LOCAL,CASE-27138,REVISION OF THIGH BONE PROSTHESIS,,,11853.62,22248.0,23 LOCAL,CASE-27187,STABILIZATION OF UPPER THIGH BONE WITH DEVICE,,,6699.47,22248.0,23 LOCAL,CASE-27216,PLACEMENT OF STABILIZING DEVICE FOR BROKEN AND/OR DISLOCATED BONE ON SIDE OF PELVIS,,,96.52,111.0,4 LOCAL,CASE-27236,TREATMENT OF UPPER END OF BROKEN THIGH BONE WITH PLACEMENT OF STABILIZING DEVICE OR PROSTHETIC REPLACEMENT,,,6699.47,22248.0,23 LOCAL,CASE-27279,FUSION OF PELVIC JOINT USING IMAGING GUIDANCE,,,12244.0,18616.79,23 LOCAL,CASE-27299,UNLISTED PROC PELVIS/HIP JOINT - FACILITY,,,3020.95,13605.0,23 LOCAL,CASE-27301,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF THIGH OR KNEE,,,6699.47,13605.0,23 LOCAL,CASE-27324,BIOPSY OF DEEP TISSUE OF THIGH OR KNEE,,,2681.85,8220.0,23 LOCAL,CASE-27327,"REMOVAL OF GROWTH UNDER SKIN OF THIGH OR KNEE, 3.0 CM OR MORE FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-27328,"REMOVAL OF GROWTH OF MUSCLE OF THIGH OR KNEE, 5.0 CM OR LESS FACILITY",,,3020.95,13605.0,23 LOCAL,CASE-27329,"EXTENSIVE REMOVAL OF GROWTH OF THIGH OR KNEE, LESS THAN 5.0 CM",,,2681.85,8220.0,23 LOCAL,CASE-27337,REMOVAL OF GROWTH UNDER SKIN THIGH OR KNEE 3 CM OR GREATER FACILITY,,,2681.85,8220.0,23 LOCAL,CASE-27339,"REMOVAL OF GROWTH OF MUSCLE OF THIGH OR KNEE, 5.0 CM OR MORE PROFESSIONAL",,,2681.85,8220.0,23 LOCAL,CASE-27345,REMOVAL OF CYST OF BACK OF KNEE,,,3615.02,13605.0,23 LOCAL,CASE-27347,REMOVAL OF GROWTH OF KNEE CARTILAGE OR CAPSULE,,,11853.62,13631.66,23 LOCAL,CASE-27355,REMOVAL OF CYST OR GROWTH OF THIGH BONE,,,3020.95,13605.0,23 LOCAL,CASE-27357,REMOVAL OF CYST OR GROWTH OF THIGH BONE WITH SELF BONE GRAFT,,,11853.62,13631.66,23 LOCAL,CASE-27364,"EXTENSIVE REMOVAL OF GROWTH OF THIGH OR KNEE, 5.0 CM OR MORE",,,2681.85,8220.0,23 LOCAL,CASE-27369,INJECTION OF CONTRAST FOR IMAGING OF KNEE JOINT FACILITY,,,161.94,3826.0,23 LOCAL,CASE-27372,REMOVAL OF FOREIGN BODY DEEP IN TISSUE OF THIGH OR KNEE,,,2681.85,8220.0,23 LOCAL,CASE-27380,PRIMARY SUTURE OF TENDON BELOW KNEE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-27385,PRIMARY SUTURE OF RUPTURED MUSCLE OF THIGH PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-27386,SECONDARY SUTURE OF RUPTURED MUSCLE OF THIGH,,,11853.62,13631.66,23 LOCAL,CASE-27405,PRIMARY REPAIR OF TORN LIGAMENT OR JOINT CAPSULE AT OUTSIDE PART OF KNEE,,,6699.47,13605.0,23 LOCAL,CASE-27415,IMPLANTATION OF DONOR CARTILAGE CELLS INTO KNEE JOINT,,,11853.62,13631.66,23 LOCAL,CASE-27416,IMPLANTATION OF SELF CARTILAGE CELLS INTO KNEE BONE,,,6699.47,13605.0,23 LOCAL,CASE-27418,REPAIR OF UPPER END OF SHIN BONE AT KNEE JOINT PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-27422,REPAIR OF DISLOCATING KNEECAP WITH REALIGNMENT PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-27425,RELEASE OF LIGAMENTS OF KNEE JOINT,,,3020.95,13605.0,23 LOCAL,CASE-27427,RECONSTRUCTION OF LIGAMENTS OUTSIDE KNEE JOINT PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-27430,REPAIR OF MUSCLE GROUP ABOVE KNEE JOINT,,,6699.47,13605.0,23 LOCAL,CASE-27438,REPAIR OF KNEECAP WITH PROSTHESIS PROFESSIONAL,,,11853.62,13631.66,23 LOCAL,CASE-27442,REPAIR OF END OF THIGH OR LOWER LEG BONE AT KNEE JOINT WITH PROSTHESIS PROFESSIONAL,,,11853.62,13631.66,23 LOCAL,CASE-27445,KNEE JOINT REPLACEMENT USING HINGED PROSTHESIS,,,10.74,22248.0,23 LOCAL,CASE-27446,REPLACEMENT OF KNEE JOINT ON SIDE OF KNEE,,,11853.62,13631.66,23 LOCAL,CASE-27447,"REPLACEMENT OF KNEE JOINT, BOTH SIDES OF KNEE PROFESSIONAL",,,11853.62,13631.66,23 LOCAL,CASE-27450,INCISION OR PARTIAL REMOVAL OF MIDDLE PORTION OF THIGH BONE WITH STABILIZING DEVICE,,,6699.47,22248.0,23 LOCAL,CASE-27457,"INCISION OR PARTIAL REMOVAL OF UPPER PORTION OF LOWER LEG BONE TO REPAIR DEFORMITY, AFTER BONE GROWTH COMPLETED",,,11853.62,22248.0,23 LOCAL,CASE-27470,REPAIR OF NONHEALED BROKEN THIGH BONE,,,6699.47,22248.0,23 LOCAL,CASE-27486,REVISION OF COMPONENT OF TOTAL KNEE JOINT PROSTHESIS PROFESSIONAL,,,11853.62,22248.0,23 LOCAL,CASE-27487,REVISION OF THIGH AND LOWER LEG BONE COMPONENTS OF TOTAL KNEE JOINT PROSTHESIS PROFESSIONAL,,,16188.51,22248.0,23 LOCAL,CASE-27514,TREATMENT OF BROKEN SIDE OF LOWER END OF THIGH BONE,,,11853.62,22248.0,23 LOCAL,CASE-27524,TREATMENT OF BROKEN KNEECAP WITH PLACEMENT OF STABILIZING DEVICE AND/OR REMOVAL OF KNEECAP PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-27570,MANIPULATION OF KNEE JOINT UNDER ANESTHESIA FACILITY,,,1484.62,4396.0,23 LOCAL,CASE-27594,SECONDARY CLOSURE OR REVISION OF SCAR AT PREVIOUS THIGH AMPUTATION,,,3020.95,13605.0,23 LOCAL,CASE-27596,RE-AMPUTATION OF THIGH THROUGH THIGH BONE,,,3020.95,22248.0,23 LOCAL,CASE-27599,UNLISTED PROCEDURE FEMUR/KNEE - FACILITY,,,227.74,3045.0,23 LOCAL,CASE-27600,INCISION OF CONNECTIVE TISSUE OF FRONT OR SIDE OF LOWER LEG TO RELIEVE PRESSURE,,,3020.95,13605.0,23 LOCAL,CASE-27601,INCISION OF CONNECTIVE TISSUE OF BACK OF LOWER LEG TO RELIEVE PRESSURE,,,3020.95,13605.0,23 LOCAL,CASE-27602,INCISION OF CONNECTIVE TISSUE OF FRONT AND/OR SIDE AND BACK OF LOWER LEG TO RELIEVE PRESSURE,,,3020.95,13605.0,23 LOCAL,CASE-27604,DRAINAGE OF INFECTED FLUID-FILLED SAC (BURSA) OF LEG OR ANKLE,,,3020.95,13605.0,23 LOCAL,CASE-27606,INCISION OF ACHILLES TENDON UNDER ANESTHESIA,,,11853.62,13631.66,23 LOCAL,CASE-27612,INCISION OF ANKLE JOINT WITH RELEASE OF JOINT LINING,,,3020.95,13605.0,23 LOCAL,CASE-27613,BIOPSY OF SURFACE TISSUE OF LEG OR ANKLE FACILITY,,,1524.88,4396.0,23 LOCAL,CASE-27614,BIOPSY OF DEEP TISSUE OF LEG OR ANKLE,,,2681.85,8220.0,23 LOCAL,CASE-27616,"EXTENSIVE REMOVAL OF GROWTH OF LEG OR ANKLE, 5.0 CM OR MORE",,,2681.85,8220.0,23 LOCAL,CASE-27618,"REMOVAL OF GROWTH UNDER SKIN OF LEG OR ANKLE, LESS THAN 3.0 CM FACILITY",,,1524.88,4396.0,23 LOCAL,CASE-27619,"REMOVAL OF GROWTH OF MUSCLE OF LEG OR ANKLE, LESS THAN 5.0 CM",,,2681.85,8220.0,23 LOCAL,CASE-27620,INCISION AND EXPLORATION OF ANKLE JOINT,,,3020.95,13605.0,23 LOCAL,CASE-27626,REMOVAL OF MEMBRANE COVERING ANKLE JOINT AND TENDON,,,6699.47,13605.0,23 LOCAL,CASE-27632,"REMOVAL OF GROWTH UNDER SKIN OF LEG OR ANKLE, 3.0 CM OR MORE PROFESSIONAL",,,2681.85,8220.0,23 LOCAL,CASE-27634,"REMOVAL OF GROWTH OF MUSCLE OF LEG OR ANKLE, 5.0 CM OR MORE",,,2681.85,8220.0,23 LOCAL,CASE-27635,REMOVAL OF CYST OR GROWTH OF LOWER LEG BONE PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-27638,REMOVAL OF CYST OR GROWTH OF LOWER LEG BONE WITH BONE GRAFT,,,6699.47,13605.0,23 LOCAL,CASE-27640,PARTIAL REMOVAL OF SHIN BONE,,,3020.95,13605.0,23 LOCAL,CASE-27641,PARTIAL REMOVAL OF OUTER LOWER LEG BONE,,,3020.95,13605.0,23 LOCAL,CASE-27648,INJECTION FOR X-RAY IMAGING OF ANKLE FACILITY,,,723.77,6376.0,23 LOCAL,CASE-27650,REPAIR OF RUPTURED ACHILLES TENDON PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-27654,SECONDARY REPAIR OF RUPTURED ACHILLES TENDON PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-27658,PRIMARY REPAIR OF TENDON ON BACK OF LEG,,,3020.95,13605.0,23 LOCAL,CASE-27659,SECONDARY REPAIR OF TENDON ON BACK OF LEG,,,6699.47,13605.0,23 LOCAL,CASE-27664,PRIMARY REPAIR OF TENDON ON FRONT OF LEG,,,11853.62,13631.66,23 LOCAL,CASE-27665,SECONDARY REPAIR OF TENDON ON FRONT OF LEG,,,6699.47,13605.0,23 LOCAL,CASE-27675,REPAIR OF DISLOCATING LOWER LEG TENDONS WITHOUT A CUT THROUGH THE LOWER LEG BONE ON THE OUTSIDE OF THE LEG (FIBULA) PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-27680,RELEASE OF LEG AND/OR ANKLE TENDON PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-27685,LENGTHENING OR SHORTENING OF TENDON OF LEG OR ANKLE PROFESSIONAL,,,25052.13,28809.95,4 LOCAL,CASE-27687,LENGTHENING OF CALF MUSCLE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-27690,TRANSFER OF TENDON AND MUSCLE REROUTING AT LOWER LEG OR ANKLE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-27691,TRANSFER OF DEEP TENDON OF FOOT WITH MUSCLE REROUTING PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-27692,"TRANSFER OF TENDON WITH MUSCLE REROUTING AT FOOT, EACH ADDITIONAL TENDON",,,6699.47,13605.0,23 LOCAL,CASE-27695,PRIMARY REPAIR OF DISRUPTED ANKLE LIGAMENT PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-27698,SECONDARY REPAIR OF DISRUPTED COLLATERAL LIGAMENT OF ANKLE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-27700,RECONSTRUCTION OF ANKLE JOINT,,,6699.47,13605.0,23 LOCAL,CASE-27702,RECONSTRUCTION OF ANKLE JOINT WITH PROSTHESIS PROFESSIONAL,,,12244.0,28809.95,23 LOCAL,CASE-27709,INCISION OR PARTIAL REMOVAL OF SHIN AND OUTER LOWER LEG BONES,,,11853.62,13631.66,23 LOCAL,CASE-27724,REPAIR OF NONHEALED BROKEN SHIN BONE WITH SELF GRAFT FROM HIP OR OTHER BONE,,,6699.47,22248.0,23 LOCAL,CASE-27726,REPAIR OF NONHEALED BROKEN OUTER LOWER LEG BONE WITH PLACEMENT OF STABILIZING DEVICE,,,6699.47,22248.0,23 LOCAL,CASE-27745,PLACEMENT OF STABILIZING DEVICE FOR SHIN BONE,,,25052.13,28809.95,4 LOCAL,CASE-27758,TREATMENT BROKEN MIDDLE PART OF SHIN BONE WITH PLATE OR SCREWS,,,11853.62,13631.66,23 LOCAL,CASE-27759,TREATMENT OF BROKEN PART OF SHIN BONE WITH ROD,,,11853.62,13631.66,23 LOCAL,CASE-27766,TREATMENT OF INSIDE PORTION OF BROKEN SHIN BONE AT ANKLE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-27792,TREATMENT OF BROKEN OUTER LOWER LEG BONE AT ANKLE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-27814,TREATMENT OF BOTH BROKEN LOWER LEG BONES AT ANKLE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-27818,CLOSED TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE WITH MANIPULATION FACILITY,,,11853.62,13631.66,23 LOCAL,CASE-27822,TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-27823,TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE WITH FIXATION OF POSTERIOR LIP PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-27825,CLOSED TREATMENT OF BROKEN SHIN BONE AT LOWER WEIGHT BEARING JOINT WITH MANIPULATION AND/OR TRACTION FACILITY,,,12244.0,18616.79,23 LOCAL,CASE-27828,TREATMENT OF BROKEN LOWER WEIGHT BEARING JOINT OF BOTH LOWER LEG BONES,,,11853.62,13631.66,23 LOCAL,CASE-27829,TREATMENT OF LIGAMENT TEAR AT ANKLE JOINT PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-27848,TREATMENT OF DISLOCATED ANKLE WITH REPAIR OR PLACEMENT OF STABILIZING DEVICE,,,6699.47,13605.0,23 LOCAL,CASE-27870,"FUSION OF ANKLE JOINT, OPEN PROCEDURE PROFESSIONAL",,,16188.51,18616.79,4 LOCAL,CASE-27871,FUSION OF LOWER LEG BONE AT KNEE OR ANKLE JOINT,,,11853.62,13631.66,23 LOCAL,CASE-27884,SECONDARY CLOSURE OR REVISION OF SCAR OF LOWER LEG BONE AMPUTATION,,,3020.95,13605.0,23 LOCAL,CASE-27892,INCISION OF CONNECTIVE TISSUE OF LOWER LEG TO RELIEVE PRESSURE WITH REMOVAL OF MUSCLE AND/OR NERVE,,,25052.13,28809.95,4 LOCAL,CASE-27899,UNLISTED PROCEDURE LEG/ANKLE - FACILITY,,,227.74,3045.0,23 LOCAL,CASE-28005,INCISION OF FOOT BONE,,,6699.47,13605.0,23 LOCAL,CASE-28008,INCISION OF CONNECTIVE TISSUE OF FOOT AND/OR TOE FACILITY,,,11853.62,13631.66,23 LOCAL,CASE-28010,REPAIR OF TOE TENDON FACILITY,,,6699.47,13605.0,23 LOCAL,CASE-28011,REPAIR OF MULTIPLE TOE TENDONS PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28020,"INCISION OF FOOT AT ANKLE JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,6699.47,13605.0,23 LOCAL,CASE-28035,RELEASE OF NERVE BETWEEN TISSUE AND ANKLE BONE,,,1802.9,5243.0,23 LOCAL,CASE-28039,REMOVAL (1.5 CENTIMETERS OR GREATER) TISSUE GROWTH BENEATH THE SKIN OF FOOT OR TOE PROFESSIONAL,,,2681.85,8220.0,23 LOCAL,CASE-28041,"REMOVAL OF GROWTH OF MUSCLE OF FOOT OR TOE, 1.5 CM OR MORE PROFESSIONAL",,,2681.85,8220.0,23 LOCAL,CASE-28043,REMOVAL (LESS THAN 1.5 CENTIMETERS) TISSUE GROWTH BENEATH THE SKIN OF FOOT OR TOE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28045,"REMOVAL OF GROWTH OF MUSCLE OF FOOT OR TOE, LESS THAN 1.5 CM PROFESSIONAL",,,2681.85,8220.0,23 LOCAL,CASE-28047,"EXTENSIVE REMOVAL OF GROWTH OF FOOT OR TOE, 3.0 CM OR MORE",,,2681.85,8220.0,23 LOCAL,CASE-28060,PARTIAL REMOVAL OF CONNECTIVE TISSUE AT SOLE OF FOOT,,,3020.95,13605.0,23 LOCAL,CASE-28072,REMOVAL OF JOINT LINING OF TOE JOINT AT FOOT,,,3020.95,13605.0,23 LOCAL,CASE-28080,REMOVAL OF FIBROUS NERVE GROWTH FROM BETWEEN TOES PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-28086,REMOVAL OF LINING OF TENDON ON UNDER SURFACE OF FOOT PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28088,REMOVAL OF LINING OF TENDON ON UPPER SURFACE OF FOOT,,,11853.62,13631.66,23 LOCAL,CASE-28092,REMOVAL OF GROWTH OF TENDON COVERING OR JOINT CAPSULE OF TOES PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-28100,REMOVAL OF CYST OR GROWTH OF HEEL OR ANKLE BONE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28102,REMOVAL OF CYST OR GROWTH OF HEEL OR ANKLE BONE WITH SELF BONE GRAFT,,,25052.13,28809.95,4 LOCAL,CASE-28103,REMOVAL OF CYST OR GROWTH OF HEEL OR ANKLE BONE WITH DONOR BONE GRAFT PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28104,REMOVAL OF CYST OR GROWTH OF FOOT BONE,,,6699.47,13605.0,23 LOCAL,CASE-28110,REMOVAL OF BUNION AT FIFTH TOE JOINT PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28112,"REMOVAL OF TOE BONE AT SECOND, THIRD, OR FOURTH JOINTS PROFESSIONAL",,,6699.47,13605.0,23 LOCAL,CASE-28113,COMPLETE REMOVAL OF FOOT BONE AT FIFTH TOE JOINT PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28116,REMOVAL OF ABNORMAL BONES AT ANKLE JOINT PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28118,REMOVAL OF HEEL BONE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28119,REMOVAL OF HEEL BONE SPUR,,,6699.47,13605.0,23 LOCAL,CASE-28120,PARTIAL REMOVAL OF INFECTED FOOT OR HEEL BONE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28122,PARTIAL REMOVAL OF FOOT OR HEEL BONE PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-28124,PARTIAL REMOVAL OF TOE BONE PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-28126,REMOVAL OF TOE BONE AT FOOT,,,3020.95,13605.0,23 LOCAL,CASE-28160,PARTIAL REMOVAL OF TOE AT JOINT PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28192,"REMOVAL OF FOREIGN BODY OF FOOT TISSUE, DEEP",,,1524.88,4396.0,23 LOCAL,CASE-28200,REPAIR OF TENDON ON SOLE OF FOOT PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28208,REPAIR OF TENDON OF TOP SIDE OF FOOT,,,11853.62,13631.66,23 LOCAL,CASE-28220,REMOVAL OF SCAR TISSUE OF TENDON ON BOTTOM SIDE OF FOOT PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-28225,REMOVAL OF SCAR TISSUE OF TENDON ON TOP SIDE OF FOOT,,,3020.95,13605.0,23 LOCAL,CASE-28226,REMOVAL OF SCAR TISSUE OF MULTIPLE TENDONS AT TOP OF FOOT,,,3020.95,13605.0,23 LOCAL,CASE-28230,INCISION TO LENGTHEN FOOT TENDON FACILITY,,,3020.95,13605.0,23 LOCAL,CASE-28232,INCISION TO LENGTHEN TOE TENDON FACILITY,,,6699.47,13605.0,23 LOCAL,CASE-28234,INCISION TO RELEASE FOOT TENDON PROFESSIONAL,,,11853.62,13631.66,23 LOCAL,CASE-28240,RELEASE OR LENGTHENING OF TENDON IN FOOT,,,11853.62,13631.66,23 LOCAL,CASE-28260,INCISION OF ANKLE JOINT CAPSULE TO CORRECT FOOT DEFORMITY,,,6699.47,13605.0,23 LOCAL,CASE-28261,INCISION OF ANKLE JOINT CAPSULE AND LENGTHENING OF TENDON,,,25052.13,28809.95,4 LOCAL,CASE-28262,EXTENSIVE REPAIR OF FOOT DEFECT WITH TENDON LENGTHENING AND RELIEF OF TENSION IN FOOT,,,6699.47,13605.0,23 LOCAL,CASE-28264,RELEASE OF CAPSULE OF MIDFOOT,,,3020.95,13605.0,23 LOCAL,CASE-28270,INCISION OF JOINT CAPSULE OF FOOT AND TOE PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-28285,CORRECTION OF TOE JOINT DEFORMITY PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28288,REMOVAL OF FOOT BONE SPUR PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28289,CORRECTION OF RIGID DEFORMITY OF FIRST JOINT OF BIG TOE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28291,CORRECTION OF RIGID DEFORMITY OF FIRST JOINT OF BIG TOE USING IMPLANT,,,6699.47,13605.0,23 LOCAL,CASE-28292,CORRECTION OF BUNION PROFESSIONAL,,,11853.62,13631.66,23 LOCAL,CASE-28296,CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF MIDFOOT BONE TOWARD TOE AREA PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28297,CORRECTION OF BUNION WITH FOREFOOT AND MIDFOOT BONE FUSION PROFESSIONAL,,,11853.62,13631.66,23 LOCAL,CASE-28298,CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF BIG TOE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28299,CORR BUNION DOUBLE OSTEOTOMY - PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28300,INCISION OR PARTIAL REMOVAL OF HEEL BONE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28304,INCISION OR PARTIAL REMOVAL OF FOOT BONE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28306,INCISION OR PARTIAL REMOVAL OF BIG TOE BONE TO STRAIGHTEN TOE,,,6699.47,13605.0,23 LOCAL,CASE-28308,INCISION OR PARTIAL REMOVAL OF FOOT BONE (OTHER THAN BIG TOE) TO STRAIGHTEN TOE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28309,INCISION OR PARTIAL REMOVAL OF MULTIPLE FOOT BONES TO STRAIGHTEN TOES,,,6699.47,13605.0,23 LOCAL,CASE-28310,INCISION OR PARTIAL REMOVAL OF BIG TOE BONE AT FIRST TOE BONE LEVEL TO STRAIGHTEN TOE,,,6699.47,13605.0,23 LOCAL,CASE-28312,INCISION OR PARTIAL REMOVAL OF TOE BONE TO STRAIGHTEN TOE,,,6699.47,13605.0,23 LOCAL,CASE-28313,RECONSTRUCTION OF SOFT TISSUE ANGULAR DEFORMITY OF TOE,,,11853.62,13631.66,23 LOCAL,CASE-28315,REMOVAL OF SMALL BONE UNDERLYING LONG BONE OF FOOT AT BIG TOE JOINT PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-28322,REPAIR OF NONHEALED BROKEN FOREFOOT BONE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28345,REMOVAL OF CONGENITAL WEB SPACE DEFORMITY OF TOES,,,6699.47,13605.0,23 LOCAL,CASE-28445,TREATMENT OF BROKEN BONE BETWEEN FOOT AND ANKLE,,,6699.47,13605.0,23 LOCAL,CASE-28465,TREATMENT OF BROKEN HIND PORTION OF FOOT PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28485,TREATMENT OF BROKEN MIDPORTION OF FOOT PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28505,TREATMENT OF BROKEN GREAT TOE,,,3020.95,13605.0,23 LOCAL,CASE-28555,TREATMENT OF DISLOCATED MIDFOOT OR HINDFOOT BONES,,,11853.62,13631.66,23 LOCAL,CASE-28585,TREATMENT OF DISLOCATED ANKLE JOINT,,,6699.47,13605.0,23 LOCAL,CASE-28615,TREATMENT OF DISLOCATED MIDFOOT BONE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28645,TREATMENT OF DISLOCATED JOINT BETWEEN TOE AND FOOT PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-28715,FUSION OF 3 BONES OF ANKLE PROFESSIONAL,,,11853.62,13631.66,23 LOCAL,CASE-28725,FUSION OF FOOT BELOW ANKLE PROFESSIONAL,,,12244.0,18616.79,23 LOCAL,CASE-28730,FUSION OF MULTIPLE FOOT JOINTS PROFESSIONAL,,,11853.62,13631.66,23 LOCAL,CASE-28735,FUSION OF MULTIPLE FOOT JOINTS WITH BONE INCISION TO CORRECT A FOOT DEFORMITY,,,11853.62,13631.66,23 LOCAL,CASE-28740,FUSION OF FOOT IN MIDFOOT REGION PROFESSIONAL,,,11853.62,13631.66,23 LOCAL,CASE-28750,FUSION OF BIG TOE AT JOINT WITH FOOT PROFESSIONAL,,,11853.62,13631.66,23 LOCAL,CASE-28755,FUSION OF BIG TOE BETWEEN TOE JOINTS,,,11853.62,13631.66,23 LOCAL,CASE-28805,AMPUTATION OF FOOT ACROSS INSTEP PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-28810,AMPUTATION OF TOE AND MIDFOOT BONE PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-28820,AMPUTATION OF TOE AT JOINT BETWEEN FOREFOOT AND TOES PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-28825,AMPUTATION OF TOE AT TOE JOINT PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-28899,TX1 PLANT FASC PROC W KIT FACILITY,,,227.74,3045.0,23 LOCAL,CASE-29805,DIAGNOSTIC EXAM OF SHOULDER USING AN ENDOSCOPE,,,3020.95,13605.0,23 LOCAL,CASE-29806,REPAIR OF SHOULDER JOINT CAPSULE USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-29807,REPAIR OF SHOULDER SOCKET USING AN ENDOSCOPE PROFESSIONAL-EXPRESS CARE,,,6699.47,13605.0,23 LOCAL,CASE-29822,LIMITED REMOVAL OF ABNORMAL SHOULDER JOINT TISSUE USING ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-29823,REMOVAL OF EXTENSIVE SHOULDER JOINT TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-29824,PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-29825,REMOVAL OF SHOULDER SCAR TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-29826,SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-29827,REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-29828,RELEASE OF TENDON CONNECTING BICEPS MUSCLE AND SHOULDER USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-29834,REMOVAL OF LOOSE OR FOREIGN BODY IN ELBOW JOINT USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-29837,REMOVAL OF ELBOW JOINT TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-29838,REMOVAL OF EXTENSIVE DAMAGED TISSUE FROM ELBOW JOINT USING AN ENDOSCOPE,,,3020.95,13605.0,23 LOCAL,CASE-29840,DIAGNOSTIC EXAM OF WRIST USING AN ENDOSCOPE,,,6699.47,13605.0,23 LOCAL,CASE-29844,PARTIAL REMOVAL OF WRIST JOINT LINING USING AN ENDOSCOPE,,,3020.95,13605.0,23 LOCAL,CASE-29845,REMOVAL OF ENTIRE WRIST JOINT LINING USING AN ENDOSCOPE,,,3020.95,13605.0,23 LOCAL,CASE-29846,REMOVAL OR REPAIR OF WRIST CARTILAGE USING AN ENDOSCOPE,,,6699.47,13605.0,23 LOCAL,CASE-29848,RELEASE OF WRIST LIGAMENT USING AN ENDOSCOPE,,,1484.62,4396.0,23 LOCAL,CASE-29866,REPAIR OF KNEE CARTILAGE AND BONE WITH PATIENT-DERIVED HEALTHY CARTILAGE TRANSPLANT USING AN ENDOSCOPE,,,6699.47,13605.0,23 LOCAL,CASE-29867,REPAIR OF KNEE CARTILAGE AND BONE WITH DONOR CARTILAGE GRAFT USING AN ENDOSCOPE,,,11853.62,22248.0,23 LOCAL,CASE-29873,RELEASE OF LIGAMENTS AT OUTER SIDE OF KNEE JOINT USING AN ENDOSCOPE PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-29874,REMOVAL OF LOOSE OR FOREIGN BODY IN KNEE JOINT USING AN ENDOSCOPE PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-29875,PARTIAL REMOVAL OF KNEE JOINT LINING USING AN ENDOSCOPE PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-29876,REMOVAL OF JOINT LINING FROM MULTIPLE KNEE JOINT COMPARTMENTS USING AN ENDOSCOPE PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-29877,REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-29880,REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-29881,REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-29882,REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE PROFESSIONAL,,,11853.62,13631.66,23 LOCAL,CASE-29883,REPAIR OF INSIDE AND OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE,,,6699.47,13605.0,23 LOCAL,CASE-29884,REMOVAL OF SCAR TISSUE FROM KNEE USING AN ENDOSCOPE PROFESSIONAL,,,3020.95,13605.0,23 LOCAL,CASE-29888,REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE PROFESSIONAL,,,11853.62,13631.66,23 LOCAL,CASE-29891,REMOVAL OF SHIN AND/OR ANKLE BONE DEFECT USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-29894,REMOVAL OF LOOSE OR FOREIGN BODY IN ANKLE USING AN ENDOSCOPE,,,6699.47,13605.0,23 LOCAL,CASE-29895,PARTIAL REMOVAL OF ANKLE JOINT LINING USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-29897,REMOVAL OF LIMITED DEAD OR INFECTED TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-29898,REMOVAL OF EXTENSIVE DEAD OR INFECTED TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-29906,REMOVAL OF DEAD OR INFECTED ANKLE JOINT TISSUE USING AN ENDOSCOPE,,,3020.95,13605.0,23 LOCAL,CASE-29914,RESHAPING OF THIGH BONE AT HIP JOINT USING AN ENDOSCOPE,,,6699.47,13605.0,23 LOCAL,CASE-29915,RESHAPING OF HIP SOCKET USING AN ENDOSCOPE,,,6699.47,13605.0,23 LOCAL,CASE-29916,REPAIR OF HIP JOINT SOCKET CARTILAGE USING AN ENDOSCOPE,,,6699.47,13605.0,23 LOCAL,CASE-29999,UNLISTED PROCEDURE ARTHROSCOPY - PROFESSIONAL,,,6699.47,13605.0,23 LOCAL,CASE-30100,BIOPSY OF LINING OF NOSE FACILITY,,,1432.54,4396.0,23 LOCAL,CASE-30115,EXTENSIVE REMOVAL OF NASAL POLYP,,,3061.08,13605.0,23 LOCAL,CASE-30117,REMOVAL OR DESTRUCTION OF GROWTH OF NOSE THROUGH NOSE FACILITY,,,3061.08,13605.0,23 LOCAL,CASE-30120,REMOVAL OR SCRAPING OF SKIN ON NOSE FACILITY,,,3061.08,13605.0,23 LOCAL,CASE-30130,REMOVAL OF NASAL AIR PASSAGE,,,3061.08,13605.0,23 LOCAL,CASE-30140,REMOVAL OF NASAL AIR PASSAGE UNDER LINING TISSUE PROFESSIONAL,,,3061.08,13605.0,23 LOCAL,CASE-30150,PARTIAL REMOVAL OF NOSE,,,5465.62,13605.0,23 LOCAL,CASE-30220,INSERTION OF IMPLANT TO CLOSE NASAL PASSAGE FACILITY,,,6515.97,13605.0,23 LOCAL,CASE-30400,RESHAPING OF TIP OF NOSE,,,5465.62,13605.0,23 LOCAL,CASE-30410,"RESHAPING OF BONE, CARTILAGE, AND/OR TIP OF NOSE",,,5465.62,13605.0,23 LOCAL,CASE-30420,RESHAPING OF BONY CARTILAGE DIVIDING NASAL PASSAGES PROFESSIONAL,,,5465.62,13605.0,23 LOCAL,CASE-30430,REVISION TO RESHAPE NOSE OR SMALL AMOUNT OF TIP OF NOSE AFTER PREVIOUS REPAIR,,,5465.62,13605.0,23 LOCAL,CASE-3044F,3044F MOST RECENT HEMOGLOBIN A1C LEVEL <7.0% PROFESSIONAL,,,2915.22,4677.0,23 LOCAL,CASE-30450,REVISION TO RESHAPE NASAL BONES AND TIP OF NOSE AFTER PREVIOUS REPAIR,,,5465.62,13605.0,23 LOCAL,CASE-30465,REPAIR OF NASAL PASSAGE PROFESSIONAL,,,5465.62,13605.0,23 LOCAL,CASE-30469,REPAIR OF COLLAPSED NASAL VALVE,,,5465.62,13605.0,23 LOCAL,CASE-3051F,3051F MOST RECENT HG A1C>EQUAL TO 7.0%&<8.0% PROFESSIONAL,,,122.84,141.27,4 LOCAL,CASE-30520,RESHAPING OF NASAL CARTILAGE PROFESSIONAL,,,5465.62,13605.0,23 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",,,186714.63,207050.03,4 MS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",,,121848.5,135119.23,4 MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,,,90699.81,100578.07,4 MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC,,,40790.95,45233.56,4 MS-DRG,007,LUNG TRANSPLANT,,,113920.81,126328.11,4 MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,,,49302.77,54672.41,4 MS-DRG,010,PANCREAS TRANSPLANT,,,63123.47,69998.35,4 MS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",,,47978.83,53204.28,4 MS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",,,37087.47,41126.72,4 MS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC",,,25350.72,28111.71,4 MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT,,,105719.51,117233.6,4 MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC,,,52162.61,102145.01,16 MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,379872.08,421244.58,4 MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS,,,62761.91,69597.41,4 MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC,,,69220.56,76759.48,4 MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC,,,46568.71,51640.58,4 MS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC,,,27951.08,54733.89,18 MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,,,50408.54,55898.61,4 MS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC,,,34412.36,67386.39,18 MS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC,,,39996.57,44352.67,4 MS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC,,,27351.12,53559.08,18 MS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,22193.55,43459.48,18 MS-DRG,028,SPINAL PROCEDURES WITH MCC,,,52854.05,58610.47,4 MS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS,,,30011.27,58768.22,18 MS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC,,,19310.81,37814.52,18 MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC,,,39414.24,77181.09,18 MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC,,,18746.06,36708.61,18 MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC,,,14628.26,28645.12,18 MS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC,,,34049.92,66676.68,18 MS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC,,,21028.84,41178.75,18 MS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC,,,17090.51,33466.67,18 MS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC,,,28960.07,32114.16,4 MS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC,,,14273.75,27950.91,18 MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,10340.69,20249.16,18 MS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC",,,33966.35,66513.03,18 MS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR",,,19341.61,37874.81,18 MS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC",,,15198.3,29761.36,18 MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC,,,13431.87,26302.38,18 MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC,,,8969.28,17563.63,18 MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,,,20435.93,40017.72,18 MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,,,11397.18,22318.01,18 MS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC,,,15038.19,29447.85,18 MS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC,,,10915.98,21375.74,18 MS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC,,,8091.32,15844.47,18 MS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC",,,24253.75,47493.8,18 MS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC",,,15457.81,30269.53,18 MS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC",,,12349.01,24181.86,18 MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,,,17690.44,34641.49,18 MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,,,8887.45,17403.43,18 MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC,,,6020.55,11789.47,18 MS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,,,12919.92,25299.83,18 MS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,,,7603.98,14890.15,18 MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,,,7026.91,13760.13,18 MS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC,,,14644.97,28677.84,18 MS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC,,,9025.57,17673.88,18 MS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,,,6652.18,13026.3,18 MS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC,,,14112.75,27635.67,18 MS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,,,9067.8,17756.56,18 MS-DRG,075,VIRAL MENINGITIS WITH CC/MCC,,,16867.92,33030.86,18 MS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC,,,7259.16,14214.9,18 MS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC,,,15922.26,31179.06,18 MS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC,,,7878.45,15427.61,18 MS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC,,,20106.07,39371.75,18 MS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC,,,12278.63,24044.05,18 MS-DRG,084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC,,,8408.02,16464.61,18 MS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC,,,19985.55,39135.75,18 MS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC,,,11459.65,22440.31,18 MS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC,,,8046.46,15756.62,18 MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,,,15449.01,30252.3,18 MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,,,8999.15,17622.2,18 MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,7004.93,13717.06,18 MS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC,,,30959.59,34331.45,4 MS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC,,,22688.81,25159.88,4 MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,22688.81,44429.3,18 MS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC,,,31772.41,35232.79,4 MS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,,,20187.87,39531.95,18 MS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC,,,11984.82,23468.7,18 MS-DRG,100,SEIZURES WITH MCC,,,17037.7,33363.32,18 MS-DRG,101,SEIZURES WITHOUT MCC,,,7940.03,15548.19,18 MS-DRG,102,HEADACHES WITH MCC,,,9860.4,19308.62,18 MS-DRG,103,HEADACHES WITHOUT MCC,,,7356.8,14406.1,18 MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC,,,20682.24,22934.78,4 MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT,,,13502.27,26440.19,18 MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC,,,9543.68,18688.49,18 MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC,,,10233.37,20039.01,18 MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC,,,6912.56,13536.19,18 MS-DRG,123,NEUROLOGICAL EYE DISORDERS,,,7025.15,13756.68,18 MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT,,,11639.1,22791.72,18 MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC,,,6754.19,13226.12,18 MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC,,,19089.15,37380.42,18 MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC,,,13135.44,25721.86,18 MS-DRG,139,SALIVARY GLAND PROCEDURES,,,10870.24,21286.17,18 MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC,,,37521.15,41607.64,4 MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC,,,19186.8,37571.63,18 MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,,,14043.28,27499.59,18 MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC",,,32958.23,64538.93,18 MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC",,,15244.04,16904.3,4 MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC",,,10576.44,20710.82,18 MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC",,,18626.44,36474.33,18 MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",,,11185.19,21902.86,18 MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC",,,7011.96,13730.84,18 MS-DRG,149,DYSEQUILIBRIUM,,,6611.71,12947.06,18 MS-DRG,150,EPISTAXIS WITH MCC,,,11712.99,22936.42,18 MS-DRG,151,EPISTAXIS WITHOUT MCC,,,6456.87,12643.88,18 MS-DRG,152,OTITIS MEDIA AND URI WITH MCC,,,10399.61,20364.58,18 MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC,,,6493.82,12716.23,18 MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC",,,13753.86,26932.85,18 MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC",,,8062.28,15787.63,18 MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC,,,15102.41,29573.6,18 MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC,,,8003.36,15672.21,18 MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC,,,6232.55,12204.62,18 MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC,,,39425.66,43719.57,4 MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC,,,22203.21,43478.42,18 MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC,,,16838.9,32974.01,18 MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,,,32879.94,64385.62,18 MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC,,,15864.23,31065.37,18 MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,12020.01,23537.61,18 MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,,,12083.35,23661.63,18 MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC,,,7081.45,13866.93,18 MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,,,13746.82,26919.07,18 MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC,,,8585.7,16812.58,18 MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC,,,6641.61,13005.63,18 MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC,,,15535.21,30421.12,18 MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC,,,9421.4,18449.05,18 MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC,,,6631.06,12984.96,18 MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC,,,13458.28,26354.06,18 MS-DRG,184,MAJOR CHEST TRAUMA WITH CC,,,9360.72,18330.19,18 MS-DRG,186,PLEURAL EFFUSION WITH MCC,,,13709.86,26846.72,18 MS-DRG,187,PLEURAL EFFUSION WITH CC,,,8700.95,17038.24,18 MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC,,,6309.1,12354.49,18 MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE,,,10867.62,21281.0,18 MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,,,9744.26,19081.24,18 MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,,,7415.73,14521.52,18 MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC,,,11562.57,22641.85,18 MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC,,,7089.38,13882.43,18 MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC,,,5528.81,10826.54,18 MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC,,,16601.38,32508.91,18 MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC,,,8349.08,16349.2,18 MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC,,,6300.29,12337.26,18 MS-DRG,199,PNEUMOTHORAX WITH MCC,,,15518.5,30388.39,18 MS-DRG,200,PNEUMOTHORAX WITH CC,,,9670.36,18936.54,18 MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC,,,6290.64,12318.31,18 MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC,,,8543.49,16729.89,18 MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC,,,5893.88,11541.42,18 MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS,,,7102.57,13908.27,18 MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,,,16107.02,31540.81,18 MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC,,,8278.71,16211.39,18 MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS,,,56605.02,62769.97,4 MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS,,,24179.87,47349.11,18 MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES,,,95657.69,106075.93,4 MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT,,,87590.13,97129.71,4 MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,,,86057.7,95430.38,4 MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC,,,57841.85,64141.5,4 MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,67544.74,74901.16,4 MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC,,,46911.78,52021.02,4 MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,44337.82,86822.49,18 MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC,,,43521.47,48261.47,4 MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC,,,27705.64,30723.11,4 MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC,,,53331.71,59140.15,4 MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC,,,67253.58,74578.28,4 MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC,,,48054.49,53288.18,4 MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,51625.12,57247.7,4 MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,,,36848.21,40861.4,4 MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC,,,43295.4,48010.77,4 MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,,,25075.38,49102.71,18 MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC,,,28086.54,54999.17,18 MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC-EXPRESS CARE,,,18745.18,36706.88,18 MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC,,,15900.29,31136.0,18 MS-DRG,245,AICD GENERATOR PROCEDURES,,,40134.7,44505.84,4 MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC,,,19199.09,37595.75,18 MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC,,,13146.87,25744.26,18 MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC,,,30686.01,34028.08,4 MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC,,,22833.07,44711.81,18 MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC,,,15673.33,30691.56,18 MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC,,,23728.59,26312.91,4 MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,,,14936.14,29248.03,18 MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,,,27640.53,54125.81,18 MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC,,,17788.09,34832.69,18 MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,,,28614.36,31730.79,4 MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,,,16630.43,32565.75,18 MS-DRG,263,VEIN LIGATION AND STRIPPING,,,26895.45,29824.68,4 MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,,,29386.71,57545.18,18 MS-DRG,265,AICD LEAD PROCEDURES,,,31828.71,35295.23,4 MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC,,,53910.54,59782.03,4 MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC,,,41879.98,82009.54,18 MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,,,60503.78,67093.34,4 MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,,,37150.8,72748.84,18 MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,,,46414.75,51469.86,4 MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,,,31284.2,34691.41,4 MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC,,,22458.33,43977.98,18 MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC,,,36291.36,40243.91,4 MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC,,,28956.55,56702.82,18 MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,,,62724.98,69556.46,4 MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR,,,52839.07,58593.87,4 MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC,,,40628.2,45053.08,4 MS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC,,,31724.92,35180.14,4 MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC",,,14111.01,27632.23,18 MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC",,,8085.18,15832.42,18 MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC",,,6361.0,12456.12,18 MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC",,,17424.78,34121.26,18 MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC",,,6089.17,11923.84,18 MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC",,,19465.65,38117.69,18 MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC",,,9413.5,18433.54,18 MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC,,,23806.01,46617.0,18 MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC,,,15015.32,29403.06,18 MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC,,,11293.39,22114.74,18 MS-DRG,292,HEART FAILURE AND SHOCK WITH CC,,,7468.53,14624.87,18 MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC",,,13739.77,26905.29,18 MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC,,,14362.59,28124.89,18 MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC,,,9390.61,18388.76,18 MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC,,,6331.08,12397.55,18 MS-DRG,302,ATHEROSCLEROSIS WITH MCC,,,10526.3,20612.63,18 MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC,,,5922.03,11596.54,18 MS-DRG,304,HYPERTENSION WITH MCC,,,10468.22,20498.94,18 MS-DRG,305,HYPERTENSION WITHOUT MCC,,,6642.48,13007.35,18 MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC,,,13862.07,27144.73,18 MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC,,,8033.28,15730.78,18 MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,,,10591.4,20740.1,18 MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,,,6471.84,12673.17,18 MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC,,,4979.89,9751.64,18 MS-DRG,311,ANGINA PECTORIS,,,6174.51,12090.93,18 MS-DRG,312,SYNCOPE AND COLLAPSE,,,7667.33,15014.18,18 MS-DRG,313,CHEST PAIN,,,6333.73,12402.72,18 MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,,,18343.16,35919.66,18 MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,,,8473.99,16593.81,18 MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC,,,6000.32,11749.85,18 MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION,,,58820.05,65226.24,4 MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC,,,39259.39,76877.92,18 MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES,,,23934.43,46868.5,18 MS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC,,,15508.82,30369.44,18 MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC,,,38067.43,42213.41,4 MS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,27718.84,54279.13,18 MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE,,,28241.38,31317.19,4 MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC",,,43873.34,48651.66,4 MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC",,,21501.23,42103.79,18 MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC",,,14095.17,27601.22,18 MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,40434.68,44838.48,4 MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,21087.78,41294.17,18 MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,14804.2,28989.64,18 MS-DRG,333,RECTAL RESECTION WITH CC,,,20603.94,22847.95,4 MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC,,,14408.35,28214.47,18 MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC,,,31412.63,61512.32,18 MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC,,,18549.89,36324.47,18 MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC,,,13503.15,26441.91,18 MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,22720.48,25195.0,4 MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,13236.59,25919.96,18 MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,10434.79,20433.48,18 MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC,,,20194.02,39544.01,18 MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC,,,11513.31,22545.39,18 MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC,,,7658.53,14996.96,18 MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC,,,21920.84,42925.47,18 MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC,,,13410.78,26261.04,18 MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC,,,25528.41,49989.85,18 MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC,,,14799.81,28981.02,18 MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC,,,11831.75,23168.97,18 MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,,,38642.75,42851.39,4 MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC,,,20457.05,40059.06,18 MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,12297.1,24080.23,18 MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC,,,14003.68,27422.07,18 MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC,,,8798.58,17229.45,18 MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,,,15597.67,30543.42,18 MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,,,8981.56,17587.75,18 MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC,,,6398.82,12530.19,18 MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC,,,18813.79,36841.25,18 MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC,,,10640.66,20836.57,18 MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC,,,8130.91,15921.99,18 MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC,,,16080.63,31489.13,18 MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC,,,8627.05,16893.54,18 MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC,,,5545.54,10859.27,18 MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC,,,17261.14,33800.86,18 MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC,,,9531.37,18664.37,18 MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC,,,7042.75,13791.14,18 MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC,,,12145.79,23783.94,18 MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC,,,7519.55,14724.78,18 MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC,,,13919.24,27256.7,18 MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC,,,8588.35,16817.74,18 MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC,,,5993.29,11736.07,18 MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC,,,12991.17,25439.36,18 MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC,,,6947.74,13605.09,18 MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC,,,4785.47,9370.94,18 MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC",,,11157.04,21847.74,18 MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC",,,6858.01,13429.39,18 MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC,,,14068.78,27549.54,18 MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC,,,8231.21,16118.37,18 MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,5709.15,11179.67,18 MS-DRG,397,APPENDIX PROCEDURES WITH MCC,,,21067.54,41254.55,18 MS-DRG,398,APPENDIX PROCEDURES WITH CC,,,13314.91,26073.27,18 MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC,,,10069.73,19718.6,18 MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,35367.69,39219.64,4 MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC",,,48123.08,53364.25,4 MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC",,,25512.59,28291.21,4 MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC",,,19525.46,38234.83,18 MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC,,,31366.01,61421.03,18 MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC,,,19153.37,21239.39,4 MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC,,,29058.59,32223.41,4 MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC,,,14607.15,28603.77,18 MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC,,,31339.62,61369.35,18 MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC,,,18180.42,35600.97,18 MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,,,20992.77,41108.13,18 MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,,,14880.74,29139.5,18 MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC,,,12014.71,23527.27,18 MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC,,,29971.73,33235.99,4 MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC,,,15284.5,29930.18,18 MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC,,,36533.26,40512.16,4 MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,,,19246.58,21342.77,4 MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,96951.7,107510.88,4 MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC,,,63500.86,70416.84,4 MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC,,,49455.83,54842.14,4 MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC,,,79255.99,87887.89,4 MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC,,,50732.24,56257.57,4 MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,,,17313.94,33904.21,18 MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,,,9291.22,18194.1,18 MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,,,16157.16,31638.99,18 MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC,,,9950.11,19484.33,18 MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC,,,7506.34,14698.95,18 MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,,,14340.6,28081.83,18 MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,,,7399.88,14490.51,18 MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC,,,5466.35,10704.24,18 MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC",,,15787.67,30915.5,18 MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC",,,8491.58,16628.26,18 MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC",,,6155.13,12053.03,18 MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC,,,14698.63,28782.92,18 MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC,,,9627.25,18852.13,18 MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC,,,7277.63,14251.07,18 MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,58776.95,65178.44,4 MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,37305.63,41368.65,4 MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE-EXPRESS CARE,,,46883.64,51989.81,4 MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,28417.31,55646.87,18 MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC",,,73923.35,81974.46,4 MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC",,,52456.42,58169.54,4 MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC",,,36705.68,71877.21,18 MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC,,,23399.59,45821.16,18 MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,50137.59,55598.15,4 MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,,,27399.52,53653.82,18 MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,16042.81,17790.06,4 MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC,,,45791.06,50778.24,4 MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC,,,31022.93,60749.21,18 MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC,,,24173.72,47337.05,18 MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT,,,26682.59,52249.9,18 MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,,,16968.22,33227.23,18 MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC,,,42477.29,47103.56,4 MS-DRG,472,CERVICAL SPINAL FUSION WITH CC,,,25916.37,50749.52,18 MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,,,21475.73,42053.83,18 MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,37763.94,73949.5,18 MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC,,,20018.96,39201.21,18 MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,10382.03,20330.13,18 MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,30389.57,33699.34,4 MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,,,21633.18,42362.18,18 MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC,,,16352.45,32021.41,18 MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC,,,25619.03,50167.28,18 MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC,,,18424.98,36079.86,18 MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC,,,14347.65,28095.61,18 MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES,,,24383.97,47748.75,18 MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC,,,28388.28,55590.02,18 MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC,,,18395.07,36021.29,18 MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,13777.6,26979.36,18 MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC,,,15560.72,30471.07,18 MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,9824.32,19238.0,18 MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC",,,32298.46,63246.98,18 MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC",,,22309.66,43686.86,18 MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC",,,17650.86,34563.97,18 MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC,,,31894.7,35368.4,4 MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC,,,15868.61,31073.98,18 MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC,,,10629.23,20814.18,18 MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC,,,26538.32,51967.4,18 MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC,,,17723.87,34706.94,18 MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC,,,27840.24,54516.84,18 MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC,,,15377.74,30112.77,18 MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC,,,11839.68,23184.47,18 MS-DRG,504,FOOT PROCEDURES WITH CC,,,16443.05,32198.84,18 MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES,,,11868.68,23241.32,18 MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC",,,18292.13,35819.74,18 MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC",,,13848.85,27118.89,18 MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC",,,8993.01,17610.14,18 MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC,,,28034.64,54897.54,18 MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC,,,18280.71,35797.35,18 MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC,,,13518.1,26471.19,18 MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR,,,32876.42,64378.73,18 MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC,,,17595.44,34455.45,18 MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC,,,13141.59,25733.92,18 MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,,,25248.69,49442.07,18 MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,,,18629.06,36479.5,18 MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC,,,7091.12,13885.88,18 MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC,,,11277.56,22083.73,18 MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC,,,7104.33,13911.72,18 MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC",,,8394.82,16438.77,18 MS-DRG,539,OSTEOMYELITIS WITH MCC,,,17327.13,33930.05,18 MS-DRG,540,OSTEOMYELITIS WITH CC,,,11403.34,22330.06,18 MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC,,,6926.62,13563.75,18 MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC,,,15539.62,30429.73,18 MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,,,9043.13,17708.33,18 MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC,,,6638.09,12998.74,18 MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC,,,21831.11,42749.76,18 MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC,,,10146.28,19868.47,18 MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,7355.93,14404.38,18 MS-DRG,548,SEPTIC ARTHRITIS WITH MCC,,,16985.81,33261.68,18 MS-DRG,549,SEPTIC ARTHRITIS WITH CC,,,10619.55,20795.23,18 MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC,,,14744.38,28872.5,18 MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC,,,8456.39,16559.35,18 MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC,,,11403.34,22330.06,18 MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC,,,7302.25,14299.3,18 MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,11627.65,22769.33,18 MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,,,7306.66,14307.92,18 MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC",,,13080.01,25613.34,18 MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC",,,7857.34,15386.26,18 MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",,,16405.22,32124.77,18 MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",,,9906.11,19398.2,18 MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC",,,7071.79,13847.98,18 MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC",,,12533.72,24543.6,18 MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC",,,7877.58,15425.88,18 MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,,,13578.8,26590.05,18 MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,,,8571.63,16785.01,18 MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC,,,6591.46,12907.44,18 MS-DRG,570,SKIN DEBRIDEMENT WITH MCC,,,25872.38,50663.39,18 MS-DRG,571,SKIN DEBRIDEMENT WITH CC,,,14862.27,29103.33,18 MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC,,,10083.82,19746.16,18 MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,57631.61,63908.36,4 MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,43115.06,47810.8,4 MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC,,,23317.78,45660.96,18 MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,14131.23,27671.85,18 MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC",,,28488.56,55786.4,18 MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC",,,15200.94,29766.53,18 MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC",,,12694.71,24858.84,18 MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC,,,16947.99,18793.82,4 MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC",,,18831.39,20882.35,4 MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC",,,16969.99,18818.21,4 MS-DRG,592,SKIN ULCERS WITH MCC,,,17024.53,33337.48,18 MS-DRG,593,SKIN ULCERS WITH CC,,,10435.68,20435.2,18 MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC,,,18655.46,36531.18,18 MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC,,,9522.58,18647.15,18 MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC,,,14665.21,28717.46,18 MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC,,,9951.86,19487.77,18 MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC,,,9162.79,17942.6,18 MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,5322.09,10421.73,18 MS-DRG,602,CELLULITIS WITH MCC,,,12502.95,24483.31,18 MS-DRG,603,CELLULITIS WITHOUT MCC,,,7661.17,15002.12,18 MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC-EXPRESS CARE",,,12949.83,25358.39,18 MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC",,,8057.9,15779.02,18 MS-DRG,606,MINOR SKIN DISORDERS WITH MCC,,,13311.39,26066.38,18 MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC,,,7973.46,15613.65,18 MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC,,,19280.9,37755.95,18 MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC,,,12309.43,24104.34,18 MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,16452.72,32217.79,18 MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC,,,25400.0,49738.35,18 MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC,,,14077.58,27566.77,18 MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC,,,13269.14,25983.7,18 MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,31309.7,34719.7,4 MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,15780.66,30901.72,18 MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC",,,26567.33,52024.24,18 MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC",,,13189.97,25828.66,18 MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC",,,11684.83,22881.3,18 MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC",,,32784.05,64197.86,18 MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC",,,19166.54,37532.01,18 MS-DRG,637,DIABETES WITH MCC,,,12638.42,24748.59,18 MS-DRG,638,DIABETES WITH CC,,,7883.71,15437.94,18 MS-DRG,639,DIABETES WITHOUT CC/MCC,,,5464.59,10700.79,18 MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC",,,11749.07,23007.05,18 MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC",,,6845.7,13405.27,18 MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM,,,12509.99,24497.09,18 MS-DRG,643,ENDOCRINE DISORDERS WITH MCC,,,14480.48,28355.72,18 MS-DRG,644,ENDOCRINE DISORDERS WITH CC,,,9016.76,17656.65,18 MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC,,,6758.61,13234.74,18 MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,,,41357.45,45861.76,4 MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,,,32599.3,36149.75,4 MS-DRG,652,KIDNEY TRANSPLANT,,,28409.38,31503.5,4 MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC,,,45711.9,50690.46,4 MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC,,,24624.97,27306.92,4 MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC,,,18619.37,20647.24,4 MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC,,,28007.39,54844.14,18 MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,,,16098.21,31523.58,18 MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC,,,13650.94,26731.31,18 MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,,,22351.88,43769.54,18 MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,,,11626.78,22767.6,18 MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC,,,9108.25,17835.8,18 MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC,,,26931.52,52737.4,18 MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC,,,13372.95,26186.97,18 MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC,,,9209.41,18033.9,18 MS-DRG,666,PROSTATECTOMY WITH CC,,,15388.31,41000.0,22 MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC,,,25686.76,28484.35,4 MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC,,,13652.7,26734.75,18 MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC,,,8597.17,16834.97,18 MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC,,,15790.32,30920.67,18 MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC,,,9496.18,18595.47,18 MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,,,36960.8,72376.76,18 MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC,,,20572.27,40284.72,18 MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC,,,14439.12,28274.76,18 MS-DRG,682,RENAL FAILURE WITH MCC,,,13028.12,25511.71,18 MS-DRG,683,RENAL FAILURE WITH CC,,,7704.25,15086.53,18 MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC,,,5280.73,10340.77,18 MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC,,,15866.86,31070.54,18 MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC,,,9217.33,18049.4,18 MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC,,,6952.14,13613.71,18 MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,,,10206.96,19987.33,18 MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC,,,7121.04,13944.45,18 MS-DRG,693,URINARY STONES WITH MCC,,,11827.35,23160.36,18 MS-DRG,694,URINARY STONES WITHOUT MCC,,,6876.49,13465.56,18 MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC,,,10061.81,19703.1,18 MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC,,,6061.02,11868.71,18 MS-DRG,697,URETHRAL STRICTURE,,,9481.23,18566.18,18 MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC,,,14553.5,28498.69,18 MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC,,,8928.78,17484.39,18 MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC,,,6068.94,11884.22,18 MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC,,,17596.31,19512.76,4 MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC,,,13496.11,41000.0,22 MS-DRG,709,PENIS PROCEDURES WITH CC/MCC,,,20471.12,40086.62,18 MS-DRG,711,TESTES PROCEDURES WITH CC/MCC,,,18330.86,20327.3,4 MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC,,,9673.88,18943.43,18 MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC,,,13225.16,25897.57,18 MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC,,,9301.78,18214.77,18 MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC,,,19681.16,38539.73,18 MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC,,,16630.43,32565.75,18 MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC",,,15919.63,31173.89,18 MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC",,,10052.15,19684.15,18 MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC-EXPRESS CARE,,,13044.83,25544.44,18 MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC,,,7135.98,13973.73,18 MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC,,,31444.29,34868.94,4 MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC,,,18126.77,20100.99,4 MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,12918.16,25296.38,18 MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC,,,31517.29,34949.9,4 MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC,,,15918.76,31172.17,18 MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC,,,16140.45,31606.26,18 MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,,,10914.25,21372.3,18 MS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC",,,18025.61,35297.8,18 MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC",,,15280.98,29923.28,18 MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC",,,7562.63,14809.19,18 MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,12203.85,23897.63,18 MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC,,,22586.76,44229.48,18 MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,12982.37,25422.13,18 MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,16201.14,31725.12,18 MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,9569.2,18738.44,18 MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,12596.18,24665.91,18 MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,8612.11,16864.25,18 MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,5837.57,11431.17,18 MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC,,,8862.82,17355.2,18 MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC,,,5018.59,9827.43,18 MS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,8820.59,17272.51,18 MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,,,5759.28,11277.86,18 MS-DRG,799,SPLENIC PROCEDURES WITH MCC,,,39840.0,44179.04,4 MS-DRG,800,SPLENIC PROCEDURES WITH CC,,,24713.83,48394.72,18 MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC,,,16792.27,32882.71,18 MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC,,,35047.48,68630.11,18 MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC,,,16352.45,32021.41,18 MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC,,,19422.53,38033.29,18 MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,,,11135.92,21806.39,18 MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC,,,9206.75,18028.73,18 MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC,,,12353.39,24190.47,18 MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC,,,8077.26,15816.91,18 MS-DRG,813,COAGULATION DISORDERS,,,13417.81,26274.82,18 MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC,,,18708.25,36634.53,18 MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC,,,8920.0,17467.16,18 MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC,,,5559.59,10886.83,18 MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC,,,20070.87,22256.82,4 MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC,,,51591.69,57210.63,4 MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC,,,19692.6,38562.12,18 MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,10591.4,20740.1,18 MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC,,,40331.74,44724.34,4 MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC,,,19930.12,39027.23,18 MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC,,,11870.44,23244.76,18 MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC,,,41149.85,45631.55,4 MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC,,,20331.26,39812.73,18 MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,14988.04,29349.66,18 MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC,,,27798.02,54434.16,18 MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC,,,13239.25,25925.13,18 MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC,,,10578.21,20714.27,18 MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC,,,6347.79,12430.28,18 MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC,,,4599.87,9007.48,18 MS-DRG,834,ACUTE LEUKEMIA WITH MCC,,,48293.76,53553.51,4 MS-DRG,835,ACUTE LEUKEMIA WITH CC,,,18348.45,35929.99,18 MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,,,42262.66,82758.87,18 MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,,,18362.53,35957.55,18 MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC,,,28456.89,55724.39,18 MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC,,,14351.16,28102.5,18 MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC,,,8888.33,17405.15,18 MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC,,,17547.93,34362.42,18 MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC,,,10709.27,20970.93,18 MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC,,,22805.81,44658.41,18 MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC,,,11508.02,22535.05,18 MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES,,,76176.22,84472.7,4 MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,,,43444.07,48175.63,4 MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,,,17576.96,34419.27,18 MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC,,,40014.16,44372.17,4 MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC,,,18838.43,36889.48,18 MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC,,,12253.11,23994.1,18 MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,,,16042.81,31415.06,18 MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,,,8778.38,17189.83,18 MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS,,,7808.96,15291.52,18 MS-DRG,865,VIRAL ILLNESS WITH MCC,,,13180.32,25809.72,18 MS-DRG,866,VIRAL ILLNESS WITHOUT MCC,,,7649.74,14979.73,18 MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC,,,18413.55,36057.46,18 MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,,,9070.42,17761.73,18 MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS,,,60802.0,67424.04,4 MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC,,,17087.86,33461.51,18 MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC,,,9001.81,17627.37,18 MS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS,,,33998.9,37701.77,4 MS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION,,,8446.72,16540.41,18 MS-DRG,881,DEPRESSIVE NEUROSES,,,8276.94,16207.94,18 MS-DRG,882,NEUROSES EXCEPT DEPRESSIVE,,,9446.04,18497.28,18 MS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,17297.23,33871.48,18 MS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY,,,14153.22,27714.91,18 MS-DRG,885,PSYCHOSES,,,12287.41,24061.28,18 MS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES,,,9420.52,18447.32,18 MS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA",,,5426.77,10626.72,18 MS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC",,,15351.36,30061.09,18 MS-DRG,897,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC",,,7765.85,15207.11,18 MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC,,,36916.82,40937.49,4 MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC,,,16841.54,32979.18,18 MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC,,,10288.76,20147.53,18 MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC,,,32311.67,63272.82,18 MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC,,,13049.22,25553.05,18 MS-DRG,906,HAND PROCEDURES FOR INJURIES,,,17279.62,33837.03,18 MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,,,33773.71,66135.78,18 MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC,,,17551.45,34369.32,18 MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC,,,11547.6,22612.57,18 MS-DRG,913,TRAUMATIC INJURY WITH MCC,,,14379.3,28157.62,18 MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC,,,7789.59,15253.62,18 MS-DRG,915,ALLERGIC REACTIONS WITH MCC,,,14792.75,28967.24,18 MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC,,,5861.34,11477.68,18 MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC,,,13796.95,27017.26,18 MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC,,,7539.77,14764.4,18 MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC,,,16105.26,31537.36,18 MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC,,,8817.05,17265.62,18 MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC,,,6055.74,11858.38,18 MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC",,,15389.19,30135.16,18 MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC",,,8952.54,17530.9,18 MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC,,,63097.08,123556.93,18 MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC,,,31919.32,62504.54,18 MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC,,,20557.33,40255.44,18 MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC,,,17837.35,34929.16,18 MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC,,,11166.72,21866.68,18 MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC,,,7041.86,13789.41,18 MS-DRG,949,AFTERCARE WITH CC/MCC,,,10465.6,20493.77,18 MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS,,,4891.04,9577.66,18 MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA",,,33102.51,64821.44,18 MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,24048.81,47092.44,18 MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,13482.04,26400.57,18 MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC,,,53848.08,105445.51,18 MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC,,,25387.68,49714.24,18 MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC,,,11391.91,22307.67,18 MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC,,,7940.91,15549.91,18 MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION,,,11415.65,22354.18,18 MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,41273.01,45768.12,4 MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,21627.04,42350.12,18 MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,15077.78,29525.36,18 MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,30159.07,33443.75,4 MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,14458.49,28312.65,18 MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,10549.17,20657.42,18 NDC,00002-1200-01,FLORBETAPIR F-18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION,13597.5,8838.38,1825.64,13189.58,884 NDC,00002-1445-01,IXEKIZUMAB 80 MG/ML SUBCUTANEOUS AUTO-INJECTOR,20234.8,13152.62,10056.7,20234.8,884 NDC,00002-2377-01,GALCANEZUMAB-GNLM 120 MG/ML SUBCUTANEOUS SYRINGE,2880.1,1872.07,1431.41,2880.1,884 NDC,00002-4182-30,BARICITINIB 2 MG TABLET,306.6,199.29,152.38,306.6,884 NDC,00002-4732-30,BARICITINIB 1 MG TABLET,306.6,199.29,152.38,306.6,884 NDC,00002-7510-01,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,229.1,148.91,113.86,229.1,884 NDC,00002-7510-01,INSULIN LISPRO SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML,229.1,148.91,113.86,222.23,880 NDC,00002-7510-01,INSULIN LISPRO SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,229.1,148.91,113.86,222.23,880 NDC,00002-7575-01,MIRIKIZUMAB-MRKZ 300 MG/15 ML (20 MG/ML) INTRAVENOUS SOLUTION,36201.8,23531.17,43.05,35115.75,884 NDC,00002-7669-01,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION,6131.0,3985.15,74.36,6008.38,884 NDC,00002-7678-01,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION,28854.8,18755.62,74.36,28277.7,884 NDC,00002-7724-11,IXEKIZUMAB 80 MG/ML SUBCUTANEOUS SYRINGE,28302.5,18396.63,14066.34,28302.5,884 NDC,00002-8797-59,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS PEN,117.2,76.18,58.25,117.2,884 NDC,00002-8799-59,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN,117.7,76.5,58.5,117.7,884 NDC,00002-8799-59,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR SCHEDULED),117.7,76.5,58.5,117.7,884 NDC,00002-8799-59,INSULIN LISPRO SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),117.7,76.5,58.5,114.17,880 NDC,00002-8805-59,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,96.6,62.79,48.01,96.6,884 NDC,00002-8824-27,INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN,1112.9,723.39,553.11,1112.9,884 NDC,00003-0371-13,BELATACEPT 250 MG INTRAVENOUS SOLUTION,3861.2,2509.78,3.89,3745.36,884 NDC,00003-0494-20,TRIAMCINOLONE ACETONIDE 10 MG/ML INTRAPLEURAL SUSPENSION (CATH TIP SYRINGE),218.2,141.83,108.45,211.65,880 NDC,00003-0494-20,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION,37.6,24.44,18.69,36.47,880 NDC,00003-0893-31,APIXABAN 2.5 MG TABLET,23.5,15.28,11.68,23.5,884 NDC,00003-2187-13,ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION,6290.6,4088.89,44.11,6101.88,884 NDC,00003-2291-11,ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION,9279.7,6031.81,7.89,9094.11,884 NDC,00003-2327-11,IPILIMUMAB 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER),34893.9,22681.04,183.48,34196.02,884 NDC,00003-2328-22,IPILIMUMAB 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER),138225.3,89846.45,183.48,135460.79,884 NDC,00003-3734-13,NIVOLUMAB 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),30665.2,19932.38,32.96,30051.9,884 NDC,00003-3772-11,NIVOLUMAB 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),5485.9,3565.84,32.96,5376.18,884 NDC,00003-3774-12,NIVOLUMAB 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),13039.6,8475.74,32.96,12778.81,884 NDC,00003-4522-11,ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION,12222.8,7944.82,7.89,11978.34,884 NDC,00003-6120-01,"NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION",30665.2,19932.38,27.36,30665.2,884 NDC,00005-2000-01,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,322.9,209.89,179.21,313.21,880 NDC,00006-0033-30,SUVOREXANT 10 MG TABLET,57.9,37.63,28.78,57.9,884 NDC,00006-0221-28,SITAGLIPTIN PHOSPHATE 25 MG TABLET,60.0,39.0,29.82,60.0,884 NDC,00006-0227-61,RALTEGRAVIR 400 MG TABLET,122.6,79.69,60.93,122.6,884 NDC,00006-0277-28,SITAGLIPTIN PHOSPHATE 100 MG TABLET,43.2,28.08,21.47,43.2,884 NDC,00006-0477-61,RALTEGRAVIR 100 MG CHEWABLE TABLET,35.4,23.01,17.59,35.4,884 NDC,00006-3025-00,BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION,14596.4,9487.66,39.83,14304.47,884 NDC,00006-3026-04,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,22884.8,14875.12,60.29,22427.1,884 NDC,00006-3075-04,LETERMOVIR 240 MG TABLET,903.8,587.47,449.19,903.8,884 NDC,00006-3076-04,LETERMOVIR 480 MG TABLET,903.8,587.47,449.19,903.8,884 NDC,00006-4047-41,"ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION",143.6,93.34,71.37,140.73,880 NDC,00006-4093-02,HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML IM (WRAPPER),37.4,24.31,18.59,36.65,880 NDC,00006-4094-01,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/1 ML IM (WRAPPER),65.1,42.32,32.35,63.8,880 NDC,00006-4095-02,HEPATITIS A VIRUS VACCINE (PF) 0.5 ML IM (WRAPPER),48.5,31.53,24.1,47.53,880 NDC,00006-4121-01,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM (WRAPPER)",453.1,294.51,225.19,444.04,880 NDC,00006-4121-01,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML INTRALESIONAL (WRAPPER)",1257.6,817.44,625.03,1232.45,880 NDC,00006-4171-01,"MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT",403.8,262.47,200.69,395.72,880 NDC,00006-4681-00,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT",151.5,98.48,75.3,148.47,880 NDC,00006-4827-00,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP",273.9,178.04,136.13,268.42,880 NDC,00006-4837-03,PNEUMOCOCCAL 23-VAL PS VACCINE 25 MCG/0.5 ML INJ (WRAPPER),171.0,111.15,94.91,171.0,880 NDC,00006-4897-00,HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN,48.7,31.66,24.2,47.73,880 NDC,00006-4992-00,HEPATITIS B VIRUS VACCINE RECOMB (PF) 40 MCG/ML INTRAMUSCULAR SUSP,165.5,107.58,82.25,162.19,880 NDC,00006-5028-02,VERICIGUAT 2.5 MG TABLET,70.7,45.96,35.14,70.7,884 NDC,00006-5029-02,VERICIGUAT 5 MG TABLET,70.7,45.96,35.14,70.7,884 NDC,00006-5423-12,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,621.8,404.17,309.03,621.8,880 NDC,00008-0100-01,INOTUZUMAB OZOGAMICIN 0.9 MG/3.6 ML (0.25 MG/ML INITIAL CONCENTRATION) IV SOLN (WETTED),91425.4,59426.51,2698.05,88682.64,884 NDC,00008-4510-01,GEMTUZUMAB OZOGAMICIN 4.5 MG/4.5 ML (1 MG/ML INITIAL CONCENTRATION) IV SOLN (WETTED),39614.3,25749.3,236.62,38425.87,884 NDC,00009-0003-02,METHYLPREDNISOLONE SOD SUCC (PF) 500 MG/4 ML INTRAVENOUS SOLUTION,213.6,138.84,106.16,207.19,880 NDC,00009-0011-04,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION,136.2,88.53,67.69,132.11,880 NDC,00009-0018-20,"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION",262.7,170.76,130.56,254.82,880 NDC,00009-0039-28,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,56.4,36.66,28.03,54.71,881 NDC,00009-0047-22,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,69.0,44.85,34.29,66.93,880 NDC,00009-0215-05,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION,592.2,384.93,294.32,574.43,880 NDC,00009-0274-01,METHYLPREDNISOLONE ACETATE 20 MG/ML SUSPENSION FOR INJECTION,48.1,31.27,23.91,46.66,880 NDC,00009-0297-03,GELATIN ABSORBABLE EYE FILM,749.3,487.05,372.4,749.3,880 NDC,00009-0436-01,ARGININE HCL (L-ARGININE) 10 % INTRAVENOUS SOLUTION,275.8,179.27,137.07,275.8,880 NDC,00009-0758-01,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION,134.3,87.3,66.75,130.27,880 NDC,00009-0825-01,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION,119.1,77.42,59.19,115.53,880 NDC,00009-0850-01,METHYLPREDNISOLONE SODIUM SUCCINATE 2 GRAM INTRAVENOUS SOLUTION,409.3,266.05,203.42,397.02,880 NDC,00009-0902-18,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,43.4,28.21,21.57,42.1,880 NDC,00009-3073-23,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,39.7,25.81,19.73,38.51,880 NDC,00009-3794-22,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION,367.5,238.88,172.31,356.48,884 NDC,00009-5093-01,EPIRUBICIN 2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),1066.9,693.49,530.25,1066.9,880 NDC,00009-5182-01,ALPROSTADIL 20 MCG INTRACAVERNOSAL SYRINGE,511.2,332.28,254.07,511.2,884 NDC,00009-7224-02,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION",18895.0,12281.75,5135.09,18895.0,884 NDC,00009-7686-01,ALPROSTADIL 40 MCG INTRACAVERNOSAL SOLUTION,630.6,409.89,313.41,611.68,880 NDC,00019-0953-05,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION,94.9,61.69,47.17,92.05,880 NDC,00019-9050-40,INDIUM 111-PENTETREOTIDE 3 MCI/ML-10 MCG INTRAVENOUS KIT,11901.0,7735.65,2000.94,11901.0,884 NDC,00023-1145-01,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION,2404.0,1562.6,6.5,2331.88,884 NDC,00023-3205-03,BIMATOPROST 0.01 % EYE DROPS,834.0,542.1,414.5,834.0,884 NDC,00023-3348-07,DEXAMETHASONE 0.7 MG INTRAVITREAL IMPLANT,4260.0,2769.0,204.61,4132.2,884 NDC,00023-3507-31,KETOROLAC (PF) 0.45 % EYE DROPS IN A DROPPERETTE,43.6,28.34,21.67,43.6,884 NDC,00023-3919-50,ONABOTULINUMTOXINA (COSMETIC) 50 UNIT INTRAMUSCULAR SOLUTION,1324.0,860.6,6.5,1284.28,884 NDC,00023-4554-30,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE,3.2,2.08,1.59,3.2,884 NDC,00023-5858-01,LEVONORGESTREL 20.4 MCG/24 HR (UP TO 8 YRS) 52 MG INTRAUTERINE DEVICE,1252.3,814.0,622.39,1214.73,880 NDC,00023-6082-10,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION,75.8,49.27,18.11,73.53,884 NDC,00023-9205-15,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE LIQUID GEL DROPS,78.2,50.83,38.87,78.2,884 NDC,00023-9232-01,ONABOTULINUMTOXINA (COSMETIC) 100 UNIT INTRAMUSCULAR SOLUTION,2404.0,1562.6,6.5,2331.88,884 NDC,00023-9637-04,OXYBUTYNIN 3.9 MG/24 HOUR TRANSDERMAL 4 DAY PATCH,15.9,10.34,7.9,15.9,884 NDC,00024-0656-01,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,17725.6,11521.64,81.9,17371.09,884 NDC,00024-1596-01,PRIMAQUINE 26.3 MG (15 MG BASE) TABLET,11.7,7.61,5.81,11.7,884 NDC,00024-4142-60,DRONEDARONE 400 MG TABLET,50.7,32.95,25.2,50.7,884 NDC,00024-5150-10,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,4386.2,2851.03,377.52,4254.61,884 NDC,00024-5151-75,RASBURICASE 7.5 MG INTRAVENOUS SOLUTION,20231.0,13150.15,377.52,19624.07,884 NDC,00024-5824-11,CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION,55345.9,35974.84,227.28,54238.98,884 NDC,00024-5840-01,ZIV-AFLIBERCEPT 25 MG/ML INTRAVENOUS SOLUTION (WRAPPER),3433.5,2231.78,7.88,3433.5,884 NDC,00024-5914-01,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,7711.5,5012.48,3832.62,7711.5,884 NDC,00025-2732-31,"DISOPYRAMIDE PHOSPHATE ER 100 MG CAPSULE,EXTENDED RELEASE",18.7,12.16,9.29,18.7,884 NDC,00032-0046-70,"LIPASE-PROTEASE-AMYLASE (PORK)6,000-19,000-30,000 UNIT CAPSULE,DEL REL",12.2,7.93,6.06,12.2,884 NDC,00032-0047-70,"LIPASE-PROTEASE-AMYLASE(PORK)12,000-38,000-60,000 UNIT CAPSULE,DEL REL",19.3,12.55,9.59,19.3,884 NDC,00032-2636-01,"LIPASE-PROTEASE-AMYLAS(PORK)24,000-76,000-120,000 UNIT CAPSULE,DEL REL",33.4,21.71,16.6,33.4,884 NDC,00032-3016-13,"LIPASE-PROTEASE-AMYLASE (PORK)36,000-114,000-180K UNIT CAPSULE,DEL REL",50.0,32.5,24.85,50.0,884 NDC,00037-6822-10,HYDROCORTISONE 1 %-PRAMOXINE 1 % FOAM (WRAPPER),618.5,402.03,307.39,618.5,884 NDC,00037-6823-15,PRAMOXINE 1 % TOPICAL FOAM,346.7,225.36,172.31,346.7,884 NDC,00037-6830-15,HYDROCORTISONE ACETATE 10 % (80 MG) RECTAL FOAM,1348.9,876.79,670.4,1348.9,884 NDC,00037-6860-10,OLSALAZINE 250 MG CAPSULE,50.3,32.7,25.0,50.3,884 NDC,00046-0749-05,CONJUGATED ESTROGENS 25 MG/5 ML SOLUTION FOR INJECTION (WETTED),1470.3,955.7,392.06,1470.3,884 NDC,00046-0872-21,CONJUGATED ESTROGENS 0.625 MG/GRAM VAGINAL CREAM,1401.0,910.65,696.3,1401.0,880 NDC,00046-1100-81,CONJUGATED ESTROGENS 0.3 MG TABLET,28.6,18.59,14.21,28.6,884 NDC,00046-1101-81,CONJUGATED ESTROGENS 0.45 MG TABLET,28.6,18.59,14.21,28.6,884 NDC,00046-1102-81,CONJUGATED ESTROGENS 0.625 MG TABLET,28.6,18.59,14.21,28.6,884 NDC,00046-1104-81,CONJUGATED ESTROGENS 1.25 MG TABLET,28.6,18.59,14.21,28.6,884 NDC,00046-1105-11,CONJ ESTROGEN-MEDROXYPROGESTERONE 0.3 MG-1.5 MG TABLET,34.5,22.43,17.15,34.5,884 NDC,00046-1107-11,CONJ ESTROGEN-MEDROXYPROGESTERONE 0.625 MG-2.5 MG TABLET,34.5,22.43,17.15,34.5,884 NDC,00049-0114-28,ANIDULAFUNGIN 50 MG INTRAVENOUS SOLUTION,200.9,130.59,99.85,194.87,880 NDC,00049-0116-28,ANIDULAFUNGIN 100 MG INTRAVENOUS SOLUTION,351.8,228.67,174.84,341.25,880 NDC,00049-0520-22,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,55.8,36.27,27.73,54.68,880 NDC,00052-0602-02,BCG LIVE 50 MG INTRAVESICAL SUSPENSION,965.2,627.38,3.26,945.9,884 NDC,00053-7201-02,ALPHA-1-PROTEINASE INHIBITOR -- ZEMAIRA (BRAND SPLIT),37.3,24.25,5.46,36.18,884 NDC,00054-0010-20,FLECAINIDE 50 MG TABLET,6.8,4.42,3.38,6.8,884 NDC,00054-0057-46,DIGOXIN 50 MCG/ML ORAL SOLUTION (WRAPPER),413.4,268.71,205.46,413.4,884 NDC,00054-0141-25,ACARBOSE 50 MG TABLET,6.7,4.36,3.33,6.7,884 NDC,00054-0189-13,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,13.2,8.58,6.56,13.2,884 NDC,00054-0235-25,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,11.1,7.22,5.52,11.1,884 NDC,00054-0236-25,MORPHINE 30 MG IMMEDIATE RELEASE TABLET,11.9,7.74,5.91,11.9,884 NDC,00054-0244-24,CODEINE SULFATE 30 MG TABLET,12.8,8.32,6.36,12.8,884 NDC,00054-0283-25,OXYMORPHONE 5 MG TABLET,18.5,12.03,9.19,18.5,884 NDC,00054-0382-25,CYCLOPHOSPHAMIDE 25 MG CAPSULE,29.4,19.11,14.61,28.81,880 NDC,00054-0470-21,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET,30.9,20.09,15.36,30.9,884 NDC,00054-0471-21,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,58.0,37.7,28.83,58.0,884 NDC,00054-0517-50,MORPHINE CONCENTRATE 20 MG/ML ORAL SOLUTION (WRAPPER),10.3,6.7,5.12,10.3,884 NDC,00054-3120-41,CALCITRIOL 1 MCG/ML ORAL SOLUTION,12.4,8.06,6.16,12.4,884 NDC,00054-3176-44,DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE),81.8,53.17,40.65,81.8,884 NDC,00054-3177-63,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,66.9,43.49,33.25,66.9,884 NDC,00054-3294-46,FUROSEMIDE 10 MG/ML ORAL SOLUTION,27.1,17.61,13.47,27.1,884 NDC,00054-3500-49,LIDOCAINE VISCOUS 2 % MUCOSAL SOLUTION,6.8,4.42,3.38,6.8,884 NDC,00054-3722-63,PREDNISONE 5 MG/5 ML ORAL SOLUTION,922.5,599.63,458.48,894.83,880 NDC,00054-3727-63,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,157.9,102.64,78.48,157.9,884 NDC,00054-4180-25,DEXAMETHASONE 0.75 MG TABLET,5.6,3.64,2.78,5.6,884 NDC,00054-4181-25,DEXAMETHASONE 1 MG TABLET,5.8,3.77,2.88,5.8,884 NDC,00054-4581-11,MERCAPTOPURINE 50 MG TABLET,8.5,5.53,4.22,8.5,884 NDC,00054-8175-25,DEXAMETHASONE 4 MG TABLET,8.5,5.53,4.22,8.5,884 NDC,00054-8176-25,DEXAMETHASONE 2 MG TABLET,7.2,4.68,3.58,7.2,884 NDC,00054-8179-25,DEXAMETHASONE 0.5 MG TABLET,5.6,3.64,2.78,5.6,884 NDC,00054-8526-25,LITHIUM CARBONATE 150 MG CAPSULE,5.6,3.64,2.78,5.6,884 NDC,00054-8527-25,LITHIUM CARBONATE 300 MG CAPSULE,5.8,3.77,2.88,5.8,884 NDC,00065-0023-15,CARBACHOL 0.01 % INTRAOCULAR SOLUTION,56.4,36.66,28.03,56.4,880 NDC,00065-0085-15,NAPHAZOLINE 0.025 %-PHENIRAMINE 0.3 % EYE DROPS,80.9,52.59,40.21,80.9,884 NDC,00065-0397-05,CYCLOPENTOLATE 2 % EYE DROPS,274.8,178.62,136.58,274.8,880 NDC,00065-0408-72,ARTIFICIAL TEARS (HYPROMELLOSE) 0.5 % EYE DROPS,113.1,73.52,56.21,113.1,884 NDC,00065-0411-30,POVIDONE-IODINE 5 % EYE SOLUTION,36.4,23.66,18.09,36.4,880 NDC,00065-0741-14,TETRACAINE HCL (PF) 0.5 % EYE DROPS,49.9,32.44,24.8,49.9,880 NDC,00065-0795-15,BALANCED SALT SOLUTION (BSS) INTRAOCULAR IRRIGATION,20.5,13.33,10.19,20.5,880 NDC,00065-0800-50,BALANCED SALT SOLUTION (BSS PLUS) INTRAOCULAR IRRIGATION,229.0,148.85,113.81,229.0,880 NDC,00068-0597-01,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,307.2,199.68,152.68,297.98,880 NDC,00069-0196-02,"DALTEPARIN (PORCINE) 5,000 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRINGE",99.4,64.61,49.4,96.42,880 NDC,00069-0206-02,"DALTEPARIN (PORCINE) 7,500 ANTI-XA UNIT/0.3 ML SUBCUTANEOUS SYRINGE",100.7,65.46,50.05,97.68,880 NDC,00069-0238-01,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,2038.1,1324.77,27.85,1976.96,885 NDC,00069-0249-01,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,8390.1,5453.57,27.85,8138.4,885 NDC,00069-0291-10,FILGRASTIM-AAFI 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,342.4,222.56,0.3,332.13,884 NDC,00069-0292-10,FILGRASTIM-AAFI 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,592.8,385.32,0.3,575.02,884 NDC,00069-0293-10,FILGRASTIM-AAFI 300 MCG/ML INJECTION SOLUTION,342.4,222.56,0.3,332.13,884 NDC,00069-0294-10,FILGRASTIM-AAFI 480 MCG/1.6 ML INJECTION SOLUTION,592.8,385.32,0.3,575.02,884 NDC,00069-0305-01,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION,9507.4,6179.81,27.99,9317.25,884 NDC,00069-0315-01,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,2044.1,1328.67,25.77,2003.22,884 NDC,00069-0342-01,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,6826.3,4437.1,25.77,6689.77,884 NDC,00069-0809-01,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION,1749.3,1137.05,19.99,1696.82,884 NDC,00069-1001-01,TOFACITINIB 5 MG TABLET,250.6,162.89,124.55,250.6,884 NDC,00069-1002-01,TOFACITINIB 10 MG TABLET,372.4,242.06,185.08,372.4,884 NDC,00069-1305-10,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION",117.9,76.64,7.85,114.36,884 NDC,00069-1306-10,"EPOETIN ALFA-EPBX 3,000 UNIT/ML INJECTION SOLUTION",151.8,98.67,7.85,147.25,884 NDC,00069-1307-10,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION",185.7,120.71,7.85,180.13,884 NDC,00069-1308-10,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",389.3,253.05,7.85,377.62,884 NDC,00069-1309-04,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION",1481.8,963.17,7.85,1437.35,884 NDC,00069-2465-10,"RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION",382.9,248.89,190.3,375.24,880 NDC,00069-2522-02,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION,28379.8,18446.87,184.07,27528.41,884 NDC,00069-4494-02,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION,49130.9,31935.09,184.07,47656.97,884 NDC,00069-5045-30,"NIRMATRELVIR 300 MG (150 MG X2)-RITONAVIR 100 MG TABLET,DOSE PACK",164.8,107.12,81.91,164.8,884 NDC,00069-5471-01,FOSPHENYTOIN 50 MG PE/ML INJECTION SOLUTION (WRAPPER),48.1,31.27,1.47,46.66,884 NDC,00069-5474-01,FOSPHENYTOIN 50 MG PE/ML INJECTION SOLUTION (WRAPPER),110.1,71.57,1.47,106.8,884 NDC,00074-0124-03,ADALIMUMAB (CITRATE FREE) 80 MG/0.8 ML SUBCUTANEOUS PEN KIT (RESTRICTED),25411.5,16517.47,12629.52,25411.5,884 NDC,00074-0554-02,ADALIMUMAB (CITRATE FREE) 40 MG/0.4 ML SUBCUTANEOUS PEN KIT (RESTRICTED),12918.2,8396.83,6420.35,12918.2,884 NDC,00074-0561-14,VENETOCLAX 10 MG TABLET,53.4,34.71,26.54,53.4,884 NDC,00074-0576-11,VENETOCLAX 100 MG TABLET,460.0,299.0,228.62,460.0,884 NDC,00074-0616-02,ADALIMUMAB (CITRATE FREE) 20 MG/0.2 ML SUBCUTANEOUS SYRINGE KIT (RESTRICTED),12918.2,8396.83,6420.35,12918.2,884 NDC,00074-0817-02,ADALIMUMAB (CITRATE FREE) 10 MG/0.1 ML SUBCUTANEOUS SYRINGE KIT (RESTRICTED),12918.2,8396.83,6420.35,12918.2,884 NDC,00074-1040-08,BERACTANT 25 MG/ML IN 0.9 % SODIUM CHLORIDE INTRATRACHEAL SUSPENSION,1774.3,1153.3,881.83,1774.3,880 NDC,00074-1043-28,"UPADACITINIB ER 45 MG TABLET,EXTENDED RELEASE 24 HR",1442.7,937.76,717.02,1442.7,884 NDC,00074-1044-01,TELISOTUZUMAB VEDOTIN-TLLV 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),10877.4,7070.31,143.99,10877.4,884 NDC,00074-1055-01,TELISOTUZUMAB VEDOTIN-TLLV 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),52586.7,34181.36,143.99,52586.7,884 NDC,00074-1539-03,ADALIMUMAB (CITRATE FREE) 80 MG/0.8 ML (X 1) AND 40 MG/0.4 ML (X 2) SUBCUTAN PEN KIT (RESTRICTED),50397.8,32758.57,25047.71,50397.8,884 NDC,00074-1658-01,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION,76.8,49.92,42.62,74.5,880 NDC,00074-2310-30,"UPADACITINIB ER 30 MG TABLET,EXTENDED RELEASE 24 HR",751.4,488.41,373.45,751.4,884 NDC,00074-2600-28,GLECAPREVIR 50 MG-PIBRENTASVIR 20 MG ORAL PELLETS IN PACKET,308.8,200.72,153.47,308.8,884 NDC,00074-2625-28,GLECAPREVIR 100 MG-PIBRENTASVIR 40 MG TABLET,519.7,337.81,258.29,519.7,884 NDC,00074-3346-03,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,2388.6,1552.59,176.45,2316.94,884 NDC,00074-3473-03,LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT,4327.2,2812.68,176.45,4197.38,884 NDC,00074-3641-03,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT,4500.2,2925.13,1730.32,4410.2,884 NDC,00074-3642-03,LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT,946.2,615.03,176.45,917.81,884 NDC,00074-3663-03,LEUPROLIDE ACETATE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,12650.4,8222.76,1730.32,12397.39,884 NDC,00074-3683-03,LEUPROLIDE 30 MG (4 MONTH) INTRAMUSCULAR SYRINGE KIT,3034.7,1972.56,176.45,2943.66,884 NDC,00074-3799-02,ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS INJECTION (WRAPPER) (RESTRICTED),13080.5,8502.33,6501.01,13080.5,884 NDC,00074-3956-46,LOPINAVIR-RITONAVIR 400 MG-100 MG/5 ML ORAL SOLUTION,60.7,39.45,30.17,60.7,884 NDC,00074-4637-01,PARICALCITOL 2 MCG/ML INTRAVENOUS SOLUTION,51.7,33.6,28.69,50.15,880 NDC,00074-5015-01,RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION,38300.4,24895.26,14.94,37151.39,884 NDC,00074-5182-11,LEVOTHYROXINE 75 MCG TABLET,10.7,6.96,5.32,10.7,884 NDC,00078-0109-01,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION,302.4,196.56,150.29,302.4,880 NDC,00078-0331-84,BASILIXIMAB 20 MG INTRAVENOUS SOLUTION,16910.6,10991.89,4686.85,16403.28,884 NDC,00078-0568-45,ARTEMETHER-LUMEFANTRINE 20 MG-120 MG TABLET,23.3,15.15,11.58,23.3,884 NDC,00078-0639-41,SECUKINUMAB 150 MG/ML SUBCUTANEOUS PEN INJECTOR,15352.4,9979.06,7630.14,15352.4,884 NDC,00078-0639-97,SECUKINUMAB 150 MG/ML SUBCUTANEOUS SYRINGE,30279.8,19681.87,15049.06,30279.8,884 NDC,00078-0659-20,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET,46.5,30.23,23.11,46.5,880 NDC,00078-0669-13,OFATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),2656.1,1726.47,71.57,2656.1,853 NDC,00078-0690-61,OFATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),22510.7,14631.96,71.57,22510.7,853 NDC,00078-0696-20,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET,46.5,30.23,23.11,46.5,880 NDC,00078-0697-61,ELTROMBOPAG OLAMINE 25 MG ORAL POWDER PACKET,838.4,544.96,416.68,838.4,884 NDC,00078-0698-99,MIDOSTAURIN 25 MG CAPSULE,760.6,494.39,378.02,760.6,884 NDC,00078-0729-10,"BETAXOLOL 0.25 % EYE DROPS,SUSPENSION",1324.5,860.93,658.28,1324.5,884 NDC,00078-0777-20,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET,46.5,30.23,23.11,46.5,880 NDC,00078-0811-81,"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",11691.1,7599.22,203.58,11340.37,884 NDC,00078-0813-01,TOBRAMYCIN 0.3 % EYE OINTMENT,940.6,611.39,467.48,940.6,884 NDC,00078-0818-81,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",15185.5,9870.58,203.58,14729.94,884 NDC,00078-0825-81,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",22527.7,14643.01,203.58,21851.87,884 NDC,00078-0827-60,BROLUCIZUMAB-DBLL 6 MG/0.05 ML INTRAVITREAL SYRINGE,8350.2,5427.63,346.11,8183.2,884 NDC,00078-0876-01,TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT,995.9,647.34,494.96,995.9,880 NDC,00078-0883-61,CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLUTION,9573.0,6222.45,129.48,9285.81,884 NDC,00078-0897-78,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR SUSPENSION,301.7,196.11,24.5,292.65,884 NDC,00078-1000-60,INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE,13435.7,8733.21,12.32,13032.63,884 NDC,00078-1098-20,ASCIMINIB 40 MG TABLET,1172.2,761.93,582.58,1172.2,884 NDC,00078-1168-61,SECUKINUMAB 25 MG/ML INTRAVENOUS SOLUTION,8649.8,5622.37,17.84,8390.31,884 NDC,00078-1217-61,"LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN",161500.0,104975.0,255.84,156655.0,883 NDC,00085-1381-01,TEMOZOLOMIDE 100 MG/40 ML INTRAVENOUS SOLUTION (WETTED),4117.7,2676.51,10.39,4117.7,884 NDC,00088-2219-05,INSULIN GLARGINE (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,114.0,74.1,56.66,114.0,884 NDC,00088-2500-33,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),343.2,223.08,170.57,332.9,880 NDC,00088-2500-33,INSULIN GLULISINE SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),343.2,223.08,170.57,332.9,880 NDC,00088-2500-33,INSULIN GLULISINE SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,343.2,223.08,170.57,332.9,880 NDC,00088-2500-33,INSULIN GLULISINE SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,343.2,223.08,170.57,332.9,880 NDC,00088-2502-05,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS PEN,163.3,106.15,81.16,163.3,884 NDC,00088-2502-05,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR SCHEDULED),163.3,106.15,81.16,163.3,884 NDC,00088-2502-05,INSULIN GLULISINE SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),163.3,106.15,81.16,158.4,880 NDC,00093-0810-01,NORTRIPTYLINE 10 MG CAPSULE,5.5,3.58,2.73,5.5,884 NDC,00093-0811-01,NORTRIPTYLINE 25 MG CAPSULE,5.6,3.64,2.78,5.6,884 NDC,00093-1024-06,NEFAZODONE 100 MG TABLET,9.8,6.37,4.87,9.8,884 NDC,00093-1177-01,NEOMYCIN 500 MG TABLET,8.5,5.53,4.22,8.5,884 NDC,00093-1715-01,WARFARIN 3 MG TABLET,5.5,3.58,2.73,5.5,884 NDC,00093-1720-01,WARFARIN 10 MG TABLET,5.6,3.64,2.78,5.6,884 NDC,00093-1721-01,WARFARIN 5 MG TABLET,5.5,3.58,2.73,5.5,884 NDC,00093-2210-05,SUCRALFATE 1 GRAM TABLET,5.6,3.64,2.78,5.6,884 NDC,00093-2274-34,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,6.2,4.03,3.08,6.2,884 NDC,00093-2275-34,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,6.2,4.03,3.08,6.2,884 NDC,00093-3066-93,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE,9485.9,6165.84,4714.49,9485.9,884 NDC,00093-3100-56,RISEDRONATE 30 MG TABLET,147.9,96.14,73.51,147.9,884 NDC,00093-3123-01,DICLOXACILLIN 250 MG CAPSULE,7.3,4.75,3.63,7.3,884 NDC,00093-3127-01,DISOPYRAMIDE PHOSPHATE 100 MG CAPSULE,11.5,7.48,5.72,11.5,884 NDC,00093-3129-01,DISOPYRAMIDE PHOSPHATE 150 MG CAPSULE,12.4,8.06,6.16,12.4,884 NDC,00093-3223-08,ESTRADIOL 10 MCG VAGINAL TABLET,68.5,44.53,34.04,68.5,884 NDC,00093-3560-26,PEG3350 100 GRAM-SOD SULF 7.5 GRAM-NACL-KCL-ASCORBATE-C ORAL PWDR PACK,261.0,169.65,129.72,261.0,884 NDC,00093-4127-73,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION,26.7,17.36,13.27,26.7,884 NDC,00093-4161-78,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,23.7,15.41,11.78,23.7,884 NDC,00093-5907-86,"MESALAMINE 400 MG CAPSULE, DELAYED RELEASE (WRAPPER)",12.8,8.32,6.36,12.8,884 NDC,00093-6816-55,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,16.6,10.79,8.25,16.6,884 NDC,00093-7113-06,NEFAZODONE 150 MG TABLET,10.3,6.7,5.12,10.3,884 NDC,00093-7178-01,NEFAZODONE 50 MG TABLET,9.3,6.05,4.62,9.3,884 NDC,00093-9020-65,CYCLOSPORINE MODIFIED 100 MG CAPSULE,9.3,6.05,4.62,9.3,884 NDC,00093-9222-06,DIFLUNISAL 500 MG TABLET,9.0,5.85,4.47,9.0,884 NDC,00093-9702-01,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,5.4,3.51,2.68,5.4,884 NDC,00115-1694-30,"EPINEPHRINE (ADRENACLICK) 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",549.4,357.11,273.05,532.92,880 NDC,00115-1696-06,HYDROCORTISONE 5 MG TABLET,5.8,3.77,2.88,5.8,884 NDC,00115-1700-01,HYDROCORTISONE 20 MG TABLET,6.6,4.29,3.28,6.6,884 NDC,00115-1911-01,RIMANTADINE 100 MG TABLET,12.9,8.39,6.41,12.9,884 NDC,00115-2611-01,TERBUTALINE 2.5 MG TABLET,11.3,7.35,5.62,11.3,884 NDC,00115-5211-16,COLESTIPOL 1 GRAM TABLET,7.4,4.81,3.68,7.4,884 NDC,00116-4005-11,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,7.3,4.75,3.63,7.3,884 NDC,00121-0431-30,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,0.5,0.33,0.25,0.5,884 NDC,00121-0676-16,"POTASSIUM CITRATE-CITRIC ACID 1,100 MG-334 MG/5 ML ORAL SOLUTION",6.1,3.97,3.03,6.1,884 NDC,00121-0677-16,POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN,2.5,1.63,1.24,2.5,884 NDC,00121-0678-16,NORTRIPTYLINE 10 MG/5 ML ORAL SOLUTION,589.3,383.05,292.88,589.3,884 NDC,00121-0759-08,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,122.5,79.63,60.88,122.5,884 NDC,00121-0853-40,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,58.0,37.7,28.83,58.0,884 NDC,00121-0885-08,PREDNISOLONE 15 MG/5 ML ORAL SOLUTION,550.4,357.76,273.55,550.4,884 NDC,00121-0948-16,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,94.6,61.49,47.02,94.6,884 NDC,00121-0978-00,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR,19.7,12.81,9.79,19.7,884 NDC,00121-1008-40,ACETAMINOPHEN-CODEINE 120-12 MG/5 ML ORAL LIQUID (WRAPPER),21.4,13.91,10.64,21.4,884 NDC,00121-1012-95,LACOSAMIDE 10 MG/ML ORAL SOLUTION,124.9,81.19,62.08,124.9,880 NDC,00121-1036-40,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML SYRUP (WRAPPER),33.0,21.45,16.4,33.0,884 NDC,00121-1190-00,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,13.2,8.58,6.56,13.2,884 NDC,00121-1544-40,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,44.6,28.99,22.17,44.6,884 NDC,00121-1576-10,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,16.5,10.73,8.2,16.5,884 NDC,00121-1680-15,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,25.4,16.51,12.62,25.4,884 NDC,00121-1761-30,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,0.5,0.33,0.25,0.5,884 NDC,00121-1775-40,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,20.8,13.52,10.34,20.8,884 NDC,00121-4675-00,VALPROIC ACID (AS SODIUM SALT) 50 MG/ML ORAL SOLUTION (WRAPPER),9.7,6.31,4.82,9.7,884 NDC,00121-4721-05,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,12.6,8.19,6.26,12.6,884 NDC,00121-4766-05,"CALCIUM CARBONATE 1,250 MG (500 MG CALCIUM)/5 ML ORAL SUSPENSION",0.5,0.33,0.25,0.5,884 NDC,00121-4820-40,THEOPHYLLINE 80 MG/15 ML ORAL ELIXIR,39.8,25.87,19.78,39.8,884 NDC,00121-4955-94,MORPHINE 10 MG/5 ML ORAL SOLUTION,17.6,11.44,8.75,17.6,884 NDC,00121-4967-40,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,7.6,4.94,3.78,7.6,884 NDC,00132-0201-40,SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA,5.3,3.45,2.63,5.3,884 NDC,00132-0301-40,MINERAL OIL ENEMA,8.1,5.27,4.03,8.1,884 NDC,00132-0703-36,BISACODYL 10 MG/30 ML ENEMA,11.4,7.41,5.67,11.4,884 NDC,00143-1455-01,PHENOBARBITAL 60 MG TABLET,11.4,7.41,5.67,11.4,884 NDC,00143-1458-01,PHENOBARBITAL 100 MG TABLET,10.8,7.02,5.37,10.8,884 NDC,00143-9006-01,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,138.8,90.22,68.98,134.64,880 NDC,00143-9093-01,DOXORUBICIN 50 MG INTRAVENOUS SOLUTION (EMBOLIZATION POWDER-NO ROUNDING),1168.5,759.53,580.74,1145.13,880 NDC,00143-9093-01,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION (WETTED),1168.5,759.53,580.74,1145.13,880 NDC,00143-9135-01,MITOMYCIN 20 MG INTRAVENOUS SOLUTION 2 MG/ML (BLADDER INSTILL EQUIVALENCY),395.3,256.95,20.35,383.44,884 NDC,00143-9136-01,MITOMYCIN 40 MG INTRAVENOUS SOLUTION 2 MG/ML (BLADDER INSTILL EQUIVALENCY),690.6,448.89,20.35,669.88,884 NDC,00143-9136-01,MITOMYCIN 40 MG/80 ML INTRAVENOUS SOLUTION (WETTED),690.6,448.89,20.35,669.88,884 NDC,00143-9141-10,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,49.6,32.24,24.65,48.11,880 NDC,00143-9218-01,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,406.5,264.23,202.03,406.5,880 NDC,00143-9233-05,BENZTROPINE 1 MG/ML INJECTION SOLUTION,137.0,89.05,68.09,137.0,880 NDC,00143-9240-01,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION (IM/SUBQ EQUIVALENCY),259.3,168.55,128.87,251.52,880 NDC,00143-9240-01,BLEOMYCIN 15 UNIT/3 ML SOLUTION FOR INJECTION (WETTED),259.3,168.55,128.87,251.52,880 NDC,00143-9247-01,DEXRAZOXANE HCL 250 MG/25 ML INTRAVENOUS SOLUTION (WETTED) (RECONSTITUTE WITH SWFI),293.3,190.65,63.06,287.43,884 NDC,00143-9261-10,CEFAZOLIN 10 GRAM INTRAVENOUS SOLUTION,53.4,34.71,26.54,53.4,880 NDC,00143-9262-25,CEFAZOLIN 1 GRAM IM EQUIVALENCY,37.7,24.51,18.74,36.57,880 NDC,00143-9262-25,CEFAZOLIN 1 GRAM POWDER VIAL OSM,7.1,4.62,3.53,6.89,880 NDC,00143-9262-25,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,37.7,24.51,18.74,36.57,880 NDC,00143-9279-01,MITOMYCIN 20 MG/40 ML INTRAVENOUS SOLUTION (WETTED),391.2,254.28,20.35,379.46,884 NDC,00143-9298-10,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,72.1,46.87,35.83,69.94,880 NDC,00143-9330-01,BUPIVACAINE (PF) 0.25 % INTRATHECAL TEST DOSE,35.1,22.82,17.44,34.05,880 NDC,00143-9368-01,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,76.0,49.4,37.77,74.48,880 NDC,00143-9376-01,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,119.8,77.87,59.54,117.4,880 NDC,00143-9376-01,ETOPOSIDE CHEMO UNDILUTED IVPB,119.8,77.87,59.54,117.4,880 NDC,00143-9384-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,131.6,85.54,65.41,127.65,880 NDC,00143-9393-10,REMIFENTANIL 5 MG INTRAVENOUS SOLUTION,909.1,590.91,451.82,909.1,880 NDC,00143-9506-10,ETOMIDATE 2 MG/ML INTRAVENOUS INJECTION (WRAPPER),42.8,27.82,21.27,42.8,880 NDC,00143-9508-10,KETAMINE 50 MG/ML INJECTION SOLUTION,59.1,38.42,29.37,59.1,880 NDC,00143-9509-10,KETAMINE 100 MG/ML INJECTION SOLUTION,91.1,59.22,45.28,88.37,880 NDC,00143-9519-10,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,114.0,74.1,56.66,110.58,880 NDC,00143-9555-01,LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION,60.1,39.06,29.87,58.9,880 NDC,00143-9559-01,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,444.0,288.6,0.8,430.68,884 NDC,00143-9565-01,THIOTEPA 15 MG/1.5 ML SOLUTION FOR INJECTION (WETTED),391.2,254.28,10.54,379.46,884 NDC,00143-9566-01,AZATHIOPRINE 100 MG/10 ML SOLUTION FOR INJECTION (WETTED),907.0,589.55,254.07,907.0,884 NDC,00143-9637-10,VALPROATE SODIUM 100 MG/ML INJECTION FOR ORAL USE,13.0,8.45,6.46,12.61,880 NDC,00143-9637-10,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,45.3,29.45,22.51,45.3,880 NDC,00143-9684-10,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,46.7,30.36,23.21,46.7,880 NDC,00143-9709-10,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,55.7,36.2,27.68,54.03,880 NDC,00143-9719-10,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,90.4,58.76,44.93,87.69,880 NDC,00143-9723-01,"CLONIDINE (PF) 5,000 MCG/10 ML EPIDURAL SOLUTION",44.7,29.06,22.22,43.36,880 NDC,00143-9725-01,PROGESTERONE 50 MG/ML INTRAMUSCULAR OIL,35.5,23.08,17.64,35.5,880 NDC,00143-9753-01,METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION,40.6,26.39,20.18,39.38,880 NDC,00143-9787-10,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,55.0,35.75,27.34,55.0,880 NDC,00143-9923-90,CEFAZOLIN 500 MG SOLUTION FOR INJECTION,40.4,26.26,20.08,39.19,880 NDC,00143-9979-22,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,43.1,28.02,21.42,42.24,880 NDC,00168-0003-80,TRIAMCINOLONE ACETONIDE 0.025 % TOPICAL CREAM,69.9,45.44,34.74,69.9,884 NDC,00168-0057-60,BETAMETHASONE DIPROPIONATE 0.05 % LOTION,124.6,80.99,61.93,124.6,884 NDC,00168-0080-31,HYDROCORTISONE 2.5 % TOPICAL CREAM,58.6,38.09,29.12,58.6,884 NDC,00168-0099-15,KETOCONAZOLE 2 % TOPICAL CREAM,66.0,42.9,32.8,66.0,884 NDC,00168-0146-30,HYDROCORTISONE 2.5 % TOPICAL OINTMENT,62.6,40.69,31.11,62.6,884 NDC,00168-0258-15,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,76.1,49.47,37.82,76.1,884 NDC,00168-0277-40,CLINDAMYCIN 2 % VAGINAL CREAM,287.2,186.68,142.74,287.2,884 NDC,00168-0323-46,METRONIDAZOLE 0.75 % TOPICAL CREAM,150.1,97.57,74.6,150.1,884 NDC,00168-0357-30,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,81.0,52.65,40.26,81.0,880 NDC,00169-1833-11,INSULIN REGULAR SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,171.7,111.61,85.33,166.55,880 NDC,00169-1833-11,INSULIN REGULAR SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML BASAL,171.7,111.61,85.33,166.55,880 NDC,00169-1833-11,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,171.7,111.61,85.33,171.7,884 NDC,00169-1833-11,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION (PEDS HYPERKALEMIA),171.7,111.61,85.33,171.7,884 NDC,00169-1833-11,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML SUBCUTANEOUS INJECTION CARB CALCULATOR PRN SNACKS,171.7,111.61,85.33,166.55,880 NDC,00169-1833-11,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML SUBCUTANEOUS INJECTION CARB CALCULATOR SCHEDULED,171.7,111.61,85.33,166.55,880 NDC,00169-1834-11,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,171.7,111.61,85.33,171.7,884 NDC,00169-1837-11,INSULIN NPH-REGULAR 70-30 100 UNIT/ML SUBCUTANEOUS SUSP,171.7,111.61,85.33,171.7,884 NDC,00169-2550-13,INSULIN DEGLUDEC (U-200) 200 UNIT/ML (3 ML) SUBCUTANEOUS PEN,230.5,149.82,114.56,230.5,884 NDC,00169-2660-15,INSULIN DEGLUDEC (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,145.3,94.45,72.21,145.3,884 NDC,00169-3201-11,INSULIN ASPART (NIACINAMIDE) SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,301.4,195.91,149.8,292.36,880 NDC,00169-3201-11,INSULIN ASPART (NIACINAMIDE) SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML BASAL,301.4,195.91,149.8,292.36,880 NDC,00169-3696-19,INSULIN ASPAR PROT-INSULIN ASPART 100 UNIT/ML (70-30) SUBCUTANEOUS PEN,103.7,67.41,51.54,103.7,884 NDC,00169-4060-12,LIRAGLUTIDE 0.6 MG/0.1 ML (18 MG/3 ML) SUBCUTANEOUS PEN INJECTOR,1069.5,695.18,531.54,1069.5,884 NDC,00169-4314-30,SEMAGLUTIDE 14 MG TABLET,113.2,73.58,56.26,113.2,884 NDC,00169-4524-01,SEMAGLUTIDE (WEIGHT LOSS) 2.4 MG/0.75 ML SUBCUTANEOUS PEN INJECTOR,1297.2,843.18,644.71,1297.2,884 NDC,00169-6339-10,INSULIN ASPART (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,103.7,67.41,51.54,103.7,884 NDC,00169-6339-10,INSULIN ASPART SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),103.7,67.41,51.54,100.59,880 NDC,00169-6339-10,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR SCHEDULED),103.7,67.41,51.54,103.7,884 NDC,00169-7201-01,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION",9462.5,6150.63,2.66,9178.63,884 NDC,00169-7205-01,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION",45612.5,29648.13,2.66,44244.13,884 NDC,00169-7501-11,INSULIN ASPART SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,189.1,122.92,93.98,183.43,880 NDC,00169-7501-11,INSULIN ASPART SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,189.1,122.92,93.98,183.43,880 NDC,00169-7501-11,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION,189.1,122.92,93.98,189.1,884 NDC,00169-7501-11,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),189.1,122.92,93.98,189.1,884 NDC,00172-3926-60,DIAZEPAM 5 MG TABLET,10.2,6.63,5.07,10.2,884 NDC,00172-6406-49,CROMOLYN 20 MG/2 ML SOLUTION FOR NEBULIZATION,21.6,14.04,10.74,21.6,884 NDC,00172-7313-20,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION,515.6,335.14,256.25,515.6,884 NDC,00173-0521-00,SALMETEROL 50 MCG/DOSE BLISTER POWDER FOR INHALATION,1262.4,820.56,627.41,1262.4,884 NDC,00173-0681-01,ZANAMIVIR 5 MG/ACTUATION BLISTER POWDER FOR INHALATION,236.0,153.4,117.29,236.0,884 NDC,00173-0682-24,ALBUTEROL SULFATE 90 MCG/ACTUATION AEROSOL HFA INHALER,127.8,83.07,63.52,127.8,884 NDC,00173-0857-01,DILUENT FOR EPOPROSTENOL (GLYCINE) PH 11.7 - 12.3 INTRAVENOUS SOLUTION,116.0,75.4,57.65,116.0,880 NDC,00173-0859-14,FLUTICASONE FUROATE 100 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,362.4,235.56,180.11,362.4,884 NDC,00173-0869-06,UMECLIDINIUM 62.5 MCG-VILANTEROL 25 MCG/ACTUATION POWDR FOR INHALATION,261.4,169.91,129.92,261.4,884 NDC,00173-0873-06,UMECLIDINIUM 62.5 MCG/ACTUATION BLISTER POWDER FOR INHALATION,184.7,120.06,91.8,184.7,884 NDC,00173-0874-14,FLUTICASONE FUROATE 100 MCG/ACTUATION BLISTER POWDER FOR INHALATION,269.3,175.05,133.84,269.3,884 NDC,00173-0876-14,FLUTICASONE FUROATE 200 MCG/ACTUATION BLISTER POWDER FOR INHALATION,340.2,221.13,169.08,340.2,884 NDC,00173-0881-01,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION,12759.5,8293.67,31.27,12376.72,884 NDC,00173-0882-14,FLUTICASONE FUROATE 200 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,362.4,235.56,180.11,362.4,884 NDC,00173-0887-14,FLUTICASONE FUR. 100 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,584.6,379.99,290.55,584.6,884 NDC,00173-0893-14,FLUTICASONE FUR. 200 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,584.6,379.99,290.55,584.6,884 NDC,00173-0898-03,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION,46212.8,30038.32,243.71,45288.54,884 NDC,00173-0913-01,BELANTAMAB MAFODOTIN-BLMF 70 MG INTRAVENOUS SOLUTION,89955.0,58470.75,44707.64,89955.0,880 NDC,00173-0913-01,BELANTAMAB MAFODOTIN-BLMF 70 MG/1.4 ML INTRAVENOUS SOLUTION (WETTED),89955.0,58470.75,44707.64,89955.0,880 NDC,00185-5050-01,METOLAZONE 2.5 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,00186-0370-28,BUDESONIDE-FORMOTEROL HFA 160 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,243.8,158.47,121.17,243.8,884 NDC,00186-0776-60,TICAGRELOR 60 MG TABLET,24.6,15.99,12.23,24.6,884 NDC,00186-5020-31,"ESOMEPRAZOLE MAGNESIUM 20 MG CAPSULE,DELAYED RELEASE",34.8,22.62,17.3,34.8,884 NDC,00186-5040-31,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",34.8,22.62,17.3,34.8,884 NDC,00187-0192-01,ISOSORBIDE DINITRATE 40 MG TABLET,64.6,41.99,32.11,64.6,884 NDC,00187-5600-15,VERTEPORFIN 15 MG INTRAVENOUS SOLUTION,6836.5,4443.73,11.54,6631.41,884 NDC,00223-1720-01,SODIUM BICARBONATE 325 MG TABLET,2.2,1.43,1.09,2.2,884 NDC,00225-0525-47,SODIUM CHLORIDE-ALOE VERA NASAL GEL,13.0,8.45,6.46,13.0,884 NDC,00225-0805-47,PHENYLEPHRINE 0.5 % NASAL SPRAY,15.7,10.21,7.8,15.7,880 NDC,00228-2076-10,TEMAZEPAM 15 MG CAPSULE,10.3,6.7,5.12,10.3,884 NDC,00228-2129-10,CLONIDINE HCL 0.3 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,00245-5317-01,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",6.1,3.97,3.03,6.1,884 NDC,00245-5319-01,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",6.3,4.09,3.13,6.3,884 NDC,00254-1016-36,POSACONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,68.6,44.59,34.09,68.6,884 NDC,00259-1605-01,INCOBOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION,1064.7,692.06,5.57,1032.76,884 NDC,00259-1610-01,INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION,1916.8,1245.92,5.57,1859.3,884 NDC,00259-1620-01,INCOBOTULINUMTOXINA 200 UNIT INTRAMUSCULAR SOLUTION,4008.4,2605.46,5.57,3888.15,884 NDC,00264-1800-31,NACL 0.9% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),83.8,54.47,41.65,81.29,880 NDC,00264-1800-32,NACL 0.9% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),83.8,54.47,41.65,81.29,880 NDC,00264-4500-00,PARENTERAL AMINO ACID 15 % COMBINATION (PLENAMINE) INTRAVENOUS SOLUTION (CAPS FORMULARY ONLY),807.5,524.88,401.33,807.5,880 NDC,00264-4500-05,PARENTERAL AMINO ACID 15 % COMBINATION (PLENAMINE) INTRAVENOUS SOLUTION (CAPS FORMULARY ONLY),953.5,619.78,473.89,953.5,880 NDC,00264-7510-00,D5W IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),82.0,53.3,40.75,79.54,880 NDC,00264-7510-10,D5W IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),87.3,56.75,43.39,84.68,880 NDC,00264-7510-20,D5W IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),87.3,56.75,43.39,84.68,880 NDC,00264-7520-00,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION (G/KG/HR DOSING),96.0,62.4,47.71,96.0,880 NDC,00264-7520-10,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION (G/KG/HR DOSING),82.0,53.3,40.75,82.0,880 NDC,00264-7520-10,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION (ML/HR DOSING),82.0,53.3,40.75,82.0,880 NDC,00264-7520-10,DEXTROSE 10 % IV BOLUS,78.5,51.03,39.01,78.5,880 NDC,00264-7520-20,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION (G/KG/HR DOSING),89.0,57.85,44.23,89.0,880 NDC,00264-7616-00,D5-NACL 0.2% IV SOLP,92.5,60.13,45.97,92.5,880 NDC,00264-7750-00,LACTATED RINGERS INTRAVENOUS SOLUTION (NON-PVC/NON-DEHP)(BRAND SPLIT),85.5,55.58,42.49,82.94,880 NDC,00264-7800-20,NACL 0.9% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),84.7,55.06,42.1,82.16,880 NDC,00264-7806-10,SODIUM CHLORIDE 5 % HYPERTONIC INTRAVENOUS SOLUTION,92.5,60.13,45.97,89.73,880 NDC,00264-9587-20,"HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV",197.2,128.18,98.01,191.28,880 NDC,00270-0091-01,RUBIDIUM RB-82 CHLORIDE INTRAVENOUS SOLUTION,661.0,429.65,366.86,2977.0,880 NDC,00270-0149-57,DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION,37.6,24.44,18.69,36.47,880 NDC,00270-0445-35,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,49.5,32.17,24.6,48.51,880 NDC,00270-1411-11,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION,118.1,76.77,58.7,114.56,880 NDC,00270-5164-13,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,47.3,30.75,23.51,45.88,880 NDC,00270-7020-38,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION (WRAPPER),115.6,75.14,57.45,112.13,880 NDC,00270-7025-40,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION (WRAPPER),211.3,137.35,105.02,204.96,880 NDC,00270-7030-42,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION (WRAPPER),265.0,172.25,131.71,257.05,880 NDC,00270-7099-16,SULFUR HEXAFLUORIDE MICROSPHERES (DIAGNOSTIC) INTRAVENOUS SUSPENSION,618.9,402.29,307.59,600.33,880 NDC,00270-7099-16,SULFUR HEXAFLUORIDE MICROSPHERES 25 MG INTRAVENOUS SUSPENSION,618.9,402.29,307.59,600.33,880 NDC,00281-0326-30,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT,162.6,105.69,80.81,162.6,884 NDC,00283-0679-02,BENZOCAINE 20 % MUCOSAL AEROSOL SPRAY,151.9,98.74,75.49,151.9,880 NDC,00310-1105-39,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET,80.4,52.26,39.96,80.4,884 NDC,00310-1110-30,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET,80.4,52.26,39.96,80.4,884 NDC,00310-1730-30,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE,20302.2,13196.43,164.59,19896.16,884 NDC,00310-1830-30,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS AUTO-INJECTOR,22885.1,14875.32,164.59,22427.4,884 NDC,00310-3040-00,ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION,21019.6,13662.74,18.08,20389.01,884 NDC,00310-4500-12,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,4390.1,2853.57,85.12,4302.3,884 NDC,00310-4505-25,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,13634.0,8862.1,140.9,13361.32,884 NDC,00310-4535-30,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,158656.8,103126.92,140.9,155483.66,884 NDC,00310-4600-12,GLYCOPYRROLATE 9 MCG-FORMOTEROL 4.8 MCG HFA AEROSOL INHALER,1103.9,717.54,548.64,1103.9,884 NDC,00310-4611-50,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,16866.9,10963.49,85.12,16529.56,884 NDC,00310-4616-12,BUDESONIDE 160 MCG-GLYCOPYR 9 MCG-FORMOT 4.8 MCG/ACTUATION HFA INHALER,1873.9,1218.04,931.33,1873.9,884 NDC,00310-7372-20,BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,557.7,362.51,277.18,557.7,884 NDC,00316-0230-75,PRAMOXINE 1 % LOTION,73.4,47.71,36.48,73.4,884 NDC,00338-0003-46,"WATER FOR IRRIGATION, STERILE SOLUTION",85.0,55.25,42.25,85.0,880 NDC,00338-0003-47,"WATER FOR IRRIGATION, STERILE SOLUTION",71.0,46.15,35.29,71.0,880 NDC,00338-0004-03,"WATER FOR IRRIGATION, STERILE SOLUTION",57.0,37.05,28.33,57.0,880 NDC,00338-0004-04,"WATER FOR IRRIGATION, STERILE SOLUTION",57.0,37.05,28.33,57.0,880 NDC,00338-0017-02,D5W IV BOLUS,80.3,52.2,39.91,77.89,880 NDC,00338-0017-02,D5W IV FIXED RATE (ANES ONLY),80.3,52.2,39.91,77.89,880 NDC,00338-0017-03,D5W 500 ML FOR IMPELLA,80.3,52.2,39.91,77.89,880 NDC,00338-0017-03,D5W IV BOLUS,77.7,50.51,38.62,75.37,880 NDC,00338-0017-03,D5W IV FIXED RATE (ANES ONLY),80.3,52.2,39.91,77.89,880 NDC,00338-0017-04,D5W IV BOLUS,76.8,49.92,38.17,74.5,880 NDC,00338-0017-04,D5W IV FIXED RATE (ANES ONLY),82.0,53.3,40.75,79.54,880 NDC,00338-0017-04,D5W IV SOLP,82.0,53.3,40.75,79.54,880 NDC,00338-0017-11,D5W 500 ML FOR IMPELLA,200.4,130.26,99.6,200.4,880 NDC,00338-0017-11,D5W IV BOLUS,102.2,66.43,50.79,102.2,880 NDC,00338-0017-11,D5W IV FIXED RATE (ANES ONLY),80.5,52.33,40.01,78.09,880 NDC,00338-0017-11,DEXTROSE 5% IN WATER FLUSH BAG,80.5,52.33,40.01,80.5,880 NDC,00338-0017-48,D5W IV BOLUS,89.9,58.44,44.68,89.9,880 NDC,00338-0017-48,D5W IV FIXED RATE (ANES ONLY),81.0,52.65,40.26,78.57,880 NDC,00338-0023-02,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION (ML/HR DOSING),82.9,53.89,41.2,82.9,880 NDC,00338-0023-02,DEXTROSE 10 % IV BOLUS,82.9,53.89,41.2,82.9,880 NDC,00338-0023-04,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION (ML/HR DOSING),78.5,51.03,39.01,78.5,880 NDC,00338-0023-04,DEXTROSE 10 % IV BOLUS,75.9,49.34,37.72,75.9,880 NDC,00338-0043-03,NACL 0.45% FREE DRIP,82.0,53.3,40.75,82.0,880 NDC,00338-0043-03,NACL 0.45% IV BOLUS,82.0,53.3,40.75,82.0,880 NDC,00338-0043-03,NACL 0.45% IV SOLP,82.0,53.3,40.75,82.0,880 NDC,00338-0043-03,NACL 0.45% IV SOLP CRRT,89.0,57.85,44.23,89.0,880 NDC,00338-0043-04,NACL 0.45% FREE DRIP,82.0,53.3,40.75,82.0,880 NDC,00338-0043-04,NACL 0.45% IV BOLUS,82.0,53.3,40.75,82.0,880 NDC,00338-0043-04,NACL 0.45% IV SOLP,82.0,53.3,40.75,82.0,880 NDC,00338-0043-04,NACL 0.45% IV SOLP CRRT,82.0,53.3,40.75,82.0,880 NDC,00338-0047-27,NACL 0.9% IRRIGATION SOLN,118.5,77.03,58.89,118.5,880 NDC,00338-0047-46,NACL 0.9% IRRIGATION SOLN,85.0,55.25,42.25,85.0,880 NDC,00338-0048-03,NACL 0.9% IRRIGATION SOLN,57.0,37.05,28.33,57.0,880 NDC,00338-0048-04,NACL 0.9% IRRIGATION SOLN,57.0,37.05,28.33,57.0,880 NDC,00338-0049-02,NACL 0.9 % IV FREE DRIP,80.3,52.2,39.91,77.89,880 NDC,00338-0049-02,NACL 0.9 % TABLE SOLUTION OSM,15.5,10.07,7.7,15.04,880 NDC,00338-0049-02,NACL 0.9% IV BOLUS,75.6,49.14,37.57,73.33,880 NDC,00338-0049-02,NACL 0.9% IV SOLP,80.3,52.2,39.91,77.89,880 NDC,00338-0049-02,SODIUM CHLORIDE 0.9 % FLUSH BAG,76.1,49.47,37.82,73.82,880 NDC,00338-0049-03,NACL 0.9 % IV FREE DRIP,80.3,52.2,39.91,77.89,880 NDC,00338-0049-03,NACL 0.9% IV BOLUS,75.3,48.95,37.42,73.04,880 NDC,00338-0049-03,NACL 0.9% IV SOLP,80.3,52.2,39.91,77.89,880 NDC,00338-0049-04,NACL 0.9 % IV FREE DRIP,82.0,53.3,40.75,79.54,880 NDC,00338-0049-04,NACL 0.9 % TABLE SOLUTION OSM,8.5,5.53,4.22,8.25,880 NDC,00338-0049-04,NACL 0.9% IV BOLUS,75.2,48.88,37.37,72.94,880 NDC,00338-0049-04,NACL 0.9% IV SOLP,82.0,53.3,40.75,79.54,880 NDC,00338-0049-04,SODIUM CHLORIDE 0.9 % FLUSH BAG,75.4,49.01,37.47,73.14,880 NDC,00338-0049-18,NACL 0.9 % TABLE SOLUTION OSM,49.0,31.85,24.35,49.0,880 NDC,00338-0049-18,NACL 0.9% INTRAPLEURAL FLUSH,80.1,52.07,39.81,80.1,880 NDC,00338-0049-18,SODIUM CHLORIDE 0.9 % FLUSH BAG,79.2,51.48,39.36,79.2,880 NDC,00338-0049-31,NACL 0.9 % TABLE SOLUTION OSM,57.2,37.18,28.43,57.2,880 NDC,00338-0049-31,SODIUM CHLORIDE 0.9 % FLUSH BAG,80.1,52.07,39.81,80.1,880 NDC,00338-0049-41,NACL 0.9 % IV FREE DRIP,80.3,52.2,39.91,80.3,880 NDC,00338-0049-41,NACL 0.9% INTRAPLEURAL FLUSH,81.3,52.85,40.41,81.3,880 NDC,00338-0049-41,NACL 0.9% IV BOLUS,77.7,50.51,38.62,75.37,880 NDC,00338-0049-41,NACL 0.9% IV SOLP,80.3,52.2,39.91,77.89,880 NDC,00338-0049-48,NACL 0.9 % IV FREE DRIP,81.0,52.65,40.26,81.0,880 NDC,00338-0049-48,NACL 0.9% IV BOLUS,76.5,49.73,38.02,74.21,880 NDC,00338-0049-48,NACL 0.9% IV SOLP,81.0,52.65,40.26,78.57,880 NDC,00338-0054-03,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION,83.8,54.47,41.65,81.29,880 NDC,00338-0054-03,SODIUM CHLORIDE 3 % INTRAVENOUS BOLUS SOLUTION,83.8,54.47,41.65,83.8,880 NDC,00338-0067-01,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",1641.2,1066.78,108.47,1608.38,884 NDC,00338-0085-03,D5-NACL 0.45% IV BOLUS,80.3,52.2,39.91,80.3,880 NDC,00338-0085-03,D5-NACL 0.45% IV SOLP,80.3,52.2,39.91,80.3,880 NDC,00338-0089-03,D5-NACL 0.9% IV BOLUS,82.0,53.3,40.75,79.54,880 NDC,00338-0089-04,D5-NACL 0.9% IV BOLUS,82.0,53.3,40.75,79.54,880 NDC,00338-0089-04,D5-NACL 0.9% IV SOLP,82.0,53.3,40.75,79.54,880 NDC,00338-0112-20,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN DEXTROSE 5 % IV,195.5,127.08,97.16,195.5,880 NDC,00338-0117-04,LACTATED RINGERS FIXED RATE,82.0,53.3,40.75,79.54,880 NDC,00338-0117-04,LACTATED RINGERS INTRAVENOUS SOLUTION,82.0,53.3,40.75,79.54,880 NDC,00338-0117-04,LACTATED RINGERS INTRAVENOUS SOLUTION (PERFUSION ONLY),82.0,53.3,40.75,79.54,880 NDC,00338-0117-04,LACTATED RINGERS IV BOLUS,82.0,53.3,40.75,79.54,880 NDC,00338-0125-04,D5LR BOLUS (ANES),75.4,49.01,37.47,73.14,880 NDC,00338-0125-04,D5LR FREE DRIP (ANES),82.0,53.3,40.75,79.54,880 NDC,00338-0125-04,D5LR IV BOLUS,82.0,53.3,40.75,79.54,880 NDC,00338-0125-04,D5LR IV SOLP,82.0,53.3,40.75,79.54,880 NDC,00338-0126-12,INSULIN REGULAR INFUSION 100 U/100 ML (1 UNIT/ML) IN NACL 0.9% (CNR/PREMIX) WRAPPER,202.0,131.3,100.39,195.94,880 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,202.0,131.3,100.39,195.94,880 NDC,00338-0137-27,LACTATED RINGERS IRRIGATION SOLUTION,81.5,52.98,40.51,79.06,880 NDC,00338-0180-06,AMINO ACID 8 % IN DEXTROSE 14 % WATER INTRAVENOUS SOLUTION,804.0,522.6,399.59,804.0,880 NDC,00338-0198-06,AMINO ACID 6 % IN DEXTROSE 5 % WATER INTRAVENOUS SOLUTION,779.5,506.68,387.41,779.5,880 NDC,00338-0206-04,AMINO ACIDS 8 %-DEXTROSE 14 %-ELECTROLYTES INTRAVENOUS SOLUTION,960.0,624.0,477.12,960.0,880 NDC,00338-0210-06,AMINO ACIDS 8 %-DEXTROSE 10 %-ELECTROLYTES INTRAVENOUS SOLUTION,872.3,567.0,433.53,872.3,880 NDC,00338-0221-04,ELECTROLYTE INTRAVENOUS SOLUTION,85.5,55.58,42.49,82.94,880 NDC,00338-0221-04,ELECTROLYTE-A INTRAVENOUS SOLUTION (ANES PERFUSION/OR/IP BOLUS),85.5,55.58,42.49,82.94,880 NDC,00338-0289-47,GLYCINE 1.5 % UROLOGIC SOLUTION FOR IRRIGATION,81.5,52.98,40.51,81.5,880 NDC,00338-0322-01,"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION",132.1,85.87,65.65,132.1,880 NDC,00338-0326-01,"THROMBIN (RECOMBINANT) 20,000 UNIT TOPICAL SOLUTION",510.5,331.83,253.72,510.5,880 NDC,00338-0409-03,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,87.3,56.75,43.39,84.68,880 NDC,00338-0409-03,LIDOCAINE (PF) 4 MG/ML IN 5 % DEXTROSE PAIN ANES ONLY,87.3,56.75,43.39,84.68,880 NDC,00338-0424-18,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",87.3,56.75,43.39,84.68,880 NDC,00338-0433-04,"HEPARIN (PORCINE) 2,000 UNIT/1,000 ML IN 0.9% NACL (WRAPPER) FLUSH INFUSION",92.5,60.13,45.97,89.73,880 NDC,00338-0502-06,PARENTERAL AMINO ACID 15 % COMBINATION (CLINISOL SF) INTRAVENOUS SOLUTION,869.0,564.85,431.89,869.0,880 NDC,00338-0503-48,GENTAMICIN 80 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,83.1,54.02,41.3,80.61,880 NDC,00338-0505-48,GENTAMICIN 100 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,83.8,54.47,41.65,81.29,880 NDC,00338-0507-48,GENTAMICIN 120 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,84.1,54.67,41.8,81.58,880 NDC,00338-0551-11,D5W IV PGBK (MINI-BAG PLUS)(BRAND SPLIT),85.0,55.25,42.25,82.45,880 NDC,00338-0551-18,D5W IV PGBK (MINI-BAG PLUS)(BRAND SPLIT),85.2,55.38,42.34,82.64,880 NDC,00338-0553-11,NACL 0.9% IV PGBK (MINI-BAG PLUS)(BRAND SPLIT),85.0,55.25,42.25,85.0,880 NDC,00338-0553-18,NACL 0.9% IV PGBK (MINI-BAG PLUS)(BRAND SPLIT),85.2,55.38,42.34,85.2,880 NDC,00338-0656-04,ACETIC ACID 0.25 % IRRIGATION SOLUTION (STERILE),15.5,10.07,7.7,15.5,880 NDC,00338-0671-04,D5-NACL 0.45% KCL 20 MEQ/L IV SOLP,82.0,53.3,40.75,79.54,880 NDC,00338-0691-04,NACL 0.9% KCL 20 MEQ/L IV SOLP,82.0,53.3,40.75,79.54,880 NDC,00338-0703-41,POTASSIUM CHLORIDE 20 MEQ/50 ML INTRAVENOUS PIGGYBACK,83.3,54.15,41.4,80.8,880 NDC,00338-0704-34,NACL 0.45% KCL 20 MEQ/L IV SOLP,85.5,55.58,42.49,82.94,880 NDC,00338-0705-41,POTASSIUM CHLORIDE 10 MEQ/50 ML INTRAVENOUS PIGGYBACK,84.1,54.67,41.8,81.58,880 NDC,00338-0705-48,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,84.5,54.93,42.0,81.97,880 NDC,00338-0709-48,POTASSIUM CHLORIDE 10 MEQ/100 ML INTRAVENOUS PIGGYBACK,84.5,54.93,42.0,81.97,880 NDC,00338-0719-06,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION,189.0,122.85,93.93,189.0,880 NDC,00338-0803-04,D5-NACL 0.9% KCL 20 MEQ/L IV SOLP,85.5,55.58,42.49,82.94,880 NDC,00338-1005-02,DOPAMINE 200 MG/250 ML (800 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN,99.5,64.68,49.45,96.52,880 NDC,00338-1009-02,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",191.5,124.48,95.18,185.76,880 NDC,00338-1047-02,NITROGLYCERIN 25 MG/250 ML (100 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,187.4,121.81,93.14,181.78,880 NDC,00338-1049-02,NITROGLYCERIN 20 MCG/ML INJECTION FL ANES,189.0,122.85,93.93,183.33,880 NDC,00338-1049-02,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,189.0,122.85,93.93,183.33,880 NDC,00338-1049-02,NITROGLYCERIN 50 MG/250 ML INJECTION ANES,189.0,122.85,93.93,183.33,880 NDC,00338-1073-02,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS,98.7,64.16,49.05,95.74,880 NDC,00338-1077-02,"DOBUTAMINE 1,000 MG/250 ML(4,000 MCG/ML) IN 5 % DEXTROSE IV",201.2,130.78,100.0,195.16,880 NDC,00338-1089-04,AMINO ACID 4.25 % NO.1 IN DEXTROSE 5 % INTRAVENOUS SOLUTION,737.5,479.38,366.54,737.5,880 NDC,00338-1137-03,AMINO ACID 5 % NO.6 IN DEXTROSE 15 % INTRAVENOUS SOLUTION,758.5,493.03,376.97,758.5,880 NDC,00338-1145-03,AMINO ACID 4.25 % NO.1-DEXTROSE 10 %-ELETROLYTES NO.39 IV SOLUTION,755.0,490.75,375.24,755.0,880 NDC,00338-1148-03,AMINO ACID 5 % NO.6-DEXTROSE 20 %-ELECTROLYTES NO.23 IV SOLUTION,727.0,472.55,361.32,727.0,880 NDC,00338-1305-01,MESNA 100 MG/ML INJECTION FOR ORAL USE,32.5,21.13,16.15,31.53,880 NDC,00338-1305-01,MESNA 100 MG/ML INTRAVENOUS SOLUTION,70.3,45.7,34.94,68.19,881 NDC,00338-1709-40,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,79.9,51.94,39.71,77.5,880 NDC,00338-3410-24,CLINDAMYCIN 300 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,87.3,56.75,43.39,84.68,880 NDC,00338-3583-01,VANCOMYCIN 1 GRAM/200 ML IN 0.9 % SOD. CHLORIDE INTRAVENOUS PIGGYBACK,105.8,68.77,52.58,102.63,880 NDC,00338-3612-24,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,92.4,60.06,45.92,89.63,880 NDC,00338-3612-24,CLINDAMYCIN IV SYRINGE 12 MG/ML IN D5W (NEO/PED) - DRAWN UP FROM PREMIX BAG,92.4,60.06,45.92,89.63,880 NDC,00338-3814-24,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,96.4,62.66,47.91,93.51,880 NDC,00338-9540-02,"FAT EMULSION OLIVE, SOYBEAN OIL 20 % INTRAVENOUS (CLINOLIPID)",189.9,123.44,94.38,189.9,880 NDC,00338-9543-04,NACL 0.9% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),80.3,52.2,39.91,77.89,880 NDC,00338-9787-01,GLUCOSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION (TPN INGREDIENT FOR DEXTROSE SHORTAGE),189.0,122.85,93.93,189.0,880 NDC,00378-0144-91,TAMOXIFEN 10 MG TABLET,6.3,4.09,3.13,6.3,884 NDC,00378-0372-01,CIMETIDINE 400 MG TABLET,7.0,4.55,3.48,7.0,884 NDC,00378-0501-01,BISOPROLOL 2.5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,6.1,3.97,3.03,6.1,884 NDC,00378-0503-01,BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 6.25 MG TABLET,6.3,4.09,3.13,6.3,884 NDC,00378-0871-99,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,89.9,58.44,44.68,89.9,884 NDC,00378-0872-99,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,144.4,93.86,71.77,144.4,884 NDC,00378-0873-99,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,196.5,127.73,97.66,196.5,884 NDC,00378-2920-93,TELMISARTAN 20 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,00378-2921-93,TELMISARTAN 40 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,00378-3266-94,ETOPOSIDE 50 MG CAPSULE,270.8,176.02,77.46,270.8,884 NDC,00378-4122-01,"ALBUTEROL SULFATE ER 4 MG TABLET,EXTENDED RELEASE,12 HR",9.7,6.31,4.82,9.7,884 NDC,00378-6233-01,CITALOPRAM 40 MG TABLET,5.4,3.51,2.68,5.4,884 NDC,00378-7023-93,ACITRETIN 25 MG CAPSULE,56.5,36.73,28.08,56.5,884 NDC,00378-7096-01,BROMOCRIPTINE 5 MG CAPSULE,29.3,19.05,14.56,29.3,884 NDC,00378-8030-77,"LANSOPRAZOLE 30 MG CAPSULE,DELAYED RELEASE",8.3,5.4,4.13,8.3,884 NDC,00378-8760-58,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,12.8,8.32,6.36,12.8,884 NDC,00378-9102-93,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH,6.8,4.42,3.38,6.8,884 NDC,00378-9104-93,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH,7.3,4.75,3.63,7.3,884 NDC,00378-9112-93,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH,7.5,4.88,3.73,7.5,884 NDC,00378-9116-93,NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH,8.2,5.33,4.08,8.2,884 NDC,00378-9119-98,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,72.0,46.8,35.78,72.0,884 NDC,00378-9671-93,IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML IN SOLN,6.3,4.09,3.13,6.3,884 NDC,00395-0420-96,PRAMOXINE-CALAMINE 1 %-8 % LOTION,63.7,41.41,31.66,63.7,884 NDC,00395-1003-92,GENTIAN VIOLET 1 % TOPICAL SOLUTION,74.6,48.49,37.08,74.6,880 NDC,00395-1249-28,ISOPROPYL ALCOHOL 70 % SOLUTION,146.5,95.23,72.81,146.5,884 NDC,00395-2685-94,SODIUM BICARBONATE (BULK) POWDER,26.8,17.42,13.32,26.8,880 NDC,00406-0125-62,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,12.3,8.0,6.11,12.3,884 NDC,00406-0484-62,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,12.1,7.87,6.01,12.1,884 NDC,00406-0512-62,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,11.7,7.61,5.81,11.7,884 NDC,00406-0552-62,OXYCODONE 5 MG TABLET,11.6,7.54,5.77,11.6,884 NDC,00406-3243-01,HYDROMORPHONE 2 MG TABLET,10.7,6.96,5.32,10.7,884 NDC,00406-5755-62,METHADONE 5 MG TABLET,11.3,7.35,5.62,11.3,884 NDC,00406-5771-62,METHADONE 10 MG TABLET,11.3,7.35,5.62,11.3,884 NDC,00406-6225-05,METHADONE 5 MG/5 ML ORAL SOLUTION,11.1,7.22,5.52,11.1,884 NDC,00406-8330-62,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",14.5,9.43,7.21,14.5,884 NDC,00407-0690-10,GADODIAMIDE 5 MMOL/10 ML (287 MG/ML) INTRAVENOUS SOLUTION,105.7,68.71,52.53,102.53,880 NDC,00407-1401-52,IOHEXOL 140 MG IODINE/ML INTRAVENOUS SOLUTION,76.9,49.99,38.22,74.59,880 NDC,00407-1411-10,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION,157.7,102.51,78.38,152.97,880 NDC,00407-1412-30,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,42.6,27.69,21.17,41.32,880 NDC,00407-1413-10,"IOHEXOL 7,500 MG IODINE/275 ML NACL 0.9 % INTRAVENOUS SOLUTION (DILUTION)",320.1,208.07,159.09,310.5,880 NDC,00407-1413-59,"IOHEXOL 7,500 MG IODINE/275 ML NACL 0.9 % INTRAVENOUS SOLUTION (DILUTION)",68.6,44.59,34.09,66.54,880 NDC,00407-1413-59,IOHEXOL 9 MG IODINE/ML ORAL SOLUTION (DILUTION),6.8,4.42,3.38,6.6,880 NDC,00407-1413-61,"IOHEXOL 7,500 MG IODINE/275 ML NACL 0.9 % INTRAVENOUS SOLUTION (DILUTION)",54.7,35.56,27.19,53.06,880 NDC,00407-1413-63,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,42.6,27.69,21.17,41.32,880 NDC,00407-1413-63,"IOHEXOL 7,500 MG IODINE/275 ML NACL 0.9 % INTRAVENOUS SOLUTION (DILUTION)",53.8,34.97,26.74,52.19,880 NDC,00407-1413-65,"IOHEXOL 7,500 MG IODINE/275 ML NACL 0.9 % INTRAVENOUS SOLUTION (DILUTION)",53.3,34.65,26.49,51.7,880 NDC,00407-1414-91,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,76.9,49.99,38.22,74.59,880 NDC,00407-2223-17,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,110.8,72.02,55.07,107.48,880 NDC,00409-0001-25,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION (WRAPPER),72.0,46.8,35.78,69.84,881 NDC,00409-0152-24,METRONIDAZOLE 5 MG/ML IV - DRAWN UP FROM PREMIX BAG,80.6,52.39,40.06,78.18,880 NDC,00409-0152-24,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,80.6,52.39,40.06,78.18,881 NDC,00409-0187-01,GEMCITABINE 2 GRAM/52.6 ML INTRAVENOUS SOLUTION (WETTED),708.6,460.59,352.17,687.34,880 NDC,00409-0368-01,DOCETAXEL 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),713.0,463.45,354.36,698.74,880 NDC,00409-0368-01,DOCETAXEL 20 MG/ML IV SOLUTION FOR BLADDER INSTILLATION (WRAPPER),713.0,463.45,354.36,698.74,880 NDC,00409-0801-01,PENTOSTATIN 10 MG/5 ML INTRAVENOUS SOLUTION (WETTED),10071.5,6546.48,2608.16,10071.5,884 NDC,00409-1159-01,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,39.4,25.61,19.58,38.22,880 NDC,00409-1159-02,BUPIVACAINE (PF) 0.25 % INTRATHECAL TEST DOSE,35.1,22.82,17.44,34.05,880 NDC,00409-1178-30,MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE,90.6,58.89,45.03,87.88,881 NDC,00409-1209-01,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",39.4,25.61,19.58,39.4,880 NDC,00409-1273-32,DIAZEPAM 5 MG/ML INJECTION (WRAPPER),171.7,111.61,85.33,166.55,880 NDC,00409-1283-31,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,76.1,49.47,37.82,73.82,880 NDC,00409-1403-10,ROCURONIUM 10 MG/ML INJECTION (WRAPPER),42.5,27.63,21.12,42.5,880 NDC,00409-1463-49,NALBUPHINE 10 MG/ML INJECTION SOLUTION,49.6,32.24,24.65,48.11,880 NDC,00409-1555-64,HETASTARCH IN LACT ELECTROLYTE 6 % INTRAVENOUS SOLUTION,1828.8,1188.72,908.91,1828.8,880 NDC,00409-1626-01,BUTORPHANOL 2 MG/ML INJECTION SOLUTION,101.9,66.24,56.55,101.9,880 NDC,00409-1775-10,DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE,125.1,81.32,62.17,125.1,880 NDC,00409-1778-05,METOPROLOL 5 MG/5 ML INTRAVENOUS SOLUTION (WRAPPER),36.3,23.6,18.04,35.21,880 NDC,00409-1890-01,MORPHINE 2 MG/ML INJECTION (WRAPPER),75.1,48.82,37.32,72.85,880 NDC,00409-1902-01,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,1539.4,1000.61,294.69,1493.22,884 NDC,00409-1966-07,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION",39.5,25.68,19.63,39.5,880 NDC,00409-2011-25,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,40.7,26.46,20.23,39.48,880 NDC,00409-2308-49,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,70.3,45.7,34.94,68.19,880 NDC,00409-2337-25,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION (IM EQUIVALENCY),191.3,124.35,95.08,185.56,880 NDC,00409-2339-34,LABETALOL 5 MG/ML INJECTION (WRAPPER),64.1,41.67,31.86,62.18,881 NDC,00409-2634-05,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,144.8,94.12,71.97,140.46,880 NDC,00409-3177-01,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",36.1,23.47,17.94,36.1,880 NDC,00409-3294-51,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,60.0,39.0,29.82,60.0,880 NDC,00409-3299-25,SODIUM ACETATE 16.4% (2 MEQ/ML) INTRAVENOUS SOLUTION,60.2,39.13,29.92,60.2,880 NDC,00409-3301-10,DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,79.8,51.87,39.66,79.8,880 NDC,00409-3382-21,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION,82.5,53.63,41.0,82.5,880 NDC,00409-3414-11,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,40.2,26.13,19.98,38.99,880 NDC,00409-3578-01,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,47.1,30.62,23.41,45.69,880 NDC,00409-3613-01,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,38.7,25.16,19.23,37.54,880 NDC,00409-3812-01,"BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION",38.9,25.29,19.33,38.9,880 NDC,00409-3815-12,MORPHINE (PF) 1 MG/ML INJECTION REGIONAL SOLUTION,233.3,151.65,115.95,226.3,880 NDC,00409-3815-12,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,153.4,99.71,76.24,148.8,880 NDC,00409-3815-12,MORPHINE (PF) 1 MG/ML INTRATHECAL TEST DOSE,71.5,46.48,35.54,69.36,880 NDC,00409-4031-01,MANNITOL 25 % INTRAVENOUS SOLUTION,53.6,34.84,26.64,53.6,880 NDC,00409-4090-01,ZINC 1 MG/ML INJECTION (TPN)(WRAPPER),101.1,65.72,50.25,101.1,880 NDC,00409-4091-01,MANGANESE 0.1 MG/ML INJECTION (TPN)(WRAPPER),113.0,73.45,56.16,113.0,880 NDC,00409-4093-01,CHROMIUM CHLORIDE 4 MCG/ML INTRAVENOUS SOLUTION,116.8,75.92,58.05,116.8,880 NDC,00409-4278-01,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,36.0,23.4,17.89,36.0,880 NDC,00409-4279-02,LIDOCAINE 10 MG/ML (1%) INJECTION FOR INHALATION USE,35.3,22.95,17.54,35.3,880 NDC,00409-4283-01,LIDOCAINE (PF) 40 MG/ML (4 %) INJ SOLUTION FOR RESPIRATORY ROUTES,11.1,7.22,5.52,11.1,880 NDC,00409-4283-01,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION,37.6,24.44,18.69,37.6,880 NDC,00409-4332-01,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,44.9,29.19,22.32,43.55,880 NDC,00409-4776-01,LIDOCAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,36.8,23.92,18.29,36.8,880 NDC,00409-4887-20,"WATER FOR IRRIGATION, STERILE SOLUTION (WRAPPER INCLUDES SWFI)",54.7,35.56,27.19,54.7,880 NDC,00409-5555-02,SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INJECTION (WRAPPER),52.6,34.19,26.14,52.6,880 NDC,00409-5738-10,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",42.3,27.5,21.02,42.3,880 NDC,00409-5820-01,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,47.2,30.68,23.46,45.78,880 NDC,00409-5921-01,AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION,93.3,60.65,46.37,90.5,880 NDC,00409-5922-01,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION,68.5,44.53,34.04,66.45,880 NDC,00409-6102-25,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,49.6,32.24,24.65,48.11,880 NDC,00409-6102-27,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,56.4,36.66,28.03,54.71,880 NDC,00409-6102-36,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,47.5,30.88,23.61,46.08,880 NDC,00409-6482-01,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,284.0,184.6,141.15,275.48,880 NDC,00409-6509-49,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,112.2,72.93,55.76,108.83,880 NDC,00409-6581-01,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",39.5,25.68,19.63,39.5,880 NDC,00409-6625-14,SODIUM BICARBONATE 1 MEQ/ML ORAL SOLUTION,33.4,21.71,16.6,33.4,880 NDC,00409-6625-14,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INJECTION (WRAPPER),71.5,46.48,35.54,69.36,880 NDC,00409-6648-02,DEXTROSE 2.5 % IN LR FIXED RATE (ANES),91.5,59.48,45.48,91.5,880 NDC,00409-6648-02,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION,91.5,59.48,45.48,91.5,880 NDC,00409-6648-02,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION (MIXTURE RECORD USE ONLY),91.5,59.48,45.48,91.5,880 NDC,00409-7248-03,HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,283.3,184.15,140.8,283.3,880 NDC,00409-7332-20,CEFTRIAXONE 1 GRAM POWDER VIAL OSM,8.3,5.4,4.13,8.05,880 NDC,00409-7332-20,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,39.2,25.48,19.48,38.02,880 NDC,00409-7332-20,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION (FOR IM USE ONLY),39.2,25.48,19.48,38.02,1760 NDC,00409-7335-20,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,43.1,28.02,21.42,41.81,880 NDC,00409-7335-20,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION (FOR IM USE ONLY),43.1,28.02,21.42,41.81,1760 NDC,00409-7337-20,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION,37.4,24.31,18.59,36.28,880 NDC,00409-7337-20,CEFTRIAXONE 250 MG SOLUTION FOR INJECTION (FOR IM USE ONLY),37.4,24.31,18.59,36.28,1760 NDC,00409-7418-03,DEXTRAN 40 10 % IN 5 % DEXTROSE INTRAVENOUS,1171.3,761.35,582.14,1171.3,880 NDC,00409-7419-03,DEXTRAN 40 10 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,1201.3,780.85,597.05,1201.3,880 NDC,00409-9093-09,FENTANYL (PF) 50 MCG/ML INTRATHECAL TEST DOSE,70.3,45.7,34.94,70.3,880 NDC,00409-9094-16,FENTANYL (PF) 50 MCG/ML INTRATHECAL TEST DOSE,70.6,45.89,35.09,70.6,880 NDC,00409-9094-18,FENTANYL (PF) 50 MCG/ML INTRATHECAL TEST DOSE,70.3,45.7,34.94,70.3,880 NDC,00409-9094-25,FENTANYL (PF) 50 MCG/ML INJECTION (WRAPPER),73.7,47.91,36.63,73.7,880 NDC,00409-9094-25,FENTANYL (PF) 50 MCG/ML INJECTION REGIONAL (WRAPPER) ANES ONLY,74.5,48.43,37.03,72.27,880 NDC,00409-9094-31,FENTANYL (PF) 50 MCG/ML INJECTION (WRAPPER),104.0,67.6,51.69,104.0,880 NDC,00409-9094-31,FENTANYL (PF) 50 MCG/ML INJECTION REGIONAL (WRAPPER) ANES ONLY,104.0,67.6,51.69,100.88,880 NDC,00409-9094-41,FENTANYL (PF) 50 MCG/ML INTRATHECAL TEST DOSE,70.6,45.89,35.09,70.6,880 NDC,00409-9094-61,FENTANYL (PF) 50 MCG/ML INJECTION (WRAPPER),192.0,124.8,95.42,192.0,880 NDC,00409-9094-61,FENTANYL (PF) 50 MCG/ML INJECTION REGIONAL (WRAPPER) ANES ONLY,192.0,124.8,95.42,186.24,880 NDC,00409-9158-01,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,52.4,34.06,26.04,50.83,880 NDC,00450-0186-60,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.33,0.25,0.5,884 NDC,00456-0400-10,CEFTAROLINE FOSAMIL 400 MG INTRAVENOUS SOLUTION,867.3,563.75,4.23,867.3,884 NDC,00456-0458-01,THYROID (PORK) 30 MG TABLET,8.5,5.53,4.22,8.5,884 NDC,00456-0600-10,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION,867.3,563.75,4.23,867.3,884 NDC,00456-1045-01,THYROID (PORK) 15 MG TABLET,8.0,5.2,3.98,8.0,884 NDC,00456-1201-30,LINACLOTIDE 145 MCG CAPSULE,35.6,23.14,17.69,35.6,884 NDC,00456-1203-30,LINACLOTIDE 72 MCG CAPSULE,35.6,23.14,17.69,35.6,884 NDC,00456-1512-60,MILNACIPRAN 12.5 MG TABLET,32.7,21.26,16.25,32.7,884 NDC,00456-1550-60,MILNACIPRAN 50 MG TABLET,32.7,21.26,16.25,32.7,884 NDC,00456-2220-30,"LEVOMILNACIPRAN ER 20 MG CAPSULE,24 HR,EXTENDED RELEASE",65.5,42.58,32.55,65.5,884 NDC,00456-2700-10,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION,1565.0,1017.25,104.73,1518.05,884 NDC,00469-0125-99,ENZALUTAMIDE 40 MG CAPSULE,441.8,287.17,219.57,441.8,884 NDC,00469-0420-01,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION,1254.5,815.43,1.01,1229.41,884 NDC,00469-0520-02,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE,297.3,193.25,147.76,297.3,884 NDC,00469-0625-99,ENZALUTAMIDE 40 MG TABLET,441.8,287.17,219.57,441.8,884 NDC,00469-0647-73,"TACROLIMUS ER 0.5 MG CAPSULE,EXTENDED RELEASE 24 HR (ASTAGRAF)",11.9,7.74,5.91,11.9,884 NDC,00469-0677-73,"TACROLIMUS ER 1 MG CAPSULE,EXTENDED RELEASE 24 HR (ASTAGRAF)",18.8,12.22,9.34,18.8,884 NDC,00469-0687-73,"TACROLIMUS ER 5 MG CAPSULE,EXTENDED RELEASE 24 HR (ASTAGRAF)",73.7,47.91,36.63,73.7,884 NDC,00469-0725-60,ENZALUTAMIDE 80 MG TABLET,823.5,535.28,409.28,823.5,884 NDC,00469-1230-50,TACROLIMUS 0.2 MG ORAL GRANULES IN PACKET,21.9,14.24,10.88,21.9,880 NDC,00469-1330-50,TACROLIMUS 1 MG ORAL GRANULES IN PACKET,30.2,19.63,15.01,29.29,880 NDC,00469-3016-01,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION,1038.0,674.7,263.15,1038.0,884 NDC,00469-3051-30,AMPHOTERICIN B LIPOSOME 25 MG/6.3 ML (4 MG/ML) SUSPENSION FOR NEBULIZATION,506.1,328.97,21.48,490.92,884 NDC,00469-3051-30,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,506.1,328.97,21.48,490.92,884 NDC,00472-1738-03,MICONAZOLE NITRATE 200 MG VAGINAL SUPPOSITORY,153.9,100.04,76.49,153.9,880 NDC,00480-3479-06,LUBIPROSTONE 8 MCG CAPSULE,8.3,5.4,4.13,8.3,884 NDC,00480-4138-06,LUBIPROSTONE 24 MCG CAPSULE,7.2,4.68,3.58,7.2,884 NDC,00480-7062-56,PERAMPANEL 2 MG TABLET,63.9,41.54,31.76,63.9,884 NDC,00487-5901-99,RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION,10.6,6.89,5.27,10.6,884 NDC,00496-0882-06,LIDOCAINE 4 % TOPICAL CREAM,60.6,39.39,30.12,60.6,884 NDC,00517-0374-05,METHYLENE BLUE (ANTIDOTE) 0.5 % (5 MG/ML) INTRAVENOUS SOLUTION,355.9,231.34,8.73,345.22,884 NDC,00517-0650-01,FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION,4292.8,2790.32,1.11,4164.02,884 NDC,00517-0710-01,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,1917.2,1246.18,6.28,1878.86,884 NDC,00517-0720-01,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,182.8,118.82,90.85,177.32,880 NDC,00517-1001-25,ATROPINE 1 MG/ML INTRAVENOUS SOLUTION (WRAPPER),66.2,43.03,32.9,66.2,880 NDC,00517-1004-25,ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION (WRAPPER),54.1,35.17,26.89,54.1,880 NDC,00517-1045-05,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,145.7,94.71,80.86,141.33,880 NDC,00517-2340-10,IRON SUCROSE 20 MG/ML INJECTION WRAPPER,116.1,75.47,57.7,112.62,880 NDC,00517-2502-10,CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN,114.3,74.3,56.81,110.87,880 NDC,00517-4300-01,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,3284.4,2134.86,10.54,3218.71,884 NDC,00517-4810-25,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,96.0,62.4,47.71,93.12,880 NDC,00517-5602-25,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,138.8,90.22,68.98,134.64,880 NDC,00517-6560-05,SELENIUM 60 MCG/ML INTRAVENOUS SOLUTION,706.5,459.23,351.13,706.5,880 NDC,00517-6710-10,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,69.0,44.85,34.29,69.0,880 NDC,00517-7604-25,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,22.9,14.89,11.38,22.9,880 NDC,00517-8905-10,METHYLDOPATE 250 MG/5 ML INTRAVENOUS SOLUTION,200.0,130.0,99.4,200.0,880 NDC,00517-9191-25,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,69.2,44.98,34.39,69.2,880 NDC,00517-9305-25,TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION,141.9,92.24,70.52,141.9,880 NDC,00517-9702-25,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,64.9,42.19,32.26,62.95,880 NDC,00527-1392-01,DANAZOL 50 MG CAPSULE,12.2,7.93,6.06,12.2,884 NDC,00527-2425-32,OLMESARTAN 5 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,00527-3012-48,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",7.9,5.14,3.93,7.9,884 NDC,00527-4117-37,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",5.8,3.77,2.88,5.8,884 NDC,00527-4118-37,"PROPRANOLOL ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE",5.9,3.84,2.93,5.9,884 NDC,00527-6004-80,LIDOCAINE HCL 4 % (40 MG/ML) TOPICAL SOLUTION,124.2,80.73,61.73,124.2,880 NDC,00536-0091-85,ALUMINUM HYDROXIDE GEL 320 MG/5 ML ORAL SUSPENSION,20.3,13.2,10.09,20.3,884 NDC,00536-1007-15,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.5,0.33,0.25,0.5,884 NDC,00536-1054-29,ASPIRIN 325 MG TABLET,0.5,0.33,0.25,0.5,884 NDC,00536-1118-25,CAPSAICIN 0.075 % TOPICAL CREAM,67.8,44.07,33.7,67.8,884 NDC,00536-1223-08,SIMETHICONE 125 MG CHEWABLE TABLET,2.3,1.5,1.14,2.3,884 NDC,00536-1232-01,"ASPIRIN 325 MG TABLET,DELAYED RELEASE",0.5,0.33,0.25,0.5,884 NDC,00536-1252-40,KETOTIFEN 0.025 % (0.035 %) EYE DROPS,73.9,48.04,36.73,73.9,884 NDC,00536-1254-94,SODIUM CHLORIDE 5 % EYE DROPS,15.9,10.34,7.9,15.9,884 NDC,00536-1268-12,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION,66.4,43.16,33.0,66.4,884 NDC,00536-1271-80,POVIDONE-IODINE 10 % TOPICAL OINTMENT,7.7,5.01,3.83,7.7,884 NDC,00536-1288-06,PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT,9.8,6.37,4.87,9.8,884 NDC,00536-1303-75,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",9.2,5.98,4.57,9.2,884 NDC,00536-1315-43,TOLNAFTATE 1 % TOPICAL CREAM,7.3,4.75,3.63,7.3,884 NDC,00536-1316-25,ZINC OXIDE TOPICAL OINTMENT (WRAPPER),10.4,6.76,5.17,10.4,884 NDC,00536-1326-01,ASPIRIN-ACETAMINOPHEN-CAFFEINE 250 MG-250 MG-65 MG TABLET,2.2,1.43,1.09,2.2,884 NDC,00536-1342-01,SODIUM CHLORIDE 1 GRAM TABLET (WRAPPER),2.3,1.5,1.14,2.3,884 NDC,00536-1349-57,METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM,11.3,7.35,5.62,11.3,884 NDC,00536-1962-97,SALICYLIC ACID-SULFUR 2 %-2 % SHAMPOO,58.3,37.9,28.98,58.3,884 NDC,00536-2525-25,CAPSAICIN 0.025 % TOPICAL CREAM,14.0,9.1,6.96,14.0,884 NDC,00536-3029-34,NICOTINE (POLACRILEX) 2 MG GUM,3.2,2.08,1.59,3.2,884 NDC,00536-4085-01,MULTIVITAMIN/MINERAL-PRENATAL (WRAPPER),5.2,3.38,2.58,5.2,884 NDC,00536-4306-11,CALCIUM POLYCARBOPHIL 625 MG TABLET,0.5,0.33,0.25,0.5,884 NDC,00536-4406-01,PYRIDOXINE (VITAMIN B6) 25 MG TABLET,2.1,1.37,1.04,2.1,884 NDC,00536-5894-88,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,6.7,4.36,3.33,6.7,884 NDC,00536-5895-88,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,6.7,4.36,3.33,6.7,884 NDC,00536-5896-88,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,6.5,4.22,3.23,6.5,884 NDC,00555-0158-02,CHLORDIAZEPOXIDE 5 MG CAPSULE,5.7,3.71,2.83,5.7,884 NDC,00555-0159-02,CHLORDIAZEPOXIDE 25 MG CAPSULE,5.6,3.64,2.78,5.6,884 NDC,00555-0171-78,MEFLOQUINE 250 MG TABLET,23.8,15.47,11.83,23.8,884 NDC,00555-0606-02,MEGESTROL 20 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,00555-0872-02,MEDROXYPROGESTERONE 2.5 MG TABLET,5.5,3.58,2.73,5.5,884 NDC,00555-0886-02,ESTRADIOL 1 MG TABLET,6.1,3.97,3.03,6.1,884 NDC,00555-9016-58,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,00562-7805-01,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG) INTRAMUSCULAR SYRINGE",308.0,200.2,153.08,298.76,880 NDC,00574-0070-30,DEXTROSE 40 % ORAL GEL,14.6,9.49,7.26,14.6,884 NDC,00574-0106-03,BROMOCRIPTINE 2.5 MG TABLET,9.6,6.24,4.77,9.6,884 NDC,00574-0107-14,CLOTRIMAZOLE 10 MG TROCHE,5.9,3.84,2.93,5.9,884 NDC,00574-0115-01,FLAVOXATE 100 MG TABLET,8.6,5.59,4.27,8.6,884 NDC,00574-0150-04,MIDAZOLAM 2 MG/ML SYRUP (WRAPPER),227.9,148.13,113.27,227.9,884 NDC,00574-0292-01,AMILORIDE 5 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,00574-0304-16,ORA-SWEET SYRUP,66.9,43.49,33.25,66.9,884 NDC,00574-0312-16,ORA-BLEND SF (SUGAR FREE),73.1,47.52,36.33,73.1,880 NDC,00574-0521-76,ACTIVATED CHARCOAL 50 GRAM/240 ML ORAL SUSPENSION,81.2,52.78,40.36,81.2,884 NDC,00574-0601-15,PODOPHYLLUM RESIN 25 % TOPICAL LIQUID,388.3,252.4,192.99,388.3,884 NDC,00574-4031-25,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",133.5,86.78,66.35,133.5,880 NDC,00574-7034-12,ASPIRIN 300 MG RECTAL SUPPOSITORY,0.5,0.33,0.25,0.5,884 NDC,00574-7040-12,BELLADONNA ALKALOIDS-OPIUM 16.2 MG-60 MG RECTAL SUPPOSITORY,100.7,65.46,50.05,100.7,880 NDC,00574-7045-12,BELLADONNA ALKALOIDS-OPIUM 16.2 MG-30 MG RECTAL SUPPOSITORY,86.4,56.16,42.94,86.4,880 NDC,00574-7050-12,BISACODYL 10 MG RECTAL SUPPOSITORY,3.0,1.95,1.49,3.0,884 NDC,00574-7224-06,HYDROMORPHONE 3 MG RECTAL SUPPOSITORY,41.9,27.24,20.82,41.9,884 NDC,00575-6200-30,DIAZOXIDE 50 MG/ML ORAL SUSPENSION,1466.1,952.97,728.65,1466.1,884 NDC,00591-0397-60,"DICLOFENAC 50 MG-MISOPROSTOL 200 MCG TABLET,IMMED.AND DELAYED RELEASE",13.8,8.97,6.86,13.8,884 NDC,00591-2474-01,TETRACYCLINE 250 MG CAPSULE,25.6,16.64,12.72,25.6,884 NDC,00591-2712-02,ALBENDAZOLE 200 MG TABLET,53.5,34.78,26.59,53.5,884 NDC,00591-3217-30,TESTOSTERONE 1 % (50 MG/5 GRAM) TRANSDERMAL GEL PACKET,57.8,37.57,28.73,57.8,884 NDC,00591-3525-30,LIDOCAINE 5 % TOPICAL PATCH,9.9,6.44,4.92,9.9,884 NDC,00591-5347-01,PROBENECID 500 MG TABLET,7.0,4.55,3.48,7.0,884 NDC,00597-0024-02,IPRATROPIUM 20 MCG-ALBUTEROL 100 MCG/ACTUATION MIST FOR INHALATION,1312.0,852.8,652.06,1312.0,884 NDC,00597-0075-75,TIOTROPIUM BROMIDE 18 MCG CAPSULE WITH INHALATION DEVICE,215.2,139.88,106.95,215.2,884 NDC,00597-0087-17,IPRATROPIUM BROMIDE 17 MCG/ACTUATION HFA AEROSOL INHALER,938.2,609.83,466.29,938.2,884 NDC,00597-0100-51,TIOTROPIUM BROMIDE 2.5 MCG/ACTUATION MIST FOR INHALATION,165.5,107.58,82.25,165.5,884 NDC,00597-0140-30,LINAGLIPTIN 5 MG TABLET,57.5,37.38,28.58,57.5,884 NDC,00597-0152-37,EMPAGLIFLOZIN 10 MG TABLET,37.2,24.18,18.49,37.2,884 NDC,00597-0153-37,EMPAGLIFLOZIN 25 MG TABLET,37.2,24.18,18.49,37.2,884 NDC,00597-0197-05,IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,6890.7,4478.96,3424.68,6890.7,880 NDC,00603-5167-32,PHENOBARBITAL 64.8 MG TABLET,7.1,4.62,3.53,7.1,884 NDC,00603-5336-21,PREDNISONE 2.5 MG TABLET,5.5,3.58,2.73,5.34,880 NDC,00641-0367-25,DEXAMETHASONE 10 MG/ML INJECTION SOLUTION (WRAPPER),38.5,25.03,19.13,37.35,880 NDC,00641-0376-25,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,37.3,24.25,18.54,36.18,880 NDC,00641-0948-35,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,42.1,27.37,20.92,40.84,880 NDC,00641-1398-35,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,130.6,84.89,64.91,127.99,880 NDC,00641-6007-10,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,43.8,28.47,21.77,42.49,880 NDC,00641-6027-25,FENTANYL (PF) 50 MCG/ML INJECTION (WRAPPER),74.4,48.36,36.98,74.4,880 NDC,00641-6027-25,FENTANYL (PF) 50 MCG/ML INJECTION REGIONAL (WRAPPER) ANES ONLY,74.4,48.36,36.98,72.17,880 NDC,00641-6039-01,MORPHINE (PF) 10 MG/ML INJECTION SOLUTION,772.6,502.19,383.98,749.42,880 NDC,00641-6039-01,MORPHINE INTRATHECAL PUMP INFUSION 10 MG/ML,772.6,502.19,383.98,749.42,880 NDC,00641-6040-01,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION,1173.5,762.78,583.23,1138.3,880 NDC,00641-6040-01,MORPHINE INTRATHECAL PUMP INFUSION 25 MG/ML,1173.5,762.78,583.23,1138.3,880 NDC,00641-6044-25,LORAZEPAM 2 MG/ML INJECTION SOLUTION (WRAPPER),73.5,47.78,36.53,71.3,880 NDC,00641-6046-01,LORAZEPAM 2 MG/ML INJECTION SOLUTION (WRAPPER),73.2,47.58,36.38,71.0,880 NDC,00641-6052-25,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION,76.7,49.86,38.12,74.4,880 NDC,00641-6053-25,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION,77.0,50.05,38.27,74.69,880 NDC,00641-6060-10,MIDAZOLAM 5 MG/ML INJECTION FOR NASAL,75.5,49.08,37.52,73.24,880 NDC,00641-6079-01,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,35.5,23.08,17.64,34.44,880 NDC,00641-6080-25,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,37.6,24.44,18.69,36.47,883 NDC,00641-6125-25,MORPHINE 4 MG/ML INJECTION (WRAPPER),78.1,50.77,38.82,75.76,880 NDC,00641-6127-25,MORPHINE (PF) 10 MG/ML INJECTION (WRAPPER),78.3,50.9,38.92,75.95,880 NDC,00641-6138-25,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,39.9,25.94,19.83,39.9,880 NDC,00641-6151-25,HYDROMORPHONE (PF) 2 MG/ML INJECTION (WRAPPER),72.4,47.06,35.98,70.23,880 NDC,00641-6174-10,OCTREOTIDE ACETATE 50 MCG/ML INJECTION (WRAPPER),39.8,25.87,19.78,39.8,884 NDC,00641-6184-25,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,48.4,31.46,24.05,46.95,880 NDC,00641-6190-10,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,75.7,49.21,37.62,73.43,880 NDC,00641-6247-01,FENTANYL (PF) 50 MCG/ML INTRATHECAL TEST DOSE,71.1,46.22,35.34,71.1,880 NDC,00641-6247-25,FENTANYL (PF) 50 MCG/ML INJECTION (WRAPPER),73.4,47.71,36.48,73.4,880 NDC,00641-6247-25,FENTANYL (PF) 50 MCG/ML INJECTION REGIONAL (WRAPPER) ANES ONLY,76.8,49.92,38.17,74.5,880 NDC,00641-6265-10,NEOSTIGMINE METHYLSULFATE 1 MG/ML INJECTABLE SOLUTION,43.6,28.34,21.67,42.29,880 NDC,00641-9217-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,36.9,23.99,18.34,36.16,880 NDC,00703-0666-01,TREPROSTINIL STRAIGHT DRUG INFUSION 1 MG/ML,1638.0,1064.7,54.71,1588.86,884 NDC,00703-0676-01,TREPROSTINIL STRAIGHT DRUG INFUSION 2.5 MG/ML,2971.5,1931.48,54.71,2882.36,884 NDC,00703-0686-01,TREPROSTINIL STRAIGHT DRUG INFUSION 5 MG/ML,5493.0,3570.45,54.71,5328.21,884 NDC,00703-0696-01,TREPROSTINIL STRAIGHT DRUG INFUSION 10 MG/ML,10536.1,6848.47,54.71,10220.02,884 NDC,00713-0132-12,PROMETHAZINE 50 MG RECTAL SUPPOSITORY,90.8,59.02,45.13,90.8,884 NDC,00713-0135-12,PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY,33.3,21.65,16.55,33.3,884 NDC,00713-0223-15,FLUOCINOLONE 0.01 % TOPICAL CREAM,173.2,112.58,86.08,173.2,884 NDC,00713-0268-31,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",9.5,6.18,4.72,9.5,884 NDC,00713-0326-15,BETAMETHASONE VALERATE 0.1 % TOPICAL CREAM,95.1,61.82,47.26,95.1,884 NDC,00713-0503-12,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,44.7,29.06,22.22,44.7,884 NDC,00713-0526-12,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,12.1,7.87,6.01,12.1,884 NDC,00713-0536-12,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,17.5,11.38,8.7,17.5,884 NDC,00713-0552-73,TERCONAZOLE 80 MG VAGINAL SUPPOSITORY,92.0,59.8,45.72,92.0,884 NDC,00713-0637-37,METRONIDAZOLE 0.75 % TOPICAL GEL,355.2,230.88,176.53,355.2,884 NDC,00713-0682-15,GENTAMICIN 0.1 % TOPICAL OINTMENT,103.8,67.47,51.59,103.8,884 NDC,00713-0683-15,GENTAMICIN 0.1 % TOPICAL CREAM,98.4,63.96,48.9,98.4,884 NDC,00713-0686-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",60.1,39.06,29.87,60.1,884 NDC,00781-1874-31,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET,11.1,7.22,5.52,11.1,884 NDC,00781-2020-01,AMOXICILLIN 250 MG CAPSULE,5.3,3.45,2.63,5.3,884 NDC,00781-2145-01,AMPICILLIN 500 MG CAPSULE,7.0,4.55,3.48,7.0,884 NDC,00781-2613-01,AMOXICILLIN 500 MG CAPSULE,5.5,3.58,2.73,5.5,884 NDC,00781-3040-95,PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION,154.7,100.56,76.89,154.7,880 NDC,00781-3233-94,CYCLOPHOSPHAMIDE 500 MG/25 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),349.5,227.18,0.48,339.02,884 NDC,00781-3440-95,COSYNTROPIN 0.25 MG (0.25 MG/ML) (IM EQUIVALENCY),163.0,105.95,81.01,158.11,880 NDC,00781-3440-95,COSYNTROPIN 0.25 MG (50 MCG/ML) IV EQUIVALENCY,163.0,105.95,81.01,158.11,880 NDC,00781-3440-95,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,576.9,374.99,286.72,559.59,880 NDC,00781-5613-01,CARBIDOPA 12.5 MG-LEVODOPA 50 MG-ENTACAPONE 200 MG TABLET,7.3,4.75,3.63,7.3,884 NDC,00781-5637-01,CARBIDOPA 25 MG-LEVODOPA 100 MG-ENTACAPONE 200 MG TABLET,7.1,4.62,3.53,7.1,884 NDC,00781-5654-01,CARBIDOPA 37.5 MG-LEVODOPA 150 MG-ENTACAPONE 200 MG TABLET,7.6,4.94,3.78,7.6,884 NDC,00781-6000-78,DIFLUPREDNATE 0.05 % EYE DROPS,430.9,280.08,214.16,430.9,880 NDC,00781-6023-46,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION,600.3,390.2,298.35,600.3,884 NDC,00781-6041-55,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,20.8,13.52,10.34,20.8,884 NDC,00781-6136-94,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,541.3,351.85,269.03,530.47,880 NDC,00781-7104-54,ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,48.1,31.27,23.91,48.1,884 NDC,00781-7119-54,ESTRADIOL 0.025 MG/24 HR WEEKLY TRANSDERMAL PATCH,56.4,36.66,28.03,56.4,884 NDC,00781-7122-54,ESTRADIOL 0.0375 MG/24 HR WEEKLY TRANSDERMAL PATCH,57.5,37.38,28.58,57.5,884 NDC,00781-7133-54,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,46.8,30.42,23.26,46.8,884 NDC,00781-7134-54,ESTRADIOL 0.06 MG/24 HR WEEKLY TRANSDERMAL PATCH,52.4,34.06,26.04,52.4,884 NDC,00781-7136-54,ESTRADIOL 0.075 MG/24 HR WEEKLY TRANSDERMAL PATCH,57.6,37.44,28.63,57.6,884 NDC,00781-9053-95,SUCCINYLCHOLINE INJECTION 20 MG/ML (WRAPPER),55.9,36.34,27.78,55.9,880 NDC,00781-9055-12,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,555.1,360.82,275.88,544.0,880 NDC,00781-9228-70,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,79.3,51.55,39.41,79.3,880 NDC,00781-9404-95,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,64.5,41.93,32.06,62.57,880 NDC,00781-9408-95,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,97.6,63.44,48.51,94.67,880 NDC,00832-0510-00,BETHANECHOL CHLORIDE 5 MG TABLET,5.8,3.77,2.88,5.8,884 NDC,00832-0511-01,BETHANECHOL CHLORIDE 10 MG TABLET,6.3,4.09,3.13,6.3,884 NDC,00832-0512-01,BETHANECHOL CHLORIDE 25 MG TABLET,7.0,4.55,3.48,7.0,884 NDC,00832-0741-60,"PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR",14.1,9.16,7.01,14.1,884 NDC,00832-0742-60,"PROPAFENONE ER 425 MG CAPSULE,EXTENDED RELEASE 12 HR",14.1,9.16,7.01,14.1,884 NDC,00832-1074-30,"TOPIRAMATE XR 100 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24 HR",52.7,34.26,26.19,52.7,884 NDC,00832-1218-00,WARFARIN 7.5 MG TABLET,5.6,3.64,2.78,5.6,884 NDC,00832-1250-30,RAMELTEON 8 MG TABLET,9.7,6.31,4.82,9.7,884 NDC,00832-6017-00,CHLORPROMAZINE 10 MG TABLET,6.4,4.16,3.18,6.4,884 NDC,00851-0000-01,SODIUM-CL-POTASSIUM-CITRATE 70 MEQ-60 MEQ-20 MEQ-30 MEQ ORAL PACKET,9.4,6.11,4.67,9.4,884 NDC,00851-0000-05,"SOD, POT CHLOR-SOD CIT-RICE 2.3-1.5-2.9 GRAM-160 KCAL/50 GRAM PWD PKT",12.4,8.06,6.16,12.4,884 NDC,00884-6297-30,PHENOL 89 % TOPICAL SWAB,22.9,14.89,11.38,22.9,880 NDC,00904-0012-61,CHLORPHENIRAMINE 4 MG TABLET,2.3,1.5,1.14,2.3,884 NDC,00904-0428-06,DOXYCYCLINE HYCLATE 100 MG CAPSULE,9.3,6.05,4.62,9.3,884 NDC,00904-0523-61,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,2.2,1.43,1.09,2.2,884 NDC,00904-1883-61,"CALCIUM CARBONATE 1,250 MG (500 MG CALCIUM) TABLET",0.5,0.33,0.25,0.5,884 NDC,00904-2051-59,DIMENHYDRINATE 50 MG TABLET,2.1,1.37,1.04,2.1,884 NDC,00904-2085-60,"VITAMIN A 3,000 MCG (10,000 UNIT) CAPSULE",2.2,1.43,1.09,2.2,884 NDC,00904-2272-60,NIACIN 500 MG TABLET,2.1,1.37,1.04,2.1,884 NDC,00904-2533-21,CALAMINE 8 %-ZINC OXIDE 8 % LOTION,55.0,35.75,27.34,55.0,884 NDC,00904-3854-61,CARBAMAZEPINE 100 MG CHEWABLE TABLET,6.4,4.16,3.18,6.4,884 NDC,00904-3865-75,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL,5.6,3.64,2.78,5.6,880 NDC,00904-4215-51,ARGININE (L-ARGININE) 500 MG TABLET,2.3,1.5,1.14,2.3,884 NDC,00904-4299-09,LANOLIN-MINERAL OIL LOTION,56.7,36.85,28.18,56.7,884 NDC,00904-5053-59,PSEUDOEPHEDRINE 30 MG TABLET,2.1,1.37,1.04,2.1,884 NDC,00904-5154-60,GUAIFENESIN 200 MG TABLET,0.5,0.33,0.25,0.5,884 NDC,00904-5224-52,"LACTASE 3,000 UNIT TABLET",2.4,1.56,1.19,2.4,884 NDC,00904-5354-31,DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM,56.6,36.79,28.13,56.6,884 NDC,00904-5448-61,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE",5.9,3.84,2.93,5.9,884 NDC,00904-5522-61,DOXAZOSIN 1 MG TABLET,7.1,4.62,3.53,7.1,884 NDC,00904-5523-61,DOXAZOSIN 2 MG TABLET,6.8,4.42,3.38,6.8,884 NDC,00904-5529-52,FAMOTIDINE 10 MG TABLET,2.3,1.5,1.14,2.3,884 NDC,00904-5676-61,PAROXETINE 10 MG TABLET,7.0,4.55,3.48,7.0,884 NDC,00904-5677-61,PAROXETINE 20 MG TABLET,5.7,3.71,2.83,5.7,884 NDC,00904-5823-60,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,2.1,1.37,1.04,2.1,884 NDC,00904-5833-48,"LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR",4.3,2.8,2.14,4.3,884 NDC,00904-5892-61,PRAVASTATIN 20 MG TABLET,6.8,4.42,3.38,6.8,884 NDC,00904-5921-61,DIGOXIN 125 MCG (0.125 MG) TABLET,8.2,5.33,4.08,8.2,884 NDC,00904-5922-61,DIGOXIN 250 MCG (0.25 MG) TABLET,8.9,5.79,4.42,8.9,884 NDC,00904-5959-61,CLINDAMYCIN HCL 150 MG CAPSULE,5.8,3.77,2.88,5.8,884 NDC,00904-6082-61,ZOLPIDEM 5 MG TABLET,10.3,6.7,5.12,10.3,884 NDC,00904-6084-61,CITALOPRAM 10 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,00904-6085-61,CITALOPRAM 20 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,00904-6172-61,CARBAMAZEPINE 200 MG TABLET,6.9,4.49,3.43,6.9,884 NDC,00904-6269-08,ZIPRASIDONE 20 MG CAPSULE,12.5,8.13,6.21,12.5,884 NDC,00904-6271-45,ZIPRASIDONE 60 MG CAPSULE,12.2,7.93,6.06,12.2,884 NDC,00904-6290-61,ATORVASTATIN 10 MG TABLET,5.8,3.77,2.88,5.8,884 NDC,00904-6291-61,ATORVASTATIN 20 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,00904-6292-61,ATORVASTATIN 40 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,00904-6293-04,ATORVASTATIN 80 MG TABLET,6.7,4.36,3.33,6.7,884 NDC,00904-6305-21,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,10.1,6.57,5.02,10.1,884 NDC,00904-6322-61,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",7.1,4.62,3.53,7.1,884 NDC,00904-6323-61,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",6.9,4.49,3.43,6.9,884 NDC,00904-6351-61,LEVOFLOXACIN 250 MG TABLET,5.8,3.77,2.88,5.8,884 NDC,00904-6352-61,LEVOFLOXACIN 500 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,00904-6353-61,LEVOFLOXACIN 750 MG TABLET,6.5,4.22,3.23,6.5,884 NDC,00904-6363-61,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",7.9,5.14,3.93,7.9,884 NDC,00904-6369-61,AMLODIPINE 2.5 MG TABLET,5.4,3.51,2.68,5.4,884 NDC,00904-6370-61,AMLODIPINE 5 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,00904-6371-61,AMLODIPINE 10 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,00904-6373-61,ROPINIROLE 0.25 MG TABLET,6.3,4.09,3.13,6.3,884 NDC,00904-6377-61,OLANZAPINE 5 MG TABLET,5.5,3.58,2.73,5.5,884 NDC,00904-6407-61,"BISACODYL 5 MG TABLET,DELAYED RELEASE",2.1,1.37,1.04,2.1,884 NDC,00904-6418-61,TIZANIDINE 4 MG TABLET,6.8,4.42,3.38,6.8,884 NDC,00904-6426-61,ESCITALOPRAM 10 MG TABLET,5.5,3.58,2.73,5.5,884 NDC,00904-6436-04,TEMAZEPAM 7.5 MG CAPSULE,20.2,13.13,10.04,20.2,884 NDC,00904-6449-61,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",5.9,3.84,2.93,5.9,884 NDC,00904-6450-61,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",6.1,3.97,3.03,6.1,884 NDC,00904-6467-10,CLOPIDOGREL 300 MG TABLET,23.1,15.02,11.48,23.1,884 NDC,00904-6474-61,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",5.8,3.77,2.88,5.8,884 NDC,00904-6477-61,DONEPEZIL 5 MG TABLET,5.4,3.51,2.68,5.4,884 NDC,00904-6500-61,FLUCONAZOLE 100 MG TABLET,9.3,6.05,4.62,9.3,884 NDC,00904-6501-61,FLUCONAZOLE 200 MG TABLET,10.9,7.09,5.42,10.9,884 NDC,00904-6505-61,MEMANTINE 5 MG TABLET,6.0,3.9,2.98,6.0,884 NDC,00904-6519-61,MIRTAZAPINE 15 MG TABLET,5.6,3.64,2.78,5.6,884 NDC,00904-6551-61,ONDANSETRON HCL 4 MG TABLET,6.1,3.97,3.03,6.1,884 NDC,00904-6552-61,ONDANSETRON HCL 8 MG TABLET,6.8,4.42,3.38,6.8,884 NDC,00904-6553-04,LINEZOLID 600 MG TABLET,15.7,10.21,7.8,15.7,884 NDC,00904-6557-61,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",12.7,8.26,6.31,12.7,884 NDC,00904-6560-61,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",21.3,13.85,10.59,21.3,884 NDC,00904-6565-61,VALACYCLOVIR 500 MG TABLET,9.6,6.24,4.77,9.6,884 NDC,00904-6570-61,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",10.0,6.5,4.97,10.0,884 NDC,00904-6572-61,ALLOPURINOL 300 MG TABLET,6.4,4.16,3.18,6.4,884 NDC,00904-6583-04,LAMIVUDINE 150 MG TABLET,24.2,15.73,12.03,24.2,884 NDC,00904-6596-04,VORICONAZOLE 50 MG TABLET,28.1,18.27,13.97,28.1,884 NDC,00904-6615-61,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",8.0,5.2,3.98,8.0,884 NDC,00904-6619-61,ISOSORBIDE DINITRATE 10 MG TABLET,6.9,4.49,3.43,6.9,884 NDC,00904-6620-61,ISOSORBIDE DINITRATE 20 MG TABLET,7.4,4.81,3.68,7.4,884 NDC,00904-6622-61,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,8.6,5.59,4.27,8.6,884 NDC,00904-6623-61,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",8.0,5.2,3.98,7.76,880 NDC,00904-6624-61,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE",28.5,18.52,14.16,27.65,880 NDC,00904-6637-61,GLIPIZIDE 5 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,00904-6638-61,QUETIAPINE 25 MG TABLET,5.6,3.64,2.78,5.6,884 NDC,00904-6640-61,QUETIAPINE 100 MG TABLET,5.8,3.77,2.88,5.8,884 NDC,00904-6663-61,ACETAZOLAMIDE 250 MG TABLET,14.7,9.56,7.31,14.7,884 NDC,00904-6665-61,GABAPENTIN 100 MG CAPSULE,5.4,3.51,2.68,5.4,884 NDC,00904-6666-61,GABAPENTIN 300 MG CAPSULE,5.5,3.58,2.73,5.5,884 NDC,00904-6700-60,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-25 MG CHEWABLE TABLET,0.5,0.33,0.25,0.5,884 NDC,00904-6704-61,PRAMIPEXOLE 0.25 MG TABLET,5.7,3.71,2.83,5.7,884 NDC,00904-6718-39,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",0.5,0.33,0.25,0.5,884 NDC,00904-6730-61,ACETAMINOPHEN 500 MG TABLET,0.5,0.33,0.25,0.5,884 NDC,00904-6773-61,ACETAMINOPHEN 325 MG TABLET,0.5,0.33,0.25,0.5,884 NDC,00904-6782-61,HALOPERIDOL 5 MG TABLET,7.8,5.07,3.88,7.8,884 NDC,00904-6783-70,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.5,0.33,0.25,0.5,884 NDC,00904-6785-04,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",15.6,10.14,7.75,15.13,880 NDC,00904-6786-61,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",35.1,22.82,17.44,35.1,884 NDC,00904-6797-61,LISINOPRIL 5 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,00904-6798-61,LISINOPRIL 10 MG TABLET,5.2,3.38,2.58,5.2,884 NDC,00904-6799-61,LISINOPRIL 20 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,00904-6808-61,MONTELUKAST 10 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,00904-6817-61,MIDODRINE 2.5 MG TABLET,7.7,5.01,3.83,7.7,884 NDC,00904-6818-61,MIDODRINE 5 MG TABLET,6.7,4.36,3.33,6.7,884 NDC,00904-6821-04,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,17.3,11.25,8.6,17.3,884 NDC,00904-6828-92,OXYCODONE 5 MG/5 ML ORAL SOLUTION,24.3,15.8,12.08,24.3,884 NDC,00904-6830-61,FINASTERIDE 5 MG TABLET,6.9,4.49,3.43,6.9,884 NDC,00904-6860-61,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",5.5,3.58,2.73,5.5,884 NDC,00904-6868-61,TRAZODONE 50 MG TABLET,5.4,3.51,2.68,5.4,884 NDC,00904-6874-04,ABACAVIR 300 MG TABLET,24.9,16.18,12.38,24.9,884 NDC,00904-6882-10,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,218.7,142.16,108.69,218.7,884 NDC,00904-6890-04,URSODIOL 250 MG TABLET,12.3,8.0,6.11,12.3,884 NDC,00904-6899-61,BUSPIRONE 15 MG TABLET,6.4,4.16,3.18,6.4,884 NDC,00904-6901-04,IMATINIB 100 MG TABLET,15.2,9.88,7.55,15.2,884 NDC,00904-6902-04,RALOXIFENE 60 MG TABLET,22.5,14.63,11.18,22.5,884 NDC,00904-6907-06,PSEUDOEPHEDRINE 60 MG TABLET,10.3,6.7,5.12,10.3,884 NDC,00904-6914-61,METHYLPREDNISOLONE 4 MG TABLET,9.7,6.31,4.82,9.41,880 NDC,00904-6920-93,DOCUSATE SODIUM 283 MG ENEMA (WRAPPER),9.8,6.37,4.87,9.8,884 NDC,00904-6923-61,PREDNISONE 10 MG TABLET,5.5,3.58,2.73,5.34,880 NDC,00904-6924-61,SERTRALINE 25 MG TABLET,6.0,3.9,2.98,6.0,884 NDC,00904-6925-61,SERTRALINE 50 MG TABLET,6.1,3.97,3.03,6.1,884 NDC,00904-6927-61,SPIRONOLACTONE 25 MG TABLET,5.5,3.58,2.73,5.5,884 NDC,00904-6928-61,TOPIRAMATE 25 MG TABLET,5.8,3.77,2.88,5.8,884 NDC,00904-6929-61,TOPIRAMATE 100 MG TABLET,6.4,4.16,3.18,6.4,884 NDC,00904-6931-26,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,6.7,4.36,3.33,6.7,884 NDC,00904-6939-61,HYDROXYUREA 500 MG CAPSULE,8.0,5.2,3.98,8.0,884 NDC,00904-6949-61,LEVOTHYROXINE 25 MCG TABLET,6.2,4.03,3.08,6.2,884 NDC,00904-6950-61,LEVOTHYROXINE 50 MCG TABLET,6.2,4.03,3.08,6.2,884 NDC,00904-6952-61,LEVOTHYROXINE 88 MCG TABLET,6.5,4.22,3.23,6.5,884 NDC,00904-6953-61,LEVOTHYROXINE 100 MCG TABLET,6.6,4.29,3.28,6.6,884 NDC,00904-6954-61,LEVOTHYROXINE 112 MCG TABLET,6.8,4.42,3.38,6.8,884 NDC,00904-6955-61,LEVOTHYROXINE 125 MCG TABLET,6.8,4.42,3.38,6.8,884 NDC,00904-6956-61,LEVOTHYROXINE 150 MCG TABLET,6.9,4.49,3.43,6.9,884 NDC,00904-6987-61,DICYCLOMINE 10 MG CAPSULE,6.6,4.29,3.28,6.6,884 NDC,00904-6988-61,DICYCLOMINE 20 MG TABLET,6.5,4.22,3.23,6.5,884 NDC,00904-6991-61,PREGABALIN 25 MG CAPSULE,12.3,8.0,6.11,12.3,884 NDC,00904-7000-61,PREGABALIN 75 MG CAPSULE,11.9,7.74,5.91,11.9,884 NDC,00904-7007-61,LAMOTRIGINE 25 MG TABLET,5.5,3.58,2.73,5.5,884 NDC,00904-7008-61,LAMOTRIGINE 100 MG TABLET,5.5,3.58,2.73,5.5,884 NDC,00904-7009-06,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL TABLET,17.6,11.44,8.75,17.6,884 NDC,00904-7016-06,BUMETANIDE 1 MG TABLET,7.7,5.01,3.83,7.7,884 NDC,00904-7020-61,PRAZOSIN 1 MG CAPSULE,8.6,5.59,4.27,8.6,884 NDC,00904-7022-61,PRAZOSIN 5 MG CAPSULE,18.4,11.96,9.14,18.4,884 NDC,00904-7023-67,BACITRACIN 500 UNIT/GRAM TOPICAL PACKET (WRAPPER),2.4,1.56,1.19,2.4,884 NDC,00904-7026-61,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,11.6,7.54,5.77,11.6,884 NDC,00904-7027-61,OXYBUTYNIN CHLORIDE 5 MG TABLET,6.2,4.03,3.08,6.2,884 NDC,00904-7036-04,NALTREXONE 50 MG TABLET,10.8,7.02,5.37,10.8,884 NDC,00904-7041-61,ALLOPURINOL 100 MG TABLET,5.8,3.77,2.88,5.8,884 NDC,00904-7042-61,AMANTADINE HCL 100 MG CAPSULE,9.6,6.24,4.77,9.6,884 NDC,00904-7046-61,HYDROXYCHLOROQUINE 200 MG TABLET,9.3,6.05,4.62,9.3,884 NDC,00904-7047-61,LOSARTAN 25 MG TABLET,6.2,4.03,3.08,6.2,884 NDC,00904-7048-61,LOSARTAN 50 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,00904-7052-61,DOXEPIN 10 MG CAPSULE,6.8,4.42,3.38,6.8,884 NDC,00904-7053-61,DOXEPIN 25 MG CAPSULE,7.3,4.75,3.63,7.3,884 NDC,00904-7078-61,MYCOPHENOLATE MOFETIL 500 MG TABLET,7.6,4.94,3.78,7.37,880 NDC,00904-7081-61,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",12.6,8.19,6.26,12.6,884 NDC,00904-7082-06,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",7.9,5.14,3.93,7.9,884 NDC,00904-7097-61,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",8.8,5.72,4.37,8.54,880 NDC,00904-7107-61,RIVASTIGMINE 1.5 MG CAPSULE,14.2,9.23,7.06,14.2,884 NDC,00904-7120-04,COLCHICINE 0.6 MG TABLET,16.8,10.92,8.35,16.8,884 NDC,00904-7122-61,BUSPIRONE 5 MG TABLET,5.4,3.51,2.68,5.4,884 NDC,00904-7123-61,LEVETIRACETAM 250 MG TABLET,5.6,3.64,2.78,5.6,884 NDC,00904-7125-61,LEVETIRACETAM 750 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,00904-7141-10,METHOTREXATE SODIUM 2.5 MG TABLET,12.9,8.39,6.41,12.9,884 NDC,00904-7149-04,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",120.4,78.26,59.84,120.4,884 NDC,00904-7154-04,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,16.6,10.79,8.25,16.1,880 NDC,00904-7156-61,METRONIDAZOLE 250 MG TABLET,6.2,4.03,3.08,6.2,884 NDC,00904-7157-61,FLUPHENAZINE 1 MG TABLET,12.7,8.26,6.31,12.7,884 NDC,00904-7162-61,METFORMIN 500 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,00904-7163-61,METFORMIN 850 MG TABLET,5.7,3.71,2.83,5.7,884 NDC,00904-7177-61,FUROSEMIDE 20 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,00904-7178-61,FUROSEMIDE 40 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,00904-7183-61,DOCUSATE SODIUM 100 MG CAPSULE,2.2,1.43,1.09,2.2,884 NDC,00904-7187-61,ATENOLOL 25 MG TABLET,5.6,3.64,2.78,5.6,884 NDC,00904-7188-61,HYDROCORTISONE 10 MG TABLET,10.2,6.63,5.07,10.2,884 NDC,00904-7192-60,FEXOFENADINE 60 MG TABLET,5.6,3.64,2.78,5.6,884 NDC,00904-7193-06,FAMOTIDINE 20 MG TABLET,5.4,3.51,2.68,5.4,884 NDC,00904-7199-07,PHENYTOIN 50 MG CHEWABLE TABLET,8.7,5.66,4.32,8.7,884 NDC,00904-7206-60,SIMETHICONE 80 MG CHEWABLE TABLET,2.1,1.37,1.04,2.1,884 NDC,00904-7217-61,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",6.3,4.09,3.13,6.3,884 NDC,00904-7219-61,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",6.4,4.16,3.18,6.4,884 NDC,00904-7220-61,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",9.9,6.44,4.92,9.9,884 NDC,00904-7227-61,CLONAZEPAM 0.5 MG TABLET,11.4,7.41,5.67,11.4,884 NDC,00904-7230-06,SACCHAROMYCES BOULARDII 250 MG CAPSULE,4.3,2.8,2.14,4.3,884 NDC,00904-7236-61,MEGESTROL 40 MG TABLET,5.8,3.77,2.88,5.8,884 NDC,00904-7243-61,CIPROFLOXACIN 500 MG TABLET,6.0,3.9,2.98,6.0,884 NDC,00904-7244-68,LACOSAMIDE 50 MG TABLET,13.6,8.84,6.76,13.6,884 NDC,00904-7245-68,LACOSAMIDE 100 MG TABLET,16.7,10.86,8.3,16.7,884 NDC,00904-7248-04,SIROLIMUS 1 MG TABLET,33.4,21.71,16.6,32.4,880 NDC,00904-7252-61,SENNOSIDES 8.6 MG TABLET,2.2,1.43,1.09,2.2,884 NDC,00904-7261-61,SODIUM BICARBONATE 650 MG TABLET,2.5,1.63,1.24,2.5,884 NDC,00904-7262-61,OXCARBAZEPINE 150 MG TABLET,6.7,4.36,3.33,6.7,884 NDC,00904-7263-61,OXCARBAZEPINE 300 MG TABLET,7.7,5.01,3.83,7.7,884 NDC,00904-7265-94,LEVETIRACETAM 100 MG/ML ORAL SOLUTION (WRAPPER),7.9,5.14,3.93,7.9,884 NDC,00904-7276-70,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",6.7,4.36,3.33,6.7,884 NDC,00904-7279-72,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID,5.8,3.77,2.88,5.8,884 NDC,00904-7288-61,BENZTROPINE 0.5 MG TABLET,6.3,4.09,3.13,6.3,884 NDC,00904-7289-61,BENZTROPINE 1 MG TABLET,6.4,4.16,3.18,6.4,884 NDC,00904-7304-61,PROMETHAZINE 25 MG TABLET,5.6,3.64,2.78,5.6,884 NDC,00904-7305-61,CARVEDILOL 3.125 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,00904-7308-61,CARVEDILOL 25 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,00904-7321-76,ACETAMINOPHEN 32 MG/ML ORAL SOLUTION (WRAPPER),0.5,0.33,0.25,0.5,884 NDC,00904-7345-61,FLUOXETINE 10 MG CAPSULE,5.4,3.51,2.68,5.4,884 NDC,00904-7346-61,FLUOXETINE 20 MG CAPSULE,5.4,3.51,2.68,5.4,884 NDC,00904-7350-06,AZITHROMYCIN 250 MG TABLET,7.3,4.75,3.63,7.3,884 NDC,00904-7361-61,RISPERIDONE 0.5 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,00904-7367-06,ARIPIPRAZOLE 5 MG TABLET,6.6,4.29,3.28,6.6,884 NDC,00904-7376-61,MECLIZINE 25 MG TABLET,6.5,4.22,3.23,6.5,884 NDC,00904-7401-61,CYCLOBENZAPRINE 10 MG TABLET,5.6,3.64,2.78,5.6,884 NDC,00904-7411-61,AMITRIPTYLINE 50 MG TABLET,6.7,4.36,3.33,6.7,884 NDC,00904-7418-44,MAGNESIUM CITRATE ORAL SOLUTION,0.5,0.33,0.25,0.5,884 NDC,00904-7440-61,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,2.5,1.63,1.24,2.5,884 NDC,00904-7470-18,SUCRALFATE 100 MG/ML ORAL SUSPENSION,13.3,8.64,6.61,13.3,884 NDC,00904-7478-35,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,55.9,36.34,27.78,55.9,884 NDC,00904-7486-02,FEXOFENADINE 180 MG TABLET,6.3,4.09,3.13,6.3,884 NDC,00904-7505-61,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",10.0,6.5,4.97,10.0,884 NDC,00904-7509-30,ASPIRIN 81 MG CHEWABLE TABLET,0.5,0.33,0.25,0.5,884 NDC,00904-7510-61,CETIRIZINE 10 MG TABLET,2.4,1.56,1.19,2.4,884 NDC,00904-7511-61,LORATADINE 10 MG TABLET,2.8,1.82,1.39,2.8,884 NDC,00904-7522-08,DOFETILIDE 125 MCG CAPSULE,14.4,9.36,7.16,14.4,884 NDC,00904-7523-08,DOFETILIDE 250 MCG CAPSULE,17.6,11.44,8.75,17.6,884 NDC,00904-7591-61,FERROUS SULFATE 325 MG (65 MG IRON) TABLET (WRAPPER),2.2,1.43,1.09,2.2,884 NDC,00904-7728-61,CLONAZEPAM 1 MG TABLET,11.4,7.41,5.67,11.4,884 NDC,00904-7914-61,IBUPROFEN 200 MG TABLET,0.5,0.33,0.25,0.5,884 NDC,00904-8805-67,"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT",2.5,1.63,1.24,2.5,884 NDC,00941-0409-01,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,89.0,57.85,44.23,89.0,880 NDC,00941-0413-01,PERITON. DIALYSIS SOLN 13-2.5 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,189.0,122.85,93.93,189.0,880 NDC,00941-0424-52,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,103.0,66.95,51.19,103.0,880 NDC,00941-0430-52,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,286.5,186.23,142.39,286.5,880 NDC,00941-0433-52,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,103.0,66.95,51.19,103.0,880 NDC,00941-0457-01,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,89.0,57.85,44.23,89.0,880 NDC,00941-0459-01,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,89.0,57.85,44.23,89.0,880 NDC,00942-0641-04,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 730 MG/100 ML SOLN,96.0,62.4,47.71,96.0,880 NDC,00942-0641-04,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 730 MG/100 ML SOLN (CRRT WITH INTAKE),96.0,62.4,47.71,96.0,880 NDC,00942-9504-10,SODIUM CITRATE 4 % INTRAVENOUS SOLUTION,198.8,129.22,98.8,198.8,880 NDC,00944-0495-05,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",163.5,106.28,53.08,158.6,884 NDC,00944-0495-05,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION (PERFUSION ONLY)",163.5,106.28,53.08,158.6,884 NDC,00944-2656-03,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 10% IV SOLUTION (RESTRICTED)",2356.7,1531.86,78.8,2286.0,884 NDC,00944-2656-03,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION (RESTRICTED)",2356.7,1531.86,78.8,2286.0,884 NDC,00944-2658-04,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 10% IV SOLUTION (RESTRICTED)",6145.2,3994.38,78.8,5960.84,884 NDC,00944-2658-04,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION (RESTRICTED)",6145.2,3994.38,78.8,5960.84,884 NDC,00944-2700-04,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",1395.5,907.08,45.31,1353.64,884 NDC,00944-2700-05,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",2766.0,1797.9,45.31,2683.02,884 NDC,00944-2700-06,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",5507.0,3579.55,45.31,5341.79,884 NDC,00944-2700-07,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",8048.0,5231.2,45.31,7806.56,884 NDC,00944-3045-10,"ANTIHEMOPHILIC FVIII,FULL LENGTH (ALB-FREE) -- ADVATE (BRAND SPLIT) (RESTRICTED)",41.3,26.85,1.61,40.06,884 NDC,00944-4622-01,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 250 (+/-) UNIT IV SOLUTION",44.0,28.6,2.1,42.68,884 NDC,00944-4623-01,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 500 (+/-) UNIT IV SOLUTION",44.0,28.6,2.1,42.68,884 NDC,00944-4624-01,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 1,000(+/-) UNIT IV SOLUTION",44.0,28.6,2.1,42.68,884 NDC,00944-4625-01,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 2,000(+/-) UNIT IV SOLUTION",44.0,28.6,2.1,42.68,884 NDC,00944-4627-01,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 1,500(+/-) UNIT IV SOLUTION",44.0,28.6,2.1,42.68,884 NDC,00990-7670-09,ELECTROLYTE-R (PH 7.4) INTRAVENOUS SOLUTION,83.8,54.47,41.65,83.8,880 NDC,00990-7715-02,MANNITOL 20 % INTRAVENOUS INJECTION PERFUSION ONLY,195.5,127.08,97.16,195.5,880 NDC,00990-7715-02,MANNITOL 20 % INTRAVENOUS SOLUTION,195.5,127.08,97.16,195.5,880 NDC,00990-7922-61,D5W 500 ML FOR IMPELLA,200.4,130.26,99.6,200.4,880 NDC,00990-7922-61,D5W IV BOLUS,102.2,66.43,50.79,102.2,880 NDC,00990-7922-61,D5W IV FIXED RATE (ANES ONLY),91.3,59.35,45.38,88.56,880 NDC,00990-7935-19,DEXTROSE 20 % IN WATER (D20W) INTRAVENOUS SOLUTION,192.3,125.0,95.57,192.3,880 NDC,00990-7935-19,DEXTROSE 20 % IN WATER (D20W) IV BOLUS (NEO/PED),192.3,125.0,95.57,192.3,880 NDC,00990-7936-19,DEXTROSE 50 % IN WATER (D50W) INFUSION BAG,215.0,139.75,106.86,215.0,880 NDC,00990-7983-03,NACL 0.9 % TABLE SOLUTION OSM,22.5,14.63,11.18,21.83,880 NDC,00990-7983-03,NACL 0.9% INTRAPLEURAL FLUSH,77.1,50.12,38.32,74.79,880 NDC,00990-7983-03,SODIUM CHLORIDE 0.9 % FLUSH BAG,76.8,49.92,38.17,74.5,880 NDC,00990-7983-61,NACL 0.9 % IV FREE DRIP,90.8,59.02,45.13,90.8,880 NDC,00990-7983-61,NACL 0.9 % TABLE SOLUTION OSM,58.8,38.22,29.22,58.8,880 NDC,00990-7983-61,NACL 0.9% INTRAPLEURAL FLUSH,81.3,52.85,40.41,81.3,880 NDC,00990-7983-61,NACL 0.9% IV BOLUS,77.7,50.51,38.62,75.37,880 NDC,00990-7983-61,NACL 0.9% IV SOLP,90.8,59.02,45.13,88.08,880 NDC,00990-7983-61,NACL 0.9% IV SOLP (PERFUSION ONLY),90.8,59.02,45.13,90.8,880 NDC,00990-7983-61,SODIUM CHLORIDE 0.9 % FLUSH BAG,80.3,52.2,39.91,80.3,880 NDC,00990-7985-02,NACL 0.45% FREE DRIP,91.7,59.61,45.57,91.7,880 NDC,00990-7985-02,NACL 0.45% IV BOLUS,91.7,59.61,45.57,91.7,880 NDC,00990-7985-02,NACL 0.45% IV SOLP,91.7,59.61,45.57,91.7,880 NDC,00990-7985-02,NACL 0.45% IV SOLP CRRT,211.8,137.67,105.26,211.8,880 NDC,05105-0105-00,"PHYTONADIONE (VITAMIN K1) 1,000 MCG CAPSULE",2.5,1.63,1.24,2.5,884 NDC,05730-0513-30,MULTIVIT AND MINERALS-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQUID (WRAPPER),0.5,0.33,0.25,0.5,884 NDC,05928-0003-08,"SODIUM CHLORIDE, SODIUM BICARB-NASAL RINSE SQUEEZE BOTTLE WITH PACKET",72.7,47.26,36.13,72.7,884 NDC,07583-3601-02,HEPZATO,684886.36,187500.0,187500.0,187500.0,3 NDC,07610-0021-20,SELENIUM 50 MCG TABLET,2.2,1.43,1.09,2.2,884 NDC,08065-1839-05,CHONDROITIN-SOD HYALURON 4%-3% (40 MG-30 MG/ML) INTRAOCULAR SYRINGE,244.7,159.06,121.62,244.7,880 NDC,08880-1504-01,INVESTIGATIONAL FLUOROESTRADIOL F 18 INJECTION USP,,,460.42,2977.0,23 NDC,08880-1510-01,INVESTIGATIONAL TETRAFLUOROBORATE F 18 INJECTION USP,,,2680.0,2977.0,19 NDC,08880-1512-01,INVESTIGATIONAL AV1451 F 18 INJECTION,,,2680.0,2977.0,19 NDC,08880-1514-01,INVESTIGATIONAL PIB C 11 INJECTION,,,2680.0,2977.0,19 NDC,08880-1519-01,INVESTIGATIONAL TECHNETIUM TC 99M MIP INJECTION,,,2680.0,2977.0,19 NDC,08880-1520-01,INVESTIGATIONAL FLT F 18 INJECTION,,,2680.0,2977.0,19 NDC,08880-1523-01,INVESTIGATIONAL FDOPA F 18 INJECTION,,,2680.0,2977.0,19 NDC,08880-1525-01,INVESTIGATIONAL 177LU-PSMA-617 INTRAVENOUS SOLUTION,,,2680.0,2977.0,19 NDC,08880-1546-01,INVESTIGATIONAL TECHNETIUM TC 99M CARBON INHALATION,,,2680.0,2977.0,19 NDC,08880-1547-01,INVESTIGATIONAL CLR I-131 INJECTION,,,2680.0,2977.0,19 NDC,08880-1583-01,INVESTIGATIONAL 111 INDIUM ACTIVATED CHARCOAL,,,2680.0,2977.0,19 NDC,08880-1614-01,INVESTIGATIONAL FLORBETABEN F-18 INJECTION,,,2680.0,2977.0,19 NDC,08880-1615-01,INVESTIGATIONAL FLORBETAPIR F-18 INJECTION,,,1825.64,2977.0,23 NDC,08880-1723-01,INVESTIGATIONAL LUTETIUM LU 177 DOTATATE INTRAVENOUS SOLUTION,,,316.99,65885.28,22 NDC,08880-1946-01,INVESTIGATIONAL ACETATE C 11 INJECTION (C-11 ACETATE),,,2680.0,2977.0,19 NDC,08880-2442-01,INVESTIGATIONAL PSMA-R2 LU 177 INJECTION (PSMA-R2 LU-177),,,2680.0,2977.0,19 NDC,08880-2443-01,INVESTIGATIONAL PSMA-R2 GA 68 INJECTION (PSMA-R2 GA-68),,,2680.0,2977.0,19 NDC,08880-2444-01,INVESTIGATIONAL ER176 C 11 INJECTION (ER176 C-11),,,2680.0,2977.0,19 NDC,08880-2445-01,INVESTIGATIONAL PSMA1007 F 18 INJECTION (PSMA1007 F-18),,,2680.0,2977.0,19 NDC,08880-2618-01,INVESTIGATIONAL FLUCICLOVINE F18 INTRAVENOUS SOLUTION,,,322.27,2977.0,23 NDC,08880-2706-01,INVESTIGATIONAL MK-6240 F-18 INJECTION,,,2680.0,2977.0,19 NDC,08880-2707-01,INVESTIGATIONAL NAV4694 F-18 INJECTION,,,2680.0,2977.0,19 NDC,08880-2865-01,INVESTIGATIONAL GALLIUM GA 68 VMT02 (GA-68 VMT02),,,2680.0,2977.0,19 NDC,08880-2866-01,INVESTIGATIONAL LEAD PB 203 VMT01 (PB-203 VMT01) INJECTION,,,2680.0,2977.0,19 NDC,08880-2929-01,INVESTIGATIONAL RADIUM RA 223 INJECTION,,,172.22,198.05,3 NDC,08880-3419-01,INVESTIGATIONAL LUTETIUM DTPA-OMBURTAMAB (LU-177 DTPA-OMBURTAMAB) INTRAVENOUS SOLUTION,,,316.99,65885.28,22 NDC,08880-3512-01,INVESTIGATIONAL 177LU-FAP-2286 INTRAVENOUS SOLUTION,,,2680.0,2977.0,19 NDC,08880-3514-01,INVESTIGATIONAL 68GA-FAP-22866 INTRAVENOUS SOLUTION,,,2680.0,2977.0,19 NDC,08880-3970-01,INVESTIGATIONAL 68GA-FAPI-46 INJECTION,,,2680.0,2977.0,19 NDC,08880-4063-01,INVESTIGATIONAL PSMA-11-HBED CC GA 68 INJECTION (GA-68 11-HBED),,,2680.0,2977.0,19 NDC,08880-4181-01,INVESTIGATIONAL 64CU-SAR-BISPSMA INTRAVENOUS SOLUTION,,,2680.0,2977.0,19 NDC,08880-4182-01,INVESTIGATIONAL 67CU-SAR-BISPSMA INTRAVENOUS SOLUTION,,,2680.0,2977.0,19 NDC,08880-4184-01,INVESTIGATIONAL YTTRIUM Y 90 GLASS MICROSPHERES,,,2680.0,2977.0,19 NDC,08880-4198-01,INVESTIGATIONAL 15O-WATER INTRAVENOUS INJECTION,,,2680.0,2977.0,19 NDC,08880-4361-01,INVESTIGATIONAL 18F-OP-801 INJECTION,,,2680.0,2977.0,19 NDC,08880-4417-01,INVESTIGATIONAL I 123 ALTROPANE,,,2680.0,2977.0,19 NDC,08880-4431-01,INVESTIGATIONAL IOBENGUANE I-123 INJECTION,,,2317.5,2977.0,23 NDC,08880-4501-01,INVESTIGATIONAL IOFLUPANE I 123 INJECTION,,,1387.74,2977.0,23 NDC,08880-4505-01,INVESTIGATIONAL F-18-PI-2620 INJECTION,,,2680.0,2977.0,19 NDC,08880-4512-01,INVESTIGATIONAL ZIRCONIUM ZR 89 CREFMIRLIMAB BERDOXAM,,,2680.0,2977.0,19 NDC,08880-4573-01,INVESTIGATIONAL FLORTAUCIPIR F-18 INJECTION,,,2680.0,2977.0,19 NDC,08880-4592-01,INVESTIGATIONAL AC 225 DOTATATE,,,2680.0,2977.0,19 NDC,08880-4679-01,INVESTIGATIONAL 18F-FAPI-74 INJECTION,,,2680.0,2977.0,19 NDC,08880-4798-01,INVESTIGATIONAL SODIUM FLUORIDE F18 USP,,,2680.0,2977.0,19 NDC,08880-4832-01,INVESTIGATIONAL LEAD PB 203 VMT-ALPHA-NET (PB-203 VMT ALPHA NET) INJECTION,,,2680.0,2977.0,19 NDC,08880-4833-01,INVESTIGATIONAL LEAD PB 212 VMT-ALPHA-NET (PB-212 VMT ALPHA NET) INJECTION,,,2680.0,2977.0,19 NDC,08880-4834-01,INVESTIGATIONAL GALLIUM GA-68 DOTATATE (GA-68 DOTATATE),,,2680.0,2977.0,19 NDC,08880-4854-01,INVESTIGATIONAL 18F RHPSMA-7.3 PSMA (POSLUMA) INJECTION,,,2680.0,2977.0,19 NDC,08880-5238-01,INVESTIGATIONAL TECHNETIUM TC 99M SULFUR COLLOID SOLUTION,,,2680.0,2977.0,19 NDC,08880-5259-01,INVESTIGATIONAL PIFLUFOLASTAT F 18 INJECTION,,,2680.0,2977.0,19 NDC,08880-5264-01,INVESTIGATIONAL FLOTUFOLASTAT F 18 INJECTION,,,2680.0,2977.0,19 NDC,08880-5371-01,INVESTIGATIONAL GA 68 GA-NEOB (GA-68 NEOB) INJECTION,,,2680.0,2977.0,19 NDC,08880-5382-01,"INVESTIGATIONAL GA 68 TETRAHXETAN GLYPICAN-3, GA-68 DOTA GPC3 (RYZ811) INJECTION",,,2680.0,2977.0,19 NDC,08880-5411-01,INVESTIGATIONAL 111IN-ABD147 INJECTION,,,2680.0,2977.0,19 NDC,08880-5425-01,INVESTIGATIONAL IODINE 124I EVUZAMITIDE,,,2680.0,2977.0,19 NDC,08880-5572-01,INVESTIGATIONAL 68GA-GA-NNS309 INJECTION,,,2680.0,2977.0,19 NDC,08880-5892-01,INVESTIGATIONAL CU-64 LNTH-1363S INJECTION,,,2680.0,2977.0,19 NDC,08881-3616-01,INVESTIGATIONAL LUTETIUM LU 177 EDOTREOTIDE INTRAVENOUS SOLUTION,,,2680.0,2977.0,19 NDC,08888-0000-46,ALLOPURINOL 150 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0000-47,ALLOPURINOL 50 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0000-49,AMILORIDE 2.5 MG PARTIAL (1/2) TABLET,6.0,3.9,2.98,6.0,884 NDC,08888-0000-52,AMITRIPTYLINE 12.5 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0000-53,AMITRIPTYLINE 5 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0000-54,AMLODIPINE 1.25 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0000-56,ARIPIPRAZOLE 1 MG PARTIAL (1/2) TABLET,5.9,3.84,2.93,5.9,884 NDC,08888-0000-59,ARIPIPRAZOLE 2.5 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0000-62,ATENOLOL 12.5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0000-65,ATORVASTATIN 5 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0000-66,AZATHIOPRINE 25 MG PARTIAL (1/2) TABLET,5.8,3.77,2.88,5.63,880 NDC,08888-0000-67,AZITHROMYCIN 125 MG PARTIAL (1/2) TABLET,6.2,4.03,3.08,6.2,884 NDC,08888-0000-69,BENAZEPRIL 2.5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0000-71,BETAXOLOL 5 MG PARTIAL (1/2) TABLET,6.1,3.97,3.03,6.1,884 NDC,08888-0000-72,BETHANECHOL CHLORIDE 12.5 MG PARTIAL (1/2) TABLET,5.8,3.77,2.88,5.8,884 NDC,08888-0000-73,BETHANECHOL CHLORIDE 2.5 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0000-74,BISOPROLOL FUMARATE 2.5 MG PARTIAL (1/2) TABLET,6.3,4.09,3.13,6.3,884 NDC,08888-0000-75,BISOPROLOL 1.25 MG-HYDROCHLOROTHIAZIDE 3.125 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0000-76,BISOPROLOL 5 MG-HYDROCHLOROTHIAZIDE 3.125 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0000-77,BOSENTAN 31.25 MG PARTIAL (1/2) TABLET,386.5,251.23,192.09,386.5,884 NDC,08888-0000-78,BROMOCRIPTINE 1.25 MG PARTIAL (1/2) TABLET,7.5,4.88,3.73,7.5,884 NDC,08888-0000-79,BUMETANIDE 0.25 MG PARTIAL (1/2) TABLET,5.9,3.84,2.93,5.9,884 NDC,08888-0000-81,BUPROPION HCL 37.5 MG PARTIAL (1/2) TABLET,6.7,4.36,3.33,6.7,884 NDC,08888-0000-82,BUPROPION HCL 50 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0000-83,BUSPIRONE 2.5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0000-84,CABERGOLINE 0.25 MG PARTIAL (1/2) TABLET,18.2,11.83,9.05,18.2,884 NDC,08888-0000-85,CANDESARTAN 2 MG PARTIAL (1/2) TABLET,8.7,5.66,4.32,8.7,884 NDC,08888-0000-88,CAPTOPRIL 6.25 MG PARTIAL (1/2) TABLET,6.5,4.22,3.23,6.5,884 NDC,08888-0000-89,CARBAMAZEPINE 100 MG PARTIAL (1/2) TABLET,8.8,5.72,4.37,8.8,884 NDC,08888-0000-90,CARBAMAZEPINE 50 MG PARTIAL (1/2) CHEWABLE TABLET,5.9,3.84,2.93,5.9,884 NDC,08888-0000-91,CARBIDOPA 12.5 MG PARTIAL (1/2) TABLET,6.4,4.16,3.18,6.4,884 NDC,08888-0000-92,CARBIDOPA 5 MG-LEVODOPA 50 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0000-93,CARBIDOPA 12.5 MG-LEVODOPA 125 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0000-94,CARBIDOPA 12.5 MG-LEVODOPA 50 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0000-96,CARVEDILOL 1.5625 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0000-97,CEFUROXIME AXETIL 125 MG PARTIAL (1/2) TABLET,11.2,7.28,5.57,11.2,884 NDC,08888-0001-00,CHLORPROMAZINE 12.5 MG PARTIAL (1/2) TABLET,12.3,8.0,6.11,12.3,884 NDC,08888-0001-02,CHLORTHALIDONE 12.5 MG PARTIAL (1/2) TABLET,6.6,4.29,3.28,6.6,884 NDC,08888-0001-03,CILOSTAZOL 25 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0001-04,CINACALCET 15 MG PARTIAL (1/2) TABLET,50.8,33.02,25.25,50.8,884 NDC,08888-0001-05,CIPROFLOXACIN 125 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0001-06,CITALOPRAM 5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0001-07,CLARITHROMYCIN 125 MG PARTIAL (1/2) TABLET,6.6,4.29,3.28,6.6,884 NDC,08888-0001-08,CLONAZEPAM 0.25 MG PARTIAL (1/2) TABLET,10.7,6.96,5.32,10.7,884 NDC,08888-0001-09,CLONIDINE HCL 0.05 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0001-10,CLOPIDOGREL 37.5 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0001-11,CLOZAPINE 12.5 MG PARTIAL (1/2) TABLET,5.9,3.84,2.93,5.9,884 NDC,08888-0001-12,COLCHICINE 0.3 MG PARTIAL (1/2) TABLET,12.1,7.87,6.01,12.1,884 NDC,08888-0001-13,COLESEVELAM 312.5 MG PARTIAL (1/2) TABLET,10.5,6.83,5.22,10.5,884 NDC,08888-0001-14,CORTISONE 12.5 MG PARTIAL (1/2) TABLET,29.4,19.11,14.61,29.4,884 NDC,08888-0001-15,CYCLOBENZAPRINE 2.5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0001-18,CYPROHEPTADINE 2 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0001-19,DAPSONE 12.5 MG PARTIAL (1/2) TABLET,8.0,5.2,3.98,8.0,884 NDC,08888-0001-20,DESMOPRESSIN 0.05 MG PARTIAL (1/2) TABLET,7.9,5.14,3.93,7.9,884 NDC,08888-0001-21,DEXAMETHASONE 0.25 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0001-24,DIGOXIN 62.5 MCG PARTIAL (1/2) TABLET,6.5,4.22,3.23,6.5,884 NDC,08888-0001-25,DILTIAZEM 15 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0001-26,DILTIAZEM 45 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0001-27,DIMENHYDRINATE 25 MG PARTIAL (1/2) TABLET,2.1,1.37,1.04,2.1,884 NDC,08888-0001-28,DIPYRIDAMOLE 12.5 MG PARTIAL (1/2) TABLET,5.7,3.71,2.83,5.7,884 NDC,08888-0001-31,DONEPEZIL 2.5 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0001-32,DOXAZOSIN 0.5 MG PARTIAL (1/2) TABLET,6.4,4.16,3.18,6.4,884 NDC,08888-0001-33,DRONEDARONE 200 MG PARTIAL (1/2) TABLET,21.9,14.24,10.88,21.9,884 NDC,08888-0001-35,ENALAPRIL MALEATE 1.25 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0001-36,ENTACAPONE 100 MG PARTIAL (1/2) TABLET,11.8,7.67,5.86,11.8,884 NDC,08888-0001-37,EPLERENONE 12.5 MG PARTIAL (1/2) TABLET,23.7,15.41,11.78,23.7,884 NDC,08888-0001-40,ERYTHROMYCIN ETHYLSUCCINATE 200 MG PARTIAL (1/2) TABLET,24.8,16.12,12.33,24.8,884 NDC,08888-0001-41,ESCITALOPRAM 2.5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0001-42,ESTRADIOL 0.25 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0001-43,CONJUGATED ESTROGENS 0.15 MG PARTIAL (1/2) TABLET,13.6,8.84,6.76,13.6,884 NDC,08888-0001-45,ETHACRYNIC ACID 12.5 MG PARTIAL (1/2) TABLET,36.0,23.4,17.89,36.0,884 NDC,08888-0001-46,ETHAMBUTOL 50 MG PARTIAL (1/2) TABLET,5.8,3.77,2.88,5.8,884 NDC,08888-0001-48,EZETIMIBE 5 MG PARTIAL (1/2) TABLET,15.9,10.34,7.9,15.9,884 NDC,08888-0001-54,FEBUXOSTAT 20 MG PARTIAL (1/2) TABLET,22.0,14.3,10.93,22.0,884 NDC,08888-0001-55,FELBAMATE 200 MG PARTIAL (1/2) TABLET,10.8,7.02,5.37,10.8,884 NDC,08888-0001-56,FELBAMATE 300 MG PARTIAL (1/2) TABLET,8.8,5.72,4.37,8.8,884 NDC,08888-0001-57,FENOFIBRATE NANOCRYSTALLIZED 24 MG PARTIAL (1/2) TABLET,6.4,4.16,3.18,6.4,884 NDC,08888-0001-58,FENOFIBRATE NANOCRYSTALLIZED 72.5 MG PARTIAL (1/2) TABLET,7.6,4.94,3.78,7.6,884 NDC,08888-0001-59,FEXOFENADINE 30 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0001-61,FINASTERIDE 2.5 MG PARTIAL (1/2) TABLET,6.0,3.9,2.98,6.0,884 NDC,08888-0001-62,FLECAINIDE 25 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0001-63,FLUCONAZOLE 25 MG PARTIAL (1/2) TABLET,6.0,3.9,2.98,6.0,884 NDC,08888-0001-64,FLUDROCORTISONE 0.05 MG PARTIAL (1/2) TABLET,5.7,3.71,2.83,5.7,884 NDC,08888-0001-66,FLUVOXAMINE 12.5 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0001-67,FOLIC ACID 0.5 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0001-68,FOSINOPRIL 5 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0001-69,FUROSEMIDE 10 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0001-70,GALANTAMINE 2 MG PARTIAL (1/2) TABLET,10.7,6.96,5.32,10.7,884 NDC,08888-0001-71,GEMFIBROZIL 300 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0001-72,GLIMEPIRIDE 0.5 MG PARTIAL (1/2) TABLET,6.4,4.16,3.18,6.4,884 NDC,08888-0001-73,GLIPIZIDE 2.5 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0001-74,GLYBURIDE 0.625 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0001-76,GLYCOPYRROLATE 0.5 MG PARTIAL (1/2) TABLET,6.6,4.29,3.28,6.6,884 NDC,08888-0001-77,GRANISETRON HCL 0.5 MG PARTIAL (1/2) TABLET,8.5,5.53,4.22,8.5,884 NDC,08888-0001-78,GUANFACINE 0.5 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0001-79,HALOPERIDOL 0.25 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0001-80,HALOPERIDOL 2.5 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0001-81,HYDRALAZINE 12.5 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0001-82,HYDRALAZINE 5 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0001-83,HYDROCHLOROTHIAZIDE 6.25 MG PARTIAL (1/2) TABLET,6.0,3.9,2.98,6.0,884 NDC,08888-0001-84,HYDROCORTISONE 2.5 MG PARTIAL (1/2) TABLET,6.5,4.22,3.23,6.5,884 NDC,08888-0001-86,HYDROXYCHLOROQUINE 100 MG PARTIAL (1/2) TABLET,7.4,4.81,3.68,7.4,884 NDC,08888-0001-87,HYDROXYZINE HCL 12.5 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0001-88,HYDROXYZINE HCL 5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0001-89,HYOSCYAMINE 0.0625 MG PARTIAL (1/2) SUBLINGUAL TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0001-90,"HYOSCYAMINE ER 0.188 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE,12 HR",5.9,3.84,2.93,5.9,884 NDC,08888-0001-92,IMIPRAMINE 5 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0001-93,INDAPAMIDE 0.625 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0001-97,ISOSORBIDE DINITRATE 2.5 MG PARTIAL (1/2) TABLET,6.4,4.16,3.18,6.4,884 NDC,08888-0001-98,"ISOSORBIDE MONONITRATE ER 15 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE 24 HR",5.3,3.45,2.63,5.3,884 NDC,08888-0001-99,ISOSORBIDE MONONITRATE 5 MG PARTIAL (1/2) TABLET,9.9,6.44,4.92,9.9,884 NDC,08888-0002-00,KETOCONAZOLE 100 MG PARTIAL (1/2) TABLET,7.5,4.88,3.73,7.5,884 NDC,08888-0002-01,KETOROLAC 5 MG PARTIAL (1/2) TABLET,6.5,4.22,3.23,6.5,884 NDC,08888-0002-03,LABETALOL 50 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0002-04,LAMIVUDINE 50 MG PARTIAL (1/2) TABLET,12.6,8.19,6.26,12.6,884 NDC,08888-0002-06,LAMOTRIGINE 12.5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0002-11,LEFLUNOMIDE 5 MG PARTIAL (1/2) TABLET,8.7,5.66,4.32,8.7,884 NDC,08888-0002-12,LEUCOVORIN CALCIUM 2.5 MG PARTIAL (1/2) TABLET,7.1,4.62,3.53,7.1,884 NDC,08888-0002-13,LEVETIRACETAM 125 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0002-14,LEVETIRACETAM 375 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0002-16,LEVOFLOXACIN 125 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0002-17,LEVOTHYROXINE 12.5 MCG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0002-18,LEVOTHYROXINE 37.5 MCG PARTIAL (1/2) TABLET,5.6,3.64,2.78,5.6,884 NDC,08888-0002-19,LEVOTHYROXINE 44 MCG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0002-20,LEVOTHYROXINE 56 MCG PARTIAL (1/2) TABLET,5.9,3.84,2.93,5.9,884 NDC,08888-0002-21,LEVOTHYROXINE 62.5 MCG PARTIAL (1/2) TABLET,5.7,3.71,2.83,5.7,884 NDC,08888-0002-22,LIOTHYRONINE 12.5 MCG PARTIAL (1/2) TABLET,6.2,4.03,3.08,6.2,884 NDC,08888-0002-24,LISINOPRIL 1.25 MG PARTIAL (1/2) TABLET,6.0,3.9,2.98,6.0,884 NDC,08888-0002-27,LITHIUM CARBONATE 150 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0002-28,"LITHIUM CARBONATE ER 225 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE",6.0,3.9,2.98,6.0,884 NDC,08888-0002-29,LORATADINE 5 MG PARTIAL (1/2) TABLET,2.4,1.56,1.19,2.4,884 NDC,08888-0002-30,LORAZEPAM 0.25 MG PARTIAL (1/2) TABLET,10.1,6.57,5.02,10.1,884 NDC,08888-0002-31,LOSARTAN 12.5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0002-34,LURASIDONE 10 MG PARTIAL (1/2) TABLET,62.6,40.69,31.11,62.6,884 NDC,08888-0002-39,MECLIZINE 6.25 MG PARTIAL (1/2) TABLET,5.8,3.77,2.88,5.8,884 NDC,08888-0002-40,MEDROXYPROGESTERONE 1.25 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0002-41,MEDROXYPROGESTERONE 5 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0002-42,MEGESTROL 10 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0002-44,MEMANTINE 2.5 MG PARTIAL (1/2) TABLET,5.7,3.71,2.83,5.7,884 NDC,08888-0002-45,MERCAPTOPURINE 25 MG PARTIAL (1/2) TABLET,7.0,4.55,3.48,7.0,884 NDC,08888-0002-48,METAXALONE 400 MG PARTIAL (1/2) TABLET,8.7,5.66,4.32,8.7,884 NDC,08888-0002-49,METFORMIN 250 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0002-50,METFORMIN 425 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0002-52,METHENAMINE HIPPURATE 0.5 GRAM PARTIAL (1/2) TABLET,8.8,5.72,4.37,8.8,884 NDC,08888-0002-53,METHIMAZOLE 2.5 MG PARTIAL (1/2) TABLET,5.6,3.64,2.78,5.6,884 NDC,08888-0002-54,METHOCARBAMOL 250 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0002-56,METHYLDOPA 125 MG PARTIAL (1/2) TABLET,17.2,11.18,8.55,17.2,884 NDC,08888-0002-58,METOCLOPRAMIDE 2.5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0002-59,METOLAZONE 1.25 MG PARTIAL (1/2) TABLET,6.7,4.36,3.33,6.7,884 NDC,08888-0002-60,METOPROLOL TARTRATE 12.5 MG PO PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0002-61,"METOPROLOL SUCCINATE ER 12.5 MG PARTIAL (1/2) TABLET, EXTENDED RELEASE",5.9,3.84,2.93,5.9,884 NDC,08888-0002-63,METRONIDAZOLE 125 MG PARTIAL (1/2) TABLET,5.6,3.64,2.78,5.6,884 NDC,08888-0002-64,MIDODRINE 1.25 MG PARTIAL (1/2) TABLET,5.6,3.64,2.78,5.6,884 NDC,08888-0002-66,MINOXIDIL 1.25 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0002-69,MISOPROSTOL 50 MCG PARTIAL (1/2) TABLET,5.9,3.84,2.93,5.9,884 NDC,08888-0002-71,MOEXIPRIL 3.75 MG PARTIAL (1/2) TABLET,6.1,3.97,3.03,6.1,884 NDC,08888-0002-72,MOXIFLOXACIN 200 MG PARTIAL (1/2) TABLET,7.9,5.14,3.93,7.9,884 NDC,08888-0002-74,NADOLOL 10 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0002-75,NALTREXONE 25 MG PARTIAL (1/2) TABLET,8.3,5.4,4.13,8.3,884 NDC,08888-0002-76,NAPROXEN 125 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0002-77,NAPROXEN 187.5 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0002-80,NEFAZODONE 25 MG PARTIAL (1/2) TABLET,6.8,4.42,3.38,6.8,884 NDC,08888-0002-81,NEFAZODONE 50 MG PARTIAL (1/2) TABLET,6.9,4.49,3.43,6.9,884 NDC,08888-0002-82,NEFAZODONE 75 MG PARTIAL (1/2) TABLET,7.0,4.55,3.48,7.0,884 NDC,08888-0002-83,NEOMYCIN 250 MG PARTIAL (1/2) TABLET,6.3,4.09,3.13,6.3,884 NDC,08888-0002-84,ESTRADIOL-NORETHINDRONE ACET 0.5 MG-0.25 MG PARTIAL (1/2) TABLET,54.9,35.69,27.29,54.9,884 NDC,08888-0002-85,NORETHINDRONE ACETATE 2.5 MG PARTIAL (1/2) TABLET,7.9,5.14,3.93,7.9,884 NDC,08888-0002-87,OLANZAPINE 1.25 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0002-89,ONDANSETRON HCL 2 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0002-91,OXCARBAZEPINE 75 MG PARTIAL (1/2) TABLET,5.8,3.77,2.88,5.8,884 NDC,08888-0002-92,OXYBUTYNIN CHLORIDE 2.5 MG PARTIAL (1/2) TABLET,5.6,3.64,2.78,5.6,884 NDC,08888-0002-93,OXYCODONE 2.5 MG PARTIAL (1/2) TABLET,10.4,6.76,5.17,10.4,884 NDC,08888-0002-95,PAROXETINE 5 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0002-96,PENICILLIN V POTASSIUM 125 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0003-00,PHENAZOPYRIDINE 50 MG PARTIAL (1/2) TABLET,7.9,5.14,3.93,7.9,884 NDC,08888-0003-03,PHENYTOIN 25 MG PARTIAL (1/2) CHEWABLE TABLET,6.1,3.97,3.03,6.1,884 NDC,08888-0003-04,PHYTONADIONE (VITAMIN K1) 2.5 MG PARTIAL (1/2) TABLET,91.3,59.35,45.38,91.3,884 NDC,08888-0003-05,PILOCARPINE 2.5 MG PARTIAL (1/2) TABLET,8.8,5.72,4.37,8.8,884 NDC,08888-0003-07,PINDOLOL 2.5 MG PARTIAL (1/2) TABLET,5.9,3.84,2.93,5.9,884 NDC,08888-0003-09,PIOGLITAZONE 7.5 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0003-10,"POTASSIUM CHLORIDE ER 5 MEQ PARTIAL (1/2) TABLET,EXTENDED RELEASE(PART/CRYST)",5.6,3.64,2.78,5.6,884 NDC,08888-0003-11,PRAMIPEXOLE 0.0625 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0003-12,PRAVASTATIN 5 MG PARTIAL (1/2) TABLET,5.7,3.71,2.83,5.7,884 NDC,08888-0003-13,PRAZIQUANTEL 300 MG PARTIAL (1/2) TABLET,98.2,63.83,48.81,98.2,884 NDC,08888-0003-15,PREDNISONE 0.5 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.04,880 NDC,08888-0003-16,PREDNISONE 1.25 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.04,880 NDC,08888-0003-18,PRIMIDONE 125 MG PARTIAL (1/2) TABLET,6.0,3.9,2.98,6.0,884 NDC,08888-0003-19,PRIMIDONE 25 MG PARTIAL (1/2) TABLET,5.8,3.77,2.88,5.8,884 NDC,08888-0003-20,PROBENECID 250 MG PARTIAL (1/2) TABLET,7.3,4.75,3.63,7.3,884 NDC,08888-0003-22,PROCHLORPERAZINE MALEATE 2.5 MG PARTIAL (1/2) TABLET,5.6,3.64,2.78,5.6,884 NDC,08888-0003-25,PROMETHAZINE 6.25 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0003-26,PROPAFENONE 112.5 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0003-27,PROPAFENONE 75 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0003-28,PROPRANOLOL 5 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0003-29,PROPYLTHIOURACIL 25 MG PARTIAL (1/2) TABLET,8.9,5.79,4.42,8.9,884 NDC,08888-0003-31,PYRAZINAMIDE 250 MG PARTIAL (1/2) TABLET,11.8,7.67,5.86,11.8,884 NDC,08888-0003-32,PYRIDOSTIGMINE BROMIDE 30 MG PARTIAL (1/2) TABLET,6.0,3.9,2.98,6.0,884 NDC,08888-0003-33,"PYRIDOSTIGMINE BROMIDE ER 90 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE",21.2,13.78,10.54,21.2,884 NDC,08888-0003-34,QUETIAPINE 12.5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0003-36,QUINAPRIL 2.5 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0003-37,"QUINIDINE GLUCONATE ER 162 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE",16.9,10.99,8.4,16.9,884 NDC,08888-0003-38,QUINIDINE SULFATE 150 MG PARTIAL (1/2) TABLET,25.7,16.7,12.77,25.7,884 NDC,08888-0003-39,RAMELTEON 4 MG PARTIAL (1/2) TABLET,25.4,16.51,12.62,25.4,884 NDC,08888-0003-41,REPAGLINIDE 0.25 MG PARTIAL (1/2) TABLET,5.6,3.64,2.78,5.6,884 NDC,08888-0003-45,RILUZOLE 25 MG PARTIAL (1/2) TABLET,7.8,5.07,3.88,7.8,884 NDC,08888-0003-46,RIMANTADINE 50 MG PARTIAL (1/2) TABLET,8.6,5.59,4.27,8.6,884 NDC,08888-0003-47,RISPERIDONE 0.125 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0003-49,ROPINIROLE 0.125 MG PARTIAL (1/2) TABLET,5.7,3.71,2.83,5.7,884 NDC,08888-0003-51,ROSUVASTATIN 2.5 MG PARTIAL (1/2) TABLET,6.7,4.36,3.33,6.7,884 NDC,08888-0003-52,RUFINAMIDE 100 MG PARTIAL (1/2) TABLET,21.3,13.85,10.59,21.3,884 NDC,08888-0003-53,SALSALATE 250 MG PARTIAL (1/2) TABLET,7.1,4.62,3.53,7.1,884 NDC,08888-0003-54,SALSALATE 375 MG PARTIAL (1/2) TABLET,5.7,3.71,2.83,5.7,884 NDC,08888-0003-55,SERTRALINE 12.5 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0003-57,SILDENAFIL 10 MG PARTIAL (1/2) TABLET,5.7,3.71,2.83,5.7,884 NDC,08888-0003-58,SILDENAFIL 12.5 MG PARTIAL (1/2) TABLET,48.0,31.2,23.86,48.0,884 NDC,08888-0003-59,SIMVASTATIN 2.5 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0003-61,SOLIFENACIN 2.5 MG PARTIAL (1/2) TABLET,24.9,16.18,12.38,24.9,884 NDC,08888-0003-62,SOTALOL 40 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0003-63,SOTALOL 60 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0003-65,SPIRONOLACTONE 12.5 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0003-66,SUCRALFATE 0.5 GRAM PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0003-67,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0003-68,SULFASALAZINE 250 MG PARTIAL (1/2) TABLET,5.7,3.71,2.83,5.7,884 NDC,08888-0003-70,TAMOXIFEN 5 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0003-71,TELMISARTAN 10 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0003-72,TENOFOVIR DISOPROXIL FUMARATE 150 MG PARTIAL (1/2) TABLET,9.9,6.44,4.92,9.9,884 NDC,08888-0003-73,TERBINAFINE HCL 125 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0003-74,"THEOPHYLLINE ER 150 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE,12 HR",10.7,6.96,5.32,10.7,884 NDC,08888-0003-78,TIZANIDINE 1 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0003-81,TOLTERODINE 0.5 MG PARTIAL (1/2) TABLET,7.2,4.68,3.58,7.2,884 NDC,08888-0003-82,TOPIRAMATE 12.5 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0003-83,TORSEMIDE 2.5 MG PARTIAL (1/2) TABLET,5.8,3.77,2.88,5.8,884 NDC,08888-0003-85,TRAMADOL 25 MG PARTIAL (1/2) TABLET (RESTRICTED),10.3,6.7,5.12,10.3,884 NDC,08888-0003-86,TRANDOLAPRIL 0.5 MG PARTIAL (1/2) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0003-87,TRAZODONE 25 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0003-89,TRIAMTERENE 18.75 MG-HYDROCHLOROTHIAZIDE 12.5 MG PARTIAL (1/2) TABLET,6.1,3.97,3.03,6.1,884 NDC,08888-0003-90,TRIHEXYPHENIDYL 1 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0003-92,TRIMETHOPRIM 50 MG PARTIAL (1/2) TABLET,7.2,4.68,3.58,7.2,884 NDC,08888-0003-93,TROSPIUM 10 MG PARTIAL (1/2) TABLET (RESTRICTED),6.1,3.97,3.03,6.1,884 NDC,08888-0003-94,URSODIOL 125 MG PARTIAL (1/2) TABLET,8.6,5.59,4.27,8.6,884 NDC,08888-0003-95,VALACYCLOVIR 250 MG PARTIAL (1/2) TABLET,5.6,3.64,2.78,5.6,884 NDC,08888-0003-96,VALGANCICLOVIR 225 MG PARTIAL (1/2) TABLET,22.1,14.37,10.98,22.1,884 NDC,08888-0003-97,VALSARTAN 20 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0004-00,VENLAFAXINE 12.5 MG PARTIAL (1/2) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0004-01,VENLAFAXINE 18.75 MG PARTIAL (1/2) TABLET,5.8,3.77,2.88,5.8,884 NDC,08888-0004-02,VERAPAMIL 20 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0004-03,VERAPAMIL 60 MG PARTIAL (1/2) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0004-04,"VERAPAMIL ER (SR) 60 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE",5.4,3.51,2.68,5.4,884 NDC,08888-0004-05,"VERAPAMIL ER (SR) 90 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE",5.3,3.45,2.63,5.3,884 NDC,08888-0004-06,WARFARIN 0.5 MG PARTIAL (1/2) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0004-07,WARFARIN 1.25 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0004-09,WARFARIN 1.5 MG PARTIAL (1/2) TABLET,8.7,5.66,4.32,8.7,884 NDC,08888-0004-11,WARFARIN 3.75 MG PARTIAL (1/2) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0004-13,ALLOPURINOL 25 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0004-14,ALLOPURINOL 75 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0004-18,ARIPIPRAZOLE 0.5 MG PARTIAL (1/4) TABLET,5.8,3.77,2.88,5.8,884 NDC,08888-0004-21,ATENOLOL 6.25 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0004-23,ATORVASTATIN 2.5 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0004-25,BISOPROLOL FUMARATE 1.25 MG PARTIAL (1/4) TABLET,5.7,3.71,2.83,5.7,884 NDC,08888-0004-26,BOSENTAN 15.625 MG PARTIAL (1/4) TABLET,186.9,121.49,92.89,186.9,884 NDC,08888-0004-27,BUMETANIDE 0.125 MG PARTIAL (1/4) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0004-28,CAPTOPRIL 3.125 MG PARTIAL (1/4) TABLET,5.8,3.77,2.88,5.8,884 NDC,08888-0004-29,CARBAMAZEPINE 25 MG CHEWABLE PARTIAL (1/4) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0004-30,CARBIDOPA 6.25 MG-LEVODOPA 25 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0004-31,CARVEDILOL 0.7813 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0004-32,CHLORTHALIDONE 6.25 MG PARTIAL (1/4) TABLET,5.6,3.64,2.78,5.6,884 NDC,08888-0004-33,CIPROFLOXACIN 62.5 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0004-34,CITALOPRAM 2.5 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0004-35,CLONIDINE HCL 0.025 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0004-36,CLOZAPINE 6.25 MG PARTIAL (1/4) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0004-37,CYCLOBENZAPRINE 1.25 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0004-39,DESMOPRESSIN 0.025 MG PARTIAL (1/4) TABLET,6.5,4.22,3.23,6.5,884 NDC,08888-0004-40,DIGOXIN 31.25 MCG PARTIAL (1/4) TABLET,5.8,3.77,2.88,5.8,884 NDC,08888-0004-41,DILTIAZEM 7.5 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0004-42,ENALAPRIL MALEATE 0.625 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0004-44,EZETIMIBE 2.5 MG PARTIAL (1/4) TABLET,10.5,6.83,5.22,10.5,884 NDC,08888-0004-45,FELBAMATE 100 MG PARTIAL (1/4) TABLET,7.9,5.14,3.93,7.9,884 NDC,08888-0004-46,FELBAMATE 150 MG PARTIAL (1/4) TABLET,6.9,4.49,3.43,6.9,884 NDC,08888-0004-47,FINASTERIDE 1.25 MG PARTIAL (1/4) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0004-48,FLECAINIDE 12.5 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0004-49,FLUCONAZOLE 12.5 MG PARTIAL (1/4) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0004-50,FLUDROCORTISONE 0.025 MG PARTIAL (1/4) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0004-51,FOLIC ACID 0.25 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0004-52,FOSINOPRIL 2.5 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0004-53,FUROSEMIDE 5 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0004-55,GLIMEPIRIDE 0.25 MG PARTIAL (1/4) TABLET,5.7,3.71,2.83,5.7,884 NDC,08888-0004-56,GLIPIZIDE 1.25 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0004-57,GLYCOPYRROLATE 0.25 MG PARTIAL (1/4) TABLET,5.8,3.77,2.88,5.8,884 NDC,08888-0004-58,GUANFACINE 0.25 MG PARTIAL (1/4) TABLET,6.3,4.09,3.13,6.3,884 NDC,08888-0004-59,HALOPERIDOL 0.125 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0004-60,HYDRALAZINE 2.5 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0004-61,HYDROCORTISONE 1.25 MG PARTIAL (1/4) TABLET,5.8,3.77,2.88,5.8,884 NDC,08888-0004-62,HYDROXYCHLOROQUINE 50 MG PARTIAL (1/4) TABLET,5.8,3.77,2.88,5.8,884 NDC,08888-0004-63,ISONIAZID 25 MG PARTIAL (1/4) TABLET,6.5,4.22,3.23,6.5,884 NDC,08888-0004-64,"ISOSORBIDE MONONITRATE ER 7.5 MG EXTENDED RELEASE 24 HR, PARTIAL (1/4) TABLET",5.3,3.45,2.63,5.3,884 NDC,08888-0004-65,LABETALOL 25 MG PARTIAL (1/4) TABLET TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0004-66,LAMIVUDINE 25 MG PARTIAL (1/4) TABLET TABLET,14.6,9.49,7.26,14.6,884 NDC,08888-0004-68,LAMOTRIGINE 6.25 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0004-70,LISINOPRIL 0.625 MG PARTIAL (1/4) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0004-71,LITHIUM CARBONATE 75 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0004-72,LOSARTAN 6.25 MG PARTIAL (1/4) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0004-73,MEGESTROL 5 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0004-74,MERCAPTOPURINE 12.5 MG PARTIAL (1/4) TABLET,6.0,3.9,2.98,6.0,884 NDC,08888-0004-75,METAXALONE 200 MG PARTIAL (1/4) TABLET,6.9,4.49,3.43,6.9,884 NDC,08888-0004-76,METFORMIN 125 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0004-78,METOCLOPRAMIDE 1.25 MG PARTIAL (1/4) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0004-79,METOLAZONE 0.625 MG PARTIAL (1/4) TABLET,5.9,3.84,2.93,5.9,884 NDC,08888-0004-80,METOPROLOL TARTRATE 6.25 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0004-81,"METOPROLOL SUCCINATE ER 6.25 MG EXTENDED RELEASE 24 HR, PARTIAL (1/4) TABLET",5.2,3.38,2.58,5.2,884 NDC,08888-0004-82,MINOXIDIL 0.625 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0004-84,MISOPROSTOL 25 MCG PARTIAL (1/4) TABLET,5.5,3.58,2.73,5.5,884 NDC,08888-0004-86,NADOLOL 5 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0004-87,NALTREXONE 12.5 MG PARTIAL (1/4) TABLET,6.7,4.36,3.33,6.7,884 NDC,08888-0004-88,NAPROXEN 62.5 MG PARTIAL (1/4) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0004-90,NEOMYCIN 125 MG PARTIAL (1/4) TABLET,5.7,3.71,2.83,5.7,884 NDC,08888-0004-91,OLANZAPINE 0.625 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0004-92,ONDANSETRON HCL 1 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0004-93,OXYBUTYNIN CHLORIDE 1.25 MG PARTIAL (1/4) TABLET,5.3,3.45,2.63,5.3,884 NDC,08888-0004-94,PAROXETINE 2.5 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0004-95,PHENAZOPYRIDINE 25 MG PARTIAL (1/4) TABLET,6.5,4.22,3.23,6.5,884 NDC,08888-0004-97,PHENYTOIN 12.5 MG CHEWABLE PARTIAL (1/4) TABLET,5.6,3.64,2.78,5.6,884 NDC,08888-0004-98,PHYTONADIONE (VITAMIN K1) 1.25 MG PARTIAL (1/4) TABLET,54.6,35.49,27.14,54.6,884 NDC,08888-0004-99,PRAVASTATIN 2.5 MG PARTIAL (1/4) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0005-00,PRAZIQUANTEL 150 MG PARTIAL (1/4) TABLET,54.1,35.17,26.89,54.1,884 NDC,08888-0005-01,PRIMIDONE 12.5 MG PARTIAL (1/4) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0005-02,PYRIDOSTIGMINE BROMIDE 15 MG PARTIAL (1/4) TABLET,5.6,3.64,2.78,5.6,884 NDC,08888-0005-03,QUETIAPINE 6.25 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0005-04,"QUINIDINE GLUCONATE ER 81 MG PARTIAL (1/4) TABLET,EXTENDED RELEASE",11.0,7.15,5.47,11.0,884 NDC,08888-0005-05,ROSUVASTATIN 1.25 MG PARTIAL (1/4) TABLET,5.9,3.84,2.93,5.9,884 NDC,08888-0005-06,SALSALATE 125 MG PARTIAL (1/4) TABLET,6.1,3.97,3.03,6.1,884 NDC,08888-0005-07,SILDENAFIL 5 MG PARTIAL (1/4) TABLET,5.4,3.51,2.68,5.4,884 NDC,08888-0005-08,SILDENAFIL 6.25 MG PARTIAL (1/4) TABLET,25.5,16.58,12.67,25.5,884 NDC,08888-0005-09,SOTALOL 20 MG PARTIAL (1/4) TABLET,5.6,3.64,2.78,5.6,884 NDC,08888-0005-10,SPIRONOLACTONE 6.25 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0005-12,TOPIRAMATE 6.25 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0005-13,TRAZODONE 12.5 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0005-14,TRIAMTERENE 9.375 MG-HYDROCHLOROTHIAZIDE 6.25 MG PARTIAL (1/4) TABLET,5.6,3.64,2.78,5.6,884 NDC,08888-0005-15,TRIHEXYPHENIDYL 0.5 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0005-16,VALSARTAN 10 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0005-18,VERAPAMIL 10 MG PARTIAL (1/4) TABLET,5.2,3.38,2.58,5.2,884 NDC,08888-0005-19,VERAPAMIL 30 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0005-20,WARFARIN 0.25 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0005-21,WARFARIN 0.625 MG PARTIAL (1/4) TABLET,5.1,3.32,2.53,5.1,884 NDC,08888-0005-22,VANCOMYCIN 1 MG/ML INTRADISCAL INJECTION DILUTION (RADIANT),35.2,22.88,17.49,34.14,880 NDC,08888-0005-23,CEFAZOLIN 5 MG/ML IN NACL 0.9% INJECTION DILUTION (RADIANT MIXTURE INGREDIENT) CNR,36.4,23.66,18.09,35.31,880 NDC,08888-0005-24,CLINDAMYCIN 5 MG/ML INJECTION SOLUTION DILUTION (RADIANT),44.8,29.12,22.27,44.8,880 NDC,08888-0006-27,ALTEPLASE 12.5 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),386.5,251.23,94.45,374.91,884 NDC,08888-0006-28,CEFTAZIDIME 2.25 MG/0.1 ML INTRAOCULAR INJECTION (CNR),36.7,23.86,18.24,35.6,880 NDC,08888-0006-32,SODIUM ACETATE 0.28% (0.034 MEQ/ML) INJ VIAL 100 ML,79.6,51.74,39.56,79.6,880 NDC,08888-0006-37,IODINE-POTASSIUM IODIDE 5 %-10 % TOPICAL SOLUTION,73.8,47.97,36.68,73.8,880 NDC,08888-0006-46,ETHANOL (ETHYL ALCOHOL) 70% LOCK SOLUTION (CNR),1458.4,947.96,724.82,1458.4,880 NDC,08888-0006-94,CANTHARIDIN 0.7% TOPICAL SOLUTION IN FLEXIBLE COLLODION,218.2,141.83,108.45,218.2,880 NDC,08888-0007-22,GENTAMICIN 20 MCG/ML-POLYMYXIN B 500 UNITS/ML IN NACL 0.9% (DABS MODIFIED) IRRIGATION (CNR BOTTLES),115.3,74.94,57.3,115.3,880 NDC,08888-0007-84,HYDROCORTISONE 1%-MENTHOL 1% IN VANICREAM-ROSE WATER LOTION,283.9,184.54,141.1,283.9,884 NDC,08888-0007-98,HYDROCORTISONE 2.5% IN VANICREAM,91.4,59.41,45.43,91.4,884 NDC,08888-0009-24,N-BUTYRIC ACID ENEMA (SHORT CHAIN FATTY ACID),33.8,21.97,16.8,33.8,884 NDC,08888-0009-29,ASPIRIN 40.5 MG PARTIAL (1/2) CHEWABLE TABLET,0.5,0.33,0.25,0.5,884 NDC,08888-0009-30,ASPIRIN 20.25 MG PARTIAL (1/4) CHEWABLE TABLET,0.5,0.33,0.25,0.5,884 NDC,08888-0009-32,CEFEPIME 5 MG/ML LOCK SOLUTION (CNR),35.9,23.34,17.84,34.82,880 NDC,08888-0009-34,AMPICILLIN 250 MG/ML STOCK SOLUTION FOR DESENSITIZATION,114.4,74.36,56.86,110.97,880 NDC,08888-0009-57,ZINC SULFATE 5 MG/ML INTRAVENOUS SOLUTION,337.3,219.25,167.64,337.3,880 NDC,08888-0009-70,AZATHIOPRINE 5 MG/ML ORAL SUSPENSION,458.3,297.89,227.78,444.55,880 NDC,08888-0010-71,ADENOSINE 6 MCG/ML INTRAVENOUS SOLUTION,35.2,22.88,17.49,34.14,880 NDC,08888-0010-74,YTTRIUM-90 MICROSPHERES 3 GBQ/5 ML FOR INTRAVENOUS SOLUTION,41487.5,26966.88,17771.01,40242.88,884 NDC,08888-0010-75,YTTRIUM-90 MICROSPHERES 3-20 GBQ/0.6 ML FOR INTRAVENOUS SOLUTION,42870.0,27865.5,17771.01,41583.9,884 NDC,08888-0010-76,IODINE-125 (I-125) SEED,495.0,321.75,274.73,2977.0,880 NDC,08888-0010-77,SODIUM IODIDE-131 (I-131) > 100 MICROCURIE DIAGNOSTIC CAPSULE,42.5,27.63,23.59,2977.0,880 NDC,08888-0010-78,INDIUM-111 CHARCOAL CAPSULE,506.0,328.9,280.83,2977.0,880 NDC,08888-0010-79,SODIUM IODIDE-123 3.7 MBQ (100 MICROCI) CAPSULE,76.0,49.4,42.18,2977.0,880 NDC,08888-0010-80,SODIUM IODIDE-123 7.4 MBQ (200 MICROCI) CAPSULE,76.0,49.4,42.18,2977.0,880 NDC,08888-0011-37,LITHIUM CITRATE 8 MEQ/5 ML ORAL SOLUTION (WRAPPER),42.8,27.82,21.27,42.8,884 NDC,08888-0011-64,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,10.5,6.83,5.22,10.5,884 NDC,08888-0011-76,MORPHINE CONCENTRATE 20 MG/ML ORAL SOLUTION (WRAPPER),10.2,6.63,5.07,10.2,884 NDC,08888-0011-90,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL GEL,71.3,46.35,35.44,71.3,880 NDC,08888-0011-92,NITROGLYCERIN 100 MCG/1 ML IN NACL 0.9% DILUTION INJECTION,51.0,33.15,25.35,51.0,880 NDC,08888-0012-03,LEECH (MEDICINAL),98.3,63.9,48.86,98.3,880 NDC,08888-0012-13,AMINOCAPROIC ACID 15 G/300 ML (50 MG/ML) IN 0.9% NACL (CNR),204.6,132.99,101.69,204.6,880 NDC,08888-0012-17,SODIUM CITRATE 4 % INTRA-CATHETER INJECTION SYRINGE (PREMIX/CNR),46.3,30.1,23.01,46.3,880 NDC,08888-0012-18,LIDOCAINE 0.9 %-SODIUM BICARBONATE 0.84% BUFFERED (WRAPPER),35.2,22.88,17.49,35.2,880 NDC,08888-0012-20,KETAMINE 10 MG/ML ORAL SOLUTION (REPACKAGED INJ FOR ORAL ADMIN),10.3,6.7,5.12,10.3,880 NDC,08888-0012-72,CEFAZOLIN 3 G/65 ML IN 0.9% NACL (CNR),86.4,56.16,42.94,83.81,880 NDC,08888-0012-97,AMPHOTERICIN B 5 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),182.2,118.43,90.55,176.73,880 NDC,08888-0013-05,VANCOMYCIN 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),37.2,24.18,18.49,36.08,880 NDC,08888-0013-06,VANCOMYCIN 5 MG/ML-SODIUM CITRATE 3.8% LOCK SOLUTION (CNR),35.4,23.01,17.59,34.34,880 NDC,08888-0013-07,VANCOMYCIN 5 MG/ML-SODIUM CITRATE 3.8% LOCK SOLUTION (CNR),35.4,23.01,17.59,34.34,880 NDC,08888-0013-21,METHOTREXATE 400 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),304.9,198.19,151.54,295.75,880 NDC,08888-0013-22,VANCOMYCIN 1000 MCG/0.1 ML INTRAOCULAR SOLUTION (CNR),35.5,23.08,17.64,34.44,880 NDC,08888-0013-24,VORICONAZOLE 100 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),154.5,100.43,76.79,149.87,880 NDC,08888-0013-49,VANCOMYCIN 5 MG/ML LOCK SOLUTION (CNR),36.5,23.73,18.14,35.41,880 NDC,08888-0013-63,VANCOMYCIN 1.25 GRAM/262.5 ML IN 0.9% NACL (CNR),191.9,124.74,95.37,186.14,880 NDC,08888-0013-64,VANCOMYCIN 1.5 GRAM/265 ML IN 0.9% NACL (CNR),199.4,129.61,99.1,193.42,880 NDC,08888-0013-65,VANCOMYCIN 1.75 GRAM/267.5 ML IN 0.9% NACL (CNR/ROBOT),208.3,135.4,103.53,202.05,880 NDC,08888-0014-02,AMOXICILLIN 5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.2,3.38,2.58,5.2,884 NDC,08888-0014-04,AMPHOTERICIN B LIPOSOME 4 MG/ML STOCK SOLUTION FOR DESENSITIZATION,354.3,230.3,21.48,343.67,884 NDC,08888-0014-13,AZITHROMYCIN 100 MG/ML STOCK SOLUTION FOR IV DESENSITIZATION,46.4,30.16,23.06,45.01,880 NDC,08888-0014-14,AZITHROMYCIN 2 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,8.2,5.33,4.08,8.2,884 NDC,08888-0014-19,AZTREONAM 250 MG/ML STOCK SOLUTION FOR DESENSITIZATION,531.6,345.54,264.21,531.6,880 NDC,08888-0014-22,CEFAZOLIN 200 MG/ML STOCK SOLUTION FOR DESENSITIZATION,50.2,32.63,24.95,48.69,880 NDC,08888-0014-25,CEFEPIME 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,59.0,38.35,29.32,57.23,880 NDC,08888-0014-31,CEFPODOXIME 5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,7.1,4.62,3.53,7.1,884 NDC,08888-0014-34,CEFTAZIDIME 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,137.1,89.12,68.14,132.99,880 NDC,08888-0014-37,CEFTRIAXONE FOR DESENSITIZATION 100 MG/ML STOCK SOLUTION,77.7,50.51,38.62,75.37,880 NDC,08888-0014-43,CEPHALEXIN 5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.1,3.32,2.53,5.1,884 NDC,08888-0014-47,CIPROFLOXACIN 10 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.8,3.77,2.88,5.8,884 NDC,08888-0014-52,CLARITHROMYCIN 50 MG/ML ORAL SOLUTION FOR DESENSITIZATION,5.1,3.32,2.53,5.1,884 NDC,08888-0014-55,CLOPIDOGREL 0.5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.6,3.64,2.78,5.6,884 NDC,08888-0014-60,ERTAPENEM 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,141.5,91.98,70.33,137.26,880 NDC,08888-0014-65,MEROPENEM 50 MG/ML STOCK SOLUTION FOR DESENSITIZATION,87.7,57.01,43.59,85.07,880 NDC,08888-0014-70,NAFCILLIN 250 MG/ML STOCK SOLUTION FOR DESENSITIZATION,68.9,44.79,34.24,68.9,880 NDC,08888-0014-74,"PENICILLIN G 500,000 UNITS/ML STOCK SOLUTION FOR DESENSITIZATION",189.4,123.11,94.13,183.72,880 NDC,08888-0014-77,PENICILLIN V POTASSIUM 5 MG/ML STOCK SOLUTION FOR ORAL DESENSITIZATION,5.1,3.32,2.53,5.1,884 NDC,08888-0014-82,PIPERACILLIN-TAZOBACTAM 225 MG/ML STOCK SOLUTION FOR DESENSITIZATION,245.6,159.64,122.06,238.23,880 NDC,08888-0014-86,SULFAMETHOXAZOLE 10 MG-TRIMETHOPRIM 2 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.5,3.58,2.73,5.5,884 NDC,08888-0014-91,VANCOMYCIN 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,120.2,78.13,59.74,116.59,880 NDC,08888-0015-00,CLOPIDOGREL 5 MG/ML ORAL SUSPENSION,66.6,43.29,33.1,66.6,884 NDC,08888-0019-30,AZITHROMYCIN 500 MG/250 ML IN 0.9% NACL (CNR),83.8,54.47,41.65,81.29,880 NDC,08888-0019-44,DAPTOMYCIN 5 MG/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),36.4,23.66,18.09,35.31,880 NDC,08888-0019-49,METHACHOLINE CHLORIDE 10 MG/ML SOLUTION FOR CHALLENGE,22.4,14.56,11.13,21.95,880 NDC,08888-0019-50,METHACHOLINE CHLORIDE 2.5 MG/ML SOLUTION FOR CHALLENGE,9.0,5.85,4.47,8.82,880 NDC,08888-0019-51,METHACHOLINE CHLORIDE 0.25 MG/ML SOLUTION FOR CHALLENGE,5.5,3.58,2.73,5.39,880 NDC,08888-0019-52,METHACHOLINE CHLORIDE 0.025 MG/ML SOLUTION FOR CHALLENGE,5.5,3.58,2.73,5.39,880 NDC,08888-0019-75,ASPIRIN 1 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,282.0,183.3,140.15,282.0,884 NDC,08888-0019-85,AMIKACIN 5 MG/ML LOCK SOLUTION (CNR),36.2,23.53,17.99,35.11,880 NDC,08888-0019-96,GENTAMICIN 1 MG/ML-HEPARIN 2500 UNITS/ML LOCK SOLUTION (CNR),39.5,25.68,19.63,38.32,880 NDC,08888-0020-05,SODIUM IODIDE-123 >/= 1 MILLICURIE CAPSULE,76.0,49.4,42.18,2977.0,880 NDC,08888-0020-28,CEFEPIME 5 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR),36.0,23.4,17.89,34.92,880 NDC,08888-0020-42,AMPHOTERICIN B 2.5 MG/ML LOCK SOLUTION (CNR) (RESTRICTED),51.7,33.6,25.69,50.15,880 NDC,08888-0020-43,CARBOPLATIN 0.1 MG INJECTION DESENSITIZATION,120.3,78.19,59.79,117.89,880 NDC,08888-0020-46,CEFAZOLIN 5 MG/ML LOCK SOLUTION (CNR),35.3,22.95,17.54,34.24,880 NDC,08888-0020-47,CEFAZOLIN 5 MG/ML LOCK SOLUTION (CNR),35.3,22.95,17.54,34.24,880 NDC,08888-0020-49,CEFAZOLIN 5 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR),35.8,23.27,17.79,34.73,880 NDC,08888-0020-50,CEFAZOLIN 5 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR),35.8,23.27,17.79,34.73,880 NDC,08888-0020-51,CEFAZOLIN 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),36.5,23.73,18.14,35.41,880 NDC,08888-0020-52,CEFEPIME 5 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),35.8,23.27,17.79,34.73,880 NDC,08888-0020-53,CEFEPIME 5 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),35.8,23.27,17.79,34.73,880 NDC,08888-0020-54,CEFEPIME 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),37.7,24.51,18.74,36.57,880 NDC,08888-0020-57,CEFUROXIME 100 MG/ML INJECTION (NEO/PED),36.3,23.6,18.04,35.57,880 NDC,08888-0020-58,CEFUROXIME 50 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.2,3.38,2.58,5.2,884 NDC,08888-0020-64,DAPTOMYCIN 5 MG/ML-HEPARIN 100 UNITS/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),51.2,33.28,25.45,49.66,880 NDC,08888-0020-65,DAPTOMYCIN 5 MG/ML-HEPARIN 1000 UNITS/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),38.0,24.7,18.89,36.86,880 NDC,08888-0020-70,GANCICLOVIR 2000 MCG/0.05 ML INTRAOCULAR INJECTION (CNR),224.1,145.66,111.38,219.62,880 NDC,08888-0020-72,GENTAMICIN 1 MG/ML-SODIUM CITRATE 3.9% LOCK SOLUTION (CNR),35.4,23.01,17.59,34.34,880 NDC,08888-0020-74,GENTAMICIN 1.2 G POWDER VIAL OSM,62.8,40.82,31.21,62.8,880 NDC,08888-0020-76,GENTAMICIN 5 MG/ML LOCK SOLUTION (CNR),36.3,23.6,18.04,35.21,880 NDC,08888-0020-80,LINEZOLID 1 MG/ML IN SODIUM CITRATE 2% LOCK SOLUTION (CNR) (RESTRICTED),36.5,23.73,18.14,35.41,880 NDC,08888-0020-83,LINEZOLID 2 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR) (RESTRICTED),36.0,23.4,17.89,34.92,880 NDC,08888-0020-87,MITOMYCIN 0.4 MG/ML (0.04 %) IN HYPROMELLOSE OPHTHALMIC SOLUTION (CNR),127.3,82.75,63.27,127.3,880 NDC,08888-0020-89,OXALIPLATIN 5 MG/ML INJECTION DESENSITIZATION,103.2,67.08,51.29,100.1,880 NDC,08888-0021-05,VANCOMYCIN 2 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),37.0,24.05,18.39,35.89,880 NDC,08888-0021-07,VANCOMYCIN 2.5 MG/ML-GENTAMICIN 1 MG/ML LOCK SOLUTION (CNR),35.8,23.27,17.79,35.8,880 NDC,08888-0021-09,VANCOMYCIN 2.5 MG/ML-GENTAMICIN 1 MG/ML-SODIUM CITRATE 3.8% LOCK SOLN (CNR),35.4,23.01,17.59,35.4,880 NDC,08888-0021-10,VANCOMYCIN 25 MG/0.5 ML (PF) SUBCONJUNCTIVAL INJECTION,754.7,490.56,375.09,732.06,880 NDC,08888-0021-18,METHACHOLINE CHLORIDE 25 MG/ML SOLUTION FOR CHALLENGE,46.6,30.29,23.16,45.67,880 NDC,08888-0021-23,CEFUROXIME 1 MG/0.1 ML INTRAOCULAR SYRINGE (CNR),366.9,238.49,182.35,359.56,880 NDC,08888-0021-28,HYDROMORPHONE (PF) 100 MCG/1 ML INJECTION DILUTION (CNR),101.1,65.72,50.25,98.07,880 NDC,08888-0021-31,METHACHOLINE CHLORIDE 5 MG/ML SOLUTION FOR CHALLENGE,167.6,108.94,83.3,164.25,880 NDC,08888-0021-37,DOXYLAMINE SUCCINATE 12.5 MG PARTIAL (1/2) TABLET,2.4,1.56,1.19,2.4,884 NDC,08888-0021-41,KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION (MIBI),145.0,94.25,80.48,2977.0,880 NDC,08888-0021-53,VANCOMYCIN 1000 MG/260 ML NACL 0.9% (CNR),86.0,55.9,42.74,83.42,880 NDC,08888-0021-54,FLUOROURACIL INFUSION PUMP (COMPOUNDED BY NON-MAYO PHARMACY),110.6,71.89,54.97,107.28,880 NDC,08888-0021-56,AMIODARONE 450 MG/250 ML (1.8 MG/ML) IN DEXTROSE 5 % INTRAVENOUS SOLN,231.3,150.35,114.96,231.3,880 NDC,08888-0021-57,HYDROMORPHONE 1 MG/ML ORAL LIQUID,10.9,7.09,5.42,10.9,884 NDC,08888-0021-60,METHADONE 5 MG/5 ML ORAL SOLUTION,10.9,7.09,5.42,10.9,884 NDC,08888-0022-39,"PENICILLIN G POTASSIUM 10,000 UNIT/ML SYRINGE-SKIN TEST (CNR)",75.1,48.82,37.32,73.6,880 NDC,08888-0022-43,GENTAMICIN 80 MG/1000 ML STERILE IRRIGATION (WILSON'S SOLUTION) (CNR),346.0,224.9,171.96,346.0,880 NDC,08888-0022-45,NITROGLYCERIN IN D5W 100 MCG/ML INTRA-ARTERIAL SYRINGE,36.9,23.99,18.34,36.9,880 NDC,08888-0022-76,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION ANES ONLY,70.6,45.89,35.09,70.6,880 NDC,08888-0022-76,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 NACL INJECTION ANES ONLY,81.9,53.24,40.7,81.9,880 NDC,08888-0022-86,FOSAPREPITANT 150 MG/250 ML IN 0.9% NACL (CNR),257.3,167.25,127.88,249.58,880 NDC,08888-0022-95,DEXAMETHASONE 400 MCG/0.1 ML (4 MG/ML) INTRAOCULAR INJECTION (1 ML PARABEN-FREE COMMERCIAL VIAL),115.9,75.33,57.6,112.42,880 NDC,08888-0022-98,ETHANOL (ETHYL ALCOHOL) 30%-SODIUM CITRATE 2.8% LOCK SOLUTION (CNR)(RESTRICTED),725.0,471.25,360.33,725.0,880 NDC,08888-0023-90,HYDROMORPHONE 1 MG/ML ORAL LIQUID,10.5,6.83,5.22,10.5,884 NDC,08888-0024-13,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,3.7,2.4,1.84,3.7,884 NDC,08888-0024-24,METHADONE 5 MG/5 ML ORAL SOLUTION,10.9,7.09,5.42,10.9,884 NDC,08888-0024-69,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,12.8,8.32,6.36,12.8,884 NDC,08888-0025-23,URSODIOL 20 MG/ML ORAL SUSPENSION (CNR),645.0,419.25,320.57,645.0,884 NDC,08888-0025-29,ZINC SULFATE 44 MG/ML (10 MG/ML ELEMENTAL) ORAL SUSPENSION,8.1,5.27,4.03,8.1,884 NDC,08888-0025-45,ETHAMBUTOL 10 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.1,3.32,2.53,5.1,884 NDC,08888-0025-57,"ACD-A 1000 ML + HEPARIN 5,000 UNITS (APHERESIS)",208.5,135.53,103.62,208.5,880 NDC,08888-0025-66,SODIUM IODIDE-123 < 1 MILLICURIE CAPSULE,76.0,49.4,42.18,2977.0,880 NDC,08888-0025-67,SODIUM IODIDE-123 < 1 MILLICURIE ORAL SOLUTION,76.0,49.4,42.18,2977.0,880 NDC,08888-0025-68,SODIUM IODIDE-123 >/= 1 MILLICURIE ORAL SOLUTION,759.0,493.35,421.25,2977.0,880 NDC,08888-0025-69,SODIUM IODIDE-131 (I-131) 100 MICROCURIE DIAGNOSTIC SOLUTION,42.5,27.63,23.59,2977.0,880 NDC,08888-0025-71,SODIUM IODIDE-131 (I-131) 312 UNITS/ML IVPB BAG OF STRAIGHT DRUG (WRAPPER),10987.7,7142.01,66.64,10987.7,884 NDC,49591-0532-51,CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION,7041.2,4576.78,1808.65,6829.96,884 NDC,49702-0213-26,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION,156.8,101.92,1.51,156.8,884 NDC,49702-0223-18,MARAVIROC 150 MG TABLET,101.4,65.91,50.4,101.4,884 NDC,49702-0224-18,MARAVIROC 300 MG TABLET,92.2,59.93,45.82,92.2,884 NDC,49702-0228-13,DOLUTEGRAVIR 50 MG TABLET,263.0,170.95,130.71,263.0,884 NDC,49702-0240-15,"CABOTEGRAVIR ER 600 MG/3 ML-RILPIVIRINE ER 900 MG/3ML IM SUSPENSION,ER (RESTRICTED)",27026.5,17567.22,23.65,26215.71,884 NDC,49702-0253-15,"CABOTEGRAVIR ER 400 MG/2 ML-RILPIVIRINE ER 600 MG/2ML IM SUSPENSION,ER (RESTRICTED)",18159.4,11803.61,23.65,17614.62,884 NDC,49702-0264-23,"CABOTEGRAVIR ER 600 MG/3 ML (200 MG/ML) IM SUSPENSION,EXTENDED RELEASE",16196.6,10527.79,7.02,15710.7,884 NDC,49884-0161-11,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY,208.0,135.2,103.38,208.0,884 NDC,49884-0231-83,PRAZIQUANTEL 600 MG TABLET,207.1,134.62,102.93,207.1,884 NDC,49884-0424-11,ALISKIREN 150 MG TABLET,16.4,10.66,8.15,16.4,884 NDC,49884-0425-11,ALISKIREN 300 MG TABLET,26.1,16.97,12.97,26.1,884 NDC,49884-0899-11,ZOLPIDEM 3.5 MG SUBLINGUAL TABLET,35.6,23.14,17.69,35.6,884 NDC,50227-1030-05,"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:100,000 DENTAL CARTRIDGE",41.2,26.78,20.48,41.2,880 NDC,50228-0109-01,CARISOPRODOL 350 MG TABLET,10.3,6.7,5.12,10.3,884 NDC,50228-0175-01,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",5.2,3.38,2.58,5.2,884 NDC,50228-0457-01,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET,5.2,3.38,2.58,5.2,884 NDC,50228-0481-01,DILTIAZEM 30 MG TABLET,5.2,3.38,2.58,5.2,884 NDC,50228-0482-01,DILTIAZEM 60 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,50228-0483-01,DILTIAZEM 90 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,50242-0040-62,OMALIZUMAB 150 MG SUBCUTANEOUS SOLUTION,6219.6,4042.74,44.6,6095.21,884 NDC,50242-0041-64,ALTEPLASE 1 MG/ML INTRAVENTRICULAR STERILE SYRINGE,800.8,520.52,94.45,776.78,884 NDC,50242-0041-64,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION,800.8,520.52,94.45,776.78,884 NDC,50242-0044-13,ALTEPLASE 50 MG INTRAVENOUS SOLUTION,15717.9,10216.64,94.45,15246.36,884 NDC,50242-0053-06,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",15866.9,10313.49,75.22,15390.89,884 NDC,50242-0053-06,RITUXIMAB 10 MG/ML INTRAOCULAR SYRINGE (FOR OR USE ONLY),137.1,89.12,68.14,132.99,884 NDC,50242-0060-01,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,3065.5,1992.58,73.2,2973.54,884 NDC,50242-0061-01,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,10911.8,7092.67,73.2,10584.45,884 NDC,50242-0070-01,"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION",32169.3,20910.04,79.0,31525.91,884 NDC,50242-0077-01,"TRASTUZUMAB 600 MG-HYALURONIDASE-OYSK 10,000 UNIT/5 ML SUBCUT SOLUTION",15793.5,10265.78,61.44,15477.63,884 NDC,50242-0080-03,RANIBIZUMAB 0.5 MG/0.05 ML INTRAVITREAL SOLUTION (WRAPPER),7697.3,5003.25,86.38,7697.3,884 NDC,50242-0082-03,RANIBIZUMAB 0.3 MG/0.05 ML INTRAVITREAL SOLUTION (WRAPPER),4788.4,3112.46,86.38,4788.4,884 NDC,50242-0085-27,ALTEPLASE 100 MG INTRAVENOUS SOLUTION,31010.7,20156.96,94.45,30080.38,884 NDC,50242-0087-01,ADO-TRASTUZUMAB EMTANSINE 160 MG/8 ML MG INTRAVENOUS SOLUTION (WETTED),25208.4,16385.46,42.16,24704.23,884 NDC,50242-0088-01,ADO-TRASTUZUMAB EMTANSINE 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED),15924.0,10350.6,42.16,15605.52,884 NDC,50242-0096-06,FARICIMAB-SVOA 6 MG/0.05 ML INTRAVITREAL SOLUTION (WRAPPER),9306.5,6049.23,33.88,9027.31,884 NDC,50242-0100-40,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION,515.2,334.88,256.05,515.2,884 NDC,50242-0103-01,POLATUZUMAB VEDOTIN-PIIQ 30 MG/1.5 ML INTRAVENOUS SOLUTION (WETTED),16215.8,10540.27,136.67,15729.33,884 NDC,50242-0105-01,POLATUZUMAB VEDOTIN-PIIQ 140 MG/7 ML INTRAVENOUS SOLUTION (WETTED),74023.5,48115.28,136.67,71802.8,884 NDC,50242-0108-01,"RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",22033.4,14321.71,36.69,21592.73,884 NDC,50242-0109-01,"RITUXIMAB 1,600 MG/13.4 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",25116.7,16325.86,36.69,24614.37,884 NDC,50242-0125-01,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION,10709.4,6961.11,2767.88,10388.12,884 NDC,50242-0127-01,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION,41487.9,26967.14,2767.88,40243.26,884 NDC,50242-0132-01,TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION,5564.6,3616.99,75.03,5397.66,884 NDC,50242-0135-01,TOCILIZUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER) (RESTRICTED),2167.1,1408.62,5.71,2102.09,884 NDC,50242-0136-01,TOCILIZUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER) (RESTRICTED),5280.2,3432.13,5.71,5121.79,884 NDC,50242-0137-01,TOCILIZUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER) (RESTRICTED),10135.4,6588.01,5.71,9831.34,884 NDC,50242-0142-01,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION,72667.2,47233.68,654.63,70487.18,884 NDC,50242-0145-01,PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION,26140.6,16991.39,17.02,25617.79,884 NDC,50242-0150-01,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION,80596.0,52387.4,59.41,78178.12,884 NDC,50242-0159-01,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION,2857.2,1857.18,654.63,2771.48,884 NDC,50242-0176-01,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION,30127.3,19582.74,172.22,30127.3,884 NDC,50242-0214-01,OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE,2865.7,1862.71,44.6,2808.39,884 NDC,50242-0215-01,OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE,6219.6,4042.74,44.6,6095.21,884 NDC,50242-0554-01,"OCRELIZUMAB 920 MG-HYALURONIDASE-OCSQ 23,000 UNIT/23 ML SUBCUT SOLN",160766.9,104498.49,47.23,160766.9,884 NDC,50242-0917-01,ATEZOLIZUMAB 60 MG/ML INTRAVENOUS SOLUTION (WRAPPER),44967.8,29229.07,91.34,44068.44,884 NDC,50242-0918-01,ATEZOLIZUMAB 60 MG/ML INTRAVENOUS SOLUTION (WRAPPER),31612.5,20548.13,91.34,30980.25,884 NDC,50242-0922-01,EMICIZUMAB-KXWH 105 MG/0.7 ML SUBCUTANEOUS SOLUTION,44284.4,28784.86,56.1,44284.4,884 NDC,50242-0923-01,EMICIZUMAB-KXWH 150 MG/ML SUBCUTANEOUS SOLUTION,61821.8,40184.17,56.1,61821.8,884 NDC,50242-0933-01,"ATEZOLIZUMAB 1,875 MG-HYALURONIDASE-TQJS 30,000 UNIT/15 ML SUBCUT SOLN",44967.8,29229.07,31.58,44068.44,884 NDC,50268-0050-15,ACEBUTOLOL 200 MG CAPSULE,9.6,6.24,4.77,9.6,884 NDC,50268-0061-15,ACYCLOVIR 400 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,50268-0075-15,ANASTROZOLE 1 MG TABLET,7.0,4.55,3.48,7.0,884 NDC,50268-0089-15,ARIPIPRAZOLE 10 MG TABLET,6.9,4.49,3.43,6.9,884 NDC,50268-0105-15,BACLOFEN 5 MG TABLET,9.9,6.44,4.92,9.9,884 NDC,50268-0106-15,BACLOFEN 10 MG TABLET,6.3,4.09,3.13,6.3,884 NDC,50268-0109-15,BENAZEPRIL 5 MG TABLET,6.9,4.49,3.43,6.9,884 NDC,50268-0110-15,BENAZEPRIL 10 MG TABLET,7.2,4.68,3.58,7.2,884 NDC,50268-0130-15,BUMETANIDE 0.5 MG TABLET,9.3,6.05,4.62,9.3,884 NDC,50268-0147-11,CALCIUM 315 MG (AS CITRATE)-VITAMIN D3 6.25 MCG (250 UNIT) TABLET,0.5,0.33,0.25,0.5,884 NDC,50268-0176-15,CILOSTAZOL 50 MG TABLET,7.7,5.01,3.83,7.7,884 NDC,50268-0277-15,DOXYCYCLINE HYCLATE 50 MG CAPSULE,9.6,6.24,4.77,9.6,884 NDC,50268-0280-15,DOXYCYCLINE MONOHYDRATE 50 MG CAPSULE,6.6,4.29,3.28,6.6,884 NDC,50268-0330-15,FLUDROCORTISONE 0.1 MG TABLET,6.8,4.42,3.38,6.8,884 NDC,50268-0346-15,FOLIC ACID 400 MCG TABLET,2.7,1.75,1.34,2.7,884 NDC,50268-0362-15,GLIPIZIDE 10 MG TABLET,6.8,4.42,3.38,6.8,884 NDC,50268-0401-15,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,10.8,7.02,5.37,10.8,884 NDC,50268-0430-15,INDOMETHACIN 25 MG CAPSULE,6.0,3.9,2.98,6.0,884 NDC,50268-0447-15,ISOSORBIDE DINITRATE 5 MG TABLET,7.2,4.68,3.58,7.2,884 NDC,50268-0450-12,ITRACONAZOLE 100 MG CAPSULE,13.8,8.97,6.86,13.8,884 NDC,50268-0476-15,LETROZOLE 2.5 MG TABLET,6.5,4.22,3.23,6.5,884 NDC,50268-0478-15,LEFLUNOMIDE 20 MG TABLET,11.3,7.35,5.62,11.3,884 NDC,50268-0522-15,MECLIZINE 12.5 MG TABLET,6.3,4.09,3.13,6.3,884 NDC,50268-0525-15,MELOXICAM 7.5 MG TABLET,5.5,3.58,2.73,5.5,884 NDC,50268-0568-15,MUPIROCIN 2 % TOPICAL OINTMENT,59.0,38.35,29.32,59.0,884 NDC,50268-0570-12,MODAFINIL 100 MG TABLET,29.4,19.11,14.61,29.4,884 NDC,50268-0595-15,NAPROXEN 375 MG TABLET,5.8,3.77,2.88,5.8,884 NDC,50268-0684-15,PROCHLORPERAZINE MALEATE 5 MG TABLET,8.8,5.72,4.37,8.8,884 NDC,50268-0685-15,PROCHLORPERAZINE MALEATE 10 MG TABLET,9.7,6.31,4.82,9.7,884 NDC,50268-0687-15,PRIMIDONE 250 MG TABLET,6.8,4.42,3.38,6.8,884 NDC,50268-0717-15,SILDENAFIL 20 MG TABLET,7.2,4.68,3.58,7.2,884 NDC,50268-0728-15,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,50268-0740-15,TAMSULOSIN 0.4 MG CAPSULE,6.0,3.9,2.98,6.0,884 NDC,50268-0816-15,ZONISAMIDE 100 MG CAPSULE,6.8,4.42,3.38,6.8,884 NDC,50268-0851-15,THIAMINE (VITAMIN B1) 100 MG TABLET (WRAPPER),2.6,1.69,1.29,2.6,884 NDC,50268-0852-15,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET,2.6,1.69,1.29,2.6,884 NDC,50268-0853-15,CYANOCOBALAMIN (VIT B-12) 250 MCG TABLET,2.6,1.69,1.29,2.6,884 NDC,50419-0188-84,GADOPENTETATE DIMEGLUMINE 10 MMOL/20 ML(469.01 MG/ML) INTRAVENOUS SOLN,169.1,109.92,84.04,164.03,880 NDC,50419-0208-01,"RADIUM RA 223 DICHLOR 1,100 KBQ/ML (30 MICROCURIE/ML) INTRAVENOUS SOLN",10470.0,6805.5,172.22,10155.9,884 NDC,50419-0250-01,RIOCIGUAT 0.5 MG TABLET,495.1,321.82,246.06,495.1,884 NDC,50419-0254-01,RIOCIGUAT 2.5 MG TABLET,530.4,344.76,263.61,530.4,884 NDC,50419-0320-05,GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION,41.4,26.91,20.58,40.16,880 NDC,50419-0325-11,GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) INTRAVENOUS SOLUTION (WRAPPER),36.9,23.99,18.34,35.79,880 NDC,50419-0325-11,GADOBUTROL IN NACL 0.9% 250 ML (FOR ARTHROGRAM),44.5,28.93,22.12,43.17,880 NDC,50419-0325-12,GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION (WRAPPER),36.9,23.99,18.34,35.79,880 NDC,50419-0325-13,GADOBUTROL 15 MMOL/15 ML (1 MMOL/ML) INTRAVENOUS SOLUTION (WRAPPER),36.9,23.99,18.34,35.79,880 NDC,50419-0344-10,IOPROMIDE 300 MG IODINE/ML INJECTION SOLUTION,39.0,25.35,19.38,37.83,880 NDC,50419-0344-15,IOPROMIDE 300 MG IODINE/ML INJECTION SOLUTION,35.5,23.08,17.64,34.44,880 NDC,50419-0346-10,IOPROMIDE 370 MG IODINE/ML INJECTION SOLUTION,35.5,23.08,17.64,34.44,880 NDC,50419-0346-15,IOPROMIDE 370 MG IODINE/ML INJECTION SOLUTION,35.5,23.08,17.64,34.44,880 NDC,50419-0385-01,COPANLISIB 60 MG INTRAVENOUS SOLUTION,20046.6,13030.29,9963.16,20046.6,880 NDC,50419-0395-01,DAROLUTAMIDE 300 MG TABLET,366.5,238.23,182.15,366.5,884 NDC,50419-0422-01,LEVONORGESTREL 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE,1820.5,1183.33,904.79,1784.09,880 NDC,50419-0423-01,LEVONORGESTREL 21 MCG/24 HR (UP TO 8 YEARS) 52 MG INTRAUTERINE DEVICE,1676.2,1089.53,833.07,1625.91,880 NDC,50419-0424-01,LEVONORGESTREL 17.5 MCG/24 HR (UP TO 5 YRS) 19.5MG INTRAUTERINE DEVICE,1676.2,1089.53,833.07,1642.68,880 NDC,50419-0773-01,CIPROFLOXACIN 500 MG/5 ML ORAL SUSPENSION,483.6,314.34,240.35,483.6,884 NDC,50458-0098-01,PENTOSAN POLYSULFATE SODIUM 100 MG CAPSULE,48.1,31.27,23.91,48.1,884 NDC,50458-0140-30,CANAGLIFLOZIN 100 MG TABLET,70.1,45.57,34.84,70.1,884 NDC,50458-0550-01,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",48.8,31.72,24.25,48.8,884 NDC,50458-0577-10,RIVAROXABAN 2.5 MG TABLET,27.7,18.0,13.77,27.7,884 NDC,50458-0578-10,RIVAROXABAN 15 MG TABLET,52.1,33.87,25.89,52.1,884 NDC,50458-0580-10,RIVAROXABAN 10 MG TABLET,52.1,33.87,25.89,52.1,884 NDC,50474-0370-66,BRIVARACETAM 10 MG TABLET,95.9,62.34,47.66,95.9,884 NDC,50474-0470-66,BRIVARACETAM 25 MG TABLET,95.9,62.34,47.66,95.9,884 NDC,50474-0547-06,SODIUM HYALURONATE 30 MG/ML INTRAOCULAR SYRINGE,300.7,195.46,149.45,291.68,880 NDC,50474-0570-66,BRIVARACETAM 50 MG TABLET,95.9,62.34,47.66,95.9,884 NDC,50474-0700-62,CERTOLIZUMAB PEGOL 400 MG/2 ML SUBCUTANEOUS INJECTION (WRAPPER) (RESTRICTED),5540.3,3601.2,3.91,5429.49,884 NDC,50474-0801-03,ROTIGOTINE 1 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,99.0,64.35,49.2,99.0,884 NDC,50474-0802-03,ROTIGOTINE 2 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,99.0,64.35,49.2,99.0,884 NDC,50474-0970-75,BRIVARACETAM 50 MG/5 ML INTRAVENOUS SOLUTION,56.7,36.85,28.18,55.57,880 NDC,50474-0983-86,ROZANOLIXIZUMAB-NOLI 140 MG/ML SUBCUTANEOUS SOLUTION,35727.7,23223.01,23.17,34655.87,884 NDC,50484-0010-30,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT,1011.9,657.74,502.91,1011.9,880 NDC,50580-0242-02,"PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE",3.9,2.54,1.94,3.9,884 NDC,50632-0001-01,"SMALLPOX,MPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP",406.4,264.16,0.01,398.27,884 NDC,50632-0010-01,"RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP",413.5,268.77,205.51,405.23,884 NDC,50633-0110-12,CROTALIDAE POLYVAL IMMUNE FAB 1 GRAM SOLUTION FOR INJECTION,5198.1,3378.77,1828.72,5198.1,884 NDC,50633-0120-11,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION,17712.2,11512.93,5168.23,17712.2,884 NDC,50633-0210-11,"GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION",162548.8,105656.72,427.72,162548.8,884 NDC,50633-0220-04,URIDINE TRIACETATE 10 GRAM ORAL GRANULES IN PACKET,13921.4,9048.91,6918.94,13921.4,884 NDC,50633-0310-11,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION,4067.4,2643.81,5.19,4067.4,884 NDC,50742-0118-08,CABERGOLINE 0.5 MG TABLET,14.5,9.43,7.21,14.5,884 NDC,50742-0239-01,MEXILETINE 150 MG CAPSULE,6.2,4.03,3.08,6.2,884 NDC,50742-0240-01,MEXILETINE 200 MG CAPSULE,6.9,4.49,3.43,6.9,884 NDC,50742-0241-01,MEXILETINE 250 MG CAPSULE,7.3,4.75,3.63,7.3,884 NDC,50742-0257-01,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",5.9,3.84,2.93,5.9,884 NDC,50742-0354-10,MESNA 400 MG TABLET,187.0,121.55,92.94,187.0,884 NDC,50742-0505-24,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,28.3,18.4,14.07,28.3,884 NDC,50742-0515-01,NITROGLYCERIN 0.3 MG/HR TRANSDERMAL 24 HOUR PATCH,169.7,110.31,84.34,169.7,884 NDC,50742-0550-05,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,27.1,17.61,13.47,27.1,884 NDC,50742-0552-05,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,38.4,24.96,19.08,38.4,884 NDC,50742-0554-05,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,43.8,28.47,21.77,43.8,884 NDC,50742-0556-05,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,66.1,42.97,32.85,66.1,884 NDC,50881-0005-60,RUXOLITINIB 5 MG TABLET,964.5,626.92,479.36,964.5,884 NDC,50881-0023-11,AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION,44155.7,28701.21,55.65,42831.03,884 NDC,50881-0034-12,AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION,18314.9,11904.69,55.65,17765.45,884 NDC,50914-7720-08,"ALBUMIN, IODINATED I-131 0.025 MCI/ML INTRAVENOUS SYRINGE",509.0,330.85,282.5,2977.0,880 NDC,51079-0024-20,METOLAZONE 5 MG TABLET,16.4,10.66,8.15,16.4,884 NDC,51079-0074-20,HYDRALAZINE 10 MG TABLET,5.7,3.71,2.83,5.7,884 NDC,51079-0076-20,HYDRALAZINE 50 MG TABLET,5.7,3.71,2.83,5.7,884 NDC,51079-0200-01,METHYLDOPA 250 MG TABLET,5.6,3.64,2.78,5.6,884 NDC,51079-0201-01,METHYLDOPA 500 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,51079-0255-20,METOPROLOL TARTRATE 25 MG TABLET,5.4,3.51,2.68,5.4,884 NDC,51079-0284-20,DIAZEPAM 2 MG TABLET,10.3,6.7,5.12,10.3,884 NDC,51079-0566-20,THIORIDAZINE 25 MG TABLET,7.0,4.55,3.48,7.0,884 NDC,51079-0572-20,TRIFLUOPERAZINE 1 MG TABLET,8.0,5.2,3.98,8.0,884 NDC,51079-0599-20,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,8.1,5.27,4.03,8.1,884 NDC,51079-0684-20,ATENOLOL 50 MG TABLET,5.4,3.51,2.68,5.4,884 NDC,51079-0685-20,ATENOLOL 100 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,51079-0733-20,HALOPERIDOL 0.5 MG TABLET,6.1,3.97,3.03,6.1,884 NDC,51079-0801-20,METOPROLOL TARTRATE 50 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,51079-0921-20,CLOZAPINE 25 MG TABLET,6.0,3.9,2.98,6.0,884 NDC,51079-0923-20,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",7.8,5.07,3.88,7.8,884 NDC,51079-0924-20,"DILTIAZEM ER 60 MG CAPSULE,EXTENDED RELEASE 12 HR",17.0,11.05,8.45,17.0,884 NDC,51079-0925-20,"DILTIAZEM ER 90 MG CAPSULE,EXTENDED RELEASE 12 HR",19.1,12.42,9.49,19.1,884 NDC,51079-0926-20,"DILTIAZEM ER 120 MG CAPSULE,EXTENDED RELEASE 12 HR",24.6,15.99,12.23,24.6,884 NDC,51079-0978-20,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",6.2,4.03,3.08,6.2,884 NDC,51144-0003-01,TISOTUMAB VEDOTIN-TFTV 40 MG/4 ML INTRAVENOUS SOLUTION (WETTED),28050.4,18232.76,188.76,27489.39,884 NDC,51144-0050-01,BRENTUXIMAB VEDOTIN 50 MG/10 ML INTRAVENOUS SOLUTION (WETTED),49566.5,32218.23,258.64,48575.17,884 NDC,51167-0548-30,SUZETRIGINE 50 MG TABLET,56.7,36.85,28.18,56.7,884 NDC,51285-0366-01,METHOTREXATE SODIUM 5 MG TABLET,52.0,33.8,25.84,50.44,880 NDC,51525-0115-01,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR",5.9,3.84,2.93,5.9,884 NDC,51552-0055-06,ACETIC ACID (BULK) 5 % LIQUID (NON-STERILE),68.5,44.53,34.04,68.5,884 NDC,51552-0613-02,BACLOFEN (BULK) 100 % POWDER,140.0,91.0,69.58,135.8,880 NDC,51552-0883-09,BECLOMETHASONE DIPROP (BULK) POWDER,123.8,80.47,61.53,123.8,884 NDC,51552-1079-05,COMPOUNDING VEHICLE SUSPENSION SUGAR-FREE NO.3 ORAL,75.0,48.75,37.28,75.0,880 NDC,51552-1291-01,SQUARIC ACID DIBUTYLESTER 150 MG IN BUTYL ALCOHOL (BULK) LIQUID,200.5,130.32,99.65,200.5,884 NDC,51672-1259-01,CLOBETASOL 0.05 % TOPICAL OINTMENT,66.2,43.03,32.9,66.2,884 NDC,51672-1264-02,FLUOCINONIDE 0.05 % TOPICAL OINTMENT,104.6,67.99,51.99,104.6,884 NDC,51672-1273-04,FLUOCINONIDE 0.05 % TOPICAL SOLUTION,109.0,70.85,54.17,109.0,884 NDC,51672-1279-03,FLUOCINONIDE 0.05 % TOPICAL GEL,331.1,215.22,164.56,331.1,884 NDC,51672-1281-01,DESONIDE 0.05 % TOPICAL OINTMENT,129.9,84.44,64.56,129.9,884 NDC,51672-1304-06,TERCONAZOLE 0.4 % VAGINAL CREAM,140.8,91.52,69.98,140.8,884 NDC,51672-1318-01,CICLOPIROX 0.77 % TOPICAL CREAM,60.1,39.06,29.87,60.1,884 NDC,51672-1359-02,OXICONAZOLE 1 % TOPICAL CREAM,573.1,372.52,284.83,573.1,884 NDC,51672-1386-02,FLUOCINONIDE 0.05 % TOPICAL CREAM,119.3,77.55,59.29,119.3,884 NDC,51672-2001-02,MICONAZOLE NITRATE 2 % TOPICAL CREAM,62.9,40.88,31.26,62.9,884 NDC,51672-2002-02,CLOTRIMAZOLE 1 % TOPICAL CREAM,61.0,39.65,30.32,61.0,884 NDC,51672-2003-06,CLOTRIMAZOLE 1 % VAGINAL CREAM,63.1,41.02,31.36,63.1,884 NDC,51672-2010-02,HYDROCORTISONE 0.5 % TOPICAL CREAM,63.1,41.02,31.36,63.1,884 NDC,51672-2035-06,MICONAZOLE NITRATE 2 % VAGINAL CREAM,20.5,13.33,10.19,20.5,884 NDC,51672-2080-01,TERBINAFINE HCL 1 % TOPICAL CREAM,70.2,45.63,34.89,70.2,884 NDC,51672-2115-02,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,0.5,0.33,0.25,0.5,884 NDC,51672-2116-02,ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY,0.5,0.33,0.25,0.5,884 NDC,51672-2131-08,LORATADINE 5 MG/5 ML ORAL SOLUTION,2.6,1.69,1.29,2.6,884 NDC,51672-4011-06,CLOMIPRAMINE 25 MG CAPSULE,6.7,4.36,3.33,6.7,884 NDC,51672-4016-01,ETODOLAC 200 MG CAPSULE,8.5,5.53,4.22,8.5,884 NDC,51672-4017-01,ETODOLAC 300 MG CAPSULE,9.3,6.05,4.62,9.3,884 NDC,51672-4047-04,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION (WRAPPER),188.5,122.53,93.68,188.5,884 NDC,51672-4069-02,PHENYTOIN 25 MG/ML ORAL SUSPENSION (WRAPPER),6.0,3.9,2.98,6.0,884 NDC,51672-4118-06,FLUOROURACIL 5 % TOPICAL CREAM,200.6,130.39,99.7,200.6,884 NDC,51672-4215-03,METRONIDAZOLE 1 % TOPICAL GEL,256.2,166.53,127.33,256.2,884 NDC,51672-4230-08,IVERMECTIN 0.5 % LOTION,524.9,341.19,260.88,524.9,884 NDC,51672-5316-09,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION,499.9,324.94,248.45,499.9,884 NDC,51754-0103-04,COPPER 0.4 MG/ML INJECTION (TPN)(WRAPPER),99.4,64.61,49.4,96.42,880 NDC,51801-0001-30,POTASSIUM BICARBONATE-CITRIC ACID 25 MEQ EFFERVESCENT TABLET,5.7,3.71,2.83,5.7,884 NDC,51801-0012-30,POTASSIUM BICARBONATE-CITRIC ACID 20 MEQ EFFERVESCENT TABLET,6.8,4.42,3.38,6.8,884 NDC,51801-0014-30,POTASSIUM BICARBONATE-CITRIC ACID 10 MEQ EFFERVESCENT TABLET,6.6,4.29,3.28,6.6,884 NDC,51803-0001-01,POTASSIUM IODIDE 130 MG TABLET,4.5,2.93,2.24,4.5,884 NDC,51808-0127-01,CHROMIC PHOSPHATE P-32 45 MCI/3 ML INJECTION SUSPENSION,1100.0,715.0,546.7,1100.0,880 NDC,51808-0128-01,SODIUM PHOSPHATE P-32 10 MCI/4 ML INTRAVENOUS SOLUTION,1080.0,702.0,278.24,1047.6,884 NDC,51862-0682-01,TAMOXIFEN 20 MG/10 ML ORAL SOLUTION,79.6,51.74,39.56,79.6,884 NDC,51927-1247-00,ZINC SULFATE HEPTAHYDRATE (BULK) 100 % POWDER,5.9,3.84,2.93,5.9,880 NDC,51991-0006-33,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",6.8,4.42,3.38,6.8,884 NDC,51991-0144-17,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,107.2,69.68,53.28,105.06,880 NDC,51991-0311-90,"DESVENLAFAXINE ER 50 MG TABLET,EXTENDED RELEASE 24 HOUR (WRAPPER)",7.0,4.55,3.48,7.0,884 NDC,51991-0474-28,ESTRADIOL-NORETHINDRONE ACET 1 MG-0.5 MG TABLET,53.0,34.45,26.34,53.0,884 NDC,51991-0623-28,ESTRADIOL-NORETHINDRONE ACET 0.5 MG-0.1 MG TABLET,10.2,6.63,5.07,10.2,884 NDC,52015-0080-01,FIDAXOMICIN 200 MG TABLET,414.6,269.49,206.06,414.6,884 NDC,52244-0100-10,"THEOPHYLLINE ER 100 MG CAPSULE,EXTENDED RELEASE 24 HR",18.0,11.7,8.95,18.0,884 NDC,52244-0200-10,"THEOPHYLLINE ER 200 MG CAPSULE,EXTENDED RELEASE 24 HR",24.3,15.8,12.08,24.3,884 NDC,52268-0100-01,PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION,75.0,48.75,37.28,75.0,884 NDC,52536-0880-01,"VERAPAMIL ER 120 MG 24 HR CAPSULE,EXTENDED RELEASE",11.2,7.28,5.57,11.2,884 NDC,52652-8001-01,ZONISAMIDE 100 MG/5 ML ORAL SUSPENSION,16.7,10.86,8.3,16.7,884 NDC,52670-0550-30,SODIUM FLUORIDE F-18 (F-18) 91.5 MCI/ML INTRAVENOUS SOLUTION,375.0,243.75,208.13,2977.0,880 NDC,52670-0551-30,FLUDEOXYGLUCOSE F-18 INTRAVENOUS SOLUTION,840.0,546.0,466.2,2977.0,880 NDC,52670-0552-30,AMMONIA (N-13) 37.5 MCI/ML INTRAVENOUS SOLUTION,1327.5,862.88,736.76,2977.0,880 NDC,52670-0556-30,CHOLINE-11 (C-11) 33.1 MCI/ML INTRAVENOUS SOLUTION,6840.0,4446.0,2516.43,6634.8,884 NDC,52800-0488-26,EMOLLIENT COMBINATION NO.92 TOPICAL LOTION,12.0,7.8,5.96,12.0,884 NDC,52817-0816-15,ACETIC ACID 2 % EAR SOLUTION,123.7,80.41,61.48,123.7,884 NDC,53436-0084-30,PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET,88.1,57.27,43.79,88.1,884 NDC,53436-0168-01,PATIROMER CALCIUM SORBITEX 16.8 GRAM ORAL POWDER PACKET,88.1,57.27,43.79,88.1,884 NDC,53489-0141-01,"QUINIDINE GLUCONATE ER 324 MG TABLET,EXTENDED RELEASE",20.6,13.39,10.24,20.6,884 NDC,53489-0281-01,ERGOLOID 1 MG TABLET,25.1,16.32,12.47,25.1,884 NDC,53746-0735-90,FELBAMATE 600 MG TABLET,11.4,7.41,5.67,11.4,884 NDC,54092-0189-81,"MESALAMINE ER 250 MG CAPSULE,EXTENDED RELEASE",14.9,9.69,7.41,14.9,884 NDC,54092-0191-12,"MESALAMINE ER 500 MG CAPSULE,EXTENDED RELEASE",24.7,16.06,12.28,24.7,884 NDC,54288-0103-10,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,71.2,46.28,35.39,69.06,880 NDC,54288-0142-10,PAPAVERINE 30 MG/ML INJECTION SOLUTION,110.9,72.08,55.12,110.9,884 NDC,54288-0147-01,METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION,646.4,420.16,8.73,627.01,884 NDC,54629-0051-01,NIACIN 50 MG TABLET,2.1,1.37,1.04,2.1,884 NDC,54629-0105-05,"VITAMIN E 450 MG (1,000 UNIT) CAPSULE",2.7,1.75,1.34,2.7,884 NDC,54629-0400-01,VITAMIN E 180 MG (400 UNIT) CAPSULE (WRAPPER),2.3,1.5,1.14,2.3,884 NDC,54629-3985-01,BIOTIN 1 MG TABLET,2.2,1.43,1.09,2.2,884 NDC,54629-4097-60,ACETYLCYSTEINE 600 MG CAPSULE,2.3,1.5,1.14,2.3,884 NDC,54643-5650-02,"MVI, ADULT INTRAVENOUS SOLUTION (WRAPPER)",71.8,46.67,35.68,69.65,880 NDC,54766-0093-06,AURANOFIN 3 MG CAPSULE,76.5,49.73,38.02,76.5,884 NDC,54838-0501-40,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,5.4,3.51,2.68,5.4,884 NDC,54838-0512-40,DOXEPIN 10 MG/ML ORAL CONCENTRATE,6.9,4.49,3.43,6.9,884 NDC,55111-0320-01,GLIMEPIRIDE 1 MG TABLET,5.2,3.38,2.58,5.2,884 NDC,55111-0650-01,METAXALONE 800 MG TABLET,6.9,4.49,3.43,6.9,884 NDC,55111-0678-10,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,61.3,39.85,30.47,60.07,880 NDC,55111-0679-10,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,105.6,68.64,52.48,103.49,880 NDC,55111-0685-07,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,61.3,39.85,30.47,59.46,880 NDC,55111-0717-30,"LAMOTRIGINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",7.3,4.75,3.63,7.3,884 NDC,55111-0719-30,"LAMOTRIGINE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",8.6,5.59,4.27,8.6,884 NDC,55135-0132-01,SACITUZUMAB GOVITECAN-HZIY 180 MG/18 ML INTRAVENOUS SOLUTION (WETTED),10201.5,6630.98,36.28,9997.47,884 NDC,55150-0120-30,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,43.6,28.34,21.67,42.29,880 NDC,55150-0121-50,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,45.7,29.7,22.71,44.33,880 NDC,55150-0123-16,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,54.4,35.36,27.04,52.77,880 NDC,55150-0154-10,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,50.2,32.63,24.95,48.69,880 NDC,55150-0165-05,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,35.9,23.34,17.84,35.9,880 NDC,55150-0165-05,LIDOCAINE 20 MG/ML (2 %) INJECTION SOLUTION (WRAPPER),35.9,23.34,17.84,35.9,880 NDC,55150-0166-13,SILDENAFIL 10 MG/12.5 ML INTRAVENOUS SOLUTION,159.5,103.68,79.27,159.5,880 NDC,55150-0168-30,BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (WRAPPER),36.2,23.53,17.99,35.11,880 NDC,55150-0170-30,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,36.1,23.47,17.94,35.02,880 NDC,55150-0170-30,BUPIVACAINE (PF) 0.5 % INTRATHECAL TEST DOSE,35.1,22.82,17.44,34.05,880 NDC,55150-0170-30,BUPIVACAINE 0.5 % (5 MG/ML) INJECTION SOLUTION (WRAPPER),36.1,23.47,17.94,35.02,880 NDC,55150-0171-10,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,37.3,24.25,18.54,36.18,880 NDC,55150-0173-05,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,51.9,33.74,25.79,50.34,880 NDC,55150-0183-11,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,75.7,49.21,37.62,73.43,880 NDC,55150-0232-10,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,70.6,45.89,35.09,69.19,880 NDC,55150-0233-10,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,87.7,57.01,43.59,85.95,880 NDC,55150-0235-11,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,45.6,29.64,22.66,45.6,880 NDC,55150-0251-10,LIDOCAINE 10 MG/ML (1%) STRAIGHT DRUG FOR INTRAPLEURAL USE (WRAPPER),37.4,24.31,18.59,37.4,880 NDC,55150-0282-09,ERTAPENEM 1 GRAM IM EQUIVALENCY,87.7,57.01,43.59,85.07,880 NDC,55150-0282-09,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,87.7,57.01,43.59,85.07,880 NDC,55150-0330-01,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR (WRAPPER),98.9,64.28,49.15,96.92,880 NDC,55150-0370-24,VASOPRESSIN 20 UNIT/ML INJ SOLN (WRAPPER),89.3,58.05,44.38,86.62,880 NDC,55150-0431-01,DACTINOMYCIN 0.5 MG/ML INTRAVENOUS SOLUTION (WETTED),1805.5,1173.58,328.34,1751.34,884 NDC,55150-0434-02,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION (RECONSTITUTE WITH SUPPLIED SODIUM LACTATE),325.6,211.64,63.06,319.09,884 NDC,55150-0437-01,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION (RECONSTITUTE WITH SUPPLIED SODIUM LACTATE),394.1,256.17,63.06,386.22,884 NDC,55292-0201-11,SUCCIMER 100 MG CAPSULE,81.7,53.11,40.6,81.7,884 NDC,55292-0702-55,HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION,43276.9,28129.99,34.18,42411.36,884 NDC,55292-0820-01,SUTIMLIMAB-JOME 50 MG/ML INTRAVENOUS SOLUTION,8026.8,5217.42,18.86,7786.0,884 NDC,55513-0002-04,DARBEPOETIN ALFA 25 MCG/ML IN POLYSORBATE INJECTION,296.8,192.92,2.93,287.9,884 NDC,55513-0003-04,DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION,519.9,337.94,2.93,504.3,884 NDC,55513-0004-04,DARBEPOETIN ALFA 60 MCG/ML IN POLYSORBATE INJECTION,717.4,466.31,2.93,695.88,884 NDC,55513-0005-04,DARBEPOETIN ALFA 100 MCG/ML IN POLYSORBATE INJECTION,1112.2,722.93,2.93,1078.83,884 NDC,55513-0025-04,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE,1112.2,722.93,2.93,1078.83,884 NDC,55513-0028-01,DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,2199.4,1429.61,2.93,2133.42,884 NDC,55513-0032-01,DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE,1605.8,1043.77,2.93,1557.63,884 NDC,55513-0059-01,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION,6211.9,4037.74,1564.64,6025.54,884 NDC,55513-0069-01,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION,58068.9,37744.79,1564.64,56326.83,884 NDC,55513-0078-01,TALIMOGENE LAHERPAREPVEC 10EXP6 (1 MILLION) PFU/ML SUSP FOR INJECTION,475.1,308.82,73.94,475.1,884 NDC,55513-0079-01,TALIMOGENE LAHERPAREPVEC 10EXP8 (100 MILLION)PFU/ML SUSP FOR INJECTION,27953.9,18170.04,73.94,27953.9,884 NDC,55513-0111-01,DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE,3386.6,2201.29,2.93,3285.0,884 NDC,55513-0132-01,TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION,14195.2,9226.88,47.55,13911.3,884 NDC,55513-0137-60,APREMILAST 30 MG TABLET,305.3,198.45,151.73,305.3,884 NDC,55513-0141-01,TRASTUZUMAB-ANNS 150 MG INTRAVENOUS SOLUTION,5359.1,3483.42,47.55,5251.92,884 NDC,55513-0148-10,"EPOETIN ALFA 4,000 UNIT/ML INJECTION SOLUTION",290.1,188.57,8.54,281.4,884 NDC,55513-0150-01,BLINATUMOMAB 35 MCG INTRAVENOUS (WRAPPER),22414.5,14569.43,164.25,21742.07,884 NDC,55513-0190-01,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,17371.8,11291.67,89.34,16850.65,884 NDC,55513-0192-01,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR,17371.8,11291.67,89.34,16850.65,884 NDC,55513-0206-01,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,2968.4,1929.46,27.86,2879.35,884 NDC,55513-0207-01,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,10523.4,6840.21,27.86,10207.7,884 NDC,55513-0209-10,FILGRASTIM 480 MCG/0.8 ML INJECTION SYRINGE,2168.1,1409.27,1.0,2103.06,884 NDC,55513-0221-01,ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION,11204.3,7282.8,11.01,10868.17,884 NDC,55513-0222-01,ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION,21983.6,14289.34,11.01,21324.09,884 NDC,55513-0223-01,ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION,5814.8,3779.62,11.01,5640.36,884 NDC,55513-0224-01,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,2519.8,1637.87,26.51,2444.21,884 NDC,55513-0267-10,"EPOETIN ALFA 3,000 UNIT/ML INJECTION SOLUTION",230.1,149.57,8.54,223.2,884 NDC,55513-0326-01,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,10798.9,7019.29,26.51,10474.93,884 NDC,55513-0530-10,FILGRASTIM 300 MCG/ML INJECTION SOLUTION,1276.2,829.53,1.0,1237.91,884 NDC,55513-0546-10,FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION,1958.0,1272.7,1.0,1899.26,884 NDC,55513-0670-01,INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION,1514.6,984.49,20.41,1469.16,884 NDC,55513-0710-01,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE,6944.5,4513.93,29.38,6736.17,884 NDC,55513-0730-01,DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION,12413.4,8068.71,29.38,12041.0,884 NDC,55513-0740-10,ETELCALCETIDE 5 MG/ML INTRAVENOUS SOLUTION,868.8,564.72,482.18,842.74,880 NDC,55513-0880-02,ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE,9762.4,6345.56,12.07,9469.53,884 NDC,55513-0924-10,FILGRASTIM 300 MCG/0.5 ML INJECTION SYRINGE,1345.2,874.38,1.0,1304.84,884 NDC,55513-0954-01,PANITUMUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),7404.4,4812.86,173.03,7256.31,884 NDC,55513-0956-01,PANITUMUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),28267.5,18373.88,173.03,27702.15,884 NDC,55566-1050-00,NADOFARAGENE FIRADENOVEC-VNCG 3X10EXP11 VP/ML INTRAVESICAL SUSPENSION,57543.8,37403.47,28599.27,72843.62,884 NDC,55566-8303-01,DEGARELIX 80 MG/4 ML SUBCUTANEOUS SOLUTION (WETTED),1663.0,1080.95,4.45,1613.11,884 NDC,55566-8403-01,DEGARELIX 120 MG/3 ML SUBCUTANEOUS SOLUTION (WETTED),2335.5,1518.08,4.45,2265.44,884 NDC,57237-0044-60,CLARITHROMYCIN 250 MG TABLET,6.5,4.22,3.23,6.5,884 NDC,57237-0045-60,CLARITHROMYCIN 500 MG TABLET,6.9,4.49,3.43,6.9,884 NDC,57237-0097-01,CEFADROXIL 250 MG/5 ML ORAL SUSPENSION,69.2,44.98,34.39,69.2,884 NDC,57237-0114-90,"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR",5.4,3.51,2.68,5.4,884 NDC,57237-0150-35,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,58.7,38.16,29.17,58.7,884 NDC,57237-0157-01,REPAGLINIDE 0.5 MG TABLET,5.6,3.64,2.78,5.6,884 NDC,57237-0172-01,VENLAFAXINE 25 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,57237-0219-30,PIOGLITAZONE 15 MG TABLET,5.4,3.51,2.68,5.4,884 NDC,57237-0305-12,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,11.5,7.48,5.72,11.5,884 NDC,57770-0055-00,HYPROMELLOSE 2 % INTRAOCULAR SYRINGE,143.8,93.47,71.47,143.8,880 NDC,57826-0420-02,SODIUM CITRATE 4 % INTRAVENOUS SOLUTION,96.0,62.4,47.71,96.0,880 NDC,57894-0030-01,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,4692.8,3050.32,31.09,4552.02,884 NDC,57894-0054-27,USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION,8721.1,5668.72,12.99,8459.47,884 NDC,57894-0060-03,USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRINGE,56382.2,36648.43,28021.95,56382.2,884 NDC,57894-0061-03,USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE,112339.3,73020.55,55832.63,112339.3,884 NDC,57894-0111-01,CARVYKTI,2500000.0,555310.44,555310.44,555310.44,13 NDC,57894-0350-01,GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION,7730.9,5025.09,11.04,7498.97,884 NDC,57894-0449-01,TECLISTAMAB-CQYV 10 MG/ML SUBCUTANEOUS SOLUTION,7084.3,4604.8,33.58,6942.61,884 NDC,57894-0450-01,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION,34284.4,22284.86,33.58,33598.71,884 NDC,57894-0469-01,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION,3564.6,2316.99,72.62,3457.66,884 NDC,57894-0470-01,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION,39105.8,25418.77,72.62,37932.63,884 NDC,57894-0501-00,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION,14646.6,9520.29,22.54,14353.67,884 NDC,57894-0503-01,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN",42150.8,27398.02,55.57,41307.78,884 NDC,57894-0505-20,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION,12687.8,8247.07,71.37,12434.04,884 NDC,57894-0640-01,GUSELKUMAB 100 MG/ML SUBCUTANEOUS SYRINGE,53582.0,34828.3,26630.25,53582.0,884 NDC,57894-0650-02,GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,54721.6,35569.04,75.97,53079.95,884 NDC,57896-0199-45,TOLNAFTATE 1 % TOPICAL POWDER,60.4,39.26,30.02,60.4,880 NDC,57896-0501-01,MULTIVITAMIN TABLET,0.5,0.33,0.25,0.5,884 NDC,57896-0621-01,MULTIVITAMIN-MINERALS-IRON FUMARATE 19 MG-FOLIC ACID 400 MCG TABLET,2.2,1.43,1.09,2.2,884 NDC,57896-0875-03,COENZYME Q10 100 MG CAPSULE,2.6,1.69,1.29,2.6,884 NDC,57962-0140-09,IBRUTINIB 140 MG CAPSULE,412.1,267.87,204.81,412.1,884 NDC,58151-0118-01,PHENYTOIN SODIUM EXTENDED 30 MG CAPSULE,10.1,6.57,5.02,10.1,884 NDC,58160-0723-03,"RESPIRATORY SYNCYTIAL VIRUS VACCINE, ANTIGEN (2 OF 2) 120 MCG IM SUSP",417.4,271.31,207.45,417.4,880 NDC,58160-0810-52,"DIPH,PERTUS(ACEL),TET PED (PF) 25-58-10 LF-MCG-LF/0.5ML IM (WRAPPER)",49.6,32.24,24.65,48.61,880 NDC,58160-0820-52,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM (WRAPPER),48.9,31.79,24.3,47.92,880 NDC,58160-0821-11,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/1 ML IM (WRAPPER),120.7,78.46,59.99,118.29,880 NDC,58160-0823-11,"VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT",225.4,146.51,112.02,220.89,880 NDC,58160-0826-52,HEPATITIS A VIRUS VACCINE (PF) 1 ML IM (WRAPPER),144.0,93.6,71.57,141.12,880 NDC,58160-0827-30,"MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION",243.3,158.15,120.92,243.3,880 NDC,58160-0828-01,VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50 MCG IM SUSPENSION,201.8,131.17,100.29,197.76,880 NDC,58160-0848-11,"RSVPREF3 ANTIGEN-AS01E ADJUVANT(PF) 120 MCG/0.5 ML IM SUSPENSION, KIT",417.4,271.31,207.45,417.4,880 NDC,58160-0849-52,VARICELLA-ZOSTER GLYCOE VACCINE-AS01B ADJ(PF) 50 MCG/0.5 ML IM SYRINGE,337.1,219.12,167.54,337.1,880 NDC,58160-0955-09,"MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)",243.3,158.15,120.92,236.0,880 NDC,58160-0959-01,"MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)",173.2,112.58,86.08,168.0,880 NDC,58160-0976-20,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE",251.2,163.28,124.85,246.18,880 NDC,58181-3041-05,LOMUSTINE 40 MG CAPSULE,1481.4,962.91,736.26,1481.4,884 NDC,58181-3042-05,LOMUSTINE 100 MG CAPSULE,3983.8,2589.47,1979.95,3983.8,884 NDC,58204-0004-01,"PEDI MULTIVIT NO.22-VIT D3 37.5 MCG-VIT K 1,000 MCG CHEWABLE TABLET",0.5,0.33,0.25,0.5,884 NDC,58204-0004-11,"PEDI MULTIVIT NO.22-VIT D3 3,000 UNIT-VIT K 1,000 MCG CHEWABLE TABLET",0.5,0.33,0.25,0.5,884 NDC,58394-0637-03,COAGULATION FACTOR IX (RECOMB) -- BENEFIX (BRAND SPLIT) (RESTRICTED),39.6,25.74,1.85,38.81,884 NDC,58406-0010-04,ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE,4339.8,2820.87,2156.88,4339.8,880 NDC,58406-0021-04,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS SYRINGE,8254.4,5365.36,4102.44,8254.4,880 NDC,58468-0030-02,THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION,8159.7,5303.81,2116.32,7914.91,884 NDC,58468-0040-01,AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION,30658.6,19928.09,230.15,30045.43,884 NDC,58468-0041-01,AGALSIDASE BETA 5 MG INTRAVENOUS SOLUTION,4743.4,3083.21,230.15,4648.53,884 NDC,58468-0080-01,ANTI-THYMOCYTE GLOBULIN (RABBIT) 25 MG INTRAVENOUS SOLUTION,4728.0,3073.2,999.37,4586.16,884 NDC,58468-0090-01,HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE,634.8,412.62,7.95,615.76,884 NDC,58468-0090-03,HYLAN G-F 20 48 MG/6 ML INTRA-ARTICULAR SYRINGE,1654.3,1075.3,7.95,1604.67,884 NDC,58468-0225-01,CAPLACIZUMAB-YHDP 11 MG INJECTION KIT,27021.6,17564.04,802.49,26210.95,884 NDC,58468-0426-01,AVALGLUCOSIDASE ALFA-NGPT 100 MG INTRAVENOUS SOLUTION,8024.3,5215.8,80.91,7863.81,884 NDC,58468-4663-01,IMIGLUCERASE 400 UNIT INTRAVENOUS SOLUTION,6993.1,4545.52,43.19,6783.31,884 NDC,58526-0005-59,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,8.3,5.4,4.13,8.3,884 NDC,58657-0901-01,HALOPERIDOL 1 MG TABLET,6.2,4.03,3.08,6.2,884 NDC,58980-0012-05,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",15.8,10.27,7.85,15.8,884 NDC,58980-0820-10,PHENOL 1.5 % TOPICAL LIQUID,115.3,74.94,57.3,115.3,880 NDC,59011-0410-20,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",26.8,17.42,13.32,26.8,884 NDC,59011-0440-20,"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",69.8,45.37,34.69,69.8,884 NDC,59137-0335-00,TREOSULFAN 1 GRAM/20 ML INTRAVENOUS SOLUTION (WETTED),2737.5,1779.38,32.33,2737.5,884 NDC,59137-0365-00,TREOSULFAN 5 GRAM/100 ML INTRAVENOUS SOLUTION (WETTED),11887.5,7726.88,32.33,11887.5,884 NDC,59148-0021-50,TOLVAPTAN 30 MG TABLET,1679.0,1091.35,834.46,1679.0,884 NDC,59148-0037-13,BREXPIPRAZOLE 1 MG TABLET,166.3,108.1,82.65,166.3,884 NDC,59148-0053-16,DEXTROMETHORPHAN 20 MG-QUINIDINE 10 MG CAPSULE,93.9,61.03,46.67,93.9,884 NDC,59310-0302-40,BECLOMETHASONE DIPROP 40 MCG/ACTUATION HFA BREATH ACTIVATED AEROSOL,718.2,466.83,356.95,718.2,884 NDC,59316-0102-12,MENTHOL 4 % TOPICAL GEL,80.0,52.0,39.76,80.0,884 NDC,59338-0775-01,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION,636.6,413.79,0.32,617.5,884 NDC,59338-0775-01,FERUMOXYTOL IN NACL 0.9 % 30 ML DILUTION (3.0T),37.6,24.44,18.69,36.47,880 NDC,59338-0775-01,FERUMOXYTOL IN NACL 0.9 % 60 ML DILUTION (1.5T),40.1,26.07,19.93,38.9,880 NDC,59338-0775-01,FERUMOXYTOL IN NACL 0.9 % DILUTION (PEDIATRIC),38.7,25.16,19.23,37.54,880 NDC,59385-0024-60,BUPRENORPHINE HCL 450 MCG BUCCAL FILM,70.8,46.02,35.19,70.8,884 NDC,59385-0025-60,BUPRENORPHINE HCL 600 MCG BUCCAL FILM,74.3,48.3,36.93,74.3,884 NDC,59390-0218-05,FLUORESCEIN 0.25 %-BENOXINATE 0.4 % EYE DROPS,126.3,82.1,62.77,126.3,880 NDC,59467-5100-00,ARTIFICIAL SALIVA(CARBOXYMETHYLCELLULOSE-ELECTROLYTES) SPRAY PUMP,107.2,69.68,53.28,107.2,884 NDC,59572-0515-01,ABECMA,2380000.0,531350.4,531350.4,531350.4,1 NDC,59572-0710-30,ENASIDENIB 100 MG TABLET,3643.6,2368.34,1810.87,3643.6,884 NDC,59572-0984-01,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),12379.0,8046.35,30.78,12007.63,884 NDC,59630-0266-10,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION,982.8,638.82,2.42,982.8,884 NDC,59651-0018-90,"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",6.2,4.03,3.08,6.2,884 NDC,59651-0026-01,AMOXICILLIN (4:1) 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,120.5,78.33,59.89,120.5,884 NDC,59651-0086-30,DARUNAVIR 800 MG TABLET,12.0,7.8,5.96,12.0,884 NDC,59651-0105-69,ELETRIPTAN 40 MG TABLET,18.8,12.22,9.34,18.8,884 NDC,59651-0214-30,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,74.2,48.23,36.88,74.2,884 NDC,59651-0256-01,PROPAFENONE 150 MG TABLET,5.6,3.64,2.78,5.6,884 NDC,59651-0276-60,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR",6.7,4.36,3.33,6.7,884 NDC,59651-0292-60,ZAFIRLUKAST 20 MG TABLET,7.5,4.88,3.73,7.5,884 NDC,59651-0306-01,CHLORZOXAZONE 500 MG TABLET,6.0,3.9,2.98,6.0,884 NDC,59651-0331-01,FLUCYTOSINE 250 MG CAPSULE,33.8,21.97,16.8,33.8,884 NDC,59651-0332-01,FLUCYTOSINE 500 MG CAPSULE,70.3,45.7,34.94,70.3,884 NDC,59651-0422-01,CEVIMELINE 30 MG CAPSULE,8.2,5.33,4.08,8.2,884 NDC,59651-0484-01,PREDNISONE 1 MG TABLET,5.4,3.51,2.68,5.24,880 NDC,59651-0616-08,RUFINAMIDE 200 MG TABLET,10.9,7.09,5.42,10.9,884 NDC,59651-0617-08,RUFINAMIDE 400 MG TABLET,16.0,10.4,7.95,16.0,884 NDC,59651-0780-30,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",5.3,3.45,2.63,5.3,884 NDC,59651-0781-01,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",5.4,3.51,2.68,5.4,884 NDC,59651-0840-01,GUANFACINE 1 MG TABLET,5.8,3.77,2.88,5.8,884 NDC,59651-0866-01,CIPROFLOXACIN 250 MG TABLET,5.4,3.51,2.68,5.4,884 NDC,59651-0873-50,CIPROFLOXACIN 750 MG TABLET,6.4,4.16,3.18,6.4,884 NDC,59676-0278-01,RILPIVIRINE HCL 25 MG TABLET,166.7,108.36,82.85,166.7,884 NDC,59676-0302-01,"EPOETIN ALFA 2,000 UNIT/ML INJECTION SOLUTION",241.6,157.04,8.54,234.35,884 NDC,59676-0310-01,"EPOETIN ALFA 10,000 UNIT/ML INJECTION SOLUTION",652.7,424.26,8.54,633.12,884 NDC,59676-0320-04,"EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION",652.7,424.26,8.54,633.12,884 NDC,59676-0340-01,"EPOETIN ALFA 40,000 UNIT/ML INJECTION SOLUTION",2335.7,1518.21,8.54,2265.63,884 NDC,59676-0360-01,SODIUM HYALURONATE 30 MG/2 ML INTRA-ARTICULAR SYRINGE,601.3,390.85,114.54,583.26,884 NDC,59676-0562-01,DARUNAVIR 600 MG TABLET,124.0,80.6,61.63,124.0,884 NDC,59676-0575-30,DARUNAVIR 800 MG-COBICISTAT 150 MG TABLET,270.6,175.89,134.49,270.6,884 NDC,59676-0610-01,TRABECTEDIN 1 MG/20 ML INTRAVENOUS SOLUTION (WETTED),15172.1,9861.87,391.07,14868.66,884 NDC,59676-0800-30,DARUNAVIR 800 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFEN 10 MG TABLET,519.9,337.94,258.39,519.9,884 NDC,59762-0050-01,METHYLPREDNISOLONE 16 MG TABLET,13.4,8.71,6.66,13.0,880 NDC,59762-0104-05,"SULFASALAZINE 500 MG TABLET,DELAYED RELEASE",6.0,3.9,2.98,6.0,884 NDC,59762-0119-01,PHENELZINE 15 MG TABLET,6.9,4.49,3.43,6.9,884 NDC,59762-0260-01,COLESTIPOL 5 GRAM ORAL PACKET,11.8,7.67,5.86,11.8,884 NDC,59762-0489-01,NITROGLYCERIN 0.6 MG SUBLINGUAL TABLET,123.8,80.47,61.53,123.8,880 NDC,59762-1308-04,LINEZOLID 100 MG/5 ML ORAL SUSPENSION,1320.9,858.59,656.49,1320.9,884 NDC,59762-1350-01,RIFABUTIN 150 MG CAPSULE,43.9,28.54,21.82,43.9,884 NDC,59762-4921-01,NITROGLYCERIN 0.3 MG SUBLINGUAL TABLET,123.8,80.47,61.53,123.8,880 NDC,59762-5000-05,SULFASALAZINE 500 MG TABLET,5.8,3.77,2.88,5.8,884 NDC,59923-0603-10,PAMIDRONATE 90 MG/10 ML INTRAVENOUS SOLUTION (WETTED),246.3,160.1,122.41,238.91,880 NDC,60219-1617-08,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,10.0,6.5,4.97,10.0,884 NDC,60219-1721-07,ETRAVIRINE 100 MG TABLET,32.8,21.32,16.3,32.8,884 NDC,60219-1749-03,ATROPINE 1 % EYE DROPS,202.7,131.76,100.74,202.7,880 NDC,60258-0006-01,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",3.2,2.08,1.59,3.2,884 NDC,60258-0180-01,B COMPLEX-C-MIN-FE-FA 106 MG IRON-1 MG TABLET,0.5,0.33,0.25,0.5,884 NDC,60267-0705-50,SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION,421.3,273.85,209.39,408.66,880 NDC,60267-0812-00,SODIUM NITRITE-SODIUM THIOSULFATE 300 MG/10 ML-12.5 GRAM/50 ML IV SOLN,863.7,561.4,2.23,863.7,884 NDC,60505-0055-01,SELEGILINE 5 MG CAPSULE,7.2,4.68,3.58,7.2,884 NDC,60505-0159-00,SOTALOL 120 MG TABLET,5.4,3.51,2.68,5.4,884 NDC,60505-0363-02,OFLOXACIN 0.3 % EAR DROPS,446.5,290.23,221.91,446.5,884 NDC,60505-0578-04,AZELASTINE 0.05 % EYE DROPS,67.4,43.81,33.5,67.4,884 NDC,60505-0815-00,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY (NON-REFRIGERATED),128.7,83.66,63.96,128.7,884 NDC,60505-0829-01,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION",70.3,45.7,34.94,70.3,884 NDC,60505-0830-01,MOMETASONE 50 MCG/ACTUATION NASAL SPRAY,146.9,95.49,73.01,146.9,884 NDC,60505-2575-07,BALSALAZIDE 750 MG CAPSULE,7.4,4.81,3.68,7.4,884 NDC,60505-3110-00,OLANZAPINE 2.5 MG TABLET,5.6,3.64,2.78,5.6,884 NDC,60505-3165-00,RISEDRONATE 35 MG TABLET,10.2,6.63,5.07,10.2,884 NDC,60505-3250-06,LAMIVUDINE 100 MG TABLET,38.1,24.77,18.94,38.1,884 NDC,60505-3438-03,SELEGILINE 5 MG TABLET,8.0,5.2,3.98,8.0,884 NDC,60505-4033-01,ICOSAPENT ETHYL 1 GRAM CAPSULE,13.2,8.58,6.56,13.2,884 NDC,60505-4129-07,"OXCARBAZEPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",44.5,28.93,22.12,44.5,884 NDC,60505-4347-06,DABIGATRAN ETEXILATE 75 MG CAPSULE,14.8,9.62,7.36,14.8,884 NDC,60505-4348-06,DABIGATRAN ETEXILATE 150 MG CAPSULE,10.7,6.96,5.32,10.7,884 NDC,60505-4349-06,DABIGATRAN ETEXILATE 110 MG CAPSULE,14.8,9.62,7.36,14.8,884 NDC,60505-4374-03,VILAZODONE 40 MG TABLET,8.2,5.33,4.08,8.2,884 NDC,60505-4642-03,PRASUGREL HCL 5 MG TABLET,6.0,3.9,2.98,6.0,884 NDC,60505-4643-03,PRASUGREL HCL 10 MG TABLET,6.4,4.16,3.18,6.4,884 NDC,60505-6097-00,IBANDRONATE 3 MG/3 ML INTRAVENOUS SOLUTION (WRAPPER),269.3,175.05,133.84,263.91,880 NDC,60505-6128-01,IRINOTECAN 20 MG/ML INTRAVENOUS SOLUTION (FOR ORAL USE)(WRAPPER),125.1,81.32,62.17,122.6,880 NDC,60505-6128-01,IRINOTECAN 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),125.1,81.32,62.17,122.6,880 NDC,60505-6132-07,OXALIPLATIN 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER),137.8,89.57,68.49,133.67,880 NDC,60505-6144-04,CEFEPIME 1 GRAM IM EQUIVALENCY,45.9,29.84,22.81,44.52,880 NDC,60505-6144-04,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,45.8,29.77,22.76,44.43,880 NDC,60505-6145-04,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,55.2,35.88,27.43,53.54,880 NDC,60505-6156-04,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,48.4,31.46,24.05,46.95,880 NDC,60505-6197-02,SIROLIMUS 1 MG/ML ORAL SOLUTION,15.1,9.81,7.5,14.65,880 NDC,60505-6231-05,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION,53.8,34.97,26.74,52.19,882 NDC,60505-6236-06,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,79.3,51.55,39.41,76.92,880 NDC,60505-6236-06,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION (IM EQUIVALENCY),79.0,51.35,39.26,76.63,880 NDC,60505-6289-00,ERIBULIN 1 MG/2 ML (0.5 MG/ML) INTRAVENOUS SOLUTION,1221.0,793.65,89.34,1196.58,884 NDC,60687-0103-25,FAMCICLOVIR 500 MG TABLET,12.5,8.13,6.21,12.5,884 NDC,60687-0105-21,MEDROXYPROGESTERONE 10 MG TABLET,9.9,6.44,4.92,9.9,884 NDC,60687-0111-21,"LANSOPRAZOLE 15 MG CAPSULE,DELAYED RELEASE",14.5,9.43,7.21,14.5,884 NDC,60687-0113-01,CLONIDINE HCL 0.1 MG TABLET,6.1,3.97,3.03,6.1,884 NDC,60687-0122-01,PREDNISONE 5 MG TABLET,5.6,3.64,2.78,5.43,880 NDC,60687-0124-01,CLONIDINE HCL 0.2 MG TABLET,6.1,3.97,3.03,6.1,884 NDC,60687-0145-01,PREDNISONE 20 MG TABLET,5.7,3.71,2.83,5.7,884 NDC,60687-0152-01,CEPHALEXIN 250 MG CAPSULE,6.1,3.97,3.03,6.1,884 NDC,60687-0163-01,CEPHALEXIN 500 MG CAPSULE,6.4,4.16,3.18,6.4,884 NDC,60687-0206-01,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",6.3,4.09,3.13,6.3,884 NDC,60687-0215-01,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",11.8,7.67,5.86,11.8,884 NDC,60687-0216-25,ENTECAVIR 0.5 MG TABLET,72.0,46.8,35.78,72.0,884 NDC,60687-0224-01,GEMFIBROZIL 600 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,60687-0229-01,LOPERAMIDE 2 MG CAPSULE,7.4,4.81,3.68,7.4,884 NDC,60687-0245-65,ROSUVASTATIN 10 MG TABLET,6.8,4.42,3.38,6.8,884 NDC,60687-0272-94,CEFUROXIME AXETIL 250 MG TABLET,20.4,13.26,10.14,20.4,884 NDC,60687-0304-21,CAPTOPRIL 12.5 MG TABLET,10.1,6.57,5.02,10.1,884 NDC,60687-0315-21,CAPTOPRIL 25 MG TABLET,9.9,6.44,4.92,9.9,884 NDC,60687-0317-25,CHLORTHALIDONE 25 MG TABLET,10.5,6.83,5.22,10.5,884 NDC,60687-0407-01,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,11.8,7.67,5.86,11.8,884 NDC,60687-0420-25,RITONAVIR 100 MG TABLET,35.8,23.27,17.79,35.8,884 NDC,60687-0423-21,CLOBAZAM 10 MG TABLET,20.1,13.07,9.99,20.1,884 NDC,60687-0433-01,AMITRIPTYLINE 25 MG TABLET,6.3,4.09,3.13,6.3,884 NDC,60687-0436-01,CELECOXIB 100 MG CAPSULE,8.4,5.46,4.17,8.4,884 NDC,60687-0439-01,LABETALOL 100 MG TABLET,6.4,4.16,3.18,6.4,884 NDC,60687-0446-01,IBUPROFEN 400 MG TABLET,5.5,3.58,2.73,5.5,884 NDC,60687-0450-01,LABETALOL 200 MG TABLET,7.0,4.55,3.48,7.0,884 NDC,60687-0457-01,IBUPROFEN 600 MG TABLET,5.7,3.71,2.83,5.7,884 NDC,60687-0476-01,SPIRONOLACTONE 50 MG TABLET,6.0,3.9,2.98,6.0,884 NDC,60687-0491-01,NAPROXEN 500 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,60687-0534-78,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,76.6,49.79,38.07,76.6,884 NDC,60687-0538-21,FEBUXOSTAT 40 MG TABLET,12.3,8.0,6.11,12.3,884 NDC,60687-0550-01,METRONIDAZOLE 500 MG TABLET,7.0,4.55,3.48,7.0,884 NDC,60687-0560-21,REPAGLINIDE 1 MG TABLET,15.3,9.95,7.6,15.3,884 NDC,60687-0563-01,LEVOTHYROXINE 137 MCG TABLET,6.9,4.49,3.43,6.9,884 NDC,60687-0575-21,RIFAMPIN 150 MG CAPSULE,16.4,10.66,8.15,16.4,884 NDC,60687-0583-21,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",17.4,11.31,8.65,17.4,884 NDC,60687-0586-01,RIFAMPIN 300 MG CAPSULE,10.8,7.02,5.37,10.8,884 NDC,60687-0587-01,PROPRANOLOL 10 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,60687-0594-21,"CARBAMAZEPINE ER 400 MG TABLET,EXTENDED RELEASE,12 HR",25.3,16.45,12.57,25.3,884 NDC,60687-0620-01,METOCLOPRAMIDE 5 MG TABLET,6.9,4.49,3.43,6.9,884 NDC,60687-0623-01,VALSARTAN 80 MG TABLET,8.8,5.72,4.37,8.8,884 NDC,60687-0631-01,METOCLOPRAMIDE 10 MG TABLET,7.0,4.55,3.48,7.0,884 NDC,60687-0641-21,NEBIVOLOL 5 MG TABLET,11.8,7.67,5.86,11.8,884 NDC,60687-0660-01,PROMETHAZINE 12.5 MG TABLET,6.7,4.36,3.33,6.7,884 NDC,60687-0664-01,HYDROXYZINE HCL 10 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,60687-0673-21,NATEGLINIDE 60 MG TABLET,12.8,8.32,6.36,12.8,884 NDC,60687-0705-65,DEMECLOCYCLINE 300 MG TABLET,52.2,33.93,25.94,52.2,884 NDC,60687-0725-01,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",5.8,3.77,2.88,5.8,884 NDC,60687-0746-01,MISOPROSTOL 200 MCG TABLET,12.6,8.19,6.26,12.6,884 NDC,60687-0750-21,TRANEXAMIC ACID 650 MG TABLET,19.3,12.55,9.59,19.3,884 NDC,60687-0793-21,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",10.2,6.63,5.07,10.2,884 NDC,60687-0795-01,TRAMADOL 50 MG TABLET,10.6,6.89,5.27,10.6,884 NDC,60687-0822-01,HYDRALAZINE 25 MG TABLET,5.7,3.71,2.83,5.7,884 NDC,60687-0836-01,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,6.4,4.16,3.18,6.4,884 NDC,60687-0841-01,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,10.0,6.5,4.97,10.0,884 NDC,60687-0857-21,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",8.2,5.33,4.08,8.2,884 NDC,60758-0880-05,"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION",297.6,193.44,147.91,297.6,884 NDC,60793-0600-10,"PENICILLIN G BENZATHINE AND PROCAINE 1,200,000 UNIT/2 ML IM SYRINGE",969.9,630.43,19.52,969.9,884 NDC,60793-0701-10,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE",1535.8,998.27,30.01,1489.73,884 NDC,60793-0702-10,"PENICILLIN G BENZATHINE 2,400,000 UNIT/4 ML INTRAMUSCULAR SYRINGE",3316.0,2155.4,30.01,3216.52,884 NDC,60977-0141-01,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION,351.3,228.35,174.6,351.3,880 NDC,60977-0141-01,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION (IM EQUIVALENCY),727.6,472.94,361.62,727.6,880 NDC,61314-0016-01,PROPARACAINE 0.5 % EYE DROPS,152.1,98.87,75.59,152.1,880 NDC,61314-0044-75,TRIFLURIDINE 1 % EYE DROPS,678.8,441.22,337.36,678.8,884 NDC,61314-0143-05,BRIMONIDINE 0.2 % EYE DROPS,69.6,45.24,34.59,69.6,884 NDC,61314-0203-15,PILOCARPINE 1 % EYE DROPS,182.7,118.76,90.8,182.7,884 NDC,61314-0204-15,PILOCARPINE 2 % EYE DROPS,181.0,117.65,89.96,181.0,884 NDC,61314-0224-05,TIMOLOL MALEATE 0.25 % EYE GEL FORMING SOLUTION,481.4,312.91,239.26,481.4,884 NDC,61314-0226-05,TIMOLOL MALEATE 0.25 % EYE DROPS,63.6,41.34,31.61,63.6,884 NDC,61314-0227-05,TIMOLOL MALEATE 0.5 % EYE DROPS,66.0,42.9,32.8,66.0,884 NDC,61314-0240-63,DENOSUMAB-BBDZ 60 MG/ML SUBCUTANEOUS SYRINGE,6762.9,4395.89,27.54,6762.9,884 NDC,61314-0318-10,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,862.8,560.82,0.46,836.92,884 NDC,61314-0326-01,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,1305.5,848.58,0.46,1266.34,884 NDC,61314-0354-01,TROPICAMIDE 0.5 % EYE DROPS,124.4,80.86,61.83,124.4,884 NDC,61314-0396-01,CYCLOPENTOLATE 1 % EYE DROPS,63.2,41.08,31.41,63.2,884 NDC,61314-0547-01,LATANOPROST 0.005 % EYE DROPS,63.5,41.28,31.56,63.5,884 NDC,61314-0628-10,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS",70.3,45.7,34.94,70.3,884 NDC,61314-0631-36,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT",114.5,74.43,56.91,114.5,880 NDC,61314-0633-05,GENTAMICIN 0.3 % EYE DROPS,63.9,41.54,31.76,63.9,884 NDC,61314-0637-05,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",154.4,100.36,76.74,154.4,884 NDC,61314-0641-75,"NEOMYCIN 3.5 MG-POLYMYXIN 10,000 UNIT-HYDROCORT 10 MG/ML EYE DROP,SUSP",468.3,304.39,232.75,468.3,884 NDC,61314-0665-05,APRACLONIDINE 0.5 % EYE DROPS,197.7,128.51,98.26,197.7,884 NDC,61314-0866-02,PEGFILGRASTIM-BMEZ 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,14593.7,9485.91,30.32,14155.89,884 NDC,61442-0171-30,CEFACLOR 250 MG CAPSULE,9.6,6.24,4.77,9.6,884 NDC,61703-0303-46,CYTARABINE (PF) 20 MG/ML INJECTION SOLUTION (WRAPPER),265.9,172.84,132.15,257.92,880 NDC,61703-0309-25,VINCRISTINE 1 MG/ML PF INTRAVENOUS SOLUTION (WRAPPER),144.8,94.12,71.97,140.46,880 NDC,61703-0339-50,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,267.0,173.55,132.7,261.66,880 NDC,61703-0339-50,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION (FOR DESENSITIZATION),267.0,173.55,132.7,261.66,880 NDC,61703-0350-10,METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTION,121.5,78.97,60.39,117.86,880 NDC,61755-0008-01,CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION,42721.2,27768.78,29.29,41866.78,884 NDC,61755-0050-01,AFLIBERCEPT 8 MG/0.07 ML INTRAVITREAL SOLUTION FOR INJECTION,10915.7,7095.21,311.38,10588.23,884 NDC,61874-0115-30,CARIPRAZINE 1.5 MG CAPSULE,170.1,110.57,84.54,170.1,884 NDC,61874-0160-30,CARIPRAZINE 6 MG CAPSULE,170.1,110.57,84.54,170.1,884 NDC,61953-0004-05,"IMMUNE GLOB,GAMM(IGG) 5 %-SORB-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",4881.0,3172.65,2425.86,4881.0,880 NDC,61953-0005-01,"IMMUNE GLOB,GAMM(IGG) 10%-SORB-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",1557.9,1012.64,774.28,1557.9,880 NDC,61953-0005-03,"IMMUNE GLOB,GAMM(IGG) 10%-SORB-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",4881.5,3172.98,2426.11,4881.5,880 NDC,61958-0801-01,AMBRISENTAN 5 MG TABLET,1578.8,1026.22,784.66,1578.8,884 NDC,61958-0802-05,AMBRISENTAN 10 MG TABLET,1339.5,870.68,665.73,1339.5,884 NDC,61958-1901-01,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFENAM 10 MG TABLET,491.3,319.35,244.18,491.3,884 NDC,61958-2002-01,EMTRICITABINE 200 MG-TENOFOVIR ALAFENAMIDE FUMARATE 25 MG TABLET,242.7,157.76,120.62,242.7,884 NDC,61958-2301-01,TENOFOVIR ALAFENAMIDE 25 MG TABLET,172.4,112.06,85.68,172.4,884 NDC,61958-2501-03,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET,471.1,306.21,234.14,471.1,884 NDC,61958-2901-02,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION,2867.8,1864.07,6.73,2781.77,884 NDC,61958-3402-01,LENACAPAVIR (PREP) 309 MG/ML SUBCUTANEOUS SOLUTION,53042.8,34477.82,26362.27,53042.8,880 NDC,62135-0173-30,CORTISONE 25 MG TABLET,55.2,35.88,27.43,55.2,884 NDC,62135-0484-60,QUINAPRIL 5 MG TABLET,20.6,13.39,10.24,20.6,884 NDC,62175-0470-32,"PAROXETINE ER 12.5 MG TABLET,EXTENDED RELEASE 24 HR",8.7,5.66,4.32,8.7,884 NDC,62327-0444-44,STERILE TALC 4 GRAM INTRAPLEURAL SUSPENSION,646.5,420.23,321.31,646.5,880 NDC,62332-0025-31,"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR",8.2,5.33,4.08,8.2,884 NDC,62332-0026-31,"THEOPHYLLINE ER 450 MG TABLET,EXTENDED RELEASE,12 HR",11.3,7.35,5.62,11.3,884 NDC,62332-0107-30,"ROPINIROLE ER 2 MG TABLET,EXTENDED RELEASE 24 HR",7.7,5.01,3.83,7.7,884 NDC,62332-0118-31,BUPROPION HCL 75 MG TABLET,5.4,3.51,2.68,5.4,884 NDC,62332-0127-31,BUPROPION HCL 100 MG TABLET,5.5,3.58,2.73,5.5,884 NDC,62332-0232-30,VILAZODONE 10 MG TABLET,22.1,14.37,10.98,22.1,884 NDC,62332-0233-30,VILAZODONE 20 MG TABLET,22.1,14.37,10.98,22.1,884 NDC,62332-0253-30,AZITHROMYCIN 600 MG TABLET,9.6,6.24,4.77,9.6,884 NDC,62332-0341-90,CANDESARTAN 4 MG TABLET,7.6,4.94,3.78,7.6,884 NDC,62332-0402-31,NADOLOL 20 MG TABLET,5.6,3.64,2.78,5.6,884 NDC,62332-0403-31,NADOLOL 40 MG TABLET,5.8,3.77,2.88,5.8,884 NDC,62332-0619-31,CYCLOPHOSPHAMIDE 50 MG CAPSULE,14.3,9.3,7.11,14.01,880 NDC,62332-0632-15,DESONIDE 0.05 % TOPICAL CREAM,77.0,50.05,38.27,77.0,884 NDC,62332-0680-60,IVABRADINE 7.5 MG TABLET,12.3,8.0,6.11,12.3,884 NDC,62332-0747-31,"GUANFACINE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",5.5,3.58,2.73,5.5,884 NDC,62484-0015-05,HYDROXYUREA (SICKLE CELL) 100 MG/ML ORAL SOLUTION,2283.2,1484.08,1134.75,2283.2,884 NDC,62530-0000-11,UREA 15 GRAM ORAL POWDER PACKET,16.3,10.6,8.1,16.3,884 NDC,62559-0138-07,HYDROCORTISONE 100 MG/60 ML ENEMA,29.4,19.11,14.61,29.4,884 NDC,62559-0153-04,OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL,16.6,10.79,8.25,16.6,880 NDC,62559-0159-01,FLUVOXAMINE 50 MG TABLET,5.8,3.77,2.88,5.8,884 NDC,62559-0424-01,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,5.6,3.64,2.78,5.6,884 NDC,62559-0510-01,INDAPAMIDE 1.25 MG TABLET,5.5,3.58,2.73,5.5,884 NDC,62559-0630-01,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,639.0,415.35,317.58,639.0,884 NDC,62559-0730-01,FELBAMATE 400 MG TABLET,8.1,5.27,4.03,8.1,884 NDC,62584-0267-01,METOPROLOL TARTRATE 100 MG TABLET,5.4,3.51,2.68,5.4,884 NDC,62584-0984-01,WARFARIN 2 MG TABLET,6.1,3.97,3.03,6.1,884 NDC,62756-0059-40,EPOPROSTENOL 0.5 MG INTRAVENOUS SOLUTION,88.6,57.59,44.03,85.94,880 NDC,62756-0060-40,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,127.1,82.62,63.17,123.29,880 NDC,62756-0569-83,DEFERASIROX 250 MG DISPERSIBLE TABLET,17.6,11.44,8.75,17.6,884 NDC,62756-0570-83,DEFERASIROX 500 MG DISPERSIBLE TABLET,19.6,12.74,9.74,19.6,884 NDC,62856-0212-01,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION,1118.8,727.22,1.32,1085.24,884 NDC,62856-0215-01,LECANEMAB-IRMB 100 MG/ML INTRAVENOUS SOLUTION,2709.6,1761.24,1.32,2628.31,884 NDC,62856-0720-30,LENVATINIB 20 MG/DAY (10 MG X 2) CAPSULE,1339.6,870.74,665.78,1339.6,884 NDC,62935-0227-10,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE,1501.7,976.11,176.45,1456.65,884 NDC,62935-0306-40,LEUPROLIDE 30 MG (4 MONTH) SUBCUTANEOUS SYRINGE,1860.0,1209.0,176.45,1804.2,884 NDC,62935-0461-50,LEUPROLIDE ACETATE 45 MG (6 MONTH) SUBCUTANEOUS SYRINGE,2565.0,1667.25,176.45,2488.05,884 NDC,62935-0756-80,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE,550.6,357.89,176.45,534.08,884 NDC,62991-2014-01,BUPIVACAINE (BULK) 100 % POWDER,158.8,103.22,78.92,154.04,880 NDC,62991-2026-02,EDETATE DISODIUM (BULK) 100 % POWDER,107.5,69.88,53.43,107.5,880 NDC,62991-2192-03,DIMETHYL SULFOXIDE (BULK) 99.99 % LIQUID,12.9,8.39,6.41,12.51,880 NDC,63010-0010-30,NELFINAVIR 250 MG TABLET,18.9,12.29,9.39,18.9,884 NDC,63010-0027-70,NELFINAVIR 625 MG TABLET,39.6,25.74,19.68,39.6,884 NDC,63020-0535-30,PONATINIB 15 MG TABLET,2392.0,1554.8,1188.82,2392.0,884 NDC,63090-0340-30,PIMAVANSERIN 34 MG CAPSULE,569.2,369.98,282.89,569.2,884 NDC,63304-0095-30,ERLOTINIB 25 MG TABLET,72.3,47.0,35.93,72.3,884 NDC,63304-0096-30,ERLOTINIB 100 MG TABLET,171.9,111.74,85.43,171.9,884 NDC,63304-0135-30,ERLOTINIB 150 MG TABLET,193.4,125.71,96.12,193.4,884 NDC,63304-0583-60,FOSAMPRENAVIR 700 MG TABLET,55.0,35.75,27.34,55.0,884 NDC,63323-0010-02,GENTAMICIN 40 MG/ML INJECTION SOLUTION,41.3,26.85,20.53,40.06,880 NDC,63323-0011-15,CHLORAMPHENICOL SODIUM SUCCINATE 1 GRAM/10 ML INTRAVENOUS SOLUTION (WETTED),186.3,121.1,50.26,186.3,884 NDC,63323-0012-07,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,39.2,25.48,19.48,38.02,880 NDC,63323-0013-09,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,38.7,25.16,19.23,37.54,880 NDC,63323-0064-11,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,43.6,28.34,21.67,42.29,881 NDC,63323-0086-05,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,89.2,57.98,44.33,86.52,880 NDC,63323-0086-15,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INJECTION FOR ORAL USE,101.4,65.91,50.4,101.4,880 NDC,63323-0086-15,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,155.5,101.08,77.28,150.84,880 NDC,63323-0086-50,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INJECTION FOR ORAL USE,164.4,106.86,81.71,164.4,880 NDC,63323-0086-50,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,228.2,148.33,113.42,221.35,880 NDC,63323-0093-30,SODIUM CHLORIDE 23.4 % (4 MEQ/ML) INJECTION (OR USE ONLY),39.5,25.68,19.63,39.5,880 NDC,63323-0095-61,SODIUM CHLORIDE 23.4 % (4 MEQ/ML) INJECTION (OR USE ONLY),37.9,24.64,18.84,37.9,880 NDC,63323-0099-63,SODIUM CHLORIDE 23.4 % (4 MEQ/ML) INJECTION (OR USE ONLY),37.9,24.64,18.84,37.9,880 NDC,63323-0099-63,SODIUM CHLORIDE 23.4 % (4 MEQ/ML) INTRAVENOUS SOLUTION,143.8,93.47,71.47,143.8,880 NDC,63323-0103-65,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,331.3,215.35,164.66,324.67,880 NDC,63323-0106-01,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,82.7,53.76,41.1,80.22,880 NDC,63323-0106-05,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,86.2,56.03,42.84,83.61,880 NDC,63323-0113-10,PENTAMIDINE 300 MG SOLUTION FOR INHALATION (USING INJECTION SOLN),157.6,102.44,78.33,152.87,880 NDC,63323-0113-10,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,220.3,143.19,109.49,220.3,880 NDC,63323-0117-10,FLUOROURACIL 500 MG/10 ML INTRALESIONAL INJECTION,108.1,70.27,53.73,104.86,880 NDC,63323-0117-10,FLUOROURACIL 7.5 MG/0.15 ML SUBCONJUNCTIVAL INJECTION,100.9,65.58,50.15,97.87,880 NDC,63323-0117-20,FLUOROURACIL 50 MG/ML INTRAVENOUS SOLUTION (WRAPPER),120.1,78.07,59.69,116.5,880 NDC,63323-0117-59,FLUOROURACIL CHEMO IVPB 50 MG/ML STRAIGHT DRUG (C-SERIES),137.8,89.57,68.49,133.67,880 NDC,63323-0120-20,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION,243.3,158.15,120.92,236.0,880 NDC,63323-0127-10,DACARBAZINE 100 MG INTRAVENOUS SOLUTION,242.7,157.76,120.62,237.85,880 NDC,63323-0127-10,DACARBAZINE 100 MG/10 ML INTRAVENOUS SOLUTION (WETTED),242.7,157.76,120.62,237.85,880 NDC,63323-0128-20,DACARBAZINE 200 MG/20 ML INTRAVENOUS SOLUTION (WETTED),241.1,156.72,119.83,236.28,880 NDC,63323-0130-13,DOXYCYCLINE 100 MG POWDER VIAL OSM,44.2,28.73,21.97,42.87,880 NDC,63323-0130-13,DOXYCYCLINE 500 MG PLEURODESIS IN SWFI 50 ML,89.5,58.18,44.48,86.82,880 NDC,63323-0130-13,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,89.5,58.18,44.48,87.71,880 NDC,63323-0130-13,DOXYCYCLINE HYCLATE 100 MG POWDER FOR SOLN (SCLEROSING),89.5,58.18,44.48,89.5,880 NDC,63323-0130-13,DOXYCYCLINE HYCLATE 100 MG POWDER FOR SOLN (SCLEROSING) OSM,89.5,58.18,44.48,86.82,880 NDC,63323-0130-13,DOXYCYCLINE HYCLATE 100 MG/2.5 ML RECON SOLUTION (SCLEROSING) OSM,89.5,58.18,44.48,89.5,880 NDC,63323-0132-10,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS",538.0,349.7,23.88,538.0,884 NDC,63323-0161-12,KETOROLAC 15 MG/ML INJECTION SOLUTION,37.9,24.64,0.3,36.76,885 NDC,63323-0162-12,KETOROLAC 30 MG/ML INJECTION SOLUTION (INCLUDES REPACKAGED VOLUMES),38.0,24.7,0.3,36.86,885 NDC,63323-0162-14,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,38.7,25.16,0.3,37.54,884 NDC,63323-0180-01,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION,92.2,59.93,45.82,90.36,880 NDC,63323-0186-10,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,37.6,24.44,18.69,37.6,880 NDC,63323-0186-10,SODIUM CHLORIDE INTRATHECAL PUMP INFUSION,40.3,26.2,20.03,40.3,880 NDC,63323-0192-02,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,1394.9,906.68,693.27,1353.05,880 NDC,63323-0208-05,LIDOCAINE (PF) 20 MG/ML (2 %) INTRAVENOUS SOLUTION,36.4,23.66,18.09,35.67,880 NDC,63323-0229-35,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,166.3,108.1,82.65,161.31,880 NDC,63323-0254-10,"MINERAL OIL, LIGHT STERILE",19.8,12.87,9.84,19.8,884 NDC,63323-0258-03,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,90.6,58.89,45.03,87.88,880 NDC,63323-0260-01,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,39.3,25.55,19.53,38.12,880 NDC,63323-0262-26,"HEPARIN (PORCINE) 5,000 UNITS/ML INJECTION SOLUTION (WRAPPER)",39.1,25.42,19.43,37.93,881 NDC,63323-0265-30,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",169.0,109.85,83.99,163.93,880 NDC,63323-0269-67,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,77.8,50.57,38.67,75.47,882 NDC,63323-0269-67,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION INFUSION,77.8,50.57,38.67,75.47,880 NDC,63323-0269-67,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION INFUSION (BAG-HYPERBARIC USE),77.8,50.57,38.67,75.47,880 NDC,63323-0278-10,VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION,385.0,250.25,191.35,377.3,880 NDC,63323-0284-20,VANCOMYCIN 1 G POWDER VIAL OSM,19.6,12.74,9.74,19.01,880 NDC,63323-0284-20,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",53.7,34.91,26.69,52.09,880 NDC,63323-0285-64,ROPIVACAINE PNC 0.2% AMBIT PUMP 200 ML - FLA,187.3,121.75,93.09,181.68,880 NDC,63323-0285-64,ROPIVACAINE PNC 0.2% STRAIGHT DRUG 200 ML (FLA),187.3,121.75,93.09,181.68,880 NDC,63323-0286-23,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,38.9,25.29,19.33,37.73,882 NDC,63323-0287-21,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION,40.3,26.2,20.03,39.09,880 NDC,63323-0288-11,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,51.2,33.28,25.45,49.66,880 NDC,63323-0293-37,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,40.8,26.52,20.28,39.58,881 NDC,63323-0294-27,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,42.1,27.37,20.92,40.84,880 NDC,63323-0296-57,MEPIVACAINE 2 % INJECTION SOLUTION,38.7,25.16,19.23,37.54,880 NDC,63323-0303-51,TOBRAMYCIN 1.2 G POWDER VIAL OSM,179.2,116.48,89.06,173.82,880 NDC,63323-0303-51,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,245.2,159.38,121.86,237.84,880 NDC,63323-0306-30,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,92.9,60.39,46.17,90.11,880 NDC,63323-0314-68,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,864.9,562.18,429.86,838.95,880 NDC,63323-0321-10,"POLYMYXIN B SULFATE 500,000 UNIT SOLN FOR INJ (IM EQUIVALENCY)",91.8,59.67,45.62,91.8,880 NDC,63323-0321-10,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",91.8,59.67,45.62,91.8,880 NDC,63323-0322-93,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION,88.0,57.2,43.74,85.36,880 NDC,63323-0356-10,CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION,258.5,168.03,128.47,250.75,880 NDC,63323-0358-10,CASPOFUNGIN 70 MG INTRAVENOUS SOLUTION,294.4,191.36,146.32,285.57,880 NDC,63323-0360-61,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,170.4,110.76,84.69,165.29,880 NDC,63323-0360-61,CALCIUM GLUCONATE 100 MG/ML (10 %) IV BOLUS (NEO/PED),170.4,110.76,84.69,165.29,880 NDC,63323-0360-61,CALCIUM GLUCONATE 100 MG/ML (10%) INJECTION FOR ORAL USE,114.4,74.36,56.86,110.97,880 NDC,63323-0360-61,CALCIUM GLUCONATE 100 MG/ML (10%) SOLUTION FOR INTRA-ARTIAL STIM STUDY (DOSES 2.35 MEQ/5 ML OR GREATER),170.4,110.76,84.69,165.29,880 NDC,63323-0360-61,CALCIUM GLUCONATE STRAIGHT DRUG INFUSION 100 ML,170.4,110.76,84.69,165.29,880 NDC,63323-0376-01,OCTREOTIDE ACETATE 100 MCG/ML INJECTION (WRAPPER),42.9,27.89,21.32,42.9,884 NDC,63323-0377-01,OCTREOTIDE ACETATE 500 MCG/ML INJECTION (WRAPPER),90.9,59.09,45.18,90.9,884 NDC,63323-0385-10,CEFOTETAN 1 GRAM SOLUTION FOR IV INJECTION,78.8,51.22,39.16,78.8,880 NDC,63323-0401-26,AZTREONAM 1 GRAM IM EQUIVALENCY,128.4,83.46,63.81,124.55,880 NDC,63323-0401-26,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,128.4,83.46,63.81,124.55,880 NDC,63323-0402-30,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,210.1,136.57,104.42,203.8,880 NDC,63323-0411-25,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,74.6,48.49,37.08,72.36,880 NDC,63323-0417-10,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,51.6,33.54,25.65,51.6,880 NDC,63323-0417-10,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION ARZ/FL ANES (RESTRICTED),51.6,33.54,25.65,51.6,880 NDC,63323-0418-20,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,229.6,149.24,114.11,229.6,880 NDC,63323-0434-00,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION (WRAPPER)",60.2,39.13,29.92,58.39,880 NDC,63323-0434-00,ACETAMINOPHEN 10 MG/ML INTRAVENOUS SOLUTION (DRAWN FROM VIAL) (RESTRICTED),60.2,39.13,29.92,58.39,880 NDC,63323-0460-37,"BUPIVACAINE-EPINEPHRINE (PF) 0.75 %-1:200,000 INJECTION SOLUTION",45.2,29.38,22.46,45.2,880 NDC,63323-0462-37,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",44.1,28.67,21.92,44.1,880 NDC,63323-0474-01,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,38.3,24.9,19.04,37.15,881 NDC,63323-0477-27,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,43.5,28.28,21.62,42.2,880 NDC,63323-0478-27,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,43.9,28.54,21.82,42.58,880 NDC,63323-0482-27,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",39.9,25.94,19.83,39.9,880 NDC,63323-0483-27,"LIDOCAINE-EPINEPHRINE 2%-1:100,000 INJECTION SOLUTION",36.0,23.4,17.89,36.0,880 NDC,63323-0487-17,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",38.9,25.29,19.33,38.9,880 NDC,63323-0489-27,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",55.5,36.08,27.58,55.5,880 NDC,63323-0492-27,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,39.0,25.35,19.38,39.0,880 NDC,63323-0506-01,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,40.3,26.2,20.03,39.09,880 NDC,63323-0507-21,MEROPENEM 500 MG INTRAVENOUS SOLUTION,45.9,29.84,22.81,44.52,880 NDC,63323-0508-31,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,54.2,35.23,26.94,52.57,880 NDC,63323-0517-74,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",102.2,66.43,50.79,99.13,880 NDC,63323-0517-74,"HEPARIN (PORCINE) SET RATE 25,000 UNIT/250 ML IN 0.45 % NACL",102.2,66.43,50.79,99.13,880 NDC,63323-0540-15,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",43.3,28.15,21.52,42.0,880 NDC,63323-0542-13,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",42.1,27.37,20.92,40.84,880 NDC,63323-0559-65,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,45.5,29.58,22.61,44.14,880 NDC,63323-0564-65,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,47.7,31.01,23.71,46.27,880 NDC,63323-0566-98,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,54.0,35.1,26.84,52.38,880 NDC,63323-0584-99,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,63.2,41.08,31.41,61.3,880 NDC,63323-0586-96,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,70.3,45.7,34.94,68.19,880 NDC,63323-0589-94,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,95.5,62.08,47.46,92.64,880 NDC,63323-0594-03,GLUCAGON 1 MG/ML INJECTION (WRAPPER),563.1,366.02,148.99,546.21,884 NDC,63323-0599-30,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,137.3,89.25,68.24,133.18,880 NDC,63323-0604-01,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,43.8,28.47,21.77,43.8,880 NDC,63323-0614-55,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,49.5,32.17,24.6,48.02,880 NDC,63323-0631-50,LEUCOVORIN CALCIUM 10 MG/ML INJECTION SOLUTION,259.5,168.68,128.97,254.31,880 NDC,63323-0648-10,LEVOTHYROXINE 500 MCG INTRAVENOUS POWDER FOR SOLUTION,1497.7,973.51,744.36,1452.77,880 NDC,63323-0649-16,LEVOTHYROXINE 100 MCG INTRAVENOUS POWDER FOR SOLUTION,348.6,226.59,173.25,338.14,880 NDC,63323-0651-30,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,121.8,79.17,60.53,118.15,880 NDC,63323-0651-89,ADENOSINE 3 MG/ML INTRAVENOUS (WRAPPER),91.2,59.28,45.33,88.46,880 NDC,63323-0655-99,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,72.8,47.32,36.18,70.62,880 NDC,63323-0665-01,TERBUTALINE 1 MG/ML INJECTION SOLUTION,41.6,27.04,20.68,40.77,880 NDC,63323-0711-00,LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION,206.5,134.23,102.63,202.37,880 NDC,63323-0721-10,BORTEZOMIB 3.5 MG/3.5 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),6219.3,4042.55,6.97,6219.3,884 NDC,63323-0729-10,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,130.4,84.76,64.81,127.79,880 NDC,63323-0739-12,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),36.5,23.73,18.14,35.41,880 NDC,63323-0762-10,TOPOTECAN 4 MG INTRAVENOUS SOLUTION,299.6,194.74,148.9,293.61,880 NDC,63323-0762-10,TOPOTECAN 4 MG/4 ML INTRAVENOUS SOLUTION (WETTED),299.6,194.74,148.9,293.61,880 NDC,63323-0812-20,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,54.2,35.23,26.94,53.12,880 NDC,63323-0820-74,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,228.0,148.2,113.32,228.0,880 NDC,63323-0884-06,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,64.2,41.73,31.91,62.27,880 NDC,63323-0965-20,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,40.7,26.46,20.23,39.48,880 NDC,63323-0966-00,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL-WATER IV (WRAPPER),291.4,189.41,144.83,282.66,880 NDC,63402-0204-30,ESLICARBAZEPINE 400 MG TABLET,149.4,97.11,74.25,149.4,884 NDC,63402-0206-60,ESLICARBAZEPINE 600 MG TABLET,149.4,97.11,74.25,149.4,884 NDC,63459-0348-04,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,5696.0,3702.4,13.49,5582.08,884 NDC,63459-0391-20,BENDAMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION,8056.0,5236.4,1.88,8056.0,884 NDC,63459-0391-20,BENDAMUSTINE 100 MG/20 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),8056.0,5236.4,1.88,8056.0,884 NDC,63459-0910-17,TBO-FILGRASTIM 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,1089.0,707.85,0.28,1089.0,884 NDC,63459-0912-11,TBO-FILGRASTIM 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1236.2,803.53,0.28,1236.2,884 NDC,63736-0120-02,PERMETHRIN 1 % TOPICAL LIQUID,77.5,50.38,38.52,77.5,884 NDC,63736-0143-08,WHITE PETROLATUM-MINERAL OIL EYE OINTMENT (WRAPPER),21.3,13.85,10.59,21.3,884 NDC,63736-0339-42,HYDROCORTISONE 1 % LOTION,68.2,44.33,33.9,68.2,884 NDC,63824-0715-16,BENZOCAINE 15 MG-MENTHOL 3.6 MG LOZENGES,2.5,1.63,1.24,2.5,884 NDC,63824-0732-16,BENZOCAINE 15 MG-MENTHOL 2.6 MG LOZENGES,8.5,5.53,4.22,8.5,884 NDC,63833-0386-02,HUM PROTHROMBIN CPLX (PCC) 4FACTOR (KCENTRA) (BRAND SPLIT) IV,42.7,27.76,2.14,41.85,884 NDC,63833-0386-02,HUM PROTHROMBIN CPLX (PCC) 4FACTOR (KCENTRA) (BRAND SPLIT) IV INFUSION,42.7,27.76,2.14,41.85,884 NDC,63833-0615-02,ANTIHEMOPHILIC FACTOR-VWF -- HUMATE-P (BRAND SPLIT) (RESTRICTED),40.5,26.33,1.49,39.29,884 NDC,63833-0891-51,"FIBRINOGEN 1 GRAM (900 MG-1,300 MG) INTRAVENOUS SOLUTION (RIASTAP)",40.4,26.26,1.52,40.4,884 NDC,64067-0216-01,METHOXSALEN 20 MCG/ML INJECTION SOLUTION,2932.2,1905.93,1457.3,2932.2,880 NDC,64193-0424-02,ANTI-INHIBITOR COAGULANT COMPLEX (FEIBA)(WRAPPER),44.4,28.86,2.41,44.4,884 NDC,64253-0111-30,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,35.4,23.01,17.59,35.4,880 NDC,64253-0900-91,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,51.2,33.28,25.45,51.2,880 NDC,64281-0100-06,METHACHOLINE CHLORIDE 100 MG POWDER FOR INHALATION (NON-STERILE),284.1,184.67,141.2,278.42,880 NDC,64281-0110-06,METHACHOLINE 0 MG TO 48 MG/3 ML (0 MG TO 16 MG/ML) NEBULIZATION SOLN,2337.2,1519.18,1161.59,2290.46,880 NDC,64380-0169-01,IMIPRAMINE 10 MG TABLET,5.4,3.51,2.68,5.4,884 NDC,64380-0170-01,IMIPRAMINE 25 MG TABLET,5.8,3.77,2.88,5.8,884 NDC,64380-0737-06,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",5.5,3.58,2.73,5.5,884 NDC,64380-0878-06,ETHOSUXIMIDE 250 MG CAPSULE,6.0,3.9,2.98,6.0,884 NDC,64380-0880-80,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,11.2,7.28,6.22,11.2,880 NDC,64380-0883-04,CINACALCET 30 MG TABLET,6.5,4.22,3.61,6.31,880 NDC,64380-0949-06,PREDNISONE 50 MG TABLET,6.0,3.9,2.98,5.82,880 NDC,64406-0008-01,NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION,33722.1,21919.37,24.0,32710.44,884 NDC,64406-0058-01,NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION,549046.1,356879.97,1280.25,538065.18,884 NDC,64406-0109-01,TOFERSEN 100 MG/15 ML (6.7 MG/ML) INTRATHECAL SOLUTION,58735.7,38178.21,159.4,56973.63,884 NDC,64764-0171-30,"DEXLANSOPRAZOLE 30 MG CAPSULE,BIPHASE DELAYED RELEASE",38.4,24.96,19.08,38.4,884 NDC,64764-0175-30,"DEXLANSOPRAZOLE 60 MG CAPSULE,BIPHASE DELAYED RELEASE",38.4,24.96,19.08,38.4,884 NDC,64764-0300-20,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION,38124.2,24780.73,21.31,36980.47,884 NDC,64764-0543-11,"LANSOPRAZOLE 15 MG DELAYED RELEASE,DISINTEGRATING TABLET",51.7,33.6,25.69,51.7,884 NDC,64764-0730-30,VORTIOXETINE 10 MG TABLET,64.3,41.8,31.96,64.3,884 NDC,64764-0800-56,MARIBAVIR 200 MG TABLET,760.3,494.2,377.87,760.3,884 NDC,64896-0695-01,"OXYMORPHONE ER 5 MG TABLET,EXTENDED RELEASE,12 HR",27.2,17.68,13.52,27.2,884 NDC,64896-0696-01,"OXYMORPHONE ER 7.5 MG TABLET,EXTENDED RELEASE,12 HR",37.5,24.38,18.64,37.5,884 NDC,64896-0699-13,"OXYMORPHONE ER 20 MG TABLET,EXTENDED RELEASE,12 HR",79.5,51.68,39.51,79.5,884 NDC,64980-0104-01,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,6.1,3.97,3.03,6.1,884 NDC,64980-0129-50,LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET,2.7,1.75,1.34,2.7,884 NDC,64980-0146-12,"LACTOBACILLUS ACIDOPHILUS, BULGARICUS 100 MILLION CELL GRANULES PACKET",6.3,4.09,3.13,6.3,884 NDC,64980-0178-02,CHLOROQUINE 500 MG TABLET,31.2,20.28,15.51,31.2,884 NDC,64980-0320-05,TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE,121.1,78.72,60.19,121.1,884 NDC,64980-0340-01,ALENDRONATE 10 MG TABLET,5.5,3.58,2.73,5.5,884 NDC,64980-0373-03,ATOMOXETINE 10 MG CAPSULE,9.2,5.98,4.57,9.2,884 NDC,64980-0376-03,ATOMOXETINE 40 MG CAPSULE,7.6,4.94,3.78,7.6,884 NDC,64980-0377-03,ATOMOXETINE 60 MG CAPSULE,7.1,4.62,3.53,7.1,884 NDC,64980-0379-03,ATOMOXETINE 100 MG CAPSULE,7.9,5.14,3.93,7.9,884 NDC,64980-0427-12,TINIDAZOLE 500 MG TABLET,16.5,10.73,8.2,16.5,884 NDC,64980-0442-01,ALBUTEROL SULFATE 2 MG TABLET,7.0,4.55,3.48,7.0,884 NDC,64980-0526-60,NITAZOXANIDE 500 MG TABLET,284.3,184.8,141.3,284.3,884 NDC,64980-0642-03,ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION,10.8,7.02,5.37,10.8,884 NDC,65044-9998-01,HISTAMINE DIHYDROCHLORIDE 10 MG/ML INTRADERMAL INJECTION SOLUTION,983.8,639.47,488.95,983.8,880 NDC,65145-0106-10,TRANEXAMIC ACID 100 MG/ML INHALATION SOLUTION (VIAL & REPACKAGED INJ),40.1,26.07,19.93,40.1,880 NDC,65162-0280-03,"PALIPERIDONE ER 1.5 MG TABLET,EXTENDED RELEASE 24 HR",12.1,7.87,6.01,12.1,884 NDC,65162-0649-78,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,519.8,337.87,258.34,519.8,884 NDC,65162-0681-10,PHENAZOPYRIDINE 100 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,65162-0691-79,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,10.0,6.5,4.97,10.0,884 NDC,65162-0778-10,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",7.4,4.81,3.68,7.4,884 NDC,65162-0802-51,TEMOZOLOMIDE 20 MG CAPSULE,21.4,13.91,10.64,21.4,884 NDC,65162-0803-51,TEMOZOLOMIDE 100 MG CAPSULE,25.9,16.84,12.87,25.9,884 NDC,65162-0804-51,TEMOZOLOMIDE 140 MG CAPSULE,36.5,23.73,18.14,36.5,884 NDC,65162-0806-51,TEMOZOLOMIDE 250 MG CAPSULE,53.0,34.45,26.34,53.0,884 NDC,65162-0826-34,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,11.3,7.35,5.62,11.3,884 NDC,65162-0896-03,ARIPIPRAZOLE 2 MG TABLET,5.8,3.77,2.88,5.8,884 NDC,65162-0992-08,ESTRADIOL 0.0375 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,37.8,24.57,18.79,37.8,884 NDC,65162-0993-08,ESTRADIOL 0.05 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,36.8,23.92,18.29,36.8,884 NDC,65162-0995-08,ESTRADIOL 0.075 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,34.7,22.56,17.25,34.7,884 NDC,65162-0997-08,ESTRADIOL 0.1 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,33.8,21.97,16.8,33.8,884 NDC,65174-0270-30,KIT FOR PREPARATION OF TC 99M-ALBUMIN INTRAVENOUS SOLUTION (WRAPPER),850.0,552.5,471.75,2977.0,880 NDC,65174-0288-30,KIT FOR PREPARATION OF TC 99M-PENTETIC ACID 20 MG IV SOLUTION,1484.0,964.6,823.62,2977.0,880 NDC,65174-0660-30,KIT FOR PREPARATION OF TC-99M-MEDRONATE SODIUM IV SOLUTION,547.0,355.55,303.59,2977.0,880 NDC,65174-0880-00,SODIUM IODIDE-131 (I-131) THERAPY SOLUTION,47.0,30.55,20.77,45.59,884 NDC,65197-0401-01,VITAMINS A AND D-WHITE PETROLATUM-LANOLIN TOPICAL OINTMENT,63.1,41.02,31.36,63.1,884 NDC,65219-0052-09,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INJECTION FOR ORAL USE,44.4,28.86,22.07,44.4,880 NDC,65219-0184-20,KETAMINE 10 MG/ML INFUSION (WRAPPER) ANES ONLY,98.3,63.9,48.86,98.3,880 NDC,65219-0184-20,KETAMINE 10 MG/ML INJECTION (WRAPPER),98.3,63.9,48.86,98.3,880 NDC,65219-0258-10,CARDIOPLEGIC SOLUTION 16 MEQ/L (POTASSIUM) FOR PERFUSION,289.8,188.37,144.03,289.8,880 NDC,65219-0533-25,FAT EMULSION 20 % INTRAVENOUS,200.4,130.26,99.6,200.4,880 NDC,65219-0533-25,FAT EMULSION 20 % IV INJECTION (ANESTHESIA TOXICITY),200.4,130.26,99.6,200.4,880 NDC,65219-0533-25,FAT EMULSION 20 % IV RATE BASED (TOXICITY USE ONLY),200.4,130.26,99.6,200.4,880 NDC,65219-0564-20,MITOMYCIN 0.5 MG/ML SYRINGE (FOR OR USE ONLY),371.4,241.41,20.35,360.26,884 NDC,65219-0564-20,MITOMYCIN 1 MG/ML WITH IOHEXOL INTRAVENOUS SOLUTION (FOR OR USE ONLY),371.4,241.41,20.35,360.26,884 NDC,65219-0590-04,TOCILIZUMAB-AAZG 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,1400.6,910.39,4.42,1358.58,884 NDC,65219-0592-10,TOCILIZUMAB-AAZG 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,3414.1,2219.17,4.42,3311.68,884 NDC,65219-0594-20,TOCILIZUMAB-AAZG 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,6803.1,4422.02,4.42,6599.01,884 NDC,65250-0003-01,TRIAMCINOLONE ACETONIDE ER 32 MG INTRA-ARTICULAR SUSPENSION EXT.RELEAS,2840.2,1846.13,18.3,2783.4,884 NDC,65250-0266-09,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,633.7,411.91,1.47,614.69,884 NDC,65597-0504-28,QUIZARTINIB 17.7 MG TABLET,1807.7,1175.01,898.43,1807.7,884 NDC,65597-0801-01,DATOPOTAMAB DERUXTECAN-DLNK 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED),19054.9,12385.69,51.56,19054.9,884 NDC,65628-0206-05,VANCOMYCIN 50 MG/ML ORAL SOLUTION,515.4,335.01,256.15,515.4,884 NDC,65649-0303-02,RIFAXIMIN 550 MG TABLET,194.3,126.3,96.57,194.3,884 NDC,65649-0311-12,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,238.0,154.7,118.29,238.0,884 NDC,65649-0551-02,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION (WRAPPER),557.7,362.51,277.18,557.7,884 NDC,65757-0300-01,"NALTREXONE ER 380 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",6652.3,4324.0,4.24,6519.25,884 NDC,65857-0400-01,KIT FOR THE PREP OF TC-99M-TILMANOCEPT 250 MCG SOLUTION FOR INJECTION,712.5,463.13,395.44,2977.0,880 NDC,65857-0500-20,KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION,531.0,345.15,294.71,2977.0,880 NDC,65862-0021-06,MIRTAZAPINE 15 MG DISINTEGRATING TABLET,6.3,4.09,3.13,6.3,884 NDC,65862-0048-24,ZIDOVUDINE 10 MG/ML ORAL SYRUP,10.5,6.83,5.22,10.5,884 NDC,65862-0055-24,LAMIVUDINE 10 MG/ML ORAL SOLUTION,169.9,110.44,84.44,169.9,884 NDC,65862-0095-20,CEFPODOXIME 100 MG TABLET,13.0,8.45,6.46,13.0,884 NDC,65862-0096-20,CEFPODOXIME 200 MG TABLET,14.1,9.16,7.01,14.1,884 NDC,65862-0107-01,ZIDOVUDINE 100 MG CAPSULE,10.0,6.5,4.97,10.0,884 NDC,65862-0118-01,BENAZEPRIL 40 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,65862-0146-36,SUMATRIPTAN 25 MG TABLET,6.1,3.97,3.03,6.1,884 NDC,65862-0147-36,SUMATRIPTAN 50 MG TABLET,6.5,4.22,3.23,6.5,884 NDC,65862-0175-01,PENICILLIN V POTASSIUM 250 MG TABLET,5.4,3.51,2.68,5.4,884 NDC,65862-0176-01,PENICILLIN V POTASSIUM 500 MG TABLET,5.4,3.51,2.68,5.4,884 NDC,65862-0177-60,CEFDINIR 300 MG CAPSULE,6.7,4.36,3.33,6.7,884 NDC,65862-0207-68,RIBAVIRIN 200 MG TABLET,6.7,4.36,3.33,6.7,884 NDC,65862-0286-01,PERINDOPRIL ERBUMINE 2 MG TABLET,6.1,3.97,3.03,6.1,884 NDC,65862-0290-84,RIBAVIRIN 200 MG CAPSULE,9.5,6.18,4.72,9.5,884 NDC,65862-0301-30,EMTRICITABINE 200 MG CAPSULE,58.5,38.03,29.07,58.5,884 NDC,65862-0420-01,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,65862-0474-01,RAMIPRIL 1.25 MG CAPSULE,5.3,3.45,2.63,5.3,884 NDC,65862-0475-01,RAMIPRIL 2.5 MG CAPSULE,5.2,3.38,2.58,5.2,884 NDC,65862-0476-01,RAMIPRIL 5 MG CAPSULE,5.3,3.45,2.63,5.3,884 NDC,65862-0497-30,EFAVIRENZ 600 MG-EMTRICITABINE 200 MG-TENOFOVIR DISOPROX 300 MG TABLET,14.0,9.1,6.96,14.0,884 NDC,65862-0527-90,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",5.3,3.45,2.63,5.3,884 NDC,65862-0534-01,AMOXICILLIN (7:1) 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,32.7,21.26,16.25,32.7,884 NDC,65862-0654-01,ENTACAPONE 200 MG TABLET,6.9,4.49,3.43,6.9,884 NDC,65862-0676-01,ALPRAZOLAM 0.25 MG TABLET,10.2,6.63,5.07,10.2,884 NDC,65862-0678-01,ALPRAZOLAM 1 MG TABLET,10.2,6.63,5.07,10.2,884 NDC,65862-0711-60,ATAZANAVIR 150 MG CAPSULE,14.7,9.56,7.31,14.7,884 NDC,65862-0712-60,ATAZANAVIR 200 MG CAPSULE,14.7,9.56,7.31,14.7,884 NDC,65862-0782-01,METHENAMINE HIPPURATE 1 GRAM TABLET,6.6,4.29,3.28,6.6,884 NDC,65862-0812-90,PITAVASTATIN CALCIUM 1 MG TABLET,14.1,9.16,7.01,14.1,884 NDC,65862-0825-30,SAXAGLIPTIN 2.5 MG TABLET,9.5,6.18,4.72,9.5,884 NDC,65862-0880-60,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),6.9,4.49,3.43,6.9,884 NDC,65862-0921-27,SEVELAMER CARBONATE 800 MG TABLET,5.9,3.84,3.27,5.72,880 NDC,65862-0927-30,FINASTERIDE 1 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,66215-0102-06,BOSENTAN 125 MG TABLET,773.8,502.97,384.58,773.8,884 NDC,66215-0501-30,MACITENTAN 10 MG TABLET,919.6,597.74,457.04,919.6,884 NDC,66215-0602-06,SELEXIPAG 200 MCG TABLET,904.2,587.73,449.39,904.2,884 NDC,66220-0160-10,CONIVAPTAN 20 MG/100 ML IN 5 % DEXTROSE IV,2365.5,1537.58,1175.65,2365.5,880 NDC,66220-0287-08,IBUPROFEN 800 MG/8 ML (100 MG/ML) INTRAVENOUS SOLUTION,76.8,49.92,38.17,76.8,880 NDC,66220-0729-30,LACTULOSE 20 GRAM ORAL PACKET,38.8,25.22,19.28,38.8,884 NDC,66302-0206-03,TREPROSTINIL 1.74 MG/2.9 ML (0.6 MG/ML) SOLUTION FOR NEBULIZATION,4109.3,2671.05,2042.32,4109.3,884 NDC,66302-0310-01,"TREPROSTINIL DIOLAMINE ER 1 MG TABLET,EXTENDED RELEASE",221.3,143.85,109.99,221.3,884 NDC,66302-0325-01,"TREPROSTINIL DIOLAMINE ER 2.5 MG TABLET,EXTENDED RELEASE",505.9,328.84,251.43,505.9,884 NDC,66658-0234-07,ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE,965.8,627.77,480.0,965.8,884 NDC,66733-0948-23,CETUXIMAB 100 MG/50 ML INTRAVENOUS SOLUTION,3554.3,2310.3,78.37,3483.21,884 NDC,66733-0958-23,CETUXIMAB 200 MG/100 ML INTRAVENOUS SOLUTION,6658.5,4328.02,78.37,6525.33,884 NDC,66758-0087-70,"CIPROFLOXACIN 0.2 %-HYDROCORTISONE 1 % EAR DROPS,SUSPENSION",997.1,648.12,495.56,997.1,880 NDC,66794-0151-01,BACLOFEN 50 MCG/ML (1 ML) INTRATHECAL SYRINGE,271.3,176.35,134.84,265.87,880 NDC,66794-0155-02,"BACLOFEN 10,000 MCG/20 ML (500 MCG/ML) INTRATHECAL SOLUTION",661.3,429.85,181.22,648.07,884 NDC,66794-0155-02,BACLOFEN INTRATHECAL PUMP INFUSION 500 MCG/ML,661.3,429.85,181.22,648.07,884 NDC,66794-0156-02,BACLOFEN INTRATHECAL PUMP INFUSION 1000 MCG/ML,1231.3,800.35,181.22,1206.67,884 NDC,66794-0157-02,"BACLOFEN 2,000 MCG/ML (20 ML) INTRATHECAL SOLUTION (MIXTURE COMPONENT ONLY - DO NOT ORDER)",2325.0,1511.25,181.22,2278.5,884 NDC,66794-0157-02,"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SOLUTION",2325.0,1511.25,181.22,2278.5,884 NDC,66794-0157-02,BACLOFEN INTRATHECAL PUMP INFUSION 2000 MCG/ML,2325.0,1511.25,181.22,2278.5,884 NDC,66794-0233-42,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,44.6,28.99,22.17,44.6,880 NDC,66794-0233-42,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION ANES ONLY,44.6,28.99,22.17,44.6,880 NDC,66794-0236-43,LINEZOLID 2 MG/ML LOCK SOLUTION (REPACKAGED BAG) IN 5% DEXTROSE (RESTRICTED),35.3,22.95,17.54,34.24,880 NDC,66794-0236-43,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,101.3,65.85,50.35,98.26,880 NDC,66887-0004-10,TESTOSTERONE 75 MG IMPLANT PELLET,343.8,223.47,76.11,343.8,884 NDC,66993-0002-10,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,137.3,89.25,68.24,137.3,884 NDC,66993-0060-02,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET,24.7,16.06,12.28,24.7,884 NDC,66993-0078-96,FLUTICASONE PROPIONATE 44 MCG/ACTUATION HFA AEROSOL INHALER,463.9,301.54,230.56,463.9,884 NDC,66993-0241-50,NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL,425.6,276.64,211.52,425.6,880 NDC,66993-0456-30,DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET,49.0,31.85,24.35,49.0,884 NDC,66993-0495-28,TERIPARATIDE 20 MCG/DOSE (560 MCG/2.24 ML) SUBCUTANEOUS PEN INJECTOR,9866.5,6413.23,4903.65,9866.5,884 NDC,66993-0831-02,TRIAMTERENE 50 MG CAPSULE,36.0,23.4,17.89,36.0,884 NDC,66993-0877-61,CALCIPOTRIENE 0.005 % TOPICAL CREAM,302.2,196.43,150.19,302.2,884 NDC,67066-0005-01,SECRETIN (HUMAN) 16 MCG INTRAVENOUS SOLUTION,2850.0,1852.5,40.52,2764.5,884 NDC,67157-0101-50,ASCORBIC ACID (ASCORBATE SODIUM)(VITAMIN C) 500 MG/ML INJ SOLN (WRAPPER),39.6,25.74,19.68,38.41,880 NDC,67386-0130-51,EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION,7899.1,5134.42,19.97,7662.13,884 NDC,67457-0177-50,DIMETHYL SULFOXIDE 50 % INTRAVESICAL SOLUTION,2088.9,1357.79,748.85,2088.9,884 NDC,67457-0182-10,ESMOLOL 100 MG/10 ML INTRAVENOUS INJECTION (WRAPPER),62.8,40.82,31.21,60.92,880 NDC,67457-0195-01,MELPHALAN HCL 50 MG/10 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),447.7,291.01,95.9,434.27,884 NDC,67457-0210-05,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION,1445.7,939.71,546.29,1402.33,884 NDC,67457-0212-02,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,575.6,374.14,0.8,558.33,884 NDC,67457-0220-05,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION,415.1,269.82,8.73,402.65,884 NDC,67457-0323-25,MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,282.5,183.63,140.4,274.03,880 NDC,67457-0419-01,DEXAMETHASONE 4 MG/ML INJECTION SOLUTION ANES ONLY,37.1,24.12,18.44,35.99,880 NDC,67457-0419-01,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,37.1,24.12,18.44,35.99,881 NDC,67457-0430-10,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION,73.5,47.78,36.53,71.3,880 NDC,67457-0446-10,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION,147.6,95.94,73.36,143.17,880 NDC,67457-0530-35,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION,115.9,75.33,57.6,113.58,880 NDC,67457-0629-10,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION,119.6,77.74,2.99,117.21,884 NDC,67457-0675-02,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,1819.5,1182.68,904.29,1819.5,884 NDC,67457-0863-01,GRANISETRON (PF) 1 MG/ML (1 ML) INTRAVENOUS SOLUTION,43.6,28.34,21.67,42.29,881 NDC,67618-0150-17,POVIDONE-IODINE 10 % TOPICAL SOLUTION (NON-STERILE),16.9,10.99,8.4,16.9,880 NDC,67618-0200-30,CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID,60.2,39.13,29.92,60.2,884 NDC,67684-1901-01,ETHIODIZED OIL 480 MG IODINE/ML FOR INJECTION,4527.5,2942.88,2250.17,4527.5,880 NDC,67684-2000-03,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION,42.4,27.56,21.07,41.13,880 NDC,67850-0140-05,POLIDOCANOL 0.5 % (10 MG/2 ML) INTRAVENOUS SOLUTION,39.2,25.48,19.48,39.2,880 NDC,67871-4790-06,ETHANOLAMINE OLEATE 5 % INTRAVENOUS SOLUTION,1876.7,1219.86,508.96,1876.7,884 NDC,67877-0064-30,"FESOTERODINE ER 4 MG TABLET,EXTENDED RELEASE 24 HR",8.6,5.59,4.27,8.6,884 NDC,67877-0124-05,SILVER SULFADIAZINE 1 % TOPICAL CREAM,84.5,54.93,42.0,84.5,884 NDC,67877-0159-01,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",5.2,3.38,2.58,5.2,884 NDC,67877-0224-01,GABAPENTIN 400 MG CAPSULE,5.3,3.45,2.63,5.3,884 NDC,67877-0251-15,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,63.9,41.54,31.76,63.9,884 NDC,67877-0260-30,RASAGILINE 1 MG TABLET,10.3,6.7,5.12,10.3,884 NDC,67877-0286-60,RILUZOLE 50 MG TABLET,7.2,4.68,3.58,7.2,884 NDC,67877-0318-15,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM,64.6,41.99,32.11,64.6,884 NDC,67877-0414-01,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",5.3,3.45,2.63,5.3,884 NDC,67877-0443-30,"RABEPRAZOLE 20 MG TABLET,DELAYED RELEASE",6.0,3.9,2.98,6.0,884 NDC,67877-0491-60,TICAGRELOR 90 MG TABLET,6.6,4.29,3.28,6.6,884 NDC,67877-0545-68,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,78.3,50.9,38.92,78.3,884 NDC,67877-0548-88,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,55.9,36.34,27.78,55.9,884 NDC,67877-0635-33,TOLVAPTAN 15 MG TABLET,194.6,126.49,96.72,194.6,884 NDC,67877-0638-30,LURASIDONE 20 MG TABLET,6.3,4.09,3.13,6.3,884 NDC,67877-0704-90,DROXIDOPA 100 MG CAPSULE,9.2,5.98,4.57,9.2,884 NDC,67877-0721-31,EVEROLIMUS (IMMUNOSUPPRESSIVE) 1 MG TABLET,34.7,22.56,17.25,34.7,884 NDC,67877-0753-60,DRONABINOL 2.5 MG CAPSULE,15.8,10.27,7.85,15.8,884 NDC,67919-0030-01,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,791.0,514.15,9.07,767.27,884 NDC,68084-0027-01,WARFARIN 2.5 MG TABLET,6.1,3.97,3.03,6.1,884 NDC,68084-0202-01,PRIMIDONE 50 MG TABLET,7.7,5.01,3.83,7.7,884 NDC,68084-0204-01,MINOXIDIL 2.5 MG TABLET,7.0,4.55,3.48,7.0,884 NDC,68084-0205-01,MINOXIDIL 10 MG TABLET,7.1,4.62,3.53,7.1,884 NDC,68084-0280-01,ETHAMBUTOL 400 MG TABLET,9.4,6.11,4.67,9.4,884 NDC,68084-0300-21,DANTROLENE 25 MG CAPSULE,10.1,6.57,5.02,10.1,884 NDC,68084-0326-01,GLIMEPIRIDE 2 MG TABLET,7.1,4.62,3.53,7.1,884 NDC,68084-0411-21,"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE",13.0,8.45,6.46,13.0,884 NDC,68084-0479-01,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,8.7,5.66,4.32,8.7,880 NDC,68084-0511-01,SIMVASTATIN 10 MG TABLET,5.7,3.71,2.83,5.7,884 NDC,68084-0512-01,SIMVASTATIN 20 MG TABLET,5.7,3.71,2.83,5.7,884 NDC,68084-0536-01,CLOPIDOGREL 75 MG TABLET,6.0,3.9,2.98,6.0,884 NDC,68084-0597-01,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",8.4,5.46,4.17,8.4,884 NDC,68084-0640-01,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",6.5,4.22,3.23,6.5,884 NDC,68084-0654-01,SOTALOL 80 MG TABLET,8.6,5.59,4.27,8.6,884 NDC,68084-0655-01,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",7.1,4.62,3.53,7.1,884 NDC,68084-0697-01,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",7.6,4.94,3.78,7.6,884 NDC,68084-0709-01,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",7.1,4.62,3.53,7.1,884 NDC,68084-0729-21,GALANTAMINE 4 MG TABLET,19.4,12.61,9.64,19.4,884 NDC,68084-0775-25,TIZANIDINE 2 MG TABLET,7.6,4.94,3.78,7.6,884 NDC,68084-0805-21,METHYLPHENIDATE 5 MG TABLET,18.9,12.29,9.39,18.9,884 NDC,68084-0844-01,VENLAFAXINE 37.5 MG TABLET,6.4,4.16,3.18,6.4,884 NDC,68084-0854-01,CARVEDILOL 6.25 MG TABLET,5.4,3.51,2.68,5.4,884 NDC,68084-0856-01,VENLAFAXINE 75 MG TABLET,8.2,5.33,4.08,8.2,884 NDC,68084-0879-25,CYCLOSPORINE 25 MG CAPSULE,21.8,14.17,10.83,21.15,880 NDC,68084-0921-25,CYCLOSPORINE 100 MG CAPSULE,64.6,41.99,32.11,62.66,880 NDC,68084-0964-25,PROPYLTHIOURACIL 50 MG TABLET,15.2,9.88,7.55,15.2,884 NDC,68084-0965-25,VALGANCICLOVIR 450 MG TABLET,67.6,43.94,33.6,67.6,884 NDC,68084-0997-01,PRAZOSIN 2 MG CAPSULE,11.2,7.28,5.57,11.2,884 NDC,68094-0005-61,OXYCODONE 15 MG TABLET,12.1,7.87,6.01,12.1,884 NDC,68094-0101-20,PHENTOLAMINE 5 MG INJECTION SOLUTION,1235.6,803.14,432.02,1198.53,884 NDC,68094-0231-62,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.33,0.25,0.5,884 NDC,68094-0494-62,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,0.5,0.33,0.25,0.5,884 NDC,68094-0867-62,FUROSEMIDE 40 MG/5 ML (8 MG/ML) ORAL SOLUTION,12.7,8.26,6.31,12.7,884 NDC,68180-0159-01,ETHACRYNIC ACID 25 MG TABLET,11.4,7.41,5.67,11.4,884 NDC,68180-0180-01,CEFADROXIL 500 MG CAPSULE,5.8,3.77,2.88,5.8,884 NDC,68180-0280-01,ETHAMBUTOL 100 MG TABLET,6.1,3.97,3.03,6.1,884 NDC,68180-0294-07,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",5.3,3.45,2.63,5.3,884 NDC,68180-0295-09,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",5.6,3.64,2.78,5.6,884 NDC,68180-0422-01,MOXIFLOXACIN 0.5 % EYE DROPS,81.4,52.91,40.46,81.4,880 NDC,68180-0469-01,LOVASTATIN 40 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,68180-0512-01,LISINOPRIL 2.5 MG TABLET,5.1,3.32,2.53,5.1,884 NDC,68180-0560-06,QUININE 324 MG CAPSULE,11.2,7.28,5.57,11.2,884 NDC,68180-0566-01,TRANDOLAPRIL 1 MG TABLET,5.8,3.77,2.88,5.8,884 NDC,68180-0568-01,TRANDOLAPRIL 4 MG TABLET,5.8,3.77,2.88,5.8,884 NDC,68180-0612-07,"QUETIAPINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",5.5,3.58,2.73,5.5,884 NDC,68180-0613-07,"QUETIAPINE ER 150 MG TABLET,EXTENDED RELEASE 24 HR",6.0,3.9,2.98,6.0,884 NDC,68180-0615-07,"QUETIAPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",6.2,4.03,3.08,6.2,884 NDC,68180-0657-01,DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION,11.9,7.74,5.91,11.9,884 NDC,68180-0675-11,OSELTAMIVIR 30 MG CAPSULE,9.7,6.31,4.82,9.7,884 NDC,68180-0677-11,OSELTAMIVIR 75 MG CAPSULE,7.6,4.94,3.78,7.6,884 NDC,68180-0678-01,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,6.9,4.49,3.43,6.9,884 NDC,68180-0852-11,LEVONORGESTREL 1.5 MG TABLET,45.8,29.77,22.76,45.8,884 NDC,68180-0950-01,DESOXIMETASONE 0.25 % TOPICAL CREAM,77.0,50.05,38.27,77.0,884 NDC,68180-0975-01,LEVOTHYROXINE 200 MCG TABLET,5.8,3.77,2.88,5.8,884 NDC,68382-0003-01,AZATHIOPRINE 50 MG TABLET,5.7,3.71,2.83,5.53,880 NDC,68382-0112-14,RISPERIDONE 0.25 MG TABLET,5.2,3.38,2.58,5.2,884 NDC,68382-0114-14,RISPERIDONE 1 MG TABLET,5.2,3.38,2.58,5.2,884 NDC,68382-0187-01,DIPYRIDAMOLE 25 MG TABLET,6.6,4.29,3.28,6.6,884 NDC,68382-0316-01,MINOCYCLINE 50 MG CAPSULE,5.7,3.71,2.83,5.7,884 NDC,68382-0383-06,EXEMESTANE 25 MG TABLET,8.4,5.46,4.17,8.4,884 NDC,68382-0395-04,RIBAVIRIN 6 GRAM/300 ML SOLUTION FOR INHALATION (WETTED),20083.2,13054.08,9981.35,20083.2,880 NDC,68382-0396-01,SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION,33989.4,22093.11,16892.73,33989.4,880 NDC,68382-0412-01,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",5.3,3.45,2.63,5.3,884 NDC,68382-0452-19,"MESALAMINE ER 0.375 GRAM CAPSULE,EXTENDED RELEASE 24 HR",7.7,5.01,3.83,7.7,884 NDC,68382-0529-60,CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET,7.9,5.14,3.93,7.9,880 NDC,68382-0569-28,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",7.0,4.55,3.48,7.0,884 NDC,68382-0997-10,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,439.0,285.35,218.18,425.83,880 NDC,68462-0101-30,FLUCONAZOLE 50 MG TABLET,7.2,4.68,3.58,7.2,884 NDC,68462-0157-13,ONDANSETRON 4 MG DISINTEGRATING TABLET,6.5,4.22,3.23,6.5,884 NDC,68462-0209-01,MOEXIPRIL 7.5 MG TABLET,7.8,5.07,3.88,7.8,884 NDC,68462-0261-90,ROSUVASTATIN 5 MG TABLET,5.2,3.38,2.58,5.2,884 NDC,68462-0263-90,ROSUVASTATIN 20 MG TABLET,5.2,3.38,2.58,5.2,884 NDC,68462-0304-50,NORETHINDRONE ACETATE 5 MG TABLET,6.3,4.09,3.13,6.3,884 NDC,68462-0356-01,"THEOPHYLLINE ER 600 MG TABLET,EXTENDED RELEASE 24 HR",11.3,7.35,5.62,11.3,884 NDC,68462-0380-01,"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",9.4,6.11,4.67,9.4,884 NDC,68462-0386-30,SOLIFENACIN 5 MG TABLET,5.9,3.84,2.93,5.9,884 NDC,68462-0405-60,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",7.7,5.01,3.83,7.7,884 NDC,68462-0433-18,COLESEVELAM 625 MG TABLET,6.1,3.97,3.03,6.1,884 NDC,68462-0437-30,OLMESARTAN 20 MG TABLET,5.4,3.51,2.68,5.4,884 NDC,68462-0656-29,NORETHINDRONE ACETATE 0.5 MG-ETHINYL ESTRADIOL 2.5 MCG TABLET,12.1,7.87,6.01,12.1,884 NDC,68462-0657-29,NORETHINDRONE ACETATE 1 MG-ETHINYL ESTRADIOL 5 MCG TABLET,9.4,6.11,4.67,9.4,884 NDC,68462-0682-01,SIROLIMUS 0.5 MG TABLET,12.3,8.0,6.11,12.3,884 NDC,68462-0746-35,ACYCLOVIR 5 % TOPICAL OINTMENT,137.2,89.18,68.19,137.2,884 NDC,68462-0792-01,TRETINOIN 10 MG CAPSULE,45.0,29.25,22.37,45.0,884 NDC,68462-0853-20,SODIUM PHENYLBUTYRATE 500 MG TABLET,46.2,30.03,22.96,46.2,884 NDC,68462-0911-01,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION,340.8,221.52,0.21,340.8,884 NDC,68516-3610-02,COAGULATION FACTOR IX 500 (+/-) UNIT INTRAVENOUS SOLUTION,39.1,25.42,1.4,39.1,884 NDC,68516-5214-04,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION (PERFUSION ONLY)",350.0,227.5,53.08,339.5,884 NDC,68516-5214-05,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION (PERFUSION ONLY)",163.5,106.28,10.62,160.23,884 NDC,68516-5216-05,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",146.1,94.97,21.23,141.72,884 NDC,68516-5216-05,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION (PERFUSION ONLY)",146.1,94.97,21.23,141.72,884 NDC,68516-5216-05,"ALBUMIN, HUMAN 25 % NON-INTRAVENOUS SOLUTION OSM",63.9,41.54,21.23,61.98,884 NDC,68546-0170-60,DEUTETRABENAZINE 6 MG TABLET,275.0,178.75,136.68,275.0,884 NDC,68547-0501-02,ANGIOTENSIN II 2.5 MG/ML INTRAVENOUS SOLUTION,7507.0,4879.55,3730.98,7281.79,880 NDC,68585-0005-75,"MAGNESIUM 64 MG (MAGNESIUM CHLORIDE) TABLET,DELAYED RELEASE",2.3,1.5,1.14,2.3,884 NDC,68682-0200-25,CARBIDOPA 25 MG TABLET,7.3,4.75,3.63,7.3,884 NDC,68727-0745-02,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG/20 ML IN LIPOSOME IV SOLUTION (WETTED),43226.0,28096.9,256.09,41929.22,884 NDC,68727-0800-02,DEFIBROTIDE 80 MG/ML INTRAVENOUS SOLUTION,5759.4,3743.61,2862.42,5759.4,880 NDC,68727-0950-01,ZANIDATAMAB-HRII 300 MG/6 ML INTRAVENOUS SOLUTION (WETTED),14099.6,9164.74,25.05,14099.6,884 NDC,68803-0612-10,TRYPAN BLUE 0.06 % INTRAOCULAR SYRINGE,360.9,234.59,179.37,360.9,880 NDC,68803-0722-05,BRILLIANT BLUE 0.025% OPHTHALMIC SOLUTION,733.3,476.65,364.45,733.3,880 NDC,68982-0182-02,"ANTIHEMOPHILIC FACTOR-VWF 1,000(VWF 1,000) UNIT/10 ML INTRAVENOUS SOLN",39.5,25.68,1.29,38.32,884 NDC,68982-0347-01,"FIBRINOGEN 1 GRAM (700 MG-1,300 MG) INTRAVENOUS SOLUTION",39.1,25.42,1.23,39.1,884 NDC,68992-3010-03,"TACROLIMUS ER 1 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",24.9,16.18,12.38,24.9,884 NDC,68992-3040-03,"TACROLIMUS ER 4 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",83.9,54.54,41.7,83.9,884 NDC,68992-3075-03,"TACROLIMUS ER 0.75 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",20.0,13.0,9.94,20.0,884 NDC,69097-0223-16,ALENDRONATE 35 MG TABLET,6.1,3.97,3.03,6.1,884 NDC,69097-0224-76,ALENDRONATE 70 MG TABLET,6.1,3.97,3.03,6.1,884 NDC,69097-0431-02,"DARIFENACIN ER 7.5 MG TABLET,EXTENDED RELEASE 24 HR",8.8,5.72,4.37,8.8,884 NDC,69097-0458-05,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,5.6,3.64,2.78,5.6,884 NDC,69097-0720-44,DICLOFENAC 1 % TOPICAL GEL,66.1,42.97,32.85,66.1,884 NDC,69097-0856-05,FOSINOPRIL 10 MG TABLET,5.4,3.51,2.68,5.4,884 NDC,69097-0858-05,FOSINOPRIL 40 MG TABLET,5.7,3.71,2.83,5.7,884 NDC,69097-0859-07,TERBINAFINE HCL 250 MG TABLET,5.5,3.58,2.73,5.5,884 NDC,69097-0870-67,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE (CIPLA),10209.7,6636.31,29.84,10005.51,884 NDC,69097-0940-93,PIRFENIDONE 267 MG CAPSULE,10.8,7.02,5.37,10.8,884 NDC,69097-0965-07,NABUMETONE 500 MG TABLET,5.7,3.71,2.83,5.7,884 NDC,69238-1471-03,"ERYTHROMYCIN 250 MG TABLET,DELAYED RELEASE",26.8,17.42,13.32,26.8,884 NDC,69238-1473-03,"ERYTHROMYCIN 500 MG TABLET,DELAYED RELEASE",38.8,25.22,19.28,38.8,884 NDC,69238-1535-02,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION (WRAPPER),10.7,6.96,5.32,10.7,880 NDC,69238-1637-03,AMINOCAPROIC ACID 500 MG TABLET,16.3,10.6,8.1,16.3,884 NDC,69238-1731-02,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,34.3,22.3,17.05,34.3,884 NDC,69238-1993-01,CODEINE-BUTALBITAL-ASA-CAFFEINE 30 MG-50 MG-325 MG-40 MG CAPSULE,15.5,10.07,7.7,15.5,884 NDC,69238-2017-02,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,163.1,106.02,81.06,163.1,880 NDC,69238-2027-08,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,1006.3,654.1,500.13,1006.3,884 NDC,69238-2079-01,PROPRANOLOL 40 MG TABLET,5.5,3.58,2.73,5.5,884 NDC,69292-0722-25,FLURBIPROFEN 0.03 % EYE DROPS,168.7,109.66,83.84,168.7,884 NDC,69315-0127-01,FOLIC ACID 1 MG TABLET,5.2,3.38,2.58,5.2,884 NDC,69315-0283-01,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 0.625 MG-1.25 MG TABLET,12.6,8.19,6.26,12.6,884 NDC,69315-0306-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",67.5,43.88,33.55,67.5,884 NDC,69315-0308-02,CIPROFLOXACIN 0.3 % EYE DROPS,67.2,43.68,33.4,67.2,884 NDC,69315-0312-28,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,75.9,49.34,37.72,75.9,884 NDC,69315-0324-05,PHENYLEPHRINE 10 % EYE DROPS,121.4,78.91,60.34,121.4,880 NDC,69315-0701-50,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION,1845.4,1199.51,20.97,1845.4,884 NDC,69315-0904-01,LORAZEPAM 0.5 MG TABLET,10.2,6.63,5.07,10.2,884 NDC,69315-0905-01,LORAZEPAM 1 MG TABLET,10.3,6.7,5.12,10.3,884 NDC,69315-0910-01,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,6.2,4.03,3.08,6.2,884 NDC,69339-0150-19,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,0.5,0.33,0.25,0.5,884 NDC,69339-0160-19,MEGESTROL 40 MG/ML ORAL SUSPENSION (WRAPPER),19.3,12.55,9.59,19.3,884 NDC,69367-0210-01,POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE,2.4,1.56,1.19,2.4,884 NDC,69367-0616-01,SALSALATE 750 MG TABLET,6.3,4.09,3.13,6.3,884 NDC,69367-0691-01,PHENOBARBITAL 15 MG TABLET,11.0,7.15,5.47,11.0,884 NDC,69452-0150-20,VALPROIC ACID 250 MG CAPSULE,5.7,3.71,2.83,5.7,884 NDC,69452-0208-20,CALCITRIOL 0.5 MCG CAPSULE,5.9,3.84,2.93,5.9,884 NDC,69452-0209-20,NIMODIPINE 30 MG CAPSULE,8.7,5.66,4.32,8.7,884 NDC,69452-0233-20,PROGESTERONE MICRONIZED 100 MG CAPSULE,5.9,3.84,2.93,5.9,884 NDC,69452-0350-92,GRANISETRON HCL 1 MG TABLET,9.3,6.05,4.62,9.3,884 NDC,69488-0001-40,KIT FOR THE PREPARATION OF GA-68-DOTATATE 40 MCG INTRAVENOUS SOLN,197.5,128.38,49.63,2977.0,884 NDC,69488-0003-01,LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION,197251.0,128213.15,316.99,191333.47,883 NDC,69488-0017-61,KIT FOR PREPARATION OF GA-68-GOZETOTIDE 25 MCG INTRAVENOUS SOLUTION,10000.0,6500.0,362.5,9700.0,884 NDC,69724-0112-10,SOTALOL 150 MG/10 ML (15 MG/ML) INTRAVENOUS SOLUTION,15357.5,9982.38,25.05,14896.78,884 NDC,69809-0127-05,CLOZAPINE 100 MG TABLET,61.3,39.85,30.47,61.3,884 NDC,69911-0865-02,"FACTOR IX RECOMBINANT,ALBUMIN FUSION PROTEIN 500(+/-) UNIT IV SOLUTION",58.4,37.96,5.32,56.65,884 NDC,69911-0866-02,"FACTOR IX RECOMB, ALBUMIN FUSION PROTEIN 1,000 (+/-) UNIT IV SOLUTION",58.4,37.96,5.32,56.65,884 NDC,69918-0731-11,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,45.1,29.32,22.41,43.75,880 NDC,69918-0901-11,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,665.9,432.84,330.95,645.92,880 NDC,69932-0001-30,FLUCICLOVINE F18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION,12387.6,8051.94,322.27,12387.6,884 NDC,69932-0002-01,"FLOTUFOLASTAT F 18 296-5,846 MBQ/ML (8-158 MCI/ML) IV SOLUTION",12295.6,7992.14,671.22,11926.73,884 NDC,69945-0064-01,COPPER CU-64 DOTATATE 148 MBQ/4 ML (4 MCI/4 ML) INTRAVENOUS SOLUTION,8500.0,5525.0,594.28,8330.0,884 NDC,69945-0068-20,KIT FOR TC 99M-LABELED RED BLOOD CELLS INTRAVENOUS SOLUTION,854.0,555.1,473.97,2977.0,880 NDC,69945-0091-20,KIT FOR PREPARATION OF TC-99M-SODIUM OXIDRONATE 3.15 MG IV SOLUTION,192.0,124.8,106.56,2977.0,880 NDC,69945-0096-20,KIT FOR PREP TC-99M-MERTIATIDE (BETIATIDE) 1 MG INTRAVENOUS SOLUTION,1235.0,802.75,685.43,2977.0,880 NDC,69945-0120-99,THALLOUS CHLORIDE TL-201 37 MBQ/ML (1 MCI/ML) INTRAVENOUS SOLUTION,305.0,198.25,151.59,305.0,880 NDC,69945-0180-12,GALLIUM-67 CITRATE 74 MBQ/ML (2 MCI/ML) INTRAVENOUS SOLUTION,284.0,184.6,157.62,2977.0,880 NDC,69968-0848-09,ZINC OXIDE-COD LIVER OIL 40 % TOPICAL PASTE,61.2,39.78,30.42,61.2,884 NDC,70000-0132-01,PHENYLEPHRINE 1 % NASAL SPRAY,9.5,6.18,4.72,9.5,884 NDC,70000-0169-01,TROLAMINE SALICYLATE 10 % TOPICAL CREAM,60.5,39.33,30.07,60.5,884 NDC,70000-0409-01,CAFFEINE 200 MG TABLET,2.4,1.56,1.19,2.4,884 NDC,70000-0472-01,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.33,0.25,0.5,884 NDC,70000-0585-01,DIPHENHYDRAMINE 25 MG CAPSULE,2.4,1.56,1.19,2.4,884 NDC,70010-0027-03,"TROSPIUM ER 60 MG CAPSULE,EXTENDED RELEASE 24 HR",11.2,7.28,5.57,11.2,884 NDC,70010-0029-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",12.0,7.8,5.96,12.0,884 NDC,70010-0137-01,NAPROXEN 250 MG TABLET,5.2,3.38,2.58,5.2,884 NDC,70010-0149-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,5.7,3.71,2.83,5.7,884 NDC,70010-0754-01,METHOCARBAMOL 500 MG TABLET,5.2,3.38,2.58,5.2,884 NDC,70010-0770-01,METHOCARBAMOL 750 MG TABLET,5.2,3.38,2.58,5.2,884 NDC,70020-1910-01,IXABEPILONE 15 MG/7.5 ML INTRAVENOUS SOLUTION (WETTED),7963.1,5176.02,139.21,7803.84,884 NDC,70020-1911-01,IXABEPILONE 45 MG INTRAVENOUS SOLUTION,22989.2,14942.98,139.21,22529.42,884 NDC,70020-1911-01,IXABEPILONE 45 MG/22.5 ML INTRAVENOUS SOLUTION (WETTED),22989.2,14942.98,139.21,22529.42,884 NDC,70069-0017-01,OLOPATADINE 0.1 % EYE DROPS,67.6,43.94,33.6,67.6,884 NDC,70069-0101-25,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,52.6,34.19,26.14,51.02,881 NDC,70069-0121-01,TROPICAMIDE 1 % EYE DROPS,77.6,50.44,38.57,77.6,880 NDC,70069-0131-01,TOBRAMYCIN 0.3 % EYE DROPS,65.9,42.84,32.75,65.9,884 NDC,70069-0363-01,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,93.8,60.97,46.62,90.99,880 NDC,70069-0773-10,CALCIUM CHLORIDE 100 MG/ML (10 %) IV BOLUS (NEO/PED),55.9,36.34,27.78,55.9,880 NDC,70069-0773-10,CALCIUM CHLORIDE 100 MG/ML (10%) INJECTION FOR ORAL USE,21.3,13.85,10.59,21.3,880 NDC,70092-1093-37,"FENTANYL (PF) 10 MCG/ML IN NACL 0.9%, 250 ML",191.0,124.15,94.93,191.0,880 NDC,70092-1118-50,HYDROMORPHONE 50 MG/50 ML (1 MG/ML) IN 0.9 % NACL SYRINGE FOR INFUSION TITRATION (WRAPPER),156.9,101.99,77.98,156.9,880 NDC,70092-1130-36,MORPHINE 1 MG/ML IN 0.9 % NACL FOR INFUSION TITRATION,197.5,128.38,98.16,197.5,880 NDC,70092-1191-46,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9% NACL SYRINGE (WRAPPER),37.0,24.05,18.39,35.89,880 NDC,70092-1380-36,MORPHINE (PF) 1 MG/ML IN 0.9% NACL FOR INFUSION TITRATION,138.1,89.77,68.64,138.1,880 NDC,70092-1443-43,LIDOCAINE 0.9 % BUFFERED WITH 8.4 % SODIUM BICARB (1 ML) INJ SYRINGE,60.2,39.13,29.92,60.2,880 NDC,70092-1575-36,DILTIAZEM 125 MG/125 ML (1 MG/ML) IN DEXTROSE 5 % IV,205.7,133.71,102.23,205.7,880 NDC,70092-1588-38,ROPIVACAINE (PF) 0.2 % IN 0.9 % SODIUM CHLORIDE EPIDURAL SOLUTION,331.3,215.35,164.66,331.3,880 NDC,70092-1688-46,EPINEPHRINE HCL 100 MCG/10 ML (10 MCG/ML) IN D5W INTRAVENOUS SYRINGE,70.1,45.57,34.84,70.1,880 NDC,70092-9042-05,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (CNR/ROBOT),225.6,146.64,112.12,225.6,880 NDC,70092-9053-05,VANCOMYCIN 1 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,214.2,139.23,106.46,214.2,880 NDC,70092-9054-05,VANCOMYCIN 1.25 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,227.2,147.68,112.92,220.38,880 NDC,70092-9056-05,VANCOMYCIN 1.5 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,228.9,148.79,113.76,222.03,880 NDC,70100-0424-02,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,676.7,439.86,336.32,676.7,880 NDC,70114-0101-01,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,12179.0,7916.35,106.33,11813.63,884 NDC,70114-0130-01,PEGFILGRASTIM-CBQV 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUT INJECTOR,15995.2,10396.88,106.33,15515.34,884 NDC,70114-0340-01,TORIPALIMAB-TPZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION,36838.5,23945.03,39.41,36838.5,884 NDC,70121-1049-05,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,43.1,28.02,21.42,41.81,881 NDC,70121-1568-07,FILGRASTIM-AYOW 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,291.1,189.22,0.38,282.37,884 NDC,70121-1570-07,FILGRASTIM-AYOW 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,417.3,271.25,0.38,404.78,884 NDC,70121-1574-05,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,61.4,39.91,30.52,59.56,880 NDC,70121-1637-07,EPHEDRINE SULFATE 50 MG/ML INJECTION (WRAPPER),49.5,32.17,24.6,49.5,880 NDC,70121-1647-07,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,116.5,75.72,57.9,113.01,880 NDC,70121-1694-02,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,816.7,530.86,25.33,792.2,884 NDC,70121-1722-09,POTASSIUM PHOSPHATE 15 MMOL/250 ML IN 0.9 % SODIUM CHLORIDE IV SOLN (PREMIX & CNR) (PERIPHERAL OR CENTRAL LINE W/O TELEMETRY),203.7,132.41,101.24,203.7,880 NDC,70199-0026-11,"VITAMIN A PALMITATE 50,000 UNIT/ML INTRAMUSCULAR SOLUTION",2657.9,1727.64,1320.98,2578.16,880 NDC,70377-0001-14,SIMVASTATIN 5 MG TABLET,5.2,3.38,2.58,5.2,884 NDC,70377-0114-12,LIOTHYRONINE 5 MCG TABLET,6.1,3.97,3.03,6.1,884 NDC,70377-0115-12,LIOTHYRONINE 25 MCG TABLET,7.0,4.55,3.48,7.0,884 NDC,70436-0231-55,GANCICLOVIR SODIUM 500 MG/10 ML INTRAVENOUS SOLUTION (WETTED),162.1,105.37,80.56,158.86,880 NDC,70510-2171-02,EDARAVONE 30 MG/100 ML INTRAVENOUS SOLUTION,3507.5,2279.88,20.99,3507.5,884 NDC,70594-0023-01,COLISTIN (COLISTIMETHATE SODIUM) 150 MG POWDER VIAL,77.8,50.57,38.67,75.47,880 NDC,70594-0023-01,COLISTIN (COLISTIMETHATE SODIUM) 150 MG/2 ML (75 MG/ML) VIAL RECONSTITUTED,77.8,50.57,38.67,75.47,880 NDC,70594-0023-01,COLISTIN (COLISTIMETHATE) INJECTION FOR INHALATION 25 MG/ML,77.8,50.57,38.67,75.47,880 NDC,70594-0026-04,"BACITRACIN 50,000 UNIT INTRAMUSCULAR SOLUTION",47.5,30.88,23.61,47.5,880 NDC,70700-0268-94,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,180.5,117.33,89.71,180.5,884 NDC,70700-0289-22,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,77.3,50.25,38.42,74.98,880 NDC,70710-1159-03,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",45.7,29.7,22.71,45.7,884 NDC,70710-1233-01,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL CREAM,99.1,64.42,49.25,99.1,884 NDC,70710-1614-06,VARENICLINE TARTRATE 1 MG TABLET,20.9,13.59,10.39,20.9,884 NDC,70710-1710-01,KETOROLAC 10 MG TABLET,6.3,4.09,3.13,6.3,884 NDC,70710-1742-06,DASATINIB 50 MG TABLET,69.8,45.37,34.69,69.8,884 NDC,70710-1743-06,DASATINIB 70 MG TABLET,72.0,46.8,35.78,72.0,884 NDC,70710-1877-07,ZINC SULFATE 3 MG/ML INTRAVENOUS SOLUTION,115.4,75.01,57.35,115.4,880 NDC,70710-1886-06,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,46.8,30.42,23.26,45.4,880 NDC,70710-1937-07,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,45.2,29.38,22.46,43.84,880 NDC,70710-1958-07,INDOMETHACIN 50 MG RECTAL SUPPOSITORY,561.9,365.24,279.26,561.9,880 NDC,70720-0723-10,ZICONOTIDE 25 MCG/ML INTRATHECAL SOLUTION,22771.5,14801.48,10.14,22771.5,884 NDC,70720-0723-10,ZICONOTIDE INTRATHECAL PUMP INFUSION (UNDILUTED) 25 MCG/ML,22771.5,14801.48,10.14,22771.5,884 NDC,70720-0950-36,GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT,4871.4,3166.41,733.67,4773.97,884 NDC,70720-0951-30,GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT,12498.5,8124.03,733.67,12248.53,884 NDC,70727-0529-25,NETARSUDIL 0.02 %-LATANOPROST 0.005 % EYE DROPS,1097.7,713.51,545.56,1097.7,884 NDC,70748-0153-01,PENICILLAMINE 250 MG TABLET,178.0,115.7,88.47,178.0,884 NDC,70748-0175-30,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,12.6,8.19,6.26,12.6,884 NDC,70752-0107-10,CYPROHEPTADINE 4 MG TABLET,5.4,3.51,2.68,5.4,884 NDC,70752-0113-03,LIDOCAINE 5 % TOPICAL OINTMENT,78.7,51.16,39.11,78.7,880 NDC,70752-0138-12,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,68.5,44.53,34.04,68.5,884 NDC,70752-0153-04,CLOBETASOL 0.05 % SCALP SOLUTION,229.2,148.98,113.91,229.2,884 NDC,70752-0158-06,FLUOCINOLONE 0.01 % SCALP OIL AND SHOWER CAP,123.1,80.02,61.18,123.1,884 NDC,70756-0014-02,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,16.2,10.53,8.05,16.2,880 NDC,70756-0404-11,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,6.2,4.03,3.08,6.2,884 NDC,70756-0412-11,NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE,7.8,5.07,3.88,7.8,884 NDC,70756-0607-30,OFLOXACIN 0.3 % EYE DROPS,81.2,52.78,40.36,81.2,884 NDC,70756-0649-35,PHENYLEPHRINE 2.5 % EYE DROPS,215.6,140.14,107.15,215.6,880 NDC,70756-0663-60,SODIUM CHLORIDE 3 % FOR NEBULIZATION,6.3,4.09,3.13,6.3,880 NDC,70756-0816-22,CAPECITABINE 500 MG TABLET,6.3,4.09,0.04,6.11,884 NDC,70839-0362-04,COCAINE 4 % NASAL SOLUTION,960.8,624.52,477.52,931.98,880 NDC,70842-0120-06,MEROPENEM-VABORBACTAM 2 GRAM INTRAVENOUS SOLUTION,894.3,581.29,2.18,894.3,884 NDC,70842-0160-10,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION,1116.5,725.73,2.67,1083.01,884 NDC,70954-0014-10,THIOTHIXENE 1 MG CAPSULE,7.3,4.75,3.63,7.3,884 NDC,70954-0135-10,DAPSONE 25 MG TABLET,7.0,4.55,3.48,7.0,884 NDC,70954-0140-10,LEVOCARNITINE (SUGAR FREE) 100 MG/ML ORAL SOLUTION,93.3,60.65,46.37,93.3,884 NDC,70954-0212-10,TRIHEXYPHENIDYL 2 MG TABLET,5.2,3.38,2.58,5.2,884 NDC,70954-0261-10,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,8.3,5.4,4.13,8.3,884 NDC,70954-0316-10,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,87.2,56.68,43.34,87.2,884 NDC,70954-0319-10,PAROXETINE 10 MG/5 ML ORAL SUSPENSION,31.9,20.74,15.85,31.9,884 NDC,70954-0443-20,MISOPROSTOL 100 MCG TABLET,6.6,4.29,3.28,6.6,884 NDC,70954-0455-20,BISOPROLOL FUMARATE 5 MG TABLET,5.7,3.71,2.83,5.7,884 NDC,70954-0484-10,PYRAZINAMIDE 500 MG TABLET,15.9,10.34,7.9,15.9,884 NDC,70954-0492-10,LEVOCARNITINE 330 MG TABLET,7.8,5.07,3.88,7.8,884 NDC,70954-0496-10,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION,3367.2,2188.68,1673.5,3367.2,884 NDC,70954-0564-10,ESTRADIOL 0.5 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,70954-0597-10,PRUCALOPRIDE 2 MG TABLET,58.0,37.7,28.83,58.0,884 NDC,70954-0662-10,KETOCONAZOLE 2 % SHAMPOO,83.2,54.08,41.35,83.2,884 NDC,71083-0020-05,KIT FOR PREPARATION TC-99M-SUCCIMER 1 MG INTRAVENOUS SOLUTION,2490.0,1618.5,659.93,2977.0,884 NDC,71104-0484-08,"FACTOR VIII RECOMB, FC FUSION PROTEIN 500 UNIT INTRAVENOUS SOLUTION",46.2,30.03,2.43,46.2,884 NDC,71104-0488-08,"FACTOR VIII RECOMB, FC FUSION PROTEIN 2,000 UNIT INTRAVENOUS SOLUTION",46.2,30.03,2.43,46.2,884 NDC,71104-0490-08,"FACTOR VIII RECOMB, FC FUSION PROTEIN 4,000 UNIT INTRAVENOUS SOLUTION",46.2,30.03,2.43,46.2,884 NDC,71104-0804-01,"FACTOR VIII RECOMB, FC FUSION PROTEIN 1,000 UNIT INTRAVENOUS SOLUTION",46.2,30.03,2.43,46.2,884 NDC,71104-0911-01,"FACTOR IX RECOMB, FC FUSION PROTEIN 500 UNIT INTRAVENOUS SOLUTION",51.1,33.22,3.59,49.57,884 NDC,71104-0922-01,"FACTOR IX RECOMB, FC FUSION PROTEIN 1,000 UNIT INTRAVENOUS SOLUTION",51.1,33.22,3.59,49.57,884 NDC,71104-0933-01,"FACTOR IX RECOMB, FC FUSION PROTEIN 2,000 UNIT INTRAVENOUS SOLUTION",51.1,33.22,3.59,49.57,884 NDC,71104-0944-01,"FACTOR IX RECOMB, FC FUSION PROTEIN 3,000 UNIT INTRAVENOUS SOLUTION",51.1,33.22,3.59,49.57,884 NDC,71104-0977-01,"FACTOR IX RECOMB, FC FUSION PROTEIN 4,000 UNIT INTRAVENOUS SOLUTION",51.1,33.22,3.59,49.57,884 NDC,71258-0022-00,PIFLUFOLASTAT F 18 296 MBQ TO 370 MBQ (8 MCI TO 10 MCI) IV SYRINGE,11500.0,7475.0,346.49,11270.0,884 NDC,71258-0022-01,"PIFLUFOLASTAT F 18 37 MBQ/ML TO 2,960 MBQ/ML (1-80 MCI/ML) IV SOLUTION",11500.0,7475.0,346.49,11270.0,884 NDC,71274-0350-02,"C1 ESTERASE INHIBITOR, RECOMBINANT 2,100 UNIT INTRAVENOUS SOLUTION",22793.8,14815.97,36.77,22109.99,884 NDC,71287-0119-01,YESCARTA,2270000.0,503580.0,503580.0,503580.0,17 NDC,71287-0220-01,TECARTUS (LEUKEMIA),2080000.0,462000.0,462000.0,462000.0,16 NDC,71288-0016-95,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,96.2,62.53,47.81,93.31,880 NDC,71288-0016-95,DAPTOMYCIN 500 MG POWDER VIAL OSM,50.1,32.56,24.9,48.6,880 NDC,71288-0027-30,VORICONAZOLE 200 MG INTRAVENOUS POWDER FOR SOLUTION,70.9,46.09,35.24,68.77,880 NDC,71288-0027-30,VORICONAZOLE 200 MG POWDER VIAL OSM,32.9,21.39,16.35,31.91,880 NDC,71288-0027-30,VORICONAZOLE 200 MG/20 ML INTRAVENOUS SOLUTION (WETTED),70.9,46.09,35.24,68.77,880 NDC,71288-0031-21,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,44.4,28.86,22.07,43.07,880 NDC,71288-0032-92,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,50.8,33.02,25.25,49.28,880 NDC,71288-0113-10,GEMCITABINE 190 MG/5 ML INTRATUMORAL SYRINGE (FOR OR USE ONLY),144.9,94.19,72.02,140.55,880 NDC,71288-0114-50,GEMCITABINE 1 GRAM/26.3 ML INTRAVENOUS SOLUTION (WETTED),271.6,176.54,134.99,263.45,880 NDC,71288-0115-30,AZACITIDINE 100 MG SOLUTION FOR INJECTION (SUBQ EQUIVALENCY),276.5,179.73,137.42,268.21,880 NDC,71288-0115-30,AZACITIDINE 100 MG/10 ML SOLUTION FOR INJECTION (WETTED),276.5,179.73,137.42,268.21,880 NDC,71288-0116-11,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,316.8,205.92,0.88,307.3,884 NDC,71288-0117-06,GEMCITABINE 38 MG/ML INTRAVENOUS SOLUTION (WRAPPER),114.1,74.17,56.71,110.68,880 NDC,71288-0117-06,GEMCITABINE 38 MG/ML IV SOLUTION FOR BLADDER INSTILLATION (WRAPPER),316.2,205.53,157.15,306.71,880 NDC,71288-0128-20,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION,794.0,516.1,4.19,794.0,884 NDC,71288-0137-20,MITOMYCIN 5 MG/10 ML INTRAVENOUS SOLUTION (WETTED),450.1,292.57,20.35,436.6,884 NDC,71288-0166-10,PEMETREXED DISODIUM 100 MG/4 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),240.8,156.52,4.36,235.98,884 NDC,71288-0167-50,PEMETREXED DISODIUM 500 MG/20 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),375.9,244.34,4.36,368.38,884 NDC,71288-0201-85,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,95.9,62.34,47.66,93.98,880 NDC,71288-0409-05,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,43.0,27.95,21.37,41.71,880 NDC,71288-0427-11,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,186.2,121.03,92.54,180.61,880 NDC,71288-0600-11,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,39.8,25.87,19.78,38.61,880 NDC,71288-0702-10,ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION,54.9,35.69,27.29,54.9,880 NDC,71288-0802-04,DOXERCALCIFEROL 4 MCG/2 ML INTRAVENOUS SOLUTION,43.5,28.28,24.14,42.2,880 NDC,71288-0803-21,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,113.0,73.45,56.16,109.61,880 NDC,71288-0803-21,MYCOPHENOLATE 500 MG/15 ML INTRAVENOUS SOLUTION (WETTED),113.0,73.45,56.16,109.61,880 NDC,71321-0800-60,"MAGNESIUM L-LACTATE ER 84 MG TABLET,EXTENDED RELEASE",5.9,3.84,2.93,5.9,884 NDC,71332-0001-01,FOSTAMATINIB 100 MG TABLET,853.7,554.9,424.29,853.7,884 NDC,71336-1003-01,VUTRISIRAN 25 MG/0.5 ML SUBCUTANEOUS SYRINGE,328216.0,213340.4,5003.64,318369.52,884 NDC,71357-0001-06,TROMETHAMINE 36 MG/ML (0.3 M) INTRAVENOUS SOLUTION,1137.5,739.38,565.34,1137.5,880 NDC,71390-0011-11,REMIMAZOLAM 20 MG INTRAVENOUS SOLUTION,149.6,97.24,74.35,145.11,880 NDC,71399-0500-01,CLOTRIMAZOLE 1 % TOPICAL SOLUTION,109.7,71.31,54.52,109.7,884 NDC,71399-1028-01,DIPHENHYDRAMINE 50 MG CAPSULE,2.1,1.37,1.04,2.1,884 NDC,71403-0003-30,OXYMETAZOLINE 1 % TOPICAL CREAM,1961.8,1275.17,975.01,1961.8,884 NDC,71449-0001-11,PHENYLEPHRINE 0.5 MG/5 ML (100 MCG/ML)IN 0.9 % SOD.CHLORIDE IV SYRINGE,70.6,45.89,35.09,70.6,880 NDC,71469-0231-01,AMINOLEVULINIC ACID HCL 30 MG/ML ORAL SOLUTION,9648.0,6271.2,4795.06,9648.0,884 NDC,71699-0050-30,CENOBAMATE 50 MG TABLET,145.7,94.71,72.41,145.7,884 NDC,71715-0001-02,OMADACYCLINE 100 MG INTRAVENOUS SOLUTION,1812.7,1178.26,4.02,1776.45,884 NDC,71773-0100-12,ERAVACYCLINE 100 MG INTRAVENOUS SOLUTION,590.9,384.09,1.3,573.17,884 NDC,71776-0100-05,"FLUOROMETHOLONE ACETATE 0.1 % EYE DROPS,SUSPENSION",432.7,281.26,215.05,432.7,884 NDC,71837-1000-01,ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION,45981.2,29887.78,32.91,45981.2,884 NDC,71837-5843-05,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION,1274.9,828.69,50.37,1236.65,884 NDC,71837-5843-05,SARGRAMOSTIM 250 MCG/ML SOLUTION FOR INHALATION (USING INJECTION VIAL),980.0,637.0,50.37,950.6,884 NDC,71858-0045-04,LEVOTHYROXINE 137 MCG CAPSULE,21.7,14.11,10.78,21.7,884 NDC,71930-0023-30,OXYCODONE 20 MG/ML ORAL CONCENTRATE (WRAPPER),13.0,8.45,6.46,13.0,884 NDC,72078-0002-04,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,44.3,28.8,22.02,44.3,880 NDC,72078-0026-10,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,344.1,223.67,2.99,337.22,884 NDC,72078-0034-01,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,170.3,110.69,84.64,170.3,880 NDC,72078-0035-02,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION,250.6,162.89,124.55,250.6,880 NDC,72078-0040-08,DOCETAXEL 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),422.8,274.82,210.13,414.34,880 NDC,72078-0046-09,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,44.9,29.19,22.32,43.55,880 NDC,72078-0066-50,VANCOMYCIN 2 GRAM INTRAVENOUS SOLUTION,197.3,128.25,98.06,191.38,880 NDC,72140-0017-15,WHITE PETROLATUM TOPICAL OINTMENT BULK (WRAPPER),79.2,51.48,39.36,79.2,884 NDC,72187-0401-01,"TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION",127037.5,82574.38,356.93,127037.5,884 NDC,72205-0001-30,MOXIFLOXACIN 400 MG TABLET,12.9,8.39,6.41,12.9,884 NDC,72205-0019-01,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,1509.1,980.92,750.02,1509.1,884 NDC,72205-0030-92,ABIRATERONE 250 MG TABLET,9.1,5.92,4.52,9.1,884 NDC,72205-0036-01,DECITABINE 50 MG/10 ML INTRAVENOUS SOLUTION (WETTED),1003.1,652.02,498.54,973.01,880 NDC,72205-0041-60,DOFETILIDE 500 MCG CAPSULE,6.0,3.9,2.98,6.0,884 NDC,72205-0046-01,THIOTEPA 100 MG/10 ML SOLUTION FOR INJECTION (WETTED),1449.5,942.18,10.54,1406.02,884 NDC,72205-0085-30,TIAGABINE 4 MG TABLET,25.7,16.7,12.77,25.7,884 NDC,72205-0170-72,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,171.5,111.48,85.24,171.5,884 NDC,72205-0200-30,ROFLUMILAST 500 MCG TABLET,6.9,4.49,3.43,6.9,884 NDC,72205-0201-24,ROFLUMILAST 250 MCG TABLET,15.7,10.21,7.8,15.7,884 NDC,72266-0127-05,DICYCLOMINE 10 MG/ML INTRAMUSCULAR SOLUTION,67.8,44.07,33.7,67.8,880 NDC,72266-0142-01,BROMFENAC 0.09 % EYE DROPS,294.8,191.62,146.52,294.8,884 NDC,72266-0160-42,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,91.1,59.22,45.28,89.28,880 NDC,72266-0248-05,SINCALIDE 5 MCG SOLUTION FOR INJECTION,338.5,220.03,168.23,331.73,880 NDC,72266-0251-10,CALCITRIOL 1 MCG/ML INTRAVENOUS SOLUTION,62.3,40.49,30.96,62.3,880 NDC,72485-0105-01,NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,91.7,59.61,45.57,91.7,880 NDC,72485-0630-05,LOTEPREDNOL ETABONATE 0.5 % EYE GEL DROPS,302.8,196.82,150.49,302.8,880 NDC,72511-0501-01,EVOLOCUMAB 140 MG/ML SUBCUTANEOUS SYRINGE,1140.2,741.13,566.68,1140.2,884 NDC,72578-0002-01,ACYCLOVIR 200 MG CAPSULE,5.5,3.58,2.73,5.5,884 NDC,72578-0040-01,ZONISAMIDE 25 MG CAPSULE,5.3,3.45,2.63,5.3,884 NDC,72578-0093-01,BETAMETHASONE DIPROPIONATE 0.05 % TOPICAL OINTMENT,95.0,61.75,47.22,95.0,884 NDC,72606-0011-01,BEVACIZUMAB-ADCD 25 MG/ML INTRAVENOUS SOLUTION,1672.5,1087.13,39.96,1639.05,884 NDC,72606-0012-01,BEVACIZUMAB-ADCD 25 MG/ML INTRAVENOUS SOLUTION,5584.5,3629.93,39.96,5472.81,884 NDC,72606-0027-01,USTEKINUMAB-STBA 45 MG/0.5 ML SUBCUTANEOUS SYRINGE,7585.3,4930.44,3769.89,7585.3,884 NDC,72606-0028-01,USTEKINUMAB-STBA 90 MG/ML SUBCUTANEOUS SYRINGE,14745.6,9584.64,7328.56,14745.6,884 NDC,72606-0029-01,USTEKINUMAB-STBA 130 MG/26 ML INTRAVENOUS SOLUTION,1333.0,866.45,662.5,1333.0,880 NDC,72611-0716-01,DEXRAZOXANE HCL 500 MG/50 ML INTRAVENOUS SOLUTION (WETTED) (RECONSTITUTE WITH SWFI),547.5,355.88,63.06,536.55,884 NDC,72611-0785-02,TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN (WETTED),1601.2,1040.78,26.71,1553.16,884 NDC,72618-3000-02,RIMEGEPANT 75 MG DISINTEGRATING TABLET,433.8,281.97,215.6,433.8,884 NDC,72682-2625-00,ARGININE 25 MG/ML-LYSINE 25 MG/ML INTRAVENOUS SOLUTION (WRAPPER),1187.5,771.88,590.19,1163.75,880 NDC,72694-0515-01,CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION,114779.8,74606.87,82.08,111336.41,884 NDC,72694-0954-01,PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION,106034.7,68922.55,28424.06,102853.66,884 NDC,72874-0001-01,"FLUOROESTRADIOL F-18 148 MBQ/ML TO 3,700 MBQ/ML INTRAVENOUS SOLUTION",1612.1,1047.87,460.42,2977.0,884 NDC,72888-0012-01,CYCLOBENZAPRINE 5 MG TABLET,5.2,3.38,2.58,5.2,884 NDC,72888-0060-30,AMIODARONE 100 MG TABLET,7.0,4.55,3.48,7.0,884 NDC,72888-0063-01,BUSPIRONE 7.5 MG TABLET,5.5,3.58,2.73,5.5,884 NDC,72888-0067-01,AMITRIPTYLINE 10 MG TABLET,5.2,3.38,2.58,5.2,884 NDC,72888-0077-15,DORZOLAMIDE 2 % EYE DROPS,92.8,60.32,46.12,92.8,884 NDC,72888-0094-01,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,5.2,3.38,2.58,5.2,884 NDC,72888-0095-01,TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,72888-0149-38,IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY,124.2,80.73,61.73,124.2,880 NDC,72888-0192-01,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,5.7,3.71,2.83,5.53,880 NDC,72903-0853-01,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION,26060.1,16939.06,69.49,25538.9,884 NDC,73090-0420-01,SILTUXIMAB 100 MG INTRAVENOUS SOLUTION,6574.5,4273.43,165.83,6443.01,884 NDC,73090-0421-01,SILTUXIMAB 400 MG INTRAVENOUS SOLUTION,24947.9,16216.14,165.83,24448.94,884 NDC,73150-0150-06,UBLITUXIMAB-XIIY 25 MG/ML INTRAVENOUS SOLUTION,44551.6,28958.54,70.75,43215.05,884 NDC,73153-0900-01,BREYANZI,2520000.0,531350.4,531350.4,531350.4,6 NDC,73153-0900-01,YESCARTA,2270000.0,503580.0,503580.0,503580.0,1 NDC,73177-0105-01,MORPHINE (PF) 2 MG/2 ML(1 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE,91.2,59.28,45.33,91.2,880 NDC,73293-0001-02,LIDOCAINE 10 MG/ML (1 %) INJECTION SOLUTION (WRAPPER),36.3,23.6,18.04,36.3,880 NDC,73302-0456-01,ULIPRISTAL 30 MG TABLET,126.8,82.42,63.02,126.8,880 NDC,73462-0101-01,TRILACICLIB 300 MG/20 ML INTRAVENOUS SOLUTION (WETTED),6440.6,4186.39,5.46,6440.6,884 NDC,73473-0303-70,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,120.3,78.19,59.79,120.3,884 NDC,73475-3041-05,EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION (RESTRICTED),24103.3,15667.15,32.15,23380.2,884 NDC,73475-3102-03,"EFGARTIGIMOD ALFA 1008 MG-HYALURON-QVFC 11,200 UNIT/5.6 ML SUBCUT SOLN",61963.4,40276.21,33.89,60724.13,884 NDC,73535-0208-01,TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION,5553.7,3609.91,14.31,5387.09,884 NDC,73556-0168-02,AVACOPAN 10 MG CAPSULE,371.2,241.28,184.49,371.2,884 NDC,73562-0104-10,"LIPASE-PROTEASE-AMYLASE (PORCINE) 10,440-39,150-39,150 UNIT TABLET",19.2,12.48,9.54,19.2,884 NDC,73562-0110-01,"LIPASE-PROTEASE-AMYLASE(PORK)10,000-32,000-42,000 UNIT CAPSULE,DEL REL",19.2,12.48,9.54,19.2,884 NDC,73562-0112-01,"LIPASE-PROTEASE-AMYLASE (PORK) 20,000-63,000-84K UNIT CAPSULE, DEL REL",32.9,21.39,16.35,32.9,884 NDC,73562-0116-01,"LIPASE-PROTEASE-AMYLASE (PORK) 25,000-79,000-105K UNIT CAPSULE,DEL REL",39.5,25.68,19.63,39.5,884 NDC,73776-0001-11,AMONTANAAGVI,2530000.0,562000.0,562000.0,562000.0,1 NDC,73776-0022-01,ALDESLEUKIN 22 MILLION UNIT INTRAVENOUS SOLUTION,23050.1,14982.57,3338.87,23050.1,884 NDC,73814-0986-20,KIT FOR THE PREPARATION OF TECHNETIUM TC 99M-LABELED CARBON INHALATION AEROSOL,949.5,617.17,328.6,2977.0,884 NDC,74300-0003-00,ZINC OXIDE 13 % TOPICAL CREAM,17.2,11.18,8.55,17.2,884 NDC,74676-5904-00,TRIPTORELIN PAMOATE 11.25 MG IM SUSPENSION,9416.8,6120.92,474.84,9228.46,884 NDC,75833-0601-02,MELPHALAN HCL 50 MG/10 ML INTRA-ARTERIAL SOLUTION (WETTED),684825.0,445136.25,795.0,684825.0,884 NDC,75834-0010-60,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS",2.5,1.63,1.24,2.5,884 NDC,75834-0158-01,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",5.8,3.77,2.88,5.8,884 NDC,75834-0159-01,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",5.8,3.77,2.88,5.8,884 NDC,75834-0201-50,OFLOXACIN 400 MG TABLET,52.2,33.93,25.94,52.2,884 NDC,75834-0320-01,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",7.0,4.55,3.48,7.0,884 NDC,75907-0043-01,TRIMETHOPRIM 100 MG TABLET,9.6,6.24,4.77,9.6,884 NDC,75907-0167-21,IVERMECTIN 3 MG TABLET,15.5,10.07,7.7,15.5,884 NDC,75987-0080-10,PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION,118975.3,77333.95,3660.83,115406.04,884 NDC,75987-0130-15,TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION,70245.2,45659.38,359.19,68137.84,884 NDC,76045-0009-06,HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE,79.8,51.87,39.66,77.41,880 NDC,76075-0101-01,CARFILZOMIB 60 MG/30 ML INTRAVENOUS SOLUTION (WETTED),13718.0,8916.7,55.65,13443.64,884 NDC,76075-0102-01,CARFILZOMIB 30 MG/15 ML INTRAVENOUS SOLUTION (WETTED),7084.1,4604.67,55.65,6942.42,884 NDC,76075-0103-01,CARFILZOMIB 10 MG/5 ML INTRAVENOUS SOLUTION (WETTED),2661.4,1729.91,55.65,2608.17,884 NDC,76128-0155-75,PORFIMER 75 MG INTRAVENOUS SOLUTION,77051.3,50083.35,24228.42,74739.76,884 NDC,76204-0021-60,SODIUM CHLORIDE 7 % FOR NEBULIZATION,7.0,4.55,3.48,7.0,880 NDC,76204-0100-01,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,6.4,4.16,3.18,6.4,884 NDC,76204-0200-01,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,6.3,4.09,3.13,6.3,884 NDC,76204-0300-03,NACL 0.9% INHALATION SOLUTION,6.0,3.9,2.98,6.0,880 NDC,76204-0800-01,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,11.6,7.54,5.77,11.6,884 NDC,76204-0900-01,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,10.3,6.7,5.12,10.3,884 NDC,76310-0017-01,AMIFOSTINE CRYSTALLINE 500 MG INTRAVENOUS SOLUTION,4148.7,2696.66,2061.9,4024.24,880 NDC,76329-1240-01,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION (WRAPPER),216.4,140.66,107.55,209.91,880 NDC,76329-3011-05,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,21.4,13.91,10.64,21.4,880 NDC,76329-3302-01,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,111.5,72.47,55.42,111.5,880 NDC,76329-3318-01,EPINEPHRINE 0.1 MG/ML INJECTION ANES ONLY,93.1,60.52,46.27,90.31,880 NDC,76329-3318-01,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,93.1,60.52,46.27,90.31,880 NDC,76329-3340-01,ATROPINE 0.1 MG/ML INJECTION SYRINGE,78.7,51.16,39.11,76.34,880 NDC,76329-3352-01,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) ANES ONLY,112.1,72.86,55.71,112.1,880 NDC,76329-3390-01,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,65.4,42.51,32.5,65.4,880 NDC,76329-3669-02,NALOXONE 4 MG/ACTUATION NASAL SPRAY,126.3,82.1,62.77,126.3,884 NDC,76329-6300-05,LIDOCAINE HCL 4 % LARYNGOTRACHEAL SOLUTION,34.5,22.43,17.15,34.5,880 NDC,76336-0455-18,METYRAPONE 250 MG CAPSULE,219.4,142.61,109.04,219.4,884 NDC,76385-0131-01,PINDOLOL 5 MG TABLET,7.0,4.55,3.48,7.0,884 NDC,76385-0132-01,PINDOLOL 10 MG TABLET,9.0,5.85,4.47,9.0,884 NDC,76394-2642-03,GALLIUM GA-68 GOZETOTIDE 18.5 MBQ TO 185 MBQ/ML (0.5-5 MCI/ML) IV SOLN,591.6,384.54,328.34,2977.0,884 NDC,77333-0308-10,"OMEGA 3-DHA-EPA-FISH OIL 1,000 MG CAPSULE (WRAPPER)",2.7,1.75,1.34,2.7,884 NDC,77333-0861-10,MULTIVITAMIN-IRON-FOLIC ACID 400 MCG-CALCIUM AND MINERALS TABLET,0.5,0.33,0.25,0.5,884 NDC,77333-0937-10,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,2.6,1.69,1.29,2.6,884 NDC,77333-0940-10,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,2.5,1.63,1.24,2.5,884 NDC,77790-0022-15,HYPROMELLOSE 2.5 % EYE DROPS,118.7,77.16,58.99,118.7,880 NDC,78206-0114-03,MOMETASONE 220 MCG/ACTUATION(14 DOSES) BREATH ACTIVATED POWDER INHALER,174.6,113.49,86.78,174.6,884 NDC,78206-0145-01,ETONOGESTREL 68 MG SUBDERMAL IMPLANT,1118.6,727.09,555.94,1096.23,880 NDC,78206-0162-01,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION,1565.5,1017.58,27.0,1518.54,884 NDC,78670-0003-67,DANTROLENE 20 MG INTRAVENOUS SOLUTION,281.3,182.85,139.81,281.3,880 NDC,79854-0090-43,MAGNESIUM 200 MG (AS MAGNESIUM OXIDE) TABLET,2.2,1.43,1.09,2.2,884 NDC,79952-0110-01,LONCASTUXIMAB TESIRINE-LPYL 10 MG/2 ML INTRAVENOUS SOLUTION (WETTED),109311.7,71052.6,216.9,109311.7,884 NDC,80446-0401-01,TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLUTION,80668.9,52434.79,217.09,78248.83,884 NDC,80631-0207-01,COVID VACCINE 2025-26 (12YRS UP)-ADJUVANT (PF) 5 MCG/0.5 ML IM SYRINGE (ALLERGY CLINIC USE-NO LIM),172.4,112.06,85.68,172.4,880 NDC,80681-0002-00,ZINC 50 MG (AS GLUCONATE) TABLET,2.1,1.37,1.04,2.1,884 NDC,80681-0019-00,NIACINAMIDE 500 MG TABLET,2.1,1.37,1.04,2.1,884 NDC,80681-0045-00,CALCIUM 315 MG (AS CITRATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.5,0.33,0.25,0.5,884 NDC,80681-0097-00,THIAMINE HCL (VITAMIN B1) 50 MG TABLET,2.1,1.37,1.04,2.1,884 NDC,80681-0100-00,GLUCOSE 3.75 GRAM CHEWABLE TABLET,9.5,6.18,4.72,9.5,884 NDC,80681-0134-00,VITAMIN E 45 MG (100 UNIT) CAPSULE (WRAPPER),2.1,1.37,1.04,2.1,884 NDC,80681-0135-00,ZINC SULFATE 220 MG (50 MG ZINC) CAPSULE,2.1,1.37,1.04,2.1,884 NDC,80681-0169-00,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",2.1,1.37,1.04,2.1,884 NDC,80681-0174-00,"CHOLECALCIFEROL (VITAMIN D3) 1,250 MCG (50,000 UNIT) CAPSULE",2.6,1.69,1.29,2.6,884 NDC,80725-0250-01,PAROMOMYCIN 250 MG CAPSULE,406.3,264.1,201.93,406.3,884 NDC,80777-0112-01,COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM (ALLERGY CLINIC USE-NO LIM),158.6,103.09,87.39,153.84,880 NDC,80777-0112-96,COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE,158.6,103.09,87.39,153.84,880 NDC,80777-0113-09,COVID VAC 2025-26 (6MO-11YR)(MODERNA) (PF) 25 MCG/0.25 ML IM (ALLERGY CLINIC USE-NO LIM),144.3,93.8,71.72,144.3,880 NDC,80777-0113-80,COVID VAC 2025-26 (6MO-11YR)(MODERNA) (PF) 25 MCG/0.25 ML IM SYRINGE,144.3,93.8,71.72,141.41,880 NDC,80803-0153-50,SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION,26657.1,17327.12,84.57,26657.1,884 NDC,80830-2329-02,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",96.0,62.4,47.71,96.0,880 NDC,81033-0102-52,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,0.5,0.33,0.25,0.5,884 NDC,81033-0512-50,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,8.8,5.72,4.37,8.8,884 NDC,81052-0138-10,PAFOLACIANINE 3.2 MG/1.6 ML INTRAVENOUS SOLUTION,16362.5,10635.63,8132.16,16362.5,880 NDC,81284-0315-05,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJECTION SOLUTION (WRAPPER),1400.0,910.0,9.96,1358.0,884 NDC,81284-0411-10,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,206.4,134.16,102.58,200.21,880 NDC,81284-0612-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",44.9,29.19,22.32,44.9,880 NDC,81643-9270-01,FLOXURIDINE 0.5 GRAM/5 ML SOLUTION FOR INJECTION (WETTED),16113.8,10473.97,4128.02,16113.8,884 NDC,81665-0102-10,ISOSORBIDE MONONITRATE 10 MG TABLET,15.0,9.75,7.46,15.0,884 NDC,81665-0103-10,ISOSORBIDE MONONITRATE 20 MG TABLET,16.8,10.92,8.35,16.8,884 NDC,81665-0108-10,ISONIAZID 300 MG TABLET,15.6,10.14,7.75,15.6,884 NDC,81960-0031-03,PEMIVIBART 125 MG/ML INTRAVENOUS SOLUTION (EUA),2870.9,1866.09,1426.84,2784.77,880 NDC,82154-0449-01,PEGINTERFERON ALFA-2A 180 MCG/ML SUBCUTANEOUS SOLUTION,4600.4,2990.26,2286.4,4462.39,880 NDC,82154-0451-01,PEGINTERFERON ALFA-2A 180 MCG/0.5 ML SUBCUTANEOUS SYRINGE,4159.9,2703.94,2067.47,4035.1,880 NDC,82182-0773-05,BRIMONIDINE 0.15 % EYE DROPS,322.7,209.76,160.38,322.7,884 NDC,82260-0299-05,"LOTEPREDNOL ETABONATE 0.5 % EYE DROPS,SUSPENSION",354.9,230.69,176.39,354.9,884 NDC,82347-0010-04,LEVOTHYROXINE 25 MCG CAPSULE,18.2,11.83,9.05,18.2,884 NDC,82347-0020-04,LEVOTHYROXINE 75 MCG CAPSULE,18.4,11.96,9.14,18.4,884 NDC,82347-0025-04,LEVOTHYROXINE 88 MCG CAPSULE,20.3,13.2,10.09,20.3,884 NDC,82347-0050-04,LEVOTHYROXINE 150 MCG CAPSULE,18.4,11.96,9.14,18.4,884 NDC,82584-0792-25,LIDOCAINE (PF) 3.5 % EYE GEL,18.1,11.77,9.0,18.1,880 NDC,82604-0600-04,PHENYLEPHRINE 1 %-KETOROLAC 0.3 % INTRAOCULAR CONCENTRATE FOR IRRIG,1493.3,970.65,96.91,1448.5,885 NDC,82625-8801-01,NALOXEGOL 12.5 MG TABLET,56.1,36.47,27.88,56.1,884 NDC,82625-8802-03,NALOXEGOL 25 MG TABLET,56.1,36.47,27.88,56.1,884 NDC,82667-0012-05,"NATAMYCIN 5 % EYE DROPS,SUSPENSION",2926.0,1901.9,1454.22,2926.0,884 NDC,82705-0002-01,EPCORITAMAB-BYSP 0.16 MG/ML SUBCUTANEOUS DILUTION,5674.3,3688.3,55.84,5504.07,884 NDC,82705-0002-01,EPCORITAMAB-BYSP 0.8 MG/ML SUBCUTANEOUS DILUTION,5674.3,3688.3,55.84,5504.07,884 NDC,82705-0002-01,EPCORITAMAB-BYSP 3 MG/0.6 ML SUBCUTANEOUS SOLUTION,5674.3,3688.3,55.84,5504.07,884 NDC,82705-0010-01,EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION,63140.7,41041.46,55.84,61246.48,884 NDC,82959-0111-01,IMETELSTAT 188 MG/6 ML INTRAVENOUS SOLUTION (WETTED),40144.8,26094.12,57.03,39341.9,884 NDC,82959-0112-01,IMETELSTAT 47 MG INTRAVENOUS SOLUTION,10373.7,6742.91,57.03,10166.23,884 NDC,82959-0112-01,IMETELSTAT 47 MG/1.5 ML INTRAVENOUS SOLUTION (WETTED),10373.7,6742.91,57.03,10166.23,884 NDC,83257-0005-41,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,4976.2,3234.53,99.13,4826.91,884 NDC,83257-0023-41,USTEKINUMAB-KFCE 45 MG/0.5 ML SUBCUTANEOUS SYRINGE,5839.0,3795.35,2901.98,5839.0,884 NDC,83257-0025-41,USTEKINUMAB-KFCE 90 MG/ML SUBCUTANEOUS SYRINGE,11253.1,7314.52,5592.79,11253.1,884 NDC,83257-0026-11,USTEKINUMAB-KFCE 130 MG/26 ML INTRAVENOUS SOLUTION,1799.7,1169.81,24.98,1763.71,884 NDC,84386-0031-90,PRAVASTATIN 10 MG TABLET,5.3,3.45,2.63,5.3,884 NDC,85446-0369-81,SODIUM HYALURONATE 10 MG/ML INTRAOCULAR SYRINGE,300.7,195.46,149.45,300.7,880 NDC,86790-0162-80,WHEAT DEXTRIN 3 GRAM/4 GRAM ORAL POWDER PACKET,3.7,2.4,1.84,3.7,884 NDC,96295-0127-01,BIOTIN 10 MG TABLET,2.2,1.43,1.09,2.2,884 NDC,99999-4084-44,XENON-133 IN AIR GAS FOR INHALATION (WRAPPER),492.0,319.8,273.06,2977.0,880