code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries ,,22 - UNUSUAL PROCEDURAL SERVICES,,,,,0 ,,50 - BILATERAL PROCEDURE,,,,,0 ,,51 - MULTIPLE PROCEDURES,,,,,0 ,,62 - TWO SURGEONS,,,,,0 ,,80 - ASSISTANT SURGEON,,,,,0 ,,82 - ASSISTANT SURGEON,,,,,0 ,,AS - ASSISTANT AT SURGERY SERVICE,,,,,0 APR-DRG,001-3,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,75484.91,403316.37,42 APR-DRG,001-4,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,75484.91,505166.25,42 APR-DRG,002-3,HEART AND/OR LUNG TRANSPLANT,,,142284.58,576591.43,42 APR-DRG,002-4,HEART AND/OR LUNG TRANSPLANT,,,142284.58,1084529.46,42 APR-DRG,004-2,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,64713.61,211176.4,42 APR-DRG,004-3,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,83736.53,203973.6,42 APR-DRG,004-4,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,146855.46,849562.4,42 APR-DRG,005-4,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,102305.23,468886.2,42 APR-DRG,007-2,ALLOGENEIC BONE MARROW TRANSPLANT,,,68880.12,279186.68,42 APR-DRG,007-3,ALLOGENEIC BONE MARROW TRANSPLANT,,,75759.53,194255.2,42 APR-DRG,007-4,ALLOGENEIC BONE MARROW TRANSPLANT,,,153790.0,729467.4,42 APR-DRG,008-2,AUTOLOGOUS BONE MARROW TRANSPLANT,,,26324.57,67498.9,42 APR-DRG,008-3,AUTOLOGOUS BONE MARROW TRANSPLANT,,,48143.87,166043.9,42 APR-DRG,008-4,AUTOLOGOUS BONE MARROW TRANSPLANT,,,68401.12,524630.2,42 APR-DRG,009-3,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,26571.6,447197.2,42 APR-DRG,009-4,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,128425.11,527231.2,42 APR-DRG,011-3,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,194523.55,2427705.4,16 APR-DRG,020-1,OPEN CRANIOTOMY FOR TRAUMA,,,16597.82,102509.0,42 APR-DRG,020-3,OPEN CRANIOTOMY FOR TRAUMA,,,21461.55,196009.8,42 APR-DRG,020-4,OPEN CRANIOTOMY FOR TRAUMA,,,44419.45,123802.8,42 APR-DRG,021-1,OPEN CRANIOTOMY EXCEPT TRAUMA,,,19584.9,83632.8,42 APR-DRG,021-2,OPEN CRANIOTOMY EXCEPT TRAUMA,,,25904.06,100347.2,42 APR-DRG,021-3,OPEN CRANIOTOMY EXCEPT TRAUMA,,,35781.56,158353.6,42 APR-DRG,021-4,OPEN CRANIOTOMY EXCEPT TRAUMA,,,50845.32,179047.4,42 APR-DRG,022-1,VENTRICULAR SHUNT PROCEDURES,,,11879.31,51682.4,42 APR-DRG,022-2,VENTRICULAR SHUNT PROCEDURES,,,11879.31,42971.2,42 APR-DRG,022-3,VENTRICULAR SHUNT PROCEDURES,,,21958.19,54412.4,42 APR-DRG,023-1,SPINAL PROCEDURES,,,14320.81,66847.8,42 APR-DRG,023-2,SPINAL PROCEDURES,,,20259.66,78870.6,42 APR-DRG,023-3,SPINAL PROCEDURES,,,31931.97,138143.4,42 APR-DRG,023-4,SPINAL PROCEDURES,,,46360.29,210999.4,42 APR-DRG,024-1,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,8347.45,102427.4,42 APR-DRG,024-2,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,11065.75,61695.0,42 APR-DRG,026-1,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,11630.59,43238.0,42 APR-DRG,026-2,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,17315.91,68748.8,42 APR-DRG,026-3,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,17315.91,94671.8,42 APR-DRG,026-4,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,16740.64,77925.4,42 APR-DRG,027-1,OTHER OPEN CRANIOTOMY,,,15053.33,120980.0,42 APR-DRG,027-2,OTHER OPEN CRANIOTOMY,,,11065.75,147234.8,42 APR-DRG,029-1,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,15088.64,137992.2,42 APR-DRG,029-2,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,18925.38,237749.4,42 APR-DRG,029-3,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,15088.64,175329.4,42 APR-DRG,029-4,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,36286.22,222996.8,42 APR-DRG,030-1,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,13078.0,44112.2,42 APR-DRG,030-2,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,22460.45,69826.6,42 APR-DRG,030-3,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,28782.02,143406.2,42 APR-DRG,030-4,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,28782.02,155667.0,42 APR-DRG,040-2,SPINAL DISORDERS AND INJURIES,,,12144.08,99658.2,42 APR-DRG,040-3,SPINAL DISORDERS AND INJURIES,,,5945.28,18804.15,42 APR-DRG,041-2,NERVOUS SYSTEM MALIGNANCY,,,8456.57,54764.2,42 APR-DRG,041-3,NERVOUS SYSTEM MALIGNANCY,,,11619.36,42532.6,42 APR-DRG,041-4,NERVOUS SYSTEM MALIGNANCY,,,11619.36,58524.2,42 APR-DRG,042-2,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,8137.12,19821.2,42 APR-DRG,042-3,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,11669.1,81615.2,42 APR-DRG,042-4,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,5656.51,13778.6,42 APR-DRG,043-1,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,8414.37,20496.6,42 APR-DRG,043-2,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,13008.89,44553.6,42 APR-DRG,043-3,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,19182.13,94163.0,42 APR-DRG,043-4,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,34050.93,93242.0,42 APR-DRG,044-1,INTRACRANIAL HEMORRHAGE,,,7048.16,29198.8,42 APR-DRG,044-2,INTRACRANIAL HEMORRHAGE,,,9308.64,41765.2,42 APR-DRG,044-3,INTRACRANIAL HEMORRHAGE,,,12639.56,46348.0,42 APR-DRG,044-4,INTRACRANIAL HEMORRHAGE,,,13191.93,62367.6,42 APR-DRG,045-1,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,6550.23,23415.0,42 APR-DRG,045-2,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,8426.08,34041.2,42 APR-DRG,045-3,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,11742.11,62488.6,42 APR-DRG,045-4,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,19466.96,63541.6,42 APR-DRG,046-3,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,8280.06,24136.6,42 APR-DRG,047-3,TRANSIENT ISCHEMIA,,,7020.4,33415.2,42 APR-DRG,048-1,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,2253.93,6480.1,42 APR-DRG,048-2,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,4825.25,11753.8,42 APR-DRG,048-3,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,7240.23,38676.4,42 APR-DRG,049-2,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,5148.08,14023.74,42 APR-DRG,049-3,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,11000.57,26796.2,42 APR-DRG,050-1,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,5370.96,13083.2,42 APR-DRG,050-2,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,12073.48,54954.4,42 APR-DRG,050-3,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,18366.16,76115.4,42 APR-DRG,050-4,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,13027.4,36056.96,42 APR-DRG,051-3,VIRAL MENINGITIS,,,11429.21,44670.4,42 APR-DRG,052-2,ALTERATION IN CONSCIOUSNESS,,,5319.45,26325.4,42 APR-DRG,052-3,ALTERATION IN CONSCIOUSNESS,,,6819.81,26720.6,42 APR-DRG,052-4,ALTERATION IN CONSCIOUSNESS,,,17279.0,76330.4,42 APR-DRG,053-1,SEIZURE,,,4653.16,18472.8,42 APR-DRG,053-2,SEIZURE,,,4755.42,16098.4,42 APR-DRG,053-3,SEIZURE,,,10244.16,31018.2,42 APR-DRG,053-4,SEIZURE,,,19324.94,62808.0,42 APR-DRG,054-2,MIGRAINE AND OTHER HEADACHES,,,7020.4,32884.2,42 APR-DRG,054-3,MIGRAINE AND OTHER HEADACHES,,,7020.4,43828.0,42 APR-DRG,055-1,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,3008.77,7329.0,42 APR-DRG,055-2,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,8540.81,21198.8,42 APR-DRG,055-3,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,13221.61,56998.4,42 APR-DRG,055-4,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,22890.5,109050.6,42 APR-DRG,057-1,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,3191.37,6131.34,30 APR-DRG,057-2,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,8228.17,16255.73,30 APR-DRG,057-3,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,11663.25,19549.78,30 APR-DRG,058-1,OTHER DISORDERS OF NERVOUS SYSTEM,,,6746.0,20649.0,42 APR-DRG,058-2,OTHER DISORDERS OF NERVOUS SYSTEM,,,9832.57,31146.6,42 APR-DRG,058-3,OTHER DISORDERS OF NERVOUS SYSTEM,,,13642.03,67973.2,42 APR-DRG,058-4,OTHER DISORDERS OF NERVOUS SYSTEM,,,13642.03,86410.4,42 APR-DRG,073-1,ORBIT AND EYE PROCEDURES,,,8476.63,22518.0,42 APR-DRG,073-2,ORBIT AND EYE PROCEDURES,,,11489.38,67164.2,42 APR-DRG,073-4,ORBIT AND EYE PROCEDURES,,,30446.05,1203319.6,42 APR-DRG,082-2,EYE INFECTIONS AND OTHER EYE DISORDERS,,,6713.1,18390.8,42 APR-DRG,089-1,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,14616.87,78310.2,42 APR-DRG,089-2,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,19290.44,70548.2,42 APR-DRG,089-3,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,33102.57,168405.2,42 APR-DRG,091-1,OTHER MAJOR HEAD AND NECK PROCEDURES,,,14492.5,68145.4,42 APR-DRG,091-2,OTHER MAJOR HEAD AND NECK PROCEDURES,,,23131.2,95129.6,42 APR-DRG,091-3,OTHER MAJOR HEAD AND NECK PROCEDURES,,,34553.19,158471.0,42 APR-DRG,091-4,OTHER MAJOR HEAD AND NECK PROCEDURES,,,51711.84,208430.4,42 APR-DRG,092-1,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,13088.43,67294.6,42 APR-DRG,092-2,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,16395.63,82557.4,42 APR-DRG,092-3,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,24046.66,129397.0,42 APR-DRG,095-1,CLEFT LIP AND PALATE REPAIR,,,7837.17,75564.2,12 APR-DRG,095-2,CLEFT LIP AND PALATE REPAIR,,,33688.2,35559.6,11 APR-DRG,095-3,CLEFT LIP AND PALATE REPAIR,,,13268.15,36285.2,12 APR-DRG,095-4,CLEFT LIP AND PALATE REPAIR,,,27618.64,34482.2,12 APR-DRG,097-1,TONSIL AND ADENOID PROCEDURES,,,5380.5,18231.2,42 APR-DRG,097-2,TONSIL AND ADENOID PROCEDURES,,,5380.5,28363.0,42 APR-DRG,097-3,TONSIL AND ADENOID PROCEDURES,,,12702.31,116474.8,42 APR-DRG,097-4,TONSIL AND ADENOID PROCEDURES,,,11173.91,27218.6,42 APR-DRG,098-1,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",,,7846.8,27423.4,42 APR-DRG,098-2,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",,,7846.8,34499.4,42 APR-DRG,098-3,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",,,11444.2,27876.8,42 APR-DRG,098-4,"OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES",,,19981.25,74533.05,42 APR-DRG,110-2,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,8250.79,89567.8,42 APR-DRG,110-3,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,12047.0,90191.8,42 APR-DRG,111-2,VERTIGO AND OTHER LABYRINTH DISORDERS,,,4631.21,11281.2,42 APR-DRG,111-3,VERTIGO AND OTHER LABYRINTH DISORDERS,,,4570.84,11134.0,42 APR-DRG,113-1,INFECTIONS OF UPPER RESPIRATORY TRACT,,,3183.65,8593.8,42 APR-DRG,113-2,INFECTIONS OF UPPER RESPIRATORY TRACT,,,4600.57,14397.8,42 APR-DRG,113-3,INFECTIONS OF UPPER RESPIRATORY TRACT,,,4485.82,10927.0,42 APR-DRG,113-4,INFECTIONS OF UPPER RESPIRATORY TRACT,,,13804.1,109821.8,42 APR-DRG,114-1,DENTAL DISEASES AND DISORDERS,,,3867.24,10364.2,42 APR-DRG,114-2,DENTAL DISEASES AND DISORDERS,,,5340.32,32618.8,42 APR-DRG,114-3,DENTAL DISEASES AND DISORDERS,,,8008.07,23941.8,42 APR-DRG,115-1,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,3668.38,8935.8,42 APR-DRG,115-2,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,5560.5,13544.8,42 APR-DRG,115-3,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,9794.99,40746.2,42 APR-DRG,115-4,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,18043.73,90805.4,42 APR-DRG,120-1,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,15476.16,81433.4,42 APR-DRG,120-2,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,19167.69,106630.8,42 APR-DRG,120-3,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,28850.22,83224.6,42 APR-DRG,120-4,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,28850.22,129912.6,42 APR-DRG,121-1,OTHER RESPIRATORY AND CHEST PROCEDURES,,,11976.39,46208.4,42 APR-DRG,121-2,OTHER RESPIRATORY AND CHEST PROCEDURES,,,15697.61,66377.8,42 APR-DRG,121-3,OTHER RESPIRATORY AND CHEST PROCEDURES,,,24276.13,129630.0,42 APR-DRG,121-4,OTHER RESPIRATORY AND CHEST PROCEDURES,,,38336.98,249661.4,42 APR-DRG,130-2,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,27951.61,112710.2,42 APR-DRG,130-3,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,34097.46,615238.2,42 APR-DRG,130-4,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,45198.51,248531.2,42 APR-DRG,131-4,CYSTIC FIBROSIS - PULMONARY DISEASE,,,14836.03,36139.0,42 APR-DRG,132-2,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,5558.49,28521.6,42 APR-DRG,132-3,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,3870.09,11062.18,42 APR-DRG,132-4,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,5370.89,15461.44,42 APR-DRG,133-2,RESPIRATORY FAILURE,,,6261.61,15252.6,42 APR-DRG,133-3,RESPIRATORY FAILURE,,,9719.44,32800.0,42 APR-DRG,133-4,RESPIRATORY FAILURE,,,15939.11,82129.2,42 APR-DRG,134-1,PULMONARY EMBOLISM,,,4727.33,27660.2,42 APR-DRG,134-2,PULMONARY EMBOLISM,,,6327.18,18020.0,42 APR-DRG,134-3,PULMONARY EMBOLISM,,,10038.77,31292.8,42 APR-DRG,134-4,PULMONARY EMBOLISM,,,10038.77,80554.4,42 APR-DRG,135-1,MAJOR CHEST AND RESPIRATORY TRAUMA,,,5690.13,22402.8,42 APR-DRG,135-2,MAJOR CHEST AND RESPIRATORY TRAUMA,,,6114.42,14894.0,42 APR-DRG,135-3,MAJOR CHEST AND RESPIRATORY TRAUMA,,,10495.29,37583.0,42 APR-DRG,135-4,MAJOR CHEST AND RESPIRATORY TRAUMA,,,18583.59,75413.0,42 APR-DRG,136-2,RESPIRATORY MALIGNANCY,,,8040.16,33415.0,42 APR-DRG,136-3,RESPIRATORY MALIGNANCY,,,11153.2,52979.8,42 APR-DRG,136-4,RESPIRATORY MALIGNANCY,,,17111.31,68668.2,42 APR-DRG,137-1,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,2098.28,6454.83,42 APR-DRG,137-2,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,5883.49,24369.6,42 APR-DRG,137-3,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,8683.63,32456.8,42 APR-DRG,137-4,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,16341.08,47076.4,42 APR-DRG,138-1,BRONCHIOLITIS AND RSV PNEUMONIA,,,1338.99,3261.6,42 APR-DRG,138-2,BRONCHIOLITIS AND RSV PNEUMONIA,,,3723.56,9070.2,42 APR-DRG,138-3,BRONCHIOLITIS AND RSV PNEUMONIA,,,4117.07,10028.8,42 APR-DRG,138-4,BRONCHIOLITIS AND RSV PNEUMONIA,,,15550.78,67587.0,42 APR-DRG,139-1,OTHER PNEUMONIA,,,3032.13,7386.0,42 APR-DRG,139-2,OTHER PNEUMONIA,,,5482.33,21822.2,42 APR-DRG,139-3,OTHER PNEUMONIA,,,8258.39,24580.6,42 APR-DRG,139-4,OTHER PNEUMONIA,,,13504.03,72731.8,42 APR-DRG,140-2,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,5455.85,21117.0,42 APR-DRG,140-3,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,7395.08,25165.2,42 APR-DRG,140-4,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,7395.08,32791.0,42 APR-DRG,141-1,ASTHMA,,,3284.27,8000.2,42 APR-DRG,141-2,ASTHMA,,,1230.84,6106.54,42 APR-DRG,141-3,ASTHMA,,,7331.7,18224.8,42 APR-DRG,141-4,ASTHMA,,,7331.7,25552.6,42 APR-DRG,142-3,INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,11135.55,34378.2,42 APR-DRG,143-1,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,1635.27,5567.09,42 APR-DRG,143-2,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,6701.07,21183.2,42 APR-DRG,143-3,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,10356.49,57595.2,42 APR-DRG,143-4,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,10356.49,44317.4,42 APR-DRG,144-2,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,5959.43,14516.6,42 APR-DRG,144-3,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,6157.75,14999.6,42 APR-DRG,145-2,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,5389.26,20024.2,42 APR-DRG,145-3,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,6626.45,16141.4,42 APR-DRG,160-2,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,38856.89,191982.8,42 APR-DRG,160-3,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,51865.08,166487.6,42 APR-DRG,160-4,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,111897.9,316704.8,42 APR-DRG,161-4,IMPLANTABLE HEART ASSIST SYSTEMS,,,194926.32,1301434.85,42 APR-DRG,162-1,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,34653.48,110021.2,42 APR-DRG,162-2,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,34653.48,263332.2,42 APR-DRG,162-3,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,55008.62,235936.0,42 APR-DRG,162-4,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,75200.08,410144.8,42 APR-DRG,163-2,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,34913.43,155055.2,42 APR-DRG,163-3,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,47306.24,193505.2,42 APR-DRG,163-4,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,65802.37,320342.0,42 APR-DRG,165-2,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,35422.11,176841.4,42 APR-DRG,165-3,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,43930.83,217599.6,42 APR-DRG,165-4,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,59117.35,310441.0,42 APR-DRG,166-2,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,30960.35,162913.4,42 APR-DRG,166-3,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,30960.35,185806.0,42 APR-DRG,167-1,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES,,,21279.42,149483.8,42 APR-DRG,167-2,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES,,,26967.95,118407.8,42 APR-DRG,167-3,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES,,,21435.88,169102.4,42 APR-DRG,167-4,OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES,,,36766.82,335591.4,42 APR-DRG,169-2,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,26016.39,115933.0,42 APR-DRG,169-3,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,32845.02,244833.2,42 APR-DRG,169-4,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,32845.02,251996.4,42 APR-DRG,171-1,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,12518.77,61678.2,42 APR-DRG,171-3,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,15162.45,50206.4,42 APR-DRG,171-4,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,31517.17,266421.2,42 APR-DRG,174-1,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,15022.04,71983.8,42 APR-DRG,174-2,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,19035.3,68973.8,42 APR-DRG,174-3,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,22352.14,120337.0,42 APR-DRG,174-4,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,31706.52,152211.0,42 APR-DRG,175-1,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,17165.87,71354.4,42 APR-DRG,175-2,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,17165.87,107235.2,42 APR-DRG,175-3,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,26025.21,109891.8,42 APR-DRG,175-4,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,26025.21,166328.0,42 APR-DRG,177-1,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,11008.78,73361.0,42 APR-DRG,178-4,EXTERNAL HEART ASSIST DEVICES,,,62572.99,207336.4,42 APR-DRG,179-1,DEFIBRILLATOR IMPLANTS,,,27684.43,180088.4,42 APR-DRG,179-2,DEFIBRILLATOR IMPLANTS,,,32750.35,221665.8,42 APR-DRG,179-3,DEFIBRILLATOR IMPLANTS,,,32750.35,182063.8,42 APR-DRG,179-4,DEFIBRILLATOR IMPLANTS,,,52015.12,394938.0,42 APR-DRG,180-1,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES,,,11998.86,34193.2,42 APR-DRG,180-2,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES,,,13650.06,53035.4,42 APR-DRG,180-4,OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES,,,31791.56,121087.0,42 APR-DRG,181-1,LOWER VASCULAR PROCEDURES,,,14478.87,93762.8,42 APR-DRG,181-2,LOWER VASCULAR PROCEDURES,,,19892.99,88605.4,42 APR-DRG,181-3,LOWER VASCULAR PROCEDURES,,,19892.99,106562.6,42 APR-DRG,181-4,LOWER VASCULAR PROCEDURES,,,26571.6,222752.6,42 APR-DRG,182-1,OTHER UPPER VASCULAR PROCEDURES,,,13642.84,88425.8,42 APR-DRG,182-2,OTHER UPPER VASCULAR PROCEDURES,,,16778.35,72319.0,42 APR-DRG,182-3,OTHER UPPER VASCULAR PROCEDURES,,,21435.88,82468.6,42 APR-DRG,182-4,OTHER UPPER VASCULAR PROCEDURES,,,33456.4,184566.6,42 APR-DRG,183-1,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,30203.75,133941.6,42 APR-DRG,183-3,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,40922.89,216673.8,42 APR-DRG,183-4,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,56316.42,373089.8,42 APR-DRG,190-1,ACUTE MYOCARDIAL INFARCTION,,,6834.26,23785.6,42 APR-DRG,190-2,ACUTE MYOCARDIAL INFARCTION,,,7903.76,49080.0,42 APR-DRG,190-3,ACUTE MYOCARDIAL INFARCTION,,,10558.68,43512.6,42 APR-DRG,191-1,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,8315.36,28969.2,42 APR-DRG,191-2,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,9888.73,37764.6,42 APR-DRG,191-4,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,20071.11,74105.8,42 APR-DRG,192-1,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,8690.05,32940.0,42 APR-DRG,192-2,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,11141.17,45501.6,42 APR-DRG,192-3,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,16252.02,75847.6,42 APR-DRG,192-4,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,26557.96,100297.2,42 APR-DRG,193-4,ACUTE AND SUBACUTE ENDOCARDITIS,,,8123.66,23826.29,42 APR-DRG,194,HEART FAILURE-EXPRESS CARE,,,8504.26,10466.78,3 APR-DRG,194-1,HEART FAILURE,,,4379.12,20715.6,39 APR-DRG,194-2,HEART FAILURE,,,6126.6,28620.4,42 APR-DRG,194-3,HEART FAILURE,,,9993.83,35988.0,42 APR-DRG,194-4,HEART FAILURE,,,9993.83,60503.6,42 APR-DRG,196-2,CARDIAC ARREST AND SHOCK,,,4891.01,39707.6,42 APR-DRG,196-3,CARDIAC ARREST AND SHOCK,,,8203.03,26712.6,42 APR-DRG,196-4,CARDIAC ARREST AND SHOCK,,,16259.24,149143.6,42 APR-DRG,197-2,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,6468.39,31152.8,42 APR-DRG,197-3,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,6468.39,24419.2,42 APR-DRG,197-4,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,18102.99,104108.4,42 APR-DRG,198-2,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,5571.39,14324.6,42 APR-DRG,198-3,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,5571.39,21454.8,42 APR-DRG,198-4,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,12960.54,61653.0,42 APR-DRG,199-1,HYPERTENSION,,,4870.15,20039.8,42 APR-DRG,199-2,HYPERTENSION,,,3497.56,15974.4,41 APR-DRG,199-3,HYPERTENSION,,,8560.87,25015.4,42 APR-DRG,199-4,HYPERTENSION,,,5724.63,44982.0,42 APR-DRG,200-1,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,4600.69,31974.2,42 APR-DRG,200-3,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,7987.79,19457.4,42 APR-DRG,201-1,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,3923.4,16595.8,42 APR-DRG,201-2,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,5278.54,25485.6,42 APR-DRG,201-3,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,7883.7,40931.4,42 APR-DRG,201-4,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,14413.07,76227.8,42 APR-DRG,203-2,CHEST PAIN,,,2240.28,6079.07,42 APR-DRG,204-1,SYNCOPE AND COLLAPSE,,,3172.26,7727.2,42 APR-DRG,204-2,SYNCOPE AND COLLAPSE,,,6238.12,17608.4,42 APR-DRG,204-3,SYNCOPE AND COLLAPSE,,,8002.45,20895.2,42 APR-DRG,204-4,SYNCOPE AND COLLAPSE,,,12915.12,37667.2,42 APR-DRG,205-3,CARDIOMYOPATHY,,,4968.6,12103.0,42 APR-DRG,206-2,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,5938.77,14466.2,42 APR-DRG,206-3,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,7373.42,35722.2,42 APR-DRG,206-4,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,19296.06,61524.4,42 APR-DRG,207-1,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,4745.79,25990.8,42 APR-DRG,207-2,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,6217.26,22203.4,42 APR-DRG,207-3,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,6217.26,40814.2,42 APR-DRG,207-4,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,16884.25,50757.4,42 APR-DRG,220-1,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,12743.42,57148.6,42 APR-DRG,220-2,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,18299.57,105337.2,42 APR-DRG,220-3,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,18299.57,125536.4,42 APR-DRG,220-4,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,45049.28,254449.0,42 APR-DRG,222-1,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,7060.51,26224.0,42 APR-DRG,222-2,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,9795.29,23860.4,42 APR-DRG,222-3,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,12268.44,54957.2,42 APR-DRG,222-4,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,19653.1,68093.0,42 APR-DRG,223-1,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,9895.95,32056.4,42 APR-DRG,223-2,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,12628.69,49938.4,42 APR-DRG,223-3,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,11633.63,28338.4,42 APR-DRG,223-4,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,27040.38,65867.6,42 APR-DRG,224-1,PERITONEAL ADHESIOLYSIS,,,10867.57,39001.4,42 APR-DRG,224-2,PERITONEAL ADHESIOLYSIS,,,10867.57,30610.4,42 APR-DRG,224-3,PERITONEAL ADHESIOLYSIS,,,20458.64,49852.8,42 APR-DRG,224-4,PERITONEAL ADHESIOLYSIS,,,31429.71,151772.2,42 APR-DRG,226-1,ANAL AND PERINEAL PROCEDURES,,,7234.62,22175.0,42 APR-DRG,226-2,ANAL AND PERINEAL PROCEDURES,,,9109.67,22218.8,42 APR-DRG,226-3,ANAL AND PERINEAL PROCEDURES,,,14212.49,665119.0,42 APR-DRG,227-1,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,10074.87,67553.0,42 APR-DRG,227-2,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,12298.13,50945.8,42 APR-DRG,227-3,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,13266.05,32314.8,42 APR-DRG,228-2,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,10646.93,34007.4,42 APR-DRG,228-3,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,14847.14,91389.0,42 APR-DRG,229-1,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,9822.14,52096.8,42 APR-DRG,229-2,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,9822.14,35237.8,42 APR-DRG,229-3,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,20705.76,168360.4,42 APR-DRG,230-1,MAJOR SMALL BOWEL PROCEDURES,,,10072.46,51547.6,42 APR-DRG,230-2,MAJOR SMALL BOWEL PROCEDURES,,,16329.84,59191.8,42 APR-DRG,230-3,MAJOR SMALL BOWEL PROCEDURES,,,24009.76,92062.0,42 APR-DRG,230-4,MAJOR SMALL BOWEL PROCEDURES,,,24009.76,204563.2,42 APR-DRG,231-1,MAJOR LARGE BOWEL PROCEDURES,,,12287.7,79299.0,42 APR-DRG,231-2,MAJOR LARGE BOWEL PROCEDURES,,,12287.7,64829.4,42 APR-DRG,231-3,MAJOR LARGE BOWEL PROCEDURES,,,22656.22,124294.4,42 APR-DRG,231-4,MAJOR LARGE BOWEL PROCEDURES,,,33638.53,124582.0,42 APR-DRG,232-1,GASTRIC FUNDOPLICATION,,,10065.24,22051.56,30 APR-DRG,233-1,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,8801.57,34404.6,42 APR-DRG,233-2,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,11360.2,30472.0,42 APR-DRG,234-1,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,5395.93,24644.8,41 APR-DRG,234-2,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,8227.1,35924.8,42 APR-DRG,234-3,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,7835.73,35788.2,41 APR-DRG,240-1,DIGESTIVE MALIGNANCY,,,6590.35,25745.2,42 APR-DRG,240-2,DIGESTIVE MALIGNANCY,,,8200.63,26865.2,42 APR-DRG,240-3,DIGESTIVE MALIGNANCY,,,11951.52,36134.6,42 APR-DRG,240-4,DIGESTIVE MALIGNANCY,,,18882.18,86137.8,42 APR-DRG,241-1,PEPTIC ULCER AND GASTRITIS,,,5805.67,28223.8,42 APR-DRG,241-2,PEPTIC ULCER AND GASTRITIS,,,6990.71,26183.8,42 APR-DRG,241-3,PEPTIC ULCER AND GASTRITIS,,,10110.8,24628.8,42 APR-DRG,241-4,PEPTIC ULCER AND GASTRITIS,,,10367.72,87390.0,42 APR-DRG,242-2,MAJOR ESOPHAGEAL DISORDERS,,,5451.84,19060.8,42 APR-DRG,242-3,MAJOR ESOPHAGEAL DISORDERS,,,10388.58,46726.8,42 APR-DRG,243-1,OTHER ESOPHAGEAL DISORDERS,,,2262.78,5749.47,42 APR-DRG,243-2,OTHER ESOPHAGEAL DISORDERS,,,6817.41,24279.8,42 APR-DRG,243-3,OTHER ESOPHAGEAL DISORDERS,,,9664.08,100207.8,42 APR-DRG,243-4,OTHER ESOPHAGEAL DISORDERS,,,17855.88,44352.6,42 APR-DRG,244-1,DIVERTICULITIS AND DIVERTICULOSIS,,,4351.04,18775.2,42 APR-DRG,244-2,DIVERTICULITIS AND DIVERTICULOSIS,,,5996.62,29335.4,42 APR-DRG,244-3,DIVERTICULITIS AND DIVERTICULOSIS,,,8013.84,19520.8,42 APR-DRG,244-4,DIVERTICULITIS AND DIVERTICULOSIS,,,16379.88,39899.8,42 APR-DRG,245-1,INFLAMMATORY BOWEL DISEASE,,,4090.71,9964.6,42 APR-DRG,245-2,INFLAMMATORY BOWEL DISEASE,,,6677.0,24454.2,42 APR-DRG,245-3,INFLAMMATORY BOWEL DISEASE,,,10306.74,33599.2,42 APR-DRG,245-4,INFLAMMATORY BOWEL DISEASE,,,10306.74,46002.0,42 APR-DRG,246-3,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,8622.16,21002.6,42 APR-DRG,246-4,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,3469.67,16840.79,42 APR-DRG,247-1,INTESTINAL OBSTRUCTION,,,4013.26,12166.8,42 APR-DRG,247-2,INTESTINAL OBSTRUCTION,,,5365.99,16971.0,42 APR-DRG,247-3,INTESTINAL OBSTRUCTION,,,8325.68,20280.6,42 APR-DRG,248-2,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,6340.82,24754.6,42 APR-DRG,248-3,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,6340.82,31120.6,42 APR-DRG,248-4,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,16782.36,87368.4,42 APR-DRG,249-1,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,4297.28,11270.8,42 APR-DRG,249-2,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,4959.55,12081.0,42 APR-DRG,249-3,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,7949.5,40050.6,42 APR-DRG,249-4,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,14629.7,79080.8,42 APR-DRG,251-1,ABDOMINAL PAIN,,,3138.8,7645.8,42 APR-DRG,251-2,ABDOMINAL PAIN,,,2795.56,6809.6,42 APR-DRG,251-3,ABDOMINAL PAIN,,,6735.38,16406.6,42 APR-DRG,252-1,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,5362.78,17160.2,42 APR-DRG,252-2,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,6997.93,23292.2,42 APR-DRG,252-3,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,10430.78,37721.0,42 APR-DRG,252-4,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,13221.27,32205.6,42 APR-DRG,253-1,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,3667.68,8934.0,42 APR-DRG,253-2,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,6528.57,38547.2,42 APR-DRG,253-3,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,9828.55,39207.6,42 APR-DRG,253-4,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,9828.55,30335.2,42 APR-DRG,254-1,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,5005.74,14072.6,42 APR-DRG,254-2,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,6537.39,28153.8,42 APR-DRG,254-3,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,9722.65,33113.2,42 APR-DRG,254-4,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,10910.52,26577.0,42 APR-DRG,260-1,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,15497.83,84068.8,42 APR-DRG,260-2,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,21174.32,86702.0,42 APR-DRG,260-3,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,28067.14,138349.2,42 APR-DRG,261-3,MAJOR BILIARY TRACT PROCEDURES,,,23233.1,63904.0,42 APR-DRG,263-1,CHOLECYSTECTOMY,,,9959.33,38196.4,42 APR-DRG,263-2,CHOLECYSTECTOMY,,,12323.8,49871.8,42 APR-DRG,263-3,CHOLECYSTECTOMY,,,16961.28,84742.4,42 APR-DRG,263-4,CHOLECYSTECTOMY,,,16961.28,121457.8,42 APR-DRG,264-2,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,33420.4,35277.2,11 APR-DRG,264-4,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,37606.06,105783.6,12 APR-DRG,279-2,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,6216.46,32691.6,42 APR-DRG,279-3,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,10675.82,66880.6,42 APR-DRG,279-4,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,20287.74,94596.8,42 APR-DRG,280-1,ALCOHOLIC LIVER DISEASE,,,5199.91,17656.4,42 APR-DRG,280-2,ALCOHOLIC LIVER DISEASE,,,5576.42,13583.6,42 APR-DRG,280-3,ALCOHOLIC LIVER DISEASE,,,10878.43,26498.8,42 APR-DRG,280-4,ALCOHOLIC LIVER DISEASE,,,10888.43,82310.2,42 APR-DRG,281-3,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,11662.68,41650.2,42 APR-DRG,281-4,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,17741.95,44433.4,42 APR-DRG,282-1,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,4509.1,21418.6,42 APR-DRG,282-2,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,6253.37,17122.0,42 APR-DRG,282-3,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,10225.71,28627.6,42 APR-DRG,282-4,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,15251.22,37150.4,42 APR-DRG,283-2,OTHER DISORDERS OF THE LIVER,,,6754.02,18580.4,42 APR-DRG,283-3,OTHER DISORDERS OF THE LIVER,,,6754.02,25442.2,42 APR-DRG,283-4,OTHER DISORDERS OF THE LIVER,,,10296.31,83298.6,42 APR-DRG,284-1,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,5934.84,25675.2,42 APR-DRG,284-2,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,7972.76,39395.6,42 APR-DRG,284-3,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,11080.99,38837.8,42 APR-DRG,284-4,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,18597.23,68776.4,42 APR-DRG,299-2,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,37080.53,290142.2,12 APR-DRG,299-4,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,64475.32,472624.4,12 APR-DRG,300-2,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,26358.18,198596.6,12 APR-DRG,303-1,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,32743.13,154496.6,42 APR-DRG,303-2,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,37772.94,182108.6,42 APR-DRG,303-3,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,37772.94,362053.8,42 APR-DRG,304-1,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,20515.6,94430.8,42 APR-DRG,304-2,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,27951.61,138285.0,42 APR-DRG,304-3,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,38907.44,134678.6,42 APR-DRG,304-4,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,52778.14,148654.4,42 APR-DRG,305-1,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,9180.27,35386.0,42 APR-DRG,305-2,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,12499.51,66014.6,42 APR-DRG,305-3,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,19132.39,115698.0,42 APR-DRG,305-4,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,31527.6,185425.6,42 APR-DRG,308-1,HIP AND FEMUR FRACTURE REPAIR,,,10890.84,55648.2,42 APR-DRG,308-2,HIP AND FEMUR FRACTURE REPAIR,,,10890.84,51966.2,42 APR-DRG,308-3,HIP AND FEMUR FRACTURE REPAIR,,,17831.0,82633.4,42 APR-DRG,308-4,HIP AND FEMUR FRACTURE REPAIR,,,25693.05,113011.8,42 APR-DRG,309-1,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,12720.16,53477.4,42 APR-DRG,309-2,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,16665.22,66415.4,42 APR-DRG,309-3,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,22728.43,117618.6,42 APR-DRG,309-4,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,32670.12,113798.2,42 APR-DRG,310-1,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,10576.33,34808.6,42 APR-DRG,310-2,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,14505.34,87314.0,42 APR-DRG,310-3,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,20906.34,68361.8,42 APR-DRG,310-4,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,26073.35,337841.6,42 APR-DRG,312-1,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES,,,12681.64,54453.0,42 APR-DRG,312-3,SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES,,,18285.93,99236.4,42 APR-DRG,313-1,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,11701.2,41501.8,42 APR-DRG,313-2,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,15589.29,76365.4,42 APR-DRG,313-3,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,22142.73,98606.8,42 APR-DRG,313-4,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,32754.36,198364.2,42 APR-DRG,314-1,FOOT AND TOE PROCEDURES,,,8133.23,38001.6,42 APR-DRG,314-2,FOOT AND TOE PROCEDURES,,,10720.75,43152.6,42 APR-DRG,314-3,FOOT AND TOE PROCEDURES,,,10720.75,108875.2,42 APR-DRG,314-4,FOOT AND TOE PROCEDURES,,,10794.55,32725.7,42 APR-DRG,315-1,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,8648.35,21066.4,42 APR-DRG,315-2,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,15180.1,47133.0,42 APR-DRG,315-3,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,20540.48,64964.2,42 APR-DRG,315-4,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,20540.48,114729.6,42 APR-DRG,316-1,HAND AND WRIST PROCEDURES,,,8208.65,28681.2,42 APR-DRG,316-2,HAND AND WRIST PROCEDURES,,,9179.47,61422.0,42 APR-DRG,316-3,HAND AND WRIST PROCEDURES,,,16410.88,50847.6,42 APR-DRG,317,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES-EXPRESS CARE",,,12819.69,67066.2,6 APR-DRG,317-1,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,8986.11,41662.4,42 APR-DRG,317-2,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,9179.47,42641.0,42 APR-DRG,317-3,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,17080.82,132735.2,39 APR-DRG,317-4,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,17080.82,34458.35,39 APR-DRG,320-1,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,9932.86,49614.8,42 APR-DRG,320-2,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,9932.86,70718.4,42 APR-DRG,320-3,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,19961.19,88757.4,42 APR-DRG,321-1,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,13986.23,93484.0,42 APR-DRG,321-2,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,19017.65,84978.8,42 APR-DRG,321-3,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,19017.65,105318.0,42 APR-DRG,322-1,SHOULDER AND ELBOW JOINT REPLACEMENT,,,13157.43,56188.8,42 APR-DRG,322-2,SHOULDER AND ELBOW JOINT REPLACEMENT,,,15905.41,60583.4,42 APR-DRG,322-3,SHOULDER AND ELBOW JOINT REPLACEMENT,,,21720.7,106977.4,42 APR-DRG,323-1,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,12969.68,55052.8,42 APR-DRG,323-2,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,15663.11,68978.2,42 APR-DRG,323-3,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,21064.4,91565.8,42 APR-DRG,324-1,ELECTIVE HIP JOINT REPLACEMENT,,,11105.06,64894.4,42 APR-DRG,324-2,ELECTIVE HIP JOINT REPLACEMENT,,,13531.31,53369.4,42 APR-DRG,324-3,ELECTIVE HIP JOINT REPLACEMENT,,,20169.0,79560.2,42 APR-DRG,325-2,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,21207.21,101009.0,42 APR-DRG,325-3,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,25690.64,144817.0,42 APR-DRG,325-4,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,25690.64,122767.4,42 APR-DRG,326-2,ELECTIVE KNEE JOINT REPLACEMENT,,,12369.54,47541.0,42 APR-DRG,326-4,ELECTIVE KNEE JOINT REPLACEMENT,,,16994.98,83092.0,41 APR-DRG,340-2,FRACTURE OF FEMUR,,,12492.2,13186.2,11 APR-DRG,341-2,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,5840.17,31539.4,42 APR-DRG,342-1,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,3232.4,7873.8,42 APR-DRG,342-2,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,3875.94,9441.4,42 APR-DRG,342-3,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,9287.78,25061.4,42 APR-DRG,343-2,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,7532.3,18348.0,42 APR-DRG,343-3,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,13629.2,115876.6,42 APR-DRG,343-4,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,13629.2,45411.0,42 APR-DRG,344-2,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,8205.44,22025.8,42 APR-DRG,344-3,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,9789.47,23846.2,42 APR-DRG,344-4,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,19315.32,85350.8,42 APR-DRG,346-2,CONNECTIVE TISSUE DISORDERS,,,9013.72,21956.4,42 APR-DRG,346-3,CONNECTIVE TISSUE DISORDERS,,,13599.41,49551.0,42 APR-DRG,346-4,CONNECTIVE TISSUE DISORDERS,,,25081.67,73873.0,42 APR-DRG,347-1,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,5940.16,31530.8,42 APR-DRG,347-2,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,5960.52,20056.8,42 APR-DRG,347-3,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,10755.25,70362.4,42 APR-DRG,347-4,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,17757.19,60559.2,42 APR-DRG,349-2,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,7362.19,36622.6,42 APR-DRG,349-3,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,6650.01,16198.8,42 APR-DRG,349-4,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,17508.47,104946.6,42 APR-DRG,351-1,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,4866.14,20331.8,42 APR-DRG,351-2,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,6095.31,17042.2,42 APR-DRG,351-3,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,6095.31,30065.4,42 APR-DRG,351-4,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,15828.39,164587.2,42 APR-DRG,361-1,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,13589.88,46009.4,42 APR-DRG,361-3,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,24966.94,74621.4,42 APR-DRG,361-4,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,24966.94,717946.6,42 APR-DRG,362-1,MASTECTOMY PROCEDURES,,,13019.43,64087.0,42 APR-DRG,362-2,MASTECTOMY PROCEDURES,,,13019.43,202582.8,42 APR-DRG,363-2,BREAST PROCEDURES EXCEPT MASTECTOMY,,,17641.65,84538.8,42 APR-DRG,363-3,BREAST PROCEDURES EXCEPT MASTECTOMY,,,17641.65,122062.2,42 APR-DRG,363-4,BREAST PROCEDURES EXCEPT MASTECTOMY,,,19481.72,47455.4,42 APR-DRG,364-1,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,6955.41,29693.8,42 APR-DRG,364-2,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,9179.47,29625.6,42 APR-DRG,364-3,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,9396.1,109909.6,42 APR-DRG,364-4,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,15154.43,257863.2,42 APR-DRG,380-2,SKIN ULCERS,,,6153.88,30823.0,42 APR-DRG,380-3,SKIN ULCERS,,,6153.88,26857.0,42 APR-DRG,380-4,SKIN ULCERS,,,7267.96,17919.7,42 APR-DRG,381-1,MAJOR SKIN DISORDERS,,,3876.44,14600.8,42 APR-DRG,381-2,MAJOR SKIN DISORDERS,,,3929.82,14945.8,42 APR-DRG,381-3,MAJOR SKIN DISORDERS,,,3039.54,12222.23,42 APR-DRG,383-1,CELLULITIS AND OTHER SKIN INFECTIONS,,,3953.08,16001.2,42 APR-DRG,383-2,CELLULITIS AND OTHER SKIN INFECTIONS,,,5317.05,16134.4,42 APR-DRG,383-3,CELLULITIS AND OTHER SKIN INFECTIONS,,,8245.56,25910.4,42 APR-DRG,383-4,CELLULITIS AND OTHER SKIN INFECTIONS,,,8245.56,98384.8,42 APR-DRG,384-2,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,7176.85,42350.2,42 APR-DRG,384-3,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,10208.06,31632.0,42 APR-DRG,384-4,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,16440.56,44272.0,42 APR-DRG,385-1,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,3974.61,9681.8,42 APR-DRG,385-2,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,5777.59,20143.0,42 APR-DRG,385-3,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,7518.62,18314.6,42 APR-DRG,385-4,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,15694.4,92598.4,42 APR-DRG,401-1,ADRENAL PROCEDURES,,,10345.26,43822.8,42 APR-DRG,401-3,ADRENAL PROCEDURES,,,26260.29,185826.4,42 APR-DRG,403-1,PROCEDURES FOR OBESITY,,,9168.24,60470.4,42 APR-DRG,403-2,PROCEDURES FOR OBESITY,,,11335.33,65346.0,42 APR-DRG,403-3,PROCEDURES FOR OBESITY,,,18695.92,72381.0,42 APR-DRG,403-4,PROCEDURES FOR OBESITY,,,37125.46,246396.2,42 APR-DRG,404-1,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,9237.24,34186.0,42 APR-DRG,404-2,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,13012.2,47122.8,42 APR-DRG,405-1,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,10914.11,48955.6,42 APR-DRG,420-1,DIABETES,,,4237.91,10494.0,42 APR-DRG,420-2,DIABETES,,,5548.12,15556.6,42 APR-DRG,420-3,DIABETES,,,8397.2,23748.0,42 APR-DRG,420-4,DIABETES,,,15770.62,42926.6,42 APR-DRG,421-1,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,3039.62,7404.2,42 APR-DRG,421-2,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,6292.68,18722.6,42 APR-DRG,421-3,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,9804.48,25905.6,42 APR-DRG,421-4,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,9804.48,66389.0,42 APR-DRG,422-1,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,3597.65,9311.0,42 APR-DRG,422-2,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,4853.3,17634.8,42 APR-DRG,422-3,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,6443.85,15696.6,42 APR-DRG,422-4,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,6301.58,15350.0,42 APR-DRG,423-1,INBORN ERRORS OF METABOLISM,,,4390.7,10695.2,42 APR-DRG,423-2,INBORN ERRORS OF METABOLISM,,,5200.96,12669.0,42 APR-DRG,423-3,INBORN ERRORS OF METABOLISM,,,11551.11,67670.4,42 APR-DRG,423-4,INBORN ERRORS OF METABOLISM,,,29205.96,598737.2,42 APR-DRG,424-2,OTHER ENDOCRINE DISORDERS,,,6410.55,15615.4,42 APR-DRG,424-3,OTHER ENDOCRINE DISORDERS,,,6913.84,16841.4,42 APR-DRG,424-4,OTHER ENDOCRINE DISORDERS,,,10786.54,41574.8,42 APR-DRG,425-1,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,1229.4,4916.66,42 APR-DRG,425-2,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,5260.88,24077.2,42 APR-DRG,425-3,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,7787.42,28448.0,42 APR-DRG,425-4,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,15241.08,75818.4,42 APR-DRG,426-1,NON-HYPOVOLEMIC SODIUM DISORDERS,,,4111.14,10321.4,42 APR-DRG,426-2,NON-HYPOVOLEMIC SODIUM DISORDERS,,,5560.96,14452.2,42 APR-DRG,426-3,NON-HYPOVOLEMIC SODIUM DISORDERS,,,8523.16,26391.0,42 APR-DRG,426-4,NON-HYPOVOLEMIC SODIUM DISORDERS,,,7814.9,19036.2,42 APR-DRG,427-2,THYROID DISORDERS,,,6113.76,15926.2,42 APR-DRG,440-3,KIDNEY TRANSPLANT,,,50063.05,274228.6,42 APR-DRG,441-2,MAJOR BLADDER PROCEDURES,,,22001.52,62551.8,42 APR-DRG,441-3,MAJOR BLADDER PROCEDURES,,,28422.58,104724.6,42 APR-DRG,442-1,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,11743.72,66603.0,42 APR-DRG,442-2,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,13767.2,84134.0,42 APR-DRG,442-3,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,21168.7,90018.4,42 APR-DRG,442-4,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,35223.13,101619.2,42 APR-DRG,443-1,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,11141.17,67537.6,42 APR-DRG,443-2,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,13384.49,63188.6,42 APR-DRG,443-3,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,18259.45,80060.2,42 APR-DRG,443-4,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,30057.73,78584.4,42 APR-DRG,445-1,OTHER BLADDER PROCEDURES,,,9111.27,33134.8,42 APR-DRG,445-2,OTHER BLADDER PROCEDURES,,,12574.13,55722.6,42 APR-DRG,445-3,OTHER BLADDER PROCEDURES,,,12574.13,64499.2,42 APR-DRG,445-4,OTHER BLADDER PROCEDURES,,,25602.38,513290.0,42 APR-DRG,446-1,URETHRAL AND TRANSURETHRAL PROCEDURES,,,7887.72,25523.4,42 APR-DRG,446-2,URETHRAL AND TRANSURETHRAL PROCEDURES,,,10253.79,43638.8,42 APR-DRG,446-3,URETHRAL AND TRANSURETHRAL PROCEDURES,,,15385.5,68804.6,42 APR-DRG,446-4,URETHRAL AND TRANSURETHRAL PROCEDURES,,,24554.54,81854.0,42 APR-DRG,461-2,KIDNEY AND URINARY TRACT MALIGNANCY,,,2941.69,8219.33,42 APR-DRG,461-3,KIDNEY AND URINARY TRACT MALIGNANCY,,,11401.93,138915.6,42 APR-DRG,462-1,NEPHRITIS AND NEPHROSIS,,,4475.19,12488.4,42 APR-DRG,462-2,NEPHRITIS AND NEPHROSIS,,,6806.98,21491.6,42 APR-DRG,462-3,NEPHRITIS AND NEPHROSIS,,,10161.45,24752.2,42 APR-DRG,463-1,KIDNEY AND URINARY TRACT INFECTIONS,,,4277.23,18124.4,42 APR-DRG,463-2,KIDNEY AND URINARY TRACT INFECTIONS,,,5491.15,20543.8,42 APR-DRG,463-3,KIDNEY AND URINARY TRACT INFECTIONS,,,7497.78,30515.8,42 APR-DRG,463-4,KIDNEY AND URINARY TRACT INFECTIONS,,,7497.78,36139.2,42 APR-DRG,465-2,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,6510.92,18976.2,42 APR-DRG,465-3,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,9522.06,24357.0,42 APR-DRG,466-1,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,4775.47,16817.0,42 APR-DRG,466-2,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,6145.86,15851.8,42 APR-DRG,466-3,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,9636.0,31729.2,42 APR-DRG,466-4,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,9636.0,62045.4,42 APR-DRG,468-1,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,4602.17,26278.2,42 APR-DRG,468-2,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,4468.27,10884.2,42 APR-DRG,468-3,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,9266.92,36279.2,42 APR-DRG,469-2,ACUTE KIDNEY INJURY,,,5809.68,15735.2,42 APR-DRG,469-3,ACUTE KIDNEY INJURY,,,9959.33,28024.2,42 APR-DRG,469-4,ACUTE KIDNEY INJURY,,,19162.87,91123.8,42 APR-DRG,470-2,CHRONIC KIDNEY DISEASE,,,6133.82,69095.2,42 APR-DRG,470-3,CHRONIC KIDNEY DISEASE,,,9656.86,36215.0,42 APR-DRG,470-4,CHRONIC KIDNEY DISEASE,,,5599.58,18499.81,42 APR-DRG,480-3,MAJOR MALE PELVIC PROCEDURES,,,38236.18,47059.91,3 APR-DRG,483-1,"PENIS, TESTES AND SCROTAL PROCEDURES",,,8193.4,29744.6,42 APR-DRG,483-4,"PENIS, TESTES AND SCROTAL PROCEDURES",,,32622.53,295917.8,42 APR-DRG,484-2,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,12358.3,61408.0,42 APR-DRG,484-3,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,13715.05,67203.0,42 APR-DRG,485-1,PROSTATECTOMY PROCEDURES,,,11914.62,56027.6,12 APR-DRG,485-2,PROSTATECTOMY PROCEDURES,,,13715.05,46522.2,12 APR-DRG,485-3,PROSTATECTOMY PROCEDURES,,,21950.17,81935.2,12 APR-DRG,501-1,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,4526.75,23731.4,42 APR-DRG,501-2,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,5784.81,18876.0,42 APR-DRG,501-4,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,8579.33,58268.4,42 APR-DRG,510-2,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,45268.21,55714.72,3 APR-DRG,510-3,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,49037.0,60353.24,3 APR-DRG,511-2,GYNECOLOGIC PROCEDURES FOR MALIGNANCY,,,14318.4,75165.8,42 APR-DRG,511-3,GYNECOLOGIC PROCEDURES FOR MALIGNANCY,,,21910.05,100440.8,42 APR-DRG,512-1,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,11776.61,29648.17,30 APR-DRG,512-2,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,13526.5,46346.59,30 APR-DRG,512-3,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,22348.93,56883.33,30 APR-DRG,513-1,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY,,,7612.5,34768.6,41 APR-DRG,513-2,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY,,,8824.04,41378.8,42 APR-DRG,513-3,GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY,,,17921.67,61940.6,42 APR-DRG,517-3,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,4330.52,16289.24,42 APR-DRG,518-2,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,11414.17,27803.8,42 APR-DRG,519-1,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA,,,8199.02,46341.6,42 APR-DRG,519-2,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA,,,10784.93,51400.0,42 APR-DRG,519-3,GYNECOLOGIC PROCEDURES FOR LEIOMYOMA,,,19600.95,72763.6,42 APR-DRG,530-2,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,7488.96,43948.0,42 APR-DRG,530-3,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,5400.49,13155.0,42 APR-DRG,530-4,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,11486.97,64424.0,42 APR-DRG,532-1,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,4193.29,14256.8,42 APR-DRG,532-2,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,4326.17,18299.6,42 APR-DRG,539-1,CESAREAN SECTION WITH STERILIZATION,,,4789.92,28878.0,42 APR-DRG,539-2,CESAREAN SECTION WITH STERILIZATION,,,6251.76,32280.4,42 APR-DRG,539-3,CESAREAN SECTION WITH STERILIZATION,,,12193.83,62244.4,42 APR-DRG,539-4,CESAREAN SECTION WITH STERILIZATION,,,23505.89,127512.0,42 APR-DRG,540-1,CESAREAN SECTION WITHOUT STERILIZATION,,,4773.87,30387.0,42 APR-DRG,540-2,CESAREAN SECTION WITHOUT STERILIZATION,,,6100.12,33195.8,42 APR-DRG,540-3,CESAREAN SECTION WITHOUT STERILIZATION,,,6100.12,40138.6,42 APR-DRG,540-4,CESAREAN SECTION WITHOUT STERILIZATION,,,9222.79,54317.2,42 APR-DRG,541-1,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,4740.17,23209.2,42 APR-DRG,541-2,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,5270.51,37038.8,42 APR-DRG,541-3,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,5270.51,40951.6,42 APR-DRG,542-2,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,3953.08,20018.8,42 APR-DRG,542-3,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,7431.99,28446.6,42 APR-DRG,542-4,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,8432.19,23981.2,42 APR-DRG,543-2,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,5965.33,26726.2,42 APR-DRG,547-1,ANTEPARTUM WITH O.R. PROCEDURE,,,3117.78,7594.6,42 APR-DRG,547-2,ANTEPARTUM WITH O.R. PROCEDURE,,,8790.34,32741.0,42 APR-DRG,547-3,ANTEPARTUM WITH O.R. PROCEDURE,,,13195.63,32143.2,42 APR-DRG,547-4,ANTEPARTUM WITH O.R. PROCEDURE,,,26428.78,625312.8,42 APR-DRG,548-2,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,3719.61,30441.8,42 APR-DRG,548-3,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,14297.54,35808.8,42 APR-DRG,560-1,VAGINAL DELIVERY,,,2844.26,18895.2,42 APR-DRG,560-2,VAGINAL DELIVERY,,,3294.37,22570.2,42 APR-DRG,560-3,VAGINAL DELIVERY,,,3294.37,26809.6,42 APR-DRG,560-4,VAGINAL DELIVERY,,,9940.08,31513.4,42 APR-DRG,561-1,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,2279.42,15710.8,42 APR-DRG,561-2,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,2279.42,8531.6,42 APR-DRG,561-3,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,6728.35,23334.0,42 APR-DRG,561-4,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,13200.24,48481.4,42 APR-DRG,564-2,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,4019.68,20121.6,42 APR-DRG,566-1,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,2452.61,7543.0,42 APR-DRG,566-2,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,3513.28,12651.2,42 APR-DRG,566-3,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,6513.19,18959.2,42 APR-DRG,566-4,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,13710.52,40167.2,42 APR-DRG,583-2,NEONATE WITH ECMO,,,199629.58,1761371.8,42 APR-DRG,583-4,NEONATE WITH ECMO,,,456507.89,3451175.2,42 APR-DRG,588-4,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,279602.73,978930.2,42 APR-DRG,589-3,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,42266.76,201675.23,42 APR-DRG,589-4,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,510.9,2836.52,42 APR-DRG,591-4,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,183349.48,543976.8,42 APR-DRG,593-3,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,117921.8,326444.4,42 APR-DRG,593-4,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,161199.53,748422.8,42 APR-DRG,602-2,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,60506.67,147388.0,42 APR-DRG,602-3,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,67373.34,315173.2,42 APR-DRG,602-4,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,121436.81,451841.0,42 APR-DRG,607-2,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,48070.06,208645.8,42 APR-DRG,607-3,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,64359.78,201831.4,42 APR-DRG,607-4,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,93871.12,375583.0,42 APR-DRG,608-2,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,31928.76,134563.0,42 APR-DRG,609-3,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,67576.33,295849.4,42 APR-DRG,609-4,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,163211.15,397565.6,42 APR-DRG,611-2,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,25183.44,346241.2,42 APR-DRG,611-3,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,41636.97,112930.8,42 APR-DRG,611-4,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,41636.97,115178.0,42 APR-DRG,612-2,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,29825.05,109675.8,42 APR-DRG,612-3,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,42589.33,145927.2,42 APR-DRG,612-4,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,61501.08,176447.2,42 APR-DRG,613-2,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,24605.08,115660.0,42 APR-DRG,614-1,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,8294.0,79187.4,42 APR-DRG,614-2,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,20135.3,93062.8,42 APR-DRG,621-1,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,2580.28,6285.2,42 APR-DRG,621-2,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,9736.0,23715.8,42 APR-DRG,621-3,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,29357.19,76566.2,42 APR-DRG,621-4,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,60313.63,179244.6,42 APR-DRG,622-1,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,12917.33,35126.6,42 APR-DRG,622-2,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,18715.98,59884.4,42 APR-DRG,622-3,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,26748.11,83286.2,42 APR-DRG,622-4,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,39883.07,116972.8,42 APR-DRG,625,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION-EXPRESS CARE,,,21120.1,25993.97,3 APR-DRG,625-1,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,8723.01,51446.4,39 APR-DRG,625-2,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,13172.46,45787.2,42 APR-DRG,626-1,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,1276.51,4731.0,42 APR-DRG,626-2,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,1276.51,3820.8,42 APR-DRG,626-3,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,2003.2,8269.46,42 APR-DRG,630-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,22051.85,104224.6,42 APR-DRG,630-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,92620.93,225615.0,42 APR-DRG,631-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,20979.87,51104.8,42 APR-DRG,631-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,55070.4,210388.6,42 APR-DRG,631-4,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,96853.84,235926.0,42 APR-DRG,633-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,1800.36,5069.2,42 APR-DRG,633-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,2053.17,10404.4,42 APR-DRG,633-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,20942.83,81170.2,42 APR-DRG,633-4,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,47739.17,116287.8,42 APR-DRG,634-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,5289.98,13901.8,42 APR-DRG,634-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,8846.45,52628.2,42 APR-DRG,634-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,12410.89,30231.6,42 APR-DRG,634-4,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,37207.3,130463.4,42 APR-DRG,636-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,5185.04,18328.2,42 APR-DRG,636-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,8185.99,106037.8,42 APR-DRG,639-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,2681.99,6533.0,42 APR-DRG,639-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,4475.19,27970.0,42 APR-DRG,639-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,15392.44,37494.4,42 APR-DRG,640-1,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,917.06,3286.0,42 APR-DRG,640-2,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,1363.16,3823.6,42 APR-DRG,640-3,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,1363.16,4693.4,42 APR-DRG,650-3,SPLENIC PROCEDURES,,,21991.89,64239.4,42 APR-DRG,651-1,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,10541.02,61180.8,42 APR-DRG,651-3,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,20308.6,328220.8,42 APR-DRG,660-1,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,5749.5,36484.2,42 APR-DRG,660-2,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,5137.39,12514.2,42 APR-DRG,660-3,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,11600.1,35435.8,42 APR-DRG,660-4,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,21589.92,101667.6,42 APR-DRG,661-1,COAGULATION AND PLATELET DISORDERS,,,2772.86,9293.4,42 APR-DRG,661-2,COAGULATION AND PLATELET DISORDERS,,,3412.5,9293.4,42 APR-DRG,661-4,COAGULATION AND PLATELET DISORDERS,,,13470.34,62421.8,42 APR-DRG,662-1,SICKLE CELL ANEMIA CRISIS,,,4447.01,10832.4,42 APR-DRG,662-2,SICKLE CELL ANEMIA CRISIS,,,6925.72,24371.6,42 APR-DRG,662-3,SICKLE CELL ANEMIA CRISIS,,,11079.39,41483.6,42 APR-DRG,662-4,SICKLE CELL ANEMIA CRISIS,,,7932.91,22566.08,42 APR-DRG,663-1,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,4645.5,14947.0,42 APR-DRG,663-2,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,6314.06,15380.4,42 APR-DRG,663-3,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,7528.83,18339.4,42 APR-DRG,663-4,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,15939.91,68442.4,42 APR-DRG,680-1,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,13620.37,62132.6,42 APR-DRG,680-2,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,18746.46,77509.2,42 APR-DRG,680-3,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,29728.77,213886.8,42 APR-DRG,680-4,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,29728.77,183224.6,42 APR-DRG,681-1,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,10852.33,53397.4,42 APR-DRG,681-2,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,14567.12,63504.6,42 APR-DRG,681-3,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,22895.32,142014.0,42 APR-DRG,681-4,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,45662.26,196521.0,42 APR-DRG,690-2,ACUTE LEUKEMIA,,,3839.2,4052.6,11 APR-DRG,690-3,ACUTE LEUKEMIA,,,32955.75,288314.6,12 APR-DRG,690-4,ACUTE LEUKEMIA,,,32955.75,312740.8,12 APR-DRG,691-1,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,8565.6,45023.0,42 APR-DRG,691-2,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,12169.76,72293.0,42 APR-DRG,691-3,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,18109.41,102116.0,42 APR-DRG,691-4,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,30717.24,97540.6,42 APR-DRG,692-4,RADIOTHERAPY,,,26953.51,259589.8,42 APR-DRG,694-2,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,7822.73,25383.0,42 APR-DRG,694-3,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,11896.96,77852.0,42 APR-DRG,695-2,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,7140.75,28278.2,42 APR-DRG,695-3,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,11381.87,47767.6,42 APR-DRG,695-4,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,21467.59,52292.8,42 APR-DRG,696-1,OTHER CHEMOTHERAPY,,,6255.99,18449.4,42 APR-DRG,696-2,OTHER CHEMOTHERAPY,,,7995.65,21524.6,42 APR-DRG,696-3,OTHER CHEMOTHERAPY,,,12042.86,43298.8,42 APR-DRG,696-4,OTHER CHEMOTHERAPY,,,16896.92,41159.2,42 APR-DRG,710-1,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,11145.98,56266.0,42 APR-DRG,710-2,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,16439.76,59325.6,42 APR-DRG,710-3,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,24373.21,98783.0,42 APR-DRG,710-4,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,37470.46,181947.2,42 APR-DRG,711-1,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,7682.81,18714.6,42 APR-DRG,711-2,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,13434.23,56718.2,42 APR-DRG,711-3,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,21703.86,53859.4,42 APR-DRG,711-4,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,36531.74,170972.4,42 APR-DRG,720-1,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,5419.75,16121.0,42 APR-DRG,720-2,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,7609.31,25517.2,42 APR-DRG,720-3,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,12097.55,39759.0,42 APR-DRG,720-4,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,22308.81,105247.4,42 APR-DRG,721,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS-EXPRESS CARE",,,15601.78,19202.19,3 APR-DRG,721-1,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,4354.64,10607.4,42 APR-DRG,721-2,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,7517.84,21518.4,42 APR-DRG,721-3,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,12375.96,38004.4,39 APR-DRG,721-4,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,12375.96,97430.0,42 APR-DRG,722-1,FEVER AND INFLAMMATORY CONDITIONS,,,2761.59,6727.0,42 APR-DRG,722-2,FEVER AND INFLAMMATORY CONDITIONS,,,5280.94,25893.4,42 APR-DRG,722-3,FEVER AND INFLAMMATORY CONDITIONS,,,5280.94,15402.8,42 APR-DRG,722-4,FEVER AND INFLAMMATORY CONDITIONS,,,7235.42,34214.2,42 APR-DRG,723-1,VIRAL ILLNESS,,,2510.04,6114.2,42 APR-DRG,723-2,VIRAL ILLNESS,,,4279.98,10425.6,42 APR-DRG,723-3,VIRAL ILLNESS,,,7581.48,18467.8,42 APR-DRG,724-2,OTHER INFECTIOUS AND PARASITIC DISEASES,,,3242.93,7899.4,42 APR-DRG,724-3,OTHER INFECTIOUS AND PARASITIC DISEASES,,,10282.67,95014.2,42 APR-DRG,724-4,OTHER INFECTIOUS AND PARASITIC DISEASES,,,10282.67,47049.4,42 APR-DRG,740-1,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,7245.05,91053.0,42 APR-DRG,740-2,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,12153.71,89575.44,42 APR-DRG,740-4,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,46234.32,123371.2,42 APR-DRG,750-1,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS,,,4927.11,29037.8,42 APR-DRG,750-2,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS,,,6814.2,35576.4,42 APR-DRG,750-3,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS,,,10213.67,54503.2,42 APR-DRG,750-4,SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS,,,19738.14,210854.2,42 APR-DRG,751-1,DEPRESSIVE DISORDERS,,,3057.68,24029.2,42 APR-DRG,751-2,DEPRESSIVE DISORDERS,,,4107.93,24190.0,42 APR-DRG,751-3,DEPRESSIVE DISORDERS,,,8341.03,38347.0,42 APR-DRG,751-4,DEPRESSIVE DISORDERS,,,15970.4,113374.6,42 APR-DRG,752-1,PERSONALITY DISORDERS,,,3202.91,9092.05,42 APR-DRG,752-2,PERSONALITY DISORDERS,,,3202.91,21611.2,42 APR-DRG,752-3,PERSONALITY DISORDERS,,,4217.85,28067.0,42 APR-DRG,753-1,BIPOLAR DISORDERS,,,3524.64,18031.6,42 APR-DRG,753-2,BIPOLAR DISORDERS,,,3524.64,28623.0,42 APR-DRG,753-3,BIPOLAR DISORDERS,,,8618.64,39520.6,42 APR-DRG,753-4,BIPOLAR DISORDERS,,,14941.81,94258.8,42 APR-DRG,754-1,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,8981.9,11054.64,3 APR-DRG,754-2,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,8137.86,10015.82,3 APR-DRG,754-3,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,3347.25,4119.7,3 APR-DRG,755-1,ADJUSTMENT DISORDERS,,,2270.6,21234.4,42 APR-DRG,755-2,ADJUSTMENT DISORDERS,,,3163.59,21743.6,42 APR-DRG,755-3,ADJUSTMENT DISORDERS,,,5786.41,24237.8,42 APR-DRG,756-1,ACUTE ANXIETY AND STRESS SYNDROMES,,,3773.36,24784.4,42 APR-DRG,756-2,ACUTE ANXIETY AND STRESS SYNDROMES,,,3057.68,22825.8,42 APR-DRG,756-3,ACUTE ANXIETY AND STRESS SYNDROMES,,,4107.93,41003.8,42 APR-DRG,757-2,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES,,,6811.79,40593.6,42 APR-DRG,757-3,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES,,,9475.99,23082.6,42 APR-DRG,757-4,ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES,,,23940.75,115735.4,42 APR-DRG,758-1,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT,,,3758.12,17569.2,42 APR-DRG,758-2,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT,,,4807.57,21966.6,42 APR-DRG,758-3,DISORDERS OF IMPULSE CONTROL & DEVELOPMENT,,,4807.57,17995.6,42 APR-DRG,759-2,EATING DISORDERS,,,5445.73,27982.67,42 APR-DRG,759-3,EATING DISORDERS,,,5988.22,33149.81,42 APR-DRG,760-1,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS,,,3758.12,13453.0,42 APR-DRG,760-2,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS,,,4807.57,25732.2,42 APR-DRG,760-3,OTHER MENTAL HEALTH CONDITIONS AND DISORDERS,,,6814.2,30096.2,42 APR-DRG,761-2,SCHIZOAFFECTIVE DISORDERS,,,6727.55,26438.0,12 APR-DRG,761-3,SCHIZOAFFECTIVE DISORDERS,,,12348.68,85161.0,12 APR-DRG,770-1,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,2291.46,9206.2,42 APR-DRG,770-2,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,3593.64,11738.6,42 APR-DRG,770-3,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,6197.2,23959.8,42 APR-DRG,770-4,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,6197.2,46072.4,42 APR-DRG,773-2,OPIOID ABUSE AND DEPENDENCE,,,3864.03,16294.8,42 APR-DRG,773-3,OPIOID ABUSE AND DEPENDENCE,,,7497.78,26339.0,42 APR-DRG,773-4,OPIOID ABUSE AND DEPENDENCE,,,16060.26,103254.6,42 APR-DRG,774-2,COCAINE ABUSE AND DEPENDENCE,,,3868.84,13642.0,42 APR-DRG,774-3,COCAINE ABUSE AND DEPENDENCE,,,6771.67,21170.8,42 APR-DRG,774-4,COCAINE ABUSE AND DEPENDENCE,,,16835.31,61111.4,42 APR-DRG,775-1,ALCOHOL ABUSE AND DEPENDENCE,,,3334.49,12186.0,42 APR-DRG,775-2,ALCOHOL ABUSE AND DEPENDENCE,,,3334.49,17176.2,42 APR-DRG,775-3,ALCOHOL ABUSE AND DEPENDENCE,,,9193.91,23523.2,42 APR-DRG,775-4,ALCOHOL ABUSE AND DEPENDENCE,,,20758.71,53009.4,42 APR-DRG,776-1,OTHER DRUG ABUSE AND DEPENDENCE,,,3019.97,27374.0,42 APR-DRG,776-2,OTHER DRUG ABUSE AND DEPENDENCE,,,4156.07,25104.0,42 APR-DRG,776-3,OTHER DRUG ABUSE AND DEPENDENCE,,,4156.07,31175.2,42 APR-DRG,776-4,OTHER DRUG ABUSE AND DEPENDENCE,,,14886.4,39332.2,42 APR-DRG,792-2,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,15907.01,93636.4,42 APR-DRG,792-3,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,23339.81,82891.8,42 APR-DRG,792-4,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,39613.49,190521.8,42 APR-DRG,793-1,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,9401.71,33055.0,42 APR-DRG,793-2,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,12566.11,58538.6,42 APR-DRG,793-3,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,17933.7,45949.6,42 APR-DRG,793-4,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,31262.03,78954.6,42 APR-DRG,794-2,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,10186.39,53663.8,42 APR-DRG,794-4,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,27800.32,67718.8,42 APR-DRG,810-1,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,2130.96,5190.8,42 APR-DRG,810-2,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,4617.33,11247.4,42 APR-DRG,810-4,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,9865.46,50238.6,42 APR-DRG,811-1,ALLERGIC REACTIONS,,,2958.77,7207.2,42 APR-DRG,811-3,ALLERGIC REACTIONS,,,4346.32,10587.2,42 APR-DRG,811-4,ALLERGIC REACTIONS,,,16907.32,41184.6,42 APR-DRG,812-1,POISONING OF MEDICINAL AGENTS,,,3433.17,9142.8,42 APR-DRG,812-2,POISONING OF MEDICINAL AGENTS,,,4890.76,11913.4,42 APR-DRG,812-3,POISONING OF MEDICINAL AGENTS,,,8167.73,25485.2,42 APR-DRG,812-4,POISONING OF MEDICINAL AGENTS,,,8167.73,42407.4,42 APR-DRG,813-1,OTHER COMPLICATIONS OF TREATMENT,,,4573.61,11140.8,42 APR-DRG,813-2,OTHER COMPLICATIONS OF TREATMENT,,,5016.17,21392.6,42 APR-DRG,813-3,OTHER COMPLICATIONS OF TREATMENT,,,10018.71,27524.2,42 APR-DRG,813-4,OTHER COMPLICATIONS OF TREATMENT,,,17340.04,73782.8,42 APR-DRG,815-2,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,5773.57,22025.4,42 APR-DRG,815-3,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,5773.57,26848.0,42 APR-DRG,816-1,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,4030.11,37327.2,42 APR-DRG,816-2,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,3779.53,9206.6,42 APR-DRG,816-3,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,8795.32,21424.4,42 APR-DRG,816-4,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,5565.77,47482.2,42 APR-DRG,817-1,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,2907.76,7083.0,42 APR-DRG,817-2,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,4990.5,16559.0,42 APR-DRG,817-3,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,9340.74,26547.0,42 APR-DRG,817-4,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,19020.86,77512.0,42 APR-DRG,850-1,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,12197.04,59916.6,42 APR-DRG,850-2,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,17476.83,42571.8,42 APR-DRG,850-3,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,19186.94,155396.2,42 APR-DRG,851-1,GENDER RELATED PROCEDURES,,,16221.53,79569.0,15 APR-DRG,851-2,GENDER RELATED PROCEDURES,,,27697.27,110127.2,15 APR-DRG,860-1,REHABILITATION,,,8669.58,21118.2,42 APR-DRG,860-2,REHABILITATION,,,11267.49,27446.4,42 APR-DRG,861-1,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,4251.93,18254.0,42 APR-DRG,861-2,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,4401.59,22716.2,42 APR-DRG,861-3,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,8437.31,30238.2,42 APR-DRG,861-4,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,13768.8,121330.2,42 APR-DRG,862-1,OTHER AFTERCARE AND CONVALESCENCE,,,2113.11,20712.2,42 APR-DRG,862-2,OTHER AFTERCARE AND CONVALESCENCE,,,6345.5,44367.2,42 APR-DRG,862-3,OTHER AFTERCARE AND CONVALESCENCE,,,6911.33,56777.0,42 APR-DRG,862-4,OTHER AFTERCARE AND CONVALESCENCE,,,6911.33,110630.0,42 APR-DRG,890-3,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,15629.19,72131.8,42 APR-DRG,890-4,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,21639.54,52711.6,42 APR-DRG,892-3,HIV WITH MAJOR HIV RELATED CONDITION,,,11319.64,57745.59,30 APR-DRG,893-2,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,8556.86,49206.49,30 APR-DRG,893-3,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,10367.72,20997.17,30 APR-DRG,894-2,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,2929.1,7493.09,42 APR-DRG,910-4,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,56150.33,293176.4,42 APR-DRG,911-3,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,26753.03,65167.6,42 APR-DRG,911-4,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,31609.92,76998.6,42 APR-DRG,912-2,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,22475.7,85652.4,42 APR-DRG,912-3,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,31497.91,188515.4,42 APR-DRG,912-4,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,31497.91,268446.0,42 APR-DRG,930-2,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,9390.48,34922.0,42 APR-DRG,930-3,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,14531.82,41755.0,42 APR-DRG,930-4,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,14531.82,136231.4,42 APR-DRG,950-1,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,13137.37,80290.8,42 APR-DRG,950-2,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,17097.67,66745.8,42 APR-DRG,950-3,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,26496.18,99902.6,42 APR-DRG,950-4,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,44104.94,169236.8,42 APR-DRG,951-1,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,9804.48,51482.0,42 APR-DRG,951-2,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,14209.28,55689.4,42 APR-DRG,951-3,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,20859.8,107280.4,42 APR-DRG,951-4,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,34582.87,106807.0,42 APR-DRG,952-2,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,11905.79,47483.0,42 APR-DRG,952-3,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,18107.81,64911.0,42 APR-DRG,952-4,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,31498.71,96981.4,42 CDM,PX-0001U,PR RBC TYPING,1684.0,1498.76,720.0,1684.0,481 CDM,PX-0003M,PR LIVER DIS 10 ASSAYS W/NASH,1229.0,1093.81,503.4,1229.0,481 CDM,PX-00100,PR ANES PROC SALIVARY GLANDS W BX,5.0,4.45,4.4,5.0,455 CDM,PX-00102,PR ANES PROC CLEFT LIP REPAIR,6.0,5.34,5.28,6.0,455 CDM,PX-00103,PR ANES PROC EYELID RCNST,5.0,4.45,4.4,5.0,455 CDM,PX-00104,PR ANES ELECTROCONVULSIVE THERAPY,4.0,3.56,3.52,4.0,455 CDM,PX-00120,PR ANES PROC EAR WITH BIOPSY,5.0,4.45,4.4,5.0,455 CDM,PX-00124,PR ANES PROC EAR W BX OTOSCOPY,4.0,3.56,3.52,4.0,455 CDM,PX-00126,PR ANES PROC EAR W BX TYMPANOTOMY,4.0,3.56,3.52,4.0,455 CDM,PX-00140,PR ANES PROCEDURES EYE,5.0,4.45,4.4,5.0,455 CDM,PX-00142,PR ANES PROC EYE LENS SURGERY,4.0,3.56,3.52,4.0,455 CDM,PX-00144,PR ANES PROC EYE CORNEAL TRNPLT,6.0,5.34,5.28,6.0,455 CDM,PX-00145,PR ANES PROC EYE VITREORETINAL,6.0,5.34,5.28,6.0,455 CDM,PX-00147,PR ANES PROC EYE IRIDECTOMY,6.0,5.34,5.28,6.0,455 CDM,PX-00148,PR ANES PROC EYE OPHTHALMOSCOPY,4.0,3.56,3.52,4.0,455 CDM,PX-0015M,PR ADRENAL CORTICAL ASSAY 25,2360.0,2100.4,1305.37,2360.0,467 CDM,PX-00160,PR ANES PROC NOSE AND SINUSES,5.0,4.45,4.4,5.0,455 CDM,PX-00162,PR ANES PROC NOSE&SINUS RADCL SURG,7.0,6.23,6.16,7.0,455 CDM,PX-00164,PR ANES NOSE BIOPSY SOFT TISSUE,4.0,3.56,3.52,4.0,455 CDM,PX-00170,PR ANES INTRAORAL PROC W BIOPSY,5.0,4.45,4.4,5.0,455 CDM,PX-00172,PR ANES INTORAL PROC W BX CLFT PLT,6.0,5.34,5.28,6.0,455 CDM,PX-00174,PR ANES BX EXCISN RETROPHARYNGEAL,6.0,5.34,5.28,6.0,455 CDM,PX-00176,PR ANES INTORAL PROC W BX RADCL SURG,7.0,6.23,6.16,7.0,455 CDM,PX-00190,PR ANES PROC FACIAL BNS/SKULL,5.0,4.45,4.4,5.0,455 CDM,PX-00192,PR ANES FCL BNS/SKULL RADCL SURG,7.0,6.23,6.16,7.0,455 CDM,PX-00210,PR ANES INTRACRANIAL PROCEDURES,11.0,9.79,9.68,11.0,455 CDM,PX-00211,PR ANES INTRCR PROC CRANIOTOMY,10.0,8.9,8.8,10.0,455 CDM,PX-00212,PR ANES INTRCR PROC SUBDURAL TAPS,5.0,4.45,4.4,5.0,455 CDM,PX-00214,PR ANES INTRCR PROC BURR HOLES,9.0,8.01,7.92,9.0,455 CDM,PX-00215,PR ANES INTRCR PROC CRANIOPLASTY,9.0,8.01,7.92,9.0,455 CDM,PX-00216,PR ANES INTRCR PROC VASCULAR,15.0,13.35,13.2,15.0,455 CDM,PX-00218,PR ANES INTRCR PROC SITTING POS,13.0,11.57,11.44,13.0,455 CDM,PX-00220,PR ANES INTRCR PROC CSF SHUNT,10.0,8.9,8.8,10.0,455 CDM,PX-00222,PR ANES INTRCR PROC ELECTROCOAG,6.0,5.34,5.28,6.0,455 CDM,PX-0027U,PR JAK2 GENE TRGT SEQ ANALYSIS,400.0,356.0,121.91,400.0,481 CDM,PX-0029U,PR RX METAB ADVERSE REACT TARGET SEQ ANALYSIS,600.0,534.0,528.0,600.0,481 CDM,PX-00300,PR ANES INTEGM MUS & NRV HD/NK/TR,5.0,4.45,4.4,5.0,455 CDM,PX-0030U,PR RX METAB WARFARIN TARGET SEQ ANALYSIS,700.0,623.0,134.13,700.0,481 CDM,PX-0031U,PR CYP1A2 GENE COMMON VARIANTS,600.0,534.0,174.81,600.0,481 CDM,PX-00320,PR ANES NECK ORGAN SURG >=1YR,6.0,5.34,5.28,6.0,455 CDM,PX-00322,PR ANES THYROID NEEDLE BIOPSY,3.0,2.67,2.64,3.0,455 CDM,PX-00326,PR ANES PROC LARYNX&TRACHEA <1YR,8.0,7.12,7.04,8.0,455 CDM,PX-0032U,PR COMT GENE,600.0,534.0,174.81,600.0,481 CDM,PX-0034U,PR TPMT NUDT15 GENE COMMON VARIANTS,600.0,534.0,466.17,600.0,481 CDM,PX-00350,PR ANES PROC NECK MAJOR VESSELS,10.0,8.9,8.8,10.0,455 CDM,PX-00352,PR ANES NECK VESSELS SMPL LIG,5.0,4.45,4.4,5.0,455 CDM,PX-00400,PR ANES INTEGM EXT/TRUNK/PERI SURG,3.0,2.67,2.64,3.0,455 CDM,PX-00402,PR ANES INTEGM PROC BRST RCNST,5.0,4.45,4.4,5.0,455 CDM,PX-00404,PR ANES PROC BREAST RADCL,5.0,4.45,4.4,5.0,455 CDM,PX-00406,PR ANES PROC BRST W NODE DISSECT,13.0,11.57,11.44,13.0,455 CDM,PX-00410,PR ANES PROC ELECT CONV ARRHYTH,4.0,3.56,3.52,4.0,455 CDM,PX-00450,PR ANES PROC CLAVICLE AND SCAPULA,5.0,4.45,4.4,5.0,455 CDM,PX-00454,PR ANES CLAVICLE BX,3.0,2.67,2.64,3.0,455 CDM,PX-00470,PR ANES PARTIAL RIB RESECTION,6.0,5.34,5.28,6.0,455 CDM,PX-00472,PR ANES PRTL RIB RSECT THORPLST,10.0,8.9,8.8,10.0,455 CDM,PX-00474,PR ANES PRTL RIB RSECT RADICAL,13.0,11.57,11.44,13.0,455 CDM,PX-00500,PR ANES PROCEDURES ON ESOPHAGUS,15.0,13.35,13.2,15.0,455 CDM,PX-00520,PR ANES CLOSED CHEST PROCEDURES,6.0,5.34,5.28,6.0,455 CDM,PX-00522,PR ANES PLEURA NEEDLE BIOPSY,4.0,3.56,3.52,4.0,455 CDM,PX-00524,PR ANES CHEST PROC PNEUMOCENTESIS,4.0,3.56,3.52,4.0,455 CDM,PX-00528,PR ANES MEDSTM&DX THORPLST WO 1 VENT,8.0,7.12,7.04,8.0,455 CDM,PX-00529,PR ANES MEDSTM&DX THORPLST W 1 VENT,11.0,9.79,9.68,11.0,455 CDM,PX-00530,PR ANES TRANSVENOUS PPCMKR INS,4.0,3.56,3.52,4.0,455 CDM,PX-00532,PR ANES CVA CIRCULATION,4.0,3.56,3.52,4.0,455 CDM,PX-00534,PR ANES TRANSVEN INS/RPLC DEFIB,7.0,6.23,6.16,7.0,455 CDM,PX-00537,PR ANES CARDIAC EP PROC W RF ABLT,10.0,8.9,8.8,10.0,455 CDM,PX-00539,PR ANES TRACHEOBRONCHIAL RCNST,18.0,16.02,15.84,18.0,455 CDM,PX-00540,PR ANES THORACOTOMY PROCEDURES,12.0,10.68,10.56,12.0,455 CDM,PX-00541,PR ANES THORCTMY PROC W 1 LUNG VENTIL,15.0,13.35,13.2,15.0,455 CDM,PX-00542,PR ANES THORCTMY PROC DECORTICATION,15.0,13.35,13.2,15.0,455 CDM,PX-00546,PR ANES THORCTMY PROC PULMONARY,15.0,13.35,13.2,15.0,455 CDM,PX-00548,PR ANES THORCTMY PROC INTRATHORACIC,17.0,15.13,14.96,17.0,455 CDM,PX-0054T,PR CPTR-ASST MUSCSKEL NAVIGJ ORTHO FLUOR IMAGES,848.0,754.72,120.25,848.0,464 CDM,PX-00550,PR ANES STERNAL DEBRIDEMENT,10.0,8.9,8.8,10.0,455 CDM,PX-0055T,PR COMP ASST MUSCSKEL NAV ORTHO,870.0,774.3,120.25,870.0,464 CDM,PX-00560,PR ANES PROC HEART WO PUMP O2,15.0,13.35,13.2,15.0,455 CDM,PX-00561,PR ANES HEART W PUMP O2 <1YR,25.0,22.25,22.0,25.0,455 CDM,PX-00562,PR ANES HEART W PUMP O2 =>1YR,20.0,17.8,17.6,20.0,455 CDM,PX-00563,PR ANES PROC HEART W ARREST,25.0,22.25,22.0,25.0,455 CDM,PX-00566,PR ANES DIRECT CABG WO PUMP O2,25.0,22.25,22.0,25.0,455 CDM,PX-00567,PR ANES DIRECT CABG W PUMP O2,18.0,16.02,15.84,18.0,455 CDM,PX-00580,PR ANES HEART/LUNG TRANSPLANT,20.0,17.8,17.6,20.0,455 CDM,PX-00600,PR ANES PROC CERVICAL SPINE&CORD,10.0,8.9,8.8,10.0,455 CDM,PX-00604,PR ANES PROC CERV SPINE&CORD SIT,13.0,11.57,11.44,13.0,455 CDM,PX-00620,PR ANES PROC THOR SPINE & CORD,10.0,8.9,8.8,10.0,455 CDM,PX-00625,PR ANES THOR SPINE&CORD WO 1 VENTIL,13.0,11.57,11.44,13.0,455 CDM,PX-00626,PR ANES THOR SPINE&CORD W 1 VENTIL,15.0,13.35,13.2,15.0,455 CDM,PX-00630,PR ANES PROC LUMBAR REGION,8.0,7.12,7.04,8.0,455 CDM,PX-00632,PR ANES LUMBAR SYMPATHECTOMY,7.0,6.23,6.16,7.0,455 CDM,PX-00635,PR ANES PROC DX OR THER LP,4.0,3.56,3.52,4.0,455 CDM,PX-00640,PR ANES SPINE MANIPULATION,3.0,2.67,2.64,3.0,455 CDM,PX-00670,PR ANES EXTEN SPINE & CORD PROC,13.0,11.57,11.44,13.0,455 CDM,PX-00700,PR ANES PROC UPPER ANTR ABD WALL,4.0,3.56,3.52,4.0,455 CDM,PX-00702,PR ANES PERCUTANEOUS LIVER BX,4.0,3.56,3.52,4.0,455 CDM,PX-0070U,PR CYP2D6 GEN COM&SLCT RAR VRNT,600.0,534.0,528.0,600.0,481 CDM,PX-0071T,PR MR FUS UTERINE ABLATION <200CC,5240.0,4663.6,524.0,5240.0,477 CDM,PX-0071U,PR CYP2D6 FULL GENE SEQUENCE,600.0,534.0,528.0,600.0,481 CDM,PX-0072T,PR MR FUS UTERINE ABLATION >200CC,5760.0,5126.4,576.0,5760.0,477 CDM,PX-0072U,PR CYP2D6 GEN CYP2D6-2D7 HYBRID,600.0,534.0,450.91,600.0,481 CDM,PX-00730,PR ANES PROC UPPER POSTR ABD WALL,5.0,4.45,4.4,5.0,455 CDM,PX-00731,PR ANES UPR GI NDSC PX NOS,5.0,4.45,4.4,5.0,455 CDM,PX-00732,PR ANES UPR GI NDSC PX ERCP,6.0,5.34,5.28,6.0,455 CDM,PX-00750,PR ANES HERNIA RPR UPPER ABD,4.0,3.56,3.52,4.0,455 CDM,PX-00752,PR ANES LUMBAR &VENTRAL HERNIA,6.0,5.34,5.28,6.0,455 CDM,PX-00754,PR ANES OMPHALOCELE,7.0,6.23,6.16,7.0,455 CDM,PX-00756,PR ANES TRNABD RPR DIAPH HERNIA,7.0,6.23,6.16,7.0,455 CDM,PX-0075T,PR PLC VERT/CAROTID STENT INIT,2470.0,2198.3,2173.6,2470.0,477 CDM,PX-0076U,PR CYP2D6 3' GENE DUP/MLT,600.0,534.0,450.91,600.0,481 CDM,PX-00770,PR ANES MAJOR ABD BLOOD VESSELS,15.0,13.35,13.2,15.0,455 CDM,PX-0077U,PR IG PARAPROTEIN QUAL SERUM,191.0,169.99,43.43,191.0,467 CDM,PX-0077U001,PR IG PARAPROTEIN QUAL URINE,191.0,169.99,43.43,191.0,467 CDM,PX-00790,PR ANES INTRAPERIT PROC UPPER ABD,7.0,6.23,6.16,7.0,455 CDM,PX-00792,PR ANES PARTIAL HEPATECTOMY,13.0,11.57,11.44,13.0,455 CDM,PX-00794,PR ANES PANCREATECTOMY PARTL/TOT,8.0,7.12,7.04,8.0,455 CDM,PX-00796,PR ANES LAP LIVER TRNSPL,30.0,26.7,26.4,30.0,455 CDM,PX-00797,PR ANES GASTRIC RESTRICTIVE PROC,11.0,9.79,9.68,11.0,455 CDM,PX-00800,PR ANES PROC LWR ANTR ABD WALL,4.0,3.56,3.52,4.0,455 CDM,PX-00802,PR ANES PANNICULECTOMY,5.0,4.45,4.4,5.0,455 CDM,PX-00811,PR ANES LWR INTST NDSC NOS,4.0,3.56,3.52,4.0,455 CDM,PX-00812,PR ANES LWR INTST SCR COLSC,4.0,3.56,3.52,4.0,455 CDM,PX-00813,PR ANES UPR LWR GI NDSC PX,5.0,4.45,4.4,5.0,455 CDM,PX-00820,PR ANES PROC LWR POSTR ABD WALL,5.0,4.45,4.4,5.0,455 CDM,PX-00830,PR ANES HERNIA REPAIRS LWR ABD,4.0,3.56,3.52,4.0,455 CDM,PX-00832,PR ANES VENTRAL & INCISN HERNIAS,6.0,5.34,5.28,6.0,455 CDM,PX-00834,PR ANES HERNIA RPR <1 YR,5.0,4.45,4.4,5.0,455 CDM,PX-00836,PR ANES HERNIA RPR < 37 & 50WK,6.0,5.34,5.28,6.0,455 CDM,PX-00840,PR ANES INTRAPERITONEAL PROC,6.0,5.34,5.28,6.0,455 CDM,PX-00842,PR ANES AMINOCENTESIS,4.0,3.56,3.52,4.0,455 CDM,PX-00844,PR ANES ABDOMINOPERINEAL RSECT,7.0,6.23,6.16,7.0,455 CDM,PX-00846,PR ANES HYSTERECTOMY RADICAL,8.0,7.12,7.04,8.0,455 CDM,PX-00848,PR ANES PELVIC EXENTERATION,8.0,7.12,7.04,8.0,455 CDM,PX-0084U,PR IDCORE XT RBC GENOTYPE,1800.0,1602.0,720.0,1800.0,481 CDM,PX-00851,PR ANES TUBAL LIGATION,6.0,5.34,5.28,6.0,455 CDM,PX-00860,PR ANES EXTPERIT INCL URINARY TRACT,6.0,5.34,5.28,6.0,455 CDM,PX-00862,PR ANES EXTPERIT RENAL PROC,7.0,6.23,6.16,7.0,455 CDM,PX-00864,PR ANES TOTAL CYSTECTOMY,8.0,7.12,7.04,8.0,455 CDM,PX-00865,PR ANES RADICAL PROSTATECTOMY,7.0,6.23,6.16,7.0,455 CDM,PX-00866,PR ANES ADRENALECTOMY,10.0,8.9,8.8,10.0,455 CDM,PX-00868,PR ANES RENAL TRNSPL RECIPIENT,10.0,8.9,8.8,10.0,455 CDM,PX-0086U,PR INFCT DIS CULTURE W/FISH 6+ TARGETS,437.0,388.93,200.0,437.0,481 CDM,PX-00870,PR ANES CYSTOLITHOTOMY,5.0,4.45,4.4,5.0,455 CDM,PX-00872,PR ANES LITHOTRIPSY W WATER BATH,7.0,6.23,6.16,7.0,455 CDM,PX-00873,PR ANES ESWL WO WATER BATH,5.0,4.45,4.4,5.0,455 CDM,PX-00880,PR ANES PROC MJR LWR ABD VESSELS,15.0,13.35,13.2,15.0,455 CDM,PX-00882,PR ANES INFERIOR VENA CAVA LIG,10.0,8.9,8.8,10.0,455 CDM,PX-00902,PR ANES ANORECTAL PROCEDURE,5.0,4.45,4.4,5.0,455 CDM,PX-00904,PR ANES PERINEAL PROC RADICAL,7.0,6.23,6.16,7.0,455 CDM,PX-00906,PR ANESTHESIA VULVECTOMY,4.0,3.56,3.52,4.0,455 CDM,PX-00908,PR ANES PERINEAL PROSTATECTOMY,6.0,5.34,5.28,6.0,455 CDM,PX-00910,PR ANES TRANSURETHRAL PROCEDURES,3.0,2.67,2.64,3.0,455 CDM,PX-00912,PR ANES BLADDER TXURETH RSECT TMR,5.0,4.45,4.4,5.0,455 CDM,PX-00914,PR ANES PROS TXURETH RSECT TMR,5.0,4.45,4.4,5.0,455 CDM,PX-00916,PR ANES POST TXURETH RSECT BLEED,5.0,4.45,4.4,5.0,455 CDM,PX-00918,PR ANES FRG/MANIP/RMVL URETER CLC,5.0,4.45,4.4,5.0,455 CDM,PX-00920,PR ANES PROC MALE GENITALIA,3.0,2.67,2.64,3.0,455 CDM,PX-00921,PR ANES VASECTOMY,3.0,2.67,2.64,3.0,455 CDM,PX-00922,PR ANES SEMINAL VESICLES,6.0,5.34,5.28,6.0,455 CDM,PX-00924,PR ANES UNDESCENDED TESTIS,4.0,3.56,3.52,4.0,455 CDM,PX-00926,PR ANES ORCHIECTOMY INGNL RADCL,4.0,3.56,3.52,4.0,455 CDM,PX-00928,PR ANES ABD ORCHIECTOMY RADICAL,6.0,5.34,5.28,6.0,455 CDM,PX-00930,PR ANES ORCHIOPEXY,4.0,3.56,3.52,4.0,455 CDM,PX-00932,PR ANES PENIS COMPLETE AMPUTATION,4.0,3.56,3.52,4.0,455 CDM,PX-00934,PR ANES PENIS AMP W INGNL LYMPH,6.0,5.34,5.28,6.0,455 CDM,PX-00936,PR ANES PENIS AMP W INGNL&ILC LYMPH,8.0,7.12,7.04,8.0,455 CDM,PX-00938,PR ANES INS PENILE PROSTHESIS,4.0,3.56,3.52,4.0,455 CDM,PX-00940,PR ANES VAGINAL PROCEDURES,3.0,2.67,2.64,3.0,455 CDM,PX-00942,PR ANES COLPOTOMY/VAGINECTOMY,4.0,3.56,3.52,4.0,455 CDM,PX-00944,PR ANES VAGINAL HYSTERECTOMY,6.0,5.34,5.28,6.0,455 CDM,PX-00948,PR ANES CERVICAL CERCLAGE,4.0,3.56,3.52,4.0,455 CDM,PX-00950,PR ANES CULDOSCOPY W BX,5.0,4.45,4.4,5.0,455 CDM,PX-00952,PR ANES HYSTEROSCOPY,4.0,3.56,3.52,4.0,455 CDM,PX-0101T,PR EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS,200.0,178.0,176.0,200.0,484 CDM,PX-0101T002,PR EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS - 2 SITES,250.0,222.5,220.0,250.0,493 CDM,PX-0101T003,PR EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS - 3 SITES,300.0,267.0,264.0,300.0,484 CDM,PX-0106T,PR QST TEST & INTERP EXT TOUCH,69.0,61.41,10.92,69.0,483 CDM,PX-0107T,PR QST TEST & INTERP EXT VIBR,69.0,61.41,10.92,69.0,483 CDM,PX-0108T,PR QST TEST & INTERP EXT COOLING,69.0,61.41,10.92,69.0,483 CDM,PX-0109T,PR QST TEST & INTERP EXT HEAT PAN,69.0,61.41,10.92,69.0,483 CDM,PX-01112,PR ANES BN MRW ASP/BX ILIAC CREST,5.0,4.45,4.4,5.0,455 CDM,PX-01120,PR ANES PROCEDURES BONY PELVIS,6.0,5.34,5.28,6.0,455 CDM,PX-01130,PR ANES BODY CAST APPLICATION,3.0,2.67,2.64,3.0,455 CDM,PX-01140,PR ANES INTRPELV AMPUTATION,15.0,13.35,13.2,15.0,455 CDM,PX-01150,PR ANES PELVIS TUMOR RADICAL,10.0,8.9,8.8,10.0,455 CDM,PX-01160,PR ANES SYMPHYSIS PUBIS CLSD PROC,4.0,3.56,3.52,4.0,455 CDM,PX-01170,PR ANES SYMPHYSIS PUBIS OPEN PROC,8.0,7.12,7.04,8.0,455 CDM,PX-01173,PR ANES PELVIS OPEN FX REPAIR,12.0,10.68,10.56,12.0,455 CDM,PX-0119U,PR CERAMIDES,190.0,169.1,83.76,190.0,481 CDM,PX-01200,PR ANES HIP JOINT CLOSED PROC,4.0,3.56,3.52,4.0,455 CDM,PX-01202,PR ANES HIP JOINT ARTHROSCP PROC,4.0,3.56,3.52,4.0,455 CDM,PX-01210,PR ANES HIP JOINT OPEN PROC,6.0,5.34,5.28,6.0,455 CDM,PX-01212,PR ANES HIP DISARTICULATION,10.0,8.9,8.8,10.0,455 CDM,PX-01214,PR ANES HIP TOTAL ARTHROPLASTY,8.0,7.12,7.04,8.0,455 CDM,PX-01215,PR ANES HIP REVISION TOTAL ARTHRO,10.0,8.9,8.8,10.0,455 CDM,PX-01220,PR ANES UPPER FEMUR CLOSED PROC,4.0,3.56,3.52,4.0,455 CDM,PX-01230,PR ANES UPPER FEMUR OPEN PROC,6.0,5.34,5.28,6.0,455 CDM,PX-01232,PR ANES UPPER FEMUR AMPUTATION,5.0,4.45,4.4,5.0,455 CDM,PX-01234,PR ANES UPPER FEMUR RSECT RADICAL,8.0,7.12,7.04,8.0,455 CDM,PX-01250,PR ANES UPPER LEG NRV/MUS/TNDN,4.0,3.56,3.52,4.0,455 CDM,PX-01260,PR ANES VEINS UPPER LEG W EXPLR,3.0,2.67,2.64,3.0,455 CDM,PX-01270,PR ANES ARTERIES UPPER INCL GRFT,8.0,7.12,7.04,8.0,455 CDM,PX-01272,PR ANES FEMORAL ARTERY LIGATION,4.0,3.56,3.52,4.0,455 CDM,PX-01274,PR ANES FEM ARTERY EMBOLECTOMY,6.0,5.34,5.28,6.0,455 CDM,PX-01320,PR ANES KNEE NRV/MUS/TNDN/FASCIA,4.0,3.56,3.52,4.0,455 CDM,PX-01340,PR ANES LWR FEMUR CLOSED PROC,4.0,3.56,3.52,4.0,455 CDM,PX-01360,PR ANES LWR FEMUR OPEN PROC,5.0,4.45,4.4,5.0,455 CDM,PX-01380,PR ANES PROC KNEE JT CLOSED,3.0,2.67,2.64,3.0,455 CDM,PX-01382,PR ANES KNEE JT DX ARTHROSCP PROC,3.0,2.67,2.64,3.0,455 CDM,PX-01390,PR ANES UPPER TIBIA/FIBULA CLSD,3.0,2.67,2.64,3.0,455 CDM,PX-01392,PR ANES UPPER TIBIA/FIBULA OPEN,4.0,3.56,3.52,4.0,455 CDM,PX-01400,PR ANES KNEE JT OPEN/SURG ARTHSC,4.0,3.56,3.52,4.0,455 CDM,PX-01402,PR ANES KNEE TOTAL ARTHROPLASTY,7.0,6.23,6.16,7.0,455 CDM,PX-01404,PR ANES KNEE DISARTICULATION,5.0,4.45,4.4,5.0,455 CDM,PX-01420,PR ANES KNEE CAST APP/RMVL/REPAIR,3.0,2.67,2.64,3.0,455 CDM,PX-01430,PR ANES KNEE AND POPLITEAL VEINS,3.0,2.67,2.64,3.0,455 CDM,PX-01432,PR ANES KNEE VEINS AV FISTULA,6.0,5.34,5.28,6.0,455 CDM,PX-01440,PR ANES PROC KNEE ARTERIES,8.0,7.12,7.04,8.0,455 CDM,PX-01442,PR ANES POPLITEAL THROMEND,8.0,7.12,7.04,8.0,455 CDM,PX-01444,PR ANES POPLITEAL EXCISN & GRAFT,8.0,7.12,7.04,8.0,455 CDM,PX-01462,PR ANES LWR LEG/ANK/FT CLSD PROC,3.0,2.67,2.64,3.0,455 CDM,PX-01464,PR ANES ANKLE /FOOT ARTHSC PROC,3.0,2.67,2.64,3.0,455 CDM,PX-01470,PR ANES LWR LEG NERVES/MUS/TNDNS,3.0,2.67,2.64,3.0,455 CDM,PX-01472,PR ANES RPR RUPTURED ACHILLES TNDN,5.0,4.45,4.4,5.0,455 CDM,PX-01474,PR ANES GASTROCNEMIUS RECESSION,5.0,4.45,4.4,5.0,455 CDM,PX-01480,PR ANES BN LWR LEG/ANK/FT OPEN,3.0,2.67,2.64,3.0,455 CDM,PX-01482,PR ANES BN LWR LEG/ANK RDCL RSECT,4.0,3.56,3.52,4.0,455 CDM,PX-01484,PR ANES TIBIA/FIBULA OSTEOTOMY,4.0,3.56,3.52,4.0,455 CDM,PX-01486,PR ANES TOTAL ANKLE REPLACEMENT,7.0,6.23,6.16,7.0,455 CDM,PX-01490,PR ANES LWR LEG CAST APP/RMVL/RPR,3.0,2.67,2.64,3.0,455 CDM,PX-01500,PR ANES PROC LWR LEG ARTYS W GRFT,8.0,7.12,7.04,8.0,455 CDM,PX-01502,PR ANES PROC LWR LEG EMBOLECTOMY,6.0,5.34,5.28,6.0,455 CDM,PX-01520,PR ANES PROC VEINS OF LOWER LEG,3.0,2.67,2.64,3.0,455 CDM,PX-01522,PR ANES LWR LEG VENOUS THROMBCTMY,5.0,4.45,4.4,5.0,455 CDM,PX-01610,PR ANES SHOULDER NERVES/MUS/TNDNS,5.0,4.45,4.4,5.0,455 CDM,PX-01620,PR ANES HUM/SC/AC/SHLDR JT CLSD,4.0,3.56,3.52,4.0,455 CDM,PX-01622,PR ANES SHLDR JT DX ARTHROSCOPIC,4.0,3.56,3.52,4.0,455 CDM,PX-01630,PR ANES HUM/SC/AC/SHLDR JT OPEN,5.0,4.45,4.4,5.0,455 CDM,PX-01634,PR ANES SHOULDER DISARTICULATION,9.0,8.01,7.92,9.0,455 CDM,PX-01636,PR ANES INTERTHORACOSCAPULAR AMP,15.0,13.35,13.2,15.0,455 CDM,PX-01638,PR ANES SHOULDER TOTAL RPLC,10.0,8.9,8.8,10.0,455 CDM,PX-01650,PR ANES PROC ARTYS SHLDR&AXILLA,6.0,5.34,5.28,6.0,455 CDM,PX-01652,PR ANES AXILLARY BRACH ANEURYSM,10.0,8.9,8.8,10.0,455 CDM,PX-01654,PR ANES ARTYS SHLDR&AXILLA W GRFT,8.0,7.12,7.04,8.0,455 CDM,PX-01656,PR ANES AXILLARY FEMORAL BY GRFT,10.0,8.9,8.8,10.0,455 CDM,PX-01670,PR ANES PROC VEINS SHLDR&AXILLA,4.0,3.56,3.52,4.0,455 CDM,PX-01680,PR ANES SHLDR CAST APP/RMVL/RPR,3.0,2.67,2.64,3.0,455 CDM,PX-01710,PR ANES UPR ARM NERVES/MUS/TNDNS,3.0,2.67,2.64,3.0,455 CDM,PX-01712,PR ANES ELBOW TO SHLDR TENOTOMY,5.0,4.45,4.4,5.0,455 CDM,PX-01714,PR ANES ELBOW TO SHLDR TENOPLASTY,5.0,4.45,4.4,5.0,455 CDM,PX-01716,PR ANES BICEPS TENODESIS,5.0,4.45,4.4,5.0,455 CDM,PX-01730,PR ANES HUMERUS&ELBOW CLOSED PROC,3.0,2.67,2.64,3.0,455 CDM,PX-01732,PR ANES ELBOW JT DX ARTHSC PROC,3.0,2.67,2.64,3.0,455 CDM,PX-01740,PR ANES PROC ELBOW OPEN,4.0,3.56,3.52,4.0,455 CDM,PX-01742,PR ANES HUMERUS OSTEOTOMY,5.0,4.45,4.4,5.0,455 CDM,PX-01744,PR ANES HUMERUS REPAIR NONUNION,5.0,4.45,4.4,5.0,455 CDM,PX-01756,PR ANES ELBOW RADICAL PROCEDURES,6.0,5.34,5.28,6.0,455 CDM,PX-01758,PR ANES HUM EXCISION CYST/TUMOR,5.0,4.45,4.4,5.0,455 CDM,PX-01760,PR ANES ELBOW TOTAL REPLACEMENT,7.0,6.23,6.16,7.0,455 CDM,PX-01770,PR ANES PROC ARTYS UPR ARM/ELBOW,6.0,5.34,5.28,6.0,455 CDM,PX-01772,PR ANES UPR ARM/ELBOW EMBOLECTOMY,6.0,5.34,5.28,6.0,455 CDM,PX-01780,PR ANES PROC VEINS UPPER ARM &ELB,3.0,2.67,2.64,3.0,455 CDM,PX-01782,PR ANES UPPER ARM&ELB PHLEBRHPHY,4.0,3.56,3.52,4.0,455 CDM,PX-01810,PR ANES FOREARM NERVES/MUS/TNDNS,3.0,2.67,2.64,3.0,455 CDM,PX-01820,PR ANES RADS/ULNA/WRST/HAND CLSD,3.0,2.67,2.64,3.0,455 CDM,PX-01829,PR ANES WRIST DX ARTHSC PROC,3.0,2.67,2.64,3.0,455 CDM,PX-01830,PR ANES RADS/ULNA/WRST/HAND OPEN,3.0,2.67,2.64,3.0,455 CDM,PX-01832,PR ANES WRIST TOTAL REPLACEMENT,6.0,5.34,5.28,6.0,455 CDM,PX-01840,PR ANES ARTYS FOREARM/WRST/HAND,6.0,5.34,5.28,6.0,455 CDM,PX-01842,PR ANES FRARM/WRST/HAND EMBOLCTMY,6.0,5.34,5.28,6.0,455 CDM,PX-01844,PR ANES VASCULAR SHUNT,6.0,5.34,5.28,6.0,455 CDM,PX-0184T,PR EXCISN RECTAL TMR MICROSURG APP,2395.0,2131.55,752.48,2395.0,482 CDM,PX-01850,PR ANES PROC VEIN FRARM/WRST/HAND,3.0,2.67,2.64,3.0,455 CDM,PX-01852,PR ANES FRARM/WRST/HND PHLEBRHPHY,4.0,3.56,3.52,4.0,455 CDM,PX-01860,PR ANES FRARM/WRST/HND CASTING,3.0,2.67,2.64,3.0,455 CDM,PX-01916,PR ANES DX ARTERIOGRPHY/VENOGRPHY,5.0,4.45,4.4,5.0,455 CDM,PX-01920,PR ANES CARDIAC CATHETERIZATION,7.0,6.23,6.16,7.0,455 CDM,PX-01922,PR ANES NON-INVASIVE IMAGING,7.0,6.23,6.16,7.0,455 CDM,PX-01924,PR ANES ARTERIAL SYSTEM THER IR,6.0,5.34,5.28,6.0,455 CDM,PX-01925,PR ANES THER IR PROC CAROTID/COR,8.0,7.12,7.04,8.0,455 CDM,PX-01926,PR ANES INTRCR/INCAR/AORTIC,10.0,8.9,8.8,10.0,455 CDM,PX-01930,PR ANES THER VENOUS/LYMPHATIC SYS,5.0,4.45,4.4,5.0,455 CDM,PX-01931,PR ANES INTRAHEPATIC/PORTAL CIRC,7.0,6.23,6.16,7.0,455 CDM,PX-01932,PR ANES INTRATHORACIC/JUGULAR,7.0,6.23,6.16,7.0,455 CDM,PX-01933,PR ANES THER IR INTRACRANIAL,8.0,7.12,7.04,8.0,455 CDM,PX-01937,PR ANES PERQ IMG NJX DRG/ASPIR PX SPI/SP CRV/THRC,4.0,3.56,3.52,4.0,455 CDM,PX-01938,PR ANES PERQ IMG NJX DRG/ASPIR PX SPI/SP LMBR/SAC,4.0,3.56,3.52,4.0,455 CDM,PX-01939,PR ANES PERQ IMG DSTRJ PX NULYT AGT SPI/SP CRV/THRC,4.0,3.56,3.52,4.0,455 CDM,PX-01940,PR ANES PERQ IMG DSTRJ PX NULYT AGT SPI/SP LMBR/SAC,4.0,3.56,3.52,4.0,455 CDM,PX-01941,PR ANES PERQ IMG NEUROMD/NTRVRT PX SPI/SP CRV/THRC,5.0,4.45,4.4,5.0,455 CDM,PX-01942,PR ANES PERQ IMG NEUROMD/NTRVRT PX SPI/SP LMBR/SAC,5.0,4.45,4.4,5.0,455 CDM,PX-01951,PR ANES 2/3 DGR BURN <4% TBSA,3.0,2.67,2.64,3.0,455 CDM,PX-01952,PR ANES 2/3 DGR BURN 4-9% TBSA,5.0,4.45,4.4,5.0,455 CDM,PX-01958,PR ANES EXTRNL CEPHALIC VERSION,5.0,4.45,4.4,5.0,455 CDM,PX-01960,PR ANES VAGINAL DELIVERY ONLY,5.0,4.45,4.4,5.0,455 CDM,PX-01961,PR ANES CESAREAN DELIVERY ONLY,7.0,6.23,6.16,7.0,455 CDM,PX-01962,PR ANES URGENT HYST AFTER DEL,8.0,7.12,7.04,8.0,455 CDM,PX-01963,PR ANES CESAREAN HYST WO ANALGESIA,10.0,8.9,8.8,10.0,455 CDM,PX-01965,PR ANES INCOMP/MISSED ABORTION,4.0,3.56,3.52,4.0,455 CDM,PX-01966,PR ANES INDUCED ABORTION PROC,4.0,3.56,3.52,4.0,455 CDM,PX-01967,PR ANES NEURAXIAL PLNND VAG DEL,5.0,4.45,4.4,5.0,455 CDM,PX-01968,PR ANES C/S DEL AFT LABOR ANALG,3.0,2.67,2.64,3.0,455 CDM,PX-01969,PR ANES C/S HYS AFTER LABOR ANALG,5.0,4.45,4.4,5.0,455 CDM,PX-01990,PR SPRT HARVST ORGAN BRAIN DEAD PAT,7.0,6.23,6.16,7.0,455 CDM,PX-01991,PR ANES NERVE BLOCKS & INJECTIONS,3.0,2.67,2.64,3.0,455 CDM,PX-01992,PR ANES NRV BLOCK/INJ PRONE,5.0,4.45,4.4,5.0,455 CDM,PX-01996,PR DAILY EPIDURAL MGMT,551.0,490.39,82.65,551.0,470 CDM,PX-0200T,PR PERC SACRL AUGMNTATION UNILAT,13065.0,11627.85,1568.03,13065.0,482 CDM,PX-0201T,PR PERC SACRL AUGMNTATION BILAT,9103.0,8101.67,1568.03,9103.0,482 CDM,PX-0202U,PR RESPIR PATH 22 TARGETS,834.0,742.26,416.78,834.0,481 CDM,PX-0202U001,PR RESPIR PATHOGEN 22 TARGETS 2,834.0,742.26,416.78,834.0,481 CDM,PX-0219U,PR INFECT AGENT HIV NEXT-GEN SEQ ANALYSIS,1748.0,1555.72,725.0,1748.0,467 CDM,PX-0232T,PR PRP-1 SITE,1200.0,1068.0,120.0,1200.0,480 CDM,PX-0232T001,PR BMAC INJECTION,3500.0,3115.0,350.0,3500.0,480 CDM,PX-0232T009,PR BMAC INJECTION MULTI SITE,5000.0,4450.0,500.0,5000.0,480 CDM,PX-0232T017,PR PRP-2 SITES,1800.0,1602.0,180.0,1800.0,480 CDM,PX-0232T018,PR PRP-3 SITES,2400.0,2136.0,240.0,2400.0,480 CDM,PX-0232T019,PR PRP-4 SITES,3000.0,2670.0,300.0,3000.0,480 CDM,PX-0232T020,PR PRP 1 SITE W/A2MRP ADD ON,1950.0,1735.5,195.0,1950.0,480 CDM,PX-0232T021,PR PRP 2 SITE W/A2MRP ADD ON,2550.0,2269.5,255.0,2550.0,480 CDM,PX-0238T,PR TLPA ILIAC ARTY EA VSSL,13798.0,12280.22,1379.8,13798.0,477 CDM,PX-0278T,PR TRANCATH ELE MOD PAIN REPROC EA,303.0,269.67,10.77,303.0,507 CDM,PX-0338T,PR TXCAT RENL SYMP DENERV UNILAT,7751.0,6898.39,775.1,7751.0,477 CDM,PX-0358T,PR BIA WHOLE BODY COMPOSITION ASSESSMENT W/I&R,62.0,55.18,22.65,62.0,482 CDM,PX-0361U,PR NEUROFILAMENT LIGHT CHAIN,599.0,533.11,527.12,599.0,463 CDM,PX-0402T,PR COLLAGEN CROSS-LINKING OF CORNEA,1556.0,1384.84,285.87,1556.0,482 CDM,PX-0420T,PR DESTRUCT NEUROFIBROMATA EXT >100,1232.0,1096.48,389.0,1232.0,482 CDM,PX-0430U,PR MALABSORPTION EVAL PANEL QUANT,605.0,538.45,61.54,605.0,467 CDM,PX-0431U,PR GLYCINE ALPHA 1 LCBA,136.0,121.04,36.57,136.0,481 CDM,PX-0432U,PR KELCH LIKE PROTEIN 11 QUAL,136.0,121.04,36.57,136.0,481 CDM,PX-0437T,PR IMPLANTATION OF NON-BIOLOGIC O,1442.0,1283.38,216.15,1442.0,482 CDM,PX-0441T,PR ABLT PERC LWR EXT PERIPH NRV,6998.0,6228.22,177.44,6998.0,482 CDM,PX-0449T,PR INSN AQUEOUS DRN DEV,5843.0,5200.27,656.37,5843.0,482 CDM,PX-0480U,PR METAGENOMIC SEQUENCING,3425.0,3048.25,2126.2,3425.0,481 CDM,PX-0481U,PR IDH1/IDH2/TERT NGS,1600.0,1424.0,674.24,1600.0,481 CDM,PX-0482U,PR BIOCHEM ASSAY OB PREECLAMPSIA,322.0,286.58,128.82,322.0,467 CDM,PX-0483T,PR TMVI PERCUTANEOUS APPROACH,16359.0,14559.51,532.01,16359.0,482 CDM,PX-0505T,PR EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR,33751.0,30038.39,8652.57,33751.0,482 CDM,PX-0528U,PR PNEUMONIA PANEL BIOFIRE,895.0,796.55,634.84,895.0,481 CDM,PX-0545T,PR TCAT TV ANN RCNSTJ W/IMPL ADJST ANN RCNSTJ DEV,10480.0,9327.2,1048.0,10480.0,477 CDM,PX-0552T,PR LOW-LVL LASER THER DYN PHOTONIC & THERMOKIN NRG,75.0,66.75,5.34,75.0,482 CDM,PX-0554T,PR CT BONE STRENGTH,987.0,878.43,98.7,987.0,477 CDM,PX-0557T,PR CT BONE STRENGTH INTERP & REPORT,255.0,226.95,25.5,255.0,477 CDM,PX-0558T,PR CT BIOMECHANICAL ANALYSIS,299.0,266.11,29.9,299.0,477 CDM,PX-0559T,PR 3D ANATOMIC MODEL FIRST STRUCTURE,411.0,365.79,7.81,411.0,482 CDM,PX-0560T,PR 3D ANATOMIC MODEL EA ADDTL STRUCTURE,54.0,48.06,3.91,54.0,482 CDM,PX-0561T,PR 3D ANATOMIC GUIDE FIRST,147.0,130.83,31.23,147.0,482 CDM,PX-0562T,PR 3D ANATOMIC GUIDE EA ADDTL,21.0,18.69,15.62,21.0,482 CDM,PX-0569T,"PR TRNSCTH TRICUSP VLV REPAIR, INIT",9113.0,8110.57,911.3,9113.0,477 CDM,PX-0570T,"PR TRNSCTH TRICUS VLV REP, EA ADDL",1786.0,1589.54,343.87,1786.0,482 CDM,PX-0571T,PR IMPL ICD W SUBSTERN LEADS,3096.0,2755.44,309.6,3096.0,477 CDM,PX-0573T,PR REMOVE SUBSTERN DEFIB ELECTRODE,4288.0,3816.32,428.8,4288.0,477 CDM,PX-0575T,PR PROG EVAL INPER ICD SUBSTERNAL,528.0,469.92,52.8,528.0,478 CDM,PX-0576T,PR INTEROGATE EVAL ICD SUBSTERNAL,358.0,318.62,61.89,358.0,483 CDM,PX-0577T,PR EP EVAL ICD SUBSTERNAL,3724.5,3314.8050000000003,288.1,4568.0,954 CDM,PX-0578T,PR INTER ICD SBSTRNL PROF EA 90DAYS,351.0,312.39,32.4,351.0,484 CDM,PX-0579T,PR INTER ICD SBSTRNL TECH EA 90DAYS,235.0,209.15,23.5,235.0,479 CDM,PX-0580T,PR REMOVE SUBSTERN DEFIB GENERATOR,7750.0,6897.5,775.0,7750.0,477 CDM,PX-0581T,PR ABLAT BREAST TUMOR(S) PERC CRYO UNILAT,10610.0,9442.9,418.56,10610.0,482 CDM,PX-0582T,PR ABLAT PROSTATE TRANSURETHRAL THERMO,15341.0,13653.49,1534.1,15341.0,477 CDM,PX-0582U,PR RAPID WHOLE GENOME SEQ,5500.0,4895.0,4840.0,5500.0,481 CDM,PX-0583U,PR RAPID WHOLE GENOME SEQ COMPARATOR,3000.0,2670.0,2640.0,3000.0,481 CDM,PX-0584U,PR RT QUIC PRION CSF,120.0,106.8,105.6,120.0,481 CDM,PX-0591T,PR HWC INITIAL SESSION,107.0,95.23,10.7,107.0,485 CDM,PX-0592T,PR HWC FOLLOW UP SESSION,67.0,59.63,6.7,67.0,478 CDM,PX-0600T,"PR ABLT IRR ELECTROPORATION 1+ TMR, PERC",14321.0,12745.69,1432.1,14321.0,477 CDM,PX-0613T,"PR PERQ TCAT IMPLT INTERATRIAL SEPTAL SHUNT, W/R & L HRT CATH",7320.0,6514.8,6441.6,7320.0,477 CDM,PX-0615T,PR EYE MVMT ALYS W/O CALBRJ I&R,191.0,169.99,168.08,191.0,477 CDM,PX-0620T,PR ENDOVASC VENOUS ARTERIALIZATION TIBIAL/PERONEAL,16086.0,14316.54,804.3,16086.0,477 CDM,PX-0636T,PR CT BREAST W 3D BILAT WO CNTRST,2013.5,1792.015,120.3,2824.0,954 CDM,PX-0644T,PR TCAT RMVL/DBLK ICAR MAS PERQ,7634.0,6794.26,682.16,7634.0,482 CDM,PX-0645T,PR TCAT IMPLTJ C SINS RDCTJ DEV,7007.0,6236.23,3153.15,7007.0,477 CDM,PX-0646T,PR TTVI/RPLCMT W/PRSTC VLV PERQ,9952.0,8857.28,497.6,9952.0,477 CDM,PX-0652T,PR EGD FLX TRANSNASAL DX BR/WA,1711.0,1522.79,769.95,1711.0,477 CDM,PX-0653T,PR EGD FLX TRANSNASAL BX 1/MLT,1711.0,1522.79,769.95,1711.0,477 CDM,PX-0654T,PR EGD FLX TRANSNASAL TUBE/CATH,1690.0,1504.1,84.5,1690.0,477 CDM,PX-0656T,PR ANT LUMB/THRLUMB BDY TETHERING <7 SEG,19564.0,17411.96,8803.8,19564.0,477 CDM,PX-0657T,PR ANT LUMB/THRLUMB BDY TETHERING 8+ SEG,23941.0,21307.49,10773.45,23941.0,477 CDM,PX-0675T,PR LAPS INSJ NEW/RPLCMT LEAD PERM ISDSS 1ST LEAD,2971.0,2644.19,1336.95,2971.0,477 CDM,PX-0686T,PR HISTOTRIPSY OF MALIGNANT HEPATOCELLAR TISSUE,11615.0,10337.35,5226.75,11615.0,477 CDM,PX-0707T,PR NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT,2559.0,2277.51,1151.55,2559.0,477 CDM,PX-0719T,PR PST VERTEBRAL JOINT RPLCMT LUMBAR SPI SINGLE SGM,12281.0,10930.09,5526.45,12281.0,477 CDM,PX-0737T,PR XENOGRAFT IMPLANTATION INTO ARTICULAR SURFACE,10510.0,9353.9,4729.5,10510.0,477 CDM,PX-0743T,PR BONE STRENGTH & FRACTURE RSK CNCRNT VRT FX ASSMT,1086.0,966.54,955.68,1086.0,477 CDM,PX-0764T,PR ASSTV ALG ECG RSK-BASED ASSMT RELATED CONCURRENT ECG,102.0,90.78,10.2,102.0,459 CDM,PX-0780T,PR INSTLJ FECAL MICROBIOTA SSP RCT NMA LWR GI TRC,2678.0,2383.42,267.8,2678.0,477 CDM,PX-0795T,PR TCAT INS 2CHMBR LDLS PM CMPL,10926.0,9724.14,546.3,10926.0,477 CDM,PX-0797T,PR TCAT INS 2CHMBR LDLS PM RV,10926.0,9724.14,546.3,10926.0,477 CDM,PX-0800T,PR TCAT RMVL 2CHMBR LDLS PM RV,4181.0,3721.09,1881.45,4181.0,477 CDM,PX-0804T,PR PRGRMG EVL LDLS PM 2CHMBR IP,285.0,253.65,22.5,345.0,955 CDM,PX-0823T,PR TCAT INS 1CHMBR LDLS PM RA,3723.0,3313.47,186.15,3723.0,477 CDM,PX-0824T,PR TCAT RMV 1CHMBR LDLS PM RA,4045.0,3600.05,1820.25,4045.0,477 CDM,PX-0866T,PR QUAN MRI ALYS BRN W/DX MRI,376.0,334.64,16.1,537.0,1437 CDM,PX-0882T,PR INTRAOP THER ESTIM PN UE 1ST,4928.0,4385.92,492.8,4928.0,477 CDM,PX-0913T,PR PRQ TCAT THER RX NTRAC BALO1,7212.0,6418.68,360.6,7212.0,477 CDM,PX-0914T,PR PRQ TCAT THR RX NTRC BAL SEP,1442.0,1283.38,1268.96,1442.0,477 CDM,PX-0937T,PR XTRNL ECG REC>15D<30D,2059.0,1832.51,1811.92,2059.0,477 CDM,PX-0938T,PR XTRNL ECG REC>15D<30D REC,102.0,90.78,89.76,102.0,477 CDM,PX-0939T,PR XTRNL ECG REC>15D<30D SCAN,1762.0,1568.18,1550.56,1762.0,477 CDM,PX-0940T,PR XTRNL ECG REC>15D<30D R&I,194.0,172.66,170.72,194.0,477 CDM,PX-10005,PR FNA BX W/US GDN 1ST LES,701.0,623.89,53.28,701.0,488 CDM,PX-10006,PR FNA BX W/US GDN EA ADDL,489.0,435.21,47.51,489.0,484 CDM,PX-10007,PR FNA BX W/FLUOR GDN 1ST LES,1334.0,1187.26,141.18,1334.0,482 CDM,PX-10008,PR FNA BX W/FLUOR GDN EA ADDL,901.0,801.89,114.73,901.0,482 CDM,PX-10009,PR FNA BX W/CT GDN 1ST LES,2130.0,1895.7,170.02,2130.0,482 CDM,PX-10010,PR FNA BX W/CT GDN EA ADDL,888.0,790.32,191.97,888.0,482 CDM,PX-10011,PR FNA BX W/MR GDN 1ST LES,2261.0,2012.29,113.05,2261.0,477 CDM,PX-10012,PR FNA BX W/MR GDN EA ADDL,1703.0,1515.67,170.3,1703.0,477 CDM,PX-10021,PR FNA BX WO IMG 1ST LESION,627.0,558.03,40.56,627.0,482 CDM,PX-10030,PR IMG GUIDE FLUID CATH DRAIN,2338.0,2080.82,256.13,2338.0,482 CDM,PX-10035,PR PLC LOC DEV PERC W IMG 1ST LESN,1636.0,1456.04,142.64,1636.0,482 CDM,PX-10036,PR PLC LOC DEV PERC W IMG ADD LESN,1688.0,1502.32,241.14,1688.0,482 CDM,PX-1003T,PR ARTHRP 1ST CRP/MTCRPL PROSTC,6412.0,5706.68,320.6,6412.0,477 CDM,PX-10040,PR ACNE SURGERY,352.0,313.28,39.43,352.0,508 CDM,PX-10060,PR I&D ABSC SMPL/SNGL,527.0,469.03,44.39,527.0,516 CDM,PX-10061,PR I&D ABSC CMPLX/MULT,1021.0,908.69,74.95,1021.0,516 CDM,PX-10080,PR I&D PILONIDAL CYST SMPL,900.0,801.0,94.09,900.0,507 CDM,PX-10081,PR I&D PILONIDAL CYST CMPLX,1327.0,1181.03,153.82,1327.0,489 CDM,PX-10120,PR INCISN/RMVL FB SUBQ SMPL,633.0,563.37,64.18,633.0,490 CDM,PX-10121,PR INCISN/RMVL FB SUBQ CMPLX,1313.0,1168.57,110.7,1313.0,482 CDM,PX-10140,PR I&D HEMA/SEROMA/FLUID COLL,833.0,741.37,70.5,833.0,489 CDM,PX-10160,PR NDL ASP ABSC/HEMA/BULLA/CYST,617.0,549.13,53.17,617.0,483 CDM,PX-10180,PR I&D WND POSTOP CMPLX,1313.0,1168.57,97.87,1313.0,507 CDM,PX-11000,PR DBRD EXTEN INFECTED SKIN <=10%,271.0,241.19,24.09,271.0,482 CDM,PX-11004,PR DBRD SKIN SUBQ EXTRNL GENT&PERIN,3083.0,2743.87,186.55,3083.0,482 CDM,PX-11005,PR DBRD SKIN SUBQ TISS ABD WALL,5915.0,5264.35,501.77,5915.0,482 CDM,PX-11006,PR DBRD SUBQ EXTRNL PERI/ABD WALL,4394.0,3910.66,228.73,4394.0,482 CDM,PX-11008,PR RMVL PROSTH ABD WALL INFECTN,1591.0,1415.99,176.46,1591.0,482 CDM,PX-11010,PR DBRD OPN FX SKIN & SUBQ TISS,2481.0,2208.09,187.92,2481.0,482 CDM,PX-11011,PR DBRD OPN FX SUBQ TISS/MUS,3107.0,2765.23,214.37,3107.0,482 CDM,PX-11012,PR DBRD OPN FX SUBQ TISS/MUS/BN,3871.0,3445.19,272.48,3871.0,482 CDM,PX-11042,PR DBRD SKIN & SUBQ TISS<=20SCM,468.0,416.52,45.89,468.0,515 CDM,PX-11043,PR DBRD MUS/FASCIA<=20SCM,1268.0,1128.52,81.01,1268.0,507 CDM,PX-11044,PR DBRD BONE MUS/FASCIA<=20SCM,1883.0,1675.87,126.65,1883.0,482 CDM,PX-11045,PR DBRD SKIN & SUBQ TISS ADD 20SCM,170.0,151.3,33.27,170.0,482 CDM,PX-11046,PR DBRD MUS/FASCIA ADD 20SCM,498.0,443.22,59.64,498.0,482 CDM,PX-11047,PR DBRD BN MUS/FASC EA ADD 20SCM,791.0,703.99,99.59,791.0,482 CDM,PX-11055,PR PAR/CUT BENIGN SKIN LESN SNGL,220.0,195.8,24.66,220.0,509 CDM,PX-11056,PR PAR/CUT BENIGN SKIN LESN 2-4,219.0,194.91,28.46,219.0,508 CDM,PX-11057,PR PAR/CUT BENIGN SKIN LESN >4,192.0,170.88,31.07,192.0,508 CDM,PX-111000000,INTERMED MED/SURG/GYN PRIVATE - FACILITY,4665.0,4151.85,4198.6,4665.0,615 CDM,PX-111000001,MED/SURG/GYN PRIVATE - FACILITY,3150.0,2803.5,2835.0,3150.0,615 CDM,PX-111000003,TELEMETRY MED/SURG/GYN PRIV - FACILITY,4600.0,4094.0,4140.0,4600.0,615 CDM,PX-111000006,TELEMETRY DUMMY CHARGE - FACILITY,1.0,0.89,1.0,1.0,615 CDM,PX-111000007,INPATIENT ONLY ROOM AND BOARD FACILITY,1.0,0.89,1.0,1.0,615 CDM,PX-11102,PR TANGNTL BX SKIN SINGLE LES,340.0,302.6,33.37,340.0,512 CDM,PX-11103,PR TANGNTL BX SKIN EA SEP/ADDL,202.0,179.78,33.88,202.0,510 CDM,PX-11104,PR PUNCH BX SKIN SINGLE LESION,459.0,408.51,42.23,459.0,513 CDM,PX-11105,PR PUNCH BX SKIN EA SEP/ADDL,246.0,218.94,41.66,246.0,512 CDM,PX-11106,PR INCAL BX SKN SINGLE LES,660.0,587.4,52.65,660.0,507 CDM,PX-11107,PR INCAL BX SKN EA SEP/ADDL,362.0,322.18,57.84,362.0,482 CDM,PX-11200,PR RMVL SKIN TAGS <=15,420.0,373.8,37.59,420.0,491 CDM,PX-112000000,INTERMEDIATE OB PRIVATE - FACILITY,4665.0,4151.85,4198.6,4665.0,615 CDM,PX-112000001,OB PRIVATE - FACILITY,3150.0,2803.5,2835.0,3150.0,615 CDM,PX-11201,PR RMVL SKIN TAGS EA ADD 10,124.0,110.36,14.61,124.0,489 CDM,PX-11300,PR SHAVE LESN TR/EXT <=0.5CM,329.0,292.81,39.7,329.0,489 CDM,PX-113000001,PEDIATRICS PRIVATE - FACILITY,3150.0,2803.5,2835.0,3150.0,615 CDM,PX-11301,PR SHAVE LESN TR/EXT 0.6-1.0 CM,465.0,413.85,47.65,465.0,489 CDM,PX-11302,PR SHAVE LESN TR/EXT 1.1-2.0CM,493.0,438.77,53.95,493.0,489 CDM,PX-11303,PR SHAVE LESN TR/EXT >2.0 CM,533.0,474.37,60.06,533.0,482 CDM,PX-11305,PR SHAVE S/N/H/F/G LESN <=0.5CM,352.0,313.28,41.48,352.0,489 CDM,PX-11306,PR SHAVE S/N/H/F/G LESN 0.6-1.0CM,398.0,354.22,48.33,398.0,489 CDM,PX-11307,PR SHAVE S/N/H/F/G LESN 1.1-2.0CM,463.0,412.07,53.97,463.0,489 CDM,PX-11308,PR SHAVE S/N/H/F/G LESN > 2.0CM,488.0,434.32,57.18,488.0,489 CDM,PX-11310,PR SHAVE F/E/EY/NO/L/M LESN <=0.5CM,374.0,332.86,45.83,374.0,489 CDM,PX-11311,PR SHAVE F/E/EY/NO/L/M LESN 0.6-1.0CM,439.0,390.71,54.01,439.0,489 CDM,PX-11312,PR SHAVE F/E/EY/NO/L/M LESN 1.1-2.0CM,513.0,456.57,61.44,513.0,482 CDM,PX-11313,PR SHAVE F/E/EY/NO/L/M LESN >2.0 CM,611.0,543.79,71.83,611.0,482 CDM,PX-11400,PR EXCISN BEN LESN TR/LMB <=0.5CM,627.0,558.03,52.26,627.0,489 CDM,PX-114000000,PSYCH PRIVATE - FACILITY,3515.0,3128.35,3163.6,3515.0,615 CDM,PX-114000001,PSYCH PEDS/ADOL PRIVATE - FACILITY,4355.0,3875.95,3919.6,4355.0,615 CDM,PX-11401,PR EXCISN BEN LESN TR/EXT 0.6-1CM,741.0,659.49,62.98,741.0,489 CDM,PX-11402,PR EXCISN BEN LESN TR/EXT 1.1-2CM,828.0,736.92,69.44,828.0,490 CDM,PX-11403,PR EXCISN BEN LESN TR/EXT 2.1-3CM,902.0,802.78,80.66,902.0,489 CDM,PX-11404,PR EXCISN BEN LESN TR/EXT 3.1-4CM,1275.0,1134.75,92.63,1275.0,489 CDM,PX-11406,PR EXCISN BEN LESN TR/EXT >4CM,1769.0,1574.41,132.34,1769.0,489 CDM,PX-11420,PR EXCISN BEN LESN S/N/H/F <=0.5,744.0,662.16,50.95,744.0,489 CDM,PX-11421,PR EXCISN BEN LESN S/N/H/F .6-1CM,861.0,766.29,64.63,861.0,489 CDM,PX-11422,PR EXCISN BEN LESN S/N/H 1.1-2CM,894.0,795.66,72.7,894.0,490 CDM,PX-11423,PR EXCISN BEN LESN S/N/H 2.1-3CM,1120.0,996.8,84.15,1120.0,489 CDM,PX-11424,PR EXCISN BEN LESN S/N/H 3.1-4CM,1344.0,1196.16,97.71,1344.0,489 CDM,PX-11426,PR EXCISN BEN LESN S/N/H/F >4.0CM,1900.0,1691.0,134.79,1900.0,489 CDM,PX-11440,PR EXCISN BEN LESN F/E/EY/NO/L/M<=.5CM,728.0,647.92,58.1,728.0,489 CDM,PX-11441,PR EXCISN BEN LESN F/E/EY/NO/L .6-1CM,801.0,712.89,70.44,801.0,489 CDM,PX-11442,PR EXCISN BEN LESN F/E/EY/NO 1.1-2CM,945.0,841.05,78.59,945.0,483 CDM,PX-11443,PR EXCISN BEN LESN F/E/EY/NO 2.1-3CM,1140.0,1014.6,92.72,1140.0,482 CDM,PX-11444,PR EXCISN BEN LESN F/E/EY/NO 3.1-4CM,1457.0,1296.73,115.5,1457.0,483 CDM,PX-11446,PR EXCISN BEN LESN F/E/EY/NO/L/M >4CM,2511.0,2234.79,158.65,2511.0,482 CDM,PX-11450,PR EXCISN SKN HDRDNTS AXLRY SMPL,2054.0,1828.06,185.22,2054.0,482 CDM,PX-11462,PR EXCISN SKN HDRDNTS INGNL SMPL,1925.0,1713.25,181.2,1925.0,482 CDM,PX-11470,PR EXCISN LESN SWEAT GLAND SMPL,2096.0,1865.44,201.15,2096.0,482 CDM,PX-11471,PR EXCISN LESN SWEAT GLAND CMPLX,2394.0,2130.66,234.75,2394.0,482 CDM,PX-115000000,INPATIENT - HOSPICE PRIVATE - FACILITY,3150.0,2803.5,2835.0,3150.0,615 CDM,PX-11600,PR EXCISN LESN MLG TR/LMB <=0.5CM,664.0,590.96,80.57,664.0,482 CDM,PX-11601,PR EXCISN LESN MLG TR/LMB .6-1CM,902.0,802.78,92.16,902.0,489 CDM,PX-11602,PR EXCISN LESN MLG TR/LMB 1.1-2CM,935.0,832.15,97.8,935.0,489 CDM,PX-11603,PR EXCISN LESN MLG TR/LMB 2.1-3CM,1111.0,988.79,111.59,1111.0,489 CDM,PX-11604,PR EXCISN LESN MLG TR/LMB 3.1-4CM,1230.0,1094.7,125.34,1230.0,489 CDM,PX-11606,PR EXCISN LESN MLG TR/LMB >4CM,2142.0,1906.38,184.32,2142.0,482 CDM,PX-11620,PR EXCISN LESN MLG NK/EXT <=.5CM,781.0,695.09,80.71,781.0,482 CDM,PX-11621,PR EXCISN LESN MLG NK/EXT .6-1CM,935.0,832.15,92.72,935.0,489 CDM,PX-11622,PR EXCISN LESN MLG NK/EXT 1.1-2CM,964.0,857.96,101.37,964.0,489 CDM,PX-11623,PR EXCISN LESN MLG NK/EXT 2.1-3CM,1197.0,1065.33,118.97,1197.0,489 CDM,PX-11624,PR EXCISN LESN MLG NK/EXT 3.1-4CM,1645.0,1464.05,136.28,1645.0,482 CDM,PX-11626,PR EXCISN LESN MLG NK/EXT >4CM,2075.0,1846.75,166.62,2075.0,482 CDM,PX-11640,PR EXCISN LESN MLG F/E/EY/NO <=0.5CM,838.0,745.82,82.34,838.0,482 CDM,PX-11641,PR EXCISN LESN MLG F/E/EY/NO/L .6-1CM,1240.0,1103.6,96.13,1240.0,489 CDM,PX-11642,PR EXCISN LESN MLG F/E/EY/NO 1.1-2CM,1231.0,1095.59,108.04,1231.0,482 CDM,PX-11643,PR EXCISN LESN MLG F/E/EY/NO 2.1-3CM,1407.0,1252.23,127.05,1407.0,482 CDM,PX-11644,PR EXCISN LESN MLG F/E/EY/NO 3.1-4CM,1725.0,1535.25,157.34,1725.0,482 CDM,PX-11646,PR EXCISN LESN MLG F/E/EY/NO/L/M >4CM,2790.0,2483.1,204.47,2790.0,482 CDM,PX-11719,PR TRIM NONDYSTROPHIC NAILS,84.0,74.76,5.87,84.0,491 CDM,PX-11720,PR DBRD NAIL(S) 1-5,121.0,107.69,22.65,121.0,510 CDM,PX-11721,PR DBRD NAILS >5,128.0,113.92,30.98,128.0,510 CDM,PX-11730,PR AVUL NAIL PLATE SMPL,412.0,366.68,45.64,412.0,489 CDM,PX-11732,PR AVUL NAIL PLATE SMPL EA ADD,166.0,147.74,26.32,166.0,489 CDM,PX-11740,PR EVAC SUBUNGUAL HEMA,256.0,227.84,20.13,256.0,514 CDM,PX-11750,PR EXCISN NAIL BED PRTL/COMPLT,832.0,740.48,64.18,832.0,489 CDM,PX-11755,PR BX NAIL UNIT,480.0,427.2,48.62,480.0,491 CDM,PX-11760,PR RPR NAIL BED,1066.0,948.74,75.86,1066.0,489 CDM,PX-11762,PR RCNSTRCT NAIL BED W GRAFT,1507.0,1341.23,119.01,1507.0,482 CDM,PX-11765,PR EXCISN INGROWN TOENAIL,510.0,453.9,57.01,510.0,514 CDM,PX-11770,PR EXCISN PILONIDAL CYST SMPL,1597.0,1421.33,133.17,1597.0,507 CDM,PX-11771,PR EXCISN PILONIDAL CYST EXTEN,2697.0,2400.33,274.06,2697.0,482 CDM,PX-11772,PR EXCISN PILONIDAL CYST CMPLX,3674.0,3269.86,335.95,3674.0,482 CDM,PX-118000000,REHAB PRIVATE - FACILITY,3545.0,3155.05,3190.6,3545.0,615 CDM,PX-11900,PR INJ INTRALESN <=7 LESN,229.0,203.81,19.67,229.0,510 CDM,PX-11901,PR INJ INTRALESN >7 LESN,313.0,278.57,27.88,313.0,482 CDM,PX-11920,PR TATTOO INCL MICROPIG<= 6.0 SCM,1642.0,1461.38,74.34,1642.0,507 CDM,PX-11921,PR TATTOO INCL MICROPIG 6.1-20 CM,2308.0,2054.12,79.71,2308.0,510 CDM,PX-11922,PR TATTOO INCL MPIG EA ADD 20 SCM,785.0,698.65,45.52,785.0,507 CDM,PX-11950,PR INJ FILL MATERIAL SUBQ <=1CC,910.0,809.9,35.2,910.0,482 CDM,PX-11951,PR SUBQ INJ FILLING MATRL >1CC,1258.0,1119.62,46.67,1258.0,483 CDM,PX-11960,PR INSN TISS EXPAND NOT BREAST,6550.0,5829.5,373.91,6550.0,482 CDM,PX-11970,PR RPLC TISS EXPAND W PERM IMPLNT,6271.0,5581.19,200.84,6271.0,482 CDM,PX-11971,PR RMVL TISS EXPAND WO INS IMPLNT,2194.0,1952.66,201.02,2194.0,482 CDM,PX-11976,PR RMVL IMPL CONTRACEPTIVE CAPSULE,718.0,639.02,57.88,718.0,482 CDM,PX-11980,PR IMPL SUBQ HORMONE PELLET,480.0,427.2,32.82,480.0,509 CDM,PX-11981,PR INS NON-BIODEGRADABLE DRUG DEL,567.0,504.63,36.23,567.0,514 CDM,PX-11982,PR RMVL DRUG IMPL,689.0,613.21,38.49,689.0,515 CDM,PX-11983,PR RMVL W REINS NONBIO DEL IMPL,826.0,735.14,48.1,826.0,515 CDM,PX-12001,PR SMPL RPR S/NK/TR/EXT <=2.5CM,551.0,490.39,45.7,551.0,489 CDM,PX-12002,PR SMPL S/NK/TR/EXT 2.6-7.5CM,604.0,537.56,47.3,604.0,514 CDM,PX-12004,PR SMPL RPR S/N/TR/EXT 7.6-12.5CM,985.0,876.65,54.54,985.0,507 CDM,PX-12005,PR SMPL RPR S/NK/TR/EXT 12.6-20CM,1264.0,1124.96,83.57,1264.0,482 CDM,PX-12006,PR SMPL RPR S/NK/TR/EXT 20.1-30CM,1714.0,1525.46,94.81,1714.0,482 CDM,PX-12007,PR SMPL RPR SCLP/NK/TR/EXT >30CM,1714.0,1525.46,100.11,1714.0,482 CDM,PX-12011,PR SMPL RPR F/E/EY/NO/L/M<=2.5CM,626.0,557.14,55.91,626.0,489 CDM,PX-12013,PR SMPL RPR F/E/EY/NO/L/M 2.6-5CM,821.0,730.69,49.28,821.0,514 CDM,PX-12014,PR SMPL RPR F/E/EY/NO/L/M 5.1-7.5CM,1190.0,1059.1,68.16,1190.0,482 CDM,PX-12015,PR SMPL RPR F/E/EY/N/L/M 7.6-12.5CM,1512.0,1345.68,70.83,1512.0,507 CDM,PX-12016,PR SMPL RPR F/E/EY/N/L/M 12.6-20CM,1867.0,1661.63,105.2,1867.0,482 CDM,PX-12020,PR TX WND DEHIS SMPL,1466.0,1304.74,108.47,1466.0,507 CDM,PX-12021,PR TX WND DEHIS W PACKING,782.0,695.98,62.85,782.0,508 CDM,PX-12031,PR INT RPR SCLP/AX/TR/EXT <=2.5,919.0,817.91,106.03,919.0,482 CDM,PX-12032,PR INT RPR SCLP/AX/TR/EXT 2.6-7.5,1207.0,1074.23,122.36,1207.0,489 CDM,PX-12034,PR INT RPR SCLP/AX/TR/EXT 7.6-12.5,1335.0,1188.15,135.47,1335.0,482 CDM,PX-12035,PR INT RPR SCLP/AX/TR/EXT 12.6-20,1758.0,1564.62,166.34,1758.0,482 CDM,PX-12036,PR INT RPR SCLP/AX/TR/EXT 20-30,2168.0,1929.52,190.89,2168.0,482 CDM,PX-12037,PR INT RPR SCLP/AX/TR/EXT >30.0,2600.0,2314.0,212.45,2600.0,482 CDM,PX-12041,PR INT RPR NK/HND/FT/EXG <=2.5,1079.0,960.31,107.05,1079.0,482 CDM,PX-12042,PR INT RPR NK/HND/FT/EXG 2.6-7.5,1150.0,1023.5,123.96,1150.0,489 CDM,PX-12044,PR INT RPR NK/HND/FT/EXG 7.6-12.5,1525.0,1357.25,157.32,1525.0,482 CDM,PX-12045,PR INT RPR NK/HND/FT/EXG 12.6-20,1979.0,1761.31,181.99,1979.0,482 CDM,PX-12046,PR INT RPR NK/HND/FT/EXG 20-30,2613.0,2325.57,221.06,2613.0,482 CDM,PX-12051,PR INT RPR F/E/EY/NO/L/M <=2.5,1153.0,1026.17,114.98,1153.0,483 CDM,PX-12052,PR INT F/E/EY/NO/L/M 2.6-5,1210.0,1076.9,126.47,1210.0,482 CDM,PX-12053,PR INT RPR F/E/EY/NO/L/M 5.1-7.5,1721.0,1531.69,146.47,1721.0,482 CDM,PX-12054,PR INT RPR F/E/EY/NO/L/M 7.6-12.5,1807.0,1608.23,157.91,1807.0,482 CDM,PX-12055,PR INT RPR F/E/EY/NO/L/M 12.6-20,2588.0,2303.32,218.61,2588.0,482 CDM,PX-12056,PR INT RPR F/E/EY/NO/L/M 20.1-30,3170.0,2821.3,250.18,3170.0,482 CDM,PX-12057,PR INTERMEDIATE RPR FACE >30CM,3185.0,2834.65,259.12,3185.0,482 CDM,PX-13100,PR CMPLX RPR TRUNK 1.1-2.5CM,1225.0,1090.25,137.16,1225.0,483 CDM,PX-13101,PR CMPLX RPR TRUNK 2.6-7.5CM,1427.0,1270.03,158.58,1427.0,482 CDM,PX-13102,PR CMPLX RPR TRUNK EA <=5CM,873.0,776.97,96.01,873.0,482 CDM,PX-13120,PR CMPLX RPR SCLP/LIMB 1.1-2.5CM,1332.0,1185.48,142.34,1332.0,482 CDM,PX-13121,PR CMPLX RPR SCLP/LIMB 2.6-7.5CM,1904.0,1694.56,169.49,1904.0,489 CDM,PX-13122,PR CMPLX RPR SCLP/LIMB ADD 5CM,839.0,746.71,102.39,839.0,489 CDM,PX-13131,PR CMPLX RPR FACE/AX/EXT 1.1-2.5,1465.0,1303.85,155.67,1465.0,483 CDM,PX-13132,PR CMPLX RPR FACE/AX/EXT 2.6-7.5,2211.0,1967.79,187.14,2211.0,482 CDM,PX-13133,PR CMPLX RPR FACE/AX/EXT ADD 5CM,1018.0,906.02,133.99,1018.0,482 CDM,PX-13151,PR CMPLX RPR EY/NO/E/L 1.1-2.5CM,1818.0,1618.02,169.32,1818.0,482 CDM,PX-13152,PR CMPLX RPR EY/NO/E/L 2.6-7.5CM,2893.0,2574.77,197.85,2893.0,482 CDM,PX-13153,PR CMPLX RPR EY/NO/E/L ADD<=5CM,1287.0,1145.43,149.71,1287.0,482 CDM,PX-13160,PR RPR WND SURGICAL SECNDRY CMPLX,4274.0,3803.86,285.41,4274.0,482 CDM,PX-14000,PR TISS XFER TR DEFECT <=10SCM,3088.0,2748.32,266.83,3088.0,482 CDM,PX-14001,PR TISS XFER TR DEFECT 10-30SCM,4570.0,4067.3,340.44,4570.0,482 CDM,PX-14020,PR TISS XFER SCLP/LIMB <=10SCM,2808.0,2499.12,288.44,2808.0,482 CDM,PX-14021,PR TISS XFER SCLP/LIMB 10-30SCM,4388.0,3905.32,353.79,4388.0,482 CDM,PX-14040,PR TISS XFER FACE/NK/EXT <=10SCM,4168.0,3709.52,308.1,4168.0,482 CDM,PX-14041,PR TISS XFER FACE/NK/EXT 10-30CM,4576.0,4072.64,371.89,4576.0,482 CDM,PX-14060,PR TISS XFER EAR/EY/N/LIP <=10SCM,3742.0,3330.38,309.83,3742.0,482 CDM,PX-14061,PR TISS XFER EY/N/E/LIP 10.1-30SCM,5673.0,5048.97,401.29,5673.0,482 CDM,PX-14301,PR TISS XFER ADJ 30.1-60SCM,6694.0,5957.66,445.08,6694.0,482 CDM,PX-14302,PR TISS XFER ADJ ADD 30SCM,1646.0,1464.94,170.44,1646.0,482 CDM,PX-14350,PR FILLETED FGR/TOE FLAP W PREP,3184.0,2833.76,242.82,3184.0,482 CDM,PX-15002,PR PREP WND TR/EXT PEDS 100SCM,1814.0,1614.46,245.69,1814.0,507 CDM,PX-15003,PR PREP WND TR/EXT EA ADD 100SCM,508.0,452.12,58.61,508.0,482 CDM,PX-15004,PR PREP WND HD/EXT EA ADD 100SCM,2191.0,1949.99,275.16,2191.0,507 CDM,PX-15005,PR PREP WND HD/EXT >100SCM,952.0,847.28,96.58,952.0,482 CDM,PX-15050,PR PINCH GRFT SMALL AREA <= 2 CM,3076.0,2737.64,243.04,3076.0,482 CDM,PX-15100,PR GRFT SPLIT SKN TR/LIMB 100SCM,4901.0,4361.89,364.42,4901.0,482 CDM,PX-15101,PR GRFT SPLIT SKN TR/LIMB ADD 100,1243.0,1106.27,160.2,1243.0,482 CDM,PX-15120,PR SPLIT AUTGRFT F/NK/HF <=100SCM,5102.0,4540.78,346.78,5102.0,482 CDM,PX-15121,PR SPLIT AUTGRFT F/NK/HF EA ADD,1524.0,1356.36,175.73,1524.0,482 CDM,PX-15135,PR DERM AUTGRFT F/NK/HF <= 100SCM,5863.0,5218.07,358.14,5863.0,482 CDM,PX-15200,PR GRFT FULL THCK TR <=20 SCM,3984.0,3545.76,349.17,3984.0,482 CDM,PX-15201,PR GRFT FULL THCK TR EA ADD 20 SCM,974.0,866.86,118.91,974.0,482 CDM,PX-15220,PR GRFT FULL THCK SCLP <= 20 SCM,3818.0,3398.02,314.39,3818.0,482 CDM,PX-15221,PR GRFT FULL THCK SCLP EA ADD 20 CM,771.0,686.19,107.55,771.0,482 CDM,PX-15240,PR GRFT FULL THCK F/G/HF <=20SCM,5021.0,4468.69,376.33,5021.0,482 CDM,PX-15241,PR GRFT FULL THCK F/G/HF EA ADD 20CM,1570.0,1397.3,143.66,1570.0,482 CDM,PX-15260,PR GRFT FULL THCK EY/NO/E/L <=20SCM,5129.0,4564.81,402.69,5129.0,482 CDM,PX-15261,PR GRFT FULL THCK EY/NO/E/L EA ADD 20SCM,1647.0,1465.83,166.73,1647.0,482 CDM,PX-15271,PR SKN GRFT A/TR/L <=100SCM/1ST 25,917.0,816.13,54.11,917.0,507 CDM,PX-15272,PR SKN SUBST GRFT A/TR/L ADD 25SCM,196.0,174.44,20.34,196.0,482 CDM,PX-15273,PR SKN GRFT A/TR/L <=100SCM PEDS,2008.0,1787.12,127.64,2008.0,482 CDM,PX-15274,PR SKN GRFT A/TR/L ADD 100SCM PEDS,512.0,455.68,68.9,512.0,482 CDM,PX-15275,PR SKN GRFT F/N/G/HF <=100SCM,1172.0,1043.08,54.92,1172.0,507 CDM,PX-15276,PR SKN GRFT F/N/G/HF ADD 25SCM,267.0,237.63,26.54,267.0,482 CDM,PX-15277,PR GRFT F/N/G/HF <=100SCM 1ST,1880.0,1673.2,142.95,1880.0,482 CDM,PX-15278,PR GRFT F/N/G/HF <=100SCM ADD,581.0,517.09,80.2,581.0,482 CDM,PX-15570,PR FORM DIRECT/TUBED PEDICLE TRUNK,6505.0,5789.45,388.18,6505.0,482 CDM,PX-15572,PR FORM PEDCL SCLP/A/L,5153.0,4586.17,370.88,5153.0,482 CDM,PX-15574,PR FORM PEDCL FACE/NK/AX/EXG/EXT,6106.0,5434.34,348.13,6106.0,482 CDM,PX-15576,PR FORM PEDCL EY/NO/E/L,4501.0,4005.89,318.7,4501.0,482 CDM,PX-15600,PR DELAY FLAP TR,2950.0,2625.5,152.3,2950.0,482 CDM,PX-15610,PR DELAY FLAP SCLP/A/L,3049.0,2713.61,159.18,3049.0,482 CDM,PX-15620,PR DELAY FLAP FACE/NK/AX/EXG/EXT,3338.0,2970.82,187.4,3338.0,482 CDM,PX-15630,PR DELAY FLAP EY/NO/E/L,3040.0,2705.6,190.33,3040.0,482 CDM,PX-15731,PR FHD FLAP W VASC PEDCL,6929.0,6166.81,455.19,6929.0,482 CDM,PX-15733,PR MUSC MYOQ/FSCQ FLP H&N PEDCL,7765.0,6910.85,349.47,7765.0,482 CDM,PX-15734,PR MUSCLE FLAP TRUNK,13204.0,11751.56,523.62,13204.0,482 CDM,PX-15736,PR MUSCLE FLAP UPPER EXT,9297.0,8274.33,426.91,9297.0,482 CDM,PX-15738,PR MUSCLE FLAP LWR EXT,12635.0,11245.15,438.61,12635.0,482 CDM,PX-15740,PR FLAP ISLAND PEDCL,5940.0,5286.6,417.67,5940.0,482 CDM,PX-15750,PR FLAP NEUR VASC PEDCL,8775.0,7809.75,323.57,8775.0,482 CDM,PX-15756,PR MUS FLAP W MICROVASC ANAST,23012.0,20480.68,750.63,23012.0,482 CDM,PX-15757,PR SKIN FLAP W MICROVASC ANAST,19698.0,17531.22,745.48,19698.0,482 CDM,PX-15758,PR FCL FLAP W MICROVASC ANAST,24895.0,22156.55,743.55,24895.0,482 CDM,PX-15760,PR COMPOSITE SKIN GRAFT,6304.0,5610.56,342.89,6304.0,482 CDM,PX-15769,PR GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC,4144.0,3688.16,174.99,4144.0,482 CDM,PX-15770,PR DERM FAT FASCIA GRAFT,6104.0,5432.56,236.98,6104.0,482 CDM,PX-15771,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS,4666.0,4152.74,263.33,4666.0,482 CDM,PX-15772,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC,1399.0,1245.11,161.85,1399.0,482 CDM,PX-15773,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS,5250.0,4672.5,249.11,5250.0,482 CDM,PX-15774,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC,1541.0,1371.49,158.11,1541.0,482 CDM,PX-15777,PR IMPLANTATION BIOLOGIC IMPLANT,1560.0,1388.4,171.99,1560.0,482 CDM,PX-15778,PR IMPL ABSRB MSH/PRSTH DLY CLS,3183.0,2832.87,128.67,3183.0,482 CDM,PX-15781,PR DERMABRASION SEGM FACE,2449.0,2179.61,210.75,2449.0,482 CDM,PX-15783,PR DERMABRASION SUPERFICIAL ANY,2746.0,2443.94,179.39,2746.0,482 CDM,PX-15786,PR ABRASION SNGL LESN,1126.0,1002.14,94.66,1126.0,482 CDM,PX-15788,PR CHEM PEEL FACIAL EPIDERMAL,1571.0,1398.19,157.28,1571.0,482 CDM,PX-15789,PR CHEM PEEL FACIAL DERMAL,2237.0,1990.93,213.41,2237.0,482 CDM,PX-15792,PR CHEM PEEL NONFACIAL EPIDERMAL,1642.0,1461.38,135.59,1642.0,482 CDM,PX-15820,PR BLEPH LWR EYELID,4739.0,4217.71,239.74,4739.0,482 CDM,PX-15821,PR BLEPH LWR EYELID W FAT PAD,4095.0,3644.55,257.16,4095.0,482 CDM,PX-15822,PR BLEPH UPR EYELID,3497.0,3112.33,191.33,3497.0,482 CDM,PX-15823,PR BLEPH UPR EYELID W EXCESS SKIN LID,4389.0,3906.21,257.32,4389.0,482 CDM,PX-15824,PR RHYTIDECTOMY FOREHEAD,6125.0,5451.25,2756.25,6125.0,477 CDM,PX-15825,PR RHYTIDECTOMY NK W TGHTNNG,11634.0,10354.26,5235.3,11634.0,477 CDM,PX-15828,PR RHYTIDECTOMY CHEEK/CHIN/NECK,16788.0,14941.32,7554.6,16788.0,477 CDM,PX-15829,PR RHYTIDECTOMY SUPERFICIAL,14390.0,12807.1,6475.5,14390.0,477 CDM,PX-15830,PR EXCISN EXCESS SKIN/TISS ABD,9326.0,8300.14,407.97,9326.0,482 CDM,PX-15832,PR EXCISN EXCESS SKIN/TISS THIGH,6235.0,5549.15,325.13,6235.0,482 CDM,PX-15834,PR EXCISN EXCESS SKIN/TISS HIP,10818.0,9628.02,314.19,10818.0,482 CDM,PX-15835,PR EXCISN EXCESS SKIN/TISS BUTTOCK,7150.0,6363.5,326.16,7150.0,482 CDM,PX-15836,PR EXCISN EXCESS SKIN/TISS ARM,4656.0,4143.84,282.71,4656.0,482 CDM,PX-15837,PR EXCISN EXCESS SKIN FRARM/HAND,5514.0,4907.46,372.52,5514.0,482 CDM,PX-15838,PR EXCISN EXCESS SKN/TISS FAT PAD,3633.0,3233.37,233.89,3633.0,482 CDM,PX-15839,PR EXCISN EXCESS SKN/TISS OTHER,5077.0,4518.53,379.27,5077.0,482 CDM,PX-15840,PR FACE NRV PALSY FASCIA GRFT,7692.0,6845.88,343.71,7692.0,482 CDM,PX-15841,PR GRAFT FACIAL NRV PARLYS FREE,10882.0,9684.98,606.64,10882.0,482 CDM,PX-15842,PR GRFT FACE NRV PALSY FREE MICRO,22292.0,19839.88,902.38,22292.0,482 CDM,PX-15845,PR GRAFT FACIAL NRV PARLYS MUS TR,7360.0,6550.4,374.85,7360.0,482 CDM,PX-15847,PR EXCISN EXC SKIN/ SUBQ TISS ABD,5192.0,4620.88,270.81,5192.0,482 CDM,PX-15851,PR RMVL SUTR W ANES OTHER SURG,383.0,340.87,22.82,383.0,482 CDM,PX-15852,PR DRSG CHNG W ANES NOT BURN,327.0,291.03,14.74,327.0,482 CDM,PX-15853,PR RMVL SUTURES WO ANES,71.0,63.19,9.36,71.0,483 CDM,PX-15854,PR RMVL SUTURES & STAPLE WO ANES,112.0,99.68,14.66,112.0,489 CDM,PX-15860,PR TEST INJ VASC FLOW FLAP/GRFT,1311.0,1166.79,34.68,1311.0,482 CDM,PX-15876,PR SUCTION ASSIS LIPECTOMY HD/NK,4106.0,3654.34,1847.7,4106.0,477 CDM,PX-15877,PR SUCTION ASSIS LIPECTOMY TRUNK,5588.0,4973.32,2514.6,5588.0,477 CDM,PX-15878,PR SUCT ASSIS LIPECTOMY UPP EXT,2263.0,2014.07,1018.35,2263.0,477 CDM,PX-15879,PR SUCT ASSIS LIPECTOMY LWR EXT,6993.0,6223.77,3146.85,6993.0,477 CDM,PX-15920,PR EXCISN TAIL BONE ULCER,3858.0,3433.62,239.0,3858.0,482 CDM,PX-15933,PR EXCISN ULCER SAC SUTR OSTEOT,5887.0,5239.43,314.52,5887.0,482 CDM,PX-15935,PR EXCISN SAC PRES ULCER W OSTECTMY,8469.0,7537.41,404.12,8469.0,482 CDM,PX-15936,PR EXCISN SAC PRESS ULCER IN PREP,5186.0,4615.54,317.0,5186.0,482 CDM,PX-15937,PR EXCISN ULCER PREP GRFT OSTEOT,6271.0,5581.19,353.04,6271.0,482 CDM,PX-15941,PR EXCISN ISCH DECUB ULCER W OST,7070.0,6292.3,336.36,7070.0,482 CDM,PX-15946,PR EXCISN ULCER ISCHL PREP GRFT,9891.0,8802.99,555.18,9891.0,482 CDM,PX-15958,PR EXCISN ULC TROCHNT GRFT OSTEOT,8866.0,7890.74,416.42,8866.0,482 CDM,PX-16000,PR TX BURN 1ST DEGREE INIT,378.0,336.42,36.02,378.0,482 CDM,PX-16020,PR DBRD BURN PRTL THCK <5%,400.0,356.0,37.51,400.0,482 CDM,PX-16025,PR DBRD BURN PRTL THCK 5-10%,578.0,514.42,66.19,578.0,482 CDM,PX-16030,PR DBRD BURN PRTL THCK >10%,1102.0,980.78,84.65,1102.0,482 CDM,PX-17000,PR DEST PREMALIGNANT LESN 1ST,276.0,245.64,23.01,276.0,515 CDM,PX-17003,PR DEST PREMALIGNANT LESN 2-14,37.0,32.93,4.5,37.0,514 CDM,PX-17004,PR DEST PREMALIGNANT LESN =>15,671.0,597.19,112.75,671.0,508 CDM,PX-171000000,NEWBORN LEVEL I - FACILITY,1310.0,1165.9,1179.0,1310.0,615 CDM,PX-17106,PR DEST CUT LESN PROLIF <10SCM,1519.0,1351.91,137.98,1519.0,482 CDM,PX-17107,PR DEST CUT LESN PROLIF 10-50SCM,2752.0,2449.28,179.2,2752.0,482 CDM,PX-17108,PR DEST CUT LESN PROLIF >50SCM,4087.0,3637.43,253.48,4087.0,482 CDM,PX-17110,PR DEST BENIGN LESN OTHR<=14,371.0,330.19,38.87,371.0,514 CDM,PX-17111,PR DEST BENIGN LESIONS OTHR >=15,466.0,414.74,45.37,466.0,507 CDM,PX-172000000,NEWBORN LEVEL II - FACILITY,3085.0,2745.65,2776.6,3085.0,615 CDM,PX-17250,PR CAUTERIZE CHEM GRANULATION TIS,358.0,318.62,31.43,358.0,508 CDM,PX-17260,PR DEST LESN MLG T/A/L <=0.5CM,383.0,340.87,39.5,383.0,482 CDM,PX-17261,PR DEST LESN MLG T/A/L .6-1CM,517.0,460.13,50.08,517.0,509 CDM,PX-17262,PR DEST LESN MLG TR/LIMB 1.1-2CM,664.0,590.96,60.09,664.0,512 CDM,PX-17263,PR DEST LESN MLG TR/LIMB 2.1-3CM,732.0,651.48,76.58,732.0,489 CDM,PX-17264,PR DEST LESN MLG TR/LIMB 3.1-4CM,831.0,739.59,82.17,831.0,482 CDM,PX-17266,PR DEST LESN MLG TR/LIMB >4CM,1007.0,896.23,93.54,1007.0,489 CDM,PX-17270,PR DEST LESN MLG S/NK/EXT<=.5CM,472.0,420.08,59.88,472.0,482 CDM,PX-17271,PR DEST LESN MLG S/NK/EXT .6-1CM,595.0,529.55,56.15,595.0,507 CDM,PX-17272,PR DEST LESN MLG S/NK/EXT 1.1-2CM,704.0,626.56,63.32,704.0,509 CDM,PX-17273,PR DEST LESN MLG S/NK/EXT 2.1-3CM,850.0,756.5,82.88,850.0,489 CDM,PX-17274,PR DEST LESN MLG S/NK/EXT 3.1-4CM,948.0,843.72,96.89,948.0,482 CDM,PX-17276,PR DEST SKIN MAL LES >4.0 CM,1267.0,1127.63,112.58,1267.0,482 CDM,PX-17280,PR DEST LESN MLG F/E/EY/NO/L/M <=.5CM,571.0,508.19,56.39,571.0,482 CDM,PX-17281,PR DEST LESN MLG F/E/EY/NO/L/M .6-1CM,578.0,514.42,60.55,578.0,507 CDM,PX-17282,PR DEST LESN MLG F/E/EY/NO/L/M 1.1-2CM,737.0,655.93,69.13,737.0,507 CDM,PX-17283,PR DEST SKIN MLG LESN 2.1-3.0 CM,948.0,843.72,96.17,948.0,489 CDM,PX-17284,PR DEST SKIN MLG LESN 3.1-4.0 CM,1055.0,938.95,109.62,1055.0,482 CDM,PX-17286,PR DEST LESN MLG F/E/EY/NO/L/M >4CM,1418.0,1262.02,141.48,1418.0,482 CDM,PX-173000000,NEWBORN LEVEL III - FACILITY,5510.0,4903.9,4959.0,5510.0,615 CDM,PX-17311,PR MOHS HD/NK/EXDT/EXG 1 STAGE,2852.0,2538.28,271.75,2852.0,482 CDM,PX-17312,PR MOHS HD/NK/EXDT/EXG ADD STAGE,1681.0,1496.09,329.09,1681.0,482 CDM,PX-17313,PR MOHS TR/LIMB 1 STAGE 1-5,2588.0,2303.32,255.49,2588.0,482 CDM,PX-17314,PR MOHS TR/LIMB EA ADD STAGE,1561.0,1389.29,315.5,1561.0,482 CDM,PX-17315,PR MOHS EA BLOCK AFTER FIRST 5,375.0,333.75,64.4,375.0,482 CDM,PX-17380,PR ELECTROLYSIS EPILATION EA 30 MIN,536.0,477.04,241.2,536.0,477 CDM,PX-174000000,NEWBORN LEVEL IV - FACILITY,7835.0,6973.15,7051.6,7835.0,615 CDM,PX-17999023,PR CO2 LASER RESURFACING 1 SEGMNT,1908.0,1698.12,95.4,1908.0,483 CDM,PX-17999024,PR CO2 LASER RESURFACING 2 SEGMNT,2441.0,2172.49,122.05,2441.0,483 CDM,PX-17999026,PR CO2 LASER RESURFACING TOTAL FACE,3812.0,3392.68,190.6,3812.0,483 CDM,PX-17999034,PR COSM CO2 LASER 3 SEGM,1458.0,1297.62,72.9,1458.0,483 CDM,PX-17999035,PR COSM CO2 LASER 1 SEGM,956.0,850.84,47.8,956.0,483 CDM,PX-17999036,PR COSM CO2 LASER 2 SEGM,1208.0,1075.12,60.4,1208.0,483 CDM,PX-17999037,PR COSM CO2 LASER FULL FACE,2762.0,2458.18,138.1,2762.0,483 CDM,PX-17999039,PR FRAXEL LASER LARGE TX,1404.0,1249.56,70.2,1404.0,483 CDM,PX-17999040,PR FRAXEL LASER REGIONAL TX,596.0,530.44,29.8,596.0,483 CDM,PX-17999041,PR FRAXEL LASER SPOT TX,250.0,222.5,12.5,250.0,483 CDM,PX-17999099,PR IPL OPH DRY EYE,515.0,458.35,25.75,515.0,483 CDM,PX-17999118,PR LASER DEST LESN <10 SQ CM,363.0,323.07,18.15,363.0,483 CDM,PX-17999135,PR LASER RMVL TATTOO <10SQ CM,200.0,178.0,10.0,200.0,483 CDM,PX-17999192,PR LASER DESTR LESN 10-50 SQ CM,734.0,653.26,36.7,734.0,483 CDM,PX-17999193,PR LASER DESTR LESN >50 SQ CM,1666.0,1482.74,83.3,1666.0,483 CDM,PX-17999195,PR VEINTX EXCEL V LASER,317.0,282.13,15.85,317.0,483 CDM,PX-17999204,PR US LYMPHATIC MAPPING WITH CONTRAST,190.0,169.1,9.5,190.0,483 CDM,PX-17999209,PR FIBROBLAST SKIN BX,459.0,408.51,22.95,459.0,483 CDM,PX-19000,PR ASP BREAST CYST,567.0,504.63,38.97,567.0,482 CDM,PX-19001,PR ASP BREAST CYST ADD,262.0,233.18,20.83,262.0,482 CDM,PX-19020,PR MASTOTOMY W EXPLR/DRAIN ABSC,2238.0,1991.82,205.29,2238.0,482 CDM,PX-19030,PR INJ PROC FOR DUCTOGRAM,548.0,487.72,64.81,548.0,482 CDM,PX-19081,PR BX BRST W DEV 1ST LESN STERETCTC,2983.0,2654.87,196.04,2983.0,482 CDM,PX-19082,PR BX BRST W DEV ADD STRTC GUID,2109.0,1877.01,300.47,2109.0,482 CDM,PX-19083,PR BX BRST W DEV 1ST LESN US GUID,2740.0,2438.6,195.1,2740.0,482 CDM,PX-19084,PR BX BRST ADD LESION US GUID,2256.0,2007.84,295.69,2256.0,482 CDM,PX-19085,PR BX BREAST W LOC MR GUID 1ST,4686.0,4170.54,296.87,4686.0,482 CDM,PX-19086,PR BX BREAST W LOC MR GUID ADD,3224.0,2869.36,459.64,3224.0,482 CDM,PX-19100,PR BX BRST PERC WO IMG GUID,640.0,569.6,65.09,640.0,482 CDM,PX-19101,PR BX BRST OPN,2139.0,1903.71,137.96,2139.0,482 CDM,PX-19110,PR EXPLORE NIPPLE,2675.0,2380.75,211.37,2675.0,482 CDM,PX-19112,PR EXCISN LACTIFEROUS DUCT FSTL,2502.0,2226.78,200.75,2502.0,482 CDM,PX-19120,PR RMVL BREAST LESN 1 OR MORE,2944.0,2620.16,223.87,2944.0,482 CDM,PX-19125,PR EXCISN BRST LESN MARKER ID OPN,3270.0,2910.3,247.22,3270.0,482 CDM,PX-19126,PR EXCISN BRST LESN MARKER ID ADD,1407.0,1252.23,104.03,1407.0,482 CDM,PX-19281,PR PLC BREAST LOC DEV MAMMO 1ST,1355.0,1205.95,95.92,1355.0,482 CDM,PX-19282,PR PLC BREAST LOC DEV MAMMO ADD,813.0,723.57,135.89,813.0,482 CDM,PX-19283,PR PERC LOC DEV BRST 1ST STRTCTC,1611.0,1433.79,102.17,1611.0,482 CDM,PX-19284,PR PERC DEV BRST EA ADD STRTCTC,940.0,836.6,149.6,940.0,482 CDM,PX-19285,PR PLC BRST LOC DEV 1ST W US,1607.0,1430.23,144.65,1607.0,482 CDM,PX-19286,PR PLC BRST LOC DEV EA ADD/US,1213.0,1079.57,238.17,1213.0,482 CDM,PX-19287,PR PLC BREAST LOC DEV MR GUID 1ST,4322.0,3846.58,248.29,4322.0,482 CDM,PX-19288,PR PLC BREAST LOC DEV MR GUID EA ADD,2603.0,2316.67,380.28,2603.0,482 CDM,PX-19297,PR PLC BRST CATH FOR RAD,664.0,590.96,60.31,664.0,482 CDM,PX-19300,PR MASTECTOMY GYNECOMASTIA,3231.0,2875.59,253.42,3231.0,482 CDM,PX-19301,PR MASTECTOMY PARTIAL,4100.0,3649.0,236.32,4100.0,482 CDM,PX-19302,PR MAST PRTL W AXLRY LYMPHDEC,5657.0,5034.73,323.72,5657.0,482 CDM,PX-19303,PR MASTECT SMPL COMPLT,7731.0,6880.59,341.27,7731.0,482 CDM,PX-19305,PR MAST RADCL INCL PECT MUS,6828.0,6076.92,409.79,6828.0,482 CDM,PX-19307,PR MASTECT RADICAL MODIFIED,6613.0,5885.57,420.81,6613.0,482 CDM,PX-19316,PR MASTOPEXY,7335.0,6528.15,280.57,7335.0,482 CDM,PX-19318,PR BREAST REDUC,10120.0,9006.8,375.83,10120.0,482 CDM,PX-19325,PR BREAST AUGMENT W IMPLNT,5535.0,4926.15,219.78,5535.0,482 CDM,PX-19328,PR RMVL INTACT BRST IMPLNT,3968.0,3531.52,198.68,3968.0,482 CDM,PX-19330,PR RMVL RPTRD BRST IMPLNT,5204.0,4631.56,228.41,5204.0,482 CDM,PX-19340,PR IMMED INSRT BRST IMPLNT,8184.0,7283.76,270.22,8184.0,482 CDM,PX-19342,PR DELAYED INSRT/RPLC BRST IMPLNT,7003.0,6232.67,268.42,7003.0,482 CDM,PX-19350,PR RCNST NIPPLE/AREOLA,6604.0,5877.56,355.06,6604.0,482 CDM,PX-19357,PR RCNST BRST TISS EXPAND,14443.0,12854.27,417.53,14443.0,482 CDM,PX-19361,PR RCNST BRST W LAT DORSI FLAP,14488.0,12894.32,528.41,14488.0,482 CDM,PX-19364,PR RCNST BRST W FREE FLAP,39858.0,35473.62,899.16,39858.0,482 CDM,PX-19367,PR RCNST BRST W TRAM FLAP,16669.0,14835.41,595.81,16669.0,482 CDM,PX-19370,PR REV PERI CAPSULOTOMY BRST,5195.0,4623.55,238.27,5195.0,482 CDM,PX-19371,PR PERI IMPLT CAPSULECTOMY BRST COMPL,6994.0,6224.66,250.38,6994.0,482 CDM,PX-19380,PR REVISION OF RECONSTRUCTED BRST,6488.0,5774.32,284.14,6488.0,482 CDM,PX-19499004,PR TOMO GUIDED BREAST BIOPSY,2983.0,2654.87,149.15,2983.0,477 CDM,PX-19499006,PR TOMO GUIDED BREAST LOC DEV,1355.0,1205.95,67.75,1355.0,477 CDM,PX-19499007,PR MOLECULAR GUIDED BREAST BIOPSY,2983.0,2654.87,149.15,2983.0,477 CDM,PX-200000000,INTENSIVE CARE - FACILITY,7555.0,6723.95,6799.6,7555.0,615 CDM,PX-20100,PR EXPLR PNTRATE WND NK,3903.0,3473.67,202.96,3903.0,482 CDM,PX-201000000,SURGICAL INTENSIVE CARE - FACILITY,7555.0,6723.95,6799.6,7555.0,615 CDM,PX-20101,PR EXPLR PNTRATE WND CHST,2523.0,2245.47,253.29,2523.0,482 CDM,PX-20102,PR EXPLR PNTRATE WND ABD/FLNK/BCK,3092.0,2751.88,266.51,3092.0,482 CDM,PX-20103,PR EXPLR PNTRATE WND EXT,3075.0,2736.75,236.28,3075.0,482 CDM,PX-20150,PR EXCISE EPIPHYSEAL BAR,5948.0,5293.72,350.46,5948.0,482 CDM,PX-20200,PR BX MUS SUPFCL,1063.0,946.07,97.27,1063.0,506 CDM,PX-202000000,MEDICAL INTENSIVE CARE - FACILITY,7555.0,6723.95,6799.6,7555.0,615 CDM,PX-20205,PR BX MUS DEEP,1421.0,1264.69,134.79,1421.0,482 CDM,PX-20206,PR BX MUS PERC NDL,924.0,822.36,86.58,924.0,482 CDM,PX-20220,PR BX BN TROCAR/NDL SUPFCL,840.0,747.6,91.34,840.0,482 CDM,PX-20225,PR BX BN TROCAR/NDL DEEP,1995.0,1775.55,149.59,1995.0,482 CDM,PX-20240,PR BX BN OPN SUPFCL,1353.0,1204.17,49.15,1353.0,482 CDM,PX-20245,PR BX BN OPN DEEP,3437.0,3058.93,114.53,3437.0,482 CDM,PX-20251,PR BX VERTEBRAL BODY OPEN LUMB/CERV,4200.0,3738.0,158.04,4200.0,482 CDM,PX-203000000,PEDIATRICS INTENSIVE CARE - FACILITY,7555.0,6723.95,6799.6,7555.0,615 CDM,PX-203000001,INTERMEDIATE PEDIATRIC PRIVATE - FACILITY,5175.0,4605.75,4657.6,5175.0,615 CDM,PX-20501,PR INJ SINUS TRACT DX,516.0,459.24,55.94,516.0,482 CDM,PX-20520,PR RMVL FB MUS SMPL,964.0,857.96,93.05,964.0,482 CDM,PX-20525,PR RMVL FB MUS DEEP/COMPLICATED,2943.0,2619.27,200.71,2943.0,482 CDM,PX-20526,PR INJ THER CARPAL TUNNEL,431.0,383.59,34.96,431.0,482 CDM,PX-20527,PR INJ ENZYME PALMAR FASCIAL CORD,447.0,397.83,37.26,447.0,482 CDM,PX-20550,PR INJ SNGL TNDN/SHTH/LGMNT,303.0,269.67,24.2,303.0,484 CDM,PX-20551,PR INJ SNGL TENDN ORIGIN/INS,291.0,258.99,24.29,291.0,482 CDM,PX-20552,PR INJ TRIGGER PNT<=2 MUS,375.0,333.75,20.79,375.0,490 CDM,PX-20553,PR INJ TRIGGER PNT >=3 MUS,434.0,386.26,24.02,434.0,488 CDM,PX-20555,PR NDL PLCMNT MUS RADIOELE,2290.0,2038.1,110.46,2290.0,482 CDM,PX-20560,PR NDL INSERT W/O INJECT; 1-2 MUSCLES PT,53.0,47.17,20.31,53.0,483 CDM,PX-20561,PR NDL INSERT W/O INJECT; 3 OR MORE MUSCLES PT,85.0,75.65,31.0,85.0,484 CDM,PX-20600,PR ARTHCS ASP/INJ SM JT WO US,311.0,276.79,22.51,311.0,482 CDM,PX-206000000,INTERMEDIATE INTENSIVE CARE - FACILITY,4665.0,4151.85,4198.6,4665.0,615 CDM,PX-206000001,SERVICE UPGRADE - FACILITY,6270.0,5580.3,5643.0,6270.0,615 CDM,PX-20604,PR ARTHCS ASP/INJ JOINT/BURSA W US,633.0,563.37,35.16,633.0,482 CDM,PX-20605,PR ARTHCS ASP/INJ INT JT WO US,323.0,287.47,19.48,323.0,507 CDM,PX-20606,PR ARTHCS ASP/INJ INT JT W US,722.0,642.58,37.96,722.0,491 CDM,PX-20610,PR ARTHCS ASP/INJ MJR JT WO US,371.0,330.19,23.19,371.0,514 CDM,PX-20611,PR ARTHCS ASP/INJ MJR JT W US,851.0,757.39,35.64,851.0,508 CDM,PX-20612,PR ASP/INJ CYST GANGLION,341.0,303.49,27.3,341.0,482 CDM,PX-20615,PR ASP/INJ CYST BN,1291.0,1148.99,101.36,1291.0,482 CDM,PX-20650,PR INS WIRE/PIN APP TRACTION,806.0,717.34,100.08,806.0,482 CDM,PX-20660,PR APP TONGS/CALIPER CRAN W RMVL,2275.0,2024.75,76.04,2275.0,482 CDM,PX-20661,PR APP CRANIAL HALO INCL RMVL,3438.0,3059.82,212.75,3438.0,482 CDM,PX-20664,PR APPL HALO 6/> PINS THIN SKULL,5944.0,5290.16,350.31,5944.0,482 CDM,PX-20670,PR RMVL IMPLANT SUPERFICIAL,1689.0,1503.21,152.13,1689.0,482 CDM,PX-20680,PR RMVL IMPLANT DEEP,2842.0,2529.38,252.43,2842.0,482 CDM,PX-20690,PR APP UNIPLN EXTRNL FIX,3652.0,3250.28,208.47,3652.0,482 CDM,PX-20692,PR APP MLTPLN EXTRNL FIX,5119.0,4555.91,404.08,5119.0,482 CDM,PX-20693,PR ADJUST EXTRNL FIX W ANES,2861.0,2546.29,167.65,2861.0,482 CDM,PX-20694,PR RMVL EXTRNL FIX W ANES,2518.0,2241.02,184.4,2518.0,482 CDM,PX-20696,PR APP MLTPLN EXT FIX W SCAA,6981.0,6213.09,408.95,6981.0,482 CDM,PX-20700,"PR INSERT DRUG-DELVRY DEVICE(S), DEEP (EG, SUBFSCL), ADD",731.0,650.59,64.89,731.0,482 CDM,PX-20701,"PR RMVL DRUG-DELVRY DEVICE(S), DEEP (EG, SUBFSCL), ADD",564.0,501.96,50.18,564.0,482 CDM,PX-20702,"PR INSERT OF DRUG DELVRY DEVICE(S), INTRAMEDULLARY, ADD",1202.0,1069.78,112.53,1202.0,482 CDM,PX-20703,"PR RMVL DRUG-DELVRY DEVICE(S), INTRAMEDULLARY, ADD",896.0,797.44,82.16,896.0,482 CDM,PX-20704,"PR INSERT DRUG-DELVRY DEVICE(S), INTRA-ARTICLR, ADD",1250.0,1112.5,118.5,1250.0,482 CDM,PX-20705,"PR RMVL DRUG-DELVRY DEVICE(S), INTRA-ARTICLR, ADD",1034.0,920.26,97.45,1034.0,482 CDM,PX-20816,PR RPLNT DGT MCP TO INS FLX TDN,14883.0,13245.87,692.16,14883.0,482 CDM,PX-20822,PR RPLNT DGT DIST TIP TO SUB TDN,11066.0,9848.74,607.2,11066.0,482 CDM,PX-20900,PR GRFT BN ANY AREA MINOR/SML,2478.0,2205.42,161.2,2478.0,482 CDM,PX-20902,PR GRFT BN ANY AREA MJR/LRG,3023.0,2690.47,91.47,3023.0,482 CDM,PX-20910,PR CARTILAGE GRAFT COSTOCHONDRAL,3307.0,2943.23,181.16,3307.0,482 CDM,PX-20912,PR GRFT CRTLG NASAL SEPTUM,3381.0,3009.09,170.21,3381.0,482 CDM,PX-20920,PR GRFT FASCIA LATA BY STRIPPER,2293.0,2040.77,140.17,2293.0,482 CDM,PX-20922,PR GRFT FASCIA LATA INCISN CMPLX,4415.0,3929.35,258.22,4415.0,482 CDM,PX-20924,PR GRFT TNDN FROM DISTANCE,3729.0,3318.81,182.44,3729.0,482 CDM,PX-20930,PR ALLOGRAFT MORSEL SPINE SURG,1279.0,1138.31,1125.52,1279.0,423 CDM,PX-20931,PR ALLOGRAFT STRUCTURE SPINE SURG,1211.0,1077.79,69.28,1211.0,482 CDM,PX-20932,PR OSTEOART ALGRFT W/SURF & B1,5969.0,5312.41,480.68,5969.0,482 CDM,PX-20934,PR INTERCALARY ALGRFT COMPL,5875.0,5228.75,480.68,5875.0,482 CDM,PX-20936,PR AUTOGRAFT LOCAL SPINE SURG,2003.0,1782.67,1762.64,2003.0,423 CDM,PX-20937,PR AUTOGRAFT MORSEL SPINE SURG SEP,2208.0,1965.12,105.75,2208.0,482 CDM,PX-20938,PR AUTOGRAFT SPINE SURG STRCT/BI/TRICORT,2364.0,2103.96,115.64,2364.0,482 CDM,PX-20939,PR BONE MARROW ASPIR BONE GRFG,503.0,447.67,43.92,503.0,482 CDM,PX-20950,PR MONITOR INTERSTITIAL FLUID PRSR,1434.0,1276.26,114.13,1434.0,482 CDM,PX-20955,PR GRFT BN FIBULA MICROVASC ANAST,17166.0,15277.74,863.72,17166.0,482 CDM,PX-20962,PR GRFT BN NOT FIBULA MICROVASC ANAST,13249.0,11791.61,922.94,13249.0,482 CDM,PX-20969,PR FREE OSTQ FLAP W MICROVASC GR TOE,20403.0,18158.67,889.38,20403.0,482 CDM,PX-20970,PR OSTEOCUTANEOUS FLAP W ANAST ILIAC,23588.0,20993.32,956.84,23588.0,482 CDM,PX-20982,PR ABLATION BN TMR RADIOFREQUENCY,10449.0,9299.61,1448.52,10449.0,482 CDM,PX-20983,PR ABLATION BN TMR CRYOABLATION,13696.0,12189.44,2048.73,13696.0,482 CDM,PX-20985,PR CASN PROC MUSSKL NO IMG,914.0,813.46,92.13,914.0,464 CDM,PX-20999014,PR BARBOTAGE PROC,4345.0,3867.05,217.25,4345.0,478 CDM,PX-20999025,PR EXTRCRPL MAGTRANSDUCT THER (EMTT),50.0,44.5,2.5,50.0,478 CDM,PX-21010,PR ARTHROTOMY TMJ,4403.0,3918.67,262.59,4403.0,482 CDM,PX-21011,PR EXCISN TMR FACE/SCLP SUBQ <2CM,1779.0,1583.31,159.44,1779.0,489 CDM,PX-21012,PR EXCISN TMR FACE/SCLP SUBQ>=2CM,1877.0,1670.53,125.22,1877.0,483 CDM,PX-21013,PR EXCISN TMR FACE/SCALP SUBFAS <2CM,2542.0,2262.38,225.53,2542.0,482 CDM,PX-21014,PR EXCISN TMR FACE/SCALP SUBFAS >=2CM,2768.0,2463.52,185.72,2768.0,482 CDM,PX-21016,PR RADCL RSECT TMR FACE/SCLP>=2CM,6649.0,5917.61,345.13,6649.0,482 CDM,PX-21025,PR EXCISN BN MAND,4323.0,3847.47,335.73,4323.0,482 CDM,PX-21026,PR EXCISN BN FACIAL,3184.0,2833.76,232.21,3184.0,482 CDM,PX-21029,PR RMVL CONTOURING BN TMR FACIAL,4505.0,4009.45,324.88,4505.0,482 CDM,PX-21030,PR EXCISN TMR BEN E&C,2339.0,2081.71,192.04,2339.0,482 CDM,PX-21031,PR EXCISN TORUS MANDIBULARIS,1824.0,1623.36,157.94,1824.0,506 CDM,PX-21032,PR EXCISN MAXILLARY TORUS PALATIN,1822.0,1621.58,155.54,1822.0,482 CDM,PX-21034,PR EXCISN TMR MLG MAXILLA/ZYGOMA,6822.0,6071.58,516.48,6822.0,482 CDM,PX-21040,PR EXCISN TMR MANDIBLE BN ENUC,1817.0,1617.13,193.72,1817.0,482 CDM,PX-21044,PR EXCISN LESN MLG MAND,5986.0,5327.54,297.71,5986.0,482 CDM,PX-21045,PR EXCISN MLG TMR MAND RADICAL,7252.0,6454.28,411.36,7252.0,482 CDM,PX-21046,PR EXCISN BEN TMR MAND INTRAORAL,5743.0,5111.27,354.58,5743.0,482 CDM,PX-21047,PR EXCISN BEN TMR MAND EXTRAORAL,10099.0,8988.11,418.15,10099.0,482 CDM,PX-21048,PR EXCISN TMR BEN MAXL IO OSTEO,5767.0,5132.63,357.47,5767.0,482 CDM,PX-21049,PR EXCISN TMR BEN EO/PRTL MAXL,9112.0,8109.68,396.66,9112.0,482 CDM,PX-21050,PR REMOVAL OF JAW JOINT,4961.0,4415.29,313.05,4961.0,482 CDM,PX-21060,PR MENISCECTOMY JAW JT PRTL/COMPLT,5942.0,5288.38,281.36,5942.0,482 CDM,PX-21070,PR CORONOIDECTOMY SEPARATE PROC,4407.0,3922.23,211.14,4407.0,482 CDM,PX-21073,PR MANIP OF TMJ THER W ANES,1579.0,1405.31,174.35,1579.0,482 CDM,PX-21076,PR IMPRESS&PREP OBTURATOR PROSTH,5150.0,4583.5,364.34,5150.0,507 CDM,PX-21079001,PR IMPRESS&PREP INTERIM OBTURATOR - NEW,8797.0,7829.33,604.81,8797.0,508 CDM,PX-21080,PR IMPRESS&PREP DEFINIT OBTURATOR - NEW,11898.0,10589.22,687.52,11898.0,494 CDM,PX-21081001,PR IMPRESS&PREP MANDIBULAR RES <=4,9859.0,8774.51,632.89,9859.0,509 CDM,PX-21081002,PR IMPRESS&PREP MANDIBULAR RES >=5,11599.0,10323.11,632.89,11599.0,509 CDM,PX-21081003,PR IMPR&PRP MAND RES <=4 W/IMPLNT BAR,13370.0,11899.3,632.89,13370.0,485 CDM,PX-21081004,PR IMPR&PRP MAND RES >=5 W/IMPLNT BAR,15729.0,13998.81,632.89,15729.0,485 CDM,PX-21082,PR IMPRESS&PREP PALATAL AUGMENT,9700.0,8633.0,597.06,9700.0,506 CDM,PX-21083,PR IMPRESS&PREP PALATAL LIFT,6820.0,6069.8,563.8,6820.0,491 CDM,PX-21084,PR IMPRESS&PREP SPEECH AID PROSTH - ADULT,11534.0,10265.26,642.55,11534.0,482 CDM,PX-21085,PR IMPRESS&CUST ORAL SURG SPLINT,2670.0,2376.3,283.97,2670.0,507 CDM,PX-21085001,PR IMPRESS&PREP PALATAL STENT,854.0,760.06,283.97,854.0,483 CDM,PX-21085002,PR IMPRESS&PREP IMPLNT TISSUE BOLSTER,801.0,712.89,283.97,801.0,507 CDM,PX-21085003,PR GUNNING SPLINT,748.0,665.72,283.97,748.0,483 CDM,PX-21086001,PR IMPRESS&PREP AURICULAR PROSTH - NEW,16671.0,14837.19,646.03,16671.0,482 CDM,PX-21088,PR IMPRESS&PREP FACIAL PROSTH - NEW,10697.0,9520.33,1069.7,10697.0,477 CDM,PX-21089001,PR NAM THERAPY,4874.0,4337.86,487.4,4874.0,483 CDM,PX-21089002,PR FLUORIDE APPL TRAY ONE ARCH,248.0,220.72,24.8,248.0,483 CDM,PX-21089003,PR FLUORIDE APPL TRAYS UPPER & LOWER,496.0,441.44,49.6,496.0,483 CDM,PX-21089004,PR ORAL RADIATION SHIELD,2076.0,1847.64,207.6,2076.0,483 CDM,PX-21089005,PR IMPRESS&PREP MAXILLARY RES <=4,9859.0,8774.51,985.9,9859.0,483 CDM,PX-21089006,PR IMPRESS&PREP MAXILLARY RES >=5,11599.0,10323.11,1159.9,11599.0,483 CDM,PX-21089007,PR MAX IMPLT BAR W/ RMVBLE RES PROSTH >=4,13370.0,11899.3,1337.0,13370.0,483 CDM,PX-21089008,PR MAX IMPLT BAR W/ RMVBLE RES PROSTH <=5,15729.0,13998.81,1572.9,15729.0,483 CDM,PX-21089009,PR IMPRESS&PREP PALATAL LIFT - INTERIM,5175.0,4605.75,517.5,5175.0,483 CDM,PX-21089010,PR IMPRESS&PREP PALATAL LIFT -MOD SIMPLE,987.0,878.43,98.7,987.0,483 CDM,PX-21089011,PR IMPRESS&PREP PALATAL LIFT-MOD COMPLEX,1974.0,1756.86,197.4,1974.0,483 CDM,PX-21089012,PR SPEECH AID PROSTH - MOD SIMPLE,987.0,878.43,98.7,987.0,483 CDM,PX-21089013,PR SPEECH AID PROSTH - MOD COMPLEX,1974.0,1756.86,197.4,1974.0,483 CDM,PX-21089014,PR INTERIM FXD RES PROSTH - MAXILLARY,5175.0,4605.75,517.5,5175.0,483 CDM,PX-21089015,PR INTERIM FXD RES PROSTH - MANDIBLE,5175.0,4605.75,517.5,5175.0,483 CDM,PX-21089016,PR THERMOPLASTIC-BSD INTERIM RMVBL PROSTH,413.0,367.57,41.3,413.0,483 CDM,PX-21089017,PR INTERIM REMVBL RES PROSTH - MAXILLARY,1377.0,1225.53,137.7,1377.0,483 CDM,PX-21089018,PR INTERIM REMVBL RES PROSTH - MANDIBLE,1377.0,1225.53,137.7,1377.0,483 CDM,PX-21089019,PR SEMI-PRECSN ABUTMNT -INITIAL PLCMNT 1-3,723.0,643.47,72.3,723.0,483 CDM,PX-21089020,PR SEMI-PRECSN ABUTMNT -INITIAL PLCMNT >=4,1157.0,1029.73,115.7,1157.0,483 CDM,PX-21089021,PR SEMI-PRECSN ABUTMNT ATTCHMT/PCKUP MFP PROSTH -1TO2 ABTMNT,1808.0,1609.12,180.8,1808.0,483 CDM,PX-21089022,PR SEMI-PRECSN ABUTMNT ATTCHMT/PCKUP MFP PROSTH ->=3 ABTMNT,3616.0,3218.24,361.6,3616.0,483 CDM,PX-21089023,PR LAB RELINE DEFNTV RMVBL RES PROSTH - CMPLT ARCH,793.0,705.77,79.3,793.0,483 CDM,PX-21089024,PR LAB RELINE DEFNTV RMVBL RES PROSTH - PRTL ARCH,674.0,599.86,67.4,674.0,483 CDM,PX-21089025,PR REPAIR RMVBL RES PROSTH - ACRYLIC RESIN ONLAY W/WO CLASP,619.0,550.91,61.9,619.0,483 CDM,PX-21089026,PR REPAIR RMVBL RES PROSTH - 1TO3 TEETH W/WO CLASP,1110.0,987.9,111.0,1110.0,483 CDM,PX-21089027,PR REPAIR RMVBL RES PROSTH - 4TO6 TEETH W/WO CLASP,1661.0,1478.29,166.1,1661.0,483 CDM,PX-21089028,PR LAB REBASE FXD RES PROSTH - CMPLT ARCH,1303.0,1159.67,130.3,1303.0,483 CDM,PX-21089029,PR LAB REBASE FXD RES PROSTH - PRTL ARCH,1108.0,986.12,110.8,1108.0,483 CDM,PX-21089030,PR RMVL & RNSRTN FXD RES PROSTH - 1 ARCH,558.0,496.62,55.8,558.0,483 CDM,PX-21089031,PR RMVL & RNSRTN FXD RES PROSTH - 2 ARCHES,1116.0,993.24,111.6,1116.0,483 CDM,PX-21089032,PR MOD SURGICAL OBTURATOR,661.0,588.29,66.1,661.0,483 CDM,PX-21089033,PR MOD INTERIM OBTURATOR - SIMPLE,824.0,733.36,82.4,824.0,483 CDM,PX-21089034,PR MOD INTERIM OBTURATOR - COMPLEX,1648.0,1466.72,164.8,1648.0,483 CDM,PX-21089035,PR MOD DEFINITIVE OBTURATOR - SMPL,987.0,878.43,98.7,987.0,483 CDM,PX-21089036,PR MOD DEFINITIVE OBTURATOR - CMPLX,1974.0,1756.86,197.4,1974.0,483 CDM,PX-21089037,PR IMPRSS&PRP INTERIM OBTRTR REPAIR - SIMPLE,310.0,275.9,31.0,310.0,483 CDM,PX-21089038,PR IMPRSS&PRP INTERIM OBTRTR REPAIR - 1TO3 TEETH RPLCMNT,574.0,510.86,57.4,574.0,483 CDM,PX-21089039,PR IMPRSS&PRP INTERIM OBTRTR REPAIR - 4TO6 TEETH RPLCMNT,822.0,731.58,82.2,822.0,483 CDM,PX-21089040,PR IMPRSS&PRP INTERIM DEFINIT REPAIR - SIMPLE,310.0,275.9,31.0,310.0,483 CDM,PX-21089041,PR IMPRSS&PRP INTERIM DEFINIT REPAIR - 1TO3 TEETH RPLCMNT,574.0,510.86,57.4,574.0,483 CDM,PX-21089042,PR IMPRSS&PRP DEFINIT OBTRTR REPAIR - 4TO6 TEETH RPLCMNT,822.0,731.58,82.2,822.0,483 CDM,PX-21089043,PR IMPRSS&PRP AURICULAR PROSTH - REPAIR,5403.0,4808.67,540.3,5403.0,483 CDM,PX-21089044,PR IMPRSS&PRP AURICULAR PROSTH - REPLACE,8105.0,7213.45,810.5,8105.0,483 CDM,PX-21089045,PR IMPRSS&PRP FACIAL PROSTH - REPAIR,5403.0,4808.67,540.3,5403.0,483 CDM,PX-21089046,PR IMPRSS&PRP FACIAL PROSTH - REPLACE,8105.0,7213.45,810.5,8105.0,483 CDM,PX-21089047,PR IMPRSS&PRP NASAL PROSTH - REPAIR,5403.0,4808.67,540.3,5403.0,483 CDM,PX-21089048,PR IMPRSS&PRP NASAL PROSTH - REPLACE,8105.0,7213.45,810.5,8105.0,483 CDM,PX-21089049,PR IMPRSS&PRP ORBITAL PROSTH - REPAIR,5403.0,4808.67,540.3,5403.0,483 CDM,PX-21089050,PR IMPRSS&PRP ORBITAL PROSTH - REPLACE,8105.0,7213.45,810.5,8105.0,483 CDM,PX-21110,PR APP INTERDENTAL FIXATION DEVICE,3147.0,2800.83,357.02,3147.0,482 CDM,PX-21120,PR GENIOPLASTY AUGMENTATION,4844.0,4311.16,289.22,4844.0,482 CDM,PX-21121,PR GENIOPLASTY-SLIDING OSTEOTOMY,7103.0,6321.67,261.19,7103.0,482 CDM,PX-21122,PR GENIOPLASTY >=2 SLIDING OSTEOT,9028.0,8034.92,274.88,9028.0,482 CDM,PX-21137,PR REDUCT FOREHEAD CONTOUR ONLY,7698.0,6851.22,265.19,7698.0,482 CDM,PX-21139,PR RDUCT FRHEAD CNTR&SETBK FRNT SINUS,10667.0,9493.63,380.3,10667.0,482 CDM,PX-21141,PR RCNST MIDFACE WO BN GRFT,12749.0,11346.61,472.24,12749.0,482 CDM,PX-21142,PR LEFORT I-2 PIECE WO GRFT,13838.0,12315.82,483.34,13838.0,482 CDM,PX-21143,PR LEFORT I-3/> PIECE WO GRAFT,15185.0,13514.65,496.81,15185.0,482 CDM,PX-21145,PR LEFORT I-1 PIECE W GRAFT,16255.0,14466.95,540.92,16255.0,482 CDM,PX-21146,PR LEFORT I-2 PIECE W GRAFT,14613.0,13005.57,565.35,14613.0,482 CDM,PX-21147,PR LEFORT I-3/> PIECE W GRAFT,15306.0,13622.34,592.77,15306.0,482 CDM,PX-21154,PR RCNST MIDFACE ANY WO LEFORT I,14678.0,13063.42,646.07,14678.0,482 CDM,PX-21175,PR RCNST BIF SUPR LAT ORB&LWR FHD,20367.0,18126.63,737.41,20367.0,482 CDM,PX-21179,PR RCNST ENTIRE FOREHEAD,12674.0,11279.86,514.18,12674.0,482 CDM,PX-21181,PR RMVL BY CONTOUR BENIGN TUMOR,4968.0,4421.52,259.88,4968.0,482 CDM,PX-21196,PR RCNST LWR JAW W FIXATION,16121.0,14347.69,506.87,16121.0,482 CDM,PX-21198,PR OSTEOTOMY MANDIBLE SEGMENTAL,9521.0,8473.69,355.43,9521.0,482 CDM,PX-21199,PR RCNST LWR JAW W ADVANCE,9014.0,8022.46,350.32,9014.0,482 CDM,PX-21206,PR OSTEOTOMY MAXILLA SEGMENTAL,8655.0,7702.95,343.11,8655.0,482 CDM,PX-21209,PR OSTEOPLASTY FACIAL BNS RED,4739.0,4217.71,324.39,4739.0,482 CDM,PX-21210,PR GRFT BN NASAL/MAXILLARY,4147.0,3690.83,735.13,4147.0,482 CDM,PX-21215,PR GRFT BN MAND,4569.0,4066.41,1710.91,4569.0,482 CDM,PX-21230,PR GRFT RIB CRTLG AUTOGENOUS,6956.0,6190.84,255.17,6956.0,482 CDM,PX-21235,PR GRFT EAR CRTLG AUTOGENOUS,5127.0,4563.03,296.41,5127.0,482 CDM,PX-21240,PR ARTHRO TMJ W/WO AUTOGRFT,10085.0,8975.65,368.98,10085.0,482 CDM,PX-21243,PR ARTHRO TMPMAND JT W PROSTH RPLC,17214.0,15320.46,569.18,17214.0,482 CDM,PX-21244,PR RCNST EXT MAND W TXOST BN PLT,8758.0,7794.62,352.17,8758.0,482 CDM,PX-21245,PR RCNST MNDBL SUBOST IMPL PRTL,6684.0,5948.76,516.49,6684.0,482 CDM,PX-21246,PR ARTHROPLASTY MANDIB/MAX COMPLT,5535.0,4926.15,299.13,5535.0,482 CDM,PX-21256,PR RCNST ORBIT W OSTEOT & BN GRFT,10663.0,9490.07,429.41,10663.0,482 CDM,PX-21270,PR MALAR AUGMENT PROSTH MATRL,6359.0,5659.51,440.32,6359.0,482 CDM,PX-21280,PR MEDIAL CANTHOPEXY SEP PROC,5014.0,4462.46,210.32,5014.0,482 CDM,PX-21282,PR CANTHOPEXY LAT,3720.0,3310.8,148.36,3720.0,482 CDM,PX-21299001,PR ZYGOMATIC IMPLANTS UNILATERAL,6359.0,5659.51,317.95,6359.0,477 CDM,PX-21299002,PR ZYGOMATIC IMPLANTS BILATERAL,9539.0,8489.71,476.95,9539.0,477 CDM,PX-21315,PR CLSD TX NASAL FX WO STABL,1394.0,1240.66,65.2,1394.0,482 CDM,PX-21320,PR CLSD TX NASAL FX W STABL,1813.0,1613.57,89.78,1813.0,482 CDM,PX-21325,PR OPN TX NASAL FX UNCOMP,2670.0,2376.3,166.1,2670.0,482 CDM,PX-21330,PR OPN TX NASAL FX COMPLT W FIX,4632.0,4122.48,195.33,4632.0,482 CDM,PX-21335,PR OPEN TX NOSE & SEPTAL FX,6528.0,5809.92,255.7,6528.0,482 CDM,PX-21337,PR CLSD TX NSL FX SEPT W/WO STABL,2256.0,2007.84,172.77,2256.0,482 CDM,PX-21338,PR OPEN NASOETHMOID FX WO FIX,4512.0,4015.68,250.67,4512.0,482 CDM,PX-21343,PR OPN TX DEPRSD FRNTL SINUS FX,8020.0,7137.8,383.19,8020.0,482 CDM,PX-21344,PR OPN TX FRNT SINUS FX CMPLX,12065.0,10737.85,471.51,12065.0,482 CDM,PX-21346,PR OPN TX NASOMAX FX W FIX,6454.0,5744.06,362.97,6454.0,482 CDM,PX-21347,PR OPN TX NASOMAXILLLARY FX CMPLX,9642.0,8581.38,369.93,9642.0,482 CDM,PX-21356,PR OPN TX ZYGOMATIC ARCH FX,3435.0,3057.15,238.4,3435.0,482 CDM,PX-21360,PR OPN TX DEPRESSED MALAR FX,4975.0,4427.75,183.58,4975.0,482 CDM,PX-21365,PR OPN TX CMPLX MALAR FX,6979.0,6211.31,371.8,6979.0,482 CDM,PX-21385,PR OPN TX ORBIT FX TRANSANTRAL,4739.0,4217.71,262.15,4739.0,482 CDM,PX-21386,PR OPN TX ORBIT FX PERIORBITAL,5614.0,4996.46,243.93,5614.0,482 CDM,PX-21387,PR OPN TX ORBITAL FLOOR FX COMBIN AP,5825.0,5184.25,272.58,5825.0,482 CDM,PX-21390,PR OPN TX ORBIT FLOOR FX W IMPL,6920.0,6158.8,278.41,6920.0,482 CDM,PX-21400,PR CLSD TX ORBIT WO MANIPULATION,1593.0,1417.77,97.05,1593.0,482 CDM,PX-21406,PR OPN TX ORBIT FX WO IMPLANT,5431.0,4833.59,211.59,5431.0,482 CDM,PX-21407,PR OPN TX ORBIT FX W IMPLANT,5675.0,5050.75,226.9,5675.0,482 CDM,PX-21421,PR CLSD TX PALATAL/MAXIL FX W FIX,4063.0,3616.07,268.18,4063.0,482 CDM,PX-21422,PR OPN TX PALATAL/MAXILLARY FX,5284.0,4702.76,232.04,5284.0,482 CDM,PX-21423,PR OPN TX PALATAL/MAXIL FX CMPLX,6698.0,5961.22,279.27,6698.0,482 CDM,PX-21431,PR CLOSED TX CRANIOFACIAL SEPARATION,4967.0,4420.63,259.79,4967.0,482 CDM,PX-21432,PR OPN TX CRANIOFACIAL SEP W WIRE,5393.0,4799.77,262.86,5393.0,482 CDM,PX-21433,PR OPEN TX CRANIOFCL SEP MULT APPR,9883.0,8795.87,583.17,9883.0,482 CDM,PX-21440,PR TX MAND/MAXI FX ALVEOLAR RDGE,3166.0,2817.74,327.34,3166.0,482 CDM,PX-21450,PR CLSD TX MANDIB FX WO MANIP,3621.0,3222.69,245.48,3621.0,482 CDM,PX-21452,PR PERC TX MANDIB FX W EXTRNL FIX,5211.0,4637.79,316.98,5211.0,482 CDM,PX-21453,PR CLSD TX MANDBL FX INTRDNTL FIX,5147.0,4580.83,458.12,5147.0,482 CDM,PX-21454,PR OPN TX MANDIB FX W EXTRNL FIX,4043.0,3598.27,178.14,4043.0,482 CDM,PX-21461,PR OPN TX MANDIB FX WO INTDENT FIX,7103.0,6321.67,735.37,7103.0,482 CDM,PX-21462,PR OPN TX MANDIB FX W INTDENT FIX,8393.0,7469.77,833.95,8393.0,482 CDM,PX-21465,PR OPN TX MANDIBULAR CONDYLAR FX,7261.0,6462.29,284.24,7261.0,482 CDM,PX-21470,PR OPN TX CMPLX MANDIB FX MLT APPR,8855.0,7880.95,404.06,8855.0,482 CDM,PX-21480,PR CLSD TX DISLOC TMJ,684.0,608.76,70.69,684.0,482 CDM,PX-21485,PR CLSD TX TEMPOROMAND DISLC CMPLX,2183.0,1942.87,412.01,2183.0,482 CDM,PX-21497,PR WIRING INTERDENTAL NOT FX,2497.0,2222.33,294.29,2497.0,482 CDM,PX-21501,PR I&D DEEP ABSC NK/THORAX,2157.0,1919.73,207.53,2157.0,482 CDM,PX-21550,PR BX SOFT TISS NK/THORAX,1333.0,1186.37,110.34,1333.0,482 CDM,PX-21552,PR EXCISN TMR NK/THRX SUBQ >=3CM,2357.0,2097.73,162.71,2357.0,489 CDM,PX-21554,PR EXCISN TMR THRX SUBFSCL >=5CM,4134.0,3679.26,257.63,4134.0,482 CDM,PX-21555,PR EXCISN TMR NK/THORAX SUBQ <3CM,2076.0,1847.64,184.5,2076.0,489 CDM,PX-21556,PR EXCISN TMR THORAX SUBFSCL <5CM,2750.0,2447.5,188.54,2750.0,482 CDM,PX-21557,PR RSECT TMR NK/THORAX RADCL <5CM,6148.0,5471.72,333.64,6148.0,482 CDM,PX-21558,PR RSECT TMR NK/THRX RADCL >=5CM,7994.0,7114.66,459.55,7994.0,482 CDM,PX-21600,PR EXCISN RIB PARTIAL,5301.0,4717.89,218.81,5301.0,482 CDM,PX-21601,PR EXCISION CHEST WALL TUMOR INCLUDING RIBS,10178.0,9058.42,415.48,10178.0,482 CDM,PX-21602,PR EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC,13854.0,12330.06,580.37,13854.0,482 CDM,PX-21603,PR EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC,15868.0,14122.52,630.55,15868.0,482 CDM,PX-21615,PR EXCISION 1ST &/CERVICAL RIB,5635.0,5015.15,215.16,5635.0,482 CDM,PX-21620,PR OSTECTOMY STERNUM PARTIAL,4750.0,4227.5,190.08,4750.0,482 CDM,PX-21627,PR DEBRIDEMENT STERNAL,3954.0,3519.06,213.41,3954.0,482 CDM,PX-21630,PR RADICAL RESECTION STERNUM,8715.0,7756.35,449.45,8715.0,482 CDM,PX-21685,PR HYOID MYOTOMY & SUSPENSION,6821.0,6070.69,334.02,6821.0,482 CDM,PX-21720,PR DVISN STNOCLEDMSTOD OP WO CAST,3210.0,2856.9,215.18,3210.0,482 CDM,PX-21740,PR RCNST RPECTUS EXCAVATUM OPN,11105.0,9883.45,365.68,11105.0,482 CDM,PX-21742,PR RCNST PEC EXCISN WO THORSC,11138.0,9912.82,383.43,11138.0,482 CDM,PX-21743,PR RCNST PEC EXCISN W THORSC,13785.0,12268.65,689.25,13785.0,477 CDM,PX-21750,PR CLSR SEP STERNUM W/WO DBRD,6045.0,5380.05,245.71,6045.0,482 CDM,PX-21811,PR OPN TX RIB FX W FIX 1-3 RIBS,5085.0,4525.65,198.58,5085.0,482 CDM,PX-21812,PR OPN TX RIB FX W FIX 4-6 RIBS,6423.0,5716.47,239.45,6423.0,482 CDM,PX-21813,PR OPN TX RIB FX W FIX >=7 RIBS,8863.0,7888.07,321.54,8863.0,482 CDM,PX-21825,PR TX STERNUM FX W/WO SKELT FIX,5323.0,4737.47,215.03,5323.0,482 CDM,PX-21920,PR BX SOFT TISS BACK/FLANK SUPFCL,838.0,745.82,106.97,838.0,482 CDM,PX-21925,PR BX SOFT TISS BACK/FLANK DEEP,2374.0,2112.86,215.94,2374.0,482 CDM,PX-21930,PR EXCISN TMR BACK/FLNK SUBQ <3CM,2444.0,2175.16,214.44,2444.0,482 CDM,PX-21931,PR EXCISN TMR BK/FLNK SUBQ >=3CM,2618.0,2330.02,145.52,2618.0,514 CDM,PX-21932,PR EXCISN TMR BACK SUBFSCL <5CM,3998.0,3558.22,237.09,3998.0,482 CDM,PX-21933,PR EXCISN TMR BACK SUBFSCL >=5CM,4223.0,3758.47,263.26,4223.0,482 CDM,PX-21935,PR RSECT TMR BACK RADICAL <5CM,6561.0,5839.29,359.21,6561.0,482 CDM,PX-21936,PR RSECT TMR BACK RADICAL >=5CM,9710.0,8641.9,488.2,9710.0,482 CDM,PX-22010,PR I&D OPN DEEP ABSC CERV/THOR,10977.0,9769.53,354.46,10977.0,482 CDM,PX-22015,PR I&D OPN DEEP ABSC LUMB/SAC,6813.0,6063.57,346.0,6813.0,482 CDM,PX-22100,PR EXCISN PRTL POSTR VERT CERV,8105.0,7213.45,368.17,8105.0,482 CDM,PX-22101,PR PRTL EXCISN VERT INTRNSC THOR,8375.0,7453.75,325.78,8375.0,482 CDM,PX-22102,PR PRTL EXCISN VERT INTRNSC LUMB,7599.0,6763.11,273.01,7599.0,482 CDM,PX-22103,PR EXCISN PRTL POSTR VRT EA ADD,1419.0,1262.91,85.52,1419.0,482 CDM,PX-22110,PR PRTL EXCISN VRT WO DCMP CERVICAL,5184.0,4613.76,378.49,5184.0,482 CDM,PX-22116,PR PRTL EXCISN VRT WO DCMP EA ADD,1099.0,978.11,88.76,1099.0,482 CDM,PX-22206,PR OSTEOMY SPINE POSTR 3 COL THOR,20098.0,17887.22,824.95,20098.0,482 CDM,PX-22207,PR OSTEOMY SPINE POSTR 3 COL LUMB,21657.0,19274.73,806.4,21657.0,482 CDM,PX-22208,PR OSTEOMY SP POSTR 3 COL EA ADD,3109.0,2767.01,372.02,3109.0,482 CDM,PX-22210,PR OST SPINE POSTR 1 VRT SEG CRV,17089.0,15209.21,628.58,17089.0,482 CDM,PX-22212,PR OST SPINE POSTR 1 VRT SEG THRX,13773.0,12257.97,539.84,13773.0,482 CDM,PX-22214,PR OST SPINE POSTR 1 VRT SEG LMBR,15317.0,13632.13,536.62,15317.0,482 CDM,PX-22216,PR OST SPINE POSTR EA ADD SEGM,4434.0,3946.26,229.23,4434.0,482 CDM,PX-22220,PR OST SPINE ANTR 1 VRT SEG CRV,10024.0,8921.36,575.08,10024.0,482 CDM,PX-22222,PR OSTEOTOMY SPINE DISCECT THORACIC,6519.0,5801.91,641.1,6519.0,482 CDM,PX-22224,PR OST SPINE ANTR 1 VRT SEG LMBR,12415.0,11049.35,555.26,12415.0,482 CDM,PX-22226,PR OST SPINE ANTR EA ADD SEG,5752.0,5119.28,228.59,5752.0,482 CDM,PX-22310,PR CLSD TX VRT WO MANIP REQ CAST,2772.0,2467.08,134.1,2772.0,482 CDM,PX-22315,PR CLSD TX VRT FX REQ CAST MANIP,4939.0,4395.71,392.68,4939.0,482 CDM,PX-22325,PR OPN TX FX POSTR 1 VERT LUMB,11415.0,10159.35,530.77,11415.0,482 CDM,PX-22326,PR OPN TX FX POSTR 1 VERT CERV,14666.0,13052.74,536.44,14666.0,482 CDM,PX-22327,PR OPN TX FX POSTR 1 VERT THRX,13706.0,12198.34,551.15,13706.0,482 CDM,PX-22328,PR OPN TX FX SPINE EA ADD SEGM,3688.0,3282.32,177.31,3688.0,482 CDM,PX-22510,PR PERC CERVICOTHORACIC INJECT,7310.0,6505.9,725.63,7310.0,482 CDM,PX-22511,PR PERC LUMBOSACRAL INJECTION,5871.0,5225.19,731.24,5871.0,482 CDM,PX-22512,PR VERTEBROPLASTY ADDL INJECT,2918.0,2597.02,603.74,2918.0,482 CDM,PX-22513,PR PERC VERTEBPLSTY CAVTY IMG GUID 1,10732.0,9551.48,2416.46,10732.0,482 CDM,PX-22514,PR PERC VERT AGMNTJ CAV CRTJ LMBR,8807.0,7838.23,2419.98,8807.0,482 CDM,PX-22515,PR PERC VERT AGMNT MECH EA ADD,4959.0,4413.51,2481.39,4959.0,482 CDM,PX-22532,PR ARTHRDSIS LATERAL THORACIC,18650.0,16598.5,629.8,18650.0,482 CDM,PX-22533,PR ARTHRDSIS LUMB W MIN DISC,14007.0,12466.23,573.74,14007.0,482 CDM,PX-22534,PR ARTHRDSIS THOR/LUMB EA ADD,5816.0,5176.24,228.99,5816.0,482 CDM,PX-22551,PR ARTHRDSIS ANTR BOD CRV BEL C2,18542.0,16502.38,581.85,18542.0,482 CDM,PX-22552,PR ARTHRDSIS ANTR CRV BEL C2 ADD,5386.0,4793.54,249.48,5386.0,482 CDM,PX-22554,PR ARTHRDSIS DISECT CERV BEL C2,14850.0,13216.5,445.72,14850.0,482 CDM,PX-22556,PR ARTHRDSIS ANTR THORACIC,14276.0,12705.64,584.74,14276.0,482 CDM,PX-22558,PR ARTHRDSIS ANTR LUMBAR,20641.0,18370.49,523.9,20641.0,482 CDM,PX-22585,PR ARTHRDSIS ANTR INTBODY EA ADD,5159.0,4591.51,205.05,5159.0,482 CDM,PX-22586,PR ARTHRDSIS PRESACRAL INTRBDY L5-S1,9713.0,8644.57,716.44,9713.0,482 CDM,PX-22590,PR ARTHRDSIS CRNCERV POSTR TECH,18675.0,16620.75,565.79,18675.0,482 CDM,PX-22595,PR ARTHRDSIS ATLAS AXIS POSTR C1 C2,12629.0,11239.81,544.78,12629.0,482 CDM,PX-22600,PR ARTHRDSIS CERV BEL C2 POSTR,13892.0,12363.88,471.28,13892.0,482 CDM,PX-22610,PR ARTHRDSIS THOR POSTR TECHNIQUE,13341.0,11873.49,462.72,13341.0,482 CDM,PX-22612,PR ARTHRDSIS LUMB POSTR TECHNIQUE,19016.0,16924.24,540.97,19016.0,482 CDM,PX-22614,PR ARTHRDSIS POSTR TECH EA ADD,5454.0,4854.06,246.85,5454.0,482 CDM,PX-22630,PR ARTHRDSIS POSTR INTRBDY LUMB,15174.0,13504.86,547.02,15174.0,482 CDM,PX-22632,PR ARTHRDSIS POSTR LUMB EA ADD,3689.0,3283.21,201.69,3689.0,482 CDM,PX-22633,PR ARTHRDSIS LUMB W POSTR/POSTRLT,22575.0,20091.75,618.93,22575.0,482 CDM,PX-22634,PR ARTHRDSIS LUMB POSTR/POSTRLT ADD,5756.0,5122.84,305.51,5756.0,482 CDM,PX-22800,PR ARTHRDSIS POSTR SPN DFRM <=6 SEGM,15274.0,13593.86,486.19,15274.0,482 CDM,PX-22802,PR ARTHRDSIS POSTR SPN DFRM 7-12 SEGM,18741.0,16679.49,712.62,18741.0,482 CDM,PX-22804,PR ARTHRDSIS POSTR SPN DFRM 13+ SEGM,19382.0,17249.98,815.14,19382.0,482 CDM,PX-22810,PR ARTHRDSIS ANTR SPINE DFRM 4-7VT,13006.0,11575.34,676.44,13006.0,482 CDM,PX-22830,PR EXPLORATION SPINAL FUSION,12150.0,10813.5,294.66,12150.0,482 CDM,PX-22836,PR ANT THRC VRT BODY TETHRG <7,23456.0,20875.84,680.96,23456.0,482 CDM,PX-22837,PR ANT THRC VRT BODY TETHRG 8+,25525.0,22717.25,647.24,25525.0,482 CDM,PX-22838,PR REV RPLC/RMV THRC VRT TETHRG,26341.0,23443.49,655.7,26341.0,482 CDM,PX-22840,PR POSTR NON SEGM INSTRUMENTATION,9460.0,8419.4,476.42,9460.0,482 CDM,PX-22842,PR INSTRUM POSTR SEGM 3-6 SEGMS,10641.0,9470.49,481.21,10641.0,482 CDM,PX-22843,PR INSTRUM POSTR SEGM 7-12 SEGMS,10065.0,8957.85,515.21,10065.0,482 CDM,PX-22844,PR INSTRUM POSTR SEGM >=13 SEGMS,9871.0,8785.19,624.84,9871.0,482 CDM,PX-22845,PR INSTRUM ANTR 2-3 VERT SEGMS,10695.0,9518.55,457.69,10695.0,482 CDM,PX-22846,PR INSTRUM ANTR 4-7 VERT SEGMS,10857.0,9662.73,475.73,10857.0,482 CDM,PX-22848,PR FIXATION PELVIC,4041.0,3596.49,227.34,4041.0,482 CDM,PX-22849,PR REINSERTION SPINAL FIX DEVICE,11219.0,9984.91,449.94,11219.0,482 CDM,PX-22850,PR RMVL POSTR NON SEGM INSTRUM,6425.0,5718.25,267.08,6425.0,482 CDM,PX-22852,PR RMVL POSTR SEGM INSTRUM,7202.0,6409.78,258.47,7202.0,482 CDM,PX-22853,PR INSJ BIOMECHANICAL DEVICE,3584.0,3189.76,162.27,3584.0,482 CDM,PX-22854,PR INSN BIOMECHANICAL DEVICE,3514.0,3127.46,211.42,3514.0,482 CDM,PX-22855,PR REMOVAL ANTERIOR INSTRUM,6470.0,5758.3,386.1,6470.0,482 CDM,PX-22856,PR TOT DISC ARTHRP ANTR APP CRV,27994.0,24914.66,555.83,27994.0,482 CDM,PX-22857,PR ARTHRO TOTAL DISC LUMB ANTR,11604.0,10327.56,591.96,11604.0,482 CDM,PX-22858,PR ARTHRO TOTAL DISC CERV ANTR,8826.0,7855.14,319.99,8826.0,482 CDM,PX-22859,PR INSN INTRVTBL BIOMECHANICAL DEV,3141.0,2795.49,211.53,3141.0,482 CDM,PX-22900,PR EXCISN TMR ABD SUBFSCL <5CM,2632.0,2342.48,206.85,2632.0,482 CDM,PX-22901,PR EXCISN TMR ABD SUBFSCL >=5CM,4006.0,3565.34,240.81,4006.0,482 CDM,PX-22902,PR EXCISN TMR ABD WALL SUBQ <3CM,2407.0,2142.23,204.82,2407.0,482 CDM,PX-22903,PR EXCISN TMR ABD WALL SUBQ >=3CM,2175.0,1935.75,162.01,2175.0,489 CDM,PX-22904,PR RSECT TMR ABD RADICAL <5CM,6265.0,5575.85,369.49,6265.0,482 CDM,PX-22905,PR RSECT TMR ABD RADICAL >=5CM,6593.0,5867.77,462.98,6593.0,482 CDM,PX-22999001,PR CRYOABLATION ABDOMINAL,15730.0,13999.7,786.5,15730.0,477 CDM,PX-230000002,HC MARS DAILY TREATMENT,7653.0,6811.17,908.93,7653.0,734 CDM,PX-23020,PR CAPSULAR CONTRACTURE RELEASE,6600.0,5874.0,250.48,6600.0,482 CDM,PX-23030,PR I&D SHOULDER DEEP ABSC/HEMA,2463.0,2192.07,190.66,2463.0,482 CDM,PX-23035,PR INCISN BN CORTEX SHOULDER,4761.0,4237.29,244.53,4761.0,482 CDM,PX-23040,PR ARTHRT GLH JT EXPLR RMVL FB,5251.0,4673.39,259.23,5251.0,482 CDM,PX-23044,PR ARTHRT AC/SC JT EXPLR,3657.0,3254.73,208.71,3657.0,482 CDM,PX-23066,PR BX SOFT TISS SHOULDER DEEP,2966.0,2639.74,251.8,2966.0,482 CDM,PX-23071,PR EXCISN TMR SHOULDER SUBQ >=3CM,2556.0,2274.84,154.98,2556.0,482 CDM,PX-23073,PR EXCISN TMR SHLDR SUBFSCL >=5CM,4377.0,3895.53,249.95,4377.0,482 CDM,PX-23075,PR EXCISN TMR SHLDR SUBQ <3CM,1751.0,1558.39,222.11,1751.0,482 CDM,PX-23076,PR EXCISN TMR SHLDR SUBFSCL<5CM,3928.0,3495.92,200.6,3928.0,482 CDM,PX-23077,PR RSECT TMR SHLDR RADICAL <5CM,9622.0,8563.58,395.38,9622.0,482 CDM,PX-23078,PR RSECT TMR SHLDR RADICAL >=5CM,11877.0,10570.53,497.73,11877.0,482 CDM,PX-23101,PR ARTHRT AC/SC W BX/EXCISN CRTLG,2620.0,2331.8,172.03,2620.0,482 CDM,PX-23107,PR ARTHRT GLH JT EXPLR W/WO RMVL,5423.0,4826.47,241.53,5423.0,482 CDM,PX-23120,PR CLAVICULETOMY PARTIAL,4144.0,3688.16,219.49,4144.0,482 CDM,PX-23125,PR CLAVICULECTOMY TOTAL,4806.0,4277.34,257.19,4806.0,482 CDM,PX-23130,PR ACROMIOPLAS/ACROMIONECT PRTL,4105.0,3653.45,229.19,4105.0,482 CDM,PX-23140,PR EXCISN BONE LESN CLAV/SCAP,3535.0,3146.15,205.68,3535.0,482 CDM,PX-23150,PR EXCISN BEN BONE LESION HUMERUS,5426.0,4829.14,243.68,5426.0,482 CDM,PX-23156,PR EXCISN BEN BN LESN HUM W ALLOGRFT,4454.0,3964.06,247.31,4454.0,482 CDM,PX-23180,PR EXCISN BN CLAVICLE PARTIAL,4823.0,4292.47,252.94,4823.0,482 CDM,PX-23182,PR PARTIAL EXCISION BONE SCAPULA,4385.0,3902.65,248.0,4385.0,482 CDM,PX-23184,PR PART EXCIS BONE PROX HUM,6167.0,5488.63,268.18,6167.0,482 CDM,PX-23190,PR OSTECTOMY SCAPULA PARTIAL,3968.0,3531.52,212.0,3968.0,482 CDM,PX-23195,PR RESECTION HUMERAL HEAD,5663.0,5040.07,272.52,5663.0,482 CDM,PX-23200,PR RADCL RSECT CLAVICLE TUMOR,9254.0,8236.06,517.26,9254.0,482 CDM,PX-23210,PR RSECT TMR SCAPULA RADICAL,12610.0,11222.9,600.38,12610.0,482 CDM,PX-23220,PR RAD RSECT PROX HUM TMR,11960.0,10644.4,655.3,11960.0,482 CDM,PX-23333,PR RMVL FB SHOULDER DEEP,3144.0,2798.16,178.16,3144.0,482 CDM,PX-23334,PR PRSTH RMVL HUMERAL OR GLENOID,7097.0,6316.33,373.21,7097.0,482 CDM,PX-23335,PR PRSTH RMVL HUMERAL & GLENOID,8416.0,7490.24,437.32,8416.0,482 CDM,PX-23350,PR INJ SHOULDER ARTHGM,646.0,574.94,54.93,646.0,507 CDM,PX-23395,PR TRANSFER MUS SHLDR/UARM SNGL,11459.0,10198.51,450.14,11459.0,482 CDM,PX-23397,PR TRANSFER MUS SHLDR/UARM MULT,9300.0,8277.0,396.57,9300.0,482 CDM,PX-23400,PR SCAPULOPEXY,5542.0,4932.38,343.14,5542.0,482 CDM,PX-23405,PR TENOTOMY SHOULDER SNGL TENDON,5533.0,4924.37,222.32,5533.0,482 CDM,PX-23406,PR INCISN TENDON(S) & MUSCLE(S),7824.0,6963.36,263.96,7824.0,482 CDM,PX-23410,PR RPR RUPT MUSCTNDN CUFF ACUTE,6663.0,5930.07,293.76,6663.0,482 CDM,PX-23412,PR RPR RUPT MUSCTNDN CUFF CHRONIC,7613.0,6775.57,303.67,7613.0,482 CDM,PX-23415,PR RLS CORAC LGMNT W/WO ACPLSTY,5119.0,4555.91,254.35,5119.0,482 CDM,PX-23420,PR RCNST AVUL CMPLX SHLDR CHR,7352.0,6543.28,347.7,7352.0,482 CDM,PX-23430,PR TENODESIS BICEP LONG TENDON,4955.0,4409.95,268.58,4955.0,482 CDM,PX-23450,PR CAPSULORRHAPHY ANTERIOR,8167.0,7268.63,332.25,8167.0,482 CDM,PX-23455,PR CPSLRPY ANTR W LABRAL RPR,8025.0,7142.25,336.72,8025.0,482 CDM,PX-23460,PR CPSLRPY ANTR W BONE BLOCK,10056.0,8949.84,381.27,10056.0,482 CDM,PX-23462,PR CPSLRPY ANTR W CORACOID TRNSFR,8565.0,7622.85,371.69,8565.0,482 CDM,PX-23465,PR CAPSULORRHAPHY GLENOHUM PST,8134.0,7239.26,390.18,8134.0,482 CDM,PX-23466,PR CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS,8871.0,7895.19,396.97,8871.0,482 CDM,PX-23470,PR ARTHRO GLH JT HEMIARTHRO,11390.0,10137.1,414.27,11390.0,482 CDM,PX-23472,PR ARTHRO GLH JT TOTAL SHOULDER,13135.0,11690.15,493.83,13135.0,482 CDM,PX-23473,PR REVIS SHLDR ARTHRO HUM OR GLENOID,14283.0,12711.87,546.18,14283.0,482 CDM,PX-23474,PR REVIS SHLDR ARTHRO HUM&GLENOID,15429.0,13731.81,587.42,15429.0,482 CDM,PX-23480,PR OSTEOTOMY CLAV W/WO INT FIX,6303.0,5609.67,292.29,6303.0,482 CDM,PX-23485,PR OST CLAVICLE BN GRFT NONUNION,6144.0,5468.16,332.93,6144.0,482 CDM,PX-23491,PR PROPH TX W/WO METHYL PROX HUM,7097.0,6316.33,357.85,7097.0,482 CDM,PX-23500,PR CLSD TX CLAVICLE FX WO MANIP,1238.0,1101.82,103.06,1238.0,482 CDM,PX-23515,PR OPN TX CLAVICLE FX W INT FIX,4762.0,4238.18,261.97,4762.0,482 CDM,PX-23525,PR CLSD TX DISCLOC STERNOCLAV W MANIP,2152.0,1915.28,177.99,2152.0,482 CDM,PX-23530,PR OPEN TX STERNOCLAV DISCL,4085.0,3635.65,212.27,4085.0,482 CDM,PX-23532,PR OPEN STERNOCLAV DISLOC W/GRAFT,3853.0,3429.17,230.59,3853.0,482 CDM,PX-23540,PR CLSD TX DISLOC CLAV WO MANIP,1120.0,996.8,110.31,1120.0,482 CDM,PX-23550,PR OPN TX DISLOC CLAV ACUTE/CHR,4211.0,3747.79,209.52,4211.0,482 CDM,PX-23552,PR OPN TX DISLOC CLAV W FASC GRFT,5692.0,5065.88,236.76,5692.0,482 CDM,PX-23570,PR CLSD TX SCAPULAR FX WO MANIP,1221.0,1086.69,106.02,1221.0,482 CDM,PX-23585,PR OPN TX SCAPULAR FX W INT FIX,5597.0,4981.33,342.3,5597.0,482 CDM,PX-23600,PR CLSD TX PROX HUMRL FX WO MANIP,1640.0,1459.6,129.84,1640.0,507 CDM,PX-23605,PR CLSD TX PROX HUMRL FX W MANIP,3209.0,2856.01,211.77,3209.0,482 CDM,PX-23615,PR OPN TX PROX HUMERAL FX W FIX,5878.0,5231.42,316.19,5878.0,482 CDM,PX-23616,PR OPN TX PROX HUM FX W PRSTH RPL,9490.0,8446.1,426.85,9490.0,482 CDM,PX-23620,PR CLSD TX GRT TBERSTY FX WO MANIP,1556.0,1384.84,105.41,1556.0,507 CDM,PX-23625,PR CLSD TX GRT TBERSTY FX W MANIP,2591.0,2305.99,177.82,2591.0,482 CDM,PX-23630,PR OPN TX HUM TUBEROSITY FX W FIX,4461.0,3970.29,283.07,4461.0,482 CDM,PX-23650,PR CLSD TX DISLOC SHLDR WO ANES,2342.0,2084.38,172.61,2342.0,482 CDM,PX-23655,PR CLSD TX DISLOC SHLDR W ANES,2325.0,2069.25,163.83,2325.0,482 CDM,PX-23660,PR OPEN TX ACUTE SHLDR DISLO,4885.0,4347.65,213.64,4885.0,482 CDM,PX-23665,PR CLSD TX DISLOC SHLDR W MANIP,2351.0,2092.39,197.44,2351.0,482 CDM,PX-23670,PR OPN TX DISLOC SHLDR W MANIP,8071.0,7183.19,313.38,8071.0,482 CDM,PX-23680,PR OPN TX DISLOC SHLDR W NECK FX,5865.0,5219.85,330.85,5865.0,482 CDM,PX-23700,PR MANIP W ANES SHLDR INC APP FIX,2022.0,1799.58,71.66,2022.0,482 CDM,PX-23800,PR ARTHRODESIS GLENOHUMERAL JT,7817.0,6957.13,361.27,7817.0,482 CDM,PX-23802,PR ARTHRODESIS GLNHMRL JT W AUTO GRFT,8629.0,7679.81,451.05,8629.0,482 CDM,PX-23900,PR INTERTHORACOSCAPULAR AMP,9095.0,8094.55,476.74,9095.0,482 CDM,PX-23920,PR DISARTICULATION SHOULDER,7775.0,6919.75,394.47,7775.0,482 CDM,PX-23929001,PR CRYOABLATION SHOULDER/CLAVICLE,15730.0,13999.7,786.5,15730.0,477 CDM,PX-23929004,PR TENOTOMY SHLDR TX1 PROCEDURE,5612.0,4994.68,280.6,5612.0,477 CDM,PX-23929005,"PR MFAT, INCL HRVST AND INJ, SHOULDER, SNGL SITE",4000.0,3560.0,200.0,4000.0,477 CDM,PX-23930,PR I&D UARM/ELB DEEP ABSC/HEMA,2110.0,1877.9,152.75,2110.0,482 CDM,PX-23931,PR I&D UARM/ELBOW BURSA,1565.0,1392.85,131.82,1565.0,482 CDM,PX-23935,PR DRAIN ARM/ELBOW BONE LESION,3346.0,2977.94,192.52,3346.0,482 CDM,PX-24000,PR ATHRT ELB W DRAIN/RMVL FB,3088.0,2748.32,179.13,3088.0,482 CDM,PX-24006,PR ARTHRT ELB W CAPSULAR EXCISN,4391.0,3907.99,255.88,4391.0,482 CDM,PX-24065,PR BX SOFT TISS ARM/ELBOW SUPFCL,1017.0,905.13,106.46,1017.0,482 CDM,PX-24066,PR BX SOFT TISS ARM/ELBOW DEEP,3090.0,2750.1,274.12,3090.0,482 CDM,PX-24071,PR EXCISN TMR ARM/ELB SUBQ >=3CM,2398.0,2134.22,149.21,2398.0,489 CDM,PX-24073,PR EXCISN TMR ARM/ELB DEEP >=5CM,4934.0,4391.26,247.91,4934.0,482 CDM,PX-24075,PR EXCISN TMR ARM/ELBOW SUBQ <3CM,2494.0,2219.66,228.47,2494.0,489 CDM,PX-24076,PR EXCISN TMR ARM/ELB SUBFSCL<5CM,3418.0,3042.02,200.32,3418.0,482 CDM,PX-24077,PR RSECT RADCL TMR UARM/ELB<5CM,6765.0,6020.85,360.85,6765.0,482 CDM,PX-24079,PR RSECT RADCL TMR UARM/ELB>=5CM,8579.0,7635.31,460.69,8579.0,482 CDM,PX-24100,PR ARTHROTOMY ELBOW W SYNOVIAL BX,3216.0,2862.24,159.98,3216.0,482 CDM,PX-24101,PR ATHRT ELB W/WO BX RMVL FB,3625.0,3226.25,187.72,3625.0,482 CDM,PX-24102,PR ATHRT ELBOW W SYNOVECTOMY,5868.0,5222.52,223.65,5868.0,482 CDM,PX-24105,PR EXCISN BURSA OLECRANON,2223.0,1978.47,141.37,2223.0,482 CDM,PX-24110,PR EXCISN BN CYST/BEN TMR HUMERUS,4873.0,4336.97,219.09,4873.0,482 CDM,PX-24116,PR EXCISN BONE LESN HUM W ALLOGRFT,5680.0,5055.2,304.93,5680.0,482 CDM,PX-24120,PR EXCISN BN CYST HD/NK RAD/OLEPR,3932.0,3499.48,196.99,3932.0,482 CDM,PX-24125,PR EXCISN BN LESN RAD/OLEC W AUTOGRFT,4240.0,3773.6,229.59,4240.0,482 CDM,PX-24126,PR EXCISN BN LESN RAD/OLEC W ALLOGRFT,4699.0,4182.11,238.18,4699.0,482 CDM,PX-24130,PR EXCISN RADIAL HEAD,3981.0,3543.09,188.99,3981.0,482 CDM,PX-24140,PR EXCISN BONE HUMERUS PARTIAL,4576.0,4072.64,252.65,4576.0,482 CDM,PX-24145,PR EXCISN PRTL BN RADIAL HEAD/NK,4055.0,3608.95,218.4,4055.0,482 CDM,PX-24147,PR EXCISN BN OLECRANON PRCS PRTL,4385.0,3902.65,232.15,4385.0,482 CDM,PX-24149,PR RSECT RADCL SOFT TISS/BN ELB,8577.0,7633.53,419.69,8577.0,482 CDM,PX-24150,PR RAD RSECT DISTAL HUM TUMOR,9772.0,8697.08,528.89,9772.0,482 CDM,PX-24160,PR RMVL PROSTH HUM&ULN COMPONENTS,9188.0,8177.32,436.17,9188.0,482 CDM,PX-24164,PR PROSTHESIS REMOVAL RADIAL HEAD,4396.0,3912.44,261.86,4396.0,482 CDM,PX-24200,PR RMVL FB UPR ARM/ELBOW SUBQ,943.0,839.27,97.8,943.0,482 CDM,PX-24201,PR RMVL FB UPPER ARM/ELBOW DEEP,2560.0,2278.4,268.48,2560.0,482 CDM,PX-24220,PR INJ ELBOW ARTHGM,1033.0,919.37,76.45,1033.0,482 CDM,PX-24300,PR MANIPULATION ELBOW W ANES,2635.0,2345.15,178.2,2635.0,482 CDM,PX-24301,PR MUS/TNDN TRANSFER UARM/ELB SNG,6548.0,5827.72,269.12,6548.0,482 CDM,PX-24305,PR TENDON LENGTHENING UPR ARM/ELB,4845.0,4312.05,210.01,4845.0,482 CDM,PX-24310,PR TENOTOMY OPN ELB TO SHLDR EA,4345.0,3867.05,171.82,4345.0,482 CDM,PX-24341,PR RPR TNDN/MUS ELBOW UARM,5545.0,4935.05,275.35,5545.0,482 CDM,PX-24342,PR REINS TNDN BICEP/TRICEP DISTAL,6412.0,5706.68,275.39,6412.0,482 CDM,PX-24343,PR REPR ELBOW LAT LIGMNT W TISS,6139.0,5463.71,262.8,6139.0,482 CDM,PX-24344,PR RCNST LAT LGMNT ELB W GRFT,6765.0,6020.85,395.18,6765.0,482 CDM,PX-24345,PR RPR MED COLLAT LGMNT WLOC TISS,5051.0,4495.39,261.55,5051.0,482 CDM,PX-24346,PR RCNST MED COLTRL LIGM ELB W GRFT,8381.0,7459.09,395.18,8381.0,482 CDM,PX-24357,PR TENOTOMY ELBOW PERCUTANEOUS,3656.0,3253.84,153.12,3656.0,482 CDM,PX-24358,PR TENOTOMY ELB DBRD TISS/BN OPN,3616.0,3218.24,194.57,3616.0,482 CDM,PX-24359,PR TENOTOMY ELB DBRD OPN TNDN RPR,4258.0,3789.62,238.16,4258.0,482 CDM,PX-24360,PR ARTHROPLASTY ELBOW W MEMBRANE,5761.0,5127.29,320.64,5761.0,482 CDM,PX-24361,PR ARTHR ELB W DISTL HUM PROST RP,7745.0,6893.05,355.16,7745.0,482 CDM,PX-24363,PR ARTHRO ELB W DH/PU PROSTH RPLC,13034.0,11600.26,494.32,13034.0,482 CDM,PX-24365,PR ARTHROPLASTY RADIAL HEAD,4215.0,3751.35,233.13,4215.0,482 CDM,PX-24366,PR ARTHRO RADIAL HEAD W IMPL,4852.0,4318.28,244.63,4852.0,482 CDM,PX-24370,PR REV ELB ARTHRO HUM/ULNA COMPNT,10225.0,9100.25,522.9,10225.0,482 CDM,PX-24371,PR REV ELB ARTHRO HUM&LNA COMPNT,11410.0,10154.9,595.64,11410.0,482 CDM,PX-24400,PR OSTEOTOMY HUMERUS W/WO INT FIX,5975.0,5317.75,297.59,5975.0,482 CDM,PX-24410,PR REVISION OF HUMERUS,7139.0,6353.71,373.08,7139.0,482 CDM,PX-24420,PR OSTEOPLASTY HUMERUS,6723.0,5983.47,386.79,6723.0,482 CDM,PX-24430,PR RPR NON/MALUNION HUM WO GRFT,7466.0,6644.74,370.64,7466.0,482 CDM,PX-24435,PR RPR NON/MALUNION HUM W AUTOGRFT,8957.0,7971.73,385.28,8957.0,482 CDM,PX-24498,PR TX PROPHX HUM SHAFT W/WO MMA,5715.0,5086.35,306.92,5715.0,482 CDM,PX-24500,PR CLSD TX HUM SHAFT FX WO MANIP,1790.0,1593.1,166.0,1790.0,482 CDM,PX-24505,PR CLSD TX HUM FX W MANIP W/WO TRCTN,2901.0,2581.89,230.45,2901.0,482 CDM,PX-24515,PR OPN TX HUM FX W PLT W/WO CERCLG,5699.0,5072.11,315.9,5699.0,482 CDM,PX-24516,PR OPN TX HUM FX W INSRT IMPLNT,6552.0,5831.28,305.19,6552.0,482 CDM,PX-24530,PR CLSD TX SUPRA HUM FX WO MANIP,1973.0,1755.97,147.38,1973.0,507 CDM,PX-24535,PR CLSD TX SUPRA HUM FX W MANIP,3975.0,3537.75,272.29,3975.0,482 CDM,PX-24538,PR FIX SKEL PERC SUPRA HUM FX,5048.0,4492.72,291.51,5048.0,482 CDM,PX-24545,PR OPN TX HUM SUPRA FX WO EXTENSN,5917.0,5266.13,329.49,5917.0,482 CDM,PX-24546,PR OPN TX HUM SUPRA FX W EXTENSN,8194.0,7292.66,364.64,8194.0,482 CDM,PX-24560,PR CLSD TX HUM EPICNDY FX WO MANIP,1653.0,1471.17,133.22,1653.0,507 CDM,PX-24565,PR CLSD TX HUM EPICNDY FX W MANIP,3418.0,3042.02,238.24,3418.0,482 CDM,PX-24566,PR PERC SK HUM EPICNDY FX W MANIP,4009.0,3568.01,267.72,4009.0,482 CDM,PX-24575,PR OPN TX HUM EPICNDY FX W FIX,5676.0,5051.64,268.56,5676.0,482 CDM,PX-24576,PR CLSD TX HUM CONDYL FX WO MANIP,1877.0,1670.53,164.49,1877.0,482 CDM,PX-24577,PR CLSD TX HUM CONDYLAR FX W MANIP,5962.0,5306.18,244.62,5962.0,482 CDM,PX-24579,PR OPN TX HUM CONDYLAR FX W FIX,5488.0,4884.32,300.19,5488.0,482 CDM,PX-24582,PR FIX PRQ FX HUM CNDYLR W MANIP,5626.0,5007.14,303.81,5626.0,482 CDM,PX-24586,PR OPN TX PERIARTICUL FX &/DISLOC ELB,9574.0,8520.86,377.91,9574.0,482 CDM,PX-24600,PR CLSD TX DISLOC ELBOW WO ANES,3563.0,3171.07,188.23,3563.0,482 CDM,PX-24605,PR CLSD TX DISLOC ELBOW W ANES,3458.0,3077.62,187.07,3458.0,482 CDM,PX-24615,PR OPEN TX ACUTE/CHR ELB DISLO,4730.0,4209.7,255.69,4730.0,482 CDM,PX-24620,PR CLSD TX ELB FX/DISLOC W MANIP,3331.0,2964.59,220.72,3331.0,482 CDM,PX-24635,PR TX MONTEG ELB FX/DISLOC W FIX,6033.0,5369.37,247.91,6033.0,482 CDM,PX-24640,PR TX ELBOW NURSEMAID FX W MANIP,702.0,624.78,42.57,702.0,489 CDM,PX-24650,PR CLSD TX RADL HD/NK FX WO MANIP,1367.0,1216.63,103.06,1367.0,507 CDM,PX-24655,PR CL TX RADL HEAD/NK FX W MANIP,2644.0,2353.16,211.6,2644.0,482 CDM,PX-24665,PR OPN TX RADIAL HEAD/NK FX W FIX,4348.0,3869.72,241.64,4348.0,482 CDM,PX-24666,PR OPN TX RADL HD/NK FX W PROSTH,5358.0,4768.62,264.33,5358.0,482 CDM,PX-24670,PR CLSD TX ULNAR PROX FX WO MANIP,1601.0,1424.89,134.92,1601.0,482 CDM,PX-24675,PR CLSD TX ULNAR PROX FX W MANIP,2374.0,2112.86,204.95,2374.0,482 CDM,PX-24685,PR OPN TX ULNAR FX PROX W FIX,4618.0,4110.02,241.34,4618.0,482 CDM,PX-24900,PR AMP ARM THRU HUM W PRIM CLSR,4565.0,4062.85,277.33,4565.0,482 CDM,PX-24920,"PR AMPUTATN ARM,THRU HUMERUS,CIRCULAR",5143.0,4577.27,263.57,5143.0,482 CDM,PX-24925,PR AMP ARM THRU HUM CLSR/SCAR REV,3766.0,3351.74,211.2,3766.0,482 CDM,PX-24999005,PR TX1 TENOTOMY ELBOW PERCUTANEOUS,4577.0,4073.53,228.85,4577.0,477 CDM,PX-25000,PR INCISN EXTENSOR TNDN SHTH WRST,2409.0,2144.01,134.94,2409.0,482 CDM,PX-250000006,LUXTURNA,467500.0,456875.0,456875.0,456875.0,1 CDM,PX-250000027,HC MTM INITIAL 15 MIN NEW,71.0,63.19,14.77,71.0,716 CDM,PX-250000029,HC MTM EACH ADDL 15 MIN,142.0,126.38,29.54,142.0,716 CDM,PX-25001,PR INCISN FLEXOR TNDN SHTH WRIST,2796.0,2488.44,134.96,2796.0,482 CDM,PX-25020,PR DCMPRN FORARM FLEX/EXT WO DBRD,7333.0,6526.37,289.31,7333.0,482 CDM,PX-25023,PR DCMPRN FOREARM FLEX/EXT W DBRD,7180.0,6390.2,497.93,7180.0,482 CDM,PX-25024,PR DCMPRN FORARM FLEX&EXT WO DBRD,4738.0,4216.82,279.1,4738.0,482 CDM,PX-25028,PR I&D FOREARM DEEP ABSCESS/HEMA,3808.0,3389.12,276.1,3808.0,482 CDM,PX-25035,PR INCISN DEEP BN CORTEX FRARM/WRST,4578.0,4074.42,217.74,4578.0,482 CDM,PX-25040,PR ARTHRT RADIO/MIDCARPAL W EXPLR,4640.0,4129.6,202.93,4640.0,482 CDM,PX-25065,PR BX SOFT TISS FRARM /WRST SUPFC,950.0,845.5,106.36,950.0,482 CDM,PX-25066,PR BX SOFT TISS FOREARM/WRST DEEP,2564.0,2281.96,140.63,2564.0,482 CDM,PX-25071,PR EXCISN TMR WRST SUBQ>=3CM,2881.0,2564.09,154.76,2881.0,489 CDM,PX-25073,PR EXCISN TMR WRST SUBFSCL>=3CM,4463.0,3972.07,195.86,4463.0,482 CDM,PX-25075,PR EXCISN TMR WRST SUBQ<3CM,2212.0,1968.68,222.32,2212.0,489 CDM,PX-25076,PR EXCISN TMR WRST SUBFSCL<3CM,4148.0,3691.72,190.55,4148.0,482 CDM,PX-25077,PR RSECT TMR WRIST RADCL <3 CM,7686.0,6840.54,310.2,7686.0,482 CDM,PX-25078,PR RSECT TMR WRST RADCL >=3CM,7611.0,6773.79,408.67,7611.0,482 CDM,PX-25085,PR CAPSULOTOMY WRIST,4103.0,3651.67,166.17,4103.0,482 CDM,PX-25100,PR ARTHROTOMY WRIST JOINT W BX,2591.0,2305.99,135.76,2591.0,482 CDM,PX-25101,PR ARTHRT WRST JT W EXPLORATION,3595.0,3199.55,153.58,3595.0,482 CDM,PX-25105,PR ARTHRT WRST JT W SYNOVECTOMY,4210.0,3746.9,181.21,4210.0,482 CDM,PX-25107,PR ARTHRT DSTL RADIOULNR JT W RPR,5255.0,4676.95,229.35,5255.0,482 CDM,PX-25109,PR EXCISN TNDN FOREARM/WRST EA,4029.0,3585.81,196.89,4029.0,482 CDM,PX-25110,PR EXCISN LESN TNDN SHTH FOREARM,2999.0,2669.11,132.42,2999.0,482 CDM,PX-25111,PR EXCISN WRST GANGLION PRIMARY,2571.0,2288.19,126.81,2571.0,482 CDM,PX-25112,PR EXCISN WRST GANGLION RECURRENT,2849.0,2535.61,147.73,2849.0,482 CDM,PX-25115,PR EXCISN TNDN SHTH FLEXORS RADCL,6001.0,5340.89,272.65,6001.0,482 CDM,PX-25116,PR EXCISN TNDN SHTH EXTNSRS RADCL,6194.0,5512.66,222.79,6194.0,482 CDM,PX-25118,PR SYNO EXT TNDN SHTH WRST SNGL,3645.0,3244.05,145.1,3645.0,482 CDM,PX-25119,PR SYN EXT TND SHTH WRST W RSCT DU,3509.0,3123.01,188.94,3509.0,482 CDM,PX-25120,PR EXCISN BN CYST RADIUS/ULNA,4902.0,4362.78,185.14,4902.0,482 CDM,PX-25126,PR EXCISN CYST/TMR RADS/UL W ALLOGRFT,4504.0,4008.56,222.13,4504.0,482 CDM,PX-25130,PR EXCISN CYST/TMR CARPAL BONES,4162.0,3704.18,168.72,4162.0,482 CDM,PX-25135,PR EXCISN CYST/TMR CRPL W AUTOGRFT,3787.0,3370.43,209.76,3787.0,482 CDM,PX-25136,PR EXCISN CYST CARPAL BN W ALLOGRFT,4038.0,3593.82,187.76,4038.0,482 CDM,PX-25150,PR EXCISN BN ULNA PARTIAL,5377.0,4785.53,207.28,5377.0,482 CDM,PX-25151,PR EXCISN BN RADIUS PARTIAL,7055.0,6278.95,211.69,7055.0,482 CDM,PX-25170,PR RSECT RADIUS/ULNAR TMR RADCL,10934.0,9731.26,503.64,10934.0,482 CDM,PX-25210,PR CARPECTOMY ONE BONE,3945.0,3511.05,182.33,3945.0,482 CDM,PX-25215,PR CARPECTOMY PROX ROW ALL BONES,5676.0,5051.64,224.37,5676.0,482 CDM,PX-25230,PR STYLOIDECTOMY RADIAL,3387.0,3014.43,161.35,3387.0,482 CDM,PX-25240,PR EXCISN DISTAL ULNA PRTL/COMPLT,3577.0,3183.53,160.21,3577.0,482 CDM,PX-25246,PR INJ WRIST ARTHGM,809.0,720.01,76.85,809.0,482 CDM,PX-25260,PR RPR TNDN/MS FLX FRARM/WRST PRI EA,4484.0,3990.76,233.39,4484.0,482 CDM,PX-25265,PR RPR TNDN/MS FLX FRARM/WRST SEC EA,5426.0,4829.14,266.6,5426.0,482 CDM,PX-25270,PR RPR TNDN/MS EXT FRARM/WRST PRI EA,4162.0,3704.18,183.46,4162.0,482 CDM,PX-25272,PR RPR TNDN/MS EXT FRARM/WRST SEC EA,4283.0,3811.87,207.36,4283.0,482 CDM,PX-25274,PR RPR TNDN WRST EXTENS EA TNDN,5005.0,4454.45,238.76,5005.0,482 CDM,PX-25275,PR RPR TNDN SHTH EXT WRST W GRFT,5119.0,4555.91,241.91,5119.0,482 CDM,PX-25280,PR LNGTH/SHRT FLXR/EXTSR TNDN EA,4324.0,3848.36,206.59,4324.0,482 CDM,PX-25290,PR TENOTOMY FLEXOR/EXTNSR WRST EA,4057.0,3610.73,161.84,4057.0,482 CDM,PX-25295,PR TENOLYSIS FLEXR/EXTNSR WRST EA,5012.0,4460.68,193.49,5012.0,482 CDM,PX-25300,PR TENODESIS WRIST FLEXORS FNGRS,5208.0,4635.12,253.39,5208.0,482 CDM,PX-25301,PR TENODESIS WRIST EXTENSRS FNGRS,5761.0,5127.29,231.98,5761.0,482 CDM,PX-25310,PR TRNSPL FLX/EXT TNDN SNGL EA,6203.0,5520.67,260.45,6203.0,482 CDM,PX-25312,PR TRNSPL FLX/EXT SNGL TNDN GRFT,5043.0,4488.27,256.21,5043.0,482 CDM,PX-25315,PR FLEXOR ORGIN SLIDE FRARM&/WRIST,6400.0,5696.0,276.42,6400.0,482 CDM,PX-25320,PR CPSLRPY/RCNST WRST FOR CARP,8658.0,7705.62,360.43,8658.0,482 CDM,PX-25332,PR ARTHRP WRST W/WO INTERPOS,7669.0,6825.41,298.63,7669.0,482 CDM,PX-25337,PR RCNST DISTAL JT W/WO REDUC,6932.0,6169.48,321.37,6932.0,482 CDM,PX-25350,PR OSTEOTOMY RADIUS DISTAL THIRD,5617.0,4999.13,242.53,5617.0,482 CDM,PX-25355,PR OSTEOTOMY RADIUS MID/PRX THIRD,6723.0,5983.47,275.7,6723.0,482 CDM,PX-25360,PR OSTEOTOMY ULNA,4819.0,4288.91,236.01,4819.0,482 CDM,PX-25365,PR OSTEOTOMY RADIUS & ULNA,6915.0,6154.35,325.56,6915.0,482 CDM,PX-25390,PR OSTEOPLASTY RADIUS/ULNA SHRTNG,6604.0,5877.56,271.78,6604.0,482 CDM,PX-25394,PR OSTEOPLASTY CARPAL BONE SHRTNG,4672.0,4158.08,282.13,4672.0,482 CDM,PX-25400,PR RPR NON/MALUN RAD/ULN WO GRFT,6235.0,5549.15,283.56,6235.0,482 CDM,PX-25405,PR RPR NON/MALUNION RAD/ULN W AUTGRFT,6974.0,6206.86,359.87,6974.0,482 CDM,PX-25415,PR RPR NON/MALUN RAD&ULN WO GRFT,6758.0,6014.62,341.96,6758.0,482 CDM,PX-25420,PR RPR NON/MALUN RAD & ULN W GRFT,8835.0,7863.15,406.66,8835.0,482 CDM,PX-25425,PR RPR DEFECT W AUTOGRFT RADIUS/ULNA,6902.0,6142.78,340.37,6902.0,482 CDM,PX-25430,PR INS VASCULAR PEDICLE CRPL BONE,5148.0,4581.72,268.04,5148.0,482 CDM,PX-25431,PR RPR NONUNION CARPAL BONE EA,5699.0,5072.11,283.42,5699.0,482 CDM,PX-25440,PR RPR NONUN SCPHD CRPL BN RDL STYL,5942.0,5288.38,271.79,5942.0,482 CDM,PX-25442,PR ARTHRO W PROSTH RPLC ULNA,5215.0,4641.35,286.12,5215.0,482 CDM,PX-25443,PR ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL,5308.0,4724.12,283.54,5308.0,482 CDM,PX-25445,PR ARTHRO W PROSTH RPLC TRAP,5129.0,4564.81,256.39,5129.0,482 CDM,PX-25446,PR ARTHRO W PROSTH RPLC TOT WRST,7682.0,6836.98,402.15,7682.0,482 CDM,PX-25447,PR ARTHRO INTERCARP/CMC JT,5477.0,4874.53,288.66,5477.0,482 CDM,PX-25448,PR ARTHRP INTERCARP/CARP/MTCRPL JT SUSP,6596.0,5870.44,317.44,6596.0,482 CDM,PX-25449,PR REV ARTHRP W RMVL IMPL WRIST,5904.0,5254.56,357.55,5904.0,482 CDM,PX-25450,PR ARR EPIPSL DISTAL RADIUS/UNLA,4254.0,3786.06,228.0,4254.0,482 CDM,PX-25490,PR TX PROPHYLACTIC RADS W/WO MMA,4724.0,4204.36,261.02,4724.0,482 CDM,PX-25491,PR TX PROPHYLACTIC ULNA W/WO MMA,5302.0,4718.78,266.69,5302.0,482 CDM,PX-25500,PR TX RADIAL SHAFT FX WO MANIP,1501.0,1335.89,111.39,1501.0,507 CDM,PX-25505,PR TX RADIAL SHAFT FX W MANIP,2897.0,2578.33,233.7,2897.0,482 CDM,PX-25515,PR OPN TX RADIAL SHAFT FX W FIX,4668.0,4154.52,245.38,4668.0,482 CDM,PX-25525,PR TX FX RADIAL SHAFT OPN W FIX,4593.0,4087.77,284.7,4593.0,482 CDM,PX-25526,PR OPN TX RDL SHAFT FX,6416.0,5710.24,343.48,6416.0,482 CDM,PX-25530,PR CLSD TX ULNAR SHAFT FX WO MANIP,1568.0,1395.52,121.51,1568.0,482 CDM,PX-25535,PR CLSD TX ULNAR SHAFT FX W MANIP,2495.0,2220.55,217.26,2495.0,482 CDM,PX-25545,PR OPN TX ULNAR SHAFT FX W FIX,4685.0,4169.65,231.11,4685.0,482 CDM,PX-25560,PR CLSD TX RDL & ULNAR FX WO MANIP,1532.0,1363.48,113.3,1532.0,507 CDM,PX-25565,PR CLSD TX RDL & ULNAR FX W MANIP,2946.0,2621.94,246.47,2946.0,482 CDM,PX-25574,PR OPN TX RDL&ULN FX W FIX RAD/ULN,4447.0,3957.83,248.23,4447.0,482 CDM,PX-25575,PR OPN TX RDL&ULN FX W FIX RAD&ULN,6228.0,5542.92,325.55,6228.0,482 CDM,PX-25600,PR CLSD TX DIST RDL FX WO MANIP,1544.0,1374.16,155.26,1544.0,482 CDM,PX-25605,PR CLSD TX DIST RDL FX W MANIP,3010.0,2678.9,250.34,3010.0,482 CDM,PX-25606,PR FIX FX PERC SKELETAL DIST RDL,3655.0,3252.95,249.3,3655.0,482 CDM,PX-25607,PR OPN TX DIST RDL EXART FX W FIX,4376.0,3894.64,270.34,4376.0,482 CDM,PX-25608,PR OPN TX DIST RDL INART FX 2 FIX,4889.0,4351.21,298.13,4889.0,482 CDM,PX-25609,PR OPN TX DIST RDL INART FX 3 FIX,5879.0,5232.31,373.51,5879.0,482 CDM,PX-25622,PR CLSD TX CRPL SCPHD FX WO MANIP,1544.0,1374.16,119.66,1544.0,507 CDM,PX-25628,PR OPN TX CARPAL SCPHD FX W FIX,5677.0,5052.53,259.17,5677.0,482 CDM,PX-25630,PR CLSD TX CRPL FX WO MANIP EA BN,1419.0,1262.91,137.9,1419.0,482 CDM,PX-25635,PR CLSD TX CRPL FX W MANIP EA BN,2476.0,2203.64,207.25,2476.0,482 CDM,PX-25645,PR OPN TX CARPAL BONE FX EA BONE,3952.0,3517.28,211.13,3952.0,482 CDM,PX-25650,PR CLSD TX ULNAR FX STYLOID,1775.0,1579.75,151.32,1775.0,482 CDM,PX-25651,PR FIX PERC SKEL FX ULNAR STYLOID,2725.0,2425.25,185.32,2725.0,482 CDM,PX-25652,PR OPN TX ULNAR STYLOID FX,4157.0,3699.73,229.28,4157.0,482 CDM,PX-25660,PR CLSD TX DISLOC RADIOCAR>=1 W MANIP,2347.0,2088.83,174.8,2347.0,482 CDM,PX-25670,PR OPEN WRIST DISCL 1/>BONES,3802.0,3383.78,223.68,3802.0,482 CDM,PX-25675,PR CLSD TX DISLOC RADIUS W MANIP,3319.0,2953.91,230.27,3319.0,482 CDM,PX-25676,PR OPN TX DISLOC DIST RADIOULNAR,4539.0,4039.71,230.61,4539.0,482 CDM,PX-25680,PR CLSD TX TRANS-SCAPRLUNAR FX DISLOC,2108.0,1876.12,202.53,2108.0,482 CDM,PX-25685,PR OPN TX TRANS-SCAPRLUNAR FX DISLOC,5016.0,4464.24,265.51,5016.0,482 CDM,PX-25690,PR CLSD TX LUNATE DISLOC W MANIP,3309.0,2945.01,188.3,3309.0,482 CDM,PX-25695,PR OPEN TREATMENT LUNATE DISLOC,4723.0,4203.47,231.41,4723.0,482 CDM,PX-25800,PR ARTHRDSIS WRST COMPLT WO GRFT,4755.0,4231.95,260.04,4755.0,482 CDM,PX-25805,PR ARTHRODESIS WRST W SLIDING GRFT,4255.0,3786.95,303.73,4255.0,482 CDM,PX-25810,PR ARTHRDSIS WRST W ILIAC AUTOGRFT,6600.0,5874.0,306.75,6600.0,482 CDM,PX-25820,PR ARTHRDSIS WRST LTD WO BN GRFT,5666.0,5042.74,240.87,5666.0,482 CDM,PX-25825,PR ARTHRODESIS WRST LTD W AUTOGRFT,6763.0,6019.07,290.67,6763.0,482 CDM,PX-25830,PR ARTHRDSIS DISTAL RADIOU JT,6096.0,5425.44,382.54,6096.0,482 CDM,PX-25900,PR AMP FRARM THROUGH RADIUS&ULNA,4494.0,3999.66,258.82,4494.0,482 CDM,PX-25905,PR AMP FOREARM THRU RADIUS & ULNA OPEN CIRCULAR,4220.0,3755.8,253.52,4220.0,482 CDM,PX-25907,PR AMP F/ARM THRU RADIUS&ULNA SEC CLOSURE/SCAR RE,4318.0,3843.02,225.92,4318.0,482 CDM,PX-25909,PR AMP FRARM RADIUS&ULNA RE-AMP,4640.0,4129.6,248.34,4640.0,482 CDM,PX-25927,PR TRANSMETACARPAL AMPUTATION,4661.0,4148.29,330.19,4661.0,482 CDM,PX-260000000,HC INJ THER IV PUSH SNGL INITIAL,243.0,216.27,38.17,282.22,743 CDM,PX-260000001,HC INJ THER SUBQ/IM,124.0,110.36,15.4,124.0,747 CDM,PX-260000002,HC IV INF HYDRAT EA ADD HR,149.0,132.61,13.07,149.0,747 CDM,PX-260000003,HC IV INF HYDRAT INIT 31MIN-1HR,340.0,302.6,33.96,340.0,745 CDM,PX-260000004,HC IV INF THER ADD SEQ NEW 1ST HR,220.0,195.8,30.16,220.0,743 CDM,PX-260000005,HC IV INF THER CONCURR (MAX 1),136.0,121.04,20.9,136.0,723 CDM,PX-260000006,HC IV INF THER EA ADD HR,144.0,128.16,21.58,144.0,743 CDM,PX-260000007,HC IV INF THER INIT 1ST HR,388.0,345.32,67.9,388.0,746 CDM,PX-260000008,HC IV PUSH EA ADD SEQ DRUG,118.0,105.02,24.54,118.0,724 CDM,PX-260000009,HC IV PUSH EA ADD SEQ NEW DRUG,140.0,124.6,15.81,140.0,747 CDM,PX-260000010,HC REFIL&MAINT IMPL PUMP SPN/BRN,816.0,726.24,99.82,816.0,736 CDM,PX-260000011,HC SQ INF THER 1 DRUG 1ST HR,520.0,462.8,108.16,520.0,736 CDM,PX-260000012,HC SQ INF THER 1 DRUG ADDL HR,256.0,227.84,17.11,256.0,736 CDM,PX-260000014,HC APPLICATION OF ON BODY INJECTOR,120.0,106.8,24.96,120.0,735 CDM,PX-260000016,HC INTRO NDL/CATH VEIN,257.0,228.73,53.46,257.0,717 CDM,PX-260000026,HC UNLISTED THER/PROP/DIAG INJ/INF,133.0,118.37,27.66,133.0,734 CDM,PX-260000028,"HC IV INJ PEMIVIBART, INCL INJ AND POST ADMIN MONITORING",698.0,621.22,145.18,698.0,736 CDM,PX-26010,PR I&D ABSC FGR SMPL,1176.0,1046.64,130.96,1176.0,507 CDM,PX-26011,PR I&D ABSC FINGER COMPLICATED,2249.0,2001.61,211.92,2249.0,482 CDM,PX-26020,PR DRN TNDN SHEATH DIGIT/PALM EA,3336.0,2969.04,207.66,3336.0,482 CDM,PX-26025,PR DRN PALMAR BURSA SNGL,2410.0,2144.9,157.97,2410.0,482 CDM,PX-26034,PR INCISN HAND/FINGER BONE CORTEX,3814.0,3394.46,205.72,3814.0,482 CDM,PX-26035,PR DCMPRN FINGERS/HAND INJ INJURY,6428.0,5720.92,314.34,6428.0,482 CDM,PX-26037,PR FASCIOTOMY DCMPRN HAND,3890.0,3462.1,203.98,3890.0,482 CDM,PX-26040,PR FASCIOTOMY PALMAR PERCUTANEOUS,2342.0,2084.38,122.05,2342.0,482 CDM,PX-26045,PR FASCIOTOMY PALMAR OPEN PARTIAL,3281.0,2920.09,176.99,3281.0,482 CDM,PX-26055,PR INCISN TNDN SHEATH,2909.0,2589.01,257.34,2909.0,482 CDM,PX-26060,PR TENOTOMY PERC EACH DIGIT,1883.0,1675.87,96.61,1883.0,482 CDM,PX-26070,PR ARTHRT EXPL DRN LOOSE/FB CMC JT,2755.0,2451.95,123.14,2755.0,482 CDM,PX-26075,PR ARTHRT EXPL DRN LOOSE/FB MCP JT,2755.0,2451.95,129.75,2755.0,482 CDM,PX-26080,PR ARTHRT EXPL DRN LOOSE/FB I-P JT,2673.0,2378.97,152.69,2673.0,482 CDM,PX-26100,PR ARTHRT BX CMC JT EA,2310.0,2055.9,132.84,2310.0,482 CDM,PX-26105,PR ARTHROTOMY BX MTCARPHLNG JT EA,2268.0,2018.52,133.43,2268.0,482 CDM,PX-26110,PR ARTHROTOMY I-P JT W BX EACH,2418.0,2152.02,125.3,2418.0,482 CDM,PX-26111,PR EXCISN TMR HND/FGR SUBQ >=1.5C,2868.0,2552.52,152.57,2868.0,482 CDM,PX-26113,PR EXCISN TMR HND/FGR DEEP>=1.5CM,4339.0,3861.71,199.14,4339.0,482 CDM,PX-26115,PR EXCISN TMR HND/FGR SUBQ <1.5CM,2678.0,2383.42,237.93,2678.0,482 CDM,PX-26116,PR EXCISN TMR HND/FGR SUBF <1.5CM,4072.0,3624.08,192.32,4072.0,482 CDM,PX-26117,PR RADCL RSECT HAND TUMOR < 3 CM,6197.0,5515.33,267.85,6197.0,482 CDM,PX-26118,PR RADCL RSECT HAND TMR >=3CM,7743.0,6891.27,374.13,7743.0,482 CDM,PX-26121,PR FASCTMY PALM W/WO ZPLASTY,5369.0,4778.41,218.5,5369.0,482 CDM,PX-26123,PR FASCTMY PALM PRTL W SNGL DIG,6823.0,6072.47,303.62,6823.0,482 CDM,PX-26125,PR FASCTMY PALM PRTL EA ADD DIG,2273.0,2022.97,170.82,2273.0,482 CDM,PX-26130,PR SYNOVECTOMY CMC JT,4142.0,3686.38,178.69,4142.0,482 CDM,PX-26135,PR SYNOVTMY MCP INCL RCNST EA,4599.0,4093.11,202.13,4599.0,482 CDM,PX-26140,PR SYNOVTMY I-P INCL RCNST,4022.0,3579.58,187.46,4022.0,482 CDM,PX-26145,PR SYNO FLEXOR TNDN PALM/FGR EA,4632.0,4122.48,189.87,4632.0,482 CDM,PX-26160,PR EXCISN LESN TNDN SHTH HND/FGR,2637.0,2346.93,268.14,2637.0,482 CDM,PX-26170,PR REMOVAL OF PALM TENDON EACH,2688.0,2392.32,153.41,2688.0,482 CDM,PX-26180,PR EXCISN TNDN FGR/FLEXOR/EXTNSR,3449.0,3069.61,168.98,3449.0,482 CDM,PX-26185,PR SESAMOIDECTOMY THUMB OR FINGER,4384.0,3901.76,213.94,4384.0,482 CDM,PX-26200,PR EXCISN BN CYST/TMR METACARPAL,2624.0,2335.36,167.23,2624.0,482 CDM,PX-26205,PR EXCISN CYST/TMR MTCAR W AUTOGRFT,4124.0,3670.36,222.46,4124.0,482 CDM,PX-26210,PR EXCISN BN CYST PROX/MID/DIST PHAL,3060.0,2723.4,167.87,3060.0,482 CDM,PX-26215,PR EXCISN CYST/TMR PHLX FGR W AUTOGRFT,4821.0,4290.69,210.23,4821.0,482 CDM,PX-26230,PR EXCISN BN METACARPAL PRTL,3558.0,3166.62,183.33,3558.0,482 CDM,PX-26235,PR EXCISN BN PROX/MID PHAL PRTL,3444.0,3065.16,180.73,3444.0,482 CDM,PX-26236,PR EXCISN BN DISTAL PHAL PRTL,3207.0,2854.23,164.76,3207.0,482 CDM,PX-26260,PR RSECT TMR PROX/MID PHALANX RADCL,5721.0,5091.69,285.56,5721.0,482 CDM,PX-26320,PR RMVL IMPLANT FROM FINGER/HAND,2818.0,2508.02,132.4,2818.0,482 CDM,PX-26340,PR MANIP FGR JT UNDER ANES EA JT,2248.0,2000.72,147.34,2248.0,482 CDM,PX-26341,PR MANIP PALMAR FASCIAL POST INJ,679.0,604.31,50.12,679.0,482 CDM,PX-26350,PR RPR FLEX TNDN NOT Z2 WO GRFT EA,5425.0,4828.25,295.91,5425.0,482 CDM,PX-26352,PR REP FLX TNDN Z2 W FREE GRFT EA,6267.0,5577.63,320.0,6267.0,482 CDM,PX-26356,PR RPR FLEX TNDN ZN 2 PRIM WO GRFT,7450.0,6630.5,294.79,7450.0,482 CDM,PX-26357,PR RPR FLEX TNDN Z2 SECNDRY WO GRFT,6207.0,5524.23,331.27,6207.0,482 CDM,PX-26358,PR RPR FLXR TNDN Z2 SECNDRY W GRFT,8424.0,7497.36,360.87,8424.0,482 CDM,PX-26370,PR RPR ROFUNDUS TNDN PRIM EA,6896.0,6137.44,302.83,6896.0,482 CDM,PX-26372,PR RPR/ADVMNT TNDN W GRFT,6923.0,6161.47,354.79,6923.0,482 CDM,PX-26373,PR RPR/ADVMNT TNDN WO GRFT,6473.0,5760.97,343.97,6473.0,482 CDM,PX-26390,PR EXCISN FLEX TNDN HAND W IMPLN,4583.0,4078.87,334.23,4583.0,482 CDM,PX-26392,PR RMVL SYNTH ROD&INSJ FLXR TDN,7450.0,6630.5,382.52,7450.0,482 CDM,PX-26410,PR RPR EXTNSR TNDN HND WO GRFT EA,3957.0,3521.73,240.46,3957.0,482 CDM,PX-26412,PR RPR EXTNSR TNDN HND W GRFT,4618.0,4110.02,277.37,4618.0,482 CDM,PX-26416,PR RMVL SYNTH ROD & INSJ XTNSR TDN GRF H/F EA ROD,4233.0,3767.37,353.19,4233.0,482 CDM,PX-26418,PR RPR EXTNSR TNDN FGR WO GRFT,3623.0,3224.47,253.28,3623.0,482 CDM,PX-26420,PR RPR EXTNSR TNDN FGR W GRFT,4943.0,4399.27,286.03,4943.0,482 CDM,PX-26426,PR RPR EXTNSR TNDN SECNDRY W TISS,4403.0,3918.67,185.7,4403.0,482 CDM,PX-26432,PR CLSD TX EXT TNDN DIST W/WO PIN,2815.0,2505.35,218.38,2815.0,482 CDM,PX-26433,PR RPR EXTNSR TNDN DIST INS,3844.0,3421.16,227.69,3844.0,482 CDM,PX-26434,PR RPR EXTNSR TNDN DIST W GRFT,4892.0,4353.88,275.62,4892.0,482 CDM,PX-26437,PR REALIGN EXTNSR TNDN HAND EA,4675.0,4160.75,259.25,4675.0,482 CDM,PX-26440,PR TENOLYSIS FLEXOR PALM/FINGER,3832.0,3410.48,258.22,3832.0,482 CDM,PX-26442,PR TENOLYSIS FLEXOR PALM&FINGER,4707.0,4189.23,381.3,4707.0,482 CDM,PX-26445,PR TENOLYSIS EXTNSR TNDN HND/FGR,4434.0,3946.26,243.95,4434.0,482 CDM,PX-26449,PR TENOLYSIS COMPLX EXTNSR FGR EA,7941.0,7067.49,258.48,7941.0,482 CDM,PX-26450,PR TENOTOMY FLEX PALM OPN EA TNDN,4128.0,3673.92,184.32,4128.0,482 CDM,PX-26455,PR TENOTOMY FLEXOR FNGR OPN EA,2742.0,2440.38,184.33,2742.0,482 CDM,PX-26460,PR TENOTOMY EXTNSR HND/FGR OPN EA,2742.0,2440.38,180.46,2742.0,482 CDM,PX-26471,PR TENODESIS PROX I-P JT EA,4238.0,3771.82,257.26,4238.0,482 CDM,PX-26474,PR TENODESIS DISTAL JOINT EACH,3297.0,2934.33,261.49,3297.0,482 CDM,PX-26476,PR LENGTHN TNDN EXTNS HND/FNGR EA,3931.0,3498.59,258.94,3931.0,482 CDM,PX-26478,PR LENGTHN TNDN FLEXOR HAND/FNGR,4388.0,3905.32,259.72,4388.0,482 CDM,PX-26480,PR TRNSF TNDN DORSUM WO GRFT EA,5535.0,4926.15,260.4,5535.0,482 CDM,PX-26483,PR TRANSFER TNDN DORSUM W GRFT,7026.0,6253.14,331.62,7026.0,482 CDM,PX-26485,PR TRNSPL TNDN PALMAR WO GRFT EA,5334.0,4747.26,321.07,5334.0,482 CDM,PX-26490,PR OPPONENSPLASTY SUPER TENDON EA,5303.0,4719.67,323.83,5303.0,482 CDM,PX-26492,PR OPPONENSPLASTY TNDN W GRFT EA,6290.0,5598.1,354.63,6290.0,482 CDM,PX-26496,PR OPPONENSPLASTY OTHER METHODS,5298.0,4715.22,345.64,5298.0,482 CDM,PX-26498,PR TRANSFER TNDN ALL 4 FNGRS,7417.0,6601.13,435.24,7417.0,482 CDM,PX-26499,PR CORRECTION CLAW FINGER,5610.0,4992.9,334.41,5610.0,482 CDM,PX-26500,PR RCNST TNDN PULLEY W TISS,3844.0,3421.16,273.3,3844.0,482 CDM,PX-26502,PR RCNST TNDN PULLEY W GRFT,4885.0,4347.65,295.05,4885.0,482 CDM,PX-26508,PR RLS THENAR MUSCLE,4388.0,3905.32,256.47,4388.0,482 CDM,PX-26510,PR TRNSF TNDN CROSS INTRINSIC EA,5378.0,4786.42,250.84,5378.0,482 CDM,PX-26516,PR CAPSULODESIS MCP JT EA,5503.0,4897.67,284.7,5503.0,482 CDM,PX-26520,PR CAPSULECTOMY MCP JT EA,5199.0,4627.11,269.28,5199.0,482 CDM,PX-26525,PR CAPSULECTOMY I-P JT EA,5101.0,4539.89,271.74,5101.0,482 CDM,PX-26530,PR ARTHROPLASTY MCP JT EA,4344.0,3866.16,198.55,4344.0,482 CDM,PX-26531,PR ARTHROPLSTY MCP JT W PROSTH EA,4874.0,4337.86,228.93,4874.0,482 CDM,PX-26536,PR ARTHROPLSTY I-P JT W PROSTH EA,4788.0,4261.32,292.24,4788.0,482 CDM,PX-26540,PR RPR LGMNT MCP/I-P JT,5330.0,4743.7,270.29,5330.0,482 CDM,PX-26541,PR RCNSTRCT LGMNT MCP W TDN/FSCAL GRFT,6587.0,5862.43,315.83,6587.0,482 CDM,PX-26542,PR RCNST LGMNT MCP W LOCAL TISS,5539.0,4929.71,276.85,5539.0,482 CDM,PX-26545,PR RCNST LGMNT I-P JT EA,5721.0,5091.69,281.18,5721.0,482 CDM,PX-26546,PR RPR NONUNION/METCARP/PHALANX,5814.0,5174.46,392.69,5814.0,482 CDM,PX-26548,PR RPR & RCNST FGR VOLAR PLATE,5691.0,5064.99,303.1,5691.0,482 CDM,PX-26550,PR POLLICIZATION DIGIT,12758.0,11354.62,592.59,12758.0,482 CDM,PX-26556,PR TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS,24047.0,21401.83,1170.29,24047.0,482 CDM,PX-26560,PR RPR SYNDACTYLY EA W FLAPS,4403.0,3918.67,254.22,4403.0,482 CDM,PX-26561,PR RPR SYNDACTYLY EA W FLAPS&GRFT,7656.0,6813.84,369.92,7656.0,482 CDM,PX-26562,PR RPR SYNDACTYLY EA CMPLX,13138.0,11692.82,508.89,13138.0,482 CDM,PX-26565,PR OSTEOTOMY METACARPAL EA,4943.0,4399.27,274.11,4943.0,482 CDM,PX-26567,PR OSTEOTOMY PHALANX FINGER EA,5101.0,4539.89,277.94,5101.0,482 CDM,PX-26568,PR OSTEOPLAST LNGTH METCARP/PHLNX,5875.0,5228.75,359.79,5875.0,482 CDM,PX-26580,PR RPR CLEFT HAND,8528.0,7589.92,559.32,8528.0,482 CDM,PX-26587,PR RCNST POLYDACTYLOUS TISS BN,6255.0,5566.95,372.13,6255.0,482 CDM,PX-26591,PR RPR INTRINSIC MUS HAND EA,4262.0,3793.18,199.2,4262.0,482 CDM,PX-26593,PR RLS INTRINSIC MUS HAND EA,4310.0,3835.9,254.35,4310.0,482 CDM,PX-26600,PR CLSD TX METCARP FX WO MANIP EA BN,1300.0,1157.0,116.92,1300.0,507 CDM,PX-26605,PR CLSD TX METCARP FX W MANIP EA BN,1890.0,1682.1,128.16,1890.0,507 CDM,PX-26608,PR FIX PERC METCARP FX EA,3380.0,3008.2,182.09,3380.0,482 CDM,PX-26615,PR OPN TX METCARP FX W FIX SNGL EA BN,4405.0,3920.45,213.97,4405.0,482 CDM,PX-26645,PR CLSD TX THUMB FX W MANIP,2516.0,2239.24,191.7,2516.0,482 CDM,PX-26650,PR FIX PERC THUMB DISLOC W MANIP,3238.0,2881.82,185.13,3238.0,482 CDM,PX-26665,PR OPN TX CMC FX THUMB DISLOC,5313.0,4728.57,226.35,5313.0,482 CDM,PX-26670,PR CLSD TX CMC DISLOC W MANIP,2864.0,2548.96,144.85,2864.0,507 CDM,PX-26676,PR FIX CMC DISLOC W MANIP,3588.0,3193.32,192.39,3588.0,482 CDM,PX-26685,PR OPN TX CMC DISLOC W FIX EA JT,4974.0,4426.86,210.18,4974.0,482 CDM,PX-26686,PR OPN TX CMC DISLOC CMPLX EA JT,5528.0,4919.92,228.74,5528.0,482 CDM,PX-26700,PR CLSD TX MCP DISLOC W MANIP WO ANS,1752.0,1559.28,136.88,1752.0,507 CDM,PX-26705,PR CLSD TX MCP DISLOC W MANP W ANS,2154.0,1917.06,194.38,2154.0,482 CDM,PX-26706,PR FIX PERC MCP DISLOC W MANIP,2995.0,2665.55,164.63,2995.0,482 CDM,PX-26715,PR OPN TX MCP DISLOC W INT FIX,3579.0,3185.31,212.96,3579.0,482 CDM,PX-26720,PR CLSD TX PHAL SHFT FX WO MANIP EA,870.0,774.3,94.59,870.0,482 CDM,PX-26725,PR CLSD TX PHAL SHFT FX W MANIP EA,1794.0,1596.66,157.64,1794.0,482 CDM,PX-26727,PR TX PERC FGR PROX/MID W MANIP EA,3634.0,3234.26,179.36,3634.0,482 CDM,PX-26735,PR OPN TX PHALANGEAL SHAFT FX EA,3872.0,3446.08,220.15,3872.0,482 CDM,PX-26740,PR CLSD TX ARTICLR FX WO MANIP EA,1313.0,1168.57,89.58,1313.0,507 CDM,PX-26742,PR CLSD TX ARTICULAR FX W MANIP EA,2406.0,2141.34,167.72,2406.0,482 CDM,PX-26746,PR OPN TX ARTICULAR FX W FIX EA JT,5363.0,4773.07,267.05,5363.0,482 CDM,PX-26750,PR CLSD TX DISTL PHAL WO MANIP EA,1069.0,951.41,74.94,1069.0,507 CDM,PX-26755,PR CLSD TX DISTL PHAL FX W MANIP EA,1733.0,1542.37,151.97,1733.0,482 CDM,PX-26756,PR FIX PERC SKEL DIST PHAL FX EA,2514.0,2237.46,163.71,2514.0,482 CDM,PX-26765,PR OPN TX DIST PHAL FX W INT FIX EA,2760.0,2456.4,190.87,2760.0,482 CDM,PX-26770,PR CLSD TX I-P DISLOC W MANIP WO ANES,1547.0,1376.83,122.2,1547.0,507 CDM,PX-26775,PR TX I-P DISLOC W MANIP W ANES,2015.0,1793.35,175.31,2015.0,482 CDM,PX-26776,PR CLSD TX PERC I-P DISLOC W MANIP,2912.0,2591.68,171.36,2912.0,482 CDM,PX-26785,PR OPN TX I-P DISLOC W FIX SNGL,3313.0,2948.57,205.13,3313.0,482 CDM,PX-26841,PR ARTHRDSIS CMC W/WO INT FIX,4744.0,4222.16,298.45,4744.0,482 CDM,PX-26842,PR ARTHRDSIS CMC W/WO INT FIX W AUTOGRFT,6426.0,5719.14,321.73,6426.0,482 CDM,PX-26843,PR ARTHRDSIS CMC OTHER THAN THMB,5209.0,4636.01,303.91,5209.0,482 CDM,PX-26844,PR ARTHRDSIS CMC W AUTOGRFT,6635.0,5905.15,330.91,6635.0,482 CDM,PX-26850,PR ARTHRDSIS MCP W/WO INT FIX,4974.0,4426.86,280.65,4974.0,482 CDM,PX-26852,PR ARTHRDSIS MCP W AUTOGRFT,5137.0,4571.93,314.45,5137.0,482 CDM,PX-26860,PR ARTHRDSIS I-P JT W/WO FIX,4295.0,3822.55,243.68,4295.0,482 CDM,PX-26861,PR ARTHRDSIS IP W/WO FIX EA ADD,986.0,877.54,64.78,986.0,482 CDM,PX-26862,PR ARTHRDSIS IP W AUTOGRFT,5423.0,4826.47,292.83,5423.0,482 CDM,PX-26863,PR ARTHRODESIS I-P JT W AUTOGRFT EA,1612.0,1434.68,144.0,1612.0,482 CDM,PX-26910,PR AMP MTCRPL W FGR OR THUMB SNGL,5682.0,5056.98,293.0,5682.0,482 CDM,PX-26951,PR AMP FGR/THUMB W DIRECT CLSR,4091.0,3640.99,279.63,4091.0,482 CDM,PX-26952,PR AMP FGR/THUMB W ADV FLAPS,4739.0,4217.71,265.53,4739.0,482 CDM,PX-26990,PR I&D PELVIS/HIP JT DEEP ABSC,4623.0,4114.47,257.53,4623.0,482 CDM,PX-26992,PR INCISN BN CORTEX PELV/HIP JT,6601.0,5874.89,362.85,6601.0,482 CDM,PX-27000,PR TENOTOMY HIP ADDUCTOR PERC,2969.0,2642.41,144.14,2969.0,482 CDM,PX-270000203,HC OXYGEN HOURLY,34.0,30.26,7.07,34.0,717 CDM,PX-27001,PR TENOTOMY ADDUCTOR HIP OPN,4755.0,4231.95,198.38,4755.0,482 CDM,PX-27005,PR TENOTOMY HIP FLEX OPN SEP PROC,5837.0,5194.93,259.02,5837.0,482 CDM,PX-27006,PR TENOTOMY HIP ABD/EXTEN OPEN,6301.0,5607.89,255.33,6301.0,482 CDM,PX-27025,PR FASCIOTOMY HIP/THIGH,7802.0,6943.78,337.64,7802.0,482 CDM,PX-27030,PR ARTHRT HIP W DRN,6096.0,5425.44,327.94,6096.0,482 CDM,PX-27033,PR ARTHRT HIP INCL EXPLR RMVL FB,7917.0,7046.13,340.6,7917.0,482 CDM,PX-27036,PR CPSLMY HIP W RLS HIP FLXR MUSC,7643.0,6802.27,360.66,7643.0,482 CDM,PX-27041,PR BX PELV/HIP AREA DEEP,4043.0,3598.27,250.99,4043.0,482 CDM,PX-27043,PR EXCISN TMR PLV/HIP SUBQ>=3CM,2599.0,2313.11,171.44,2599.0,482 CDM,PX-27045,PR EXCISN TMR PLV/HP SUBFSCL>=5CM,5007.0,4456.23,261.85,5007.0,482 CDM,PX-27047,PR EXCISN TMR PELVIS/HIP SUBQ<3CM,3058.0,2721.62,211.31,3058.0,489 CDM,PX-27048,PR EXCISN TMR PLV/HIP SUBFSCL<5CM,3698.0,3291.22,222.89,3698.0,482 CDM,PX-27049,PR RSECT TMR PELVIS/HIP <5CM,10092.0,8981.88,489.45,10092.0,482 CDM,PX-27054,PR ARTHROTOMY HIP W SYNOVECTOMY,6691.0,5954.99,250.82,6691.0,482 CDM,PX-27059,PR RSECT TMR PELVIS/HIP >=5CM,14804.0,13175.56,616.52,14804.0,482 CDM,PX-27062,PR EXCISN TROC BURSA/CALCIFICATN,3105.0,2763.45,168.33,3105.0,482 CDM,PX-27065,PR EXCISN BN CYST IL/PU/FM SUPFC,4289.0,3817.21,197.42,4289.0,482 CDM,PX-27066,PR EXCISN BN CYST IL/PU/FM DEEP,6513.0,5796.57,291.57,6513.0,482 CDM,PX-27070,PR EXCISN PRTL ILIUM WING SUPFCL,6281.0,5590.09,319.86,6281.0,482 CDM,PX-27071,PR EXCISN PRTL ILIUM WING DEEP,8395.0,7471.55,354.4,8395.0,482 CDM,PX-27075,PR RSECT TUMOR ILIUM WING RAD,12070.0,10742.3,699.8,12070.0,482 CDM,PX-27076,PR RSECT TMR ILIUM/ISCH/ACET RAD,15993.0,14233.77,838.43,15993.0,482 CDM,PX-27077,PR RSECT TUMOR INOMINATE BN TOT,17989.0,16010.21,931.04,17989.0,482 CDM,PX-27078,PR RSECT TMR ISCH TUBR&GRT TRCNTR,11329.0,10082.81,690.62,11329.0,482 CDM,PX-27080,PR COCCYGECTOMY PRIMARY,3673.0,3268.97,190.66,3673.0,482 CDM,PX-27087,PR RMVL FB PELVIS/HIP DEEP,3316.0,2951.24,227.17,3316.0,482 CDM,PX-27090,PR RMVL HIP PROSTHESIS,5987.0,5328.43,296.25,5987.0,482 CDM,PX-27091,PR RMVL HIP PROSTHESIS CMPLX,15386.0,13693.54,543.78,15386.0,482 CDM,PX-27093,PR INJ PROC HIP ARTHGRPH WO ANES,994.0,884.66,81.26,994.0,507 CDM,PX-27095,PR INJ PROC HIP ARTHGRPH W ANES,1549.0,1378.61,133.95,1549.0,482 CDM,PX-27096,PR INJ SI JT W IMA W ARTHROGRPHY,1418.0,1262.02,71.79,1418.0,482 CDM,PX-27097,PR RLS HAMSTRING PROXIMAL,9390.0,8357.1,247.61,9390.0,482 CDM,PX-27120,PR ACETABULOPLASTY,10249.0,9121.61,449.28,10249.0,482 CDM,PX-27122,PR ACETABULOPLASTY RSECT FEM HEAD,9194.0,8182.66,384.87,9194.0,482 CDM,PX-27125,PR HEMIARTHROPLASTY HIP PRTL,9528.0,8479.92,394.18,9528.0,482 CDM,PX-27130,PR ARTHRO ACETAB&FEM PROSTH (THA),15181.0,13511.09,439.85,15181.0,482 CDM,PX-27132,PR CONVERT PREV TOTAL HIP ARTHRO,17977.0,15999.53,568.51,17977.0,482 CDM,PX-27134,PR REV TOTAL HIP BOTH COMPONENT,18626.0,16577.14,637.4,18626.0,482 CDM,PX-27137,PR REV TOTAL HIP ACETABULR ONLY,15321.0,13635.69,497.41,15321.0,482 CDM,PX-27138,PR REV TOTAL HIP FEMORAL ONLY,15321.0,13635.69,515.87,15321.0,482 CDM,PX-27140,PR OST&TRNSF GRT TROCH OF FEMUR,5335.0,4748.15,317.21,5335.0,482 CDM,PX-27146,PR OSTEOTOMY ILIAC/ACETABULAR BN,9612.0,8554.68,444.25,9612.0,482 CDM,PX-27147,PR OSTEOT ILIAC ACETAB HIP REDUCT,12355.0,10995.95,502.45,12355.0,482 CDM,PX-27151,PR OSTEOT IL/ACETAB BN W FEM OST,15439.0,13740.71,540.41,15439.0,482 CDM,PX-27156,PR OSTEOT IL/ACETAB BN W HIP REDUC,16544.0,14724.16,579.24,16544.0,482 CDM,PX-27158,PR OSTEOTOMY PELVIS BILATERAL,11614.0,10336.46,480.51,11614.0,482 CDM,PX-27161,PR OSTEOTOMY FEM NECK SEP PROC,10557.0,9395.73,424.41,10557.0,482 CDM,PX-27165,PR OSTEOT INTER/SUBTROCHANTERIC,11800.0,10502.0,478.93,11800.0,482 CDM,PX-27170,PR BN GRFT FEM HEAD/NK/INTERTRO,11108.0,9886.12,403.94,11108.0,482 CDM,PX-27176,PR TX SLIP FEM EPIPHYSIS IN SITU,8688.0,7732.32,327.94,8688.0,482 CDM,PX-27177,PR OPEN RX SLIP EPIPHYSIS,8829.0,7857.81,391.36,8829.0,482 CDM,PX-27178,PR OPN TX SLIPPED FEM CLSD MANIP,6193.0,5511.77,327.94,6193.0,482 CDM,PX-27181,PR OPN TX FEM EPHIPH W OSTEOT&FIX,9504.0,8458.56,393.75,9504.0,482 CDM,PX-27185,PR ARRST EPIPHYSEAL TRCHNTR FEM,3920.0,3488.8,260.09,3920.0,482 CDM,PX-27187,PR TX PROPHX FEM NK&PROX W/WO MMA,9479.0,8436.31,351.34,9479.0,482 CDM,PX-27197,PR CLSD TX POST PELVIC RING FX WO MANIP,911.0,810.79,48.3,911.0,482 CDM,PX-27198,PR CLSD TX POST PELVIC RING FX W MANIP,2347.0,2088.83,107.62,2347.0,482 CDM,PX-272000234,HC INTRO/SHEATH NON LASER,70.0,62.3,14.56,70.0,728 CDM,PX-272000415,HC TRAY PICC KIT 4FR SL SOLO,471.0,419.19,97.97,471.0,723 CDM,PX-272000416,HC TRAY PICC KIT 5FR DL SOLO,522.0,464.58,108.58,522.0,723 CDM,PX-272000418,HC TRAY PICC SOLO 5FR TL,572.0,509.08,118.98,572.0,723 CDM,PX-272000945,HC CATH PICC 1.9FR SNGL,165.0,146.85,34.32,165.0,723 CDM,PX-272000946,HC CATH PICC 2.6FR DBL,165.0,146.85,34.32,165.0,723 CDM,PX-272000947,HC CATH PICC 3FR SL PWR,409.0,364.01,85.07,409.0,723 CDM,PX-272000951,HC TRAY PEDIATRIC PICC,134.0,119.26,27.87,134.0,723 CDM,PX-272000966,"HC CATH, INF, PER/CENT/MIDLINE",360.0,320.4,74.88,360.0,723 CDM,PX-272000967,HC SET HF1000 PRISMAFLEX FIL,1363.0,1213.07,283.5,1363.0,717 CDM,PX-272000969,HC SET HF1400 PRISMAFLEX FIL,1545.0,1375.05,321.36,1545.0,717 CDM,PX-272000978,HC BLADE INCISOR,1193.0,1061.77,248.14,1193.0,717 CDM,PX-272000984,HC NEEDLE INJETAK ADJUSTABLE TIP,336.0,299.04,69.89,336.0,717 CDM,PX-272000985,HC SINGLE LUMEN 16 ASPIR NEEDLE,148.0,131.72,30.78,148.0,717 CDM,PX-272000986,HC RFA KITS,3691.0,3284.99,767.73,3691.0,717 CDM,PX-272000992,HC MISC DIALYSIS SUPPLIES NOC,6112.0,5439.68,1271.3,6112.0,714 CDM,PX-272000993,HC KIT PROCEDURE MILD,155.0,137.95,32.24,155.0,729 CDM,PX-272000996,HC POWERGLIDE ST MAX KIT,295.0,262.55,61.36,295.0,723 CDM,PX-272000997,HC POWERGLIDE ST SINGLE KIT,207.0,184.23,43.06,207.0,723 CDM,PX-272001024,HC CAST ROOM VAC SPONGE SM,215.0,191.35,44.72,215.0,717 CDM,PX-272001025,HC CAST ROOM VAC SPONGE MED,264.0,234.96,54.91,264.0,717 CDM,PX-272001026,HC CAST ROOM VAC SPONGE LRG,326.0,290.14,67.81,326.0,717 CDM,PX-272001027,HC CAST ROOM VAC CANNISTER,183.0,162.87,38.06,183.0,717 CDM,PX-272001028,HC CAST ROOM GOING HOME VAC CANNISTER,202.0,179.78,42.02,202.0,717 CDM,PX-272001031,HC TRAY PICC KIT 3FR SL SOLO,587.0,522.43,122.1,587.0,723 CDM,PX-272001032,HC TRAY PICC KIT 4FR DL SOLO,603.0,536.67,125.42,603.0,723 CDM,PX-272001034,HC SET HF20 PRISMAFLEX FIL,977.0,869.53,203.22,977.0,717 CDM,PX-272001038,HC PACK MINOR VAGINAL CUSTOM,297.0,264.33,61.78,297.0,719 CDM,PX-272001040,HC CARPEDIEM HCD 015 FIL,661.0,588.29,137.49,661.0,717 CDM,PX-272001051,HC EMST150 TRAINER,272.0,242.08,56.58,272.0,719 CDM,PX-272001052,HC EMST75LITE TRAINER,308.0,274.12,64.06,308.0,719 CDM,PX-272001055,HC BONEE NEEDLE,526.0,468.14,109.41,526.0,717 CDM,PX-272001056,HC DURASPHERE NEEDLE,318.0,283.02,66.14,318.0,717 CDM,PX-272001061,HC ARROW COATED 4.5FR MIDLINE AGBA PI SL 15CM,374.0,332.86,77.79,374.0,723 CDM,PX-272001062,HC ARROW 4FR BY 20CM PI MIDLINE,308.0,274.12,64.06,308.0,723 CDM,PX-272001063,HC ARROW COATED 4.5FR SL PICC AGBA G4 55CM TCG,748.0,665.72,155.58,748.0,723 CDM,PX-272001064,HC ARROW COATED 5.5FR DL PICC AGBA G4 55CM TCG,773.0,687.97,160.78,773.0,723 CDM,PX-272001065,HC ARROW COATED 6FR TL PICC AGBA G4 55CM TCG,809.0,720.01,168.27,809.0,723 CDM,PX-272001066,HC ARROW 4FR SL PICC G4 55CM W CHG,655.0,582.95,136.24,655.0,723 CDM,PX-272001067,HC ARROW 5FR DL PICC G4 55CM W CHG,693.0,616.77,144.14,693.0,723 CDM,PX-272001068,HC ARROW 6FR TL PICC G4 55CM W CHG,719.0,639.91,149.55,719.0,723 CDM,PX-272001069,HC TRDCR COM PVP,248.0,220.72,51.58,248.0,717 CDM,PX-27215,PR OPN TX PELVIC BN FX W FIX,6244.0,5557.16,510.34,6244.0,482 CDM,PX-27216,PR TX PELVIC BN FX PERC SKEL FIX,7097.0,6316.33,743.92,7097.0,482 CDM,PX-27217,PR OPN TX PELVIC BN ANTR W FIX,8280.0,7369.2,704.0,8280.0,482 CDM,PX-27218,PR OPN TX PELVIC BN POSTR W FIX,10456.0,9305.84,935.85,10456.0,482 CDM,PX-27220,PR CLSD TX ACETABULUM FX W MANIP,2899.0,2580.11,149.44,2899.0,507 CDM,PX-27222,PR CLSD TX ACETAB HIP FX W MANIP,6150.0,5473.5,349.26,6150.0,482 CDM,PX-27226,PR OPN TX ACETAB FX WALL W FIX,8633.0,7683.37,367.74,8633.0,482 CDM,PX-27227,PR OPN TX ACETAB FX 1 CLMNS W FIX,13063.0,11626.07,562.94,13063.0,482 CDM,PX-27228,PR OPN TX ACETAB FX 2 CLMNS W FIX,15423.0,13726.47,635.4,15423.0,482 CDM,PX-27230,PR CLSD TX FEM FX PROX WO MANIP,2868.0,2552.52,210.78,2868.0,482 CDM,PX-27235,PR TX FEM FX PROX END NK PERC,7023.0,6250.47,319.75,7023.0,482 CDM,PX-27236,PR OPN TX FEM FX PROX END NK,8279.0,7368.31,414.72,8279.0,482 CDM,PX-27238,PR CLSD TX FEMORAL FX WO MANIP,3210.0,2856.9,177.81,3210.0,482 CDM,PX-27240,PR CLSD TX FEMORAL FX W MANIP,5901.0,5251.89,342.49,5901.0,482 CDM,PX-27244,PR TX FEM FX W PLATE/SCREW IMPL,8940.0,7956.6,426.28,8940.0,482 CDM,PX-27245,PR TX FEM FX W INTRAMEDULLRY IMPL,8581.0,7637.09,425.42,8581.0,482 CDM,PX-27246,PR CLSD TX GREATER TROCH WO MANIP,1938.0,1724.82,167.68,1938.0,482 CDM,PX-27248,PR OPN TX GREATER TROCH FX,5674.0,5049.86,261.66,5674.0,482 CDM,PX-27250,PR CLSD TX DISLOC HIP WO ANES,2085.0,1855.65,62.88,2085.0,482 CDM,PX-27252,PR CLSD TX HIP DISLOC W ANES,4489.0,3995.21,273.81,4489.0,482 CDM,PX-27253,PR OPN TX HIP DISLOC WO FIX,5585.0,4970.65,331.65,5585.0,482 CDM,PX-27257,PR TX HIP DISLOC W MANIP W ANES,2459.0,2188.51,125.14,2459.0,482 CDM,PX-27258,PR OPN TX HIP DISLOC SPONT,11396.0,10142.44,388.14,11396.0,482 CDM,PX-27259,PR OPN TX HIP DISLOC W FEM SHORT,11645.0,10364.05,530.77,11645.0,482 CDM,PX-27265,PR CLSD TX HIP DISLOC WO ANES,2693.0,2396.77,192.81,2693.0,482 CDM,PX-27266,PR TX POST HIP ARTHR DISLOC ANES,3557.0,3165.73,215.0,3557.0,482 CDM,PX-27267,PR CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANIP,2902.0,2582.78,167.73,2902.0,482 CDM,PX-27269,PR OPN TX FEM FX PROX HEAD W FIX,8279.0,7368.31,424.61,8279.0,482 CDM,PX-27279,PR ARTHRDSIS SACROILIAC PERC,4048.0,3602.72,287.61,4048.0,482 CDM,PX-27280,PR ARTHRDSIS SACROILIAC JT W GRFT,8442.0,7513.38,470.86,8442.0,482 CDM,PX-27282,PR ARTHRODESES SYMPH PUBIS W GRFT,5542.0,4932.38,308.01,5542.0,482 CDM,PX-27290,PR AMP INTERPELVIABDOMINAL,10605.0,9438.45,555.44,10605.0,482 CDM,PX-27295,PR DISARTICULATION OF HIP,9461.0,8420.29,431.61,9461.0,482 CDM,PX-27299004,PR US-GUIDED PSOAS TENDON RELEASE/TENOTOMY,2969.0,2642.41,148.45,2969.0,477 CDM,PX-27299005,"PR MFAT, INCL HRVST AND INJ, HIP, SNGL SITE",4000.0,3560.0,200.0,4000.0,477 CDM,PX-27299006,"PR MFAT, EA ADDL HIP SITE(JNT/SFT TISSUE)",1500.0,1335.0,75.0,1500.0,477 CDM,PX-27299007,PR GLUTEUS MAXIMUS TRANSFER,6906.0,6146.34,345.3,6906.0,477 CDM,PX-27299008,PR CURETTAGE FEMUR TUMOR,6513.0,5796.57,325.65,6513.0,477 CDM,PX-27299009,PR TX1 TENOTOMY HIP ADDUCTOR PERC,3909.0,3479.01,195.45,3909.0,477 CDM,PX-27299010,PR TX1 TENOTOMY ADD/HMSTRNG PERC SNG,3132.0,2787.48,156.6,3132.0,477 CDM,PX-27299011,PR PERIACETABULAR OSTEOTOMY (PAO),38448.0,34218.72,1922.4,38448.0,477 CDM,PX-27301,PR I&D ABSC/BURSA/HEMA THIGH/KNEE,3969.0,3532.41,285.34,3969.0,482 CDM,PX-27303,PR INCISN FEM W OPN BN CORTX DEEP,4063.0,3616.07,232.83,4063.0,482 CDM,PX-27305,PR FASCIOTOMY ILIOTIBIAL OPEN,3239.0,2882.71,180.05,3239.0,482 CDM,PX-27306,PR TENOTOMY ADD/HMSTRNG PERC SNG,2168.0,1929.52,129.92,2168.0,482 CDM,PX-27310,PR ARTHRT KNEE EXPLR/DRN/RMVL FB,5740.0,5108.6,264.96,5740.0,482 CDM,PX-27323,PR BX SOFT TISS THIGH/KNEE SUPFCL,1380.0,1228.2,111.52,1380.0,482 CDM,PX-27324,PR BX SOFT TISS THIGH/KNEE DEEP,3188.0,2837.32,155.75,3188.0,482 CDM,PX-27326,PR NEURECTOMY POPLITEAL,3067.0,2729.63,195.97,3067.0,482 CDM,PX-27327,PR EXCISN TMR THIGH/KNEE SUBQ<3CM,2504.0,2228.56,216.25,2504.0,482 CDM,PX-27328,PR EXCISN TMR TH/KNE SUBFSCL<5CM,3462.0,3081.18,224.79,3462.0,482 CDM,PX-27329,PR RSECT TMR THIGH/KNEE <5CM,8892.0,7913.88,364.72,8892.0,482 CDM,PX-27331,PR ARTHRT KNEE JT EXPLOR/BX/RMVL,4372.0,3891.08,178.35,4372.0,482 CDM,PX-27332,PR ARTHRT EXCISN KNEE MED/LAT,4751.0,4228.39,237.42,4751.0,482 CDM,PX-27334,PR ARTHRT W SYNOVECTOMY KNEE,5665.0,5041.85,250.36,5665.0,482 CDM,PX-27335,PR ARTHRT KNEE ANTR&POSTR,6578.0,5854.42,275.97,6578.0,482 CDM,PX-27337,PR EXCISN TMR THIGH/KNE SUBQ>=3CM,2934.0,2611.26,155.2,2934.0,489 CDM,PX-27339,PR EXCISN TMR TH/KNE SUBFSCL>=5CM,5358.0,4768.62,270.49,5358.0,482 CDM,PX-27340,PR EXCISN PREPATELLAR BURSA,2816.0,2506.24,144.78,2816.0,482 CDM,PX-27345,PR EXCISN SYNOVIAL CYST POP SPACE,4103.0,3651.67,181.67,4103.0,482 CDM,PX-27347,PR EXCISN LESN KNEE MENISC/CAPSL,4776.0,4250.64,197.31,4776.0,482 CDM,PX-27350,PR PATELLECTOMY/HEMIPATELLECTOMY,6027.0,5364.03,239.49,6027.0,482 CDM,PX-27355,PR EXCISN BN CYST/BENIGN TMR FEM,5829.0,5187.81,222.99,5829.0,482 CDM,PX-27356,PR EXCISN BN FEMUR W ALLOGRAFT,5936.0,5283.04,267.75,5936.0,482 CDM,PX-27357,PR EXCISN BN FEMUR W AUTOGRAFT,5642.0,5021.38,294.45,5642.0,482 CDM,PX-27358,PR EXCISN BN FEMUR W INTRNL FIX,3069.0,2731.41,174.94,3069.0,482 CDM,PX-27360,PR EXCISN BN FEM/TIB/FIB PRTL,6037.0,5372.93,331.5,6037.0,482 CDM,PX-27364,PR RSECT TMR THIGH/KNEE >=5CM,14468.0,12876.52,537.82,14468.0,482 CDM,PX-27365,PR RSECT TUMOR FEMUR/KNEE RADICAL,15864.0,14118.96,691.82,15864.0,482 CDM,PX-27369,PR NJX CNTRST KNE ARTHG/CT/MRI,976.0,868.64,63.91,976.0,507 CDM,PX-27372,PR RMVL FB THIGH/KNEE DEEP,4022.0,3579.58,255.56,4022.0,482 CDM,PX-27380,PR SUTR INFRAPATELLAR TNDN PRIM,4396.0,3912.44,233.16,4396.0,482 CDM,PX-27381,PR SUTR INFRAPATELLAR TNDN SCNDRY,5701.0,5073.89,299.45,5701.0,482 CDM,PX-27385,PR SUTR QUAD/HAMSTRNG RUPT PRIM,4513.0,4016.57,230.73,4513.0,482 CDM,PX-27386,PR SUTR QUAD/HAMSTRNG RUPT SCNDRY,6906.0,6146.34,312.47,6906.0,482 CDM,PX-27390,PR TENOTOMY HAMSTRING OPN SNGL,2903.0,2583.67,164.07,2903.0,482 CDM,PX-27391,PR TENOTOMY HMSTRNG OPN MULT 1 LEG,3861.0,3436.29,213.59,3861.0,482 CDM,PX-27393,PR LENGTHENING TNDN SNGL,3509.0,3123.01,185.02,3509.0,482 CDM,PX-27394,PR LENGTHENING TNDN MULT 1 LEG,3728.0,3317.92,238.42,3728.0,482 CDM,PX-27395,PR LENGTHENING TNDN MULT BILAT,6808.0,6059.12,315.16,6808.0,482 CDM,PX-27396,PR TRANSPLANT THIGH SNGL TNDN,4215.0,3751.35,227.06,4215.0,482 CDM,PX-27400,"PR TENDON/MUSC XFER,HAMSTR-FEMUR",4720.0,4200.8,253.7,4720.0,482 CDM,PX-274000014,HC BOOT NON-PNEUMATIC WALK CPF,110.0,97.9,22.88,243.58,730 CDM,PX-274000015,HC BOOT PNEUMATIC WALK CPF,85.0,75.65,17.68,397.73,730 CDM,PX-274000016,HC BOOT PNEUMATIC/VAC WALK OTS,85.0,75.65,17.68,397.73,730 CDM,PX-274000039,HC BRACE WRIST FRACTURE,26.0,23.14,5.41,483.79,730 CDM,PX-274000041,HC BRACING DLX POST OP KNEE COOL,174.0,154.86,36.19,1058.14,730 CDM,PX-274000049,HC COLLAR CERVICAL FOAM NON-ADJ OTS,26.0,23.14,5.41,40.64,732 CDM,PX-274000051,HC COLLAR FOAM SEMI RGD 2 PC OTS,120.0,106.8,24.96,217.56,732 CDM,PX-274000054,HC COLLAR MIAMI PAD STOUT,273.0,242.97,56.78,273.0,719 CDM,PX-274000064,HC IMMOBILIZER KNEE LONG,26.0,23.14,5.41,88.44,732 CDM,PX-274000066,HC IMMOBILIZER SHLDR CAN&WEB,26.0,23.14,5.41,144.46,730 CDM,PX-274000079,HC ORHTO EWH RIG WO JT CPF FIT&ADJUST,1271.0,1131.19,264.37,1271.0,731 CDM,PX-274000083,HC ORTHO ELBOW HINGED FIT&ADJUST,431.0,383.59,89.65,699.2,730 CDM,PX-274000084,HC ORTHO ELBOW WO JT CPF FIT&ADJUST,436.0,388.04,90.69,436.0,730 CDM,PX-274000085,HC ORTHO EWH W JT CPF FIT&ADJUST,1182.0,1051.98,245.86,1182.0,730 CDM,PX-274000086,HC ORTHO WHF RIG W JT CPF,742.0,660.38,154.34,742.0,730 CDM,PX-274000087,HC ORTHO SHLDR ACROMIO/CLAV OTS,86.0,76.54,17.89,158.94,736 CDM,PX-274000090,HC ORTHO WH SPRT WO JT CPF FIT&ADJUST,718.0,639.02,149.34,718.0,731 CDM,PX-274000092,HC ORTHO WHF RIG WO JT CPF FIT&ADJUST,605.0,538.45,125.84,605.0,732 CDM,PX-274000096,HC ORTHO WRST COCK-UP OTS,124.0,110.36,25.79,124.0,730 CDM,PX-274000097,HC ORTHOSIS ANKLE CTRL PREFAB OTS,28.0,24.92,5.82,148.63,730 CDM,PX-274000098,HC ORTHOSIS ANKLE/FOOT CUSTOM,59.0,52.51,12.27,257.79,719 CDM,PX-274000100,HC ORTHOSIS FINGER SPRING PREFAB OTS,88.0,78.32,18.3,91.84,730 CDM,PX-274000101,HC ORTHOSIS FNGR WO JTS CUST FIT&ADJUST,361.0,321.29,75.09,361.0,731 CDM,PX-274000102,HC ORTHOSIS HAND W JTS CUSTOM,485.0,431.65,100.88,485.0,731 CDM,PX-274000103,HC ORTHOSIS HAND WO JTS CUSTOM,408.0,363.12,84.86,408.0,730 CDM,PX-274000104,HC ORTHOSIS HAND/FNGR WO JTS CUSTOM,459.0,408.51,95.47,459.0,732 CDM,PX-274000105,HC ORTHOSIS HIP FLEX CPF,85.0,75.65,17.68,197.96,731 CDM,PX-274000106,HC ORTHOSIS HND/FNGR SPRING CPF,300.0,267.0,62.4,300.0,731 CDM,PX-274000111,HC ORTHOSIS LWR EXTREMITY NOS,693.0,616.77,144.14,693.0,732 CDM,PX-274000117,HC POST OP SHOE/BOOT EA,26.0,23.14,5.41,26.0,719 CDM,PX-274000119,HC REPLACEMENT STRAP ORTHOSIS ANY,140.0,124.6,29.12,140.0,730 CDM,PX-274000120,HC RPR ORTHOSIS DEVICE MINOR,36.0,32.04,7.49,36.0,731 CDM,PX-274000128,HC SLING ARM,26.0,23.14,5.41,26.0,724 CDM,PX-274000139,HC HFO W/O JOINTS PRE CST,146.0,129.94,30.37,146.0,730 CDM,PX-274000140,HC SPLINT THUMB OTS,132.0,117.48,27.46,135.05,730 CDM,PX-274000149,HC SUP RC 274 A4565,33.0,29.37,6.86,33.0,724 CDM,PX-274000161,HC SUP RC 274 L1832,424.0,377.36,88.19,1058.14,730 CDM,PX-274000273,HC CUSTOM STATIC EWHFO,1935.0,1722.15,402.48,1935.0,730 CDM,PX-274000279,HC WHFO W/O JOINTS PRE OTS,194.0,172.66,40.35,349.59,730 CDM,PX-274000289,HC PATIENT LIFT SLING OR SEAT,608.0,541.12,96.33,608.0,719 CDM,PX-274000297,HC ORTHO SHLDR JT DESIGN CPF,1360.0,1210.4,282.88,1360.0,719 CDM,PX-274000298,HC GLOVE FLEXION,159.0,141.51,33.07,159.0,730 CDM,PX-274000300,HC ORTHOSIS FNGR WO SPRING PREFAB OTS,54.0,48.06,11.23,54.0,728 CDM,PX-274000310,HC NON-PNEUM WALK BOOT PRE OTS,110.0,97.9,22.88,243.58,730 CDM,PX-274000313,HC ORTHOSIS HIP STABILIZER POST OP,26.0,23.14,5.41,1439.45,730 CDM,PX-274000343,HC EO RIGID W/O JOINTS PRE OTS,103.0,91.67,21.42,150.31,728 CDM,PX-274000367,HC CAST ROOM PFS BOOT,542.0,482.38,112.74,542.0,730 CDM,PX-274000372,HC ROOKE BOOT UNIVERSAL,195.0,173.55,40.56,195.0,732 CDM,PX-274000373,HC DJO ELEVATED LEG PILLOW,65.0,57.85,13.52,65.0,732 CDM,PX-274000382,HC STATIC OR DYNAMIC AFO PRE OTS-BS,247.0,219.83,51.38,257.79,728 CDM,PX-274000384,HC KAFO FEMORAL FX CAST RIGID,2914.0,2593.46,606.11,2914.0,719 CDM,PX-274000385,HC PLAS SHOE INSERT W ANK JOINT,307.0,273.23,63.86,307.0,719 CDM,PX-274000386,HC HIP ADJ FLEX EXT ABDUCT CONT,901.0,801.89,187.41,901.0,719 CDM,PX-274000387,HC PELVIC BAND & BELT THIGH FLA,770.0,685.3,160.16,770.0,719 CDM,PX-274000388,HC LOW EXTREM EXTENSION PER EXTENSION,131.0,116.59,27.25,131.0,719 CDM,PX-274000389,HC FEMORAL LGTH SOCK FX OR EQUA,139.0,123.71,28.91,139.0,730 CDM,PX-274000391,HC HO ABDUCTION STATIC PLASTIC,224.0,199.36,46.59,277.6,731 CDM,PX-27403,PR ARTHRT W MENISCUS RPR KNEE,6027.0,5364.03,235.44,6027.0,482 CDM,PX-27405,PR RPR KNE TORN LGMNT PRIM COLLAT,5696.0,5069.44,246.08,5696.0,482 CDM,PX-27407,PR RPR KNE TORN LGMNT PRIM CRUCT,5521.0,4913.69,287.45,5521.0,482 CDM,PX-27412,PR IMPL KNEE AUTO CHONDROCYTE,14335.0,12758.15,566.75,14335.0,482 CDM,PX-27415,PR ALLOGRAFT OSTEOCHON KNEE OPN,10510.0,9353.9,479.22,10510.0,482 CDM,PX-27416,PR AUTOGRAFT OSTEOCHON KNEE OPN,6868.0,6112.52,344.07,6868.0,482 CDM,PX-27418,PR TUBERCLEPLASTY ANTERIOR TIBIAL,5798.0,5160.22,293.38,5798.0,482 CDM,PX-27422,PR RCNST DISLOC PATEL EXTN REALIGN,6123.0,5449.47,268.65,6123.0,482 CDM,PX-27425,PR RELEASE LAT RETINACULAR OPN,3799.0,3381.11,172.78,3799.0,482 CDM,PX-27427,PR RCNST LGMNT KNEE EXART,5965.0,5308.85,255.76,5965.0,482 CDM,PX-27429,PR RCNST LGMNT KNEE INTR/EXTR,10648.0,9476.72,448.95,10648.0,482 CDM,PX-27430,PR QUADRICEPSPLASTY,5433.0,4835.37,268.61,5433.0,482 CDM,PX-27435,PR CAPSULOTOMY KNEE POSTR RELEASE,6032.0,5368.48,293.03,6032.0,482 CDM,PX-27438,PR ARTHRO PATELLA W PROSTHESIS,6486.0,5772.54,299.42,6486.0,482 CDM,PX-27442,PR ARTHRO FEM CONDYL/TIB PLAT KNEE,6879.0,6122.31,307.91,6879.0,482 CDM,PX-27443,PR ARTHRO FEM CONDYLES PRTL DBRD,5214.0,4640.46,291.79,5214.0,482 CDM,PX-27446,PR ARTHRO KNEE MED/LAT CMPRT (UNILAT),8536.0,7597.04,397.9,8536.0,482 CDM,PX-27447,PR ARTHRO KNEE CONDYLE&PLAT (TKA),13820.0,12299.8,439.02,13820.0,482 CDM,PX-27448,PR OSTEOTOMY FEM SHAFT WO FIX,5079.0,4520.31,291.6,5079.0,482 CDM,PX-27450,PR OSTEOTOMY FEM SHAFT W FIX,8890.0,7912.1,354.94,8890.0,482 CDM,PX-27454,PR OSTEOTOMY FEM SHAFT MULT,9184.0,8173.76,448.84,9184.0,482 CDM,PX-27455,PR OSTEOTOMY TIB BFR EPIPHYS CLSR,5137.0,4571.93,342.01,5137.0,482 CDM,PX-27457,PR OSTEOTOMY TIB AFT EPIPHYS CLSR,8347.0,7428.83,335.03,8347.0,482 CDM,PX-27465,PR OSTEOPLASTY FEMUR SHORTENING,9607.0,8550.23,491.11,9607.0,482 CDM,PX-27466,PR OSTEOPLASTY FEMUR LENGTHENING,8107.0,7215.23,519.16,8107.0,482 CDM,PX-27470,PR RPR FEMUR NON/MALUNION WO GRFT,8106.0,7214.34,413.54,8106.0,482 CDM,PX-27472,PR RPR FEMUR NON/MALUNION W GRFT,9253.0,8235.17,439.36,9253.0,482 CDM,PX-27475,PR ARRST EPIPHYSEAL DISTAL FEMUR,5954.0,5299.06,241.43,5954.0,482 CDM,PX-27477,PR ARRST EPIPHYSEAL TIB/FIB PROX,6529.0,5810.81,263.71,6529.0,482 CDM,PX-27479,PR ARRST EPIPHYSL COMB FM/TIB/FIB,8240.0,7333.6,324.26,8240.0,482 CDM,PX-27485,PR ARRST HEMIEPIPHYSEAL,5958.0,5302.62,243.38,5958.0,482 CDM,PX-27486,PR REV TOT KNEE ARTHRO 1 COMPNT,12088.0,10758.32,483.66,12088.0,482 CDM,PX-27487,PR REV TOT KNEE ARTHRO FEM&TIB,13682.0,12176.98,594.65,13682.0,482 CDM,PX-27488,PR RMVL PROSTH KNEE,7929.0,7056.81,418.73,7929.0,482 CDM,PX-27495,PR PROPHX TX FEMUR W/WO MMA,7661.0,6818.29,394.21,7661.0,482 CDM,PX-27496,PR DCMPRN THIGH/KNEE SNGL CMPRT,3769.0,3354.41,206.37,3769.0,482 CDM,PX-27498,PR DCMPRN THIGH/KNEE MULT CMPRT,4093.0,3642.77,241.15,4093.0,482 CDM,PX-27500,PR CLSD TX FEMORAL SHAFT WO MANIP,3339.0,2971.71,225.68,3339.0,482 CDM,PX-27501,PR CLSD TX SPRA/TRNSCNDL WO MANIP,3468.0,3086.52,215.43,3468.0,482 CDM,PX-27502,PR CLSD TX FEM SHAFT FX W MANIP,5615.0,4997.35,286.39,5615.0,482 CDM,PX-27503,PR CLSD TX SPRA/TRNSCNDL W MANIP,6112.0,5439.68,287.18,6112.0,482 CDM,PX-27506,PR OPN TX FEM FX INTRAMEDLRY IMPL,8646.0,7694.94,465.69,8646.0,482 CDM,PX-27507,PR OPN TX FEM FX W PLATE/SCREWS,8458.0,7527.62,335.46,8458.0,482 CDM,PX-27508,PR CLSD TX FEM FX DIST WO MANIP,3334.0,2967.26,228.96,3334.0,482 CDM,PX-27509,PR FIX SKEL PERC FEM FX W/WO EXT,4933.0,4390.37,254.29,4933.0,482 CDM,PX-27510,PR CLSD TX FEMORAL W MANIP,5200.0,4628.0,257.36,5200.0,482 CDM,PX-27511,PR TX FEM SUPRACONDYL FX WO EXTSN,8458.0,7527.62,341.31,8458.0,482 CDM,PX-27513,PR TX FEM SUPRACONDYL FX W EXTSN,9376.0,8344.64,417.74,9376.0,482 CDM,PX-27514,PR OPN TX FEMORAL FX W FIX,8654.0,7702.06,331.8,8654.0,482 CDM,PX-27520,PR CLSD TX PATELLA FX WO MANIP,1899.0,1690.11,147.97,1899.0,482 CDM,PX-27524,PR OPN TX PATELLA FX FIX/PATLCTMY,5517.0,4910.13,270.95,5517.0,482 CDM,PX-27530,PR CLSD TX TIB FX WO MANIP,1977.0,1759.53,119.19,1977.0,507 CDM,PX-27532,PR CLSD TX TIB FX W/WO MANIP,3614.0,3216.46,266.79,3614.0,482 CDM,PX-27535,PR OPN TX TIB FX PROX UNICONDYLAR,5938.0,5284.82,309.66,5938.0,482 CDM,PX-27536,PR OPN TX TIB FX PROX BICONDYLAR,7692.0,6845.88,415.32,7692.0,482 CDM,PX-27538,PR CLSD TX KNEE W/WO MANIP,2804.0,2495.56,213.64,2804.0,482 CDM,PX-27540,PR OPN TX KNEE W/WO FIX,5755.0,5121.95,292.51,5755.0,482 CDM,PX-27552,PR CLSD TX KNEE DISLOC W ANES,4452.0,3962.28,234.58,4452.0,482 CDM,PX-27556,PR OPN TX KNE DISLOC WO LGMNT RPR,6527.0,5809.03,303.31,6527.0,482 CDM,PX-27558,PR OPN TX KNEE DISLOC W LIG RPR&AUGM,8064.0,7176.96,402.82,8064.0,482 CDM,PX-27560,PR CLSD TX PATLLR DISLOC WO ANES,3663.0,3260.07,185.27,3663.0,482 CDM,PX-27562,PR CLSD TX PATLLR DISLOC W ANES,3430.0,3052.7,185.18,3430.0,482 CDM,PX-27566,PR OPN TX PATLLR DISLC W/WO PTLMY,6177.0,5497.53,315.9,6177.0,482 CDM,PX-27570,PR MANIP KNEE JT W ANES,1392.0,1238.88,58.58,1392.0,482 CDM,PX-27580,PR ARTHRODESIS KNEE ANY TECH,9941.0,8847.49,517.09,9941.0,482 CDM,PX-27590,PR AMP THIGH THRU FEM,5574.0,4960.86,264.9,5574.0,482 CDM,PX-27592,PR AMP THIGH THRU FEM OPN,5006.0,4455.34,233.47,5006.0,482 CDM,PX-27594,PR AMP THIGH THRU FEMUR SEC CLSR,3107.0,2765.23,181.17,3107.0,482 CDM,PX-27596,PR AMP THIGH THRU FEM REAMP,6203.0,5520.67,246.37,6203.0,482 CDM,PX-27598,PR DISARTICULATION AT KNEE,5755.0,5121.95,239.93,5755.0,482 CDM,PX-27599005,PR TENOTOMY KNEE W/TENEX,3226.0,2871.14,161.3,3226.0,477 CDM,PX-27599008,PR MARLEX MESH RECON EXTNSR,6906.0,6146.34,345.3,6906.0,477 CDM,PX-27599009,PR MANI KNEE JT W REGIONAL/MAC ANES,1392.0,1238.88,69.6,1392.0,477 CDM,PX-27599012,"PR MFAT, IINCL HRVST AND INJ, KNEE, SNGL SITE",4000.0,3560.0,200.0,4000.0,477 CDM,PX-27599013,"PR MFAT, IINCL HRVST AND INJ, KNEE, BILATERAL",5500.0,4895.0,275.0,5500.0,477 CDM,PX-27600,PR DCMPRN LEG ANTR/LATERAL CMPRT,2909.0,2589.01,143.25,2909.0,482 CDM,PX-27601,PR DCMPRN LEG POSTR CMPRT,3776.0,3360.64,162.05,3776.0,482 CDM,PX-27602,PR DCMPRN LEG ANTR/LATERAL/POSTR,3674.0,3269.86,164.57,3674.0,482 CDM,PX-27603,PR I&D LEG/ANK DEEP ABSC/HEMA,3055.0,2718.95,217.51,3055.0,482 CDM,PX-27605,PR TNTMY ACHIL TNDN PERC LOC ANES,2190.0,1949.1,137.57,2190.0,482 CDM,PX-27606,PR TNTMY ACHIL TNDN PERC GEN ANES,2334.0,2077.26,98.89,2334.0,482 CDM,PX-27607,PR INCISION LEG/ANKLE,3674.0,3269.86,218.31,3674.0,482 CDM,PX-27610,PR ARTHRT ANKLE EXPLR/DRN/RMVL FB,5173.0,4603.97,236.02,5173.0,482 CDM,PX-27612,PR ARTHRT ANK POSTR CAPSULAR RLS,4565.0,4062.85,211.69,4565.0,482 CDM,PX-27613,PR BX SOFT TISS LEG/ANKLE SUPFCL,993.0,883.77,105.37,993.0,482 CDM,PX-27614,PR BX SOFT TISS LEG/ANKLE DEEP,2136.0,1901.04,244.77,2136.0,482 CDM,PX-27615,PR RSECT TMR LEG/ANK <5CM RADCL,6815.0,6065.35,356.94,6815.0,482 CDM,PX-27616,PR RSECT TMR LEG/ANK >=5CM RADCL,9060.0,8063.4,437.24,9060.0,482 CDM,PX-27618,PR EXCISN TMR LEG/ANKLE SUBQ <3CM,2212.0,1968.68,208.32,2212.0,482 CDM,PX-27619,PR EXCISN TMR LEG/ANKLE SUBF <5CM,3674.0,3269.86,169.19,3674.0,482 CDM,PX-27620,PR ARTHRT ANKLE W JT EXPLR,3827.0,3406.03,170.2,3827.0,482 CDM,PX-27625,PR ARTHROTOMY ANKLE W SYNOVECTOMY,4204.0,3741.56,213.46,4204.0,482 CDM,PX-27626,PR ARTHRT ANK SYNO&TNOSYNO,6041.0,5376.49,220.06,6041.0,482 CDM,PX-27630,PR EXCISN LESN LEG/ANK TNDN SHTH,3160.0,2812.4,229.01,3160.0,482 CDM,PX-27632,PR EXCISN TMR LEG/ANK >=3CM,2417.0,2151.13,150.59,2417.0,482 CDM,PX-27634,PR EXCISN TMR LEG/ANK >=5CM,4976.0,4428.64,238.58,4976.0,482 CDM,PX-27635,PR EXCISN BN CYST TIB/FIB,4928.0,4385.92,212.15,4928.0,482 CDM,PX-27637,PR EXCISN CYST TIB/FIB W AUTOGRFT,6473.0,5760.97,273.2,6473.0,482 CDM,PX-27638,PR EXCISN BN CYST TIB/FIB W GRFT,6041.0,5376.49,269.74,6041.0,482 CDM,PX-27640,PR EXCISN BN TIB PRTL,5921.0,5269.69,296.17,5921.0,482 CDM,PX-27641,PR EXCISN BN FIB PRTL,5202.0,4629.78,236.88,5202.0,482 CDM,PX-27645,PR RSECT TUMOR TIBIA RADICAL,9925.0,8833.25,600.38,9925.0,482 CDM,PX-27646,PR RSECT TUMOR FIBULA RADICAL,8862.0,7887.18,526.4,8862.0,482 CDM,PX-27648,PR INJ ANK ARTHROGRAPHY,981.0,873.09,85.03,981.0,482 CDM,PX-27650,PR RPR ACHILLES TNDN PRIM,5213.0,4639.57,244.06,5213.0,482 CDM,PX-27652,PR RPR ACHILLES TNDN PRIM W GRFT,5635.0,5015.15,240.82,5635.0,482 CDM,PX-27654,PR RPR ACHILLES TNDN SECNDRY,6269.0,5579.41,263.58,6269.0,482 CDM,PX-27658,PR RPR FLEXOR TNDN LEG WO GRFT,2664.0,2370.96,140.34,2664.0,482 CDM,PX-27659,PR RPR FLEXOR TENDON LEG SECNDRY,3476.0,3093.64,174.86,3476.0,482 CDM,PX-27664,PR RPR EXTNSR TNDN LEG WO GRFT,2813.0,2503.57,135.52,2813.0,482 CDM,PX-27665,PR RPR EXTNSR TNDN LEG W/WO GRFT,3207.0,2854.23,156.88,3207.0,482 CDM,PX-27675,PR RPR DISLOC PRNEAL TNDN WO OS,3503.0,3117.67,183.5,3503.0,482 CDM,PX-27676,PR RPR DISLOC PRNEAL TNDN W OS,4793.0,4265.77,222.91,4793.0,482 CDM,PX-27680,PR TNLYS LEG/ANKLE FLEX/EXT SNG,2785.0,2478.65,159.65,2785.0,482 CDM,PX-27685,PR LNGTH/SHORT LEG/ANK TNDN SNGL,3722.0,3312.58,274.44,3722.0,482 CDM,PX-27686,PR LNGHT/SHORT LEG/ANK TNDN MULT,4633.0,4123.37,196.01,4633.0,482 CDM,PX-27687,PR GASTROCNEMIUS RECESSION,3207.0,2854.23,170.04,3207.0,482 CDM,PX-27690,PR TRNSF/TRNSPL TNDN SNGL SUPFCL,4618.0,4110.02,238.24,4618.0,482 CDM,PX-27691,PR TRNSF/TRNSPL TENDON SNGL DEEP,6002.0,5341.78,273.28,6002.0,482 CDM,PX-27692,PR TRNSF/TRNSPL TENDON EA ADD,840.0,747.6,66.73,840.0,482 CDM,PX-27695,PR RPR DISRPTD LGMNT ANK COLAT,3872.0,3446.08,182.21,3872.0,482 CDM,PX-27698,PR RPR ANK SECNDRY DISRUP LGMNT,5529.0,4920.81,231.9,5529.0,482 CDM,PX-27702,PR ARTHROPLASTY ANK W IMPLANT,8213.0,7309.57,339.68,8213.0,482 CDM,PX-27703,PR ARTHROPLASTY ANKLE REV TOTAL,9469.0,8427.41,389.48,9469.0,482 CDM,PX-27704,PR RMVL OF ANKLE IMPL,4218.0,3754.02,206.17,4218.0,482 CDM,PX-27705,PR OSTEOTOMY TIBIA,5416.0,4820.24,267.07,5416.0,482 CDM,PX-27707,PR OSTEOTOMY FIBULA,2664.0,2370.96,154.04,2664.0,482 CDM,PX-27709,PR OSTEOTOMY TIBIA AND FIBULA,8727.0,7767.03,400.9,8727.0,482 CDM,PX-27712,PR OSTEOTOMY MULT W RELIGNMT ROD,7287.0,6485.43,387.88,7287.0,482 CDM,PX-27713,PR OSTEOT TIBIA IMED LNGTH DEV,9900.0,8811.0,673.33,9900.0,482 CDM,PX-27715,PR OSTEOPLSTY TIB&FIB LNGTH/SHORT,7277.0,6476.53,516.43,7277.0,482 CDM,PX-27720,PR RPR NON/MALUNION TIB WO GRFT,7685.0,6839.65,311.78,7685.0,482 CDM,PX-27724,PR RPR NON/MALUNION TIB AUTOGRAFT,10609.0,9442.01,429.36,10609.0,482 CDM,PX-27726,PR RPR NON/MALUNION FIB W FIX,6778.0,6032.42,334.31,6778.0,482 CDM,PX-27730,PR ARREST EPHYSL DIST TIB OPN,3613.0,3215.57,216.54,3613.0,482 CDM,PX-27732,PR ARREST EPHYSL DIST FIB OPN,2762.0,2458.18,172.04,2762.0,482 CDM,PX-27734,PR ARREST EPHYSL DIST TIBFIB OPN,4135.0,3680.15,239.56,4135.0,482 CDM,PX-27740,PR ARREST EPIPHYSEAL TIB & FIB,5894.0,5245.66,256.6,5894.0,482 CDM,PX-27742,PR ARREST EPIPHYSEAL TIB/FIB/FEM,6229.0,5543.81,280.61,6229.0,482 CDM,PX-27745,PR PROPHX TX TIBIA W/WO MMA,4591.0,4085.99,261.82,4591.0,482 CDM,PX-27750,PR CLSD TX TIB SHAFT FX WO MANIP,1848.0,1644.72,157.94,1848.0,482 CDM,PX-27752,PR CLSD TX TIB SHAFT FX W MANIP,3527.0,3139.03,239.56,3527.0,482 CDM,PX-27756,PR PERC FIX TIBIAL SHAFT FX,4788.0,4261.32,218.83,4788.0,482 CDM,PX-27758,PR OPN TX TIB FX PLATE/SCRWS,6351.0,5652.39,319.36,6351.0,482 CDM,PX-27759,PR TX TIB FX INTRAMDLRY IMPL,6971.0,6204.19,350.25,6971.0,482 CDM,PX-27760,PR CLSD TX MDL MELLEOL WO MANIP,1837.0,1634.93,150.91,1837.0,482 CDM,PX-27762,PR CLSD TX MDL MALLEOL W MANIP,2645.0,2354.05,233.17,2645.0,482 CDM,PX-27766,PR OPN TX MEDIAL MALLEOL FX,4103.0,3651.67,225.52,4103.0,482 CDM,PX-27767,PR CLSD TX POSTR MALLEOL WO MANIP,1303.0,1159.67,129.23,1303.0,482 CDM,PX-27768,PR CLSD TX POSTR MALLEOL W MANIP,3036.0,2702.04,172.99,3036.0,482 CDM,PX-27769,PR OPN TX POSTR MALLEOLUS FX,4510.0,4013.9,260.09,4510.0,482 CDM,PX-27780,PR CLSD TX PROX FIBULA WO MANIP,1345.0,1197.05,141.68,1345.0,482 CDM,PX-27781,PR CLSD TX PROX FIBULA W MANIP,3792.0,3374.88,194.94,3792.0,482 CDM,PX-27784,PR OPN TX PROX FIBULA FX W/FIX,3875.0,3448.75,260.25,3875.0,482 CDM,PX-27786,PR CLSD TX DIST FIB WO MANIP,1400.0,1246.0,140.4,1400.0,482 CDM,PX-27788,PR CLSD TX DIST FIB FX W MANIP,2225.0,1980.25,197.69,2225.0,482 CDM,PX-27792,PR OPN TX DIST FIB FX,4030.0,3586.7,235.77,4030.0,482 CDM,PX-278000169,HC IMPLANTABLE TISSUE MARKER,149.0,132.61,30.99,149.0,723 CDM,PX-278000247,"HC CATH, TRANS INTRA LITHO/CORO",17416.0,15500.24,3622.53,17416.0,717 CDM,PX-278000266,HC INJECTABLE PROSTATE SPACER IMPL/INSERT,6291.0,5598.99,1308.53,6291.0,729 CDM,PX-27808,PR CLSD TX BIMALOR ANK WO MANIP,1903.0,1693.67,153.6,1903.0,482 CDM,PX-27810,PR CLSD TX BIMALOR ANK W MANIP,2655.0,2362.95,222.27,2655.0,482 CDM,PX-27814,PR OPN TX BIMALOR ANK FX,6037.0,5372.93,275.48,6037.0,482 CDM,PX-27816,PR CLSD TX TRIMALOR ANK WO MANIP,1904.0,1694.56,153.05,1904.0,482 CDM,PX-27818,PR CLSD TX TRIMALOR ANK FX MANIP,2980.0,2652.2,230.86,2980.0,482 CDM,PX-27822,PR OPN TX TRIMALOR ANK FX WO FIX,6048.0,5382.72,321.23,6048.0,482 CDM,PX-27823,PR OPN TX TRIMALOR ANK FX W FIX,6971.0,6204.19,357.25,6971.0,482 CDM,PX-27824,PR CLSD TX TIB W/WO ANES WO MANIP,1986.0,1767.54,141.99,1986.0,482 CDM,PX-27825,PR CLSD TX TIB W/WO ANES W TRACT,3869.0,3443.41,237.61,3869.0,482 CDM,PX-27826,PR OPN TX DIST TIB W FIB INT FIX,6081.0,5412.09,316.16,6081.0,482 CDM,PX-27827,PR OPN TX DIST TIBIA FX,7314.0,6509.46,407.07,7314.0,482 CDM,PX-27828,PR OPN TX DIST TIB W TIB&FIB FIX,9266.0,8246.74,473.0,9266.0,482 CDM,PX-27829,PR OPN TX DIST TIBFIB DISRPN,4377.0,3895.53,262.89,4377.0,482 CDM,PX-27832,PR OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB,5121.0,4557.69,275.93,5121.0,482 CDM,PX-27840,PR CLSD TX DISLOC ANKLE WO ANES,3124.0,2780.36,177.53,3124.0,482 CDM,PX-27842,PR CLSD TX DISLOC ANKLE W ANES,2888.0,2570.32,190.56,2888.0,482 CDM,PX-27860,PR MANIP ANKLE W ANES,1407.0,1252.23,60.51,1407.0,482 CDM,PX-27870,PR ARTHRODESIS ANKLE OPN,7515.0,6688.35,356.75,7515.0,482 CDM,PX-27871,PR ARTHRODESIS TIBFIB PROX/DISTAL,4460.0,3969.4,249.47,4460.0,482 CDM,PX-27880,PR AMP LEG THRU TIB &FIB,5144.0,4578.16,302.8,5144.0,482 CDM,PX-27882,PR AMP LEG THRU TIB &FIB OPN,5024.0,4471.36,204.39,5024.0,482 CDM,PX-27884,PR AMP LEG THRU TIB &FIB CLSR/REV,3506.0,3120.34,206.12,3506.0,482 CDM,PX-27886,PR AMP LEG THRU TIB &FIB REAMP,5032.0,4478.48,225.26,5032.0,482 CDM,PX-27888,PR AMP ANKLE THRU MALL CLSR&RSECT,4798.0,4270.22,194.04,4798.0,482 CDM,PX-27892,PR DCMPRN FASCT LEG ANTR/LAT DBRD,4141.0,3685.49,198.16,4141.0,482 CDM,PX-27894,PR DCMPRN LEG ANTR/LAT/POSTR DBRD,7590.0,6755.1,285.15,7590.0,482 CDM,PX-27899001,PR PERC COMPTMNT RELEASE,2909.0,2589.01,145.45,2909.0,477 CDM,PX-27899004,PR ACHILLES OR PATELLAR TENDON SCRAPING,2190.0,1949.1,109.5,2190.0,477 CDM,PX-27899008,PR TX1 TNTMY ACHIL TNDN PERC LOC ANES,3222.0,2867.58,161.1,3222.0,477 CDM,PX-279000000,HC WOUND VAC TX 1ST DEVICE USED,274.0,243.86,56.99,274.0,717 CDM,PX-279000001,HC WND VAC TX 2ND DEV-SME DAY USE,274.0,243.86,56.99,274.0,717 CDM,PX-28001,PR I&D BURSA FOOT,951.0,846.39,67.69,951.0,482 CDM,PX-28002,PR I&D FASCIA FOOT SNGL,2156.0,1918.84,98.09,2156.0,482 CDM,PX-28005,PR INCISION FOOT BN LESN,3245.0,2888.05,211.28,3245.0,482 CDM,PX-28008,PR FASCIOTOMY FOOT&/TOE,1950.0,1735.5,171.18,1950.0,482 CDM,PX-28010,PR TENOTOMY TOE TNDN PERC SNGL,1543.0,1373.27,95.12,1543.0,482 CDM,PX-28011,PR TENOTOMY TOE TNDN PERC MULT,1808.0,1609.12,128.88,1808.0,482 CDM,PX-28020,PR ARTHRT INTARS/TARSOMET RMVL FB,2302.0,2048.78,227.73,2302.0,482 CDM,PX-28022,PR ARTHRT MTRPHL W EXPL RMVL FB,2322.0,2066.58,201.6,2322.0,482 CDM,PX-28024,PR ARTHRT I-P W EXPL RMVL FB,1768.0,1573.52,192.07,1768.0,482 CDM,PX-28035,PR RELEASE TARSAL TUNL,3276.0,2915.64,220.39,3276.0,482 CDM,PX-28039,PR EXCISN TMR FT/TOE SUBQ >=1.5CM,2718.0,2419.02,192.13,2718.0,482 CDM,PX-28041,PR EXCISN TMR FT/TOE SUBF >=1.5CM,2855.0,2540.95,165.79,2855.0,482 CDM,PX-28043,PR EXCISN TMR FT/TOE SUBQ <1.5CM,1643.0,1462.27,154.9,1643.0,482 CDM,PX-28045,PR EXCISN TMR FT/TOE SUBF <1.5CM,2198.0,1956.22,196.12,2198.0,482 CDM,PX-28046,PR RADCL RSECT TUMOR SFT TISS FOOT< 3CM,3756.0,3342.84,258.44,3756.0,482 CDM,PX-28047,PR EXCISN TMR FT/TOE >=3CM RADCL,6664.0,5930.96,368.1,6664.0,482 CDM,PX-28050,PR ARTHROTOMY FOOT JT LINING W BX,2511.0,2234.79,165.55,2511.0,482 CDM,PX-28060,PR FASCIECTOMY PLANTAR PRTL,2293.0,2040.77,212.26,2293.0,482 CDM,PX-28070,PR RMVL FOOT JT LINING,2691.0,2394.99,209.92,2691.0,482 CDM,PX-28080,PR EXCISN INTERDIGITAL NEUROMA,2749.0,2446.61,222.47,2749.0,482 CDM,PX-28086,PR SYNO FOOT TNDN SHEATH FLEXOR,3936.0,3503.04,218.5,3936.0,482 CDM,PX-28090,PR EXCISN LESN FT TNDN/SHTH/CPSL,2950.0,2625.5,190.47,2950.0,482 CDM,PX-28092,PR EXCISN LESN TOE TNDN/SHTH/CPSL,1866.0,1660.74,172.04,1866.0,482 CDM,PX-28100,PR EXCISN BN CYST/TMR TALUS,3656.0,3253.84,259.79,3656.0,482 CDM,PX-28103,PR EXCISN TMR TALUS W ALLOGRFT,3358.0,2988.62,143.81,3358.0,482 CDM,PX-28104,PR EXCISN BN CYST/TMR TARSAL,3303.0,2939.67,218.61,3303.0,482 CDM,PX-28106,PR EXCISN BN CYST TRSL W AUTOGRFT,2919.0,2597.91,157.77,2919.0,482 CDM,PX-28107,PR EXCISN BN CYST TRSL W ALLOGRFT,3398.0,3024.22,202.04,3398.0,482 CDM,PX-28108,PR EXCISN BN CYST/TMR PHAL FT,1997.0,1777.33,175.19,1997.0,482 CDM,PX-28110,PR OSTECTOMY EXCISN 5TH MTRSL HD,2378.0,2116.42,189.96,2378.0,482 CDM,PX-28112,PR OSTECTOMY EXCISN 2-4TH MTRSL,2491.0,2216.99,195.68,2491.0,482 CDM,PX-28113,PR OSTECTOMY EXCISN 5TH MTRSL,2378.0,2116.42,237.05,2378.0,482 CDM,PX-28114,PR OSTECTOMY EXCISN ALL MTRSL HDS,4782.0,4255.98,445.88,4782.0,482 CDM,PX-28116,PR OSTECTOMY EXCISN TARSL COALITN,4659.0,4146.51,270.61,4659.0,482 CDM,PX-28118,PR OSTECTOMY CALCANEUS,3060.0,2723.4,254.36,3060.0,482 CDM,PX-28119,PR OSTECTOMY CALCANEUS FOR SPUR,2741.0,2439.49,214.65,2741.0,482 CDM,PX-28120,PR PRTL RMVL ANKLE/HEEL,3252.0,2894.28,275.9,3252.0,482 CDM,PX-28122,PR RMVL BN FT NOT ANK/HEEL PRTL,3226.0,2871.14,241.47,3226.0,482 CDM,PX-28124,PR PRTL RMVL PHALANX TOE,2541.0,2261.49,192.5,2541.0,482 CDM,PX-28126,PR PRTL RMVL PHAL BASE EA TOE,1889.0,1681.21,157.33,1889.0,482 CDM,PX-28140,PR METATARSECTOMY,2941.0,2617.49,224.22,2941.0,482 CDM,PX-28153,PR RSECT CONDYLE EA TOE DISTAL,1997.0,1777.33,162.23,1997.0,482 CDM,PX-28160,PR EXCISN I-P JT TOE PROX END,1873.0,1666.97,165.41,1873.0,482 CDM,PX-28190,PR RMVL FB FT SUBCUTANEOUS,1127.0,1003.03,97.67,1127.0,489 CDM,PX-28192,PR RMVL FB FT DEEP,1790.0,1593.1,185.4,1790.0,482 CDM,PX-28193,PR RMVL FB FOOT COMPLICATED,2668.0,2374.52,206.98,2668.0,482 CDM,PX-28200,PR RPR TNDN FLEXOR FT WO GRFT,3069.0,2731.41,204.32,3069.0,482 CDM,PX-28202,PR RPR TNDN FLX FT W GRFT EA,2958.0,2632.62,245.28,2958.0,482 CDM,PX-28208,PR RPR TNDN EXTENSOR FT,2293.0,2040.77,201.89,2293.0,482 CDM,PX-28220,PR TENOLYSIS FLEXOR FT SNGL TNDN,2349.0,2090.61,181.29,2349.0,482 CDM,PX-28225,PR TENOLYSIS EXTNSR FT SNGL TNDN,1420.0,1263.8,166.99,1420.0,482 CDM,PX-28230,PR TENOTOMY TENDON FLEXOR FT OPN,1939.0,1725.71,174.78,1939.0,482 CDM,PX-28232,PR TENOTOMY TNDN FLEXOR TOE OPN,1443.0,1284.27,152.31,1443.0,482 CDM,PX-28234,PR TENOTOMY EXTNSR FT/TOE OPN EA,1708.0,1520.12,167.85,1708.0,482 CDM,PX-28238,PR RCNST POSTR TIB TNDN EXCIS,3782.0,3365.98,275.19,3782.0,482 CDM,PX-28240,PR TENOTOMY ABDUCTOR HALLUC MUS,1824.0,1623.36,178.7,1824.0,482 CDM,PX-28250,PR DIVISION PLANTAR FASCIA & MUS,2548.0,2267.72,240.94,2548.0,482 CDM,PX-28261,PR CAPSULOTOMY MIDFOOT W TNDN,4830.0,4298.7,444.8,4830.0,482 CDM,PX-28262,PR CAPSULOTOMY MIDFOOT EXTENSIVE,9360.0,8330.4,582.9,9360.0,482 CDM,PX-28264,PR CAPSULOTOMY MIDTARSAL,4269.0,3799.41,381.49,4269.0,482 CDM,PX-28270,PR CAPSULOTOMY METATARSOPHAL JT,2388.0,2125.32,198.26,2388.0,482 CDM,PX-28272,PR CAPSULOTOMY I-P EACH JOINT,1313.0,1168.57,153.31,1313.0,482 CDM,PX-28285,PR CORRECTION HAMMERTOE,2529.0,2250.81,221.9,2529.0,482 CDM,PX-28288,PR OSTECTOMY MTRSL HD PRTL,2721.0,2421.69,247.23,2721.0,482 CDM,PX-28289,PR CORR BUNION W CHEILECTOMY,3504.0,3118.56,283.99,3504.0,482 CDM,PX-28291,PR HALUX RIGDUS CORR W/IMPLT,4045.0,3600.05,271.16,4045.0,482 CDM,PX-28292,PR CORR BUNION KELLER/MAYO TYPE,3565.0,3172.85,284.53,3565.0,482 CDM,PX-28296,PR CORR BUNION W MTRSL OSTEOTOMY,5082.0,4522.98,359.54,5082.0,482 CDM,PX-28297,PR CORR BUNION LAPIDUS TYPE PROC,4693.0,4176.77,417.98,4693.0,482 CDM,PX-28298,PR CORR BUNION PHALANX OSTEOT,3767.0,3352.63,348.35,3767.0,482 CDM,PX-28299,PR CORR BUNION DOUBLE OSTEOTOMY,5447.0,4847.83,420.26,5447.0,482 CDM,PX-28300,PR OSTEOTOMY CALCANEUS,4396.0,3912.44,236.79,4396.0,482 CDM,PX-28302,PR OSTEOTOMY TALUS,5074.0,4515.86,259.05,5074.0,482 CDM,PX-28304,PR OSTEOTOMY TARSAL BN,5481.0,4878.09,347.79,5481.0,482 CDM,PX-28305,PR OSTEOTOMY TARSAL BN W AUTOGRFT,3630.0,3230.7,243.17,3630.0,482 CDM,PX-28306,PR OSTEOTOMY 1ST METATARSAL,3127.0,2783.03,253.27,3127.0,482 CDM,PX-28307,PR OSTEOTOMY 1ST METATARSL W GRFT,3926.0,3494.14,338.75,3926.0,482 CDM,PX-28308,PR OSTEOTOMY METATARSAL NOT 1ST,2872.0,2556.08,236.92,2872.0,482 CDM,PX-28310,PR OSTEOTOMY PROX PHALANX 1ST TOE,2382.0,2119.98,228.43,2382.0,482 CDM,PX-28312,PR OSTEOTOMY OTHER PHALANGES,2258.0,2009.62,241.17,2258.0,482 CDM,PX-28313,PR RCNST DFRM TOE SOFT TISS,3051.0,2715.39,220.16,3051.0,482 CDM,PX-28315,PR SESAMOIDECTOMY 1ST TOE,1970.0,1753.3,194.75,1970.0,482 CDM,PX-28320,PR RPR TARSAL BNS NON/MALUNION,3500.0,3115.0,225.1,3500.0,482 CDM,PX-28322,PR RPR METATAR BNS NON/MALUNION,4020.0,3577.8,325.36,4020.0,482 CDM,PX-28344,PR RCNST TOE POLYDACTYLY,2800.0,2492.0,166.81,2800.0,482 CDM,PX-28345,PR RCNST TOE SYNDACTYLY EA WEB,3869.0,3443.41,203.8,3869.0,482 CDM,PX-28400,PR CLSD TX CALCANEAL FX WO MANIP,1385.0,1232.65,109.28,1385.0,482 CDM,PX-28405,PR CLSD TX CALCANEAL FX W MANIP,2307.0,2053.23,198.95,2307.0,482 CDM,PX-28406,PR PERC FIX CALCANEAL FX W MANIP,2940.0,2616.6,216.06,2940.0,482 CDM,PX-28415,PR OPN TX CALCANEAL FX,7474.0,6651.86,407.01,7474.0,482 CDM,PX-28420,PR OPN TX CALCANEAL FX W BN GRFT,8378.0,7456.42,464.48,8378.0,482 CDM,PX-28430,PR CLSD TX TALUS FX WO MANIP,1417.0,1261.13,107.07,1417.0,482 CDM,PX-28435,PR CLSD TX TALUS FX W MANIP,2515.0,2238.35,165.09,2515.0,482 CDM,PX-28436,PR PERC FIX TALUS FX W MANIP,3138.0,2792.82,196.48,3138.0,482 CDM,PX-28445,PR OPN TX TALUS FX,7097.0,6316.33,376.04,7097.0,482 CDM,PX-28446,PR OPN OSTEOCHON AUTOGRAFT TALUS,8792.0,7824.88,429.08,8792.0,482 CDM,PX-28450,PR CLSD TX TARSAL BN WO MANIP,1037.0,922.93,79.56,1037.0,507 CDM,PX-28455,PR CLSD TX TARSAL BN W MANIP,1685.0,1499.65,105.39,1685.0,482 CDM,PX-28456,PR PERC SKEL FIX TARSAL FX W MANIP,2245.0,1998.05,153.99,2245.0,482 CDM,PX-28465,PR OPN TX TARSAL FX,4101.0,3649.89,243.15,4101.0,482 CDM,PX-28470,PR CLSD TX METATARSAL FX WO MANIP,1051.0,935.39,81.5,1051.0,507 CDM,PX-28475,PR CLSD TX METATARSAL FX W MANIP,1432.0,1274.48,110.78,1432.0,482 CDM,PX-28476,PR PERC FIX METATARSAL FX W MANIP,2222.0,1977.58,155.92,2222.0,482 CDM,PX-28485,PR OPN TX METATARSAL FX,3322.0,2956.58,214.54,3322.0,482 CDM,PX-28490,PR CLSD TX GRT TOE FX WO MANIP,763.0,679.07,54.79,763.0,507 CDM,PX-28495,PR CLSD TX GRT TOE FX W MANIP,967.0,860.63,79.53,967.0,482 CDM,PX-28496,PR PERC FIX GRT TOE FX W MANIP,2171.0,1932.19,224.3,2171.0,482 CDM,PX-28505,PR OPN TX PHALANX FX INCL INT FIX,3213.0,2859.57,268.24,3213.0,482 CDM,PX-28510,PR CLSD TX PHALANX FX WO MANIP,686.0,610.54,45.07,686.0,514 CDM,PX-28515,PR CLSD TX PHALANX FX W MANIP,718.0,639.02,70.8,718.0,482 CDM,PX-28525,PR OPN TX PHALANX FX,2650.0,2358.5,231.71,2650.0,482 CDM,PX-28530,PR CLSD TX SESAMOID FX,680.0,605.2,50.26,680.0,482 CDM,PX-28555,PR OPN TX TARSAL DISLOC,4723.0,4203.47,352.58,4723.0,482 CDM,PX-28575,PR CLSD TX TALTAR DISLOC W ANES,2290.0,2038.1,168.85,2290.0,482 CDM,PX-28585,PR OPN TX TALTAR DISLOC W INT FIX,3957.0,3521.73,379.02,3957.0,482 CDM,PX-28605,PR CLSD TX TARSMET DISLOC W ANES,1656.0,1473.84,154.12,1656.0,482 CDM,PX-28606,PR FIX TARSMET DISLOC W MANIP,2774.0,2468.86,151.37,2774.0,482 CDM,PX-28615,PR OPN TX TARSMET DISLOC,4596.0,4090.44,310.54,4596.0,482 CDM,PX-28635,PR CLSD TX MTRPHL DISLOC W ANEST,1076.0,957.64,70.39,1076.0,482 CDM,PX-28636,PR PERC FIX MTRPHL DISLOC MANIP,1301.0,1157.89,156.18,1301.0,482 CDM,PX-28660,PR CLSD TX I-P DISLOC WO ANEST,710.0,631.9,59.69,710.0,482 CDM,PX-28675,PR OPN TX DISLOC I-P W INTRNL FIX,2721.0,2421.69,237.65,2721.0,482 CDM,PX-28715,PR ARTHRODESIS TRIPLE,8092.0,7201.88,342.3,8092.0,482 CDM,PX-28725,PR ARTHRODESIS SUBTALAR,6567.0,5844.63,283.32,6567.0,482 CDM,PX-28730,PR ARTHRDSIS MIDT/TARSMET MULT,5228.0,4652.92,264.5,5228.0,482 CDM,PX-28737,PR ARTHRODESIS MIDT W TNDN W LGTH,3899.0,3470.11,247.68,3899.0,482 CDM,PX-28740,PR ARTHRODESIS MIDT/TARSMET SNGL,5030.0,4476.7,339.72,5030.0,482 CDM,PX-28750,PR ARTHRODESIS GREAT TOE MTRPHL,4085.0,3635.65,421.61,4085.0,482 CDM,PX-28755,PR ARTHRODESIS GREAT TOE I-P,2617.0,2329.13,373.51,2617.0,482 CDM,PX-28760,PR ARTHRODESIS W EXTNSR TRNSFR,4584.0,4079.76,315.11,4584.0,482 CDM,PX-28800,PR AMP FOOT MIDTARSAL,4055.0,3608.95,192.7,4055.0,482 CDM,PX-28805,PR AMP FOOT TRANSMETATARSAL,3808.0,3389.12,252.13,3808.0,482 CDM,PX-28810,PR AMP METATARSAL W TOE SINGLE,3045.0,2710.05,154.45,3045.0,482 CDM,PX-28820,PR AMP TOE MTP JOINT,2802.0,2493.78,119.26,2802.0,482 CDM,PX-28825,PR AMP TOE INTERPHALANGEAL JT,2208.0,1965.12,116.51,2208.0,482 CDM,PX-28899004,PR TX1 PLANT FASC PROC W KIT,2920.0,2598.8,146.0,2920.0,478 CDM,PX-29010,PR APP CAST RISSER JACKET LOCALIZ,1731.0,1540.59,128.13,1731.0,482 CDM,PX-29035,PR APP CAST BODY,1320.0,1174.8,121.55,1320.0,482 CDM,PX-29055,PR APP CAST SHOULDER SPICA,2374.0,2112.86,104.01,2374.0,482 CDM,PX-29065,PR APP CAST LONG ARM,529.0,470.81,36.89,529.0,507 CDM,PX-29075,PR APP CAST SHORT ELBOW-FGR,410.0,364.9,33.36,410.0,507 CDM,PX-29085,PR APP CAST SHORT ARM GAUNTLET,493.0,438.77,36.5,493.0,489 CDM,PX-29105,PR APP SPLINT LONG ARM,362.0,322.18,32.98,362.0,507 CDM,PX-29125,PR APP SPLINT SHORT ARM STATIC,288.0,256.32,32.14,288.0,489 CDM,PX-29126,PR APP SPLINT SHORT ARM DYNAMIC,355.0,315.95,34.74,355.0,482 CDM,PX-29130,PR APP SPLINT FINGER STATIC,220.0,195.8,18.36,220.0,482 CDM,PX-29131,PR APP SPLINT FGR DYNAMIC,269.0,239.41,23.95,269.0,482 CDM,PX-29240,PR STRAPPING SHOULDER,190.0,169.1,10.04,190.0,507 CDM,PX-29280,PR STRAPPING HAND OR FINGER,194.0,172.66,10.26,194.0,507 CDM,PX-29305,PR APP CAST HIP SPICA 1 LEG,1449.0,1289.61,114.5,1449.0,482 CDM,PX-29325,PR APP CAST HIP SPICA 1-1.5/BOTH,1970.0,1753.3,125.95,1970.0,482 CDM,PX-29345,PR APP CAST LONG LEG,662.0,589.18,50.5,662.0,507 CDM,PX-29355,PR APP CAST LONG LEG WALK,899.0,800.11,61.54,899.0,482 CDM,PX-29365,PR APP CAST CYLINDER,808.0,719.12,55.58,808.0,482 CDM,PX-29405,PR APP CAST SHORT LEG KNEE-TOE,450.0,400.5,29.98,450.0,507 CDM,PX-29425,PR APP CAST SHORT LEG WALK,482.0,428.98,27.82,482.0,507 CDM,PX-29445,PR APP CAST LEG RIGID TOT CONTACT,802.0,713.78,44.92,802.0,482 CDM,PX-29450,PR APP CAST CLUBFOOT W MOLD/MANIP,821.0,730.69,49.5,821.0,507 CDM,PX-29505,PR APP SPLINT LONG LEG,408.0,363.12,37.77,408.0,507 CDM,PX-29515,PR APP SPLINT SHORT LEG,312.0,277.68,28.19,312.0,507 CDM,PX-29540,PR STRAPPING ANKLE/FOOT,131.0,116.59,11.33,131.0,491 CDM,PX-29550,PR STRAPPING TOES,134.0,119.26,7.84,134.0,482 CDM,PX-29580,PR STRAPPING UNNA BOOT,351.0,312.39,25.59,351.0,482 CDM,PX-29581,PR APP MULTILYR COMPRSN SYS LWR LEG,335.0,298.15,29.52,335.0,507 CDM,PX-29584,PR APP MULTILYR COMPRSN AM/HD/FIN,419.0,372.91,31.04,419.0,482 CDM,PX-29700,PR RMVL/BIVALV CAST BODY,306.0,272.34,27.91,306.0,482 CDM,PX-29705,PR RMVL/BIVALV CAST FULL ARM/LEG,371.0,330.19,27.58,371.0,482 CDM,PX-29710,PR RMVL/BIVAL SHLDR/HIP,723.0,643.47,54.14,723.0,482 CDM,PX-29730,PR WINDOWING OF CAST,332.0,295.48,26.7,332.0,482 CDM,PX-29800,PR ATHRSCPY TMJ DX W/WO SYNOVL BX,3550.0,3159.5,196.75,3550.0,482 CDM,PX-29804,PR ARTHROSCOPY TMJ SURGICAL,7279.0,6478.31,212.64,7279.0,482 CDM,PX-29805,PR ARTHROSCOPY SHLDR DX W/WO BX,3310.0,2945.9,174.06,3310.0,482 CDM,PX-29806,PR ARTHSC SHLDR CAPSULORRHAPHY,7737.0,6885.93,372.49,7737.0,482 CDM,PX-29807,PR ARTHSC SHLDR RPR SLAP LESN,7855.0,6990.95,364.73,7855.0,482 CDM,PX-29819,PR ARTHSC SHLDR W RMVL FB,5510.0,4903.9,212.97,5510.0,482 CDM,PX-29820,PR ARTHSC SHLDR SYNO PARTIAL,5333.0,4746.37,194.36,5333.0,482 CDM,PX-29822,PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2,4288.0,3816.32,199.86,4288.0,482 CDM,PX-29823,PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+,5120.0,4556.8,215.94,5120.0,482 CDM,PX-29824,PR ARTHSC SHLDR DISTAL CLAVTMY,3742.0,3330.38,247.21,3742.0,482 CDM,PX-29825,PR ARTHSC SHLDR LYSIS ADHESION,5196.0,4624.44,214.17,5196.0,482 CDM,PX-29826,PR ARTHSC SHLDR DCMPRN SUBACR SPC,1766.0,1571.74,110.06,1766.0,482 CDM,PX-29827,PR ARTHSC SHLDR W ROTATOR CUFF RPR,6459.0,5748.51,373.42,6459.0,482 CDM,PX-29828,PR ARTHSC SHLDR BICEPS TENODESIS,5429.0,4831.81,323.38,5429.0,482 CDM,PX-29830,PR ARTHSC ELBOW DX W/WO SYNOV BX,4379.0,3897.31,169.85,4379.0,482 CDM,PX-29834,PR ARTHSC ELBOW W RMVL FB,4211.0,3747.79,181.68,4211.0,482 CDM,PX-29835,PR ARTHSC ELBOW SYNOVECTOMY PRTL,4513.0,4016.57,188.32,4513.0,482 CDM,PX-29836,PR ARTHSC ELBOW SYNOVECTOMY COMPLT,5033.0,4479.37,212.66,5033.0,482 CDM,PX-29837,PR ARTHSC ELBOW DBRD LIMITED,4736.0,4215.04,195.54,4736.0,482 CDM,PX-29838,PR ARTHSC ELBOW DBRD EXTEN,5910.0,5259.9,216.05,5910.0,482 CDM,PX-29840,PR ARTHSC WRIST DX W/WO SYNOV BX,3281.0,2920.09,171.17,3281.0,482 CDM,PX-29843,PR ARTHSC WRST INFECT LAVAGE&DRAIN,3777.0,3361.53,182.01,3777.0,482 CDM,PX-29844,PR ARTHSC WRST SYNOVECTOMY PRTL,4534.0,4035.26,182.73,4534.0,482 CDM,PX-29845,PR ARTHSC WRST SYNOVECTOMY COMPLT,5196.0,4624.44,212.11,5196.0,482 CDM,PX-29846,PR ARTHSC WRIST EXCISN/REPAIR,4277.0,3806.53,189.33,4277.0,482 CDM,PX-29847,PR ARTHSC WRST INT FIX FX/INSTBLTY,6342.0,5644.38,199.41,6342.0,482 CDM,PX-29848,PR ENDO WRST RLS TRNSV CRPL LGMNT,3556.0,3164.84,189.34,3556.0,482 CDM,PX-29855,PR ARTHSC TIB FX PROX UNICNDYLR,6425.0,5718.25,280.68,6425.0,482 CDM,PX-29861,PR ARTHSC HIP W RMVL FB,6704.0,5966.56,253.9,6704.0,482 CDM,PX-29862,PR ARTHSC HIP W DEBRIDEMENT,7111.0,6328.79,293.04,7111.0,482 CDM,PX-29863,PR ARTHSC HIP W SYNOVECTOMY,7209.0,6416.01,292.42,7209.0,482 CDM,PX-29866,PR ARTHSC KNE OSTEOCHON AUTOGRAFT,8474.0,7541.86,375.13,8474.0,482 CDM,PX-29867,PR ARTHSC KNE OSTEOCHON ALLOGRAFT,10170.0,9051.3,449.52,10170.0,482 CDM,PX-29868,PR ARTHSC KNE MNSC TRANSPL MED/LAT,14834.0,13202.26,573.44,14834.0,482 CDM,PX-29870,PR ARTHSC KNEE DX W/WO SYNOV BX,3584.0,3189.76,240.82,3584.0,482 CDM,PX-29871,PR ARTHSC KNEE LAVAGE&DRAINAGE,3664.0,3260.96,190.22,3664.0,482 CDM,PX-29873,PR ARTHSC KNEE W LAT RELEASE,4550.0,4049.5,203.77,4550.0,482 CDM,PX-29874,PR ARTHSC KNEE W RMVL FB,4839.0,4306.71,195.49,4839.0,482 CDM,PX-29875,PR ARTHSC KNEE SYNOVECTOMY LTD,3850.0,3426.5,183.55,3850.0,482 CDM,PX-29876,PR ARTHSC KNEE SYNOVECTOMY MJR,6439.0,5730.71,237.06,6439.0,482 CDM,PX-29877,PR ARTHSC KNEE DBRD/SHAVE CRTLG,5149.0,4582.61,226.6,5149.0,482 CDM,PX-29879,PR ARTHSC KNEE ABRASION ARTHRO,5521.0,4913.69,240.02,5521.0,482 CDM,PX-29880,PR ARTHSC KNE W MNSCECTOMY MED&LAT,5305.0,4721.45,206.27,5305.0,482 CDM,PX-29881,PR ARTHSC KNE W MNSCECTOMY MED/LAT,4162.0,3704.18,199.82,4162.0,482 CDM,PX-29882,PR ARTHSC KNE W MNSC RPR MED/LAT,5041.0,4486.49,247.24,5041.0,482 CDM,PX-29883,PR ARTHSC KNE W MNSC RPR MED&LAT,7659.0,6816.51,301.35,7659.0,482 CDM,PX-29884,PR ARTHSC KNEE W LYSIS ADHESN,5527.0,4919.03,226.33,5527.0,482 CDM,PX-29886,PR ARTHSC KNEE W DRILL LESN,5650.0,5028.5,233.1,5650.0,482 CDM,PX-29887,PR ARTHSC KNEE W DRILL INT FIX,7223.0,6428.47,273.27,7223.0,482 CDM,PX-29888,PR ARTHSC AID ACL RPR,7661.0,6818.29,340.55,7661.0,482 CDM,PX-29889,PR ARTHSC AID PCL RPR,10698.0,9521.22,432.61,10698.0,482 CDM,PX-29891,PR ARTHSC ANKLE EXCISN DEFECT,4777.0,4251.53,246.74,4777.0,482 CDM,PX-29894,PR ARTHSC ANKLE W RVML FB,4348.0,3869.72,184.59,4348.0,482 CDM,PX-29895,PR ARTHSC ANKLE SYNO PARTIAL,4127.0,3673.03,169.38,4127.0,482 CDM,PX-29897,PR ARTHSC ANKLE DRBD LIMITED,4211.0,3747.79,180.79,4211.0,482 CDM,PX-29898,PR ARTHSC ANKLE DRBD EXTEN,4547.0,4046.83,204.02,4547.0,482 CDM,PX-29901,PR ARTHSC MCP W DEBRID,4127.0,3673.03,203.85,4127.0,482 CDM,PX-29906,PR ARTHSC SUBTALAR JT W DBRD,5651.0,5029.39,243.19,5651.0,482 CDM,PX-29914,PR ARTHRSC HIP W FEMOROPLASTY,6795.0,6047.55,350.31,6795.0,482 CDM,PX-29915,PR ARTHRSC HIP W ACETABULOPLSTY,8631.0,7681.59,356.53,8631.0,482 CDM,PX-29916,PR ARTHRSC HIP W LABRAL REPAIR,7418.0,6602.02,355.93,7418.0,482 CDM,PX-29999001,PR ARTHROSCOPIC CAPSULORRHAPHY ? HIP,7737.0,6885.93,386.85,7737.0,477 CDM,PX-29999003,PR ARTHSC PSOAS TENDON LENGTH,5837.0,5194.93,291.85,5837.0,477 CDM,PX-29999005,PR ARTHSC BICEPS TENOTOMY,5533.0,4924.37,276.65,5533.0,477 CDM,PX-29999006,PR ARTHSC EXCN SYN CYST POP SPACE,4103.0,3651.67,205.15,4103.0,477 CDM,PX-29999007,PR ARTHSC SUBAC BALLOON SHLDR,6054.0,5388.06,302.7,6054.0,477 CDM,PX-29999008,PR ARTHSC RMVL OSTEOPHYTE KNEE,4928.0,4385.92,246.4,4928.0,477 CDM,PX-29999009,PR ARTHSC SHLDR REMPLISSAGE,6459.0,5748.51,322.95,6459.0,477 CDM,PX-29999010,PR ARTHSC PSOAS LENGTH W CAPSULE PLICATION,13574.0,12080.86,678.7,13574.0,477 CDM,PX-29999011,PR ARTHROSCOPIC HARDWARE REMOVAL,2842.0,2529.38,142.1,2842.0,477 CDM,PX-300000004,HC ABL1 KD VARIANTS,465.0,413.85,96.72,465.0,736 CDM,PX-300000007,HC ACADV FULL GENE ANALYSIS (ACADV),700.0,623.0,145.6,700.0,738 CDM,PX-300000015,HC AMYL KNOWN MUTATION,500.0,445.0,104.0,500.0,737 CDM,PX-300000016,HC ANLYS SEMEN VOL/CNT/MOT/DIFF,227.0,202.03,15.19,227.0,736 CDM,PX-300000020,HC APOB APOLIPOPROTEIN E GENOTYPE,400.0,356.0,83.2,400.0,738 CDM,PX-300000027,HC ARSA GENE KNOWN MUTATION,500.0,445.0,104.0,500.0,737 CDM,PX-300000028,HC ARTERIAL PUNCTURE TEC,240.0,213.6,12.61,240.0,738 CDM,PX-300000036,HC BCR/ABL1 MAJOR BKPT QUAL/QUANT,529.0,470.81,110.03,529.0,740 CDM,PX-300000037,HC BCR/ABL1 MINOR BKPT QUAL/QUANT,491.0,436.99,102.13,491.0,740 CDM,PX-300000041,HC BILIRUBIN TRANSCUTANEOUS,60.0,53.4,4.92,60.0,736 CDM,PX-300000047,HC BRAF MUTAION ANALYSIS V600 TUMOR,472.0,420.08,98.18,472.0,736 CDM,PX-300000049,HC BTD FULL GENE ANALYSIS (BTD),700.0,623.0,145.6,700.0,739 CDM,PX-300000053,HC BWS/RSS MOLECULAR ANALYSIS,386.0,343.54,80.29,386.0,738 CDM,PX-300000055,HC C9ORF72 MOLECULAR ANALYSIS,700.0,623.0,145.6,700.0,723 CDM,PX-300000056,HC CALR MUTATION ANALYSIS,465.0,413.85,96.72,465.0,737 CDM,PX-300000060,HC CATH COLLECT URINE SPECIMEN,295.0,262.55,9.34,295.0,736 CDM,PX-300000063,HC CDKN1C FULL GENE ANALYSIS,700.0,623.0,145.6,700.0,723 CDM,PX-300000066,HC CELL COUNT BODY FLUID,60.0,53.4,4.72,60.0,735 CDM,PX-300000074,HC CFTR GENE KNOWN MUTATION,500.0,445.0,95.28,500.0,736 CDM,PX-300000077,HC CHIMERISM ANLYS NO CELL SELECT,542.0,482.38,112.74,542.0,740 CDM,PX-300000078,HC CHIMERISM ANLYS W CELL SELECT,1146.0,1019.94,238.37,1146.0,738 CDM,PX-300000082,HC COLLECTION SPECIMEN CAP BLOOD,24.0,21.36,4.99,24.0,720 CDM,PX-300000083,HC COMPARATIVE STR MARKERS 2,855.0,760.95,177.84,855.0,737 CDM,PX-300000084,HC COMPARATIVE STR MARKERS,800.0,712.0,166.4,800.0,737 CDM,PX-300000090,HC CRYOPRESERVATION SPERM,405.0,360.45,84.24,405.0,734 CDM,PX-300000098,HC CYP2C19 GENE ANALYSIS,600.0,534.0,124.8,600.0,738 CDM,PX-300000100,HC CYP2C9 GENE COM VARIANTS,600.0,534.0,124.8,600.0,736 CDM,PX-300000108,HC DAZ/SRY DELETION,400.0,356.0,83.2,400.0,737 CDM,PX-300000109,HC DMD DUPLICATION/DELETION ANALYSIS,700.0,623.0,145.6,700.0,736 CDM,PX-300000114,HC EGFR GENE ANALYSIS COM VAR,1200.0,1068.0,249.6,1200.0,737 CDM,PX-300000117,HC EXOME COMPARATOR,1240.0,1103.6,257.92,18000.0,736 CDM,PX-300000118,HC EXOME,5334.0,4747.26,1109.47,7170.0,736 CDM,PX-300000120,HC F2 GENE ANLYS 20210G A/B VAR,400.0,356.0,64.38,400.0,737 CDM,PX-300000121,HC F5 LEIDEN VAR,400.0,356.0,71.9,400.0,737 CDM,PX-300000122,HC F8 INVERSION ANALYSIS 2,400.0,356.0,83.2,400.0,737 CDM,PX-300000139,HC FLT3 GENE,162.0,144.18,33.7,162.0,739 CDM,PX-300000140,HC FLTITD VARIANCE,323.0,287.47,67.18,323.0,739 CDM,PX-300000141,HC FMR1 FRAGL X SYNDRM ANLY FUP,416.0,370.24,43.99,416.0,736 CDM,PX-300000142,HC FMR1 FRAGL X SYNDRM ANLY,500.0,445.0,55.9,500.0,736 CDM,PX-300000145,HC GAA FULL GENE SEQUENCE (GAAN),700.0,623.0,145.6,700.0,738 CDM,PX-300000146,HC GAA KNOWN MUTATION,500.0,445.0,104.0,500.0,737 CDM,PX-300000151,HC GAUCHER DISEASE FULL GENE ANA (GBA),700.0,623.0,145.6,700.0,723 CDM,PX-300000152,HC GAUCHER DISEASE KNOWN MUTATION,500.0,445.0,104.0,500.0,737 CDM,PX-300000158,HC GLA FULL GENE ANALYSIS (GLA),700.0,623.0,145.6,700.0,738 CDM,PX-300000159,HC GLA KNOWN MUTATION,500.0,445.0,104.0,500.0,737 CDM,PX-300000171,HC HEREDIATRY ERYTHROCYTOSIS MUT,700.0,623.0,145.6,700.0,723 CDM,PX-300000173,HC HEXA FULL GENE ANALYSIS (HEXAN),700.0,623.0,145.6,700.0,738 CDM,PX-300000174,HC HEXA GENE KNOWN MUTATION,500.0,445.0,104.0,500.0,737 CDM,PX-300000176,HC HFE HEMOCHROMATOSIS GEN ANALYS,400.0,356.0,64.05,400.0,736 CDM,PX-300000177,HC HLA CL I ABC TYPING HR,1774.0,1578.86,328.67,1774.0,734 CDM,PX-300000178,HC HLA CL I ABC TYPING LR,1180.0,1050.2,245.44,1180.0,736 CDM,PX-300000180,HC HLA CL II TYPING HR,833.0,741.37,121.21,833.0,737 CDM,PX-300000181,HC HLA CONFIRM TYPING LR,1261.0,1122.29,262.29,1261.0,737 CDM,PX-300000184,HC HLA DP TYPING LR,538.0,478.82,111.9,538.0,737 CDM,PX-300000185,HC HLA DQ CONFIRM TYPING LR,538.0,478.82,111.9,538.0,737 CDM,PX-300000190,HC HLAB 5701,600.0,534.0,124.8,600.0,734 CDM,PX-300000192,HC HLAB 5801,600.0,534.0,124.8,600.0,734 CDM,PX-300000203,HC IDUA FULL GENE ANALYSIS (IDUA),700.0,623.0,145.6,700.0,738 CDM,PX-300000206,HC IGH GENE REARRANGE,280.0,249.2,58.24,296.99,738 CDM,PX-300000207,HC IGH SOMATIC HYPERMUTATION,671.0,597.19,139.57,671.0,737 CDM,PX-300000208,HC IGK REARRANGE ABN CLONAL POP,244.0,217.16,50.75,259.1,738 CDM,PX-300000216,HC JAK2 GENE ANALYSIS V617F,400.0,356.0,83.2,400.0,739 CDM,PX-300000221,HC KOH PREP,27.0,24.03,5.62,27.0,736 CDM,PX-300000233,HC MCAD MUTATION SCREEN (ACADM),700.0,623.0,145.6,700.0,723 CDM,PX-300000234,HC MCR MICROARRAY POC TUMOR FFPE,1700.0,1513.0,353.6,1740.0,738 CDM,PX-300000235,HC MCR MICROARRAY POC,1700.0,1513.0,353.6,1740.0,738 CDM,PX-300000244,HC MGMT METHYLATION ANALYSIS,500.0,445.0,104.0,500.0,736 CDM,PX-300000245,HC MICROARRAY BLOOD,1700.0,1513.0,353.6,1740.0,738 CDM,PX-300000247,HC MICROARRAY PRENATAL,1700.0,1513.0,353.6,1740.0,738 CDM,PX-300000248,HC MICROSATELLITE INSTABILITY,1200.0,1068.0,249.6,1200.0,736 CDM,PX-300000252,HC MLH1 HYPERMETHYLATION ANALYSIS,500.0,445.0,104.0,500.0,736 CDM,PX-300000270,HC MSH2 KNOWN MUTATION,500.0,445.0,104.0,506.6,736 CDM,PX-300000289,HC PML/RARALPHA BKPT QUAL/QUANT,469.0,417.41,97.55,469.0,738 CDM,PX-300000290,HC PMP22 GENE DUP/DELETE,500.0,445.0,450.0,450.0,1 CDM,PX-300000294,HC PMS2 KNOWN FAMILIAL VARIANTS,500.0,445.0,104.0,500.0,734 CDM,PX-300000301,HC PRSS1 FULL GENE ANALYSIS,700.0,623.0,145.6,700.0,739 CDM,PX-300000315,HC SDH KNOWN MUTATION,500.0,445.0,104.0,500.0,737 CDM,PX-300000330,HC SNRPN/UBE3A METHYLATION ANALYSIS,500.0,445.0,50.05,500.0,736 CDM,PX-300000336,HC SPUTUM OBTN SPECIMEN AERO,188.0,167.32,169.2,169.2,1 CDM,PX-300000337,HC STR MARKERS SPECIMEN ANAL ADD,300.0,267.0,62.4,457.22,736 CDM,PX-300000341,HC SWEAT CHOLORIDE IONTOPHORESIS,199.0,177.11,2.7,199.0,736 CDM,PX-300000355,HC TRB GENE REARRANGE AMPLIFY,377.0,335.53,78.42,377.0,738 CDM,PX-300000356,HC TREC IMMUNE RECONSTITUTION,700.0,623.0,145.6,700.0,723 CDM,PX-300000357,HC TRG GENE REARRANGEMENT ANALYS,308.0,274.12,64.06,308.0,738 CDM,PX-300000368,HC UPD UNIPARENTAL DISOMY,700.0,623.0,145.6,700.0,736 CDM,PX-300000370,HC VENIPUNCTURE,34.0,30.26,7.07,34.0,750 CDM,PX-300000371,HC VHL GENE FULL GENE ANALYSIS,700.0,623.0,145.6,700.0,739 CDM,PX-300000372,HC VHL KNOWN MUTATION,500.0,445.0,104.0,500.0,737 CDM,PX-300000378,HC SPEC COLLECT ARTERIAL LINE,72.0,64.08,14.98,832.31,740 CDM,PX-300000402,HC IDS KNOWN MUTATION,500.0,445.0,104.0,500.0,737 CDM,PX-300000408,HC X-ALD KNOWN MUTATION,500.0,445.0,104.0,500.0,737 CDM,PX-300000414,HC X-ALD FULL GENE ANALYSIS (ABCD1),700.0,623.0,145.6,700.0,738 CDM,PX-300000417,HC ONCOHEME NGS FOR HEMATOLOGIC CANCER,2620.0,2331.8,544.96,2620.0,743 CDM,PX-300000475,HC MLH1 HYPERMETHYLATION ANALYSIS 3,500.0,445.0,104.0,500.0,736 CDM,PX-300000484,HC KCNQ1OT1 METHYLATION ANALYSIS,314.0,279.46,65.31,314.0,738 CDM,PX-300000486,HC CYP21A2 COMMON VARIANTS,356.0,316.84,74.05,356.0,736 CDM,PX-300000491,HC CYP21A2 FULL GENE ANALYSIS,644.0,573.16,133.95,644.0,738 CDM,PX-300000504,HC CHLAMYDIA AB,120.0,106.8,11.58,120.0,736 CDM,PX-300000515,HC MONONUCLEAR CELL ANTIGEN,156.0,138.84,26.24,156.0,738 CDM,PX-300000523,HC BPGM FULL GENE ANALYSIS,700.0,623.0,145.6,700.0,723 CDM,PX-300000526,HC MITOCHONDRIAL FULL GENE ANALYSIS,1707.0,1519.23,355.06,1930.5,736 CDM,PX-300000579,HC CELL COUNT W DIFF SPUTUM,97.0,86.33,5.49,97.0,745 CDM,PX-300000580,HC KIT ASP816VAL MUT ANALYSIS - 1,612.0,544.68,122.37,612.0,739 CDM,PX-300000585,HC UGT1A1 GENE ANALYSIS 3,600.0,534.0,124.8,600.0,736 CDM,PX-300000588,HC NEXT GEN AML 8,1875.0,1668.75,390.0,1875.0,743 CDM,PX-300000590,HC NARCOLEPSY ASSOCIATED HLA AG,538.0,478.82,111.9,538.0,737 CDM,PX-300000591,HC HLA DP CONFIRM TYPING LR,538.0,478.82,111.9,538.0,737 CDM,PX-300000610,HC APC FAMILIAL ADNMATUS KNWN MUT,500.0,445.0,104.0,500.0,736 CDM,PX-300000614,HC MLH1 GENE KNOWN VARIANTS,500.0,445.0,104.0,500.0,736 CDM,PX-300000615,HC MSH6 GENE KNOWN VARIANTS,500.0,445.0,104.0,500.0,736 CDM,PX-300000617,HC RBC TYPING,1684.0,1498.76,350.27,1684.0,736 CDM,PX-300000632,"HC GAMMA GLOBIN FULL GENE SEQUENCING, V",561.0,499.29,116.69,561.0,723 CDM,PX-300000650,HC GENOTYPE CARBAMAZEPINE,300.0,267.0,62.4,300.0,734 CDM,PX-300000657,HC GENE BRCA1 KNOWN VARIANT,500.0,445.0,450.0,450.0,1 CDM,PX-300000658,HC GENE BRCA2 KNOWN VARIANT,500.0,445.0,450.0,450.0,1 CDM,PX-300000696,HC CFDNA BRAF V600 TEST,900.0,801.0,171.89,900.0,736 CDM,PX-300000703,HC NFCT DS STRN TYP WHL GEN SEQ,933.0,830.37,194.06,933.0,718 CDM,PX-300000728,"HC KRAS GENE ADDTL VAR, PANEL",450.0,400.5,93.6,450.0,739 CDM,PX-300000729,"HC KRAS GENE VAR-EXON 2, PANEL",450.0,400.5,93.6,450.0,739 CDM,PX-300000735,HC SERPINA1 FULL GENE ANALYSIS,700.0,623.0,145.6,700.0,723 CDM,PX-300000747,HC ALLERGEN IGE RECOMB/PURIFY EA,60.0,53.4,12.48,60.0,736 CDM,PX-300000748,HC DMD GENE MLPA,500.0,445.0,104.0,500.0,737 CDM,PX-300000754,HC CYP3A4 GENOTYPE,600.0,534.0,124.8,600.0,736 CDM,PX-300000755,HC CYP3A5 GENOTYPE,600.0,534.0,124.8,600.0,736 CDM,PX-300000756,HC DPYD GENOTYPE,600.0,534.0,124.8,600.0,738 CDM,PX-300000757,HC DPYD FULL GENE SEQUENCING,1000.0,890.0,171.31,1000.0,738 CDM,PX-300000760,HC G6PD FULL GENE ANALYSIS,1033.0,919.37,214.86,1033.0,736 CDM,PX-300000763,HC IL28B POLYMORPHISM GENOTYPE,600.0,534.0,71.9,600.0,736 CDM,PX-300000764,HC SLCO1B1 GENOTYPE STATIN,600.0,534.0,124.8,600.0,736 CDM,PX-300000765,HC HBB - BETA-GLOB GEN SEQ,500.0,445.0,104.0,500.0,737 CDM,PX-300000767,HC ALPHA GLOBIN GENE SEQUENCE,700.0,623.0,145.6,700.0,736 CDM,PX-300000768,HC HBA1/HBA2 ALPHA GLOBIN GENE SEQ,500.0,445.0,104.0,900.0,737 CDM,PX-300000769,HC BETA GLOBIN CLUSTER LOCUS DUP/DELETE,700.0,623.0,145.6,700.0,736 CDM,PX-300000776,HC PTEN GENE KNOWN MUT,500.0,445.0,450.0,450.0,1 CDM,PX-300000777,HC GALC GENE,700.0,623.0,134.26,700.0,738 CDM,PX-300000778,HC CFDNA EGFR T790M,900.0,801.0,187.2,900.0,737 CDM,PX-300000783,HC JAK2 GENE TRGT SEQ ANALYSIS,400.0,356.0,83.2,400.0,735 CDM,PX-300000791,HC CYP1A2 GENE COMMON VARIANTS,600.0,534.0,124.8,600.0,736 CDM,PX-300000792,HC COMT GENE,600.0,534.0,124.8,600.0,736 CDM,PX-300000794,HC RX METAB ADVERSE REACT TARGET SEQ ANALYSIS,600.0,534.0,124.8,1113.41,735 CDM,PX-300000795,HC RX METAB WARFARIN TARGET SEQ ANALYSIS,700.0,623.0,134.13,700.0,736 CDM,PX-300000796,HC TPMT NUDT15 GENE COMMON VARIANTS,600.0,534.0,124.8,699.26,736 CDM,PX-300000803,HC KVAR1 SINGLE VARIANT KNOWN GENE,500.0,445.0,104.0,500.0,737 CDM,PX-300000831,HC TELOMERE DEFECTS GENE PANEL,2000.0,1780.0,416.0,2000.0,723 CDM,PX-300000835,HC PKLR FULL GENE AND DELETION,500.0,445.0,104.0,500.0,738 CDM,PX-300000882,HC BCR/ABL1 MAJOR BKPT QUAL/QUANT A1 (BADX-NCCI),195.0,173.55,40.56,245.94,740 CDM,PX-300000883,HC BCR/ABL1 MINOR BKPT QUAL/QUANT A1 (BADX-NCCI),171.0,152.19,35.57,217.26,740 CDM,PX-300000884,HC BCR/ABL1 OTHR BKPT QUAL/QUANT A1 (BADX-NCCI),254.0,226.06,52.83,321.93,740 CDM,PX-300000896,"HC CXCR4, GENE MUTATION, REFLEX",579.0,515.31,120.43,579.0,723 CDM,PX-300000897,HC CXCR4 MUTATION,568.0,505.52,118.14,568.0,723 CDM,PX-300001096,HC BRAF MUTATION ANALYSIS V600E 1,900.0,801.0,171.89,900.0,736 CDM,PX-300001097,HC CALR MUTATION ANALYSIS 1,439.0,390.71,91.31,439.0,737 CDM,PX-300001100,"HC NPC1/NPC2 GENES, KNOWN MUTATION",500.0,445.0,104.0,500.0,737 CDM,PX-300001113,HC EGFR GENE ANALYSIS COM VAR (EGFRT),1200.0,1068.0,249.6,1200.0,737 CDM,PX-300001114,HC JAK2 GENE ANALYSIS (MPNR),465.0,413.85,89.83,465.0,739 CDM,PX-300001115,HC JAK2 GENE ANALYSIS (PVJAK),345.0,307.05,71.76,345.0,739 CDM,PX-300001124,HC HLA-C CONFIRM TYPING LR (CFC),518.0,461.02,107.74,518.0,736 CDM,PX-300001137,HC F8 INVERSION ANALYSIS (F8INP/F8INP),626.0,557.14,130.21,626.0,737 CDM,PX-300001146,HC CYP2D6 GEN COM&SLCT RAR VRNT,600.0,534.0,124.8,1014.56,736 CDM,PX-300001147,HC CYP2D6 FULL GENE SEQUENCE,600.0,534.0,124.8,900.0,736 CDM,PX-300001148,HC CYP2D6 GEN CYP2D6-2D7 HYBRID,600.0,534.0,124.8,676.37,736 CDM,PX-300001152,HC CYP2D6 3' GENE DUP/MLT,600.0,534.0,124.8,676.37,736 CDM,PX-300001153,HC IG PARAPROTEIN QUAL SERUM,191.0,169.99,39.73,191.0,742 CDM,PX-300001169,HC BCR/ABL1 MAJOR BKPT QUAL/QUANT A1 (BCRFX-NCCI),195.0,173.55,40.56,245.94,740 CDM,PX-300001170,HC BCR/ABL1 MINOR BKPT QUAL/QUANT A1 (BCRFX-NCCI),171.0,152.19,35.57,217.26,740 CDM,PX-300001171,HC BCR/ABL1 OTHR BKPT QUAL/QUANT A1 (BCRFX-NCCI),254.0,226.06,52.83,321.93,740 CDM,PX-300001225,"HC REFLEX ANALYSIS, NGSHM",929.0,826.81,193.23,1139.3,743 CDM,PX-300001227,HC GENE G6PD SEQ,500.0,445.0,104.0,562.88,736 CDM,PX-300001228,HC GENE GJB2 SEQ,500.0,445.0,60.29,500.0,736 CDM,PX-300001229,HC GENE HBA1/HBA2 SEQ,500.0,445.0,104.0,562.88,736 CDM,PX-300001230,HC GENE PMP22 SEQ,500.0,445.0,450.0,450.0,1 CDM,PX-300001231,HC GENE HBB SEQ,500.0,445.0,104.0,562.88,736 CDM,PX-300001237,HC GENE IDH1 (NGAMT),317.0,282.13,65.94,317.0,740 CDM,PX-300001238,HC GENE IDH2 (NGAMT),314.0,279.46,65.31,443.69,740 CDM,PX-300001239,HC FLT3 GENE DUP VAR (NGAMT),190.0,169.1,39.52,248.27,739 CDM,PX-300001240,HC FLT3 GENE DOMAIN VAR (NGAMT),271.0,241.19,56.37,271.0,739 CDM,PX-300001337,HC AR GENE CHARAC ALLELES,400.0,356.0,83.2,400.0,736 CDM,PX-300001338,HC ATN1 GENE DETC ABNOR ALLELES,500.0,445.0,104.0,500.0,736 CDM,PX-300001344,HC HTT GENE DETC ABNOR ALLELES,400.0,356.0,83.2,400.0,736 CDM,PX-300001345,HC MYD88 GENE PRO VRNT,413.0,367.57,85.9,413.0,737 CDM,PX-300001346,HC MYD88 GENE PRO VRNT (LPLFX),386.0,343.54,80.29,386.0,737 CDM,PX-300001348,HC SMN1 GENE DOS/DELETION (SMNCS),400.0,356.0,83.2,400.0,736 CDM,PX-300001349,HC SMN1 GENE DOS/DELETION (SMNDX),400.0,356.0,83.2,400.0,736 CDM,PX-300001350,HC SMN1 GENE FULL GENE SEQ,1000.0,890.0,208.0,1000.0,736 CDM,PX-300001353,HC INFCT DS CHRNC HCV 6 ASSAYS,494.0,439.66,70.75,494.0,734 CDM,PX-300001430,HC HLA II TYPING 1 LOCUS LR (SSOGP),538.0,478.82,111.9,538.0,737 CDM,PX-300001431,HC HLA I & II TYPING LR (SSOGP),1719.0,1529.91,357.55,1719.0,736 CDM,PX-300001484,HC CHD GENETIC RISK SCORE,800.0,712.0,166.4,800.0,719 CDM,PX-300001485,HC CYP2B6 GENOTYPE (2B6V),600.0,534.0,124.8,600.0,723 CDM,PX-300001549,HC FLCN GENE KNOWN MUTATION (FMTT),500.0,445.0,104.0,500.0,737 CDM,PX-300001562,HC AGXT KNOWN MUTATION (FMTT),500.0,445.0,104.0,500.0,737 CDM,PX-300001567,HC APAOA1 KNOWN MUTATION (FMTT),500.0,445.0,104.0,500.0,737 CDM,PX-300001577,HC HLA CLASS I TYPING LOW RESOL (HLABD),1180.0,1050.2,245.44,1180.0,736 CDM,PX-300001578,HC HLA II LOW RESOL DRB1/3/4/5 & DQB1 (HLABD),811.0,721.79,168.69,811.0,736 CDM,PX-300001581,HC UGT1A1 FULL GENE SEQ (UGTFG),1000.0,890.0,208.0,1000.0,739 CDM,PX-300001584,HC WHOLE MITOCHON GENOME (MITOP),793.0,705.77,164.94,1404.0,736 CDM,PX-300001585,HC MITOCHON FULL GENOME ANALYSIS (MEC),2500.0,2225.0,520.0,2500.0,723 CDM,PX-300001595,HC SERPINC1 FULL GENE NGS,983.0,874.87,204.46,983.0,723 CDM,PX-300001619,HC HBB BETA-GLOB GEN SEQ (WBSQR),500.0,445.0,104.0,500.0,737 CDM,PX-300001620,HC GAMMA GLOBIN FULL GENE SEQ (WGSQR),400.0,356.0,83.2,400.0,723 CDM,PX-300001625,HC CYTOGEN NEOPLASIA MICROARRAY 1,2200.0,1958.0,457.6,2200.0,737 CDM,PX-300001626,HC CYTOGEN NEOPLASIA MICROARRAY 2,2200.0,1958.0,457.6,2200.0,737 CDM,PX-300001627,HC CYTOGEN NEOPLASIA MICROARRAY 3,2200.0,1958.0,457.6,2200.0,737 CDM,PX-300001630,HC BETA GLOBIN CLUSTER LOCUS DEL/DUP,700.0,623.0,145.6,700.0,736 CDM,PX-300001663,HC NPM1 MUTATION ANALYSIS (NPM1Q),399.0,355.11,82.99,399.0,738 CDM,PX-300001669,HC HLA I & II TYPING HR,2482.0,2208.98,338.66,2482.0,737 CDM,PX-300001674,HC BRAF V600 SOMATIC MUT ANALYSIS TUMORE,900.0,801.0,171.89,900.0,736 CDM,PX-300001679,HC HLA-DPB1 TYPING LOW RES,535.0,476.15,111.28,535.0,737 CDM,PX-300001688,HC NTRK TRANSLOC ANALYSIS,2000.0,1780.0,416.0,2000.0,736 CDM,PX-300001689,HC MPL GENE SEQ ALYS EXON 10,516.0,459.24,107.33,516.0,736 CDM,PX-300001690,"HC MPL GENE SEQ ALYS EXON 10, 2",465.0,413.85,96.72,465.0,736 CDM,PX-300001693,HC TP53 GENE TARGET SEQ,511.0,454.79,106.29,511.0,737 CDM,PX-300001694,HC TP53 GENE TARGET SEQ (NGAMT),664.0,590.96,138.11,664.0,737 CDM,PX-300001713,HC CDG GENE PANEL (CDGGP),2500.0,2225.0,520.0,3672.84,737 CDM,PX-300001714,HC MOPATH PROC LEVEL 6 (APGP),623.0,554.47,129.58,623.0,738 CDM,PX-300001715,HC MOPATH PROC LEVEL 7 (APGP),585.0,520.65,121.68,585.0,738 CDM,PX-300001716,HC MOPATH PROC (APGP),207.0,184.23,43.06,207.0,723 CDM,PX-300001717,HC CHOLESTASIS GENE PANEL (CHLGP),2500.0,2225.0,520.0,3672.84,737 CDM,PX-300001718,HC CONGENITAL LACTIC ACIDOSIS PANEL (CLADP),1040.0,925.6,216.32,3672.84,737 CDM,PX-300001719,HC MITOCHON FULL GENOME ANALYSIS (CLADP),935.0,832.15,194.48,1930.5,736 CDM,PX-300001720,HC WHOLE MITOCHON GENOME LARGE DEL (CLADP),525.0,467.25,109.2,1404.0,736 CDM,PX-300001721,HC UREA CYCLE DISORDERS GENE PANEL (UCDP),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300001722,HC METHYL ACIDURIA GENE PANEL (MMAGP),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300001723,HC MMA PA COMBINED GENE PANEL (MPAGP),2080.0,1851.2,432.64,3672.84,737 CDM,PX-300001724,HC MOPATH PROC LEVEL 6 (PCGP),625.0,556.25,130.0,625.0,738 CDM,PX-300001725,HC MOPATH PROC LEVEL 7 (PCGP),584.0,519.76,121.47,584.0,738 CDM,PX-300001726,HC MOPATH PROC (PCGP),207.0,184.23,43.06,207.0,723 CDM,PX-300001727,HC KETONE DISORDERS GENE PANEL (KETGP),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300001729,HC HEXB FULL GENE ANALYSIS (HEXBZ),1000.0,890.0,208.0,1000.0,723 CDM,PX-300001730,HC CYSTINURIA GENE PANEL (CYSGP),2080.0,1851.2,432.64,2080.0,723 CDM,PX-300001731,HC 3-METHYLGLUT ACIDURIA PANEL (3MGAP),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300001732,HC MOPATH PROC LEVEL 7 (TYRGP),1478.0,1315.42,277.22,1478.0,738 CDM,PX-300001733,HC MOPATH PROC (TYRGP),522.0,464.58,108.58,522.0,723 CDM,PX-300001734,HC MOPATH PROC LEVEL 6 (PHEGP),624.0,555.36,129.79,624.0,738 CDM,PX-300001735,HC MOPATH PROC LEVEL 7 (PHEGP),585.0,520.65,121.68,585.0,738 CDM,PX-300001736,HC MOPATH PROC (PHEGP),206.0,183.34,42.85,206.0,723 CDM,PX-300001737,HC MOPATH PROC LEVEL 6 (MSUDP),481.0,428.09,100.05,481.0,738 CDM,PX-300001738,HC MOPATH PROC LEVEL 7 (MSUDP),453.0,403.17,94.22,453.0,738 CDM,PX-300001739,HC MOPATH PROC (MSUDP),160.0,142.4,33.28,160.0,723 CDM,PX-300001742,HC FATTY ACID OXIDATION GENE PANEL (HFAOP),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300001743,HC GALACTOSEMIA FULL GENE ANALYSIS (GALZ),1000.0,890.0,208.0,1000.0,738 CDM,PX-300001744,HC BATTEN DISEASE GENE PANEL (NCLGP),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300001745,HC LSD GENE PANEL (LSDGP),2500.0,2225.0,520.0,3672.84,737 CDM,PX-300001746,HC GLYCOGEN STORAGE DIS GENE PANEL (GSDGP),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300001747,HC PEROXISOMAL DISORDER GENE PANEL (PDGP),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300001760,HC AMINOGLYCOSIDE-INDUCED HEARING LOSS (AIHL),400.0,356.0,83.2,400.0,738 CDM,PX-300001765,HC APOL1 GENOTYPE,400.0,356.0,83.2,400.0,723 CDM,PX-300001771,HC CTFR COMMON VARIANTS (CFMP),281.0,250.09,58.45,834.9,736 CDM,PX-300001772,HC CTFR DUP/DEL (CFMP),219.0,194.91,45.55,652.61,736 CDM,PX-300001773,HC CTFR COMMON VARIANTS (CFSMN),352.0,313.28,73.22,834.9,736 CDM,PX-300001774,HC SMN1/SMN2 DOSAGE/DELETION (CFSMN),173.0,153.97,35.98,205.5,736 CDM,PX-300001775,HC CTFR DUP/DEL (CFSMN),275.0,244.75,57.2,652.61,736 CDM,PX-300001776,HC CTFR COMMON VARIANTS (CSFP),282.0,250.98,58.66,834.9,736 CDM,PX-300001777,HC SMN1/SMN2 DOSAGE/DELETION (CSFP),139.0,123.71,28.91,205.5,736 CDM,PX-300001778,HC FMR1 GENE (CSFP),43.0,38.27,8.94,43.0,723 CDM,PX-300001779,HC HBA1/HBA2 GENE (CSFP),43.0,38.27,8.94,153.39,736 CDM,PX-300001780,HC HBB GENE (CSFP),73.0,64.97,15.18,262.22,736 CDM,PX-300001781,HC CTFR DUP/DEL (CSFP),220.0,195.8,45.76,652.61,736 CDM,PX-300001785,HC GALACTOSEMIA MUTATION PANEL (GALMP),800.0,712.0,134.26,800.0,738 CDM,PX-300001797,HC F5 LEIDEN VAR (F5DNA),400.0,356.0,71.9,400.0,737 CDM,PX-300001803,"HC KRAS GENE ANALYSIS, EXON 2 VAR (KRASP)",490.0,436.1,101.92,490.0,739 CDM,PX-300001804,"HC KRAS GENE ANALYSIS, ADDTL VAR (KRASP)",410.0,364.9,85.28,410.0,739 CDM,PX-300001806,HC INV(16) CBFB-MYH11 QUANT,516.0,459.24,107.33,516.0,738 CDM,PX-300001808,HC ATAXIN 1 GENE (SCAP),140.0,124.6,29.12,205.5,736 CDM,PX-300001809,HC ATAXIN 2 GENE (SCAP),140.0,124.6,29.12,205.5,736 CDM,PX-300001810,HC ATAXIN 3 GENE (SCAP),140.0,124.6,29.12,205.5,736 CDM,PX-300001811,HC ATAXIN 7 GENE (SCAP),140.0,124.6,29.12,205.5,736 CDM,PX-300001812,HC CACNA1A GENE (SCAP),140.0,124.6,29.12,205.5,736 CDM,PX-300001813,HC ATAXIN 1 GENE (SCARA),500.0,445.0,104.0,500.0,736 CDM,PX-300001814,HC ATAXIN 2 GENE (SCARA),500.0,445.0,104.0,500.0,736 CDM,PX-300001815,HC ATAXIN 3 GENE (SCARA),500.0,445.0,104.0,500.0,736 CDM,PX-300001816,HC ATAXIN 7 GENE (SCARA),500.0,445.0,104.0,500.0,736 CDM,PX-300001817,HC CACNA1A GENE (SCARA),500.0,445.0,104.0,500.0,736 CDM,PX-300001818,HC BAP1 FULL GENE,1000.0,890.0,208.0,1000.0,723 CDM,PX-300001819,HC FLCN FULL GENE,1000.0,890.0,208.0,1000.0,723 CDM,PX-300001820,HC CDH1 FULL GENE,1000.0,890.0,208.0,1000.0,738 CDM,PX-300001821,HC HEREDITARY GI CANCER PANEL,2000.0,1780.0,416.0,2000.0,736 CDM,PX-300001822,HC HEREDITARY ENDOCRINE CANCER PANEL,2000.0,1780.0,416.0,2000.0,736 CDM,PX-300001823,HC BRCA1/2 FULL GENE,2000.0,1780.0,416.0,2737.32,737 CDM,PX-300001824,HC HEREDITARY PGL/PCC PANEL,2000.0,1780.0,416.0,2000.0,736 CDM,PX-300001825,HC FH FULL GENE,1000.0,890.0,208.0,1000.0,738 CDM,PX-300001826,HC NF1 FULL GENE,1000.0,890.0,208.0,3000.0,737 CDM,PX-300001827,HC PTEN FULL GENE,1000.0,890.0,208.0,1000.0,738 CDM,PX-300001828,HC RET FULL GENE,1000.0,890.0,208.0,1000.0,738 CDM,PX-300001829,HC STK11 FULL GENE,1000.0,890.0,208.0,1000.0,738 CDM,PX-300001830,HC VHL FULL GENE,1000.0,890.0,208.0,1000.0,739 CDM,PX-300001846,HC PTEN GENE (RENCP),284.0,252.76,59.07,900.0,738 CDM,PX-300001847,HC TP53 GENE (RENCP),302.0,268.78,62.82,962.78,737 CDM,PX-300001848,HC MOPATH PROC LEVEL 5 (RENCP),129.0,114.81,26.83,412.25,739 CDM,PX-300001849,HC MOPATH PROC LEVEL 6 (RENCP),142.0,126.38,29.54,452.03,738 CDM,PX-300001850,HC MOPATH PROC LEVEL 7 (RENCP),134.0,119.26,27.87,424.32,738 CDM,PX-300001851,HC MOPATH PROC LEVEL 8 (RENCP),397.0,353.33,82.58,1269.41,737 CDM,PX-300001852,HC MOPATH PROC (RENCP),65.0,57.85,13.52,65.0,723 CDM,PX-300001853,HC TP53 GENE (WILMP),1383.0,1230.87,287.66,1383.0,737 CDM,PX-300001854,HC WT1 GENE (WILMP),402.0,357.78,83.62,452.03,738 CDM,PX-300001855,HC MOPATH PROC (WILMP),215.0,191.35,44.72,215.0,723 CDM,PX-300001856,HC BRCA1/BRCA2 (XCP),240.0,213.6,49.92,2737.32,737 CDM,PX-300001857,HC APC GENE (XCP),110.0,97.9,22.88,1170.0,737 CDM,PX-300001858,HC MLH1 GENE (XCP),55.0,48.95,11.44,1013.1,737 CDM,PX-300001859,HC MSH2 GENE (XCP),52.0,46.28,10.82,572.55,737 CDM,PX-300001860,HC MSH6 GENE (XCP),170.0,151.3,35.36,962.78,737 CDM,PX-300001861,HC PALB2 GENE (XCP),180.0,160.2,37.44,1014.75,737 CDM,PX-300001862,HC PMS2 GENE DUP/DEL (XCP),30.0,26.7,6.24,305.25,736 CDM,PX-300001863,HC PTEN GENE (XCP),87.0,77.43,18.1,900.0,738 CDM,PX-300001864,HC TP53 GENE (XCP),95.0,84.55,19.76,962.78,737 CDM,PX-300001865,HC EPCAM GENE DUP/DEL (XCP),26.0,23.14,5.41,277.8,737 CDM,PX-300001866,HC MOPATH PROC LEVEL 5 (XCP),43.0,38.27,8.94,412.25,739 CDM,PX-300001867,HC MOPATH PROC LEVEL 6 (XCP),49.0,43.61,10.19,452.03,738 CDM,PX-300001868,HC MOPATH PROC LEVEL 7 (XCP),42.0,37.38,8.74,424.32,738 CDM,PX-300001869,HC MOPATH PROC LEVEL 8 (XCP),120.0,106.8,24.96,1269.41,737 CDM,PX-300001870,HC MOPATH PROC LEVEL 9 (XCP),245.0,218.05,50.96,3000.0,737 CDM,PX-300001871,HC MOPATH PROC (XCP),16.0,14.24,3.33,16.0,723 CDM,PX-300001872,HC BRCA1/BRCA2 (COMCP),263.0,234.07,54.7,2737.32,737 CDM,PX-300001873,HC APC GENE SEQ (COMCP),113.0,100.57,23.5,1170.0,737 CDM,PX-300001874,HC MLH1 GENE SEQ (COMCP),99.0,88.11,20.59,1013.1,737 CDM,PX-300001875,HC MSH2 GENE SEQ (COMCP),55.0,48.95,11.44,572.55,737 CDM,PX-300001876,HC MSH6 GENE SEQ (COMCP),252.0,224.28,52.42,962.78,737 CDM,PX-300001877,HC PALB2 GENE SEQ (COMCP),268.0,238.52,55.74,1014.75,737 CDM,PX-300001878,HC PMS2 (DUP/DEL) (COMCP),30.0,26.7,6.24,305.25,736 CDM,PX-300001879,HC PTEN GENE SEQ (COMCP),87.0,77.43,18.1,900.0,738 CDM,PX-300001880,HC TP53 GENE SEQ (COMCP),93.0,82.77,19.34,962.78,737 CDM,PX-300001881,HC EPCAM (DUP/DEL) (COMCP),23.0,20.47,4.78,277.8,737 CDM,PX-300001882,HC MOPATH PROC LEVEL 5 (COMCP),33.0,29.37,6.86,412.25,739 CDM,PX-300001883,HC MOPATH PROC LEVEL 6 (COMCP),35.0,31.15,7.28,452.03,738 CDM,PX-300001884,HC MOPATH PROC LEVEL 7 (COMCP),33.0,29.37,6.86,424.32,738 CDM,PX-300001885,HC MOPATH PROC LEVEL 9 (COMCP),235.0,209.15,48.88,3000.0,737 CDM,PX-300001886,HC MOPATH PROC (COMCP),12.0,10.68,2.5,12.0,723 CDM,PX-300001913,"HC RUNX1/RUNX1T1, QUANT",439.0,390.71,91.31,439.0,738 CDM,PX-300001916,HC FXN REPEAT EXPANSION ANALYSIS (AFXN),700.0,623.0,134.26,700.0,736 CDM,PX-300001921,HC CRYOPRESERVE TESTI TISSUE,538.0,478.82,52.22,538.0,734 CDM,PX-300001922,HC SPERM ID FRM TESTIS COMPLX,1189.0,1058.21,52.22,1189.0,734 CDM,PX-300001926,HC WHOLE EXOME SEQ (WESDX),3000.0,2670.0,624.0,7170.0,736 CDM,PX-300001927,HC EXOME COMPARATOR (G226),1500.0,1335.0,312.0,18000.0,736 CDM,PX-300001931,HC NAT2F FULL GENE SEQ (NAT2Q),600.0,534.0,124.8,600.0,723 CDM,PX-300001935,HC KRAS GENE ANALYSIS 2 (KRASW),450.0,400.5,93.6,450.0,739 CDM,PX-300001936,"HC KRAS GENE ANALYSIS, ADDTL VAR (KRASW)",450.0,400.5,93.6,450.0,739 CDM,PX-300001938,HC CSTB REPEAT EXPAND ANLYS (CSTB),700.0,623.0,134.26,700.0,736 CDM,PX-300001939,HC COMP EPILEPSY GENE PANEL (EPPAN),2500.0,2225.0,520.0,3672.84,734 CDM,PX-300001940,HC NOTCH3 GENE FULL ANLYS (NTC3Z),1000.0,890.0,208.0,1000.0,723 CDM,PX-300001941,HC MECP2 GENE FULL ANLYS (MCP2Z),1000.0,890.0,208.0,1000.0,736 CDM,PX-300001942,HC CACNA1A FULL GENE (HMEP),363.0,323.07,75.5,1269.41,736 CDM,PX-300001943,HC MOPATH PROC LEVEL 6 (HMEP),129.0,114.81,26.83,452.03,738 CDM,PX-300001944,HC MOPATH PROC LEVEL 7 (HMEP),122.0,108.58,25.38,424.32,738 CDM,PX-300001945,HC MOPATH PROC LEVEL 8 (HMEP),363.0,323.07,75.5,1269.41,737 CDM,PX-300001946,HC MOPATH PROC LEVEL 9 (HMEP),858.0,763.62,178.46,3000.0,737 CDM,PX-300001947,HC MOPATH PROC (HMEP),43.0,38.27,8.94,43.0,723 CDM,PX-300001948,HC MOPATH PROC LEVEL 7 (TSCP1),400.0,356.0,83.2,424.32,738 CDM,PX-300001949,HC MOPATH PROC LEVEL 8 (TSCP1),1600.0,1424.0,332.8,1600.0,737 CDM,PX-300001950,HC INFECT AGENT HIV NEXT-GEN SEQ ANALYSIS,1748.0,1555.72,363.58,1748.0,736 CDM,PX-300001954,HC PIK3CA GENE ANALYSIS (PIK3T),1200.0,1068.0,249.6,1200.0,737 CDM,PX-300001955,HC PIK3CA GENE ANALYSIS (PIK3B),1200.0,1068.0,249.6,1200.0,737 CDM,PX-300001957,HC WHOLE EXOME SEQ REANALYSIS (WESR),1500.0,1335.0,312.0,1500.0,736 CDM,PX-300001959,HC MOPATH PROC LEVEL 5 (RSCGP),119.0,105.91,24.75,412.25,739 CDM,PX-300001960,HC MOPATH PROC LEVEL 6 (RSCGP),130.0,115.7,27.04,452.03,738 CDM,PX-300001961,HC MOPATH PROC LEVEL 7 (RSCGP),123.0,109.47,25.58,424.32,738 CDM,PX-300001962,HC MOPATH PROC LEVEL 8 (RSCGP),368.0,327.52,76.54,1269.41,737 CDM,PX-300001963,HC MOPATH PROC (RSCGP),44.0,39.16,9.15,44.0,723 CDM,PX-300001964,HC MOPATH PROC LEVEL 6 (RFSGS),81.0,72.09,16.85,452.03,738 CDM,PX-300001965,HC MOPATH PROC LEVEL 7 (RFSGS),77.0,68.53,16.02,424.32,738 CDM,PX-300001966,HC MOPATH PROC LEVEL 8 (RFSGS),230.0,204.7,47.84,1269.41,737 CDM,PX-300001967,HC MOPATH PROC LEVEL 9 (RFSGS),542.0,482.38,112.74,3000.0,737 CDM,PX-300001968,HC MOPATH PROC (RFSGS),26.0,23.14,5.41,26.0,723 CDM,PX-300001969,HC MOPATH PROC LEVEL 8 (ALAGP),1789.0,1592.21,372.11,1789.0,737 CDM,PX-300001970,HC MOPATH PROC (ALAGP),211.0,187.79,43.89,211.0,723 CDM,PX-300001971,HC MOPATH PROC LEVEL 8 (ALPGP),392.0,348.88,81.54,1269.41,737 CDM,PX-300001972,HC MOPATH PROC LEVEL 9 (ALPGP),737.0,655.93,153.3,3000.0,737 CDM,PX-300001973,HC MOPATH PROC (ALPGP),134.0,119.26,27.87,134.0,723 CDM,PX-300001974,HC MOPATH PROC LEVEL 6 (CASRG),1000.0,890.0,208.0,1000.0,738 CDM,PX-300001975,HC MOPATH PROC LEVEL 5 (CKDGP),45.0,40.05,9.36,412.25,739 CDM,PX-300001976,HC MOPATH PROC LEVEL 6 (CKDGP),51.0,45.39,10.61,452.03,738 CDM,PX-300001977,HC MOPATH PROC LEVEL 7 (CKDGP),48.0,42.72,9.98,424.32,738 CDM,PX-300001978,HC MOPATH PROC LEVEL 8 (CKDGP),144.0,128.16,29.95,1269.41,737 CDM,PX-300001979,HC MOPATH PROC LEVEL 9 (CKDGP),341.0,303.49,70.93,3000.0,737 CDM,PX-300001980,HC MOPATH PROC (CKDGP),17.0,15.13,3.54,17.0,723 CDM,PX-300001981,HC MOPATH PROC LEVEL 6 (ADPKP),353.0,314.17,73.42,452.03,738 CDM,PX-300001982,HC MOPATH PROC LEVEL 7 (ADPKP),331.0,294.59,68.85,424.32,738 CDM,PX-300001983,HC MOPATH PROC LEVEL 8 (ADPKP),868.0,772.52,180.54,1269.41,737 CDM,PX-300001984,HC MOPATH PROC (ADPKP),117.0,104.13,24.34,117.0,723 CDM,PX-300001985,HC MOPATH PROC LEVEL 5 (AHUGP),1467.0,1305.63,269.33,1467.0,739 CDM,PX-300001986,HC MOPATH PROC (AHUGP),533.0,474.37,110.86,533.0,723 CDM,PX-300001987,HC MOPATH PROC LEVEL 5 (RBART),365.0,324.85,75.92,412.25,739 CDM,PX-300001988,HC MOPATH PROC LEVEL 7 (RBART),377.0,335.53,78.42,424.32,738 CDM,PX-300001989,HC MOPATH PROC LEVEL 8 (RBART),1125.0,1001.25,234.0,1269.41,737 CDM,PX-300001990,HC MOPATH PROC (RBART),133.0,118.37,27.66,133.0,723 CDM,PX-300001991,HC MOPATH PROC LEVEL 2 (NEPHP),13.0,11.57,2.7,205.5,738 CDM,PX-300001992,HC MOPATH PROC LEVEL 5 (NEPHP),21.0,18.69,4.37,412.25,739 CDM,PX-300001993,HC MOPATH PROC LEVEL 6 (NEPHP),22.0,19.58,4.58,452.03,738 CDM,PX-300001994,HC MOPATH PROC LEVEL 7 (NEPHP),21.0,18.69,4.37,424.32,738 CDM,PX-300001995,HC MOPATH PROC LEVEL 8 (NEPHP),63.0,56.07,13.1,1269.41,737 CDM,PX-300001996,HC MOPATH PROC LEVEL 9 (NEPHP),151.0,134.39,31.41,3000.0,737 CDM,PX-300001997,HC MOPATH PROC (NEPHP),10.0,8.9,2.08,10.0,723 CDM,PX-300001998,HC NUC MITOCHON GENE PANEL (NMITO),2500.0,2225.0,520.0,4986.0,736 CDM,PX-300001999,HC MITOCHON FULL GENOME (CMITO),1160.0,1032.4,241.28,1930.5,736 CDM,PX-300002000,HC MITOCHON NUCLEAR (CMITO),2996.0,2666.44,623.17,4986.0,736 CDM,PX-300002001,HC MITOCHON DELETION (CMITO),844.0,751.16,175.55,1404.0,736 CDM,PX-300002005,HC MOPATH PROC (PKLRG),200.0,178.0,41.6,200.0,723 CDM,PX-300002011,HC BRCA1/2 MUTATION ANALYSIS (BRCAT),1600.0,1424.0,332.8,1600.0,736 CDM,PX-300002012,HC TP53 MUTATION ANALYSIS (TP53),1200.0,1068.0,249.6,1200.0,737 CDM,PX-300002013,HC IDH1/IDH2 MUTATIONS ANALYSIS (IDHT),1600.0,1424.0,332.8,1600.0,723 CDM,PX-300002014,HC ESR1 MUTATIONS ANALYSIS (ESR1T),1200.0,1068.0,249.6,1200.0,723 CDM,PX-300002019,HC B-CATENIN MUTATIONS ANALYSIS (CTNBT),1200.0,1068.0,249.6,1200.0,723 CDM,PX-300002020,HC FOXL2 MUTATIONS ANALYSIS (XL2T),1200.0,1068.0,249.6,1200.0,723 CDM,PX-300002021,HC MOPATH PROC LEVEL 7 (BRFKT),1600.0,1424.0,277.22,1600.0,738 CDM,PX-300002022,HC MOPATH PROC (BRFKT),1600.0,1424.0,332.8,1600.0,723 CDM,PX-300002027,HC IDH1 GENE (IDHQ),226.0,201.14,47.01,289.88,740 CDM,PX-300002028,HC IDH2 GENE (IDHQ),344.0,306.16,71.55,443.69,740 CDM,PX-300002032,HC CARDIOMYOPATHY AND ARRHYTHMIA PANEL,2500.0,2225.0,520.0,2500.0,736 CDM,PX-300002033,HC COMPREHENSIVE AORTOPATHY GENE PANEL,2000.0,1780.0,416.0,2000.0,736 CDM,PX-300002034,HC COMPREHENSIVE ARRHYTHMIA GENE PANEL,2000.0,1780.0,416.0,2000.0,736 CDM,PX-300002035,HC COMPREHENSIVE CARDIOMYOPATHY PANEL,2500.0,2225.0,520.0,2500.0,736 CDM,PX-300002036,HC DILATED CARDIOMYOPATHY/LVNC PANEL,2500.0,2225.0,520.0,2500.0,736 CDM,PX-300002037,HC HYPERTROPHIC CARDIOMYOPATHY PANEL,2000.0,1780.0,416.0,2000.0,736 CDM,PX-300002038,HC HYPERTRIGLYCERIDEMIA GENE PANEL,2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002039,HC FBN1 FULL GENE ANALYSIS,1000.0,890.0,208.0,3000.0,737 CDM,PX-300002040,HC MARFAN AND RELATED CONDITIONS PANEL,2000.0,1780.0,416.0,2000.0,736 CDM,PX-300002041,HC NOONAN SYNDROME AND RELATED PANEL,2000.0,1780.0,416.0,3215.4,736 CDM,PX-300002042,HC PRIMARY CILIARY DYSKINESIA PANEL,2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002043,HC PRKAR1A FULL GENE ANALYSIS,1000.0,890.0,208.0,1000.0,723 CDM,PX-300002044,"HC BRUGADA SYNDROME, SCN5A FULL GENE",1000.0,890.0,208.0,1269.41,737 CDM,PX-300002050,HC MOPATH PROC LEVEL 5 (CHDGG),79.0,70.31,16.43,412.25,739 CDM,PX-300002051,HC MOPATH PROC LEVEL 6 (CHDGG),86.0,76.54,17.89,452.03,738 CDM,PX-300002052,HC MOPATH PROC LEVEL 7 (CHDGG),81.0,72.09,16.85,424.32,738 CDM,PX-300002053,HC MOPATH PROC LEVEL 8 (CHDGG),242.0,215.38,50.34,1269.41,737 CDM,PX-300002054,HC MOPATH PROC LEVEL 9 (CHDGG),422.0,375.58,87.78,3000.0,737 CDM,PX-300002055,HC MOPATH PROC (CHDGG),29.0,25.81,6.03,29.0,723 CDM,PX-300002056,HC MOPATH PROC LEVEL 6 (CPVTG),250.0,222.5,52.0,452.03,738 CDM,PX-300002057,HC MOPATH PROC LEVEL 9 (CPVTG),1667.0,1483.63,346.74,3000.0,737 CDM,PX-300002058,HC MOPATH PROC (CPVTG),83.0,73.87,17.26,83.0,723 CDM,PX-300002059,HC MOPATH PROC LEVEL 6 (CVHBG),136.0,121.04,28.29,452.03,738 CDM,PX-300002060,HC MOPATH PROC LEVEL 7 (CVHBG),126.0,112.14,26.21,424.32,738 CDM,PX-300002061,HC MOPATH PROC LEVEL 9 (CVHBG),897.0,798.33,186.58,3000.0,737 CDM,PX-300002062,HC MOPATH PROC (CVHBG),45.0,40.05,9.36,45.0,723 CDM,PX-300002063,HC MOPATH PROC LEVEL 9 (EDSGG),973.0,865.97,202.38,3000.0,737 CDM,PX-300002064,HC MOPATH PROC (EDSGG),54.0,48.06,11.23,54.0,723 CDM,PX-300002065,HC MOPATH PROC LEVEL 7 (HCHLG),230.0,204.7,47.84,424.32,738 CDM,PX-300002066,HC MOPATH PROC LEVEL 8 (HCHLG),1378.0,1226.42,286.62,1378.0,737 CDM,PX-300002067,HC MOPATH PROC (HCHLG),162.0,144.18,33.7,162.0,723 CDM,PX-300002068,HC MOPATH PROC LEVEL 7 (HHTGG),595.0,529.55,123.76,595.0,738 CDM,PX-300002069,HC MOPATH PROC (HHTGG),215.0,191.35,44.72,215.0,723 CDM,PX-300002070,HC MOPATH PROC LEVEL 7 (HYPBG),470.0,418.3,97.76,470.0,738 CDM,PX-300002071,HC MOPATH PROC LEVEL 8 (HYPBG),1350.0,1201.5,280.8,1350.0,737 CDM,PX-300002072,HC MOPATH PROC (HYPBG),180.0,160.2,37.44,180.0,723 CDM,PX-300002073,HC MOPATH PROC LEVEL 7 (LIPOG),230.0,204.7,47.84,424.32,738 CDM,PX-300002074,HC MOPATH PROC LEVEL 8 (LIPOG),1440.0,1281.6,299.52,3000.0,737 CDM,PX-300002075,HC MOPATH PROC (LIPOG),100.0,89.0,20.8,100.0,723 CDM,PX-300002076,HC MOPATH PROC LEVEL 4 (LQTSG),220.0,195.8,45.76,277.8,737 CDM,PX-300002077,HC MOPATH PROC LEVEL 7 (LQTSG),325.0,289.25,67.6,424.32,738 CDM,PX-300002078,HC MOPATH PROC LEVEL 8 (LQTSG),1005.0,894.45,209.04,1269.41,737 CDM,PX-300002079,HC MOPATH PROC (LQTSG),125.0,111.25,26.0,125.0,723 CDM,PX-300002080,HC MOPATH PROC LEVEL 7 (OIBFG),133.0,118.37,27.66,424.32,738 CDM,PX-300002081,HC MOPATH PROC LEVEL 9 (OIBFG),838.0,745.82,174.3,3000.0,737 CDM,PX-300002082,HC MOPATH PROC (OIBFG),58.0,51.62,12.06,58.0,723 CDM,PX-300002083,HC MOPATH PROC LEVEL 4 (SQTSG),435.0,387.15,90.48,435.0,737 CDM,PX-300002084,HC MOPATH PROC LEVEL 7 (SQTSG),665.0,591.85,138.32,665.0,738 CDM,PX-300002085,HC MOPATH PROC (SQTSG),235.0,209.15,48.88,235.0,723 CDM,PX-300002087,HC FOCUSED ADPKD GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002088,HC AHUS/TMA/C3G GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002089,HC ALAGILLE SYNDROME GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002090,HC ALPORT SYNDROME GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002091,HC ACUTE PORPHYRIA GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002092,HC BRAF/KIT MUTATION ANALYSIS TUMOR (MEC),1600.0,1424.0,332.8,1600.0,723 CDM,PX-300002094,HC CYSTIC FIBROSIS (CF) MUTATION PANEL (MEC),500.0,445.0,104.0,500.0,723 CDM,PX-300002095,HC CF AND SMA CARRIER SCREEN PANEL (MEC),800.0,712.0,166.4,800.0,723 CDM,PX-300002096,HC CYSTIC KIDNEY DISEASE GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002097,HC CONGENITAL LACTIC ACIDOSIS PANEL (MEC),2500.0,2225.0,520.0,2500.0,723 CDM,PX-300002098,HC HEREDITARY COMMON CANCER PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002099,"HC CARRIER SCREEN, FOCUSED PANEL (MEC)",800.0,712.0,166.4,800.0,723 CDM,PX-300002100,"HC CYP21A2 GENE, FULL GENE ANALYSIS (CYPZ) (MEC)",1000.0,890.0,208.0,1000.0,723 CDM,PX-300002101,"HC FLT3 MUTATION ANALYSIS, BLOOD (MEC)",441.0,392.49,91.73,441.0,723 CDM,PX-300002103,HC HEMIPLEGIC MIGRAINE GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002104,"HC CFDNA KRAS 12, 13, 61, 146 BLOOD (MEC)",900.0,801.0,187.2,900.0,723 CDM,PX-300002105,"HC KRAS MUTATION ANALYSIS, PERITONEAL (MEC)",855.0,760.95,177.84,855.0,723 CDM,PX-300002107,HC MSUD GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002108,HC COMPREHENSIVE NEPHROLOGY GENE PANEL (MEC),2500.0,2225.0,520.0,2500.0,723 CDM,PX-300002112,HC PORPHYRIA COMPREHENSIVE GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002113,HC PHENYLALANINE DISORDERS GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002116,HC BARTTER SYNDROME GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002117,HC HEREDITARY RENAL CANCER PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002118,HC FSGS/NEPHROTIC SYNDROME GENE PANEL (MEC),2500.0,2225.0,520.0,2500.0,723 CDM,PX-300002119,HC RENAL STONE/ELECTROLYTE GENE PANEL (MEC),2500.0,2225.0,520.0,2500.0,723 CDM,PX-300002120,HC SPINOCEREBELLAR ATAXIA PANEL (MEC),700.0,623.0,145.6,700.0,723 CDM,PX-300002121,"HC T CELL RECEPTOR GENE REARRANGE, BM (MEC)",643.0,572.27,133.74,643.0,723 CDM,PX-300002123,HC TUBEROUS SCLEROSIS GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002124,HC TYROSINE DISORDERS GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002125,HC HEREDITARY WILMS TUMOR PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002126,HC HEREDITARY EXPANDED CANCER PANEL (MEC),2500.0,2225.0,520.0,2500.0,723 CDM,PX-300002128,HC CONGENITAL HEART DISEASE GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002129,HC CPVT GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002130,HC CEREBROVASCULAR GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002131,HC EHLERS-DANLOS SYNDROME GENE PANEL (EDSGG)(MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002132,HC HYPERCHOLESTEROLEMIA GENE PANEL (HCHLG)(MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002133,HC HHT AND VASCULAR GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002134,HC HYPOBETALIPOPROTEINEMIA GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002135,HC LIPODYSTROPHY GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002136,HC LONG QT SYNDROME GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002137,HC OSTEO IMPERF AND BONE FRAGILITY GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002138,HC SHORT QT SYNDROME GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002139,HC ARRHYTHMOGENIC CARDIOMYOPATHY PANEL (ARVGG),2000.0,1780.0,416.0,2000.0,736 CDM,PX-300002140,HC ATAXIA GENE PANEL (ATAXP),2500.0,2225.0,520.0,3672.84,737 CDM,PX-300002141,HC CONGENITAL MYASTHENIA GENE PANEL (CMSP),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300002142,"HC DMD GENE, FULL GENE ANALYSIS (DMDZ)",1000.0,890.0,208.0,3000.0,737 CDM,PX-300002143,HC DISTAL WEAKNESS GENE PANEL (DWPAN),2500.0,2225.0,520.0,3672.84,737 CDM,PX-300002144,HC MOTOR AND SENSORY NEUROPATHY PANEL (IMSNP),2500.0,2225.0,520.0,2500.0,736 CDM,PX-300002145,HC SENSORY NEUROPATHY GENE PANEL (ISNP),2000.0,1780.0,416.0,2000.0,736 CDM,PX-300002146,HC SPASTIC PARAPLEGIA GENE PANEL (ISPP),2500.0,2225.0,520.0,2500.0,736 CDM,PX-300002147,HC LGMD AND CMS GENE PANEL (LGCMP),2500.0,2225.0,520.0,3672.84,737 CDM,PX-300002148,HC MUSCULAR DYSTROPHY GENE PANEL (MDYSP),2500.0,2225.0,520.0,3672.84,737 CDM,PX-300002149,HC MOTOR NEURON DISEASE GENE PANEL (MNDP),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300002150,HC NEUROMUSCULAR GENE PANEL (MUPAN),2500.0,2225.0,520.0,3672.84,737 CDM,PX-300002151,HC PERIPHERAL NEUROPATHY GENE PANEL (PEPAN),2500.0,2225.0,520.0,2500.0,736 CDM,PX-300002152,HC RHABDO/METABOLIC MYOPATHY PANEL (RABMP),2500.0,2225.0,520.0,3672.84,737 CDM,PX-300002153,"HC SEPTIN9 GENE, FULL GENE ANALYSIS (SEP9Z)",1000.0,890.0,208.0,1000.0,723 CDM,PX-300002154,"HC SOD1 GENE, FULL GENE ANALYSIS (SOD1Z)",1000.0,890.0,208.0,1000.0,739 CDM,PX-300002155,"HC TTR GENE, FULL GENE ANALYSIS (TTRZ)",1000.0,890.0,208.0,1000.0,739 CDM,PX-300002156,HC MOPATH PROC LEVEL 4 (AFTDP),69.0,61.41,14.35,277.8,737 CDM,PX-300002157,HC MOPATH PROC LEVEL 5 (AFTDP),102.0,90.78,21.22,412.25,739 CDM,PX-300002158,HC MOPATH PROC LEVEL 6 (AFTDP),112.0,99.68,23.3,452.03,738 CDM,PX-300002159,HC MOPATH PROC LEVEL 7 (AFTDP),105.0,93.45,21.84,424.32,738 CDM,PX-300002160,HC MOPATH PROC LEVEL 8 (AFTDP),314.0,279.46,65.31,1269.41,737 CDM,PX-300002161,HC MOPATH PROC (AFTDP),37.0,32.93,7.7,37.0,723 CDM,PX-300002162,HC FTD/ALS GENE PANEL AFTDP (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002163,HC MOPATH PROC LEVEL 5 (EDMDP),573.0,509.97,119.18,573.0,739 CDM,PX-300002164,HC MOPATH PROC LEVEL 6 (EDMDP),628.0,558.92,130.62,628.0,738 CDM,PX-300002165,HC MOPATH PROC LEVEL 7 (EDMDP),295.0,262.55,61.36,424.32,738 CDM,PX-300002166,HC MOPATH PROC (EDMDP),209.0,186.01,43.47,209.0,723 CDM,PX-300002167,HC EMERY-DREIFUS GENE PANEL EDMDP (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002168,HC MOPATH PROC LEVEL 5 (IMNP),380.0,338.2,79.04,412.25,739 CDM,PX-300002169,HC MOPATH PROC LEVEL 6 (IMNP),380.0,338.2,79.04,452.03,738 CDM,PX-300002170,HC MOPATH PROC LEVEL 7 (IMNP),380.0,338.2,79.04,424.32,738 CDM,PX-300002171,HC MOPATH PROC (IMNP),100.0,89.0,20.8,100.0,723 CDM,PX-300002172,HC MOTOR NEUROPATHY GENE PANEL IMNP (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002173,HC MOPATH PROC LEVEL 4 (PARDP),60.0,53.4,12.48,277.8,737 CDM,PX-300002174,HC MOPATH PROC LEVEL 5 (PARDP),88.0,78.32,18.3,412.25,739 CDM,PX-300002175,HC MOPATH PROC LEVEL 6 (PARDP),98.0,87.22,20.38,452.03,738 CDM,PX-300002176,HC MOPATH PROC LEVEL 7 (PARDP),92.0,81.88,19.14,424.32,738 CDM,PX-300002177,HC MOPATH PROC LEVEL 8 (PARDP),275.0,244.75,57.2,1269.41,737 CDM,PX-300002178,HC MOPATH PROC LEVEL 9 (PARDP),649.0,577.61,134.99,3000.0,737 CDM,PX-300002179,HC MOPATH PROC (PARDP),32.0,28.48,6.66,32.0,723 CDM,PX-300002180,HC PARKINSON DIS GENE PANEL PARDP (MEC),2500.0,2225.0,520.0,2500.0,723 CDM,PX-300002181,HC MOPATH PROC LEVEL 4 (SMCP),470.0,418.3,97.76,470.0,737 CDM,PX-300002182,HC MOPATH PROC LEVEL 7 (SMCP),460.0,409.4,95.68,460.0,738 CDM,PX-300002183,HC MOPATH PROC (SMCP),150.0,133.5,31.2,150.0,723 CDM,PX-300002184,HC MUSCLE CHANNEL GENE PANEL SMCP (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002185,HC ALLERGEN IGE RECOMB/PURIFY EA 2,60.0,53.4,12.48,60.0,736 CDM,PX-300002186,HC B-CELL LYMPHOMA NGS,2538.0,2258.82,527.9,2538.0,743 CDM,PX-300002187,HC T-CELL LYMPHOMA NGS,2137.0,1901.93,444.5,2137.0,743 CDM,PX-300002188,HC HISTIOCYTIC NEOPLASM NGS,1843.0,1640.27,383.34,1843.0,743 CDM,PX-300002189,HC PLASMA CELL MYELOMA NGS,2137.0,1901.93,444.5,2137.0,743 CDM,PX-300002190,HC CHRONIC LYMPHOID NEOPLASM NGS,2137.0,1901.93,444.5,2137.0,743 CDM,PX-300002191,HC MAYOCOMPLETE LUNG REARRANGEMENTS MCLNR (MEC),1656.0,1473.84,344.45,1656.0,723 CDM,PX-300002193,HC SARCOMA TARGETED GENE PANEL (SARCP),2000.0,1780.0,416.0,4379.4,736 CDM,PX-300002194,HC GENOME SEQUENCE ANALYSIS (WGSDX),4000.0,3560.0,832.0,7546.8,736 CDM,PX-300002495,HC GENOME SEQ ANALYSIS EA COMPARATOR (G227),2000.0,1780.0,416.0,4064.93,736 CDM,PX-300002496,HC GENOME RE-EVALUATION (WGSR),1500.0,1335.0,312.0,3506.48,736 CDM,PX-300002497,HC MAYOCOMPLETE LUNG REARRANGEMENTS (MCLNR),1200.0,1068.0,249.6,1200.0,734 CDM,PX-300002499,HC HEARING LOSS GENE PANEL (AHLP),1763.0,1569.07,366.7,2437.5,736 CDM,PX-300002500,HC HEARING LOSS DUP/DEL ANALYSIS PANEL (AHLP),737.0,655.93,153.3,1019.36,736 CDM,PX-300002501,HC AUDIOLOGENE HEARING LOSS PANEL (AHLP-MEC),2500.0,2225.0,520.0,2500.0,723 CDM,PX-300002503,HC ATP7B FULL GENE ANALYSIS (WNDZ),1000.0,890.0,208.0,1000.0,738 CDM,PX-300002509,HC TIMP2/IGFBP7 AKI RISK SCORE,269.0,239.41,55.95,269.0,719 CDM,PX-300002510,HC ALPS GENE PANEL (ALPSG),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300002511,HC BTK GENE FULL ANALYSIS (BTKSG),1000.0,890.0,208.0,1000.0,738 CDM,PX-300002512,HC CFTR GENE FULL ANALYSIS (CFTRN),1000.0,890.0,208.0,1000.0,736 CDM,PX-300002513,HC EBV/LYMPHOPROLIFERATION GENE PANEL (EBLPD),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300002514,HC GATA2 GENE FULL ANAYLYIS (GATAS),1000.0,890.0,208.0,1000.0,723 CDM,PX-300002515,HC HYPER-IGE SYNDROME GENE PANEL (HIESG),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300002516,HC HLH GENE PANEL (HLHGP),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300002517,HC VIRAL SUSCEPTIBILITY GENE PANEL (VIRID),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300002518,HC DYSREGULATION/AUTOIMM GENE PANEL (IMMAU),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300002519,HC CONGENITAL NEUTROPENIA GENE PANEL (SCCNP),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300002520,HC TELOMERE DISORDERS GENE PANEL (TELDP),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300002521,HC CFTR GENE (HPANP),800.0,712.0,166.4,800.0,736 CDM,PX-300002522,HC CTRC GENE (HPANP),400.0,356.0,83.2,452.03,738 CDM,PX-300002523,HC MOPATH PROC LEVEL 5 (HPANP),400.0,356.0,83.2,412.25,739 CDM,PX-300002524,HC HEREDITARY PANCREATITIS GENE PANEL (HPANP-MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002525,HC RBC ENZYME SEQUENCING NGS (NENZ),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300002526,HC HEREDITARY HEMOLYTICS ANEMIA (NHHA),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300002527,HC CYB5 AND CYB5 REDUCTASE NGS (NCYB),3550.0,3159.5,738.4,3550.0,723 CDM,PX-300002528,HC CDA SEQUENCING NGS (NCDA),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002529,HC SLCA1 FULL GENE SEQ (NMEM),1500.0,1335.0,295.32,1500.0,738 CDM,PX-300002530,HC MOPATH PROC (NMEM),500.0,445.0,104.0,500.0,723 CDM,PX-300002531,HC RBC MEMBRANE SEQUENCING (NMEM-MEC),3550.0,3159.5,738.4,3550.0,723 CDM,PX-300002532,HC VHL FULL GENE (NHEM),1466.0,1304.74,269.33,1466.0,739 CDM,PX-300002533,HC MOPATH PROC (NHEM),534.0,475.26,111.07,534.0,723 CDM,PX-300002534,HC ERYTHROCYTOSIS FOCUSED PANEL NGS (NHEM-MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002535,HC VHL FULL GENE (NHEP),813.0,723.57,169.1,813.0,739 CDM,PX-300002536,HC PKLR FULL GENE (NHEP),892.0,793.88,185.54,892.0,738 CDM,PX-300002537,HC MOPATH PROC (NHEP),295.0,262.55,61.36,295.0,723 CDM,PX-300002538,HC ERYTHROCYTOSIS FULL PANEL NGS (NHEP-MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002539,HC GENE AR (FMTT),500.0,445.0,104.0,500.0,736 CDM,PX-300002540,HC GENE FXN (FMTT),500.0,445.0,104.0,500.0,736 CDM,PX-300002541,HC GENE PALB2 (FMTT),500.0,445.0,104.0,500.0,736 CDM,PX-300002542,HC ALLERGEN IGE RECOMB/PURIFY EA 3,60.0,53.4,12.48,60.0,736 CDM,PX-300002544,HC F2 GENE ANLYS 20210G A/B VAR (PTMUT),400.0,356.0,64.38,400.0,737 CDM,PX-300002552,HC PSYCH PHARMACOGENOMICS PANEL (PSYQP),1500.0,1335.0,312.0,1500.0,734 CDM,PX-300002564,HC THROMBOCYTOPENIA GENE PANEL (GNHTC),1775.0,1579.75,369.2,3672.84,737 CDM,PX-300002565,"HC PROS GENE, FULL GENE (GNPRS)",1000.0,890.0,208.0,1000.0,723 CDM,PX-300002566,"HC SERPINC1 GENE, FULL GENE (GNANT)",1000.0,890.0,208.0,1000.0,723 CDM,PX-300002567,"HC F7 GENE, FULL GENE (GNF7)",1450.0,1290.5,301.6,1450.0,723 CDM,PX-300002568,"HC F11 GENE, FULL GENE (GNF11)",1450.0,1290.5,301.6,1450.0,723 CDM,PX-300002569,"HC PROC GENE, FULL GENE (GNPRC)",1000.0,890.0,208.0,1000.0,723 CDM,PX-300002570,"HC ADAMTS13 GENE, FULL GENE (GNADM)",1000.0,890.0,208.0,1000.0,723 CDM,PX-300002571,"HC MYH9 GENE, FULL GENE (GNMY9)",1450.0,1290.5,301.6,1450.0,723 CDM,PX-300002572,HC STORAGE POOL DEFICIENCY PANEL (GNSPD),1775.0,1579.75,369.2,3672.84,737 CDM,PX-300002573,HC PLATELET FUNCTION DEFECT PANEL (GNPFD),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300002574,"HC F8 GENE, FULL GENE (GNHMA)",1450.0,1290.5,301.6,1450.0,737 CDM,PX-300002575,"HC F9 GENE, FULL GENE (GNHMB)",1000.0,890.0,208.0,1000.0,736 CDM,PX-300002576,"HC F13A1 AND B GENES, FULL GENE (GNF13)",2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002577,"HC FGA/B/G GENES, FULL GENE (GNFIB)",2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002578,HC VWF GENE (GNVWD),1900.0,1691.0,395.2,3000.0,737 CDM,PX-300002579,HC GP1BA GENE (GNVWD),100.0,89.0,20.8,100.0,723 CDM,PX-300002580,HC VWF AND GP1BA GENES (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002581,HC HEREDITARY ANGIOEDEMA PANEL (GNANG),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002583,HC BLEEDING COMPREHENSIVE PANEL (GNBLC),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300002584,HC THROMBOSIS COMPREHENSIVE PANEL (GNTHR),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300002585,HC PLATELET COMPREHENSIVE PANEL (GNPLT),2500.0,2225.0,520.0,3672.84,737 CDM,PX-300002586,HC MACROTHROMBOCYTOPENIA PANEL (GNMTC),1775.0,1579.75,369.2,3672.84,737 CDM,PX-300002590,HC AUTOINFLAMMATORY GENE PANEL (AUTOG),2500.0,2225.0,520.0,3672.84,737 CDM,PX-300002591,HC BCELL/ANTIBODY DEFICIENCY GENE PANEL (BCELL),2500.0,2225.0,520.0,3672.84,737 CDM,PX-300002592,HC EARLY ONSET IBD GENE PANEL (EOIBD),2500.0,2225.0,520.0,3672.84,737 CDM,PX-300002593,HC SCID GENE PANEL (SCIDP),2000.0,1780.0,416.0,3672.84,737 CDM,PX-300002594,"HC F9 GENE, FULL GENE (GNBLF)",296.0,263.44,61.57,900.0,736 CDM,PX-300002595,"HC F8 GENE, FULL GENE (GNBLF)",418.0,372.02,86.94,1269.41,737 CDM,PX-300002596,HC VWF GENE (GNBLF),987.0,878.43,205.3,3000.0,737 CDM,PX-300002597,HC MOPATH PROC (GNBLF),50.0,44.5,10.4,50.0,723 CDM,PX-300002598,HC BLEEDING FOCUSED GENE PANEL (MEC),1750.0,1557.5,364.0,1750.0,723 CDM,PX-300002599,HC BRCA1/BRCA2 GENE (BRTP),710.0,631.9,147.68,2737.32,737 CDM,PX-300002600,HC PALB2 GENE (BRTP),263.0,234.07,54.7,1014.75,737 CDM,PX-300002601,HC PTEN GENE (BRTP),233.0,207.37,48.46,900.0,738 CDM,PX-300002602,HC TP53 GENE (BRTP),250.0,222.5,52.0,962.78,737 CDM,PX-300002603,HC STK11 GENE (BRTP),118.0,105.02,24.54,452.03,738 CDM,PX-300002604,HC CDH1 GENE (BRTP),110.0,97.9,22.88,424.32,738 CDM,PX-300002605,HC ATM GENE (BRTP),777.0,691.53,161.62,3000.0,737 CDM,PX-300002606,HC MOPATH PROC (BRTP),39.0,34.71,8.11,39.0,723 CDM,PX-300002607,HC RAPID HERED BREAST CANCER TEST (MEC),2500.0,2225.0,520.0,2500.0,723 CDM,PX-300002608,HC HISTONE GENES MUTATION ANALYSIS (HISGT),1600.0,1424.0,332.8,1600.0,736 CDM,PX-300002609,HC MAYCOMPLETE ADULT DG PANEL (MCADG),1600.0,1424.0,332.8,1600.0,736 CDM,PX-300002615,HC FH MUTATION ANALYSIS (TFH),1200.0,1068.0,249.6,1200.0,738 CDM,PX-300002616,HC DICER1 MUTATION ANALYSIS (DICET),1200.0,1068.0,249.6,1200.0,723 CDM,PX-300002617,HC POLE MUTATION ANALYSIS (POLET),1200.0,1068.0,249.6,1200.0,723 CDM,PX-300002618,HC MYOD1 MUTATION ANALYSIS (MYODT),1200.0,1068.0,249.6,1200.0,723 CDM,PX-300002619,HC ALK MUTATION ANALYSIS (ALKT),1200.0,1068.0,249.6,1200.0,723 CDM,PX-300002621,HC VHL GENE (MCFRC),280.0,249.2,58.24,412.25,739 CDM,PX-300002622,HC TSC1 GENE (MCFRC),290.0,258.1,60.32,424.32,738 CDM,PX-300002623,HC TSC2 GENE (MCFRC),850.0,756.5,176.8,1269.41,737 CDM,PX-300002624,HC MOPATH PROC (MCFRC),180.0,160.2,37.44,180.0,723 CDM,PX-300002625,HC MAYOCOMPLETE FIBROMYOMATOUS RCC (MEC),1600.0,1424.0,332.8,1600.0,723 CDM,PX-300002629,HC SDHD GENE (SDHMP),400.0,356.0,83.2,412.25,739 CDM,PX-300002630,HC MOPATH PROC LEVEL 6 (SDHMP),400.0,356.0,83.2,452.03,738 CDM,PX-300002631,HC SDHA GENE (SDHMP),400.0,356.0,83.2,424.32,738 CDM,PX-300002632,HC SDH GENES MUTATION ANALYSIS (MEC),1600.0,1424.0,332.8,1600.0,723 CDM,PX-300002640,HC TERT PROMOTER ANALYSIS DDPCR (TERTD),900.0,801.0,181.5,900.0,736 CDM,PX-300002645,HC NTRK GENES MUTATION ANALYSIS (NTRKM),1600.0,1424.0,332.8,1600.0,723 CDM,PX-300002646,HC IGH/IK GENE REARRANGE BCGET/BCGBM/BCGR/BCGRV (MEC),507.0,451.23,105.46,507.0,723 CDM,PX-300002647,HC CELIAC ASSOCIATED HLA-DQ TYPING,538.0,478.82,111.9,538.0,737 CDM,PX-300002648,HC CYP2C19 GENOTYPE (CYPR),600.0,534.0,124.8,600.0,738 CDM,PX-300002649,HC BACTERIAL VAGINOSIS AMP RNA,383.0,340.87,79.66,383.0,740 CDM,PX-300002650,HC MITOCHON DELETION HETEROPLASMY (DMITO),500.0,445.0,104.0,500.0,723 CDM,PX-300002651,HC POSTMORTEM AORTOPATHY PANEL,1900.0,1691.0,395.2,1900.0,736 CDM,PX-300002652,HC POSTMORTEM ARRHYTHMIA GENE PANEL,1900.0,1691.0,395.2,1900.0,736 CDM,PX-300002653,HC POSTMORTEM CARDIOMYOPATHY PANEL,1900.0,1691.0,395.2,1900.0,736 CDM,PX-300002654,HC POSTMORTEM CARDIOMYOP/ARRYTHM PANEL,1900.0,1691.0,395.2,1900.0,736 CDM,PX-300002655,HC POSTMORTEM MYASTHENIA GENE PANEL,1900.0,1691.0,395.2,3672.84,737 CDM,PX-300002656,HC POSTMORTEM HLH GENE PANEL,1900.0,1691.0,395.2,3672.84,737 CDM,PX-300002659,HC MAYOCOMPLETE LIQUID BIOPSY PANEL(MCLBP),3600.0,3204.0,748.8,3600.0,734 CDM,PX-300002660,HC MAYOCOMPLETE SOLID TUM PANEL (MCSTP),3600.0,3204.0,748.8,4484.33,735 CDM,PX-300002661,HC MAYOCOMPLETE BLAD/PROS PANEL (MCBPP),1600.0,1424.0,332.8,1600.0,739 CDM,PX-300002662,HC MAYOCOMPLETE CRC PANEL TEST (MCCRC),1600.0,1424.0,332.8,1600.0,739 CDM,PX-300002663,HC MAYOCOMPLETE ENDOMETRIAL PANEL (MCECP),1600.0,1424.0,332.8,1600.0,739 CDM,PX-300002664,HC MAYOCOMPLETE GIST PANEL TEST (MCGST),1600.0,1424.0,332.8,1600.0,739 CDM,PX-300002665,HC MAYCOCOMPLETE GYN PANEL TEST (MCGYN),1600.0,1424.0,332.8,1600.0,739 CDM,PX-300002666,HC MAYOCOMPLETE KIDNEY CANCER PANEL TEST (MCKCP),1600.0,1424.0,332.8,1600.0,739 CDM,PX-300002667,HC MAYOCOMPLETE LUNG CANCER MUTATIONS (MCLNM),1600.0,1424.0,332.8,1600.0,739 CDM,PX-300002668,HC MAYOCOMPLETE LUNG CANCER PANEL TEST (MCLNG),2800.0,2492.0,582.4,2800.0,739 CDM,PX-300002669,HC MAYOCOMPLETE MELANOMA PANEL TEST (MCMLN),1600.0,1424.0,332.8,1600.0,739 CDM,PX-300002670,HC MAYOCOMPLETE OVARY CANCER PANEL (MCOCP),1600.0,1424.0,332.8,1600.0,739 CDM,PX-300002671,HC MAYOCOMPLETE SARCOMA MUTATION PANEL (MCSMP),1600.0,1424.0,332.8,1600.0,739 CDM,PX-300002673,HC MAYOCOMPLETE SARCOMA PANEL TEST (MCSRC),846.0,752.94,175.97,1345.31,739 CDM,PX-300002674,HC PREECLAMPSIA SLFT-1/PIGF RATIO,213.0,189.57,44.3,213.0,719 CDM,PX-300002680,HC BRCA1/BRCA2 GENE (T1GS),114.0,101.46,23.71,2737.32,737 CDM,PX-300002681,HC MLH1 GENE SEQ (T1GS),42.0,37.38,8.74,1013.1,737 CDM,PX-300002682,HC MSH2 GENE SEQ (T1GS),24.0,21.36,4.99,572.55,737 CDM,PX-300002683,HC MSH6 GENE SEQ (T1GS),40.0,35.6,8.32,962.78,737 CDM,PX-300002684,HC PMS2 GENE FULL SEQ PNL (T1GS),42.0,37.38,8.74,1014.75,737 CDM,PX-300002685,HC MOPATH PROC LEVEL 4 (T1GS),11.0,9.79,2.29,277.8,737 CDM,PX-300002686,HC MOPATH PROC LEVEL 8 (T1GS),53.0,47.17,11.02,1269.41,737 CDM,PX-300002687,HC MOPATH PROC LEVEL 7 (T1GS),9.0,8.01,1.87,424.32,738 CDM,PX-300002688,HC MOPATH PROC (T1GS),6.0,5.34,1.25,6.0,723 CDM,PX-300002689,HC TIER 1 GENOMIC SCREEN (MEC),350.0,311.5,72.8,350.0,723 CDM,PX-300002706,HC ALPHA GLOBIN CLUSTER LOCUS DEL/DUP (WAGDR),700.0,623.0,145.6,700.0,736 CDM,PX-300002708,HC BCR/ABL1 RNA QUAL DIAG (BADX-MEC-NCCI),620.0,551.8,128.96,620.0,723 CDM,PX-300002709,HC BCR/ABL1 REFLEX QUAL/QUANT (BCRFX-MEC-NCCI),581.0,517.09,120.85,581.0,723 CDM,PX-300002714,HC NEURO-ONC EXPAND PANEL (NONCP),1800.0,1602.0,374.4,4379.4,736 CDM,PX-300002715,HC PMS2 GENE SEQ (COMCP),101.0,89.89,21.01,1014.75,737 CDM,PX-300002719,HC PMS2 GENE SEQ (XCP),99.0,88.11,20.59,1014.75,737 CDM,PX-300002725,HC PKLR FULL GENE (PKLRZ),1000.0,890.0,208.0,1000.0,738 CDM,PX-300002727,HC METAGENOMIC SEQUENCING,3425.0,3048.25,712.4,3425.0,735 CDM,PX-300002728,HC IDH1/IDH2/TERT NGS,1600.0,1424.0,332.8,1600.0,734 CDM,PX-300002733,HC HEREDITARY BREAST/GYN CANCER PANEL (BRGYP),2000.0,1780.0,416.0,2000.0,736 CDM,PX-300002734,HC HEREDITARY PROSTATE CANCER PANEL (PRS8P),2000.0,1780.0,416.0,2000.0,736 CDM,PX-300002735,HC LYNCH SYNDROME PANEL (LYNCP),2000.0,1780.0,416.0,2000.0,736 CDM,PX-300002736,HC HEREDITARY THYROID CANCER PANEL (THYRP),2000.0,1780.0,416.0,2000.0,736 CDM,PX-300002737,HC HEREDITARY PANCREATIC CANCER PANEL (PANCP),2000.0,1780.0,416.0,2000.0,736 CDM,PX-300002739,HC ALPHA GLOBIN CLUSTER DEL/DUP (AGDD),700.0,623.0,145.6,700.0,736 CDM,PX-300002744,HC RAPID WHOLE GENOME SEQ,5500.0,4895.0,1144.0,7546.8,736 CDM,PX-300002745,HC RAPID WHOLE GENOME SEQ COMPARATOR,3000.0,2670.0,624.0,4064.93,736 CDM,PX-300002748,HC WHOLE EXOME SEQ REANAL (WESPR),1500.0,1335.0,312.0,1500.0,736 CDM,PX-300002749,HC WHOLE EXOME SEQ REANAL COMPARATOR (WESPR),1500.0,1335.0,312.0,18000.0,736 CDM,PX-300002750,HC UBA1 MUTATION QUANTITATIVE (UBA1Q),863.0,768.07,179.5,863.0,737 CDM,PX-300002753,HC RAPID HERED BREAST CANCER PANEL (BRTP),2500.0,2225.0,520.0,2500.0,736 CDM,PX-300002754,HC D816V VARIANT ANALYSIS (KITQ),613.0,545.57,122.37,613.0,739 CDM,PX-300002762,HC KRAS MUTATION ANALYSIS (KRASW DEX-Z),828.0,736.92,172.22,828.0,723 CDM,PX-300002763,HC IMMUNOGLOBULIN GENE REARR (BCGRV DEX-Z),520.0,462.8,108.16,520.0,723 CDM,PX-300002766,HC IGH GENE REARRANGE (IGHDX),1033.0,919.37,194.03,1033.0,738 CDM,PX-300002767,HC IGH GENE REARRANGE (IGMRD),1033.0,919.37,194.03,1033.0,738 CDM,PX-300002768,HC HBB GENE DEL/DUP (CSFP),73.0,64.97,15.18,303.6,736 CDM,PX-300002770,HC NEURO-ONC PANEL FUSIONS (NONCR),2000.0,1780.0,416.0,4379.4,736 CDM,PX-300002774,HC UGT1A1 FULL GENE SEQ (UGTFZ DEX-Z),1000.0,890.0,208.0,1000.0,736 CDM,PX-300002779,HC COMBINED MTDNA+NUCLEAR GENE PANEL (CMITO DEX-Z),5000.0,4450.0,1040.0,5000.0,723 CDM,PX-300002781,HC TRB GENE REARRANGE AMPLIFY (TCRB),354.0,315.06,73.63,354.0,738 CDM,PX-300002784,HC CFTR GENE FULL SEQUENCE (PANGP),570.0,507.3,118.56,748.5,736 CDM,PX-300002785,HC MOPATH PROC LEVEL 5 (PANGP),314.0,279.46,65.31,412.25,739 CDM,PX-300002786,HC MOPATH PROC LEVEL 6 (PANGP),344.0,306.16,71.55,452.03,738 CDM,PX-300002787,HC MOPATH PROC (PANGP),114.0,101.46,23.71,114.0,723 CDM,PX-300002788,HC EXP PANCREATITIS GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002789,HC INBORN ERR OF IMMUNITY GENE PANEL (IEICP),2500.0,2225.0,520.0,3672.84,737 CDM,PX-300002790,HC COMBINED IMMUNODEF GENE PANEL (COMID),2500.0,2225.0,520.0,3672.84,737 CDM,PX-300002791,HC ANGIOEDEMA/COMPLEMENT GENE PANEL (AECDP),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002792,HC BONE MARROW FAILURE GENE PANEL (BMFGP),2500.0,2225.0,520.0,3672.84,734 CDM,PX-300002793,HC PULMONARY FIBROSIS GENE PANEL (IPFGP),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002794,HC CFTR GENE FULL SEQUENCE (PHCGD),832.0,740.48,173.06,832.0,736 CDM,PX-300002795,"HC G6PD GENE, FULL SEQ (PHCGD)",1001.0,890.89,208.21,1001.0,736 CDM,PX-300002796,HC MOPATH PROC (PHCGD),167.0,148.63,34.74,167.0,723 CDM,PX-300002797,HC CGD/PHAGOCYTE DISORDER GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002798,HC NEURO-ONC PANEL MUT (NONCM),1600.0,1424.0,332.8,1600.0,739 CDM,PX-300002799,HC CYSTIC FIBROSIS PANEL (CFMP DEX-Z),500.0,445.0,104.0,500.0,723 CDM,PX-300002802,HC TRB/TCG GENE REARRANGEMENT (TCGBM DEX-Z),685.0,609.65,142.48,685.0,723 CDM,PX-300002803,HC MLH1/BRAF ANALYSIS (BRMLH DEX-Z),1400.0,1246.0,291.2,1400.0,723 CDM,PX-300002805,HC MAYOCOMPLETE SOLID TUM PANEL (MCSTP DEX-Z),3600.0,3204.0,748.8,3600.0,723 CDM,PX-300002806,HC KRAS GENE PANEL (KRASD DEX-Z),855.0,760.95,177.84,855.0,723 CDM,PX-300002807,HC MOTOR NEURON DISEASE GENE PAN (MNDP DEX-Z),2000.0,1780.0,416.0,2000.0,723 CDM,PX-300002809,"HC IDH1 AND IDH2, QUANT (IDHQ DEX-Z)",570.0,507.3,118.56,570.0,723 CDM,PX-300002810,HC FLT3 MUTATION ANALYSIS (FLT DEX-Z),441.0,392.49,91.73,441.0,723 CDM,PX-300002813,HC RAPID WHOLE GENOME SEQ,5500.0,4895.0,1144.0,11373.3,734 CDM,PX-300002814,HC RAPID WHOLE GENOME SEQ COMPARATOR,3000.0,2670.0,624.0,5686.65,734 CDM,PX-300002815,HC RT QUIC PRION CSF,120.0,106.8,24.96,811.49,734 CDM,PX-300002821,HC NEURO-ONC EXPAND PANEL (NONCP DEX-Z),3600.0,3204.0,748.8,3600.0,723 CDM,PX-300002822,HC CFTR GENE FULL ANALYSIS (CFTRN DEX-Z),1000.0,890.0,208.0,1000.0,723 CDM,PX-300002823,HC TTR GENE FULL GENE ANALYSIS (TTRZ DEX-Z),1000.0,890.0,208.0,1000.0,723 CDM,PX-300002824,HC BREAST CA GENOMIC SEQ XCP,2500.0,2225.0,520.0,2500.0,736 CDM,PX-300002825,HC COLON CA GENOMIC SEQ XCP,2500.0,2225.0,520.0,2500.0,736 CDM,PX-300002826,HC NEUROENDOCRINE CA GENOMIC SEQ XCP,2500.0,2225.0,520.0,2500.0,736 CDM,PX-300002832,HC MITOCHONDRIAL FULL GENOME ANAL (MITOP DEX-Z),2500.0,2225.0,520.0,2500.0,723 CDM,PX-300002833,HC LIVER DISEASE ANALYZE 3 BIOMARKERS,977.0,869.53,176.19,977.0,733 CDM,PX-300002834,HC IDCORE XT RBC GENOTYPE,1800.0,1602.0,374.4,1800.0,736 CDM,PX-300002835,HC MAYOCOMPLETE TARGETED RNASEQ PANEL (MCRSP),2000.0,1780.0,416.0,4379.4,736 CDM,PX-300002836,HC MAYOCOMPLETE TRANSCRIP RNASEQ (MCRSQ),2000.0,1780.0,416.0,4379.4,736 CDM,PX-300002837,HC SOLID ORGAN NEOPLASM RNA (MCSRC),2754.0,2451.06,572.83,4379.4,736 CDM,PX-300002838,HC SOLID ORGAN NEOPLASM RNA (NONCP),1800.0,1602.0,374.4,4379.4,736 CDM,PX-300002839,HC INBORN ERR OF IMMUNITY GENE PANEL (IEICP DEX-Z)),2500.0,2225.0,520.0,2500.0,723 CDM,PX-300002840,HC MAYO COMPLETE ACUTE MYELOID LEUKEMIA (MEC),1756.0,1562.84,365.25,1756.0,723 CDM,PX-300002852,HC HEMATOLOGIC GENE FUSION PANEL (HEFUS),2578.0,2294.42,536.22,2578.0,734 CDM,PX-30020,PR DRAIN ABSC/HEM NASAL SEPTUM,1043.0,928.27,109.52,1043.0,482 CDM,PX-30100,PR BIOPSY INTRANASAL,610.0,542.9,49.01,610.0,509 CDM,PX-301000002,HC 5 HIAA ASSAY,88.0,78.32,12.64,88.0,737 CDM,PX-301000003,HC A1AT PROTEOTYPE,156.0,138.84,23.61,156.0,740 CDM,PX-301000007,HC ACHR GANGLIONIC AB RIA,196.0,174.44,18.03,196.0,737 CDM,PX-301000011,HC ACTH STIMULATION PANEL ADRENAL,304.0,270.56,31.97,304.0,739 CDM,PX-301000012,HC ACTH,329.0,292.81,37.85,329.0,739 CDM,PX-301000013,HC ACUTE HEPATITIS PANEL,438.0,389.82,46.68,438.0,737 CDM,PX-301000015,HC ACYLCARNITINE QUANT EA 2,128.0,113.92,16.53,128.0,737 CDM,PX-301000016,HC COL CHROMOTOGRAPHY QUAL/QUAN 3,156.0,138.84,23.61,156.0,740 CDM,PX-301000020,HC AFP L3 FRACTN ISOFRM TTL AFP,427.0,380.03,63.12,427.0,736 CDM,PX-301000021,HC IMMUNOASSAY TUMOR OTHER QUANT,279.0,248.31,20.39,279.0,736 CDM,PX-301000022,HC ALBUMIN SERUM/PLASMA/WHOLE BLD,39.0,34.71,4.85,39.0,741 CDM,PX-301000023,HC ALBUMIN URINE/OTHER SOURCE QUANT,70.0,62.3,7.62,70.0,742 CDM,PX-301000025,HC ALDOLASE ASSAY,93.0,82.77,8.4,93.0,737 CDM,PX-301000026,HC ALDOSTERONE SERUM,288.0,256.32,39.94,288.0,738 CDM,PX-301000027,HC ALDOSTERONE URINE,288.0,256.32,39.94,288.0,738 CDM,PX-301000028,HC ALK PHOSPHATASE ISOENZYMES,147.0,130.83,14.48,147.0,738 CDM,PX-301000029,HC ALK PHOSPHATASE,42.0,37.38,4.48,42.0,742 CDM,PX-301000031,HC ALPHA 1 ANTITRYPSIN TOTAL,145.0,129.05,13.17,145.0,736 CDM,PX-301000032,HC ALPHA 1 MICROGLOBIN,178.0,158.42,13.33,178.0,736 CDM,PX-301000035,HC ALPHA FETOPROTEIN SERUM,138.0,122.82,16.43,138.0,740 CDM,PX-301000037,HC ALPHA GALACTOSIDASE LEUKOCYTE,193.0,171.77,21.73,193.0,742 CDM,PX-301000038,HC ALPHA GALACTOSIDASE PLASMA,193.0,171.77,21.73,193.0,742 CDM,PX-301000041,HC ALPHA MANNOSIDASE LEUKOCYTES,192.0,170.88,21.73,192.0,742 CDM,PX-301000042,HC ALPHA SUBUNIT/APGH,134.0,119.26,13.84,134.0,737 CDM,PX-301000043,HC ALPHA1 ANTITRYPSIN PHENOTYPE,180.0,160.2,14.17,180.0,736 CDM,PX-301000045,HC ALT/SGPT,38.0,33.82,4.58,38.0,741 CDM,PX-301000046,HC ALUMINUM ASSAY,236.0,210.04,22.04,236.0,734 CDM,PX-301000048,HC AMIKACIN ASSAY,217.0,193.13,14.78,217.0,736 CDM,PX-301000050,HC AMINO ACIDS 2 TO 5 QUANT EA,183.0,162.87,19.22,183.0,737 CDM,PX-301000051,HC AMINO ACIDS 6 OR MORE QUANT EA,207.0,184.23,16.53,207.0,737 CDM,PX-301000052,HC ENZYME ACTIVITY IN BLOOD CELLS 4,193.0,171.77,21.73,193.0,742 CDM,PX-301000053,HC AMINOLEVULINIC ACID,202.0,179.78,14.23,202.0,734 CDM,PX-301000054,HC DRUG THERAPEUTIC DRUG 2,196.0,174.44,16.12,196.0,738 CDM,PX-301000055,HC AMMONIA ASSAY,118.0,105.02,14.28,118.0,738 CDM,PX-301000060,HC AMYLASE ASSAY,63.0,56.07,6.35,63.0,741 CDM,PX-301000061,HC AMYLASE PANCREATIC ASSAY,63.0,56.07,6.35,63.0,741 CDM,PX-301000062,HC AMYLASE ASSAY 2,63.0,56.07,6.35,63.0,741 CDM,PX-301000063,HC COL CHROMOTOGRAPHY QUAL/QUAN 10,156.0,138.84,23.61,156.0,740 CDM,PX-301000065,HC ANDROSTENEDIONE,312.0,277.68,28.69,312.0,737 CDM,PX-301000066,HC ANGIOTENSIN I CONVERT ENZYME,156.0,138.84,14.31,156.0,736 CDM,PX-301000080,HC APOLIPOPROTEIN EACH,80.0,71.2,16.64,80.0,736 CDM,PX-301000083,HC ARSENIC ASSAY URINE/SERUM/WB EA,196.0,174.44,18.59,196.0,737 CDM,PX-301000084,HC ARYLSULFATASE A LEUKOCYTES,193.0,171.77,21.73,193.0,742 CDM,PX-301000087,HC ASCORBIC ACID/VITAMIN C BLOOD,124.0,110.36,9.69,124.0,737 CDM,PX-301000088,HC AST/SGOT,48.0,42.72,4.48,48.0,741 CDM,PX-301000090,HC BASIC MET PANEL IONIZED CA,108.0,96.12,13.46,108.0,734 CDM,PX-301000091,HC BASIC METABOLIC PANEL TOTAL CA,99.0,88.11,8.29,99.0,746 CDM,PX-301000093,HC BETA 2 MICROGLOBULIN,191.0,169.99,15.86,191.0,736 CDM,PX-301000094,HC BETA GALACTOSIDASE ANY SOURCE,193.0,171.77,21.73,193.0,742 CDM,PX-301000098,HC BETA HUMAN CHORIONIC GONADTRPN,139.0,123.71,14.75,139.0,743 CDM,PX-301000100,HC BILE ACID FRACT AND TOTAL,156.0,138.84,23.61,156.0,740 CDM,PX-301000101,HC BILE ACIDS TOTAL,149.0,132.61,16.78,149.0,737 CDM,PX-301000102,HC BILIRUBIN DIRECT,37.0,32.93,4.92,37.0,747 CDM,PX-301000103,HC BILIRUBIN TOTAL,43.0,38.27,4.34,43.0,744 CDM,PX-301000104,HC BIOTINIDASE EA SPECIMEN,58.0,51.62,12.06,58.0,736 CDM,PX-301000105,HC BLD GASES ANY COMBINATION,105.0,93.45,21.84,105.0,742 CDM,PX-301000108,HC BLD GASES W DIRECT MEAS O2 SAT,164.0,145.96,34.11,164.0,742 CDM,PX-301000109,HC BREATHALYZER ETOH ASSAY,93.0,82.77,19.34,93.0,735 CDM,PX-301000111,HC BULLOUS PEMPHGD EACH,104.0,92.56,11.3,104.0,741 CDM,PX-301000114,HC BUSULFAN ASSAY,196.0,174.44,16.12,196.0,738 CDM,PX-301000115,HC C PEPTIDE ASSAY,171.0,152.19,20.39,171.0,738 CDM,PX-301000116,HC C1 ESTERASE INHIB AG S,178.0,158.42,13.33,178.0,736 CDM,PX-301000117,HC C1 ESTERASE INHIBITOR QUANT,159.0,141.51,14.94,159.0,741 CDM,PX-301000118,HC CA URINE QUANT TIMED SPECIMEN,49.0,43.61,5.22,49.0,736 CDM,PX-301000119,HC CADMIUM BLOOD,164.0,145.96,20.45,164.0,737 CDM,PX-301000120,HC CADMIUM URINE,164.0,145.96,20.45,164.0,737 CDM,PX-301000122,HC CAFFEINE ASSAY,126.0,112.14,26.21,126.0,735 CDM,PX-301000123,HC CALCITONIN LYMPH NODE,343.0,305.27,26.25,343.0,737 CDM,PX-301000126,HC CALCIUM IONIZED,121.0,107.69,13.41,121.0,742 CDM,PX-301000127,HC CALCIUM TOTAL,42.0,37.38,4.46,42.0,741 CDM,PX-301000128,HC CALCULUS INFRARED SPECTROSCOPY,123.0,109.47,12.64,123.0,738 CDM,PX-301000129,HC CALPROTECTIN FECAL,220.0,195.8,19.24,220.0,736 CDM,PX-301000131,HC CARBAMAZEPINE FREE ASSAY,129.0,114.81,12.99,129.0,736 CDM,PX-301000132,HC CARBAMAZEPINE/TEGRETOL ASSAY,143.0,127.27,14.28,143.0,734 CDM,PX-301000133,HC CARBOHYDRATE DEF TRANSFERRIN,244.0,217.16,17.7,244.0,736 CDM,PX-301000134,HC SUGARS MULT QUAL,114.0,101.46,5.39,114.0,736 CDM,PX-301000135,HC CARBOXYHEMOGLOBIN QUANT,131.0,116.59,12.07,131.0,742 CDM,PX-301000136,HC CARCINOEMBRYONIC ANTIGEN/CEA,186.0,165.54,16.4,186.0,746 CDM,PX-301000137,HC CARNITINE QUANT EA SPECIMEN,148.0,131.72,16.53,148.0,737 CDM,PX-301000139,HC CATECHOLAMINES FRACTIONATED,237.0,210.93,24.75,237.0,736 CDM,PX-301000140,HC CENTOMERE AB MULT,119.0,105.91,11.3,119.0,741 CDM,PX-301000144,HC CERULOPLASMIN,124.0,110.36,10.53,124.0,736 CDM,PX-301000145,HC CHEMILUMINESCENT ASSAY,134.0,119.26,13.84,134.0,737 CDM,PX-301000146,HC CHLORIDE BLOOD,26.0,23.14,4.51,26.0,739 CDM,PX-301000147,HC CHLORIDE OTHER SOURCE,104.0,92.56,5.0,104.0,735 CDM,PX-301000148,HC CHLORIDE URINE,41.0,36.49,5.64,41.0,736 CDM,PX-301000150,HC CHOLESTEROL NON SERUM,43.0,38.27,7.94,43.0,737 CDM,PX-301000151,HC CHOLESTEROL TOTAL,34.0,30.26,4.26,34.0,736 CDM,PX-301000155,HC CHOLINESTERASE SERUM,96.0,85.44,7.71,96.0,736 CDM,PX-301000158,HC CHROMIUM ASSAY,156.0,138.84,17.54,156.0,736 CDM,PX-301000162,HC CITRATE ASSAY,167.0,148.63,24.05,167.0,734 CDM,PX-301000163,HC CLOZAPINE ASSAY,142.0,126.38,17.43,142.0,736 CDM,PX-301000164,HC CO2 ASSAY,30.0,26.7,4.78,30.0,738 CDM,PX-301000167,HC COENZYME Q10 REDUC&TOTAL,156.0,138.84,23.61,156.0,740 CDM,PX-301000168,HC COL CHR/MS NES,156.0,138.84,23.61,156.0,740 CDM,PX-301000169,HC COL CHR/MS STABLE MULT QUANT,156.0,138.84,23.61,156.0,740 CDM,PX-301000170,HC COLLAGEN CROSS LINKS,254.0,226.06,18.31,254.0,736 CDM,PX-301000171,HC COMPREHENSIVE METABOLIC PANEL,114.0,101.46,10.35,114.0,750 CDM,PX-301000173,HC COPPER ASSAY SERUM,114.0,101.46,10.73,114.0,740 CDM,PX-301000174,HC COPPER ASSAY TISSUE,114.0,101.46,10.73,114.0,740 CDM,PX-301000175,HC COPPER ASSAY URINE,114.0,101.46,10.73,114.0,740 CDM,PX-301000177,HC CORTICOSTERONE,257.0,228.73,22.52,257.0,735 CDM,PX-301000178,HC CORTISOL FREE,192.0,170.88,14.45,192.0,736 CDM,PX-301000179,HC CREATINE ASSAY,68.0,60.52,4.55,68.0,736 CDM,PX-301000182,HC CREATINE KINASE TOTAL,57.0,50.73,5.63,57.0,742 CDM,PX-301000183,HC CREATININE BLOOD,40.0,35.6,4.43,40.0,742 CDM,PX-301000184,HC CREATININE CLEARANCE,106.0,94.34,9.27,106.0,739 CDM,PX-301000185,HC CREATININE OTHER SOURCE,53.0,47.17,5.08,53.0,736 CDM,PX-301000187,HC CRMP 5 WESTERN BLOT,225.0,200.25,28.63,225.0,739 CDM,PX-301000188,HC CRYOFIBRINOGEN ASSAY,106.0,94.34,12.23,106.0,736 CDM,PX-301000189,HC CRYOGLOBULIN QUAL,76.0,67.64,5.6,76.0,736 CDM,PX-301000191,HC CYCLOSPORINE ASSAY,212.0,188.68,17.69,212.0,736 CDM,PX-301000195,HC DEOXYCORTISOL 11,214.0,190.46,28.69,214.0,736 CDM,PX-301000196,HC DEOXYCORTISOL 21,156.0,138.84,23.61,156.0,740 CDM,PX-301000197,HC DES GAMMA CARBOXY PROTHROMBIN,604.0,537.56,63.12,604.0,736 CDM,PX-301000198,HC DESMOGLEIN EACH,104.0,92.56,11.3,104.0,741 CDM,PX-301000199,HC DESOXYCORTICOSTERONE 11,320.0,284.8,30.36,320.0,736 CDM,PX-301000201,HC DHEA SULFATE,215.0,191.35,21.79,215.0,737 CDM,PX-301000202,HC DHEA,266.0,236.74,24.76,266.0,736 CDM,PX-301000206,HC DIGOXIN FREE ASSAY,107.0,95.23,13.01,107.0,736 CDM,PX-301000207,HC DIGOXIN TOTAL ASSAY,125.0,111.25,13.01,125.0,736 CDM,PX-301000209,HC DISACCHARIDES ANALYSIS,193.0,171.77,21.73,193.0,742 CDM,PX-301000211,HC D-LACTATE,105.0,93.45,11.34,105.0,744 CDM,PX-301000223,HC ELECTROLYTE PANEL,61.0,54.29,6.87,61.0,739 CDM,PX-301000224,HC ELECTROPHORETIC TECH NES,286.0,254.54,59.49,286.0,736 CDM,PX-301000225,HC ENZYME ACTIVITY IN BLOOD CELLS,193.0,171.77,21.73,193.0,742 CDM,PX-301000226,HC ERYTHROPOIETIN ASSAY,231.0,205.59,18.41,231.0,738 CDM,PX-301000227,HC ESTRADIOL ASSAY,171.0,152.19,27.38,171.0,738 CDM,PX-301000229,HC ESTROGENS FRACTIONATED,316.0,281.24,27.94,316.0,734 CDM,PX-301000230,HC ESTRONE ASSAY,249.0,221.61,21.58,249.0,734 CDM,PX-301000231,HC ETHOSUXIMIDE ASSAY,208.0,185.12,16.01,208.0,736 CDM,PX-301000232,HC EVEROLIMUS ASSAY,280.0,249.2,13.46,280.0,737 CDM,PX-301000234,HC IMMUNOASSAY MULT STEP METHOD A1,119.0,105.91,11.3,119.0,741 CDM,PX-301000237,HC FATTY ACID NONESTERFIED,103.0,91.67,18.39,103.0,736 CDM,PX-301000238,HC FATTY ACID VERY LONG CHAIN,101.0,89.89,19.36,101.0,736 CDM,PX-301000239,HC COL CHROMOTOGRAPHY QUAL/QUAN 2,156.0,138.84,23.61,156.0,740 CDM,PX-301000240,HC FECAL FAT QUANT,204.0,181.56,14.53,204.0,734 CDM,PX-301000242,HC FECAL LACTOFERRIN QUANT,199.0,177.11,19.63,199.0,735 CDM,PX-301000246,HC FERRITIN ASSAY,110.0,97.9,13.36,110.0,744 CDM,PX-301000247,HC FETAL FIBRONECTIN,703.0,625.67,63.12,703.0,736 CDM,PX-301000254,HC FLUCYTOSINE ASSAY,196.0,174.44,16.12,196.0,738 CDM,PX-301000256,HC FLUORIDE ASSAY,144.0,128.16,18.17,144.0,736 CDM,PX-301000257,HC FLUOXETINE ASSAY,196.0,174.44,16.12,196.0,738 CDM,PX-301000258,HC FLUTICASONE 17 BETA QUANT,196.0,174.44,16.12,196.0,738 CDM,PX-301000261,HC FOLIC ACID SERUM ASSAY,121.0,107.69,12.72,121.0,742 CDM,PX-301000262,HC FRATAXIN QUANT,169.0,150.41,14.94,169.0,741 CDM,PX-301000264,HC FRUCTOSAMINE ASSAY,94.0,83.66,14.5,94.0,738 CDM,PX-301000266,HC FSH/FOLLICLE STIM HORMONE,154.0,137.06,18.21,154.0,739 CDM,PX-301000267,HC G6PD QUANT,134.0,119.26,9.51,134.0,738 CDM,PX-301000268,HC GABAPENTIN ASSAY,213.0,189.57,18.74,213.0,734 CDM,PX-301000270,HC GALACTITOL,156.0,138.84,23.61,156.0,740 CDM,PX-301000278,HC GALECTIN 3,88.0,78.32,18.3,88.0,736 CDM,PX-301000279,HC GALT QUANT,65.0,57.85,13.52,65.0,735 CDM,PX-301000280,HC GAMMA GLUTAMYL TRANSFERASE,57.0,50.73,7.06,57.0,737 CDM,PX-301000284,HC GASTRIN AFTER SECRETIN STIMLN,161.0,143.29,17.69,161.0,735 CDM,PX-301000285,HC GASTRIN ASSAY,167.0,148.63,15.25,167.0,736 CDM,PX-301000286,HC GENERAL HEALTH PANEL,258.0,229.62,49.13,258.0,719 CDM,PX-301000287,HC GENTAMICIN ASSAY 2,120.0,106.8,14.17,120.0,734 CDM,PX-301000288,HC GENTAMICIN ASSAY,120.0,106.8,14.17,120.0,734 CDM,PX-301000292,HC GLUCAGON ASSAY,230.0,204.7,12.36,230.0,736 CDM,PX-301000293,HC GLUCOPSYCHOSINE BLD SPOT QUANT,156.0,138.84,23.61,156.0,740 CDM,PX-301000294,HC GLUCOSE BLOOD QUANT,33.0,29.37,3.85,33.0,745 CDM,PX-301000296,HC GLUCOSE BODY FLUID,75.0,66.75,3.85,75.0,742 CDM,PX-301000299,HC GLUTATHIONE ASSAY,94.0,83.66,15.14,94.0,734 CDM,PX-301000300,HC GTT 3 SPECIMENS,107.0,95.23,12.61,107.0,736 CDM,PX-301000301,HC GTT EA ADD 3 > SPECIMENS,36.0,32.04,3.84,36.0,736 CDM,PX-301000302,HC GUANIDINOACETATE QUANT,156.0,138.84,23.61,156.0,740 CDM,PX-301000303,HC H PYLORI DRUG ADMIN,64.0,56.96,7.86,64.0,735 CDM,PX-301000304,HC HALOPERIDOL ASSAY,149.0,132.61,15.78,149.0,735 CDM,PX-301000305,HC HAPTOGLOBIN ASSAY QUANT,152.0,135.28,10.88,152.0,740 CDM,PX-301000307,HC HDL CHOLESTEROL,56.0,49.84,8.03,56.0,736 CDM,PX-301000309,HC IODINE LAB,113.0,100.57,23.5,113.0,736 CDM,PX-301000311,HC HELICOBACTER PYLORI BREATH TEST,322.0,286.58,66.01,322.0,736 CDM,PX-301000312,HC HEMOGLOBIN CHROMATOGRAPHY QUANT,228.0,202.92,17.7,228.0,737 CDM,PX-301000313,HC HEMOGLOBIN GLYCATED A1C,80.0,71.2,8.4,80.0,745 CDM,PX-301000314,HC HEMOGLOBIN PLASMA ASSAY,74.0,65.86,7.16,74.0,736 CDM,PX-301000315,HC HEMOGLOBIN UNSTABLE SCREEN,103.0,91.67,9.28,103.0,734 CDM,PX-301000316,HC HEMOGLOBIN VAR ANALYSIS QUANT,117.0,104.13,23.63,117.0,736 CDM,PX-301000317,HC HEMOSIDERIN ASSAY QUAL,100.0,89.0,4.66,100.0,734 CDM,PX-301000318,HC HEPATIC FUNCTION PANEL,93.0,82.77,8.01,93.0,739 CDM,PX-301000321,HC HEXOKINASE,182.0,161.98,21.73,182.0,742 CDM,PX-301000322,HC HEXOSAMINIDASE ASSAY,161.0,143.29,16.53,161.0,734 CDM,PX-301000323,HC HEXOSAMINIDASE LEUKOCYTES,162.0,144.18,16.53,162.0,734 CDM,PX-301000324,HC HEXOSAMINIDASE SERUM,162.0,144.18,16.53,162.0,734 CDM,PX-301000333,HC HOMOCYSTEINE ASSAY,160.0,142.4,17.56,160.0,737 CDM,PX-301000334,HC HOMOVANILLIC ACID ASSAY,98.0,87.22,20.38,98.0,736 CDM,PX-301000335,HC HUMAN GROWTH HORMONE ASSAY,155.0,137.95,16.34,155.0,736 CDM,PX-301000337,HC HYDROXYPROGESTERONE ASSAY,237.0,210.93,26.63,237.0,737 CDM,PX-301000339,HC HYPEROXALURIA,156.0,138.84,23.61,156.0,740 CDM,PX-301000342,HC IGFBP 3 QUANT,159.0,141.51,14.94,159.0,741 CDM,PX-301000345,HC IMMUNOASSAY QUANT NOS,159.0,141.51,14.94,159.0,741 CDM,PX-301000347,HC IMMUNOGLOBGULINS EA,86.0,76.54,9.11,86.0,744 CDM,PX-301000348,HC IMMUNOGLOBIN SUBCLASSES EA,134.0,119.26,7.86,134.0,736 CDM,PX-301000349,HC IMMUNOGLOBULIN IGD,86.0,76.54,9.11,86.0,744 CDM,PX-301000350,HC IMMUNOGLOBULIN IGE ASSAY,126.0,112.14,14.24,126.0,737 CDM,PX-301000351,HC CHEMILUMINESCENT ASSAY 1,134.0,119.26,13.84,134.0,737 CDM,PX-301000353,HC INHIBIN B QUANT,159.0,141.51,14.94,159.0,741 CDM,PX-301000354,HC INSULIN ASSAY FREE,174.0,154.86,12.69,174.0,736 CDM,PX-301000355,HC INSULIN ASSAY TOTAL,92.0,81.88,11.2,92.0,736 CDM,PX-301000359,HC IRON ASSAY TOTAL,46.0,40.94,6.34,46.0,743 CDM,PX-301000360,HC IRON BINDING CAPACITY,64.0,56.96,8.57,64.0,743 CDM,PX-301000364,HC KETONE QUANT,99.0,88.11,7.07,99.0,739 CDM,PX-301000368,HC LACTATE DEHYDROGENASE/LDH,44.0,39.16,5.92,44.0,745 CDM,PX-301000369,HC LACTIC ACID BLOOD,93.0,82.77,11.34,93.0,744 CDM,PX-301000370,HC LACTIC ACID/LACTATE ASSAY,93.0,82.77,11.34,93.0,744 CDM,PX-301000372,HC LAMOTRIGINE ASSAY,128.0,113.92,11.46,128.0,736 CDM,PX-301000376,HC LEAD BLOOD,89.0,79.21,10.48,89.0,737 CDM,PX-301000377,HC LEAD URINE,89.0,79.21,10.48,89.0,737 CDM,PX-301000380,HC COL CHROMOTOGRAPHY QUAL/QUAN 6,156.0,138.84,23.61,156.0,740 CDM,PX-301000381,HC LEVETIRACETAM/KEPPRA ASSAY,124.0,110.36,11.46,124.0,737 CDM,PX-301000382,HC LIDOCAINE ASSAY,58.0,51.62,12.06,58.0,735 CDM,PX-301000383,HC LIPASE ASSAY,66.0,58.74,6.75,66.0,742 CDM,PX-301000384,HC LIPID PANEL,134.0,119.26,13.12,134.0,740 CDM,PX-301000385,HC LIPOPROTEIN A,85.0,75.65,14.03,85.0,736 CDM,PX-301000387,HC LIPOPROTEIN HIGH RESOLUTION,319.0,283.91,29.29,319.0,734 CDM,PX-301000389,HC LITHIUM ASSAY,73.0,64.97,6.48,73.0,734 CDM,PX-301000390,HC LP CHOLESTEROL,141.0,125.49,11.03,141.0,734 CDM,PX-301000392,HC LUTEINIZING HORMONE,154.0,137.06,18.15,154.0,740 CDM,PX-301000396,HC LYSOSOMAL DISORDER SN QUANT,156.0,138.84,23.61,156.0,740 CDM,PX-301000398,HC MAGNESIUM ASSAY,64.0,56.96,6.57,64.0,744 CDM,PX-301000401,HC IMMUNOASSAY QUANT NOS 2,159.0,141.51,14.94,159.0,741 CDM,PX-301000406,HC MERCURY QUANT,207.0,184.23,15.93,207.0,737 CDM,PX-301000407,HC METANEPHRINES URINE,263.0,234.07,16.6,263.0,736 CDM,PX-301000408,HC METANEPHRINES,263.0,234.07,16.6,263.0,736 CDM,PX-301000411,HC METHEMOGLOBIN QUANT,66.0,58.74,8.04,66.0,742 CDM,PX-301000412,HC METHEMOGLOBIN REDUCTASE,184.0,163.76,21.73,184.0,742 CDM,PX-301000416,HC METHYLHISTAMINE QUANT,156.0,138.84,23.61,156.0,740 CDM,PX-301000420,HC MEXILETINE SERUM,196.0,174.44,16.12,196.0,738 CDM,PX-301000421,HC MICROALBUMIN QUANT URINE,92.0,81.88,5.66,92.0,738 CDM,PX-301000433,HC MYCOPHENOLIC ACID ASSAY,226.0,201.14,15.61,226.0,737 CDM,PX-301000434,HC MYELOPEROXIDASE AB EACH,119.0,105.91,11.3,119.0,741 CDM,PX-301000437,HC MYOGLOBIN,131.0,116.59,12.66,131.0,737 CDM,PX-301000441,HC NEPHELOMETRY EA ANALYTE NES,184.0,163.76,13.33,184.0,736 CDM,PX-301000444,HC NEURON SPECIFIC ENOLASE QUANT SERUM,159.0,141.51,14.94,159.0,741 CDM,PX-301000445,HC NEURON SPECIFIC ENOLASE QUANT,159.0,141.51,14.94,159.0,741 CDM,PX-301000450,HC NICKEL SERUM,162.0,144.18,24.02,162.0,736 CDM,PX-301000457,HC NUCLEOTIDASE 5 ASSAY,147.0,130.83,10.93,147.0,734 CDM,PX-301000458,HC OB PANEL INCL HIV,493.0,438.77,73.36,493.0,736 CDM,PX-301000463,HC OLIGOCLONAL BANDS,240.0,213.6,26.84,240.0,739 CDM,PX-301000468,HC ORGANIC ACID 1 QUANT 2,180.0,160.2,18.35,180.0,738 CDM,PX-301000469,HC ORGANIC ACID 1 QUANT,180.0,160.2,18.35,180.0,738 CDM,PX-301000470,HC ORGANIC ACIDS QUAL,239.0,212.71,16.12,239.0,736 CDM,PX-301000471,HC ORGANIC ACIDS TOTAL QUANT,311.0,276.79,23.13,311.0,737 CDM,PX-301000472,HC OSMOLALITY ASSAY BLOOD,88.0,78.32,6.48,88.0,739 CDM,PX-301000473,HC OSMOLALITY ASSAY URINE,78.0,69.42,6.68,78.0,742 CDM,PX-301000474,HC OSMOLALITY STOOL,38.0,33.82,7.9,38.0,719 CDM,PX-301000475,HC OSTEOCALCIN ASSAY,234.0,208.26,25.82,234.0,734 CDM,PX-301000476,HC OXCARBAZEPINE ASSAY,160.0,142.4,12.99,160.0,736 CDM,PX-301000479,HC OXYLATE ASSAY,97.0,86.33,14.16,97.0,736 CDM,PX-301000480,HC OXYLATE URINE,97.0,86.33,14.16,97.0,736 CDM,PX-301000482,HC PANCREATIC POLYPEPTIDE QUANT RIA,196.0,174.44,18.03,196.0,737 CDM,PX-301000483,HC PARATHORMONE/PTH,294.0,261.66,40.45,294.0,738 CDM,PX-301000484,HC IMMUNOASSAY MULT STEP METHOD A3,119.0,105.91,11.3,119.0,741 CDM,PX-301000487,HC PBG DEAMINASE,193.0,171.77,21.73,193.0,742 CDM,PX-301000492,HC PH BODY FLUID,36.0,32.04,3.51,36.0,741 CDM,PX-301000493,HC PH URINE,36.0,32.04,3.51,36.0,741 CDM,PX-301000497,HC PHENOBARBITAL ASSAY,120.0,106.8,13.23,120.0,736 CDM,PX-301000498,HC PHENYLALANINE (PKU-NCCI),62.0,55.18,5.5,62.0,735 CDM,PX-301000500,HC PHENYTOIN FREE ASSAY,131.0,116.59,13.48,131.0,736 CDM,PX-301000501,HC PHENYTOIN TOTAL ASSAY,120.0,106.8,12.99,120.0,736 CDM,PX-301000504,HC PHOSPHOHEXOSE ISOMERASE,224.0,199.36,10.52,224.0,734 CDM,PX-301000506,HC PHOSPHORUS ASSAY URINE,42.0,37.38,5.0,42.0,736 CDM,PX-301000507,HC PHOSPHORUS ASSAY,37.0,32.93,4.65,37.0,740 CDM,PX-301000508,HC COL CHROMOTOGRAPHY QUAL/QUAN 8,156.0,138.84,23.61,156.0,740 CDM,PX-301000510,HC PLASMINOGN ACTIVATR 1 ANTG,291.0,258.99,14.87,291.0,736 CDM,PX-301000511,HC POLYOLS,156.0,138.84,23.61,156.0,740 CDM,PX-301000512,HC PORPHOBILINOGEN URINE QUANT,134.0,119.26,8.27,134.0,736 CDM,PX-301000513,HC PORPHYRINS FECES QUANT,237.0,210.93,33.83,237.0,735 CDM,PX-301000514,HC PORPHYRINS FRACTION,156.0,138.84,23.61,156.0,740 CDM,PX-301000515,HC PORPHYRINS TOTAL,53.0,47.17,7.94,53.0,737 CDM,PX-301000516,HC PORPHYRINS URINE QUANT/FRACT,237.0,210.93,14.42,237.0,736 CDM,PX-301000517,HC PORPHYRINS,53.0,47.17,7.94,53.0,737 CDM,PX-301000521,HC POTASSIUM QUANTITATIVE STOOL,27.0,24.03,5.62,27.0,719 CDM,PX-301000522,HC POTASSIUM SER/PLASMA/WHOLE BLD,42.0,37.38,4.66,42.0,741 CDM,PX-301000523,HC POTASSIUM URINE,37.0,32.93,4.64,37.0,737 CDM,PX-301000524,HC PREALBUMIN,145.0,129.05,14.3,145.0,741 CDM,PX-301000527,HC PREGNENOLONE,237.0,210.93,20.26,237.0,736 CDM,PX-301000528,HC PRIMIDONE ASSAY,165.0,146.85,14.35,165.0,736 CDM,PX-301000530,HC PROCAINAMIDE W NAPA ASSAY,157.0,139.73,16.75,157.0,735 CDM,PX-301000532,HC PROCOLLAGEN I INTACT TERM RIA,196.0,174.44,18.03,196.0,737 CDM,PX-301000533,HC PROGESTERONE ASSAY,180.0,160.2,18.04,180.0,736 CDM,PX-301000536,HC PROINSULIN ASSAY,225.0,200.25,26.16,225.0,736 CDM,PX-301000537,HC PROLACTIN ASSAY,170.0,151.3,16.76,170.0,739 CDM,PX-301000539,HC PROPAFENONE ASSAY,196.0,174.44,16.12,196.0,738 CDM,PX-301000542,HC PROSTAGLANDIN ASSAY EACH,373.0,331.97,40.93,373.0,738 CDM,PX-301000543,HC PROSTATIC ACID PHOSPHATE,108.0,96.12,9.47,108.0,736 CDM,PX-301000545,HC PROTEIN ELECTROPHORESIS SERUM,119.0,105.91,10.53,119.0,736 CDM,PX-301000546,HC PROTEIN ELECTROPHORESIS URINE,187.0,166.43,17.47,187.0,736 CDM,PX-301000547,HC PROTEIN TOTAL BODY FLUID,57.0,50.73,3.92,57.0,745 CDM,PX-301000548,HC PROTEIN TOTAL CSF,57.0,50.73,3.92,57.0,745 CDM,PX-301000550,HC PROTEIN TOTAL SERUM/PLASMA,40.0,35.6,3.6,40.0,738 CDM,PX-301000551,HC PROTEIN TOTAL URINE,39.0,34.71,3.6,39.0,738 CDM,PX-301000552,HC PROTEINASE 3 AB EACH,119.0,105.91,11.3,119.0,741 CDM,PX-301000555,HC PSA FREE,161.0,143.29,18.02,161.0,736 CDM,PX-301000556,HC PSA TOTAL,166.0,147.74,18.02,166.0,740 CDM,PX-301000558,HC PTH RELATED PEPTIDE/PTHRP,134.0,119.26,13.84,134.0,737 CDM,PX-301000560,HC PYRIDOXIC ACID QUANT,156.0,138.84,23.61,156.0,740 CDM,PX-301000561,HC PYRUVATE ASSAY,45.0,40.05,9.36,45.0,737 CDM,PX-301000563,HC PYRUVATE KINASE ASSAY,237.0,210.93,9.25,237.0,734 CDM,PX-301000565,HC QUINIDINE ASSAY,176.0,156.64,16.79,176.0,717 CDM,PX-301000566,HC REDUCING SUBSTANCE URINE OR STOOL,106.0,94.34,4.76,106.0,736 CDM,PX-301000567,HC RENAL FUNCTION PANEL,103.0,91.67,8.51,103.0,741 CDM,PX-301000568,HC RENIN ACTIVITY 1 BLOOD,218.0,194.02,19.02,218.0,737 CDM,PX-301000569,HC RETINOL BINDING PROTEIN,178.0,158.42,13.33,178.0,736 CDM,PX-301000571,HC THERAPEUTIC DRUG NES,196.0,174.44,16.12,196.0,738 CDM,PX-301000573,HC IMMUNOASSAY MULT STEP METHOD A2,119.0,105.91,11.3,119.0,741 CDM,PX-301000579,HC SELENIUM ASSAY,202.0,179.78,22.08,202.0,737 CDM,PX-301000580,HC SEROTONIN ASSAY,258.0,229.62,30.36,258.0,736 CDM,PX-301000582,HC SEX HORMONE BINDING GLOBULIN,171.0,152.19,21.3,171.0,736 CDM,PX-301000584,HC SIROLIMUS ASSAY,306.0,272.34,11.88,306.0,736 CDM,PX-301000589,HC SODIUM ASSAY OTHER SOURCES,86.0,76.54,4.86,86.0,735 CDM,PX-301000590,HC SODIUM ASSAY URINE,50.0,44.5,4.38,50.0,737 CDM,PX-301000591,HC SODIUM SERUM/PLASMA/WHOLE BLD,45.0,40.05,4.71,45.0,741 CDM,PX-301000592,HC SOLUBLE TRANSFERRIN RECEPTOR,296.0,263.44,31.63,296.0,739 CDM,PX-301000593,HC SOMATOMEDIN/IGF1,267.0,237.63,20.83,267.0,736 CDM,PX-301000598,HC STEROLS PLASMA QUANT,156.0,138.84,23.61,156.0,740 CDM,PX-301000602,HC SULFAMETHOXAZOLE ASSAY,196.0,174.44,16.12,196.0,738 CDM,PX-301000603,HC SULFATE ASSAY URINE,38.0,33.82,4.75,38.0,734 CDM,PX-301000604,HC SULFHEMOGLOBIN QUANT,118.0,105.02,7.61,118.0,734 CDM,PX-301000605,HC SUPPLEMENTAL NB SCREEN,126.0,112.14,23.63,126.0,736 CDM,PX-301000606,HC SYN GLUCOCORTICOID SCRN URINE,196.0,174.44,16.12,196.0,738 CDM,PX-301000607,HC SYN GLUCOCORTICOID SCRN,196.0,174.44,16.12,196.0,738 CDM,PX-301000608,HC T3 FREE,163.0,145.07,16.6,163.0,736 CDM,PX-301000610,HC T3 REVERSE,200.0,178.0,13.63,200.0,734 CDM,PX-301000611,HC T3 TOTAL,115.0,102.35,13.9,115.0,738 CDM,PX-301000612,HC T4 FREE,94.0,83.66,8.84,94.0,742 CDM,PX-301000613,HC T4 TOTAL,68.0,60.52,6.73,68.0,736 CDM,PX-301000614,HC TACROLIMUS ASSAY,198.0,176.22,11.88,198.0,737 CDM,PX-301000617,HC TESTOSTERONE FREE,195.0,173.55,24.96,195.0,737 CDM,PX-301000618,HC TESTOSTERONE TOTAL SERUM,187.0,166.43,25.29,187.0,741 CDM,PX-301000628,HC THYROGLOBULIN LYMPH NODE,142.0,126.38,15.74,142.0,738 CDM,PX-301000629,HC THYROGLOBULIN SERUM,142.0,126.38,15.74,142.0,738 CDM,PX-301000630,HC THYROID STIM IMMUNOGLOBIN,489.0,435.21,43.99,489.0,736 CDM,PX-301000631,HC THYROID STIMULATING HORMONE,133.0,118.37,16.46,133.0,743 CDM,PX-301000633,HC THYROTROPIN RECEPTOR ANTIBODY QUANT,159.0,141.51,14.94,159.0,741 CDM,PX-301000634,HC THYROXINE BIND GLOBULIN,172.0,153.08,14.48,172.0,736 CDM,PX-301000637,HC TOBRAMYCIN ASSAY,171.0,152.19,13.95,171.0,734 CDM,PX-301000638,HC TOPIRAMATE ASSAY 2,176.0,156.64,10.31,176.0,736 CDM,PX-301000640,HC TOTAL LIGHT CHAIN EA,178.0,158.42,13.33,178.0,736 CDM,PX-301000641,HC TPPI AND PPTI,193.0,171.77,21.73,193.0,742 CDM,PX-301000643,HC TRANSFERRIN,120.0,106.8,12.5,120.0,736 CDM,PX-301000646,HC TRIGLYCERIDES,49.0,43.61,5.63,49.0,738 CDM,PX-301000647,HC TRIMETHOPRIM ASSAY,196.0,174.44,16.12,196.0,738 CDM,PX-301000649,HC TROPONIN QUANT,142.0,126.38,12.22,142.0,741 CDM,PX-301000651,HC TRYPTASE SERUM,159.0,141.51,14.94,159.0,741 CDM,PX-301000652,HC TRYPTOPHAN,215.0,191.35,22.52,215.0,734 CDM,PX-301000654,HC TYROSINE (PKU-NCCI),151.0,134.39,12.22,151.0,717 CDM,PX-301000656,HC UPG DECARBOXYLASE,193.0,171.77,21.73,193.0,742 CDM,PX-301000658,HC UREA NITROGEN URINE,43.0,38.27,5.45,43.0,719 CDM,PX-301000659,HC UREA NITROGEN/BUN,38.0,33.82,3.42,38.0,737 CDM,PX-301000660,HC URIC ACID BLOOD,43.0,38.27,4.43,43.0,742 CDM,PX-301000661,HC URIC ACID OTHER SOURCE,45.0,40.05,4.98,45.0,736 CDM,PX-301000665,HC VALPROIC ACID ASSAY,119.0,105.91,13.27,119.0,737 CDM,PX-301000666,HC VALPROIC ACID FREE ASSAY,138.0,122.82,13.27,138.0,737 CDM,PX-301000667,HC VANCOMYCIN ASSAY,165.0,146.85,13.27,165.0,739 CDM,PX-301000668,HC VANILLYLMANDELIC ACID URINE,117.0,104.13,15.19,117.0,736 CDM,PX-301000669,HC VASOACTIVE INTESTINAL PEPTIDE,457.0,406.73,34.62,457.0,736 CDM,PX-301000674,HC VITAMIN A ASSAY,138.0,122.82,10.04,138.0,740 CDM,PX-301000675,HC VITAMIN B1 THIAMINE ASSAY,178.0,158.42,20.81,178.0,739 CDM,PX-301000676,HC VITAMIN B12 ASSAY,158.0,140.62,13.04,158.0,742 CDM,PX-301000677,HC VITAMIN B2 ASSAY,217.0,193.13,19.84,217.0,736 CDM,PX-301000678,HC VITAMIN B6 ASSAY,259.0,230.51,27.54,259.0,739 CDM,PX-301000679,HC VITAMIN D 1 25 DIHYDROXY,293.0,260.77,33.3,293.0,737 CDM,PX-301000680,HC VITAMIN D 25 HYDROXY,255.0,226.95,29.01,255.0,742 CDM,PX-301000681,HC VITAMIN E ASSAY,133.0,118.37,12.27,133.0,739 CDM,PX-301000682,HC VITAMIN K ASSAY,249.0,221.61,11.87,249.0,736 CDM,PX-301000686,HC WESTERN BLOT TEST BAND ID EA,225.0,200.25,28.63,225.0,739 CDM,PX-301000689,HC ZINC ASSAY,112.0,99.68,9.85,112.0,739 CDM,PX-301000690,HC ZONISAMIDE ASSAY,194.0,172.66,12.99,194.0,736 CDM,PX-301000692,HC CORTISOL TOTAL,145.0,129.05,15.97,145.0,743 CDM,PX-301000696,HC OCCULT BLOOD GASTRIC,24.0,21.36,4.99,24.0,734 CDM,PX-301000698,HC THEOPHYLLINE ASSAY,171.0,152.19,13.86,171.0,736 CDM,PX-301000744,HC COL CHROMOTOGRAPHY QUAL/QUAN 13,156.0,138.84,23.61,156.0,740 CDM,PX-301000751,HC GDF15,169.0,150.41,14.94,169.0,741 CDM,PX-301000755,HC COL CHROMOTOGRAPHY QUAL/QUAN 4,156.0,138.84,23.61,156.0,740 CDM,PX-301000770,HC BETA HCG QUANTITATIVE,144.0,128.16,14.75,144.0,743 CDM,PX-301000778,HC QUANTITATIVE ASSAY DRUG,196.0,174.44,16.12,196.0,738 CDM,PX-301000789,HC OXYSTEROLS QUANT,156.0,138.84,23.61,156.0,740 CDM,PX-301000790,HC PURINE AND PYRIMIDINE PANEL,156.0,138.84,23.61,156.0,740 CDM,PX-301000791,HC ENZYME ACTIVITY IN BLOOD CELLS 3,193.0,171.77,21.73,193.0,742 CDM,PX-301000796,HC LYSOSOMAL ACID LIPASE,193.0,171.77,21.73,193.0,742 CDM,PX-301000806,HC ASSAY NEPHELOMETRY NOT SPEC,184.0,163.76,13.33,184.0,736 CDM,PX-301000811,HC EOSINOPHILS U,50.0,44.5,10.4,50.0,721 CDM,PX-301000814,HC CELL COUNT W DIFF BODY FLUID,89.0,79.21,5.49,89.0,745 CDM,PX-301000815,HC CELL COUNT W DIFF BRONCH LAVAGE,97.0,86.33,5.49,97.0,745 CDM,PX-301000816,HC LEUKOCYTES FECES,58.0,51.62,4.18,58.0,736 CDM,PX-301000817,HC CRYSTAL EXAM FLUID/TISSUE,91.0,80.99,7.18,91.0,739 CDM,PX-301000818,HC DRUG TEST PRSMV CHEM ANLYZR1,262.0,233.18,54.5,262.0,739 CDM,PX-301000819,HC DRUG TEST PRSMV CHEM ANLYZR2,262.0,233.18,54.5,262.0,739 CDM,PX-301000820,HC DRUG TEST PRSMV CHEM ANLYZR3,262.0,233.18,54.5,262.0,739 CDM,PX-301000821,HC DRUG TEST PRSMV CHEM ANLYZR4,262.0,233.18,54.5,262.0,739 CDM,PX-301000822,HC DRUG TEST PRSMV CHEM ANLYZR5,262.0,233.18,54.5,262.0,739 CDM,PX-301000823,HC DRUG TEST PRSMV CHEM ANLYZR6,262.0,233.18,54.5,262.0,739 CDM,PX-301000824,HC DRUG TEST PRSMV CHEM ANLYZR7,262.0,233.18,54.5,262.0,739 CDM,PX-301000825,HC DRUG TEST PRSMV INSTRMNT,184.0,163.76,14.83,184.0,734 CDM,PX-301000826,HC FENTANYL SCREEN,262.0,233.18,54.5,262.0,739 CDM,PX-301000828,HC TESTOSTERONE BIOAVAILABLE DRCT MEAS,349.0,310.61,50.25,349.0,736 CDM,PX-301000837,HC PSA TOTAL ULTRASENSITIVE,166.0,147.74,18.02,166.0,740 CDM,PX-301000838,HC IMMUNOGLOBULIN CSF,86.0,76.54,9.11,86.0,744 CDM,PX-301000840,"HC HB VARIANT, A2 AND F QUAN",124.0,110.36,12.61,124.0,737 CDM,PX-301000843,HC AMIKACIN ASSAY 2,217.0,193.13,14.78,217.0,736 CDM,PX-301000845,HC ENZYME ACTIVITY IN BLOOD CELLS 2,193.0,171.77,21.73,193.0,742 CDM,PX-301000851,HC HEAVY METAL QUANT EA,174.0,154.86,19.0,174.0,736 CDM,PX-301000852,HC CALCITONIN SERUM,343.0,305.27,26.25,343.0,737 CDM,PX-301000855,HC ADALIMUMAB,159.0,141.51,14.94,159.0,741 CDM,PX-301000860,"HC 7AC4, BILE ACID SYNTH",156.0,138.84,23.61,156.0,740 CDM,PX-301000861,HC PORPHOBILINOGEN,156.0,138.84,23.61,156.0,740 CDM,PX-301000866,HC CYSTATIN C 2,126.0,112.14,18.15,126.0,737 CDM,PX-301000876,HC ECULIZUMAB ASSAY,196.0,174.44,16.12,196.0,738 CDM,PX-301000878,HC ALDOSTERONE PLASMA,288.0,256.32,39.94,288.0,738 CDM,PX-301000879,"HC 24, 25 DIHYDROXY",156.0,138.84,23.61,156.0,740 CDM,PX-301000886,HC HEAVY METAL QUANT EA 4,174.0,154.86,19.0,174.0,736 CDM,PX-301000887,HC CHROMIUM ASSAY 2,156.0,138.84,17.54,156.0,736 CDM,PX-301000888,HC APIXABAN ANTI-XA,196.0,174.44,16.12,196.0,738 CDM,PX-301000889,HC RIVAROXABAN ANTI-XA,196.0,174.44,16.12,196.0,738 CDM,PX-301000933,HC ASSAY OF GLUCOSIDASE,190.0,169.1,18.58,190.0,736 CDM,PX-301000942,HC COL CHROMOTOGRAPHY QUAL/QUAN 7,156.0,138.84,23.61,156.0,740 CDM,PX-301000943,HC AMYLOID PROTEIN 2,156.0,138.84,23.61,156.0,740 CDM,PX-301000949,HC THYROGLOBULIN MASS SPEC,142.0,126.38,15.74,142.0,738 CDM,PX-301000956,HC THERAPEUTIC DRUG NES 1,196.0,174.44,16.12,196.0,738 CDM,PX-301000958,HC DRUG TEST PRSMV CHEM ANLYZR13,262.0,233.18,54.5,262.0,739 CDM,PX-301000959,HC DRUG TEST PRSMV CHEM ANLYZR9,262.0,233.18,54.5,262.0,739 CDM,PX-301000961,HC DRUG TEST PRSMV CHEM ANLYZR12,262.0,233.18,54.5,262.0,739 CDM,PX-301000962,HC DRUG SCRN ANLYZR10 RX MAINT,130.0,115.7,27.04,130.0,739 CDM,PX-301000975,HC ALPHA 1 ANTITRYPSIN TOTAL 1,145.0,129.05,13.17,145.0,736 CDM,PX-301000976,HC ARSENIC ASSAY URINE/SERUM/WB EA 1,196.0,174.44,18.59,196.0,737 CDM,PX-301000978,HC CARCINOEMBRYONIC ANTIGEN/CEA 1,186.0,165.54,16.4,186.0,746 CDM,PX-301000979,HC CARCINOEMBRYONIC ANTIGEN/CEA 2,186.0,165.54,16.4,186.0,746 CDM,PX-301000980,HC CORTISOL FREE 1,192.0,170.88,14.45,192.0,736 CDM,PX-301000981,HC PORPHYRINS FRACTION 1,156.0,138.84,23.61,156.0,740 CDM,PX-301000984,HC LUTEINIZING HORMONE 1,154.0,137.06,18.15,154.0,740 CDM,PX-301000989,HC IMMUNOASSAY QUANT NOS 4,159.0,141.51,14.94,159.0,741 CDM,PX-301000991,HC IMMUNOASSAY QUANT NOS 1,159.0,141.51,14.94,159.0,741 CDM,PX-301000993,HC ALPHA 1 MICROGLOBIN 1,178.0,158.42,13.33,178.0,736 CDM,PX-301000994,HC RETINOL BINDING PROTEIN 1,178.0,158.42,13.33,178.0,736 CDM,PX-301000997,HC PARATHORMONE/PTH 1,294.0,261.66,40.45,294.0,738 CDM,PX-301000999,HC PROCALCITONIN 1,187.0,166.43,26.68,187.0,738 CDM,PX-301001002,HC TRIGLYCERIDES 1,49.0,43.61,5.63,49.0,738 CDM,PX-301001004,HC NITROGEN TOTAL 1,62.0,55.18,12.9,62.0,719 CDM,PX-301001005,HC EOSINOPHIL COUNT 1,128.0,113.92,26.62,128.0,721 CDM,PX-301001023,HC CARBOXYHEMOGLOBIN QUANT 2,131.0,116.59,12.07,131.0,742 CDM,PX-301001024,HC METHEMOGLOBIN QUANT 2,66.0,58.74,8.04,66.0,742 CDM,PX-301001025,HC CARBOXYHEMOGLOBIN QUANT 3,131.0,116.59,12.07,131.0,742 CDM,PX-301001026,HC METHEMOGLOBIN QUANT 3,66.0,58.74,8.04,66.0,742 CDM,PX-301001039,HC DIHYDROTESTOSTERONE,313.0,278.57,28.69,313.0,736 CDM,PX-301001040,HC COL CHROMOTOGRAPHY QUAL/QUAN 5,156.0,138.84,23.61,156.0,740 CDM,PX-301001053,HC LYSOSOMAL DISORDER QUANT,126.0,112.14,23.63,126.0,736 CDM,PX-301001060,HC IGG/IGM MONOS GM1 TITER,159.0,141.51,14.94,159.0,741 CDM,PX-301001061,HC IGG/IGM ASIALO GM1 TITER,159.0,141.51,14.94,159.0,741 CDM,PX-301001062,HC IGG/IMM DISIALO GD1B TITER,159.0,141.51,14.94,159.0,741 CDM,PX-301001063,HC COPEPTIN PROAVP,458.0,407.62,33.26,458.0,736 CDM,PX-301001066,HC OREXIN A RIA,196.0,174.44,18.03,196.0,737 CDM,PX-301001067,HC BLD GASES W DIRECT MEAS O2 SAT 2,164.0,145.96,34.11,164.0,742 CDM,PX-301001070,HC HMG-COA ELISA,119.0,105.91,11.3,119.0,741 CDM,PX-301001079,HC PHOSPHOLIPASE A2 RECEPT,159.0,141.51,14.94,159.0,741 CDM,PX-301001080,HC DULOXETINE ASSAY,196.0,174.44,16.12,196.0,738 CDM,PX-301001083,"HC MUCOPOLYSACCHARIDES QNT, S",313.0,278.57,27.93,313.0,736 CDM,PX-301001089,HC GALACTOSE 1 PHOS,93.0,82.77,11.3,93.0,736 CDM,PX-301001091,HC CERAMIDES,190.0,169.1,39.52,190.0,736 CDM,PX-301001095,HC ANDROSTENEDIONE (CAH21),312.0,277.68,28.69,312.0,737 CDM,PX-301001096,HC CORTISOL 1,145.0,129.05,15.97,145.0,743 CDM,PX-301001097,HC 17-HYDROXYPROGESTERONE (CAH21),237.0,210.93,26.63,237.0,737 CDM,PX-301001098,HC 17-HYDROXYPREGNENOLONE (17PRN),210.0,186.9,22.35,210.0,736 CDM,PX-301001100,HC CHG ASSAY OF GLUCOSIDASE (LSD6W-NCCI),196.0,174.44,18.58,196.0,736 CDM,PX-301001101,HC ENZYME ACT IN BLOOD CELLS (LSD6W-NCCI),193.0,171.77,21.73,193.0,742 CDM,PX-301001102,HC LYSOSOMAL SIX PANEL (LSD6W-MEC-NCCI),378.0,336.42,23.63,378.0,736 CDM,PX-301001103,HC DRUG ASSAY INFLIXIMAB,298.0,265.22,37.8,298.0,736 CDM,PX-301001104,HC DRUG ASSAY ADALIMUMAB,334.0,297.26,37.8,334.0,736 CDM,PX-301001105,HC DRUG ASSAY LACOSAMIDE,252.0,224.28,23.45,252.0,738 CDM,PX-301001106,HC DRUG ASSAY POSACONAZOLE,196.0,174.44,26.57,196.0,736 CDM,PX-301001107,HC DRUG ASSAY VORICONAZOLE,190.0,169.1,23.45,190.0,736 CDM,PX-301001108,HC DRUG ASSAY VEDOLIZUMAB,348.0,309.72,37.8,348.0,737 CDM,PX-301001112,HC PSA SCREENING,166.0,147.74,18.02,166.0,736 CDM,PX-301001116,HC PROTEIN WESTERN BLOT TEST 1,225.0,200.25,28.63,225.0,739 CDM,PX-301001117,HC PROTEIN WESTERN BLOT TEST 2,225.0,200.25,28.63,225.0,739 CDM,PX-301001118,HC CERAMIDE TRIHEX/SULFATIDE,126.0,112.14,23.63,126.0,736 CDM,PX-301001119,HC MUCOPOLYSACCHARIDES QNT,313.0,278.57,27.93,313.0,736 CDM,PX-301001120,HC INTACT FIBROBLAST GF 23,159.0,141.51,14.94,159.0,741 CDM,PX-301001121,HC OLIGOSACCHARIDE,146.0,129.94,5.39,146.0,736 CDM,PX-301001127,HC TYROSINE (TYRBS-NCCI),156.0,138.84,12.22,156.0,717 CDM,PX-301001128,HC PHENYLALANINE (TYRBS-NCCI),64.0,56.96,5.5,64.0,735 CDM,PX-301001129,HC METHIONINE (TYRBS-NCCI),215.0,191.35,22.52,215.0,734 CDM,PX-301001130,HC SUCCINYLACETONE (TYRBS-NCCI),156.0,138.84,23.61,156.0,740 CDM,PX-301001131,HC NITISINONE (TYRBS-NCCI),196.0,174.44,16.12,196.0,738 CDM,PX-301001133,HC TYROSINE (SUAC-NCCI),132.0,117.48,12.22,132.0,717 CDM,PX-301001134,HC SUCCINYLACETONE (SUAC-NCCI),156.0,138.84,23.61,156.0,740 CDM,PX-301001135,HC COL CHROMOTOGRAPHY (SUAC-MEC-NCCI),272.0,242.08,23.61,272.0,740 CDM,PX-301001137,HC IMMUNOASSAY QUANT NOS 5,159.0,141.51,14.94,159.0,741 CDM,PX-301001141,HC HEAVY METAL QUANT EA 8,174.0,154.86,19.0,174.0,736 CDM,PX-301001142,HC CHROMIUM ASSAY 3,156.0,138.84,17.54,156.0,736 CDM,PX-301001143,HC THIOPURINE METABOLITES,196.0,174.44,16.12,196.0,738 CDM,PX-301001145,HC HOMOCYSTEINE ASSAY 2 (CMMPP/CMMPS-NCCI),164.0,145.96,17.56,164.0,737 CDM,PX-301001146,HC ORGANIC ACIDS TOTAL QUANT 2 (CMMPP/CMMPS-NCCI),321.0,285.69,23.13,321.0,737 CDM,PX-301001147,HC AMINO ACIDS QUANT 2-5 EA 2 (CMMPP/CMMPS-NCCI),210.0,186.9,19.22,210.0,737 CDM,PX-301001148,HC COL CHROMOTOGRAPHY (CMMPP/CMMPS-MEC-NCCI),695.0,618.55,23.61,695.0,740 CDM,PX-301001156,HC CYTOKINE PANEL,32.0,28.48,6.66,32.0,741 CDM,PX-301001157,HC DRUG ASSAY ACETAMINOPHEN,219.0,194.91,18.27,219.0,740 CDM,PX-301001158,HC DRUG ASSAY AMIODARONE,184.0,163.76,18.27,184.0,736 CDM,PX-301001159,HC DRUG ASSAY CARBAMAZEPINE 10-11,171.0,152.19,16.12,171.0,734 CDM,PX-301001160,HC DRUG ASSAY FELBAMATE,164.0,145.96,16.12,164.0,737 CDM,PX-301001161,HC DRUG ASSAY SALICYLATE,122.0,108.58,18.27,122.0,739 CDM,PX-301001162,HC DRUG ASSAY FLECAINIDE,164.0,145.96,18.27,164.0,736 CDM,PX-301001163,HC DRUG ASSAY ITRACONAZOLE,292.0,259.88,23.45,292.0,734 CDM,PX-301001165,HC DRUG ASSAY METHOTREXATE,364.0,323.96,37.8,364.0,732 CDM,PX-301001166,HC DRUG ASSAY RUFINAMIDE,217.0,193.13,26.57,217.0,736 CDM,PX-301001167,HC ASSAY OF ALCOHOL NON-URINE/BREATH,176.0,156.64,16.92,176.0,737 CDM,PX-301001175,HC ACYLGLYCINES QN,156.0,138.84,23.61,156.0,740 CDM,PX-301001176,HC PROTEIN WESTERN BLOT TEST 3,225.0,200.25,28.63,225.0,739 CDM,PX-301001183,HC BIOTIN,230.0,204.7,16.72,230.0,736 CDM,PX-301001189,HC GLUCOSE OTHER FLUID,75.0,66.75,3.85,75.0,742 CDM,PX-301001191,HC RIBOFLAVIN B2,217.0,193.13,19.84,217.0,736 CDM,PX-301001194,HC DRUG TEST DEF 1-3 CLASSES,255.0,226.95,53.04,255.0,739 CDM,PX-301001195,HC DRUG TEST DEF 4-5 CLASSES,292.0,259.88,60.74,292.0,739 CDM,PX-301001196,HC DRUG TEST DEF 6-7 CLASSES,326.0,290.14,67.81,326.0,739 CDM,PX-301001197,HC DRUG TEST DEF 8-10 CLASSES,350.0,311.5,72.8,350.0,736 CDM,PX-301001198,HC DRUG TEST DEF 11-14 CLASSES,400.0,356.0,83.2,400.0,736 CDM,PX-301001199,HC DRUG TEST DEF 15-17 CLASSES,443.0,394.27,92.14,443.0,735 CDM,PX-301001200,HC DRUG TEST DEF 18-21 CLASSES,569.0,506.41,118.35,569.0,735 CDM,PX-301001201,HC DRUG TEST DEF 22+ CLASSES,612.0,544.68,127.3,612.0,717 CDM,PX-301001203,HC ALBUMIN SERUM/PLASMA/WHOLE BLD 2,39.0,34.71,4.85,39.0,741 CDM,PX-301001210,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAN,63.0,56.07,9.45,63.0,737 CDM,PX-301001212,HC GUANIDINOACETATE,156.0,138.84,23.61,156.0,740 CDM,PX-301001217,HC ASSAY OF INTERLEUKIN-6 (IL-6),150.0,133.5,17.27,150.0,735 CDM,PX-301001218,HC DRUG ASSAY HYDROXYCHLOROQUINE,228.0,202.92,18.27,228.0,732 CDM,PX-301001219,HC ELASTASE PANCREATIC FECAL QUANT,148.0,131.72,22.97,148.0,734 CDM,PX-301001221,HC IG LIGHT CHAINS FREE EA 2,154.0,137.06,17.27,154.0,741 CDM,PX-301001222,HC IG LIGHT CHAINS FREE EA 3,154.0,137.06,17.27,154.0,741 CDM,PX-301001223,HC MANGANESE ASSAY 2,161.0,143.29,26.12,161.0,736 CDM,PX-301001228,HC IG PARAPROTEIN QUAL URINE,191.0,169.99,39.73,191.0,742 CDM,PX-301001230,HC DRUG TEST PRSMV CHEM ANLYZR15 (CSMEU),262.0,233.18,54.5,262.0,739 CDM,PX-301001231,HC ASSAY OF NOS VITAMIN,245.0,218.05,16.72,245.0,736 CDM,PX-301001232,HC GLUCOSE BLOOD QUANT 2,33.0,29.37,3.85,33.0,745 CDM,PX-301001233,HC NATRIURETIC PEPTIDE/BNP 2,214.0,190.46,38.47,214.0,740 CDM,PX-301001235,HC SEROTONIN RELEASE ASSAY,156.0,138.84,23.61,156.0,740 CDM,PX-301001241,HC ORGANIC ACID 1 QUANT 5,181.0,161.09,18.35,181.0,738 CDM,PX-301001243,HC ASSAY TPMT,236.0,210.04,21.73,236.0,732 CDM,PX-301001244,HC NEUROFILAMENT LIGHT CHAIN,599.0,533.11,124.59,599.0,719 CDM,PX-301001246,HC PERAMPANEL,196.0,174.44,16.12,196.0,738 CDM,PX-301001260,HC ASSAY OF INTERLEUKIN-6 (CYPAN),39.0,34.71,8.11,39.0,735 CDM,PX-301001261,HC BUSULFAN ASSAY 2,196.0,174.44,16.12,196.0,738 CDM,PX-301001262,HC IMMUNOASSAY QUANT NOS 6,159.0,141.51,14.94,159.0,741 CDM,PX-301001263,HC SMALL DENSE LDL CHOLESTEROL,122.0,108.58,25.38,122.0,736 CDM,PX-301001264,HC IMMUNOASSAY MULT STEP METHOD A4,119.0,105.91,11.3,119.0,741 CDM,PX-301001266,HC COL CHROMOTOGRAPHY QUAL/QUAN LTE4/NMH,156.0,138.84,23.61,156.0,740 CDM,PX-301001272,HC COL CHROMOTOGRAPHY (PKU-MEC-NCCI),220.0,195.8,23.61,220.0,740 CDM,PX-301001276,HC RT-QUIC PRION,120.0,106.8,24.96,120.0,719 CDM,PX-301001277,HC ANTIMULLERIAN HORMONE,255.0,226.95,38.62,255.0,733 CDM,PX-301001279,HC ACH RECP MUSC BINDING AB,224.0,199.36,18.03,224.0,735 CDM,PX-301001280,HC MUSK AUTO AB,224.0,199.36,18.03,224.0,735 CDM,PX-301001281,HC MALABSORPTION EVAL PANEL QUANT,605.0,538.45,61.54,605.0,734 CDM,PX-301001286,HC COPPER ASSAY 2,114.0,101.46,10.73,114.0,740 CDM,PX-301001290,HC AMINO ACIDS 2 TO 5 QUANT EA 2,213.0,189.57,19.22,213.0,737 CDM,PX-301001292,HC AMINO ACIDS 6 OR MORE QUANT EA 2 (AAPD-R),207.0,184.23,16.53,207.0,737 CDM,PX-301001295,HC DRUG THERAPEUTIC DRUG 4,196.0,174.44,16.12,196.0,738 CDM,PX-301001296,HC DRUG THERAPEUTIC DRUG 5,196.0,174.44,16.12,196.0,738 CDM,PX-301001297,HC DRUG THERAPEUTIC DRUG 6,196.0,174.44,16.12,196.0,738 CDM,PX-301001299,HC DRUG THERAPEUTIC DRUG 8,196.0,174.44,16.12,196.0,738 CDM,PX-301001301,HC DRUG THERAPEUTIC DRUG 10,196.0,174.44,16.12,196.0,738 CDM,PX-301001302,HC DRUG THERAPEUTIC DRUG 11,196.0,174.44,16.12,196.0,738 CDM,PX-301001303,HC COL CHROMOTOGRAPHY QUAL/QUAN 9,156.0,138.84,23.61,156.0,740 CDM,PX-301001304,HC DRUG THERAPEUTIC DRUG 12,196.0,174.44,16.12,196.0,738 CDM,PX-301001306,HC DRUG THERAPEUTIC DRUG 13,196.0,174.44,16.12,196.0,738 CDM,PX-301001309,HC ASSAY IGA/IGD/IGG/IGM EACH 2,86.0,76.54,9.11,86.0,744 CDM,PX-301001310,HC IMMUNOGLOBIN SUBCLASSES EA 2,134.0,119.26,7.86,134.0,736 CDM,PX-301001311,HC CELL COUNT FLUID W DIFF COUNT 2,93.0,82.77,5.49,93.0,745 CDM,PX-301001312,HC ASSAY OF SIALIC ACID,149.0,132.61,13.17,149.0,736 CDM,PX-301001313,HC CHEMILUMINESCENT ASSAY 2,134.0,119.26,13.84,134.0,737 CDM,PX-301001316,HC CYTOKINE PANEL (CYTH1),32.0,28.48,6.66,32.0,741 CDM,PX-301001317,HC ALBUMIN URINE/OTHER SOURCE QUANT 2,70.0,62.3,7.62,70.0,742 CDM,PX-301001319,HC DRUG TEST PRSMV CHEM ANLYZR10,262.0,233.18,54.5,262.0,739 CDM,PX-301001320,HC BIOCHEM ASSAY OB PREECLAMPSIA,322.0,286.58,66.98,322.0,734 CDM,PX-301001321,HC OSMOLALITY ASSAY URINE 2,78.0,69.42,6.68,78.0,742 CDM,PX-301001322,HC BETA-AMYLOID 1-42,159.0,141.51,33.07,193.38,734 CDM,PX-301001323,HC TAU PHOSPHORYLATED EA,159.0,141.51,33.07,193.38,733 CDM,PX-301001324,HC TOTAL TAU,159.0,141.51,33.07,193.38,734 CDM,PX-301001325,HC BETA-AMYLOID 1-42 2,159.0,141.51,33.07,193.38,734 CDM,PX-301001326,HC TAU PHOSPHORYLATED EA 2,159.0,141.51,33.07,193.38,733 CDM,PX-301001327,HC TOTAL TAU 2,159.0,141.51,33.07,193.38,734 CDM,PX-301001329,HC SUGARS MULT QUANT,258.0,229.62,11.53,258.0,735 CDM,PX-301001330,HC ACTH 1,329.0,292.81,37.85,329.0,739 CDM,PX-301001331,HC COL CHROMOTOGRAPHY QUAL/QUAN 11,156.0,138.84,23.61,156.0,740 CDM,PX-301001332,HC NEUROFILAMENT LIGHT CHAIN ASSAY,599.0,533.11,116.23,599.0,734 CDM,PX-301001333,HC HEMOGLOBIN GLYCATED A1C 2,80.0,71.2,8.4,80.0,745 CDM,PX-301001339,HC ENZYME ACTIVITY IN BLOOD CELLS 5,193.0,171.77,21.73,193.0,742 CDM,PX-301001340,HC COL CHROMOTOGRAPHY QUAL/QUAN 12,156.0,138.84,23.61,156.0,740 CDM,PX-301001341,HC AMINOLEVULINIC ACID 2,202.0,179.78,14.23,202.0,734 CDM,PX-301001343,HC ALUMINUM ASSAY 1,271.0,241.19,22.04,271.0,734 CDM,PX-301001344,HC GALACTOSE 1 PHOSPHATE 2,93.0,82.77,11.3,93.0,736 CDM,PX-301001345,HC PORPHOBILINOGEN URINE QUANT 2,134.0,119.26,8.27,134.0,736 CDM,PX-301001346,HC PORPHYRINS URINE QUANT/FRACT 2,237.0,210.93,14.42,237.0,736 CDM,PX-301001347,HC DRUG THERAPEUTIC DRUG 16,196.0,174.44,16.12,196.0,738 CDM,PX-301001348,HC CYTOKINE PANEL (CYTH2),32.0,28.48,6.66,32.0,741 CDM,PX-301001350,HC DRUG THERAPEUTIC DRUG 17,196.0,174.44,16.12,196.0,738 CDM,PX-301001351,HC IMMUNOASSAY QUANT NOS 8,154.0,137.06,14.94,154.0,741 CDM,PX-301001352,HC VITAMIN A ASSAY 2,153.0,136.17,10.04,153.0,740 CDM,PX-301001353,HC VITAMIN E ASSAY 2,133.0,118.37,12.27,133.0,739 CDM,PX-301001355,HC IMMUNOASSAY QUANT NOS 9,154.0,137.06,14.94,154.0,741 CDM,PX-30110,PR EXCISION NASAL POLYP SIMPLE,1102.0,980.78,100.68,1102.0,482 CDM,PX-30115,PR EXCISION NASAL POLYP EXTENSIVE,2037.0,1812.93,174.11,2037.0,482 CDM,PX-30117,PR EXCISN/DEST INTNASAL LESN INT APPR,3885.0,3457.65,392.51,3885.0,482 CDM,PX-30118,PR EXCISN/DEST INTNASAL LESN EXT APPR,3557.0,3165.73,253.06,3557.0,482 CDM,PX-30120,PR EXC/SURG PLN SKN/NOSE RHINOPHY,3495.0,3110.55,208.2,3495.0,482 CDM,PX-30124,PR EXCISN CYST NOSE SMPL SUBQ,1768.0,1573.52,111.64,1768.0,482 CDM,PX-30125,PR EXCISN CYST NOSE CMPLX BN/CRTLG,4251.0,3783.39,234.76,4251.0,482 CDM,PX-30130,PR EXCISN TURBINATE PRTL/COMPLT,2135.0,1900.15,158.92,2135.0,482 CDM,PX-30140,PR SUBMUC RSECT TURB PRTL/COMPLT,2795.0,2487.55,100.26,2795.0,507 CDM,PX-30150,PR RHINECTOMY PARTIAL,4000.0,3560.0,283.45,4000.0,482 CDM,PX-30160,PR RHINECTOMY TOTAL,4649.0,4137.61,287.67,4649.0,482 CDM,PX-302000007,HC AHG INDIRECT TITER EA,80.0,71.2,5.08,226.05,737 CDM,PX-302000009,HC ALLERGEN IGE QUANT/SEMI EA,41.0,36.49,4.52,41.0,737 CDM,PX-302000010,HC ALLERGEN IGG QUANT/SEMI EA,58.0,51.62,7.66,58.0,736 CDM,PX-302000011,HC ALLO ANTIBODY TITER,80.0,71.2,5.08,226.05,737 CDM,PX-302000012,HC ALPHA-FETOPROTEIN CSF QUANT,279.0,248.31,20.39,279.0,736 CDM,PX-302000013,HC AMPA R AB CBA,128.0,113.92,11.81,128.0,741 CDM,PX-302000015,HC AMPHIPHYSIN AB TITER,128.0,113.92,11.81,128.0,741 CDM,PX-302000016,HC ANTI PHOSPHATIDYLSERINE AB,145.0,129.05,13.9,145.0,736 CDM,PX-302000018,HC ANTIBODY ELUTION RBC EACH,183.0,162.87,38.06,226.05,735 CDM,PX-302000020,HC ANTIBODY ID RBC EACH PANEL,150.0,133.5,31.2,475.59,739 CDM,PX-302000022,HC ANTIBODY SCREEN RBC EA SERUM,85.0,75.65,9.57,85.0,748 CDM,PX-302000023,HC ANTI-DIPTHERIA TOXOID IGG,101.0,89.89,14.69,101.0,737 CDM,PX-302000026,HC ANTINUCLEAR ANTIBODIES/ANA,115.0,102.35,11.85,115.0,737 CDM,PX-302000028,HC ANTISTREPTOLYSIN O TITER,80.0,71.2,6.31,80.0,734 CDM,PX-302000030,HC ANTI-TETANUS TOXOID IGG,101.0,89.89,14.69,101.0,737 CDM,PX-302000032,HC ASPERGILLUS AB EACH,118.0,105.02,13.02,118.0,734 CDM,PX-302000033,HC B CELL TOTAL COUNT,233.0,207.37,36.98,233.0,741 CDM,PX-302000035,HC BARTONELLA AB EACH,92.0,81.88,9.98,92.0,736 CDM,PX-302000037,HC BETA 2 GLYCOPROTEIN I AB EA,178.0,158.42,24.94,178.0,737 CDM,PX-302000038,HC BLASTOMYCES AB,139.0,123.71,11.16,139.0,738 CDM,PX-302000041,HC BLOOD TYPING ABO,34.0,30.26,2.93,176.53,748 CDM,PX-302000043,HC BLOOD TYPING DONOR UNIT EA AG,156.0,138.84,6.22,475.59,738 CDM,PX-302000045,HC BLOOD TYPING RH(D),30.0,26.7,2.93,49.56,748 CDM,PX-302000046,HC BORDETELLA AB EACH,183.0,162.87,12.93,183.0,736 CDM,PX-302000047,HC BRUCELLA AB EACH AGGLUTINATION,113.0,100.57,8.75,113.0,736 CDM,PX-302000048,HC BRUCELLA AB EACH,113.0,100.57,8.75,113.0,736 CDM,PX-302000049,HC CARDIOLIPIN AB EA IG CLASS,165.0,146.85,24.94,165.0,738 CDM,PX-302000052,HC CHIKUNGUNYA AB EA,171.0,152.19,11.14,171.0,736 CDM,PX-302000054,HC CHLAMYDIA IGM AB,131.0,116.59,12.43,131.0,736 CDM,PX-302000055,HC CHROMOGRANIN A QUANT,279.0,248.31,20.39,279.0,736 CDM,PX-302000056,HC COCCIDIOIDES AB,139.0,123.71,9.92,139.0,738 CDM,PX-302000058,HC COLD AGGLUTININ TITER,102.0,90.78,7.9,102.0,736 CDM,PX-302000060,HC COMPATIBILITY TEST AG EA,154.0,137.06,29.78,226.05,736 CDM,PX-302000061,HC COMPATIBILITY TEST ELECTRONIC,107.0,95.23,22.26,226.05,739 CDM,PX-302000062,HC COMPATIBILITY TEST IMM SPIN EA,239.0,212.71,18.54,239.0,736 CDM,PX-302000065,HC COMPLEMENT COMPONENT C1Q,108.0,96.12,11.76,108.0,737 CDM,PX-302000066,HC COMPLEMENT COMPONENT C5/C2,108.0,96.12,11.76,108.0,737 CDM,PX-302000067,HC COMPLEMENT COMPONENT,108.0,96.12,11.76,108.0,737 CDM,PX-302000068,HC COMPLMENT FUNC ACTVTY EA ALT PATHWAY,156.0,138.84,11.76,156.0,736 CDM,PX-302000069,HC COMPLEMENT FUNC ACTVTY EA,156.0,138.84,11.76,156.0,736 CDM,PX-302000070,HC COMPLEMENT TOTAL,205.0,182.45,17.58,205.0,736 CDM,PX-302000072,HC C-REACTIVE PROTEIN,82.0,72.98,5.08,82.0,746 CDM,PX-302000073,HC CRMP 5 IGG TITER,128.0,113.92,11.81,128.0,741 CDM,PX-302000074,HC CRP HIGH SENSITIVITY,83.0,73.87,12.69,83.0,738 CDM,PX-302000078,HC CRYPTOCOCCAL ANTIGEN,90.0,80.1,15.75,90.0,738 CDM,PX-302000081,HC CYCLIC CITRULLINATED PEPT AB,118.0,105.02,12.69,118.0,737 CDM,PX-302000084,HC CYTOMEGALOVIRUS AB IGM,162.0,144.18,14.58,162.0,737 CDM,PX-302000085,HC CYTOMEGALOVIRUS AB,164.0,145.96,12.45,164.0,738 CDM,PX-302000088,HC DENGUE FEVER EA,171.0,152.19,11.14,171.0,736 CDM,PX-302000089,HC DEOXYRIBONUCLEASE AB,187.0,166.43,12.99,187.0,734 CDM,PX-302000093,HC DIRECT COOMBS C3 EA ANTISERUM,62.0,55.18,5.28,78.27,739 CDM,PX-302000095,HC DIRECT COOMBS EA ANTISERUM,62.0,55.18,5.28,78.27,739 CDM,PX-302000096,HC DNA AB NATIVE/DOUBLE STRANDED,121.0,107.69,13.47,121.0,738 CDM,PX-302000098,HC FLUORESCENT NONINF AG AB EA 9,128.0,113.92,11.81,128.0,741 CDM,PX-302000099,HC ECHINOCOCCUS AB IGG,205.0,182.45,11.25,205.0,736 CDM,PX-302000100,HC EHRLICHIA ANTIBODY,130.0,115.7,8.81,130.0,736 CDM,PX-302000101,HC ENCEPHALITIS CALIFORNIA AB IGG,139.0,123.71,12.93,139.0,736 CDM,PX-302000102,HC ENCEPHALITIS CALIFORNIA AB IGM,139.0,123.71,12.93,139.0,736 CDM,PX-302000103,HC ENCEPHALITIS EAST EQUINE AB IGG,172.0,153.08,12.93,172.0,736 CDM,PX-302000104,HC ENCEPHALITIS EAST EQUINE AB IGM,172.0,153.08,12.93,172.0,736 CDM,PX-302000105,HC ENCEPHALITIS ST LOUIS AB IGG,139.0,123.71,12.93,139.0,736 CDM,PX-302000106,HC ENCEPHALITIS ST LOUIS AB IGM,139.0,123.71,12.93,139.0,736 CDM,PX-302000107,HC ENCEPHALITIS WEST EQUINE AB IGG,139.0,123.71,12.93,139.0,736 CDM,PX-302000108,HC ENCEPHALITIS WEST EQUINE AB IGM,139.0,123.71,12.93,139.0,736 CDM,PX-302000113,HC EPSTEIN-BARR NUCLEAR AG AB,119.0,105.91,14.98,119.0,737 CDM,PX-302000114,HC EPSTEIN-BARR VIRAL CAPSID AB EA,167.0,148.63,17.78,167.0,737 CDM,PX-302000115,HC EXTRACT NUC AG EA AB,104.0,92.56,17.57,104.0,737 CDM,PX-302000116,HC FLOW CYTOMETRIC CROSSMATCH,563.0,501.07,94.71,563.0,734 CDM,PX-302000120,HC FLUORESCENT NONINF AG AB EA 7,128.0,113.92,11.81,128.0,741 CDM,PX-302000122,HC GAD65 AB,180.0,160.2,23.1,180.0,741 CDM,PX-302000124,HC GLIAL NUCLEAR AB TITER,128.0,113.92,11.81,128.0,741 CDM,PX-302000125,HC GRANULOCYTE ANTIBODY,239.0,212.71,14.75,239.0,736 CDM,PX-302000127,HC HAV AB TOTAL,100.0,89.0,12.14,100.0,737 CDM,PX-302000128,HC HAV IGM AB,113.0,100.57,11.03,113.0,737 CDM,PX-302000129,HC HBV CORE AB TOTAL,109.0,97.01,10.42,109.0,739 CDM,PX-302000130,HC HBV CORE IGM AB,129.0,114.81,11.53,129.0,736 CDM,PX-302000131,HC HBV E AB,124.0,110.36,10.01,124.0,736 CDM,PX-302000132,HC HBV SURFACE AB QUANT,101.0,89.89,14.69,101.0,737 CDM,PX-302000133,HC HBV SURFACE AB,97.0,86.33,10.53,97.0,736 CDM,PX-302000134,HC HCV AB CADAVER SCREEN,125.0,111.25,14.27,125.0,738 CDM,PX-302000136,HC HCV AB W REFLEX,125.0,111.25,13.98,125.0,738 CDM,PX-302000140,HC HEMOLYSIN/AGGLUT INCUBATED,189.0,168.21,11.87,189.0,736 CDM,PX-302000143,HC HEPARIN - PF4 ANTIBODY (HIT),334.0,297.26,18.0,334.0,736 CDM,PX-302000145,HC HERPES SIMPLEX TYPE 1 AB,115.0,102.35,11.41,115.0,738 CDM,PX-302000146,HC HERPES SIMPLEX TYPE 2 AB,142.0,126.38,16.74,142.0,738 CDM,PX-302000147,HC HETEROPHILE AB SCREEN,53.0,47.17,4.48,53.0,735 CDM,PX-302000148,HC HEV AB,171.0,152.19,11.14,171.0,736 CDM,PX-302000149,HC HEV IGM AB CONFIRM,171.0,152.19,11.14,171.0,736 CDM,PX-302000150,HC HISTOPLASMA AB EA,126.0,112.14,11.93,126.0,738 CDM,PX-302000151,HC HIV 1 AB,102.0,90.78,8.71,102.0,736 CDM,PX-302000153,HC HIV 1/HIV 2 AB RAPID SCREEN,119.0,105.91,13.71,119.0,738 CDM,PX-302000155,HC HIV 2 AB,195.0,173.55,13.25,195.0,736 CDM,PX-302000156,HC HIV AB CONFIRMATORY TEST,287.0,255.43,16.74,287.0,736 CDM,PX-302000158,HC HLA AB CLASS I SOLID PHASE,1102.0,980.78,229.22,1102.0,739 CDM,PX-302000159,HC HLA AB CLASS II SOLID PHASE,911.0,810.79,189.49,911.0,739 CDM,PX-302000163,HC HLA CROSSMATCH EACH SERUM,327.0,291.03,31.6,327.0,734 CDM,PX-302000165,HC HLA TYPING A/B/C SNGL AG,209.0,186.01,25.29,209.0,736 CDM,PX-302000173,HC HTLV I AB,171.0,152.19,11.14,171.0,736 CDM,PX-302000175,HC HUMAN EPIDIDYMIS PROTEIN 4/HE4,446.0,396.94,20.81,446.0,736 CDM,PX-302000176,HC IA2 AB,180.0,160.2,23.1,180.0,741 CDM,PX-302000177,HC IFE OTHER FLUIDS,306.0,272.34,28.76,306.0,737 CDM,PX-302000178,HC IFE SERUM,205.0,182.45,21.89,205.0,735 CDM,PX-302000179,HC IFE URINE,306.0,272.34,28.76,306.0,737 CDM,PX-302000181,HC IMMUNOASSAY TUMOR CA 125,233.0,207.37,20.39,233.0,739 CDM,PX-302000182,HC IMMUNOASSAY TUMOR CA 15.3,223.0,198.47,20.39,223.0,738 CDM,PX-302000183,HC IMMUNOASSAY TUMOR CA 19-9,230.0,204.7,20.39,230.0,743 CDM,PX-302000184,HC IMMUNOASSAY TUMOR CA 27.29/CA 15-3,223.0,198.47,20.39,223.0,738 CDM,PX-302000191,HC INHIBIN A,141.0,125.49,15.28,141.0,736 CDM,PX-302000192,HC INSULIN AB,352.0,313.28,20.98,352.0,738 CDM,PX-302000194,HC INTRAOP/POSTOP BLOOD SALVAGE,847.0,753.83,176.18,1068.98,735 CDM,PX-302000195,HC INTRINSIC FACTOR AB,189.0,168.21,14.78,189.0,736 CDM,PX-302000197,HC LEGIONELLA AB,215.0,191.35,15.3,215.0,734 CDM,PX-302000198,HC LEISHMANIA AB,217.0,193.13,12.01,217.0,736 CDM,PX-302000199,HC LEPTOSPIRA AB,194.0,172.66,14.01,194.0,736 CDM,PX-302000203,HC LYME DISEASE AB,149.0,132.61,16.69,149.0,736 CDM,PX-302000204,HC LYME DISEASE CONFIRMATORY TEST,147.0,130.83,13.4,147.0,734 CDM,PX-302000206,HC LYMPHOCYTE BLASTOGENESIS AG,248.0,220.72,48.05,248.0,736 CDM,PX-302000207,HC LYMPHOCYTE BLASTOGENESIS MITOGENS,248.0,220.72,48.05,248.0,736 CDM,PX-302000210,HC M PNEUMONIAE AB EIA,117.0,104.13,11.45,117.0,737 CDM,PX-302000211,HC M PNEUMONIAE AB,117.0,104.13,11.45,117.0,737 CDM,PX-302000214,HC MICROSOMAL AB EA/TPO,145.0,129.05,14.26,145.0,740 CDM,PX-302000215,HC MICROSOMAL AB EA,145.0,129.05,14.26,145.0,740 CDM,PX-302000218,HC MONONUCLEAR CELL AG EA,156.0,138.84,26.24,156.0,738 CDM,PX-302000220,HC MUMPS AB IGG,148.0,131.72,12.79,148.0,737 CDM,PX-302000221,HC MUMPS AB IGM,148.0,131.72,12.79,148.0,737 CDM,PX-302000223,HC NATURAL KILLER TOTAL COUNT,189.0,168.21,36.98,189.0,740 CDM,PX-302000227,HC FLUORESCENT NONINF AG AB EA 6,128.0,113.92,11.81,128.0,741 CDM,PX-302000228,HC FLUORESCENT AB TITER EA 2,116.0,103.24,10.42,116.0,734 CDM,PX-302000232,HC PARVOVIRUS AB,152.0,135.28,14.73,152.0,737 CDM,PX-302000235,HC PLATELET ANTIBODIES,301.0,267.89,18.0,301.0,736 CDM,PX-302000237,HC PLATELET ANTIBODY CROSSMATCH,301.0,267.89,18.0,301.0,736 CDM,PX-302000242,HC PRETREAT SERUM AB ID ABSRP EA,167.0,148.63,34.74,167.0,734 CDM,PX-302000246,HC PROTOZOA AB NES,149.0,132.61,10.72,149.0,738 CDM,PX-302000247,HC PRTZA BABESIA MICROTI AB,149.0,132.61,10.72,149.0,738 CDM,PX-302000250,HC TRYPANOSOMA CRUZI AB IGG,149.0,132.61,10.72,149.0,738 CDM,PX-302000251,HC PURKINJE CELL AB TITER,128.0,113.92,11.81,128.0,741 CDM,PX-302000252,HC Q FEVER/COXIELLA BRUNETII AB IGG,62.0,55.18,11.88,62.0,737 CDM,PX-302000253,HC Q FEVER/COXIELLA BRUNETII AB IGM,62.0,55.18,11.88,62.0,737 CDM,PX-302000255,HC RBC AG NOT ABO/RH(D) EA,69.0,61.41,3.75,475.59,741 CDM,PX-302000262,HC RHEUMATOID FACTOR QUANT,64.0,56.96,5.56,64.0,737 CDM,PX-302000263,HC RICKETTSIA AB IGG,143.0,127.27,16.74,143.0,736 CDM,PX-302000264,HC RICKETTSIA AB IGM,143.0,127.27,16.74,143.0,736 CDM,PX-302000267,HC RUBELLA AB IGG,93.0,82.77,14.1,93.0,737 CDM,PX-302000269,HC RUBEOLA AB IGG,147.0,130.83,12.62,147.0,737 CDM,PX-302000270,HC RUBEOLA AB IGM,147.0,130.83,12.62,147.0,737 CDM,PX-302000274,HC SCHISTOSOMA AB,205.0,182.45,11.25,205.0,736 CDM,PX-302000277,HC SPLIT BLOOD EA UNIT,152.0,135.28,31.62,226.05,735 CDM,PX-302000278,HC SPOROTHRIX AB,205.0,182.45,10.6,205.0,736 CDM,PX-302000279,HC STEM CELLS TOTAL COUNT,303.0,269.67,63.02,303.0,737 CDM,PX-302000282,HC STRONGYLOIDES AB IGG,205.0,182.45,11.25,205.0,736 CDM,PX-302000284,HC SYPHILIS TPPA,99.0,88.11,12.98,99.0,739 CDM,PX-302000286,HC T CELL ABSOLUTE CD4/CD8 RATIO,316.0,281.24,46.04,316.0,741 CDM,PX-302000288,HC T CELL TOTAL COUNT,237.0,210.93,36.98,237.0,741 CDM,PX-302000289,HC TB INTRADERMAL TEST,44.0,39.16,9.15,44.0,736 CDM,PX-302000296,HC THYROGLOBULIN AB,138.0,122.82,15.59,138.0,737 CDM,PX-302000297,HC TOXOPLASMA AB IGG,186.0,165.54,12.45,186.0,736 CDM,PX-302000298,HC TOXOPLASMA IGM AB,190.0,169.1,12.46,190.0,736 CDM,PX-302000301,HC VARICELLA ZOSTER AB IGM,132.0,117.48,12.62,132.0,738 CDM,PX-302000302,HC VARICELLA ZOSTER AB,132.0,117.48,12.62,132.0,738 CDM,PX-302000303,HC VDRL,52.0,46.28,4.18,52.0,737 CDM,PX-302000305,HC WEST NILE VIRUS AB IGG,150.0,133.5,14.1,150.0,736 CDM,PX-302000306,HC WEST NILE VIRUS AB IGM,150.0,133.5,16.51,150.0,736 CDM,PX-302000308,HC POOLING BLOOD PRODUCTS,455.0,404.95,94.64,455.0,734 CDM,PX-302000314,HC COMPLEMENT AG EA COMPONENT,108.0,96.12,11.76,108.0,737 CDM,PX-302000316,HC HCV AB SCREEN,125.0,111.25,14.27,125.0,738 CDM,PX-302000331,HC NUCLEAR ANTIGEN ANTIBODY,104.0,92.56,17.57,104.0,737 CDM,PX-302000345,HC FLUORESCENT ANTIBODY SCREEN,128.0,113.92,11.81,128.0,741 CDM,PX-302000349,HC T CELL ABSOLUTE COUNT,258.0,229.62,26.78,258.0,735 CDM,PX-302000364,HC HIV-1 AG W/HIV-1 & HIV-2 AB,126.0,112.14,23.6,126.0,739 CDM,PX-302000366,HC LYMPHOCYTE BLASTOGENESIS,248.0,220.72,48.05,248.0,736 CDM,PX-302000367,HC ANTINUCLEAR ANTIBODIES HEP2,99.0,88.11,10.94,99.0,737 CDM,PX-302000370,HC CASPR2-IGG AB TITER,128.0,113.92,11.81,128.0,741 CDM,PX-302000371,HC LGI1-IGG AB CBA TITER,128.0,113.92,11.81,128.0,741 CDM,PX-302000372,HC SYPHILIS NON-TREPONEMAL AB QUAN,45.0,40.05,4.31,45.0,737 CDM,PX-302000373,"HC ZNT8, AB",180.0,160.2,23.1,180.0,741 CDM,PX-302000395,"HC HDV TOTAL AB, S",200.0,178.0,14.84,200.0,736 CDM,PX-302000401,HC ZIKA VIRUS AB,210.0,186.9,16.51,210.0,736 CDM,PX-302000412,HC FLUORESCENT AB TITER EA LEV 2,116.0,103.24,10.42,116.0,734 CDM,PX-302000413,HC FLUORESCENT NONINFCT AG AB EA LEV2,128.0,113.92,11.81,128.0,741 CDM,PX-302000416,HC REF ALLERGEN SPECIFIC IGG,21.09,18.77,4.39,21.09,736 CDM,PX-302000451,HC COMPLEMENT ANTIGEN EACH 1,108.0,96.12,11.76,108.0,737 CDM,PX-302000453,HC COMPLEMENT FUNC ACTVTY EA 3,156.0,138.84,11.76,156.0,736 CDM,PX-302000454,HC COMPLEMENT FUNC ACTVTY EA 2,156.0,138.84,11.76,156.0,736 CDM,PX-302000457,HC FLUORESCENT AB TITER EA 3,116.0,103.24,10.42,116.0,734 CDM,PX-302000458,HC IMMUNOASSAY TUMOR CA 19-9 1,230.0,204.7,20.39,230.0,743 CDM,PX-302000459,HC LYMPHOCYTE BLASTOGENESIS AG 1,248.0,220.72,48.05,248.0,736 CDM,PX-302000460,HC LYMPHOCYTE BLASTOGENESIS AG 2,248.0,220.72,48.05,248.0,736 CDM,PX-302000464,HC EHRLICHIA ANTIBODY 1,130.0,115.7,8.81,130.0,736 CDM,PX-302000466,HC HEV AB 1,171.0,152.19,11.14,171.0,736 CDM,PX-302000497,HC THSD7A AB,128.0,113.92,11.81,128.0,741 CDM,PX-302000505,HC TRANSFUSION RXN-DAT TUBE,62.0,55.18,5.28,78.27,739 CDM,PX-302000510,HC PARANEOPLASTIC PEMPHIGUS,132.0,117.48,11.81,132.0,741 CDM,PX-302000513,HC BLASTOMYCES AB EIA,139.0,123.71,11.16,139.0,738 CDM,PX-302000515,HC GFAP IFA TITER,116.0,103.24,10.42,116.0,734 CDM,PX-302000516,HC GFAP IFA,128.0,113.92,11.81,128.0,741 CDM,PX-302000517,HC GFAP CBA,128.0,113.92,11.81,128.0,741 CDM,PX-302000518,HC SRP IFA TITER,116.0,103.24,10.42,116.0,734 CDM,PX-302000519,HC CELLULAR FUNCTION W STIM 1,473.0,420.97,98.38,473.0,736 CDM,PX-302000520,HC CELLULAR FUNCTION W STIM 2,473.0,420.97,98.38,473.0,736 CDM,PX-302000521,HC MONONUCLEAR CELL AG EA 1,156.0,138.84,26.24,156.0,738 CDM,PX-302000523,HC MONONUCLEAR CELL AG EA 3,156.0,138.84,26.24,156.0,738 CDM,PX-302000524,HC MONONUCLEAR CELL AG EA 4,156.0,138.84,26.24,156.0,738 CDM,PX-302000525,HC T CELL TOTAL COUNT 1,237.0,210.93,36.98,237.0,741 CDM,PX-302000533,HC FRANCISELLA TULARENSIS 1,104.0,92.56,13.88,104.0,736 CDM,PX-302000534,HC FRANCISELLA TULARENSIS 2,104.0,92.56,13.88,104.0,736 CDM,PX-302000541,HC FLUORESCENT NONINF AG AB EA 4,128.0,113.92,11.81,128.0,741 CDM,PX-302000542,HC FLUORESCENT NONINF AG AB EA 5,128.0,113.92,11.81,128.0,741 CDM,PX-302000544,HC SARS-COV-2 ANTIBODY,95.0,84.55,19.76,95.0,736 CDM,PX-302000559,HC TB TEST CELL IMMUNITY MEASURE 2,294.0,261.66,60.74,294.0,736 CDM,PX-302000560,HC S PNEUMONIAE IGG AB TOTAL,101.0,89.89,14.69,101.0,737 CDM,PX-302000572,HC SARS-COV-2 SPIKE AB,95.0,84.55,19.76,95.0,736 CDM,PX-302000574,HC IFE SERUM 2,205.0,182.45,21.89,205.0,735 CDM,PX-302000587,HC FUNGUS AB NES EACH 2,205.0,182.45,10.6,205.0,736 CDM,PX-302000589,HC HBS ANTIGEN SCREEN CONFIRM,101.0,89.89,8.94,101.0,718 CDM,PX-302000590,HC KLHL11 AB IFA TITER,116.0,103.24,10.42,116.0,734 CDM,PX-302000596,HC HAEMOPHILUS INFL B AB IGG,224.0,199.36,15.52,224.0,736 CDM,PX-302000598,HC POWASSAN VIRUS IGM,171.0,152.19,11.14,171.0,736 CDM,PX-302000599,HC LYME DISEASE CONFIRMATORY TEST 2,147.0,130.83,13.4,147.0,734 CDM,PX-302000600,HC LYME DISEASE AB 4,149.0,132.61,16.69,149.0,736 CDM,PX-302000602,HC ENDOMYSIAL AB EA IG CLASS,167.0,148.63,12.09,167.0,735 CDM,PX-302000603,HC ENDOMYSIAL AB EA IG CLASS 2,146.0,129.94,12.09,146.0,735 CDM,PX-302000604,HC TISSUE TRANSGLUTAMINASE EA IG CLASS,130.0,115.7,11.3,130.0,738 CDM,PX-302000605,HC GLIADIN AB EA IG CLASS,140.0,124.6,12.05,140.0,733 CDM,PX-302000606,HC MOG-IGG1 AB FLOW CYTO EA,189.0,168.21,37.73,189.0,733 CDM,PX-302000607,HC AQUAPORIN-4 AB FLOW CYTO EA,199.0,177.11,37.73,199.0,735 CDM,PX-302000608,HC AQUAPORIN-4 AB FLOW CYTO EA 2,199.0,177.11,37.73,199.0,735 CDM,PX-302000609,HC MITOCHONDRIAL AB EA,192.0,170.88,22.01,192.0,735 CDM,PX-302000611,HC VOLTAGE-GTD CA CHNL AB EA,195.0,173.55,12.05,195.0,736 CDM,PX-302000612,HC ACTIN SMOOTH MUSCLE AB EA,152.0,135.28,10.42,152.0,735 CDM,PX-302000613,HC ANCA SCREEN EA AB,174.0,154.86,11.81,174.0,735 CDM,PX-302000614,HC ANCA SCREEN EA AB 2,174.0,154.86,11.81,174.0,735 CDM,PX-302000615,HC COMPLEMENT FUNC ACTVTY EA 5,156.0,138.84,11.76,156.0,736 CDM,PX-302000616,HC SYPHILIS TEST RPR QUAL,52.0,46.28,4.18,52.0,737 CDM,PX-302000619,HC HELMINTH AB NES 2,205.0,182.45,11.25,205.0,736 CDM,PX-302000620,HC PRTZA ENTAMOEBA HISTOLYTICA AB 2,149.0,132.61,10.72,149.0,738 CDM,PX-302000621,HC TRICHINELLA 2,163.0,145.07,10.86,163.0,736 CDM,PX-302000622,HC FLUORESCENT NONINF AG AB EA 8,128.0,113.92,11.81,128.0,741 CDM,PX-302000623,HC CONTACTIN-1 IGG CBA,128.0,113.92,11.81,128.0,741 CDM,PX-302000628,HC CHLAMYDIA AB 2,120.0,106.8,11.58,120.0,736 CDM,PX-302000629,HC CHLAMYDIA IGM AB 2,131.0,116.59,12.43,131.0,736 CDM,PX-302000630,HC QFEVER ANTIBODY SCRN,62.0,55.18,11.88,62.0,737 CDM,PX-302000631,HC HELMINTH AB NES 3,205.0,182.45,11.25,205.0,736 CDM,PX-302000636,HC ACHR MODULATE FLOW CYTO,136.0,121.04,11.81,136.0,734 CDM,PX-302000637,HC GLYCINE ALPHA 1 LCBA,136.0,121.04,28.29,136.0,734 CDM,PX-302000638,HC KELCH LIKE PROTEIN 11 QUAL,136.0,121.04,28.29,136.0,736 CDM,PX-302000640,"HC HEP B SCRN SURF AB (HBBSN, HBSNQ, HBSQN)",97.0,86.33,10.53,97.0,736 CDM,PX-302000641,"HC HEP B SCRN CORE AB TOT (HBCSN, HBCT2)",109.0,97.01,10.42,109.0,739 CDM,PX-302000642,HC HEP B SCRN HIGH RISK INDIV,235.0,209.15,26.06,235.0,718 CDM,PX-302000643,"HC RARE SUBEPI BLISTERING VARIANTS, S",132.0,117.48,11.81,132.0,741 CDM,PX-302000645,HC FLUORESCENT NONINF AG AB EA 10,128.0,113.92,11.81,128.0,741 CDM,PX-302000646,HC FLUORESCENT NONINF AG AB EA 11,128.0,113.92,11.81,128.0,741 CDM,PX-302000647,HC FLUORESCENT AB TITER EA 6,116.0,103.24,10.42,116.0,734 CDM,PX-302000651,HC SYPHILIS NON-TREPONEMAL AB QUAN 2,45.0,40.05,4.31,45.0,737 CDM,PX-302000652,HC TREPONEMA PALLIDUM AB 2,99.0,88.11,12.98,99.0,739 CDM,PX-302000653,HC TREPONEMA PALLIDUM AB 3,99.0,88.11,12.98,99.0,739 CDM,PX-302000654,HC COMPLEMENT FUNC ACTVTY EA 6,156.0,138.84,11.76,156.0,736 CDM,PX-302000656,HC ANTIBODY ID LEUKOCYTE AB,239.0,212.71,14.75,239.0,736 CDM,PX-302000657,HC STREP PNEUM AB MULTIPLEX,356.0,316.84,74.05,356.0,734 CDM,PX-302000658,HC NUCLEAR ANTIGEN ANTIBODY 2,104.0,92.56,17.57,104.0,737 CDM,PX-302000667,HC B CELL TOTAL COUNT 2,226.0,201.14,36.98,226.0,741 CDM,PX-302000668,HC NATURAL KILLER TOTAL COUNT 2,183.0,162.87,36.98,183.0,740 CDM,PX-30220,PR INS NASAL/SEPTAL PROSTH BUTTON,1378.0,1226.42,104.41,1378.0,508 CDM,PX-30300,PR RMVL FB INTRANASAL OFFICE PROC,839.0,746.71,74.21,839.0,507 CDM,PX-30310,PR RMVL FB INTRANASAL GEN ANES,1180.0,1050.2,76.36,1180.0,482 CDM,PX-30400,PR RHINP PRIM/LAT CRTLG NASALTIP,4917.0,4376.13,478.39,4917.0,482 CDM,PX-30410,PR RHINP PRIM COMPLT EXTRNL PARTS,6424.0,5717.36,537.96,6424.0,482 CDM,PX-30420,PR RHINP PRIM W MJR SEPTAL REPAIR,9339.0,8311.71,519.47,9339.0,482 CDM,PX-30430,PR RHINP SECNDRY MINOR REVISION,5041.0,4486.49,428.39,5041.0,482 CDM,PX-30435,PR RHINP SECNDRY INT REVISION,7403.0,6588.67,513.86,7403.0,482 CDM,PX-30450,PR RHINP SECNDRY MAJOR REVISION,10778.0,9592.42,645.66,10778.0,482 CDM,PX-30460,PR RHINOPLASTY TIP ONLY,6273.0,5582.97,299.59,6273.0,482 CDM,PX-30462,PR RHINOPLASTY TIP/SEPT/OSTEOT,16856.0,15001.84,569.17,16856.0,482 CDM,PX-30465,PR RPR NASAL VESTIBULAR STENOSIS,6911.0,6150.79,364.81,6911.0,482 CDM,PX-305000005,HC ALPHA 2 PLASMIN INHIBITOR,216.0,192.24,7.56,216.0,736 CDM,PX-305000006,HC ANTITHROMBIN III ACTIVITY,177.0,157.53,11.61,177.0,737 CDM,PX-305000007,HC ANTITHROMBIN III ANTIGEN,188.0,167.32,10.59,188.0,734 CDM,PX-305000008,HC APC RESISTANCE V,224.0,199.36,15.01,224.0,737 CDM,PX-305000009,HC APTT MIXING STUDY EACH,114.0,101.46,6.34,114.0,736 CDM,PX-305000015,HC CBC AUTO WO DIFF,52.0,46.28,5.6,52.0,745 CDM,PX-305000016,HC CBC W AUTO DIFF,76.0,67.64,6.72,76.0,748 CDM,PX-305000017,HC CHROMOGENIC FACTOR X ACTIVITY,272.0,242.08,15.48,272.0,736 CDM,PX-305000018,HC CLOT SOLUBILITY FACTOR XIII,218.0,194.02,8.93,218.0,736 CDM,PX-305000019,HC COAGULATION TIME ACTIVATED,29.0,25.81,4.19,29.0,745 CDM,PX-305000021,HC FACTOR II ACTIVITY,276.0,245.64,11.23,276.0,736 CDM,PX-305000022,HC FACTOR INHIBITOR BETHESDA TITER,340.0,302.6,11.13,340.0,736 CDM,PX-305000023,HC FACTOR INHIBITOR SCREEN,329.0,292.81,11.13,329.0,736 CDM,PX-305000024,HC FACTOR IX ASSAY,320.0,284.8,16.47,320.0,736 CDM,PX-305000025,HC FACTOR V ACTIVITY,373.0,331.97,15.27,373.0,736 CDM,PX-305000026,HC FACTOR VII ACTIVITY,312.0,277.68,15.48,312.0,736 CDM,PX-305000027,HC FACTOR VIII 1 STAGE ASSAY,266.0,236.74,17.54,266.0,736 CDM,PX-305000028,HC FACTOR X ASSAY,312.0,277.68,15.48,312.0,736 CDM,PX-305000029,HC FACTOR XI ASSAY,279.0,248.31,15.48,279.0,736 CDM,PX-305000030,HC FACTOR XII ASSAY,320.0,284.8,16.74,320.0,736 CDM,PX-305000033,HC FIBRINOGEN ACTIVITY,86.0,76.54,9.53,86.0,740 CDM,PX-305000034,HC FIBRINOGEN ANTIGEN,82.0,72.98,14.17,82.0,736 CDM,PX-305000035,HC FIBRINOLYSINS/COAGULOPATHY I&R,126.0,112.14,15.17,126.0,736 CDM,PX-305000036,HC HEMATOCRIT SPUN,32.0,28.48,6.66,32.0,736 CDM,PX-305000037,HC HEMATOCRIT,30.0,26.7,2.32,30.0,741 CDM,PX-305000038,HC HEMOGLOBIN,26.0,23.14,2.32,26.0,743 CDM,PX-305000039,HC HEPARIN ASSAY,312.0,277.68,11.32,312.0,738 CDM,PX-305000040,HC HEPARIN-PROTAMINE TOL,147.0,130.83,13.09,147.0,735 CDM,PX-305000041,HC HEXAGONAL PHOSPHOLIPID ASSAY,222.0,197.58,17.62,222.0,736 CDM,PX-305000042,HC HGB/RBC FETAL ROSETTE,35.0,31.15,7.28,35.0,737 CDM,PX-305000043,HC IMMATURE PLT FRACTION,163.0,145.07,33.9,163.0,735 CDM,PX-305000046,HC MURAMIDASE (LYSOZYME),143.0,127.27,18.38,143.0,736 CDM,PX-305000047,HC OSMOTIC FRAGILITY INCUBATED,179.0,159.31,13.09,179.0,734 CDM,PX-305000048,HC PLASMINOGEN ACTIVITY,286.0,254.54,6.4,286.0,736 CDM,PX-305000049,HC PLATELET AGGREGATION EA,155.0,137.95,24.41,155.0,737 CDM,PX-305000050,HC PLATELET COUNT AUTO,34.0,30.26,3.88,34.0,741 CDM,PX-305000051,HC PLATELET NEUTRALIZATION,190.0,169.1,17.62,190.0,736 CDM,PX-305000052,HC PROTEIN C ACTIVITY,249.0,221.61,13.56,249.0,737 CDM,PX-305000053,HC PROTEIN C ANTIGEN,303.0,269.67,11.77,303.0,736 CDM,PX-305000054,HC PROTEIN S FREE,242.0,215.38,15.01,242.0,737 CDM,PX-305000055,HC PROTEIN S TOTAL,290.0,258.1,10.04,290.0,736 CDM,PX-305000056,HC PROTHROMBIN MIXING STUDIES,72.0,64.08,3.86,72.0,736 CDM,PX-305000057,HC PROTHROMBIN TIME,38.0,33.82,4.2,38.0,749 CDM,PX-305000059,HC RBC SICKLING REDUCTION,65.0,57.85,4.77,65.0,737 CDM,PX-305000060,HC REPTILASE TEST,139.0,123.71,8.52,139.0,737 CDM,PX-305000061,HC RETICULOCYTE COUNT AUTO,41.0,36.49,3.91,41.0,738 CDM,PX-305000063,HC RISTOCETIN COFACTOR,288.0,256.32,22.48,288.0,736 CDM,PX-305000064,HC RUSSELL VIPER VENOM DILUTED,99.0,88.11,9.39,99.0,737 CDM,PX-305000065,HC SEDIMENTATION RATE AUTOMATED,40.0,35.6,2.65,40.0,745 CDM,PX-305000067,HC SOLUBLE FIBIRIN MONOMER COMPLEX,220.0,195.8,45.76,220.0,736 CDM,PX-305000070,HC THROMBIN TIME,83.0,73.87,5.65,83.0,737 CDM,PX-305000071,HC THROMBOPLASTIN TIME (APTT),64.0,56.96,5.89,64.0,743 CDM,PX-305000073,HC VISCOSITY,128.0,113.92,11.44,128.0,736 CDM,PX-305000074,HC VON WILLEBRAND FACTOR ACTIVITY,336.0,299.04,30.24,336.0,736 CDM,PX-305000075,HC VON WILLEBRAND FACTOR ANTIGEN,319.0,283.91,22.48,319.0,737 CDM,PX-305000076,HC XANTHOCHROMIA BODY FLUIDS,128.0,113.92,26.62,128.0,721 CDM,PX-305000077,HC BLOOD MANUAL DIFF,37.0,32.93,3.29,37.0,746 CDM,PX-305000078,HC D-DIMER QUANT,104.0,92.56,9.98,104.0,742 CDM,PX-305000079,HC WILLEBRAND FACTOR MULTIMERANALYSIS,427.0,380.03,22.48,427.0,736 CDM,PX-305000081,HC BLOOD SMEAR WO DIFF WBC,35.0,31.15,2.97,35.0,718 CDM,PX-305000084,HC OCCULT BLOOD FECES IMMUNOASSAY,89.0,79.21,15.92,89.0,736 CDM,PX-305000091,HC SEMEN ANALYSIS MOTILITY&COUNT,106.0,94.34,7.45,106.0,736 CDM,PX-305000095,HC FACTOR XIII ACTIVITY,338.0,300.82,16.01,338.0,734 CDM,PX-305000098,"HC PS/PT AB,IGG/IGM,S",145.0,129.05,13.9,145.0,736 CDM,PX-305000100,HC CHROMOGENIC FIX,189.0,168.21,11.65,189.0,736 CDM,PX-305000101,HC CHROMOGENIC FVIII 2,170.0,151.3,11.65,170.0,736 CDM,PX-305000103,HC EOSINOPHIL COUNT NASAL SWAB,41.0,36.49,36.8,36.8,1 CDM,PX-305000114,HC HEMATOCRIT 1,29.0,25.81,2.32,29.0,741 CDM,PX-305000115,HC HEMATOCRIT 2,30.0,26.7,2.32,30.0,741 CDM,PX-305000116,HC HEMOGLOBIN 2,26.0,23.14,2.32,26.0,743 CDM,PX-305000117,HC HEMOGLOBIN 3,30.0,26.7,2.32,30.0,743 CDM,PX-305000119,HC PLATELET COUNT AUTO 1,34.0,30.26,3.88,34.0,741 CDM,PX-305000124,HC CHROMOGENIC FACTOR VIII INHIBITOR,296.0,263.44,11.13,296.0,736 CDM,PX-305000125,HC VWD 2N (NORMANDY),340.0,302.6,22.48,340.0,737 CDM,PX-305000133,HC RETICYTE/HGB CONCENTRATE 2,42.0,37.38,5.46,42.0,743 CDM,PX-305000139,HC COAG FUNCTIONAL ACTIVITY NOS 2,319.0,283.91,30.24,319.0,736 CDM,PX-305000140,HC FACTOR INHIBITOR TEST,340.0,302.6,11.13,340.0,736 CDM,PX-305000142,HC MECHANICAL FRAGILITY RBC,103.0,91.67,8.6,103.0,735 CDM,PX-30520,PR SEPTO/SUBM RESEC W/WO CART GRFT,4441.0,3952.49,244.67,4441.0,482 CDM,PX-30540,PR RPR CHOANAL ATRESIA INTRANASAL,5225.0,4650.25,268.08,5225.0,482 CDM,PX-30560,PR LYSIS INTRANASAL SYNECHIA,1081.0,962.09,110.48,1081.0,508 CDM,PX-30580,PR REPAIR FISTULA OROMAXILLARY,3193.0,2841.77,251.41,3193.0,482 CDM,PX-30600,PR REPAIR FISTULA ORONASAL,2809.0,2500.01,243.55,2809.0,482 CDM,PX-306000002,HC DETECT AGENT NOS DNA AMP,181.0,161.09,30.35,181.0,742 CDM,PX-306000003,HC DETECT AGENT NOS DNA QUANT 1,231.0,205.59,41.98,231.0,739 CDM,PX-306000004,HC AG DETECT NOS EIA MULT,142.0,126.38,11.74,142.0,738 CDM,PX-306000005,HC AGENT NOS ASSAY W OPTIC,90.0,80.1,15.75,90.0,738 CDM,PX-306000006,HC ANTIMICROBIAL SUSCEPTIBILITY,46.0,40.94,4.66,46.0,739 CDM,PX-306000008,HC ASPERGILLUS AG EIA,167.0,148.63,10.36,167.0,741 CDM,PX-306000009,HC BABESIA (BABPB/LBAB/BABPR/LBABP-NCCI),97.0,86.33,20.18,97.0,742 CDM,PX-306000011,HC BARTONELLA BY RAPID PCR,353.0,314.17,68.8,353.0,741 CDM,PX-306000012,HC BETA LACTAMASE,66.0,58.74,4.66,66.0,738 CDM,PX-306000014,HC BK VIRUS DNA QN BY RAPID PCR,231.0,205.59,41.98,231.0,739 CDM,PX-306000016,HC BORDETELLA (BPRPV/BPRP-NCCI),181.0,161.09,30.35,181.0,742 CDM,PX-306000019,HC C DIFFICILE TOXIN AMPL PROBE,198.0,176.22,32.24,198.0,737 CDM,PX-306000022,HC CARBAPENEMASE,66.0,58.74,4.66,66.0,738 CDM,PX-306000025,HC CHLAMYDIA TRACH DNA AMPL PROBE,217.0,193.13,34.39,217.0,739 CDM,PX-306000027,HC CLOSTRIDIUM TOXIN AG EIA,151.0,134.39,11.74,151.0,734 CDM,PX-306000028,HC CMV DNA AMPL PROBE QUAL,267.0,237.63,30.35,267.0,737 CDM,PX-306000030,HC COCCIDIOIDES BY RAPID PCR,181.0,161.09,30.35,181.0,742 CDM,PX-306000032,HC CONC FOR INFECTIOUS AGENT,69.0,61.41,6.55,69.0,742 CDM,PX-306000034,HC COXIELLA BURNETII/Q FEVER PC,181.0,161.09,30.35,181.0,742 CDM,PX-306000037,HC CRYPTOCOCCUS AG W OPTIC,90.0,80.1,15.75,90.0,738 CDM,PX-306000038,HC CRYPTOSPORIDIUM AG EIA,87.0,77.43,13.54,87.0,734 CDM,PX-306000039,HC CULT AEROBIC COMM KIT ID EA,73.0,64.97,7.92,73.0,742 CDM,PX-306000040,HC CULT AEROBIC DEFIN ID EA ISOL,73.0,64.97,7.92,73.0,742 CDM,PX-306000041,HC CULT AEROBIC OTHER PRESUMPT ID,87.0,77.43,8.45,87.0,745 CDM,PX-306000043,HC CULT AFB PRES ID,123.0,109.47,10.58,123.0,745 CDM,PX-306000044,HC CULT ANAEROBIC DEFIN ID EA ISOL,85.0,75.65,7.92,85.0,740 CDM,PX-306000045,HC CULT ANAEROBIC ISOL PRES ID,118.0,105.02,9.28,118.0,743 CDM,PX-306000046,HC CULT BLOOD ISOL W PRES ID,95.0,84.55,8.93,95.0,740 CDM,PX-306000048,HC CULT FUNGI DEFIN ID MOLD,106.0,94.34,10.11,106.0,739 CDM,PX-306000049,HC CULT FUNGI DEFIN ID YEAST,87.0,77.43,10.11,87.0,740 CDM,PX-306000050,HC CULT FUNGI PRES ID BLOOD,95.0,84.55,17.7,95.0,740 CDM,PX-306000051,HC CULT FUNGI PRES ID HAIR/SK/NA,97.0,86.33,7.56,97.0,739 CDM,PX-306000052,HC CULT FUNGI PRESUMPT ID OTHER,87.0,77.43,8.24,87.0,744 CDM,PX-306000053,HC CULT ID BY SEQUENCING ANAEROBE,573.0,509.97,99.79,573.0,739 CDM,PX-306000054,HC CULTURE TYPING BY NUC ACID SEQ 1,573.0,509.97,99.79,573.0,739 CDM,PX-306000055,HC CULTURE TYPING BY NUC ACID SEQ 3,573.0,509.97,99.79,573.0,739 CDM,PX-306000056,HC CULT MYCOBACTERIA DEFIN ID,82.0,72.98,14.32,82.0,739 CDM,PX-306000059,HC CULT SINGLE SPECIFIC ORG EACH,55.0,48.95,6.5,55.0,745 CDM,PX-306000061,HC CULT STOOL AEROBIC SALM SHIG,101.0,89.89,8.17,101.0,736 CDM,PX-306000062,HC CULT TYPE ID BY AMPL PROBE,207.0,184.23,34.39,207.0,737 CDM,PX-306000066,HC CULT/COLONY COUNT QUANT URINE,64.0,56.96,7.91,64.0,742 CDM,PX-306000069,HC DETECT AGENT NOS DNA QUANT,231.0,205.59,41.98,231.0,739 CDM,PX-306000071,HC EHRLICHIA/ANAPLASMA (EHRL/EPCRB-NCCI),97.0,86.33,20.18,97.0,742 CDM,PX-306000072,HC EIA HEP B AG NEUTRALIZATION,121.0,107.69,10.12,121.0,734 CDM,PX-306000075,HC ENTEROVIRUS,224.0,199.36,34.39,224.0,737 CDM,PX-306000076,HC EPSTEIN BARR AMPL PROBE,181.0,161.09,30.35,181.0,742 CDM,PX-306000081,HC GASTROINTESTIONAL PATHOGEN PANEL,834.0,742.26,173.47,834.0,739 CDM,PX-306000083,HC GIARDIA AG EIA,90.0,80.1,11.74,90.0,734 CDM,PX-306000088,HC HEP B PCR QUANT,699.0,622.11,41.98,699.0,737 CDM,PX-306000089,HC HEP B SURF AG,80.0,71.2,10.12,80.0,741 CDM,PX-306000093,HC HEP C PCR QUANT,448.0,398.72,37.06,448.0,737 CDM,PX-306000094,HC HEPATITIS BE AG EIA,108.0,96.12,9.97,108.0,736 CDM,PX-306000096,HC HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/HSVC/LHSVC/HSVZA/HSVA-NCCI),256.0,227.84,34.39,256.0,739 CDM,PX-306000098,HC HHV-6 BY RAPID PCR,183.0,162.87,34.39,183.0,736 CDM,PX-306000100,HC HISTOPLASMA CAPSULATUM AG EIA,233.0,207.37,11.46,233.0,736 CDM,PX-306000101,HC HIV 1 PCR QUANT,603.0,536.67,83.4,603.0,737 CDM,PX-306000103,HC HIV-1 AG W HIV-1 & HIV-2 AB SCRN,126.0,112.14,23.6,126.0,739 CDM,PX-306000106,HC HOMOGENIZATION TISS FOR CULT,74.0,65.86,5.76,74.0,745 CDM,PX-306000108,"HC HPV HIGH RISK, SCREENING",198.0,176.22,34.39,198.0,736 CDM,PX-306000109,HC ID MTBCX SPECIATION PCR,207.0,184.23,34.39,207.0,737 CDM,PX-306000110,HC INF AGENT NOS AMPL PROBE EA ORGSM,181.0,161.09,30.35,181.0,742 CDM,PX-306000115,HC JC VIRUS DETECTION BY PCR,175.0,155.75,30.35,175.0,742 CDM,PX-306000119,HC LEGIONELLA AG URINE W OPTIC,90.0,80.1,15.75,90.0,738 CDM,PX-306000121,HC LEGIONELLA SPECIES DETECTION,353.0,314.17,68.8,353.0,741 CDM,PX-306000123,HC MACROSCOPIC EXAM ARTHROPOD,73.0,64.97,4.18,73.0,736 CDM,PX-306000124,HC MACROSCOPIC EXAM PARASITE,50.0,44.5,3.73,50.0,736 CDM,PX-306000126,HC MALARIA DETECTION RAPID PCR,181.0,161.09,30.35,181.0,742 CDM,PX-306000129,HC MRSA AMPL PROBE,153.0,136.17,31.82,153.0,738 CDM,PX-306000130,HC MTB COMPLEX BY RAPID PCR,304.0,270.56,40.85,304.0,737 CDM,PX-306000131,HC CULTURE TYPING BY NUC ACID SEQ 2,573.0,509.97,99.79,573.0,739 CDM,PX-306000133,HC MYCOBACTERIA BROTH PROBE ID,207.0,184.23,34.39,207.0,737 CDM,PX-306000135,HC MYCOBACTERIA PROBE ID,207.0,184.23,34.39,207.0,737 CDM,PX-306000137,HC MYCOPLASMA HOMINIS AMP PROBE,175.0,155.75,30.35,175.0,742 CDM,PX-306000138,HC MYCOPLASMA PNEUMO AMPL PROBE,129.0,114.81,26.83,129.0,736 CDM,PX-306000139,HC NEISSERIA GONORR DNA AMPL,222.0,197.58,34.39,222.0,739 CDM,PX-306000144,HC OVA & PARASITE CONC & ID,75.0,66.75,7.7,75.0,736 CDM,PX-306000146,HC PARVOVIRUS B19 BY RAPID PCR,181.0,161.09,30.35,181.0,742 CDM,PX-306000147,HC PINWORM EXAM,65.0,57.85,3.69,65.0,736 CDM,PX-306000150,HC RESP VIRUS 12 TO 25 TARGETS,834.0,742.26,173.47,834.0,735 CDM,PX-306000151,HC RESP VIRUS 3 TO 5 TARGETS,424.0,377.36,88.19,424.0,738 CDM,PX-306000153,HC ROTAVIRUS AG EIA,151.0,134.39,11.74,151.0,734 CDM,PX-306000157,HC SEROTYPING AGGLUT EA METH >2,44.0,39.16,5.08,44.0,734 CDM,PX-306000158,HC SEROTYPING AGGLUT EA METH 1,44.0,39.16,5.08,44.0,734 CDM,PX-306000159,HC SEROTYPING AGGLUT EA METH 2,44.0,39.16,5.08,44.0,734 CDM,PX-306000162,HC INF AGENT NOS AMPL PROBE EA ORGSM 2,181.0,161.09,30.35,181.0,742 CDM,PX-306000163,HC SMEAR ACID FAST ANY SOURCE,72.0,64.08,4.66,72.0,745 CDM,PX-306000164,HC SMEAR COMPLEX STAIN O&P,107.0,95.23,15.55,107.0,736 CDM,PX-306000165,HC SMEAR FILARIA BLOOD,95.0,84.55,5.87,95.0,734 CDM,PX-306000166,HC SMEAR GRAM STAIN,35.0,31.15,4.18,35.0,743 CDM,PX-306000167,HC SMEAR MALARIA/BABESIA,95.0,84.55,5.87,95.0,734 CDM,PX-306000168,HC SMEAR PNEUMOCYSTIS,72.0,64.08,4.66,72.0,745 CDM,PX-306000169,HC SMEAR WET MOUNT,34.0,30.26,5.7,34.0,735 CDM,PX-306000170,HC SPECIAL STAIN INCL OR PARASITE,95.0,84.55,5.87,95.0,734 CDM,PX-306000174,HC STREP PNEUMONIAE AG W OPTIC,90.0,80.1,15.75,90.0,738 CDM,PX-306000177,HC CULT SINGLE SPECIFIC ORG EACH 2,55.0,48.95,6.5,55.0,745 CDM,PX-306000178,HC SUSCEPT MACROBROTH EA DRUG,112.0,99.68,6.51,112.0,737 CDM,PX-306000179,HC SUSCEPTIBILITY DISK PER PLATE,64.0,56.96,6.47,64.0,734 CDM,PX-306000181,HC SUSCEPTIBILITY PER PLATE 1,69.0,61.41,8.48,69.0,742 CDM,PX-306000182,HC SUSCEPTIBILITY PER PLATE 2,69.0,61.41,8.48,69.0,742 CDM,PX-306000183,HC SUSCEPTIBLITY PANEL YEAST,69.0,61.41,8.48,69.0,742 CDM,PX-306000186,HC TOXOPLASMA GONDII AMPL PB,175.0,155.75,30.35,175.0,742 CDM,PX-306000187,HC TOXOPLASMA GONDII PCR CSF,181.0,161.09,30.35,181.0,742 CDM,PX-306000189,HC TRICHOMONAS VAG AMP PROBE,184.0,163.76,34.39,184.0,739 CDM,PX-306000192,HC UREAPLASMA PCR (URBRP/URPRP/URRP?NCCI),181.0,161.09,30.35,181.0,742 CDM,PX-306000194,HC VARICELLA ZOSTER VIRUS DETECT,175.0,155.75,30.35,175.0,742 CDM,PX-306000199,HC VIRUS ID SHELL VIAL,154.0,137.06,19.56,154.0,735 CDM,PX-306000200,HC VRE BY RAPID PCR,116.0,103.24,24.13,116.0,736 CDM,PX-306000201,HC WEST NILE AMPL PROBE,175.0,155.75,30.35,175.0,742 CDM,PX-306000202,HC WHIPPLES DISEASE DNA DETECT,181.0,161.09,30.35,181.0,742 CDM,PX-306000203,HC CYTOMEGALOVIRUS DETECTION/PCR,267.0,237.63,30.35,267.0,737 CDM,PX-306000207,HC MICROSPORIDIA PCR,181.0,161.09,30.35,181.0,742 CDM,PX-306000209,HC STOOL CULT AEROBIC BACT EA,81.0,72.09,8.17,81.0,734 CDM,PX-306000211,HC SUSCEPTIBILITY ANAEROBIC,46.0,40.94,4.66,46.0,739 CDM,PX-306000220,HC CULT TYPE ID BY AMPL PROBE 2,207.0,184.23,34.39,207.0,737 CDM,PX-306000226,HC Q FEVER PCR,181.0,161.09,30.35,181.0,742 CDM,PX-306000232,HC CNS DNA AMP PROBE TYPE 12-25,834.0,742.26,173.47,834.0,738 CDM,PX-306000234,HC STAIN SLIDE EXAM,107.0,95.23,15.55,107.0,736 CDM,PX-306000242,HC BALAMUTHIA MANDRILLARIS AMPL PROBE (FLARP-NCCI),181.0,161.09,30.35,181.0,742 CDM,PX-306000243,HC NAEGLERIA FOWLERI AMPL PROBE (FLARP-NCCI),181.0,161.09,30.35,181.0,742 CDM,PX-306000244,"HC ACANTHAMOEBA SPECIES, PCR",175.0,155.75,30.35,175.0,742 CDM,PX-306000265,HC ZIKA VIRUS AMPL PROBE,511.0,454.79,51.31,511.0,735 CDM,PX-306000270,HC EBV DNA DETECT QUANT,231.0,205.59,41.98,231.0,739 CDM,PX-306000287,HC CMV PCR QUANT A1,561.0,499.29,37.06,561.0,742 CDM,PX-306000297,HC CULT AEROBIC DEFIN ID EA ISOL 2,73.0,64.97,7.92,73.0,742 CDM,PX-306000298,HC CULT AEROBIC DEFIN ID EA ISOL 1,73.0,64.97,7.92,73.0,742 CDM,PX-306000299,HC CULT SINGLE SPECIFIC ORG EACH 1,55.0,48.95,6.5,55.0,745 CDM,PX-306000302,HC SUSCEPTIBILITY PER PLATE 3,69.0,61.41,8.48,69.0,742 CDM,PX-306000304,HC HIV-1 AG W HIV-1 & HIV-2 AB SCRN 1,126.0,112.14,23.6,126.0,739 CDM,PX-306000308,HC INF AGENT NOS AMPL PROBE EA ORGSM 1,181.0,161.09,30.35,181.0,742 CDM,PX-306000309,HC MULT ORGANISM AMPL PROBE 1,353.0,314.17,68.8,353.0,741 CDM,PX-306000310,HC HEP C GENOTYPE DNA REVERSE 1,1300.0,1157.0,222.69,1300.0,736 CDM,PX-306000320,"HC GROUP A STREP PCR, THROAT",169.0,150.41,34.39,169.0,737 CDM,PX-306000321,"HC STREP GROUP A, PCR, POCT",169.0,150.41,34.39,169.0,737 CDM,PX-306000331,"HC CHIKUNGUNYA VIRUS, PCR",181.0,161.09,30.35,181.0,742 CDM,PX-306000338,HC SUSCEPTIBILITY PER PLATE 4,69.0,61.41,8.48,69.0,742 CDM,PX-306000346,HC INFCT DIS CULTURE W/FISH 6+ TARGETS,437.0,388.93,90.9,437.0,736 CDM,PX-306000347,HC B BURGDORFERI PCR (PBORB/PBORR-NCCI),91.0,80.99,18.93,91.0,737 CDM,PX-306000348,HC B MAYONII PCR (PBORB/PBORR-NCCI),91.0,80.99,18.93,91.0,742 CDM,PX-306000349,HC B GARINII/B AFZELII PCR (PBORB/PBORR-NCCI),91.0,80.99,18.93,91.0,742 CDM,PX-306000351,HC FUNGITELL,142.0,126.38,11.74,142.0,738 CDM,PX-306000352,"HC CRYPTOCOCCUS AG SCRN, LFA",90.0,80.1,15.75,90.0,738 CDM,PX-306000353,"HC CRYPTOCOCCUS AG TITER, LFA",90.0,80.1,15.75,90.0,738 CDM,PX-306000356,HC DENGUE VIRUS PCR,175.0,155.75,30.35,175.0,742 CDM,PX-306000357,HC M GENITALIUM AMP PROBE,196.0,174.44,30.35,196.0,736 CDM,PX-306000363,HC SARS-COVID19,136.0,121.04,28.29,136.0,740 CDM,PX-306000366,HC SARS-COVID19 2,136.0,121.04,28.29,136.0,740 CDM,PX-306000370,HC DNA/RNA AMPLIFIED PROBE EACH,207.0,184.23,34.39,207.0,737 CDM,PX-306000373,HC CANDIDA AMP PROBE,151.0,134.39,31.41,151.0,740 CDM,PX-306000374,HC CANDIDA DNA AMP PROBE 2,151.0,134.39,31.41,151.0,740 CDM,PX-306000376,HC BRBS PCR AND SEQUENCING,175.0,155.75,30.35,175.0,742 CDM,PX-306000378,HC H PYLORI+CLARITHRO RESIST,181.0,161.09,30.35,181.0,742 CDM,PX-306000381,HC CULT ANAEROBIC ISOL PRES ID 2,118.0,105.02,9.28,118.0,743 CDM,PX-306000382,HC CULT AEROBIC OTHER PRESUMPT ID 2,87.0,77.43,8.45,87.0,745 CDM,PX-306000383,HC SARSCOV2 & INF A&B AMP PRB,324.0,288.36,67.39,324.0,739 CDM,PX-306000385,HC CULT STOOL ADD PATHOGENS EA 2,81.0,72.09,8.17,81.0,734 CDM,PX-306000386,HC DNA/RNA AMPLIFIED PROBE EACH 2,207.0,184.23,34.39,207.0,737 CDM,PX-306000389,HC RSV DNA/RNA AMP PROBE,236.0,210.04,49.09,236.0,736 CDM,PX-306000390,HC RESPIR PATH 22 TARGETS,834.0,742.26,173.47,834.0,739 CDM,PX-306000398,HC DETECT AGENT NOS DNA AMP 2,175.0,155.75,30.35,175.0,742 CDM,PX-306000401,HC BLASTOMYCES AG QUANT EIA,142.0,126.38,11.74,142.0,738 CDM,PX-306000409,HC ACANTHAMOEBA SPECIES (FLARP-NCCI),175.0,155.75,30.35,175.0,742 CDM,PX-306000410,HC BCB BCID MULTIPLEX PCR,207.0,184.23,34.39,207.0,737 CDM,PX-306000418,HC CULTURE TYPE BLD PATH 6+ TARGET,436.0,388.04,90.69,436.0,735 CDM,PX-306000421,"HC SARSCOV2,INF A/B, RSV MULT AMP PROBE",430.0,382.7,89.44,430.0,736 CDM,PX-306000422,HC SARSCOV CORONAVIRUS AG IA,81.0,72.09,16.85,81.0,736 CDM,PX-306000430,HC INFECT AGNT DETECT ORTHOPOXVIRUS,117.0,104.13,24.34,117.0,734 CDM,PX-306000433,HC HEPATITIS B SURFACE AG QUAN,165.0,146.85,24.81,165.0,734 CDM,PX-306000434,HC ANAPLASMA PHAGOCYTOPHILUM (EHRL/EPCRB-NCCI),91.0,80.99,18.93,91.0,734 CDM,PX-306000435,HC EHRLICHIA CHAFFEENSIS (EHRL/EPCRB-NCCI),91.0,80.99,18.93,91.0,734 CDM,PX-306000436,HC BABESIA (LBAB/LBABP-NCCI),91.0,80.99,18.93,91.0,734 CDM,PX-306000437,HC BORRELIA MIYAMOTOI AMP PRB,204.0,181.56,34.39,204.0,734 CDM,PX-306000438,HC BORRELIA MIYAMOTOI AMP PRB 2,204.0,181.56,34.39,204.0,734 CDM,PX-306000441,HC EHRLICHIA/ANAPLASMA (EHRL/EPCRB-MEC NCCI),374.0,332.86,77.79,374.0,719 CDM,PX-306000443,HC BABESIA (BABPB/LBAB/BABPR/LBABP-MEC NCCI),284.0,252.76,59.07,284.0,719 CDM,PX-306000444,HC HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/HSVC/LHSVC-MEC NCCI),499.0,444.11,103.79,499.0,719 CDM,PX-306000454,HC UREAPLASMA PCR (URBRP/URPRP/URRP?MEC NCCI),360.0,320.4,74.88,360.0,719 CDM,PX-306000455,HC HCV GENOTYPIC DRUG RESISTANCE (HCVDR?MEC NCCI),1758.0,1564.62,365.66,1758.0,719 CDM,PX-306000457,HC FREE LIVING AMOEBA PCR (FLARP-MEC NCCI),535.0,476.15,111.28,535.0,719 CDM,PX-306000458,HC HIV-1 DNA AMPL PROBE 2,533.0,474.37,30.35,533.0,738 CDM,PX-306000459,HC HIV-2 PROBE & REVRSE TRNSCR 2,670.0,596.3,30.35,670.0,736 CDM,PX-306000460,HC BLASTOMYCES AG,142.0,126.38,11.74,142.0,738 CDM,PX-306000463,HC HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/LHSVC/HSVC/HSVA-MEC NCCI),512.0,455.68,34.39,512.0,739 CDM,PX-306000464,HC MULT ORGANISM AMPL PROBE 2,353.0,314.17,68.8,353.0,741 CDM,PX-306000467,HC HDV DNA DETECT QUANT,180.0,160.2,37.06,180.0,734 CDM,PX-306000470,HC RESPIR PATHOGEN 22 TARGETS 2,834.0,742.26,173.47,834.0,739 CDM,PX-306000471,"HC HEP B SCRN SURF AG IA (HBGPS, HBGSN)",80.0,71.2,10.12,80.0,741 CDM,PX-306000473,HC HERPES & VARICELLA ZOSTER (LHSVZ-MEC NCCI),529.0,470.81,110.03,529.0,719 CDM,PX-306000474,HC MULT ORGANISM AMPL PROBE 3,353.0,314.17,68.8,353.0,741 CDM,PX-306000480,HC AG DETECT NOS EIA MULT 2,142.0,126.38,11.74,142.0,738 CDM,PX-306000481,HC CULT AEROBIC OTHER PRESUMPT ID 3,87.0,77.43,8.45,87.0,745 CDM,PX-306000482,HC MULT ORGANISM AMPL PROBE (CGRNA/MCTGC-MEC-NCCI),439.0,390.71,68.8,439.0,741 CDM,PX-306000483,HC CHLAMYDIA TRACH DNA AMPL PROBE (CGRNA/MCTGC-NCCI),217.0,193.13,34.39,217.0,739 CDM,PX-306000484,HC NEISSERIA GONORR DNA AMPL (CGRNA/MCTGC),222.0,197.58,34.39,222.0,739 CDM,PX-306000486,HC RESP VIRUS 3 TO 5 TARGETS 2,424.0,377.36,88.19,424.0,738 CDM,PX-306000487,HC HHV-6 DNA QUANT,288.0,256.32,36.12,288.0,737 CDM,PX-306000488,HC CANDIDA AMP PROBE (CANDI-NCCI),151.0,134.39,31.41,151.0,740 CDM,PX-306000489,HC CANDIDA AMP PROBE (CANDI-MEC NCCI),450.0,400.5,34.39,450.0,740 CDM,PX-306000490,HC JOINT INFECTION PANEL,895.0,796.55,186.16,895.0,719 CDM,PX-306000492,HC BORDETELLA 2 (BPRPV/BPRP-MEC NCCI),361.0,321.29,30.35,361.0,742 CDM,PX-306000493,HC PNEUMONIA PANEL BIOFIRE,895.0,796.55,186.16,952.26,739 CDM,PX-306000494,"HC MYCOBACT TUBERC, RIFAMPIN RESIST",484.0,430.76,76.77,484.0,735 CDM,PX-306000495,"HC HELICO PYLORI, CLARITHROMYCIN RESIST",198.0,176.22,35.09,198.0,732 CDM,PX-306000496,"HC HELICO PYLORI, CLARITHROMYCIN RESIST 2",181.0,161.09,35.09,181.0,732 CDM,PX-306000497,"HC HELICO PYLORI, CLARITHROMYCIN RESIST 3",181.0,161.09,35.09,181.0,732 CDM,PX-306000498,HC PNEUMOCYSTIS JIROVECII AMP PROBE,181.0,161.09,35.09,181.0,738 CDM,PX-306000499,HC HPV SEPARATE HI-RISK TYPES,198.0,176.22,41.18,198.0,737 CDM,PX-306000500,HC HPV SEPARATE HI-RISK TYPES 2,198.0,176.22,41.18,198.0,737 CDM,PX-306000504,HC MULT ORGANISM AMPL PROBE (BRBPS DEX-Z),353.0,314.17,73.42,353.0,719 CDM,PX-306000506,HC LYME DISEASE PCR (PBORB/PBORR/LYMPV-MEC-NCCI),273.0,242.97,56.78,273.0,741 CDM,PX-306000509,HC CARBAPENEMASE ENZYME DETECT,66.0,58.74,13.73,66.0,719 CDM,PX-306000510,HC CARBAPENEM RESIST GENES,207.0,184.23,35.09,207.0,734 CDM,PX-306000511,HC JT INFECT PANEL 26+ TARGETS (JIP),895.0,796.55,186.16,1019.66,734 CDM,PX-306000513,HC INFECT AGENT CHLAM/GONORR MULTIPLEX,439.0,390.71,70.18,439.0,735 CDM,PX-306000517,"HC SARSCOV2,INF A/B, RSV MULT AMP PROBE 2",430.0,382.7,89.44,430.0,736 CDM,PX-306000519,HC INFECT AGENT CHLAM/GONORR MULTI (MCTGC),439.0,390.71,70.18,439.0,735 CDM,PX-30620,PR SEPTAL INTRANASAL DERMAPLASTY,5657.0,5034.73,248.12,5657.0,482 CDM,PX-30630,PR RPR NASAL SEPTAL PERFORATIONS,4681.0,4166.09,241.72,4681.0,482 CDM,PX-307000003,HC URINALYSIS AUTO SINGLE COMP,26.0,23.14,2.21,26.0,737 CDM,PX-307000004,HC URINALYSIS AUTO W MICRO,38.0,33.82,3.11,38.0,743 CDM,PX-307000005,HC URINALYSIS AUTO WO MICRO,26.0,23.14,2.21,26.0,737 CDM,PX-307000007,HC URINALYSIS NON AUTO SINGLE COMP,34.0,30.26,3.41,34.0,734 CDM,PX-307000010,HC URINE AUTO SPECIFIC GRAVITY,27.0,24.03,2.21,27.0,737 CDM,PX-307000012,HC VOLUME MEASUREMENT,33.0,29.37,3.57,33.0,734 CDM,PX-307000013,HC PREG TEST URINE VIS COMP,54.0,48.06,8.44,54.0,745 CDM,PX-307000015,HC URINALYSIS AUTO W MICRO 2,38.0,33.82,3.11,38.0,743 CDM,PX-307000016,HC URINE AUTO SPECIFIC GRAVITY,23.0,20.47,20.6,20.6,1 CDM,PX-30801,PR ABLT TURBINATES UNI/BILAT SUPFC,870.0,774.3,89.82,870.0,482 CDM,PX-30802,PR ABLT TURB UNI/BILAT SUPFC INTMURL,1205.0,1072.45,113.26,1205.0,482 CDM,PX-309000000,HC NEWBORN METABOLIC SCREEN,235.0,209.15,48.88,237.5,719 CDM,PX-30901,PR CTRL NASAL HEMR ANTERIOR SMPL,522.0,464.58,57.15,522.0,507 CDM,PX-30903,PR CTRL NASAL HEMR ANTERIOR CMPLX,740.0,658.6,108.23,740.0,482 CDM,PX-30905,PR CTRL NSL HEMR PST PCK/CAUT INIT,1108.0,986.12,137.17,1108.0,507 CDM,PX-30915,PR LIGATION ARTERIES ETHMOIDAL,3908.0,3478.12,213.48,3908.0,482 CDM,PX-30920,PR LIG ARTY INTRN MXLRY TRANSNTRL,5828.0,5186.92,305.68,5828.0,482 CDM,PX-30930,PR FX NASAL INFR TURB THERAPEUTIC,982.0,873.98,43.41,982.0,482 CDM,PX-30999001,PR DORSAL HUMP REDUCTION,2254.0,2006.06,112.7,2254.0,477 CDM,PX-310000002,HC CHROMO AMNIO CELL 6-12/1KARYO SITU,1345.0,1197.05,170.19,1345.0,736 CDM,PX-310000003,HC CHROMO ANALYSIS <15 - 2 KARO (REDUC),1058.0,941.62,122.98,1058.0,736 CDM,PX-310000004,HC CHROMO ANALYSIS <20 CELLS (REDUC),1213.0,1079.57,125.09,1213.0,744 CDM,PX-310000005,HC CHROMO ANALYSIS 15-20 CELL BAND,1058.0,941.62,122.98,1058.0,736 CDM,PX-310000007,HC CHROMO ANLYS ADD CELL COUNT EA,154.0,137.06,26.37,154.0,736 CDM,PX-310000010,HC CHROMOSOME ANALYSIS 20-25 CELL,1213.0,1079.57,125.09,1213.0,744 CDM,PX-310000015,HC CRYOPRESERVE FREEZING&STORAGE CELLS,395.0,351.55,12.81,395.0,737 CDM,PX-310000018,HC CYTOG CHROMO <10 CELL (REDUC),236.0,210.04,34.11,236.0,736 CDM,PX-310000019,HC CYTOG CHROMO 10-30CELL,268.0,238.52,34.11,268.0,736 CDM,PX-310000020,HC CYTOG INTERPHASE 100-300 ISH,332.0,295.48,44.28,332.0,741 CDM,PX-310000022,HC CYTOG INTRPHASE <25 CELL,238.0,211.82,41.53,238.0,740 CDM,PX-310000023,HC CYTOG INTRPHASE 25-99 CELL,238.0,211.82,41.53,238.0,740 CDM,PX-310000025,HC MOL CYTOG DNA PROBE EA,149.0,132.61,18.53,149.0,744 CDM,PX-310000028,HC TISS CULT AMNIOTIC/CHR CELLS,693.0,616.77,144.14,693.0,736 CDM,PX-310000029,HC TISS CULT BONE MARROW,851.0,757.39,124.34,851.0,743 CDM,PX-310000030,HC TISS CULT LYMPHOCYTE,653.0,581.17,114.16,653.0,736 CDM,PX-310000031,HC TISS CULT SKN/OTH SOLID TISS BX,657.0,584.73,136.66,657.0,737 CDM,PX-310000045,HC IF STUDY EA AB DIR METHOD,339.0,301.71,70.51,339.0,744 CDM,PX-310000046,HC IMMUNOFLUORESCENCE EA ADD,280.0,249.2,58.24,280.0,728 CDM,PX-310000086,HC COG METAPHASES 20-25,1073.0,954.97,125.09,1073.0,744 CDM,PX-310000091,HC MOL CYTOG DNA PROBE CELL SUSP EA,149.0,132.61,18.53,149.0,744 CDM,PX-310000092,HC CYTOG INTERPHASE CELL SUSP 100-300 ISH,333.0,296.37,44.28,333.0,741 CDM,PX-310000093,HC MOL CYTOG DNA PROBE SORT CELL EA,149.0,132.61,18.53,149.0,744 CDM,PX-310000094,HC CYTOG INTERPHASE SORT CELL 25-99 CELL,240.0,213.6,41.53,240.0,740 CDM,PX-31020,PR SINUSOTOMY MXLRY ANTR INTNASAL,2160.0,1922.4,176.44,2160.0,482 CDM,PX-31030,PR SINUSOTOMY MXLRY WO PLYP RMVL,3236.0,2880.04,263.76,3236.0,482 CDM,PX-31032,PR SINUSOTOMY MXLRY W PLYP RMVL,3113.0,2770.57,219.79,3113.0,482 CDM,PX-31040,PR PTERYGOMXLRY FOSSA SURG ANY,4518.0,4021.02,284.98,4518.0,482 CDM,PX-31070,PR SINUSOT FRONTAL EXTERNAL SMPL,3145.0,2799.05,178.06,3145.0,482 CDM,PX-31081,PR SINUSOT FRNT OBLIT WO FLAP CRNL,10288.0,9156.32,414.67,10288.0,482 CDM,PX-31085,PR SINUSOT FRNT OBLIT W FLAP CRNL,8956.0,7970.84,439.56,8956.0,482 CDM,PX-31086,PR SINUSOT FRNT NONOBLIT W/FLAP BROW INCISN,8176.0,7276.64,417.53,8176.0,482 CDM,PX-31087,PR SINUSOT FRNT NONOBL W FLAP,8183.0,7282.87,393.83,8183.0,482 CDM,PX-311000003,HC CYTO SMEAR NONGYN EXTND STUDY,255.0,226.95,53.04,255.0,736 CDM,PX-311000005,HC CYTOP GYN THIN PREP MANUAL,112.0,99.68,19.85,112.0,739 CDM,PX-311000007,HC CYTOP NONGYN LIQUID BASED,248.0,220.72,51.58,248.0,743 CDM,PX-311000010,HC CYTOP SMEAR NONGYN W PREP,177.0,157.53,33.37,177.0,736 CDM,PX-311000011,HC FISH BLADDER CA MANUAL,1611.0,1433.79,196.56,1611.0,734 CDM,PX-311000012,HC FLOW CELL CYCLE/DNA ANALYSIS,400.0,356.0,60.12,400.0,746 CDM,PX-311000013,HC FLOW CYTO EA ADD MARKER,153.0,136.17,23.71,153.0,731 CDM,PX-311000014,HC FLOW CYTO FIRST MARKER 2,411.0,365.79,75.34,475.59,748 CDM,PX-311000015,HC FLOW CYTO FIRST MARKER,438.0,389.82,75.34,475.59,748 CDM,PX-311000022,HC CYTOP CONCEN SMEARS & INTERP,203.0,180.67,42.22,203.0,741 CDM,PX-311000023,HC CYTOP FNA EVAL ADEQUACY EA ADD,86.0,76.54,17.89,86.0,720 CDM,PX-311000024,HC CYTOP FNA IMMEDIATE EVAL,250.0,222.5,52.0,250.0,736 CDM,PX-311000025,HC CYTOP FNA INTERP & REPORT,457.0,406.73,60.12,457.0,747 CDM,PX-311000031,HC CYTOP GYN THIN PREP MANUAL SCRN,108.0,96.12,18.68,108.0,736 CDM,PX-311000035,HC FLOW CYTO FIRST MARKER 1,411.0,365.79,75.34,475.59,748 CDM,PX-311000038,HC FLOW CYTO FIRST MARKER 3,411.0,365.79,75.34,475.59,748 CDM,PX-311000039,HC FLOW CYTO EA ADD MARKER 2,148.0,131.72,23.71,148.0,731 CDM,PX-312000001,HC CONSULT SURG TOUCH PREP INIT,196.0,174.44,40.77,1068.98,737 CDM,PX-312000003,HC DECALCIFICATION PROC,85.0,75.65,17.68,85.0,732 CDM,PX-312000004,HC ELECTRON MICROSCOPY DX,2028.0,1804.92,421.82,2028.0,741 CDM,PX-312000006,HC FROZEN SECTION ADD TISS BLOCK,121.0,107.69,25.17,121.0,728 CDM,PX-312000007,HC HISTOCHEMISTRY FOR ENZYME,412.0,366.68,85.7,1068.98,740 CDM,PX-312000010,HC IMMUNO STAIN EA MULTIPLEX AB,553.0,492.17,115.02,553.0,742 CDM,PX-312000012,HC INSITU HYBRID EA ADD PROBE,470.0,418.3,97.76,470.0,724 CDM,PX-312000015,HC LVL 6 SURG PATH GROSS MICRO,1308.0,1164.12,272.06,1308.0,745 CDM,PX-312000016,HC MICRODISSECTION LASER,785.0,698.65,118.93,785.0,721 CDM,PX-312000017,HC MICRODISSECTION MANUAL,681.0,606.09,141.65,681.0,728 CDM,PX-312000021,HC NERVE TEASING PREP,1023.0,910.47,212.78,1068.98,738 CDM,PX-312000022,HC PROSTATE BIOPSY GROSS MICRO,347.0,308.83,60.12,475.59,737 CDM,PX-312000023,HC SPECIAL STAIN HISTOCHEMICAL,276.0,245.64,57.41,276.0,723 CDM,PX-312000026,HC TUMOR IMMUNOHISTO CAT EA AB,481.0,428.09,100.05,481.0,743 CDM,PX-312000027,HC TUMOR IMMUNOHISTO MANUAL EA AB,542.0,482.38,112.74,542.0,745 CDM,PX-312000028,HC CONSULT SLIDE W PREP,314.0,279.46,60.12,314.0,735 CDM,PX-312000030,HC FROZEN SECTION 1ST BLOCK,284.0,252.76,59.07,284.0,747 CDM,PX-312000031,HC IMMUNO STAIN PER SPEC EA ADD AB,299.0,266.11,62.19,299.0,736 CDM,PX-312000032,HC IMMUNO STAIN PER SPEC INITIAL AB,369.0,328.41,76.75,369.0,754 CDM,PX-312000034,HC INSITU HYBRID INITIAL PROBE,595.0,529.55,123.76,595.0,742 CDM,PX-312000035,HC LVL 1 SURG PATH GROSS MICRO,102.0,90.78,15.71,102.0,740 CDM,PX-312000036,HC LVL 2 SURG PATH GROSS MICRO,231.0,205.59,31.91,231.0,738 CDM,PX-312000037,HC LVL 3 SURG PATH GROSS MICRO,262.0,233.18,40.92,262.0,748 CDM,PX-312000039,HC LVL 4 SURG PATH GROSS MICRO,347.0,308.83,60.12,347.0,761 CDM,PX-312000041,HC LVL 5 SURG PATH GROSS MICRO,691.0,614.99,143.73,691.0,752 CDM,PX-312000042,HC SPECIAL STAIN GROUP 1,319.0,283.91,60.12,319.0,745 CDM,PX-312000044,HC SPECIAL STAIN GROUP 2,260.0,231.4,54.08,260.0,747 CDM,PX-312000074,HC MORPH INSITU MAN EA MULTIPLEX A1,948.0,843.72,196.56,948.0,743 CDM,PX-312000082,HC MORPH INSITU MAN EA MULTIPLEX A2,1377.0,1225.53,196.56,1377.0,743 CDM,PX-312000083,HC MORPH INSITU MAN EA MULTIPLEX A3,1377.0,1225.53,196.56,1377.0,743 CDM,PX-312000084,HC MORPH INSITU MAN EA MULTIPLEX A4,1377.0,1225.53,196.56,1377.0,743 CDM,PX-312000085,HC MORPH INSITU MAN EA MULTIPLEX A5,1377.0,1225.53,196.56,1377.0,743 CDM,PX-312000086,HC MORPH INSITU MAN EA MULTIPLEX A6,1377.0,1225.53,196.56,1377.0,743 CDM,PX-312000087,HC MORPH INSITU MAN EA MULTIPLEX A7,1377.0,1225.53,196.56,1377.0,743 CDM,PX-312000091,HC ELECTRON MICROSCOPY DX PARTIAL,1320.0,1174.8,274.56,1320.0,741 CDM,PX-312000093,HC IMMUNO STAIN EA MULTIPLEX AB 2,589.0,524.21,122.51,589.0,742 CDM,PX-312000125,HC MICRODISSECTION LASER 2,815.0,725.35,118.93,815.0,721 CDM,PX-31225,PR MAXILLECTOMY WO ORBITAL EXNTR,11347.0,10098.83,614.05,11347.0,482 CDM,PX-31230,PR MAXILLECTOMY W ORBITAL EXNTR,12797.0,11389.33,676.78,12797.0,482 CDM,PX-31231,PR NASAL ENDOSCOPY DX UNI/BILAT,1000.0,890.0,67.3,1000.0,515 CDM,PX-31237,PR ENDO/POLYPECT NOSE/SINUS SURG,1848.0,1644.72,107.2,1848.0,482 CDM,PX-31238,PR ENDO/PLYPECT NOSE W CNTRL HEMR,1558.0,1386.62,88.64,1558.0,507 CDM,PX-31239,PR ENDO NSAL DACRYOCSTORHINOSTOMY,4562.0,4060.18,206.93,4562.0,482 CDM,PX-31240,PR ENDO NSL/SNS W CONCH RSECT,1508.0,1342.12,52.65,1508.0,482 CDM,PX-31241,PR NSL/SINS NDSC W/ARTERY LIG,3071.0,2733.19,142.17,3071.0,482 CDM,PX-31242,PR NASAL/SINUS ENDO DEST RF ABLATION POSTR NSAL NRV,4372.0,3891.08,1000.78,4372.0,482 CDM,PX-31243,PR NSL/SINUS NDSC CRYOABLTJ PNN,6700.0,5963.0,971.61,6700.0,482 CDM,PX-31253,PR NSL/SINS NDSC TOTAL,4309.0,3835.01,160.05,4309.0,482 CDM,PX-31254,PR ENDO NSL/SNS W ETHMDCTOMY PRTL,2614.0,2326.46,175.64,2614.0,482 CDM,PX-31255,PR ENDO NSL/SNS W ETHMDCTOMY TOTL,3678.0,3273.42,104.3,3678.0,482 CDM,PX-31256,PR ENDO NSL/SNS W MXLRY ANTROSTMY,1976.0,1758.64,58.6,1976.0,482 CDM,PX-31257,PR NSL/SINS NDSC TOT W/SPHENDT,4080.0,3631.2,143.01,4080.0,482 CDM,PX-31259,PR NSL/SINS NDSC SPHN TISS RMVL,4310.0,3835.9,151.28,4310.0,482 CDM,PX-31267,PR ENDO NSL MAX ANTROST W RMV TIS,2996.0,2666.44,85.7,2996.0,482 CDM,PX-31276,PR ENDO NSL W FRNTL SINUS EXPLOR,4834.0,4302.26,121.31,4834.0,482 CDM,PX-31287,PR ENDO NSL/ENDO W SPHENOIDOTOMY,2157.0,1919.73,65.38,2157.0,482 CDM,PX-31288,PR ENDO NSL SPHENDTMY W TISS RMVL,2706.0,2408.34,75.78,2706.0,482 CDM,PX-31290,PR ENDO NSL RPR CSF LEAK ETHMOID,7818.0,6958.02,381.08,7818.0,482 CDM,PX-31291,PR ENDO NSL RPR CSF LEAK SPHEMOID,8090.0,7200.1,407.9,8090.0,482 CDM,PX-31292,PR NSL/SINS NDSC MED/INF DCMPRN,5216.0,4642.24,329.81,5216.0,482 CDM,PX-31293,PR NASAL/SINUS ENDSCOPY SURG,7248.0,6450.72,355.99,7248.0,482 CDM,PX-31294,PR NSL/SINS NDSC SURG ON DCMPRN,8753.0,7790.17,404.93,8753.0,482 CDM,PX-31296,PR ENDO NSL W DIL FRNTL SINUS,11712.0,10423.68,667.6,11712.0,482 CDM,PX-31299001,PR ENDOSCOPIC FREE MUCOSAL GRAFT,3742.0,3330.38,187.1,3742.0,477 CDM,PX-31360,PR LARYNGECT TOT WO RAD NK DISEC,10822.0,9631.58,703.6,10822.0,482 CDM,PX-31367,PR LARYNGECT SUBTOT WO NK DISEC,12985.0,11556.65,751.74,12985.0,482 CDM,PX-31370,PR LARYNGECT PRTL HORIZONTAL,13728.0,12217.92,711.24,13728.0,482 CDM,PX-31375,PR PRTL REMOVAL OF LARYNX,14680.0,13065.2,677.69,14680.0,482 CDM,PX-31400,PR ARYTENOIDECTOMY/ARYTENOIDOPEXY,6011.0,5349.79,371.13,6011.0,482 CDM,PX-31420,PR EPIGLOTTIDECTOMY,6122.0,5448.58,290.62,6122.0,482 CDM,PX-31500,PR INTUB W ETT,714.0,635.46,99.72,714.0,482 CDM,PX-31502,PR TRACHEOTOMY TUBE CHANGE,401.0,356.89,9.96,401.0,508 CDM,PX-31505,PR LARYNG INDIRECT DX,437.0,388.93,30.79,437.0,507 CDM,PX-31515,PR LARYNG W/WO TRACHEO ASP,1153.0,1026.17,93.05,1153.0,484 CDM,PX-31520,PR LARYNG W/WO TRACHEO DX NEWBRN,1078.0,959.42,51.97,1078.0,482 CDM,PX-31525,PR LARYNG W/WO TRACHEO DX NOT NB,1449.0,1289.61,100.65,1449.0,484 CDM,PX-31526,PR LARYNG W/WO TRACHEO W MIC/TEL,1388.0,1235.32,52.11,1388.0,482 CDM,PX-31528,PR LARYNG W/WO TRACHEO DIL INIT,1216.0,1082.24,48.04,1216.0,482 CDM,PX-31530,PR LARYNG DIRECT W FB RMVL,1660.0,1477.4,66.24,1660.0,482 CDM,PX-31531,PR LARYNG FB RMVL MICRO/TEL,1994.0,1774.66,69.91,1994.0,482 CDM,PX-31535,PR LARYNG DIRECT OP W BX,1489.0,1325.21,62.3,1489.0,482 CDM,PX-31536,PR LARYNG W BX MICRO/TEL,2215.0,1971.35,68.9,2215.0,482 CDM,PX-31540,PR LARYNG DIRECT W EXCISN TMR,2622.0,2333.58,78.86,2622.0,482 CDM,PX-31541,PR LARYNG EXCISN TMR W MICRO/TEL,3340.0,2972.6,85.68,3340.0,482 CDM,PX-31545,PR LARYNG LESN RMVL VOCAL CORD,3048.0,2712.72,116.89,3048.0,482 CDM,PX-31551,PR LARYNGPLSTY W GRFT WO STNT <12YRS,9690.0,8624.1,537.03,9690.0,482 CDM,PX-31553,PR LARYNGPLSTY W GRFT W STEN PLC <12 YR,10678.0,9503.42,589.98,10678.0,482 CDM,PX-31560,PR LARYNGOSCOPY W/ARYTENOIDECTOMY,2607.0,2320.23,100.79,2607.0,482 CDM,PX-31561,PR LARYNG ARYTENOIDECTMY MIC/TEL,3034.0,2700.26,110.08,3034.0,483 CDM,PX-31570,PR LARYNG INJ VOCAL CORD THER,1876.0,1669.64,137.1,1876.0,482 CDM,PX-31571,PR LARYNG INJ VOCAL CORD MIC/TEL,1497.0,1332.33,81.13,1497.0,482 CDM,PX-31572,PR LARYNG W LASER DEST LESN,2635.0,2345.15,209.38,2635.0,484 CDM,PX-31573,PR LARYNG FLEX W THER INJ,1916.0,1705.24,116.07,1916.0,482 CDM,PX-31574,PR LARYNG FLEX W INJ AUGMENTATION,5078.0,4519.42,374.09,5078.0,482 CDM,PX-31575,PR LARYNG FLEX FIBEROPTIC DX,668.0,594.52,44.0,668.0,513 CDM,PX-31576,PR LARYNG FLEX FIBEROPTIC W BX,1473.0,1310.97,93.01,1473.0,507 CDM,PX-31577,PR LARYNG FLEX FBROPTIC RMVL FB,2004.0,1783.56,112.85,2004.0,484 CDM,PX-31578,PR LARYNG FLEX FBROPTIC RMVL LES,2382.0,2119.98,104.74,2382.0,507 CDM,PX-31579,PR LARYNG FBROPTIC W STROBOSCOPY,1252.0,1114.28,78.78,1252.0,489 CDM,PX-31580,PR LARYNGPLSTY 2 STG W KEEL INSERT,8221.0,7316.69,462.99,8221.0,482 CDM,PX-31584,PR LARYNGOPLASTY W OPEN REDUC FX,8765.0,7800.85,500.0,8765.0,482 CDM,PX-31587,PR LARYNGOPLASTY CRICOID SPLIT,10862.0,9667.18,430.28,10862.0,482 CDM,PX-31590,PR LARYNX REINNERVATION NEUROMUSC,6598.0,5872.22,356.13,6598.0,482 CDM,PX-31591,PR LARYNGOPLASTY MEDIALIZATION,8877.0,7900.53,395.2,8877.0,482 CDM,PX-31592,PR CRICOTRACHEAL RESECTION,12925.0,11503.25,597.61,12925.0,482 CDM,PX-31600,PR TRACHEOSTOMY PLANNED SEP PROC,2425.0,2158.25,101.88,2425.0,482 CDM,PX-31601,PR TRACHEOSTOMY PLANNED < 2YRS,2588.0,2303.32,144.83,2588.0,482 CDM,PX-31603,PR TRACHEOSTOMY EMR TRANSTRACHEAL,1957.0,1741.73,103.85,1957.0,482 CDM,PX-31605,PR TRACHEOSTOMY EMR CRICOTHYROID,2126.0,1892.14,110.88,2126.0,482 CDM,PX-31610,PR TRACHEOST FENESTRATION W FLAPS,4426.0,3939.14,337.57,4426.0,482 CDM,PX-31611,PR CNSTRCT TRACHEOESOPHGL FSTL,3524.0,3136.36,195.14,3524.0,482 CDM,PX-31613,PR TRACHSTOMA REV WO FLAP ROTAT SMPL,2588.0,2303.32,157.0,2588.0,482 CDM,PX-31614,PR TRACHSTOMA REV W FLAP ROTAT CMPLX,4426.0,3939.14,254.05,4426.0,482 CDM,PX-31615,PR TRACHEOBRONCH EST TRACH INC,1410.0,1254.9,69.44,1410.0,482 CDM,PX-31622,PR BRONCH DX W CELL WASH FLUOR,1520.0,1352.8,114.52,1520.0,482 CDM,PX-31623,PR BRONCHOSCOPY DX W BRUSHING,1610.0,1432.9,123.78,1610.0,482 CDM,PX-31624,PR BRONCHOSCOPY W ALVEOLAR LAVAGE,1737.0,1545.93,116.77,1737.0,482 CDM,PX-31625,PR BRONCHOSCOPY W BX >=1 SITE,2015.0,1793.35,157.07,2015.0,482 CDM,PX-31626,PR BRONCH W PLCMT FIDUCIAL MARKER,2332.0,2075.48,359.12,2332.0,482 CDM,PX-31627,PR BRONCH W COMP ASST IMG NAV,1761.0,1567.29,964.56,1761.0,482 CDM,PX-31628,PR BRONCH TRANSBRONCH LUNG BX SNG,1830.0,1628.7,166.84,1830.0,482 CDM,PX-31629,PR BRONCH TRANSBRONCH NDL ASP BX,2197.0,1955.33,203.62,2197.0,482 CDM,PX-31630,PR BRONCH W TRACHEAL/BRONCH DIL,2074.0,1845.86,68.32,2074.0,482 CDM,PX-31631,PR BRONCH W TRACH STENT PLCMNT,1711.0,1522.79,77.38,1711.0,482 CDM,PX-31632,PR BRONCH TRANSBRONCH LUNG BX EA,537.0,477.93,55.38,537.0,482 CDM,PX-31633,PR BRONCH TRANSBRONCH NDL ASP EA,621.0,552.69,68.94,621.0,482 CDM,PX-31634,PR BRONCHOSCOPY BALLOON OCCLUSION,6395.0,5691.55,669.31,6395.0,482 CDM,PX-31635,PR BRONCHOSCOPY W REMOVAL FB,2188.0,1947.32,131.11,2188.0,482 CDM,PX-31636,PR BRONCH W PLC BRNCL STENT INIT,1826.0,1625.14,75.98,1826.0,482 CDM,PX-31637,PR BRONCH W PLC BRNCL STENT EA,547.0,486.83,52.16,547.0,482 CDM,PX-31638,PR BRONCH REV TRACH/BRNCL STENT,1863.0,1658.07,85.32,1863.0,482 CDM,PX-31640,PR BRONCHOSCOPY W EXCISN TUMOR,2864.0,2548.96,85.27,2864.0,482 CDM,PX-31641,PR BRONCH DEST TMR RLF STENOSIS,2456.0,2185.84,87.41,2456.0,482 CDM,PX-31645,PR BRONCHOSCOPY W ASP THER INIT,1559.0,1387.51,125.43,1559.0,482 CDM,PX-31646,PR BRONCHOSCOPY W ASP THER SUBSQ,1539.0,1369.71,50.36,1539.0,482 CDM,PX-31647,PR BRONCH W BALN OCC INIT LOBE,1655.0,1472.95,72.29,1655.0,482 CDM,PX-31648,PR BRONCH RMVL BRONCHL VALVE INIT,1675.0,1490.75,69.11,1675.0,482 CDM,PX-31649,PR BRONCH RMVL BRONCHL VALVE ADD,494.0,439.66,56.39,494.0,482 CDM,PX-31651,PR BRONCH OCCLUS VALVE ADD LOBE,559.0,497.51,61.13,559.0,482 CDM,PX-31652,PR BRONCH W EBUS 1-2 NODE SAMPLE,2887.0,2569.43,563.03,2887.0,482 CDM,PX-31653,PR BRONCH W EBUS >=3 NODE SAMPLE,3674.0,3269.86,580.81,3674.0,482 CDM,PX-31654,PR BRONCH W EBUS DX/TX PERIPH LESN,737.0,655.93,106.54,737.0,482 CDM,PX-31730,PR TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER,1997.0,1777.33,486.73,1997.0,482 CDM,PX-31750,PR TRACHEOPLASTY CERVICAL,9155.0,8147.95,494.4,9155.0,482 CDM,PX-31760,PR TRACHEOPLASTY INTRATHORACIC,10815.0,9625.35,485.18,10815.0,482 CDM,PX-31770,PR BRONCHOPLASTY GRAFT REPAIR,9850.0,8766.5,459.43,9850.0,482 CDM,PX-31780,PR EXCISN TRACHEA STENOSIS&ANASTO,9242.0,8225.38,396.79,9242.0,482 CDM,PX-31781,PR EXCISN TRACH STEN&ANAST CERVICTHOR,11460.0,10199.4,469.42,11460.0,482 CDM,PX-31785,PR EXCISN TRACHEA TMR CERVICAL,7700.0,6853.0,352.63,7700.0,482 CDM,PX-31786,PR EXCISN TRACHEA TMR THORACIC,10364.0,9223.96,499.17,10364.0,482 CDM,PX-31800,PR SUTURE TRACHEAL WOUND CERVICAL,4519.0,4021.91,255.8,4519.0,482 CDM,PX-31820,PR SURG CLSR TRACH/FSTLA WO RPR,2423.0,2156.47,178.53,2423.0,482 CDM,PX-31825,PR SURG CLSR TRACH/FSTLA W RPR,3342.0,2974.38,243.37,3342.0,482 CDM,PX-31830,PR REVISION TRACHEOSTOMY SCAR,2215.0,1971.35,197.3,2215.0,482 CDM,PX-320000000,HC 3D WO IND WORKSTATION,634.0,564.26,25.44,634.0,720 CDM,PX-320000003,HC ANGIO ILIAC ARTY W CATH,3950.0,3515.5,10.33,3950.0,719 CDM,PX-320000040,HC ENDO CATH PANCREATIC SYSTEM,1672.0,1488.08,160.22,1672.0,720 CDM,PX-320000042,HC ERCP CATH BILIARY S&I,1678.0,1493.42,159.88,1678.0,725 CDM,PX-320000043,HC ERCP CATH BILIARY&PANCREAS S&I,1286.0,1144.54,163.33,1286.0,719 CDM,PX-320000061,HC INTRALUMINAL DILATION S&I,1306.0,1162.34,164.23,1306.0,722 CDM,PX-320000111,HC UROGRAPHY RETRO WO OR W KUB,880.0,783.2,82.29,880.0,742 CDM,PX-320000119,HC VENOGRAPHY EXT UNILAT S&I,2297.0,2044.33,107.13,2297.0,739 CDM,PX-320000120,HC VENOGRAPHY IVC S&I,4682.0,4166.98,112.35,4682.0,737 CDM,PX-320000185,HC XR LWR EXT INFANT MIN 2V,416.0,370.24,30.98,416.0,736 CDM,PX-320000297,HC CT BONE STRENGTH DATA TRANSMISSION,71.0,63.19,14.77,71.0,734 CDM,PX-320000298,HC CT BONE STRENGTH ASSESSMENT,664.0,590.96,138.11,664.0,734 CDM,PX-320000300,HC 3D ANATOMIC MODEL FIRST STRUCTURE,1676.0,1491.64,14.36,1676.0,735 CDM,PX-320000301,HC 3D ANATOMIC MODEL EA ADDTL STRUCTURE,225.0,200.25,7.19,225.0,717 CDM,PX-320000302,HC 3D ANATOMIC GUIDE FIRST,1386.0,1233.54,57.41,1386.0,734 CDM,PX-320000303,HC 3D ANATOMIC GUIDE EA ADDTL,188.0,167.32,28.71,188.0,717 CDM,PX-320000310,HC TBS TECHNICAL CALCULATION ONLY,239.0,212.71,40.88,239.0,744 CDM,PX-32035,PR THORACOSTOMY EMPYEMA RIB RSECT,5231.0,4655.59,273.5,5231.0,482 CDM,PX-32036,PR THORACOSTOMY DRAINAGE EMPYEMA,6049.0,5383.61,290.29,6049.0,482 CDM,PX-32096,PR THORCTMY BX LUNG INFILTRATE UNILAT,5301.0,4717.89,282.28,5301.0,482 CDM,PX-32097,PR THORCTMY BX LNG NODL/MASS UNILAT,5301.0,4717.89,284.77,5301.0,482 CDM,PX-32098,PR THORCTMY W BIOPSY OF PLEURA,4982.0,4433.98,267.35,4982.0,482 CDM,PX-32100,PR THORCTMY WITH EXPLORATION,6783.0,6036.87,287.95,6783.0,482 CDM,PX-32110,PR THORCTMY CTRL HEMRG/RPR TEAR,8633.0,7683.37,515.34,8633.0,482 CDM,PX-32120,PR THORCTMY POSTOP COMPL,7090.0,6310.1,316.06,7090.0,482 CDM,PX-32124,PR THORCTMY OPN INTPLR PNEUMONOLYS,6783.0,6036.87,334.18,6783.0,482 CDM,PX-32140,PR THORCTMY W REMOVAL OF CYST,8066.0,7178.74,353.88,8066.0,482 CDM,PX-32141,PR THORCTMY W RESECTION BULLAE,9133.0,8128.37,525.66,9133.0,482 CDM,PX-32150,PR THORCTMY W RMVL INTRAPLEURAL FB,7945.0,7071.05,362.37,7945.0,482 CDM,PX-32160,PR THORCTMY W CARDIAC MASSAGE,7476.0,6653.64,288.2,7476.0,482 CDM,PX-32220,PR DECORTICATION PULMONARY TOTAL,9689.0,8623.21,570.99,9689.0,482 CDM,PX-32225,PR DECORTICATION PULMONARY PRTL,6867.0,6111.63,354.93,6867.0,482 CDM,PX-32310,PR PLEURECTOMY PARIETAL,6154.0,5477.06,330.08,6154.0,482 CDM,PX-32320,PR DECORT & PARIETAL PLEURECTOMY,9597.0,8541.33,567.08,9597.0,482 CDM,PX-32400,PR BIOPSY PLEURA PERCUTANEOUS NDL,833.0,741.37,67.36,833.0,482 CDM,PX-32408,PR BX LUNG/MEDIASTINUM PERC NDL,2152.0,1915.28,333.05,2152.0,482 CDM,PX-32440,PR REMOVAL OF LUNG PNEUMONECTOMY,11175.0,9945.75,548.08,11175.0,482 CDM,PX-32442,PR RMVL LUNG PNEUMNCTMY RESCT TRACH,19206.0,17093.34,1026.1,19206.0,482 CDM,PX-32445,PR RMVL LUNG PNEUMNCTMY EXTR PLRL,29222.0,26007.58,1202.02,29222.0,482 CDM,PX-32480,PR RMVL LUNG NOT PNEUMONEC 1 LOBE,10270.0,9140.3,516.04,10270.0,482 CDM,PX-32482,PR RMVL LUNG NOT PNEUMONEC 2 LOBE,12302.0,10948.78,553.95,12302.0,482 CDM,PX-32484,PR RMVL LUNG SNGL SEGMENTECTOMY,11222.0,9987.58,496.25,11222.0,482 CDM,PX-32486,PR RMVL LUNG SLEEVE LOBECTOMY,14607.0,13000.23,791.68,14607.0,482 CDM,PX-32488,PR RMVL LUNG COMPLETION PNEUMONEC,15606.0,13889.34,817.94,15606.0,482 CDM,PX-32491,PR REMOVAL LUNG VOLUME REDUCTION,11069.0,9851.41,519.26,11069.0,482 CDM,PX-32501,PR RESECT & RPR BRONCHUS,1718.0,1529.02,158.8,1718.0,482 CDM,PX-32504,PR RSECT LUNG TUM W CW RCNSTRCT,13246.0,11788.94,702.01,13246.0,482 CDM,PX-32505,PR THORACOTOMY W WEDGE RSECT INIT,6367.0,5666.63,331.54,6367.0,482 CDM,PX-32506,PR THORACOTOMY W WEDGE RSECT ADDL,1249.0,1111.61,101.93,1249.0,482 CDM,PX-32507,PR THORACOTOMY RSECT DX WEDGE,1290.0,1148.1,101.93,1290.0,482 CDM,PX-32550,PR INSERTION/CATH PLEURAL CAVITY,2540.0,2260.6,644.74,2540.0,482 CDM,PX-32551,PR INS TUBE THORACOSTOMY,1302.0,1158.78,53.36,1302.0,482 CDM,PX-32552,PR REMOVAL LUNG/PLEURAL CATHETER,1366.0,1215.74,75.5,1366.0,482 CDM,PX-32553,PR INS MARK THOR FOR RT PERC,1685.0,1499.65,201.11,1685.0,482 CDM,PX-32554,PR THORACENTESIS PLEURA WO IMG,1222.0,1087.58,106.58,1222.0,482 CDM,PX-32555,PR THORACENTESIS PLEURA W IMG,1499.0,1334.11,127.48,1499.0,482 CDM,PX-32556,PR PLEURA DRAIN PERC WO IMG GUID,2281.0,2030.09,348.43,2281.0,482 CDM,PX-32557,PR PLEURA DRAIN PERC W IMG GUID,1815.0,1615.35,267.54,1815.0,482 CDM,PX-32560,PR INSTILLATION AGT PLEURODESIS,1006.0,895.34,113.08,1006.0,482 CDM,PX-32561,PR INSTILLATION FIBRINOLYSIS INIT,659.0,586.51,40.46,659.0,482 CDM,PX-32601,PR THORSC DX LUNG/MED/PLRL WO BX,2616.0,2328.24,105.81,2616.0,482 CDM,PX-32606,PR THORSC DX MEDIASTINAL W BIOPSY,3230.0,2874.7,156.21,3230.0,482 CDM,PX-32607,PR THORSC DX BX LNG INFILTRAT UNILAT,2540.0,2260.6,106.04,2540.0,482 CDM,PX-32608,PR THORSC W DX BX LUNG NODULE UNILAT,2949.0,2624.61,128.91,2949.0,482 CDM,PX-32609,PR THORACOSCOPY W BX OF PLEURA,2088.0,1858.32,89.01,2088.0,482 CDM,PX-32650,PR THORACOSCOPY W PLEURODESIS,5469.0,4867.41,243.28,5469.0,482 CDM,PX-32651,PR THORSC W PRTL PULM DECORT,8235.0,7329.15,383.84,8235.0,482 CDM,PX-32652,PR THORSC TOTAL PULM DECORT,10232.0,9106.48,576.83,10232.0,482 CDM,PX-32653,PR THORSC REMOVAL INTRAPLEURAL FB,7408.0,6593.12,373.25,7408.0,482 CDM,PX-32654,PR THORSC HEMR CTRL TRAUMATIC,7279.0,6478.31,417.39,7279.0,482 CDM,PX-32655,PR THORSC RSECT BULLAE W/WO PLRL,6654.0,5922.06,338.82,6654.0,482 CDM,PX-32656,PR THORACOSC PARIETAL PLEURECTOMY,6004.0,5343.56,289.68,6004.0,482 CDM,PX-32658,PR THORSC RMVL FB PERICARDIAL SAC,4947.0,4402.83,258.78,4947.0,482 CDM,PX-32659,PR THORSC PRTL RSECT PERICARDIAL,7003.0,6232.67,267.12,7003.0,482 CDM,PX-32661,PR THORSC EXCISN PERICARDIAL CYST,7183.0,6392.87,286.23,7183.0,482 CDM,PX-32662,PR THORSC EXCISN MEDIASTINAL CYST,8357.0,7437.73,319.03,8357.0,482 CDM,PX-32663,PR THORSC W LOBECTOMY SINGLE LOBE,10271.0,9141.19,483.89,10271.0,482 CDM,PX-32664,PR THORSC THORACIC SYMPATHECTOMY,9632.0,8572.48,302.26,9632.0,482 CDM,PX-32666,PR THORSC THER WEDGE RSECT INIT,6700.0,5963.0,311.11,6700.0,482 CDM,PX-32667,PR THORSC THER WEDGE RSECT ADDL,1249.0,1111.61,102.02,1249.0,482 CDM,PX-32668,PR THORACOSCOPY DX WEDGE RSECT,1299.0,1156.11,102.29,1299.0,482 CDM,PX-32669,PR THORACOSCOPY W SEGMENTECTOMY,10663.0,9490.07,465.47,10663.0,482 CDM,PX-32670,PR THORACOSCOPY W BILOBECTOMY,13141.0,11695.49,549.45,13141.0,482 CDM,PX-32673,PR THORSC RSECT THYMUS UNI/BILAT,9524.0,8476.36,423.54,9524.0,482 CDM,PX-32674,PR THORSC MEDI-REG LYMPHDENECTOMY,1713.0,1524.57,140.52,1713.0,482 CDM,PX-32800,PR RPR LUNG HERNIA THRU CHEST WAL,6424.0,5717.36,341.16,6424.0,482 CDM,PX-32850,PR DONOR PNEUMONECTOMY FRM CADAVR,8912.0,7931.68,7842.56,8912.0,477 CDM,PX-32851,PR LUNG TRNSPL SNG WO CARDPULM BYPASS,21249.0,18911.61,1110.94,21249.0,482 CDM,PX-32852,PR LUNG TRNSPL SNGL W CARDPULM BYPASS,28083.0,24993.87,1218.72,28083.0,482 CDM,PX-32853,PR LUNG TRNSPL 2 WO CARDPULM BYPASS,47385.0,42172.65,1541.3,47385.0,482 CDM,PX-32854,PR LUNG TRNSPL DBL W CARDPULM BYPASS,53433.0,47555.37,1632.61,53433.0,482 CDM,PX-32855,PR PREP TRNSPL CADAVER DONOR LUNG UNILAT,3891.0,3462.99,116.56,3891.0,482 CDM,PX-32856,PR PREP TRNSPL CADAVER DONOR LUNG BIL,5026.0,4473.14,140.22,5026.0,482 CDM,PX-32994,PR ABLATE PULM TUMOR PERQ CRYBL,16594.0,14768.66,1894.47,16594.0,482 CDM,PX-32997,PR TOTAL LUNG LAVAGE UNILATERAL,2439.0,2170.71,117.36,2439.0,482 CDM,PX-32998,PR RF ABLT PULM TUMORS UNILAT,8856.0,7881.84,1213.33,8856.0,482 CDM,PX-32999001,PR PREOP LUNG NODULE RADIO,356.0,316.84,17.8,356.0,477 CDM,PX-33016,PR PERICARDIOCENTESIS W IMAGE GUIDE,1666.0,1482.74,74.1,1666.0,482 CDM,PX-33017,PR PERI DRN W FLUOR/US >6YR W/O CONG,1485.0,1321.65,77.72,1485.0,482 CDM,PX-33018,PR PERI DRAIN W FLUOR/US GUIDE CONG,2542.0,2262.38,90.82,2542.0,482 CDM,PX-33019,PR PERICARDIAL DRAIN W CT GUIDE,2076.0,1847.64,68.56,2076.0,482 CDM,PX-33020,PR PERICARIOTOMY RMVL CLOT/FB PRIM,7494.0,6669.66,289.4,7494.0,482 CDM,PX-33025,PR CREATE PERICARD WNDW PRTL RESEC,7107.0,6325.23,273.9,7107.0,482 CDM,PX-33030,PR PERICARDECT SUBTOT/COMP WO BYP,9719.0,8649.91,687.59,9719.0,482 CDM,PX-33031,PR PERICARDECT SUBTOT/COMP W BYP,17634.0,15694.26,844.5,17634.0,482 CDM,PX-33050,PR RESECTION PERICARDIAL CYST/TMR,7045.0,6270.05,358.75,7045.0,482 CDM,PX-331000000,HC CHEMO ADMIN CNS REQ SP PUNC,1455.0,1294.95,63.49,1455.0,739 CDM,PX-331000002,HC CHEMO HORM ANTI-NEO SQ/IM,197.0,175.33,39.19,197.0,742 CDM,PX-331000003,HC CHEMO IV PUSH EA ADD,386.0,343.54,57.84,386.0,739 CDM,PX-331000004,HC CHEMO IV PUSH SNGL,653.0,581.17,105.88,653.0,737 CDM,PX-331000005,HC CHEMO NON-HORM ANTI-NEO SQ/IM,356.0,316.84,72.16,356.0,739 CDM,PX-331000006,HC CHEMOTX NJX SUBARACH/INTRAVENT,780.0,694.2,34.58,780.0,736 CDM,PX-33120,PR EXCISN INTRACARDIAC TMR W BYP,16269.0,14479.41,712.24,16269.0,482 CDM,PX-33130,PR RESECTION EXTERNAL CARDIAC TMR,10731.0,9550.59,484.42,10731.0,482 CDM,PX-33202,PR INS EPICARDIAL ELECTRODE OPEN,6363.0,5663.07,274.42,6363.0,482 CDM,PX-33206,PR INS/RPLC PCMKR ATRIAL,3519.0,3131.91,149.8,3519.0,482 CDM,PX-33207,PR INS/RPLC PCMKR VENT,4204.0,3741.56,156.46,4204.0,482 CDM,PX-33208,PR INS/RPLC PCMKR ATRIAL & VENT,4630.0,4120.7,168.65,4630.0,482 CDM,PX-33210,PR INS/RPLC TEMP ELEC/PCMKR SNGL,1545.0,1375.05,51.37,1545.0,482 CDM,PX-33211,PR INS/RPLC TEMP ELEC/PCMKR DUAL,1499.0,1334.11,53.24,1499.0,482 CDM,PX-33212,PR INS PCMKR PLS GEN EXIST 1 LEAD,2586.0,2301.54,109.19,2586.0,482 CDM,PX-33213,PR INS PCMKR PLS GEN EXIST 2 LEAD,2382.0,2119.98,113.25,2382.0,482 CDM,PX-33214,PR UPGRADE IMPL PCMKR SYS,3522.0,3134.58,158.65,3522.0,482 CDM,PX-33215,PR REPOSITION PCMKR/LEAD RA/RV,2124.0,1890.36,102.27,2124.0,482 CDM,PX-33216,PR INS SNGL ELTRD/PPCMKR/ICD,3082.0,2742.98,124.05,3082.0,482 CDM,PX-33217,PR INSERT ELECTRODE IMPLANT DUAL,2739.0,2437.71,123.65,2739.0,482 CDM,PX-33218,PR RPR SNGL ELTRD/PPCMKR/ICD,2658.0,2365.62,130.73,2658.0,482 CDM,PX-33220,PR RPR 2 ELECTRODES/PPCMKR/ICD,2777.0,2471.53,127.46,2777.0,482 CDM,PX-33221,PR INS PCMKR/GEN EXIST MULTI LEAD,2434.0,2166.26,118.75,2434.0,482 CDM,PX-33222,PR RELOCATION SKIN POCKET PCMKR,2207.0,1964.23,117.22,2207.0,482 CDM,PX-33223,PR RELOCATION SKIN POCKET DFIB,2741.0,2439.49,136.04,2741.0,482 CDM,PX-33224,PR INS PACING ELCTD LV LEAD CONN,3426.0,3049.14,161.13,3426.0,482 CDM,PX-33225,PR INS PACING ELCTD LV LEAD ADD,2976.0,2648.64,286.64,2976.0,482 CDM,PX-33226,PR REPO IMPL LV ELECT,2912.0,2591.68,154.25,2912.0,482 CDM,PX-33227,PR RPLC PERM GEN SNGL LEAD,2325.0,2069.25,112.66,2325.0,482 CDM,PX-33228,PR RPLC PERM GEN DUAL LEAD,2228.0,1982.92,117.47,2228.0,482 CDM,PX-33229,PR RPLC PERM GEN MULT LEAD,2330.0,2073.7,122.89,2330.0,482 CDM,PX-33230,PR INS PULSE GEN W EXST DUAL LEAD,2613.0,2325.57,123.39,2613.0,482 CDM,PX-33231,PR INS PULSE GEN W EXST MULT LEAD,2618.0,2330.02,132.14,2618.0,482 CDM,PX-33233,PR RMVL PCMKR PULSE GEN ONLY,1669.0,1485.41,80.79,1669.0,482 CDM,PX-33234,PR RMVL PCMKR ELEC 1 LEAD SYS,3445.0,3066.05,159.66,3445.0,482 CDM,PX-33235,PR RMVL PCMKR ELEC DUAL LEAD SYS,4077.0,3628.53,211.8,4077.0,482 CDM,PX-33236,PR RMVL PPCMKR THORCTMY,5718.0,5089.02,292.16,5718.0,482 CDM,PX-33237,PR RMVL EPICAR PCMKR&ELEC 2 LEAD,6726.0,5986.14,311.11,6726.0,482 CDM,PX-33238,PR RMVL TRANSVENOUS ELEC THRCTMY,7247.0,6449.83,351.58,7247.0,482 CDM,PX-33240,PR INS ICD ONLY W EXIST SNGL LEAD,3009.0,2678.01,118.86,3009.0,482 CDM,PX-33241,PR RMVL ICD GEN ONLY SUBQ,1522.0,1354.58,74.85,1522.0,482 CDM,PX-33243,PR RMVL ICD ELEC THORCOM 1/2 CHAM,9544.0,8494.16,481.91,9544.0,482 CDM,PX-33244,PR RMVL ICD ELEC TRANSVEN EXTRACT,6527.0,5809.03,284.77,6527.0,482 CDM,PX-33249,PR INS/RPLC DFIB W TRANSVEN LEAD,6298.0,5605.22,294.99,6298.0,482 CDM,PX-33251,PR ABLT ARRHYTHMOGENIC FOCI W BYP,10921.0,9719.69,561.58,10921.0,482 CDM,PX-33254,PR ABLT TISS/RECONSTCT ATRIA LTD,9430.0,8392.7,477.09,9430.0,482 CDM,PX-33256,PR ABLT TISS/RECON ATRIA EXT W BP,13574.0,12080.86,672.19,13574.0,482 CDM,PX-33257,PR ABLT&RCNSTRCT ATRIA W OTH PROC,4838.0,4305.82,423.93,4838.0,482 CDM,PX-33258,PR ABLT&RCNSTRCT ATRIA WO BYPASS,4913.0,4372.57,474.45,4913.0,482 CDM,PX-33259,PR ABLT&RCNSTRCT ATRIA W BYPASS,6434.0,5726.26,611.33,6434.0,482 CDM,PX-33261,PR ABLT VENTR ARRHYTHMOGENIC FOC,11139.0,9913.71,565.36,11139.0,482 CDM,PX-33262,PR RMVL&RPLC ICD GEN SNGL LEAD,2433.0,2165.37,122.75,2433.0,482 CDM,PX-33263,PR RMVL&RPLC ICD GEN DUAL LEAD,2695.0,2398.55,127.41,2695.0,482 CDM,PX-33264,PR RMVL&RPLC ICD GEN MULTI LEAD,2728.0,2427.92,132.17,2728.0,482 CDM,PX-33265,"PR ENDO ABLATE/ RECONSTUCT ATRIA, LIMITED",9248.0,8230.72,477.41,9248.0,482 CDM,PX-33266,PR ENDO TISS ABLT/RECST ATRIA EXT,13758.0,12244.62,638.43,13758.0,482 CDM,PX-33267,PR EXCL LAA OPEN ANY METHOD,8143.0,7247.27,363.69,8143.0,482 CDM,PX-33268,PR EXCL LAA OPN OTH PX ANY METH,1201.0,1068.89,84.73,1201.0,482 CDM,PX-33269,PR EXCL LAA THRSCP ANY METHOD,6108.0,5436.12,294.13,6108.0,482 CDM,PX-33270,PR INS/RPLC SUBQ ICD W SUBQ ELEC,4626.0,4117.14,182.7,4626.0,482 CDM,PX-33271,PR INST SQ IPLT DFB ELEC,3393.0,3019.77,150.15,3393.0,482 CDM,PX-33272,PR RMVL SQ IPLT DFB ELEC,3018.0,2686.02,115.9,3018.0,482 CDM,PX-33273,PR REPOS PREV IMPLT SQ IMPLT DEF,1782.0,1585.98,133.26,1782.0,482 CDM,PX-33274,PR RPLC/INSRT TRANSCATH LEADLS PM,4396.0,3912.44,155.44,4396.0,482 CDM,PX-33275,PR TRSCTH REM PERM LEADLESS ICD,4181.0,3721.09,164.48,4181.0,482 CDM,PX-33276,PR INSN PHRNC NRV STIM SYS,5917.0,5266.13,187.43,5917.0,482 CDM,PX-33277,PR INSN PHRNC NRV STIM TRANSVNS,3082.0,2742.98,185.0,3082.0,482 CDM,PX-33278,PR RMVL PHRNC NRV STIM SYS,4280.0,3809.2,184.41,4280.0,482 CDM,PX-33279,PR RMVL PHRNC NRV STIM TRANSVNS,3445.0,3066.05,114.6,3445.0,482 CDM,PX-33280,PR RMVL PHRNC NRV STIM PG ONLY,1669.0,1485.41,72.47,1669.0,482 CDM,PX-33281,PR REPOSG PHRNC NRV STIM TRNSVN,2274.0,2023.86,125.89,2274.0,482 CDM,PX-33285,PR IMPL PT ACTV CARD EVENT RECORD,5997.0,5337.33,1680.23,5997.0,482 CDM,PX-33286,PR RMVL IMPL CARDIAC EVENT RECORD,1048.0,932.72,49.96,1048.0,482 CDM,PX-33287,PR RMV&RPLCMT PHRNC NRV STIM PG,2489.0,2215.21,127.46,2489.0,482 CDM,PX-33288,PR RMV&RPLCMT PHRNC NRV STIM LD,3112.0,2769.68,169.89,3112.0,482 CDM,PX-33289,"PR TRANSCATH IMPL W-LESS PULM PRESS SENSOR, RHC",3055.0,2718.95,105.14,3055.0,482 CDM,PX-33300,PR RPR CARDIAC WOUND WO BYPASS,12180.0,10840.2,826.86,12180.0,482 CDM,PX-333000005,HC CONSULT RAD PHYSICS SPECIAL,944.0,840.16,134.7,944.0,738 CDM,PX-333000006,HC CONSULT RAD PHYSICS/ WEEK,756.0,672.84,93.15,756.0,750 CDM,PX-333000028,HC INTRAOP RADTN ELECTRON SNGL TX,16371.0,14570.19,3405.17,16371.0,734 CDM,PX-333000030,HC PROTON TX DEL COMPLEX,6003.0,5342.67,1248.62,6003.0,736 CDM,PX-333000031,HC PROTON TX DEL INTERMEDIATE,6003.0,5342.67,1248.62,6003.0,743 CDM,PX-333000037,HC RADTN STEREOTACTIC CRAN COBALT,17813.0,15853.57,1733.91,17813.0,739 CDM,PX-333000038,HC RADTN STEREOTACTIC CRAN LINEAR,17727.0,15777.03,955.83,17727.0,740 CDM,PX-333000043,HC RADTN TX DEL >=1 MEV SMPL,1066.0,948.74,102.25,1066.0,736 CDM,PX-333000053,HC STEREOTACTIC BODY RADTN DEL,12078.0,10749.42,1000.91,12078.0,747 CDM,PX-333000055,HC TELETHX ISODOSE PLN CMPLX,1532.0,1363.48,292.01,1532.0,738 CDM,PX-333000057,HC THER RADIOLOGY PORT FILMS,236.0,210.04,49.09,271.4,719 CDM,PX-333000061,HC SURFACE APP RADIATION SOURCE,3409.0,3034.01,102.25,3409.0,736 CDM,PX-333000082,HC INS UTERINE TANDEM/VAG OVOIDS,10445.0,9296.05,229.27,10445.0,737 CDM,PX-333000083,HC INS VAG BRACHYTHRPY DEV,1686.0,1500.54,122.92,1686.0,738 CDM,PX-333000086,HC PROTON TX DEL INTERMEDIATE - HYPOFRACTIONATION,7504.0,6678.56,1252.42,7504.0,743 CDM,PX-333000087,HC PROTON TX DEL COMPLEX - HYPOFRACTIONATION,7504.0,6678.56,1252.42,7504.0,736 CDM,PX-333000090,HC SURF RADJ THER SUPFC<=150KV,525.0,467.25,102.25,525.0,734 CDM,PX-333000091,HC SURF RAD THR ORTHVLT>150-500,525.0,467.25,102.25,525.0,734 CDM,PX-333000092,HC RADTN TX DEL >=1 MEV INT 3D,1520.0,1352.8,316.16,1520.0,734 CDM,PX-333000093,HC RADTN TX DEL >=1 MEV INT IMRT,6003.0,5342.67,386.52,6003.0,734 CDM,PX-333000094,HC RADTN TX DEL >=1 MEV INT IMRT HYPO,7504.0,6678.56,386.52,7504.0,734 CDM,PX-333000095,HC RADTN TX DEL >=1 MEV INT 3D HYPO,1900.0,1691.0,386.52,1900.0,734 CDM,PX-333000096,HC RADTN TX DEL >=1 MEV COMPLEX 2D,1772.0,1577.08,368.58,1772.0,741 CDM,PX-333000097,HC RADTN TX DEL >=1 MEV COMPLEX 3D,1772.0,1577.08,368.58,1772.0,741 CDM,PX-333000098,HC RADTN TX DEL >=1 MEV COMPLEX IMRT,6003.0,5342.67,553.73,6003.0,741 CDM,PX-333000099,HC RADTN TX DEL >=1 MEV COMPLEX IMRT HYPO,7504.0,6678.56,553.73,7504.0,741 CDM,PX-333000100,HC RADTN TX DEL >=1 MEV COMPLEX 3D HYPO,2215.0,1971.35,460.72,2215.0,741 CDM,PX-333000101,HC SURF RADJ THER TX PLANNING,1278.0,1137.42,37.43,1278.0,734 CDM,PX-33305,PR RPR CARDIAC WOUND W BYPASS,18089.0,16099.21,1365.73,18089.0,482 CDM,PX-33310,PR CARDIOTOMY EXPLORATORY,7505.0,6679.45,419.11,7505.0,482 CDM,PX-33315,PR CARDIOT RMVL FB/THRMB W BYP,11943.0,10629.27,651.92,11943.0,482 CDM,PX-33320,PR SUTR RPR AORTA/GRT VSSL WO BYP,7880.0,7013.2,374.54,7880.0,482 CDM,PX-33322,PR SUTR RPR AORTA/GRT VSSL W BYP,9568.0,8515.52,489.04,9568.0,482 CDM,PX-33330,PR RPR AORTA/GRT VSSL WO SHNT BYP,9531.0,8482.59,503.63,9531.0,482 CDM,PX-33335,PR INS GRAFT AORTA/GRT VSSL W BYP,14149.0,12592.61,650.37,14149.0,482 CDM,PX-33340,PR PERC TXCATH CLSR LT ATR APNDG,6815.0,6065.35,232.28,6815.0,482 CDM,PX-33361,PR RPLC AORTIC VLV PERC FEM ARTY,9139.0,8133.71,391.88,9139.0,482 CDM,PX-33362,PR RPLC AORTIC VLV OPEN FEM ARTY,10966.0,9759.74,426.27,10966.0,482 CDM,PX-33363,PR RPLC AORTIC VLV OPN AXL ARTRY,10966.0,9759.74,442.73,10966.0,482 CDM,PX-33364,PR RPLC AORTIC VLV OPN ILIAC ARTY,10966.0,9759.74,460.41,10966.0,482 CDM,PX-33365,PR RPLC AORTIC VALVE TRANSAORTIC,11943.0,10629.27,461.99,11943.0,482 CDM,PX-33366,PR TRANSCATHATER RPLC AORTIC VLV,12795.0,11387.55,508.14,12795.0,482 CDM,PX-33368,PR RPLC AORTIC VLV W ART/VEN APP,6490.0,5776.1,490.19,6490.0,482 CDM,PX-33369,PR RPLC AORTIC VLV CNTRL ART/VEN,6788.0,6041.32,647.43,6788.0,482 CDM,PX-33370,PR TCAT PLMT&RMVL CEPD PERQ,854.0,760.06,84.0,854.0,482 CDM,PX-33390,PR VLVPLSTY AORTIC VALVE SMPL,15823.0,14082.47,647.56,15823.0,482 CDM,PX-33391,PR VLVPLSTY AORTIC VALVE CMPLX,18737.0,16675.93,776.77,18737.0,482 CDM,PX-33404,PR CNSTRCT APICAL-AORTIC CONDUIT,13942.0,12408.38,613.59,13942.0,482 CDM,PX-33405,PR RPLC AORTIC VLV W PROSTH VLV,17298.0,15395.22,776.94,17298.0,482 CDM,PX-33406,PR RPLC AORTIC VLV W BYP ALLOGRFT,20476.0,18223.64,975.05,20476.0,482 CDM,PX-33410,PR RPLC AORTIC VLV STENTLESS TISS,13418.0,11942.02,870.25,13418.0,482 CDM,PX-33411,PR RPLC AORTIC VLV ANNULUS ENLGMT,23519.0,20931.91,1135.74,23519.0,482 CDM,PX-33412,PR RPLC AORTIC VALVE KONNO PROC,21786.0,19389.54,1070.7,21786.0,482 CDM,PX-33413,PR RPLC AV TRNSLOC AUTOLOG PULM VLV,27225.0,24230.25,1102.92,27225.0,482 CDM,PX-33414,PR RPR VENTR OUTFLOW TRACT OBSTR,15692.0,13965.88,726.22,15692.0,482 CDM,PX-33415,PR RSECT/INC SUBVALVULAR TISSUE,15741.0,14009.49,695.18,15741.0,482 CDM,PX-33416,PR VENTRICULOMYOTOMY-MYECTOMY,21160.0,18832.4,696.91,21160.0,482 CDM,PX-33417,PR AORTOPLASTY SUPRAVALVULAR STNS,13242.0,11785.38,579.99,13242.0,482 CDM,PX-33418,PR TXCATH MITRAL VALVE REPAIR INI,13484.0,12000.76,577.06,13484.0,482 CDM,PX-33419,PR TRNSCATH MITR VLV RPR ADD PROST,3652.0,3250.28,266.6,3652.0,482 CDM,PX-33422,PR VALVOTOMY MITRAL VLV OPN HEART,12265.0,10915.85,585.8,12265.0,482 CDM,PX-33425,PR VLVPLSTYLSTY MITRAL VLV W BYP,21062.0,18745.18,931.48,21062.0,482 CDM,PX-33426,PR VLVPLSTYLSTY W BYP W PROSTH RING,17878.0,15911.42,816.14,17878.0,482 CDM,PX-33427,PR VLVPLSTYLSTY W BYP WO PROSTH RING,20127.0,17913.03,832.13,20127.0,482 CDM,PX-33430,PR RPLC MITRAL VLV W CARDPULM BYP,21159.0,18831.51,959.22,21159.0,482 CDM,PX-33440,PR RPLC AV TRNSLOC AUTOLOG PULM VLV ROSS-KONNO,25804.0,22965.56,1155.76,25804.0,482 CDM,PX-33463,PR VLVPLSTY TRICUSPID VLV WO RING INS,23086.0,20546.54,1045.57,23086.0,482 CDM,PX-33464,PR VLVPLSTY TRICUSPID VLV W RING INS,17218.0,15324.02,832.78,17218.0,482 CDM,PX-33465,PR RPLC TRICUSPID VLV W CARD BYP,15824.0,14083.36,935.98,15824.0,482 CDM,PX-33468,PR TRICUSPID VLV REPO & PLICATION,20513.0,18256.57,825.22,20513.0,482 CDM,PX-33474,PR VALVOTOMY PULM VLV OPN HEART,14628.0,13018.92,743.35,14628.0,482 CDM,PX-33475,PR REPLACEMENT PULMONARY VALVE,19707.0,17539.23,787.86,19707.0,482 CDM,PX-33476,PR RESECT RT VENT INFUND STENOSIS,9829.0,8747.81,532.7,9829.0,482 CDM,PX-33477,PR TRANSCATH PULM VLV IMPL PERC,9858.0,8773.62,420.96,9858.0,482 CDM,PX-33478,PR OUTFLOW TRACT AUGMENTATION,13707.0,12199.23,548.92,13707.0,482 CDM,PX-33496,PR RPR NONSTRUCT PROSTH VLV DYSFN,12166.0,10827.74,584.86,12166.0,482 CDM,PX-33500,PR RPR CORONARY AV/AC FIST W BYP,10507.0,9351.23,548.72,10507.0,482 CDM,PX-335000000,HC CHEMO INF SEQ DIF DRUG 1ST HR,499.0,444.11,67.46,499.0,740 CDM,PX-335000001,HC CHEMO IV INF > 8HR W PUMP,870.0,774.3,180.96,870.0,734 CDM,PX-335000002,HC CHEMO IV INF 1ST HR,903.0,803.67,135.15,903.0,747 CDM,PX-335000003,HC CHEMO IV INF EA ADD HR,237.0,210.93,28.54,237.0,747 CDM,PX-33502,PR RPR ANOM CORONARY ART LIGATION,8347.0,7428.83,452.4,8347.0,482 CDM,PX-33504,PR RPR COR ART PULM GRFT W BYP,11196.0,9964.44,514.19,11196.0,482 CDM,PX-33505,PR RPR COR ART W INTRAPULM TUNNEL,16753.0,14910.17,687.92,16753.0,482 CDM,PX-33506,PR RPR COR ART FRM PULM TO AORTA,14985.0,13336.65,690.66,14985.0,482 CDM,PX-33507,PR RPR AORTIC ORIGIN CORONARY ART,16423.0,14616.47,584.02,16423.0,482 CDM,PX-33508,PR ENDO SURG W VA HARVEST CABG,150.0,133.5,10.42,150.0,482 CDM,PX-33510,PR COR ART BYPASS 1 COR VEN GRAFT,12994.0,11564.66,664.77,12994.0,482 CDM,PX-33511,PR COR ART BYPASS 2 COR VEN GRAFT,14965.0,13318.85,730.13,14965.0,482 CDM,PX-33512,PR COR ART BYPASS 3 COR VEN GRAFT,15660.0,13937.4,826.05,15660.0,482 CDM,PX-33513,PR COR ART BYPASS 4 COR VEN GRAFT,16328.0,14531.92,842.19,16328.0,482 CDM,PX-33516,PR COR ART BYP >=6 COR VEN GRAFT,23984.0,21345.76,930.65,23984.0,482 CDM,PX-33517,PR COR ART BYP W VEIN GRFT 1 VEIN,1437.0,1278.93,122.87,1437.0,482 CDM,PX-33518,PR COR ART BYP W VEIN GRFT 2 VEIN,2878.0,2561.42,269.57,2878.0,482 CDM,PX-33519,PR COR ART BYP W VEIN GRFT 3 VEIN,3585.0,3190.65,356.36,3585.0,482 CDM,PX-33521,PR COR ART BYP W VEIN GRFT 4 VEIN,5014.0,4462.46,427.85,5014.0,482 CDM,PX-33522,PR COR ART BYP W VEIN GRFT 5 VEIN,6499.0,5784.11,480.04,6499.0,482 CDM,PX-33530,PR REOP COR ART BYP/VALVE PROC,3716.0,3307.24,344.61,3716.0,482 CDM,PX-33533,PR CABG W ARTL GRFT 1 ARTL GRFT,15050.0,13394.5,643.81,15050.0,482 CDM,PX-33534,PR CABG W ARTL GRFT 2 ARTL GRFT,17726.0,15776.14,753.99,17726.0,482 CDM,PX-33535,PR CABG W ARTL GRFT 3 ARTL GRFT,19106.0,17004.34,835.26,19106.0,482 CDM,PX-33536,PR CABG W ARTL GRFT >=4 ARTL GRFT,20517.0,18260.13,898.03,20517.0,482 CDM,PX-33542,PR MYOCARDIAL RESECTION,16618.0,14790.02,896.31,16618.0,482 CDM,PX-33545,PR REPAIR POSTINFARCTION VSD,24042.0,21397.38,1048.7,24042.0,482 CDM,PX-33548,PR SURG VENT RESTORATION PROC,19118.0,17015.02,1017.77,19118.0,482 CDM,PX-33572,PR ENDARTERCOMY CORONAY ARTERY,2697.0,2400.33,151.05,2697.0,482 CDM,PX-33600,PR CLSR ATRIOVENT VLV SUTR/PATCH,15901.0,14151.89,596.49,15901.0,482 CDM,PX-33602,PR CLSR SEMILUNAR VLV AORTIC/PULM,15247.0,13569.83,580.13,15247.0,482 CDM,PX-33606,PR ANAST PULM ARTERY TO AORTA,13842.0,12319.38,614.76,13842.0,482 CDM,PX-33608,PR RPR CARD NOT PULM ATRESIA VSD,20164.0,17945.96,623.17,20164.0,482 CDM,PX-33611,PR RPR RT VENT W INTRAVENT TUN,14982.0,13333.98,661.55,14982.0,482 CDM,PX-33612,PR RPR RT VENT W VENT TRACT OBSTR,14643.0,13032.27,678.62,14643.0,482 CDM,PX-33617,PR RPR COMPLEX CARDIAC ANOMALY,19662.0,17499.18,738.49,19662.0,482 CDM,PX-33619,PR RPR 1 VENT W OUTFLW OBSTRUCT,25250.0,22472.5,943.06,25250.0,482 CDM,PX-33620,PR APP RT< PULM ART BAND,10895.0,9696.55,560.19,10895.0,482 CDM,PX-33621,PR TRNSTHORACIC CATH INS STENT PLC,5856.0,5211.84,325.71,5856.0,482 CDM,PX-33622,PR RECONSTRUCTION CARDIAC ANOMALY,23377.0,20805.53,1144.39,23377.0,482 CDM,PX-33641,PR RPR ATRIAL SEPTAL DEFECT W BYP,13720.0,12210.8,559.95,13720.0,482 CDM,PX-33645,PR DIR/PATCH CLSR SINUS VENOSUS,13850.0,12326.5,590.53,13850.0,482 CDM,PX-33647,PR RPR ATRIAL&VEN SEPTAL DEFECT,15991.0,14231.99,617.93,15991.0,482 CDM,PX-33660,PR RPR INCOMPLT/PRTL AV CANAL,15965.0,14208.85,598.18,15965.0,482 CDM,PX-33665,PR REPAIR INT/TRANSIONAL AV CANAL,16026.0,14263.14,649.4,16026.0,482 CDM,PX-33670,PR RPR CMPLX AV CANAL W/WO PROSTH,21868.0,19462.52,659.53,21868.0,482 CDM,PX-33675,PR CLSR MULT VEN SEPTAL DEFECTS,17034.0,15160.26,668.4,17034.0,482 CDM,PX-33681,PR CLSR SNGL VEN SEPTAL DEFECT,12963.0,11537.07,641.1,12963.0,482 CDM,PX-33684,PR CLSR V-SEPTL DEFECT W PULM,16035.0,14271.15,641.25,16035.0,482 CDM,PX-33690,PR BANDING PULMONARY ARTERY,9924.0,8832.36,427.5,9924.0,482 CDM,PX-33692,PR RPR T-FALLOT WO PULM ATRES,13801.0,12282.89,656.64,13801.0,482 CDM,PX-33694,PR RPR T-FALLOT WO PULM ATRES PATCH,13705.0,12197.45,661.55,13705.0,482 CDM,PX-33697,PR RPR T-FALLOT W PULM ATRESIA,13139.0,11693.71,695.47,13139.0,482 CDM,PX-33720,PR RPR SINUS VALSALVA ANEURYSM,10949.0,9744.61,537.71,10949.0,482 CDM,PX-33724,PR RPR ISOLATED PRTL PULM VENOUS,10926.0,9724.14,526.99,10926.0,482 CDM,PX-33726,PR RPR PULM VENOUS STENOSIS,14798.0,13170.22,688.09,14798.0,482 CDM,PX-33730,PR RPR COMPLT PULM VENOUS RETURN,14650.0,13038.5,583.15,14650.0,507 CDM,PX-33732,PR RPR COR TRIATR/SUPRAVAL MTRL RNG,12932.0,11509.48,573.67,12932.0,482 CDM,PX-33735,PR ATRIAL SEPTECT/SEPTOST CLSD,9749.0,8676.61,458.93,9749.0,482 CDM,PX-33736,PR ATR SEPTECT/SEPTOST OPN W BYP,13499.0,12014.11,494.89,13499.0,482 CDM,PX-33741,PR TAS CONGENITAL CAR ANOMAL,5404.0,4809.56,234.79,5404.0,482 CDM,PX-33745,PR TIS CGEN CAR ANOMAL 1ST SHNT,6609.0,5882.01,335.66,6609.0,482 CDM,PX-33746,PR TIS CGEN CAR ANOMAL EA ADDL,3270.0,2910.3,268.26,3270.0,482 CDM,PX-33750,PR SHUNT SUBCLAVIAN PULM ARTY,10886.0,9688.54,438.04,10886.0,482 CDM,PX-33755,PR SHUNT ASCEND AORT PULM ARTY,9672.0,8608.08,465.78,9672.0,482 CDM,PX-33762,PR SHUNT DESCEND AORT PULM ARTY,10567.0,9404.63,444.6,10567.0,482 CDM,PX-33764,PR SHUNT CENTRAL W PROSTHETIC GRFT,14634.0,13024.26,465.78,14634.0,482 CDM,PX-33766,PR SHUNT SUP VENA CAVA SNGL LUNG,10454.0,9304.06,461.0,10454.0,482 CDM,PX-33767,PR SHUNT SUP VENA CAVA BOTH LUNG,12533.0,11154.37,490.39,12533.0,482 CDM,PX-33768,PR ANAST CAVOPULM 2ND SUP VEN CAVA,3058.0,2721.62,271.59,3058.0,482 CDM,PX-33770,PR RPR TRPOS GRT VSL WO ENLGMNT,14131.0,12576.59,711.53,14131.0,482 CDM,PX-33777,PR RPR TRPOS GRT VSL W BYP OBSTR,15053.0,13397.17,645.11,15053.0,482 CDM,PX-33778,PR RPR TRPOS GRT VSSL AORTIC PULM,26143.0,23267.27,678.47,26143.0,507 CDM,PX-33780,PR RPR TGV ART RCNST W CLSR VSD,26179.0,23299.31,793.42,26179.0,482 CDM,PX-33786,PR TOTAL RPR TRUNCUS ARTERIOSUS,16113.0,14340.57,766.48,16113.0,482 CDM,PX-33788,PR REIMPLANTATION PULM ARTERY,11773.0,10477.97,526.23,11773.0,482 CDM,PX-33800,PR AORT SUSP TRACH DCMPRS,8939.0,7955.71,344.05,8939.0,482 CDM,PX-33802,PR DIVISION ABERRANT VESSEL VASC,6846.0,6092.94,386.79,6846.0,482 CDM,PX-33803,PR DIVISION ABERRANT VSL REANAST,9828.0,8746.92,398.69,9828.0,482 CDM,PX-33820,PR RPR PATENT DUCTUS ARTY LIG,9281.0,8260.09,341.15,9281.0,482 CDM,PX-33822,PR RPR PATENT DUCT ARETERIOS <18,12148.0,10811.72,358.41,12148.0,482 CDM,PX-33840,PR EXCISN COARC AORTA W ANASTOM,12195.0,10853.55,437.2,12195.0,482 CDM,PX-33845,PR EXCISN COARC AORTA W GRFT,14111.0,12558.79,471.26,14111.0,482 CDM,PX-33851,PR EXCISION COARCTATION AORTA,13799.0,12281.11,448.12,13799.0,482 CDM,PX-33852,PR RPR HYPOPLSTC AORT W GRFT WO BYP,13725.0,12215.25,489.33,13725.0,482 CDM,PX-33853,PR RPR HYPOPLSTC AORTIC W PROSTH,20752.0,18469.28,633.9,20752.0,482 CDM,PX-33858,PR AS-AORT GRF F/AORTIC DSJ,27506.0,24480.34,1138.26,27506.0,482 CDM,PX-33859,PR AS-AORT GRF F/DS OTH/THN DSJ,17357.0,15447.73,823.75,17357.0,482 CDM,PX-33863,PR ASC AORTA GRFT BYP&AORTIC RPLC,21368.0,19017.52,1056.09,21368.0,482 CDM,PX-33864,PR ASC AORTA GRFT VLV ROOT REMODEL,24350.0,21671.5,1078.17,24350.0,482 CDM,PX-33866,PR AORTIC HEMIARCH GRAFT W CIRC ARREST-ADD ON,8141.0,7245.49,603.55,8141.0,482 CDM,PX-33871,PR TRANSVRS A-ARCH GRF HYPTHRM,23603.0,21006.67,1090.43,23603.0,482 CDM,PX-33875,PR DESC THOR AORTA GRFT W/WO BYP,23513.0,20926.57,922.32,23513.0,482 CDM,PX-33877,PR RPR THORACOABD AORTIC ANEURYSM,29725.0,26455.25,1185.22,29725.0,482 CDM,PX-33880,PR ENDOVSC RPR W COVRG SUBCL ART,14284.0,12712.76,464.31,14284.0,482 CDM,PX-33881,PR ENDOVSC RPR WO COVRG SUBCL ART,11948.0,10633.72,390.26,11948.0,482 CDM,PX-33883,PR PLC PROX PROSTH EVASC RPR INIT,9131.0,8126.59,348.3,9131.0,482 CDM,PX-33886,PR PLC DSTL EXTSN PROSTH DELAYED,7081.0,6302.09,347.28,7081.0,482 CDM,PX-33894,PR EVASC ST RPR THRC/AA ACRS BR,7180.0,6390.2,306.45,7180.0,482 CDM,PX-33895,PR EVASC ST RPR THRC/AA X CRSG,5709.0,5081.01,243.94,5709.0,482 CDM,PX-33897,PR PERQ TRLUML ANGP NT/RECR COA,4252.0,3784.28,181.29,4252.0,482 CDM,PX-33900,PR PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI,5050.0,4494.5,184.91,5050.0,482 CDM,PX-33901,PR PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ BI,6492.0,5777.88,243.21,6492.0,482 CDM,PX-33902,PR PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL,6054.0,5388.06,234.79,6054.0,482 CDM,PX-33903,PR PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL,7214.0,6420.46,276.91,7214.0,482 CDM,PX-33904,PR PERQ P-ART REVSC ST EA ADDL VSL/SEP LES NM/ABNL,2631.0,2341.59,185.72,2631.0,482 CDM,PX-33910,PR PULM ARTY EMBOLECTOMY W BYP,14817.0,13187.13,899.19,14817.0,482 CDM,PX-33916,PR PULM ENDARTERECT W/WO EMBOLECT,24584.0,21879.76,1399.26,24584.0,482 CDM,PX-33917,PR RPR PULMONARY ART STENOSIS,13094.0,11653.66,511.57,13094.0,482 CDM,PX-33920,PR REPAIR ATRESIA PULMONARY ARTY,13663.0,12160.07,524.05,13663.0,507 CDM,PX-33922,PR TRANSECTION PULM ARTY W BYP,11328.0,10081.92,486.02,11328.0,482 CDM,PX-33924,PR LIGATION PULM ARTERY SHUNT,3037.0,2702.93,186.28,3037.0,482 CDM,PX-33925,PR REPAIR PULM ARTY ARBORIZATION,11996.0,10676.44,582.26,11996.0,482 CDM,PX-33926,PR RPR PULM ART ARBORIZ ANOM W BYP,15971.0,14214.19,810.21,15971.0,482 CDM,PX-33927,PR IMPLTJ TOT RPLCMT HRT SYS,20838.0,18545.82,831.87,20838.0,482 CDM,PX-33928,PR RMVL & RPLCMT TOT HRT SYS,22250.0,19802.5,1112.5,22250.0,477 CDM,PX-33929,PR RMVL RPLCMT HRT SYS F/TRNSPL,4945.0,4401.05,494.5,4945.0,477 CDM,PX-33930,PR CARD-PNEUMONECTOMY DONOR,15065.0,13407.85,13257.2,15065.0,477 CDM,PX-33933,PR BKBENCH PREP CADAV HEART/LUNG,18268.0,16258.52,159.11,18268.0,482 CDM,PX-33935,PR TRNSPL HRT LNG W CARDECT PNUMEC,33972.0,30235.08,1684.01,33972.0,482 CDM,PX-33940,PR DONOR CARDIECTOMY,8878.0,7901.42,7812.64,8878.0,477 CDM,PX-33944,PR PREP TRNSPL CADAVER DONOR HEART,2882.0,2564.98,112.39,2882.0,482 CDM,PX-33945,PR HEART TRNSPL W/WO RCPT CARDIECTOMY,37519.0,33391.91,1646.25,37519.0,482 CDM,PX-33946,PR ECMO INITIATION VENO-VENOUS,2360.0,2100.4,204.95,2360.0,482 CDM,PX-33947,PR ECMO INITIATION VENO-ART,2579.0,2295.31,225.58,2579.0,482 CDM,PX-33948,PR ECMO DLY MGMT VENO-VENOUS,2259.0,2010.51,162.47,2259.0,482 CDM,PX-33949,PR ECMO DLY MGMT VENO-ARTERIAL,1956.0,1740.84,157.03,1956.0,482 CDM,PX-33951,PR ECMO INS PRPH CANNULA <=5YRS PERC,3401.0,3026.89,141.15,3401.0,482 CDM,PX-33952,PR ECMO INSERT CANNULA >=6YR PERC,3204.0,2851.56,140.22,3204.0,482 CDM,PX-33953,PR ECMO INS PRPH CANNULA <=5YRS OPN,3789.0,3372.21,157.19,3789.0,482 CDM,PX-33954,PR ECMO INS PRPH CNULA >=6YR,3569.0,3176.41,156.83,3569.0,482 CDM,PX-33955,PR ECMO INS CNTRL CANNULA <=5YRS,6537.0,5817.93,274.66,6537.0,482 CDM,PX-33956,PR ECMO INSERT CENTRL CANLA >=6YR,7329.0,6522.81,273.75,7329.0,482 CDM,PX-33957,PR ECMO REPOS CNTRL CANNULA <=5YR PERC,1760.0,1566.4,61.83,1760.0,482 CDM,PX-33958,PR ECMO REPOS CANNULA >=6YR PERC,1721.0,1531.69,61.83,1721.0,482 CDM,PX-33959,PR ECMO REPOS PERIPH CANNULA <=5YRS,2216.0,1972.24,78.42,2216.0,482 CDM,PX-33962,PR ECMO REPOS CANNULA >=6YR OPN,1949.0,1734.61,78.42,1949.0,482 CDM,PX-33963,PR ECMO REPOS CNTRL CANNULA <=5YR OPN,4265.0,3795.85,155.47,4265.0,482 CDM,PX-33964,PR ECMO REPOS CANNULA >=6YR,3910.0,3479.9,163.86,3910.0,482 CDM,PX-33965,PR ECMO RMVL CNTRL CANNULA <=5YR PERC,1741.0,1549.49,61.83,1741.0,482 CDM,PX-33966,PR ECMO RMVL CANNULA >=6YR PERC,1944.0,1730.16,78.57,1944.0,482 CDM,PX-33967,PR INS INTRA AORTIC BLN DEV PERC,1812.0,1612.68,81.62,1812.0,482 CDM,PX-33968,PR RMVL INTRA AORTIC BLN DEV PERC,276.0,245.64,21.67,276.0,482 CDM,PX-33969,PR ECMO RMVL PERIPH CANNULA <=5YRS,2276.0,2025.64,90.97,2276.0,482 CDM,PX-33970,PR INS INTRA AORTIC BLN FEM ART,2554.0,2273.06,113.68,2554.0,482 CDM,PX-33971,PR RMVL INTRA AORTIC BLN FEM ART,4706.0,4188.34,249.57,4706.0,482 CDM,PX-33973,PR INS INTRA AORTIC BLN ASC AORTA,3690.0,3284.1,166.1,3690.0,482 CDM,PX-33975,PR INS VENT ASSIST DEV SNGL VENT,8637.0,7686.93,424.82,8637.0,482 CDM,PX-33976,PR INS VENT ASSIST DEVICE BIVENT,10123.0,9009.47,523.84,10123.0,482 CDM,PX-33977,PR RMVL VENT ASSIST DEVICE 1 VENT,8939.0,7955.71,377.22,8939.0,482 CDM,PX-33978,PR RMVL VAD EXTRACORPOREAL BIVENT,8899.0,7920.11,451.3,8899.0,482 CDM,PX-33979,PR INS VENT ASSIST DEV IMPL 1VENT,19903.0,17713.67,638.06,19903.0,482 CDM,PX-33980,PR RMVL VENT ASST DEV IMPL SNGL,23465.0,20883.85,593.46,23465.0,482 CDM,PX-33981,PR RPLC VAD SNGL/BIVENT PUMPS,7540.0,6710.6,274.51,7540.0,482 CDM,PX-33982,PR RPLC VAD IMPL INTRACORPL SNGL,13220.0,11765.8,644.85,13220.0,482 CDM,PX-33983,PR RPLC VAD IMPL SNGL VENT W BYP,22034.0,19610.26,759.04,22034.0,482 CDM,PX-33984,PR ECMO RMVL PRPH CANNULA >=6YR OPN,2581.0,2297.09,93.35,2581.0,482 CDM,PX-33985,PR ECMO RMVL CNTRL CANNULA <=5YR,3870.0,3444.3,170.6,3870.0,482 CDM,PX-33986,PR ECMO RMVL CNTRL CANNULA >=6YR OPN,4157.0,3699.73,172.46,4157.0,482 CDM,PX-33987,PR ARTL EXPOS/GRFT PERFSN ECMO,1622.0,1443.58,137.77,1622.0,482 CDM,PX-33988,PR INS LT HEART VENT THOR ECMO,6451.0,5741.39,257.76,6451.0,482 CDM,PX-33989,PR RMVL LT HEART VENT THOR ECMO,4288.0,3816.32,163.86,4288.0,482 CDM,PX-33990,PR INS PERC VENT ASSIST DEV LEFT HEART ARTERIAL ONLY W IMG,3159.0,2811.51,113.51,3159.0,482 CDM,PX-33991,PR INSERT VAD PERC LEFT HEART W S&I ART&VEN,4180.0,3720.2,150.6,4180.0,482 CDM,PX-33992,"PR RMVL PERC VENT ASSIST DEV, LEFT HEART,ART &/OR ART&VEN",1435.0,1277.15,59.72,1435.0,482 CDM,PX-33993,PR REPO PERC VENT ASSIST DEV RT OR LT,2233.0,1987.37,52.75,2233.0,482 CDM,PX-33995,PR INSERT PERQ VAD R HRT VENOUS,2614.0,2326.46,113.67,2614.0,482 CDM,PX-33997,PR REMOVE PERQ R HRT VAD,1449.0,1289.61,50.77,1449.0,482 CDM,PX-33999002,PR TRANSCAROTID TAVR,10966.0,9759.74,548.3,10966.0,477 CDM,PX-340000084,HC CDS MECHANISM NDS CO MC AUC PROG,1.0,0.89,0.21,1.0,719 CDM,PX-340000089,HC CDSM EVICORE,1.0,0.89,0.21,1.0,719 CDM,PX-340000090,HC CDSM MEDCURRENT,1.0,0.89,0.21,1.0,719 CDM,PX-340000091,HC CDSM MEDICALIS,1.0,0.89,0.21,1.0,719 CDM,PX-340000092,HC CDSM AIM,1.0,0.89,0.21,1.0,719 CDM,PX-340000093,HC CDSM CRANBERRY PK,1.0,0.89,0.21,1.0,719 CDM,PX-340000095,HC CDSM STANSON,1.0,0.89,0.21,1.0,719 CDM,PX-340000096,HC CDSM AGILEMD,1.0,0.89,0.21,1.0,719 CDM,PX-340000097,HC CDSM EVIDENCECARE,1.0,0.89,0.21,1.0,719 CDM,PX-340000098,HC CDSM INVENIQA,1.0,0.89,0.21,1.0,719 CDM,PX-340000099,HC CDSM RELIANT,1.0,0.89,0.21,1.0,719 CDM,PX-340000100,HC CDSM SPEED OF CARE,1.0,0.89,0.21,1.0,719 CDM,PX-340000101,HC CDSM HEALTHHELP,1.0,0.89,0.21,1.0,719 CDM,PX-340000102,HC CDSM INFINX,1.0,0.89,0.21,1.0,719 CDM,PX-340000103,HC CDSM LOGICNETS,1.0,0.89,0.21,1.0,719 CDM,PX-340000104,HC CDSM CURBSIDE,1.0,0.89,0.21,1.0,719 CDM,PX-340000105,HC CDSM EHEALTHLINE,1.0,0.89,0.21,1.0,719 CDM,PX-340000106,HC CDSM INTERMOUNTAIN,1.0,0.89,0.21,1.0,719 CDM,PX-340000107,HC CDSM PERSIVIA,1.0,0.89,0.21,1.0,719 CDM,PX-340000108,HC CDSM QUALIFIED NOS,1.0,0.89,0.21,1.0,719 CDM,PX-34101,PR EMBLC/THRMBC AX/BRACH ARM INC,4339.0,3861.71,196.91,4339.0,482 CDM,PX-34111,PR EMBLC/THRMBC RADIAL/ULNAR ARM,3747.0,3334.83,197.25,3747.0,482 CDM,PX-34151,PR EMBLC/THRMBC RNL/CEL/AORTILIAC,10345.0,9207.05,454.6,10345.0,482 CDM,PX-34201,PR EMBLC/THRMBC FEM POP AORTILIAC,7002.0,6231.78,333.42,7002.0,482 CDM,PX-34203,PR EMBLC/THRMBC POPLITEAL TIBIO,6455.0,5744.95,310.84,6455.0,482 CDM,PX-34401,PR THRMBC DIR/W CATH VENA ABD INC,9556.0,8504.84,435.55,9556.0,482 CDM,PX-34502,PR RCNSTRCT VENA CAVA ANY METHOD,13951.0,12416.39,519.76,13951.0,482 CDM,PX-34701,PR EVASC RPR A-AO NDGFT,7338.0,6530.82,401.63,7338.0,482 CDM,PX-34702,PR EVASC RPR A-AO NDGFT RPT,9138.0,8132.82,579.66,9138.0,482 CDM,PX-34703,PR EVASC RPR A-UNILAC NDGFT,10126.0,9012.14,444.64,10126.0,482 CDM,PX-34705,PR EVAC RPR A-BIILIAC NDGFT,8223.0,7318.47,493.66,8223.0,482 CDM,PX-34706,PR EVASC RPR A-BIILIAC RPT,12763.0,11359.07,732.98,12763.0,482 CDM,PX-34707,PR EVASC RPR ILIO-ILIAC NDGFT,7651.0,6809.39,378.33,7651.0,482 CDM,PX-34708,PR EVASC RPR ILIO-ILIAC RPT,12232.0,10886.48,587.28,12232.0,482 CDM,PX-34709,PR PLMT XTN PROSTH EVASC RPR,1784.0,1587.76,205.53,1784.0,482 CDM,PX-34710,PR DLYD PLMT XTN PROSTH 1ST VSL,5189.0,4618.21,261.07,5189.0,482 CDM,PX-34711,PR DLYD PLMT XTN PROSTH EA ADDL,1466.0,1304.74,188.05,1466.0,482 CDM,PX-34712,PR TCAT DLVR ENHNCD FIXJ DEV,3967.0,3530.63,215.63,3967.0,482 CDM,PX-34713,PR PERQ ACCESS & CLSR FEM ART,665.0,591.85,78.64,665.0,482 CDM,PX-34714,PR OPN FEM ART EXPOS CNDT CRTJ,1690.0,1504.1,176.23,1690.0,482 CDM,PX-34715,PR OPN AX/SUBCLA ART EXPOS,1744.0,1552.16,192.14,1744.0,482 CDM,PX-34716,PR OPN AX/SUBCLA ART EXPOS CNDT,2752.0,2449.28,244.0,2752.0,482 CDM,PX-34717,PR EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI,3112.0,2769.68,282.09,3112.0,482 CDM,PX-34718,PR EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI,8386.0,7463.54,399.02,8386.0,482 CDM,PX-34812,PR OPEN FEM ARTY EXPOSURE UNILAT,2320.0,2064.8,131.41,2320.0,482 CDM,PX-34831,PR RPR ANYSM W AORTOBIILIAC PRSTH,12856.0,11441.84,627.75,12856.0,482 CDM,PX-34834,PR BRACH ART EXPOS DPL PROSTH UNILAT,1941.0,1727.49,82.86,1941.0,482 CDM,PX-34841,PR ENDOVASC VISCER AORT RPR 1 GRFT,9975.0,8877.75,597.49,9975.0,482 CDM,PX-34842,PR EVASC VISC AORTA RPR 2 GRAFT,11969.0,10652.41,752.28,11969.0,482 CDM,PX-34843,PR EVASC VISCER AORT RPR 3 GRFT,13964.0,12427.96,907.06,13964.0,482 CDM,PX-34844,PR EVASC VISC AORTA RPR 4 GRAFT,15457.0,13756.73,1061.85,15457.0,482 CDM,PX-34845,PR VISC & INFRAREN ABD 1 PROSTH,16279.0,14488.31,1095.37,16279.0,482 CDM,PX-34846,PR VISC & INFRAREN ABD 2 PROSTH,15959.0,14203.51,1249.72,15959.0,482 CDM,PX-34847,PR VISC & INFRAREN ABD 3 PROSTH,22024.0,19601.36,1404.51,22024.0,482 CDM,PX-34848,PR VISC & INFRAREN ABD 4+ PROSTH,24899.0,22160.11,1559.3,24899.0,482 CDM,PX-35001,PR DIR RPR ARYSM CAROTID-SUBCL,9671.0,8607.19,363.39,9671.0,482 CDM,PX-35011,PR DIR RPR ANEURYSM AX-BRACHIAL,8125.0,7231.25,329.8,8125.0,482 CDM,PX-35021,PR RPR ANEURYSM SUBCLAV ARTY,7859.0,6994.51,447.54,7859.0,482 CDM,PX-35045,PR DIR RPR ANEURYSM RAD/ULNR ARTY,5813.0,5173.57,314.82,5813.0,482 CDM,PX-35081,PR DIR RPR ARYSM ABDOMINAL AORTA,12489.0,11115.21,564.63,12489.0,482 CDM,PX-35082,PR DIR RPR RUPTD ARYSM ABD AORTA,17000.0,15130.0,700.69,17000.0,482 CDM,PX-35091,PR DIR RPR ARYSM ABD AORTA W VISC,12474.0,11101.86,572.35,12474.0,482 CDM,PX-35092,PR DIR RPR RUPT AAA W VISCERA VSL,17195.0,15303.55,815.36,17195.0,482 CDM,PX-35102,PR DIR REPAIR AAA W ILIAC VESSEL,13719.0,12209.91,609.36,13719.0,482 CDM,PX-35111,PR RPR ANEURYSM SPLENIC ARTY,9817.0,8737.13,431.79,9817.0,482 CDM,PX-35121,PR DIR RPR ARYSM HEP/CEL/RENL/MES,11605.0,10328.45,512.5,11605.0,482 CDM,PX-35131,PR DIR RPR ARYSM& GRFT ILIAC ARTY,9671.0,8607.19,452.96,9671.0,482 CDM,PX-35141,PR DIR RPR ARYSM& GRFT FEM ARTY,7712.0,6863.68,356.22,7712.0,482 CDM,PX-35142,PR DIR RPR RUPTD ARYSM& GRFT FEM,9828.0,8746.92,429.67,9828.0,482 CDM,PX-35151,PR DIR RPR ARYSM& GRFT POPLT ARTY,7963.0,7087.07,403.37,7963.0,482 CDM,PX-35190,PR RPR/TRAUMATIC AV FISTULA EXT,5532.0,4923.48,249.5,5532.0,482 CDM,PX-35201,PR RPR BLOOD VESSEL DIRECT NECK,8059.0,7172.51,308.38,8059.0,482 CDM,PX-35206,PR RPR BLOOD VSSL DIR UPR EXTRM,6203.0,5520.67,267.42,6203.0,482 CDM,PX-35207,PR RPR BLOOD VESSEL DIR HAND FGR,7034.0,6260.26,262.11,7034.0,482 CDM,PX-35211,PR RPR BLD VSSL INTRATHORA W BYP,10747.0,9564.83,412.77,10747.0,507 CDM,PX-35216,PR RPR BLD VSSL INTRATHORA WO BYP,12977.0,11549.53,700.83,12977.0,482 CDM,PX-35221,PR RPR BLD VSSL DIRECT INTRA ABD,10304.0,9170.56,486.35,10304.0,482 CDM,PX-35226,PR RPR BLD VSSL DIRECT LOWER EXT,5834.0,5192.26,274.26,5834.0,482 CDM,PX-35236,PR RPR BLD VSSL W VEIN GRAFT UE,9320.0,8294.8,335.87,9320.0,482 CDM,PX-35241,PR RPR BLD VSL VEIN GRF INTRATHOR,9951.0,8856.39,505.62,9951.0,482 CDM,PX-35246,PR RPR BLD VSSL VEIN GRFT INTRTHOR,11215.0,9981.35,546.33,11215.0,482 CDM,PX-35251,PR RPR BLD VSSL VEIN GRFT INTRAABD,13034.0,11600.26,566.54,13034.0,482 CDM,PX-35256,PR RPR BLD VSSL VEIN GRFT LOWEREXT,8735.0,7774.15,336.92,8735.0,482 CDM,PX-35261,PR RPR BLD VSL W GRFT NOT VEIN NK,8735.0,7774.15,322.24,8735.0,482 CDM,PX-35266,PR RPR BLD VSL NOT VEIN GRFT UE,6098.0,5427.22,285.55,6098.0,482 CDM,PX-35271,PR RPR BLD VSL NOT V GRFT IT W BYP,8957.0,7971.73,488.45,8957.0,482 CDM,PX-35276,PR RPR BLDVSL NOT V GRFT IT WO BYP,9068.0,8070.52,515.27,9068.0,482 CDM,PX-35281,PR RPR BLVSL W GRFT INTRA ABD,11226.0,9991.14,537.53,11226.0,482 CDM,PX-35286,PR RPR BLVSL W GRFT LOWER EXT,6767.0,6022.63,304.2,6767.0,482 CDM,PX-35301,PR TEA CARTD/VERTB/SUBCL NECK INC,7846.0,6982.94,368.95,7846.0,482 CDM,PX-35302,PR TEA W GRFT SUPERFICIAL FEM ARTY,7380.0,6568.2,363.86,7380.0,482 CDM,PX-35303,PR TEA W GRAFT POPLITEAL ARTERY,8380.0,7458.2,399.99,8380.0,482 CDM,PX-35305,PR TEA W GRAFT TIB/PER ARTY 1 VSL,8131.0,7236.59,394.56,8131.0,482 CDM,PX-35321,PR TEA W/WO PATCH GRFT AX BRACHIAL,6253.0,5565.17,299.04,6253.0,482 CDM,PX-35331,PR TEA W/WO PATCH GRAFT ABD AORTA,9728.0,8657.92,453.96,9728.0,482 CDM,PX-35341,PR TEA W/WO PATCH GRFT MES/CEL/RNL,8809.0,7840.01,447.58,8809.0,482 CDM,PX-35351,PR TEA W/WO PATCH GRAFT ILIAC,8036.0,7152.04,420.07,8036.0,482 CDM,PX-35355,PR TEA W/WO PATCH GRFT ILIOFEMORAL,8695.0,7738.55,334.62,8695.0,482 CDM,PX-35371,PR TEA W/WO PATCH GRFT COMMON FEM,6466.0,5754.74,266.75,6466.0,482 CDM,PX-35372,PR TEA W/WO P GRAFT PROFUNDA FEM,7352.0,6543.28,318.43,7352.0,482 CDM,PX-35500,PR HARVEST UE VEIN 1 SGM LE/CABG,2158.0,1920.62,204.38,2158.0,482 CDM,PX-35536,PR BYPASS W VEIN SPLENORENAL,11049.0,9833.61,547.72,11049.0,482 CDM,PX-35556,PR BYP W VEIN FEMRL TO POPLITEAL,8925.0,7943.25,453.35,8925.0,482 CDM,PX-35558,PR BYPASS W VEIN FEMRL TO FEMRL,8483.0,7549.87,397.53,8483.0,482 CDM,PX-35560,PR BYPASS W VEIN AORTORENAL,10970.0,9763.3,552.36,10970.0,482 CDM,PX-35566,PR BYP FEM TO ANT/POST TIBIAL,10266.0,9136.74,537.49,10266.0,482 CDM,PX-35570,PR BYP TIB-TIB/PERONEAL-TIB,10942.0,9738.38,478.93,10942.0,482 CDM,PX-35571,PR BYP POP TO TIBL OR PERONEAL,8761.0,7797.29,430.52,8761.0,482 CDM,PX-35600,PR HARVEST UE ARTY 1 SEGMENT CABG,1657.0,1474.73,121.96,1657.0,482 CDM,PX-35606,PR BYP NOT VEIN CAROTID TO SUBCL,9263.0,8244.07,382.76,9263.0,482 CDM,PX-35621,PR BYP NOT VEIN AXILLARY TO FEM,7571.0,6738.19,355.53,7571.0,482 CDM,PX-35626,PR BYP NOT VEIN AORTOSUBCL/CARTD,13628.0,12128.92,540.26,13628.0,482 CDM,PX-35631,PR BYP NOT VEIN AORTO CEL/MSN/REN,16897.0,15038.33,599.74,16897.0,482 CDM,PX-35633,PR BYP GRFT NOT VEIN ILIO TO MSN,15559.0,13847.51,644.51,15559.0,482 CDM,PX-35636,PR BYP GRFT NOT VEIN SPLENORENAL,10221.0,9096.69,517.38,10221.0,482 CDM,PX-35637,PR BYP GRF NOT VEIN AORTOILIAC,10553.0,9392.17,537.85,10553.0,482 CDM,PX-35638,PR BYP NOT VEIN AORTOBI TO ILIAC,12858.0,11443.62,568.18,12858.0,482 CDM,PX-35646,PR BYP NOT VEIN AORTOBI TO FEM,10211.0,9087.79,553.54,10211.0,482 CDM,PX-35647,PR BYP NOT VEIN AORTO TO FEMORAL,10322.0,9186.58,485.01,10322.0,482 CDM,PX-35654,PR BYP NOT VEIN AX TO FEM TO FEM,8476.0,7543.64,443.87,8476.0,482 CDM,PX-35656,PR BYP NOT VEIN FEMORAL TO POP,8402.0,7477.78,349.53,8402.0,482 CDM,PX-35661,PR BYP NOT VEIN FEM TO FEM,8051.0,7165.39,354.23,8051.0,482 CDM,PX-35663,PR BYP GRFT NOT VEIN ILIOILIAC,10268.0,9138.52,397.13,10268.0,482 CDM,PX-35665,PR BYP GRFT NOT VEIN ILIOFEMORAL,8402.0,7477.78,383.96,8402.0,482 CDM,PX-35666,PR BYP NOT VEIN FEM TO ANT TIB,9765.0,8690.85,422.29,9765.0,482 CDM,PX-35682,PR BYP AUTOG COMPOSIT 2 SEG 2 LOC,2576.0,2292.64,223.65,2576.0,482 CDM,PX-35694,PR TRPOS&/RPLC SUBCL CARTD ARTY,7260.0,6461.4,322.96,7260.0,482 CDM,PX-35695,PR TRPOS&/RPLC CARTD SUBCL ARTY,8163.0,7265.07,334.88,8163.0,482 CDM,PX-35697,PR RIMPL VISC ARTY INFRARNL AORT,1503.0,1337.67,93.88,1503.0,482 CDM,PX-35700,PR REOP > 1 MO AFTER ORIGINAL OP,1266.0,1126.74,96.75,1266.0,482 CDM,PX-35701,PR EXPLR W/WO LYSIS CAROTID ARTY,4371.0,3890.19,145.11,4371.0,482 CDM,PX-35702,PR EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY,3344.0,2976.16,136.99,3344.0,482 CDM,PX-35703,PR EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY,3464.0,3082.96,138.97,3464.0,482 CDM,PX-35800,PR EXPLR PO HEMR THROM/INFC NECK,3758.0,3344.62,249.65,3758.0,482 CDM,PX-35820,PR EXPLR PO HEMR THROM/INFC CHEST,12181.0,10841.09,683.1,12181.0,482 CDM,PX-35840,PR EXPLR PO HEMR THROM/INFC ABD,5177.0,4607.53,413.45,5177.0,482 CDM,PX-35860,PR EXPLR PO HEMR THROM/INFC EXT,3626.0,3227.14,282.88,3626.0,482 CDM,PX-35870,PR RPR GRFT ENTERIC FSTL,9680.0,8615.2,406.3,9680.0,482 CDM,PX-35875,PR THROMB ARTL GRFT NOT HEMO GRFT,4330.0,3853.7,195.55,4330.0,482 CDM,PX-35876,PR THROMB ARTL/VEIN GRFT W REV GRFT,7443.0,6624.27,309.43,7443.0,482 CDM,PX-35883,PR REV FEM ANAST OPN NONAUTOG GRFT,8489.0,7555.21,388.64,8489.0,482 CDM,PX-35903,PR EXCISN INFECTED GRFT EXTREMITY,4135.0,3680.15,190.15,4135.0,482 CDM,PX-35905,PR EXCISION INFECTED GRAFT THORAX,9466.0,8424.74,544.52,9466.0,482 CDM,PX-35907,PR EXCISN INFECTED GRAFT ABDOMEN,12539.0,11159.71,616.78,12539.0,482 CDM,PX-36000,PR INTRO NDL/CATH VEIN,191.0,169.99,28.65,191.0,430 CDM,PX-360000002,HC OR LEVEL 1 EA 15 MIN,671.0,597.19,139.57,671.0,1536 CDM,PX-360000003,HC OR LEVEL 10 EA 15 MIN,2003.0,1782.67,416.62,2003.0,1536 CDM,PX-360000004,HC OR LEVEL 10,9714.0,8645.46,2020.51,9714.0,1536 CDM,PX-360000005,HC OR LEVEL 11 EA 15 MIN,2223.0,1978.47,462.38,2223.0,1536 CDM,PX-360000006,HC OR LEVEL 11,10836.0,9644.04,2253.89,10836.0,1536 CDM,PX-360000007,HC OR LEVEL 12 EA 15 MIN,2378.0,2116.42,494.62,2378.0,1536 CDM,PX-360000008,HC OR LEVEL 12,11588.0,10313.32,2410.3,11588.0,1536 CDM,PX-360000011,HC OR LEVEL 1,3355.0,2985.95,697.84,3355.0,1536 CDM,PX-360000012,HC OR LEVEL 14 EA 15 MIN,3266.0,2906.74,679.33,3266.0,1536 CDM,PX-360000013,HC OR LEVEL 14,16326.0,14530.14,3395.81,16326.0,1536 CDM,PX-360000014,HC OR LEVEL 2 EA 15 MIN,738.0,656.82,153.5,738.0,1536 CDM,PX-360000015,HC OR LEVEL 2,3690.0,3284.1,767.52,3690.0,1536 CDM,PX-360000016,HC OR LEVEL 3 EA 15 MIN,813.0,723.57,169.1,813.0,1536 CDM,PX-360000017,HC OR LEVEL 3,4060.0,3613.4,844.48,4060.0,1536 CDM,PX-360000018,HC OR LEVEL 4 EA 15 MIN,893.0,794.77,185.74,893.0,1536 CDM,PX-360000019,HC OR LEVEL 4,4466.0,3974.74,928.93,4466.0,1536 CDM,PX-360000020,HC OR LEVEL 5 EA 15 MIN,1131.0,1006.59,235.25,1131.0,1536 CDM,PX-360000021,HC OR LEVEL 5,5545.0,4935.05,1153.36,5545.0,1536 CDM,PX-360000022,HC OR LEVEL 6 EA 15 MIN,1244.0,1107.16,258.75,1244.0,1536 CDM,PX-360000023,HC OR LEVEL 6,6101.0,5429.89,1269.01,6101.0,1536 CDM,PX-360000024,HC OR LEVEL 7 EA 15 MIN,1387.0,1234.43,288.5,1387.0,1536 CDM,PX-360000025,HC OR LEVEL 7,6711.0,5972.79,1395.89,6711.0,1536 CDM,PX-360000026,HC OR LEVEL 8 EA 15 MIN,1643.0,1462.27,341.74,1643.0,1536 CDM,PX-360000027,HC OR LEVEL 8,7915.0,7044.35,1646.32,7915.0,1536 CDM,PX-360000028,HC OR LEVEL 9 EA 15 MIN,1808.0,1609.12,376.06,1808.0,1536 CDM,PX-360000029,HC OR LEVEL 9,8706.0,7748.34,1810.85,8706.0,1536 CDM,PX-360000034,HC BY PASS STANDBY,1590.0,1415.1,330.72,1590.0,1536 CDM,PX-36002,PR INJ PERC TX EXT PSEUDOARYSM,1046.0,930.94,59.77,1046.0,482 CDM,PX-36005,PR INJ EXT VENOGRPH W NDLCATH,1110.0,987.9,100.68,1110.0,482 CDM,PX-36010,PR INTRO CATH SUPR/INF VENA CAVA,1697.0,1510.33,210.18,1697.0,482 CDM,PX-36011,PR SEL CATH PLC VEN SYS 1ST ORDER,2837.0,2524.93,321.67,2837.0,482 CDM,PX-36012,PR SEL CATH PLC VEN SYS 2ND ORDER,3445.0,3066.05,331.81,3445.0,482 CDM,PX-36013,PR INTRO CATH RT HEART/PULM ARTY,2800.0,2492.0,320.5,2800.0,482 CDM,PX-36014,PR SEL CATH PLC LT/RT PULM ARTERY,2416.0,2150.24,309.28,2416.0,482 CDM,PX-36015,PR PLC CATH SEGM PULM ARTY,2791.0,2483.99,327.22,2791.0,482 CDM,PX-361000000,HC ABLATION BN TMR RADIOFREQUENCY,14632.0,13022.48,297.91,23263.96,739 CDM,PX-361000002,HC ABLATION RENAL TUMOR PERC CRYO,15601.0,13884.89,378.73,15601.0,737 CDM,PX-361000003,HC ABLATION RENAL TUMORS UNILAT RF,11818.0,10518.02,283.15,11818.0,737 CDM,PX-361000004,HC ABLT >=1 LVR TMR PERC RADIOFREQ,12190.0,10849.1,604.91,12190.0,741 CDM,PX-361000006,HC ABLT PERC LIVER TMR CRYOABLAT,12591.0,11205.99,379.03,14103.72,736 CDM,PX-361000010,HC ANGIO BALN PERC INTRACRANIAL,18936.0,16853.04,900.83,18936.0,736 CDM,PX-361000015,HC ARTHCS ASP/INJ INT JT W US,1185.0,1054.65,42.17,1185.0,737 CDM,PX-361000016,HC ARTHCS ASP/INJ INT JT WO US,776.0,690.64,30.4,776.0,737 CDM,PX-361000017,HC ARTHCS ASP/INJ JOINT/BURSA W US,1225.0,1090.25,37.36,1225.0,736 CDM,PX-361000018,HC ARTHCS ASP/INJ MJR JT W US,781.0,695.09,47.09,781.0,737 CDM,PX-361000019,HC ARTHCS ASP/INJ MJR JT WO US,759.0,675.51,36.97,759.0,737 CDM,PX-361000020,HC ARTHCS ASP/INJ SM JT WO US,801.0,712.89,29.73,801.0,737 CDM,PX-361000038,HC ARTL CATH/CNULA MONITOR PERC,2320.0,2064.8,39.02,2320.0,717 CDM,PX-361000039,HC ASP BLADDER/INS SUPUBIC CATH,5008.0,4457.12,118.95,5008.0,738 CDM,PX-361000040,HC ASP BREAST CYST ADD,594.0,528.66,16.94,594.0,719 CDM,PX-361000041,HC ASP BREAST CYST,1397.0,1243.33,33.98,1397.0,736 CDM,PX-361000042,HC ASP INJ THYROID CYST,1580.0,1406.2,39.35,1580.0,737 CDM,PX-361000044,HC ASP/INJ CYST GANGLION,466.0,414.74,34.94,466.0,736 CDM,PX-361000045,HC ASPIRATION/INJ RENAL CYST PERC,2706.0,2408.34,76.18,2706.0,737 CDM,PX-361000046,HC BALN DIL URETER STRICTURE W IMG,4991.0,4441.99,146.19,4991.0,719 CDM,PX-361000052,HC BIOPSY PANCREAS PERC NEEDLE,2580.0,2296.2,193.22,2580.0,737 CDM,PX-361000053,HC BIOPSY PLEURA PERCUTANEOUS NDL,2762.0,2458.18,68.51,2762.0,737 CDM,PX-361000055,HC BIOPSY RENAL NEEDLE/TROC PERC,2722.0,2422.58,105.3,2722.0,739 CDM,PX-361000056,HC BIOPSY THYROID PERC CORE NDL,1657.0,1474.73,61.73,1657.0,738 CDM,PX-361000059,HC BLN DILAT BIL DUCT PERC EA,5377.0,4785.53,109.86,5377.0,719 CDM,PX-361000064,HC BRONCH DX W CELL WASH FLUOR,6827.0,6076.03,113.99,6827.0,741 CDM,PX-361000065,HC BRONCH OCCLUS VALVE ADD LOBE,5954.0,5299.06,63.92,5954.0,719 CDM,PX-361000067,HC BRONCH TRANSBRONCH LUNG BX EA,2732.0,2431.48,41.41,2732.0,721 CDM,PX-361000068,HC BRONCH TRANSBRONCH LUNG BX SNG,7931.0,7058.59,151.82,7931.0,740 CDM,PX-361000069,HC BRONCH TRANSBRONCH NDL ASP BX,8565.0,7622.85,160.86,8565.0,740 CDM,PX-361000071,HC BRONCH W BALN OCC INIT LOBE,19124.0,17020.36,177.18,19124.0,736 CDM,PX-361000073,HC BRONCH W PLC BRNCL STENT INIT,9989.0,8890.21,186.23,9989.0,738 CDM,PX-361000074,HC BRONCH W TRACH STENT PLCMNT,11195.0,9963.55,189.66,11195.0,738 CDM,PX-361000076,HC BRONCHOSCOPY DX W BRUSHING,6270.0,5580.3,114.34,6270.0,736 CDM,PX-361000077,HC BRONCHOSCOPY W ALVEOLAR LAVAGE,7017.0,6245.13,116.06,7017.0,744 CDM,PX-361000078,HC BRONCHOSCOPY W ASP THER INIT,5644.0,5023.16,127.31,5644.0,737 CDM,PX-361000080,HC BRONCHOSCOPY W BX >=1 SITE,6823.0,6072.47,134.42,6823.0,737 CDM,PX-361000081,HC BRONCHOSCOPY W REMOVAL FB,9816.0,8736.24,150.87,9816.0,737 CDM,PX-361000083,HC BX ABD/RETROPERITNL MASS PERC,2957.0,2631.73,67.16,2957.0,741 CDM,PX-361000085,HC BX BN TROCAR/NDL DEEP,4020.0,3577.8,107.83,4020.0,740 CDM,PX-361000086,HC BX BN TROCAR/NDL SUPFCL,2722.0,2422.58,72.98,2722.0,739 CDM,PX-361000087,HC BX BREAST W LOC MR GUID 1ST,4376.0,3894.64,143.69,4376.0,737 CDM,PX-361000088,HC BX BREAST W LOC MR GUID ADD,3831.0,3409.59,71.8,3831.0,720 CDM,PX-361000091,HC BX BRST W DEV 1ST LESN STERETCTC,4107.0,3655.23,130.61,4107.0,736 CDM,PX-361000092,HC BX BRST W DEV 1ST LESN US GUID,4237.0,3770.93,123.14,4237.0,736 CDM,PX-361000097,HC BX MUS PERC NDL,2812.0,2502.68,48.95,2812.0,741 CDM,PX-361000099,HC BX NDL LIVER PERC,2718.0,2419.02,72.98,2718.0,743 CDM,PX-361000101,HC BX SALIVARY GLAND NEEDLE,2164.0,1925.96,46.45,2164.0,737 CDM,PX-361000103,HC BX SOFT TISS LEG/ANKLE SUPFCL,4912.0,4371.68,145.18,4912.0,736 CDM,PX-361000108,HC BX/EXCISN LYMPH NODE NDL SUPFCL,3285.0,2923.65,71.32,3285.0,738 CDM,PX-361000111,HC CATH 2ND+ORD RENAL ARTERY UNILAT,11613.0,10335.57,285.35,11613.0,737 CDM,PX-361000112,HC CATH ASPIRATION NASOTRACHEAL,382.0,339.98,43.54,382.0,736 CDM,PX-361000113,HC CATH PORTAL VEIN PERC,4546.0,4045.94,264.68,4546.0,720 CDM,PX-361000114,HC CATH VEN SEL ORGAN BLD SAMPLNG,4546.0,4045.94,145.26,4546.0,720 CDM,PX-361000115,HC CATH W INJ CNTRST HSG,654.0,582.06,49.36,654.0,722 CDM,PX-361000117,HC CESSATION THROMBLYS RMVL CATH,6870.0,6114.3,96.47,6870.0,721 CDM,PX-361000118,HC CHANGE CYSTOSTOMY TUBE SIMPLE,658.0,585.62,44.67,658.0,738 CDM,PX-361000120,HC CHANGE URETEROSTOMY TUBE/STENT,4037.0,3592.93,68.89,4037.0,738 CDM,PX-361000124,HC CHOLECYSTOSTOMY PERC W CATH PLC,6722.0,5982.58,290.43,6722.0,736 CDM,PX-361000134,HC CONV EXT BIL DRN CATH INTRNL-EXTRNL,7678.0,6833.42,160.0,7678.0,736 CDM,PX-361000135,HC CONV NEPHROST TO NEPHROURET CATH,4253.0,3785.17,157.92,4253.0,736 CDM,PX-361000136,HC CONVERSION TO GASTRO-JEJ TUBE,3603.0,3206.67,118.46,3603.0,736 CDM,PX-361000150,HC DEST BENIGN LESN OTHR<=14,276.0,245.64,57.41,276.0,744 CDM,PX-361000154,HC DEST PREMALIGNANT LESN =>15,673.0,598.97,80.76,673.0,738 CDM,PX-361000161,HC DRN PERITNM FLUID CATH W IMG,4881.0,4344.09,157.44,4881.0,740 CDM,PX-361000164,HC DRN TRANSREC/VAG FL CATH W IMG,4221.0,3756.69,168.76,4221.0,736 CDM,PX-361000165,HC DRN VISC FLUID CATH PERC W IMG,4221.0,3756.69,157.44,4221.0,736 CDM,PX-361000175,HC ENDOLUMINAL BX BIL TREE PERC,4688.0,4172.32,115.56,4688.0,719 CDM,PX-361000178,HC ENDOVENOUS ABLATION 1ST VEIN,8326.0,7410.14,220.48,8326.0,737 CDM,PX-361000179,HC ENDOVENOUS ABLATION 2ND+ VEIN,5651.0,5029.39,104.53,5651.0,719 CDM,PX-361000180,HC ENDOVENOUS ABLT LASER 1ST VEIN,8065.0,7177.85,222.3,8065.0,737 CDM,PX-361000181,HC ENDOVENOUS ABLT LASER 2ND+VEIN,5377.0,4785.53,106.98,5377.0,720 CDM,PX-361000191,HC EVASC TEMP BALN ARTL OCCLUSION,20167.0,17948.63,451.79,20167.0,736 CDM,PX-361000195,HC EXCHG BIL DRN CATH PERC W IMG,6722.0,5982.58,108.57,6722.0,738 CDM,PX-361000196,HC EXCHG NEPHROST CATH PERC,3636.0,3236.04,83.78,3636.0,737 CDM,PX-361000197,HC EXCHNG DRN CATH RAD GUIDANCE,3487.0,3103.43,57.26,3487.0,742 CDM,PX-361000198,HC EXCISN BEN LESN F/E/EY/NO 1.1-2CM,2094.0,1863.66,128.7,2094.0,737 CDM,PX-361000199,HC EXCISN BEN LESN TR/EXT >4CM,4912.0,4371.68,215.41,4912.0,740 CDM,PX-361000200,HC EXCISN BEN LESN TR/EXT 0.6-1CM,1299.0,1156.11,92.14,1299.0,740 CDM,PX-361000201,HC EXCISN BEN LESN TR/EXT 1.1-2CM,1507.0,1341.23,99.74,1507.0,742 CDM,PX-361000208,HC EXCISN LESN MLG NK/EXT 1.1-2CM,1507.0,1341.23,139.49,1507.0,738 CDM,PX-361000209,HC EXCISN LESN MLG TR/LMB 2.1-3CM,1614.0,1436.46,157.32,1614.0,740 CDM,PX-361000210,HC EXCISN NAIL BED PRTL/COMPLT,827.0,736.03,92.0,827.0,736 CDM,PX-361000213,HC EXCISN TMR BK/FLNK SUBQ >=3CM,6045.0,5380.05,419.6,6045.0,738 CDM,PX-361000214,HC EXCISN TMR NK/THRX SUBQ >=3CM,7381.0,6569.09,398.79,7381.0,737 CDM,PX-361000215,HC EXCISN TMR THIGH/KNE SUBQ>=3CM,7381.0,6569.09,380.39,7381.0,736 CDM,PX-361000223,HC I&D ABSC CMPLX/MULT,821.0,730.69,167.98,821.0,736 CDM,PX-361000226,HC I&D HEMA/SEROMA/FLUID COLL,4598.0,4092.22,112.29,4598.0,737 CDM,PX-361000233,HC IMG GUIDE FLUID CATH DRAIN,3298.0,2935.22,110.5,3298.0,739 CDM,PX-361000240,HC INJ AIR/CNTRST PERITONEAL CAV,968.0,861.52,73.85,968.0,719 CDM,PX-361000246,HC INJ ANES FORAMEN ADD LVL,2960.0,2634.4,50.82,2960.0,719 CDM,PX-361000247,HC INJ ANES FORAMEN EPI LUMB ADD,1522.0,1354.58,42.12,1522.0,720 CDM,PX-361000248,HC INJ ANES FORAMEN EPI LUMB SNGL,2770.0,2465.3,96.47,2770.0,739 CDM,PX-361000249,HC INJ ANES FORAMEN SNGL CRV/THRC,2904.0,2584.56,112.89,2904.0,738 CDM,PX-361000250,HC INJ ANES GREATER OCCIPITAL NRV,1265.0,1125.85,41.4,1265.0,736 CDM,PX-361000253,HC INJ ANES OTHER PERIPHERAL NRV,1869.0,1663.41,37.1,1869.0,737 CDM,PX-361000260,HC INJ ANTEGRD NFROSGRM&/URTGRM EXIST,1966.0,1749.74,56.86,1966.0,737 CDM,PX-361000261,HC INJ ANTEGRD NFROSGRM&/URTGRM NEW,4829.0,4297.81,128.47,4829.0,736 CDM,PX-361000264,HC INJ CHOLANGIO PERC EXIST ACCESS,5246.0,4668.94,58.93,5246.0,738 CDM,PX-361000265,HC INJ CHOLANGIO PERC NEW ACCESS,6722.0,5982.58,171.99,6722.0,736 CDM,PX-361000266,HC INJ CNTRST EVAL ABSC/CYST,930.0,827.7,30.56,930.0,724 CDM,PX-361000267,HC INJ CNTRST RAD EVAL CVAD FLUOR,1355.0,1205.95,28.87,1355.0,736 CDM,PX-361000268,HC INJ CONTRAST RAD EVAL GI TUBE,941.0,837.49,24.41,941.0,736 CDM,PX-361000269,HC INJ CYSTOGRAPHY/VUCG,1065.0,947.85,35.46,1065.0,722 CDM,PX-361000271,HC INJ EPI BLD/CLOT PATCH,2302.0,2048.78,98.0,2302.0,740 CDM,PX-361000275,HC INJ EXT VENOGRPH W NDLCATH,1288.0,1146.32,38.14,1288.0,720 CDM,PX-361000276,HC INJ FACET JT CERV/THOR >=3 LVL,1572.0,1399.08,49.29,1572.0,719 CDM,PX-361000277,HC INJ FACET JT CERV/THOR 1 LVL,3219.0,2864.91,91.05,3219.0,737 CDM,PX-361000278,HC INJ FACET JT CERV/THOR 2 LVL,1572.0,1399.08,48.45,1572.0,720 CDM,PX-361000279,HC INJ FACET JT LUMB/SAC >= 3 LVL,1886.0,1678.54,43.49,1886.0,719 CDM,PX-361000280,HC INJ FACET JT LUMB/SAC 1 LVL,3323.0,2957.47,79.0,3323.0,737 CDM,PX-361000281,HC INJ FACET JT LUMB/SAC 2 LVL,1886.0,1678.54,42.12,1886.0,720 CDM,PX-361000283,HC INJ ILEAL CON/URETEROPYLGRPHY,919.0,817.91,59.89,919.0,719 CDM,PX-361000286,HC INJ MYELOGRAPHY CT WO C1/C2,1576.0,1402.64,68.52,1576.0,720 CDM,PX-361000289,HC INJ PERC TX EXT PSEUDOARYSM,1858.0,1653.62,85.32,1858.0,736 CDM,PX-361000292,HC INJ PROC HIP ARTHGRPH WO ANES,946.0,841.94,54.56,946.0,720 CDM,PX-361000293,HC INJ PROCEDURE LYMPHANGIOGRAPHY,3357.0,2987.73,71.9,3357.0,720 CDM,PX-361000294,HC INJ RADIOACT TRACE SENTINEL ND,1225.0,1090.25,25.86,1225.0,741 CDM,PX-361000295,HC INJ RETROGRADE URCG,1039.0,924.71,55.53,1039.0,722 CDM,PX-361000296,HC INJ SCLEROSING SOLN SNGL VEIN,1566.0,1393.74,30.33,1566.0,737 CDM,PX-361000297,HC INJ SHOULDER ARTHGM,719.0,639.91,40.15,719.0,719 CDM,PX-361000298,HC INJ SI JT W IMA W ARTHROGRPHY,1611.0,1433.79,71.13,1611.0,736 CDM,PX-361000299,HC INJ SINUS TRACT DX,843.0,750.27,29.53,843.0,719 CDM,PX-361000301,HC INJ SNGL TENDN ORIGIN/INS,483.0,429.87,31.36,483.0,736 CDM,PX-361000302,HC INJ SNGL TNDN/SHTH/LGMNT,1010.0,898.9,31.46,1010.0,736 CDM,PX-361000303,HC INJ TRIGGER PNT >=3 MUS,887.0,789.43,39.27,887.0,738 CDM,PX-361000304,HC INJ TRIGGER PNT<=2 MUS,687.0,611.43,34.44,687.0,740 CDM,PX-361000305,HC INJ URETERO/URETEROPYELOGRAPHY,1794.0,1596.66,45.44,1794.0,719 CDM,PX-361000309,HC INS HEPATIC SHUNT (TIPS),19549.0,17398.61,660.09,24322.51,736 CDM,PX-361000312,HC INS INTRAPERITONEAL CATH W IMG,8593.0,7647.77,165.24,8593.0,737 CDM,PX-361000313,HC INS MARK THOR FOR RT PERC,4421.0,3934.69,143.73,4421.0,736 CDM,PX-361000314,HC INS NON-TUN CVC >5YR,5068.0,4510.52,72.45,5068.0,740 CDM,PX-361000315,HC INS NONTUNL CVC <5YR,5399.0,4805.11,75.72,5399.0,736 CDM,PX-361000320,HC INS PICC WO PORT/PUMP >=5YR WO GUIDE,3158.0,2810.62,78.8,3158.0,740 CDM,PX-361000324,HC INS STNT INTRACRANIAL,13317.0,11852.13,1194.58,13317.0,734 CDM,PX-361000327,HC INS TUBE CECOSTOMY W FL,3975.0,3537.75,171.17,3975.0,736 CDM,PX-361000328,HC INS TUBE THORACOSTOMY,2301.0,2047.89,130.77,2301.0,736 CDM,PX-361000330,HC INS TUNL CVAD W PORT >= 5 YR,6722.0,5982.58,279.91,6722.0,739 CDM,PX-361000331,HC INS TUNL CVC WO PORT >=5YR,7423.0,6606.47,219.2,7423.0,738 CDM,PX-361000337,HC INSERT DUODEN/JEJUN TUBE PERC,3975.0,3537.75,202.09,3975.0,736 CDM,PX-361000339,HC INSERT EVASC VENA CAVA FILTER,13002.0,11571.78,176.71,13002.0,737 CDM,PX-361000340,HC INSERT GASTROSTOMY TUBE PERC,3364.0,2993.96,169.3,3364.0,737 CDM,PX-361000341,HC INSERTION/CATH PLEURAL CAVITY,8437.0,7508.93,170.44,8437.0,737 CDM,PX-361000344,HC INT RPR SCLP/AX/TR/EXT 7.6-12.5,1109.0,987.01,172.89,1109.0,739 CDM,PX-361000345,HC INTRA-UTERINE EMBRYO TRANSFER,1184.0,1053.76,215.42,1222.05,734 CDM,PX-361000348,HC INTRAVASC US NONCORONARY ADD VSL,4159.0,3701.51,56.06,4159.0,719 CDM,PX-361000349,HC INTRAVASC US NONCORONARY INIT VSL,9437.0,8398.93,70.69,9437.0,719 CDM,PX-361000352,HC INTRO CATH SUPR/INF VENA CAVA,3178.0,2828.42,85.85,3178.0,719 CDM,PX-361000354,HC INTRO GI TUBE LONG,1087.0,967.43,15.49,1203.39,736 CDM,PX-361000358,HC INTRO NDL/CATH EXT ARTY,2680.0,2385.2,70.39,2680.0,719 CDM,PX-361000359,HC INTRO NDL/CATH VEIN,546.0,485.94,113.57,546.0,717 CDM,PX-361000362,HC INTRODUCTION CATHETER AORTA,2630.0,2340.7,108.69,2630.0,719 CDM,PX-361000379,HC MANOMETRIC STDS THRU NEPHROST,1716.0,1527.24,96.24,1716.0,736 CDM,PX-361000382,HC MCHNL RMVL PRICATH OBSTR CVAD,5377.0,4785.53,148.55,5377.0,736 CDM,PX-361000384,HC MYELOGRAPHY LUMB INJ >2 RGNS,2684.0,2388.76,100.32,2684.0,741 CDM,PX-361000385,HC MYELOGRAPHY LUMB INJ S&I CERV,2976.0,2648.64,97.62,2976.0,737 CDM,PX-361000386,HC MYELOGRAPHY LUMB INJ S&I LUMB,2547.0,2266.83,96.29,2547.0,738 CDM,PX-361000387,HC MYELOGRAPHY LUMB INJ S&I THOR,3080.0,2741.2,97.53,3080.0,738 CDM,PX-361000388,HC NDL ASP ABSC/HEMA/BULLA/CYST,703.0,625.67,89.07,703.0,740 CDM,PX-361000402,HC PARACENTESIS ABD W IMG,2199.0,1957.11,88.52,2199.0,742 CDM,PX-361000403,HC PARACENTESIS ABD WO IMG,2053.0,1827.17,67.14,2053.0,736 CDM,PX-361000404,HC PERC ASP INTERDISCAL DX,2580.0,2296.2,127.94,2580.0,737 CDM,PX-361000407,HC PERC CERVICOTHORACIC INJECT,8803.0,7834.67,358.36,8803.0,739 CDM,PX-361000410,HC PERC INTER DISC CORE BX,3775.0,3359.75,307.61,4341.25,740 CDM,PX-361000412,HC PERC LUMBOSACRAL INJECTION,8803.0,7834.67,338.76,8803.0,738 CDM,PX-361000413,HC PERC VERT AGMNT MECH EA ADD,11247.0,10009.83,171.41,11247.0,719 CDM,PX-361000414,HC PERC VERT AGMNTJ CAV CRTJ LMBR,18864.0,16788.96,393.69,18864.0,736 CDM,PX-361000415,HC PERC VERTEBPLSTY CAVTY IMG GUID 1,18864.0,16788.96,420.13,18864.0,739 CDM,PX-361000417,HC PHLEB VEINS 1 EXT 10-20 INCS,7734.0,6883.26,221.4,7734.0,736 CDM,PX-361000418,HC PHLEB VARICOSE VEIN 10 OR LESS UNILAT,3867.0,3441.63,628.65,3867.0,740 CDM,PX-361000420,HC PLC ACCESS BIL TREE SM BOWEL NEW,12280.0,10929.2,274.92,12280.0,737 CDM,PX-361000421,HC PLC BILIARY DRN CATH EXTRNL,6722.0,5982.58,214.33,6722.0,736 CDM,PX-361000422,HC PLC BILIARY DRN CATH INTRNL-EXTRNL,6722.0,5982.58,298.91,6722.0,736 CDM,PX-361000423,HC PLC BREAST LOC DEV MAMMO 1ST,2051.0,1825.39,79.04,2191.35,737 CDM,PX-361000425,HC PLC BRST LOC DEV 1ST W US,1875.0,1668.75,67.88,1875.0,737 CDM,PX-361000426,HC PLC BRST LOC DEV EA ADD/US,1662.0,1479.18,34.11,1662.0,719 CDM,PX-361000427,HC PLC CATH REN ARTY >=2ND ORD BI,14538.0,12938.82,323.1,14538.0,736 CDM,PX-361000428,HC PLC CATH SEGM PULM ARTY,5516.0,4909.24,137.98,5516.0,720 CDM,PX-361000432,HC PLC INTERS RAD DEVICE PROSTATE,3898.0,3469.22,87.2,3898.0,741 CDM,PX-361000433,HC PLC LOC DEV PERC W IMG 1ST LESN,1916.0,1705.24,67.44,1916.0,736 CDM,PX-361000434,HC PLC LOC DEV PERC W IMG ADD LESN,2102.0,1870.78,34.31,2102.0,719 CDM,PX-361000435,HC PLC NEPHROSTOMY CATH PERC NEW,5651.0,5029.39,168.54,5651.0,737 CDM,PX-361000436,HC PLC NEPHROURETERAL CATH PERC NEW,10099.0,8988.11,208.07,10099.0,737 CDM,PX-361000438,HC PLC OPN/PERC STENT EA ADD,19178.0,17068.42,164.66,19178.0,719 CDM,PX-361000439,HC PLC OPN/PERC STENT INIT,22722.0,20222.58,344.94,22722.0,737 CDM,PX-361000440,HC PLC OPN/PERC STENT SAME EA ADD,13317.0,11852.13,118.16,13317.0,719 CDM,PX-361000441,HC PLC OPN/PERC STENT SAME INIT,22722.0,20222.58,242.67,22722.0,738 CDM,PX-361000443,HC PLC STENT CAROTID EMBO PROTECT,19412.0,17276.68,636.05,19412.0,736 CDM,PX-361000445,HC PLC STNT BILE DUCT PERC EXIST,13317.0,11852.13,191.21,13317.0,736 CDM,PX-361000446,HC PLC STNT BILE DUCT PERC NEW W CATH,13317.0,11852.13,355.32,13317.0,736 CDM,PX-361000448,HC PLC STNT CARTD WO EMBO PROTECT,12432.0,11064.48,2585.86,12432.0,717 CDM,PX-361000449,HC PLC TUBE NASAL/OROGAST W FLUOR,744.0,662.16,32.43,744.0,736 CDM,PX-361000450,HC PLC URETER STNT NEW W NEPHROST CATH,10605.0,9438.45,277.96,10605.0,736 CDM,PX-361000451,HC PLC URETER STNT NEW WO NEPHROST CATH,7197.0,6405.33,217.35,7197.0,736 CDM,PX-361000452,HC PLC URETER STNT PRE-EXIST NEPHROST TRCT,6722.0,5982.58,167.45,6722.0,736 CDM,PX-361000453,HC PLC VERT/CAROTID STENT INIT,11009.0,9798.01,748.94,11009.0,719 CDM,PX-361000454,HC PLEURA DRAIN PERC W IMG GUID,3926.0,3494.14,121.99,3926.0,736 CDM,PX-361000459,HC PUNC FOLLICLE OOCYTE RETRIEVE,2155.0,1917.95,159.92,2155.0,740 CDM,PX-361000460,HC PUNC SHUNT TUBE ASP INJ PROC,2287.0,2035.43,48.41,2287.0,736 CDM,PX-361000461,HC PUNCTURE SPINAL LUMBAR DX,1539.0,1369.71,52.24,1539.0,738 CDM,PX-361000462,HC PUNCTURE SPINAL THER DRN CSF,2831.0,2519.59,74.3,2831.0,736 CDM,PX-361000464,HC REMOVAL LUNG/PLEURAL CATHETER,3564.0,3171.96,140.71,3564.0,737 CDM,PX-361000465,HC REMOVAL URETER STENT PERC S&I,6098.0,5427.22,184.63,6098.0,736 CDM,PX-361000469,HC REPO PREV PLC CVC FLUORO GUID,4037.0,3592.93,48.8,4037.0,736 CDM,PX-361000471,HC REPOSITION GASTROSTOMY TUBE,2058.0,1831.62,82.33,2058.0,736 CDM,PX-361000473,HC REPROGRAM CSF SHUNT,918.0,817.02,99.34,918.0,736 CDM,PX-361000491,HC REVISE HEPATIC SHUNT (TIPS),20517.0,18260.13,303.2,20517.0,736 CDM,PX-361000493,HC RF ABLT PULM TUMORS UNILAT,13060.0,11623.4,358.32,13060.0,736 CDM,PX-361000494,HC RMVL BIL DRN CATH W FLURO,2069.0,1841.41,79.64,2069.0,737 CDM,PX-361000495,HC RMVL BIL DUCT &/ GALBLDR CALC,7197.0,6405.33,126.35,7197.0,719 CDM,PX-361000496,HC RMVL BREAST LESN 1 OR MORE,7655.0,6812.95,378.56,7655.0,737 CDM,PX-361000501,HC RMVL IMPACT CERUMEN IRRIG UNILAT,239.0,212.71,17.28,239.0,736 CDM,PX-361000505,HC RMVL NEPHROSTOMY TUBE W FLUORO,1933.0,1720.37,43.11,1933.0,738 CDM,PX-361000506,HC RMVL OBSTR MATERIAL GI TUBE,2320.0,2064.8,40.14,2320.0,736 CDM,PX-361000509,HC RMVL TUN CV CATH WO SUBQ PORT,2243.0,1996.27,118.17,2243.0,741 CDM,PX-361000510,HC RMVL TUNL CVAD W SUBQ PORT/PMP,3975.0,3537.75,161.79,3975.0,745 CDM,PX-361000511,HC RMVL TUNL INTRAPERITONEAL CATH,6722.0,5982.58,180.31,6722.0,737 CDM,PX-361000515,HC RMVL/RPLC TRANSNEPH STNT W S&I,3975.0,3537.75,67.59,3975.0,736 CDM,PX-361000517,HC RPLC COMPLT PICC CVC WO PORT W GUIDE/S&I,3669.0,3265.41,47.93,3669.0,737 CDM,PX-361000518,HC RPLC COMPLT TUNL CVAD W PORT,9679.0,8614.31,241.67,9679.0,736 CDM,PX-361000519,HC RPLC COMPLT TUNL CVC WO PORT,6134.0,5459.26,155.86,6134.0,738 CDM,PX-361000520,HC RPLC CVC NONTUNL COMPLT,3850.0,3426.5,53.47,3850.0,736 CDM,PX-361000521,HC RPLC DUOD/JEJ TUBE PERC,2069.0,1841.41,71.49,2069.0,739 CDM,PX-361000522,HC RPLC GASTROST/CECOST TUBE PERC,1933.0,1720.37,53.12,1933.0,738 CDM,PX-361000526,HC RPLC TUBE GASTRO-JEJ W FLUORO,2630.0,2340.7,110.25,2630.0,737 CDM,PX-361000527,HC RPLC URETER STNT PERC S&I,6722.0,5982.58,204.14,6722.0,736 CDM,PX-361000540,HC RPR TUN/NON-TUNL CVC WO PORT,2320.0,2064.8,28.25,2320.0,736 CDM,PX-361000541,HC RTREV/RMVL EVASC VENACAVA FLTR,8239.0,7332.71,277.8,8239.0,737 CDM,PX-361000542,HC RTREV/RMVL INTRAVASC FB W IMG,9596.0,8540.44,240.55,9596.0,736 CDM,PX-361000543,HC SCLEROTHERAPY FLUID COLLECT PERC,3371.0,3000.19,98.7,3371.0,739 CDM,PX-361000544,HC SEL CATH 1ST/2ND ORD THRC/BRCH,4057.0,3610.73,217.91,4057.0,719 CDM,PX-361000545,HC SEL CATH 2ND ORDER ABD PLV/LE,3158.0,2810.62,197.43,3158.0,720 CDM,PX-361000546,HC SEL CATH 3RD+ ORD SEL ABD LE,5108.0,4546.12,236.42,5108.0,719 CDM,PX-361000547,HC SEL CATH 3RD+ORD SEL THRC/BRCH,4321.0,3845.69,266.96,4321.0,719 CDM,PX-361000548,HC SEL CATH CARTD ANGIO EXTRACRAN,12816.0,11406.24,222.77,12816.0,736 CDM,PX-361000549,HC SEL CATH CARTD ANGIO INTRCR,17238.0,15341.82,258.59,17238.0,738 CDM,PX-361000550,HC SEL CATH EA 1ST ORD ABD PLV/LE,3975.0,3537.75,187.65,3975.0,720 CDM,PX-361000551,HC SEL CATH EA 1ST ORD THRC/BRCH,3302.0,2938.78,174.38,3302.0,719 CDM,PX-361000552,HC SEL CATH EA 2ND+ ORD ABD LE,2320.0,2064.8,38.73,2320.0,719 CDM,PX-361000553,HC SEL CATH EA 2ND+ ORD THRC/BRCH,2472.0,2200.08,41.68,2472.0,719 CDM,PX-361000554,HC SEL CATH EXT CARTD W ANGIO,8518.0,7581.02,93.47,8518.0,721 CDM,PX-361000555,HC SEL CATH INT CARTD W ANGIO,7396.0,6582.44,192.29,7396.0,719 CDM,PX-361000556,HC SEL CATH INTRNL CARTD ARTERY,19424.0,17287.36,287.75,19424.0,737 CDM,PX-361000557,HC SEL CATH PLC LT/RT PULM ARTERY,4500.0,4005.0,119.79,4500.0,720 CDM,PX-361000558,HC SEL CATH PLC VEN SYS 1ST ORDER,3788.0,3371.32,124.39,3788.0,720 CDM,PX-361000559,HC SEL CATH PLC VEN SYS 2ND ORDER,3669.0,3265.41,139.61,3669.0,722 CDM,PX-361000560,HC SEL CATH RENAL ARTY&ANGIO BIL,11613.0,10335.57,276.01,11613.0,736 CDM,PX-361000561,HC SEL CATH RENAL ARTY&ANGIO UNILAT,9679.0,8614.31,202.89,9679.0,736 CDM,PX-361000562,HC SEL CATH SUBCL ARTY ANGIO VERT,12408.0,11043.12,255.99,12408.0,736 CDM,PX-361000563,HC SEL CATH VERT ARTY ANGIO VERT,19424.0,17287.36,285.98,19424.0,737 CDM,PX-361000570,HC THORACENTESIS PLEURA W IMG,3925.0,3493.25,89.05,3925.0,738 CDM,PX-361000574,HC THRMBC PERC MECH TRLUML RPT TX,9596.0,8540.44,226.67,9596.0,736 CDM,PX-361000577,HC THRMBCT MECH PRIM PERC INIT VSL,19240.0,17123.6,342.43,24322.51,736 CDM,PX-361000578,HC THRMBCT MECH TRLUML VEIN,17576.0,15642.64,316.3,17576.0,736 CDM,PX-361000585,HC TRANSCATH ARTL THPY W S&I INIT,12387.0,11024.43,304.12,12387.0,736 CDM,PX-361000586,HC TRANSCATH ARTL/VEN THPY W S&I,9773.0,8697.97,182.98,9773.0,721 CDM,PX-361000588,HC TRANSCATH VEN THPY W S&I INIT,4771.0,4246.19,267.08,4771.0,736 CDM,PX-361000589,HC TRANSCATHETER BIOPSY,8510.0,7573.9,174.35,8510.0,737 CDM,PX-361000592,HC TXCATH OCCL/EMBL CNS,19004.0,16913.56,900.23,24322.51,739 CDM,PX-361000593,HC TXCATH OCCL/EMBL NON CNS,20830.0,18538.7,662.45,20830.0,736 CDM,PX-361000602,HC UNLISTED PROC SKIN MEMB & TISS,276.0,245.64,57.41,276.0,742 CDM,PX-361000609,HC UNLISTED PROCEDURE NERVOUS SYS,3850.0,3426.5,307.61,4427.5,740 CDM,PX-361000614,HC VASC EMBL/OCCLUDE ARTERIAL,24199.0,21537.11,380.0,24322.51,739 CDM,PX-361000615,HC VASC EMBL/OCCLUDE HEMORRHAGE,24199.0,21537.11,532.12,24199.0,736 CDM,PX-361000616,HC VASC EMBL/OCCLUDE TMR INFARCT,20167.0,17948.63,453.38,20167.0,739 CDM,PX-361000617,HC VASC EMBL/OCCLUDE VENOUS,24199.0,21537.11,342.49,24199.0,739 CDM,PX-361000618,HC VERTEBROPLASTY ADDL INJECT,5989.0,5330.21,165.22,5989.0,720 CDM,PX-361000625,HC THRMBCT PERC TRLUML SEC NONCOR,10091.0,8980.99,193.49,10091.0,719 CDM,PX-361000629,HC ACNE SURGERY,276.0,245.64,40.83,276.0,738 CDM,PX-361000636,HC RMVL SKIN TAGS <=15,422.0,375.58,68.41,422.0,738 CDM,PX-361000637,HC RMVL SKIN TAGS EA ADD 10,142.0,126.38,12.4,142.0,719 CDM,PX-361000638,HC SHAVE LESN TR/EXT <=0.5CM,486.0,432.54,26.49,539.37,737 CDM,PX-361000639,HC SHAVE LESN TR/EXT 0.6-1.0 CM,486.0,432.54,40.15,486.0,737 CDM,PX-361000640,HC SHAVE LESN TR/EXT 1.1-2.0CM,554.0,493.06,46.64,554.0,736 CDM,PX-361000641,HC SHAVE LESN TR/EXT >2.0 CM,578.0,514.42,55.09,578.0,737 CDM,PX-361000643,HC SHAVE S/N/H/F/G LESN 0.6-1.0CM,514.0,457.46,39.06,514.0,736 CDM,PX-361000644,HC SHAVE S/N/H/F/G LESN 1.1-2.0CM,554.0,493.06,49.1,554.0,736 CDM,PX-361000645,HC SHAVE S/N/H/F/G LESN > 2.0CM,653.0,581.17,56.96,653.0,736 CDM,PX-361000646,HC SHAVE F/E/EY/NO/L/M LESN <=0.5CM,471.0,419.19,34.99,471.0,738 CDM,PX-361000647,HC SHAVE F/E/EY/NO/L/M LESN 0.6-1.0CM,471.0,419.19,48.51,471.0,736 CDM,PX-361000648,HC SHAVE F/E/EY/NO/L/M LESN 1.1-2.0CM,554.0,493.06,57.8,554.0,736 CDM,PX-361000649,HC SHAVE F/E/EY/NO/L/M LESN >2.0 CM,554.0,493.06,73.64,554.0,736 CDM,PX-361000650,HC EXCISN BEN LESN TR/LMB <=0.5CM,1288.0,1146.32,75.16,1288.0,737 CDM,PX-361000651,HC EXCISN BEN LESN TR/EXT 2.1-3CM,1837.0,1634.93,131.69,1837.0,742 CDM,PX-361000652,HC EXCISN BEN LESN TR/EXT 3.1-4CM,3324.0,2958.36,145.57,3324.0,738 CDM,PX-361000653,HC EXCISN BEN LESN S/N/H/F <=0.5,1769.0,1574.41,74.7,2191.35,737 CDM,PX-361000654,HC EXCISN BEN LESN S/N/H/F .6-1CM,1938.0,1724.82,96.19,1938.0,738 CDM,PX-361000655,HC EXCISN BEN LESN S/N/H 1.1-2CM,2104.0,1872.56,121.12,2191.35,740 CDM,PX-361000656,HC EXCISN BEN LESN S/N/H 2.1-3CM,3411.0,3035.79,139.23,3411.0,740 CDM,PX-361000657,HC EXCISN BEN LESN S/N/H 3.1-4CM,4093.0,3642.77,158.38,4093.0,738 CDM,PX-361000658,HC EXCISN BEN LESN S/N/H/F >4.0CM,5747.0,5114.83,232.39,5747.0,737 CDM,PX-361000659,HC EXCISN BEN LESN F/E/EY/NO/L/M<=.5CM,1614.0,1436.46,97.02,1614.0,737 CDM,PX-361000660,HC EXCISN BEN LESN F/E/EY/NO/L .6-1CM,1614.0,1436.46,117.64,1614.0,738 CDM,PX-361000661,HC EXCISN BEN LESN F/E/EY/NO 2.1-3CM,3892.0,3463.88,154.39,3892.0,737 CDM,PX-361000662,HC EXCISN BEN LESN F/E/EY/NO 3.1-4CM,3892.0,3463.88,192.33,3892.0,736 CDM,PX-361000663,HC EXCISN BEN LESN F/E/EY/NO/L/M >4CM,5286.0,4704.54,269.58,5286.0,737 CDM,PX-361000664,HC EXCISN SKN HDRDNTS AXLRY SMPL,6555.0,5833.95,241.57,6555.0,737 CDM,PX-361000665,HC EXCISN SKN HDRDNTS INGNL SMPL,5747.0,5114.83,231.36,5747.0,736 CDM,PX-361000666,HC EXCISN LESN SWEAT GLAND SMPL,6123.0,5449.47,266.17,6123.0,737 CDM,PX-361000667,HC EXCISN LESN MLG TR/LMB <=0.5CM,1407.0,1252.23,105.02,1407.0,736 CDM,PX-361000668,HC EXCISN LESN MLG TR/LMB .6-1CM,1460.0,1299.4,124.15,1460.0,738 CDM,PX-361000669,HC EXCISN LESN MLG TR/LMB 1.1-2CM,1471.0,1309.19,132.8,1471.0,741 CDM,PX-361000670,HC EXCISN LESN MLG TR/LMB 3.1-4CM,1966.0,1749.74,173.5,1966.0,740 CDM,PX-361000671,HC EXCISN LESN MLG TR/LMB >4CM,5259.0,4680.51,257.9,5259.0,738 CDM,PX-361000673,HC EXCISN LESN MLG NK/EXT .6-1CM,1407.0,1252.23,125.17,1407.0,736 CDM,PX-361000674,HC EXCISN LESN MLG NK/EXT 2.1-3CM,3411.0,3035.79,170.61,3411.0,738 CDM,PX-361000675,HC EXCISN LESN MLG NK/EXT 3.1-4CM,4093.0,3642.77,193.8,4093.0,738 CDM,PX-361000676,HC EXCISN LESN MLG NK/EXT >4CM,5747.0,5114.83,238.6,5747.0,739 CDM,PX-361000677,HC EXCISN LESN MLG F/E/EY/NO <=0.5CM,1291.0,1148.99,107.63,1291.0,736 CDM,PX-361000678,HC EXCISN LESN MLG F/E/EY/NO/L .6-1CM,1507.0,1341.23,130.09,1507.0,737 CDM,PX-361000679,HC EXCISN LESN MLG F/E/EY/NO 1.1-2CM,1614.0,1436.46,149.32,1614.0,737 CDM,PX-361000680,HC EXCISN LESN MLG F/E/EY/NO 2.1-3CM,3411.0,3035.79,185.25,3411.0,736 CDM,PX-361000681,HC EXCISN LESN MLG F/E/EY/NO 3.1-4CM,3411.0,3035.79,228.23,3411.0,736 CDM,PX-361000682,HC EXCISN LESN MLG F/E/EY/NO/L/M >4CM,5747.0,5114.83,313.5,5747.0,736 CDM,PX-361000685,HC BX NAIL UNIT,1899.0,1690.11,52.15,1899.0,737 CDM,PX-361000686,HC INJ INTRALESN <=7 LESN,352.0,313.28,23.03,352.0,741 CDM,PX-361000687,HC INJ INTRALESN >7 LESN,389.0,346.21,34.99,389.0,737 CDM,PX-361000688,HC SMPL RPR S/NK/TR/EXT <=2.5CM,550.0,489.5,40.17,550.0,738 CDM,PX-361000689,HC SMPL S/NK/TR/EXT 2.6-7.5CM,710.0,631.9,52.16,710.0,738 CDM,PX-361000690,HC SMPL RPR S/N/TR/EXT 7.6-12.5CM,811.0,721.79,64.8,811.0,736 CDM,PX-361000691,HC SMPL RPR F/E/EY/NO/L/M<=2.5CM,550.0,489.5,49.38,550.0,736 CDM,PX-361000692,HC SMPL RPR F/E/EY/NO/L/M 2.6-5CM,710.0,631.9,49.63,710.0,736 CDM,PX-361000693,HC INT RPR SCLP/AX/TR/EXT <=2.5,972.0,865.08,129.61,972.0,741 CDM,PX-361000694,HC INT RPR SCLP/AX/TR/EXT 2.6-7.5,972.0,865.08,161.04,972.0,743 CDM,PX-361000695,HC INT RPR SCLP/AX/TR/EXT 12.6-20,1265.0,1125.85,212.48,1265.0,739 CDM,PX-361000696,HC INT RPR SCLP/AX/TR/EXT 20-30,2177.0,1937.53,252.02,2177.0,736 CDM,PX-361000697,HC INT RPR NK/HND/FT/EXG <=2.5,972.0,865.08,124.9,972.0,740 CDM,PX-361000698,HC INT RPR NK/HND/FT/EXG 2.6-7.5,972.0,865.08,163.24,972.0,740 CDM,PX-361000699,HC INT RPR F/E/EY/NO/L/M <=2.5,972.0,865.08,144.33,972.0,740 CDM,PX-361000700,HC INT F/E/EY/NO/L/M 2.6-5,972.0,865.08,166.65,972.0,741 CDM,PX-361000701,HC INT RPR F/E/EY/NO/L/M 5.1-7.5,1109.0,987.01,179.93,1109.0,740 CDM,PX-361000702,HC INT RPR F/E/EY/NO/L/M 7.6-12.5,1109.0,987.01,186.99,1109.0,738 CDM,PX-361000703,HC CMPLX RPR TRUNK 1.1-2.5CM,1829.0,1627.81,164.66,1829.0,736 CDM,PX-361000704,HC CMPLX RPR TRUNK 2.6-7.5CM,1958.0,1742.62,203.09,1958.0,738 CDM,PX-361000705,HC CMPLX RPR TRUNK EA <=5CM,1958.0,1742.62,55.45,1958.0,720 CDM,PX-361000707,HC CMPLX RPR SCLP/LIMB 2.6-7.5CM,1623.0,1444.47,207.13,1623.0,737 CDM,PX-361000708,HC CMPLX RPR SCLP/LIMB ADD 5CM,1332.0,1185.48,63.27,1332.0,719 CDM,PX-361000709,HC CMPLX RPR FACE/AX/EXT 1.1-2.5,1109.0,987.01,195.94,1109.0,736 CDM,PX-361000710,HC CMPLX RPR FACE/AX/EXT 2.6-7.5,1523.0,1355.47,241.46,1523.0,737 CDM,PX-361000711,HC CMPLX RPR FACE/AX/EXT ADD 5CM,1109.0,987.01,96.49,1109.0,719 CDM,PX-361000712,HC CMPLX RPR EY/NO/E/L 1.1-2.5CM,1525.0,1357.25,223.56,1525.0,736 CDM,PX-361000713,HC RPR WND SURGICAL SECNDRY CMPLX,7544.0,6714.16,699.53,7544.0,737 CDM,PX-361000714,HC TISS XFER TR DEFECT <=10SCM,5364.0,4773.96,446.07,5364.0,736 CDM,PX-361000716,HC TISS XFER SCLP/LIMB <=10SCM,4989.0,4440.21,488.02,4989.0,737 CDM,PX-361000717,HC TISS XFER FACE/NK/EXT <=10SCM,4989.0,4440.21,527.62,4989.0,739 CDM,PX-361000718,HC TISS XFER FACE/NK/EXT 10-30CM,5315.0,4730.35,630.01,5315.0,738 CDM,PX-361000719,HC TISS XFER EAR/EY/N/LIP <=10SCM,4989.0,4440.21,555.21,4989.0,739 CDM,PX-361000720,HC TISS XFER EY/N/E/LIP 10.1-30SCM,4989.0,4440.21,675.61,4989.0,739 CDM,PX-361000722,HC SPLIT AUTGRFT F/NK/HF <=100SCM,5651.0,5029.39,583.25,5651.0,737 CDM,PX-361000723,HC GRFT FULL THCK SCLP EA ADD 20 CM,5200.0,4628.0,53.44,5200.0,719 CDM,PX-361000724,HC GRFT FULL THCK F/G/HF <=20SCM,4159.0,3701.51,675.93,4159.0,740 CDM,PX-361000725,HC GRFT FULL THCK EY/NO/E/L <=20SCM,4045.0,3600.05,705.5,4045.0,739 CDM,PX-361000726,HC SKN SUBST GRFT A/TR/L ADD 25SCM,2038.0,1813.82,13.59,2038.0,719 CDM,PX-361000729,HC FLAP ISLAND PEDCL,3371.0,3000.19,701.17,3371.0,737 CDM,PX-361000732,HC DEST PREMALIGNANT LESN 1ST,267.0,237.63,47.11,267.0,745 CDM,PX-361000733,HC DEST PREMALIGNANT LESN 2-14,234.0,208.26,1.68,234.0,726 CDM,PX-361000734,HC DEST CUT LESN PROLIF <10SCM,1315.0,1170.35,232.66,1315.0,737 CDM,PX-361000735,HC DEST BENIGN LESIONS OTHR >=15,348.0,309.72,72.38,348.0,738 CDM,PX-361000736,HC DEST LESN MLG T/A/L <=0.5CM,434.0,386.26,57.96,434.0,737 CDM,PX-361000737,HC DEST LESN MLG T/A/L .6-1CM,434.0,386.26,72.55,434.0,740 CDM,PX-361000738,HC DEST LESN MLG TR/LIMB 1.1-2CM,434.0,386.26,90.27,434.0,742 CDM,PX-361000739,HC DEST LESN MLG TR/LIMB 2.1-3CM,434.0,386.26,90.27,434.0,739 CDM,PX-361000740,HC DEST LESN MLG TR/LIMB 3.1-4CM,554.0,493.06,105.86,554.0,736 CDM,PX-361000741,HC DEST LESN MLG TR/LIMB >4CM,887.0,789.43,123.4,887.0,736 CDM,PX-361000742,HC DEST LESN MLG S/NK/EXT<=.5CM,434.0,386.26,79.04,434.0,736 CDM,PX-361000743,HC DEST LESN MLG S/NK/EXT .6-1CM,434.0,386.26,86.64,434.0,738 CDM,PX-361000744,HC DEST LESN MLG S/NK/EXT 1.1-2CM,462.0,411.18,96.1,462.0,738 CDM,PX-361000745,HC DEST LESN MLG S/NK/EXT 2.1-3CM,678.0,603.42,111.01,678.0,737 CDM,PX-361000746,HC DEST LESN MLG S/NK/EXT 3.1-4CM,1109.0,987.01,134.37,1109.0,736 CDM,PX-361000747,HC DEST LESN MLG F/E/EY/NO/L/M <=.5CM,434.0,386.26,72.55,434.0,736 CDM,PX-361000748,HC DEST LESN MLG F/E/EY/NO/L/M .6-1CM,734.0,653.26,96.58,734.0,737 CDM,PX-361000749,HC DEST LESN MLG F/E/EY/NO/L/M 1.1-2CM,838.0,745.82,110.33,838.0,737 CDM,PX-361000750,HC DEST SKIN MLG LESN 2.1-3.0 CM,853.0,759.17,136.38,853.0,737 CDM,PX-361000751,HC DEST SKIN MLG LESN 3.1-4.0 CM,1112.0,989.68,159.03,1112.0,736 CDM,PX-361000752,HC DEST LESN MLG F/E/EY/NO/L/M >4CM,1112.0,989.68,215.47,1112.0,736 CDM,PX-361000753,HC MOHS HD/NK/EXDT/EXG 1 STAGE,1611.0,1433.79,274.93,1611.0,744 CDM,PX-361000754,HC MOHS HD/NK/EXDT/EXG ADD STAGE,1306.0,1162.34,146.21,1306.0,724 CDM,PX-361000755,HC MOHS TR/LIMB 1 STAGE 1-5,1611.0,1433.79,246.76,1611.0,741 CDM,PX-361000756,HC MOHS EA BLOCK AFTER FIRST 5,885.0,787.65,38.71,885.0,721 CDM,PX-361000757,HC EXCISN TMR FACE/SCLP SUBQ <2CM,6497.0,5782.33,241.62,6497.0,736 CDM,PX-361000758,HC EXCISN TMR FACE/SCALP SUBFAS <2CM,13627.0,12128.03,353.43,13627.0,736 CDM,PX-361000759,HC GRFT EAR CRTLG AUTOGENOUS,10212.0,9088.68,488.65,10212.0,739 CDM,PX-361000760,HC EXCISN TMR NK/THORAX SUBQ <3CM,5259.0,4680.51,282.42,5259.0,737 CDM,PX-361000762,HC EXCISN TMR BACK/FLNK SUBQ <3CM,4912.0,4371.68,330.7,4912.0,736 CDM,PX-361000763,HC EXCISN TMR BACK SUBFSCL >=5CM,8445.0,7516.05,645.24,8445.0,734 CDM,PX-361000764,HC EXCISN TMR ABD WALL SUBQ <3CM,5259.0,4680.51,310.57,5259.0,736 CDM,PX-361000765,HC EXCISN TMR ABD WALL SUBQ >=3CM,6895.0,6136.55,397.08,6895.0,738 CDM,PX-361000766,HC EXCISN TMR SHOULDER SUBQ >=3CM,6284.0,5592.76,379.84,6284.0,736 CDM,PX-361000767,HC EXCISN TMR SHLDR SUBQ <3CM,5259.0,4680.51,304.14,5259.0,736 CDM,PX-361000768,HC EXCISN TMR ARM/ELB SUBQ >=3CM,6153.0,5476.17,365.7,6153.0,736 CDM,PX-361000769,HC EXCISN TMR ARM/ELBOW SUBQ <3CM,4093.0,3642.77,303.91,4093.0,737 CDM,PX-361000770,HC EXCISN TMR WRST SUBQ>=3CM,5853.0,5209.17,379.3,5853.0,736 CDM,PX-361000771,HC EXCISN TMR WRST SUBQ<3CM,4093.0,3642.77,291.94,4093.0,736 CDM,PX-361000773,HC EXCISN TMR THIGH/KNEE SUBQ<3CM,5602.0,4985.78,292.88,5602.0,736 CDM,PX-361000774,HC EXCISN TMR LEG/ANKLE SUBQ <3CM,5890.0,5242.1,284.08,5890.0,736 CDM,PX-361000780,HC INJ SCLEROSING SOLN MULT VEIN,1624.0,1445.36,60.22,1624.0,739 CDM,PX-361000781,HC PHLEB VEINS 1 EXT > 20 INCS,11140.0,9914.6,271.15,11140.0,737 CDM,PX-361000783,HC BIOPSY LIP,787.0,700.43,53.65,787.0,737 CDM,PX-361000787,HC DEST LESN PENIS SMPL ELECTRO,4330.0,3853.7,84.75,4330.0,736 CDM,PX-361000788,HC DEST LESN PENIS SMPL CRYOSURG,435.0,387.15,90.48,435.0,737 CDM,PX-361000789,HC DEST LESN PENIS SMPL SURG EXCISN,5341.0,4753.49,118.39,5341.0,736 CDM,PX-361000790,HC DEST LESN PENIS EXTENSIVE,5986.0,5327.54,146.55,5986.0,736 CDM,PX-361000791,HC BIOPSY PENIS,4093.0,3642.77,100.2,4093.0,737 CDM,PX-361000792,HC DESTRUCTION LESION VULVA SMPL,7231.0,6435.59,115.77,7231.0,739 CDM,PX-361000793,HC BX VULVA/PERINEUM 1 LESN,1187.0,1056.43,47.58,1222.05,741 CDM,PX-361000794,HC BX VULVA/PERINEUM ADD LESN,1109.0,987.01,23.39,1109.0,721 CDM,PX-361000795,HC BX EYELID SKIN & LID MARGIN,1109.0,987.01,52.9,1109.0,737 CDM,PX-361000797,HC BIOPSY EXTERNAL EAR,738.0,656.82,36.01,738.0,737 CDM,PX-361000818,HC INJ FILL MATERIAL SUBQ <=1CC,871.0,775.19,41.24,871.0,736 CDM,PX-361000821,HC INT RPR SCLP/AX/TR/EXT >30.0,3230.0,2874.7,285.62,3230.0,737 CDM,PX-361000822,HC INT RPR NK/HND/FT/EXG 7.6-12.5,1109.0,987.01,182.47,1109.0,739 CDM,PX-361000823,HC INT RPR NK/HND/FT/EXG 12.6-20,1332.0,1185.48,255.65,1332.0,736 CDM,PX-361000824,HC INT RPR NK/HND/FT/EXG 20-30,2691.0,2394.99,290.91,2691.0,736 CDM,PX-361000826,HC INT RPR F/E/EY/NO/L/M 12.6-20,1109.0,987.01,230.67,1109.0,736 CDM,PX-361000827,HC INT RPR F/E/EY/NO/L/M 20.1-30,1187.0,1056.43,246.9,1187.0,736 CDM,PX-361000828,HC CMPLX RPR EY/NO/E/L 2.6-7.5CM,1829.0,1627.81,266.66,1829.0,739 CDM,PX-361000829,HC CMPLX RPR EY/NO/E/L ADD<=5CM,1360.0,1210.4,105.8,1360.0,720 CDM,PX-361000830,HC TISS XFER SCLP/LIMB 10-30SCM,4989.0,4440.21,596.99,4989.0,736 CDM,PX-361000831,HC TISS XFER ADJ 30.1-60SCM,7029.0,6255.81,728.61,7029.0,744 CDM,PX-361000832,HC GRFT FULL THCK TR <=20 SCM,7947.0,7072.83,577.41,7947.0,736 CDM,PX-361000834,HC GRFT FULL THCK SCLP <= 20 SCM,4159.0,3701.51,518.29,4159.0,736 CDM,PX-361000835,HC GRFT FULL TH F/G/H EA ADD 20CM,4045.0,3600.05,83.26,4045.0,719 CDM,PX-361000836,HC GRFT FL TH EYNOEL EA ADD 20SCM,3371.0,3000.19,106.38,3371.0,719 CDM,PX-361000837,HC SKN GRFT F/N/H/F/G ADD 25SCM,2242.0,1995.38,20.5,2242.0,719 CDM,PX-361000840,HC FORM PEDCL FACE/NK/AX/EXG/EXT,6409.0,5704.01,610.61,6409.0,736 CDM,PX-361000841,HC FORM PEDCL EYNOEL,4989.0,4440.21,543.3,4989.0,737 CDM,PX-361000842,HC DELAY FLAP SCLP/A/L,16423.0,14616.47,229.64,16423.0,736 CDM,PX-361000843,HC DELAY FLAP FACE/NK/AX/EXG/EXT,8602.0,7655.78,295.7,8602.0,737 CDM,PX-361000844,HC DELAY FLAP EY/NO/E/L,5341.0,4753.49,303.25,5341.0,737 CDM,PX-361000845,HC FHD FLAP W/VAS PEDCL,8539.0,7599.71,836.91,8539.0,738 CDM,PX-361000847,HC DERMABRASION SEGMNTL FACE,3371.0,3000.19,360.16,3371.0,736 CDM,PX-361000849,HC DERMABRASION SUPERFICIAL ANY,2457.0,2186.73,301.16,2457.0,737 CDM,PX-361000850,HC ABRASION SNGL LESN,435.0,387.15,90.48,435.0,737 CDM,PX-361000855,HC DEST CUT LESN HCOLIF 10-50SCM,1525.0,1357.25,301.4,1525.0,736 CDM,PX-361000856,HC DEST CUT LESN HCOLIF >50SCM,4633.0,4123.37,437.39,4633.0,736 CDM,PX-361000857,HC DEST SKIN MAL LES >4.0 CM,1147.0,1020.83,161.14,1147.0,736 CDM,PX-361000858,HC MOHS TR/LIMB EA ADD STAGE,1074.0,955.86,133.68,1074.0,720 CDM,PX-361000861,HC EXCISN TMR FACE/SCLP SUBQ>=2CM,6621.0,5892.69,306.9,6621.0,736 CDM,PX-361000862,HC EXCISN TMR FACE/SCALP SUBFAS >=2CM,6792.0,6044.88,455.18,6792.0,737 CDM,PX-361000870,HC EXCISN TMR ABD SUBFSCL >=5CM,9756.0,8682.84,590.22,9756.0,737 CDM,PX-361000875,HC EXCISN TMR PLV/HIP SUBQ>=3CM,7724.0,6874.36,420.19,7724.0,734 CDM,PX-361000876,HC EXCISN TMR PELVIS/HIP SUBQ<3CM,7215.0,6421.35,329.58,7215.0,736 CDM,PX-361000881,HC EXC/SURG PLN SKN/NOSE RHINOPHY,9553.0,8502.17,361.83,9553.0,737 CDM,PX-361000884,HC BX TONGUE ANTR 2/3,2440.0,2171.6,94.37,2440.0,738 CDM,PX-361000885,HC BIOPSY FLOOR MOUTH,3257.0,2898.73,81.9,3257.0,736 CDM,PX-361000886,HC DEST LESN ANUS SMPL LASER SURG,7929.0,7056.81,115.52,7929.0,736 CDM,PX-361000889,HC CHEMO INTRALESNAL <=7 LESN,387.0,344.43,23.16,387.0,736 CDM,PX-361000890,HC CHEMO INTRALESIONAL >7,592.0,526.88,36.25,592.0,737 CDM,PX-361000899,HC LASER DEST LESN <10 SQ CM,276.0,245.64,57.41,276.0,742 CDM,PX-361000900,HC LASER DESTR LESN 10-50 SQ CM,276.0,245.64,57.41,276.0,742 CDM,PX-361000901,HC LASER DESTR LESN >50 SQ CM,276.0,245.64,57.41,276.0,742 CDM,PX-361000902,HC CO2 LASER RESURFACING 1 SEGMNT,276.0,245.64,57.41,276.0,742 CDM,PX-361000903,HC CO2 LASER RESURFACING 2 SEGMNT,276.0,245.64,57.41,276.0,742 CDM,PX-361000914,HC DESTRUCT NEUROFIBROMATA EXT >100,1629.0,1449.81,338.83,1629.0,734 CDM,PX-361000917,HC BRONCH W EBUS 1-2 NODE SAMPLE,11651.0,10369.39,189.07,11651.0,741 CDM,PX-361000918,HC BRONCH W EBUS >=3 NODE SAMPLE,11688.0,10402.32,209.27,11688.0,742 CDM,PX-361000919,HC BRONCH W EBUS DX/TX PERIPH LESN,6036.0,5372.04,57.01,6036.0,722 CDM,PX-361000950,HC AV FISTULA IMAGING,3787.0,3370.43,787.7,3787.0,735 CDM,PX-361000951,HC AV FISTULA PTA,14188.0,12627.32,1804.62,14188.0,735 CDM,PX-361000952,HC AV FISTULA STENT,23387.0,20814.43,4864.5,23387.0,734 CDM,PX-361000953,HC AV FISTULA THROMBECTOMY,14257.0,12688.73,2634.89,14257.0,734 CDM,PX-361000954,HC AV FISTULA PTA THROMBECTOMY,23387.0,20814.43,3343.49,23387.0,734 CDM,PX-361000955,HC AV FISTULA STENT THROMBECTOMY,35081.0,31222.09,7296.85,35081.0,734 CDM,PX-361000956,HC AV FISTULA PTA CENTRAL,12898.0,11479.22,872.13,12898.0,717 CDM,PX-361000959,HC PTA ARTERIAL INITIAL,17107.0,15225.23,2636.64,17107.0,735 CDM,PX-361000961,HC PTA VENOUS INITIAL,13317.0,11852.13,1972.1,13317.0,737 CDM,PX-361000962,HC PTA VENOUS EA ADD,8064.0,7176.96,635.85,8064.0,717 CDM,PX-361000965,HC ABLT THRPY REDUC/ERADCTN BN TMR,11747.0,10454.83,284.57,11747.0,738 CDM,PX-361000967,HC INS TUNL CVC WO PORT < 5 YR,11613.0,10335.57,281.27,11613.0,736 CDM,PX-361000975,HC BX PROSTATE NDL TRANSPRNEAL,7293.0,6490.77,192.31,7293.0,736 CDM,PX-361000976,HC CRYOSURG ABLATION PROSTATE,18582.0,16537.98,654.14,18582.0,737 CDM,PX-361000977,HC UNLISTED PROC MALE GENITAL SYS,3898.0,3469.22,250.38,3898.0,735 CDM,PX-361000978,HC CRYO PROSTATE ABALTION,3898.0,3469.22,250.38,3898.0,735 CDM,PX-361000980,HC PERC ARTL M-THROMB &/NFS INTRCR,15788.0,14051.32,658.09,15788.0,734 CDM,PX-361000981,HC EVASC INTRCRNL PROLNG RX ADMIN INIT,12703.0,11305.67,377.9,12703.0,737 CDM,PX-361000982,HC EVASC INTRCRNL PROLNG RX ADMIN ADD,5352.0,4763.28,161.22,5352.0,737 CDM,PX-361000984,HC INS INTERS DEV RAD THPY PERC INTRA-ABD,4549.0,4048.61,150.73,4549.0,740 CDM,PX-361000986,HC PLC INTERS DEV FOR RADTN THRPY,3886.0,3458.54,247.2,3886.0,734 CDM,PX-361001000,HC CRYOABLATION ABDOMINAL,6593.0,5867.77,247.2,6593.0,735 CDM,PX-361001001,HC CRYOABLATION SHOULDER/CLAVICLE,5369.0,4778.41,247.2,5369.0,735 CDM,PX-361001002,HC ABLATION HUM/ELB BN PERC CRYO,6593.0,5867.77,247.2,6593.0,734 CDM,PX-361001005,HC LASER SHOULDER ABLATION,5651.0,5029.39,247.2,5651.0,735 CDM,PX-361001006,HC MR FUS UTERINE ABLATION <200CC,5829.0,5187.81,1212.43,5829.0,733 CDM,PX-361001019,HC INJ SPINE CERV/THOR W IMG,2298.0,2045.22,417.5,2298.0,738 CDM,PX-361001020,HC INJ SPINE LUMB/SAC W IMG,2467.0,2195.63,412.92,2467.0,740 CDM,PX-361001025,HC ABLATE PULM TUMOR PERQ CRYBL,22433.0,19965.37,4666.06,22433.0,734 CDM,PX-361001026,HC NJX NONCMPND SCLRSNT 1 VEIN,5912.0,5261.68,1229.7,5912.0,734 CDM,PX-361001027,HC NJX NONCMPND SCLRSNT MLT VN,6040.0,5375.6,1256.32,6040.0,735 CDM,PX-361001028,HC TPRNL PLMT BIODEGRDABL MATRL,9277.0,8256.53,1929.62,9277.0,740 CDM,PX-361001059,HC ENDOVEN THER CHEM ADHES 1ST,12898.0,11479.22,2525.63,12898.0,735 CDM,PX-361001073,HC INJ INF/BOLUS LUMB/SACRAL DX WO IMG,3975.0,3537.75,228.6,3975.0,734 CDM,PX-361001075,HC INJ ELBOW ARTHGM,843.0,750.27,53.32,843.0,719 CDM,PX-361001080,HC ENDOMETRIAL ABLATION THERMAL,8174.0,7274.86,191.32,8174.0,736 CDM,PX-361001090,HC ENDOVEN ABLT MCHNCHEM 1ST VN,13794.0,12276.66,1779.63,13794.0,734 CDM,PX-361001092,HC BRONCH W PLCMT FIDUCIAL MARKER,7796.0,6938.44,168.73,9363.87,736 CDM,PX-361001093,HC DERM AUTGRFT F/NK/HF <= 100SCM,5867.0,5221.63,643.75,5867.0,736 CDM,PX-361001094,HC PLC BREAST LOC DEV MR GUID 1ST,3714.0,3305.46,100.91,3714.0,736 CDM,PX-361001096,HC CANNULATION THORACIC DUCT,4043.0,3598.27,248.69,4043.0,719 CDM,PX-361001097,HC ENDOVEN ABLT MCHNCHEM EA ADD,3348.0,2979.72,354.75,3348.0,717 CDM,PX-361001109,HC DESTRCT TRIGEM 2/3 DIV RADMNTR,12451.0,11081.39,401.61,12451.0,737 CDM,PX-361001120,HC ENDOVEN THER CHEM ADHES SBSQ,6354.0,5655.06,200.9,6354.0,718 CDM,PX-361001122,HC TANGNTL BX SKIN SINGLE LES,445.0,396.05,28.84,539.37,744 CDM,PX-361001123,HC TANGNTL BX SKIN EA SEP/ADDL,445.0,396.05,16.88,445.0,726 CDM,PX-361001124,HC PUNCH BX SKIN SINGLE LESION,476.0,423.64,36.19,539.37,747 CDM,PX-361001125,HC PUNCH BX SKIN EA SEP/ADDL,445.0,396.05,19.86,445.0,726 CDM,PX-361001126,HC INCAL BX SKN SINGLE LES,1353.0,1204.17,43.89,1353.0,738 CDM,PX-361001127,HC INCAL BX SKN EA SEP/ADDL,1077.0,958.53,23.79,1077.0,719 CDM,PX-361001128,HC INSJ PICC RS&I <5 YR,3158.0,2810.62,552.32,3158.0,734 CDM,PX-361001129,HC INSJ PICC RS&I 5 YR+,3380.0,3008.2,555.5,3380.0,735 CDM,PX-361001131,HC FNA BX W/US GDN 1ST LES,2201.0,1958.89,58.73,2201.0,743 CDM,PX-361001132,HC FNA BX W/US GDN EA ADDL,1304.0,1160.56,87.33,1304.0,719 CDM,PX-361001135,HC FNA BX W/CT GDN 1ST LES,3016.0,2684.24,625.05,3016.0,734 CDM,PX-361001136,HC FNA BX W/CT GDN EA ADDL,2010.0,1788.9,352.89,2010.0,717 CDM,PX-361001165,HC CHMODNRV ECCRINE GLDS/SOFT TIS HND/FT,677.0,602.53,140.82,778.55,740 CDM,PX-361001180,HC MECHANICAL REMOVAL OF FIBRIN SHEATH,3369.0,2998.41,628.65,3369.0,740 CDM,PX-361001200,HC PUNCTURE SPINAL LUMBAR DX W GUID,2038.0,1813.82,323.46,2038.0,740 CDM,PX-361001201,HC PUNCTURE SPINAL THER DRN CSF W GUID,2840.0,2527.6,406.5,2840.0,734 CDM,PX-361001217,"HC US TRTMT, NOT LEIOMYOMATA",44439.0,39550.71,9243.31,44439.0,734 CDM,PX-361001218,HC BX LUNG/MEDIASTINUM PERC NDL,4272.0,3802.08,888.58,4272.0,738 CDM,PX-361001226,HC ASP/INJ CYST BN,5016.0,4464.24,140.16,5016.0,736 CDM,PX-361001230,HC CHEMODENERV TRUNK OVER 5 MUS,2649.0,2357.61,105.37,2649.0,737 CDM,PX-361001232,HC REVASC INTRA LITHOTRIP-STENT,37322.0,33216.58,7762.98,37322.0,735 CDM,PX-361001233,HC ABLATION B9 THYROID NODULE PERQ LASER W/IMG GDN,6593.0,5867.77,1371.34,6593.0,734 CDM,PX-361001243,HC REVASC INTRAVASC LITHOTRIPSY,25448.0,22648.72,5293.18,25448.0,735 CDM,PX-361001276,HC US LYMPHATIC MAPPING WITH CONTRAST,578.0,514.42,120.22,578.0,742 CDM,PX-361001277,HC PHLEB VARICOSE VEIN 10 OR LESS BILAT,5801.0,5162.89,628.65,5801.0,740 CDM,PX-361001280,HC SMPL RPR S/NK/TR/EXT 12.6-20CM,855.0,760.95,80.07,855.0,736 CDM,PX-361001281,HC TISS XFER ADJ ADD 30SCM,2893.0,2574.77,168.32,2893.0,725 CDM,PX-361001284,HC BLEPH UPR EYELID,6244.0,5557.16,349.68,6244.0,736 CDM,PX-361001287,HC I&D WND POSTOP CMPLX,6198.0,5516.22,5578.2,5578.2,1 CDM,PX-361001288,HC DEST LESN VULVA EXTENSIVE,7429.0,6611.81,180.17,7429.0,737 CDM,PX-361001290,HC ANOSCOPY DX W HRA & CHEM AGNT,362.0,322.18,75.3,592.72,737 CDM,PX-361001291,HC ANOSCOPY DX W HRA & CHEM W BX,3229.0,2873.81,107.09,3229.0,741 CDM,PX-361001296,HC SMPL RPR F/E/EY/NO/L/M 5.1-7.5CM,748.0,665.72,63.94,748.0,736 CDM,PX-361001297,HC CHEM PEEL FACIAL EPIDERMAL,997.0,887.33,194.04,997.0,736 CDM,PX-361001300,HC HISTOTRIPSY OF MALIGNANT HEPATOCELLAR TISSUE,27849.0,24785.61,5792.59,27849.0,734 CDM,PX-361001301,HC CHEMODNRVTIN ECCRINE GLDS,677.0,602.53,140.82,778.55,740 CDM,PX-361001304,HC ELECTROLYSIS EPILATION EA 30 MIN,1797.0,1599.33,373.78,1797.0,734 CDM,PX-361001305,HC BLEPHAROTOMY DRN ABSC EYELID,1932.0,1719.48,101.49,1932.0,736 CDM,PX-361001306,HC SMPL RPR F/E/EY/N/L/M 7.6-12.5CM,761.0,677.29,80.16,761.0,736 CDM,PX-361001307,HC INTERMEDIATE RPR FACE >30CM,2093.0,1862.77,361.18,2093.0,736 CDM,PX-361001308,HC SYNOVIAL CYST ASPIRATION/INJECTION,3323.0,2957.47,307.61,3821.45,740 CDM,PX-361001310,HC CANTHOTOMY SEPARATE PROCEDURE,5256.0,4677.84,99.56,5256.0,736 CDM,PX-361001312,HC ABLT TRURL PRST8 TIS TRNSDCR,22198.0,19756.22,4617.18,22198.0,735 CDM,PX-361001313,HC ABLTJ 1/+THYR NDUL 1LOBE PRQ,5909.0,5259.01,1229.07,5909.0,738 CDM,PX-361001315,HC MRGFUS STRTCTC ABLT TRGT ICR,24519.0,21821.91,5099.95,24519.0,735 CDM,PX-361001319,HC EXCISN TMR THORAX SUBFSCL <5CM,9376.0,8344.64,462.11,9376.0,736 CDM,PX-361001320,HC BIOPSY INTRANASAL,3258.0,2899.62,58.82,3258.0,737 CDM,PX-361001332,HC PINCH GRFT SMALL AREA <= 2 CM,2503.0,2227.67,413.18,2503.0,736 CDM,PX-361001333,HC SMPL RPR S/NK/TR/EXT 20.1-30CM,960.0,854.4,97.65,960.0,736 CDM,PX-361001334,HC REPAIR BROW PTOSIS,8063.0,7176.07,424.3,8063.0,737 CDM,PX-361001335,HC BX EXTERNAL AUDITORY CANAL,5215.0,4641.35,55.62,5215.0,736 CDM,PX-361001343,HC SMPL RPR SCLP/NK/TR/EXT >30CM,1199.0,1067.11,119.9,1199.0,736 CDM,PX-361001347,HC PEF BRONCH ABLT 3D NAV EBUS,45118.0,40155.02,9384.54,45118.0,734 CDM,PX-361001352,HC REVSC EVASC IVT ANGIO SF 1ST,17075.0,15196.75,3125.54,17075.0,734 CDM,PX-361001354,HC REVSC EVASC IVT ANGIO CPLX 1,17075.0,15196.75,3551.6,17075.0,734 CDM,PX-361001356,HC REVSC EVASC IVT STENT SF 1ST,30855.0,27460.95,5408.81,30855.0,734 CDM,PX-361001357,HC REVSC EVASC IVT STENT SF EA,15149.0,13482.61,1819.31,15149.0,717 CDM,PX-361001358,HC REVSC EVASC IVT ST CPLX 1ST,30855.0,27460.95,6417.84,30855.0,734 CDM,PX-361001359,HC REVSC EVASC IVT ST CPLX EA,15149.0,13482.61,3150.99,15149.0,717 CDM,PX-361001361,HC REVSC EVASC FPVT ANGIO SF 1,17441.0,15522.49,3627.73,17441.0,734 CDM,PX-361001362,HC REVSC EVASC FPVT ANGIO SF EA,6675.0,5940.75,1388.4,6675.0,717 CDM,PX-361001363,HC REVSC EVSC FPVT ANGIO CPLX 1,17441.0,15522.49,3627.73,17441.0,734 CDM,PX-361001365,HC REVSC EVSC FPVT STENT SF 1ST,27050.0,24074.5,5626.4,27050.0,734 CDM,PX-361001367,HC REVSC EVASC FPVT ST CPLX 1ST,27050.0,24074.5,5626.4,27050.0,734 CDM,PX-361001369,HC REVSC EVSC FPVT ATHRC SF 1ST,33785.0,30068.65,7027.28,33785.0,734 CDM,PX-361001371,HC REVSC EVSC FPVT ATHRC CPLX 1,33785.0,30068.65,7027.28,33785.0,734 CDM,PX-361001375,HC RVSC EVSC FPVT ST ATHR CPX 1,33785.0,30068.65,7027.28,33785.0,734 CDM,PX-361001377,HC IV LITHOTRP FPVT W/IN SM ART,9005.0,8014.45,1873.04,9005.0,717 CDM,PX-361001378,HC REVSC EVSC TPVT ANGIO SF 1ST,21947.0,19532.83,4063.94,21947.0,734 CDM,PX-361001379,HC REVSC EVSC TPVT ANGIO SF EA,13385.0,11912.65,1107.66,13385.0,717 CDM,PX-361001380,HC RVSC EVSC TPVT ANGIO CPLX 1,21947.0,19532.83,4564.98,21947.0,734 CDM,PX-361001381,HC RVSC EVSC TPVT ANGIO CPLX EA,13385.0,11912.65,1291.08,13385.0,717 CDM,PX-361001382,HC REVSC EVASC TPVT ST SF 1ST,58820.0,52349.8,8592.54,58820.0,734 CDM,PX-361001384,HC REVSC EVASC TPVT ST CPLX 1ST,58820.0,52349.8,12234.56,58820.0,734 CDM,PX-361001390,HC RVSC EVSC TPVT ST ATHRC SF 1,59840.0,53257.6,12446.72,59840.0,734 CDM,PX-361001392,HC RVSC EVSC TPVT ST ATHR CPX 1,59840.0,53257.6,12446.72,59840.0,734 CDM,PX-361001396,HC REVSC EVSC IMVT ANGIO CPLX 1,21947.0,19532.83,4564.98,21947.0,734 CDM,PX-361001405,HC BX PRST8 IN-BORE CT/MRI BX 1,18558.0,16516.62,1155.39,18558.0,734 CDM,PX-361001406,HC BX PRST8 IN-BORE CT/MRI 1,8664.0,7710.96,1128.54,8664.0,734 CDM,PX-361001407,HC BX PRST8 EA ADD MRI-US/CT/MR,4790.0,4263.1,118.61,4790.0,718 CDM,PX-361001408,HC CHEM PEEL NONFACIAL EPIDERMAL,820.0,729.8,170.56,980.6,736 CDM,PX-361001414,HC EXCISN TMR ARM/ELB SUBFSCL<5CM,15373.0,13681.97,490.98,15373.0,736 CDM,PX-36140,PR INTRO NDL/CATH EXT ARTY,1467.0,1305.63,205.41,1467.0,482 CDM,PX-36160,PR INTRO NDL/INTRACATH AORT TRNSLMB,2023.0,1800.47,224.43,2023.0,482 CDM,PX-36200,PR INTRODUCTION CATHETER AORTA,1805.0,1606.45,230.57,1805.0,482 CDM,PX-36215,PR SEL CATH EA 1ST ORD THRC/BRCH,4064.0,3616.96,438.97,4064.0,482 CDM,PX-36216,PR SEL CATH 1ST/2ND ORD THRC/BRCH,3504.0,3118.56,440.32,3504.0,482 CDM,PX-36217,PR SEL CATH 3RD+ORD SEL THRC/BRCH,5025.0,4472.25,811.88,5025.0,482 CDM,PX-36218,PR SEL CATH EA 2ND+ ORD THRC/BRCH,821.0,730.69,187.98,821.0,482 CDM,PX-36221,PR NONSEL CATH THOR AORTA W ANGIO,3435.0,3057.15,389.57,3435.0,482 CDM,PX-36222,PR SEL CATH CARTD ANGIO EXTRACRAN,4189.0,3728.21,513.68,4189.0,482 CDM,PX-36223,PR SEL CATH CARTD ANGIO INTRCR,5091.0,4530.99,784.91,5091.0,482 CDM,PX-36224,PR SEL CATH INTRNL CARTD ARTERY,6406.0,5701.34,964.8,6406.0,482 CDM,PX-36225,PR SEL CATH SUBCL ARTY ANGIO VERT,6250.0,5562.5,733.37,6250.0,482 CDM,PX-36226,PR SEL CATH VERT ARTY ANGIO VERT,5962.0,5306.18,938.13,5962.0,482 CDM,PX-36227,PR SEL CATH EXT CARTD W ANGIO,1811.0,1611.79,215.1,1811.0,482 CDM,PX-36228,PR SEL CATH INT CARTD W ANGIO,4415.0,3929.35,1262.18,4415.0,482 CDM,PX-36245,PR SEL CATH EA 1ST ORD ABD PLV/LE,3107.0,2765.23,492.9,3107.0,482 CDM,PX-36246,PR SEL CATH 2ND ORDER ABD PLV/LE,2403.0,2138.67,322.58,2403.0,482 CDM,PX-36247,PR SEL CATH 3RD+ ORD SEL ABD LE,3577.0,3183.53,557.11,3577.0,482 CDM,PX-36248,PR SEL CATH EA 2ND+ ORD ABD LE,529.0,470.81,91.06,529.0,482 CDM,PX-36251,PR SEL CATH RENAL ARTY&ANGIO UNILAT,3861.0,3436.29,503.32,3861.0,482 CDM,PX-36252,PR SEL CATH RENAL ARTY&ANGIO BIL,4244.0,3777.16,546.62,4244.0,482 CDM,PX-36253,PR CATH 2ND+ORD RENAL ARTERY UNILAT,5289.0,4707.21,785.03,5289.0,482 CDM,PX-36254,PR PLC CATH REN ARTY >=2ND ORD BI,5697.0,5070.33,781.5,5697.0,482 CDM,PX-36406,PR VENIPUNCTURE <3 YRS OTHER VEIN,102.0,90.78,7.54,102.0,482 CDM,PX-36410,PR VENI >=3 YR W MD,97.0,86.33,6.57,97.0,509 CDM,PX-36415,PR VENIPUNCTURE,34.0,30.26,9.34,34.0,500 CDM,PX-36416,PR COLLECTION SPECIMEN CAP BLOOD,24.0,21.36,21.12,24.0,463 CDM,PX-36430,PR BLOOD TRANSFUSION,455.0,404.95,33.34,455.0,509 CDM,PX-36460,PR TRANSFUSION INTRAUTERINE FETAL,3147.0,2800.83,111.12,3147.0,482 CDM,PX-36465,PR NJX NONCMPND SCLRSNT 1 VEIN,5849.0,5205.61,534.46,5849.0,482 CDM,PX-36466,PR NJX NONCMPND SCLRSNT MLT VN,6365.0,5664.85,555.12,6365.0,482 CDM,PX-36468,PR INJ SNGL/MULT SPIDER VEIN LIMB,693.0,616.77,311.85,693.0,477 CDM,PX-36470,PR INJ SCLEROSING SOLN SNGL VEIN,690.0,614.1,48.98,690.0,482 CDM,PX-36471,PR INJ SCLEROSING SOLN MULT VEIN,879.0,782.31,70.23,879.0,482 CDM,PX-36473,PR ENDOVEN ABLT MCHNCHEM 1ST VN,6673.0,5938.97,484.06,6673.0,482 CDM,PX-36474,PR ENDOVEN ABLT MCHNCHEM EA ADD,2053.0,1827.17,192.98,2053.0,482 CDM,PX-36475,PR ENDOVENOUS ABLATION 1ST VEIN,8897.0,7918.33,429.87,8897.0,482 CDM,PX-36476,PR ENDOVENOUS ABLATION 2ND+ VEIN,2490.0,2216.1,220.75,2490.0,482 CDM,PX-36478,PR ENDOVENOUS ABLT LASER 1ST VEIN,7679.0,6834.31,398.64,7679.0,482 CDM,PX-36479,PR ENDOVENOUS ABLT LASER 2ND+VEIN,2841.0,2528.49,247.71,2841.0,482 CDM,PX-36481,PR CATH PORTAL VEIN PERC,4647.0,4135.83,678.02,4647.0,482 CDM,PX-36482,PR ENDOVEN THER CHEM ADHES 1ST,6349.0,5650.61,686.97,6349.0,482 CDM,PX-36500,PR CATH VEN SEL ORGAN BLD SAMPLNG,1319.0,1173.91,59.27,1319.0,482 CDM,PX-36510,PR CATH UMBILICAL VEIN DX/THER,614.0,546.46,29.8,614.0,507 CDM,PX-36555,PR INS NONTUNL CVC <5YR,1256.0,1117.84,174.53,1256.0,482 CDM,PX-36556,PR INS NON-TUN CVC >5YR,1230.0,1094.7,193.73,1230.0,482 CDM,PX-36557,PR INS TUNL CVC WO PORT < 5 YR,5276.0,4695.64,515.25,5276.0,482 CDM,PX-36558,PR INS TUNL CVC WO PORT >=5YR,3576.0,3182.64,322.49,3576.0,482 CDM,PX-36560,PR INS TUNL CVAD W PORT < 5 YR,7260.0,6461.4,545.99,7260.0,482 CDM,PX-36561,PR INS TUNL CVAD W PORT >= 5 YR,3580.0,3186.2,392.42,3580.0,482 CDM,PX-36568,PR INS PICC WO SUBQ PORT < 5 YR WO GUIDE,1431.0,1273.59,54.04,1431.0,507 CDM,PX-36569,PR INS PICC WO PORT/PUMP >=5YR WO GUIDE,1069.0,951.41,64.3,1069.0,482 CDM,PX-36572,PR INSJ PICC RS&I <5 YR,3058.0,2721.62,300.46,3058.0,482 CDM,PX-36573,PR INSJ PICC RS&I 5 YR+,1202.0,1069.78,302.19,1202.0,482 CDM,PX-36575,PR RPR TUN/NON-TUNL CVC WO PORT,879.0,782.31,51.87,879.0,507 CDM,PX-36578,PR RPLC CATH CVAD W SUBQ PORT,2779.0,2473.31,175.38,2779.0,482 CDM,PX-36580,PR RPLC CVC NONTUNL COMPLT,1135.0,1010.15,157.5,1135.0,482 CDM,PX-36581,PR RPLC COMPLT TUNL CVC WO PORT,3585.0,3190.65,312.64,3585.0,482 CDM,PX-36582,PR RPLC COMPLT TUNL CVAD W PORT,4655.0,4142.95,349.89,4655.0,482 CDM,PX-36584,PR RPLC COMPLT PICC CVC WO PORT W GUIDE/S&I,736.0,655.04,254.78,736.0,482 CDM,PX-36589,PR RMVL TUN CV CATH WO SUBQ PORT,1186.0,1055.54,55.64,1186.0,482 CDM,PX-36590,PR RMVL TUNL CVAD W SUBQ PORT/PMP,1422.0,1265.58,88.03,1422.0,482 CDM,PX-36591,PR COLLECT BLOOD FROM IMPLANT VAD,143.0,127.27,25.32,143.0,490 CDM,PX-36592,PR COLLECT BLOOD PICC VENOUS NOS,141.0,125.49,28.13,141.0,484 CDM,PX-36593,PR DECLOT IMPL VAD/CATH,198.0,176.22,26.84,198.0,510 CDM,PX-36595,PR MCHNL RMVL PRICATH OBSTR CVAD,2545.0,2265.05,238.0,2545.0,482 CDM,PX-36597,PR REPO PREV PLC CVC FLUORO GUID,576.0,512.64,45.43,576.0,482 CDM,PX-36598,PR INJ CNTRST RAD EVAL CVAD FLUOR,776.0,690.64,47.68,776.0,482 CDM,PX-36600,PR ARTERIAL PUNCTURE,169.0,150.41,9.5,169.0,512 CDM,PX-36620,PR ARTL CATH/CNULA MONITOR PERC,527.0,469.03,31.84,527.0,484 CDM,PX-36660,PR CATH UMBCL ARTY NB DX/THERAPY,670.0,596.3,19.45,670.0,507 CDM,PX-36680,PR PLC NEEDLE INTRAOSSEUS INF,527.0,469.03,21.5,527.0,482 CDM,PX-36818,PR ART VEN ANAST OPN UARM CEPHALC,4742.0,4220.38,228.67,4742.0,482 CDM,PX-36819,PR ART VEN ANAST OPN UARM BASILIC,6208.0,5525.12,240.45,6208.0,482 CDM,PX-36820,PR ART VEN ANAST OPN FORARM VEIN,6397.0,5693.33,241.24,6397.0,482 CDM,PX-36821,PR ARTERIOVENOUS ANAST OPN DIRECT,3917.0,3486.13,218.22,3917.0,482 CDM,PX-36830,PR CREATE ART VEN FSTL NONAUTGRFT,5530.0,4921.7,220.33,5530.0,482 CDM,PX-36831,PR THRMBCT ART VEN FSTL WO REV,3732.0,3321.48,205.84,3732.0,482 CDM,PX-36832,PR REV ART VEN FSTL WO THRMBCT,4523.0,4025.47,250.65,4523.0,482 CDM,PX-36833,PR REV ART VEN FSTL W THRMBCT,6115.0,5442.35,267.56,6115.0,482 CDM,PX-36838,PR DSTL REVASC UPEXT HEMO ACCESS,7443.0,6624.27,370.41,7443.0,482 CDM,PX-36901,PR AV FISTULA IMAGING,2626.0,2337.14,281.78,2626.0,482 CDM,PX-36902,PR AV FISTULA PTA,5128.0,4563.92,490.86,5128.0,482 CDM,PX-36903,PR AV FISTULA STENT,20033.0,17829.37,2003.45,20033.0,482 CDM,PX-36904,PR AV FISTULA THROMBECTOMY,8415.0,7489.35,716.69,8415.0,482 CDM,PX-36905,PR AV FISTULA PTA THROMBECTOMY,8965.0,7978.85,909.43,8965.0,482 CDM,PX-36906,PR AV FISTULA STENT THROMBECTOMY,23527.0,20939.03,2464.29,23527.0,482 CDM,PX-36907,PR AV FISTULA PTA CENTRAL,3145.0,2799.05,474.44,3145.0,482 CDM,PX-36908,PR AV FISTULA STENT CENTRAL,9628.0,8568.92,1151.04,9628.0,482 CDM,PX-370000010,HC RN SEDATION CARE,681.0,606.09,141.65,681.0,717 CDM,PX-370000013,HC MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,94.0,83.66,19.55,94.0,717 CDM,PX-370000021,HC ANESTHESIA LEVEL 1,1803.0,1604.67,375.02,1803.0,717 CDM,PX-370000022,HC ANESTHESIA LEVEL 2,2439.0,2170.71,507.31,2439.0,717 CDM,PX-370000023,HC ANESTHESIA LEVEL 3,2999.0,2669.11,623.79,2999.0,717 CDM,PX-370000024,HC ANESTHESIA LEVEL 4,3378.0,3006.42,702.62,3378.0,717 CDM,PX-370000025,HC ANESTHESIA LEVEL 5,3547.0,3156.83,737.78,3547.0,717 CDM,PX-370000026,HC ANESTHESIA LEVEL 6,3782.0,3365.98,786.66,3782.0,717 CDM,PX-370000027,HC ANESTHESIA LEVEL 7,4029.0,3585.81,838.03,4029.0,717 CDM,PX-370000028,HC ANESTHESIA LEVEL 8,4288.0,3816.32,891.9,4288.0,717 CDM,PX-370000029,HC ANESTHESIA LEVEL 9,4480.0,3987.2,931.84,4480.0,717 CDM,PX-370000030,HC ANESTHESIA LEVEL 10,5796.0,5158.44,1205.57,5796.0,717 CDM,PX-37180,PR VENOUS ANAST OPN SPLENORENAL,16792.0,14944.88,714.06,16792.0,482 CDM,PX-37182,PR INS HEPATIC SHUNT (TIPS),7281.0,6480.09,269.32,7281.0,482 CDM,PX-37183,PR REVISE HEPATIC SHUNT (TIPS),8984.0,7995.76,2257.41,8984.0,482 CDM,PX-37184,PR THRMBCT MECH PRIM PERC INIT VSL,9819.0,8738.91,666.41,9819.0,482 CDM,PX-37185,PR THRMBC MECH PRIM PERC SBSQ VSL,4112.0,3659.68,371.03,4112.0,482 CDM,PX-37186,PR THRMBCT PERC TRLUML SEC NONCOR,6119.0,5445.91,946.8,6119.0,482 CDM,PX-37187,PR THRMBCT MECH TRLUML VEIN,7136.0,6351.04,655.75,7136.0,482 CDM,PX-37188,PR THRMBC PERC MECH TRLUML RPT TX,6652.0,5920.28,1131.21,6652.0,482 CDM,PX-37191,PR INSERT EVASC VENA CAVA FILTER,4490.0,3996.1,783.33,4490.0,482 CDM,PX-37193,PR RTREV/RMVL EVASC VENACAVA FLTR,4789.0,4262.21,579.46,4789.0,482 CDM,PX-37197,PR RTREV/RMVL INTRAVASC FB W IMG,8419.0,7492.91,608.02,8419.0,482 CDM,PX-37200,PR TRANSCATHETER BIOPSY,1874.0,1667.86,71.14,1874.0,482 CDM,PX-37211,PR TRANSCATH ARTL THPY W S&I INIT,4079.0,3630.31,124.08,4079.0,482 CDM,PX-37212,PR TRANSCATH VEN THPY W S&I INIT,3728.0,3317.92,108.97,3728.0,482 CDM,PX-37213,PR TRANSCATH ARTL/VEN THPY W S&I,2517.0,2240.13,74.66,2517.0,482 CDM,PX-37214,PR CESSATION THROMBLYS RMVL CATH,1477.0,1314.53,39.36,1477.0,482 CDM,PX-37215,PR PLC STENT CAROTID EMBO PROTECT,7541.0,6711.49,320.44,7541.0,482 CDM,PX-37216,PR PLC STNT CARTD WO EMBO PROTECT,8533.0,7594.37,821.91,8533.0,482 CDM,PX-37217,PR PLC STENT INTRTHRC CARTD/INNOM,9044.0,8049.16,353.15,9044.0,482 CDM,PX-37236,PR PLC OPN/PERC STENT INIT,11546.0,10275.94,1068.2,11546.0,482 CDM,PX-37237,PR PLC OPN/PERC STENT EA ADD,3765.0,3350.85,997.89,3765.0,482 CDM,PX-37238,PR PLC OPN/PERC STENT SAME INIT,11274.0,10033.86,1360.08,11274.0,482 CDM,PX-37239,PR PLC OPN/PERC STENT SAME EA ADD,6186.0,5505.54,1379.51,6186.0,482 CDM,PX-37241,PR VASC EMBL/OCCLUDE VENOUS,14681.0,13066.09,1828.36,14681.0,482 CDM,PX-37242,PR VASC EMBL/OCCLUDE ARTERIAL,11731.0,10440.59,2783.89,11731.0,482 CDM,PX-37243,PR VASC EMBL/OCCLUDE TMR INFARCT,13622.0,12123.58,3339.12,13622.0,482 CDM,PX-37244,PR VASC EMBL/OCCLUDE HEMORRHAGE,10217.0,9093.13,2543.34,10217.0,482 CDM,PX-37246,PR PTA ARTERIAL INITIAL,9232.0,8216.48,717.17,9232.0,482 CDM,PX-37247,PR PTA ARTERIAL EA ADD,3317.0,2952.13,488.06,3317.0,482 CDM,PX-37248,PR PTA VENOUS INITIAL,6395.0,5691.55,536.41,6395.0,482 CDM,PX-37249,PR PTA VENOUS EA ADD,2628.0,2338.92,345.9,2628.0,482 CDM,PX-37252,PR INTRAVASC US NONCORONARY INIT VSL,5317.0,4732.13,743.11,5317.0,482 CDM,PX-37253,PR INTRAVASC US NONCORONARY ADD VSL,1020.0,907.8,135.77,1020.0,482 CDM,PX-37254,PR REVSC EVASC IVT ANGIO SF 1ST,8320.0,7404.8,850.15,8320.0,482 CDM,PX-37255,PR REVSC EVASC IVT ANGIO SF EA,3128.0,2783.92,411.7,3128.0,482 CDM,PX-37256,PR REVSC EVASC IVT ANGIO CPLX 1,9756.0,8682.84,990.98,9756.0,482 CDM,PX-37257,PR REVSC EVSC IVT ANGIO CPLX EA,3552.0,3161.28,465.14,3552.0,482 CDM,PX-37258,PR REVSC EVASC IVT STENT SF 1ST,16777.0,14931.53,1471.2,16777.0,482 CDM,PX-37259,PR REVSC EVASC IVT STENT SF EA,5087.0,4527.43,989.7,5087.0,482 CDM,PX-37260,PR REVSC EVASC IVT ST CPLX 1ST,39723.0,35353.47,3505.57,39723.0,482 CDM,PX-37261,PR REVSC EVASC IVT ST CPLX EA,14183.0,12622.87,2798.37,14183.0,482 CDM,PX-37262,PR IV LITHOTRP IVT W/IN SM ART,20964.0,18657.96,2848.25,20964.0,482 CDM,PX-37263,PR REVSC EVASC FPVT ANGIO SF 1,20368.0,18127.52,2258.2,20368.0,482 CDM,PX-37264,PR REVSC EVASC FPVT ANGIO SF EA,13368.0,11897.52,1816.98,13368.0,482 CDM,PX-37265,PR REVSC EVSC FPVT ANGIO CPLX 1,25614.0,22796.46,2837.75,25614.0,482 CDM,PX-37267,PR REVSC EVSC FPVT STENT SF 1ST,8284.0,7372.76,2162.38,8284.0,482 CDM,PX-37269,PR REVSC EVASC FPVT ST CPLX 1ST,18374.0,16352.86,4809.39,18374.0,482 CDM,PX-37271,PR REVSC EVSC FPVT ATHRC SF 1ST,42768.0,38063.52,4411.03,42768.0,482 CDM,PX-37273,PR REVSC EVSC FPVT ATHRC CPLX 1,53560.0,47668.4,5520.66,53560.0,482 CDM,PX-37275,PR RVSC EVSC FPVT ST ATHRC SF 1,35227.0,31352.03,4284.69,35227.0,482 CDM,PX-37277,PR RVSC EVSC FPVT ST ATHR CPX 1,52868.0,47052.52,6434.18,52868.0,482 CDM,PX-37279,PR IV LITHOTRP FPVT W/IN SM ART,28506.0,25370.34,3873.37,28506.0,482 CDM,PX-37280,PR REVSC EVSC TPVT ANGIO SF 1ST,10339.0,9201.71,1105.39,10339.0,482 CDM,PX-37281,PR REVSC EVSC TPVT ANGIO SF EA,3705.0,3297.45,602.57,3705.0,482 CDM,PX-37282,PR RVSC EVSC TPVT ANGIO CPLX 1,23376.0,20804.64,2526.44,23376.0,482 CDM,PX-37283,PR RVSC EVSC TPVT ANGIO CPLX EA,4341.0,3863.49,702.35,4341.0,482 CDM,PX-37284,PR REVSC EVASC TPVT ST SF 1ST,10870.0,9674.3,2337.17,10870.0,482 CDM,PX-37285,PR REVSC EVASC TPVT ST SF EA,9064.0,8066.96,2323.74,9064.0,482 CDM,PX-37286,PR REVSC EVASC TPVT ST CPLX 1ST,20013.0,17811.57,4315.98,20013.0,482 CDM,PX-37287,PR REVSC EVASC TPVT ST CPLX EA,16060.0,14293.4,4121.89,16060.0,482 CDM,PX-37288,PR REVSC EVSC TPVT ATHRC SF 1ST,26482.0,23568.98,3239.21,26482.0,482 CDM,PX-37290,PR REVSC EVSC TPVT ATHRC CPLX 1,36168.0,32189.52,4427.14,36168.0,482 CDM,PX-37292,PR RVSC EVSC TPVT ST ATHRC SF 1,30726.0,27346.14,4259.3,30726.0,482 CDM,PX-37293,PR RVSC EVSC TPVT ST ATHR SF EA,13952.0,12417.28,2914.56,13952.0,482 CDM,PX-37294,PR RVSC EVSC TPVT ST ATHR CPX 1,45642.0,40621.38,6337.35,45642.0,482 CDM,PX-37295,PR RVSC EVSC TPVT ST ATH CPX EA,23861.0,21236.29,4998.69,23861.0,482 CDM,PX-37296,PR REVSC EVASC IMVT ANGIO SF 1,31780.0,28284.2,1243.39,31780.0,482 CDM,PX-37607,PR LIG/BANDING ANGIOACCESS AVF,2842.0,2529.38,128.09,2842.0,482 CDM,PX-37609,PR LIGATION/BIOPSY TEMPORAL ARTY,1714.0,1525.46,124.85,1714.0,482 CDM,PX-37615,PR LIGATION MAJOR ARTERY NECK,3490.0,3106.1,176.93,3490.0,482 CDM,PX-37616,PR LIGATION MJR ARTERY CHEST,7597.0,6761.33,396.71,7597.0,482 CDM,PX-37617,PR LIGATION MAJOR ARTERY ABDOMEN,7688.0,6842.32,441.65,7688.0,482 CDM,PX-37618,PR LIGATION MAJOR ARTY EXTREMITY,3007.0,2676.23,138.59,3007.0,482 CDM,PX-37619,PR LIGATION OF INFERIOR VENA CAVA,9394.0,8360.66,574.67,9394.0,482 CDM,PX-37700,PR LIGATION & DIV SAPHENOUS VEIN,2236.0,1990.04,84.68,2236.0,482 CDM,PX-37718,PR LIG & STRIP SHORT SAPH VEIN,3026.0,2693.14,131.96,3026.0,482 CDM,PX-37722,PR LIG & STRIP LONG SAPH VEIN,4192.0,3730.88,154.57,4192.0,482 CDM,PX-37761,PR LIG PRFRATR VEIN OPEN GRFT 1LEG,4049.0,3603.61,179.04,4049.0,482 CDM,PX-37765,PR PHLEB VEINS 1 EXT 10-20 INCS,3871.0,3445.19,161.15,3871.0,482 CDM,PX-37766,PR PHLEB VEINS 1 EXT > 20 INCS,4206.0,3743.34,190.84,4206.0,482 CDM,PX-37780,PR LIG&DIV SHRT SAPH VEIN SAPH JN,1574.0,1400.86,81.29,1574.0,482 CDM,PX-37799003,PR PHLEB VARICOSE VEIN 10 OR LESS UNILAT,1936.0,1723.04,96.8,1936.0,482 CDM,PX-37799005,PR SPEC COLLECT ARTERIAL LINE,24.0,21.36,1.2,24.0,482 CDM,PX-37799008,PR MECHANICAL REMOVAL OF FIBRIN SHEATH,1273.0,1132.97,63.65,1273.0,482 CDM,PX-37799012,PR PHLEB VARICOSE VEIN 10 OR LESS BILAT,2997.0,2667.33,149.85,2997.0,482 CDM,PX-38100,PR SPLENECTOMY TOT SEPARATE PROC,8138.0,7242.82,395.35,8138.0,482 CDM,PX-38101,PR SPLENECTOMY PARTIAL,8566.0,7623.74,397.89,8566.0,482 CDM,PX-38102,PR SPLENECTOMY TOTAL W OTHR PROC,2248.0,2000.72,172.01,2248.0,482 CDM,PX-38120,PR LAPAROSCOPIC SURG SPLENECTOMY,7562.0,6730.18,370.35,7562.0,482 CDM,PX-38200,PR INJECTION FOR SPLEEN X-RAY,1082.0,962.98,42.44,1082.0,482 CDM,PX-38207,PR CRYOPRESERVE/STORAGE,4865.0,4329.85,36.38,4865.0,483 CDM,PX-38210,PR T CELL DEPLETION,22912.0,20391.68,64.37,22912.0,482 CDM,PX-38214,PR PLASMA DEPLETION,4274.0,3803.86,33.27,4274.0,483 CDM,PX-38215,PR TRANSPLANT CELL CONCENTRATION,3707.0,3299.23,38.49,3707.0,482 CDM,PX-38220,PR BONE MARROW ASPIRATION ONLY,860.0,765.4,69.04,860.0,482 CDM,PX-38221,PR BONE MARROW BIOPSY NDL/TROCAR,922.0,820.58,68.52,922.0,482 CDM,PX-38222,PR DX BONE MARROW BX & ASPIR,1004.0,893.56,72.47,1004.0,482 CDM,PX-38228,PR CAR-T THERAPY AUTOL CAR-T CELL ADMINISTRATION,2749.0,2446.61,261.47,2749.0,482 CDM,PX-38230,PR BONE MARROW HARVEST TX ALLOGEN,3119.0,2775.91,64.52,3119.0,482 CDM,PX-38232,PR BN MARROW HARVEST TRANPL AUTO,1451.0,1291.39,60.49,1451.0,482 CDM,PX-38305,PR DRAIN LYMPH NODE ABSC EXTNSV,1567.0,1394.63,186.32,1567.0,482 CDM,PX-38308,PR LYMPHANGIOTOMY,3100.0,2759.0,170.2,3100.0,482 CDM,PX-38380,PR SUTR&/LIG THORA DUCT CERV APPR,4244.0,3777.16,201.09,4244.0,482 CDM,PX-38381,PR SUTR&/LIG THORA DUCT THOR APPR,8523.0,7585.47,286.71,8523.0,482 CDM,PX-38500,PR BX/EXCISN LYMPH NODE OPN SUPFCL,1925.0,1713.25,144.64,1925.0,482 CDM,PX-38505,PR BX/EXCISN LYMPH NODE NDL SUPFCL,1065.0,947.85,69.21,1065.0,482 CDM,PX-38510,PR BX/EXC LYMPHNODE OPN DEEP CERV,3103.0,2761.67,216.1,3103.0,482 CDM,PX-38525,PR BX/EXC LYMPHNODE OPN AXILLARY,3207.0,2854.23,162.19,3207.0,482 CDM,PX-38530,PR BX/EXC LYMPHNODE OPEN MAMMARY,6263.0,5574.07,202.43,6263.0,482 CDM,PX-38531,"PR BX/EXC LYMPHNODE OPN, INGUINOFEM",3036.0,2702.04,162.72,3036.0,482 CDM,PX-38562,PR LMTD LMPHADEC STAGE PEL&AORTIC,5754.0,5121.06,254.42,5754.0,482 CDM,PX-38564,PR LMTD LMPHADEC STAGE RPR AORTIC,5232.0,4656.48,249.01,5232.0,482 CDM,PX-38570,PR LAPROSC RETROPERIT LYMPH ND BX,4105.0,3653.45,181.24,4105.0,482 CDM,PX-38571,PR LAPROSC BILAT TOT PELV LMPHADEC,5807.0,5168.23,229.14,5807.0,482 CDM,PX-38572,PR LAP LMPHADC&PERIAORTC LYMPH BX,6448.0,5738.72,311.47,6448.0,482 CDM,PX-38589003,PR LAP RESEC RETROPERITONEL LYM NODES,12064.0,10736.96,603.2,12064.0,477 CDM,PX-38700,PR SUPRAHYOID LYMPHADENECTOMY,5718.0,5089.02,273.91,5718.0,482 CDM,PX-38720,PR CERVICAL LYMPHADENECTOMY,9581.0,8527.09,455.22,9581.0,482 CDM,PX-38724,PR CERV LMPH MOD/RAD NECK DISSECT,11831.0,10529.59,483.98,11831.0,482 CDM,PX-38740,PR AXILLARY LYMPHADENECTOMY SUPF,4142.0,3686.38,251.95,4142.0,482 CDM,PX-38745,PR AXILLARY LYMPHADENECTOMY COMPL,6947.0,6182.83,313.27,6947.0,482 CDM,PX-38746,PR LMPHADEC THOR THORCOM MED®,2080.0,1851.2,140.52,2080.0,482 CDM,PX-38747,PR LMPHADEC ABDL REG CELIAC GASTR,2214.0,1970.46,173.55,2214.0,482 CDM,PX-38760,PR INGUINOFEM LMPHADEC SUPFCL,5570.0,4957.3,293.2,5570.0,482 CDM,PX-38765,PR INGUINO LMPHDEC W PLVC LMPHDEC,8932.0,7949.48,457.81,8932.0,482 CDM,PX-38770,PR PLVC LMPHDEC ILIAC HYPOGASTRIC,7129.0,6344.81,281.83,7129.0,482 CDM,PX-38780,PR RPERIT TABDL LMPHDEC PLVC RENL,12064.0,10736.96,368.53,12064.0,482 CDM,PX-38790,PR INJ PROCEDURE LYMPHANGIOGRAPHY,855.0,760.95,29.34,855.0,482 CDM,PX-38792,PR INJ RADIOACT TRACE SENTINEL ND,356.0,316.84,33.55,356.0,482 CDM,PX-38794,PR CANNULATION THORACIC DUCT,2295.0,2042.55,101.47,2295.0,482 CDM,PX-38900,PR INTRAOP SENTINL LYMPH NODE INJ,975.0,867.75,108.01,975.0,482 CDM,PX-38999001,PR LYMPH NODE ABLATION,1236.0,1100.04,61.8,1236.0,477 CDM,PX-38999004,PR MESENTERIC LYMPHADENECTOMY,2214.0,1970.46,110.7,2214.0,477 CDM,PX-39000,PR MEDIAST W EXPL DRAIN CERV APPR,4116.0,3663.24,186.76,4116.0,482 CDM,PX-390000001,HC BLOOD WHOLE EA UNIT,810.0,720.9,101.26,810.0,734 CDM,PX-390000003,HC CRYOPRECIPITATE EA UNIT,675.0,600.75,34.01,675.0,736 CDM,PX-390000004,HC FFP SNGL DONOR DIVIDED,520.0,462.8,108.16,520.0,735 CDM,PX-390000005,HC FFP SNGL DONOR,696.0,619.44,92.08,696.0,736 CDM,PX-390000006,HC GRANULOCYTES PHER PROC EA UNIT,5503.0,4897.67,1144.62,5503.0,719 CDM,PX-390000007,HC CRYOPRESERVE/STORAGE,4865.0,4329.85,442.12,4865.0,736 CDM,PX-390000008,HC HPC HARVEST AUTOLOGOUS,6457.0,5746.73,65.81,6457.0,738 CDM,PX-390000009,HC IAT RBC WASHED EA UNIT ADDTL,325.0,289.25,67.6,453.96,736 CDM,PX-390000010,HC IAT RBC WASHED INITIAL UNIT,647.0,575.83,134.58,647.0,736 CDM,PX-390000011,HC PLASMA CRYO REDUCED EA UNIT,770.0,685.3,41.9,770.0,734 CDM,PX-390000012,HC PLT HLA MATCHED LR EA UNIT,2404.0,2139.56,500.03,2404.0,735 CDM,PX-390000017,HC PLT PHERESIS LR IRRAD EA UNIT DIV,560.0,498.4,116.48,560.0,735 CDM,PX-390000018,HC PLT PHERESIS LR IRRAD EA UNIT,1718.0,1529.02,357.34,1718.0,736 CDM,PX-390000020,HC RBC DEGLYCEROLIZED LR/IR/E,1407.0,1252.23,292.66,1407.0,734 CDM,PX-390000022,HC RBC LR EA UNIT,786.0,699.54,137.54,786.0,735 CDM,PX-390000023,HC RBC LR IRRAD EA UNIT,1128.0,1003.92,211.51,1128.0,739 CDM,PX-390000024,HC RED BLD CELLS DEGLYCEROLIZD LR,1064.0,946.96,221.31,1064.0,734 CDM,PX-390000025,HC FROZEN PLASMA 8-24 HR EA UNIT,310.0,275.9,64.48,310.0,734 CDM,PX-390000033,HC T CELL DEPLETION,22912.0,20391.68,442.12,22912.0,734 CDM,PX-390000034,HC PLASMA DEPLETION,4274.0,3803.86,442.12,4274.0,736 CDM,PX-390000035,HC TRANSPLANT CELL CONCENTRATION,3707.0,3299.23,442.12,3707.0,734 CDM,PX-390000037,"HC FROZEN PLASMA, PATH RED, SD, EA UNIT",954.0,849.06,198.43,954.0,734 CDM,PX-390000041,HC PLT PHERESIS PATHOGEN REDUCED EA UNIT,1630.0,1450.7,339.04,1630.0,739 CDM,PX-390000043,HC RBC WASHED EA UNIT,1011.0,899.79,184.98,1011.0,736 CDM,PX-390000044,HC IAT BLOOD WHOLE EA UNIT,1026.0,913.14,101.26,1026.0,734 CDM,PX-390000045,HC RBC LR EA UNIT DIVIDED,427.0,380.03,88.82,427.0,735 CDM,PX-390000047,HC IRRADIATION OF BLD EA UNIT,292.0,259.88,37.43,292.0,734 CDM,PX-390000048,HC PLT PHERESIS PATHOGEN REDUCED EA UNIT DIVIDED,648.0,576.72,134.78,648.0,735 CDM,PX-390000053,HC CONVALESCENT FFP SNGL DONOR,1926.0,1714.14,92.08,1926.0,736 CDM,PX-390000054,"HC CONVALESCENT FROZEN PLASMA, PATH RED, SD, EA UNIT",954.0,849.06,198.43,954.0,734 CDM,PX-390000055,HC 2 TX CRYOPRESERVE/STORAGE,6665.0,5931.85,442.12,6665.0,736 CDM,PX-390000056,HC 3 TX CRYOPRESERVE/STORAGE,9000.0,8010.0,442.12,9000.0,736 CDM,PX-390000058,HC HEPARINIZED BLOOD WHOLE EA UNIT,15.0,13.35,3.12,233.82,734 CDM,PX-390000059,HC CONVALESCENT FROZEN PLASMA 8-24 HR EA UNIT,1890.0,1682.1,73.77,1890.0,734 CDM,PX-390000060,HC RBC LR IRR RECON DIVIDED,916.0,815.24,155.84,916.0,735 CDM,PX-390000061,HC RBC LR RECON DIVIDED,916.0,815.24,155.84,916.0,735 CDM,PX-390000064,HC FRESH CELL ADMIN PREPARATION,3031.0,2697.59,442.12,3031.0,738 CDM,PX-39010,PR MEDIAST EXPL DRAIN TTHOR APPR,6342.0,5644.38,283.55,6342.0,482 CDM,PX-391000000,HC BLOOD TRANSFUSION,1214.0,1080.46,48.07,1214.0,742 CDM,PX-39200,PR RESECTION OF MEDIASTINAL CYST,8478.0,7545.42,306.4,8478.0,482 CDM,PX-39220,PR RESECTION MEDIASTINAL TUMOR,9549.0,8498.61,396.43,9549.0,482 CDM,PX-39401,PR MEDIASTINOSCOPY W MEDIASTINAL BX,2724.0,2424.36,107.56,2724.0,482 CDM,PX-39402,PR MEDIASTINOSCOPY W LYMPH ND BX,3003.0,2672.67,138.22,3003.0,482 CDM,PX-39501,PR REPAIR LACERATION DIAPHRAGM,7401.0,6586.89,301.6,7401.0,482 CDM,PX-39503,PR RPR NEONATAL DIPHRG HERNIA,31280.0,27839.2,1937.78,31280.0,482 CDM,PX-39540,PR RPR HERNIA NOT NEONATAL ACUTE,6965.0,6198.85,301.89,6965.0,482 CDM,PX-39541,PR RPR HERNIA NOT NEONATAL CHRNC,10045.0,8940.05,327.04,10045.0,482 CDM,PX-39545,PR IMBRICATION DIAPHRAGM EVENTRAT,10252.0,9124.28,324.91,10252.0,482 CDM,PX-39560,PR RESC DIAPHRAGM W SIMPLE REPAIR,6490.0,5776.1,283.3,6490.0,482 CDM,PX-39561,PR RESC DIAPHRAGM W COMPLX REPAIR,11217.0,9983.13,454.02,11217.0,482 CDM,PX-399000001,HC THAW,3031.0,2697.59,442.12,3031.0,735 CDM,PX-399000002,HC THAW & WASH,3519.0,3131.91,442.12,3519.0,734 CDM,PX-399000003,HC RBC DEPLETION,1812.0,1612.68,376.9,1812.0,734 CDM,PX-399000006,HC HPC HARVEST ALLOGENIC,6529.0,5810.81,67.43,6529.0,734 CDM,PX-402000033,HC US GUIDE PLC NDL,1055.0,938.95,64.38,1055.0,728 CDM,PX-402000035,HC US GUIDE VASC ACCESS,421.0,374.69,40.33,421.0,728 CDM,PX-402000047,HC US OPHTHALMIC DX B-SCAN,224.0,199.36,46.59,224.0,736 CDM,PX-402000063,HC MEAS PST VOID RESID US NON IMG,233.0,207.37,12.57,233.0,738 CDM,PX-402000078,HC ECHO GUIDE OVA ASPIRATION,322.0,286.58,66.98,322.0,723 CDM,PX-402000090,HC US NRV&ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY,731.0,650.59,104.77,731.0,734 CDM,PX-40490,PR BIOPSY LIP,479.0,426.31,41.49,479.0,508 CDM,PX-40500,PR VERMILIONECTOMY LIP W MUC ADV,2752.0,2449.28,214.15,2752.0,482 CDM,PX-40510,PR EXCISN LIP TRANSV WEDGE W CLSR,2562.0,2280.18,200.47,2562.0,482 CDM,PX-40525,PR EXCISN LIP RCNST W LOCAL FLAP,4334.0,3857.26,194.12,4334.0,482 CDM,PX-40527,PR EXCISN LIP RCNST W CROSS FLAP,6063.0,5396.07,215.58,6063.0,482 CDM,PX-40650,PR RPR LIP FULL THICK VERMIL ONLY,2443.0,2174.27,231.12,2443.0,482 CDM,PX-40652,PR RPR LIP F THICK HALF VERTC HT,5002.0,4451.78,248.16,5002.0,482 CDM,PX-40700,PR RPR CLEFT LIP PLASTIC PRIM UNILAT,7795.0,6937.55,351.55,7795.0,482 CDM,PX-40701,PR RPR CLEFT LIP PLSTC BILAT 1 STG,7735.0,6884.15,409.48,7735.0,482 CDM,PX-40720,PR RPR CLEFT LIP PLSTC SECONDARY,9094.0,8093.66,354.97,9094.0,482 CDM,PX-40761,PR LSTC RPR CLFT LIP/NSL DFRM,10190.0,9069.1,369.37,10190.0,482 CDM,PX-40799001,PR UPPER LIP SHORTENING,2622.0,2333.58,131.1,2622.0,477 CDM,PX-40800,PR DRN MOUTH LESION SMPL,776.0,690.64,85.99,776.0,489 CDM,PX-40801,PR DRN MOUTH LESION CMPLX,1531.0,1362.59,124.61,1531.0,482 CDM,PX-40804,PR RMVL FB VESTIBULE MOUTH SMPL,774.0,688.86,85.38,774.0,506 CDM,PX-40806,PR INCISION LABIAL FRENUM,684.0,608.76,41.77,684.0,482 CDM,PX-40808,PR BIOPSY VESTIBULE OF MOUTH,850.0,756.5,58.42,850.0,510 CDM,PX-40810,PR EXCISN LESN MOUTH WO RPR,936.0,833.04,88.41,936.0,507 CDM,PX-40812,PR EXCISN LESN MOUTH W RPR SMPL,1330.0,1183.7,97.12,1330.0,508 CDM,PX-40814,PR EXCISN LESN MOUTH W RPR CMPLX,1553.0,1382.17,154.67,1553.0,482 CDM,PX-40816,PR EXCISN LESN MOUTH W MUS EXCISN,2244.0,1997.16,165.15,2244.0,482 CDM,PX-40818,PR EXCISN MUCOSA MOUTH DONOR GRFT,1552.0,1381.28,148.4,1552.0,482 CDM,PX-40819,PR EXCISN FRENUM LABIAL/BUCCAL,1262.0,1123.18,112.59,1262.0,482 CDM,PX-40820,PR DEST LESN/SCAR VESTIBULE MOUTH,1067.0,949.63,103.86,1067.0,482 CDM,PX-40830,PR CLSR LAC VEST MOUTH<=2.5 CM,1020.0,907.8,94.32,1020.0,482 CDM,PX-40831,PR CLSR LAC VEST MOUTH>2.5 CM/CMPLX,1775.0,1579.75,126.87,1775.0,482 CDM,PX-40840,PR VESTIBULOPLASTY ANTERIOR,4319.0,3843.91,353.8,4319.0,482 CDM,PX-41000,PR I&D INTRAORAL LESN LINGUAL,781.0,695.09,64.57,781.0,482 CDM,PX-410000000,HC CAR SEAT/BED TEST ADD 30 MIN,127.0,113.03,6.81,127.0,719 CDM,PX-410000001,HC CAR SEAT/BED TESTING 60 MIN,254.0,226.06,19.77,254.0,736 CDM,PX-410000002,HC CPAP INIT & MGMT,1195.0,1063.55,31.15,1195.0,739 CDM,PX-410000003,HC DEMO/EVAL PAT USE INHALE,231.0,205.59,20.13,290.54,736 CDM,PX-410000005,HC MANIP CHST WALL INIT,240.0,213.6,27.69,240.0,737 CDM,PX-410000006,HC MANIP CHST WALL SUBSQ,156.0,138.84,32.45,176.53,736 CDM,PX-410000007,HC MECH CHST WALL OSC LUNG FUNC,290.0,258.1,25.97,290.54,736 CDM,PX-410000008,HC PENTAMIDINE TX AERO INHAL,514.0,457.46,43.47,514.0,741 CDM,PX-410000010,HC THER PROC FUNC 1-1 EA 15MIN,156.0,138.84,11.44,156.0,736 CDM,PX-410000012,HC TRACHEOTOMY TUBE CHANGE,1154.0,1027.06,28.71,1154.0,737 CDM,PX-410000014,HC TX INHAL AERO SPUTUM,366.0,325.74,8.69,366.0,744 CDM,PX-410000015,HC VENT MGMT INPT/OBS SUBSQ DAY,2720.0,2420.8,56.57,2720.0,736 CDM,PX-410000016,HC VENTIL MGMT IP INIT DAY,2971.0,2644.19,82.0,2971.0,736 CDM,PX-410000023,HC TX CONT AERO AAO 1ST HR,472.0,420.08,424.8,424.8,1 CDM,PX-410000024,HC TX CONT AERO AAO EA ADD HR,347.0,308.83,16.94,347.0,719 CDM,PX-410000026,HC ARTERIAL PUNCTURE,214.0,190.46,12.61,214.0,738 CDM,PX-41005,PR I&D INTRAORAL LESN SUBLINGUAL,931.0,828.59,94.94,931.0,482 CDM,PX-41007,PR I&D INTRAORAL SUBMENTAL SPACE,1872.0,1666.08,136.52,1872.0,482 CDM,PX-41008,PR I&D ABSC INTRAORAL SUBMAND SPACE,1943.0,1729.27,167.8,1943.0,482 CDM,PX-41009,PR I&D ABSC INTRAORAL MASTICAT SPACE,1615.0,1437.35,175.51,1615.0,482 CDM,PX-41010,PR INCISN LINGUAL FRENUM FRENOTMY,1089.0,969.21,86.46,1089.0,489 CDM,PX-41015,PR I&D EXTRAORAL ABSC SUBLINGUAL,2803.0,2494.67,166.27,2803.0,482 CDM,PX-41016,PR I&D EXTRAORAL ABSC SUBMENTAL,1915.0,1704.35,195.84,1915.0,482 CDM,PX-41017,PR I&D EXTRAORAL ABSC SUBMANDIB,1945.0,1731.05,193.98,1945.0,482 CDM,PX-41018,PR I&D EXTRAORAL ABSC MASTICATOR,2944.0,2620.16,221.15,2944.0,482 CDM,PX-41100,PR BX TONGUE ANTR 2/3,908.0,808.12,65.03,908.0,511 CDM,PX-41105,PR BX TONGUE POSTR 1/3,872.0,776.08,76.95,872.0,482 CDM,PX-41108,PR BIOPSY FLOOR MOUTH,751.0,668.39,69.46,751.0,482 CDM,PX-41110,PR EXCISN LESN TONGUE WO CLSR,930.0,827.7,78.64,930.0,508 CDM,PX-41112,PR EXCISN LESN TNG W CLSR ANTR 2/3,1587.0,1412.43,118.02,1587.0,508 CDM,PX-41113,PR EXCISN LESN TNG W CLSR POSTR 1/3,1855.0,1650.95,148.97,1855.0,482 CDM,PX-41115,PR EXCISN LINGUAL FRENUM,1045.0,930.05,88.59,1045.0,507 CDM,PX-41116,PR EXCISN LESN FLOOR OF MOUTH,1819.0,1618.91,136.22,1819.0,482 CDM,PX-41120,PR GLOSSECTOMY <1/2 TONGUE,6276.0,5585.64,390.07,6276.0,482 CDM,PX-41130,PR GLOSSECTOMY HEMIGLOSSECTOMY,7627.0,6788.03,468.55,7627.0,482 CDM,PX-41140,PR GLSSC COMPL WO RAD NECK DISEC,16893.0,15034.77,756.53,16893.0,482 CDM,PX-41150,PR GLSSC COMPOSITE W MANDIB RESEC,16344.0,14546.16,760.87,16344.0,482 CDM,PX-41250,PR RPR LAC <=2.5CM ANTR 2/3 TNG,1077.0,958.53,136.4,1077.0,482 CDM,PX-41251,PR RPR LAC <=2.5CM POSTR 1/3 TNG,865.0,769.85,173.25,865.0,482 CDM,PX-41252,PR RPR LAC TONGUE >2.6CM COMPLX,2006.0,1785.34,138.42,2006.0,482 CDM,PX-41512,PR TONGUE BASE SUSPENSION PERMANENT SUTURE TQ,4327.0,3851.03,247.31,4327.0,482 CDM,PX-41530,PR SUBMUC ABLT TNG >=1 SITE/SESN,12891.0,11472.99,379.91,12891.0,482 CDM,PX-41800,PR DRN ABSC HEMA DENTOAVEOLAR,963.0,857.07,157.9,963.0,482 CDM,PX-41805,PR RMVL EMBEDDED FB DENTOALVEOLAR,1610.0,1432.9,131.5,1610.0,497 CDM,PX-41806,PR RMVL FB DENTOALVEOLAR BONE,1137.0,1011.93,173.86,1137.0,482 CDM,PX-41820,PR GINGIVECTOMY EA QUADRANT,1214.0,1080.46,546.3,1214.0,477 CDM,PX-41823,PR EXCISN OSS TUBEROST DENTOAVEOLAR,1973.0,1755.97,232.95,1973.0,506 CDM,PX-41825,PR EXCISN LESN DNTOALVOLR WO RPR,850.0,756.5,88.11,850.0,506 CDM,PX-41826,PR EXCISN LESN DNTOALVOLR W RPR SMPL,1486.0,1322.54,103.91,1486.0,507 CDM,PX-41827,PR EXCISN LESN DNTOALVOLR W RPR CMPLX,2316.0,2061.24,175.71,2316.0,482 CDM,PX-41828,PR EXCISN HYPERPLASTIC ALVEOL MUC EA,1134.0,1009.26,152.5,1134.0,482 CDM,PX-41830,PR ALVEOLECTOMY W CURRETTAGE,1767.0,1572.63,204.23,1767.0,482 CDM,PX-41850,PR DEST LESN DNTOALVOLR STRUCTURE,823.0,732.47,41.15,823.0,477 CDM,PX-41870,PR PERIODONTAL MUCOSAL GRAFTING,1651.0,1469.39,742.95,1651.0,477 CDM,PX-41874,PR ALVEOLOPLASTY EACH QUADRANT,1089.0,969.21,158.6,1089.0,482 CDM,PX-41899002,PR EXCISION OF HYPERTROPHIC GRANULATION TISSUE,1067.0,949.63,53.35,1067.0,481 CDM,PX-41899003,PR GINGIVAL BIOPSY,850.0,756.5,42.5,850.0,481 CDM,PX-42000,PR DRAINAGE ABSCESS PALATE UVULA,987.0,878.43,55.15,987.0,507 CDM,PX-420000016,HC CANALITH REPOSITIONING PROC PT,239.0,212.71,24.0,239.0,736 CDM,PX-420000026,HC DBRD SEL OPN WND ADD 20SCM PT,178.0,158.42,20.4,178.0,720 CDM,PX-420000027,HC DBRD SEL OPN WND<=20SCM PT,311.0,276.79,30.01,311.0,741 CDM,PX-420000028,HC DBRD WND RMVL TIS NON-SEL PT,419.0,372.91,87.15,419.0,735 CDM,PX-420000031,HC E-STIM MANUAL EA 15MIN PT,48.0,42.72,9.98,48.0,735 CDM,PX-420000032,HC E-STIM UNATTND PT,48.0,42.72,9.41,48.0,734 CDM,PX-420000036,HC GAIT TRAINING EA 15MIN PT,118.0,105.02,22.64,118.0,737 CDM,PX-420000037,HC GROUP THERAPY PT,67.0,59.63,13.48,67.0,739 CDM,PX-420000042,HC HOME MGMT TRAIN EA 15MIN PT,122.0,108.58,25.18,122.0,742 CDM,PX-420000044,HC HUBBARD TANK EA 15MIN PT,117.0,104.13,24.34,117.0,735 CDM,PX-420000048,HC LOW FREQ/NO-CON/NON-THERM US PT,690.0,614.1,15.19,690.0,737 CDM,PX-420000050,HC MANUAL THERAPY EA 15MIN PT,113.0,100.57,21.37,113.0,737 CDM,PX-420000057,HC NEG PRESS WND THRPY <=50SCM PT,542.0,482.38,20.88,542.0,738 CDM,PX-420000058,HC NEG PRESS WND THRPY >50SCM PT,1079.0,960.31,22.9,1079.0,736 CDM,PX-420000059,HC NEUROMUSCULAR RE-ED EA15MIN PT,141.0,125.49,25.18,141.0,741 CDM,PX-420000061,HC ORTH TRAIN INIT ENC EA 15MIN PT,160.0,142.4,33.28,160.0,736 CDM,PX-420000067,HC PROSTH TRAIN INIT ENC EA 15MIN PT,115.0,102.35,23.92,115.0,733 CDM,PX-420000072,HC SENSORY INTEG EA 15 MIN PT,120.0,106.8,24.96,120.0,735 CDM,PX-420000082,HC THER FUNCT ACTVTY EA 15MIN PT,115.0,102.35,23.92,115.0,743 CDM,PX-420000083,HC THER MASSAGE EA 15MIN PT,64.0,56.96,13.31,64.0,735 CDM,PX-420000085,HC THERAPEUTIC EXERC EA 15MIN PT,114.0,101.46,22.64,114.0,743 CDM,PX-420000089,HC ULTRASOUND EA 15MIN PT,61.0,54.29,10.68,61.0,735 CDM,PX-420000092,HC VASOPNEUMATIC DEVICE PT,54.0,48.06,8.9,54.0,736 CDM,PX-420000093,HC WHEELCHAIR MGMT EA 15MIN PT,73.0,64.97,15.18,73.0,737 CDM,PX-420000094,HC WHIRLPOOL PT,65.0,57.85,11.95,65.0,735 CDM,PX-420000100,HC PHYSICAL PERF TEST EA 15MIN PT,169.0,150.41,26.21,169.0,739 CDM,PX-420000111,HC PT EVAL LOW COMPLEX,308.0,274.12,64.06,308.0,743 CDM,PX-420000112,HC PT RE-EVAL EST PLAN CARE,188.0,167.32,39.1,188.0,737 CDM,PX-420000113,HC PT EVAL HIGH COMPLEX,370.0,329.3,76.96,370.0,735 CDM,PX-420000114,HC PT EVAL MOD COMPLEX,353.0,314.17,73.42,353.0,740 CDM,PX-420000125,HC ORTH/PROST TRAIN SBQ ENC EA 15MIN PT,191.0,169.99,39.69,191.0,733 CDM,PX-420000134,HC THER INTV COG FUNC INITIAL 15MIN PT,131.0,116.59,16.53,131.0,735 CDM,PX-420000135,HC THER INTV COG FUNC EA ADD15MIN PT,131.0,116.59,16.02,131.0,735 CDM,PX-420000157,HC CAREGIVER TRAINING INITIAL 30 MINS PT,239.0,212.71,34.6,239.0,734 CDM,PX-420000158,HC CAREGIVER TRAINING ADDL 15 MINS PT,119.0,105.91,18.56,119.0,734 CDM,PX-42100,PR BIOPSY PALATE UVULA,872.0,776.08,60.64,872.0,485 CDM,PX-42104,PR EXCISN LESN PALATE UVULA WO CLSR,1053.0,937.17,75.53,1053.0,507 CDM,PX-42106,PR EXCISN LESN PALAT UVLA W CLS SMPL,1290.0,1148.1,106.27,1290.0,482 CDM,PX-42107,PR EXCISN LESN PALAT UVLA W FLAP CLS,2304.0,2050.56,189.93,2304.0,482 CDM,PX-42120,PR RESCT PALATE/EXTENS RESCT LESN,6552.0,5831.28,361.51,6552.0,482 CDM,PX-42140,PR UVULECTOMY EXCISION UVULA,1464.0,1302.96,125.07,1464.0,482 CDM,PX-42145,PR PALATOPHARYNGOPLASTY,5197.0,4625.33,237.84,5197.0,482 CDM,PX-42160,PR DEST LESN PALATE UVULA,879.0,782.31,94.69,879.0,482 CDM,PX-42180,PR RPR LACERATION OF PALATE<=2 CM,1337.0,1189.93,102.41,1337.0,482 CDM,PX-42182,PR RPR PALATE LAC >2CM CMPLX,2355.0,2095.95,131.24,2355.0,482 CDM,PX-42200,PR PALATOPLASTY CLEFT PALATE,9563.0,8511.07,326.29,9563.0,482 CDM,PX-42205,PR PALATOP CLEFT PALATE W CLSR,10514.0,9357.46,334.42,10514.0,482 CDM,PX-42210,PR PALATOP CLEFT PALATE W GRAFT,10278.0,9147.42,374.4,10278.0,482 CDM,PX-42215,PR PALATOP CLEFT PALATE MJR REV,6562.0,5840.18,252.72,6562.0,482 CDM,PX-42220,PR PALATOP CLEFT SECNDRY LENGTH,5885.0,5237.65,210.73,5885.0,482 CDM,PX-42225,PR PALATOP CLEFT W PHRYNGL FLAP,8550.0,7609.5,385.6,8550.0,482 CDM,PX-42226,PR LENGTHN PALATE PHRYNGL FLAP,10698.0,9521.22,331.76,10698.0,482 CDM,PX-42235,PR RRP ANTR PALATE W VOMER FLAP,5523.0,4915.47,275.1,5523.0,482 CDM,PX-42260,PR REPAIR NASOLABIAL FISTULA,5124.0,4560.36,339.58,5124.0,482 CDM,PX-42300,PR DRAINAGE ABSCESS PAROTID SMPLE,899.0,800.11,86.67,899.0,482 CDM,PX-42310,PR DRN ABSC SUBMAX/SUBLIN INTORAL,763.0,679.07,74.03,763.0,482 CDM,PX-42320,PR DRN ABSC SUBMAX INTRAORAL,1410.0,1254.9,105.38,1410.0,482 CDM,PX-42330,PR SIALOLITHTOMY UNCOMP INTRAORAL,1392.0,1238.88,95.68,1392.0,482 CDM,PX-42335,PR SIALOLITHOTOMY COMPL INTRAORAL,1843.0,1640.27,173.81,1843.0,482 CDM,PX-42340,PR SIALOLITHOTOMY EXT/COMP INTRA,4358.0,3878.62,212.31,4358.0,482 CDM,PX-42400,PR BX SALIVARY GLAND NEEDLE,622.0,553.58,38.59,622.0,482 CDM,PX-42405,PR BX SALIVARY GLAND INCISIONAL,1385.0,1232.65,104.54,1385.0,509 CDM,PX-42408,PR EXCISN SUBLINGUAL SALIVARY CYST,2050.0,1824.5,231.09,2050.0,482 CDM,PX-42409,PR MARSUP SUBLINGUAL SALIV CYST,1687.0,1501.43,157.21,1687.0,482 CDM,PX-42410,PR EXCISN PRTD TMR LAT WO NRV DISEC,3841.0,3418.49,215.73,3841.0,482 CDM,PX-42415,PR EXCISN PRTD TMR LAT W NRV DISEC,7222.0,6427.58,354.64,7222.0,482 CDM,PX-42420,PR EXCISN PRTD TMR TOT W NRV DISEC,9233.0,8217.37,394.85,9233.0,482 CDM,PX-42425,PR EXCISN PRTD TMR TOT EN BLOC RMVL,6357.0,5657.73,282.13,6357.0,482 CDM,PX-42440,PR EXCISN SUBMANDIB SUBMAX GLAND,4162.0,3704.18,144.26,4162.0,482 CDM,PX-42450,PR EXCISN SUBLINGUAL GLAND,2955.0,2629.95,189.73,2955.0,482 CDM,PX-42500,PR PLASTIC RPR SALIV DUCT PRIM,2696.0,2399.44,180.57,2696.0,482 CDM,PX-42505,PR PLASTIC RPR SALIV DUCT SECNDRY,5437.0,4838.93,229.63,5437.0,482 CDM,PX-42660,PR DILAT&CATH SALIVARY DUCT,515.0,458.35,40.88,515.0,482 CDM,PX-42665,PR LIGATION SALIV DUCT INTRAORAL,1869.0,1663.41,149.86,1869.0,482 CDM,PX-42700,PR I&D ABSCESS PERITONSILLAR,831.0,739.59,80.34,831.0,482 CDM,PX-42720,PR I&D ABSC PHRYNGL INTRAORAL,2094.0,1863.66,175.96,2094.0,482 CDM,PX-42725,PR I&D ABSC PHRYNGL EXTRAORAL,3259.0,2900.51,273.33,3259.0,482 CDM,PX-42800,PR BIOPSY OROPHARYNX,965.0,858.85,64.38,965.0,483 CDM,PX-42804,PR BX NASOPHRYNX VISIBLE LESN SMP,913.0,812.57,88.15,913.0,482 CDM,PX-42806,PR BX NASOPHRYNX SURVEY PRIM LESN,1013.0,901.57,98.14,1013.0,482 CDM,PX-42808,PR EXCISN/DEST LESION PHARYNX,1108.0,986.12,94.04,1108.0,482 CDM,PX-42809,PR REMOVAL FB PHARYNX,955.0,849.95,86.51,955.0,482 CDM,PX-42810,PR EXCISN BRANCHL CLEFT CYST CONFIND,2461.0,2190.29,156.11,2461.0,482 CDM,PX-42815,PR EXCISN BRANCHL CLEFT CYST EXTEND,3576.0,3182.64,187.5,3576.0,482 CDM,PX-42820,PR TONSILLECT&ADENOIDECT <12 YRS,1769.0,1574.41,102.0,1769.0,482 CDM,PX-42821,PR TONSILLECT&ADENOIDECT >=12 YRS,1728.0,1537.92,106.51,1728.0,482 CDM,PX-42825,PR TONSILLECTOMY PRIM/SEC <12YRS,1685.0,1499.65,96.08,1685.0,482 CDM,PX-42826,PR TONSILLECTOMY PRIM/SEC >=12YR,1606.0,1429.34,91.06,1606.0,482 CDM,PX-42830,PR ADENOIDECTOMY PRIMARY <12YRS,1582.0,1407.98,77.22,1582.0,482 CDM,PX-42831,PR ADENOIDECTOMY PRIMARY >=12YRS,1769.0,1574.41,84.25,1769.0,482 CDM,PX-42835,PR ADENOIDECTOMY SECNDRY <12YRS,1099.0,978.11,72.57,1099.0,482 CDM,PX-42842,PR RADCL RSECT TONSIL WO CLOSURE,8056.0,7169.84,360.01,8056.0,482 CDM,PX-42844,PR RADCL RSECT TONSIL W LOCAL FLAP,10401.0,9256.89,482.83,10401.0,482 CDM,PX-42870,PR EXCISN/DEST LINGUAL TONSIL,2331.0,2074.59,220.24,2331.0,482 CDM,PX-42890,PR LIMITED PHARYNGECTOMY,8142.0,7246.38,492.04,8142.0,482 CDM,PX-42892,PR RESCT LAT PHRYNGL WALL/PYRFRM,10604.0,9437.56,642.09,10604.0,482 CDM,PX-42894,PR RESCT PHRYNGL WALL REQ CLSR,15091.0,13430.99,808.7,15091.0,482 CDM,PX-42900,PR SUTURE PHARYNX WOUND/INJRY,2198.0,1956.22,111.67,2198.0,482 CDM,PX-429000000,HC BIS LYMPHEDEMA ASSESS PT,363.0,323.07,75.5,363.0,737 CDM,PX-42950,PR PHARYNGOPLASTY,5070.0,4512.3,292.63,5070.0,482 CDM,PX-42960,PR CNTRL OROPHARYNGEAL HEMR SMPL,913.0,812.57,56.53,913.0,482 CDM,PX-42961,PR CNTRL OROPHARYNGEAL HEMR CMPLX,1952.0,1737.28,146.08,1952.0,482 CDM,PX-42962,PR CNTRL OROPHARYNGEAL HEMR SURG,2638.0,2347.82,178.81,2638.0,482 CDM,PX-42970,PR CNTRL NASOPHARYNGEAL HEMR SMPL,2371.0,2110.19,142.46,2371.0,482 CDM,PX-42975,PR DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX,1024.0,911.36,32.35,1024.0,482 CDM,PX-430000012,HC CANALITH REPOSITIONING PROC OT,239.0,212.71,24.0,239.0,736 CDM,PX-430000018,HC COMM/WORK REINTGRT EA 15MIN OT,90.0,80.1,18.72,90.0,735 CDM,PX-430000020,HC DBRD SEL OPN WND<=20SCM OT,311.0,276.79,30.01,311.0,741 CDM,PX-430000021,HC DBRD WND RMVL TIS NON-SEL OT,433.0,385.37,90.06,433.0,735 CDM,PX-430000022,HC E-STIM MANUAL EA 15MIN OT,48.0,42.72,9.98,48.0,735 CDM,PX-430000024,HC EVAL COGNITIVE TESTING OT,514.0,457.46,75.98,514.0,736 CDM,PX-430000026,HC GAIT TRAINING EA 15MIN OT,118.0,105.02,22.64,118.0,737 CDM,PX-430000027,HC GROUP THERAPY OT,67.0,59.63,13.48,67.0,739 CDM,PX-430000034,HC HOME MGMT TRAIN EA 15MIN OT,122.0,108.58,25.18,122.0,742 CDM,PX-430000038,HC MANUAL THERAPY EA 15MIN OT,113.0,100.57,21.37,113.0,737 CDM,PX-430000046,HC NEUROMUSCULAR RE-ED EA15MIN OT,141.0,125.49,25.18,141.0,741 CDM,PX-430000047,HC ORTH TRAIN INIT ENC EA 15MIN OT,160.0,142.4,33.28,160.0,736 CDM,PX-430000053,HC PHYSICAL PERF TEST EA 15MIN OT,169.0,150.41,26.21,169.0,739 CDM,PX-430000058,HC SENSORY INTEG EA 15 MIN OT,120.0,106.8,24.96,120.0,735 CDM,PX-430000067,HC THER FUNCT ACTVTY EA 15MIN OT,115.0,102.35,23.92,115.0,743 CDM,PX-430000068,HC THER MASSAGE EA 15MIN OT,64.0,56.96,13.31,64.0,735 CDM,PX-430000069,HC THERAPEUTIC EXERC EA 15MIN OT,114.0,101.46,22.64,114.0,743 CDM,PX-430000071,HC TX SWALLOWING DYSFUNCTION OT,271.0,241.19,56.37,271.0,735 CDM,PX-430000072,HC ULTRASOUND EA 15MIN OT,61.0,54.29,10.68,61.0,735 CDM,PX-430000073,HC VASOPNEUMATIC DEVICE OT,54.0,48.06,8.9,54.0,736 CDM,PX-430000074,HC WHEELCHAIR MGMT EA 15MIN OT,73.0,64.97,15.18,73.0,737 CDM,PX-430000092,HC OT EVAL LOW COMPLEX,317.0,282.13,65.94,317.0,741 CDM,PX-430000093,HC OT EVAL MOD COMPLEX,342.0,304.38,71.14,342.0,742 CDM,PX-430000094,HC OT EVAL HIGH COMPLEX,370.0,329.3,76.96,370.0,736 CDM,PX-430000095,HC OT RE-EVAL EST PLAN CARE,256.0,227.84,53.25,256.0,736 CDM,PX-430000096,HC LOW FREQ/NO-CON/NON-THERM US OT,690.0,614.1,15.19,690.0,737 CDM,PX-430000099,HC DBRD SEL OPN WND ADD 20SCM OT,178.0,158.42,20.4,178.0,720 CDM,PX-430000101,HC ORTH/PROST TRAIN SBQ ENC EA 15MIN OT,191.0,169.99,39.69,191.0,733 CDM,PX-430000105,HC DEVELPMNTL SCREEN W SCORE OT,78.0,69.42,7.58,78.0,719 CDM,PX-430000106,HC THER INTV COG FUNC INITIAL 15MIN OT,131.0,116.59,16.53,131.0,735 CDM,PX-430000107,HC THER INTV COG FUNC EA ADD15MIN OT,131.0,116.59,16.02,131.0,735 CDM,PX-430000128,HC CAREGIVER TRAINING INITIAL 30 MINS OT,239.0,212.71,34.6,239.0,734 CDM,PX-430000129,HC CAREGIVER TRAINING ADDL 15 MINS OT,119.0,105.91,18.56,119.0,734 CDM,PX-43030,PR CRICOPHARYNGEAL MYOTOMY,3600.0,3204.0,180.64,3600.0,482 CDM,PX-43045,PR ESOPHAGOTOMY RMVL FB THOR APPR,8235.0,7329.15,466.31,8235.0,482 CDM,PX-43100,PR EXCISN LESN ESOPH RPR CERV APPR,4771.0,4246.19,217.01,4771.0,482 CDM,PX-43101,PR EXCISN LESN ESOPH RPR THOR APPR,7309.0,6505.01,358.23,7309.0,482 CDM,PX-43107,PR TOT ESOPHCTOMY WO THORCTOMY,19291.0,17168.99,1010.17,19291.0,482 CDM,PX-43112,PR TOT ESOPHCTOMY W THORCTOMY,21721.0,19331.69,1166.84,21721.0,482 CDM,PX-43117,PR PRTL ESOPHAGECTOMY DSTL,18900.0,16821.0,1108.15,18900.0,482 CDM,PX-43122,PR PRTL ESOPHAGECTOMY THORACOABD,19122.0,17018.58,855.29,19122.0,482 CDM,PX-43123,PR ESOPHAGECT THOACOABD/ABD PRTL,29399.0,26165.11,1516.69,29399.0,482 CDM,PX-43124,PR TOT/PRTL ESOPHCTMY WO RCNST,23729.0,21118.81,1295.65,23729.0,482 CDM,PX-43130,PR DIVERTICULECTOMY CERV APPR,5020.0,4467.8,272.95,5020.0,482 CDM,PX-43180,PR ESOPHAGOSCOPY RIGID TRANSORAL,3828.0,3406.92,184.52,3828.0,482 CDM,PX-43191,PR ESOPHAGOSCOPY RIGID DX,930.0,827.7,52.28,930.0,482 CDM,PX-43193,PR ESOPHSCOPY RIGID TXORAL W BX,1109.0,987.01,56.95,1109.0,482 CDM,PX-43194,PR ESOPHSCOPY RIG TXORAL RMVL FB,1394.0,1240.66,61.72,1394.0,482 CDM,PX-43195,PR ESOPHSCOPY RIGID TXORAL BALN,1421.0,1264.69,61.41,1421.0,482 CDM,PX-43196,PR ESOPHSCOPY RIG TXORAL GUID WIR,1279.0,1138.31,66.31,1279.0,482 CDM,PX-43197,PR ESOPHSCOPY FLEX TRANSNASAL DX,922.0,820.58,80.06,922.0,482 CDM,PX-43198,PR ESOPHAGOSCOPY FLEX NASAL BX,1467.0,1305.63,88.38,1467.0,482 CDM,PX-43200,PR ESOPHSCOPY FLEX TRANSORAL DX,1144.0,1018.16,117.82,1144.0,482 CDM,PX-43201,PR ESOPHSCOPY TXORAL W SUBMUC INJ,2071.0,1843.19,113.95,2071.0,482 CDM,PX-43202,PR ESOPHSCOPY FLEX TXORAL W BX,1870.0,1664.3,162.29,1870.0,482 CDM,PX-43204,PR ESOPHAGOSCOPY W INJ SCLEROSIS,1169.0,1040.41,47.23,1169.0,482 CDM,PX-43205,PR ESOPHAGOSCOPY FLEX LIGATION,1804.0,1605.56,49.33,1804.0,482 CDM,PX-43210,PR EGD FLEX TRANSORAL W FUNDOPLASTY,3183.0,2832.87,145.32,3183.0,482 CDM,PX-43211,PR ESOPHAGOSCOPY W EMR,1799.0,1601.11,80.69,1799.0,482 CDM,PX-43212,PR ESOPHSCOPY TXORAL STENT PLC,1576.0,1402.64,64.83,1576.0,482 CDM,PX-43213,PR ESOPHAGOSCOPY RETROGRADE BALN,3196.0,2844.44,518.08,3196.0,482 CDM,PX-43214,PR ESOPHSCOPY DILATE BALN >=30MM,1490.0,1326.1,64.37,1490.0,482 CDM,PX-43215,PR ESOPHAGOSCOPY FLEX RMVL FB,1658.0,1475.62,178.74,1658.0,482 CDM,PX-43217,PR ESOPHAGOSCOPY W RMVL SNARE,1738.0,1546.82,192.39,1738.0,482 CDM,PX-43220,PR ESOPHSCOPY DILATE BALN <30MM,2641.0,2350.49,398.81,2641.0,482 CDM,PX-43226,PR ESOPHSCOPY FLEX GUIDE WIRE DIL,1595.0,1419.55,169.85,1595.0,482 CDM,PX-43227,PR ESOPHAGOSCOPY W CTRL BLEED,2050.0,1824.5,270.42,2050.0,482 CDM,PX-43229,PR ESOPHAGOSCOPY LESION W ABLT,2346.0,2087.94,322.84,2346.0,482 CDM,PX-43231,PR ESOPHAGOSCOPY W EUS EXAM,1637.0,1456.93,54.14,1637.0,482 CDM,PX-43232,PR ESOPHAGOSCOPY W EUS FNA/BX,2069.0,1841.41,69.18,2069.0,482 CDM,PX-43233,PR EGD W BALN DIL > 30MM,1537.0,1367.93,77.92,1537.0,482 CDM,PX-43235,PR EGD TRANSORAL DX,1490.0,1326.1,132.26,1490.0,482 CDM,PX-43236,PR EGD W DIRECT SUBMUCOSAL INJ,1818.0,1618.02,183.73,1818.0,482 CDM,PX-43237,PR EGD W EUS LTD,1291.0,1148.99,67.51,1291.0,482 CDM,PX-43238,PR EGD W EUS FNA/BX ESOPH ONLY,1764.0,1569.96,79.82,1764.0,482 CDM,PX-43239,PR EGD W BIOPSY SNGL/MULT,1742.0,1550.38,172.23,1742.0,482 CDM,PX-43240,PR EGD W TRANSMURAL DRN,2353.0,2094.17,132.95,2353.0,482 CDM,PX-43241,PR EGD INTRALUMINAL TUBE/CATH INS,1288.0,1146.32,49.33,1288.0,482 CDM,PX-43242,PR EGD W EUS FNA BX,2358.0,2098.62,89.76,2358.0,482 CDM,PX-43243,PR EGD INJ SCLEROSIS,2009.0,1788.01,80.85,2009.0,482 CDM,PX-43244,PR EGD BAND LIGATION VARICIES,1804.0,1605.56,84.06,1804.0,482 CDM,PX-43245,PR EGD DILATION GASTR/DUOD STRICT,2450.0,2180.5,269.61,2450.0,482 CDM,PX-43246,PR EGD PERC PLC GASTROTOMY TUBE,1692.0,1505.88,68.22,1692.0,482 CDM,PX-43247,PR EGD FLEX RMVL FB,1739.0,1547.71,173.94,1739.0,482 CDM,PX-43248,PR EGD INSERT GUIDE WIRE,1905.0,1695.45,187.74,1905.0,482 CDM,PX-43249,PR EGD BALN DILATION ESOPH <30MM,3460.0,3079.4,491.54,3460.0,482 CDM,PX-43250,PR EGD DX W RMVL HOT BX,2334.0,2077.26,204.02,2334.0,482 CDM,PX-43251,PR EGD W RMVL SNARE,2334.0,2077.26,223.9,2334.0,482 CDM,PX-43252,PR EGD W ENDOMICROSCOPY,1995.0,1775.55,153.68,1995.0,482 CDM,PX-43253,PR EGD W EUS TRANSMURAL INJ,1872.0,1666.08,89.8,1872.0,482 CDM,PX-43254,PR EGD W EMR,1850.0,1646.5,92.25,1850.0,482 CDM,PX-43255,PR EGD CTRL BLEED ANY,2564.0,2281.96,284.02,2564.0,482 CDM,PX-43257,PR ENDO UGI W THERMAL GERD TX,2170.0,1931.3,79.73,2170.0,482 CDM,PX-43259,PR EGD W EUS,1743.0,1551.27,77.58,1743.0,482 CDM,PX-43260,PR ERCP DX,2027.0,1804.03,109.49,2027.0,482 CDM,PX-43261,PR ERCP W BX,2493.0,2218.77,115.04,2493.0,482 CDM,PX-43262,PR ERCP SPHINC/PAPILLOT,2783.0,2476.87,121.19,2783.0,482 CDM,PX-43263,PR ERCP W MANOMETRY,2965.0,2638.85,121.48,2965.0,482 CDM,PX-43264,PR ERCP W RMVL STONE,3541.0,3151.49,123.48,3541.0,482 CDM,PX-43265,PR ERCP W DESTRUCT CALCULI,4867.0,4331.63,146.43,4867.0,482 CDM,PX-43266,PR EGD W STENT PLC,1318.0,1173.02,74.47,1318.0,482 CDM,PX-43270,PR EGD W LESION ABLATION,2901.0,2581.89,331.03,2901.0,482 CDM,PX-43273,PR ENDOSCOPIC PANCREATOSCOPY,883.0,785.87,79.22,883.0,482 CDM,PX-43274,PR ERCP DUCT STENT PLC W DIL,3273.0,2912.97,156.38,3273.0,482 CDM,PX-43275,PR ERCP W RMVL FB/STNT DUCT,2488.0,2214.32,127.61,2488.0,482 CDM,PX-43276,PR ERCP STENT EXCHANGE W DIL,3294.0,2931.66,162.79,3294.0,482 CDM,PX-43277,PR ERCP W TRANS BALN DIL,2769.0,2464.41,128.4,2769.0,482 CDM,PX-43278,PR ERCP ABLATION W DIL,3915.0,3484.35,146.3,3915.0,482 CDM,PX-43279,PR LAPAROSCOPY ESOPHAGOMYOTOMY,9676.0,8611.64,439.45,9676.0,482 CDM,PX-43280,PR LAPAROSCOPY FUNDOPLASTY,7318.0,6513.02,371.97,7318.0,482 CDM,PX-43281,PR LAP PARAESOPH HERNIA WO MESH,10946.0,9741.94,520.54,10946.0,482 CDM,PX-43282,PR LAP PARAESOPH HERNIA W MESH,9303.0,8279.67,584.02,9303.0,482 CDM,PX-43283,PR LAP ESOPHAGEAL LENGTHN ADDL,1092.0,971.88,102.33,1092.0,482 CDM,PX-43285,PR RMVL ESOPHGL SPHNCTR DEV,5211.0,4637.79,238.92,5211.0,482 CDM,PX-43287,PR ESPHG DIST 2/3 W/LAPS MBL,21789.0,19392.21,1203.42,21789.0,482 CDM,PX-43288,PR ESPHG THRSC MOBLJ,22706.0,20208.34,1264.25,22706.0,482 CDM,PX-43290,PR EGD FLX TRNSORL DPLMNT BALLOON,2385.0,2122.65,1073.25,2385.0,482 CDM,PX-43291,PR EGD FLX TRNSORL RMVL BALLOON,2044.0,1819.16,208.65,2044.0,482 CDM,PX-43300,PR ESOPH RPR CERV APPR WO FSTL RPR,5179.0,4609.31,214.88,5179.0,482 CDM,PX-43312,PR ESOPHPLSTY THOR APPR W FSTL,10681.0,9506.09,537.6,10681.0,482 CDM,PX-43313,PR ESOPHPLSTY CONG DFCT WO RPR FSTL,34002.0,30261.78,992.26,34002.0,482 CDM,PX-43327,PR EGST FUNDOPLASTY W LAPAROTOMY,6233.0,5547.37,292.4,6233.0,482 CDM,PX-43328,PR EGST FUNDOPLASTY W THORACOTOMY,7792.0,6934.88,389.09,7792.0,482 CDM,PX-43332,PR RPR HIATAL HERNIA WO MESH,7792.0,6934.88,396.21,7792.0,482 CDM,PX-43333,PR RPR HIATAL HERNIA W MESH,8667.0,7713.63,431.3,8667.0,482 CDM,PX-43334,PR RPR HIAT HERNIA THRCTM WO MESH,8116.0,7223.24,426.85,8116.0,482 CDM,PX-43335,PR RPR HIAT HERNIA THRCTM W MESH,8933.0,7950.37,458.02,8933.0,482 CDM,PX-43351,PR ESPHAGOSTOMY FISTULIZATION EXT,8206.0,7303.34,472.99,8206.0,482 CDM,PX-43352,PR ESOPHAGOSTOMY EXTRNL CERV APPR,6893.0,6134.77,383.73,6893.0,482 CDM,PX-43360,PR RCNST ESOPHAGECTOMY STOMACH,15436.0,13738.04,776.68,15436.0,482 CDM,PX-43361,PR RCNST ESOPHAGECT INTSTN W COLON,23521.0,20933.69,915.96,23521.0,482 CDM,PX-434000000,HC EVAL SWALLOW FUNC FLUORO OT,636.0,566.04,63.24,636.0,736 CDM,PX-434000001,HC EVAL SWALLOW FUNC OT,529.0,470.81,48.7,529.0,736 CDM,PX-43410,PR SUTR ESOPH WND CERV APPR,7176.0,6386.64,349.06,7176.0,482 CDM,PX-43425,PR CLSR ESOPHAGOSTOMY TH/ABD APPR,10694.0,9517.66,506.42,10694.0,482 CDM,PX-43450,PR DIL ESOPHAGUS UNGUIDED SOUND,591.0,525.99,87.05,591.0,482 CDM,PX-43453,PR DILATION ESOPHAGUS GUIDE WIRE,1145.0,1019.05,346.83,1145.0,482 CDM,PX-43460,PR ESOPHAGOGASTRIC TAMPONADE,1611.0,1433.79,73.15,1611.0,482 CDM,PX-43496,PR TRNSF JEJUNM W MICROVASC ANAST,15981.0,14223.09,925.57,15981.0,482 CDM,PX-43497,PR PERORAL ENDOSCOPIC MYOTOMY (POEM),6594.0,5868.66,278.53,6594.0,482 CDM,PX-43499001,PR ENDOSCOPIC SUTURING PROCEDURE,2564.0,2281.96,128.2,2564.0,477 CDM,PX-43499003,PR ZENKER'S PERORAL ENDOSCOPIC MYOTOMY (Z-POEM),6594.0,5868.66,329.7,6594.0,477 CDM,PX-43499004,PR ESD ESOPHAGUS,2159.0,1921.51,107.95,2159.0,477 CDM,PX-43500,PR GASTROTOMY W EXPLR/RMVL FB,4649.0,4137.61,278.26,4649.0,482 CDM,PX-43520,PR PYLORMYOTOMY CUT PYLORIC MUS,6935.0,6172.15,252.21,6935.0,482 CDM,PX-43605,PR BIOPSY OF STOMACH LAPAROTOMY,6893.0,6134.77,295.08,6893.0,482 CDM,PX-43610,PR EXCISN ULCER/BEN TMR STOMACH,8832.0,7860.48,339.24,8832.0,482 CDM,PX-43611,PR EXCISN TMR MLG STOMACH LOCAL,8853.0,7879.17,424.99,8853.0,482 CDM,PX-43620,PR GASTRECTOMY TOTAL,12627.0,11238.03,668.21,12627.0,482 CDM,PX-43621,PR GASTRECTOMY TOTAL W ROUX-EN-Y,15970.0,14213.3,765.19,15970.0,482 CDM,PX-43631,PR GASTRECT PRTL DSTL W GASTRODUOD,9241.0,8224.49,498.41,9241.0,482 CDM,PX-43632,PR GASTRECTOMY DIST PARTL W G-J,15047.0,13391.83,686.74,15047.0,482 CDM,PX-43633,PR GASTRECTOMY PARTL W ROUX-EN-Y,12932.0,11509.48,650.82,12932.0,482 CDM,PX-43644,PR LAP GASTR BYP&ROUX-EN-Y <150CM,14566.0,12963.74,591.76,14566.0,482 CDM,PX-43653,PR LAPAROSCOPY SURGICAL GASTRO,4802.0,4273.78,212.42,4802.0,482 CDM,PX-43752,PR PLC TUBE NASAL/OROGAST W FLUOR,401.0,356.89,26.46,401.0,482 CDM,PX-43753,PR INTUB&ASP/LAVAGE GASTRIC THER,303.0,269.67,15.16,303.0,482 CDM,PX-43756,PR DUODENAL INTUBATION DX SNGL,1044.0,929.16,252.67,1044.0,482 CDM,PX-43757,PR DUODENAL INTUBATION DX MULT,398.0,354.22,338.66,398.0,482 CDM,PX-43761,PR REPOSITION GASTROSTOMY TUBE,911.0,810.79,48.04,911.0,482 CDM,PX-43762,PR RPLC GTUBE WO REVISION OF GASTRO TRACT W/O IMAG,1086.0,966.54,95.63,1086.0,509 CDM,PX-43763,PR RPLC GTUBE W REVISION OF GASTRO TRACT W/O IMAG,2838.0,2525.82,130.07,2838.0,507 CDM,PX-43772,PR LAP RMVL GASTRIC DEVICE,8187.0,7286.43,329.96,8187.0,482 CDM,PX-43774,PR LAP RMVL GASTRIC DEV ALL PARTS,8863.0,7888.07,334.27,8863.0,482 CDM,PX-43775,PR LAP LONGITUDINAL GASTRECTOMY,9479.0,8436.31,359.45,9479.0,482 CDM,PX-43800,PR PYLOROPLASTY,5609.0,4992.01,322.41,5609.0,482 CDM,PX-43820,PR GASTROJEJUNOSTOMY WO VAGOTOMY,11173.0,9943.97,463.52,11173.0,482 CDM,PX-43830,PR GASTROSTOMY WO CNSTRCT G TUBE,5227.0,4652.03,252.87,5227.0,482 CDM,PX-43840,PR GASTRORRHAPHY SUTR ULCER/WND,6976.0,6208.64,468.24,6976.0,482 CDM,PX-43843,PR GASTR RSTCV WO BYP WO VRT BND,9281.0,8260.09,443.09,9281.0,482 CDM,PX-43846,PR GASTRIC RSTCV W BYP <=150CM,12821.0,11410.69,567.6,12821.0,482 CDM,PX-43848,PR REV GASTRIC RSTCV PROC OPN,16974.0,15106.86,656.6,16974.0,482 CDM,PX-43860,PR REV GASTRO/JJNL ANAST WO VGTMY,12326.0,10970.14,556.73,12326.0,482 CDM,PX-43870,PR CLOSURE GASTROSTOMY SURG,5229.0,4653.81,251.27,5229.0,482 CDM,PX-43889,PR GSTR RSTCV PX TRNSORL ESG,2720.0,2420.8,277.35,2720.0,482 CDM,PX-439000000,HC BIS LYMPHEDEMA ASSESS OT,363.0,323.07,75.5,363.0,737 CDM,PX-43999007,PR TORE PROCEDURE,2220.0,1975.8,111.0,2220.0,478 CDM,PX-43999010,PR EUS GUIDED GASTROJEJUNOSTOMY,13408.0,11933.12,670.4,13408.0,478 CDM,PX-43999011,PR ENDO PGM,40.0,35.6,2.0,40.0,478 CDM,PX-43999012,PR GASTRIC PERORAL ENDOSCOPIC MYOTOMY (G-POEM),6594.0,5868.66,329.7,6594.0,478 CDM,PX-43999013,PR ESD STOMACH,2220.0,1975.8,111.0,2220.0,478 CDM,PX-440000000,HC ANALYSIS BEHAV/QUAL VOICE ST,440.0,391.6,75.94,440.0,735 CDM,PX-440000005,HC EVAL COGNITIVE TESTING ST,501.0,445.89,75.98,501.0,736 CDM,PX-440000027,HC THRPY SPEECH/LANG/COMM GROUP ST,121.0,107.69,16.84,121.0,733 CDM,PX-440000028,HC THRPY SPEECH/LANG/COMM/APD ST,355.0,315.95,58.77,355.0,737 CDM,PX-440000029,HC TX SWALLOWING DYSFUNCTION ST,288.0,256.32,59.09,288.0,735 CDM,PX-440000040,HC THER SPEECH-GENERATING DEV ST,320.0,284.8,66.56,320.0,735 CDM,PX-440000048,HC DEVELPMNTL SCREEN W SCORE ST,78.0,69.42,7.58,78.0,719 CDM,PX-440000053,HC THER INTV COG FUNC INITIAL 15MIN ST,131.0,116.59,16.53,131.0,735 CDM,PX-440000054,HC THER INTV COG FUNC EA ADD15MIN ST,135.0,120.15,16.02,135.0,735 CDM,PX-440000062,HC CAREGIVER TRAINING INITIAL 30 MINS ST,239.0,212.71,34.6,239.0,734 CDM,PX-440000063,HC CAREGIVER TRAINING ADDL 15 MINS ST,119.0,105.91,18.56,119.0,734 CDM,PX-44005,PR ENTEROLYSIS,6267.0,5577.63,375.93,6267.0,482 CDM,PX-44015,PR INS/INTRO CATH ENTERO/JEJUNUM,2156.0,1918.84,91.89,2156.0,482 CDM,PX-44020,PR ENTEROTOMY SM INTSTN EXPLR/BX,6262.0,5573.18,337.72,6262.0,482 CDM,PX-44021,PR ENTEROTOMY SM INTSTN DCMPRN,4599.0,4093.11,335.72,4599.0,482 CDM,PX-44025,PR COLOTOMY EXPLORE/BX/RMVL FB,7515.0,6688.35,340.43,7515.0,482 CDM,PX-44050,PR REDUC VOLVULUS BY LAPAROTOMY,6458.0,5747.62,325.43,6458.0,482 CDM,PX-44055,PR CORR MALROTATION BOWEL,8828.0,7856.92,505.24,8828.0,482 CDM,PX-44110,PR EXCISN >=1LESN INTSTN ENTRTMY SNGL,5369.0,4778.41,297.55,5369.0,482 CDM,PX-44111,PR EXCISN LES INTSTN ENTRTMY MULT,6978.0,6210.42,339.53,6978.0,482 CDM,PX-44120,PR ENTERCTMY RSECT SM INTSTN SNGL,6835.0,6083.15,418.09,6835.0,482 CDM,PX-44121,PR ENTERECT RSECT SM INTST EA ADD,2292.0,2039.88,156.93,2292.0,482 CDM,PX-44125,PR ENTERECTMY SM INTSTN ENTERSTMY,7587.0,6752.43,406.13,7587.0,482 CDM,PX-44126,PR ENTERECTMY SM INTSTN WO TAPER,12852.0,11438.28,832.79,12852.0,482 CDM,PX-44127,PR ENTERECTMY SM INTSTN W TAPER,15250.0,13572.5,955.62,15250.0,482 CDM,PX-44128,PR ENTERECTMY SM INTSTN EA ADD,1719.0,1529.91,156.82,1719.0,482 CDM,PX-44130,PR ENTEROENTEROSTMY ANAST INTSTN,8828.0,7856.92,454.88,8828.0,482 CDM,PX-44139,PR MOBIL SPLENC FLEX W PRTL COLCTMY,771.0,686.19,78.24,771.0,482 CDM,PX-44140,PR COLECTOMY PARTL W ANASTOMOSIS,7699.0,6852.11,462.23,7699.0,482 CDM,PX-44141,PR COLECTMY PARTL W CECOST/COLOST,9858.0,8773.62,626.93,9858.0,482 CDM,PX-44143,PR COLECTOMY PARTL W END CLSR,9368.0,8337.52,566.03,9368.0,482 CDM,PX-44144,PR COLECTMY PARTL W COLOST/ILEOST,10328.0,9191.92,604.63,10328.0,482 CDM,PX-44145,PR COLECTOMY PARTL COLOPROCTOSTMY,8606.0,7659.34,563.57,8606.0,482 CDM,PX-44146,PR COLECTOMY PARTL CLPRCT&COLSTMY,14524.0,12926.36,722.77,14524.0,482 CDM,PX-44150,PR COLECTMY TOT ABD W ILEOS/ILEOP,11363.0,10113.07,647.07,11363.0,482 CDM,PX-44155,PR COLECTOMY TOT ABD PROCT&ILEOST,12795.0,11387.55,718.29,12795.0,482 CDM,PX-44156,PR COLECTOMY ABD CONTINENT ILEOST,17202.0,15309.78,789.46,17202.0,482 CDM,PX-44158,PR COLECTOMY W ILEAL RESERVOIR,15575.0,13861.75,768.13,15575.0,482 CDM,PX-44160,PR COLECTOMY PARTL RMVL TRM ILEUM,8877.0,7900.53,428.9,8877.0,482 CDM,PX-44180,PR LAPAROSCOPY ENTEROLYSIS,5169.0,4600.41,319.17,5169.0,482 CDM,PX-44186,PR LAPAROSCOPY JEJUNOSTOMY,4111.0,3658.79,232.5,4111.0,482 CDM,PX-44187,PR LAP ILEOST/JEJUNOST NON TUBE,6820.0,6069.8,389.55,6820.0,482 CDM,PX-44188,PR LAPAROSCOPY COLOSTMY/CECOSTMY,7737.0,6885.93,428.95,7737.0,482 CDM,PX-44202,PR LAP ENTERECT RESEC&ANAST SNGL,9844.0,8761.16,476.29,9844.0,482 CDM,PX-44203,PR LAP ENTERECT RESEC&ANAST EA,1632.0,1452.48,156.66,1632.0,482 CDM,PX-44204,PR LAP COLECTOMY PRTL ANASTOMOSIS,8769.0,7804.41,525.69,8769.0,482 CDM,PX-44205,PR LAP COLECTOMY W ILEOCOLOSTOMY,8303.0,7389.67,458.19,8303.0,482 CDM,PX-44206,PR LAP COLECTOMY W CLSR DIST SEGM,10549.0,9388.61,594.96,10549.0,482 CDM,PX-44207,PR LAP COLECTMY ANAST COLOPROCT,11611.0,10333.79,616.62,11611.0,482 CDM,PX-44208,PR LAP COLECTMY COLOPROCT CLSTMY,14311.0,12736.79,676.41,14311.0,482 CDM,PX-44210,PR LAP COLECTOMY TOT WO PROCTCTMY,11664.0,10380.96,616.5,11664.0,482 CDM,PX-44211,PR LAP COLECTOMY TOT W PROCTCTMY,15466.0,13764.74,742.99,15466.0,482 CDM,PX-44212,PR COLCTMY TOT W PROCTMY/ILEOSTMY,14458.0,12867.62,708.31,14458.0,482 CDM,PX-44213,PR LAPAROSCOPY MOBILE W COLECTOMY,1272.0,1132.08,121.86,1272.0,482 CDM,PX-44227,PR LAPAROSCOPY CLSR ENTEROSTOMY,10152.0,9035.28,564.94,10152.0,482 CDM,PX-44300,PR PLC ENTEROST/CECOST TUBE OPN,5129.0,4564.81,295.14,5129.0,482 CDM,PX-44310,PR ILEOSTOMY/JEJUNOSTOMY NON-TUBE,5930.0,5277.7,361.0,5930.0,482 CDM,PX-44312,PR REVISION ILEOSTOMY SIMPLE,3361.0,2991.29,215.02,3361.0,482 CDM,PX-44314,PR REVISION ILEOSTOMY COMPLICATED,6122.0,5448.58,352.77,6122.0,482 CDM,PX-44316,PR CONTINENT ILEOS KOCK PROC,9566.0,8513.74,485.38,9566.0,482 CDM,PX-44320,PR COLOSTOMY OR SKIN LVL CECOSTMY,6635.0,5905.15,418.41,6635.0,482 CDM,PX-44340,PR REVISION COLOSTOMY SIMPLE,3349.0,2980.61,231.28,3349.0,482 CDM,PX-44345,PR REVISION COLOSTOMY COMPLEX,6382.0,5679.98,370.14,6382.0,482 CDM,PX-44346,PR COLOSTOMY RPR PARACLST HERNIA,7724.0,6874.36,412.2,7724.0,482 CDM,PX-44360,PR ENDO UPPER SM INTESTINE,1815.0,1615.35,50.01,1815.0,482 CDM,PX-44361,PR ENDO SM INTESTINE W BX,1938.0,1724.82,55.07,1938.0,482 CDM,PX-44363,PR ENDO SM INTESTINE W RMVL FB,1427.0,1270.03,66.14,1427.0,482 CDM,PX-44364,PR ENTEROSCOPY RMVL POLYP SNARE,2321.0,2065.69,70.43,2321.0,482 CDM,PX-44366,PR ENDO SM INTESTINE W CTRL BLEED,2237.0,1990.93,82.19,2237.0,482 CDM,PX-44369,PR ENDO SM INTESTINE W ABLATION,2402.0,2137.78,84.2,2402.0,482 CDM,PX-44370,PR ENDO SM INTESTINE W STENT PLC,3057.0,2720.73,92.16,3057.0,482 CDM,PX-44372,PR ENDO SM INTSTN W PLC TUBE PERC,2891.0,2572.99,81.9,2891.0,482 CDM,PX-44373,PR ENDO SM INTSTN W G-J TUBE,1898.0,1689.22,65.91,1898.0,482 CDM,PX-44376,PR ENTEROSCOPY W ILEUM W/WO BX,1960.0,1744.4,96.96,1960.0,482 CDM,PX-44377,PR ENDO SM INTESTINE W ILIUM BX,2321.0,2065.69,101.54,2321.0,482 CDM,PX-44378,PR ENDO SM INTSTN W ILIUM CTRL,3303.0,2939.67,130.35,3303.0,482 CDM,PX-44380,PR ILEOSCOPY STOMA DX,973.0,865.97,92.72,973.0,482 CDM,PX-44381,PR ILEOSCOPY STOMA W BALN DIL,4239.0,3772.71,445.94,4239.0,482 CDM,PX-44382,PR ILEOSCOPY STOMA W BX SNGL/MULT,1254.0,1116.06,138.76,1254.0,482 CDM,PX-44384,PR ILEOSCOPY STOMA W STENT PLC,1340.0,1192.6,51.96,1340.0,482 CDM,PX-44385,PR ENDO EVAL SM INTST POUCH DX,1262.0,1123.18,100.77,1262.0,482 CDM,PX-44386,PR ENDO EVAL SM INTST POUCH BX,2096.0,1865.44,143.61,2096.0,482 CDM,PX-44388,PR COLONOSCOPY STOMA DX,2084.0,1854.76,143.36,2084.0,482 CDM,PX-44389,PR COLONOSCOPY STOMA BX SNGL/MULT,2853.0,2539.17,186.96,2853.0,482 CDM,PX-44390,PR COLONSCPY STOMA W RMVL FB,2706.0,2408.34,183.07,2706.0,482 CDM,PX-44391,PR COLONOSCOPY STOMA W CTRL BLEED,2575.0,2291.75,288.34,2575.0,482 CDM,PX-44392,PR COLONSCPY STOMA W HOT BX FORCP,1958.0,1742.62,174.2,1958.0,482 CDM,PX-44394,PR COLONOSCOPY W RMVL LESN SNARE,2187.0,1946.43,196.41,2187.0,482 CDM,PX-444000003,HC EVAL PROSTHETIC VOICE ST,692.0,615.88,50.31,692.0,735 CDM,PX-444000005,HC EVAL SPEECH PRODUCTION ST,409.0,364.01,77.09,409.0,735 CDM,PX-444000006,HC EVAL SPEECH PRODUCTN W LANG ST,619.0,550.91,128.75,619.0,736 CDM,PX-444000007,HC EVAL SPEECH-GEN DEV 1STHR ST,597.0,531.33,86.56,597.0,735 CDM,PX-444000008,HC EVAL SWALLOW FBROPT ENDO ST,936.0,833.04,45.0,936.0,736 CDM,PX-444000009,HC EVAL SWALLOW FUNC FLUORO ST,636.0,566.04,63.24,636.0,736 CDM,PX-444000010,HC EVAL SWALLOW FUNC ST,529.0,470.81,48.7,529.0,736 CDM,PX-444000011,HC EVAL SPCH-GEN DEV EA ADD 30 MIN ST,227.0,202.03,33.92,227.0,736 CDM,PX-44401,PR COLONOSCOPY STOMA ABLATION,8065.0,7177.85,1077.31,8065.0,482 CDM,PX-44402,PR COLONOSCOPY STENT VIA STOMA,2441.0,2172.49,89.4,2441.0,482 CDM,PX-44403,PR COLONOSCOPY STOMA EMR,2673.0,2378.97,103.61,2673.0,482 CDM,PX-44404,PR COLONOSCOPY STOMA INJ SUBMUC,2793.0,2485.77,190.42,2793.0,482 CDM,PX-44405,PR COLONOSCOPY STOMA W BAL DIL,3330.0,2963.7,253.18,3330.0,482 CDM,PX-44407,PR COLONOSCOPY STOMA W US NDL BX,2392.0,2128.88,94.04,2392.0,482 CDM,PX-44408,PR COLONOSCOPY STOMA W DECOMP,2159.0,1921.51,79.55,2159.0,482 CDM,PX-44500,PR INTRO GI TUBE LONG,228.0,202.92,12.64,228.0,482 CDM,PX-44602,PR ENTERORRHAPHY PERFORATION SNGL,7801.0,6942.89,472.24,7801.0,482 CDM,PX-44603,PR ENTERORRHAPHY PERFORATION MULT,7817.0,6957.13,545.8,7817.0,482 CDM,PX-44604,PR SUTR LG INTSTN PERF WO COLOST,6712.0,5973.68,359.54,6712.0,482 CDM,PX-44605,PR SUTR LG INTSTN PERF W COLOST,9333.0,8306.37,445.33,9333.0,482 CDM,PX-44615,PR STRICTUROPLASTY INTSTN OBSTR,8566.0,7623.74,369.39,8566.0,482 CDM,PX-44620,PR CLSR ENTEROSTMY LG/SM INTSTN,6253.0,5565.17,301.6,6253.0,482 CDM,PX-44625,PR CLSR ENTEROSTMY INTSTN W RSECT,6755.0,6011.95,350.52,6755.0,482 CDM,PX-44626,PR CLSR ENTEROSTMY INTSTN COLORCT,10273.0,9142.97,538.51,10273.0,482 CDM,PX-44640,PR CLSR INTSTN CUTANEOUS FISTULA,8877.0,7900.53,475.47,8877.0,482 CDM,PX-44650,PR CLSR ENTEROENTERIC/COLIC FSTL,8694.0,7737.66,490.97,8694.0,482 CDM,PX-44660,PR CLSR ENTEROVESC FSTL WO RSECT,7245.0,6448.05,457.95,7245.0,482 CDM,PX-44661,PR CLSR ENTEROVESC FSTL W RSECT,9332.0,8305.48,525.05,9332.0,482 CDM,PX-44705,PR PREPARE FECAL MICROBIOTA,599.0,533.11,119.01,599.0,482 CDM,PX-44799009,PR INTESTINAL BALLOON DILAT,1815.0,1615.35,90.75,1815.0,477 CDM,PX-44799010,PR LOWER DBL BALLOON,2321.0,2065.69,116.05,2321.0,477 CDM,PX-44799015,PR LOWER DBL BALLOON W/BIOPSY,2321.0,2065.69,116.05,2321.0,477 CDM,PX-44800,PR EXCISN MECKEL DIVERTICULUM,4413.0,3927.57,276.9,4413.0,482 CDM,PX-44820,PR EXCISION LESION MESENTERY,6093.0,5422.77,298.3,6093.0,482 CDM,PX-44850,PR SUTURE MESENTERY,5363.0,4773.07,264.11,5363.0,482 CDM,PX-44950,PR APPENDECTOMY,3765.0,3350.85,224.08,3765.0,482 CDM,PX-44955,PR APPENDECTOMY W OTHR MAJOR PROC,634.0,564.26,54.45,634.0,482 CDM,PX-44960,PR APPENDECTOMY RUPTR W ABSCESS,4825.0,4294.25,304.02,4825.0,482 CDM,PX-44970,PR LAPAROSCOPY APPENDECTOMY,3575.0,3181.75,215.32,3575.0,482 CDM,PX-45000,PR DRN PELVIC ABSCESS TXRECTAL,2400.0,2136.0,159.61,2400.0,482 CDM,PX-450000001,HC AMP FGR/THUMB W DIRECT CLSR,6837.0,6084.93,685.35,6837.0,736 CDM,PX-450000003,HC ANOSCOPY DIAGNOSTIC,642.0,571.38,39.11,642.0,736 CDM,PX-450000006,HC APP CAST LONG ARM,774.0,688.86,61.35,774.0,736 CDM,PX-450000007,HC APP CAST LONG LEG,950.0,845.5,86.48,950.0,737 CDM,PX-450000009,HC APP CAST SHORT ELBOW-FGR,750.0,667.5,56.34,750.0,739 CDM,PX-450000010,HC APP CAST SHORT LEG KNEE-TOE,750.0,667.5,53.46,750.0,740 CDM,PX-450000013,HC APP SPLINT FINGER STATIC,353.0,314.17,24.03,353.0,736 CDM,PX-450000014,HC APP SPLINT LONG ARM,427.0,380.03,33.92,427.0,736 CDM,PX-450000015,HC APP SPLINT LONG LEG,493.0,438.77,52.53,493.0,736 CDM,PX-450000017,HC APP SPLINT SHORT ARM STATIC,428.0,380.92,39.6,428.0,737 CDM,PX-450000018,HC APP SPLINT SHORT LEG,475.0,422.75,47.58,475.0,736 CDM,PX-450000020,HC ARTHCS ASP/INJ INT JT WO US,776.0,690.64,30.4,776.0,737 CDM,PX-450000021,HC ARTHCS ASP/INJ MJR JT WO US,759.0,675.51,36.97,759.0,737 CDM,PX-450000022,HC ARTHCS ASP/INJ SM JT WO US,801.0,712.89,29.73,801.0,737 CDM,PX-450000024,HC ARTL CATH/CNULA MONITOR PERC,2320.0,2064.8,39.02,2320.0,717 CDM,PX-450000029,HC AVUL NAIL PLATE SMPL,450.0,400.5,47.23,450.0,736 CDM,PX-450000032,HC BRONCH DX W CELL WASH FLUOR,6827.0,6076.03,113.99,6827.0,741 CDM,PX-450000033,HC BX ENDOMETRIAL WO CERVIX DIL,503.0,447.67,50.43,503.0,739 CDM,PX-450000039,HC CARDIOVSN ELECT EXTERNAL,2072.0,1844.08,92.05,2072.0,742 CDM,PX-450000042,HC CAUTERIZE CHEM GRANULATION TIS,801.0,712.89,34.24,801.0,736 CDM,PX-450000043,HC CHANGE CYSTOSTOMY TUBE SIMPLE,658.0,585.62,44.67,658.0,738 CDM,PX-450000047,HC CLSD TX BIMALOR ANK W MANIP,2883.0,2565.87,444.06,2883.0,736 CDM,PX-450000048,HC CLSD TX BIMALOR ANK WO MANIP,922.0,820.58,191.78,922.0,736 CDM,PX-450000049,HC CLSD TX CALCANEAL FX WO MANIP,977.0,869.53,203.22,977.0,736 CDM,PX-450000050,HC CLSD TX CLAVICLE FX WO MANIP,840.0,747.6,174.72,840.0,736 CDM,PX-450000051,HC CLSD TX CMC DISLOC W MANIP,1011.0,899.79,210.29,1011.0,736 CDM,PX-450000052,HC CLSD TX CRPL FX WO MANIP EA BN,918.0,817.02,190.94,918.0,736 CDM,PX-450000054,HC CLSD TX CRPL SCPHD FX WO MANIP,1038.0,923.82,215.9,1038.0,737 CDM,PX-450000056,HC CLSD TX DISLOC ANKLE W ANES,3716.0,3307.24,467.06,3716.0,736 CDM,PX-450000057,HC CLSD TX DISLOC ANKLE WO ANES,1305.0,1161.45,1174.6,1174.6,1 CDM,PX-450000059,HC CLSD TX DISLOC ELBOW W ANES,3582.0,3187.98,458.5,3582.0,736 CDM,PX-450000060,HC CLSD TX DISLOC ELBOW WO ANES,1175.0,1045.75,244.4,1175.0,734 CDM,PX-450000061,HC CLSD TX DISLOC HIP WO ANES,1063.0,946.07,154.11,1063.0,736 CDM,PX-450000063,HC CLSD TX DISLOC SHLDR W ANES,3040.0,2705.6,401.53,3040.0,736 CDM,PX-450000064,HC CLSD TX DISLOC SHLDR W MANIP,2248.0,2000.72,399.71,2248.0,736 CDM,PX-450000066,HC CLSD TX DISLOC SHLDR WO ANES,1214.0,1080.46,247.2,1214.0,736 CDM,PX-450000067,HC CLSD TX DISLOC TMJ,959.0,853.51,27.52,959.0,736 CDM,PX-450000068,HC CLSD TX DIST FIB FX W MANIP,1709.0,1521.01,247.2,1709.0,736 CDM,PX-450000069,HC CLSD TX DIST FIB WO MANIP,1189.0,1058.21,247.2,1189.0,736 CDM,PX-450000070,HC CLSD TX DIST RDL FX W MANIP,2771.0,2466.19,525.94,2771.0,737 CDM,PX-450000071,HC CLSD TX DIST RDL FX WO MANIP,1153.0,1026.17,239.82,1153.0,736 CDM,PX-450000072,HC CLSD TX DISTL PHAL FX W MANIP EA,950.0,845.5,197.6,950.0,736 CDM,PX-450000073,HC CLSD TX DISTL PHAL WO MANIP EA,743.0,661.27,154.54,743.0,736 CDM,PX-450000074,HC CLSD TX ELB FX/DISLOC W MANIP,3252.0,2894.28,540.98,3252.0,736 CDM,PX-450000075,HC CLSD TX FEM FX DIST WO MANIP,1250.0,1112.5,247.2,1250.0,734 CDM,PX-450000078,HC CLSD TX FEM SHAFT FX W MANIP,5425.0,4828.25,701.92,5425.0,736 CDM,PX-450000081,HC CLSD TX GRT TBERSTY FX WO MANIP,782.0,695.98,162.66,782.0,736 CDM,PX-450000083,HC CLSD TX GRT TOE FX WO MANIP,700.0,623.0,130.84,700.0,736 CDM,PX-450000084,HC CLSD TX HIP DISLOC W ANES,2945.0,2621.05,612.56,2945.0,736 CDM,PX-450000085,HC CLSD TX HIP DISLOC WO ANES,1202.0,1069.78,247.2,1202.0,736 CDM,PX-450000086,HC CLSD TX HUM CONDYL FX WO MANIP,800.0,712.0,166.4,800.0,736 CDM,PX-450000089,HC CLSD TX HUM FX W MANIP W/WO TRCTN,2837.0,2524.93,453.13,2837.0,736 CDM,PX-450000090,HC CLSD TX HUM SHAFT FX WO MANIP,1109.0,987.01,230.67,1109.0,736 CDM,PX-450000092,HC CLSD TX I-P DISLOC W MANIP WO ANES,814.0,724.46,169.31,814.0,736 CDM,PX-450000093,HC CLSD TX I-P DISLOC WO ANEST,764.0,679.96,96.46,764.0,734 CDM,PX-450000099,HC CLSD TX MDL MELLEOL WO MANIP,839.0,746.71,174.51,839.0,736 CDM,PX-450000100,HC CLSD TX METATARSAL FX WO MANIP,724.0,644.36,150.59,724.0,736 CDM,PX-450000101,HC CLSD TX METCARP FX W MANIP EA BN,1597.0,1421.33,247.2,1597.0,736 CDM,PX-450000102,HC CLSD TX METCARP FX WO MANIP EA BN,854.0,760.06,177.63,854.0,736 CDM,PX-450000106,HC CLSD TX PATELLA FX WO MANIP,881.0,784.09,183.25,881.0,736 CDM,PX-450000108,HC CLSD TX PATLLR DISLOC WO ANES,1001.0,890.89,208.21,1001.0,736 CDM,PX-450000109,HC CLSD TX PHAL SHFT FX W MANIP EA,1034.0,920.26,215.07,1034.0,736 CDM,PX-450000110,HC CLSD TX PHAL SHFT FX WO MANIP EA,777.0,691.53,161.62,777.0,736 CDM,PX-450000111,HC CLSD TX PHALANX FX W MANIP,1325.0,1179.25,143.28,1325.0,736 CDM,PX-450000112,HC CLSD TX PHALANX FX WO MANIP,696.0,619.44,123.77,696.0,736 CDM,PX-450000114,HC CLSD TX POSTR MALLEOL WO MANIP,1591.0,1415.99,1432.0,1432.0,1 CDM,PX-450000116,HC CLSD TX PROX FIBULA WO MANIP,915.0,814.35,190.32,915.0,736 CDM,PX-450000118,HC CLSD TX PROX HUMRL FX WO MANIP,1244.0,1107.16,247.2,1244.0,736 CDM,PX-450000119,HC CLSD TX RADL HD/NK FX WO MANIP,725.0,645.25,150.8,725.0,736 CDM,PX-450000120,HC CLSD TX RDL & ULNAR FX W MANIP,3085.0,2745.65,486.89,3085.0,736 CDM,PX-450000121,HC CLSD TX RDL & ULNAR FX WO MANIP,867.0,771.63,180.34,867.0,736 CDM,PX-450000124,HC CLSD TX SUPRA HUM FX W MANIP,4468.0,3976.52,538.49,4468.0,736 CDM,PX-450000125,HC CLSD TX SUPRA HUM FX WO MANIP,1102.0,980.78,229.22,1102.0,736 CDM,PX-450000126,HC CLSD TX TALUS FX WO MANIP,929.0,826.81,193.23,929.0,736 CDM,PX-450000127,HC CLSD TX TARSAL BN WO MANIP,940.0,836.6,191.26,940.0,736 CDM,PX-450000130,HC CLSD TX TIB FX WO MANIP,889.0,791.21,184.91,889.0,736 CDM,PX-450000131,HC CLSD TX TIB SHAFT FX W MANIP,4354.0,3875.06,476.47,4354.0,736 CDM,PX-450000132,HC CLSD TX TIB SHAFT FX WO MANIP,1105.0,983.45,229.84,1105.0,736 CDM,PX-450000133,HC CLSD TX TIB W/WO ANES W TRACT,5479.0,4876.31,453.49,5479.0,736 CDM,PX-450000134,HC CLSD TX TIB W/WO ANES WO MANIP,1018.0,906.02,211.74,1018.0,736 CDM,PX-450000135,HC CLSD TX TRIMALOR ANK FX MANIP,3033.0,2699.37,454.13,3033.0,736 CDM,PX-450000136,HC CLSD TX TRIMALOR ANK WO MANIP,1188.0,1057.32,247.1,1188.0,736 CDM,PX-450000137,HC CLSD TX ULNAR FX STYLOID,1278.0,1137.42,247.2,1278.0,736 CDM,PX-450000138,HC CLSD TX ULNAR PROX FX WO MANIP,1054.0,938.06,219.23,1054.0,736 CDM,PX-450000139,HC CLSD TX ULNAR SHAFT FX WO MANIP,882.0,784.98,183.46,882.0,736 CDM,PX-450000141,HC CLSR LAC VEST MOUTH<=2.5 CM,924.0,822.36,135.29,924.0,736 CDM,PX-450000142,HC CLSR LAC VEST MOUTH>2.5 CM/CMPLX,2123.0,1889.47,188.24,2123.0,736 CDM,PX-450000143,HC CMPLX RPR EY/NO/E/L 1.1-2.5CM,1525.0,1357.25,223.56,1525.0,736 CDM,PX-450000144,HC CMPLX RPR EY/NO/E/L 2.6-7.5CM,1829.0,1627.81,266.66,1829.0,739 CDM,PX-450000145,HC CMPLX RPR EY/NO/E/L ADD<=5CM,1360.0,1210.4,105.8,1360.0,720 CDM,PX-450000146,HC CMPLX RPR FACE/AX/EXT 1.1-2.5,1109.0,987.01,195.94,1109.0,736 CDM,PX-450000147,HC CMPLX RPR FACE/AX/EXT 2.6-7.5,1523.0,1355.47,241.46,1523.0,737 CDM,PX-450000148,HC CMPLX RPR FACE/AX/EXT ADD 5CM,1109.0,987.01,96.49,1109.0,719 CDM,PX-450000149,HC CMPLX RPR SCLP/LIMB 1.1-2.5CM,1187.0,1056.43,191.8,1187.0,736 CDM,PX-450000150,HC CMPLX RPR SCLP/LIMB 2.6-7.5CM,1623.0,1444.47,207.13,1623.0,737 CDM,PX-450000151,HC CMPLX RPR SCLP/LIMB ADD 5CM,1332.0,1185.48,63.27,1332.0,719 CDM,PX-450000158,HC CPR,1279.0,1138.31,160.73,1279.0,734 CDM,PX-450000160,HC CRITICAL CARE 30-74MIN,3669.0,3265.41,189.22,3669.0,737 CDM,PX-450000162,HC CRITICAL CARE ADD 30MIN,945.0,841.05,95.3,945.0,717 CDM,PX-450000163,HC CTRL NASAL HEMR ANTERIOR CMPLX,700.0,623.0,63.52,700.0,736 CDM,PX-450000164,HC CTRL NASAL HEMR ANTERIOR SMPL,441.0,392.49,45.52,441.0,736 CDM,PX-450000166,HC CTRL NSL HEMR PST PCK/CAUT INIT,761.0,677.29,90.67,761.0,736 CDM,PX-450000170,HC CYSTOURETHROSCOPY,1299.0,1156.11,66.87,1299.0,741 CDM,PX-450000172,HC DBRD BURN PRTL THCK <5%,550.0,489.5,52.42,550.0,736 CDM,PX-450000174,HC DBRD BURN PRTL THCK 5-10%,707.0,629.23,636.4,636.4,1 CDM,PX-450000179,HC DBRD OPN FX SKIN & SUBQ TISS,2903.0,2583.67,234.42,2903.0,736 CDM,PX-450000180,HC DBRD OPN FX SUBQ TISS/MUS/BN,5789.0,5152.21,334.1,5789.0,737 CDM,PX-450000182,HC DBRD SEL OPN WND<=20SCM,435.0,387.15,30.01,435.0,741 CDM,PX-450000183,HC DBRD SKIN & SUBQ TISS<=20SCM,1037.0,922.93,53.27,1037.0,738 CDM,PX-450000184,HC DBRD WND RMVL TIS NON-SEL,433.0,385.37,90.06,433.0,735 CDM,PX-450000195,HC DRAIN ABSC EXTERNAL EAR SIMPLE,1879.0,1672.31,113.94,1879.0,736 CDM,PX-450000198,HC DRN ABSC HEMA DENTOAVEOLAR,796.0,708.44,133.33,796.0,736 CDM,PX-450000200,HC DRN MOUTH LESION SMPL,1098.0,977.22,114.18,1098.0,736 CDM,PX-450000203,HC ED VISIT LEVEL 1,265.0,235.85,10.37,265.0,736 CDM,PX-450000205,HC ED VISIT LEVEL 2,475.0,422.75,37.99,475.0,736 CDM,PX-450000207,HC ED VISIT LEVEL 3,1013.0,901.57,65.04,1013.0,736 CDM,PX-450000209,HC ED VISIT LEVEL 4,1639.0,1458.71,110.45,1639.0,734 CDM,PX-450000211,HC ED VISIT LEVEL 5,2389.0,2126.21,160.69,2389.0,745 CDM,PX-450000213,HC EGD FLEX RMVL FB,6653.0,5921.17,149.64,6653.0,740 CDM,PX-450000214,HC EGD TRANSORAL DX,4571.0,4068.19,105.91,4571.0,747 CDM,PX-450000215,HC EGD W BIOPSY SNGL/MULT,4466.0,3974.74,118.3,4466.0,753 CDM,PX-450000217,HC EVAC SUBUNGUAL HEMA,274.0,243.86,31.22,274.0,736 CDM,PX-450000224,HC EXCISN INGROWN TOENAIL,531.0,472.59,88.41,539.37,736 CDM,PX-450000225,HC EXCISN NAIL BED PRTL/COMPLT,827.0,736.03,92.0,827.0,736 CDM,PX-450000227,HC EXPLR PNTRATE WND EXT,5277.0,4696.53,295.56,5277.0,736 CDM,PX-450000231,HC I&D ABSC CMPLX/MULT,821.0,730.69,167.98,821.0,736 CDM,PX-450000232,HC I&D ABSC FGR SMPL,703.0,625.67,140.81,703.0,736 CDM,PX-450000233,HC I&D ABSC SMPL/SNGL,586.0,521.54,99.12,586.0,738 CDM,PX-450000234,HC I&D ABSCESS PERITONSILLAR,1594.0,1418.66,124.03,1594.0,736 CDM,PX-450000235,HC I&D BARTHOLINS GLAND ABSCESS,879.0,782.31,95.88,879.0,736 CDM,PX-450000237,HC I&D HEMA/SEROMA/FLUID COLL,4598.0,4092.22,112.29,4598.0,737 CDM,PX-450000240,HC I&D PERIANAL ABSCESS SUPFCL,3407.0,3032.23,99.5,3407.0,738 CDM,PX-450000241,HC I&D PILONIDAL CYST CMPLX,2662.0,2369.18,159.45,2662.0,736 CDM,PX-450000242,HC I&D PILONIDAL CYST SMPL,1038.0,923.82,102.21,1038.0,736 CDM,PX-450000243,HC I&D RECTAL ABSCESS,5640.0,5019.6,413.04,5640.0,737 CDM,PX-450000245,HC I&D VULVA/PERINEAL ABSCESS,943.0,839.27,112.52,943.0,736 CDM,PX-450000247,HC INCISN THROMB HEMM EXTRNL,862.0,767.18,102.45,862.0,736 CDM,PX-450000248,HC INCISN/RMVL FB SUBQ CMPLX,4598.0,4092.22,164.77,4598.0,736 CDM,PX-450000249,HC INCISN/RMVL FB SUBQ SMPL,761.0,677.29,100.59,761.0,736 CDM,PX-450000252,HC INJ ANES FEM NERVE W GUIDANCE,3630.0,3230.7,58.35,3630.0,736 CDM,PX-450000253,HC INJ ANES GREATER OCCIPITAL NRV,1265.0,1125.85,41.4,1265.0,736 CDM,PX-450000255,HC INJ ANES OTHER PERIPHERAL NRV,1869.0,1663.41,37.1,1869.0,737 CDM,PX-450000257,HC INJ ANES TRIGEMINAL NRV,1115.0,992.35,42.96,1115.0,736 CDM,PX-450000263,HC INJ TRIGGER PNT<=2 MUS,687.0,611.43,34.44,687.0,740 CDM,PX-450000265,HC INS NON-INDWELLING BLAD CATH,286.0,254.54,20.5,286.0,734 CDM,PX-450000266,HC INS NON-TUN CVC >5YR,5068.0,4510.52,72.45,5068.0,740 CDM,PX-450000269,HC INS TEMP INDW BLAD CATH SMPL,344.0,306.16,21.18,344.0,740 CDM,PX-450000270,HC INS TEMP INDWL BLAD CATH COMPL,488.0,434.32,63.39,488.0,736 CDM,PX-450000271,HC INS TUBE THORACOSTOMY,2301.0,2047.89,130.77,2301.0,736 CDM,PX-450000275,HC INT F/E/EY/NO/L/M 2.6-5,972.0,865.08,166.65,972.0,741 CDM,PX-450000276,HC INT RPR F/E/EY/NO/L/M <=2.5,972.0,865.08,144.33,972.0,740 CDM,PX-450000279,HC INT RPR F/E/EY/NO/L/M 5.1-7.5,1109.0,987.01,179.93,1109.0,740 CDM,PX-450000280,HC INT RPR F/E/EY/NO/L/M 7.6-12.5,1109.0,987.01,186.99,1109.0,738 CDM,PX-450000281,HC INT RPR NK/HND/FT/EXG <=2.5,972.0,865.08,124.9,972.0,740 CDM,PX-450000283,HC INT RPR NK/HND/FT/EXG 2.6-7.5,972.0,865.08,163.24,972.0,740 CDM,PX-450000284,HC INT RPR NK/HND/FT/EXG 7.6-12.5,1109.0,987.01,182.47,1109.0,739 CDM,PX-450000285,HC INT RPR SCLP/AX/TR/EXT <=2.5,972.0,865.08,129.61,972.0,741 CDM,PX-450000287,HC INT RPR SCLP/AX/TR/EXT 12.6-20,1265.0,1125.85,212.48,1265.0,739 CDM,PX-450000288,HC INT RPR SCLP/AX/TR/EXT 2.6-7.5,972.0,865.08,161.04,972.0,743 CDM,PX-450000289,HC INT RPR SCLP/AX/TR/EXT 20-30,2177.0,1937.53,252.02,2177.0,736 CDM,PX-450000290,HC INT RPR SCLP/AX/TR/EXT 7.6-12.5,1109.0,987.01,172.89,1109.0,739 CDM,PX-450000292,HC INTRO NDL/CATH VEIN,546.0,485.94,113.57,546.0,717 CDM,PX-450000293,HC INTUB W ETT,952.0,847.28,122.2,952.0,737 CDM,PX-450000294,HC INTUB&ASP/LAVAGE GASTRIC THER,550.0,489.5,18.58,550.0,736 CDM,PX-450000295,HC IRRI BLAD SMPL LAVAGE&/INSTILL,504.0,448.56,24.52,504.0,736 CDM,PX-450000300,HC LARYNG FLEX FIBEROPTIC DX,861.0,766.29,58.82,861.0,739 CDM,PX-450000306,HC MEAS PST VOID RESID US NON IMG,233.0,207.37,12.57,233.0,738 CDM,PX-450000313,HC NASAL ENDOSCOPY DX UNI/BILAT,834.0,742.26,51.41,834.0,738 CDM,PX-450000314,HC NASOPHARYNGOSCOPY W ENDO,461.0,410.29,32.13,461.0,736 CDM,PX-450000315,HC NDL ASP ABSC/HEMA/BULLA/CYST,703.0,625.67,89.07,703.0,740 CDM,PX-450000316,HC NEG PRESS WND THRPY <=50SCM,525.0,467.25,20.88,525.0,738 CDM,PX-450000322,HC PARACENTESIS ABD W IMG,2199.0,1957.11,88.52,2199.0,742 CDM,PX-450000323,HC PARACENTESIS ABD WO IMG,2053.0,1827.17,67.14,2053.0,736 CDM,PX-450000327,HC PLC NEEDLE INTRAOSSEUS INF,700.0,623.0,52.69,700.0,736 CDM,PX-450000330,HC PLEURA DRAIN PERC WO IMG GUID,4981.0,4433.09,103.72,4981.0,736 CDM,PX-450000331,HC PUNCTURE SPINAL LUMBAR DX,1539.0,1369.71,52.24,1539.0,738 CDM,PX-450000335,HC REMOVAL FB CORNEA W SLIT LAMP,550.0,489.5,41.19,550.0,736 CDM,PX-450000336,HC REMOVAL FB CORNEA WO SLIT LAMP,685.0,609.65,35.97,685.0,736 CDM,PX-450000337,HC REMOVAL FB PHARYNX,950.0,845.5,111.68,950.0,736 CDM,PX-450000338,HC REMOVAL OF INTRAUTERINE DEVICE,1533.0,1364.37,53.12,1533.0,740 CDM,PX-450000340,HC RMVL FB EAR CANAL EXTRNL,463.0,412.07,39.54,463.0,736 CDM,PX-450000342,HC RMVL FB EYE SUPFCL,470.0,418.3,24.14,470.0,736 CDM,PX-450000343,HC RMVL FB FT SUBCUTANEOUS,3359.0,2989.51,124.25,3359.0,734 CDM,PX-450000344,HC RMVL FB INTRANASAL OFFICE PROC,443.0,394.27,92.14,443.0,736 CDM,PX-450000347,HC RMVL IMPACT CERUMEN W/INSTRUMENT UNILAT,151.0,134.39,25.55,151.0,736 CDM,PX-450000356,HC RPLC GASTROST/CECOST TUBE PERC,1933.0,1720.37,53.12,1933.0,738 CDM,PX-450000359,HC RPR LAC <=2.5CM ANTR 2/3 TNG,832.0,740.48,159.37,832.0,736 CDM,PX-450000362,HC RPR LIP F THICK >HALF VERTC HT,3590.0,3195.1,380.36,3590.0,736 CDM,PX-450000363,HC RPR LIP FULL THICK VERMIL ONLY,2443.0,2174.27,336.2,2443.0,736 CDM,PX-450000364,HC RPR NAIL BED,1730.0,1539.7,100.7,1730.0,736 CDM,PX-450000373,HC SMPL RPR F/E/EY/N/L/M 12.6-20CM,1077.0,958.53,108.33,1077.0,736 CDM,PX-450000374,HC SMPL RPR F/E/EY/N/L/M 7.6-12.5CM,761.0,677.29,80.16,761.0,736 CDM,PX-450000375,HC SMPL RPR F/E/EY/NO/L/M 2.6-5CM,710.0,631.9,49.63,710.0,736 CDM,PX-450000376,HC SMPL RPR F/E/EY/NO/L/M 5.1-7.5CM,748.0,665.72,63.94,748.0,736 CDM,PX-450000377,HC SMPL RPR F/E/EY/NO/L/M<=2.5CM,550.0,489.5,49.38,550.0,736 CDM,PX-450000378,HC SMPL RPR S/N/TR/EXT 7.6-12.5CM,811.0,721.79,64.8,811.0,736 CDM,PX-450000379,HC SMPL RPR S/NK/TR/EXT <=2.5CM,550.0,489.5,40.17,550.0,738 CDM,PX-450000380,HC SMPL RPR S/NK/TR/EXT 12.6-20CM,855.0,760.95,80.07,855.0,736 CDM,PX-450000381,HC SMPL RPR S/NK/TR/EXT 20.1-30CM,960.0,854.4,97.65,960.0,736 CDM,PX-450000383,HC SMPL S/NK/TR/EXT 2.6-7.5CM,710.0,631.9,52.16,710.0,738 CDM,PX-450000389,HC TEMP EXTERNAL PACING,1121.0,997.69,0.78,1121.0,736 CDM,PX-450000390,HC THORACENTESIS PLEURA W IMG,3925.0,3493.25,89.05,3925.0,738 CDM,PX-450000391,HC THORACENTESIS PLEURA WO IMG,3110.0,2767.9,74.6,3110.0,736 CDM,PX-450000392,HC THROMBOLYSIS CEREBRAL INFUS,1206.0,1073.34,250.85,1206.0,734 CDM,PX-450000395,HC TRACHEOTOMY TUBE CHANGE,1154.0,1027.06,28.71,1154.0,737 CDM,PX-450000397,HC TX BURN 1ST DEGREE INIT,470.0,418.3,38.79,470.0,736 CDM,PX-450000398,HC TX ELBOW NURSEMAID FX W MANIP,814.0,724.46,70.66,814.0,736 CDM,PX-450000401,HC TX POST HIP ARTHR DISLOC ANES,3784.0,3367.76,526.96,3784.0,722 CDM,PX-450000402,HC TX RADIAL SHAFT FX W MANIP,3135.0,2790.15,470.37,3135.0,736 CDM,PX-450000403,HC TX RADIAL SHAFT FX WO MANIP,934.0,831.26,194.27,934.0,736 CDM,PX-450000404,HC TX WND DEHIS SMPL,1665.0,1481.85,170.83,1665.0,737 CDM,PX-450000417,HC EGD BALN DILATION ESOPH <30MM,6235.0,5549.15,130.36,6235.0,742 CDM,PX-450000423,HC RMVL IMPACT CERUMEN IRRIG UNILAT,209.0,186.01,17.28,209.0,736 CDM,PX-450000425,HC TX INHAL AERO SPUTUM,344.0,306.16,8.69,344.0,744 CDM,PX-450000434,HC CLSD TX SCAPULAR FX WO MANIP,788.0,701.32,163.9,788.0,736 CDM,PX-450000435,HC CLSD TX HUM EPICNDY FX WO MANIP,814.0,724.46,169.31,814.0,736 CDM,PX-450000436,HC CLSD TX ULNAR SHAFT FX W MANIP,3376.0,3004.64,247.2,3376.0,736 CDM,PX-450000439,HC AVUL NAIL PLATE SMPL EA ADD,298.0,265.22,14.37,298.0,719 CDM,PX-450000444,HC INS WIRE/PIN APP TRACTION,8782.0,7815.98,153.18,8782.0,736 CDM,PX-450000446,HC TX MAND/MAXI FX ALVEOLAR RDGE,5474.0,4871.86,4926.6,4926.6,1 CDM,PX-450000447,HC CL TX RADL HEAD/NK FX W MANIP,3750.0,3337.5,425.13,3750.0,736 CDM,PX-450000448,HC CLSD TX ULNAR HCOX FX W MANIP,4007.0,3566.23,406.44,4007.0,736 CDM,PX-450000450,HC I&D ABSC FINGER COMPLICATED,3399.0,3025.11,175.02,3399.0,736 CDM,PX-450000453,HC RPR EXTNSR TNDN FGR WO GRFT,5221.0,4646.69,620.77,5221.0,736 CDM,PX-450000456,HC CLSD TX ARTICLR FX WO MANIP EA,857.0,762.73,178.26,857.0,736 CDM,PX-450000458,HC AMP FGR/THUMB W ADV FLAPS,6837.0,6084.93,650.81,6837.0,736 CDM,PX-450000461,HC CLSD TX FEMORAL SHAFT WO MANIP,2057.0,1830.73,247.2,2057.0,736 CDM,PX-450000463,HC RMVL FB FT DEEP,5770.0,5135.3,286.33,5770.0,736 CDM,PX-450000464,HC CLSD TX METATARSAL FX W MANIP,2709.0,2411.01,218.58,2709.0,734 CDM,PX-450000472,HC ESOPHAGOSCOPY FLEX RMVL FB,8131.0,7236.59,120.17,8131.0,736 CDM,PX-450000474,HC INJ ANES INTERCOSTAL NRV SNGL LVL,1711.0,1522.79,50.74,1711.0,736 CDM,PX-450000477,HC REPAIR EYELID WOUND FULL THICK,5044.0,4489.16,359.14,5044.0,736 CDM,PX-450000481,HC US ABD LTD,596.0,530.44,87.13,596.0,743 CDM,PX-450000482,HC US GUIDE VASC ACCESS,435.0,387.15,40.33,435.0,728 CDM,PX-450000483,HC US GUIDE PLC NDL,1089.0,969.21,64.38,1089.0,728 CDM,PX-450000486,HC CLSD TX NASAL FX WO STABL,4774.0,4248.86,50.51,4774.0,736 CDM,PX-450000495,HC IV INF THER CONCURR (MAX 1),211.0,187.79,20.9,211.0,723 CDM,PX-450000496,HC INJ THER SUBQ/IM,160.0,142.4,15.4,160.0,747 CDM,PX-450000506,HC OPN TX DIST PHAL FX W INT FIX EA,6927.0,6165.03,467.81,6927.0,736 CDM,PX-450000517,HC CLSD TX SESAMOID FX,962.0,856.18,102.22,962.0,736 CDM,PX-450000518,HC ARTHCS ASP/INJ MJR JT W US,781.0,695.09,47.09,781.0,737 CDM,PX-450000520,HC INS NONTUNL CVC <5YR,5399.0,4805.11,75.72,5399.0,736 CDM,PX-450000554,HC RED TRAUMA RESPONSE CC 30-74 MIN,15053.0,13397.17,189.22,15053.0,737 CDM,PX-450000555,HC YELLOW TRAUMA RESPONSE CC 30-74 MIN,14208.0,12645.12,189.22,14208.0,737 CDM,PX-450000556,HC RED TRAUMA RESPONSE VISIT LEVEL 5,13773.0,12257.97,160.69,13773.0,745 CDM,PX-450000557,HC YELLOW TRAUMA RESPONSE VISIT LEVEL 5,12928.0,11505.92,160.69,12928.0,745 CDM,PX-450000559,HC INJ THER IV PUSH SNGL INITIAL,321.0,285.69,38.17,321.0,743 CDM,PX-450000560,HC IV INF HYDRAT EA ADD HR,189.0,168.21,13.07,189.0,747 CDM,PX-450000561,HC IV INF HYDRAT INIT 31MIN-1HR,422.0,375.58,33.96,422.0,745 CDM,PX-450000562,HC IV INF THER ADD SEQ NEW 1ST HR,282.0,250.98,30.16,282.0,743 CDM,PX-450000563,HC IV INF THER EA ADD HR,226.0,201.14,21.58,226.0,743 CDM,PX-450000564,HC IV INF THER INIT 1ST HR,549.0,488.61,67.9,549.0,746 CDM,PX-450000565,HC IV PUSH EA ADD SEQ DRUG,204.0,181.56,42.43,204.0,724 CDM,PX-450000566,HC IV PUSH EA ADD SEQ NEW DRUG,167.0,148.63,15.81,167.0,747 CDM,PX-450000583,HC RPR LIP F THICK =2 GROUPS,3059.0,2722.51,185.39,3059.0,482 CDM,PX-46270,PR TX ANAL FSTL SURG SUBQ,2670.0,2376.3,240.07,2670.0,482 CDM,PX-46275,PR TX ANAL FSTL SURG INTERSPHINCT,2967.0,2640.63,252.88,2967.0,482 CDM,PX-46280,PR TX ANAL FSTL SURG CMPLX,2975.0,2647.75,188.58,2975.0,482 CDM,PX-46288,PR CLSR ANAL FSTL RECTAL FLAP,3338.0,2970.82,214.65,3338.0,482 CDM,PX-46320,PR EXCISN THROMB HEMM EXTRNL,865.0,769.85,80.05,865.0,507 CDM,PX-46505,PR CHEMODENERV INTRNL ANAL SPHINCTER,2120.0,1886.8,116.58,2120.0,507 CDM,PX-46600,PR ANOSCOPY DIAGNOSTIC,399.0,355.11,45.15,399.0,515 CDM,PX-46601,PR ANOSCOPY DX W HRA & CHEM AGNT,836.0,744.04,56.93,836.0,482 CDM,PX-46604,PR ANOSCOPY W DILATION,1856.0,1651.84,287.94,1856.0,482 CDM,PX-46606,PR ANOSCOPY W BX SINGLE/MULTIPLE,1199.0,1067.11,107.45,1199.0,507 CDM,PX-46607,PR ANOSCOPY DX W HRA & CHEM W BX,1452.0,1292.28,79.1,1452.0,508 CDM,PX-46608,PR ANOSCOPY W RMVL FB,931.0,828.59,131.33,931.0,482 CDM,PX-46610,PR ANOSCOPY W RMVL SNGL TMR HOT BX,1031.0,917.59,125.66,1031.0,482 CDM,PX-46612,PR ANOSCOPY W RMVL MULT TUMORS,1513.0,1346.57,149.5,1513.0,482 CDM,PX-46615,PR ANOSCOPY ABLATION LESION,861.0,766.29,66.15,861.0,507 CDM,PX-46700,PR ANOPLASTY PLSTC STRICTURE ADLT,3452.0,3072.28,248.88,3452.0,482 CDM,PX-46705,PR ANOPLASTY PLSTC STRICTURE INFNT,4045.0,3600.05,219.89,4045.0,482 CDM,PX-46706,PR REPAIR ANAL FISTULA W FIBRIN GLUE,1108.0,986.12,67.61,1108.0,482 CDM,PX-46707,PR RPR ANORECTAL FSTL W PLUG,2623.0,2334.47,196.49,2623.0,482 CDM,PX-46712,PR RPR ILEOANAL PCH TRNPER/TRNABD,18675.0,16620.75,762.8,18675.0,482 CDM,PX-46715,PR RPR LOW IMPERF ANUS W FISTULA,3449.0,3069.61,209.93,3449.0,482 CDM,PX-46716,PR RPR LOW IMPERF ANUS W TRNSPSTN,6134.0,5459.26,457.74,6134.0,482 CDM,PX-46740,PR RPR IMPRF ANUS W FISTULA,12358.0,10998.62,768.51,12358.0,482 CDM,PX-46746,PR RPR CLOACAL ANOMALY CMBN ABDL&SACROPRNL,24455.0,21764.95,1327.61,24455.0,482 CDM,PX-46750,PR SPHINCTEROPLASTY ANAL ADULT,4240.0,3773.6,263.19,4240.0,482 CDM,PX-46761,PR SPHINCTRPLSTY ANAL IMBRICATION,4422.0,3935.58,316.8,4422.0,482 CDM,PX-46900,PR DEST LESN ANUS SMPL CHEMICAL,920.0,818.8,93.0,920.0,507 CDM,PX-46910,PR DEST LESN ANUS SMPL ELECTRO,1107.0,985.23,120.79,1107.0,482 CDM,PX-46916,PR DEST LESN ANUS SMPL CRYOSURG,890.0,792.1,103.98,890.0,482 CDM,PX-46917,PR DEST LESN ANUS SMPL LASER SURG,2391.0,2127.99,191.29,2391.0,482 CDM,PX-46922,PR DEST LESN ANUS SMPL SURG EXCISN,1315.0,1170.35,119.21,1315.0,508 CDM,PX-46924,PR DEST LESION ANUS EXTENSIVE,2533.0,2254.37,255.59,2533.0,482 CDM,PX-46945,PR HEMORRHOID LIG BAND SINGLE,1401.0,1246.89,139.49,1401.0,482 CDM,PX-46947,PR HEMORRHOIDOPEXY STAPLING,2183.0,1942.87,144.97,2183.0,482 CDM,PX-47000,PR BX NDL LIVER PERC,1237.0,1100.93,118.54,1237.0,482 CDM,PX-47001,PR BX LIVER NEEDLE W OTHR PROC,705.0,627.45,66.83,705.0,482 CDM,PX-47010,PR HEPATOTOMY OPN DRN ABSC/CYST,9040.0,8045.6,423.84,9040.0,482 CDM,PX-47100,PR BIOPSY LIVER WEDGE,4854.0,4320.06,305.28,4854.0,482 CDM,PX-471000062,HC AUD EVOKED POTENTIAL NEURODIAGNOSTIC,543.0,483.27,112.94,543.0,734 CDM,PX-47120,PR HEPATECTMY RESECT PARTL LOBECT,13957.0,12421.73,799.43,13957.0,482 CDM,PX-47122,PR HEPATECTMY RESECT TRISEGMENT,28774.0,25608.86,1150.21,28774.0,482 CDM,PX-47125,PR HEPATECTMY LEFT LOBECT TOT,23425.0,20848.25,1033.62,23425.0,482 CDM,PX-47130,PR HEPATECTMY RIGHT LOBECT TOT,22988.0,20459.32,1105.42,22988.0,482 CDM,PX-47133,PR DONOR HEPATECTOMY CADAVER,11504.0,10238.56,10123.52,11504.0,477 CDM,PX-47135,PR TRANSPLANT LIVER,58041.0,51656.49,1849.05,58041.0,482 CDM,PX-47141,PR HEPATECTOMY DONOR LIVE TOT LT,37116.0,33033.24,1459.15,37116.0,482 CDM,PX-47142,PR HEPATECTOMY DONOR LIVE TOT RT,43549.0,38758.61,1599.2,43549.0,482 CDM,PX-47143,PR BKBENCH PREP CADV DNR WHOLE LVR,5922.0,5270.58,199.34,5922.0,482 CDM,PX-47146,PR BKBENCH LIVER VEN ANAST EA,2599.0,2313.11,105.93,2599.0,482 CDM,PX-47147,PR BKBENCH ARTERIAL ANASTOMOSIS,3235.0,2879.15,123.72,3235.0,482 CDM,PX-47300,PR MARSUPIALIZATN LIVER CYST/ABSC,7645.0,6804.05,398.37,7645.0,482 CDM,PX-47350,PR SUTR LIVER HEMORRHAGE SMPL,8051.0,7165.39,477.73,8051.0,482 CDM,PX-47362,PR MGMT LIVER HEMORRHAGE,8997.0,8007.33,422.49,8997.0,507 CDM,PX-47379005,PR LAP LIVER CYST FENEST,9040.0,8045.6,452.0,9040.0,477 CDM,PX-47380,PR ABLT OPN LIVER TMR RF,9554.0,8503.06,496.42,9554.0,482 CDM,PX-47381,PR ABLT OPN LIVER TMR CRYOSURG,9576.0,8522.64,506.23,9576.0,482 CDM,PX-47382,PR ABLT >=1 LVR TMR PERC RADIOFREQ,11980.0,10662.2,1417.99,11980.0,482 CDM,PX-47383,PR ABLT PERC LIVER TMR CRYOABLAT,15730.0,13999.7,2430.12,15730.0,482 CDM,PX-47399003,PR PERCUT ETHANOL INJECT THERAPY,1236.0,1100.04,61.8,1236.0,477 CDM,PX-47420,PR CHOLEDOCHOTMY WO DUODNL SPHIN,8079.0,7190.31,457.88,8079.0,482 CDM,PX-47480,PR CHOLECYSTOTOMY W EXP RMVL CALC,4925.0,4383.25,314.82,4925.0,482 CDM,PX-47490,PR CHOLECYSTOSTOMY PERC W CATH PLC,2768.0,2463.52,118.5,2768.0,482 CDM,PX-47531,PR INJ CHOLANGIO PERC EXIST ACCESS,1512.0,1345.68,165.39,1512.0,482 CDM,PX-47532,PR INJ CHOLANGIO PERC NEW ACCESS,2322.0,2066.58,333.24,2322.0,482 CDM,PX-47533,PR PLC BILIARY DRN CATH EXTRNL,6171.0,5492.19,458.63,6171.0,482 CDM,PX-47534,PR PLC BILIARY DRN CATH INTRNL-EXTRNL,5546.0,4935.94,500.29,5546.0,482 CDM,PX-47535,PR CONV EXT BIL DRN CATH INTRNL-EXTRNL,5043.0,4488.27,350.36,5043.0,482 CDM,PX-47536,PR EXCHG BIL DRN CATH PERC W IMG,3170.0,2821.3,250.01,3170.0,482 CDM,PX-47537,PR RMVL BIL DRN CATH W FLURO,1927.0,1715.03,191.51,1927.0,482 CDM,PX-47538,PR PLC STNT BILE DUCT PERC EXIST,8618.0,7670.02,1460.52,8618.0,482 CDM,PX-47541,PR PLC ACCESS BIL TREE SM BOWEL NEW,5509.0,4903.01,485.46,5509.0,482 CDM,PX-47542,PR BLN DILAT BIL DUCT PERC EA,2232.0,1986.48,390.86,2232.0,482 CDM,PX-47543,PR ENDOLUMINAL BX BIL TREE PERC,2179.0,1939.31,304.92,2179.0,482 CDM,PX-47544,PR RMVL BIL DUCT &/ GALBLDR CALC,2453.0,2183.17,655.6,2453.0,482 CDM,PX-47554,PR BILRY ENDO PERC VIA T-TUBE W RMVL,3918.0,3487.02,150.48,3918.0,482 CDM,PX-47562,PR LAPAROSCOPY CHOLECYSTECTOMY,4974.0,4426.86,234.61,4974.0,482 CDM,PX-47563,PR LAPAROSCOPY CHOLECYST W CHOLNG,5717.0,5088.13,253.54,5717.0,482 CDM,PX-47600,PR CHOLECYSTECTOMY,6780.0,6034.2,374.0,6780.0,482 CDM,PX-47605,PR CHOLECYSTECTOMY W CHOLANGIOGR,6818.0,6068.02,391.98,6818.0,482 CDM,PX-47711,PR EXCISN BILE DUCT TMR EXTRHPATC,11937.0,10623.93,534.4,11937.0,482 CDM,PX-47712,PR EXCISN BILE DUCT TMR INTRHPATC,12409.0,11044.01,677.09,12409.0,482 CDM,PX-47715,PR EXCISION CHOLEDOCHAL CYST,8618.0,7670.02,462.07,8618.0,482 CDM,PX-47760,PR ANASTOMOSIS EXTRHPATC BIL DUCT,11939.0,10625.71,763.5,11939.0,482 CDM,PX-47765,PR ANASTOMOSIS INTRHPATC BIL DUCT,18776.0,16710.64,1016.36,18776.0,482 CDM,PX-47780,PR ANASTOMOSIS ROUX-EN-Y EXTRHPTC,13325.0,11859.25,837.05,13325.0,482 CDM,PX-47785,PR ANASTOMOSIS ROUX-EN-Y INTRHPTC,21327.0,18981.03,1086.09,21327.0,482 CDM,PX-47800,PR RCNST BILRY DUCT ANSTOMOSIS,11297.0,10054.33,540.77,11297.0,482 CDM,PX-47999003,PR CHROMENDOSCOPY BILIARY TRACT,2253.0,2005.17,112.65,2253.0,477 CDM,PX-480000000,HC ABLT ARRHYTHMIA ADD ON,18072.0,16084.08,232.14,18072.0,723 CDM,PX-480000001,HC ABLT ATRIUM ADD LINEAR CATH,11737.0,10445.93,232.14,11737.0,721 CDM,PX-480000002,HC ABLT AV NODE,13841.0,12318.49,444.22,13841.0,739 CDM,PX-480000010,HC BX ENDOMYOCARDIAL,7639.0,6798.71,652.06,7639.0,741 CDM,PX-480000013,HC CORONARY ASPIRATION THROM,4371.0,3890.19,128.95,4371.0,738 CDM,PX-480000014,HC CPR,1279.0,1138.31,160.73,1279.0,734 CDM,PX-480000016,HC DRUG CHALLENGE STUDY,805.0,716.45,128.95,805.0,738 CDM,PX-480000017,HC ECHO INTRACARDIAC,4629.0,4119.81,298.6,4629.0,726 CDM,PX-480000018,HC EP EVAL TX ART FIB PULM VEIN,45676.0,40651.64,718.24,45676.0,743 CDM,PX-480000019,HC EP EVAL W ARRHYTHMIA,14290.0,12718.1,923.08,14290.0,739 CDM,PX-480000020,HC EP EVAL W LT ATRL/COR SIN PCNG,6089.0,5419.21,314.25,6089.0,720 CDM,PX-480000021,HC EP EVAL W LT VENT PACING,11413.0,10157.57,505.35,11413.0,719 CDM,PX-480000022,HC EP EVAL W SUPRAVENT ABLATE,38205.0,34002.45,633.43,38205.0,742 CDM,PX-480000023,HC EP EVAL W VENT TACHY ABLATE,45677.0,40652.53,763.57,45677.0,740 CDM,PX-480000024,HC EP EVAL WO ARRHYTHMIA,13650.0,12148.5,680.77,13650.0,736 CDM,PX-480000025,HC EP FOLLOW UP STUDY W ARRYTH,11426.0,10169.14,300.32,11426.0,737 CDM,PX-480000026,HC EVAL EPS ICD GENERATOR W TEST,3944.0,3510.16,587.3,3944.0,719 CDM,PX-480000028,HC EVAL EPS ICD SYS,4119.0,3665.91,312.19,4119.0,736 CDM,PX-480000029,HC EXTERNAL COUNTERPULSATION,1072.0,954.08,104.88,1072.0,736 CDM,PX-480000031,HC INS/RPLC PCMKR ATRIAL & VENT,24792.0,22064.88,413.35,24792.0,738 CDM,PX-480000032,HC INS/RPLC TEMP ELEC/PCMKR SNGL,10985.0,9776.65,125.91,10985.0,736 CDM,PX-480000034,HC INTER PCMKR/ICD REM TECH 90DAYS,235.0,209.15,32.41,235.0,736 CDM,PX-480000036,HC INTERROGATE DEV SUBQ CARD MON,166.0,147.74,28.99,166.0,736 CDM,PX-480000041,HC INTRAVENT MAPPING TACHYCARDIA,5560.0,4948.4,364.62,5560.0,719 CDM,PX-480000046,HC PACING HRT RHYTHM,5331.0,4744.59,366.54,5331.0,736 CDM,PX-480000048,HC PACING INTRA VENTRICULAR,10767.0,9582.63,214.95,10767.0,737 CDM,PX-480000049,HC PAD REHAB PER SES,271.0,241.19,23.36,271.0,734 CDM,PX-480000060,HC PERI-PROC PCMKR EVAL & PROG,261.0,232.29,44.94,261.0,722 CDM,PX-480000067,HC PROGR DEV EVAL PCMKR DUAL LEAD,209.0,186.01,37.4,209.0,738 CDM,PX-480000071,HC RECORDING HIS BUNDLE,11779.0,10483.31,189.28,11779.0,736 CDM,PX-480000077,HC STIM HRT PACING POST IV INF,5662.0,5039.18,296.97,5662.0,722 CDM,PX-480000080,HC TILT TABLE EVAL W/WO DRUG,2336.0,2079.04,169.24,2336.0,739 CDM,PX-480000086,HC DRUG ADMIN AND HEMODYN MEAS,1249.0,1111.61,79.92,1249.0,722 CDM,PX-480000093,HC RMVL INTRA AORTIC BLN DEV PERC,4347.0,3868.83,3912.4,3912.4,1 CDM,PX-480000097,HC TRANSCATH PULM VLV IMPL PERC,52141.0,46405.49,870.64,52141.0,737 CDM,PX-480000098,HC INTRAOP EPI/ENDO CARD PAC/MAP,7939.0,7065.71,1651.31,7939.0,719 CDM,PX-480000099,HC PTA ARTERIAL INITIAL,17107.0,15225.23,2636.64,17107.0,735 CDM,PX-480000102,HC RPLC/INSRT TRANSCATH LEADLS PM,47697.0,42450.33,571.47,47697.0,735 CDM,PX-480000103,HC TRANSCATH REMOVAL LEADLESS PM VENTRICULAR,4469.0,3977.41,604.7,4469.0,734 CDM,PX-480000104,HC IMPL PT ACTV CARD EVENT RECORD,18216.0,16212.24,67.76,18216.0,740 CDM,PX-480000105,HC RMVL IMPL CARDIAC EVENT RECORD,3203.0,2850.67,66.76,3203.0,738 CDM,PX-480000107,"HC INS W-LESS STIM, DEV INT/PROG; ELECTRODE ONLY",13770.0,12255.3,554.25,13867.76,734 CDM,PX-480000108,"HC INS W-LESS STIM, DEV INT/PROG; GEN ONLY",13770.0,12255.3,485.04,13867.76,734 CDM,PX-480000110,HC REM/REP WIRELESS STIM L VENT PACE-GEN,16349.0,14550.61,1250.31,16349.0,734 CDM,PX-480000132,HC MYOCARDIAL STRAIN IMAGING,268.0,238.52,55.64,268.0,727 CDM,PX-480000133,HC IMPL ICD W SUBSTERN LEADS,54865.0,48829.85,11411.92,54865.0,734 CDM,PX-480000134,HC IMP SUBSTERN DEFIB ELECTRODE,22029.0,19605.81,4582.03,22029.0,734 CDM,PX-480000135,HC REMOVE SUBSTERN DEFIB ELECTRODE,9687.0,8621.43,2014.9,9687.0,734 CDM,PX-480000139,HC EP EVAL ICD SUBSTERNAL,3886.0,3458.54,808.29,3886.0,734 CDM,PX-480000141,HC INTER ICD SBSTRNL TECH EA 90DAYS,228.0,202.92,37.4,228.0,734 CDM,PX-480000142,HC REMOVE SUBSTERN DEFIB GENERATOR,9687.0,8621.43,2014.9,9687.0,734 CDM,PX-480000144,HC RIGHT HEART CATH,12373.0,11011.97,863.46,12373.0,741 CDM,PX-480000145,HC INS/PLC FLOW DIR CATH,6552.0,5831.28,77.57,6552.0,736 CDM,PX-480000146,HC INTERO VAD IN PERSON,3751.0,3338.39,32.62,3751.0,736 CDM,PX-480000147,HC US ENDOMYOCARDIAL BX S&I,815.0,725.35,99.7,815.0,719 CDM,PX-480000155,HC EVASC ST RPR THRC/AA ACRS BR,9048.0,8052.72,751.09,9048.0,732 CDM,PX-480000156,HC EVASC ST RPR THRC/AA X CRSG,7916.0,7045.24,505.75,7916.0,734 CDM,PX-480000157,HC PERQ TRLUML ANGP NT/RECR COA,6786.0,6039.54,375.94,6786.0,734 CDM,PX-480000160,HC INSJ BIOPROSTC VLV FEM VN,17483.0,15559.87,3636.46,17483.0,734 CDM,PX-480000161,HC CAR ABLT RAD ARR N-INVAS LOC,13113.0,11670.57,2727.5,13113.0,719 CDM,PX-480000162,HC CAR ABLT RAD ARR CNV LOC MAP,12731.0,11330.59,2648.05,12731.0,719 CDM,PX-480000163,HC NJX STM CL PRDCT ANL SFT TIS,1379.0,1227.31,286.83,1379.0,719 CDM,PX-480000168,HC INST SQ IPLT DFB ELEC,21960.0,19544.4,368.01,21960.0,736 CDM,PX-480000169,HC LAPS INSJ NEW/RPLCMT LEAD PERM ISDSS 1ST LEAD,13659.0,12156.51,2841.07,14784.18,734 CDM,PX-480000170,HC TCAT INS 1CHMBR LDLS PM RA,63106.0,56164.34,13126.05,63106.0,735 CDM,PX-480000171,HC INSN PHRNC NRV STIM SYS,24792.0,22064.88,689.07,58441.09,734 CDM,PX-480000172,HC INSN PHRNC NRV STIM TRANSVNS,10885.0,9687.65,340.07,10885.0,717 CDM,PX-480000173,HC RMVL PHRNC NRV STIM SYS,7357.0,6547.73,677.96,7357.0,734 CDM,PX-480000174,HC RMVL PHRNC NRV STIM TRANSVNS,7357.0,6547.73,421.32,7357.0,734 CDM,PX-480000175,HC RMVL PHRNC NRV STIM PG ONLY,11149.0,9922.61,266.43,11149.0,734 CDM,PX-480000176,HC REPOSG PHRNC NRV STIM TRNSVN,7140.0,6354.6,462.84,7140.0,734 CDM,PX-480000177,HC RMV&RPLCMT PHRNC NRV STIM PG,20513.0,18256.57,468.59,40942.15,734 CDM,PX-480000178,HC RMV&RPLCMT PHRNC NRV STIM LD,20513.0,18256.57,624.6,20513.0,734 CDM,PX-480000179,HC TCAT RMV 1CHMBR LDLS PM RA,4624.0,4115.36,961.79,4624.0,734 CDM,PX-480000187,HC EP EVAL SUBCUT IMPLT DEFIB,3918.0,3487.02,189.22,3918.0,719 CDM,PX-480000188,HC TCAT INS 2CHMBR LDLS PM CMPL,45095.0,40134.55,9379.76,45095.0,734 CDM,PX-480000190,HC TCAT INS 2CHMBR LDLS PM RV,47697.0,42450.33,9920.98,47697.0,734 CDM,PX-480000197,HC PRGRMG EVL LDLS PM 2CHMBR IP,218.0,194.02,37.4,218.0,734 CDM,PX-480000219,HC CARDIONEURAL ABLATION,54003.0,48062.67,128.95,54003.0,738 CDM,PX-48100,PR BIOPSY PANCREAS OPEN,5862.0,5217.18,313.22,5862.0,482 CDM,PX-481000002,HC BX ENDOMYOCARDIAL,7639.0,6798.71,652.06,7639.0,741 CDM,PX-481000003,HC CARDIOVSN ELECT EXTERNAL,2072.0,1844.08,92.05,2072.0,742 CDM,PX-481000004,HC CARDIOVSN ELECT INTERNAL,3195.0,2843.55,193.59,3195.0,736 CDM,PX-481000005,HC CATH PLC ART/GRFT ANG W R&L HRT,17357.0,15447.73,1321.96,17357.0,737 CDM,PX-481000006,HC CATH PLC ART/VEN ANG W R&L HRT,13563.0,12071.07,1199.76,13563.0,741 CDM,PX-481000007,HC CATH PLC ARTY/GRFT ANG W L HRT,14246.0,12678.94,1081.49,14246.0,737 CDM,PX-481000008,HC CATH PLC ARTY/GRFT ANG W R HRT,15725.0,13995.25,1189.19,15725.0,737 CDM,PX-481000009,HC CATH PLC ARTY/VENT ANG W L HRT,11432.0,10174.48,1006.38,11432.0,741 CDM,PX-481000010,HC CATH PLC COR ARTY ANGIO S&I,9297.0,8274.33,876.42,9297.0,741 CDM,PX-481000011,HC CATH PLC COR ARTY/ANG W RT HRT,14909.0,13269.01,1091.29,14909.0,740 CDM,PX-481000012,HC CATH PLC COR ARTY/GRFT ANGIO,12277.0,10926.53,976.27,12277.0,737 CDM,PX-481000015,HC CPR,1279.0,1138.31,160.73,1279.0,734 CDM,PX-481000018,HC EXERCISE STUDY W HEMODYN MEAS,1456.0,1295.84,226.17,1456.0,725 CDM,PX-481000022,HC INJ ANGIO CONG HRT CATH S&I,4183.0,3722.87,40.84,4183.0,719 CDM,PX-481000023,HC INJ CATH RT VENT/ATRIAL ANGIO,2580.0,2296.2,20.59,2580.0,719 CDM,PX-481000024,HC INJ CATH SUPRVLV AORTOGRAPHY,1610.0,1432.9,28.76,1610.0,719 CDM,PX-481000025,HC INJ PROC CARD CATH CONG HRT,293.0,260.77,42.21,293.0,719 CDM,PX-481000026,HC INJ PULM ANGIO S&I,2888.0,2570.32,36.35,2888.0,719 CDM,PX-481000027,HC INS ICD ONLY W EXIST SNGL LEAD,44542.0,39642.38,291.31,44542.0,736 CDM,PX-481000028,HC INS INTRA AORTIC BLN DEV PERC,6435.0,5727.15,167.84,6435.0,736 CDM,PX-481000029,HC INS PACING ELCTD LV LEAD ADD,20108.0,17896.12,351.28,20108.0,720 CDM,PX-481000030,HC INS PACING ELCTD LV LEAD CONN,24792.0,22064.88,394.91,24792.0,737 CDM,PX-481000031,HC INS PCMKR PLS GEN EXIST 1 LEAD,16884.0,15026.76,267.61,16884.0,736 CDM,PX-481000032,HC INS PCMKR PLS GEN EXIST 2 LEAD,20364.0,18123.96,277.56,20364.0,737 CDM,PX-481000033,HC INS PCMKR/GEN EXIST MULTI LEAD,34381.0,30599.09,291.06,34381.0,736 CDM,PX-481000034,HC INS PERC VENT ASSIST DEV LEFT HEART ARTERIAL ONLY W IMG,10718.0,9539.02,278.21,10718.0,734 CDM,PX-481000035,HC INS PULSE GEN W EXST DUAL LEAD,52891.0,47072.99,302.41,52891.0,736 CDM,PX-481000036,HC INS PULSE GEN W EXST MULT LEAD,57877.0,51510.53,323.86,57877.0,736 CDM,PX-481000037,HC INS SNGL ELTRD/PPCMKR/ICD,13297.0,11834.33,304.05,13297.0,738 CDM,PX-481000038,HC INS/PLC FLOW DIR CATH,6575.0,5851.75,77.57,6575.0,736 CDM,PX-481000039,HC INS/RPLC DFIB W TRANSVEN LEAD,47111.0,41928.79,723.02,47111.0,738 CDM,PX-481000042,HC INS/RPLC PCMKR ATRIAL,24792.0,22064.88,367.16,24792.0,736 CDM,PX-481000043,HC INS/RPLC PCMKR VENT,19833.0,17651.37,383.48,19833.0,736 CDM,PX-481000044,HC INS/RPLC SUBQ ICD W SUBQ ELEC,51711.0,46022.79,447.78,51711.0,736 CDM,PX-481000048,HC INSERT ELECTRODE IMPLANT DUAL,14639.0,13028.71,303.05,14639.0,736 CDM,PX-481000049,HC INSERT VAD PERC LEFT HEART W S&I ART&VEN,5254.0,4676.06,369.12,5254.0,734 CDM,PX-481000051,HC INTRODUCTION CATHETER AORTA,2630.0,2340.7,108.69,2630.0,719 CDM,PX-481000052,HC INTRVAS DPLR ANGIO ADD,1768.0,1573.52,367.74,2033.2,719 CDM,PX-481000053,HC INTRVAS DPLR ANGIO INIT,3368.0,2997.52,281.7,3368.0,723 CDM,PX-481000054,HC IVUS HRT EA VSSL ADD W S&I,2610.0,2322.9,166.79,2610.0,719 CDM,PX-481000055,HC IVUS HRT EA VSSL INIT W S&I,3419.0,3042.91,281.7,3419.0,720 CDM,PX-481000056,HC LT HRT CATH TXSPTL PUNC,11169.0,9940.41,157.58,11169.0,721 CDM,PX-481000057,HC LT HRT CATH W VENTRICULOGRAPHY,13480.0,11997.2,875.23,13480.0,736 CDM,PX-481000058,HC MAP EPS 3D,9497.0,8452.33,220.46,9497.0,721 CDM,PX-481000059,HC NONSEL CATH THOR AORTA W ANGIO,11178.0,9948.42,157.45,11178.0,736 CDM,PX-481000060,HC PACING INTRA ATRIAL,6989.0,6220.21,203.33,10348.63,736 CDM,PX-481000061,HC PACING INTRA VENTRICULAR,10767.0,9582.63,214.95,10767.0,737 CDM,PX-481000062,HC PERC BALLOON VALVULO AORTIC,14878.0,13241.42,1053.98,14878.0,736 CDM,PX-481000063,HC PERC BALLOON VALVULO MITRAL,17936.0,15963.04,1088.21,17936.0,737 CDM,PX-481000064,HC PERC BALLOON VALVULO PULM,22959.0,20433.51,872.42,22959.0,737 CDM,PX-481000066,HC PERC REVASC TRANS CHR SNGL VESL,23579.0,20985.31,563.02,23579.0,736 CDM,PX-481000067,HC PERC REVASC TRANS COR SNGL VESL,23583.0,20988.87,464.83,23583.0,736 CDM,PX-481000068,HC PERC REVASC TRANS MI SNGL VESL,25692.0,22865.88,428.45,25692.0,736 CDM,PX-481000070,HC PERC TRANSCATH PLCT DRUG STNT ADD,24387.0,21704.43,5072.5,24387.0,717 CDM,PX-481000071,HC PERC TRANSCATH PLCT DRUG STNT SNG,29179.0,25969.31,6069.23,29179.0,735 CDM,PX-481000072,HC PERC TRANSCATH SEP RED THRPY,1111.0,988.79,231.09,1111.0,734 CDM,PX-481000073,HC PERC TRANSLUM ATHER WANGIO SNG,37496.0,33371.44,7799.17,37496.0,734 CDM,PX-481000074,HC PERC TRANSLUM REVASC ADDL VSSL,31438.0,27979.82,6539.1,31438.0,719 CDM,PX-481000075,HC PERC TRANSLUM REVASC AMI SNGL,36316.0,32321.24,523.61,36316.0,720 CDM,PX-481000076,HC PERC TRANSLUM REVASC COR SNGL,38677.0,34422.53,8044.82,38677.0,734 CDM,PX-481000077,HC PERC TRANSLUM REVASC SNGL VSSL,29179.0,25969.31,6069.23,29179.0,734 CDM,PX-481000078,HC PERC TRNSLUM REVASC COR EA ADD,15182.0,13511.98,3157.86,15182.0,719 CDM,PX-481000081,HC PLC INTRACOR STNT SNGL,20101.0,17889.89,411.64,20101.0,737 CDM,PX-481000082,HC PTA PULMONARY ARTY SNGL VSSL,14107.0,12555.23,494.47,15316.89,736 CDM,PX-481000084,HC PTCA SNGL MJR ARTY/BRNCH,15347.0,13658.83,343.7,15347.0,736 CDM,PX-481000086,HC PTCA W COR ANGIO SNGL MJR,23581.0,20987.09,416.77,23581.0,736 CDM,PX-481000087,HC RELOCATION SKIN POCKET DFIB,7842.0,6979.38,333.43,7842.0,736 CDM,PX-481000088,HC RELOCATION SKIN POCKET PCMKR,7650.0,6808.5,287.29,7650.0,737 CDM,PX-481000089,HC REPO IMPL LV ELECT,10885.0,9687.65,378.06,10885.0,736 CDM,PX-481000091,HC REPOSITION PCMKR/LEAD RA/RV,7607.0,6770.23,250.65,7607.0,736 CDM,PX-481000092,HC RIGHT HEART CATH,10865.0,9669.85,863.46,10865.0,741 CDM,PX-481000093,HC RMVL ICD ELEC TRANSVEN EXTRACT,9488.0,8444.32,697.95,9488.0,736 CDM,PX-481000094,HC RMVL ICD GEN ONLY SUBQ,9989.0,8890.21,183.46,9989.0,736 CDM,PX-481000096,HC RMVL PCMKR ELEC 1 LEAD SYS,7838.0,6975.82,391.32,7838.0,738 CDM,PX-481000097,HC RMVL PCMKR ELEC DUAL LEAD SYS,9910.0,8819.9,519.11,9910.0,736 CDM,PX-481000098,HC RMVL PCMKR PULSE GEN ONLY,11149.0,9922.61,198.0,11149.0,738 CDM,PX-481000099,"HC RMVL PERC VENT ASSIST DEV LEFT HEART,ART &/OR ART&VEN",15322.0,13636.58,146.36,15322.0,734 CDM,PX-481000100,HC RMVL SQ IPLT DFB ELEC,10431.0,9283.59,284.06,10431.0,736 CDM,PX-481000101,HC RMVL&RPLC ICD GEN DUAL LEAD,51209.0,45576.01,312.27,51209.0,737 CDM,PX-481000102,HC RMVL&RPLC ICD GEN MULTI LEAD,54163.0,48205.07,323.95,54163.0,737 CDM,PX-481000103,HC RMVL&RPLC ICD GEN SNGL LEAD,48067.0,42779.63,300.84,48067.0,739 CDM,PX-481000105,HC RPLC AORTIC VLV OPEN FEM ARTY,63885.0,56857.65,1044.77,63885.0,734 CDM,PX-481000106,HC RPLC AORTIC VLV PERC FEM ARTY,58544.0,52104.16,784.75,58544.0,736 CDM,PX-481000107,HC RPLC PERM GEN DUAL LEAD,19286.0,17164.54,287.9,19286.0,739 CDM,PX-481000108,HC RPLC PERM GEN MULT LEAD,22856.0,20341.84,301.19,25556.51,737 CDM,PX-481000109,HC RPLC PERM GEN SNGL LEAD,21854.0,19450.06,276.12,21854.0,737 CDM,PX-481000110,HC RPR SNGL ELTRD/PPCMKR/ICD,10574.0,9410.86,320.42,10574.0,736 CDM,PX-481000111,HC RT< HRT CATH W VENTRICLGRPHY,17545.0,15615.05,1112.95,17545.0,737 CDM,PX-481000112,HC SEL CATH 1ST/2ND ORD THRC/BRCH,6155.0,5477.95,217.91,6155.0,719 CDM,PX-481000113,HC SEL CATH 2ND ORDER ABD PLV/LE,3158.0,2810.62,197.43,3158.0,720 CDM,PX-481000114,HC SEL CATH 3RD+ ORD SEL ABD LE,5108.0,4546.12,236.42,5108.0,719 CDM,PX-481000115,HC SEL CATH 3RD+ORD SEL THRC/BRCH,4321.0,3845.69,266.96,4321.0,719 CDM,PX-481000117,HC SEL CATH EA 1ST ORD ABD PLV/LE,3975.0,3537.75,187.65,3975.0,720 CDM,PX-481000118,HC SEL CATH EA 1ST ORD THRC/BRCH,3302.0,2938.78,174.38,3302.0,719 CDM,PX-481000122,HC SEL CATH RENAL ARTY&ANGIO BIL,11613.0,10335.57,276.01,11613.0,736 CDM,PX-481000123,HC SEL CATH RENAL ARTY&ANGIO UNILAT,9679.0,8614.31,202.89,9679.0,736 CDM,PX-481000129,HC THROMB CRNARY PERC,10206.0,9083.34,72.41,10206.0,719 CDM,PX-481000135,HC TRNSCATH MITR VLV RPR ADD PROST,2259.0,2010.51,326.71,2259.0,719 CDM,PX-481000136,HC TX CATH CLSR ASD W IMP,27133.0,24148.37,752.15,27133.0,741 CDM,PX-481000137,HC TX CATH CLSR VSD W IMP,37356.0,33246.84,1016.29,37356.0,736 CDM,PX-481000138,HC TXCATH MITRAL VALVE REPAIR INI,70062.0,62355.18,1414.35,70062.0,734 CDM,PX-481000140,HC UPGRADE IMPL PCMKR SYS,31419.0,27962.91,388.83,31419.0,736 CDM,PX-481000161,HC PTCA INTRACOR STNT SNGL MJR,30580.0,27216.2,491.39,30580.0,736 CDM,PX-481000165,HC PERC TRANSLUM ATHER WANGIO EA ADD,24387.0,21704.43,5072.5,24387.0,717 CDM,PX-481000166,"HC PARAVALVULAR LEAK CLOSURE, INI",34875.0,31038.75,1313.09,34875.0,734 CDM,PX-481000167,"HC PARAVLAVULAR LEAK CLOSURE, EA",3799.0,3381.11,473.55,3799.0,717 CDM,PX-481000168,HC PERC TXCATH CLSR LT ATR APNDG,29809.0,26530.01,509.19,29809.0,734 CDM,PX-481000172,HC PTA VENOUS INITIAL,13736.0,12225.04,1972.1,13736.0,737 CDM,PX-481000174,HC TMVI PERCUTANEOUS APPROACH,29263.0,26044.07,1955.91,29263.0,719 CDM,PX-481000177,HC PACING HRT RHYTHM,5331.0,4744.59,366.54,5331.0,736 CDM,PX-481000181,HC PERC TRANSCATH CLSR AORTIC,41831.0,37229.59,1085.09,41831.0,734 CDM,PX-481000184,HC INTRAVASC US NONCORONARY INIT VSL,9437.0,8398.93,70.69,9437.0,719 CDM,PX-481000188,HC RMVL TUN CV CATH WO SUBQ PORT,2243.0,1996.27,118.17,2243.0,741 CDM,PX-481000194,HC RTREV/RMVL INTRAVASC FB W IMG,9596.0,8540.44,240.55,9596.0,736 CDM,PX-481000195,HC VASC EMBL/OCCLUDE VENOUS,24199.0,21537.11,342.49,24199.0,739 CDM,PX-481000196,HC VASC EMBL/OCCLUDE ARTERIAL,24199.0,21537.11,380.0,24322.51,739 CDM,PX-481000197,HC INJ EXT VENOGRPH W NDLCATH,1288.0,1146.32,38.14,1288.0,720 CDM,PX-481000198,HC PLC OPN/PERC STENT INIT,22722.0,20222.58,344.94,22722.0,737 CDM,PX-481000199,HC PLC OPN/PERC STENT SAME INIT,22722.0,20222.58,242.67,22722.0,738 CDM,PX-481000200,HC INTRO CATH SUPR/INF VENA CAVA,3178.0,2828.42,85.85,3178.0,719 CDM,PX-481000201,HC TXCATH RENL SYMP DENERV UNILAT,11310.0,10065.9,2352.48,11310.0,734 CDM,PX-481000202,HC PERC TRANSCATH CLSR PDA,44851.0,39917.39,506.17,44851.0,737 CDM,PX-481000205,"HC TRANSCATH IMPL W-LESS PULM PRESS SENSOR, RHC",54867.0,48831.63,386.52,54867.0,734 CDM,PX-481000206,HC ECMO RMVL CANNULA >=6YR PERC,5089.0,4529.21,192.56,5089.0,734 CDM,PX-481000208,HC PERICARDIOCENTESIS W IMAGE GUIDE,5863.0,5218.07,181.6,5863.0,736 CDM,PX-481000209,HC PERI DRN W FLUOR/US >6YR W/O CONG,6572.0,5849.08,160.73,6572.0,736 CDM,PX-481000210,HC PERI DRAIN W FLUOR/US GUIDE CONG,6786.0,6039.54,222.6,6786.0,734 CDM,PX-481000212,"HC TRNSCTH TRICUSP VLV REPAIR, INIT",18526.0,16488.14,3853.41,18526.0,717 CDM,PX-481000213,"HC TRNSCTH TRICUS VLV REP, EA ADDL",3018.0,2686.02,627.74,3018.0,717 CDM,PX-481000214,HC TCAT TV ANN RCNSTJ W/IMPL ADJST ANN RCNSTJ DEV,3643.0,3242.27,757.74,3643.0,719 CDM,PX-481000215,HC ECMO INSERT CANNULA >=6YR PERC,8758.0,7794.62,7882.2,7882.2,1 CDM,PX-481000217,"HC PERQ TCAT IMPLT INTERATRIAL SEPTAL SHUNT, W/R & L HRT CATH",12144.0,10808.16,2525.95,12144.0,719 CDM,PX-481000218,HC RMV & REPLACE SUBSTERNAL IMPL DEFIB PULS GEN,50227.0,44702.03,10447.22,50227.0,734 CDM,PX-481000219,HC REVASC INTRAVASC LITHOTRIPSY,25448.0,22648.72,5293.18,25448.0,735 CDM,PX-481000220,HC REVASC INTRA LITHOTRIP-STENT,37322.0,33216.58,7762.98,37322.0,735 CDM,PX-481000221,HC REVASC INTRA LITHOTRIP-ATHER,47798.0,42540.22,9941.98,47798.0,734 CDM,PX-481000223,HC TAS CONGENITAL CAR ANOMAL,15381.0,13689.09,486.85,15381.0,734 CDM,PX-481000224,HC TIS CGEN CAR ANOMAL 1ST SHNT,15765.0,14030.85,695.93,15765.0,734 CDM,PX-481000225,HC TIS CGEN CAR ANOMAL EA ADDL,3154.0,2807.06,328.75,3154.0,732 CDM,PX-481000226,HC PTA PULMONARY ARTY ADD VSSL,11911.0,10600.79,245.13,11911.0,719 CDM,PX-481000227,HC INJ CATH LT VENT/ATRIAL ANGIO,1961.0,1745.29,20.65,1961.0,719 CDM,PX-481000228,HC TCAT INTRA-C NFS SUPERSAT O2,1751.0,1558.39,364.21,1751.0,719 CDM,PX-481000229,HC TCAT L VENTR RSTRJ DEV IMPLT,12261.0,10912.29,2550.29,12261.0,719 CDM,PX-481000230,HC TCAT RMVL/DBLK ICAR MAS PERQ,12261.0,10912.29,2507.93,12261.0,734 CDM,PX-481000231,HC TCAT IMPLTJ C SINS RDCTJ DEV,12261.0,10912.29,2550.29,24322.51,734 CDM,PX-481000232,HC TTVI/RPLCMT W/PRSTC VLV PERQ,15765.0,14030.85,3279.12,15765.0,719 CDM,PX-481000233,HC INSERT PERQ VAD R HRT VENOUS,10718.0,9539.02,278.6,10718.0,732 CDM,PX-481000234,HC R HRT CATH CHD NML NT CNJ,12816.0,11406.24,2665.73,12816.0,734 CDM,PX-481000235,HC R HRT CATH CHD ABNL NT CNJ,12816.0,11406.24,2665.73,12816.0,736 CDM,PX-481000236,HC L HRT CATH CHD NM/ABN NT CNJ,13233.0,11777.37,2752.46,13233.0,734 CDM,PX-481000237,HC R&L HRT CATH CHD NML NT CNJ,15214.0,13540.46,3164.51,15214.0,735 CDM,PX-481000238,HC R&L HRT CATH CHD ABNL NT CNJ,14735.0,13114.15,3064.88,14735.0,734 CDM,PX-481000239,HC CAR OUTP MEAS DRG CATH CHD,3280.0,2919.2,682.24,3280.0,717 CDM,PX-481000240,HC TCAT PLMT&RMVL CEPD PERQ,13817.0,12297.13,154.41,13817.0,717 CDM,PX-481000242,HC ECMO REPOS CANNULA >=6YR PERC,5655.0,5032.95,5089.6,5089.6,1 CDM,PX-481000243,HC ECMO INS PRPH CANNULA <=5YRS PERC,8483.0,7549.87,7634.8,7634.8,1 CDM,PX-481000244,HC TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX,7756.0,6902.84,123.39,7756.0,719 CDM,PX-481000247,HC NJX CTH SLCT P-ART ANGRP UNI,1521.0,1353.69,53.93,1521.0,717 CDM,PX-481000248,HC NJX CATH SLCT P-ART ANGRP BI,1379.0,1227.31,89.57,1379.0,717 CDM,PX-481000249,HC NJX CATH SLCT PULM VN ANGRPH,1379.0,1227.31,98.28,1379.0,717 CDM,PX-481000250,HC NJX CATH SLCT P ANGRPH MAPCA,1379.0,1227.31,131.7,1379.0,717 CDM,PX-481000251,HC INTRVAS DPLR ANGIO INIT IFR,3167.0,2818.63,128.95,3167.0,738 CDM,PX-481000252,HC REVASC LITHOTRIP TIBI/PERONE,31688.0,28202.32,6591.1,31688.0,735 CDM,PX-481000275,HC PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI,39805.0,35426.45,679.82,39805.0,734 CDM,PX-481000277,HC PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL,39774.0,35398.86,863.18,39774.0,734 CDM,PX-481000282,HC RSH BLIND COR SINUS REDUCER IMPL,24149.0,21492.61,5022.99,24149.0,734 CDM,PX-481000284,HC TRANSCAROTID TAVR,58544.0,52104.16,628.65,58544.0,734 CDM,PX-481000287,HC PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY,3246.0,2888.94,176.76,3246.0,717 CDM,PX-481000288,HC VENOGRAPHY CHD ANOMALOUS/PERSISTENT SVC NT DRG,4668.0,4154.52,71.0,4668.0,717 CDM,PX-481000289,HC VENOGRAPHY CHD AZYGOS/HEMIAZYGOS VENOUS SYSTEM,4668.0,4154.52,66.98,4668.0,717 CDM,PX-481000290,HC VENOGRAPHY CHD CORONARY SINUS,4668.0,4154.52,86.81,4668.0,717 CDM,PX-481000291,HC VENOGRAPHY CHD VENOVENOUS COLTRL AT/ABOVE HRT,4668.0,4154.52,125.03,4668.0,717 CDM,PX-481000292,HC VENOGRAPHY CHD VENOVENOUS COLLATERAL BELOW HEART,4668.0,4154.52,126.03,4668.0,717 CDM,PX-481000293,HC REVASC LITHOTR-ATHER TIB/PER,38991.0,34701.99,8110.13,38991.0,734 CDM,PX-481000294,HC REVASC LITH-STEN-ATH TIB/PER,38991.0,34701.99,8110.13,38991.0,734 CDM,PX-481000295,HC PRQ TCAT THER RX NTRAC BALO1,9297.0,8274.33,1933.78,15316.89,735 CDM,PX-481000296,HC PRQ TCAT THR RX NTRC BAL SEP,1860.0,1655.4,386.88,1860.0,717 CDM,PX-481000398,HC ENDOVASC VENOUS ARTERIALIZATION TIBIAL/PERONEAL,55900.0,49751.0,11627.2,58441.09,734 CDM,PX-481000399,HC REPOS PREV IMPLT SQ IMPLT DEF,20709.0,18431.01,326.61,20709.0,736 CDM,PX-481000400,HC INTRAVASC US NONCORONARY ADD VSL,4771.0,4246.19,56.06,4771.0,719 CDM,PX-481000403,HC INTRO CATH RT HEART/PULM ARTY,2603.0,2316.67,103.31,2603.0,719 CDM,PX-481000404,HC PHLEB VARICOSE VEIN 10 OR LESS UNILAT,3867.0,3441.63,628.65,3867.0,740 CDM,PX-481000405,HC PHLEB VARICOSE VEIN 10 OR LESS BILAT,5801.0,5162.89,628.65,5801.0,740 CDM,PX-481000407,HC EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR,25939.0,23085.71,5395.31,25939.0,734 CDM,PX-481000408,HC THROMB ARTL GRFT NOT HEMO GRFT,15140.0,13474.6,479.28,15140.0,736 CDM,PX-481000411,HC PHLEB VEINS 1 EXT 10-20 INCS,10187.0,9066.43,221.4,10187.0,736 CDM,PX-481000418,HC PERQ TCAT PLMT NTRAC ST 2+LES 2+ST 2+C SEGMENTS,49370.0,43939.3,731.0,49370.0,734 CDM,PX-481000419,HC PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRD&RTRGR,31090.0,27670.1,913.95,31090.0,732 CDM,PX-481000420,HC REVSC EVASC TPVT ST CPLX 1ST,58820.0,52349.8,12234.56,58820.0,734 CDM,PX-481000421,HC REVSC EVASC IMVT ANGIO SF 1,21947.0,19532.83,4564.98,21947.0,734 CDM,PX-481000422,HC SEL CATH PLC VEN SYS 1ST ORDER,3788.0,3371.32,124.39,3788.0,720 CDM,PX-481000435,HC INTRO NDL/CATH EXT ARTY,2680.0,2385.2,70.39,2680.0,719 CDM,PX-481000442,HC REVSC EVASC IVT ANGIO SF 1ST,17075.0,15196.75,3125.54,17075.0,734 CDM,PX-481000443,HC REVSC EVASC IVT ANGIO SF EA,6915.0,6154.35,756.8,6915.0,717 CDM,PX-481000444,HC REVSC EVASC IVT ANGIO CPLX 1,17075.0,15196.75,3551.6,17075.0,734 CDM,PX-481000445,HC REVSC EVSC IVT ANGIO CPLX EA,6097.0,5426.33,855.03,6097.0,717 CDM,PX-481000446,HC REVSC EVASC IVT STENT SF 1ST,30855.0,27460.95,5408.81,30855.0,734 CDM,PX-481000447,HC REVSC EVASC IVT STENT SF EA,15149.0,13482.61,1819.31,15149.0,717 CDM,PX-481000448,HC REVSC EVASC IVT ST CPLX 1ST,30855.0,27460.95,6417.84,30855.0,734 CDM,PX-481000449,HC REVSC EVASC IVT ST CPLX EA,15149.0,13482.61,3150.99,15149.0,717 CDM,PX-481000450,HC IV LITHOTRP IVT W/IN SM ART,7234.0,6438.26,1504.67,7234.0,717 CDM,PX-481000451,HC REVSC EVASC FPVT ANGIO SF 1,17441.0,15522.49,3627.73,17441.0,734 CDM,PX-481000452,HC REVSC EVASC FPVT ANGIO SF EA,6675.0,5940.75,1388.4,6675.0,717 CDM,PX-481000453,HC REVSC EVSC FPVT ANGIO CPLX 1,17441.0,15522.49,3627.73,17441.0,734 CDM,PX-481000454,HC RVSC EVSC FPVT ANGIO CPLX EA,6572.0,5849.08,1366.98,6572.0,717 CDM,PX-481000455,HC REVSC EVSC FPVT STENT SF 1ST,27050.0,24074.5,5626.4,27050.0,734 CDM,PX-481000456,HC REVSC EVASC FPVT STENT SF EA,11432.0,10174.48,2377.86,11432.0,717 CDM,PX-481000457,HC REVSC EVASC FPVT ST CPLX 1ST,27050.0,24074.5,5626.4,27050.0,734 CDM,PX-481000458,HC REVSC EVASC FPVT ST CPLX EA,9137.0,8131.93,1900.5,9137.0,717 CDM,PX-481000459,HC REVSC EVSC FPVT ATHRC SF 1ST,33785.0,30068.65,7027.28,33785.0,734 CDM,PX-481000460,HC REVSC EVSC FPVT ATHRC SF EA,14891.0,13252.99,3097.33,14891.0,717 CDM,PX-481000461,HC REVSC EVSC FPVT ATHRC CPLX 1,33785.0,30068.65,7027.28,33785.0,734 CDM,PX-481000462,HC RVSC EVSC FPVT ATHRC CPLX EA,14639.0,13028.71,3044.91,14639.0,717 CDM,PX-481000463,HC RVSC EVSC FPVT ST ATHRC SF 1,33785.0,30068.65,7027.28,33785.0,734 CDM,PX-481000464,HC RVSC EVSC FPVT ST ATHR SF EA,12965.0,11538.85,2696.72,12965.0,717 CDM,PX-481000465,HC RVSC EVSC FPVT ST ATHR CPX 1,33785.0,30068.65,7027.28,33785.0,734 CDM,PX-481000466,HC RVSC EVSC FPVT ST ATH CPX EA,13425.0,11948.25,2792.4,13425.0,717 CDM,PX-481000467,HC IV LITHOTRP FPVT W/IN SM ART,9005.0,8014.45,1873.04,9005.0,717 CDM,PX-481000468,HC REVSC EVSC TPVT ANGIO SF 1ST,21947.0,19532.83,4063.94,21947.0,734 CDM,PX-481000469,HC REVSC EVSC TPVT ANGIO SF EA,13385.0,11912.65,1107.66,13385.0,717 CDM,PX-481000470,HC RVSC EVSC TPVT ANGIO CPLX 1,21947.0,19532.83,4564.98,21947.0,734 CDM,PX-481000471,HC RVSC EVSC TPVT ANGIO CPLX EA,13385.0,11912.65,1291.08,13385.0,717 CDM,PX-481000472,HC REVSC EVASC TPVT ST SF 1ST,58820.0,52349.8,8592.54,58820.0,734 CDM,PX-481000473,HC REVSC EVASC TPVT ST SF EA,19422.0,17285.58,4039.78,19422.0,717 CDM,PX-481000474,HC REVSC EVASC TPVT ST CPLX EA,29218.0,26004.02,6077.34,29218.0,717 CDM,PX-481000475,HC REVSC EVSC TPVT ATHRC SF 1ST,58820.0,52349.8,11908.86,58820.0,734 CDM,PX-481000476,HC REVSC EVSC TPVT ATHRC SF EA,20735.0,18454.15,1378.4,20735.0,717 CDM,PX-481000477,HC REVSC EVSC TPVT ATHRC CPLX 1,58820.0,52349.8,12234.56,58820.0,734 CDM,PX-481000478,HC REVSC EVSC TPVT ATHR CPLX EA,22442.0,19973.38,1601.03,22442.0,717 CDM,PX-481000479,HC RVSC EVSC TPVT ST ATHRC SF 1,59840.0,53257.6,12446.72,59840.0,734 CDM,PX-481000480,HC RVSC EVSC TPVT ST ATHR SF EA,26314.0,23419.46,5357.64,26314.0,717 CDM,PX-481000481,HC RVSC EVSC TPVT ST ATHR CPX 1,59840.0,53257.6,12446.72,59840.0,734 CDM,PX-481000482,HC RVSC EVSC TPVT ST ATH CPX EA,27673.0,24628.97,5755.98,27673.0,717 CDM,PX-481000483,HC REVSC EVASC IMVT ANGIO SF EA,13210.0,11756.9,1240.41,13210.0,717 CDM,PX-481000484,HC REVSC EVSC IMVT ANGIO CPLX 1,21947.0,19532.83,4564.98,21947.0,734 CDM,PX-481000485,HC REVSC EVSC IMVT ANGIO CPX EA,13385.0,11912.65,1340.25,13385.0,717 CDM,PX-48102,PR BIOPSY PANCREAS PERC NEEDLE,2245.0,1998.05,200.13,2245.0,482 CDM,PX-48105,PR DBRD PANCREAS NECROTIZING,15061.0,13404.29,950.06,15061.0,482 CDM,PX-48120,PR EXCISN LESN PANCREAS,7601.0,6764.89,384.58,7601.0,482 CDM,PX-48140,PR PANCREATECT WO PANCROJEJUNOST,10634.0,9464.26,537.07,10634.0,482 CDM,PX-48150,PR PNCRTECT TOT DUOD W PANCRJEJ,18159.0,16161.51,1055.98,18159.0,482 CDM,PX-48152,PR PNCRTECT TOT DUOD WO PANCRJEJ,19227.0,17112.03,976.64,19227.0,482 CDM,PX-48153,PR PNCRTECT NR TOT DUOD W PANCRJEJ,18159.0,16161.51,1048.3,18159.0,482 CDM,PX-48155,PR PANCREATECTOMY TOTAL,11686.0,10400.54,634.36,11686.0,482 CDM,PX-482000003,HC ERGONOVINE PROVOCATION TEST,805.0,716.45,115.41,805.0,737 CDM,PX-482000004,HC CV STRESS TEST TRACE ONLY,952.0,847.28,39.72,952.0,753 CDM,PX-483000012,HC ECHO TEE,6698.0,5961.22,184.9,6698.0,720 CDM,PX-483000033,HC 3D ECHO IMG CGEN CAR ANOMAL,2082.0,1852.98,83.91,2082.0,724 CDM,PX-48540,PR ANAST PANCREAS CYST ROUX-EN-Y,8223.0,7318.47,446.8,8223.0,482 CDM,PX-48548,PR ANAST PANCRJEJUN SIDE-TO-SIDE,11503.0,10237.67,569.7,11503.0,482 CDM,PX-48550,PR PANCREATECTOMY DONOR,8663.0,7710.07,7623.44,8663.0,477 CDM,PX-48551,PR BKBENCH DONOR PANCREAS,5333.0,4746.37,92.16,5333.0,482 CDM,PX-48552,PR BKBENCH DONOR PANCREAS ANAST,1665.0,1481.85,75.92,1665.0,482 CDM,PX-48554,PR TXPLANT PANCREATIC ALLOGRFT,21368.0,19017.52,963.37,21368.0,482 CDM,PX-48556,PR RMVL TXPLANT PANCREATIC ALLO,7997.0,7117.33,465.15,7997.0,482 CDM,PX-48999001,PR ENDO PANCREATIC NECROSECTOMY,15061.0,13404.29,753.05,15061.0,477 CDM,PX-48999003,PR PANC LITHOTRIPSY SHOCK WAVE,5437.0,4838.93,271.85,5437.0,477 CDM,PX-48999004,PR EUS RADIO FREQUENCY ABLATION,14376.0,12794.64,718.8,14376.0,477 CDM,PX-49000,PR LAP CELIOTOMY W/WO BX EXPLR,5575.0,4961.75,271.08,5575.0,482 CDM,PX-490000000,HC PATIENT DOC NOT EXP FALL,1.0,0.89,0.21,1.0,719 CDM,PX-490000001,HC PATIENT WO IV ANTIBIO ORDER,1.0,0.89,0.21,1.0,719 CDM,PX-49002,PR REOPNING OF RECENT LAPAROTOMY,6256.0,5567.84,359.6,6256.0,482 CDM,PX-49010,PR EXPLR RETROPERITONEAL W/WO BX,5746.0,5113.94,317.97,5746.0,482 CDM,PX-49020,PR DRN PERITON ABSC OPN,8584.0,7639.76,551.11,8584.0,482 CDM,PX-49060,PR DRN RETROPERITONEAL ABCESS OPN,6487.0,5773.43,381.29,6487.0,482 CDM,PX-49062,PR DRN EXTRAPERITONEAL LYMPHOCELE,5792.0,5154.88,271.47,5792.0,482 CDM,PX-49082,PR PARACENTESIS ABD WO IMG,895.0,796.55,100.45,895.0,482 CDM,PX-49083,PR PARACENTESIS ABD W IMG,1172.0,1043.08,116.47,1172.0,482 CDM,PX-49180,PR BX ABD/RETROPERITNL MASS PERC,1225.0,1090.25,69.05,1225.0,482 CDM,PX-49185,PR SCLEROTHERAPY FLUID COLLECT PERC,2471.0,2199.19,1005.2,2471.0,483 CDM,PX-49186,"PR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 5 CM/<",7607.0,6770.23,455.99,7607.0,482 CDM,PX-49187,"PR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 5.1-10",9986.0,8887.54,574.09,9986.0,482 CDM,PX-49188,"PR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 10.1-20",12320.0,10964.8,688.29,12320.0,482 CDM,PX-49189,"PR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 20.1-30",16016.0,14254.24,796.21,16016.0,482 CDM,PX-49190,"PR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST >30 CM",20820.0,18529.8,978.96,20820.0,482 CDM,PX-49215,PR EXCISN PRESAC/SACROCOCCYGEAL TMR,12638.0,11247.82,745.81,12638.0,482 CDM,PX-49250,PR UMBILECTOMY OMPHALECTMY EXCISN,3540.0,3150.6,214.08,3540.0,482 CDM,PX-49255,PR OMENTECTOMY EPIPLOECTOMY,5076.0,4517.64,282.24,5076.0,482 CDM,PX-49320,PR LAP ABD/PERITNM/OMENT DX BRUSH,2839.0,2526.71,118.53,2839.0,482 CDM,PX-49321,PR LAPAROSCOPY W BX SNGL/MULT,2280.0,2029.2,123.59,2280.0,482 CDM,PX-49322,PR LAPAROSCOPY W ASP CAVITY/CYST,3682.0,3276.98,132.7,3682.0,482 CDM,PX-49324,PR LAPAROSCOPY W INS TUNL CATH,2546.0,2265.94,135.18,2546.0,482 CDM,PX-49325,PR LAP W REV INTRAPERITONEAL CATH,2759.0,2455.51,143.32,2759.0,482 CDM,PX-49326,PR LAPAROSCOPY W OMENTOPEXY,1782.0,1585.98,121.52,1782.0,482 CDM,PX-49329001,PR LAP OMENTAL FLAP EXTRA ABDOMINAL,7989.0,7110.21,399.45,7989.0,477 CDM,PX-49329006,PR LAP RELEASE MED ARC LIG,5575.0,4961.75,278.75,5575.0,477 CDM,PX-49402,PR RMVL PERITONEAL FOREIGN BODY,5017.0,4465.13,297.11,5017.0,482 CDM,PX-49405,PR DRN VISC FLUID CATH PERC W IMG,2730.0,2429.7,345.96,2730.0,482 CDM,PX-49406,PR DRN PERITNM FLUID CATH W IMG,2680.0,2385.2,345.68,2680.0,482 CDM,PX-49407,PR DRN TRANSREC/VAG FL CATH W IMG,3486.0,3102.54,302.62,3486.0,482 CDM,PX-49411,PR INS MARK ABD/PEL FOR RT PERC,1897.0,1688.33,192.61,1897.0,482 CDM,PX-49418,PR INS INTRAPERITONEAL CATH W IMG,3664.0,3260.96,388.54,3664.0,482 CDM,PX-49421,PR INS TUNL IP CATH DIALYSIS OPEN,2788.0,2481.32,74.89,2788.0,482 CDM,PX-49422,PR RMVL TUNL INTRAPERITONEAL CATH,2950.0,2625.5,73.57,2950.0,482 CDM,PX-49423,PR EXCHNG DRN CATH RAD GUIDANCE,1276.0,1135.64,228.52,1276.0,482 CDM,PX-49424,PR INJ CNTRST EVAL ABSC/CYST,433.0,385.37,70.81,433.0,482 CDM,PX-49436,PR DELAYED CREATION EXIT SITE EMBEDDED CATHETER,1014.0,902.46,228.31,1014.0,482 CDM,PX-49440,PR INSERT GASTROSTOMY TUBE PERC,3553.0,3162.17,325.13,3553.0,482 CDM,PX-49441,PR INSERT DUODEN/JEJUN TUBE PERC,3804.0,3385.56,403.3,3804.0,482 CDM,PX-49442,PR INS TUBE CECOSTOMY W FL,3724.0,3314.36,260.32,3724.0,482 CDM,PX-49446,PR CONVERSION TO GASTRO-JEJ TUBE,3148.0,2801.72,315.89,3148.0,482 CDM,PX-49450,PR RPLC GASTROST/CECOST TUBE PERC,1855.0,1650.95,199.6,1855.0,508 CDM,PX-49451,PR RPLC DUOD/JEJ TUBE PERC,1924.0,1712.36,249.89,1924.0,482 CDM,PX-49452,PR RPLC TUBE GASTRO-JEJ W FLUORO,3791.0,3373.99,301.32,3791.0,482 CDM,PX-49460,PR RMVL OBSTR MATERIAL GI TUBE,2728.0,2427.92,298.1,2728.0,482 CDM,PX-49465,PR INJ CONTRAST RAD EVAL GI TUBE,560.0,498.4,53.72,560.0,482 CDM,PX-49491,PR RPR HERNIA PRETERM REDUC INIT,5287.0,4705.43,283.31,5287.0,482 CDM,PX-49495,PR RPR HERNIA FULLTERM REDUC INIT,3821.0,3400.69,149.14,3821.0,482 CDM,PX-49500,PR RPR HERNIA 6MO-<5YR REDUC INIT,3598.0,3202.22,155.85,3598.0,482 CDM,PX-49505,PR RPR INGUINL HERNIA >5YR REDUC,3266.0,2906.74,189.74,3266.0,482 CDM,PX-49507,PR RPR INGUINL HERNIA >5 INCARC,4242.0,3775.38,211.85,4242.0,482 CDM,PX-49520,PR RPR RCUR INGUINL HERNIA REDUC,4565.0,4062.85,225.94,4565.0,482 CDM,PX-49521,PR RPR RCUR INGUINL HERNIA INCARC,4777.0,4251.53,254.02,4777.0,482 CDM,PX-49525,PR RPR INGUINAL HERNIA SLIDING,4279.0,3808.31,206.56,4279.0,482 CDM,PX-49550,PR RPR FEM HERNIA REDUCIBLE INIT,3429.0,3051.81,208.02,3429.0,482 CDM,PX-49553,PR RPR FEMORAL HERNIA INCARC INITIAL,3957.0,3521.73,226.64,3957.0,482 CDM,PX-49591,PR RPR AA HRN 1ST < 3 CM RDC,2723.0,2423.47,115.34,2723.0,482 CDM,PX-49592,PR RPR AA HRN 1ST < 3 NCR/STRN,4032.0,3588.48,158.58,4032.0,482 CDM,PX-49593,PR RPR AA HRN 1ST 3-10 RDC,4881.0,4344.09,190.42,4881.0,482 CDM,PX-49594,PR RPR AA HRN 1ST 3-10 NCR/STRN,6456.0,5745.84,246.84,6456.0,482 CDM,PX-49595,PR RPR AA HRN 1ST > 10 RDC,6894.0,6135.66,255.71,6894.0,482 CDM,PX-49596,PR RPR AA HRN 1ST > 10 NCR/STRN,9192.0,8180.88,338.76,9192.0,482 CDM,PX-49605,PR RPR LG OMPHALOCELE W/WO PROSTH,26495.0,23580.55,1624.8,26495.0,482 CDM,PX-49606,PR RPR OMPHALOCELE W RMVL PROSTH,8736.0,7775.04,388.41,8736.0,482 CDM,PX-49613,PR RPR AA HRN RCR < 3 RDC,3501.0,3115.89,141.09,3501.0,482 CDM,PX-49614,PR RPR AA HRN RCR < 3 NCR/STRN,4727.0,4207.03,190.0,4727.0,482 CDM,PX-49615,PR RPR AA HRN RCR 3-10 RDC,5410.0,4814.9,211.64,5410.0,482 CDM,PX-49616,PR RPR AA HRN RCR 3-10 NCR/STRN,7373.0,6561.97,283.39,7373.0,482 CDM,PX-49617,PR RPR AA HRN RCR > 10 RDC,7638.0,6797.82,293.22,7638.0,482 CDM,PX-49618,PR RPR AA HRN RCR > 10 NCR/STRN,11053.0,9837.17,409.52,11053.0,482 CDM,PX-49621,PR RPR PARASTOMAL HERNIA RDC,5811.0,5171.79,250.06,5811.0,482 CDM,PX-49622,PR RPR PARASTOMAL HRNA NCR/STRN,7299.0,6496.11,309.21,7299.0,482 CDM,PX-49623,PR RMVL NINFCT MESH HERNIA RPR,1273.0,1132.97,132.66,1273.0,482 CDM,PX-49650,PR LAP RPR HERNIA INGUINAL INIT,3214.0,2860.46,159.36,3214.0,482 CDM,PX-49651,PR LAP RPR HERNIA INGUINAL RECUR,3685.0,3279.65,206.25,3685.0,482 CDM,PX-49900,PR SUTR ABD WALL EVISC/DEHIS,4738.0,4216.82,300.84,4738.0,482 CDM,PX-49904,PR OMENTAL FLAP EXTRA ABDOMINAL,7989.0,7110.21,482.21,7989.0,482 CDM,PX-49905,PR OMENTAL FLAP INTRA ABDOMINAL,2687.0,2391.43,229.86,2687.0,482 CDM,PX-49999003,PR PERC ABLAT ABD/RETROPERTNEAL,15730.0,13999.7,786.5,15730.0,477 CDM,PX-50080,PR NEPHROSTOLITHOTOMY PERC <=2CM,6083.0,5413.87,243.55,6083.0,482 CDM,PX-50081,PR NEPHROLITHOTOMY PERC >2CM,10067.0,8959.63,386.42,10067.0,482 CDM,PX-50200,PR BIOPSY RENAL NEEDLE/TROC PERC,1395.0,1241.55,203.24,1395.0,482 CDM,PX-50205,PR BX RENAL SURG EXPOSURE KIDNEY,5443.0,4844.27,264.89,5443.0,482 CDM,PX-50220,PR NEPHREC INCL PARTL URETERECT,8235.0,7329.15,366.86,8235.0,482 CDM,PX-50230,PR NEPHREC RMVL LYMPHDEC/THROMB,11601.0,10324.89,437.88,11601.0,482 CDM,PX-50234,PR NEPHREC W TOT URETREC SAME INC,11567.0,10294.63,446.46,11567.0,482 CDM,PX-50240,PR NEPHRECTOMY PARTIAL,10450.0,9300.5,458.82,10450.0,482 CDM,PX-50280,PR EXCISION/UNROOFING CYST KIDNEY,7582.0,6747.98,329.2,7582.0,482 CDM,PX-50323,PR BKBENCH CADAVER RENAL GRFT,3147.0,2800.83,116.91,3147.0,482 CDM,PX-50325,PR BKBENCH LIVING RENAL GRFT,3776.0,3360.64,68.8,3776.0,482 CDM,PX-50327,PR BKBENCH RENAL GRFT VEN ANAST,1720.0,1530.8,70.22,1720.0,482 CDM,PX-50328,PR BKBENCH RENAL GRFT ARTL ANAST,1534.0,1365.26,61.44,1534.0,482 CDM,PX-50360,PR TRANSPLANT RENAL WO NEPHREC,20150.0,17933.5,847.25,20150.0,482 CDM,PX-50365,PR TRANSPLANT RENAL W NEPHREC,21479.0,19116.31,1037.15,21479.0,482 CDM,PX-50380,PR REIMPLANTATION KIDNEY,12746.0,11343.94,740.49,12746.0,482 CDM,PX-50382,PR RPLC URETER STNT PERC S&I,3289.0,2927.21,390.53,3289.0,482 CDM,PX-50384,PR REMOVAL URETER STENT PERC S&I,3766.0,3351.74,337.0,3766.0,482 CDM,PX-50387,PR RMVL/RPLC TRANSNEPH STNT W S&I,1234.0,1098.26,215.62,1234.0,482 CDM,PX-50389,PR RMVL NEPHROSTOMY TUBE W FLUORO,841.0,748.49,164.69,841.0,482 CDM,PX-50390,PR ASPIRATION/INJ RENAL CYST PERC,816.0,726.24,31.08,816.0,482 CDM,PX-50391,PR INSTILL THER AGENT RENL/URETER,1018.0,906.02,50.28,1018.0,482 CDM,PX-50396,PR MANOMETRIC STDS THRU NEPHROST,968.0,861.52,39.27,968.0,482 CDM,PX-50430,PR INJ ANTEGRD NFROSGRM&/URTGRM NEW,2183.0,1942.87,254.49,2183.0,482 CDM,PX-50431,PR INJ ANTEGRD NFROSGRM&/URTGRM EXIST,972.0,865.08,127.67,972.0,482 CDM,PX-50432,PR PLC NEPHROSTOMY CATH PERC NEW,3524.0,3136.36,356.93,3524.0,482 CDM,PX-50433,PR PLC NEPHROURETERAL CATH PERC NEW,3469.0,3087.41,444.02,3469.0,482 CDM,PX-50434,PR CONV NEPHROST TO NEPHROURET CATH,3671.0,3267.19,357.65,3671.0,482 CDM,PX-50435,PR EXCHG NEPHROST CATH PERC,1738.0,1546.82,233.87,1738.0,482 CDM,PX-50436,PR PERQ DIL XST TRC ENDOUROLOGIC PX W/IMG,1341.0,1193.49,52.65,1341.0,482 CDM,PX-50437,PR PERQ DIL XST TRC NEW ACS REN COLTJ SYS,2200.0,1958.0,86.53,2200.0,482 CDM,PX-50541,PR LAPAROSCOPY ABLATION RENL CYST,6517.0,5800.13,316.71,6517.0,482 CDM,PX-50543,PR LAPAROSCOPY PARTL NEPHRECTOMY,11577.0,10303.53,513.13,11577.0,482 CDM,PX-50544,PR LAPAROSCOPY PYELOPLASTY,10490.0,9336.1,424.7,10490.0,482 CDM,PX-50545,PR LAPAROSCOPY RADCL NEPHRECTOMY,12210.0,10866.9,456.67,12210.0,482 CDM,PX-50546,PR LAP NEPHREC W PARTL URETERECT,9454.0,8414.06,415.09,9454.0,482 CDM,PX-50547,PR LAP LIVING DONOR NEPHRECTOMY,15548.0,13837.72,573.41,15548.0,482 CDM,PX-50548,PR LAP NEPHREC W TOT URETERECT,11577.0,10303.53,458.12,11577.0,482 CDM,PX-50551,PR ENDO RENAL NEPHROST/PYELSTMY,2270.0,2020.3,149.17,2270.0,482 CDM,PX-50553,PR ENDO RENL NEPHROST URETER CATH,2453.0,2183.17,159.32,2453.0,482 CDM,PX-50555,PR ENDO RENL NEPHROST/PYELSTMY BX,2607.0,2320.23,169.63,2607.0,482 CDM,PX-50557,PR ENDO RENL NEPHROST/PYELSTMY W FULG,2304.0,2050.56,172.58,2304.0,482 CDM,PX-50561,PR ENDO RENAL NEPHROSTOMY RMVL FB,3775.0,3359.75,195.31,3775.0,482 CDM,PX-50562,PR ENDO RENAL NEPHROST RSECT TUM,4412.0,3926.68,197.43,4412.0,482 CDM,PX-50575,PR ENDO RENL NEPHROTOMY ENDOPYELO,3571.0,3178.19,238.25,3571.0,482 CDM,PX-50590,PR LITHOTRIPSY SHOCK WAVE,5437.0,4838.93,303.11,5437.0,482 CDM,PX-50592,PR ABLATION RENAL TUMORS UNILAT RF,6382.0,5679.98,1091.37,6382.0,482 CDM,PX-50593,PR ABLATION RENAL TUMOR PERC CRYO,8156.0,7258.84,1459.2,8156.0,482 CDM,PX-50605,PR URETEROTOMY INS INDWELLNG STNT,7228.0,6432.92,347.89,7228.0,482 CDM,PX-50630,PR URTROLITHOTOMY LWR 1/3 URETER,6725.0,5985.25,309.93,6725.0,482 CDM,PX-50650,PR URETERECTOMY W BLADDER CUFF,8351.0,7432.39,358.83,8351.0,482 CDM,PX-50684,PR INJ URETERO/URETEROPYELOGRAPHY,851.0,757.39,52.76,851.0,482 CDM,PX-50688,PR CHANGE URETEROSTOMY TUBE/STENT,557.0,495.73,28.11,557.0,482 CDM,PX-50690,PR INJ ILEAL CON/URETEROPYLGRPHY,616.0,548.24,47.44,616.0,484 CDM,PX-50693,PR PLC URETER STNT PRE-EXIST NEPHROST TRCT,2990.0,2661.1,391.69,2990.0,482 CDM,PX-50694,PR PLC URETER STNT NEW WO NEPHROST CATH,4372.0,3891.08,437.85,4372.0,482 CDM,PX-50695,PR PLC URETER STNT NEW W NEPHROST CATH,5717.0,5088.13,524.7,5717.0,482 CDM,PX-50700,PR URETROPLASTY PLASTIC OPR URETER,6206.0,5523.34,322.56,6206.0,482 CDM,PX-50706,PR BALN DIL URETER STRICTURE W IMG,3259.0,2900.51,654.68,3259.0,482 CDM,PX-50715,PR URETEROLYSIS W/WO REPO URETER,8295.0,7382.55,419.54,8295.0,482 CDM,PX-50727,PR REV URINARY CUTNEOUS ANASTOM,4786.0,4259.54,184.57,4786.0,482 CDM,PX-50728,PR REV URINARY ANAST W RPR HERNIA,4746.0,4223.94,247.64,4746.0,482 CDM,PX-50740,PR URETEROPYELO ANASTMO RENL PELV,9479.0,8436.31,424.47,9479.0,482 CDM,PX-50760,PR URETEROURETEROSTOMY,8675.0,7720.75,390.3,8675.0,482 CDM,PX-50770,PR TRANSURETEROURETEROSTOMY ANAST,9384.0,8351.76,397.96,9384.0,482 CDM,PX-50780,PR URETERONEOCYST ANAST 1 URETER,9109.0,8107.01,384.5,9109.0,482 CDM,PX-50782,PR URETERONEOCYST ANAST DUP URETER,10400.0,9256.0,372.07,10400.0,482 CDM,PX-50785,PR URETERONEOCYST W VESICO HTCH/FLAP,10885.0,9687.65,417.23,10885.0,482 CDM,PX-50800,PR URETEROENTEROSTOMY DIRECT,6055.0,5388.95,322.55,6055.0,482 CDM,PX-50815,PR URETEROCOLON CONDUIT W ANAST,8177.0,7277.53,424.31,8177.0,482 CDM,PX-50820,PR URETEROILEAL CONDUIT W ANAST,10577.0,9413.53,453.13,10577.0,482 CDM,PX-50825,PR DIVERT CONTINENT ANAST INTSTN,12905.0,11485.45,564.48,12905.0,482 CDM,PX-50830,PR URINARY UNDIVERSION,12332.0,10975.48,615.87,12332.0,482 CDM,PX-50840,PR RPLC URETER W INTSTN SEGMENT,8310.0,7395.9,426.62,8310.0,482 CDM,PX-50845,PR CUTANEOUS APPENDICO-VESICOSTMY,8492.0,7557.88,437.01,8492.0,482 CDM,PX-50860,PR URETEROSTOMY TXPLNT URETER-SKIN,7044.0,6269.16,329.07,7044.0,482 CDM,PX-50900,PR URETERORRHAPHY SUTURE URETER,7206.0,6413.34,295.01,7206.0,482 CDM,PX-50947,PR LAP URETERONEO W CYSTOSC STENT,9215.0,8201.35,474.91,9215.0,482 CDM,PX-50948,PR LAP URETERONEO WO CYSTOSC,9071.0,8073.19,435.61,9071.0,482 CDM,PX-50949001,PR ROBOT ASSISTED URETEROURETEROSTOMY,8675.0,7720.75,433.75,8675.0,477 CDM,PX-50951,PR ENDO URETER THRU URETEROSTOMY,2307.0,2053.23,155.61,2307.0,482 CDM,PX-50953,PR ENDO URETER URETEROST W CATH,2448.0,2178.72,164.85,2448.0,482 CDM,PX-50955,PR ENDO URETER URETEROST W BX,2233.0,1987.37,175.42,2233.0,482 CDM,PX-50957,PR ENDO URETER URETEROST W FULG,2996.0,2666.44,177.09,2996.0,482 CDM,PX-50961,PR ENDO URETER URETEROST RMVL FB,2533.0,2254.37,160.18,2533.0,482 CDM,PX-510000122,HC CHEMODENERV TRUNK 1-5 MUS,1802.0,1603.78,93.43,1802.0,737 CDM,PX-510000655,HC OFFICE CONSULT LEVEL 2,220.0,195.8,45.76,220.0,736 CDM,PX-510000656,HC OFFICE CONSULT LEVEL 3,242.0,215.38,50.34,242.0,737 CDM,PX-510000657,HC OFFICE CONSULT LEVEL 4,266.0,236.74,55.33,266.0,740 CDM,PX-510000658,HC OFFICE CONSULT LEVEL 5,293.0,260.77,60.94,293.0,737 CDM,PX-510000701,HC POSTOPERATIVE FOLLOW-UP VISIT,510.0,453.9,106.08,510.0,738 CDM,PX-510000860,HC TRABECULOPLASTY LASER SURG,2904.0,2584.56,168.09,2904.0,737 CDM,PX-510000893,HC VISIT EST PATIENT LEVEL 1,140.0,124.6,7.49,176.65,742 CDM,PX-510000894,HC VISIT EST PATIENT LEVEL 2,140.0,124.6,29.12,176.65,743 CDM,PX-510000895,HC VISIT EST PATIENT LEVEL 3,154.0,137.06,32.03,176.65,744 CDM,PX-510000896,HC VISIT EST PATIENT LEVEL 4,169.0,150.41,35.15,176.65,742 CDM,PX-510000897,HC VISIT EST PATIENT LEVEL 5,186.0,165.54,38.69,186.0,740 CDM,PX-510000899,HC VISIT NEW PATIENT LEVEL 2,180.0,160.2,37.44,180.0,739 CDM,PX-510000900,HC VISIT NEW PATIENT LEVEL 3,198.0,176.22,41.18,198.0,742 CDM,PX-510000901,HC VISIT NEW PATIENT LEVEL 4,218.0,194.02,45.34,218.0,744 CDM,PX-510000902,HC VISIT NEW PATIENT LEVEL 5,240.0,213.6,49.92,240.0,738 CDM,PX-510001130,HC OP CLINIC VISIT ASSESS/MNG,319.0,283.91,66.35,319.0,734 CDM,PX-510001514,HC MED TM CONF F2F PAT 30+MIN,246.0,218.94,221.4,221.4,1 CDM,PX-510001729,HC TEAM CONF QHP NO MD/PAT 30 MIN,278.0,247.42,57.82,278.0,717 CDM,PX-510002229,HC CONNECTED CARE- REMOTE MONITORING INITIAL SET UP EDUCATION,62.0,55.18,12.9,176.65,734 CDM,PX-510002230,HC CONNECTED CARE- REMOTE MONITORING DAILY RECORDING,191.0,169.99,37.4,191.0,734 CDM,PX-510002233,"HC CONNECTED CARE- REMOTE MONITORING INTERACTIVE COMMUNICATION, FIRST 20 MIN",154.0,137.06,18.91,154.0,732 CDM,PX-510002234,"HC CONNECTED CARE- REMOTE MONITORING INTRATV COMMUNICATION, ADDL 20 MIN",129.0,114.81,25.58,129.0,730 CDM,PX-510002242,HC MED THRPY MGMT 15 MINS,76.0,67.64,15.81,176.65,734 CDM,PX-510002243,HC MED THRPY MGMT 30 MINS,154.0,137.06,32.03,176.65,734 CDM,PX-510002244,HC MED THRPY MGMT 60 MINS,,,133.42,176.65,17 CDM,PX-510002245,HC MED THRPY MGMT 45 MINS,230.0,204.7,47.84,230.0,734 CDM,PX-510002372,HC REMOTE MONITORING DAILY RECORDING 2-15 DAYS,191.0,169.99,37.4,191.0,716 CDM,PX-510002373,"HC REMOTE MONITORING INTERACTIVE COMMUNICATION, FIRST 10 MIN",75.0,66.75,15.6,75.0,716 CDM,PX-51040,PR CYSTOSTOMY CYSTOTOMY W DRAIN,2413.0,2147.57,107.25,2413.0,482 CDM,PX-51045,PR CYSTOTOMY INS URETER CATH/STNT,4854.0,4320.06,176.5,4854.0,482 CDM,PX-51050,PR CYSTOLITHOT CYSTO W RMVL CALC,4143.0,3687.27,169.0,4143.0,482 CDM,PX-51100,PR ASPIRATION BLADDER NEEDLE,360.0,320.4,30.07,360.0,482 CDM,PX-511000014,HC PAIN REHAB CTR FULL DAY,1576.0,1402.64,17.33,1576.0,723 CDM,PX-511000015,HC PAIN REHAB CTR HALF DAY,824.0,733.36,17.33,824.0,723 CDM,PX-51102,PR ASP BLADDER/INS SUPUBIC CATH,1473.0,1310.97,96.91,1473.0,482 CDM,PX-51500,PR EXCISION URACHAL CYST/SINUS,5911.0,5260.79,225.64,5911.0,482 CDM,PX-51525,PR CYSTO EXCISN BLAD DIVERTICULUM,7010.0,6238.9,298.71,7010.0,482 CDM,PX-51530,PR CYSTOTOMY EXCISION BLADDER TMR,6163.0,5485.07,269.91,6163.0,482 CDM,PX-51535,PR CYSTOTOMY EXCISION URETEROCELE,6025.0,5362.25,273.01,6025.0,482 CDM,PX-51550,PR CYSTECTOMY PARTIAL SIMPLE,7408.0,6593.12,334.35,7408.0,482 CDM,PX-51555,PR CYSTECTOMY PARTIAL COMPLICATED,8632.0,7682.48,434.11,8632.0,482 CDM,PX-51565,PR CYSTECTOMY PARTL REIMPL URETER,8295.0,7382.55,444.43,8295.0,482 CDM,PX-51570,PR CYSTECTOMY COMPLETE,9522.0,8474.58,502.55,9522.0,482 CDM,PX-51575,PR CYSTECTOMY W BILAT PELV LYMPHDEC,12039.0,10714.71,619.69,12039.0,482 CDM,PX-51580,PR CYSTECTOMY W URETEROSIG/TX,13223.0,11768.47,648.77,13223.0,482 CDM,PX-51585,PR CYSTECT URETROSIG BILAT LYMPHDEC,15910.0,14159.9,719.62,15910.0,482 CDM,PX-51590,PR CYSTECT W URETEROILEAL CONDUIT,20517.0,18260.13,657.63,20517.0,482 CDM,PX-51595,PR CYSTECT URETEROILEAL LYMPHDEC,22286.0,19834.54,743.58,22286.0,482 CDM,PX-51596,PR CYSTECT COMPLT W CONT DIVERSN,25509.0,22703.01,802.82,25509.0,482 CDM,PX-51597,PR EXNTR PELV COMPLT UROLOG MLG,19055.0,16958.95,782.76,19055.0,482 CDM,PX-51600,PR INJ CYSTOGRAPHY/VUCG,963.0,857.07,85.85,963.0,483 CDM,PX-51610,PR INJ RETROGRADE URCG,834.0,742.26,52.25,834.0,483 CDM,PX-51700,PR IRRI BLAD SMPL LAVAGE&/INSTILL,390.0,347.1,31.88,390.0,484 CDM,PX-51701,PR INS NON-INDWELLING BLAD CATH,299.0,266.11,18.18,299.0,483 CDM,PX-51702,PR INS TEMP INDW BLAD CATH SMPL,368.0,327.52,26.6,368.0,486 CDM,PX-51703,PR INS TEMP INDWL BLAD CATH COMPL,688.0,612.32,62.32,688.0,483 CDM,PX-51705,PR CHANGE CYSTOSTOMY TUBE SIMPLE,516.0,459.24,40.95,516.0,491 CDM,PX-51710,PR CHANGE CYSTOSTOMY TUBE COMPL,996.0,886.44,56.82,996.0,482 CDM,PX-51715,PR ENDO INJ IMPL MATRL URETH&/BLAD,1702.0,1514.78,138.69,1702.0,482 CDM,PX-51720,PR INSTILL ANTICARCINOGEN BLAD,718.0,639.02,37.13,718.0,486 CDM,PX-51721,PR INS TRURL ABLT TRNSDC THR US,4685.0,4169.65,230.53,4685.0,482 CDM,PX-51725,PR CYSTOMETROGRAM SIMPLE,1241.0,1104.49,80.72,1241.0,482 CDM,PX-51726,PR CYSTOMETROGRAM COMPLEX,1081.0,962.0899999999999,33.18,1727.0,969 CDM,PX-51728,PR CMG CMPLX W VOIDING PRESSURE,1268.0,1128.52,40.94,1788.0,1451 CDM,PX-51729,PR CMG CMPLX VOID&URETHRAL PRES,2076.0,1847.64,144.58,2076.0,482 CDM,PX-51741,PR UROFLOWMETRY CMPLX,391.0,347.99,6.09,391.0,490 CDM,PX-51784,PR EMG ANAL/URETHRAL NOT NEEDLE,508.0,452.12,12.24,1013.0,1446 CDM,PX-51785,PR EMG ANAL/URETHRAL NEEDLE,1090.5,970.545,33.88,1709.0,964 CDM,PX-51792,PR STIMULUS EVOKED RESPONSE,268.0,238.52,21.54,268.0,482 CDM,PX-51797,PR VOIDING PRES STUDY INTRABD,1125.0,1001.25,128.12,1125.0,487 CDM,PX-51798,PR MEAS PST VOID RESID US NON IMG,141.0,125.49,10.26,141.0,490 CDM,PX-51800,PR CYSTOPLASTY/CYSTOURETHROPLASTY,9868.0,8782.52,360.01,9868.0,482 CDM,PX-51840,PR VESICOURETHROPEXY ANTR SIMPLE,5470.0,4868.3,240.58,5470.0,482 CDM,PX-51860,PR CYSTORRHAPHY SUTURE BLAD SMPL,5630.0,5010.7,261.61,5630.0,482 CDM,PX-51865,PR CYSTORRHAPHY SUTURE BLAD COMPL,5549.0,4938.61,311.89,5549.0,482 CDM,PX-51880,PR CLOSURE CYSTOSTOMY,3540.0,3150.6,166.22,3540.0,482 CDM,PX-51900,PR CLOSURE VESICOVAGINAL FISTULA,7582.0,6747.98,288.94,7582.0,482 CDM,PX-51940,PR CLOSURE EXSTROPHY BLADDER,13829.0,12307.81,561.41,13829.0,482 CDM,PX-51960,PR ENTEROCYSTOPLASTY ANASTOMOSIS,10018.0,8916.02,477.71,10018.0,482 CDM,PX-51980,PR CUTANEOUS VESICOSTOMY,5066.0,4508.74,251.09,5066.0,482 CDM,PX-51999001,PR ROBOT ASSIST CYSTECTOMY,11426.0,10169.14,1142.6,11426.0,477 CDM,PX-51999002,PR ROBOT ASST CYST W CONT DIVER/NEOBLADDER,30611.0,27243.79,2100.0,30611.0,477 CDM,PX-51999006,PR ROBOT ASST CYSTECTOMY W CONDUIT,24620.0,21911.8,2100.0,24620.0,477 CDM,PX-51999007,PR ROBOTIC BLADDER DIVERTICULECTOMY,7010.0,6238.9,701.0,7010.0,477 CDM,PX-52000,PR CYSTOURETHROSCOPY,1123.0,999.47,74.8,1123.0,515 CDM,PX-52001,PR CYSTOURETHROSCOPY IRRI CLOTS,1822.0,1621.58,167.24,1822.0,482 CDM,PX-52005,PR CYSTOURETHROSCOPY URETER CATH,1637.0,1456.93,113.99,1637.0,482 CDM,PX-52007,PR CYSTHRSCPY W URETER CATH&BX,1789.0,1592.21,176.02,1789.0,482 CDM,PX-52204,PR CYSTOURETHROSCOPY WITH BX,2108.0,1876.12,144.81,2108.0,483 CDM,PX-52214,PR CYSTHRSCPY W FULGURATION LESNS,4785.0,4258.65,299.78,4785.0,482 CDM,PX-52224,PR CYSTHRSCPY W FULG LESNS MINOR,4251.0,3783.39,312.71,4251.0,484 CDM,PX-52234,PR CYSTHRSCPY FULG BLAD TMR SMALL,2401.0,2136.89,83.54,2401.0,483 CDM,PX-52235,PR CYSTHRSCPY FULG BLAD TMR MED,2605.0,2318.45,97.97,2605.0,482 CDM,PX-52240,PR CYSTHRSCPY FULG BLAD TMR LRG,4080.0,3631.2,132.2,4080.0,482 CDM,PX-52260,PR CYSTHRSCPY DIL BLAD GNRL ANES,1473.0,1310.97,71.37,1473.0,482 CDM,PX-52276,PR CYSTHRSCPY DIRCT VISN URETHROT,2476.0,2203.64,89.91,2476.0,482 CDM,PX-52277,PR CYSTHRSCPY RSECT EXTRNL SPHINC,2392.0,2128.88,109.49,2392.0,482 CDM,PX-52281,PR CYSTHRSCPY W CALIB&/DIL URETH,1524.0,1356.36,106.78,1524.0,508 CDM,PX-52284,PR CYSTO RX BALO CATH URTL STRX,1377.0,1225.53,619.65,1377.0,482 CDM,PX-52287,PR CYSTHRSCPY INJ CHEMODENRVATION,1480.0,1317.2,147.18,1480.0,482 CDM,PX-52300,PR CYSTHRSCPY W RSECT URETEROCELE,2184.0,1943.76,95.14,2184.0,482 CDM,PX-52301,PR CYSTHRSCPY RSECT ECTOPC URTRCL,2559.0,2277.51,98.22,2559.0,482 CDM,PX-52305,PR CYSTHRSCPY RSECT BLAD DVRTCLM,2184.0,1943.76,94.15,2184.0,482 CDM,PX-52310,PR CYSTHRSCPY RMVL FB/STENT SMPL,1721.0,1531.69,102.59,1721.0,511 CDM,PX-52315,PR CYSTHRSCPY RMVL FB/STENT CMPLX,2897.0,2578.33,183.42,2897.0,483 CDM,PX-52317,PR LITHOLAPAXY SMPL <2.5CM,4211.0,3747.79,353.52,4211.0,482 CDM,PX-52318,PR LITHOLAPAXY COMPL >2.5CM,4306.0,3832.34,158.76,4306.0,482 CDM,PX-52320,PR CYSTHRSCPY W RMVL URETER CALC,2325.0,2069.25,83.27,2325.0,482 CDM,PX-52327,PR CYSTHRSCPY W SUBURETERIC INJ,3258.0,2899.62,86.13,3258.0,482 CDM,PX-52332,PR CYSTHRSCPY W INS URETERAL STNT,2754.0,2451.06,151.82,2754.0,482 CDM,PX-52341,PR CYSTHRSCPY W TX URETERAL STRIC,2606.0,2319.34,96.52,2606.0,482 CDM,PX-52342,PR CYSTHRSCPY TX URETERPELV STRIC,2802.0,2493.78,104.74,2802.0,482 CDM,PX-52344,PR CYSTHRSCPY/URTRSCPY TX URET STRIC,2816.0,2506.24,124.7,2816.0,482 CDM,PX-52345,PR CYSTHRSCPY/URTRSCPY TX URETROPELV,4283.0,3811.87,133.02,4283.0,482 CDM,PX-52346,PR CYSTHRSCPY/URTRSCPY TX INTRARENAL,5003.0,4452.67,150.25,5003.0,482 CDM,PX-52351,PR CYSTHRSCPY W URTRSCPY/PYELO DX,2621.0,2332.69,87.21,2621.0,507 CDM,PX-52352,PR CYSTHRSCPY/URTRSCPY RMVL CALC,3475.0,3092.75,119.74,3475.0,482 CDM,PX-52353,PR CYSTHRSCPY URTRSCPY LITHOTRIP,3963.0,3527.07,132.12,3963.0,482 CDM,PX-52354,PR CYSTHRSCPY/URTRSCPY BX PELV LESN,4386.0,3903.54,140.56,4386.0,482 CDM,PX-52355,PR CYSTHRSCPY URTRSCPY PELV TMR,4842.0,4309.38,157.3,4842.0,482 CDM,PX-52356,PR CYSTHRSCPY/URTRSCPY LITHO INS STNT,4376.0,3894.64,140.0,4376.0,482 CDM,PX-52400,PR CYSTHRSCPY INCISN URETHRAL VALVE,4435.0,3947.15,165.54,4435.0,482 CDM,PX-52402,PR CYSTHRSCPY TRANSURETHRAL RSECT,2046.0,1820.94,88.38,2046.0,482 CDM,PX-52441,PR CYSTHRSCPY INS TP IMPLANT SNGL,4654.0,4142.06,516.44,4654.0,482 CDM,PX-52442,PR CYSTHRSCPY INS TP IMPLANT EA,3323.0,2957.47,722.45,3323.0,482 CDM,PX-52450,PR INCISN PROSTATE TRANSURETHRAL,3353.0,2984.17,170.95,3353.0,482 CDM,PX-52500,PR RSECT BLAD NK TRANSURETHRAL,3995.0,3555.55,138.04,3995.0,482 CDM,PX-52597,PR TRANSRECT RBTC WTRJT RESECT PROSTATE,7203.0,6410.67,213.02,7203.0,482 CDM,PX-52601,PR RSECT PROS CMPLT ELECTROSURG,4907.0,4367.23,204.42,4907.0,482 CDM,PX-52630,PR RSECT REGROW PROS TISS TXURETH,3497.0,3112.33,147.08,3497.0,482 CDM,PX-52640,PR RSECT POSTOP BLAD NK CONTRCTR,2483.0,2209.87,119.17,2483.0,482 CDM,PX-52648,PR LASER VAPORIZATION PROS CMPLT,9498.0,8453.22,205.28,9498.0,482 CDM,PX-52649,PR LASER ENUCLEATION PROSTATE,6414.0,5708.46,254.54,6414.0,482 CDM,PX-52700,PR TXURETH DRAINAGE PROSTATE ABSC,3130.0,2785.7,158.07,3130.0,482 CDM,PX-53010,PR URETHROTOMY PERINEAL URETHRA,2090.0,1860.1,110.66,2090.0,482 CDM,PX-53020,PR MEATOTOMY EXCEPT INFANT,989.0,880.21,28.39,989.0,507 CDM,PX-53025,PR MEATOTOMY INFANT,488.0,434.32,24.53,488.0,482 CDM,PX-53200,PR BIOPSY URETHRA,1067.0,949.63,55.16,1067.0,507 CDM,PX-53210,PR URETHRECTOMY CYSTOS TOT FEMALE,5995.0,5335.55,269.63,5995.0,482 CDM,PX-53215,PR URETHRECTOMY CYSTOS TOT MALE,6758.0,6014.62,321.82,6758.0,482 CDM,PX-53220,PR EXCISION CARCINOMA URETHRA,3269.0,2909.41,162.06,3269.0,482 CDM,PX-53230,PR EXCISN URETHRAL DVERTCLM FMALE,4761.0,4237.29,213.93,4761.0,482 CDM,PX-53260,PR EXCISION URETHRAL POLYP DISTAL,1311.0,1166.79,84.29,1311.0,482 CDM,PX-53265,PR EXCISION URETHRAL CARUNCLE,1558.0,1386.62,91.37,1558.0,482 CDM,PX-53270,PR EXCISN/FULG SKENES GLANDS,1580.0,1406.2,86.79,1580.0,482 CDM,PX-53275,PR EXCISN URETHRAL PROLAPSE,1839.0,1636.71,92.17,1839.0,482 CDM,PX-53400,PR URTHPLSTY 1 STG FSTL/DVRTCLM,4978.0,4430.42,280.15,4978.0,482 CDM,PX-53405,PR URTHPLSTY 2 STG URINARY DIVRSN,6493.0,5778.77,304.9,6493.0,482 CDM,PX-53410,PR URTHPLSTY 1 STG RECNST URETHRA,8138.0,7242.82,340.23,8138.0,482 CDM,PX-53415,PR URTHPLSTY 1 STG RECNST TRNSPUB,9330.0,8303.7,390.56,9330.0,482 CDM,PX-53430,PR URTHPLSTY RCNST FEMALE URETHRA,8725.0,7765.25,335.47,8725.0,482 CDM,PX-53440,PR SLING OPR MALE INCONTINENCE,6463.0,5752.07,264.24,6463.0,482 CDM,PX-53442,PR RMVL/REV SLING MALE INCONT,6046.0,5380.94,278.71,6046.0,482 CDM,PX-53444,PR INSERTION TANDEM CUFF,6123.0,5449.47,277.78,6123.0,482 CDM,PX-53445,PR INS INFLT BLADDER NK SPHINC,6731.0,5990.59,268.14,6731.0,482 CDM,PX-53446,PR RMVL INFLT URETHRAL SPHINCTER,4906.0,4366.34,228.59,4906.0,482 CDM,PX-53447,PR RMVL&RPLC INFLT URETH SPHINC,7160.0,6372.4,283.54,7160.0,482 CDM,PX-53448,PR RMVL&RPLC SPHINC INFECT FIELD,9387.0,8354.43,441.46,9387.0,482 CDM,PX-53449,PR REPAIR INFLT URETHRAL SPHINC,4658.0,4145.62,217.53,4658.0,482 CDM,PX-53450,PR URETHROMEATOPLASTY,2813.0,2503.57,147.96,2813.0,482 CDM,PX-53451,PR PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV BI INSJ,1869.0,1663.41,590.75,1869.0,482 CDM,PX-53452,PR PERIURETHRL TPRNL ADJTBL BALO CNTNC DEV UNI INSJ,1246.0,1108.94,295.38,1246.0,482 CDM,PX-53453,PR PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV RMVL EA,1589.0,1414.21,502.16,1589.0,482 CDM,PX-53454,PR PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV ADJMT,1114.0,991.46,45.67,1114.0,482 CDM,PX-53500,PR URETHROLYSIS TV W CYSTHRSCPY,4658.0,4145.62,258.13,4658.0,482 CDM,PX-53505,PR URETHRORRHAPHY SUTURE PENILE,4046.0,3600.94,173.82,4046.0,482 CDM,PX-53510,PR URETHRORRHAPHY SUTURE PERINEAL,4306.0,3832.34,224.08,4306.0,482 CDM,PX-53515,PR URETHRORRHAPHY PROS-MEMBRANOUS,5169.0,4600.41,278.19,5169.0,482 CDM,PX-53520,PR CLSR URETHROSTOMY FSTL MALE,4064.0,3616.96,199.47,4064.0,482 CDM,PX-53600,PR DIL URETHRAL STRICT MALE INIT,553.0,492.17,36.32,553.0,483 CDM,PX-53605,PR DIL URETH STRICT MALE PASSAGE,494.0,439.66,21.33,494.0,482 CDM,PX-53854,PR TXURETH PROST TISS RF THERMO,15403.0,13708.67,1415.78,15403.0,482 CDM,PX-53865,PR CYSTO INSJ DEV ISCHMC RMDLG,4805.0,4276.45,1290.76,4805.0,482 CDM,PX-53899006,PR ENDOSCOPIC POSTERIOR URETHROPLASTY,9330.0,8303.7,466.5,9330.0,477 CDM,PX-54001,PR SLITTING PREPUCE NOT NEWBORN,1229.0,1093.81,81.84,1229.0,482 CDM,PX-54015,PR I&D PENIS DEEP,1913.0,1702.57,107.73,1913.0,482 CDM,PX-54050,PR DEST LESN PENIS SMPL CHEMICAL,523.0,465.47,50.48,523.0,514 CDM,PX-54055,PR DEST LESN PENIS SMPL ELECTRO,551.0,490.39,56.6,551.0,482 CDM,PX-54056,PR DEST LESN PENIS SMPL CRYOSURG,685.0,609.65,58.64,685.0,483 CDM,PX-54060,PR DEST LESN PENIS SMPL SURG EXCISN,1367.0,1216.63,81.26,1367.0,482 CDM,PX-54065,PR DEST LESN PENIS EXTENSIVE,1382.0,1229.98,90.08,1382.0,482 CDM,PX-54100,PR BIOPSY PENIS,714.0,635.46,82.53,714.0,484 CDM,PX-54105,PR BIOPSY PENIS DEEP STRUCTURES,1496.0,1331.44,114.28,1496.0,482 CDM,PX-54110,PR EXCISION OF PENILE PLAQUE,4256.0,3787.84,220.88,4256.0,482 CDM,PX-54111,PR EXCISN PENILE PLAQUE GRFT<=5CM,5637.0,5016.93,278.94,5637.0,482 CDM,PX-54112,PR EXCISN PENILE PLAQUE GRFT >5CM,6522.0,5804.58,326.26,6522.0,482 CDM,PX-54115,PR REMOVAL FB PENILE TISSUE DEEP,2614.0,2326.46,188.36,2614.0,482 CDM,PX-54120,PR AMPUTATION OF PENIS PARTIAL,4691.0,4174.99,223.91,4691.0,482 CDM,PX-54125,PR AMPUTATION OF PENIS COMPLETE,5731.0,5100.59,288.5,5731.0,482 CDM,PX-54130,PR AMP PENIS RAD ING-FEM LYMPHDEC,7855.0,6990.95,412.81,7855.0,482 CDM,PX-54150,PR CIRCUMCISION W CLAMP/BLOCK,857.0,762.73,51.58,857.0,509 CDM,PX-54160,PR CIRCUMCISION NOT CLAMP <28 DAY,1528.0,1359.92,91.65,1528.0,482 CDM,PX-54161,PR CIRCUMCISION NOT CLAMP >28DAY,1626.0,1447.14,70.53,1626.0,484 CDM,PX-54162,PR EXCISN PENILE POST CIRC ADHESN,1454.0,1294.06,89.63,1454.0,508 CDM,PX-54163,PR REPAIR INCMPLT CIRCUMCISION,1794.0,1596.66,81.47,1794.0,482 CDM,PX-54164,PR FRENULOTOMY OF PENIS,1574.0,1400.86,73.14,1574.0,482 CDM,PX-54200,PR INJECTION PEYRONIE DISEASE,711.0,632.79,49.08,711.0,486 CDM,PX-54220,PR IRRIG CORP CAVERNOSA PRIAPISM,1149.0,1022.61,100.65,1149.0,482 CDM,PX-54235,PR INJ CORPCAV W PHARM AGENT,530.0,471.7,37.87,530.0,486 CDM,PX-54300,PR PLASTIC OP PENIS STRT CHORDEE,5225.0,4650.25,228.48,5225.0,482 CDM,PX-54304,PR PENIS CORR 1ST SG HYPOSPADIAS,6432.0,5724.48,262.12,6432.0,482 CDM,PX-54308,PR URTHPLSTY 2 SG HYPOSPADIAS<3CM,5528.0,4919.92,251.82,5528.0,482 CDM,PX-54312,PR URTHPLSTY 2 SG HYPOSPADIAS>3CM,5941.0,5287.49,287.25,5941.0,482 CDM,PX-54316,PR URTHPLSTY 2 SG HYPSPDS W GRAFT,6971.0,6204.19,345.3,6971.0,482 CDM,PX-54322,PR RPR 1 SG HYPSPDS MEATAL ADV,5420.0,4823.8,273.02,5420.0,482 CDM,PX-54324,PR RPR 1 SG HYPSPDS W URTHRPLSTY,9213.0,8199.57,336.52,9213.0,482 CDM,PX-54326,PR RPR 1ST HYPSPDS URTHRPLSTY&MBL,8531.0,7592.59,328.07,8531.0,482 CDM,PX-54328,PR RPR 1 SG HYPSPDS W DISSCT EXT,7952.0,7077.28,326.11,7952.0,482 CDM,PX-54332,PR RPR 1 SG PROX PENL HYPSPDS/DISSECT,9241.0,8224.49,350.57,9241.0,482 CDM,PX-54336,PR RPR 1 SG PERI HYPSPDS W GRAFT,9838.0,8755.82,411.51,9838.0,482 CDM,PX-54340,PR RPR HYPOSPADIAS COMPL SMPL,5164.0,4595.96,202.69,5164.0,482 CDM,PX-54344,PR RPR HYPOSPADIAS COMPL MBL,8952.0,7967.28,328.65,8952.0,482 CDM,PX-54352,PR REV HYPSPDS REPAIR W DISSECT,12477.0,11104.53,486.35,12477.0,482 CDM,PX-54360,PR PLASTIC OPR PENIS ANGULATION,6094.0,5423.66,253.14,6094.0,483 CDM,PX-54380,PR PLSTC OPR EPISPDS DIST SPHINC,5646.0,5024.94,280.59,5646.0,482 CDM,PX-54400,PR INS PENILE PROSTH NON-INFLT,3679.0,3274.31,188.59,3679.0,482 CDM,PX-54401,PR INS PENILE PROSTH INFLATABLE,4619.0,4110.91,242.17,4619.0,482 CDM,PX-54405,PR INS IPP MULTI COMPONENT,8116.0,7223.24,282.2,8116.0,482 CDM,PX-54406,PR REMOVAL IPP MULTI COMPONENT,5668.0,5044.52,257.52,5668.0,482 CDM,PX-54408,PR RPR IPP MULTI COMPONENT,5763.0,5129.07,278.65,5763.0,482 CDM,PX-54410,PR RMVL&RPLC IPP MULT COMPONENT,7153.0,6366.17,303.49,7153.0,482 CDM,PX-54411,PR RMVL&RPLC IPP MULTCOMP INF FLD,8240.0,7333.6,359.69,8240.0,482 CDM,PX-54415,PR RMVL NON INFLT PENILE PROSTH,4046.0,3600.94,190.86,4046.0,482 CDM,PX-54416,PR RMVL&RPL SEMI/SELF PENL PROSTH,4644.0,4133.16,255.35,4644.0,482 CDM,PX-54417,PR RMVL&RPL SEMI/SELF PP INF FLD,6889.0,6131.21,314.37,6889.0,482 CDM,PX-54430,PR SHUNT CORPCAV-CORPUS SPONGOSUM,4592.0,4086.88,226.19,4592.0,482 CDM,PX-54437,PR RPR TRAUMETIC CORPOREAL TEAR,5286.0,4704.54,241.31,5286.0,482 CDM,PX-54450,PR MANIP FORESKIN,389.0,346.21,23.99,389.0,508 CDM,PX-54505,PR BIOPSY TESTIS INCISIONAL,1696.0,1509.44,75.41,1696.0,482 CDM,PX-54512,PR EXCISN EXTRAPRL LESION TESTIS,3323.0,2957.47,190.38,3323.0,482 CDM,PX-54520,PR ORCHIECTOMY SIMPLE,2492.0,2217.88,118.98,2492.0,482 CDM,PX-54522,PR ORCHIECTOMY PARTIAL,4453.0,3963.17,207.81,4453.0,482 CDM,PX-54530,PR ORCHIECTOMY RADCL INGUINAL APPR,3683.0,3277.87,182.67,3683.0,482 CDM,PX-54535,PR ORCHIECTOMY RADCL W ABD EXPLR,4307.0,3833.23,261.28,4307.0,482 CDM,PX-54600,PR REDUCTION TESTIS TORSION,3236.0,2880.04,162.61,3236.0,482 CDM,PX-54620,PR FIXATION CONTRALATERAL TESTIS,2444.0,2175.16,105.93,2444.0,482 CDM,PX-54640,PR ORCHIOPEXY INGUINAL OR SCROTAL APPR,4102.0,3650.78,151.86,4102.0,482 CDM,PX-54650,PR ORCHIOPEXY INTRA ABD TESTIS,5772.0,5137.08,251.89,5772.0,482 CDM,PX-54660,PR INS OF TESTICULAR PROSTHESIS,2465.0,2193.85,131.06,2465.0,482 CDM,PX-54670,PR REPAIR TESTICULAR INJURY,2622.0,2333.58,148.07,2622.0,482 CDM,PX-54680,PR TRANSPLANT TESTIS TO THIGH,5379.0,4787.31,275.83,5379.0,482 CDM,PX-54690,PR ORCHIECTOMY LAPAROSCOPIC,5010.0,4458.9,229.96,5010.0,482 CDM,PX-54692,PR LAP ORCHIOPEXY INTRA-ABD,6189.0,5508.21,263.31,6189.0,482 CDM,PX-54700,PR I&D EPIDIDYMIS TESTIS&/SCRTL,1378.0,1226.42,77.87,1378.0,489 CDM,PX-54830,PR EXCISN LOCAL LESN EPIDIDYMIS,3143.0,2797.27,135.87,3143.0,482 CDM,PX-54840,PR EXCISION OF SPERMATOCELE,2131.0,1896.59,116.74,2131.0,482 CDM,PX-54860,PR EPIDIDYMECTOMY UNILATERAL,2483.0,2209.87,151.34,2483.0,483 CDM,PX-54861,PR EPIDIDYMECTOMY BILATERAL,3780.0,3364.2,202.41,3780.0,482 CDM,PX-54900,PR EPIDIDYMOVASOSTOMY UNILATERAL,5046.0,4490.94,281.14,5046.0,482 CDM,PX-54901,PR EPIDIDYMOVASOSTOMY BILATERAL,8775.0,7809.75,368.04,8775.0,482 CDM,PX-55000,PR ASP HYDROCELE TUNICA VAG,716.0,637.24,50.66,716.0,482 CDM,PX-55040,PR EXCISION HYDROCELE UNILATERAL,2483.0,2209.87,123.05,2483.0,482 CDM,PX-55041,PR EXCISION HYDROCELE BILATERAL,4243.0,3776.27,183.44,4243.0,482 CDM,PX-55060,PR RPR TUNICA VAGINALIS HYDROCELE,2263.0,2014.07,138.38,2263.0,482 CDM,PX-55100,PR DRAINAGE SCROTUM ABSCESS,1476.0,1313.64,99.45,1476.0,489 CDM,PX-55110,PR EXPLORATION SCROTUM,2108.0,1876.12,141.4,2108.0,482 CDM,PX-55120,PR REMOVAL FOREIGN BODY SCROTUM,1744.0,1552.16,129.81,1744.0,482 CDM,PX-55150,PR RESECTION OF SCROTUM,2847.0,2533.83,177.35,2847.0,482 CDM,PX-55175,PR SCROTOPLASTY SIMPLE,3035.0,2701.15,132.86,3035.0,482 CDM,PX-55180,PR SCROTOPLASTY COMPLICATED,4518.0,4021.02,242.42,4518.0,482 CDM,PX-55250,PR VASECTOMY INCL SEMEN EXAM,1943.0,1729.27,119.06,1943.0,510 CDM,PX-55300,PR VASOTOMY VASOGRAMS UNI/BILAT,1407.0,1252.23,63.63,1407.0,482 CDM,PX-55400,PR VASOVASOSTOMY VASOVASORRHAPHY,6459.0,5748.51,177.59,6459.0,482 CDM,PX-55500,PR EXCISN HYDROCELE SPRM CORD,2882.0,2564.98,142.71,2882.0,482 CDM,PX-55520,PR EXCISN LESN SPERMATIC CORD,3148.0,2801.72,169.8,3148.0,482 CDM,PX-55530,PR EXCISN VARICOCELE SPRM CORD,2904.0,2584.56,127.64,2904.0,482 CDM,PX-55650,PR VESICULECTOMY ANY APPROACH,5091.0,4530.99,252.83,5091.0,482 CDM,PX-55706,PR BX PROSTATE NDL TRANSPRNEAL,2356.0,2096.84,78.46,2356.0,482 CDM,PX-55707,PR BX PRST8 TRCT US GUIDED,2162.0,1924.18,139.06,2162.0,482 CDM,PX-55708,PR BX PRST8 TRCT US W/MRI FUS 1,2932.0,2609.48,170.49,2932.0,482 CDM,PX-55709,PR BX PRST8 TPRNL US GUIDED,2162.0,1924.18,202.99,2162.0,507 CDM,PX-55710,PR BX PRST8 TPRN US W/MRI FUS 1,2932.0,2609.48,227.43,2932.0,509 CDM,PX-55711,PR BX PRST8 TRCT MRI-US 1ST,2932.0,2609.48,149.73,2932.0,482 CDM,PX-55712,PR BX PRST8 TPRNL MRI-US 1ST,2932.0,2609.48,249.47,2932.0,482 CDM,PX-55713,PR BX PRST8 IN-BORE CT/MRI BX 1,4626.0,4117.14,314.27,4626.0,482 CDM,PX-55714,PR BX PRST8 IN-BORE CT/MRI 1,1357.0,1207.73,306.97,1357.0,482 CDM,PX-55715,PR BX PRST8 EA ADD MRI-US/CT/MR,679.0,604.31,54.84,679.0,507 CDM,PX-55720,PR PROSTATOTOMY DRAIN ABSC SMPL,3102.0,2760.78,161.54,3102.0,482 CDM,PX-55821,PR PROSTATECTOMY SUPRAPUBIC PRTL,5855.0,5210.95,292.13,5855.0,482 CDM,PX-55840,PR PROSTATECTOMY RETROPUBIC RADCL,9431.0,8393.59,403.37,9431.0,482 CDM,PX-55842,PR PROSTATECTOMY W LYMPH NODE BX,9465.0,8423.85,402.79,9465.0,482 CDM,PX-55845,PR PROSTEC W BILAT PELV LYMPHDEC,12041.0,10716.49,466.4,12041.0,482 CDM,PX-55866,PR LAP PROSTEC RETROPUBIC RADCL,10203.0,9080.67,417.28,10203.0,482 CDM,PX-55867,PR LAPS SURG PRSTECT SMPL STOT,8805.0,7836.45,365.03,8805.0,482 CDM,PX-55869,PR LAP SRG PROSTATECTOMY BI PELV LMPHAD,16010.0,14248.9,511.54,16010.0,482 CDM,PX-55873,PR CRYOSURG ABLATION PROSTATE,15230.0,13554.7,2367.36,15230.0,482 CDM,PX-55874,PR TPRNL PLMT BIODEGRDABL MATRL,9330.0,8303.7,1550.81,9330.0,482 CDM,PX-55875,PR PLC CATH TRANSPERI PROSTATE,4543.0,4043.27,269.36,4543.0,482 CDM,PX-55876,PR PLC INTERS RAD DEVICE PROSTATE,906.0,806.34,60.96,906.0,482 CDM,PX-55877,PR ABLTJ IRE PROSTATE 1+ TUM PERCUT,14321.0,12745.69,260.44,14321.0,482 CDM,PX-55880,PR HIFU ABLATION PROSTATE W US GUIDE,5636.0,5016.04,340.31,5636.0,482 CDM,PX-55881,PR ABLT TRURL PRST8 TIS THRM US,10544.0,9384.16,3875.86,10544.0,482 CDM,PX-55882,PR ABLT TRURL PRST8 TIS TRNSDCR,15230.0,13554.7,4025.36,15230.0,482 CDM,PX-55899002,PR MICRO TEST SPRMEXTR(MICROTESE) UNILATERAL,2120.0,1886.8,106.0,2120.0,481 CDM,PX-55899003,PR MICROEPIDIDYMAL SPERM ASPIRATN,2274.0,2023.86,113.7,2274.0,481 CDM,PX-55899004,PR TESTICULAR SPERM EXTRACT(TESE) UNILATERAL,1696.0,1509.44,84.8,1696.0,481 CDM,PX-55899010,PR TESTICULAR SPERM EXTRACT(TESE) BILATERAL,2544.0,2264.16,127.2,2544.0,481 CDM,PX-55899011,PR MICRO TEST SPRMEXTR(MICROTESE) BILATERAL,3180.0,2830.2,159.0,3180.0,481 CDM,PX-55899017,PR UROCUFF,447.0,397.83,22.35,447.0,481 CDM,PX-55899019,PR MR FUS PROSTATE ABLATION,15230.0,13554.7,761.5,15230.0,481 CDM,PX-56405,PR I&D VULVA/PERINEAL ABSCESS,706.0,628.34,58.11,706.0,489 CDM,PX-56420,PR I&D BARTHOLINS GLAND ABSCESS,728.0,647.92,73.48,728.0,482 CDM,PX-56440,PR MARSUP BARTHOLINS GLAND CYST,1488.0,1324.32,62.81,1488.0,482 CDM,PX-56441,PR LYSIS OF LABIAL ADHESIONS,936.0,833.04,72.39,936.0,482 CDM,PX-56442,PR HYMENOTOMY INCISION SIMPLE,458.0,407.62,16.91,458.0,482 CDM,PX-56501,PR DESTRUCTION LESION VULVA SMPL,766.0,681.74,63.39,766.0,507 CDM,PX-56515,PR DEST LESN VULVA EXTENSIVE,1300.0,1157.0,92.16,1300.0,507 CDM,PX-56605,PR BX VULVA/PERINEUM 1 LESN,465.0,413.85,31.41,465.0,510 CDM,PX-56606,PR BX VULVA/PERINEUM ADD LESN,256.0,227.84,26.0,256.0,508 CDM,PX-56620,PR VULVECTMY SIMPLE/PARTL,3676.0,3271.64,211.57,3676.0,482 CDM,PX-56630,PR VULVECTOMY RADICAL PARTIAL,7523.0,6695.47,339.47,7523.0,482 CDM,PX-56631,PR VULVECT RADCL PRTL UNILAT LYMPHDEC,7900.0,7031.0,418.06,7900.0,482 CDM,PX-56632,PR VULVECT RADCL PRTL BILAT LYMPHDEC,9747.0,8674.83,506.7,9747.0,482 CDM,PX-56633,PR VULVECTOMY RADICAL COMPLETE,8157.0,7259.73,433.67,8157.0,482 CDM,PX-56700,PR HYMENECTOMY PARTL/REV HYMEN RG,1441.0,1282.49,70.4,1441.0,482 CDM,PX-56740,PR EXCISN BARTHOLIN GLAND/CYST,1687.0,1501.43,108.2,1687.0,489 CDM,PX-56800,PR PLASTIC REPAIR OF INTROITUS,1595.0,1419.55,87.25,1595.0,482 CDM,PX-56805,PR CLITOROPLASTY INTERSEX,6065.0,5397.85,388.42,6065.0,482 CDM,PX-56810,PR PERINEOPLASTY RPERINEUM NONOB,2163.0,1925.07,92.5,2163.0,482 CDM,PX-56820,PR COLPOSCOPY VULVA,716.0,637.24,42.87,716.0,511 CDM,PX-56821,PR COLPOSCOPY VULVA W BX,796.0,708.44,57.13,796.0,509 CDM,PX-57061,PR DEST LESN VAGINAL SIMPLE,824.0,733.36,65.74,824.0,482 CDM,PX-57065,PR DEST LESN VAGINAL EXTENSIVE,1606.0,1429.34,96.01,1606.0,482 CDM,PX-57100,PR BX VAGINAL MUCOSA SMPL,626.0,557.14,35.29,626.0,507 CDM,PX-57105,PR BX VAGINAL MUCOSA EXTEN W SUTURE,1045.0,930.05,69.65,1045.0,482 CDM,PX-57106,PR VAGINECTMY PARTL RMVL VAG WALL,3342.0,2974.38,190.32,3342.0,482 CDM,PX-57107,PR VAGNC PART W REMV PARAVAG TISS,9567.0,8514.63,498.29,9567.0,482 CDM,PX-57109,PR VAGNC RMVL PVG TISS PELV LYMPH,10385.0,9242.65,607.14,10385.0,482 CDM,PX-57110,PR VAGINECTMY CMPLT RMVL VAG WALL,6618.0,5890.02,303.57,6618.0,482 CDM,PX-57120,PR COLPOCLEISIS,4298.0,3825.22,182.37,4298.0,482 CDM,PX-57130,PR EXCISN OF VAGINAL SEPTUM,1473.0,1310.97,88.11,1473.0,482 CDM,PX-57135,PR EXCISN OF VAGINAL CYST/TUMOR,1643.0,1462.27,96.45,1643.0,482 CDM,PX-57155,PR INS UTERINE TANDEM/VAG OVOIDS,2991.0,2661.99,160.29,2991.0,482 CDM,PX-57156,PR INS VAG BRACHYTHRPY DEV,1234.0,1098.26,90.82,1234.0,482 CDM,PX-57160,PR FIT/INST PESSARY/OTR DEV,389.0,346.21,23.58,389.0,510 CDM,PX-57170,PR FIT DIAPHRAGM/CERV CAP,359.0,319.51,28.62,359.0,482 CDM,PX-57200,PR COLPORRHAPHY VAG SUTURE INJURY,1849.0,1645.61,118.2,1849.0,482 CDM,PX-57220,PR SPHINCTER URETHRA VAGINAL APPR,2418.0,2152.02,120.87,2418.0,482 CDM,PX-57240,PR COLPORPHY ANTR RPR CYSTOCELE,3643.0,3242.27,208.89,3643.0,482 CDM,PX-57250,PR COLPORPHY POSTR RPR RECTOCELE,3794.0,3376.66,208.63,3794.0,482 CDM,PX-57260,PR COLPORRHAPHY ANTEROPOSTERIOR,4625.0,4116.25,261.81,4625.0,482 CDM,PX-57265,PR COLPORPHY A/P RPR ENTEROCELE,4940.0,4396.6,291.97,4940.0,482 CDM,PX-57268,PR REPAIR ENTEROCELE VAGINAL APPR,3037.0,2702.93,176.09,3037.0,482 CDM,PX-57270,PR REPAIR ENTEROCELE ABDL APPR,4182.0,3721.98,274.37,4182.0,482 CDM,PX-57280,PR COLPOPEXY ABDOMINAL APPROACH,5708.0,5080.12,326.37,5708.0,482 CDM,PX-57282,PR COLPOPEXY VAG EXTRPERIT APPR,4164.0,3705.96,235.14,4164.0,482 CDM,PX-57283,PR COLPOPEXY VAG INTRPERIT APPR,4043.0,3598.27,235.87,4043.0,482 CDM,PX-57287,PR RMVL/RVSN SLING STRESS INCONT,4416.0,3930.24,255.61,4416.0,482 CDM,PX-57288,PR SLING OPR STRESS INCONTINENCE,4990.0,4441.1,254.88,4990.0,482 CDM,PX-57292,PR CNSTRCT ARTIFICIAL VAGINA W GRAFT,8920.0,7938.8,277.83,8920.0,482 CDM,PX-57295,PR REV PROSTH VAG GRFT VAG APPR,2802.0,2493.78,172.93,2802.0,482 CDM,PX-57296,PR REV PROSTH VAG GRFT ABD APPR,6920.0,6158.8,319.29,6920.0,482 CDM,PX-57300,PR CLSR RECTOVAG FSTL VAG/ANL APP,4152.0,3695.28,217.41,4152.0,482 CDM,PX-57305,PR CLSR RECTOVAG FSTL ABD APPR,4515.0,4018.35,341.91,4515.0,482 CDM,PX-57308,PR CLSR RECTOVAG FSTL TXPERI APPR,4511.0,4014.79,245.89,4511.0,482 CDM,PX-57310,PR CLOSURE OF URETHROVAGINAL FSTL,3037.0,2702.93,175.93,3037.0,482 CDM,PX-57311,PR RPR URETHROVAGINAL LESN,3628.0,3228.92,196.98,3628.0,482 CDM,PX-57320,PR CLSR VESICOVAG FIST VAG APPR,4465.0,3973.85,192.22,4465.0,482 CDM,PX-57330,PR CLSR VESICOVAG FSTL TRNSVG/VAG APPR,4729.0,4208.81,267.58,4729.0,482 CDM,PX-57335,PR VAGINOPLASTY INTERSEX,8328.0,7411.92,393.01,8328.0,482 CDM,PX-57400,PR DILATION OF VAGINA UNDER ANES,1046.0,930.94,43.75,1046.0,482 CDM,PX-57410,PR PELVIC EXAMINATION UNDER ANES,626.0,557.14,36.86,626.0,482 CDM,PX-57415,PR RMVL IMPACTED VAG FB W ANES,789.0,702.21,60.57,789.0,482 CDM,PX-57420,PR COLPOSCOPY ENTIRE VAG W CERVIX,780.0,694.2,46.04,780.0,508 CDM,PX-57421,PR COLPOSCOPY ENTIRE VAG CX W BX,798.0,710.22,60.68,798.0,511 CDM,PX-57425,PR LAPAROSCOPY COLPOPEXY,7064.0,6286.96,327.06,7064.0,482 CDM,PX-57426,PR REV PROST VAG GRFT LAPAROSCOPC,5728.0,5097.92,296.97,5728.0,482 CDM,PX-57452,PR COLPOSCOPY CERVIX UPR/ADJ VAG,585.0,520.65,42.12,585.0,507 CDM,PX-57454,PR COLPOSCOPY CERVIX W BX & ECC,824.0,733.36,55.08,824.0,511 CDM,PX-57455,PR COLPOSCOPY CERVIX W BX,780.0,694.2,53.75,780.0,507 CDM,PX-57456,PR COLPOSCOPY CERVIX W ECC,732.0,651.48,50.35,732.0,509 CDM,PX-57460,PR COLPOSCOPY CX W LOOP ELEC BX,1578.0,1404.42,123.83,1578.0,483 CDM,PX-57461,PR COLPOSCOPY CERVIX W LOOP CONIZ,2150.0,1913.5,139.37,2150.0,482 CDM,PX-57500,PR BIOPSY CERVIX SNGL/MULT LESN,711.0,632.79,51.82,711.0,508 CDM,PX-57505,PR CURETTAGE ENDOCERVICAL,704.0,626.56,59.99,704.0,483 CDM,PX-57510,PR CAUTERY CERVIX ELECTRO/THERMAL,741.0,659.49,64.58,741.0,482 CDM,PX-57513,PR CAUTERY CERVIX LASER ABLATION,1829.0,1627.81,78.31,1829.0,482 CDM,PX-57520,PR CONIZATION CERVIX KNIFE/LASER,2145.0,1909.05,141.83,2145.0,482 CDM,PX-57522,PR CONIZATION CX EXCISN LOOP ELEC,1906.0,1696.34,118.4,1906.0,482 CDM,PX-57530,PR TRACHELECTOMY AMP CERVIX,2414.0,2148.46,131.09,2414.0,482 CDM,PX-57720,PR TRACHELORRHAPHY UTERINE CERVIX,1978.0,1760.42,115.98,1978.0,482 CDM,PX-57800,PR DIL CERVIX CANAL INSTRUMENTAL,416.0,370.24,29.44,416.0,482 CDM,PX-58100,PR BX ENDOMETRIAL WO CERVIX DIL,505.0,449.45,32.87,505.0,485 CDM,PX-58110,PR ENDOMETRIAL SAMPL PERF W COLPO,341.0,303.49,33.59,341.0,508 CDM,PX-58120,PR D&C NONOBSTETRICAL,1770.0,1575.3,99.75,1770.0,510 CDM,PX-58140,PR MYOMECTOMY 1-4 MYOMA ABD APPR,6470.0,5758.3,308.26,6470.0,482 CDM,PX-58146,PR MYOMECTOMY 5+ MYOMA ABD APPR,6283.0,5591.87,383.51,6283.0,482 CDM,PX-58150,PR HYSTERECTOMY TOTAL ABD,5797.0,5159.33,351.07,5797.0,482 CDM,PX-58180,PR HYSTERECTOMY SUPRACERV ABD,7122.0,6338.58,327.23,7122.0,482 CDM,PX-58200,PR HYSTERECTOMY TOT ABD BX LYMPH,9514.0,8467.46,469.49,9514.0,482 CDM,PX-58210,PR HYSTERECTOMY RADCL ABD,12318.0,10963.02,627.22,12318.0,482 CDM,PX-58240,PR EXENTERATION PELVIC GYN MLG,19606.0,17449.34,1007.11,19606.0,482 CDM,PX-58260,PR HYSTERECTOMY VAGINAL <=250 G,5632.0,5012.48,282.02,5632.0,482 CDM,PX-58262,PR HYST VAG <=250G RMVL TUBES/OV,6016.0,5354.24,310.79,6016.0,482 CDM,PX-58263,PR HYST VAG <=250G W TUB&/OV W ENTR,7506.0,6680.34,332.57,7506.0,482 CDM,PX-58270,PR HYSTERECTOMY W RPR ENTEROCELE,6977.0,6209.53,300.82,6977.0,482 CDM,PX-58291,PR HYST VAG UTRS>250 G W TUBES/OV,7758.0,6904.62,412.53,7758.0,482 CDM,PX-58300,PR INSERT OF INTRAUTERINE DEVICE,503.0,447.67,91.0,503.0,494 CDM,PX-58301,PR REMOVAL OF INTRAUTERINE DEVICE,450.0,400.5,37.61,450.0,512 CDM,PX-58322,PR ARTIFICIAL INSEM INTRA-UTERINE,413.0,367.57,36.67,413.0,486 CDM,PX-58340,PR CATH W INJ CNTRST HSG,870.0,774.3,97.69,870.0,486 CDM,PX-58350,PR CHROMOTUBATION OVIDUCT,664.0,590.96,57.95,664.0,482 CDM,PX-58353,PR ENDOMETRIAL ABLATION THERMAL,5062.0,4505.18,366.51,5062.0,482 CDM,PX-58400,PR RPR UTERUS SUSPENSION,3621.0,3222.69,160.55,3621.0,482 CDM,PX-58544,PR LAP SUPRACERV HYST>250 W RMVL,7124.0,6340.36,304.41,7124.0,482 CDM,PX-58545,PR LAP MYOMECTOMY 1-4 MYOMA<=250 G,8065.0,7177.85,304.65,8065.0,482 CDM,PX-58546,PR LAP MYOMECTOMY 5+MYOMAS>250 G,8318.0,7403.02,369.65,8318.0,482 CDM,PX-58548,PR LAP RADCL HYST W BILAT LYMPHDEC,10615.0,9447.35,646.69,10615.0,482 CDM,PX-58552,PR LAP VAG HYST UTRS=<250 W RMVL,6616.0,5888.24,331.7,6616.0,482 CDM,PX-58554,PR LAP VAG HYST UTRS>250 G W RMVL,7134.0,6349.26,437.66,7134.0,482 CDM,PX-58555,PR HYSTEROSCOPY DIAGNOSTIC,2001.0,1780.89,132.19,2001.0,482 CDM,PX-58558,PR HYSTERSCPY W BX ENDOMETR/POLYP,4039.0,3594.71,524.35,4039.0,485 CDM,PX-58559,PR HYST W LYSIS INTRAUTER ADHES,3137.0,2791.93,93.72,3137.0,482 CDM,PX-58560,PR HYSTEROSCOPY W DIVISION SEPTUM,3853.0,3429.17,103.2,3853.0,482 CDM,PX-58561,PR HYSTEROSCOPY RMVL LEIOMYOMATA,4299.0,3826.11,117.78,4299.0,482 CDM,PX-58562,PR HYSTEROSCOPY RMVL IMPACTED FB,2391.0,2127.99,158.96,2391.0,482 CDM,PX-58563,PR HYSTEROSCOPY ENDOMETRIAL ABLT,7292.0,6489.88,833.96,7292.0,482 CDM,PX-58565,PR HYSTERSCPY OCC BI TUBE W IMPL,7573.0,6739.97,649.47,7573.0,482 CDM,PX-58570,PR LAP W TOTAL HYST UTRS<=250G,6231.0,5545.59,275.36,6231.0,482 CDM,PX-58571,PR LAP TOT HYST UTRS<=250G W TB/OV,6228.0,5542.92,312.46,6228.0,482 CDM,PX-58573,PR LAP TOT HYST UTRS>250G W TB/OV,7868.0,7002.52,415.29,7868.0,482 CDM,PX-58575,PR LAPS TOT HYST RESJ MAL,13697.0,12190.33,664.46,13697.0,482 CDM,PX-58605,PR LIG FALLOPIAN TUBE POST PARTUM,2862.0,2547.18,115.78,2862.0,482 CDM,PX-58611,PR LIG FALLOPIAN TUBE W OTHR SURG,635.0,565.15,48.78,635.0,482 CDM,PX-58660,PR LAPAROSCOPY W LYSIS ADHESIONS,5051.0,4495.39,235.35,5051.0,482 CDM,PX-58661,PR LAPAROSCOPY W RMVL ADNEXA,4686.0,4170.54,220.45,4686.0,482 CDM,PX-58662,PR LAP W FULG/EXC LESN OV/VISC/PERIT,4526.0,4028.14,243.83,4526.0,482 CDM,PX-58670,PR LAPAROSCOPY FULGURATN OVIDUCTS,3216.0,2862.24,127.34,3216.0,482 CDM,PX-58674,PR LAPS ABLTJ UTERINE FIBROIDS W/INTRAOP US GDN,5296.0,4713.44,272.97,5296.0,482 CDM,PX-58700,PR SALPINGECTMY CMPLT/PRTL UNI/BILAT,4953.0,4408.17,276.82,4953.0,482 CDM,PX-58720,PR SALPINGO-OOPHORECTOMY,5034.0,4480.26,264.26,5034.0,482 CDM,PX-58800,PR DRN OVARIAN CYST VAG APPR,2839.0,2526.71,138.69,2839.0,482 CDM,PX-58805,PR DRN OVARIAN CYST ABD APPR,3552.0,3161.28,146.54,3552.0,482 CDM,PX-58825,PR TRANSPOSITION OVARY(S),5368.0,4777.52,238.87,5368.0,482 CDM,PX-58925,PR CYSTECTOMY OVARIAN,4181.0,3721.09,264.22,4181.0,482 CDM,PX-58940,PR OOPHORECTOMY,3804.0,3385.56,196.53,3804.0,482 CDM,PX-58950,PR RSECT OVARIAN MLG BSO,7514.0,6687.46,402.46,7514.0,482 CDM,PX-58951,PR RSECT OVARIAN MLG SALPING TAH,13152.0,11705.28,498.18,13152.0,482 CDM,PX-58952,PR RSECT OVARIAN MLG RADCL DISSECT,13628.0,12128.92,569.39,13628.0,482 CDM,PX-58953,PR SALPINGO-OOPHORECTOMY BILAT HYST,15900.0,14151.0,689.29,15900.0,482 CDM,PX-58954,PR SALPINGO-OOPHORECTOMY BILAT LYMPH,17265.0,15365.85,744.82,17265.0,482 CDM,PX-58956,PR SALPINGO-OOPHORECTOMY TOTAL,9734.0,8663.26,472.89,9734.0,482 CDM,PX-58958,PR RSECT RCUR OVARY MLG W LYMPH,14556.0,12954.84,549.03,14556.0,482 CDM,PX-58960,PR LAPAROTOMY STAGING OVARIAN MLG,7170.0,6381.3,354.4,7170.0,482 CDM,PX-58970,PR PUNC FOLLICLE OOCYTE RETRIEVE,3861.0,3436.29,92.32,3861.0,482 CDM,PX-58974,PR INTRA-UTERINE EMBRYO TRANSFER,1781.0,1585.09,58.6,1781.0,486 CDM,PX-58999003,PR UTERINE SOUNDING,571.0,508.19,28.55,571.0,478 CDM,PX-58999004,PR MONALISA TOUCH VAGINAL LASER TX PKG,1549.0,1378.61,77.45,1549.0,478 CDM,PX-58999005,"PR VAG LASER TX, EACH TX",516.0,459.24,25.8,516.0,478 CDM,PX-58999007,PR VAGINAL CUFF REPAIR/REVISION,1849.0,1645.61,92.45,1849.0,478 CDM,PX-59000,PR AMNIOCENTESIS DIAGNOSTIC,891.0,792.99,45.6,891.0,484 CDM,PX-59001,PR AMNIOCENTESIS THERAPEUTIC AFR,1504.0,1338.56,56.58,1504.0,482 CDM,PX-59012,PR CORDOCENTESIS INTRAUTERINE,1635.0,1455.15,63.33,1635.0,482 CDM,PX-59015,PR SAMPLING CHORIONIC VILLUS,1579.0,1405.31,59.81,1579.0,482 CDM,PX-59025,PR FETAL NON STRESS TEST,192.0,170.88,17.47,249.0,1449 CDM,PX-59070,PR AMNIOINFUSION TRNSABD W GUIDE,2453.0,2183.17,151.1,2453.0,482 CDM,PX-59072,PR FETL UMBIL CORD OCCL W/US GUID,3558.0,3166.62,162.82,3558.0,482 CDM,PX-59074,PR DRAINAGE FETAL FLUID W US GUID,2499.0,2224.11,144.79,2499.0,482 CDM,PX-59076,"PR FETAL SHUNT PLACEMENT, W/ US",3317.0,2952.13,162.82,3317.0,482 CDM,PX-59151,PR LAP ECTOPIC PREG W SALP/OOPH,5277.0,4696.53,249.11,5277.0,482 CDM,PX-59160,PR CURRETTAGE POSTPARTUM,1538.0,1368.82,100.89,1538.0,482 CDM,PX-59200,PR INSERT CERVICAL DILATOR,442.0,393.38,43.04,442.0,508 CDM,PX-59300,PR EPISIOTOMY/VAGINAL REPAIR,1113.0,990.57,86.14,1113.0,482 CDM,PX-59320,PR CERCLAGE CERVIX VAGINAL,1853.0,1649.17,48.79,1853.0,482 CDM,PX-59325,PR CERCLAGE CERVIX ABDOMINAL,2535.0,2256.15,76.2,2535.0,482 CDM,PX-59350,PR HYSTERORRHAPHY RUPT UTERUS,2705.0,2407.45,86.16,2705.0,482 CDM,PX-59400,PR ROUTINE VAG ANTE/POSTPRTUM PKG,7847.0,6983.83,688.33,7847.0,507 CDM,PX-59409,PR DEL VAG ONLY,4285.0,3813.65,257.2,4285.0,482 CDM,PX-59410,PR DEL VAG ONLY INCL POSTPARTUM,4730.0,4209.7,349.13,4730.0,482 CDM,PX-59412,PR EXTERNAL CEPHALIC VERSION,991.0,881.99,66.94,991.0,482 CDM,PX-59414,PR DELIVERY PLACENTA SEP PROC,820.0,729.8,28.87,820.0,482 CDM,PX-59425,PR ANTEPARTUM CARE ONLY 4-6 VISIT,1962.0,1746.18,367.16,1962.0,510 CDM,PX-59426,PR ANTEPARTUM CARE ONLY 7+ VISITS,3487.0,3103.43,674.08,3487.0,509 CDM,PX-59430,PR POST PARTUM CARE ONLY,723.0,643.47,84.32,723.0,482 CDM,PX-59510,PR ROUTINE C/S ANTE/POSTPRTUM PKG,9499.0,8454.11,892.31,9499.0,482 CDM,PX-59514,PR DELIVERY ONLY CESAREAN,4050.0,3604.5,289.38,4050.0,482 CDM,PX-59515,PR DEL ONLY CESAREAN POSTPARTUM,5432.0,4834.48,432.69,5432.0,482 CDM,PX-59525,PR HYSTERECTOMY AFTER CESAREAN,3551.0,3160.39,297.95,3551.0,482 CDM,PX-59610,PR ROUTINE VBAC PACKAGE,8157.0,7259.73,713.11,8157.0,507 CDM,PX-59612,PR VBAC DEL ONLY,4646.0,4134.94,287.86,4646.0,482 CDM,PX-59614,PR VBAC DEL ONLY W PP,5390.0,4797.1,374.03,5390.0,482 CDM,PX-59618,PR C/S AFTER ATMPT VBAC PACKAGE,8800.0,7832.0,899.87,8800.0,482 CDM,PX-59622,PR C/S ONLY AFTER ATMPT VBAC W PP,6710.0,5971.9,446.51,6710.0,482 CDM,PX-59812,PR TX INCOMPLETE ABORTION,1868.0,1662.52,135.49,1868.0,482 CDM,PX-59820,PR TX MISSED ABORTION SURG 1ST T,2054.0,1828.06,164.33,2054.0,483 CDM,PX-59821,PR TX MISSED ABORTION SURG 2ND T,2531.0,2252.59,161.65,2531.0,482 CDM,PX-59830,PR TX SEPTIC ABORTION,2791.0,2483.99,152.87,2791.0,482 CDM,PX-59840,PR ABORTION INDUCED BY D&C,2019.0,1796.91,92.2,2019.0,482 CDM,PX-59841,PR ABORTION INDUCED BY D&E,2033.0,1809.37,158.19,2033.0,482 CDM,PX-59855,PR ABORT INDUC 1+ VAG SUPP,3015.0,2683.35,139.41,3015.0,482 CDM,PX-59856,PR ABORT IND 1+ VAG SUPP D&C EVAC,4705.0,4187.45,161.19,4705.0,482 CDM,PX-59870,PR EVAC&CURETT UTER MOLE,3166.0,2817.74,179.62,3166.0,482 CDM,PX-59871,PR RMVL CERCLAGE SUTR W ANES,867.0,771.63,43.21,867.0,482 CDM,PX-60100,PR BIOPSY THYROID PERC CORE NDL,811.0,721.79,43.28,811.0,482 CDM,PX-60200,PR EXCISN CYST/ADENOMA THYROID,4197.0,3735.33,236.73,4197.0,482 CDM,PX-60210,PR LBCTMY THYROID UNILAT PARTIAL,4748.0,4225.72,244.66,4748.0,482 CDM,PX-60212,PR LBCTMY THYRD PRTL W SUB LBCTMY,6480.0,5767.2,359.4,6480.0,482 CDM,PX-60220,PR LBCTMY THYROID TOTAL UNILAT,5978.0,5320.42,243.23,5978.0,482 CDM,PX-60225,PR LBCTMY THYRD TOTL W SUB LBCTMY,7003.0,6232.67,321.93,7003.0,482 CDM,PX-60240,PR THYROIDECTOMY TOTAL/COMPLETE,7302.0,6498.78,312.27,7302.0,482 CDM,PX-60252,PR THYROIDECTOMY W LTD NK DISSECT,10332.0,9195.48,443.73,10332.0,482 CDM,PX-60254,PR THYROIDECTOMY W RAD NK DISSECT,12207.0,10864.23,555.96,12207.0,482 CDM,PX-60260,PR THYROIDECTOMY RMVL REMAIN TISS,6387.0,5684.43,365.53,6387.0,482 CDM,PX-60270,PR THYROIDECT SUBSTERNL THOR APPR,9263.0,8244.07,460.11,9263.0,482 CDM,PX-60271,PR THYROIDECT SUBSTERNL CERV APPR,7419.0,6602.91,355.96,7419.0,482 CDM,PX-60280,PR EXCISN THYROGLOSSAL DUCT CYST,4243.0,3776.27,160.4,4243.0,482 CDM,PX-60281,PR EXCISN THYROGLOS DUCT CYST RECUR,5439.0,4840.71,204.59,5439.0,482 CDM,PX-60300,PR ASP INJ THYROID CYST,665.0,591.85,41.86,665.0,482 CDM,PX-60500,PR PARATHYROIDECTOMY EXPLOR,7106.0,6324.34,334.4,7106.0,482 CDM,PX-60502,PR PARATHYROIDECTOMY RE-EXPLOR,8374.0,7452.86,448.17,8374.0,482 CDM,PX-60505,PR PARATHYRDCT MEDIASTINAL EXPLOR,10257.0,9128.73,462.29,10257.0,482 CDM,PX-60512,PR PARATHYROID AUTOTRANSPLANT ADD-ON,1836.0,1634.04,155.64,1836.0,482 CDM,PX-60520,PR THYMECTOMY TXCERV APPR,7861.0,6996.29,365.42,7861.0,482 CDM,PX-60521,PR THYMECTOMY STERNL/THOR APPR,8648.0,7696.72,399.78,8648.0,482 CDM,PX-60522,PR THYMECTOMY STERNL/THOR DISSECT,10411.0,9265.79,480.32,10411.0,482 CDM,PX-60540,PR ADRENALECTOMY,7854.0,6990.06,377.77,7854.0,482 CDM,PX-60545,PR ADRENALECTOMY W EXCISN TMR,9926.0,8834.14,436.23,9926.0,482 CDM,PX-60600,PR EXCISN CARTD TMR WO EXCISN ART,11126.0,9902.14,448.33,11126.0,482 CDM,PX-60605,PR EXCISN CARTD TMR W EXCISN ART,13976.0,12438.64,537.84,13976.0,482 CDM,PX-60650,PR LAPAROSCOPY ADRENALECTOMY,9296.0,8273.44,409.52,9296.0,482 CDM,PX-60660,PR ABLTJ 1/+THYR NDUL 1LOBE PRQ,3190.0,2839.1,1067.35,3190.0,482 CDM,PX-60699001,PR PERC ABLATION THYROID,3191.0,2839.99,159.55,3191.0,477 CDM,PX-60699002,PR PERC ETHANOL RX PARATHYROID,2401.0,2136.89,120.05,2401.0,477 CDM,PX-60699004,PR PERC RF ABLATION THYROID,3191.0,2839.99,159.55,3191.0,477 CDM,PX-610000030,HC CAD BREAST MRI,1.0,0.89,0.21,1.0,717 CDM,PX-61020,PR VENT PERC BURR HOLE WO INJ,890.0,792.1,30.34,890.0,507 CDM,PX-61026,PR VENT PERC BURR HOLE W INJ,1297.0,1154.33,38.59,1297.0,482 CDM,PX-61070,PR PUNC SHUNT TUBE ASP INJ PROC,673.0,598.97,16.79,673.0,507 CDM,PX-61107,PR IMPL TWIST DRILL HOLE VEN CATH,5837.0,5194.93,196.87,5837.0,482 CDM,PX-61140,PR BURR HOLE W BX BRAIN LESION,11060.0,9843.4,455.54,11060.0,482 CDM,PX-61150,PR BURR HOLE W DRNG BRAIN ABSCESS,12016.0,10694.24,476.26,12016.0,482 CDM,PX-61154,PR BURR HOLE W EVAC HEMATOMA,14100.0,12549.0,463.76,14100.0,482 CDM,PX-61156,PR BURR HOLE W ASP HEMATOMA,7930.0,7057.7,436.09,7930.0,482 CDM,PX-61210,PR BURR HOLE IMPL CRBRAL MNTR DEV,5405.0,4810.45,114.91,5405.0,482 CDM,PX-61215,PR INSRT SUBQ RESERVOIR VENT CATH,4876.0,4339.64,207.82,4876.0,482 CDM,PX-61304,PR CRNCTMY EXPLOR SUPRATENTORIAL,14585.0,12980.65,571.26,14585.0,482 CDM,PX-61305,PR CRNCTMY EXPLOR INFRATENTORIAL,17214.0,15320.46,693.86,17214.0,482 CDM,PX-61312,PR CRNCTMY HEMA SUPRA EXTRADURAL,20326.0,18090.14,706.7,20326.0,482 CDM,PX-61313,PR CRNCTMY HEMA SUPRA INTRACEREB,17528.0,15599.92,691.97,17528.0,482 CDM,PX-61314,PR CRNCTMY HEMA INFRATENT EXTRDRL,15215.0,13541.35,635.0,15215.0,482 CDM,PX-61315,PR CRNCTMY HEMA SUPRA INTRACRBLR,20987.0,18678.43,713.35,20987.0,482 CDM,PX-61320,PR CRNCTMY DRN ABSC SUPRA,15829.0,14087.81,649.45,15829.0,482 CDM,PX-61321,PR CRNCTMY DRN ABSC INFRA,16577.0,14753.53,731.29,16577.0,482 CDM,PX-61322,PR CRNCTMY DCMPRN WO LBCTMY,19927.0,17735.03,813.71,19927.0,482 CDM,PX-61323,PR CRNCTMY W/WO DURAPLST W LBCTMY,22385.0,19922.65,807.5,22385.0,482 CDM,PX-61333,PR EXPLORATION ORBIT W RMVL LESN,14311.0,12736.79,689.99,14311.0,482 CDM,PX-61343,PR CRNCTMY SUBOCIP W CERV LMNCTMY,25055.0,22298.95,747.17,25055.0,482 CDM,PX-61345,PR OTHR CRANIAL DCMPRSN PSTR FOSSA,14249.0,12681.61,703.81,14249.0,482 CDM,PX-61458,PR CRNCTMY SUBOCIP EXPLR CRNL NRV,19834.0,17652.26,695.12,19834.0,482 CDM,PX-61460,PR CRNCTMY SUBOCIP >=1 CRNL NRV,23827.0,21206.03,723.77,23827.0,482 CDM,PX-61500,PR CRNCTMY EXCISION TMR SKULL,16296.0,14503.44,440.25,16296.0,482 CDM,PX-61501,PR CRANIECTOMY OSTEOMYELITIS,10452.0,9302.28,390.25,10452.0,482 CDM,PX-61510,PR CRNCTMY EXCISN BRAIN TMR SUPRA,20285.0,18053.65,769.27,20285.0,482 CDM,PX-61512,PR CRNCTMY EXCISN MENINGIOMA SUPRA,20820.0,18529.8,868.08,20820.0,482 CDM,PX-61514,PR CRNCTMY EXCISN ABSC SUPRA,20328.0,18091.92,658.94,20328.0,482 CDM,PX-61516,PR CRNCTMY EXCISION CYST SUPRA,18174.0,16174.86,646.62,18174.0,482 CDM,PX-61518,PR CRNCTMY EXCISN BRN TMR INFRATENT,22429.0,19961.81,948.3,22429.0,482 CDM,PX-61519,PR CRNCTMY EXCISN TMR MENINGIOMA,29672.0,26408.08,991.09,29672.0,482 CDM,PX-61520,PR CRNCTMY EXCISN BRN TMR CEREB ANGL,28697.0,25540.33,1235.57,28697.0,482 CDM,PX-61521,PR CRNCTMY EXCISN BRN TMR SKULL BASE,24106.0,21454.34,1057.81,24106.0,482 CDM,PX-61524,PR CRNCTMY EXCISN CYST,20447.0,18197.83,716.88,20447.0,482 CDM,PX-61526,PR CRNCTMY TRANSTEMP EXCISN TMR,22538.0,20058.82,1095.62,22538.0,482 CDM,PX-61530,PR CRNCTMY EXCISN TMR W MID/POSTR FOSS,22490.0,20016.1,1026.39,22490.0,482 CDM,PX-61533,PR CRANIOT SUBDURAL IMPL ELECTRODE,16668.0,14834.52,535.4,16668.0,482 CDM,PX-61534,PR CRANIOT EXCISN EPILEPTOGENIC FCS,16406.0,14601.34,580.85,16406.0,482 CDM,PX-61535,PR CRANIOT RMVL EPI/SUBDRL ELECTRD,9877.0,8790.53,371.36,9877.0,482 CDM,PX-61536,PR CRANIOT EPILEPTOGENIC FOCUS,25829.0,22987.81,871.53,25829.0,482 CDM,PX-61537,PR CRANIOT LBCTMY TEMP WO ECOG,20554.0,18293.06,824.77,20554.0,482 CDM,PX-61538,PR CRANIOT W TEMPORAL LOBECTOMY,21755.0,19361.95,890.7,21755.0,482 CDM,PX-61539,PR CRANIOT WO TEMPORAL LOBECTOMY,26545.0,23625.05,803.51,26545.0,482 CDM,PX-61540,PR CRANIOT LBCTMY NOT TEMP WO ECOG,16256.0,14467.84,746.04,16256.0,482 CDM,PX-61541,PR CRANIOT TRANSEC CORP COLLOSUM,20737.0,18455.93,737.66,20737.0,482 CDM,PX-61545,PR CRANIOT EXCISN CRANIOPHARYNG,25660.0,22837.4,1079.59,25660.0,482 CDM,PX-61546,PR CRANIOT EXCISN PIT TMR INTRACRAN,19685.0,17519.65,786.85,19685.0,482 CDM,PX-61564,PR EXCISN CRAN BN TMR W OPT NRV DCMPRS,15778.0,14042.42,823.26,15778.0,482 CDM,PX-61566,PR CRNCTMY AMYGDALOHIPPOCAMPECTMY,20346.0,18107.94,766.12,20346.0,482 CDM,PX-61581,PR APP CRNFCL ANTR FOSSA EXTRADRL,31836.0,28334.04,919.99,31836.0,482 CDM,PX-61583,PR APP CRNFCL INTRADURAL W CRANIOT,28641.0,25490.49,1059.05,28641.0,482 CDM,PX-61584,PR APP ORBTCRNL EXTRDRL WO EXTNSN,25307.0,22523.23,1030.94,25307.0,482 CDM,PX-61586,PR BICORNL TRANSZYG APP WO BN GRFT,19050.0,16954.5,984.42,19050.0,482 CDM,PX-61590,PR APP INFRATEMPRL PRE AURICULAR,32175.0,28635.75,1009.44,32175.0,482 CDM,PX-61591,PR APP INFRATEMPRL POST AURICULAR,29060.0,25863.4,1036.34,29060.0,482 CDM,PX-61592,PR APP ORBITOCRANIAL ZYGOMATIC,27788.0,24731.32,1095.93,27788.0,482 CDM,PX-61595,PR APPR TRANSTEMPORAL DCMPRN NRV,24535.0,21836.15,819.98,24535.0,482 CDM,PX-61597,PR TRANSCONDYLAR PSTR CRNL FOSSA,25110.0,22347.9,1061.44,25110.0,482 CDM,PX-61598,PR APPROACH TRANSPETROSAL,33726.0,30016.14,1031.27,33726.0,482 CDM,PX-61600,PR RSECT LSN ANTR CRNL FOSSA EXTR,19826.0,17645.14,727.54,19826.0,482 CDM,PX-61601,PR RSECT LSN ANTR CRNL FOSSA INTR,25460.0,22659.4,876.45,25460.0,482 CDM,PX-61605,PR RSECT LSN INFRATMPRL FOSS EXTR,19484.0,17340.76,734.76,19484.0,482 CDM,PX-61606,PR RSECT LSN INFRATMPRL FOSS INTR,25009.0,22258.01,988.64,25009.0,482 CDM,PX-61608,PR RSECT LSN PARASELLAR AREA INTR,32770.0,29165.3,1129.01,32770.0,482 CDM,PX-61616,PR RSECT LSN POSTR CRNL FOSS INTR,32612.0,29024.68,1139.81,32612.0,482 CDM,PX-61618,PR RPR SECNDRY DURA CSF LEAK GRFT,9855.0,8770.95,443.62,9855.0,482 CDM,PX-61623,PR EVASC TEMP BALN ARTL OCCLUSION,5032.0,4478.48,184.33,5032.0,482 CDM,PX-61624,PR TXCATH OCCL/EMBL CNS,9686.0,8620.54,367.3,9686.0,482 CDM,PX-61626,PR TXCATH OCCL/EMBL NON CNS,11370.0,10119.3,4040.72,11370.0,482 CDM,PX-61630,PR ANGIO BALN PERC INTRACRANIAL,9734.0,8663.26,450.07,9734.0,482 CDM,PX-61635,PR INS STNT INTRACRANIAL,12429.0,11061.81,487.39,12429.0,482 CDM,PX-61645,PR PERC ARTL TRNSLUM THRMBCT INTRCRNL,5048.0,4492.72,537.0,5048.0,482 CDM,PX-61650,PR EVASC INTRCRNL PROLNG RX ADMIN INIT,3417.0,3041.13,184.02,3417.0,482 CDM,PX-61651,PR EVASC INTRCRNL PROLNG RX ADMIN ADD,1702.0,1514.78,157.26,1702.0,482 CDM,PX-61680,PR INTRCR AV MALFORM SUPRA SMPL,23349.0,20780.61,780.17,23349.0,482 CDM,PX-61682,PR INTRCR AV MALFORM SUPRA COMPLX,34656.0,30843.84,1350.6,34656.0,482 CDM,PX-61684,PR INTRCR AV MALFORM INFRA SMPL,22405.0,19940.45,959.49,22405.0,482 CDM,PX-61686,PR INTRCR AV MALFORM INFRA CMPLX,33599.0,29903.11,1480.19,33599.0,482 CDM,PX-61690,PR INTRCR AV MALFORM DURAL SMPL,18280.0,16269.2,750.63,18280.0,482 CDM,PX-61697,PR CMPLX INTRCR ARYSM CARTD CIRC,33296.0,29633.44,1396.85,33296.0,482 CDM,PX-61698,PR CMPLX INTRCR ARYSM VRTBRBSLR,34052.0,30306.28,1522.33,34052.0,482 CDM,PX-61700,PR SMPL INTRCR ARYSM CARTD CIRC,27788.0,24731.32,1128.13,27788.0,482 CDM,PX-61711,PR ANAST ARTY EXTRACRNL-INTRACRNL,21106.0,18784.34,878.0,21106.0,482 CDM,PX-61715,PR MRGFUS STRTCTC ABLT TRGT ICR,12713.0,11314.57,5720.85,12713.0,477 CDM,PX-61735,PR CREATE LESN STRTCTC SUBCORT,16237.0,14450.93,559.22,16237.0,482 CDM,PX-61736,PR LITT LES ICR SINGLE TRAJECTORY 1 SIMPLE LESION,10609.0,9442.01,787.08,10609.0,482 CDM,PX-61737,PR LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS,13019.0,11586.91,929.73,13019.0,482 CDM,PX-61750,PR BX STEREOTACTIC INTRACRNL LESN,15582.0,13867.98,492.92,15582.0,482 CDM,PX-61751,PR BX STRTCTC INTRACRN LSN CT/MRI,13587.0,12092.43,497.93,13587.0,482 CDM,PX-61760,PR IMPL STRTCTC ELECTRODES CEREB,18662.0,16609.18,551.86,18662.0,482 CDM,PX-61781,PR STRTCTC COMP-ASSIST CRNL INTRA,3376.0,3004.64,147.56,3376.0,482 CDM,PX-61782,PR STRTCTC COMP-ASSIST CRNL EXTRA,1515.0,1348.35,109.52,1515.0,482 CDM,PX-61783,PR STRTCTC COMP-ASSIST NAV SPINAL,2774.0,2468.86,145.1,2774.0,482 CDM,PX-61796,PR RADIOSURG CRANIAL LESION SMPL,14528.0,12929.92,726.13,14528.0,482 CDM,PX-61797,PR RADIOSURG CRANL LESN SMPL ADD,5812.0,5172.68,136.94,5812.0,482 CDM,PX-61798,PR RADIOSURG CRANIAL LESION CMPLX,15671.0,13947.19,949.46,15671.0,482 CDM,PX-61799,PR RADIOSURG CRANL LESN CMPLX ADD,5643.0,5022.27,189.11,5643.0,482 CDM,PX-61800,PR APP STEREOTACTIC HEADFRAME,1694.0,1507.66,102.17,1694.0,482 CDM,PX-61860,PR CRNCTMY IMPL NEUROSTIM CORTIC,9951.0,8856.39,542.63,9951.0,482 CDM,PX-61863,PR IMPL ELCTD SUBCORT WO REC 1ST,10506.0,9350.34,534.9,10506.0,482 CDM,PX-61864,PR IMPL ELCTD SUBCORT WO REC EA,3841.0,3418.49,177.41,3841.0,482 CDM,PX-61867,PR IMPL ELCTD SUBCORT W REC 1ST,19469.0,17327.41,777.77,19469.0,482 CDM,PX-61868,PR IMPL ELCTD SUBCORT W REC EA,5650.0,5028.5,312.0,5650.0,482 CDM,PX-61880,PR REVISN INTRACRN NEURSTIM ELECT,6432.0,5724.48,229.08,6432.0,482 CDM,PX-61885,PR INS CRNL PULSE GEN 1 CONNECT,5276.0,4695.64,208.04,5276.0,482 CDM,PX-61886,PR INS CRNL PULSE GEN 2+ CONNECT,5721.0,5091.69,346.88,5721.0,482 CDM,PX-61888,PR RMVL CRANIAL NEUROSTIMULATOR,4407.0,3922.23,146.87,4407.0,482 CDM,PX-61889,PR INS SK-MNT CRNL NSTM PG/RCVR,13520.0,12032.8,618.89,13520.0,482 CDM,PX-61891,PR REV/RPLCMT SK-MNT CRNL NSTM,6867.0,6111.63,304.66,6867.0,482 CDM,PX-61892,PR RMV SK-MNT CRNL NSTM PG/RCVR,8850.0,7876.5,392.91,8850.0,482 CDM,PX-62000,PR ELEV DPRESD SKL FX SMPL EXTRA,8168.0,7269.52,374.45,8168.0,482 CDM,PX-62005,PR ELEV DPRESD SKL FX CMPLX EXTRA,11924.0,10612.36,451.17,11924.0,482 CDM,PX-62010,PR ELEV DEPRS SKULL FX RPR DURA,17914.0,15943.46,540.94,17914.0,482 CDM,PX-62100,PR CRANIOTOMY RPR CSF LEAK,15829.0,14087.81,528.11,15829.0,482 CDM,PX-62120,PR RPR OF ENCEPHALOCELE,15663.0,13940.07,789.74,15663.0,482 CDM,PX-62121,PR CRANIOT REPAIR ENCEPHALOCELE,13652.0,12150.28,533.51,13652.0,482 CDM,PX-62140,PR CRNPLSTY SKULL DEFECT <5 CM,12944.0,11520.16,356.46,12944.0,482 CDM,PX-62141,PR CRNPLSTY SKULL DEFECT >5 CM,14028.0,12484.92,402.54,14028.0,482 CDM,PX-62142,PR REMOVAL BONE FLAP SKULL,9847.0,8763.83,327.43,9847.0,482 CDM,PX-62143,PR REPLACEMENT BONE FLAP SKULL,10863.0,9668.07,376.1,10863.0,482 CDM,PX-62146,PR CRANIOPLASTY W AUTOGRAFT<5CM,9391.0,8357.99,444.35,9391.0,482 CDM,PX-62147,PR CRANIOPLASTY W AUTOGRAFT>5CM,20200.0,17978.0,485.61,20200.0,482 CDM,PX-62160,PR NEUROENDO INTRACRNL PLC CATH,2119.0,1885.91,118.22,2119.0,482 CDM,PX-62161,PR NEUROENDO INTRACRNL DSCT ADHES,18139.0,16143.71,536.4,18139.0,482 CDM,PX-62162,PR NEUROENDO INTRACRNL W CATH DRN,18979.0,16891.31,657.42,18979.0,482 CDM,PX-62164,PR NEUROENDO W RETRIEVAL FB,22180.0,19740.2,732.28,22180.0,482 CDM,PX-62165,PR NEUROENDO INTRA EXCISN PIT TMR,21573.0,19199.97,512.9,21573.0,482 CDM,PX-62200,PR VENTRICULOCISTERN 3RD VENT,17588.0,15653.32,484.08,17588.0,482 CDM,PX-62201,PR VENTRICULOCISTERN 3 VENT STREO,12400.0,11036.0,443.31,12400.0,482 CDM,PX-62220,PR CREATE SHUNT VENTRICULO-ATRIAL,8748.0,7785.72,348.51,8748.0,482 CDM,PX-62223,PR CREATE SHUNT VENTRIC-PERITONL,11158.0,9930.62,317.56,11158.0,507 CDM,PX-62225,PR REPLACE VENTRICULAR CATHETER,5681.0,5056.09,212.75,5681.0,482 CDM,PX-62230,PR REPLACE/REVISE CSF SHUNT,8595.0,7649.55,304.44,8595.0,482 CDM,PX-62252,PR REPROGRAM CSF SHUNT,400.0,356.0,30.21,796.0,1448 CDM,PX-62256,PR RMVL CSF SHUNT SYSTEM WO RPLC,6018.0,5356.02,236.07,6018.0,482 CDM,PX-62258,PR RMVL CSF SHUNT SYSTEM W RPLC,12529.0,11150.81,397.36,12529.0,482 CDM,PX-62267,PR PERC ASP INTERDISCAL DX,1359.0,1209.51,104.23,1359.0,482 CDM,PX-62270,PR PUNCTURE SPINAL LUMBAR DX,972.0,865.08,65.91,972.0,490 CDM,PX-62272,PR PUNCTURE SPINAL THER DRN CSF,1212.0,1078.68,85.71,1212.0,482 CDM,PX-62273,PR INJ EPI BLD/CLOT PATCH,1588.0,1413.32,69.29,1588.0,482 CDM,PX-62284,PR INJ MYELOGRAPHY CT WO C1/C2,1335.0,1188.15,73.39,1335.0,482 CDM,PX-62302,PR MYELOGRAPHY LUMB INJ S&I CERV,1705.0,1517.45,99.71,1705.0,482 CDM,PX-62303,PR MYELOGRAPHY LUMB INJ S&I THOR,1541.0,1371.49,101.49,1541.0,482 CDM,PX-62304,PR MYELOGRAPHY LUMB INJ S&I LUMB,1260.0,1121.4,98.75,1260.0,482 CDM,PX-62305,PR MYELOGRAPHY LUMB INJ >2 RGNS,1542.0,1372.38,107.96,1542.0,482 CDM,PX-62320,PR INJ SPINE CERV/THOR WO IMG,1410.0,1254.9,65.92,1410.0,482 CDM,PX-62321,PR INJ SPINE CERV/THOR W IMG,1544.0,1374.16,113.56,1544.0,482 CDM,PX-62322,PR INJ SPINE LUMB/SAC WO IMG,1510.0,1343.9,59.05,1510.0,482 CDM,PX-62322001,PR OB EPIDUR VAG BIRTH < 90 MIN,1349.0,1200.61,59.05,1349.0,482 CDM,PX-62323,PR INJ SPINE LUMB/SAC W IMG,1279.0,1138.31,112.32,1279.0,482 CDM,PX-62324,PR INJ INF/BOLUS CERV/THORAC DX WO IMG,1468.0,1306.52,62.18,1468.0,482 CDM,PX-62325,PR NJX INTRLMNR CRV/THOR W IMG GUID,1892.0,1683.88,108.6,1892.0,482 CDM,PX-62326,PR INJ INF/BOLUS LUMB/SACRAL DX WO IMG,1295.0,1152.55,62.18,1295.0,482 CDM,PX-62326001,PR OB EPIDUR VAG BIRTH > 90 MIN,2134.0,1899.26,62.18,2134.0,482 CDM,PX-62326002,PR OB EPIDUR VAG BIRTH CONVERTED TO C/S,2989.0,2660.21,62.18,2989.0,482 CDM,PX-62327,PR INJ INTERLAMINAR LUMBAR/ SAC,1841.0,1638.49,112.64,1841.0,482 CDM,PX-62328,PR PUNCTURE SPINAL LUMBAR DX W GUID,964.0,857.96,74.79,964.0,482 CDM,PX-62329,PR PUNCTURE SPINAL THER DRN CSF W GUID,2232.0,1986.48,110.57,2232.0,482 CDM,PX-62350,PR IMPL CATH WO LAMINECTOMY,4241.0,3774.49,144.58,4241.0,482 CDM,PX-62355,PR RMVL PREV IMPL CATH,3900.0,3471.0,107.98,3900.0,482 CDM,PX-62362,PR IMPL FOR INFUSION PROGRAM PUMP,4795.0,4267.55,141.33,4795.0,482 CDM,PX-62365,PR REMOVAL OF SUBQ RESERVOIR,3204.0,2851.56,112.94,3204.0,482 CDM,PX-62367,PR ELEC ANLYS PUMP WO RPRG/REFILL,299.0,266.11,22.67,299.0,510 CDM,PX-62368,PR ELEC ANLYS PUMP W RPRG,459.0,408.51,37.07,459.0,485 CDM,PX-62369,PR ELEC ANALYSIS W REPRG REFIL,740.0,658.6,79.7,740.0,485 CDM,PX-62370,PR ELEC ANLYS PUMP W RPRG&RFLL,592.0,526.88,67.42,592.0,507 CDM,PX-62380,PR ENDOSC DCMPRN FIRST INTRSPC LUMB,10114.0,9001.46,596.69,10114.0,482 CDM,PX-63001,PR LAMINECTOMY W EXPLR CERVICAL,11900.0,10591.0,429.96,11900.0,482 CDM,PX-63003,PR LAMINECTOMY W EXPLR THORACIC,13189.0,11738.21,431.63,13189.0,482 CDM,PX-63005,PR LAMINECTOMY W EXPLR LUMBAR,9690.0,8624.1,433.15,9690.0,482 CDM,PX-63011,PR LMNCTMY WO FACETECT <=2 SEG SAC,8175.0,7275.75,377.95,8175.0,482 CDM,PX-63012,PR LAMINECTOMY W RMVL FACETS LUMB,13188.0,11737.32,420.03,13188.0,482 CDM,PX-63015,PR LMNCTMY W EXPLR 2+ SEG CERV,16488.0,14674.32,520.14,16488.0,482 CDM,PX-63016,PR LMNCTMY W EXPLR 2+ SEG THOR,14830.0,13198.7,526.54,14830.0,482 CDM,PX-63017,PR LMNCTMY W EXPLR 2+ SEG LUMB,14187.0,12626.43,451.26,14187.0,482 CDM,PX-63020,PR LMNOTOMY W DCMPRN 1 SPACE CERV,17401.0,15486.89,393.47,17401.0,482 CDM,PX-63030,PR LMNOTOMY W DCMPRN 1 SPACE LUMB,13875.0,12348.75,334.09,13875.0,482 CDM,PX-63035,PR LMNOTOMY W DCMPRN EA ADD SPACE,4837.0,4304.93,146.98,4837.0,482 CDM,PX-63040,PR LMNOTOMY REEXPLOR 1 SPACE CERV,12656.0,11263.84,471.46,12656.0,482 CDM,PX-63042,PR LMNOTOMY REEXPLOR 1 SPACE LUMB,18529.0,16490.81,449.94,18529.0,482 CDM,PX-63044,PR LMNOTOMY REEXPLOR LUMB EA ADD,8792.0,7824.88,357.02,8792.0,482 CDM,PX-63045,PR LAMIN/FACE/FORAMIN 1 SEG CERV,18476.0,16443.64,454.45,18476.0,482 CDM,PX-63046,PR LAMIN/FACE/FORAMIN 1 SEG THOR,17428.0,15510.92,433.27,17428.0,482 CDM,PX-63047,PR LAMIN/FACE/FORAMIN 1 SEG LUMB,16041.0,14276.49,392.66,16041.0,482 CDM,PX-63048,PR LAMIN/FACE/FORAMIN EA ADD SEG,4893.0,4354.77,132.69,4893.0,482 CDM,PX-63051,PR LMNPLSTY CERV W DCMPRN&RECNSTR,20883.0,18585.87,575.93,20883.0,482 CDM,PX-63052,PR LAM/FAC/FOR POST ARTHR SGL VERT SEG,4272.0,3802.08,162.71,4272.0,482 CDM,PX-63053,PR LAM/FAC/FOR POST ARTHR EA ADD SEG,2341.0,2083.49,144.83,2341.0,482 CDM,PX-63055,PR TRANSPEDIC DCMPRN 1 SEG THOR,16378.0,14576.42,557.48,16378.0,482 CDM,PX-63056,PR TRANSPEDIC DCMPRN 1 SEG LUMB,18020.0,16037.8,509.86,18020.0,482 CDM,PX-63057,PR TRANSPEDIC DCMPRN EA ADD SEG,4915.0,4374.35,202.26,4915.0,482 CDM,PX-63064,PR COSTOVERT DCMPRN 1 SEG THOR,11450.0,10190.5,605.23,11450.0,482 CDM,PX-63066,PR COSTOVERT DCMPRN EA ADD SEG,1512.0,1345.68,128.53,1512.0,482 CDM,PX-63077,PR DISCTMY ANT W DCMPRN THOR SNGL,12413.0,11047.57,494.41,12413.0,482 CDM,PX-63081,PR CRPCTMY ANTR APP CERV SNGL,18807.0,16738.23,600.57,18807.0,482 CDM,PX-63082,PR CRPCTMY ANTR APP CERV EA ADD,5229.0,4653.81,167.48,5229.0,482 CDM,PX-63085,PR CRPCTMY TRNSTHOR APP THOR SNGL,17115.0,15232.35,656.56,17115.0,482 CDM,PX-63086,PR CRPCTMY TRANSTHOR THOR EA ADD,3641.0,3240.49,120.56,3641.0,482 CDM,PX-63087,PR CRPCTMY THRCOLMB THOR/LUMB SNGL,18878.0,16801.42,814.88,18878.0,482 CDM,PX-63088,PR CRPCTMY THRCOLMB THOR/LUMB ADD,2348.0,2089.72,164.78,2348.0,482 CDM,PX-63090,PR CRPCTMY PERIT THOR/LUMB/SAC SNGL,17915.0,15944.35,665.82,17915.0,482 CDM,PX-63091,PR CRPCTMY PERIT THOR/LUMB/SAC ADD,2636.0,2346.04,113.34,2636.0,482 CDM,PX-63101,PR CRPCTMY LAT EXTRCV THOR SNGL,20419.0,18172.91,795.77,20419.0,482 CDM,PX-63102,PR CRPCTMY LAT EXTRCV LUMB SNGL,16480.0,14667.2,784.13,16480.0,482 CDM,PX-63103,PR CRPCTMY LAT EXTRCV TH/LB EA AD,3782.0,3365.98,185.24,3782.0,482 CDM,PX-63172,PR LMNCTMY W DRN CYST SUBARACH,11158.0,9930.62,498.45,11158.0,482 CDM,PX-63173,PR LMNCTMY W DRN CYST PERITONEAL,12691.0,11294.99,603.04,12691.0,482 CDM,PX-63185,PR LMNCTMY W RHIZOTOMY <=2 SEG,8691.0,7734.99,445.15,8691.0,482 CDM,PX-63190,PR LMNCTMY W RHIZOTOMY >2 SEG,16748.0,14905.72,425.85,16748.0,482 CDM,PX-63200,PR LAMINECTOMY RELEASE CORD LUMB,13156.0,11708.84,549.02,13156.0,482 CDM,PX-63250,PR LMNCTMY EXCISN AV MALFORM CERV,24627.0,21918.03,992.77,24627.0,482 CDM,PX-63251,PR LMNCTMY EXCISN AV MALFORM THOR,21659.0,19276.51,1018.73,21659.0,482 CDM,PX-63252,PR LMNCTMY EXCISN AV MALF THORCOLUMB,23854.0,21230.06,1018.45,23854.0,482 CDM,PX-63265,PR LMNCTMY EXCISN LSN EXTRA CERV,12778.0,11372.42,578.36,12778.0,482 CDM,PX-63266,PR LMNCTMY EXCISN LSN EXTRA THOR,13570.0,12077.3,594.19,13570.0,482 CDM,PX-63267,PR LMNCTMY EXCISN LSN EXTRA LUMB,11880.0,10573.2,480.79,11880.0,482 CDM,PX-63268,PR LAMINECT EXCISN INTRSPN LESN SACRAL,14194.0,12632.66,521.93,14194.0,482 CDM,PX-63270,PR LMNCTMY EXCISN LSN INTRA CERV,16588.0,14763.32,715.21,16588.0,482 CDM,PX-63271,PR LMNCTMY EXCISN LSN INTRA THOR,15910.0,14159.9,712.98,15910.0,482 CDM,PX-63272,PR LMNCTMY EXCISN LSN INTRA LUMB,17562.0,15630.18,652.15,17562.0,482 CDM,PX-63275,PR LMNCTMY BX NEO EXTRADUR CERV,15173.0,13503.97,619.43,15173.0,482 CDM,PX-63276,PR LMNCTMY BX NEO EXTRADUR THOR,12245.0,10898.05,617.13,12245.0,482 CDM,PX-63277,PR LMNCTMY BX NEO EXTRADUR LUMB,12510.0,11133.9,541.31,12510.0,482 CDM,PX-63278,PR LMNCTMY BX NEO EXTRADUR SAC,13225.0,11770.25,563.52,13225.0,482 CDM,PX-63280,PR LMNCTMY BX INTRDUR EXTMED CERV,24787.0,22060.43,731.58,24787.0,482 CDM,PX-63281,PR LMNCTMY BX INTRDUR EXTMED THOR,20400.0,18156.0,725.76,20400.0,482 CDM,PX-63282,PR LMNCTMY BX INTRDUR EXTMED LUMB,19281.0,17160.09,688.78,19281.0,482 CDM,PX-63283,PR LMNCTMY BX INTRDUR INTMED SAC,13875.0,12348.75,665.73,13875.0,482 CDM,PX-63285,PR LMNCTMY BX INTRDUR INTMED CERV,26916.0,23955.24,888.61,26916.0,482 CDM,PX-63286,PR LMNCTMY BX INTRDUR INTMED THOR,18693.0,16636.77,879.0,18693.0,482 CDM,PX-63290,PR LMNCTMY BX EXTRA/INTRADUR ANY,22577.0,20093.53,943.37,22577.0,482 CDM,PX-63295,PR RCNST OSTPLSTC DORSAL SPN,3213.0,2859.57,207.09,3213.0,482 CDM,PX-63300,PR CRPCTMY EXCISN LSN EXTRDUR CERV,15189.0,13518.21,625.49,15189.0,482 CDM,PX-63301,PR CRPCTMY EXCISN EXTRDR THOR TRTHOR,15480.0,13777.2,760.59,15480.0,482 CDM,PX-63302,PR EXCISN LESN EXDUR THOR THORCOLM AP,14814.0,13184.46,752.39,14814.0,482 CDM,PX-63303,PR CRPCTMY EXCISN EXTRDR LUMB/SAC,15710.0,13981.9,789.12,15710.0,482 CDM,PX-63308,PR CRPCTMY EXCISN LESN CERV EA ADD,2378.0,2116.42,201.99,2378.0,482 CDM,PX-636000002,HC NITRIC OXIDE PER HOUR,267.0,237.63,55.54,267.0,727 CDM,PX-636000307,HC RADIONUCLIDE I-125 THERAGEN STRANDED,41.0,36.49,8.53,43.43,735 CDM,PX-636000308,HC RADIONUCLIDE I125 THERAGENICS LOOSE,35.0,31.15,7.28,45.13,735 CDM,PX-636000309,"HC PALLADIUM 103, THERASEED LOOSE",34.0,30.26,7.07,79.42,734 CDM,PX-636000310,HC 2301 HI ACT 6.1-10.0 MCI EACH,373.0,331.97,77.58,373.0,737 CDM,PX-636000311,"HC 2301 HIGH ACTIVITY, 4.1-6.0 MC",317.0,282.13,65.94,317.0,737 CDM,PX-636000312,"HC 2301 HIGH ACTIVITY, 2.1-4.0 MC",221.0,196.69,45.97,221.0,737 CDM,PX-636000313,HC I125 SEED 2301 1.0-2.0 MCI EA,152.0,135.28,31.62,214.38,737 CDM,PX-636000317,"HC PALLADIUM 103, THERAGEN STRAND",50.0,44.5,10.4,108.71,734 CDM,PX-636000345,HC CESIUM-131 LOOSE SEED-NONSTERILE,184.0,163.76,38.27,184.0,735 CDM,PX-636000346,HC CESIUM-131 SEED STRND-STERILE,205.0,182.45,42.64,205.0,735 CDM,PX-636000378,"HC BRACHYTX, NON-STR,HDR IR-192",612.0,544.68,127.3,612.0,736 CDM,PX-63650,PR IMPL NEUROSTIM ELEC PERC EPI,7486.0,6662.54,992.12,7486.0,482 CDM,PX-63655,PR LAMINECTOMY W IMPL NS ELEC EPI,8604.0,7657.56,309.65,8604.0,482 CDM,PX-63661,PR REMOVAL SPINE NEUROSTIM ARRAY,5090.0,4530.1,300.4,5090.0,482 CDM,PX-63662,PR REMOVAL SPINE NEUROSTIM PLATE,5457.0,4856.73,313.84,5457.0,482 CDM,PX-63663,PR REV SPINE ELEC PERC ARRAY,5681.0,5056.09,386.44,5681.0,482 CDM,PX-63685,PR INS/RPLCMT SPI NPGR POCKET,5030.0,4476.7,121.29,5030.0,482 CDM,PX-63688,PR REV/RMV IMP SPI NPGR DTCH CN,5480.0,4877.2,116.05,5480.0,482 CDM,PX-63704,PR REPAIR MYELOMENINGOCELE <5CM,11537.0,10267.93,600.44,11537.0,482 CDM,PX-63706,PR REPAIR MYELOMENINGOCELE >5CM,14359.0,12779.51,658.18,14359.0,482 CDM,PX-63707,PR REPAIR CSF LEAK WO LAMINECTOMY,10306.0,9172.34,341.33,10306.0,482 CDM,PX-63709,PR REPAIR CSF LEAK W LAMINECTOMY,13156.0,11708.84,397.19,13156.0,482 CDM,PX-63710,PR DURAL GRAFT SPINAL,9963.0,8867.07,386.57,9963.0,482 CDM,PX-63741,PR CREATE SHUNT LUMB WO LMNCTMY,6486.0,5772.54,262.41,6486.0,482 CDM,PX-63744,PR RPLC LUMBOSUBARACHNOID SHUNT,5955.0,5299.95,268.96,5955.0,482 CDM,PX-64400,PR INJ ANES TRIGEMINAL NRV,960.0,854.4,48.8,960.0,489 CDM,PX-64405,PR INJ ANES GREATER OCCIPITAL NRV,854.0,760.06,30.64,854.0,482 CDM,PX-64408,PR INJ ANES VAGUS NRV,766.0,681.74,32.13,766.0,482 CDM,PX-64415,PR INJ ANES BRACHIAL PLEX W GUIDANCE,1808.0,1609.12,63.29,1808.0,482 CDM,PX-64416,PR INJ ANES BRACHIAL PLEXUS CONT W GUIDANCE,2059.0,1832.51,28.24,2059.0,482 CDM,PX-64417,PR INJ ANES AXILLARY NERVE W GUIDANCE,1299.0,1156.11,76.31,1299.0,482 CDM,PX-64418,PR INJ ANES SUPRASCAPULAR NERVE,882.0,784.98,36.2,882.0,482 CDM,PX-64420,PR INJ ANES INTERCOSTAL NRV SNGL LVL,863.0,768.07,43.14,863.0,482 CDM,PX-64421,PR INJ ANES INTERCOSTAL NRV EA ADDL LEVEL,1201.0,1068.89,28.06,1201.0,482 CDM,PX-64425,PR INJ ANES ILIOINGUINAL NRV,898.0,799.22,49.48,898.0,482 CDM,PX-64430,PR INJ NRV BLOCK PUDENDAL,1135.0,1010.15,38.76,1135.0,482 CDM,PX-64435,PR INJ ANES AGENT PARACERV NRV,644.0,573.16,29.97,644.0,482 CDM,PX-64445,PR INJ ANES SCIATIC NERVE W GUIDANCE,1466.0,1304.74,70.75,1466.0,482 CDM,PX-64446,PR INJ ANES SCIATIC NRV CONT INFUS W GUIDANCE,2786.0,2479.54,27.55,2786.0,482 CDM,PX-64447,PR INJ ANES FEM NERVE W GUIDANCE,1301.0,1157.89,54.66,1301.0,482 CDM,PX-64448,PR INJ ANES FEM NERVE CONT W GUIDANCE,1931.0,1718.59,26.42,1931.0,482 CDM,PX-64449,PR INJ ANES LUMB PLEX POSTR CONT,1496.0,1331.44,23.5,1496.0,482 CDM,PX-64450,PR INJ ANES OTHER PERIPHERAL NRV,755.0,671.95,32.95,755.0,482 CDM,PX-64451,PR INJ ANES/STEROID NERVES SACROILIAC JNT,1733.0,1542.37,99.4,1733.0,482 CDM,PX-64454,PR INJ ANES/STEROID GENICULAR NERVE,1391.0,1237.99,96.7,1391.0,482 CDM,PX-64455,PR INJ ANES STEROID PLANTAR NRV,303.0,269.67,20.05,303.0,489 CDM,PX-64461,PR PARAVERTEB BLOCK THOR SNGL,1067.0,949.63,60.55,1067.0,482 CDM,PX-64462,PR PARAVERTEB BLOCK THOR 2ND & ADD,887.0,789.43,63.18,887.0,482 CDM,PX-64463,PR PARAVERTEB BLOCK THOR CONTINUOUS,1690.0,1504.1,108.59,1690.0,482 CDM,PX-64466,PR THRC FASCIAL PLN BLK UNI NJX,1753.0,1560.17,57.62,1753.0,482 CDM,PX-64467,PR THRC FASCIAL PLN BLK UNI NFS,2362.0,2102.18,111.04,2362.0,482 CDM,PX-64468,PR THRC FASCIAL PLN BLK BI NJX,2630.0,2340.7,66.85,2630.0,482 CDM,PX-64469,PR THRC FASCIAL PLN BLK BI NFS,3544.0,3154.16,172.75,3544.0,482 CDM,PX-64473,PR LWR XTR FSCL PLN BLK UNI NJX,1301.0,1157.89,54.8,1301.0,482 CDM,PX-64474,PR LWR XTR FSCL PLN BLK UNI NFS,1931.0,1718.59,109.62,1931.0,482 CDM,PX-64479,PR INJ ANES FORAMEN SNGL CRV/THRC,2222.0,1977.58,116.88,2222.0,482 CDM,PX-64480,PR INJ ANES FORAMEN ADD LVL,1152.0,1025.28,116.92,1152.0,482 CDM,PX-64483,PR INJ ANES FORAMEN EPI LUMB SNGL,1919.0,1707.91,108.78,1919.0,482 CDM,PX-64484,PR INJ ANES FORAMEN EPI LUMB ADD,851.0,757.39,96.35,851.0,482 CDM,PX-64486,PR TAP BLOCK UNILAT BY INJ,1379.0,1227.31,51.37,1379.0,482 CDM,PX-64488,PR INJ ANES TRANSABDOM PLANE BIL,1106.0,984.34,60.24,1106.0,483 CDM,PX-64490,PR INJ FACET JT CERV/THOR 1 LVL,1748.0,1555.72,83.7,1748.0,482 CDM,PX-64491,PR INJ FACET JT CERV/THOR 2 LVL,876.0,779.64,82.45,876.0,482 CDM,PX-64492,PR INJ FACET JT CERV/THOR >=3 LVL,1098.0,977.22,83.13,1098.0,482 CDM,PX-64493,PR INJ FACET JT LUMB/SAC 1 LVL,1597.0,1421.33,77.95,1597.0,482 CDM,PX-64494,PR INJ FACET JT LUMB/SAC 2 LVL,712.0,633.68,78.12,712.0,482 CDM,PX-64495,PR INJ FACET JT LUMB/SAC >= 3 LVL,712.0,633.68,80.65,712.0,482 CDM,PX-64505,PR INJ ANES SPENOPLTN GANGLION,721.0,641.69,58.78,721.0,482 CDM,PX-64510,PR INJ ANES STELLATE GANGLION,1229.0,1093.81,63.08,1229.0,482 CDM,PX-64517,PR INJ ANES SUPR HYPOGASTRIC PLEX,1709.0,1521.01,82.27,1709.0,482 CDM,PX-64520,PR INJ ANES AGENT LUMBAR/THORACIC,1260.0,1121.4,99.95,1260.0,482 CDM,PX-64530,PR INJ ANES AGENT CELIAC PLEX,1659.0,1476.51,96.89,1659.0,482 CDM,PX-64553,PR IMPL NEUROSTIM CRANIAL PERC,1667.0,1483.63,750.15,1667.0,482 CDM,PX-64555,PR IMPL NEUROSTIM PERIPHERAL PERC,3375.0,3003.75,925.49,3375.0,482 CDM,PX-64561,PR IMPL NEUROSTIM SAC NRV W IMG,5478.0,4875.42,302.28,5478.0,482 CDM,PX-64566,PR NEUROSTIM POSTR TIB PERC NDL,757.0,673.73,41.05,757.0,509 CDM,PX-64568,PR INCISION IMPL CRANIAL NERVE,6210.0,5526.9,242.66,6210.0,482 CDM,PX-64569,PR REV CRANIAL NERVE NEUROSTIM,7913.0,7042.57,271.87,7913.0,482 CDM,PX-64570,PR RMVL CRANIAL NERVE NEUROSTIM,4931.0,4388.59,280.82,4931.0,482 CDM,PX-64581,PR INCISN IMPLN NRSTIM SACRAL NRV,4627.0,4118.03,224.82,4627.0,482 CDM,PX-64582,PR OPN MPLTJ HPGLSL NSTM ARY PG,6040.0,5375.6,278.18,6040.0,482 CDM,PX-64583,PR REV/RPLCT HPGLSL NSTM ARY PG,7750.0,6897.5,286.68,7750.0,482 CDM,PX-64584,PR RMVL HPGLSL NSTIM ARY PG,3487.0,3103.43,243.57,3487.0,482 CDM,PX-64585,PR REV/RMVL PERIPH NEUROSTIM ELEC,2202.0,1959.78,102.02,2202.0,482 CDM,PX-64590,PR INS/RPLC PERIPH/GASTR NEUROSTIM,2011.0,1789.79,170.52,2011.0,482 CDM,PX-64595,PR REV/RMVL PERIPH/GASTR NEUROSTIM,1881.0,1674.09,139.16,1881.0,482 CDM,PX-64596,PR INS/RPLCMT PRQ ELTRD RA PN 1,5228.0,4652.92,2352.6,5228.0,477 CDM,PX-64597,PR INS/RPLCM PRQ ELTRD RA PN EA,3659.0,3256.51,3219.92,3659.0,477 CDM,PX-64605,PR DESTRCT TRIGEM 2ND/3RD DIV,5132.0,4567.48,436.74,5132.0,482 CDM,PX-64610,PR DESTRCT TRIGEM 2/3 DIV RADMNTR,4159.0,3701.51,336.2,4159.0,482 CDM,PX-64611,PR CHEMODENERV PAROTID SUBMAN,645.0,574.05,53.91,645.0,483 CDM,PX-64612,PR CHEMODENERV FACIAL MUS UNILAT,1304.0,1160.56,56.02,1304.0,482 CDM,PX-64615,PR CHEMODENERV FACIAL TRIGEM BIL,1067.0,949.63,50.15,1067.0,514 CDM,PX-64616,PR CHEMODENERV NECK MUSCLE UNILAT,928.0,825.92,54.72,928.0,483 CDM,PX-64617,PR CHEMODENERV LARYNX UNILAT W EMG,1435.0,1277.15,63.42,1435.0,483 CDM,PX-64620,PR DEST NEURO AGNT INTERCOSTAL NRV,1482.0,1318.98,90.08,1482.0,482 CDM,PX-64624,PR DEST NEURO AGNT GENICULAR NERVE,2741.0,2439.49,169.46,2741.0,489 CDM,PX-64625,PR RF ABLATION NERVES SACROILIAC JNT,3347.0,2978.83,203.5,3347.0,482 CDM,PX-64628,PR THER DES INTRA BAS NRV 1ST 2 BOD LUM/SAC,8452.0,7522.28,143.19,8452.0,482 CDM,PX-64629,PR THER DES INTRA BAS NRV EA ADD BOD LUM/SAC,3379.0,3007.31,129.81,3379.0,482 CDM,PX-64633,PR DEST CERV/THOR FACET JT,3275.0,2914.75,188.4,3275.0,482 CDM,PX-64634,PR DEST CERV/THOR FACET JT ADD,1175.0,1045.75,220.39,1175.0,482 CDM,PX-64635,PR DEST LUMB/SAC FACET JT,3365.0,2994.85,191.02,3365.0,482 CDM,PX-64636,PR DEST LUMB/SAC FACET JT ADD,1036.0,922.04,208.09,1036.0,482 CDM,PX-64640,PR DEST OTHER PERIPHERAL NERVE,1092.0,971.88,109.36,1092.0,482 CDM,PX-64642,PR CHEMODENERV 1 EXT 1-4 MUSCLE,871.0,775.19,64.04,871.0,486 CDM,PX-64643,PR CHEMODENERV EA ADD EXT 1-4 MUS,531.0,472.59,78.32,531.0,485 CDM,PX-64644,PR CHEMODENERV 1 EXT >=5 MUS,909.0,809.01,75.38,909.0,484 CDM,PX-64645,PR CHEMODENERV EXT EA ADD > 4 MUS,800.0,712.0,100.95,800.0,484 CDM,PX-64646,PR CHEMODENERV TRUNK 1-5 MUS,992.0,882.88,66.03,992.0,482 CDM,PX-64647,PR CHEMODENERV TRUNK OVER 5 MUS,911.0,810.79,73.7,911.0,482 CDM,PX-64650,PR CHEMODENERV ECCRINE GLND AXIL BOTH,599.0,533.11,34.96,599.0,482 CDM,PX-64653,PR CHEMODENERV ECCRINE GLND OTHR,960.0,854.4,34.74,960.0,507 CDM,PX-64680,PR DEST NERVE CELIAC PLEX,2048.0,1822.72,141.93,2048.0,482 CDM,PX-64702,PR NEUROPLASTY DIGITAL SAME DIGIT,3752.0,3339.28,191.86,3752.0,482 CDM,PX-64704,PR NEUROPLASTY HAND/FEET NERVE,2579.0,2295.31,122.03,2579.0,482 CDM,PX-64708,PR NEUROPLASTY ARM/LEG MJR NERVE,4586.0,4081.54,183.98,4586.0,482 CDM,PX-64712,PR NEUROPLASTY SCIATIC NERVE,5257.0,4678.73,214.15,5257.0,482 CDM,PX-64713,PR NEUROPLASTY BRACHIAL PLEXUS,6949.0,6184.61,282.69,6949.0,482 CDM,PX-64714,PR NEUROPLASTY LUMBAR PLEXUS,7133.0,6348.37,272.37,7133.0,482 CDM,PX-64716,PR NEUROPLASTY CRANIAL NERVE,4982.0,4433.98,183.12,4982.0,482 CDM,PX-64718,PR NEUROPLASTY ULNAR NRV AT ELBOW,5595.0,4979.55,224.39,5595.0,482 CDM,PX-64719,PR NEUROPLASTYULNAR NERVE AT WRST,3627.0,3228.03,151.3,3627.0,482 CDM,PX-64721,PR NEUROPLASTY MEDN NRV CARP TUNL,3714.0,3305.46,190.82,3714.0,482 CDM,PX-64722,PR DECOMPRESSION UNSPECIFIED NRV,6447.0,5737.83,143.69,6447.0,482 CDM,PX-64727,PR NEUROLYSIS INTRNL W MICROSCOPE,1513.0,1346.57,114.13,1513.0,482 CDM,PX-64738,PR TRANSECTION/AVUL W/OSTEO,3231.0,2875.59,163.28,3231.0,482 CDM,PX-64742,PR TRANSECTION/AVUL FCL NRV,3803.0,3384.67,170.92,3803.0,482 CDM,PX-64763,PR TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY,3612.0,3214.68,189.16,3612.0,482 CDM,PX-64766,PR TRANSECTION OBTURATOR INTRPELV,5061.0,4504.29,231.29,5061.0,482 CDM,PX-64772,PR TRANS/AVUL OTH SPN NRV EXTRADUR,4659.0,4146.51,199.49,4659.0,482 CDM,PX-64774,PR EXCISN NEUROMA CUTANEOUS NERVE,2813.0,2503.57,158.78,2813.0,482 CDM,PX-64776,PR EXCISN NEUROMA DIGITAL NERVE,2452.0,2182.28,145.95,2452.0,482 CDM,PX-64782,PR EXCISN NEUROMA HAND/FOOT,2755.0,2451.95,169.91,2755.0,482 CDM,PX-64784,PR EXCISN NEUROMA MJR PERIPHERAL,5006.0,4455.34,257.7,5006.0,482 CDM,PX-64787,PR IMPL NERVE END INTO BONE/MUS,2048.0,1822.72,152.79,2048.0,482 CDM,PX-64788,PR EXCISN NEUROFIBROMA CUTAN NRV,3306.0,2942.34,151.5,3306.0,482 CDM,PX-64790,PR EXCISN NEUROFIBROMA MJR PERIPH,6918.0,6157.02,301.8,6918.0,482 CDM,PX-64792,PR EXCISN NEUROFIBROMA EXTENSIVE,7618.0,6780.02,438.07,7618.0,482 CDM,PX-64795,PR BIOPSY OF NERVE,1727.0,1537.03,68.3,1727.0,482 CDM,PX-64804,"PR SYMPATHECTOMY,CERVICOTHORACIC",7260.0,6461.4,432.14,7260.0,482 CDM,PX-64820,PR SYMPATHECTOMY DGTL ARTERIES EA,4706.0,4188.34,269.12,4706.0,482 CDM,PX-64822,PR SYMPATHECTOMY ULNAR ARTERY,4509.0,4013.01,254.26,4509.0,482 CDM,PX-64831,PR SUTURE DGTL NRV HAND/FT SNGL,4844.0,4311.16,249.71,4844.0,482 CDM,PX-64832,PR SUTURE DGTL NRV HAND/FT EA ADD,2476.0,2203.64,210.69,2476.0,482 CDM,PX-64834,PR SUTURE NERVE HAND/FOOT COMMON,4817.0,4287.13,255.33,4817.0,482 CDM,PX-64835,PR SUTURE 1 NRV MED MOTOR THENAR,5626.0,5007.14,288.16,5626.0,482 CDM,PX-64836,PR SUTURE OF 1 NERVE ULNAR MOTOR,5324.0,4738.36,288.16,5324.0,482 CDM,PX-64837,PR SUTURE HAND/FOOT EA ADD NERVE,2627.0,2338.03,230.88,2627.0,482 CDM,PX-64840,PR SUTURE POSTERIOR TIBIAL NERVE,7952.0,7077.28,336.99,7952.0,482 CDM,PX-64856,PR SUTR MJR NRV ARM/LG W TRANSPSTN,6523.0,5805.47,345.58,6523.0,482 CDM,PX-64857,PR SITR MJR NRV ARM/LG WO TRNSPSTN,8076.0,7187.64,358.15,8076.0,482 CDM,PX-64858,PR SUTURE SCIATIC NERVE,8264.0,7354.96,402.8,8264.0,482 CDM,PX-64859,PR SUTURE PERIPH NERVE EA ADD,2618.0,2330.02,157.04,2618.0,482 CDM,PX-64864,PR SUTURE FACIAL NRV EXTRACRANIAL,7826.0,6965.14,290.02,7826.0,482 CDM,PX-64868,PR ANAST FACIAL SPINAL HYPOGLOS,7309.0,6505.01,337.54,7309.0,482 CDM,PX-64872,PR SUTR NRV REQ SECNDY/DELAY SUTR,899.0,800.11,73.65,899.0,482 CDM,PX-64874,PR SUTR NRV REQ EXTNS MOBL/TRANSP,1348.0,1199.72,110.32,1348.0,482 CDM,PX-64885,PR NERVE GRAFT HEAD/NECK <=4CM,7628.0,6788.92,358.22,7628.0,482 CDM,PX-64886,PR NERVE GRFT HEAD/NECK>4 CM,12789.0,11382.21,429.16,12789.0,482 CDM,PX-64890,PR NERVE GRFT HAND/FT SNGL<=4 CM,8392.0,7468.88,371.37,8392.0,482 CDM,PX-64891,PR NERVE GRFT HAND/FT SNGL >4CM,9068.0,8070.52,394.2,9068.0,482 CDM,PX-64892,PR NERVE GRFT ARM/LEG SNGL<=4 CM,7486.0,6662.54,362.28,7486.0,482 CDM,PX-64893,PR NERVE GRFT ARM/LEG SNGL>4 CM,8284.0,7372.76,385.25,8284.0,482 CDM,PX-64897,PR NERVE GRFT ARM/LEG MULT<=4 CM,8930.0,7947.7,431.67,8930.0,482 CDM,PX-64898,PR NERVE GRFT ARM/LEG MULT>4 CM,11614.0,10336.46,467.69,11614.0,482 CDM,PX-64901,PR NERVE GRFT EA NERVE SINGL,4069.0,3621.41,377.2,4069.0,482 CDM,PX-64902,PR NERVE GRFT EA NERVE MULT,5110.0,4547.9,436.48,5110.0,482 CDM,PX-64905,PR NRV PEDICLE TRANSFER 1ST STAGE,8983.0,7994.87,337.98,8983.0,482 CDM,PX-64910,PR NRV RPR SYNTH COND ALLOGRFT EA,5414.0,4818.46,271.02,5414.0,482 CDM,PX-64911,PR NRV RPR W AUTOGEN VEIN GRFT EA,6515.0,5798.35,364.49,6515.0,482 CDM,PX-64912,PR NRV RPR W/NRV ALGRFT 1ST,4626.0,4117.14,316.64,4626.0,482 CDM,PX-64913,PR NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND,1031.0,917.59,110.01,1031.0,482 CDM,PX-64999003,PR CHMODNRV ECCRINE GLDS/SOFT TIS HND/FT,599.0,533.11,29.95,599.0,477 CDM,PX-64999004,PR CHEMODNRVTIN ECCRINE GLDS,465.0,413.85,23.25,465.0,477 CDM,PX-64999016,PR PULSED RF ANY PERIPHERAL NERVE,1092.0,971.88,54.6,1092.0,477 CDM,PX-64999018,PR PULSED RF CERV/THOR FAC JT,3275.0,2914.75,163.75,3275.0,477 CDM,PX-64999028,PR SPG BLK W/CATH,721.0,641.69,36.05,721.0,477 CDM,PX-64999031,PR MR FUS SPINE,3365.0,2994.85,168.25,3365.0,477 CDM,PX-64999035,PR THREADED CARPAL TUNNEL,3714.0,3305.46,185.7,3714.0,477 CDM,PX-64999039,PR ENDOSCOPIC ENDONASAL SKULL BASE TUMOR RESECTION,39324.0,34998.36,1966.2,39324.0,477 CDM,PX-64999041,PR ENDOSCOPIC BIOPSY OF SKULL-BASED TUMOR,19826.0,17645.14,991.3,19826.0,477 CDM,PX-64999042,PR ENDOSCOPIC TRANSNASAL RESECTION OF SKULL-BASED TUMOR,23791.0,21173.99,1189.55,23791.0,477 CDM,PX-64999043,PR INTRACRANIAL EEG RF ABLATION,13587.0,12092.43,679.35,13587.0,477 CDM,PX-64999044,PR ERECTOR SPINAE PLANE BLOCK UNILATERAL,755.0,671.95,37.75,755.0,477 CDM,PX-64999045,PR ERECTOR SPINAE PLANE BLOCK BILATERAL,1133.0,1008.37,56.65,1133.0,477 CDM,PX-64999054,PR SYNOVIAL CYST ASPIRATION/INJECTION,1597.0,1421.33,79.85,1597.0,477 CDM,PX-65091,PR EVISCERATION OCULAR WO IMPLANT,3857.0,3432.73,269.82,3857.0,482 CDM,PX-65093,PR EVISCERATION OCULAR W IMPLANT,3998.0,3558.22,268.75,3998.0,482 CDM,PX-65101,PR ENUCLEATION EYE WO IMPLANT,4713.0,4194.57,309.29,4713.0,482 CDM,PX-65105,PR ENUCLEATION EYE W IMPL W MUS,5621.0,5002.69,344.18,5621.0,482 CDM,PX-65110,PR EXENTERATN ORBIT RMVL CONTENTS,8257.0,7348.73,462.78,8257.0,482 CDM,PX-65112,PR EXENTERATN ORBIT RMVL CNTNS&BN,9912.0,8821.68,527.06,9912.0,482 CDM,PX-65205,PR RMVL FB EYE SUPFCL,255.0,226.95,9.69,255.0,507 CDM,PX-65210,PR RMVL FB EYE SUBCONJUNCT,313.0,278.57,15.46,313.0,482 CDM,PX-65220,PR REMOVAL FB CORNEA WO SLIT LAMP,355.0,315.95,25.76,355.0,489 CDM,PX-65222,PR REMOVAL FB CORNEA W SLIT LAMP,377.0,335.53,27.33,377.0,482 CDM,PX-65235,PR RMVL FB INTRAOCULAR ANT EYE,4521.0,4023.69,256.29,4521.0,482 CDM,PX-65265,PR REMOVAL FB NONMAGNETIC EXTR,6447.0,5737.83,378.73,6447.0,482 CDM,PX-65270,PR RPR LACERATION CONJUNCTIVA,1029.0,915.81,116.11,1029.0,482 CDM,PX-65275,PR RPR CORNEA NONPERFARATING,2791.0,2483.99,240.85,2791.0,482 CDM,PX-65280,PR REPAIR EYE WOUND,4128.0,3673.92,227.05,4128.0,482 CDM,PX-65285,PR RPR EYE WND W RSECT UVEAL TISS,5503.0,4897.67,372.11,5503.0,482 CDM,PX-65286,PR RPR EYE WOUND W TISS GLUE APP,3342.0,2974.38,285.81,3342.0,482 CDM,PX-65400,PR EXCISION LESION CORNEA,2785.0,2478.65,284.34,2785.0,482 CDM,PX-65426,PR EXCISN PTERYGIUM WITH GRAFT,3191.0,2839.99,274.65,3191.0,482 CDM,PX-65430,PR SCRAPE CORNEA DX,800.0,712.0,46.86,800.0,482 CDM,PX-65435,PR REMOVAL CORNEAL EPITHELIUM,384.0,341.76,34.01,384.0,482 CDM,PX-65436,PR RMVL CORNEAL EPITHELM W CHELAT,1815.0,1615.35,158.98,1815.0,482 CDM,PX-65600,PR PUNCTURES ANTR CORNEA MULTIPLE,1783.0,1586.87,180.75,1783.0,482 CDM,PX-65710,PR KERATOPLASTY ANTERIOR LAMELLAR,8111.0,7218.79,395.84,8111.0,482 CDM,PX-65730,PR KERATOPLASTY PENETRATE,7469.0,6647.41,429.23,7469.0,482 CDM,PX-65750,PR KERATOPLASTY PENETRATE APHAKIA,9528.0,8479.92,429.55,9528.0,482 CDM,PX-65755,PR KERATOPLASTY PENETRATE PSEUDO,7712.0,6863.68,427.49,7712.0,482 CDM,PX-65756,PR KERATOPLASTY ENDOTHELIAL,7244.0,6447.16,396.76,7244.0,482 CDM,PX-65770,PR KERATOPROSTHESIS,8900.0,7921.0,473.52,8900.0,482 CDM,PX-65772,PR INCISN CORNEAL CORRECT ASTIGM,2281.0,2030.09,187.28,2281.0,482 CDM,PX-65778,PR PLC AMNIOTIC MEMB OCLR WO SUTR,5063.0,4506.07,534.25,5063.0,482 CDM,PX-65779,PR PLC AMNIOTIC MEMB OCLR W SUTR,4752.0,4229.28,476.53,4752.0,482 CDM,PX-65780,PR RCNST OCULAR W MEMBRANE,4594.0,4088.66,208.55,4594.0,482 CDM,PX-65800,PR PARACENT ANTR CHAMB EYE W ASP,812.0,722.68,48.84,812.0,482 CDM,PX-65810,PR PARACENTSIS EYE HYALOID MEMB,2550.0,2269.5,161.64,2550.0,482 CDM,PX-65815,PR PARACENT ANT CHAMB EYE RMV BLD,3019.0,2686.91,262.75,3019.0,482 CDM,PX-65820,PR GONIOTOMY,4060.0,3613.4,293.51,4060.0,482 CDM,PX-65850,PR TRABECULOTOMY AB EXTERNO,4013.0,3571.57,286.63,4013.0,482 CDM,PX-65855,PR TRABECULOPLASTY LASER SURG,2338.0,2080.82,99.71,2338.0,482 CDM,PX-65860,PR SEVER ADHESN EYE SEGMENT LASER,1982.0,1763.98,126.05,1982.0,482 CDM,PX-65865,PR SEVER ADHESN EYE GONIOSYNECH,3003.0,2672.67,167.12,3003.0,482 CDM,PX-65870,PR SEVER ADHESN EYE ANTR SYNECH,3616.0,3218.24,206.85,3616.0,482 CDM,PX-65875,PR SEVER ADHESN EYE POSTR SYNECH,3703.0,3295.67,221.11,3703.0,482 CDM,PX-65920,PR RMVL IMPLNT MATERIAL ANTR EYE,4721.0,4201.69,274.19,4721.0,482 CDM,PX-65930,PR RMVL BLOOD CLOT EYE ANTR,3427.0,3050.03,220.35,3427.0,482 CDM,PX-66020,PR INJ ANTR CHAMBER EYE AIR/LIQ,855.0,760.95,80.66,855.0,482 CDM,PX-66030,PR INJ ANTR CHAMBER EYE MED,704.0,626.56,72.78,704.0,482 CDM,PX-66170,PR GLAUCOMA SURG TRABECULECTOMY,5125.0,4561.25,377.64,5125.0,482 CDM,PX-66172,PR GLAUCOMA SURG W SCARRING,6174.0,5494.86,414.74,6174.0,482 CDM,PX-66174,PR TRNSLMN DIL AQUS WO DEV/STENT,5344.0,4756.16,218.16,5344.0,482 CDM,PX-66180,PR SHNT AQUS EXTRAOCL RSRVR W GRFT,7877.0,7010.53,390.03,7877.0,482 CDM,PX-66184,PR RVSN AQUEOUS SHNT EXTRAOCLR WO GRFT,4939.0,4395.71,277.13,4939.0,482 CDM,PX-66185,PR RVISN AQUS SHNT EXTRCLR RSRVR,5083.0,4523.87,295.57,5083.0,482 CDM,PX-66250,PR RPR OPERATIVE WND ANTR SEGM,3542.0,3152.38,307.29,3542.0,482 CDM,PX-66600,PR IRIDECTOMY W CORNEAL SECTION,5605.0,4988.45,320.41,5605.0,482 CDM,PX-66625,PR IRIDOTOMY PERIPHERAL,2889.0,2571.21,149.52,2889.0,482 CDM,PX-66680,PR REPAIR IRIS CILIARY BODY,3587.0,3192.43,203.84,3587.0,482 CDM,PX-66682,PR SUTURE IRIS CILIARY BODY,3587.0,3192.43,227.77,3587.0,482 CDM,PX-66710,PR DEST CILIARY TRANSSCLERAL,2914.0,2593.46,180.95,2914.0,482 CDM,PX-66711,PR DESTRUCTION CILIARY ENDOSCOPIC,3637.0,3236.93,180.89,3637.0,482 CDM,PX-66720,PR DEST CILIARY CRYOTHERAPY,3334.0,2967.26,193.32,3334.0,482 CDM,PX-66761,PR IRIDOTOMY LASER PER SESSION,2706.0,2408.34,122.29,2706.0,482 CDM,PX-66762,PR IRIDOPLASTY PHOTOCOAGULATION,3705.0,3297.45,195.94,3705.0,482 CDM,PX-66820,PR RMVL SECNDRY MEMBRANE CATARACT,1985.0,1766.65,172.39,1985.0,482 CDM,PX-66821,PR DISC SECNDRY MEMB CATARACT LSR,1652.0,1470.28,136.98,1652.0,482 CDM,PX-66825,PR REPOSIT INTRAOCL LENS PROSTH,3949.0,3514.61,296.18,3949.0,482 CDM,PX-66830,PR RMVL SEC MEMB CATARACT CORNEO,4305.0,3831.45,242.42,4305.0,482 CDM,PX-66840,PR RMVL LENS MATERIAL ASPIRATION,4479.0,3986.31,237.3,4479.0,482 CDM,PX-66850,PR RMVL LENS MATERIAL PHACOFRAGM,4644.0,4133.16,269.04,4644.0,482 CDM,PX-66852,PR RMVL LENS MATERIAL PARS PLANA,5716.0,5087.24,284.84,5716.0,482 CDM,PX-66982,PR RMVL CATARACT EXTRACAP CMPLX,5274.0,4693.86,252.91,5274.0,482 CDM,PX-66984,PR RMVL CATARACT INSERT LENS,4283.0,3811.87,185.99,4283.0,482 CDM,PX-66985,PR INS IOL WO CATARACT RMVL,3984.0,3545.76,264.79,3984.0,482 CDM,PX-66986,PR EXCHANGE INTRAOCULAR LENS,5134.0,4569.26,306.63,5134.0,482 CDM,PX-66989,PR XCPSL CTRC RMVL CPLX INSJ 1+,7424.0,6607.36,287.91,7424.0,482 CDM,PX-66991,PR XCAPSL CTRC RMVL INSJ 1+,5848.0,5204.72,233.97,5848.0,482 CDM,PX-67005,PR RMVL VITREOUS ANTR APP PRTL,4052.0,3606.28,166.84,4052.0,482 CDM,PX-67010,PR RMVL VITREOUS PRTL W VETRCTMY,4506.0,4010.34,188.49,4506.0,482 CDM,PX-67015,PR ASP VITREOUS FLUID PARS PLANA,4602.0,4095.78,211.91,4602.0,482 CDM,PX-67025,PR INJECTION VITREOUS SUBSTITUTE,4629.0,4119.81,302.41,4629.0,482 CDM,PX-67028,PR INJECTION INTRAVITREAL,1132.0,1007.48,46.31,1132.0,482 CDM,PX-67031,PR SEVER VITR STRANDS LASER >=1,2104.0,1872.56,158.43,2104.0,482 CDM,PX-67036,PR VITRECTOMY MECH PARS PLANA,8104.0,7212.56,304.57,8104.0,482 CDM,PX-67039,PR VITRECTOMY W FOCAL ENDOLASER,8751.0,7788.39,324.3,8751.0,482 CDM,PX-67040,PR VITRECTOMY W ENDOLASER PANRET,10430.0,9282.7,348.28,10430.0,482 CDM,PX-67041,PR VITRECT W RMVL PRERETINAL MEMB,9063.0,8066.07,381.94,9063.0,482 CDM,PX-67042,PR VITRECTOMY W RMVL LIM RET MEMB,9996.0,8896.44,381.8,9996.0,482 CDM,PX-67043,PR VITRECTOMY W RMVL SUBRET MEMB,10647.0,9475.83,401.72,10647.0,482 CDM,PX-67101,PR RPR DETACHED RETINA CRYOTHRPY,4439.0,3950.71,136.85,4439.0,482 CDM,PX-67105,PR RPR DETACHED RETINA PHOTOCOAG,3923.0,3491.47,121.56,3923.0,482 CDM,PX-67107,PR RPR DETACH RET SCLER BUCKLING,8185.0,7284.65,375.81,8185.0,482 CDM,PX-67108,PR RPR DETACHED RETINA W VITRECT,10960.0,9754.4,396.59,10960.0,482 CDM,PX-67110,PR RPR DETACH RETINA W IN AIR/GAS,5510.0,4903.9,362.33,5510.0,482 CDM,PX-67113,PR RPR DETACH RETINA CMPLX,11443.0,10184.27,444.11,11443.0,482 CDM,PX-67120,PR RMVL EYE IMPL EXTRAOCULAR,3750.0,3337.5,273.17,3750.0,482 CDM,PX-67121,PR RMVL EYE IMPL INTRAOCULAR,4740.0,4218.6,306.68,4740.0,482 CDM,PX-67141,PR PROPH RETINAL DETACHMENT CRYO,3205.0,2852.45,110.47,3205.0,482 CDM,PX-67145,PR PROPH RETINAL DETACH PHOTOCOAG,2808.0,2499.12,100.1,2808.0,482 CDM,PX-67208,PR DEST RETINA LESION CRYOTHERAPY,4572.0,4069.08,245.11,4572.0,482 CDM,PX-67210,PR DEST RETINA LESION PHOTOCOAG,2903.0,2583.67,209.87,2903.0,482 CDM,PX-67218,PR DEST RETINA LESION RADIATION,9366.0,8335.74,461.28,9366.0,482 CDM,PX-67220,PR DEST CHOROID LESION PHOTOCOAG,3816.0,3396.24,216.14,3816.0,482 CDM,PX-67221,PR DEST CHOROID LSN PHOTODYNAMIC,2369.0,2108.41,115.41,2369.0,482 CDM,PX-67228,PR TX RETINOPATHY PHOTOCOAG EXT,3826.0,3405.14,137.99,3826.0,482 CDM,PX-67229,PR TX RETINOPATHY <= 1 YR,6620.0,5891.8,388.26,6620.0,482 CDM,PX-67255,PR SCLERAL REINFORCEMENT W GRAFT,4651.0,4139.39,240.73,4651.0,482 CDM,PX-67311,PR STRABISMUS 1 HOR MUSCLE,4771.0,4246.19,157.43,4771.0,482 CDM,PX-67312,PR STRABISMUS 2 HOR MUSCLE,5968.0,5311.52,223.37,5968.0,482 CDM,PX-67314,PR STRABISMUS 1 VER MUSCLE,5243.0,4666.27,157.43,5243.0,482 CDM,PX-67316,PR STRABISMUS 2 VER MUSCLE,6355.0,5655.95,238.25,6355.0,482 CDM,PX-67318,PR STRABISMUS SUPER OBLIQUE MUS,5780.0,5144.2,231.65,5780.0,482 CDM,PX-67320,PR TXPOSITION EXTRAOCULAR MUSCLE,4652.0,4140.28,110.52,4652.0,482 CDM,PX-67331,PR STRABISMUS NOT EXTRAOCULAR,3014.0,2682.46,79.96,3014.0,482 CDM,PX-67332,PR STRABISMUS W SCARRING,2947.0,2622.83,128.41,2947.0,482 CDM,PX-67334,PR STRABISMUS W POSTR FIX SUTR,2480.0,2207.2,78.79,2480.0,482 CDM,PX-67335,PR PLC EYE SUTURE DURING SURGERY,1425.0,1268.25,118.36,1425.0,482 CDM,PX-67343,PR RELEASE EYE TISSUE,4026.0,3583.14,234.74,4026.0,482 CDM,PX-67345,PR CHEMDNRV EXTRAOCULAR MUSCLE,1544.0,1374.16,99.0,1544.0,482 CDM,PX-67346,PR BX EXTRAOCULAR MUSCLE,1560.0,1388.4,64.39,1560.0,482 CDM,PX-67400,PR ORBITOTOMY EXPLORATION,6055.0,5388.95,369.34,6055.0,482 CDM,PX-67405,PR ORBITOTOMY W DRAINAGE,5310.0,4725.9,325.91,5310.0,482 CDM,PX-67412,PR ORBITOTOMY W LESION REMOVAL,4814.0,4284.46,354.48,4814.0,482 CDM,PX-67413,PR ORBITOTOMY W FB REMOVAL,5777.0,5141.53,343.69,5777.0,482 CDM,PX-67414,PR ORBITOTOMY W BONE REMOVAL,7036.0,6262.04,501.96,7036.0,482 CDM,PX-67415,PR FINE NEEDLE ASP ORBTL CONTENTS,789.0,702.21,32.42,789.0,482 CDM,PX-67420,PR ORBITOTOMY W LESN RMVL LAT APP,9178.0,8168.42,602.55,9178.0,482 CDM,PX-67445,PR ORBITOTOMY W BONE RMVL LAT APP,8523.0,7585.47,527.53,8523.0,482 CDM,PX-67450,PR ORBITMY BN FLAP EXPL W/WO BX,8663.0,7710.07,493.39,8663.0,482 CDM,PX-67500,PR INJ RETROBULBAR MEDICATION,584.0,519.76,31.84,584.0,482 CDM,PX-67515,PR INJECTION TENONS CAPSULE,572.0,509.08,20.85,572.0,482 CDM,PX-67516,PR SUPRACHOROIDAL SPACE INJECTION OF PHARMACOLOGIC AGENT,1132.0,1007.48,49.12,1132.0,482 CDM,PX-67550,PR INSERT ORBITAL IMPL,5542.0,4932.38,387.01,5542.0,482 CDM,PX-67560,PR RMVL/REVISE ORBITAL IMPLANT,5046.0,4490.94,394.32,5046.0,482 CDM,PX-67570,PR DECOMPRESSION OPTIC NERVE,7862.0,6997.18,448.54,7862.0,482 CDM,PX-67700,PR BLEPHAROTOMY DRN ABSC EYELID,1304.0,1160.56,116.15,1304.0,482 CDM,PX-67710,PR SEVERING TARSORRHAPHY,1212.0,1078.68,99.33,1212.0,482 CDM,PX-67715,PR CANTHOTOMY SEPARATE PROCEDURE,1552.0,1381.28,112.98,1552.0,482 CDM,PX-67800,PR EXCISION CHALAZION SINGLE,519.0,461.91,53.19,519.0,482 CDM,PX-67801,PR EXCISN CHALAZION MULT SAME LID,976.0,868.64,67.04,976.0,482 CDM,PX-67805,PR EXCISN CHALAZION MULT DIFF LID,1176.0,1046.64,83.99,1176.0,482 CDM,PX-67808,PR EXCISION CHALAZION W ANES,1580.0,1406.2,128.59,1580.0,482 CDM,PX-67810,PR BX EYELID SKIN & LID MARGIN,764.0,679.96,74.45,764.0,482 CDM,PX-67820,PR CORRECT TRICHIASIS EPIL FORCEP,214.0,190.46,7.53,214.0,482 CDM,PX-67825,PR CORRECT TRICHIASIS EPILATION,695.0,618.55,55.15,695.0,482 CDM,PX-67830,PR CORRECT TRICHIASIS INC LID MRG,1060.0,943.4,110.67,1060.0,482 CDM,PX-67840,PR EXCISION LESION EYELID,1055.0,938.95,114.17,1055.0,482 CDM,PX-67850,PR DEST LESN EYELID MARGIN <=1CM,1022.0,909.58,85.89,1022.0,482 CDM,PX-67875,PR TEMPORARY CLSR EYELIDS SUTURE,1217.0,1083.13,74.25,1217.0,482 CDM,PX-67880,PR CNSTRCT EYE INTERMARG ADHSNS,2142.0,1906.38,192.15,2142.0,482 CDM,PX-67882,PR CNSTRCT INTERMARG ADSN W TRNSP,3056.0,2719.84,234.28,3056.0,482 CDM,PX-67900,PR REPAIR BROW PTOSIS,3783.0,3366.87,267.49,3783.0,482 CDM,PX-67901,PR RPR BLEPHAROPT FRNT MUS W SUTR,6259.0,5570.51,324.06,6259.0,482 CDM,PX-67902,PR RPR BLEPHAROPT FRNT MUSC AUTOL FCL SLING,4732.0,4211.48,246.73,4732.0,482 CDM,PX-67903,PR RPR BLEPHAROPT LEVAT RSECT INT,5036.0,4482.04,247.01,5036.0,482 CDM,PX-67904,PR RPR BLEPHAROPT LEVAT RSECT EXT,5745.0,5113.05,303.15,5745.0,482 CDM,PX-67908,PR RPR BLEPH CONJ-TARSO-MULLER'S,4107.0,3655.23,223.17,4107.0,482 CDM,PX-67909,PR REDUCTION OVERCORRECT PTOSIS,3439.0,3060.71,225.28,3439.0,482 CDM,PX-67911,PR CORRECTION EYELID RETRACTION,4030.0,3586.7,191.51,4030.0,482 CDM,PX-67912,PR CORREC LAGOPHTHALMOS W IMPLNT,5136.0,4571.04,366.29,5136.0,482 CDM,PX-67914,PR REPAIR OF ECTROPION SUTURE,2202.0,1959.78,200.87,2202.0,482 CDM,PX-67916,PR RPR ECTROPION EXCISN TARSAL WEDGE,2701.0,2403.89,250.16,2701.0,482 CDM,PX-67917,PR REPAIR ECTROPION EXTENSIVE,3914.0,3483.46,255.57,3914.0,482 CDM,PX-67921,PR REPAIR ENTROPION SUTURE,1849.0,1645.61,196.45,1849.0,482 CDM,PX-67923,PR RPR ENTROPION EXCISN TARSAL WEDGE,3474.0,3091.86,249.93,3474.0,482 CDM,PX-67924,PR REPAIR ENTROPION EXTENSIVE,3283.0,2921.87,266.33,3283.0,482 CDM,PX-67930,PR SUTR EYELID RECENT WOUND PRTL,1742.0,1550.38,152.22,1742.0,482 CDM,PX-67935,PR REPAIR EYELID WOUND FULL THICK,3088.0,2748.32,246.37,3088.0,482 CDM,PX-67938,PR REMOVAL EMBEDED FB EYELID,803.0,714.67,104.74,803.0,482 CDM,PX-67950,PR CANTHOPLASTY,3648.0,3246.72,239.92,3648.0,482 CDM,PX-67961,PR EXCISN&RPR EYELID<=1/4 MARGIN,4159.0,3701.51,241.67,4159.0,482 CDM,PX-67966,PR EXCISN&RPR EYELID>1/4 MARGIN,4815.0,4285.35,317.81,4815.0,482 CDM,PX-67971,PR RCNST EYELID <= 2/3 1ST STG,4854.0,4320.06,243.13,4854.0,482 CDM,PX-67973,PR RECONSTR EYELID LOWER 1 STGE,6576.0,5852.64,310.43,6576.0,482 CDM,PX-67975,PR RECONSTR EYELID SCND STGE,3191.0,2839.99,231.38,3191.0,482 CDM,PX-67999002,PR BLEPHEX,258.0,229.62,12.9,258.0,477 CDM,PX-67999003,PR ENDOSCOPIC BROW LIFT,3783.0,3366.87,189.15,3783.0,477 CDM,PX-67999005,PR ILUX,618.0,550.02,30.9,618.0,477 CDM,PX-68020,PR INCISN CONJUNCTIVA DRAINE CYST,644.0,573.16,49.46,644.0,482 CDM,PX-68100,PR BIOPSY OF CONJUNCTIVA,847.0,753.83,73.83,847.0,482 CDM,PX-681000001,HC RED TRAUMA ACTIVATION LEVEL 1,11384.0,10131.76,1335.77,11384.0,734 CDM,PX-681000002,HC YELLOW TRAUMA ACTIVATION LEVEL 1,10539.0,9379.71,1335.77,10539.0,734 CDM,PX-681000003,HC RED TRAUMA ACTIV LEVEL 1 NO CC,11384.0,10131.76,2367.87,11384.0,717 CDM,PX-681000004,HC YELLOW TRAUMA ACTIV LEVEL 1 NO CC,10539.0,9379.71,2192.11,10539.0,717 CDM,PX-68110,PR EXCISN LESN CONJUNCTIVA<= 1 CM,1139.0,1013.71,97.61,1139.0,482 CDM,PX-68115,PR EXCISN LESN CONJUNCTIVA> 1 CM,1192.0,1060.88,136.14,1192.0,482 CDM,PX-68130,PR EXCISN LSN CONJUNCT ADJ SCLERA,2616.0,2328.24,226.82,2616.0,482 CDM,PX-68135,PR DESTRUCTION LESION CONJUNCTIVA,846.0,752.94,64.81,846.0,482 CDM,PX-68200,PR INJECTION SUBCONJUNCTIVAL,315.0,280.35,16.8,315.0,482 CDM,PX-68320,PR CNJNCTVPLSTY W CNJNCT GRFT,3319.0,2953.91,306.04,3319.0,482 CDM,PX-68326,PR CNJNCTVPLSTY RCNST W GRFT,5528.0,4919.92,221.86,5528.0,482 CDM,PX-68328,"PR REVISE CONJUNC,FIX CUL-DE-SAC=BUCCAL",5064.0,4506.96,240.5,5064.0,482 CDM,PX-68335,PR RPR SYMBLEPHARON W GRAFT,4955.0,4409.95,222.41,4955.0,482 CDM,PX-68340,PR RPR/DIVISION SYMBLEPHARON,3826.0,3405.14,252.74,3826.0,482 CDM,PX-68360,PR CONJUNCTIVAL FLAP BRIDGE/PRTL,2973.0,2645.97,223.43,2973.0,482 CDM,PX-68362,PR FLAP CONJUNCTIVAL TOTAL,3310.0,2945.9,224.97,3310.0,482 CDM,PX-68440,PR SNIP INCISION LACRIMAL PUNCTUM,816.0,726.24,43.51,816.0,482 CDM,PX-68510,PR BIOPSY LACRIMAL GLAND,2617.0,2329.13,183.94,2617.0,482 CDM,PX-68520,PR EXCISION LACRIMAL SAC,4507.0,4011.23,259.75,4507.0,482 CDM,PX-68525,PR BIOPSY LACRIMAL SAC,1243.0,1106.27,81.37,1243.0,482 CDM,PX-68530,PR REMOVAL FB LACRIMAL PASSAGES,2097.0,1866.33,177.79,2097.0,482 CDM,PX-68700,PR PLASTIC REPAIR CANALICULI,3522.0,3134.58,207.57,3522.0,482 CDM,PX-68705,PR CORRECT EVERTED PUNCTUM CAUT,2212.0,1968.68,106.59,2212.0,482 CDM,PX-68720,PR DACRYOCYSTORHINOSTOMY,5179.0,4609.31,283.01,5179.0,482 CDM,PX-68750,PR CONJUNCTIVORHINOSTOMY W TUBE,5314.0,4729.46,302.31,5314.0,482 CDM,PX-68760,PR CLOSURE LACRIMAL PUNCTUM,912.0,811.68,90.04,912.0,482 CDM,PX-68761,PR CLSR LACRIM PUNCTUM BY PLUG EA,676.0,601.64,58.92,676.0,482 CDM,PX-68801,PR DILATION LACRIMAL PUNCTUM,527.0,469.03,38.87,527.0,482 CDM,PX-68810,PR PROBE NASOLACRIMAL DUCT,899.0,800.11,65.66,899.0,482 CDM,PX-68811,PR PROBE NASOLACRIMAL DUCT W ANES,1098.0,977.22,47.19,1098.0,482 CDM,PX-68815,PR PROBE NASOLACRIMAL DUCT W TUBE,1977.0,1759.53,153.5,1977.0,482 CDM,PX-68816,PR PROBE NASOLACRIMAL DUCT W CATH,3128.0,2783.92,346.76,3128.0,482 CDM,PX-68840,PR PROBE LACRIMAL CANALICULI,652.0,580.28,54.97,652.0,482 CDM,PX-69000,PR DRAIN ABSC EXTERNAL EAR SIMPLE,663.0,590.07,65.98,663.0,514 CDM,PX-69005,PR DRAIN ABSC EAR EXTRNL CMPLX,1491.0,1326.99,89.26,1491.0,482 CDM,PX-69020,PR DRAIN LESION EAR CANAL EXTRNL,578.0,514.42,80.8,578.0,507 CDM,PX-69090,PR EAR PIERCING,124.0,110.36,109.12,124.0,477 CDM,PX-69100,PR BIOPSY EXTERNAL EAR,391.0,347.99,32.16,391.0,507 CDM,PX-69105,PR BX EXTERNAL AUDITORY CANAL,776.0,690.64,50.16,776.0,507 CDM,PX-69110,PR EXCISN EXTRNL EAR PRTL SMPL,2717.0,2418.13,190.67,2717.0,482 CDM,PX-69120,PR EXCISN EXTRNL EAR COMPLETE AMP,2661.0,2368.29,144.16,2661.0,482 CDM,PX-69140,PR EXCISN EXOSTOSIS EXT AUD CANAL,4778.0,4252.42,339.07,4778.0,482 CDM,PX-69145,PR EXCISN SOFT TISS LSN EXTRNL CANAL,1656.0,1473.84,165.02,1656.0,482 CDM,PX-69200,PR RMVL FB EAR CANAL EXTRNL,453.0,403.17,28.02,453.0,507 CDM,PX-69205,PR RMVL FB EAR CANAL EXTRNL ANES,796.0,708.44,34.58,796.0,482 CDM,PX-69209,PR RMVL IMPACT CERUMEN IRRIG UNILAT,89.0,79.21,6.0,89.0,494 CDM,PX-69210,PR RMVL IMPACT CERUMEN W/INSTRUMENT UNILAT,218.0,194.02,16.25,218.0,510 CDM,PX-69220,PR DBRD MASTOIDECTOMY SIMPLE,513.0,456.57,26.72,513.0,507 CDM,PX-69222,PR DBRD MASTOIDECTOMY COMPLEX,946.0,841.94,75.1,946.0,507 CDM,PX-69300,PR OTOPLASTY PROTRUDING EAR,4917.0,4376.13,262.31,4917.0,482 CDM,PX-69310,PR RCNST EXTR AUDITORY CANAL,6855.0,6100.95,414.9,6855.0,482 CDM,PX-69320,PR RCNST CANAL CONGEN ATRESIA,11134.0,9909.26,567.92,11134.0,482 CDM,PX-69420,PR MYRINGOT INCL ASP/TUBE INFLATN,789.0,702.21,66.27,789.0,507 CDM,PX-69421,PR MYRINGOTOMY W ANES,1038.0,923.82,46.52,1038.0,507 CDM,PX-69424,PR RMVL VENTILATING TUBE W ANES,733.0,652.37,53.46,733.0,482 CDM,PX-69433,PR TYMPANOSTOMY LOC/TOP ANES,925.0,823.25,69.94,925.0,507 CDM,PX-69436,PR TYMPANOSTOMY W GEN ANES,1430.0,1272.7,48.58,1430.0,507 CDM,PX-69440,PR MIDDLE EAR EXPLORATION,3717.0,3308.13,248.03,3717.0,482 CDM,PX-69450,PR TYMPANOLYSIS TRANSCANAL,4079.0,3630.31,198.38,4079.0,482 CDM,PX-69501,PR TRANSMASTOID ANTROTOMY,4315.0,3840.35,250.22,4315.0,482 CDM,PX-69502,PR MASTOIDECTOMY COMPLETE,5722.0,5092.58,329.99,5722.0,482 CDM,PX-69530,PR PETROUS ABICECTOMY W MASTDCTMY,9140.0,8134.6,600.94,9140.0,482 CDM,PX-69535,PR RSECT TEMPORAL BN EXTERNAL APP,15558.0,13846.62,924.93,15558.0,482 CDM,PX-69540,PR EXCISION AURAL POLYP,850.0,756.5,85.93,850.0,482 CDM,PX-69550,PR EXCISN AURAL GLOMOS TMR TRNSCANL,6303.0,5609.67,390.93,6303.0,482 CDM,PX-69552,PR EXCISN AURAL GLOMUS TMR TRNSMASTD,8145.0,7249.05,564.1,8145.0,482 CDM,PX-69601,PR REV MASTOIDECTOMY COMPL,6710.0,5971.9,355.76,6710.0,482 CDM,PX-69610,PR REPAIR TYMPANIC MEMBRANE,1662.0,1479.18,152.5,1662.0,482 CDM,PX-69620,PR MYRINGOPLASTY,5015.0,4463.35,300.15,5015.0,482 CDM,PX-69631,PR TYMPANOPLASTY WO RCNST,6732.0,5991.48,317.31,6732.0,482 CDM,PX-69632,PR TYMPANOPLASTY W RCNST,8529.0,7590.81,382.87,8529.0,482 CDM,PX-69633,PR TYMPANOPLSTY W RCNST&PROSTH,7442.0,6623.38,372.68,7442.0,482 CDM,PX-69635,PR TYMPLSTY W ANTROT WO RCNST,7676.0,6831.64,465.27,7676.0,482 CDM,PX-69637,PR TYMPPLSTY W ANTROT/MAST PROSTH,8896.0,7917.44,511.64,8896.0,482 CDM,PX-69641,PR TYMPLSTY W MASTOID WO RCNST,8939.0,7955.71,366.25,8939.0,482 CDM,PX-69642,PR TYMPLSTY W MASTOID W RCNST,9410.0,8374.9,466.55,9410.0,482 CDM,PX-69643,PR TYMPLSTY WO OSC CHAIN RCNST,9328.0,8301.92,427.9,9328.0,482 CDM,PX-69644,PR TYMPLSTY W OSC CHAIN RCNST,10176.0,9056.64,544.56,10176.0,482 CDM,PX-69645,PR TYMPLSTY RAD WO OSC CHN RCSTRC,8658.0,7705.62,536.47,8658.0,482 CDM,PX-69646,PR TYMPLSTY RAD W OSC CHN RCSTRCT,12255.0,10906.95,566.53,12255.0,482 CDM,PX-69650,PR STAPES MOBILIZATION,5010.0,4458.9,283.55,5010.0,482 CDM,PX-69660,PR STAPEDECTOMY REESTAB OSSICULAR,6527.0,5809.03,322.02,6527.0,482 CDM,PX-69661,PR STAPEDECTOMY W FOOTPLATE DRILL,8075.0,7186.75,418.2,8075.0,482 CDM,PX-69662,PR REVISION OF STAPEDECTOMY,8924.0,7942.36,399.21,8924.0,482 CDM,PX-69670,PR MASTOID OBLITERATION,6993.0,6223.77,331.47,6993.0,482 CDM,PX-69705,PR NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI,9841.0,8758.49,1073.46,9841.0,482 CDM,PX-69706,PR NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI,19280.0,17159.2,1109.42,19280.0,482 CDM,PX-69710,PR IMPL ELECTRO HEARING DEV TEMP BN,2857.0,2542.73,2514.16,2857.0,477 CDM,PX-69714,PR IMPL TEMP BONE WO MASTOIDECT,5605.0,4988.45,171.54,5605.0,482 CDM,PX-69716,PR IMPLTJ OI IMPLT SKL TC ESP,5769.0,5134.41,212.01,5769.0,482 CDM,PX-69717,PR RPL IMPL TEMP BN WO MASTOIDECT,6926.0,6164.14,192.51,6926.0,482 CDM,PX-69719,PR REVJ/RPLCMT OI IMPLT TC ESP,5542.0,4932.38,219.08,5542.0,482 CDM,PX-69726,PR RMVL OI IMPLT SKL PERQ ESP,3685.0,3279.65,165.85,3685.0,482 CDM,PX-69727,PR RMVL OI IMPLT SKL TC ESP,4523.0,4025.47,183.59,4523.0,482 CDM,PX-69801,PR TRANSCANAL LABYRINTH PERFUSION,482.0,428.98,76.49,482.0,507 CDM,PX-69805,PR ENDOLYMPHATIC SAC OP WO SHUNT,8120.0,7226.8,354.18,8120.0,482 CDM,PX-69806,PR EDOLYMPHATIC SAC OP W SHUNT,8786.0,7819.54,319.79,8786.0,482 CDM,PX-69905,PR LABYRINTHECTOMY TRANSCANAL,6245.0,5558.05,323.28,6245.0,482 CDM,PX-69910,PR LABYRINTHECTOMY W MASTOIDECT,7516.0,6689.24,341.84,7516.0,482 CDM,PX-69930,PR COCHLEAR DEVICE IMPLANTATION,10906.0,9706.34,412.74,10906.0,482 CDM,PX-69955,PR DCMPRN&/RPR FACIAL NERVE TOTAL,12513.0,11136.57,663.76,12513.0,482 CDM,PX-69990,PR MICROSURG TQS W USE OPER MICRO,3717.0,3308.13,135.88,3717.0,464 CDM,PX-700000001,HC APP CAST BODY HALO TYPE,2198.0,1956.22,191.88,2198.0,736 CDM,PX-700000002,HC APP CAST BODY SHLDR HIPS MINERVA,1544.0,1374.16,156.68,1544.0,736 CDM,PX-700000003,HC APP CAST BODY,1728.0,1537.92,132.24,1728.0,736 CDM,PX-700000004,HC APP CAST CLUBFOOT W MOLD/MANIP,765.0,680.85,95.66,765.0,737 CDM,PX-700000005,HC APP CAST CYLINDER,896.0,797.44,77.8,896.0,737 CDM,PX-700000006,HC APP CAST HIP SPICA 1 LEG,2007.0,1786.23,143.84,2007.0,736 CDM,PX-700000007,HC APP CAST HIP SPICA 1.5/BOTH,1974.0,1756.86,159.53,1974.0,736 CDM,PX-700000008,HC APP CAST LEG RIGID TOT CONTACT,896.0,797.44,86.56,896.0,736 CDM,PX-700000009,HC APP CAST LONG ARM,774.0,688.86,61.35,774.0,736 CDM,PX-700000011,HC APP CAST LONG LEG WALK,896.0,797.44,91.37,896.0,736 CDM,PX-700000012,HC APP CAST LONG LEG,950.0,845.5,86.48,950.0,737 CDM,PX-700000015,HC APP CAST SHORT ARM GAUNTLET,517.0,460.13,60.56,517.0,739 CDM,PX-700000016,HC APP CAST SHORT ELBOW-FGR,750.0,667.5,56.34,750.0,739 CDM,PX-700000017,HC APP CAST SHORT LEG KNEE-TOE,750.0,667.5,53.46,750.0,740 CDM,PX-700000018,HC APP CAST SHORT LEG WALK,754.0,671.06,49.63,754.0,738 CDM,PX-700000020,HC APP PATELLAR TNDN BEAR CAST,1108.0,986.12,76.53,1108.0,736 CDM,PX-700000021,HC APP SPLINT FINGER STATIC,353.0,314.17,24.03,353.0,736 CDM,PX-700000022,HC APP SPLINT LONG ARM,427.0,380.03,33.92,427.0,736 CDM,PX-700000023,HC APP SPLINT LONG LEG,493.0,438.77,52.53,493.0,736 CDM,PX-700000025,HC APP SPLINT SHORT ARM STATIC,428.0,380.92,39.6,428.0,737 CDM,PX-700000026,HC APP SPLINT SHORT LEG,475.0,422.75,47.58,475.0,736 CDM,PX-700000028,HC ARTHCS ASP/INJ INT JT WO US,776.0,690.64,30.4,776.0,737 CDM,PX-700000029,HC ARTHCS ASP/INJ MJR JT WO US,759.0,675.51,36.97,759.0,737 CDM,PX-700000030,HC ARTHCS ASP/INJ SM JT WO US,801.0,712.89,29.73,801.0,737 CDM,PX-700000032,HC AVUL NAIL PLATE SMPL,450.0,400.5,47.23,450.0,736 CDM,PX-700000034,HC CLSD TX BIMALOR ANK W MANIP,2883.0,2565.87,444.06,2883.0,736 CDM,PX-700000036,HC CLSD TX PHAL SHFT FX W MANIP EA,1034.0,920.26,215.07,1034.0,736 CDM,PX-700000044,HC DBRD SKIN & SUBQ TISS<=20SCM,1037.0,922.93,53.27,1037.0,738 CDM,PX-700000055,HC I&D ABSC SMPL/SNGL,586.0,521.54,99.12,586.0,738 CDM,PX-700000056,HC I&D HEMA/SEROMA/FLUID COLL,4598.0,4092.22,112.29,4598.0,737 CDM,PX-700000059,HC INCISN/RMVL FB SUBQ SMPL,761.0,677.29,100.59,761.0,736 CDM,PX-700000060,HC INJ ANES OTHER PERIPHERAL NRV,1869.0,1663.41,37.1,1869.0,737 CDM,PX-700000061,HC INJ SNGL TENDN ORIGIN/INS,483.0,429.87,31.36,483.0,736 CDM,PX-700000062,HC INJ SNGL TNDN/SHTH/LGMNT,1010.0,898.9,31.46,1010.0,736 CDM,PX-700000063,HC INJ THER CARPAL TUNNEL,801.0,712.89,45.81,801.0,736 CDM,PX-700000067,HC MANIP KNEE JT W ANES,5061.0,4504.29,143.57,5061.0,736 CDM,PX-700000070,HC NDL ASP ABSC/HEMA/BULLA/CYST,703.0,625.67,89.07,703.0,740 CDM,PX-700000071,HC NEG PRESS WND THRPY <=50SCM,525.0,467.25,20.88,525.0,738 CDM,PX-700000072,HC NEG PRESS WND THRPY >50SCM,1079.0,960.31,22.9,1079.0,736 CDM,PX-700000077,HC RMVL EXTRNL FIX W ANES,6361.0,5661.29,314.47,6361.0,736 CDM,PX-700000078,HC RMVL IMPLANT DEEP,7687.0,6841.43,374.32,7687.0,742 CDM,PX-700000079,HC RMVL IMPLANT SUPERFICIAL,5660.0,5037.4,135.7,5660.0,739 CDM,PX-700000080,HC RMVL/BIVAL SHLDR/HIP,1211.0,1077.79,66.7,1211.0,736 CDM,PX-700000081,HC RMVL/BIVALV CAST BODY,727.0,647.03,28.19,727.0,736 CDM,PX-700000082,HC RMVL/BIVALV CAST FULL ARM/LEG,511.0,454.79,38.03,511.0,736 CDM,PX-700000085,HC STRAPPING SHOULDER,451.0,401.39,15.2,451.0,736 CDM,PX-700000089,HC TNTMY ACHIL TNDN PERC LOC ANES,5302.0,4718.78,168.76,5302.0,736 CDM,PX-700000091,HC TX WND DEHIS SMPL,1665.0,1481.85,170.83,1665.0,737 CDM,PX-700000092,HC TENEX PELVIS/HIP,1342.0,1194.38,247.2,1342.0,735 CDM,PX-700000115,HC RPR NAIL BED,1730.0,1539.7,100.7,1730.0,736 CDM,PX-700000121,HC CLSD TX VRT WO MANIP REQ CAST,1264.0,1124.96,247.2,1264.0,736 CDM,PX-700000122,HC CLSD TX PROX HUMRL FX WO MANIP,1244.0,1107.16,247.2,1244.0,736 CDM,PX-700000123,HC MANIPULATION ELBOW W ANES,8296.0,7383.44,436.75,8296.0,736 CDM,PX-700000124,HC CLSD TX HUM SHAFT FX WO MANIP,1109.0,987.01,230.67,1109.0,736 CDM,PX-700000125,HC CLSD TX SUPRA HUM FX WO MANIP,1102.0,980.78,229.22,1102.0,736 CDM,PX-700000126,HC CLSD TX HUM EPICNDY FX WO MANIP,814.0,724.46,169.31,814.0,736 CDM,PX-700000127,HC CLSD TX HUM CONDYL FX WO MANIP,800.0,712.0,166.4,800.0,736 CDM,PX-700000130,HC CLSD TX RADL HD/NK FX WO MANIP,725.0,645.25,150.8,725.0,736 CDM,PX-700000131,HC CLSD TX ULNAR PROX FX WO MANIP,1054.0,938.06,219.23,1054.0,736 CDM,PX-700000133,HC CLSD TX ULNAR SHAFT FX WO MANIP,882.0,784.98,183.46,882.0,736 CDM,PX-700000134,HC CLSD TX ULNAR SHAFT FX W MANIP,3376.0,3004.64,247.2,3376.0,736 CDM,PX-700000135,HC CLSD TX RDL & ULNAR FX WO MANIP,867.0,771.63,180.34,867.0,736 CDM,PX-700000136,HC CLSD TX RDL & ULNAR FX W MANIP,3085.0,2745.65,486.89,3085.0,736 CDM,PX-700000137,HC CLSD TX DIST RDL FX WO MANIP,1153.0,1026.17,239.82,1153.0,736 CDM,PX-700000138,HC CLSD TX DIST RDL FX W MANIP,2771.0,2466.19,525.94,2771.0,737 CDM,PX-700000139,HC CLSD TX CRPL SCPHD FX WO MANIP,1038.0,923.82,215.9,1038.0,737 CDM,PX-700000141,HC CLSD TX CRPL FX WO MANIP EA BN,918.0,817.02,190.94,918.0,736 CDM,PX-700000142,HC CLSD TX ULNAR FX STYLOID,1278.0,1137.42,247.2,1278.0,736 CDM,PX-700000145,HC CLSD TX METCARP FX WO MANIP EA BN,854.0,760.06,177.63,854.0,736 CDM,PX-700000146,HC CLSD TX METCARP FX W MANIP EA BN,1597.0,1421.33,247.2,1597.0,736 CDM,PX-700000147,HC CLSD TX PHAL SHFT FX WO MANIP EA,777.0,691.53,161.62,777.0,736 CDM,PX-700000148,HC CLSD TX ARTICLR FX WO MANIP EA,857.0,762.73,178.26,857.0,736 CDM,PX-700000149,HC CLSD TX DISTL PHAL WO MANIP EA,743.0,661.27,154.54,743.0,736 CDM,PX-700000150,HC INJ PROC HIP ARTHGRPH W ANES,3048.0,2712.72,65.03,3048.0,719 CDM,PX-700000152,HC TX POST HIP ARTHR DISLOC ANES,3784.0,3367.76,526.96,3784.0,722 CDM,PX-700000154,HC CLSD TX FEM FX DIST WO MANIP,1250.0,1112.5,247.2,1250.0,734 CDM,PX-700000155,HC CLSD TX TIB FX WO MANIP,889.0,791.21,184.91,889.0,736 CDM,PX-700000159,HC CLSD TX TIB SHAFT FX WO MANIP,1105.0,983.45,229.84,1105.0,736 CDM,PX-700000160,HC CLSD TX MDL MELLEOL WO MANIP,839.0,746.71,174.51,839.0,736 CDM,PX-700000161,HC CLSD TX POSTR MALLEOL WO MANIP,1591.0,1415.99,1432.0,1432.0,1 CDM,PX-700000162,HC CLSD TX PROX FIBULA WO MANIP,915.0,814.35,190.32,915.0,736 CDM,PX-700000163,HC CLSD TX DIST FIB WO MANIP,1189.0,1058.21,247.2,1189.0,736 CDM,PX-700000165,HC CLSD TX TRIMALOR ANK FX MANIP,3033.0,2699.37,454.13,3033.0,736 CDM,PX-700000166,HC CLSD TX TIB W/WO ANES WO MANIP,1018.0,906.02,211.74,1018.0,736 CDM,PX-700000168,HC CLSD TX CALCANEAL FX WO MANIP,977.0,869.53,203.22,977.0,736 CDM,PX-700000169,HC CLSD TX TALUS FX WO MANIP,929.0,826.81,193.23,929.0,736 CDM,PX-700000170,HC CLSD TX METATARSAL FX WO MANIP,724.0,644.36,150.59,724.0,736 CDM,PX-700000173,HC STRAPPING HAND OR FINGER,392.0,348.88,16.18,392.0,736 CDM,PX-700000174,HC APP MULTILYR COMPRSN AM/HD/FIN,368.0,327.52,13.17,368.0,736 CDM,PX-700000178,HC FLUORO GUIDE NDL PLC,806.0,717.34,123.27,806.0,723 CDM,PX-700000179,HC DBRD WND RMVL TIS NON-SEL,433.0,385.37,90.06,433.0,735 CDM,PX-700000185,HC VISIT EST PATIENT LEVEL 2,140.0,124.6,29.12,176.65,743 CDM,PX-700000199,HC OFFICE CONSULT LEVEL 2,220.0,195.8,45.76,220.0,736 CDM,PX-700000200,HC OFFICE CONSULT LEVEL 3,242.0,215.38,50.34,242.0,737 CDM,PX-700000205,HC CLSD TX TARSAL BN WO MANIP,940.0,836.6,191.26,940.0,736 CDM,PX-700000206,HC ARTHRT EXPL DRN LOOSE/FB MCP JT,8756.0,7792.84,318.01,8756.0,736 CDM,PX-700000209,HC CLSD TX FEMORAL SHAFT WO MANIP,2057.0,1830.73,247.2,2057.0,736 CDM,PX-700000213,HC I&D ABSC FGR SMPL,703.0,625.67,140.81,703.0,736 CDM,PX-700000215,HC TX RADIAL SHAFT FX WO MANIP,934.0,831.26,194.27,934.0,736 CDM,PX-700000218,HC CLSD TX GRT TOE FX WO MANIP,700.0,623.0,130.84,700.0,736 CDM,PX-700000220,HC CLSD TX DISLOC SHLDR W ANES,3040.0,2705.6,401.53,3040.0,736 CDM,PX-700000221,HC SKN GRFT F/N/G/HF <=100SCM,3269.0,2909.41,79.99,3269.0,736 CDM,PX-700000222,HC CLSD TX I-P DISLOC W MANIP WO ANES,814.0,724.46,169.31,814.0,736 CDM,PX-700000223,HC APP CAST RISSER JACKET LOCALIZ,1038.0,923.82,145.28,1038.0,736 CDM,PX-700000228,HC DBRD SEL OPN WND<=20SCM,435.0,387.15,30.01,435.0,741 CDM,PX-700000233,HC FLUOROSCOPY EXAM UP TO 1 HR,669.0,595.41,44.1,669.0,738 CDM,PX-700000234,HC CAUTERIZE CHEM GRANULATION TIS,801.0,712.89,34.24,801.0,736 CDM,PX-700000240,HC WINDOWING OF CAST,517.0,460.13,36.22,517.0,736 CDM,PX-700000241,HC CLSD TX FEM SHAFT FX W MANIP,5425.0,4828.25,701.92,5425.0,736 CDM,PX-700000243,HC CLSD TX CLAVICLE FX WO MANIP,840.0,747.6,174.72,840.0,736 CDM,PX-700000247,HC CLSD TX TIB SHAFT FX W MANIP,4354.0,3875.06,476.47,4354.0,736 CDM,PX-700000249,HC DBRD SKIN & SUBQ TISS ADD 20SCM,108.0,96.12,20.5,108.0,719 CDM,PX-700000256,HC ARTHCS ASP/INJ INT JT W US,1185.0,1054.65,42.17,1185.0,737 CDM,PX-700000260,HC CLSD TX THUMB FX W MANIP,4762.0,4238.18,375.32,4762.0,736 CDM,PX-700000264,HC CLSD TX SPRA/TRNSCNDL WO MANIP,962.0,856.18,200.1,962.0,736 CDM,PX-700000265,HC CLSD TX DISTL PHAL FX W MANIP EA,950.0,845.5,197.6,950.0,736 CDM,PX-700000268,HC ASP/INJ CYST GANGLION,466.0,414.74,34.94,466.0,736 CDM,PX-700000269,HC CLSD TX ULNAR PROX FX W MANIP,4007.0,3566.23,406.44,4007.0,736 CDM,PX-700000270,HC CLSD TX SUPRA HUM FX W MANIP,4468.0,3976.52,538.49,4468.0,736 CDM,PX-700000272,HC CLSD TX HIP DISLOC W ANES,2945.0,2621.05,612.56,2945.0,736 CDM,PX-700000273,HC CLSD TX TARSAL DISLOC WO ANES,858.0,763.62,169.49,858.0,736 CDM,PX-700000279,HC CLSD TX CMC DISLOC W MANIP,1011.0,899.79,210.29,1011.0,736 CDM,PX-700000280,HC DBRD SEL OPN WND ADD 20SCM,363.0,323.07,20.4,363.0,720 CDM,PX-700000281,HC SMPL RPR F/E/EY/NO/L/M<=2.5CM,550.0,489.5,49.38,550.0,736 CDM,PX-700000282,HC CLSD TX PHALANX FX W MANIP,1325.0,1179.25,143.28,1325.0,736 CDM,PX-700000283,HC CLSD TX FEMORAL W MANIP,4348.0,3869.72,630.79,4348.0,736 CDM,PX-700000284,HC TX RADIAL SHAFT FX W MANIP,3135.0,2790.15,470.37,3135.0,736 CDM,PX-700000285,HC APP STRESS JOINT RADIOGRAPHY,394.0,350.66,58.05,394.0,736 CDM,PX-700000286,HC INJ ENZYME PALMAR FASCIAL CORD,792.0,704.88,54.55,792.0,736 CDM,PX-700000287,HC EXCISN BN PROX/MID PHAL PRTL,5006.0,4455.34,442.97,5006.0,737 CDM,PX-70100,PR XR MANDIBLE PRTL 1-3V,103.0,91.67,7.23,169.0,964 CDM,PX-70110,PR XR MANDIBLE COMPLT MIN 4V,141.0,125.49000000000001,9.42,222.0,964 CDM,PX-70140,PR XR FACIAL BONES 1-2V,135.0,120.15,7.78,208.0,964 CDM,PX-70150,PR XR FACIAL BONES COMPLT MIN 3V,174.5,155.305,9.98,277.0,964 CDM,PX-70160,PR XR NASAL BONES COMPLT MIN 3V,94.0,83.66,6.67,155.0,964 CDM,PX-70200,PR XR ORBITS COMPLT MIN 4V,170.5,151.745,10.53,268.0,964 CDM,PX-70210,PR XR SINUS 1-2V,114.5,101.905,6.67,183.0,964 CDM,PX-70220,PR XR SINUS COMPLT MIN 3V,179.0,159.31,8.33,245.0,1446 CDM,PX-70250,PR XR SKULL 1-3V,172.0,153.08,6.95,224.0,1446 CDM,PX-70260,PR XR SKULL COMPLT MIN 4V,209.5,186.455,10.53,324.0,964 CDM,PX-70300,PR XR TEETH SINGLE VIEW,37.5,33.375,4.21,55.0,997 CDM,PX-70320,PR XR TEETH COMPLT FULL MOUTH,152.5,135.725,8.97,255.0,1012 CDM,PX-70336,PR MRI TMJ,1947.5,1733.275,53.55,3110.0,964 CDM,PX-70350,PR CEPHALOGRAM,150.0,133.5,6.96,202.0,969 CDM,PX-70355,PR ORTHOPANTOGRAM,130.0,115.69999999999999,8.05,171.0,973 CDM,PX-70360,PR XR NECK/SOFT TISS,111.5,99.23499999999999,6.95,176.0,964 CDM,PX-70371,PR SPEECH EVAL CMPLX W VIDEO,394.0,350.65999999999997,33.05,577.0,964 CDM,PX-70450,PR CT HEAD/BRAIN WO CNTRST,683.0,607.87,31.44,1068.0,1446 CDM,PX-70460,PR CT HEAD/BRAIN W CNTRST,1028.0,914.92,41.49,1566.0,1446 CDM,PX-70470,PR CT HEAD/BRAIN WO/W CNTRST,1349.0,1200.61,46.7,2015.0,1446 CDM,PX-70471,PR CTA H&N C+ W/NONCONTRAST IMG,2643.0,2352.27,94.31,3899.0,1446 CDM,PX-70472,PR CT CERE PRFU ALYS C+W/CT/CTA,2787.0,2480.43,28.96,3560.0,1446 CDM,PX-70473,PR CT CERE PRFU ALY C+WO CT/CTA,4510.0,4013.9,37.84,5517.0,1446 CDM,PX-70480,PR CT ORBIT/EAR/FOSSA WO CNTRST,960.0,854.4,47.25,1513.0,1446 CDM,PX-70481,PR CT ORBIT/EAR/FOSSA W CNTRST,1299.0,1156.11,41.49,1810.0,1446 CDM,PX-70482,PR CT ORBT/EAR/FOSSA WO/W CNTRST,1561.0,1389.29,46.42,2140.0,1446 CDM,PX-70486,PR CT MAXFAC WO CNTRST,869.0,773.41,31.72,1245.0,1450 CDM,PX-70487,PR CT MAXFAC W CNTRST,1233.0,1097.37,41.49,1856.0,1446 CDM,PX-70488,PR CT MAXFAC WO/W CNTRST,1481.0,1318.09,46.7,2145.0,1446 CDM,PX-70490,PR CT NECK/SOFT TISS WO CNTRST,898.0,799.22,47.25,1464.0,1446 CDM,PX-70491,PR CT NECK/SOFT TISS W CNTRST,1139.0,1013.71,50.82,1721.0,1446 CDM,PX-70492,PR CT NECK/SOFT TISS WO/W CNTRST,1412.0,1256.68,59.14,2106.0,1446 CDM,PX-70496,PR CTA HEAD WO/W CNTRST,2035.0,1811.15,64.16,2910.0,1446 CDM,PX-70498,PR CTA NECK WO/W CNTRST,1924.0,1712.36,64.16,2752.0,1446 CDM,PX-70540,PR MRI ORBIT/FACE/NCK WO CNTRST,2237.0,1990.93,49.44,3055.0,1446 CDM,PX-70542,PR MRI ORBIT/FACE/NCK W CNTRST,2291.5,2039.435,59.69,3600.0,964 CDM,PX-70543,PR MRI ORBT/FACE/NCK WO/W CNTRST,3465.0,3083.85,78.96,4852.0,1446 CDM,PX-70544,PR MRA HEAD WO CNTRST,2298.0,2045.22,43.95,3062.0,1446 CDM,PX-70545,PR MRA HEAD W CNTRST,2658.0,2365.62,43.95,3479.0,1446 CDM,PX-70546,PR MRA HEAD WO/W CNTRST,4311.0,3836.79,54.2,5395.0,1446 CDM,PX-70547,PR MRA NECK WO CNTRST,1839.0,1636.71,43.95,2453.0,1446 CDM,PX-70548,PR MRA NECK W CNTRST,2307.0,2053.23,55.02,3622.0,964 CDM,PX-70549,PR MRA NECK WO/W CNTRST,3754.0,3341.06,66.08,4900.0,1446 CDM,PX-70551,PR MRI BRAIN WO CNTRST,1994.0,1774.66,54.2,3018.0,1447 CDM,PX-70551001,PR MRI BRAIN PEDS VENT WO CNTRST,979.5,871.755,54.2,1463.0,965 CDM,PX-70552,PR MRI BRAIN W CNTRST,2465.0,2193.85,65.54,3505.0,1446 CDM,PX-70553,PR MRI BRAIN WO/W CNTRST,3909.0,3479.01,83.98,5784.0,1446 CDM,PX-70554,PR MRI FUNCT BRAIN NOT REQ MD,2574.5,2291.3050000000003,77.94,4113.0,964 CDM,PX-70555,PR MRI FUNCTIONAL BRAIN REQ MD,3687.0,3281.43,91.56,6161.0,964 CDM,PX-710000000,HC PACU LEVEL 1,855.0,760.95,177.84,855.0,717 CDM,PX-710000001,HC PACU LEVEL 2,1027.0,914.03,213.62,1027.0,717 CDM,PX-710000002,HC PACU LEVEL 3,1232.0,1096.48,256.26,1232.0,717 CDM,PX-710000003,HC PACU LEVEL 4,1480.0,1317.2,307.84,1480.0,717 CDM,PX-710000004,HC PACU LEVEL 5,1774.0,1578.86,368.99,1774.0,717 CDM,PX-710000005,HC PACU LEVEL 1 EA 15 MIN,262.0,233.18,54.5,262.0,717 CDM,PX-710000006,HC PACU LEVEL 2 EA 15 MIN,262.0,233.18,54.5,262.0,717 CDM,PX-710000007,HC PACU LEVEL 3 EA 15 MIN,262.0,233.18,54.5,262.0,717 CDM,PX-710000008,HC PACU LEVEL 4 EA 15 MIN,262.0,233.18,54.5,262.0,717 CDM,PX-710000009,HC PACU LEVEL 5 EA 15 MIN,262.0,233.18,54.5,262.0,717 CDM,PX-71045,PR XR EXAM CHEST 1V,119.0,105.91,6.67,177.0,1446 CDM,PX-71045001,PR XR EXAM CHEST 1V B-READ,117.5,104.575,6.67,177.0,964 CDM,PX-71046,PR XR EXAM CHEST 2V,148.0,131.72,8.05,212.0,1447 CDM,PX-71047,PR XR EXAM CHEST 3V,189.5,168.655,10.25,291.0,964 CDM,PX-71048,PR XR EXAM CHEST 4+V,192.0,170.88,11.7,292.0,964 CDM,PX-71100,PR XR RIB UNILAT 2V,149.0,132.61,8.33,208.0,1446 CDM,PX-71101,PR XR RIB W PA CHST UNILAT MIN 3V,169.0,150.41,10.05,261.0,964 CDM,PX-71110,PR XR RIB BILAT 3V,181.5,161.535,10.8,278.0,964 CDM,PX-71111,PR XR RIB W PA CHST BILAT MIN 4V,232.0,206.48,11.98,324.0,1446 CDM,PX-71120,PR XR STERNUM MIN 2V,133.0,118.36999999999999,7.49,209.0,964 CDM,PX-71130,PR XR STERNCLAV JT MIN 3V,140.0,124.6,8.33,225.0,964 CDM,PX-71250,PR CT THORAX WO CNTRST,895.0,796.55,39.48,1412.0,1446 CDM,PX-71260,PR CT THORAX W CNTRST,1255.0,1116.95,42.86,1832.0,1446 CDM,PX-71270,PR CT THORAX WO/W CNTRST,1514.5,1347.905,45.88,2354.0,964 CDM,PX-71271,PR CT THORAX LOW DOSE LUNG CA SCRN WO CNTRST,577.0,513.53,39.48,894.0,1446 CDM,PX-71275,PR CTA CHEST WO/W CNTRST,1803.0,1604.67,66.52,2609.0,1446 CDM,PX-71550,PR MRI CHEST WO CNTRST,2448.0,2178.72,53.29,3096.0,1446 CDM,PX-71551,PR MRI CHEST W CNTRST,2225.5,1980.695,63.62,3686.0,964 CDM,PX-71552,PR MRI CHEST WO/W CNTRST,4000.0,3560.0,82.89,5109.0,1446 CDM,PX-71555,PR MRA CHEST W OR WO CNTRST,3001.0,2670.89,66.08,3959.0,1446 CDM,PX-720000002,HC EXTERNAL CEPHALIC VERSION,5449.0,4849.61,82.04,5449.0,736 CDM,PX-720000004,HC LABOR & DELIVERY LEVEL 1 LONG,4611.0,4103.79,959.09,4611.0,717 CDM,PX-720000005,HC LABOR & DELIVERY LEVEL 1 SHORT,3842.0,3419.38,799.14,3842.0,717 CDM,PX-720000006,HC LABOR & DELIVERY LEVEL 2 LONG,6639.0,5908.71,1380.91,6639.0,717 CDM,PX-720000007,HC LABOR & DELIVERY LEVEL 2 SHORT,5531.0,4922.59,1150.45,5531.0,717 CDM,PX-720000008,HC LABOR & DELIVERY LEVEL 3 LONG,9560.0,8508.4,1988.48,9560.0,717 CDM,PX-720000009,HC LABOR & DELIVERY LEVEL 3 SHORT,7969.0,7092.41,1657.55,7969.0,717 CDM,PX-720000014,HC LABOR & DELIVERY POST DELIVERY CARE ONLY,1340.0,1192.6,278.72,1340.0,717 CDM,PX-72020,PR XR SPINE 1V,67.0,59.63,6.13,97.0,1446 CDM,PX-72040,PR XR SPINE CERV 2-3V,133.0,118.37,8.33,181.0,1446 CDM,PX-72050,PR XR SPINE CERV MIN 4-5V,220.0,195.8,10.33,288.0,1446 CDM,PX-72052,PR XR SPINE CERV >= 6 VIEWS,206.0,183.34,11.43,337.0,964 CDM,PX-72070,PR XR SPINE THORAC 2V,117.0,104.13,7.78,164.0,1446 CDM,PX-72072,PR XR SPINE THORAC 3V,182.0,161.98,8.32,248.0,1446 CDM,PX-72074,PR XR SPINE THORAC MIN 4V,229.0,203.81,9.15,307.0,1446 CDM,PX-72080,PR XR SPINE THORACOLUMBAR 2V,161.0,143.29,8.05,224.0,1446 CDM,PX-72081,PR XR SPINE THORACOLUMBAR 1V,156.5,139.285,10.06,244.0,964 CDM,PX-72082,PR XR SPINE THORACOLUMBAR 2-3V,273.0,242.97,11.99,344.0,1446 CDM,PX-72083,PR XR SPINE THORACOLUMBAR 4-5V,257.5,229.17499999999998,13.64,426.0,964 CDM,PX-72084,PR XR SPINE THORACOLUMBAR 6>V,293.0,260.77,15.83,489.0,964 CDM,PX-72100,PR XR SPINE LUMBOSACRAL 2-3V,140.0,124.6,8.61,190.0,1446 CDM,PX-72110,PR XR SPINE LUMBOSACRAL MIN 4V,219.0,194.91,10.06,288.0,1446 CDM,PX-72114,PR XR SPINE LUMBOSACRAL MIN 6V,281.0,250.09,11.43,366.0,1446 CDM,PX-72120,PR XR LUMBOSACRAL BEND 2-3V,216.0,192.24,8.61,291.0,1446 CDM,PX-72125,PR CT CERV SPINE WO CNTRST,1094.0,973.66,37.01,1671.0,1446 CDM,PX-72126,PR CT CERV SPINE W CNTRST,1574.5,1401.305,44.77,2375.0,964 CDM,PX-72127,PR CT CERV SPINE WO/W CNTRST,1570.0,1397.3000000000002,46.42,2435.0,964 CDM,PX-72128,PR CT THORAC SPINE WO CNTRST,1101.0,979.89,37.01,1684.0,1446 CDM,PX-72129,PR CT THORAC SPINE W CNTRST,1381.0,1229.09,44.77,2042.0,1446 CDM,PX-72130,PR CT THORAC SPINE WO/W CNTRST,1568.5,1395.965,46.7,2436.0,964 CDM,PX-72131,PR CT LUMBAR SPINE WO CNTRST,1181.0,1051.09,37.01,1809.0,1446 CDM,PX-72132,PR CT LUMBAR SPINE W CNTRST,1529.0,1360.81,44.77,2263.0,1446 CDM,PX-72133,PR CT LUMBAR SPINE WO/W CNTRST,1486.5,1322.9850000000001,46.7,2306.0,964 CDM,PX-72141,PR MRI CERV SPINE WO CNTRST,1675.0,1490.75,54.48,2584.0,1446 CDM,PX-72142,PR MRI CERV SPINE W CNTRST,2589.0,2304.21,65.98,3669.0,1446 CDM,PX-72146,PR MRI THORAC SPINE WO CNTRST,2211.0,1967.79,54.48,3407.0,1446 CDM,PX-72147,PR MRI THORAC SPINE W CNTRST,2598.0,2312.22,65.82,3685.0,1446 CDM,PX-72148,PR MRI LUMB SPINE WO CNTRST,1552.0,1381.28,54.75,2389.0,1446 CDM,PX-72149,PR MRI LUMB SPINE W CNTRST,2658.0,2365.62,65.82,3789.0,1446 CDM,PX-72156,PR MRI CERV SPINE WO/W CNTRST,3293.0,2930.77,84.26,4872.0,1446 CDM,PX-72157,PR MRI THORAC SPINE WO/W CNTRST,3404.0,3029.56,84.26,5032.0,1446 CDM,PX-72158,PR MRI LUMB SPINE WO/W CNTRST,3223.0,2868.47,84.26,4773.0,1446 CDM,PX-72159,PR MRA SPINE W/WO CNTRST,2155.0,1917.95,66.08,2825.0,1446 CDM,PX-72170,PR XR PELVIS 1-2V,124.0,110.36,6.67,175.0,1446 CDM,PX-72190,PR XR PELVIS COMPLT MIN 3V,192.0,170.88,9.78,266.0,1446 CDM,PX-72191,PR CTA PELVIS WO/W CNTRST,1800.0,1602.0,65.68,2757.0,964 CDM,PX-72192,PR CT PELVIS WO CNTRST,874.0,777.86,39.75,1385.0,1447 CDM,PX-72193,PR CT PELVIS W CNTRST,1377.0,1225.53,42.58,1787.0,1446 CDM,PX-72194,PR CT PELVIS WO/W CNTRST,1724.0,1534.36,44.77,2241.0,1446 CDM,PX-72195,PR MRI PELVIS WO CNTRST,2317.0,2062.13,53.57,3258.0,1446 CDM,PX-72196,PR MRI PELVIS W CNTRST,2235.5,1989.595,63.62,3467.0,964 CDM,PX-72197,PR MRI PELVIS WO/W CNTRST,3463.0,3082.07,80.96,4911.0,1446 CDM,PX-72198,PR MRA PELVIS W/WO CNTRST,2086.5,1856.9850000000001,65.52,3371.0,964 CDM,PX-72200,PR XR SACROILIAC JOINT 1-2V,158.0,140.62,6.67,208.0,1446 CDM,PX-72202,PR XR SACROILIAC JOINT >= 3 V,176.0,156.64,8.32,239.0,1446 CDM,PX-72220,PR XR SACRUM COCCYX MIN 2V,156.0,138.84,6.67,208.0,1446 CDM,PX-72295,PR DISCOGRAPHY LUMB S&I,1103.0,981.67,32.49,1638.0,964 CDM,PX-723000002,HC CIRCUMCISION W CLAMP/BLOCK,468.0,416.52,78.94,2773.53,736 CDM,PX-73000,PR XR CLAVICLE COMPLT,139.0,123.71,6.41,183.0,1446 CDM,PX-730000004,HC EKG SIGNAL AVERAGING,385.0,342.65,33.3,385.0,736 CDM,PX-730000005,HC EKG 12 LEAD TRACE ONLY,271.0,241.19,6.97,271.0,746 CDM,PX-73010,PR XR SCAPULA COMPLT,128.0,113.92,7.24,189.0,964 CDM,PX-73020,PR XR SHOULDER 1V,107.0,95.23,5.85,160.0,1446 CDM,PX-73030,PR XR SHOULDER COMPLT MIN 2V,153.0,136.17,7.23,205.0,1446 CDM,PX-73040,PR XR ARTHRO SHOULDER S&I,330.5,294.145,21.42,551.0,964 CDM,PX-73050,PR XR AC JOINT BILAT,131.5,117.035,7.51,202.0,964 CDM,PX-73060,PR XR HUMERUS MIN 2V,145.0,129.05,6.41,189.0,1446 CDM,PX-73070,PR XR ELBOW 2V,126.0,112.14,6.41,171.0,1446 CDM,PX-73080,PR XR ELBOW COMPLT MIN 3V,151.0,134.39,6.67,201.0,1446 CDM,PX-73090,PR XR FOREARM 2V,139.0,123.71,6.13,187.0,1446 CDM,PX-73092,PR XR UPR EXT INFANT MIN 2V,115.5,102.795,6.13,187.0,964 CDM,PX-73100,PR XR WRIST 2V,134.0,119.26,6.68,174.0,1446 CDM,PX-731000000,HC EVENT MONITOR 30DAY RECORDING,498.0,443.22,8.35,498.0,737 CDM,PX-731000001,HC EVENT MONITR 30DAY TRANS/ANLYS,1345.0,1197.05,95.27,1345.0,738 CDM,PX-731000004,HC HOLTER MONITR<=48HRS RECORDING,510.0,453.9,18.31,510.0,741 CDM,PX-731000005,HC HOLTER MONITR<=48HRS SCN/REPRT,830.0,738.7,35.5,830.0,741 CDM,PX-731000008,HC LT CONT REC>48 HR & <= 7 DY REC,608.0,541.12,17.67,608.0,734 CDM,PX-731000009,HC LT CONT REC>48 HR&<=7 DY SCR/RPT,1394.0,1240.66,133.33,1394.0,734 CDM,PX-731000010,HC LT CONT REC>7 DY & <= 15 DY REC,688.0,612.32,17.67,688.0,734 CDM,PX-731000011,HC LT CONT REC>7 DY&<=15 DY SCR/RPT,1576.0,1402.64,133.33,1576.0,734 CDM,PX-731000012,HC XTRNL ECG REC>15D<30D REC,777.0,691.53,161.62,777.0,719 CDM,PX-731000013,HC XTRNL ECG REC>15D<30D SCAN,1780.0,1584.2,370.24,1780.0,719 CDM,PX-73110,PR XR WRIST COMPLT MIN 3V,150.0,133.5,6.96,187.0,1446 CDM,PX-73120,PR XR HAND 2V,125.0,111.25,6.41,166.0,1446 CDM,PX-73130,PR XR HAND MIN 3V,132.0,117.48,6.96,168.0,1446 CDM,PX-73140,PR XR FINGER(S) MIN 2V,121.0,107.69,5.3,145.0,1446 CDM,PX-73200,PR CT UPR EXT WO CNTRST,977.0,869.53,37.01,1379.0,1446 CDM,PX-732000001,HC REMOTE 30 DAY ECG TECH SUPP,2650.0,2358.5,373.96,2650.0,736 CDM,PX-73201,PR CT UPR EXT W CNTRST,1191.0,1059.99,42.58,1612.0,1446 CDM,PX-73202,PR CT UPR EXT WO/W CNTRST,1272.0,1132.08,44.5,2069.0,964 CDM,PX-73206,PR CTA UPR EXT WO/W CNTRST,1630.0,1450.7,65.68,2349.0,1446 CDM,PX-73218,PR MRI UPR EXT NONJOINT WO CNTRST,2237.0,1990.93,50.28,2805.0,1446 CDM,PX-73219,PR MRI UPR EXT NONJOINT W CNTRST,1874.0,1667.8600000000001,59.98,3070.0,964 CDM,PX-73220,PR MRI UPR EXT NOJNT WO/W CNTRST,3151.0,2804.39,79.52,4132.0,1446 CDM,PX-73221,PR MRI UPR EXT JOINT WO CNTRST,1574.0,1400.86,50.57,2250.0,1446 CDM,PX-73222,PR MRI UPR EXT JOINT W CNTRST,1871.5,1665.635,60.25,3029.0,964 CDM,PX-73223,PR MRI UPR EXT JOINT WO/W CNTRST,3209.0,2856.01,79.52,4292.0,1446 CDM,PX-73501,PR XR HIP W PELVIS UNILAT 1V,148.0,131.72,7.23,201.0,1446 CDM,PX-73502,PR XR HIP W PELVIS UNILAT 2-3V,188.0,167.32,8.61,241.0,1446 CDM,PX-73503,PR XR HIP W PELVIS UNILAT 4>V,263.0,234.07,10.62,333.0,1446 CDM,PX-73521,PR XR HIP W PELVIS BILAT 2V,197.0,175.33,8.61,263.0,1446 CDM,PX-73522,PR XR HIP W PELVIS BILAT 3-4V,233.0,207.37,11.15,312.0,1446 CDM,PX-73523,PR XR HIP W PELVIS BILAT MIN 5V,302.0,268.78,11.7,394.0,1446 CDM,PX-73525,PR XR ARTHGM HIP S&I,342.0,304.38,22.62,564.0,964 CDM,PX-73551,PR XR FEMUR 1V,130.0,115.7,6.41,176.0,1446 CDM,PX-73552,PR XR FEMUR MIN 2V,171.0,152.19,6.95,224.0,1446 CDM,PX-73560,PR XR KNEE 1-2V,141.0,125.49,6.41,183.0,1446 CDM,PX-73562,PR XR KNEE 3V,158.0,140.62,7.51,201.0,1446 CDM,PX-73564,PR XR KNEE COMPLT MIN 4V,176.0,156.64,8.89,228.0,1446 CDM,PX-73565,PR XR KNEE BILAT STAND AP,117.0,104.13000000000001,6.68,195.0,964 CDM,PX-73590,PR XR TIBIA & FIBULA 2V,129.0,114.81,6.13,168.0,1446 CDM,PX-73592,PR XR LWR EXT INFANT MIN 2V,96.0,85.44,6.13,155.0,964 CDM,PX-73600,PR XR ANKLE 2V,124.0,110.36,6.41,162.0,1446 CDM,PX-73610,PR XR ANKLE COMPLT MIN 3V,156.0,138.84,6.67,201.0,1446 CDM,PX-73620,PR XR FOOT 2V,91.0,80.99,6.13,122.0,1446 CDM,PX-73630,PR XR FOOT COMPLT MIN 3V,147.0,130.83,6.4,191.0,1446 CDM,PX-73650,PR XR CALCANEUS MIN 2V,108.0,96.12,6.13,147.0,1446 CDM,PX-73660,PR XR TOE(S) MIN 2V,120.0,106.8,5.03,152.0,1446 CDM,PX-73700,PR CT LWR EXT WO CNTRST,901.0,801.89,37.01,1378.0,1446 CDM,PX-73701,PR CT LWR EXT W CNTRST,1063.0,946.07,42.58,1549.0,1446 CDM,PX-73702,PR CT LWR EXT WO/W CNTRST,1430.5,1273.145,44.5,2237.0,964 CDM,PX-73706,PR CTA LWR EXT WO/W CNTRST,1747.0,1554.83,69.06,2558.0,1446 CDM,PX-73718,PR MRI LWR EXT NONJNT WO CNTRST,1902.0,1692.78,49.72,2617.0,1446 CDM,PX-73719,PR MRI LWR EXT NONJOINT W CNTRST,2178.5,1938.8650000000002,59.41,3409.0,964 CDM,PX-73720,PR MRI LWR EXT NOJNT WO/W CNTRST,2895.0,2576.55,79.24,4070.0,1446 CDM,PX-73721,PR MRI LWR EXT JOINT WO CNTRST,1439.0,1280.71,50.28,2059.0,1446 CDM,PX-73722,PR MRI LWR EXT JOINT W CNTRST,1882.0,1674.98,60.25,3049.0,964 CDM,PX-73723,PR MRI LWR EXT JOINT WO/W CNTRST,3307.0,2943.23,79.24,4427.0,1446 CDM,PX-73725,PR MRA LWR EXT W OR WO CNTRST,2101.0,1869.89,65.96,3389.0,964 CDM,PX-740000000,HC DIGITAL ANALYSIS EEG,1928.0,1715.92,314.39,1928.0,719 CDM,PX-740000006,HC EEG INCL AWAKE & DROWSY,2069.0,1841.41,216.39,2069.0,737 CDM,PX-740000010,HC ELECTROCORTICOGRAM AT SURGERY,7014.0,6242.46,1458.91,7014.0,719 CDM,PX-740000014,HC WADA ACTIVATION TEST W EEG,6515.0,5798.35,775.86,6515.0,736 CDM,PX-740000019,HC LONG TERM EEG SET UP,903.0,803.67,187.82,903.0,739 CDM,PX-740000020,HC EEG 2-12 HOURS WITHOUT VIDEO UNMONITORED,4018.0,3576.02,117.84,4018.0,736 CDM,PX-740000023,HC EEG 12-26 HOURS WITHOUT VIDEO UNMONITORED,3436.0,3058.04,174.34,3436.0,736 CDM,PX-740000028,HC VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING,5761.0,5127.29,373.96,5761.0,737 CDM,PX-740000029,HC VEEG 12-26 HOURS WITH VIDEO UNMONITORED,6182.0,5501.98,223.73,6182.0,736 CDM,PX-740000030,HC VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR,6114.0,5441.46,373.96,6114.0,739 CDM,PX-740000031,HC VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR,10001.0,8900.89,860.58,10001.0,739 CDM,PX-740000033,HC VEEG BY TECH 2-12 HR INTERMITTENT MONITORING,5383.0,4790.87,373.96,5383.0,736 CDM,PX-740000034,HC MAGNETOENCEPHALOGRAPHY SPON BRAIN ACTIVITY,50448.0,44898.72,860.58,50448.0,737 CDM,PX-740000035,HC MAGNETOENCEPHALOGRAPHY EVOKED FIELDS 1 MODALITY,19498.0,17353.22,860.58,19498.0,737 CDM,PX-740000036,HC MAGNETOENCEPHALOGRAPHY EVOKED FIELDS EACH ADDL,17559.0,15627.51,614.13,17559.0,719 CDM,PX-74018,PR XR EXAM ABDOMEN 1V,139.0,123.71,6.95,194.0,1446 CDM,PX-74019,PR XR EXAM ABDOMEN 2V,150.0,133.5,8.6,212.0,1446 CDM,PX-74021,PR XR EXAM ABDOMEN 3+V,166.0,147.74,9.97,257.0,964 CDM,PX-74022,PR XR ABDOMEN COMPLT W 1VW CHEST,261.0,232.29,40.66,261.0,482 CDM,PX-74150,PR CT ABDOMEN WO CNTRST,792.0,704.88,43.68,1306.0,1446 CDM,PX-74160,PR CT ABDOMEN W CNTRST,1424.0,1267.36,46.7,1892.0,1446 CDM,PX-74170,PR CT ABDOMEN WO/W CNTRST,1619.0,1440.91,51.37,2175.0,1446 CDM,PX-74174,PR CTA ABD&PELVIS WO/W CNTRST,2623.0,2334.47,80.4,3541.0,1447 CDM,PX-74175,PR CTA ABDOMEN WO/W CNTRST,1993.0,1773.77,66.23,2881.0,1446 CDM,PX-74176,PR CT ABD&PELVIS WO CNTRST,970.0,863.3,63.88,1699.0,1446 CDM,PX-74177,PR CT ABD&PELVIS W CNTRST,1822.0,1621.58,66.8,2503.0,1447 CDM,PX-74178,PR CT ABD&PELVIS WO/W CNTRST,2351.0,2092.39,74.02,3207.0,1446 CDM,PX-74181,PR MRI ABDOMEN WO CNTRST,1862.0,1657.18,53.29,2804.0,1446 CDM,PX-74182,PR MRI ABDOMEN W CNTRST,2614.0,2326.46,63.34,3518.0,1446 CDM,PX-74183,PR MRI ABDOMEN WO/W CNTRST,3233.0,2877.37,80.96,4577.0,1446 CDM,PX-74185,PR MRA ABDOMEN WO/W CNTRST,2704.0,2406.56,65.68,3549.0,1446 CDM,PX-74220,PR XR ESOPHAGUS,303.0,269.67,22.21,425.0,1446 CDM,PX-74221,PR XR ESOPHAGUS DBL CONTRAST,488.0,434.32,25.59,693.0,1446 CDM,PX-74230,PR SWALLOWING STUDY W VIDEO,442.0,393.38,19.75,551.0,1446 CDM,PX-74240,PR XR UGI SINGLE CONTRAST,499.0,444.11,30.27,764.0,964 CDM,PX-74246,PR XR UGI DOUBLE CONTRAST,427.5,380.475,33.37,658.0,964 CDM,PX-74248,PR XR SMALL BOWEL FOLLOW THROUGH,372.0,331.08,25.59,533.0,964 CDM,PX-74250,PR XR SMALL BOWEL,337.5,300.375,29.78,516.0,964 CDM,PX-74261,PR CT COLONOGRAPHY DX WO CNTRST,1475.5,1313.1950000000002,88.46,1971.0,964 CDM,PX-74262,PR CT COLONOGRAPHY DX WO/W CNTRST,1505.0,1339.45,92.31,2179.0,964 CDM,PX-74263,PR CT COLONOGRAPHY SCRN,1603.0,1426.67,97.61,2458.0,964 CDM,PX-74270,PR XR COLON SINGLE CONTRAST,471.0,419.19,38.11,686.0,1446 CDM,PX-74280,PR XR COLON AIR CNTRST,583.5,519.315,46.14,921.0,964 CDM,PX-74283,PR XR THERAPEUTIC ENEMA,316.0,281.24,82.42,316.0,482 CDM,PX-74300,PR CHOLANG OR S&I,104.0,92.56,10.13,104.0,482 CDM,PX-74328,PR ERCP CATH BILIARY S&I,96.0,85.44,19.43,96.0,482 CDM,PX-74329,PR ENDO CATH PANCREATIC SYSTEM,117.0,104.13,19.71,117.0,482 CDM,PX-74330,PR ERCP CATH BILIARY&PANCREAS S&I,160.0,142.4,22.24,160.0,482 CDM,PX-74340,PR INTRO LONG G TUBE W FL S&I,116.0,103.24,20.02,116.0,482 CDM,PX-74360,PR INTRALUMINAL DILATION S&I,82.0,72.98,22.98,82.0,482 CDM,PX-74363,PR DIL BILIARY WO/W STNT SI PERC,324.0,288.36,122.56,324.0,482 CDM,PX-74400,PR IVP WO OR W KUB/TOMO,319.0,283.90999999999997,18.09,547.0,964 CDM,PX-74420,PR UROGRAPHY RETRO WO OR W KUB,409.0,364.01,19.95,627.0,966 CDM,PX-74425,PR UROGRAPHY ANTEGRADE S&I,531.0,472.59,18.91,642.0,1448 CDM,PX-74430,PR CYSTOGRAPHY MIN 3VWS S&I,255.0,226.95,11.98,394.0,1448 CDM,PX-74440,PR VASOGRAPHY S&I,509.0,453.01,84.01,509.0,482 CDM,PX-74450,PR URETHROCYSTOGRAPHY RETRO S&I,229.0,203.81,12.25,385.0,966 CDM,PX-74455,PR URETHROCYSTOGRAPHY VOIDING S&I,382.0,339.98,12.53,666.0,966 CDM,PX-74712,PR SINGLE MRI FETAL GESTATION,2382.0,2119.98,110.96,3683.0,1446 CDM,PX-74740,PR HSG S&I,276.0,245.64,14.17,463.0,964 CDM,PX-74775,PR PERINEOGRAM,566.0,503.74,74.17,566.0,482 CDM,PX-750000000,HC ANOSCOPY DIAGNOSTIC,642.0,571.38,39.11,642.0,736 CDM,PX-750000006,HC BREATH HYDROGEN TEST,1589.0,1414.21,65.65,1589.0,741 CDM,PX-750000008,HC CANCER SCREEN FLEX SIG,2951.0,2626.39,51.5,2951.0,739 CDM,PX-750000009,HC CAPSULE ENDO INTRALUMINAL,4058.0,3611.62,821.24,4058.0,740 CDM,PX-750000010,HC CAPSULE ENDO STOMACH COLON,3027.0,2694.03,629.62,3027.0,736 CDM,PX-750000012,HC COLON MOTILITY STUDY MIN 6 HRS,4807.0,4278.23,118.73,4807.0,737 CDM,PX-750000013,HC COLONOSCOPY DIAGNOSTIC,4402.0,3917.78,156.32,4402.0,746 CDM,PX-750000014,HC COLONOSCOPY FLEX STENT PLC,8712.0,7753.68,241.37,8712.0,736 CDM,PX-750000015,HC COLONOSCOPY SCREEN NOT HI RI,3850.0,3426.5,156.42,3850.0,737 CDM,PX-750000016,HC COLONOSCOPY SCREENING HI RI,3975.0,3537.75,156.32,3975.0,737 CDM,PX-750000017,HC COLONOSCOPY STOMA ABLATION,6162.0,5484.18,5545.8,5545.8,1 CDM,PX-750000018,HC COLONOSCOPY STOMA BX SNGL/MULT,6235.0,5549.15,145.46,6235.0,737 CDM,PX-750000019,HC COLONOSCOPY STOMA DX,5197.0,4625.33,132.43,5197.0,739 CDM,PX-750000020,HC COLONOSCOPY STOMA EMR,7771.0,6916.19,253.94,7771.0,736 CDM,PX-750000021,HC COLONOSCOPY STOMA INJ SUBMUC,5824.0,5183.36,145.02,5824.0,737 CDM,PX-750000022,HC COLONOSCOPY STOMA W BAL DIL,5724.0,5094.36,155.51,5724.0,737 CDM,PX-750000023,HC COLONOSCOPY STOMA W CTRL BLEED,5276.0,4695.64,193.57,5276.0,736 CDM,PX-750000024,HC COLONOSCOPY STOMA W DECOMP,4097.0,3646.33,194.97,4097.0,736 CDM,PX-750000025,HC COLONOSCOPY STOMA W US NDL BX,3780.0,3364.2,230.48,3780.0,736 CDM,PX-750000026,HC COLONOSCOPY W BALN DIL,5390.0,4797.1,178.48,5390.0,738 CDM,PX-750000027,HC COLONOSCOPY W BAND LIG,3968.0,3531.52,196.84,3968.0,736 CDM,PX-750000028,HC COLONOSCOPY W BIOPSY,4681.0,4166.09,169.2,4681.0,748 CDM,PX-750000029,HC COLONOSCOPY W CTRL BLEED,5565.0,4952.85,216.73,5565.0,737 CDM,PX-750000030,HC COLONOSCOPY W DECOMPRESSION,5724.0,5094.36,206.65,5724.0,736 CDM,PX-750000031,HC COLONOSCOPY W EMR,6678.0,5943.42,277.05,6678.0,742 CDM,PX-750000032,HC COLONOSCOPY W EUS EXAM,5462.0,4861.18,216.31,5462.0,736 CDM,PX-750000034,HC COLONOSCOPY W RMVL FB,6870.0,6114.3,200.15,6870.0,736 CDM,PX-750000035,HC COLONOSCOPY W RMVL LESN SNARE,6654.0,5922.06,189.24,6654.0,738 CDM,PX-750000036,HC COLONOSCOPY W RMVL SNARE,4504.0,4008.56,213.13,4504.0,749 CDM,PX-750000037,HC COLONOSCOPY W RMVL TMR HOT BX,5566.0,4953.74,190.53,5566.0,736 CDM,PX-750000039,HC COLONOSCOPY W SUBMUC INJ,3557.0,3165.73,169.2,3557.0,740 CDM,PX-750000040,HC COLONOSCOPY W TMR ABLATE,5391.0,4797.99,226.1,5391.0,737 CDM,PX-750000041,HC COLONOSCOPY W TRANS EUS FNA/BX,7762.0,6908.18,253.46,7762.0,736 CDM,PX-750000044,HC COLONSCPY STOMA W RMVL FB,4825.0,4294.25,177.52,4825.0,736 CDM,PX-750000045,HC CONVERSION TO GASTRO-JEJ TUBE,3603.0,3206.67,118.46,3603.0,736 CDM,PX-750000050,HC DIL ESOPHAGUS UNGUIDED SOUND,2617.0,2329.13,70.39,2617.0,736 CDM,PX-750000051,HC DILATION ESOPHAGUS GUIDE WIRE,4325.0,3849.25,74.0,4325.0,736 CDM,PX-750000052,HC DUODENAL INTUBATION DX MULT,6636.0,5906.04,67.56,6636.0,736 CDM,PX-750000053,HC DUODENAL INTUBATION DX SNGL,856.0,761.84,46.02,1203.39,736 CDM,PX-750000054,HC DUODENAL MOTILITY STUDY,5216.0,4642.24,196.62,5216.0,736 CDM,PX-750000055,HC EGD W DIRECT SUBMUCOSAL INJ,4854.0,4320.06,118.3,4854.0,738 CDM,PX-750000056,HC EGD BALN DILATION ESOPH <30MM,6235.0,5549.15,130.36,6235.0,742 CDM,PX-750000057,HC EGD BAND LIGATION VARICIES,5543.0,4933.27,206.02,5543.0,739 CDM,PX-750000058,HC EGD CTRL BLEED ANY,6128.0,5453.92,169.25,6128.0,738 CDM,PX-750000059,HC EGD DILATION GASTR/DUOD STRICT,6653.0,5921.17,148.35,6653.0,739 CDM,PX-750000060,HC EGD DX W RMVL HOT BX,5723.0,5093.47,143.98,5723.0,736 CDM,PX-750000061,HC EGD FLEX RMVL FB,6653.0,5921.17,149.64,6653.0,740 CDM,PX-750000062,HC EGD INJ SCLEROSIS,5827.0,5186.03,198.15,5827.0,736 CDM,PX-750000063,HC EGD INSERT GUIDE WIRE,5827.0,5186.03,141.18,5827.0,741 CDM,PX-750000064,HC EGD INTRALUMINAL TUBE/CATH INS,5198.0,4626.22,120.91,5198.0,739 CDM,PX-750000065,HC EGD PERC PLC GASTROTOMY TUBE,7345.0,6537.05,167.2,7345.0,737 CDM,PX-750000066,HC EGD TRANSORAL DX,4571.0,4068.19,105.91,4571.0,747 CDM,PX-750000067,HC EGD W BALN DIL > 30MM,7443.0,6624.27,190.97,7443.0,738 CDM,PX-750000068,HC EGD W BIOPSY SNGL/MULT,4466.0,3974.74,118.3,4466.0,753 CDM,PX-750000069,HC EGD W EMR,7015.0,6243.35,226.1,7015.0,739 CDM,PX-750000070,HC EGD W ENDOMICROSCOPY,5724.0,5094.36,142.95,5724.0,736 CDM,PX-750000071,HC EGD W EUS FNA BX,7488.0,6664.32,220.0,7488.0,739 CDM,PX-750000072,HC EGD W EUS FNA/BX ESOPH ONLY,7576.0,6742.64,195.64,7576.0,743 CDM,PX-750000073,HC EGD W EUS LTD,5740.0,5108.6,165.46,5740.0,744 CDM,PX-750000074,HC EGD W EUS TRANSMURAL INJ,7618.0,6780.02,220.1,7618.0,738 CDM,PX-750000075,HC EGD W EUS,5959.0,5303.51,190.15,5959.0,741 CDM,PX-750000077,HC EGD W LESION ABLATION,6653.0,5921.17,188.91,6653.0,740 CDM,PX-750000078,HC EGD W RMVL SNARE,5903.0,5253.67,165.21,5903.0,743 CDM,PX-750000079,HC EGD W STENT PLC,10360.0,9220.4,182.52,10360.0,737 CDM,PX-750000080,HC EGD W TRANSMURAL DRN,8579.0,7635.31,325.85,8579.0,736 CDM,PX-750000081,HC ENDO EVAL SM INTST POUCH BX,5282.0,4700.98,77.7,5282.0,742 CDM,PX-750000082,HC ENDO EVAL SM INTST POUCH DX,6010.0,5348.9,64.13,6010.0,738 CDM,PX-750000083,HC ENDO PANCREATIC NECROSECTOMY,2706.0,2408.34,562.85,2706.0,735 CDM,PX-750000084,HC ENDO SM INTESTINE W ABLATION,8309.0,7395.01,206.36,8309.0,736 CDM,PX-750000085,HC ENDO SM INTESTINE W BX,6097.0,5426.33,134.98,6097.0,738 CDM,PX-750000086,HC ENDO SM INTESTINE W CTRL BLEED,8579.0,7635.31,201.45,8579.0,737 CDM,PX-750000087,HC ENDO SM INTESTINE W ILIUM BX,9140.0,8134.6,248.87,9140.0,736 CDM,PX-750000088,HC ENDO SM INTESTINE W RMVL FB,8931.0,7948.59,162.09,8931.0,737 CDM,PX-750000089,HC ENDO SM INTESTINE W STENT PLC,10502.0,9346.78,225.88,10502.0,736 CDM,PX-750000090,HC ENDO SM INTSTN W G-J TUBE,5959.0,5303.51,161.55,5959.0,736 CDM,PX-750000091,HC ENDO SM INTSTN W ILIUM CTRL,9766.0,8691.74,319.49,9766.0,736 CDM,PX-750000093,HC ENDO SM INTSTN W PLC TUBE PERC,7354.0,6545.06,200.72,7354.0,738 CDM,PX-750000095,HC ENDO UGI W THERMAL GERD TX,7706.0,6858.34,195.4,7706.0,736 CDM,PX-750000096,HC ENDO UPPER SM INTESTINE,6643.0,5912.27,122.57,6643.0,739 CDM,PX-750000097,HC ENDOSCOPIC PANCREATOSCOPY,5651.0,5029.39,97.08,5651.0,721 CDM,PX-750000098,HC ENTEROSCOPY RMVL POLYP SNARE,9140.0,8134.6,172.62,9140.0,737 CDM,PX-750000099,HC ENTEROSCOPY W ILEUM W/WO BX,8221.0,7316.69,237.63,8221.0,736 CDM,PX-750000100,HC ERCP ABLATION W DIL,10951.0,9746.39,358.57,10951.0,736 CDM,PX-750000101,HC ERCP DUCT STENT PLC W DIL,11081.0,9862.09,383.27,11081.0,740 CDM,PX-750000102,HC ERCP DX,8844.0,7871.16,268.35,8844.0,739 CDM,PX-750000103,HC ERCP SPHINC/PAPILLOT,7811.0,6951.79,297.04,7811.0,738 CDM,PX-750000104,HC ERCP STENT EXCHANGE W DIL,10892.0,9693.88,398.99,10892.0,741 CDM,PX-750000105,HC ERCP W BX,7794.0,6936.66,281.96,7794.0,738 CDM,PX-750000106,HC ERCP W DESTRUCT CALCULI,11780.0,10484.2,358.9,11780.0,738 CDM,PX-750000108,HC ERCP W RMVL FB/STNT DUCT,10937.0,9733.93,312.77,10937.0,739 CDM,PX-750000109,HC ERCP W RMVL STONE,9294.0,8271.66,302.63,9294.0,742 CDM,PX-750000110,HC ERCP W TRANS BALN DIL,8313.0,7398.57,314.69,8313.0,739 CDM,PX-750000111,HC ESOPH CAPSULE PH MONITOR STUDY,3702.0,3294.78,511.74,3702.0,740 CDM,PX-750000112,HC ESOPH MOTILITY STUDY,3756.0,3342.84,249.55,3756.0,736 CDM,PX-750000116,HC ESOPHAGOSCOPY FLEX LIGATION,7668.0,6824.52,120.9,7668.0,736 CDM,PX-750000117,HC ESOPHAGOSCOPY FLEX NASAL BX,9945.0,8851.05,76.37,9945.0,737 CDM,PX-750000118,HC ESOPHAGOSCOPY FLEX RMVL FB,8131.0,7236.59,120.17,8131.0,736 CDM,PX-750000119,HC ESOPHAGOSCOPY LESION W ABLT,8946.0,7961.94,166.42,8946.0,736 CDM,PX-750000122,HC ESOPHAGOSCOPY RIGID TRANSORAL,18163.0,16165.07,452.26,18163.0,738 CDM,PX-750000125,HC ESOPHAGOSCOPY W EMR,7505.0,6679.45,197.76,7505.0,736 CDM,PX-750000127,HC ESOPHAGOSCOPY W EUS EXAM,8579.0,7635.31,132.69,8579.0,736 CDM,PX-750000128,HC ESOPHAGOSCOPY W EUS FNA/BX,9766.0,8691.74,169.56,9766.0,736 CDM,PX-750000132,HC ESOPHSCOPY DILATE BALN <30MM,6870.0,6114.3,100.7,6870.0,737 CDM,PX-750000134,HC ESOPHSCOPY FLEX GUIDE WIRE DIL,9637.0,8576.93,109.71,9637.0,736 CDM,PX-750000135,HC ESOPHSCOPY FLEX TRANSNASAL DX,5033.0,4479.37,63.88,5033.0,736 CDM,PX-750000136,HC ESOPHSCOPY FLEX TRANSORAL DX,6469.0,5757.41,75.32,6469.0,738 CDM,PX-750000137,HC ESOPHSCOPY FLEX TXORAL W BX,6870.0,6114.3,89.12,6870.0,737 CDM,PX-750000139,HC ESOPHSCOPY RIGID TXORAL BALN,8172.0,7273.08,150.52,8172.0,736 CDM,PX-750000140,HC ESOPHSCOPY TXORAL STENT PLC,12900.0,11481.0,158.9,12900.0,736 CDM,PX-750000141,HC ESOPHSCOPY TXORAL W SUBMUC INJ,8579.0,7635.31,87.85,8579.0,736 CDM,PX-750000148,HC GASTROINTESTINAL IMAGE W I&R,3485.0,3101.65,724.88,3485.0,736 CDM,PX-750000150,HC ESOPH IMPED FUNCTION TEST,1639.0,1458.71,190.18,1639.0,741 CDM,PX-750000170,HC LIGATION OF HEMORRHOID(S),2350.0,2091.5,191.74,2350.0,736 CDM,PX-750000172,HC ILEOSCOPY STOMA DX,5197.0,4625.33,51.62,5197.0,739 CDM,PX-750000173,HC ILEOSCOPY STOMA W BALN DIL,5724.0,5094.36,74.27,5724.0,736 CDM,PX-750000174,HC ILEOSCOPY STOMA W BX SNGL/MULT,5641.0,5020.49,65.48,5641.0,738 CDM,PX-750000175,HC ILEOSCOPY STOMA W STENT PLC,10127.0,9013.03,127.35,10127.0,736 CDM,PX-750000179,HC INSERT DUODEN/JEJUN TUBE PERC,3975.0,3537.75,202.09,3975.0,736 CDM,PX-750000180,HC INSERT GASTROSTOMY TUBE PERC,3364.0,2993.96,169.3,3364.0,737 CDM,PX-750000183,HC INTRO GI TUBE LONG,1087.0,967.43,15.49,1203.39,736 CDM,PX-750000185,HC LOWER DBL BALLOON,9140.0,8134.6,908.93,9140.0,738 CDM,PX-750000187,HC PARACENTESIS ABD W IMG,2064.0,1836.96,88.52,2064.0,742 CDM,PX-750000188,HC PARACENTESIS ABD WO IMG,2053.0,1827.17,67.14,2053.0,736 CDM,PX-750000189,HC PH STUDY NASL CATH,2996.0,2666.44,205.4,2996.0,742 CDM,PX-750000191,HC PLC TUBE NASAL/OROGAST W FLUOR,744.0,662.16,32.43,744.0,736 CDM,PX-750000197,HC PROCTOSIGMOIDOSCOPY DX,2554.0,2273.06,42.46,2554.0,736 CDM,PX-750000200,HC REPOSITION GASTROSTOMY TUBE,2058.0,1831.62,82.33,2058.0,736 CDM,PX-750000201,HC RPLC DUOD/JEJ TUBE PERC,2069.0,1841.41,71.49,2069.0,739 CDM,PX-750000202,HC RPLC GASTROST/CECOST TUBE PERC,1933.0,1720.37,53.12,1933.0,738 CDM,PX-750000203,HC RPLC TUBE GASTRO-JEJ W FLUORO,2630.0,2340.7,110.25,2630.0,737 CDM,PX-750000204,HC SIGMOID FLEX EMR,8181.0,7281.09,167.57,8181.0,738 CDM,PX-750000205,HC SIGMOID FLEX W BAND LIG,5724.0,5094.36,87.79,5724.0,736 CDM,PX-750000206,HC SIGMOID FLEX W CTRL BLEED,5806.0,5167.34,101.68,5806.0,738 CDM,PX-750000207,HC SIGMOID FLEX W DECOMPRESSION,5827.0,5186.03,94.9,5827.0,736 CDM,PX-750000208,HC SIGMOID FLEX W DIL BALN,6042.0,5377.38,69.24,6042.0,736 CDM,PX-750000209,HC SIGMOID FLEX W EUS EXAM,5544.0,4934.16,107.16,5544.0,737 CDM,PX-750000210,HC SIGMOID FLEX W EUS FNA/BX,8309.0,7395.01,144.41,8309.0,741 CDM,PX-750000211,HC SIGMOID FLEX W RMVL FB,7124.0,6340.36,91.59,7124.0,740 CDM,PX-750000212,HC SIGMOID FLEX W RMVL TMR HOT BX,3808.0,3389.12,82.17,3808.0,736 CDM,PX-750000213,HC SIGMOID FLEX W RMVL TMR SNARE,4965.0,4418.85,103.99,4965.0,739 CDM,PX-750000214,HC SIGMOID FLEX W SUBMUCOSAL INJ,4057.0,3610.73,59.87,4057.0,738 CDM,PX-750000215,HC SIGMOIDOSCOPY FLEXIBLE DX,3150.0,2803.5,51.6,3150.0,741 CDM,PX-750000216,HC SIGMOIDOSCOPY FLEXIBLE W BX,3723.0,3313.47,64.24,3723.0,743 CDM,PX-750000228,HC SIGMOIDOSCOPY W ABLATION,5724.0,5094.36,136.47,5724.0,737 CDM,PX-750000229,HC SIGMOIDOSCOPY W PLCMT STENT,8712.0,7753.68,130.66,8712.0,736 CDM,PX-750000230,HC EGD FLEX TRANSORAL W FUNDOPLASTY,32576.0,28992.64,356.18,32576.0,736 CDM,PX-750000231,HC COLONOSCOPY STENT VIA STOMA,17960.0,15984.4,219.1,17960.0,736 CDM,PX-750000232,HC PREPARE FECAL MICROBIOTA,4767.0,4242.63,58.54,4767.0,736 CDM,PX-750000262,HC ESOPH BALLOON DISTENSION STUDY,3789.0,3372.21,373.96,3789.0,740 CDM,PX-750000269,HC TORE PROCEDURE,8418.0,7492.02,908.93,14103.72,735 CDM,PX-750000271,HC PATENCY CAPSULE PROC,961.0,855.29,128.95,961.0,745 CDM,PX-750000272,HC RPLC GTUBE WO REVISION OF GASTRO TRACT W/O IMAG,1659.0,1476.51,250.38,1659.0,736 CDM,PX-750000273,HC RPLC GTUBE W REVISION OF GASTRO TRACT W/O IMAG,1659.0,1476.51,250.38,1659.0,734 CDM,PX-750000274,HC ALYS SMPL CN NPGT PRGRMG,737.0,655.93,37.4,737.0,734 CDM,PX-750000279,HC VISIT EST PATIENT LEVEL 3,154.0,137.06,32.03,176.65,744 CDM,PX-750000280,HC EUS GUIDED GASTROJEJUNOSTOMY,12085.0,10755.65,908.93,12085.0,735 CDM,PX-750000281,HC CHROMENDOSCOPY BILIARY TRACT,3557.0,3165.73,739.86,3557.0,734 CDM,PX-750000282,HC INTESTINAL BALLON DILATION,4917.0,4376.13,908.93,4917.0,738 CDM,PX-750000283,HC EUS RADIO FREQUENCY ABLATION,12190.0,10849.1,709.65,12190.0,735 CDM,PX-750000286,HC ENDO PGM,1822.0,1621.58,378.98,1822.0,735 CDM,PX-750000293,HC PANC LITHOTRIPSY SHOCK WAVE,3756.0,3342.84,709.65,3756.0,735 CDM,PX-750000294,HC ZENKER'S PERORAL ENDOSCOPIC MYOTOMY (Z-POEM),13031.0,11597.59,908.93,13031.0,736 CDM,PX-750000297,HC EGD FLX TRANSNASAL DX BR/WA,4096.0,3645.44,851.97,4096.0,734 CDM,PX-750000298,HC EGD FLX TRANSNASAL BX 1/MLT,4096.0,3645.44,851.97,4096.0,735 CDM,PX-750000299,HC EGD FLX TRANSNASAL TUBE/CATH,4311.0,3836.79,896.69,5115.46,734 CDM,PX-750000301,HC PERORAL ENDOSCOPIC MYOTOMY (POEM),13031.0,11597.59,1024.01,13031.0,737 CDM,PX-750000302,HC LOWER DBL BALLOON W/ BIOPSY,8221.0,7316.69,908.93,8221.0,738 CDM,PX-750000303,HC GASTRIC PERORAL ENDOSCOPIC MYOTOMY (G-POEM),13031.0,11597.59,908.93,13031.0,735 CDM,PX-750000305,HC ESD ESOPHAGUS,7505.0,6679.45,908.93,7505.0,736 CDM,PX-750000306,HC ESD STOMACH,8418.0,7492.02,908.93,8418.0,735 CDM,PX-750000307,HC ESD SMALL INTESTINE,5403.0,4808.67,908.93,5403.0,738 CDM,PX-750000308,HC ESD COLON,6678.0,5943.42,931.95,6678.0,737 CDM,PX-750000309,HC ESD RECTUM,4771.0,4246.19,931.95,5115.46,735 CDM,PX-750000310,HC HIGH RESOLUTION ESOPHAGEAL MANOMETRY,2706.0,2408.34,128.95,2706.0,745 CDM,PX-750000311,HC EGD FLX TRNSORL DPLMNT BALLOON,11882.0,10574.98,1923.03,11882.0,734 CDM,PX-750000312,HC EGD FLX TRNSORL RMVL BALLOON,6955.0,6189.95,767.1,6955.0,734 CDM,PX-750000314,HC INSTLJ FECAL MICROBIOTA SSP RCT NMA LWR GI TRC,796.0,708.44,133.33,796.0,735 CDM,PX-750000321,"HC UPPER GI BLEED DETECTION, CAPSULE",1011.0,899.79,210.29,1203.39,735 CDM,PX-750000324,HC ANOSCOPY ABLATION LESION,10993.0,9783.77,79.71,10993.0,739 CDM,PX-750000325,HC CHEMODENERV INTRNL ANAL SPHINCTER,5503.0,4897.67,237.18,5503.0,740 CDM,PX-750000326,HC GASTROJEJUNOSTOMY WO VAGOTOMY,10071.0,8963.19,906.72,10071.0,736 CDM,PX-750000327,HC ENDOSCOPIC SUTURING PROCEDURE,6128.0,5453.92,908.93,6128.0,736 CDM,PX-750000328,HC CHROMOENDOSCOPY COLON,3557.0,3165.73,739.86,3557.0,737 CDM,PX-750000331,HC CHOLECYSTOSTOMY PERC W CATH PLC,6722.0,5982.58,290.43,6722.0,736 CDM,PX-750000332,HC ERCP CATH BILIARY S&I,1575.0,1401.75,159.88,1575.0,725 CDM,PX-750000333,HC ENDO CATH PANCREATIC SYSTEM,1569.0,1396.41,160.22,1569.0,720 CDM,PX-750000334,HC ERCP CATH BILIARY&PANCREAS S&I,1286.0,1144.54,163.33,1286.0,719 CDM,PX-750000335,HC INTRO LONG G TUBE W FL S&I,995.0,885.55,137.74,995.0,719 CDM,PX-750000336,HC INTRALUMINAL DILATION S&I,1226.0,1091.14,164.23,1226.0,722 CDM,PX-750000337,HC INS TUBE CECOSTOMY W FL,5098.0,4537.22,171.17,5098.0,736 CDM,PX-750000339,HC GSTR RSTCV PX TRNSORL ESG,28628.0,25478.92,1019.67,28628.0,734 CDM,PX-750000341,HC ANRCT MANO RCT SNSATN & BALO,1005.0,894.45,209.04,1005.0,736 CDM,PX-75557,PR CARD MRI MORPH&FUNC WO CNTRST,2779.0,2473.31,86.7,4025.0,964 CDM,PX-75561,PR CARD MRI MORP&FUNC WO/W CNTRST,3309.5,2945.455,96.28,5002.0,964 CDM,PX-75563,PR CARD MRI MORPH&FUNC WO/W ST,3404.5,3030.005,111.11,5167.0,964 CDM,PX-75565,PR CARD MRI VELOCITY FLOW MAPPING,309.5,275.455,9.15,495.0,964 CDM,PX-75571,PR CT HRT WO CNTRST W CA SCORE,275.5,245.195,21.39,437.0,964 CDM,PX-75572,PR CT HRT W CNTRST MORPHOLOGY,1188.0,1057.32,64.56,1768.0,964 CDM,PX-75573,PR CT HRT MORPHOLOGY CONGENITAL,1437.5,1279.375,94.71,2090.0,964 CDM,PX-75574,PR CTA HRT CORONARY W CNTRST,2165.0,1926.85,88.58,3249.0,1446 CDM,PX-75580,PR N-INVAS EST C FFR SW ALY CTA,130.0,115.7,27.71,130.0,482 CDM,PX-75605,PR AORTOGRAPHY THORACIC S&I,786.5,699.985,40.47,1107.0,964 CDM,PX-75625,PR AORTOGRAPHY ABDOMINAL S&I,567.0,504.63,49.72,1115.0,1446 CDM,PX-75630,PR AORTOGRAPHY ABD LWR EXT S&I,961.0,855.29,53.73,1670.0,1446 CDM,PX-75635,PR CTA ABD ART RUNOF WO/W CNTRST,1767.0,1572.63,87.14,2795.0,1446 CDM,PX-75705,PR ANGIOGRAPHY SPINAL SEL S&I,1121.0,997.69,92.13,1961.0,1446 CDM,PX-75710,PR ANGIOGRAPHY EXT UNILAT S&I,1227.5,1092.475,61.64,1609.0,964 CDM,PX-75716,PR ANGIOGRAPHY EXT BILAT S&I,710.0,631.9,60.46,1305.0,1446 CDM,PX-75726,PR ANGIOGRAPHY VISCERAL SEL S&I,602.0,535.78,64.1,1129.0,1446 CDM,PX-75736,PR ANGIOGRAPHY PELVIC SEL S&I,1408.0,1253.12,39.59,2141.0,1446 CDM,PX-75741,PR ANGIO PULMONARY UNILAT SEL S&I,708.0,630.12,46.27,979.0,964 CDM,PX-75743,PR ANGIO PULMONARY BILAT SEL S&I,1070.5,952.7449999999999,58.87,1424.0,964 CDM,PX-75746,PR ANGIO PULMONARY NONSEL S&I,847.0,753.8299999999999,40.64,1234.0,964 CDM,PX-75756,PR ANGIOGRAPHY INTRNL MAMMARY S&I,725.0,645.25,42.16,1098.0,964 CDM,PX-75774,PR ANGIOGRAPHY SEL ADD VSSL S&I,515.0,458.35,35.13,956.0,1446 CDM,PX-75801,PR LYMPHANGIOGRPH EXT ONLY UNILAT,939.0,835.71,33.72,1644.0,964 CDM,PX-75803,PR LYMPHANGIOGRPH EXT ONLY BILAT,1022.0,909.5799999999999,43.13,1727.0,964 CDM,PX-75805,PR LYMPHANGIOGRPH PELV/ABD UNILAT,1016.5,904.6850000000001,30.07,1812.0,964 CDM,PX-75807,PR LYMPHANGIOGRPH PELV/ABD BILAT,747.0,664.83,40.41,1346.0,964 CDM,PX-75809,PR SHUNTOGRAM NONVASC SHUNT S&I,312.0,277.68,18.47,491.0,964 CDM,PX-75810,PR SPLENOPORTOGRAPHY S&I,1662.5,1479.625,36.87,3091.0,964 CDM,PX-75820,PR VENOGRAPHY EXT UNILAT S&I,351.0,312.39,37.98,627.0,1446 CDM,PX-75822,PR VENOGRAPHY EXT BILAT S&I,688.0,612.3199999999999,52.92,919.0,964 CDM,PX-75825,PR VENOGRAPHY IVC S&I,907.0,807.23,40.28,1631.0,1446 CDM,PX-75827,PR VENOGRAPHY SVC S&I,931.0,828.59,40.64,1634.0,1446 CDM,PX-75831,PR VENO RENAL UNILAT SEL S&I,729.0,648.81,39.4,1238.0,1446 CDM,PX-75833,PR VENO RENAL BILAT SEL S&I,1115.5,992.7950000000001,55.15,1542.0,964 CDM,PX-75860,PR VENOGRAPHY SINUS OR JUG S&I,1117.0,994.13,41.8,1887.0,1446 CDM,PX-75870,PR VENOGRAPHY SUPERIOR SAG SINUS,1381.5,1229.535,47.17,2060.0,964 CDM,PX-75885,PR TXHEP PORT PERC W HEMO EVAL,605.0,538.45,49.98,1117.0,1446 CDM,PX-75887,PR TXHEP PORT PERC WO HEMO EVAL,1003.0,892.67,49.98,1861.0,1446 CDM,PX-75889,PR VENO HEPATIC W HEMODYN S&I,1733.0,1542.37,39.8,2901.0,1446 CDM,PX-75891,PR VENO HEPATIC WO HEMODYN S&I,1435.0,1277.15,40.07,2409.0,1446 CDM,PX-75893,PR VENOUS SAMPLING THRU CATH S&I,862.0,767.18,20.26,1404.0,964 CDM,PX-75894,PR THRPY TXCATH EMBL S&I,4297.0,3824.33,95.81,4558.0,1446 CDM,PX-75898,PR ANGIO FU THRU CATH S&I,534.0,475.26,79.57,836.0,1446 CDM,PX-75901,PR RMVL MECH CVAD OBSTRUCT S&I,917.0,816.13,17.61,1013.0,1446 CDM,PX-75970,PR BX TRANSCATH S&I,3199.0,2847.11,29.01,3424.0,1446 CDM,PX-75984,PR CHG DRN CATH W CNTRST S&I,457.0,406.73,29.29,660.0,964 CDM,PX-75989,PR GUIDE DRN PERC PLC CATH S&I,866.5,771.1850000000001,43.2,1169.0,964 CDM,PX-76000,PR FLUOROSCOPY EXAM UP TO 1 HR,280.0,249.2,12.06,422.0,1446 CDM,PX-76010,PR XR NOSE TO RECTUM CHILD,105.5,93.89500000000001,6.67,164.0,964 CDM,PX-76080,PR XR FISTULA/ABSC/SINUS TRCT S&I,289.0,257.21,18.97,413.0,964 CDM,PX-76098,PR XR SURG SPECIMEN,116.5,103.685,11.7,174.0,964 CDM,PX-76100,PR XR SINGLE PLANE TOMO,206.5,183.785,21.66,317.0,965 CDM,PX-761000009,HC ARTHCS ASP/INJ INT JT W US,1185.0,1054.65,42.17,1185.0,737 CDM,PX-761000010,HC ARTHCS ASP/INJ INT JT WO US,776.0,690.64,30.4,776.0,737 CDM,PX-761000011,HC ARTHCS ASP/INJ JOINT/BURSA W US,1225.0,1090.25,37.36,1225.0,736 CDM,PX-761000012,HC ARTHCS ASP/INJ MJR JT W US,781.0,695.09,47.09,781.0,737 CDM,PX-761000013,HC ARTHCS ASP/INJ MJR JT WO US,759.0,675.51,36.97,759.0,737 CDM,PX-761000014,HC ARTHCS ASP/INJ SM JT WO US,801.0,712.89,29.73,801.0,737 CDM,PX-761000019,HC AVUL NAIL PLATE SMPL,450.0,400.5,47.23,450.0,736 CDM,PX-761000022,HC BMT/STEM CELL TX ALLO,9517.0,8470.13,197.69,83457.52,737 CDM,PX-761000023,HC BMT/STEM CELL TX AUTO,8724.0,7764.36,145.55,8724.0,737 CDM,PX-761000024,HC BONE MARROW ASPIRATION ONLY,2326.0,2070.14,53.72,2326.0,736 CDM,PX-761000025,HC BONE MARROW BIOPSY NDL/TROCAR,2490.0,2216.1,55.56,2490.0,736 CDM,PX-761000031,HC CHEMODENERV 1 EXT 1-4 MUSCLE,1802.0,1603.78,87.88,1802.0,740 CDM,PX-761000033,HC CHEMODENERV NECK MUSCLE UNILAT,1384.0,1231.76,88.74,1384.0,737 CDM,PX-761000034,HC CHEMODENERV TRUNK 1-5 MUS,1802.0,1603.78,93.43,1802.0,737 CDM,PX-761000036,HC COLLECT BLOOD FROM IMPLANT VAD,250.0,222.5,31.03,250.0,750 CDM,PX-761000037,HC COLLECT BLOOD PICC VENOUS NOS,242.0,215.38,34.47,242.0,745 CDM,PX-761000038,HC DBRD NAIL(S) 1-5,141.0,125.49,12.03,141.0,736 CDM,PX-761000039,HC DBRD NAILS >5,186.0,165.54,20.26,186.0,736 CDM,PX-761000040,HC DBRD SEL OPN WND ADD 20SCM,363.0,323.07,20.4,363.0,720 CDM,PX-761000041,HC DBRD SEL OPN WND<=20SCM,435.0,387.15,30.01,435.0,741 CDM,PX-761000043,HC DECLOT IMPL VAD/CATH,707.0,629.23,38.69,707.0,741 CDM,PX-761000044,HC DEST CERV/THOR FACET JT ADD,2628.0,2338.92,55.27,2628.0,721 CDM,PX-761000045,HC DEST CERV/THOR FACET JT,4921.0,4379.69,167.21,4921.0,738 CDM,PX-761000046,HC DEST LUMB/SAC FACET JT ADD,2628.0,2338.92,48.45,2628.0,720 CDM,PX-761000047,HC DEST LUMB/SAC FACET JT,5269.0,4689.41,167.8,5269.0,737 CDM,PX-761000048,HC DEST NERVE CELIAC PLEX,3975.0,3537.75,142.0,3975.0,736 CDM,PX-761000050,HC DEST OTHER PERIPHERAL NERVE,2531.0,2252.59,107.54,2531.0,736 CDM,PX-761000055,HC ELASTOGRAPHY LIVER WO IMG I&R,452.0,402.28,34.03,452.0,742 CDM,PX-761000056,HC ELEC ANLYS PUMP W RPRG&RFLL,1039.0,924.71,37.75,1039.0,739 CDM,PX-761000064,HC FNA BX WO IMG 1ST LESION,724.0,644.36,43.03,724.0,743 CDM,PX-761000065,HC HYSTEROSCOPY DIAGNOSTIC,6412.0,5706.68,124.99,6412.0,743 CDM,PX-761000066,HC HYSTEROSCOPY RMVL IMPACTED FB,9657.0,8594.73,180.29,9657.0,738 CDM,PX-761000068,HC HYSTERSCPY W BX ENDOMETR/POLYP,9466.0,8424.74,188.77,9466.0,742 CDM,PX-761000069,HC I&D ABSC SMPL/SNGL,586.0,521.54,99.12,586.0,738 CDM,PX-761000070,HC I&D HEMA/SEROMA/FLUID COLL,4598.0,4092.22,112.29,4598.0,737 CDM,PX-761000072,HC INJ ANES AGENT CELIAC PLEX,3280.0,2919.2,82.82,3280.0,739 CDM,PX-761000074,HC INJ ANES AGENT LUMBAR/THORACIC,3180.0,2830.2,74.83,3180.0,737 CDM,PX-761000075,HC INJ ANES AXILLARY NERVE W GUIDANCE,3189.0,2838.21,58.82,3189.0,736 CDM,PX-761000076,HC INJ ANES BRACHIAL PLEX W GUIDANCE,4191.0,3729.99,64.04,4191.0,736 CDM,PX-761000079,HC INJ ANES FEM NERVE W GUIDANCE,3630.0,3230.7,58.35,3630.0,736 CDM,PX-761000080,HC INJ ANES FORAMEN ADD LVL,2960.0,2634.4,50.82,2960.0,719 CDM,PX-761000081,HC INJ ANES FORAMEN EPI LUMB ADD,1522.0,1354.58,42.12,1522.0,720 CDM,PX-761000082,HC INJ ANES FORAMEN EPI LUMB SNGL,2770.0,2465.3,96.47,2770.0,739 CDM,PX-761000083,HC INJ ANES FORAMEN SNGL CRV/THRC,2904.0,2584.56,112.89,2904.0,738 CDM,PX-761000084,HC INJ ANES GREATER OCCIPITAL NRV,1265.0,1125.85,41.4,1265.0,736 CDM,PX-761000086,HC INJ ANES INTERCOSTAL NRV EA ADDL LEVEL,2309.0,2055.01,20.64,2309.0,736 CDM,PX-761000087,HC INJ ANES INTERCOSTAL NRV SNGL LVL,1711.0,1522.79,50.74,1711.0,736 CDM,PX-761000089,HC INJ ANES OTHER PERIPHERAL NRV,1869.0,1663.41,37.1,1869.0,737 CDM,PX-761000091,HC INJ ANES SPENOPLTN GANGLION,1307.0,1163.23,89.77,1307.0,736 CDM,PX-761000092,HC INJ ANES STELLATE GANGLION,2639.0,2348.71,67.99,2639.0,737 CDM,PX-761000094,HC INJ ANES SUPR HYPOGASTRIC PLEX,3180.0,2830.2,110.22,3180.0,736 CDM,PX-761000096,HC INJ ANES TRIGEMINAL NRV,1115.0,992.35,42.96,1115.0,736 CDM,PX-761000098,HC INJ EPI BLD/CLOT PATCH,2302.0,2048.78,98.0,2302.0,740 CDM,PX-761000101,HC INJ FACET JT CERV/THOR >=3 LVL,1572.0,1399.08,49.29,1572.0,719 CDM,PX-761000102,HC INJ FACET JT CERV/THOR 1 LVL,3219.0,2864.91,91.05,3219.0,737 CDM,PX-761000103,HC INJ FACET JT CERV/THOR 2 LVL,1572.0,1399.08,48.45,1572.0,720 CDM,PX-761000104,HC INJ FACET JT LUMB/SAC >= 3 LVL,1886.0,1678.54,43.49,1886.0,719 CDM,PX-761000105,HC INJ FACET JT LUMB/SAC 1 LVL,3323.0,2957.47,79.0,3323.0,737 CDM,PX-761000106,HC INJ FACET JT LUMB/SAC 2 LVL,1886.0,1678.54,42.12,1886.0,720 CDM,PX-761000109,HC INJ NRV BLOCK PUDENDAL,2484.0,2210.76,46.54,2484.0,736 CDM,PX-761000110,HC PRP INJECTION,1834.0,1632.26,381.47,1834.0,734 CDM,PX-761000111,HC INJ SI JT W IMA W ARTHROGRPHY,1611.0,1433.79,71.13,1611.0,736 CDM,PX-761000112,HC INJ SNGL TENDN ORIGIN/INS,483.0,429.87,31.36,483.0,736 CDM,PX-761000113,HC INJ SNGL TNDN/SHTH/LGMNT,1010.0,898.9,31.46,1010.0,736 CDM,PX-761000114,HC INJ THER CARPAL TUNNEL,801.0,712.89,45.81,801.0,736 CDM,PX-761000116,HC INJ TRIGGER PNT >=3 MUS,887.0,789.43,39.27,887.0,738 CDM,PX-761000117,HC INJ TRIGGER PNT<=2 MUS,687.0,611.43,34.44,687.0,740 CDM,PX-761000124,HC INJECTION INTRAVITREAL,1340.0,1192.6,73.63,1340.0,743 CDM,PX-761000127,HC INS PICC WO PORT/PUMP >=5YR WO GUIDE,3158.0,2810.62,78.8,3158.0,740 CDM,PX-761000129,HC INS PICC WO SUBQ PORT < 5 YR WO GUIDE,3158.0,2810.62,77.91,3158.0,736 CDM,PX-761000136,HC INTUB W ETT,952.0,847.28,122.2,952.0,737 CDM,PX-761000137,HC IP PICC REMOVAL,140.0,124.6,6.22,176.65,742 CDM,PX-761000138,HC RPLC COMPLT PICC CVC WO PORT W GUIDE/S&I,3669.0,3265.41,47.93,3669.0,737 CDM,PX-761000140,HC IRRIG IMP VAD,269.0,239.41,26.52,269.0,741 CDM,PX-761000141,HC LARYNG FLEX FIBEROPTIC DX,861.0,766.29,58.82,861.0,739 CDM,PX-761000147,HC PAR/CUT BENIGN SKIN LESN >4,292.0,259.88,24.29,292.0,736 CDM,PX-761000148,HC PAR/CUT BENIGN SKIN LESN 2-4,283.0,251.87,18.82,283.0,736 CDM,PX-761000149,HC PAR/CUT BENIGN SKIN LESN SNGL,233.0,207.37,13.03,266.2,736 CDM,PX-761000155,HC PULSED RF ANY PERIPHERAL NRV,2770.0,2465.3,307.61,3185.5,740 CDM,PX-761000157,HC PULSED RF CERV/THOR FAC JT,4921.0,4379.69,307.61,5659.15,740 CDM,PX-761000160,HC PUNC SHUNT TUBE ASP INJ PROC,2287.0,2035.43,48.41,2287.0,736 CDM,PX-761000161,HC PUNCTURE SPINAL LUMBAR DX,1539.0,1369.71,52.24,1539.0,738 CDM,PX-761000162,HC PUNCTURE SPINAL THER DRN CSF,2831.0,2519.59,74.3,2831.0,736 CDM,PX-761000164,HC REFILL/MAINT PORTABLE PUMP,1095.0,974.55,145.87,1095.0,736 CDM,PX-761000165,HC REFILL/MAINTAIN IMPL PMP SYST,606.0,539.34,126.05,606.0,736 CDM,PX-761000167,HC RMVL TUN CV CATH WO SUBQ PORT,2243.0,1996.27,118.17,2243.0,741 CDM,PX-761000169,HC SKN GRFT A/TR/L <=100SCM/1ST 25,4062.0,3615.18,70.78,4062.0,736 CDM,PX-761000170,HC SKN GRFT F/N/G/HF <=100SCM,3269.0,2909.41,79.99,3269.0,736 CDM,PX-761000172,HC THORACENTESIS PLEURA W IMG,3925.0,3493.25,89.05,3925.0,738 CDM,PX-761000177,HC VISIT EST PATIENT LEVEL 1,140.0,124.6,7.49,176.65,742 CDM,PX-761000178,HC VISIT EST PATIENT LEVEL 2,140.0,124.6,29.12,176.65,743 CDM,PX-761000179,HC VISIT EST PATIENT LEVEL 3,154.0,137.06,32.03,176.65,744 CDM,PX-761000180,HC VISIT EST PATIENT LEVEL 4,169.0,150.41,35.15,176.65,742 CDM,PX-761000181,HC VISIT EST PATIENT LEVEL 5,186.0,165.54,38.69,186.0,740 CDM,PX-761000183,HC ELEC ANLYS PUMP W RPRG,920.0,818.8,27.9,920.0,736 CDM,PX-761000186,HC IMPL NEUROSTIM PERIPHERAL PERC,17379.0,15467.31,282.81,17379.0,737 CDM,PX-761000187,HC INJ ANES BRACHIAL PLEXUS CONT W GUIDANCE,4854.0,4320.06,69.2,4854.0,736 CDM,PX-761000188,HC INJ ANES SUPRASCAPULAR NERVE,2277.0,2026.53,45.76,2277.0,736 CDM,PX-761000200,HC REMOVAL LUNG/PLEURAL CATHETER,3564.0,3171.96,140.71,3564.0,737 CDM,PX-761000201,HC THORACENTESIS PLEURA WO IMG,3110.0,2767.9,74.6,3110.0,736 CDM,PX-761000211,HC BRONCH DEST TMR RLF STENOSIS,9799.0,8721.11,214.23,9799.0,738 CDM,PX-761000217,HC INSTILLATION FIBRINOLYSIS INIT,2978.0,2650.42,56.88,2978.0,737 CDM,PX-761000218,HC THORSC DX LUNG/MED/PLRL W/O BX,21363.0,19013.07,259.34,21363.0,736 CDM,PX-761000222,HC THORACOSCOPY W/BX OF PLEURA,23048.0,20512.72,218.15,23048.0,740 CDM,PX-761000225,HC NASAL ENDOSCOPY DX UNI/BILAT,834.0,742.26,51.41,834.0,738 CDM,PX-761000226,HC LARYNG W/WO TRACHEO DX NOT NB,12961.0,11535.29,129.82,12961.0,738 CDM,PX-761000228,HC INCISN/RMVL FB SUBQ SMPL,761.0,677.29,100.59,761.0,736 CDM,PX-761000229,HC DBRD SKIN & SUBQ TISS<=20SCM,1037.0,922.93,53.27,1037.0,738 CDM,PX-761000231,HC DBRD BONE MUS/FASCIA<=20SCM,4983.0,4434.87,187.36,4983.0,737 CDM,PX-761000232,HC SHAVE S/N/H/F/G LESN <=0.5CM,483.0,429.87,31.21,483.0,736 CDM,PX-761000234,HC AVUL NAIL PLATE SMPL EA ADD,298.0,265.22,14.37,298.0,719 CDM,PX-761000236,HC TX WND DEHIS SMPL,1665.0,1481.85,170.83,1665.0,737 CDM,PX-761000237,HC PREP WND HD/EXT EA ADD 100SCM,3949.0,3514.61,215.92,3949.0,737 CDM,PX-761000238,HC SKN GRFT A/TR/L <=100SCM PEDS,5243.0,4666.27,158.18,5243.0,736 CDM,PX-761000239,HC CAUTERIZE CHEM GRANULATION TIS,801.0,712.89,34.24,801.0,736 CDM,PX-761000240,HC APP CAST LEG RIGID TOT CONTACT,896.0,797.44,86.56,896.0,736 CDM,PX-761000241,HC STRAPPING UNNA BOOT,423.0,376.47,21.82,423.0,736 CDM,PX-761000242,HC APP MULTILYR COMPRSN SYS LWR LEG,409.0,364.01,22.9,409.0,736 CDM,PX-761000243,HC INJ SNGL/MULT SPIDER VEIN LIMB,1107.0,985.23,230.26,1107.0,734 CDM,PX-761000245,HC INJ SCLEROSING SOLN MULT VEIN,1624.0,1445.36,60.22,1624.0,739 CDM,PX-761000246,HC LOW FREQ/NO-CON/NON-THERM US,668.0,594.52,15.19,668.0,737 CDM,PX-761000249,HC INJ MYELOGRAPHY CT WO C1/C2,1576.0,1402.64,68.52,1576.0,720 CDM,PX-761000253,HC INJ ANES SCIATIC NERVE W GUIDANCE,3223.0,2868.47,63.06,3223.0,736 CDM,PX-761000257,HC CHEMODENERV FACIAL MUS UNILAT,967.0,860.63,102.93,967.0,738 CDM,PX-761000262,HC GRFT F/N/G/HF <=100SCM 1ST,4811.0,4281.79,181.96,4811.0,736 CDM,PX-761000263,HC CYSTHRSCPY INJ CHEMODENRVATION,5564.0,4951.96,139.74,5564.0,739 CDM,PX-761000273,HC INJ SPINE LUMB/SAC W IMG,2467.0,2195.63,412.92,2467.0,740 CDM,PX-761000274,HC INJ SPINE CERV/THOR W IMG,2298.0,2045.22,417.5,2298.0,738 CDM,PX-761000275,HC PICC EVAL NO ATTEMPT,313.0,278.57,65.1,313.0,719 CDM,PX-761000276,HC MIDLINE EVAL NO ATTEMPT,313.0,278.57,65.1,313.0,719 CDM,PX-761000277,HC MIDLINE REMOVAL,140.0,124.6,7.49,176.65,742 CDM,PX-761000278,HC DX BONE MARROW BX & ASPIR,3501.0,3115.89,266.43,3853.99,747 CDM,PX-761000281,HC INFANT CRITICAL CARE,904.0,804.56,188.03,904.0,719 CDM,PX-761000282,HC INFANT CRITICAL CARE MAJOR,2418.0,2152.02,502.94,2418.0,719 CDM,PX-761000283,HC PARAVERTEB BLOCK THOR SNGL,2697.0,2400.33,68.32,2697.0,736 CDM,PX-761000295,HC BIOPSY CERVIX SNGL/MULT LESN,2348.0,2089.72,64.18,2348.0,737 CDM,PX-761000299,HC BX ENDOMETRIAL WO CERVIX DIL,503.0,447.67,50.43,503.0,739 CDM,PX-761000301,HC INSERT OF INTRAUTERINE DEVICE,1533.0,1364.37,35.33,1533.0,725 CDM,PX-761000302,HC REMOVAL OF INTRAUTERINE DEVICE,1533.0,1364.37,53.12,1533.0,740 CDM,PX-761000303,HC HYST W LYSIS INTRAUTER ADHES,8065.0,7177.85,229.7,8065.0,737 CDM,PX-761000308,HC CHEMODENERV EA ADD EXT 1-4 MUS,832.0,740.48,54.74,832.0,722 CDM,PX-761000312,HC CHEMODENERV ECCRINE GLND AXIL BOTH,722.0,642.58,31.02,722.0,738 CDM,PX-761000313,HC CHEMODENERV ECCRINE GLND OTHR,815.0,725.35,39.34,815.0,736 CDM,PX-761000318,HC CHEMODENERV 1 EXT >=5 MUS,1777.0,1581.53,95.04,1777.0,737 CDM,PX-761000325,HC INCISN TNDN SHEATH,6525.0,5807.25,278.79,6525.0,738 CDM,PX-761000333,HC NEUROPLASTY MEDN NRV CARP TUNL,6676.0,5941.64,406.53,6676.0,737 CDM,PX-761000337,HC UNLISTED PROC DENTOALVEOLAR,554.0,493.06,115.23,554.0,735 CDM,PX-761000339,HC RMVL SURG ERPT TOOTH W BN RMVL,292.0,259.88,60.74,2058.65,736 CDM,PX-761000340,HC BONE RPLC GRFT RIDGE PRESERV,292.0,259.88,60.74,292.0,720 CDM,PX-761000341,HC PLC SURG IMPLT BODY ENDOSTL,292.0,259.88,60.74,292.0,720 CDM,PX-761000342,HC BONE GRFT TIME OF IMPLANT,292.0,259.88,60.74,292.0,719 CDM,PX-761000343,HC EXTRACTION ERUPTED TOOTH/ROOT,292.0,259.88,60.74,857.76,738 CDM,PX-761000344,HC ALVELOPLASTY W EXTRCT 4=>TEETH,292.0,259.88,60.74,2058.65,734 CDM,PX-761000345,HC FREE GINGIVAL GRAFT,292.0,259.88,60.74,2058.65,734 CDM,PX-761000346,HC FREE GINGIVAL GRAFT EA ADD TOOTH,292.0,259.88,60.74,292.0,717 CDM,PX-761000348,HC SURGICAL EXPOSURE UNERUPT TOOTH,292.0,259.88,60.74,857.76,734 CDM,PX-761000350,HC GUIDED TISS REGEN RESORB BARR,292.0,259.88,60.74,2058.65,735 CDM,PX-761000354,HC PALATAL PROTECTIVE STENT,292.0,259.88,60.44,292.0,719 CDM,PX-761000356,HC DENTAL IMPLANT REMOVAL,292.0,259.88,60.74,292.0,719 CDM,PX-761000359,HC FNA BX W/US GDN 1ST LES,2201.0,1958.89,58.73,2201.0,743 CDM,PX-761000360,HC FNA BX W/US GDN EA ADDL,1304.0,1160.56,87.33,1304.0,719 CDM,PX-761000367,HC NJX CNTRST KNE ARTHG/CT/MRI,1312.0,1167.68,272.9,1312.0,717 CDM,PX-761000376,HC EXCISN LESN TNDN SHTH HND/FGR,6302.0,5608.78,298.04,6302.0,736 CDM,PX-761000377,HC INCISN LINGUAL FRENUM FRENOTMY,389.0,346.21,80.91,2058.65,736 CDM,PX-761000384,HC OSSEOUS SURG INCL FLAP ENTRY/CLOSE,292.0,259.88,60.74,7854.46,734 CDM,PX-761000386,HC IMPLANT UNCOVERING,300.0,267.0,62.4,300.0,719 CDM,PX-761000387,HC CROWN LENGTHEN HARD TISSUE,300.0,267.0,62.4,857.76,734 CDM,PX-761000388,HC SCALING/PLANING 4+ PER QUAD,300.0,267.0,62.4,857.76,734 CDM,PX-761000389,HC SCALING/PLANING <4 PER QUAD,300.0,267.0,62.4,857.76,734 CDM,PX-761000391,HC SUBEPITH CONN TISS GRAFT INITIAL,1957.0,1741.73,407.06,2058.65,734 CDM,PX-761000393,HC IMPLANT PLACEMENT GUIDE 1ST SITE,300.0,267.0,62.4,300.0,719 CDM,PX-761000398,HC VENI >=3 YR W RN,959.0,853.51,7.58,959.0,721 CDM,PX-761000404,HC INSURE NEWBORN PROC,1752.0,1559.28,364.42,1752.0,719 CDM,PX-761000405,HC HPC BOOST,4679.0,4164.31,99.04,4679.0,736 CDM,PX-761000409,HC MR FUS SPINE,3026.0,2693.14,307.61,3479.9,740 CDM,PX-761000413,HC CHEMODENERV EXT EA ADD > 4 MUS,1019.0,906.91,62.88,1019.0,719 CDM,PX-761000414,HC ELEC STIM W CHEMODENERVATION,315.0,280.35,65.52,315.0,721 CDM,PX-761000415,HC EMG NEEDLE GUID CHEMODENERV,305.0,271.45,63.44,305.0,720 CDM,PX-761000424,HC BIOPSY VESTIBULE OF MOUTH,1450.0,1290.5,80.48,1450.0,738 CDM,PX-761000729,HC INJ ANES/STEROID NERVES SACROILIAC JNT,3764.0,3349.96,365.45,3764.0,734 CDM,PX-761000730,HC INJ ANES/STEROID GENICULAR NERVE,3112.0,2769.68,355.5,3112.0,736 CDM,PX-761000731,HC DEST NEURO AGNT GENICULAR NERVE,5407.0,4812.23,623.01,5407.0,736 CDM,PX-761000732,HC RF ABLATION NERVES SACROILIAC JNT,6911.0,6150.79,748.14,6911.0,736 CDM,PX-761000748,HC CHEMO INTRALESIONAL>7,630.0,560.7,36.25,630.0,737 CDM,PX-761000788,HC COSM HAIR RMVL FACE PACK,276.0,245.64,57.41,276.0,733 CDM,PX-761000789,HC COSM HAIR RMVL FACE SINGLE,276.0,245.64,57.41,276.0,733 CDM,PX-761000792,HC COSM HAIR RMVL UNDER ARM SINGLE,276.0,245.64,57.41,276.0,733 CDM,PX-761000794,HC COSM HAIR RMVL UPPER LIP/ CHIN,276.0,245.64,57.41,276.0,733 CDM,PX-761000801,HC COSM HAIR RMVL BUTTOCKS,276.0,245.64,57.41,276.0,733 CDM,PX-761000811,HC COSM HAIR RMVL CHIN SIMPLE,276.0,245.64,57.41,276.0,733 CDM,PX-761000828,HC DEST CHOROID LSN PHOTODYNAMIC,2366.0,2105.74,163.6,2366.0,736 CDM,PX-761000836,HC CHEMODENERV PAROTID SUBMAN,1054.0,938.06,100.84,1054.0,736 CDM,PX-761000838,HC CHEMODENERV TRUNK OVER 5 MUS,2649.0,2357.61,105.37,2649.0,737 CDM,PX-761000839,HC D&C NONOBSTETRICAL,6319.0,5623.91,196.54,6319.0,736 CDM,PX-761000905,HC CMPLX RPR FACE/AX/EXT 1.1-2.5,1109.0,987.01,195.94,1109.0,736 CDM,PX-761000907,HC OB TRIAGE LEVEL 1,265.0,235.85,6.22,265.0,744 CDM,PX-761000908,HC OB TRIAGE LEVEL 2,399.0,355.11,22.21,399.0,745 CDM,PX-761000909,HC OB TRIAGE LEVEL 3,532.0,473.48,41.79,532.0,746 CDM,PX-761000910,HC OB TRIAGE LEVEL 4,664.0,590.96,68.49,664.0,744 CDM,PX-761000911,HC OB TRIAGE LEVEL 5,797.0,709.33,91.5,797.0,742 CDM,PX-761000924,HC PDT DSTR PRMLG LES PHYS/QHP,837.0,744.93,174.1,837.0,734 CDM,PX-761000928,HC EXCISN EXCESS SKN/TISS OTHER,11400.0,10146.0,644.66,11400.0,739 CDM,PX-761000959,HC BIOPSY PALATE UVULA,3153.0,2806.17,98.79,3153.0,736 CDM,PX-761000982,HC TISS XFER ADJ ADD 30SCM,2893.0,2574.77,168.32,2893.0,725 CDM,PX-761000989,HC SKN GRFT F/N/G/HF ADD 25SCM,2242.0,1995.38,20.5,2242.0,719 CDM,PX-761000998,HC SUPRACHOROIDAL SPACE INJECTION OF PHARMACOLOGIC AGENT,1258.0,1119.62,180.57,1258.0,734 CDM,PX-76140,PR XR CONSULTATION,952.0,847.28,837.76,952.0,477 CDM,PX-762000003,HC OBS INTERMEDIATE PER HR,189.0,168.21,39.31,189.0,1514 CDM,PX-762000004,HC OBSERVATION DIRECT ADMIT,131.0,116.59,27.25,790.15,1524 CDM,PX-762000005,HC OBSERVATION PER HR,131.0,116.59,27.25,131.0,1514 CDM,PX-762000007,HC OBSERVATION HOURLY CARVE-OUT I,131.0,116.59,27.25,131.0,1514 CDM,PX-762000008,HC OBSERVATION HOURLY CARVE-OUT II,131.0,116.59,27.25,131.0,1514 CDM,PX-762000009,HC OBSERVATION HOURLY CARVE-OUT III,131.0,116.59,27.25,131.0,1514 CDM,PX-762000010,HC OBSERVATION HOURLY CARVE-OUT IV,131.0,116.59,27.25,131.0,1514 CDM,PX-762000011,HC INTERMEDIATE OBSERVATION HOURLY CARVE-OUT I,189.0,168.21,39.31,189.0,1514 CDM,PX-762000012,HC INTERMEDIATE OBSERVATION HOURLY CARVE-OUT II,189.0,168.21,39.31,189.0,1514 CDM,PX-762000014,HC INTERMEDIATE OBSERVATION HOURLY CARVE-OUT IV,189.0,168.21,39.31,189.0,1514 CDM,PX-762000019,HC INTERMEDIATE OBSERVATION DIRECT ADMIT,189.0,168.21,39.31,790.15,1524 CDM,PX-76376,PR 3D WO IND WORKSTATION,379.0,337.31,7.49,590.0,1448 CDM,PX-76377,PR 3D W IND WORKSTATION,414.0,368.46,29.52,770.0,1446 CDM,PX-76380,PR CT LTD FU STDY,636.5,566.485,35.42,959.0,964 CDM,PX-76390,PR MR SPECTROSCOPY,1711.0,1522.79,1004.08,2852.0,1431 CDM,PX-76391,PR MR ELASTOGRAPHY,1241.0,1104.49,40.02,1651.0,1446 CDM,PX-76496001,PR VENOGRM SEL EA ADD VSSL STUDY,698.5,621.665,388.08,956.0,954 CDM,PX-76497001,PR CT SKELETAL SURVEY LDWB,2155.0,1917.95,134.5,3500.0,1431 CDM,PX-76498005,PR MRI PROCTOGRAPHY & ENDOANAL,5556.5,4945.285,85.0,8169.0,954 CDM,PX-76498006,PR MRI PROCTOGRAPHY,3428.5,3051.365,85.0,4911.0,954 CDM,PX-76498007,PR MRI WHOLE BODY,2155.0,1917.95,85.0,3500.0,1431 CDM,PX-76498014,PR MR STEALTH,4583.5,4079.315,85.0,6436.0,954 CDM,PX-76498016,PR MR LYMPHANGIOGRAM,5268.0,4688.52,85.0,8422.0,954 CDM,PX-76499003,PR BODY COMPOSITION DXA,657.0,584.73,24.8,1066.0,954 CDM,PX-76499004,PR DXA BODY COMP WO RADOINTERP,84.0,74.76,8.4,84.0,482 CDM,PX-76499012,PR CONTRAST ENHANCED SPECTRAL MAMMOGRAPHY,61.0,54.29,6.1,61.0,477 CDM,PX-76506,PR ECHOENCEPHGRAPHY,382.0,339.97999999999996,23.4,604.0,964 CDM,PX-76510,PR OPTHAL US DX QUANT B&A SCAN,645.0,574.05,31.51,825.0,964 CDM,PX-76511,PR OPHTHAL US DX QUANT A SCAN,470.0,418.3,28.76,581.0,964 CDM,PX-76512,PR US OPHTHALMIC DX B-SCAN,401.0,356.89,15.23,639.0,1446 CDM,PX-76513,PR OPHTHAL US DX EYE WATER BATH,382.0,339.98,26.54,536.0,964 CDM,PX-76514,PR OPHTHAL US DX EYE THICKNESS,71.0,63.19,3.17,104.0,1453 CDM,PX-76519,PR OPHTHAL US A SCAN W IO LENS,279.5,248.755,24.62,395.0,964 CDM,PX-76536,PR US HEAD&NECK SOFT TISS,413.0,367.57,21.12,541.0,1447 CDM,PX-76604,PR US CHEST,261.0,232.29,22.02,481.0,1447 CDM,PX-76641,PR US BREAST COMPLT UNILAT,345.5,307.495,26.97,519.0,964 CDM,PX-76642,PR US BREAST LTD UNILAT,300.0,267.0,25.04,478.0,1446 CDM,PX-76700,PR US ABD COMPLT,438.5,390.265,29.99,664.0,964 CDM,PX-76705,PR US ABD LTD,399.0,355.11,21.94,579.0,1449 CDM,PX-76706,PR US ABD AORTA SCREEN AAA,357.0,317.72999999999996,20.37,579.0,964 CDM,PX-76770,PR US RETROPERITONEAL COMPLT,456.0,405.84,27.24,664.0,1446 CDM,PX-76775,PR US RETROPERITONEAL LTD,251.0,223.39,21.66,449.0,1446 CDM,PX-76776,PR US TRANSPLANT KIDNEY W DPLR,448.5,399.165,27.78,725.0,964 CDM,PX-76800,PR US SPINE CANAL,496.0,441.44,48.67,753.0,1446 CDM,PX-76801,PR OB US < 14 WKS SINGLE FETUS,489.5,435.655,37.22,703.0,965 CDM,PX-76802,PR OB US < 14 WKS ADD FETUS,369.5,328.855,31.65,449.0,964 CDM,PX-76805,PR US OB OVER 14WKS SNGL,481.0,428.09000000000003,37.78,716.0,964 CDM,PX-76810,PR US OB OVER 14WKS ADD,508.0,452.12,37.79,665.0,964 CDM,PX-76811,PR US OB DETAILED SNGL,778.5,692.865,72.94,1040.0,965 CDM,PX-76812,PR US OB DETAILED ADD GEST,676.5,602.085,68.82,942.0,964 CDM,PX-76813,PR US OB NUCHAL TRANSLUCENCY SNGL,516.5,459.68500000000006,45.29,697.0,965 CDM,PX-76815,PR US PREGNANT UTERUS LIMITED,296.0,263.44,24.5,471.0,1451 CDM,PX-76816,PR US OB FU PER FETUS,386.5,343.985,32.76,567.0,964 CDM,PX-76817,PR US OB TRANSVAGINAL,370.0,329.3,28.36,537.0,969 CDM,PX-76818,PR BPP W NONSTRESS TEST,424.0,377.36,40.26,601.0,964 CDM,PX-76819,PR FETAL BIOPHYS PROFIL WO NST,356.0,316.84000000000003,29.46,503.0,965 CDM,PX-76820,PR DPLR VELOC FETAL UMBIL ARTERY,271.5,241.635,19.4,356.0,964 CDM,PX-76821,PR DPLR VELOC FETL MID CRBRAL ARTY,455.0,404.95000000000005,26.91,664.0,964 CDM,PX-76825,PR ECHO FETAL CARDIOVASC,571.0,508.19,63.7,571.0,482 CDM,PX-76827,PR US DPLR FETAL ECHO,281.0,250.09,22.15,281.0,482 CDM,PX-76828,PR CHG SONO FETAL HRT DOPPL F/U,164.0,145.96,21.6,164.0,482 CDM,PX-76830,PR US TRANSVAGINAL,451.0,401.39,25.88,618.0,1452 CDM,PX-76831,PR ECHO EXAM UTERUS,474.5,422.305,27.82,734.0,968 CDM,PX-76856,PR US PELVIS COMPLETE,363.0,323.07,25.88,558.0,965 CDM,PX-76857,PR US PELVIS LTD/FU,243.0,216.26999999999998,18.92,333.0,969 CDM,PX-76857001,PR US FOLLICLE TRACK INFERTILITY TECH,333.0,296.37,41.72,333.0,487 CDM,PX-76857002,PR US PELVIS LTD/FU LTD,333.0,296.37,41.72,333.0,487 CDM,PX-76870,PR US SCROTUM,411.0,365.78999999999996,23.67,635.0,964 CDM,PX-76872,PR US TRANSRECTAL,627.0,558.03,25.73,805.0,1453 CDM,PX-76873,PR US TRANSRECTAL PROSTATE VOLUME,719.0,639.91,61.55,1008.0,964 CDM,PX-76881,PR US EXT NON-VASC COMPLETE,413.0,367.57,9.06,518.0,1446 CDM,PX-76882,PR US EXT LTD,128.0,113.92,25.6,255.0,1454 CDM,PX-76883,PR US NRV&ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY,557.0,495.73,13.55,706.0,1447 CDM,PX-76885,PR US INFANT HIPS DYNAMIC,425.5,378.695,27.24,670.0,964 CDM,PX-76886,PR US INFANT HIPS LTD STATIC,418.0,372.02,22.85,649.0,964 CDM,PX-76932,PR US ENDOMYOCARDIAL BX S&I,427.5,380.475,27.7,643.0,964 CDM,PX-76937,PR US GUIDE VASC ACCESS,128.0,113.92,10.67,193.0,1446 CDM,PX-76940,PR US GUIDE TISS ABLT,895.5,796.995,78.77,1141.0,964 CDM,PX-76942,PR US GUIDE PLC NDL,507.0,451.23,25.25,676.0,1454 CDM,PX-76945,CHG US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S&I,997.0,887.33,79.54,997.0,482 CDM,PX-76946,PR US AMNIOCENTESIS IMG,398.0,354.21999999999997,14.74,518.0,966 CDM,PX-76948,PR ECHO GUIDE OVA ASPIRATION,419.5,373.35499999999996,25.81,604.0,964 CDM,PX-76965,PR US GUIDE INTERS RADIOTHER,948.0,843.72,54.9,948.0,482 CDM,PX-76978,PR US TRGT DYN MBUBB 1ST LES,1497.5,1332.775,59.69,2165.0,964 CDM,PX-76981,PR US PARENCHYMA,541.0,481.49,23.35,858.0,965 CDM,PX-76998,PR US GUIDE INTRAOPERATIVE,611.0,543.79,37.05,849.0,964 CDM,PX-76998001,PR US GUIDE INTRAOPERATIVE LTD,702.0,624.78,80.12,702.0,482 CDM,PX-76999007,PR US MAPPING OF MICRO-BUBBLES,649.5,578.0550000000001,45.0,849.0,966 CDM,PX-77001,PR FLUORO GUIDE PLC CVAD,314.0,279.46,13.77,534.0,964 CDM,PX-77002,PR FLUORO GUIDE NDL PLC,360.0,320.4,18.44,464.0,1523 CDM,PX-77003,PR FLUORO GUIDE SPINE INJ,387.0,344.42999999999995,19.18,612.0,1014 CDM,PX-77011,PR CT GUIDE STERO LOCALIZ,1900.0,1691.0,48.15,2608.0,1446 CDM,PX-77012,PR CT GUIDE NDL PLC,1237.5,1101.375,53.42,1613.0,964 CDM,PX-77013,PR CT GUIDE TISS ABLT,2030.0,1806.7,140.17,2766.0,1446 CDM,PX-77021,PR MRI GUIDE NDL PLC,1598.5,1422.665,56.54,2747.0,964 CDM,PX-77022,PR MRI GUIDE/MONITOR TISS ABLATE,4537.0,4037.9300000000003,152.76,7028.0,964 CDM,PX-77046,PR MRI BREAST WO CNTRST UNILAT,1962.5,1746.625,53.02,3003.0,964 CDM,PX-77047,PR MRI BREAST WO CNTRST BILAT,2052.5,1826.725,58.59,3089.0,964 CDM,PX-77048,PR MRI BREAST WOW CNTRST W/CAD UNILAT,2293.5,2041.215,77.32,3576.0,964 CDM,PX-77049,PR MRI BREAST WOW CNTRST W/CAD BILAT,2820.5,2510.245,84.54,4326.0,964 CDM,PX-77061,PR DIGITAL BREAST TOMO UNILAT,149.0,132.61,10.66,260.0,1446 CDM,PX-77062,PR DIGITAL BREAST TOMO BILAT,183.5,163.315,22.21,257.0,964 CDM,PX-77063,PR DIGITAL SCRN BRST TOMO BILAT,148.5,132.165,22.21,194.0,964 CDM,PX-77065,"PR DIAG MAMMO, UNILATERAL, W/CAD",449.0,399.61,30.07,637.0,1446 CDM,PX-77066,"PR DIAG MAMMO, BILATERAL, W/CAD",613.0,545.57,37.01,860.0,1446 CDM,PX-77067,"PR SCREEN MAMMO, BILATERAL, W/CAD",384.0,341.76,28.06,528.0,1446 CDM,PX-77071,PR APP STRESS JOINT RADIOGRAPHY,209.0,186.01,47.37,209.0,482 CDM,PX-77072,PR BONE AGE STUDY,113.0,100.57000000000001,7.22,168.0,964 CDM,PX-77073,PR BONE LENGTH STUDY,210.0,186.9,10.34,291.0,1446 CDM,PX-77074,PR XR BONE SURVEY LIMITED,223.0,198.47,16.45,341.0,964 CDM,PX-77075,PR XR BONE SURVEY COMPLETE,416.0,370.24,20.57,559.0,1446 CDM,PX-77076,PR XR BONE SURVEY INFANT,408.5,363.565,25.87,627.0,964 CDM,PX-77078,PR CT BN DENSITY 1>= SITES,347.5,309.275,9.15,624.0,964 CDM,PX-77080,PR DEXA BONE DENSITY AXIAL,328.0,291.92,7.49,533.0,964 CDM,PX-77081,PR DEXA BONE DENSITY APPENDICULAR,158.0,140.62,7.49,246.0,964 CDM,PX-77084,PR MRI BONE MARROW BLOOD SUPPLY,1573.5,1400.415,58.87,2561.0,964 CDM,PX-77085,PR DEXA BN DENSITY AXIAL W FX,316.0,281.24,11.43,504.0,964 CDM,PX-77086,PR FX ASSESS VIA DEXA,141.0,125.49,6.4,230.0,964 CDM,PX-77089,PR TBS DXA/OTHER IMG CALCULATION W/I&R FX RISK PROF ONLY,86.0,76.54,32.62,86.0,482 CDM,PX-77092,PR TBS INTERPRETATION & REPORT FX RISK BY OTHER QHP,82.0,72.98,8.05,82.0,482 CDM,PX-771000001,HC ADMIN FLU VACC,59.0,52.51,12.27,83.07,732 CDM,PX-771000002,HC ADMIN HEPATITIS B VACCINE,70.0,62.3,14.56,70.0,716 CDM,PX-771000003,HC ADMIN PNEUMOCCAL VACC,57.0,50.73,11.86,57.0,717 CDM,PX-771000005,HC ADMIN VACC ADD,42.0,37.38,8.74,42.0,720 CDM,PX-771000007,HC ADMIN VACC SNGL,85.0,75.65,16.51,95.53,741 CDM,PX-771000031,HC ADMIN FLU VACC ADD,54.0,48.06,11.23,62.13,729 CDM,PX-771000032,HC ADMIN PNEUMOCCAL VACC ADD,51.0,45.39,10.61,51.0,715 CDM,PX-771000033,HC ADMIN HEPATITIS B VACCINE ADD,66.0,58.74,13.73,66.0,714 CDM,PX-771000088,HC ADMIN COVID-19 VACCINE,65.0,57.85,13.52,65.0,733 CDM,PX-771000090,HC ADMIN RSV MONOC ANTIB W/O COUNSEL,56.0,49.84,11.65,56.0,734 CDM,PX-77261,PR TX PLANNING THER RAD SIMPLE,729.0,648.81,56.21,729.0,465 CDM,PX-77263,PR TX PLANNING THER RAD COMPLEX,1330.0,1183.7,134.13,1330.0,439 CDM,PX-77280,PR SET RAD SIM THER FIELD SMPL,938.0,834.8199999999999,30.0,1577.0,940 CDM,PX-77290,PR SET RAD SIM THER FIELD CMPLX,2293.5,2041.215,66.11,4000.0,874 CDM,PX-77293,PR RESP MOTION MANAGEMENT SIM,1551.5,1380.835,84.56,2557.0,871 CDM,PX-77295,PR 3D RAD THER ISODOSE FIELD PLAN,7618.0,6780.02,181.85,9553.0,1307 CDM,PX-77300,PR BASIC CALCULATE RADTN DOSE,527.0,469.03,26.41,812.0,941 CDM,PX-77301,PR IMRT RADIOTHERAPY PLAN,7879.0,7012.31,339.02,10293.0,1308 CDM,PX-77306,PR TELETHX ISODOSE PLN SMPL,1035.0,921.1500000000001,59.7,1392.0,934 CDM,PX-77307,PR TELETHX ISODOSE PLN CMPLX,1525.0,1357.25,115.31,2550.0,1396 CDM,PX-77317,PR BRACHYTX ISODOSE PLAN INT,1511.5,1345.2350000000001,77.68,2293.0,964 CDM,PX-77318,PR BRACHYTX ISODOSE PLAN COMPLEX,2134.0,1899.2600000000002,122.97,3092.0,964 CDM,PX-77321,PR SPECIAL TELETX PORT PLAN,1180.5,1050.645,40.25,1832.0,934 CDM,PX-77331,PR SPECIAL DOSIMETRY,542.5,482.825,36.95,804.0,867 CDM,PX-77332,PR RAD TX DEV DESIGN SIMPLE,424.0,377.36,19.17,659.0,935 CDM,PX-77333,PR RAD TX DEV DESIGN INTERMEDIATE,457.5,407.17499999999995,31.64,719.0,935 CDM,PX-77334,PR RAD TX DEV DESIGN COMPLEX,997.0,887.3299999999999,48.6,1531.0,874 CDM,PX-77336,PR CONSULT RAD PHYSICS/ WEEK,665.0,591.85,76.01,665.0,472 CDM,PX-77338,PR DESIGN MLC DEV FOR IMRT,1770.0,1575.3,182.12,3643.0,1308 CDM,PX-77370,PR CONSULT RAD PHYSICS SPECIAL,838.0,745.82,123.77,838.0,468 CDM,PX-77372,PR RADTN STEREOTACTIC CRAN LINEAR,13311.0,11846.79,779.96,13311.0,436 CDM,PX-77373,PR STEREOTACTIC BODY RADTN DEL,12078.0,10749.42,816.74,12078.0,471 CDM,PX-77387,PR GUIDANCE FOR LOC RAD TX,534.5,475.705,29.43,870.0,934 CDM,PX-77402,PR RADIATION TREATMENT DELIVERY 1 MEV >= SIMPLE,1066.0,948.74,68.59,1066.0,467 CDM,PX-77407,PR RADTN TX DEL >=1 MEV INT 3D,1520.0,1352.8,259.06,1520.0,437 CDM,PX-77407001,PR RADTN RX DEL >=1 MEV INT IMRT,6003.0,5342.67,259.06,6003.0,471 CDM,PX-77407002,PR RADTN RX DEL >=1 MEV INT IMRT HYPO,7504.0,6678.56,259.06,7504.0,469 CDM,PX-77407003,PR RADTN TX DEL >=1 MEV INT 3D HYPO,1900.0,1691.0,259.06,1900.0,469 CDM,PX-77412,PR RADTN TX DEL >=1 MEV COMPLEX,1095.0,974.55,371.04,1095.0,483 CDM,PX-77412001,PR RADTN TX DEL >=1 MEV COMPLEX 2D,1772.0,1577.08,371.04,1772.0,466 CDM,PX-77412002,PR RADTN TX DEL >=1 MEV COMPLEX 3D,1772.0,1577.08,371.04,1772.0,435 CDM,PX-77412003,PR RADTN TX DEL >=1 MEV COMPLEX IMRT,6003.0,5342.67,371.04,6003.0,466 CDM,PX-77412004,PR RADTN TX DEL >=1 MEV COMPLEX IMRT HYPO,7504.0,6678.56,371.04,7504.0,466 CDM,PX-77412005,PR RADTN TX DEL >=1 MEV COMPLEX 3D HYPO,2215.0,1971.35,371.04,2215.0,466 CDM,PX-77417,PR THER RADIOLOGY PORT FILMS,153.0,136.17,134.64,153.0,464 CDM,PX-77425,PR INTRAOP RADTN ELECTRON SNGL TX,14086.0,12536.54,12395.68,14086.0,477 CDM,PX-77427,PR RADTN THER MGMT 5 TREATMENTS,1198.0,1066.22,156.21,1198.0,470 CDM,PX-77431,PR RADTN THER MGMT 1/2 FRACTONS,628.0,558.92,85.28,628.0,435 CDM,PX-77432,PR RADTN TX MGMT STERETCTC CRNL LSN,3558.0,3166.62,337.89,3558.0,483 CDM,PX-77435,PR STEREOTACTIC BODY RADTN MGMT,4330.0,3853.7,510.95,4330.0,486 CDM,PX-77436,PR SURF RADJ THER TX PLANNING,938.0,834.8199999999999,33.85,1577.0,964 CDM,PX-77469,PR RAD TX INTRAOPERATIVE MGMT,2565.0,2282.85,210.58,2565.0,482 CDM,PX-77470,PR SPECIAL TX PROC,1801.5,1603.335,86.02,2437.0,964 CDM,PX-77770,PR HDR RDNCL/ICAV BRACHTX 1 CHNL,2550.5,2269.945,82.64,4481.0,964 CDM,PX-77771,PR HDR RDNCL/ICAV BRACHTX 2-12CHNL,3159.5,2811.955,161.31,4946.0,964 CDM,PX-77772,PR HDR RDNCL/ICAV BRACHTX > 12CHNL,4562.0,4060.18,227.3,7261.0,964 CDM,PX-77778,PR INTERS RADTN APP COMPLEX,3980.5,3542.645,371.83,5877.0,964 CDM,PX-780000000,HC TELE ORIG SITE FEE,131.0,116.59,20.24,131.0,717 CDM,PX-78012,PR THYROID UPTAKE SNGL/MULT,292.5,260.325,6.94,530.0,964 CDM,PX-78013,PR THYROID IMAGING,614.5,546.905,13.34,1120.0,964 CDM,PX-78014,PR THYROID IMG UPTAKE SNGL/MULT,696.0,619.44,18.08,1260.0,964 CDM,PX-78015,PR THYROID CARCIN/MET IMG LTD,663.5,590.515,24.77,1157.0,964 CDM,PX-78018,PR THYROID CARCIN/MET IMG WB,879.0,782.3100000000001,30.51,1551.0,964 CDM,PX-78020,PR THYROID CARCIN/MET UPTAKE,356.5,317.28499999999997,21.01,539.0,964 CDM,PX-78070,PR PARATHYROID PLANAR IMAGING,620.5,552.245,29.16,1092.0,964 CDM,PX-78071,PR PARATHYROID PLANAR IMG W SPECT,1063.0,946.07,43.31,1817.0,964 CDM,PX-78072,PR PARATHYRD PLANAR IMG W SPECT/CT,1972.5,1755.5249999999999,56.83,3341.0,964 CDM,PX-78102,PR BONE MARROW IMAGING LTD,842.0,749.38,19.73,992.0,1446 CDM,PX-78104,PR BONE MARROW IMAGING WB,949.0,844.61,28.59,1642.0,964 CDM,PX-78122,PR WHOLE BLOOD VOLUME,417.0,371.13,16.64,695.0,964 CDM,PX-78185,PR SPLEEN IMG ONLY WO/W VASC FLOW,588.5,523.765,12.67,1068.0,964 CDM,PX-78195,PR LYMPH NODE IMAGING,1409.5,1254.455,42.75,2415.0,964 CDM,PX-78201,PR LIVER IMAGING STATIC ONLY,559.0,497.51,15.81,1007.0,964 CDM,PX-78215,PR LIVER & SPLEEN IMAGING STATIC,546.0,485.94,18.09,973.0,964 CDM,PX-78226,PR HEPATOBILIARY SYS IMAGING,1430.0,1272.7,26.96,1614.0,1446 CDM,PX-78227,PR HEPATOBILIARY SYS IMG W DRUG,1029.0,915.81,32.8,1865.0,964 CDM,PX-78231,PR SALIVARY GLAND W SERIAL IMAGES,625.0,556.25,16.51,1046.0,964 CDM,PX-78258,PR ESOPHAGEAL MOTILITY STUDY,781.5,695.5350000000001,26.96,1344.0,964 CDM,PX-78261,PR GASTRIC MUCOSA IMAGING,821.0,730.6899999999999,21.71,1433.0,964 CDM,PX-78262,PR NM GASTRIC REFLUX STUDY,656.0,583.84,25.04,1151.0,964 CDM,PX-78264,PR GASTRIC EMPTYING,758.5,675.065,28.6,1355.0,964 CDM,PX-78265,PR GASTRIC EMPTYING W SM BWL,1513.5,1347.0149999999999,35.82,2694.0,964 CDM,PX-78266,PR GASTRIC EMPTY W SM BWL & COLN,1785.5,1589.095,38.2,3196.0,964 CDM,PX-78278,PR ACUTE GI BLEED IMAGING,1051.5,935.835,36.1,1842.0,964 CDM,PX-78290,PR MECKEL DIVERTICULUM EXAM,574.5,511.305,24.77,1042.0,964 CDM,PX-78291,PR PERITONEAL VENOUS SHUNT TEST,724.5,644.805,32.53,1240.0,964 CDM,PX-78300,PR BONE/JOINT IMAGING LTD,512.5,456.125,22.48,900.0,964 CDM,PX-78305,PR BONE/JOINT IMAGING MULT AREAS,675.0,600.75,30.33,1172.0,964 CDM,PX-78306,PR BONE/JOINT IMAGING WB,725.0,645.25,31.07,1266.0,964 CDM,PX-78315,PR BONE/JOINT IMAGING 3 PHASE,814.5,724.905,36.92,1420.0,964 CDM,PX-78350,PR BONE DENSITY STUDY,205.5,182.89499999999998,10.55,293.0,964 CDM,PX-78428,PR CARDIAC SHUNT DECTECTION,582.5,518.425,28.25,968.0,964 CDM,PX-78429,PR MYOCARDIAL PET CT METABOL SNGL,2503.5,2228.1150000000002,62.59,4728.0,959 CDM,PX-78430,PR MYOCARDIAL PET CT PERFUSION SNGL,1519.5,1352.355,59.77,2876.0,964 CDM,PX-78431,PR MYOCARDIAL PET CT PERFUSION MULT,4130.0,3675.7,69.98,7864.0,964 CDM,PX-78432,PR MYOCARDIAL PET METABOL/PERFUSION,3833.0,3411.37,76.93,7330.0,959 CDM,PX-78433,PR MYOCARDIAL PET CT METABOL/PERFUSION,4463.0,3972.0699999999997,81.0,8507.0,964 CDM,PX-78434,PR AQMBF PET REST & STRESS,381.0,339.09000000000003,23.24,633.0,964 CDM,PX-78451,PR MYOCARDIAL PERF SPECT SNGL,1110.0,987.9,50.94,1848.0,964 CDM,PX-78452,PR MYOCARDIAL PERF SPECT MULT,1662.5,1479.625,60.09,2837.0,964 CDM,PX-78453,PR MYOCARDIAL PERF PLANAR SNGL,578.5,514.865,36.37,990.0,964 CDM,PX-78454,PR MYOCARDIAL PERF PLANAR MULT,815.0,725.35,48.89,1410.0,964 CDM,PX-78459,PR MYOCARDIAL PET METABOL EVAL,4634.0,4124.26,57.01,4934.0,1446 CDM,PX-78472,PR CARD BLOOD POOL SNGL,911.5,811.235,36.03,1504.0,964 CDM,PX-78473,PR CARD BLOOD POOL MULTI,1484.5,1321.205,54.61,2371.0,964 CDM,PX-78491,PR MYOCARDIAL PET PERFUSION SNGL,2796.0,2488.44,57.05,2953.0,1446 CDM,PX-78492,PR MYOCARDIAL PET PERFUSION MULT,3483.0,3099.87,66.68,3710.0,1446 CDM,PX-78494,PR CARD BLOOD POOL SPECT,902.5,803.225,43.79,1437.0,964 CDM,PX-78579,PR LUNG VENTILATION IMAGING,622.0,553.5799999999999,17.81,1102.0,964 CDM,PX-78580,PR LUNG PERFUSION IMAGING,768.5,683.965,26.96,1330.0,964 CDM,PX-78582,PR LUNG VENT/PERF IMAGING,1780.0,1584.2,38.65,2121.0,1446 CDM,PX-78597,PR QUANT LUNG PERFUSION DIFF,784.0,697.76,26.59,1330.0,964 CDM,PX-78598,PR QUANT LUNG VENT/PERFUSION DIFF,1981.0,1763.09,30.23,2297.0,1446 CDM,PX-78606,PR BRAIN IMG < 4 VWS W VASC FLOW,931.0,828.5899999999999,23.03,1697.0,964 CDM,PX-78608,PR PET BRAIN METABOLIC EVAL,6170.0,5491.3,53.54,6439.0,1446 CDM,PX-78609,PR PET BRAIN PERFUSION EVAL,4468.0,3976.52,71.16,6439.0,964 CDM,PX-78630,PR CSF FLOW CISTERNOGRAPHY,1143.0,1017.27,24.48,2077.0,964 CDM,PX-78635,PR CSF FLOW VENTRICULOGRAPHY,962.0,856.1800000000001,22.49,1762.0,964 CDM,PX-78645,PR CSF FLOW SHUNT EVAL,1117.5,994.575,20.56,2057.0,964 CDM,PX-78650,PR CSF LEAKAGE DETECTION,991.0,881.99,19.25,1807.0,964 CDM,PX-78660,PR RADIOPHARM DACRYOSCINTIGRAPHY,585.5,521.095,16.78,1012.0,964 CDM,PX-78700,PR KIDNEY IMG MORPHLOGY,423.0,376.47,16.08,750.0,964 CDM,PX-78707,PR KIDNEY VAS FLOW WO DRUG SNGL,741.0,659.49,34.72,1235.0,964 CDM,PX-78708,PR KIDNEY VAS FLOW W DRUG SNGL,951.0,846.39,43.31,1454.0,964 CDM,PX-78740,PR VOIDING CYSTOGRAM URETERAL REFLUX STUDY,764.0,679.96,21.88,1359.0,964 CDM,PX-78800,PR TUMOR LOC LIMITED,572.5,509.525,23.92,1016.0,964 CDM,PX-78800001,PR MOLECULAR BREAST IMAGING,290.5,258.545,23.92,508.0,964 CDM,PX-78801,PR TUMOR LOC MULTIPLE,1337.5,1190.375,26.41,2362.0,964 CDM,PX-78802,PR TUMOR LOC WB SNGL DAY,1720.0,1530.8,28.59,1974.0,1446 CDM,PX-78803,PR TUMOR LOC SPECT,2915.0,2594.35,39.39,3396.0,1446 CDM,PX-78804,PR TUMOR LOC WB MIN 2 DAYS,2105.0,1873.4499999999998,36.09,3905.0,964 CDM,PX-78811,PR PET LIMITED,3286.5,2924.985,55.19,6273.0,964 CDM,PX-78812,PR PET TRUNK,3716.0,3307.24,69.35,7055.0,964 CDM,PX-78813,PR PET WHOLE BODY,3337.0,2969.93,70.98,6330.0,964 CDM,PX-78814,PR PET/CT LIMITED,4259.0,3790.5099999999998,78.83,8035.0,964 CDM,PX-78815,PR PET/CT TRUNK,7617.0,6779.13,87.71,8162.0,1446 CDM,PX-78816,PR PET/CT WHOLE BODY,4483.0,3989.87,89.07,8400.0,964 CDM,PX-78830,PR TUMOR LOC SPECT W CT SINGLE AREA 1 DAY,1974.5,1757.305,52.35,3429.0,964 CDM,PX-78831,PR TUMOR LOC SPECT 2+ AREA 1 DAY OR 1 AREA 2+ DAY,2795.0,2487.55,64.87,4958.0,964 CDM,PX-78832,PR TUMOR LOC SPECT W CT 2+ AREA 1 DAY OR 1 AREA 2+ DAY,3598.5,3202.665,75.37,6452.0,964 CDM,PX-78835,PR QUANT SINGLE AREA,442.5,393.825,17.18,719.0,964 CDM,PX-79005,PR NM RADIOPHARM THRPY ORAL ADMIN,880.5,783.645,65.64,1094.0,964 CDM,PX-79101,PR NM RADIOPHARM THRPY IV ADMIN,912.5,812.125,72.53,1123.0,964 CDM,PX-79200,PR RADIOPHARM THRPY INTRACAV,909.0,809.01,62.93,1141.0,964 CDM,PX-79403,PR NM RADRX THRPY MONOCLONL AB IV,1141.0,1015.49,70.87,1506.0,964 CDM,PX-79445,PR RADIOPHARM THPY INTRA ARTERIAL,1354.5,1205.505,84.14,1641.0,964 CDM,PX-80047,PR BASIC MET PANEL IONIZED CA,108.0,96.12,13.73,108.0,481 CDM,PX-80048,PR BASIC METABOLIC PANEL TOTAL CA,99.0,88.11,8.46,99.0,487 CDM,PX-80050,PR GENERAL HEALTH PANEL,258.0,229.62,227.04,258.0,477 CDM,PX-80051,PR ELECTROLYTE PANEL,61.0,54.29,7.01,61.0,484 CDM,PX-80053,PR COMPREHENSIVE METABOLIC PANEL,114.0,101.46,10.56,114.0,486 CDM,PX-80061,PR LIPID PANEL,134.0,119.26,13.39,134.0,481 CDM,PX-80069,PR RENAL FUNCTION PANEL,103.0,91.67,8.68,103.0,484 CDM,PX-80074,PR ACUTE HEPATITIS PANEL,438.0,389.82,47.63,438.0,467 CDM,PX-80076,PR HEPATIC FUNCTION PANEL,93.0,82.77,8.17,93.0,482 CDM,PX-80081,PR OB PANEL INCL HIV,493.0,438.77,74.86,493.0,481 CDM,PX-801000000,HC HEMODIALYSIS TREATMENT IP,4329.0,3852.81,59.89,4329.0,737 CDM,PX-80143,PR DRUG ASSAY ACETAMINOPHEN,219.0,194.91,18.64,219.0,481 CDM,PX-80145,PR DRUG ASSAY ADALIMUMAB,334.0,297.26,38.57,334.0,467 CDM,PX-80150,PR AMIKACIN ASSAY,217.0,193.13,15.08,217.0,481 CDM,PX-80150002,PR AMIKACIN ASSAY 2,217.0,193.13,15.08,217.0,481 CDM,PX-80151,PR DRUG ASSAY AMIODARONE,184.0,163.76,18.64,184.0,467 CDM,PX-80156,PR CARBAMAZEPINE/TEGRETOL ASSAY,143.0,127.27,14.57,143.0,481 CDM,PX-80157,PR CARBAMAZEPINE FREE ASSAY,129.0,114.81,13.25,129.0,481 CDM,PX-80158,PR CYCLOSPORINE ASSAY,212.0,188.68,18.05,212.0,467 CDM,PX-80159,PR CLOZAPINE ASSAY,142.0,126.38,20.15,142.0,467 CDM,PX-80161,PR DRUG ASSAY CARBAMAZEPINE 10-11,171.0,152.19,18.64,171.0,467 CDM,PX-80162,PR DIGOXIN TOTAL ASSAY,125.0,111.25,13.28,125.0,481 CDM,PX-80163,PR DIGOXIN FREE ASSAY,107.0,95.23,13.28,107.0,481 CDM,PX-80164,PR VALPROIC ACID ASSAY,119.0,105.91,13.54,119.0,481 CDM,PX-80165,PR VALPROIC ACID FREE ASSAY,138.0,122.82,13.54,138.0,481 CDM,PX-80167,PR DRUG ASSAY FELBAMATE,164.0,145.96,18.64,164.0,467 CDM,PX-80168,PR ETHOSUXIMIDE ASSAY,208.0,185.12,16.34,208.0,467 CDM,PX-80169,PR EVEROLIMUS ASSAY,280.0,249.2,13.73,280.0,467 CDM,PX-80170,PR GENTAMICIN ASSAY,120.0,106.8,16.38,120.0,481 CDM,PX-80170002,PR GENTAMICIN ASSAY 2,120.0,106.8,16.38,120.0,481 CDM,PX-80171,PR GABAPENTIN ASSAY,213.0,189.57,21.67,213.0,467 CDM,PX-80173,PR HALOPERIDOL ASSAY,114.0,101.46,15.78,114.0,481 CDM,PX-80175,PR LAMOTRIGINE ASSAY,128.0,113.92,13.25,128.0,467 CDM,PX-80177,PR LEVETIRACETAM/KEPPRA ASSAY,124.0,110.36,13.25,124.0,467 CDM,PX-80178,PR LITHIUM ASSAY,73.0,64.97,6.61,73.0,481 CDM,PX-80179,PR DRUG ASSAY SALICYLATE,122.0,108.58,18.64,122.0,481 CDM,PX-80180,PR MYCOPHENOLIC ACID ASSAY,226.0,201.14,18.05,226.0,467 CDM,PX-80181,PR DRUG ASSAY FLECAINIDE,164.0,145.96,18.64,164.0,467 CDM,PX-80183,PR OXCARBAZEPINE ASSAY,160.0,142.4,13.25,160.0,467 CDM,PX-80184,PR PHENOBARBITAL ASSAY,120.0,106.8,15.3,120.0,481 CDM,PX-80185,PR PHENYTOIN TOTAL ASSAY,120.0,106.8,13.25,120.0,481 CDM,PX-80186,PR PHENYTOIN FREE ASSAY,131.0,116.59,13.76,131.0,481 CDM,PX-80187,PR DRUG ASSAY POSACONAZOLE,196.0,174.44,27.11,196.0,467 CDM,PX-80188,PR PRIMIDONE ASSAY,165.0,146.85,16.59,165.0,481 CDM,PX-80189,PR DRUG ASSAY ITRACONAZOLE,292.0,259.88,27.11,292.0,467 CDM,PX-80193,PR DRUG ASSAY LEFLUNOMIDE,295.0,262.55,38.57,295.0,467 CDM,PX-80195,PR SIROLIMUS ASSAY,306.0,272.34,13.73,306.0,467 CDM,PX-80197,PR TACROLIMUS ASSAY,198.0,176.22,13.73,198.0,467 CDM,PX-80198,PR THEOPHYLLINE ASSAY,171.0,152.19,14.14,171.0,467 CDM,PX-80201001,PR TOPIRAMATE ASSAY 2,176.0,156.64,11.92,176.0,467 CDM,PX-80202,PR VANCOMYCIN ASSAY,165.0,146.85,13.54,165.0,481 CDM,PX-80203,PR ZONISAMIDE ASSAY,194.0,172.66,13.25,194.0,467 CDM,PX-80204,PR DRUG ASSAY METHOTREXATE,364.0,323.96,38.57,364.0,481 CDM,PX-80210,PR DRUG ASSAY RUFINAMIDE,217.0,193.13,27.11,217.0,467 CDM,PX-80220,PR DRUG ASSAY HYDROXYCHLOROQUINE,228.0,202.92,18.64,228.0,467 CDM,PX-80230,PR DRUG ASSAY INFLIXIMAB,298.0,265.22,38.57,298.0,467 CDM,PX-80235,PR DRUG ASSAY LACOSAMIDE,252.0,224.28,27.11,252.0,467 CDM,PX-80280,PR DRUG ASSAY VEDOLIZUMAB,348.0,309.72,38.57,348.0,467 CDM,PX-80285,PR DRUG ASSAY VORICONAZOLE,190.0,169.1,27.11,190.0,467 CDM,PX-80299001,PR DRUG THERAPEUTIC DRUG 2,196.0,174.44,18.64,196.0,467 CDM,PX-80299011,PR FLUOXETINE ASSAY,196.0,174.44,18.64,196.0,467 CDM,PX-80299020,PR MEXILETINE SERUM,196.0,174.44,18.64,196.0,467 CDM,PX-80299027,PR THERAPEUTIC DRUG NES,196.0,174.44,18.64,196.0,467 CDM,PX-80299028,PR SULFAMETHOXAZOLE ASSAY,196.0,174.44,18.64,196.0,467 CDM,PX-80299034,PR QUANTITATIVE ASSAY DRUG,196.0,174.44,18.64,196.0,467 CDM,PX-80299035,PR FLUTICASONE 17 BETA QUANT,196.0,174.44,18.64,196.0,481 CDM,PX-80299036,PR SYN GLUCOCORTICOID SCRN URINE,196.0,174.44,18.64,196.0,467 CDM,PX-80299037,PR SYN GLUCOCORTICOID SCRN,196.0,174.44,18.64,196.0,467 CDM,PX-80299044,PR ECULIZUMAB ASSAY,196.0,174.44,18.64,196.0,467 CDM,PX-80299046,PR APIXABAN ANTI-XA,196.0,174.44,18.64,196.0,481 CDM,PX-80299047,PR RIVAROXABAN ANTI-XA,196.0,174.44,18.64,196.0,481 CDM,PX-80299049,PR THERAPEUTIC DRUG NES 1,196.0,174.44,18.64,196.0,467 CDM,PX-80299050,PR DULOXETINE ASSAY,196.0,174.44,18.64,196.0,467 CDM,PX-80299052,PR THIOPURINE METABOLITES,196.0,174.44,18.64,196.0,467 CDM,PX-80299053,PR PERAMPANEL,196.0,174.44,18.64,196.0,467 CDM,PX-80299055,PR DRUG THERAPEUTIC DRUG 3,196.0,174.44,18.64,196.0,467 CDM,PX-80299056,PR DRUG THERAPEUTIC DRUG 4,196.0,174.44,18.64,196.0,467 CDM,PX-80299057,PR DRUG THERAPEUTIC DRUG 5,196.0,174.44,18.64,196.0,467 CDM,PX-80299058,PR DRUG THERAPEUTIC DRUG 6,196.0,174.44,18.64,196.0,467 CDM,PX-80299060,PR DRUG THERAPEUTIC DRUG 8,196.0,174.44,18.64,196.0,467 CDM,PX-80299062,PR DRUG THERAPEUTIC DRUG 10,196.0,174.44,18.64,196.0,467 CDM,PX-80299063,PR DRUG THERAPEUTIC DRUG 11,196.0,174.44,18.64,196.0,481 CDM,PX-80299064,PR DRUG THERAPEUTIC DRUG 12,196.0,174.44,18.64,196.0,467 CDM,PX-80299065,PR DRUG THERAPEUTIC DRUG 13,196.0,174.44,18.64,196.0,467 CDM,PX-80299068,PR DRUG THERAPEUTIC DRUG 16,196.0,174.44,18.64,196.0,481 CDM,PX-80299069,PR DRUG THERAPEUTIC DRUG 17,196.0,174.44,18.64,196.0,467 CDM,PX-803000000,HC CAPD TREATMENT IP,2627.0,2338.03,75.72,2627.0,736 CDM,PX-80306,PR DRUG TEST PRSMV INSTRMNT,184.0,163.76,17.14,184.0,481 CDM,PX-80307041,PR DRUG TEST PRSMV CHEM ANLYZR1,262.0,233.18,62.14,262.0,481 CDM,PX-80307042,PR DRUG TEST PRSMV CHEM ANLYZR2,262.0,233.18,62.14,262.0,467 CDM,PX-80307043,PR DRUG TEST PRSMV CHEM ANLYZR3,262.0,233.18,62.14,262.0,481 CDM,PX-80307045,PR DRUG TEST PRSMV CHEM ANLYZR5,262.0,233.18,62.14,262.0,467 CDM,PX-80307046,PR DRUG TEST PRSMV CHEM ANLYZR6,262.0,233.18,62.14,262.0,481 CDM,PX-80307047,PR DRUG TEST PRSMV CHEM ANLYZR7,262.0,233.18,62.14,262.0,467 CDM,PX-80307048,PR FENTANYL SCREEN,262.0,233.18,62.14,262.0,481 CDM,PX-80307052,PR DRUG TEST PRSMV CHEM ANLYZR13,262.0,233.18,62.14,262.0,481 CDM,PX-80307055,PR DRUG TEST PRSMV CHEM ANLYZR12,262.0,233.18,62.14,262.0,467 CDM,PX-80307056,PR DRUG SCRN ANLYZR10 RX MAINT,130.0,115.7,62.14,130.0,467 CDM,PX-80307058,PR DRUG TEST PRSMV CHEM ANLYZR15 (CSMEU),262.0,233.18,62.14,262.0,467 CDM,PX-80307059,PR DRUG TEST PRSMV CHEM ANLYZR16,262.0,233.18,62.14,262.0,467 CDM,PX-80400,PR ACTH STIMULATION PANEL ADRENAL,304.0,270.56,32.62,304.0,481 CDM,PX-804000000,HC CCPD TREATMENT IP,2627.0,2338.03,75.72,2627.0,736 CDM,PX-80402,"PR ACTH STIM PANEL, 21 HYDROXYLASE DEFIC",378.0,336.42,86.96,378.0,481 CDM,PX-80428,PR HGH STIMULATION PANEL,585.0,520.65,66.7,585.0,467 CDM,PX-80430,PR HGH SUPRESSION PANEL,577.0,513.53,129.33,577.0,467 CDM,PX-80503,PR PATH CONSULT LIMITED 5-20 MIN,229.0,203.81,21.42,229.0,484 CDM,PX-80504,PR PATH CONSULT MOD COMPLEX 21-40 MIN,368.0,327.52,41.19,368.0,483 CDM,PX-80505,PR PATH CONSULT HIGH COMPLEX 41-60 MIN,621.0,552.69,75.94,621.0,482 CDM,PX-81001,PR URINALYSIS AUTO W MICRO,38.0,33.82,3.17,38.0,481 CDM,PX-81001001,PR URINALYSIS AUTO W MICRO 2,38.0,33.82,3.17,38.0,481 CDM,PX-81002002,PR URINALYSIS NON AUTO SINGLE COMP,34.0,30.26,3.48,34.0,481 CDM,PX-81003,PR URINALYSIS AUTO WO MICRO,26.0,23.14,2.25,26.0,482 CDM,PX-81003001,PR URINALYSIS AUTO SINGLE COMP,26.0,23.14,2.25,26.0,482 CDM,PX-81003002,PR URINE AUTO SPECIFIC GRAVITY,27.0,24.03,2.25,27.0,482 CDM,PX-81003004,PR URINE DIP STICK,22.0,19.58,2.25,22.0,489 CDM,PX-81003006,PR URINE DIP STICK EXPRESS CARE,,,2.25,22.0,456 CDM,PX-81005001,PR URINE AUTO SPECIFIC GRAVITY,23.0,20.47,2.17,23.0,481 CDM,PX-81015,PR URINALYSIS MICRO ONLY,27.0,24.03,3.05,27.0,481 CDM,PX-81025,PR PREG TEST URINE VIS COMP,54.0,48.06,8.61,54.0,487 CDM,PX-81050,PR VOLUME MEASUREMENT,33.0,29.37,3.64,33.0,490 CDM,PX-811000002,HC KIDNEY ACQUISITION LRD/LURD,143325.0,127559.25,29811.6,143325.0,718 CDM,PX-811000005,HC LIVER ACQUISITION LIVING,167055.0,148678.95,34747.44,167055.0,726 CDM,PX-81120001,PR GENE IDH1 (NGAMT),317.0,282.13,193.25,317.0,481 CDM,PX-81120003,PR IDH1 GENE (IDHQ),226.0,201.14,193.25,226.0,481 CDM,PX-81121001,PR GENE IDH2 (NGAMT),314.0,279.46,276.32,314.0,481 CDM,PX-81121004,PR IDH2 GENE (IDHQ),344.0,306.16,295.79,344.0,481 CDM,PX-81161,PR DMD DUPLICATION/DELETION ANALYSIS,700.0,623.0,279.0,700.0,481 CDM,PX-81162008,PR BRCA1/2 FULL GENE,2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81162010,PR BRCA1/BRCA2 (XCP),240.0,213.6,211.2,240.0,481 CDM,PX-81162011,PR BRCA1/BRCA2 (COMCP),263.0,234.07,231.44,263.0,481 CDM,PX-81162013,PR BRCA1/BRCA2 GENE (BRTP),710.0,631.9,624.8,710.0,481 CDM,PX-81162014,PR BRCA1/BRCA2 GENE (T1GS),114.0,101.46,100.32,114.0,481 CDM,PX-81163001,PR BRCA1/2 MUTATION ANALYSIS (BRCAT),1600.0,1424.0,468.0,1600.0,481 CDM,PX-81170,PR ABL1 KD VARIANTS,465.0,413.85,300.0,465.0,481 CDM,PX-81174,PR GENE AR (FMTT),500.0,445.0,185.2,500.0,481 CDM,PX-81177,PR ATN1 GENE DETC ABNOR ALLELES,500.0,445.0,137.0,500.0,481 CDM,PX-81178001,PR ATAXIN 1 GENE (SCAP),140.0,124.6,123.2,140.0,481 CDM,PX-81178002,PR ATAXIN 1 GENE (SCARA),500.0,445.0,137.0,500.0,481 CDM,PX-81179001,PR ATAXIN 2 GENE (SCAP),140.0,124.6,123.2,140.0,481 CDM,PX-81179002,PR ATAXIN 2 GENE (SCARA),500.0,445.0,137.0,500.0,481 CDM,PX-81180001,PR ATAXIN 3 GENE (SCAP),140.0,124.6,123.2,140.0,481 CDM,PX-81180002,PR ATAXIN 3 GENE (SCARA),500.0,445.0,137.0,500.0,481 CDM,PX-81181001,PR ATAXIN 7 GENE (SCAP),140.0,124.6,123.2,140.0,481 CDM,PX-81181002,PR ATAXIN 7 GENE (SCARA),500.0,445.0,137.0,500.0,481 CDM,PX-81184001,PR CACNA1A GENE (SCAP),140.0,124.6,123.2,140.0,481 CDM,PX-81184002,PR CACNA1A GENE (SCARA),500.0,445.0,137.0,500.0,481 CDM,PX-81185002,PR CACNA1A FULL GENE (HMEP),363.0,323.07,319.44,363.0,481 CDM,PX-81188002,PR CSTB REPEAT EXPAND ANLYS (CSTB),700.0,623.0,137.0,700.0,481 CDM,PX-81194,PR NTRK TRANSLOC ANALYSIS,2000.0,1780.0,518.28,2000.0,481 CDM,PX-812000000,HC HEART ACQUISITION,214725.0,191105.25,44662.8,214725.0,726 CDM,PX-812000001,HC KIDNEY ACQUISITION CADV,165200.0,147028.0,34361.6,165200.0,718 CDM,PX-812000012,HC LIVER ACQUISITION CADV,201700.0,179513.0,41953.6,201700.0,726 CDM,PX-812000014,HC PANCREAS ACQUISITION,169050.0,150454.5,35162.4,169050.0,726 CDM,PX-812000015,HC LUNG ACQUISITION,203456.0,181075.84,42318.85,203456.0,726 CDM,PX-81201004,PR APC GENE (XCP),110.0,97.9,96.8,110.0,481 CDM,PX-81201005,PR APC GENE SEQ (COMCP),113.0,100.57,99.44,113.0,481 CDM,PX-81202,PR APC FAMILIAL ADNMATUS KNWN MUT,500.0,445.0,280.0,500.0,481 CDM,PX-81204,PR AR GENE CHARAC ALLELES,400.0,356.0,137.0,400.0,481 CDM,PX-81206,PR BCR/ABL1 MAJOR BKPT QUAL/QUANT,529.0,470.81,163.96,529.0,481 CDM,PX-81206001,PR BCR/ABL1 MAJOR BKPT QUAL/QUANT A1 (BADX-NCCI),195.0,173.55,163.96,195.0,481 CDM,PX-81206002,PR BCR/ABL1 MAJOR BKPT QUAL/QUANT A1 (BCRFX-NCCI),195.0,173.55,163.96,195.0,481 CDM,PX-81207,PR BCR/ABL1 MINOR BKPT QUAL/QUANT,491.0,436.99,144.84,491.0,481 CDM,PX-81207001,PR BCR/ABL1 MINOR BKPT QUAL/QUANT A1 (BADX-NCCI),171.0,152.19,144.84,171.0,481 CDM,PX-81207002,PR BCR/ABL1 MINOR BKPT QUAL/QUANT A1 (BCRFX-NCCI),171.0,152.19,144.84,171.0,481 CDM,PX-81208001,PR BCR/ABL1 OTHR BKPT QUAL/QUANT A1 (BADX-NCCI),254.0,226.06,214.62,254.0,481 CDM,PX-81208002,PR BCR/ABL1 OTHR BKPT QUAL/QUANT A1 (BCRFX-NCCI),254.0,226.06,214.62,254.0,481 CDM,PX-81210004,PR CFDNA BRAF V600 TEST,900.0,801.0,175.4,900.0,481 CDM,PX-81210006,PR BRAF MUTATION ANALYSIS V600E 1,900.0,801.0,175.4,900.0,481 CDM,PX-81210008,PR BRAF V600 SOMATIC MUT ANALYSIS TUMORE,900.0,801.0,175.4,900.0,481 CDM,PX-81215,PR GENE BRCA1 KNOWN VARIANT,500.0,445.0,375.25,500.0,481 CDM,PX-81217,PR GENE BRCA2 KNOWN VARIANT,500.0,445.0,375.25,500.0,481 CDM,PX-81219001,PR CALR MUTATION ANALYSIS,465.0,413.85,121.63,465.0,481 CDM,PX-81219002,PR CALR MUTATION ANALYSIS 1,439.0,390.71,121.63,439.0,481 CDM,PX-81220001,PR CTFR COMMON VARIANTS (CFMP),281.0,250.09,247.28,281.0,481 CDM,PX-81220002,PR CTFR COMMON VARIANTS (CFSMN),352.0,313.28,309.76,352.0,481 CDM,PX-81220003,PR CTFR COMMON VARIANTS (CSFP),282.0,250.98,248.16,282.0,481 CDM,PX-81221,PR CFTR GENE KNOWN MUTATION,500.0,445.0,97.22,500.0,481 CDM,PX-81222002,PR CFTR GENE DUP/DEL VARIANTS (HPPAN),598.0,532.22,435.07,598.0,481 CDM,PX-81222003,PR CFTR GENE DUP/DEL VARIANTS (CFTRZ),361.0,321.29,317.68,361.0,481 CDM,PX-81222004,PR CTFR DUP/DEL (CFMP),219.0,194.91,192.72,219.0,481 CDM,PX-81222005,PR CTFR DUP/DEL (CFSMN),275.0,244.75,242.0,275.0,481 CDM,PX-81222006,PR CTFR DUP/DEL (CSFP),220.0,195.8,193.6,220.0,481 CDM,PX-81223,PR CFTR GENE FULL SEQUENCE,639.0,568.71,499.0,639.0,481 CDM,PX-81223002,PR CFTR GENE FULL SEQUENCE (HPPAN),598.0,532.22,499.0,598.0,481 CDM,PX-81223004,PR CFTR GENE FULL ANALYSIS (CFTRN),1000.0,890.0,499.0,1000.0,481 CDM,PX-81223005,PR CFTR GENE (HPANP),800.0,712.0,499.0,800.0,481 CDM,PX-81223006,PR CFTR GENE FULL SEQUENCE (PANGP),570.0,507.3,499.0,570.0,481 CDM,PX-81223007,PR CFTR GENE FULL SEQUENCE (PHCGD),832.0,740.48,499.0,832.0,481 CDM,PX-81225,PR CYP2C19 GENE ANALYSIS,600.0,534.0,291.36,600.0,481 CDM,PX-81225005,PR CYP2C19 GENOTYPE (CYPR),600.0,534.0,291.36,600.0,481 CDM,PX-81227,PR CYP2C9 GENE COM VARIANTS,600.0,534.0,174.81,600.0,481 CDM,PX-81229001,PR MCR MICROARRAY POC TUMOR FFPE,1700.0,1513.0,1160.0,1700.0,481 CDM,PX-81229002,PR MCR MICROARRAY POC,1700.0,1513.0,1160.0,1700.0,481 CDM,PX-81229003,PR MICROARRAY BLOOD,1700.0,1513.0,1160.0,1700.0,481 CDM,PX-81229005,PR MICROARRAY PRENATAL,1700.0,1513.0,1160.0,1700.0,481 CDM,PX-81230,PR CYP3A4 GENOTYPE,600.0,534.0,174.81,600.0,481 CDM,PX-81231,PR CYP3A5 GENOTYPE,600.0,534.0,174.81,600.0,481 CDM,PX-81232,PR DPYD FULL GENE SEQUENCING,1000.0,890.0,174.81,1000.0,481 CDM,PX-81232001,PR DPYD GENOTYPE,600.0,534.0,174.81,600.0,481 CDM,PX-81235,PR EGFR GENE ANALYSIS COM VAR,1200.0,1068.0,324.58,1200.0,481 CDM,PX-81235001,PR CFDNA EGFR T790M,900.0,801.0,324.58,900.0,481 CDM,PX-81235003,PR EGFR GENE ANALYSIS COM VAR (EGFRT),1200.0,1068.0,324.58,1200.0,481 CDM,PX-81238004,"PR F9 GENE, FULL GENE (GNHMB)",1000.0,890.0,600.0,1000.0,481 CDM,PX-81238005,"PR F9 GENE, FULL GENE (GNBLF)",296.0,263.44,260.48,296.0,481 CDM,PX-81240,PR F2 GENE ANLYS 20210G A/B VAR,400.0,356.0,65.69,400.0,481 CDM,PX-81240005,PR F2 GENE ANLYS 20210G A/B VAR (PTMUT),400.0,356.0,65.69,400.0,481 CDM,PX-81241,PR F5 LEIDEN VAR,400.0,356.0,73.37,400.0,481 CDM,PX-81241003,PR F5 LEIDEN VAR (F5DNA),400.0,356.0,73.37,400.0,481 CDM,PX-81243,PR FMR1 FRAGL X SYNDRM ANLY,500.0,445.0,57.04,500.0,481 CDM,PX-81244,PR FMR1 FRAGL X SYNDRM ANLY FUP,416.0,370.24,44.89,416.0,481 CDM,PX-81245,PR FLTITD VARIANCE,323.0,287.47,165.51,323.0,481 CDM,PX-81245001,PR FLT3 GENE DUP VAR (NGAMT),190.0,169.1,165.51,190.0,481 CDM,PX-81246,PR FLT3 GENE,162.0,144.18,83.0,162.0,481 CDM,PX-81246001,PR FLT3 GENE DOMAIN VAR (NGAMT),271.0,241.19,83.0,271.0,481 CDM,PX-81248,PR GENE G6PD SEQ,500.0,445.0,375.25,500.0,481 CDM,PX-81249001,PR G6PD FULL GENE ANALYSIS,1033.0,919.37,600.0,1033.0,481 CDM,PX-81249005,"PR G6PD GENE, FULL SEQ (PHCGD)",1001.0,890.89,600.0,1001.0,481 CDM,PX-81253,PR GENE GJB2 SEQ,500.0,445.0,61.52,500.0,481 CDM,PX-81256,PR HFE HEMOCHROMATOSIS GEN ANALYS,400.0,356.0,65.36,400.0,481 CDM,PX-81257002,PR HBA1/HBA2 GENE (CSFP),43.0,38.27,37.84,43.0,481 CDM,PX-81258,PR GENE HBA1/HBA2 SEQ,500.0,445.0,375.25,500.0,481 CDM,PX-81259,PR HBA1/HBA2 ALPHA GLOBIN GENE SEQ,500.0,445.0,440.0,500.0,481 CDM,PX-81261,PR IGH GENE REARRANGE,280.0,249.2,197.99,280.0,482 CDM,PX-81261002,PR IGH GENE REARRANGE (IGHDX),1033.0,919.37,197.99,1033.0,482 CDM,PX-81261003,PR IGH GENE REARRANGE (IGMRD),1033.0,919.37,197.99,1033.0,482 CDM,PX-81263,PR IGH SOMATIC HYPERMUTATION,671.0,597.19,294.52,671.0,481 CDM,PX-81264,PR IGK REARRANGE ABN CLONAL POP,244.0,217.16,172.73,244.0,482 CDM,PX-81265,PR COMPARATIVE STR MARKERS,800.0,712.0,233.07,800.0,481 CDM,PX-81265001,PR COMPARATIVE STR MARKERS 2,855.0,760.95,233.07,855.0,481 CDM,PX-81266,PR STR MARKERS SPECIMEN ANAL ADD,300.0,267.0,264.0,300.0,481 CDM,PX-81267,PR CHIMERISM ANLYS NO CELL SELECT,542.0,482.38,207.46,542.0,481 CDM,PX-81268,PR CHIMERISM ANLYS W CELL SELECT,1146.0,1019.94,260.79,1146.0,481 CDM,PX-81269,PR ALPHA GLOBIN GENE SEQUENCE,700.0,623.0,202.4,700.0,481 CDM,PX-81269001,PR ALPHA GLOBIN CLUSTER LOCUS DEL/DUP (WAGDR),700.0,623.0,202.4,700.0,481 CDM,PX-81269002,PR ALPHA GLOBIN CLUSTER DEL/DUP (AGDD),700.0,623.0,202.4,700.0,481 CDM,PX-81270,PR JAK2 GENE ANALYSIS V617F,400.0,356.0,91.66,400.0,481 CDM,PX-81270001,PR JAK2 GENE ANALYSIS (MPNR),465.0,413.85,91.66,465.0,481 CDM,PX-81270002,PR JAK2 GENE ANALYSIS (PVJAK),345.0,307.05,91.66,345.0,481 CDM,PX-81271,PR HTT GENE DETC ABNOR ALLELES,400.0,356.0,137.0,400.0,481 CDM,PX-81273001,PR KIT ASP816VAL MUT ANALYSIS - 1,612.0,544.68,124.87,612.0,481 CDM,PX-81273004,PR D816V VARIANT ANALYSIS (KITQ),613.0,545.57,124.87,613.0,481 CDM,PX-81275002,"PR KRAS GENE VAR-EXON 2, PANEL",450.0,400.5,193.25,450.0,481 CDM,PX-81275005,"PR KRAS GENE ANALYSIS, EXON 2 VAR (KRASP)",490.0,436.1,193.25,490.0,481 CDM,PX-81275006,PR KRAS GENE ANALYSIS 2 (KRASW),450.0,400.5,193.25,450.0,481 CDM,PX-81276,"PR KRAS GENE ADDTL VAR, PANEL",450.0,400.5,193.25,450.0,481 CDM,PX-81276001,"PR KRAS GENE ANALYSIS, ADDTL VAR (KRASP)",410.0,364.9,193.25,410.0,481 CDM,PX-81276002,"PR KRAS GENE ANALYSIS, ADDTL VAR (KRASW)",450.0,400.5,193.25,450.0,481 CDM,PX-81277,PR CYTOGEN NEOPLASIA MICROARRAY 1,2200.0,1958.0,1160.0,2200.0,481 CDM,PX-81277001,PR CYTOGEN NEOPLASIA MICROARRAY 2,2200.0,1958.0,1160.0,2200.0,481 CDM,PX-81277002,PR CYTOGEN NEOPLASIA MICROARRAY 3,2200.0,1958.0,1160.0,2200.0,481 CDM,PX-81283,PR IL28B POLYMORPHISM GENOTYPE,600.0,534.0,73.37,600.0,481 CDM,PX-81284001,PR FXN REPEAT EXPANSION ANALYSIS (AFXN),700.0,623.0,137.0,700.0,481 CDM,PX-81287,PR MGMT METHYLATION ANALYSIS,500.0,445.0,124.64,500.0,481 CDM,PX-81288,PR MLH1 HYPERMETHYLATION ANALYSIS,500.0,445.0,192.32,500.0,482 CDM,PX-81288002,PR MLH1 HYPERMETHYLATION ANALYSIS 3,500.0,445.0,192.32,500.0,482 CDM,PX-81289,PR GENE FXN (FMTT),500.0,445.0,185.2,500.0,481 CDM,PX-81292008,PR MLH1 GENE (XCP),55.0,48.95,48.4,55.0,481 CDM,PX-81292009,PR MLH1 GENE SEQ (COMCP),99.0,88.11,87.12,99.0,481 CDM,PX-81292012,PR MLH1 GENE SEQ (T1GS),42.0,37.38,36.96,42.0,481 CDM,PX-81293,PR MLH1 GENE KNOWN VARIANTS,500.0,445.0,331.0,500.0,481 CDM,PX-81295007,PR MSH2 GENE (XCP),52.0,46.28,45.76,52.0,481 CDM,PX-81295008,PR MSH2 GENE SEQ (COMCP),55.0,48.95,48.4,55.0,481 CDM,PX-81295011,PR MSH2 GENE SEQ (T1GS),24.0,21.36,21.12,24.0,481 CDM,PX-81296,PR MSH2 KNOWN MUTATION,500.0,445.0,337.73,500.0,481 CDM,PX-81298007,PR MSH6 GENE (XCP),170.0,151.3,149.6,170.0,481 CDM,PX-81298008,PR MSH6 GENE SEQ (COMCP),252.0,224.28,221.76,252.0,481 CDM,PX-81298011,PR MSH6 GENE SEQ (T1GS),40.0,35.6,35.2,40.0,481 CDM,PX-81299,PR MSH6 GENE KNOWN VARIANTS,500.0,445.0,308.0,500.0,481 CDM,PX-81301,PR MICROSATELLITE INSTABILITY,1200.0,1068.0,348.56,1200.0,481 CDM,PX-81302006,PR MECP2 GENE FULL ANLYS (MCP2Z),1000.0,890.0,527.87,1000.0,481 CDM,PX-81305,PR MYD88 GENE PRO VRNT,413.0,367.57,175.4,413.0,481 CDM,PX-81305001,PR MYD88 GENE PRO VRNT (LPLFX),386.0,343.54,175.4,386.0,481 CDM,PX-81307003,PR PALB2 GENE (XCP),180.0,160.2,158.4,180.0,481 CDM,PX-81307004,PR PALB2 GENE SEQ (COMCP),268.0,238.52,235.84,268.0,481 CDM,PX-81307006,PR PALB2 GENE (BRTP),263.0,234.07,231.44,263.0,481 CDM,PX-81308,PR GENE PALB2 (FMTT),500.0,445.0,301.35,500.0,481 CDM,PX-81309001,PR PIK3CA GENE ANALYSIS (PIK3T),1200.0,1068.0,274.83,1200.0,481 CDM,PX-81309002,PR PIK3CA GENE ANALYSIS (PIK3B),1200.0,1068.0,274.83,1200.0,481 CDM,PX-81310002,PR NPM1 MUTATION ANALYSIS (NPM1Q),399.0,355.11,246.52,399.0,481 CDM,PX-81315,PR PML/RARALPHA BKPT QUAL/QUANT,469.0,417.41,207.31,469.0,481 CDM,PX-81317005,PR PMS2 GENE FULL SEQ PNL (T1GS),42.0,37.38,36.96,42.0,481 CDM,PX-81317006,PR PMS2 GENE SEQ (COMCP),101.0,89.89,88.88,101.0,481 CDM,PX-81317010,PR PMS2 GENE SEQ (XCP),99.0,88.11,87.12,99.0,481 CDM,PX-81318,PR PMS2 KNOWN FAMILIAL VARIANTS,500.0,445.0,331.0,500.0,481 CDM,PX-81319008,PR PMS2 GENE DUP/DEL (XCP),30.0,26.7,26.4,30.0,481 CDM,PX-81319009,PR PMS2 (DUP/DEL) (COMCP),30.0,26.7,26.4,30.0,481 CDM,PX-81321006,PR PTEN FULL GENE,1000.0,890.0,600.0,1000.0,481 CDM,PX-81321007,PR PTEN GENE (RENCP),284.0,252.76,249.92,284.0,481 CDM,PX-81321008,PR PTEN GENE (XCP),87.0,77.43,76.56,87.0,481 CDM,PX-81321009,PR PTEN GENE SEQ (COMCP),87.0,77.43,76.56,87.0,481 CDM,PX-81321011,PR PTEN GENE (BRTP),233.0,207.37,205.04,233.0,481 CDM,PX-81322,PR PTEN GENE KNOWN MUT,500.0,445.0,46.6,500.0,481 CDM,PX-81324,PR PMP22 GENE DUP/DELETE,500.0,445.0,440.0,500.0,481 CDM,PX-81326001,PR GENE PMP22 SEQ,500.0,445.0,46.6,500.0,481 CDM,PX-81328,PR SLCO1B1 GENOTYPE STATIN,600.0,534.0,174.81,600.0,481 CDM,PX-81329,PR SMN1 GENE DOS/DELETION (SMNCS),400.0,356.0,137.0,400.0,481 CDM,PX-81329001,PR SMN1 GENE DOS/DELETION (SMNDX),400.0,356.0,137.0,400.0,481 CDM,PX-81329003,PR SMN1/SMN2 DOSAGE/DELETION (CFSMN),173.0,153.97,137.0,173.0,481 CDM,PX-81329004,PR SMN1/SMN2 DOSAGE/DELETION (CSFP),139.0,123.71,122.32,139.0,481 CDM,PX-81331,PR SNRPN/UBE3A METHYLATION ANALYSIS,500.0,445.0,51.07,500.0,481 CDM,PX-81336,PR SMN1 GENE FULL GENE SEQ,1000.0,890.0,301.35,1000.0,481 CDM,PX-81339,PR MPL GENE SEQ ALYS EXON 10,516.0,459.24,185.2,516.0,481 CDM,PX-81339001,"PR MPL GENE SEQ ALYS EXON 10, 2",465.0,413.85,185.2,465.0,481 CDM,PX-81340,PR TRB GENE REARRANGE AMPLIFY,377.0,335.53,208.92,377.0,481 CDM,PX-81340001,PR TRB GENE REARRANGE AMPLIFY (TCRB),354.0,315.06,208.92,354.0,481 CDM,PX-81342,PR TRG GENE REARRANGEMENT ANALYS,308.0,274.12,201.5,308.0,481 CDM,PX-81345004,PR TERT PROMOTER ANALYSIS DDPCR (TERTD),900.0,801.0,185.2,900.0,481 CDM,PX-81350,PR UGT1A1 GENE ANALYSIS 3,600.0,534.0,234.0,600.0,481 CDM,PX-81350009,PR UGT1A1 FULL GENE SEQ (UGTFZ DEX-Z),1000.0,890.0,234.0,1000.0,481 CDM,PX-81351005,PR TP53 GENE (RENCP),302.0,268.78,265.76,302.0,481 CDM,PX-81351006,PR TP53 GENE (WILMP),1383.0,1230.87,641.85,1383.0,481 CDM,PX-81351007,PR TP53 GENE (XCP),95.0,84.55,83.6,95.0,481 CDM,PX-81351008,PR TP53 GENE SEQ (COMCP),93.0,82.77,81.84,93.0,481 CDM,PX-81351011,PR TP53 MUTATION ANALYSIS (TP53),1200.0,1068.0,641.85,1200.0,481 CDM,PX-81351012,PR TP53 GENE (BRTP),250.0,222.5,220.0,250.0,481 CDM,PX-81352,PR TP53 GENE TARGET SEQ,511.0,454.79,329.51,511.0,481 CDM,PX-81352001,PR TP53 GENE TARGET SEQ (NGAMT),664.0,590.96,329.51,664.0,481 CDM,PX-81361,PR HBB GENE (CSFP),73.0,64.97,64.24,73.0,481 CDM,PX-81362,PR GENE HBB SEQ,500.0,445.0,375.25,500.0,481 CDM,PX-81363001,PR BETA GLOBIN CLUSTER LOCUS DUP/DELETE,700.0,623.0,202.4,700.0,481 CDM,PX-81363002,PR BETA GLOBIN CLUSTER LOCUS DEL/DUP,700.0,623.0,202.4,700.0,481 CDM,PX-81363003,PR HBB GENE DEL/DUP (CSFP),73.0,64.97,64.24,73.0,481 CDM,PX-81364,PR HBB - BETA-GLOB GEN SEQ,500.0,445.0,324.58,500.0,481 CDM,PX-81364006,PR HBB BETA-GLOB GEN SEQ (WBSQR),500.0,445.0,324.58,500.0,481 CDM,PX-81370002,PR HLA I & II TYPING LR (SSOGP),1719.0,1529.91,402.12,1719.0,481 CDM,PX-81371,PR HLA CONFIRM TYPING LR,1261.0,1122.29,404.52,1261.0,481 CDM,PX-81372,PR HLA CL I ABC TYPING LR,1180.0,1050.2,403.59,1180.0,481 CDM,PX-81372001,PR HLA CLASS I TYPING LOW RESOL (HLABD),1180.0,1050.2,403.59,1180.0,481 CDM,PX-81373001,PR HLA-C CONFIRM TYPING LR (CFC),518.0,461.02,127.43,518.0,481 CDM,PX-81375001,PR HLA II LOW RESOL DRB1/3/4/5 & DQB1 (HLABD),811.0,721.79,220.74,811.0,481 CDM,PX-81376001,PR NARCOLEPSY ASSOCIATED HLA AG,538.0,478.82,122.22,538.0,481 CDM,PX-81376002,PR HLA DP CONFIRM TYPING LR,538.0,478.82,122.22,538.0,481 CDM,PX-81376003,PR HLA DP TYPING LR,538.0,478.82,122.22,538.0,481 CDM,PX-81376004,PR HLA DQ CONFIRM TYPING LR,538.0,478.82,122.22,538.0,481 CDM,PX-81376011,PR HLA II TYPING 1 LOCUS LR (SSOGP),538.0,478.82,122.22,538.0,481 CDM,PX-81376013,PR HLA-DPB1 TYPING LOW RES,538.0,478.82,122.22,538.0,481 CDM,PX-81376014,PR CELIAC ASSOCIATED HLA-DQ TYPING,538.0,478.82,122.22,538.0,481 CDM,PX-81378,PR HLA I & II TYPING HR,2482.0,2208.98,345.57,2482.0,482 CDM,PX-81379,PR HLA CL I ABC TYPING HR,1774.0,1578.86,335.38,1774.0,481 CDM,PX-81381001,PR HLAB 5701,600.0,534.0,169.9,600.0,481 CDM,PX-81381003,PR HLAB 5801,600.0,534.0,169.9,600.0,481 CDM,PX-81381005,PR GENOTYPE CARBAMAZEPINE,300.0,267.0,169.9,300.0,481 CDM,PX-81382,PR HLA CL II TYPING HR,833.0,741.37,123.68,833.0,481 CDM,PX-81401002,PR APOB APOLIPOPROTEIN E GENOTYPE,400.0,356.0,137.0,400.0,481 CDM,PX-81401008,PR BWS/RSS MOLECULAR ANALYSIS,386.0,343.54,137.0,386.0,481 CDM,PX-81401032,PR KCNQ1OT1 METHYLATION ANALYSIS,314.0,279.46,137.0,314.0,481 CDM,PX-81401041,PR GALC GENE,700.0,623.0,137.0,700.0,481 CDM,PX-81401047,PR AMINOGLYCOSIDE-INDUCED HEARING LOSS (AIHL),400.0,356.0,137.0,400.0,481 CDM,PX-81401048,PR GALACTOSEMIA MUTATION PANEL (GALMP),800.0,712.0,137.0,800.0,481 CDM,PX-81401050,PR INV(16) CBFB-MYH11 QUANT,516.0,459.24,137.0,516.0,481 CDM,PX-81401051,"PR RUNX1/RUNX1T1, QUANT",439.0,390.71,137.0,439.0,481 CDM,PX-81401052,PR MOPATH PROC LEVEL 2 (NEPHP),13.0,11.57,11.44,13.0,481 CDM,PX-81402001,PR CYP21A2 COMMON VARIANTS,356.0,316.84,150.33,356.0,481 CDM,PX-81402004,PR UPD UNIPARENTAL DISOMY,700.0,623.0,150.33,700.0,481 CDM,PX-81403003,PR AMYL KNOWN MUTATION,500.0,445.0,185.2,500.0,481 CDM,PX-81403005,PR ARSA GENE KNOWN MUTATION,500.0,445.0,185.2,500.0,481 CDM,PX-81403016,PR DAZ/SRY DELETION,400.0,356.0,185.2,400.0,481 CDM,PX-81403018,PR F8 INVERSION ANALYSIS 2,400.0,356.0,185.2,400.0,481 CDM,PX-81403023,PR GAA KNOWN MUTATION,500.0,445.0,185.2,500.0,481 CDM,PX-81403026,PR GAUCHER DISEASE KNOWN MUTATION,500.0,445.0,185.2,500.0,481 CDM,PX-81403027,PR GLA KNOWN MUTATION,500.0,445.0,185.2,500.0,481 CDM,PX-81403030,PR HEXA GENE KNOWN MUTATION,500.0,445.0,185.2,500.0,481 CDM,PX-81403033,PR IDS KNOWN MUTATION,500.0,445.0,185.2,500.0,481 CDM,PX-81403047,PR SDH KNOWN MUTATION,500.0,445.0,185.2,500.0,481 CDM,PX-81403059,PR VHL KNOWN MUTATION,500.0,445.0,185.2,500.0,481 CDM,PX-81403060,PR X-ALD KNOWN MUTATION,500.0,445.0,185.2,500.0,481 CDM,PX-81403072,PR DMD GENE MLPA,500.0,445.0,185.2,500.0,481 CDM,PX-81403074,PR KVAR1 SINGLE VARIANT KNOWN GENE,500.0,445.0,185.2,500.0,481 CDM,PX-81403078,"PR NPC1/NPC2 GENES, KNOWN MUTATION",500.0,445.0,185.2,500.0,481 CDM,PX-81403081,PR F8 INVERSION ANALYSIS (F8INP/F8INP),626.0,557.14,185.2,626.0,481 CDM,PX-81403106,PR FLCN GENE KNOWN MUTATION (FMTT),500.0,445.0,185.2,500.0,481 CDM,PX-81403119,PR AGXT KNOWN MUTATION (FMTT),500.0,445.0,185.2,500.0,481 CDM,PX-81403124,PR APAOA1 KNOWN MUTATION (FMTT),500.0,445.0,185.2,500.0,481 CDM,PX-81403136,PR EPCAM GENE DUP/DEL (XCP),26.0,23.14,22.88,26.0,481 CDM,PX-81403137,PR EPCAM (DUP/DEL) (COMCP),23.0,20.47,20.24,23.0,481 CDM,PX-81403141,PR MOPATH PROC LEVEL 4 (LQTSG),220.0,195.8,185.2,220.0,481 CDM,PX-81403142,PR MOPATH PROC LEVEL 4 (SQTSG),435.0,387.15,185.2,435.0,481 CDM,PX-81403143,PR MOPATH PROC LEVEL 4 (AFTDP),69.0,61.41,60.72,69.0,481 CDM,PX-81403144,PR MOPATH PROC LEVEL 4 (PARDP),60.0,53.4,52.8,60.0,481 CDM,PX-81403145,PR MOPATH PROC LEVEL 4 (SMCP),470.0,418.3,185.2,470.0,481 CDM,PX-81403146,PR MOPATH PROC LEVEL 4 (T1GS),11.0,9.79,9.68,11.0,481 CDM,PX-81403147,PR UBA1 MUTATION QUANTITATIVE (UBA1Q),863.0,768.07,185.2,863.0,481 CDM,PX-81404003,PR BTD FULL GENE ANALYSIS (BTD),700.0,623.0,274.83,700.0,481 CDM,PX-81404010,PR PRSS1 FULL GENE ANALYSIS,700.0,623.0,274.83,700.0,481 CDM,PX-81404014,PR VHL GENE FULL GENE ANALYSIS,700.0,623.0,274.83,700.0,481 CDM,PX-81404030,PR PRSS1 FULL GENE ANALYSIS (HPPAN),356.0,316.84,274.83,356.0,481 CDM,PX-81404032,PR SPINK1 FULL GENE ANALYSIS (HPPAN),163.0,145.07,143.44,163.0,481 CDM,PX-81404052,PR UGT1A1 FULL GENE SEQ (UGTFG),1000.0,890.0,274.83,1000.0,481 CDM,PX-81404054,PR VHL FULL GENE,1000.0,890.0,274.83,1000.0,481 CDM,PX-81404057,PR MOPATH PROC LEVEL 5 (RENCP),129.0,114.81,113.52,129.0,481 CDM,PX-81404058,PR MOPATH PROC LEVEL 5 (XCP),43.0,38.27,37.84,43.0,481 CDM,PX-81404059,PR MOPATH PROC LEVEL 5 (COMCP),33.0,29.37,29.04,33.0,481 CDM,PX-81404062,PR MOPATH PROC LEVEL 5 (RSCGP),119.0,105.91,104.72,119.0,481 CDM,PX-81404063,PR MOPATH PROC LEVEL 5 (CKDGP),45.0,40.05,39.6,45.0,481 CDM,PX-81404064,PR MOPATH PROC LEVEL 5 (AHUGP),1467.0,1305.63,274.83,1467.0,481 CDM,PX-81404065,PR MOPATH PROC LEVEL 5 (RBART),365.0,324.85,274.83,365.0,481 CDM,PX-81404066,PR MOPATH PROC LEVEL 5 (NEPHP),21.0,18.69,18.48,21.0,481 CDM,PX-81404067,PR MOPATH PROC LEVEL 5 (CHDGG),79.0,70.31,69.52,79.0,481 CDM,PX-81404068,"PR SOD1 GENE, FULL GENE ANALYSIS (SOD1Z)",1000.0,890.0,274.83,1000.0,481 CDM,PX-81404069,"PR TTR GENE, FULL GENE ANALYSIS (TTRZ)",1000.0,890.0,274.83,1000.0,481 CDM,PX-81404070,PR MOPATH PROC LEVEL 5 (AFTDP),102.0,90.78,89.76,102.0,481 CDM,PX-81404071,PR MOPATH PROC LEVEL 5 (EDMDP),573.0,509.97,274.83,573.0,481 CDM,PX-81404072,PR MOPATH PROC LEVEL 5 (IMNP),380.0,338.2,274.83,380.0,481 CDM,PX-81404073,PR MOPATH PROC LEVEL 5 (PARDP),88.0,78.32,77.44,88.0,481 CDM,PX-81404074,PR MOPATH PROC LEVEL 5 (HPANP),400.0,356.0,274.83,400.0,481 CDM,PX-81404075,PR VHL FULL GENE (NHEM),1466.0,1304.74,274.83,1466.0,481 CDM,PX-81404076,PR VHL FULL GENE (NHEP),813.0,723.57,274.83,813.0,481 CDM,PX-81404077,PR VHL GENE (MCFRC),280.0,249.2,246.4,280.0,481 CDM,PX-81404078,PR SDHD GENE (SDHMP),400.0,356.0,274.83,400.0,481 CDM,PX-81404079,PR MOPATH PROC LEVEL 5 (PANGP),314.0,279.46,274.83,314.0,481 CDM,PX-81405003,PR CYP21A2 FULL GENE ANALYSIS,644.0,573.16,301.35,644.0,481 CDM,PX-81405004,PR GLA FULL GENE ANALYSIS (GLA),700.0,623.0,301.35,700.0,481 CDM,PX-81405018,PR X-ALD FULL GENE ANALYSIS (ABCD1),700.0,623.0,301.35,700.0,481 CDM,PX-81405034,PR PKLR FULL GENE AND DELETION,500.0,445.0,301.35,500.0,481 CDM,PX-81405051,PR CTRC FULL GENE ANALYSIS (HPPAN),286.0,254.54,251.68,286.0,481 CDM,PX-81405072,PR MOPATH PROC LEVEL 6 (APGP),623.0,554.47,301.35,623.0,481 CDM,PX-81405073,PR MOPATH PROC LEVEL 6 (PCGP),625.0,556.25,301.35,625.0,481 CDM,PX-81405075,PR MOPATH PROC LEVEL 6 (PHEGP),624.0,555.36,301.35,624.0,481 CDM,PX-81405076,PR MOPATH PROC LEVEL 6 (MSUDP),481.0,428.09,301.35,481.0,481 CDM,PX-81405077,PR FH FULL GENE,1000.0,890.0,301.35,1000.0,481 CDM,PX-81405078,PR STK11 FULL GENE,1000.0,890.0,301.35,1000.0,481 CDM,PX-81405080,PR MOPATH PROC LEVEL 6 (RENCP),142.0,126.38,124.96,142.0,481 CDM,PX-81405081,PR WT1 GENE (WILMP),402.0,357.78,301.35,402.0,481 CDM,PX-81405082,PR MOPATH PROC LEVEL 6 (XCP),49.0,43.61,43.12,49.0,481 CDM,PX-81405083,PR MOPATH PROC LEVEL 6 (COMCP),35.0,31.15,30.8,35.0,481 CDM,PX-81405085,PR MOPATH PROC LEVEL 6 (HMEP),129.0,114.81,113.52,129.0,481 CDM,PX-81405086,PR MOPATH PROC LEVEL 6 (RSCGP),130.0,115.7,114.4,130.0,481 CDM,PX-81405087,PR MOPATH PROC LEVEL 6 (RFSGS),81.0,72.09,71.28,81.0,481 CDM,PX-81405088,PR MOPATH PROC LEVEL 6 (CASRG),1000.0,890.0,301.35,1000.0,481 CDM,PX-81405089,PR MOPATH PROC LEVEL 6 (CKDGP),51.0,45.39,44.88,51.0,481 CDM,PX-81405090,PR MOPATH PROC LEVEL 6 (ADPKP),353.0,314.17,301.35,353.0,481 CDM,PX-81405091,PR MOPATH PROC LEVEL 6 (NEPHP),22.0,19.58,19.36,22.0,481 CDM,PX-81405094,PR MOPATH PROC LEVEL 6 (CHDGG),86.0,76.54,75.68,86.0,481 CDM,PX-81405095,PR MOPATH PROC LEVEL 6 (CPVTG),250.0,222.5,220.0,250.0,481 CDM,PX-81405096,PR MOPATH PROC LEVEL 6 (CVHBG),136.0,121.04,119.68,136.0,481 CDM,PX-81405097,PR MOPATH PROC LEVEL 6 (AFTDP),112.0,99.68,98.56,112.0,481 CDM,PX-81405098,PR MOPATH PROC LEVEL 6 (EDMDP),628.0,558.92,301.35,628.0,481 CDM,PX-81405099,PR MOPATH PROC LEVEL 6 (IMNP),380.0,338.2,301.35,380.0,481 CDM,PX-81405100,PR MOPATH PROC LEVEL 6 (PARDP),98.0,87.22,86.24,98.0,481 CDM,PX-81405101,PR CTRC GENE (HPANP),400.0,356.0,301.35,400.0,481 CDM,PX-81405102,PR SLCA1 FULL GENE SEQ (NMEM),1500.0,1335.0,301.35,1500.0,481 CDM,PX-81405103,PR PKLR FULL GENE (NHEP),892.0,793.88,301.35,892.0,481 CDM,PX-81405104,PR STK11 GENE (BRTP),118.0,105.02,103.84,118.0,481 CDM,PX-81405105,PR FH MUTATION ANALYSIS (TFH),1200.0,1068.0,301.35,1200.0,481 CDM,PX-81405106,PR MOPATH PROC LEVEL 6 (SDHMP),400.0,356.0,301.35,400.0,481 CDM,PX-81405107,PR PKLR FULL GENE (PKLRZ),1000.0,890.0,301.35,1000.0,481 CDM,PX-81405108,PR MOPATH PROC LEVEL 6 (PANGP),344.0,306.16,301.35,344.0,481 CDM,PX-81406001,PR ACADV FULL GENE ANALYSIS (ACADV),700.0,623.0,282.88,700.0,481 CDM,PX-81406009,PR GAA FULL GENE SEQUENCE (GAAN),700.0,623.0,282.88,700.0,481 CDM,PX-81406013,PR HEXA FULL GENE ANALYSIS (HEXAN),700.0,623.0,282.88,700.0,481 CDM,PX-81406014,PR IDUA FULL GENE ANALYSIS (IDUA),700.0,623.0,282.88,700.0,481 CDM,PX-81406075,PR MOPATH PROC LEVEL 7 (APGP),585.0,520.65,282.88,585.0,481 CDM,PX-81406076,PR MOPATH PROC LEVEL 7 (PCGP),584.0,519.76,282.88,584.0,481 CDM,PX-81406077,PR MOPATH PROC LEVEL 7 (TYRGP),1478.0,1315.42,282.88,1478.0,481 CDM,PX-81406078,PR MOPATH PROC LEVEL 7 (PHEGP),585.0,520.65,282.88,585.0,481 CDM,PX-81406079,PR MOPATH PROC LEVEL 7 (MSUDP),453.0,403.17,282.88,453.0,481 CDM,PX-81406080,PR GALACTOSEMIA FULL GENE ANALYSIS (GALZ),1000.0,890.0,282.88,1000.0,481 CDM,PX-81406081,PR CDH1 FULL GENE,1000.0,890.0,282.88,1000.0,481 CDM,PX-81406082,PR RET FULL GENE,1000.0,890.0,282.88,1000.0,481 CDM,PX-81406083,PR MOPATH PROC LEVEL 7 (RENCP),134.0,119.26,117.92,134.0,481 CDM,PX-81406084,PR MOPATH PROC LEVEL 7 (XCP),42.0,37.38,36.96,42.0,481 CDM,PX-81406085,PR MOPATH PROC LEVEL 7 (COMCP),33.0,29.37,29.04,33.0,481 CDM,PX-81406087,PR MOPATH PROC LEVEL 7 (HMEP),122.0,108.58,107.36,122.0,481 CDM,PX-81406088,PR MOPATH PROC LEVEL 7 (TSCP1),400.0,356.0,282.88,400.0,481 CDM,PX-81406089,PR MOPATH PROC LEVEL 7 (RSCGP),123.0,109.47,108.24,123.0,481 CDM,PX-81406090,PR MOPATH PROC LEVEL 7 (RFSGS),77.0,68.53,67.76,77.0,481 CDM,PX-81406091,PR MOPATH PROC LEVEL 7 (CKDGP),48.0,42.72,42.24,48.0,481 CDM,PX-81406092,PR MOPATH PROC LEVEL 7 (ADPKP),331.0,294.59,282.88,331.0,481 CDM,PX-81406093,PR MOPATH PROC LEVEL 7 (RBART),377.0,335.53,282.88,377.0,481 CDM,PX-81406094,PR MOPATH PROC LEVEL 7 (NEPHP),21.0,18.69,18.48,21.0,481 CDM,PX-81406095,PR MOPATH PROC LEVEL 7 (BRFKT),1600.0,1424.0,282.88,1600.0,481 CDM,PX-81406097,PR MOPATH PROC LEVEL 7 (CHDGG),81.0,72.09,71.28,81.0,481 CDM,PX-81406098,PR MOPATH PROC LEVEL 7 (CVHBG),126.0,112.14,110.88,126.0,481 CDM,PX-81406099,PR MOPATH PROC LEVEL 7 (HCHLG),230.0,204.7,202.4,230.0,481 CDM,PX-81406100,PR MOPATH PROC LEVEL 7 (HHTGG),595.0,529.55,282.88,595.0,481 CDM,PX-81406101,PR MOPATH PROC LEVEL 7 (HYPBG),470.0,418.3,282.88,470.0,481 CDM,PX-81406102,PR MOPATH PROC LEVEL 7 (LIPOG),230.0,204.7,202.4,230.0,481 CDM,PX-81406103,PR MOPATH PROC LEVEL 7 (LQTSG),325.0,289.25,282.88,325.0,481 CDM,PX-81406104,PR MOPATH PROC LEVEL 7 (OIBFG),133.0,118.37,117.04,133.0,481 CDM,PX-81406105,PR MOPATH PROC LEVEL 7 (SQTSG),665.0,591.85,282.88,665.0,481 CDM,PX-81406106,PR MOPATH PROC LEVEL 7 (AFTDP),105.0,93.45,92.4,105.0,481 CDM,PX-81406107,PR MOPATH PROC LEVEL 7 (EDMDP),295.0,262.55,259.6,295.0,481 CDM,PX-81406108,PR MOPATH PROC LEVEL 7 (IMNP),380.0,338.2,282.88,380.0,481 CDM,PX-81406109,PR MOPATH PROC LEVEL 7 (PARDP),92.0,81.88,80.96,92.0,481 CDM,PX-81406110,PR MOPATH PROC LEVEL 7 (SMCP),460.0,409.4,282.88,460.0,481 CDM,PX-81406111,PR ATP7B FULL GENE ANALYSIS (WNDZ),1000.0,890.0,282.88,1000.0,481 CDM,PX-81406112,PR BTK GENE FULL ANALYSIS (BTKSG),1000.0,890.0,282.88,1000.0,481 CDM,PX-81406113,PR CDH1 GENE (BRTP),110.0,97.9,96.8,110.0,481 CDM,PX-81406114,PR TSC1 GENE (MCFRC),290.0,258.1,255.2,290.0,481 CDM,PX-81406115,PR SDHA GENE (SDHMP),400.0,356.0,282.88,400.0,481 CDM,PX-81406116,PR MOPATH PROC LEVEL 7 (T1GS),9.0,8.01,7.92,9.0,481 CDM,PX-81407022,PR MOPATH PROC LEVEL 8 (RENCP),397.0,353.33,349.36,397.0,481 CDM,PX-81407023,PR MOPATH PROC LEVEL 8 (XCP),120.0,106.8,105.6,120.0,481 CDM,PX-81407024,PR MOPATH PROC LEVEL 8 (HMEP),363.0,323.07,319.44,363.0,481 CDM,PX-81407025,PR MOPATH PROC LEVEL 8 (TSCP1),1600.0,1424.0,846.27,1600.0,481 CDM,PX-81407026,PR MOPATH PROC LEVEL 8 (RSCGP),368.0,327.52,323.84,368.0,481 CDM,PX-81407027,PR MOPATH PROC LEVEL 8 (RFSGS),230.0,204.7,202.4,230.0,481 CDM,PX-81407028,PR MOPATH PROC LEVEL 8 (ALAGP),1789.0,1592.21,846.27,1789.0,481 CDM,PX-81407029,PR MOPATH PROC LEVEL 8 (ALPGP),392.0,348.88,344.96,392.0,481 CDM,PX-81407030,PR MOPATH PROC LEVEL 8 (CKDGP),144.0,128.16,126.72,144.0,481 CDM,PX-81407031,PR MOPATH PROC LEVEL 8 (ADPKP),868.0,772.52,763.84,868.0,481 CDM,PX-81407032,PR MOPATH PROC LEVEL 8 (RBART),1125.0,1001.25,846.27,1125.0,481 CDM,PX-81407033,PR MOPATH PROC LEVEL 8 (NEPHP),63.0,56.07,55.44,63.0,481 CDM,PX-81407034,"PR BRUGADA SYNDROME, SCN5A FULL GENE",1000.0,890.0,846.27,1000.0,481 CDM,PX-81407035,PR MOPATH PROC LEVEL 8 (CHDGG),242.0,215.38,212.96,242.0,481 CDM,PX-81407036,PR MOPATH PROC LEVEL 8 (HCHLG),1378.0,1226.42,846.27,1378.0,481 CDM,PX-81407037,PR MOPATH PROC LEVEL 8 (HYPBG),1350.0,1201.5,846.27,1350.0,481 CDM,PX-81407038,PR MOPATH PROC LEVEL 8 (LQTSG),1005.0,894.45,846.27,1005.0,481 CDM,PX-81407039,PR MOPATH PROC LEVEL 8 (AFTDP),314.0,279.46,276.32,314.0,481 CDM,PX-81407040,PR MOPATH PROC LEVEL 8 (PARDP),275.0,244.75,242.0,275.0,481 CDM,PX-81407041,"PR F8 GENE, FULL GENE (GNHMA)",1450.0,1290.5,846.27,1450.0,481 CDM,PX-81407042,"PR F8 GENE, FULL GENE (GNBLF)",418.0,372.02,367.84,418.0,481 CDM,PX-81407043,PR TSC2 GENE (MCFRC),850.0,756.5,748.0,850.0,481 CDM,PX-81407044,PR MOPATH PROC LEVEL 8 (T1GS),53.0,47.17,46.64,53.0,481 CDM,PX-81408016,PR NF1 FULL GENE,1000.0,890.0,880.0,1000.0,481 CDM,PX-81408018,PR MOPATH PROC LEVEL 9 (XCP),245.0,218.05,215.6,245.0,481 CDM,PX-81408019,PR MOPATH PROC LEVEL 9 (COMCP),235.0,209.15,206.8,235.0,481 CDM,PX-81408021,PR MOPATH PROC LEVEL 9 (HMEP),858.0,763.62,755.04,858.0,481 CDM,PX-81408022,PR MOPATH PROC LEVEL 9 (RFSGS),542.0,482.38,476.96,542.0,481 CDM,PX-81408023,PR MOPATH PROC LEVEL 9 (ALPGP),737.0,655.93,648.56,737.0,481 CDM,PX-81408024,PR MOPATH PROC LEVEL 9 (CKDGP),341.0,303.49,300.08,341.0,481 CDM,PX-81408025,PR MOPATH PROC LEVEL 9 (NEPHP),151.0,134.39,132.88,151.0,481 CDM,PX-81408026,PR FBN1 FULL GENE ANALYSIS,1000.0,890.0,880.0,1000.0,481 CDM,PX-81408028,PR MOPATH PROC LEVEL 9 (CHDGG),422.0,375.58,371.36,422.0,481 CDM,PX-81408029,PR MOPATH PROC LEVEL 9 (CPVTG),1667.0,1483.63,1466.96,1667.0,481 CDM,PX-81408030,PR MOPATH PROC LEVEL 9 (CVHBG),897.0,798.33,789.36,897.0,481 CDM,PX-81408031,PR MOPATH PROC LEVEL 9 (EDSGG),973.0,865.97,856.24,973.0,481 CDM,PX-81408032,PR MOPATH PROC LEVEL 8 (LIPOG),1440.0,1281.6,1267.2,1440.0,481 CDM,PX-81408033,PR MOPATH PROC LEVEL 9 (OIBFG),838.0,745.82,737.44,838.0,481 CDM,PX-81408034,"PR DMD GENE, FULL GENE ANALYSIS (DMDZ)",1000.0,890.0,880.0,1000.0,481 CDM,PX-81408035,PR MOPATH PROC LEVEL 9 (PARDP),649.0,577.61,571.12,649.0,481 CDM,PX-81408036,PR VWF GENE (GNVWD),1900.0,1691.0,1672.0,1900.0,481 CDM,PX-81408037,PR VWF GENE (GNBLF),987.0,878.43,868.56,987.0,481 CDM,PX-81408038,PR ATM GENE (BRTP),777.0,691.53,683.76,777.0,481 CDM,PX-81410002,PR COMPREHENSIVE AORTOPATHY GENE PANEL,2000.0,1780.0,504.0,2000.0,481 CDM,PX-81410003,PR MARFAN AND RELATED CONDITIONS PANEL,2000.0,1780.0,504.0,2000.0,481 CDM,PX-81410004,PR POSTMORTEM AORTOPATHY PANEL,1900.0,1691.0,504.0,1900.0,481 CDM,PX-81413001,PR COMPREHENSIVE ARRHYTHMIA GENE PANEL,2000.0,1780.0,584.9,2000.0,481 CDM,PX-81415,PR EXOME,5334.0,4747.26,4693.92,5334.0,481 CDM,PX-81415002,PR WHOLE EXOME SEQ (WESDX),3000.0,2670.0,2640.0,3000.0,481 CDM,PX-81416,PR EXOME COMPARATOR,1240.0,1103.6,1091.2,1240.0,481 CDM,PX-81416002,PR EXOME COMPARATOR (G226),1500.0,1335.0,1320.0,1500.0,481 CDM,PX-81416003,PR WHOLE EXOME SEQ REANAL COMPARATOR (WESPR),1500.0,1335.0,1320.0,1500.0,481 CDM,PX-81417,PR WHOLE EXOME SEQ REANALYSIS (WESR),1500.0,1335.0,320.0,1500.0,481 CDM,PX-81417001,PR WHOLE EXOME SEQ REANAL (WESPR),1500.0,1335.0,320.0,1500.0,481 CDM,PX-81418,PR PSYCH PHARMACOGENOMICS PANEL (PSYQP),1500.0,1335.0,917.08,1500.0,481 CDM,PX-81419003,PR COMP EPILEPSY GENE PANEL (EPPAN),2500.0,2225.0,2200.0,2500.0,481 CDM,PX-81425001,PR GENOME SEQUENCE ANALYSIS (WGSDX),4000.0,3560.0,3520.0,4000.0,481 CDM,PX-81425002,PR RAPID WHOLE GENOME SEQ,5500.0,4895.0,4840.0,5500.0,481 CDM,PX-81426001,PR GENOME SEQ ANALYSIS EA COMPARATOR (G227),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81426002,PR RAPID WHOLE GENOME SEQ COMPARATOR,3000.0,2670.0,2640.0,3000.0,481 CDM,PX-81427001,PR GENOME RE-EVALUATION (WGSR),1500.0,1335.0,1320.0,1500.0,481 CDM,PX-81430002,PR HEARING LOSS GENE PANEL (AHLP),1763.0,1569.07,1551.44,1763.0,481 CDM,PX-81431002,PR HEARING LOSS DUP/DEL ANALYSIS PANEL (AHLP),737.0,655.93,648.56,737.0,481 CDM,PX-81432002,PR HEREDITARY BREAST/GYN CANCER PANEL (BRGYP),2000.0,1780.0,1303.95,2000.0,481 CDM,PX-81432003,PR HEREDITARY PROSTATE CANCER PANEL (PRS8P),2000.0,1780.0,1303.95,2000.0,481 CDM,PX-81432004,PR HEREDITARY PANCREATIC CANCER PANEL (PANCP),2000.0,1780.0,1303.95,2000.0,481 CDM,PX-81432005,PR RAPID HERED BREAST CANCER PANEL (BRTP),2500.0,2225.0,1303.95,2500.0,481 CDM,PX-81432007,PR BREAST CA GENOMIC SEQ XCP,2500.0,2225.0,1303.95,2500.0,481 CDM,PX-81435002,PR HEREDITARY GI CANCER PANEL,2000.0,1780.0,1303.95,2000.0,481 CDM,PX-81435003,PR LYNCH SYNDROME PANEL (LYNCP),2000.0,1780.0,1303.95,2000.0,481 CDM,PX-81435005,PR COLON CA GENOMIC SEQ XCP,2500.0,2225.0,1303.95,2500.0,481 CDM,PX-81437002,PR HEREDITARY ENDOCRINE CANCER PANEL,2000.0,1780.0,1303.95,2000.0,481 CDM,PX-81437003,PR HEREDITARY PGL/PCC PANEL,2000.0,1780.0,1303.95,2000.0,481 CDM,PX-81437004,PR HEREDITARY THYROID CANCER PANEL (THYRP),2000.0,1780.0,1303.95,2000.0,481 CDM,PX-81437006,PR NEUROENDOCRINE CA GENOMIC SEQ XCP,2500.0,2225.0,1303.95,2500.0,481 CDM,PX-81439006,PR CARDIOMYOPATHY AND ARRHYTHMIA PANEL,2500.0,2225.0,584.9,2500.0,481 CDM,PX-81439007,PR COMPREHENSIVE CARDIOMYOPATHY PANEL,2500.0,2225.0,584.9,2500.0,481 CDM,PX-81439008,PR DILATED CARDIOMYOPATHY/LVNC PANEL,2500.0,2225.0,584.9,2500.0,481 CDM,PX-81439009,PR HYPERTROPHIC CARDIOMYOPATHY PANEL,2000.0,1780.0,584.9,2000.0,481 CDM,PX-81439010,PR ARRHYTHMOGENIC CARDIOMYOPATHY PANEL (ARVGG),2000.0,1780.0,584.9,2000.0,481 CDM,PX-81439011,PR POSTMORTEM ARRHYTHMIA GENE PANEL,1900.0,1691.0,584.9,1900.0,481 CDM,PX-81439012,PR POSTMORTEM CARDIOMYOPATHY PANEL,1900.0,1691.0,584.9,1900.0,481 CDM,PX-81439013,PR POSTMORTEM CARDIOMYOP/ARRYTHM PANEL,1900.0,1691.0,584.9,1900.0,481 CDM,PX-81440003,PR NUC MITOCHON GENE PANEL (NMITO),2500.0,2225.0,2200.0,2500.0,481 CDM,PX-81440004,PR MITOCHON NUCLEAR (CMITO),2996.0,2666.44,2636.48,2996.0,481 CDM,PX-81441001,PR BONE MARROW FAILURE GENE PANEL (BMFGP),2500.0,2225.0,2200.0,2500.0,481 CDM,PX-81442001,PR NOONAN SYNDROME AND RELATED PANEL,2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443025,PR CONGENITAL NEUTROPENIA PID PANEL (SCNGP),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443034,PR CDG GENE PANEL (CDGGP),2500.0,2225.0,2200.0,2500.0,481 CDM,PX-81443035,PR CHOLESTASIS GENE PANEL (CHLGP),2500.0,2225.0,2200.0,2500.0,481 CDM,PX-81443036,PR CONGENITAL LACTIC ACIDOSIS PANEL (CLADP),1040.0,925.6,915.2,1040.0,481 CDM,PX-81443037,PR UREA CYCLE DISORDERS GENE PANEL (UCDP),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443038,PR METHYL ACIDURIA GENE PANEL (MMAGP),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443039,PR MMA PA COMBINED GENE PANEL (MPAGP),2080.0,1851.2,1830.4,2080.0,481 CDM,PX-81443040,PR 3-METHYLGLUT ACIDURIA PANEL (3MGAP),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443041,PR FATTY ACID OXIDATION GENE PANEL (HFAOP),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443042,PR BATTEN DISEASE GENE PANEL (NCLGP),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443043,PR LSD GENE PANEL (LSDGP),2500.0,2225.0,2200.0,2500.0,481 CDM,PX-81443044,PR GLYCOGEN STORAGE DIS GENE PANEL (GSDGP),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443045,PR PEROXISOMAL DISORDER GENE PANEL (PDGP),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443048,PR ATAXIA GENE PANEL (ATAXP),2500.0,2225.0,2200.0,2500.0,481 CDM,PX-81443049,PR CONGENITAL MYASTHENIA GENE PANEL (CMSP),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443050,PR DISTAL WEAKNESS GENE PANEL (DWPAN),2500.0,2225.0,2200.0,2500.0,481 CDM,PX-81443051,PR LGMD AND CMS GENE PANEL (LGCMP),2500.0,2225.0,2200.0,2500.0,481 CDM,PX-81443052,PR MUSCULAR DYSTROPHY GENE PANEL (MDYSP),2500.0,2225.0,2200.0,2500.0,481 CDM,PX-81443053,PR MOTOR NEURON DISEASE GENE PANEL (MNDP),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443054,PR NEUROMUSCULAR GENE PANEL (MUPAN),2500.0,2225.0,2200.0,2500.0,481 CDM,PX-81443055,PR RHABDO/METABOLIC MYOPATHY PANEL (RABMP),2500.0,2225.0,2200.0,2500.0,481 CDM,PX-81443056,PR ALPS GENE PANEL (ALPSG),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443057,PR EBV/LYMPHOPROLIFERATION GENE PANEL (EBLPD),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443058,PR HYPER-IGE SYNDROME GENE PANEL (HIESG),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443059,PR HLH GENE PANEL (HLHGP),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443060,PR VIRAL SUSCEPTIBILITY GENE PANEL (VIRID),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443061,PR DYSREGULATION/AUTOIMM GENE PANEL (IMMAU),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443062,PR CONGENITAL NEUTROPENIA GENE PANEL (SCCNP),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443063,PR TELOMERE DISORDERS GENE PANEL (TELDP),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443064,PR RBC ENZYME SEQUENCING NGS (NENZ),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443065,PR HEREDITARY HEMOLYTICS ANEMIA (NHHA),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443066,PR THROMBOCYTOPENIA GENE PANEL (GNHTC),1775.0,1579.75,1562.0,1775.0,481 CDM,PX-81443067,PR STORAGE POOL DEFICIENCY PANEL (GNSPD),1775.0,1579.75,1562.0,1775.0,481 CDM,PX-81443068,PR PLATELET FUNCTION DEFECT PANEL (GNPFD),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443070,PR BLEEDING COMPREHENSIVE PANEL (GNBLC),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443071,PR THROMBOSIS COMPREHENSIVE PANEL (GNTHR),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443072,PR PLATELET COMPREHENSIVE PANEL (GNPLT),2500.0,2225.0,2200.0,2500.0,481 CDM,PX-81443073,PR MACROTHROMBOCYTOPENIA PANEL (GNMTC),1775.0,1579.75,1562.0,1775.0,481 CDM,PX-81443074,PR AUTOINFLAMMATORY GENE PANEL (AUTOG),2500.0,2225.0,2200.0,2500.0,481 CDM,PX-81443075,PR BCELL/ANTIBODY DEFICIENCY GENE PANEL (BCELL),2500.0,2225.0,2200.0,2500.0,481 CDM,PX-81443076,PR EARLY ONSET IBD GENE PANEL (EOIBD),2500.0,2225.0,2200.0,2500.0,481 CDM,PX-81443077,PR SCID GENE PANEL (SCIDP),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81443078,PR POSTMORTEM MYASTHENIA GENE PANEL,1900.0,1691.0,1672.0,1900.0,481 CDM,PX-81443079,PR POSTMORTEM HLH GENE PANEL,1900.0,1691.0,1672.0,1900.0,481 CDM,PX-81443080,PR INBORN ERR OF IMMUNITY GENE PANEL (IEICP),2500.0,2225.0,2200.0,2500.0,481 CDM,PX-81443081,PR COMBINED IMMUNODEF GENE PANEL (COMID),2500.0,2225.0,2200.0,2500.0,481 CDM,PX-81445016,PR HISTONE GENES MUTATION ANALYSIS (HISGT),1600.0,1424.0,597.91,1600.0,481 CDM,PX-81445017,PR MAYCOMPLETE ADULT DG PANEL (MCADG),1600.0,1424.0,597.91,1600.0,481 CDM,PX-81448012,PR MOTOR AND SENSORY NEUROPATHY PANEL (IMSNP),2500.0,2225.0,584.9,2500.0,481 CDM,PX-81448013,PR SENSORY NEUROPATHY GENE PANEL (ISNP),2000.0,1780.0,584.9,2000.0,481 CDM,PX-81448014,PR SPASTIC PARAPLEGIA GENE PANEL (ISPP),2500.0,2225.0,584.9,2500.0,481 CDM,PX-81448015,PR PERIPHERAL NEUROPATHY GENE PANEL (PEPAN),2500.0,2225.0,584.9,2500.0,481 CDM,PX-81449,PR MAYOCOMPLETE LUNG REARRANGEMENTS (MCLNR),1200.0,1068.0,597.91,1200.0,481 CDM,PX-81450002,PR ONCOHEME NGS FOR HEMATOLOGIC CANCER,2620.0,2331.8,759.53,2620.0,482 CDM,PX-81450003,PR NEXT GEN AML 8,1875.0,1668.75,759.53,1875.0,482 CDM,PX-81450005,"PR REFLEX ANALYSIS, NGSHM",929.0,826.81,759.53,929.0,482 CDM,PX-81450006,PR T-CELL LYMPHOMA NGS,2137.0,1901.93,759.53,2137.0,482 CDM,PX-81450008,PR PLASMA CELL MYELOMA NGS,2137.0,1901.93,759.53,2137.0,482 CDM,PX-81450009,PR CHRONIC LYMPHOID NEOPLASM NGS,2137.0,1901.93,759.53,2137.0,482 CDM,PX-81450010,PR B-CELL LYMPHOMA NGS,2538.0,2258.82,759.53,2538.0,482 CDM,PX-81451,PR HEMATOLOGIC GENE FUSION PANEL (HEFUS),2578.0,2294.42,759.53,2578.0,481 CDM,PX-81455013,PR NEURO-ONC EXPAND PANEL (NONCP),1800.0,1602.0,1584.0,1800.0,481 CDM,PX-81456,PR SARCOMA TARGETED GENE PANEL (SARCP),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81456002,PR NEURO-ONC PANEL FUSIONS (NONCR),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81456003,PR MAYOCOMPLETE TARGETED RNASEQ PANEL (MCRSP),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81456004,PR MAYOCOMPLETE TRANSCRIP RNASEQ (MCRSQ),2000.0,1780.0,1760.0,2000.0,481 CDM,PX-81456005,PR SOLID ORGAN NEOPLASM RNA (MCSRC),2754.0,2451.06,2423.52,2754.0,481 CDM,PX-81456006,PR SOLID ORGAN NEOPLASM RNA (NONCP),1800.0,1602.0,1584.0,1800.0,481 CDM,PX-81457,PR MAYOCOMPLETE BLAD/PROS PANEL (MCBPP),1600.0,1424.0,896.87,1600.0,481 CDM,PX-81457001,PR MAYOCOMPLETE CRC PANEL TEST (MCCRC),1600.0,1424.0,896.87,1600.0,481 CDM,PX-81457002,PR MAYOCOMPLETE ENDOMETRIAL PANEL (MCECP),1600.0,1424.0,896.87,1600.0,481 CDM,PX-81457003,PR MAYOCOMPLETE GIST PANEL TEST (MCGST),1600.0,1424.0,896.87,1600.0,481 CDM,PX-81457004,PR MAYCOCOMPLETE GYN PANEL TEST (MCGYN),1600.0,1424.0,896.87,1600.0,481 CDM,PX-81457005,PR MAYOCOMPLETE KIDNEY CANCER PANEL TEST (MCKCP),1600.0,1424.0,896.87,1600.0,481 CDM,PX-81457006,PR MAYOCOMPLETE LUNG CANCER MUTATIONS (MCLNM),1600.0,1424.0,896.87,1600.0,481 CDM,PX-81457007,PR MAYOCOMPLETE LUNG CANCER PANEL TEST (MCLNG),2800.0,2492.0,896.87,2800.0,481 CDM,PX-81457008,PR MAYOCOMPLETE MELANOMA PANEL TEST (MCMLN),1600.0,1424.0,896.87,1600.0,481 CDM,PX-81457009,PR MAYOCOMPLETE OVARY CANCER PANEL (MCOCP),1600.0,1424.0,896.87,1600.0,481 CDM,PX-81457010,PR MAYOCOMPLETE SARCOMA MUTATION PANEL (MCSMP),1600.0,1424.0,896.87,1600.0,481 CDM,PX-81457012,PR MAYOCOMPLETE SARCOMA PANEL TEST (MCSRC),846.0,752.94,744.48,846.0,481 CDM,PX-81457013,PR NEURO-ONC PANEL MUT (NONCM),1600.0,1424.0,896.87,1600.0,481 CDM,PX-81459,PR MAYOCOMPLETE SOLID TUM PANEL (MCSTP),3600.0,3204.0,2989.55,3600.0,481 CDM,PX-81460,PR MITOCHONDRIAL FULL GENE ANALYSIS,1707.0,1519.23,1287.0,1707.0,481 CDM,PX-81460003,PR MITOCHON FULL GENOME ANALYSIS (CLADP),935.0,832.15,822.8,935.0,481 CDM,PX-81460004,PR MITOCHON FULL GENOME (CMITO),1160.0,1032.4,1020.8,1160.0,481 CDM,PX-81463,PR MAYOCOMPLETE LIQUID BIOPSY PANEL(MCLBP),3600.0,3204.0,1345.31,3600.0,481 CDM,PX-81465002,PR WHOLE MITOCHON GENOME (MITOP),793.0,705.77,697.84,793.0,481 CDM,PX-81465003,PR WHOLE MITOCHON GENOME LARGE DEL (CLADP),525.0,467.25,462.0,525.0,481 CDM,PX-81465004,PR MITOCHON DELETION (CMITO),844.0,751.16,742.72,844.0,481 CDM,PX-81479018,PR C9ORF72 MOLECULAR ANALYSIS,700.0,623.0,70.0,700.0,477 CDM,PX-81479020,PR CDKN1C FULL GENE ANALYSIS,700.0,623.0,70.0,700.0,477 CDM,PX-81479051,PR GAUCHER DISEASE FULL GENE ANA (GBA),700.0,623.0,70.0,700.0,477 CDM,PX-81479060,PR HEREDIATRY ERYTHROCYTOSIS MUT,700.0,623.0,70.0,700.0,477 CDM,PX-81479069,PR MCAD MUTATION SCREEN (ACADM),700.0,623.0,70.0,700.0,477 CDM,PX-81479104,PR TREC IMMUNE RECONSTITUTION,700.0,623.0,70.0,700.0,477 CDM,PX-81479119,PR BPGM FULL GENE ANALYSIS,700.0,623.0,70.0,700.0,477 CDM,PX-81479122,"PR GAMMA GLOBIN FULL GENE SEQUENCING, V",561.0,499.29,56.1,561.0,477 CDM,PX-81479143,PR SERPINA1 FULL GENE ANALYSIS,700.0,623.0,70.0,700.0,477 CDM,PX-81479170,"PR CXCR4, GENE MUTATION, REFLEX",579.0,515.31,57.9,579.0,477 CDM,PX-81479171,PR CXCR4 MUTATION,568.0,505.52,56.8,568.0,477 CDM,PX-81479240,PR CYP2B6 GENOTYPE (2B6V),600.0,534.0,60.0,600.0,477 CDM,PX-81479249,PR MITOCHON FULL GENOME ANALYSIS (MEC),2500.0,2225.0,250.0,2500.0,477 CDM,PX-81479252,PR SERPINC1 FULL GENE NGS,983.0,874.87,98.3,983.0,477 CDM,PX-81479258,PR PROS1 FULL GENE NGS,1061.0,944.29,106.1,1061.0,477 CDM,PX-81479267,PR GAMMA GLOBIN FULL GENE SEQ (WGSQR),400.0,356.0,40.0,400.0,477 CDM,PX-81479274,PR MOPATH PROC (APGP),207.0,184.23,20.7,207.0,477 CDM,PX-81479275,PR MOPATH PROC (PCGP),207.0,184.23,20.7,207.0,477 CDM,PX-81479276,PR KETONE DISORDERS GENE PANEL (KETGP),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479277,PR HEXB FULL GENE ANALYSIS (HEXBZ),1000.0,890.0,100.0,1000.0,477 CDM,PX-81479278,PR CYSTINURIA GENE PANEL (CYSGP),2080.0,1851.2,208.0,2080.0,477 CDM,PX-81479279,PR MOPATH PROC (TYRGP),522.0,464.58,52.2,522.0,477 CDM,PX-81479280,PR MOPATH PROC (PHEGP),206.0,183.34,20.6,206.0,477 CDM,PX-81479281,PR MOPATH PROC (MSUDP),160.0,142.4,16.0,160.0,477 CDM,PX-81479287,PR APOL1 GENOTYPE,400.0,356.0,40.0,400.0,477 CDM,PX-81479289,PR FMR1 GENE (CSFP),43.0,38.27,4.3,43.0,477 CDM,PX-81479291,PR BAP1 FULL GENE,1000.0,890.0,100.0,1000.0,477 CDM,PX-81479292,PR FLCN FULL GENE,1000.0,890.0,100.0,1000.0,477 CDM,PX-81479293,PR MOPATH PROC (RENCP),65.0,57.85,6.5,65.0,477 CDM,PX-81479294,PR MOPATH PROC (WILMP),215.0,191.35,21.5,215.0,477 CDM,PX-81479295,PR MOPATH PROC (XCP),16.0,14.24,1.6,16.0,477 CDM,PX-81479296,PR MOPATH PROC (COMCP),12.0,10.68,1.2,12.0,477 CDM,PX-81479300,PR NAT2F FULL GENE SEQ (NAT2Q),600.0,534.0,60.0,600.0,477 CDM,PX-81479302,PR NOTCH3 GENE FULL ANLYS (NTC3Z),1000.0,890.0,100.0,1000.0,477 CDM,PX-81479303,PR MOPATH PROC (HMEP),43.0,38.27,4.3,43.0,477 CDM,PX-81479305,PR MOPATH PROC (RSCGP),44.0,39.16,4.4,44.0,477 CDM,PX-81479306,PR MOPATH PROC (RFSGS),26.0,23.14,2.6,26.0,477 CDM,PX-81479307,PR MOPATH PROC (ALAGP),211.0,187.79,21.1,211.0,477 CDM,PX-81479308,PR MOPATH PROC (ALPGP),134.0,119.26,13.4,134.0,477 CDM,PX-81479309,PR MOPATH PROC (CKDGP),17.0,15.13,1.7,17.0,477 CDM,PX-81479310,PR MOPATH PROC (ADPKP),117.0,104.13,11.7,117.0,477 CDM,PX-81479311,PR MOPATH PROC (AHUGP),533.0,474.37,53.3,533.0,477 CDM,PX-81479312,PR MOPATH PROC (RBART),133.0,118.37,13.3,133.0,477 CDM,PX-81479313,PR MOPATH PROC (NEPHP),10.0,8.9,1.0,10.0,477 CDM,PX-81479315,PR MOPATH PROC (PKLRG),200.0,178.0,20.0,200.0,477 CDM,PX-81479316,PR ESR1 MUTATIONS ANALYSIS (ESR1T),1200.0,1068.0,120.0,1200.0,477 CDM,PX-81479318,PR B-CATENIN MUTATIONS ANALYSIS (CTNBT),1200.0,1068.0,120.0,1200.0,477 CDM,PX-81479319,PR FOXL2 MUTATIONS ANALYSIS (XL2T),1200.0,1068.0,120.0,1200.0,477 CDM,PX-81479320,PR MOPATH PROC (BRFKT),1600.0,1424.0,160.0,1600.0,477 CDM,PX-81479322,PR IDH1/IDH2 MUTATIONS ANALYSIS (IDHT),1600.0,1424.0,160.0,1600.0,477 CDM,PX-81479323,PR HYPERTRIGLYCERIDEMIA GENE PANEL,2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479324,PR PRIMARY CILIARY DYSKINESIA PANEL,2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479325,PR PRKAR1A FULL GENE ANALYSIS,1000.0,890.0,100.0,1000.0,477 CDM,PX-81479327,PR MOPATH PROC (CHDGG),29.0,25.81,2.9,29.0,477 CDM,PX-81479328,PR MOPATH PROC (CPVTG),83.0,73.87,8.3,83.0,477 CDM,PX-81479329,PR MOPATH PROC (CVHBG),45.0,40.05,4.5,45.0,477 CDM,PX-81479330,PR MOPATH PROC (EDSGG),54.0,48.06,5.4,54.0,477 CDM,PX-81479331,PR MOPATH PROC (HCHLG),162.0,144.18,16.2,162.0,477 CDM,PX-81479332,PR MOPATH PROC (HHTGG),215.0,191.35,21.5,215.0,477 CDM,PX-81479333,PR MOPATH PROC (HYPBG),180.0,160.2,18.0,180.0,477 CDM,PX-81479334,PR MOPATH PROC (LIPOG),100.0,89.0,10.0,100.0,477 CDM,PX-81479335,PR MOPATH PROC (LQTSG),125.0,111.25,12.5,125.0,477 CDM,PX-81479336,PR MOPATH PROC (OIBFG),58.0,51.62,5.8,58.0,477 CDM,PX-81479337,PR MOPATH PROC (SQTSG),235.0,209.15,23.5,235.0,477 CDM,PX-81479338,PR FOCUSED ADPKD GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479339,PR AHUS/TMA/C3G GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479340,PR ALAGILLE SYNDROME GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479341,PR ALPORT SYNDROME GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479342,PR ACUTE PORPHYRIA GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479343,PR BRAF/KIT MUTATION ANALYSIS TUMOR (MEC),1600.0,1424.0,160.0,1600.0,477 CDM,PX-81479345,PR CYSTIC FIBROSIS (CF) MUTATION PANEL (MEC),500.0,445.0,50.0,500.0,477 CDM,PX-81479346,PR CF AND SMA CARRIER SCREEN PANEL (MEC),800.0,712.0,80.0,800.0,477 CDM,PX-81479347,PR CYSTIC KIDNEY DISEASE GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479348,PR CONGENITAL LACTIC ACIDOSIS PANEL (MEC),2500.0,2225.0,250.0,2500.0,477 CDM,PX-81479349,PR HEREDITARY COMMON CANCER PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479350,"PR CARRIER SCREEN, FOCUSED PANEL (MEC)",800.0,712.0,80.0,800.0,477 CDM,PX-81479351,"PR CYP21A2 GENE, FULL GENE ANALYSIS (CYPZ) (MEC)",1000.0,890.0,100.0,1000.0,477 CDM,PX-81479352,"PR FLT3 MUTATION ANALYSIS, BLOOD (MEC)",485.0,431.65,48.5,485.0,477 CDM,PX-81479354,PR HEMIPLEGIC MIGRAINE GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479358,PR MSUD GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479359,PR COMPREHENSIVE NEPHROLOGY GENE PANEL (MEC),2500.0,2225.0,250.0,2500.0,477 CDM,PX-81479363,PR PORPHYRIA COMPREHENSIVE GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479364,PR PHENYLALANINE DISORDERS GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479367,PR BARTTER SYNDROME GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479368,PR HEREDITARY RENAL CANCER PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479369,PR FSGS/NEPHROTIC SYNDROME GENE PANEL (MEC),2500.0,2225.0,250.0,2500.0,477 CDM,PX-81479370,PR RENAL STONE/ELECTROLYTE GENE PANEL (MEC),2500.0,2225.0,250.0,2500.0,477 CDM,PX-81479371,PR SPINOCEREBELLAR ATAXIA PANEL (MEC),700.0,623.0,70.0,700.0,477 CDM,PX-81479372,"PR T CELL RECEPTOR GENE REARRANGE, BM (MEC)",643.0,572.27,64.3,643.0,477 CDM,PX-81479374,PR TUBEROUS SCLEROSIS GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479375,PR TYROSINE DISORDERS GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479376,PR HEREDITARY WILMS TUMOR PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479377,PR HEREDITARY EXPANDED CANCER PANEL (MEC),2500.0,2225.0,250.0,2500.0,477 CDM,PX-81479379,PR CONGENITAL HEART DISEASE GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479380,PR CPVT GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479381,PR CEREBROVASCULAR GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479382,PR EHLERS-DANLOS SYNDROME GENE PANEL (EDSGG)(MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479383,PR HYPERCHOLESTEROLEMIA GENE PANEL (HCHLG)(MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479384,PR HHT AND VASCULAR GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479385,PR HYPOBETALIPOPROTEINEMIA GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479386,PR LIPODYSTROPHY GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479387,PR LONG QT SYNDROME GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479388,PR OSTEO IMPERF AND BONE FRAGILITY GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479389,PR SHORT QT SYNDROME GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479390,"PR SEPTIN9 GENE, FULL GENE ANALYSIS (SEP9Z)",1000.0,890.0,100.0,1000.0,477 CDM,PX-81479391,PR MOPATH PROC (AFTDP),37.0,32.93,3.7,37.0,477 CDM,PX-81479392,PR FTD/ALS GENE PANEL AFTDP (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479393,PR MOPATH PROC (EDMDP),209.0,186.01,20.9,209.0,477 CDM,PX-81479394,PR EMERY-DREIFUS GENE PANEL EDMDP (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479395,PR MOPATH PROC (IMNP),100.0,89.0,10.0,100.0,477 CDM,PX-81479396,PR MOTOR NEUROPATHY GENE PANEL IMNP (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479397,PR MOPATH PROC (PARDP),32.0,28.48,3.2,32.0,477 CDM,PX-81479398,PR PARKINSON DIS GENE PANEL PARDP (MEC),2500.0,2225.0,250.0,2500.0,477 CDM,PX-81479399,PR MOPATH PROC (SMCP),150.0,133.5,15.0,150.0,477 CDM,PX-81479400,PR MUSCLE CHANNEL GENE PANEL SMCP (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479403,PR AUDIOLOGENE HEARING LOSS PANEL (AHLP-MEC),2500.0,2225.0,250.0,2500.0,477 CDM,PX-81479404,PR GATA2 GENE FULL ANAYLYIS (GATAS),1000.0,890.0,100.0,1000.0,477 CDM,PX-81479405,PR HEREDITARY PANCREATITIS GENE PANEL (HPANP-MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479406,PR CYB5 AND CYB5 REDUCTASE NGS (NCYB),3550.0,3159.5,355.0,3550.0,477 CDM,PX-81479407,PR CDA SEQUENCING NGS (NCDA),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479408,PR MOPATH PROC (NMEM),500.0,445.0,50.0,500.0,477 CDM,PX-81479409,PR RBC MEMBRANE SEQUENCING (NMEM-MEC),3550.0,3159.5,355.0,3550.0,477 CDM,PX-81479410,PR MOPATH PROC (NHEM),534.0,475.26,53.4,534.0,477 CDM,PX-81479411,PR ERYTHROCYTOSIS FOCUSED PANEL NGS (NHEM-MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479412,PR MOPATH PROC (NHEP),295.0,262.55,29.5,295.0,477 CDM,PX-81479413,PR ERYTHROCYTOSIS FULL PANEL NGS (NHEP-MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479414,"PR PROS GENE, FULL GENE (GNPRS)",1000.0,890.0,100.0,1000.0,477 CDM,PX-81479415,"PR SERPINC1 GENE, FULL GENE (GNANT)",1000.0,890.0,100.0,1000.0,477 CDM,PX-81479416,"PR F7 GENE, FULL GENE (GNF7)",1450.0,1290.5,145.0,1450.0,477 CDM,PX-81479417,"PR F11 GENE, FULL GENE (GNF11)",1450.0,1290.5,145.0,1450.0,477 CDM,PX-81479418,"PR PROC GENE, FULL GENE (GNPRC)",1000.0,890.0,100.0,1000.0,477 CDM,PX-81479419,"PR ADAMTS13 GENE, FULL GENE (GNADM)",1000.0,890.0,100.0,1000.0,477 CDM,PX-81479420,"PR MYH9 GENE, FULL GENE (GNMY9)",1450.0,1290.5,145.0,1450.0,477 CDM,PX-81479421,"PR F13A1 AND B GENES, FULL GENE (GNF13)",2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479422,"PR FGA/B/G GENES, FULL GENE (GNFIB)",2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479423,PR GP1BA GENE (GNVWD),100.0,89.0,10.0,100.0,477 CDM,PX-81479424,PR VWF AND GP1BA GENES (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479425,PR HEREDITARY ANGIOEDEMA PANEL (GNANG),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479427,PR MOPATH PROC (GNBLF),50.0,44.5,5.0,50.0,477 CDM,PX-81479428,PR BLEEDING FOCUSED GENE PANEL (MEC),1750.0,1557.5,175.0,1750.0,477 CDM,PX-81479429,PR MOPATH PROC (BRTP),39.0,34.71,3.9,39.0,477 CDM,PX-81479430,PR RAPID HERED BREAST CANCER TEST (MEC),2500.0,2225.0,250.0,2500.0,477 CDM,PX-81479431,PR DICER1 MUTATION ANALYSIS (DICET),1200.0,1068.0,120.0,1200.0,477 CDM,PX-81479432,PR POLE MUTATION ANALYSIS (POLET),1200.0,1068.0,120.0,1200.0,477 CDM,PX-81479433,PR MYOD1 MUTATION ANALYSIS (MYODT),1200.0,1068.0,120.0,1200.0,477 CDM,PX-81479434,PR ALK MUTATION ANALYSIS (ALKT),1200.0,1068.0,120.0,1200.0,477 CDM,PX-81479435,PR MOPATH PROC (MCFRC),180.0,160.2,18.0,180.0,477 CDM,PX-81479436,PR MAYOCOMPLETE FIBROMYOMATOUS RCC (MEC),1600.0,1424.0,160.0,1600.0,477 CDM,PX-81479439,PR SDH GENES MUTATION ANALYSIS (MEC),1600.0,1424.0,160.0,1600.0,477 CDM,PX-81479441,PR NTRK GENES MUTATION ANALYSIS (NTRKM),1600.0,1424.0,160.0,1600.0,477 CDM,PX-81479442,PR IGH/IK GENE REARRANGE BCGET/BCGBM/BCGR/BCGRV (MEC),507.0,451.23,50.7,507.0,477 CDM,PX-81479443,PR MITOCHON DELETION HETEROPLASMY (DMITO),500.0,445.0,50.0,500.0,477 CDM,PX-81479445,PR MOPATH PROC (T1GS),6.0,5.34,0.6,6.0,477 CDM,PX-81479446,PR TIER 1 GENOMIC SCREEN (MEC),350.0,311.5,35.0,350.0,477 CDM,PX-81479449,PR BCR/ABL1 RNA QUAL DIAG (BADX-MEC-NCCI),620.0,551.8,62.0,620.0,477 CDM,PX-81479450,PR BCR/ABL1 REFLEX QUAL/QUANT (BCRFX-MEC-NCCI),620.0,551.8,62.0,620.0,477 CDM,PX-81479455,PR KRAS MUTATION ANALYSIS (KRASW DEX-Z),828.0,736.92,82.8,828.0,477 CDM,PX-81479456,PR IMMUNOGLOBULIN GENE REARR (BCGRV DEX-Z),520.0,462.8,52.0,520.0,477 CDM,PX-81479461,PR COMBINED MTDNA+NUCLEAR GENE PANEL (CMITO DEX-Z),5000.0,4450.0,500.0,5000.0,477 CDM,PX-81479462,PR MOPATH PROC (PANGP),114.0,101.46,11.4,114.0,477 CDM,PX-81479463,PR EXP PANCREATITIS GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479464,PR ANGIOEDEMA/COMPLEMENT GENE PANEL (AECDP),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479465,PR PULMONARY FIBROSIS GENE PANEL (IPFGP),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479466,PR MOPATH PROC (PHCGD),167.0,148.63,16.7,167.0,477 CDM,PX-81479467,PR CGD/PHAGOCYTE DISORDER GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479468,PR CYSTIC FIBROSIS PANEL (CFMP DEX-Z),500.0,445.0,50.0,500.0,477 CDM,PX-81479469,PR TRB/TCG GENE REARRANGEMENT (TCGBM DEX-Z),643.0,572.27,64.3,643.0,477 CDM,PX-81479470,PR MLH1/BRAF ANALYSIS (BRMLH DEX-Z),1400.0,1246.0,140.0,1400.0,477 CDM,PX-81479471,PR MAYOCOMPLETE SOLID TUM PANEL (MCSTP DEX-Z),3600.0,3204.0,360.0,3600.0,477 CDM,PX-81479472,PR KRAS GENE PANEL (KRASD DEX-Z),900.0,801.0,90.0,900.0,477 CDM,PX-81479473,PR MOTOR NEURON DISEASE GENE PAN (MNDP DEX-Z),2000.0,1780.0,200.0,2000.0,477 CDM,PX-81479474,"PR IDH1 AND IDH2, QUANT (IDHQ DEX-Z)",570.0,507.3,57.0,570.0,477 CDM,PX-81479475,PR FLT3 MUTATION ANALYSIS (FLT DEX-Z),485.0,431.65,48.5,485.0,477 CDM,PX-81479476,PR NEURO-ONC EXPAND PANEL (NONCP DEX-Z),3600.0,3204.0,360.0,3600.0,477 CDM,PX-81479477,PR CFTR GENE FULL ANALYSIS (CFTRN DEX-Z),1000.0,890.0,100.0,1000.0,477 CDM,PX-81479478,PR TTR GENE FULL GENE ANALYSIS (TTRZ DEX-Z),1000.0,890.0,100.0,1000.0,477 CDM,PX-81479479,PR MITOCHONDRIAL FULL GENOME ANAL (MITOP DEX-Z),2500.0,2225.0,250.0,2500.0,477 CDM,PX-81479480,PR INBORN ERR OF IMMUNITY GENE PANEL (IEICP DEX-Z)),2500.0,2225.0,250.0,2500.0,477 CDM,PX-81479481,PR MAYO COMPLETE ACUTE MYELOID LEUKEMIA (MEC),1756.0,1562.84,175.6,1756.0,477 CDM,PX-815000001,HC BMT ACQUISITION RELATED ALLO,108780.0,96814.2,22626.24,108780.0,717 CDM,PX-815000005,HC BMT ACQUISITION PBSC,141600.0,126024.0,29452.8,141600.0,717 CDM,PX-815000006,HC BMT ACQUISITION MARROW,108780.0,96814.2,22626.24,108780.0,717 CDM,PX-81508001,PR FIRST TRIMESTER MATERNAL SCRN,330.0,293.7,54.3,330.0,481 CDM,PX-81513,PR BACTERIAL VAGINOSIS AMP RNA,383.0,340.87,142.63,383.0,467 CDM,PX-81517001,PR LIVER DISEASE ANALYZE 3 BIOMARKERS,977.0,869.53,176.19,977.0,481 CDM,PX-81596,PR INFCT DS CHRNC HCV 6 ASSAYS,494.0,439.66,72.19,494.0,481 CDM,PX-81599004,PR CHD GENETIC RISK SCORE,800.0,712.0,80.0,800.0,477 CDM,PX-81599010,PR TIMP2/IGFBP7 AKI RISK SCORE,262.0,233.18,26.2,262.0,477 CDM,PX-81599011,PR PREECLAMPSIA SLFT-1/PIGF RATIO,213.0,189.57,21.3,213.0,477 CDM,PX-819000001,HC BMT ACQUISITION CORD BLOOD,71100.0,63279.0,14788.8,71100.0,717 CDM,PX-82010,PR KETONE QUANT,99.0,88.11,8.17,99.0,481 CDM,PX-82013,PR ACETYLCHOLINESTERASE ASSAY,181.0,161.09,12.29,181.0,481 CDM,PX-82017002,PR ACYLCARNITINE QUANT EA 2,128.0,113.92,16.87,128.0,481 CDM,PX-82024,PR ACTH,329.0,292.81,38.62,329.0,467 CDM,PX-82024002,PR ACTH 1,329.0,292.81,38.62,329.0,467 CDM,PX-82040,PR ALBUMIN SERUM/PLASMA/WHOLE BLD,39.0,34.71,4.95,39.0,481 CDM,PX-82040002,PR ALBUMIN SERUM/PLASMA/WHOLE BLD 2,39.0,34.71,4.95,39.0,481 CDM,PX-82042,PR ALBUMIN URINE/OTHER SOURCE QUANT,70.0,62.3,7.78,70.0,467 CDM,PX-82043,PR MICROALBUMIN QUANT URINE,92.0,81.88,5.78,92.0,481 CDM,PX-82075,PR BREATHALYZER ETOH ASSAY,93.0,82.77,30.0,93.0,485 CDM,PX-82077,PR ASSAY OF ALCOHOL NON-URINE/BREATH,176.0,156.64,17.27,176.0,481 CDM,PX-82085,PR ALDOLASE ASSAY,93.0,82.77,9.71,93.0,481 CDM,PX-82088,PR ALDOSTERONE SERUM,288.0,256.32,40.75,288.0,481 CDM,PX-82088001,PR ALDOSTERONE URINE,288.0,256.32,40.75,288.0,467 CDM,PX-82088002,PR ALDOSTERONE PLASMA,288.0,256.32,40.75,288.0,467 CDM,PX-821000001,HC DIALYSIS TRAIN BY NONMD,2471.0,2199.19,299.08,2471.0,737 CDM,PX-821000004,HC HEMODIALYSIS TREATMENT,2471.0,2199.19,299.08,2471.0,737 CDM,PX-821000005,HC HEMODIALYSIS TX ACUTE - CERT,3724.0,3314.36,248.8,3724.0,731 CDM,PX-821000006,HC HOME RETRAINING BY NON MD,2551.0,2270.39,299.08,2551.0,737 CDM,PX-821000007,HC HEMODIALYSIS TREATMENT FOR TRANSIENT,2471.0,2199.19,299.08,2471.0,737 CDM,PX-821000008,HC HOME HEMO TREATMENT,2471.0,2199.19,299.08,2471.0,737 CDM,PX-82103,PR ALPHA 1 ANTITRYPSIN TOTAL,145.0,129.05,13.44,145.0,467 CDM,PX-82103001,PR ALPHA 1 ANTITRYPSIN TOTAL 1,145.0,129.05,13.44,145.0,467 CDM,PX-82104,PR ALPHA1 ANTITRYPSIN PHENOTYPE,180.0,160.2,14.46,180.0,467 CDM,PX-82105,PR ALPHA FETOPROTEIN SERUM,138.0,122.82,16.77,138.0,467 CDM,PX-82106,PR ALPHA FETOPROTEIN AMNIOTIC,131.0,116.59,17.0,131.0,481 CDM,PX-82107,PR AFP L3 FRACTN ISOFRM TTL AFP,427.0,380.03,64.41,427.0,467 CDM,PX-82108,PR ALUMINUM ASSAY,236.0,210.04,25.48,236.0,467 CDM,PX-82108001,PR ALUMINUM ASSAY 1,236.0,210.04,25.48,236.0,467 CDM,PX-82131001,PR TRYPTOPHAN,215.0,191.35,22.98,215.0,481 CDM,PX-82131003,PR TRYTOPHAN 2,217.0,193.13,22.98,217.0,481 CDM,PX-82135,PR AMINOLEVULINIC ACID,202.0,179.78,16.45,202.0,481 CDM,PX-82135002,PR AMINOLEVULINIC ACID 2,202.0,179.78,16.45,202.0,481 CDM,PX-82136,PR AMINO ACIDS 2 TO 5 QUANT EA,183.0,162.87,19.61,183.0,481 CDM,PX-82136004,PR AMINO ACIDS QUANT 2-5 EA 2 (CMMPP/CMMPS-NCCI),210.0,186.9,19.61,210.0,481 CDM,PX-82136005,PR AMINO ACIDS 2 TO 5 QUANT EA 2,213.0,189.57,19.61,213.0,481 CDM,PX-82139,PR AMINO ACIDS 6 OR MORE QUANT EA,207.0,184.23,16.87,207.0,481 CDM,PX-82139003,PR AMINO ACIDS 6 OR MORE QUANT EA 2 (AAPD-R),207.0,184.23,16.87,207.0,481 CDM,PX-82140,PR AMMONIA ASSAY,118.0,105.02,14.57,118.0,481 CDM,PX-82150,PR AMYLASE ASSAY,63.0,56.07,6.48,63.0,481 CDM,PX-82150002,PR AMYLASE ASSAY 2,63.0,56.07,6.48,63.0,481 CDM,PX-82157,PR ANDROSTENEDIONE,312.0,277.68,29.28,312.0,467 CDM,PX-82164,PR ANGIOTENSIN I CONVERT ENZYME,156.0,138.84,14.6,156.0,481 CDM,PX-82166,PR ANTIMULLERIAN HORMONE,255.0,226.95,38.62,255.0,467 CDM,PX-82172,PR APOLIPOPROTEIN EACH,80.0,71.2,21.09,80.0,481 CDM,PX-82175001,PR ARSENIC ASSAY NOT URINE/SERUM/WB,196.0,174.44,18.97,196.0,467 CDM,PX-82175002,PR ARSENIC ASSAY URINE/SERUM/WB EA,196.0,174.44,18.97,196.0,467 CDM,PX-82175003,PR ARSENIC ASSAY URINE/SERUM/WB EA 1,196.0,174.44,18.97,196.0,467 CDM,PX-82180,PR ASCORBIC ACID/VITAMIN C BLOOD,124.0,110.36,9.89,124.0,467 CDM,PX-82232,PR BETA 2 MICROGLOBULIN,191.0,169.99,16.18,191.0,467 CDM,PX-82234,PR BETA-AMYLOID 1-42,159.0,141.51,128.92,159.0,467 CDM,PX-82234001,PR BETA-AMYLOID 1-42 2,159.0,141.51,128.92,159.0,467 CDM,PX-82239,PR BILE ACIDS TOTAL,149.0,132.61,17.12,149.0,481 CDM,PX-82247,PR BILIRUBIN TOTAL,43.0,38.27,5.02,43.0,493 CDM,PX-82248,PR BILIRUBIN DIRECT,37.0,32.93,5.02,37.0,481 CDM,PX-82261,PR BIOTINIDASE EA SPECIMEN,58.0,51.62,16.87,58.0,481 CDM,PX-82274,PR OCCULT BLOOD FECES IMMUNOASSAY,89.0,79.21,15.92,89.0,481 CDM,PX-82300001,PR CADMIUM BLOOD,164.0,145.96,23.64,164.0,467 CDM,PX-82300002,PR CADMIUM URINE,164.0,145.96,23.64,164.0,467 CDM,PX-82306,PR VITAMIN D 25 HYDROXY,255.0,226.95,29.6,255.0,467 CDM,PX-82308,PR CALCITONIN SERUM,343.0,305.27,26.79,343.0,467 CDM,PX-82310,PR CALCIUM TOTAL,42.0,37.38,5.16,42.0,488 CDM,PX-82330,PR CALCIUM IONIZED,121.0,107.69,13.68,121.0,481 CDM,PX-82340001,PR CA URINE QUANT TIMED SPECIMEN,49.0,43.61,6.03,49.0,481 CDM,PX-82365,PR CALCULUS INFRARED SPECTROSCOPY,123.0,109.47,12.9,123.0,467 CDM,PX-82373,PR CARBOHYDRATE DEF TRANSFERRIN,244.0,217.16,18.06,244.0,481 CDM,PX-82374,PR CO2 ASSAY,30.0,26.7,4.88,30.0,482 CDM,PX-82375,PR CARBOXYHEMOGLOBIN QUANT,130.0,115.7,12.32,130.0,487 CDM,PX-82378,PR CARCINOEMBRYONIC ANTIGEN/CEA,186.0,165.54,18.96,186.0,467 CDM,PX-82379,PR CARNITINE QUANT EA SPECIMEN,148.0,131.72,16.87,148.0,481 CDM,PX-82384,PR CATECHOLAMINES FRACTIONATED,237.0,210.93,25.25,237.0,467 CDM,PX-82390,PR CERULOPLASMIN,124.0,110.36,10.74,124.0,481 CDM,PX-82397,PR CHEMILUMINESCENT ASSAY,134.0,119.26,14.12,134.0,467 CDM,PX-82397001,PR ALPHA SUBUNIT/APGH,134.0,119.26,14.12,134.0,467 CDM,PX-82397002,PR CHEMILUMINESCENT ASSAY 1,134.0,119.26,14.12,134.0,481 CDM,PX-82397003,PR PTH RELATED PEPTIDE/PTHRP,134.0,119.26,14.12,134.0,467 CDM,PX-82397005,PR CHEMILUMINESCENT ASSAY 2,134.0,119.26,14.12,134.0,467 CDM,PX-82435,PR CHLORIDE BLOOD,26.0,23.14,4.6,26.0,483 CDM,PX-82436,PR CHLORIDE URINE,41.0,36.49,5.75,41.0,481 CDM,PX-82438,PR CHLORIDE OTHER SOURCE,104.0,92.56,5.0,104.0,481 CDM,PX-82465,PR CHOLESTEROL TOTAL,34.0,30.26,4.35,34.0,481 CDM,PX-82480,PR CHOLINESTERASE SERUM,96.0,85.44,7.87,96.0,481 CDM,PX-82495,PR CHROMIUM ASSAY,156.0,138.84,20.28,156.0,467 CDM,PX-82495001,PR CHROMIUM ASSAY 2,156.0,138.84,20.28,156.0,467 CDM,PX-82495003,PR CHROMIUM ASSAY 3,156.0,138.84,20.28,156.0,467 CDM,PX-82507,PR CITRATE ASSAY,167.0,148.63,27.8,167.0,481 CDM,PX-82523,PR COLLAGEN CROSS LINKS,254.0,226.06,18.68,254.0,467 CDM,PX-82525001,PR COPPER ASSAY SERUM,114.0,101.46,12.41,114.0,467 CDM,PX-82525002,PR COPPER ASSAY TISSUE,114.0,101.46,12.41,114.0,467 CDM,PX-82525003,PR COPPER ASSAY URINE,114.0,101.46,12.41,114.0,467 CDM,PX-82525004,PR COPPER ASSAY 2,114.0,101.46,12.41,114.0,467 CDM,PX-82530,PR CORTISOL FREE,192.0,170.88,16.71,192.0,467 CDM,PX-82530001,PR CORTISOL FREE 1,192.0,170.88,16.71,192.0,467 CDM,PX-82533,PR CORTISOL TOTAL,145.0,129.05,16.3,145.0,481 CDM,PX-82540,PR CREATINE ASSAY,68.0,60.52,4.64,68.0,481 CDM,PX-82542001,PR COL CHROMOTOGRAPHY QUAL/QUAN 10,156.0,138.84,24.09,156.0,483 CDM,PX-82542004,PR COL CHR/MS NES,156.0,138.84,24.09,156.0,483 CDM,PX-82542005,PR COL CHROMOTOGRAPHY QUAL/QUAN 13,156.0,138.84,24.09,156.0,483 CDM,PX-82542008,PR HYPEROXALURIA,156.0,138.84,24.09,156.0,483 CDM,PX-82542016,PR POLYOLS,156.0,138.84,24.09,156.0,483 CDM,PX-82542025,PR STEROLS PLASMA QUANT,156.0,138.84,24.09,156.0,483 CDM,PX-82542029,PR GUANIDINOACETATE QUANT,156.0,138.84,24.09,156.0,483 CDM,PX-82542030,PR LYSOPC BY LC MS/MS QUANT,156.0,138.84,24.09,156.0,483 CDM,PX-82542031,PR PURINE AND PYRIMIDINE PANEL,156.0,138.84,24.09,156.0,483 CDM,PX-82542032,PR COL CHROMOTOGRAPHY QUAL/QUAN 4,156.0,138.84,24.09,156.0,483 CDM,PX-82542033,PR COL CHROMOTOGRAPHY QUAL/QUAN 3,156.0,138.84,24.09,156.0,483 CDM,PX-82542034,PR COENZYME Q10 REDUC&TOTAL,156.0,138.84,24.09,156.0,483 CDM,PX-82542035,PR COL CHR/MS STABLE MULT QUANT,156.0,138.84,24.09,156.0,469 CDM,PX-82542036,PR PORPHYRINS FRACTION,156.0,138.84,24.09,156.0,483 CDM,PX-82542037,PR PYRIDOXIC ACID QUANT,156.0,138.84,24.09,156.0,469 CDM,PX-82542040,PR OXYSTEROLS QUANT,156.0,138.84,24.09,156.0,483 CDM,PX-82542041,PR COL CHROMOTOGRAPHY QUAL/QUAN 14,156.0,138.84,24.09,156.0,483 CDM,PX-82542042,PR BILE ACID FRACT AND TOTAL,156.0,138.84,24.09,156.0,483 CDM,PX-82542043,PR GLUCOPSYCHOSINE BLD SPOT QUANT,156.0,138.84,24.09,156.0,483 CDM,PX-82542046,PR LYSOSOMAL DISORDER SN QUANT,156.0,138.84,24.09,156.0,483 CDM,PX-82542047,PR COL CHROMOTOGRAPHY QUAL/QUAN 2,156.0,138.84,24.09,156.0,469 CDM,PX-82542052,PR GALACTITOL,156.0,138.84,24.09,156.0,483 CDM,PX-82542053,PR COL CHROMOTOGRAPHY QUAL/QUAN 8,156.0,138.84,24.09,156.0,483 CDM,PX-82542057,PR A1AT PROTEOTYPE,156.0,138.84,24.09,156.0,469 CDM,PX-82542058,PR ADMA MS QUANT,156.0,138.84,24.09,156.0,483 CDM,PX-82542059,PR DEOXYCORTISOL 21,156.0,138.84,24.09,156.0,483 CDM,PX-82542060,PR F2 ISOPROSTANES QUANT,156.0,138.84,24.09,156.0,483 CDM,PX-82542061,PR COL CHROMOTOGRAPHY QUAL/QUAN 6,156.0,138.84,24.09,156.0,469 CDM,PX-82542062,PR METHYLHISTAMINE QUANT,156.0,138.84,24.09,156.0,469 CDM,PX-82542063,"PR 7AC4, BILE ACID SYNTH",156.0,138.84,24.09,156.0,483 CDM,PX-82542064,PR PORPHOBILINOGEN,156.0,138.84,24.09,156.0,483 CDM,PX-82542068,"PR 24, 25 DIHYDROXY",156.0,138.84,24.09,156.0,469 CDM,PX-82542071,PR COL CHROMOTOGRAPHY QUAL/QUAN 7,156.0,138.84,24.09,156.0,483 CDM,PX-82542072,PR AMYLOID PROTEIN 2,156.0,138.84,24.09,156.0,483 CDM,PX-82542074,PR PORPHYRINS FRACTION 1,156.0,138.84,24.09,156.0,483 CDM,PX-82542075,PR COL CHROMOTOGRAPHY QUAL/QUAN 5,156.0,138.84,24.09,156.0,483 CDM,PX-82542080,PR COL CHROMOTOGRAPHY (PKUBS-MEC-NCCI),192.0,170.88,24.09,192.0,483 CDM,PX-82542085,PR COL CHROMOTOGRAPHY (CMMPP/CMMPS-MEC-NCCI),695.0,618.55,24.09,695.0,483 CDM,PX-82542086,PR ACYLGLYCINES QN,156.0,138.84,24.09,156.0,483 CDM,PX-82542087,PR GUANIDINOACETATE,156.0,138.84,24.09,156.0,483 CDM,PX-82542088,PR SEROTONIN RELEASE ASSAY,156.0,138.84,24.09,156.0,483 CDM,PX-82542089,PR IOHEXOL PLASMA DISAPPEARANCE,156.0,138.84,24.09,156.0,483 CDM,PX-82542090,PR COL CHROMOTOGRAPHY QUAL/QUAN LTE4/NMH,156.0,138.84,24.09,156.0,469 CDM,PX-82542092,PR COL CHROMOTOGRAPHY QUAL/QUAN 9,156.0,138.84,24.09,156.0,483 CDM,PX-82542094,PR COL CHROMOTOGRAPHY QUAL/QUAN 12,156.0,138.84,24.09,156.0,483 CDM,PX-82550,PR CREATINE KINASE TOTAL,57.0,50.73,6.51,57.0,481 CDM,PX-82565,PR CREATININE BLOOD,40.0,35.6,5.12,40.0,488 CDM,PX-82570,PR CREATININE OTHER SOURCE,53.0,47.17,5.18,53.0,481 CDM,PX-82575,PR CREATININE CLEARANCE,106.0,94.34,9.46,106.0,481 CDM,PX-82575001,PR SHORT RENAL CLRNCE CREATININE,106.0,94.34,9.46,106.0,481 CDM,PX-82585,PR CRYOFIBRINOGEN ASSAY,106.0,94.34,14.14,106.0,467 CDM,PX-82595,PR CRYOGLOBULIN QUAL,76.0,67.64,6.47,76.0,467 CDM,PX-82607,PR VITAMIN B12 ASSAY,158.0,140.62,15.08,158.0,481 CDM,PX-82610001,PR CYSTATIN C 2,126.0,112.14,18.52,126.0,481 CDM,PX-82626,PR DHEA,266.0,236.74,25.27,266.0,467 CDM,PX-82627,PR DHEA SULFATE,215.0,191.35,22.23,215.0,467 CDM,PX-82633,PR DESOXYCORTICOSTERONE 11,320.0,284.8,30.98,320.0,467 CDM,PX-82634,PR DEOXYCORTISOL 11,214.0,190.46,29.28,214.0,467 CDM,PX-82642,PR DIHYDROTESTOSTERONE,313.0,278.57,29.28,313.0,467 CDM,PX-82652,PR VITAMIN D 1 25 DIHYDROXY,293.0,260.77,38.5,293.0,467 CDM,PX-82653,PR ELASTASE PANCREATIC FECAL QUANT,148.0,131.72,22.97,148.0,467 CDM,PX-82657006,PR ENZYME ACTIVITY IN BLOOD CELLS 3,193.0,171.77,22.17,193.0,481 CDM,PX-82657007,PR ALPHA GALACTOSIDASE LEUKOCYTE,193.0,171.77,22.17,193.0,481 CDM,PX-82657008,PR ALPHA GALACTOSIDASE PLASMA,193.0,171.77,22.17,193.0,481 CDM,PX-82657011,PR ALPHA MANNOSIDASE LEUKOCYTES,192.0,170.88,22.17,192.0,481 CDM,PX-82657012,PR ENZYME ACTIVITY IN BLOOD CELLS 4,193.0,171.77,22.17,193.0,481 CDM,PX-82657013,PR ARYLSULFATASE A LEUKOCYTES,193.0,171.77,22.17,193.0,481 CDM,PX-82657020,PR HEXOKINASE,182.0,161.98,22.17,182.0,481 CDM,PX-82657022,PR LYSOSOMAL ACID LIPASE,193.0,171.77,22.17,193.0,481 CDM,PX-82657023,PR METHEMOGLOBIN REDUCTASE,184.0,163.76,22.17,184.0,481 CDM,PX-82657028,PR PBG DEAMINASE,193.0,171.77,22.17,193.0,481 CDM,PX-82657030,PR PPM PMI LEUKOCYTES,193.0,171.77,22.17,193.0,481 CDM,PX-82657035,PR UPG DECARBOXYLASE,193.0,171.77,22.17,193.0,481 CDM,PX-82657037,PR UROPORPHYRINOGEN III SYNTHASE,193.0,171.77,22.17,193.0,481 CDM,PX-82657044,PR BETA GALACTOSIDASE ANY SOURCE,193.0,171.77,22.17,193.0,481 CDM,PX-82657045,PR ENZYME ACTIVITY IN BLOOD CELLS 2,193.0,171.77,22.17,193.0,481 CDM,PX-82657049,PR ENZYME ACT IN BLOOD CELLS (LSD6W-NCCI),193.0,171.77,22.17,193.0,481 CDM,PX-82657052,PR ENZYME ACTIVITY IN BLOOD CELLS 5,193.0,171.77,22.17,193.0,481 CDM,PX-82664,PR ELECTROPHORETIC TECH NES,286.0,254.54,61.5,286.0,481 CDM,PX-82668,PR ERYTHROPOIETIN ASSAY,231.0,205.59,18.79,231.0,467 CDM,PX-82670,PR ESTRADIOL ASSAY,171.0,152.19,27.94,171.0,481 CDM,PX-82671,PR ESTROGENS FRACTIONATED,316.0,281.24,32.3,316.0,467 CDM,PX-82677,PR ESTRIOL ASSAY,171.0,152.19,24.18,171.0,467 CDM,PX-82679,PR ESTRONE ASSAY,249.0,221.61,24.95,249.0,467 CDM,PX-82710,PR FECAL FAT QUANT,204.0,181.56,16.8,204.0,481 CDM,PX-82725,PR FATTY ACID NONESTERFIED,103.0,91.67,18.77,103.0,481 CDM,PX-82726,PR FATTY ACID VERY LONG CHAIN,101.0,89.89,19.75,101.0,481 CDM,PX-82728,PR FERRITIN ASSAY,110.0,97.9,13.63,110.0,482 CDM,PX-82735,PR FLUORIDE ASSAY,144.0,128.16,18.54,144.0,467 CDM,PX-82746,PR FOLIC ACID SERUM ASSAY,121.0,107.69,14.7,121.0,481 CDM,PX-82760001,PR GALACTOSE PLASMA,55.0,48.95,11.2,55.0,481 CDM,PX-82775,PR GALT QUANT,65.0,57.85,21.07,65.0,481 CDM,PX-82777,PR GALECTIN 3,88.0,78.32,44.25,88.0,481 CDM,PX-82784,PR IMMUNOGLOBGULINS EA,86.0,76.54,9.3,86.0,467 CDM,PX-82784001,PR IMMUNOGLOBULIN IGD,86.0,76.54,9.3,86.0,467 CDM,PX-82784003,PR IMMUNOGLOBULIN CSF,86.0,76.54,9.3,86.0,467 CDM,PX-82784005,PR ASSAY IGA/IGD/IGG/IGM EACH 2,86.0,76.54,9.3,86.0,467 CDM,PX-82785,PR IMMUNOGLOBULIN IGE ASSAY,126.0,112.14,16.46,126.0,467 CDM,PX-82787,PR IMMUNOGLOBIN SUBCLASSES EA,134.0,119.26,8.02,134.0,467 CDM,PX-82787001,PR IMMUNOGLOBIN SUBCLASSES EA 2,134.0,119.26,8.02,134.0,467 CDM,PX-82803,PR BLD GASES ANY COMBINATION,105.0,93.45,26.07,105.0,482 CDM,PX-82805,PR BLD GASES W DIRECT MEAS O2 SAT,164.0,145.96,78.77,164.0,487 CDM,PX-82805001,PR BLD GASES W DIRECT MEAS O2 SAT 2,164.0,145.96,78.77,164.0,487 CDM,PX-829000000,HC EMERGENCY DIALYSIS,3262.0,2903.18,678.5,3262.0,734 CDM,PX-82941,PR GASTRIN ASSAY,167.0,148.63,17.63,167.0,467 CDM,PX-82943,PR GLUCAGON ASSAY,230.0,204.7,14.29,230.0,467 CDM,PX-82945,PR GLUCOSE BODY FLUID,75.0,66.75,3.93,75.0,482 CDM,PX-82945001,PR GLUCOSE OTHER FLUID,75.0,66.75,3.93,75.0,482 CDM,PX-82947,PR GLUCOSE BLOOD QUANT,33.0,29.37,3.93,33.0,485 CDM,PX-82947002,PR GLUCOSE BLOOD QUANT 2,33.0,29.37,3.93,33.0,485 CDM,PX-82950,PR GLUCOSE POSTDOSE,43.0,38.27,4.75,43.0,482 CDM,PX-82951,PR GTT 3 SPECIMENS,107.0,95.23,12.87,107.0,481 CDM,PX-82952,PR GTT EA ADD 3 > SPECIMENS,36.0,32.04,3.92,36.0,481 CDM,PX-82955,PR G6PD QUANT,134.0,119.26,9.7,134.0,481 CDM,PX-82963,PR ASSAY OF GLUCOSIDASE,190.0,169.1,21.48,190.0,481 CDM,PX-82963001,PR CHG ASSAY OF GLUCOSIDASE (LSD6W-NCCI),196.0,174.44,21.48,196.0,481 CDM,PX-82977,PR GAMMA GLUTAMYL TRANSFERASE,57.0,50.73,7.2,57.0,481 CDM,PX-82978,PR GLUTATHIONE ASSAY,94.0,83.66,15.45,94.0,481 CDM,PX-82985,PR FRUCTOSAMINE ASSAY,94.0,83.66,16.76,94.0,481 CDM,PX-83001,PR FSH/FOLLICLE STIM HORMONE,154.0,137.06,18.58,154.0,481 CDM,PX-83002,PR LUTEINIZING HORMONE,154.0,137.06,18.52,154.0,481 CDM,PX-83002002,PR LUTEINIZING HORMONE 1,154.0,137.06,18.52,154.0,467 CDM,PX-83003,PR HUMAN GROWTH HORMONE ASSAY,155.0,137.95,16.67,155.0,467 CDM,PX-83010,PR HAPTOGLOBIN ASSAY QUANT,152.0,135.28,12.58,152.0,467 CDM,PX-83013,PR HELICOBACTER PYLORI BREATH TEST,322.0,286.58,67.36,322.0,467 CDM,PX-83014,PR H PYLORI DRUG ADMIN,64.0,56.96,7.86,64.0,486 CDM,PX-83018,PR HEAVY METAL QUANT EA,174.0,154.86,21.96,174.0,467 CDM,PX-83018001,PR HEAVY METAL QUANT EA 2,174.0,154.86,21.96,174.0,467 CDM,PX-83018002,PR HEAVY METAL QUANT EA 3,174.0,154.86,21.96,174.0,467 CDM,PX-83018003,PR HEAVY METAL QUANT EA 4,174.0,154.86,21.96,174.0,467 CDM,PX-83018008,PR HEAVY METAL QUANT EA 8,174.0,154.86,21.96,174.0,467 CDM,PX-83020001,"PR HB VARIANT, A2 AND F QUAN",124.0,110.36,12.87,124.0,481 CDM,PX-83021,PR HEMOGLOBIN CHROMATOGRAPHY QUANT,228.0,202.92,18.06,228.0,481 CDM,PX-83036,PR HEMOGLOBIN GLYCATED A1C,80.0,71.2,9.71,80.0,485 CDM,PX-83036001,PR HEMOGLOBIN GLYCATED A1C 2,80.0,71.2,9.71,80.0,485 CDM,PX-83050,PR METHEMOGLOBIN QUANT,66.0,58.74,8.2,66.0,487 CDM,PX-83051,PR HEMOGLOBIN PLASMA ASSAY,74.0,65.86,7.31,74.0,481 CDM,PX-83060,PR SULFHEMOGLOBIN QUANT,118.0,105.02,8.8,118.0,481 CDM,PX-83068,PR HEMOGLOBIN UNSTABLE SCREEN,103.0,91.67,9.47,103.0,481 CDM,PX-83070,PR HEMOSIDERIN ASSAY QUAL,100.0,89.0,4.75,100.0,481 CDM,PX-83080,PR HEXOSAMINIDASE ASSAY,161.0,143.29,16.87,161.0,481 CDM,PX-83080001,PR HEXOSAMINIDASE LEUKOCYTES,162.0,144.18,16.87,162.0,481 CDM,PX-83080002,PR HEXOSAMINIDASE SERUM,162.0,144.18,16.87,162.0,481 CDM,PX-83090,PR HOMOCYSTEINE ASSAY,160.0,142.4,17.92,160.0,481 CDM,PX-83090001,PR HOMOCYSTEINE ASSAY 2 (CMMPP/CMMPS-NCCI),164.0,145.96,17.92,164.0,481 CDM,PX-83150,PR HOMOVANILLIC ACID ASSAY,98.0,87.22,22.41,98.0,481 CDM,PX-83497,PR 5 HIAA ASSAY,88.0,78.32,12.9,88.0,481 CDM,PX-83498,PR HYDROXYPROGESTERONE ASSAY,237.0,210.93,27.17,237.0,467 CDM,PX-83516003,PR BULLOUS PEMPHGD EACH,104.0,92.56,11.53,104.0,481 CDM,PX-83516004,PR CENTOMERE AB MULT,119.0,105.91,11.53,119.0,467 CDM,PX-83516006,PR DESMOGLEIN EACH,104.0,92.56,11.53,104.0,481 CDM,PX-83516012,PR MYELOPEROXIDASE AB EACH,119.0,105.91,11.53,119.0,467 CDM,PX-83516014,PR IMMUNOASSAY MULT STEP METHOD A3,119.0,105.91,11.53,119.0,481 CDM,PX-83516015,PR PROTEINASE 3 AB EACH,119.0,105.91,11.53,119.0,467 CDM,PX-83516017,PR IMMUNOASSAY MULT STEP METHOD A2,119.0,105.91,11.53,119.0,467 CDM,PX-83516018,PR IMMUNOASSAY NONANTIBODY,107.0,95.23,11.53,107.0,481 CDM,PX-83516019,PR IMMUNOASSAY MULT STEP METHOD A1,119.0,105.91,11.53,119.0,481 CDM,PX-83516022,PR IMMUNOASSAY MULT STEP METHOD A4,119.0,105.91,11.53,119.0,467 CDM,PX-83518001,PR IMMUNOASSAY ANALYTE QUAL/SEMIQUAN,63.0,56.07,9.64,63.0,467 CDM,PX-83519001,PR ACHR GANGLIONIC AB RIA,196.0,174.44,18.4,196.0,481 CDM,PX-83519018,PR PANCREATIC POLYPEPTIDE QUANT RIA,196.0,174.44,18.4,196.0,467 CDM,PX-83519019,PR PROCOLLAGEN I INTACT TERM RIA,196.0,174.44,18.4,196.0,467 CDM,PX-83519022,PR VGKC COMPLEX AB RIA,196.0,174.44,18.4,196.0,481 CDM,PX-83519027,PR OREXIN A RIA,196.0,174.44,18.4,196.0,467 CDM,PX-83520,PR IMMUNOASSAY QUANT NOS,159.0,141.51,17.27,159.0,467 CDM,PX-83520008,PR C1 ESTERASE INHIBITOR QUANT,159.0,141.51,17.27,159.0,467 CDM,PX-83520016,PR FRATAXIN QUANT,169.0,150.41,17.27,169.0,481 CDM,PX-83520021,PR IGFBP 3 QUANT,159.0,141.51,17.27,159.0,467 CDM,PX-83520023,PR INHIBIN B QUANT,159.0,141.51,17.27,159.0,467 CDM,PX-83520030,PR IMMUNOASSAY QUANT NOS 2,159.0,141.51,17.27,159.0,467 CDM,PX-83520033,PR NEURON SPECIFIC ENOLASE QUANT SERUM,159.0,141.51,17.27,159.0,467 CDM,PX-83520035,PR NEURON SPECIFIC ENOLASE QUANT,159.0,141.51,17.27,159.0,467 CDM,PX-83520047,PR THYROTROPIN RECEPTOR ANTIBODY QUANT,159.0,141.51,17.27,159.0,467 CDM,PX-83520049,PR TRYPTASE SERUM,159.0,141.51,17.27,159.0,467 CDM,PX-83520052,PR GDF15,169.0,150.41,17.27,169.0,481 CDM,PX-83520055,PR ADALIMUMAB,159.0,141.51,17.27,159.0,467 CDM,PX-83520060,PR IMMUNOASSAY QUANT NOS 4,159.0,141.51,17.27,159.0,467 CDM,PX-83520062,PR IMMUNOASSAY QUANT NOS 1,159.0,141.51,17.27,159.0,467 CDM,PX-83520063,PR IGG/IGM MONOS GM1 TITER,159.0,141.51,17.27,159.0,481 CDM,PX-83520064,PR IGG/IGM ASIALO GM1 TITER,159.0,141.51,17.27,159.0,481 CDM,PX-83520065,PR IGG/IMM DISIALO GD1B TITER,159.0,141.51,17.27,159.0,481 CDM,PX-83520066,PR PHOSPHOLIPASE A2 RECEPT,159.0,141.51,17.27,159.0,481 CDM,PX-83520067,PR INTACT FIBROBLAST GF 23,159.0,141.51,17.27,159.0,467 CDM,PX-83520069,PR IMMUNOASSAY QUANT NOS 5,159.0,141.51,17.27,159.0,467 CDM,PX-83520070,PR CYTOKINE PANEL,32.0,28.48,17.27,32.0,467 CDM,PX-83520072,PR IMMUNOASSAY QUANT NOS 6,159.0,141.51,17.27,159.0,467 CDM,PX-83520074,PR CYTOKINE PANEL (CYTH1),32.0,28.48,17.27,32.0,467 CDM,PX-83520075,PR CYTOKINE PANEL (CYTH2),32.0,28.48,17.27,32.0,467 CDM,PX-83520076,PR IMMUNOASSAY QUANT NOS 8,154.0,137.06,17.27,154.0,481 CDM,PX-83520077,PR IMMUNOASSAY QUANT NOS 9,154.0,137.06,17.27,154.0,481 CDM,PX-83521,PR IG LIGHT CHAINS FREE EA,154.0,137.06,17.27,154.0,481 CDM,PX-83521001,PR IG LIGHT CHAINS FREE EA 2,154.0,137.06,17.27,154.0,467 CDM,PX-83521002,PR IG LIGHT CHAINS FREE EA 3,154.0,137.06,17.27,154.0,467 CDM,PX-83525,PR INSULIN ASSAY TOTAL,92.0,81.88,11.43,92.0,481 CDM,PX-83527,PR INSULIN ASSAY FREE,174.0,154.86,12.95,174.0,467 CDM,PX-83529,PR ASSAY OF INTERLEUKIN-6 (IL-6),150.0,133.5,17.27,150.0,467 CDM,PX-83529002,PR ASSAY OF INTERLEUKIN-6 (CYPAN),39.0,34.71,17.27,39.0,467 CDM,PX-83540,PR IRON ASSAY TOTAL,46.0,40.94,6.47,46.0,482 CDM,PX-83550,PR IRON BINDING CAPACITY,64.0,56.96,8.74,64.0,482 CDM,PX-83605,PR LACTIC ACID/LACTATE ASSAY,93.0,82.77,11.57,93.0,486 CDM,PX-83605001,PR D-LACTATE,105.0,93.45,11.57,105.0,486 CDM,PX-83605003,PR LACTIC ACID BLOOD,93.0,82.77,11.57,93.0,486 CDM,PX-83615,PR LACTATE DEHYDROGENASE/LDH,44.0,39.16,6.04,44.0,481 CDM,PX-83655,PR LEAD ASSAY,89.0,79.21,12.11,89.0,467 CDM,PX-83655001,PR LEAD BLOOD,89.0,79.21,12.11,89.0,467 CDM,PX-83655002,PR LEAD URINE,89.0,79.21,12.11,89.0,467 CDM,PX-83690,PR LIPASE ASSAY,66.0,58.74,6.89,66.0,481 CDM,PX-83695,PR LIPOPROTEIN A,85.0,75.65,14.32,85.0,481 CDM,PX-83700,PR LP CHOLESTEROL,141.0,125.49,11.26,141.0,481 CDM,PX-83701,PR LIPOPROTEIN HIGH RESOLUTION,319.0,283.91,33.86,319.0,481 CDM,PX-83704,PR NMR LIPOPROFILE,182.0,161.98,34.19,182.0,481 CDM,PX-83718,PR HDL CHOLESTEROL,56.0,49.84,8.19,56.0,481 CDM,PX-83722,PR SMALL DENSE LDL CHOLESTEROL,122.0,108.58,34.19,122.0,481 CDM,PX-83735,PR MAGNESIUM ASSAY,64.0,56.96,6.7,64.0,481 CDM,PX-83785002,PR MANGANESE ASSAY 2,161.0,143.29,26.65,161.0,467 CDM,PX-83789008,PR HEMOGLOBIN VAR ANALYSIS QUANT,117.0,104.13,24.11,117.0,481 CDM,PX-83789031,PR CDGN,126.0,112.14,24.11,126.0,481 CDM,PX-83789036,PR IODINE LAB,113.0,100.57,24.11,113.0,467 CDM,PX-83789040,PR LYSOSOMAL DISORDER QUANT,126.0,112.14,24.11,126.0,481 CDM,PX-83789042,PR CERAMIDE TRIHEX/SULFATIDE,126.0,112.14,24.11,126.0,481 CDM,PX-83825,PR MERCURY QUANT,207.0,184.23,16.26,207.0,467 CDM,PX-83825002,PR MERCURY QUANT 1,207.0,184.23,16.26,207.0,467 CDM,PX-83835,PR METANEPHRINES,263.0,234.07,16.94,263.0,467 CDM,PX-83835001,PR METANEPHRINES URINE,263.0,234.07,16.94,263.0,467 CDM,PX-83861,PR MICROFLUIDIC ANALYSIS TEAR OSMOL,62.0,55.18,22.48,62.0,481 CDM,PX-83864006,PR MUCOPOLYSACCHARIDES QNT,313.0,278.57,28.5,313.0,481 CDM,PX-83874,PR MYOGLOBIN,131.0,116.59,12.92,131.0,481 CDM,PX-83880,PR NATRIURETIC PEPTIDE/BNP,214.0,190.46,39.26,214.0,481 CDM,PX-83880001,PR NATRIURETIC PEPTIDE/BNP 2,214.0,190.46,39.26,214.0,481 CDM,PX-83883,PR NEPHELOMETRY EA ANALYTE NES,184.0,163.76,13.6,184.0,467 CDM,PX-83883001,PR ALPHA 1 MICROGLOBIN,178.0,158.42,13.6,178.0,481 CDM,PX-83883002,PR ALPHA 2 MICROGLOBIN,178.0,158.42,13.6,178.0,481 CDM,PX-83883003,PR C1 ESTERASE INHIB AG S,178.0,158.42,13.6,178.0,467 CDM,PX-83883005,PR RETINOL BINDING PROTEIN,178.0,158.42,13.6,178.0,481 CDM,PX-83883006,PR TOTAL LIGHT CHAIN EA,178.0,158.42,13.6,178.0,467 CDM,PX-83883011,PR ALPHA 1 MICROGLOBIN 1,178.0,158.42,13.6,178.0,481 CDM,PX-83883012,PR RETINOL BINDING PROTEIN 1,178.0,158.42,13.6,178.0,481 CDM,PX-83884,PR NEUROFILAMENT LIGHT CHAIN ASSAY,599.0,533.11,116.23,599.0,467 CDM,PX-83885001,PR NICKEL SERUM,162.0,144.18,24.51,162.0,467 CDM,PX-83915,PR NUCLEOTIDASE 5 ASSAY,147.0,130.83,11.15,147.0,481 CDM,PX-83916,PR OLIGOCLONAL BANDS,240.0,213.6,27.39,240.0,467 CDM,PX-83918,PR ORGANIC ACIDS TOTAL QUANT,311.0,276.79,23.6,311.0,481 CDM,PX-83918001,PR ORGANIC ACIDS TOTAL QUANT 2 (CMMPP/CMMPS-NCCI),321.0,285.69,23.6,321.0,481 CDM,PX-83919,PR ORGANIC ACIDS QUAL,239.0,212.71,16.45,239.0,481 CDM,PX-83921,PR ORGANIC ACID 1 QUANT,180.0,160.2,21.21,180.0,481 CDM,PX-83921001,PR ORGANIC ACID 1 QUANT 2,180.0,160.2,21.21,180.0,481 CDM,PX-83921003,PR ORGANIC ACID 1 QUANT 4,186.0,165.54,21.21,186.0,481 CDM,PX-83921004,PR ORGANIC ACID 1 QUANT 5,181.0,161.09,21.21,181.0,481 CDM,PX-83930,PR OSMOLALITY ASSAY BLOOD,88.0,78.32,6.61,88.0,481 CDM,PX-83935,PR OSMOLALITY ASSAY URINE,78.0,69.42,6.82,78.0,481 CDM,PX-83935002,PR OSMOLALITY ASSAY URINE 2,78.0,69.42,6.82,78.0,481 CDM,PX-83937,PR OSTEOCALCIN ASSAY,234.0,208.26,29.85,234.0,467 CDM,PX-83945,PR OXYLATE ASSAY,97.0,86.33,14.45,97.0,481 CDM,PX-83945002,PR OXYLATE URINE,97.0,86.33,14.45,97.0,481 CDM,PX-83951,PR DES GAMMA CARBOXY PROTHROMBIN,604.0,537.56,64.41,604.0,467 CDM,PX-83970,PR PARATHORMONE/PTH,294.0,261.66,41.28,294.0,481 CDM,PX-83970001,PR PARATHORMONE/PTH 1,294.0,261.66,41.28,294.0,481 CDM,PX-83986,PR PH BODY FLUID,37.0,32.93,3.58,37.0,482 CDM,PX-83986001,PR PH URINE,36.0,32.04,3.58,36.0,482 CDM,PX-83993,PR CALPROTECTIN FECAL,220.0,195.8,19.63,220.0,467 CDM,PX-84030,PR PHENYLALANINE (PKU-NCCI),62.0,55.18,5.5,62.0,481 CDM,PX-84030001,PR PHENYLALANINE (PKUBS-NCCI),56.0,49.84,5.5,56.0,481 CDM,PX-84066,PR PROSTATIC ACID PHOSPHATE,108.0,96.12,9.66,108.0,481 CDM,PX-84075,PR ALK PHOSPHATASE,42.0,37.38,5.18,42.0,481 CDM,PX-84080,PR ALK PHOSPHATASE ISOENZYMES,147.0,130.83,14.78,147.0,467 CDM,PX-84087,PR PHOSPHOHEXOSE ISOMERASE,224.0,199.36,10.73,224.0,481 CDM,PX-84100,PR PHOSPHORUS ASSAY,37.0,32.93,4.74,37.0,481 CDM,PX-841000000,HC CAPD TRAINING NON MD,1059.0,942.51,220.27,1059.0,737 CDM,PX-841000001,HC CAPD TREATMENT,1059.0,942.51,220.27,1059.0,737 CDM,PX-841000002,HC CAPD RETRAINING NON MD,1093.0,972.77,227.34,1093.0,737 CDM,PX-84105,PR PHOSPHORUS ASSAY URINE,42.0,37.38,5.78,42.0,481 CDM,PX-84105001,PR TUBULAR REABSORPTION PHOSPHATE,42.0,37.38,5.78,42.0,481 CDM,PX-84110,PR PORPHOBILINOGEN URINE QUANT,134.0,119.26,8.44,134.0,481 CDM,PX-84110001,PR PORPHOBILINOGEN URINE QUANT 2,134.0,119.26,8.44,134.0,481 CDM,PX-84120,PR PORPHYRINS URINE QUANT/FRACT,237.0,210.93,14.71,237.0,481 CDM,PX-84120001,PR PORPHYRINS URINE QUANT/FRACT 2,237.0,210.93,14.71,237.0,481 CDM,PX-84126,PR PORPHYRINS FECES QUANT,237.0,210.93,39.11,237.0,481 CDM,PX-84132,PR POTASSIUM SER/PLASMA/WHOLE BLD,42.0,37.38,4.76,42.0,488 CDM,PX-84133,PR POTASSIUM URINE,37.0,32.93,4.73,37.0,481 CDM,PX-84134,PR PREALBUMIN,145.0,129.05,14.59,145.0,467 CDM,PX-84140,PR PREGNENOLONE,237.0,210.93,20.67,237.0,467 CDM,PX-84143,PR 17 HYDROXYPREGNENOLONE,210.0,186.9,22.81,210.0,467 CDM,PX-84143001,PR 17-HYDROXYPREGNENOLONE (17PRN),210.0,186.9,22.81,210.0,467 CDM,PX-84144,PR PROGESTERONE ASSAY,180.0,160.2,20.86,180.0,481 CDM,PX-84145001,PR PROCALCITONIN 1,187.0,166.43,27.22,187.0,482 CDM,PX-84146,PR PROLACTIN ASSAY,170.0,151.3,19.38,170.0,481 CDM,PX-84150,PR PROSTAGLANDIN ASSAY EACH,373.0,331.97,41.77,373.0,467 CDM,PX-84153,PR PSA TOTAL,166.0,147.74,18.39,166.0,481 CDM,PX-84153001,PR PSA TOTAL ULTRASENSITIVE,166.0,147.74,18.39,166.0,467 CDM,PX-84153003,PR PSA TOTAL 1,166.0,147.74,18.39,166.0,467 CDM,PX-84154,PR PSA FREE,161.0,143.29,18.39,161.0,467 CDM,PX-84155,PR PROTEIN TOTAL SERUM/PLASMA,40.0,35.6,3.67,40.0,481 CDM,PX-84156,PR PROTEIN TOTAL URINE,39.0,34.71,3.67,39.0,481 CDM,PX-84157001,PR PROTEIN TOTAL BODY FLUID,57.0,50.73,4.0,57.0,481 CDM,PX-84157002,PR PROTEIN TOTAL CSF,57.0,50.73,4.0,57.0,481 CDM,PX-84165,PR PROTEIN ELECTROPHORESIS SERUM,119.0,105.91,10.74,119.0,481 CDM,PX-84166001,PR PROTEIN ELECTROPHORESIS URINE,187.0,166.43,17.83,187.0,467 CDM,PX-84182,PR WESTERN BLOT TEST BAND ID EA,225.0,200.25,29.21,225.0,481 CDM,PX-84182002,PR CRMP 5 WESTERN BLOT,225.0,200.25,29.21,225.0,481 CDM,PX-84182006,PR PROTEIN WESTERN BLOT TEST 1,225.0,200.25,29.21,225.0,481 CDM,PX-84182007,PR PROTEIN WESTERN BLOT TEST 2,225.0,200.25,29.21,225.0,481 CDM,PX-84182008,PR PROTEIN WESTERN BLOT TEST 3,225.0,200.25,29.21,225.0,481 CDM,PX-84206,PR PROINSULIN ASSAY,225.0,200.25,26.69,225.0,467 CDM,PX-84207,PR VITAMIN B6 ASSAY,259.0,230.51,28.1,259.0,467 CDM,PX-84210,PR PYRUVATE ASSAY,45.0,40.05,14.48,45.0,481 CDM,PX-84220,PR PYRUVATE KINASE ASSAY,237.0,210.93,9.44,237.0,481 CDM,PX-84238,PR SOLUBLE TRANSFERRIN RECEPTOR,296.0,263.44,36.57,296.0,481 CDM,PX-84244,PR RENIN ACTIVITY 1 BLOOD,218.0,194.02,21.99,218.0,467 CDM,PX-84252,PR VITAMIN B2 ASSAY,217.0,193.13,20.24,217.0,481 CDM,PX-84252001,PR RIBOFLAVIN B2,217.0,193.13,20.24,217.0,467 CDM,PX-84255,PR SELENIUM ASSAY,202.0,179.78,25.53,202.0,467 CDM,PX-84260,PR SEROTONIN ASSAY,258.0,229.62,30.98,258.0,467 CDM,PX-84270,PR SEX HORMONE BINDING GLOBULIN,171.0,152.19,21.73,171.0,467 CDM,PX-84275001,PR ASSAY OF SIALIC ACID,149.0,132.61,13.44,149.0,481 CDM,PX-84295,PR SODIUM SERUM/PLASMA/WHOLE BLD,45.0,40.05,4.81,45.0,486 CDM,PX-84300,PR SODIUM ASSAY URINE,50.0,44.5,5.06,50.0,481 CDM,PX-84302,PR SODIUM ASSAY OTHER SOURCES,86.0,76.54,4.86,86.0,481 CDM,PX-84305,PR SOMATOMEDIN/IGF1,267.0,237.63,21.26,267.0,467 CDM,PX-84311003,PR ARYLSULFATASE A URINE,43.0,38.27,8.1,43.0,481 CDM,PX-84311010,PR CHOLESTEROL NON SERUM,43.0,38.27,8.1,43.0,481 CDM,PX-84311015,PR PORPHYRINS TOTAL,53.0,47.17,8.1,53.0,481 CDM,PX-84311016,PR PORPHYRINS,53.0,47.17,8.1,53.0,481 CDM,PX-84376,PR REDUCING SUBSTANCE URINE OR STOOL,106.0,94.34,5.5,106.0,481 CDM,PX-84377,PR SUGARS MULT QUAL,114.0,101.46,5.5,114.0,481 CDM,PX-84377001,PR OLIGOSACCHARIDE,146.0,129.94,5.5,146.0,481 CDM,PX-84378002,PR GALACTOSE 1 PHOS,93.0,82.77,11.53,93.0,481 CDM,PX-84378003,PR GALACTOSE 1 PHOSPHATE 2,93.0,82.77,11.53,93.0,481 CDM,PX-84379,PR SUGARS MULT QUANT,258.0,229.62,11.53,258.0,481 CDM,PX-84392,PR SULFATE ASSAY URINE,38.0,33.82,5.49,38.0,481 CDM,PX-84393,PR TAU PHOSPHORYLATED EA,159.0,141.51,128.92,159.0,467 CDM,PX-84393001,PR TAU PHOSPHORYLATED EA 2,159.0,141.51,128.92,159.0,467 CDM,PX-84394,PR TOTAL TAU,159.0,141.51,128.92,159.0,467 CDM,PX-84394001,PR TOTAL TAU 2,159.0,141.51,128.92,159.0,467 CDM,PX-84402,PR TESTOSTERONE FREE,195.0,173.55,25.47,195.0,467 CDM,PX-84403001,PR TESTOSTERONE TOTAL SERUM,187.0,166.43,25.81,187.0,467 CDM,PX-84410,PR TESTOSTERONE BIOAVAILABLE DRCT MEAS,349.0,310.61,51.28,349.0,467 CDM,PX-84425,PR VITAMIN B1 THIAMINE ASSAY,178.0,158.42,21.23,178.0,467 CDM,PX-84432,PR THYROGLOBULIN SERUM,142.0,126.38,16.06,142.0,467 CDM,PX-84432001,PR THYROGLOBULIN LYMPH NODE,142.0,126.38,16.06,142.0,467 CDM,PX-84432002,PR THYROGLOBULIN MASS SPEC,142.0,126.38,16.06,142.0,467 CDM,PX-84433,PR ASSAY TPMT,236.0,210.04,22.17,236.0,481 CDM,PX-84436,PR T4 TOTAL,68.0,60.52,6.87,68.0,481 CDM,PX-84439,PR T4 FREE,94.0,83.66,9.02,94.0,481 CDM,PX-84442,PR THYROXINE BIND GLOBULIN,172.0,153.08,14.78,172.0,467 CDM,PX-84443,PR THYROID STIMULATING HORMONE,133.0,118.37,16.8,133.0,481 CDM,PX-84445,PR THYROID STIM IMMUNOGLOBIN,489.0,435.21,50.86,489.0,467 CDM,PX-84446,PR VITAMIN E ASSAY,133.0,118.37,14.18,133.0,467 CDM,PX-84446001,PR VITAMIN E ASSAY 2,133.0,118.37,14.18,133.0,467 CDM,PX-84450,PR AST/SGOT,48.0,42.72,5.18,48.0,493 CDM,PX-84460,PR ALT/SGPT,38.0,33.82,5.3,38.0,481 CDM,PX-84466,PR TRANSFERRIN,120.0,106.8,12.76,120.0,481 CDM,PX-84478,PR TRIGLYCERIDES,49.0,43.61,5.74,49.0,481 CDM,PX-84478001,PR TRIGLYCERIDES 1,49.0,43.61,5.74,49.0,481 CDM,PX-84479,PR T3 OR T4 UPTAKE,70.0,62.3,6.47,70.0,481 CDM,PX-84480,PR T3 TOTAL,115.0,102.35,14.18,115.0,481 CDM,PX-84481,PR T3 FREE,163.0,145.07,16.94,163.0,467 CDM,PX-84482,PR T3 REVERSE,200.0,178.0,15.76,200.0,467 CDM,PX-84484,PR TROPONIN QUANT,142.0,126.38,12.47,142.0,481 CDM,PX-84510,PR TYROSINE (PKU-NCCI),151.0,134.39,10.63,151.0,481 CDM,PX-84510001,PR TYROSINE (PKUBS-NCCI),136.0,121.04,10.63,136.0,481 CDM,PX-84520,PR UREA NITROGEN/BUN,38.0,33.82,3.95,38.0,485 CDM,PX-84540,PR UREA NITROGEN URINE,43.0,38.27,5.56,43.0,481 CDM,PX-84550,PR URIC ACID BLOOD,43.0,38.27,4.52,43.0,481 CDM,PX-84560,PR URIC ACID OTHER SOURCE,45.0,40.05,5.08,45.0,481 CDM,PX-84585,PR VANILLYLMANDELIC ACID URINE,117.0,104.13,15.5,117.0,481 CDM,PX-84586,PR VASOACTIVE INTESTINAL PEPTIDE,457.0,406.73,35.33,457.0,467 CDM,PX-84588001,PR COPEPTIN PROAVP,458.0,407.62,33.94,458.0,467 CDM,PX-84590,PR VITAMIN A ASSAY,138.0,122.82,11.61,138.0,467 CDM,PX-84590001,PR VITAMIN A ASSAY 2,153.0,136.17,11.61,153.0,467 CDM,PX-84591002,PR BIOTIN,230.0,204.7,17.06,230.0,481 CDM,PX-84591003,PR ASSAY OF NOS VITAMIN,245.0,218.05,17.06,245.0,467 CDM,PX-84597,PR VITAMIN K ASSAY,249.0,221.61,13.72,249.0,467 CDM,PX-84630,PR ZINC ASSAY,112.0,99.68,11.39,112.0,467 CDM,PX-84630003,PR ZINC ASSAY 2,112.0,99.68,11.39,112.0,467 CDM,PX-84681,PR C PEPTIDE ASSAY,171.0,152.19,20.81,171.0,481 CDM,PX-84702,PR BETA HUMAN CHORIONIC GONADTRPN,139.0,123.71,15.05,139.0,481 CDM,PX-84702001,PR BETA HCG QUANTITATIVE,144.0,128.16,15.05,144.0,467 CDM,PX-84702002,PR HCG INTERFERENCE EVAL,144.0,128.16,15.05,144.0,467 CDM,PX-84999004,PR OSMOLALITY STOOL,38.0,33.82,33.44,38.0,477 CDM,PX-84999007,PR POTASSIUM QUANTITATIVE STOOL,27.0,24.03,23.76,27.0,477 CDM,PX-84999014,PR NITROGEN TOTAL 1,62.0,55.18,54.56,62.0,477 CDM,PX-84999015,PR RT-QUIC PRION,120.0,106.8,105.6,120.0,477 CDM,PX-85007,PR BLOOD MANUAL DIFF,37.0,32.93,3.8,37.0,481 CDM,PX-85008,PR BLOOD SMEAR WO DIFF WBC,35.0,31.15,3.43,35.0,481 CDM,PX-85014,PR HEMATOCRIT,30.0,26.7,2.37,30.0,481 CDM,PX-85014001,PR HEMATOCRIT 1,29.0,25.81,2.37,29.0,481 CDM,PX-85018,PR HEMOGLOBIN,26.0,23.14,2.37,26.0,487 CDM,PX-85018001,PR HEMOGLOBIN 2,26.0,23.14,2.37,26.0,487 CDM,PX-85018003,PR HEMOGLOBIN 1,30.0,26.7,2.37,30.0,487 CDM,PX-85025,PR CBC W AUTO DIFF,76.0,67.64,7.77,76.0,487 CDM,PX-85027,PR CBC AUTO WO DIFF,52.0,46.28,6.47,52.0,489 CDM,PX-85045,PR RETICULOCYTE COUNT AUTO,41.0,36.49,3.99,41.0,481 CDM,PX-85046001,PR RETICYTE/HGB CONCENTRATE 2,42.0,37.38,5.57,42.0,481 CDM,PX-85049,PR PLATELET COUNT AUTO,34.0,30.26,4.48,34.0,481 CDM,PX-85049001,PR PLATELET COUNT AUTO 1,34.0,30.26,4.48,34.0,481 CDM,PX-85055,PR IMMATURE PLT FRACTION,163.0,145.07,35.74,163.0,481 CDM,PX-85060,PR BLOOD SMEAR INTERPRETATION,134.0,119.26,15.23,134.0,486 CDM,PX-85097,PR BONE MARROW SMEAR INTERP,422.0,375.58,55.2,422.0,482 CDM,PX-851000000,HC CCPD TRAINING NON MD,1059.0,942.51,220.27,1059.0,737 CDM,PX-851000001,HC CCPD TREATMENT,1059.0,942.51,220.27,1059.0,737 CDM,PX-851000002,HC CCPD RETRAINING NON MD,1059.0,942.51,220.27,1059.0,737 CDM,PX-85130003,PR CHROMOGENIC FIX,189.0,168.21,11.89,189.0,481 CDM,PX-85130004,PR CHROMOGENIC FVIII 2,170.0,151.3,11.89,170.0,481 CDM,PX-85210,PR FACTOR II ACTIVITY,276.0,245.64,12.98,276.0,481 CDM,PX-85220,PR FACTOR V ACTIVITY,373.0,331.97,17.65,373.0,481 CDM,PX-85230,PR FACTOR VII ACTIVITY,312.0,277.68,17.9,312.0,481 CDM,PX-85240,PR FACTOR VIII 1 STAGE ASSAY,266.0,236.74,17.9,266.0,481 CDM,PX-85245,PR RISTOCETIN COFACTOR,288.0,256.32,22.94,288.0,481 CDM,PX-85246,PR VON WILLEBRAND FACTOR ANTIGEN,319.0,283.91,22.94,319.0,481 CDM,PX-85246002,PR VWD 2N (NORMANDY),340.0,302.6,22.94,340.0,481 CDM,PX-85247,PR WILLEBRAND FACTOR MULTIMERANALYSIS,427.0,380.03,22.94,427.0,481 CDM,PX-85250,PR FACTOR IX ASSAY,320.0,284.8,19.04,320.0,481 CDM,PX-85260,PR CHROMOGENIC FACTOR X ACTIVITY,272.0,242.08,17.9,272.0,481 CDM,PX-85260001,PR FACTOR X ASSAY,312.0,277.68,17.9,312.0,481 CDM,PX-85270,PR FACTOR XI ASSAY,279.0,248.31,17.9,279.0,481 CDM,PX-85280,PR FACTOR XII ASSAY,320.0,284.8,19.35,320.0,481 CDM,PX-85290,FACTOR XIII ACTIVITY,338.0,300.82,16.34,338.0,481 CDM,PX-85291,PR CLOT SOLUBILITY FACTOR XIII,218.0,194.02,9.11,218.0,481 CDM,PX-85300,PR ANTITHROMBIN III ACTIVITY,177.0,157.53,11.85,177.0,481 CDM,PX-85301,PR ANTITHROMBIN III ANTIGEN,188.0,167.32,10.81,188.0,481 CDM,PX-85302,PR PROTEIN C ANTIGEN,303.0,269.67,12.01,303.0,481 CDM,PX-85303,PR PROTEIN C ACTIVITY,249.0,221.61,13.84,249.0,481 CDM,PX-85305,PR PROTEIN S TOTAL,290.0,258.1,11.61,290.0,481 CDM,PX-85306,PR PROTEIN S FREE,242.0,215.38,15.32,242.0,481 CDM,PX-85307,PR APC RESISTANCE V,224.0,199.36,15.32,224.0,481 CDM,PX-85335,PR FACTOR INHIBITOR SCREEN,329.0,292.81,12.87,329.0,481 CDM,PX-85335005,PR FACTOR INHIBITOR BETHESDA TITER,340.0,302.6,12.87,340.0,481 CDM,PX-85335007,PR CHROMOGENIC FACTOR VIII INHIBITOR,296.0,263.44,12.87,296.0,481 CDM,PX-85335008,PR FACTOR INHIBITOR TEST,329.0,292.81,12.87,329.0,481 CDM,PX-85347,PR COAGULATION TIME ACTIVATED,29.0,25.81,4.28,29.0,481 CDM,PX-85366,PR SOLUBLE FIBIRIN MONOMER COMPLEX,220.0,195.8,80.46,220.0,481 CDM,PX-85379,PR D-DIMER QUANT,104.0,92.56,10.18,104.0,481 CDM,PX-85384,PR FIBRINOGEN ACTIVITY,86.0,76.54,9.72,86.0,481 CDM,PX-85385,PR FIBRINOGEN ANTIGEN,82.0,72.98,14.46,82.0,481 CDM,PX-85390,PR FIBRINOLYSINS/COAGULOPATHY I&R,126.0,112.14,15.48,126.0,481 CDM,PX-85397003,PR VON WILLEBRAND FACTOR ACTIVITY,336.0,299.04,30.86,336.0,481 CDM,PX-85397005,PR COAG FUNCTIONAL ACTIVITY NOS 2,319.0,283.91,30.86,319.0,481 CDM,PX-85410,PR ALPHA 2 PLASMIN INHIBITOR,216.0,192.24,7.71,216.0,481 CDM,PX-85415,PR PLASMINOGN ACTIVATR 1 ANTG,291.0,258.99,17.19,291.0,481 CDM,PX-85420,PR PLASMINOGEN ACTIVITY,286.0,254.54,6.53,286.0,481 CDM,PX-85461,PR HGB/RBC FETAL ROSETTE,35.0,31.15,9.36,35.0,481 CDM,PX-85520,PR HEPARIN ASSAY,312.0,277.68,13.09,312.0,481 CDM,PX-85547,PR MECHANICAL FRAGILITY RBC,103.0,91.67,8.6,103.0,481 CDM,PX-85549,PR MURAMIDASE (LYSOZYME),143.0,127.27,18.75,143.0,481 CDM,PX-85557,PR OSMOTIC FRAGILITY INCUBATED,179.0,159.31,13.36,179.0,481 CDM,PX-85576,PR PLATELET AGGREGATION EA,155.0,137.95,24.91,155.0,481 CDM,PX-85576001,PR PLATELET AGGREGATION EA 1,151.0,134.39,24.91,151.0,481 CDM,PX-85576002,PR PLATELET AGGREGATION EA 2,151.0,134.39,24.91,151.0,481 CDM,PX-85597,PR PLATELET NEUTRALIZATION,190.0,169.1,17.98,190.0,481 CDM,PX-85598,PR HEXAGONAL PHOSPHOLIPID ASSAY,222.0,197.58,17.98,222.0,481 CDM,PX-85610,PR PROTHROMBIN TIME,38.0,33.82,4.29,38.0,486 CDM,PX-85611,PR PROTHROMBIN MIXING STUDIES,72.0,64.08,3.94,72.0,481 CDM,PX-85613,PR RUSSELL VIPER VENOM DILUTED,99.0,88.11,9.58,99.0,481 CDM,PX-85635,PR REPTILASE TEST,139.0,123.71,9.85,139.0,481 CDM,PX-85652,PR SEDIMENTATION RATE AUTOMATED,40.0,35.6,2.7,40.0,481 CDM,PX-85660,PR RBC SICKLING REDUCTION,65.0,57.85,5.51,65.0,481 CDM,PX-85670,PR THROMBIN TIME,83.0,73.87,5.77,83.0,481 CDM,PX-85730,PR THROMBOPLASTIN TIME (APTT),64.0,56.96,6.01,64.0,486 CDM,PX-85732,PR APTT MIXING STUDY EACH,114.0,101.46,6.47,114.0,481 CDM,PX-85810,PR VISCOSITY,128.0,113.92,11.67,128.0,467 CDM,PX-85999,PR XANTHOCHROMIA BODY FLUIDS,128.0,113.92,112.64,128.0,477 CDM,PX-85999002,PR EOSINOPHILS U,50.0,44.5,44.0,50.0,477 CDM,PX-85999003,PR EOSINOPHIL COUNT 1,128.0,113.92,112.64,128.0,477 CDM,PX-86001,PR ALLERGEN IGG QUANT/SEMI EA,58.0,51.62,7.82,58.0,467 CDM,PX-86001002,PR REF ALLERGEN SPECIFIC IGG,21.09,18.77,7.82,21.09,481 CDM,PX-86003,PR ALLERGEN IGE QUANT/SEMI EA,41.0,36.49,5.22,41.0,467 CDM,PX-86008,PR ALLERGEN IGE RECOMB/PURIFY EA,60.0,53.4,17.93,60.0,467 CDM,PX-86008002,PR ALLERGEN IGE RECOMB/PURIFY EA 2,60.0,53.4,17.93,60.0,467 CDM,PX-86008003,PR ALLERGEN IGE RECOMB/PURIFY EA 3,60.0,53.4,17.93,60.0,467 CDM,PX-86015,PR ACTIN SMOOTH MUSCLE AB EA,152.0,135.28,12.05,152.0,467 CDM,PX-86021,PR GRANULOCYTE ANTIBODY,239.0,212.71,15.05,239.0,481 CDM,PX-86021002,PR ANTIBODY ID LEUKOCYTE AB,239.0,212.71,15.05,239.0,481 CDM,PX-86022,PR PLATELET ANTIBODIES,301.0,267.89,18.37,301.0,481 CDM,PX-86022001,PR HEPARIN - PF4 ANTIBODY (HIT),334.0,297.26,18.37,334.0,481 CDM,PX-86022003,PR PLATELET ANTIBODY CROSSMATCH,345.0,307.05,18.37,345.0,481 CDM,PX-86036,PR ANCA SCREEN EA AB,174.0,154.86,12.05,174.0,467 CDM,PX-86036001,PR ANCA SCREEN EA AB 2,174.0,154.86,12.05,174.0,467 CDM,PX-86038,PR ANTINUCLEAR ANTIBODIES/ANA,115.0,102.35,12.09,115.0,467 CDM,PX-86039002,PR ANTINUCLEAR ANTIBODIES HEP2,99.0,88.11,11.16,99.0,467 CDM,PX-86041,PR ACH RECP MUSC BINDING AB,224.0,199.36,18.4,224.0,481 CDM,PX-86043,PR ACHR MODULATE FLOW CYTO,136.0,121.04,12.05,136.0,481 CDM,PX-86053,PR AQUAPORIN-4 AB FLOW CYTO EA,199.0,177.11,37.73,199.0,481 CDM,PX-86053001,PR AQUAPORIN-4 AB FLOW CYTO EA 2,199.0,177.11,37.73,199.0,481 CDM,PX-86060,PR ANTISTREPTOLYSIN O TITER,80.0,71.2,7.3,80.0,467 CDM,PX-86078,PR TRANSFUSION REACTION WORKUP,319.0,283.91,41.46,319.0,485 CDM,PX-86140,PR C-REACTIVE PROTEIN,82.0,72.98,5.18,82.0,482 CDM,PX-86141,PR CRP HIGH SENSITIVITY,83.0,73.87,12.95,83.0,481 CDM,PX-86146,PR BETA 2 GLYCOPROTEIN I AB EA,178.0,158.42,25.45,178.0,467 CDM,PX-86147,PR CARDIOLIPIN AB EA IG CLASS,165.0,146.85,25.45,165.0,467 CDM,PX-86148,PR ANTI PHOSPHATIDYLSERINE AB,145.0,129.05,16.07,145.0,467 CDM,PX-86148001,"PR PS/PT AB,IGG/IGM,S",145.0,129.05,16.07,145.0,481 CDM,PX-86157,PR COLD AGGLUTININ TITER,102.0,90.78,8.06,102.0,481 CDM,PX-86160001,PR COMPLEMENT COMPONENT C1Q,108.0,96.12,12.0,108.0,467 CDM,PX-86160002,PR COMPLEMENT COMPONENT C5/C2,108.0,96.12,12.0,108.0,467 CDM,PX-86160003,PR COMPLEMENT COMPONENT,108.0,96.12,12.0,108.0,467 CDM,PX-86160004,PR COMPLEMENT AG EA COMPONENT,108.0,96.12,12.0,108.0,467 CDM,PX-86160006,PR COMPLEMENT ANTIGEN EACH 1,108.0,96.12,12.0,108.0,467 CDM,PX-86161,PR COMPLEMENT FUNC ACTVTY EA,156.0,138.84,12.0,156.0,467 CDM,PX-86161001,PR COMPLMENT FUNC ACTVTY EA ALT PATHWAY,156.0,138.84,12.0,156.0,467 CDM,PX-86161003,PR COMPLEMENT FUNC ACTVTY EA 3,156.0,138.84,12.0,156.0,467 CDM,PX-86161004,PR COMPLEMENT FUNC ACTVTY EA 2,156.0,138.84,12.0,156.0,467 CDM,PX-86161005,PR COMPLEMENT FUNC ACTVTY EA 1,156.0,138.84,12.0,156.0,467 CDM,PX-86161007,PR COMPLEMENT FUNC ACTVTY EA 5,156.0,138.84,12.0,156.0,467 CDM,PX-86161008,PR COMPLEMENT FUNC ACTVTY EA 6,156.0,138.84,12.0,156.0,467 CDM,PX-86162,PR COMPLEMENT TOTAL,205.0,182.45,20.32,205.0,467 CDM,PX-86200,PR CYCLIC CITRULLINATED PEPT AB,118.0,105.02,12.95,118.0,467 CDM,PX-86215,PR DEOXYRIBONUCLEASE AB,187.0,166.43,13.25,187.0,467 CDM,PX-86225,PR DNA AB NATIVE/DOUBLE STRANDED,121.0,107.69,13.74,121.0,467 CDM,PX-86231,PR ENDOMYSIAL AB EA IG CLASS,167.0,148.63,12.09,167.0,481 CDM,PX-86231001,PR ENDOMYSIAL AB EA IG CLASS 2,146.0,129.94,12.09,146.0,481 CDM,PX-86235,PR EXTRACT NUC AG EA AB,104.0,92.56,17.93,104.0,467 CDM,PX-86235002,PR NUCLEAR ANTIGEN ANTIBODY,104.0,92.56,17.93,104.0,467 CDM,PX-86235004,PR NUCLEAR ANTIGEN ANTIBODY 2,104.0,92.56,17.93,104.0,467 CDM,PX-86255001,PR AMPA R AB CBA,128.0,113.92,12.05,128.0,481 CDM,PX-86255007,PR FLUORESCENT NONINF AG AB EA 9,128.0,113.92,12.05,128.0,481 CDM,PX-86255009,PR FLUORESCENT NONINF AG AB EA 7,128.0,113.92,12.05,128.0,481 CDM,PX-86255016,PR FLUORESCENT NONINF AG AB EA 6,128.0,113.92,12.05,128.0,481 CDM,PX-86255022,PR AMPHIPHYSIN AB TITER,128.0,113.92,12.05,128.0,481 CDM,PX-86255023,PR CRMP 5 IGG TITER,128.0,113.92,12.05,128.0,481 CDM,PX-86255024,PR GLIAL NUCLEAR AB TITER,128.0,113.92,12.05,128.0,481 CDM,PX-86255025,PR PURKINJE CELL AB TITER,128.0,113.92,12.05,128.0,481 CDM,PX-86255026,PR FLUORESCENT ANTIBODY SCREEN,128.0,113.92,12.05,128.0,481 CDM,PX-86255029,PR CASPR2-IGG AB TITER,128.0,113.92,12.05,128.0,481 CDM,PX-86255030,PR LGI1-IGG AB CBA TITER,128.0,113.92,12.05,128.0,481 CDM,PX-86255031,PR FLUORESCENT NONINFCT AG AB EA LEV2,128.0,113.92,12.05,128.0,481 CDM,PX-86255034,PR THSD7A AB,128.0,113.92,12.05,128.0,481 CDM,PX-86255035,PR PARANEOPLASTIC PEMPHIGUS,132.0,117.48,12.05,132.0,481 CDM,PX-86255036,PR GFAP IFA,128.0,113.92,12.05,128.0,481 CDM,PX-86255037,PR GFAP CBA,128.0,113.92,12.05,128.0,481 CDM,PX-86255038,PR FLUORESCENT NONINF AG AB EA 4,128.0,113.92,12.05,128.0,481 CDM,PX-86255039,PR FLUORESCENT NONINF AG AB EA 5,128.0,113.92,12.05,128.0,481 CDM,PX-86255043,PR FLUORESCENT NONINF AG AB EA 8,128.0,113.92,12.05,128.0,481 CDM,PX-86255044,PR CONTACTIN-1 IGG CBA,128.0,113.92,12.05,128.0,481 CDM,PX-86255045,"PR RARE SUBEPI BLISTERING VARIANTS, S",132.0,117.48,12.05,132.0,481 CDM,PX-86255046,PR FLUORESCENT NONINF AG AB EA 10,128.0,113.92,12.05,128.0,481 CDM,PX-86256006,PR GABA B R AB IF TITER,116.0,103.24,12.05,116.0,481 CDM,PX-86256010,PR FLUORESCENT AB TITER EA 2,116.0,103.24,12.05,116.0,481 CDM,PX-86256019,PR FLUORESCENT AB TITER EA LEV 2,116.0,103.24,12.05,116.0,481 CDM,PX-86256021,PR FLUORESCENT AB TITER EA 3,116.0,103.24,12.05,116.0,481 CDM,PX-86256023,PR SRP IFA TITER,116.0,103.24,12.05,116.0,481 CDM,PX-86256025,PR KLHL11 AB IFA TITER,116.0,103.24,12.05,116.0,481 CDM,PX-86256028,PR FLUORESCENT AB TITER EA 6,116.0,103.24,12.05,116.0,481 CDM,PX-86258,PR GLIADIN AB EA IG CLASS,140.0,124.6,12.05,140.0,467 CDM,PX-86300,PR IMMUNOASSAY TUMOR CA 15.3,223.0,198.47,20.81,223.0,467 CDM,PX-86300001,PR IMMUNOASSAY TUMOR CA 27.29/CA 15-3,223.0,198.47,20.81,223.0,481 CDM,PX-86301,PR IMMUNOASSAY TUMOR CA 19-9,230.0,204.7,20.81,230.0,467 CDM,PX-86301001,PR IMMUNOASSAY TUMOR CA 19-9 1,230.0,204.7,20.81,230.0,467 CDM,PX-86304,PR IMMUNOASSAY TUMOR CA 125,233.0,207.37,20.81,233.0,467 CDM,PX-86305,PR HUMAN EPIDIDYMIS PROTEIN 4/HE4,446.0,396.94,20.81,446.0,467 CDM,PX-86308,PR HETEROPHILE AB SCREEN,53.0,47.17,5.18,53.0,467 CDM,PX-86316001,PR ALPHA-FETOPROTEIN CSF QUANT,279.0,248.31,20.81,279.0,467 CDM,PX-86316002,PR CHROMOGRANIN A QUANT,279.0,248.31,20.81,279.0,467 CDM,PX-86316004,PR IMMUNOASSAY TUMOR OTHER QUANT,279.0,248.31,20.81,279.0,467 CDM,PX-86317001,PR ANTI-DIPTHERIA TOXOID IGG,101.0,89.89,14.99,101.0,467 CDM,PX-86317002,PR ANTI-TETANUS TOXOID IGG,101.0,89.89,14.99,101.0,467 CDM,PX-86317006,PR HBV SURFACE AB QUANT,101.0,89.89,14.99,101.0,467 CDM,PX-86317014,PR S PNEUMONIAE IGG AB TOTAL,101.0,89.89,14.99,101.0,467 CDM,PX-86334,PR IFE SERUM,205.0,182.45,22.34,205.0,467 CDM,PX-86334003,PR IFE SERUM 2,205.0,182.45,22.34,205.0,467 CDM,PX-86335,PR IFE URINE,306.0,272.34,29.35,306.0,481 CDM,PX-86335001,PR IFE OTHER FLUIDS,306.0,272.34,29.35,306.0,467 CDM,PX-86336,PR INHIBIN A,141.0,125.49,15.59,141.0,467 CDM,PX-86337,PR INSULIN AB,352.0,313.28,21.41,352.0,481 CDM,PX-86340,PR INTRINSIC FACTOR AB,189.0,168.21,15.08,189.0,467 CDM,PX-86341001,PR GAD65 AB,180.0,160.2,23.57,180.0,481 CDM,PX-86341002,PR IA2 AB,180.0,160.2,23.57,180.0,481 CDM,PX-86341003,"PR ZNT8, AB",180.0,160.2,23.57,180.0,481 CDM,PX-86352003,PR CELLULAR FUNCTION W STIM 1,473.0,420.97,135.86,473.0,467 CDM,PX-86352004,PR CELLULAR FUNCTION W STIM 2,473.0,420.97,135.86,473.0,467 CDM,PX-86353,PR LYMPHOCYTE BLASTOGENESIS MITOGENS,248.0,220.72,49.03,248.0,467 CDM,PX-86353001,PR LYMPHOCYTE BLASTOGENESIS AG,248.0,220.72,49.03,248.0,467 CDM,PX-86353002,PR LYMPHOCYTE BLASTOGENESIS,248.0,220.72,49.03,248.0,467 CDM,PX-86353003,PR LYMPHOCYTE BLASTOGENESIS AG 1,248.0,220.72,49.03,248.0,467 CDM,PX-86353004,PR LYMPHOCYTE BLASTOGENESIS AG 2,248.0,220.72,49.03,248.0,467 CDM,PX-86355,PR B CELL TOTAL COUNT,233.0,207.37,37.73,233.0,467 CDM,PX-86355002,PR B CELL TOTAL COUNT 2,226.0,201.14,37.73,226.0,467 CDM,PX-86356,PR MONONUCLEAR CELL AG EA,156.0,138.84,26.78,156.0,467 CDM,PX-86356001,PR MONONUCLEAR CELL ANTIGEN,156.0,138.84,26.78,156.0,467 CDM,PX-86356005,PR MONONUCLEAR CELL AG EA 1,156.0,138.84,26.78,156.0,467 CDM,PX-86356007,PR MONONUCLEAR CELL AG EA 3,156.0,138.84,26.78,156.0,467 CDM,PX-86356008,PR MONONUCLEAR CELL AG EA 4,156.0,138.84,26.78,156.0,467 CDM,PX-86356010,PR MONONUCLEAR CELL AG EA 6,156.0,138.84,26.78,156.0,481 CDM,PX-86356011,PR MONONUCLEAR CELL AG EA 7,156.0,138.84,26.78,156.0,467 CDM,PX-86357,PR NATURAL KILLER TOTAL COUNT,189.0,168.21,37.73,189.0,467 CDM,PX-86357002,PR NATURAL KILLER TOTAL COUNT 2,183.0,162.87,37.73,183.0,467 CDM,PX-86359,PR T CELL TOTAL COUNT,237.0,210.93,37.73,237.0,467 CDM,PX-86359001,PR T CELL TOTAL COUNT 1,237.0,210.93,37.73,237.0,467 CDM,PX-86360,PR T CELL ABSOLUTE CD4/CD8 RATIO,316.0,281.24,46.98,316.0,467 CDM,PX-86361001,PR T CELL ABSOLUTE COUNT,258.0,229.62,26.78,258.0,467 CDM,PX-86363,PR MOG-IGG1 AB FLOW CYTO EA,189.0,168.21,37.73,189.0,481 CDM,PX-86364,PR TISSUE TRANSGLUTAMINASE EA IG CLASS,130.0,115.7,11.53,130.0,467 CDM,PX-86366,PR MUSK AUTO AB,224.0,199.36,18.4,224.0,481 CDM,PX-86367,PR STEM CELLS TOTAL COUNT,303.0,269.67,77.78,303.0,481 CDM,PX-86376,PR MICROSOMAL AB EA,145.0,129.05,14.55,145.0,467 CDM,PX-86376001,PR MICROSOMAL AB EA/TPO,145.0,129.05,14.55,145.0,481 CDM,PX-86381,PR MITOCHONDRIAL AB EA,192.0,170.88,25.45,192.0,467 CDM,PX-86431,PR RHEUMATOID FACTOR QUANT,64.0,56.96,5.67,64.0,467 CDM,PX-86480002,PR TB TEST CELL IMMUNITY MEASURE 2,294.0,261.66,61.98,294.0,467 CDM,PX-86580,PR TB INTRADERMAL TEST,44.0,39.16,7.7,44.0,497 CDM,PX-86581,PR STREP PNEUM AB MULTIPLEX,356.0,316.84,92.03,356.0,467 CDM,PX-86592,PR VDRL,52.0,46.28,4.27,52.0,467 CDM,PX-86592004,PR SYPHILIS TEST RPR QUAL,52.0,46.28,4.27,52.0,467 CDM,PX-86593,PR SYPHILIS NON-TREPONEMAL AB QUAN,45.0,40.05,4.4,45.0,467 CDM,PX-86593001,PR SYPHILIS NON-TREPONEMAL AB QUAN 2,45.0,40.05,4.4,45.0,467 CDM,PX-86596,PR VOLTAGE-GTD CA CHNL AB EA,195.0,173.55,12.05,195.0,481 CDM,PX-86606,PR ASPERGILLUS AB EACH,118.0,105.02,15.05,118.0,467 CDM,PX-86611,PR BARTONELLA AB EACH,92.0,81.88,10.18,92.0,467 CDM,PX-86612,PR BLASTOMYCES AB,139.0,123.71,12.9,139.0,467 CDM,PX-86612001,PR BLASTOMYCES AB EIA,139.0,123.71,12.9,139.0,467 CDM,PX-86615,PR BORDETELLA AB EACH,183.0,162.87,13.19,183.0,467 CDM,PX-86617,PR LYME DISEASE CONFIRMATORY TEST,147.0,130.83,15.49,147.0,481 CDM,PX-86617002,PR LYME DISEASE CONFIRMATORY TEST 2,147.0,130.83,15.49,147.0,467 CDM,PX-86618,PR LYME DISEASE AB,149.0,132.61,17.03,149.0,467 CDM,PX-86618004,PR LYME DISEASE AB 4,149.0,132.61,17.03,149.0,467 CDM,PX-86622,PR BRUCELLA AB EACH,113.0,100.57,8.93,113.0,467 CDM,PX-86622001,PR BRUCELLA AB EACH AGGLUTINATION,113.0,100.57,8.93,113.0,467 CDM,PX-86631,PR CHLAMYDIA AB,120.0,106.8,11.82,120.0,481 CDM,PX-86631002,PR CHLAMYDIA AB 2,120.0,106.8,11.82,120.0,467 CDM,PX-86632,PR CHLAMYDIA IGM AB,131.0,116.59,12.68,131.0,481 CDM,PX-86632002,PR CHLAMYDIA IGM AB 2,131.0,116.59,12.68,131.0,467 CDM,PX-86635,PR COCCIDIOIDES AB,139.0,123.71,11.47,139.0,467 CDM,PX-86638002,PR Q FEVER/COXIELLA BRUNETII AB IGG,62.0,55.18,12.12,62.0,467 CDM,PX-86638003,PR Q FEVER/COXIELLA BRUNETII AB IGM,62.0,55.18,12.12,62.0,467 CDM,PX-86638005,PR QFEVER ANTIBODY SCRN,62.0,55.18,12.12,62.0,467 CDM,PX-86644,PR CYTOMEGALOVIRUS AB,164.0,145.96,14.39,164.0,467 CDM,PX-86645,PR CYTOMEGALOVIRUS AB IGM,162.0,144.18,16.85,162.0,467 CDM,PX-86651001,PR ENCEPHALITIS CALIFORNIA AB IGG,139.0,123.71,13.19,139.0,467 CDM,PX-86651002,PR ENCEPHALITIS CALIFORNIA AB IGM,139.0,123.71,13.19,139.0,467 CDM,PX-86652001,PR ENCEPHALITIS EAST EQUINE AB IGG,172.0,153.08,13.19,172.0,467 CDM,PX-86652002,PR ENCEPHALITIS EAST EQUINE AB IGM,172.0,153.08,13.19,172.0,467 CDM,PX-86653001,PR ENCEPHALITIS ST LOUIS AB IGG,139.0,123.71,13.19,139.0,467 CDM,PX-86653002,PR ENCEPHALITIS ST LOUIS AB IGM,139.0,123.71,13.19,139.0,467 CDM,PX-86654001,PR ENCEPHALITIS WEST EQUINE AB IGG,139.0,123.71,13.19,139.0,467 CDM,PX-86654002,PR ENCEPHALITIS WEST EQUINE AB IGM,139.0,123.71,13.19,139.0,467 CDM,PX-86664,PR EPSTEIN-BARR NUCLEAR AG AB,119.0,105.91,15.29,119.0,467 CDM,PX-86665,PR EPSTEIN-BARR VIRAL CAPSID AB EA,167.0,148.63,18.14,167.0,467 CDM,PX-86666,PR EHRLICHIA ANTIBODY,130.0,115.7,10.18,130.0,467 CDM,PX-86666001,PR EHRLICHIA ANTIBODY 1,130.0,115.7,10.18,130.0,467 CDM,PX-86668001,PR FRANCISELLA TULARENSIS 1,104.0,92.56,14.16,104.0,467 CDM,PX-86668002,PR FRANCISELLA TULARENSIS 2,104.0,92.56,14.16,104.0,467 CDM,PX-86671003,PR FUNGUS AB NES EACH 2,205.0,182.45,12.25,205.0,467 CDM,PX-86682002,PR ECHINOCOCCUS AB IGG,205.0,182.45,13.01,205.0,467 CDM,PX-86682004,PR SCHISTOSOMA AB,205.0,182.45,13.01,205.0,467 CDM,PX-86682006,PR STRONGYLOIDES AB IGG,205.0,182.45,13.01,205.0,467 CDM,PX-86682011,PR HELMINTH AB NES 2,205.0,182.45,13.01,205.0,467 CDM,PX-86682012,PR HELMINTH AB NES 3,205.0,182.45,13.01,205.0,467 CDM,PX-86684001,PR HAEMOPHILUS INFL B AB IGG,224.0,199.36,15.84,224.0,467 CDM,PX-86689,PR HTLV AB CONFIRMATORY TEST,287.0,255.43,19.35,287.0,481 CDM,PX-86689001,PR HIV AB CONFIRMATORY TEST,287.0,255.43,19.35,287.0,481 CDM,PX-86689006,PR HTLV I-II BLOT DONOR,158.0,140.62,19.35,158.0,481 CDM,PX-86692001,"PR HDV TOTAL AB, S",200.0,178.0,17.16,200.0,467 CDM,PX-86695,PR HERPES SIMPLEX TYPE 1 AB,115.0,102.35,13.19,115.0,467 CDM,PX-86696,PR HERPES SIMPLEX TYPE 2 AB,142.0,126.38,19.35,142.0,467 CDM,PX-86698,PR HISTOPLASMA AB EA,126.0,112.14,13.79,126.0,467 CDM,PX-86701,PR HIV 1 AB,102.0,90.78,8.89,102.0,467 CDM,PX-86702,PR HIV 2 AB,195.0,173.55,13.52,195.0,467 CDM,PX-86703001,PR HIV 1/HIV 2 AB RAPID SCREEN,119.0,105.91,13.71,119.0,481 CDM,PX-86703002,PR HIV 1/HIV 2 AB SCREEN EIA,119.0,105.91,13.71,119.0,481 CDM,PX-86704,PR HBV CORE AB TOTAL,109.0,97.01,12.05,109.0,467 CDM,PX-86704004,"PR HEP B SCRN CORE AB TOT (HBCSN, HBCT2)",109.0,97.01,12.05,109.0,467 CDM,PX-86705,PR HBV CORE IGM AB,129.0,114.81,11.77,129.0,467 CDM,PX-86706,PR HBV SURFACE AB,97.0,86.33,10.74,97.0,467 CDM,PX-86706003,"PR HEP B SCRN SURF AB (HBBSN, HBSNQ, HBSQN)",97.0,86.33,10.74,97.0,467 CDM,PX-86707,PR HBV E AB,124.0,110.36,11.57,124.0,467 CDM,PX-86708,PR HAV AB TOTAL,100.0,89.0,12.39,100.0,467 CDM,PX-86709,PR HAV IGM AB,113.0,100.57,11.26,113.0,467 CDM,PX-86713,PR LEGIONELLA AB,215.0,191.35,15.3,215.0,481 CDM,PX-86717,PR LEISHMANIA AB,217.0,193.13,12.25,217.0,467 CDM,PX-86720,PR LEPTOSPIRA AB,194.0,172.66,16.2,194.0,467 CDM,PX-86735001,PR MUMPS AB IGG,148.0,131.72,13.05,148.0,467 CDM,PX-86735002,PR MUMPS AB IGM,148.0,131.72,13.05,148.0,467 CDM,PX-86738,PR M PNEUMONIAE AB,117.0,104.13,13.24,117.0,467 CDM,PX-86738001,PR M PNEUMONIAE AB EIA,117.0,104.13,13.24,117.0,467 CDM,PX-86747,PR PARVOVIRUS AB,152.0,135.28,15.03,152.0,467 CDM,PX-86753,PR PROTOZOA AB NES,149.0,132.61,12.39,149.0,467 CDM,PX-86753006,PR TRYPANOSOMA CRUZI AB IGG,149.0,132.61,12.39,149.0,467 CDM,PX-86753008,PR PRTZA BABESIA MICROTI AB,149.0,132.61,12.39,149.0,467 CDM,PX-86753012,PR PRTZA ENTAMOEBA HISTOLYTICA AB 2,149.0,132.61,12.39,149.0,467 CDM,PX-86757001,PR RICKETTSIA AB IGG,143.0,127.27,19.35,143.0,467 CDM,PX-86757002,PR RICKETTSIA AB IGM,143.0,127.27,19.35,143.0,467 CDM,PX-86762001,PR RUBELLA AB IGG,93.0,82.77,14.39,93.0,467 CDM,PX-86765001,PR RUBEOLA AB IGG,147.0,130.83,12.88,147.0,467 CDM,PX-86765002,PR RUBEOLA AB IGM,147.0,130.83,12.88,147.0,467 CDM,PX-86769,PR SARS-COV-2 ANTIBODY,95.0,84.55,42.13,95.0,467 CDM,PX-86769005,PR SARS-COV-2 SPIKE AB,95.0,84.55,42.13,95.0,467 CDM,PX-86777,PR TOXOPLASMA AB IGG,186.0,165.54,14.39,186.0,467 CDM,PX-86778,PR TOXOPLASMA IGM AB,190.0,169.1,14.41,190.0,467 CDM,PX-86780002,PR SYPHILIS TPPA,99.0,88.11,13.24,99.0,467 CDM,PX-86780005,PR TREPONEMA PALLIDUM AB 2,99.0,88.11,13.24,99.0,467 CDM,PX-86784001,PR TRICHINELLA 2,163.0,145.07,12.56,163.0,467 CDM,PX-86787001,PR VARICELLA ZOSTER AB IGM,132.0,117.48,12.88,132.0,467 CDM,PX-86787002,PR VARICELLA ZOSTER AB,132.0,117.48,12.88,132.0,467 CDM,PX-86788,PR WEST NILE VIRUS AB IGM,150.0,133.5,16.85,150.0,467 CDM,PX-86789,PR WEST NILE VIRUS AB IGG,150.0,133.5,14.39,150.0,467 CDM,PX-86790001,PR CHIKUNGUNYA AB EA,171.0,152.19,12.88,171.0,467 CDM,PX-86790003,PR DENGUE FEVER EA,171.0,152.19,12.88,171.0,467 CDM,PX-86790006,PR HEV AB,171.0,152.19,12.88,171.0,467 CDM,PX-86790007,PR HEV IGM AB CONFIRM,171.0,152.19,12.88,171.0,467 CDM,PX-86790009,PR HTLV I AB,171.0,152.19,12.88,171.0,467 CDM,PX-86790020,PR HEV AB 1,171.0,152.19,12.88,171.0,467 CDM,PX-86790023,PR POWASSAN VIRUS IGM,171.0,152.19,12.88,171.0,467 CDM,PX-86794,PR ZIKA VIRUS AB,210.0,186.9,16.85,210.0,467 CDM,PX-86800,PR THYROGLOBULIN AB,138.0,122.82,15.91,138.0,467 CDM,PX-86803001,PR HCV AB SCREEN,125.0,111.25,14.27,125.0,467 CDM,PX-86803002,PR HCV AB W REFLEX,125.0,111.25,14.27,125.0,467 CDM,PX-86804,PR HCV AB CONFIRMATION,229.0,203.81,15.49,229.0,481 CDM,PX-86812,PR HLA TYPING A/B/C SNGL AG,209.0,186.01,25.81,209.0,481 CDM,PX-86825,PR FLOW CYTOMETRIC CROSSMATCH,563.0,501.07,109.49,563.0,481 CDM,PX-86826,PR HLA CROSSMATCH EACH SERUM,327.0,291.03,36.53,327.0,481 CDM,PX-86832,PR HLA AB CLASS I SOLID PHASE,1102.0,980.78,323.75,1102.0,481 CDM,PX-86833,PR HLA AB CLASS II SOLID PHASE,911.0,810.79,325.8,911.0,481 CDM,PX-86850,PR ANTIBODY SCREEN RBC EA SERUM,85.0,75.65,9.77,85.0,481 CDM,PX-86860,PR ANTIBODY ELUTION RBC EACH,183.0,162.87,161.04,183.0,477 CDM,PX-86870,PR ANTIBODY ID RBC EACH PANEL,150.0,133.5,15.0,150.0,477 CDM,PX-86880,PR DIRECT COOMBS EA ANTISERUM,62.0,55.18,5.39,62.0,481 CDM,PX-86880002,PR DIRECT COOMBS C3 EA ANTISERUM,62.0,55.18,5.39,62.0,481 CDM,PX-86886,PR AHG INDIRECT TITER EA,80.0,71.2,5.18,80.0,481 CDM,PX-86886002,PR ALLO ANTIBODY TITER,80.0,71.2,5.18,80.0,481 CDM,PX-86900,PR BLOOD TYPING ABO,34.0,30.26,2.99,34.0,481 CDM,PX-86901,PR BLOOD TYPING RH(D),30.0,26.7,2.99,30.0,481 CDM,PX-86902,PR BLOOD TYPING DONOR UNIT EA AG,156.0,138.84,6.35,156.0,481 CDM,PX-86905,PR RBC AG NOT ABO/RH(D) EA,69.0,61.41,3.83,69.0,481 CDM,PX-86920,PR COMPATIBILITY TEST IMM SPIN EA,239.0,212.71,23.9,239.0,477 CDM,PX-86922,PR COMPATIBILITY TEST AG EA,154.0,137.06,15.4,154.0,477 CDM,PX-86923,PR COMPATIBILITY TEST ELECTRONIC,107.0,95.23,10.7,107.0,477 CDM,PX-86941,PR HEMOLYSIN/AGGLUT INCUBATED,189.0,168.21,12.11,189.0,481 CDM,PX-86978,PR PRETREAT SERUM AB ID ABSRP EA,167.0,148.63,16.7,167.0,477 CDM,PX-87015,PR CONC FOR INFECTIOUS AGENT,69.0,61.41,6.68,69.0,481 CDM,PX-87040,PR CULT BLOOD ISOL W PRES ID,95.0,84.55,10.32,95.0,481 CDM,PX-87045,PR CULT STOOL AEROBIC SALM SHIG,101.0,89.89,9.44,101.0,481 CDM,PX-87046001,PR STOOL CULT AEROBIC BACT EA,81.0,72.09,9.44,81.0,481 CDM,PX-87046002,PR CULT STOOL ADD PATHOGENS EA 2,81.0,72.09,9.44,81.0,481 CDM,PX-87070,PR CULT AEROBIC OTHER PRESUMPT ID,87.0,77.43,8.62,87.0,481 CDM,PX-87070002,PR CULT AEROBIC OTHER PRESUMPT ID 2,87.0,77.43,8.62,87.0,481 CDM,PX-87075,PR CULT ANAEROBIC ISOL PRES ID,118.0,105.02,9.47,118.0,481 CDM,PX-87075001,PR CULT ANAEROBIC ISOL PRES ID 2,118.0,105.02,9.47,118.0,481 CDM,PX-87076,PR CULT ANAEROBIC DEFIN ID EA ISOL,85.0,75.65,8.08,85.0,481 CDM,PX-87077,PR CULT AEROBIC DEFIN ID EA ISOL,73.0,64.97,8.08,73.0,481 CDM,PX-87077003,PR CULT AEROBIC DEFIN ID EA ISOL 2,73.0,64.97,8.08,73.0,481 CDM,PX-87077004,PR CULT AEROBIC DEFIN ID EA ISOL 1,73.0,64.97,8.08,73.0,481 CDM,PX-87081,PR CULT SINGLE SPECIFIC ORG EACH,55.0,48.95,6.63,55.0,481 CDM,PX-87081001,PR CULT SINGLE SPECIFIC ORG EACH 2,55.0,48.95,6.63,55.0,481 CDM,PX-87086,PR CULT/COLONY COUNT QUANT URINE,64.0,56.96,8.07,64.0,481 CDM,PX-871000001,HC CAR-T; HARVESTING CELLS,12990.0,11561.1,63.94,12990.0,720 CDM,PX-871000002,HC TCR HARVESTING CELLS,12990.0,11561.1,442.12,12990.0,738 CDM,PX-87101,PR CULT FUNGI PRES ID HAIR/SK/NA,97.0,86.33,7.71,97.0,481 CDM,PX-87102,PR CULT FUNGI PRESUMPT ID OTHER,87.0,77.43,8.41,87.0,481 CDM,PX-87103,PR CULT FUNGI PRES ID BLOOD,95.0,84.55,20.46,95.0,481 CDM,PX-87106,PR CULT FUNGI DEFIN ID YEAST,87.0,77.43,10.32,87.0,481 CDM,PX-87107,PR CULT FUNGI DEFIN ID MOLD,106.0,94.34,10.32,106.0,481 CDM,PX-87116,PR CULT AFB PRES ID,123.0,109.47,10.8,123.0,481 CDM,PX-87118,PR CULT MYCOBACTERIA DEFIN ID,82.0,72.98,14.61,82.0,481 CDM,PX-87147,PR SEROTYPING AGGLUT EA METH 1,44.0,39.16,5.18,44.0,481 CDM,PX-87147001,PR SEROTYPING AGGLUT EA METH >2,44.0,39.16,5.18,44.0,481 CDM,PX-87147002,PR SEROTYPING AGGLUT EA METH 2,44.0,39.16,5.18,44.0,481 CDM,PX-87150003,PR CULT TYPE ID BY AMPL PROBE,207.0,184.23,35.09,207.0,481 CDM,PX-87150006,PR MYCOBACTERIA BROTH PROBE ID,207.0,184.23,35.09,207.0,481 CDM,PX-87150007,PR MYCOBACTERIA PROBE ID,207.0,184.23,35.09,207.0,481 CDM,PX-87150008,PR CULT TYPE ID BY AMPL PROBE 2,207.0,184.23,35.09,207.0,481 CDM,PX-87150013,PR DNA/RNA AMPLIFIED PROBE EACH,207.0,184.23,35.09,207.0,481 CDM,PX-87150015,PR DNA/RNA AMPLIFIED PROBE EACH 2,207.0,184.23,35.09,207.0,481 CDM,PX-87153001,PR CULT ID BY SEQUENCING ANAEROBE,573.0,509.97,115.36,573.0,481 CDM,PX-87153002,PR CULTURE TYPING BY NUC ACID SEQ 1,573.0,509.97,115.36,573.0,481 CDM,PX-87153003,PR CULTURE TYPING BY NUC ACID SEQ 3,573.0,509.97,115.36,573.0,481 CDM,PX-87153005,PR CULTURE TYPING BY NUC ACID SEQ 2,573.0,509.97,115.36,573.0,481 CDM,PX-87154,PR CULTURE TYPE BLD PATH 6+ TARGET,436.0,388.04,218.06,436.0,481 CDM,PX-87168,PR MACROSCOPIC EXAM ARTHROPOD,73.0,64.97,4.27,73.0,481 CDM,PX-87169,PR MACROSCOPIC EXAM PARASITE,50.0,44.5,4.31,50.0,481 CDM,PX-87172,PR PINWORM EXAM,65.0,57.85,4.27,65.0,481 CDM,PX-87176,PR HOMOGENIZATION TISS FOR CULT,74.0,65.86,5.88,74.0,481 CDM,PX-87177,PR OVA & PARASITE CONC & ID,75.0,66.75,8.9,75.0,481 CDM,PX-87181,PR ANTIMICROBIAL SUSCEPTIBILITY,46.0,40.94,4.75,46.0,481 CDM,PX-87182,PR CARBAPENEMASE ENZYME DETECT,66.0,58.74,58.08,66.0,466 CDM,PX-87183,PR CARBAPENEM RESIST GENES,207.0,184.23,35.09,207.0,481 CDM,PX-87185001,PR BETA LACTAMASE,66.0,58.74,4.75,66.0,481 CDM,PX-87185002,PR CARBAPENEMASE,66.0,58.74,4.75,66.0,481 CDM,PX-87186,PR SUSCEPTIBILITY PER PLATE 1,69.0,61.41,8.65,69.0,481 CDM,PX-87186001,PR SUSCEPTIBILITY PER PLATE 2,69.0,61.41,8.65,69.0,481 CDM,PX-87186002,PR SUSCEPTIBLITY PANEL YEAST,69.0,61.41,8.65,69.0,481 CDM,PX-87186004,PR SUSCEPTIBILITY PER PLATE 3,69.0,61.41,8.65,69.0,481 CDM,PX-87186005,PR SUSCEPTIBILITY PER PLATE 4,69.0,61.41,8.65,69.0,481 CDM,PX-87188,PR SUSCEPT MACROBROTH EA DRUG,112.0,99.68,6.64,112.0,481 CDM,PX-872000002,HC CAR-T; CRYO FOR TRANSPORT,14985.0,13336.65,25.85,14985.0,720 CDM,PX-872000003,HC CAR-T; PREP FRESH CELLS FOR TRANSPORT,9890.0,8802.1,25.85,9890.0,720 CDM,PX-872000004,HC TIL PREP FOR TRANSPORTATION,12363.0,11003.07,442.12,12363.0,738 CDM,PX-872000005,HC TCR PREP FOR TRANSPORTATION,9890.0,8802.1,442.12,9890.0,738 CDM,PX-87205,PR SMEAR GRAM STAIN,35.0,31.15,4.27,35.0,481 CDM,PX-87206,PR SMEAR ACID FAST ANY SOURCE,72.0,64.08,5.39,72.0,481 CDM,PX-87207,PR SPECIAL STAIN INCL OR PARASITE,95.0,84.55,5.99,95.0,481 CDM,PX-87207002,PR SMEAR MALARIA/BABESIA,95.0,84.55,5.99,95.0,481 CDM,PX-87209,PR SMEAR COMPLEX STAIN O&P,107.0,95.23,17.98,107.0,481 CDM,PX-87210,PR SMEAR WET MOUNT,34.0,30.26,5.82,34.0,481 CDM,PX-87220,PR KOH FUNGI SKIN/HAIR/NAILS,38.0,33.82,4.27,38.0,488 CDM,PX-873000001,HC CAR-T; RECEIPT AND PREP OF CELLS FOR ADMIN,15420.0,13723.8,26.08,15420.0,720 CDM,PX-873000002,HC TIL RECEIPT AND PREP FOR ADMIN,19275.0,17154.75,442.12,19275.0,738 CDM,PX-873000003,HC TCR RECEIPT AND PREP FOR ADMIN,15420.0,13723.8,442.12,15420.0,738 CDM,PX-87305,PR ASPERGILLUS AG EIA,167.0,148.63,11.98,167.0,467 CDM,PX-87324,PR CLOSTRIDIUM TOXIN AG EIA,151.0,134.39,11.98,151.0,481 CDM,PX-87328,PR CRYPTOSPORIDIUM AG EIA,87.0,77.43,13.82,87.0,481 CDM,PX-87329,PR GIARDIA AG EIA,90.0,80.1,11.98,90.0,481 CDM,PX-87340,PR HEP B SURF AG,80.0,71.2,10.33,80.0,467 CDM,PX-87340003,"PR HEP B SCRN SURF AG IA (HBGPS, HBGSN)",80.0,71.2,10.33,80.0,467 CDM,PX-87341,PR EIA HEP B AG NEUTRALIZATION,121.0,107.69,10.33,121.0,467 CDM,PX-87350,PR HEPATITIS BE AG EIA,108.0,96.12,11.53,108.0,467 CDM,PX-87385,PR HISTOPLASMA CAPSULATUM AG EIA,233.0,207.37,13.25,233.0,481 CDM,PX-87389,PR HIV-1 AG W HIV-1 & HIV-2 AB SCRN,126.0,112.14,24.08,126.0,467 CDM,PX-87389002,PR HIV-1 AG W HIV-1 & HIV-2 AB SCRN 1,126.0,112.14,24.08,126.0,467 CDM,PX-87389003,PR HIV-1 AG W/HIV-1 & HIV-2 AB,126.0,112.14,24.08,126.0,467 CDM,PX-874000001,HC CAR-T CLL ADMN AUTOLOGOUS,13809.0,12290.01,331.01,13809.0,736 CDM,PX-87425,PR ROTAVIRUS AG EIA,151.0,134.39,11.98,151.0,481 CDM,PX-87449012,PR BLASTOMYCES AG,142.0,126.38,11.98,142.0,467 CDM,PX-87449016,PR FUNGITELL,142.0,126.38,11.98,142.0,467 CDM,PX-87449017,PR BLASTOMYCES AG QUANT EIA,142.0,126.38,11.98,142.0,481 CDM,PX-87449018,PR AG DETECT NOS EIA MULT 2,142.0,126.38,11.98,142.0,467 CDM,PX-87468,PR ANAPLASMA PHAGOCYTOPHILUM (EHRL/EPCRB-NCCI),91.0,80.99,35.09,91.0,481 CDM,PX-87469,PR BABESIA (LBAB/LBABP-NCCI),91.0,80.99,35.09,91.0,481 CDM,PX-87476002,PR B BURGDORFERI PCR (PBORB/PBORR-NCCI),91.0,80.99,35.09,91.0,481 CDM,PX-87478,PR BORRELIA MIYAMOTOI AMP PRB,204.0,181.56,35.09,204.0,481 CDM,PX-87478001,PR BORRELIA MIYAMOTOI AMP PRB 2,204.0,181.56,35.09,204.0,481 CDM,PX-87481,PR CANDIDA AMP PROBE,151.0,134.39,35.09,151.0,467 CDM,PX-87483,PR CNS DNA AMP PROBE TYPE 12-25,834.0,742.26,416.78,834.0,481 CDM,PX-87484,PR EHRLICHIA CHAFFEENSIS (EHRL/EPCRB-NCCI),91.0,80.99,35.09,91.0,481 CDM,PX-87491,PR CHLAMYDIA TRACH DNA AMPL PROBE,217.0,193.13,35.09,217.0,467 CDM,PX-87491005,PR CHLAMYDIA TRACH DNA AMPL PROBE (CGRNA/MCTGC-NCCI),217.0,193.13,35.09,217.0,467 CDM,PX-87493,PR C DIFFICILE TOXIN AMPL PROBE,198.0,176.22,37.27,198.0,481 CDM,PX-87494001,PR INFECT AGENT CHLAM/GONORR MULTIPLEX,439.0,390.71,70.18,439.0,467 CDM,PX-87494003,PR INFECT AGENT CHLAM/GONORR MULTI (MCTGC),439.0,390.71,70.18,439.0,467 CDM,PX-87496,PR CYTOMEGALOVIRUS DETECTION/PCR,267.0,237.63,35.09,267.0,481 CDM,PX-87497001,PR CMV PCR QUANT A1,561.0,499.29,42.84,561.0,467 CDM,PX-87498,PR ENTEROVIRUS,224.0,199.36,35.09,224.0,481 CDM,PX-87500001,PR VRE BY RAPID PCR,116.0,103.24,35.09,116.0,481 CDM,PX-87507,PR GASTROINTESTIONAL PATHOGEN PANEL,834.0,742.26,416.78,834.0,481 CDM,PX-87513001,"PR HELICO PYLORI, CLARITHROMYCIN RESIST 2",181.0,161.09,35.09,181.0,481 CDM,PX-87513002,"PR HELICO PYLORI, CLARITHROMYCIN RESIST 3",181.0,161.09,35.09,181.0,481 CDM,PX-87517,PR HEP B PCR QUANT,699.0,622.11,42.84,699.0,467 CDM,PX-87522,PR HEP C PCR QUANT,448.0,398.72,42.84,448.0,467 CDM,PX-87529,PR HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/HSVC/LHSVC/HSVZA/HSVA-NCCI),256.0,227.84,35.09,256.0,481 CDM,PX-87529002,PR HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/LHSVC/HSVC/HSVA-MEC NCCI),512.0,455.68,35.09,512.0,481 CDM,PX-87532,PR HHV-6 BY RAPID PCR,183.0,162.87,35.09,183.0,481 CDM,PX-87533001,PR HHV-6 DNA QUANT,288.0,256.32,41.76,288.0,481 CDM,PX-87535004,PR HIV-1 DNA AMPL PROBE 2,533.0,474.37,35.09,533.0,467 CDM,PX-87536,PR HIV 1 PCR QUANT,603.0,536.67,85.1,603.0,467 CDM,PX-87538002,PR HIV-2 PROBE & REVRSE TRNSCR 2,670.0,596.3,35.09,670.0,467 CDM,PX-87556,PR MTB COMPLEX BY RAPID PCR,304.0,270.56,41.68,304.0,481 CDM,PX-87563,PR M GENITALIUM AMP PROBE,196.0,174.44,35.09,196.0,467 CDM,PX-87564,"PR MYCOBACT TUBERC, RIFAMPIN RESIST",484.0,430.76,76.77,484.0,481 CDM,PX-87581,PR MYCOPLASMA PNEUMO AMPL PROBE,129.0,114.81,35.09,129.0,481 CDM,PX-87591,PR NEISSERIA GONORR DNA AMPL,222.0,197.58,35.09,222.0,467 CDM,PX-87591005,PR NEISSERIA GONORR DNA AMPL (CGRNA/MCTGC),222.0,197.58,35.09,222.0,467 CDM,PX-87593,PR INFECT AGNT DETECT ORTHOPOXVIRUS,117.0,104.13,51.31,117.0,481 CDM,PX-87594,PR PNEUMOCYSTIS JIROVECII AMP PROBE,181.0,161.09,35.09,181.0,481 CDM,PX-87624,"PR HPV HIGH RISK, SCREENING",198.0,176.22,35.09,198.0,481 CDM,PX-87624001,PR HPV HIGH RISK,198.0,176.22,35.09,198.0,481 CDM,PX-87626,PR HPV SEPARATE HI-RISK TYPES,198.0,176.22,70.2,198.0,467 CDM,PX-87626001,PR HPV SEPARATE HI-RISK TYPES 2,198.0,176.22,70.2,198.0,467 CDM,PX-87627,PR JT INFECT PANEL 26+ TARGETS (JIP),895.0,796.55,679.77,895.0,481 CDM,PX-87631,PR RESP VIRUS 3 TO 5 TARGETS,424.0,377.36,142.63,424.0,482 CDM,PX-87631001,PR RESP VIRUS 3 TO 5 TARGETS 2,424.0,377.36,142.63,424.0,468 CDM,PX-87633,PR RESP VIRUS 12 TO 25 TARGETS,834.0,742.26,416.78,834.0,481 CDM,PX-87634001,PR RSV DNA/RNA AMP PROBE,236.0,210.04,70.2,236.0,481 CDM,PX-87635,PR SARS-COVID19,136.0,121.04,51.31,136.0,482 CDM,PX-87635001,PR SARS-COVID19 2,136.0,121.04,51.31,136.0,468 CDM,PX-87636,PR SARSCOV2 & INF A&B AMP PRB,324.0,288.36,142.63,324.0,467 CDM,PX-87637,"PR SARSCOV2,INF A/B, RSV MULT AMP PROBE",430.0,382.7,142.63,430.0,467 CDM,PX-87637002,"PR SARSCOV2,INF A/B, RSV MULT AMP PROBE 2",430.0,382.7,142.63,430.0,467 CDM,PX-87641,PR MRSA AMPL PROBE,153.0,136.17,35.09,153.0,481 CDM,PX-87651001,"PR GROUP A STREP PCR, THROAT",169.0,150.41,35.09,169.0,481 CDM,PX-87651002,"PR STREP GROUP A, PCR, POCT",164.0,145.96,35.09,164.0,468 CDM,PX-87661,PR TRICHOMONAS VAG AMP PROBE,184.0,163.76,35.09,184.0,467 CDM,PX-87662,PR ZIKA VIRUS AMPL PROBE,511.0,454.79,51.31,511.0,481 CDM,PX-87798001,PR DETECT AGENT NOS DNA AMP,181.0,161.09,35.09,181.0,482 CDM,PX-87798002,PR BABESIA (BABPB/LBAB/BABPR/LBABP-NCCI),97.0,86.33,35.09,97.0,482 CDM,PX-87798005,PR BORDETELLA (BPRPV/BPRP-NCCI),181.0,161.09,35.09,181.0,482 CDM,PX-87798008,PR COCCIDIOIDES BY RAPID PCR,181.0,161.09,35.09,181.0,482 CDM,PX-87798011,PR COXIELLA BURNETII/Q FEVER PC,181.0,161.09,35.09,181.0,482 CDM,PX-87798013,PR EHRLICHIA/ANAPLASMA (EHRL/EPCRB-NCCI),97.0,86.33,35.09,97.0,482 CDM,PX-87798014,PR EPSTEIN BARR AMPL PROBE,181.0,161.09,35.09,181.0,482 CDM,PX-87798018,PR INF AGENT NOS AMPL PROBE EA ORGSM,181.0,161.09,35.09,181.0,482 CDM,PX-87798020,PR JC VIRUS DETECTION BY PCR,175.0,155.75,35.09,175.0,482 CDM,PX-87798023,PR MICROSPORIDIA PCR,181.0,161.09,35.09,181.0,482 CDM,PX-87798026,PR MYCOPLASMA HOMINIS AMP PROBE,175.0,155.75,35.09,175.0,482 CDM,PX-87798030,PR PARVOVIRUS B19 BY RAPID PCR,181.0,161.09,35.09,181.0,482 CDM,PX-87798035,PR INF AGENT NOS AMPL PROBE EA ORGSM 2,181.0,161.09,35.09,181.0,482 CDM,PX-87798037,PR TOXOPLASMA GONDII AMPL PB,175.0,155.75,35.09,175.0,482 CDM,PX-87798040,PR UREAPLASMA PCR (URBRP/URPRP/URRP?NCCI),181.0,161.09,35.09,181.0,482 CDM,PX-87798041,PR VARICELLA ZOSTER VIRUS DETECT,175.0,155.75,35.09,175.0,482 CDM,PX-87798042,PR WEST NILE AMPL PROBE,175.0,155.75,35.09,175.0,482 CDM,PX-87798043,PR WHIPPLES DISEASE DNA DETECT,181.0,161.09,35.09,181.0,482 CDM,PX-87798046,PR Q FEVER PCR,181.0,161.09,35.09,181.0,482 CDM,PX-87798047,PR TOXOPLASMA GONDII PCR CSF,181.0,161.09,35.09,181.0,482 CDM,PX-87798048,PR DETECT AGENT NOS DNA AMP 2,175.0,155.75,35.09,175.0,482 CDM,PX-87798051,"PR ACANTHAMOEBA SPECIES, PCR",175.0,155.75,35.09,175.0,482 CDM,PX-87798064,"PR CHIKUNGUNYA VIRUS, PCR",181.0,161.09,35.09,181.0,482 CDM,PX-87798065,PR B MAYONII PCR (PBORB/PBORR-NCCI),91.0,80.99,35.09,91.0,482 CDM,PX-87798066,PR B GARINII/B AFZELII PCR (PBORB/PBORR-NCCI),91.0,80.99,35.09,91.0,482 CDM,PX-87798068,PR DENGUE VIRUS PCR,175.0,155.75,35.09,175.0,482 CDM,PX-87798071,PR BRBS PCR AND SEQUENCING,175.0,155.75,35.09,175.0,482 CDM,PX-87798072,PR H PYLORI+CLARITHRO RESIST,181.0,161.09,35.09,181.0,482 CDM,PX-87798079,PR BORDETELLA 2 (BPRPV/BPRP-MEC NCCI),361.0,321.29,35.09,361.0,482 CDM,PX-87799001,PR DETECT AGENT NOS DNA QUANT 1,231.0,205.59,42.84,231.0,467 CDM,PX-87799002,PR BK VIRUS DNA QN BY RAPID PCR,231.0,205.59,42.84,231.0,467 CDM,PX-87799003,PR DETECT AGENT NOS DNA QUANT,231.0,205.59,42.84,231.0,467 CDM,PX-87799006,PR EBV DNA DETECT QUANT,231.0,205.59,42.84,231.0,467 CDM,PX-87801001,PR BARTONELLA BY RAPID PCR,353.0,314.17,70.2,353.0,481 CDM,PX-87801003,PR LEGIONELLA SPECIES DETECTION,353.0,314.17,70.2,353.0,481 CDM,PX-87801005,PR MULT ORGANISM AMPL PROBE 1,353.0,314.17,70.2,353.0,481 CDM,PX-87801006,PR MULT ORGANISM AMPL PROBE 2,353.0,314.17,70.2,353.0,481 CDM,PX-87801008,PR MULT ORGANISM AMPL PROBE 3,353.0,314.17,70.2,353.0,481 CDM,PX-87801009,PR MULT ORGANISM AMPL PROBE (CGRNA/MCTGC-MEC-NCCI),439.0,390.71,70.2,439.0,467 CDM,PX-87801012,PR LYME DISEASE PCR (PBORB/PBORR/LYMPV-MEC-NCCI),273.0,242.97,70.2,273.0,481 CDM,PX-87899,PR AGENT NOS ASSAY W OPTIC,90.0,80.1,16.07,90.0,467 CDM,PX-87899002,PR CRYPTOCOCCUS AG W OPTIC,90.0,80.1,16.07,90.0,467 CDM,PX-87899003,PR LEGIONELLA AG URINE W OPTIC,90.0,80.1,16.07,90.0,467 CDM,PX-87899006,PR STREP PNEUMONIAE AG W OPTIC,90.0,80.1,16.07,90.0,467 CDM,PX-87899010,"PR CRYPTOCOCCUS AG SCRN, LFA",90.0,80.1,16.07,90.0,467 CDM,PX-87902,PR HEP C GENOTYPE DNA REVERSE,1300.0,1157.0,257.45,1300.0,467 CDM,PX-87902005,PR HEP C GENOTYPE DNA REVERSE 1,1300.0,1157.0,257.45,1300.0,467 CDM,PX-87999007,PR EHRLICHIA/ANAPLASMA (EHRL/EPCRB-MEC NCCI),374.0,332.86,37.4,374.0,477 CDM,PX-87999009,PR BABESIA (BABPB/LBAB/BABPR/LBABP-MEC NCCI),284.0,252.76,28.4,284.0,477 CDM,PX-87999010,PR HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/HSVC/LHSVC-MEC NCCI),449.0,399.61,44.9,449.0,477 CDM,PX-87999014,PR UREAPLASMA PCR (URBRP/URPRP/URRP?MEC NCCI),360.0,320.4,36.0,360.0,477 CDM,PX-87999015,PR HCV GENOTYPIC DRUG RESISTANCE (HCVDR?MEC NCCI),1767.0,1572.63,176.7,1767.0,463 CDM,PX-87999022,PR JOINT INFECTION PANEL,895.0,796.55,89.5,895.0,477 CDM,PX-87999024,PR MULT ORGANISM AMPL PROBE (BRBPS DEX-Z),353.0,314.17,35.3,353.0,477 CDM,PX-881000002,HC CRRT (PRISMA),3160.0,2812.4,657.28,3160.0,719 CDM,PX-881000003,HC CARPEDIEM CRRT PEDS,3356.0,2986.84,698.05,3356.0,719 CDM,PX-881000004,HC ULTRAFILTRATION,2477.0,2204.53,299.08,2477.0,737 CDM,PX-88108,PR CYTOP CONCEN SMEARS & INTERP,198.0,176.22,17.41,362.0,1447 CDM,PX-88112,PR CYTOP NONGYN LIQUID BASED,219.0,194.91,21.24,418.0,1447 CDM,PX-88120,PR FISH BLADDER CA MANUAL,1694.0,1507.66,44.39,1972.0,1446 CDM,PX-88141,PR CYTOP C/V INTERPRET,103.0,91.67,19.8,103.0,486 CDM,PX-88142,PR CYTOP GYN THIN PREP MANUAL,108.0,96.12,20.26,108.0,481 CDM,PX-88161,PR CYTOP SMEAR NONGYN W PREP,128.0,113.92,19.61,227.0,1446 CDM,PX-88162,PR CYTO SMEAR NONGYN EXTND STUDY,202.5,180.225,30.06,279.0,964 CDM,PX-88172,PR CYTOP FNA IMMEDIATE EVAL,258.0,229.62,27.03,290.0,964 CDM,PX-88173,PR CYTOP FNA INTERP & REPORT,336.0,299.04,53.5,573.0,1447 CDM,PX-88177,PR CYTOP FNA EVAL ADEQUACY EA ADD,127.0,113.03,16.58,131.0,964 CDM,PX-88182,PR FLOW CELL CYCLE/DNA ANALYSIS,245.0,218.05,28.66,417.0,1446 CDM,PX-88184,PR FLOW CYTO FIRST MARKER,411.0,365.79,67.75,411.0,482 CDM,PX-88184001,PR FLOW CYTO FIRST MARKER 2,411.0,365.79,67.75,411.0,482 CDM,PX-88184005,PR FLOW CYTO FIRST MARKER 1,411.0,365.79,67.75,411.0,468 CDM,PX-88184007,PR FLOW CYTO FIRST MARKER 3,411.0,365.79,67.75,411.0,482 CDM,PX-88185,PR FLOW CYTO EA ADD MARKER,153.0,136.17,19.35,153.0,482 CDM,PX-88185003,PR FLOW CYTO EA ADD MARKER 2,153.0,136.17,19.35,153.0,482 CDM,PX-88187,PR FLOW CYTO INTERP 2-8 MARKERS,437.0,388.93,28.28,437.0,489 CDM,PX-88188,PR FLOW CYTO INTERP 9-15 MARKERS,578.0,514.42,46.95,578.0,487 CDM,PX-88189,PR FLOW CYTO INTERP > 15 MARKERS,743.0,661.27,63.75,743.0,488 CDM,PX-88230,PR TISS CULT LYMPHOCYTE,653.0,581.17,116.49,653.0,481 CDM,PX-88233,PR TISS CULT SKN/OTH SOLID TISS BX,657.0,584.73,140.73,657.0,481 CDM,PX-88235,PR TISS CULT AMNIOTIC/CHR CELLS,693.0,616.77,150.3,693.0,481 CDM,PX-88237,PR TISS CULT BONE MARROW,847.0,753.83,143.75,847.0,481 CDM,PX-88240,PR CRYOPRESERVE FREEZING&STORAGE CELLS,395.0,351.55,13.07,395.0,481 CDM,PX-88262,PR CHROMO ANALYSIS 15-20 CELL BAND,1058.0,941.62,125.49,1058.0,481 CDM,PX-88262001,PR CHROMO ANALYSIS <15 - 2 KARO (REDUC),1058.0,941.62,125.49,1058.0,481 CDM,PX-88264,PR CHROMOSOME ANALYSIS 20-25 CELL,1213.0,1079.57,144.61,1213.0,481 CDM,PX-88264001,PR CHROMO ANALYSIS <20 CELLS (REDUC),1213.0,1079.57,144.61,1213.0,481 CDM,PX-88267,PR CHROMO ANALYSIS PLCNTA 15 CELL,1697.0,1510.33,188.57,1697.0,481 CDM,PX-88269,PR CHROMO AMNIO CELL 6-12/1KARYO SITU,1345.0,1197.05,173.66,1345.0,481 CDM,PX-88271,PR MOL CYTOG DNA PROBE EA,149.0,132.61,21.42,149.0,481 CDM,PX-88271002,PR MOL CYTOG DNA PROBE CELL SUSP EA,149.0,132.61,21.42,149.0,481 CDM,PX-88271003,PR MOL CYTOG DNA PROBE SORT CELL EA,149.0,132.61,21.42,149.0,481 CDM,PX-88273,PR CYTOG CHROMO 10-30CELL,268.0,238.52,34.81,268.0,481 CDM,PX-88273001,PR CYTOG CHROMO <10 CELL (REDUC),236.0,210.04,34.81,236.0,481 CDM,PX-88274,PR CYTOG INTRPHASE 25-99 CELL,238.0,211.82,42.38,238.0,481 CDM,PX-88274002,PR CYTOG INTRPHASE <25 CELL,240.0,213.6,42.38,240.0,481 CDM,PX-88274003,PR CYTOG INTERPHASE SORT CELL 25-99 CELL,240.0,213.6,42.38,240.0,481 CDM,PX-88275,PR CYTOG INTERPHASE 100-300 ISH,332.0,295.48,51.19,332.0,481 CDM,PX-88275002,PR CYTOG INTERPHASE CELL SUSP 100-300 ISH,333.0,296.37,51.19,333.0,481 CDM,PX-88280001,PR CHROMO ANLYS ADD KARYOTYPE EA 2,274.0,243.86,33.47,274.0,481 CDM,PX-88285,PR CHROMO ANLYS ADD CELL COUNT EA,154.0,137.06,26.91,154.0,481 CDM,PX-88291001,PR CYTOG & MOL INTERP & REPORT 1,204.0,181.56,26.96,204.0,486 CDM,PX-88291003,PR CYTOG & MOL INTERP & REPORT 3,204.0,181.56,26.96,204.0,486 CDM,PX-88291006,PR CYTOG & MOL INTERP & REPORT 6,204.0,181.56,26.96,204.0,486 CDM,PX-88291007,PR CYTOG & MOL INTERP & REPORT 5,204.0,181.56,26.96,204.0,486 CDM,PX-88291008,PR CYTOG & MOL INTERP & REPORT 4,204.0,181.56,26.96,204.0,486 CDM,PX-88291009,PR CYTOG & MOL INTERP & REPORT 8,335.0,298.15,26.96,335.0,486 CDM,PX-88291010,"PR COG-CHROMOSOMES, HEMATOLOGIC, BM",293.0,260.77,26.96,293.0,486 CDM,PX-88291015,PR CYTOG & MOL INTERP & REPORT 7,204.0,181.56,26.96,204.0,486 CDM,PX-88300,PR LVL 1 SURG PATH GROSS MICRO,62.0,55.18,3.39,108.0,1446 CDM,PX-88302,PR LVL 2 SURG PATH GROSS MICRO,125.0,111.25,5.3,202.0,1446 CDM,PX-88304,PR LVL 3 SURG PATH GROSS MICRO,148.0,131.72,8.33,261.0,1448 CDM,PX-88305,PR LVL 4 SURG PATH GROSS MICRO,235.0,209.15,28.67,417.0,1450 CDM,PX-88307,PR LVL 5 SURG PATH GROSS MICRO,524.0,466.36,62.4,950.0,1449 CDM,PX-88309,PR LVL 6 SURG PATH GROSS MICRO,826.5,735.585,109.87,999.0,964 CDM,PX-88311,PR DECALCIFICATION PROC,72.0,64.08,6.81,117.0,1446 CDM,PX-88312,PR SPECIAL STAIN GROUP 1,323.0,287.47,20.42,442.0,1447 CDM,PX-88313,PR SPECIAL STAIN GROUP 2,259.0,230.51,9.16,325.0,1447 CDM,PX-88314,PR SPECIAL STAIN HISTOCHEMICAL,270.5,240.745,15.16,406.0,964 CDM,PX-88319,PR HISTOCHEMISTRY FOR ENZYME,373.0,331.97,20.7,530.0,1446 CDM,PX-88321,PR CONSULT SLIDE WO PREP,521.0,463.69,76.15,521.0,492 CDM,PX-88323,PR CONSULT SLIDE W PREP,547.0,486.83,24.76,625.0,1449 CDM,PX-88325,PR CONSULT COMP W RVW RECORDS&SPEC,628.0,558.92,124.33,628.0,491 CDM,PX-88331,PR FROZEN SECTION 1ST BLOCK,333.0,296.37,32.89,413.0,1447 CDM,PX-88332,PR FROZEN SECTION ADD TISS BLOCK,199.0,177.11,12.32,213.0,1446 CDM,PX-88333,PR CONSULT SURG TOUCH PREP INIT,374.0,332.86,46.91,392.0,964 CDM,PX-88341,PR IMMUNO STAIN PER SPEC EA ADD AB,286.0,254.54,21.8,424.0,1453 CDM,PX-88342,PR IMMUNO STAIN PER SPEC INITIAL AB,295.0,262.55,26.75,488.0,1452 CDM,PX-88344,PR IMMUNO STAIN EA MULTIPLEX AB,588.0,523.32,29.5,809.0,1446 CDM,PX-88344003,PR IMMUNO STAIN EA MULTIPLEX AB 2,589.0,524.21,29.5,811.0,1446 CDM,PX-88346,PR IF STUDY EA AB DIR METHOD,166.0,147.74,27.28,326.0,1447 CDM,PX-88348,PR ELECTRON MICROSCOPY DX,1053.0,937.17,58.82,1478.0,1447 CDM,PX-88350,PR IMMUNOFLUORESCENCE EA ADD,175.0,155.75,22.34,343.0,1447 CDM,PX-88356,PR MORPHOMETRIC ANALYSIS NERVE,794.0,706.66,184.35,794.0,482 CDM,PX-88360,PR TUMOR IMMUNOHISTO MANUAL EA AB,333.0,296.37,31.95,579.0,1449 CDM,PX-88361,PR TUMOR IMMUNOHISTO CAT EA AB,689.0,613.21,33.0,1029.0,1446 CDM,PX-88362,PR NERVE TEASING PREP,820.0,729.8,85.67,1219.0,1446 CDM,PX-88364,PR INSITU HYBRID EA ADD PROBE,417.0,371.13,25.91,612.0,1446 CDM,PX-88365,PR INSITU HYBRID INITIAL PROBE,246.0,218.94,33.06,465.0,1446 CDM,PX-88377,PR MORPH INSITU MAN EA MULTIPLEX,1111.0,988.7900000000001,49.76,1867.0,964 CDM,PX-88377001,PR MORPH INSITU MAN EA MULTIPLEX A1,955.0,849.9499999999999,49.76,1556.0,964 CDM,PX-88377003,PR MORPH INSITU MAN EA MULTIPLEX A2,1377.0,1225.53,49.76,1720.0,1446 CDM,PX-88377004,PR MORPH INSITU MAN EA MULTIPLEX A3,1377.0,1225.53,49.76,1720.0,1446 CDM,PX-88377005,PR MORPH INSITU MAN EA MULTIPLEX A4,1377.0,1225.53,49.76,1720.0,1446 CDM,PX-88377006,PR MORPH INSITU MAN EA MULTIPLEX A5,1031.5,918.035,49.76,1720.0,964 CDM,PX-88377007,PR MORPH INSITU MAN EA MULTIPLEX A6,1377.0,1225.53,49.76,1720.0,1446 CDM,PX-88377008,PR MORPH INSITU MAN EA MULTIPLEX A7,1031.5,918.035,49.76,1720.0,964 CDM,PX-88380,PR MICRODISSECTION LASER,268.0,238.52,39.59,495.0,1448 CDM,PX-88380001,"PR MICRODISSECTION, LASER 2",320.0,284.8,39.59,501.0,1448 CDM,PX-88381,PR MICRODISSECTION MANUAL,683.0,607.87,17.9,861.0,1448 CDM,PX-88720,PR BILIRUBIN TRANSCUTANEOUS,49.0,43.61,5.02,49.0,488 CDM,PX-88749,PR SKIN ADVANCED GLYCATION ENDPRODUCTS SPECTROSCOPY,62.0,55.18,54.56,62.0,482 CDM,PX-89050,PR CELL COUNT BODY FLUID,60.0,53.4,4.72,60.0,481 CDM,PX-89051002,PR CELL COUNT W DIFF BODY FLUID,89.0,79.21,5.6,89.0,481 CDM,PX-89051004,PR CELL COUNT FLUID W DIFF COUNT 2,93.0,82.77,5.6,93.0,481 CDM,PX-89055,PR LEUKOCYTES FECES,58.0,51.62,4.27,58.0,481 CDM,PX-89060,PR CRYSTAL EXAM FLUID/TISSUE,91.0,80.99,7.33,91.0,483 CDM,PX-891000000,YESCARTA,2480000.0,503580.0,503580.0,503580.0,13 CDM,PX-891000001,HC TISAGENLECLEUCEL CAR-POS T,2360000.0,2100400.0,410300.0,2360000.0,734 CDM,PX-891000002,KYMRIAH (LEUKEMIA),2730000.0,593533.34,593533.34,593533.34,2 CDM,PX-891000006,TECARTUS (LYMPHOMA),2270000.0,462000.0,462000.0,462000.0,270 CDM,PX-891000010,BREYANZI,2520000.0,531350.4,531350.4,531350.4,12 CDM,PX-891000011,TECARTUS (LEUKEMIA),2080000.0,462000.0,462000.0,462000.0,1 CDM,PX-891000015,CARVYKTI,2500000.0,555310.44,555310.44,555310.44,319 CDM,PX-891000016,AMONTANAAGVI,2530000.0,562000.0,562000.0,562000.0,8 CDM,PX-891000017,HC OBECABTAGENE AUROLEUCEL (AUCATZYL),2370000.0,2109300.0,278250.0,2370000.0,716 CDM,PX-89230,PR SWEAT CHOLORIDE IONTOPHORESIS,199.0,177.11,2.33,199.0,484 CDM,PX-89240002,PR MICRODROP SPERM RISE,100.0,89.0,10.0,100.0,479 CDM,PX-89240003,PR PENTOXIFLLINE STIM SPERM,85.0,75.65,8.5,85.0,479 CDM,PX-89250,PR CULTURE OOCYTE/EMBRYO< 4 DAYS,3203.0,2850.67,2818.64,3203.0,481 CDM,PX-89250001,PR CULTURE THAWED EMBRYOS,500.0,445.0,440.0,500.0,481 CDM,PX-89250002,PR CULTURE THAWED OOCYTE,635.0,565.15,558.8,635.0,481 CDM,PX-89253,PR ASSTD EMBRYO HATCH MICROTECHNIQ,510.0,453.9,448.8,510.0,480 CDM,PX-89254,PR OOCYTE ID FOLLICULAR FLUID,1041.0,926.49,916.08,1041.0,478 CDM,PX-89255,PR PREP EMBRYO FOR TRANSFER,496.0,441.44,436.48,496.0,480 CDM,PX-89257,PR SPERM IDENTIFICATION,1159.0,1031.51,1019.92,1159.0,477 CDM,PX-89258,PR CRYOPRESERVATION EMBRYO,1239.0,1102.71,1090.32,1239.0,479 CDM,PX-89259,PR CRYOPRESERVATION SPERM,405.0,360.45,356.4,405.0,477 CDM,PX-89261,PR SPERM ISOLATE COMPLEX PREP INSEM,459.0,408.51,403.92,459.0,480 CDM,PX-89264,PR SPERM ID FRM TESTIS COMPLX,1189.0,1058.21,1046.32,1189.0,477 CDM,PX-89268,PR INSEMINATION OOCYTES,690.0,614.1,607.2,690.0,477 CDM,PX-89272,PR EXTEND CULTURE OOCYTE 4-7 DAYS,620.0,551.8,545.6,620.0,480 CDM,PX-89280,PR INTRACYTOPLASMIC SPERM INJ 10,1859.0,1654.51,1635.92,1859.0,478 CDM,PX-89290,PR EMBRYO BIOPSY <=5,2375.0,2113.75,2090.0,2375.0,478 CDM,PX-89291,PR BX OOCYTE POLAR BODY> 5 EMBRYOS,3098.0,2757.22,2726.24,3098.0,478 CDM,PX-89310,PR SEMEN ANALYSIS MOTILITY&COUNT,106.0,94.34,8.61,106.0,481 CDM,PX-89322,PR ANLYS SEMEN VOL/CNT/MOT/DIFF,227.0,202.03,15.5,227.0,481 CDM,PX-89331001,PR POST EJACULATE ANALYSIS,172.0,153.08,19.59,172.0,481 CDM,PX-89335,PR CRYOPRESERVE TESTI TISSUE,538.0,478.82,473.44,538.0,477 CDM,PX-89337,PR CRYOPRESERVATION OOCYTE/S,1859.0,1654.51,1635.92,1859.0,477 CDM,PX-89352,PR THAWING CRYOPRESERVED EMBRYO,1239.0,1102.71,1090.32,1239.0,479 CDM,PX-89353,PR THAWING CRYOPRESRVED; SPERM,170.0,151.3,149.6,170.0,478 CDM,PX-89354,PR THAW CRYOPRSVRD; REPROD TISS,211.0,187.79,185.68,211.0,478 CDM,PX-89356,PR THAWING OOCYTES EA ALIQUOT,1040.0,925.6,915.2,1040.0,478 CDM,PX-89398,PR SPERM STRICT ONLY,187.0,166.43,164.56,187.0,477 CDM,PX-900000004,HC PSYCH EVAL DX,504.0,448.56,104.83,504.0,719 CDM,PX-900000005,HC TMS TX INIT SUBSQ,814.0,724.46,169.31,814.0,736 CDM,PX-901000000,HC ELECTROCONVULSIVE THERAPY,2189.0,1948.21,96.77,2189.0,739 CDM,PX-901000001,HC TMS TX INIT,816.0,726.24,169.73,816.0,735 CDM,PX-901000002,HC TMS TX INIT SUBSQ REDETERMN,1089.0,969.21,216.39,1089.0,734 CDM,PX-90380,"PR RSV MONOC ANTIBODY, 0.5 ML DOSAGE IM",665.0,591.85,585.2,665.0,484 CDM,PX-90381,"PR RSV MONOC ANTIBODY, 1 ML DOSAGE IM",665.0,591.85,585.2,665.0,486 CDM,PX-90460,PR IMMUN ADM <=18YR W COUNSL INIT,59.0,52.51,16.2,59.0,519 CDM,PX-90461,PR IMMUN ADM <=18YR W COUNSL ADD,42.0,37.38,6.95,42.0,493 CDM,PX-90471,PR ADMIN VACC SNGL,57.0,50.73,18.17,57.0,497 CDM,PX-90472,PR ADMIN VACC ADD,42.0,37.38,11.17,42.0,517 CDM,PX-90473,PR IMMUN ADM INTRANASAL/ORAL INIT,59.0,52.51,14.25,59.0,489 CDM,PX-90474,PR IMMUN ADM INTRANASAL/ORAL ADD,42.0,37.38,10.06,42.0,490 CDM,PX-90480,PR ADMIN COVID-19 VACCINE,65.0,57.85,44.14,65.0,437 CDM,PX-90589,PR CHIKUNGUNYA VIRUS VACCINE LIVE FOR IM USE,273.0,242.97,240.24,273.0,477 CDM,PX-90593,PR CHIKUNGUNYA VACC RECOMB IM,387.0,344.43,340.56,387.0,477 CDM,PX-90611,PR SMALLPOX & MONKEYPOX VAC 0.5ML,391.0,347.99,344.08,391.0,479 CDM,PX-90619,PR MENINGOCOCCAL ACWY-TT VACCINE IM,164.0,145.96,144.32,164.0,491 CDM,PX-90620,PR BEXSERO MENINGOCOCCAL B VACCINE,313.0,278.57,275.44,313.0,486 CDM,PX-90627,PR TICK-BORNE ENCEPH VACC INACTIVATED 0.5ML IM,456.0,405.84,401.28,456.0,477 CDM,PX-90632,PR HEP A VACCINE ADULT IM,115.0,102.35,73.54,115.0,489 CDM,PX-90633,PR HEPA VACC 2 DOSE PED/ADOL IM USE,47.0,41.83,41.36,47.0,486 CDM,PX-90633,PR HEPA VACC 2 DOSE PED/ADOL IM USE Wisconsin Medicaid,1.0,0.89,0.88,1.0,484 CDM,PX-90647,PR HIB VACCINE PRP-OMP 3 DOSE IM,47.0,41.83,41.36,47.0,482 CDM,PX-90651,PR HPV VACCINE NON VALENT IM,424.0,377.36,373.12,424.0,492 CDM,PX-90651,PR HPV VACCINE NON VALENT IM Wisconsin Medicaid,1.0,0.89,0.88,1.0,484 CDM,PX-90656,PR FLU IIV3 TRIVALENT NO PRESERV IM,26.0,23.14,22.35,26.0,441 CDM,PX-90660,PR LAIV3 VACCINE LIVE FOR INTRANASAL USE,40.0,35.6,28.87,40.0,433 CDM,PX-90662,PR INFLUENZA VACC HIGH DOSE >65 YRS,91.0,80.99,80.08,91.0,437 CDM,PX-90670,PR PNEUMOCOCCAL VACC 13 VAL IM,315.0,280.35,277.2,315.0,477 CDM,PX-90672,PR INFLUENZA VAL 4 INTRANASAL,37.0,32.93,32.56,37.0,477 CDM,PX-90675,"PR RABIES VACCINE, IM",663.0,590.07,319.75,663.0,482 CDM,PX-90677,PR PCV20 VACCINE IM,323.0,287.47,284.24,323.0,498 CDM,PX-90678,PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE,376.0,334.64,330.88,376.0,491 CDM,PX-90680,PR RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE,138.0,122.82,121.44,138.0,486 CDM,PX-90691,PR TYPHOID VACCINE IM,269.0,239.41,236.72,269.0,487 CDM,PX-90696,PR DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE,84.0,74.76,73.92,84.0,486 CDM,PX-90697,PR DTAP-IPV-HIB-HEPB VACCINE IM,218.0,194.02,191.84,218.0,486 CDM,PX-90698,PR DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE,125.0,111.25,110.0,125.0,488 CDM,PX-90700,"PR DTAP IMMUNIZATION, IM, <7 YO",39.0,34.71,34.32,39.0,487 CDM,PX-90707,PR MMR VACCINE SUBQ,147.0,130.83,129.36,147.0,490 CDM,PX-90710,"PR COMBINED VACCINE,MMR+VARICELLA,SUB-Q",388.0,345.32,341.44,388.0,486 CDM,PX-90713,PR POLIOVIRUS IPV SC/IM,83.0,73.87,73.04,83.0,484 CDM,PX-90714,PR TD VACCINE NO PRSRV >/= 7 IM,52.0,46.28,38.97,52.0,468 CDM,PX-90715,PR TDAP VACCINE >7 IM,65.0,57.85,39.69,65.0,496 CDM,PX-90716,PR CHICKEN POX VACCINE SUBQ,261.0,232.29,229.68,261.0,487 CDM,PX-90717,"PR YELLOW FEVER IMMUNIZATN,LIVE,SUB-Q",269.0,239.41,236.72,269.0,481 CDM,PX-90732,PR PNEUMOCOCCAL POLYSAC VACCINE,163.0,145.07,133.47,163.0,481 CDM,PX-90734,PR MENINGOCOCCAL VACCINE IM,230.0,204.7,202.4,230.0,478 CDM,PX-90738,"PR JAPANESE ENCEPH VACC, INACTIVATED, IM",440.0,391.6,387.2,440.0,479 CDM,PX-90739,PR HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE,187.0,166.43,164.56,187.0,491 CDM,PX-90740,PR HEP B VACCINE DIALYSIS DOSE IM,158.0,140.62,139.04,158.0,482 CDM,PX-90744,PR HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM,36.0,32.04,31.68,36.0,488 CDM,PX-90746,PR HEPATITIS VACCINE 3 DOSE ADULT,62.0,55.18,54.56,62.0,491 CDM,PX-90750,PR HZV VACC RECOMBINANT IM,225.0,200.25,198.0,225.0,489 CDM,PX-90785,PR PSYTX COMPLEX INTERACTIVE,62.0,55.18,11.1,62.0,499 CDM,PX-90791,PR PSYCH EVAL DX,488.0,434.32,142.12,488.0,490 CDM,PX-90792,PR PSYCH EVAL DX W MED SVCS,815.0,725.35,162.99,815.0,483 CDM,PX-90832,PR PSYTX PAT 30 MIN,223.0,198.47,70.35,223.0,486 CDM,PX-90833,PR PSYTX PAT 30 MIN W E&M,219.0,194.91,65.68,219.0,482 CDM,PX-90834,PR PSYTX PAT 45 MIN,301.0,267.89,93.21,301.0,488 CDM,PX-90836,PR PSYTX PAT 45 MIN W E&M,282.0,250.98,83.35,282.0,483 CDM,PX-90837,PR PSYTX PAT 60 MIN,332.0,295.48,136.84,332.0,487 CDM,PX-90838,PR PSYTX PAT 60 MIN W E&M,316.0,281.24,110.05,316.0,482 CDM,PX-90839,PR PSYTX CRISIS 60 MIN,468.0,416.52,120.58,468.0,484 CDM,PX-90840,PR PSYTX CRISIS ADD 30 MIN,250.0,222.5,57.94,250.0,484 CDM,PX-90846,PR FAMILY PSYTX WO PAT,276.0,245.64,86.14,276.0,483 CDM,PX-90847,PR FAMILY PSYTX W PAT,297.0,264.33,82.1,297.0,501 CDM,PX-90849,PR MULT FAM GROUP PSYTX,228.0,202.92,33.01,228.0,482 CDM,PX-90849002,PR MULT FAM GROUP PSYTX >90 MIN,250.0,222.5,33.01,250.0,482 CDM,PX-90853,PR GROUP PSYTX,205.0,182.45,22.79,205.0,500 CDM,PX-90853001,PR GROUP PSYTX UP TO 60 MIN,199.0,177.11,22.79,199.0,500 CDM,PX-90853002,PR GROUP PSYTX 91 TO 120 MIN,361.0,321.29,24.79,361.0,483 CDM,PX-90853003,PR GROUP PSYTX 61 TO 90 MIN,284.0,252.76,24.79,284.0,482 CDM,PX-90853004,PR GROUP PSYTX > 121 MIN,365.0,324.85,24.79,365.0,482 CDM,PX-90867,PR TMS TX INIT,1229.0,1093.81,310.87,1229.0,483 CDM,PX-90868,PR TMS TX INIT SUBSQ,841.0,748.49,180.67,841.0,483 CDM,PX-90869,PR TMS TX INIT SUBSQ REDETERMN,1112.0,989.68,260.57,1112.0,482 CDM,PX-90870,PR ELECTROCONVULSIVE THERAPY,771.0,686.19,149.08,771.0,482 CDM,PX-90880,PR HYPNOTHERAPY,417.0,371.13,85.09,417.0,482 CDM,PX-90887,PR INTERP/EXPLN PSYCH RSLTS W FAM,178.0,158.42,87.69,178.0,428 CDM,PX-90899,PR PSYCH ECONSULT,52.0,46.28,5.2,52.0,477 CDM,PX-90901,PR BIOFEEDBACK TRAINING ANY,235.0,209.15,33.97,235.0,482 CDM,PX-90912,PR BIOFEEDBACK TRAIN PERINEAL INITIAL 15MIN MD/DO/QHP,273.0,242.97,57.19,273.0,507 CDM,PX-90912001,PR BIOFEEDBACK TRAIN PERINEAL INITIAL 15MIN OT,273.0,242.97,67.28,273.0,482 CDM,PX-90912003,PR BIOFEEDBACK TRAIN PERINEAL INITIAL 15MIN PT,273.0,242.97,67.28,273.0,482 CDM,PX-90913,PR BIOFEEDBACK TRAIN PERINEAL EA ADD 15MIN MD/DO/QHP,204.0,181.56,22.51,204.0,507 CDM,PX-90913001,PR BIOFEEDBACK TRAIN PERINEAL EA ADD15MIN OT,204.0,181.56,26.49,204.0,482 CDM,PX-90913003,PR BIOFEEDBACK TRAIN PERINEAL EA ADD 15MIN PT,204.0,181.56,26.49,204.0,482 CDM,PX-90935,PR HEMODIALYSIS W SINGLE EVAL,461.0,410.29,41.54,461.0,508 CDM,PX-90937,PR HEMODIALYSIS REPEATED EVAL,569.0,506.41,59.58,569.0,507 CDM,PX-90945,PR OTHER NON HEMO W SINGLE EVAL,616.0,548.24,61.79,616.0,482 CDM,PX-90947,PR OTHER NON HEMO REPEATED EVAL,854.0,760.06,83.84,854.0,484 CDM,PX-90954,PR ESRD SRV 4 VSTS PER MO 2-11,5718.0,5089.02,825.91,5718.0,484 CDM,PX-90955,PR ESRD SRV 2-3 VSTS PER MO 2-11,1832.0,1630.48,431.15,1832.0,484 CDM,PX-90956,PR ESRD SRV 1 VISIT PER MO 2-11,1334.0,1187.26,294.5,1334.0,484 CDM,PX-90957,PR ESRD SRV 4 VSTS PER MO 12-19,4019.0,3576.91,637.37,4019.0,484 CDM,PX-90958,PR ESRD SRV 2-3 VSTS PER MO 12-19,2192.0,1950.88,415.56,2192.0,484 CDM,PX-90959,PR ESRD SRV 1 VISIT PER MO 12-19,1443.0,1284.27,271.98,1443.0,484 CDM,PX-90960,PR ESRD SRV 4 VISITS PER MO 20+,1300.0,1157.0,299.05,1261.0,267 CDM,PX-90961,PR ESRD SRV 2-3 VSTS PER MO 20+,1079.0,960.31,249.27,1079.0,482 CDM,PX-90962,PR ESRD SRV 1 VISIT PER MO 20+,831.0,739.59,173.4,831.0,482 CDM,PX-90964,PR ESRD HOME PAT SRV PER MO 2-11,2800.0,2492.0,427.96,2800.0,482 CDM,PX-90965,PR ESRD HOME PAT SRV PER MO 12-19,2359.0,2099.51,413.57,2359.0,482 CDM,PX-90966,PR ESRD HOME PAT SRV PER MO 20+,1065.0,947.85,211.64,1065.0,507 CDM,PX-90968001,PR ESRD TRANSIENT MD EVAL 2-11,331.0,294.59,14.2,331.0,484 CDM,PX-90969,PR ESRD HOME PAT SRV PER DAY 12-19,107.0,95.23,11.83,107.0,507 CDM,PX-90969001,PR ESRD TRANSIENT MD EVAL 12-19,331.0,294.59,11.83,331.0,507 CDM,PX-90970,PR ESRD SRV 121 MIN,614.0,546.46,24.2,614.0,721 CDM,PX-915000011,HC GROUP PSYTX UP TO 60 MIN,533.0,474.37,24.2,533.0,721 CDM,PX-915000013,HC PAIN REHAB CTR FULL DAY,1576.0,1402.64,17.33,1576.0,723 CDM,PX-915000014,HC PAIN REHAB CTR HALF DAY,824.0,733.36,17.33,824.0,723 CDM,PX-915000015,HC HLTH BHV IVNTJ GRP 1ST 30,345.0,307.05,17.33,345.0,723 CDM,PX-915000016,HC HLTH BHV IVNTJ GRP EA ADDL 15,160.0,142.4,7.58,160.0,717 CDM,PX-916000000,HC FAMILY PSYTX W PAT,449.0,399.61,93.39,449.0,719 CDM,PX-916000001,HC FAMILY PSYTX WO PAT,465.0,413.85,96.72,465.0,722 CDM,PX-918000004,HC NEUROBEHAVIORAL EXAM INIT HR,548.0,487.72,70.97,548.0,719 CDM,PX-920000005,HC BRONCH DX W CELL WASH FLUOR,694.0,617.66,113.99,2361.58,741 CDM,PX-920000028,HC FETAL NON STRESS TEST,674.0,599.86,47.97,674.0,741 CDM,PX-920000036,HC IONM 1-1 REMOTE EA 15 MIN,109.0,97.01,22.67,109.0,719 CDM,PX-920000037,HC IONM REMOTE >=1 PATIENT PER HR,2193.0,1951.77,456.14,2193.0,717 CDM,PX-920000039,HC MULT SLEEP LATENCY/MAINT TEST,4978.0,4430.42,488.25,4978.0,737 CDM,PX-920000043,HC NEUROSTIM BRAIN WO REPROGRM,308.0,274.12,15.42,308.0,737 CDM,PX-920000046,HC NEUROSTIM SPINAL SIMPLE W PROG,2306.0,2052.34,32.93,2306.0,736 CDM,PX-920000051,HC PSG >=6 YRS W CPAP,8329.0,7412.81,718.97,8329.0,744 CDM,PX-920000054,HC SLP STDY UNATTND HRT RATE O2,785.0,698.65,163.28,785.0,732 CDM,PX-920000056,HC STUDY EXT ARTERY > 2 LVLS BIL,925.0,823.25,134.85,925.0,736 CDM,PX-920000057,HC STUDY EXT ARTERY 1-2 LVLS BIL,804.0,715.56,84.12,804.0,736 CDM,PX-920000059,HC TRCRAN DPLR INTRCR CMPLT,1820.0,1619.8,239.11,1820.0,736 CDM,PX-920000064,HC VEP TEST CNS,2067.0,1839.63,68.95,2067.0,736 CDM,PX-920000074,HC NERVE CONDCT STUDIES 11-12,4664.0,4150.96,255.97,4664.0,736 CDM,PX-920000075,HC NERVE CONDCT STUDIES 3-4,1514.0,1347.46,119.02,1514.0,736 CDM,PX-920000076,HC NERVE CONDCT STUDIES 5-6,1848.0,1644.72,142.94,1848.0,736 CDM,PX-920000077,HC NERVE CONDCT STUDIES 7-8,2314.0,2059.46,186.22,2314.0,737 CDM,PX-920000085,HC INTERO VAD IN PERSON,504.0,448.56,32.62,504.0,736 CDM,PX-920000088,HC ALYS BRN NPGT PRGRMG 15 MIN,751.0,668.39,75.65,751.0,734 CDM,PX-920000089,HC ALYS BRN NPGT PRGRMG ADDL 15,381.0,339.09,65.87,381.0,717 CDM,PX-920000092,HC NEUROFUNCTIONAL TEST,1644.0,1463.16,239.27,1644.0,719 CDM,PX-920000095,HC EYE MUSCLE EVALUATION,503.0,447.67,59.12,503.0,736 CDM,PX-920000127,HC INTEGUMENTARY PHOTO WHOLE BDY HIGH RISK,911.0,810.79,67.81,911.0,719 CDM,PX-920000129,HC HAIR AND SCALP IMAGING,153.0,136.17,31.82,266.2,736 CDM,PX-92002,PR EXAM EYE NEW PATIENT INTERMED,271.0,241.19,70.14,271.0,488 CDM,PX-92004,PR EXAM EYE NEW PATIENT COMP,388.0,345.32,123.4,388.0,493 CDM,PX-92012,PR EXAM EYE EST PATIENT INTERMED,253.0,225.17,74.68,253.0,489 CDM,PX-92014,PR EXAM EYE EST PATIENT COMP,379.0,337.31,104.93,379.0,493 CDM,PX-92015,PR DETERMINE REFRACTION STATE,84.0,74.76,18.74,84.0,495 CDM,PX-92018,PR EYE EXAM W ANES COMPLETE,904.0,804.56,90.95,904.0,482 CDM,PX-92019,PR EYE EXAM W ANES LIMITED,295.0,262.55,47.15,295.0,482 CDM,PX-92020,PR GONIOSCOPY,127.0,113.03,21.95,127.0,487 CDM,PX-92025,PR COMP CORNEAL TOPOGRAPHY,136.0,121.03999999999999,15.8,177.0,971 CDM,PX-92060,PR SENSORIMOTOR EXAM W MULT MEAS,197.0,175.33,29.56,247.0,973 CDM,PX-92081,PR EXAM VISUAL FIELD LIMITED,135.0,120.14999999999999,12.75,178.0,970 CDM,PX-92082,PR EXAM VISUAL FIELD INTERMEDIATE,220.0,195.8,39.12,220.0,487 CDM,PX-92083,PR EXAM VISUAL FIELD EXTENDED,185.0,164.65,21.57,336.0,1453 CDM,PX-92100,PR SERIAL TONOMETRY EXAM,256.0,227.84,70.09,256.0,483 CDM,PX-92132,PR COMP OPTH DX IMG ANTERIOR SGMT,120.0,106.8,11.86,206.0,1451 CDM,PX-92133,PR COMP OPTH DX IMG OPTIC NERVE,133.0,118.37,11.86,222.0,1454 CDM,PX-92134,PR COMP OPTH DX IMG RETINA,129.0,114.81,12.42,230.0,1455 CDM,PX-92136,PR OPHTHALMIC BIOMETRY IOL,250.0,222.5,14.94,410.0,1457 CDM,PX-92137,PR CPTRZ OPH IMG PST SG RTA OCT,308.0,274.12,49.31,308.0,483 CDM,PX-92145,PR CORNEAL HYSTERESIS DETERMNATON,65.0,57.85,4.49,76.0,965 CDM,PX-922000009,HC EMG NDL EA EXT LTD NRV CONDCT,756.0,672.84,65.76,756.0,719 CDM,PX-922000010,HC EMG NDL EXT CMPLT W NRV CONDCT,855.0,760.95,101.22,855.0,720 CDM,PX-922000011,HC EMG NDL NON-EXT W NRV CONDCT,829.0,737.81,89.33,829.0,719 CDM,PX-922000013,HC EMG NEEDLE 2 EXT,891.0,792.99,133.33,891.0,737 CDM,PX-922000017,HC EMG NEEDLE CRANIAL NRV UNILAT,754.0,671.06,108.6,754.0,736 CDM,PX-922000021,HC EMG NEEDLE LIMITED,412.0,366.68,85.7,412.0,737 CDM,PX-922000031,HC ORBICULARIS OCULI REFLEX TEST,666.0,592.74,59.12,666.0,736 CDM,PX-922000032,HC PSG <6YRS ATTENDED,7471.0,6649.19,860.58,7471.0,740 CDM,PX-922000039,HC SOMATOSENS UPPR/LWR LIMBS,4063.0,3616.07,408.73,4063.0,737 CDM,PX-922000041,HC TEST NEURMUSC JUNC EA NRV,828.0,736.92,108.05,828.0,737 CDM,PX-92201,PR OPSCPY EXTND RTA DRAW UNI/BI,140.0,124.6,20.33,140.0,482 CDM,PX-92202,PR OPSCPY EXTND ON/MAC DRAW,120.0,106.8,12.79,120.0,482 CDM,PX-92227,PR REMOTE DX IMG RETINAL DISEASE,120.0,106.8,15.5,120.0,483 CDM,PX-92229,"PR REMOTE DX RETINAL IMAGING, AI",198.0,176.22,39.06,198.0,487 CDM,PX-92235,PR ANGIOGRAPHY FLUORESCEIN,331.0,294.59,34.28,586.0,1454 CDM,PX-92240,PR ICG ANGIOGRAPHY,580.0,516.2,37.25,933.0,964 CDM,PX-92242,PR FLUORESCEIN & ICG ANGIOGRAPHY,718.5,639.4649999999999,43.82,1213.0,969 CDM,PX-92250,PR FUNDUS PHOTOGRAPHY,121.0,107.69,13.82,214.0,1449 CDM,PX-92265,PR EYE MUSCLE EVALUATION,313.0,278.57,37.04,313.0,482 CDM,PX-92270,PR ELECTRO OCULOGRAPHY,269.0,239.41,34.52,351.0,964 CDM,PX-92273,"PR ELECTRORETINOPATHY, FULL FIELD",813.0,723.57,102.36,813.0,485 CDM,PX-92274,"PR ELECTRORETINOPATHY, MULTIFOCAL",681.0,606.09,76.54,681.0,482 CDM,PX-92283,PR COLOR VISION EXAM EXTENDED,90.5,80.545,6.96,154.0,964 CDM,PX-92284,PR DARK ADAPTATION EXAMINATION,118.0,105.02000000000001,11.08,191.0,965 CDM,PX-92285,PR EXTERNAL OCULAR PHOTOGRAPHY,104.5,93.005,2.28,181.0,971 CDM,PX-92286,PR ANTR SGMT IMG W SPEC MICRO,420.5,374.245,17.16,478.0,968 CDM,PX-92310002,PR CONTACT LENS FITTING SPECIAL,135.0,120.15,100.98,135.0,486 CDM,PX-92310003,PR CONTACT LENS FITTING STANDARD,88.0,78.32,77.44,88.0,486 CDM,PX-92310004,PR CONTACT LENS FITTING TORIC/SFT,145.0,129.05,100.98,145.0,486 CDM,PX-92311,PR CONTACT LENS FIT APHAKIA 1 EYE,265.0,235.85,81.98,265.0,482 CDM,PX-92313,PR CONTACT LENS FIT CORNEOSCLERAL,742.0,660.38,79.3,742.0,483 CDM,PX-92314,PR CONTACT LENS FIT CORNEA 2 EYES,126.0,112.14,89.11,126.0,482 CDM,PX-924000000,HC ALLERGY PATCH TESTS EA,52.0,46.28,4.91,1139.38,740 CDM,PX-924000004,HC PERC/INTDER ALG TST DRG/BIO EA,233.0,207.37,5.81,233.0,736 CDM,PX-924000005,HC PHOTO PATCH TEST(S),134.0,119.26,5.94,134.0,737 CDM,PX-924000006,HC PHOTO TEST(S),252.0,224.28,52.42,252.0,737 CDM,PX-92502,PR OTOLARYNGOLOGIC EXAM W ANES,773.0,687.97,69.28,773.0,482 CDM,PX-92504,PR BINOCULAR MICROSCOPY,128.0,113.92,20.21,128.0,512 CDM,PX-92507,PR THRPY SPEECH/LANG/COMM/APD ST,235.0,209.15,62.72,235.0,482 CDM,PX-92511,PR NASOPHARYNGOSCOPY W ENDO,514.0,457.46,81.64,514.0,510 CDM,PX-92517,PR VEMP TEST I&R CERVICAL,379.0,337.31,60.69,379.0,493 CDM,PX-92518,PR VEMP TEST I&R OCULAR,379.0,337.31,61.69,379.0,492 CDM,PX-92519,PR VEMP TST I&R CERVICAL&OCULAR,570.0,507.3,97.19,570.0,495 CDM,PX-92520,PR LARYNGEAL FUNCTION STUDIES,361.0,321.29,75.31,361.0,491 CDM,PX-92520001,PR VOCAL CORD EXAMINATION,361.0,321.29,75.31,361.0,482 CDM,PX-92521,PR EVAL SPEECH FLUENCY ST,539.0,479.71,109.93,539.0,491 CDM,PX-92522,PR EVAL SPEECH PRODUCTION ST,383.0,340.87,91.64,383.0,482 CDM,PX-92523,PR EVAL SPEECH PRODUCTION W LANG ST,540.0,480.6,186.91,540.0,491 CDM,PX-92524,PR ANALYSIS BEHAV/QUAL VOICE ST,483.0,429.87,89.87,483.0,482 CDM,PX-92526,PR TX SWALLOWING DYSFUNCTION ST,271.0,241.19,69.42,271.0,491 CDM,PX-92526001,PR TX SWALLOWING DYSFUNCTION OT,271.0,241.19,69.42,271.0,482 CDM,PX-92537,PR CAL VEST TST W REC BILAT BITHERM,313.0,278.57,7.37,412.0,1478 CDM,PX-92538,PR CAL VEST TST W REC BILAT MONOTHERM,186.0,165.54,5.13,243.0,1479 CDM,PX-92540,PR BASIC VESTIBULAR EVALUATION,671.0,597.19,61.19,679.0,964 CDM,PX-92541,PR SPONTANEOUS NYSTAGMUS TEST,275.0,244.75,3.44,311.0,1479 CDM,PX-92542,PR POSITIONAL NYSTAGMUS TEST >=4,208.0,185.12,3.17,236.0,1477 CDM,PX-92545,PR OSCILLATING TRACKNG TEST W REC,194.0,172.66,2.89,221.0,1478 CDM,PX-92546,PR SINUSOIDAL VERTL AXIS ROTATION,419.0,372.91,11.92,496.0,1479 CDM,PX-92548,PR COMP DYM PSTRGRPHY SNSRY ORG TEST,530.5,472.145,27.05,568.0,967 CDM,PX-92550,PR TYMPANOMETRY & REFLEX THRESH,115.0,102.35,17.76,115.0,489 CDM,PX-92551,PR PURE TONE HEARING TEST AIR,64.0,56.96,11.71,64.0,496 CDM,PX-92552,PR PURE TONE AUDIOMETRY AIR,117.0,104.13,33.73,117.0,490 CDM,PX-92553,PR AUDIOMETRY AIR&BONE,149.0,132.61,41.03,149.0,485 CDM,PX-92555,PR SPEECH AUDIOMETRY THRESHOLD,81.0,72.09,24.76,81.0,496 CDM,PX-92556,PR SPEECH AUD THRESHOLD W RECGNIT,128.0,113.92,38.78,128.0,488 CDM,PX-92557,PR COMPREHENSIVE HEARING TEST,207.0,184.23,29.34,207.0,493 CDM,PX-92558,PR EVOKED OAE SCREENING,151.0,134.39,9.56,151.0,485 CDM,PX-92565,PR STENGER TEST PURE TONE,74.0,65.86,18.59,74.0,491 CDM,PX-92567,PR TYMPANOMETRY,86.0,76.54,13.1,86.0,492 CDM,PX-92568,PR ACOUSTIC REFLX TEST THRESHOLD,87.0,77.43,12.47,87.0,484 CDM,PX-92570,PR TYMP/ACOUSTIC REFLEX/DECAY,172.0,153.08,25.73,172.0,486 CDM,PX-92579,PR AUDIOMETRY VISUAL REINFORCEMNT,178.0,158.42,35.44,178.0,498 CDM,PX-92582,PR AUDIOMETRY CONDITIONING PLAY,232.0,206.48,72.72,232.0,487 CDM,PX-92583,PR SELECT PICTURE AUDIOMETRY,137.0,121.93,51.41,137.0,491 CDM,PX-92587,PR EVOKED OTOACOUSTIC EMISSNS LTD,176.5,157.08499999999998,14.95,186.0,984 CDM,PX-92588,PR EVOKED AUD TEST COMPREHEN,285.0,253.65,23.48,315.0,967 CDM,PX-92597,PR EVAL PROSTHETIC VOICE ST,493.0,438.77,58.37,493.0,482 CDM,PX-92601,PR ANLYS COCHLEAR IMPLT W PROG<7Y,920.0,818.8,127.55,920.0,491 CDM,PX-92602,PR ANLYS COCLR IMP REPROG<7 SUBSQ,585.0,520.65,80.38,585.0,492 CDM,PX-92603,PR ANLYS COCHLEAR IMPLT W PROG>7Y,758.0,674.62,120.3,758.0,493 CDM,PX-92604,PR ANLYS COCLR IMP REPROG>7 SUBSQ,521.0,463.69,72.29,521.0,486 CDM,PX-92607,PR EVAL SPEECH-GEN DEV 1STHR ST,409.0,364.01,100.99,409.0,482 CDM,PX-92608,PR EVAL SPCH-GEN DEV EA ADD 30MIN ST,213.0,189.57,39.55,213.0,491 CDM,PX-92609,PR THER SPEECH-GENERATING DEV ST,237.0,210.93,84.72,237.0,491 CDM,PX-92610,PR EVAL SWALLOW FUNC OT,529.0,470.81,70.0,529.0,482 CDM,PX-92610001,PR EVAL SWALLOW FUNC ST,529.0,470.81,70.0,529.0,482 CDM,PX-92611,PR EVAL SWALLOW FUNC FLUORO OT,636.0,566.04,74.81,636.0,482 CDM,PX-92611001,PR EVAL SWALLOW FUNC FLUORO ST,636.0,566.04,74.81,636.0,482 CDM,PX-92612,PR EVAL SWALLOW FBROPT ENDO ST,907.0,807.23,165.73,907.0,482 CDM,PX-92613,PR EVAL SWALLOW FBROPT ENDO I&R,296.0,263.44,28.67,296.0,484 CDM,PX-92614,PR EVAL LARYG SWALL FBROPT ENDO ST,680.0,605.2,125.15,680.0,482 CDM,PX-92616,PR EVAL SWALL FBROPT ENDO LARY,1078.0,959.42,189.26,1078.0,482 CDM,PX-92620,PR EVAL CNTRL AUD FUNC INIT 60MIN,303.0,269.67,72.93,303.0,482 CDM,PX-92622,PR DX ALY AUD OI SND PRCSR INIT 60MIN,434.0,386.26,63.88,434.0,492 CDM,PX-92623,PR DX ALY AUD OI SND PRCSR EACH ADL 15MIN,129.0,114.81,16.56,129.0,491 CDM,PX-92625,PR ASSESSMENT OF TINNITUS,226.0,201.14,53.94,226.0,493 CDM,PX-92626,"PR EVAL AUD FNCTN SURG IMP, 1ST HR",432.0,384.48,69.37,432.0,485 CDM,PX-92627,"PR EVAL AUD FNCTN SURG IMP, EA 15 MIN",121.0,107.69,16.56,121.0,491 CDM,PX-92631,PR HEARING AID SELECT UNI/BIL FIRST 30,120.0,106.8,105.6,120.0,479 CDM,PX-92632,PR HEARING AID SELECT UNI/BIL ADD 15,60.0,53.4,52.8,60.0,478 CDM,PX-92636,PR HEARING AID POST FITG F/UP FIRST 30,120.0,106.8,105.6,120.0,477 CDM,PX-92637,PR HEARING AID POST FITG F/UP ADD 15,60.0,53.4,52.8,60.0,477 CDM,PX-92640,PR DX ANLYS W PROG IMPLT PER HR,445.0,396.05,87.6,445.0,492 CDM,PX-92650,PR AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS,344.0,306.16,27.12,344.0,482 CDM,PX-92651,PR AEP HEARING STATUS DETER I&R,379.0,337.31,65.74,379.0,482 CDM,PX-92652,PR AUD EVOKED POTENTIAL THRESHOLD EST,459.0,408.51,88.04,459.0,483 CDM,PX-92653,PR AUD EVOKED POTENTIAL NEURODIAGNOSTIC,368.5,327.965,65.5,644.0,965 CDM,PX-92700015,PR SACCADIC EYE TEST,221.0,196.69,22.1,221.0,488 CDM,PX-92700016,PR SMELL TEST,93.0,82.77,9.3,93.0,488 CDM,PX-92700020,PR VEMP,475.0,422.75,47.5,475.0,488 CDM,PX-92700027,PR VHIT LATERAL CANALS ONLY,379.0,337.31,37.9,379.0,488 CDM,PX-92920,PR PTCA SNGL MJR ARTY/BRNCH,3790.0,3373.1,140.23,3790.0,482 CDM,PX-92924,PR PTCA W COR ANGIO SNGL MJR,4183.0,3722.87,170.04,4183.0,482 CDM,PX-92928,PR PLC INTRACOR STNT SNGL,4018.0,3576.02,167.95,4018.0,482 CDM,PX-92930,PR PERQ TCAT PLMT NTRAC ST 2+LES 2+ST 2+C SEGMENTS,2615.0,2327.35,198.83,2615.0,482 CDM,PX-92933,PR PTCA INTRACOR STNT SNGL MJR,4825.0,4294.25,200.49,4825.0,482 CDM,PX-92937,PR PERC REVASC TRANS COR SNGL VESL,3847.0,3423.83,189.65,3847.0,482 CDM,PX-92941,PR PERC REVASC TRANS MI SNGL VESL,4815.0,4285.35,213.64,4815.0,482 CDM,PX-92943,PR PERC REVASC TRANS CHR SNGL VESL,4815.0,4285.35,229.71,4815.0,482 CDM,PX-92945,PR PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRD&RTRGR,3270.0,2910.3,248.6,3270.0,482 CDM,PX-92950,PR CPR,1647.0,1465.83,306.44,1647.0,482 CDM,PX-92953,PR TEMP EXTERNAL PACING,83.0,73.87,0.64,83.0,482 CDM,PX-92960,PR CARDIOVSN ELECT EXTERNAL,1061.0,944.29,106.52,1061.0,508 CDM,PX-92961,PR CARDIOVSN ELECT INTERNAL,2513.0,2236.57,157.97,2513.0,482 CDM,PX-92972,PR PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY,2127.0,1893.03,96.16,2127.0,482 CDM,PX-92973,PR THROMB CRNARY PERC,1274.0,1133.86,59.09,1274.0,482 CDM,PX-92974,PR TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX,1044.0,929.16,100.69,1044.0,482 CDM,PX-92978,PR IVUS HRT EA VSSL INIT W S&I,743.5,661.715,69.38,943.0,964 CDM,PX-92979,PR IVUS HRT EA VSSL ADD W S&I,674.5,600.3050000000001,55.2,825.0,964 CDM,PX-92986,PR PERC BALLOON VALVULO AORTIC,9211.0,8197.79,430.03,9211.0,482 CDM,PX-92987,PR PERC BALLOON VALVULO MITRAL,11042.0,9827.38,443.99,11042.0,482 CDM,PX-92990,PR PERC BALLOON VALVULO PULM,10570.0,9407.3,355.95,10570.0,482 CDM,PX-92997,PR PTA PULMONARY ARTY SNGL VSSL,7987.0,7108.43,201.75,7987.0,482 CDM,PX-92998,PR PTA PULMONARY ARTY ADD VSSL,3966.0,3529.74,200.03,3966.0,482 CDM,PX-93000,PR EKG 12 LEAD W I&R,258.0,229.62,12.37,258.0,499 CDM,PX-93005,PR EKG 12 LEAD TRACE ONLY,141.0,125.49,5.69,141.0,482 CDM,PX-93010,PR EKG I&R ONLY,117.0,104.13,6.67,117.0,483 CDM,PX-93015,PR CV STRESS TEST W SI&R,515.0,458.35,60.33,515.0,482 CDM,PX-93016,PR CV STRESS TEST SUP ONLY,157.0,139.73,16.84,157.0,482 CDM,PX-93017,PR CV STRESS TEST TRACE ONLY,348.0,309.72,32.41,348.0,482 CDM,PX-93018,PR CV STRESS TEST I&R ONLY,124.0,110.36,11.07,124.0,482 CDM,PX-93024,PR ERGONOVINE PROVOCATION TEST,482.0,428.98,43.45,589.0,964 CDM,PX-93050,PR ARTERIAL PRESS WAVEFORM ANALYS,129.5,115.255,6.67,161.0,965 CDM,PX-93224,PR HOLTER MONITOR <=48 HRS GLOBAL,1314.0,1169.46,58.28,1314.0,498 CDM,PX-93225,PR HOLTER MONITR<=48HRS RECORDING,231.0,205.59,14.94,231.0,482 CDM,PX-93226,PR HOLTER MONITR<=48HRS SCN/REPRT,739.0,657.71,28.97,739.0,482 CDM,PX-93227,PR HOLTER MONITR<=48HRS R&I,209.0,186.01,14.36,209.0,489 CDM,PX-93228,PR REMOTE 30 DAY ECG PHYS REV,164.0,145.96,20.07,164.0,493 CDM,PX-93229,PR REMOTE 30 DAY ECG TECH SUPP,7426.0,6609.14,635.52,7203.22,489 CDM,PX-93241,PR LT CONT REC>48 HR & <= 7 DY GLBL,1613.0,1435.57,233.28,1564.61,477 CDM,PX-93242,PR LT CONT REC>48 HR & <= 7 DY REC,81.0,72.09,9.61,81.0,482 CDM,PX-93243,PR LT CONT REC>48 HR&<=7 DY SCR/RPT,1380.0,1228.2,205.37,1380.0,482 CDM,PX-93244,PR LT CONT REC >48 HR & <=7 DY R&I,152.0,135.28,18.29,152.0,482 CDM,PX-93245,PR LT CONT REC>7 DY & <= 15 DY GLBL,1822.0,1621.58,241.93,1822.0,482 CDM,PX-93246,PR LT CONT REC>7 DY & <= 15 DY REC,91.0,80.99,9.61,91.0,482 CDM,PX-93247,PR LT CONT REC>7 DY&<=15 DY SCR/RPT,1560.0,1388.4,212.39,1560.0,482 CDM,PX-93248,PR LT CONT REC >7 DY & <= 15 DY R&I,171.0,152.19,19.93,171.0,482 CDM,PX-93260,PR PROGR DEV EVAL IMPLT SUBQ ICD,414.0,368.46000000000004,32.96,473.0,967 CDM,PX-93261,PR INTERROGATE DEV IMPLT SUBQ ICD,366.0,325.74,28.56,416.0,967 CDM,PX-93264,PR REM MNTR WRLS P-ART PRS SNR UP TO 30DAY,437.0,388.93,36.36,437.0,507 CDM,PX-93268,PR EVENT MONITOR 30 DAY GLOBAL,2573.0,2289.97,141.27,2573.0,485 CDM,PX-93270,PR EVENT MONITOR 30DAY RECORDING,224.0,199.36,6.81,217.28,483 CDM,PX-93271,PR EVENT MONITR 30DAY TRANS/ANLYS,2150.0,1913.5,115.35,2085.5,483 CDM,PX-93272,PR EVENT MONITR 30DAY R&I,199.0,177.11,19.11,199.0,487 CDM,PX-93278,PR EKG SIGNAL AVERAGING,276.0,245.64,9.99,349.0,965 CDM,PX-93279,PR PROGR DEV EVAL PCMKR SNGL LEAD/LEADLS,251.0,223.39,24.9,312.0,969 CDM,PX-93280,PR PROGR DEV EVAL PCMKR DUAL LEAD,285.0,253.65,29.66,345.0,971 CDM,PX-93281,PR PROGR DEV EVAL PCMKR MULT LEAD,354.5,315.505,32.96,389.0,967 CDM,PX-93282,PR PROGR DEV EVAL ICD SNGL LEAD,345.0,307.05,32.68,413.0,969 CDM,PX-93283,PR PROGR DEV EVAL ICD DUAL LEAD,385.0,342.65,44.03,456.0,974 CDM,PX-93284,PR PROGR DEV EVAL ICD MULT LEAD,481.5,428.53499999999997,47.87,526.0,969 CDM,PX-93285,PR PROGR DEV EVAL SUBQ CARD MON,196.0,174.44,20.23,234.0,966 CDM,PX-93286,PR PERI-PROC PCMKR EVAL & PROG,114.0,101.46000000000001,11.63,152.0,971 CDM,PX-93287,PR PERI-PROC ICD LEAD EVAL & PROG,225.5,200.695,17.48,277.0,972 CDM,PX-93288,PR INTERROGATE DEVICE PACEMAKER,176.0,156.64,16.3,227.0,966 CDM,PX-93289,PR INTERROGATE DEVICE ICD,284.5,253.20499999999998,28.55,338.0,967 CDM,PX-93291,PR INTERROGATE DEV SUBQ CARD MON,173.5,154.415,14.1,221.0,966 CDM,PX-93294,PR INTER PCMKR REM PROF EA 90DAYS,192.0,170.88,23.41,192.0,488 CDM,PX-93295,PR INTER ICD REM PROF EA 90DAYS,299.0,266.11,28.72,299.0,490 CDM,PX-93296,PR INTER PCMKR/ICD REM TECH 90DAYS,191.0,169.99,26.45,191.0,491 CDM,PX-93297,PR INTER ICM REM 30DAYS,501.0,445.89,42.53,501.0,508 CDM,PX-93298,PR INTER SUBQ CAR MON REM 30DAYS,594.0,528.66,85.46,594.0,488 CDM,PX-93303,PR ECHO CONGENITAL CARD COMPLETE,534.0,475.26,48.68,534.0,482 CDM,PX-93304,PR ECHO CONGENITAL CARD FU/LTD,383.0,340.87,28.19,383.0,482 CDM,PX-93306,PR ECHO TTE 2D W DPLR COMPLETE,2892.5,2574.325,54.53,5249.0,977 CDM,PX-93306001,PR ECHO TTE W DPLR CMPLT W CNTRST,6663.0,5930.07,162.47,6663.0,488 CDM,PX-93306002,PR MN LYNX - ECHO TTE 2D W DPLR COMPLETE,2037.0,1812.93,162.47,2037.0,488 CDM,PX-93308,PR ECHO TTE 2D FU/LIMITED,1203.5,1071.115,19.94,2135.0,970 CDM,PX-93308002,PR ECHO 2D TTE FU/LTD W CONTRST,2665.0,2371.85,83.77,2665.0,487 CDM,PX-93312,PR ECHO TEE 2D COMPLETE,925.0,823.25,85.17,925.0,482 CDM,PX-93313,PR ECHO TEE 2D PLC ONLY,533.0,474.37,8.09,533.0,482 CDM,PX-93314,PR ECHO TEE IMG ACQUSIT I&R,572.0,509.08,69.9,572.0,482 CDM,PX-93315,PR TEE CONGENITAL CARD ANOMALIES,1269.0,1129.41,100.1,1269.0,482 CDM,PX-93317,PR TEE IMAGE ACUISITION I&R,862.0,767.18,69.07,862.0,482 CDM,PX-93318,PR ECHO TRANSESOPH INTRAOP,1099.5,978.5550000000001,81.09,1559.0,964 CDM,PX-93319,PR 3D ECHO IMG CGEN CAR ANOMAL,265.0,235.85,45.65,265.0,482 CDM,PX-93320,PR ECHO DPLR COMPLETE,1103.0,981.6700000000001,14.09,1969.0,964 CDM,PX-93321,PR ECHO DPLR FU/LIMITED,639.0,568.71,5.85,1166.0,970 CDM,PX-93321002,PR MN LYNX - ECHO DPLR FU/LIMITED,293.0,260.77,21.0,293.0,487 CDM,PX-93325,PR ECHO DPLR COLOR FLOW MAP,826.5,735.585,2.75,1519.0,970 CDM,PX-93351,PR ECHO TTE STRESS W CONT ECG,1396.0,1242.44,65.6,2193.0,964 CDM,PX-93352,PR ADMIN ECG CNTRST AGENT,250.0,222.5,29.46,250.0,482 CDM,PX-93355,PR ECHO TEE,1232.0,1096.48,150.88,1232.0,482 CDM,PX-93356,PR MYOCARDIAL STRAIN IMAGING,245.0,218.05,30.27,245.0,487 CDM,PX-93451,PR RIGHT HEART CATH,3770.0,3355.3,48.86,6164.0,964 CDM,PX-93452,PR LT HRT CATH W VENTRICULOGRAPHY,3550.5,3159.945,86.81,5364.0,964 CDM,PX-93453,PR RT< HRT CATH W VENTRICLGRPHY,5377.0,4785.53,115.8,8083.0,964 CDM,PX-93454,PR CATH PLC COR ARTY ANGIO S&I,4618.5,4110.465,87.44,7212.0,964 CDM,PX-93455,PR CATH PLC COR ARTY/GRFT ANGIO,3149.0,2802.61,101.82,4784.0,964 CDM,PX-93456,PR CATH PLC COR ARTY/ANG W RT HRT,4994.0,4444.66,113.83,7797.0,964 CDM,PX-93457,PR CATH PLC ARTY/GRFT ANG W R HRT,3812.0,3392.6800000000003,127.93,5598.0,964 CDM,PX-93458,PR CATH PLC ARTY/VENT ANG W L HRT,5588.5,4973.764999999999,107.65,8599.0,964 CDM,PX-93459,PR CATH PLC ARTY/GRFT ANG W L HRT,6743.5,6001.715,122.13,10479.0,964 CDM,PX-93460,PR CATH PLC ART/VEN ANG W R&L HRT,8901.0,7921.889999999999,136.59,13488.0,964 CDM,PX-93461,PR CATH PLC ART/GRFT ANG W R&L HRT,7407.5,6592.674999999999,150.79,11167.0,964 CDM,PX-93462,PR LT HRT CATH TXSPTL PUNC,1551.0,1380.39,151.02,1551.0,482 CDM,PX-93463,PR DRUG ADMIN AND HEMODYN MEAS,754.0,671.06,76.15,754.0,482 CDM,PX-93464,PR EXERCISE STUDY W HEMODYN MEAS,1106.5,984.7850000000001,70.89,1557.0,964 CDM,PX-93503,PR INS/PLC FLOW DIR CATH,1482.0,1318.98,63.3,1482.0,482 CDM,PX-93505,PR BX ENDOMYOCARDIAL,3508.5,3122.5649999999996,85.77,5135.0,964 CDM,PX-93563,PR INJ ANGIO CONG HRT CATH S&I,682.0,606.98,38.38,682.0,482 CDM,PX-93564,PR INJ PROC CARD CATH CONG HRT,801.0,712.89,39.49,801.0,482 CDM,PX-93565,PR INJ CATH LT VENT/ATRIAL ANGIO,497.0,442.33,19.37,497.0,482 CDM,PX-93566,PR INJ CATH RT VENT/ATRIAL ANGIO,822.0,731.58,19.33,822.0,482 CDM,PX-93567,PR INJ CATH SUPRVLV AORTOGRAPHY,590.0,525.1,27.12,590.0,482 CDM,PX-93568,PR INJ PULM ANGIO S&I,1454.0,1294.06,34.15,1454.0,482 CDM,PX-93569,PR NJX CTH SLCT P-ART ANGRP UNI,986.0,877.54,29.34,986.0,482 CDM,PX-93571,PR INTRVAS DPLR ANGIO INIT,1408.5,1253.565,69.38,2140.0,964 CDM,PX-93572,PR INTRVAS DPLR ANGIO ADD,637.0,566.93,55.2,860.0,959 CDM,PX-93573,PR NJX CATH SLCT P-ART ANGRP BI,1110.0,987.9,48.72,1110.0,482 CDM,PX-93574,PR NJX CATH SLCT PULM VN ANGRPH,1233.0,1097.37,53.46,1233.0,482 CDM,PX-93575,PR NJX CATH SLCT P ANGRPH MAPCA,1296.0,1153.44,71.64,1296.0,482 CDM,PX-93580,PR TX CATH CLSR ASD W IMP,9198.0,8186.22,306.88,9198.0,482 CDM,PX-93581,PR TX CATH CLSR VSD W IMP,12022.0,10699.58,414.65,12022.0,482 CDM,PX-93582,PR PERC TRANSCATH CLSR PDA,6875.0,6118.75,206.52,6875.0,482 CDM,PX-93583,PR PERC TRANSCATH SEP RED THRPY,7115.0,6332.35,231.84,7115.0,482 CDM,PX-93584,PR VENOGRAPHY CHD ANOMALOUS/PERSISTENT SVC NT DRG,622.0,553.58,38.62,622.0,482 CDM,PX-93585,PR VENOGRAPHY CHD AZYGOS/HEMIAZYGOS VENOUS SYSTEM,617.0,549.13,36.43,617.0,482 CDM,PX-93586,PR VENOGRAPHY CHD CORONARY SINUS,739.0,657.71,47.22,739.0,482 CDM,PX-93587,PR VENOGRAPHY CHD VENOVENOUS COLTRL AT/ABOVE HRT,1090.0,970.1,68.01,1090.0,482 CDM,PX-93588,PR VENOGRAPHY CHD VENOVENOUS COLLATERAL BELOW HEART,1102.0,980.78,68.56,1102.0,482 CDM,PX-93590,"PR PARAVALVULAR LEAK CLOSURE, INI",8220.0,7315.8,357.16,8220.0,482 CDM,PX-93591,PR PERC TXCATH CLSR PARAVLVR AORTIC,6690.0,5954.1,295.15,6690.0,482 CDM,PX-93592,"PR PARAVLAVULAR LEAK CLOSURE, EA",2984.0,2655.76,257.61,2984.0,482 CDM,PX-93593,PR R HRT CATH CHD NML NT CNJ,1389.0,1236.21,625.05,1389.0,477 CDM,PX-93594,PR R HRT CATH CHD ABNL NT CNJ,7397.0,6583.33,3328.65,7397.0,477 CDM,PX-93595,PR L HRT CATH CHD NM/ABN NT CNJ,7918.0,7047.02,3563.1,7918.0,477 CDM,PX-93596,PR R&L HRT CATH CHD NML NT CNJ,4456.0,3965.84,2005.2,4456.0,477 CDM,PX-93597,PR R&L HRT CATH CHD ABNL NT CNJ,4261.0,3792.29,1917.45,4261.0,477 CDM,PX-93598,PR CAR OUTP MEAS DRG CATH CHD,310.0,275.9,53.23,310.0,482 CDM,PX-93600,PR RECORDING HIS BUNDLE,907.5,807.675,85.25,1047.0,964 CDM,PX-93602,PR RECORDING INTRA-ATRIAL ELEC,810.0,720.9000000000001,84.52,948.0,964 CDM,PX-93610,PR PACING INTRA ATRIAL,983.0,874.87,118.1,1039.0,964 CDM,PX-93612,PR PACING INTRA VENTRICULAR,1046.5,931.385,118.5,1246.0,964 CDM,PX-93613,PR MAP EPS 3D,2454.0,2184.06,179.9,2454.0,482 CDM,PX-93618,PR PACING HRT RHYTHM,1876.5,1670.085,159.26,2172.0,964 CDM,PX-93620,PR EP EVAL W ARRHYTHMIA,6201.0,5518.89,227.01,7334.0,964 CDM,PX-93621,PR EP EVAL W LT ATRL/COR SIN PCNG,2495.0,2220.55,60.0,4008.0,964 CDM,PX-93622,PR EP EVAL W LT VENT PACING,2332.0,2075.48,124.45,3561.0,964 CDM,PX-93623,PR STIM HRT PACING POST IV INF,1402.5,1248.225,39.48,2005.0,964 CDM,PX-93624,PR EP FOLLOW UP STUDY W ARRYTH,1726.5,1536.585,87.42,1884.0,964 CDM,PX-93631,PR INTRAOP EPI/ENDO CARD PAC/MAP,1543.0,1373.27,298.13,1543.0,482 CDM,PX-93641,PR EVAL EPS ICD GENERATOR W TEST,2438.5,2170.265,113.08,2644.0,964 CDM,PX-93642,PR EVAL EPS ICD SYS,2470.0,2198.3,92.62,2647.0,964 CDM,PX-93644,PR EP EVAL SUBCUT IMPLT DEFIB,2087.0,1857.43,56.13,2139.0,964 CDM,PX-93650,PR ABLT AV NODE,4840.0,4307.6,181.24,4840.0,482 CDM,PX-93653,PR EP EVAL W SUPRAVENT ABLATE,5618.0,5000.02,258.44,5618.0,482 CDM,PX-93654,PR EP EVAL W VENT TACHY ABLATE,8757.0,7793.73,311.54,8757.0,482 CDM,PX-93655,PR ABLT ARRHYTHMIA ADD ON,2970.0,2643.3,189.43,2970.0,482 CDM,PX-93656,PR EP EVAL TX ART FIB PULM VEIN,8095.0,7204.55,293.04,8095.0,482 CDM,PX-93657,PR ABLT ATRIUM ADD LINEAR CATH,3032.0,2698.48,189.43,3032.0,482 CDM,PX-93660,PR TILT TABLE EVAL W/WO DRUG,1061.5,944.735,36.4,1282.0,964 CDM,PX-93662,PR ECHO INTRACARDIAC,1804.5,1606.005,55.67,2657.0,964 CDM,PX-93702,PR BIS LYMPHEDEMA ASSESS,363.0,323.07,110.94,363.0,482 CDM,PX-93750,PR INTERO VAD IN PERSON,324.0,288.36,36.21,324.0,508 CDM,PX-93784,PR MONITOR AMBULATORY BP >=24HR,617.0,549.13,39.22,617.0,490 CDM,PX-93786,PR AMBULATORY BP RECORDING 24 HR,308.0,274.12,19.71,308.0,482 CDM,PX-93788,PR AMBULATORY BP ANALYSIS 24 HR,72.0,64.08,4.85,72.0,482 CDM,PX-93790,PR REV/REPORT AMBULATORY BP>=24,237.0,210.93,14.66,237.0,485 CDM,PX-93799001,PR AMBULATORY BP MONITORING 18 HR,463.0,412.07,46.3,463.0,491 CDM,PX-93799002,PR AMBULATORY BP MONITORING 6 HRS,383.0,340.87,38.3,383.0,968 CDM,PX-93799014,PR TRANS CATH HRT VLV RPLC TRICUSPID,16855.0,15000.95,1685.5,16855.0,491 CDM,PX-93799016,PR CARDIONEURAL ABLATION,9697.0,8630.33,969.7,9697.0,477 CDM,PX-93799017,PR DRUG CHALLENGE STUDY,589.0,524.21,58.9,589.0,477 CDM,PX-93799018,PR PULMONARY VENOUS PRESSURE (PVP) MEASUREMENT,117.0,104.13,11.7,117.0,477 CDM,PX-93880,PR DUP SCAN EXTCR ARTY BI,972.0,865.08,29.39,1292.0,1446 CDM,PX-93882,PR DUPLEX SCAN EXTRACRAN ARTY UNILAT,427.0,380.03000000000003,18.05,696.0,964 CDM,PX-93886,PR TRCRAN DPLR INTRCR CMPLT,755.5,672.3950000000001,36.25,1192.0,967 CDM,PX-93888,PR TRCRAN DPLR INTRCR LTD,475.5,423.195,28.93,799.0,964 CDM,PX-93892,PR TRCRAN EMBOLI DETECT WO IV INJ,504.5,449.005,46.8,757.0,967 CDM,PX-93893,PR TRCRAN DPLR INTRCR EMBOLI W IV,811.5,722.2349999999999,47.64,1349.0,968 CDM,PX-93895,PR EVAL CAROTID ATHEROMA BIL,483.5,430.31500000000005,302.72,623.0,955 CDM,PX-93896,PR VSRCTV STD TCD ICR ART COMPL,479.0,426.31,155.11,479.0,485 CDM,PX-93922,PR STUDY EXT ARTERY 1-2 LVLS BIL,298.5,265.66499999999996,9.02,497.0,967 CDM,PX-93923,PR STUDY EXT ARTERY > 2 LVLS BIL,760.0,676.4,16.4,916.0,1452 CDM,PX-93924,PR STUDY EXT ARTERY W EXER,657.5,585.175,18.33,1149.0,970 CDM,PX-93925,PR DUP SCAN LWR EXT ARTY BIL,1087.0,967.43,28.84,1275.0,1446 CDM,PX-93926,PR DUP SCAN LWR EXT ARTY UNILAT/LTD,745.0,663.05,17.41,885.0,1446 CDM,PX-93930,PR DUP SCAN UPR EXT ARTY BIL,659.5,586.955,29.11,1073.0,964 CDM,PX-93931,PR DUP SCAN UPR EXT ARTY UNILAT/LTD,461.0,410.29,17.68,765.0,964 CDM,PX-93970,PR DUP SCAN EXT VEIN BIL,1051.0,935.39,25.19,1262.0,1446 CDM,PX-93971,PR DUP SCAN EXT VEIN UNILAT/LTD,770.0,685.3,16.16,921.0,1446 CDM,PX-93975,PR DUP SCAN ABD PELV COMPLT,1397.0,1243.33,41.9,1740.0,1446 CDM,PX-93976,PR DUP SCAN ABD PELV LTD,862.0,767.18,29.51,1152.0,1446 CDM,PX-93978,PR DUP SCAN AORTA IVC COMPLT,881.0,784.09,28.6,1112.0,1446 CDM,PX-93979,PR DUP SCAN AORTA IVC LTD,597.0,531.33,17.76,787.0,1446 CDM,PX-93980,PR DUP SCAN PENILE VESSELS,546.0,485.94,48.24,1085.0,1449 CDM,PX-93985,PR DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD,873.0,776.97,28.12,1196.0,1446 CDM,PX-93986,PR DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD,930.0,827.7,106.71,930.0,482 CDM,PX-93990,PR DUP SCAN HEMO ACCESS,569.0,506.41,17.01,748.0,1446 CDM,PX-93998003,PR US NONIVAS XTR VEINS BIL STUDY,631.0,561.59,63.1,631.0,490 CDM,PX-93998004,PR NAILFOLD VIDEO CAPILLAROSCOPY,497.0,442.33,49.7,497.0,490 CDM,PX-93998005,PR ASSESS ENDOTHELIAL FCT NONINV,483.0,429.87,48.3,483.0,490 CDM,PX-93998007,PR US ARTERIOVENOUS MALFORMATION,461.0,410.29,46.1,461.0,490 CDM,PX-940000006,HC ECMO DLY MGMT VENO-ARTERIAL,5001.0,4450.89,4501.0,4501.0,1 CDM,PX-940000007,HC ECMO DLY MGMT VENO-VENOUS,5001.0,4450.89,4501.0,4501.0,1 CDM,PX-940000008,HC ECMO INITIATION VENO-ART,4946.0,4401.94,4451.4,4451.4,1 CDM,PX-940000009,HC ECMO INITIATION VENO-VENOUS,4790.0,4263.1,4311.0,4311.0,1 CDM,PX-940000031,HC HYPERBARIC FULL BODY CHAMBER,705.0,627.45,137.9,705.0,738 CDM,PX-940000034,HC INJ THER SUBQ/IM,160.0,142.4,15.4,160.0,747 CDM,PX-940000036,HC PHLEBOTOMY THERAPEUTIC,518.0,461.02,99.82,518.0,741 CDM,PX-940000061,HC UNLISTED SPECIAL DERMATOLOGICAL SERVICE/PX,276.0,245.64,57.41,276.0,736 CDM,PX-940000062,HC LOW-LVL LASER THER DYN PHOTONIC & THERMOKIN NRG,75.0,66.75,9.81,75.0,719 CDM,PX-94002,PR VENTIL MGMT IP INIT DAY,760.5,676.845,66.91,845.0,964 CDM,PX-94003,PR VENT MGMT INPT/OBS SUBSQ DAY,371.0,330.19,46.16,371.0,482 CDM,PX-94010,PR SPIROMETRY,109.0,97.01,6.67,185.0,1456 CDM,PX-94014,PR PAT INITIATED SPIRO COMPLETE,230.0,204.7,49.2,230.0,482 CDM,PX-94060,PR BRONCHODILATION RESPONSIVENESS,197.0,175.33,8.33,295.0,1452 CDM,PX-94070,PR EVAL BRONCHOSPASM PROVOCATION,267.0,237.63,23.05,350.0,974 CDM,PX-94150,PR VITAL CAPACITY TOTAL,73.0,64.97,3.47,86.0,857 CDM,PX-942000008,HC PHYS/QHP EDUCATION SERVICES,197.0,175.33,40.98,197.0,717 CDM,PX-942000009,HC SELF-MGMT EDUC & TRAIN 1 PT,152.0,135.28,31.62,152.0,717 CDM,PX-942000010,HC SMOKING CESSATN >10 MIN,89.0,79.21,18.51,89.0,736 CDM,PX-942000011,HC SMOKING CESSATN 3-10MIN,60.0,53.4,10.28,60.0,736 CDM,PX-943000004,HC CARDIAC REHAB W CONT ECG MON,343.0,305.27,11.61,343.0,741 CDM,PX-943000005,HC CARDIAC REHAB WO ECG EA SESN,318.0,283.02,7.49,318.0,742 CDM,PX-94375,PR FLOW VOLUME LOOP,111.5,99.23500000000001,11.62,149.0,966 CDM,PX-944000001,HC ETOH/DRUG TX PRG PER HR DRUG,169.0,150.41,35.15,169.0,719 CDM,PX-944000002,HC ETOH/DRUG TX PRG PER HR GRP DRUG,163.0,145.07,33.9,163.0,719 CDM,PX-944000003,HC A/D TX PROGRAM PER DIEM DRUG,1339.0,1191.71,278.51,1339.0,716 CDM,PX-94452,PR HAST W I&R,204.5,182.005,11.91,295.0,965 CDM,PX-945000000,HC ALC/DRG TX PRGRM PER HR LMTD,131.0,116.59,27.25,131.0,719 CDM,PX-945000003,HC ETOH/DRUG TX PRG PER HR ALCOHOL,163.0,145.07,33.9,163.0,719 CDM,PX-945000004,HC IAP PROGRAM PER HOUR,287.0,255.43,59.7,287.0,719 CDM,PX-945000005,HC ETOH/DRUG TX PRG PER HR GRP ALCOHOL,163.0,145.07,33.9,163.0,719 CDM,PX-945000006,HC A/D TX PROGRAM PER DIEM ALCOHOL,1339.0,1191.71,278.51,1339.0,716 CDM,PX-946000003,HC BED ROTOREST THERAPY,361.0,321.29,75.09,361.0,719 CDM,PX-946000006,HC MATT IMMERS TX DOLPH,83.0,73.87,17.26,83.0,719 CDM,PX-946000007,HC MATT EC IMMERS TX DOLPH,93.0,82.77,19.34,93.0,719 CDM,PX-946000011,HC BED POSEY STAY SAFE,83.0,73.87,17.26,83.0,719 CDM,PX-946000018,HC MATT - EC ONCARE QUARTET,93.0,82.77,83.8,83.8,1 CDM,PX-946000019,HC BED FREEDOM 500,57.0,50.73,11.86,57.0,719 CDM,PX-946000020,HC BED EC FREEDOM 1000,114.0,101.46,23.71,114.0,719 CDM,PX-946000021,HC MATTRESS EC FREEDOM T-WAVE,108.0,96.12,22.46,108.0,719 CDM,PX-946000022,HC MATTRESS ADVANCE WAVE,78.0,69.42,16.22,78.0,719 CDM,PX-946000023,HC MATTRESS EC ADVANCE WAVE,98.0,87.22,20.38,98.0,719 CDM,PX-946000024,HC MATT EC CONVERTIBLE III W/ CONTROLLER,52.0,46.28,10.82,52.0,719 CDM,PX-946000026,HC BED ENVELLA,252.0,224.28,52.42,252.0,719 CDM,PX-946000027,HC BED VITALGO TOTAL LIFT,318.0,283.02,66.14,318.0,719 CDM,PX-94610,PR SURFACTANT ADMIN THRU TUBE,744.0,662.16,37.81,744.0,482 CDM,PX-94617,PR EXERCISE TST BRNCSPSM,546.0,485.94,76.91,546.0,483 CDM,PX-94618,PR PULMONARY STRESS TESTING,191.0,169.99,11.86,356.0,1458 CDM,PX-94621,PR TEST PULM STRESS CMPLX,926.0,824.14,54.64,1188.0,964 CDM,PX-94625,PR PULM REHAB WO CONT OXIMTRY MNTR PER SESS,259.0,230.51,71.91,259.0,482 CDM,PX-94626,PR PULM REHAB W/CONT OXIMTRY MNTR PER SESS,381.0,339.09,89.87,381.0,482 CDM,PX-94640,PR TX INHAL AERO SPUTUM,82.0,72.98,6.03,82.0,515 CDM,PX-94660,PR CPAP INIT & MGMT,216.0,192.24,56.27,216.0,482 CDM,PX-94664,PR DEMO/EVAL PAT USE INHALE,95.0,84.55,16.43,95.0,484 CDM,PX-94681,PR O2 UPTAKE INCL CO2 OUTPUT,449.0,399.61,7.78,558.0,1452 CDM,PX-94690,PR O2 UPTAKE EXHAL REST INDIRCT,197.0,175.33,2.83,229.0,1449 CDM,PX-94726,PR PLETHYSMOGRAPHY,214.0,190.46,9.7,314.0,1454 CDM,PX-94727,PR GAS DILUTION LUNG VOLUMES,183.0,162.87,9.7,264.0,1447 CDM,PX-94728,PR IMPULSE OSCILLOMETRY,143.5,127.715,9.98,201.0,964 CDM,PX-94729,PR DIFFUSING CAPACITY,220.0,195.8,7.5,280.0,1459 CDM,PX-94760,PR PULSE OX O2 SAT SNGL,46.0,40.94,3.17,46.0,485 CDM,PX-94761,PR PULSE OX O2 SAT MULT,75.0,66.75,3.44,75.0,487 CDM,PX-94762,PR MEAS BLD O2 LVL OVNT MONITOR,154.0,137.06,19.99,162.0,977 CDM,PX-94780,PR CAR SEAT/BED TEST 60MIN,251.0,223.39,38.5,251.0,507 CDM,PX-94781,PR CAR SEAT/BED TEST EA ADD 30 MIN,89.0,79.21,15.45,89.0,507 CDM,PX-94799006,PR SHUNT STUDY,106.0,94.34,10.6,106.0,487 CDM,PX-94799011,PR RESP MUSCLE STRENGTH,280.0,249.2,28.0,280.0,487 CDM,PX-949000004,HC APHERESIS THERAPEUTIC WBC,8161.0,7263.29,88.76,8161.0,736 CDM,PX-949000005,HC APHERESIS THERAPEUTIC RBC,6555.0,5833.95,83.5,6555.0,736 CDM,PX-949000006,HC APHERESIS THERAPEUTIC PLT,5304.0,4720.56,84.93,5304.0,736 CDM,PX-949000007,HC APHERESIS THERAPEUTIC PLASMA,5189.0,4618.21,74.8,5189.0,738 CDM,PX-949000008,HC LDL APHERESIS,10948.0,9743.72,66.6,10948.0,736 CDM,PX-949000009,HC PHOTOPHERESIS EXTRACORPOREAL,12957.0,11531.73,75.59,12957.0,738 CDM,PX-95004,PR PERC TESTS ALLERGENIC EXTRACTS,29.0,25.81,2.88,29.0,491 CDM,PX-95012,PR NITRIC OXIDE EXPIRED GAS,107.0,95.23,16.34,107.0,490 CDM,PX-95017,PR PERC/INTDER ALRGY TST VENOM EA,83.0,73.87,6.48,83.0,485 CDM,PX-95018,PR PERC/INTDER ALG TST DRG/BIO EA,233.0,207.37,13.32,233.0,512 CDM,PX-95024,PR INTRADERM ALLERG EXTRACT-EA,31.0,27.59,6.24,31.0,482 CDM,PX-95070,PR INHALATION BRONCHIAL CHALLENGE,316.0,281.24,32.78,316.0,490 CDM,PX-95076,PR INGEST CHALLENGE INIT 120 MIN,544.0,484.16,101.1,544.0,486 CDM,PX-95079,PR INGEST CHALLENGE EA ADD 60 MIN,384.0,341.76,69.15,384.0,484 CDM,PX-95115,PR ALLERGEN IMMUNOTHRPY 1 INJ,45.0,40.05,8.49,45.0,485 CDM,PX-95117,PR ALLERGEN IMMUNOTHRPY 2+ INJ,63.0,56.07,10.18,63.0,488 CDM,PX-95145,PR ANTIGN IMUNOTHRPY VENOM 1 STNG,99.0,88.11,24.1,99.0,507 CDM,PX-95146,PR ANTIGN IMUNOTHRPY VENOM 2 STNG,176.0,156.64,44.37,176.0,508 CDM,PX-95147,PR ANTIGN IMUNOTHRPY VENOM 3 STNG,169.0,150.41,42.7,169.0,507 CDM,PX-95148,PR ANTIGN IMUNOTHRPY VENOM 4 STNG,283.0,251.87,63.44,283.0,509 CDM,PX-95149,PR ANTIGN IMUNOTHRPY VENOM 5 STNG,312.0,277.68,84.42,312.0,508 CDM,PX-95165,PR ALLRGN IMMUNTHRPY SNGL/MULT EA,57.0,50.73,12.19,57.0,513 CDM,PX-95180,PR RAPID DESENSITIZATION EA HOUR,457.0,406.73,112.56,457.0,483 CDM,PX-95199001,PR ICE CUBE TEST,151.0,134.39,15.1,151.0,477 CDM,PX-95199002,PR SKIN PRESSURE TEST,151.0,134.39,15.1,151.0,477 CDM,PX-95249,PR CONT GLUC MNTR PT PROV EQP,352.0,313.28,57.81,352.0,486 CDM,PX-95250,PR GLUC CONT MONTR/PLCMNT >72HRS,660.0,587.4,127.17,660.0,484 CDM,PX-95251,PR GLUC CONT MONTR >72HR INTRP&RPT,216.0,192.24,27.92,216.0,489 CDM,PX-95700,PR LONG TERM EEG SET UP,903.0,803.67,184.9,903.0,487 CDM,PX-95708,PR EEG 12-26 HOURS W/OUT VIDEO UNMONITORED,1732.0,1541.48,142.26,1732.0,484 CDM,PX-95711,PR VEEG BY TECH 2-12 HOURS UNMONITORED,1892.0,1683.88,124.35,1892.0,482 CDM,PX-95714,PR VEEG BY TECH EA INCR 12-26 HR UNMONITORED,2267.0,2017.63,182.56,2267.0,489 CDM,PX-95715,PR VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR,6292.0,5599.88,665.03,6292.0,482 CDM,PX-95717,PR EEG 2-12 HOURS CONTINUOUS WITHOUT VIDEO,956.0,850.84,87.53,956.0,482 CDM,PX-95718,PR VEEG 2-12 HOURS CONTINUOUS WITH VIDEO,1035.0,921.15,109.91,1035.0,482 CDM,PX-95719,PR EEG 12-26 HOURS CONTINUOUS WITHOUT VIDEO,1042.0,927.38,131.64,1042.0,484 CDM,PX-95720,PR VEEG 12-26 HOURS CONTINUOUS WITH VIDEO,1553.0,1382.17,169.12,1553.0,489 CDM,PX-95721,PR EEG 36-60 HOURS CONTINUOUS WITHOUT VIDEO,1421.0,1264.69,173.78,1421.0,482 CDM,PX-95722,PR VEEG 36-60 HOURS CONTINUOUS WITH VIDEO,1670.0,1486.3,209.97,1670.0,483 CDM,PX-95723,PR EEG 60-84 HOURS CONTINUOUS WITHOUT VIDEO,1588.0,1413.32,211.17,1588.0,482 CDM,PX-95724,PR VEEG 60-84 HOURS CONTINUOUS WITH VIDEO,2104.0,1872.56,266.52,2104.0,483 CDM,PX-95726,PR VEEG +84 HOURS CONTINUOUS WITH VIDEO,2545.0,2265.05,340.17,2545.0,482 CDM,PX-95782,PR PSG <6YRS ATTENDED,971.0,864.19,98.32,971.0,482 CDM,PX-95783,PR PSG <6YRS W CPAP,1380.0,1228.2,106.64,1380.0,482 CDM,PX-95800,PR SLP STDY UNATTND HRT RATE O2,730.5,650.145,38.09,1052.0,964 CDM,PX-95803,PR ACTIGRAPHY,777.0,691.53,111.89,777.0,482 CDM,PX-95805,PR MULT SLEEP LATENCY/MAINT TEST,469.0,417.41,46.59,469.0,482 CDM,PX-95806,PR SLEEP STUDY UNATTENDED,870.0,774.3,84.74,870.0,482 CDM,PX-95808,PR POLYSOM ANY AGE 1-3 PARAMETERS,3191.0,2839.99,424.88,3191.0,482 CDM,PX-95810,PR PSG >=6 YRS ATTND,1040.0,925.6,96.28,1040.0,482 CDM,PX-95811,PR PSG >=6 YRS W CPAP,941.0,837.49,99.85,941.0,482 CDM,PX-95812,PR EEG EXTEND MONITOR 41-60MIN,805.5,716.895,47.23,1268.0,973 CDM,PX-95813,PR EEG EXTEND MONITOR >60MIN,1002.0,891.78,71.35,1434.0,964 CDM,PX-95816,PR EEG INCL AWAKE & DROWSY,765.5,681.2950000000001,45.57,1260.0,965 CDM,PX-95819,PR EEG INCL AWAKE & ASLEEP,907.5,807.6750000000001,45.85,1494.0,964 CDM,PX-95822,PR EEG COMA/SLEEP,1427.5,1270.475,45.85,2097.0,964 CDM,PX-95829,PR ELECTROCORTICOGRAM AT SURGERY,5991.5,5332.4349999999995,271.88,10141.0,964 CDM,PX-95836,PR ECOG IMPLTD BRN NPGT <30 DAYS,645.0,574.05,85.3,645.0,484 CDM,PX-95860,PR EMG NEEDLE 1 EXT,432.0,384.48,41.65,553.0,966 CDM,PX-95861,PR EMG NEEDLE 2 EXT,1241.5,1104.935,65.57,1327.0,967 CDM,PX-95863,PR EMG NEEDLE 3 EXT,1880.0,1673.2,181.86,1880.0,482 CDM,PX-95865,PR EMG NEEDLE LARYNX,2048.5,1823.165,67.22,2623.0,964 CDM,PX-95866,PR EMG NEEDLE HEMIDIAPHRAGM,601.5,535.335,54.04,743.0,966 CDM,PX-95867,PR EMG NEEDLE CRANIAL NRV UNILAT,641.0,570.49,33.28,706.0,965 CDM,PX-95868,PR EMG NEEDLE CRANIAL NRV BIL,1393.5,1240.2150000000001,49.98,1593.0,964 CDM,PX-95869,PR EMG NEEDLE THORACIC PARASPINAL,219.0,194.91000000000003,15.86,336.0,968 CDM,PX-95870,PR EMG NEEDLE LIMITED,1002.0,891.78,15.86,1502.0,965 CDM,PX-95872,PR EMG NEEDLE SINGLE FIBER QUANT,926.5,824.585,123.8,952.0,969 CDM,PX-95873,PR ELEC STIM W CHEMODENERVATION,224.0,199.36,16.34,274.0,964 CDM,PX-95874,PR EMG NEEDLE GUID CHEMODENERV,231.0,205.59,16.06,348.0,971 CDM,PX-95885,PR EMG NDL EA EXT LTD NRV CONDCT,230.5,205.145,14.96,333.0,974 CDM,PX-95886,PR EMG NDL EXT CMPLT W NRV CONDCT,390.0,347.1,36.88,501.0,975 CDM,PX-95887,PR EMG NDL NON-EXT W NRV CONDCT,428.0,380.91999999999996,29.99,446.0,972 CDM,PX-95907,PR NERVE CONDCT STUDIES 1-2,545.5,485.495,43.3,597.0,969 CDM,PX-95908,PR NERVE CONDCT STUDIES 3-4,695.5,618.995,54.41,725.0,974 CDM,PX-95909,PR NERVE CONDCT STUDIES 5-6,781.5,695.5350000000001,64.95,856.0,974 CDM,PX-95910,PR NERVE CONDCT STUDIES 7-8,1005.5,894.895,86.24,1077.0,973 CDM,PX-95911,PR NERVE CONDCT STUDIES 9-10,1401.5,1247.335,107.61,1506.0,969 CDM,PX-95912,PR NERVE CONDCT STUDIES 11-12,1650.5,1468.945,128.23,1883.0,967 CDM,PX-95913,PR NERVE CONDCT STUDIES >=13,1976.0,1758.64,152.08,2210.0,965 CDM,PX-95921,PR AUTONOMIC NRV FUNCT INERVATN,328.0,291.92,35.72,357.0,964 CDM,PX-95922,PR AUTONOMIC TEST SYMPATH ADRENERGIC,569.0,506.40999999999997,36.87,712.0,964 CDM,PX-95923,PR AUTONOMIC TEST SUDOMOTOR,722.0,642.58,101.23,722.0,493 CDM,PX-95924,PR TEST ANS PARASYM & SYMP W TILT,629.0,559.8100000000001,70.8,739.0,976 CDM,PX-95925,PR SOMATOSENS TEST UPPER EXT,715.5,636.7950000000001,21.98,782.0,964 CDM,PX-95926,PR SOMATOSENS TEST LOWER EXT,520.0,462.8,21.06,748.0,964 CDM,PX-95928,PR CTR MOTOR STDY UPPER LIMBS,4204.5,3742.005,63.92,5673.0,964 CDM,PX-95929,PR CTR MOTOR STDY LOWER LIMBS,3937.5,3504.375,63.35,5862.0,964 CDM,PX-95930,PR VEP TEST CNS,261.0,232.29000000000002,14.68,365.0,965 CDM,PX-95933,PR ORBICULARIS OCULI REFLEX TEST,494.5,440.105,25.58,707.0,970 CDM,PX-95937,PR TEST NEURMUSC JUNC EA NRV,675.0,600.75,27.51,851.0,971 CDM,PX-95938,PR SOMATOSENS UPPR/LWR LIMBS,4164.5,3706.4049999999997,36.4,6375.0,964 CDM,PX-95939,PR CTR MOTOR STDY UPPR/LWR LIMBS,6552.0,5831.28,95.19,9956.0,964 CDM,PX-95940,PR IONM 1-1 ATTND EA 15 MIN,701.0,623.89,21.36,701.0,482 CDM,PX-95941,PR IONM REMOTE >=1 PATIENT PER HR,1678.0,1493.42,167.8,1678.0,477 CDM,PX-95955,PR EEG NONINTRACRANIAL SURG,4095.5,3644.995,43.02,6044.0,964 CDM,PX-95957,PR DIGITAL ANALYSIS EEG,802.0,713.78,82.33,877.0,964 CDM,PX-95958,PR WADA ACTIVATION TEST W EEG,997.5,887.775,181.76,1309.0,964 CDM,PX-95961,PR MAPPING CORTICAL INITIAL HR,1413.5,1258.0149999999999,133.13,1669.0,964 CDM,PX-95962,PR MAPPING CORTICAL EA ADD HR,1517.5,1350.575,143.24,1701.0,964 CDM,PX-95965,PR MAGNETOENCEPHALOGRAPHY SPON BRAIN ACTIVITY,10115.5,9002.795,338.34,15293.0,964 CDM,PX-95966,PR MAGNETOENCEPHALOGRAPHY EVOKED FIELDS 1 MODALITY,7058.5,6282.065,170.85,11448.0,964 CDM,PX-95967,PR MAGNETOENCEPHALOGRAPHY EVOKED FIELDS EACH ADDL,4829.0,4297.81,149.49,7212.0,964 CDM,PX-95970,PR NEUROSTIM BRAIN WO REPROGRM,298.0,265.22,13.32,298.0,510 CDM,PX-95971,PR NEUROSTIM SPINAL SIMPLE W PROG,343.0,305.27,40.33,343.0,485 CDM,PX-95972,PR NEUROSTIM ANLYS CMPLX,524.0,466.36,48.17,524.0,485 CDM,PX-95976,PR ALYS SMPL CN NPGT PRGRMG,455.0,404.95,25.68,455.0,511 CDM,PX-95977,PR ALYS CPLX CN NPGT PRGRMG,766.0,681.74,34.24,766.0,510 CDM,PX-95983,PR ALYS BRN NPGT PRGRMG 15 MIN,443.0,394.27,41.15,443.0,486 CDM,PX-95984,PR ALYS BRN NPGT PRGRMG ADDL 15,386.0,343.54,35.83,386.0,486 CDM,PX-95990,PR REFIL&MAINT IMPL PUMP SPN/BRN,382.0,339.98,81.45,382.0,483 CDM,PX-95991,PR REFIL&MAINT IMPL SPN/BRN MD/QHP,564.0,501.96,95.33,564.0,482 CDM,PX-95992,PR CANALITH REPOSITIONING PROC PT,239.0,212.71,33.24,239.0,483 CDM,PX-95992001,PR CANALITH REPOSITIONING PROC,236.0,210.04,33.24,236.0,490 CDM,PX-95992002,PR CANALITH REPOSITIONING PROC OT,239.0,212.71,33.24,239.0,483 CDM,PX-95999002,PR PHYSIOLOGIC RECORDING TREMOR,1800.0,1602.0,180.0,1800.0,485 CDM,PX-95999003,PR NOVOTAL MAPPING,1577.0,1403.53,157.7,1577.0,485 CDM,PX-96000,PR COMPUTER-BASED MOTION ANLYS,1800.0,1602.0,56.79,1800.0,485 CDM,PX-960002303,HC ECONSULT INTERNAL,107.0,95.23,22.26,107.0,732 CDM,PX-96001,PR RSH MOTION TEST W VIDEO & FOOT PRESSURE,676.0,601.64,69.46,676.0,483 CDM,PX-96002,PR DYNAMIC SURFACE EMG 1-12 MUS,258.0,229.62,14.23,258.0,488 CDM,PX-96004,PR QHP R&I MOTION ANALYSIS,613.0,545.57,84.73,613.0,487 CDM,PX-96020,PR NEUROFUNCTIONAL TEST,975.0,867.75,195.24,975.0,482 CDM,PX-96041,PR GENETIC COUNSELING SVC EA 30,472.0,420.08,55.73,472.0,482 CDM,PX-96110,PR DEVELPMNTL SCREEN W SCORE,78.0,69.42,12.47,78.0,488 CDM,PX-96112,PR DEVEL TST ADM & INTRP 1ST HR,668.0,594.52,100.35,668.0,488 CDM,PX-96113,PR DEVEL TST ADM & INTRP EA ADDL 30 MIN,344.0,306.16,45.6,344.0,493 CDM,PX-96116,PR NEUROBEHAVIORAL EXAM INIT HR,487.0,433.43,76.42,487.0,487 CDM,PX-96121,PR NEUROBEHAVIORAL EXAM EA HR,431.0,383.59,61.83,431.0,484 CDM,PX-96125,PR EVAL COGNITIVE TESTING ST,514.0,457.46,84.24,514.0,482 CDM,PX-96125001,PR EVAL COGNITIVE TESTING OT,514.0,457.46,84.24,514.0,482 CDM,PX-96127,PR BRIEF EMOT/BEHAV ASSMT,37.0,32.93,3.41,37.0,488 CDM,PX-96130,PR PSY TST INTERP & FEEDBACK INIT HR,408.0,363.12,100.23,408.0,483 CDM,PX-96131,PR PSY TST INTERP & FEEDBACK EA HR,321.0,285.69,70.89,321.0,483 CDM,PX-96132,PR NEUROPSY TST INTERP & FEEDBACK 1ST HR,608.0,541.12,99.23,608.0,487 CDM,PX-96133,PR NEUROPSY TST INTERP & FEEDBACK EA HR,505.0,449.45,80.22,505.0,484 CDM,PX-96136,PR PSY OR NSY TST ADMIN BY PHYS 1ST 30 MIN,195.0,173.55,35.9,195.0,483 CDM,PX-96137,PR PSY OR NSY TST ADMIN BY PHYS EA 30 MIN,191.0,169.99,30.76,191.0,482 CDM,PX-96138,PR PSY OR NSY TST ADMIN BY TECH 1ST 30 MIN,196.0,174.44,31.49,196.0,488 CDM,PX-96139,PR PSY OR NSY TST ADMIN BY TECH EA 30 MIN,196.0,174.44,29.73,196.0,488 CDM,PX-96156,PR HLTH BHV ASSMT/REASSESSMENT,416.0,370.24,80.9,416.0,506 CDM,PX-96158,PR HLTH BHV IVNTJ INDIV 1ST 30,269.0,239.41,60.47,269.0,489 CDM,PX-96159,PR HLTH BHV IVNTJ INDIV EA ADDL 15,118.0,105.02,20.87,118.0,488 CDM,PX-96161,PR CAREGIVER HEALTH RISK ASSMT,29.0,25.81,2.39,29.0,512 CDM,PX-96164,PR HLTH BHV IVNTJ GRP 1ST 30,149.0,132.61,9.42,149.0,483 CDM,PX-96165,PR HLTH BHV IVNTJ GRP EA ADDL 15,73.0,64.97,4.12,73.0,483 CDM,PX-96167,PR HLTH BHV IVNTJ FAM 1ST 30,329.0,292.81,58.85,329.0,501 CDM,PX-96168,PR HLTH BHV IVNTJ FAM EA ADDL 15,119.0,105.91,21.27,119.0,500 CDM,PX-96170,PR HLTH BHV IVNTJ FAM WO PT 1ST 30,351.0,312.39,73.58,351.0,481 CDM,PX-96171,PR HLTH BHV IVNTJ FAM W/O PT EA 15,169.0,150.41,26.58,169.0,481 CDM,PX-96202,PR MULT FAM GRP BHV TRAIN WO PT 1ST 60 MIN,169.0,150.41,16.29,169.0,482 CDM,PX-96203,PR MULT FAM GRP BHV TRAIN WO PT 1ST EA 15 MIN,53.0,47.17,4.19,53.0,482 CDM,PX-96360,PR IV INF HYDRAT INIT 31MIN-1HR,340.0,302.6,27.71,340.0,486 CDM,PX-96361,PR IV INF HYDRAT EA ADD HR,149.0,132.61,10.67,149.0,489 CDM,PX-96365,PR IV INF THER INIT 1ST HR,388.0,345.32,47.1,388.0,516 CDM,PX-96366,PR IV INF THER EA ADD HR,144.0,128.16,17.61,144.0,491 CDM,PX-96367,PR IV INF THER ADD SEQ NEW 1ST HR,220.0,195.8,24.61,220.0,490 CDM,PX-96368,PR IV INF THER CONCURR (MAX 1),136.0,121.04,17.05,136.0,489 CDM,PX-96369,PR SQ INF THER 1 DRUG 1ST HR,520.0,462.8,120.96,520.0,484 CDM,PX-96372,PR INJ THER SUBQ/IM,124.0,110.36,10.68,124.0,515 CDM,PX-96373,PR INJ THER INTRA ARTERIAL,97.0,86.33,16.21,97.0,482 CDM,PX-96374,PR INJ THER IV PUSH SNGL INITIAL,243.0,216.27,31.15,243.0,488 CDM,PX-96375,PR IV PUSH EA ADD SEQ NEW DRUG,119.0,105.91,12.9,119.0,494 CDM,PX-96377,PR APPLICATION OF ON BODY INJECTOR,120.0,106.8,15.65,120.0,482 CDM,PX-96380,PR ADMIN RSV MONOC ANTIB W COUNSEL,61.0,54.29,24.62,61.0,491 CDM,PX-96381,PR ADMIN RSV MONOC ANTIB W/O COUNSEL,59.0,52.51,20.14,59.0,489 CDM,PX-96401,PR CHEMO NON-HORM ANTI-NEO SQ/IM,356.0,316.84,59.33,356.0,486 CDM,PX-96402,PR CHEMO HORM ANTI-NEO SQ/IM,197.0,175.33,31.98,197.0,491 CDM,PX-96405,PR CHEMO INTRALESNAL <=7 LESN,411.0,365.79,34.98,411.0,484 CDM,PX-96406,PR CHEMO INTRALESIONAL >7,613.0,545.57,54.48,613.0,483 CDM,PX-96409,PR CHEMO IV PUSH SNGL,653.0,581.17,86.4,653.0,489 CDM,PX-96411,PR CHEMO IV PUSH EA ADD,386.0,343.54,47.2,386.0,489 CDM,PX-96413,PR CHEMO IV INF 1ST HR,903.0,803.67,110.28,903.0,494 CDM,PX-96415,PR CHEMO IV INF EA ADD HR,237.0,210.93,23.29,237.0,491 CDM,PX-96416,PR CHEMO IV INF > 8HR W PUMP,870.0,774.3,135.22,870.0,490 CDM,PX-96417,PR CHEMO INF SEQ DIF DRUG 1ST HR,499.0,444.11,55.05,499.0,490 CDM,PX-96420,PR ADMIN CHEMO ARTERY PUSH,587.0,522.43,87.01,587.0,482 CDM,PX-96425,"PR CHEMOTHER,IA INFUSN TECH,>8 HR",2139.0,1903.71,143.79,2139.0,482 CDM,PX-96446,PR CHEMO ADMIN PERIT CAV VIA CATH,1700.0,1513.0,129.12,1700.0,482 CDM,PX-96450,PR CHEMO ADMIN CNS REQ SP PUNC,1247.0,1109.83,111.5,1247.0,507 CDM,PX-96521,PR REFILL/MAINT PORTABLE PUMP,1095.0,974.55,119.03,1095.0,482 CDM,PX-96522,PR REFILL/MAINTAIN IMPL PMP SYST,606.0,539.34,103.61,606.0,483 CDM,PX-96523,PR IRRIG IMP VAD,153.0,136.17,21.64,153.0,484 CDM,PX-96542,PR CHEMOTX NJX SUBARACH/INTRAVENT,780.0,694.2,94.31,780.0,507 CDM,PX-96547,PR HIPEC INCISION AND CLOSURE FIRST 60 MIN,5198.0,4626.22,241.28,5198.0,479 CDM,PX-96548,PR HIPEC INCISION AND CLOSURE EACH ADTL 30 MIN,1915.0,1704.35,111.17,1915.0,479 CDM,PX-96549,PR CHEMO PROC HIPEC,1492.0,1327.88,149.2,1492.0,477 CDM,PX-96567,PR PHOTODYNAMIC THRPY SKIN DSTRCT,553.0,492.17,108.34,553.0,485 CDM,PX-96573,PR PDT DSTR PRMLG LES PHYS/QHP,1076.0,957.64,181.8,1076.0,482 CDM,PX-96900,PR ACTINOTHERAPY UV LIGHT,106.0,94.34,19.71,106.0,484 CDM,PX-96902,PR EXAM HAIRS TELOGEN&ANAGEN COUNTS,180.0,160.2,21.81,180.0,428 CDM,PX-96904,PR INTEGUMENTARY PHOTO WHOLE BDY HIGH RISK,417.0,371.13,55.33,417.0,482 CDM,PX-96920,PR EXCIMER LASER PSRIASIS<250SQCM,635.0,565.15,57.2,635.0,482 CDM,PX-96999033,PR WOODS LIGHT EXAM,44.0,39.16,4.4,44.0,479 CDM,PX-97007,PR SCALP COOLING INITIAL FITTING & CAP,3100.0,2759.0,1422.71,3100.0,482 CDM,PX-97008,PR SCALP COOLING PRE-CHEMO,150.0,133.5,8.22,150.0,482 CDM,PX-97009,PR SCALP COOLING POST-CHEMO ADDL 30 MINS EA,50.0,44.5,5.33,50.0,482 CDM,PX-97010,PR HOT/COLD PACK,34.0,30.26,6.57,34.0,428 CDM,PX-97012,PR PT TRACTION MECHANICAL,45.0,40.05,11.67,45.0,482 CDM,PX-97014,PR ELECTRIC STIMULATION THERAPY PT,50.0,44.5,10.31,50.0,482 CDM,PX-97016,PR VASOPNEUMATIC DEVICE PT,54.0,48.06,9.75,54.0,482 CDM,PX-97018,PR PARAFFIN BATH OT,40.0,35.6,4.8,40.0,482 CDM,PX-97018001,PR PARAFFIN BATH PT,40.0,35.6,4.8,40.0,482 CDM,PX-97022,PR WHIRLPOOL PT,65.0,57.85,12.84,65.0,482 CDM,PX-97022001,PR WHIRLPOOL OT,65.0,57.85,12.84,65.0,482 CDM,PX-97024,PR DIATHERMY,51.0,45.39,5.92,51.0,482 CDM,PX-97026,PR INFRARED PT,40.0,35.6,5.36,40.0,482 CDM,PX-97026001,PR INFRARED OT,40.0,35.6,5.36,40.0,482 CDM,PX-97028,PR ULTRAVIOLET,53.0,47.17,6.75,53.0,482 CDM,PX-97032,PR E-STIM MANUAL EA 15MIN PT,48.0,42.72,11.95,48.0,482 CDM,PX-97032001,PR E-STIM MANUAL EA 15MIN OT,48.0,42.72,11.95,48.0,482 CDM,PX-97033,PR IONTOPHORESIS EA 15MIN PT,82.0,72.98,15.58,82.0,482 CDM,PX-97033001,PR IONTOPHORESIS EA 15MIN OT,82.0,72.98,15.58,82.0,482 CDM,PX-97035,PR ULTRASOUND EA 15MIN PT,61.0,54.29,11.69,61.0,482 CDM,PX-97035001,PR ULTRASOUND EA 15MIN OT,61.0,54.29,11.69,61.0,482 CDM,PX-97110,PR THERAPEUTIC EXERC EA 15MIN PT,114.0,101.46,23.84,114.0,483 CDM,PX-97110001,PR THERAPEUTIC EXERC EA 15MIN OT,114.0,101.46,23.84,114.0,483 CDM,PX-97110003,PR THERAPEUTIC EXERC EA 15MIN,114.0,101.46,23.84,114.0,483 CDM,PX-97112,PR NEUROMUSCULAR RE-ED EA15MIN PT,141.0,125.49,26.89,141.0,482 CDM,PX-97112002,PR NEUROMUSCULAR RE-ED EA15MIN OT,141.0,125.49,26.89,141.0,482 CDM,PX-97112003,PR NEUROMUSCULAR RE-ED EA 15MIN,141.0,125.49,26.89,141.0,482 CDM,PX-97113,PR AQUATIC THRPY EA 15MIN,140.0,124.6,30.55,140.0,482 CDM,PX-97116,PR PT GAIT TRAINING EA 15MIN,118.0,105.02,23.84,118.0,482 CDM,PX-97124,PR THER MASSAGE EA 15MIN PT,64.0,56.96,24.49,64.0,482 CDM,PX-97124001,PR THER MASSAGE EA 15MIN OT,64.0,56.96,24.49,64.0,482 CDM,PX-97129,PR THER INTV COG FUNC INITIAL 15MIN PT,131.0,116.59,18.2,131.0,482 CDM,PX-97129001,PR THER INTV COG FUNC INITIAL 15MIN OT,131.0,116.59,18.2,131.0,482 CDM,PX-97129003,PR THER INTV COG FUNC INITIAL 15MIN ST,131.0,116.59,18.2,131.0,491 CDM,PX-97129006,PR VIDEO THER INTV COG FUNC INITIAL 15MIN ST,74.0,65.86,18.2,74.0,482 CDM,PX-97130,PR THER INTV COG FUNC EA ADD15MIN PT,131.0,116.59,17.29,131.0,482 CDM,PX-97130001,PR THER INTV COG FUNC EA ADD15MIN OT,131.0,116.59,17.29,131.0,482 CDM,PX-97130003,PR THER INTV COG FUNC EA ADD15MIN ST,131.0,116.59,17.29,131.0,491 CDM,PX-97130006,PR VIDEO THER INTV COG FUNC EA ADD15MIN ST,74.0,65.86,17.29,74.0,482 CDM,PX-97140,PR MANUAL THERAPY EA 15MIN PT,113.0,100.57,22.74,113.0,482 CDM,PX-97140001,PR MANUAL THERAPY EA 15MIN OT,113.0,100.57,22.74,113.0,482 CDM,PX-97140003,PR MANUAL THERAPY EA 15MIN CHIRO,113.0,100.57,22.74,113.0,491 CDM,PX-97150002,PR GROUP THERAPY OT,67.0,59.63,14.71,67.0,482 CDM,PX-97151,PR BHV ID ASSMT BY PHYS PER 15 MIN,104.0,92.56,10.4,104.0,477 CDM,PX-97156,PR FAM ADAPT BHV TX GDN PHY PER 15 MIN,71.0,63.19,7.1,71.0,477 CDM,PX-97161,PR PT EVAL LOW COMPLEX,308.0,274.12,80.76,308.0,482 CDM,PX-97162,PR PT EVAL MOD COMPLEX,353.0,314.17,80.76,353.0,482 CDM,PX-97163,PR PT EVAL HIGH COMPLEX,370.0,329.3,80.76,370.0,482 CDM,PX-97164,PR PT RE-EVAL EST PLAN CARE,188.0,167.32,55.69,188.0,482 CDM,PX-97165,PR OT EVAL LOW COMPLEX,317.0,282.13,83.0,317.0,482 CDM,PX-97166,PR OT EVAL MOD COMPLEX,342.0,304.38,83.0,342.0,482 CDM,PX-97167,PR OT EVAL HIGH COMPLEX,370.0,329.3,83.0,370.0,482 CDM,PX-97168,PR OT RE-EVAL EST PLAN CARE,256.0,227.84,56.53,256.0,482 CDM,PX-97169,PR ATHLETIC TRAIN EVAL 15 MIN,191.0,169.99,168.08,191.0,478 CDM,PX-97170,PR ATHLETIC TRAIN EVAL 30 MIN,197.0,175.33,173.36,197.0,477 CDM,PX-97171,PR ATHLETIC TRAIN EVAL 45 MIN,319.0,283.91,280.72,319.0,477 CDM,PX-97172,PR ATHLETIC TRAIN RE-EVAL,207.0,184.23,182.16,207.0,477 CDM,PX-97530,PR THER FUNCT ACTVTY EA 15MIN PT,115.0,102.35,28.9,115.0,482 CDM,PX-97530001,PR THER FUNCT ACTVTY EA 15MIN OT,115.0,102.35,28.9,115.0,482 CDM,PX-97533,PR SENSORY INTEG EA 15 MIN OT,120.0,106.8,50.46,120.0,482 CDM,PX-97535,PR HOME MGMT TRAIN EA 15MIN PT,122.0,108.58,26.65,122.0,482 CDM,PX-97535001,PR HOME MGMT TRAIN EA 15MIN OT,122.0,108.58,26.65,122.0,482 CDM,PX-97537,PR COMM/WORK REINTGRT EA 15MIN OT,90.0,80.1,26.34,90.0,482 CDM,PX-97542,PR WHEELCHAIR MGMT EA 15MIN PT,73.0,64.97,25.5,73.0,482 CDM,PX-97542001,PR WHEELCHAIR MGMT EA 15MIN OT,73.0,64.97,25.5,73.0,482 CDM,PX-97545,PR WORK HARD/COND INIT 2HRS OT,389.0,346.21,342.32,389.0,477 CDM,PX-97545001,PR WORK HARD/COND INIT 2HRS PT,389.0,346.21,342.32,389.0,477 CDM,PX-97546,PR WORK HARD/COND EA ADD HR PT,176.0,156.64,154.88,176.0,477 CDM,PX-97546001,PR WORK HARD/COND EA ADD HR OT,176.0,156.64,154.88,176.0,477 CDM,PX-97550,PR CAREGIVER TRAINING INITIAL 30 MINS MD/DO/QHP,239.0,212.71,43.32,239.0,491 CDM,PX-97550001,PR CAREGIVER TRAINING INITIAL 30 MINS PT,239.0,212.71,43.32,239.0,482 CDM,PX-97550002,PR CAREGIVER TRAINING INITIAL 30 MINS OT,239.0,212.71,43.32,239.0,482 CDM,PX-97550003,PR CAREGIVER TRAINING INITIAL 30 MINS ST,239.0,212.71,43.32,239.0,482 CDM,PX-97551,PR CAREGIVER TRAINING ADDL 15 MINS MD/DO/QHP,119.0,105.91,21.45,119.0,482 CDM,PX-97551001,PR CAREGIVER TRAINING ADDL 15 MINS PT,119.0,105.91,21.45,119.0,482 CDM,PX-97551002,PR CAREGIVER TRAINING ADDL 15 MINS OT,119.0,105.91,21.45,119.0,482 CDM,PX-97551003,PR CAREGIVER TRAINING ADDL 15 MINS ST,119.0,105.91,21.45,119.0,482 CDM,PX-97552001,PR GROUP CAREGIVER TRAINING PT,127.0,113.03,18.13,127.0,482 CDM,PX-97552002,PR GROUP CAREGIVER TRAINING OT,127.0,113.03,18.13,127.0,482 CDM,PX-97552003,PR GROUP CAREGIVER TRAINING ST,127.0,113.03,18.13,127.0,482 CDM,PX-97597,PR DBRD SEL OPN WND<=20SCM,311.0,276.79,71.11,311.0,486 CDM,PX-97597001,PR DBRD SEL OPN WND<=20SCM PT,311.0,276.79,83.66,311.0,486 CDM,PX-97597003,PR DBRD SEL OPN WND<=20SCM OT,311.0,276.79,83.66,311.0,486 CDM,PX-97598,PR DBRD SEL OPN WND ADD 20SCM,178.0,158.42,32.74,178.0,482 CDM,PX-97598002,PR DBRD SEL OPN WND ADD 20SCM PT,178.0,158.42,38.52,178.0,482 CDM,PX-97602,PR DBRD WND RMVL TIS NON-SEL,149.0,132.61,131.12,149.0,424 CDM,PX-97605,PR NEG PRESS WND THRPY <=50SCM,180.0,160.2,29.51,180.0,512 CDM,PX-97606,PR NEG PRESS WND THRPY >50SCM,330.0,293.7,35.43,330.0,512 CDM,PX-97607,PR NPW THRPY NON DME <50SCM,360.0,320.4,306.99,360.0,482 CDM,PX-97610,PR LOW FREQ/NO-CON/NON-THERM US,690.0,614.1,283.25,690.0,507 CDM,PX-97610001,PR LOW FREQ/NO-CON/NON-THERM US PT,690.0,614.1,333.23,690.0,482 CDM,PX-97610002,PR LOW FREQ/NO-CON/NON-THERM US OT,690.0,614.1,333.23,690.0,482 CDM,PX-97750,PR PHYSICAL PERF TEST EA 15MIN PT,169.0,150.41,27.77,169.0,485 CDM,PX-97750004,PR PHYSICAL PERF TEST EA 15MIN OT,169.0,150.41,27.77,169.0,485 CDM,PX-97750008,PR PHYSICAL PERF TEST EA 15MIN,169.0,150.41,27.77,169.0,485 CDM,PX-97760,PR ORTH TRAIN INIT ENC EA 15MIN PT,160.0,142.4,38.11,160.0,482 CDM,PX-97760001,PR ORTH TRAIN INIT ENC EA 15MIN OT,160.0,142.4,38.11,160.0,482 CDM,PX-97761,PR PROSTH TRAIN INIT ENC EA 15MIN OT,115.0,102.35,33.34,115.0,482 CDM,PX-97761001,PR PROSTH TRAIN INIT ENC EA 15MIN PT,115.0,102.35,33.34,115.0,482 CDM,PX-97763,PR ORTH/PROST TRAIN SBQ ENC EA 15MIN PT,191.0,169.99,41.49,191.0,482 CDM,PX-97763001,PR ORTH/PROST TRAIN SBQ ENC EA 15MIN OT,191.0,169.99,41.49,191.0,482 CDM,PX-97802,PR MNT INIT INDV EA 15MIN,116.0,103.24,25.7,116.0,493 CDM,PX-97803,PR MNT REASSESS INDV EA 15MIN,92.0,81.88,22.17,92.0,490 CDM,PX-97804,PR MNT GROUP EA 30MIN,62.0,55.18,11.82,62.0,486 CDM,PX-97810,PR ACUPUNC WO E-STIM INIT 15MIN,121.0,107.69,39.1,121.0,490 CDM,PX-97811,PR ACUPUNC WO E-STIM EA ADD 15MIN,92.0,81.88,22.87,92.0,490 CDM,PX-97813,PR ACUPUNC W E-STIM 1ST 15 MIN,129.0,114.81,45.81,129.0,487 CDM,PX-97814,PR ACUPUNC W E-STIM ADD 15MIN,84.0,74.76,23.15,84.0,487 CDM,PX-98000,PR SYNCH AUDIO-VIDEO NEW SF 15,260.0,231.4,45.62,260.0,485 CDM,PX-98001,PR SYNCH AUDIO-VIDEO NEW LOW 30,353.0,314.17,74.52,353.0,485 CDM,PX-98002,PR SYNCH AUDIO-VIDEO NEW MOD 45,527.0,469.03,137.23,527.0,482 CDM,PX-98003,PR SYNCH AUDIO-VIDEO NEW HI 60,667.0,593.63,182.22,667.0,482 CDM,PX-98004,PR SYNCH AUDIO-VIDEO EST SF 10,153.0,136.17,40.62,153.0,482 CDM,PX-98005,PR SYNCH AUDIO-VIDEO EST LOW 20,89.0,79.21,61.19,89.0,469 CDM,PX-98006,PR SYNCH AUDIO-VIDEO EST MOD 30,331.0,294.59,90.0,331.0,492 CDM,PX-98007,PR SYNCH AUDIO-VIDEO EST HI 40,507.0,451.23,119.28,507.0,485 CDM,PX-98008,PR SYNCH AUDIO-ONLY NEW SF 15,260.0,231.4,43.26,260.0,436 CDM,PX-98009,PR SYNCH AUDIO-ONLY NEW LOW 30,353.0,314.17,82.56,353.0,482 CDM,PX-98010,PR SYNCH AUDIO-ONLY NEW MOD 45,527.0,469.03,110.4,527.0,485 CDM,PX-98011,PR SYNCH AUDIO-ONLY NEW HI 60,667.0,593.63,166.6,667.0,482 CDM,PX-98012,PR SYNCH AUDIO-ONLY EST SF 10,153.0,136.17,37.23,153.0,482 CDM,PX-98013,PR SYNCH AUDIO-ONLY EST LOW 20,256.0,227.84,64.83,256.0,482 CDM,PX-98014,PR SYNCH AUDIO-ONLY EST MOD 30,331.0,294.59,81.42,331.0,485 CDM,PX-98015,PR SYNCH AUDIO-ONLY EST HI 40,507.0,451.23,118.38,507.0,485 CDM,PX-98925,PR OMT 1-2 BODY REGIONS,142.0,126.38,26.25,142.0,482 CDM,PX-98926,PR OMT 3-4 BODY REGIONS,186.0,165.54,37.36,186.0,489 CDM,PX-98927,PR OMT 5-6 BODY REGIONS,219.0,194.91,49.1,219.0,489 CDM,PX-98940,PR CHIRO MANIP SPINE 1-2 REGIONS,73.0,64.97,21.88,73.0,492 CDM,PX-98941,PR CHIRO MANIP SPINE 3-4 REGIONS,85.0,75.65,31.51,85.0,491 CDM,PX-98942,"PR CHIROPRAC MANIP,SPINAL,5 REGIONS",97.0,86.33,40.85,97.0,491 CDM,PX-98943,PR CHIRO MANIP EXTSPNAL 1> REGION,67.0,59.63,25.98,67.0,482 CDM,PX-98960,PR SELF-MGMT EDUC & TRAIN 1 PT,105.0,93.45,33.88,105.0,468 CDM,PX-98961,PR SELF-MGMT EDUC & TRAIN 2-4 PT,78.0,69.42,13.79,78.0,467 CDM,PX-98962,PR SELF-MGMT EDUC & TRAIN 5-8 PT,60.0,53.4,10.52,60.0,467 CDM,PX-98966,PR PHONE ASSESS/MNGMT 5-10 MIN,57.0,50.73,10.2,57.0,499 CDM,PX-98966004,PR PHONE ASSESS/MNGMT 5-10 MIN - BH,57.0,50.73,11.1,57.0,482 CDM,PX-98967,PR PHONE ASSESS/MNGMT 11-20 MIN,115.0,102.35,18.6,115.0,499 CDM,PX-98967004,PR PHONE ASSESS/MNGMT 11-20 MIN - BH,115.0,102.35,20.24,115.0,482 CDM,PX-98968,PR PHONE ASSESS/MNGMT 21-30 MIN,169.0,150.41,25.9,169.0,499 CDM,PX-98968004,PR PHONE ASSESS/MNGMT 21-30 MIN - BH,169.0,150.41,28.18,169.0,482 CDM,PX-98980,PR REMOTE THER MNTR TX MGMT PHYS/QHP 1ST 20 MIN,208.0,185.12,44.34,208.0,482 CDM,PX-98981,PR REMOTE THER MNTR TX MGMT PHYS/QHP EA ADDL 20 MIN,195.0,173.55,33.69,195.0,482 CDM,PX-990000000,HC ACUPUNC W E-STIM 1ST 15 MIN,169.0,150.41,28.99,169.0,734 CDM,PX-990000001,HC ACUPUNC W E-STIM ADD 15MIN,114.0,101.46,23.71,114.0,717 CDM,PX-990000002,HC ACUPUNC WO E-STIM EA ADD 15MIN,100.0,89.0,20.8,100.0,717 CDM,PX-990000003,HC ACUPUNC WO E-STIM INIT 15MIN,131.0,116.59,27.25,131.0,733 CDM,PX-990000009,HC PRIVATE DUTY NURSE-RN 4 HRS,1002.0,891.78,208.42,1002.0,719 CDM,PX-990000010,HC PRIVATE DUTY NURSE-RN,243.0,216.27,50.54,243.0,719 CDM,PX-990000014,HC PATIENT AMENITIES,1250.0,1112.5,260.0,1250.0,719 CDM,PX-990000015,HC MASSAGE THERAPY 1-15 MINS,42.0,37.38,8.74,42.0,719 CDM,PX-990000016,HC MASSAGE THERAPY 16-30 MINS,84.0,74.76,17.47,84.0,719 CDM,PX-990000017,HC MASSAGE THERAPY 31-45 MINS,126.0,112.14,26.21,126.0,719 CDM,PX-990000018,HC MASSAGE THERAPY 46-60 MINS,168.0,149.52,34.94,168.0,719 CDM,PX-990000019,HC PRIVATE DUTY NURSE-RN 8 HRS,2003.0,1782.67,416.62,2003.0,716 CDM,PX-99070038,PR JUVEDERM ULTRA PLUS XC RST,750.0,667.5,660.0,750.0,462 CDM,PX-99070063,PR PGAP WORKBOOK RST,95.0,84.55,83.6,95.0,462 CDM,PX-99070072,PR RESTYLANE 1 CC RST,750.0,667.5,660.0,750.0,462 CDM,PX-99070073,PR RESTYLANE EYELIGHT 1/2 CC,600.0,534.0,528.0,600.0,462 CDM,PX-99070111,PR CATH-SUREVIEW TRANSFER 23 CM,113.0,100.57,99.44,113.0,462 CDM,PX-99070122,PR CATHETER SUREPRO ULTRA,132.0,117.48,116.16,132.0,462 CDM,PX-99070123,PR ESOPHAGEAL CYTOSPONGE,583.0,518.87,513.04,583.0,462 CDM,PX-99070124,PR EMST150 TRAINER,272.0,242.08,239.36,272.0,462 CDM,PX-99070125,PR EMST75LITE TRAINER,308.0,274.12,271.04,308.0,462 CDM,PX-99080009,PR MED RECORD REV FAA PILOT 120MI,620.0,551.8,545.6,620.0,423 CDM,PX-99080010,PR MED RECORD REV FAA PILOT 150MI,775.0,689.75,682.0,775.0,423 CDM,PX-99080012,PR MED RECORD REV FAA PILOT 60MIN,310.0,275.9,272.8,310.0,423 CDM,PX-99080013,PR MED RECORD REV FAA PILOT 90MIN,465.0,413.85,409.2,465.0,423 CDM,PX-99080025,PR SPECIAL REPORT/WC FORM,59.0,52.51,51.92,59.0,423 CDM,PX-99080027,PR MED RECORD REV FAA PILOT 180MIN,930.0,827.7,818.4,930.0,423 CDM,PX-99080029,PR MED RECORD REV FAA PILOT 30MIN,155.0,137.95,136.4,155.0,423 CDM,PX-99091,PR COLL AND INTERP PHYS DATA,207.0,184.23,44.28,207.0,482 CDM,PX-99100,PR ANES PT EXTREME AGE <1YR/ >70,178.0,158.42,156.64,178.0,459 CDM,PX-99116,PR ANES COMPL TOT BODY HYPOTHERM,1054.0,938.06,927.52,1054.0,459 CDM,PX-99135,PR ANES COMPL CNTRLD HYPOTENSION,989.0,880.21,870.32,989.0,459 CDM,PX-99140,PR ANES COMPL EMERG CONDITIONS,356.0,316.84,313.28,356.0,459 CDM,PX-99151,PR MOD SED SAME PHYS/QHP INITIAL 15 UNDER 5,287.0,255.43,51.17,287.0,482 CDM,PX-99152,PR MOD SED SAME PHYS/QHP INITIAL 15 5 YRS OR OLDER,149.0,132.61,42.39,149.0,483 CDM,PX-99152001,PR MOD SED SAME PHYS/QHP INITIAL 15 5 YRS OR OLDER-GI,149.0,132.61,51.95,149.0,483 CDM,PX-99153,PR MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,67.0,59.63,9.98,67.0,482 CDM,PX-99155,PR MOD SED OTH PHYS/QHP <5 YRS,509.0,453.01,62.14,509.0,482 CDM,PX-99156,PR MOD SED OTH PHYS/QHP 5/>YRS,392.0,348.88,54.64,392.0,482 CDM,PX-99157,PR MOD SED OTH PHYS/QHP 5/>YRS ADDL 15 MIN,260.0,231.4,41.65,260.0,482 CDM,PX-99173,PR VISUAL ACUITY SCRN,30.0,26.7,2.77,30.0,493 CDM,PX-99174,PR INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL & RPT,72.0,64.08,6.63,72.0,489 CDM,PX-99177,PR INSTRUMENT BASED OCULAR SCR BY W/ONSITE ANALYSIS,50.0,44.5,4.56,50.0,494 CDM,PX-99183,PR HYPERBARIC O2 THERAPY,869.0,773.41,72.39,869.0,507 CDM,PX-99184,PR HYPOTHERMIA TOTAL BODY,1868.0,1662.52,145.07,1868.0,482 CDM,PX-99188,PR TOPICAL FLUORIDE VARNISH-PRIMCARE,61.0,54.29,11.93,61.0,491 CDM,PX-99199009,PR INTERNATIONAL MED SURG/PROC PER DAY,25000.0,22250.0,2500.0,25000.0,489 CDM,PX-99199010,PR INTERNATIONAL MED APP PER DAY,7500.0,6675.0,750.0,7500.0,489 CDM,PX-99199014,PR MASSAGE THERAPY 1-15 MINS,42.0,37.38,4.2,42.0,489 CDM,PX-99199043,PR COMPLEX DOT EXAM,350.0,311.5,35.0,350.0,489 CDM,PX-99199046,PR INTERNATIONAL MED MD PER DAY,15000.0,13350.0,1500.0,15000.0,493 CDM,PX-99199049,PR COMPLEX PRE-PLACEMENT EXAM,400.0,356.0,40.0,400.0,489 CDM,PX-99199050,PR STANDARD DOT EXAM,150.0,133.5,15.0,150.0,489 CDM,PX-99199085,PR INTERNATIONAL MED AHP PER DAY,5000.0,4450.0,500.0,5000.0,489 CDM,PX-99199110,PR CUPPING,34.0,30.26,3.4,34.0,489 CDM,PX-99199112,PR DAILY NDC RES PROGRAM,1010.0,898.9,101.0,1010.0,489 CDM,PX-99199117,PR WORK COMP QUALIFIED REHAB CONS,203.0,180.67,20.3,203.0,489 CDM,PX-99199127,PR MASSAGE THERAPY 16-30 MINS,84.0,74.76,8.4,84.0,489 CDM,PX-99199128,PR MASSAGE THERAPY 31-45 MINS,126.0,112.14,12.6,126.0,489 CDM,PX-99199129,PR MASSAGE THERAPY 46-60 MINS,168.0,149.52,16.8,168.0,489 CDM,PX-99202,PR VISIT NEW PATIENT LEVEL 2,260.0,231.4,60.97,260.0,516 CDM,PX-99202005,PR TELEPHONE VISIT NEW PATIENT LEVEL 2,260.0,231.4,60.97,260.0,492 CDM,PX-99203,PR VISIT NEW PATIENT LEVEL 3,353.0,314.17,94.26,353.0,507 CDM,PX-99204,PR VISIT NEW PATIENT LEVEL 4,527.0,469.03,142.07,527.0,497 CDM,PX-99205,PR VISIT NEW PATIENT LEVEL 5,667.0,593.63,188.89,667.0,497 CDM,PX-99211,PR VISIT EST PATIENT LEVEL 1,86.0,76.54,20.13,86.0,494 CDM,PX-99211005,PR SUTURE REMOVAL-RN,86.0,76.54,20.13,86.0,498 CDM,PX-99211009,PR TB READING ONLY,,,20.13,79.0,455 CDM,PX-99212,PR VISIT EST PATIENT LEVEL 2,153.0,136.17,40.94,153.0,524 CDM,PX-99212006,PR TELEPHONE VISIT EST PATIENT LEVEL 2,153.0,136.17,48.17,153.0,499 CDM,PX-99213,PR VISIT EST PATIENT LEVEL 3,89.0,79.21,65.54,89.0,484 CDM,PX-99213010,PR SPORTS EXAM EST PT - LVL 3,,,77.1,179.0,455 CDM,PX-99213011,PR TELEPHONE VISIT EST PATIENT LEVEL 3,256.0,227.84,65.54,256.0,523 CDM,PX-99214,PR VISIT EST PATIENT LEVEL 4,331.0,294.59,93.12,331.0,526 CDM,PX-99215,PR VISIT EST PATIENT LEVEL 5,507.0,451.23,131.86,507.0,498 CDM,PX-99221,PR INIT HOSP IP/OBS SF/LOW,439.0,390.71,57.45,439.0,482 CDM,PX-99222,PR INIT HOSP IP/OBS MODERATE,641.0,570.49,91.51,641.0,481 CDM,PX-99223,PR INIT HOSP IP/OBS HIGH,834.0,742.26,122.89,834.0,482 CDM,PX-99231,PR SBSQ HOSP IP/OBS SF/LOW,201.0,178.89,34.63,201.0,482 CDM,PX-99232,PR SBSQ HOSP IP/OBS MODERATE,303.0,269.67,47.19,303.0,508 CDM,PX-99233,PR SBSQ HOSP IP/OBS HIGH,400.0,356.0,84.25,400.0,482 CDM,PX-99234,PR HOSP IP/OBS SM DT SF/LOW,581.0,517.09,68.86,581.0,482 CDM,PX-99235,PR HOSP IP/OBS SAME DATE MODERATE,786.0,699.54,112.48,786.0,482 CDM,PX-99236,PR HOSP IP/OBS SAME DATE HIGH,1070.0,952.3,126.4,1070.0,507 CDM,PX-99238,PR HOSP D/C DAY MGMT <= 30 MIN,373.0,331.97,59.24,373.0,489 CDM,PX-99239,PR HOSP D/C DAY MGMT > 30 MIN,420.0,373.8,84.57,420.0,482 CDM,PX-99242,PR OFFICE CONSULT LEVEL 2,411.0,365.79,64.65,411.0,488 CDM,PX-99243,PR OFFICE CONSULT LEVEL 3,515.0,458.35,96.57,515.0,496 CDM,PX-99244,PR OFFICE CONSULT LEVEL 4,742.0,660.38,137.76,742.0,497 CDM,PX-99245,PR OFFICE CONSULT LEVEL 5,993.0,883.77,179.02,993.0,499 CDM,PX-99252,PR IP/OBS CONSULT SF,425.0,378.25,68.76,425.0,482 CDM,PX-99253,PR IP/OBS CONSULT LOW,537.0,477.93,96.86,537.0,482 CDM,PX-99254,PR IP/OBS CONSULT MODERATE,782.0,695.98,134.81,782.0,482 CDM,PX-99255,PR IP/OBS CONSULT HIGH,866.0,770.74,180.69,866.0,482 CDM,PX-99281,PR ED VISIT LEVEL 1,162.0,144.18,8.46,162.0,482 CDM,PX-99282,PR ED VISIT LEVEL 2,266.0,236.74,26.35,266.0,507 CDM,PX-99283,PR ED VISIT LEVEL 3,472.0,420.08,53.07,472.0,482 CDM,PX-99284,PR ED VISIT LEVEL 4,771.0,686.19,90.13,771.0,482 CDM,PX-99285,PR ED VISIT LEVEL 5,1154.0,1027.06,131.12,1154.0,482 CDM,PX-99291,PR CRITICAL CARE 30-74MIN,1392.0,1238.88,246.68,1392.0,482 CDM,PX-99292,PR CRITICAL CARE ADD 30MIN,679.0,604.31,106.09,679.0,482 CDM,PX-99304,PR INIT NURSING CARE LEVEL 1,272.0,242.08,65.17,272.0,489 CDM,PX-99305,PR INIT NURSING CARE LEVEL 2,441.0,392.49,112.78,441.0,485 CDM,PX-99306,PR INIT NURSING CARE LEVEL 3,605.0,538.45,154.74,605.0,485 CDM,PX-99307,PR SUBSQ NURSING CARE LEVEL 1,168.0,149.52,28.72,168.0,485 CDM,PX-99308,PR SUBSQ NURSING CARE LEVEL 2,241.0,214.49,54.02,241.0,485 CDM,PX-99309,PR SUBSQ NURSING CARE LEVEL 3,297.0,264.33,78.1,297.0,485 CDM,PX-99310,PR SUBSQ NURSING CARE LEVEL 4,441.0,392.49,111.12,441.0,485 CDM,PX-99315,PR NURSING FAC DSCHG DAY <=30 MIN,272.0,242.08,58.73,272.0,485 CDM,PX-99316,PR NURSING FAC DSCHG DAY > 30 MIN,426.0,379.14,94.13,426.0,485 CDM,PX-99341,PR IN-HOME VISIT NEW LEVEL 1,154.0,137.06,33.7,154.0,507 CDM,PX-99342,PR IN-HOME VISIT NEW LEVEL 2,242.0,215.38,63.48,242.0,489 CDM,PX-99344,PR IN-HOME VISIT NEW LEVEL 4,483.0,429.87,117.66,483.0,489 CDM,PX-99345,PR IN-HOME VISIT NEW LEVEL 5,612.0,544.68,168.35,612.0,489 CDM,PX-99347,PR IN-HOME VISIT EST LEVEL 1,155.0,137.95,31.61,155.0,514 CDM,PX-99348,PR IN-HOME VISIT EST LEVEL 2,258.0,229.62,54.07,258.0,510 CDM,PX-99349,PR IN-HOME VISIT EST LEVEL 3,388.0,345.32,90.04,388.0,515 CDM,PX-99350,PR IN-HOME VISIT EST LEVEL 4,528.0,469.92,131.29,528.0,514 CDM,PX-99360,PR PHYSICIAN STANDBY SRV 30 MIN,483.0,429.87,50.05,483.0,482 CDM,PX-99366,PR MED TM CONF F2F PAT 30+MIN,246.0,218.94,41.29,246.0,428 CDM,PX-99368,PR TEAM CONF QHP NO MD/PAT 30 MIN,278.0,247.42,29.94,278.0,428 CDM,PX-99375,PR HOME HEALTH SUPERVISN >=30MIN,448.0,398.72,88.5,448.0,482 CDM,PX-99381,PR PREV MED NEW PAT INFANT,363.0,323.07,113.44,363.0,491 CDM,PX-99382,PR PREV MED NEW PAT 1-4 YRS,358.0,318.62,118.26,358.0,490 CDM,PX-99383,PR PREV MED NEW PAT 5-11 YRS,319.0,283.91,106.79,319.0,493 CDM,PX-99384,PR PREV MED NEW PAT 12-17YRS,437.0,388.93,137.76,437.0,491 CDM,PX-99385,PR PREV MED NEW PAT 18-39YRS,445.0,396.05,115.93,445.0,493 CDM,PX-99386,PR PREV MED NEW PAT 40-64YRS,445.0,396.05,154.23,445.0,489 CDM,PX-99387,PR PREV MED NEW PAT 65+ YRS,567.0,504.63,167.23,567.0,484 CDM,PX-99391,PR PREV MED EST PAT INFANT,290.0,258.1,102.23,290.0,492 CDM,PX-99392,PR PREV MED EST PAT 1-4 YR,340.0,302.6,108.63,340.0,492 CDM,PX-99393,PR PREV MED EST PAT 5-11YR,296.0,263.44,93.89,296.0,494 CDM,PX-99394,PR PREV MED EST PAT 12-17Y,325.0,289.25,102.62,325.0,497 CDM,PX-99395,PR PREV MED EST PAT 18-39Y,357.0,317.73,104.66,357.0,496 CDM,PX-99396,PR PREV MED EST PAT 40-64Y,357.0,317.73,127.89,357.0,493 CDM,PX-99397,PR PREV MED EST PAT 65>=YR,521.0,463.69,138.1,521.0,489 CDM,PX-99401,PR PREV MED INDV COUNSEL 15 MIN,131.0,116.59,34.42,131.0,486 CDM,PX-99402,PR PREV MED INDV COUNSEL 30 MIN,204.0,181.56,55.71,204.0,487 CDM,PX-99403,PR PREV MED INDV COUNSEL 45 MIN,256.0,227.84,75.74,256.0,485 CDM,PX-99404,PR PREV MED INDV COUNSEL 60 MIN,312.0,277.68,96.83,312.0,485 CDM,PX-99406,PR SMOKING CESSATN 3-10MIN,74.0,65.86,11.32,74.0,484 CDM,PX-99407,PR SMOKING CESSATN >10 MIN,130.0,115.7,23.21,130.0,489 CDM,PX-99408,PR ALCOHOL/SUB ABUSE SCREEN 15-30,145.0,129.05,29.89,145.0,485 CDM,PX-99412,PR PREVNT MED GRP COUNSEL 60 MIN,105.0,93.45,22.01,105.0,485 CDM,PX-99417,PR PROLNG OP E/M EA 15 MIN,128.0,113.92,27.12,128.0,500 CDM,PX-99418,PR PROLNG IP/OBS E/M EA 15 MIN,164.0,145.96,27.69,164.0,482 CDM,PX-99421001,PR MY CHART MESSAGING E&M PHYS/QHP 5-10MIN,25.0,22.25,12.58,25.0,495 CDM,PX-99422,PR ONLINE EXPRESS CARE E&M PHYS/QHP 11-20MIN,59.0,52.51,20.92,59.0,487 CDM,PX-99422001,PR MY CHART MESSAGING E&M PHYS/QHP 11-20MIN,35.0,31.15,20.92,35.0,518 CDM,PX-99423,PR ONLINE EXPRESS CARE E&M PHYS/QHP 21+MIN,59.0,52.51,33.42,59.0,486 CDM,PX-99423001,PR MY CHART MESSAGING E&M PHYS/QHP 21+MIN,50.0,44.5,39.31,50.0,486 CDM,PX-99424,PR PRIN CARE MGMT MD/APP 1ST 30,360.0,320.4,70.14,360.0,487 CDM,PX-99425,PR PRIN CARE MGMT MD/APP EA ADDL,296.0,263.44,49.42,296.0,482 CDM,PX-99426,PR PRIN CARE MGMT CLINICAL STAFF 1ST 30,243.0,216.27,54.75,243.0,485 CDM,PX-99427,PR PRIN CARE MGMT CLINICAL STAFF EA ADDL,186.0,165.54,43.88,186.0,485 CDM,PX-99439,PR CHRNC CARE MGMT SVC EA ADDL,131.0,116.59,40.8,131.0,485 CDM,PX-99445,PR REM MNTR PHYSIOL PARAM DEV SPLY W/REC 2-15 DAYS,191.0,169.99,43.55,191.0,482 CDM,PX-99446,PR ECONSULT INTERNAL,125.0,111.25,14.91,125.0,482 CDM,PX-99447,PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 11-20 MIN,200.0,178.0,30.02,200.0,482 CDM,PX-99448,PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 21-30 MIN,303.0,269.67,45.05,303.0,482 CDM,PX-99449,PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 31/> MIN,426.0,379.14,60.44,426.0,482 CDM,PX-99451,PR ECONSULT INTERNAL,107.0,95.23,28.18,107.0,494 CDM,PX-99452,PR NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN,249.0,221.61,29.58,249.0,482 CDM,PX-99453,PR CONNECTED CARE- REMOTE MONITORING INITIAL SET UP EDUCATION,62.0,55.18,17.83,62.0,488 CDM,PX-99454,PR CONNECTED CARE- REMOTE MONITORING DAILY RECORDING,191.0,169.99,43.55,191.0,489 CDM,PX-99455,PR WORK RLTD/MED DISABILITY EXAM,520.0,462.8,457.6,520.0,477 CDM,PX-99456,PR WORK RLTD/MED DISAB EXAM OTHR,1167.0,1038.63,1026.96,1167.0,477 CDM,PX-99457,"PR CONNECTED CARE- REMOTE MONITORING INTERACTIVE COMMUNICATION, FIRST 20 MIN",154.0,137.06,42.19,154.0,489 CDM,PX-99458,"PR CONNECTED CARE- REMOTE MONITORING INTRATV COMMUNICATION, ADDL 20 MIN",129.0,114.81,33.5,129.0,489 CDM,PX-99459,PR PELVIC EXAMINATION,80.0,71.2,12.39,80.0,513 CDM,PX-99460,PR INIT NEWBORN CARE PER DAY,502.0,446.78,63.96,502.0,482 CDM,PX-99462,PR SBSQ NEWBORN CARE PER DAY,222.0,197.58,28.06,222.0,482 CDM,PX-99463,PR SAME DAY NEWBORN DISCHARGE,413.0,367.57,75.37,413.0,482 CDM,PX-99464,PR ATTENDANCE AT DELIVERY,496.0,441.44,42.69,496.0,507 CDM,PX-99465,PR NEWBORN RESUSCITATION,890.0,792.1,83.18,890.0,507 CDM,PX-99468,PR NEONATE CRIT CARE INIT PER DAY,4641.0,4130.49,616.37,4641.0,482 CDM,PX-99469,PR NEONATE CRIT CARE SBSQ PER DAY,2681.0,2386.09,266.79,2681.0,482 CDM,PX-99470,PR RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 10 MIN,75.0,66.75,18.05,75.0,507 CDM,PX-99471,PR PED CRITICAL CARE INIT,4090.0,3640.1,533.83,4090.0,482 CDM,PX-99472,PR SUBSQ PED CRITICAL CARE,2555.0,2273.95,277.42,2555.0,482 CDM,PX-99475,PR INIT PED CRIT CARE AGE 2-5,3015.0,2683.35,375.49,3015.0,482 CDM,PX-99476,PR SUBSQ PED CRIT CARE AGE 2-5,2285.0,2033.65,240.85,2285.0,482 CDM,PX-99477,PR HOSP NEONATE CARE INIT 28200CC,183.0,162.87,161.04,183.0,455 CDM,PX-A0075T,PR ANES FOR PLC VERT/CAROTID STENT INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A0076T,PR ANES FOR TCAT PLMT XTRC VRT CRTD STENT RS&IPRQ EA VSL,183.0,162.87,161.04,183.0,455 CDM,PX-A0095T,"PR ANES FOR REMOVE TOTAL DISC ARTHROPLASTY, CERVICAL, EA ADD",183.0,162.87,161.04,183.0,455 CDM,PX-A0098T,"PR ANES FOR REVISION TOTAL DISC ARTHROPLASTY, CERVICAL, EA ADD",183.0,162.87,161.04,183.0,455 CDM,PX-A0100T,PR ANES FOR PLC SUBCONJUNCT RETINA PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A0102T,PR ANES FOR ESW BY PHYS W/ANES INVG LAT HUMERL EPICONDYLE,183.0,162.87,161.04,183.0,455 CDM,PX-A0164T,PR ANES FOR RMVL TOT DISC ARTHRP ANT APPR LMBR EA NTRSPC,183.0,162.87,161.04,183.0,455 CDM,PX-A0165T,PR ANES FOR REVJ TOT DISC ARTHRP ANT APPR LMBR EA NTRSPC,183.0,162.87,161.04,183.0,455 CDM,PX-A0184T,PR ANES FOR EXCISN RECTAL TMR MICROSURG APP,183.0,162.87,161.04,183.0,455 CDM,PX-A0198T,PR ANES FOR MEAS OCULAR BLOOD FLOW REPEAT IO PRES SAMP W/I&R,183.0,162.87,161.04,183.0,455 CDM,PX-A0200T,PR ANES FOR PERC SACRL AUGMNTATION UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A0201T,PR ANES FOR PERC SACRL AUGMNTATION BILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A0202T,PR ANES FOR POST VERT ARTHRPLSTY W/WO BONE CEMENT 1 LUMB LVL,183.0,162.87,161.04,183.0,455 CDM,PX-A0207T,"PR ANES FOR EVAC MEIBOMIAN GLANDS, AUTO, HEAT/INTERMIT PRESSURE, UNILATERAL",183.0,162.87,161.04,183.0,455 CDM,PX-A0208T,PR ANES FOR PURE TONE AUDIOMETRY AUTOMATED AIR ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A0209T,PR ANES FOR PURE TONE AUDIOMETRY AUTOMATED AIR & BONE,183.0,162.87,161.04,183.0,455 CDM,PX-A0210T,PR ANES FOR SPEECH AUDIOMETRY THRESHOLD AUTOMATED,183.0,162.87,161.04,183.0,455 CDM,PX-A0211T,PR ANES FOR SPEECH AUDIOM THRESHLD AUTO W/SPEECH RECOGNITION,183.0,162.87,161.04,183.0,455 CDM,PX-A0212T,PR ANES FOR COMPRE AUDIOM THRESHOLD EVAL & SPEECH RECOG,183.0,162.87,161.04,183.0,455 CDM,PX-A0213T,PR ANES FOR INJ PARAVERT FCET W US 1ST LVL,183.0,162.87,161.04,183.0,455 CDM,PX-A0214T,PR ANES FOR INJ PARAVERT FCET W US 2ND LVL,183.0,162.87,161.04,183.0,455 CDM,PX-A0215T,PR ANES FOR INJ PARAVERT FACET CERV/THO 3RD,183.0,162.87,161.04,183.0,455 CDM,PX-A0216T,PR ANES FOR INJ DX/THER LMB/SAC 1 LVL W US,183.0,162.87,161.04,183.0,455 CDM,PX-A0217T,PR ANES FOR INJ PARAVERT FACET LUMB/SAC 2ND,183.0,162.87,161.04,183.0,455 CDM,PX-A0219T,PR ANES FOR PLMT POST FACET IMPLANT UNI/BI W/IMG & GRFT CERV,183.0,162.87,161.04,183.0,455 CDM,PX-A0220T,PR ANES FOR PLMT POST FACET IMPLT UNI/BI W/IMG & GRFT THOR,183.0,162.87,161.04,183.0,455 CDM,PX-A0221T,PR ANES FOR PLMT POST FACET IMPLT UNI/BI W/IMG & GRFT LUMB,183.0,162.87,161.04,183.0,455 CDM,PX-A0222T,PR ANES FOR PLACE POSTERIOR INTRAFACET IMPLANT ADDL SEGMENT,183.0,162.87,161.04,183.0,455 CDM,PX-A0232T,PR ANES FOR PRP-1 SITE,183.0,162.87,161.04,183.0,455 CDM,PX-A0234T,PR ANES FOR TRLUML PERIPHERAL ATHERECTOMY RENAL ARTERY EA,183.0,162.87,161.04,183.0,455 CDM,PX-A0235T,PR ANES FOR TLPA VISCERAL ARTY EA VSSL,183.0,162.87,161.04,183.0,455 CDM,PX-A0236T,PR ANES FOR TRLUML PERIPH ATHRC W/RS&I ABDOM AORTA,183.0,162.87,161.04,183.0,455 CDM,PX-A0237T,PR ANES FOR TRLUML PERIPH ATHRC W/RS&I BRCHIOCPHL EA VSL,183.0,162.87,161.04,183.0,455 CDM,PX-A0238T,PR ANES FOR TLPA ILIAC ARTY EA VSSL,183.0,162.87,161.04,183.0,455 CDM,PX-A0253T,PR ANES FOR INSERT AQUEOUS DRAIN DEVICE,183.0,162.87,161.04,183.0,455 CDM,PX-A0266T,PR ANES FOR IM/REPL CARTD SINUS BAROREFLX ACTIV DEV TOT SYST,183.0,162.87,161.04,183.0,455 CDM,PX-A0267T,PR ANES FOR IM/REPL CARTD SINS BAROREFLX ACTIV DEV LEAD ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A0268T,PR ANES FOR IM/REPL CARTD SINS BARREFLX ACT DEV PLS GEN ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A0269T,PR ANES FOR REV/REMVL CARTD SINS BARREFLX ACT DEV TOT SYSTEM,183.0,162.87,161.04,183.0,455 CDM,PX-A0270T,PR ANES FOR REV/REMVL CARTD SINS BARREFLX ACT DEV LEAD ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A0271T,PR ANES FOR REV/REM CARTD SINS BARREFLX ACT DEV PLS GEN ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A0272T,PR ANES FOR INTRGORTION DEV EVAL CARTD SINS BARREFLX W/I&R,183.0,162.87,161.04,183.0,455 CDM,PX-A0273T,PR ANES FOR INTROGATION DEV EVAL CARTD SINS BARREFLX W/PRGRM,183.0,162.87,161.04,183.0,455 CDM,PX-A0274T,PR ANES FOR PERC LAMINO-/LAMINECTOMY IMAGE GUIDE CERV/THORAC,183.0,162.87,161.04,183.0,455 CDM,PX-A0275T,PR ANES FOR PERC LAMINOTMY/LAMECTOMY LUMB,183.0,162.87,161.04,183.0,455 CDM,PX-A0278T,PR ANES FOR TRANCATH ELE MOD PAIN REPROC EA,183.0,162.87,161.04,183.0,455 CDM,PX-A0308T,PR ANES FOR INS OCULAR TELESCOPE PROST,183.0,162.87,161.04,183.0,455 CDM,PX-A0335T,PR ANES FOR INSERTION SINUS TARSI IMPLANT,183.0,162.87,161.04,183.0,455 CDM,PX-A0338T,PR ANES FOR TXCAT RENL SYMP DENERV UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A0339T,PR ANES FOR TXCATH RENL SYMP DENERV BILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A0345T,PR ANES FOR RPR TRANSCATH MITRAL VALVE,183.0,162.87,161.04,183.0,455 CDM,PX-A0394T,PR ANES FOR HDR ELECTRONIC BRACHYTHERAPY SKIN SURFACE,183.0,162.87,161.04,183.0,455 CDM,PX-A0395T,PR ANES FOR HDR ELECTRONIC BRACHYTHERAPY NTRSTL/INTRCAV,183.0,162.87,161.04,183.0,455 CDM,PX-A0402T,PR ANES FOR COLLAGEN CROSS-LINKING OF CORNEA,183.0,162.87,161.04,183.0,455 CDM,PX-A0408T,PR ANES FOR INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD,183.0,162.87,161.04,183.0,455 CDM,PX-A0409T,PR ANES FOR INSJ/RPLC CARDIAC MODULJ SYS PLS GENERATOR ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A0410T,PR ANES FOR INSJ/RPLC CARDIAC MODULJ SYS ATR ELECTRODE ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A0411T,PR ANES FOR INSJ/RPLC CAR MODULJ SYS VENTR ELECTRODE ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A0412T,PR ANES FOR REMOVAL CARDIAC MODULJ SYS PLS GENERATOR ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A0413T,PR ANES FOR REMOVAL CARDIAC MODULJ SYS TRANSVENOUS ELECTRODE,183.0,162.87,161.04,183.0,455 CDM,PX-A0414T,PR ANES FOR RMVL & RPL CARDIAC MODULJ SYS PLS GENERATOR ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A0415T,PR ANES FOR REPOS CARDIAC MODULJ TRANSVENOUS ELECTRODE,183.0,162.87,161.04,183.0,455 CDM,PX-A0416T,PR ANES FOR RELOC SKIN POCKET CARDIAC MODULJ PULSE GENERATOR,183.0,162.87,161.04,183.0,455 CDM,PX-A0419T,PR ANES FOR DESTRUCT NEUROFIBROMATA EXT >50,183.0,162.87,161.04,183.0,455 CDM,PX-A0420T,PR ANES FOR DESTRUCT NEUROFIBROMATA EXT >100,183.0,162.87,161.04,183.0,455 CDM,PX-A0421T,PR ANES FOR TRANSURETHRAL WATERJET ABLATION PROSTATE COMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A0437T,PR ANES FOR IMPLANTATION OF NON-BIOLOGIC O,183.0,162.87,161.04,183.0,455 CDM,PX-A0439T,PR ANES FOR MYOCARDIAL PERFUSION ECHO ISCHM/VIABILITY ASSMT,183.0,162.87,161.04,183.0,455 CDM,PX-A0440T,PR ANES FOR ABLTJ PERC CRYOABLTJ IMG GDN UXTR/PERPH NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A0441T,PR ANES FOR ABLT PERC LWR EXT PERIPH NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A0442T,PR ANES FOR ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A0446T,PR ANES FOR CRTJ SUBQ INSJ IMPLTBL GLUCOSE SENSOR SYS TRAIN,183.0,162.87,161.04,183.0,455 CDM,PX-A0447T,PR ANES FOR RMVL IMPLTBL GLUCOSE SENSOR SUBQ POCKET VIA INC,183.0,162.87,161.04,183.0,455 CDM,PX-A0448T,PR ANES FOR RMVL INSJ IMPLTBL GLUC SENSOR DIF ANATOMIC SITE,183.0,162.87,161.04,183.0,455 CDM,PX-A0449T,PR ANES FOR INSN AQUEOUS DRN DEV,183.0,162.87,161.04,183.0,455 CDM,PX-A0450T,PR ANES FOR INSJ AQUEOUS DRAIN DEV W/O EO RSVR EACH ADDL DEV,183.0,162.87,161.04,183.0,455 CDM,PX-A0483T,PR ANES FOR TMVI PERCUTANEOUS APPROACH,183.0,162.87,161.04,183.0,455 CDM,PX-A0484T,PR ANES FOR TMVI TRANSTHORACIC EXPOSURE,183.0,162.87,161.04,183.0,477 CDM,PX-A0515T,"PR ANES FOR INS W-LESS STIM, DEV INT/PROG; ELECTRODE/GEN",183.0,162.87,161.04,183.0,477 CDM,PX-A0516T,"PR ANES FOR INS W-LESS STIM, DEV INT/PROG; ELECTRODE ONLY",183.0,162.87,161.04,183.0,477 CDM,PX-A0517T,"PR ANES FOR INS W-LESS STIM, DEV INT/PROG; GEN ONLY",183.0,162.87,161.04,183.0,477 CDM,PX-A0518T,PR ANES FOR REM PULSE GEN COMP W-LESS STIM LEFT PACE,183.0,162.87,161.04,183.0,477 CDM,PX-A0519T,PR ANES FOR REM/REP WIRELESS STIM L VENT PACE-GEN,183.0,162.87,161.04,183.0,477 CDM,PX-A0520T,PR ANES FOR REM/REP W-LESS STIM L VENT PACE-GEN/ELECTRODE,183.0,162.87,161.04,183.0,477 CDM,PX-A0524T,PR ANES FOR EV CATH DIR CHEM ABLTJ W/IMG,183.0,162.87,161.04,183.0,477 CDM,PX-A0525T,PR ANES FOR INS/REP INTRACARDIAC MONITOR SYS-COMPLETE,183.0,162.87,161.04,183.0,477 CDM,PX-A0526T,PR ANES FOR INS/REP INTRACARDIAC MONITOR SYS-ELECTRODE,183.0,162.87,161.04,183.0,477 CDM,PX-A0527T,PR ANES FOR INS/REP INTRACARDIAC MONITOR SYS-MONITOR,183.0,162.87,161.04,183.0,477 CDM,PX-A0530T,PR ANES FOR REM INTRACARDIAC MONITORING SYS-COMPLETE,183.0,162.87,161.04,183.0,477 CDM,PX-A0531T,PR ANES FOR REM INTRACARDIAC MONITORING SYS-ELECTRODE,183.0,162.87,161.04,183.0,477 CDM,PX-A0532T,PR ANES FOR REM INTRACARDIAC MONITORING SYS-MONITOR,183.0,162.87,161.04,183.0,477 CDM,PX-A0543T,PR ANES FOR TRANSAPICAL MV RPR W/TTE PLMT ARTIF CHORDAE TEND,183.0,162.87,161.04,183.0,477 CDM,PX-A0545T,PR ANES FOR TCAT TV ANN RCNSTJ W/IMPL ADJST ANN RCNSTJ DEV,183.0,162.87,161.04,183.0,455 CDM,PX-A0569T,"PR ANES FOR TRNSCTH TRICUSP VLV REPAIR, INIT",183.0,162.87,161.04,183.0,455 CDM,PX-A0571T,PR ANES FOR IMPL ICD W SUBSTERN LEADS,183.0,162.87,161.04,183.0,455 CDM,PX-A0573T,PR ANES FOR REMOVE SUBSTERN DEFIB ELECTRODE,183.0,162.87,161.04,183.0,477 CDM,PX-A0574T,PR ANES FOR REPSTN SUBSTERN DEFIB ELECT,183.0,162.87,161.04,183.0,477 CDM,PX-A0577T,PR ANES FOR PR EP EVAL ICD SUBSTERNAL,183.0,162.87,161.04,183.0,477 CDM,PX-A0580T,PR ANES FOR REMOVE SUBSTERN DEFIB GENERATOR,183.0,162.87,161.04,183.0,477 CDM,PX-A0581T,PR ANES FOR ABLAT BREAST TUMOR(S) PERC CRYO UNILAT,183.0,162.87,161.04,183.0,477 CDM,PX-A0582T,PR ANES FOR ABLAT PROSTATE TRANSURETHRAL THERMO,183.0,162.87,161.04,183.0,477 CDM,PX-A0594T,PR ANES FOR OSTEOT HUM INSJ XTRNL CTRLD IMED LNGTH DEVICE,183.0,162.87,161.04,183.0,477 CDM,PX-A0596T,PR ANES FOR TEMP FEMALE INTRAURETHRAL VALVE-PUMP 1ST INSJ,183.0,162.87,161.04,183.0,477 CDM,PX-A0597T,PR ANES FOR TEMP FEMALE INTRAURETHRAL VALVE-PUMP REPLACEMENT,183.0,162.87,161.04,183.0,477 CDM,PX-A0600T,"PR ANES FOR ABLT IRR ELECTROPORATION 1+ TMR, PERC",183.0,162.87,161.04,183.0,455 CDM,PX-A0601T,PR ANES FOR IRE ABLATION 1+TUMORS PR ORGN W/FLUOR&US GDN OPN,183.0,162.87,161.04,183.0,477 CDM,PX-A0613T,"PR ANES FOR PERQ TCAT IMPLT INTERATRIAL SEPTAL SHUNT, W/R & L HRT CATH",183.0,162.87,161.04,183.0,477 CDM,PX-A0614T,PR ANES FOR RMV & REPLACE SUBSTERNAL IMPL DEFIB PULS GEN,183.0,162.87,161.04,183.0,477 CDM,PX-A0619T,PR ANES FOR CYSTO W/ TRURL ANT PROS COMMISSUROTOMY & DRUG DEL,183.0,162.87,161.04,183.0,477 CDM,PX-A0620T,PR ANES FOR ENDOVASC VENOUS ARTERIALIZATION TIBIAL/PERONEAL,183.0,162.87,161.04,183.0,455 CDM,PX-A0621T,PR ANES FOR TRABECULOSTOMY INTERNO LASER,183.0,162.87,161.04,183.0,477 CDM,PX-A0622T,PR ANES FOR TRABECULOSTOMY INT LSR W/SCP,183.0,162.87,161.04,183.0,477 CDM,PX-A0627T,PR ANES FOR PERQ NJX ALGC FLUOR LMBR 1ST,183.0,162.87,161.04,183.0,477 CDM,PX-A0629T,PR ANES FOR PERQ INJ TISSUE LUMBAR W CT 1ST LVL,183.0,162.87,161.04,183.0,477 CDM,PX-A0632T,PR ANES FOR PERQ TRANSCATH US ABLT NERVES PULM ART,183.0,162.87,161.04,183.0,477 CDM,PX-A0644T,PR ANES FOR TCAT RMVL/DBLK ICAR MAS PERQ,183.0,162.87,161.04,183.0,455 CDM,PX-A0645T,PR ANES FOR TCAT IMPLTJ C SINS RDCTJ DEV,183.0,162.87,161.04,183.0,477 CDM,PX-A0646T,PR ANES FOR TTVI/RPLCMT W/PRSTC VLV PERQ,183.0,162.87,161.04,183.0,455 CDM,PX-A0652T,PR ANES FOR EGD FLX TRANSNASAL DX BR/WA,183.0,162.87,161.04,183.0,455 CDM,PX-A0653T,PR ANES FOR EGD FLX TRANSNASAL BX 1/MLT,183.0,162.87,161.04,183.0,455 CDM,PX-A0654T,PR ANES FOR EGD FLX TRANSNASAL TUBE/CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A0656T,PR ANES FOR VRT BDY TETHERING ANT <7 SEG,183.0,162.87,161.04,183.0,477 CDM,PX-A0657T,PR ANES FOR VRT BDY TETHERING ANT 8+ SEG,183.0,162.87,161.04,183.0,477 CDM,PX-A0660T,PR ANES FOR IMPLTJ ANT SGM IO NBIODEGRADABLE RX ELUTING SYS,183.0,162.87,161.04,183.0,477 CDM,PX-A0671T,PR ANES FOR INSJ ANT SGM AQ DRG DEV 1+,183.0,162.87,161.04,183.0,477 CDM,PX-A0673T,PR ANES FOR ABLATION B9 THYROID NODULE PERQ LASER W/IMG GDN,183.0,162.87,161.04,183.0,477 CDM,PX-A0686T,PR ANES FOR PR HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN,183.0,162.87,161.04,183.0,455 CDM,PX-A0707T,PR ANES FOR NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT,183.0,162.87,161.04,183.0,477 CDM,PX-A0719T,PR ANES FOR PST VERTEBRAL JOINT RPLCMT LUMBAR SPI SINGLE SGM,183.0,162.87,161.04,183.0,477 CDM,PX-A0737T,PR ANES FOR XENOGRAFT IMPLANTATION INTO ARTICULAR SURFACE,183.0,162.87,161.04,183.0,477 CDM,PX-A0795T,PR ANES FOR TCAT INS 2CHMBR LDLS PM CMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A0796T,PR ANES FOR TCAT INS 2CHMBR LDLS PM RA,183.0,162.87,82.35,183.0,477 CDM,PX-A0797T,PR ANES FOR TCAT INS 2CHMBR LDLS PM RV,183.0,162.87,161.04,183.0,455 CDM,PX-A0810T,PR ANES FOR SUBRTA NJX RX AGT W/VTRC,183.0,162.87,161.04,183.0,477 CDM,PX-A0817T,PR ANES FOR PR OPEN INSJ/RPLCMT INTEGRATED NSTIMJ SYS PTN SUBF,183.0,162.87,161.04,183.0,477 CDM,PX-A0823T,PR ANES FOR TCAT INS 1CHMBR LDLS PM RA,183.0,162.87,161.04,183.0,455 CDM,PX-A0824T,PR ANES FOR TCAT RMV 1CHMBR LDLS PM RA,183.0,162.87,161.04,183.0,477 CDM,PX-A0870T,PR ANES FOR PR IMP SUBQ PRTL ASCTS PMP SYS,183.0,162.87,161.04,183.0,477 CDM,PX-A0913T,PR ANES FOR PRQ TCAT THER RX NTRAC BALO1,183.0,162.87,161.04,183.0,477 CDM,PX-A0951T,PR ANES FOR TOT IMPL AMEI 1ST PLMT,183.0,162.87,161.04,183.0,477 CDM,PX-A10005,PR ANES FOR FNA BX W/US GDN 1ST LES,183.0,162.87,161.04,183.0,455 CDM,PX-A10009,PR ANES FOR FNA BX W/CT GDN 1ST LES,183.0,162.87,161.04,183.0,455 CDM,PX-A10021,PR ANES FOR FNA BX WO IMG 1ST LESION,183.0,162.87,161.04,183.0,455 CDM,PX-A10030,PR ANES FOR IMG GUIDE FLUID CATH DRAIN,183.0,162.87,161.04,183.0,455 CDM,PX-A10035,PR ANES FOR PLC LOC DEV PERC W IMG 1ST LESN,183.0,162.87,161.04,183.0,455 CDM,PX-A10036,PR ANES FOR PLC LOC DEV PERC W IMG ADD LESN,183.0,162.87,161.04,183.0,455 CDM,PX-A1003T,PR ANES FOR ARTHRP 1ST CRP/MTCRPL PROSTC,183.0,162.87,161.04,183.0,455 CDM,PX-A10040,PR ANES FOR ACNE SURGERY,183.0,162.87,161.04,183.0,455 CDM,PX-A10060,PR ANES FOR I&D ABSC SMPL/SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A10061,PR ANES FOR I&D ABSC CMPLX/MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A10080,PR ANES FOR I&D PILONIDAL CYST SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A10081,PR ANES FOR I&D PILONIDAL CYST CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A10120,PR ANES FOR INCISN/RMVL FB SUBQ SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A10121,PR ANES FOR INCISN/RMVL FB SUBQ CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A10140,PR ANES FOR I&D HEMA/SEROMA/FLUID COLL,183.0,162.87,161.04,183.0,455 CDM,PX-A10160,PR ANES FOR NDL ASP ABSC/HEMA/BULLA/CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A10180,PR ANES FOR I&D WND POSTOP CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A1019T,PR ANES FOR LYMPHOVENOUS BYPASS W/ROBOTIC ASST PER EXTREMITY,183.0,162.87,161.04,183.0,455 CDM,PX-A11000,PR ANES FOR DBRD EXTEN INFECTED SKIN <=10%,183.0,162.87,161.04,183.0,455 CDM,PX-A11001,PR ANES FOR DBRD INFECTED SKIN EA ADD 10%,183.0,162.87,161.04,183.0,455 CDM,PX-A11004,PR ANES FOR DBRD SKIN SUBQ EXTRNL GENT&PERIN,183.0,162.87,161.04,183.0,455 CDM,PX-A11005,PR ANES FOR DBRD SKIN SUBQ TISS ABD WALL,183.0,162.87,161.04,183.0,455 CDM,PX-A11006,PR ANES FOR DBRD SUBQ EXTRNL PERI/ABD WALL,183.0,162.87,161.04,183.0,455 CDM,PX-A11008,PR ANES FOR RMVL PROSTH ABD WALL INFECTN,183.0,162.87,161.04,183.0,455 CDM,PX-A11010,PR ANES FOR DBRD OPN FX SKIN & SUBQ TISS,183.0,162.87,161.04,183.0,455 CDM,PX-A11011,PR ANES FOR DBRD OPN FX SUBQ TISS/MUS,183.0,162.87,161.04,183.0,455 CDM,PX-A11012,PR ANES FOR DBRD OPN FX SUBQ TISS/MUS/BN,183.0,162.87,161.04,183.0,455 CDM,PX-A11042,PR ANES FOR DBRD SKIN & SUBQ TISS<=20SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A11043,PR ANES FOR DBRD MUS/FASCIA<=20SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A11044,PR ANES FOR DBRD BONE MUS/FASCIA<=20SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A11045,PR ANES FOR DBRD SKIN & SUBQ TISS ADD 20SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A11046,PR ANES FOR DBRD MUS/FASCIA ADD 20SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A11047,PR ANES FOR DBRD BN MUS/FASC EA ADD 20SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A11055,PR ANES FOR PAR/CUT BENIGN SKIN LESN SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A11056,PR ANES FOR PAR/CUT BENIGN SKIN LESN 2-4,183.0,162.87,161.04,183.0,455 CDM,PX-A11057,PR ANES FOR PAR/CUT BENIGN SKIN LESN >4,183.0,162.87,161.04,183.0,455 CDM,PX-A11102,PR ANES FOR TANGNTL BX SKIN SINGLE LES,183.0,162.87,161.04,183.0,455 CDM,PX-A11104,PR ANES FOR PUNCH BX SKIN SINGLE LESION,183.0,162.87,161.04,183.0,455 CDM,PX-A11106,PR ANES FOR INCAL BX SKN SINGLE LES,183.0,162.87,161.04,183.0,455 CDM,PX-A11200,PR ANES FOR RMVL SKIN TAGS <=15,183.0,162.87,161.04,183.0,455 CDM,PX-A11201,PR ANES FOR RMVL SKIN TAGS EA ADD 10,183.0,162.87,161.04,183.0,455 CDM,PX-A11300,PR ANES FOR SHAVE LESN TR/EXT <=0.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11301,PR ANES FOR SHAVE LESN TR/EXT 0.6-1.0 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11302,PR ANES FOR SHAVE LESN TR/EXT 1.1-2.0CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11303,PR ANES FOR SHAVE LESN TR/EXT >2.0 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11305,PR ANES FOR SHAVE S/N/H/F/G LESN <=0.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11306,PR ANES FOR SHAVE S/N/H/F/G LESN 0.6-1.0CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11307,PR ANES FOR SHAVE S/N/H/F/G LESN 1.1-2.0CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11308,PR ANES FOR SHAVE S/N/H/F/G LESN > 2.0CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11310,PR ANES FOR SHAVE F/E/EY/NO/L/M LESN <=0.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11311,PR ANES FOR SHAVE F/E/EY/NO/L/M LESN 0.6-1.0CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11312,PR ANES FOR SHAVE F/E/EY/NO/L/M LESN 1.1-2.0CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11313,PR ANES FOR SHAVE F/E/EY/NO/L/M LESN >2.0 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11400,PR ANES FOR EXCISN BEN LESN TR/LMB <=0.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11401,PR ANES FOR EXCISN BEN LESN TR/EXT 0.6-1CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11402,PR ANES FOR EXCISN BEN LESN TR/EXT 1.1-2CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11403,PR ANES FOR EXCISN BEN LESN TR/EXT 2.1-3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11404,PR ANES FOR EXCISN BEN LESN TR/EXT 3.1-4CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11406,PR ANES FOR EXCISN BEN LESN TR/EXT >4CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11420,PR ANES FOR EXCISN BEN LESN S/N/H/F <=0.5,183.0,162.87,161.04,183.0,455 CDM,PX-A11421,PR ANES FOR EXCISN BEN LESN S/N/H/F .6-1CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11422,PR ANES FOR EXCISN BEN LESN S/N/H 1.1-2CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11423,PR ANES FOR EXCISN BEN LESN S/N/H 2.1-3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11424,PR ANES FOR EXCISN BEN LESN S/N/H 3.1-4CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11426,PR ANES FOR EXCISN BEN LESN S/N/H/F >4.0CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11440,PR ANES FOR EXCISN BEN LESN F/E/EY/NO/L/M<=.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11441,PR ANES FOR EXCISN BEN LESN F/E/EY/NO/L .6-1CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11442,PR ANES FOR EXCISN BEN LESN F/E/EY/NO 1.1-2CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11443,PR ANES FOR EXCISN BEN LESN F/E/EY/NO 2.1-3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11444,PR ANES FOR EXCISN BEN LESN F/E/EY/NO 3.1-4CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11446,PR ANES FOR EXCISN BEN LESN F/E/EY/NO/L/M >4CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11450,PR ANES FOR EXCISN SKN HDRDNTS AXLRY SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A11451,PR ANES FOR EXCISN SKN HDRDNTS AXLRY CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A11462,PR ANES FOR EXCISN SKN HDRDNTS INGNL SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A11463,PR ANES FOR EXCISN SKIN INGNL CMPLX RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A11470,PR ANES FOR EXCISN LESN SWEAT GLAND SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A11471,PR ANES FOR EXCISN LESN SWEAT GLAND CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A11600,PR ANES FOR EXCISN LESN MLG TR/LMB <=0.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11601,PR ANES FOR EXCISN LESN MLG TR/LMB .6-1CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11602,PR ANES FOR EXCISN LESN MLG TR/LMB 1.1-2CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11603,PR ANES FOR EXCISN LESN MLG TR/LMB 2.1-3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11604,PR ANES FOR EXCISN LESN MLG TR/LMB 3.1-4CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11606,PR ANES FOR EXCISN LESN MLG TR/LMB >4CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11620,PR ANES FOR EXCISN LESN MLG NK/EXT <=.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11621,PR ANES FOR EXCISN LESN MLG NK/EXT .6-1CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11622,PR ANES FOR EXCISN LESN MLG NK/EXT 1.1-2CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11623,PR ANES FOR EXCISN LESN MLG NK/EXT 2.1-3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11624,PR ANES FOR EXCISN LESN MLG NK/EXT 3.1-4CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11626,PR ANES FOR EXCISN LESN MLG NK/EXT >4CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11640,PR ANES FOR EXCISN LESN MLG F/E/EY/NO <=0.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11641,PR ANES FOR EXCISN LESN MLG F/E/EY/NO/L .6-1CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11642,PR ANES FOR EXCISN LESN MLG F/E/EY/NO 1.1-2CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11643,PR ANES FOR EXCISN LESN MLG F/E/EY/NO 2.1-3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11644,PR ANES FOR EXCISN LESN MLG F/E/EY/NO 3.1-4CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11646,PR ANES FOR EXCISN LESN MLG F/E/EY/NO/L/M >4CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11719,PR ANES FOR TRIM NONDYSTROPHIC NAILS,183.0,162.87,161.04,183.0,455 CDM,PX-A11720,PR ANES FOR DBRD NAIL(S) 1-5,183.0,162.87,161.04,183.0,455 CDM,PX-A11721,PR ANES FOR DBRD NAILS >5,183.0,162.87,161.04,183.0,455 CDM,PX-A11730,PR ANES FOR AVUL NAIL PLATE SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A11732,PR ANES FOR AVUL NAIL PLATE SMPL EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A11740,PR ANES FOR EVAC SUBUNGUAL HEMA,183.0,162.87,161.04,183.0,455 CDM,PX-A11750,PR ANES FOR EXCISN NAIL BED PRTL/COMPLT,183.0,162.87,161.04,183.0,455 CDM,PX-A11755,PR ANES FOR BX NAIL UNIT,183.0,162.87,161.04,183.0,455 CDM,PX-A11760,PR ANES FOR RPR NAIL BED,183.0,162.87,161.04,183.0,455 CDM,PX-A11762,PR ANES FOR RCNSTRCT NAIL BED W GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A11765,PR ANES FOR EXCISN INGROWN TOENAIL,183.0,162.87,161.04,183.0,455 CDM,PX-A11770,PR ANES FOR EXCISN PILONIDAL CYST SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A11771,PR ANES FOR EXCISN PILONIDAL CYST EXTEN,183.0,162.87,161.04,183.0,455 CDM,PX-A11772,PR ANES FOR EXCISN PILONIDAL CYST CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A11900,PR ANES FOR INJ INTRALESN <=7 LESN,183.0,162.87,161.04,183.0,455 CDM,PX-A11901,PR ANES FOR INJ INTRALESN >7 LESN,183.0,162.87,161.04,183.0,455 CDM,PX-A11920,PR ANES FOR TATTOO INCL MICROPIG<= 6.0 SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A11921,PR ANES FOR TATTOO INCL MICROPIG 6.1-20 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A11922,PR ANES FOR TATTOO INCL MPIG EA ADD 20 SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A11950,PR ANES FOR INJ FILL MATERIAL SUBQ <=1CC,183.0,162.87,161.04,183.0,455 CDM,PX-A11951,PR ANES FOR SUBQ INJ FILLING MATRL >1CC,183.0,162.87,161.04,183.0,455 CDM,PX-A11952,PR ANES FOR INJ FILL MATRL SUBQ 5.1-10CC,183.0,162.87,161.04,183.0,455 CDM,PX-A11954,PR ANES FOR INJ SUBQ FILLING >10.0 CC,183.0,162.87,161.04,183.0,455 CDM,PX-A11960,PR ANES FOR INSN TISS EXPAND NOT BREAST,183.0,162.87,161.04,183.0,455 CDM,PX-A11970,PR ANES FOR RPLC TISS EXPAND W PERM IMPLNT,183.0,162.87,161.04,183.0,455 CDM,PX-A11971,PR ANES FOR RMVL TISS EXPAND WO INS IMPLNT,183.0,162.87,161.04,183.0,455 CDM,PX-A11976,PR ANES FOR RMVL IMPL CONTRACEPTIVE CAPSULE,183.0,162.87,161.04,183.0,455 CDM,PX-A11980,PR ANES FOR IMPL SUBQ HORMONE PELLET,183.0,162.87,161.04,183.0,455 CDM,PX-A11981,PR ANES FOR INS NON-BIODEGRADABLE DRUG DEL,183.0,162.87,161.04,183.0,455 CDM,PX-A11982,PR ANES FOR RMVL DRUG IMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A11983,PR ANES FOR RMVL W REINS NONBIO DEL IMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A12001,PR ANES FOR SMPL RPR S/NK/TR/EXT <=2.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A12002,PR ANES FOR SMPL S/NK/TR/EXT 2.6-7.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A12004,PR ANES FOR SMPL RPR S/N/TR/EXT 7.6-12.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A12005,PR ANES FOR SMPL RPR S/NK/TR/EXT 12.6-20CM,183.0,162.87,161.04,183.0,455 CDM,PX-A12006,PR ANES FOR SMPL RPR S/NK/TR/EXT 20.1-30CM,183.0,162.87,161.04,183.0,455 CDM,PX-A12007,PR ANES FOR SMPL RPR SCLP/NK/TR/EXT >30CM,183.0,162.87,161.04,183.0,455 CDM,PX-A12011,PR ANES FOR SMPL RPR F/E/EY/NO/L/M<=2.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A12013,PR ANES FOR SMPL RPR F/E/EY/NO/L/M 2.6-5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A12014,PR ANES FOR SMPL RPR F/E/EY/NO/L/M 5.1-7.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A12015,PR ANES FOR SMPL RPR F/E/EY/N/L/M 7.6-12.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A12016,PR ANES FOR SMPL RPR F/E/EY/N/L/M 12.6-20CM,183.0,162.87,161.04,183.0,455 CDM,PX-A12017,PR ANES FOR SMPL RPR F/E/EY/NO/L/M 20.1-30CM,183.0,162.87,161.04,183.0,455 CDM,PX-A12018,PR ANES FOR RESUPERF WND FACE >30 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A12020,PR ANES FOR TX WND DEHIS SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A12021,PR ANES FOR TX WND DEHIS W PACKING,183.0,162.87,161.04,183.0,455 CDM,PX-A12031,PR ANES FOR INT RPR SCLP/AX/TR/EXT <=2.5,183.0,162.87,161.04,183.0,455 CDM,PX-A12032,PR ANES FOR INT RPR SCLP/AX/TR/EXT 2.6-7.5,183.0,162.87,161.04,183.0,455 CDM,PX-A12034,PR ANES FOR INT RPR SCLP/AX/TR/EXT 7.6-12.5,183.0,162.87,161.04,183.0,455 CDM,PX-A12035,PR ANES FOR INT RPR SCLP/AX/TR/EXT 12.6-20,183.0,162.87,161.04,183.0,455 CDM,PX-A12036,PR ANES FOR INT RPR SCLP/AX/TR/EXT 20-30,183.0,162.87,161.04,183.0,455 CDM,PX-A12037,PR ANES FOR INT RPR SCLP/AX/TR/EXT >30.0,183.0,162.87,161.04,183.0,455 CDM,PX-A12041,PR ANES FOR INT RPR NK/HND/FT/EXG <=2.5,183.0,162.87,161.04,183.0,455 CDM,PX-A12042,PR ANES FOR INT RPR NK/HND/FT/EXG 2.6-7.5,183.0,162.87,161.04,183.0,455 CDM,PX-A12044,PR ANES FOR INT RPR NK/HND/FT/EXG 7.6-12.5,183.0,162.87,161.04,183.0,455 CDM,PX-A12045,PR ANES FOR INT RPR NK/HND/FT/EXG 12.6-20,183.0,162.87,161.04,183.0,455 CDM,PX-A12046,PR ANES FOR INT RPR NK/HND/FT/EXG 20-30,183.0,162.87,161.04,183.0,455 CDM,PX-A12047,PR ANES FOR LAYR CLOS WND REST BODY >30 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A12051,PR ANES FOR INT RPR F/E/EY/NO/L/M <=2.5,183.0,162.87,161.04,183.0,455 CDM,PX-A12052,PR ANES FOR INT F/E/EY/NO/L/M 2.6-5,183.0,162.87,161.04,183.0,455 CDM,PX-A12053,PR ANES FOR INT RPR F/E/EY/NO/L/M 5.1-7.5,183.0,162.87,161.04,183.0,455 CDM,PX-A12054,PR ANES FOR INT RPR F/E/EY/NO/L/M 7.6-12.5,183.0,162.87,161.04,183.0,455 CDM,PX-A12055,PR ANES FOR INT RPR F/E/EY/NO/L/M 12.6-20,183.0,162.87,161.04,183.0,455 CDM,PX-A12056,PR ANES FOR INT RPR F/E/EY/NO/L/M 20.1-30,183.0,162.87,161.04,183.0,455 CDM,PX-A12057,PR ANES FOR INTERMEDIATE RPR FACE >30CM,183.0,162.87,161.04,183.0,455 CDM,PX-A13100,PR ANES FOR CMPLX RPR TRUNK 1.1-2.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A13101,PR ANES FOR CMPLX RPR TRUNK 2.6-7.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A13102,PR ANES FOR CMPLX RPR TRUNK EA <=5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A13120,PR ANES FOR CMPLX RPR SCLP/LIMB 1.1-2.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A13121,PR ANES FOR CMPLX RPR SCLP/LIMB 2.6-7.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A13122,PR ANES FOR CMPLX RPR SCLP/LIMB ADD 5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A13131,PR ANES FOR CMPLX RPR FACE/AX/EXT 1.1-2.5,183.0,162.87,161.04,183.0,455 CDM,PX-A13132,PR ANES FOR CMPLX RPR FACE/AX/EXT 2.6-7.5,183.0,162.87,161.04,183.0,455 CDM,PX-A13133,PR ANES FOR CMPLX RPR FACE/AX/EXT ADD 5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A13151,PR ANES FOR CMPLX RPR EY/NO/E/L 1.1-2.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A13152,PR ANES FOR CMPLX RPR EY/NO/E/L 2.6-7.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A13153,PR ANES FOR CMPLX RPR EY/NO/E/L ADD<=5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A13160,PR ANES FOR RPR WND SURGICAL SECNDRY CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A14000,PR ANES FOR TISS XFER TR DEFECT <=10SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A14001,PR ANES FOR TISS XFER TR DEFECT 10-30SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A14020,PR ANES FOR TISS XFER SCLP/LIMB <=10SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A14021,PR ANES FOR TISS XFER SCLP/LIMB 10-30SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A14040,PR ANES FOR TISS XFER FACE/NK/EXT <=10SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A14041,PR ANES FOR TISS XFER FACE/NK/EXT 10-30CM,183.0,162.87,161.04,183.0,455 CDM,PX-A14060,PR ANES FOR TISS XFER EAR/EY/N/LIP <=10SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A14061,PR ANES FOR TISS XFER EY/N/E/LIP 10.1-30SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A14301,PR ANES FOR TISS XFER ADJ 30.1-60SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A14302,PR ANES FOR TISS XFER ADJ ADD 30SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A14350,PR ANES FOR FILLETED FGR/TOE FLAP W PREP,183.0,162.87,161.04,183.0,455 CDM,PX-A15002,PR ANES FOR PREP WND TR/EXT PEDS 100SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A15003,PR ANES FOR PREP WND TR/EXT EA ADD 100SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A15004,PR ANES FOR PREP WND HD/EXT EA ADD 100SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A15005,PR ANES FOR PREP WND HD/EXT >100SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A15011,PR ANES FOR HARVEST SKIN CELLS FOR SUSP AUTOGRFT CM,183.0,162.87,161.04,183.0,455 CDM,PX-A15012,PR ANES FOR HARVEST SKIN CELLS FOR SUSP AUTOGRFT EA ADDL 25CM,183.0,162.87,161.04,183.0,455 CDM,PX-A15013,PR ANES FOR PREP SKIN CELLS SUSP AUTOGRAFT 25CM,183.0,162.87,161.04,183.0,455 CDM,PX-A15014,PR ANES FOR PREP SKIN CELLS SUSP AUTOGRAFT EA ADDL 25CM,183.0,162.87,161.04,183.0,455 CDM,PX-A15015,PR ANES FOR APPLICATION SKIN CELL SUSP AUTOGRAFT- T/A/L 480CM,183.0,162.87,161.04,183.0,455 CDM,PX-A15016,PR ANES FOR APPLICAT SKIN CELL SUSP AUTOGFT- T/A/L EA ADDL 480CM,183.0,162.87,161.04,183.0,455 CDM,PX-A15017,PR ANES FOR APPLICATION SKIN CELL SUSP AUTOGRAFT- F/N/G/HF 480CM,183.0,162.87,161.04,183.0,455 CDM,PX-A15018,PR ANES FOR APPLICAT SKIN CELL SUSP AUTOGFT-F/N/G/HF EA ADDL 480CM,183.0,162.87,161.04,183.0,455 CDM,PX-A15040,PR ANES FOR HARVEST TISS/SKN GRFT <=100SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A15050,PR ANES FOR PINCH GRFT SMALL AREA <= 2 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A15100,PR ANES FOR GRFT SPLIT SKN TR/LIMB 100SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A15101,PR ANES FOR GRFT SPLIT SKN TR/LIMB ADD 100,183.0,162.87,161.04,183.0,455 CDM,PX-A15110,PR ANES FOR EPIDRM AUTOGRFT TRNK/ARM/LEG,183.0,162.87,161.04,183.0,455 CDM,PX-A15111,PR ANES FOR EPIDRM AGRFT T/A/L EA 100 CM/E,183.0,162.87,161.04,183.0,455 CDM,PX-A15115,PR ANES FOR EDERM AUTGRFT F/NK/HF <= 100SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A15116,"PR ANES FOR EPI AUTOGRFT FACE/NCK/HND/FT/GEN , EA 100 SQCM",183.0,162.87,161.04,183.0,455 CDM,PX-A15120,PR ANES FOR SPLIT AUTGRFT F/NK/HF <=100SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A15121,PR ANES FOR SPLIT AUTGRFT F/NK/HF EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A15130,PR ANES FOR DERM AUTOGRFT TR/A/L <= 100SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A15131,"PR ANES FOR DERM AUTOGRFT TRNK/ARM/LEG, EA 100 SQCM",183.0,162.87,161.04,183.0,455 CDM,PX-A15135,PR ANES FOR DERM AUTGRFT F/NK/HF <= 100SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A15136,"PR ANES FOR DERM AUTOGRAFT FACE/NCK/HND/FT/GEN, EA 100 SQCM",183.0,162.87,161.04,183.0,455 CDM,PX-A15150,"PR ANES FOR CULT EPIDRM AUTOGRFT TRUNK,ARM,LEG <26 SQCM",183.0,162.87,161.04,183.0,455 CDM,PX-A15151,"PR ANES FOR CULT EPIDRM AUTOGRFT TRUNK,ARM,LEG ADD 26-75 SQCM",183.0,162.87,161.04,183.0,455 CDM,PX-A15152,"PR ANES FOR CULT EPIDRM AUTOGRFT TRUNK,ARM,LEG EA 100 SQCM",183.0,162.87,161.04,183.0,455 CDM,PX-A15155,"PR ANES FOR CULT EPIDRM AUTOGRFT,FACE/NCK/HND/FT/GEN <26 SQCM",183.0,162.87,161.04,183.0,455 CDM,PX-A15156,PR ANES FOR TISS CULT SKIN AUTGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A15157,PR ANES FOR CULT EPID AUTOGFT FACE/NCK/HND/FT/GEN EA 100 SQCM,183.0,162.87,161.04,183.0,455 CDM,PX-A15200,PR ANES FOR GRFT FULL THCK TR <=20 SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A15201,PR ANES FOR GRFT FULL THCK TR EA ADD 20 SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A15220,PR ANES FOR GRFT FULL THCK SCLP <= 20 SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A15221,PR ANES FOR GRFT FULL THCK SCLP EA ADD 20 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A15240,PR ANES FOR GRFT FULL THCK F/G/HF <=20SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A15241,PR ANES FOR GRFT FULL THCK F/G/HF EA ADD 20CM,183.0,162.87,161.04,183.0,455 CDM,PX-A15260,PR ANES FOR GRFT FULL THCK EY/NO/E/L <=20SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A15261,PR ANES FOR GRFT FULL THCK EY/NO/E/L EA ADD 20SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A15271,PR ANES FOR SKN GRFT A/TR/L <=100SCM/1ST 25,183.0,162.87,161.04,183.0,455 CDM,PX-A15272,PR ANES FOR SKN SUBST GRFT A/TR/L ADD 25SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A15273,PR ANES FOR SKN GRFT A/TR/L <=100SCM PEDS,183.0,162.87,161.04,183.0,455 CDM,PX-A15274,PR ANES FOR SKN GRFT A/TR/L ADD 100SCM PEDS,183.0,162.87,161.04,183.0,455 CDM,PX-A15275,PR ANES FOR SKN GRFT F/N/G/HF <=100SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A15276,PR ANES FOR SKN GRFT F/N/G/HF ADD 25SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A15277,PR ANES FOR GRFT F/N/G/HF <=100SCM 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A15278,PR ANES FOR GRFT F/N/G/HF <=100SCM ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A15570,PR ANES FOR FORM DIRECT/TUBED PEDICLE TRUNK,183.0,162.87,161.04,183.0,455 CDM,PX-A15572,PR ANES FOR FORM PEDCL SCLP/A/L,183.0,162.87,161.04,183.0,455 CDM,PX-A15574,PR ANES FOR FORM PEDCL FACE/NK/AX/EXG/EXT,183.0,162.87,161.04,183.0,455 CDM,PX-A15576,PR ANES FOR FORM PEDCL EY/NO/E/L,183.0,162.87,161.04,183.0,455 CDM,PX-A15600,PR ANES FOR DELAY FLAP TR,183.0,162.87,161.04,183.0,455 CDM,PX-A15610,PR ANES FOR DELAY FLAP SCLP/A/L,183.0,162.87,161.04,183.0,455 CDM,PX-A15620,PR ANES FOR DELAY FLAP FACE/NK/AX/EXG/EXT,183.0,162.87,161.04,183.0,455 CDM,PX-A15630,PR ANES FOR DELAY FLAP EY/NO/E/L,183.0,162.87,161.04,183.0,455 CDM,PX-A15650,PR ANES FOR TRNSF ANY PEDCL FLAP ANY LOCTION,183.0,162.87,161.04,183.0,455 CDM,PX-A15730,PR ANES FOR MDFC FLAP W/PRSRV VASC PEDCL,183.0,162.87,161.04,183.0,455 CDM,PX-A15731,PR ANES FOR FHD FLAP W VASC PEDCL,183.0,162.87,161.04,183.0,455 CDM,PX-A15733,PR ANES FOR MUSC MYOQ/FSCQ FLP H&N PEDCL,183.0,162.87,161.04,183.0,455 CDM,PX-A15734,PR ANES FOR MUSCLE FLAP TRUNK,183.0,162.87,161.04,183.0,455 CDM,PX-A15736,PR ANES FOR MUSCLE FLAP UPPER EXT,183.0,162.87,161.04,183.0,455 CDM,PX-A15738,PR ANES FOR MUSCLE FLAP LWR EXT,183.0,162.87,161.04,183.0,455 CDM,PX-A15740,PR ANES FOR FLAP ISLAND PEDCL,183.0,162.87,161.04,183.0,455 CDM,PX-A15750,PR ANES FOR FLAP NEUR VASC PEDCL,183.0,162.87,161.04,183.0,455 CDM,PX-A15756,PR ANES FOR MUS FLAP W MICROVASC ANAST,183.0,162.87,161.04,183.0,455 CDM,PX-A15757,PR ANES FOR SKIN FLAP W MICROVASC ANAST,183.0,162.87,161.04,183.0,455 CDM,PX-A15758,PR ANES FOR FCL FLAP W MICROVASC ANAST,183.0,162.87,161.04,183.0,455 CDM,PX-A15760,PR ANES FOR COMPOSITE SKIN GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A15769,PR ANES FOR GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC,183.0,162.87,161.04,183.0,455 CDM,PX-A15770,PR ANES FOR DERM FAT FASCIA GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A15771,PR ANES FOR GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS,183.0,162.87,161.04,183.0,455 CDM,PX-A15772,PR ANES FOR GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC,183.0,162.87,161.04,183.0,455 CDM,PX-A15773,PR ANES FOR GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS,183.0,162.87,161.04,183.0,455 CDM,PX-A15774,PR ANES FOR GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC,183.0,162.87,161.04,183.0,455 CDM,PX-A15775,PR ANES FOR HAIR XPLANT PUNCH GRFT 1-15,183.0,162.87,161.04,183.0,455 CDM,PX-A15776,PR ANES FOR HAIR XPLANT PUNCH GRFT >15,183.0,162.87,161.04,183.0,455 CDM,PX-A15777,PR ANES FOR IMPLANTATION BIOLOGIC IMPLANT,183.0,162.87,161.04,183.0,455 CDM,PX-A15778,PR ANES FOR IMPL ABSRB MSH/PRSTH DLY CLS,183.0,162.87,161.04,183.0,455 CDM,PX-A15780,PR ANES FOR DERMABRASION TOTAL FACE,183.0,162.87,161.04,183.0,455 CDM,PX-A15781,PR ANES FOR DERMABRASION SEGM FACE,183.0,162.87,161.04,183.0,455 CDM,PX-A15782,PR ANES FOR DERMABRASION REGIONAL OTHER,183.0,162.87,161.04,183.0,455 CDM,PX-A15783,PR ANES FOR DERMABRASION SUPERFICIAL ANY,183.0,162.87,161.04,183.0,455 CDM,PX-A15786,PR ANES FOR ABRASION SNGL LESN,183.0,162.87,161.04,183.0,455 CDM,PX-A15787,"PR ANES FOR ABRASION, EACH ADDN 4 OR LESS",183.0,162.87,161.04,183.0,455 CDM,PX-A15788,PR ANES FOR CHEM PEEL FACIAL EPIDERMAL,183.0,162.87,161.04,183.0,455 CDM,PX-A15789,PR ANES FOR CHEM PEEL FACIAL DERMAL,183.0,162.87,161.04,183.0,455 CDM,PX-A15792,PR ANES FOR CHEM PEEL NONFACIAL EPIDERMAL,183.0,162.87,161.04,183.0,455 CDM,PX-A15793,PR ANES FOR CHEMICAL PEEL NONFACIAL DERMAL,183.0,162.87,161.04,183.0,455 CDM,PX-A15820,PR ANES FOR BLEPH LWR EYELID,183.0,162.87,161.04,183.0,455 CDM,PX-A15821,PR ANES FOR BLEPH LWR EYELID W FAT PAD,183.0,162.87,161.04,183.0,455 CDM,PX-A15822,PR ANES FOR BLEPH UPR EYELID,183.0,162.87,161.04,183.0,455 CDM,PX-A15823,PR ANES FOR BLEPH UPR EYELID W EXCESS SKIN LID,183.0,162.87,161.04,183.0,455 CDM,PX-A15824,PR ANES FOR RHYTIDECTOMY FOREHEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A15825,PR ANES FOR RHYTIDECTOMY NK W TGHTNNG,183.0,162.87,161.04,183.0,455 CDM,PX-A15826,PR ANES FOR RHYTIDECTOMY GLABELLAR FROWN,183.0,162.87,161.04,183.0,455 CDM,PX-A15828,PR ANES FOR RHYTIDECTOMY CHEEK/CHIN/NECK,183.0,162.87,161.04,183.0,455 CDM,PX-A15829,PR ANES FOR RHYTIDECTOMY SUPERFICIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A15830,PR ANES FOR EXCISN EXCESS SKIN/TISS ABD,183.0,162.87,161.04,183.0,455 CDM,PX-A15832,PR ANES FOR EXCISN EXCESS SKIN/TISS THIGH,183.0,162.87,161.04,183.0,455 CDM,PX-A15833,PR ANES FOR EXCISN EXCESS SKIN LEG,183.0,162.87,161.04,183.0,455 CDM,PX-A15834,PR ANES FOR EXCISN EXCESS SKIN/TISS HIP,183.0,162.87,161.04,183.0,455 CDM,PX-A15835,PR ANES FOR EXCISN EXCESS SKIN/TISS BUTTOCK,183.0,162.87,161.04,183.0,455 CDM,PX-A15836,PR ANES FOR EXCISN EXCESS SKIN/TISS ARM,183.0,162.87,161.04,183.0,455 CDM,PX-A15837,PR ANES FOR EXCISN EXCESS SKIN FRARM/HAND,183.0,162.87,161.04,183.0,455 CDM,PX-A15838,PR ANES FOR EXCISN EXCESS SKN/TISS FAT PAD,183.0,162.87,161.04,183.0,455 CDM,PX-A15839,PR ANES FOR EXCISN EXCESS SKN/TISS OTHER,183.0,162.87,161.04,183.0,455 CDM,PX-A15840,PR ANES FOR FACE NRV PALSY FASCIA GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A15841,PR ANES FOR GRAFT FACIAL NRV PARLYS FREE,183.0,162.87,161.04,183.0,455 CDM,PX-A15842,PR ANES FOR GRFT FACE NRV PALSY FREE MICRO,183.0,162.87,161.04,183.0,455 CDM,PX-A15845,PR ANES FOR GRAFT FACIAL NRV PARLYS MUS TR,183.0,162.87,161.04,183.0,455 CDM,PX-A15847,PR ANES FOR EXCISN EXC SKIN/ SUBQ TISS ABD,183.0,162.87,161.04,183.0,455 CDM,PX-A15851,PR ANES FOR RMVL SUTR W ANES OTHER SURG,183.0,162.87,161.04,183.0,455 CDM,PX-A15852,PR ANES FOR DRSG CHNG W ANES NOT BURN,183.0,162.87,161.04,183.0,455 CDM,PX-A15853,PR ANES FOR RMVL SUTURES WO ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A15854,PR ANES FOR RMVL SUTURES & STAPLE WO ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A15860,PR ANES FOR TEST INJ VASC FLOW FLAP/GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A15876,PR ANES FOR SUCTION ASSIS LIPECTOMY HD/NK,183.0,162.87,161.04,183.0,455 CDM,PX-A15877,PR ANES FOR SUCTION ASSIS LIPECTOMY TRUNK,183.0,162.87,161.04,183.0,455 CDM,PX-A15878,PR ANES FOR SUCT ASSIS LIPECTOMY UPP EXT,183.0,162.87,161.04,183.0,455 CDM,PX-A15879,PR ANES FOR SUCT ASSIS LIPECTOMY LWR EXT,183.0,162.87,161.04,183.0,455 CDM,PX-A15920,PR ANES FOR EXCISN TAIL BONE ULCER,183.0,162.87,161.04,183.0,455 CDM,PX-A15922,PR ANES FOR EXC COCCYX/ULCER W FLAP CLOS,183.0,162.87,161.04,183.0,455 CDM,PX-A15931,PR ANES FOR EXCISN ULCER SACRAL W SUTR,183.0,162.87,161.04,183.0,455 CDM,PX-A15933,PR ANES FOR EXCISN ULCER SAC SUTR OSTEOT,183.0,162.87,161.04,183.0,455 CDM,PX-A15934,PR ANES FOR EXCISN SAC PRES ULCER W SKIN FLP,183.0,162.87,161.04,183.0,455 CDM,PX-A15935,PR ANES FOR EXCISN SAC PRES ULCER W OSTECTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A15936,PR ANES FOR EXCISN SAC PRESS ULCER IN PREP,183.0,162.87,161.04,183.0,455 CDM,PX-A15937,PR ANES FOR EXCISN ULCER PREP GRFT OSTEOT,183.0,162.87,161.04,183.0,455 CDM,PX-A15940,PR ANES FOR EXCISN ULCER ISCHL W SUTR,183.0,162.87,161.04,183.0,455 CDM,PX-A15941,PR ANES FOR EXCISN ISCH DECUB ULCER W OST,183.0,162.87,161.04,183.0,455 CDM,PX-A15944,PR ANES FOR EXCISN ISCH PRES ULC W FLAP CLSR,183.0,162.87,161.04,183.0,455 CDM,PX-A15945,PR ANES FOR EX ISCH PRES ULC W FLAP W OSTECTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A15946,PR ANES FOR EXCISN ULCER ISCHL PREP GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A15950,PR ANES FOR EXCISN ULCER TROCHNT W SUTR,183.0,162.87,161.04,183.0,455 CDM,PX-A15951,PR ANES FOR EXCISN ULCER TROCHNT SUTR OSTEOT,183.0,162.87,161.04,183.0,455 CDM,PX-A15952,PR ANES FOR EXC TROC PRES ULC W FLAP CLOS,183.0,162.87,161.04,183.0,455 CDM,PX-A15953,PR ANES FOR EXCISN TROCH PRES ULC W OSTECTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A15956,PR ANES FOR EXCISN ULCER TROCHNT CLSR PREP,183.0,162.87,161.04,183.0,455 CDM,PX-A15958,PR ANES FOR EXCISN ULC TROCHNT GRFT OSTEOT,183.0,162.87,161.04,183.0,455 CDM,PX-A15999,PR ANES FOR UNLISTED PROC EXCISN PRES ULC,183.0,162.87,161.04,183.0,455 CDM,PX-A16000,PR ANES FOR TX BURN 1ST DEGREE INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A16020,PR ANES FOR DBRD BURN PRTL THCK <5%,183.0,162.87,161.04,183.0,455 CDM,PX-A16025,PR ANES FOR DBRD BURN PRTL THCK 5-10%,183.0,162.87,161.04,183.0,455 CDM,PX-A16030,PR ANES FOR DBRD BURN PRTL THCK >10%,183.0,162.87,161.04,183.0,455 CDM,PX-A16035,PR ANES FOR ESCHAROTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A16036,"PR ANES FOR INCISION OF BURN SCAB, EACH ADDNTL",183.0,162.87,161.04,183.0,455 CDM,PX-A17000,PR ANES FOR DEST PREMALIGNANT LESN 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A17003,PR ANES FOR DEST PREMALIGNANT LESN 2-14,183.0,162.87,161.04,183.0,455 CDM,PX-A17004,PR ANES FOR DEST PREMALIGNANT LESN =>15,183.0,162.87,161.04,183.0,455 CDM,PX-A17106,PR ANES FOR DEST CUT LESN PROLIF <10SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A17107,PR ANES FOR DEST CUT LESN PROLIF 10-50SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A17108,PR ANES FOR DEST CUT LESN PROLIF >50SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A17110,PR ANES FOR DEST BENIGN LESN OTHR<=14,183.0,162.87,161.04,183.0,455 CDM,PX-A17111,PR ANES FOR DEST BENIGN LESIONS OTHR >=15,183.0,162.87,161.04,183.0,455 CDM,PX-A17250,PR ANES FOR CAUTERIZE CHEM GRANULATION TIS,183.0,162.87,161.04,183.0,455 CDM,PX-A17260,PR ANES FOR DEST LESN MLG T/A/L <=0.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A17261,PR ANES FOR DEST LESN MLG T/A/L .6-1CM,183.0,162.87,161.04,183.0,455 CDM,PX-A17262,PR ANES FOR DEST LESN MLG TR/LIMB 1.1-2CM,183.0,162.87,161.04,183.0,455 CDM,PX-A17263,PR ANES FOR DEST LESN MLG TR/LIMB 2.1-3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A17264,PR ANES FOR DEST LESN MLG TR/LIMB 3.1-4CM,183.0,162.87,161.04,183.0,455 CDM,PX-A17266,PR ANES FOR DEST LESN MLG TR/LIMB >4CM,183.0,162.87,161.04,183.0,455 CDM,PX-A17270,PR ANES FOR DEST LESN MLG S/NK/EXT<=.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A17271,PR ANES FOR DEST LESN MLG S/NK/EXT .6-1CM,183.0,162.87,161.04,183.0,455 CDM,PX-A17272,PR ANES FOR DEST LESN MLG S/NK/EXT 1.1-2CM,183.0,162.87,161.04,183.0,455 CDM,PX-A17273,PR ANES FOR DEST LESN MLG S/NK/EXT 2.1-3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A17274,PR ANES FOR DEST LESN MLG S/NK/EXT 3.1-4CM,183.0,162.87,161.04,183.0,455 CDM,PX-A17276,PR ANES FOR DEST SKIN MAL LES >4.0 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A17280,PR ANES FOR DEST LESN MLG F/E/EY/NO/L/M <=.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A17281,PR ANES FOR DEST LESN MLG F/E/EY/NO/L/M .6-1CM,183.0,162.87,161.04,183.0,455 CDM,PX-A17282,PR ANES FOR DEST LESN MLG F/E/EY/NO/L/M 1.1-2CM,183.0,162.87,161.04,183.0,455 CDM,PX-A17283,PR ANES FOR DEST SKIN MLG LESN 2.1-3.0 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A17284,PR ANES FOR DEST SKIN MLG LESN 3.1-4.0 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A17286,PR ANES FOR DEST LESN MLG F/E/EY/NO/L/M >4CM,183.0,162.87,161.04,183.0,455 CDM,PX-A17311,PR ANES FOR MOHS HD/NK/EXDT/EXG 1 STAGE,183.0,162.87,161.04,183.0,455 CDM,PX-A17312,PR ANES FOR MOHS HD/NK/EXDT/EXG ADD STAGE,183.0,162.87,161.04,183.0,455 CDM,PX-A17313,PR ANES FOR MOHS TR/LIMB 1 STAGE 1-5,183.0,162.87,161.04,183.0,455 CDM,PX-A17314,PR ANES FOR MOHS TR/LIMB EA ADD STAGE,183.0,162.87,161.04,183.0,455 CDM,PX-A17315,PR ANES FOR MOHS EA BLOCK AFTER FIRST 5,183.0,162.87,161.04,183.0,455 CDM,PX-A17340,PR ANES FOR CRYOTHRAPY FOR ACNE,183.0,162.87,161.04,183.0,455 CDM,PX-A17360,PR ANES FOR CHEMICAL EXFOLIATION ACNE,183.0,162.87,161.04,183.0,455 CDM,PX-A17380,PR ANES FOR ELECTROLYSIS EPILATION EA 30 MIN,183.0,162.87,161.04,183.0,455 CDM,PX-A17999,PR ANES FOR SKIN TISSUE PROCEDURE UNLISTED,183.0,162.87,161.04,183.0,455 CDM,PX-A19000,PR ANES FOR ASP BREAST CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A19001,PR ANES FOR ASP BREAST CYST ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A19020,PR ANES FOR MASTOTOMY W EXPLR/DRAIN ABSC,183.0,162.87,161.04,183.0,455 CDM,PX-A19030,PR ANES FOR INJ PROC FOR DUCTOGRAM,183.0,162.87,161.04,183.0,455 CDM,PX-A19081,PR ANES FOR BX BRST W DEV 1ST LESN STERETCTC,183.0,162.87,161.04,183.0,455 CDM,PX-A19082,PR ANES FOR BX BRST W DEV ADD STRTC GUID,183.0,162.87,161.04,183.0,455 CDM,PX-A19083,PR ANES FOR BX BRST W DEV 1ST LESN US GUID,183.0,162.87,161.04,183.0,455 CDM,PX-A19084,PR ANES FOR BX BRST ADD LESION US GUID,183.0,162.87,161.04,183.0,455 CDM,PX-A19085,PR ANES FOR BX BREAST W LOC MR GUID 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A19086,PR ANES FOR BX BREAST W LOC MR GUID ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A19100,PR ANES FOR BX BRST PERC WO IMG GUID,183.0,162.87,161.04,183.0,455 CDM,PX-A19101,PR ANES FOR BX BRST OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A19105,PR ANES FOR ABLT CRYOSURG US GUID EA FIBRO,183.0,162.87,161.04,183.0,455 CDM,PX-A19110,PR ANES FOR EXPLORE NIPPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A19112,PR ANES FOR EXCISN LACTIFEROUS DUCT FSTL,183.0,162.87,161.04,183.0,455 CDM,PX-A19120,PR ANES FOR RMVL BREAST LESN 1 OR MORE,183.0,162.87,161.04,183.0,455 CDM,PX-A19125,PR ANES FOR EXCISN BRST LESN MARKER ID OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A19126,PR ANES FOR EXCISN BRST LESN MARKER ID ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A19281,PR ANES FOR PLC BREAST LOC DEV MAMMO 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A19282,PR ANES FOR PLC BREAST LOC DEV MAMMO ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A19283,PR ANES FOR PERC LOC DEV BRST 1ST STRTCTC,183.0,162.87,161.04,183.0,455 CDM,PX-A19284,PR ANES FOR PERC DEV BRST EA ADD STRTCTC,183.0,162.87,161.04,183.0,455 CDM,PX-A19285,PR ANES FOR PLC BRST LOC DEV 1ST W US,183.0,162.87,161.04,183.0,455 CDM,PX-A19286,PR ANES FOR PLC BRST LOC DEV EA ADD/US,183.0,162.87,161.04,183.0,455 CDM,PX-A19287,PR ANES FOR PLC BREAST LOC DEV MR GUID 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A19288,PR ANES FOR PLC BREAST LOC DEV MR GUID EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A19294,PR ANES FOR PREP TUM CAV IORT PRTL MAST,183.0,162.87,161.04,183.0,455 CDM,PX-A19296,PR ANES FOR PLC RADTH CATH BRST PRTL MAST,183.0,162.87,161.04,183.0,455 CDM,PX-A19297,PR ANES FOR PLC BRST CATH FOR RAD,183.0,162.87,161.04,183.0,455 CDM,PX-A19298,PR ANES FOR PLC RADIOTHRPY BRCHY CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A19300,PR ANES FOR MASTECTOMY GYNECOMASTIA,183.0,162.87,161.04,183.0,455 CDM,PX-A19301,PR ANES FOR MASTECTOMY PARTIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A19302,PR ANES FOR MAST PRTL W AXLRY LYMPHDEC,183.0,162.87,161.04,183.0,455 CDM,PX-A19303,PR ANES FOR MASTECT SMPL COMPLT,183.0,162.87,161.04,183.0,455 CDM,PX-A19305,PR ANES FOR MAST RADCL INCL PECT MUS,183.0,162.87,161.04,183.0,455 CDM,PX-A19306,"PR ANES FOR MASTECTOMY, RADICAL, URBAN TYPE",183.0,162.87,161.04,183.0,455 CDM,PX-A19307,PR ANES FOR MASTECT RADICAL MODIFIED,183.0,162.87,161.04,183.0,455 CDM,PX-A19316,PR ANES FOR MASTOPEXY,183.0,162.87,161.04,183.0,455 CDM,PX-A19318,PR ANES FOR BREAST REDUC,183.0,162.87,161.04,183.0,455 CDM,PX-A19325,PR ANES FOR BREAST AUGMENT W IMPLNT,183.0,162.87,161.04,183.0,455 CDM,PX-A19328,PR ANES FOR RMVL INTACT BRST IMPLNT,183.0,162.87,161.04,183.0,455 CDM,PX-A19330,PR ANES FOR RMVL RPTRD BRST IMPLNT,183.0,162.87,161.04,183.0,455 CDM,PX-A19340,PR ANES FOR IMMED INSRT BRST IMPLNT,183.0,162.87,161.04,183.0,455 CDM,PX-A19342,PR ANES FOR DELAYED INSRT/RPLC BRST IMPLNT,183.0,162.87,161.04,183.0,455 CDM,PX-A19350,PR ANES FOR RCNST NIPPLE/AREOLA,183.0,162.87,161.04,183.0,455 CDM,PX-A19355,PR ANES FOR CORRECTION INVERTED NIPPLES,183.0,162.87,161.04,183.0,455 CDM,PX-A19357,PR ANES FOR RCNST BRST TISS EXPAND,183.0,162.87,161.04,183.0,455 CDM,PX-A19361,PR ANES FOR RCNST BRST W LAT DORSI FLAP,183.0,162.87,161.04,183.0,455 CDM,PX-A19364,PR ANES FOR RCNST BRST W FREE FLAP,183.0,162.87,161.04,183.0,455 CDM,PX-A19367,PR ANES FOR RCNST BRST W TRAM FLAP,183.0,162.87,161.04,183.0,455 CDM,PX-A19368,PR ANES FOR RCNST BRST TRAM FLAP ANASTO,183.0,162.87,161.04,183.0,455 CDM,PX-A19369,PR ANES FOR PR BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP,183.0,162.87,161.04,183.0,455 CDM,PX-A19370,PR ANES FOR REV PERI CAPSULOTOMY BRST,183.0,162.87,161.04,183.0,455 CDM,PX-A19371,PR ANES FOR PERI IMPLT CAPSULECTOMY BRST COMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A19380,PR ANES FOR REVISION OF RECONSTRUCTED BRST,183.0,162.87,161.04,183.0,455 CDM,PX-A19396,PR ANES FOR DESIGN CUSTOM BREAST IMPLANT,183.0,162.87,161.04,183.0,455 CDM,PX-A19499,PR ANES FOR UNLISTED PROC BREAST,183.0,162.87,161.04,183.0,455 CDM,PX-A20100,PR ANES FOR EXPLR PNTRATE WND NK,183.0,162.87,161.04,183.0,455 CDM,PX-A20101,PR ANES FOR EXPLR PNTRATE WND CHST,183.0,162.87,161.04,183.0,455 CDM,PX-A20102,PR ANES FOR EXPLR PNTRATE WND ABD/FLNK/BCK,183.0,162.87,161.04,183.0,455 CDM,PX-A20103,PR ANES FOR EXPLR PNTRATE WND EXT,183.0,162.87,161.04,183.0,455 CDM,PX-A20150,PR ANES FOR EXCISE EPIPHYSEAL BAR,183.0,162.87,161.04,183.0,455 CDM,PX-A20200,PR ANES FOR BX MUS SUPFCL,183.0,162.87,161.04,183.0,455 CDM,PX-A20205,PR ANES FOR BX MUS DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A20206,PR ANES FOR BX MUS PERC NDL,183.0,162.87,161.04,183.0,455 CDM,PX-A20220,PR ANES FOR BX BN TROCAR/NDL SUPFCL,183.0,162.87,161.04,183.0,455 CDM,PX-A20225,PR ANES FOR BX BN TROCAR/NDL DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A20240,PR ANES FOR BX BN OPN SUPFCL,183.0,162.87,161.04,183.0,455 CDM,PX-A20245,PR ANES FOR BX BN OPN DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A20250,PR ANES FOR BX VERTEBRAL BODY OPEN THORAC,183.0,162.87,161.04,183.0,455 CDM,PX-A20251,PR ANES FOR BX VERTEBRAL BODY OPEN LUMB/CERV,183.0,162.87,161.04,183.0,455 CDM,PX-A20500,PR ANES FOR INJ SINUS TRACT THERAPEUTIC,183.0,162.87,161.04,183.0,455 CDM,PX-A20501,PR ANES FOR INJ SINUS TRACT DX,183.0,162.87,161.04,183.0,455 CDM,PX-A20520,PR ANES FOR RMVL FB MUS SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A20525,PR ANES FOR RMVL FB MUS DEEP/COMPLICATED,183.0,162.87,161.04,183.0,455 CDM,PX-A20526,PR ANES FOR INJ THER CARPAL TUNNEL,183.0,162.87,161.04,183.0,455 CDM,PX-A20527,PR ANES FOR INJ ENZYME PALMAR FASCIAL CORD,183.0,162.87,161.04,183.0,455 CDM,PX-A20550,PR ANES FOR INJ SNGL TNDN/SHTH/LGMNT,183.0,162.87,161.04,183.0,455 CDM,PX-A20551,PR ANES FOR INJ SNGL TENDN ORIGIN/INS,183.0,162.87,161.04,183.0,455 CDM,PX-A20552,PR ANES FOR INJ TRIGGER PNT<=2 MUS,183.0,162.87,161.04,183.0,455 CDM,PX-A20553,PR ANES FOR INJ TRIGGER PNT >=3 MUS,183.0,162.87,161.04,183.0,455 CDM,PX-A20555,PR ANES FOR NDL PLCMNT MUS RADIOELE,183.0,162.87,161.04,183.0,455 CDM,PX-A20560,PR ANES FOR NDL INSERT W/O INJECT; 1-2 MUSCLES PT,183.0,162.87,161.04,183.0,455 CDM,PX-A20561,PR ANES FOR NDL INSERT W/O INJECT; 3 OR MORE MUSCLES PT,183.0,162.87,161.04,183.0,455 CDM,PX-A20600,PR ANES FOR ARTHCS ASP/INJ SM JT WO US,183.0,162.87,161.04,183.0,455 CDM,PX-A20604,PR ANES FOR ARTHCS ASP/INJ JOINT/BURSA W US,183.0,162.87,161.04,183.0,455 CDM,PX-A20605,PR ANES FOR ARTHCS ASP/INJ INT JT WO US,183.0,162.87,161.04,183.0,455 CDM,PX-A20606,PR ANES FOR ARTHCS ASP/INJ INT JT W US,183.0,162.87,161.04,183.0,455 CDM,PX-A20610,PR ANES FOR ARTHCS ASP/INJ MJR JT WO US,183.0,162.87,161.04,183.0,455 CDM,PX-A20611,PR ANES FOR ARTHCS ASP/INJ MJR JT W US,183.0,162.87,161.04,183.0,455 CDM,PX-A20612,PR ANES FOR ASP/INJ CYST GANGLION,183.0,162.87,161.04,183.0,455 CDM,PX-A20615,PR ANES FOR ASP/INJ CYST BN,183.0,162.87,161.04,183.0,455 CDM,PX-A20650,PR ANES FOR INS WIRE/PIN APP TRACTION,183.0,162.87,161.04,183.0,455 CDM,PX-A20660,PR ANES FOR APP TONGS/CALIPER CRAN W RMVL,183.0,162.87,161.04,183.0,455 CDM,PX-A20661,PR ANES FOR APP CRANIAL HALO INCL RMVL,183.0,162.87,161.04,183.0,455 CDM,PX-A20662,PR ANES FOR APPLY/REMOVE PELVIS BRACE,183.0,162.87,161.04,183.0,455 CDM,PX-A20663,PR ANES FOR APPLY/REMOVE THIGH BRACE,183.0,162.87,161.04,183.0,455 CDM,PX-A20664,PR ANES FOR APPL HALO 6/> PINS THIN SKULL,183.0,162.87,161.04,183.0,455 CDM,PX-A20665,PR ANES FOR REMOVAL TONG/HALO,183.0,162.87,161.04,183.0,455 CDM,PX-A20670,PR ANES FOR RMVL IMPLANT SUPERFICIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A20680,PR ANES FOR RMVL IMPLANT DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A20690,PR ANES FOR APP UNIPLN EXTRNL FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A20692,PR ANES FOR APP MLTPLN EXTRNL FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A20693,PR ANES FOR ADJUST EXTRNL FIX W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A20694,PR ANES FOR RMVL EXTRNL FIX W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A20696,PR ANES FOR APP MLTPLN EXT FIX W SCAA,183.0,162.87,161.04,183.0,455 CDM,PX-A20697,"PR ANES FOR COMP ASSIST MULTIPLANE EXT FIXATION, CHANGE",183.0,162.87,161.04,183.0,455 CDM,PX-A20700,"PR ANES FOR INSERT DRUG-DELVRY DEVICE(S), DEEP (EG, SUBFSCL), ADD",183.0,162.87,161.04,183.0,455 CDM,PX-A20701,"PR ANES FOR RMVL DRUG-DELVRY DEVICE(S), DEEP (EG, SUBFSCL), ADD",183.0,162.87,161.04,183.0,455 CDM,PX-A20702,"PR ANES FOR INSERT OF DRUG DELVRY DEVICE(S), INTRAMEDULLARY, ADD",183.0,162.87,161.04,183.0,455 CDM,PX-A20703,"PR ANES FOR RMVL DRUG-DELVRY DEVICE(S), INTRAMEDULLARY, ADD",183.0,162.87,161.04,183.0,455 CDM,PX-A20704,"PR ANES FOR INSERT DRUG-DELVRY DEVICE(S), INTRA-ARTICLR, ADD",183.0,162.87,161.04,183.0,455 CDM,PX-A20705,"PR ANES FOR RMVL DRUG-DELVRY DEVICE(S), INTRA-ARTICLR, ADD",183.0,162.87,161.04,183.0,455 CDM,PX-A20802,"PR ANES FOR REPLANTATION, ARM, COMPLETE",183.0,162.87,161.04,183.0,455 CDM,PX-A20805,PR ANES FOR RPLNT FOREARM COMPLT AMP,183.0,162.87,161.04,183.0,455 CDM,PX-A20808,PR ANES FOR REPLANTATION HAND COMP AMPTN,183.0,162.87,161.04,183.0,455 CDM,PX-A20816,PR ANES FOR RPLNT DGT MCP TO INS FLX TDN,183.0,162.87,161.04,183.0,455 CDM,PX-A20822,PR ANES FOR RPLNT DGT DIST TIP TO SUB TDN,183.0,162.87,161.04,183.0,455 CDM,PX-A20824,PR ANES FOR REPLANT THUMB INCLUD CMC JT,183.0,162.87,161.04,183.0,455 CDM,PX-A20827,PR ANES FOR REPLANT THUMB INCLUD DISTL TIP,183.0,162.87,161.04,183.0,455 CDM,PX-A20838,"PR ANES FOR REPLANTATION, FOOT, COMPLETE",183.0,162.87,161.04,183.0,455 CDM,PX-A20900,PR ANES FOR GRFT BN ANY AREA MINOR/SML,183.0,162.87,161.04,183.0,455 CDM,PX-A20902,PR ANES FOR GRFT BN ANY AREA MJR/LRG,183.0,162.87,161.04,183.0,455 CDM,PX-A20910,PR ANES FOR CARTILAGE GRAFT COSTOCHONDRAL,183.0,162.87,161.04,183.0,455 CDM,PX-A20912,PR ANES FOR GRFT CRTLG NASAL SEPTUM,183.0,162.87,161.04,183.0,455 CDM,PX-A20920,PR ANES FOR GRFT FASCIA LATA BY STRIPPER,183.0,162.87,161.04,183.0,455 CDM,PX-A20922,PR ANES FOR GRFT FASCIA LATA INCISN CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A20924,PR ANES FOR GRFT TNDN FROM DISTANCE,183.0,162.87,161.04,183.0,455 CDM,PX-A20930,PR ANES FOR ALLOGRAFT MORSEL SPINE SURG,183.0,162.87,161.04,183.0,455 CDM,PX-A20931,PR ANES FOR ALLOGRAFT STRUCTURE SPINE SURG,183.0,162.87,161.04,183.0,455 CDM,PX-A20936,PR ANES FOR AUTOGRAFT LOCAL SPINE SURG,183.0,162.87,161.04,183.0,455 CDM,PX-A20937,PR ANES FOR AUTOGRAFT MORSEL SPINE SURG SEP,183.0,162.87,161.04,183.0,455 CDM,PX-A20938,PR ANES FOR AUTOGRAFT SPINE SURG STRCT/BI/TRICORT,183.0,162.87,161.04,183.0,455 CDM,PX-A20939,PR ANES FOR BONE MARROW ASPIR BONE GRFG,183.0,162.87,161.04,183.0,455 CDM,PX-A20950,PR ANES FOR MONITOR INTERSTITIAL FLUID PRSR,183.0,162.87,161.04,183.0,455 CDM,PX-A20955,PR ANES FOR GRFT BN FIBULA MICROVASC ANAST,183.0,162.87,161.04,183.0,455 CDM,PX-A20956,PR ANES FOR ILIAC BONE GRAFT MICROVASC,183.0,162.87,161.04,183.0,455 CDM,PX-A20957,PR ANES FOR BONE GRFT W/MICROVASC ANAST MTRSL,183.0,162.87,161.04,183.0,455 CDM,PX-A20962,PR ANES FOR GRFT BN NOT FIBULA MICROVASC ANAST,183.0,162.87,161.04,183.0,455 CDM,PX-A20969,PR ANES FOR FREE OSTQ FLAP W MICROVASC GR TOE,183.0,162.87,161.04,183.0,455 CDM,PX-A20970,PR ANES FOR OSTEOCUTANEOUS FLAP W ANAST ILIAC,183.0,162.87,161.04,183.0,455 CDM,PX-A20972,PR ANES FOR FREE OSTQ FLAP W MICROVASC MTRSL,183.0,162.87,161.04,183.0,455 CDM,PX-A20973,PR ANES FOR OSTEOCUTANEOUS FLAP ANAST GR TOE/WEB,183.0,162.87,161.04,183.0,455 CDM,PX-A20974,PR ANES FOR E-STIM AID BN HEALING NONINV,183.0,162.87,161.04,183.0,455 CDM,PX-A20975,PR ANES FOR E-STIM BN INV,183.0,162.87,161.04,183.0,455 CDM,PX-A20979,PR ANES FOR LOW INTENSITY US STIM BONE HEAL,183.0,162.87,161.04,183.0,455 CDM,PX-A20982,PR ANES FOR ABLATION BN TMR RADIOFREQUENCY,183.0,162.87,161.04,183.0,455 CDM,PX-A20983,PR ANES FOR ABLATION BN TMR CRYOABLATION,183.0,162.87,161.04,183.0,455 CDM,PX-A20985,PR ANES FOR CASN PROC MUSSKL NO IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A20999,PR ANES FOR UNLISTED PROC MUSCKELTAL SYS,183.0,162.87,161.04,183.0,455 CDM,PX-A21010,PR ANES FOR ARTHROTOMY TMJ,183.0,162.87,161.04,183.0,455 CDM,PX-A21011,PR ANES FOR EXCISN TMR FACE/SCLP SUBQ <2CM,183.0,162.87,161.04,183.0,455 CDM,PX-A21012,PR ANES FOR EXCISN TMR FACE/SCLP SUBQ>=2CM,183.0,162.87,161.04,183.0,455 CDM,PX-A21013,PR ANES FOR EXCISN TMR FACE/SCALP SUBFAS <2CM,183.0,162.87,161.04,183.0,455 CDM,PX-A21014,PR ANES FOR EXCISN TMR FACE/SCALP SUBFAS >=2CM,183.0,162.87,161.04,183.0,455 CDM,PX-A21015,PR ANES FOR RADCL RSECT TMR FACE/SCLP <2CM,183.0,162.87,161.04,183.0,455 CDM,PX-A21016,PR ANES FOR RADCL RSECT TMR FACE/SCLP>=2CM,183.0,162.87,161.04,183.0,455 CDM,PX-A21025,PR ANES FOR EXCISN BN MAND,183.0,162.87,161.04,183.0,455 CDM,PX-A21026,PR ANES FOR EXCISN BN FACIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A21029,PR ANES FOR RMVL CONTOURING BN TMR FACIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A21030,PR ANES FOR EXCISN TMR BEN E&C,183.0,162.87,161.04,183.0,455 CDM,PX-A21031,PR ANES FOR EXCISN TORUS MANDIBULARIS,183.0,162.87,161.04,183.0,455 CDM,PX-A21032,PR ANES FOR EXCISN MAXILLARY TORUS PALATIN,183.0,162.87,161.04,183.0,455 CDM,PX-A21034,PR ANES FOR EXCISN TMR MLG MAXILLA/ZYGOMA,183.0,162.87,161.04,183.0,455 CDM,PX-A21040,PR ANES FOR EXCISN TMR MANDIBLE BN ENUC,183.0,162.87,161.04,183.0,455 CDM,PX-A21044,PR ANES FOR EXCISN LESN MLG MAND,183.0,162.87,161.04,183.0,455 CDM,PX-A21045,PR ANES FOR EXCISN MLG TMR MAND RADICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A21046,PR ANES FOR EXCISN BEN TMR MAND INTRAORAL,183.0,162.87,161.04,183.0,455 CDM,PX-A21047,PR ANES FOR EXCISN BEN TMR MAND EXTRAORAL,183.0,162.87,161.04,183.0,455 CDM,PX-A21048,PR ANES FOR EXCISN TMR BEN MAXL IO OSTEO,183.0,162.87,161.04,183.0,455 CDM,PX-A21049,PR ANES FOR EXCISN TMR BEN EO/PRTL MAXL,183.0,162.87,161.04,183.0,455 CDM,PX-A21050,PR ANES FOR REMOVAL OF JAW JOINT,183.0,162.87,161.04,183.0,455 CDM,PX-A21060,PR ANES FOR MENISCECTOMY JAW JT PRTL/COMPLT,183.0,162.87,161.04,183.0,455 CDM,PX-A21070,PR ANES FOR CORONOIDECTOMY SEPARATE PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A21073,PR ANES FOR MANIP OF TMJ THER W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A21076,PR ANES FOR IMPRESS&PREP OBTURATOR PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A21077,PR ANES FOR IMPRESS&PREP ORBITAL PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A21079,PR ANES FOR IMPRESS&PREP INTERIM OBTURATOR,183.0,162.87,161.04,183.0,455 CDM,PX-A21080,PR ANES FOR IMPRESS&PREP DEFINIT OBTURATOR - NEW,183.0,162.87,161.04,183.0,455 CDM,PX-A21081,PR ANES FOR IMPRESS&PREP MANDIBULAR RES,183.0,162.87,161.04,183.0,455 CDM,PX-A21082,PR ANES FOR IMPRESS&PREP PALATAL AUGMENT,183.0,162.87,161.04,183.0,455 CDM,PX-A21083,PR ANES FOR IMPRESS&PREP PALATAL LIFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21084,PR ANES FOR IMPRESS&PREP SPEECH AID PROSTH - ADULT,183.0,162.87,161.04,183.0,455 CDM,PX-A21085,PR ANES FOR IMPRESS&CUST ORAL SURG SPLINT,183.0,162.87,161.04,183.0,455 CDM,PX-A21086,PR ANES FOR IMPRESS&PREP AURICULAR PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A21087,PR ANES FOR IMPRESS&PREP NASAL PROSTH - REPAIR,183.0,162.87,161.04,183.0,455 CDM,PX-A21088,PR ANES FOR IMPRESS&PREP FACIAL PROSTH - NEW,183.0,162.87,161.04,183.0,455 CDM,PX-A21089,PR ANES FOR UNLISTED PROC MAXILLOFAC PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A21100,PR ANES FOR MAXILLOFACIAL FIXATION HALO,183.0,162.87,161.04,183.0,455 CDM,PX-A21110,PR ANES FOR APP INTERDENTAL FIXATION DEVICE,183.0,162.87,161.04,183.0,455 CDM,PX-A21116,PR ANES FOR INJ TMJ ARTHRGRAPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A21120,PR ANES FOR GENIOPLASTY AUGMENTATION,183.0,162.87,161.04,183.0,455 CDM,PX-A21121,PR ANES FOR GENIOPLASTY-SLIDING OSTEOTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A21122,PR ANES FOR GENIOPLASTY >=2 SLIDING OSTEOT,183.0,162.87,161.04,183.0,455 CDM,PX-A21123,PR ANES FOR GENIOPLASTY AUGM W INTERPOS GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21125,PR ANES FOR AGMNT MANDIB BODY/ANGLE PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A21127,PR ANES FOR AUGMENT MANDIB BDY/ANGL W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21137,PR ANES FOR REDUCT FOREHEAD CONTOUR ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A21138,PR ANES FOR RDUCT FRHEAD CONTOUR&PROSTH/GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21139,PR ANES FOR RDUCT FRHEAD CNTR&SETBK FRNT SINUS,183.0,162.87,161.04,183.0,455 CDM,PX-A21141,PR ANES FOR RCNST MIDFACE WO BN GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21142,PR ANES FOR LEFORT I-2 PIECE WO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21143,PR ANES FOR LEFORT I-3/> PIECE WO GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21145,PR ANES FOR LEFORT I-1 PIECE WO GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21146,PR ANES FOR LEFORT I-2 PIECE W GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21147,PR ANES FOR LEFORT I-3/> PIECE W GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21150,PR ANES FOR RCNST MIDFACE ANTR INTRUSION,183.0,162.87,161.04,183.0,455 CDM,PX-A21151,PR ANES FOR RCNST MIDFACE ANY W BN GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21154,PR ANES FOR RCNST MIDFACE ANY WO LEFORT I,183.0,162.87,161.04,183.0,455 CDM,PX-A21155,PR ANES FOR LEFORT III W LEFORT I,183.0,162.87,161.04,183.0,455 CDM,PX-A21159,PR ANES FOR LEFORT III W FHD WO LEFORT I,183.0,162.87,161.04,183.0,455 CDM,PX-A21160,PR ANES FOR RCNST MIDFACE ANY W LEFORT I,183.0,162.87,161.04,183.0,455 CDM,PX-A21172,PR ANES FOR RCNST SUPR LAT ORBT&LWR FHD,183.0,162.87,161.04,183.0,455 CDM,PX-A21175,PR ANES FOR RCNST BIF SUPR LAT ORB&LWR FHD,183.0,162.87,161.04,183.0,455 CDM,PX-A21179,PR ANES FOR RCNST ENTIRE FOREHEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A21180,PR ANES FOR RCNST FOREHEAD W AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21181,PR ANES FOR RMVL BY CONTOUR BENIGN TUMOR,183.0,162.87,161.04,183.0,455 CDM,PX-A21182,PR ANES FOR RCNST CRANIAL BN W GRFT<40SQCM,183.0,162.87,161.04,183.0,455 CDM,PX-A21183,PR ANES FOR RCNST CRANL BN W GRFT40-80SQCM,183.0,162.87,161.04,183.0,455 CDM,PX-A21184,PR ANES FOR RCNST CRANIAL BN W GRFT>80SQCM,183.0,162.87,161.04,183.0,455 CDM,PX-A21188,PR ANES FOR RCNST MIDFACE OSTEOT&BN GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21193,PR ANES FOR RCNST OSTEOT WO BONE GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21194,PR ANES FOR RCNST MAND RAMI W BN GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21195,PR ANES FOR RCNST LWR JAW WO FIXATION,183.0,162.87,161.04,183.0,455 CDM,PX-A21196,PR ANES FOR RCNST LWR JAW W FIXATION,183.0,162.87,161.04,183.0,455 CDM,PX-A21198,PR ANES FOR OSTEOTOMY MANDIBLE SEGMENTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A21199,PR ANES FOR RCNST LWR JAW W ADVANCE,183.0,162.87,161.04,183.0,455 CDM,PX-A21206,PR ANES FOR OSTEOTOMY MAXILLA SEGMENTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A21208,PR ANES FOR OSTEOPLASTY FACIAL BNS AUG,183.0,162.87,161.04,183.0,455 CDM,PX-A21209,PR ANES FOR OSTEOPLASTY FACIAL BNS RED,183.0,162.87,161.04,183.0,455 CDM,PX-A21210,PR ANES FOR GRFT BN NASAL/MAXILLARY,183.0,162.87,161.04,183.0,455 CDM,PX-A21215,PR ANES FOR GRFT BN MAND,183.0,162.87,161.04,183.0,455 CDM,PX-A21230,PR ANES FOR GRFT RIB CRTLG AUTOGENOUS,183.0,162.87,161.04,183.0,455 CDM,PX-A21235,PR ANES FOR GRFT EAR CRTLG AUTOGENOUS,183.0,162.87,161.04,183.0,455 CDM,PX-A21240,PR ANES FOR ARTHRO TMJ W/WO AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21242,PR ANES FOR ARTHROPLASTY TMJ W ALLOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21243,PR ANES FOR ARTHRO TMPMAND JT W PROSTH RPLC,183.0,162.87,161.04,183.0,455 CDM,PX-A21244,PR ANES FOR RCNST EXT MAND W TXOST BN PLT,183.0,162.87,161.04,183.0,455 CDM,PX-A21245,PR ANES FOR RCNST MNDBL SUBOST IMPL PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A21246,PR ANES FOR ARTHROPLASTY MANDIB/MAX COMPLT,183.0,162.87,161.04,183.0,455 CDM,PX-A21247,PR ANES FOR RCNST MIDFACE >=3PC W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21248,PR ANES FOR RCNST MAND ENDOSTL IMPL PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A21249,PR ANES FOR RCNST MAND ENDOSTL IMPL COMPLT,183.0,162.87,161.04,183.0,455 CDM,PX-A21255,PR ANES FOR RCNST ZYGOMAT ARCH & GLENOID,183.0,162.87,161.04,183.0,455 CDM,PX-A21256,PR ANES FOR RCNST ORBIT W OSTEOT & BN GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21260,PR ANES FOR PERIORBITAL OSTEOTOMIES W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21261,"PR ANES FOR REVISE ORBITS,INTRA/EXTRA",183.0,162.87,161.04,183.0,455 CDM,PX-A21263,"PR ANES FOR REVISE ORBITS,FOREHD ADVANC",183.0,162.87,161.04,183.0,455 CDM,PX-A21267,PR ANES FOR ORBITAL REPO W/BONE GRTS,183.0,162.87,161.04,183.0,455 CDM,PX-A21268,"PR ANES FOR REPOSITN ORBITS,INTRA/EXTRA",183.0,162.87,161.04,183.0,455 CDM,PX-A21270,PR ANES FOR MALAR AUGMENT PROSTH MATRL,183.0,162.87,161.04,183.0,455 CDM,PX-A21275,PR ANES FOR SECNDRY REV ORBITOCRANIOFCL RCNST,183.0,162.87,161.04,183.0,455 CDM,PX-A21280,PR ANES FOR MEDIAL CANTHOPEXY SEP PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A21282,PR ANES FOR CANTHOPEXY LAT,183.0,162.87,161.04,183.0,455 CDM,PX-A21295,"PR ANES FOR REVISN JAW MUSCLE/BONE,EXTRAORAL",183.0,162.87,161.04,183.0,455 CDM,PX-A21296,PR ANES FOR REDUC MASSETER MUS & BONE,183.0,162.87,161.04,183.0,455 CDM,PX-A21299,PR ANES FOR UNLISTED PROC CRANIO & MAXILLOFAC,183.0,162.87,161.04,183.0,455 CDM,PX-A21315,PR ANES FOR CLSD TX NASAL FX WO STABL,183.0,162.87,161.04,183.0,455 CDM,PX-A21320,PR ANES FOR CLSD TX NASAL FX W STABL,183.0,162.87,161.04,183.0,455 CDM,PX-A21325,PR ANES FOR OPN TX NASAL FX UNCOMP,183.0,162.87,161.04,183.0,455 CDM,PX-A21330,PR ANES FOR OPN TX NASAL FX COMPLT W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A21335,PR ANES FOR OPEN TX NOSE & SEPTAL FX,183.0,162.87,161.04,183.0,455 CDM,PX-A21336,PR ANES FOR TX NASAL SEPTAL FX W/WO STABL,183.0,162.87,161.04,183.0,455 CDM,PX-A21337,PR ANES FOR CLSD TX NSL FX SEPT W/WO STABL,183.0,162.87,161.04,183.0,455 CDM,PX-A21338,PR ANES FOR OPEN NASOETHMOID FX WO FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A21339,PR ANES FOR OPEN NASOETHMOID FX W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A21340,PR ANES FOR PERC TX NASOETHMOID FX CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A21343,PR ANES FOR OPN TX DEPRSD FRNTL SINUS FX,183.0,162.87,161.04,183.0,455 CDM,PX-A21344,PR ANES FOR OPN TX FRNT SINUS FX CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A21345,PR ANES FOR CLSD TX NASOMAXILLLARY FX CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A21346,PR ANES FOR OPN TX NASOMAX FX W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A21347,PR ANES FOR OPN TX NASOMAXILLLARY FX CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A21348,PR ANES FOR OPN TX NASOMAX FX W BN GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21355,PR ANES FOR PERC TX MALAR AREA FRACTURE,183.0,162.87,161.04,183.0,455 CDM,PX-A21356,PR ANES FOR OPN TX ZYGOMATIC ARCH FX,183.0,162.87,161.04,183.0,455 CDM,PX-A21360,PR ANES FOR OPN TX DEPRESSED MALAR FX,183.0,162.87,161.04,183.0,455 CDM,PX-A21365,PR ANES FOR OPN TX CMPLX MALAR FX,183.0,162.87,161.04,183.0,455 CDM,PX-A21366,PR ANES FOR OPN TX CMPLX MALAR W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21385,PR ANES FOR OPN TX ORBIT FX TRANSANTRAL,183.0,162.87,161.04,183.0,455 CDM,PX-A21386,PR ANES FOR OPN TX ORBIT FX PERIORBITAL,183.0,162.87,161.04,183.0,455 CDM,PX-A21387,PR ANES FOR OPN TX ORBITAL FLOOR FX COMBIN AP,183.0,162.87,161.04,183.0,455 CDM,PX-A21390,PR ANES FOR OPN TX ORBIT FLOOR FX W IMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A21395,PR ANES FOR OPN TX ORBIT FLOOR FX W BN GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A21400,PR ANES FOR CLSD TX ORBIT WO MANIPULATION,183.0,162.87,161.04,183.0,455 CDM,PX-A21401,PR ANES FOR CLSD TX ORBIT W MANIPULATION,183.0,162.87,161.04,183.0,455 CDM,PX-A21406,PR ANES FOR OPN TX ORBIT FX WO IMPLANT,183.0,162.87,161.04,183.0,455 CDM,PX-A21407,PR ANES FOR OPN TX ORBIT FX W IMPLANT,183.0,162.87,161.04,183.0,455 CDM,PX-A21408,PR ANES FOR OPN TX FX ORBIT NOT BLWOUT W GRF,183.0,162.87,161.04,183.0,455 CDM,PX-A21421,PR ANES FOR CLSD TX PALATAL/MAXIL FX W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A21422,PR ANES FOR OPN TX PALATAL/MAXILLARY FX,183.0,162.87,161.04,183.0,455 CDM,PX-A21423,PR ANES FOR OPN TX PALATAL/MAXIL FX CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A21431,PR ANES FOR CLOSED RX LEFORTE III+WIRES,183.0,162.87,161.04,183.0,455 CDM,PX-A21432,PR ANES FOR OPN TX CRANIOFACIAL SEP W WIRE,183.0,162.87,161.04,183.0,455 CDM,PX-A21433,PR ANES FOR OPEN TX CRANIOFCL SEP MULT APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A21435,PR ANES FOR OPN TX CRANIOFACIAL SEP CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A21436,"PR ANES FOR OPEN RX LEFORTE III,COMPL+++",183.0,162.87,161.04,183.0,455 CDM,PX-A21440,PR ANES FOR TX MAND/MAXI FX ALVEOLAR RDGE,183.0,162.87,161.04,183.0,455 CDM,PX-A21445,PR ANES FOR OPN TX MAND/MAXI AVLR RDG FX,183.0,162.87,161.04,183.0,455 CDM,PX-A21450,PR ANES FOR CLSD TX MANDIB FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A21451,PR ANES FOR CLSD TX MANDIB FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A21452,PR ANES FOR PERC TX MANDIB FX W EXTRNL FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A21453,PR ANES FOR CLSD TX MANDBL FX INTRDNTL FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A21454,PR ANES FOR OPN TX MANDIB FX W EXTRNL FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A21461,PR ANES FOR OPN TX MANDIB FX WO INTDENT FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A21462,PR ANES FOR OPN TX MANDIB FX W INTDENT FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A21465,PR ANES FOR OPN TX MANDIBULAR CONDYLAR FX,183.0,162.87,161.04,183.0,455 CDM,PX-A21470,PR ANES FOR OPN TX CMPLX MANDIB FX MLT APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A21480,PR ANES FOR CLSD TX DISLOC TMJ,183.0,162.87,161.04,183.0,455 CDM,PX-A21485,PR ANES FOR CLSD TX TEMPOROMAND DISLC CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A21490,PR ANES FOR OPEN REDUCTN TEM-MANDIBLE DISLOC,183.0,162.87,161.04,183.0,455 CDM,PX-A21497,PR ANES FOR WIRING INTERDENTAL NOT FX,183.0,162.87,161.04,183.0,455 CDM,PX-A21499,PR ANES FOR UNLISTED PROC MUSSKL HEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A21501,PR ANES FOR I&D DEEP ABSC NK/THORAX,183.0,162.87,161.04,183.0,455 CDM,PX-A21502,PR ANES FOR I&D DEEP ABSC NK/THRX RIB OST,183.0,162.87,161.04,183.0,455 CDM,PX-A21510,PR ANES FOR INCISN BN CORTEX THRX DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A21550,PR ANES FOR BX SOFT TISS NK/THORAX,183.0,162.87,161.04,183.0,455 CDM,PX-A21552,PR ANES FOR EXCISN TMR NK/THRX SUBQ >=3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A21554,PR ANES FOR EXCISN TMR THRX SUBFSCL >=5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A21555,PR ANES FOR EXCISN TMR NK/THORAX SUBQ <3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A21556,PR ANES FOR EXCISN TMR THORAX SUBFSCL <5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A21557,PR ANES FOR RSECT TMR NK/THORAX RADCL <5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A21558,PR ANES FOR RSECT TMR NK/THRX RADCL >=5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A21600,PR ANES FOR EXCISN RIB PARTIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A21601,PR ANES FOR EXCISION CHEST WALL TUMOR INCLUDING RIBS,183.0,162.87,161.04,183.0,455 CDM,PX-A21602,PR ANES FOR EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC,183.0,162.87,161.04,183.0,455 CDM,PX-A21603,PR ANES FOR EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC,183.0,162.87,161.04,183.0,455 CDM,PX-A21610,PR ANES FOR PARTIAL REMOVAL RIB,183.0,162.87,161.04,183.0,455 CDM,PX-A21615,PR ANES FOR EXCISION 1ST &/CERVICAL RIB,183.0,162.87,161.04,183.0,455 CDM,PX-A21616,PR ANES FOR EXCISN 1ST & CERV RIB W SYMPATHECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A21620,PR ANES FOR OSTECTOMY STERNUM PARTIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A21627,PR ANES FOR DEBRIDEMENT STERNAL,183.0,162.87,161.04,183.0,455 CDM,PX-A21630,PR ANES FOR RADICAL RESECTION STERNUM,183.0,162.87,161.04,183.0,455 CDM,PX-A21685,PR ANES FOR HYOID MYOTOMY & SUSPENSION,183.0,162.87,161.04,183.0,455 CDM,PX-A21700,PR ANES FOR DVISN SCAL ANTICUS WO RSECT,183.0,162.87,161.04,183.0,455 CDM,PX-A21705,PR ANES FOR DVISN SCAL ANTICUS W RSECT,183.0,162.87,161.04,183.0,455 CDM,PX-A21720,PR ANES FOR DVISN STNOCLEDMSTOD OP WO CAST,183.0,162.87,161.04,183.0,455 CDM,PX-A21725,PR ANES FOR DIVSN STERNOCLEOMAST OPN W CAST,183.0,162.87,161.04,183.0,455 CDM,PX-A21740,PR ANES FOR RCNST RPECTUS EXCAVATUM OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A21742,PR ANES FOR RCNST PEC EXCISN WO THORSC,183.0,162.87,161.04,183.0,455 CDM,PX-A21743,PR ANES FOR RCNST PEC EXCISN W THORSC,183.0,162.87,161.04,183.0,455 CDM,PX-A21750,PR ANES FOR CLSR SEP STERNUM W/WO DBRD,183.0,162.87,161.04,183.0,455 CDM,PX-A21811,PR ANES FOR OPN TX RIB FX W FIX 1-3 RIBS,183.0,162.87,161.04,183.0,455 CDM,PX-A21812,PR ANES FOR OPN TX RIB FX W FIX 4-6 RIBS,183.0,162.87,161.04,183.0,455 CDM,PX-A21813,PR ANES FOR OPN TX RIB FX W FIX >=7 RIBS,183.0,162.87,161.04,183.0,455 CDM,PX-A21820,PR ANES FOR CLOSED TX STERNUM FRACTURE,183.0,162.87,161.04,183.0,455 CDM,PX-A21825,PR ANES FOR TX STERNUM FX W/WO SKELT FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A21899,PR ANES FOR UNLISTED PROC NK/THORAX,183.0,162.87,161.04,183.0,455 CDM,PX-A21920,PR ANES FOR BX SOFT TISS BACK/FLANK SUPFCL,183.0,162.87,161.04,183.0,455 CDM,PX-A21925,PR ANES FOR BX SOFT TISS BACK/FLANK DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A21930,PR ANES FOR EXCISN TMR BACK/FLNK SUBQ <3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A21931,PR ANES FOR EXCISN TMR BK/FLNK SUBQ >=3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A21932,PR ANES FOR EXCISN TMR BACK SUBFSCL <5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A21933,PR ANES FOR EXCISN TMR BACK SUBFSCL >=5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A21935,PR ANES FOR RSECT TMR BACK RADICAL <5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A21936,PR ANES FOR RSECT TMR BACK RADICAL >=5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A22010,PR ANES FOR I&D OPN DEEP ABSC CERV/THOR,183.0,162.87,161.04,183.0,455 CDM,PX-A22015,PR ANES FOR I&D OPN DEEP ABSC LUMB/SAC,183.0,162.87,161.04,183.0,455 CDM,PX-A22100,PR ANES FOR EXCISN PRTL POSTR VERT CERV,183.0,162.87,161.04,183.0,455 CDM,PX-A22101,PR ANES FOR PRTL EXCISN VERT INTRNSC THOR,183.0,162.87,161.04,183.0,455 CDM,PX-A22102,PR ANES FOR PRTL EXCISN VERT INTRNSC LUMB,183.0,162.87,161.04,183.0,455 CDM,PX-A22103,PR ANES FOR EXCISN PRTL POSTR VRT EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A22110,PR ANES FOR PRTL EXCISN VRT WO DCMP CERVICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A22112,PR ANES FOR PRTL EXCISN VRT WO DCMP THORACIC,183.0,162.87,161.04,183.0,455 CDM,PX-A22114,PR ANES FOR PRTL EXCISN VRT WO DCMP LUMBAR,183.0,162.87,161.04,183.0,455 CDM,PX-A22116,PR ANES FOR PRTL EXCISN VRT WO DCMP EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A22206,PR ANES FOR OSTEOMY SPINE POSTR 3 COL THOR,183.0,162.87,161.04,183.0,455 CDM,PX-A22207,PR ANES FOR OSTEOMY SPINE POSTR 3 COL LUMB,183.0,162.87,161.04,183.0,455 CDM,PX-A22208,PR ANES FOR OSTEOMY SP POSTR 3 COL EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A22210,PR ANES FOR OST SPINE POSTR 1 VRT SEG CRV,183.0,162.87,161.04,183.0,455 CDM,PX-A22212,PR ANES FOR OST SPINE POSTR 1 VRT SEG THRX,183.0,162.87,161.04,183.0,455 CDM,PX-A22214,PR ANES FOR OST SPINE POSTR 1 VRT SEG LMBR,183.0,162.87,161.04,183.0,455 CDM,PX-A22216,PR ANES FOR OST SPINE POSTR EA ADD SEGM,183.0,162.87,161.04,183.0,455 CDM,PX-A22220,PR ANES FOR OST SPINE ANTR 1 VRT SEG CRV,183.0,162.87,161.04,183.0,455 CDM,PX-A22222,PR ANES FOR OSTEOTOMY SPINE DISCECT THORACIC,183.0,162.87,161.04,183.0,455 CDM,PX-A22224,PR ANES FOR OST SPINE ANTR 1 VRT SEG LMBR,183.0,162.87,161.04,183.0,455 CDM,PX-A22226,PR ANES FOR OST SPINE ANTR EA ADD SEG,183.0,162.87,161.04,183.0,455 CDM,PX-A22310,PR ANES FOR CLSD TX VRT WO MANIP REQ CAST,183.0,162.87,161.04,183.0,455 CDM,PX-A22315,PR ANES FOR CLSD TX VRT FX REQ CAST MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A22318,PR ANES FOR OPN TX/RDCT ODONTOID FX WO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A22319,"PR ANES FOR ODONTOID, FX GRAFTING, OPEN",183.0,162.87,161.04,183.0,455 CDM,PX-A22325,PR ANES FOR OPN TX FX POSTR 1 VERT LUMB,183.0,162.87,161.04,183.0,455 CDM,PX-A22326,PR ANES FOR OPN TX FX POSTR 1 VERT CERV,183.0,162.87,161.04,183.0,455 CDM,PX-A22327,PR ANES FOR OPN TX FX POSTR 1 VERT THRX,183.0,162.87,161.04,183.0,455 CDM,PX-A22328,PR ANES FOR OPN TX FX SPINE EA ADD SEGM,183.0,162.87,161.04,183.0,455 CDM,PX-A22505,PR ANES FOR MANIPULATION SPINE W ANESTHESIA,183.0,162.87,161.04,183.0,455 CDM,PX-A22510,PR ANES FOR PERC CERVICOTHORACIC INJECT,183.0,162.87,161.04,183.0,455 CDM,PX-A22511,PR ANES FOR PERC LUMBOSACRAL INJECTION,183.0,162.87,161.04,183.0,455 CDM,PX-A22512,PR ANES FOR VERTEBROPLASTY ADDL INJECT,183.0,162.87,161.04,183.0,455 CDM,PX-A22513,PR ANES FOR PERC VERTEBPLSTY CAVTY IMG GUID 1,183.0,162.87,161.04,183.0,455 CDM,PX-A22514,PR ANES FOR PERC VERT AGMNTJ CAV CRTJ LMBR,183.0,162.87,161.04,183.0,455 CDM,PX-A22515,PR ANES FOR PERC VERT AGMNT MECH EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A22526,PR ANES FOR IDET ELECTROTHERMAL SNGL LVL,183.0,162.87,161.04,183.0,455 CDM,PX-A22527,PR ANES FOR PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL,183.0,162.87,161.04,183.0,455 CDM,PX-A22532,PR ANES FOR ARTHRDSIS LATERAL THORACIC,183.0,162.87,161.04,183.0,455 CDM,PX-A22533,PR ANES FOR ARTHRDSIS LUMB W MIN DISC,183.0,162.87,161.04,183.0,455 CDM,PX-A22534,PR ANES FOR ARTHRDSIS THOR/LUMB EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A22548,PR ANES FOR ARTHRDSIS ANT W/WO EXCISN ODONTOID,183.0,162.87,161.04,183.0,455 CDM,PX-A22551,PR ANES FOR ARTHRDSIS ANTR BOD CRV BEL C2,183.0,162.87,161.04,183.0,455 CDM,PX-A22552,PR ANES FOR ARTHRDSIS ANTR CRV BEL C2 ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A22554,PR ANES FOR ARTHRDSIS DISECT CERV BEL C2,183.0,162.87,161.04,183.0,455 CDM,PX-A22556,PR ANES FOR ARTHRDSIS ANTR THORACIC,183.0,162.87,161.04,183.0,455 CDM,PX-A22558,PR ANES FOR ARTHRDSIS ANTR LUMBAR,183.0,162.87,161.04,183.0,455 CDM,PX-A22585,PR ANES FOR ARTHRDSIS ANTR INTBODY EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A22586,PR ANES FOR ARTHRDSIS PRESACRAL INTRBDY L5-S1,183.0,162.87,161.04,183.0,455 CDM,PX-A22590,PR ANES FOR ARTHRDSIS CRNCERV POSTR TECH,183.0,162.87,161.04,183.0,455 CDM,PX-A22595,PR ANES FOR ARTHRDSIS ATLAS AXIS POSTR C1 C2,183.0,162.87,161.04,183.0,455 CDM,PX-A22600,PR ANES FOR ARTHRDSIS CERV BEL C2 POSTR,183.0,162.87,161.04,183.0,455 CDM,PX-A22610,PR ANES FOR ARTHRDSIS THOR POSTR TECHNIQUE,183.0,162.87,161.04,183.0,455 CDM,PX-A22612,PR ANES FOR ARTHRDSIS LUMB POSTR TECHNIQUE,183.0,162.87,161.04,183.0,455 CDM,PX-A22614,PR ANES FOR ARTHRDSIS POSTR TECH EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A22630,PR ANES FOR ARTHRDSIS POSTR INTRBDY LUMB,183.0,162.87,161.04,183.0,455 CDM,PX-A22632,PR ANES FOR ARTHRDSIS POSTR LUMB EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A22633,PR ANES FOR ARTHRDSIS LUMB W POSTR/POSTRLT,183.0,162.87,161.04,183.0,455 CDM,PX-A22634,PR ANES FOR ARTHRDSIS LUMB POSTR/POSTRLT ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A22800,PR ANES FOR ARTHRDSIS POSTR SPN DFRM <=6 SEGM,183.0,162.87,161.04,183.0,455 CDM,PX-A22802,PR ANES FOR ARTHRDSIS POSTR SPN DFRM 7-12 SEGM,183.0,162.87,161.04,183.0,455 CDM,PX-A22804,PR ANES FOR ARTHRDSIS POSTR SPN DFRM 13+ SEGM,183.0,162.87,161.04,183.0,455 CDM,PX-A22808,PR ANES FOR ARTHRDSIS ANTR SPINE DFRM 2-3VT,183.0,162.87,161.04,183.0,455 CDM,PX-A22810,PR ANES FOR ARTHRDSIS ANTR SPINE DFRM 4-7VT,183.0,162.87,161.04,183.0,455 CDM,PX-A22812,PR ANES FOR ARTHRDSIS POSTR SPINE DFRM 8/>VT,183.0,162.87,161.04,183.0,455 CDM,PX-A22818,PR ANES FOR KYPHECTOMY SNGL/2 SEGMENTS,183.0,162.87,161.04,183.0,455 CDM,PX-A22819,PR ANES FOR KYPHECTOMY >=3 SEGMENTS,183.0,162.87,161.04,183.0,455 CDM,PX-A22830,PR ANES FOR EXPLORATION SPINAL FUSION,183.0,162.87,161.04,183.0,455 CDM,PX-A22836,PR ANES FOR ANT THORACIC VRT BODY TETHERING <7 VRT SEGMENTS,183.0,162.87,161.04,183.0,455 CDM,PX-A22837,PR ANES FOR PANT THORACIC VRT BODY TETHERING 8+ VRT SEGMENTS,183.0,162.87,161.04,183.0,455 CDM,PX-A22838,PR ANES FOR REVJ RPLCMT/RMVL THORACIC VRT BODY TETHERING,183.0,162.87,161.04,183.0,455 CDM,PX-A22840,PR ANES FOR POSTR NON SEGM INSTRUMENTATION,183.0,162.87,161.04,183.0,455 CDM,PX-A22841,PR ANES FOR FIX INTRNL SPINAL WIRING,183.0,162.87,161.04,183.0,455 CDM,PX-A22842,PR ANES FOR INSTRUM POSTR SEGM 3-6 SEGMS,183.0,162.87,161.04,183.0,455 CDM,PX-A22843,PR ANES FOR INSTRUM POSTR SEGM 7-12 SEGMS,183.0,162.87,161.04,183.0,455 CDM,PX-A22844,PR ANES FOR INSTRUM POSTR SEGM >=13 SEGMS,183.0,162.87,161.04,183.0,455 CDM,PX-A22845,PR ANES FOR INSTRUM ANTR 2-3 VERT SEGMS,183.0,162.87,161.04,183.0,455 CDM,PX-A22846,PR ANES FOR INSTRUM ANTR 4-7 VERT SEGMS,183.0,162.87,161.04,183.0,455 CDM,PX-A22847,PR ANES FOR INSTRUM ANTR 8/> VERT SEGMS,183.0,162.87,161.04,183.0,455 CDM,PX-A22848,PR ANES FOR FIXATION PELVIC,183.0,162.87,161.04,183.0,455 CDM,PX-A22849,PR ANES FOR REINSERTION SPINAL FIX DEVICE,183.0,162.87,161.04,183.0,455 CDM,PX-A22850,PR ANES FOR RMVL POSTR NON SEGM INSTRUM,183.0,162.87,161.04,183.0,455 CDM,PX-A22852,PR ANES FOR RMVL POSTR SEGM INSTRUM,183.0,162.87,161.04,183.0,455 CDM,PX-A22853,PR ANES FOR INSJ BIOMECHANICAL DEVICE,183.0,162.87,161.04,183.0,455 CDM,PX-A22854,PR ANES FOR INSN BIOMECHANICAL DEVICE,183.0,162.87,161.04,183.0,455 CDM,PX-A22855,PR ANES FOR REMOVAL ANTERIOR INSTRUM,183.0,162.87,161.04,183.0,455 CDM,PX-A22856,PR ANES FOR TOT DISC ARTHRP ANTR APP CRV,183.0,162.87,161.04,183.0,455 CDM,PX-A22857,PR ANES FOR ARTHRO TOTAL DISC LUMB ANTR,183.0,162.87,161.04,183.0,455 CDM,PX-A22858,PR ANES FOR ARTHRO TOTAL DISC CERV ANTR,183.0,162.87,161.04,183.0,455 CDM,PX-A22859,PR ANES FOR INSN INTRVTBL BIOMECHANICAL DEV,183.0,162.87,161.04,183.0,455 CDM,PX-A22860,PR ANES FOR TOTAL DISC ARTHRP ANT SECOND INTERSPACE LUMBAR,183.0,162.87,161.04,183.0,455 CDM,PX-A22861,"PR ANES FOR REVISION TOTAL DISC ARTHROPLASTY, CERVICAL, SINGLE",183.0,162.87,161.04,183.0,455 CDM,PX-A22862,"PR ANES FOR REVISION TOTAL DISC ARTHROPLASTY, LUMBAR, SINGLE",183.0,162.87,161.04,183.0,455 CDM,PX-A22864,PR ANES FOR RMVL TOTL DISC ARTHRO,183.0,162.87,161.04,183.0,455 CDM,PX-A22865,PR ANES FOR RMVL DISC ARTHRP ANTR LMBR,183.0,162.87,161.04,183.0,455 CDM,PX-A22867,PR ANES FOR INSN STABLZTN DEV DCMPRN,183.0,162.87,161.04,183.0,455 CDM,PX-A22868,PR ANES FOR INSN INTRLAM/SPIN STABL W DCMPRN 2ND LVL,183.0,162.87,161.04,183.0,455 CDM,PX-A22869,PR ANES FOR INSN INTRLAM/SPIN STABL WO DCMPRN SNGL LVL,183.0,162.87,161.04,183.0,455 CDM,PX-A22870,PR ANES FOR INSN INTRLAM/SPIN STABL WO DCMPRN 2ND LVL,183.0,162.87,161.04,183.0,455 CDM,PX-A22899,PR ANES FOR UNLISTED PROCEDURE SPINE,183.0,162.87,161.04,183.0,455 CDM,PX-A22900,PR ANES FOR EXCISN TMR ABD SUBFSCL <5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A22901,PR ANES FOR EXCISN TMR ABD SUBFSCL >=5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A22902,PR ANES FOR EXCISN TMR ABD WALL SUBQ <3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A22903,PR ANES FOR EXCISN TMR ABD WALL SUBQ >=3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A22904,PR ANES FOR RSECT TMR ABD RADICAL <5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A22905,PR ANES FOR RSECT TMR ABD RADICAL >=5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A22999,PR ANES FOR UNLISTED PROC ABDOMEN MUSKKL,183.0,162.87,161.04,183.0,455 CDM,PX-A23000,PR ANES FOR RMVL SUBDELTOID CALCAREOUS DEP,183.0,162.87,161.04,183.0,455 CDM,PX-A23020,PR ANES FOR CAPSULAR CONTRACTURE RELEASE,183.0,162.87,161.04,183.0,455 CDM,PX-A23030,PR ANES FOR I&D SHOULDER DEEP ABSC/HEMA,183.0,162.87,161.04,183.0,455 CDM,PX-A23031,PR ANES FOR I&D SHOULDER INFECTED BURSA,183.0,162.87,161.04,183.0,455 CDM,PX-A23035,PR ANES FOR INCISN BN CORTEX SHOULDER,183.0,162.87,161.04,183.0,455 CDM,PX-A23040,PR ANES FOR ARTHRT GLH JT EXPLR RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A23044,PR ANES FOR ARTHRT AC/SC JT EXPLR,183.0,162.87,161.04,183.0,455 CDM,PX-A23065,PR ANES FOR BX SOFT TISS SHLDR SUPERFICIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A23066,PR ANES FOR BX SOFT TISS SHOULDER DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A23071,PR ANES FOR EXCISN TMR SHOULDER SUBQ >=3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A23073,PR ANES FOR EXCISN TMR SHLDR SUBFSCL >=5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A23075,PR ANES FOR EXCISN TMR SHLDR SUBQ <3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A23076,PR ANES FOR EXCISN TMR SHLDR SUBFSCL<5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A23077,PR ANES FOR RSECT TMR SHLDR RADICAL <5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A23078,PR ANES FOR RSECT TMR SHLDR RADICAL >=5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A23100,PR ANES FOR ARTHRT GLEOHUMERAL JT W BX,183.0,162.87,161.04,183.0,455 CDM,PX-A23101,PR ANES FOR ARTHRT AC/SC W BX/EXCISN CRTLG,183.0,162.87,161.04,183.0,455 CDM,PX-A23105,PR ANES FOR ARTHRT GLH JT W SYNOV W/WO BX,183.0,162.87,161.04,183.0,455 CDM,PX-A23106,PR ANES FOR REMOVE STERNOCLAV JT SYNOVIUM,183.0,162.87,161.04,183.0,455 CDM,PX-A23107,PR ANES FOR ARTHRT GLH JT EXPLR W/WO RMVL,183.0,162.87,161.04,183.0,455 CDM,PX-A23120,PR ANES FOR CLAVICULETOMY PARTIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A23125,PR ANES FOR CLAVICULECTOMY TOTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A23130,PR ANES FOR ACROMIOPLAS/ACROMIONECT PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A23140,PR ANES FOR EXCISN BONE LESN CLAV/SCAP,183.0,162.87,161.04,183.0,455 CDM,PX-A23145,PR ANES FOR EXCISN BN LESN CLAV/SCAP W AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A23146,PR ANES FOR EXCISN BN LESN CLAV/SCAP W ALLOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A23150,PR ANES FOR EXCISN BEN BONE LESION HUMERUS,183.0,162.87,161.04,183.0,455 CDM,PX-A23155,PR ANES FOR EXCISN BEN BN LESN HUM W AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A23156,PR ANES FOR EXCISN BEN BN LESN HUM W ALLOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A23170,PR ANES FOR SEQUESTRECTOMY CLAVICLE,183.0,162.87,161.04,183.0,455 CDM,PX-A23172,"PR ANES FOR SEQUESTRECTOMY, SCAPULA",183.0,162.87,161.04,183.0,455 CDM,PX-A23174,"PR ANES FOR SEQUESTRECTOMY,HUMER HEAD-SURG NECK",183.0,162.87,161.04,183.0,455 CDM,PX-A23180,PR ANES FOR EXCISN BN CLAVICLE PARTIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A23182,PR ANES FOR PARTIAL EXCISION BONE SCAPULA,183.0,162.87,161.04,183.0,455 CDM,PX-A23184,PR ANES FOR PART EXCIS BONE PROX HUM,183.0,162.87,161.04,183.0,455 CDM,PX-A23190,PR ANES FOR OSTECTOMY SCAPULA PARTIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A23195,PR ANES FOR RESECTION HUMERAL HEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A23200,PR ANES FOR RADCL RSECT CLAVICLE TUMOR,183.0,162.87,161.04,183.0,455 CDM,PX-A23210,PR ANES FOR RSECT TMR SCAPULA RADICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A23220,PR ANES FOR RAD RSECT PROX HUM TMR,183.0,162.87,161.04,183.0,455 CDM,PX-A23330,PR ANES FOR RMVL FB SHOULDER SUBQ,183.0,162.87,161.04,183.0,455 CDM,PX-A23333,PR ANES FOR RMVL FB SHOULDER DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A23334,PR ANES FOR PRSTH RMVL HUMERAL OR GLENOID,183.0,162.87,161.04,183.0,455 CDM,PX-A23335,PR ANES FOR PRSTH RMVL HUMERAL & GLENOID,183.0,162.87,161.04,183.0,455 CDM,PX-A23350,PR ANES FOR INJ SHOULDER ARTHGM,183.0,162.87,161.04,183.0,455 CDM,PX-A23395,PR ANES FOR TRANSFER MUS SHLDR/UARM SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A23397,PR ANES FOR TRANSFER MUS SHLDR/UARM MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A23400,PR ANES FOR SCAPULOPEXY,183.0,162.87,161.04,183.0,455 CDM,PX-A23405,PR ANES FOR TENOTOMY SHOULDER SNGL TENDON,183.0,162.87,161.04,183.0,455 CDM,PX-A23406,PR ANES FOR INCISN TENDON(S) & MUSCLE(S),183.0,162.87,161.04,183.0,455 CDM,PX-A23410,PR ANES FOR RPR RUPT MUSCTNDN CUFF ACUTE,183.0,162.87,161.04,183.0,455 CDM,PX-A23412,PR ANES FOR RPR RUPT MUSCTNDN CUFF CHRONIC,183.0,162.87,161.04,183.0,455 CDM,PX-A23415,PR ANES FOR RLS CORAC LGMNT W/WO ACPLSTY,183.0,162.87,161.04,183.0,455 CDM,PX-A23420,PR ANES FOR RCNST AVUL CMPLX SHLDR CHR,183.0,162.87,161.04,183.0,455 CDM,PX-A23430,PR ANES FOR TENODESIS BICEP LONG TENDON,183.0,162.87,161.04,183.0,455 CDM,PX-A23440,PR ANES FOR RSECT/TX TENDON BICEPS,183.0,162.87,161.04,183.0,455 CDM,PX-A23450,PR ANES FOR CAPSULORRHAPHY ANTERIOR,183.0,162.87,161.04,183.0,455 CDM,PX-A23455,PR ANES FOR CPSLRPY ANTR W LABRAL RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A23460,PR ANES FOR CPSLRPY ANTR W BONE BLOCK,183.0,162.87,161.04,183.0,455 CDM,PX-A23462,PR ANES FOR CPSLRPY ANTR W CORACOID TRNSFR,183.0,162.87,161.04,183.0,455 CDM,PX-A23465,PR ANES FOR CAPSULORRHAPHY GLENOHUM PST,183.0,162.87,161.04,183.0,455 CDM,PX-A23466,PR ANES FOR CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS,183.0,162.87,161.04,183.0,455 CDM,PX-A23470,PR ANES FOR ARTHRO GLH JT HEMIARTHRO,183.0,162.87,161.04,183.0,455 CDM,PX-A23472,PR ANES FOR ARTHRO GLH JT TOTAL SHOULDER,183.0,162.87,161.04,183.0,455 CDM,PX-A23473,PR ANES FOR REVIS SHLDR ARTHRO HUM OR GLENOID,183.0,162.87,161.04,183.0,455 CDM,PX-A23474,PR ANES FOR REVIS SHLDR ARTHRO HUM&GLENOID,183.0,162.87,161.04,183.0,455 CDM,PX-A23480,PR ANES FOR OSTEOTOMY CLAV W/WO INT FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A23485,PR ANES FOR OST CLAVICLE BN GRFT NONUNION,183.0,162.87,161.04,183.0,455 CDM,PX-A23490,PR ANES FOR REINFORCE CLAVICLE,183.0,162.87,161.04,183.0,455 CDM,PX-A23491,PR ANES FOR PROPH TX W/WO METHYL PROX HUM,183.0,162.87,161.04,183.0,455 CDM,PX-A23500,PR ANES FOR CLSD TX CLAVICLE FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A23505,PR ANES FOR CLSD TX CLAVICLE FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A23515,PR ANES FOR OPN TX CLAVICLE FX W INT FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A23520,PR ANES FOR CLOSED RX STERNO-CLAV DISLOC,183.0,162.87,161.04,183.0,455 CDM,PX-A23525,PR ANES FOR CLSD TX DISCLOC STERNOCLAV W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A23530,PR ANES FOR OPEN TX STERNOCLAV DISCL,183.0,162.87,161.04,183.0,455 CDM,PX-A23532,PR ANES FOR OPEN STERNOCLAV DISLOC W/GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A23540,PR ANES FOR CLSD TX DISLOC CLAV WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A23545,PR ANES FOR CLSD TX DISCL ACROMIOCLAV W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A23550,PR ANES FOR OPN TX DISLOC CLAV ACUTE/CHR,183.0,162.87,161.04,183.0,455 CDM,PX-A23552,PR ANES FOR OPN TX DISLOC CLAV W FASC GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A23570,PR ANES FOR CLSD TX SCAPULAR FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A23575,PR ANES FOR CLSD TX SCAPULAR FX W/WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A23585,PR ANES FOR OPN TX SCAPULAR FX W INT FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A23600,PR ANES FOR CLSD TX PROX HUMRL FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A23605,PR ANES FOR CLSD TX PROX HUMRL FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A23615,PR ANES FOR OPN TX PROX HUMERAL FX W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A23616,PR ANES FOR OPN TX PROX HUM FX W PRSTH RPL,183.0,162.87,161.04,183.0,455 CDM,PX-A23620,PR ANES FOR CLSD TX GRT TBERSTY FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A23625,PR ANES FOR CLSD TX GRT TBERSTY FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A23630,PR ANES FOR OPN TX HUM TUBEROSITY FX W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A23650,PR ANES FOR CLSD TX DISLOC SHLDR WO ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A23655,PR ANES FOR CLSD TX DISLOC SHLDR W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A23660,PR ANES FOR OPEN TX ACUTE SHLDR DISLO,183.0,162.87,161.04,183.0,455 CDM,PX-A23665,PR ANES FOR CLSD TX DISLOC SHLDR W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A23670,PR ANES FOR OPN TX DISLOC SHLDR W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A23675,PR ANES FOR CLSD TX DISLOC SHLDR W NECK FX,183.0,162.87,161.04,183.0,455 CDM,PX-A23680,PR ANES FOR OPN TX DISLOC SHLDR W NECK FX,183.0,162.87,161.04,183.0,455 CDM,PX-A23700,PR ANES FOR MANIP W ANES SHLDR INC APP FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A23800,PR ANES FOR ARTHRODESIS GLENOHUMERAL JT,183.0,162.87,161.04,183.0,455 CDM,PX-A23802,PR ANES FOR ARTHRODESIS GLNHMRL JT W AUTO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A23900,PR ANES FOR INTERTHORACOSCAPULAR AMP,183.0,162.87,161.04,183.0,455 CDM,PX-A23920,PR ANES FOR DISARTICULATION SHOULDER,183.0,162.87,161.04,183.0,455 CDM,PX-A23921,"PR ANES FOR AMPUTATION SHLDR JT,2ND CLOSURE",183.0,162.87,161.04,183.0,455 CDM,PX-A23929,PR ANES FOR UNLISTED PROCEDURE SHOULDER,183.0,162.87,161.04,183.0,455 CDM,PX-A23930,PR ANES FOR I&D UARM/ELB DEEP ABSC/HEMA,183.0,162.87,161.04,183.0,455 CDM,PX-A23931,PR ANES FOR I&D UARM/ELBOW BURSA,183.0,162.87,161.04,183.0,455 CDM,PX-A23935,PR ANES FOR DRAIN ARM/ELBOW BONE LESION,183.0,162.87,161.04,183.0,455 CDM,PX-A24000,PR ANES FOR ATHRT ELB W DRAIN/RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A24006,PR ANES FOR ARTHRT ELB W CAPSULAR EXCISN,183.0,162.87,161.04,183.0,455 CDM,PX-A24065,PR ANES FOR BX SOFT TISS ARM/ELBOW SUPFCL,183.0,162.87,161.04,183.0,455 CDM,PX-A24066,PR ANES FOR BX SOFT TISS ARM/ELBOW DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A24071,PR ANES FOR EXCISN TMR ARM/ELB SUBQ >=3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A24073,PR ANES FOR EXCISN TMR ARM/ELB DEEP >=5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A24075,PR ANES FOR EXCISN TMR ARM/ELBOW SUBQ <3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A24076,PR ANES FOR EXCISN TMR ARM/ELB SUBFSCL<5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A24077,PR ANES FOR RSECT RADCL TMR UARM/ELB<5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A24079,PR ANES FOR RSECT RADCL TMR UARM/ELB>=5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A24100,PR ANES FOR ARTHROTOMY ELBOW W SYNOVIAL BX,183.0,162.87,161.04,183.0,455 CDM,PX-A24101,PR ANES FOR ATHRT ELB W/WO BX RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A24102,PR ANES FOR ATHRT ELBOW W SYNOVECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A24105,PR ANES FOR EXCISN BURSA OLECRANON,183.0,162.87,161.04,183.0,455 CDM,PX-A24110,PR ANES FOR EXCISN BN CYST/BEN TMR HUMERUS,183.0,162.87,161.04,183.0,455 CDM,PX-A24115,PR ANES FOR EXCISN BONE LESN HUM W AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A24116,PR ANES FOR EXCISN BONE LESN HUM W ALLOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A24120,PR ANES FOR EXCISN BN CYST HD/NK RAD/OLEPR,183.0,162.87,161.04,183.0,455 CDM,PX-A24125,PR ANES FOR EXCISN BN LESN RAD/OLEC W AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A24126,PR ANES FOR EXCISN BN LESN RAD/OLEC W ALLOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A24130,PR ANES FOR EXCISN RADIAL HEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A24134,PR ANES FOR SEQUESTRECTOMY SHFT/DIST HUM,183.0,162.87,161.04,183.0,455 CDM,PX-A24136,PR ANES FOR SEQUESTRECTOMY RADIAL HD OR NK,183.0,162.87,161.04,183.0,455 CDM,PX-A24138,PR ANES FOR SEQUESTRECTOMY OLECRANON PRCS,183.0,162.87,161.04,183.0,455 CDM,PX-A24140,PR ANES FOR EXCISN BONE HUMERUS PARTIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A24145,PR ANES FOR EXCISN PRTL BN RADIAL HEAD/NK,183.0,162.87,161.04,183.0,455 CDM,PX-A24147,PR ANES FOR EXCISN BN OLECRANON PRCS PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A24149,PR ANES FOR RSECT RADCL SOFT TISS/BN ELB,183.0,162.87,161.04,183.0,455 CDM,PX-A24150,PR ANES FOR RAD RSECT DISTAL HUM TUMOR,183.0,162.87,161.04,183.0,455 CDM,PX-A24152,PR ANES FOR RSECT TMR RADIAL HD/NK RADCL,183.0,162.87,161.04,183.0,455 CDM,PX-A24155,PR ANES FOR RSECT ELBOW JT ARTHRECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A24160,PR ANES FOR RMVL PROSTH HUM&ULN COMPONENTS,183.0,162.87,161.04,183.0,455 CDM,PX-A24164,PR ANES FOR PROSTHESIS REMOVAL RADIAL HEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A24200,PR ANES FOR RMVL FB UPR ARM/ELBOW SUBQ,183.0,162.87,161.04,183.0,455 CDM,PX-A24201,PR ANES FOR RMVL FB UPPER ARM/ELBOW DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A24220,PR ANES FOR INJ ELBOW ARTHGM,183.0,162.87,161.04,183.0,455 CDM,PX-A24300,PR ANES FOR MANIPULATION ELBOW W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A24301,PR ANES FOR MUS/TNDN TRANSFER UARM/ELB SNG,183.0,162.87,161.04,183.0,455 CDM,PX-A24305,PR ANES FOR TENDON LENGTHENING UPR ARM/ELB,183.0,162.87,161.04,183.0,455 CDM,PX-A24310,PR ANES FOR TENOTOMY OPN ELB TO SHLDR EA,183.0,162.87,161.04,183.0,455 CDM,PX-A24320,PR ANES FOR TENOTOMY OPN ELB TO SHLDR SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A24330,PR ANES FOR FLEXOR-PLASTY ELBOW,183.0,162.87,161.04,183.0,455 CDM,PX-A24331,"PR ANES FOR FLEXORPLASTY,ELBOW,EXTENSOR ADVANCMT",183.0,162.87,161.04,183.0,455 CDM,PX-A24332,"PR ANES FOR TENOLYSIS, TRICEPS",183.0,162.87,161.04,183.0,455 CDM,PX-A24340,PR ANES FOR TENODESIS BICEPS TNDN AT ELBOW,183.0,162.87,161.04,183.0,455 CDM,PX-A24341,PR ANES FOR RPR TNDN/MUS ELBOW UARM,183.0,162.87,161.04,183.0,455 CDM,PX-A24342,PR ANES FOR REINS TNDN BICEP/TRICEP DISTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A24343,PR ANES FOR REPR ELBOW LAT LIGMNT W TISS,183.0,162.87,161.04,183.0,455 CDM,PX-A24344,PR ANES FOR RCNST LAT LGMNT ELB W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A24345,PR ANES FOR RPR MED COLLAT LGMNT WLOC TISS,183.0,162.87,161.04,183.0,455 CDM,PX-A24346,PR ANES FOR RCNST MED COLTRL LIGM ELB W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A24357,PR ANES FOR TENOTOMY ELBOW PERCUTANEOUS,183.0,162.87,161.04,183.0,455 CDM,PX-A24358,PR ANES FOR TENOTOMY ELB DBRD TISS/BN OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A24359,PR ANES FOR TENOTOMY ELB DBRD OPN TNDN RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A24360,PR ANES FOR ARTHROPLASTY ELBOW W MEMBRANE,183.0,162.87,161.04,183.0,455 CDM,PX-A24361,PR ANES FOR ARTHR ELB W DISTL HUM PROST RP,183.0,162.87,161.04,183.0,455 CDM,PX-A24362,PR ANES FOR RECONSTRUCT ELBOW JOINT,183.0,162.87,161.04,183.0,455 CDM,PX-A24363,PR ANES FOR ARTHRO ELB W DH/PU PROSTH RPLC,183.0,162.87,161.04,183.0,455 CDM,PX-A24365,PR ANES FOR ARTHROPLASTY RADIAL HEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A24366,PR ANES FOR ARTHRO RADIAL HEAD W IMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A24370,PR ANES FOR REV ELB ARTHRO HUM/ULNA COMPNT,183.0,162.87,161.04,183.0,455 CDM,PX-A24371,PR ANES FOR REV ELB ARTHRO HUM&LNA COMPNT,183.0,162.87,161.04,183.0,455 CDM,PX-A24400,PR ANES FOR OSTEOTOMY HUMERUS W/WO INT FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A24410,PR ANES FOR REVISION OF HUMERUS,183.0,162.87,161.04,183.0,455 CDM,PX-A24420,PR ANES FOR OSTEOPLASTY HUMERUS,183.0,162.87,161.04,183.0,455 CDM,PX-A24430,PR ANES FOR RPR NON/MALUNION HUM WO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A24435,PR ANES FOR RPR NON/MALUNION HUM W AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A24470,PR ANES FOR HEMIEPIPHYSEAL ARREST,183.0,162.87,161.04,183.0,455 CDM,PX-A24495,PR ANES FOR DCMPRN FASCIOTOMY OF FOREARM,183.0,162.87,161.04,183.0,455 CDM,PX-A24498,PR ANES FOR TX PROPHX HUM SHAFT W/WO MMA,183.0,162.87,161.04,183.0,455 CDM,PX-A24500,PR ANES FOR CLSD TX HUM SHAFT FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A24505,PR ANES FOR CLSD TX HUM FX W MANIP W/WO TRCTN,183.0,162.87,161.04,183.0,455 CDM,PX-A24515,PR ANES FOR OPN TX HUM FX W PLT W/WO CERCLG,183.0,162.87,161.04,183.0,455 CDM,PX-A24516,PR ANES FOR OPN TX HUM FX W INSRT IMPLNT,183.0,162.87,161.04,183.0,455 CDM,PX-A24530,PR ANES FOR CLSD TX SUPRA HUM FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A24535,PR ANES FOR CLSD TX SUPRA HUM FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A24538,PR ANES FOR FIX SKEL PERC SUPRA HUM FX,183.0,162.87,161.04,183.0,455 CDM,PX-A24545,PR ANES FOR OPN TX HUM SUPRA FX WO EXTENSN,183.0,162.87,161.04,183.0,455 CDM,PX-A24546,PR ANES FOR OPN TX HUM SUPRA FX W EXTENSN,183.0,162.87,161.04,183.0,455 CDM,PX-A24560,PR ANES FOR CLSD TX HUM EPICNDY FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A24565,PR ANES FOR CLSD TX HUM EPICNDY FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A24566,PR ANES FOR PERC SK HUM EPICNDY FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A24575,PR ANES FOR OPN TX HUM EPICNDY FX W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A24576,PR ANES FOR CLSD TX HUM CONDYL FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A24577,PR ANES FOR CLSD TX HUM CONDYLAR FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A24579,PR ANES FOR OPN TX HUM CONDYLAR FX W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A24582,PR ANES FOR FIX PRQ FX HUM CNDYLR W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A24586,PR ANES FOR OPN TX PERIARTICUL FX &/DISLOC ELB,183.0,162.87,161.04,183.0,455 CDM,PX-A24587,PR ANES FOR OPN TX PERIART FX &/DISLC ELB W IMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A24600,PR ANES FOR CLSD TX DISLOC ELBOW WO ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A24605,PR ANES FOR CLSD TX DISLOC ELBOW W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A24615,PR ANES FOR OPEN TX ACUTE/CHR ELB DISLO,183.0,162.87,161.04,183.0,455 CDM,PX-A24620,PR ANES FOR CLSD TX ELB FX/DISLOC W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A24635,PR ANES FOR TX MONTEG ELB FX/DISLOC W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A24640,PR ANES FOR TX ELBOW NURSEMAID FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A24650,PR ANES FOR CLSD TX RADL HD/NK FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A24655,PR ANES FOR CL TX RADL HEAD/NK FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A24665,PR ANES FOR OPN TX RADIAL HEAD/NK FX W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A24666,PR ANES FOR OPN TX RADL HD/NK FX W PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A24670,PR ANES FOR CLSD TX ULNAR PROX FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A24675,PR ANES FOR CLSD TX ULNAR PROX FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A24685,PR ANES FOR OPN TX ULNAR FX PROX W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A24800,PR ANES FOR ARTHRODESIS ELBOW JOINT LOCAL,183.0,162.87,161.04,183.0,455 CDM,PX-A24802,PR ANES FOR FUSION/GRAFT OF ELBOW JOINT,183.0,162.87,161.04,183.0,455 CDM,PX-A24900,PR ANES FOR AMP ARM THRU HUM W PRIM CLSR,183.0,162.87,161.04,183.0,455 CDM,PX-A24920,"PR ANES FOR AMPUTATN ARM,THRU HUMERUS,CIRCULAR",183.0,162.87,161.04,183.0,455 CDM,PX-A24925,PR ANES FOR AMP ARM THRU HUM CLSR/SCAR REV,183.0,162.87,161.04,183.0,455 CDM,PX-A24930,PR ANES FOR AMP ARM THRU HUM RE-AMP,183.0,162.87,161.04,183.0,455 CDM,PX-A24931,PR ANES FOR AMP ARM THRU HUM W IMPLANT,183.0,162.87,161.04,183.0,455 CDM,PX-A24935,"PR ANES FOR STUMP ELONGATN,UPPER EXTREM",183.0,162.87,161.04,183.0,455 CDM,PX-A24940,PR ANES FOR REVISION OF UPPER ARM,183.0,162.87,161.04,183.0,455 CDM,PX-A24999,PR ANES FOR UNLISTED PROC HUMERUS/ELBOW,183.0,162.87,161.04,183.0,455 CDM,PX-A25000,PR ANES FOR INCISN EXTENSOR TNDN SHTH WRST,183.0,162.87,161.04,183.0,455 CDM,PX-A25001,PR ANES FOR INCISN FLEXOR TNDN SHTH WRIST,183.0,162.87,161.04,183.0,455 CDM,PX-A25020,PR ANES FOR DCMPRN FORARM FLEX/EXT WO DBRD,183.0,162.87,161.04,183.0,455 CDM,PX-A25023,PR ANES FOR DCMPRN FOREARM FLEX/EXT W DBRD,183.0,162.87,161.04,183.0,455 CDM,PX-A25024,PR ANES FOR DCMPRN FORARM FLEX&EXT WO DBRD,183.0,162.87,161.04,183.0,455 CDM,PX-A25025,PR ANES FOR DCMPRN FORARM FLEX&EXT W DBRD,183.0,162.87,161.04,183.0,455 CDM,PX-A25028,PR ANES FOR I&D FOREARM DEEP ABSCESS/HEMA,183.0,162.87,161.04,183.0,455 CDM,PX-A25031,PR ANES FOR I&D FOREARM&/WRIST BURSA,183.0,162.87,161.04,183.0,455 CDM,PX-A25035,PR ANES FOR INCISN DEEP BN CORTEX FRARM/WRST,183.0,162.87,161.04,183.0,455 CDM,PX-A25040,PR ANES FOR ARTHRT RADIO/MIDCARPAL W EXPLR,183.0,162.87,161.04,183.0,455 CDM,PX-A25065,PR ANES FOR BX SOFT TISS FRARM /WRST SUPFC,183.0,162.87,161.04,183.0,455 CDM,PX-A25066,PR ANES FOR BX SOFT TISS FOREARM/WRST DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A25071,PR ANES FOR EXCISN TMR WRST SUBQ>=3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A25073,PR ANES FOR EXCISN TMR WRST SUBFSCL>=3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A25075,PR ANES FOR EXCISN TMR WRST SUBQ<3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A25076,PR ANES FOR EXCISN TMR WRST SUBFSCL<3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A25077,PR ANES FOR RSECT TMR WRIST RADCL <3 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A25078,PR ANES FOR RSECT TMR WRST RADCL >=3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A25085,PR ANES FOR CAPSULOTOMY WRIST,183.0,162.87,161.04,183.0,455 CDM,PX-A25100,PR ANES FOR ARTHROTOMY WRIST JOINT W BX,183.0,162.87,161.04,183.0,455 CDM,PX-A25101,PR ANES FOR ARTHRT WRST JT W EXPLORATION,183.0,162.87,161.04,183.0,455 CDM,PX-A25105,PR ANES FOR ARTHRT WRST JT W SYNOVECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A25107,PR ANES FOR ARTHRT DSTL RADIOULNR JT W RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A25109,PR ANES FOR EXCISN TNDN FOREARM/WRST EA,183.0,162.87,161.04,183.0,455 CDM,PX-A25110,PR ANES FOR EXCISN LESN TNDN SHTH FOREARM,183.0,162.87,161.04,183.0,455 CDM,PX-A25111,PR ANES FOR EXCISN WRST GANGLION PRIMARY,183.0,162.87,161.04,183.0,455 CDM,PX-A25112,PR ANES FOR EXCISN WRST GANGLION RECURRENT,183.0,162.87,161.04,183.0,455 CDM,PX-A25115,PR ANES FOR EXCISN TNDN SHTH FLEXORS RADCL,183.0,162.87,161.04,183.0,455 CDM,PX-A25116,PR ANES FOR EXCISN TNDN SHTH EXTNSRS RADCL,183.0,162.87,161.04,183.0,455 CDM,PX-A25118,PR ANES FOR SYNO EXT TNDN SHTH WRST SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A25119,PR ANES FOR SYN EXT TND SHTH WRST W RSCT DU,183.0,162.87,161.04,183.0,455 CDM,PX-A25120,PR ANES FOR EXCISN BN CYST RADIUS/ULNA,183.0,162.87,161.04,183.0,455 CDM,PX-A25125,PR ANES FOR EXCISN CYST/TMR RADS/UL W AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A25126,PR ANES FOR EXCISN CYST/TMR RADS/UL W ALLOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A25130,PR ANES FOR EXCISN CYST/TMR CARPAL BONES,183.0,162.87,161.04,183.0,455 CDM,PX-A25135,PR ANES FOR EXCISN CYST/TMR CRPL W AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A25136,PR ANES FOR EXCISN CYST CARPAL BN W ALLOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A25145,PR ANES FOR SEQUESTRECTOMY FOREARM &/WRIST,183.0,162.87,161.04,183.0,455 CDM,PX-A25150,PR ANES FOR EXCISN BN ULNA PARTIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A25151,PR ANES FOR EXCISN BN RADIUS PARTIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A25170,PR ANES FOR RSECT RADIUS/ULNAR TMR RADCL,183.0,162.87,161.04,183.0,455 CDM,PX-A25210,PR ANES FOR CARPECTOMY ONE BONE,183.0,162.87,161.04,183.0,455 CDM,PX-A25215,PR ANES FOR CARPECTOMY PROX ROW ALL BONES,183.0,162.87,161.04,183.0,455 CDM,PX-A25230,PR ANES FOR STYLOIDECTOMY RADIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A25240,PR ANES FOR EXCISN DISTAL ULNA PRTL/COMPLT,183.0,162.87,161.04,183.0,455 CDM,PX-A25246,PR ANES FOR INJ WRIST ARTHGM,183.0,162.87,161.04,183.0,455 CDM,PX-A25248,PR ANES FOR EXPLR FRARM/WRST RMVL FB DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A25250,PR ANES FOR REMOVAL OF WRIST PROSTHESIS,183.0,162.87,161.04,183.0,455 CDM,PX-A25251,PR ANES FOR RMVL OF WRIST PROSTH CMPLX TOT,183.0,162.87,161.04,183.0,455 CDM,PX-A25259,PR ANES FOR MANIPULATION WRIST W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A25260,PR ANES FOR RPR TNDN/MS FLX FRARM/WRST PRI EA,183.0,162.87,161.04,183.0,455 CDM,PX-A25263,PR ANES FOR RPR TNDN WRIST FLEX SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A25265,PR ANES FOR RPR TNDN/MS FLX FRARM/WRST SEC EA,183.0,162.87,161.04,183.0,455 CDM,PX-A25270,PR ANES FOR RPR TNDN/MS EXT FRARM/WRST PRI EA,183.0,162.87,161.04,183.0,455 CDM,PX-A25272,PR ANES FOR RPR TNDN/MS EXT FRARM/WRST SEC EA,183.0,162.87,161.04,183.0,455 CDM,PX-A25274,PR ANES FOR RPR TNDN WRST EXTENS EA TNDN,183.0,162.87,161.04,183.0,455 CDM,PX-A25275,PR ANES FOR RPR TNDN SHTH EXT WRST W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A25280,PR ANES FOR LNGTH/SHRT FLXR/EXTSR TNDN EA,183.0,162.87,161.04,183.0,455 CDM,PX-A25290,PR ANES FOR TENOTOMY FLEXOR/EXTNSR WRST EA,183.0,162.87,161.04,183.0,455 CDM,PX-A25295,PR ANES FOR TENOLYSIS FLEXR/EXTNSR WRST EA,183.0,162.87,161.04,183.0,455 CDM,PX-A25300,PR ANES FOR TENODESIS WRIST FLEXORS FNGRS,183.0,162.87,161.04,183.0,455 CDM,PX-A25301,PR ANES FOR TENODESIS WRIST EXTENSRS FNGRS,183.0,162.87,161.04,183.0,455 CDM,PX-A25310,PR ANES FOR TRNSPL FLX/EXT TNDN SNGL EA,183.0,162.87,161.04,183.0,455 CDM,PX-A25312,PR ANES FOR TRNSPL FLX/EXT SNGL TNDN GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A25315,PR ANES FOR FLEXOR ORGIN SLIDE FRARM&/WRIST,183.0,162.87,161.04,183.0,455 CDM,PX-A25316,PR ANES FOR FLEXOR ORGIN SLIDE W TNDN TRANS,183.0,162.87,161.04,183.0,455 CDM,PX-A25320,PR ANES FOR CPSLRPY/RCNST WRST FOR CARP,183.0,162.87,161.04,183.0,455 CDM,PX-A25332,PR ANES FOR ARTHRP WRST W/WO INTERPOS,183.0,162.87,161.04,183.0,455 CDM,PX-A25335,PR ANES FOR REALIGNMENT OF WRIST ON ULNA,183.0,162.87,161.04,183.0,455 CDM,PX-A25337,PR ANES FOR RCNST DISTAL JT W/WO REDUC,183.0,162.87,161.04,183.0,455 CDM,PX-A25350,PR ANES FOR OSTEOTOMY RADIUS DISTAL THIRD,183.0,162.87,161.04,183.0,455 CDM,PX-A25355,PR ANES FOR OSTEOTOMY RADIUS MID/PRX THIRD,183.0,162.87,161.04,183.0,455 CDM,PX-A25360,PR ANES FOR OSTEOTOMY ULNA,183.0,162.87,161.04,183.0,455 CDM,PX-A25365,PR ANES FOR OSTEOTOMY RADIUS & ULNA,183.0,162.87,161.04,183.0,455 CDM,PX-A25370,"PR ANES FOR OSTEOTOMY+ROD,RADIUS OR ULNA",183.0,162.87,161.04,183.0,455 CDM,PX-A25375,PR ANES FOR MULT OSTEOTOMY W ROD RAD & ULN,183.0,162.87,161.04,183.0,455 CDM,PX-A25390,PR ANES FOR OSTEOPLASTY RADIUS/ULNA SHRTNG,183.0,162.87,161.04,183.0,455 CDM,PX-A25391,PR ANES FOR OSTEOPLST RAD/ULN LNGTH W AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A25392,PR ANES FOR OSTEOPLASTY RADS/ULNA SHORTN,183.0,162.87,161.04,183.0,455 CDM,PX-A25393,"PR ANES FOR OSTEOPLASTY,RADIUS AND ULNA,LENTH W/GRFT",183.0,162.87,161.04,183.0,455 CDM,PX-A25394,PR ANES FOR OSTEOPLASTY CARPAL BONE SHRTNG,183.0,162.87,161.04,183.0,455 CDM,PX-A25400,PR ANES FOR RPR NON/MALUN RAD/ULN WO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A25405,PR ANES FOR RPR NON/MALUNION RAD/ULN W AUTGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A25415,PR ANES FOR RPR NON/MALUN RAD&ULN WO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A25420,PR ANES FOR RPR NON/MALUN RAD & ULN W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A25425,PR ANES FOR RPR DEFECT W AUTOGRFT RADIUS/ULNA,183.0,162.87,161.04,183.0,455 CDM,PX-A25426,PR ANES FOR RPR DEFECT W AUTOGRFT RADIUS&ULNA,183.0,162.87,161.04,183.0,455 CDM,PX-A25430,PR ANES FOR INS VASCULAR PEDICLE CRPL BONE,183.0,162.87,161.04,183.0,455 CDM,PX-A25431,PR ANES FOR RPR NONUNION CARPAL BONE EA,183.0,162.87,161.04,183.0,455 CDM,PX-A25440,PR ANES FOR RPR NONUN SCPHD CRPL BN RDL STYL,183.0,162.87,161.04,183.0,455 CDM,PX-A25441,PR ANES FOR ARTHRO W PROSTH RPLC RADIUS,183.0,162.87,161.04,183.0,455 CDM,PX-A25442,PR ANES FOR ARTHRO W PROSTH RPLC ULNA,183.0,162.87,161.04,183.0,455 CDM,PX-A25443,PR ANES FOR RECONSTRUCT SCAPHOID CARPAL W PROSTHESIS,183.0,162.87,161.04,183.0,455 CDM,PX-A25444,PR ANES FOR RECONSTRUCT LUNATE W PROSTHESIS,183.0,162.87,161.04,183.0,455 CDM,PX-A25445,PR ANES FOR ARTHRO W PROSTH RPLC TRAP,183.0,162.87,161.04,183.0,455 CDM,PX-A25446,PR ANES FOR ARTHRO W PROSTH RPLC TOT WRST,183.0,162.87,161.04,183.0,455 CDM,PX-A25447,PR ANES FOR ARTHRO INTERCARP/CMC JT,183.0,162.87,161.04,183.0,455 CDM,PX-A25448,PR ANES FOR ARTHRP INTERCARPAL/CARP/MTCRPL JT SUSPENSION,183.0,162.87,161.04,183.0,455 CDM,PX-A25449,PR ANES FOR REV ARTHRP W RMVL IMPL WRIST,183.0,162.87,161.04,183.0,455 CDM,PX-A25450,PR ANES FOR ARR EPIPSL DISTAL RADIUS/UNLA,183.0,162.87,161.04,183.0,455 CDM,PX-A25455,PR ANES FOR EPIPSL ARST EPIPHS DST RAD&ULN,183.0,162.87,161.04,183.0,455 CDM,PX-A25490,PR ANES FOR TX PROPHYLACTIC RADS W/WO MMA,183.0,162.87,161.04,183.0,455 CDM,PX-A25491,PR ANES FOR TX PROPHYLACTIC ULNA W/WO MMA,183.0,162.87,161.04,183.0,455 CDM,PX-A25492,PR ANES FOR REINFORCE RADIUS AND ULNA,183.0,162.87,161.04,183.0,455 CDM,PX-A25500,PR ANES FOR TX RADIAL SHAFT FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A25505,PR ANES FOR TX RADIAL SHAFT FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A25515,PR ANES FOR OPN TX RADIAL SHAFT FX W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A25520,PR ANES FOR TX RDL SHAFT FX W JT DISLOC,183.0,162.87,161.04,183.0,455 CDM,PX-A25525,PR ANES FOR TX FX RADIAL SHAFT OPN W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A25526,PR ANES FOR OPN TX RDL SHAFT FX,183.0,162.87,161.04,183.0,455 CDM,PX-A25530,PR ANES FOR CLSD TX ULNAR SHAFT FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A25535,PR ANES FOR CLSD TX ULNAR SHAFT FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A25545,PR ANES FOR OPN TX ULNAR SHAFT FX W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A25560,PR ANES FOR CLSD TX RDL & ULNAR FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A25565,PR ANES FOR CLSD TX RDL & ULNAR FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A25574,PR ANES FOR OPN TX RDL&ULN FX W FIX RAD/ULN,183.0,162.87,161.04,183.0,455 CDM,PX-A25575,PR ANES FOR OPN TX RDL&ULN FX W FIX RAD&ULN,183.0,162.87,161.04,183.0,455 CDM,PX-A25600,PR ANES FOR CLSD TX DIST RDL FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A25605,PR ANES FOR CLSD TX DIST RDL FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A25606,PR ANES FOR FIX FX PERC SKELETAL DIST RDL,183.0,162.87,161.04,183.0,455 CDM,PX-A25607,PR ANES FOR OPN TX DIST RDL EXART FX W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A25608,PR ANES FOR OPN TX DIST RDL INART FX 2 FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A25609,PR ANES FOR OPN TX DIST RDL INART FX 3 FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A25622,PR ANES FOR CLSD TX CRPL SCPHD FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A25624,PR ANES FOR CLSD TX CRPL SCPHD FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A25628,PR ANES FOR OPN TX CARPAL SCPHD FX W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A25630,PR ANES FOR CLSD TX CRPL FX WO MANIP EA BN,183.0,162.87,161.04,183.0,455 CDM,PX-A25635,PR ANES FOR CLSD TX CRPL FX W MANIP EA BN,183.0,162.87,161.04,183.0,455 CDM,PX-A25645,PR ANES FOR OPN TX CARPAL BONE FX EA BONE,183.0,162.87,161.04,183.0,455 CDM,PX-A25650,PR ANES FOR CLSD TX ULNAR FX STYLOID,183.0,162.87,161.04,183.0,455 CDM,PX-A25651,PR ANES FOR FIX PERC SKEL FX ULNAR STYLOID,183.0,162.87,161.04,183.0,455 CDM,PX-A25652,PR ANES FOR OPN TX ULNAR STYLOID FX,183.0,162.87,161.04,183.0,455 CDM,PX-A25660,PR ANES FOR CLSD TX DISLOC RADIOCAR>=1 W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A25670,PR ANES FOR OPEN WRIST DISCL 1/>BONES,183.0,162.87,161.04,183.0,455 CDM,PX-A25671,PR ANES FOR PIN RADIOULNAR DISLOCATION,183.0,162.87,161.04,183.0,455 CDM,PX-A25675,PR ANES FOR CLSD TX DISLOC RADIUS W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A25676,PR ANES FOR OPN TX DISLOC DIST RADIOULNAR,183.0,162.87,161.04,183.0,455 CDM,PX-A25680,PR ANES FOR CLSD TX TRANS-SCAPRLUNAR FX DISLOC,183.0,162.87,161.04,183.0,455 CDM,PX-A25685,PR ANES FOR OPN TX TRANS-SCAPRLUNAR FX DISLOC,183.0,162.87,161.04,183.0,455 CDM,PX-A25690,PR ANES FOR CLSD TX LUNATE DISLOC W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A25695,PR ANES FOR OPEN TREATMENT LUNATE DISLOC,183.0,162.87,161.04,183.0,455 CDM,PX-A25800,PR ANES FOR ARTHRDSIS WRST COMPLT WO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A25805,PR ANES FOR ARTHRODESIS WRST W SLIDING GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A25810,PR ANES FOR ARTHRDSIS WRST W ILIAC AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A25820,PR ANES FOR ARTHRDSIS WRST LTD WO BN GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A25825,PR ANES FOR ARTHRODESIS WRST LTD W AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A25830,PR ANES FOR ARTHRDSIS DISTAL RADIOU JT,183.0,162.87,161.04,183.0,455 CDM,PX-A25900,PR ANES FOR AMP FRARM THROUGH RADIUS&ULNA,183.0,162.87,161.04,183.0,455 CDM,PX-A25905,"PR ANES FOR AMPUTATION FOREARM,CIRCULAR",183.0,162.87,161.04,183.0,455 CDM,PX-A25907,"PR ANES FOR AMPUTATION FOREARM,SECOND CLOSURE",183.0,162.87,161.04,183.0,455 CDM,PX-A25909,PR ANES FOR AMP FRARM RADIUS&ULNA RE-AMP,183.0,162.87,161.04,183.0,455 CDM,PX-A25915,PR ANES FOR KRUKENBERG PROCEDURE,183.0,162.87,161.04,183.0,455 CDM,PX-A25920,PR ANES FOR DISARTICULATION THROUGH WRIST,183.0,162.87,161.04,183.0,455 CDM,PX-A25922,"PR ANES FOR AMPUTATE THRU WRIST,SECOND CLOSE",183.0,162.87,161.04,183.0,455 CDM,PX-A25924,PR ANES FOR RE-AMPUTATION THRU WRIST,183.0,162.87,161.04,183.0,455 CDM,PX-A25927,PR ANES FOR TRANSMETACARPAL AMPUTATION,183.0,162.87,161.04,183.0,455 CDM,PX-A25929,"PR ANES FOR AMPUTATION TRANSMETACARP,SECOND CLOS",183.0,162.87,161.04,183.0,455 CDM,PX-A25931,PR ANES FOR RE-AMPUTATION TRANSMETACARPAL,183.0,162.87,161.04,183.0,455 CDM,PX-A25999,PR ANES FOR UNLISTED PROC FOREARM/WRIST,183.0,162.87,161.04,183.0,455 CDM,PX-A26010,PR ANES FOR I&D ABSC FGR SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A26011,PR ANES FOR I&D ABSC FINGER COMPLICATED,183.0,162.87,161.04,183.0,455 CDM,PX-A26020,PR ANES FOR DRN TNDN SHEATH DIGIT/PALM EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26025,PR ANES FOR DRN PALMAR BURSA SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A26030,PR ANES FOR DRN PALMAR BURSA MULTIPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A26034,PR ANES FOR INCISN HAND/FINGER BONE CORTEX,183.0,162.87,161.04,183.0,455 CDM,PX-A26035,PR ANES FOR DCMPRN FINGERS/HAND INJ INJURY,183.0,162.87,161.04,183.0,455 CDM,PX-A26037,PR ANES FOR FASCIOTOMY DCMPRN HAND,183.0,162.87,161.04,183.0,455 CDM,PX-A26040,PR ANES FOR FASCIOTOMY PALMAR PERCUTANEOUS,183.0,162.87,161.04,183.0,455 CDM,PX-A26045,PR ANES FOR FASCIOTOMY PALMAR OPEN PARTIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A26055,PR ANES FOR INCISN TNDN SHEATH,183.0,162.87,161.04,183.0,455 CDM,PX-A26060,PR ANES FOR TENOTOMY PERC EACH DIGIT,183.0,162.87,161.04,183.0,455 CDM,PX-A26070,PR ANES FOR ARTHRT EXPL DRN LOOSE/FB CMC JT,183.0,162.87,161.04,183.0,455 CDM,PX-A26075,PR ANES FOR ARTHRT EXPL DRN LOOSE/FB MCP JT,183.0,162.87,161.04,183.0,455 CDM,PX-A26080,PR ANES FOR ARTHRT EXPL DRN LOOSE/FB I-P JT,183.0,162.87,161.04,183.0,455 CDM,PX-A26100,PR ANES FOR ARTHRT BX CMC JT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26105,PR ANES FOR ARTHROTOMY BX MTCARPHLNG JT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26110,PR ANES FOR ARTHROTOMY I-P JT W BX EACH,183.0,162.87,161.04,183.0,455 CDM,PX-A26111,PR ANES FOR EXCISN TMR HND/FGR SUBQ >=1.5C,183.0,162.87,161.04,183.0,455 CDM,PX-A26113,PR ANES FOR EXCISN TMR HND/FGR DEEP>=1.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A26115,PR ANES FOR EXCISN TMR HND/FGR SUBQ <1.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A26116,PR ANES FOR EXCISN TMR HND/FGR SUBF <1.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A26117,PR ANES FOR RADCL RSECT HAND TUMOR < 3 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A26118,PR ANES FOR RADCL RSECT HAND TMR >=3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A26121,PR ANES FOR FASCTMY PALM W/WO ZPLASTY,183.0,162.87,161.04,183.0,455 CDM,PX-A26123,PR ANES FOR FASCTMY PALM PRTL W SNGL DIG,183.0,162.87,161.04,183.0,455 CDM,PX-A26125,PR ANES FOR FASCTMY PALM PRTL EA ADD DIG,183.0,162.87,161.04,183.0,455 CDM,PX-A26130,PR ANES FOR SYNOVECTOMY CMC JT,183.0,162.87,161.04,183.0,455 CDM,PX-A26135,PR ANES FOR SYNOVTMY MCP INCL RCNST EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26140,PR ANES FOR SYNOVTMY I-P INCL RCNST,183.0,162.87,161.04,183.0,455 CDM,PX-A26145,PR ANES FOR SYNO FLEXOR TNDN PALM/FGR EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26160,PR ANES FOR EXCISN LESN TNDN SHTH HND/FGR,183.0,162.87,161.04,183.0,455 CDM,PX-A26170,PR ANES FOR REMOVAL OF PALM TENDON EACH,183.0,162.87,161.04,183.0,455 CDM,PX-A26180,PR ANES FOR EXCISN TNDN FGR/FLEXOR/EXTNSR,183.0,162.87,161.04,183.0,455 CDM,PX-A26185,PR ANES FOR SESAMOIDECTOMY THUMB OR FINGER,183.0,162.87,161.04,183.0,455 CDM,PX-A26200,PR ANES FOR EXCISN BN CYST/TMR METACARPAL,183.0,162.87,161.04,183.0,455 CDM,PX-A26205,PR ANES FOR EXCISN CYST/TMR MTCAR W AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26210,PR ANES FOR EXCISN BN CYST PROX/MID/DIST PHAL,183.0,162.87,161.04,183.0,455 CDM,PX-A26215,PR ANES FOR EXCISN CYST/TMR PHLX FGR W AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26230,PR ANES FOR EXCISN BN METACARPAL PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A26235,PR ANES FOR EXCISN BN PROX/MID PHAL PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A26236,PR ANES FOR EXCISN BN DISTAL PHAL PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A26250,PR ANES FOR RSECT RADCL TUMOR METACARPL,183.0,162.87,161.04,183.0,455 CDM,PX-A26260,PR ANES FOR RSECT TMR PROX/MID PHALANX RADCL,183.0,162.87,161.04,183.0,455 CDM,PX-A26262,PR ANES FOR RAD RESEC DISTAL PHALANX,183.0,162.87,161.04,183.0,455 CDM,PX-A26320,PR ANES FOR RMVL IMPLANT FROM FINGER/HAND,183.0,162.87,161.04,183.0,455 CDM,PX-A26340,PR ANES FOR MANIP FGR JT UNDER ANES EA JT,183.0,162.87,161.04,183.0,455 CDM,PX-A26341,PR ANES FOR MANIP PALMAR FASCIAL POST INJ,183.0,162.87,161.04,183.0,455 CDM,PX-A26350,PR ANES FOR RPR FLEX TNDN NOT Z2 WO GRFT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26352,PR ANES FOR REP FLX TNDN Z2 W FREE GRFT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26356,PR ANES FOR RPR FLEX TNDN ZN 2 PRIM WO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26357,PR ANES FOR RPR FLEX TNDN Z2 SECNDRY WO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26358,PR ANES FOR RPR FLXR TNDN Z2 SECNDRY W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26370,PR ANES FOR RPR ROFUNDUS TNDN PRIM EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26372,PR ANES FOR RPR/ADVMNT TNDN W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26373,PR ANES FOR RPR/ADVMNT TNDN WO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26390,PR ANES FOR EXCISN FLEX TNDN HAND W IMPLN,183.0,162.87,161.04,183.0,455 CDM,PX-A26392,PR ANES FOR RMVL SYNTH ROD&INSJ FLXR TDN,183.0,162.87,161.04,183.0,455 CDM,PX-A26410,PR ANES FOR RPR EXTNSR TNDN HND WO GRFT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26412,PR ANES FOR RPR EXTNSR TNDN HND W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26415,"PR ANES FOR EXCISN EXTENSOR TENDON W/ROD, EA",183.0,162.87,161.04,183.0,455 CDM,PX-A26416,PR ANES FOR REMOV ROD & INSERT EX TEND HAND GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26418,PR ANES FOR RPR EXTNSR TNDN FGR WO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26420,PR ANES FOR RPR EXTNSR TNDN FGR W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26426,PR ANES FOR RPR EXTNSR TNDN SECNDRY W TISS,183.0,162.87,161.04,183.0,455 CDM,PX-A26428,PR ANES FOR RPR EXTNSR TNDN SECNDRY W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26432,PR ANES FOR CLSD TX EXT TNDN DIST W/WO PIN,183.0,162.87,161.04,183.0,455 CDM,PX-A26433,PR ANES FOR RPR EXTNSR TNDN DIST INS,183.0,162.87,161.04,183.0,455 CDM,PX-A26434,PR ANES FOR RPR EXTNSR TNDN DIST W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26437,PR ANES FOR REALIGN EXTNSR TNDN HAND EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26440,PR ANES FOR TENOLYSIS FLEXOR PALM/FINGER,183.0,162.87,161.04,183.0,455 CDM,PX-A26442,PR ANES FOR TENOLYSIS FLEXOR PALM&FINGER,183.0,162.87,161.04,183.0,455 CDM,PX-A26445,PR ANES FOR TENOLYSIS EXTNSR TNDN HND/FGR,183.0,162.87,161.04,183.0,455 CDM,PX-A26449,PR ANES FOR TENOLYSIS COMPLX EXTNSR FGR EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26450,PR ANES FOR TENOTOMY FLEX PALM OPN EA TNDN,183.0,162.87,161.04,183.0,455 CDM,PX-A26455,PR ANES FOR TENOTOMY FLEXOR FNGR OPN EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26460,PR ANES FOR TENOTOMY EXTNSR HND/FGR OPN EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26471,PR ANES FOR TENODESIS PROX I-P JT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26474,PR ANES FOR TENODESIS DISTAL JOINT EACH,183.0,162.87,161.04,183.0,455 CDM,PX-A26476,PR ANES FOR LENGTHN TNDN EXTNS HND/FNGR EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26477,PR ANES FOR LENGTHN TNDN EXTNSR HND/FNGR EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26478,PR ANES FOR LENGTHN TNDN FLEXOR HAND/FNGR,183.0,162.87,161.04,183.0,455 CDM,PX-A26479,PR ANES FOR SHORTN TNDN FLEXOR HAND/FNGR,183.0,162.87,161.04,183.0,455 CDM,PX-A26480,PR ANES FOR TRNSF TNDN DORSUM WO GRFT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26483,PR ANES FOR TRANSFER TNDN DORSUM W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26485,PR ANES FOR TRNSPL TNDN PALMAR WO GRFT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26489,PR ANES FOR TRNSPL TNDN PALMAR W GRFT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26490,PR ANES FOR OPPONENSPLASTY SUPER TENDON EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26492,PR ANES FOR OPPONENSPLASTY TNDN W GRFT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26494,PR ANES FOR OPPONENSPLASTY HYPOTHENAR MUS,183.0,162.87,161.04,183.0,455 CDM,PX-A26496,PR ANES FOR OPPONENSPLASTY OTHER METHODS,183.0,162.87,161.04,183.0,455 CDM,PX-A26497,PR ANES FOR TRANSFER TNDN RING&SM FNGRS,183.0,162.87,161.04,183.0,455 CDM,PX-A26498,PR ANES FOR TRANSFER TNDN ALL 4 FNGRS,183.0,162.87,161.04,183.0,455 CDM,PX-A26499,PR ANES FOR CORRECTION CLAW FINGER,183.0,162.87,161.04,183.0,455 CDM,PX-A26500,PR ANES FOR RCNST TNDN PULLEY W TISS,183.0,162.87,161.04,183.0,455 CDM,PX-A26502,PR ANES FOR RCNST TNDN PULLEY W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26508,PR ANES FOR RLS THENAR MUSCLE,183.0,162.87,161.04,183.0,455 CDM,PX-A26510,PR ANES FOR TRNSF TNDN CROSS INTRINSIC EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26516,PR ANES FOR CAPSULODESIS MCP JT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26517,PR ANES FOR CAPSULODESIS MCP JT 2 DIGITS,183.0,162.87,161.04,183.0,455 CDM,PX-A26518,"PR ANES FOR FUSION MC-P JOINT,3-4 DIGITS",183.0,162.87,161.04,183.0,455 CDM,PX-A26520,PR ANES FOR CAPSULECTOMY MCP JT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26525,PR ANES FOR CAPSULECTOMY I-P JT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26530,PR ANES FOR ARTHROPLASTY MCP JT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26531,PR ANES FOR ARTHROPLSTY MCP JT W PROSTH EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26535,PR ANES FOR ARTHROPLASTY I-P JT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26536,PR ANES FOR ARTHROPLSTY I-P JT W PROSTH EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26540,PR ANES FOR RPR LGMNT MCP/I-P JT,183.0,162.87,161.04,183.0,455 CDM,PX-A26541,PR ANES FOR RCNSTRCT LGMNT MCP W TDN/FSCAL GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26542,PR ANES FOR RCNST LGMNT MCP W LOCAL TISS,183.0,162.87,161.04,183.0,455 CDM,PX-A26545,PR ANES FOR RCNST LGMNT I-P JT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26546,PR ANES FOR RPR NONUNION/METCARP/PHALANX,183.0,162.87,161.04,183.0,455 CDM,PX-A26548,PR ANES FOR RPR & RCNST FGR VOLAR PLATE,183.0,162.87,161.04,183.0,455 CDM,PX-A26550,PR ANES FOR POLLICIZATION DIGIT,183.0,162.87,161.04,183.0,455 CDM,PX-A26551,PR ANES FOR TRNSF TOE-HAND W ANASTOMOSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A26553,PR ANES FOR TRNSF TOE-HAND NOT GRT TOE SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A26554,PR ANES FOR TRNSF TOE-HAND NOT GRT TOE DOUBLE,183.0,162.87,161.04,183.0,455 CDM,PX-A26555,PR ANES FOR POSITIONAL CHANGE OF FINGER,183.0,162.87,161.04,183.0,455 CDM,PX-A26556,PR ANES FOR FREE TOE JT XFER W MICROVASC ANAST,183.0,162.87,161.04,183.0,455 CDM,PX-A26560,PR ANES FOR RPR SYNDACTYLY EA W FLAPS,183.0,162.87,161.04,183.0,455 CDM,PX-A26561,PR ANES FOR RPR SYNDACTYLY EA W FLAPS&GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26562,PR ANES FOR RPR SYNDACTYLY EA CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A26565,PR ANES FOR OSTEOTOMY METACARPAL EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26567,PR ANES FOR OSTEOTOMY PHALANX FINGER EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26568,PR ANES FOR OSTEOPLAST LNGTH METCARP/PHLNX,183.0,162.87,161.04,183.0,455 CDM,PX-A26580,PR ANES FOR RPR CLEFT HAND,183.0,162.87,161.04,183.0,455 CDM,PX-A26587,PR ANES FOR RCNST POLYDACTYLOUS TISS BN,183.0,162.87,161.04,183.0,455 CDM,PX-A26590,"PR ANES FOR REPAIR MACRODACTYLIA,EACH DIGIT",183.0,162.87,161.04,183.0,455 CDM,PX-A26591,PR ANES FOR RPR INTRINSIC MUS HAND EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26593,PR ANES FOR RLS INTRINSIC MUS HAND EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26596,PR ANES FOR EXCISN FNGR W Z-PLASTIES MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A26600,PR ANES FOR CLSD TX METCARP FX WO MANIP EA BN,183.0,162.87,161.04,183.0,455 CDM,PX-A26605,PR ANES FOR CLSD TX METCARP FX W MANIP EA BN,183.0,162.87,161.04,183.0,455 CDM,PX-A26607,PR ANES FOR CLSD TX METCARP FX W EXT FIX EA BN,183.0,162.87,161.04,183.0,455 CDM,PX-A26608,PR ANES FOR FIX PERC METCARP FX EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26615,PR ANES FOR OPN TX METCARP FX W FIX SNGL EA BN,183.0,162.87,161.04,183.0,455 CDM,PX-A26641,PR ANES FOR CLSD TX THUMB DISLOC W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A26645,PR ANES FOR CLSD TX THUMB FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A26650,PR ANES FOR FIX PERC THUMB DISLOC W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A26665,PR ANES FOR OPN TX CMC FX THUMB DISLOC,183.0,162.87,161.04,183.0,455 CDM,PX-A26670,PR ANES FOR CLSD TX CMC DISLOC W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A26675,PR ANES FOR CLSD TX CMC DISLOC W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A26676,PR ANES FOR FIX CMC DISLOC W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A26685,PR ANES FOR OPN TX CMC DISLOC W FIX EA JT,183.0,162.87,161.04,183.0,455 CDM,PX-A26686,PR ANES FOR OPN TX CMC DISLOC CMPLX EA JT,183.0,162.87,161.04,183.0,455 CDM,PX-A26700,PR ANES FOR CLSD TX MCP DISLOC W MANIP WO ANS,183.0,162.87,161.04,183.0,455 CDM,PX-A26705,PR ANES FOR CLSD TX MCP DISLOC W MANP W ANS,183.0,162.87,161.04,183.0,455 CDM,PX-A26706,PR ANES FOR FIX PERC MCP DISLOC W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A26715,PR ANES FOR OPN TX MCP DISLOC W INT FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A26720,PR ANES FOR CLSD TX PHAL SHFT FX WO MANIP EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26725,PR ANES FOR CLSD TX PHAL SHFT FX W MANIP EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26727,PR ANES FOR TX PERC FGR PROX/MID W MANIP EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26735,PR ANES FOR OPN TX PHALANGEAL SHAFT FX EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26740,PR ANES FOR CLSD TX ARTICLR FX WO MANIP EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26742,PR ANES FOR CLSD TX ARTICULAR FX W MANIP EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26746,PR ANES FOR OPN TX ARTICULAR FX W FIX EA JT,183.0,162.87,161.04,183.0,455 CDM,PX-A26750,PR ANES FOR CLSD TX DISTL PHAL WO MANIP EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26755,PR ANES FOR CLSD TX DISTL PHAL FX W MANIP EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26756,PR ANES FOR FIX PERC SKEL DIST PHAL FX EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26765,PR ANES FOR OPN TX DIST PHAL FX W INT FIX EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26770,PR ANES FOR CLSD TX I-P DISLOC W MANIP WO ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A26775,PR ANES FOR TX I-P DISLOC W MANIP W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A26776,PR ANES FOR CLSD TX PERC I-P DISLOC W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A26785,PR ANES FOR OPN TX I-P DISLOC W FIX SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A26820,PR ANES FOR FUSION OPPOS THUMB W GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26841,PR ANES FOR ARTHRDSIS CMC W/WO INT FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A26842,PR ANES FOR ARTHRDSIS CMC W/WO INT FIX W AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26843,PR ANES FOR ARTHRDSIS CMC OTHER THAN THMB,183.0,162.87,161.04,183.0,455 CDM,PX-A26844,PR ANES FOR ARTHRDSIS CMC W AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26850,PR ANES FOR ARTHRDSIS MCP W/WO INT FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A26852,PR ANES FOR ARTHRDSIS MCP W AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26860,PR ANES FOR ARTHRDSIS I-P JT W/WO FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A26861,PR ANES FOR ARTHRDSIS IP W/WO FIX EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A26862,PR ANES FOR ARTHRDSIS IP W AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A26863,PR ANES FOR ARTHRODESIS I-P JT W AUTOGRFT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A26910,PR ANES FOR AMP MTCRPL W FGR OR THUMB SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A26951,PR ANES FOR AMP FGR/THUMB W DIRECT CLSR,183.0,162.87,161.04,183.0,455 CDM,PX-A26952,PR ANES FOR AMP FGR/THUMB W ADV FLAPS,183.0,162.87,161.04,183.0,455 CDM,PX-A26989,PR ANES FOR UNLISTED PROC HANDS/FINGERS,183.0,162.87,161.04,183.0,455 CDM,PX-A26990,PR ANES FOR I&D PELVIS/HIP JT DEEP ABSC,183.0,162.87,161.04,183.0,455 CDM,PX-A26991,PR ANES FOR I&D PELVIS/HIP INFECTED BURSA,183.0,162.87,161.04,183.0,455 CDM,PX-A26992,PR ANES FOR INCISN BN CORTEX PELV/HIP JT,183.0,162.87,161.04,183.0,455 CDM,PX-A27000,PR ANES FOR TENOTOMY HIP ADDUCTOR PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A27001,PR ANES FOR TENOTOMY ADDUCTOR HIP OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A27003,"PR ANES FOR INCIS HIP ADDUC,OPEN,OBTUR NEUREC",183.0,162.87,161.04,183.0,455 CDM,PX-A27005,PR ANES FOR TENOTOMY HIP FLEX OPN SEP PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A27006,PR ANES FOR TENOTOMY HIP ABD/EXTEN OPEN,183.0,162.87,161.04,183.0,455 CDM,PX-A27025,PR ANES FOR FASCIOTOMY HIP/THIGH,183.0,162.87,161.04,183.0,455 CDM,PX-A27027,PR ANES FOR DCMPRN FASCT PELVIC CMPRT UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A27030,PR ANES FOR ARTHRT HIP W DRN,183.0,162.87,161.04,183.0,455 CDM,PX-A27033,PR ANES FOR ARTHRT HIP INCL EXPLR RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A27035,PR ANES FOR DENERVATION OF HIP JOINT,183.0,162.87,161.04,183.0,455 CDM,PX-A27036,PR ANES FOR CPSLMY HIP W RLS HIP FLXR MUSC,183.0,162.87,161.04,183.0,455 CDM,PX-A27040,PR ANES FOR BX PELV/HIP AREA SUPFCL,183.0,162.87,161.04,183.0,455 CDM,PX-A27041,PR ANES FOR BX PELV/HIP AREA DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A27043,PR ANES FOR EXCISN TMR PLV/HIP SUBQ>=3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A27045,PR ANES FOR EXCISN TMR PLV/HP SUBFSCL>=5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A27047,PR ANES FOR EXCISN TMR PELVIS/HIP SUBQ<3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A27048,PR ANES FOR EXCISN TMR PLV/HIP SUBFSCL<5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A27049,PR ANES FOR RSECT TMR PELVIS/HIP <5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A27050,PR ANES FOR ARTHROTOMY SACROILIAC JT W BX,183.0,162.87,161.04,183.0,455 CDM,PX-A27052,PR ANES FOR OPEN BIOPSY OF HIP JOINT,183.0,162.87,161.04,183.0,455 CDM,PX-A27054,PR ANES FOR ARTHROTOMY HIP W SYNOVECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A27057,"PR ANES FOR DECOMPRESSION FASCIOTOMY PELVIC COMPART, UNILAT, W DEBRIDE",183.0,162.87,161.04,183.0,455 CDM,PX-A27059,PR ANES FOR RSECT TMR PELVIS/HIP >=5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A27060,PR ANES FOR EXCISN ISCHIAL BURSA,183.0,162.87,161.04,183.0,455 CDM,PX-A27062,PR ANES FOR EXCISN TROC BURSA/CALCIFICATN,183.0,162.87,161.04,183.0,455 CDM,PX-A27065,PR ANES FOR EXCISN BN CYST IL/PU/FM SUPFC,183.0,162.87,161.04,183.0,455 CDM,PX-A27066,PR ANES FOR EXCISN BN CYST IL/PU/FM DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A27067,"PR ANES FOR EXCISISON BONE CYST BENIGN TUMOR,PELVIS/HIP, AUTOGRAFT SEP INCISION",183.0,162.87,161.04,183.0,455 CDM,PX-A27070,PR ANES FOR EXCISN PRTL ILIUM WING SUPFCL,183.0,162.87,161.04,183.0,455 CDM,PX-A27071,PR ANES FOR EXCISN PRTL ILIUM WING DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A27075,PR ANES FOR RSECT TUMOR ILIUM WING RAD,183.0,162.87,161.04,183.0,455 CDM,PX-A27076,PR ANES FOR RSECT TMR ILIUM/ISCH/ACET RAD,183.0,162.87,161.04,183.0,455 CDM,PX-A27077,PR ANES FOR RSECT TUMOR INOMINATE BN TOT,183.0,162.87,161.04,183.0,455 CDM,PX-A27078,PR ANES FOR RSECT TMR ISCH TUBR&GRT TRCNTR,183.0,162.87,161.04,183.0,455 CDM,PX-A27080,PR ANES FOR COCCYGECTOMY PRIMARY,183.0,162.87,161.04,183.0,455 CDM,PX-A27086,PR ANES FOR RMVL FB PELVIS/HIP SUBQ,183.0,162.87,161.04,183.0,455 CDM,PX-A27087,PR ANES FOR RMVL FB PELVIS/HIP DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A27090,PR ANES FOR RMVL HIP PROSTHESIS,183.0,162.87,161.04,183.0,455 CDM,PX-A27091,PR ANES FOR RMVL HIP PROSTHESIS CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A27093,PR ANES FOR INJ PROC HIP ARTHGRPH WO ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A27095,PR ANES FOR INJ PROC HIP ARTHGRPH W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A27096,PR ANES FOR INJ SI JT W IMA W ARTHROGRPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A27097,PR ANES FOR RLS HAMSTRING PROXIMAL,183.0,162.87,161.04,183.0,455 CDM,PX-A27098,PR ANES FOR ADDUCTOR TRANSFER TO ISCHIUM,183.0,162.87,161.04,183.0,455 CDM,PX-A27100,PR ANES FOR TRNS OBLIQ MUSC TO GRT TRCHNTR,183.0,162.87,161.04,183.0,455 CDM,PX-A27105,PR ANES FOR XFER PARASPINAL MUSC TO HIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27110,PR ANES FOR XFER ILIOPSOAS MUSC TO GREAT TROCHANTER,183.0,162.87,161.04,183.0,455 CDM,PX-A27111,PR ANES FOR XFER ILIOPSOAS MUSC TO FEM NECK,183.0,162.87,161.04,183.0,455 CDM,PX-A27120,PR ANES FOR ACETABULOPLASTY,183.0,162.87,161.04,183.0,455 CDM,PX-A27122,PR ANES FOR ACETABULOPLASTY RSECT FEM HEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A27125,PR ANES FOR HEMIARTHROPLASTY HIP PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A27130,PR ANES FOR ARTHRO ACETAB&FEM PROSTH (THA),183.0,162.87,161.04,183.0,455 CDM,PX-A27132,PR ANES FOR CONVERT PREV TOTAL HIP ARTHRO,183.0,162.87,161.04,183.0,455 CDM,PX-A27134,PR ANES FOR REV TOTAL HIP BOTH COMPONENT,183.0,162.87,161.04,183.0,455 CDM,PX-A27137,PR ANES FOR REV TOTAL HIP ACETABULR ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A27138,PR ANES FOR REV TOTAL HIP FEMORAL ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A27140,PR ANES FOR OST&TRNSF GRT TROCH OF FEMUR,183.0,162.87,161.04,183.0,455 CDM,PX-A27146,PR ANES FOR OSTEOTOMY ILIAC/ACETABULAR BN,183.0,162.87,161.04,183.0,455 CDM,PX-A27147,PR ANES FOR OSTEOT ILIAC ACETAB HIP REDUCT,183.0,162.87,161.04,183.0,455 CDM,PX-A27151,PR ANES FOR OSTEOT IL/ACETAB BN W FEM OST,183.0,162.87,161.04,183.0,455 CDM,PX-A27156,PR ANES FOR OSTEOT IL/ACETAB BN W HIP REDUC,183.0,162.87,161.04,183.0,455 CDM,PX-A27158,PR ANES FOR OSTEOTOMY PELVIS BILATERAL,183.0,162.87,161.04,183.0,455 CDM,PX-A27161,PR ANES FOR OSTEOTOMY FEM NECK SEP PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A27165,PR ANES FOR OSTEOT INTER/SUBTROCHANTERIC,183.0,162.87,161.04,183.0,455 CDM,PX-A27170,PR ANES FOR BN GRFT FEM HEAD/NK/INTERTRO,183.0,162.87,161.04,183.0,455 CDM,PX-A27175,PR ANES FOR TX SLIP FEM EPIPHYSIS WO REDUC,183.0,162.87,161.04,183.0,455 CDM,PX-A27176,PR ANES FOR TX SLIP FEM EPIPHYSIS IN SITU,183.0,162.87,161.04,183.0,455 CDM,PX-A27177,PR ANES FOR OPEN RX SLIP EPIPHYSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A27178,PR ANES FOR OPN TX SLIPPED FEM CLSD MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27179,"PR ANES FOR OPEN RX SLIP EPIPHY,REVIS FEM NECK",183.0,162.87,161.04,183.0,455 CDM,PX-A27181,PR ANES FOR OPN TX FEM EPHIPH W OSTEOT&FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27185,PR ANES FOR ARRST EPIPHYSEAL TRCHNTR FEM,183.0,162.87,161.04,183.0,455 CDM,PX-A27187,PR ANES FOR TX PROPHX FEM NK&PROX W/WO MMA,183.0,162.87,161.04,183.0,455 CDM,PX-A27197,PR ANES FOR CLSD TX POST PELVIC RING FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27198,PR ANES FOR CLSD TX POST PELVIC RING FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27200,PR ANES FOR CLSD TX COCCYGEAL FX,183.0,162.87,161.04,183.0,455 CDM,PX-A27202,PR ANES FOR OPEN REPAIR COCCYGEAL FRACTURE,183.0,162.87,161.04,183.0,455 CDM,PX-A27215,PR ANES FOR OPN TX PELVIC BN FX W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27216,PR ANES FOR TX PELVIC BN FX PERC SKEL FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27217,PR ANES FOR OPN TX PELVIC BN ANTR W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27218,PR ANES FOR OPN TX PELVIC BN POSTR W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27220,PR ANES FOR CLSD TX ACETABULUM FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27222,PR ANES FOR CLSD TX ACETAB HIP FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27226,PR ANES FOR OPN TX ACETAB FX WALL W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27227,PR ANES FOR OPN TX ACETAB FX 1 CLMNS W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27228,PR ANES FOR OPN TX ACETAB FX 2 CLMNS W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27230,PR ANES FOR CLSD TX FEM FX PROX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27232,PR ANES FOR CLSD TX FEM FX PROX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27235,PR ANES FOR TX FEM FX PROX END NK PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A27236,PR ANES FOR OPN TX FEM FX PROX END NK,183.0,162.87,161.04,183.0,455 CDM,PX-A27238,PR ANES FOR CLSD TX FEMORAL FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27240,PR ANES FOR CLSD TX FEMORAL FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27244,PR ANES FOR TX FEM FX W PLATE/SCREW IMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A27245,PR ANES FOR TX FEM FX W INTRAMEDULLRY IMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A27246,PR ANES FOR CLSD TX GREATER TROCH WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27248,PR ANES FOR OPN TX GREATER TROCH FX,183.0,162.87,161.04,183.0,455 CDM,PX-A27250,PR ANES FOR CLSD TX DISLOC HIP WO ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A27252,PR ANES FOR CLSD TX HIP DISLOC W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A27253,PR ANES FOR OPN TX HIP DISLOC WO FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27254,PR ANES FOR OPN TX DISLOC HIP TRAUMATIC,183.0,162.87,161.04,183.0,455 CDM,PX-A27256,PR ANES FOR TX HIP DISLOC WO ANES WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27257,PR ANES FOR TX HIP DISLOC W MANIP W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A27258,PR ANES FOR OPN TX HIP DISLOC SPONT,183.0,162.87,161.04,183.0,455 CDM,PX-A27259,PR ANES FOR OPN TX HIP DISLOC W FEM SHORT,183.0,162.87,161.04,183.0,455 CDM,PX-A27265,PR ANES FOR CLSD TX HIP DISLOC WO ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A27266,PR ANES FOR TX POST HIP ARTHR DISLOC ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A27267,PR ANES FOR CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27268,PR ANES FOR CLOSED TX FEMORAL FRACTURE PROX HEAD W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27269,PR ANES FOR OPN TX FEM FX PROX HEAD W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27275,PR ANES FOR MANIP HIP JOINT GEN ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A27278,PR ANES FOR ARTHRD SI JT PRQ W/PLMT IARTIC IMPLT WO TFXJ DEV,183.0,162.87,161.04,183.0,455 CDM,PX-A27279,PR ANES FOR ARTHRDSIS SACROILIAC PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A27280,PR ANES FOR ARTHRDSIS SACROILIAC JT W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A27282,PR ANES FOR ARTHRODESES SYMPH PUBIS W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A27284,PR ANES FOR FUSION HIP JOINT,183.0,162.87,161.04,183.0,455 CDM,PX-A27286,PR ANES FOR FUSION HIP JOINT+SUBTROCH OSTEOTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A27290,PR ANES FOR AMP INTERPELVIABDOMINAL,183.0,162.87,161.04,183.0,455 CDM,PX-A27295,PR ANES FOR DISARTICULATION OF HIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27299,PR ANES FOR UNLISTED PROC PELVIS/HIP JOINT,183.0,162.87,161.04,183.0,455 CDM,PX-A27301,PR ANES FOR I&D ABSC/BURSA/HEMA THIGH/KNEE,183.0,162.87,161.04,183.0,455 CDM,PX-A27303,PR ANES FOR INCISN FEM W OPN BN CORTX DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A27305,PR ANES FOR FASCIOTOMY ILIOTIBIAL OPEN,183.0,162.87,161.04,183.0,455 CDM,PX-A27306,PR ANES FOR TENOTOMY ADD/HMSTRNG PERC SNG,183.0,162.87,161.04,183.0,455 CDM,PX-A27307,PR ANES FOR TENOTOMY ADD/HMSTRNG PERC MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A27310,PR ANES FOR ARTHRT KNEE EXPLR/DRN/RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A27323,PR ANES FOR BX SOFT TISS THIGH/KNEE SUPFCL,183.0,162.87,161.04,183.0,455 CDM,PX-A27324,PR ANES FOR BX SOFT TISS THIGH/KNEE DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A27325,PR ANES FOR NEURECTOMY HAMSTRING MUSCLE,183.0,162.87,161.04,183.0,455 CDM,PX-A27326,"PR ANES FOR NEURECTOMY, POPLITEAL (GASTROCNEMIUS)",183.0,162.87,161.04,183.0,455 CDM,PX-A27327,PR ANES FOR EXCISN TMR THIGH/KNEE SUBQ<3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A27328,PR ANES FOR EXCISN TMR TH/KNE SUBFSCL<5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A27329,PR ANES FOR RSECT TMR THIGH/KNEE <5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A27330,PR ANES FOR BX KNEE JOINT LINING,183.0,162.87,161.04,183.0,455 CDM,PX-A27331,PR ANES FOR ARTHRT KNEE JT EXPLOR/BX/RMVL,183.0,162.87,161.04,183.0,455 CDM,PX-A27332,PR ANES FOR ARTHRT EXCISN KNEE MED/LAT,183.0,162.87,161.04,183.0,455 CDM,PX-A27333,PR ANES FOR RMVL KNEE CARTILAGE,183.0,162.87,161.04,183.0,455 CDM,PX-A27334,PR ANES FOR ARTHRT W SYNOVECTOMY KNEE,183.0,162.87,161.04,183.0,455 CDM,PX-A27335,PR ANES FOR ARTHRT KNEE ANTR&POSTR,183.0,162.87,161.04,183.0,455 CDM,PX-A27337,PR ANES FOR EXCISN TMR THIGH/KNE SUBQ>=3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A27339,PR ANES FOR EXCISN TMR TH/KNE SUBFSCL>=5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A27340,PR ANES FOR EXCISN PREPATELLAR BURSA,183.0,162.87,161.04,183.0,455 CDM,PX-A27345,PR ANES FOR EXCISN SYNOVIAL CYST POP SPACE,183.0,162.87,161.04,183.0,455 CDM,PX-A27347,PR ANES FOR EXCISN LESN KNEE MENISC/CAPSL,183.0,162.87,161.04,183.0,455 CDM,PX-A27350,PR ANES FOR PATELLECTOMY/HEMIPATELLECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A27355,PR ANES FOR EXCISN BN CYST/BENIGN TMR FEM,183.0,162.87,161.04,183.0,455 CDM,PX-A27356,PR ANES FOR EXCISN BN FEMUR W ALLOGRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A27357,PR ANES FOR EXCISN BN FEMUR W AUTOGRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A27358,PR ANES FOR EXCISN BN FEMUR W INTRNL FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27360,PR ANES FOR EXCISN BN FEM/TIB/FIB PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A27364,PR ANES FOR RSECT TMR THIGH/KNEE >=5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A27365,PR ANES FOR RSECT TUMOR FEMUR/KNEE RADICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A27372,PR ANES FOR RMVL FB THIGH/KNEE DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A27380,PR ANES FOR SUTR INFRAPATELLAR TNDN PRIM,183.0,162.87,161.04,183.0,455 CDM,PX-A27381,PR ANES FOR SUTR INFRAPATELLAR TNDN SCNDRY,183.0,162.87,161.04,183.0,455 CDM,PX-A27385,PR ANES FOR SUTR QUAD/HAMSTRNG RUPT PRIM,183.0,162.87,161.04,183.0,455 CDM,PX-A27386,PR ANES FOR SUTR QUAD/HAMSTRNG RUPT SCNDRY,183.0,162.87,161.04,183.0,455 CDM,PX-A27390,PR ANES FOR TENOTOMY HAMSTRING OPN SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A27391,PR ANES FOR TENOTOMY HMSTRNG OPN MULT 1 LEG,183.0,162.87,161.04,183.0,455 CDM,PX-A27392,PR ANES FOR TENOTOMY HMSTRNG OPN MULT BI,183.0,162.87,161.04,183.0,455 CDM,PX-A27393,PR ANES FOR LENGTHENING TNDN SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A27394,PR ANES FOR LENGTHENING TNDN MULT 1 LEG,183.0,162.87,161.04,183.0,455 CDM,PX-A27395,PR ANES FOR LENGTHENING TNDN MULT BILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A27396,PR ANES FOR TRANSPLANT THIGH SNGL TNDN,183.0,162.87,161.04,183.0,455 CDM,PX-A27397,"PR ANES FOR XPLANT HAMSTR TENDONS-PATELLA,MULTI",183.0,162.87,161.04,183.0,455 CDM,PX-A27400,"PR ANES FOR TENDON/MUSC XFER,HAMSTR-FEMUR",183.0,162.87,161.04,183.0,455 CDM,PX-A27403,PR ANES FOR ARTHRT W MENISCUS RPR KNEE,183.0,162.87,161.04,183.0,455 CDM,PX-A27405,PR ANES FOR RPR KNE TORN LGMNT PRIM COLLAT,183.0,162.87,161.04,183.0,455 CDM,PX-A27407,PR ANES FOR RPR KNE TORN LGMNT PRIM CRUCT,183.0,162.87,161.04,183.0,455 CDM,PX-A27409,"PR ANES FOR RPR KNEE LIG, COLL & CRUC",183.0,162.87,161.04,183.0,455 CDM,PX-A27412,PR ANES FOR IMPL KNEE AUTO CHONDROCYTE,183.0,162.87,161.04,183.0,455 CDM,PX-A27415,PR ANES FOR ALLOGRAFT OSTEOCHON KNEE OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A27416,PR ANES FOR AUTOGRAFT OSTEOCHON KNEE OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A27418,PR ANES FOR TUBERCLEPLASTY ANTERIOR TIBIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A27420,PR ANES FOR RCNST DISLOC PATELLA,183.0,162.87,161.04,183.0,455 CDM,PX-A27422,PR ANES FOR RCNST DISLOC PATEL EXTN REALIGN,183.0,162.87,161.04,183.0,455 CDM,PX-A27424,PR ANES FOR REVISION/REMOVAL OF KNEECAP,183.0,162.87,161.04,183.0,455 CDM,PX-A27425,PR ANES FOR RELEASE LAT RETINACULAR OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A27427,PR ANES FOR RCNST LGMNT KNEE EXART,183.0,162.87,161.04,183.0,455 CDM,PX-A27428,PR ANES FOR RCNST LGMNT KNEE INTRARTCLR,183.0,162.87,161.04,183.0,455 CDM,PX-A27429,PR ANES FOR RCNST LGMNT KNEE INTR/EXTR,183.0,162.87,161.04,183.0,455 CDM,PX-A27430,PR ANES FOR QUADRICEPSPLASTY,183.0,162.87,161.04,183.0,455 CDM,PX-A27435,PR ANES FOR CAPSULOTOMY KNEE POSTR RELEASE,183.0,162.87,161.04,183.0,455 CDM,PX-A27437,PR ANES FOR ARTHRO PATELLA WO PROSTHESIS,183.0,162.87,161.04,183.0,455 CDM,PX-A27438,PR ANES FOR ARTHRO PATELLA W PROSTHESIS,183.0,162.87,161.04,183.0,455 CDM,PX-A27440,PR ANES FOR ARTHROPLASTY TIBIAL PLATEAU,183.0,162.87,161.04,183.0,455 CDM,PX-A27441,PR ANES FOR ARTHRO TIB PLATEAU W DBRD,183.0,162.87,161.04,183.0,455 CDM,PX-A27442,PR ANES FOR ARTHRO FEM CONDYL/TIB PLAT KNEE,183.0,162.87,161.04,183.0,455 CDM,PX-A27443,PR ANES FOR ARTHRO FEM CONDYLES PRTL DBRD,183.0,162.87,161.04,183.0,455 CDM,PX-A27445,PR ANES FOR ARTHROPLASTY KNEE HINGE PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A27446,PR ANES FOR ARTHRO KNEE MED/LAT CMPRT (UNILAT),183.0,162.87,161.04,183.0,455 CDM,PX-A27447,PR ANES FOR ARTHRO KNEE CONDYLE&PLAT (TKA),183.0,162.87,161.04,183.0,455 CDM,PX-A27448,PR ANES FOR OSTEOTOMY FEM SHAFT WO FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27450,PR ANES FOR OSTEOTOMY FEM SHAFT W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27454,PR ANES FOR OSTEOTOMY FEM SHAFT MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A27455,PR ANES FOR OSTEOTOMY TIB BFR EPIPHYS CLSR,183.0,162.87,161.04,183.0,455 CDM,PX-A27457,PR ANES FOR OSTEOTOMY TIB AFT EPIPHYS CLSR,183.0,162.87,161.04,183.0,455 CDM,PX-A27458,PR ANES FOR OSTEOT FEMUR IMED LNGTH DEV,183.0,162.87,161.04,183.0,455 CDM,PX-A27465,PR ANES FOR OSTEOPLASTY FEMUR SHORTENING,183.0,162.87,161.04,183.0,455 CDM,PX-A27466,PR ANES FOR OSTEOPLASTY FEMUR LENGTHENING,183.0,162.87,161.04,183.0,455 CDM,PX-A27468,PR ANES FOR COMBINE SHORTEN/LENGTHEN FEMUR,183.0,162.87,161.04,183.0,455 CDM,PX-A27470,PR ANES FOR RPR FEMUR NON/MALUNION WO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A27472,PR ANES FOR RPR FEMUR NON/MALUNION W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A27475,PR ANES FOR ARRST EPIPHYSEAL DISTAL FEMUR,183.0,162.87,161.04,183.0,455 CDM,PX-A27477,PR ANES FOR ARRST EPIPHYSEAL TIB/FIB PROX,183.0,162.87,161.04,183.0,455 CDM,PX-A27479,PR ANES FOR ARRST EPIPHYSL COMB FM/TIB/FIB,183.0,162.87,161.04,183.0,455 CDM,PX-A27485,PR ANES FOR ARRST HEMIEPIPHYSEAL,183.0,162.87,161.04,183.0,455 CDM,PX-A27486,PR ANES FOR REV TOT KNEE ARTHRO 1 COMPNT,183.0,162.87,161.04,183.0,455 CDM,PX-A27487,PR ANES FOR REV TOT KNEE ARTHRO FEM&TIB,183.0,162.87,161.04,183.0,455 CDM,PX-A27488,PR ANES FOR RMVL PROSTH KNEE,183.0,162.87,161.04,183.0,455 CDM,PX-A27495,PR ANES FOR PROPHX TX FEMUR W/WO MMA,183.0,162.87,161.04,183.0,455 CDM,PX-A27496,PR ANES FOR DCMPRN THIGH/KNEE SNGL CMPRT,183.0,162.87,161.04,183.0,455 CDM,PX-A27497,PR ANES FOR DCMPRN THICH/KNEE W DBRD,183.0,162.87,161.04,183.0,455 CDM,PX-A27498,PR ANES FOR DCMPRN THIGH/KNEE MULT CMPRT,183.0,162.87,161.04,183.0,455 CDM,PX-A27499,PR ANES FOR DCMPRN FASCT THIGH AND/KNEE,183.0,162.87,161.04,183.0,455 CDM,PX-A27500,PR ANES FOR CLSD TX FEMORAL SHAFT WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27501,PR ANES FOR CLSD TX SPRA/TRNSCNDL WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27502,PR ANES FOR CLSD TX FEM SHAFT FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27503,PR ANES FOR CLSD TX SPRA/TRNSCNDL W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27506,PR ANES FOR OPN TX FEM FX INTRAMEDLRY IMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A27507,PR ANES FOR OPN TX FEM FX W PLATE/SCREWS,183.0,162.87,161.04,183.0,455 CDM,PX-A27508,PR ANES FOR CLSD TX FEM FX DIST WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27509,PR ANES FOR FIX SKEL PERC FEM FX W/WO EXT,183.0,162.87,161.04,183.0,455 CDM,PX-A27510,PR ANES FOR CLSD TX FEMORAL W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27511,PR ANES FOR TX FEM SUPRACONDYL FX WO EXTSN,183.0,162.87,161.04,183.0,455 CDM,PX-A27513,PR ANES FOR TX FEM SUPRACONDYL FX W EXTSN,183.0,162.87,161.04,183.0,455 CDM,PX-A27514,PR ANES FOR OPN TX FEMORAL FX W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27516,PR ANES FOR CLSD TX DISTAL FEMORAL FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27517,PR ANES FOR CLOSED RX DIST FEM EPIPHYSIS+MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27519,PR ANES FOR OPN TX FEM EPHYSL SEP DISTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A27520,PR ANES FOR CLSD TX PATELLA FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27524,PR ANES FOR OPN TX PATELLA FX FIX/PATLCTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A27530,PR ANES FOR CLSD TX TIB FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27532,PR ANES FOR CLSD TX TIB FX W/WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27535,PR ANES FOR OPN TX TIB FX PROX UNICONDYLAR,183.0,162.87,161.04,183.0,455 CDM,PX-A27536,PR ANES FOR OPN TX TIB FX PROX BICONDYLAR,183.0,162.87,161.04,183.0,455 CDM,PX-A27538,PR ANES FOR CLSD TX KNEE W/WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27540,PR ANES FOR OPN TX KNEE W/WO FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27550,PR ANES FOR CLSD TX KNEE DISLOC WO ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A27552,PR ANES FOR CLSD TX KNEE DISLOC W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A27556,PR ANES FOR OPN TX KNE DISLOC WO LGMNT RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A27557,PR ANES FOR TX KNEE DISLOCATION W/LIG RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A27558,PR ANES FOR OPN TX KNEE DISLOC W LIG RPR&AUGM,183.0,162.87,161.04,183.0,455 CDM,PX-A27560,PR ANES FOR CLSD TX PATLLR DISLOC WO ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A27562,PR ANES FOR CLSD TX PATLLR DISLOC W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A27566,PR ANES FOR OPN TX PATLLR DISLC W/WO PTLMY,183.0,162.87,161.04,183.0,455 CDM,PX-A27570,PR ANES FOR MANIP KNEE JT W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A27580,PR ANES FOR ARTHRODESIS KNEE ANY TECH,183.0,162.87,161.04,183.0,455 CDM,PX-A27590,PR ANES FOR AMP THIGH THRU FEM,183.0,162.87,161.04,183.0,455 CDM,PX-A27591,PR ANES FOR AMPUTATE THIGH+STAT FITTING,183.0,162.87,161.04,183.0,455 CDM,PX-A27592,PR ANES FOR AMP THIGH THRU FEM OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A27594,PR ANES FOR AMP THIGH THRU FEMUR SEC CLSR,183.0,162.87,161.04,183.0,455 CDM,PX-A27596,PR ANES FOR AMP THIGH THRU FEM REAMP,183.0,162.87,161.04,183.0,455 CDM,PX-A27598,PR ANES FOR DISARTICULATION AT KNEE,183.0,162.87,161.04,183.0,455 CDM,PX-A27599,PR ANES FOR UNLISTED PROCEDURE FEMUR/KNEE,183.0,162.87,161.04,183.0,455 CDM,PX-A27600,PR ANES FOR DCMPRN LEG ANTR/LATERAL CMPRT,183.0,162.87,161.04,183.0,455 CDM,PX-A27601,PR ANES FOR DCMPRN LEG POSTR CMPRT,183.0,162.87,161.04,183.0,455 CDM,PX-A27602,PR ANES FOR DCMPRN LEG ANTR/LATERAL/POSTR,183.0,162.87,161.04,183.0,455 CDM,PX-A27603,PR ANES FOR I&D LEG/ANK DEEP ABSC/HEMA,183.0,162.87,161.04,183.0,455 CDM,PX-A27604,PR ANES FOR I&D LEG/ANK INFECTED BURSA,183.0,162.87,161.04,183.0,455 CDM,PX-A27605,PR ANES FOR TNTMY ACHIL TNDN PERC LOC ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A27606,PR ANES FOR TNTMY ACHIL TNDN PERC GEN ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A27607,PR ANES FOR INCISION LEG/ANKLE,183.0,162.87,161.04,183.0,455 CDM,PX-A27610,PR ANES FOR ARTHRT ANKLE EXPLR/DRN/RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A27612,PR ANES FOR ARTHRT ANK POSTR CAPSULAR RLS,183.0,162.87,161.04,183.0,455 CDM,PX-A27613,PR ANES FOR BX SOFT TISS LEG/ANKLE SUPFCL,183.0,162.87,161.04,183.0,455 CDM,PX-A27614,PR ANES FOR BX SOFT TISS LEG/ANKLE DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A27615,PR ANES FOR RSECT TMR LEG/ANK <5CM RADCL,183.0,162.87,161.04,183.0,455 CDM,PX-A27616,PR ANES FOR RSECT TMR LEG/ANK >=5CM RADCL,183.0,162.87,161.04,183.0,455 CDM,PX-A27618,PR ANES FOR EXCISN TMR LEG/ANKLE SUBQ <3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A27619,PR ANES FOR EXCISN TMR LEG/ANKLE SUBF <5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A27620,PR ANES FOR ARTHRT ANKLE W JT EXPLR,183.0,162.87,161.04,183.0,455 CDM,PX-A27625,PR ANES FOR ARTHROTOMY ANKLE W SYNOVECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A27626,PR ANES FOR ARTHRT ANK SYNO&TNOSYNO,183.0,162.87,161.04,183.0,455 CDM,PX-A27630,PR ANES FOR EXCISN LESN LEG/ANK TNDN SHTH,183.0,162.87,161.04,183.0,455 CDM,PX-A27632,PR ANES FOR EXCISN TMR LEG/ANK >=3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A27634,PR ANES FOR EXCISN TMR LEG/ANK >=5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A27635,PR ANES FOR EXCISN BN CYST TIB/FIB,183.0,162.87,161.04,183.0,455 CDM,PX-A27637,PR ANES FOR EXCISN CYST TIB/FIB W AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A27638,PR ANES FOR EXCISN BN CYST TIB/FIB W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A27640,PR ANES FOR EXCISN BN TIB PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A27641,PR ANES FOR EXCISN BN FIB PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A27645,PR ANES FOR RSECT TUMOR TIBIA RADICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A27646,PR ANES FOR RSECT TUMOR FIBULA RADICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A27647,PR ANES FOR RESCT TUMOR TAL/CALC RADICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A27648,PR ANES FOR INJ ANK ARTHROGRAPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A27650,PR ANES FOR RPR ACHILLES TNDN PRIM,183.0,162.87,161.04,183.0,455 CDM,PX-A27652,PR ANES FOR RPR ACHILLES TNDN PRIM W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A27654,PR ANES FOR RPR ACHILLES TNDN SECNDRY,183.0,162.87,161.04,183.0,455 CDM,PX-A27656,PR ANES FOR RPR FASCIAL DEFECT LEG,183.0,162.87,161.04,183.0,455 CDM,PX-A27658,PR ANES FOR RPR FLEXOR TNDN LEG WO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A27659,PR ANES FOR RPR FLEXOR TENDON LEG SECNDRY,183.0,162.87,161.04,183.0,455 CDM,PX-A27664,PR ANES FOR RPR EXTNSR TNDN LEG WO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A27665,PR ANES FOR RPR EXTNSR TNDN LEG W/WO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A27675,PR ANES FOR RPR DISLOC PRNEAL TNDN WO OS,183.0,162.87,161.04,183.0,455 CDM,PX-A27676,PR ANES FOR RPR DISLOC PRNEAL TNDN W OS,183.0,162.87,161.04,183.0,455 CDM,PX-A27680,PR ANES FOR TNLYS LEG/ANKLE FLEX/EXT SNG,183.0,162.87,161.04,183.0,455 CDM,PX-A27681,PR ANES FOR TNLYS LEG/ANK FLEX/EXT MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A27685,PR ANES FOR LNGTH/SHORT LEG/ANK TNDN SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A27686,PR ANES FOR LNGHT/SHORT LEG/ANK TNDN MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A27687,PR ANES FOR GASTROCNEMIUS RECESSION,183.0,162.87,161.04,183.0,455 CDM,PX-A27690,PR ANES FOR TRNSF/TRNSPL TNDN SNGL SUPFCL,183.0,162.87,161.04,183.0,455 CDM,PX-A27691,PR ANES FOR TRNSF/TRNSPL TENDON SNGL DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A27692,PR ANES FOR TRNSF/TRNSPL TENDON EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A27695,PR ANES FOR RPR DISRPTD LGMNT ANK COLAT,183.0,162.87,161.04,183.0,455 CDM,PX-A27696,PR ANES FOR SUTR DISRPTD LGMNT ANK BOTH,183.0,162.87,161.04,183.0,455 CDM,PX-A27698,PR ANES FOR RPR ANK SECNDRY DISRUP LGMNT,183.0,162.87,161.04,183.0,455 CDM,PX-A27700,PR ANES FOR ARTHROPLASTY ANKLE,183.0,162.87,161.04,183.0,455 CDM,PX-A27702,PR ANES FOR ARTHROPLASTY ANK W IMPLANT,183.0,162.87,161.04,183.0,455 CDM,PX-A27703,PR ANES FOR ARTHROPLASTY ANKLE REV TOTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A27704,PR ANES FOR RMVL OF ANKLE IMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A27705,PR ANES FOR OSTEOTOMY TIBIA,183.0,162.87,161.04,183.0,455 CDM,PX-A27707,PR ANES FOR OSTEOTOMY FIBULA,183.0,162.87,161.04,183.0,455 CDM,PX-A27709,PR ANES FOR OSTEOTOMY TIBIA AND FIBULA,183.0,162.87,161.04,183.0,455 CDM,PX-A27712,PR ANES FOR OSTEOTOMY MULT W RELIGNMT ROD,183.0,162.87,161.04,183.0,455 CDM,PX-A27713,PR ANES FOR OSTEOT TIBIA IMED LNGTH DEV,183.0,162.87,161.04,183.0,455 CDM,PX-A27715,PR ANES FOR OSTEOPLSTY TIB&FIB LNGTH/SHORT,183.0,162.87,161.04,183.0,455 CDM,PX-A27720,PR ANES FOR RPR NON/MALUNION TIB WO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A27722,PR ANES FOR RPR NON/MALUNION TIB SLID GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A27724,PR ANES FOR RPR NON/MALUNION TIB AUTOGRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A27725,PR ANES FOR RPR NON/MALUNION TIB SYN W FIB,183.0,162.87,161.04,183.0,455 CDM,PX-A27726,PR ANES FOR RPR NON/MALUNION FIB W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27727,PR ANES FOR RPR CONG PSEUDOARTHROSIS TIB,183.0,162.87,161.04,183.0,455 CDM,PX-A27730,PR ANES FOR ARREST EPHYSL DIST TIB OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A27732,PR ANES FOR ARREST EPHYSL DIST FIB OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A27734,PR ANES FOR ARREST EPHYSL DIST TIBFIB OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A27740,PR ANES FOR ARREST EPIPHYSEAL TIB & FIB,183.0,162.87,161.04,183.0,455 CDM,PX-A27742,PR ANES FOR ARREST EPIPHYSEAL TIB/FIB/FEM,183.0,162.87,161.04,183.0,455 CDM,PX-A27745,PR ANES FOR PROPHX TX TIBIA W/WO MMA,183.0,162.87,161.04,183.0,455 CDM,PX-A27750,PR ANES FOR CLSD TX TIB SHAFT FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27752,PR ANES FOR CLSD TX TIB SHAFT FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27756,PR ANES FOR PERC FIX TIBIAL SHAFT FX,183.0,162.87,161.04,183.0,455 CDM,PX-A27758,PR ANES FOR OPN TX TIB FX PLATE/SCRWS,183.0,162.87,161.04,183.0,455 CDM,PX-A27759,PR ANES FOR TX TIB FX INTRAMDLRY IMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A27760,PR ANES FOR CLSD TX MDL MELLEOL WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27762,PR ANES FOR CLSD TX MDL MALLEOL W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27766,PR ANES FOR OPN TX MEDIAL MALLEOL FX,183.0,162.87,161.04,183.0,455 CDM,PX-A27767,PR ANES FOR CLSD TX POSTR MALLEOL WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27768,PR ANES FOR CLSD TX POSTR MALLEOL W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27769,PR ANES FOR OPN TX POSTR MALLEOLUS FX,183.0,162.87,161.04,183.0,455 CDM,PX-A27780,PR ANES FOR CLSD TX PROX FIBULA WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27781,PR ANES FOR CLSD TX PROX FIBULA W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27784,PR ANES FOR OPN TX PROX FIBULA FX W/FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27786,PR ANES FOR CLSD TX DIST FIB WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27788,PR ANES FOR CLSD TX DIST FIB FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27792,PR ANES FOR OPN TX DIST FIB FX,183.0,162.87,161.04,183.0,455 CDM,PX-A27808,PR ANES FOR CLSD TX BIMALOR ANK WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27810,PR ANES FOR CLSD TX BIMALOR ANK W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27814,PR ANES FOR OPN TX BIMALOR ANK FX,183.0,162.87,161.04,183.0,455 CDM,PX-A27816,PR ANES FOR CLSD TX TRIMALOR ANK WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27818,PR ANES FOR CLSD TX TRIMALOR ANK FX MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27822,PR ANES FOR OPN TX TRIMALOR ANK FX WO FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27823,PR ANES FOR OPN TX TRIMALOR ANK FX W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27824,PR ANES FOR CLSD TX TIB W/WO ANES WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A27825,PR ANES FOR CLSD TX TIB W/WO ANES W TRACT,183.0,162.87,161.04,183.0,455 CDM,PX-A27826,PR ANES FOR OPN TX DIST TIB W FIB INT FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27827,PR ANES FOR OPN TX DIST TIBIA FX,183.0,162.87,161.04,183.0,455 CDM,PX-A27828,PR ANES FOR OPN TX DIST TIB W TIB&FIB FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27829,PR ANES FOR OPN TX DIST TIBFIB DISRPN,183.0,162.87,161.04,183.0,455 CDM,PX-A27830,PR ANES FOR CLSD TX PROX TIBFIB DIS WO ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A27831,PR ANES FOR CLSD TX TIBFIB DISLOC W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A27832,PR ANES FOR OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB,183.0,162.87,161.04,183.0,455 CDM,PX-A27840,PR ANES FOR CLSD TX DISLOC ANKLE WO ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A27842,PR ANES FOR CLSD TX DISLOC ANKLE W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A27846,PR ANES FOR OPN TX DISLOC ANK WO RPR/FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27848,PR ANES FOR OPN TX DISLOC ANK W RPR/FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A27860,PR ANES FOR MANIP ANKLE W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A27870,PR ANES FOR ARTHRODESIS ANKLE OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A27871,PR ANES FOR ARTHRODESIS TIBFIB PROX/DISTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A27880,PR ANES FOR AMP LEG THRU TIB &FIB,183.0,162.87,161.04,183.0,455 CDM,PX-A27881,PR ANES FOR AMP LEF THRU TIB&FIB 1ST CAST,183.0,162.87,161.04,183.0,455 CDM,PX-A27882,PR ANES FOR AMP LEG THRU TIB &FIB OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A27884,PR ANES FOR AMP LEG THRU TIB &FIB CLSR/REV,183.0,162.87,161.04,183.0,455 CDM,PX-A27886,PR ANES FOR AMP LEG THRU TIB &FIB REAMP,183.0,162.87,161.04,183.0,455 CDM,PX-A27888,PR ANES FOR AMP ANKLE THRU MALL CLSR&RSECT,183.0,162.87,161.04,183.0,455 CDM,PX-A27889,PR ANES FOR ANKLE DISARTICULATION,183.0,162.87,161.04,183.0,455 CDM,PX-A27892,PR ANES FOR DCMPRN FASCT LEG ANTR/LAT DBRD,183.0,162.87,161.04,183.0,455 CDM,PX-A27893,"PR ANES FOR DECOMPRESS FASCIOT LEG,POST ONLY",183.0,162.87,161.04,183.0,455 CDM,PX-A27894,PR ANES FOR DCMPRN LEG ANTR/LAT/POSTR DBRD,183.0,162.87,161.04,183.0,455 CDM,PX-A27899,PR ANES FOR UNLISTED PROCEDURE LEG/ANKLE,183.0,162.87,161.04,183.0,455 CDM,PX-A28001,PR ANES FOR I&D BURSA FOOT,183.0,162.87,161.04,183.0,455 CDM,PX-A28002,PR ANES FOR I&D FASCIA FOOT SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A28003,PR ANES FOR I&D FASCIA FOOT MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A28005,PR ANES FOR INCISION FOOT BN LESN,183.0,162.87,161.04,183.0,455 CDM,PX-A28008,PR ANES FOR FASCIOTOMY FOOT&/TOE,183.0,162.87,161.04,183.0,455 CDM,PX-A28010,PR ANES FOR TENOTOMY TOE TNDN PERC SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A28011,PR ANES FOR TENOTOMY TOE TNDN PERC MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A28020,PR ANES FOR ARTHRT INTARS/TARSOMET RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A28022,PR ANES FOR ARTHRT MTRPHL W EXPL RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A28024,PR ANES FOR ARTHRT I-P W EXPL RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A28035,PR ANES FOR RELEASE TARSAL TUNL,183.0,162.87,161.04,183.0,455 CDM,PX-A28039,PR ANES FOR EXCISN TMR FT/TOE SUBQ >=1.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A28041,PR ANES FOR EXCISN TMR FT/TOE SUBF >=1.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A28043,PR ANES FOR EXCISN TMR FT/TOE SUBQ <1.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A28045,PR ANES FOR EXCISN TMR FT/TOE SUBF <1.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A28046,PR ANES FOR RADCL RSECT TUMOR SFT TISS FOOT< 3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A28047,PR ANES FOR EXCISN TMR FT/TOE >=3CM RADCL,183.0,162.87,161.04,183.0,455 CDM,PX-A28050,PR ANES FOR BX FOOT JOING LINING,183.0,162.87,161.04,183.0,455 CDM,PX-A28052,PR ANES FOR ARTHROTOMY W BX METATARSLPHL JT,183.0,162.87,161.04,183.0,455 CDM,PX-A28054,PR ANES FOR ARTHROTOMY I-P JOINT W BX,183.0,162.87,161.04,183.0,455 CDM,PX-A28055,PR ANES FOR NEURECTOMY FOOT INTRINSIC MUSC,183.0,162.87,161.04,183.0,455 CDM,PX-A28060,PR ANES FOR FASCIECTOMY PLANTAR PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A28062,PR ANES FOR FASCIECTOMY PLANTAR RADICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A28070,PR ANES FOR RMVL FOOT JT LINING,183.0,162.87,161.04,183.0,455 CDM,PX-A28072,PR ANES FOR SYNOVECTOMY MTP EACH,183.0,162.87,161.04,183.0,455 CDM,PX-A28080,PR ANES FOR EXCISN INTERDIGITAL NEUROMA,183.0,162.87,161.04,183.0,455 CDM,PX-A28086,PR ANES FOR SYNO FOOT TNDN SHEATH FLEXOR,183.0,162.87,161.04,183.0,455 CDM,PX-A28088,PR ANES FOR SYNO FOOT TNDN SHEATH EXTENSOR,183.0,162.87,161.04,183.0,455 CDM,PX-A28090,PR ANES FOR EXCISN LESN FT TNDN/SHTH/CPSL,183.0,162.87,161.04,183.0,455 CDM,PX-A28092,PR ANES FOR EXCISN LESN TOE TNDN/SHTH/CPSL,183.0,162.87,161.04,183.0,455 CDM,PX-A28100,PR ANES FOR EXCISN BN CYST/TMR TALUS,183.0,162.87,161.04,183.0,455 CDM,PX-A28102,PR ANES FOR EXCISN TMR TALUS W AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A28103,PR ANES FOR EXCISN TMR TALUS W ALLOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A28104,PR ANES FOR EXCISN BN CYST/TMR TARSAL,183.0,162.87,161.04,183.0,455 CDM,PX-A28106,PR ANES FOR EXCISN BN CYST TRSL W AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A28107,PR ANES FOR EXCISN BN CYST TRSL W ALLOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A28108,PR ANES FOR EXCISN BN CYST/TMR PHAL FT,183.0,162.87,161.04,183.0,455 CDM,PX-A28110,PR ANES FOR OSTECTOMY EXCISN 5TH MTRSL HD,183.0,162.87,161.04,183.0,455 CDM,PX-A28111,PR ANES FOR OSTECTOMY EXCISN 1ST MTRSL HD,183.0,162.87,161.04,183.0,455 CDM,PX-A28112,PR ANES FOR OSTECTOMY EXCISN 2-4TH MTRSL,183.0,162.87,161.04,183.0,455 CDM,PX-A28113,PR ANES FOR OSTECTOMY EXCISN 5TH MTRSL,183.0,162.87,161.04,183.0,455 CDM,PX-A28114,PR ANES FOR OSTECTOMY EXCISN ALL MTRSL HDS,183.0,162.87,161.04,183.0,455 CDM,PX-A28116,PR ANES FOR OSTECTOMY EXCISN TARSL COALITN,183.0,162.87,161.04,183.0,455 CDM,PX-A28118,PR ANES FOR OSTECTOMY CALCANEUS,183.0,162.87,161.04,183.0,455 CDM,PX-A28119,PR ANES FOR OSTECTOMY CALCANEUS FOR SPUR,183.0,162.87,161.04,183.0,455 CDM,PX-A28120,PR ANES FOR PRTL RMVL ANKLE/HEEL,183.0,162.87,161.04,183.0,455 CDM,PX-A28122,PR ANES FOR RMVL BN FT NOT ANK/HEEL PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A28124,PR ANES FOR PRTL RMVL PHALANX TOE,183.0,162.87,161.04,183.0,455 CDM,PX-A28126,PR ANES FOR PRTL RMVL PHAL BASE EA TOE,183.0,162.87,161.04,183.0,455 CDM,PX-A28130,PR ANES FOR TALECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A28140,PR ANES FOR METATARSECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A28150,PR ANES FOR RMVL TOE EA,183.0,162.87,161.04,183.0,455 CDM,PX-A28153,PR ANES FOR RSECT CONDYLE EA TOE DISTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A28160,PR ANES FOR EXCISN I-P JT TOE PROX END,183.0,162.87,161.04,183.0,455 CDM,PX-A28171,PR ANES FOR RSECT TMR RADICAL TARSAL,183.0,162.87,161.04,183.0,455 CDM,PX-A28173,PR ANES FOR RAD RESEC METATARSAL,183.0,162.87,161.04,183.0,455 CDM,PX-A28175,PR ANES FOR RSECT TMR PHLX/TOE RADCL,183.0,162.87,161.04,183.0,455 CDM,PX-A28190,PR ANES FOR RMVL FB FT SUBCUTANEOUS,183.0,162.87,161.04,183.0,455 CDM,PX-A28192,PR ANES FOR RMVL FB FT DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A28193,PR ANES FOR RMVL FB FOOT COMPLICATED,183.0,162.87,161.04,183.0,455 CDM,PX-A28200,PR ANES FOR RPR TNDN FLEXOR FT WO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A28202,PR ANES FOR RPR TNDN FLX FT W GRFT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A28208,PR ANES FOR RPR TNDN EXTENSOR FT,183.0,162.87,161.04,183.0,455 CDM,PX-A28210,PR ANES FOR RPR FOOT TENDON,183.0,162.87,161.04,183.0,455 CDM,PX-A28220,PR ANES FOR TENOLYSIS FLEXOR FT SNGL TNDN,183.0,162.87,161.04,183.0,455 CDM,PX-A28222,PR ANES FOR TENOLYSIS FLEXOR FT MULT TNDNS,183.0,162.87,161.04,183.0,455 CDM,PX-A28225,PR ANES FOR TENOLYSIS EXTNSR FT SNGL TNDN,183.0,162.87,161.04,183.0,455 CDM,PX-A28226,"PR ANES FOR RELEASE EXTEN FOOT TENDONS,MULTIPL",183.0,162.87,161.04,183.0,455 CDM,PX-A28230,PR ANES FOR TENOTOMY TENDON FLEXOR FT OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A28232,PR ANES FOR TENOTOMY TNDN FLEXOR TOE OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A28234,PR ANES FOR TENOTOMY EXTNSR FT/TOE OPN EA,183.0,162.87,161.04,183.0,455 CDM,PX-A28238,PR ANES FOR RCNST POSTR TIB TNDN EXCIS,183.0,162.87,161.04,183.0,455 CDM,PX-A28240,PR ANES FOR TENOTOMY ABDUCTOR HALLUC MUS,183.0,162.87,161.04,183.0,455 CDM,PX-A28250,PR ANES FOR DIVISION PLANTAR FASCIA & MUS,183.0,162.87,161.04,183.0,455 CDM,PX-A28260,PR ANES FOR CAPSULOTOMY MIDFOOT MEDIAL RLS,183.0,162.87,161.04,183.0,455 CDM,PX-A28261,PR ANES FOR CAPSULOTOMY MIDFOOT W TNDN,183.0,162.87,161.04,183.0,455 CDM,PX-A28262,PR ANES FOR CAPSULOTOMY MIDFOOT EXTENSIVE,183.0,162.87,161.04,183.0,455 CDM,PX-A28264,PR ANES FOR CAPSULOTOMY MIDTARSAL,183.0,162.87,161.04,183.0,455 CDM,PX-A28270,PR ANES FOR CAPSULOTOMY METATARSOPHAL JT,183.0,162.87,161.04,183.0,455 CDM,PX-A28272,PR ANES FOR CAPSULOTOMY I-P EACH JOINT,183.0,162.87,161.04,183.0,455 CDM,PX-A28280,PR ANES FOR SYNDACTYLIZATION TOES,183.0,162.87,161.04,183.0,455 CDM,PX-A28285,PR ANES FOR CORRECTION HAMMERTOE,183.0,162.87,161.04,183.0,455 CDM,PX-A28286,PR ANES FOR CORR HAMMERTOE W CLOSURE,183.0,162.87,161.04,183.0,455 CDM,PX-A28288,PR ANES FOR OSTECTOMY MTRSL HD PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A28289,PR ANES FOR CORR BUNION W CHEILECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A28291,PR ANES FOR HALUX RIGDUS CORR W/IMPLT,183.0,162.87,161.04,183.0,455 CDM,PX-A28292,PR ANES FOR CORR BUNION KELLER/MAYO TYPE,183.0,162.87,161.04,183.0,455 CDM,PX-A28295,PR ANES FOR CORR BUNION W SESAMDECTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A28296,PR ANES FOR CORR BUNION W MTRSL OSTEOTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A28297,PR ANES FOR CORR BUNION LAPIDUS TYPE PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A28298,PR ANES FOR CORR BUNION PHALANX OSTEOT,183.0,162.87,161.04,183.0,455 CDM,PX-A28299,PR ANES FOR CORR BUNION DOUBLE OSTEOTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A28300,PR ANES FOR OSTEOTOMY CALCANEUS,183.0,162.87,161.04,183.0,455 CDM,PX-A28302,PR ANES FOR OSTEOTOMY TALUS,183.0,162.87,161.04,183.0,455 CDM,PX-A28304,PR ANES FOR OSTEOTOMY TARSAL BN,183.0,162.87,161.04,183.0,455 CDM,PX-A28305,PR ANES FOR OSTEOTOMY TARSAL BN W AUTOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A28306,PR ANES FOR OSTEOTOMY 1ST METATARSAL,183.0,162.87,161.04,183.0,455 CDM,PX-A28307,PR ANES FOR OSTEOTOMY 1ST METATARSL W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A28308,PR ANES FOR OSTEOTOMY METATARSAL NOT 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A28309,PR ANES FOR OSTEOTOMY METATARSAL MULTIPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A28310,PR ANES FOR OSTEOTOMY PROX PHALANX 1ST TOE,183.0,162.87,161.04,183.0,455 CDM,PX-A28312,PR ANES FOR OSTEOTOMY OTHER PHALANGES,183.0,162.87,161.04,183.0,455 CDM,PX-A28313,PR ANES FOR RCNST DFRM TOE SOFT TISS,183.0,162.87,161.04,183.0,455 CDM,PX-A28315,PR ANES FOR SESAMOIDECTOMY 1ST TOE,183.0,162.87,161.04,183.0,455 CDM,PX-A28320,PR ANES FOR RPR TARSAL BNS NON/MALUNION,183.0,162.87,161.04,183.0,455 CDM,PX-A28322,PR ANES FOR RPR METATAR BNS NON/MALUNION,183.0,162.87,161.04,183.0,455 CDM,PX-A28340,PR ANES FOR RESECT ENLARGED TOE TISSUE,183.0,162.87,161.04,183.0,455 CDM,PX-A28341,PR ANES FOR RCNST TOE MACRODACT BN RSECT,183.0,162.87,161.04,183.0,455 CDM,PX-A28344,PR ANES FOR RCNST TOE POLYDACTYLY,183.0,162.87,161.04,183.0,455 CDM,PX-A28345,PR ANES FOR RCNST TOE SYNDACTYLY EA WEB,183.0,162.87,161.04,183.0,455 CDM,PX-A28360,PR ANES FOR RECONSTRUCT CLEFT FOOT,183.0,162.87,161.04,183.0,455 CDM,PX-A28400,PR ANES FOR CLSD TX CALCANEAL FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A28405,PR ANES FOR CLSD TX CALCANEAL FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A28406,PR ANES FOR PERC FIX CALCANEAL FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A28415,PR ANES FOR OPN TX CALCANEAL FX,183.0,162.87,161.04,183.0,455 CDM,PX-A28420,PR ANES FOR OPN TX CALCANEAL FX W BN GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A28430,PR ANES FOR CLSD TX TALUS FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A28435,PR ANES FOR CLSD TX TALUS FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A28436,PR ANES FOR PERC FIX TALUS FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A28445,PR ANES FOR OPN TX TALUS FX,183.0,162.87,161.04,183.0,455 CDM,PX-A28446,PR ANES FOR OPN OSTEOCHON AUTOGRAFT TALUS,183.0,162.87,161.04,183.0,455 CDM,PX-A28450,PR ANES FOR CLSD TX TARSAL BN WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A28455,PR ANES FOR CLSD TX TARSAL BN W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A28456,PR ANES FOR PERC SKEL FIX TARSAL FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A28465,PR ANES FOR OPN TX TARSAL FX,183.0,162.87,161.04,183.0,455 CDM,PX-A28470,PR ANES FOR CLSD TX METATARSAL FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A28475,PR ANES FOR CLSD TX METATARSAL FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A28476,PR ANES FOR PERC FIX METATARSAL FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A28485,PR ANES FOR OPN TX METATARSAL FX,183.0,162.87,161.04,183.0,455 CDM,PX-A28490,PR ANES FOR CLSD TX GRT TOE FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A28495,PR ANES FOR CLSD TX GRT TOE FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A28496,PR ANES FOR PERC FIX GRT TOE FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A28505,PR ANES FOR OPN TX PHALANX FX INCL INT FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A28510,PR ANES FOR CLSD TX PHALANX FX WO MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A28515,PR ANES FOR CLSD TX PHALANX FX W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A28525,PR ANES FOR OPN TX PHALANX FX,183.0,162.87,161.04,183.0,455 CDM,PX-A28530,PR ANES FOR CLSD TX SESAMOID FX,183.0,162.87,161.04,183.0,455 CDM,PX-A28531,PR ANES FOR OPN TX SESAMD FX W/WO INT FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A28540,PR ANES FOR CLSD TX TARSAL DISLOC WO ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A28545,PR ANES FOR CLSD TX TARSAL DISLOC W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A28546,PR ANES FOR PERC SKEL FIX TRSL BONE,183.0,162.87,161.04,183.0,455 CDM,PX-A28555,PR ANES FOR OPN TX TARSAL DISLOC,183.0,162.87,161.04,183.0,455 CDM,PX-A28570,PR ANES FOR CLSD TX TALTAR DISLOC WO ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A28575,PR ANES FOR CLSD TX TALTAR DISLOC W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A28576,PR ANES FOR PERC FIX TALTAR DISLOC W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A28585,PR ANES FOR OPN TX TALTAR DISLOC W INT FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A28600,PR ANES FOR CLSD TX TARSMET DISLOC WO ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A28605,PR ANES FOR CLSD TX TARSMET DISLOC W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A28606,PR ANES FOR FIX TARSMET DISLOC W MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A28615,PR ANES FOR OPN TX TARSMET DISLOC,183.0,162.87,161.04,183.0,455 CDM,PX-A28630,PR ANES FOR CLSD TX MTRPHL DISLOC WO ANEST,183.0,162.87,161.04,183.0,455 CDM,PX-A28635,PR ANES FOR CLSD TX MTRPHL DISLOC W ANEST,183.0,162.87,161.04,183.0,455 CDM,PX-A28636,PR ANES FOR PERC FIX MTRPHL DISLOC MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A28645,PR ANES FOR OPN TX MTRPHL JOINT DISLOC,183.0,162.87,161.04,183.0,455 CDM,PX-A28660,PR ANES FOR CLSD TX I-P DISLOC WO ANEST,183.0,162.87,161.04,183.0,455 CDM,PX-A28665,PR ANES FOR CLSD TX I-P DISLOC W ANEST,183.0,162.87,161.04,183.0,455 CDM,PX-A28666,PR ANES FOR PERC SKL FIX I-P DISLOC MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A28675,PR ANES FOR OPN TX DISLOC I-P W INTRNL FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A28705,PR ANES FOR ARTHRODESIS PANTALAR,183.0,162.87,161.04,183.0,455 CDM,PX-A28715,PR ANES FOR ARTHRODESIS TRIPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A28725,PR ANES FOR ARTHRODESIS SUBTALAR,183.0,162.87,161.04,183.0,455 CDM,PX-A28730,PR ANES FOR ARTHRDSIS MIDT/TARSMET MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A28735,PR ANES FOR ARTHRODESIS MIDT/TARSMET W OST,183.0,162.87,161.04,183.0,455 CDM,PX-A28737,PR ANES FOR ARTHRODESIS MIDT W TNDN W LGTH,183.0,162.87,161.04,183.0,455 CDM,PX-A28740,PR ANES FOR ARTHRODESIS MIDT/TARSMET SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A28750,PR ANES FOR ARTHRODESIS GREAT TOE MTRPHL,183.0,162.87,161.04,183.0,455 CDM,PX-A28755,PR ANES FOR ARTHRODESIS GREAT TOE I-P,183.0,162.87,161.04,183.0,455 CDM,PX-A28760,PR ANES FOR ARTHRODESIS W EXTNSR TRNSFR,183.0,162.87,161.04,183.0,455 CDM,PX-A28800,PR ANES FOR AMP FOOT MIDTARSAL,183.0,162.87,161.04,183.0,455 CDM,PX-A28805,PR ANES FOR AMP FOOT TRANSMETATARSAL,183.0,162.87,161.04,183.0,455 CDM,PX-A28810,PR ANES FOR AMP METATARSAL W TOE SINGLE,183.0,162.87,161.04,183.0,455 CDM,PX-A28820,PR ANES FOR AMP TOE MTP JOINT,183.0,162.87,161.04,183.0,455 CDM,PX-A28825,PR ANES FOR AMP TOE INTERPHALANGEAL JT,183.0,162.87,161.04,183.0,455 CDM,PX-A28890,PR ANES FOR EXTRCORPL SHOCK WAVE PLANTAR,183.0,162.87,161.04,183.0,455 CDM,PX-A28899,PR ANES FOR UNLISTED PROCEDURE FOOT/TOES,183.0,162.87,161.04,183.0,455 CDM,PX-A29000,"PR ANES FOR APPLY BODY CAST,HALO",183.0,162.87,161.04,183.0,455 CDM,PX-A29010,PR ANES FOR APP CAST RISSER JACKET LOCALIZ,183.0,162.87,161.04,183.0,455 CDM,PX-A29015,"PR ANES FOR APPLY BODY CAST,RISSER+HEAD",183.0,162.87,161.04,183.0,455 CDM,PX-A29035,PR ANES FOR APP CAST BODY,183.0,162.87,161.04,183.0,455 CDM,PX-A29040,"PR ANES FOR APPLY BODY CAST,SHLDR-HIP+HEAD",183.0,162.87,161.04,183.0,455 CDM,PX-A29044,PR ANES FOR APP CAST SHLDR HIPS W 1 THIGH,183.0,162.87,161.04,183.0,455 CDM,PX-A29046,PR ANES FOR APP CAST SHLDR HIPS W 2 THIGH,183.0,162.87,161.04,183.0,455 CDM,PX-A29049,"PR ANES FOR APPLY CAST,FIGURE-OF-EIGHT",183.0,162.87,161.04,183.0,455 CDM,PX-A29055,PR ANES FOR APP CAST SHOULDER SPICA,183.0,162.87,161.04,183.0,455 CDM,PX-A29058,"PR ANES FOR APPLY SHOULDER CAST,PLASTR VELPEAU",183.0,162.87,161.04,183.0,455 CDM,PX-A29065,PR ANES FOR APP CAST LONG ARM,183.0,162.87,161.04,183.0,455 CDM,PX-A29075,PR ANES FOR APP CAST SHORT ELBOW-FGR,183.0,162.87,161.04,183.0,455 CDM,PX-A29085,PR ANES FOR APP CAST SHORT ARM GAUNTLET,183.0,162.87,161.04,183.0,455 CDM,PX-A29086,PR ANES FOR APP CAST FINGER,183.0,162.87,161.04,183.0,455 CDM,PX-A29105,PR ANES FOR APP SPLINT LONG ARM,183.0,162.87,161.04,183.0,455 CDM,PX-A29125,PR ANES FOR APP SPLINT SHORT ARM STATIC,183.0,162.87,161.04,183.0,455 CDM,PX-A29126,PR ANES FOR APP SPLINT SHORT ARM DYNAMIC,183.0,162.87,161.04,183.0,455 CDM,PX-A29130,PR ANES FOR APP SPLINT FINGER STATIC,183.0,162.87,161.04,183.0,455 CDM,PX-A29131,PR ANES FOR APP SPLINT FGR DYNAMIC,183.0,162.87,161.04,183.0,455 CDM,PX-A29200,PR ANES FOR STRAPPING CHEST,183.0,162.87,161.04,183.0,455 CDM,PX-A29240,PR ANES FOR STRAPPING SHOULDER,183.0,162.87,161.04,183.0,455 CDM,PX-A29260,PR ANES FOR STRAPPING ELBOW WRIST,183.0,162.87,161.04,183.0,455 CDM,PX-A29280,PR ANES FOR STRAPPING HAND OR FINGER,183.0,162.87,161.04,183.0,455 CDM,PX-A29305,PR ANES FOR APP CAST HIP SPICA 1 LEG,183.0,162.87,161.04,183.0,455 CDM,PX-A29325,PR ANES FOR APP CAST HIP SPICA 1-1.5/BOTH,183.0,162.87,161.04,183.0,455 CDM,PX-A29345,PR ANES FOR APP CAST LONG LEG,183.0,162.87,161.04,183.0,455 CDM,PX-A29355,PR ANES FOR APP CAST LONG LEG WALK,183.0,162.87,161.04,183.0,455 CDM,PX-A29358,PR ANES FOR APP CAST LONG LEG BRACE,183.0,162.87,161.04,183.0,455 CDM,PX-A29365,PR ANES FOR APP CAST CYLINDER,183.0,162.87,161.04,183.0,455 CDM,PX-A29405,PR ANES FOR APP CAST SHORT LEG KNEE-TOE,183.0,162.87,161.04,183.0,455 CDM,PX-A29425,PR ANES FOR APP CAST SHORT LEG WALK,183.0,162.87,161.04,183.0,455 CDM,PX-A29435,PR ANES FOR APP PATELLAR TNDN BEAR CAST,183.0,162.87,161.04,183.0,455 CDM,PX-A29440,PR ANES FOR ADD WALKER PREV APP CAST,183.0,162.87,161.04,183.0,455 CDM,PX-A29445,PR ANES FOR APP CAST LEG RIGID TOT CONTACT,183.0,162.87,161.04,183.0,455 CDM,PX-A29450,PR ANES FOR APP CAST CLUBFOOT W MOLD/MANIP,183.0,162.87,161.04,183.0,455 CDM,PX-A29505,PR ANES FOR APP SPLINT LONG LEG,183.0,162.87,161.04,183.0,455 CDM,PX-A29515,PR ANES FOR APP SPLINT SHORT LEG,183.0,162.87,161.04,183.0,455 CDM,PX-A29520,PR ANES FOR STRAPPING HIP,183.0,162.87,161.04,183.0,455 CDM,PX-A29530,PR ANES FOR STRAPPING KNEE,183.0,162.87,161.04,183.0,455 CDM,PX-A29540,PR ANES FOR STRAPPING ANKLE/FOOT,183.0,162.87,161.04,183.0,455 CDM,PX-A29550,PR ANES FOR STRAPPING TOES,183.0,162.87,161.04,183.0,455 CDM,PX-A29580,PR ANES FOR STRAPPING UNNA BOOT,183.0,162.87,161.04,183.0,455 CDM,PX-A29581,PR ANES FOR APP MULTILYR COMPRSN SYS LWR LEG,183.0,162.87,161.04,183.0,455 CDM,PX-A29584,PR ANES FOR APP MULTILYR COMPRSN AM/HD/FIN,183.0,162.87,161.04,183.0,455 CDM,PX-A29700,PR ANES FOR RMVL/BIVALV CAST BODY,183.0,162.87,161.04,183.0,455 CDM,PX-A29705,PR ANES FOR RMVL/BIVALV CAST FULL ARM/LEG,183.0,162.87,161.04,183.0,455 CDM,PX-A29710,PR ANES FOR RMVL/BIVAL SHLDR/HIP,183.0,162.87,161.04,183.0,455 CDM,PX-A29720,PR ANES FOR RPR SPICA BODY CAST,183.0,162.87,161.04,183.0,455 CDM,PX-A29730,PR ANES FOR WINDOWING OF CAST,183.0,162.87,161.04,183.0,455 CDM,PX-A29740,PR ANES FOR WEDGING CAST EXCEPT CLUBFOOT,183.0,162.87,161.04,183.0,455 CDM,PX-A29750,PR ANES FOR WEDGING CLUBFOOT CAST,183.0,162.87,161.04,183.0,455 CDM,PX-A29799,"PR ANES FOR UNLISTED PROC, CASTING OR STRAPPING",183.0,162.87,161.04,183.0,455 CDM,PX-A29800,PR ANES FOR ATHRSCPY TMJ DX W/WO SYNOVL BX,183.0,162.87,161.04,183.0,455 CDM,PX-A29804,PR ANES FOR ARTHROSCOPY TMJ SURGICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A29805,PR ANES FOR ARTHROSCOPY SHLDR DX W/WO BX,183.0,162.87,161.04,183.0,455 CDM,PX-A29806,PR ANES FOR ARTHSC SHLDR CAPSULORRHAPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A29807,PR ANES FOR ARTHSC SHLDR RPR SLAP LESN,183.0,162.87,161.04,183.0,455 CDM,PX-A29819,PR ANES FOR ARTHSC SHLDR W RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A29820,PR ANES FOR ARTHSC SHLDR SYNO PARTIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A29821,PR ANES FOR ARTHSC SHLDR SYNO COMPLETE,183.0,162.87,161.04,183.0,455 CDM,PX-A29822,PR ANES FOR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2,183.0,162.87,161.04,183.0,455 CDM,PX-A29823,PR ANES FOR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+,183.0,162.87,161.04,183.0,455 CDM,PX-A29824,PR ANES FOR ARTHSC SHLDR DISTAL CLAVTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A29825,PR ANES FOR ARTHSC SHLDR LYSIS ADHESION,183.0,162.87,161.04,183.0,455 CDM,PX-A29826,PR ANES FOR ARTHSC SHLDR DCMPRN SUBACR SPC,183.0,162.87,161.04,183.0,455 CDM,PX-A29827,PR ANES FOR ARTHSC SHLDR W ROTATOR CUFF RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A29828,PR ANES FOR ARTHSC SHLDR BICEPS TENODESIS,183.0,162.87,161.04,183.0,455 CDM,PX-A29830,PR ANES FOR ARTHSC ELBOW DX W/WO SYNOV BX,183.0,162.87,161.04,183.0,455 CDM,PX-A29834,PR ANES FOR ARTHSC ELBOW W RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A29835,PR ANES FOR ARTHSC ELBOW SYNOVECTOMY PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A29836,PR ANES FOR ARTHSC ELBOW SYNOVECTOMY COMPLT,183.0,162.87,161.04,183.0,455 CDM,PX-A29837,PR ANES FOR ARTHSC ELBOW DBRD LIMITED,183.0,162.87,161.04,183.0,455 CDM,PX-A29838,PR ANES FOR ARTHSC ELBOW DBRD EXTEN,183.0,162.87,161.04,183.0,455 CDM,PX-A29840,PR ANES FOR ARTHSC WRIST DX W/WO SYNOV BX,183.0,162.87,161.04,183.0,455 CDM,PX-A29843,PR ANES FOR ARTHSC WRST INFECT LAVAGE&DRAIN,183.0,162.87,161.04,183.0,455 CDM,PX-A29844,PR ANES FOR ARTHSC WRST SYNOVECTOMY PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A29845,PR ANES FOR ARTHSC WRST SYNOVECTOMY COMPLT,183.0,162.87,161.04,183.0,455 CDM,PX-A29846,PR ANES FOR ARTHSC WRIST EXCISN/REPAIR,183.0,162.87,161.04,183.0,455 CDM,PX-A29847,PR ANES FOR ARTHSC WRST INT FIX FX/INSTBLTY,183.0,162.87,161.04,183.0,455 CDM,PX-A29848,PR ANES FOR ENDO WRST RLS TRNSV CRPL LGMNT,183.0,162.87,161.04,183.0,455 CDM,PX-A29850,PR ANES FOR KNEE ARTHROSCOPY/SURGERY,183.0,162.87,161.04,183.0,455 CDM,PX-A29851,PR ANES FOR ARTHSC SPINE&/ KNEE FX W FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A29855,PR ANES FOR ARTHSC TIB FX PROX UNICNDYLR,183.0,162.87,161.04,183.0,455 CDM,PX-A29856,PR ANES FOR ARTHSC TIB FX PROX BICONDYLR,183.0,162.87,161.04,183.0,455 CDM,PX-A29860,PR ANES FOR ARTHSC HIP DX W/WO SYNOVIAL BX,183.0,162.87,161.04,183.0,455 CDM,PX-A29861,PR ANES FOR ARTHSC HIP W RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A29862,PR ANES FOR ARTHSC HIP W DEBRIDEMENT,183.0,162.87,161.04,183.0,455 CDM,PX-A29863,PR ANES FOR ARTHSC HIP W SYNOVECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A29866,PR ANES FOR ARTHSC KNE OSTEOCHON AUTOGRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A29867,PR ANES FOR ARTHSC KNE OSTEOCHON ALLOGRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A29868,PR ANES FOR ARTHSC KNE MNSC TRANSPL MED/LAT,183.0,162.87,161.04,183.0,455 CDM,PX-A29870,PR ANES FOR ARTHSC KNEE DX W/WO SYNOV BX,183.0,162.87,161.04,183.0,455 CDM,PX-A29871,PR ANES FOR ARTHSC KNEE LAVAGE&DRAINAGE,183.0,162.87,161.04,183.0,455 CDM,PX-A29873,PR ANES FOR ARTHSC KNEE W LAT RELEASE,183.0,162.87,161.04,183.0,455 CDM,PX-A29874,PR ANES FOR ARTHSC KNEE W RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A29875,PR ANES FOR ARTHSC KNEE SYNOVECTOMY LTD,183.0,162.87,161.04,183.0,455 CDM,PX-A29876,PR ANES FOR ARTHSC KNEE SYNOVECTOMY MJR,183.0,162.87,161.04,183.0,455 CDM,PX-A29877,PR ANES FOR ARTHSC KNEE DBRD/SHAVE CRTLG,183.0,162.87,161.04,183.0,455 CDM,PX-A29879,PR ANES FOR ARTHSC KNEE ABRASION ARTHRO,183.0,162.87,161.04,183.0,455 CDM,PX-A29880,PR ANES FOR ARTHSC KNE W MNSCECTOMY MED&LAT,183.0,162.87,161.04,183.0,455 CDM,PX-A29881,PR ANES FOR ARTHSC KNE W MNSCECTOMY MED/LAT,183.0,162.87,161.04,183.0,455 CDM,PX-A29882,PR ANES FOR ARTHSC KNE W MNSC RPR MED/LAT,183.0,162.87,161.04,183.0,455 CDM,PX-A29883,PR ANES FOR ARTHSC KNE W MNSC RPR MED&LAT,183.0,162.87,161.04,183.0,455 CDM,PX-A29884,PR ANES FOR ARTHSC KNEE W LYSIS ADHESN,183.0,162.87,161.04,183.0,455 CDM,PX-A29885,PR ANES FOR ARTHSC KNEE W DRILL GRAFTING,183.0,162.87,161.04,183.0,455 CDM,PX-A29886,PR ANES FOR ARTHSC KNEE W DRILL LESN,183.0,162.87,161.04,183.0,455 CDM,PX-A29887,PR ANES FOR ARTHSC KNEE W DRILL INT FIX,183.0,162.87,161.04,183.0,455 CDM,PX-A29888,PR ANES FOR ARTHSC AID ACL RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A29889,PR ANES FOR ARTHSC AID PCL RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A29891,PR ANES FOR ARTHSC ANKLE EXCISN DEFECT,183.0,162.87,161.04,183.0,455 CDM,PX-A29892,PR ANES FOR ARTHSC REPAIR ANKLE,183.0,162.87,161.04,183.0,455 CDM,PX-A29893,PR ANES FOR ENDOSCOPIC PLANTAR FASCIOTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A29894,PR ANES FOR ARTHSC ANKLE W RVML FB,183.0,162.87,161.04,183.0,455 CDM,PX-A29895,PR ANES FOR ARTHSC ANKLE SYNO PARTIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A29897,PR ANES FOR ARTHSC ANKLE DRBD LIMITED,183.0,162.87,161.04,183.0,455 CDM,PX-A29898,PR ANES FOR ARTHSC ANKLE DRBD EXTEN,183.0,162.87,161.04,183.0,455 CDM,PX-A29899,PR ANES FOR ARTHSC ANKLE W ARTHRODESIS,183.0,162.87,161.04,183.0,455 CDM,PX-A29900,PR ANES FOR ARTHSC MCP JOINT BX,183.0,162.87,161.04,183.0,455 CDM,PX-A29901,PR ANES FOR ARTHSC MCP W DEBRID,183.0,162.87,161.04,183.0,455 CDM,PX-A29902,PR ANES FOR ARTHSC MCP W REDUC COLAT LGMT,183.0,162.87,161.04,183.0,455 CDM,PX-A29904,PR ANES FOR SUBTALAR ARTHRO W FB RMVL,183.0,162.87,161.04,183.0,455 CDM,PX-A29905,PR ANES FOR ARTHSC SUBTALAR JT W SYNO,183.0,162.87,161.04,183.0,455 CDM,PX-A29906,PR ANES FOR ARTHSC SUBTALAR JT W DBRD,183.0,162.87,161.04,183.0,455 CDM,PX-A29907,PR ANES FOR ARTHSC SUBTALAR JT ARTHRODESIS,183.0,162.87,161.04,183.0,455 CDM,PX-A29914,PR ANES FOR ARTHRSC HIP W FEMOROPLASTY,183.0,162.87,161.04,183.0,455 CDM,PX-A29915,PR ANES FOR ARTHRSC HIP W ACETABULOPLSTY,183.0,162.87,161.04,183.0,455 CDM,PX-A29916,PR ANES FOR ARTHRSC HIP W LABRAL REPAIR,183.0,162.87,161.04,183.0,455 CDM,PX-A29999,PR ANES FOR UNLISTED PROCEDURE ARTHROSCOPY,183.0,162.87,161.04,183.0,455 CDM,PX-A30000,PR ANES FOR DRAIN ABSC/HEM NASAL INT APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A30020,PR ANES FOR DRAIN ABSC/HEM NASAL SEPTUM,183.0,162.87,161.04,183.0,455 CDM,PX-A30100,PR ANES FOR BIOPSY INTRANASAL,183.0,162.87,161.04,183.0,455 CDM,PX-A30110,PR ANES FOR EXCISION NASAL POLYP SIMPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A30115,PR ANES FOR EXCISION NASAL POLYP EXTENSIVE,183.0,162.87,161.04,183.0,455 CDM,PX-A30117,PR ANES FOR EXCISN/DEST INTNASAL LESN INT APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A30118,PR ANES FOR EXCISN/DEST INTNASAL LESN EXT APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A30120,PR ANES FOR EXC/SURG PLN SKN/NOSE RHINOPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A30124,PR ANES FOR EXCISN CYST NOSE SMPL SUBQ,183.0,162.87,161.04,183.0,455 CDM,PX-A30125,PR ANES FOR EXCISN CYST NOSE CMPLX BN/CRTLG,183.0,162.87,161.04,183.0,455 CDM,PX-A30130,PR ANES FOR EXCISN TURBINATE PRTL/COMPLT,183.0,162.87,161.04,183.0,455 CDM,PX-A30140,PR ANES FOR SUBMUC RSECT TURB PRTL/COMPLT,183.0,162.87,161.04,183.0,455 CDM,PX-A30150,PR ANES FOR RHINECTOMY PARTIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A30160,PR ANES FOR RHINECTOMY TOTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A30200,PR ANES FOR INJ TURBINATE THERAPEUTIC,183.0,162.87,161.04,183.0,455 CDM,PX-A30210,PR ANES FOR NASAL SINUS THERAPY,183.0,162.87,161.04,183.0,455 CDM,PX-A30220,PR ANES FOR INS NASAL/SEPTAL PROSTH BUTTON,183.0,162.87,161.04,183.0,455 CDM,PX-A30300,PR ANES FOR RMVL FB INTRANASAL OFFICE PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A30310,PR ANES FOR RMVL FB INTRANASAL GEN ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A30320,PR ANES FOR RMVL FB INTRANASAL LAT RHINTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A30400,PR ANES FOR RHINP PRIM/LAT CRTLG NASALTIP,183.0,162.87,161.04,183.0,455 CDM,PX-A30410,PR ANES FOR RHINP PRIM COMPLT EXTRNL PARTS,183.0,162.87,161.04,183.0,455 CDM,PX-A30420,PR ANES FOR RHINP PRIM W MJR SEPTAL REPAIR,183.0,162.87,161.04,183.0,455 CDM,PX-A30430,PR ANES FOR RHINP SECNDRY MINOR REVISION,183.0,162.87,161.04,183.0,455 CDM,PX-A30435,PR ANES FOR RHINP SECNDRY INT REVISION,183.0,162.87,161.04,183.0,455 CDM,PX-A30450,PR ANES FOR RHINP SECNDRY MAJOR REVISION,183.0,162.87,161.04,183.0,455 CDM,PX-A30460,PR ANES FOR RHINOPLASTY TIP ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A30462,PR ANES FOR RHINOPLASTY TIP/SEPT/OSTEOT,183.0,162.87,161.04,183.0,455 CDM,PX-A30465,PR ANES FOR RPR NASAL VESTIBULAR STENOSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A30468,PR ANES FOR RPR NSL VLV COLLAPSE SUBQ/SBMCSL LAT WALL IMPLT,183.0,162.87,161.04,183.0,455 CDM,PX-A30469,PR ANES FOR RPR NSL VLV COLLAPSE W/RMDLG,183.0,162.87,161.04,183.0,455 CDM,PX-A30520,PR ANES FOR SEPTO/SUBM RESEC W/WO CART GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A30540,PR ANES FOR RPR CHOANAL ATRESIA INTRANASAL,183.0,162.87,161.04,183.0,455 CDM,PX-A30545,"PR ANES FOR REPAIR CHOANAL ATRESIA,TRANSPALATIN",183.0,162.87,161.04,183.0,455 CDM,PX-A30560,PR ANES FOR LYSIS INTRANASAL SYNECHIA,183.0,162.87,161.04,183.0,455 CDM,PX-A30580,PR ANES FOR REPAIR FISTULA OROMAXILLARY,183.0,162.87,161.04,183.0,455 CDM,PX-A30600,PR ANES FOR REPAIR FISTULA ORONASAL,183.0,162.87,161.04,183.0,455 CDM,PX-A30620,PR ANES FOR SEPTAL INTRANASAL DERMAPLASTY,183.0,162.87,161.04,183.0,455 CDM,PX-A30630,PR ANES FOR RPR NASAL SEPTAL PERFORATIONS,183.0,162.87,161.04,183.0,455 CDM,PX-A30801,PR ANES FOR ABLT TURBINATES UNI/BILAT SUPFC,183.0,162.87,161.04,183.0,455 CDM,PX-A30802,PR ANES FOR ABLT TURB UNI/BILAT SUPFC INTMURL,183.0,162.87,161.04,183.0,455 CDM,PX-A30901,PR ANES FOR CTRL NASAL HEMR ANTERIOR SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A30903,PR ANES FOR CTRL NASAL HEMR ANTERIOR CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A30905,PR ANES FOR CTRL NSL HEMR PST PCK/CAUT INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A30906,PR ANES FOR CTRL NSL HEMR PCK&/CAU SUBSQ,183.0,162.87,161.04,183.0,455 CDM,PX-A30915,PR ANES FOR LIGATION ARTERIES ETHMOIDAL,183.0,162.87,161.04,183.0,455 CDM,PX-A30920,PR ANES FOR LIG ARTY INTRN MXLRY TRANSNTRL,183.0,162.87,161.04,183.0,455 CDM,PX-A30930,PR ANES FOR FX NASAL INFR TURB THERAPEUTIC,183.0,162.87,161.04,183.0,455 CDM,PX-A30999,PR ANES FOR UNLISTED PROCEDURE NOSE,183.0,162.87,161.04,183.0,455 CDM,PX-A31000,PR ANES FOR LAVAGE CANNULATION MXLRY SINUS,183.0,162.87,161.04,183.0,455 CDM,PX-A31002,PR ANES FOR IRRIGATION SPHENOID SINUS,183.0,162.87,161.04,183.0,455 CDM,PX-A31020,PR ANES FOR SINUSOTOMY MXLRY ANTR INTNASAL,183.0,162.87,161.04,183.0,455 CDM,PX-A31030,PR ANES FOR SINUSOTOMY MXLRY WO PLYP RMVL,183.0,162.87,161.04,183.0,455 CDM,PX-A31032,PR ANES FOR SINUSOTOMY MXLRY W PLYP RMVL,183.0,162.87,161.04,183.0,455 CDM,PX-A31040,PR ANES FOR PTERYGOMXLRY FOSSA SURG ANY,183.0,162.87,161.04,183.0,455 CDM,PX-A31050,PR ANES FOR SINUSOTOMY SPHENOID W/WO BX,183.0,162.87,161.04,183.0,455 CDM,PX-A31051,PR ANES FOR SINUSOT SPHEN W MUCS RMVL PLYP,183.0,162.87,161.04,183.0,455 CDM,PX-A31070,PR ANES FOR SINUSOT FRONTAL EXTERNAL SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A31075,PR ANES FOR SINUSOT FRONTAL TRANSORBT UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A31080,PR ANES FOR SINUSOT FRNT OBLIT WO FLAP BROW,183.0,162.87,161.04,183.0,455 CDM,PX-A31081,PR ANES FOR SINUSOT FRNT OBLIT WO FLAP CRNL,183.0,162.87,161.04,183.0,455 CDM,PX-A31084,PR ANES FOR SINUSOT FRNT OBLIT W FLAP BROW,183.0,162.87,161.04,183.0,455 CDM,PX-A31085,PR ANES FOR SINUSOT FRNT OBLIT W FLAP CRNL,183.0,162.87,161.04,183.0,455 CDM,PX-A31086,PR ANES FOR SINUSOT FRNT NONOBLIT W/FLAP BROW INCISN,183.0,162.87,161.04,183.0,455 CDM,PX-A31087,PR ANES FOR SINUSOT FRNT NONOBL W FLAP,183.0,162.87,161.04,183.0,455 CDM,PX-A31090,PR ANES FOR SINUSOT UNILAT >=3 PARANSL SINUS,183.0,162.87,161.04,183.0,455 CDM,PX-A31200,PR ANES FOR ETHMOIDECTOMY INTRANASAL ANTR,183.0,162.87,161.04,183.0,455 CDM,PX-A31201,PR ANES FOR ETHMOIDECTOMY INTRANASAL TOTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A31205,PR ANES FOR ETHMOIDECTOMY EXTRANASAL TOTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A31225,PR ANES FOR MAXILLECTOMY WO ORBITAL EXNTR,183.0,162.87,161.04,183.0,455 CDM,PX-A31230,PR ANES FOR MAXILLECTOMY W ORBITAL EXNTR,183.0,162.87,161.04,183.0,455 CDM,PX-A31231,PR ANES FOR NASAL ENDOSCOPY DX UNI/BILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A31233,PR ANES FOR NSL/SINS NDSC DX MAX SINUS,183.0,162.87,161.04,183.0,455 CDM,PX-A31235,PR ANES FOR NSL/SINS NDSC DX SPHN SINUS,183.0,162.87,161.04,183.0,455 CDM,PX-A31237,PR ANES FOR ENDO/POLYPECT NOSE/SINUS SURG,183.0,162.87,161.04,183.0,455 CDM,PX-A31238,PR ANES FOR ENDO/PLYPECT NOSE W CNTRL HEMR,183.0,162.87,161.04,183.0,455 CDM,PX-A31239,PR ANES FOR ENDO NSAL DACRYOCSTORHINOSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A31240,PR ANES FOR ENDO NSL/SNS W CONCH RSECT,183.0,162.87,161.04,183.0,455 CDM,PX-A31241,PR ANES FOR NSL/SINS NDSC W/ARTERY LIG,183.0,162.87,161.04,183.0,455 CDM,PX-A31242,PR ANES FOR NASAL/SINUS NDSC DSTRJ RF ABLATION PST NSL NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A31243,PR ANES FOR NASAL/SINUS NDSC DSTRJ CRYOABLATION PST NSL NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A31253,PR ANES FOR NSL/SINS NDSC TOTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A31254,PR ANES FOR ENDO NSL/SNS W ETHMDCTOMY PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A31255,PR ANES FOR ENDO NSL/SNS W ETHMDCTOMY TOTL,183.0,162.87,161.04,183.0,455 CDM,PX-A31256,PR ANES FOR ENDO NSL/SNS W MXLRY ANTROSTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A31257,PR ANES FOR NSL/SINS NDSC TOT W/SPHENDT,183.0,162.87,161.04,183.0,455 CDM,PX-A31259,PR ANES FOR NSL/SINS NDSC SPHN TISS RMVL,183.0,162.87,161.04,183.0,455 CDM,PX-A31267,PR ANES FOR ENDO NSL MAX ANTROST W RMV TIS,183.0,162.87,161.04,183.0,455 CDM,PX-A31276,PR ANES FOR ENDO NSL W FRNTL SINUS EXPLOR,183.0,162.87,161.04,183.0,455 CDM,PX-A31287,PR ANES FOR ENDO NSL/ENDO W SPHENOIDOTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A31288,PR ANES FOR ENDO NSL SPHENDTMY W TISS RMVL,183.0,162.87,161.04,183.0,455 CDM,PX-A31290,PR ANES FOR ENDO NSL RPR CSF LEAK ETHMOID,183.0,162.87,161.04,183.0,455 CDM,PX-A31291,PR ANES FOR ENDO NSL RPR CSF LEAK SPHEMOID,183.0,162.87,161.04,183.0,455 CDM,PX-A31292,PR ANES FOR NSL/SINS NDSC MED/INF DCMPRN,183.0,162.87,161.04,183.0,455 CDM,PX-A31293,PR ANES FOR NASAL/SINUS ENDSCOPY SURG,183.0,162.87,161.04,183.0,455 CDM,PX-A31294,PR ANES FOR NSL/SINS NDSC SURG ON DCMPRN,183.0,162.87,161.04,183.0,455 CDM,PX-A31295,PR ANES FOR NSL/SINS NDSC SURG MAX SINUS,183.0,162.87,161.04,183.0,455 CDM,PX-A31296,PR ANES FOR ENDO NSL W DIL FRNTL SINUS,183.0,162.87,161.04,183.0,455 CDM,PX-A31297,PR ANES FOR NSL/SINS NDSC SURG SPHN SINUS,183.0,162.87,161.04,183.0,455 CDM,PX-A31298,PR ANES FOR SNS/SINS NDSC SRUG FRONT & SPHN,183.0,162.87,161.04,183.0,455 CDM,PX-A31299,PR ANES FOR UNLISTED PROC ACCESSORY SINUS,183.0,162.87,161.04,183.0,455 CDM,PX-A31300,PR ANES FOR LARYNGOT W RMVL TMR CORDECTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A31360,PR ANES FOR LARYNGECT TOT WO RAD NK DISEC,183.0,162.87,161.04,183.0,455 CDM,PX-A31365,PR ANES FOR LARYNGECT TOT W RAD NK DISEC,183.0,162.87,161.04,183.0,455 CDM,PX-A31367,PR ANES FOR LARYNGECT SUBTOT WO NK DISEC,183.0,162.87,161.04,183.0,455 CDM,PX-A31368,PR ANES FOR LARYNGECT SUBTOT W NK DISEC,183.0,162.87,161.04,183.0,455 CDM,PX-A31370,PR ANES FOR LARYNGECT PRTL HORIZONTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A31375,PR ANES FOR PRTL REMOVAL OF LARYNX,183.0,162.87,161.04,183.0,455 CDM,PX-A31380,PR ANES FOR LARYNGECT PRTL ANTEROVERTICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A31382,PR ANES FOR LARYNGECT PRTL ANTERO LAT VERT,183.0,162.87,161.04,183.0,455 CDM,PX-A31390,PR ANES FOR PHARYNGOLARYNGECTOMY WO RCNST,183.0,162.87,161.04,183.0,455 CDM,PX-A31395,PR ANES FOR PHARYNGOLARYNGECTOMY W RCNST,183.0,162.87,161.04,183.0,455 CDM,PX-A31400,PR ANES FOR ARYTENOIDECTOMY/ARYTENOIDOPEXY,183.0,162.87,161.04,183.0,455 CDM,PX-A31420,PR ANES FOR EPIGLOTTIDECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A31500,PR ANES FOR INTUB W ETT,183.0,162.87,161.04,183.0,455 CDM,PX-A31502,PR ANES FOR TRACHEOTOMY TUBE CHANGE,183.0,162.87,161.04,183.0,455 CDM,PX-A31505,PR ANES FOR LARYNG INDIRECT DX,183.0,162.87,161.04,183.0,455 CDM,PX-A31510,PR ANES FOR LARYNG INDIRECT W BX,183.0,162.87,161.04,183.0,455 CDM,PX-A31511,PR ANES FOR LARYNG INDIRECT W RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A31512,"PR ANES FOR LARYNGOSCOPY,INDIRECT+REMV LESN",183.0,162.87,161.04,183.0,455 CDM,PX-A31513,PR ANES FOR LARYNG IND W VOC CORD INJ,183.0,162.87,161.04,183.0,455 CDM,PX-A31515,PR ANES FOR LARYNG W/WO TRACHEO ASP,183.0,162.87,161.04,183.0,455 CDM,PX-A31520,PR ANES FOR LARYNG W/WO TRACHEO DX NEWBRN,183.0,162.87,161.04,183.0,455 CDM,PX-A31525,PR ANES FOR LARYNG W/WO TRACHEO DX NOT NB,183.0,162.87,161.04,183.0,455 CDM,PX-A31526,PR ANES FOR LARYNG W/WO TRACHEO W MIC/TEL,183.0,162.87,161.04,183.0,455 CDM,PX-A31527,PR ANES FOR LARYNG W/WO TRACHEO OBTURATOR,183.0,162.87,161.04,183.0,455 CDM,PX-A31528,PR ANES FOR LARYNG W/WO TRACHEO DIL INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A31529,PR ANES FOR LARYNG W/WO TRACHEO DIL SUBQ,183.0,162.87,161.04,183.0,455 CDM,PX-A31530,PR ANES FOR LARYNG DIRECT W FB RMVL,183.0,162.87,161.04,183.0,455 CDM,PX-A31531,PR ANES FOR LARYNG FB RMVL MICRO/TEL,183.0,162.87,161.04,183.0,455 CDM,PX-A31535,PR ANES FOR LARYNG DIRECT OP W BX,183.0,162.87,161.04,183.0,455 CDM,PX-A31536,PR ANES FOR LARYNG W BX MICRO/TEL,183.0,162.87,161.04,183.0,455 CDM,PX-A31540,PR ANES FOR LARYNG DIRECT W EXCISN TMR,183.0,162.87,161.04,183.0,455 CDM,PX-A31541,PR ANES FOR LARYNG EXCISN TMR W MICRO/TEL,183.0,162.87,161.04,183.0,455 CDM,PX-A31545,PR ANES FOR LARYNG LESN RMVL VOCAL CORD,183.0,162.87,161.04,183.0,455 CDM,PX-A31546,PR ANES FOR LARYNG LESN RMVL VC W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A31551,PR ANES FOR LARYNGPLSTY W GRFT WO STNT <12YRS,183.0,162.87,161.04,183.0,455 CDM,PX-A31552,PR ANES FOR LARYNGPLSTY W GRFT WO STEN PLC >12 YR,183.0,162.87,161.04,183.0,455 CDM,PX-A31553,PR ANES FOR LARYNGPLSTY W GRFT W STEN PLC <12 YR,183.0,162.87,161.04,183.0,455 CDM,PX-A31554,PR ANES FOR LARYNGPLSTY W GRFT W STEN PLC >12 YR,183.0,162.87,161.04,183.0,455 CDM,PX-A31560,PR ANES FOR LARYNGOSCOPY W/ARYTENOIDECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A31561,PR ANES FOR LARYNG ARYTENOIDECTMY MIC/TEL,183.0,162.87,161.04,183.0,455 CDM,PX-A31570,PR ANES FOR LARYNG INJ VOCAL CORD THER,183.0,162.87,161.04,183.0,455 CDM,PX-A31571,PR ANES FOR LARYNG INJ VOCAL CORD MIC/TEL,183.0,162.87,161.04,183.0,455 CDM,PX-A31572,PR ANES FOR LARYNG W LASER DEST LESN,183.0,162.87,161.04,183.0,455 CDM,PX-A31573,PR ANES FOR LARYNG FLEX W THER INJ,183.0,162.87,161.04,183.0,455 CDM,PX-A31574,PR ANES FOR LARYNG FLEX W INJ AUGMENTATION,183.0,162.87,161.04,183.0,455 CDM,PX-A31575,PR ANES FOR LARYNG FLEX FIBEROPTIC DX,183.0,162.87,161.04,183.0,455 CDM,PX-A31576,PR ANES FOR LARYNG FLEX FIBEROPTIC W BX,183.0,162.87,161.04,183.0,455 CDM,PX-A31577,PR ANES FOR LARYNG FLEX FBROPTIC RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A31578,PR ANES FOR LARYNG FLEX FBROPTIC RMVL LES,183.0,162.87,161.04,183.0,455 CDM,PX-A31579,PR ANES FOR LARYNG FBROPTIC W STROBOSCOPY,183.0,162.87,161.04,183.0,455 CDM,PX-A31580,PR ANES FOR LARYNGPLSTY 2 STG W KEEL INSERT,183.0,162.87,161.04,183.0,455 CDM,PX-A31584,PR ANES FOR LARYNGOPLASTY W OPEN REDUC FX,183.0,162.87,161.04,183.0,455 CDM,PX-A31587,PR ANES FOR LARYNGOPLASTY CRICOID SPLIT,183.0,162.87,161.04,183.0,455 CDM,PX-A31590,PR ANES FOR LARYNX REINNERVATION NEUROMUSC,183.0,162.87,161.04,183.0,455 CDM,PX-A31591,PR ANES FOR LARYNGOPLASTY MEDIALIZATION,183.0,162.87,161.04,183.0,455 CDM,PX-A31592,PR ANES FOR CRICOTRACHEAL RESECTION,183.0,162.87,161.04,183.0,455 CDM,PX-A31599,PR ANES FOR UNLISTED PROCEDURE LARYNX,183.0,162.87,161.04,183.0,455 CDM,PX-A31600,PR ANES FOR TRACHEOSTOMY PLANNED SEP PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A31601,PR ANES FOR TRACHEOSTOMY PLANNED < 2YRS,183.0,162.87,161.04,183.0,455 CDM,PX-A31603,PR ANES FOR TRACHEOSTOMY EMR TRANSTRACHEAL,183.0,162.87,161.04,183.0,455 CDM,PX-A31605,PR ANES FOR TRACHEOSTOMY EMR CRICOTHYROID,183.0,162.87,161.04,183.0,455 CDM,PX-A31610,PR ANES FOR TRACHEOST FENESTRATION W FLAPS,183.0,162.87,161.04,183.0,455 CDM,PX-A31611,PR ANES FOR CNSTRCT TRACHEOESOPHGL FSTL,183.0,162.87,161.04,183.0,455 CDM,PX-A31612,PR ANES FOR PUNCTURE TRACHEAL ASP/INJ,183.0,162.87,161.04,183.0,455 CDM,PX-A31613,PR ANES FOR TRACHSTOMA REV WO FLAP ROTAT SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A31614,PR ANES FOR TRACHSTOMA REV W FLAP ROTAT CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A31615,PR ANES FOR TRACHEOBRONCH EST TRACH INC,183.0,162.87,161.04,183.0,455 CDM,PX-A31622,PR ANES FOR BRONCH DX W CELL WASH FLUOR,183.0,162.87,161.04,183.0,455 CDM,PX-A31623,PR ANES FOR BRONCHOSCOPY DX W BRUSHING,183.0,162.87,161.04,183.0,455 CDM,PX-A31624,PR ANES FOR BRONCHOSCOPY W ALVEOLAR LAVAGE,183.0,162.87,161.04,183.0,455 CDM,PX-A31625,PR ANES FOR BRONCHOSCOPY W BX >=1 SITE,183.0,162.87,161.04,183.0,455 CDM,PX-A31626,PR ANES FOR BRONCH W PLCMT FIDUCIAL MARKER,183.0,162.87,161.04,183.0,455 CDM,PX-A31627,PR ANES FOR BRONCH W COMP ASST IMG NAV,183.0,162.87,161.04,183.0,455 CDM,PX-A31628,PR ANES FOR BRONCH TRANSBRONCH LUNG BX SNG,183.0,162.87,161.04,183.0,455 CDM,PX-A31629,PR ANES FOR BRONCH TRANSBRONCH NDL ASP BX,183.0,162.87,161.04,183.0,455 CDM,PX-A31630,PR ANES FOR BRONCH W TRACHEAL/BRONCH DIL,183.0,162.87,161.04,183.0,455 CDM,PX-A31631,PR ANES FOR BRONCH W TRACH STENT PLCMNT,183.0,162.87,161.04,183.0,455 CDM,PX-A31632,PR ANES FOR BRONCH TRANSBRONCH LUNG BX EA,183.0,162.87,161.04,183.0,455 CDM,PX-A31633,PR ANES FOR BRONCH TRANSBRONCH NDL ASP EA,183.0,162.87,161.04,183.0,455 CDM,PX-A31634,PR ANES FOR BRONCHOSCOPY BALLOON OCCLUSION,183.0,162.87,161.04,183.0,455 CDM,PX-A31635,PR ANES FOR BRONCHOSCOPY W REMOVAL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A31636,PR ANES FOR BRONCH W PLC BRNCL STENT INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A31637,PR ANES FOR BRONCH W PLC BRNCL STENT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A31638,PR ANES FOR BRONCH REV TRACH/BRNCL STENT,183.0,162.87,161.04,183.0,455 CDM,PX-A31640,PR ANES FOR BRONCHOSCOPY W EXCISN TUMOR,183.0,162.87,161.04,183.0,455 CDM,PX-A31641,PR ANES FOR BRONCH DEST TMR RLF STENOSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A31643,PR ANES FOR BRONCH PLC CATH RADIOELMNT APP,183.0,162.87,161.04,183.0,455 CDM,PX-A31645,PR ANES FOR BRONCHOSCOPY W ASP THER INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A31646,PR ANES FOR BRONCHOSCOPY W ASP THER SUBSQ,183.0,162.87,161.04,183.0,455 CDM,PX-A31647,PR ANES FOR BRONCH W BALN OCC INIT LOBE,183.0,162.87,161.04,183.0,455 CDM,PX-A31648,PR ANES FOR BRONCH RMVL BRONCHL VALVE INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A31649,PR ANES FOR BRONCH RMVL BRONCHL VALVE ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A31651,PR ANES FOR BRONCH OCCLUS VALVE ADD LOBE,183.0,162.87,161.04,183.0,455 CDM,PX-A31652,PR ANES FOR BRONCH W EBUS 1-2 NODE SAMPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A31653,PR ANES FOR BRONCH W EBUS >=3 NODE SAMPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A31654,PR ANES FOR BRONCH W EBUS DX/TX PERIPH LESN,183.0,162.87,161.04,183.0,455 CDM,PX-A31660,PR ANES FOR BRONCH THERMOPLASTY ONE LOBE,183.0,162.87,161.04,183.0,455 CDM,PX-A31661,PR ANES FOR BRONCH THERMOPLASTY >=2 LOBES,183.0,162.87,161.04,183.0,455 CDM,PX-A31717,PR ANES FOR CATH W BRONCHIAL BRUSH BIOPSY,183.0,162.87,161.04,183.0,455 CDM,PX-A31720,"PR ANES FOR CATHETER ASPIRATN,NASOTRACH",183.0,162.87,161.04,183.0,455 CDM,PX-A31725,PR ANES FOR CATH ASP TRACHEOBRONCH FIBRSCP,183.0,162.87,161.04,183.0,455 CDM,PX-A31730,PR ANES FOR INTRO WINDPIPE WIRE/TUBE,183.0,162.87,161.04,183.0,455 CDM,PX-A31750,PR ANES FOR TRACHEOPLASTY CERVICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A31755,PR ANES FOR TRACHEOPLST TRACHEOPHARYNGL EA,183.0,162.87,161.04,183.0,455 CDM,PX-A31760,PR ANES FOR TRACHEOPLASTY INTRATHORACIC,183.0,162.87,161.04,183.0,455 CDM,PX-A31766,PR ANES FOR CARINAL RECONSTRUCTION,183.0,162.87,161.04,183.0,455 CDM,PX-A31770,PR ANES FOR BRONCHOPLASTY GRAFT REPAIR,183.0,162.87,161.04,183.0,455 CDM,PX-A31775,PR ANES FOR BRONCHOPLASTY EXC STENOS&ANAST,183.0,162.87,161.04,183.0,455 CDM,PX-A31780,PR ANES FOR EXCISN TRACHEA STENOSIS&ANASTO,183.0,162.87,161.04,183.0,455 CDM,PX-A31781,PR ANES FOR EXCISN TRACH STEN&ANAST CERVICTHOR,183.0,162.87,161.04,183.0,455 CDM,PX-A31785,PR ANES FOR EXCISN TRACHEA TMR CERVICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A31786,PR ANES FOR EXCISN TRACHEA TMR THORACIC,183.0,162.87,161.04,183.0,455 CDM,PX-A31800,PR ANES FOR SUTURE TRACHEAL WOUND CERVICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A31805,PR ANES FOR SUTR TRACH WND INTRATHORACIC,183.0,162.87,161.04,183.0,455 CDM,PX-A31820,PR ANES FOR SURG CLSR TRACH/FSTLA WO RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A31825,PR ANES FOR SURG CLSR TRACH/FSTLA W RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A31830,PR ANES FOR REVISION TRACHEOSTOMY SCAR,183.0,162.87,161.04,183.0,455 CDM,PX-A31899,PR ANES FOR UNLISTED PROC TRACHEA BRONCHI,183.0,162.87,161.04,183.0,455 CDM,PX-A32035,PR ANES FOR THORACOSTOMY EMPYEMA RIB RSECT,183.0,162.87,161.04,183.0,455 CDM,PX-A32036,PR ANES FOR THORACOSTOMY DRAINAGE EMPYEMA,183.0,162.87,161.04,183.0,455 CDM,PX-A32096,PR ANES FOR THORCTMY BX LUNG INFILTRATE UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A32097,PR ANES FOR THORCTMY BX LNG NODL/MASS UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A32098,PR ANES FOR THORCTMY W BIOPSY OF PLEURA,183.0,162.87,161.04,183.0,455 CDM,PX-A32100,PR ANES FOR THORCTMY WITH EXPLORATION,183.0,162.87,161.04,183.0,455 CDM,PX-A32110,PR ANES FOR THORCTMY CTRL HEMRG/RPR TEAR,183.0,162.87,161.04,183.0,455 CDM,PX-A32120,PR ANES FOR THORCTMY POSTOP COMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A32124,PR ANES FOR THORCTMY OPN INTPLR PNEUMONOLYS,183.0,162.87,161.04,183.0,455 CDM,PX-A32140,PR ANES FOR THORCTMY W REMOVAL OF CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A32141,PR ANES FOR THORCTMY W RESECTION BULLAE,183.0,162.87,161.04,183.0,455 CDM,PX-A32150,PR ANES FOR THORCTMY W RMVL INTRAPLEURAL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A32151,PR ANES FOR THORCTMY W RMVL INTRAPULM FB,183.0,162.87,161.04,183.0,455 CDM,PX-A32160,PR ANES FOR THORCTMY W CARDIAC MASSAGE,183.0,162.87,161.04,183.0,455 CDM,PX-A32200,PR ANES FOR PNEUMONOSTOMY W OPN DRN ABSCESS,183.0,162.87,161.04,183.0,455 CDM,PX-A32215,PR ANES FOR PLEURAL SCARIFICATION,183.0,162.87,161.04,183.0,455 CDM,PX-A32220,PR ANES FOR DECORTICATION PULMONARY TOTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A32225,PR ANES FOR DECORTICATION PULMONARY PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A32310,PR ANES FOR PLEURECTOMY PARIETAL,183.0,162.87,161.04,183.0,455 CDM,PX-A32320,PR ANES FOR DECORT & PARIETAL PLEURECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A32400,PR ANES FOR BIOPSY PLEURA PERCUTANEOUS NDL,183.0,162.87,161.04,183.0,455 CDM,PX-A32408,PR ANES FOR BX LUNG/MEDIASTINUM PERC NDL,183.0,162.87,161.04,183.0,455 CDM,PX-A32440,PR ANES FOR REMOVAL OF LUNG PNEUMONECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A32442,PR ANES FOR RMVL LUNG PNEUMNCTMY RESCT TRACH,183.0,162.87,161.04,183.0,455 CDM,PX-A32445,PR ANES FOR RMVL LUNG PNEUMNCTMY EXTR PLRL,183.0,162.87,161.04,183.0,455 CDM,PX-A32480,PR ANES FOR RMVL LUNG NOT PNEUMONEC 1 LOBE,183.0,162.87,161.04,183.0,455 CDM,PX-A32482,PR ANES FOR RMVL LUNG NOT PNEUMONEC 2 LOBE,183.0,162.87,161.04,183.0,455 CDM,PX-A32484,PR ANES FOR RMVL LUNG SNGL SEGMENTECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A32486,PR ANES FOR RMVL LUNG SLEEVE LOBECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A32488,PR ANES FOR RMVL LUNG COMPLETION PNEUMONEC,183.0,162.87,161.04,183.0,455 CDM,PX-A32491,PR ANES FOR REMOVAL LUNG VOLUME REDUCTION,183.0,162.87,161.04,183.0,455 CDM,PX-A32501,PR ANES FOR RESECT & RPR BRONCHUS,183.0,162.87,161.04,183.0,455 CDM,PX-A32503,PR ANES FOR RSECT LUNG TMR WO CW RCNSTRCT,183.0,162.87,161.04,183.0,455 CDM,PX-A32504,PR ANES FOR RSECT LUNG TUM W CW RCNSTRCT,183.0,162.87,161.04,183.0,455 CDM,PX-A32505,PR ANES FOR THORACOTOMY W WEDGE RSECT INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A32506,PR ANES FOR THORACOTOMY W WEDGE RSECT ADDL,183.0,162.87,161.04,183.0,455 CDM,PX-A32507,PR ANES FOR THORACOTOMY RSECT DX WEDGE,183.0,162.87,161.04,183.0,455 CDM,PX-A32540,PR ANES FOR EXTRAPLEURAL REMV EMPYEMA,183.0,162.87,161.04,183.0,455 CDM,PX-A32550,PR ANES FOR INSERTION/CATH PLEURAL CAVITY,183.0,162.87,161.04,183.0,455 CDM,PX-A32551,PR ANES FOR INS TUBE THORACOSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A32552,PR ANES FOR REMOVAL LUNG/PLEURAL CATHETER,183.0,162.87,161.04,183.0,455 CDM,PX-A32553,PR ANES FOR INS MARK THOR FOR RT PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A32554,PR ANES FOR THORACENTESIS PLEURA WO IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A32555,PR ANES FOR THORACENTESIS PLEURA W IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A32556,PR ANES FOR PLEURA DRAIN PERC WO IMG GUID,183.0,162.87,161.04,183.0,455 CDM,PX-A32557,PR ANES FOR PLEURA DRAIN PERC W IMG GUID,183.0,162.87,161.04,183.0,455 CDM,PX-A32560,PR ANES FOR INSTILLATION AGT PLEURODESIS,183.0,162.87,161.04,183.0,455 CDM,PX-A32561,PR ANES FOR INSTILLATION FIBRINOLYSIS INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A32562,PR ANES FOR INSTILLATION FIBRINOLYSIS SUBSQ,183.0,162.87,161.04,183.0,455 CDM,PX-A32601,PR ANES FOR THORSC DX LUNG/MED/PLRL WO BX,183.0,162.87,161.04,183.0,455 CDM,PX-A32604,PR ANES FOR THORSC DX PERICARDIAL SAC W BX,183.0,162.87,161.04,183.0,455 CDM,PX-A32606,PR ANES FOR THORSC DX MEDIASTINAL W BIOPSY,183.0,162.87,161.04,183.0,455 CDM,PX-A32607,PR ANES FOR THORSC DX BX LNG INFILTRAT UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A32608,PR ANES FOR THORSC W DX BX LUNG NODULE UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A32609,PR ANES FOR THORACOSCOPY W BX OF PLEURA,183.0,162.87,161.04,183.0,455 CDM,PX-A32650,PR ANES FOR THORACOSCOPY W PLEURODESIS,183.0,162.87,161.04,183.0,455 CDM,PX-A32651,PR ANES FOR THORSC W PRTL PULM DECORT,183.0,162.87,161.04,183.0,455 CDM,PX-A32652,PR ANES FOR THORSC TOTAL PULM DECORT,183.0,162.87,161.04,183.0,455 CDM,PX-A32653,PR ANES FOR THORSC REMOVAL INTRAPLEURAL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A32654,PR ANES FOR THORSC HEMR CTRL TRAUMATIC,183.0,162.87,161.04,183.0,455 CDM,PX-A32655,PR ANES FOR THORSC RSECT BULLAE W/WO PLRL,183.0,162.87,161.04,183.0,455 CDM,PX-A32656,PR ANES FOR THORACOSC PARIETAL PLEURECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A32658,PR ANES FOR THORSC RMVL FB PERICARDIAL SAC,183.0,162.87,161.04,183.0,455 CDM,PX-A32659,PR ANES FOR THORSC PRTL RSECT PERICARDIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A32661,PR ANES FOR THORSC EXCISN PERICARDIAL CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A32662,PR ANES FOR THORSC EXCISN MEDIASTINAL CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A32663,PR ANES FOR THORSC W LOBECTOMY SINGLE LOBE,183.0,162.87,161.04,183.0,455 CDM,PX-A32664,PR ANES FOR THORSC THORACIC SYMPATHECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A32665,PR ANES FOR THORSC W ESOPHAGOMYOTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A32666,PR ANES FOR THORSC THER WEDGE RSECT INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A32667,PR ANES FOR THORSC THER WEDGE RSECT ADDL,183.0,162.87,161.04,183.0,455 CDM,PX-A32668,PR ANES FOR THORACOSCOPY DX WEDGE RSECT,183.0,162.87,161.04,183.0,455 CDM,PX-A32669,PR ANES FOR THORACOSCOPY W SEGMENTECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A32670,PR ANES FOR THORACOSCOPY W BILOBECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A32671,PR ANES FOR THORACOSCOPY W PNEUMONECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A32672,PR ANES FOR THORSC RSECT EMPHYSEMA LUNG,183.0,162.87,161.04,183.0,455 CDM,PX-A32673,PR ANES FOR THORSC RSECT THYMUS UNI/BILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A32674,PR ANES FOR THORSC MEDI-REG LYMPHDENECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A32701,PR ANES FOR THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE,183.0,162.87,161.04,183.0,455 CDM,PX-A32800,PR ANES FOR RPR LUNG HERNIA THRU CHEST WAL,183.0,162.87,161.04,183.0,455 CDM,PX-A32810,PR ANES FOR CLSR CHEST WALL W OPN DRAINAGE,183.0,162.87,161.04,183.0,455 CDM,PX-A32815,PR ANES FOR OPEN CLOSURE BRONCHIAL FISTULA,183.0,162.87,161.04,183.0,455 CDM,PX-A32820,PR ANES FOR RECONSTRUCT INJURED CHEST,183.0,162.87,161.04,183.0,455 CDM,PX-A32850,PR ANES FOR DONOR PNEUMONECTOMY FRM CADAVR,183.0,162.87,161.04,183.0,455 CDM,PX-A32851,PR ANES FOR LUNG TRNSPL SNG WO CARDPULM BYPASS,183.0,162.87,161.04,183.0,455 CDM,PX-A32852,PR ANES FOR LUNG TRNSPL SNGL W CARDPULM BYPASS,183.0,162.87,161.04,183.0,455 CDM,PX-A32853,PR ANES FOR LUNG TRNSPL 2 WO CARDPULM BYPASS,183.0,162.87,161.04,183.0,455 CDM,PX-A32854,PR ANES FOR LUNG TRNSPL DBL W CARDPULM BYPASS,183.0,162.87,161.04,183.0,455 CDM,PX-A32855,PR ANES FOR PREP TRNSPL CADAVER DONOR LUNG UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A32856,PR ANES FOR PREP TRNSPL CADAVER DONOR LUNG BIL,183.0,162.87,161.04,183.0,455 CDM,PX-A32900,PR ANES FOR REMOVAL OF RIB(S),183.0,162.87,161.04,183.0,455 CDM,PX-A32905,PR ANES FOR REV AND RPR CHEST WALL,183.0,162.87,161.04,183.0,455 CDM,PX-A32906,PR ANES FOR THORACOP SCHEDE TYPE/EXTRAPLRL,183.0,162.87,161.04,183.0,455 CDM,PX-A32940,PR ANES FOR REVISION OF LUNG,183.0,162.87,161.04,183.0,455 CDM,PX-A32960,PR ANES FOR PNEUMOTHORAX THER INJ AIR,183.0,162.87,161.04,183.0,455 CDM,PX-A32994,PR ANES FOR ABLATE PULM TUMOR PERQ CRYBL,183.0,162.87,161.04,183.0,455 CDM,PX-A32997,PR ANES FOR TOTAL LUNG LAVAGE UNILATERAL,183.0,162.87,161.04,183.0,455 CDM,PX-A32998,PR ANES FOR RF ABLT PULM TUMORS UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A32999,PR ANES FOR UNLISTED PROC LUNGS & PLEURA,183.0,162.87,161.04,183.0,455 CDM,PX-A33016,PR ANES FOR PERICARDIOCENTESIS W IMAGE GUIDE,183.0,162.87,161.04,183.0,455 CDM,PX-A33017,PR ANES FOR PERI DRN W FLUOR/US >6YR W/O CONG,183.0,162.87,161.04,183.0,455 CDM,PX-A33018,PR ANES FOR PERI DRAIN W FLUOR/US GUIDE CONG,183.0,162.87,161.04,183.0,455 CDM,PX-A33019,PR ANES FOR PERICARDIAL DRAIN W CT GUIDE,183.0,162.87,161.04,183.0,455 CDM,PX-A33020,PR ANES FOR PERICARIOTOMY RMVL CLOT/FB PRIM,183.0,162.87,161.04,183.0,455 CDM,PX-A33025,PR ANES FOR CREATE PERICARD WNDW PRTL RESEC,183.0,162.87,161.04,183.0,455 CDM,PX-A33030,PR ANES FOR PERICARDECT SUBTOT/COMP WO BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33031,PR ANES FOR PERICARDECT SUBTOT/COMP W BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33050,PR ANES FOR RESECTION PERICARDIAL CYST/TMR,183.0,162.87,161.04,183.0,455 CDM,PX-A33120,PR ANES FOR EXCISN INTRACARDIAC TMR W BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33130,PR ANES FOR RESECTION EXTERNAL CARDIAC TMR,183.0,162.87,161.04,183.0,455 CDM,PX-A33140,"PR ANES FOR TMR,REVASCULARIZE HEART",183.0,162.87,161.04,183.0,455 CDM,PX-A33141,PR ANES FOR TRANSMYOCRD REVASCULARIZATION,183.0,162.87,161.04,183.0,455 CDM,PX-A33202,PR ANES FOR INS EPICARDIAL ELECTRODE OPEN,183.0,162.87,161.04,183.0,455 CDM,PX-A33203,PR ANES FOR INS EPICARDIAL ELECTRODE ENDO,183.0,162.87,161.04,183.0,455 CDM,PX-A33206,PR ANES FOR INS/RPLC PCMKR ATRIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A33207,PR ANES FOR INS/RPLC PCMKR VENT,183.0,162.87,161.04,183.0,455 CDM,PX-A33208,PR ANES FOR INS/RPLC PCMKR ATRIAL & VENT,183.0,162.87,161.04,183.0,455 CDM,PX-A33210,PR ANES FOR INS/RPLC TEMP ELEC/PCMKR SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A33211,PR ANES FOR INS/RPLC TEMP ELEC/PCMKR DUAL,183.0,162.87,161.04,183.0,455 CDM,PX-A33212,PR ANES FOR INS PCMKR PLS GEN EXIST 1 LEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A33213,PR ANES FOR INS PCMKR PLS GEN EXIST 2 LEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A33214,PR ANES FOR UPGRADE IMPL PCMKR SYS,183.0,162.87,161.04,183.0,455 CDM,PX-A33215,PR ANES FOR REPOSITION PCMKR/LEAD RA/RV,183.0,162.87,161.04,183.0,455 CDM,PX-A33216,PR ANES FOR INS SNGL ELTRD/PPCMKR/ICD,183.0,162.87,161.04,183.0,455 CDM,PX-A33217,PR ANES FOR INSERT ELECTRODE IMPLANT DUAL,183.0,162.87,161.04,183.0,455 CDM,PX-A33218,PR ANES FOR RPR SNGL ELTRD/PPCMKR/ICD,183.0,162.87,161.04,183.0,455 CDM,PX-A33220,PR ANES FOR RPR 2 ELECTRODES/PPCMKR/ICD,183.0,162.87,161.04,183.0,455 CDM,PX-A33221,PR ANES FOR INS PCMKR/GEN EXIST MULTI LEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A33222,PR ANES FOR RELOCATION SKIN POCKET PCMKR,183.0,162.87,161.04,183.0,455 CDM,PX-A33223,PR ANES FOR RELOCATION SKIN POCKET DFIB,183.0,162.87,161.04,183.0,455 CDM,PX-A33224,PR ANES FOR INS PACING ELCTD LV LEAD CONN,183.0,162.87,161.04,183.0,455 CDM,PX-A33225,PR ANES FOR INS PACING ELCTD LV LEAD ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A33226,PR ANES FOR REPO IMPL LV ELECT,183.0,162.87,161.04,183.0,455 CDM,PX-A33227,PR ANES FOR RPLC PERM GEN SNGL LEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A33228,PR ANES FOR RPLC PERM GEN DUAL LEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A33229,PR ANES FOR RPLC PERM GEN MULT LEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A33230,PR ANES FOR INS PULSE GEN W EXST DUAL LEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A33231,PR ANES FOR INS PULSE GEN W EXST MULT LEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A33233,PR ANES FOR RMVL PCMKR PULSE GEN ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A33234,PR ANES FOR RMVL PCMKR ELEC 1 LEAD SYS,183.0,162.87,161.04,183.0,455 CDM,PX-A33235,PR ANES FOR RMVL PCMKR ELEC DUAL LEAD SYS,183.0,162.87,161.04,183.0,455 CDM,PX-A33236,PR ANES FOR RMVL PPCMKR THORCTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A33237,PR ANES FOR RMVL EPICAR PCMKR&ELEC 2 LEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A33238,PR ANES FOR RMVL TRANSVENOUS ELEC THRCTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A33240,PR ANES FOR INS ICD ONLY W EXIST SNGL LEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A33241,PR ANES FOR RMVL ICD GEN ONLY SUBQ,183.0,162.87,161.04,183.0,455 CDM,PX-A33243,PR ANES FOR RMVL ICD ELEC THORCOM 1/2 CHAM,183.0,162.87,161.04,183.0,455 CDM,PX-A33244,PR ANES FOR RMVL ICD ELEC TRANSVEN EXTRACT,183.0,162.87,161.04,183.0,455 CDM,PX-A33249,PR ANES FOR INS/RPLC DFIB W TRANSVEN LEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A33250,PR ANES FOR ABLATION SUPRAVENT ARRHYTHMOGENIC FOCUS,183.0,162.87,161.04,183.0,455 CDM,PX-A33251,PR ANES FOR ABLT ARRHYTHMOGENIC FOCI W BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33254,PR ANES FOR ABLT TISS/RECONSTCT ATRIA LTD,183.0,162.87,161.04,183.0,455 CDM,PX-A33255,PR ANES FOR ABLT TISS/RECON ATRIA EXT WO,183.0,162.87,161.04,183.0,455 CDM,PX-A33256,PR ANES FOR ABLT TISS/RECON ATRIA EXT W BP,183.0,162.87,161.04,183.0,455 CDM,PX-A33257,PR ANES FOR ABLT&RCNSTRCT ATRIA W OTH PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A33258,PR ANES FOR ABLT&RCNSTRCT ATRIA WO BYPASS,183.0,162.87,161.04,183.0,455 CDM,PX-A33259,PR ANES FOR ABLT&RCNSTRCT ATRIA W BYPASS,183.0,162.87,161.04,183.0,455 CDM,PX-A33261,PR ANES FOR ABLT VENTR ARRHYTHMOGENIC FOC,183.0,162.87,161.04,183.0,455 CDM,PX-A33262,PR ANES FOR RMVL&RPLC ICD GEN SNGL LEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A33263,PR ANES FOR RMVL&RPLC ICD GEN DUAL LEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A33264,PR ANES FOR RMVL&RPLC ICD GEN MULTI LEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A33265,"PR ANES FOR ENDO ABLATE/ RECONSTUCT ATRIA, LIMITED",183.0,162.87,161.04,183.0,455 CDM,PX-A33266,PR ANES FOR ENDO TISS ABLT/RECST ATRIA EXT,183.0,162.87,161.04,183.0,455 CDM,PX-A33267,PR ANES FOR EXCL LAA OPEN ANY METHOD,183.0,162.87,161.04,183.0,455 CDM,PX-A33268,PR ANES FOR EXCL LAA OPN OTH PX ANY METH,183.0,162.87,161.04,183.0,455 CDM,PX-A33269,PR ANES FOR EXCL LAA THRSCP ANY METHOD,183.0,162.87,161.04,183.0,455 CDM,PX-A33270,PR ANES FOR INS/RPLC SUBQ ICD W SUBQ ELEC,183.0,162.87,161.04,183.0,455 CDM,PX-A33271,PR ANES FOR INST SQ IPLT DFB ELEC,183.0,162.87,161.04,183.0,455 CDM,PX-A33272,PR ANES FOR RMVL SQ IPLT DFB ELEC,183.0,162.87,161.04,183.0,455 CDM,PX-A33273,PR ANES FOR REPOS PREV IMPLT SQ IMPLT DEF,183.0,162.87,161.04,183.0,455 CDM,PX-A33274,PR ANES FOR RPLC/INSRT TRANSCATH LEADLS PM,183.0,162.87,161.04,183.0,455 CDM,PX-A33275,PR ANES FOR TRSCTH REM PERM LEADLESS ICD,183.0,162.87,161.04,183.0,455 CDM,PX-A33276,PR ANES FOR INSERTION PHRENIC NERVE STIMULATOR SYSTEM,183.0,162.87,161.04,183.0,455 CDM,PX-A33277,PR ANES FOR INSJ PHRENIC NRV STIMULATOR TRANSVNS SENSING LD,183.0,162.87,161.04,183.0,455 CDM,PX-A33278,PR ANES FOR REMOVAL PHRENIC NERVE STIMULATOR SYSTEM,183.0,162.87,161.04,183.0,455 CDM,PX-A33279,PR ANES FOR RMVL PHRNC NRV STIMULATOR TRANSVNS STIMJ/SNSG LD,183.0,162.87,161.04,183.0,455 CDM,PX-A33280,PR ANES FOR RMVL PHRENIC NRV STIMULATOR PULSE GENERATOR ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A33281,PR ANES FOR REPOSITIONING PHRENIC NRV STIMULATOR TRANSVNS LD,183.0,162.87,161.04,183.0,455 CDM,PX-A33285,PR ANES FOR IMPL PT ACTV CARD EVENT RECORD,183.0,162.87,161.04,183.0,455 CDM,PX-A33286,PR ANES FOR RMVL IMPL CARDIAC EVENT RECORD,183.0,162.87,161.04,183.0,455 CDM,PX-A33287,PR ANES FOR RMVL&RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR,183.0,162.87,161.04,183.0,455 CDM,PX-A33288,PR ANES FOR RMVL&RPLCMT PHRNC NRV STIM TRNSVNS STIMJ/SNSG LD,183.0,162.87,161.04,183.0,455 CDM,PX-A33289,"PR ANES FOR TRANSCATH IMPL W-LESS PULM PRESS SENSOR, RHC",183.0,162.87,161.04,183.0,455 CDM,PX-A33300,PR ANES FOR RPR CARDIAC WOUND WO BYPASS,183.0,162.87,161.04,183.0,455 CDM,PX-A33305,PR ANES FOR RPR CARDIAC WOUND W BYPASS,183.0,162.87,161.04,183.0,455 CDM,PX-A33310,PR ANES FOR CARDIOTOMY EXPLORATORY,183.0,162.87,161.04,183.0,455 CDM,PX-A33315,PR ANES FOR CARDIOT RMVL FB/THRMB W BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33320,PR ANES FOR SUTR RPR AORTA/GRT VSSL WO BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33321,PR ANES FOR RPR AORTA/GRT VSSL W SHNT BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33322,PR ANES FOR SUTR RPR AORTA/GRT VSSL W BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33330,PR ANES FOR RPR AORTA/GRT VSSL WO SHNT BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33335,PR ANES FOR INS GRAFT AORTA/GRT VSSL W BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33340,PR ANES FOR PERC TXCATH CLSR LT ATR APNDG,183.0,162.87,161.04,183.0,455 CDM,PX-A33361,PR ANES FOR RPLC AORTIC VLV PERC FEM ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A33362,PR ANES FOR RPLC AORTIC VLV OPEN FEM ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A33363,PR ANES FOR RPLC AORTIC VLV OPN AXL ARTRY,183.0,162.87,161.04,183.0,455 CDM,PX-A33364,PR ANES FOR RPLC AORTIC VLV OPN ILIAC ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A33365,PR ANES FOR RPLC AORTIC VALVE TRANSAORTIC,183.0,162.87,161.04,183.0,455 CDM,PX-A33366,PR ANES FOR TRANSCATHATER RPLC AORTIC VLV,183.0,162.87,161.04,183.0,455 CDM,PX-A33367,PR ANES FOR RPLC AORTIC VLV PERC ART/VEN,183.0,162.87,161.04,183.0,455 CDM,PX-A33368,PR ANES FOR RPLC AORTIC VLV W ART/VEN APP,183.0,162.87,161.04,183.0,455 CDM,PX-A33369,PR ANES FOR RPLC AORTIC VLV CNTRL ART/VEN,183.0,162.87,161.04,183.0,455 CDM,PX-A33370,PR ANES FOR TCAT PLMT&RMVL CEPD PERQ,183.0,162.87,161.04,183.0,455 CDM,PX-A33390,PR ANES FOR VLVPLSTY AORTIC VALVE SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A33391,PR ANES FOR VLVPLSTY AORTIC VALVE CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A33404,PR ANES FOR CNSTRCT APICAL-AORTIC CONDUIT,183.0,162.87,161.04,183.0,455 CDM,PX-A33405,PR ANES FOR RPLC AORTIC VLV W PROSTH VLV,183.0,162.87,161.04,183.0,455 CDM,PX-A33406,PR ANES FOR RPLC AORTIC VLV W BYP ALLOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A33410,PR ANES FOR RPLC AORTIC VLV STENTLESS TISS,183.0,162.87,161.04,183.0,455 CDM,PX-A33411,PR ANES FOR RPLC AORTIC VLV ANNULUS ENLGMT,183.0,162.87,161.04,183.0,455 CDM,PX-A33412,PR ANES FOR RPLC AORTIC VALVE KONNO PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A33413,PR ANES FOR RPLC AV TRNSLOC AUTOLOG PULM VLV,183.0,162.87,161.04,183.0,455 CDM,PX-A33414,PR ANES FOR RPR VENTR OUTFLOW TRACT OBSTR,183.0,162.87,161.04,183.0,455 CDM,PX-A33415,PR ANES FOR RSECT/INC SUBVALVULAR TISSUE,183.0,162.87,161.04,183.0,455 CDM,PX-A33416,PR ANES FOR VENTRICULOMYOTOMY-MYECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A33417,PR ANES FOR AORTOPLASTY SUPRAVALVULAR STNS,183.0,162.87,161.04,183.0,455 CDM,PX-A33418,PR ANES FOR TXCATH MITRAL VALVE REPAIR INI,183.0,162.87,161.04,183.0,455 CDM,PX-A33419,PR ANES FOR TRNSCATH MITR VLV RPR ADD PROST,183.0,162.87,161.04,183.0,455 CDM,PX-A33420,PR ANES FOR VALVOTOMY MITRAL VLV CLSD HEART,183.0,162.87,161.04,183.0,455 CDM,PX-A33422,PR ANES FOR VALVOTOMY MITRAL VLV OPN HEART,183.0,162.87,161.04,183.0,455 CDM,PX-A33425,PR ANES FOR VLVPLSTYLSTY MITRAL VLV W BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33426,PR ANES FOR VLVPLSTYLSTY W BYP W PROSTH RING,183.0,162.87,161.04,183.0,455 CDM,PX-A33427,PR ANES FOR VLVPLSTYLSTY W BYP WO PROSTH RING,183.0,162.87,161.04,183.0,455 CDM,PX-A33430,PR ANES FOR RPLC MITRAL VLV W CARDPULM BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33440,PR ANES FOR RPLC AV TRNSLOC AUTOLOG PULM VLV ROSS-KONNO,183.0,162.87,161.04,183.0,455 CDM,PX-A33460,PR ANES FOR VALVECTOMY TRICUSPID W BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33463,PR ANES FOR VLVPLSTY TRICUSPID VLV WO RING INS,183.0,162.87,161.04,183.0,455 CDM,PX-A33464,PR ANES FOR VLVPLSTY TRICUSPID VLV W RING INS,183.0,162.87,161.04,183.0,455 CDM,PX-A33465,PR ANES FOR RPLC TRICUSPID VLV W CARD BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33468,PR ANES FOR TRICUSPID VLV REPO & PLICATION,183.0,162.87,161.04,183.0,455 CDM,PX-A33474,PR ANES FOR VALVOTOMY PULM VLV OPN HEART,183.0,162.87,161.04,183.0,455 CDM,PX-A33475,PR ANES FOR REPLACEMENT PULMONARY VALVE,183.0,162.87,161.04,183.0,455 CDM,PX-A33476,PR ANES FOR RESECT RT VENT INFUND STENOSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A33477,PR ANES FOR TRANSCATH PULM VLV IMPL PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A33478,PR ANES FOR OUTFLOW TRACT AUGMENTATION,183.0,162.87,161.04,183.0,455 CDM,PX-A33496,PR ANES FOR RPR NONSTRUCT PROSTH VLV DYSFN,183.0,162.87,161.04,183.0,455 CDM,PX-A33500,PR ANES FOR RPR CORONARY AV/AC FIST W BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33501,PR ANES FOR RPR CORONARY AV/AC FIST WO BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33502,PR ANES FOR RPR ANOM CORONARY ART LIGATION,183.0,162.87,161.04,183.0,455 CDM,PX-A33503,PR ANES FOR RPR ANOM CORONARY ART GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A33504,PR ANES FOR RPR COR ART PULM GRFT W BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33505,PR ANES FOR RPR COR ART W INTRAPULM TUNNEL,183.0,162.87,161.04,183.0,455 CDM,PX-A33506,PR ANES FOR RPR COR ART FRM PULM TO AORTA,183.0,162.87,161.04,183.0,455 CDM,PX-A33507,PR ANES FOR RPR AORTIC ORIGIN CORONARY ART,183.0,162.87,161.04,183.0,455 CDM,PX-A33508,PR ANES FOR ENDO SURG W VA HARVEST CABG,183.0,162.87,161.04,183.0,455 CDM,PX-A33509,PR ANES FOR ENDOSCOPIC HARVEST UXTR ARTERY 1 SEGMENT CAB PX,183.0,162.87,161.04,183.0,455 CDM,PX-A33510,PR ANES FOR COR ART BYPASS 1 COR VEN GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A33511,PR ANES FOR COR ART BYPASS 2 COR VEN GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A33512,PR ANES FOR COR ART BYPASS 3 COR VEN GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A33513,PR ANES FOR COR ART BYPASS 4 COR VEN GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A33514,PR ANES FOR COR ART BYPASS 5 COR VEN GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A33516,PR ANES FOR COR ART BYP >=6 COR VEN GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A33517,PR ANES FOR COR ART BYP W VEIN GRFT 1 VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A33518,PR ANES FOR COR ART BYP W VEIN GRFT 2 VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A33519,PR ANES FOR COR ART BYP W VEIN GRFT 3 VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A33521,PR ANES FOR COR ART BYP W VEIN GRFT 4 VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A33522,PR ANES FOR COR ART BYP W VEIN GRFT 5 VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A33523,PR ANES FOR COR ART BYP W VEIN GRFT 6 VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A33530,PR ANES FOR REOP COR ART BYP/VALVE PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A33533,PR ANES FOR CABG W ARTL GRFT 1 ARTL GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A33534,PR ANES FOR CABG W ARTL GRFT 2 ARTL GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A33535,PR ANES FOR CABG W ARTL GRFT 3 ARTL GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A33536,PR ANES FOR CABG W ARTL GRFT >=4 ARTL GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A33542,PR ANES FOR MYOCARDIAL RESECTION,183.0,162.87,161.04,183.0,455 CDM,PX-A33545,PR ANES FOR REPAIR POSTINFARCTION VSD,183.0,162.87,161.04,183.0,455 CDM,PX-A33548,PR ANES FOR SURG VENT RESTORATION PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A33572,PR ANES FOR ENDARTERCOMY CORONAY ARTERY,183.0,162.87,161.04,183.0,455 CDM,PX-A33600,PR ANES FOR CLSR ATRIOVENT VLV SUTR/PATCH,183.0,162.87,161.04,183.0,455 CDM,PX-A33602,PR ANES FOR CLSR SEMILUNAR VLV AORTIC/PULM,183.0,162.87,161.04,183.0,455 CDM,PX-A33606,PR ANES FOR ANAST PULM ARTERY TO AORTA,183.0,162.87,161.04,183.0,455 CDM,PX-A33608,PR ANES FOR RPR CARD NOT PULM ATRESIA VSD,183.0,162.87,161.04,183.0,455 CDM,PX-A33610,PR ANES FOR RPR CARD SURG ENLGMENT VSD,183.0,162.87,161.04,183.0,455 CDM,PX-A33611,PR ANES FOR RPR RT VENT W INTRAVENT TUN,183.0,162.87,161.04,183.0,455 CDM,PX-A33612,PR ANES FOR RPR RT VENT W VENT TRACT OBSTR,183.0,162.87,161.04,183.0,455 CDM,PX-A33615,PR ANES FOR RPR CMPLX CLSR SEPT DEFECT,183.0,162.87,161.04,183.0,455 CDM,PX-A33617,PR ANES FOR RPR COMPLEX CARDIAC ANOMALY,183.0,162.87,161.04,183.0,455 CDM,PX-A33619,PR ANES FOR RPR 1 VENT W OUTFLW OBSTRUCT,183.0,162.87,161.04,183.0,455 CDM,PX-A33620,PR ANES FOR APP RT< PULM ART BAND,183.0,162.87,161.04,183.0,455 CDM,PX-A33621,PR ANES FOR TRNSTHORACIC CATH INS STENT PLC,183.0,162.87,161.04,183.0,455 CDM,PX-A33622,PR ANES FOR RECONSTRUCTION CARDIAC ANOMALY,183.0,162.87,161.04,183.0,455 CDM,PX-A33641,PR ANES FOR RPR ATRIAL SEPTAL DEFECT W BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33645,PR ANES FOR DIR/PATCH CLSR SINUS VENOSUS,183.0,162.87,161.04,183.0,455 CDM,PX-A33647,PR ANES FOR RPR ATRIAL&VEN SEPTAL DEFECT,183.0,162.87,161.04,183.0,455 CDM,PX-A33660,PR ANES FOR RPR INCOMPLT/PRTL AV CANAL,183.0,162.87,161.04,183.0,455 CDM,PX-A33665,PR ANES FOR REPAIR INT/TRANSIONAL AV CANAL,183.0,162.87,161.04,183.0,455 CDM,PX-A33670,PR ANES FOR RPR CMPLX AV CANAL W/WO PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A33675,PR ANES FOR CLSR MULT VEN SEPTAL DEFECTS,183.0,162.87,161.04,183.0,455 CDM,PX-A33676,PR ANES FOR CLSR MULT VSD W RESECT,183.0,162.87,161.04,183.0,455 CDM,PX-A33677,PR ANES FOR CLSR MULT VSD W RMVL,183.0,162.87,161.04,183.0,455 CDM,PX-A33681,PR ANES FOR CLSR SNGL VEN SEPTAL DEFECT,183.0,162.87,161.04,183.0,455 CDM,PX-A33684,PR ANES FOR CLSR V-SEPTL DEFECT W PULM,183.0,162.87,161.04,183.0,455 CDM,PX-A33688,PR ANES FOR REVSD W REMOV PULM ART BAND,183.0,162.87,161.04,183.0,455 CDM,PX-A33690,PR ANES FOR BANDING PULMONARY ARTERY,183.0,162.87,161.04,183.0,455 CDM,PX-A33692,PR ANES FOR RPR T-FALLOT WO PULM ATRES,183.0,162.87,161.04,183.0,455 CDM,PX-A33694,PR ANES FOR RPR T-FALLOT WO PULM ATRES PATCH,183.0,162.87,161.04,183.0,455 CDM,PX-A33697,PR ANES FOR RPR T-FALLOT W PULM ATRESIA,183.0,162.87,161.04,183.0,455 CDM,PX-A33702,PR ANES FOR REVALSALVA FIST W CP BYPASS,183.0,162.87,161.04,183.0,455 CDM,PX-A33710,PR ANES FOR RPR HEART DEFECTS,183.0,162.87,161.04,183.0,455 CDM,PX-A33720,PR ANES FOR RPR SINUS VALSALVA ANEURYSM,183.0,162.87,161.04,183.0,455 CDM,PX-A33724,PR ANES FOR RPR ISOLATED PRTL PULM VENOUS,183.0,162.87,161.04,183.0,455 CDM,PX-A33726,PR ANES FOR RPR PULM VENOUS STENOSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A33730,PR ANES FOR RPR COMPLT PULM VENOUS RETURN,183.0,162.87,161.04,183.0,455 CDM,PX-A33732,PR ANES FOR RPR COR TRIATR/SUPRAVAL MTRL RNG,183.0,162.87,161.04,183.0,455 CDM,PX-A33735,PR ANES FOR ATRIAL SEPTECT/SEPTOST CLSD,183.0,162.87,161.04,183.0,455 CDM,PX-A33736,PR ANES FOR ATR SEPTECT/SEPTOST OPN W BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33741,PR ANES FOR TAS CONGENITAL CAR ANOMAL,183.0,162.87,161.04,183.0,455 CDM,PX-A33745,PR ANES FOR TIS CGEN CAR ANOMAL 1ST SHNT,183.0,162.87,161.04,183.0,455 CDM,PX-A33746,PR ANES FOR TIS CGEN CAR ANOMAL EA ADDL,183.0,162.87,161.04,183.0,455 CDM,PX-A33750,PR ANES FOR SHUNT SUBCLAVIAN PULM ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A33755,PR ANES FOR SHUNT ASCEND AORT PULM ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A33762,PR ANES FOR SHUNT DESCEND AORT PULM ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A33764,PR ANES FOR SHUNT CENTRAL W PROSTHETIC GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A33766,PR ANES FOR SHUNT SUP VENA CAVA SNGL LUNG,183.0,162.87,161.04,183.0,455 CDM,PX-A33767,PR ANES FOR SHUNT SUP VENA CAVA BOTH LUNG,183.0,162.87,161.04,183.0,455 CDM,PX-A33768,PR ANES FOR ANAST CAVOPULM 2ND SUP VEN CAVA,183.0,162.87,161.04,183.0,455 CDM,PX-A33770,PR ANES FOR RPR TRPOS GRT VSL WO ENLGMNT,183.0,162.87,161.04,183.0,455 CDM,PX-A33771,PR ANES FOR RPR TRPOS GRT VSL W ENLGMNT,183.0,162.87,161.04,183.0,455 CDM,PX-A33774,PR ANES FOR RPR TRPOS GRT VSL W BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33775,PR ANES FOR RPR TRPOS GRT VSL W RMVL BAND,183.0,162.87,161.04,183.0,455 CDM,PX-A33776,PR ANES FOR RPR TRPOS GRT VSL W CLSR VSD,183.0,162.87,161.04,183.0,455 CDM,PX-A33777,PR ANES FOR RPR TRPOS GRT VSL W BYP OBSTR,183.0,162.87,161.04,183.0,455 CDM,PX-A33778,PR ANES FOR RPR TRPOS GRT VSSL AORTIC PULM,183.0,162.87,161.04,183.0,455 CDM,PX-A33779,PR ANES FOR RPR TGV ART RCNST W RMVL BAND,183.0,162.87,161.04,183.0,455 CDM,PX-A33780,PR ANES FOR RPR TGV ART RCNST W CLSR VSD,183.0,162.87,161.04,183.0,455 CDM,PX-A33781,PR ANES FOR RPR TGV ART RCNST RPR OBSTRCT,183.0,162.87,161.04,183.0,455 CDM,PX-A33782,PR ANES FOR AORT ROOT TRANSLOC WO REIMPLNT,183.0,162.87,161.04,183.0,455 CDM,PX-A33783,PR ANES FOR AORT ROOT TRANSLOC W REIMPLNT,183.0,162.87,161.04,183.0,455 CDM,PX-A33786,PR ANES FOR TOTAL RPR TRUNCUS ARTERIOSUS,183.0,162.87,161.04,183.0,455 CDM,PX-A33788,PR ANES FOR REIMPLANTATION PULM ARTERY,183.0,162.87,161.04,183.0,455 CDM,PX-A33800,PR ANES FOR AORT SUSP TRACH DCMPRS,183.0,162.87,161.04,183.0,455 CDM,PX-A33802,PR ANES FOR DIVISION ABERRANT VESSEL VASC,183.0,162.87,161.04,183.0,455 CDM,PX-A33803,PR ANES FOR DIVISION ABERRANT VSL REANAST,183.0,162.87,161.04,183.0,455 CDM,PX-A33814,PR ANES FOR OBLIT AO-PUL SEPTAL DFCT W CP BYPAS,183.0,162.87,161.04,183.0,455 CDM,PX-A33820,PR ANES FOR RPR PATENT DUCTUS ARTY LIG,183.0,162.87,161.04,183.0,455 CDM,PX-A33822,PR ANES FOR RPR PATENT DUCT ARETERIOS <18,183.0,162.87,161.04,183.0,455 CDM,PX-A33824,PR ANES FOR RPR PATENT DUCT ARETERIOS >=18,183.0,162.87,161.04,183.0,455 CDM,PX-A33840,PR ANES FOR EXCISN COARC AORTA W ANASTOM,183.0,162.87,161.04,183.0,455 CDM,PX-A33845,PR ANES FOR EXCISN COARC AORTA W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A33851,PR ANES FOR EXCISION COARCTATION AORTA,183.0,162.87,161.04,183.0,455 CDM,PX-A33852,PR ANES FOR RPR HYPOPLSTC AORT W GRFT WO BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33853,PR ANES FOR RPR HYPOPLSTC AORTIC W PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A33858,PR ANES FOR AS-AORT GRF F/AORTIC DSJ,183.0,162.87,161.04,183.0,455 CDM,PX-A33859,PR ANES FOR AS-AORT GRF F/DS OTH/THN DSJ,183.0,162.87,161.04,183.0,455 CDM,PX-A33863,PR ANES FOR ASC AORTA GRFT BYP&AORTIC RPLC,183.0,162.87,161.04,183.0,455 CDM,PX-A33864,PR ANES FOR ASC AORTA GRFT VLV ROOT REMODEL,183.0,162.87,161.04,183.0,455 CDM,PX-A33871,PR ANES FOR TRANSVRS A-ARCH GRF HYPTHRM,183.0,162.87,161.04,183.0,455 CDM,PX-A33875,PR ANES FOR DESC THOR AORTA GRFT W/WO BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33877,PR ANES FOR RPR THORACOABD AORTIC ANEURYSM,183.0,162.87,161.04,183.0,455 CDM,PX-A33880,PR ANES FOR ENDOVSC RPR W COVRG SUBCL ART,183.0,162.87,161.04,183.0,455 CDM,PX-A33881,PR ANES FOR ENDOVSC RPR WO COVRG SUBCL ART,183.0,162.87,161.04,183.0,455 CDM,PX-A33882,PR ANES FOR EVASC RPR TA DPLMT MLTPC SYS,183.0,162.87,161.04,183.0,455 CDM,PX-A33883,PR ANES FOR PLC PROX PROSTH EVASC RPR INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A33884,PR ANES FOR PLC PROX PROSTH EVASC RPR EA,183.0,162.87,161.04,183.0,455 CDM,PX-A33886,PR ANES FOR PLC DSTL EXTSN PROSTH DELAYED,183.0,162.87,161.04,183.0,455 CDM,PX-A33889,PR ANES FOR OPN SUBCL CRTD ARTY TRNPOS UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A33891,PR ANES FOR BYP GRFT W DTA RPR NECK INCISN,183.0,162.87,161.04,183.0,455 CDM,PX-A33894,PR ANES FOR EVASC ST RPR THRC/AA ACRS BR,183.0,162.87,161.04,183.0,455 CDM,PX-A33895,PR ANES FOR EVASC ST RPR THRC/AA X CRSG,183.0,162.87,161.04,183.0,455 CDM,PX-A33897,PR ANES FOR PERQ TRLUML ANGP NT/RECR COA,183.0,162.87,161.04,183.0,455 CDM,PX-A33900,PR ANES FOR PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI,183.0,162.87,161.04,183.0,455 CDM,PX-A33901,PR ANES FOR PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ BI,183.0,162.87,161.04,183.0,455 CDM,PX-A33902,PR ANES FOR PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL,183.0,162.87,161.04,183.0,455 CDM,PX-A33903,PR ANES FOR PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL,183.0,162.87,161.04,183.0,455 CDM,PX-A33904,PR ANES FOR PERQ P-ART REVSC ST EA ADDL VSL/SEP LES NM/ABNL,183.0,162.87,161.04,183.0,455 CDM,PX-A33910,PR ANES FOR PULM ARTY EMBOLECTOMY W BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33915,PR ANES FOR EMBOLECT PULM ART WO CARD BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33916,PR ANES FOR PULM ENDARTERECT W/WO EMBOLECT,183.0,162.87,161.04,183.0,455 CDM,PX-A33917,PR ANES FOR RPR PULMONARY ART STENOSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A33920,PR ANES FOR REPAIR ATRESIA PULMONARY ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A33922,PR ANES FOR TRANSECTION PULM ARTY W BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33924,PR ANES FOR LIGATION PULM ARTERY SHUNT,183.0,162.87,161.04,183.0,455 CDM,PX-A33925,PR ANES FOR REPAIR PULM ARTY ARBORIZATION,183.0,162.87,161.04,183.0,455 CDM,PX-A33926,PR ANES FOR RPR PULM ART ARBORIZ ANOM W BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33927,PR ANES FOR IMPLTJ TOT RPLCMT HRT SYS,183.0,162.87,161.04,183.0,455 CDM,PX-A33928,PR ANES FOR RMVL & RPLCMT TOT HRT SYS,183.0,162.87,161.04,183.0,455 CDM,PX-A33929,PR ANES FOR RMVL RPLCMT HRT SYS F/TRNSPL,183.0,162.87,161.04,183.0,455 CDM,PX-A33930,PR ANES FOR CARD-PNEUMONECTOMY DONOR,183.0,162.87,161.04,183.0,455 CDM,PX-A33933,PR ANES FOR BKBENCH PREP CADAV HEART/LUNG,183.0,162.87,161.04,183.0,455 CDM,PX-A33935,PR ANES FOR TRNSPL HRT LNG W CARDECT PNUMEC,183.0,162.87,161.04,183.0,455 CDM,PX-A33940,PR ANES FOR DONOR CARDIECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A33944,PR ANES FOR PREP TRNSPL CADAVER DONOR HEART,183.0,162.87,161.04,183.0,455 CDM,PX-A33945,PR ANES FOR HEART TRNSPL W/WO RCPT CARDIECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A33946,PR ANES FOR ECMO INITIATION VENO-VENOUS,183.0,162.87,161.04,183.0,455 CDM,PX-A33947,PR ANES FOR ECMO INITIATION VENO-ART,183.0,162.87,161.04,183.0,455 CDM,PX-A33948,PR ANES FOR ECMO DLY MGMT VENO-VENOUS,183.0,162.87,161.04,183.0,455 CDM,PX-A33949,PR ANES FOR ECMO DLY MGMT VENO-ARTERIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A33951,PR ANES FOR ECMO INS PRPH CANNULA <=5YRS PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A33952,PR ANES FOR ECMO INSERT CANNULA >=6YR PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A33953,PR ANES FOR ECMO INS PRPH CANNULA <=5YRS OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A33954,PR ANES FOR ECMO INS PRPH CNULA >=6YR,183.0,162.87,161.04,183.0,455 CDM,PX-A33955,PR ANES FOR ECMO INS CNTRL CANNULA <=5YRS,183.0,162.87,161.04,183.0,455 CDM,PX-A33956,PR ANES FOR ECMO INSERT CENTRL CANLA >=6YR,183.0,162.87,161.04,183.0,455 CDM,PX-A33957,PR ANES FOR ECMO REPOS CNTRL CANNULA <=5YR PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A33958,PR ANES FOR ECMO REPOS CANNULA >=6YR PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A33959,PR ANES FOR ECMO REPOS CNTRL CANNULA <=5YR OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A33962,PR ANES FOR ECMO REPOS CANNULA >=6YR OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A33963,PR ANES FOR ECMO REPOS PERIPH CANNULA <=5YRS,183.0,162.87,161.04,183.0,455 CDM,PX-A33964,PR ANES FOR ECMO REPOS CANNULA >=6YR,183.0,162.87,161.04,183.0,455 CDM,PX-A33965,PR ANES FOR ECMO RMVL CNTRL CANNULA <=5YR PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A33966,PR ANES FOR ECMO RMVL CANNULA >=6YR PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A33967,PR ANES FOR INS INTRA AORTIC BLN DEV PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A33968,PR ANES FOR RMVL INTRA AORTIC BLN DEV PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A33969,PR ANES FOR ECMO RMVL PERIPH CANNULA <=5YRS,183.0,162.87,161.04,183.0,455 CDM,PX-A33970,PR ANES FOR INS INTRA AORTIC BLN FEM ART,183.0,162.87,161.04,183.0,455 CDM,PX-A33971,PR ANES FOR RMVL INTRA AORTIC BLN FEM ART,183.0,162.87,161.04,183.0,455 CDM,PX-A33973,PR ANES FOR INS INTRA AORTIC BLN ASC AORTA,183.0,162.87,161.04,183.0,455 CDM,PX-A33974,PR ANES FOR RMVL INTRA AORTIC BLN DEV W RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A33975,PR ANES FOR INS VENT ASSIST DEV SNGL VENT,183.0,162.87,161.04,183.0,455 CDM,PX-A33976,PR ANES FOR INS VENT ASSIST DEVICE BIVENT,183.0,162.87,161.04,183.0,455 CDM,PX-A33977,PR ANES FOR RMVL VENT ASSIST DEVICE 1 VENT,183.0,162.87,161.04,183.0,455 CDM,PX-A33978,PR ANES FOR RMVL VAD EXTRACORPOREAL BIVENT,183.0,162.87,161.04,183.0,455 CDM,PX-A33979,PR ANES FOR INS VENT ASSIST DEV IMPL 1VENT,183.0,162.87,161.04,183.0,455 CDM,PX-A33980,PR ANES FOR RMVL VENT ASST DEV IMPL SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A33981,PR ANES FOR RPLC VAD SNGL/BIVENT PUMPS,183.0,162.87,161.04,183.0,455 CDM,PX-A33982,PR ANES FOR RPLC VAD IMPL INTRACORPL SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A33983,PR ANES FOR RPLC VAD IMPL SNGL VENT W BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A33984,PR ANES FOR ECMO RMVL PRPH CANNULA >=6YR OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A33985,PR ANES FOR ECMO RMVL CNTRL CANNULA <=5YR,183.0,162.87,161.04,183.0,455 CDM,PX-A33986,PR ANES FOR ECMO RMVL CNTRL CANNULA >=6YR OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A33987,PR ANES FOR ARTL EXPOS/GRFT PERFSN ECMO,183.0,162.87,161.04,183.0,455 CDM,PX-A33988,PR ANES FOR INS LT HEART VENT THOR ECMO,183.0,162.87,161.04,183.0,455 CDM,PX-A33989,PR ANES FOR RMVL LT HEART VENT THOR ECMO,183.0,162.87,161.04,183.0,455 CDM,PX-A33990,PR ANES FOR INS PERC VENT ASSIST DEV LEFT HEART ARTERIAL ONLY W IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A33991,PR ANES FOR INSERT VAD PERC LEFT HEART W S&I ART&VEN,183.0,162.87,161.04,183.0,455 CDM,PX-A33992,"PR ANES FOR RMVL PERC VENT ASSIST DEV, LEFT HEART,ART &/OR ART&VEN",183.0,162.87,161.04,183.0,455 CDM,PX-A33993,PR ANES FOR REPO PERC VENT ASSIST DEV RT OR LT,183.0,162.87,161.04,183.0,455 CDM,PX-A33995,PR ANES FOR INSERT PERQ VAD R HRT VENOUS,183.0,162.87,161.04,183.0,455 CDM,PX-A33997,PR ANES FOR REMOVE PERQ R HRT VAD,183.0,162.87,161.04,183.0,455 CDM,PX-A33999,PR ANES FOR UNLISTED PROC CARDIAC SURG,183.0,162.87,161.04,183.0,455 CDM,PX-A34001,PR ANES FOR EMBOLECTOMY OR THROMBECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A34051,PR ANES FOR EMBLC/THRMBC INNO/SUBCLAV ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A34101,PR ANES FOR EMBLC/THRMBC AX/BRACH ARM INC,183.0,162.87,161.04,183.0,455 CDM,PX-A34111,PR ANES FOR EMBLC/THRMBC RADIAL/ULNAR ARM,183.0,162.87,161.04,183.0,455 CDM,PX-A34151,PR ANES FOR EMBLC/THRMBC RNL/CEL/AORTILIAC,183.0,162.87,161.04,183.0,455 CDM,PX-A34201,PR ANES FOR EMBLC/THRMBC FEM POP AORTILIAC,183.0,162.87,161.04,183.0,455 CDM,PX-A34203,PR ANES FOR EMBLC/THRMBC POPLITEAL TIBIO,183.0,162.87,161.04,183.0,455 CDM,PX-A34401,PR ANES FOR THRMBC DIR/W CATH VENA ABD INC,183.0,162.87,161.04,183.0,455 CDM,PX-A34421,PR ANES FOR THRMBC DIR/W CATH VENA FEMPOP,183.0,162.87,161.04,183.0,455 CDM,PX-A34451,"PR ANES FOR REMV VEIN CLOT CAVA-POP,LEG INCIS",183.0,162.87,161.04,183.0,455 CDM,PX-A34471,PR ANES FOR THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK,183.0,162.87,161.04,183.0,455 CDM,PX-A34490,"PR ANES FOR REMV VEIN CLOT AXILL-SUBCL,ARM INCIS",183.0,162.87,161.04,183.0,455 CDM,PX-A34501,PR ANES FOR VALVULOPLASTY FEMORAL VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A34502,PR ANES FOR RCNSTRCT VENA CAVA ANY METHOD,183.0,162.87,161.04,183.0,455 CDM,PX-A34510,PR ANES FOR TRANSPOSITION OF VEIN VALVE,183.0,162.87,161.04,183.0,455 CDM,PX-A34520,PR ANES FOR CROSS OVER VEIN GRFT VENUS SYS,183.0,162.87,161.04,183.0,455 CDM,PX-A34530,PR ANES FOR FUSION LEG VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A34701,PR ANES FOR EVASC RPR A-AO NDGFT,183.0,162.87,161.04,183.0,455 CDM,PX-A34702,PR ANES FOR EVASC RPR A-AO NDGFT RPT,183.0,162.87,161.04,183.0,455 CDM,PX-A34703,PR ANES FOR EVASC RPR A-UNILAC NDGFT,183.0,162.87,161.04,183.0,455 CDM,PX-A34704,PR ANES FOR EVASC RPR A-UNILAC NDGFT RPT,183.0,162.87,161.04,183.0,455 CDM,PX-A34705,PR ANES FOR EVAC RPR A-BIILIAC NDGFT,183.0,162.87,161.04,183.0,455 CDM,PX-A34706,PR ANES FOR EVASC RPR A-BIILIAC RPT,183.0,162.87,161.04,183.0,455 CDM,PX-A34707,PR ANES FOR EVASC RPR ILIO-ILIAC NDGFT,183.0,162.87,161.04,183.0,455 CDM,PX-A34708,PR ANES FOR EVASC RPR ILIO-ILIAC RPT,183.0,162.87,161.04,183.0,455 CDM,PX-A34709,PR ANES FOR PLMT XTN PROSTH EVASC RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A34710,PR ANES FOR DLYD PLMT XTN PROSTH 1ST VSL,183.0,162.87,161.04,183.0,455 CDM,PX-A34711,PR ANES FOR DLYD PLMT XTN PROSTH EA ADDL,183.0,162.87,161.04,183.0,455 CDM,PX-A34712,PR ANES FOR TCAT DLVR ENHNCD FIXJ DEV,183.0,162.87,161.04,183.0,455 CDM,PX-A34713,PR ANES FOR PERQ ACCESS & CLSR FEM ART,183.0,162.87,161.04,183.0,455 CDM,PX-A34714,PR ANES FOR OPN FEM ART EXPOS CNDT CRTJ,183.0,162.87,161.04,183.0,455 CDM,PX-A34715,PR ANES FOR OPN AX/SUBCLA ART EXPOS,183.0,162.87,161.04,183.0,455 CDM,PX-A34716,PR ANES FOR OPN AX/SUBCLA ART EXPOS CNDT,183.0,162.87,161.04,183.0,455 CDM,PX-A34717,PR ANES FOR EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI,183.0,162.87,161.04,183.0,455 CDM,PX-A34718,PR ANES FOR EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI,183.0,162.87,161.04,183.0,455 CDM,PX-A34808,PR ANES FOR EVASC PLC ILIAC ARTY OCCL DEV,183.0,162.87,161.04,183.0,455 CDM,PX-A34812,PR ANES FOR OPEN FEM ARTY EXPOSURE UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A34813,PR ANES FOR PLC FEM-FEM PROSTC GRFT EVASC,183.0,162.87,161.04,183.0,455 CDM,PX-A34820,PR ANES FOR ILIAC ARTY EXPOS PROSTH/OCCLUS,183.0,162.87,161.04,183.0,455 CDM,PX-A34830,"PR ANES FOR AAA+TRAUMA REPR,OPEN,TUBE PROSTH",183.0,162.87,161.04,183.0,455 CDM,PX-A34831,PR ANES FOR RPR ANYSM W AORTOBIILIAC PRSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A34832,PR ANES FOR RPR ANYSM W AORTOBIFEM PRSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A34833,PR ANES FOR ILIAC ART EXPOS W CONDUIT UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A34834,PR ANES FOR BRACH ART EXPOS DPL PROSTH UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A34841,PR ANES FOR ENDOVASC VISCER AORT RPR 1 GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A34842,PR ANES FOR EVASC VISC AORTA RPR 2 GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A34843,PR ANES FOR EVASC VISCER AORT RPR 3 GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A34844,PR ANES FOR EVASC VISC AORTA RPR 4 GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A34845,PR ANES FOR VISC & INFRAREN ABD 1 PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A34846,PR ANES FOR VISC & INFRAREN ABD 2 PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A34847,PR ANES FOR VISC & INFRAREN ABD 3 PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A34848,PR ANES FOR VISC & INFRAREN ABD 4+ PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A35001,PR ANES FOR DIR RPR ARYSM CAROTID-SUBCL,183.0,162.87,161.04,183.0,455 CDM,PX-A35002,PR ANES FOR DIR RPR RUPT ARYSM CARTD-SUBCL,183.0,162.87,161.04,183.0,455 CDM,PX-A35005,PR ANES FOR RPR ANEURYSM VERTEBRAL ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A35011,PR ANES FOR DIR RPR ANEURYSM AX-BRACHIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35013,PR ANES FOR RPR RUPTD ANEURYS AXIL BRACH,183.0,162.87,161.04,183.0,455 CDM,PX-A35021,PR ANES FOR RPR ANEURYSM SUBCLAV ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A35022,PR ANES FOR RPR RUPTD ANEURYSM SUBCLAV ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A35045,PR ANES FOR DIR RPR ANEURYSM RAD/ULNR ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A35081,PR ANES FOR DIR RPR ARYSM ABDOMINAL AORTA,183.0,162.87,161.04,183.0,455 CDM,PX-A35082,PR ANES FOR DIR RPR RUPTD ARYSM ABD AORTA,183.0,162.87,161.04,183.0,455 CDM,PX-A35091,PR ANES FOR DIR RPR ARYSM ABD AORTA W VISC,183.0,162.87,161.04,183.0,455 CDM,PX-A35092,PR ANES FOR DIR RPR RUPT AAA W VISCERA VSL,183.0,162.87,161.04,183.0,455 CDM,PX-A35102,PR ANES FOR DIR REPAIR AAA W ILIAC VESSEL,183.0,162.87,161.04,183.0,455 CDM,PX-A35103,PR ANES FOR DIR RPR RUPTD AAA W ILIAC VSSL,183.0,162.87,161.04,183.0,455 CDM,PX-A35111,PR ANES FOR RPR ANEURYSM SPLENIC ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A35112,PR ANES FOR RPR RUPTD ANEURYSM SPLENIC ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A35121,PR ANES FOR DIR RPR ARYSM HEP/CEL/RENL/MES,183.0,162.87,161.04,183.0,455 CDM,PX-A35122,PR ANES FOR RPR RUPTD ANEURYSM HEP/CEL/RNL,183.0,162.87,161.04,183.0,455 CDM,PX-A35131,PR ANES FOR DIR RPR ARYSM& GRFT ILIAC ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A35132,PR ANES FOR DIR RPR RUPTD ARYSM&GRFT ILIAC,183.0,162.87,161.04,183.0,455 CDM,PX-A35141,PR ANES FOR DIR RPR ARYSM& GRFT FEM ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A35142,PR ANES FOR DIR RPR RUPTD ARYSM& GRFT FEM,183.0,162.87,161.04,183.0,455 CDM,PX-A35151,PR ANES FOR DIR RPR ARYSM& GRFT POPLT ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A35152,PR ANES FOR RPR RUPTD ANEURYSM&GRFT POP ART,183.0,162.87,161.04,183.0,455 CDM,PX-A35180,"PR ANES FOR RECONG AV FIST,HEAD/NECK",183.0,162.87,161.04,183.0,455 CDM,PX-A35182,"PR ANES FOR RECONG AV FIST,CHEST/ABD",183.0,162.87,161.04,183.0,455 CDM,PX-A35184,PR ANES FOR RPR CONGENITAL AV FISTULA EXT,183.0,162.87,161.04,183.0,455 CDM,PX-A35188,"PR ANES FOR REACQ AV FIST,HEAD/NECK",183.0,162.87,161.04,183.0,455 CDM,PX-A35189,PR ANES FOR RPR/TRAUMA AV FSTL THORAX&ABD,183.0,162.87,161.04,183.0,455 CDM,PX-A35190,PR ANES FOR RPR/TRAUMATIC AV FISTULA EXT,183.0,162.87,161.04,183.0,455 CDM,PX-A35201,PR ANES FOR RPR BLOOD VESSEL DIRECT NECK,183.0,162.87,161.04,183.0,455 CDM,PX-A35206,PR ANES FOR RPR BLOOD VSSL DIR UPR EXTRM,183.0,162.87,161.04,183.0,455 CDM,PX-A35207,PR ANES FOR RPR BLOOD VESSEL DIR HAND FGR,183.0,162.87,161.04,183.0,455 CDM,PX-A35211,PR ANES FOR RPR BLD VSSL INTRATHORA W BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A35216,PR ANES FOR RPR BLD VSSL INTRATHORA WO BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A35221,PR ANES FOR RPR BLD VSSL DIRECT INTRA ABD,183.0,162.87,161.04,183.0,455 CDM,PX-A35226,PR ANES FOR RPR BLD VSSL DIRECT LOWER EXT,183.0,162.87,161.04,183.0,455 CDM,PX-A35231,PR ANES FOR RPR BLD VSSL W VEIN GRFT NECK,183.0,162.87,161.04,183.0,455 CDM,PX-A35236,PR ANES FOR RPR BLD VSSL W VEIN GRAFT UE,183.0,162.87,161.04,183.0,455 CDM,PX-A35241,PR ANES FOR RPR BLD VSL VEIN GRF INTRATHOR,183.0,162.87,161.04,183.0,455 CDM,PX-A35246,PR ANES FOR RPR BLD VSSL VEIN GRFT INTRTHOR,183.0,162.87,161.04,183.0,455 CDM,PX-A35251,PR ANES FOR RPR BLD VSSL VEIN GRFT INTRAABD,183.0,162.87,161.04,183.0,455 CDM,PX-A35256,PR ANES FOR RPR BLD VSSL VEIN GRFT LOWEREXT,183.0,162.87,161.04,183.0,455 CDM,PX-A35261,PR ANES FOR RPR BLD VSL W GRFT NOT VEIN NK,183.0,162.87,161.04,183.0,455 CDM,PX-A35266,PR ANES FOR RPR BLD VSL NOT VEIN GRFT UE,183.0,162.87,161.04,183.0,455 CDM,PX-A35271,PR ANES FOR RPR BLD VSL NOT V GRFT IT W BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A35276,PR ANES FOR RPR BLDVSL NOT V GRFT IT WO BYP,183.0,162.87,161.04,183.0,455 CDM,PX-A35281,PR ANES FOR RPR BLVSL W GRFT INTRA ABD,183.0,162.87,161.04,183.0,455 CDM,PX-A35286,PR ANES FOR RPR BLVSL W GRFT LOWER EXT,183.0,162.87,161.04,183.0,455 CDM,PX-A35301,PR ANES FOR TEA CARTD/VERTB/SUBCL NECK INC,183.0,162.87,161.04,183.0,455 CDM,PX-A35302,PR ANES FOR TEA W GRFT SUPERFICIAL FEM ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A35303,PR ANES FOR TEA W GRAFT POPLITEAL ARTERY,183.0,162.87,161.04,183.0,455 CDM,PX-A35304,PR ANES FOR TEA W GRAFT TIBIOPERONEAL ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A35305,PR ANES FOR TEA W GRAFT TIB/PER ARTY 1 VSL,183.0,162.87,161.04,183.0,455 CDM,PX-A35306,PR ANES FOR TEA W GRAFT TIB/PER ARTY EA,183.0,162.87,161.04,183.0,455 CDM,PX-A35311,PR ANES FOR TEA W/WO PATCH GRFT SUBCLAV THOR,183.0,162.87,161.04,183.0,455 CDM,PX-A35321,PR ANES FOR TEA W/WO PATCH GRFT AX BRACHIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35331,PR ANES FOR TEA W/WO PATCH GRAFT ABD AORTA,183.0,162.87,161.04,183.0,455 CDM,PX-A35341,PR ANES FOR TEA W/WO PATCH GRFT MES/CEL/RNL,183.0,162.87,161.04,183.0,455 CDM,PX-A35351,PR ANES FOR TEA W/WO PATCH GRAFT ILIAC,183.0,162.87,161.04,183.0,455 CDM,PX-A35355,PR ANES FOR TEA W/WO PATCH GRFT ILIOFEMORAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35361,PR ANES FOR TEA W/WO PATCH GRFT AORTOILIAC,183.0,162.87,161.04,183.0,455 CDM,PX-A35363,PR ANES FOR THROMBOENDARTECTMY AORTOILIOFEM,183.0,162.87,161.04,183.0,455 CDM,PX-A35371,PR ANES FOR TEA W/WO PATCH GRFT COMMON FEM,183.0,162.87,161.04,183.0,455 CDM,PX-A35372,PR ANES FOR TEA W/WO P GRAFT PROFUNDA FEM,183.0,162.87,161.04,183.0,455 CDM,PX-A35390,PR ANES FOR REOP CARTD TEA >1M AFT ORI OP,183.0,162.87,161.04,183.0,455 CDM,PX-A35400,PR ANES FOR ANGIOSCOPY NONCORONARY VSL/GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A35500,PR ANES FOR HARVEST UE VEIN 1 SGM LE/CABG,183.0,162.87,161.04,183.0,455 CDM,PX-A35501,PR ANES FOR BYPASS W VEIN IPSILAT CAROTID,183.0,162.87,161.04,183.0,455 CDM,PX-A35506,PR ANES FOR BYP W VEIN CARTDD-SUBCL/SUBCL,183.0,162.87,161.04,183.0,455 CDM,PX-A35508,PR ANES FOR BYPASS W VEIN CAROTID-VERTEB,183.0,162.87,161.04,183.0,455 CDM,PX-A35509,PR ANES FOR BYP W VEIN CAROTID-CONTRALAT,183.0,162.87,161.04,183.0,455 CDM,PX-A35510,PR ANES FOR BYPASS W VEIN CAROTID-BRACHIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35511,PR ANES FOR BYPASS W VEIN SUBCLAV-SUBCLAV,183.0,162.87,161.04,183.0,455 CDM,PX-A35512,PR ANES FOR BYPASS W VEIN SUBCLAV-BRACHIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35515,PR ANES FOR BYPASS W VEIN SUBCLAV-VERTEB,183.0,162.87,161.04,183.0,455 CDM,PX-A35516,PR ANES FOR BYPASS W VEIN SUBCLAV-AXILLARY,183.0,162.87,161.04,183.0,455 CDM,PX-A35518,PR ANES FOR BYPASS W VEIN AXLRY-AXLRY,183.0,162.87,161.04,183.0,455 CDM,PX-A35521,PR ANES FOR BYPASS W VEIN AXILLARY-FEMORAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35522,PR ANES FOR BYP W VEIN AXILLARY BRACHIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35523,PR ANES FOR BYPASS W VEIN BRACH TO ULN/RAD,183.0,162.87,161.04,183.0,455 CDM,PX-A35525,PR ANES FOR BYP W VEIN BRACHL TO BRACHL,183.0,162.87,161.04,183.0,455 CDM,PX-A35526,PR ANES FOR BYP W VEIN AORTOSUBCLAV/CARTD,183.0,162.87,161.04,183.0,455 CDM,PX-A35531,PR ANES FOR BYP W VEIN AORTOCEL/AORTOMESEN,183.0,162.87,161.04,183.0,455 CDM,PX-A35533,PR ANES FOR BYP W VEIN AXLRY FEM FEM,183.0,162.87,161.04,183.0,455 CDM,PX-A35535,PR ANES FOR BYPASS W VEIN HEPATORENAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35536,PR ANES FOR BYPASS W VEIN SPLENORENAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35537,PR ANES FOR BYPASS W VEIN AORTOILIAC,183.0,162.87,161.04,183.0,455 CDM,PX-A35538,PR ANES FOR BYPASS W VEIN AORTOBI-ILIAC,183.0,162.87,161.04,183.0,455 CDM,PX-A35539,PR ANES FOR BYPASS W VEIN AORTOFEMORAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35540,PR ANES FOR BYPASS W VEIN AORTOBIFEMORAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35556,PR ANES FOR BYP W VEIN FEMRL TO POPLITEAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35558,PR ANES FOR BYPASS W VEIN FEMRL TO FEMRL,183.0,162.87,161.04,183.0,455 CDM,PX-A35560,PR ANES FOR BYPASS W VEIN AORTORENAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35563,PR ANES FOR BYPASS W VEIN ILIOILIAC,183.0,162.87,161.04,183.0,455 CDM,PX-A35565,PR ANES FOR BYPASS W VEIN ILIOFEMORAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35566,PR ANES FOR BYP FEM TO ANT/POST TIBIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35570,PR ANES FOR BYP TIB-TIB/PERONEAL-TIB,183.0,162.87,161.04,183.0,455 CDM,PX-A35571,PR ANES FOR BYP POP TO TIBL OR PERONEAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35572,PR ANES FOR HARVEST FEMPOP VEIN 1 SGM,183.0,162.87,161.04,183.0,455 CDM,PX-A35583,PR ANES FOR IN SITU VEIN BYP FEM TO POP,183.0,162.87,161.04,183.0,455 CDM,PX-A35585,PR ANES FOR IN SITU BYP FEM TO ANT/PST TIB,183.0,162.87,161.04,183.0,455 CDM,PX-A35587,PR ANES FOR IN-SITU VEIN BYP POPLITEAL TIBAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35600,PR ANES FOR HARVEST UE ARTY 1 SEGMENT CABG,183.0,162.87,161.04,183.0,455 CDM,PX-A35601,PR ANES FOR BYP NOT VEIN CMN IPSLAT CAROTID,183.0,162.87,161.04,183.0,455 CDM,PX-A35602,PR ANES FOR BPG CRTD-CLAT CRTD,183.0,162.87,161.04,183.0,455 CDM,PX-A35606,PR ANES FOR BYP NOT VEIN CAROTID TO SUBCL,183.0,162.87,161.04,183.0,455 CDM,PX-A35612,PR ANES FOR BYP NOT VEIN SUBCLAV SUBCLAV,183.0,162.87,161.04,183.0,455 CDM,PX-A35616,PR ANES FOR BYP NOT VEIN SUBCLAV AXILLARY,183.0,162.87,161.04,183.0,455 CDM,PX-A35621,PR ANES FOR BYP NOT VEIN AXILLARY TO FEM,183.0,162.87,161.04,183.0,455 CDM,PX-A35623,PR ANES FOR BYP NOT VEIN AXLRY POP TIB,183.0,162.87,161.04,183.0,455 CDM,PX-A35626,PR ANES FOR BYP NOT VEIN AORTOSUBCL/CARTD,183.0,162.87,161.04,183.0,455 CDM,PX-A35631,PR ANES FOR BYP NOT VEIN AORTO CEL/MSN/REN,183.0,162.87,161.04,183.0,455 CDM,PX-A35632,PR ANES FOR BYP GRFT VEIN NOT ILIO-CELIAC,183.0,162.87,161.04,183.0,455 CDM,PX-A35633,PR ANES FOR BYP GRFT NOT VEIN ILIO TO MSN,183.0,162.87,161.04,183.0,455 CDM,PX-A35634,PR ANES FOR BYP GRFT VEIN NOT ILIORENAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35636,PR ANES FOR BYP GRFT NOT VEIN SPLENORENAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35637,PR ANES FOR BYP GRF NOT VEIN AORTOILIAC,183.0,162.87,161.04,183.0,455 CDM,PX-A35638,PR ANES FOR BYP NOT VEIN AORTOBI TO ILIAC,183.0,162.87,161.04,183.0,455 CDM,PX-A35642,PR ANES FOR BYP NOT VEIN CAROTID VERTEBR,183.0,162.87,161.04,183.0,455 CDM,PX-A35645,PR ANES FOR BYP NOT VEIN SUBCLAV VERTEBR,183.0,162.87,161.04,183.0,455 CDM,PX-A35646,PR ANES FOR BYP NOT VEIN AORTOBI TO FEM,183.0,162.87,161.04,183.0,455 CDM,PX-A35647,PR ANES FOR BYP NOT VEIN AORTO TO FEMORAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35650,PR ANES FOR BYP NOT VEIN AXLRY AXLRY,183.0,162.87,161.04,183.0,455 CDM,PX-A35654,PR ANES FOR BYP NOT VEIN AX TO FEM TO FEM,183.0,162.87,161.04,183.0,455 CDM,PX-A35656,PR ANES FOR BYP NOT VEIN FEMORAL TO POP,183.0,162.87,161.04,183.0,455 CDM,PX-A35661,PR ANES FOR BYP NOT VEIN FEM TO FEM,183.0,162.87,161.04,183.0,455 CDM,PX-A35663,PR ANES FOR BYP GRFT NOT VEIN ILIOILIAC,183.0,162.87,161.04,183.0,455 CDM,PX-A35665,PR ANES FOR BYP GRFT NOT VEIN ILIOFEMORAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35666,PR ANES FOR BYP NOT VEIN FEM TO ANT TIB,183.0,162.87,161.04,183.0,455 CDM,PX-A35671,PR ANES FOR BYP NOT VEIN POP TO TIBIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A35681,PR ANES FOR BYP COMPOSITE GRFT PROSTH&VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A35682,PR ANES FOR BYP AUTOG COMPOSIT 2 SEG 2 LOC,183.0,162.87,161.04,183.0,455 CDM,PX-A35683,PR ANES FOR BYP AUTOG CMPST >=3 SEG 2 LOC,183.0,162.87,161.04,183.0,455 CDM,PX-A35685,PR ANES FOR PLC VEIN PATCH/CUFF DIST ANAST,183.0,162.87,161.04,183.0,455 CDM,PX-A35686,"PR ANES FOR CREATION DISTAL AV FIST,LOW EXT BYPASS",183.0,162.87,161.04,183.0,455 CDM,PX-A35691,PR ANES FOR TRPOS&/RPLC VERT CAROTID ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A35693,PR ANES FOR TRPOS&/RPLC VERT SUBCLAV ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A35694,PR ANES FOR TRPOS&/RPLC SUBCL CARTD ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A35695,PR ANES FOR TRPOS&/RPLC CARTD SUBCL ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A35697,PR ANES FOR RIMPL VISC ARTY INFRARNL AORT,183.0,162.87,161.04,183.0,455 CDM,PX-A35700,PR ANES FOR REOP > 1 MO AFTER ORIGINAL OP,183.0,162.87,161.04,183.0,455 CDM,PX-A35701,PR ANES FOR EXPLR W/WO LYSIS CAROTID ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A35702,PR ANES FOR EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY,183.0,162.87,161.04,183.0,455 CDM,PX-A35703,PR ANES FOR EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY,183.0,162.87,161.04,183.0,455 CDM,PX-A35800,PR ANES FOR EXPLR PO HEMR THROM/INFC NECK,183.0,162.87,161.04,183.0,455 CDM,PX-A35820,PR ANES FOR EXPLR PO HEMR THROM/INFC CHEST,183.0,162.87,161.04,183.0,455 CDM,PX-A35840,PR ANES FOR EXPLR PO HEMR THROM/INFC ABD,183.0,162.87,161.04,183.0,455 CDM,PX-A35860,PR ANES FOR EXPLR PO HEMR THROM/INFC EXT,183.0,162.87,161.04,183.0,455 CDM,PX-A35870,PR ANES FOR RPR GRFT ENTERIC FSTL,183.0,162.87,161.04,183.0,455 CDM,PX-A35875,PR ANES FOR THROMB ARTL GRFT NOT HEMO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A35876,PR ANES FOR THROMB ARTL/VEIN GRFT W REV GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A35879,PR ANES FOR REV LE ART BYP OPN VEIN ANGIOP,183.0,162.87,161.04,183.0,455 CDM,PX-A35881,PR ANES FOR REV LE ART BYP OPN W SEGM VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A35883,PR ANES FOR REV FEM ANAST OPN NONAUTOG GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A35884,"PR ANES FOR REVISE FEMORAL GRAFT, AUTOGENOUS GRAFT",183.0,162.87,161.04,183.0,455 CDM,PX-A35901,PR ANES FOR EXCISION INFECTED NECK GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A35903,PR ANES FOR EXCISN INFECTED GRFT EXTREMITY,183.0,162.87,161.04,183.0,455 CDM,PX-A35905,PR ANES FOR EXCISION INFECTED GRAFT THORAX,183.0,162.87,161.04,183.0,455 CDM,PX-A35907,PR ANES FOR EXCISN INFECTED GRAFT ABDOMEN,183.0,162.87,161.04,183.0,455 CDM,PX-A36000,PR ANES FOR INTRO NDL/CATH VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A36002,PR ANES FOR INJ PERC TX EXT PSEUDOARYSM,183.0,162.87,161.04,183.0,455 CDM,PX-A36005,PR ANES FOR INJ EXT VENOGRPH W NDLCATH,183.0,162.87,161.04,183.0,455 CDM,PX-A36010,PR ANES FOR INTRO CATH SUPR/INF VENA CAVA,183.0,162.87,161.04,183.0,455 CDM,PX-A36011,PR ANES FOR SEL CATH PLC VEN SYS 1ST ORDER,183.0,162.87,161.04,183.0,455 CDM,PX-A36012,PR ANES FOR SEL CATH PLC VEN SYS 2ND ORDER,183.0,162.87,161.04,183.0,455 CDM,PX-A36013,PR ANES FOR INTRO CATH RT HEART/PULM ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A36014,PR ANES FOR SEL CATH PLC LT/RT PULM ARTERY,183.0,162.87,161.04,183.0,455 CDM,PX-A36015,PR ANES FOR PLC CATH SEGM PULM ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A36100,PR ANES FOR PLACE CATH CAROT/VERT ART,183.0,162.87,161.04,183.0,455 CDM,PX-A36140,PR ANES FOR INTRO NDL/CATH EXT ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A36160,PR ANES FOR INTRO NDL/INTRACATH AORT TRNSLMB,183.0,162.87,161.04,183.0,455 CDM,PX-A36200,PR ANES FOR INTRODUCTION CATHETER AORTA,183.0,162.87,161.04,183.0,455 CDM,PX-A36215,PR ANES FOR SEL CATH EA 1ST ORD THRC/BRCH,183.0,162.87,161.04,183.0,455 CDM,PX-A36216,PR ANES FOR SEL CATH 1ST/2ND ORD THRC/BRCH,183.0,162.87,161.04,183.0,455 CDM,PX-A36217,PR ANES FOR SEL CATH 3RD+ORD SEL THRC/BRCH,183.0,162.87,161.04,183.0,455 CDM,PX-A36218,PR ANES FOR SEL CATH EA 2ND+ ORD THRC/BRCH,183.0,162.87,161.04,183.0,455 CDM,PX-A36221,PR ANES FOR NONSEL CATH THOR AORTA W ANGIO,183.0,162.87,161.04,183.0,455 CDM,PX-A36222,PR ANES FOR SEL CATH CARTD ANGIO EXTRACRAN,183.0,162.87,161.04,183.0,455 CDM,PX-A36223,PR ANES FOR SEL CATH CARTD ANGIO INTRCR,183.0,162.87,161.04,183.0,455 CDM,PX-A36224,PR ANES FOR SEL CATH INTRNL CARTD ARTERY,183.0,162.87,161.04,183.0,455 CDM,PX-A36225,PR ANES FOR SEL CATH SUBCL ARTY ANGIO VERT,183.0,162.87,161.04,183.0,455 CDM,PX-A36226,PR ANES FOR SEL CATH VERT ARTY ANGIO VERT,183.0,162.87,161.04,183.0,455 CDM,PX-A36227,PR ANES FOR SEL CATH EXT CARTD W ANGIO,183.0,162.87,161.04,183.0,455 CDM,PX-A36228,PR ANES FOR SEL CATH INT CARTD W ANGIO,183.0,162.87,161.04,183.0,455 CDM,PX-A36245,PR ANES FOR SEL CATH EA 1ST ORD ABD PLV/LE,183.0,162.87,161.04,183.0,455 CDM,PX-A36246,PR ANES FOR SEL CATH 2ND ORDER ABD PLV/LE,183.0,162.87,161.04,183.0,455 CDM,PX-A36247,PR ANES FOR SEL CATH 3RD+ ORD SEL ABD LE,183.0,162.87,161.04,183.0,455 CDM,PX-A36248,PR ANES FOR SEL CATH EA 2ND+ ORD ABD LE,183.0,162.87,161.04,183.0,455 CDM,PX-A36251,PR ANES FOR SEL CATH RENAL ARTY&ANGIO UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A36252,PR ANES FOR SEL CATH RENAL ARTY&ANGIO BIL,183.0,162.87,161.04,183.0,455 CDM,PX-A36253,PR ANES FOR CATH 2ND+ORD RENAL ARTERY UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A36254,PR ANES FOR PLC CATH REN ARTY >=2ND ORD BI,183.0,162.87,161.04,183.0,455 CDM,PX-A36260,PR ANES FOR INS IMPL IART INFUSION PUMP,183.0,162.87,161.04,183.0,455 CDM,PX-A36261,PR ANES FOR REVISION OF INFUSION PUMP,183.0,162.87,161.04,183.0,455 CDM,PX-A36262,PR ANES FOR REMOVAL OF INFUSION PUMP,183.0,162.87,161.04,183.0,455 CDM,PX-A36299,PR ANES FOR UNLISTED PROC VASCULAR INJ,183.0,162.87,161.04,183.0,455 CDM,PX-A36400,PR ANES FOR VENIPUNC <3 YRS FEM/JUG VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A36405,PR ANES FOR VENIPUNCTURE <3 YRS SCALP VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A36406,PR ANES FOR VENIPUNCTURE <3 YRS OTHER VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A36410,PR ANES FOR VENI >=3 YR W MD,183.0,162.87,161.04,183.0,455 CDM,PX-A36415,PR ANES FOR VENIPUNCTURE,183.0,162.87,161.04,183.0,455 CDM,PX-A36416,PR ANES FOR COLLECTION SPECIMEN CAP BLOOD,183.0,162.87,161.04,183.0,455 CDM,PX-A36420,PR ANES FOR VENIPUNCTURE CUTDOWN <1YR,183.0,162.87,161.04,183.0,455 CDM,PX-A36425,PR ANES FOR VENIPUNCTURE CUTDWN >=1YR,183.0,162.87,161.04,183.0,455 CDM,PX-A36430,PR ANES FOR BLOOD TRANSFUSION,183.0,162.87,161.04,183.0,455 CDM,PX-A36440,"PR ANES FOR BLOOD TRANSFUSION PUSH,<2 Y/O",183.0,162.87,161.04,183.0,455 CDM,PX-A36450,PR ANES FOR EXCHNG TRANSFUSION BLD NEWBORN,183.0,162.87,161.04,183.0,455 CDM,PX-A36455,"PR ANES FOR EXCHANGE TRANSFUSION, OTHR",183.0,162.87,161.04,183.0,455 CDM,PX-A36456,PR ANES FOR PRTL EXCHANGE TRANSFUSE BLOOD/PLSM/CRYST NEWBORN,183.0,162.87,161.04,183.0,455 CDM,PX-A36460,PR ANES FOR TRANSFUSION INTRAUTERINE FETAL,183.0,162.87,161.04,183.0,455 CDM,PX-A36465,PR ANES FOR NJX NONCMPND SCLRSNT 1 VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A36466,PR ANES FOR NJX NONCMPND SCLRSNT MLT VN,183.0,162.87,161.04,183.0,455 CDM,PX-A36468,PR ANES FOR INJ SNGL/MULT SPIDER VEIN LIMB,183.0,162.87,161.04,183.0,455 CDM,PX-A36470,PR ANES FOR INJ SCLEROSING SOLN SNGL VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A36471,PR ANES FOR INJ SCLEROSING SOLN MULT VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A36473,PR ANES FOR ENDOVEN ABLT MCHNCHEM 1ST VN,183.0,162.87,161.04,183.0,455 CDM,PX-A36474,PR ANES FOR ENDOVEN ABLT MCHNCHEM EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A36475,PR ANES FOR ENDOVENOUS ABLATION 1ST VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A36476,PR ANES FOR ENDOVENOUS ABLATION 2ND+ VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A36478,PR ANES FOR ENDOVENOUS ABLT LASER 1ST VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A36479,PR ANES FOR ENDOVENOUS ABLT LASER 2ND+VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A36481,PR ANES FOR CATH PORTAL VEIN PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A36482,PR ANES FOR ENDOVEN THER CHEM ADHES 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A36483,PR ANES FOR ENDOVEN THER CHEM ADHES SBSQ,183.0,162.87,161.04,183.0,455 CDM,PX-A36500,PR ANES FOR CATH VEN SEL ORGAN BLD SAMPLNG,183.0,162.87,161.04,183.0,455 CDM,PX-A36510,PR ANES FOR CATH UMBILICAL VEIN DX/THER,183.0,162.87,161.04,183.0,455 CDM,PX-A36511,PR ANES FOR APHERESIS THERAPEUTIC WBC,183.0,162.87,161.04,183.0,455 CDM,PX-A36512,PR ANES FOR APHERESIS THERAPEUTIC RBC,183.0,162.87,161.04,183.0,455 CDM,PX-A36513,PR ANES FOR APHERESIS THERAPEUTIC PLT,183.0,162.87,161.04,183.0,455 CDM,PX-A36514,PR ANES FOR APHERESIS THERAPEUTIC PLASMA,183.0,162.87,161.04,183.0,455 CDM,PX-A36516,PR ANES FOR LDL APHERESIS,183.0,162.87,161.04,183.0,455 CDM,PX-A36522,PR ANES FOR PHOTOPHERESIS EXTRACORPOREAL,183.0,162.87,161.04,183.0,455 CDM,PX-A36555,PR ANES FOR INS NONTUNL CVC <5YR,183.0,162.87,161.04,183.0,455 CDM,PX-A36556,PR ANES FOR INS NON-TUN CVC >5YR,183.0,162.87,161.04,183.0,455 CDM,PX-A36557,PR ANES FOR INS TUNL CVC WO PORT < 5 YR,183.0,162.87,161.04,183.0,455 CDM,PX-A36558,PR ANES FOR INS TUNL CVC WO PORT >=5YR,183.0,162.87,161.04,183.0,455 CDM,PX-A36560,PR ANES FOR INS TUNL CVAD W PORT < 5 YR,183.0,162.87,161.04,183.0,455 CDM,PX-A36561,PR ANES FOR INS TUNL CVAD W PORT >= 5 YR,183.0,162.87,161.04,183.0,455 CDM,PX-A36563,PR ANES FOR INS TUNL CVAD W SUBQ PUMP,183.0,162.87,161.04,183.0,455 CDM,PX-A36565,PR ANES FOR INS TUNL CVAD 2 CATH WO PORT,183.0,162.87,161.04,183.0,455 CDM,PX-A36566,PR ANES FOR INS TUNL CVAD 2 CATH W PORT,183.0,162.87,161.04,183.0,455 CDM,PX-A36568,PR ANES FOR INS PICC WO SUBQ PORT < 5 YR WO GUIDE,183.0,162.87,161.04,183.0,455 CDM,PX-A36569,PR ANES FOR INS PICC WO PORT/PUMP >=5YR WO GUIDE,183.0,162.87,161.04,183.0,455 CDM,PX-A36570,PR ANES FOR INS PICC W SUBQ PORT < 5 YR,183.0,162.87,161.04,183.0,455 CDM,PX-A36571,PR ANES FOR INS PICC W SUBQ PORT >= 5 YR,183.0,162.87,161.04,183.0,455 CDM,PX-A36572,PR ANES FOR INSJ PICC RS&I <5 YR,183.0,162.87,161.04,183.0,455 CDM,PX-A36573,PR ANES FOR INSJ PICC RS&I 5 YR+,183.0,162.87,161.04,183.0,455 CDM,PX-A36575,PR ANES FOR RPR TUN/NON-TUNL CVC WO PORT,183.0,162.87,161.04,183.0,455 CDM,PX-A36576,PR ANES FOR REPAIR CV CATH W SUBQ PORT,183.0,162.87,161.04,183.0,455 CDM,PX-A36578,PR ANES FOR RPLC CATH CVAD W SUBQ PORT,183.0,162.87,161.04,183.0,455 CDM,PX-A36580,PR ANES FOR RPLC CVC NONTUNL COMPLT,183.0,162.87,161.04,183.0,455 CDM,PX-A36581,PR ANES FOR RPLC COMPLT TUNL CVC WO PORT,183.0,162.87,161.04,183.0,455 CDM,PX-A36582,PR ANES FOR RPLC COMPLT TUNL CVAD W PORT,183.0,162.87,161.04,183.0,455 CDM,PX-A36583,PR ANES FOR RPLC COMPLT TUNL CVAD W PUMP,183.0,162.87,161.04,183.0,455 CDM,PX-A36584,PR ANES FOR RPLC COMPLT PICC CVC WO PORT W GUIDE/S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A36585,PR ANES FOR RPLC COMPLT PICC CVC W PORT,183.0,162.87,161.04,183.0,455 CDM,PX-A36589,PR ANES FOR RMVL TUN CV CATH WO SUBQ PORT,183.0,162.87,161.04,183.0,455 CDM,PX-A36590,PR ANES FOR RMVL TUNL CVAD W SUBQ PORT/PMP,183.0,162.87,161.04,183.0,455 CDM,PX-A36591,PR ANES FOR COLLECT BLOOD FROM IMPLANT VAD,183.0,162.87,161.04,183.0,455 CDM,PX-A36592,PR ANES FOR COLLECT BLOOD PICC VENOUS NOS,183.0,162.87,161.04,183.0,455 CDM,PX-A36593,PR ANES FOR DECLOT IMPL VAD/CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A36595,PR ANES FOR MCHNL RMVL PRICATH OBSTR CVAD,183.0,162.87,161.04,183.0,455 CDM,PX-A36596,PR ANES FOR MCHNL RMVL INTRALU OBSTR CVAD,183.0,162.87,161.04,183.0,455 CDM,PX-A36597,PR ANES FOR REPO PREV PLC CVC FLUORO GUID,183.0,162.87,161.04,183.0,455 CDM,PX-A36598,PR ANES FOR INJ CNTRST RAD EVAL CVAD FLUOR,183.0,162.87,161.04,183.0,455 CDM,PX-A36600,PR ANES FOR ARTERIAL PUNCTURE,183.0,162.87,161.04,183.0,455 CDM,PX-A36620,PR ANES FOR ARTL CATH/CNULA MONITOR PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A36625,PR ANES FOR ARTL CATH/CNULA MONITOR CUTDWN,183.0,162.87,161.04,183.0,455 CDM,PX-A36640,"PR ANES FOR INSERT CATH,ART,CUTDOWN,PROLONG",183.0,162.87,161.04,183.0,455 CDM,PX-A36660,PR ANES FOR CATH UMBCL ARTY NB DX/THERAPY,183.0,162.87,161.04,183.0,455 CDM,PX-A36680,PR ANES FOR PLC NEEDLE INTRAOSSEUS INF,183.0,162.87,161.04,183.0,455 CDM,PX-A36800,PR ANES FOR INS CANNULA HEMODIALYSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A36810,"PR ANES FOR INSERT CANNULA,ART-VEN,EXTERN",183.0,162.87,161.04,183.0,455 CDM,PX-A36815,PR ANES FOR INS CANNULA HEMODIALYS ARTVEN,183.0,162.87,161.04,183.0,455 CDM,PX-A36818,PR ANES FOR ART VEN ANAST OPN UARM CEPHALC,183.0,162.87,161.04,183.0,455 CDM,PX-A36819,PR ANES FOR ART VEN ANAST OPN UARM BASILIC,183.0,162.87,161.04,183.0,455 CDM,PX-A36820,PR ANES FOR ART VEN ANAST OPN FORARM VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A36821,PR ANES FOR ARTERIOVENOUS ANAST OPN DIRECT,183.0,162.87,161.04,183.0,455 CDM,PX-A36823,PR ANES FOR INS CNULA W RMVL CNULA RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A36825,PR ANES FOR CREATE ART VEN FSTL AUTOGRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A36830,PR ANES FOR CREATE ART VEN FSTL NONAUTGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A36831,PR ANES FOR THRMBCT ART VEN FSTL WO REV,183.0,162.87,161.04,183.0,455 CDM,PX-A36832,PR ANES FOR REV ART VEN FSTL WO THRMBCT,183.0,162.87,161.04,183.0,455 CDM,PX-A36833,PR ANES FOR REV ART VEN FSTL W THRMBCT,183.0,162.87,161.04,183.0,455 CDM,PX-A36835,PR ANES FOR ARTERY TO VEIN SHUNT,183.0,162.87,161.04,183.0,455 CDM,PX-A36836,PR ANES FOR PERQ AV FISTULA CREATION UXTR SINGLE ACCESS,183.0,162.87,161.04,183.0,455 CDM,PX-A36837,PR ANES FOR PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES,183.0,162.87,161.04,183.0,455 CDM,PX-A36838,PR ANES FOR DSTL REVASC UPEXT HEMO ACCESS,183.0,162.87,161.04,183.0,455 CDM,PX-A36860,PR ANES FOR DECLOT EXTRNL CNULA WO BALLOON,183.0,162.87,161.04,183.0,455 CDM,PX-A36861,PR ANES FOR EXT CANNULA DECLOTT W BALLOON CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A36901,PR ANES FOR AV FISTULA IMAGING,183.0,162.87,161.04,183.0,455 CDM,PX-A36902,PR ANES FOR AV FISTULA PTA,183.0,162.87,161.04,183.0,455 CDM,PX-A36903,PR ANES FOR AV FISTULA STENT,183.0,162.87,161.04,183.0,455 CDM,PX-A36904,PR ANES FOR AV FISTULA THROMBECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A36905,PR ANES FOR AV FISTULA PTA THROMBECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A36906,PR ANES FOR AV FISTULA STENT THROMBECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A36907,PR ANES FOR AV FISTULA PTA CENTRAL,183.0,162.87,161.04,183.0,455 CDM,PX-A36908,PR ANES FOR AV FISTULA STENT CENTRAL,183.0,162.87,161.04,183.0,455 CDM,PX-A36909,PR ANES FOR AV FISTULA EMBOLIZATION,183.0,162.87,161.04,183.0,455 CDM,PX-A37140,PR ANES FOR VENOUS ANASTOMOSIS OPEN,183.0,162.87,161.04,183.0,455 CDM,PX-A37145,PR ANES FOR RENOPORTAL SHUNT,183.0,162.87,161.04,183.0,455 CDM,PX-A37160,PR ANES FOR VENOUS ANAST OPN CAVAL-MESEN,183.0,162.87,161.04,183.0,455 CDM,PX-A37180,PR ANES FOR VENOUS ANAST OPN SPLENORENAL,183.0,162.87,161.04,183.0,455 CDM,PX-A37181,PR ANES FOR VEN ANAST OPN SPLENORENL DIST,183.0,162.87,161.04,183.0,455 CDM,PX-A37182,PR ANES FOR INS HEPATIC SHUNT (TIPS),183.0,162.87,161.04,183.0,455 CDM,PX-A37183,PR ANES FOR REVISE HEPATIC SHUNT (TIPS),183.0,162.87,161.04,183.0,455 CDM,PX-A37184,PR ANES FOR THRMBCT MECH PRIM PERC INIT VSL,183.0,162.87,161.04,183.0,455 CDM,PX-A37185,PR ANES FOR THRMBC MECH PRIM PERC SBSQ VSL,183.0,162.87,161.04,183.0,455 CDM,PX-A37186,PR ANES FOR THRMBCT PERC TRLUML SEC NONCOR,183.0,162.87,161.04,183.0,455 CDM,PX-A37187,PR ANES FOR THRMBCT MECH TRLUML VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A37188,PR ANES FOR THRMBC PERC MECH TRLUML RPT TX,183.0,162.87,161.04,183.0,455 CDM,PX-A37191,PR ANES FOR INSERT EVASC VENA CAVA FILTER,183.0,162.87,161.04,183.0,455 CDM,PX-A37192,PR ANES FOR REPOS INTRAVASC VENA CAVA FLTR,183.0,162.87,161.04,183.0,455 CDM,PX-A37193,PR ANES FOR RTREV/RMVL EVASC VENACAVA FLTR,183.0,162.87,161.04,183.0,455 CDM,PX-A37195,PR ANES FOR THROMBOLYSIS CEREBRAL INFUS,183.0,162.87,161.04,183.0,455 CDM,PX-A37197,PR ANES FOR RTREV/RMVL INTRAVASC FB W IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A37200,PR ANES FOR TRANSCATHETER BIOPSY,183.0,162.87,161.04,183.0,455 CDM,PX-A37211,PR ANES FOR TRANSCATH ARTL THPY W S&I INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A37212,PR ANES FOR TRANSCATH VEN THPY W S&I INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A37213,PR ANES FOR TRANSCATH ARTL/VEN THPY W S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A37214,PR ANES FOR CESSATION THROMBLYS RMVL CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A37215,PR ANES FOR PLC STENT CAROTID EMBO PROTECT,183.0,162.87,161.04,183.0,455 CDM,PX-A37216,PR ANES FOR PLC STNT CARTD WO EMBO PROTECT,183.0,162.87,161.04,183.0,455 CDM,PX-A37217,PR ANES FOR PLC STENT INTRTHRC CARTD/INNOM,183.0,162.87,161.04,183.0,455 CDM,PX-A37218,PR ANES FOR PLC STENT PLC ANTEGRADE CARTD,183.0,162.87,161.04,183.0,455 CDM,PX-A37220,PR ANES FOR REVASC ILIAC ARTERY INIT VESSEL,183.0,162.87,161.04,183.0,455 CDM,PX-A37221,PR ANES FOR REVASC OPN/PERC ILIAC W STENT,183.0,162.87,161.04,183.0,455 CDM,PX-A37222,PR ANES FOR REVASC ILIAC ARTY EA IPSI VSSL,183.0,162.87,161.04,183.0,455 CDM,PX-A37223,PR ANES FOR REVASC ILIAC ARTY STNT ANGPLST,183.0,162.87,161.04,183.0,455 CDM,PX-A37224,PR ANES FOR REVASC FEM/POP W ANGPLST UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A37225,PR ANES FOR REVASC FEM/POP W ATHRC/ANGPLST,183.0,162.87,161.04,183.0,455 CDM,PX-A37226,PR ANES FOR REVASC FEM/POP W STENT/ANGPLST,183.0,162.87,161.04,183.0,455 CDM,PX-A37227,PR ANES FOR REVASC FEM/POP W STNT/ATHR/ANG,183.0,162.87,161.04,183.0,455 CDM,PX-A37228,PR ANES FOR REVASC TIB/PERO W ANGPLST UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A37229,PR ANES FOR REVASC TIB/PERONEAL W ATHRC,183.0,162.87,161.04,183.0,455 CDM,PX-A37230,PR ANES FOR REVASC TIB/PERO W STENT&ANGIOP,183.0,162.87,161.04,183.0,455 CDM,PX-A37231,PR ANES FOR REVASC TIB/PERO STNT&ARTH&ANGP,183.0,162.87,161.04,183.0,455 CDM,PX-A37232,PR ANES FOR REVASC TIB/PERO W ANGPLST EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37233,PR ANES FOR REVASC TIB/PERO ATHR&ANGIOP EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37234,PR ANES FOR REVASC TIB/PERO STNT&ANGIOP EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37235,PR ANES FOR REVASC TIB/PERO STNT&ANTHR EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37236,PR ANES FOR PLC OPN/PERC STENT INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A37237,PR ANES FOR PLC OPN/PERC STENT EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A37238,PR ANES FOR PLC OPN/PERC STENT SAME INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A37239,PR ANES FOR PLC OPN/PERC STENT SAME EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A37241,PR ANES FOR VASC EMBL/OCCLUDE VENOUS,183.0,162.87,161.04,183.0,455 CDM,PX-A37242,PR ANES FOR VASC EMBL/OCCLUDE ARTERIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A37243,PR ANES FOR VASC EMBL/OCCLUDE TMR INFARCT,183.0,162.87,161.04,183.0,455 CDM,PX-A37244,PR ANES FOR VASC EMBL/OCCLUDE HEMORRHAGE,183.0,162.87,161.04,183.0,455 CDM,PX-A37246,PR ANES FOR PTA ARTERIAL INITIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A37247,PR ANES FOR PTA ARTERIAL EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A37248,PR ANES FOR PTA VENOUS INITIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A37249,PR ANES FOR PTA VENOUS EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A37252,PR ANES FOR INTRAVASC US NONCORONARY INIT VSL,183.0,162.87,161.04,183.0,455 CDM,PX-A37253,PR ANES FOR INTRAVASC US NONCORONARY ADD VSL,183.0,162.87,161.04,183.0,455 CDM,PX-A37254,PR ANES FOR REVSC EVASC IVT ANGIO SF 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A37255,PR ANES FOR REVSC EVASC IVT ANGIO SF EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37256,PR ANES FOR REVSC EVASC IVT ANGIO CPLX 1,183.0,162.87,161.04,183.0,455 CDM,PX-A37257,PR ANES FOR REVSC EVSC IVT ANGIO CPLX EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37258,PR ANES FOR REVSC EVASC IVT STENT SF 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A37259,PR ANES FOR REVSC EVASC IVT STENT SF EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37260,PR ANES FOR REVSC EVASC IVT ST CPLX 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A37261,PR ANES FOR REVSC EVASC IVT ST CPLX EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37262,PR ANES FOR IV LITHOTRP IVT W/IN SM ART,183.0,162.87,161.04,183.0,455 CDM,PX-A37263,PR ANES FOR REVSC EVASC FPVT ANGIO SF 1,183.0,162.87,161.04,183.0,455 CDM,PX-A37264,PR ANES FOR REVSC EVASC FPVT ANGIO SF EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37265,PR ANES FOR REVSC EVSC FPVT ANGIO CPLX 1,183.0,162.87,161.04,183.0,455 CDM,PX-A37266,PR ANES FOR RVSC EVSC FPVT ANGIO CPLX EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37267,PR ANES FOR REVSC EVSC FPVT STENT SF 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A37268,PR ANES FOR REVSC EVASC FPVT STENT SF EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37269,PR ANES FOR REVSC EVASC FPVT ST CPLX 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A37270,PR ANES FOR REVSC EVASC FPVT ST CPLX EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37271,PR ANES FOR REVSC EVSC FPVT ATHRC SF 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A37272,PR ANES FOR REVSC EVSC FPVT ATHRC SF EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37273,PR ANES FOR REVSC EVSC FPVT ATHRC CPLX 1,183.0,162.87,161.04,183.0,455 CDM,PX-A37274,PR ANES FOR RVSC EVSC FPVT ATHRC CPLX EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37275,PR ANES FOR RVSC EVSC FPVT ST ATHRC SF 1,183.0,162.87,161.04,183.0,455 CDM,PX-A37276,PR ANES FOR RVSC EVSC FPVT ST ATHR SF EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37277,PR ANES FOR RVSC EVSC FPVT ST ATHR CPX 1,183.0,162.87,161.04,183.0,455 CDM,PX-A37278,PR ANES FOR RVSC EVSC FPVT ST ATH CPX EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37279,PR ANES FOR IV LITHOTRP FPVT W/IN SM ART,183.0,162.87,161.04,183.0,455 CDM,PX-A37280,PR ANES FOR REVSC EVSC TPVT ANGIO SF 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A37281,PR ANES FOR REVSC EVSC TPVT ANGIO SF EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37282,PR ANES FOR RVSC EVSC TPVT ANGIO CPLX 1,183.0,162.87,161.04,183.0,455 CDM,PX-A37283,PR ANES FOR RVSC EVSC TPVT ANGIO CPLX EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37284,PR ANES FOR REVSC EVASC TPVT ST SF 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A37285,PR ANES FOR REVSC EVASC TPVT ST SF EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37286,PR ANES FOR REVSC EVASC TPVT ST CPLX 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A37287,PR ANES FOR REVSC EVASC TPVT ST CPLX EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37288,PR ANES FOR REVSC EVSC TPVT ATHRC SF 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A37289,PR ANES FOR REVSC EVSC TPVT ATHRC SF EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37290,PR ANES FOR REVSC EVSC TPVT ATHRC CPLX 1,183.0,162.87,161.04,183.0,455 CDM,PX-A37291,PR ANES FOR REVSC EVSC TPVT ATHR CPLX EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37292,PR ANES FOR RVSC EVSC TPVT ST ATHRC SF 1,183.0,162.87,161.04,183.0,455 CDM,PX-A37293,PR ANES FOR RVSC EVSC TPVT ST ATHR SF EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37294,PR ANES FOR RVSC EVSC TPVT ST ATHR CPX 1,183.0,162.87,161.04,183.0,455 CDM,PX-A37295,PR ANES FOR RVSC EVSC TPVT ST ATH CPX EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37296,PR ANES FOR REVSC EVASC IMVT ANGIO SF 1,183.0,162.87,161.04,183.0,455 CDM,PX-A37297,PR ANES FOR REVSC EVASC IMVT ANGIO SF EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37298,PR ANES FOR REVSC EVSC IMVT ANGIO CPLX 1,183.0,162.87,161.04,183.0,455 CDM,PX-A37299,PR ANES FOR REVSC EVSC IMVT ANGIO CPX EA,183.0,162.87,161.04,183.0,455 CDM,PX-A37500,PR ANES FOR VASC ENDOSCOPY SURG W LIG PERF,183.0,162.87,161.04,183.0,455 CDM,PX-A37501,PR ANES FOR UNLISTED PROC VASC ENDOSCOPY,183.0,162.87,161.04,183.0,455 CDM,PX-A37565,PR ANES FOR LIGATION INTERNAL JUGULAR VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A37600,PR ANES FOR LIGATION EXTERNAL CAROTID ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A37605,PR ANES FOR LIG INTERNAL/COM CAROTID ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A37606,PR ANES FOR LIGAT INT/CMN CAROT ART W OCCL,183.0,162.87,161.04,183.0,455 CDM,PX-A37607,PR ANES FOR LIG/BANDING ANGIOACCESS AVF,183.0,162.87,161.04,183.0,455 CDM,PX-A37609,PR ANES FOR LIGATION/BIOPSY TEMPORAL ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A37615,PR ANES FOR LIGATION MAJOR ARTERY NECK,183.0,162.87,161.04,183.0,455 CDM,PX-A37616,PR ANES FOR LIGATION MJR ARTERY CHEST,183.0,162.87,161.04,183.0,455 CDM,PX-A37617,PR ANES FOR LIGATION MAJOR ARTERY ABDOMEN,183.0,162.87,161.04,183.0,455 CDM,PX-A37618,PR ANES FOR LIGATION MAJOR ARTY EXTREMITY,183.0,162.87,161.04,183.0,455 CDM,PX-A37619,PR ANES FOR LIGATION OF INFERIOR VENA CAVA,183.0,162.87,161.04,183.0,455 CDM,PX-A37650,PR ANES FOR LIGATION FEMORAL VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A37660,PR ANES FOR LIGATION COMMON ILIAC VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A37700,PR ANES FOR LIGATION & DIV SAPHENOUS VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A37718,PR ANES FOR LIG & STRIP SHORT SAPH VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A37722,PR ANES FOR LIG & STRIP LONG SAPH VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A37735,PR ANES FOR REMOVAL OF LEG VEINS/ULCER,183.0,162.87,161.04,183.0,455 CDM,PX-A37760,PR ANES FOR LIG PRFRATR VEIN RAD GRFT 1LEG,183.0,162.87,161.04,183.0,455 CDM,PX-A37761,PR ANES FOR LIG PRFRATR VEIN OPEN GRFT 1LEG,183.0,162.87,161.04,183.0,455 CDM,PX-A37765,PR ANES FOR PHLEB VEINS 1 EXT 10-20 INCS,183.0,162.87,161.04,183.0,455 CDM,PX-A37766,PR ANES FOR PHLEB VEINS 1 EXT > 20 INCS,183.0,162.87,161.04,183.0,455 CDM,PX-A37780,PR ANES FOR LIG&DIV SHRT SAPH VEIN SAPH JN,183.0,162.87,161.04,183.0,455 CDM,PX-A37785,PR ANES FOR LIG/DIV/EXC VEIN CLUSTR 1 LEG,183.0,162.87,161.04,183.0,455 CDM,PX-A37788,PR ANES FOR PENILE REVASC ARTY W/WO GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A37790,PR ANES FOR PENILE VENOUS OCCLUSIVE PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A37799,PR ANES FOR UNLISTED PROC VASCULAR SURGERY,183.0,162.87,161.04,183.0,455 CDM,PX-A38100,PR ANES FOR SPLENECTOMY TOT SEPARATE PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A38101,PR ANES FOR SPLENECTOMY PARTIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A38102,PR ANES FOR SPLENECTOMY TOTAL W OTHR PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A38115,PR ANES FOR REPAIR RUPTURED SPLEEN,183.0,162.87,161.04,183.0,455 CDM,PX-A38120,PR ANES FOR LAPAROSCOPIC SURG SPLENECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A38129,PR ANES FOR UNLISTED PROC LAP SPLEEN,183.0,162.87,161.04,183.0,455 CDM,PX-A38200,PR ANES FOR INJECTION FOR SPLEEN X-RAY,183.0,162.87,161.04,183.0,455 CDM,PX-A38204,PR ANES FOR MGMT RCP HPC DONOR SEARCH,183.0,162.87,161.04,183.0,455 CDM,PX-A38205,PR ANES FOR HPC HARVEST ALLOGENIC,183.0,162.87,161.04,183.0,455 CDM,PX-A38206,PR ANES FOR HPC HARVEST AUTOLOGOUS,183.0,162.87,161.04,183.0,455 CDM,PX-A38207,PR ANES FOR CRYOPRESERVE/STORAGE,183.0,162.87,161.04,183.0,455 CDM,PX-A38208,PR ANES FOR THAW,183.0,162.87,161.04,183.0,455 CDM,PX-A38209,PR ANES FOR THAW & WASH,183.0,162.87,161.04,183.0,455 CDM,PX-A38210,PR ANES FOR T CELL DEPLETION,183.0,162.87,161.04,183.0,455 CDM,PX-A38211,"PR ANES FOR TRANS PREP CELLS,TUMOR CELL DEPLETE",183.0,162.87,161.04,183.0,455 CDM,PX-A38212,PR ANES FOR RBC DEPLETION,183.0,162.87,161.04,183.0,455 CDM,PX-A38213,"PR ANES FOR TRANS PREP CELLS,PLATELET DEPLETION",183.0,162.87,161.04,183.0,455 CDM,PX-A38214,PR ANES FOR PLASMA DEPLETION,183.0,162.87,161.04,183.0,455 CDM,PX-A38215,PR ANES FOR TRANSPLANT CELL CONCENTRATION,183.0,162.87,161.04,183.0,455 CDM,PX-A38220,PR ANES FOR BONE MARROW ASPIRATION ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A38221,PR ANES FOR BONE MARROW BIOPSY NDL/TROCAR,183.0,162.87,161.04,183.0,455 CDM,PX-A38222,PR ANES FOR DX BONE MARROW BX & ASPIR,183.0,162.87,161.04,183.0,455 CDM,PX-A38230,PR ANES FOR BONE MARROW HARVEST TX ALLOGEN,183.0,162.87,161.04,183.0,455 CDM,PX-A38232,PR ANES FOR BN MARROW HARVEST TRANPL AUTO,183.0,162.87,161.04,183.0,455 CDM,PX-A38240,PR ANES FOR TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR,183.0,162.87,161.04,183.0,455 CDM,PX-A38241,PR ANES FOR BMT/STEM CELL TX AUTO,183.0,162.87,161.04,183.0,455 CDM,PX-A38242,PR ANES FOR ALLOGENEIC LYMPHOCYTE INFUSIONS,183.0,162.87,161.04,183.0,455 CDM,PX-A38243,PR ANES FOR TRNSPLJ HEMATOPOIETIC CELL BOOST,183.0,162.87,161.04,183.0,455 CDM,PX-A38300,PR ANES FOR DRAIN LYMPH NODE ABSCESS SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A38305,PR ANES FOR DRAIN LYMPH NODE ABSC EXTNSV,183.0,162.87,161.04,183.0,455 CDM,PX-A38308,PR ANES FOR LYMPHANGIOTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A38380,PR ANES FOR SUTR&/LIG THORA DUCT CERV APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A38381,PR ANES FOR SUTR&/LIG THORA DUCT THOR APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A38382,PR ANES FOR SUTR&/LIG THORA DUCT ABDL APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A38500,PR ANES FOR BX/EXCISN LYMPH NODE OPN SUPFCL,183.0,162.87,161.04,183.0,455 CDM,PX-A38505,PR ANES FOR BX/EXCISN LYMPH NODE NDL SUPFCL,183.0,162.87,161.04,183.0,455 CDM,PX-A38510,PR ANES FOR BX/EXC LYMPHNODE OPN DEEP CERV,183.0,162.87,161.04,183.0,455 CDM,PX-A38520,PR ANES FOR BX/EXC LYMPHNODE CERV EXC FAT,183.0,162.87,161.04,183.0,455 CDM,PX-A38525,PR ANES FOR BX/EXC LYMPHNODE OPN AXILLARY,183.0,162.87,161.04,183.0,455 CDM,PX-A38530,PR ANES FOR BX/EXC LYMPHNODE OPEN MAMMARY,183.0,162.87,161.04,183.0,455 CDM,PX-A38531,"PR ANES FOR BX/EXC LYMPHNODE OPN, INGUINOFEM",183.0,162.87,161.04,183.0,455 CDM,PX-A38542,PR ANES FOR DISSECTION DEEP JUGULAR NODE,183.0,162.87,161.04,183.0,455 CDM,PX-A38550,PR ANES FOR EXCISN CYSTIC HYGROMA AX WO DP,183.0,162.87,161.04,183.0,455 CDM,PX-A38555,PR ANES FOR EXCISN CYSTIC HYGROMA AX W DP,183.0,162.87,161.04,183.0,455 CDM,PX-A38562,PR ANES FOR LMTD LMPHADEC STAGE PEL&AORTIC,183.0,162.87,161.04,183.0,455 CDM,PX-A38564,PR ANES FOR LMTD LMPHADEC STAGE RPR AORTIC,183.0,162.87,161.04,183.0,455 CDM,PX-A38570,PR ANES FOR LAPROSC RETROPERIT LYMPH ND BX,183.0,162.87,161.04,183.0,455 CDM,PX-A38571,PR ANES FOR LAPROSC BILAT TOT PELV LMPHADEC,183.0,162.87,161.04,183.0,455 CDM,PX-A38572,PR ANES FOR LAP LMPHADC&PERIAORTC LYMPH BX,183.0,162.87,161.04,183.0,455 CDM,PX-A38573,PR ANES FOR LAPS PELVIC LYMPHADEC,183.0,162.87,161.04,183.0,455 CDM,PX-A38589,PR ANES FOR UNLISTED PROC LAP LYMPH SYS,183.0,162.87,161.04,183.0,455 CDM,PX-A38700,PR ANES FOR SUPRAHYOID LYMPHADENECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A38720,PR ANES FOR CERVICAL LYMPHADENECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A38724,PR ANES FOR CERV LMPH MOD/RAD NECK DISSECT,183.0,162.87,161.04,183.0,455 CDM,PX-A38740,PR ANES FOR AXILLARY LYMPHADENECTOMY SUPF,183.0,162.87,161.04,183.0,455 CDM,PX-A38745,PR ANES FOR AXILLARY LYMPHADENECTOMY COMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A38746,PR ANES FOR LMPHADEC THOR THORCOM MED®,183.0,162.87,161.04,183.0,455 CDM,PX-A38747,PR ANES FOR LMPHADEC ABDL REG CELIAC GASTR,183.0,162.87,161.04,183.0,455 CDM,PX-A38760,PR ANES FOR INGUINOFEM LMPHADEC SUPFCL,183.0,162.87,161.04,183.0,455 CDM,PX-A38765,PR ANES FOR INGUINO LMPHDEC W PLVC LMPHDEC,183.0,162.87,161.04,183.0,455 CDM,PX-A38770,PR ANES FOR PLVC LMPHDEC ILIAC HYPOGASTRIC,183.0,162.87,161.04,183.0,455 CDM,PX-A38780,PR ANES FOR RPERIT TABDL LMPHDEC PLVC RENL,183.0,162.87,161.04,183.0,455 CDM,PX-A38790,PR ANES FOR INJ PROCEDURE LYMPHANGIOGRAPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A38792,PR ANES FOR INJ RADIOACT TRACE SENTINEL ND,183.0,162.87,161.04,183.0,455 CDM,PX-A38794,PR ANES FOR CANNULATION THORACIC DUCT,183.0,162.87,161.04,183.0,455 CDM,PX-A38900,PR ANES FOR INTRAOP SENTINL LYMPH NODE INJ,183.0,162.87,161.04,183.0,455 CDM,PX-A38999,PR ANES FOR UNLISTED PROC HEMIC/LYMPHATIC,183.0,162.87,161.04,183.0,455 CDM,PX-A39000,PR ANES FOR MEDIAST W EXPL DRAIN CERV APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A39010,PR ANES FOR MEDIAST EXPL DRAIN TTHOR APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A39200,PR ANES FOR RESECTION OF MEDIASTINAL CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A39220,PR ANES FOR RESECTION MEDIASTINAL TUMOR,183.0,162.87,161.04,183.0,455 CDM,PX-A39401,PR ANES FOR MEDIASTINOSCOPY W MEDIASTINAL BX,183.0,162.87,161.04,183.0,455 CDM,PX-A39402,PR ANES FOR MEDIASTINOSCOPY W LYMPH ND BX,183.0,162.87,161.04,183.0,455 CDM,PX-A39499,PR ANES FOR UNLISTED PROC HEM OR LYMPH,183.0,162.87,161.04,183.0,455 CDM,PX-A39501,PR ANES FOR REPAIR LACERATION DIAPHRAGM,183.0,162.87,161.04,183.0,455 CDM,PX-A39503,PR ANES FOR RPR NEONATAL DIPHRG HERNIA,183.0,162.87,161.04,183.0,455 CDM,PX-A39540,PR ANES FOR RPR HERNIA NOT NEONATAL ACUTE,183.0,162.87,161.04,183.0,455 CDM,PX-A39541,PR ANES FOR RPR HERNIA NOT NEONATAL CHRNC,183.0,162.87,161.04,183.0,455 CDM,PX-A39545,PR ANES FOR IMBRICATION DIAPHRAGM EVENTRAT,183.0,162.87,161.04,183.0,455 CDM,PX-A39560,PR ANES FOR RESC DIAPHRAGM W SIMPLE REPAIR,183.0,162.87,161.04,183.0,455 CDM,PX-A39561,PR ANES FOR RESC DIAPHRAGM W COMPLX REPAIR,183.0,162.87,161.04,183.0,455 CDM,PX-A39599,PR ANES FOR UNLISTED PROCEDURE DIAPHRAGM,183.0,162.87,161.04,183.0,455 CDM,PX-A40490,PR ANES FOR BIOPSY LIP,183.0,162.87,161.04,183.0,455 CDM,PX-A40500,PR ANES FOR VERMILIONECTOMY LIP W MUC ADV,183.0,162.87,161.04,183.0,455 CDM,PX-A40510,PR ANES FOR EXCISN LIP TRANSV WEDGE W CLSR,183.0,162.87,161.04,183.0,455 CDM,PX-A40520,PR ANES FOR EXCISN LIP V-EXCISION W CLSR,183.0,162.87,161.04,183.0,455 CDM,PX-A40525,PR ANES FOR EXCISN LIP RCNST W LOCAL FLAP,183.0,162.87,161.04,183.0,455 CDM,PX-A40527,PR ANES FOR EXCISN LIP RCNST W CROSS FLAP,183.0,162.87,161.04,183.0,455 CDM,PX-A40530,PR ANES FOR RSECT LIP >1/4 WO RCNST,183.0,162.87,161.04,183.0,455 CDM,PX-A40650,PR ANES FOR RPR LIP FULL THICK VERMIL ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A40652,PR ANES FOR RPR LIP F THICK HALF VERTC HT,183.0,162.87,161.04,183.0,455 CDM,PX-A4066F,PR ANES FOR ELECTROCONVULSIVE THERAPY (ECT) PROVIDED,183.0,162.87,161.04,183.0,455 CDM,PX-A40700,PR ANES FOR RPR CLEFT LIP PLASTIC PRIM UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A40701,PR ANES FOR RPR CLEFT LIP PLSTC BILAT 1 STG,183.0,162.87,161.04,183.0,455 CDM,PX-A40702,PR ANES FOR RPR CLEFT LIP PLSTC BILAT 2 STG,183.0,162.87,161.04,183.0,455 CDM,PX-A40720,PR ANES FOR RPR CLEFT LIP PLSTC SECONDARY,183.0,162.87,161.04,183.0,455 CDM,PX-A40761,PR ANES FOR LSTC RPR CLFT LIP/NSL DFRM,183.0,162.87,161.04,183.0,455 CDM,PX-A40799,PR ANES FOR UNLISTED PROCEDURE LIPS,183.0,162.87,161.04,183.0,455 CDM,PX-A40800,PR ANES FOR DRN MOUTH LESION SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A40801,PR ANES FOR DRN MOUTH LESION CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A40804,PR ANES FOR RMVL FB VESTIBULE MOUTH SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A40805,PR ANES FOR RMVL FB VESTIBULE MOUTH COMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A40806,PR ANES FOR INCISION LABIAL FRENUM,183.0,162.87,161.04,183.0,455 CDM,PX-A40808,PR ANES FOR BIOPSY VESTIBULE OF MOUTH,183.0,162.87,161.04,183.0,455 CDM,PX-A40810,PR ANES FOR EXCISN LESN MOUTH WO RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A40812,PR ANES FOR EXCISN LESN MOUTH W RPR SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A40814,PR ANES FOR EXCISN LESN MOUTH W RPR CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A40816,PR ANES FOR EXCISN LESN MOUTH W MUS EXCISN,183.0,162.87,161.04,183.0,455 CDM,PX-A40818,PR ANES FOR EXCISN MUCOSA MOUTH DONOR GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A40819,PR ANES FOR EXCISN FRENUM LABIAL/BUCCAL,183.0,162.87,161.04,183.0,455 CDM,PX-A40820,PR ANES FOR DEST LESN/SCAR VESTIBULE MOUTH,183.0,162.87,161.04,183.0,455 CDM,PX-A40830,PR ANES FOR CLSR LAC VEST MOUTH<=2.5 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A40831,PR ANES FOR CLSR LAC VEST MOUTH>2.5 CM/CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A40840,PR ANES FOR VESTIBULOPLASTY ANTERIOR,183.0,162.87,161.04,183.0,455 CDM,PX-A40842,PR ANES FOR VESTIBULOPLASTY POSTERIOR UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A40843,PR ANES FOR VESTIBULOPLASTY POSTERIOR BIL,183.0,162.87,161.04,183.0,455 CDM,PX-A40844,PR ANES FOR VESTIBULOPLASTY ENTIRE ARCH,183.0,162.87,161.04,183.0,455 CDM,PX-A40845,PR ANES FOR VESTIBPLSTY CMPLX W RIDGE EXTN,183.0,162.87,161.04,183.0,455 CDM,PX-A40899,PR ANES FOR UNLISTED PROC VESTIBULE MOUTH,183.0,162.87,161.04,183.0,455 CDM,PX-A41000,PR ANES FOR I&D INTRAORAL LESN LINGUAL,183.0,162.87,161.04,183.0,455 CDM,PX-A41005,PR ANES FOR I&D INTRAORAL LESN SUBLINGUAL,183.0,162.87,161.04,183.0,455 CDM,PX-A41006,PR ANES FOR I&D TONGUE/FLOOR SUBLINGL DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A41007,PR ANES FOR I&D INTRAORAL SUBMENTAL SPACE,183.0,162.87,161.04,183.0,455 CDM,PX-A41008,PR ANES FOR I&D ABSC INTRAORAL SUBMAND SPACE,183.0,162.87,161.04,183.0,455 CDM,PX-A41009,PR ANES FOR I&D ABSC INTRAORAL MASTICAT SPACE,183.0,162.87,161.04,183.0,455 CDM,PX-A41010,PR ANES FOR INCISN LINGUAL FRENUM FRENOTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A41015,PR ANES FOR I&D EXTRAORAL ABSC SUBLINGUAL,183.0,162.87,161.04,183.0,455 CDM,PX-A41016,PR ANES FOR I&D EXTRAORAL ABSC SUBMENTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A41017,PR ANES FOR I&D EXTRAORAL ABSC SUBMANDIB,183.0,162.87,161.04,183.0,455 CDM,PX-A41018,PR ANES FOR I&D EXTRAORAL ABSC MASTICATOR,183.0,162.87,161.04,183.0,455 CDM,PX-A41019,PR ANES FOR PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT,183.0,162.87,161.04,183.0,455 CDM,PX-A41100,PR ANES FOR BX TONGUE ANTR 2/3,183.0,162.87,161.04,183.0,455 CDM,PX-A41105,PR ANES FOR BX TONGUE POSTR 1/3,183.0,162.87,161.04,183.0,455 CDM,PX-A41108,PR ANES FOR BIOPSY FLOOR MOUTH,183.0,162.87,161.04,183.0,455 CDM,PX-A41110,PR ANES FOR EXCISN LESN TONGUE WO CLSR,183.0,162.87,161.04,183.0,455 CDM,PX-A41112,PR ANES FOR EXCISN LESN TNG W CLSR ANTR 2/3,183.0,162.87,161.04,183.0,455 CDM,PX-A41113,PR ANES FOR EXCISN LESN TNG W CLSR POSTR 1/3,183.0,162.87,161.04,183.0,455 CDM,PX-A41114,PR ANES FOR EXCISN LESN TNG W CLSR W FLAP,183.0,162.87,161.04,183.0,455 CDM,PX-A41115,PR ANES FOR EXCISN LINGUAL FRENUM,183.0,162.87,161.04,183.0,455 CDM,PX-A41116,PR ANES FOR EXCISN LESN FLOOR OF MOUTH,183.0,162.87,161.04,183.0,455 CDM,PX-A41120,PR ANES FOR GLOSSECTOMY <1/2 TONGUE,183.0,162.87,161.04,183.0,455 CDM,PX-A41130,PR ANES FOR GLOSSECTOMY HEMIGLOSSECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A41135,PR ANES FOR GLSSC PARTL W UNILAT RAD NK DISEC,183.0,162.87,161.04,183.0,455 CDM,PX-A41140,PR ANES FOR GLSSC COMPL WO RAD NECK DISEC,183.0,162.87,161.04,183.0,455 CDM,PX-A41145,PR ANES FOR GLSSC COMPL W UNILAT RAD NK DISEC,183.0,162.87,161.04,183.0,455 CDM,PX-A41150,PR ANES FOR GLSSC COMPOSITE W MANDIB RESEC,183.0,162.87,161.04,183.0,455 CDM,PX-A41153,PR ANES FOR GLSSC COMPOSITE SUPRAHYD DISEC,183.0,162.87,161.04,183.0,455 CDM,PX-A41155,PR ANES FOR GLSSC MANDIB RSECT & NK DISEC,183.0,162.87,161.04,183.0,455 CDM,PX-A41250,PR ANES FOR RPR LAC <=2.5CM ANTR 2/3 TNG,183.0,162.87,161.04,183.0,455 CDM,PX-A41251,PR ANES FOR RPR LAC <=2.5CM POSTR 1/3 TNG,183.0,162.87,161.04,183.0,455 CDM,PX-A41252,PR ANES FOR RPR LAC TONGUE >2.6CM COMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A41510,PR ANES FOR SUTURE TNG LIP MICROGNATHIA,183.0,162.87,161.04,183.0,455 CDM,PX-A41512,"PR ANES FOR TONGUE BASE SUSPENSION, PERM SUTURE",183.0,162.87,161.04,183.0,455 CDM,PX-A41520,PR ANES FOR FRENOPLASTY,183.0,162.87,161.04,183.0,455 CDM,PX-A41530,PR ANES FOR SUBMUC ABLT TNG >=1 SITE/SESN,183.0,162.87,161.04,183.0,455 CDM,PX-A41599,PR ANES FOR UNLISTED PROC TNG/FLOOR OF MOUTH,183.0,162.87,161.04,183.0,455 CDM,PX-A41800,PR ANES FOR DRN ABSC HEMA DENTOAVEOLAR,183.0,162.87,161.04,183.0,455 CDM,PX-A41805,PR ANES FOR RMVL EMBEDDED FB DENTOALVEOLAR,183.0,162.87,161.04,183.0,455 CDM,PX-A41806,PR ANES FOR RMVL FB DENTOALVEOLAR BONE,183.0,162.87,161.04,183.0,455 CDM,PX-A41820,PR ANES FOR GINGIVECTOMY EA QUADRANT,183.0,162.87,161.04,183.0,455 CDM,PX-A41821,PR ANES FOR OPERCULECTOMY PRICORONAL TISS,183.0,162.87,161.04,183.0,455 CDM,PX-A41822,PR ANES FOR EXCISN FIBR TUBEROST DENTOAVEOLAR,183.0,162.87,161.04,183.0,455 CDM,PX-A41823,PR ANES FOR EXCISN OSS TUBEROST DENTOAVEOLAR,183.0,162.87,161.04,183.0,455 CDM,PX-A41825,PR ANES FOR EXCISN LESN DNTOALVOLR WO RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A41826,PR ANES FOR EXCISN LESN DNTOALVOLR W RPR SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A41827,PR ANES FOR EXCISN LESN DNTOALVOLR W RPR CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A41828,PR ANES FOR EXCISN HYPERPLASTIC ALVEOL MUC EA,183.0,162.87,161.04,183.0,455 CDM,PX-A41830,PR ANES FOR ALVEOLECTOMY W CURRETTAGE,183.0,162.87,161.04,183.0,455 CDM,PX-A41850,PR ANES FOR DEST LESN DNTOALVOLR STRUCTURE,183.0,162.87,161.04,183.0,455 CDM,PX-A41870,PR ANES FOR PERIODONTAL MUCOSAL GRAFTING,183.0,162.87,161.04,183.0,455 CDM,PX-A41872,PR ANES FOR GINGIVOPLASTY EACH QUADRANT,183.0,162.87,161.04,183.0,455 CDM,PX-A41874,PR ANES FOR ALVEOLOPLASTY EACH QUADRANT,183.0,162.87,161.04,183.0,455 CDM,PX-A41899,PR ANES FOR UNLISTED PROC DENTOALVEOLAR,183.0,162.87,161.04,183.0,455 CDM,PX-A42000,PR ANES FOR DRAINAGE ABSCESS PALATE UVULA,183.0,162.87,161.04,183.0,455 CDM,PX-A42100,PR ANES FOR BIOPSY PALATE UVULA,183.0,162.87,161.04,183.0,455 CDM,PX-A42104,PR ANES FOR EXCISN LESN PALATE UVULA WO CLSR,183.0,162.87,161.04,183.0,455 CDM,PX-A42106,PR ANES FOR EXCISN LESN PALAT UVLA W CLS SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A42107,PR ANES FOR EXCISN LESN PALAT UVLA W FLAP CLS,183.0,162.87,161.04,183.0,455 CDM,PX-A42120,PR ANES FOR RESCT PALATE/EXTENS RESCT LESN,183.0,162.87,161.04,183.0,455 CDM,PX-A42140,PR ANES FOR UVULECTOMY EXCISION UVULA,183.0,162.87,161.04,183.0,455 CDM,PX-A42145,PR ANES FOR PALATOPHARYNGOPLASTY,183.0,162.87,161.04,183.0,455 CDM,PX-A42160,PR ANES FOR DEST LESN PALATE UVULA,183.0,162.87,161.04,183.0,455 CDM,PX-A42180,PR ANES FOR RPR LACERATION OF PALATE<=2 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A42182,PR ANES FOR RPR PALATE LAC >2CM CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A42200,PR ANES FOR PALATOPLASTY CLEFT PALATE,183.0,162.87,161.04,183.0,455 CDM,PX-A42205,PR ANES FOR PALATOP CLEFT PALATE W CLSR,183.0,162.87,161.04,183.0,455 CDM,PX-A42210,PR ANES FOR PALATOP CLEFT PALATE W GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A42215,PR ANES FOR PALATOP CLEFT PALATE MJR REV,183.0,162.87,161.04,183.0,455 CDM,PX-A42220,PR ANES FOR PALATOP CLEFT SECNDRY LENGTH,183.0,162.87,161.04,183.0,455 CDM,PX-A42225,PR ANES FOR PALATOP CLEFT W PHRYNGL FLAP,183.0,162.87,161.04,183.0,455 CDM,PX-A42226,PR ANES FOR LENGTHN PALATE PHRYNGL FLAP,183.0,162.87,161.04,183.0,455 CDM,PX-A42227,PR ANES FOR LENGTHENING PALATE W/ISLAND FLAP,183.0,162.87,161.04,183.0,455 CDM,PX-A42235,PR ANES FOR RRP ANTR PALATE W VOMER FLAP,183.0,162.87,161.04,183.0,455 CDM,PX-A42260,PR ANES FOR REPAIR NASOLABIAL FISTULA,183.0,162.87,161.04,183.0,455 CDM,PX-A42280,PR ANES FOR MAXILL IMPRESSN-PALATE PROSTHESIS,183.0,162.87,161.04,183.0,455 CDM,PX-A42281,PR ANES FOR INSERT PIN RETAIN PALAT PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A42299,PR ANES FOR UNLISTED PROC PALATE UVULA,183.0,162.87,161.04,183.0,455 CDM,PX-A42300,PR ANES FOR DRAINAGE ABSCESS PAROTID SMPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A42305,PR ANES FOR DRAINAGE ABSCESS PAROTID COMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A42310,PR ANES FOR DRN ABSC SUBMAX/SUBLIN INTORAL,183.0,162.87,161.04,183.0,455 CDM,PX-A42320,PR ANES FOR DRN ABSC SUBMAX INTRAORAL,183.0,162.87,161.04,183.0,455 CDM,PX-A42330,PR ANES FOR SIALOLITHTOMY UNCOMP INTRAORAL,183.0,162.87,161.04,183.0,455 CDM,PX-A42335,PR ANES FOR SIALOLITHOTOMY COMPL INTRAORAL,183.0,162.87,161.04,183.0,455 CDM,PX-A42340,PR ANES FOR SIALOLITHOTOMY EXT/COMP INTRA,183.0,162.87,161.04,183.0,455 CDM,PX-A42400,PR ANES FOR BX SALIVARY GLAND NEEDLE,183.0,162.87,161.04,183.0,455 CDM,PX-A42405,PR ANES FOR BX SALIVARY GLAND INCISIONAL,183.0,162.87,161.04,183.0,455 CDM,PX-A42408,PR ANES FOR EXCISN SUBLINGUAL SALIVARY CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A42409,PR ANES FOR MARSUP SUBLINGUAL SALIV CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A42410,PR ANES FOR EXCISN PRTD TMR LAT WO NRV DISEC,183.0,162.87,161.04,183.0,455 CDM,PX-A42415,PR ANES FOR EXCISN PRTD TMR LAT W NRV DISEC,183.0,162.87,161.04,183.0,455 CDM,PX-A42420,PR ANES FOR EXCISN PRTD TMR TOT W NRV DISEC,183.0,162.87,161.04,183.0,455 CDM,PX-A42425,PR ANES FOR EXCISN PRTD TMR TOT EN BLOC RMVL,183.0,162.87,161.04,183.0,455 CDM,PX-A42426,PR ANES FOR EXCISN PRTD TMR TOT RAD NK DISEC,183.0,162.87,161.04,183.0,455 CDM,PX-A42440,PR ANES FOR EXCISN SUBMANDIB SUBMAX GLAND,183.0,162.87,161.04,183.0,455 CDM,PX-A42450,PR ANES FOR EXCISN SUBLINGUAL GLAND,183.0,162.87,161.04,183.0,455 CDM,PX-A42500,PR ANES FOR PLASTIC RPR SALIV DUCT PRIM,183.0,162.87,161.04,183.0,455 CDM,PX-A42505,PR ANES FOR PLASTIC RPR SALIV DUCT SECNDRY,183.0,162.87,161.04,183.0,455 CDM,PX-A42507,"PR ANES FOR PAROTID DUCT DIVERT,BILAT",183.0,162.87,161.04,183.0,455 CDM,PX-A42509,"PR ANES FOR PAROTID DUCT DIVERT,EXC BISUBMAND",183.0,162.87,161.04,183.0,455 CDM,PX-A42510,PR ANES FOR PAROTID DUCT DIVERSION BILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A42550,PR ANES FOR INJECTION FOR SALIVARY X-RAY,183.0,162.87,161.04,183.0,455 CDM,PX-A42600,PR ANES FOR CLOSURE SALIVARY FISTULA,183.0,162.87,161.04,183.0,455 CDM,PX-A42650,PR ANES FOR DILATION SALIVARY DUCT,183.0,162.87,161.04,183.0,455 CDM,PX-A42660,PR ANES FOR DILAT&CATH SALIVARY DUCT,183.0,162.87,161.04,183.0,455 CDM,PX-A42665,PR ANES FOR LIGATION SALIV DUCT INTRAORAL,183.0,162.87,161.04,183.0,455 CDM,PX-A42699,PR ANES FOR UNLISTED PROC SALIV GLANDS/DUCTS,183.0,162.87,161.04,183.0,455 CDM,PX-A42700,PR ANES FOR I&D ABSCESS PERITONSILLAR,183.0,162.87,161.04,183.0,455 CDM,PX-A42720,PR ANES FOR I&D ABSC PHRYNGL INTRAORAL,183.0,162.87,161.04,183.0,455 CDM,PX-A42725,PR ANES FOR I&D ABSC PHRYNGL EXTRAORAL,183.0,162.87,161.04,183.0,455 CDM,PX-A42800,PR ANES FOR BIOPSY OROPHARYNX,183.0,162.87,161.04,183.0,455 CDM,PX-A42804,PR ANES FOR BX NASOPHRYNX VISIBLE LESN SMP,183.0,162.87,161.04,183.0,455 CDM,PX-A42806,PR ANES FOR BX NASOPHRYNX SURVEY PRIM LESN,183.0,162.87,161.04,183.0,455 CDM,PX-A42808,PR ANES FOR EXCISN/DEST LESION PHARYNX,183.0,162.87,161.04,183.0,455 CDM,PX-A42809,PR ANES FOR REMOVAL FB PHARYNX,183.0,162.87,161.04,183.0,455 CDM,PX-A42810,PR ANES FOR EXCISN BRANCHL CLEFT CYST CONFIND,183.0,162.87,161.04,183.0,455 CDM,PX-A42815,PR ANES FOR EXCISN BRANCHL CLEFT CYST EXTEND,183.0,162.87,161.04,183.0,455 CDM,PX-A42820,PR ANES FOR TONSILLECT&ADENOIDECT <12 YRS,183.0,162.87,161.04,183.0,455 CDM,PX-A42821,PR ANES FOR TONSILLECT&ADENOIDECT >=12 YRS,183.0,162.87,161.04,183.0,455 CDM,PX-A42825,PR ANES FOR TONSILLECTOMY PRIM/SEC <12YRS,183.0,162.87,161.04,183.0,455 CDM,PX-A42826,PR ANES FOR TONSILLECTOMY PRIM/SEC >=12YR,183.0,162.87,161.04,183.0,455 CDM,PX-A42830,PR ANES FOR ADENOIDECTOMY PRIMARY <12YRS,183.0,162.87,161.04,183.0,455 CDM,PX-A42831,PR ANES FOR ADENOIDECTOMY PRIMARY >=12YRS,183.0,162.87,161.04,183.0,455 CDM,PX-A42835,PR ANES FOR ADENOIDECTOMY SECNDRY <12YRS,183.0,162.87,161.04,183.0,455 CDM,PX-A42836,PR ANES FOR ADENOIDECTOMY SECNDRY >=12YRS,183.0,162.87,161.04,183.0,455 CDM,PX-A42842,PR ANES FOR RADCL RSECT TONSIL WO CLOSURE,183.0,162.87,161.04,183.0,455 CDM,PX-A42844,PR ANES FOR RADCL RSECT TONSIL W LOCAL FLAP,183.0,162.87,161.04,183.0,455 CDM,PX-A42845,PR ANES FOR RADCL RSECT TONSIL W OTHR FLAP,183.0,162.87,161.04,183.0,455 CDM,PX-A42860,PR ANES FOR EXCISION TONSIL TAGS,183.0,162.87,161.04,183.0,455 CDM,PX-A42870,PR ANES FOR EXCISN/DEST LINGUAL TONSIL,183.0,162.87,161.04,183.0,455 CDM,PX-A42890,PR ANES FOR LIMITED PHARYNGECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A42892,PR ANES FOR RESCT LAT PHRYNGL WALL/PYRFRM,183.0,162.87,161.04,183.0,455 CDM,PX-A42894,PR ANES FOR RESCT PHRYNGL WALL REQ CLSR,183.0,162.87,161.04,183.0,455 CDM,PX-A42900,PR ANES FOR SUTURE PHARYNX WOUND/INJRY,183.0,162.87,161.04,183.0,455 CDM,PX-A42950,PR ANES FOR PHARYNGOPLASTY,183.0,162.87,161.04,183.0,455 CDM,PX-A42953,PR ANES FOR PHARYNGOESOPHAGEAL RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A42955,PR ANES FOR PHARYNGOSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A42960,PR ANES FOR CNTRL OROPHARYNGEAL HEMR SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A42961,PR ANES FOR CNTRL OROPHARYNGEAL HEMR CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A42962,PR ANES FOR CNTRL OROPHARYNGEAL HEMR SURG,183.0,162.87,161.04,183.0,455 CDM,PX-A42970,PR ANES FOR CNTRL NASOPHARYNGEAL HEMR SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A42971,"PR ANES FOR CNTRL NASOPHARYNG BLEED,COMPLICATED",183.0,162.87,161.04,183.0,455 CDM,PX-A42972,"PR ANES FOR CNTRL NASOPHARYNG BLEED,SURGERY",183.0,162.87,161.04,183.0,455 CDM,PX-A42975,PR ANES FOR DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX,183.0,162.87,161.04,183.0,455 CDM,PX-A42999,PR ANES FOR UNLISTED PROC PHARYNX/ADEN/TONSL,183.0,162.87,161.04,183.0,455 CDM,PX-A43020,"PR ANES FOR INCIS ESOPHAGUS,FOREIGN BODY,CERV",183.0,162.87,161.04,183.0,455 CDM,PX-A43030,PR ANES FOR CRICOPHARYNGEAL MYOTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A43045,PR ANES FOR ESOPHAGOTOMY RMVL FB THOR APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A43100,PR ANES FOR EXCISN LESN ESOPH RPR CERV APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A43101,PR ANES FOR EXCISN LESN ESOPH RPR THOR APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A43107,PR ANES FOR TOT ESOPHCTOMY WO THORCTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A43108,PR ANES FOR ESOPHAGECT WO THORCOM TOT,183.0,162.87,161.04,183.0,455 CDM,PX-A43112,PR ANES FOR TOT ESOPHCTOMY W THORCTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A43113,PR ANES FOR TOT ESOPHCTMY W THORCTMY W COL,183.0,162.87,161.04,183.0,455 CDM,PX-A43116,PR ANES FOR PRTL ESOPHAGECTOMY CERV W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A43117,PR ANES FOR PRTL ESOPHAGECTOMY DSTL,183.0,162.87,161.04,183.0,455 CDM,PX-A43118,PR ANES FOR PRTL ESOPHECT W COLON INTERPOS,183.0,162.87,161.04,183.0,455 CDM,PX-A43121,PR ANES FOR PRTL ESOPHECT W/WO PYLOROPLASTY,183.0,162.87,161.04,183.0,455 CDM,PX-A43122,PR ANES FOR PRTL ESOPHAGECTOMY THORACOABD,183.0,162.87,161.04,183.0,455 CDM,PX-A43123,PR ANES FOR ESOPHAGECT THOACOABD/ABD PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A43124,PR ANES FOR TOT/PRTL ESOPHCTMY WO RCNST,183.0,162.87,161.04,183.0,455 CDM,PX-A43130,PR ANES FOR DIVERTICULECTOMY CERV APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A43135,PR ANES FOR DIVERTICULECTOMY THORACIC APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A43180,PR ANES FOR ESOPHAGOSCOPY RIGID TRANSORAL,183.0,162.87,161.04,183.0,455 CDM,PX-A43191,PR ANES FOR ESOPHAGOSCOPY RIGID DX,183.0,162.87,161.04,183.0,455 CDM,PX-A43192,PR ANES FOR ESOPHAGOSCOPY SUBMUCOSAL INJ,183.0,162.87,161.04,183.0,455 CDM,PX-A43193,PR ANES FOR ESOPHSCOPY RIGID TXORAL W BX,183.0,162.87,161.04,183.0,455 CDM,PX-A43194,PR ANES FOR ESOPHSCOPY RIG TXORAL RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A43195,PR ANES FOR ESOPHSCOPY RIGID TXORAL BALN,183.0,162.87,161.04,183.0,455 CDM,PX-A43196,PR ANES FOR ESOPHSCOPY RIG TXORAL GUID WIR,183.0,162.87,161.04,183.0,455 CDM,PX-A43197,PR ANES FOR ESOPHSCOPY FLEX TRANSNASAL DX,183.0,162.87,161.04,183.0,455 CDM,PX-A43198,PR ANES FOR ESOPHAGOSCOPY FLEX NASAL BX,183.0,162.87,161.04,183.0,455 CDM,PX-A43200,PR ANES FOR ESOPHSCOPY FLEX TRANSORAL DX,183.0,162.87,161.04,183.0,455 CDM,PX-A43201,PR ANES FOR ESOPHSCOPY TXORAL W SUBMUC INJ,183.0,162.87,161.04,183.0,455 CDM,PX-A43202,PR ANES FOR ESOPHSCOPY FLEX TXORAL W BX,183.0,162.87,161.04,183.0,455 CDM,PX-A43204,PR ANES FOR ESOPHAGOSCOPY W INJ SCLEROSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A43205,PR ANES FOR ESOPHAGOSCOPY FLEX LIGATION,183.0,162.87,161.04,183.0,455 CDM,PX-A43206,PR ANES FOR ESOPHAGOSCOPY W ENDOMICROSCOPY,183.0,162.87,161.04,183.0,455 CDM,PX-A43210,PR ANES FOR EGD FLEX TRANSORAL W FUNDOPLASTY,183.0,162.87,161.04,183.0,455 CDM,PX-A43211,PR ANES FOR ESOPHAGOSCOPY W EMR,183.0,162.87,161.04,183.0,455 CDM,PX-A43212,PR ANES FOR ESOPHSCOPY TXORAL STENT PLC,183.0,162.87,161.04,183.0,455 CDM,PX-A43213,PR ANES FOR ESOPHAGOSCOPY RETROGRADE BALN,183.0,162.87,161.04,183.0,455 CDM,PX-A43214,PR ANES FOR ESOPHSCOPY DILATE BALN >=30MM,183.0,162.87,161.04,183.0,455 CDM,PX-A43215,PR ANES FOR ESOPHAGOSCOPY FLEX RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A43216,PR ANES FOR ESOPHAGOSCOPY W RMVL HOT BX,183.0,162.87,161.04,183.0,455 CDM,PX-A43217,PR ANES FOR ESOPHAGOSCOPY W RMVL SNARE,183.0,162.87,161.04,183.0,455 CDM,PX-A43220,PR ANES FOR ESOPHSCOPY DILATE BALN <30MM,183.0,162.87,161.04,183.0,455 CDM,PX-A43226,PR ANES FOR ESOPHSCOPY FLEX GUIDE WIRE DIL,183.0,162.87,161.04,183.0,455 CDM,PX-A43227,PR ANES FOR ESOPHAGOSCOPY W CTRL BLEED,183.0,162.87,161.04,183.0,455 CDM,PX-A43229,PR ANES FOR ESOPHAGOSCOPY LESION W ABLT,183.0,162.87,161.04,183.0,455 CDM,PX-A43231,PR ANES FOR ESOPHAGOSCOPY W EUS EXAM,183.0,162.87,161.04,183.0,455 CDM,PX-A43232,PR ANES FOR ESOPHAGOSCOPY W EUS FNA/BX,183.0,162.87,161.04,183.0,455 CDM,PX-A43233,PR ANES FOR EGD W BALN DIL > 30MM,183.0,162.87,161.04,183.0,455 CDM,PX-A43235,PR ANES FOR EGD TRANSORAL DX,183.0,162.87,161.04,183.0,455 CDM,PX-A43236,PR ANES FOR EGD W DIRECT SUBMUCOSAL INJ,183.0,162.87,161.04,183.0,455 CDM,PX-A43237,PR ANES FOR EGD W EUS LTD,183.0,162.87,161.04,183.0,455 CDM,PX-A43238,PR ANES FOR EGD W EUS FNA/BX ESOPH ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A43239,PR ANES FOR EGD W BIOPSY SNGL/MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A43240,PR ANES FOR EGD W TRANSMURAL DRN,183.0,162.87,161.04,183.0,455 CDM,PX-A43241,PR ANES FOR EGD INTRALUMINAL TUBE/CATH INS,183.0,162.87,161.04,183.0,455 CDM,PX-A43242,PR ANES FOR EGD W EUS FNA BX,183.0,162.87,161.04,183.0,455 CDM,PX-A43243,PR ANES FOR EGD INJ SCLEROSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A43244,PR ANES FOR EGD BAND LIGATION VARICIES,183.0,162.87,161.04,183.0,455 CDM,PX-A43245,PR ANES FOR EGD DILATION GASTR/DUOD STRICT,183.0,162.87,161.04,183.0,455 CDM,PX-A43246,PR ANES FOR EGD PERC PLC GASTROTOMY TUBE,183.0,162.87,161.04,183.0,455 CDM,PX-A43247,PR ANES FOR EGD FLEX RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A43248,PR ANES FOR EGD INSERT GUIDE WIRE,183.0,162.87,161.04,183.0,455 CDM,PX-A43249,PR ANES FOR EGD BALN DILATION ESOPH <30MM,183.0,162.87,161.04,183.0,455 CDM,PX-A43250,PR ANES FOR EGD DX W RMVL HOT BX,183.0,162.87,161.04,183.0,455 CDM,PX-A43251,PR ANES FOR EGD W RMVL SNARE,183.0,162.87,161.04,183.0,455 CDM,PX-A43252,PR ANES FOR EGD W ENDOMICROSCOPY,183.0,162.87,161.04,183.0,455 CDM,PX-A43253,PR ANES FOR EGD W EUS TRANSMURAL INJ,183.0,162.87,161.04,183.0,455 CDM,PX-A43254,PR ANES FOR EGD W EMR,183.0,162.87,161.04,183.0,455 CDM,PX-A43255,PR ANES FOR EGD CTRL BLEED ANY,183.0,162.87,161.04,183.0,455 CDM,PX-A43257,PR ANES FOR ENDO UGI W THERMAL GERD TX,183.0,162.87,161.04,183.0,455 CDM,PX-A43259,PR ANES FOR EGD W EUS,183.0,162.87,161.04,183.0,455 CDM,PX-A43260,PR ANES FOR ERCP DX,183.0,162.87,161.04,183.0,455 CDM,PX-A43261,PR ANES FOR ERCP W BX,183.0,162.87,161.04,183.0,455 CDM,PX-A43262,PR ANES FOR ERCP SPHINC/PAPILLOT,183.0,162.87,161.04,183.0,455 CDM,PX-A43263,PR ANES FOR ERCP W MANOMETRY,183.0,162.87,161.04,183.0,455 CDM,PX-A43264,PR ANES FOR ERCP W RMVL STONE,183.0,162.87,161.04,183.0,455 CDM,PX-A43265,PR ANES FOR ERCP W DESTRUCT CALCULI,183.0,162.87,161.04,183.0,455 CDM,PX-A43266,PR ANES FOR EGD W STENT PLC,183.0,162.87,161.04,183.0,455 CDM,PX-A43270,PR ANES FOR EGD W LESION ABLATION,183.0,162.87,161.04,183.0,455 CDM,PX-A43273,PR ANES FOR ENDOSCOPIC PANCREATOSCOPY,183.0,162.87,161.04,183.0,455 CDM,PX-A43274,PR ANES FOR ERCP DUCT STENT PLC W DIL,183.0,162.87,161.04,183.0,455 CDM,PX-A43275,PR ANES FOR ERCP W RMVL FB/STNT DUCT,183.0,162.87,161.04,183.0,455 CDM,PX-A43276,PR ANES FOR ERCP STENT EXCHANGE W DIL,183.0,162.87,161.04,183.0,455 CDM,PX-A43277,PR ANES FOR ERCP W TRANS BALN DIL,183.0,162.87,161.04,183.0,455 CDM,PX-A43278,PR ANES FOR ERCP ABLATION W DIL,183.0,162.87,161.04,183.0,455 CDM,PX-A43279,PR ANES FOR LAPAROSCOPY ESOPHAGOMYOTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A43280,PR ANES FOR LAPAROSCOPY FUNDOPLASTY,183.0,162.87,161.04,183.0,455 CDM,PX-A43281,PR ANES FOR LAP PARAESOPH HERNIA WO MESH,183.0,162.87,161.04,183.0,455 CDM,PX-A43282,PR ANES FOR LAP PARAESOPH HERNIA W MESH,183.0,162.87,161.04,183.0,455 CDM,PX-A43283,PR ANES FOR LAP ESOPHAGEAL LENGTHN ADDL,183.0,162.87,161.04,183.0,455 CDM,PX-A43284,PR ANES FOR LAPS ESOPHGL SPHNCTR AGMNTJ,183.0,162.87,161.04,183.0,455 CDM,PX-A43285,PR ANES FOR RMVL ESOPHGL SPHNCTR DEV,183.0,162.87,161.04,183.0,455 CDM,PX-A43286,PR ANES FOR ESPHG TOT W/LABS MOBLJ,183.0,162.87,161.04,183.0,455 CDM,PX-A43287,PR ANES FOR ESPHG DIST 2/3 W/LAPS MBL,183.0,162.87,161.04,183.0,455 CDM,PX-A43288,PR ANES FOR ESPHG THRSC MOBLJ,183.0,162.87,161.04,183.0,455 CDM,PX-A43289,PR ANES FOR UNLISTED PROC LAP ESOPHAGUS,183.0,162.87,161.04,183.0,455 CDM,PX-A43290,PR ANES FOR EGD FLX TRNSORL DPLMNT BALLOON,183.0,162.87,161.04,183.0,455 CDM,PX-A43291,PR ANES FOR EGD FLX TRNSORL RMVL BALLOON,183.0,162.87,161.04,183.0,455 CDM,PX-A43300,PR ANES FOR ESOPH RPR CERV APPR WO FSTL RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A43305,PR ANES FOR ESOPH RPR CERV APPR W FSTL RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A43310,PR ANES FOR ESOPHPLSTY THOR APPR WO FSTL,183.0,162.87,161.04,183.0,455 CDM,PX-A43312,PR ANES FOR ESOPHPLSTY THOR APPR W FSTL,183.0,162.87,161.04,183.0,455 CDM,PX-A43313,PR ANES FOR ESOPHPLSTY CONG DFCT WO RPR FSTL,183.0,162.87,161.04,183.0,455 CDM,PX-A43314,PR ANES FOR ESOPHPLSTY CONG DFCT W RPR FSTL,183.0,162.87,161.04,183.0,455 CDM,PX-A43320,PR ANES FOR ESOPHAGOGASTROST TRNABD/TRNTHOR,183.0,162.87,161.04,183.0,455 CDM,PX-A43325,PR ANES FOR ESOPHAGOGASTRIC FUNDOPLASTY,183.0,162.87,161.04,183.0,455 CDM,PX-A43327,PR ANES FOR EGST FUNDOPLASTY W LAPAROTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A43328,PR ANES FOR EGST FUNDOPLASTY W THORACOTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A43330,PR ANES FOR EGST HELLER TYPE ABD APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A43331,PR ANES FOR ESGT HELLER TYPE THOR APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A43332,PR ANES FOR RPR HIATAL HERNIA WO MESH,183.0,162.87,161.04,183.0,455 CDM,PX-A43333,PR ANES FOR RPR HIATAL HERNIA W MESH,183.0,162.87,161.04,183.0,455 CDM,PX-A43334,PR ANES FOR RPR HIAT HERNIA THRCTM WO MESH,183.0,162.87,161.04,183.0,455 CDM,PX-A43335,PR ANES FOR RPR HIAT HERNIA THRCTM W MESH,183.0,162.87,161.04,183.0,455 CDM,PX-A43336,PR ANES FOR RPR HIAT HERNIA THRABD WO MESH,183.0,162.87,161.04,183.0,455 CDM,PX-A43337,PR ANES FOR RPR HIAT HERNIA THORABD W MESH,183.0,162.87,161.04,183.0,455 CDM,PX-A43338,PR ANES FOR ESOPHAGEAL LENGTHENING PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A43340,PR ANES FOR ESOJEJUNOS WO GSTRCT ABDL APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A43341,PR ANES FOR ESOJEJUNOS WO GSTRCT THOR APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A43351,PR ANES FOR ESPHAGOSTOMY FISTULIZATION EXT,183.0,162.87,161.04,183.0,455 CDM,PX-A43352,PR ANES FOR ESOPHAGOSTOMY EXTRNL CERV APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A43360,PR ANES FOR RCNST ESOPHAGECTOMY STOMACH,183.0,162.87,161.04,183.0,455 CDM,PX-A43361,PR ANES FOR RCNST ESOPHAGECT INTSTN W COLON,183.0,162.87,161.04,183.0,455 CDM,PX-A43400,PR ANES FOR LIGATE ESOPHAGUS VARICES,183.0,162.87,161.04,183.0,455 CDM,PX-A43405,"PR ANES FOR LIGATE/STAPLE ESOPHAGUS,GE JUNC",183.0,162.87,161.04,183.0,455 CDM,PX-A43410,PR ANES FOR SUTR ESOPH WND CERV APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A43415,PR ANES FOR SUTR ESOPH WND THOR/ABD APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A43420,PR ANES FOR CLSR ESOPHAGOSTOMY CERV APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A43425,PR ANES FOR CLSR ESOPHAGOSTOMY TH/ABD APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A43450,PR ANES FOR DIL ESOPHAGUS UNGUIDED SOUND,183.0,162.87,161.04,183.0,455 CDM,PX-A43453,PR ANES FOR DILATION ESOPHAGUS GUIDE WIRE,183.0,162.87,161.04,183.0,455 CDM,PX-A43460,PR ANES FOR ESOPHAGOGASTRIC TAMPONADE,183.0,162.87,161.04,183.0,455 CDM,PX-A43496,PR ANES FOR TRNSF JEJUNM W MICROVASC ANAST,183.0,162.87,161.04,183.0,455 CDM,PX-A43497,PR ANES FOR PERORAL ENDOSCOPIC MYOTOMY (POEM),183.0,162.87,161.04,183.0,455 CDM,PX-A43499,PR ANES FOR UNLISTED PROCEDURE ESOPHAGUS,183.0,162.87,161.04,183.0,455 CDM,PX-A43500,PR ANES FOR GASTROTOMY W EXPLR/RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A43501,PR ANES FOR GASTROTOMY SUTR RPR BLEED ULCER,183.0,162.87,161.04,183.0,455 CDM,PX-A43502,"PR ANES FOR OPEN STOM,REOLD GE LACERATN",183.0,162.87,161.04,183.0,455 CDM,PX-A43510,"PR ANES FOR GASTROTOMY,ESOPH DIL+PERM TUBE",183.0,162.87,161.04,183.0,455 CDM,PX-A43520,PR ANES FOR PYLORMYOTOMY CUT PYLORIC MUS,183.0,162.87,161.04,183.0,455 CDM,PX-A43605,PR ANES FOR BIOPSY OF STOMACH LAPAROTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A43610,PR ANES FOR EXCISN ULCER/BEN TMR STOMACH,183.0,162.87,161.04,183.0,455 CDM,PX-A43611,PR ANES FOR EXCISN TMR MLG STOMACH LOCAL,183.0,162.87,161.04,183.0,455 CDM,PX-A43620,PR ANES FOR GASTRECTOMY TOTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A43621,PR ANES FOR GASTRECTOMY TOTAL W ROUX-EN-Y,183.0,162.87,161.04,183.0,455 CDM,PX-A43622,PR ANES FOR GASTRECTOMY TOT W FORM POUCH,183.0,162.87,161.04,183.0,455 CDM,PX-A43631,PR ANES FOR GASTRECT PRTL DSTL W GASTRODUOD,183.0,162.87,161.04,183.0,455 CDM,PX-A43632,PR ANES FOR GASTRECTOMY DIST PARTL W G-J,183.0,162.87,161.04,183.0,455 CDM,PX-A43633,PR ANES FOR GASTRECTOMY PARTL W ROUX-EN-Y,183.0,162.87,161.04,183.0,455 CDM,PX-A43634,PR ANES FOR GASTRECTOMY PRTL W FORM POUCH,183.0,162.87,161.04,183.0,455 CDM,PX-A43635,PR ANES FOR VAGOTOMY W DIST GASTRECTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A43640,PR ANES FOR VGTMY PYLORPLSTY W/WO GASTROST,183.0,162.87,161.04,183.0,455 CDM,PX-A43641,PR ANES FOR VAGOTMY W/WO GASTRECTMY PARIETAL,183.0,162.87,161.04,183.0,455 CDM,PX-A43644,PR ANES FOR LAP GASTR BYP&ROUX-EN-Y <150CM,183.0,162.87,161.04,183.0,455 CDM,PX-A43645,PR ANES FOR LAP GSTRC BYPASS&INTSTN RCNST,183.0,162.87,161.04,183.0,455 CDM,PX-A43647,PR ANES FOR LAP IMPL/RPLC GASTRIC NSTIM,183.0,162.87,161.04,183.0,455 CDM,PX-A43648,PR ANES FOR LAP REV/RMVL GASTRIC NSTIM ELC,183.0,162.87,161.04,183.0,455 CDM,PX-A43651,PR ANES FOR LAP TRNSECT VAGUS NRV TRUNCAL,183.0,162.87,161.04,183.0,455 CDM,PX-A43652,PR ANES FOR LAP TRNSECT VAGUS NRV SELECT,183.0,162.87,161.04,183.0,455 CDM,PX-A43653,PR ANES FOR LAPAROSCOPY SURGICAL GASTRO,183.0,162.87,161.04,183.0,455 CDM,PX-A43659,PR ANES FOR UNLISTED PROCEDURE LAP STOMACH,183.0,162.87,161.04,183.0,455 CDM,PX-A43752,PR ANES FOR PLC TUBE NASAL/OROGAST W FLUOR,183.0,162.87,161.04,183.0,455 CDM,PX-A43753,PR ANES FOR INTUB&ASP/LAVAGE GASTRIC THER,183.0,162.87,161.04,183.0,455 CDM,PX-A43754,PR ANES FOR GASTRIC INTUBATION DX SINGLE,183.0,162.87,161.04,183.0,455 CDM,PX-A43755,PR ANES FOR GASTRIC INTUBATION DX MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A43756,PR ANES FOR DUODENAL INTUBATION DX SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A43757,PR ANES FOR DUODENAL INTUBATION DX MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A43761,PR ANES FOR REPOSITION GASTROSTOMY TUBE,183.0,162.87,161.04,183.0,455 CDM,PX-A43762,PR ANES FOR RPLC GTUBE WO REVISION OF GASTRO TRACT W/O IMAG,183.0,162.87,161.04,183.0,455 CDM,PX-A43763,PR ANES FOR RPLC GTUBE W REVISION OF GASTRO TRACT W/O IMAG,183.0,162.87,161.04,183.0,455 CDM,PX-A43770,PR ANES FOR LAP PLCMNT GASTRIC DEVICE,183.0,162.87,161.04,183.0,455 CDM,PX-A43771,PR ANES FOR LAP REVISION GASTRIC DEVICE,183.0,162.87,161.04,183.0,455 CDM,PX-A43772,PR ANES FOR LAP RMVL GASTRIC DEVICE,183.0,162.87,161.04,183.0,455 CDM,PX-A43773,PR ANES FOR LAP RMVL&RPLC GASTRIC DEVICE,183.0,162.87,161.04,183.0,455 CDM,PX-A43774,PR ANES FOR LAP RMVL GASTRIC DEV ALL PARTS,183.0,162.87,161.04,183.0,455 CDM,PX-A43775,PR ANES FOR LAP LONGITUDINAL GASTRECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A43800,PR ANES FOR PYLOROPLASTY,183.0,162.87,161.04,183.0,455 CDM,PX-A43810,PR ANES FOR GASTRODUODENOSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A43820,PR ANES FOR GASTROJEJUNOSTOMY WO VAGOTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A43825,PR ANES FOR GASTROJEJUNOSTOMY W VAGOTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A43830,PR ANES FOR GASTROSTOMY WO CNSTRCT G TUBE,183.0,162.87,161.04,183.0,455 CDM,PX-A43831,PR ANES FOR GASTROSTOMY NEONATAL FEED OPEN,183.0,162.87,161.04,183.0,455 CDM,PX-A43832,PR ANES FOR GASTROSTOMY CNSTRCT GASTRC TUB,183.0,162.87,161.04,183.0,455 CDM,PX-A43840,PR ANES FOR GASTRORRHAPHY SUTR ULCER/WND,183.0,162.87,161.04,183.0,455 CDM,PX-A43842,PR ANES FOR GASTR RSTCV WO BYP VRT BND,183.0,162.87,161.04,183.0,455 CDM,PX-A43843,PR ANES FOR GASTR RSTCV WO BYP WO VRT BND,183.0,162.87,161.04,183.0,455 CDM,PX-A43845,PR ANES FOR GASTRIC RSTCV W BYP 50-100CM,183.0,162.87,161.04,183.0,455 CDM,PX-A43846,PR ANES FOR GASTRIC RSTCV W BYP <=150CM,183.0,162.87,161.04,183.0,455 CDM,PX-A43847,PR ANES FOR GASTRIC RSTCV W BYP SML INTSTN,183.0,162.87,161.04,183.0,455 CDM,PX-A43848,PR ANES FOR REV GASTRIC RSTCV PROC OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A43860,PR ANES FOR REV GASTRO/JJNL ANAST WO VGTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A43865,PR ANES FOR REV GASTRO/JJNL ANAST W VGTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A43870,PR ANES FOR CLOSURE GASTROSTOMY SURG,183.0,162.87,161.04,183.0,455 CDM,PX-A43880,PR ANES FOR CLOSURE GASTROCOLIC FISTULA,183.0,162.87,161.04,183.0,455 CDM,PX-A43881,PR ANES FOR IMPL/RPLC GASTR NSTIM ANTRM OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A43882,PR ANES FOR RVSN/RMVL GASTR NSTIM ANTRM OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A43886,PR ANES FOR GSTR RSTCV RVSN SUBQ PORT,183.0,162.87,161.04,183.0,455 CDM,PX-A43887,PR ANES FOR GSTR RSTCV RMVL SUBQ PORT,183.0,162.87,161.04,183.0,455 CDM,PX-A43888,PR ANES FOR GSTR RSTCV RMVL&RPLC SUBQ PORT,183.0,162.87,161.04,183.0,455 CDM,PX-A43889,PR ANES FOR GSTR RSTCV PX TRNSORL ESG,183.0,162.87,161.04,183.0,455 CDM,PX-A43999,PR ANES FOR UNLISTED PROCEDURE STOMACH,183.0,162.87,161.04,183.0,455 CDM,PX-A44005,PR ANES FOR ENTEROLYSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A44010,PR ANES FOR DUODENOTOMY EXPLR/BX/RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A44015,PR ANES FOR INS/INTRO CATH ENTERO/JEJUNUM,183.0,162.87,161.04,183.0,455 CDM,PX-A44020,PR ANES FOR ENTEROTOMY SM INTSTN EXPLR/BX,183.0,162.87,161.04,183.0,455 CDM,PX-A44021,PR ANES FOR ENTEROTOMY SM INTSTN DCMPRN,183.0,162.87,161.04,183.0,455 CDM,PX-A44025,PR ANES FOR COLOTOMY EXPLORE/BX/RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A44050,PR ANES FOR REDUC VOLVULUS BY LAPAROTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A44055,PR ANES FOR CORR MALROTATION BOWEL,183.0,162.87,161.04,183.0,455 CDM,PX-A44100,"PR ANES FOR BIOPSY OF BOWEL, PERORAL",183.0,162.87,161.04,183.0,455 CDM,PX-A44110,PR ANES FOR EXCISN >=1LESN INTSTN ENTRTMY SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A44111,PR ANES FOR EXCISN LES INTSTN ENTRTMY MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A44120,PR ANES FOR ENTERCTMY RSECT SM INTSTN SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A44121,PR ANES FOR ENTERECT RSECT SM INTST EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A44125,PR ANES FOR ENTERECTMY SM INTSTN ENTERSTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A44126,PR ANES FOR ENTERECTMY SM INTSTN WO TAPER,183.0,162.87,161.04,183.0,455 CDM,PX-A44127,PR ANES FOR ENTERECTMY SM INTSTN W TAPER,183.0,162.87,161.04,183.0,455 CDM,PX-A44128,PR ANES FOR ENTERECTMY SM INTSTN EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A44130,PR ANES FOR ENTEROENTEROSTMY ANAST INTSTN,183.0,162.87,161.04,183.0,455 CDM,PX-A44132,"PR ANES FOR ENTERECTOMY,OPEN,CADAVER DONOR",183.0,162.87,161.04,183.0,455 CDM,PX-A44133,"PR ANES FOR ENTERECTOMY,PARTIAL,LIVING DONOR",183.0,162.87,161.04,183.0,455 CDM,PX-A44135,"PR ANES FOR ALLOTRANSPLANT,INTESTINE,CADAVER DNR",183.0,162.87,161.04,183.0,455 CDM,PX-A44136,"PR ANES FOR ALLOTRANSPLANT,INTESTINE,LIVING DONOR",183.0,162.87,161.04,183.0,455 CDM,PX-A44137,"PR ANES FOR REMOVE INTESTINAL ALLOGRAFT, CMPLT",183.0,162.87,161.04,183.0,455 CDM,PX-A44139,PR ANES FOR MOBIL SPLENC FLEX W PRTL COLCTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A44140,PR ANES FOR COLECTOMY PARTL W ANASTOMOSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A44141,PR ANES FOR COLECTMY PARTL W CECOST/COLOST,183.0,162.87,161.04,183.0,455 CDM,PX-A44143,PR ANES FOR COLECTOMY PARTL W END CLSR,183.0,162.87,161.04,183.0,455 CDM,PX-A44144,PR ANES FOR COLECTMY PARTL W COLOST/ILEOST,183.0,162.87,161.04,183.0,455 CDM,PX-A44145,PR ANES FOR COLECTOMY PARTL COLOPROCTOSTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A44146,PR ANES FOR COLECTOMY PARTL CLPRCT&COLSTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A44147,PR ANES FOR COLECTOMY PARTL ABD&TXANAL APP,183.0,162.87,161.04,183.0,455 CDM,PX-A44150,PR ANES FOR COLECTMY TOT ABD W ILEOS/ILEOP,183.0,162.87,161.04,183.0,455 CDM,PX-A44151,PR ANES FOR COLECTMY TOT W CONTINENT ILEOS,183.0,162.87,161.04,183.0,455 CDM,PX-A44155,PR ANES FOR COLECTOMY TOT ABD PROCT&ILEOST,183.0,162.87,161.04,183.0,455 CDM,PX-A44156,PR ANES FOR COLECTOMY ABD CONTINENT ILEOST,183.0,162.87,161.04,183.0,455 CDM,PX-A44157,PR ANES FOR COLECTOMY ABD PROCTEC ILEOANL,183.0,162.87,161.04,183.0,455 CDM,PX-A44158,PR ANES FOR COLECTOMY W ILEAL RESERVOIR,183.0,162.87,161.04,183.0,455 CDM,PX-A44160,PR ANES FOR COLECTOMY PARTL RMVL TRM ILEUM,183.0,162.87,161.04,183.0,455 CDM,PX-A44180,PR ANES FOR LAPAROSCOPY ENTEROLYSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A44186,PR ANES FOR LAPAROSCOPY JEJUNOSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A44187,PR ANES FOR LAP ILEOST/JEJUNOST NON TUBE,183.0,162.87,161.04,183.0,455 CDM,PX-A44188,PR ANES FOR LAPAROSCOPY COLOSTMY/CECOSTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A44202,PR ANES FOR LAP ENTERECT RESEC&ANAST SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A44203,PR ANES FOR LAP ENTERECT RESEC&ANAST EA,183.0,162.87,161.04,183.0,455 CDM,PX-A44204,PR ANES FOR LAP COLECTOMY PRTL ANASTOMOSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A44205,PR ANES FOR LAP COLECTOMY W ILEOCOLOSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A44206,PR ANES FOR LAP COLECTOMY W CLSR DIST SEGM,183.0,162.87,161.04,183.0,455 CDM,PX-A44207,PR ANES FOR LAP COLECTMY ANAST COLOPROCT,183.0,162.87,161.04,183.0,455 CDM,PX-A44208,PR ANES FOR LAP COLECTMY COLOPROCT CLSTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A44210,PR ANES FOR LAP COLECTOMY TOT WO PROCTCTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A44211,PR ANES FOR LAP COLECTOMY TOT W PROCTCTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A44212,PR ANES FOR COLCTMY TOT W PROCTMY/ILEOSTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A44213,PR ANES FOR LAPAROSCOPY MOBILE W COLECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A44227,PR ANES FOR LAPAROSCOPY CLSR ENTEROSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A44238,PR ANES FOR UNLISTED PROC LAP INTESTINE,183.0,162.87,161.04,183.0,455 CDM,PX-A44300,PR ANES FOR PLC ENTEROST/CECOST TUBE OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A44310,PR ANES FOR ILEOSTOMY/JEJUNOSTOMY NON-TUBE,183.0,162.87,161.04,183.0,455 CDM,PX-A44312,PR ANES FOR REVISION ILEOSTOMY SIMPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A44314,PR ANES FOR REVISION ILEOSTOMY COMPLICATED,183.0,162.87,161.04,183.0,455 CDM,PX-A44316,PR ANES FOR CONTINENT ILEOS KOCK PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A44320,PR ANES FOR COLOSTOMY OR SKIN LVL CECOSTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A44322,PR ANES FOR COLOSTOMY/CECOSTOMY W MULT BX,183.0,162.87,161.04,183.0,455 CDM,PX-A44340,PR ANES FOR REVISION COLOSTOMY SIMPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A44345,PR ANES FOR REVISION COLOSTOMY COMPLEX,183.0,162.87,161.04,183.0,455 CDM,PX-A44346,PR ANES FOR COLOSTOMY RPR PARACLST HERNIA,183.0,162.87,161.04,183.0,455 CDM,PX-A44360,PR ANES FOR ENDO UPPER SM INTESTINE,183.0,162.87,161.04,183.0,455 CDM,PX-A44361,PR ANES FOR ENDO SM INTESTINE W BX,183.0,162.87,161.04,183.0,455 CDM,PX-A44363,PR ANES FOR ENDO SM INTESTINE W RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A44364,PR ANES FOR ENTEROSCOPY RMVL POLYP SNARE,183.0,162.87,161.04,183.0,455 CDM,PX-A44365,PR ANES FOR ENDO SM INTSTN W RMVL HOT BX,183.0,162.87,161.04,183.0,455 CDM,PX-A44366,PR ANES FOR ENDO SM INTESTINE W CTRL BLEED,183.0,162.87,161.04,183.0,455 CDM,PX-A44369,PR ANES FOR ENDO SM INTESTINE W ABLATION,183.0,162.87,161.04,183.0,455 CDM,PX-A44370,PR ANES FOR ENDO SM INTESTINE W STENT PLC,183.0,162.87,161.04,183.0,455 CDM,PX-A44372,PR ANES FOR ENDO SM INTSTN W PLC TUBE PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A44373,PR ANES FOR ENDO SM INTSTN W G-J TUBE,183.0,162.87,161.04,183.0,455 CDM,PX-A44376,PR ANES FOR ENTEROSCOPY W ILEUM W/WO BX,183.0,162.87,161.04,183.0,455 CDM,PX-A44377,PR ANES FOR ENDO SM INTESTINE W ILIUM BX,183.0,162.87,161.04,183.0,455 CDM,PX-A44378,PR ANES FOR ENDO SM INTSTN W ILIUM CTRL,183.0,162.87,161.04,183.0,455 CDM,PX-A44379,PR ANES FOR ENDO SM INTSTN W ILIUM STNT PLC,183.0,162.87,161.04,183.0,455 CDM,PX-A44380,PR ANES FOR ILEOSCOPY STOMA DX,183.0,162.87,161.04,183.0,455 CDM,PX-A44381,PR ANES FOR ILEOSCOPY STOMA W BALN DIL,183.0,162.87,161.04,183.0,455 CDM,PX-A44382,PR ANES FOR ILEOSCOPY STOMA W BX SNGL/MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A44384,PR ANES FOR ILEOSCOPY STOMA W STENT PLC,183.0,162.87,161.04,183.0,455 CDM,PX-A44385,PR ANES FOR ENDO EVAL SM INTST POUCH DX,183.0,162.87,161.04,183.0,455 CDM,PX-A44386,PR ANES FOR ENDO EVAL SM INTST POUCH BX,183.0,162.87,161.04,183.0,455 CDM,PX-A44388,PR ANES FOR COLONOSCOPY STOMA DX,183.0,162.87,161.04,183.0,455 CDM,PX-A44389,PR ANES FOR COLONOSCOPY STOMA BX SNGL/MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A44390,PR ANES FOR COLONSCPY STOMA W RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A44391,PR ANES FOR COLONOSCOPY STOMA W CTRL BLEED,183.0,162.87,161.04,183.0,455 CDM,PX-A44392,PR ANES FOR COLONSCPY STOMA W HOT BX FORCP,183.0,162.87,161.04,183.0,455 CDM,PX-A44394,PR ANES FOR COLONOSCOPY W RMVL LESN SNARE,183.0,162.87,161.04,183.0,455 CDM,PX-A44401,PR ANES FOR COLONOSCOPY STOMA ABLATION,183.0,162.87,161.04,183.0,455 CDM,PX-A44402,PR ANES FOR COLONOSCOPY STENT VIA STOMA,183.0,162.87,161.04,183.0,455 CDM,PX-A44403,PR ANES FOR COLONOSCOPY STOMA EMR,183.0,162.87,161.04,183.0,455 CDM,PX-A44404,PR ANES FOR COLONOSCOPY STOMA INJ SUBMUC,183.0,162.87,161.04,183.0,455 CDM,PX-A44405,PR ANES FOR COLONOSCOPY STOMA W BAL DIL,183.0,162.87,161.04,183.0,455 CDM,PX-A44406,PR ANES FOR COLONOSCOPY W US EXAM,183.0,162.87,161.04,183.0,455 CDM,PX-A44407,PR ANES FOR COLONOSCOPY STOMA W US NDL BX,183.0,162.87,161.04,183.0,455 CDM,PX-A44408,PR ANES FOR COLONOSCOPY STOMA W DECOMP,183.0,162.87,161.04,183.0,455 CDM,PX-A44500,PR ANES FOR INTRO GI TUBE LONG,183.0,162.87,161.04,183.0,455 CDM,PX-A44602,PR ANES FOR ENTERORRHAPHY PERFORATION SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A44603,PR ANES FOR ENTERORRHAPHY PERFORATION MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A44604,PR ANES FOR SUTR LG INTSTN PERF WO COLOST,183.0,162.87,161.04,183.0,455 CDM,PX-A44605,PR ANES FOR SUTR LG INTSTN PERF W COLOST,183.0,162.87,161.04,183.0,455 CDM,PX-A44615,PR ANES FOR STRICTUROPLASTY INTSTN OBSTR,183.0,162.87,161.04,183.0,455 CDM,PX-A44620,PR ANES FOR CLSR ENTEROSTMY LG/SM INTSTN,183.0,162.87,161.04,183.0,455 CDM,PX-A44625,PR ANES FOR CLSR ENTEROSTMY INTSTN W RSECT,183.0,162.87,161.04,183.0,455 CDM,PX-A44626,PR ANES FOR CLSR ENTEROSTMY INTSTN COLORCT,183.0,162.87,161.04,183.0,455 CDM,PX-A44640,PR ANES FOR CLSR INTSTN CUTANEOUS FISTULA,183.0,162.87,161.04,183.0,455 CDM,PX-A44650,PR ANES FOR CLSR ENTEROENTERIC/COLIC FSTL,183.0,162.87,161.04,183.0,455 CDM,PX-A44660,PR ANES FOR CLSR ENTEROVESC FSTL WO RSECT,183.0,162.87,161.04,183.0,455 CDM,PX-A44661,PR ANES FOR CLSR ENTEROVESC FSTL W RSECT,183.0,162.87,161.04,183.0,455 CDM,PX-A44680,PR ANES FOR INTESTINAL PLICATION,183.0,162.87,161.04,183.0,455 CDM,PX-A44700,PR ANES FOR EXCLUSION SMALL INTSTN,183.0,162.87,161.04,183.0,455 CDM,PX-A44701,PR ANES FOR INTRAOP COLON LAVAGE,183.0,162.87,161.04,183.0,455 CDM,PX-A44705,PR ANES FOR PREPARE FECAL MICROBIOTA,183.0,162.87,161.04,183.0,455 CDM,PX-A44715,"PR ANES FOR TRANSPLANT, PREP DONOR INTESTINE",183.0,162.87,161.04,183.0,455 CDM,PX-A44720,"PR ANES FOR TRANSPLANT, RECONS DONOR INTEST VENOUS",183.0,162.87,161.04,183.0,455 CDM,PX-A44721,"PR ANES FOR TRANSPLANT, RECONS DONOR INTEST ARTER",183.0,162.87,161.04,183.0,455 CDM,PX-A44799,PR ANES FOR UNLISTED PROC SMALL INTESTINE,183.0,162.87,161.04,183.0,455 CDM,PX-A44800,PR ANES FOR EXCISN MECKEL DIVERTICULUM,183.0,162.87,161.04,183.0,455 CDM,PX-A44820,PR ANES FOR EXCISION LESION MESENTERY,183.0,162.87,161.04,183.0,455 CDM,PX-A44850,PR ANES FOR SUTURE MESENTERY,183.0,162.87,161.04,183.0,455 CDM,PX-A44899,PR ANES FOR UNLISTED PROC DIVRTCLM&MESENTERY,183.0,162.87,161.04,183.0,455 CDM,PX-A44900,PR ANES FOR I&D APPENDIX ABSCESS OPEN,183.0,162.87,161.04,183.0,455 CDM,PX-A44950,PR ANES FOR APPENDECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A44955,PR ANES FOR APPENDECTOMY W OTHR MAJOR PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A44960,PR ANES FOR APPENDECTOMY RUPTR W ABSCESS,183.0,162.87,161.04,183.0,455 CDM,PX-A44970,PR ANES FOR LAPAROSCOPY APPENDECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A44979,PR ANES FOR UNLISTED PROC LAP APPENDIX,183.0,162.87,161.04,183.0,455 CDM,PX-A45000,PR ANES FOR DRN PELVIC ABSCESS TXRECTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A45005,PR ANES FOR I&D ABSCESS SUBMUCOSAL RECTUM,183.0,162.87,161.04,183.0,455 CDM,PX-A45020,PR ANES FOR I&D SPRAELV PLVRCTL/RTRRCTL,183.0,162.87,161.04,183.0,455 CDM,PX-A45100,PR ANES FOR BX ANORECTAL WALL ANAL APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A45108,PR ANES FOR ANORECTAL MYOMECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A45110,PR ANES FOR PROCTECTOMY CMPLT W COLOSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A45111,PR ANES FOR PROCTECTOMY PARTL RSECT RECTUM,183.0,162.87,161.04,183.0,455 CDM,PX-A45112,PR ANES FOR PROCTECTOMY ABDOMINOPERINEAL,183.0,162.87,161.04,183.0,455 CDM,PX-A45113,PR ANES FOR PRCTMY W RCTL MUCOSECTMY PARTL,183.0,162.87,161.04,183.0,455 CDM,PX-A45114,PR ANES FOR PRCTMY W ANAST ABD&TRNSAC APP,183.0,162.87,161.04,183.0,455 CDM,PX-A45116,PR ANES FOR PRCTMY W ANAST TRNSAC APP ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A45119,PR ANES FOR PRCTMY PULL THRU W RESERVOIR,183.0,162.87,161.04,183.0,455 CDM,PX-A45120,PR ANES FOR PRCTMY W PULL THROUGH&ANAST,183.0,162.87,161.04,183.0,455 CDM,PX-A45121,PR ANES FOR PRCTMY W COLECT W BX COMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A45123,PR ANES FOR PROCTECTOMY WO ANAST PARTL,183.0,162.87,161.04,183.0,455 CDM,PX-A45126,PR ANES FOR PELV EXENTERATION COLORECT MLG,183.0,162.87,161.04,183.0,455 CDM,PX-A45130,PR ANES FOR EXCISN RECTL PROCIDENTIA ANAST,183.0,162.87,161.04,183.0,455 CDM,PX-A45135,PR ANES FOR EXCISN RECTL PROCIDENTIA ABDL,183.0,162.87,161.04,183.0,455 CDM,PX-A45136,PR ANES FOR EXCISN ILEOANAL RSRVR ILEOSTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A45150,PR ANES FOR DIVISION STRICTURE OF RECTUM,183.0,162.87,161.04,183.0,455 CDM,PX-A45160,PR ANES FOR EXCISN RECTAL TMR TRANSAC/TRANSOC,183.0,162.87,161.04,183.0,455 CDM,PX-A45171,PR ANES FOR EXCISN RCTL TMR PRTL TRNSANAL APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A45172,PR ANES FOR EXCISN RECTAL TMR FULL,183.0,162.87,161.04,183.0,455 CDM,PX-A45190,PR ANES FOR DEST RECTAL TMR TRANSANAL APP,183.0,162.87,161.04,183.0,455 CDM,PX-A45300,PR ANES FOR PROCTOSIGMOIDOSCOPY DX,183.0,162.87,161.04,183.0,455 CDM,PX-A45303,PR ANES FOR PROCTOSIGMOID RIGID W DIL,183.0,162.87,161.04,183.0,455 CDM,PX-A45305,PR ANES FOR PROCTOSIGMOIDOSCOPY BX,183.0,162.87,161.04,183.0,455 CDM,PX-A45307,PR ANES FOR PROCTOSIGMOID RIGID W RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A45308,PR ANES FOR PROCTOSIGMOID W RMVL HOT BX,183.0,162.87,161.04,183.0,455 CDM,PX-A45309,PR ANES FOR PROCTOSIGMOID W RMVL SNARE,183.0,162.87,161.04,183.0,455 CDM,PX-A45315,PR ANES FOR PROCTOSIGMOIDOSCOPY RMVL,183.0,162.87,161.04,183.0,455 CDM,PX-A45317,PR ANES FOR PROCTOSIGMOID CONTROL BLEED,183.0,162.87,161.04,183.0,455 CDM,PX-A45320,PR ANES FOR PROCTOSIGMOIDOSCOPY ABLATION,183.0,162.87,161.04,183.0,455 CDM,PX-A45321,PR ANES FOR PROCTOSIGMOID DECOMPRESSION,183.0,162.87,161.04,183.0,455 CDM,PX-A45327,PR ANES FOR PROCTOSIGMOID W STENT PLC,183.0,162.87,161.04,183.0,455 CDM,PX-A45330,PR ANES FOR SIGMOIDOSCOPY FLEXIBLE DX,183.0,162.87,161.04,183.0,455 CDM,PX-A45331,PR ANES FOR SIGMOIDOSCOPY FLEXIBLE W BX,183.0,162.87,161.04,183.0,455 CDM,PX-A45332,PR ANES FOR SIGMOID FLEX W RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A45333,PR ANES FOR SIGMOID FLEX W RMVL TMR HOT BX,183.0,162.87,161.04,183.0,455 CDM,PX-A45334,PR ANES FOR SIGMOID FLEX W CTRL BLEED,183.0,162.87,161.04,183.0,455 CDM,PX-A45335,PR ANES FOR SIGMOID FLEX W SUBMUCOSAL INJ,183.0,162.87,161.04,183.0,455 CDM,PX-A45337,PR ANES FOR SIGMOID FLEX W DECOMPRESSION,183.0,162.87,161.04,183.0,455 CDM,PX-A45338,PR ANES FOR SIGMOID FLEX W RMVL TMR SNARE,183.0,162.87,161.04,183.0,455 CDM,PX-A45340,PR ANES FOR SIGMOID FLEX W DIL BALN,183.0,162.87,161.04,183.0,455 CDM,PX-A45341,PR ANES FOR SIGMOID FLEX W EUS EXAM,183.0,162.87,161.04,183.0,455 CDM,PX-A45342,PR ANES FOR SIGMOID FLEX W EUS FNA/BX,183.0,162.87,161.04,183.0,455 CDM,PX-A45346,PR ANES FOR SIGMOIDOSCOPY W ABLATION,183.0,162.87,161.04,183.0,455 CDM,PX-A45347,PR ANES FOR SIGMOIDOSCOPY W PLCMT STENT,183.0,162.87,161.04,183.0,455 CDM,PX-A45349,PR ANES FOR SIGMOID FLEX EMR,183.0,162.87,161.04,183.0,455 CDM,PX-A45350,PR ANES FOR SIGMOID FLEX W BAND LIG,183.0,162.87,161.04,183.0,455 CDM,PX-A45378,PR ANES FOR COLONOSCOPY DIAGNOSTIC,183.0,162.87,161.04,183.0,455 CDM,PX-A45379,PR ANES FOR COLONOSCOPY W RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A45380,PR ANES FOR COLONOSCOPY W BIOPSY,183.0,162.87,161.04,183.0,455 CDM,PX-A45381,PR ANES FOR COLONOSCOPY W SUBMUC INJ,183.0,162.87,161.04,183.0,455 CDM,PX-A45382,PR ANES FOR COLONOSCOPY W CTRL BLEED,183.0,162.87,161.04,183.0,455 CDM,PX-A45384,PR ANES FOR COLONOSCOPY W RMVL TMR HOT BX,183.0,162.87,161.04,183.0,455 CDM,PX-A45385,PR ANES FOR COLONOSCOPY W RMVL SNARE,183.0,162.87,161.04,183.0,455 CDM,PX-A45386,PR ANES FOR COLONOSCOPY W BALN DIL,183.0,162.87,161.04,183.0,455 CDM,PX-A45388,PR ANES FOR COLONOSCOPY W TMR ABLATE,183.0,162.87,161.04,183.0,455 CDM,PX-A45389,PR ANES FOR COLONOSCOPY FLEX STENT PLC,183.0,162.87,161.04,183.0,455 CDM,PX-A45390,PR ANES FOR COLONOSCOPY W EMR,183.0,162.87,161.04,183.0,455 CDM,PX-A45391,PR ANES FOR COLONOSCOPY W EUS EXAM,183.0,162.87,161.04,183.0,455 CDM,PX-A45392,PR ANES FOR COLONOSCOPY W TRANS EUS FNA/BX,183.0,162.87,161.04,183.0,455 CDM,PX-A45393,PR ANES FOR COLONOSCOPY W DECOMPRESSION,183.0,162.87,161.04,183.0,455 CDM,PX-A45395,PR ANES FOR LAP PRCTMY W COLOSTOMY COMPLT,183.0,162.87,161.04,183.0,455 CDM,PX-A45397,PR ANES FOR LAP PROCTECTOMY W RESERVOIR,183.0,162.87,161.04,183.0,455 CDM,PX-A45398,PR ANES FOR COLONOSCOPY W BAND LIG,183.0,162.87,161.04,183.0,455 CDM,PX-A45399,PR ANES FOR UNLISTED PROCEDURE COLON,183.0,162.87,161.04,183.0,455 CDM,PX-A45400,PR ANES FOR LAP PROCTOPEXY PROLAPSE,183.0,162.87,161.04,183.0,455 CDM,PX-A45402,PR ANES FOR LAP PROCTOPEXY W RSECT SIGMOID,183.0,162.87,161.04,183.0,455 CDM,PX-A45499,PR ANES FOR UNLISTED PROCEDURE LAP RECTUM,183.0,162.87,161.04,183.0,455 CDM,PX-A45500,"PR ANES FOR REPAIR OF RECTUM,STENOSIS",183.0,162.87,161.04,183.0,455 CDM,PX-A45505,PR ANES FOR PROCTOPLASTY PROLAPSE MUC MEMB,183.0,162.87,161.04,183.0,455 CDM,PX-A45520,PR ANES FOR INJ RECTUM SCLEROSING SOL,183.0,162.87,161.04,183.0,455 CDM,PX-A45540,PR ANES FOR PROCTOPEXY ABDOMINAL APPROACH,183.0,162.87,161.04,183.0,455 CDM,PX-A45541,PR ANES FOR PROCTOPEXY PERINEAL APPROACH,183.0,162.87,161.04,183.0,455 CDM,PX-A45550,PR ANES FOR PROCTOPEXY RSECT SIGM ABD APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A45560,PR ANES FOR REPAIR OF RECTOCELE,183.0,162.87,161.04,183.0,455 CDM,PX-A45562,PR ANES FOR EXPLR/RPR/DRAIN RECTUM INJURY,183.0,162.87,161.04,183.0,455 CDM,PX-A45563,PR ANES FOR RPR RECTUM INJURY W COLOSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A4562,PR PESSARY KIT NON-RUBBER,104.0,92.56,72.57,104.0,449 CDM,PX-A45800,PR ANES FOR CLSR RECTOVESICAL FSTL,183.0,162.87,161.04,183.0,455 CDM,PX-A45805,PR ANES FOR CLOSE REC-BLADD FISTULA; COLOSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A45820,PR ANES FOR CLSR RECTOURETHRAL FISTULA,183.0,162.87,161.04,183.0,455 CDM,PX-A45825,PR ANES FOR CLSR RECTOURETH FSTL W COLOST,183.0,162.87,161.04,183.0,455 CDM,PX-A45900,PR ANES FOR REDUC RECTAL PROLAPSE W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A45905,PR ANES FOR DIL ANAL SPHINCTER W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A45910,PR ANES FOR DIL RECTAL STRICTURE W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A45915,PR ANES FOR RMVL FECAL IMPACTION/FB W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A45990,PR ANES FOR EXAM ANORECTAL SURG W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A45999,PR ANES FOR UNLISTED PROCEDURE RECTUM,183.0,162.87,161.04,183.0,455 CDM,PX-A46020,PR ANES FOR PLACEMENT OF SETON,183.0,162.87,161.04,183.0,455 CDM,PX-A46030,PR ANES FOR RMVL ANAL SETON OTHER MARKER,183.0,162.87,161.04,183.0,455 CDM,PX-A46040,PR ANES FOR I&D RECTAL ABSCESS,183.0,162.87,161.04,183.0,455 CDM,PX-A46045,PR ANES FOR I&D ABSCESS TRANSANAL W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A46050,PR ANES FOR I&D PERIANAL ABSCESS SUPFCL,183.0,162.87,161.04,183.0,455 CDM,PX-A46060,PR ANES FOR I&D ISCHIORECT/INTRAMURAL ABSC,183.0,162.87,161.04,183.0,455 CDM,PX-A46070,PR ANES FOR INCISN ANAL SEPTUM INFANT,183.0,162.87,161.04,183.0,455 CDM,PX-A46080,PR ANES FOR SPHINCTEROT ANAL DVISN SPHINCT,183.0,162.87,161.04,183.0,455 CDM,PX-A46083,PR ANES FOR INCISN THROMB HEMM EXTRNL,183.0,162.87,161.04,183.0,455 CDM,PX-A46200,PR ANES FOR FISSURECTOMY W/WO SPHINCTROTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A46220,PR ANES FOR EXCISN EXTRNL PAPILLA ANUS SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A46221,PR ANES FOR LIGATION OF HEMORRHOID(S),183.0,162.87,161.04,183.0,455 CDM,PX-A46230,PR ANES FOR EXCISN EXTRNL PAPILLAE ANUS MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A46250,PR ANES FOR HEMORRHOIDECTOMY EXTERNAL >=2,183.0,162.87,161.04,183.0,455 CDM,PX-A46255,PR ANES FOR HEMRDECT INT & EXT SNGL GROUP,183.0,162.87,161.04,183.0,455 CDM,PX-A46257,PR ANES FOR HEMRDECT INT&EXT 1 W FISSURECT,183.0,162.87,161.04,183.0,455 CDM,PX-A46258,PR ANES FOR HEMRDECT W FISTULECT&FISSURECT,183.0,162.87,161.04,183.0,455 CDM,PX-A46260,PR ANES FOR HEMRDECT INT & EXT >=2 GROUPS,183.0,162.87,161.04,183.0,455 CDM,PX-A46261,PR ANES FOR HEMRDECT INT&EXT >=2 FISSURECT,183.0,162.87,161.04,183.0,455 CDM,PX-A46262,PR ANES FOR HEMRDECT >=2 FISTULEC&FISSUREC,183.0,162.87,161.04,183.0,455 CDM,PX-A46270,PR ANES FOR TX ANAL FSTL SURG SUBQ,183.0,162.87,161.04,183.0,455 CDM,PX-A46275,PR ANES FOR TX ANAL FSTL SURG INTERSPHINCT,183.0,162.87,161.04,183.0,455 CDM,PX-A46280,PR ANES FOR TX ANAL FSTL SURG CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A46285,PR ANES FOR TX ANAL FSTL SURG SECOND STAGE,183.0,162.87,161.04,183.0,455 CDM,PX-A46288,PR ANES FOR CLSR ANAL FSTL RECTAL FLAP,183.0,162.87,161.04,183.0,455 CDM,PX-A46320,PR ANES FOR EXCISN THROMB HEMM EXTRNL,183.0,162.87,161.04,183.0,455 CDM,PX-A4649023,PR DENTAL IMPLANT SUPPLIES,387.0,344.43,340.56,387.0,441 CDM,PX-A46500,PR ANES FOR INJ HEMORRHOID SCLEROSING SOLN,183.0,162.87,161.04,183.0,455 CDM,PX-A46505,PR ANES FOR CHEMODENERV INTRNL ANAL SPHINCTER,183.0,162.87,161.04,183.0,455 CDM,PX-A46600,PR ANES FOR ANOSCOPY DIAGNOSTIC,183.0,162.87,161.04,183.0,455 CDM,PX-A46601,PR ANES FOR ANOSCOPY DX W HRA & CHEM AGNT,183.0,162.87,161.04,183.0,455 CDM,PX-A46604,PR ANES FOR ANOSCOPY W DILATION,183.0,162.87,161.04,183.0,455 CDM,PX-A46606,PR ANES FOR ANOSCOPY W BX SINGLE/MULTIPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A46607,PR ANES FOR ANOSCOPY DX W HRA & CHEM W BX,183.0,162.87,161.04,183.0,455 CDM,PX-A46608,PR ANES FOR ANOSCOPY W RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A46610,PR ANES FOR ANOSCOPY W RMVL SNGL TMR HOT BX,183.0,162.87,161.04,183.0,455 CDM,PX-A46611,PR ANES FOR ANOSCOPY W RMVL SNARE SINGLE,183.0,162.87,161.04,183.0,455 CDM,PX-A46612,PR ANES FOR ANOSCOPY W RMVL MULT TUMORS,183.0,162.87,161.04,183.0,455 CDM,PX-A46614,PR ANES FOR ANOSCOPY W BLD CONTROL,183.0,162.87,161.04,183.0,455 CDM,PX-A46615,PR ANES FOR ANOSCOPY ABLATION LESION,183.0,162.87,161.04,183.0,455 CDM,PX-A46700,PR ANES FOR ANOPLASTY PLSTC STRICTURE ADLT,183.0,162.87,161.04,183.0,455 CDM,PX-A46705,PR ANES FOR ANOPLASTY PLSTC STRICTURE INFNT,183.0,162.87,161.04,183.0,455 CDM,PX-A46706,PR ANES FOR REPAIR ANAL FISTULA W FIBRIN GLUE,183.0,162.87,161.04,183.0,455 CDM,PX-A46707,PR ANES FOR RPR ANORECTAL FSTL W PLUG,183.0,162.87,161.04,183.0,455 CDM,PX-A46710,PR ANES FOR RPR ILEOANAL PCH TRANPERINEAL,183.0,162.87,161.04,183.0,455 CDM,PX-A46712,PR ANES FOR RPR ILEOANAL PCH TRNPER/TRNABD,183.0,162.87,161.04,183.0,455 CDM,PX-A46715,PR ANES FOR RPR LOW IMPERF ANUS W FISTULA,183.0,162.87,161.04,183.0,455 CDM,PX-A46716,PR ANES FOR RPR LOW IMPERF ANUS W TRNSPSTN,183.0,162.87,161.04,183.0,455 CDM,PX-A46730,PR ANES FOR RPR HIGH IMPERFORATE ANUS W/OUT FSTL,183.0,162.87,161.04,183.0,455 CDM,PX-A46735,"PR ANES FOR REHI IMPERF ANUS,COMBINED APPRCH",183.0,162.87,161.04,183.0,455 CDM,PX-A46740,PR ANES FOR RPR IMPRF ANUS W FISTULA,183.0,162.87,161.04,183.0,455 CDM,PX-A46742,"PR ANES FOR REHI IMPERF ANUS,FIST,COMBINED",183.0,162.87,161.04,183.0,455 CDM,PX-A46744,"PR ANES FOR RECLOACAL ANOMALY,SACROPERINEAL",183.0,162.87,161.04,183.0,455 CDM,PX-A46746,"PR ANES FOR RECLOACAL ANOMALY,COMBINED APPRC",183.0,162.87,161.04,183.0,455 CDM,PX-A46748,PR ANES FOR RPR CLOACAL ANOM W VAGL LNGTH,183.0,162.87,161.04,183.0,455 CDM,PX-A46750,PR ANES FOR SPHINCTEROPLASTY ANAL ADULT,183.0,162.87,161.04,183.0,455 CDM,PX-A46751,PR ANES FOR SPHINCTEROPLASTY ANAL CHILD,183.0,162.87,161.04,183.0,455 CDM,PX-A46753,PR ANES FOR GRFT RECTAL INCONT/PROLAPSE,183.0,162.87,161.04,183.0,455 CDM,PX-A46754,PR ANES FOR RMVL THIERSCH SUTURE ANAL,183.0,162.87,161.04,183.0,455 CDM,PX-A46760,PR ANES FOR SPHINCTRPLSTY ANAL MUS TRNSPLNT,183.0,162.87,161.04,183.0,455 CDM,PX-A46761,PR ANES FOR SPHINCTRPLSTY ANAL IMBRICATION,183.0,162.87,161.04,183.0,455 CDM,PX-A46900,PR ANES FOR DEST LESN ANUS SMPL CHEMICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A46910,PR ANES FOR DEST LESN ANUS SMPL ELECTRO,183.0,162.87,161.04,183.0,455 CDM,PX-A46916,PR ANES FOR DEST LESN ANUS SMPL CRYOSURG,183.0,162.87,161.04,183.0,455 CDM,PX-A46917,PR ANES FOR DEST LESN ANUS SMPL LASER SURG,183.0,162.87,161.04,183.0,455 CDM,PX-A46922,PR ANES FOR DEST LESN ANUS SMPL SURG EXCISN,183.0,162.87,161.04,183.0,455 CDM,PX-A46924,PR ANES FOR DEST LESION ANUS EXTENSIVE,183.0,162.87,161.04,183.0,455 CDM,PX-A46930,PR ANES FOR DEST HEMM INTRNL THERM ENERGY,183.0,162.87,161.04,183.0,455 CDM,PX-A46940,PR ANES FOR CURETT ANAL FISSURE W DIL INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A46942,PR ANES FOR CURETT ANAL FISSR W DIL SUBSQ,183.0,162.87,161.04,183.0,455 CDM,PX-A46945,PR ANES FOR HEMORRHOID LIG BAND SINGLE,183.0,162.87,161.04,183.0,455 CDM,PX-A46946,PR ANES FOR HEMORRHOID LIG BAND MULTIPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A46947,PR ANES FOR HEMORRHOIDOPEXY STAPLING,183.0,162.87,161.04,183.0,455 CDM,PX-A46948,PR ANES FOR INT HRHC TRANSANAL HROID DARTLZJ 2+ W/US GDN,183.0,162.87,161.04,183.0,455 CDM,PX-A46999,PR ANES FOR UNLISTED PROCEDURE ANUS,183.0,162.87,161.04,183.0,455 CDM,PX-A47000,PR ANES FOR BX NDL LIVER PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A47001,PR ANES FOR BX LIVER NEEDLE W OTHR PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A47010,PR ANES FOR HEPATOTOMY OPN DRN ABSC/CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A47015,PR ANES FOR LAP INJ ASPIR HEPATIC PARASIT,183.0,162.87,161.04,183.0,455 CDM,PX-A47100,PR ANES FOR BIOPSY LIVER WEDGE,183.0,162.87,161.04,183.0,455 CDM,PX-A47120,PR ANES FOR HEPATECTMY RESECT PARTL LOBECT,183.0,162.87,161.04,183.0,455 CDM,PX-A47122,PR ANES FOR HEPATECTMY RESECT TRISEGMENT,183.0,162.87,161.04,183.0,455 CDM,PX-A47125,PR ANES FOR HEPATECTMY LEFT LOBECT TOT,183.0,162.87,161.04,183.0,455 CDM,PX-A47130,PR ANES FOR HEPATECTMY RIGHT LOBECT TOT,183.0,162.87,161.04,183.0,455 CDM,PX-A47133,PR ANES FOR DONOR HEPATECTOMY CADAVER,183.0,162.87,161.04,183.0,455 CDM,PX-A47135,PR ANES FOR TRANSPLANT LIVER,183.0,162.87,161.04,183.0,455 CDM,PX-A47140,PR ANES FOR HEPATECT DNR LIVE LT LAT SEG,183.0,162.87,161.04,183.0,455 CDM,PX-A47141,PR ANES FOR HEPATECTOMY DONOR LIVE TOT LT,183.0,162.87,161.04,183.0,455 CDM,PX-A47142,PR ANES FOR HEPATECTOMY DONOR LIVE TOT RT,183.0,162.87,161.04,183.0,455 CDM,PX-A47143,PR ANES FOR BKBENCH PREP CADV DNR WHOLE LVR,183.0,162.87,161.04,183.0,455 CDM,PX-A47144,PR ANES FOR BKBENCH CADV LIVER TRISEG SPLT,183.0,162.87,161.04,183.0,455 CDM,PX-A47145,PR ANES FOR BKBENCH CADV LIVER LOBE SPLIT,183.0,162.87,161.04,183.0,455 CDM,PX-A47146,PR ANES FOR BKBENCH LIVER VEN ANAST EA,183.0,162.87,161.04,183.0,455 CDM,PX-A47147,PR ANES FOR BKBENCH ARTERIAL ANASTOMOSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A47300,PR ANES FOR MARSUPIALIZATN LIVER CYST/ABSC,183.0,162.87,161.04,183.0,455 CDM,PX-A47350,PR ANES FOR SUTR LIVER HEMORRHAGE SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A47360,PR ANES FOR SUTR LIVER HEMORRHAGE CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A47361,PR ANES FOR EXPLOR HEPATIC WND/DEBRIDEMENT,183.0,162.87,161.04,183.0,455 CDM,PX-A47362,PR ANES FOR MGMT LIVER HEMORRHAGE,183.0,162.87,161.04,183.0,455 CDM,PX-A47370,PR ANES FOR LAP ABLAT >=1 LIVER TMR RF,183.0,162.87,161.04,183.0,455 CDM,PX-A47371,"PR ANES FOR LAP,ABLAT 1+ LIVER TUMOR(S),CRYO",183.0,162.87,161.04,183.0,455 CDM,PX-A47379,PR ANES FOR UNLISTED PROCEDURE LAP LIVER,183.0,162.87,161.04,183.0,455 CDM,PX-A47380,PR ANES FOR ABLT OPN LIVER TMR RF,183.0,162.87,161.04,183.0,455 CDM,PX-A47381,PR ANES FOR ABLT OPN LIVER TMR CRYOSURG,183.0,162.87,161.04,183.0,455 CDM,PX-A47382,PR ANES FOR ABLT >=1 LVR TMR PERC RADIOFREQ,183.0,162.87,161.04,183.0,455 CDM,PX-A47383,PR ANES FOR ABLT PERC LIVER TMR CRYOABLAT,183.0,162.87,161.04,183.0,455 CDM,PX-A47384,PR ANES FOR ABLTJ IRE LIVER 1+ TUM PERQ,183.0,162.87,161.04,183.0,455 CDM,PX-A47399,PR ANES FOR UNLISTED PROCEDURE LIVER,183.0,162.87,161.04,183.0,455 CDM,PX-A47400,PR ANES FOR HEPATICOTOMY W EXPLR RMVL CALC,183.0,162.87,161.04,183.0,455 CDM,PX-A47420,PR ANES FOR CHOLEDOCHOTMY WO DUODNL SPHIN,183.0,162.87,161.04,183.0,455 CDM,PX-A47425,"PR ANES FOR INCIS BILE DUCT/SPHINC,EXPL/RMV CALC",183.0,162.87,161.04,183.0,455 CDM,PX-A47460,PR ANES FOR TRANSDUOD SPHNTEROT/SPHNTRPLAST,183.0,162.87,161.04,183.0,455 CDM,PX-A47480,PR ANES FOR CHOLECYSTOTOMY W EXP RMVL CALC,183.0,162.87,161.04,183.0,455 CDM,PX-A47490,PR ANES FOR CHOLECYSTOTOMY PERC W CATH PLC,183.0,162.87,161.04,183.0,455 CDM,PX-A47531,PR ANES FOR INJ CHOLANGIO PERC EXIST ACCESS,183.0,162.87,161.04,183.0,455 CDM,PX-A47532,PR ANES FOR INJ CHOLANGIO PERC NEW ACCESS,183.0,162.87,161.04,183.0,455 CDM,PX-A47533,PR ANES FOR PLC BILIARY DRN CATH EXTRNL,183.0,162.87,161.04,183.0,455 CDM,PX-A47534,PR ANES FOR PLC BILIARY DRN CATH INTRNL-EXTRNL,183.0,162.87,161.04,183.0,455 CDM,PX-A47535,PR ANES FOR CONV EXT BIL DRN CATH INTRNL-EXTRNL,183.0,162.87,161.04,183.0,455 CDM,PX-A47536,PR ANES FOR EXCHG BIL DRN CATH PERC W IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A47537,PR ANES FOR RMVL BIL DRN CATH W FLURO,183.0,162.87,161.04,183.0,455 CDM,PX-A47538,PR ANES FOR PLC STNT BILE DUCT PERC EXIST,183.0,162.87,161.04,183.0,455 CDM,PX-A47539,PR ANES FOR PLC STNT BILE DUCT PERC NEW WO CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A47540,PR ANES FOR PLC STNT BILE DUCT PERC NEW W CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A47541,PR ANES FOR PLC ACCESS BIL TREE SM BOWEL NEW,183.0,162.87,161.04,183.0,455 CDM,PX-A47542,PR ANES FOR BLN DILAT BIL DUCT PERC EA,183.0,162.87,161.04,183.0,455 CDM,PX-A47543,PR ANES FOR ENDOLUMINAL BX BIL TREE PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A47544,PR ANES FOR RMVL BIL DUCT &/ GALBLDR CALC,183.0,162.87,161.04,183.0,455 CDM,PX-A47550,PR ANES FOR BILIARY ENDOSCOPY INTRAOP,183.0,162.87,161.04,183.0,455 CDM,PX-A47552,PR ANES FOR PERC BILRY ENDO DIAGNOSTIC,183.0,162.87,161.04,183.0,455 CDM,PX-A47553,PR ANES FOR BILRY ENDO W DIL W BX SIN/MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A47554,PR ANES FOR BILRY ENDO PERC VIA T-TUBE W RMVL,183.0,162.87,161.04,183.0,455 CDM,PX-A47555,PR ANES FOR BILRY ENDO W DIL WO STENT,183.0,162.87,161.04,183.0,455 CDM,PX-A47556,PR ANES FOR BILRY ENDO W DIL W STENT,183.0,162.87,161.04,183.0,455 CDM,PX-A47562,PR ANES FOR LAPAROSCOPY CHOLECYSTECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A47563,PR ANES FOR LAPAROSCOPY CHOLECYST W CHOLNG,183.0,162.87,161.04,183.0,455 CDM,PX-A47564,PR ANES FOR LAP CHOLECYST EXPLR COMN DUCT,183.0,162.87,161.04,183.0,455 CDM,PX-A47570,PR ANES FOR LAP CHOLECYSTOENTEROSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A47579,PR ANES FOR UNLISTED PROC LAP BILIARY TRACT,183.0,162.87,161.04,183.0,455 CDM,PX-A47600,PR ANES FOR CHOLECYSTECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A47605,PR ANES FOR CHOLECYSTECTOMY W CHOLANGIOGR,183.0,162.87,161.04,183.0,455 CDM,PX-A47610,PR ANES FOR CHOLECYSTECTOMY W EXPLR DUCT,183.0,162.87,161.04,183.0,455 CDM,PX-A47612,PR ANES FOR CHOLECYSTECT CHOLEDOCHOENTEROST,183.0,162.87,161.04,183.0,455 CDM,PX-A47620,PR ANES FOR CHOLECYS SPHNCTEROT/SPHNCTPLST,183.0,162.87,161.04,183.0,455 CDM,PX-A47700,PR ANES FOR EXPL CONGEN ATRESIA BILE DUCT,183.0,162.87,161.04,183.0,455 CDM,PX-A47701,PR ANES FOR PORTOENETEROSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A47711,PR ANES FOR EXCISN BILE DUCT TMR EXTRHPATC,183.0,162.87,161.04,183.0,455 CDM,PX-A47712,PR ANES FOR EXCISN BILE DUCT TMR INTRHPATC,183.0,162.87,161.04,183.0,455 CDM,PX-A47715,PR ANES FOR EXCISION CHOLEDOCHAL CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A47720,PR ANES FOR CHOLECYSTOENTEROSTOMY DIRECT,183.0,162.87,161.04,183.0,455 CDM,PX-A47721,PR ANES FOR CHOLECYSTOENTEROST GASTROENTEROST,183.0,162.87,161.04,183.0,455 CDM,PX-A47740,PR ANES FOR CHOLECYSTOENTEROST ROUX-EN-Y,183.0,162.87,161.04,183.0,455 CDM,PX-A47741,PR ANES FOR CHOLECYST ROUX-EN-Y W GASTROENT,183.0,162.87,161.04,183.0,455 CDM,PX-A47760,PR ANES FOR ANASTOMOSIS EXTRHPATC BIL DUCT,183.0,162.87,161.04,183.0,455 CDM,PX-A47765,PR ANES FOR ANASTOMOSIS INTRHPATC BIL DUCT,183.0,162.87,161.04,183.0,455 CDM,PX-A47780,PR ANES FOR ANASTOMOSIS ROUX-EN-Y EXTRHPTC,183.0,162.87,161.04,183.0,455 CDM,PX-A47785,PR ANES FOR ANASTOMOSIS ROUX-EN-Y INTRHPTC,183.0,162.87,161.04,183.0,455 CDM,PX-A47800,PR ANES FOR RCNST BILRY DUCT ANSTOMOSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A47801,PR ANES FOR PLACEMENT CHOLEDOCHAL STENT,183.0,162.87,161.04,183.0,455 CDM,PX-A47900,PR ANES FOR SUTR EXTRHPATC BIL DUCT PREXST,183.0,162.87,161.04,183.0,455 CDM,PX-A47999,PR ANES FOR UNLISTED PROC BILIARY TRACT,183.0,162.87,161.04,183.0,455 CDM,PX-A48000,PR ANES FOR PLC DRN PERIPANCREATIC,183.0,162.87,161.04,183.0,455 CDM,PX-A48001,PR ANES FOR PLACE DRAIN+OSTOMY FOR PANCREATITIS,183.0,162.87,161.04,183.0,455 CDM,PX-A48020,PR ANES FOR RMVL PANCREATIC CALCULUS,183.0,162.87,161.04,183.0,455 CDM,PX-A48100,PR ANES FOR BIOPSY PANCREAS OPEN,183.0,162.87,161.04,183.0,455 CDM,PX-A48102,PR ANES FOR BIOPSY PANCREAS PERC NEEDLE,183.0,162.87,161.04,183.0,455 CDM,PX-A48105,PR ANES FOR DBRD PANCREAS NECROTIZING,183.0,162.87,161.04,183.0,455 CDM,PX-A48120,PR ANES FOR EXCISN LESN PANCREAS,183.0,162.87,161.04,183.0,455 CDM,PX-A48140,PR ANES FOR PANCREATECT WO PANCROJEJUNOST,183.0,162.87,161.04,183.0,455 CDM,PX-A48145,PR ANES FOR PANCREATECT W PANCROJEJUNOST,183.0,162.87,161.04,183.0,455 CDM,PX-A48146,PR ANES FOR PANCREATECT DIST PRESERV DUOD,183.0,162.87,161.04,183.0,455 CDM,PX-A48148,PR ANES FOR EXCISION AMPULLA VATER,183.0,162.87,161.04,183.0,455 CDM,PX-A48150,PR ANES FOR PNCRTECT TOT DUOD W PANCRJEJ,183.0,162.87,161.04,183.0,455 CDM,PX-A48152,PR ANES FOR PNCRTECT TOT DUOD WO PANCRJEJ,183.0,162.87,161.04,183.0,455 CDM,PX-A48153,PR ANES FOR PNCRTECT NR TOT DUOD W PANCRJEJ,183.0,162.87,161.04,183.0,455 CDM,PX-A48154,PR ANES FOR PNCRTECT NR TOT DUOD WO PANCRJEJ,183.0,162.87,161.04,183.0,455 CDM,PX-A48155,PR ANES FOR PANCREATECTOMY TOTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A48160,PR ANES FOR PANCREATEC TRANSPL ISLET CELL,183.0,162.87,161.04,183.0,455 CDM,PX-A48400,"PR ANES FOR INJECT INTRAOPER OF PANCREAS, ADD-ON",183.0,162.87,161.04,183.0,455 CDM,PX-A48500,PR ANES FOR MARSUPIALIZATION PANCREAT CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A48510,PR ANES FOR DRN EXTRNL PSEUDOCYST PANCREAS,183.0,162.87,161.04,183.0,455 CDM,PX-A48520,PR ANES FOR ANAST PANCREAS CYST DIRECT,183.0,162.87,161.04,183.0,455 CDM,PX-A48540,PR ANES FOR ANAST PANCREAS CYST ROUX-EN-Y,183.0,162.87,161.04,183.0,455 CDM,PX-A48545,PR ANES FOR PANCREATORRHAPHY FOR INJURY,183.0,162.87,161.04,183.0,455 CDM,PX-A48547,"PR ANES FOR DUOD EXCLUS W/GASTROJEJUN,PANCREATIC INJ",183.0,162.87,161.04,183.0,455 CDM,PX-A48548,PR ANES FOR ANAST PANCRJEJUN SIDE-TO-SIDE,183.0,162.87,161.04,183.0,455 CDM,PX-A48550,PR ANES FOR PANCREATECTOMY DONOR,183.0,162.87,161.04,183.0,455 CDM,PX-A48551,PR ANES FOR BKBENCH DONOR PANCREAS,183.0,162.87,161.04,183.0,455 CDM,PX-A48552,PR ANES FOR BKBENCH DONOR PANCREAS ANAST,183.0,162.87,161.04,183.0,455 CDM,PX-A48554,PR ANES FOR TXPLANT PANCREATIC ALLOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A48556,PR ANES FOR RMVL TXPLANT PANCREATIC ALLO,183.0,162.87,161.04,183.0,455 CDM,PX-A48999,PR ANES FOR UNLISTED PROCEDURE PANCREAS,183.0,162.87,161.04,183.0,455 CDM,PX-A49000,PR ANES FOR LAP CELIOTOMY W/WO BX EXPLR,183.0,162.87,161.04,183.0,455 CDM,PX-A49002,PR ANES FOR REOPNING OF RECENT LAPAROTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A49010,PR ANES FOR EXPLR RETROPERITONEAL W/WO BX,183.0,162.87,161.04,183.0,455 CDM,PX-A49013,PR ANES FOR PREPERITONEAL PEL PACK F/HEMRRG ASSOC PEL TRMA,183.0,162.87,161.04,183.0,455 CDM,PX-A49014,PR ANES FOR REEXPL PEL WND W/RMVL PREPERITONEAL PEL PACKING,183.0,162.87,161.04,183.0,455 CDM,PX-A49020,PR ANES FOR DRN PERITON ABSC OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A49040,PR ANES FOR DRN SUBDIAPHRGM/SUBPHRENC ABSC,183.0,162.87,161.04,183.0,455 CDM,PX-A49060,PR ANES FOR DRN RETROPERITONEAL ABCESS OPN,183.0,162.87,161.04,183.0,455 CDM,PX-A49062,PR ANES FOR DRN EXTRAPERITONEAL LYMPHOCELE,183.0,162.87,161.04,183.0,455 CDM,PX-A49082,PR ANES FOR PARACENTESIS ABD WO IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A49083,PR ANES FOR PARACENTESIS ABD W IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A49084,PR ANES FOR LAVAGE PERITONEAL W IMG GUID,183.0,162.87,161.04,183.0,455 CDM,PX-A49180,PR ANES FOR BX ABD/RETROPERITNL MASS PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A49185,PR ANES FOR SCLEROTHERAPY FLUID COLLECT PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A49186,"PR ANES FOR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 5 CM/<",183.0,162.87,161.04,183.0,455 CDM,PX-A49187,"PR ANES FOR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 5.1-10",183.0,162.87,161.04,183.0,455 CDM,PX-A49188,"PR ANES FOR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 10.1-20",183.0,162.87,161.04,183.0,455 CDM,PX-A49189,"PR ANES FOR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 20.1-30",183.0,162.87,161.04,183.0,455 CDM,PX-A49190,"PR ANES FOR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST >30 CM",183.0,162.87,161.04,183.0,455 CDM,PX-A49215,PR ANES FOR EXCISN PRESAC/SACROCOCCYGEAL TMR,183.0,162.87,161.04,183.0,455 CDM,PX-A49250,PR ANES FOR UMBILECTOMY OMPHALECTMY EXCISN,183.0,162.87,161.04,183.0,455 CDM,PX-A49255,PR ANES FOR OMENTECTOMY EPIPLOECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A49320,PR ANES FOR LAP ABD/PERITNM/OMENT DX BRUSH,183.0,162.87,161.04,183.0,455 CDM,PX-A49321,PR ANES FOR LAPAROSCOPY W BX SNGL/MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A49322,PR ANES FOR LAPAROSCOPY W ASP CAVITY/CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A49323,PR ANES FOR LAPAROSCOPY DRN LYMPH TO PERIT,183.0,162.87,161.04,183.0,455 CDM,PX-A49324,PR ANES FOR LAPAROSCOPY W INS TUNL CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A49325,PR ANES FOR LAP W REV INTRAPERITONEAL CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A49326,PR ANES FOR LAPAROSCOPY W OMENTOPEXY,183.0,162.87,161.04,183.0,455 CDM,PX-A49327,PR ANES FOR LAP W INS INTERSTIT DEV W IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A49329,PR ANES FOR UNLISTED PROC LAP ABD/PERIT/OMEN,183.0,162.87,161.04,183.0,455 CDM,PX-A49400,PR ANES FOR INJ AIR/CNTRST PERITONEAL CAV,183.0,162.87,161.04,183.0,455 CDM,PX-A49402,PR ANES FOR RMVL PERITONEAL FOREIGN BODY,183.0,162.87,161.04,183.0,455 CDM,PX-A49405,PR ANES FOR DRN VISC FLUID CATH PERC W IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A49406,PR ANES FOR DRN PERITNM FLUID CATH W IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A49407,PR ANES FOR DRN TRANSREC/VAG FL CATH W IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A49411,PR ANES FOR INS MARK ABD/PEL FOR RT PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A49412,PR ANES FOR PLC INTERSTIT DEV OPN W IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A49418,PR ANES FOR INS INTRAPERITONEAL CATH W IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A49419,PR ANES FOR INS TUNL IP CATH SUBQ PORT,183.0,162.87,161.04,183.0,455 CDM,PX-A49421,PR ANES FOR INS TUNL IP CATH DIALYSIS OPEN,183.0,162.87,161.04,183.0,455 CDM,PX-A49422,PR ANES FOR RMVL TUNL INTRAPERITONEAL CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A49423,PR ANES FOR EXCHNG DRN CATH RAD GUIDANCE,183.0,162.87,161.04,183.0,455 CDM,PX-A49424,PR ANES FOR INJ CNTRST EVAL ABSC/CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A49425,PR ANES FOR INSERT PERITONEAL VENOUS SHUNT,183.0,162.87,161.04,183.0,455 CDM,PX-A49426,PR ANES FOR REVIS PERITONEAL VENOUS SHUNT,183.0,162.87,161.04,183.0,455 CDM,PX-A49427,PR ANES FOR INJ EVAL PREV PERI/VENOUS SHNT,183.0,162.87,161.04,183.0,455 CDM,PX-A49428,PR ANES FOR LIGATION PERITNL VENOUS SHUNT,183.0,162.87,161.04,183.0,455 CDM,PX-A49429,PR ANES FOR RMVL PERITONEAL VENOUS SHUNT,183.0,162.87,161.04,183.0,455 CDM,PX-A49435,PR ANES FOR INSN SUBQ EXTSN INTRAPERIT CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A49436,"PR ANES FOR CREATE EXIT SITE INTRAPERITONEAL CATH, DELAYED",183.0,162.87,161.04,183.0,455 CDM,PX-A49440,PR ANES FOR INSERT GASTROSTOMY TUBE PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A49441,PR ANES FOR INSERT DUODEN/JEJUN TUBE PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A49442,PR ANES FOR INS TUBE CECOSTOMY W FL,183.0,162.87,161.04,183.0,455 CDM,PX-A49446,PR ANES FOR CONVERSION TO GASTRO-JEJ TUBE,183.0,162.87,161.04,183.0,455 CDM,PX-A49450,PR ANES FOR RPLC GASTROST/CECOST TUBE PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A49451,PR ANES FOR RPLC DUOD/JEJ TUBE PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A49452,PR ANES FOR RPLC TUBE GASTRO-JEJ W FLUORO,183.0,162.87,161.04,183.0,455 CDM,PX-A49460,PR ANES FOR RMVL OBSTR MATERIAL GI TUBE,183.0,162.87,161.04,183.0,455 CDM,PX-A49465,PR ANES FOR INJ CONTRAST RAD EVAL GI TUBE,183.0,162.87,161.04,183.0,455 CDM,PX-A49491,PR ANES FOR RPR HERNIA PRETERM REDUC INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A49492,PR ANES FOR RPR HERNIA PRETERM INCARC INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A49495,PR ANES FOR RPR HERNIA FULLTERM REDUC INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A49496,PR ANES FOR RPR HERNIA FULLTERM INCARC INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A49500,PR ANES FOR RPR HERNIA 6MO-<5YR REDUC INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A49501,PR ANES FOR RPR INGUINL HERNIA 6M-5Y STRNG,183.0,162.87,161.04,183.0,455 CDM,PX-A49505,PR ANES FOR RPR INGUINL HERNIA >5YR REDUC,183.0,162.87,161.04,183.0,455 CDM,PX-A49507,PR ANES FOR RPR INGUINL HERNIA >5 INCARC,183.0,162.87,161.04,183.0,455 CDM,PX-A49520,PR ANES FOR RPR RCUR INGUINL HERNIA REDUC,183.0,162.87,161.04,183.0,455 CDM,PX-A49521,PR ANES FOR RPR RCUR INGUINL HERNIA INCARC,183.0,162.87,161.04,183.0,455 CDM,PX-A49525,PR ANES FOR RPR INGUINAL HERNIA SLIDING,183.0,162.87,161.04,183.0,455 CDM,PX-A49540,PR ANES FOR REPAIR LUMBAR HERNIA,183.0,162.87,161.04,183.0,455 CDM,PX-A49550,PR ANES FOR RPR FEM HERNIA REDUCIBLE INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A49553,PR ANES FOR RPR FEMORAL HERNIA INCARC INITIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A49555,PR ANES FOR RPR RCUR FEM HERNIA REDUC,183.0,162.87,161.04,183.0,455 CDM,PX-A49557,PR ANES FOR RPR FEMORAL HERNIA INCARC RECUR,183.0,162.87,161.04,183.0,455 CDM,PX-A49591,PR ANES FOR RPR AA HRN 1ST < 3 CM RDC,183.0,162.87,161.04,183.0,455 CDM,PX-A49592,PR ANES FOR RPR AA HRN 1ST < 3 NCR/STRN,183.0,162.87,161.04,183.0,455 CDM,PX-A49593,PR ANES FOR RPR AA HRN 1ST 3-10 RDC,183.0,162.87,161.04,183.0,455 CDM,PX-A49594,PR ANES FOR RPR AA HRN 1ST 3-10 NCR/STRN,183.0,162.87,161.04,183.0,455 CDM,PX-A49595,PR ANES FOR RPR AA HRN 1ST > 10 RDC,183.0,162.87,161.04,183.0,455 CDM,PX-A49596,PR ANES FOR RPR AA HRN 1ST > 10 NCR/STRN,183.0,162.87,161.04,183.0,455 CDM,PX-A49600,PR ANES FOR RPR SM OMPHALOCELE W PRIM CLSR,183.0,162.87,161.04,183.0,455 CDM,PX-A49605,PR ANES FOR RPR LG OMPHALOCELE W/WO PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A49606,PR ANES FOR RPR OMPHALOCELE W RMVL PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A49610,PR ANES FOR RPR OMPHALOCELE 1ST STG,183.0,162.87,161.04,183.0,455 CDM,PX-A49611,PR ANES FOR RPR OMPHALOCELE 2ND STG,183.0,162.87,161.04,183.0,455 CDM,PX-A49613,PR ANES FOR RPR AA HRN RCR < 3 RDC,183.0,162.87,161.04,183.0,455 CDM,PX-A49614,PR ANES FOR RPR AA HRN RCR < 3 NCR/STRN,183.0,162.87,161.04,183.0,455 CDM,PX-A49615,PR ANES FOR RPR AA HRN RCR 3-10 RDC,183.0,162.87,161.04,183.0,455 CDM,PX-A49616,PR ANES FOR RPR AA HRN RCR 3-10 NCR/STRN,183.0,162.87,161.04,183.0,455 CDM,PX-A49617,PR ANES FOR RPR AA HRN RCR > 10 RDC,183.0,162.87,161.04,183.0,455 CDM,PX-A49618,PR ANES FOR RPR AA HRN RCR > 10 NCR/STRN,183.0,162.87,161.04,183.0,455 CDM,PX-A49621,PR ANES FOR RPR PARASTOMAL HERNIA RDC,183.0,162.87,161.04,183.0,455 CDM,PX-A49622,PR ANES FOR RPR PARASTOMAL HRNA NCR/STRN,183.0,162.87,161.04,183.0,455 CDM,PX-A49623,PR ANES FOR RMVL NINFCT MESH HERNIA RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A49650,PR ANES FOR LAP RPR HERNIA INGUINAL INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A49651,PR ANES FOR LAP RPR HERNIA INGUINAL RECUR,183.0,162.87,161.04,183.0,455 CDM,PX-A49659,PR ANES FOR UNLISTED PROC LAP HERNIA,183.0,162.87,161.04,183.0,455 CDM,PX-A49900,PR ANES FOR SUTR ABD WALL EVISC/DEHIS,183.0,162.87,161.04,183.0,455 CDM,PX-A49904,PR ANES FOR OMENTAL FLAP EXTRA ABDOMINAL,183.0,162.87,161.04,183.0,455 CDM,PX-A49905,PR ANES FOR OMENTAL FLAP INTRA ABDOMINAL,183.0,162.87,161.04,183.0,455 CDM,PX-A49906,PR ANES FOR FREE OMENT FLAP W MICRO ANAST,183.0,162.87,161.04,183.0,455 CDM,PX-A49999,PR ANES FOR ABDOMEN SURGERY PROC UNLISTED,183.0,162.87,161.04,183.0,455 CDM,PX-A50010,PR ANES FOR RENAL EXPLORATION,183.0,162.87,161.04,183.0,455 CDM,PX-A50020,PR ANES FOR DRAIN PERIRENAL/RENAL ABSCESS,183.0,162.87,161.04,183.0,455 CDM,PX-A50040,PR ANES FOR NEPHROSTOMY NEPHROTOMY W DRAIN,183.0,162.87,161.04,183.0,455 CDM,PX-A50045,PR ANES FOR NEPHROTOMY W EXPLORATION,183.0,162.87,161.04,183.0,455 CDM,PX-A50060,PR ANES FOR NEPHROLITHOTOMY RMVL CALCULUS,183.0,162.87,161.04,183.0,455 CDM,PX-A50065,PR ANES FOR NEPHROLITHOTOMY SECNDRY CALC,183.0,162.87,161.04,183.0,455 CDM,PX-A50070,PR ANES FOR NEPHROLITHOTOMY CGEN KDN ABN,183.0,162.87,161.04,183.0,455 CDM,PX-A50075,PR ANES FOR NEPHROLITHOTOMY RMVL LRG CALC,183.0,162.87,161.04,183.0,455 CDM,PX-A50080,PR ANES FOR NEPHROSTOLITHOTOMY PERC <=2CM,183.0,162.87,161.04,183.0,455 CDM,PX-A50081,PR ANES FOR NEPHROLITHOTOMY PERC >2CM,183.0,162.87,161.04,183.0,455 CDM,PX-A50100,PR ANES FOR TRNSX/REPO ABERRANT RENL VSSL,183.0,162.87,161.04,183.0,455 CDM,PX-A50120,PR ANES FOR PYELOTOMY W EXPLORATION,183.0,162.87,161.04,183.0,455 CDM,PX-A50125,PR ANES FOR PYELOTOMY W DRAIN PYELOSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A50130,PR ANES FOR PYELOTOMY W/REMOVAL CALCULUS,183.0,162.87,161.04,183.0,455 CDM,PX-A50200,PR ANES FOR BIOPSY RENAL NEEDLE/TROC PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A50205,PR ANES FOR BX RENAL SURG EXPOSURE KIDNEY,183.0,162.87,161.04,183.0,455 CDM,PX-A50220,PR ANES FOR NEPHREC INCL PARTL URETERECT,183.0,162.87,161.04,183.0,455 CDM,PX-A50225,PR ANES FOR NEPHREC PREV SURG SAME KIDNEY,183.0,162.87,161.04,183.0,455 CDM,PX-A50230,PR ANES FOR NEPHREC RMVL LYMPHDEC/THROMB,183.0,162.87,161.04,183.0,455 CDM,PX-A50234,PR ANES FOR NEPHREC W TOT URETREC SAME INC,183.0,162.87,161.04,183.0,455 CDM,PX-A50236,PR ANES FOR NEPHREC W TOT URETREC SEP INC,183.0,162.87,161.04,183.0,455 CDM,PX-A50240,PR ANES FOR NEPHRECTOMY PARTIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A50250,PR ANES FOR ABLATION RENAL MASS CRYOSURG,183.0,162.87,161.04,183.0,455 CDM,PX-A50280,PR ANES FOR EXCISION/UNROOFING CYST KIDNEY,183.0,162.87,161.04,183.0,455 CDM,PX-A50290,PR ANES FOR EXCISION PERINEPHRIC CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A50300,PR ANES FOR NEPHRECTOMY CADAVER DONOR,183.0,162.87,161.04,183.0,455 CDM,PX-A50320,PR ANES FOR NEPHRECTOMY OPEN LIVE DONOR,183.0,162.87,161.04,183.0,455 CDM,PX-A50323,PR ANES FOR BKBENCH CADAVER RENAL GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A50325,PR ANES FOR BKBENCH LIVING RENAL GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A50327,PR ANES FOR BKBENCH RENAL GRFT VEN ANAST,183.0,162.87,161.04,183.0,455 CDM,PX-A50328,PR ANES FOR BKBENCH RENAL GRFT ARTL ANAST,183.0,162.87,161.04,183.0,455 CDM,PX-A50329,PR ANES FOR BKBENCH RENAL GRFT URETERAL,183.0,162.87,161.04,183.0,455 CDM,PX-A50340,PR ANES FOR RECIPIENT NEPHRECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A50360,PR ANES FOR TRANSPLANT RENAL WO NEPHREC,183.0,162.87,161.04,183.0,455 CDM,PX-A50365,PR ANES FOR TRANSPLANT RENAL W NEPHREC,183.0,162.87,161.04,183.0,455 CDM,PX-A50370,PR ANES FOR RMVL TXPLANT RENAL ALLOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A50380,PR ANES FOR REIMPLANTATION KIDNEY,183.0,162.87,161.04,183.0,455 CDM,PX-A50382,PR ANES FOR RPLC URETER STNT PERC S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A50384,PR ANES FOR REMOVAL URETER STENT PERC S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A50385,PR ANES FOR RPLC URETR STNT TXURETHRAL S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A50386,PR ANES FOR RMVL URETER STNT TXURETHRL S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A50387,PR ANES FOR RMVL/RPLC TRANSNEPH STNT W S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A50389,PR ANES FOR RMVL NEPHROSTOMY TUBE W FLUORO,183.0,162.87,161.04,183.0,455 CDM,PX-A50390,PR ANES FOR ASPIRATION/INJ RENAL CYST PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A50391,PR ANES FOR INSTILL THER AGENT RENL/URETER,183.0,162.87,161.04,183.0,455 CDM,PX-A50396,PR ANES FOR MANOMETRIC STDS THRU NEPHROST,183.0,162.87,161.04,183.0,455 CDM,PX-A50400,PR ANES FOR PYELOPLASTY SIMPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A50405,PR ANES FOR PYELOPLASTY COMPLICATED,183.0,162.87,161.04,183.0,455 CDM,PX-A50430,PR ANES FOR INJ ANTEGRD NFROSGRM&/URTGRM NEW,183.0,162.87,161.04,183.0,455 CDM,PX-A50431,PR ANES FOR INJ ANTEGRD NFROSGRM&/URTGRM EXIST,183.0,162.87,161.04,183.0,455 CDM,PX-A50432,PR ANES FOR PLC NEPHROSTOMY CATH PERC NEW,183.0,162.87,161.04,183.0,455 CDM,PX-A50433,PR ANES FOR PLC NEPHROURETERAL CATH PERC NEW,183.0,162.87,161.04,183.0,455 CDM,PX-A50434,PR ANES FOR CONV NEPHROST TO NEPHROURET CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A50435,PR ANES FOR EXCHG NEPHROST CATH PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A50436,PR ANES FOR PERQ DIL XST TRC ENDOUROLOGIC PX W/IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A50500,PR ANES FOR NEPHRORRHAPHY SUTR KIDNEY WND,183.0,162.87,161.04,183.0,455 CDM,PX-A50520,PR ANES FOR CLSR NEPHROCUTANEOUS FISTULA,183.0,162.87,161.04,183.0,455 CDM,PX-A50525,PR ANES FOR CLSR NEPHROVISC FSTL ABD APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A50526,PR ANES FOR CLSR NEPHROVISC FSTL THOR APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A50540,PR ANES FOR SYMPHYSIOTOMY HORSESHOE KIDNEY,183.0,162.87,161.04,183.0,455 CDM,PX-A50541,PR ANES FOR LAPAROSCOPY ABLATION RENL CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A50542,PR ANES FOR LAPAROSCOPY ABLATION RENL MASS,183.0,162.87,161.04,183.0,455 CDM,PX-A50543,PR ANES FOR LAPAROSCOPY PARTL NEPHRECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A50544,PR ANES FOR LAPAROSCOPY PYELOPLASTY,183.0,162.87,161.04,183.0,455 CDM,PX-A50545,PR ANES FOR LAPAROSCOPY RADCL NEPHRECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A50546,PR ANES FOR LAP NEPHREC W PARTL URETERECT,183.0,162.87,161.04,183.0,455 CDM,PX-A50547,PR ANES FOR LAP LIVING DONOR NEPHRECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A50548,PR ANES FOR LAP NEPHREC W TOT URETERECT,183.0,162.87,161.04,183.0,455 CDM,PX-A50549,PR ANES FOR UNLISTED PROC LAP RENAL,183.0,162.87,161.04,183.0,455 CDM,PX-A50551,PR ANES FOR ENDO RENAL NEPHROST/PYELSTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A50553,PR ANES FOR ENDO RENL NEPHROST URETER CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A50555,PR ANES FOR ENDO RENL NEPHROST/PYELSTMY BX,183.0,162.87,161.04,183.0,455 CDM,PX-A50557,PR ANES FOR ENDO RENL NEPHROST/PYELSTMY W FULG,183.0,162.87,161.04,183.0,455 CDM,PX-A50561,PR ANES FOR ENDO RENAL NEPHROSTOMY RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A50562,PR ANES FOR ENDO RENAL NEPHROST RSECT TUM,183.0,162.87,161.04,183.0,455 CDM,PX-A50570,PR ANES FOR ENDO RENL NEPHROTOMY W/WO IRRI,183.0,162.87,161.04,183.0,455 CDM,PX-A50572,PR ANES FOR ENDO RENAL NEPHROTOMY W CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A50574,PR ANES FOR ENDO RENAL NEPHROTOMY W BIOPSY,183.0,162.87,161.04,183.0,455 CDM,PX-A50575,PR ANES FOR ENDO RENL NEPHROTOMY ENDOPYELO,183.0,162.87,161.04,183.0,455 CDM,PX-A50576,PR ANES FOR ENDO RENAL NEPHROTOMY W FULG,183.0,162.87,161.04,183.0,455 CDM,PX-A50580,PR ANES FOR ENDO RENAL NEPHROTOMY RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A50590,PR ANES FOR LITHOTRIPSY SHOCK WAVE,183.0,162.87,161.04,183.0,455 CDM,PX-A50592,PR ANES FOR ABLATION RENAL TUMORS UNILAT RF,183.0,162.87,161.04,183.0,455 CDM,PX-A50593,PR ANES FOR ABLATION RENAL TUMOR PERC CRYO,183.0,162.87,161.04,183.0,455 CDM,PX-A50600,PR ANES FOR URETEROTOMY W EXPL/DRAIN,183.0,162.87,161.04,183.0,455 CDM,PX-A50605,PR ANES FOR URETEROTOMY INS INDWELLNG STNT,183.0,162.87,161.04,183.0,455 CDM,PX-A50606,PR ANES FOR ENDOLUMINAL BX URTR &/ RNL PELV,183.0,162.87,161.04,183.0,455 CDM,PX-A50610,PR ANES FOR URTROLITHOTOMY UPR 1/3 URETER,183.0,162.87,161.04,183.0,455 CDM,PX-A50620,PR ANES FOR URTROLITHOTOMY MID 1/3 URETER,183.0,162.87,161.04,183.0,455 CDM,PX-A50630,PR ANES FOR URTROLITHOTOMY LWR 1/3 URETER,183.0,162.87,161.04,183.0,455 CDM,PX-A50650,PR ANES FOR URETERECTOMY W BLADDER CUFF,183.0,162.87,161.04,183.0,455 CDM,PX-A50660,PR ANES FOR URETERECTOMY TOTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A50684,PR ANES FOR INJ URETERO/URETEROPYELOGRAPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A50686,PR ANES FOR MANOMETRIC STDS THRU URETEROST,183.0,162.87,161.04,183.0,455 CDM,PX-A50688,PR ANES FOR CHANGE URETEROSTOMY TUBE/STENT,183.0,162.87,161.04,183.0,455 CDM,PX-A50690,PR ANES FOR INJ ILEAL CON/URETEROPYLGRPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A50693,PR ANES FOR PLC URETER STNT PRE-EXIST NEPHROST TRCT,183.0,162.87,161.04,183.0,455 CDM,PX-A50694,PR ANES FOR PLC URETER STNT NEW WO NEPHROST CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A50695,PR ANES FOR PLC URETER STNT NEW W NEPHROST CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A50700,PR ANES FOR URETROPLASTY PLASTIC OPR URETER,183.0,162.87,161.04,183.0,455 CDM,PX-A50705,PR ANES FOR URETER EMBL/OCCL W IMG GUIDE,183.0,162.87,161.04,183.0,455 CDM,PX-A50706,PR ANES FOR BALN DIL URETER STRICTURE W IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A50715,PR ANES FOR URETEROLYSIS W/WO REPO URETER,183.0,162.87,161.04,183.0,455 CDM,PX-A50722,PR ANES FOR URETEROLYSIS OVARIAN VN SYNDRM,183.0,162.87,161.04,183.0,455 CDM,PX-A50725,PR ANES FOR URETEROLYSIS RETROCAVAL URETER,183.0,162.87,161.04,183.0,455 CDM,PX-A50727,PR ANES FOR REV URINARY CUTNEOUS ANASTOM,183.0,162.87,161.04,183.0,455 CDM,PX-A50728,PR ANES FOR REV URINARY ANAST W RPR HERNIA,183.0,162.87,161.04,183.0,455 CDM,PX-A50740,PR ANES FOR URETEROPYELO ANASTMO RENL PELV,183.0,162.87,161.04,183.0,455 CDM,PX-A50750,PR ANES FOR URETEROPYELO ANAST RENL CALYX,183.0,162.87,161.04,183.0,455 CDM,PX-A50760,PR ANES FOR URETEROURETEROSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A50770,PR ANES FOR TRANSURETEROURETEROSTOMY ANAST,183.0,162.87,161.04,183.0,455 CDM,PX-A50780,PR ANES FOR URETERONEOCYST ANAST 1 URETER,183.0,162.87,161.04,183.0,455 CDM,PX-A50782,PR ANES FOR URETERONEOCYST ANAST DUP URETER,183.0,162.87,161.04,183.0,455 CDM,PX-A50783,PR ANES FOR URETERONEOCYST W TAILORING,183.0,162.87,161.04,183.0,455 CDM,PX-A50785,PR ANES FOR URETERONEOCYST W VESICO HTCH/FLAP,183.0,162.87,161.04,183.0,455 CDM,PX-A50800,PR ANES FOR URETEROENTEROSTOMY DIRECT,183.0,162.87,161.04,183.0,455 CDM,PX-A50810,PR ANES FOR URETEROSIGMOIDOSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A50815,PR ANES FOR URETEROCOLON CONDUIT W ANAST,183.0,162.87,161.04,183.0,455 CDM,PX-A50820,PR ANES FOR URETEROILEAL CONDUIT W ANAST,183.0,162.87,161.04,183.0,455 CDM,PX-A50825,PR ANES FOR DIVERT CONTINENT ANAST INTSTN,183.0,162.87,161.04,183.0,455 CDM,PX-A50830,PR ANES FOR URINARY UNDIVERSION,183.0,162.87,161.04,183.0,455 CDM,PX-A50840,PR ANES FOR RPLC URETER W INTSTN SEGMENT,183.0,162.87,161.04,183.0,455 CDM,PX-A50845,PR ANES FOR CUTANEOUS APPENDICO-VESICOSTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A50860,PR ANES FOR URETEROSTOMY TXPLNT URETER-SKIN,183.0,162.87,161.04,183.0,455 CDM,PX-A50900,PR ANES FOR URETERORRHAPHY SUTURE URETER,183.0,162.87,161.04,183.0,455 CDM,PX-A50920,PR ANES FOR CLOSURE URETEROCUTANEOUS FSTL,183.0,162.87,161.04,183.0,455 CDM,PX-A50930,PR ANES FOR CLSR URETEROCUTN FSTL VISC RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A50940,PR ANES FOR DELIGATION URETER,183.0,162.87,161.04,183.0,455 CDM,PX-A50945,PR ANES FOR LAPAROSCOPY URETEROLITHOTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A50947,PR ANES FOR LAP URETERONEO W CYSTOSC STENT,183.0,162.87,161.04,183.0,455 CDM,PX-A50948,PR ANES FOR LAP URETERONEO WO CYSTOSC,183.0,162.87,161.04,183.0,455 CDM,PX-A50949,PR ANES FOR UNLISTED PROC LAP URETER,183.0,162.87,161.04,183.0,455 CDM,PX-A50951,PR ANES FOR ENDO URETER THRU URETEROSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A50953,PR ANES FOR ENDO URETER URETEROST W CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A50955,PR ANES FOR ENDO URETER URETEROST W BX,183.0,162.87,161.04,183.0,455 CDM,PX-A50957,PR ANES FOR ENDO URETER URETEROST W FULG,183.0,162.87,161.04,183.0,455 CDM,PX-A50961,PR ANES FOR ENDO URETER URETEROST RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A50970,PR ANES FOR ENDO URETER URETEROTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A50972,PR ANES FOR ENDO URETER URETEROTOMY W CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A50974,PR ANES FOR ENDO URETER URETEROTOMY W BX,183.0,162.87,161.04,183.0,455 CDM,PX-A50976,PR ANES FOR ENDO URETER URETEROTOMY W FULG,183.0,162.87,161.04,183.0,455 CDM,PX-A50980,PR ANES FOR ENDO URETER URETEROT W RMVL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A51020,PR ANES FOR CYSTOTOMY/CYSTOSTOMY W FULG,183.0,162.87,161.04,183.0,455 CDM,PX-A51040,PR ANES FOR CYSTOSTOMY CYSTOTOMY W DRAIN,183.0,162.87,161.04,183.0,455 CDM,PX-A51045,PR ANES FOR CYSTOTOMY INS URETER CATH/STNT,183.0,162.87,161.04,183.0,455 CDM,PX-A51050,PR ANES FOR CYSTOLITHOT CYSTO W RMVL CALC,183.0,162.87,161.04,183.0,455 CDM,PX-A51060,PR ANES FOR TRANSVESICAL URETROLITHOTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A51065,PR ANES FOR CYSTO W CALC BASKET EXTRACT,183.0,162.87,161.04,183.0,455 CDM,PX-A51080,PR ANES FOR DRAIN PERIVESICAL SPACE ABSC,183.0,162.87,161.04,183.0,455 CDM,PX-A51100,PR ANES FOR ASPIRATION BLADDER NEEDLE,183.0,162.87,161.04,183.0,455 CDM,PX-A51101,PR ANES FOR ASPIRATION BLADDER TROCAR/INTRACATHETER,183.0,162.87,161.04,183.0,455 CDM,PX-A51102,PR ANES FOR ASP BLADDER/INS SUPUBIC CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A51500,PR ANES FOR EXCISION URACHAL CYST/SINUS,183.0,162.87,161.04,183.0,455 CDM,PX-A51520,PR ANES FOR CYSTO SMPL EXCISN VESICAL NECK,183.0,162.87,161.04,183.0,455 CDM,PX-A51525,PR ANES FOR CYSTO EXCISN BLAD DIVERTICULUM,183.0,162.87,161.04,183.0,455 CDM,PX-A51530,PR ANES FOR CYSTOTOMY EXCISION BLADDER TMR,183.0,162.87,161.04,183.0,455 CDM,PX-A51535,PR ANES FOR CYSTOTOMY EXCISION URETEROCELE,183.0,162.87,161.04,183.0,455 CDM,PX-A51550,PR ANES FOR CYSTECTOMY PARTIAL SIMPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A51555,PR ANES FOR CYSTECTOMY PARTIAL COMPLICATED,183.0,162.87,161.04,183.0,455 CDM,PX-A51565,PR ANES FOR CYSTECTOMY PARTL REIMPL URETER,183.0,162.87,161.04,183.0,455 CDM,PX-A51570,PR ANES FOR CYSTECTOMY COMPLETE,183.0,162.87,161.04,183.0,455 CDM,PX-A51575,PR ANES FOR CYSTECTOMY W BILAT PELV LYMPHDEC,183.0,162.87,161.04,183.0,455 CDM,PX-A51580,PR ANES FOR CYSTECTOMY W URETEROSIG/TX,183.0,162.87,161.04,183.0,455 CDM,PX-A51585,PR ANES FOR CYSTECT URETROSIG BILAT LYMPHDEC,183.0,162.87,161.04,183.0,455 CDM,PX-A51590,PR ANES FOR CYSTECT W URETEROILEAL CONDUIT,183.0,162.87,161.04,183.0,455 CDM,PX-A51595,PR ANES FOR CYSTECT URETEROILEAL LYMPHDEC,183.0,162.87,161.04,183.0,455 CDM,PX-A51596,PR ANES FOR CYSTECT COMPLT W CONT DIVERSN,183.0,162.87,161.04,183.0,455 CDM,PX-A51597,PR ANES FOR EXNTR PELV COMPLT UROLOG MLG,183.0,162.87,161.04,183.0,455 CDM,PX-A51600,PR ANES FOR INJ CYSTOGRAPHY/VUCG,183.0,162.87,161.04,183.0,455 CDM,PX-A51605,PR ANES FOR INJ PLC CHAIN CNTRST/UCG,183.0,162.87,161.04,183.0,455 CDM,PX-A51610,PR ANES FOR INJ RETROGRADE URCG,183.0,162.87,161.04,183.0,455 CDM,PX-A51700,PR ANES FOR IRRI BLAD SMPL LAVAGE&/INSTILL,183.0,162.87,161.04,183.0,455 CDM,PX-A51701,PR ANES FOR INS NON-INDWELLING BLAD CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A51702,PR ANES FOR INS TEMP INDW BLAD CATH SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A51703,PR ANES FOR INS TEMP INDWL BLAD CATH COMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A51705,PR ANES FOR CHANGE CYSTOSTOMY TUBE SIMPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A51710,PR ANES FOR CHANGE CYSTOSTOMY TUBE COMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A51715,PR ANES FOR ENDO INJ IMPL MATRL URETH&/BLAD,183.0,162.87,161.04,183.0,455 CDM,PX-A51720,PR ANES FOR INSTILL ANTICARCINOGEN BLAD,183.0,162.87,161.04,183.0,455 CDM,PX-A51721,PR ANES FOR INS TRURL ABLT TRNSDC THR US,183.0,162.87,161.04,183.0,455 CDM,PX-A51725,PR ANES FOR CYSTOMETROGRAM SIMPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A51726,PR ANES FOR CYSTOMETROGRAM COMPLEX,183.0,162.87,161.04,183.0,455 CDM,PX-A51727,PR ANES FOR CMG CMPLX W URETHRAL PRESSURE,183.0,162.87,161.04,183.0,455 CDM,PX-A51728,PR ANES FOR CMG CMPLX W VOIDING PRESSURE,183.0,162.87,161.04,183.0,455 CDM,PX-A51729,PR ANES FOR CMG CMPLX VOID&URETHRAL PRES,183.0,162.87,161.04,183.0,455 CDM,PX-A51736,PR ANES FOR UROFLOWMETRY SIMPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A51741,PR ANES FOR UROFLOWMETRY CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A51784,PR ANES FOR EMG ANAL/URETHRAL NOT NEEDLE,183.0,162.87,161.04,183.0,455 CDM,PX-A51785,PR ANES FOR EMG ANAL/URETHRAL NEEDLE,183.0,162.87,161.04,183.0,455 CDM,PX-A51792,PR ANES FOR STIMULUS EVOKED RESPONSE,183.0,162.87,161.04,183.0,455 CDM,PX-A51797,PR ANES FOR VOIDING PRES STUDY INTRABD,183.0,162.87,161.04,183.0,455 CDM,PX-A51798,PR ANES FOR MEAS PST VOID RESID US NON IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A51800,PR ANES FOR CYSTOPLASTY/CYSTOURETHROPLASTY,183.0,162.87,161.04,183.0,455 CDM,PX-A51820,PR ANES FOR CYSTOURETHROPLASTY W URETRONEO,183.0,162.87,161.04,183.0,455 CDM,PX-A51840,PR ANES FOR VESICOURETHROPEXY ANTR SIMPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A51841,PR ANES FOR VESICOURETHROPEXY ANTR CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A51845,PR ANES FOR SUSPEND VESICAL NK ABD-VAG,183.0,162.87,161.04,183.0,455 CDM,PX-A51860,PR ANES FOR CYSTORRHAPHY SUTURE BLAD SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A51865,PR ANES FOR CYSTORRHAPHY SUTURE BLAD COMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A51880,PR ANES FOR CLOSURE CYSTOSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A51900,PR ANES FOR CLOSURE VESICOVAGINAL FISTULA,183.0,162.87,161.04,183.0,455 CDM,PX-A51920,PR ANES FOR CLOSURE VESICOUTERINE FISTULA,183.0,162.87,161.04,183.0,455 CDM,PX-A51925,PR ANES FOR HYSTERECTOMY W CLSR OF VUF,183.0,162.87,161.04,183.0,455 CDM,PX-A51940,PR ANES FOR CLOSURE EXSTROPHY BLADDER,183.0,162.87,161.04,183.0,455 CDM,PX-A51960,PR ANES FOR ENTEROCYSTOPLASTY ANASTOMOSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A51980,PR ANES FOR CUTANEOUS VESICOSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A51990,PR ANES FOR LAP URETHRAL SUSPENSION,183.0,162.87,161.04,183.0,455 CDM,PX-A51992,PR ANES FOR LAPAROSCOPY SLING OPERATION,183.0,162.87,161.04,183.0,455 CDM,PX-A51999,PR ANES FOR UNLISTED PROC LAP BLADDER,183.0,162.87,161.04,183.0,455 CDM,PX-A52000,PR ANES FOR CYSTOURETHROSCOPY,183.0,162.87,161.04,183.0,455 CDM,PX-A52001,PR ANES FOR CYSTOURETHROSCOPY IRRI CLOTS,183.0,162.87,161.04,183.0,455 CDM,PX-A52005,PR ANES FOR CYSTOURETHROSCOPY URETER CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A52007,PR ANES FOR CYSTHRSCPY W URETER CATH&BX,183.0,162.87,161.04,183.0,455 CDM,PX-A52010,PR ANES FOR CYSTHRSCPY W EJACL DUCT CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A52204,PR ANES FOR CYSTOURETHROSCOPY WITH BX,183.0,162.87,161.04,183.0,455 CDM,PX-A52214,PR ANES FOR CYSTHRSCPY W FULGURATION LESNS,183.0,162.87,161.04,183.0,455 CDM,PX-A52224,PR ANES FOR CYSTHRSCPY W FULG LESNS MINOR,183.0,162.87,161.04,183.0,455 CDM,PX-A52234,PR ANES FOR CYSTHRSCPY FULG BLAD TMR SMALL,183.0,162.87,161.04,183.0,455 CDM,PX-A52235,PR ANES FOR CYSTHRSCPY FULG BLAD TMR MED,183.0,162.87,161.04,183.0,455 CDM,PX-A52240,PR ANES FOR CYSTHRSCPY FULG BLAD TMR LRG,183.0,162.87,161.04,183.0,455 CDM,PX-A52250,PR ANES FOR CYSTHRSCPY INJ RADIOACTIVE SBS,183.0,162.87,161.04,183.0,455 CDM,PX-A52260,PR ANES FOR CYSTHRSCPY DIL BLAD GNRL ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A52265,PR ANES FOR CYSTHRSCPY DIL BLAD LOCAL ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A52270,PR ANES FOR CYSTHRSCPY URETHROTOMY FEMALE,183.0,162.87,161.04,183.0,455 CDM,PX-A52275,PR ANES FOR CYSTHRSCPY W URETHROTOMY MALE,183.0,162.87,161.04,183.0,455 CDM,PX-A52276,PR ANES FOR CYSTHRSCPY DIRCT VISN URETHROT,183.0,162.87,161.04,183.0,455 CDM,PX-A52277,PR ANES FOR CYSTHRSCPY RSECT EXTRNL SPHINC,183.0,162.87,161.04,183.0,455 CDM,PX-A52281,PR ANES FOR CYSTHRSCPY W CALIB&/DIL URETH,183.0,162.87,161.04,183.0,455 CDM,PX-A52282,PR ANES FOR CYSTHRSCPY INS PERMANENT STENT,183.0,162.87,161.04,183.0,455 CDM,PX-A52283,PR ANES FOR CYSTHRSCPY W STEROID INJ STRIC,183.0,162.87,161.04,183.0,455 CDM,PX-A52284,PR ANES FOR CYSTO W/DILAT RX BALO CATH URTL STRIX/STEN MALE,183.0,162.87,161.04,183.0,455 CDM,PX-A52285,PR ANES FOR CYSTHRSCPY TX URETH SYND FMALE,183.0,162.87,161.04,183.0,455 CDM,PX-A52287,PR ANES FOR CYSTHRSCPY INJ CHEMODENRVATION,183.0,162.87,161.04,183.0,455 CDM,PX-A52290,PR ANES FOR CYSTHRSCPY W URETER MEATOTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A52300,PR ANES FOR CYSTHRSCPY W RSECT URETEROCELE,183.0,162.87,161.04,183.0,455 CDM,PX-A52301,PR ANES FOR CYSTHRSCPY RSECT ECTOPC URTRCL,183.0,162.87,161.04,183.0,455 CDM,PX-A52305,PR ANES FOR CYSTHRSCPY RSECT BLAD DVRTCLM,183.0,162.87,161.04,183.0,455 CDM,PX-A52310,PR ANES FOR CYSTHRSCPY RMVL FB/STENT SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A52315,PR ANES FOR CYSTHRSCPY RMVL FB/STENT CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A52317,PR ANES FOR LITHOLAPAXY SMPL <2.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A52318,PR ANES FOR LITHOLAPAXY COMPL >2.5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A52320,PR ANES FOR CYSTHRSCPY W RMVL URETER CALC,183.0,162.87,161.04,183.0,455 CDM,PX-A52325,PR ANES FOR CYSTHRSCPY FRAGMNT URETER CALC,183.0,162.87,161.04,183.0,455 CDM,PX-A52327,PR ANES FOR CYSTHRSCPY W SUBURETERIC INJ,183.0,162.87,161.04,183.0,455 CDM,PX-A52330,PR ANES FOR CYSTHRSCPY MANIP WO RMVL CALC,183.0,162.87,161.04,183.0,455 CDM,PX-A52332,PR ANES FOR CYSTHRSCPY W INS URETERAL STNT,183.0,162.87,161.04,183.0,455 CDM,PX-A52334,PR ANES FOR CYSTHRSCPY W INS URETER GWIRE,183.0,162.87,161.04,183.0,455 CDM,PX-A52341,PR ANES FOR CYSTHRSCPY W TX URETERAL STRIC,183.0,162.87,161.04,183.0,455 CDM,PX-A52342,PR ANES FOR CYSTHRSCPY TX URETERPELV STRIC,183.0,162.87,161.04,183.0,455 CDM,PX-A52343,PR ANES FOR CYSTHRSCPY TX INTRARENAL STRIC,183.0,162.87,161.04,183.0,455 CDM,PX-A52344,PR ANES FOR CYSTHRSCPY/URTRSCPY TX URET STRIC,183.0,162.87,161.04,183.0,455 CDM,PX-A52345,PR ANES FOR CYSTHRSCPY/URTRSCPY TX URETROPELV,183.0,162.87,161.04,183.0,455 CDM,PX-A52346,PR ANES FOR CYSTHRSCPY/URTRSCPY TX INTRARENAL,183.0,162.87,161.04,183.0,455 CDM,PX-A52351,PR ANES FOR CYSTHRSCPY W URTRSCPY/PYELO DX,183.0,162.87,161.04,183.0,455 CDM,PX-A52352,PR ANES FOR CYSTHRSCPY/URTRSCPY RMVL CALC,183.0,162.87,161.04,183.0,455 CDM,PX-A52353,PR ANES FOR CYSTHRSCPY URTRSCPY LITHOTRIP,183.0,162.87,161.04,183.0,455 CDM,PX-A52354,PR ANES FOR CYSTHRSCPY/URTRSCPY BX PELV LESN,183.0,162.87,161.04,183.0,455 CDM,PX-A52355,PR ANES FOR CYSTHRSCPY URTRSCPY PELV TMR,183.0,162.87,161.04,183.0,455 CDM,PX-A52356,PR ANES FOR CYSTHRSCPY/URTRSCPY LITHO INS STNT,183.0,162.87,161.04,183.0,455 CDM,PX-A52400,PR ANES FOR CYSTHRSCPY INCISN URETHRAL VALVE,183.0,162.87,161.04,183.0,455 CDM,PX-A52402,PR ANES FOR CYSTHRSCPY TRANSURETHRAL RSECT,183.0,162.87,161.04,183.0,455 CDM,PX-A52441,PR ANES FOR CYSTHRSCPY INS TP IMPLANT SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A52442,PR ANES FOR CYSTHRSCPY INS TP IMPLANT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A52443,PR ANES FOR CYSTO 1ST TRURL PROSTATE COMIS,183.0,162.87,161.04,183.0,455 CDM,PX-A52450,PR ANES FOR INCISN PROSTATE TRANSURETHRAL,183.0,162.87,161.04,183.0,455 CDM,PX-A52500,PR ANES FOR RSECT BLAD NK TRANSURETHRAL,183.0,162.87,161.04,183.0,455 CDM,PX-A52597,PR ANES FOR TRANSRECT RBTC WTRJT RESECT PROSTATE,183.0,162.87,161.04,183.0,455 CDM,PX-A52601,PR ANES FOR RSECT PROS CMPLT ELECTROSURG,183.0,162.87,161.04,183.0,455 CDM,PX-A52630,PR ANES FOR RSECT REGROW PROS TISS TXURETH,183.0,162.87,161.04,183.0,455 CDM,PX-A52640,PR ANES FOR RSECT POSTOP BLAD NK CONTRCTR,183.0,162.87,161.04,183.0,455 CDM,PX-A52647,PR ANES FOR LASER COAG PROSTATE COMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A52648,PR ANES FOR LASER VAPORIZATION PROS CMPLT,183.0,162.87,161.04,183.0,455 CDM,PX-A52649,PR ANES FOR LASER ENUCLEATION PROSTATE,183.0,162.87,161.04,183.0,455 CDM,PX-A52700,PR ANES FOR TXURETH DRAINAGE PROSTATE ABSC,183.0,162.87,161.04,183.0,455 CDM,PX-A53000,PR ANES FOR URETHROTOMY PENDULOUS URETHRA,183.0,162.87,161.04,183.0,455 CDM,PX-A53010,PR ANES FOR URETHROTOMY PERINEAL URETHRA,183.0,162.87,161.04,183.0,455 CDM,PX-A53020,PR ANES FOR MEATOTOMY EXCEPT INFANT,183.0,162.87,161.04,183.0,455 CDM,PX-A53025,PR ANES FOR MEATOTOMY INFANT,183.0,162.87,161.04,183.0,455 CDM,PX-A53040,PR ANES FOR DRAINAGE PERIURETHRAL ABSCESS,183.0,162.87,161.04,183.0,455 CDM,PX-A53060,PR ANES FOR DRAIN SKENE'S GLAND ABSCESS,183.0,162.87,161.04,183.0,455 CDM,PX-A53080,PR ANES FOR DRAIN URETH XTRVASATION UNCMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A53085,PR ANES FOR DRAIN URETH XTRVASATION CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A53200,PR ANES FOR BIOPSY URETHRA,183.0,162.87,161.04,183.0,455 CDM,PX-A53210,PR ANES FOR URETHRECTOMY CYSTOS TOT FEMALE,183.0,162.87,161.04,183.0,455 CDM,PX-A53215,PR ANES FOR URETHRECTOMY CYSTOS TOT MALE,183.0,162.87,161.04,183.0,455 CDM,PX-A53220,PR ANES FOR EXCISION CARCINOMA URETHRA,183.0,162.87,161.04,183.0,455 CDM,PX-A53230,PR ANES FOR EXCISN URETHRAL DVERTCLM FMALE,183.0,162.87,161.04,183.0,455 CDM,PX-A53235,PR ANES FOR EXCISN URETHRAL DVERTCLM MALE,183.0,162.87,161.04,183.0,455 CDM,PX-A53240,PR ANES FOR MARSUPIALIZATION URETH DVRTCLM,183.0,162.87,161.04,183.0,455 CDM,PX-A53250,PR ANES FOR EXCISION BULBOURETHRAL GLAND,183.0,162.87,161.04,183.0,455 CDM,PX-A53260,PR ANES FOR EXCISION URETHRAL POLYP DISTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A53265,PR ANES FOR EXCISION URETHRAL CARUNCLE,183.0,162.87,161.04,183.0,455 CDM,PX-A53270,PR ANES FOR EXCISN/FULG SKENES GLANDS,183.0,162.87,161.04,183.0,455 CDM,PX-A53275,PR ANES FOR EXCISN URETHRAL PROLAPSE,183.0,162.87,161.04,183.0,455 CDM,PX-A53400,PR ANES FOR URTHPLSTY 1 STG FSTL/DVRTCLM,183.0,162.87,161.04,183.0,455 CDM,PX-A53405,PR ANES FOR URTHPLSTY 2 STG URINARY DIVRSN,183.0,162.87,161.04,183.0,455 CDM,PX-A53410,PR ANES FOR URTHPLSTY 1 STG RECNST URETHRA,183.0,162.87,161.04,183.0,455 CDM,PX-A53415,PR ANES FOR URTHPLSTY 1 STG RECNST TRNSPUB,183.0,162.87,161.04,183.0,455 CDM,PX-A53420,PR ANES FOR URTHPLSTY 1ST STG RECNST URETH,183.0,162.87,161.04,183.0,455 CDM,PX-A53425,PR ANES FOR URTHPLSTY 2ND STG RECNST URETH,183.0,162.87,161.04,183.0,455 CDM,PX-A53430,PR ANES FOR URTHPLSTY RCNST FEMALE URETHRA,183.0,162.87,161.04,183.0,455 CDM,PX-A53431,PR ANES FOR URTHPLSTY TUBULRZATION URETHRA,183.0,162.87,161.04,183.0,455 CDM,PX-A53440,PR ANES FOR SLING OPR MALE INCONTINENCE,183.0,162.87,161.04,183.0,455 CDM,PX-A53442,PR ANES FOR RMVL/REV SLING MALE INCONT,183.0,162.87,161.04,183.0,455 CDM,PX-A53444,PR ANES FOR INSERTION TANDEM CUFF,183.0,162.87,161.04,183.0,455 CDM,PX-A53445,PR ANES FOR INS INFLT BLADDER NK SPHINC,183.0,162.87,161.04,183.0,455 CDM,PX-A53446,PR ANES FOR RMVL INFLT URETHRAL SPHINCTER,183.0,162.87,161.04,183.0,455 CDM,PX-A53447,PR ANES FOR RMVL&RPLC INFLT URETH SPHINC,183.0,162.87,161.04,183.0,455 CDM,PX-A53448,PR ANES FOR RMVL&RPLC SPHINC INFECT FIELD,183.0,162.87,161.04,183.0,455 CDM,PX-A53449,PR ANES FOR REPAIR INFLT URETHRAL SPHINC,183.0,162.87,161.04,183.0,455 CDM,PX-A53450,PR ANES FOR URETHROMEATOPLASTY,183.0,162.87,161.04,183.0,455 CDM,PX-A53451,PR ANES FOR PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV BI INSJ,183.0,162.87,161.04,183.0,455 CDM,PX-A53452,PR ANES FOR PERIURETHRL TPRNL ADJTBL BALO CNTNC DEV UNI INSJ,183.0,162.87,161.04,183.0,455 CDM,PX-A53453,PR ANES FOR PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV RMVL EA,183.0,162.87,161.04,183.0,455 CDM,PX-A53454,PR ANES FOR PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV ADJMT,183.0,162.87,161.04,183.0,455 CDM,PX-A53460,PR ANES FOR URETHROMEATOPLSTY PARTL EXCISN,183.0,162.87,161.04,183.0,455 CDM,PX-A53500,PR ANES FOR URETHROLYSIS TV W CYSTHRSCPY,183.0,162.87,161.04,183.0,455 CDM,PX-A53502,PR ANES FOR URETHRORRHAPHY SUTURE FEMALE,183.0,162.87,161.04,183.0,455 CDM,PX-A53505,PR ANES FOR URETHRORRHAPHY SUTURE PENILE,183.0,162.87,161.04,183.0,455 CDM,PX-A53510,PR ANES FOR URETHRORRHAPHY SUTURE PERINEAL,183.0,162.87,161.04,183.0,455 CDM,PX-A53515,PR ANES FOR URETHRORRHAPHY PROS-MEMBRANOUS,183.0,162.87,161.04,183.0,455 CDM,PX-A53520,PR ANES FOR CLSR URETHROSTOMY FSTL MALE,183.0,162.87,161.04,183.0,455 CDM,PX-A53600,PR ANES FOR DIL URETHRAL STRICT MALE INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A53601,PR ANES FOR DIL URETHRAL STRICT MALE SUBSQ,183.0,162.87,161.04,183.0,455 CDM,PX-A53605,PR ANES FOR DIL URETH STRICT MALE PASSAGE,183.0,162.87,161.04,183.0,455 CDM,PX-A53620,PR ANES FOR DIL URETH FILIFORM MALE INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A53621,PR ANES FOR DIL URETH FILIFORM MALE SUBSQ,183.0,162.87,161.04,183.0,455 CDM,PX-A53660,PR ANES FOR DIL URETHRA FEMALE INITIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A53661,PR ANES FOR DIL URETHRA FEMALE SUBSQ,183.0,162.87,161.04,183.0,455 CDM,PX-A53665,PR ANES FOR DIL FEMALE URETH GNRL/SPNL ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A53850,PR ANES FOR DEST PROSTATE TISS TU MWTHERMO,183.0,162.87,161.04,183.0,455 CDM,PX-A53852,PR ANES FOR DEST PROSTATE TISS TU RFTHERMO,183.0,162.87,161.04,183.0,455 CDM,PX-A53854,PR ANES FOR TXURETH PROST TISS RF THERMO,183.0,162.87,161.04,183.0,455 CDM,PX-A53855,PR ANES FOR INS TEMP PROSTATIC URETH STENT,183.0,162.87,161.04,183.0,455 CDM,PX-A53860,PR ANES FOR MICRO REMOD BLAD NK&URETH FEM,183.0,162.87,161.04,183.0,455 CDM,PX-A53865,PR ANES FOR CYSTO INSJ DEV ISCHMC RMDLG,183.0,162.87,161.04,183.0,455 CDM,PX-A53866,PR ANES FOR CATHJ RMVL DEV ISCHMC RMDLG,183.0,162.87,161.04,183.0,455 CDM,PX-A53899,PR ANES FOR UNLISTED PROC URINARY SYSTEM,183.0,162.87,161.04,183.0,455 CDM,PX-A54000,PR ANES FOR SLITTING PREPUCE DORSAL/LAT NB,183.0,162.87,161.04,183.0,455 CDM,PX-A54001,PR ANES FOR SLITTING PREPUCE NOT NEWBORN,183.0,162.87,161.04,183.0,455 CDM,PX-A54015,PR ANES FOR I&D PENIS DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A54050,PR ANES FOR DEST LESN PENIS SMPL CHEMICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A54055,PR ANES FOR DEST LESN PENIS SMPL ELECTRO,183.0,162.87,161.04,183.0,455 CDM,PX-A54056,PR ANES FOR DEST LESN PENIS SMPL CRYOSURG,183.0,162.87,161.04,183.0,455 CDM,PX-A54057,PR ANES FOR DEST LESN PENIS SMPL LASER,183.0,162.87,161.04,183.0,455 CDM,PX-A54060,PR ANES FOR DEST LESN PENIS SMPL SURG EXCISN,183.0,162.87,161.04,183.0,455 CDM,PX-A54065,PR ANES FOR DEST LESN PENIS EXTENSIVE,183.0,162.87,161.04,183.0,455 CDM,PX-A54100,PR ANES FOR BIOPSY PENIS,183.0,162.87,161.04,183.0,455 CDM,PX-A54105,PR ANES FOR BIOPSY PENIS DEEP STRUCTURES,183.0,162.87,161.04,183.0,455 CDM,PX-A54110,PR ANES FOR EXCISION OF PENILE PLAQUE,183.0,162.87,161.04,183.0,455 CDM,PX-A54111,PR ANES FOR EXCISN PENILE PLAQUE GRFT<=5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A54112,PR ANES FOR EXCISN PENILE PLAQUE GRFT >5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A54115,PR ANES FOR REMOVAL FB PENILE TISSUE DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A54120,PR ANES FOR AMPUTATION OF PENIS PARTIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A54125,PR ANES FOR AMPUTATION OF PENIS COMPLETE,183.0,162.87,161.04,183.0,455 CDM,PX-A54130,PR ANES FOR AMP PENIS RAD ING-FEM LYMPHDEC,183.0,162.87,161.04,183.0,455 CDM,PX-A54135,PR ANES FOR AMP PENIS RADCL W EXTRNL ILIAC,183.0,162.87,161.04,183.0,455 CDM,PX-A54150,PR ANES FOR CIRCUMCISION W CLAMP/BLOCK,183.0,162.87,161.04,183.0,455 CDM,PX-A54160,PR ANES FOR CIRCUMCISION NOT CLAMP <28 DAY,183.0,162.87,161.04,183.0,455 CDM,PX-A54161,PR ANES FOR CIRCUMCISION NOT CLAMP >28DAY,183.0,162.87,161.04,183.0,455 CDM,PX-A54162,PR ANES FOR EXCISN PENILE POST CIRC ADHESN,183.0,162.87,161.04,183.0,455 CDM,PX-A54163,PR ANES FOR REPAIR INCMPLT CIRCUMCISION,183.0,162.87,161.04,183.0,455 CDM,PX-A54164,PR ANES FOR FRENULOTOMY OF PENIS,183.0,162.87,161.04,183.0,455 CDM,PX-A54200,PR ANES FOR INJECTION PEYRONIE DISEASE,183.0,162.87,161.04,183.0,455 CDM,PX-A54205,PR ANES FOR INJ PEYRONIE SURG EXPOS PLAQUE,183.0,162.87,161.04,183.0,455 CDM,PX-A54220,PR ANES FOR IRRIG CORP CAVERNOSA PRIAPISM,183.0,162.87,161.04,183.0,455 CDM,PX-A54230,PR ANES FOR INJ CORPORA CAVERNOSOGRAPY,183.0,162.87,161.04,183.0,455 CDM,PX-A54231,PR ANES FOR CAVERNOSOMETRY INJ VASOACTIVE,183.0,162.87,161.04,183.0,455 CDM,PX-A54235,PR ANES FOR INJ CORPCAV W PHARM AGENT,183.0,162.87,161.04,183.0,455 CDM,PX-A54240,PR ANES FOR PENILE PLETHYSMOGRAPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A54250,PR ANES FOR NOCTURNAL PENILE TUMESCENCE,183.0,162.87,161.04,183.0,455 CDM,PX-A54300,PR ANES FOR PLASTIC OP PENIS STRT CHORDEE,183.0,162.87,161.04,183.0,455 CDM,PX-A54304,PR ANES FOR PENIS CORR 1ST SG HYPOSPADIAS,183.0,162.87,161.04,183.0,455 CDM,PX-A54308,PR ANES FOR URTHPLSTY 2 SG HYPOSPADIAS<3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A54312,PR ANES FOR URTHPLSTY 2 SG HYPOSPADIAS>3CM,183.0,162.87,161.04,183.0,455 CDM,PX-A54316,PR ANES FOR URTHPLSTY 2 SG HYPSPDS W GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A54318,PR ANES FOR URTHPLSTY 3RD HYPSPDS RLS PNIS,183.0,162.87,161.04,183.0,455 CDM,PX-A54322,PR ANES FOR RPR 1 SG HYPSPDS MEATAL ADV,183.0,162.87,161.04,183.0,455 CDM,PX-A54324,PR ANES FOR RPR 1 SG HYPSPDS W URTHRPLSTY,183.0,162.87,161.04,183.0,455 CDM,PX-A54326,PR ANES FOR RPR 1ST HYPSPDS URTHRPLSTY&MBL,183.0,162.87,161.04,183.0,455 CDM,PX-A54328,PR ANES FOR RPR 1 SG HYPSPDS W DISSCT EXT,183.0,162.87,161.04,183.0,455 CDM,PX-A54332,PR ANES FOR RPR 1 SG PROX PENL HYPSPDS/DISSECT,183.0,162.87,161.04,183.0,455 CDM,PX-A54336,PR ANES FOR RPR 1 SG PERI HYPSPDS W GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A54340,PR ANES FOR RPR HYPOSPADIAS COMPL SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A54344,PR ANES FOR RPR HYPOSPADIAS COMPL MBL,183.0,162.87,161.04,183.0,455 CDM,PX-A54348,PR ANES FOR RPR HYPSPDS COMPL W DISSECT,183.0,162.87,161.04,183.0,455 CDM,PX-A54352,PR ANES FOR REV HYPSPDS REPAIR W DISSECT,183.0,162.87,161.04,183.0,455 CDM,PX-A54360,PR ANES FOR PLASTIC OPR PENIS ANGULATION,183.0,162.87,161.04,183.0,455 CDM,PX-A54380,PR ANES FOR PLSTC OPR EPISPDS DIST SPHINC,183.0,162.87,161.04,183.0,455 CDM,PX-A54385,PR ANES FOR RCNSTRCT EPISPDS DIST W INCONT,183.0,162.87,161.04,183.0,455 CDM,PX-A54390,PR ANES FOR RCNSTRCT EPISPDS W EXSTROPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A54400,PR ANES FOR INS PENILE PROSTH NON-INFLT,183.0,162.87,161.04,183.0,455 CDM,PX-A54401,PR ANES FOR INS PENILE PROSTH INFLATABLE,183.0,162.87,161.04,183.0,455 CDM,PX-A54405,PR ANES FOR INS IPP MULTI COMPONENT,183.0,162.87,161.04,183.0,455 CDM,PX-A54406,PR ANES FOR REMOVAL IPP MULTI COMPONENT,183.0,162.87,161.04,183.0,455 CDM,PX-A54408,PR ANES FOR RPR IPP MULTI COMPONENT,183.0,162.87,161.04,183.0,455 CDM,PX-A54410,PR ANES FOR RMVL&RPLC IPP MULT COMPONENT,183.0,162.87,161.04,183.0,455 CDM,PX-A54411,PR ANES FOR RMVL&RPLC IPP MULTCOMP INF FLD,183.0,162.87,161.04,183.0,455 CDM,PX-A54415,PR ANES FOR RMVL NON INFLT PENILE PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A54416,PR ANES FOR RMVL&RPL SEMI/SELF PENL PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A54417,PR ANES FOR RMVL&RPL SEMI/SELF PP INF FLD,183.0,162.87,161.04,183.0,455 CDM,PX-A54420,PR ANES FOR SHUNT CORPCAV-SAPHENOUS VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A54430,PR ANES FOR SHUNT CORPCAV-CORPUS SPONGOSUM,183.0,162.87,161.04,183.0,455 CDM,PX-A54435,PR ANES FOR CORPCAV-GLANS PENIS FSTLZATION,183.0,162.87,161.04,183.0,455 CDM,PX-A54437,PR ANES FOR RPR TRAUMETIC CORPOREAL TEAR,183.0,162.87,161.04,183.0,455 CDM,PX-A54440,PR ANES FOR PLASTIC OPERATION PENIS INJURY,183.0,162.87,161.04,183.0,455 CDM,PX-A54450,PR ANES FOR MANIP FORESKIN,183.0,162.87,161.04,183.0,455 CDM,PX-A54500,PR ANES FOR BIOPSY TESTIS NEEDLE PROCEDURE,183.0,162.87,161.04,183.0,455 CDM,PX-A54505,PR ANES FOR BIOPSY TESTIS INCISIONAL,183.0,162.87,161.04,183.0,455 CDM,PX-A54512,PR ANES FOR EXCISN EXTRAPRL LESION TESTIS,183.0,162.87,161.04,183.0,455 CDM,PX-A54520,PR ANES FOR ORCHIECTOMY SIMPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A54522,PR ANES FOR ORCHIECTOMY PARTIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A54530,PR ANES FOR ORCHIECTOMY RADCL INGUINAL APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A54535,PR ANES FOR ORCHIECTOMY RADCL W ABD EXPLR,183.0,162.87,161.04,183.0,455 CDM,PX-A54550,PR ANES FOR EXPLR UNDESCENDED TESTIS,183.0,162.87,161.04,183.0,455 CDM,PX-A54560,PR ANES FOR EXPLR UNDESCENDED TESTIS W ABD,183.0,162.87,161.04,183.0,455 CDM,PX-A54600,PR ANES FOR REDUCTION TESTIS TORSION,183.0,162.87,161.04,183.0,455 CDM,PX-A54620,PR ANES FOR FIXATION CONTRALATERAL TESTIS,183.0,162.87,161.04,183.0,455 CDM,PX-A54640,PR ANES FOR ORCHIOPEXY INGUINAL OR SCROTAL APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A54650,PR ANES FOR ORCHIOPEXY INTRA ABD TESTIS,183.0,162.87,161.04,183.0,455 CDM,PX-A54660,PR ANES FOR INS OF TESTICULAR PROSTHESIS,183.0,162.87,161.04,183.0,455 CDM,PX-A54670,PR ANES FOR REPAIR TESTICULAR INJURY,183.0,162.87,161.04,183.0,455 CDM,PX-A54680,PR ANES FOR TRANSPLANT TESTIS TO THIGH,183.0,162.87,161.04,183.0,455 CDM,PX-A54690,PR ANES FOR ORCHIECTOMY LAPAROSCOPIC,183.0,162.87,161.04,183.0,455 CDM,PX-A54692,PR ANES FOR LAP ORCHIOPEXY INTRA-ABD,183.0,162.87,161.04,183.0,455 CDM,PX-A54699,PR ANES FOR UNLISTED PROCEDURE LAP TESTIS,183.0,162.87,161.04,183.0,455 CDM,PX-A54700,PR ANES FOR I&D EPIDIDYMIS TESTIS&/SCRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A54800,PR ANES FOR BX EPIDIDYMIS NEEDLE,183.0,162.87,161.04,183.0,455 CDM,PX-A54830,PR ANES FOR EXCISN LOCAL LESN EPIDIDYMIS,183.0,162.87,161.04,183.0,455 CDM,PX-A54840,PR ANES FOR EXCISION OF SPERMATOCELE,183.0,162.87,161.04,183.0,455 CDM,PX-A54860,PR ANES FOR EPIDIDYMECTOMY UNILATERAL,183.0,162.87,161.04,183.0,455 CDM,PX-A54861,PR ANES FOR EPIDIDYMECTOMY BILATERAL,183.0,162.87,161.04,183.0,455 CDM,PX-A54865,PR ANES FOR EXPLORATION EPIDIDYMIS W/WO BX,183.0,162.87,161.04,183.0,455 CDM,PX-A54900,PR ANES FOR EPIDIDYMOVASOSTOMY UNILATERAL,183.0,162.87,161.04,183.0,455 CDM,PX-A54901,PR ANES FOR EPIDIDYMOVASOSTOMY BILATERAL,183.0,162.87,161.04,183.0,455 CDM,PX-A55000,PR ANES FOR ASP HYDROCELE TUNICA VAG,183.0,162.87,161.04,183.0,455 CDM,PX-A55040,PR ANES FOR EXCISION HYDROCELE UNILATERAL,183.0,162.87,161.04,183.0,455 CDM,PX-A55041,PR ANES FOR EXCISION HYDROCELE BILATERAL,183.0,162.87,161.04,183.0,455 CDM,PX-A55060,PR ANES FOR RPR TUNICA VAGINALIS HYDROCELE,183.0,162.87,161.04,183.0,455 CDM,PX-A55100,PR ANES FOR DRAINAGE SCROTUM ABSCESS,183.0,162.87,161.04,183.0,455 CDM,PX-A55110,PR ANES FOR EXPLORATION SCROTUM,183.0,162.87,161.04,183.0,455 CDM,PX-A55120,PR ANES FOR REMOVAL FOREIGN BODY SCROTUM,183.0,162.87,161.04,183.0,455 CDM,PX-A55150,PR ANES FOR RESECTION OF SCROTUM,183.0,162.87,161.04,183.0,455 CDM,PX-A55175,PR ANES FOR SCROTOPLASTY SIMPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A55180,PR ANES FOR SCROTOPLASTY COMPLICATED,183.0,162.87,161.04,183.0,455 CDM,PX-A55200,PR ANES FOR VASOTOMY CANNULIZATION,183.0,162.87,161.04,183.0,455 CDM,PX-A55250,PR ANES FOR VASECTOMY INCL SEMEN EXAM,183.0,162.87,161.04,183.0,455 CDM,PX-A55300,PR ANES FOR VASOTOMY VASOGRAMS UNI/BILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A55400,PR ANES FOR VASOVASOSTOMY VASOVASORRHAPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A55500,PR ANES FOR EXCISN HYDROCELE SPRM CORD,183.0,162.87,161.04,183.0,455 CDM,PX-A55520,PR ANES FOR EXCISN LESN SPERMATIC CORD,183.0,162.87,161.04,183.0,455 CDM,PX-A55530,PR ANES FOR EXCISN VARICOCELE SPRM CORD,183.0,162.87,161.04,183.0,455 CDM,PX-A55535,PR ANES FOR EXCISN VARICO SPRM VEINS ABDL,183.0,162.87,161.04,183.0,455 CDM,PX-A55540,PR ANES FOR EXCISN VARICOCELE W HERNIA RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A55550,PR ANES FOR LAP LIG SPERMATIC VEINS VARICO,183.0,162.87,161.04,183.0,455 CDM,PX-A55559,PR ANES FOR UNLISTED PROC LAP SPRM CORD,183.0,162.87,161.04,183.0,455 CDM,PX-A55600,PR ANES FOR VESICULOTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A55605,PR ANES FOR VESICULOTOMY COMPLICATED,183.0,162.87,161.04,183.0,455 CDM,PX-A55650,PR ANES FOR VESICULECTOMY ANY APPROACH,183.0,162.87,161.04,183.0,455 CDM,PX-A55680,PR ANES FOR EXCISION MULLERIAN DUCT CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A55700,PR ANES FOR BIOPSY PROSTATE NEEDLE/PUNCH,183.0,162.87,161.04,183.0,455 CDM,PX-A55705,PR ANES FOR BIOPSY PROSTATE INCISIONAL,183.0,162.87,161.04,183.0,455 CDM,PX-A55706,PR ANES FOR BX PROSTATE NDL TRANSPRNEAL,183.0,162.87,161.04,183.0,455 CDM,PX-A55707,PR ANES FOR BX PRST8 TRCT US GUIDED,183.0,162.87,161.04,183.0,455 CDM,PX-A55708,PR ANES FOR BX PRST8 TRCT US W/MRI FUS 1,183.0,162.87,161.04,183.0,455 CDM,PX-A55709,PR ANES FOR BX PRST8 TPRNL US GUIDED,183.0,162.87,161.04,183.0,455 CDM,PX-A55710,PR ANES FOR BX PRST8 TPRN US W/MRI FUS 1,183.0,162.87,161.04,183.0,455 CDM,PX-A55711,PR ANES FOR BX PRST8 TRCT MRI-US 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A55712,PR ANES FOR BX PRST8 TPRNL MRI-US 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A55713,PR ANES FOR BX PRST8 IN-BORE CT/MRI BX 1,183.0,162.87,161.04,183.0,455 CDM,PX-A55714,PR ANES FOR BX PRST8 IN-BORE CT/MRI 1,183.0,162.87,161.04,183.0,455 CDM,PX-A55715,PR ANES FOR BX PRST8 EA ADD MRI-US/CT/MR,183.0,162.87,161.04,183.0,455 CDM,PX-A55720,PR ANES FOR PROSTATOTOMY DRAIN ABSC SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A55725,PR ANES FOR PROSTATOTOMY DRAIN ABSC COMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A55801,PR ANES FOR PROSTATECTOMY PERI SUBTOTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A55810,PR ANES FOR PROSTATECTOMY PERI RADICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A55812,PR ANES FOR PROSTATECTOMY RADCL LYMPH NODE BX,183.0,162.87,161.04,183.0,455 CDM,PX-A55815,PR ANES FOR PROSTATECTOMY RADCL LYMPHDEC,183.0,162.87,161.04,183.0,455 CDM,PX-A55821,PR ANES FOR PROSTATECTOMY SUPRAPUBIC PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A55831,PR ANES FOR PROSTEC RETROPUBIC SUBTOTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A55840,PR ANES FOR PROSTATECTOMY RETROPUBIC RADCL,183.0,162.87,161.04,183.0,455 CDM,PX-A55842,PR ANES FOR PROSTATECTOMY W LYMPH NODE BX,183.0,162.87,161.04,183.0,455 CDM,PX-A55845,PR ANES FOR PROSTEC W BILAT PELV LYMPHDEC,183.0,162.87,161.04,183.0,455 CDM,PX-A55860,PR ANES FOR EXPOSE PROSTATE INS RADIOACT,183.0,162.87,161.04,183.0,455 CDM,PX-A55862,PR ANES FOR EXPOSE PROSTATE W LYMPH BX,183.0,162.87,161.04,183.0,455 CDM,PX-A55865,PR ANES FOR EXPOSE PROSTATE W BILAT LYMPH BX,183.0,162.87,161.04,183.0,455 CDM,PX-A55866,PR ANES FOR LAP PROSTEC RETROPUBIC RADCL,183.0,162.87,161.04,183.0,455 CDM,PX-A55867,PR ANES FOR LAPS SURG PRSTECT SMPL STOT,183.0,162.87,161.04,183.0,455 CDM,PX-A55868,PR ANES FOR LAP SRG PROSTATECTOMY LYMPH NOD BX,183.0,162.87,161.04,183.0,455 CDM,PX-A55869,PR ANES FOR LAP SRG PROSTATECTOMY BI PELV LMPHAD,183.0,162.87,161.04,183.0,455 CDM,PX-A55870,PR ANES FOR ELECTROEJACULATION,183.0,162.87,161.04,183.0,455 CDM,PX-A55873,PR ANES FOR CRYOSURG ABLATION PROSTATE,183.0,162.87,161.04,183.0,455 CDM,PX-A55874,PR ANES FOR TPRNL PLMT BIODEGRDABL MATRL,183.0,162.87,161.04,183.0,455 CDM,PX-A55875,PR ANES FOR PLC CATH TRANSPERI PROSTATE,183.0,162.87,161.04,183.0,455 CDM,PX-A55876,PR ANES FOR PLC INTERS RAD DEVICE PROSTATE,183.0,162.87,161.04,183.0,455 CDM,PX-A55877,PR ANES FOR ABLTJ IRE PROSTATE 1+ TUM PERCUT,183.0,162.87,161.04,183.0,455 CDM,PX-A55880,PR ANES FOR HIFU ABLATION PROSTATE W US GUIDE,183.0,162.87,161.04,183.0,455 CDM,PX-A55881,PR ANES FOR ABLT TRURL PRST8 TIS THRM US,183.0,162.87,161.04,183.0,455 CDM,PX-A55882,PR ANES FOR ABLT TRURL PRST8 TIS TRNSDCR,183.0,162.87,161.04,183.0,455 CDM,PX-A55899,PR ANES FOR UNLISTED PROC MALE GENITAL SYS,183.0,162.87,161.04,183.0,455 CDM,PX-A55920,PR ANES FOR PLACEMENT NDL PELVIC RADIOELE,183.0,162.87,161.04,183.0,455 CDM,PX-A55970,"PR ANES FOR SEX TRANSFORMATION, M TO F",183.0,162.87,161.04,183.0,455 CDM,PX-A55980,"PR ANES FOR SEX TRANSFORMATION, F TO M",183.0,162.87,161.04,183.0,455 CDM,PX-A56405,PR ANES FOR I&D VULVA/PERINEAL ABSCESS,183.0,162.87,161.04,183.0,455 CDM,PX-A56420,PR ANES FOR I&D BARTHOLINS GLAND ABSCESS,183.0,162.87,161.04,183.0,455 CDM,PX-A56440,PR ANES FOR MARSUP BARTHOLINS GLAND CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A56441,PR ANES FOR LYSIS OF LABIAL ADHESIONS,183.0,162.87,161.04,183.0,455 CDM,PX-A56442,PR ANES FOR HYMENOTOMY INCISION SIMPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A56501,PR ANES FOR DESTRUCTION LESION VULVA SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A56515,PR ANES FOR DEST LESN VULVA EXTENSIVE,183.0,162.87,161.04,183.0,455 CDM,PX-A56605,PR ANES FOR BX VULVA/PERINEUM 1 LESN,183.0,162.87,161.04,183.0,455 CDM,PX-A56606,PR ANES FOR BX VULVA/PERINEUM ADD LESN,183.0,162.87,161.04,183.0,455 CDM,PX-A56620,PR ANES FOR VULVECTMY SIMPLE/PARTL,183.0,162.87,161.04,183.0,455 CDM,PX-A56625,PR ANES FOR VULVECTOMY SIMPLE COMPLETE,183.0,162.87,161.04,183.0,455 CDM,PX-A56630,PR ANES FOR VULVECTOMY RADICAL PARTIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A56631,PR ANES FOR VULVECT RADCL PRTL UNILAT LYMPHDEC,183.0,162.87,161.04,183.0,455 CDM,PX-A56632,PR ANES FOR VULVECT RADCL PRTL BILAT LYMPHDEC,183.0,162.87,161.04,183.0,455 CDM,PX-A56633,PR ANES FOR VULVECTOMY RADICAL COMPLETE,183.0,162.87,161.04,183.0,455 CDM,PX-A56634,PR ANES FOR VULVECT RADCL COMPL UNILAT LYMPHDEC,183.0,162.87,161.04,183.0,455 CDM,PX-A56637,PR ANES FOR VULVCTMY RADCL COMPLT BILAT LYMPH,183.0,162.87,161.04,183.0,455 CDM,PX-A56640,PR ANES FOR VULVECT RADCL ILIAC/PELV LYMPH,183.0,162.87,161.04,183.0,455 CDM,PX-A56700,PR ANES FOR HYMENECTOMY PARTL/REV HYMEN RG,183.0,162.87,161.04,183.0,455 CDM,PX-A56740,PR ANES FOR EXCISN BARTHOLIN GLAND/CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A56800,PR ANES FOR PLASTIC REPAIR OF INTROITUS,183.0,162.87,161.04,183.0,455 CDM,PX-A56805,PR ANES FOR CLITOROPLASTY INTERSEX,183.0,162.87,161.04,183.0,455 CDM,PX-A56810,PR ANES FOR PERINEOPLASTY RPERINEUM NONOB,183.0,162.87,161.04,183.0,455 CDM,PX-A56820,PR ANES FOR COLPOSCOPY VULVA,183.0,162.87,161.04,183.0,455 CDM,PX-A56821,PR ANES FOR COLPOSCOPY VULVA W BX,183.0,162.87,161.04,183.0,455 CDM,PX-A57000,PR ANES FOR COLPOTOMY WITH EXPLORATION,183.0,162.87,161.04,183.0,455 CDM,PX-A57010,PR ANES FOR COLPOTOMY W DRN PELV ABSC,183.0,162.87,161.04,183.0,455 CDM,PX-A57020,PR ANES FOR COLPOCENTESIS,183.0,162.87,161.04,183.0,455 CDM,PX-A57022,PR ANES FOR I&D VAGINAL HEMATOMA OB,183.0,162.87,161.04,183.0,455 CDM,PX-A57023,PR ANES FOR I&D VAGINAL HEMATOMA NONOB,183.0,162.87,161.04,183.0,455 CDM,PX-A57061,PR ANES FOR DEST LESN VAGINAL SIMPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A57065,PR ANES FOR DEST LESN VAGINAL EXTENSIVE,183.0,162.87,161.04,183.0,455 CDM,PX-A57100,PR ANES FOR BX VAGINAL MUCOSA SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A57105,PR ANES FOR BX VAGINAL MUCOSA EXTEN W SUTURE,183.0,162.87,161.04,183.0,455 CDM,PX-A57106,PR ANES FOR VAGINECTMY PARTL RMVL VAG WALL,183.0,162.87,161.04,183.0,455 CDM,PX-A57107,PR ANES FOR VAGNC PART W REMV PARAVAG TISS,183.0,162.87,161.04,183.0,455 CDM,PX-A57109,PR ANES FOR VAGNC RMVL PVG TISS PELV LYMPH,183.0,162.87,161.04,183.0,455 CDM,PX-A57110,PR ANES FOR VAGINECTMY CMPLT RMVL VAG WALL,183.0,162.87,161.04,183.0,455 CDM,PX-A57111,PR ANES FOR VAGINECTMY CMPLT RMVL WALL&TISS,183.0,162.87,161.04,183.0,455 CDM,PX-A57120,PR ANES FOR COLPOCLEISIS,183.0,162.87,161.04,183.0,455 CDM,PX-A57130,PR ANES FOR EXCISN OF VAGINAL SEPTUM,183.0,162.87,161.04,183.0,455 CDM,PX-A57135,PR ANES FOR EXCISN OF VAGINAL CYST/TUMOR,183.0,162.87,161.04,183.0,455 CDM,PX-A57150,PR ANES FOR IRRIGATION VAG/APP MED TX DIS,183.0,162.87,161.04,183.0,455 CDM,PX-A57155,PR ANES FOR INS UTERINE TANDEM/VAG OVOIDS,183.0,162.87,161.04,183.0,455 CDM,PX-A57156,PR ANES FOR INS VAG BRACHYTHRPY DEV,183.0,162.87,161.04,183.0,455 CDM,PX-A57160,PR ANES FOR FIT/INST PESSARY/OTR DEV,183.0,162.87,161.04,183.0,455 CDM,PX-A57170,PR ANES FOR FIT DIAPHRAGM/CERV CAP,183.0,162.87,161.04,183.0,455 CDM,PX-A57180,PR ANES FOR INTRO AGENT NONOB VAGINAL HEMR,183.0,162.87,161.04,183.0,455 CDM,PX-A57200,PR ANES FOR COLPORRHAPHY VAG SUTURE INJURY,183.0,162.87,161.04,183.0,455 CDM,PX-A57210,PR ANES FOR COLPOPERINEORRHAPHY RPR VAG,183.0,162.87,161.04,183.0,455 CDM,PX-A57220,PR ANES FOR SPHINCTER URETHRA VAGINAL APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A57230,PR ANES FOR RPR URETHROCELE PLASTIC,183.0,162.87,161.04,183.0,455 CDM,PX-A57240,PR ANES FOR COLPORPHY ANTR RPR CYSTOCELE,183.0,162.87,161.04,183.0,455 CDM,PX-A57250,PR ANES FOR COLPORPHY POSTR RPR RECTOCELE,183.0,162.87,161.04,183.0,455 CDM,PX-A57260,PR ANES FOR COLPORRHAPHY ANTEROPOSTERIOR,183.0,162.87,161.04,183.0,455 CDM,PX-A57265,PR ANES FOR COLPORPHY A/P RPR ENTEROCELE,183.0,162.87,161.04,183.0,455 CDM,PX-A57267,PR ANES FOR INS MESH/PROS FOR PELV FLR DEF,183.0,162.87,161.04,183.0,455 CDM,PX-A57268,PR ANES FOR REPAIR ENTEROCELE VAGINAL APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A57270,PR ANES FOR REPAIR ENTEROCELE ABDL APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A57280,PR ANES FOR COLPOPEXY ABDOMINAL APPROACH,183.0,162.87,161.04,183.0,455 CDM,PX-A57282,PR ANES FOR COLPOPEXY VAG EXTRPERIT APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A57283,PR ANES FOR COLPOPEXY VAG INTRPERIT APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A57284,PR ANES FOR RPR PARA VAG DEFECT ABDL APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A57285,PR ANES FOR RPR PARA VAG DEFECT VAG APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A57287,PR ANES FOR RMVL/RVSN SLING STRESS INCONT,183.0,162.87,161.04,183.0,455 CDM,PX-A57288,PR ANES FOR SLING OPR STRESS INCONTINENCE,183.0,162.87,161.04,183.0,455 CDM,PX-A57289,PR ANES FOR PEREYA PROC+ANTER COLPORRHAPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A57291,PR ANES FOR CONSTRUCTION ARTIFICIAL VAGINA,183.0,162.87,161.04,183.0,455 CDM,PX-A57292,PR ANES FOR CNSTRCT ARTIFICIAL VAGINA W GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A57295,PR ANES FOR REV PROSTH VAG GRFT VAG APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A57296,PR ANES FOR REV PROSTH VAG GRFT ABD APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A57300,PR ANES FOR CLSR RECTOVAG FSTL VAG/ANL APP,183.0,162.87,161.04,183.0,455 CDM,PX-A57305,PR ANES FOR CLSR RECTOVAG FSTL ABD APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A57307,PR ANES FOR CLSR RECTOVAG FSTL ABD W CLSTM,183.0,162.87,161.04,183.0,455 CDM,PX-A57308,PR ANES FOR CLSR RECTOVAG FSTL TXPERI APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A57310,PR ANES FOR CLOSURE OF URETHROVAGINAL FSTL,183.0,162.87,161.04,183.0,455 CDM,PX-A57311,PR ANES FOR RPR URETHROVAGINAL LESN,183.0,162.87,161.04,183.0,455 CDM,PX-A57320,PR ANES FOR CLSR VESICOVAG FIST VAG APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A57330,PR ANES FOR CLSR VESICOVAG FSTL TRNSVG/VAG APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A57335,PR ANES FOR VAGINOPLASTY INTERSEX,183.0,162.87,161.04,183.0,455 CDM,PX-A57400,PR ANES FOR DILATION OF VAGINA UNDER ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A57410,PR ANES FOR PELVIC EXAMINATION UNDER ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A57415,PR ANES FOR RMVL IMPACTED VAG FB W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A57420,PR ANES FOR COLPOSCOPY ENTIRE VAG W CERVIX,183.0,162.87,161.04,183.0,455 CDM,PX-A57421,PR ANES FOR COLPOSCOPY ENTIRE VAG CX W BX,183.0,162.87,161.04,183.0,455 CDM,PX-A57423,PR ANES FOR PARAVAGINAL DEFECT REPAIR LAP,183.0,162.87,161.04,183.0,455 CDM,PX-A57425,PR ANES FOR LAPAROSCOPY COLPOPEXY,183.0,162.87,161.04,183.0,455 CDM,PX-A57426,PR ANES FOR REV PROST VAG GRFT LAPAROSCOPC,183.0,162.87,161.04,183.0,455 CDM,PX-A57452,PR ANES FOR COLPOSCOPY CERVIX UPR/ADJ VAG,183.0,162.87,161.04,183.0,455 CDM,PX-A57454,PR ANES FOR COLPOSCOPY CERVIX W BX & ECC,183.0,162.87,161.04,183.0,455 CDM,PX-A57455,PR ANES FOR COLPOSCOPY CERVIX W BX,183.0,162.87,161.04,183.0,455 CDM,PX-A57456,PR ANES FOR COLPOSCOPY CERVIX W ECC,183.0,162.87,161.04,183.0,455 CDM,PX-A57460,PR ANES FOR COLPOSCOPY CX W LOOP ELEC BX,183.0,162.87,161.04,183.0,455 CDM,PX-A57461,PR ANES FOR COLPOSCOPY CERVIX W LOOP CONIZ,183.0,162.87,161.04,183.0,455 CDM,PX-A57465,PR ANES FOR COMPUTER MAPG CERVIX UTERI DRG COLPOSCOPY,183.0,162.87,161.04,183.0,455 CDM,PX-A57500,PR ANES FOR BIOPSY CERVIX SNGL/MULT LESN,183.0,162.87,161.04,183.0,455 CDM,PX-A57505,PR ANES FOR CURETTAGE ENDOCERVICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A57510,PR ANES FOR CAUTERY CERVIX ELECTRO/THERMAL,183.0,162.87,161.04,183.0,455 CDM,PX-A57511,PR ANES FOR CAUTERY CERVIX CRYOCAUTERY,183.0,162.87,161.04,183.0,455 CDM,PX-A57513,PR ANES FOR CAUTERY CERVIX LASER ABLATION,183.0,162.87,161.04,183.0,455 CDM,PX-A57520,PR ANES FOR CONIZATION CERVIX KNIFE/LASER,183.0,162.87,161.04,183.0,455 CDM,PX-A57522,PR ANES FOR CONIZATION CX EXCISN LOOP ELEC,183.0,162.87,161.04,183.0,455 CDM,PX-A57530,PR ANES FOR TRACHELECTOMY AMP CERVIX,183.0,162.87,161.04,183.0,455 CDM,PX-A57531,PR ANES FOR TRACHELECTOMY RADCL LYMPHDEC,183.0,162.87,161.04,183.0,455 CDM,PX-A57540,PR ANES FOR EXCISN CERVIX STUMP ABD APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A57545,"PR ANES FOR REMV CERV STUMP,ABD,FIX PELV FLOOR",183.0,162.87,161.04,183.0,455 CDM,PX-A57550,PR ANES FOR EXCISN CERVIX STUMP VAG APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A57555,PR ANES FOR EXCISN CEX STUMP VAG W A/P RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A57556,PR ANES FOR EXCISN CX STUMP ENTEROCELE RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A57558,PR ANES FOR D&C OF CERVIX STUMP,183.0,162.87,161.04,183.0,455 CDM,PX-A57700,PR ANES FOR CERCLAGE UTERINE CERVIX NON OB,183.0,162.87,161.04,183.0,455 CDM,PX-A57720,PR ANES FOR TRACHELORRHAPHY UTERINE CERVIX,183.0,162.87,161.04,183.0,455 CDM,PX-A57800,PR ANES FOR DIL CERVIX CANAL INSTRUMENTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A58100,PR ANES FOR BX ENDOMETRIAL WO CERVIX DIL,183.0,162.87,161.04,183.0,455 CDM,PX-A58110,PR ANES FOR ENDOMETRIAL SAMPL PERF W COLPO,183.0,162.87,161.04,183.0,455 CDM,PX-A58120,PR ANES FOR D&C NONOBSTETRICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A58140,PR ANES FOR MYOMECTOMY 1-4 MYOMA ABD APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A58145,PR ANES FOR MYOMECTOMY 1-4 MYOMA VAG APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A58146,PR ANES FOR MYOMECTOMY 5+ MYOMA ABD APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A58150,PR ANES FOR HYSTERECTOMY TOTAL ABD,183.0,162.87,161.04,183.0,455 CDM,PX-A58152,PR ANES FOR HYSTERECTOMY TOTAL W TUBE RMVL,183.0,162.87,161.04,183.0,455 CDM,PX-A58180,PR ANES FOR HYSTERECTOMY SUPRACERV ABD,183.0,162.87,161.04,183.0,455 CDM,PX-A58200,PR ANES FOR HYSTERECTOMY TOT ABD BX LYMPH,183.0,162.87,161.04,183.0,455 CDM,PX-A58210,PR ANES FOR HYSTERECTOMY RADCL ABD,183.0,162.87,161.04,183.0,455 CDM,PX-A58240,PR ANES FOR EXENTERATION PELVIC GYN MLG,183.0,162.87,161.04,183.0,455 CDM,PX-A58260,PR ANES FOR HYSTERECTOMY VAGINAL <=250 G,183.0,162.87,161.04,183.0,455 CDM,PX-A58262,PR ANES FOR HYST VAG <=250G RMVL TUBES/OV,183.0,162.87,161.04,183.0,455 CDM,PX-A58263,PR ANES FOR HYST VAG <=250G W TUB&/OV W ENTR,183.0,162.87,161.04,183.0,455 CDM,PX-A58267,PR ANES FOR VAG HYST W COLPO-URTCSTOPEXY,183.0,162.87,161.04,183.0,455 CDM,PX-A58270,PR ANES FOR HYSTERECTOMY W RPR ENTEROCELE,183.0,162.87,161.04,183.0,455 CDM,PX-A58275,"PR ANES FOR VAG HYST, W/VAGINECTOMY",183.0,162.87,161.04,183.0,455 CDM,PX-A58280,PR ANES FOR HYSTERECTOMY REVISE VAGINA,183.0,162.87,161.04,183.0,455 CDM,PX-A58285,PR ANES FOR VAG HYST RADICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A58290,PR ANES FOR HYSTERECTOMY VAG UTERUS>250 G,183.0,162.87,161.04,183.0,455 CDM,PX-A58291,PR ANES FOR HYST VAG UTRS>250 G W TUBES/OV,183.0,162.87,161.04,183.0,455 CDM,PX-A58292,PR ANES FOR HYST VAG >250G W TB/OV RPR ENTCL,183.0,162.87,161.04,183.0,455 CDM,PX-A58294,PR ANES FOR HYST VAG >250 G RPR ENTEROCELE,183.0,162.87,161.04,183.0,455 CDM,PX-A58300,PR ANES FOR INSERT OF INTRAUTERINE DEVICE,183.0,162.87,161.04,183.0,455 CDM,PX-A58301,PR ANES FOR REMOVAL OF INTRAUTERINE DEVICE,183.0,162.87,161.04,183.0,455 CDM,PX-A58321,"PR ANES FOR ARTIF INSEMINATION,INTRA-CERVICAL",183.0,162.87,161.04,183.0,455 CDM,PX-A58322,PR ANES FOR ARTIFICIAL INSEM INTRA-UTERINE,183.0,162.87,161.04,183.0,455 CDM,PX-A58323,PR ANES FOR ARTIFICIAL INSEP SPERM WASH,183.0,162.87,161.04,183.0,455 CDM,PX-A58340,PR ANES FOR CATH W INJ CNTRST HSG,183.0,162.87,161.04,183.0,455 CDM,PX-A58345,PR ANES FOR INTRO FALLOPIAN TUBE CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A58346,"PR ANES FOR INSERTION,HEYMAN CAPSULES",183.0,162.87,161.04,183.0,455 CDM,PX-A58350,PR ANES FOR CHROMOTUBATION OVIDUCT,183.0,162.87,161.04,183.0,455 CDM,PX-A58353,PR ANES FOR ENDOMETRIAL ABLATION THERMAL,183.0,162.87,161.04,183.0,455 CDM,PX-A58356,PR ANES FOR ENDOMETRIAL CRYOABLAT W US,183.0,162.87,161.04,183.0,455 CDM,PX-A58400,PR ANES FOR RPR UTERUS SUSPENSION,183.0,162.87,161.04,183.0,455 CDM,PX-A58410,PR ANES FOR SUSPENSN UTERUS+PRESACRAL SYMPATHEC,183.0,162.87,161.04,183.0,455 CDM,PX-A58520,PR ANES FOR HYSTERORPHY REPAIR RUPT UTERUS,183.0,162.87,161.04,183.0,455 CDM,PX-A58540,PR ANES FOR HYSTEROPLASTY RPR UTERUS,183.0,162.87,161.04,183.0,455 CDM,PX-A58541,PR ANES FOR LAP SUPRACERVICAL HYST<=250 G,183.0,162.87,161.04,183.0,455 CDM,PX-A58542,PR ANES FOR LAP SUPRACERV HYST<=250 W RMVL,183.0,162.87,161.04,183.0,455 CDM,PX-A58543,PR ANES FOR LAP SUPRACERV HYST>250 G,183.0,162.87,161.04,183.0,455 CDM,PX-A58544,PR ANES FOR LAP SUPRACERV HYST>250 W RMVL,183.0,162.87,161.04,183.0,455 CDM,PX-A58545,PR ANES FOR LAP MYOMECTOMY 1-4 MYOMA<=250 G,183.0,162.87,161.04,183.0,455 CDM,PX-A58546,PR ANES FOR LAP MYOMECTOMY 5+MYOMAS>250 G,183.0,162.87,161.04,183.0,455 CDM,PX-A58548,PR ANES FOR LAP RADCL HYST W BILAT LYMPHDEC,183.0,162.87,161.04,183.0,455 CDM,PX-A58550,PR ANES FOR LAP VAG HYST UTERUS=< 250 G,183.0,162.87,161.04,183.0,455 CDM,PX-A58552,PR ANES FOR LAP VAG HYST UTRS=<250 W RMVL,183.0,162.87,161.04,183.0,455 CDM,PX-A58553,PR ANES FOR LAP VAG HYST UTERUS> 250 G,183.0,162.87,161.04,183.0,455 CDM,PX-A58554,PR ANES FOR LAP VAG HYST UTRS>250 G W RMVL,183.0,162.87,161.04,183.0,455 CDM,PX-A58555,PR ANES FOR HYSTEROSCOPY DIAGNOSTIC,183.0,162.87,161.04,183.0,455 CDM,PX-A58558,PR ANES FOR HYSTERSCPY W BX ENDOMETR/POLYP,183.0,162.87,161.04,183.0,455 CDM,PX-A58559,PR ANES FOR HYST W LYSIS INTRAUTER ADHES,183.0,162.87,161.04,183.0,455 CDM,PX-A58560,PR ANES FOR HYSTEROSCOPY W DIVISION SEPTUM,183.0,162.87,161.04,183.0,455 CDM,PX-A58561,PR ANES FOR HYSTEROSCOPY RMVL LEIOMYOMATA,183.0,162.87,161.04,183.0,455 CDM,PX-A58562,PR ANES FOR HYSTEROSCOPY RMVL IMPACTED FB,183.0,162.87,161.04,183.0,455 CDM,PX-A58563,PR ANES FOR HYSTEROSCOPY ENDOMETRIAL ABLT,183.0,162.87,161.04,183.0,455 CDM,PX-A58565,PR ANES FOR HYSTERSCPY OCC BI TUBE W IMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A58570,PR ANES FOR LAP W TOTAL HYST UTRS<=250G,183.0,162.87,161.04,183.0,455 CDM,PX-A58571,PR ANES FOR LAP TOT HYST UTRS<=250G W TB/OV,183.0,162.87,161.04,183.0,455 CDM,PX-A58572,PR ANES FOR LAP W TOTAL HYST UTRS >250G,183.0,162.87,161.04,183.0,455 CDM,PX-A58573,PR ANES FOR LAP TOT HYST UTRS>250G W TB/OV,183.0,162.87,161.04,183.0,455 CDM,PX-A58575,PR ANES FOR LAPS TOT HYST RESJ MAL,183.0,162.87,161.04,183.0,455 CDM,PX-A58578,PR ANES FOR UNLISTED PROC LAP UTRS,183.0,162.87,161.04,183.0,455 CDM,PX-A58579,PR ANES FOR UNLISTED PROC HYSTEROSCOPY,183.0,162.87,161.04,183.0,455 CDM,PX-A58580,PR ANES FOR TRANSCERVICAL ABLATION UTERINE FIBROID RF,183.0,162.87,161.04,183.0,455 CDM,PX-A58600,PR ANES FOR LIG/TRANSECTION FALLOPIAN TUBE,183.0,162.87,161.04,183.0,455 CDM,PX-A58605,PR ANES FOR LIG FALLOPIAN TUBE POST PARTUM,183.0,162.87,161.04,183.0,455 CDM,PX-A58611,PR ANES FOR LIG FALLOPIAN TUBE W OTHR SURG,183.0,162.87,161.04,183.0,455 CDM,PX-A58615,PR ANES FOR OCCL FALLOPIAN TUBE BY DEVICE,183.0,162.87,161.04,183.0,455 CDM,PX-A58660,PR ANES FOR LAPAROSCOPY W LYSIS ADHESIONS,183.0,162.87,161.04,183.0,455 CDM,PX-A58661,PR ANES FOR LAPAROSCOPY W RMVL ADNEXA,183.0,162.87,161.04,183.0,455 CDM,PX-A58662,PR ANES FOR LAP W FULG/EXC LESN OV/VISC/PERIT,183.0,162.87,161.04,183.0,455 CDM,PX-A58670,PR ANES FOR LAPAROSCOPY FULGURATN OVIDUCTS,183.0,162.87,161.04,183.0,455 CDM,PX-A58671,PR ANES FOR LAPAROSCOPY OCCL OVIDUCTS,183.0,162.87,161.04,183.0,455 CDM,PX-A58672,"PR ANES FOR LAP,FIMBRIOPLASTY",183.0,162.87,161.04,183.0,455 CDM,PX-A58673,PR ANES FOR LAPAROSCOPY SALPINGOSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A58674,PR ANES FOR LAPS ABLTJ UTERINE FIBROIDS W/INTRAOP US GDN,183.0,162.87,161.04,183.0,455 CDM,PX-A58679,PR ANES FOR UNLISTED PROC LAP OVIDUCT/OVARY,183.0,162.87,161.04,183.0,455 CDM,PX-A58700,PR ANES FOR SALPINGECTMY CMPLT/PRTL UNI/BILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A58720,PR ANES FOR SALPINGO-OOPHORECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A58740,PR ANES FOR LYSIS ADHESIONS,183.0,162.87,161.04,183.0,455 CDM,PX-A58750,PR ANES FOR ANASTOMOSIS TUBOTUBAL,183.0,162.87,161.04,183.0,455 CDM,PX-A58752,PR ANES FOR TUBO-UTERINE IMPLANT,183.0,162.87,161.04,183.0,455 CDM,PX-A58760,PR ANES FOR FIMBRIOPLASTY,183.0,162.87,161.04,183.0,455 CDM,PX-A58770,PR ANES FOR SALPINGOSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A58800,PR ANES FOR DRN OVARIAN CYST VAG APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A58805,PR ANES FOR DRN OVARIAN CYST ABD APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A58820,PR ANES FOR DRAIN OVARIAN ABSC VAG APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A58822,PR ANES FOR DRN OVARIAN ABCESS ABD APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A58825,PR ANES FOR TRANSPOSITION OVARY(S),183.0,162.87,161.04,183.0,455 CDM,PX-A58900,PR ANES FOR BIOPSY OVARY UNI/BILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A58920,PR ANES FOR WEDGE RESECTION OVARY,183.0,162.87,161.04,183.0,455 CDM,PX-A58925,PR ANES FOR CYSTECTOMY OVARIAN,183.0,162.87,161.04,183.0,455 CDM,PX-A58940,PR ANES FOR OOPHORECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A58943,PR ANES FOR RSECT OVARIAN MLG SALPING,183.0,162.87,161.04,183.0,455 CDM,PX-A58950,PR ANES FOR RSECT OVARIAN MLG BSO,183.0,162.87,161.04,183.0,455 CDM,PX-A58951,PR ANES FOR RSECT OVARIAN MLG SALPING TAH,183.0,162.87,161.04,183.0,455 CDM,PX-A58952,PR ANES FOR RSECT OVARIAN MLG RADCL DISSECT,183.0,162.87,161.04,183.0,455 CDM,PX-A58953,PR ANES FOR SALPINGO-OOPHORECTOMY BILAT HYST,183.0,162.87,161.04,183.0,455 CDM,PX-A58954,PR ANES FOR SALPINGO-OOPHORECTOMY BILAT LYMPH,183.0,162.87,161.04,183.0,455 CDM,PX-A58956,PR ANES FOR SALPINGO-OOPHORECTOMY TOTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A58958,PR ANES FOR RSECT RCUR OVARY MLG W LYMPH,183.0,162.87,161.04,183.0,455 CDM,PX-A58960,PR ANES FOR LAPAROTOMY STAGING OVARIAN MLG,183.0,162.87,161.04,183.0,455 CDM,PX-A58970,PR ANES FOR PUNC FOLLICLE OOCYTE RETRIEVE,183.0,162.87,161.04,183.0,455 CDM,PX-A58974,PR ANES FOR INTRA-UTERINE EMBRYO TRANSFER,183.0,162.87,161.04,183.0,455 CDM,PX-A58976,"PR ANES FOR TRANSFER OF EMBRYO,INTRAFALLOPIAN",183.0,162.87,161.04,183.0,455 CDM,PX-A58999,PR ANES FOR UNLISTED PROC FEMALE GENT,183.0,162.87,161.04,183.0,455 CDM,PX-A59000,PR ANES FOR AMNIOCENTESIS DIAGNOSTIC,183.0,162.87,161.04,183.0,455 CDM,PX-A59001,PR ANES FOR AMNIOCENTESIS THERAPEUTIC AFR,183.0,162.87,161.04,183.0,455 CDM,PX-A59012,PR ANES FOR CORDOCENTESIS INTRAUTERINE,183.0,162.87,161.04,183.0,455 CDM,PX-A59015,PR ANES FOR SAMPLING CHORIONIC VILLUS,183.0,162.87,161.04,183.0,455 CDM,PX-A59020,PR ANES FOR FETAL CONTRACT STRESS TEST,183.0,162.87,161.04,183.0,455 CDM,PX-A59025,PR ANES FOR FETAL NON STRESS TEST,183.0,162.87,161.04,183.0,455 CDM,PX-A59030,PR ANES FOR FETAL SCALP BLOOD SAMPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A59050,PR ANES FOR FETAL MONITOR W REPORT,183.0,162.87,161.04,183.0,455 CDM,PX-A59051,PR ANES FOR FETAL MONITOR/INTERPRET ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A59070,PR ANES FOR AMNIOINFUSION TRNSABD W GUIDE,183.0,162.87,161.04,183.0,455 CDM,PX-A59072,PR ANES FOR FETL UMBIL CORD OCCL W/US GUID,183.0,162.87,161.04,183.0,455 CDM,PX-A59074,PR ANES FOR DRAINAGE FETAL FLUID W US GUID,183.0,162.87,161.04,183.0,455 CDM,PX-A59076,"PR ANES FOR FETAL SHUNT PLACEMENT, W/ US",183.0,162.87,161.04,183.0,455 CDM,PX-A59100,"PR ANES FOR OPEN UTERUS,ABD FOR MOLE,ABORTN",183.0,162.87,161.04,183.0,455 CDM,PX-A59120,PR ANES FOR TX ECTOPIC PREG ABD/VAG APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A59121,PR ANES FOR TX ECTOPIC PREG WO SALP/OOPH,183.0,162.87,161.04,183.0,455 CDM,PX-A59130,PR ANES FOR SURG TX ECTOPIC PREGNANCY ABD,183.0,162.87,161.04,183.0,455 CDM,PX-A59136,PR ANES FOR TX ECTOPIC PREG INTERSTITAL,183.0,162.87,161.04,183.0,455 CDM,PX-A59140,PR ANES FOR TX ECTOPIC PREG CERV W EVAC,183.0,162.87,161.04,183.0,455 CDM,PX-A59150,PR ANES FOR LAP TX ECTOPIC PREG WO SALPING,183.0,162.87,161.04,183.0,455 CDM,PX-A59151,PR ANES FOR LAP ECTOPIC PREG W SALP/OOPH,183.0,162.87,161.04,183.0,455 CDM,PX-A59160,PR ANES FOR CURRETTAGE POSTPARTUM,183.0,162.87,161.04,183.0,455 CDM,PX-A59200,PR ANES FOR INSERT CERVICAL DILATOR,183.0,162.87,161.04,183.0,455 CDM,PX-A59300,PR ANES FOR EPISIOTOMY/VAGINAL REPAIR,183.0,162.87,161.04,183.0,455 CDM,PX-A59320,PR ANES FOR CERCLAGE CERVIX VAGINAL,183.0,162.87,161.04,183.0,455 CDM,PX-A59325,PR ANES FOR CERCLAGE CERVIX ABDOMINAL,183.0,162.87,161.04,183.0,455 CDM,PX-A59350,PR ANES FOR HYSTERORRHAPHY RUPT UTERUS,183.0,162.87,161.04,183.0,455 CDM,PX-A59400,PR ANES FOR ROUTINE VAG ANTE/POSTPRTUM PKG,183.0,162.87,161.04,183.0,455 CDM,PX-A59409,PR ANES FOR DEL VAG ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A59410,PR ANES FOR DEL VAG ONLY INCL POSTPARTUM,183.0,162.87,161.04,183.0,455 CDM,PX-A59412,PR ANES FOR EXTERNAL CEPHALIC VERSION,183.0,162.87,161.04,183.0,455 CDM,PX-A59414,PR ANES FOR DELIVERY PLACENTA SEP PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A59425,PR ANES FOR ANTEPARTUM CARE ONLY 4-6 VISIT,183.0,162.87,161.04,183.0,455 CDM,PX-A59426,PR ANES FOR ANTEPARTUM CARE ONLY 7+ VISITS,183.0,162.87,161.04,183.0,455 CDM,PX-A59430,PR ANES FOR POST PARTUM CARE ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A59510,PR ANES FOR ROUTINE C/S ANTE/POSTPRTUM PKG,183.0,162.87,161.04,183.0,455 CDM,PX-A59514,PR ANES FOR DELIVERY ONLY CESAREAN,183.0,162.87,161.04,183.0,455 CDM,PX-A59515,PR ANES FOR DEL ONLY CESAREAN POSTPARTUM,183.0,162.87,161.04,183.0,455 CDM,PX-A59525,PR ANES FOR HYSTERECTOMY AFTER CESAREAN,183.0,162.87,161.04,183.0,455 CDM,PX-A59610,PR ANES FOR ROUTINE VBAC PACKAGE,183.0,162.87,161.04,183.0,455 CDM,PX-A59612,PR ANES FOR VBAC DEL ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A59614,PR ANES FOR VBAC DEL ONLY W PP,183.0,162.87,161.04,183.0,455 CDM,PX-A59618,PR ANES FOR C/S AFTER ATMPT VBAC PACKAGE,183.0,162.87,161.04,183.0,455 CDM,PX-A59620,PR ANES FOR C/S ONLY AFTER ATMPT VBAC,183.0,162.87,161.04,183.0,455 CDM,PX-A59622,PR ANES FOR C/S ONLY AFTER ATMPT VBAC W PP,183.0,162.87,161.04,183.0,455 CDM,PX-A59812,PR ANES FOR TX INCOMPLETE ABORTION,183.0,162.87,161.04,183.0,455 CDM,PX-A59820,PR ANES FOR TX MISSED ABORTION SURG 1ST T,183.0,162.87,161.04,183.0,455 CDM,PX-A59821,PR ANES FOR TX MISSED ABORTION SURG 2ND T,183.0,162.87,161.04,183.0,455 CDM,PX-A59830,PR ANES FOR TX SEPTIC ABORTION,183.0,162.87,161.04,183.0,455 CDM,PX-A59840,PR ANES FOR ABORTION INDUCED BY D&C,183.0,162.87,161.04,183.0,455 CDM,PX-A59841,PR ANES FOR ABORTION INDUCED BY D&E,183.0,162.87,161.04,183.0,455 CDM,PX-A59850,PR ANES FOR ABORTION INDUC BY AMNIOCEN INJ,183.0,162.87,161.04,183.0,455 CDM,PX-A59851,PR ANES FOR INDUCED ABORTION BY >=1 INJ,183.0,162.87,161.04,183.0,455 CDM,PX-A59852,PR ANES FOR INDUCED AB BY INJECT+OPEN UTERUS,183.0,162.87,161.04,183.0,455 CDM,PX-A59855,PR ANES FOR ABORT INDUC 1+ VAG SUPP,183.0,162.87,161.04,183.0,455 CDM,PX-A59856,PR ANES FOR ABORT IND 1+ VAG SUPP D&C EVAC,183.0,162.87,161.04,183.0,455 CDM,PX-A59857,PR ANES FOR INDUCED AB BY VAG SUPP+OPEN UTERUS,183.0,162.87,161.04,183.0,455 CDM,PX-A59866,PR ANES FOR MULTIFETAL PREGNANCY REDUC,183.0,162.87,161.04,183.0,455 CDM,PX-A59870,PR ANES FOR EVAC&CURETT UTER MOLE,183.0,162.87,161.04,183.0,455 CDM,PX-A59871,PR ANES FOR RMVL CERCLAGE SUTR W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A59897,PR ANES FOR UNL FETAL INVASIVE PROC US,183.0,162.87,161.04,183.0,455 CDM,PX-A59898,"PR ANES FOR LAP,OB CARE/DELIV,UNLIST PROC",183.0,162.87,161.04,183.0,455 CDM,PX-A59899,PR ANES FOR UNLISTED PROC MATERNITY/DEL,183.0,162.87,161.04,183.0,455 CDM,PX-A60000,PR ANES FOR I&D THYROGLSL DUCT CYST INFECT,183.0,162.87,161.04,183.0,455 CDM,PX-A60100,PR ANES FOR BIOPSY THYROID PERC CORE NDL,183.0,162.87,161.04,183.0,455 CDM,PX-A60200,PR ANES FOR EXCISN CYST/ADENOMA THYROID,183.0,162.87,161.04,183.0,455 CDM,PX-A60210,PR ANES FOR LBCTMY THYROID UNILAT PARTIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A60212,PR ANES FOR LBCTMY THYRD PRTL W SUB LBCTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A60220,PR ANES FOR LBCTMY THYROID TOTAL UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A60225,PR ANES FOR LBCTMY THYRD TOTL W SUB LBCTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A60240,PR ANES FOR THYROIDECTOMY TOTAL/COMPLETE,183.0,162.87,161.04,183.0,455 CDM,PX-A60252,PR ANES FOR THYROIDECTOMY W LTD NK DISSECT,183.0,162.87,161.04,183.0,455 CDM,PX-A60254,PR ANES FOR THYROIDECTOMY W RAD NK DISSECT,183.0,162.87,161.04,183.0,455 CDM,PX-A60260,PR ANES FOR THYROIDECTOMY RMVL REMAIN TISS,183.0,162.87,161.04,183.0,455 CDM,PX-A60270,PR ANES FOR THYROIDECT SUBSTERNL THOR APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A60271,PR ANES FOR THYROIDECT SUBSTERNL CERV APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A60280,PR ANES FOR EXCISN THYROGLOSSAL DUCT CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A60281,PR ANES FOR EXCISN THYROGLOS DUCT CYST RECUR,183.0,162.87,161.04,183.0,455 CDM,PX-A60300,PR ANES FOR ASP INJ THYROID CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A60500,PR ANES FOR PARATHYROIDECTOMY EXPLOR,183.0,162.87,161.04,183.0,455 CDM,PX-A60502,PR ANES FOR PARATHYROIDECTOMY RE-EXPLOR,183.0,162.87,161.04,183.0,455 CDM,PX-A60505,PR ANES FOR PARATHYRDCT MEDIASTINAL EXPLOR,183.0,162.87,161.04,183.0,455 CDM,PX-A60512,PR ANES FOR PARATHYROID AUTOTRANSPLANT ADD-ON,183.0,162.87,161.04,183.0,455 CDM,PX-A60520,PR ANES FOR THYMECTOMY TXCERV APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A60521,PR ANES FOR THYMECTOMY STERNL/THOR APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A60522,PR ANES FOR THYMECTOMY STERNL/THOR DISSECT,183.0,162.87,161.04,183.0,455 CDM,PX-A60540,PR ANES FOR ADRENALECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A60545,PR ANES FOR ADRENALECTOMY W EXCISN TMR,183.0,162.87,161.04,183.0,455 CDM,PX-A60600,PR ANES FOR EXCISN CARTD TMR WO EXCISN ART,183.0,162.87,161.04,183.0,455 CDM,PX-A60605,PR ANES FOR EXCISN CARTD TMR W EXCISN ART,183.0,162.87,161.04,183.0,455 CDM,PX-A60650,PR ANES FOR LAPAROSCOPY ADRENALECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A60659,PR ANES FOR UNLISTED PROC LAP ENDOCRINE,183.0,162.87,161.04,183.0,455 CDM,PX-A60660,PR ANES FOR ABLTJ 1/+THYR NDUL 1LOBE PRQ,183.0,162.87,161.04,183.0,455 CDM,PX-A60661,PR ANES FOR ABLTJ 1/+THYR NDUL ADDL PRQ,183.0,162.87,161.04,183.0,455 CDM,PX-A60699,PR ANES FOR UNLISTED PROC ENDOCRINE SYSTEM,183.0,162.87,161.04,183.0,455 CDM,PX-A61000,PR ANES FOR TAP SUBDURAL FONT INFANT INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A61001,PR ANES FOR TAP SUBDURAL FONT INFANT SUBSQ,183.0,162.87,161.04,183.0,455 CDM,PX-A61020,PR ANES FOR VENT PERC BURR HOLE WO INJ,183.0,162.87,161.04,183.0,455 CDM,PX-A61026,PR ANES FOR VENT PERC BURR HOLE W INJ,183.0,162.87,161.04,183.0,455 CDM,PX-A61050,PR ANES FOR PUNC CISTERNAL/LAT C1-C12 WO,183.0,162.87,161.04,183.0,455 CDM,PX-A61055,PR ANES FOR PUNCTURE C1-C2 W INJECTION,183.0,162.87,161.04,183.0,455 CDM,PX-A61070,PR ANES FOR PUNC SHUNT TUBE ASP INJ PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A61105,PR ANES FOR TWIST DRILL HOLE SUBDURAL/VENT PUNC,183.0,162.87,161.04,183.0,455 CDM,PX-A61107,PR ANES FOR IMPL TWIST DRILL HOLE VEN CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A61108,PR ANES FOR VENTRICULOSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A61120,PR ANES FOR BURR HOLE VENTRICULAR PUNCTURE,183.0,162.87,161.04,183.0,455 CDM,PX-A61140,PR ANES FOR BURR HOLE W BX BRAIN LESION,183.0,162.87,161.04,183.0,455 CDM,PX-A61150,PR ANES FOR BURR HOLE W DRNG BRAIN ABSCESS,183.0,162.87,161.04,183.0,455 CDM,PX-A61151,PR ANES FOR BURR HOLE ASP INTRACRNL ABSC,183.0,162.87,161.04,183.0,455 CDM,PX-A61154,PR ANES FOR BURR HOLE W EVAC HEMATOMA,183.0,162.87,161.04,183.0,455 CDM,PX-A61156,PR ANES FOR BURR HOLE W ASP HEMATOMA,183.0,162.87,161.04,183.0,455 CDM,PX-A61210,PR ANES FOR BURR HOLE IMPL CRBRAL MNTR DEV,183.0,162.87,161.04,183.0,455 CDM,PX-A61215,PR ANES FOR INSRT SUBQ RESERVOIR VENT CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A61250,PR ANES FOR BURR HOLE SUPRTENT WO OTH SURG,183.0,162.87,161.04,183.0,455 CDM,PX-A61253,PR ANES FOR BURR HOLE INFRATENTORIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A61304,PR ANES FOR CRNCTMY EXPLOR SUPRATENTORIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A61305,PR ANES FOR CRNCTMY EXPLOR INFRATENTORIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A61312,PR ANES FOR CRNCTMY HEMA SUPRA EXTRADURAL,183.0,162.87,161.04,183.0,455 CDM,PX-A61313,PR ANES FOR CRNCTMY HEMA SUPRA INTRACEREB,183.0,162.87,161.04,183.0,455 CDM,PX-A61314,PR ANES FOR CRNCTMY HEMA INFRATENT EXTRDRL,183.0,162.87,161.04,183.0,455 CDM,PX-A61315,PR ANES FOR CRNCTMY HEMA SUPRA INTRACRBLR,183.0,162.87,161.04,183.0,455 CDM,PX-A61316,PR ANES FOR INSICN PLC CRANL BN GRFT SUBQ,183.0,162.87,161.04,183.0,455 CDM,PX-A61320,PR ANES FOR CRNCTMY DRN ABSC SUPRA,183.0,162.87,161.04,183.0,455 CDM,PX-A61321,PR ANES FOR CRNCTMY DRN ABSC INFRA,183.0,162.87,161.04,183.0,455 CDM,PX-A61322,PR ANES FOR CRNCTMY DCMPRN WO LBCTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A61323,PR ANES FOR CRNCTMY W/WO DURAPLST W LBCTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A61330,PR ANES FOR DCMPRN ORBIT TRANSCRANIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A61333,PR ANES FOR EXPLORATION ORBIT W RMVL LESN,183.0,162.87,161.04,183.0,455 CDM,PX-A61340,PR ANES FOR SUBTEMPORAL CRANIAL DCMPRSN,183.0,162.87,161.04,183.0,455 CDM,PX-A61343,PR ANES FOR CRNCTMY SUBOCIP W CERV LMNCTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A61345,PR ANES FOR OTHR CRANIAL DCMPRSN PSTR FOSSA,183.0,162.87,161.04,183.0,455 CDM,PX-A61450,PR ANES FOR CRNCTMY SUBTEMP CMPRS/DECMPRS,183.0,162.87,161.04,183.0,455 CDM,PX-A61458,PR ANES FOR CRNCTMY SUBOCIP EXPLR CRNL NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A61460,PR ANES FOR CRNCTMY SUBOCIP >=1 CRNL NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A61500,PR ANES FOR CRNCTMY EXCISION TMR SKULL,183.0,162.87,161.04,183.0,455 CDM,PX-A61501,PR ANES FOR CRANIECTOMY OSTEOMYELITIS,183.0,162.87,161.04,183.0,455 CDM,PX-A61510,PR ANES FOR CRNCTMY EXCISN BRAIN TMR SUPRA,183.0,162.87,161.04,183.0,455 CDM,PX-A61512,PR ANES FOR CRNCTMY EXCISN MENINGIOMA SUPRA,183.0,162.87,161.04,183.0,455 CDM,PX-A61514,PR ANES FOR CRNCTMY EXCISN ABSC SUPRA,183.0,162.87,161.04,183.0,455 CDM,PX-A61516,PR ANES FOR CRNCTMY EXCISION CYST SUPRA,183.0,162.87,161.04,183.0,455 CDM,PX-A61517,PR ANES FOR IMPL BRAIN INTRACAVITARY CHEMO,183.0,162.87,161.04,183.0,455 CDM,PX-A61518,PR ANES FOR CRNCTMY EXCISN BRN TMR INFRATENT,183.0,162.87,161.04,183.0,455 CDM,PX-A61519,PR ANES FOR CRNCTMY EXCISN TMR MENINGIOMA,183.0,162.87,161.04,183.0,455 CDM,PX-A61520,PR ANES FOR CRNCTMY EXCISN BRN TMR CEREB ANGL,183.0,162.87,161.04,183.0,455 CDM,PX-A61521,PR ANES FOR CRNCTMY EXCISN BRN TMR SKULL BASE,183.0,162.87,161.04,183.0,455 CDM,PX-A61522,PR ANES FOR CRNCTMY EXCISN BRAIN ABSCESS,183.0,162.87,161.04,183.0,455 CDM,PX-A61524,PR ANES FOR CRNCTMY EXCISN CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A61526,PR ANES FOR CRNCTMY TRANSTEMP EXCISN TMR,183.0,162.87,161.04,183.0,455 CDM,PX-A61530,PR ANES FOR CRNCTMY EXCISN TMR W MID/POSTR FOSS,183.0,162.87,161.04,183.0,455 CDM,PX-A61531,PR ANES FOR IMPL SUBDURAL ELECTRODES,183.0,162.87,161.04,183.0,455 CDM,PX-A61533,PR ANES FOR CRANIOT SUBDURAL IMPL ELECTRODE,183.0,162.87,161.04,183.0,455 CDM,PX-A61534,PR ANES FOR CRANIOT EXCISN EPILEPTOGENIC FCS,183.0,162.87,161.04,183.0,455 CDM,PX-A61535,PR ANES FOR CRANIOT RMVL EPI/SUBDRL ELECTRD,183.0,162.87,161.04,183.0,455 CDM,PX-A61536,PR ANES FOR CRANIOT EPILEPTOGENIC FOCUS,183.0,162.87,161.04,183.0,455 CDM,PX-A61537,PR ANES FOR CRANIOT LBCTMY TEMP WO ECOG,183.0,162.87,161.04,183.0,455 CDM,PX-A61538,PR ANES FOR CRANIOT W TEMPORAL LOBECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A61539,PR ANES FOR CRANIOT WO TEMPORAL LOBECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A61540,PR ANES FOR CRANIOT LBCTMY NOT TEMP WO ECOG,183.0,162.87,161.04,183.0,455 CDM,PX-A61541,PR ANES FOR CRANIOT TRANSEC CORP COLLOSUM,183.0,162.87,161.04,183.0,455 CDM,PX-A61543,PR ANES FOR CRANIOT PRTL HEMISPHERECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A61544,PR ANES FOR CRANIOT EXC/COAG CHORIOID PLEXUS,183.0,162.87,161.04,183.0,455 CDM,PX-A61545,PR ANES FOR CRANIOT EXCISN CRANIOPHARYNG,183.0,162.87,161.04,183.0,455 CDM,PX-A61546,PR ANES FOR CRANIOT EXCISN PIT TMR INTRACRAN,183.0,162.87,161.04,183.0,455 CDM,PX-A61548,PR ANES FOR HYPOPHYSECTOMY NONSTEREOTACTIC,183.0,162.87,161.04,183.0,455 CDM,PX-A61550,PR ANES FOR CRNCTMY CRANIOSYNOSTOSIS SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A61552,PR ANES FOR CRNCTMY CRANIOSYNOSTOSIS MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A61556,PR ANES FOR CRNCTMY CRANIOSYN FRNT FLAP,183.0,162.87,161.04,183.0,455 CDM,PX-A61557,PR ANES FOR CRNCTMY CRANIOSYN BIFRNT FLAP,183.0,162.87,161.04,183.0,455 CDM,PX-A61558,PR ANES FOR CRNCTMY EXTENSIVE MLTPL SUTR,183.0,162.87,161.04,183.0,455 CDM,PX-A61559,PR ANES FOR CRNCTMY EXTENSIVE RECONTOUR,183.0,162.87,161.04,183.0,455 CDM,PX-A61563,PR ANES FOR EXCISN BENIGN TMR CRANIAL BONE,183.0,162.87,161.04,183.0,455 CDM,PX-A61564,PR ANES FOR EXCISN CRAN BN TMR W OPT NRV DCMPRS,183.0,162.87,161.04,183.0,455 CDM,PX-A61566,PR ANES FOR CRNCTMY AMYGDALOHIPPOCAMPECTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A61567,PR ANES FOR CRANIOT SUBPIAL TRANSECT W ECOG,183.0,162.87,161.04,183.0,455 CDM,PX-A61570,PR ANES FOR CRNCTMY BRAIN EXCISN FB,183.0,162.87,161.04,183.0,455 CDM,PX-A61571,PR ANES FOR CRNCTMY BRAIN TX WOUND,183.0,162.87,161.04,183.0,455 CDM,PX-A61575,PR ANES FOR DCMPRN LSN SKL BASE TRANSORAL,183.0,162.87,161.04,183.0,455 CDM,PX-A61576,PR ANES FOR TRANSORAL BX/DCMPRS SPLIT TONGUE,183.0,162.87,161.04,183.0,455 CDM,PX-A61580,PR ANES FOR APP CRNFCL EXTDRL WO ORB EXTRN,183.0,162.87,161.04,183.0,455 CDM,PX-A61581,PR ANES FOR APP CRNFCL ANTR FOSSA EXTRADRL,183.0,162.87,161.04,183.0,455 CDM,PX-A61582,PR ANES FOR APP CRNFCL EXTRADURAL W CRANIOT,183.0,162.87,161.04,183.0,455 CDM,PX-A61583,PR ANES FOR APP CRNFCL INTRADURAL W CRANIOT,183.0,162.87,161.04,183.0,455 CDM,PX-A61584,PR ANES FOR APP ORBTCRNL EXTRDRL WO EXTNSN,183.0,162.87,161.04,183.0,455 CDM,PX-A61585,PR ANES FOR APP ORBTCRNL EXTRDRL W ORB EXENT,183.0,162.87,161.04,183.0,455 CDM,PX-A61586,PR ANES FOR BICORNL TRANSZYG APP WO BN GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A61590,PR ANES FOR APP INFRATEMPRL PRE AURICULAR,183.0,162.87,161.04,183.0,455 CDM,PX-A61591,PR ANES FOR APP INFRATEMPRL POST AURICULAR,183.0,162.87,161.04,183.0,455 CDM,PX-A61592,PR ANES FOR APP ORBITOCRANIAL ZYGOMATIC,183.0,162.87,161.04,183.0,455 CDM,PX-A61595,PR ANES FOR APPR TRANSTEMPORAL DCMPRN NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A61596,PR ANES FOR APPROACH TRANSCOCHLEAR,183.0,162.87,161.04,183.0,455 CDM,PX-A61597,PR ANES FOR TRANSCONDYLAR PSTR CRNL FOSSA,183.0,162.87,161.04,183.0,455 CDM,PX-A61598,PR ANES FOR APPROACH TRANSPETROSAL,183.0,162.87,161.04,183.0,455 CDM,PX-A61600,PR ANES FOR RSECT LSN ANTR CRNL FOSSA EXTR,183.0,162.87,161.04,183.0,455 CDM,PX-A61601,PR ANES FOR RSECT LSN ANTR CRNL FOSSA INTR,183.0,162.87,161.04,183.0,455 CDM,PX-A61605,PR ANES FOR RSECT LSN INFRATMPRL FOSS EXTR,183.0,162.87,161.04,183.0,455 CDM,PX-A61606,PR ANES FOR RSECT LSN INFRATMPRL FOSS INTR,183.0,162.87,161.04,183.0,455 CDM,PX-A61607,PR ANES FOR RSECT LSN PARASELLAR AREA EXTR,183.0,162.87,161.04,183.0,455 CDM,PX-A61608,PR ANES FOR RSECT LSN PARASELLAR AREA INTR,183.0,162.87,161.04,183.0,455 CDM,PX-A61611,PR ANES FOR LIGATE CAROTID ART IN PETROUS CANL,183.0,162.87,161.04,183.0,455 CDM,PX-A61613,PR ANES FOR OBLIT AVM/ANEUR/FISTULA-CAVER SINUS,183.0,162.87,161.04,183.0,455 CDM,PX-A61615,PR ANES FOR RSECT LSN POSTR CRNL FOSS EXTR,183.0,162.87,161.04,183.0,455 CDM,PX-A61616,PR ANES FOR RSECT LSN POSTR CRNL FOSS INTR,183.0,162.87,161.04,183.0,455 CDM,PX-A61618,PR ANES FOR RPR SECNDRY DURA CSF LEAK GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A61619,PR ANES FOR RPR SECNDRY DURA CSF LEAK FLAP,183.0,162.87,161.04,183.0,455 CDM,PX-A61623,PR ANES FOR EVASC TEMP BALN ARTL OCCLUSION,183.0,162.87,161.04,183.0,455 CDM,PX-A61624,PR ANES FOR TXCATH OCCL/EMBL CNS,183.0,162.87,161.04,183.0,455 CDM,PX-A61626,PR ANES FOR TXCATH OCCL/EMBL NON CNS,183.0,162.87,161.04,183.0,455 CDM,PX-A61630,PR ANES FOR ANGIO BALN PERC INTRACRANIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A61635,PR ANES FOR INS STNT INTRACRANIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A61640,PR ANES FOR DIL INTRACRANIAL VSPASM INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A61641,PR ANES FOR DIL INTRACRNL VSPASM ADD SAME,183.0,162.87,161.04,183.0,455 CDM,PX-A61642,PR ANES FOR DIL INTRACRNL VSPASM ADD DIFF,183.0,162.87,161.04,183.0,455 CDM,PX-A61645,PR ANES FOR PERC ARTL TRNSLUM THRMBCT INTRCRNL,183.0,162.87,161.04,183.0,455 CDM,PX-A61650,PR ANES FOR EVASC INTRCRNL PROLNG RX ADMIN INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A61651,PR ANES FOR EVASC INTRCRNL PROLNG RX ADMIN ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A61680,PR ANES FOR INTRCR AV MALFORM SUPRA SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A61682,PR ANES FOR INTRCR AV MALFORM SUPRA COMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A61684,PR ANES FOR INTRCR AV MALFORM INFRA SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A61686,PR ANES FOR INTRCR AV MALFORM INFRA CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A61690,PR ANES FOR INTRCR AV MALFORM DURAL SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A61692,PR ANES FOR INTRCR AV MALFORM DURAL CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A61697,PR ANES FOR CMPLX INTRCR ARYSM CARTD CIRC,183.0,162.87,161.04,183.0,455 CDM,PX-A61698,PR ANES FOR CMPLX INTRCR ARYSM VRTBRBSLR,183.0,162.87,161.04,183.0,455 CDM,PX-A61700,PR ANES FOR SMPL INTRCR ARYSM CARTD CIRC,183.0,162.87,161.04,183.0,455 CDM,PX-A61702,PR ANES FOR SMPL INTRCR ARYSM VRTBRBSLR,183.0,162.87,161.04,183.0,455 CDM,PX-A61703,PR ANES FOR INTRACRAN ANEURYSM CERV CLAMP,183.0,162.87,161.04,183.0,455 CDM,PX-A61705,PR ANES FOR ANRYSM MALFORM OCCLUS CRTD ART,183.0,162.87,161.04,183.0,455 CDM,PX-A61708,PR ANES FOR OCCLN CAROTID ELECTROTHROMBOSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A61710,PR ANES FOR OCCLN CAROTID EMBOLIZATION,183.0,162.87,161.04,183.0,455 CDM,PX-A61711,PR ANES FOR ANAST ARTY EXTRACRNL-INTRACRNL,183.0,162.87,161.04,183.0,455 CDM,PX-A61715,PR ANES FOR MRGFUS STRTCTC ABLT TRGT ICR,183.0,162.87,161.04,183.0,455 CDM,PX-A61720,PR ANES FOR CREATE LESN STRTCTC GLOBUS,183.0,162.87,161.04,183.0,455 CDM,PX-A61735,PR ANES FOR CREATE LESN STRTCTC SUBCORT,183.0,162.87,161.04,183.0,455 CDM,PX-A61736,PR ANES FOR LITT LES ICR SINGLE TRAJECTORY 1 SIMPLE LESION,183.0,162.87,161.04,183.0,455 CDM,PX-A61737,PR ANES FOR LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS,183.0,162.87,161.04,183.0,455 CDM,PX-A61750,PR ANES FOR BX STEREOTACTIC INTRACRNL LESN,183.0,162.87,161.04,183.0,455 CDM,PX-A61751,PR ANES FOR BX STRTCTC INTRACRN LSN CT/MRI,183.0,162.87,161.04,183.0,455 CDM,PX-A61760,PR ANES FOR IMPL STRTCTC ELECTRODES CEREB,183.0,162.87,161.04,183.0,455 CDM,PX-A61770,PR ANES FOR STEREO LOC W/BURR,183.0,162.87,161.04,183.0,455 CDM,PX-A61781,PR ANES FOR STRTCTC COMP-ASSIST CRNL INTRA,183.0,162.87,161.04,183.0,455 CDM,PX-A61782,PR ANES FOR STRTCTC COMP-ASSIST CRNL EXTRA,183.0,162.87,161.04,183.0,455 CDM,PX-A61783,PR ANES FOR STRTCTC COMP-ASSIST NAV SPINAL,183.0,162.87,161.04,183.0,455 CDM,PX-A61790,PR ANES FOR CREATE LESN PERC NEURO GASSER,183.0,162.87,161.04,183.0,455 CDM,PX-A61791,PR ANES FOR CREATE LESN PERC NEURO TRIGEM,183.0,162.87,161.04,183.0,455 CDM,PX-A61796,PR ANES FOR RADIOSURG CRANIAL LESION SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A61797,PR ANES FOR RADIOSURG CRANL LESN SMPL ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A61798,PR ANES FOR RADIOSURG CRANIAL LESION CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A61799,PR ANES FOR RADIOSURG CRANL LESN CMPLX ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A61800,PR ANES FOR APP STEREOTACTIC HEADFRAME,183.0,162.87,161.04,183.0,455 CDM,PX-A61850,PR ANES FOR IMPL NEUROSTIMULATOR ELCTD,183.0,162.87,161.04,183.0,455 CDM,PX-A61860,PR ANES FOR CRNCTMY IMPL NEUROSTIM CORTIC,183.0,162.87,161.04,183.0,455 CDM,PX-A61863,PR ANES FOR IMPL ELCTD SUBCORT WO REC 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A61864,PR ANES FOR IMPL ELCTD SUBCORT WO REC EA,183.0,162.87,161.04,183.0,455 CDM,PX-A61867,PR ANES FOR IMPL ELCTD SUBCORT W REC 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A61868,PR ANES FOR IMPL ELCTD SUBCORT W REC EA,183.0,162.87,161.04,183.0,455 CDM,PX-A61880,PR ANES FOR REVISN INTRACRN NEURSTIM ELECT,183.0,162.87,161.04,183.0,455 CDM,PX-A61885,PR ANES FOR INS CRNL PULSE GEN 1 CONNECT,183.0,162.87,161.04,183.0,455 CDM,PX-A61886,PR ANES FOR INS CRNL PULSE GEN 2+ CONNECT,183.0,162.87,161.04,183.0,455 CDM,PX-A61888,PR ANES FOR RMVL CRANIAL NEUROSTIMULATOR,183.0,162.87,161.04,183.0,455 CDM,PX-A61889,PR ANES FOR INSERTION SKULL-MNTD CRANIAL NSTIM PG/RECEIVER,183.0,162.87,161.04,183.0,455 CDM,PX-A61891,PR ANES FOR REVJ/RPLCMT SKULL-MNTD CRANIAL NSTIM PG/RECEIVER,183.0,162.87,161.04,183.0,455 CDM,PX-A61892,PR ANES FOR REMOVAL SKULL-MNTD CRANIAL NSTIM PG/RCVR W/CRNOP,183.0,162.87,161.04,183.0,455 CDM,PX-A62000,PR ANES FOR ELEV DPRESD SKL FX SMPL EXTRA,183.0,162.87,161.04,183.0,455 CDM,PX-A62005,PR ANES FOR ELEV DPRESD SKL FX CMPLX EXTRA,183.0,162.87,161.04,183.0,455 CDM,PX-A62010,PR ANES FOR ELEV DEPRS SKULL FX RPR DURA,183.0,162.87,161.04,183.0,455 CDM,PX-A62100,PR ANES FOR CRANIOTOMY RPR CSF LEAK,183.0,162.87,161.04,183.0,455 CDM,PX-A62115,PR ANES FOR REDUC CRANIOMEGALIC WO GRFT/CRNPLST,183.0,162.87,161.04,183.0,455 CDM,PX-A62117,PR ANES FOR REDUC CRANIOMEGALIC W/WO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A62120,PR ANES FOR RPR OF ENCEPHALOCELE,183.0,162.87,161.04,183.0,455 CDM,PX-A62121,PR ANES FOR CRANIOT REPAIR ENCEPHALOCELE,183.0,162.87,161.04,183.0,455 CDM,PX-A62140,PR ANES FOR CRNPLSTY SKULL DEFECT <5 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A62141,PR ANES FOR CRNPLSTY SKULL DEFECT >5 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A62142,PR ANES FOR REMOVAL BONE FLAP SKULL,183.0,162.87,161.04,183.0,455 CDM,PX-A62143,PR ANES FOR REPLACEMENT BONE FLAP SKULL,183.0,162.87,161.04,183.0,455 CDM,PX-A62145,PR ANES FOR CRANIOPLASTY SKULL W RPR BRN SURG,183.0,162.87,161.04,183.0,455 CDM,PX-A62146,PR ANES FOR CRANIOPLASTY W AUTOGRAFT<5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A62147,PR ANES FOR CRANIOPLASTY W AUTOGRAFT>5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A62148,PR ANES FOR INCISN SUBQ CRNPLSTY BN GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A62160,PR ANES FOR NEUROENDO INTRACRNL PLC CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A62161,PR ANES FOR NEUROENDO INTRACRNL DSCT ADHES,183.0,162.87,161.04,183.0,455 CDM,PX-A62162,PR ANES FOR NEUROENDO INTRACRNL W CATH DRN,183.0,162.87,161.04,183.0,455 CDM,PX-A62164,PR ANES FOR NEUROENDO W RETRIEVAL FB,183.0,162.87,161.04,183.0,455 CDM,PX-A62165,PR ANES FOR NEUROENDO INTRA EXCISN PIT TMR,183.0,162.87,161.04,183.0,455 CDM,PX-A62180,PR ANES FOR VENTRICULO-CISTERNOSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A62190,PR ANES FOR CREATE SHUNT SUBDURAL-ATRIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A62192,PR ANES FOR CREATE SHUNT SUBDRL-PERITONEAL,183.0,162.87,161.04,183.0,455 CDM,PX-A62194,"PR ANES FOR REPLACE/IRRIGATE,SUBARACH/DUR CATH",183.0,162.87,161.04,183.0,455 CDM,PX-A62200,PR ANES FOR VENTRICULOCISTERN 3RD VENT,183.0,162.87,161.04,183.0,455 CDM,PX-A62201,PR ANES FOR VENTRICULOCISTERN 3 VENT STREO,183.0,162.87,161.04,183.0,455 CDM,PX-A62220,PR ANES FOR CREATE SHUNT VENTRICULO-ATRIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A62223,PR ANES FOR CREATE SHUNT VENTRIC-PERITONL,183.0,162.87,161.04,183.0,455 CDM,PX-A62225,PR ANES FOR REPLACE VENTRICULAR CATHETER,183.0,162.87,161.04,183.0,455 CDM,PX-A62230,PR ANES FOR REPLACE/REVISE CSF SHUNT,183.0,162.87,161.04,183.0,455 CDM,PX-A62252,PR ANES FOR REPROGRAM CSF SHUNT,183.0,162.87,161.04,183.0,455 CDM,PX-A62256,PR ANES FOR RMVL CSF SHUNT SYSTEM WO RPLC,183.0,162.87,161.04,183.0,455 CDM,PX-A62258,PR ANES FOR RMVL CSF SHUNT SYSTEM W RPLC,183.0,162.87,161.04,183.0,455 CDM,PX-A62263,"PR ANES FOR LYSIS,PERQ,EPIDURAL ADHESIONS,2 DAYS/>",183.0,162.87,161.04,183.0,455 CDM,PX-A62264,PR ANES FOR LYSIS EPIDURAL ADHESIONS PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A62267,PR ANES FOR PERC ASP INTERDISCAL DX,183.0,162.87,161.04,183.0,455 CDM,PX-A62268,PR ANES FOR PERC ASP SPINAL CORD CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A62269,PR ANES FOR BX SPINAL CORD PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A62270,PR ANES FOR PUNCTURE SPINAL LUMBAR DX,183.0,162.87,161.04,183.0,455 CDM,PX-A62272,PR ANES FOR PUNCTURE SPINAL THER DRN CSF,183.0,162.87,161.04,183.0,455 CDM,PX-A62273,PR ANES FOR INJ EPI BLD/CLOT PATCH,183.0,162.87,161.04,183.0,455 CDM,PX-A62280,"PR ANES FOR INJ,NEUROLYTIC,SUBARACHNOID",183.0,162.87,161.04,183.0,455 CDM,PX-A62281,PR ANES FOR INJ/INFUS NEUROLYT CERV/THOR,183.0,162.87,161.04,183.0,455 CDM,PX-A62282,PR ANES FOR INJ/INF NEUROLYT LUMB/SACRAL,183.0,162.87,161.04,183.0,455 CDM,PX-A62284,PR ANES FOR INJ MYELOGRAPHY CT WO C1/C2,183.0,162.87,161.04,183.0,455 CDM,PX-A62287,PR ANES FOR DCMPRN PERC NUCLEUS MATRL,183.0,162.87,161.04,183.0,455 CDM,PX-A62290,PR ANES FOR INJ DISCOGRAPHY LUMBAR EA LVL,183.0,162.87,161.04,183.0,455 CDM,PX-A62291,PR ANES FOR INJ DISCOGRAPHY CRV/THR EA LVL,183.0,162.87,161.04,183.0,455 CDM,PX-A62292,PR ANES FOR INJECT CHEMONUCLEOLYSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A62294,"PR ANES FOR INJECT SPINAL ARTERY,OCCLUDE AVM",183.0,162.87,161.04,183.0,455 CDM,PX-A62302,PR ANES FOR MYELOGRAPHY LUMB INJ S&I CERV,183.0,162.87,161.04,183.0,455 CDM,PX-A62303,PR ANES FOR MYELOGRAPHY LUMB INJ S&I THOR,183.0,162.87,161.04,183.0,455 CDM,PX-A62304,PR ANES FOR MYELOGRAPHY LUMB INJ S&I LUMB,183.0,162.87,161.04,183.0,455 CDM,PX-A62305,PR ANES FOR MYELOGRAPHY LUMB INJ >2 RGNS,183.0,162.87,161.04,183.0,455 CDM,PX-A62320,PR ANES FOR INJ SPINE CERV/THOR WO IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A62321,PR ANES FOR INJ SPINE CERV/THOR W IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A62322,PR ANES FOR INJ SPINE LUMB/SAC WO IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A62323,PR ANES FOR INJ SPINE LUMB/SAC W IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A62324,PR ANES FOR INJ INF/BOLUS CERV/THORAC DX WO IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A62325,PR ANES FOR NJX INTRLMNR CRV/THOR W IMG GUID,183.0,162.87,161.04,183.0,455 CDM,PX-A62326,PR ANES FOR INJ INF/BOLUS LUMB/SACRAL DX WO IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A62327,PR ANES FOR INJ INTERLAMINAR LUMBAR/ SAC,183.0,162.87,161.04,183.0,455 CDM,PX-A62328,PR ANES FOR PUNCTURE SPINAL LUMBAR DX W GUID,183.0,162.87,161.04,183.0,455 CDM,PX-A62329,PR ANES FOR PUNCTURE SPINAL THER DRN CSF W GUID,183.0,162.87,161.04,183.0,455 CDM,PX-A62330,PR ANES FOR PR DCMPRN PERQ PRTL RMVL LIGA FLAVM BI 1NTRSPC LMBR,183.0,162.87,161.04,183.0,455 CDM,PX-A62350,PR ANES FOR IMPL CATH WO LAMINECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A62351,PR ANES FOR IMPL CATH W LAMINECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A62355,PR ANES FOR RMVL PREV IMPL CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A62360,PR ANES FOR IMPL FOR INF SUBQ RESERVOIR,183.0,162.87,161.04,183.0,455 CDM,PX-A62361,"PR ANES FOR INSERT/ PREPLACE INFUSN PUMP,NONPROGRAM",183.0,162.87,161.04,183.0,455 CDM,PX-A62362,PR ANES FOR IMPL FOR INFUSION PROGRAM PUMP,183.0,162.87,161.04,183.0,455 CDM,PX-A62365,PR ANES FOR REMOVAL OF SUBQ RESERVOIR,183.0,162.87,161.04,183.0,455 CDM,PX-A62367,PR ANES FOR ELEC ANLYS PUMP WO RPRG/REFILL,183.0,162.87,161.04,183.0,455 CDM,PX-A62368,PR ANES FOR ELEC ANLYS PUMP W RPRG,183.0,162.87,161.04,183.0,455 CDM,PX-A62369,PR ANES FOR ELEC ANALYSIS W REPRG REFIL,183.0,162.87,161.04,183.0,455 CDM,PX-A62370,PR ANES FOR ELEC ANLYS PUMP W RPRG&RFLL,183.0,162.87,161.04,183.0,455 CDM,PX-A62380,PR ANES FOR ENDOSC DCMPRN FIRST INTRSPC LUMB,183.0,162.87,161.04,183.0,455 CDM,PX-A63001,PR ANES FOR LAMINECTOMY W EXPLR CERVICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A63003,PR ANES FOR LAMINECTOMY W EXPLR THORACIC,183.0,162.87,161.04,183.0,455 CDM,PX-A63005,PR ANES FOR LAMINECTOMY W EXPLR LUMBAR,183.0,162.87,161.04,183.0,455 CDM,PX-A63011,PR ANES FOR LMNCTMY WO FACETECT <=2 SEG SAC,183.0,162.87,161.04,183.0,455 CDM,PX-A63012,PR ANES FOR LAMINECTOMY W RMVL FACETS LUMB,183.0,162.87,161.04,183.0,455 CDM,PX-A63015,PR ANES FOR LMNCTMY W EXPLR 2+ SEG CERV,183.0,162.87,161.04,183.0,455 CDM,PX-A63016,PR ANES FOR LMNCTMY W EXPLR 2+ SEG THOR,183.0,162.87,161.04,183.0,455 CDM,PX-A63017,PR ANES FOR LMNCTMY W EXPLR 2+ SEG LUMB,183.0,162.87,161.04,183.0,455 CDM,PX-A63020,PR ANES FOR LMNOTOMY W DCMPRN 1 SPACE CERV,183.0,162.87,161.04,183.0,455 CDM,PX-A63030,PR ANES FOR LMNOTOMY W DCMPRN 1 SPACE LUMB,183.0,162.87,161.04,183.0,455 CDM,PX-A63035,PR ANES FOR LMNOTOMY W DCMPRN EA ADD SPACE,183.0,162.87,161.04,183.0,455 CDM,PX-A63040,PR ANES FOR LMNOTOMY REEXPLOR 1 SPACE CERV,183.0,162.87,161.04,183.0,455 CDM,PX-A63042,PR ANES FOR LMNOTOMY REEXPLOR 1 SPACE LUMB,183.0,162.87,161.04,183.0,455 CDM,PX-A63043,PR ANES FOR LMNOTOMY REEXPLOR CERV EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A63044,PR ANES FOR LMNOTOMY REEXPLOR LUMB EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A63045,PR ANES FOR LAMIN/FACE/FORAMIN 1 SEG CERV,183.0,162.87,161.04,183.0,455 CDM,PX-A63046,PR ANES FOR LAMIN/FACE/FORAMIN 1 SEG THOR,183.0,162.87,161.04,183.0,455 CDM,PX-A63047,PR ANES FOR LAMIN/FACE/FORAMIN 1 SEG LUMB,183.0,162.87,161.04,183.0,455 CDM,PX-A63048,PR ANES FOR LAMIN/FACE/FORAMIN EA ADD SEG,183.0,162.87,161.04,183.0,455 CDM,PX-A63050,PR ANES FOR LMNPLSTY CERV W DCMPRN 2+ SEG,183.0,162.87,161.04,183.0,455 CDM,PX-A63051,PR ANES FOR LMNPLSTY CERV W DCMPRN&RECNSTR,183.0,162.87,161.04,183.0,455 CDM,PX-A63052,PR ANES FOR LAM/FAC/FOR POST ARTHR SGL VERT SEG,183.0,162.87,161.04,183.0,455 CDM,PX-A63053,PR ANES FOR LAM/FAC/FOR POST ARTHR EA ADD SEG,183.0,162.87,161.04,183.0,455 CDM,PX-A63055,PR ANES FOR TRANSPEDIC DCMPRN 1 SEG THOR,183.0,162.87,161.04,183.0,455 CDM,PX-A63056,PR ANES FOR TRANSPEDIC DCMPRN 1 SEG LUMB,183.0,162.87,161.04,183.0,455 CDM,PX-A63057,PR ANES FOR TRANSPEDIC DCMPRN EA ADD SEG,183.0,162.87,161.04,183.0,455 CDM,PX-A63064,PR ANES FOR COSTOVERT DCMPRN 1 SEG THOR,183.0,162.87,161.04,183.0,455 CDM,PX-A63066,PR ANES FOR COSTOVERT DCMPRN EA ADD SEG,183.0,162.87,161.04,183.0,455 CDM,PX-A63075,PR ANES FOR DISCTMY ANT W DCMPRN CERV SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A63076,PR ANES FOR DISCECT ANTR W DCMPRN CERV EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A63077,PR ANES FOR DISCTMY ANT W DCMPRN THOR SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A63078,PR ANES FOR DISCECT ANTR W DCMPRN THOR EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A63081,PR ANES FOR CRPCTMY ANTR APP CERV SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A63082,PR ANES FOR CRPCTMY ANTR APP CERV EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A63085,PR ANES FOR CRPCTMY TRNSTHOR APP THOR SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A63086,PR ANES FOR CRPCTMY TRANSTHOR THOR EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A63087,PR ANES FOR CRPCTMY THRCOLMB THOR/LUMB SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A63088,PR ANES FOR CRPCTMY THRCOLMB THOR/LUMB ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A63090,PR ANES FOR CRPCTMY PERIT THOR/LUMB/SAC SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A63091,PR ANES FOR CRPCTMY PERIT THOR/LUMB/SAC ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A63101,PR ANES FOR CRPCTMY LAT EXTRCV THOR SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A63102,PR ANES FOR CRPCTMY LAT EXTRCV LUMB SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A63103,PR ANES FOR CRPCTMY LAT EXTRCV TH/LB EA AD,183.0,162.87,161.04,183.0,455 CDM,PX-A63170,PR ANES FOR LMNCTMY W MYLTMY CRV/THOR/THORCOL,183.0,162.87,161.04,183.0,455 CDM,PX-A63172,PR ANES FOR LMNCTMY W DRN CYST SUBARACH,183.0,162.87,161.04,183.0,455 CDM,PX-A63173,PR ANES FOR LMNCTMY W DRN CYST PERITONEAL,183.0,162.87,161.04,183.0,455 CDM,PX-A63185,PR ANES FOR LMNCTMY W RHIZOTOMY <=2 SEG,183.0,162.87,161.04,183.0,455 CDM,PX-A63190,PR ANES FOR LMNCTMY W RHIZOTOMY >2 SEG,183.0,162.87,161.04,183.0,455 CDM,PX-A63191,PR ANES FOR LMNCTMY W SECT SPNL ACSRY NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A63197,PR ANES FOR LMNCTMY W CORDOT 2 SPNTHAL THOR,183.0,162.87,161.04,183.0,455 CDM,PX-A63200,PR ANES FOR LAMINECTOMY RELEASE CORD LUMB,183.0,162.87,161.04,183.0,455 CDM,PX-A63250,PR ANES FOR LMNCTMY EXCISN AV MALFORM CERV,183.0,162.87,161.04,183.0,455 CDM,PX-A63251,PR ANES FOR LMNCTMY EXCISN AV MALFORM THOR,183.0,162.87,161.04,183.0,455 CDM,PX-A63252,PR ANES FOR LMNCTMY EXCISN AV MALF THORCOLUMB,183.0,162.87,161.04,183.0,455 CDM,PX-A63265,PR ANES FOR LMNCTMY EXCISN LSN EXTRA CERV,183.0,162.87,161.04,183.0,455 CDM,PX-A63266,PR ANES FOR LMNCTMY EXCISN LSN EXTRA THOR,183.0,162.87,161.04,183.0,455 CDM,PX-A63267,PR ANES FOR LMNCTMY EXCISN LSN EXTRA LUMB,183.0,162.87,161.04,183.0,455 CDM,PX-A63268,PR ANES FOR LAMINECT EXCISN INTRSPN LESN SACRAL,183.0,162.87,161.04,183.0,455 CDM,PX-A63270,PR ANES FOR LMNCTMY EXCISN LSN INTRA CERV,183.0,162.87,161.04,183.0,455 CDM,PX-A63271,PR ANES FOR LMNCTMY EXCISN LSN INTRA THOR,183.0,162.87,161.04,183.0,455 CDM,PX-A63272,PR ANES FOR LMNCTMY EXCISN LSN INTRA LUMB,183.0,162.87,161.04,183.0,455 CDM,PX-A63273,PR ANES FOR EXCISN INTRSPN LESN INTRDUR SACRAL,183.0,162.87,161.04,183.0,455 CDM,PX-A63275,PR ANES FOR LMNCTMY BX NEO EXTRADUR CERV,183.0,162.87,161.04,183.0,455 CDM,PX-A63276,PR ANES FOR LMNCTMY BX NEO EXTRADUR THOR,183.0,162.87,161.04,183.0,455 CDM,PX-A63277,PR ANES FOR LMNCTMY BX NEO EXTRADUR LUMB,183.0,162.87,161.04,183.0,455 CDM,PX-A63278,PR ANES FOR LMNCTMY BX NEO EXTRADUR SAC,183.0,162.87,161.04,183.0,455 CDM,PX-A63280,PR ANES FOR LMNCTMY BX INTRDUR EXTMED CERV,183.0,162.87,161.04,183.0,455 CDM,PX-A63281,PR ANES FOR LMNCTMY BX INTRDUR EXTMED THOR,183.0,162.87,161.04,183.0,455 CDM,PX-A63282,PR ANES FOR LMNCTMY BX INTRDUR EXTMED LUMB,183.0,162.87,161.04,183.0,455 CDM,PX-A63283,PR ANES FOR LMNCTMY BX INTRDUR INTMED SAC,183.0,162.87,161.04,183.0,455 CDM,PX-A63285,PR ANES FOR LMNCTMY BX INTRDUR INTMED CERV,183.0,162.87,161.04,183.0,455 CDM,PX-A63286,PR ANES FOR LMNCTMY BX INTRDUR INTMED THOR,183.0,162.87,161.04,183.0,455 CDM,PX-A63287,PR ANES FOR LMNCTMY BX INTRDR INTRMD THORCOL,183.0,162.87,161.04,183.0,455 CDM,PX-A63290,PR ANES FOR LMNCTMY BX EXTRA/INTRADUR ANY,183.0,162.87,161.04,183.0,455 CDM,PX-A63295,PR ANES FOR RCNST OSTPLSTC DORSAL SPN,183.0,162.87,161.04,183.0,455 CDM,PX-A63300,PR ANES FOR CRPCTMY EXCISN LSN EXTRDUR CERV,183.0,162.87,161.04,183.0,455 CDM,PX-A63301,PR ANES FOR CRPCTMY EXCISN EXTRDR THOR TRTHOR,183.0,162.87,161.04,183.0,455 CDM,PX-A63302,PR ANES FOR EXCISN LESN EXDUR THOR THORCOLM AP,183.0,162.87,161.04,183.0,455 CDM,PX-A63303,PR ANES FOR CRPCTMY EXCISN EXTRDR LUMB/SAC,183.0,162.87,161.04,183.0,455 CDM,PX-A63304,PR ANES FOR CRPCTMY EXCISN LESN CERV SINGL,183.0,162.87,161.04,183.0,455 CDM,PX-A63305,PR ANES FOR EXCISN LESN INTDUR THOR TRNSTHOR AP,183.0,162.87,161.04,183.0,455 CDM,PX-A63306,PR ANES FOR EXCISN LESN INTDUR THOR THORCOLM AP,183.0,162.87,161.04,183.0,455 CDM,PX-A63307,PR ANES FOR CRPCTMY EXCISN LSN INTRADUR LUMB/SAC,183.0,162.87,161.04,183.0,455 CDM,PX-A63308,PR ANES FOR CRPCTMY EXCISN LESN CERV EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A63600,"PR ANES FOR CREATE SP CORD LESN,STEREOTAC",183.0,162.87,161.04,183.0,455 CDM,PX-A63610,PR ANES FOR STEREOTACT STIM SPINAL CORD,183.0,162.87,161.04,183.0,455 CDM,PX-A63620,PR ANES FOR SRS SPINAL LESION,183.0,162.87,161.04,183.0,455 CDM,PX-A63621,PR ANES FOR SRS SPINAL LESION ADDL,183.0,162.87,161.04,183.0,455 CDM,PX-A63650,PR ANES FOR IMPL NEUROSTIM ELEC PERC EPI,183.0,162.87,161.04,183.0,455 CDM,PX-A63655,PR ANES FOR LAMINECTOMY W IMPL NS ELEC EPI,183.0,162.87,161.04,183.0,455 CDM,PX-A63661,PR ANES FOR REMOVAL SPINE NEUROSTIM ARRAY,183.0,162.87,161.04,183.0,455 CDM,PX-A63662,PR ANES FOR REMOVAL SPINE NEUROSTIM PLATE,183.0,162.87,161.04,183.0,455 CDM,PX-A63663,PR ANES FOR REV SPINE ELEC PERC ARRAY,183.0,162.87,161.04,183.0,455 CDM,PX-A63664,PR ANES FOR REV SPINE NEUROSTIM PLATE,183.0,162.87,161.04,183.0,455 CDM,PX-A63685,PR ANES FOR INS/RPLC SPINAL NS GEN/REC,183.0,162.87,161.04,183.0,455 CDM,PX-A63688,PR ANES FOR REV IMPLN SPINAL NEUROSTIM,183.0,162.87,161.04,183.0,455 CDM,PX-A63700,PR ANES FOR RPR MENINGOCELE <5 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A63702,PR ANES FOR RPR MENINGOCELE >5 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A63704,PR ANES FOR REPAIR MYELOMENINGOCELE <5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A63706,PR ANES FOR REPAIR MYELOMENINGOCELE >5CM,183.0,162.87,161.04,183.0,455 CDM,PX-A63707,PR ANES FOR REPAIR CSF LEAK WO LAMINECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A63709,PR ANES FOR REPAIR CSF LEAK W LAMINECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A63710,PR ANES FOR DURAL GRAFT SPINAL,183.0,162.87,161.04,183.0,455 CDM,PX-A63740,PR ANES FOR CREATE SHUNT LUMB W LMNCTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A63741,PR ANES FOR CREATE SHUNT LUMB WO LMNCTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A63744,PR ANES FOR RPLC LUMBOSUBARACHNOID SHUNT,183.0,162.87,161.04,183.0,455 CDM,PX-A63746,PR ANES FOR RMVL LUMBOSUBARAC SHUNT WO RPL,183.0,162.87,161.04,183.0,455 CDM,PX-A64400,PR ANES FOR INJ ANES TRIGEMINAL NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A64405,PR ANES FOR INJ ANES GREATER OCCIPITAL NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A64408,PR ANES FOR INJ ANES VAGUS NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A64415,PR ANES FOR INJ ANES BRACHIAL PLEX W GUIDANCE,183.0,162.87,161.04,183.0,455 CDM,PX-A64416,PR ANES FOR INJ ANES BRACHIAL PLEXUS CONT W GUIDANCE,183.0,162.87,161.04,183.0,455 CDM,PX-A64417,PR ANES FOR INJ ANES AXILLARY NERVE W GUIDANCE,183.0,162.87,161.04,183.0,455 CDM,PX-A64418,PR ANES FOR INJ ANES SUPRASCAPULAR NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A64420,PR ANES FOR INJ ANES INTERCOSTAL NRV SNGL LVL,183.0,162.87,161.04,183.0,455 CDM,PX-A64421,PR ANES FOR INJ ANES INTERCOSTAL NRV EA ADDL LEVEL,183.0,162.87,161.04,183.0,455 CDM,PX-A64425,PR ANES FOR INJ ANES ILIOINGUINAL NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A64430,PR ANES FOR INJ NRV BLOCK PUDENDAL,183.0,162.87,161.04,183.0,455 CDM,PX-A64435,PR ANES FOR INJ ANES AGENT PARACERV NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A64445,PR ANES FOR INJ ANES SCIATIC NERVE W GUIDANCE,183.0,162.87,161.04,183.0,455 CDM,PX-A64446,PR ANES FOR INJ ANES SCIATIC NRV CONT INFUS W GUIDANCE,183.0,162.87,161.04,183.0,455 CDM,PX-A64447,PR ANES FOR INJ ANES FEM NERVE W GUIDANCE,183.0,162.87,161.04,183.0,455 CDM,PX-A64448,PR ANES FOR INJ ANES FEM NERVE CONT W GUIDANCE,183.0,162.87,161.04,183.0,455 CDM,PX-A64449,PR ANES FOR INJ ANES LUMB PLEX POSTR CONT,183.0,162.87,161.04,183.0,455 CDM,PX-A64450,PR ANES FOR INJ ANES OTHER PERIPHERAL NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A64451,PR ANES FOR INJ ANES/STEROID NERVES SACROILIAC JNT,183.0,162.87,161.04,183.0,455 CDM,PX-A64454,PR ANES FOR INJ ANES/STEROID GENICULAR NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A64455,PR ANES FOR INJ ANES STEROID PLANTAR NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A64461,PR ANES FOR PARAVERTEB BLOCK THOR SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A64462,PR ANES FOR PARAVERTEB BLOCK THOR 2ND & ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A64463,PR ANES FOR PARAVERTEB BLOCK THOR CONTINUOUS,183.0,162.87,161.04,183.0,455 CDM,PX-A64466,PR ANES FOR THRC FASCIAL PLN BLK UNI NJX,183.0,162.87,161.04,183.0,455 CDM,PX-A64467,PR ANES FOR THRC FASCIAL PLN BLK UNI NFS,183.0,162.87,161.04,183.0,455 CDM,PX-A64468,PR ANES FOR THRC FASCIAL PLN BLK BI NJX,183.0,162.87,161.04,183.0,455 CDM,PX-A64469,PR ANES FOR THRC FASCIAL PLN BLK BI NFS,183.0,162.87,161.04,183.0,455 CDM,PX-A64473,PR ANES FOR LWR XTR FSCL PLN BLK UNI NJX,183.0,162.87,161.04,183.0,455 CDM,PX-A64474,PR ANES FOR LWR XTR FSCL PLN BLK UNI NFS,183.0,162.87,161.04,183.0,455 CDM,PX-A64479,PR ANES FOR INJ ANES FORAMEN SNGL CRV/THRC,183.0,162.87,161.04,183.0,455 CDM,PX-A64480,PR ANES FOR INJ ANES FORAMEN ADD LVL,183.0,162.87,161.04,183.0,455 CDM,PX-A64483,PR ANES FOR INJ ANES FORAMEN EPI LUMB SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A64484,PR ANES FOR INJ ANES FORAMEN EPI LUMB ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A64486,PR ANES FOR TAP BLOCK UNILAT BY INJ,183.0,162.87,161.04,183.0,455 CDM,PX-A64487,PR ANES FOR TAP BLOCK CONT INFUS UNILATERAL,183.0,162.87,161.04,183.0,455 CDM,PX-A64488,PR ANES FOR INJ ANES TRANSABDOM PLANE BIL,183.0,162.87,161.04,183.0,455 CDM,PX-A64489,PR ANES FOR TAP BLOCK CONT INFUS BILATERAL,183.0,162.87,161.04,183.0,455 CDM,PX-A64490,PR ANES FOR INJ FACET JT CERV/THOR 1 LVL,183.0,162.87,161.04,183.0,455 CDM,PX-A64491,PR ANES FOR INJ FACET JT CERV/THOR 2 LVL,183.0,162.87,161.04,183.0,455 CDM,PX-A64492,PR ANES FOR INJ FACET JT CERV/THOR >=3 LVL,183.0,162.87,161.04,183.0,455 CDM,PX-A64493,PR ANES FOR INJ FACET JT LUMB/SAC 1 LVL,183.0,162.87,161.04,183.0,455 CDM,PX-A64494,PR ANES FOR INJ FACET JT LUMB/SAC 2 LVL,183.0,162.87,161.04,183.0,455 CDM,PX-A64495,PR ANES FOR INJ FACET JT LUMB/SAC >= 3 LVL,183.0,162.87,161.04,183.0,455 CDM,PX-A64505,PR ANES FOR INJ ANES SPENOPLTN GANGLION,183.0,162.87,161.04,183.0,455 CDM,PX-A64510,PR ANES FOR INJ ANES STELLATE GANGLION,183.0,162.87,161.04,183.0,455 CDM,PX-A64517,PR ANES FOR INJ ANES SUPR HYPOGASTRIC PLEX,183.0,162.87,161.04,183.0,455 CDM,PX-A64520,PR ANES FOR INJ ANES AGENT LUMBAR/THORACIC,183.0,162.87,161.04,183.0,455 CDM,PX-A64530,PR ANES FOR INJ ANES AGENT CELIAC PLEX,183.0,162.87,161.04,183.0,455 CDM,PX-A64553,PR ANES FOR IMPL NEUROSTIM CRANIAL PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A64555,PR ANES FOR IMPL NEUROSTIM PERIPHERAL PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A64561,PR ANES FOR IMPL NEUROSTIM SAC NRV W IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A64566,PR ANES FOR NEUROSTIM POSTR TIB PERC NDL,183.0,162.87,161.04,183.0,455 CDM,PX-A64568,PR ANES FOR INCISION IMPL CRANIAL NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A64569,PR ANES FOR REV CRANIAL NERVE NEUROSTIM,183.0,162.87,161.04,183.0,455 CDM,PX-A64570,PR ANES FOR RMVL CRANIAL NERVE NEUROSTIM,183.0,162.87,161.04,183.0,455 CDM,PX-A64575,PR ANES FOR INCISN IMPLN NRSTIM PERIPH NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A64580,PR ANES FOR INCISN IMPLN NRSTIM NEUROMUSC,183.0,162.87,161.04,183.0,455 CDM,PX-A64581,PR ANES FOR INCISN IMPLN NRSTIM SACRAL NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A64582,PR ANES FOR OPN MPLTJ HPGLSL NSTM ARY PG,183.0,162.87,161.04,183.0,455 CDM,PX-A64583,PR ANES FOR REV/RPLCT HPGLSL NSTM ARY PG,183.0,162.87,161.04,183.0,455 CDM,PX-A64584,PR ANES FOR RMVL HPGLSL NSTIM ARY PG,183.0,162.87,161.04,183.0,455 CDM,PX-A64585,PR ANES FOR REV/RMVL PERIPH NEUROSTIM ELEC,183.0,162.87,161.04,183.0,455 CDM,PX-A64590,PR ANES FOR INS/RPLC PERIPH/GASTR NEUROSTIM,183.0,162.87,161.04,183.0,455 CDM,PX-A64595,PR ANES FOR REV/RMVL PERIPH/GASTR NEUROSTIM,183.0,162.87,161.04,183.0,455 CDM,PX-A64596,PR ANES FOR INSJ/RPLCMT PERQ ELTRD RA PN W/INT NSTIM 1ST RA,183.0,162.87,161.04,183.0,455 CDM,PX-A64597,PR ANES FOR INSJ/RPLCMT PERQ ELTRD RA PN INT NSTIM EA ADD RA,183.0,162.87,161.04,183.0,455 CDM,PX-A64598,PR ANES FOR REVISION/REMOVAL NSTIM ELTRD ARRAY PN INT NSTIM,183.0,162.87,161.04,183.0,455 CDM,PX-A64600,PR ANES FOR DESTRUCTION NEURO AGNT TRIGEM,183.0,162.87,161.04,183.0,455 CDM,PX-A64605,PR ANES FOR DESTRCT TRIGEM 2ND/3RD DIV,183.0,162.87,161.04,183.0,455 CDM,PX-A64610,PR ANES FOR DESTRCT TRIGEM 2/3 DIV RADMNTR,183.0,162.87,161.04,183.0,455 CDM,PX-A64611,PR ANES FOR CHEMODENERV PAROTID SUBMAN,183.0,162.87,161.04,183.0,455 CDM,PX-A64612,PR ANES FOR CHEMODENERV FACIAL MUS UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A64615,PR ANES FOR CHEMODENERV FACIAL TRIGEM BIL,183.0,162.87,161.04,183.0,455 CDM,PX-A64616,PR ANES FOR CHEMODENERV NECK MUSCLE UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A64617,PR ANES FOR CHEMODENERV LARYNX UNILAT W EMG,183.0,162.87,161.04,183.0,455 CDM,PX-A64620,PR ANES FOR DEST NEURO AGNT INTERCOSTAL NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A64624,PR ANES FOR DEST NEURO AGNT GENICULAR NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A64625,PR ANES FOR RF ABLATION NERVES SACROILIAC JNT,183.0,162.87,161.04,183.0,455 CDM,PX-A64628,PR ANES FOR THER DES INTRA BAS NRV 1ST 2 BOD LUM/SAC,183.0,162.87,161.04,183.0,455 CDM,PX-A64629,PR ANES FOR THER DES INTRA BAS NRV EA ADD BOD LUM/SAC,183.0,162.87,161.04,183.0,455 CDM,PX-A64630,PR ANES FOR DESTRUCT NEURO AGNT PUDENAL NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A64632,PR ANES FOR DEST PLANTAR DIGITAL NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A64633,PR ANES FOR DEST CERV/THOR FACET JT,183.0,162.87,161.04,183.0,455 CDM,PX-A64634,PR ANES FOR DEST CERV/THOR FACET JT ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A64635,PR ANES FOR DEST LUMB/SAC FACET JT,183.0,162.87,161.04,183.0,455 CDM,PX-A64636,PR ANES FOR DEST LUMB/SAC FACET JT ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A64640,PR ANES FOR DEST OTHER PERIPHERAL NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A64642,PR ANES FOR CHEMODENERV 1 EXT 1-4 MUSCLE,183.0,162.87,161.04,183.0,455 CDM,PX-A64643,PR ANES FOR CHEMODENERV EA ADD EXT 1-4 MUS,183.0,162.87,161.04,183.0,455 CDM,PX-A64644,PR ANES FOR CHEMODENERV 1 EXT >=5 MUS,183.0,162.87,161.04,183.0,455 CDM,PX-A64645,PR ANES FOR CHEMODENERV EXT EA ADD > 4 MUS,183.0,162.87,161.04,183.0,455 CDM,PX-A64646,PR ANES FOR CHEMODENERV TRUNK 1-5 MUS,183.0,162.87,161.04,183.0,455 CDM,PX-A64647,PR ANES FOR CHEMODENERV TRUNK OVER 5 MUS,183.0,162.87,161.04,183.0,455 CDM,PX-A64650,PR ANES FOR CHEMODENERV ECCRINE GLND AXIL BOTH,183.0,162.87,161.04,183.0,455 CDM,PX-A64653,PR ANES FOR CHEMODENERV ECCRINE GLND OTHR,183.0,162.87,161.04,183.0,455 CDM,PX-A64680,PR ANES FOR DEST NERVE CELIAC PLEX,183.0,162.87,161.04,183.0,455 CDM,PX-A64681,PR ANES FOR DSTRUCT NEUROLYTIC AGNT HYDROG,183.0,162.87,161.04,183.0,455 CDM,PX-A64702,PR ANES FOR NEUROPLASTY DIGITAL SAME DIGIT,183.0,162.87,161.04,183.0,455 CDM,PX-A64704,PR ANES FOR NEUROPLASTY HAND/FEET NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A64708,PR ANES FOR NEUROPLASTY ARM/LEG MJR NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A64712,PR ANES FOR NEUROPLASTY SCIATIC NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A64713,PR ANES FOR NEUROPLASTY BRACHIAL PLEXUS,183.0,162.87,161.04,183.0,455 CDM,PX-A64714,PR ANES FOR NEUROPLASTY LUMBAR PLEXUS,183.0,162.87,161.04,183.0,455 CDM,PX-A64716,PR ANES FOR NEUROPLASTY CRANIAL NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A64718,PR ANES FOR NEUROPLASTY ULNAR NRV AT ELBOW,183.0,162.87,161.04,183.0,455 CDM,PX-A64719,PR ANES FOR NEUROPLASTYULNAR NERVE AT WRST,183.0,162.87,161.04,183.0,455 CDM,PX-A64721,PR ANES FOR NEUROPLASTY MEDN NRV CARP TUNL,183.0,162.87,161.04,183.0,455 CDM,PX-A64722,PR ANES FOR DECOMPRESSION UNSPECIFIED NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A64726,PR ANES FOR DCMPRN PLANTAR DIGITAL NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A64727,PR ANES FOR NEUROLYSIS INTRNL W MICROSCOPE,183.0,162.87,161.04,183.0,455 CDM,PX-A64728,PR ANES FOR DCMPRN MEDIAN NRV CARL TUNL,183.0,162.87,161.04,183.0,455 CDM,PX-A64732,PR ANES FOR TRANSECTION/AVUL SUBORBITAL NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A64734,PR ANES FOR TRANSECTION AVUL INFRAORBITAL NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A64736,PR ANES FOR TRANSECT MENTAL NERV,183.0,162.87,161.04,183.0,455 CDM,PX-A64738,PR ANES FOR TRANSECTION/AVUL W/OSTEO,183.0,162.87,161.04,183.0,455 CDM,PX-A64740,PR ANES FOR TRANSECT OF TONGUE NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A64742,PR ANES FOR TRANSECTION/AVUL FCL NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A64744,PR ANES FOR TRANSECTION GRT OCCIPITAL NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A64746,PR ANES FOR TRANSECTION PHRENIC NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A64755,PR ANES FOR TRANSECTION VAGUS NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A64760,"PR ANES FOR TRANSECT VAGUS,TRANSABDOMINAL",183.0,162.87,161.04,183.0,455 CDM,PX-A64763,"PR ANES FOR TRANSECT OBTURATR,XTRAPELV,HIP/LEG",183.0,162.87,161.04,183.0,455 CDM,PX-A64766,PR ANES FOR TRANSECTION OBTURATOR INTRPELV,183.0,162.87,161.04,183.0,455 CDM,PX-A64771,PR ANES FOR TRANSECTION OTHR CRNL EXTRADUR,183.0,162.87,161.04,183.0,455 CDM,PX-A64772,PR ANES FOR TRANS/AVUL OTH SPN NRV EXTRADUR,183.0,162.87,161.04,183.0,455 CDM,PX-A64774,PR ANES FOR EXCISN NEUROMA CUTANEOUS NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A64776,PR ANES FOR EXCISN NEUROMA DIGITAL NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A64778,PR ANES FOR EXCISN NEUROMA DGTL NRV EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A64782,PR ANES FOR EXCISN NEUROMA HAND/FOOT,183.0,162.87,161.04,183.0,455 CDM,PX-A64783,PR ANES FOR EXCISN NEUROMA HAND/FT EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A64784,PR ANES FOR EXCISN NEUROMA MJR PERIPHERAL,183.0,162.87,161.04,183.0,455 CDM,PX-A64786,PR ANES FOR EXCISN NEUROMA SCIATIC NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A64787,PR ANES FOR IMPL NERVE END INTO BONE/MUS,183.0,162.87,161.04,183.0,455 CDM,PX-A64788,PR ANES FOR EXCISN NEUROFIBROMA CUTAN NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A64790,PR ANES FOR EXCISN NEUROFIBROMA MJR PERIPH,183.0,162.87,161.04,183.0,455 CDM,PX-A64792,PR ANES FOR EXCISN NEUROFIBROMA EXTENSIVE,183.0,162.87,161.04,183.0,455 CDM,PX-A64795,PR ANES FOR BIOPSY OF NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A64802,"PR ANES FOR SYMPATHECTOMY,CERVICAL",183.0,162.87,161.04,183.0,455 CDM,PX-A64804,"PR ANES FOR SYMPATHECTOMY,CERVICOTHORACIC",183.0,162.87,161.04,183.0,455 CDM,PX-A64809,"PR ANES FOR SYMPATHECTOMY,THORACOLUMBAR",183.0,162.87,161.04,183.0,455 CDM,PX-A64818,PR ANES FOR SYMPATHECTOMY LUMBAR,183.0,162.87,161.04,183.0,455 CDM,PX-A64820,PR ANES FOR SYMPATHECTOMY DGTL ARTERIES EA,183.0,162.87,161.04,183.0,455 CDM,PX-A64821,PR ANES FOR SYMPATHECTOMY RADIAL ARTERY,183.0,162.87,161.04,183.0,455 CDM,PX-A64822,PR ANES FOR SYMPATHECTOMY ULNAR ARTERY,183.0,162.87,161.04,183.0,455 CDM,PX-A64823,PR ANES FOR SYMPATHCTMY SUPRFCL PALMR ARCH,183.0,162.87,161.04,183.0,455 CDM,PX-A64831,PR ANES FOR SUTURE DGTL NRV HAND/FT SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A64832,PR ANES FOR SUTURE DGTL NRV HAND/FT EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A64834,PR ANES FOR SUTURE NERVE HAND/FOOT COMMON,183.0,162.87,161.04,183.0,455 CDM,PX-A64835,PR ANES FOR SUTURE 1 NRV MED MOTOR THENAR,183.0,162.87,161.04,183.0,455 CDM,PX-A64836,PR ANES FOR SUTURE OF 1 NERVE ULNAR MOTOR,183.0,162.87,161.04,183.0,455 CDM,PX-A64837,PR ANES FOR SUTURE HAND/FOOT EA ADD NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A64840,PR ANES FOR SUTURE POSTERIOR TIBIAL NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A64856,PR ANES FOR SUTR MJR NRV ARM/LG W TRANSPSTN,183.0,162.87,161.04,183.0,455 CDM,PX-A64857,PR ANES FOR SITR MJR NRV ARM/LG WO TRNSPSTN,183.0,162.87,161.04,183.0,455 CDM,PX-A64858,PR ANES FOR SUTURE SCIATIC NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A64859,PR ANES FOR SUTURE PERIPH NERVE EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A64861,PR ANES FOR SUTURE BRACHIAL PLEXUS,183.0,162.87,161.04,183.0,455 CDM,PX-A64862,PR ANES FOR SUTURE LUMBAR PLEXUS,183.0,162.87,161.04,183.0,455 CDM,PX-A64864,PR ANES FOR SUTURE FACIAL NRV EXTRACRANIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A64865,PR ANES FOR SUTR FACIAL NRV INFRATEMPORAL,183.0,162.87,161.04,183.0,455 CDM,PX-A64866,PR ANES FOR ANAST FACIAL SPINAL ACCESS,183.0,162.87,161.04,183.0,455 CDM,PX-A64868,PR ANES FOR ANAST FACIAL SPINAL HYPOGLOS,183.0,162.87,161.04,183.0,455 CDM,PX-A64872,PR ANES FOR SUTR NRV REQ SECNDY/DELAY SUTR,183.0,162.87,161.04,183.0,455 CDM,PX-A64874,PR ANES FOR SUTR NRV REQ EXTNS MOBL/TRANSP,183.0,162.87,161.04,183.0,455 CDM,PX-A64876,PR ANES FOR SUTR NRV REQ SHORTEN BN EXTREM,183.0,162.87,161.04,183.0,455 CDM,PX-A64885,PR ANES FOR NERVE GRAFT HEAD/NECK <=4CM,183.0,162.87,161.04,183.0,455 CDM,PX-A64886,PR ANES FOR NERVE GRFT HEAD/NECK>4 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A64890,PR ANES FOR NERVE GRFT HAND/FT SNGL<=4 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A64891,PR ANES FOR NERVE GRFT HAND/FT SNGL >4CM,183.0,162.87,161.04,183.0,455 CDM,PX-A64892,PR ANES FOR NERVE GRFT ARM/LEG SNGL<=4 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A64893,PR ANES FOR NERVE GRFT ARM/LEG SNGL>4 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A64895,PR ANES FOR NERVE GRFT HAND/FOOT MULT<=4CM,183.0,162.87,161.04,183.0,455 CDM,PX-A64896,PR ANES FOR NERVE GRFT HAND/FT MULT >4CM,183.0,162.87,161.04,183.0,455 CDM,PX-A64897,PR ANES FOR NERVE GRFT ARM/LEG MULT<=4 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A64898,PR ANES FOR NERVE GRFT ARM/LEG MULT>4 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A64901,PR ANES FOR NERVE GRFT EA NERVE SINGL,183.0,162.87,161.04,183.0,455 CDM,PX-A64902,PR ANES FOR NERVE GRFT EA NERVE MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A64905,PR ANES FOR NRV PEDICLE TRANSFER 1ST STAGE,183.0,162.87,161.04,183.0,455 CDM,PX-A64907,PR ANES FOR NERVE PEDICLE TRANSFER,183.0,162.87,161.04,183.0,455 CDM,PX-A64910,PR ANES FOR NRV RPR SYNTH COND ALLOGRFT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A64911,PR ANES FOR NRV RPR W AUTOGEN VEIN GRFT EA,183.0,162.87,161.04,183.0,455 CDM,PX-A64912,PR ANES FOR NRV RPR W/NRV ALGRFT 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A64913,PR ANES FOR NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND,183.0,162.87,161.04,183.0,455 CDM,PX-A64999,PR ANES FOR UNLISTED PROCEDURE NERVOUS SYS,183.0,162.87,161.04,183.0,455 CDM,PX-A65091,PR ANES FOR EVISCERATION OCULAR WO IMPLANT,183.0,162.87,161.04,183.0,455 CDM,PX-A65093,PR ANES FOR EVISCERATION OCULAR W IMPLANT,183.0,162.87,161.04,183.0,455 CDM,PX-A65101,PR ANES FOR ENUCLEATION EYE WO IMPLANT,183.0,162.87,161.04,183.0,455 CDM,PX-A65103,PR ANES FOR ENUCLEATION EYE W IMPL WO MUS,183.0,162.87,161.04,183.0,455 CDM,PX-A65105,PR ANES FOR ENUCLEATION EYE W IMPL W MUS,183.0,162.87,161.04,183.0,455 CDM,PX-A65110,PR ANES FOR EXENTERATN ORBIT RMVL CONTENTS,183.0,162.87,161.04,183.0,455 CDM,PX-A65112,PR ANES FOR EXENTERATN ORBIT RMVL CNTNS&BN,183.0,162.87,161.04,183.0,455 CDM,PX-A65114,PR ANES FOR EXTERNTN ORBIT W MUSC FLAP,183.0,162.87,161.04,183.0,455 CDM,PX-A65125,PR ANES FOR MODIFY OCULAR IMPLANT,183.0,162.87,161.04,183.0,455 CDM,PX-A65130,PR ANES FOR INS OCLR IMPL SCNDRY EVISCERTN,183.0,162.87,161.04,183.0,455 CDM,PX-A65135,PR ANES FOR INS OCLR IMPLNT SECNDRY WO MUS,183.0,162.87,161.04,183.0,455 CDM,PX-A65140,PR ANES FOR INS OCLR IMPLNT SECNDRY W MUS,183.0,162.87,161.04,183.0,455 CDM,PX-A65150,PR ANES FOR REINSERTION OCULAR IMPLANT,183.0,162.87,161.04,183.0,455 CDM,PX-A65155,"PR ANES FOR REINSERT OCULAR IMPLANT,REINFORCEMT",183.0,162.87,161.04,183.0,455 CDM,PX-A65175,PR ANES FOR RMVL OF OCULAR IMPLANT,183.0,162.87,161.04,183.0,455 CDM,PX-A65205,PR ANES FOR RMVL FB EYE SUPFCL,183.0,162.87,161.04,183.0,455 CDM,PX-A65210,PR ANES FOR RMVL FB EYE SUBCONJUNCT,183.0,162.87,161.04,183.0,455 CDM,PX-A65220,PR ANES FOR REMOVAL FB CORNEA WO SLIT LAMP,183.0,162.87,161.04,183.0,455 CDM,PX-A65222,PR ANES FOR REMOVAL FB CORNEA W SLIT LAMP,183.0,162.87,161.04,183.0,455 CDM,PX-A65235,PR ANES FOR RMVL FB INTRAOCULAR ANT EYE,183.0,162.87,161.04,183.0,455 CDM,PX-A65260,PR ANES FOR RMVL FB MAGNETIC EXTR,183.0,162.87,161.04,183.0,455 CDM,PX-A65265,PR ANES FOR REMOVAL FB NONMAGNETIC EXTR,183.0,162.87,161.04,183.0,455 CDM,PX-A65270,PR ANES FOR RPR LACERATION CONJUNCTIVA,183.0,162.87,161.04,183.0,455 CDM,PX-A65272,"PR ANES FOR REPAIR CONJUNC LAC,REARRANG,NO HOSP",183.0,162.87,161.04,183.0,455 CDM,PX-A65273,PR ANES FOR RPR LACERATION MOBL&REARGMT,183.0,162.87,161.04,183.0,455 CDM,PX-A65275,PR ANES FOR RPR CORNEA NONPERFARATING,183.0,162.87,161.04,183.0,455 CDM,PX-A65280,PR ANES FOR REPAIR EYE WOUND,183.0,162.87,161.04,183.0,455 CDM,PX-A65285,PR ANES FOR RPR EYE WND W RSECT UVEAL TISS,183.0,162.87,161.04,183.0,455 CDM,PX-A65286,PR ANES FOR RPR EYE WOUND W TISS GLUE APP,183.0,162.87,161.04,183.0,455 CDM,PX-A65290,PR ANES FOR RPR WND EXTRAOCCULAR MUS TNDN,183.0,162.87,161.04,183.0,455 CDM,PX-A65400,PR ANES FOR EXCISION LESION CORNEA,183.0,162.87,161.04,183.0,455 CDM,PX-A65410,PR ANES FOR BIOPSY CORNEA,183.0,162.87,161.04,183.0,455 CDM,PX-A65420,PR ANES FOR EXCISN PTERYGIUM WITHOUT GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A65426,PR ANES FOR EXCISN PTERYGIUM WITH GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A65430,PR ANES FOR SCRAPE CORNEA DX,183.0,162.87,161.04,183.0,455 CDM,PX-A65435,PR ANES FOR REMOVAL CORNEAL EPITHELIUM,183.0,162.87,161.04,183.0,455 CDM,PX-A65436,PR ANES FOR RMVL CORNEAL EPITHELM W CHELAT,183.0,162.87,161.04,183.0,455 CDM,PX-A65450,PR ANES FOR DEST LESION CORNEA CRYOTHERAPY,183.0,162.87,161.04,183.0,455 CDM,PX-A65600,PR ANES FOR PUNCTURES ANTR CORNEA MULTIPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A65710,PR ANES FOR KERATOPLASTY ANTERIOR LAMELLAR,183.0,162.87,161.04,183.0,455 CDM,PX-A65730,PR ANES FOR KERATOPLASTY PENETRATE,183.0,162.87,161.04,183.0,455 CDM,PX-A65750,PR ANES FOR KERATOPLASTY PENETRATE APHAKIA,183.0,162.87,161.04,183.0,455 CDM,PX-A65755,PR ANES FOR KERATOPLASTY PENETRATE PSEUDO,183.0,162.87,161.04,183.0,455 CDM,PX-A65756,PR ANES FOR KERATOPLASTY ENDOTHELIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A65757,PR ANES FOR PREP CORNEAL ENDOTHL ALLOGRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A65760,PR ANES FOR KERATOMILEUSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A65765,PR ANES FOR KERATOPHAKIA,183.0,162.87,161.04,183.0,455 CDM,PX-A65767,PR ANES FOR EPIKERATOPLASTY,183.0,162.87,161.04,183.0,455 CDM,PX-A65770,PR ANES FOR KERATOPROSTHESIS,183.0,162.87,161.04,183.0,455 CDM,PX-A65771,PR ANES FOR RADIAL KERATOTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A65772,PR ANES FOR INCISN CORNEAL CORRECT ASTIGM,183.0,162.87,161.04,183.0,455 CDM,PX-A65775,PR ANES FOR RSECT CORNEAL CORRECT ASTIGM,183.0,162.87,161.04,183.0,455 CDM,PX-A65778,PR ANES FOR PLC AMNIOTIC MEMB OCLR WO SUTR,183.0,162.87,161.04,183.0,455 CDM,PX-A65779,PR ANES FOR PLC AMNIOTIC MEMB OCLR W SUTR,183.0,162.87,161.04,183.0,455 CDM,PX-A65780,PR ANES FOR RCNST OCULAR W MEMBRANE,183.0,162.87,161.04,183.0,455 CDM,PX-A65781,"PR ANES FOR OCULAR SURF RECONST, LIMBAL STEM CELL ALLOGRAFT",183.0,162.87,161.04,183.0,455 CDM,PX-A65782,"PR ANES FOR OCULAR SURF RECONST, LIMBAL CONJ AUTOGRAFT",183.0,162.87,161.04,183.0,455 CDM,PX-A65785,PR ANES FOR IMPLANTATION INTRASTROMAL CORNEAL RING SEGMENTS,183.0,162.87,161.04,183.0,455 CDM,PX-A65800,PR ANES FOR PARACENT ANTR CHAMB EYE W ASP,183.0,162.87,161.04,183.0,455 CDM,PX-A65810,PR ANES FOR PARACENTSIS EYE HYALOID MEMB,183.0,162.87,161.04,183.0,455 CDM,PX-A65815,PR ANES FOR PARACENT ANT CHAMB EYE RMV BLD,183.0,162.87,161.04,183.0,455 CDM,PX-A65820,PR ANES FOR GONIOTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A65850,PR ANES FOR TRABECULOTOMY AB EXTERNO,183.0,162.87,161.04,183.0,455 CDM,PX-A65855,PR ANES FOR TRABECULOPLASTY LASER SURG,183.0,162.87,161.04,183.0,455 CDM,PX-A65860,PR ANES FOR SEVER ADHESN EYE SEGMENT LASER,183.0,162.87,161.04,183.0,455 CDM,PX-A65865,PR ANES FOR SEVER ADHESN EYE GONIOSYNECH,183.0,162.87,161.04,183.0,455 CDM,PX-A65870,PR ANES FOR SEVER ADHESN EYE ANTR SYNECH,183.0,162.87,161.04,183.0,455 CDM,PX-A65875,PR ANES FOR SEVER ADHESN EYE POSTR SYNECH,183.0,162.87,161.04,183.0,455 CDM,PX-A65880,"PR ANES FOR INCISE CORNEO-VITREAL ADHESIONS,EYE",183.0,162.87,161.04,183.0,455 CDM,PX-A65900,PR ANES FOR RMVL EPITHEALIAL GRWTH ANTR EYE,183.0,162.87,161.04,183.0,455 CDM,PX-A65920,PR ANES FOR RMVL IMPLNT MATERIAL ANTR EYE,183.0,162.87,161.04,183.0,455 CDM,PX-A65930,PR ANES FOR RMVL BLOOD CLOT EYE ANTR,183.0,162.87,161.04,183.0,455 CDM,PX-A66020,PR ANES FOR INJ ANTR CHAMBER EYE AIR/LIQ,183.0,162.87,161.04,183.0,455 CDM,PX-A66030,PR ANES FOR INJ ANTR CHAMBER EYE MED,183.0,162.87,161.04,183.0,455 CDM,PX-A66130,PR ANES FOR EXCISION LESION SCLERA,183.0,162.87,161.04,183.0,455 CDM,PX-A66150,"PR ANES FOR GLAUCOMA SURG,TREPHINATN/IRIDECT",183.0,162.87,161.04,183.0,455 CDM,PX-A66155,"PR ANES FOR GLAUCOMA SURG,THERMOCAUT/IRIDECT",183.0,162.87,161.04,183.0,455 CDM,PX-A66160,PR ANES FOR SCLERECTOMY W IRIDECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A66170,PR ANES FOR GLAUCOMA SURG TRABECULECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A66172,PR ANES FOR GLAUCOMA SURG W SCARRING,183.0,162.87,161.04,183.0,455 CDM,PX-A66174,PR ANES FOR TRNSLMN DIL AQUS WO DEV/STENT,183.0,162.87,161.04,183.0,455 CDM,PX-A66175,PR ANES FOR TRNSLMN DIL AQUS W DEV/STENT,183.0,162.87,161.04,183.0,455 CDM,PX-A66179,PR ANES FOR SHNT AQUS EXTRAOCL RSRVR WO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A66180,PR ANES FOR SHNT AQUS EXTRAOCL RSRVR W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A66183,PR ANES FOR INS ANTR DRN WO EXTRCLR RSRVR,183.0,162.87,161.04,183.0,455 CDM,PX-A66184,PR ANES FOR RVSN AQUEOUS SHNT EXTRAOCLR WO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A66185,PR ANES FOR RVISN AQUS SHNT EXTRCLR RSRVR,183.0,162.87,161.04,183.0,455 CDM,PX-A66225,PR ANES FOR RPR SCLERAL STAPHLOMA W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A66250,PR ANES FOR RPR OPERATIVE WND ANTR SEGM,183.0,162.87,161.04,183.0,455 CDM,PX-A66500,PR ANES FOR IRIDOTOMY EXCP TRANSFIXION,183.0,162.87,161.04,183.0,455 CDM,PX-A66505,"PR ANES FOR INCISION OF IRIS,W TRANSFIXATN",183.0,162.87,161.04,183.0,455 CDM,PX-A66600,PR ANES FOR IRIDECTOMY W CORNEAL SECTION,183.0,162.87,161.04,183.0,455 CDM,PX-A66605,PR ANES FOR IRIDECTOMY W CYCLECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A66625,PR ANES FOR IRIDOTOMY PERIPHERAL,183.0,162.87,161.04,183.0,455 CDM,PX-A66630,PR ANES FOR IRIDOTOMY SECTOR FOR GLAUCOMA,183.0,162.87,161.04,183.0,455 CDM,PX-A66635,PR ANES FOR IRIDOTOMY OPTICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A66680,PR ANES FOR REPAIR IRIS CILIARY BODY,183.0,162.87,161.04,183.0,455 CDM,PX-A66682,PR ANES FOR SUTURE IRIS CILIARY BODY,183.0,162.87,161.04,183.0,455 CDM,PX-A66683,PR ANES FOR IMPLANTATION IRIS PROSTHESIS,183.0,162.87,161.04,183.0,455 CDM,PX-A66700,"PR ANES FOR DESTRUC,CILIARY BODY,DIATHERMY",183.0,162.87,161.04,183.0,455 CDM,PX-A66710,PR ANES FOR DEST CILIARY TRANSSCLERAL,183.0,162.87,161.04,183.0,455 CDM,PX-A66711,PR ANES FOR DESTRUCTION CILIARY ENDOSCOPIC,183.0,162.87,161.04,183.0,455 CDM,PX-A66720,PR ANES FOR DEST CILIARY CRYOTHERAPY,183.0,162.87,161.04,183.0,455 CDM,PX-A66740,"PR ANES FOR DESTRUC,CILIARY BODY,CYCLODIALYSIS",183.0,162.87,161.04,183.0,455 CDM,PX-A66761,PR ANES FOR IRIDOTOMY LASER PER SESSION,183.0,162.87,161.04,183.0,455 CDM,PX-A66762,PR ANES FOR IRIDOPLASTY PHOTOCOAGULATION,183.0,162.87,161.04,183.0,455 CDM,PX-A66770,PR ANES FOR DESTR CYST/LESN IRIS/CILIARY,183.0,162.87,161.04,183.0,455 CDM,PX-A66820,PR ANES FOR RMVL SECNDRY MEMBRANE CATARACT,183.0,162.87,161.04,183.0,455 CDM,PX-A66821,PR ANES FOR DISC SECNDRY MEMB CATARACT LSR,183.0,162.87,161.04,183.0,455 CDM,PX-A66825,PR ANES FOR REPOSIT INTRAOCL LENS PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A66830,PR ANES FOR RMVL SEC MEMB CATARACT CORNEO,183.0,162.87,161.04,183.0,455 CDM,PX-A66840,PR ANES FOR RMVL LENS MATERIAL ASPIRATION,183.0,162.87,161.04,183.0,455 CDM,PX-A66850,PR ANES FOR RMVL LENS MATERIAL PHACOFRAGM,183.0,162.87,161.04,183.0,455 CDM,PX-A66852,PR ANES FOR RMVL LENS MATERIAL PARS PLANA,183.0,162.87,161.04,183.0,455 CDM,PX-A66920,PR ANES FOR RMVL LENS MATRL INTRACAPSULAR,183.0,162.87,161.04,183.0,455 CDM,PX-A66930,PR ANES FOR RMVL LENS INTRACAP DISLOC LENS,183.0,162.87,161.04,183.0,455 CDM,PX-A66940,PR ANES FOR REMOVAL LENS EXTRACAPSULAR,183.0,162.87,161.04,183.0,455 CDM,PX-A66982,PR ANES FOR RMVL CATARACT EXTRACAP CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A66983,PR ANES FOR INTRACAP CATARACT EXTRCT W IOL INS,183.0,162.87,161.04,183.0,455 CDM,PX-A66984,PR ANES FOR RMVL CATARACT INSERT LENS,183.0,162.87,161.04,183.0,455 CDM,PX-A66985,PR ANES FOR INS IOL WO CATARACT RMVL,183.0,162.87,161.04,183.0,455 CDM,PX-A66986,PR ANES FOR EXCHANGE INTRAOCULAR LENS,183.0,162.87,161.04,183.0,455 CDM,PX-A66987,PR ANES FOR XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX W/ECP,183.0,162.87,161.04,183.0,455 CDM,PX-A66988,PR ANES FOR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/ECP,183.0,162.87,161.04,183.0,455 CDM,PX-A66989,PR ANES FOR XCPSL CTRC RMVL CPLX INSJ 1+,183.0,162.87,161.04,183.0,455 CDM,PX-A66990,PR ANES FOR USE OPTHALMIC ENDOSCOPE,183.0,162.87,161.04,183.0,455 CDM,PX-A66991,PR ANES FOR XCAPSL CTRC RMVL INSJ 1+,183.0,162.87,161.04,183.0,455 CDM,PX-A66999,PR ANES FOR UNLISTED PROC ANTR SEGMENT EYE,183.0,162.87,161.04,183.0,455 CDM,PX-A67005,PR ANES FOR RMVL VITREOUS ANTR APP PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A67010,PR ANES FOR RMVL VITREOUS PRTL W VETRCTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A67015,PR ANES FOR ASP VITREOUS FLUID PARS PLANA,183.0,162.87,161.04,183.0,455 CDM,PX-A67025,PR ANES FOR INJECTION VITREOUS SUBSTITUTE,183.0,162.87,161.04,183.0,455 CDM,PX-A67027,PR ANES FOR IMPL INTRAVITREAL DRUG DELIV,183.0,162.87,161.04,183.0,455 CDM,PX-A67028,PR ANES FOR INJECTION INTRAVITREAL,183.0,162.87,161.04,183.0,455 CDM,PX-A67030,PR ANES FOR DISCISSION VITREOUS STRANDS,183.0,162.87,161.04,183.0,455 CDM,PX-A67031,PR ANES FOR SEVER VITR STRANDS LASER >=1,183.0,162.87,161.04,183.0,455 CDM,PX-A67036,PR ANES FOR VITRECTOMY MECH PARS PLANA,183.0,162.87,161.04,183.0,455 CDM,PX-A67039,PR ANES FOR VITRECTOMY W FOCAL ENDOLASER,183.0,162.87,161.04,183.0,455 CDM,PX-A67040,PR ANES FOR VITRECTOMY W ENDOLASER PANRET,183.0,162.87,161.04,183.0,455 CDM,PX-A67041,PR ANES FOR VITRECT W RMVL PRERETINAL MEMB,183.0,162.87,161.04,183.0,455 CDM,PX-A67042,PR ANES FOR VITRECTOMY W RMVL LIM RET MEMB,183.0,162.87,161.04,183.0,455 CDM,PX-A67043,PR ANES FOR VITRECTOMY W RMVL SUBRET MEMB,183.0,162.87,161.04,183.0,455 CDM,PX-A67101,PR ANES FOR RPR DETACHED RETINA CRYOTHRPY,183.0,162.87,161.04,183.0,455 CDM,PX-A67105,PR ANES FOR RPR DETACHED RETINA PHOTOCOAG,183.0,162.87,161.04,183.0,455 CDM,PX-A67107,PR ANES FOR RPR DETACH RET SCLER BUCKLING,183.0,162.87,161.04,183.0,455 CDM,PX-A67108,PR ANES FOR RPR DETACHED RETINA W VITRECT,183.0,162.87,161.04,183.0,455 CDM,PX-A67110,PR ANES FOR RPR DETACH RETINA W IN AIR/GAS,183.0,162.87,161.04,183.0,455 CDM,PX-A67113,PR ANES FOR RPR DETACH RETINA CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A67115,"PR ANES FOR RELEASE ENCIRCL MATERIAL,POST SGMT",183.0,162.87,161.04,183.0,455 CDM,PX-A67120,PR ANES FOR RMVL EYE IMPL EXTRAOCULAR,183.0,162.87,161.04,183.0,455 CDM,PX-A67121,PR ANES FOR RMVL EYE IMPL INTRAOCULAR,183.0,162.87,161.04,183.0,455 CDM,PX-A67141,PR ANES FOR PROPH RETINAL DETACHMENT CRYO,183.0,162.87,161.04,183.0,455 CDM,PX-A67145,PR ANES FOR PROPH RETINAL DETACH PHOTOCOAG,183.0,162.87,161.04,183.0,455 CDM,PX-A67208,PR ANES FOR DEST RETINA LESION CRYOTHERAPY,183.0,162.87,161.04,183.0,455 CDM,PX-A67210,PR ANES FOR DEST RETINA LESION PHOTOCOAG,183.0,162.87,161.04,183.0,455 CDM,PX-A67218,PR ANES FOR DEST RETINA LESION RADIATION,183.0,162.87,161.04,183.0,455 CDM,PX-A67220,PR ANES FOR DEST CHOROID LESION PHOTOCOAG,183.0,162.87,161.04,183.0,455 CDM,PX-A67221,PR ANES FOR DEST CHOROID LSN PHOTODYNAMIC,183.0,162.87,161.04,183.0,455 CDM,PX-A67225,PR ANES FOR DEST LESN CHOROID,183.0,162.87,161.04,183.0,455 CDM,PX-A67227,PR ANES FOR DEST RETINOPATHY CRYOTHRPY,183.0,162.87,161.04,183.0,455 CDM,PX-A67228,PR ANES FOR TX RETINOPATHY PHOTOCOAG EXT,183.0,162.87,161.04,183.0,455 CDM,PX-A67229,PR ANES FOR TX RETINOPATHY <= 1 YR,183.0,162.87,161.04,183.0,455 CDM,PX-A67250,PR ANES FOR REINFORCE SCLERA EYE,183.0,162.87,161.04,183.0,455 CDM,PX-A67255,PR ANES FOR SCLERAL REINFORCEMENT W GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A67299,PR ANES FOR UNLISTED PROC POSTR SEGMENT,183.0,162.87,161.04,183.0,455 CDM,PX-A67311,PR ANES FOR STRABISMUS 1 HOR MUSCLE,183.0,162.87,161.04,183.0,455 CDM,PX-A67312,PR ANES FOR STRABISMUS 2 HOR MUSCLE,183.0,162.87,161.04,183.0,455 CDM,PX-A67314,PR ANES FOR STRABISMUS 1 VER MUSCLE,183.0,162.87,161.04,183.0,455 CDM,PX-A67316,PR ANES FOR STRABISMUS 2 VER MUSCLE,183.0,162.87,161.04,183.0,455 CDM,PX-A67318,PR ANES FOR STRABISMUS SUPER OBLIQUE MUS,183.0,162.87,161.04,183.0,455 CDM,PX-A67320,PR ANES FOR TXPOSITION EXTRAOCULAR MUSCLE,183.0,162.87,161.04,183.0,455 CDM,PX-A67331,PR ANES FOR STRABISMUS NOT EXTRAOCULAR,183.0,162.87,161.04,183.0,455 CDM,PX-A67332,PR ANES FOR STRABISMUS W SCARRING,183.0,162.87,161.04,183.0,455 CDM,PX-A67334,PR ANES FOR STRABISMUS W POSTR FIX SUTR,183.0,162.87,161.04,183.0,455 CDM,PX-A67335,PR ANES FOR PLC EYE SUTURE DURING SURGERY,183.0,162.87,161.04,183.0,455 CDM,PX-A67340,PR ANES FOR STRABISMUS EXTRAOCULAR RPR,183.0,162.87,161.04,183.0,455 CDM,PX-A67343,PR ANES FOR RELEASE EYE TISSUE,183.0,162.87,161.04,183.0,455 CDM,PX-A67345,PR ANES FOR CHEMDNRV EXTRAOCULAR MUSCLE,183.0,162.87,161.04,183.0,455 CDM,PX-A67346,PR ANES FOR BX EXTRAOCULAR MUSCLE,183.0,162.87,161.04,183.0,455 CDM,PX-A67399,PR ANES FOR UNLISTED PROC EXTRAOCULAR MUS,183.0,162.87,161.04,183.0,455 CDM,PX-A67400,PR ANES FOR ORBITOTOMY EXPLORATION,183.0,162.87,161.04,183.0,455 CDM,PX-A67405,PR ANES FOR ORBITOTOMY W DRAINAGE,183.0,162.87,161.04,183.0,455 CDM,PX-A67412,PR ANES FOR ORBITOTOMY W LESION REMOVAL,183.0,162.87,161.04,183.0,455 CDM,PX-A67413,PR ANES FOR ORBITOTOMY W FB REMOVAL,183.0,162.87,161.04,183.0,455 CDM,PX-A67414,PR ANES FOR ORBITOTOMY W BONE REMOVAL,183.0,162.87,161.04,183.0,455 CDM,PX-A67415,PR ANES FOR FINE NEEDLE ASP ORBTL CONTENTS,183.0,162.87,161.04,183.0,455 CDM,PX-A67420,PR ANES FOR ORBITOTOMY W LESN RMVL LAT APP,183.0,162.87,161.04,183.0,455 CDM,PX-A67430,"PR ANES FOR LAT EXPLOR EYE SOCK,REMV F.B.",183.0,162.87,161.04,183.0,455 CDM,PX-A67440,PR ANES FOR EXPLORE/DRAIN EYE SOCKET,183.0,162.87,161.04,183.0,455 CDM,PX-A67445,PR ANES FOR ORBITOTOMY W BONE RMVL LAT APP,183.0,162.87,161.04,183.0,455 CDM,PX-A67450,PR ANES FOR ORBITMY BN FLAP EXPL W/WO BX,183.0,162.87,161.04,183.0,455 CDM,PX-A67500,PR ANES FOR INJ RETROBULBAR MEDICATION,183.0,162.87,161.04,183.0,455 CDM,PX-A67505,PR ANES FOR RETROBULBAR INJ ALCOHOL,183.0,162.87,161.04,183.0,455 CDM,PX-A67515,PR ANES FOR INJECTION TENONS CAPSULE,183.0,162.87,161.04,183.0,455 CDM,PX-A67516,PR ANES FOR SUPRACHOROIDAL SPACE NJX PHARMACOLOGIC AGENT,183.0,162.87,161.04,183.0,455 CDM,PX-A67550,PR ANES FOR INSERT ORBITAL IMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A67560,PR ANES FOR RMVL/REVISE ORBITAL IMPLANT,183.0,162.87,161.04,183.0,455 CDM,PX-A67570,PR ANES FOR DECOMPRESSION OPTIC NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A67599,PR ANES FOR UNLISTED PROCEDURE ORBIT,183.0,162.87,161.04,183.0,455 CDM,PX-A67700,PR ANES FOR BLEPHAROTOMY DRN ABSC EYELID,183.0,162.87,161.04,183.0,455 CDM,PX-A67710,PR ANES FOR SEVERING TARSORRHAPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A67715,PR ANES FOR CANTHOTOMY SEPARATE PROCEDURE,183.0,162.87,161.04,183.0,455 CDM,PX-A67800,PR ANES FOR EXCISION CHALAZION SINGLE,183.0,162.87,161.04,183.0,455 CDM,PX-A67801,PR ANES FOR EXCISN CHALAZION MULT SAME LID,183.0,162.87,161.04,183.0,455 CDM,PX-A67805,PR ANES FOR EXCISN CHALAZION MULT DIFF LID,183.0,162.87,161.04,183.0,455 CDM,PX-A67808,PR ANES FOR EXCISION CHALAZION W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A67810,PR ANES FOR BX EYELID SKIN & LID MARGIN,183.0,162.87,161.04,183.0,455 CDM,PX-A67820,PR ANES FOR CORRECT TRICHIASIS EPIL FORCEP,183.0,162.87,161.04,183.0,455 CDM,PX-A67825,PR ANES FOR CORRECT TRICHIASIS EPILATION,183.0,162.87,161.04,183.0,455 CDM,PX-A67830,PR ANES FOR CORRECT TRICHIASIS INC LID MRG,183.0,162.87,161.04,183.0,455 CDM,PX-A67835,PR ANES FOR CORRECT TRICHIASIS W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A67840,PR ANES FOR EXCISION LESION EYELID,183.0,162.87,161.04,183.0,455 CDM,PX-A67850,PR ANES FOR DEST LESN EYELID MARGIN <=1CM,183.0,162.87,161.04,183.0,455 CDM,PX-A67875,PR ANES FOR TEMPORARY CLSR EYELIDS SUTURE,183.0,162.87,161.04,183.0,455 CDM,PX-A67880,PR ANES FOR CNSTRCT EYE INTERMARG ADHSNS,183.0,162.87,161.04,183.0,455 CDM,PX-A67882,PR ANES FOR CNSTRCT INTERMARG ADSN W TRNSP,183.0,162.87,161.04,183.0,455 CDM,PX-A67900,PR ANES FOR REPAIR BROW PTOSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A67901,PR ANES FOR RPR BLEPHAROPT FRNT MUS W SUTR,183.0,162.87,161.04,183.0,455 CDM,PX-A67902,"PR ANES FOR FIX LID PTOSIS,FRONT MUSC,FAS SLNG",183.0,162.87,161.04,183.0,455 CDM,PX-A67903,PR ANES FOR RPR BLEPHAROPT LEVAT RSECT INT,183.0,162.87,161.04,183.0,455 CDM,PX-A67904,PR ANES FOR RPR BLEPHAROPT LEVAT RSECT EXT,183.0,162.87,161.04,183.0,455 CDM,PX-A67906,"PR ANES FOR FIX LID PTOSIS,SUPER RECTUS TECH",183.0,162.87,161.04,183.0,455 CDM,PX-A67908,PR ANES FOR RPR BLEPH CONJ-TARSO-MULLER'S,183.0,162.87,161.04,183.0,456 CDM,PX-A67909,PR ANES FOR REDUCTION OVERCORRECT PTOSIS,183.0,162.87,161.04,183.0,455 CDM,PX-A67911,PR ANES FOR CORRECTION EYELID RETRACTION,183.0,162.87,161.04,183.0,455 CDM,PX-A67912,PR ANES FOR CORREC LAGOPHTHALMOS W IMPLNT,183.0,162.87,161.04,183.0,455 CDM,PX-A67914,PR ANES FOR REPAIR OF ECTROPION SUTURE,183.0,162.87,161.04,183.0,455 CDM,PX-A67915,PR ANES FOR RPR ECTROPION THERMOCAUT,183.0,162.87,161.04,183.0,455 CDM,PX-A67916,PR ANES FOR RPR ECTROPION EXCISN TARSAL WEDGE,183.0,162.87,161.04,183.0,455 CDM,PX-A67917,PR ANES FOR REPAIR ECTROPION EXTENSIVE,183.0,162.87,161.04,183.0,455 CDM,PX-A67921,PR ANES FOR REPAIR ENTROPION SUTURE,183.0,162.87,161.04,183.0,455 CDM,PX-A67922,PR ANES FOR RPR ENTROPION THERMOCAUT,183.0,162.87,161.04,183.0,455 CDM,PX-A67923,PR ANES FOR RPR ENTROPION EXCISN TARSAL WEDGE,183.0,162.87,161.04,183.0,455 CDM,PX-A67924,PR ANES FOR REPAIR ENTROPION EXTENSIVE,183.0,162.87,161.04,183.0,455 CDM,PX-A67930,PR ANES FOR SUTR EYELID RECENT WOUND PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A67935,PR ANES FOR REPAIR EYELID WOUND FULL THICK,183.0,162.87,161.04,183.0,455 CDM,PX-A67938,PR ANES FOR REMOVAL EMBEDED FB EYELID,183.0,162.87,161.04,183.0,455 CDM,PX-A67950,PR ANES FOR CANTHOPLASTY,183.0,162.87,161.04,183.0,455 CDM,PX-A67961,PR ANES FOR EXCISN&RPR EYELID<=1/4 MARGIN,183.0,162.87,161.04,183.0,455 CDM,PX-A67966,PR ANES FOR EXCISN&RPR EYELID>1/4 MARGIN,183.0,162.87,161.04,183.0,455 CDM,PX-A67971,PR ANES FOR RCNST EYELID <= 2/3 1ST STG,183.0,162.87,161.04,183.0,455 CDM,PX-A67973,PR ANES FOR RECONSTR EYELID LOWER 1 STGE,183.0,162.87,161.04,183.0,455 CDM,PX-A67974,PR ANES FOR RCNST EYELID FULL THICK 1 STG,183.0,162.87,161.04,183.0,455 CDM,PX-A67975,PR ANES FOR RECONSTR EYELID SCND STGE,183.0,162.87,161.04,183.0,455 CDM,PX-A67999,PR ANES FOR UNLISTED PROCEDURE EYELIDS,183.0,162.87,161.04,183.0,455 CDM,PX-A68020,PR ANES FOR INCISN CONJUNCTIVA DRAINE CYST,183.0,162.87,161.04,183.0,455 CDM,PX-A68040,PR ANES FOR EXPRESS CONJUNC FOLLICLES,183.0,162.87,161.04,183.0,455 CDM,PX-A68100,PR ANES FOR BIOPSY OF CONJUNCTIVA,183.0,162.87,161.04,183.0,455 CDM,PX-A68110,PR ANES FOR EXCISN LESN CONJUNCTIVA<= 1 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A68115,PR ANES FOR EXCISN LESN CONJUNCTIVA> 1 CM,183.0,162.87,161.04,183.0,455 CDM,PX-A68130,PR ANES FOR EXCISN LSN CONJUNCT ADJ SCLERA,183.0,162.87,161.04,183.0,455 CDM,PX-A68135,PR ANES FOR DESTRUCTION LESION CONJUNCTIVA,183.0,162.87,161.04,183.0,455 CDM,PX-A68200,PR ANES FOR INJECTION SUBCONJUNCTIVAL,183.0,162.87,161.04,183.0,455 CDM,PX-A68320,PR ANES FOR CNJNCTVPLSTY W CNJNCT GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A68325,PR ANES FOR CONJNCTIVOPLSTY W/BUCCAL MCUS MEMB GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A68326,PR ANES FOR CNJNCTVPLSTY RCNST W GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A68328,"PR ANES FOR REVISE CONJUNC,FIX CUL-DE-SAC=BUCCAL",183.0,162.87,161.04,183.0,455 CDM,PX-A68330,PR ANES FOR RPR SYMBLEPHARON WO GRFT,183.0,162.87,161.04,183.0,455 CDM,PX-A68335,PR ANES FOR RPR SYMBLEPHARON W GRAFT,183.0,162.87,161.04,183.0,455 CDM,PX-A68340,PR ANES FOR RPR/DIVISION SYMBLEPHARON,183.0,162.87,161.04,183.0,455 CDM,PX-A68360,PR ANES FOR CONJUNCTIVAL FLAP BRIDGE/PRTL,183.0,162.87,161.04,183.0,455 CDM,PX-A68362,PR ANES FOR FLAP CONJUNCTIVAL TOTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A68371,"PR ANES FOR HARVEST EYE TISSUE, ALOGRAFT",183.0,162.87,161.04,183.0,455 CDM,PX-A68399,PR ANES FOR UNLISTED PROC CONJUNCTIVA,183.0,162.87,161.04,183.0,455 CDM,PX-A68400,PR ANES FOR I&D LACRIMAL GLAND,183.0,162.87,161.04,183.0,455 CDM,PX-A68420,PR ANES FOR INCISN/DRN LACRIMAL SAC,183.0,162.87,161.04,183.0,455 CDM,PX-A68440,PR ANES FOR SNIP INCISION LACRIMAL PUNCTUM,183.0,162.87,161.04,183.0,455 CDM,PX-A68500,"PR ANES FOR REMOVAL TEAR GLAND,TOTAL",183.0,162.87,161.04,183.0,455 CDM,PX-A68505,"PR ANES FOR REMOVAL TEAR GLAND,PARTIAL",183.0,162.87,161.04,183.0,455 CDM,PX-A68510,PR ANES FOR BIOPSY LACRIMAL GLAND,183.0,162.87,161.04,183.0,455 CDM,PX-A68520,PR ANES FOR EXCISION LACRIMAL SAC,183.0,162.87,161.04,183.0,455 CDM,PX-A68525,PR ANES FOR BIOPSY LACRIMAL SAC,183.0,162.87,161.04,183.0,455 CDM,PX-A68530,PR ANES FOR REMOVAL FB LACRIMAL PASSAGES,183.0,162.87,161.04,183.0,455 CDM,PX-A68540,PR ANES FOR EXCISN LACRIMAL GLND TMR FRNTL,183.0,162.87,161.04,183.0,455 CDM,PX-A68550,"PR ANES FOR REMV TEAR GLAND LESN,W OSTEOTOMY",183.0,162.87,161.04,183.0,455 CDM,PX-A68700,PR ANES FOR PLASTIC REPAIR CANALICULI,183.0,162.87,161.04,183.0,455 CDM,PX-A68705,PR ANES FOR CORRECT EVERTED PUNCTUM CAUT,183.0,162.87,161.04,183.0,455 CDM,PX-A68720,PR ANES FOR DACRYOCYSTORHINOSTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A68745,PR ANES FOR CREATE CONJUNC-NASAL FISTULA,183.0,162.87,161.04,183.0,455 CDM,PX-A68750,PR ANES FOR CONJUNCTIVORHINOSTOMY W TUBE,183.0,162.87,161.04,183.0,455 CDM,PX-A68760,PR ANES FOR CLOSURE LACRIMAL PUNCTUM,183.0,162.87,161.04,183.0,455 CDM,PX-A68761,PR ANES FOR CLSR LACRIM PUNCTUM BY PLUG EA,183.0,162.87,161.04,183.0,455 CDM,PX-A68770,PR ANES FOR CLSR LACRIMAL FISTULA,183.0,162.87,161.04,183.0,455 CDM,PX-A68801,PR ANES FOR DILATION LACRIMAL PUNCTUM,183.0,162.87,161.04,183.0,455 CDM,PX-A68810,PR ANES FOR PROBE NASOLACRIMAL DUCT,183.0,162.87,161.04,183.0,455 CDM,PX-A68811,PR ANES FOR PROBE NASOLACRIMAL DUCT W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A68815,PR ANES FOR PROBE NASOLACRIMAL DUCT W TUBE,183.0,162.87,161.04,183.0,455 CDM,PX-A68816,PR ANES FOR PROBE NASOLACRIMAL DUCT W CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A68840,PR ANES FOR PROBE LACRIMAL CANALICULI,183.0,162.87,161.04,183.0,455 CDM,PX-A68841,PR ANES FOR INSJ RX ELUT IMPLT LAC CANAL,183.0,162.87,161.04,183.0,455 CDM,PX-A68850,PR ANES FOR INJ CNTRST DACRYOCYSTOGRPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A68899,PR ANES FOR UNLISTED PROC LACRIMAL SYS,183.0,162.87,161.04,183.0,455 CDM,PX-A69000,PR ANES FOR DRAIN ABSC EXTERNAL EAR SIMPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A69005,PR ANES FOR DRAIN ABSC EAR EXTRNL CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A69020,PR ANES FOR DRAIN LESION EAR CANAL EXTRNL,183.0,162.87,161.04,183.0,455 CDM,PX-A69090,PR ANES FOR EAR PIERCING,183.0,162.87,161.04,183.0,455 CDM,PX-A69100,PR ANES FOR BIOPSY EXTERNAL EAR,183.0,162.87,161.04,183.0,455 CDM,PX-A69105,PR ANES FOR BX EXTERNAL AUDITORY CANAL,183.0,162.87,161.04,183.0,455 CDM,PX-A69110,PR ANES FOR EXCISN EXTRNL EAR PRTL SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A69120,PR ANES FOR EXCISN EXTRNL EAR COMPLETE AMP,183.0,162.87,161.04,183.0,455 CDM,PX-A69140,PR ANES FOR EXCISN EXOSTOSIS EXT AUD CANAL,183.0,162.87,161.04,183.0,455 CDM,PX-A69145,PR ANES FOR EXCISN SOFT TISS LSN EXTRNL CANAL,183.0,162.87,161.04,183.0,455 CDM,PX-A69150,PR ANES FOR EXCISN RAD CANAL LSN WO NK DISECT,183.0,162.87,161.04,183.0,455 CDM,PX-A69155,PR ANES FOR EXCISN RAD CANAL LSN W NK DISECT,183.0,162.87,161.04,183.0,455 CDM,PX-A69200,PR ANES FOR RMVL FB EAR CANAL EXTRNL,183.0,162.87,161.04,183.0,455 CDM,PX-A69205,PR ANES FOR RMVL FB EAR CANAL EXTRNL ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A69209,PR ANES FOR RMVL IMPACT CERUMEN IRRIG UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A69210,PR ANES FOR RMVL IMPACT CERUMEN W/INSTRUMENT UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A69220,PR ANES FOR DBRD MASTOIDECTOMY SIMPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A69222,PR ANES FOR DBRD MASTOIDECTOMY COMPLEX,183.0,162.87,161.04,183.0,455 CDM,PX-A69300,PR ANES FOR OTOPLASTY PROTRUDING EAR,183.0,162.87,161.04,183.0,455 CDM,PX-A69310,PR ANES FOR RCNST EXTR AUDITORY CANAL,183.0,162.87,161.04,183.0,455 CDM,PX-A69320,PR ANES FOR RCNST CANAL CONGEN ATRESIA,183.0,162.87,161.04,183.0,455 CDM,PX-A69399,PR ANES FOR UNLISTED PROC EXTERNAL EAR,183.0,162.87,161.04,183.0,455 CDM,PX-A69420,PR ANES FOR MYRINGOT INCL ASP/TUBE INFLATN,183.0,162.87,161.04,183.0,455 CDM,PX-A69421,PR ANES FOR MYRINGOTOMY W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A69424,PR ANES FOR RMVL VENTILATING TUBE W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A69433,PR ANES FOR TYMPANOSTOMY LOC/TOP ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A69436,PR ANES FOR TYMPANOSTOMY W GEN ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A69440,PR ANES FOR MIDDLE EAR EXPLORATION,183.0,162.87,161.04,183.0,455 CDM,PX-A69450,PR ANES FOR TYMPANOLYSIS TRANSCANAL,183.0,162.87,161.04,183.0,455 CDM,PX-A69501,PR ANES FOR TRANSMASTOID ANTROTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A69502,PR ANES FOR MASTOIDECTOMY COMPLETE,183.0,162.87,161.04,183.0,455 CDM,PX-A69505,PR ANES FOR MASTOIDECTOMY MOD RADCL,183.0,162.87,161.04,183.0,455 CDM,PX-A69511,PR ANES FOR MASTOIDECTOMY RADICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A69530,PR ANES FOR PETROUS ABICECTOMY W MASTDCTMY,183.0,162.87,161.04,183.0,455 CDM,PX-A69535,PR ANES FOR RSECT TEMPORAL BN EXTERNAL APP,183.0,162.87,161.04,183.0,455 CDM,PX-A69540,PR ANES FOR EXCISION AURAL POLYP,183.0,162.87,161.04,183.0,455 CDM,PX-A69550,PR ANES FOR EXCISN AURAL GLOMOS TMR TRNSCANL,183.0,162.87,161.04,183.0,455 CDM,PX-A69552,PR ANES FOR EXCISN AURAL GLOMUS TMR TRNSMASTD,183.0,162.87,161.04,183.0,455 CDM,PX-A69554,PR ANES FOR EXCISN AURAL GLOMUS TMR EXTENDED,183.0,162.87,161.04,183.0,455 CDM,PX-A69601,PR ANES FOR REV MASTOIDECTOMY COMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A69602,PR ANES FOR REV MASTOIDECTOMY MOD RADCL,183.0,162.87,161.04,183.0,455 CDM,PX-A69603,PR ANES FOR REVISION MASTOIDECTOMY RADICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A69604,PR ANES FOR REV MASTOIDECTOMY TYMPANOPLASTY,183.0,162.87,161.04,183.0,455 CDM,PX-A69610,PR ANES FOR REPAIR TYMPANIC MEMBRANE,183.0,162.87,161.04,183.0,455 CDM,PX-A69620,PR ANES FOR MYRINGOPLASTY,183.0,162.87,161.04,183.0,455 CDM,PX-A69631,PR ANES FOR TYMPANOPLASTY WO RCNST,183.0,162.87,161.04,183.0,455 CDM,PX-A69632,PR ANES FOR TYMPANOPLASTY W RCNST,183.0,162.87,161.04,183.0,455 CDM,PX-A69633,PR ANES FOR TYMPANOPLSTY W RCNST&PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A69635,PR ANES FOR TYMPLSTY W ANTROT WO RCNST,183.0,162.87,161.04,183.0,455 CDM,PX-A69636,PR ANES FOR TYMPLSTY W ANTROT W RCNST,183.0,162.87,161.04,183.0,455 CDM,PX-A69637,PR ANES FOR TYMPPLSTY W ANTROT/MAST PROSTH,183.0,162.87,161.04,183.0,455 CDM,PX-A69641,PR ANES FOR TYMPLSTY W MASTOID WO RCNST,183.0,162.87,161.04,183.0,455 CDM,PX-A69642,PR ANES FOR TYMPLSTY W MASTOID W RCNST,183.0,162.87,161.04,183.0,455 CDM,PX-A69643,PR ANES FOR TYMPLSTY WO OSC CHAIN RCNST,183.0,162.87,161.04,183.0,455 CDM,PX-A69644,PR ANES FOR TYMPLSTY W OSC CHAIN RCNST,183.0,162.87,161.04,183.0,455 CDM,PX-A69645,PR ANES FOR TYMPLSTY RAD WO OSC CHN RCSTRC,183.0,162.87,161.04,183.0,455 CDM,PX-A69646,PR ANES FOR TYMPLSTY RAD W OSC CHN RCSTRCT,183.0,162.87,161.04,183.0,455 CDM,PX-A69650,PR ANES FOR STAPES MOBILIZATION,183.0,162.87,161.04,183.0,455 CDM,PX-A69660,PR ANES FOR STAPEDECTOMY REESTAB OSSICULAR,183.0,162.87,161.04,183.0,455 CDM,PX-A69661,PR ANES FOR STAPEDECTOMY W FOOTPLATE DRILL,183.0,162.87,161.04,183.0,455 CDM,PX-A69662,PR ANES FOR REVISION OF STAPEDECTOMY,183.0,162.87,161.04,183.0,455 CDM,PX-A69666,PR ANES FOR RPR OVAL WINDOW FISTULA,183.0,162.87,161.04,183.0,455 CDM,PX-A69667,PR ANES FOR REPAIR ROUND WINDOW FISTULA,183.0,162.87,161.04,183.0,455 CDM,PX-A69670,PR ANES FOR MASTOID OBLITERATION,183.0,162.87,161.04,183.0,455 CDM,PX-A69676,PR ANES FOR REMOVE MIDDLE EAR NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A69700,PR ANES FOR CLOSE MASTOID POSTAURICULAR FISTULA,183.0,162.87,161.04,183.0,455 CDM,PX-A69705,PR ANES FOR NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI,183.0,162.87,161.04,183.0,455 CDM,PX-A69706,PR ANES FOR NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI,183.0,162.87,161.04,183.0,455 CDM,PX-A69710,PR ANES FOR IMPL ELECTRO HEARING DEV TEMP BN,183.0,162.87,161.04,183.0,455 CDM,PX-A69711,PR ANES FOR RMVL ELECTRO HEARING DEV TEMP BN,183.0,162.87,161.04,183.0,455 CDM,PX-A69714,PR ANES FOR IMPL TEMP BONE WO MASTOIDECT,183.0,162.87,161.04,183.0,455 CDM,PX-A69716,PR ANES FOR IMPLTJ OI IMPLT SKL TC ESP,183.0,162.87,161.04,183.0,455 CDM,PX-A69717,PR ANES FOR RPL IMPL TEMP BN WO MASTOIDECT,183.0,162.87,161.04,183.0,455 CDM,PX-A69719,PR ANES FOR REVJ/RPLCMT OI IMPLT TC ESP,183.0,162.87,161.04,183.0,455 CDM,PX-A69720,PR ANES FOR RPL IMPL TEMP BN W MASTOIDECT,183.0,162.87,161.04,183.0,455 CDM,PX-A69725,"PR ANES FOR RELEASE FACIAL NERVE,MED TO GANGLION",183.0,162.87,161.04,183.0,455 CDM,PX-A69726,PR ANES FOR RMVL OI IMPLT SKL PERQ ESP,183.0,162.87,161.04,183.0,455 CDM,PX-A69727,PR ANES FOR RMVL OI IMPLT SKL TC ESP,183.0,162.87,161.04,183.0,455 CDM,PX-A69728,PR ANES FOR RMV NTR OI IMPLT SK TC ESP>=100,183.0,162.87,161.04,183.0,455 CDM,PX-A69729,PR ANES FOR IMPL OI IMPLT SK TC ESP>=100,183.0,162.87,161.04,183.0,455 CDM,PX-A69730,PR ANES FOR RPLCM OI IMPLT SK TC ESP>=100,183.0,162.87,161.04,183.0,455 CDM,PX-A69740,"PR ANES FOR REPAIR FACIAL NERVE,LAT TO GANGLION",183.0,162.87,161.04,183.0,455 CDM,PX-A69745,"PR ANES FOR REPAIR FACIAL NERVE,MED TO GANGLION",183.0,162.87,161.04,183.0,455 CDM,PX-A69799,PR ANES FOR UNLISTED PROCEDURE MIDDLE EAR,183.0,162.87,161.04,183.0,455 CDM,PX-A69801,PR ANES FOR TRANSCANAL LABYRINTH PERFUSION,183.0,162.87,161.04,183.0,455 CDM,PX-A69805,PR ANES FOR ENDOLYMPHATIC SAC OP WO SHUNT,183.0,162.87,161.04,183.0,455 CDM,PX-A69806,PR ANES FOR EDOLYMPHATIC SAC OP W SHUNT,183.0,162.87,161.04,183.0,455 CDM,PX-A69905,PR ANES FOR LABYRINTHECTOMY TRANSCANAL,183.0,162.87,161.04,183.0,455 CDM,PX-A69910,PR ANES FOR LABYRINTHECTOMY W MASTOIDECT,183.0,162.87,161.04,183.0,455 CDM,PX-A69915,PR ANES FOR VESTIBULAR NRV SEC TRANS APPR,183.0,162.87,161.04,183.0,455 CDM,PX-A69930,PR ANES FOR COCHLEAR DEVICE IMPLANTATION,183.0,162.87,161.04,183.0,455 CDM,PX-A69949,PR ANES FOR UNLISTED PROC INNER EAR,183.0,162.87,161.04,183.0,455 CDM,PX-A69950,PR ANES FOR VESTIB NRV SECTN TRANSCRNL APP,183.0,162.87,161.04,183.0,455 CDM,PX-A69955,PR ANES FOR DCMPRN&/RPR FACIAL NERVE TOTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A69960,PR ANES FOR DECOMPRESS INTERN AUDITORY CANAL,183.0,162.87,161.04,183.0,455 CDM,PX-A69970,PR ANES FOR RMVL TMR TEMPORAL BONE,183.0,162.87,161.04,183.0,455 CDM,PX-A69979,PR ANES FOR UNLISTED PROC TEMP BN MID FOS,183.0,162.87,161.04,183.0,455 CDM,PX-A69990,PR ANES FOR MICROSURG TQS W USE OPER MICRO,183.0,162.87,161.04,183.0,455 CDM,PX-A70030,PR ANES FOR XR EYE FB,183.0,162.87,161.04,183.0,455 CDM,PX-A70100,PR ANES FOR XR MANDIBLE PRTL 1-3V,183.0,162.87,161.04,183.0,455 CDM,PX-A70110,PR ANES FOR XR MANDIBLE COMPLT MIN 4V,183.0,162.87,161.04,183.0,455 CDM,PX-A70120,PR ANES FOR XR MASTOID COMPLT<=3V/SIDE,183.0,162.87,161.04,183.0,455 CDM,PX-A70130,PR ANES FOR XR MASTOID COMPLT MIN 3V,183.0,162.87,161.04,183.0,455 CDM,PX-A70134,PR ANES FOR XR INTRNL AUD MEAT COMPLT,183.0,162.87,161.04,183.0,455 CDM,PX-A70140,PR ANES FOR XR FACIAL BONES 1-2V,183.0,162.87,161.04,183.0,455 CDM,PX-A70150,PR ANES FOR XR FACIAL BONES COMPLT MIN 3V,183.0,162.87,161.04,183.0,455 CDM,PX-A70160,PR ANES FOR XR NASAL BONES COMPLT MIN 3V,183.0,162.87,161.04,183.0,455 CDM,PX-A70190,PR ANES FOR XR OPTIC FORAMINA,183.0,162.87,161.04,183.0,455 CDM,PX-A70200,PR ANES FOR XR ORBITS COMPLT MIN 4V,183.0,162.87,161.04,183.0,455 CDM,PX-A70210,PR ANES FOR XR SINUS 1-2V,183.0,162.87,161.04,183.0,455 CDM,PX-A70220,PR ANES FOR XR SINUS COMPLT MIN 3V,183.0,162.87,161.04,183.0,455 CDM,PX-A70240,PR ANES FOR XR SELLA TURCICA,183.0,162.87,161.04,183.0,455 CDM,PX-A70250,PR ANES FOR XR SKULL 1-3V,183.0,162.87,161.04,183.0,455 CDM,PX-A70260,PR ANES FOR XR SKULL COMPLT MIN 4V,183.0,162.87,161.04,183.0,455 CDM,PX-A70300,PR ANES FOR XR TEETH SINGLE VIEW,183.0,162.87,161.04,183.0,455 CDM,PX-A70310,PR ANES FOR XR TEETH PARTIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A70320,PR ANES FOR XR TEETH COMPLT FULL MOUTH,183.0,162.87,161.04,183.0,455 CDM,PX-A70328,PR ANES FOR XR TMJ OPEN CLSD UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A70330,PR ANES FOR XR TMJ OPEN CLSD BILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A70336,PR ANES FOR MRI TMJ,183.0,162.87,161.04,183.0,455 CDM,PX-A70350,PR ANES FOR CEPHALOGRAM,183.0,162.87,161.04,183.0,455 CDM,PX-A70355,PR ANES FOR ORTHOPANTOGRAM,183.0,162.87,161.04,183.0,455 CDM,PX-A70360,PR ANES FOR XR NECK/SOFT TISS,183.0,162.87,161.04,183.0,455 CDM,PX-A70370,PR ANES FOR XR PHARNX/LARYNX,183.0,162.87,161.04,183.0,455 CDM,PX-A70380,PR ANES FOR XR SALIV GLD CALCULUS,183.0,162.87,161.04,183.0,455 CDM,PX-A70450,PR ANES FOR CT HEAD/BRAIN WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70460,PR ANES FOR CT HEAD/BRAIN W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70470,PR ANES FOR CT HEAD/BRAIN WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70471,PR ANES FOR PR CTA H&N C+ W/NONCONTRAST IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A70480,PR ANES FOR CT ORBIT/EAR/FOSSA WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70481,PR ANES FOR CT ORBIT/EAR/FOSSA W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70482,PR ANES FOR CT ORBT/EAR/FOSSA WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70486,PR ANES FOR CT MAXFAC WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70487,PR ANES FOR CT MAXFAC W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70488,PR ANES FOR CT MAXFAC WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70490,PR ANES FOR CT NECK/SOFT TISS WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70491,PR ANES FOR CT NECK/SOFT TISS W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70492,PR ANES FOR CT NECK/SOFT TISS WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70496,PR ANES FOR CTA HEAD WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70498,PR ANES FOR CTA NECK WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70540,PR ANES FOR MRI ORBIT/FACE/NCK WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70542,PR ANES FOR MRI ORBIT/FACE/NCK W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70543,PR ANES FOR MRI ORBT/FACE/NCK WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70544,PR ANES FOR MRA HEAD WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70545,PR ANES FOR MRA HEAD W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70546,PR ANES FOR MRA HEAD WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70547,PR ANES FOR MRA NECK WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70548,PR ANES FOR MRA NECK W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70549,PR ANES FOR MRA NECK WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70551,PR ANES FOR MRI BRAIN WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70552,PR ANES FOR MRI BRAIN W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70553,PR ANES FOR MRI BRAIN WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A70554,PR ANES FOR MRI FUNCT BRAIN NOT REQ MD,183.0,162.87,161.04,183.0,455 CDM,PX-A70555,PR ANES FOR MRI FUNCTIONAL BRAIN REQ MD,183.0,162.87,161.04,183.0,455 CDM,PX-A70557,PR ANES FOR MR BRAIN INTCRAN PROC WO CST,183.0,162.87,161.04,183.0,455 CDM,PX-A70558,PR ANES FOR MR BRAIN INTCRAN PROC W CST,183.0,162.87,161.04,183.0,455 CDM,PX-A70559,PR ANES FOR MR BRN INTRCR PROC WO/W,183.0,162.87,161.04,183.0,455 CDM,PX-A71045,PR ANES FOR XR EXAM CHEST 1V,183.0,162.87,161.04,183.0,455 CDM,PX-A71100,PR ANES FOR XR RIB UNILAT 2V,183.0,162.87,161.04,183.0,455 CDM,PX-A71101,PR ANES FOR XR RIB W PA CHST UNILAT MIN 3V,183.0,162.87,161.04,183.0,455 CDM,PX-A71110,PR ANES FOR XR RIB BILAT 3V,183.0,162.87,161.04,183.0,455 CDM,PX-A71111,PR ANES FOR XR RIB W PA CHST BILAT MIN 4V,183.0,162.87,161.04,183.0,455 CDM,PX-A71120,PR ANES FOR XR STERNUM MIN 2V,183.0,162.87,161.04,183.0,455 CDM,PX-A71130,PR ANES FOR XR STERNCLAV JT MIN 3V,183.0,162.87,161.04,183.0,455 CDM,PX-A71250,PR ANES FOR CT THORAX WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A71260,PR ANES FOR CT THORAX W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A71270,PR ANES FOR CT THORAX WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A71271,PR ANES FOR CT THORAX LOW DOSE LUNG CA SCRN WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A71275,PR ANES FOR CTA CHEST WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A71550,PR ANES FOR MRI CHEST WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A71551,PR ANES FOR MRI CHEST W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A71552,PR ANES FOR MRI CHEST WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A71555,PR ANES FOR MRA CHEST W OR WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72020,PR ANES FOR XR SPINE 1V,183.0,162.87,161.04,183.0,455 CDM,PX-A72040,PR ANES FOR XR SPINE CERV 2-3V,183.0,162.87,161.04,183.0,455 CDM,PX-A72050,PR ANES FOR XR SPINE CERV MIN 4-5V,183.0,162.87,161.04,183.0,455 CDM,PX-A72052,PR ANES FOR XR SPINE CERV >= 6 VIEWS,183.0,162.87,161.04,183.0,455 CDM,PX-A72070,PR ANES FOR XR SPINE THORAC 2V,183.0,162.87,161.04,183.0,455 CDM,PX-A72072,PR ANES FOR XR SPINE THORAC 3V,183.0,162.87,161.04,183.0,455 CDM,PX-A72074,PR ANES FOR XR SPINE THORAC MIN 4V,183.0,162.87,161.04,183.0,455 CDM,PX-A72080,PR ANES FOR XR SPINE THORACOLUMBAR 2V,183.0,162.87,161.04,183.0,455 CDM,PX-A72081,PR ANES FOR XR SPINE THORACOLUMBAR 1V,183.0,162.87,161.04,183.0,455 CDM,PX-A72082,PR ANES FOR XR SPINE THORACOLUMBAR 2-3V,183.0,162.87,161.04,183.0,455 CDM,PX-A72083,PR ANES FOR XR SPINE THORACOLUMBAR 4-5V,183.0,162.87,161.04,183.0,455 CDM,PX-A72084,PR ANES FOR XR SPINE THORACOLUMBAR 6>V,183.0,162.87,161.04,183.0,455 CDM,PX-A72100,PR ANES FOR XR SPINE LUMBOSACRAL 2-3V,183.0,162.87,161.04,183.0,455 CDM,PX-A72110,PR ANES FOR XR SPINE LUMBOSACRAL MIN 4V,183.0,162.87,161.04,183.0,455 CDM,PX-A72114,PR ANES FOR XR SPINE LUMBOSACRAL MIN 6V,183.0,162.87,161.04,183.0,455 CDM,PX-A72120,PR ANES FOR XR LUMBOSACRAL BEND 2-3V,183.0,162.87,161.04,183.0,455 CDM,PX-A72125,PR ANES FOR CT CERV SPINE WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72126,PR ANES FOR CT CERV SPINE W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72127,PR ANES FOR CT CERV SPINE WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72128,PR ANES FOR CT THORAC SPINE WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72129,PR ANES FOR CT THORAC SPINE W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72130,PR ANES FOR CT THORAC SPINE WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72131,PR ANES FOR CT LUMBAR SPINE WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72132,PR ANES FOR CT LUMBAR SPINE W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72133,PR ANES FOR CT LUMBAR SPINE WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72141,PR ANES FOR MRI CERV SPINE WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72142,PR ANES FOR MRI CERV SPINE W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72146,PR ANES FOR MRI THORAC SPINE WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72147,PR ANES FOR MRI THORAC SPINE W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72148,PR ANES FOR MRI LUMB SPINE WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72149,PR ANES FOR MRI LUMB SPINE W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72156,PR ANES FOR MRI CERV SPINE WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72157,PR ANES FOR MRI THORAC SPINE WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72158,PR ANES FOR MRI LUMB SPINE WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72159,PR ANES FOR MRA SPINE W/WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72170,PR ANES FOR XR PELVIS 1-2V,183.0,162.87,161.04,183.0,455 CDM,PX-A72190,PR ANES FOR XR PELVIS COMPLT MIN 3V,183.0,162.87,161.04,183.0,455 CDM,PX-A72191,PR ANES FOR CTA PELVIS WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72192,PR ANES FOR CT PELVIS WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72193,PR ANES FOR CT PELVIS W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72194,PR ANES FOR CT PELVIS WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72195,PR ANES FOR MRI PELVIS WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72196,PR ANES FOR MRI PELVIS W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72197,PR ANES FOR MRI PELVIS WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A72200,PR ANES FOR XR SACROILIAC JOINT 1-2V,183.0,162.87,161.04,183.0,455 CDM,PX-A72202,PR ANES FOR XR SACROILIAC JOINT >= 3 V,183.0,162.87,161.04,183.0,455 CDM,PX-A72220,PR ANES FOR XR SACRUM COCCYX MIN 2V,183.0,162.87,161.04,183.0,455 CDM,PX-A73000,PR ANES FOR XR CLAVICLE COMPLT,183.0,162.87,161.04,183.0,455 CDM,PX-A73010,PR ANES FOR XR SCAPULA COMPLT,183.0,162.87,161.04,183.0,455 CDM,PX-A73020,PR ANES FOR XR SHOULDER 1V,183.0,162.87,161.04,183.0,455 CDM,PX-A73030,PR ANES FOR XR SHOULDER COMPLT MIN 2V,183.0,162.87,161.04,183.0,455 CDM,PX-A73050,PR ANES FOR XR AC JOINT BILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A73060,PR ANES FOR XR HUMERUS MIN 2V,183.0,162.87,161.04,183.0,455 CDM,PX-A73070,PR ANES FOR XR ELBOW 2V,183.0,162.87,161.04,183.0,455 CDM,PX-A73080,PR ANES FOR XR ELBOW COMPLT MIN 3V,183.0,162.87,161.04,183.0,455 CDM,PX-A73090,PR ANES FOR XR FOREARM 2V,183.0,162.87,161.04,183.0,455 CDM,PX-A73092,PR ANES FOR XR UPR EXT INFANT MIN 2V,183.0,162.87,161.04,183.0,455 CDM,PX-A73100,PR ANES FOR XR WRIST 2V,183.0,162.87,161.04,183.0,455 CDM,PX-A73110,PR ANES FOR XR WRIST COMPLT MIN 3V,183.0,162.87,161.04,183.0,455 CDM,PX-A73120,PR ANES FOR XR HAND 2V,183.0,162.87,161.04,183.0,455 CDM,PX-A73130,PR ANES FOR XR HAND MIN 3V,183.0,162.87,161.04,183.0,455 CDM,PX-A73140,PR ANES FOR XR FINGER(S) MIN 2V,183.0,162.87,161.04,183.0,455 CDM,PX-A73200,PR ANES FOR CT UPR EXT WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A73201,PR ANES FOR CT UPR EXT W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A73202,PR ANES FOR CT UPR EXT WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A73206,PR ANES FOR CTA UPR EXT WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A73218,PR ANES FOR MRI UPR EXT NONJOINT WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A73219,PR ANES FOR MRI UPR EXT NONJOINT W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A73220,PR ANES FOR MRI UPR EXT NOJNT WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A73221,PR ANES FOR MRI UPR EXT JOINT WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A73222,PR ANES FOR MRI UPR EXT JOINT W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A73223,PR ANES FOR MRI UPR EXT JOINT WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A73501,PR ANES FOR XR HIP W PELVIS UNILAT 1V,183.0,162.87,161.04,183.0,455 CDM,PX-A73502,PR ANES FOR XR HIP W PELVIS UNILAT 2-3V,183.0,162.87,161.04,183.0,455 CDM,PX-A73503,PR ANES FOR XR HIP W PELVIS UNILAT 4>V,183.0,162.87,161.04,183.0,455 CDM,PX-A73521,PR ANES FOR XR HIP W PELVIS BILAT 2V,183.0,162.87,161.04,183.0,455 CDM,PX-A73522,PR ANES FOR XR HIP W PELVIS BILAT 3-4V,183.0,162.87,161.04,183.0,455 CDM,PX-A73523,PR ANES FOR XR HIP W PELVIS BILAT MIN 5V,183.0,162.87,161.04,183.0,455 CDM,PX-A73551,PR ANES FOR XR FEMUR 1V,183.0,162.87,161.04,183.0,455 CDM,PX-A73552,PR ANES FOR XR FEMUR MIN 2V,183.0,162.87,161.04,183.0,455 CDM,PX-A73560,PR ANES FOR XR KNEE 1-2V,183.0,162.87,161.04,183.0,455 CDM,PX-A73562,PR ANES FOR XR KNEE 3V,183.0,162.87,161.04,183.0,455 CDM,PX-A73564,PR ANES FOR XR KNEE COMPLT MIN 4V,183.0,162.87,161.04,183.0,455 CDM,PX-A73565,PR ANES FOR XR KNEE BILAT STAND AP,183.0,162.87,161.04,183.0,455 CDM,PX-A73590,PR ANES FOR XR TIBIA & FIBULA 2V,183.0,162.87,161.04,183.0,455 CDM,PX-A73592,PR ANES FOR XR LWR EXT INFANT MIN 2V,183.0,162.87,161.04,183.0,455 CDM,PX-A73600,PR ANES FOR XR ANKLE 2V,183.0,162.87,161.04,183.0,455 CDM,PX-A73610,PR ANES FOR XR ANKLE COMPLT MIN 3V,183.0,162.87,161.04,183.0,455 CDM,PX-A73620,PR ANES FOR XR FOOT 2V,183.0,162.87,161.04,183.0,455 CDM,PX-A73630,PR ANES FOR XR FOOT COMPLT MIN 3V,183.0,162.87,161.04,183.0,455 CDM,PX-A73650,PR ANES FOR XR CALCANEUS MIN 2V,183.0,162.87,161.04,183.0,455 CDM,PX-A73660,PR ANES FOR XR TOE(S) MIN 2V,183.0,162.87,161.04,183.0,455 CDM,PX-A73700,PR ANES FOR CT LWR EXT WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A73701,PR ANES FOR CT LWR EXT W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A73702,PR ANES FOR CT LWR EXT WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A73706,PR ANES FOR CTA LWR EXT WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A73718,PR ANES FOR MRI LWR EXT NONJNT WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A73719,PR ANES FOR MRI LWR EXT NONJOINT W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A73720,PR ANES FOR MRI LWR EXT NOJNT WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A73721,PR ANES FOR MRI LWR EXT JOINT WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A73722,PR ANES FOR MRI LWR EXT JOINT W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A73723,PR ANES FOR MRI LWR EXT JOINT WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A73725,PR ANES FOR MRA LWR EXT W OR WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A74022,PR ANES FOR XR ABDOMEN COMPLT W 1VW CHEST,183.0,162.87,161.04,183.0,455 CDM,PX-A74150,PR ANES FOR CT ABDOMEN WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A74160,PR ANES FOR CT ABDOMEN W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A74170,PR ANES FOR CT ABDOMEN WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A74174,PR ANES FOR CTA ABD&PELVIS WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A74175,PR ANES FOR CTA ABDOMEN WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A74176,PR ANES FOR CT ABD&PELVIS WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A74177,PR ANES FOR CT ABD&PELVIS W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A74178,PR ANES FOR CT ABD&PELVIS WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A74181,PR ANES FOR MRI ABDOMEN WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A74182,PR ANES FOR MRI ABDOMEN W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A74183,PR ANES FOR MRI ABDOMEN WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A74185,PR ANES FOR MRA ABDOMEN WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A74210,PR ANES FOR XR PHARYNX/ESOP,183.0,162.87,161.04,183.0,455 CDM,PX-A74220,PR ANES FOR XR ESOPHAGUS,183.0,162.87,161.04,183.0,455 CDM,PX-A74240,PR ANES FOR XR UGI SINGLE CONTRAST,183.0,162.87,161.04,183.0,455 CDM,PX-A74246,PR ANES FOR XR UGI DOUBLE CONTRAST,183.0,162.87,161.04,183.0,455 CDM,PX-A74250,PR ANES FOR XR SMALL BOWEL,183.0,162.87,161.04,183.0,455 CDM,PX-A74251,PR ANES FOR XR SMALL BOWEL VIA ENTERO TUBE,183.0,162.87,161.04,183.0,455 CDM,PX-A74261,PR ANES FOR CT COLONOGRAPHY DX WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A74262,PR ANES FOR CT COLONOGRAPHY DX WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A74263,PR ANES FOR CT COLONOGRAPHY SCRN,183.0,162.87,161.04,183.0,455 CDM,PX-A74270,PR ANES FOR XR COLON SINGLE CONTRAST,183.0,162.87,161.04,183.0,455 CDM,PX-A74280,PR ANES FOR XR COLON AIR CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A74283,PR ANES FOR XR THERAPEUTIC ENEMA,183.0,162.87,161.04,183.0,455 CDM,PX-A74290,PR ANES FOR CONTRAST XR GALLBLADDER,183.0,162.87,161.04,183.0,455 CDM,PX-A74400,PR ANES FOR IVP WO OR W KUB/TOMO,183.0,162.87,161.04,183.0,455 CDM,PX-A74410,PR ANES FOR UROGRAM INF/BOLUS,183.0,162.87,161.04,183.0,455 CDM,PX-A74415,PR ANES FOR UROGRAM INF/BOLUS W NEPHROTOM,183.0,162.87,161.04,183.0,455 CDM,PX-A74420,PR ANES FOR UROGRAPHY RETRO WO OR W KUB,183.0,162.87,161.04,183.0,455 CDM,PX-A74712,PR ANES FOR SINGLE MRI FETAL GESTATION,183.0,162.87,161.04,183.0,455 CDM,PX-A74775,PR ANES FOR PERINEOGRAM,183.0,162.87,161.04,183.0,455 CDM,PX-A75557,PR ANES FOR CARD MRI MORPH&FUNC WO CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A75559,PR ANES FOR CARD MRI MORPH&FUNC WO W ST,183.0,162.87,161.04,183.0,455 CDM,PX-A75561,PR ANES FOR CARD MRI MORP&FUNC WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A75563,PR ANES FOR CARD MRI MORPH&FUNC WO/W ST,183.0,162.87,161.04,183.0,455 CDM,PX-A75565,PR ANES FOR CARD MRI VELOCITY FLOW MAPPING,183.0,162.87,161.04,183.0,455 CDM,PX-A75571,PR ANES FOR CT HRT WO CNTRST W CA SCORE,183.0,162.87,161.04,183.0,455 CDM,PX-A75572,PR ANES FOR CT HRT W CNTRST MORPHOLOGY,183.0,162.87,161.04,183.0,455 CDM,PX-A75573,PR ANES FOR CT HRT MORPHOLOGY CONGENITAL,183.0,162.87,161.04,183.0,455 CDM,PX-A75574,PR ANES FOR CTA HRT CORONARY W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A75625,PR ANES FOR AORTOGRAPHY ABDOMINAL S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A75630,PR ANES FOR AORTOGRAPHY ABD LWR EXT S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A75635,PR ANES FOR CTA ABD ART RUNOF WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-A75705,PR ANES FOR ANGIOGRAPHY SPINAL SEL S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A75710,PR ANES FOR ANGIOGRAPHY EXT UNILAT S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A75716,PR ANES FOR ANGIOGRAPHY EXT BILAT S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A75726,PR ANES FOR ANGIOGRAPHY VISCERAL SEL S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A75736,PR ANES FOR ANGIOGRAPHY PELVIC SEL S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A75756,PR ANES FOR ANGIOGRAPHY INTRNL MAMMARY S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A75774,PR ANES FOR ANGIOGRAPHY SEL ADD VSSL S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A75820,PR ANES FOR VENOGRAPHY EXT UNILAT S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A75822,PR ANES FOR VENOGRAPHY EXT BILAT S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A75860,PR ANES FOR VENOGRAPHY SINUS OR JUG S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A75894,PR ANES FOR THRPY TXCATH EMBL S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A75898,PR ANES FOR ANGIO FU THRU CATH S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A76000,PR ANES FOR FLUOROSCOPY EXAM UP TO 1 HR,183.0,162.87,161.04,183.0,455 CDM,PX-A76010,PR ANES FOR XR NOSE TO RECTUM CHILD,183.0,162.87,161.04,183.0,455 CDM,PX-A76100,PR ANES FOR XR SINGLE PLANE TOMO,183.0,162.87,161.04,183.0,455 CDM,PX-A76125,PR ANES FOR CINE/VIDEORADIOGRAPHY W/ROUTINE EXAM,183.0,162.87,161.04,183.0,455 CDM,PX-A76380,PR ANES FOR CT LTD FU STDY,183.0,162.87,161.04,183.0,455 CDM,PX-A76390,PR ANES FOR MR SPECTROSCOPY,183.0,162.87,161.04,183.0,455 CDM,PX-A76391,PR ANES FOR MR ELASTOGRAPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A76496,PR ANES FOR UNLSTD FLUOROSCOPIC PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A76497,PR ANES FOR CT ANG ARTA PREOP/EVAL POSTPRO,183.0,162.87,161.04,183.0,455 CDM,PX-A76498,PR ANES FOR UNLISTED MR PROCEDURE,183.0,162.87,161.04,183.0,455 CDM,PX-A76499,PR ANES FOR UNLISTED PROC DX RAD,183.0,162.87,161.04,183.0,455 CDM,PX-A76506,PR ANES FOR ECHOENCEPHGRAPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A76510,PR ANES FOR OPTHAL US DX QUANT B&A SCAN,183.0,162.87,161.04,183.0,455 CDM,PX-A76511,PR ANES FOR OPHTHAL US DX QUANT A SCAN,183.0,162.87,161.04,183.0,455 CDM,PX-A76512,PR ANES FOR US OPHTHALMIC DX B-SCAN,183.0,162.87,161.04,183.0,455 CDM,PX-A76513,PR ANES FOR OPHTHAL US DX EYE WATER BATH,183.0,162.87,161.04,183.0,455 CDM,PX-A76514,PR ANES FOR OPHTHAL US DX EYE THICKNESS,183.0,162.87,161.04,183.0,455 CDM,PX-A76516,PR ANES FOR US OPHTHAL BIOMETRY ECHO ASCAN,183.0,162.87,161.04,183.0,455 CDM,PX-A76519,PR ANES FOR OPHTHAL US A SCAN W IO LENS,183.0,162.87,161.04,183.0,455 CDM,PX-A76529,PR ANES FOR US OPHTHALMIC FB LOC,183.0,162.87,161.04,183.0,455 CDM,PX-A76536,PR ANES FOR US HEAD&NECK SOFT TISS,183.0,162.87,161.04,183.0,455 CDM,PX-A76604,PR ANES FOR US CHEST,183.0,162.87,161.04,183.0,455 CDM,PX-A76700,PR ANES FOR US ABD COMPLT,183.0,162.87,161.04,183.0,455 CDM,PX-A76705,PR ANES FOR US ABD LTD,183.0,162.87,161.04,183.0,455 CDM,PX-A76706,PR ANES FOR US ABD AORTA SCREEN AAA,183.0,162.87,161.04,183.0,455 CDM,PX-A76770,PR ANES FOR US RETROPERITONEAL COMPLT,183.0,162.87,161.04,183.0,455 CDM,PX-A76775,PR ANES FOR US RETROPERITONEAL LTD,183.0,162.87,161.04,183.0,455 CDM,PX-A76776,PR ANES FOR US TRANSPLANT KIDNEY W DPLR,183.0,162.87,161.04,183.0,455 CDM,PX-A76800,PR ANES FOR US SPINE CANAL,183.0,162.87,161.04,183.0,455 CDM,PX-A76801,PR ANES FOR OB US < 14 WKS SINGLE FETUS,183.0,162.87,161.04,183.0,455 CDM,PX-A76802,PR ANES FOR OB US < 14 WKS ADD FETUS,183.0,162.87,161.04,183.0,455 CDM,PX-A76805,PR ANES FOR US OB OVER 14WKS SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A76810,PR ANES FOR US OB OVER 14WKS ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A76811,PR ANES FOR US OB DETAILED SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A76812,PR ANES FOR US OB DETAILED ADD GEST,183.0,162.87,161.04,183.0,455 CDM,PX-A76813,PR ANES FOR US OB NUCHAL TRANSLUCENCY SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A76814,PR ANES FOR US OB NUCHAL TRANSLUCENCY ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A76815,PR ANES FOR US PREGNANT UTERUS LIMITED,183.0,162.87,161.04,183.0,455 CDM,PX-A76816,PR ANES FOR US OB FU PER FETUS,183.0,162.87,161.04,183.0,455 CDM,PX-A76817,PR ANES FOR US OB TRANSVAGINAL,183.0,162.87,161.04,183.0,455 CDM,PX-A76818,PR ANES FOR BPP W NONSTRESS TEST,183.0,162.87,161.04,183.0,455 CDM,PX-A76819,PR ANES FOR FETAL BIOPHYS PROFIL WO NST,183.0,162.87,161.04,183.0,455 CDM,PX-A76820,PR ANES FOR DPLR VELOC FETAL UMBIL ARTERY,183.0,162.87,161.04,183.0,455 CDM,PX-A76821,PR ANES FOR DPLR VELOC FETL MID CRBRAL ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A76825,PR ANES FOR ECHO FETAL CARDIOVASC,183.0,162.87,161.04,183.0,455 CDM,PX-A76826,PR ANES FOR SONO FETAL HEART F/U,183.0,162.87,161.04,183.0,455 CDM,PX-A76827,PR ANES FOR US DPLR FETAL ECHO,183.0,162.87,161.04,183.0,455 CDM,PX-A76828,PR ANES FOR CHG SONO FETAL HRT DOPPL F/U,183.0,162.87,161.04,183.0,455 CDM,PX-A76830,PR ANES FOR US TRANSVAGINAL,183.0,162.87,161.04,183.0,455 CDM,PX-A76831,PR ANES FOR ECHO EXAM UTERUS,183.0,162.87,161.04,183.0,455 CDM,PX-A76856,PR ANES FOR US PELVIS COMPLETE,183.0,162.87,161.04,183.0,455 CDM,PX-A76857,PR ANES FOR US PELVIS LTD/FU,183.0,162.87,161.04,183.0,455 CDM,PX-A76870,PR ANES FOR US SCROTUM,183.0,162.87,161.04,183.0,455 CDM,PX-A76872,PR ANES FOR US TRANSRECTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A76873,PR ANES FOR US TRANSRECTAL PROSTATE VOLUME,183.0,162.87,161.04,183.0,455 CDM,PX-A76881,PR ANES FOR US EXT NON-VASC COMPLETE,183.0,162.87,161.04,183.0,455 CDM,PX-A76882,PR ANES FOR US EXT LTD,183.0,162.87,161.04,183.0,455 CDM,PX-A76885,PR ANES FOR US INFANT HIPS DYNAMIC,183.0,162.87,161.04,183.0,455 CDM,PX-A76886,PR ANES FOR US INFANT HIPS LTD STATIC,183.0,162.87,161.04,183.0,455 CDM,PX-A76936,PR ANES FOR US GUIDE COMPRESSION RPR ARTY,183.0,162.87,161.04,183.0,455 CDM,PX-A76937,PR ANES FOR US GUIDE VASC ACCESS,183.0,162.87,161.04,183.0,455 CDM,PX-A76940,PR ANES FOR US GUIDE TISS ABLT,183.0,162.87,161.04,183.0,455 CDM,PX-A76965,PR ANES FOR US GUIDE INTERS RADIOTHER,183.0,162.87,161.04,183.0,455 CDM,PX-A76998,PR ANES FOR US GUIDE INTRAOPERATIVE,183.0,162.87,161.04,183.0,455 CDM,PX-A76999,PR ANES FOR UNLISTED ULTRASOUND PROCEDURE,183.0,162.87,161.04,183.0,455 CDM,PX-A77001,PR ANES FOR FLUORO GUIDE PLC CVAD,183.0,162.87,161.04,183.0,455 CDM,PX-A77002,PR ANES FOR FLUORO GUIDE NDL PLC,183.0,162.87,161.04,183.0,455 CDM,PX-A77003,PR ANES FOR FLUORO GUIDE SPINE INJ,183.0,162.87,161.04,183.0,455 CDM,PX-A77011,PR ANES FOR CT GUIDE STERO LOCALIZ,183.0,162.87,161.04,183.0,455 CDM,PX-A77012,PR ANES FOR CT GUIDE NDL PLC,183.0,162.87,161.04,183.0,455 CDM,PX-A77013,PR ANES FOR CT GUIDE TISS ABLT,183.0,162.87,161.04,183.0,455 CDM,PX-A77014,PR ANES FOR CT GUIDE RADTN THERAPY FLD PLC,183.0,162.87,161.04,183.0,455 CDM,PX-A77021,PR ANES FOR MRI GUIDE NDL PLC,183.0,162.87,161.04,183.0,455 CDM,PX-A77022,PR ANES FOR MRI GUIDE/MONITOR TISS ABLATE,183.0,162.87,161.04,183.0,455 CDM,PX-A77046,PR ANES FOR MRI BREAST WO CNTRST UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A77047,PR ANES FOR MRI BREAST WO CNTRST BILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A77048,PR ANES FOR MRI BREAST WOW CNTRST W/CAD UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A77049,PR ANES FOR MRI BREAST WOW CNTRST W/CAD BILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A77065,"PR ANES FOR DIAG MAMMO, UNILATERAL, W/CAD",183.0,162.87,161.04,183.0,455 CDM,PX-A77066,"PR ANES FOR DIAG MAMMO, BILATERAL, W/CAD",183.0,162.87,161.04,183.0,455 CDM,PX-A77067,"PR ANES FOR SCREEN MAMMO, BILATERAL, W/CAD",183.0,162.87,161.04,183.0,455 CDM,PX-A77071,PR ANES FOR APP STRESS JOINT RADIOGRAPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A77072,PR ANES FOR BONE AGE STUDY,183.0,162.87,161.04,183.0,455 CDM,PX-A77073,PR ANES FOR BONE LENGTH STUDY,183.0,162.87,161.04,183.0,455 CDM,PX-A77074,PR ANES FOR XR BONE SURVEY LIMITED,183.0,162.87,161.04,183.0,455 CDM,PX-A77075,PR ANES FOR XR BONE SURVEY COMPLETE,183.0,162.87,161.04,183.0,455 CDM,PX-A77076,PR ANES FOR XR BONE SURVEY INFANT,183.0,162.87,161.04,183.0,455 CDM,PX-A77077,PR ANES FOR XR JOINT SURVEY 2 PLUS JTS 1V,183.0,162.87,161.04,183.0,455 CDM,PX-A77078,PR ANES FOR CT BN DENSITY 1>= SITES,183.0,162.87,161.04,183.0,455 CDM,PX-A77080,PR ANES FOR DEXA BONE DENSITY AXIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A77081,PR ANES FOR DEXA BONE DENSITY APPENDICULAR,183.0,162.87,161.04,183.0,455 CDM,PX-A77084,PR ANES FOR MRI BONE MARROW BLOOD SUPPLY,183.0,162.87,161.04,183.0,455 CDM,PX-A77263,PR ANES FOR TX PLANNING THER RAD COMPLEX,183.0,162.87,161.04,183.0,455 CDM,PX-A77280,PR ANES FOR SET RAD SIM THER FIELD SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A77285,PR ANES FOR SET RAD SIM THER FIELD INT,183.0,162.87,161.04,183.0,455 CDM,PX-A77290,PR ANES FOR SET RAD SIM THER FIELD CMPLX,183.0,162.87,161.04,183.0,455 CDM,PX-A77301,PR ANES FOR IMRT RADIOTHERAPY PLAN,183.0,162.87,161.04,183.0,455 CDM,PX-A77334,PR ANES FOR RAD TX DEV DESIGN COMPLEX,183.0,162.87,161.04,183.0,455 CDM,PX-A77338,PR ANES FOR DESIGN MLC DEV FOR IMRT,183.0,162.87,161.04,183.0,455 CDM,PX-A77371,PR ANES FOR RADTN STEREOTACTIC CRAN COBALT,183.0,162.87,161.04,183.0,455 CDM,PX-A77372,PR ANES FOR RADTN STEREOTACTIC CRAN LINEAR,183.0,162.87,161.04,183.0,455 CDM,PX-A77373,PR ANES FOR STEREOTACTIC BODY RADTN DEL,183.0,162.87,161.04,183.0,455 CDM,PX-A77385,PR ANES FOR IMRT SIMPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A77386,PR ANES FOR IMRT COMPLEX,183.0,162.87,161.04,183.0,455 CDM,PX-A77387,PR ANES FOR GUIDANCE FOR LOC RAD TX,183.0,162.87,161.04,183.0,455 CDM,PX-A77399,PR ANES FOR UNLISTED RT SERVICE,183.0,162.87,161.04,183.0,455 CDM,PX-A77402,PR ANES FOR RADIATION TREATMENT DELIVERY 1 MEV+ SIMPLE,183.0,162.87,161.04,183.0,455 CDM,PX-A77407,PR ANES FOR RADIATION TREATMENT DELIVERY 1 MEV+ INTERMEDIATE,183.0,162.87,161.04,183.0,455 CDM,PX-A77412,PR ANES FOR RADTN TX DEL >=1 MEV COMPLEX,183.0,162.87,161.04,183.0,455 CDM,PX-A77417,PR ANES FOR THER RADIOLOGY PORT FILMS,183.0,162.87,161.04,183.0,455 CDM,PX-A77423,"PR ANES FOR NEUTRON BEAM TREATMENT, COMPLEX",183.0,162.87,161.04,183.0,455 CDM,PX-A77427,PR ANES FOR RADTN THER MGMT 5 TREATMENTS,183.0,162.87,161.04,183.0,455 CDM,PX-A77432,PR ANES FOR RADTN TX MGMT STERETCTC CRNL LSN,183.0,162.87,161.04,183.0,455 CDM,PX-A77435,PR ANES FOR STEREOTACTIC BODY RADTN MGMT,183.0,162.87,161.04,183.0,455 CDM,PX-A77470,PR ANES FOR SPECIAL TX PROC,183.0,162.87,161.04,183.0,455 CDM,PX-A77520,"PR ANES FOR PROTON BEAM DEL,SIMPLE",183.0,162.87,161.04,183.0,455 CDM,PX-A77522,"PR ANES FOR PROTON BEAM DEL,SINGLE, W/COMPENSAT",183.0,162.87,161.04,183.0,455 CDM,PX-A77523,"PR ANES FOR PROTON,BEAM DEL,INTERMED",183.0,162.87,161.04,183.0,455 CDM,PX-A77525,"PR ANES FOR PROTON BEAM DEL,MULTIPLE,COMPLEX",183.0,162.87,161.04,183.0,455 CDM,PX-A77600,PR ANES FOR HYPERTHERMIA EXTERNAL GENERATED SUPERFICIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A77605,PR ANES FOR HYPERTHERM EXTERNAL GEN DEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A77620,PR ANES FOR HYPERTHERMIA RX INTRACAV PROBE,183.0,162.87,161.04,183.0,455 CDM,PX-A77761,PR ANES FOR INTRACAV RADTN APP SMPL,183.0,162.87,161.04,183.0,455 CDM,PX-A77762,PR ANES FOR INTRACAV RADTN APP INT,183.0,162.87,161.04,183.0,455 CDM,PX-A77763,PR ANES FOR INTRACAV RADTN APP COMPLEX,183.0,162.87,161.04,183.0,455 CDM,PX-A77767,PR ANES FOR HDR RDNCL SKN SURF BRACHYTX LES 2CM&2CHAN/MLT LES,183.0,162.87,161.04,183.0,455 CDM,PX-A77770,PR ANES FOR HDR RDNCL/ICAV BRACHTX 1 CHNL,183.0,162.87,161.04,183.0,455 CDM,PX-A77771,PR ANES FOR HDR RDNCL/ICAV BRACHTX 2-12CHNL,183.0,162.87,161.04,183.0,455 CDM,PX-A77772,PR ANES FOR HDR RDNCL/ICAV BRACHTX > 12CHNL,183.0,162.87,161.04,183.0,455 CDM,PX-A77778,PR ANES FOR INTERS RADTN APP COMPLEX,183.0,162.87,161.04,183.0,455 CDM,PX-A77789,PR ANES FOR SURFACE APP RADIATION SOURCE,183.0,162.87,161.04,183.0,455 CDM,PX-A77799,PR ANES FOR RADIUM/RADIOISOTOPE THERAPY UNLIST,183.0,162.87,161.04,183.0,455 CDM,PX-A78195,PR ANES FOR LYMPH NODE IMAGING,183.0,162.87,161.04,183.0,455 CDM,PX-A78199,PR ANES FOR BLOOD/LYMPH NUCLEAR EXAM UNLISTED,183.0,162.87,161.04,183.0,455 CDM,PX-A78201,PR ANES FOR LIVER IMAGING STATIC ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A78202,PR ANES FOR LIVER IMAGING W VASC FLOW,183.0,162.87,161.04,183.0,455 CDM,PX-A78215,PR ANES FOR LIVER & SPLEEN IMAGING STATIC,183.0,162.87,161.04,183.0,455 CDM,PX-A78216,"PR ANES FOR LIVER & SPLEEN IMAGE, FLOW",183.0,162.87,161.04,183.0,455 CDM,PX-A78226,PR ANES FOR HEPATOBILIARY SYS IMAGING,183.0,162.87,161.04,183.0,455 CDM,PX-A78227,PR ANES FOR HEPATOBILIARY SYS IMG W DRUG,183.0,162.87,161.04,183.0,455 CDM,PX-A78230,PR ANES FOR SALIVARY GLAND IMAGING,183.0,162.87,161.04,183.0,455 CDM,PX-A78231,PR ANES FOR SALIVARY GLAND W SERIAL IMAGES,183.0,162.87,161.04,183.0,455 CDM,PX-A78232,PR ANES FOR SALIVARY GLAND FUNCTION EXAM,183.0,162.87,161.04,183.0,455 CDM,PX-A78261,PR ANES FOR GASTRIC MUCOSA IMAGING,183.0,162.87,161.04,183.0,455 CDM,PX-A78278,PR ANES FOR ACUTE GI BLEED IMAGING,183.0,162.87,161.04,183.0,455 CDM,PX-A78282,PR ANES FOR GI PROTEIN LOSS EXAM,183.0,162.87,161.04,183.0,455 CDM,PX-A78290,PR ANES FOR MECKEL DIVERTICULUM EXAM,183.0,162.87,161.04,183.0,455 CDM,PX-A78291,PR ANES FOR PERITONEAL VENOUS SHUNT TEST,183.0,162.87,161.04,183.0,455 CDM,PX-A78299,PR ANES FOR GI NUCLEAR PROCEDURE UNLISTED,183.0,162.87,161.04,183.0,455 CDM,PX-A78300,PR ANES FOR BONE/JOINT IMAGING LTD,183.0,162.87,161.04,183.0,455 CDM,PX-A78305,PR ANES FOR BONE/JOINT IMAGING MULT AREAS,183.0,162.87,161.04,183.0,455 CDM,PX-A78306,PR ANES FOR BONE/JOINT IMAGING WB,183.0,162.87,161.04,183.0,455 CDM,PX-A78315,PR ANES FOR BONE/JOINT IMAGING 3 PHASE,183.0,162.87,161.04,183.0,455 CDM,PX-A78350,PR ANES FOR BONE DENSITY STUDY,183.0,162.87,161.04,183.0,455 CDM,PX-A78351,"PR ANES FOR BONE MINERAL, DUAL PHOTON",183.0,162.87,161.04,183.0,455 CDM,PX-A78399,PR ANES FOR MUSCULOSKELETAL NUCLEAR EXAM,183.0,162.87,161.04,183.0,455 CDM,PX-A78597,PR ANES FOR QUANT LUNG PERFUSION DIFF,183.0,162.87,161.04,183.0,455 CDM,PX-A78600,PR ANES FOR BRAIN IMAGING < 4 STATIC VIEWS,183.0,162.87,161.04,183.0,455 CDM,PX-A78601,PR ANES FOR BRAIN IMAGING < 4 STATIC VIEWS W VASCULAR FLOW,183.0,162.87,161.04,183.0,455 CDM,PX-A78605,PR ANES FOR BRAIN IMAGING MIN 4 STATIC VIEWS,183.0,162.87,161.04,183.0,455 CDM,PX-A78606,PR ANES FOR BRAIN IMG < 4 VWS W VASC FLOW,183.0,162.87,161.04,183.0,455 CDM,PX-A78608,PR ANES FOR PET BRAIN METABOLIC EVAL,183.0,162.87,161.04,183.0,455 CDM,PX-A78609,PR ANES FOR PET BRAIN PERFUSION EVAL,183.0,162.87,161.04,183.0,455 CDM,PX-A78610,PR ANES FOR BRAIN IMG VASC FLOW ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A78699,PR ANES FOR NERV SYS NUCL EXAM UNLISTED,183.0,162.87,161.04,183.0,455 CDM,PX-A78700,PR ANES FOR KIDNEY IMG MORPHLOGY,183.0,162.87,161.04,183.0,455 CDM,PX-A78701,PR ANES FOR RENAL IMAGING WITH FLOW,183.0,162.87,161.04,183.0,455 CDM,PX-A78707,PR ANES FOR KIDNEY VAS FLOW WO DRUG SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A78708,PR ANES FOR KIDNEY VAS FLOW W DRUG SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A78709,PR ANES FOR KIDNEY VAS FLOW W DRUG MULT,183.0,162.87,161.04,183.0,455 CDM,PX-A78725,PR ANES FOR KIDNEY FUNCTION STUDY NON IMG,183.0,162.87,161.04,183.0,455 CDM,PX-A78730,PR ANES FOR URINARY BLADDER RETENTION,183.0,162.87,161.04,183.0,455 CDM,PX-A78761,PR ANES FOR TESTICULAR IMAGING W VASC FLOW,183.0,162.87,161.04,183.0,455 CDM,PX-A78799,PR ANES FOR GU NUCLEAR EXAM UNLISTED,183.0,162.87,161.04,183.0,455 CDM,PX-A78800,PR ANES FOR TUMOR LOC LIMITED,183.0,162.87,161.04,183.0,455 CDM,PX-A78802,PR ANES FOR TUMOR LOC WB SNGL DAY,183.0,162.87,161.04,183.0,455 CDM,PX-A78803,PR ANES FOR TUMOR LOC SPECT,183.0,162.87,161.04,183.0,455 CDM,PX-A78811,PR ANES FOR PET LIMITED,183.0,162.87,161.04,183.0,455 CDM,PX-A78812,PR ANES FOR PET TRUNK,183.0,162.87,161.04,183.0,455 CDM,PX-A78813,PR ANES FOR PET WHOLE BODY,183.0,162.87,161.04,183.0,455 CDM,PX-A78814,PR ANES FOR PET/CT LIMITED,183.0,162.87,161.04,183.0,455 CDM,PX-A78815,PR ANES FOR PET/CT TRUNK,183.0,162.87,161.04,183.0,455 CDM,PX-A78816,PR ANES FOR PET/CT WHOLE BODY,183.0,162.87,161.04,183.0,455 CDM,PX-A78830,PR ANES FOR TUMOR LOC SPECT W CT SINGLE AREA 1 DAY,183.0,162.87,161.04,183.0,455 CDM,PX-A78831,PR ANES FOR TUMOR LOC SPECT 2+ AREA 1 DAY OR 1 AREA 2+ DAY,183.0,162.87,161.04,183.0,455 CDM,PX-A78832,PR ANES FOR TUMOR LOC SPECT W CT 2+ AREA 1 DAY OR 1 AREA 2+ DAY,183.0,162.87,161.04,183.0,455 CDM,PX-A78999,PR ANES FOR NUCLEAR DIAGNOSTIC EXAM UNLISTED,183.0,162.87,161.04,183.0,455 CDM,PX-A79101,PR ANES FOR NM RADIOPHARM THRPY IV ADMIN,183.0,162.87,161.04,183.0,455 CDM,PX-A79200,PR ANES FOR RADIOPHARM THRPY INTRACAV,183.0,162.87,161.04,183.0,455 CDM,PX-A79300,"PR ANES FOR NUCLEAR THERAPY, INTERSTITIAL",183.0,162.87,161.04,183.0,455 CDM,PX-A79403,PR ANES FOR NM RADRX THRPY MONOCLONL AB IV,183.0,162.87,161.04,183.0,455 CDM,PX-A79440,"PR ANES FOR NUCLEAR THERAPY, INTRA-ARTICULAR",183.0,162.87,161.04,183.0,455 CDM,PX-A79445,PR ANES FOR RADIOPHARM THPY INTRA ARTERIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A79999,"PR ANES FOR NUCLEAR THERAPY, UNLISTED",183.0,162.87,161.04,183.0,455 CDM,PX-A90870,PR ANES FOR ELECTROCONVULSIVE THERAPY,183.0,162.87,161.04,183.0,455 CDM,PX-A91010,PR ANES FOR ESOPH MOTILITY STUDY,183.0,162.87,161.04,183.0,455 CDM,PX-A91013,PR ANES FOR ESOPH MTLTY STUDY W STIM/PERF,183.0,162.87,161.04,183.0,455 CDM,PX-A91020,PR ANES FOR GASTRIC MOTILITY STUDY,183.0,162.87,161.04,183.0,455 CDM,PX-A91030,PR ANES FOR ACID PERFUSION TEST ESOPH,183.0,162.87,161.04,183.0,455 CDM,PX-A91034,PR ANES FOR PH STUDY NASL CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A91110,PR ANES FOR CAPSULE ENDO INTRALUMINAL,183.0,162.87,161.04,183.0,455 CDM,PX-A91117,PR ANES FOR COLON MOTILITY STUDY MIN 6 HRS,183.0,162.87,161.04,183.0,455 CDM,PX-A91122,PR ANES FOR MANOMETRY ANORECTAL,183.0,162.87,161.04,183.0,455 CDM,PX-A91132,"PR ANES FOR ELECTROGASTROGRAPHY, DX, TRANSCUT",183.0,162.87,161.04,183.0,455 CDM,PX-A91133,"PR ANES FOR ELECTROGASTROGRAPHY, PROVOKED",183.0,162.87,161.04,183.0,455 CDM,PX-A91299,PR ANES FOR GASTROENTEROLOGY PROCEDURE,183.0,162.87,161.04,183.0,455 CDM,PX-A92018,PR ANES FOR EYE EXAM W ANES COMPLETE,183.0,162.87,161.04,183.0,455 CDM,PX-A92019,PR ANES FOR EYE EXAM W ANES LIMITED,183.0,162.87,161.04,183.0,455 CDM,PX-A92025,PR ANES FOR COMP CORNEAL TOPOGRAPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A92132,PR ANES FOR COMP OPTH DX IMG ANTERIOR SGMT,183.0,162.87,161.04,183.0,455 CDM,PX-A92133,PR ANES FOR COMP OPTH DX IMG OPTIC NERVE,183.0,162.87,161.04,183.0,455 CDM,PX-A92134,PR ANES FOR COMP OPTH DX IMG RETINA,183.0,162.87,161.04,183.0,455 CDM,PX-A92201,PR ANES FOR OPSCPY EXTND RTA DRAW UNI/BI,183.0,162.87,161.04,183.0,455 CDM,PX-A92230,PR ANES FOR FLUORESCEIN ANGIOSCOPY,183.0,162.87,161.04,183.0,455 CDM,PX-A92235,PR ANES FOR ANGIOGRAPHY FLUORESCEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A92240,PR ANES FOR ICG ANGIOGRAPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A92242,PR ANES FOR FLUORESCEIN & ICG ANGIOGRAPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A92250,PR ANES FOR FUNDUS PHOTOGRAPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A92260,PR ANES FOR OPHTHALMODYNAMOMETRY,183.0,162.87,161.04,183.0,455 CDM,PX-A92265,PR ANES FOR EYE MUSCLE EVALUATION,183.0,162.87,161.04,183.0,455 CDM,PX-A92270,PR ANES FOR ELECTRO OCULOGRAPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A92273,"PR ANES FOR ELECTRORETINOPATHY, FULL FIELD",183.0,162.87,161.04,183.0,455 CDM,PX-A92274,"PR ANES FOR ELECTRORETINOPATHY, MULTIFOCAL",183.0,162.87,161.04,183.0,455 CDM,PX-A92284,PR ANES FOR DARK ADAPTATION EXAMINATION,183.0,162.87,161.04,183.0,455 CDM,PX-A92285,PR ANES FOR EXTERNAL OCULAR PHOTOGRAPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A92286,PR ANES FOR ANTR SGMT IMG W SPEC MICRO,183.0,162.87,161.04,183.0,455 CDM,PX-A92287,PR ANES FOR ANT SGM IMAGING W/FLUOROSCEIN ANGIO & I&R,183.0,162.87,161.04,183.0,455 CDM,PX-A92499,PR ANES FOR UNLISTED PROC OPHTHALMOLOGICAL,183.0,162.87,161.04,183.0,455 CDM,PX-A92502,PR ANES FOR OTOLARYNGOLOGIC EXAM W ANES,183.0,162.87,161.04,183.0,455 CDM,PX-A92511,PR ANES FOR NASOPHARYNGOSCOPY W ENDO,183.0,162.87,161.04,183.0,455 CDM,PX-A92512,PR ANES FOR NASAL FUNCTION STUDIES,183.0,162.87,161.04,183.0,455 CDM,PX-A92516,PR ANES FOR FACIAL NERVE FUNCTION STUDIES,183.0,162.87,161.04,183.0,455 CDM,PX-A92520,PR ANES FOR LARYNGEAL FUNCTION STUDIES,183.0,162.87,161.04,183.0,455 CDM,PX-A92558,PR ANES FOR EVOKED OAE SCREENING,183.0,162.87,161.04,183.0,455 CDM,PX-A92584,PR ANES FOR ELECTROCOCHLEOGRAPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A92587,PR ANES FOR EVOKED OTOACOUSTIC EMISSNS LTD,183.0,162.87,161.04,183.0,455 CDM,PX-A92588,PR ANES FOR EVOKED AUD TEST COMPREHEN,183.0,162.87,161.04,183.0,455 CDM,PX-A92604,PR ANES FOR ANLYS COCLR IMP REPROG>7 SUBSQ,183.0,162.87,161.04,183.0,455 CDM,PX-A92640,PR ANES FOR DX ANLYS W PROG IMPLT PER HR,183.0,162.87,161.04,183.0,455 CDM,PX-A92650,PR ANES FOR AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS,183.0,162.87,161.04,183.0,455 CDM,PX-A92651,PR ANES FOR AEP HEARING STATUS DETER I&R,183.0,162.87,161.04,183.0,455 CDM,PX-A92652,PR ANES FOR AUD EVOKED POTENTIAL THRESHOLD EST,183.0,162.87,161.04,183.0,455 CDM,PX-A92653,PR ANES FOR AUD EVOKED POTENTIAL NEURODIAGNOSTIC,183.0,162.87,161.04,183.0,455 CDM,PX-A92920,PR ANES FOR PTCA SNGL MJR ARTY/BRNCH,183.0,162.87,161.04,183.0,455 CDM,PX-A92921,PR ANES FOR PTCA BRANCH COR ARTY EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A92924,PR ANES FOR PTCA W COR ANGIO SNGL MJR,183.0,162.87,161.04,183.0,455 CDM,PX-A92925,PR ANES FOR PTCA W COR ANGIO EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A92928,PR ANES FOR PLC INTRACOR STNT SNGL,183.0,162.87,161.04,183.0,455 CDM,PX-A92929,PR ANES FOR PLC INTRACOR STNT EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A92933,PR ANES FOR PTCA INTRACOR STNT SNGL MJR,183.0,162.87,161.04,183.0,455 CDM,PX-A92934,PR ANES FOR PTCA W INTRACOR STNT EA ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A92937,PR ANES FOR PERC REVASC TRANS COR SNGL VESL,183.0,162.87,161.04,183.0,455 CDM,PX-A92938,PR ANES FOR PERC REVASC TRANS COR ADD VESL,183.0,162.87,161.04,183.0,455 CDM,PX-A92941,PR ANES FOR PERC REVASC TRANS MI SNGL VESL,183.0,162.87,161.04,183.0,455 CDM,PX-A92943,PR ANES FOR PERC REVASC TRANS CHR SNGL VESL,183.0,162.87,161.04,183.0,455 CDM,PX-A92944,PR ANES FOR PERC REVASC TRANS CHR ADD VESL,183.0,162.87,161.04,183.0,455 CDM,PX-A92953,PR ANES FOR TEMP EXTERNAL PACING,183.0,162.87,161.04,183.0,455 CDM,PX-A92960,PR ANES FOR CARDIOVSN ELECT EXTERNAL,183.0,162.87,161.04,183.0,455 CDM,PX-A92961,PR ANES FOR CARDIOVSN ELECT INTERNAL,183.0,162.87,161.04,183.0,455 CDM,PX-A92970,"PR ANES FOR CARDIOASSIST, INTERNAL",183.0,162.87,161.04,183.0,455 CDM,PX-A92971,PR ANES FOR CARDIOASSIST EXTERNAL,183.0,162.87,161.04,183.0,455 CDM,PX-A92973,PR ANES FOR THROMB CRNARY PERC,183.0,162.87,161.04,183.0,455 CDM,PX-A92974,PR ANES FOR TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX,183.0,162.87,161.04,183.0,455 CDM,PX-A92975,PR ANES FOR THROMBOLYSIS INTRACORONARY NFS SLCTV ANGRPH,183.0,162.87,161.04,183.0,455 CDM,PX-A92977,PR ANES FOR THROMB CRNARY IV INF,183.0,162.87,161.04,183.0,455 CDM,PX-A92978,PR ANES FOR IVUS HRT EA VSSL INIT W S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A92979,PR ANES FOR IVUS HRT EA VSSL ADD W S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A92986,PR ANES FOR PERC BALLOON VALVULO AORTIC,183.0,162.87,161.04,183.0,455 CDM,PX-A92987,PR ANES FOR PERC BALLOON VALVULO MITRAL,183.0,162.87,161.04,183.0,455 CDM,PX-A92990,PR ANES FOR PERC BALLOON VALVULO PULM,183.0,162.87,161.04,183.0,455 CDM,PX-A92997,PR ANES FOR PTA PULMONARY ARTY SNGL VSSL,183.0,162.87,161.04,183.0,455 CDM,PX-A92998,PR ANES FOR PTA PULMONARY ARTY ADD VSSL,183.0,162.87,161.04,183.0,455 CDM,PX-A93024,PR ANES FOR ERGONOVINE PROVOCATION TEST,183.0,162.87,161.04,183.0,455 CDM,PX-A93303,PR ANES FOR ECHO CONGENITAL CARD COMPLETE,183.0,162.87,161.04,183.0,455 CDM,PX-A93304,PR ANES FOR ECHO CONGENITAL CARD FU/LTD,183.0,162.87,161.04,183.0,455 CDM,PX-A93306,PR ANES FOR ECHO TTE 2D W DPLR COMPLETE,183.0,162.87,161.04,183.0,455 CDM,PX-A93307,PR ANES FOR ECHO TTE 2D COMPLETE WO DPLR,183.0,162.87,161.04,183.0,455 CDM,PX-A93308,PR ANES FOR ECHO TTE 2D FU/LIMITED,183.0,162.87,161.04,183.0,455 CDM,PX-A93312,PR ANES FOR ECHO TEE 2D COMPLETE,183.0,162.87,161.04,183.0,455 CDM,PX-A93313,PR ANES FOR ECHO TEE 2D PLC ONLY,183.0,162.87,161.04,183.0,455 CDM,PX-A93314,PR ANES FOR ECHO TEE IMG ACQUSIT I&R,183.0,162.87,161.04,183.0,455 CDM,PX-A93315,PR ANES FOR TEE CONGENITAL CARD ANOMALIES,183.0,162.87,161.04,183.0,455 CDM,PX-A93316,PR ANES FOR TTE TRANSESOPHAGEAL PROBE PLCT,183.0,162.87,161.04,183.0,455 CDM,PX-A93317,PR ANES FOR TEE IMAGE ACUISITION I&R,183.0,162.87,161.04,183.0,455 CDM,PX-A93320,PR ANES FOR ECHO DPLR COMPLETE,183.0,162.87,161.04,183.0,455 CDM,PX-A93321,PR ANES FOR ECHO DPLR FU/LIMITED,183.0,162.87,161.04,183.0,455 CDM,PX-A93325,PR ANES FOR ECHO DPLR COLOR FLOW MAP,183.0,162.87,161.04,183.0,455 CDM,PX-A93351,PR ANES FOR ECHO TTE STRESS W CONT ECG,183.0,162.87,161.04,183.0,455 CDM,PX-A93352,PR ANES FOR ADMIN ECG CNTRST AGENT,183.0,162.87,161.04,183.0,455 CDM,PX-A93355,PR ANES FOR ECHO TEE,183.0,162.87,161.04,183.0,455 CDM,PX-A93451,PR ANES FOR RIGHT HEART CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A93452,PR ANES FOR LT HRT CATH W VENTRICULOGRAPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A93453,PR ANES FOR RT< HRT CATH W VENTRICLGRPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A93454,PR ANES FOR CATH PLC COR ARTY ANGIO S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A93455,PR ANES FOR CATH PLC COR ARTY/GRFT ANGIO,183.0,162.87,161.04,183.0,455 CDM,PX-A93456,PR ANES FOR CATH PLC COR ARTY/ANG W RT HRT,183.0,162.87,161.04,183.0,455 CDM,PX-A93457,PR ANES FOR CATH PLC ARTY/GRFT ANG W R HRT,183.0,162.87,161.04,183.0,455 CDM,PX-A93458,PR ANES FOR CATH PLC ARTY/VENT ANG W L HRT,183.0,162.87,161.04,183.0,455 CDM,PX-A93459,PR ANES FOR CATH PLC ARTY/GRFT ANG W L HRT,183.0,162.87,161.04,183.0,455 CDM,PX-A93460,PR ANES FOR CATH PLC ART/VEN ANG W R&L HRT,183.0,162.87,161.04,183.0,455 CDM,PX-A93461,PR ANES FOR CATH PLC ART/GRFT ANG W R&L HRT,183.0,162.87,161.04,183.0,455 CDM,PX-A93462,PR ANES FOR LT HRT CATH TXSPTL PUNC,183.0,162.87,161.04,183.0,455 CDM,PX-A93463,PR ANES FOR DRUG ADMIN AND HEMODYN MEAS,183.0,162.87,161.04,183.0,455 CDM,PX-A93464,PR ANES FOR EXERCISE STUDY W HEMODYN MEAS,183.0,162.87,161.04,183.0,455 CDM,PX-A93503,PR ANES FOR INS/PLC FLOW DIR CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A93505,PR ANES FOR BX ENDOMYOCARDIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A93563,PR ANES FOR INJ ANGIO CONG HRT CATH S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A93564,PR ANES FOR INJ PROC CARD CATH CONG HRT,183.0,162.87,161.04,183.0,455 CDM,PX-A93565,PR ANES FOR INJ CATH LT VENT/ATRIAL ANGIO,183.0,162.87,161.04,183.0,455 CDM,PX-A93566,PR ANES FOR INJ CATH RT VENT/ATRIAL ANGIO,183.0,162.87,161.04,183.0,455 CDM,PX-A93567,PR ANES FOR INJ CATH SUPRVLV AORTOGRAPHY,183.0,162.87,161.04,183.0,455 CDM,PX-A93568,PR ANES FOR INJ PULM ANGIO S&I,183.0,162.87,161.04,183.0,455 CDM,PX-A93571,PR ANES FOR INTRVAS DPLR ANGIO INIT,183.0,162.87,161.04,183.0,455 CDM,PX-A93572,PR ANES FOR INTRVAS DPLR ANGIO ADD,183.0,162.87,161.04,183.0,455 CDM,PX-A93580,PR ANES FOR TX CATH CLSR ASD W IMP,183.0,162.87,161.04,183.0,455 CDM,PX-A93581,PR ANES FOR TX CATH CLSR VSD W IMP,183.0,162.87,161.04,183.0,455 CDM,PX-A93582,PR ANES FOR PERC TRANSCATH CLSR PDA,183.0,162.87,161.04,183.0,455 CDM,PX-A93583,PR ANES FOR PERC TRANSCATH SEP RED THRPY,183.0,162.87,161.04,183.0,455 CDM,PX-A93590,"PR ANES FOR PARAVALVULAR LEAK CLOSURE, INI",183.0,162.87,161.04,183.0,455 CDM,PX-A93591,PR ANES FOR PERC TXCATH CLSR PARAVLVR AORTIC,183.0,162.87,161.04,183.0,455 CDM,PX-A93592,"PR ANES FOR PARAVLAVULAR LEAK CLOSURE, EA",183.0,162.87,161.04,183.0,455 CDM,PX-A93593,PR ANES FOR R HRT CATH CHD NML NT CNJ,183.0,162.87,161.04,183.0,455 CDM,PX-A93594,PR ANES FOR R HRT CATH CHD ABNL NT CNJ,183.0,162.87,161.04,183.0,455 CDM,PX-A93595,PR ANES FOR L HRT CATH CHD NM/ABN NT CNJ,183.0,162.87,161.04,183.0,455 CDM,PX-A93596,PR ANES FOR R&L HRT CATH CHD NML NT CNJ,183.0,162.87,161.04,183.0,455 CDM,PX-A93597,PR ANES FOR R&L HRT CATH CHD ABNL NT CNJ,183.0,162.87,161.04,183.0,455 CDM,PX-A93600,PR ANES FOR RECORDING HIS BUNDLE,183.0,162.87,161.04,183.0,455 CDM,PX-A93602,PR ANES FOR RECORDING INTRA-ATRIAL ELEC,183.0,162.87,161.04,183.0,455 CDM,PX-A93603,PR ANES FOR RECORDING RT VENTRICULAR,183.0,162.87,161.04,183.0,455 CDM,PX-A93609,PR ANES FOR INTRAVENT MAPPING TACHYCARDIA,183.0,162.87,161.04,183.0,455 CDM,PX-A93610,PR ANES FOR PACING INTRA ATRIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A93612,PR ANES FOR PACING INTRA VENTRICULAR,183.0,162.87,161.04,183.0,455 CDM,PX-A93613,PR ANES FOR MAP EPS 3D,183.0,162.87,161.04,183.0,455 CDM,PX-A93618,PR ANES FOR PACING HRT RHYTHM,183.0,162.87,161.04,183.0,455 CDM,PX-A93619,PR ANES FOR EP EVAL WO ARRHYTHMIA,183.0,162.87,161.04,183.0,455 CDM,PX-A93620,PR ANES FOR EP EVAL W ARRHYTHMIA,183.0,162.87,161.04,183.0,455 CDM,PX-A93621,PR ANES FOR EP EVAL W LT ATRL/COR SIN PCNG,183.0,162.87,161.04,183.0,455 CDM,PX-A93622,PR ANES FOR EP EVAL W LT VENT PACING,183.0,162.87,161.04,183.0,455 CDM,PX-A93623,PR ANES FOR STIM HRT PACING POST IV INF,183.0,162.87,161.04,183.0,455 CDM,PX-A93624,PR ANES FOR EP FOLLOW UP STUDY W ARRYTH,183.0,162.87,161.04,183.0,455 CDM,PX-A93631,PR ANES FOR INTRAOP EPI/ENDO CARD PAC/MAP,183.0,162.87,161.04,183.0,455 CDM,PX-A93640,PR ANES FOR EVAL EPS ICD LEAD,183.0,162.87,161.04,183.0,455 CDM,PX-A93641,PR ANES FOR EVAL EPS ICD GENERATOR W TEST,183.0,162.87,161.04,183.0,455 CDM,PX-A93642,PR ANES FOR EVAL EPS ICD SYS,183.0,162.87,161.04,183.0,455 CDM,PX-A93644,PR ANES FOR EP EVAL SUBCUT IMPLT DEFIB,183.0,162.87,161.04,183.0,455 CDM,PX-A93650,PR ANES FOR ABLT AV NODE,183.0,162.87,161.04,183.0,455 CDM,PX-A93653,PR ANES FOR EP EVAL W SUPRAVENT ABLATE,183.0,162.87,161.04,183.0,455 CDM,PX-A93654,PR ANES FOR EP EVAL W VENT TACHY ABLATE,183.0,162.87,161.04,183.0,455 CDM,PX-A93655,PR ANES FOR ABLT ARRHYTHMIA ADD ON,183.0,162.87,161.04,183.0,455 CDM,PX-A93656,PR ANES FOR EP EVAL TX ART FIB PULM VEIN,183.0,162.87,161.04,183.0,455 CDM,PX-A93657,PR ANES FOR ABLT ATRIUM ADD LINEAR CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A93660,PR ANES FOR TILT TABLE EVAL W/WO DRUG,183.0,162.87,161.04,183.0,455 CDM,PX-A93662,PR ANES FOR ECHO INTRACARDIAC,183.0,162.87,161.04,183.0,455 CDM,PX-A93799,PR ANES FOR UNLISTED CARDIOVASCULAR SERV,183.0,162.87,161.04,183.0,455 CDM,PX-A93926,PR ANES FOR DUP SCAN LWR EXT ARTY UNILAT/LTD,183.0,162.87,161.04,183.0,455 CDM,PX-A93970,PR ANES FOR DUP SCAN EXT VEIN BIL,183.0,162.87,161.04,183.0,455 CDM,PX-A9575,PR GADOTERATE MEGLUMI INJ 0.1 ML,,,0.1,3.0,463 CDM,PX-A95812,PR ANES FOR EEG EXTEND MONITOR 41-60MIN,183.0,162.87,161.04,183.0,455 CDM,PX-A95819,PR ANES FOR EEG INCL AWAKE & ASLEEP,183.0,162.87,161.04,183.0,455 CDM,PX-A9585,PR GADOBUTROL INJ 0.1ML,85.8,76.36,13.75,85.8,481 CDM,PX-A95865,PR ANES FOR EMG NEEDLE LARYNX,183.0,162.87,161.04,183.0,455 CDM,PX-A95866,PR ANES FOR EMG NEEDLE HEMIDIAPHRAGM,183.0,162.87,161.04,183.0,455 CDM,PX-A95867,PR ANES FOR EMG NEEDLE CRANIAL NRV UNILAT,183.0,162.87,161.04,183.0,455 CDM,PX-A95869,PR ANES FOR EMG NEEDLE THORACIC PARASPINAL,183.0,162.87,161.04,183.0,455 CDM,PX-A95873,PR ANES FOR ELEC STIM W CHEMODENERVATION,183.0,162.87,161.04,183.0,455 CDM,PX-A95874,PR ANES FOR EMG NEEDLE GUID CHEMODENERV,183.0,162.87,161.04,183.0,455 CDM,PX-A95905,"PR ANES FOR MOTOR/SENS NERVE CONDUCTION PRECONFIG ELECTRODE ARRAY, EA LIMB",183.0,162.87,161.04,183.0,455 CDM,PX-A95907,PR ANES FOR NERVE CONDCT STUDIES 1-2,183.0,162.87,161.04,183.0,455 CDM,PX-A95908,PR ANES FOR NERVE CONDCT STUDIES 3-4,183.0,162.87,161.04,183.0,455 CDM,PX-A95909,PR ANES FOR NERVE CONDCT STUDIES 5-6,183.0,162.87,161.04,183.0,455 CDM,PX-A95910,PR ANES FOR NERVE CONDCT STUDIES 7-8,183.0,162.87,161.04,183.0,455 CDM,PX-A95911,PR ANES FOR NERVE CONDCT STUDIES 9-10,183.0,162.87,161.04,183.0,455 CDM,PX-A95912,PR ANES FOR NERVE CONDCT STUDIES 11-12,183.0,162.87,161.04,183.0,455 CDM,PX-A95913,PR ANES FOR NERVE CONDCT STUDIES >=13,183.0,162.87,161.04,183.0,455 CDM,PX-A95933,PR ANES FOR ORBICULARIS OCULI REFLEX TEST,183.0,162.87,161.04,183.0,455 CDM,PX-A95937,PR ANES FOR TEST NEURMUSC JUNC EA NRV,183.0,162.87,161.04,183.0,455 CDM,PX-A95976,PR ANES FOR ALYS SMPL CN NPGT PRGRMG,183.0,162.87,161.04,183.0,455 CDM,PX-A95980,PR ANES FOR ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/ PROG,183.0,162.87,161.04,183.0,455 CDM,PX-A95981,PR ANES FOR ELEC ALYS NSTIM GEN GASTRIC SUBSEQUENT W/O REPROG,183.0,162.87,161.04,183.0,455 CDM,PX-A95982,PR ANES FOR ELEC ALYS NSTIM PLS GEN GASTRIC SUBSEQUENT W/REPROG,183.0,162.87,161.04,183.0,455 CDM,PX-A95990,PR ANES FOR REFIL&MAINT IMPL PUMP SPN/BRN,183.0,162.87,161.04,183.0,455 CDM,PX-A95991,PR ANES FOR REFIL&MAINT IMPL SPN/BRN MD/QHP,183.0,162.87,161.04,183.0,455 CDM,PX-A95992,PR ANES FOR CANALITH REPOSITIONING PROC PT,183.0,162.87,161.04,183.0,455 CDM,PX-A96365,PR ANES FOR IV INF THER INIT 1ST HR,183.0,162.87,161.04,183.0,455 CDM,PX-A96372,PR ANES FOR INJ THER SUBQ/IM,183.0,162.87,161.04,183.0,455 CDM,PX-A96374,PR ANES FOR INJ THER IV PUSH SNGL INITIAL,183.0,162.87,161.04,183.0,455 CDM,PX-A96377,PR ANES FOR APPLICATION OF ON BODY INJECTOR,183.0,162.87,161.04,183.0,455 CDM,PX-A96405,PR ANES FOR CHEMO INTRALESNAL <=7 LESN,183.0,162.87,161.04,183.0,455 CDM,PX-A96440,"PR ANES FOR CHEMOTHER,INTRACAVITARY,PLEURAL",183.0,162.87,161.04,183.0,455 CDM,PX-A96446,PR ANES FOR CHEMO ADMIN PERIT CAV VIA CATH,183.0,162.87,161.04,183.0,455 CDM,PX-A96450,PR ANES FOR CHEMO ADMIN CNS REQ SP PUNC,183.0,162.87,161.04,183.0,455 CDM,PX-A96522,PR ANES FOR REFILL/MAINTAIN IMPL PMP SYST,183.0,162.87,161.04,183.0,455 CDM,PX-A96523,PR ANES FOR IRRIG IMP VAD,183.0,162.87,161.04,183.0,455 CDM,PX-A96931,PR ANES FOR RCM CELULR & SUBCELULR SKN IMGNG IMG ACQ I&R 1ST,183.0,162.87,161.04,183.0,455 CDM,PX-A96932,PR ANES FOR RCM CELULR & SUBCELULR SKN IMGNG IMG ACQUISITION,183.0,162.87,161.04,183.0,455 CDM,PX-A96933,PR ANES FOR RCM CELULR & SUBCELULR SKN IMGNG I&R 1ST LES,183.0,162.87,161.04,183.0,455 CDM,PX-A97032,PR ANES FOR E-STIM MANUAL EA 15MIN PT,183.0,162.87,161.04,183.0,455 CDM,PX-A97597,PR ANES FOR DBRD SEL OPN WND<=20SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A97598,PR ANES FOR DBRD SEL OPN WND ADD 20SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A97602,PR ANES FOR DBRD WND RMVL TIS NON-SEL,183.0,162.87,161.04,183.0,455 CDM,PX-A97605,PR ANES FOR NEG PRESS WND THRPY <=50SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A97606,PR ANES FOR NEG PRESS WND THRPY >50SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A97607,PR ANES FOR NPW THRPY NON DME <50SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A97608,PR ANES FOR NPW THRPY NON DME >50SCM,183.0,162.87,161.04,183.0,455 CDM,PX-A97610,PR ANES FOR LOW FREQ/NO-CON/NON-THERM US,183.0,162.87,161.04,183.0,455 CDM,PX-A99170,PR ANES FOR ANOGEN EXAM CHILD SUSPECT TRMA,183.0,162.87,161.04,183.0,455 CDM,PX-AC8900,PR MRA ABD W CNTRST,183.0,162.87,161.04,183.0,477 CDM,PX-AC8901,PR ANES FOR MRA ABD WO CNTRST,183.0,162.87,161.04,183.0,477 CDM,PX-AC8902,PR ANES FOR MRA ABD WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-AC8908,PR ANES FOR MRI BREAST BILAT WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-AC8910,PR ANES FOR MRA CHEST WO CNTRST,183.0,162.87,161.04,183.0,477 CDM,PX-AC8911,PR ANES FOR MRA CHEST WO/W CNTRST,183.0,162.87,161.04,183.0,455 CDM,PX-AC8913,PR ANES FOR MRA LWR EXT WO CNTRST,183.0,162.87,161.04,183.0,477 CDM,PX-AC8914,PR ANES FOR MRA LWR EXT WO/W CNTRST LWR EXT,183.0,162.87,161.04,183.0,477 CDM,PX-AC8919,PR ANES FOR MRA PELVIS WO CNTRST,183.0,162.87,161.04,183.0,477 CDM,PX-AC8920,PR ANES FOR MRA PELVIS WO/W CNTRST,183.0,162.87,161.04,183.0,477 CDM,PX-AC8933,"PR ANES FOR MRA, W/O&W/DYE, SPINAL CANAL",183.0,162.87,161.04,183.0,477 CDM,PX-AC8935,PR ANES FOR MRA UPR EXT WO CNTRST,183.0,162.87,161.04,183.0,477 CDM,PX-AC8936,PR ANES FOR MRA UPPER EXT WO/W CNTRST,183.0,162.87,161.04,183.0,477 CDM,PX-AD6011,PR ANES FOR IMPLANT UNCOVERING,183.0,162.87,161.04,183.0,477 CDM,PX-AD7140,PR ANES FOR EXTRACTION ERUPTED TOOTH/ROOT,183.0,162.87,161.04,183.0,455 CDM,PX-AD7210,PR ANES FOR EXTRACTION SURGICAL BONE REMVL/SECTN,183.0,162.87,161.04,183.0,456 CDM,PX-AD7220,PR ANES FOR RMVL IMPACT TOOTH SOFT TISS,183.0,162.87,161.04,183.0,477 CDM,PX-AD7230,PR ANES FOR RMVL IMPACT TOOTH PART BONY,183.0,162.87,161.04,183.0,477 CDM,PX-AD7240,PR ANES FOR RMVL IMPACT TOOTH COMPLT BONY,183.0,162.87,161.04,183.0,455 CDM,PX-AG0101,PR ANES FOR CANCER SCREEN CERV VAG W EXAM,183.0,162.87,161.04,183.0,477 CDM,PX-AG0104,PR ANES FOR CANCER SCREEN FLEX SIG,183.0,162.87,161.04,183.0,455 CDM,PX-AG0105,PR ANES FOR COLONOSCOPY SCREENING HI RI,183.0,162.87,161.04,183.0,455 CDM,PX-AG0121,PR ANES FOR COLONOSCOPY SCREEN NOT HI RI,183.0,162.87,161.04,183.0,455 CDM,PX-AG0127,PR ANES FOR TRIM DYSTROPHIC NAILS,183.0,162.87,161.04,183.0,477 CDM,PX-AG0413,PR ANES FOR PELVIC RING FRACTURE UNI/BIL,183.0,162.87,161.04,183.0,455 CDM,PX-AG0414,PR ANES FOR PELVIC RING FX TREAT INT FIX,183.0,162.87,161.04,183.0,477 CDM,PX-AG0415,PR ANES FOR OPEN TX POST PELVIC FXCTURE,183.0,162.87,161.04,183.0,455 CDM,PX-AG0416,PR ANES FOR PROSTATE BIOPSY GROSS MICRO,183.0,162.87,161.04,183.0,477 CDM,PX-AG6002,PR ANES FOR STEREOSCOPIC XRAY GUIDANCE,183.0,162.87,161.04,183.0,455 CDM,PX-AS2400,"PR ANES FOR REPAIR, CONGENITAL DIAPHRAGMAT",183.0,162.87,161.04,183.0,477 CDM,PX-AS8030,PR ANES FOR TANTALUM RING APPLICATION,183.0,162.87,161.04,183.0,477 CDM,PX-C8900,PR MRA ABD W CNTRST,2197.0,1955.33,65.68,3549.0,964 CDM,PX-C8901,PR MRA ABD WO CNTRST,2197.0,1955.33,65.68,3549.0,964 CDM,PX-C8902,PR MRA ABD WO/W CNTRST,2197.0,1955.33,65.68,3549.0,964 CDM,PX-C8905,PR MRI BREAST UNILAT WO/W CNTRST,2265.0,2015.85,77.32,3576.0,964 CDM,PX-C8908,PR MRI BREAST BILAT WO/W CNTRST,2781.5,2475.535,84.54,4326.0,964 CDM,PX-C8909,PR MRA CHEST W CNTRST,2458.5,2188.065,66.08,3959.0,964 CDM,PX-C8910,PR MRA CHEST WO CNTRST,2458.5,2188.065,66.08,3959.0,964 CDM,PX-C8911,PR MRA CHEST WO/W CNTRST,2458.5,2188.065,66.08,3959.0,964 CDM,PX-C8912,PR MRA LWR EXT W CNTRST,2101.0,1869.89,65.96,3389.0,964 CDM,PX-C8913,PR MRA LWR EXT WO CNTRST,2101.0,1869.89,65.96,3389.0,964 CDM,PX-C8914,PR MRA LWR EXT WO/W CNTRST LWR EXT,2101.0,1869.89,65.96,3389.0,964 CDM,PX-C8918,PR MRA PELVIS W CNTRST,2086.5,1856.9850000000001,65.52,3371.0,964 CDM,PX-C8919,PR MRA PELVIS WO CNTRST,2086.5,1856.9850000000001,65.52,3371.0,964 CDM,PX-C8920,PR MRA PELVIS WO/W CNTRST,2086.5,1856.9850000000001,65.52,3371.0,964 CDM,PX-C8931,"PR MRA, W/DYE, SPINAL CANAL",2825.0,2514.25,279.27,2825.0,482 CDM,PX-C8933,"PR MRA, W/O&W/DYE, SPINAL CANAL",2825.0,2514.25,279.27,2825.0,482 CDM,PX-C8934,PR MRA UPR EXT W CNTRST,1988.0,1769.32,267.43,1988.0,482 CDM,PX-C8936,PR MRA UPPER EXT WO/W CNTRST,1937.0,1723.9299999999998,62.09,3097.0,964 CDM,PX-C9725,PR PLACE ENDORECTAL APP,1140.0,1014.6,1003.2,1140.0,477 CDM,PX-D0120,PR PERIODIC ORAL EXAM ESTAB PT,132.0,117.48,46.2,132.0,484 CDM,PX-D0140,PR LIMITED ORAL EXAM,170.0,151.3,14.3,170.0,485 CDM,PX-D0150,PR COMPREHENSIVE ORAL EXAM NEW/EST,201.0,178.89,14.3,201.0,483 CDM,PX-D0160,PR PRETREATMENT EVAL ORTHODONTICS,249.0,221.61,87.15,249.0,480 CDM,PX-D0170,PR RE-EVALUATION OF PROSTHESIS,144.0,128.16,50.4,144.0,482 CDM,PX-D0170001,PR RE-EVALUATION LIMITED,122.0,108.58,42.7,122.0,482 CDM,PX-D0180,PR COMPREHENSIVE PERIO EVAL NEW / ESTAB,194.0,172.66,67.9,194.0,481 CDM,PX-D0190,PR SCREENING OF A PATIENT,80.0,71.2,28.0,80.0,478 CDM,PX-D0210,PR XRAY COMPLETE FULL MOUTH SERIES,255.0,226.95,89.25,255.0,480 CDM,PX-D0220,PR XRAY PERIAPICAL FIRST IMAGE,55.0,48.95,19.25,55.0,485 CDM,PX-D0230,PR XRAY PERIAPICAL EA ADDL IMAGE,55.0,48.95,19.25,55.0,483 CDM,PX-D0240,PR INTRAORAL - OCCLUSAL RADIOGRAPHIC IMAGE,68.0,60.52,23.8,68.0,478 CDM,PX-D0270,PR XRAY BITEWING1IMAGE,56.0,49.84,19.6,56.0,478 CDM,PX-D0272,PR XRAY BITEWINGS 2 IMAGES,88.0,78.32,30.8,88.0,478 CDM,PX-D0273,PR XRAY BITEWINGS 3 IMAGES,96.0,85.44,33.6,96.0,478 CDM,PX-D0274,PR XRAY BITEWINGS 4-6 IMAGES,104.0,92.56,36.4,104.0,481 CDM,PX-D0277,PR XRAY VERTICAL BITEWINGS 7-8 IMAGES,157.0,139.73,54.95,157.0,478 CDM,PX-D0330,PR PANORAMIC RADIOGRAPHIC IMAGE,171.0,152.19,59.85,171.0,480 CDM,PX-D0340,PR CEPHALOMETRIC RADIOGRAPHIC IMAGE,202.0,179.78,70.7,202.0,479 CDM,PX-D0350,PR DX INTRA OR EXTRAORAL PHOTOS,124.0,110.36,43.4,124.0,478 CDM,PX-D0364,PR CONE BEAM CT < WHOLE JAW,368.0,327.52,128.8,368.0,478 CDM,PX-D0365,PR CONE BEAM CT INTERPRET MAN,457.0,406.73,159.95,457.0,478 CDM,PX-D0366,PR CONE BEAM CT MAXLA W/WO CRANUM,457.0,406.73,159.95,457.0,478 CDM,PX-D0367,PR CONE BEAM CT INTERP BOTH JAW,457.0,406.73,159.95,457.0,480 CDM,PX-D0368,PR CONE BEAM CT INTERPRET TMJ,457.0,406.73,159.95,457.0,478 CDM,PX-D0396,PR 3D DENTAL SURFACE SCAN,72.0,64.08,25.2,72.0,478 CDM,PX-D0470,PR DIAGNOSTIC CASTS,233.0,207.37,81.55,233.0,478 CDM,PX-D1110001,PR PROPHYLAXIS ADULT,188.0,167.32,65.8,188.0,481 CDM,PX-D1120,PR DENTAL PROPHYLAXIS CHILD,121.0,107.69,42.35,121.0,482 CDM,PX-D1206,PR TOPICAL FLUORIDE VARNISH,75.0,66.75,26.25,75.0,482 CDM,PX-D1208,"PR TOPICAL FLUORIDE, NOT VARNISH",66.0,58.74,23.1,66.0,478 CDM,PX-D1330,PR ORAL HYGIENE INSTRUCTION,78.0,69.42,27.3,78.0,478 CDM,PX-D1351,PR SEALANT PER TOOTH,106.0,94.34,37.1,106.0,478 CDM,PX-D1353,PR SEALANT REPAIR - PER TOOTH,76.0,67.64,26.6,76.0,478 CDM,PX-D1354,PR INTERMIN CARIES ARRESTING MEDICAMENT APP - PER TOOTH,110.0,97.9,38.5,110.0,480 CDM,PX-D1355,PR CARIES PREV MEDICAMENT - PER TOOTH,93.0,82.77,32.55,93.0,478 CDM,PX-D1510,PR SPACE MAINTAINER-FIXED-UNILATERAL,460.0,409.4,161.0,460.0,478 CDM,PX-D1516,PR SPACE MAINTAINER FIXED MAXILLARY BILAT,859.0,764.51,300.65,859.0,478 CDM,PX-D1517,PR SPACE MAINTAINER FIXED MANDIB BILAT,859.0,764.51,300.65,859.0,478 CDM,PX-D2140,PR AMALGAM 1 SURFACE,271.0,241.19,94.85,271.0,478 CDM,PX-D2150,PR AMALGAM 2 SURFACES,306.0,272.34,107.1,306.0,478 CDM,PX-D2160,PR AMALGAM 3 SURFACES,400.0,356.0,140.0,400.0,478 CDM,PX-D2330,PR RESIN 1 SURFACE ANTERIOR,332.0,295.48,116.2,332.0,478 CDM,PX-D2331,PR RESIN 2 SURFACES ANTERIOR,375.0,333.75,131.25,375.0,478 CDM,PX-D2332,PR RESIN 3 SURFACES ANTERIOR,425.0,378.25,148.75,425.0,478 CDM,PX-D2335,PR RESIN >=4 SURFACES ANTER OR INC ANGLE,474.0,421.86,165.9,474.0,478 CDM,PX-D2391,PR RESIN 1 SURFACE POSTERIOR,339.0,301.71,118.65,339.0,478 CDM,PX-D2392,PR RESIN 2 SURFACES POSTERIOR,408.0,363.12,142.8,408.0,478 CDM,PX-D2393,PR RESIN 3 SURFACES POSTERIOR,504.0,448.56,176.4,504.0,478 CDM,PX-D2740,PR CROWN PORCELAIN/CERAMIC,1892.0,1683.88,662.2,1892.0,479 CDM,PX-D2750,PR CROWN PORCLN FUSED TO HIGH NOBL METAL,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D2752,PR CROWN PORCLN FUSED TO NOBLE METAL,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D2783,PR CROWN 3/4 PORCELAIN CERAMIC,1946.0,1731.94,681.1,1946.0,478 CDM,PX-D2790,PR CROWN FULL CAST HIGH NOBLE METAL,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D2792,PR CROWN FULL CAST NOBLE METAL,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D2799,PR PROVISIONAL CROWN,642.0,571.38,224.7,642.0,478 CDM,PX-D2920,PR RECEMENT CROWN,181.0,161.09,63.35,181.0,478 CDM,PX-D2929,PR PREFAB PORCELAIN/CERAMIC CROWN PRIM,611.0,543.79,213.85,611.0,478 CDM,PX-D2930,PR PREFAB STAINLESS STEEL CROWN PRIM,446.0,396.94,156.1,446.0,478 CDM,PX-D2931,PR PREFAB STAINLESS STEEL CROWN PERM,483.0,429.87,169.05,483.0,478 CDM,PX-D2940,PR PROTECTIVE RESTORATION,177.0,157.53,61.95,177.0,478 CDM,PX-D2950,PR CORE BUILDUP INCLUDING PINS,509.0,453.01,178.15,509.0,479 CDM,PX-D2952,"PR POST AND CORE IN ADDT TO CROWN, INDIRECTLY FABRICATED",669.0,595.41,234.15,669.0,478 CDM,PX-D2961,PR LABIAL VENEER RESIN LAMINATE - INDIRECT,1379.0,1227.31,482.65,1379.0,478 CDM,PX-D2962,PR PORCELAIN LABIAL VENEER -LAB,2337.0,2079.93,817.95,2337.0,478 CDM,PX-D2999,PR UNSPECIFIED RESTORATIVE PROCEDURE,106.0,94.34,37.1,106.0,478 CDM,PX-D3220,PR THERAPEUTIC PULPOTOMY,384.0,341.76,134.4,384.0,478 CDM,PX-D3410,PR APICOECTOMY -ANTERIOR,1501.0,1335.89,525.35,1501.0,478 CDM,PX-D3431,PR BIOLOGIC MATERIALS TO AID,1310.0,1165.9,458.5,1310.0,478 CDM,PX-D3450,PR ROOT AMPUTATION PER ROOT,934.0,831.26,326.9,934.0,478 CDM,PX-D3460,PR ENDODONTIC ENDOSSEOUS IMPLANT,3191.0,2839.99,1116.85,3191.0,479 CDM,PX-D4210,PR GINGIVECTOMY/PLASTY >=4TEETH PER QUAD,1152.0,1025.28,403.2,1152.0,478 CDM,PX-D4211,PR GINGIVECTOMY/PLASTY 1-3TEETH PER QUAD,771.0,686.19,269.85,771.0,478 CDM,PX-D4230,PR ANATOMICAL CROWN EXP>=4TEETH PER QUAD,2667.0,2373.63,933.45,2667.0,478 CDM,PX-D4231,PR ANATOMICAL CROWN EXP1-3TEETH PER QUAD,1318.0,1173.02,461.3,1318.0,478 CDM,PX-D4240,PR GING FLAP W/ROOT PLG>=4TEETH PER QUAD,1472.0,1310.08,515.2,1472.0,478 CDM,PX-D4241,PR GING FLAP W/ROOT PLG1-3TEETH PER QUAD,1109.0,987.01,388.15,1109.0,478 CDM,PX-D4249,PR CROWN LENGTHENING -HARD TISSUE,1629.0,1449.81,570.15,1629.0,478 CDM,PX-D4260,PR OSSEOUS SURGERY >=4 TEETH PER QUAD,2279.0,2028.31,797.65,2279.0,478 CDM,PX-D4261,PR OSSEOUS SURGERY 1-3 TEETH PER QUAD,1571.0,1398.19,549.85,1571.0,478 CDM,PX-D4263,PR BONE REPLACEMENT GRAFT 1ST SITE,828.0,736.92,289.8,828.0,480 CDM,PX-D4264,PR BONE REPLACEGRAFT EA ADD SITE IN QUAD,640.0,569.6,224.0,640.0,478 CDM,PX-D4265,PR BIO MAT AID SFT/OSS TISS REGEN,438.0,389.82,153.3,438.0,478 CDM,PX-D4266,PR GUIDED TISSUE REGEN -RESORB BARR NATURAL,928.0,825.92,324.8,928.0,478 CDM,PX-D4267,PR GUIDED TISSUE REGEN -NONRESORB BARR NATURAL,1146.0,1019.94,401.1,1146.0,478 CDM,PX-D4270,PR PEDICLE SOFT TISSUE GRAFT,1548.0,1377.72,541.8,1548.0,478 CDM,PX-D4273,PR CONNECTIVE TISSUE GRAFT 1ST SITE,1922.0,1710.58,672.7,1922.0,478 CDM,PX-D4274,PR DISTAL OR PROXIMAL WEDGE,1123.0,999.47,393.05,1123.0,478 CDM,PX-D4275,PR SOFT TISSUE ALLOGRAFT 1ST SITE,1474.0,1311.86,515.9,1474.0,478 CDM,PX-D4277,PR FREE GINGIVAL GRAFT 1ST SITE,1818.0,1618.02,636.3,1818.0,479 CDM,PX-D4278,PR FREE GINGIVAL GRAFT EA ADDL SITE,873.0,776.97,305.55,873.0,478 CDM,PX-D4283,PR SUBEPITH CONN TISS GFT EA ADD,1397.0,1243.33,488.95,1397.0,478 CDM,PX-D4285,PR SOFT TISSUE ALLOGRAFT EA ADDL SITE,1321.0,1175.69,462.35,1321.0,478 CDM,PX-D4323,PR SPLINT ? EXTRA-CORONAL; NATURAL TEETH OR PROSTHETIC CROWNS,147.0,130.83,51.45,147.0,478 CDM,PX-D4341,PR SCALING/ROOT PLN >=4 TEETH PER QUAD,466.0,414.74,163.1,466.0,479 CDM,PX-D4342,PR SCALING/ROOT PLN 1-3 TEETH PER QUAD,327.0,291.03,114.45,327.0,478 CDM,PX-D4346,PR SCALING IN MOD/SEVERE GINGIVAL INFLAMMATION,296.0,263.44,103.6,296.0,478 CDM,PX-D4355,PR FULL MOUTH DEBRIDEMENT,344.0,306.16,120.4,344.0,478 CDM,PX-D4381,PR LOCALIZED ANTIMICROBIAL PER TOOTH,145.0,129.05,14.5,145.0,477 CDM,PX-D4910001,PR PERIODONTAL MAINTENANCE SUBSQ,241.0,214.49,24.1,241.0,481 CDM,PX-D5110,PR COMPLETE DENTURE MAXILLARY,3108.0,2766.12,1087.8,3108.0,478 CDM,PX-D5120,PR COMPLETE DENTURE MANDIBULAR,3108.0,2766.12,1087.8,3108.0,478 CDM,PX-D5130,PR IMMEDIATE COMPLETE DENTURE MAXILLARY,3957.0,3521.73,1384.95,3957.0,478 CDM,PX-D5140,PR IMMEDIATE COMPLETE DENTURE MANDIBULAR,3957.0,3521.73,1384.95,3957.0,478 CDM,PX-D5211,PR PARTIAL DENTURE MAXILLARY RESIN BASE,2116.0,1883.24,740.6,2116.0,478 CDM,PX-D5212,PR PARTIAL DENTURE MANDIBULAR RESIN BASE,2116.0,1883.24,740.6,2116.0,478 CDM,PX-D5213,PR PARTIAL DENTURE MAXILLARY METAL FRAME,3263.0,2904.07,1142.05,3263.0,478 CDM,PX-D5214,PR PARTIAL DENTURE MANDIBULAR METALFRAME,3263.0,2904.07,1142.05,3263.0,478 CDM,PX-D5511,PR REPAIR MAND BROKEN COMPLETE DENTURE,425.0,378.25,148.75,425.0,478 CDM,PX-D5512,PR REPAIR MAX BROKEN COMPLETE DENTURE,425.0,378.25,148.75,425.0,478 CDM,PX-D5520,PR REPLACE BROKEN TOOTH-COMPLETE DENTURE,291.0,258.99,101.85,291.0,479 CDM,PX-D5611,PR REPAIR MANDIBULAR -RESIN PARTIAL DENT,425.0,378.25,148.75,425.0,478 CDM,PX-D5612,PR REPAIR MAXILLARY -RESIN PARTIAL DENT,425.0,378.25,148.75,425.0,478 CDM,PX-D5621,PR REPAIR MANDIBULAR -CAST METAL FRAME,369.0,328.41,129.15,369.0,478 CDM,PX-D5622,PR REPAIR MAXILLARY-CAST METAL FRAME,369.0,328.41,129.15,369.0,478 CDM,PX-D5630,PR REPAIR/REPLACE BROKEN CLASP PART DENT,348.0,309.72,121.8,348.0,478 CDM,PX-D5640,PR REPLACE BROKEN TOOTH-PARTIAL DENTURE,295.0,262.55,103.25,295.0,479 CDM,PX-D5650,PR ADD TOOTH EXISTING PARTIAL DENTURE,295.0,262.55,103.25,295.0,478 CDM,PX-D5660,PR ADD CLASP EXISTING PARTIAL DENTURE,330.0,293.7,115.5,330.0,478 CDM,PX-D5670,PR REPLACE MAX TEETH/ACRYLIC ON FRAME,1014.0,902.46,354.9,1014.0,478 CDM,PX-D5671,PR REPLACE MAND TEETH/ACRYLIC ON FRAME,1014.0,902.46,354.9,1014.0,478 CDM,PX-D5710,PR REBASE MAXILLARY COMPLETE DENTURE,1148.0,1021.72,401.8,1148.0,478 CDM,PX-D5711,PR REBASE MANDIBULAR COMPLETE DENTURE,1148.0,1021.72,401.8,1148.0,478 CDM,PX-D5720,PR REBASE MAXILLARY PARTIAL DENTURE,981.0,873.09,343.35,981.0,478 CDM,PX-D5721,PR REBASE MANDIBULAR PARTIAL DENTURE,981.0,873.09,343.35,981.0,478 CDM,PX-D5725,PR REBASE HYBRID PROSTHESIS,981.0,873.09,343.35,981.0,478 CDM,PX-D5730,PR RELINE CHAIRSIDE MAX COMPLETE DENT,582.0,517.98,203.7,582.0,478 CDM,PX-D5731,PR RELINE CHAIRSIDE MAND COMPLETE DENT,582.0,517.98,203.7,582.0,478 CDM,PX-D5740,PR RELINE CHAIRSIDE MAX PARTIAL DENTURE,479.0,426.31,167.65,479.0,478 CDM,PX-D5741,PR RELINE CHAIRSIDE MAND PARTIAL DENTURE,479.0,426.31,167.65,479.0,478 CDM,PX-D5750,PR RELINE MAXILLARY COMPLETE DENTURE,815.0,725.35,285.25,815.0,481 CDM,PX-D5751,PR RELINE MANDIBULAR COMPLETE DENTURE,815.0,725.35,285.25,815.0,478 CDM,PX-D5760,PR RELINE MAXILLARY PARTIAL DENTURE,682.0,606.98,238.7,682.0,478 CDM,PX-D5761,PR RELINE MANDIBULAR PARTIAL DENTURE,682.0,606.98,238.7,682.0,479 CDM,PX-D5810,PR TEMP MAXILLARY COMPLETE DENTURE,1180.0,1050.2,413.0,1180.0,478 CDM,PX-D5811,PR TEMP MANDIBULAR COMPLETE DENTURE,1180.0,1050.2,413.0,1180.0,478 CDM,PX-D5820,PR TEMP MAXILLARY PARTIAL DENTURE,1042.0,927.38,364.7,1042.0,478 CDM,PX-D5821,PR TEMP MANDIBULAR PARTIAL DENTURE,1042.0,927.38,364.7,1042.0,479 CDM,PX-D5850,PR TISSUE CONDITIONING MAXILLARY,300.0,267.0,105.0,300.0,478 CDM,PX-D5851,PR TISSUE CONDITIONING MANDIBULAR,300.0,267.0,105.0,300.0,478 CDM,PX-D5875,PR MODIFICATION OF REMOVABLE PROSTHESIS,289.0,257.21,101.15,289.0,478 CDM,PX-D5876,PR ADD METAL SUBSTRUCTURE TO ACRYLIC FL DENTURE PER ARCH,697.0,620.33,243.95,697.0,478 CDM,PX-D5982,PR PALATAL PROTECTIVE STENT,854.0,760.06,298.9,854.0,478 CDM,PX-D5982003,PR PROVISIONAL SURGICAL STENT,384.0,341.76,134.4,384.0,478 CDM,PX-D5984,PR RADIATION SHIELD,2076.0,1847.64,207.6,2076.0,478 CDM,PX-D5985,PR RADIATION CONE LOCATION/POSITIONING STEN,2077.0,1848.53,726.95,2077.0,478 CDM,PX-D5986,PR FLUORIDE APPLICATOR ONE ARCH,248.0,220.72,86.8,248.0,485 CDM,PX-D5988,PR SURGICAL SPLINT,572.0,509.08,200.2,572.0,478 CDM,PX-D6010,PR SURGICAL PLACEMENT IMPLANT ENDOSTEAL,2826.0,2515.14,989.1,2826.0,480 CDM,PX-D6011,PR IMPLANT UNCOVERING,432.0,384.48,151.2,432.0,481 CDM,PX-D6055,PR CONNECTING BAR IMPLANT/ABUTMENT SUPRT,4345.0,3867.05,1167.27,4345.0,478 CDM,PX-D6056,PR PREFAB ABUTMENT -IMPLANT,992.0,882.88,347.2,992.0,479 CDM,PX-D6057,PR CUSTOM ABUTMENT -IMPLANT,1245.0,1108.05,435.75,1245.0,478 CDM,PX-D6058,PR ABUT SUPP CROWN CERAMIC/PORC,1957.0,1741.73,684.95,1957.0,478 CDM,PX-D6059,PR ABUTMENT SUPP CROWN PORCFUSED HNM,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6061,PR ABUTMENT SUPP CROWN PORC FUSED NOBEL METAL,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6062,PR ABUTMENT SUPP CROWN CAST HIGH NOBEL,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6064,PR ABUTMENT SUPP CROWN CAST NOBEL METAL,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6065,PR IMPLANT SUPP CROWN PORCELAIN/CERAMIC,2771.0,2466.19,969.85,2771.0,478 CDM,PX-D6066,PR IMPLANT SUPP CROWN PORC HIGH NOBEL,2771.0,2466.19,969.85,2771.0,478 CDM,PX-D6067,PR IMPLANT SUPP CROWN CAST HIGH NOBEL,2437.0,2168.93,852.95,2437.0,478 CDM,PX-D6068,PR ABUTMENT SUPP RETAIN PORC/CERAMIC FPD,2245.0,1998.05,785.75,2245.0,478 CDM,PX-D6069,PR ABUTMENT SUPP RETAINER PORC HIGH NOBL,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6071,PR ABUTMNT SUPP RETAIN PFM,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6072,PR ABUTMENT SUPP RETAINER CAST HIGH NOBL,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6074,PR ABUTMENT SUPP RETAIN CAST METAL FPD (NM),2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6075,PR IMPLANT SUPP RETAINR PORC/CERAMIC FPD,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6076,PR IMPLANT SUPP RETAINER PORC HIGH NOBLE,2278.0,2027.42,797.3,2278.0,479 CDM,PX-D6077,PR IMPLANT SUPP RETAINER CAST HIGH NOBLE,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6080001,PR IMPLNT MAINT - RMVL & REINSRT PARTIAL ARCH,372.0,331.08,130.2,372.0,478 CDM,PX-D6080002,PR IMPLNT MAINT - RMVL & REINSRT FULL ARCH,558.0,496.62,195.3,558.0,478 CDM,PX-D6081,"PR SCALE & DEBRD 1 IMPL, INFLAM PRESENT",309.0,275.01,108.15,309.0,479 CDM,PX-D6082,PR IMPL SPRTD CRWN PORC FUSED TO BASE ALLOYS,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6083,PR IMPL SPRTD CRWN PORCELAIN FUSED TO NOBLE ALLOYS,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6085,PR PROVISIONAL IMPLANT CROWN,778.0,692.42,272.3,778.0,478 CDM,PX-D6086,PR IMPL SPRTD CRWN BASE ALLOYS,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6087,PR IMPL SPRTD CRWN NOBLE ALLOYS,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6089,PR ACCESSING AND RETORQUING LOOSE IMPLANT SCREW - PER SCREW,186.0,165.54,65.1,186.0,478 CDM,PX-D6090,PR REPAIR IMPLNT SUPP PROSTHESIS - SIMPLE,310.0,275.9,108.5,310.0,478 CDM,PX-D6090001,PR REPAIR IMPLNT SUPP PROSTH - 1TO3 TEETH,558.0,496.62,195.3,558.0,478 CDM,PX-D6090002,PR REPAIR IMPLNT SUPP PROSTH - 4TO6TEETH,822.0,731.58,287.7,822.0,478 CDM,PX-D6091,PR NYLON INSERT REPLCMNT PER PIECE,26.0,23.14,9.1,26.0,478 CDM,PX-D6096,"PR REMOVE BROKEN IMPLNT SCREW, SIMPLE",341.0,303.49,119.35,341.0,478 CDM,PX-D6096001,"PR REMOVE BROKEN IMPLNT SCREW, COMPLEX",512.0,455.68,179.2,512.0,478 CDM,PX-D6099,PR IMPL SPRTD RETAINER FOR FPD PORCELAIN FUSED TO NOBLE ALLOYS,2278.0,2027.42,797.3,2278.0,479 CDM,PX-D6100,PR DENTAL IMPLANT REMOVAL - SURGICAL,899.0,800.11,314.65,899.0,479 CDM,PX-D6101,PR DEBRIDE PERI-IMPLANT DEFECT 1 IMPLANT,977.0,869.53,341.95,977.0,478 CDM,PX-D6102,PR DEBRIDE PERI-IMPLANT DEFECT 1 SITE,1479.0,1316.31,517.65,1479.0,478 CDM,PX-D6103,PR BONE GRAFT FOR REPAIR PERI-IMPLANT,887.0,789.43,310.45,887.0,478 CDM,PX-D6104,PR BONE GRAFT AT TIME OF IMPLANT PLACEMT,993.0,883.77,347.55,993.0,478 CDM,PX-D6105,PR DENTAL IMPLANT REMOVAL - NON-SURGICAL,465.0,413.85,162.75,465.0,478 CDM,PX-D6106,PR GUIDED TISSUE REGEN - RESORB BARR IMPLANT,846.0,752.94,296.1,846.0,478 CDM,PX-D6107,PR GUIDED TISSUE REGEN -NONRESORB BARR IMPLANT,1183.0,1052.87,414.05,1183.0,478 CDM,PX-D6110,PR MAXILLARY OVERDENTURE 4 IMPLANTS,4051.0,3605.39,1417.85,4051.0,478 CDM,PX-D6110001,PR MAXILLARY OVERDENTURE 2 IMPLANTS,4327.0,3851.03,1514.45,4327.0,478 CDM,PX-D6111,PR MANDIBULAR OVERDENTURE 2 IMPLANTS,4327.0,3851.03,1514.45,4327.0,478 CDM,PX-D6112,PR MAX PARTIAL OVERDENTURE 2 IMPLANTS,3788.0,3371.32,1325.8,3788.0,478 CDM,PX-D6113,PR MAND PARTIAL OVERDENTURE 2 IMPLANTS,3788.0,3371.32,1325.8,3788.0,478 CDM,PX-D6114,PR MAX EDENT METAL-ACRYLIC FIXED IMPLANT PROSTH <=3,9776.0,8700.64,3421.6,9776.0,478 CDM,PX-D6114001,PR MAX EDENT FIXED IMPLANT PROSTH EA ADD,1571.0,1398.19,549.85,1571.0,478 CDM,PX-D6115,PR MAND EDENT METAL-ACRYLIC FIXED IMPLANT PROSTH <=3,9776.0,8700.64,3421.6,9776.0,478 CDM,PX-D6115001,PR MAN EDENT FIXED IMPLANT PROSTH EA ADD,1571.0,1398.19,549.85,1571.0,478 CDM,PX-D6116,PR MAX PARTL EDENT FIX IMPLANT PROS <=2,5708.0,5080.12,1997.8,5708.0,478 CDM,PX-D6116001,PR MAX PARTL EDENT FIX IMP PROS EA ADD,1143.0,1017.27,400.05,1143.0,478 CDM,PX-D6117,PR MAN PARTL EDENT FIX IMPLANT PROS <=2,5708.0,5080.12,1997.8,5708.0,478 CDM,PX-D6117001,PR MAN PARTL EDENT FIX IMP PROS EA ADD,1143.0,1017.27,400.05,1143.0,478 CDM,PX-D6118,PR MAND IMPLNT/ABUT SUPP INTERIM FIXED,2324.0,2068.36,813.4,2324.0,479 CDM,PX-D6119,PR IMPLNT/ABUT SUPP INTERIM FIXED DENT-MAX,2324.0,2068.36,813.4,2324.0,478 CDM,PX-D6122,PR IMPL SPRTD RETAINER FOR METAL FPD - NOBLE ALLOYS,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6190,PR IMPLANT PLACEMENT GUIDE 1ST SITE,511.0,454.79,178.85,511.0,478 CDM,PX-D6190001,PR IMPLANT PLACEMENT GUIDE EA ADD SITE,133.0,118.37,46.55,133.0,478 CDM,PX-D6191,PR LOCATOR ABUT REPLCMNT PER IMPLANT,310.0,275.9,108.5,310.0,479 CDM,PX-D6192,"PR METAL HOUSING PICK-UP REMVBLE PROSTH, PER ABUTMENT",261.0,232.29,91.35,261.0,478 CDM,PX-D6193,PR REPLACMENT OF IMPLANT SCREW,81.0,72.09,28.35,81.0,479 CDM,PX-D6197,"PR REPLACE RESTOR MATERIAL PROSTH, PER IMPLANT",263.0,234.07,92.05,263.0,478 CDM,PX-D6199001,PR IMPLANT OVERDENTURE ADD IMPLT,1018.0,906.02,356.3,1018.0,479 CDM,PX-D6210,PR PONTIC FULL CAST HIGH NOBEL METAL,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6212,PR PONTIC - CAST NOBEL METAL,2278.0,2027.42,797.3,2278.0,479 CDM,PX-D6240,PR PONTIC PORC FUSED TO HIGH NOBEL METAL,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6242,PR PONTIC - PORCELAIN FUSED TO NOBLE METAL,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6245,PR PONTIC PORCELAIN/CERAMIC,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6545,PR RETAINER CAST METAL - RESIN FIXED PROS,1878.0,1671.42,657.3,1878.0,478 CDM,PX-D6609,PR ONLAY RETAINR PORCELAIN 3 SURF,1520.0,1352.8,532.0,1520.0,478 CDM,PX-D6740,PR RETAINER CROWN PORCELAIN/CERAMIC,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6750,PR RETAINER CROWN PORC FUSED HIGH NOBEL,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6752,PR RETAINER CROWN PORC FUSED TO NOBLE METAL,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6790,PR RETAINER CROWN FULL CAST HIGH NOBEL,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D6792,PR RETAINER CROWN FULL CAST NOBLE METAL,2278.0,2027.42,797.3,2278.0,478 CDM,PX-D7111,PR EXT CORONAL REMNANTS -PRIMARY TOOTH,209.0,186.01,73.15,209.0,478 CDM,PX-D7140,PR EXTRACTION ERUPTED TOOTH/ROOT,322.0,286.58,40.12,322.0,494 CDM,PX-D7210,PR EXTRACTION SURGICAL BONE REMVL/SECTN,529.0,470.81,54.94,529.0,494 CDM,PX-D7220,PR RMVL IMPACT TOOTH SOFT TISS,583.0,518.87,204.05,583.0,478 CDM,PX-D7230,PR RMVL IMPACT TOOTH PART BONY,772.0,687.08,270.2,772.0,480 CDM,PX-D7240,PR RMVL IMPACT TOOTH COMPLT BONY,880.0,783.2,308.0,880.0,480 CDM,PX-D7241,PR RMVL IMPT TOOTH COMPLT BNY W SUR,1053.0,937.17,368.55,1053.0,478 CDM,PX-D7250,PR SURGICAL REMOVAL RESIDUAL TOOTH ROOTS,493.0,438.77,172.55,493.0,478 CDM,PX-D7251,PR CORONECTOMY,881.0,784.09,308.35,881.0,478 CDM,PX-D7270,PR TOOTH REIMPLANT/STABILIZE,1019.0,906.91,356.65,1019.0,478 CDM,PX-D7272,PR TOOTH TRANSPLANTATION,1084.0,964.76,379.4,1084.0,478 CDM,PX-D7280,PR SURGICAL EXPOSURE UNERUPT TOOTH,924.0,822.36,323.4,924.0,478 CDM,PX-D7282,PR MOBILZE ERUPTD TOOTH AID ERUPT,452.0,402.28,158.2,452.0,478 CDM,PX-D7283,PR PLACE DEVICE FOR TOOTH ERUPTION,454.0,404.06,158.9,454.0,478 CDM,PX-D7285,"PR INCISIONAL BX ORAL TISSUE (BONE, TOOTH)",850.0,756.5,297.5,850.0,478 CDM,PX-D7286,PR BIOPSY OF ORAL TISSUE SOFT,693.0,616.77,77.84,693.0,491 CDM,PX-D7291,PR TRANSSEPTAL FIBEROTOMY/SUPRA CRESTAL FIBEROTOMY,403.0,358.67,141.05,403.0,478 CDM,PX-D7293,"PR PLACEMENT OF TAD REQUIRING FLAP, INCL REMOVAL",755.0,671.95,264.25,755.0,478 CDM,PX-D7294,PR PLC TEMP ANCHR DEV WO FLAP,603.0,536.67,211.05,603.0,478 CDM,PX-D7296,PR CORTICOTOMY 1 TO 3 TEETH PER QUADRANT,1417.0,1261.13,351.19,1417.0,478 CDM,PX-D7298,"PR REMOVAL OF TAD [SCREW RETAINED PLATE], REQUIRING FLAP",513.0,456.57,179.55,513.0,478 CDM,PX-D7299,"PR REMOVAL OF TAD, REQUIRING FLAP",660.0,587.4,231.0,660.0,478 CDM,PX-D7300,PR REMOVAL OF TAD WITHOUT FLAP,463.0,412.07,162.05,463.0,478 CDM,PX-D7310,PR ALVEOLOPLASTY DURING EXTRCT >=4 TEETH,513.0,456.57,179.55,513.0,479 CDM,PX-D7311,PR ALVEOLOPLASTY DURING EXTRCT 1-3 TEETH,540.0,480.6,189.0,540.0,479 CDM,PX-D7320,PR ALVEOLOPLASTY WITHOUT EXTRT >=4 TEETH,812.0,722.68,284.2,812.0,478 CDM,PX-D7321,PR ALVEOLOPLASTY WITHOUT EXTRT 1-3 TEETH,786.0,699.54,275.1,786.0,479 CDM,PX-D7450,PR RMVL OF BEN ODONTOGENIC CYST/TUMOR =<1.25CM,850.0,756.5,297.5,850.0,478 CDM,PX-D7473,PR REMOVAL OF TORUS MANDIBULARIS,1824.0,1623.36,638.4,1824.0,478 CDM,PX-D7510,PR INC & DRAIN OF ABSCESS INTRAORAL,452.0,402.28,158.2,452.0,478 CDM,PX-D7880,PR OCCLUSAL ORTHOTIC DEVICE SOFT -TMD,1881.0,1674.09,188.1,1881.0,477 CDM,PX-D7880001,PR OCCLUSAL ORTHOTIC DEVICE HARD -TMD,2006.0,1785.34,702.1,2006.0,478 CDM,PX-D7921,PR COLLECT/APPLY PRP/PRF BLOOD CONCENTRATE,545.0,485.05,190.75,545.0,478 CDM,PX-D7922,PR PLCMNT OF INTRA-SOCKET BIO DRSG TO AID IN HEMOSTASIS PER SITE,165.0,146.85,57.75,165.0,479 CDM,PX-D7950,PR OSSEOUS OSTOPERIOSTEAL CRTLG GRAFT,3177.0,2827.53,1111.95,3177.0,478 CDM,PX-D7951,PR SINUS AUGMENTATION - LATERAL,3885.0,3457.65,1359.75,3885.0,478 CDM,PX-D7951001,PR OSTEOTOME SINUS LIFT - LATERAL,1243.0,1106.27,435.05,1243.0,478 CDM,PX-D7952,PR OSTEOTOME SINUS LIFT -VERTICAL,1313.0,1168.57,459.55,1313.0,478 CDM,PX-D7953,PR BONE REPLACE GRAFT FOR RIDGE PRESERV,974.0,866.86,97.4,974.0,478 CDM,PX-D7956,PR GUIDED TISSUE REGEN -RESORB BARR EDENT,871.0,775.19,304.85,871.0,478 CDM,PX-D7957,PR GUIDED TISSUE REGEN -NONRESORB BARR EDENT,1183.0,1052.87,414.05,1183.0,478 CDM,PX-D7961,PR BUCCAL/LABIAL FRENECTOMY,869.0,773.41,304.15,869.0,478 CDM,PX-D7962,PR LINGUAL FRENECTOMY,826.0,735.14,289.1,826.0,478 CDM,PX-D7971,PR EXCISION OF PERICORONAL GINGIV,401.0,356.89,140.35,401.0,478 CDM,PX-D8020,PR LIMITED TRANSITIONAL TX LEVEL 1,3826.0,3405.14,1339.1,3826.0,478 CDM,PX-D8020001,PR LIMITED TRANSITIONAL TX LEVEL 2,4264.0,3794.96,1492.4,4264.0,478 CDM,PX-D8020003,PR MONTHLY TREATMENT FEE 2,100.0,89.0,35.0,100.0,478 CDM,PX-D8040,PR LIMITED ADULT TX LEVEL 1,4210.0,3746.9,1473.5,4210.0,478 CDM,PX-D8040001,PR LIMITED ADULT TX LEVEL 2,4403.0,3918.67,1541.05,4403.0,478 CDM,PX-D8040003,PR LIMITED ADULT TX INVISALIGN ANT,5160.0,4592.4,1806.0,5160.0,478 CDM,PX-D8080,PR BANDING FEE 2,100.0,89.0,35.0,100.0,479 CDM,PX-D8080001,PR COMPR ADOLESCENT TX INVISALIGN,8560.0,7618.4,2996.0,8560.0,479 CDM,PX-D8080002,PR COMPR ADOLESCENT TX LEVEL 1,7929.0,7056.81,2775.15,7929.0,479 CDM,PX-D8080003,PR COMPR ADOLESCENT TX LEVEL 2,8560.0,7618.4,2996.0,8560.0,479 CDM,PX-D8080006,PR MONTHLY TREATMENT FEE 8,100.0,89.0,35.0,100.0,479 CDM,PX-D8090,PR COMPR ADULT TX INVISALIGN FULL,8817.0,7847.13,3085.95,8817.0,478 CDM,PX-D8090001,PR COMPREHENSIVE ADULT TX LEVEL 1,7665.0,6821.85,2682.75,7665.0,478 CDM,PX-D8090002,PR COMPREHENSIVE ADULT TX LEVEL 2,8817.0,7847.13,3085.95,8817.0,478 CDM,PX-D8090004,PR MONTHLY TREATMENT FEE 9,100.0,89.0,35.0,100.0,478 CDM,PX-D8091,PR MN MA CMPRHNSV ORTH TX FOR ORTHOGNATHIC SURG,100.0,89.0,35.0,100.0,478 CDM,PX-D8091001,PR LVL 1 CMPRHNSV ORTH TX FOR ORTHOGNATHIC SURG,8698.0,7741.22,3044.3,8698.0,478 CDM,PX-D8091002,PR LVL 2 CMPRHNSV ORTH TX FOR ORTHOGNATHIC SURG,9849.0,8765.61,3447.15,9849.0,478 CDM,PX-D8091003,PR INVISALIGN CMPRHNSV ORTH TX FOR ORTHOGNATHIC SURG,9849.0,8765.61,3447.15,9849.0,478 CDM,PX-D8220,PR FIXED APPLIANCE THERAPY,2559.0,2277.51,895.65,2559.0,478 CDM,PX-D8680,PR ORTHODONTIC RETAINER,473.0,420.97,165.55,473.0,478 CDM,PX-D8696,PR RPR OF ORTHODONTIC APPLNCE MAXIL,184.0,163.76,64.4,184.0,478 CDM,PX-D8697,PR RPR OF ORTHODONTIC APPLNCE MAND,184.0,163.76,64.4,184.0,478 CDM,PX-D8698,PR RE-BOND FIXED RETAINER MAXIL,323.0,287.47,113.05,323.0,478 CDM,PX-D8699,PR RE-BOND FIXED RETAINER MAND,323.0,287.47,113.05,323.0,478 CDM,PX-D8703,PR RPLC LOST/BROKEN RETAINER - MAXIL,415.0,369.35,145.25,415.0,479 CDM,PX-D8704,PR RPLC LOST/BROKEN RETAINER - MAND,415.0,369.35,145.25,415.0,478 CDM,PX-D8999002,PR SIMPLE 5-SEQUENTIAL TRAYS,1010.0,898.9,353.5,1010.0,478 CDM,PX-D9110,PR EMERGENCY TX DENTAL PAIN,213.0,189.57,74.55,213.0,478 CDM,PX-D9120,PR FIXED PART DENTURE SECTIONING,316.0,281.24,110.6,316.0,478 CDM,PX-D9210,PR LOCAL ANESTHESIA-NOT W/ OPERATIVE/SURGIC,86.0,76.54,30.1,86.0,480 CDM,PX-D9222,PR GENERAL ANESTHESIA FIRST 15 MIN,398.0,354.22,139.3,398.0,481 CDM,PX-D9223,PR GENERAL ANESTHESIA EACH ADD 15 MIN,331.0,294.59,115.85,331.0,481 CDM,PX-D9230,PR INHAL NITROUS OXIDE/ANALGESIA,137.0,121.93,47.95,137.0,480 CDM,PX-D9239,PR IV SEDATION FIRST 15 MIN,405.0,360.45,141.75,405.0,480 CDM,PX-D9243,"PR IV MOD SEDATION, EA ADD 15 MIN",319.0,283.91,111.65,319.0,479 CDM,PX-D9310,PR CONSULTATION,235.0,209.15,82.25,235.0,482 CDM,PX-D9420,PR HOSPITAL OR AMBULATORY SURGICAL CENTER CALL,77.0,68.53,26.95,77.0,478 CDM,PX-D9450,PR DENTAL CASE PRESENTATION,155.0,137.95,54.25,155.0,478 CDM,PX-D9910,PR APP DESENSITIZING MEDICAMENT,115.0,102.35,40.25,115.0,479 CDM,PX-D9938,PR CUSTOM RMVBL CLEAR PLASTIC TEMP APPLIANCE,261.0,232.29,91.35,261.0,478 CDM,PX-D9939,PR PLCMNT CUSTOM RMVBL CLEAR PLASTIC TEMP APPLIANCE,447.0,397.83,36.53,447.0,478 CDM,PX-D9944,PR OCCLUSAL GUARD -HARD - FULL ARCH,960.0,854.4,336.0,960.0,478 CDM,PX-D9945,PR OCCLUSAL GUARD -SOFT - FULL ARCH,739.0,657.71,258.65,739.0,478 CDM,PX-D9951,PR OCCLUSAL ADJUSTMENT LIMITED,331.0,294.59,115.85,331.0,478 CDM,PX-D9971,PR ODONTOPLASTY 1-2 TEETH W REM,158.0,140.62,55.3,158.0,478 CDM,PX-D9975001,PR HOME BLEACHING KIT PER ARCH - INITIAL,212.0,188.68,74.2,212.0,478 CDM,PX-D9999,PR MISC BLEACHING REFILL -2 TUBES,29.0,25.81,10.15,29.0,478 CDM,PX-E0486,PR ORAL SLEEP DEVICE CUSTOM,2766.0,2461.74,276.6,2766.0,479 CDM,PX-E1399,PR DURABLE MEDICAL EQUIPMENT MI,53.0,47.17,5.3,53.0,480 CDM,PX-E1399026,PR DME HAND CLINIC MISC,53.0,47.17,5.3,53.0,480 CDM,PX-G0008,PR ADMIN FLU VACC,59.0,52.51,20.5,59.0,441 CDM,PX-G0008001,PR ADMIN FLU VACC ADD,54.0,48.06,16.11,54.0,498 CDM,PX-G0008003,PR ADMIN FLU MIST NASAL VACC,59.0,52.51,17.46,59.0,441 CDM,PX-G0008004,PR ADMIN FLU MIST NASAL VACC ADD,51.0,45.39,12.33,51.0,498 CDM,PX-G0009,PR ADMIN PNEUMOCCAL VACC,57.0,50.73,22.27,57.0,498 CDM,PX-G0009001,PR ADMIN PNEUMOCCAL VACC ADD,51.0,45.39,13.69,51.0,505 CDM,PX-G0010,PR ADMIN HEPATITIS B VACCINE,70.0,62.3,18.93,70.0,502 CDM,PX-G0010001,PR ADMIN HEPATITIS B VACCINE ADD,66.0,58.74,16.11,66.0,491 CDM,PX-G0101,PR CANCER SCREEN CERV VAG W EXAM,188.0,167.32,31.63,188.0,489 CDM,PX-G0103,PR PSA SCREENING,166.0,147.74,18.39,166.0,482 CDM,PX-G0104,PR CANCER SCREEN FLEX SIG,607.0,540.23,88.75,607.0,482 CDM,PX-G0105,PR COLONOSCOPY SCREENING HI RI,1422.0,1265.58,153.39,1422.0,482 CDM,PX-G0108,PR MGMT DIABETES INDV PER 30MIN,220.0,195.8,45.33,220.0,482 CDM,PX-G0121,PR COLONOSCOPY SCREEN NOT HI RI,1652.0,1470.28,153.43,1652.0,482 CDM,PX-G0123,PR CYTOP GYN THIN PREP MANUAL SCRN,108.0,96.12,20.26,108.0,482 CDM,PX-G0124,PR CYTOPATH INTERP SCREENING THIN PREP,103.0,91.67,19.8,103.0,487 CDM,PX-G0127,PR TRIM DYSTROPHIC NAILS,100.0,89.0,8.32,100.0,513 CDM,PX-G0168,PR WOUND CLOSURE BY ADHESIVE,395.0,351.55,36.97,395.0,507 CDM,PX-G0180,PR HOME HEALTH INITIAL CERT,209.0,186.01,46.16,209.0,479 CDM,PX-G0237,PR THER PROC MUS 1-1 EA 15MIN,79.0,70.31,10.46,79.0,484 CDM,PX-G0238,PR THER PROC FUNC 1-1 EA 15MIN,79.0,70.31,9.34,79.0,483 CDM,PX-G0248,PR DEMONSTRATION HOME INR MONITOR,767.0,682.63,74.48,767.0,507 CDM,PX-G0249,PR HOME INR MATERIAL/EQUIPT,330.0,293.7,55.05,330.0,486 CDM,PX-G0268,PR REM IMPACT CERUMEN W/AUDIO TEST,202.0,179.78,20.15,202.0,482 CDM,PX-G0270,PR MNT SUBQ EA 15MIN REASSESS,118.0,105.02,22.17,118.0,485 CDM,PX-G0271,PR MNT GROUP EA 15MIN REASSESS,74.0,65.86,11.82,74.0,508 CDM,PX-G0278,PR ANGIO ILIAC ARTY W CATH,81.0,72.09,8.43,81.0,482 CDM,PX-G0289,PR ARTHRO KNEE DIFF COMPARTMENT,941.0,837.49,54.21,941.0,482 CDM,PX-G0296,PR VISIT TO DETERM LDCT ELIG,147.0,130.83,19.64,147.0,513 CDM,PX-G0316,PR PROLONGED INPT EVAL EA 15 MIN,159.0,141.51,27.69,159.0,482 CDM,PX-G0317,PR PROLONG NURSIN FAC EVAL EA 15M,159.0,141.51,27.04,159.0,490 CDM,PX-G0318,PR PROLONG HOME EVAL EA 15M,129.0,114.81,23.06,129.0,503 CDM,PX-G0399,PR HOME SLEEP STUDY,1217.0,1083.13,75.77,1217.0,482 CDM,PX-G0400,PR HOME SLEEP TEST TYPE PORTA 4,1108.0,986.12,143.11,1108.0,482 CDM,PX-G0402,PR INITIAL PRVENTATIVE PHYS,458.0,407.62,120.04,458.0,515 CDM,PX-G0403,PR EKG SCRN INT PE 12 LEAD W I&R,258.0,229.62,12.37,258.0,482 CDM,PX-G0404,PR ECG RTN 12 LEADS TRACING ONLY,141.0,125.49,5.69,141.0,482 CDM,PX-G0405,PR EKG SCRN INT PE 12 LEAD I&R ONLY,116.0,103.24,6.67,116.0,482 CDM,PX-G0412,PR OPEN TX ILIAC SPINE UNI/BIL,6244.0,5557.16,255.17,6244.0,482 CDM,PX-G0413,PR PELVIC RING FRACTURE UNI/BIL,7097.0,6316.33,371.96,7097.0,482 CDM,PX-G0414,PR PELVIC RING FX TREAT INT FIX,8280.0,7369.2,352.0,8280.0,482 CDM,PX-G0415,PR OPEN TX POST PELVIC FXCTURE,10456.0,9305.84,467.93,10456.0,482 CDM,PX-G0416,PR PROSTATE BIOPSY GROSS MICRO,235.0,209.15,35.14,417.0,1446 CDM,PX-G0425,PR INPT/ED TELECONSULT 30 MIN,402.0,357.78,65.36,402.0,482 CDM,PX-G0426,PR INPT/ED TELECONSULT 50 MIN,647.0,575.83,91.78,647.0,482 CDM,PX-G0427,PR INPT/ED TELECONSULT 70 MIN,861.0,766.29,132.71,861.0,482 CDM,PX-G0438,PR ANNUAL WELLNESS PPS 1ST VISIT,480.0,427.2,140.95,480.0,430 CDM,PX-G0439,PR ANNUAL WELLNESS PPS SUBQ VISIT,391.0,347.99,111.43,391.0,430 CDM,PX-G0453,PR IONM 1-1 REMOTE EA 15 MIN,117.0,104.13,21.53,117.0,482 CDM,PX-G0455,PR PREPARE FECAL MICRO INSTILL,1393.0,1239.77,119.01,1393.0,482 CDM,PX-G0480003,PR DRUG TEST DEF 1-3 CLASSES,255.0,226.95,114.43,255.0,467 CDM,PX-G0480004,PR DRUG TEST DEF 4-5 CLASSES,292.0,259.88,114.43,292.0,467 CDM,PX-G0480005,PR DRUG TEST DEF 6-7 CLASSES,326.0,290.14,114.43,326.0,467 CDM,PX-G0481,PR DRUG TEST DEF 8-10 CLASSES,350.0,311.5,156.59,350.0,467 CDM,PX-G0481001,PR DRUG TEST DEF 11-14 CLASSES,400.0,356.0,156.59,400.0,467 CDM,PX-G0482001,PR DRUG TEST DEF 15-17 CLASSES,443.0,394.27,198.74,443.0,467 CDM,PX-G0482002,PR DRUG TEST DEF 18-21 CLASSES,569.0,506.41,198.74,569.0,467 CDM,PX-G0499003,PR HBS ANTIGEN SCREEN CONFIRM,101.0,89.89,10.33,101.0,481 CDM,PX-G0499004,PR HEP B SCRN HIGH RISK INDIV,235.0,209.15,28.27,235.0,467 CDM,PX-G0545,PR VISIT COMPLEXITY INHERENT TO INPT/OBS W/ CNFRM SUSPCT INF DIS,103.0,91.67,38.56,103.0,482 CDM,PX-G0550,PR BEH HLTH ECONSULT,107.0,95.23,27.9,107.0,482 CDM,PX-G0561,"PR TEMP TUBE DELIVERY, UNIL",2055.0,1828.95,1808.4,2055.0,477 CDM,PX-G1001,PR CDSM EVICORE,1.0,0.89,0.88,1.0,477 CDM,PX-G1002,PR CDSM MEDCURRENT,1.0,0.89,0.88,1.0,477 CDM,PX-G1003,PR CDSM MEDICALIS,1.0,0.89,0.88,1.0,477 CDM,PX-G1004,PR CDS MECHANISM NDS CO MC AUC PROG,1.0,0.89,0.88,1.0,475 CDM,PX-G1007,PR CDSM AIM,1.0,0.89,0.88,1.0,477 CDM,PX-G1008,PR CDSM CRANBERRY PK,1.0,0.89,0.88,1.0,477 CDM,PX-G1010,PR CDSM STANSON,1.0,0.89,0.88,1.0,477 CDM,PX-G1011,PR CDSM QUALIFIED NOS,1.0,0.89,0.88,1.0,477 CDM,PX-G1012,PR CDSM AGILEMD,1.0,0.89,0.88,1.0,477 CDM,PX-G1013,PR CDSM EVIDENCECARE,1.0,0.89,0.88,1.0,477 CDM,PX-G1014,PR CDSM INVENIQA,1.0,0.89,0.88,1.0,477 CDM,PX-G1015,PR CDSM RELIANT,1.0,0.89,0.88,1.0,477 CDM,PX-G1016,PR CDSM SPEED OF CARE,1.0,0.89,0.88,1.0,477 CDM,PX-G1017,PR CDSM HEALTHHELP,1.0,0.89,0.88,1.0,477 CDM,PX-G1018,PR CDSM INFINX,1.0,0.89,0.88,1.0,477 CDM,PX-G1019,PR CDSM LOGICNETS,1.0,0.89,0.88,1.0,477 CDM,PX-G1020,PR CDSM CURBSIDE,1.0,0.89,0.88,1.0,477 CDM,PX-G1021,PR CDSM EHEALTHLINE,1.0,0.89,0.88,1.0,477 CDM,PX-G1022,PR CDSM INTERMOUNTAIN,1.0,0.89,0.88,1.0,477 CDM,PX-G1023,PR CDSM PERSIVIA,1.0,0.89,0.88,1.0,477 CDM,PX-G2211,PR VISIT COMPLEXITY INHERENT TO E/M,59.0,52.51,13.92,59.0,466 CDM,PX-G2212,PR PROLONGED E&M EA 15 MIN,128.0,113.92,27.12,128.0,486 CDM,PX-G2214,PR INIT/SUB PSYCH CARE M 1ST 30,313.0,278.57,49.24,313.0,491 CDM,PX-G6002,PR STEREOSCOPIC XRAY GUIDANCE,534.5,475.705,175.12,870.0,876 CDM,PX-G6004,RADIATION TREATMENT DELIVERY 6-10 MEV SMPL,680.0,605.2,598.4,680.0,430 CDM,PX-G6008,PR RADTN TX DEL 6-10 MEV INT,1146.0,1019.94,317.48,1146.0,462 CDM,PX-G6012,PR RADTN TX DEL 6-10 MEV COMPLEX,1095.0,974.55,454.71,1095.0,470 CDM,PX-G6013,PR RADTN TX DEL 11-19 MEV COMPLEX,1095.0,974.55,454.71,1095.0,465 CDM,PX-G6014,PR RADTN TX DEL >=20 MEV COMPLEX,1095.0,974.55,454.71,1095.0,461 CDM,PX-J0134,PR ACETAMINOPHEN -FRESENIUS INJ,57.4,51.09,5.6,57.4,481 CDM,PX-J0166,INJ EPINEPHRINE (BPI),44.7,39.78,3.32,44.7,481 CDM,PX-J0169,INJ EPINEPHRINE (ADRENALIN),43.9,39.07,4.15,43.9,482 CDM,PX-J0174,"INJECTION, LECANEMAB-IRMB, 1 MG",3572.2,3179.26,1263.5,3572.2,481 CDM,PX-J0180,PR AGALSIDASE BETA INJECTION,,,230.32,5422.4,466 CDM,PX-J0219,PR INJ AVAL ALFA-NQPT 4MG,117959.7,104984.13,47151.68,117959.7,481 CDM,PX-J0222,"PR INJ., PATISIRAN, 0.1 MG",64027.5,56984.48,25992.98,64027.5,481 CDM,PX-J0223,PR INJ GIVOSIRAN 0.5 MG,165027.5,146874.48,68428.4,165027.5,481 CDM,PX-J0278,PR AMIKACIN SULFATE INJECTION,43.6,38.8,3.11,43.6,481 CDM,PX-J0290,PR AMPICILLIN 500 MG INJ,61.2,54.47,1.18,61.2,481 CDM,PX-J0461,PR ATROPINE SULFATE INJECTION,36.0,32.04,2.7,36.0,481 CDM,PX-J0475,PR BACLOFEN 10 MG INJECTION,1695.0,1508.55,907.33,1695.0,481 CDM,PX-J0485,PR BELATACEPT INJECTION,6381.1,5679.18,2529.8,6381.1,481 CDM,PX-J0490,PR BELIMUMAB INJECTION,,,57.16,1594.0,466 CDM,PX-J0561,PR PENICILLIN G BENZATHINE INJ,595.3,529.82,191.79,595.3,488 CDM,PX-J0585,"PR INJECTION,ONABOTULINUMTOXINA",850.0,756.5,325.5,850.0,488 CDM,PX-J0586,PR ABOBOTULINUMTOXINA,4367.0,3886.63,2111.76,4367.0,483 CDM,PX-J0587,PR MYOBLOC (RIMABOT-B),132.6,118.01,26.58,132.6,483 CDM,PX-J0588,"PR XEOMIN, PER UNIT",1319.5,1174.36,525.4,1319.5,488 CDM,PX-J0589,INJ DAXIBOTULINUMTOXINA-LANM,3575.0,3181.75,934.2,3575.0,482 CDM,PX-J0613,"PR CALCIUM GLUCONATE (WG CRITICAL), 10 MG",204.3,181.83,17.4,204.3,481 CDM,PX-J0640,PR LEUCOVORIN CALCIUM INJECTION,48.6,43.25,7.68,48.6,483 CDM,PX-J0696,PR CEFTRIAXONE SODIUM INJECTION,,,0.46,42.2,466 CDM,PX-J0701,PR CEFEPIME HCL INJ (BAXTER),198.8,176.93,23.88,198.8,481 CDM,PX-J0702,PR BETAMETHASONE ACET&SOD PHOSP,64.0,56.96,6.91,64.0,491 CDM,PX-J0713,INJ CEFTAZIDIME PER 500 MG,39.06,34.76,1.47,39.06,481 CDM,PX-J0717,PR CERTOLIZUMAB PEGOL INJ 1MG,3835.2,3413.33,1546.8,3835.2,481 CDM,PX-J0744,PR CIPROFLOXACIN IV,82.4,73.34,2.0,82.4,481 CDM,PX-J0770,PR COLISTIMETHATE SODIUM INJ,54.0,48.06,12.08,54.0,482 CDM,PX-J0775,"PR COLLAGENASE, CLOST HIST INJ",12733.8,11333.08,4544.7,12733.8,481 CDM,PX-J0780,PR PROCHLORPERAZINE INJECTION,41.3,36.76,2.52,41.3,487 CDM,PX-J0870,"INJECTION, IMETELSTAT, 1 MG",58245.6,51838.58,21396.83,58245.6,481 CDM,PX-J0878,PR DAPTOMYCIN INJECTION,,,0.03,96.32,461 CDM,PX-J0894,PR DECITABINE INJECTION,120.1,106.89,6.48,120.1,482 CDM,PX-J0895,PR DEFEOXAMINE MESYLATE INJ,113.6,101.1,16.94,113.6,481 CDM,PX-J0896,PR INJ LUSPATERCEPT-AAMT 0.25MG,24415.9,21730.15,9837.79,24415.9,481 CDM,PX-J1010,"INJ, METHYLPRED ACETATE 1 MG",68.9,61.32,4.8,68.9,488 CDM,PX-J1100,PR DEXAMETHASONE SODIUM PHOS,35.5,31.6,1.05,35.5,481 CDM,PX-J1171,"INJ, HYDROMORPHONE, 0.1 MG",72.0,64.08,0.56,72.0,482 CDM,PX-J1190,PR DEXRAZOXANE HCL INJ 250 MG,556.6,495.37,174.04,556.6,481 CDM,PX-J1200,PR DIPHENHYDRAMINE HCL INJECTIO,,,0.71,42.4,468 CDM,PX-J1212,PR DIMETHYL SULFOXIDE 50% 50 ML,2088.9,1859.12,749.23,2088.9,481 CDM,PX-J1250,PR INJ DOBUTAMINE HCL/250 MG,98.7,87.84,8.02,98.7,481 CDM,PX-J1271,INJ DOXYCYCLINE HYCLATE 1 MG,55.6,49.48,5.1,55.6,481 CDM,PX-J1302,"PR INJ, SUTIMLIMAB-JOME, 10 MG",30371.2,27030.37,12368.2,30371.2,481 CDM,PX-J1323,"INJ, ELRANATAMAB-BCMM, 1 MG",15616.7,13898.86,6032.64,15616.7,481 CDM,PX-J1335,PR ERTAPENEM INJECTION,,,9.16,87.01,467 CDM,PX-J1439,PR INJ FERRIC CARBOXYMALTOS 1MG,3863.0,3438.07,1115.0,3863.0,481 CDM,PX-J1440,FECAL MICROBIOTA JSLM 1 ML,28293.5,25181.22,9693.75,28293.5,481 CDM,PX-J1442,"PR INJ, FILGRASTIM G-CSF 1MCG",639.2,568.89,200.4,639.2,481 CDM,PX-J1455,PR FOSCARNET SODIUM INJECTION,35.5,31.6,6.71,35.5,481 CDM,PX-J1569,PR GAMMAGARD LIQUID INJ,8725.6,7765.78,4634.22,8725.6,481 CDM,PX-J1570,PR GANCICLOVIR SODIUM INJECTION,224.1,199.45,33.52,224.1,481 CDM,PX-J1571,PR HEPAGAM B IM INJECTION,1334.7,1187.88,626.27,1334.7,481 CDM,PX-J1580,PR GARAMYCIN GENTAMICIN INJ,40.6,36.13,2.17,40.6,482 CDM,PX-J1602,PR GOLIMUMAB FOR IV USE 1MG,12540.7,11161.22,1453.88,12540.7,485 CDM,PX-J1631,PR HALOPERIDOL DECANOATE INJ,62.9,55.98,3.94,62.9,481 CDM,PX-J1640,PR HEMIN 1MG INJ,14709.0,13091.01,6179.08,14709.0,481 CDM,PX-J1644,PR INJ HEPARIN SODIUM PER 1000U,50.1,44.59,5.37,50.1,481 CDM,PX-J1650,PR INJ ENOXAPARIN SODIUM,45.2,40.23,2.67,45.2,482 CDM,PX-J1745,PR INFLIXIMAB INJECTION,3202.4,2850.14,778.15,3202.4,481 CDM,PX-J1750,PR INJ IRON DEXTRAN,71.3,63.46,18.08,71.3,481 CDM,PX-J1808,"INJ, FOLIC ACID, 0.1 MG",37.3,33.2,0.53,37.3,481 CDM,PX-J1836,"INJ, METRONIDAZOLE, 10 MG",80.6,71.73,1.4,80.6,481 CDM,PX-J1885,PR KETOROLAC TROMETHAMINE INJ,36.4,32.4,0.33,36.4,489 CDM,PX-J1938,"INJ, FUROSEMIDE, 1 MG",35.7,31.77,0.19,35.7,479 CDM,PX-J1956,PR LEVOFLOXACIN INJECTION,94.1,83.75,2.16,94.1,481 CDM,PX-J2060,PR LORAZEPAM INJECTION,73.5,65.42,1.41,73.5,488 CDM,PX-J2151,"INJ, MANNITOL, 250 MG",92.9,82.68,4.8,92.9,481 CDM,PX-J2185,PR MEROPENEM,35.2,31.33,0.38,35.2,481 CDM,PX-J2246,"INJ, MICAFUNGIN (BAXTER)",267.4,237.99,41.3,267.4,481 CDM,PX-J2248,PR MICAFUNGIN SODIUM INJECTION,154.5,137.51,37.35,154.5,481 CDM,PX-J2274,PR IN MORPHINE PRESERVATIV FREE,321.5,286.14,148.45,321.5,481 CDM,PX-J2280,"PR INJ, MOXIFLOXACIN 100 MG",282.5,251.43,36.62,282.5,481 CDM,PX-J2371,INJ PHENYLEPHRINE HCL 20 MCG,42.1,37.47,0.1,42.1,480 CDM,PX-J2405,PR ONDANSETRON HCL INJECTION,38.4,34.18,1.49,38.4,481 CDM,PX-J2430,PR PAMIDRONATE DISODIUM /30 MG,106.7,94.96,33.87,106.7,481 CDM,PX-J2543,PR PIPERACILLIN/TAZOBACTAM,183.7,163.49,3.27,183.7,481 CDM,PX-J2550,PR PROMETHAZINE HCL INJECTION,41.2,36.67,3.97,41.2,484 CDM,PX-J2562,PR PLERIXAFOR INJECTION,349.7,311.23,307.74,349.7,481 CDM,PX-J2597,PR INJ DESMOPRESSIN ACETATE,304.7,271.18,78.52,304.7,481 CDM,PX-J2598,"INJ, VASOPRESSIN, 1 UNIT",45.5,40.49,2.63,45.5,481 CDM,PX-J2675,PR INJ PROGESTERONE PER 50 MG,38.8,34.53,0.72,38.8,481 CDM,PX-J2680,PR FLUPHENAZINE DECANOATE 25 MG,144.2,128.34,18.59,144.2,481 CDM,PX-J2704,"PR INJ, PROPOFOL, 10 MG",38.4,34.18,0.8,38.4,485 CDM,PX-J2760,PR PHENTOLAINE MESYLATE INJ,865.4,770.21,420.56,865.4,481 CDM,PX-J2795,PR ROPIVACAINE HCL INJECTION,37.6,33.46,0.5,37.6,481 CDM,PX-J2802,"INJ, ROMIPLOSTIM 1 MICROGRAM",6174.0,5494.86,2209.6,6174.0,481 CDM,PX-J2860,PR SILTUXIMAB INJ,13528.6,12040.45,4891.66,13528.6,482 CDM,PX-J2919,"INJ, METHYLPRED SOD SUCC 5MG",59.2,52.69,5.28,59.2,490 CDM,PX-J2997,PR ALTEPLASE RECOMBINANT,,,93.83,554.17,466 CDM,PX-J3055,INJ TALQUETAMAB-TGVS 0.25 MG,4015.9,3574.15,1423.39,4015.9,481 CDM,PX-J3121,PR INJ TESTOSTERO ENANTHATE 1MG,142.8,127.09,10.2,142.8,489 CDM,PX-J3247,INJ SECUKINUMAB INTRAV 1MG,9691.6,8625.52,3831.48,9691.6,481 CDM,PX-J3260,PR TOBRAMYCIN SULFATE INJECTION,38.1,33.91,2.07,38.1,481 CDM,PX-J3262,PR TOCILIZUMAB INJECTION,,,5.61,2923.97,466 CDM,PX-J3299,PR INJ XIPERE 1 MG,35.5,31.6,31.24,35.5,481 CDM,PX-J3300,PR TRIAMCINOLONE A INJ PRS-FREE,334.5,297.7,97.96,334.5,481 CDM,PX-J3301,PR TRIAMCINOLONE ACETONIDE INJ,39.6,35.24,1.48,39.6,481 CDM,PX-J3360,PR DIAZEPAM INJECTION,89.4,79.57,6.69,89.4,481 CDM,PX-J3373,"INJ, VANCOMYCIN HCL, 10 MG",187.4,166.79,3.88,187.4,481 CDM,PX-J3385,PR VELAGLUCERASE ALFA,32707.8,29109.94,13138.55,32707.8,481 CDM,PX-J3396,PR VERTEPORFIN INJECTION,4442.9,3954.18,1629.4,4442.9,481 CDM,PX-J3411,PR THIAMINE HCL 100 MG,41.4,36.85,1.81,41.4,481 CDM,PX-J3420,PR VITAMIN B12 INJECTION,38.5,34.27,0.64,38.5,481 CDM,PX-J3473,PR HYALURONIDASE RECOMBINANT,73.1,65.06,10.89,73.1,482 CDM,PX-J3475,PR INJ MAGNESIUM SULFATE,,,0.41,81.89,468 CDM,PX-J3480,PR INJ POTASSIUM CHLORIDE,40.8,36.31,0.61,40.8,483 CDM,PX-J3489,PR ZOLEDRONIC ACID 1MG,52.6,46.81,15.25,52.6,484 CDM,PX-J7030,"PR NORMAL SALINE SOLUTION INFUS, 1000 CC",82.0,72.98,1.99,82.0,490 CDM,PX-J7040,"PR NORMAL SALINE SOLUTION INFUS, 500 ML = 1 UNIT",80.3,71.47,1.29,80.3,486 CDM,PX-J7050,"PR NORMAL SALINE SOLUTION INFUS, 250 CC",80.3,71.47,0.66,80.3,488 CDM,PX-J7060,PR 5% DEXTROSE/WATER,80.3,71.47,1.75,80.3,481 CDM,PX-J7070,PR D5W INFUSION,82.0,72.98,2.94,82.0,481 CDM,PX-J7120,PR RINGERS LACTATE INFUSION,82.0,72.98,2.38,82.0,486 CDM,PX-J7195,PR FACTOR IX RECOMBINANT,2960.0,2634.4,1832.17,2960.0,481 CDM,PX-J7308,PR AMINOLEVULINIC ACID HCL TOP,1239.7,1103.33,389.83,1239.7,485 CDM,PX-J7312,PR DEXAMETHASONE INTRA IMPLANT,4260.0,3791.4,1431.77,4260.0,481 CDM,PX-J7313,PR FLUOCINOL ACET INTRAVIT IMP,28779.6,25613.84,9641.28,28779.6,481 CDM,PX-J7354,"CANTHARIDIN TOP, APPLICATOR",2012.3,1790.95,656.5,2012.3,481 CDM,PX-J7509,PR METHYLPREDNISOLONE ORAL,9.7,8.63,0.14,9.7,480 CDM,PX-J7512,PR PREDNISONE ORAL 1 MG,,,0.01,8.83,340 CDM,PX-J7674,"PR METHACHOLINE CHLORIDE, NEB",2312.2,2057.86,85.0,2312.2,477 CDM,PX-J7682,PR TOBRAMYCIN NON-COMPD U,,,12.47,250.03,345 CDM,PX-J9000,PR DOXORUBIC HCL 10 MG VL CHEMO,242.9,216.18,30.61,242.9,481 CDM,PX-J9011,"DATOPOTAMAB DERUXTECAN, 1 MG",31011.7,27600.41,11341.44,31011.7,482 CDM,PX-J9017,PR ARSENIC TRIOXIDE,241.0,214.49,103.43,241.0,481 CDM,PX-J9025,PR AZACITIDINE INJECTION,294.8,262.37,64.82,294.8,481 CDM,PX-J9030,PR BCG LIVE INTRAVESICAL 1MG,,,3.28,783.14,466 CDM,PX-J9032,PR BELINOSTAT INJ 10 MG,26195.4,23313.91,9559.98,26195.4,481 CDM,PX-J9034,PR BENDEKA 1MG INJ,5542.2,4932.56,1668.42,5542.2,484 CDM,PX-J9035,PR BEVACIZUMAB INJECTION,14120.1,12566.89,5154.24,14120.1,481 CDM,PX-J9038,INJ AXATILIMAB-CSFR 0.1 MG,34216.9,30453.04,14190.75,34216.9,481 CDM,PX-J9039,PR BLINATUMOMAB INJ,92290.9,82138.9,32081.87,92290.9,481 CDM,PX-J9040,PR BLEOMYCIN SULFATE INJECTION,,,23.02,326.14,467 CDM,PX-J9041,PR BORTEZOMIB INJECTION,305.5,271.89,40.17,305.5,481 CDM,PX-J9042,PR BRENTUXIMAB VEDOTIN INJ,132475.1,117902.84,48321.18,132475.1,483 CDM,PX-J9043,PR CABAZITAXEL INJECTION,31191.7,27760.61,10385.82,31191.7,481 CDM,PX-J9045,PR CARBOPLATIN INJECTION,277.8,247.24,32.22,277.8,487 CDM,PX-J9047,"PR INJECTION, CARFILZOMIB, 1 MG",18612.5,16565.13,6116.77,18612.5,481 CDM,PX-J9055,PR CETUXIMAB INJECTION,1609.0,1432.01,401.72,1609.0,481 CDM,PX-J9060,PR CISPLATIN 10 MG INJECTION,125.0,111.25,10.56,125.0,487 CDM,PX-J9063,"INJ, ELAHERE, 1 MG",67377.8,59966.24,24908.1,67377.8,481 CDM,PX-J9065,PR INJ CLADRIBINE PER 1 MG,503.7,448.29,103.87,503.7,482 CDM,PX-J9071,PR INJ CYCLOPHOSPHAMD AUROMEDIC,618.6,550.55,121.2,618.6,481 CDM,PX-J9075,"INJ, CYCLOPHOSPHAMIDE, NOS",462.8,411.89,81.9,462.8,487 CDM,PX-J9130,PR DACARBAZINE 100 MG INJ,289.7,257.83,28.87,289.7,483 CDM,PX-J9171,PR DOCETAXEL INJECTION,295.9,263.35,91.14,295.9,481 CDM,PX-J9176,PR INJ ELOTUZUMAB 1 MG,,,0.09,0.1,467 CDM,PX-J9177,PR INJ ENFORT VEDO-EJFV 0.25MG,14138.4,12583.18,5140.52,14138.4,481 CDM,PX-J9179,PR ERIBULIN MESYLATE INJECTION,1344.0,1196.16,943.9,1344.0,481 CDM,PX-J9181,PR ETOPOSIDE 10 MG INJ,123.2,109.65,16.7,123.2,487 CDM,PX-J9190,PR FLUOROURACIL INJECTION,259.4,230.87,21.35,259.4,490 CDM,PX-J9200,PR FLOXURIDINE INJECTION,12145.6,10809.58,4254.92,12145.6,481 CDM,PX-J9201,PR GEMCITABINE HCL,,,3.59,40.34,466 CDM,PX-J9204,PR MOGAMULIZUMAB-KPKC 1 MG INJ,49620.7,44162.42,18249.62,49620.7,481 CDM,PX-J9205,PR INJ IRINOTECAN LIPOSOME 1 MG,29354.8,26125.77,9695.53,29354.8,481 CDM,PX-J9206,PR IRINOTECAN INJECTION,261.5,232.74,30.5,261.5,481 CDM,PX-J9209,PR MESNA INJECTION,60.1,53.49,6.8,60.1,483 CDM,PX-J9223,"PR INJ. LURBINECTEDIN, 0.1 MG",35577.8,31664.24,12647.04,35577.8,481 CDM,PX-J9227,PR INJ. ISATUXIMAB-IRFC 10 MG,23668.4,21064.88,7586.55,23668.4,481 CDM,PX-J9228,PR IPILIMUMAB INJ 1 MG,39027.2,34734.21,14018.55,39027.2,485 CDM,PX-J9229,PR INOTUZUMAB OZOGAMICIN 0.1 MG INJ,38188.0,33987.32,14083.84,38188.0,481 CDM,PX-J9260,PR METHOTREXATE SODIUM INJ 50 MG,102.4,91.14,2.58,102.4,481 CDM,PX-J9263,PR OXALIPLATIN,112.3,99.95,2.82,112.3,481 CDM,PX-J9264,PR PACLITAXEL PROTEIN BOUND,3941.9,3508.29,1350.36,3941.9,482 CDM,PX-J9267,PR PACLITAXEL INJECTION,329.6,293.34,25.54,329.6,481 CDM,PX-J9271,PR PEMBROLIZUMAB INJ,10500.8,9345.71,3583.56,10500.8,482 CDM,PX-J9273,"PR INJ TISOTU VEDOTIN-TFTV, 1MG",51970.7,46253.92,19606.8,51970.7,481 CDM,PX-J9274,"PR INJ, TEBENTAFUSP-TEBN, 1 MCG",41179.8,36650.02,15110.28,41179.8,482 CDM,PX-J9276,"INJ ZANIDATAMAB-HRII, 2 MG",66695.7,59359.17,24373.05,66695.7,481 CDM,PX-J9280,PR MITOMYCIN INJECTION,343.9,306.07,104.42,343.9,481 CDM,PX-J9281,PR MITOMYCIN INSTILLATION,51858.0,46153.62,19434.3,51858.0,482 CDM,PX-J9293,PR MITOXANTRON HCL INJ,602.9,536.58,154.39,602.9,481 CDM,PX-J9299,PR NIVOLUMAB INJ,117013.4,104141.93,8057.52,117013.4,481 CDM,PX-J9303,PR PANITUMUMAB INJ 10 MG,6681.2,5946.27,2084.08,6681.2,481 CDM,PX-J9305,PR PEMETREXED INJECTION,106.7,94.96,7.19,106.7,481 CDM,PX-J9307,PR PRALATREXATE INJ,56807.2,50558.41,20421.39,56807.2,481 CDM,PX-J9308,PR RAMUCIRUMAB INJ 5 MG,15296.3,13613.71,5290.81,15296.3,481 CDM,PX-J9309,"PR INJ, POLATUZUMAB VEDOTIN 1MG",31056.7,27640.46,10668.22,31056.7,481 CDM,PX-J9312,PR RITUXIMAB 10 MG INJ,,,0.09,2302.3,466 CDM,PX-J9317,PR SACITUZUMAB GOVITECAN-HZIY,25933.9,23081.17,9319.46,25933.9,481 CDM,PX-J9319,PR ROMIDEPSIN LYOPHIL 0.1MG INJ,21028.4,18715.28,8344.62,21028.4,481 CDM,PX-J9325,PR TALIMOGENE INJ,10718.1,9539.11,3696.95,10718.1,483 CDM,PX-J9329,"INJ, TISLELIZUMAB-JSGR",23732.1,21121.57,8755.65,23732.1,481 CDM,PX-J9332,PR INJ EFGARTIGIMOD 2MG,40678.1,36203.51,16433.73,40678.1,482 CDM,PX-J9345,"INJ, RETIFANLIMAB-DLWR, 1 MG",31856.2,28352.02,11447.63,31856.2,481 CDM,PX-J9347,"INJ, TREMELIMUMAB-ACTL, 1 MG",,,143.02,29002.74,466 CDM,PX-J9349,"INJECTION, TAFASITAMAB-CXIX, 2 MG",10759.8,9576.22,3702.92,10759.8,481 CDM,PX-J9351,PR TOPOTECAN INJECTION,348.8,310.43,86.11,348.8,481 CDM,PX-J9352,PR INJECTION TRABECTEDIN 0.1MG,19137.2,17032.11,6648.19,19137.2,481 CDM,PX-J9354,"PR INJ, ADO-TRASTUZUMAB EMT 1MG",21247.1,18909.92,7594.74,21247.1,482 CDM,PX-J9355,PR TRASTUZUMAB,10073.5,8965.42,2792.35,10073.5,481 CDM,PX-J9358,PR INJ FAM-TRASTU DERU-NXKI 1MG,30771.8,27386.9,10516.8,30771.8,485 CDM,PX-J9359,PR INJ LON TESIRIN-LPYL 0.075MG,73605.1,65508.54,26546.64,73605.1,481 CDM,PX-J9360,PR VINBLASTINE SULFATE INJ,408.4,363.48,67.38,408.4,484 CDM,PX-J9380,INJ TECLISTAMAB CQYV 0.5 MG,22740.9,20239.4,9335.25,22740.9,483 CDM,PX-J9390,PR VINORELBINE TARTRATE/10 MG,269.9,240.21,21.76,269.9,481 CDM,PX-L2999,PR ORTHOSIS LWR EXTREMITY NOS,650.0,578.5,572.0,650.0,477 CDM,PX-L3660,PR IMMOBILIZER SHLDR CAN&WEB,138.0,122.82,115.57,138.0,481 CDM,PX-L3670,PR ORTHO SHLDR ACROMIO/CLAV OTS,174.0,154.86,127.15,174.0,481 CDM,PX-L3671,PR ORTHO SHLDR JT DESIGN CPF,1344.0,1196.16,1007.79,1344.0,481 CDM,PX-L3702,PR ORTHO ELBOW WO JT CPF FIT&ADJUST,431.0,383.59,322.97,431.0,481 CDM,PX-L3762,PR EO RIGID W/O JOINTS PRE OTS,149.0,132.61,120.25,149.0,483 CDM,PX-L3763,PR ORHTO EWH RIG WO JT CPF FIT&ADJUST,1193.0,1061.77,836.99,1193.0,481 CDM,PX-L3764,PR ORTHO EWH W JT CPF FIT&ADJUST,1168.0,1039.52,875.94,1168.0,481 CDM,PX-L3765,PR ORTHO EWHF RIG WO JT,1912.0,1701.68,1434.15,1912.0,481 CDM,PX-L3806,PR ORTHO WHF RIG W JT CPF,678.0,603.42,508.03,678.0,481 CDM,PX-L3807,PR ORTHO WHF WO JT CPF FIT&ADJUST,374.0,332.86,279.67,374.0,481 CDM,PX-L3808,PR ORTHO WHF RIG WO JT CPF FIT&ADJUST,567.0,504.63,398.43,567.0,481 CDM,PX-L3809,PR PREFAB STATIC WHFO,310.0,275.9,272.8,310.0,481 CDM,PX-L3905,PR ORTHO WH NONTORSN JT CPF FIT&ADJUST,1479.0,1316.31,1109.16,1479.0,481 CDM,PX-L3906,PR ORTHO WH SPRT WO JT CPF FIT&ADJUST,672.0,598.08,566.79,672.0,481 CDM,PX-L3908,PR ORTHO WRST COCK-UP OTS,94.0,83.66,82.0,94.0,481 CDM,PX-L3912,PR GLOVE FLEXION,158.0,140.62,117.84,158.0,481 CDM,PX-L3913001,PR ORTHOSIS HAND/FNGR WO JTS CUSTOM,404.0,359.56,302.9,404.0,481 CDM,PX-L3915,PR WHO NONTORSION JNTS PRE CST,865.0,769.85,594.54,865.0,481 CDM,PX-L3919,PR ORTHOSIS HAND WO JTS CUSTOM,404.0,359.56,302.9,404.0,481 CDM,PX-L3921,PR ORTHOSIS HAND W JTS CUSTOM,479.0,426.31,359.28,479.0,481 CDM,PX-L3923,PR HFO WITHOUT JOINTS PRE CST,144.0,128.16,108.04,144.0,481 CDM,PX-L3923002,PR HFO W/O JOINTS PRE CST,144.0,128.16,108.04,144.0,481 CDM,PX-L3924,PR SPLINT THUMB OTS,121.0,107.69,106.48,121.0,481 CDM,PX-L3925,PR FO PIP DIP JNT/SPRNG PRE OTS,93.0,82.77,73.47,93.0,481 CDM,PX-L3925002,PR ORTHOSIS FINGER SPRING PREFAB OTS,84.0,74.76,73.47,84.0,481 CDM,PX-L3927,PR FO PIP DIP NO JT SPR PRE OTS,53.0,47.17,39.15,53.0,481 CDM,PX-L3927001,PR ORTHOSIS FNGR WO SPRING PREFAB OTS,53.0,47.17,39.15,53.0,481 CDM,PX-L3929,PR ORTHOSIS HND/FNGR SPRING CPF,154.0,137.06,102.16,154.0,481 CDM,PX-L3933,PR ORTHOSIS FNGR WO JTS CUST FIT&ADJUST,281.0,250.09,238.64,281.0,481 CDM,PX-L3935,PR ORTHOSIS FNGR JT CUST FIT&ADJUST,303.0,269.67,247.07,303.0,481 CDM,PX-L3984,PR BRACE WRIST FRACTURE,499.0,444.11,387.03,499.0,481 CDM,PX-L4002,PR REPLACEMENT STRAP ORTHOSIS ANY,89.0,79.21,78.32,89.0,465 CDM,PX-L4210,PR RPR ORTHOSIS DEVICE MINOR,51.0,45.39,44.88,51.0,477 CDM,PX-L8047,PR NASAL SEPTAL PROSTHESIS,681.0,606.09,599.28,681.0,445 CDM,PX-L8499,PR SPLINT EAR BUDDIES,214.0,190.46,188.32,214.0,477 CDM,PX-L8509,PR VOICE PROSTH TRACHEO-ESOPH,352.0,313.28,134.48,352.0,482 CDM,PX-L8621,REPL ZINC AIR BATTERY,0.88,0.78,0.77,0.88,481 CDM,PX-L8699001,PR EAR TUBE (HUMMINGBIRD),1273.0,1132.97,127.3,1273.0,479 CDM,PX-M0076,PR PROLOTHERAPY,350.0,311.5,308.0,350.0,477 CDM,PX-M0224,"PR IV INJ PEMIVIBART, INCL INJ AND POST ADMIN MONITORING",698.0,621.22,441.9,698.0,482 CDM,PX-P3000,PR CYTO PAP SMEAR MANUAL SCREEN,70.0,62.3,18.54,70.0,481 CDM,PX-P3001,PR SCREENING PAP SMEAR PHYS,130.0,115.7,19.8,130.0,489 CDM,PX-P9017001,PR CONVALESCENT FFP SNGL DONOR,1926.0,1714.14,192.6,1926.0,482 CDM,PX-P9041,"PR ALBUMIN (HUMAN),5%, 50ML",36.3,32.31,10.62,36.3,481 CDM,PX-P9046,"PR ALBUMIN (HUMAN), 25%, 20 ML",35.6,31.68,21.23,35.6,481 CDM,PX-P9047,"PR ALBUMIN (HUMAN), 25%, 50ML",246.7,219.56,106.15,246.7,481 CDM,PX-P9059,PR FROZEN PLASMA 8-24 HR EA UNIT,310.0,275.9,31.0,310.0,481 CDM,PX-P9059001,PR CONVALESCENT FROZEN PLASMA 8-24 HR EA UNIT,1890.0,1682.1,189.0,1890.0,481 CDM,PX-P9071,"PR CONVALESCENT FROZEN PLASMA, PATH RED, SD, EA UNIT",951.0,846.39,95.1,951.0,477 CDM,PX-P9612,PR CATH COLLECT URINE SPECIMEN,39.0,34.71,9.34,39.0,485 CDM,PX-Q0091,PR OBTAIN SCREEN PAP SMEAR,134.0,119.26,37.82,134.0,476 CDM,PX-Q0111,PR WET MOUNTS VAG CERV/SKIN,33.0,29.37,5.82,33.0,488 CDM,PX-Q0112,PR KOH PREP,27.0,24.03,5.82,27.0,482 CDM,PX-Q0114,PR FERN TEST,43.0,38.27,9.74,43.0,481 CDM,PX-Q0224,"INJ, PEMIVIBART, 4500 MG",,,7239.0,16300.1,466 CDM,PX-Q0479,"PR POWER MODULE COMBO VAD, REP",15584.0,13869.76,13713.92,15584.0,481 CDM,PX-Q0481,PR VAD HMII POCKET CONTROLLER,17142.0,15256.38,15084.96,17142.0,482 CDM,PX-Q0506,PR VAD RPLC LITHIUM BATTERY,1367.0,1216.63,1051.71,1367.0,482 CDM,PX-Q2050,PR DOXORUBICIN LIPOSOMAL INJ 10 MG,736.0,655.04,312.02,736.0,481 CDM,PX-Q3014,PR TELE ORIG SITE FEE,86.0,76.54,8.6,86.0,268 CDM,PX-Q4006,PR CAST LONG ARM ADULT FIBERGLASS,114.0,101.46,37.2,114.0,481 CDM,PX-Q4010,PR CAST SHORT ARM ADULT FIBERGLASS,85.0,75.65,24.8,85.0,481 CDM,PX-Q5103,"INJECTION, INFLECTRA",4106.7,3654.96,823.48,4106.7,484 CDM,PX-Q5104,"INJECTION, RENFLEXIS",3690.2,3284.28,943.64,3690.2,481 CDM,PX-Q5106,PR RETACRIT NON-ESRD 1000 UNITS INJ,344.0,306.16,75.67,344.0,481 CDM,PX-Q5107,PR BEVACIZUMAB-AWWB 10MG INJ,5151.1,4584.48,596.0,5151.1,481 CDM,PX-Q5111,PR UDENYCA 0.5MG INJ,,,161.99,8103.19,466 CDM,PX-Q5114,PR OGIVRI 10MG INJ,7120.2,6336.98,2639.63,7120.2,484 CDM,PX-Q5115,PR RITUXIMAB-ABBS 10MG INJ,11935.0,10622.15,2411.6,11935.0,481 CDM,PX-Q5116,PR TRAZIMERA 10 MG INJ,7212.9,6419.48,344.61,7212.9,481 CDM,PX-Q5117,PR KANJINTI 10 MG INJ,3529.0,3140.81,668.71,3529.0,481 CDM,PX-Q5118,PR ZIRABEV 10 MG INJ,895.2,796.73,129.0,895.2,484 CDM,PX-Q5119,"PR RUXIENCE, 10MG INJ",,,13.27,3353.6,466 CDM,PX-Q5121,"PR INJ. AVSOLA, 10 MG",3389.5,3016.66,761.95,3389.5,481 CDM,PX-Q5122,"PR INJ, NYVEPRIA",3713.6,3305.1,1064.43,3713.6,481 CDM,PX-Q5125,"PR INJ, RELEUKO 1 MCG",213.0,189.57,79.09,213.0,482 CDM,PX-Q5128,"INJ, CIMERLI, 0.1 MG",626.3,557.41,500.04,626.3,481 CDM,PX-Q5129,"INJ, VEGZELMA, 10 MG",3804.6,3386.09,1335.53,3804.6,482 CDM,PX-Q5135,"INJ, TYENNE, 1 MG",2270.5,2020.74,754.92,2270.5,481 CDM,PX-Q9956,"PR INJ OCTAFLUOROPROPANE MIC,ML",91.2,81.17,40.21,91.2,481 CDM,PX-Q9957,"PR INJ PERFLUTREN LIP MICROS,ML",382.5,340.43,80.41,382.5,484 CDM,PX-Q9961,"PR HOCM 250-299MG/ML IODINE,1ML",35.5,31.6,0.26,35.5,480 CDM,PX-Q9963,"PR HOCM 350-399MG/ML IODINE,1ML",,,0.22,131.53,465 CDM,PX-Q9965,"PR LOCM 100-199MG/ML IOSINW, 1ML",58.0,51.62,2.07,58.0,481 CDM,PX-Q9967,"PR LOCM 300-399 MG/ML IODINE, 1ML",44.8,39.87,2.09,44.8,487 CDM,PX-S0265,PR GENETIC COUNSEL EA 15 MIN,236.0,210.04,207.68,236.0,489 CDM,PX-S0302,PR COMPLETED EPSDT,77.0,68.53,67.76,77.0,466 CDM,PX-S1040,PR CRNL REMOLD ORTHOSIS FIT/ADJ,5847.0,5203.83,5145.36,5847.0,477 CDM,PX-S2083,PR ADJ GASTRIC BND INJ/ASP SALINE,425.0,378.25,42.5,425.0,478 CDM,PX-S2401,PR FETAL SURG URIN TRAC OBSTR,24193.0,21531.77,21289.84,24193.0,477 CDM,PX-S2404,PR IN UTERO MYELOMENINGOCELE RPR,15830.0,14088.7,1583.0,15830.0,477 CDM,PX-S2411,PR FETSCPIC LASR ABL PLAC VAS ANO,19195.0,17083.55,16891.6,19195.0,477 CDM,PX-S3620,PR NEWBORN METABOLIC SCREEN,235.0,209.15,206.8,235.0,477 CDM,PX-S4042,PR MGMT ORAL,193.0,171.77,169.84,193.0,463 CDM,PX-S4042001,PR MGMT OF ANON DONOR OOCYT PROG,825.0,734.25,726.0,825.0,463 CDM,PX-S4042002,PR MGMT OF GC PROG-SCRN OF COUPLE,825.0,734.25,726.0,825.0,463 CDM,PX-S4042004,PR MGMT OI/SO W/GONADOTROPINS-PER CYCLE,275.0,244.75,242.0,275.0,463 CDM,PX-S4042005,PR MGMT OF EMBRYO CRYO PROG,575.0,511.75,506.0,575.0,463 CDM,PX-S4042006,PR MGMT OF FET PROGRAM,575.0,511.75,506.0,575.0,463 CDM,PX-S4042007,PR MGMT OF FET W/PGT PROG,575.0,511.75,506.0,575.0,463 CDM,PX-S4042008,PR MGMT OF GC PROG-SCREEN GC,825.0,734.25,726.0,825.0,463 CDM,PX-S4042009,PR MGMT OF IVF PROG,575.0,511.75,506.0,575.0,463 CDM,PX-S4042010,PR MGMT OF OOCYTE CRYO PROG,575.0,511.75,506.0,575.0,463 CDM,PX-S4042011,PR MGMT SATELLITE SNGL VST,100.0,89.0,88.0,100.0,463 CDM,PX-S4042012,PR MGMT SATELLITE ENTIRE CYCLE,575.0,511.75,506.0,575.0,463 CDM,PX-S4042013,PR MGMT OF IVF W/PGT PROG,1000.0,890.0,880.0,1000.0,463 CDM,PX-S4042014,PR MGMT OF LONG DISTANCE FET,1000.0,890.0,880.0,1000.0,463 CDM,PX-S8427,PR READY GRADIENT GLOVE,46.0,40.94,40.48,46.0,480 CDM,PX-S9453,PR SMOK CESSATN NON MD,175.0,155.75,154.0,175.0,477 CDM,PX-S9454,PR STRESS MGMNT NON-PHYS,364.0,323.96,320.32,364.0,477 CDM,PX-S9986,PR INTL CARE COORDINATION - KUWAIT HEALTH,1560.0,1388.4,1372.8,1560.0,477 CDM,PX-S9986001,PR ASTIGMATISM IOL SURG,401.0,356.89,40.1,401.0,477 CDM,PX-S9986002,PR DELUXE IOL,743.0,661.27,74.3,743.0,477 CDM,PX-S9986005,PR EXECUTIVE SERVICES FEE,1620.0,1441.8,1425.6,1620.0,477 CDM,PX-S9986006,PR LIGHT ADJ LENS IOL SURGE,4282.0,3810.98,3768.16,4282.0,477 CDM,PX-S9986007,PR PLATINUM SERVICES FEE,9500.0,8455.0,8360.0,9500.0,477 CDM,PX-S9986008,PR EXEC RESCHEDULE/CANCEL/NO SHOW 0-14 DAYS,1000.0,890.0,880.0,1000.0,477 CDM,PX-S9986010,PR EXEC RESCHEDULE/CANCEL/NO SHOW 15-30 DAYS,500.0,445.0,440.0,500.0,477 CDM,PX-S9986016,PR HEALTHY MENU PLANNING,93.0,82.77,81.84,93.0,477 CDM,PX-S9986017,PR PRIVATE COOKING LESSON,186.0,165.54,163.68,186.0,477 CDM,PX-T1013,PR SIGN LANG SERV PER 15 MIN,36.0,32.04,31.68,36.0,477 CDM,PX-T1016,PR CASE MGMT- COMM PARAMEDICS,69.0,61.41,60.72,69.0,477 CDM,PX-V2718,PR FRESNEL PRISM PRESS ON LENS,68.0,60.52,38.11,68.0,481 CDM,PX-V5014005,PR REMAKE (IN WARRANTY),100.0,89.0,88.0,100.0,477 CDM,PX-V5014006,"PR REPAIR <5 YRS, 12 MO WARR",300.0,267.0,264.0,300.0,477 CDM,PX-V5014007,"PR REPAIR <5 YRS, 6 MO WARR",350.0,311.5,308.0,350.0,477 CDM,PX-V5014011,"PR REPAIR, RECEIVER WIRE",100.0,89.0,88.0,100.0,477 CDM,PX-V5014012,PR REPAIR/RECASE < 5 YEARS,400.0,356.0,352.0,400.0,477 CDM,PX-V5014013,PR REPAIR/RECASE > 5 YEARS,450.0,400.5,396.0,450.0,477 CDM,PX-V5020,PR CONFORMITY EVALUATION,93.0,82.77,81.84,93.0,480 CDM,PX-V5020001,PR CONFORMITY EVALUATION BINAURAL,180.0,160.2,158.4,180.0,480 CDM,PX-V5020002,PR CONFORMITY EVALUATION MONAURAL,90.0,80.1,79.2,90.0,480 CDM,PX-V5020004,PR CONFORMITY EVAL,93.0,82.77,81.84,93.0,480 CDM,PX-V5160001,PR MA L&D (BIN),620.0,551.8,545.6,620.0,477 CDM,PX-V5171,PR HEARING AID MONAURAL ITE - CROS PREMIUM,830.0,738.7,730.4,830.0,477 CDM,PX-V5171001,PR HEARING AID MONAURAL ITE - CROS ADVANCED,3380.0,3008.2,2974.4,3380.0,477 CDM,PX-V5171002,PR HEARING AID MONAURAL ITE - CROS STANDARD,2680.0,2385.2,2358.4,2680.0,477 CDM,PX-V5172,PR HEARING AID MONAURAL ITC,830.0,738.7,730.4,830.0,477 CDM,PX-V5181,PR HEARING AID MONAURAL BTE - CROS PREMIUM,830.0,738.7,730.4,830.0,477 CDM,PX-V5181001,PR HEARING AID MONAURAL BTE - CROS ADVANCED,3380.0,3008.2,2974.4,3380.0,477 CDM,PX-V5181002,PR HEARING AID MONAURAL BTE - CROS STANDARD,2680.0,2385.2,2358.4,2680.0,477 CDM,PX-V5200001,PR MA L&D CROS (MON),310.0,275.9,272.8,310.0,477 CDM,PX-V5211,PR HEARING AID BINAURAL ITE/ITE - BICROS PREMIUM,3880.0,3453.2,3414.4,3880.0,477 CDM,PX-V5211001,PR HEARING AID BINAURAL ITE/ITE - BICROS ADVANCED,3080.0,2741.2,2710.4,3080.0,477 CDM,PX-V5211002,PR HEARING AID BINAURAL ITE/ITE - BICROS STANDARD,2380.0,2118.2,2094.4,2380.0,477 CDM,PX-V5211004,PR HEARING AID BINAURAL ITE/ITE - BICROS ADVANCED (RECHG),3380.0,3008.2,2974.4,3380.0,477 CDM,PX-V5211005,PR HEARING AID BINAURAL ITE/ITE - BICROS PREMIUM (RECHG),4180.0,3720.2,3678.4,4180.0,477 CDM,PX-V5211006,PR HEARING AID BINAURAL ITE/ITE - BICROS STANDARD (RECHG),2680.0,2385.2,2358.4,2680.0,477 CDM,PX-V5213,PR HEARING AID BINAURAL ITE/BTE - BICROS PREMIUM,3880.0,3453.2,3414.4,3880.0,477 CDM,PX-V5213001,PR HEARING AID BINAURAL ITE/BTE - BICROS ADVANCED,3080.0,2741.2,2710.4,3080.0,477 CDM,PX-V5213002,PR HEARING AID BINAURAL ITE/BTE - BICROS STANDARD,2380.0,2118.2,2094.4,2380.0,477 CDM,PX-V5213004,PR HEARING AID BINAURAL ITE/BTE - BICROS ADVANCED (RECHG),3380.0,3008.2,2974.4,3380.0,477 CDM,PX-V5213005,PR HEARING AID BINAURAL ITE/BTE - BICROS PREMIUM (RECHG),4180.0,3720.2,3678.4,4180.0,477 CDM,PX-V5213006,PR HEARING AID BINAURAL ITE/BTE - BICROS STANDARD (RECHG),2680.0,2385.2,2358.4,2680.0,477 CDM,PX-V5221,PR HEARING AID BINAURAL BTE/BTE - BICROS PREMIUM,4180.0,3720.2,3678.4,4180.0,477 CDM,PX-V5221001,PR HEARING AID BINAURAL BTE/BTE - BICROS ADVANCED,3380.0,3008.2,2974.4,3380.0,477 CDM,PX-V5221002,PR HEARING AID BINAURAL BTE/BTE - BICROS STANDARD,2680.0,2385.2,2358.4,2680.0,477 CDM,PX-V5221004,"PR HEARING AID CROS OR BICROS, BTE/BTE- PREMIUM",3380.0,3008.2,2974.4,3380.0,477 CDM,PX-V5221005,"PR HEARING AID CROS OR BICROS, BTE/BTE- ADVANCED",4180.0,3720.2,3678.4,4180.0,477 CDM,PX-V5221006,"PR HEARING AID CROS OR BICROS, BTE/BTE- STANDARD",2680.0,2385.2,2358.4,2680.0,477 CDM,PX-V5240001,PR MA L&D CROS/BICROS (MON),516.0,459.24,454.08,516.0,477 CDM,PX-V5241001,PR MA L&D (MON),310.0,275.9,272.8,310.0,477 CDM,PX-V5254007,"PR HEARING AID, DIGITAL, MONAURAL, CIC - PREMIUM",3350.0,2981.5,2948.0,3350.0,477 CDM,PX-V5254008,"PR HEARING AID, DIGITAL, MONAURAL, CIC - ADVANCED",2550.0,2269.5,2244.0,2550.0,477 CDM,PX-V5254009,"PR HEARING AID, DIGITAL, MONAURAL, CIC - STANDARD",1850.0,1646.5,1628.0,1850.0,477 CDM,PX-V5255008,"PR HEARING AID, DIGITAL, MONAURAL, ITC - PREMIUM",3350.0,2981.5,2948.0,3350.0,477 CDM,PX-V5255009,"PR HEARING AID, DIGITAL, MONAURAL, ITC - ADVANCED",2550.0,2269.5,2244.0,2550.0,477 CDM,PX-V5255010,"PR HEARING AID, DIGITAL, MONAURAL, ITC - STANDARD",1850.0,1646.5,1628.0,1850.0,477 CDM,PX-V5256,PR HEARING AID DGTL MONAURAL ITE - PREMIUM,3350.0,2981.5,2948.0,3350.0,477 CDM,PX-V5256005,PR HEARING AID DGTL MONAURAL ITE - ADVANCED,1850.0,1646.5,1628.0,1850.0,477 CDM,PX-V5256006,PR HEARING AID DGTL MONAURAL ITE - STANDARD,2550.0,2269.5,2244.0,2550.0,477 CDM,PX-V5257,PR HEARING AID DGTL MONAURAL BTE - PREMIUM,3350.0,2981.5,2948.0,3350.0,477 CDM,PX-V5257009,PR HEARING AID DGTL MONAURAL BTE - ADVANCED,2550.0,2269.5,2244.0,2550.0,477 CDM,PX-V5257010,PR HEARING AID DGTL MONAURAL BTE - STANDARD,1850.0,1646.5,1628.0,1850.0,477 CDM,PX-V5258007,"PR HEARING AID, DIGITAL, BINAURAL, CIC - PREMIUM",6700.0,5963.0,5896.0,6700.0,477 CDM,PX-V5258008,"PR HEARING AID, DIGITAL, BINAURAL, CIC - ADVANCED",5100.0,4539.0,4488.0,5100.0,477 CDM,PX-V5258009,"PR HEARING AID, DIGITAL, BINAURAL, CIC - STANDARD",3700.0,3293.0,3256.0,3700.0,477 CDM,PX-V5259009,"PR HEARING AID, DIGITAL, BINAURAL, ITC - PREMIUM",6700.0,5963.0,5896.0,6700.0,477 CDM,PX-V5259010,"PR HEARING AID, DIGITAL, BINAURAL, ITC - ADVANCED",5100.0,4539.0,4488.0,5100.0,477 CDM,PX-V5259011,"PR HEARING AID, DIGITAL, BINAURAL, ITC - STANDARD",3700.0,3293.0,3256.0,3700.0,477 CDM,PX-V5260,PR HEARING AID DGTL BINAURAL ITE - PREMUIM,6700.0,5963.0,5896.0,6700.0,477 CDM,PX-V5260009,PR HEARING AID DGTL BINAURAL ITE - ADVANCED,5100.0,4539.0,4488.0,5100.0,477 CDM,PX-V5260010,PR HEARING AID DGTL BINAURAL ITE - STANDARD,3700.0,3293.0,3256.0,3700.0,477 CDM,PX-V5261,PR HEARING AID DGTL BINAURAL BTE - PREMIUM,6700.0,5963.0,5896.0,6700.0,477 CDM,PX-V5261009,PR HEARING AID DGTL BINAURAL BTE - ADVANCED,5100.0,4539.0,4488.0,5100.0,477 CDM,PX-V5261010,PR HEARING AID DGTL BINAURAL BTE - STANDARD,3700.0,3293.0,3256.0,3700.0,477 CDM,PX-V5264006,PR EARMOLD/INSERT MUSICIAN PLUG,90.0,80.1,79.2,90.0,477 CDM,PX-V5264011,"PR EARMOLD, ANESTHESIOLOGY EARPIECE",55.0,48.95,48.4,55.0,477 CDM,PX-V5264012,"PR EARMOLD, CUSTOM EARMOLD",90.0,80.1,79.2,90.0,477 CDM,PX-V5264015,"PR EARMOLD, HEARING PROTECTION",55.0,48.95,48.4,55.0,477 CDM,PX-V5264018,"PR EARMOLD, MUSICIAN'S EARPLUG (PER EAR)",90.0,80.1,79.2,90.0,477 CDM,PX-V5264021,"PR EARMOLD, PERSONAL LISTENING MOLD",60.0,53.4,52.8,60.0,477 CDM,PX-V5264024,"PR EARMOLD, SWIM MOLD",60.0,53.4,52.8,60.0,477 CDM,PX-V5264025,"PR EARMOLD, SWIM MOLD (PER EAR)",62.0,55.18,54.56,62.0,477 CDM,PX-V5266003,"PR HEARING AID BATTERY, OTICON RECHG 312",40.0,35.6,35.2,40.0,477 CDM,PX-V5266004,"PR HEARING AID BATTERY, RECHARGEABLE (EA)",150.0,133.5,132.0,150.0,477 CDM,PX-V5266008,"PR HEARING AID BATTERY, SIZE 10, PKG OF 6",0.83,0.74,0.73,0.83,477 CDM,PX-V5266010,"PR HEARING AID BATTERY, SIZE 13, PKG OF 6",0.83,0.74,0.73,0.83,477 CDM,PX-V5266012,"PR HEARING AID BATTERY, SIZE 312, PKG OF 6",0.83,0.74,0.73,0.83,477 CDM,PX-V5266013,"PR HEARING AID BATTERY, SIZE 675 (1 BOX)",1.33,1.18,1.17,1.33,477 CDM,PX-V5266014,"PR HEARING AID BATTERY, SIZE 675, PKG OF 6",1.33,1.18,1.17,1.33,477 CDM,PX-V5267004,PR AD HEAR,8.0,7.12,7.04,8.0,477 CDM,PX-V5267007,PR CRITTER CLIP,15.0,13.35,13.2,15.0,477 CDM,PX-V5267009,PR DOC'S PRO PLUGS,8.0,7.12,7.04,8.0,477 CDM,PX-V5267011,PR DOMES (PKG),10.0,8.9,8.8,10.0,477 CDM,PX-V5267014,PR DRI AID JAR (LARGE),20.0,17.8,17.6,20.0,477 CDM,PX-V5267015,PR DRI AID JAR (SMALL),15.0,13.35,13.2,15.0,477 CDM,PX-V5267016,PR DRI AID KIT,10.0,8.9,8.8,10.0,477 CDM,PX-V5267018,PR DRY AID BRICK,11.0,9.79,9.68,11.0,477 CDM,PX-V5267020,PR EAR GEAR,41.0,36.49,36.08,41.0,477 CDM,PX-V5267021,PR EARGENE,6.0,5.34,5.28,6.0,477 CDM,PX-V5267022,PR EARMOLD BLOWER,10.0,8.9,8.8,10.0,477 CDM,PX-V5267023,PR EARMOLD TUBE CHANGE,5.0,4.45,4.4,5.0,477 CDM,PX-V5267024,PR HEARING AID CHARGER,300.0,267.0,264.0,300.0,477 CDM,PX-V5267027,PR LITTMAN STETHOMATE,33.0,29.37,29.04,33.0,477 CDM,PX-V5267029,PR MUSICIAN FILTERS,30.0,26.7,26.4,30.0,477 CDM,PX-V5267031,PR OTOCLIP,15.0,13.35,13.2,15.0,477 CDM,PX-V5267032,PR OTOEASE,7.0,6.23,6.16,7.0,477 CDM,PX-V5267033,PR PHONE CLIP,365.0,324.85,321.2,365.0,477 CDM,PX-V5267035,PR POCKET TALKER PRO,180.0,160.2,158.4,180.0,477 CDM,PX-V5267037,PR REMOTE MICROPHONE,345.0,307.05,303.6,345.0,477 CDM,PX-V5267039,PR THIN TUBES (PKG),10.0,8.9,8.8,10.0,477 CDM,PX-V5267040,PR TV STREAMER,380.0,338.2,334.4,380.0,477 CDM,PX-V5267041,PR WAX GUARD (PKG),10.0,8.9,8.8,10.0,477 CDM,PX-V5274002,"PR EARMOLD, ENCASED RECEIVER MOLD",190.0,169.1,167.2,190.0,477 CDM,PX-V5275001,PR EAR IMPRESSION BINAURAL,40.0,35.6,35.2,40.0,477 CDM,PX-V5299008,PR LOSS & DAMAGE FEE,300.0,267.0,264.0,300.0,477 CDM,RX-1000,BENZTROPINE 2 MG TABLET,6.7,5.96,1.39,6.7,727 CDM,RX-100011,"PALIPERIDONE ER 1.5 MG TABLET,EXTENDED RELEASE 24 HR",12.1,10.77,2.52,12.1,727 CDM,RX-10010,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,87.2,77.61,18.14,87.2,727 CDM,RX-10011,FAMOTIDINE 20 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-10012,FAMOTIDINE 40 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-10014,FAT EMULSION 20 % INTRAVENOUS,216.7,192.86,45.07,216.7,715 CDM,RX-100154,PAZOPANIB 200 MG TABLET,516.4,459.6,107.41,516.4,727 CDM,RX-10023,FELBAMATE 600 MG/5 ML ORAL SUSPENSION,321.2,285.87,66.81,321.2,727 CDM,RX-10024,FELBAMATE 400 MG TABLET,11.2,9.97,2.33,11.2,727 CDM,RX-10025,FELBAMATE 600 MG TABLET,11.4,10.15,2.37,11.4,727 CDM,RX-100344,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),9357.0,8327.73,30.78,9357.0,734 CDM,RX-10036,FILGRASTIM 300 MCG/ML INJECTION SOLUTION,892.5,794.33,1.0,892.5,736 CDM,RX-100367,COLESEVELAM 3.75 GRAM ORAL POWDER PACKET,24.7,21.98,5.14,24.7,727 CDM,RX-10037,FINASTERIDE 5 MG TABLET,6.5,5.79,1.35,6.5,727 CDM,RX-10039,FLAVOXATE 100 MG TABLET,8.6,7.65,1.79,8.6,727 CDM,RX-10041,FLECAINIDE 100 MG TABLET,7.5,6.68,1.56,7.5,727 CDM,RX-100417,SILDENAFIL 10 MG/12.5 ML INTRAVENOUS SOLUTION,144.9,128.96,30.14,144.9,715 CDM,RX-10042,FLECAINIDE 150 MG TABLET,6.2,5.52,1.29,6.2,727 CDM,RX-10043,FLECAINIDE 50 MG TABLET,8.1,7.21,1.68,8.1,727 CDM,RX-10044,FLUCONAZOLE 100 MG TABLET,8.8,7.83,1.83,8.8,727 CDM,RX-10045,FLUCONAZOLE 200 MG TABLET,8.8,7.83,1.83,8.8,727 CDM,RX-10046,FLUCONAZOLE 50 MG TABLET,7.2,6.41,1.5,7.2,727 CDM,RX-10049,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,88.3,78.59,5.15,88.3,719 CDM,RX-10050,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,89.7,79.83,10.3,89.7,721 CDM,RX-10052,FLUCYTOSINE 500 MG CAPSULE,404.8,360.27,84.2,404.8,727 CDM,RX-10054,FLUDROCORTISONE 0.1 MG TABLET,6.6,5.87,1.37,6.6,727 CDM,RX-10059,FLUORESCEIN 100 MG/ML (10 %) INTRAVENOUS SOLUTION,188.6,167.85,39.23,188.6,717 CDM,RX-1006,"BETA CAROTENE 7,500 MCG (25,000 UNIT) CAPSULE",2.3,2.05,0.48,2.3,727 CDM,RX-10061,FLUORESCEIN 0.25 %-BENOXINATE 0.4 % EYE DROPS,126.3,112.41,26.27,126.3,715 CDM,RX-100611,DICLOFENAC 1 % TOPICAL GEL,81.2,72.27,16.89,81.2,727 CDM,RX-100612,DICLOFENAC 3 % TOPICAL GEL,152.0,135.28,31.62,152.0,727 CDM,RX-10065,FLUOROURACIL 5 % TOPICAL CREAM,200.6,178.53,41.72,200.6,727 CDM,RX-10070,FLUOXETINE 20 MG CAPSULE,5.4,4.81,1.12,5.4,727 CDM,RX-10072,FLUPHENAZINE 2.5 MG/5 ML ORAL ELIXIR,7.8,6.94,1.62,7.8,727 CDM,RX-100740,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION,325.2,289.43,67.64,325.2,736 CDM,RX-100745,ESTRADIOL 10 MCG VAGINAL TABLET,68.5,60.97,14.25,68.5,727 CDM,RX-100796,"DALFAMPRIDINE ER 10 MG TABLET,EXTENDED RELEASE,12 HR",7.0,6.23,1.46,7.0,727 CDM,RX-10080,FLURBIPROFEN 0.03 % EYE DROPS,168.7,150.14,35.09,168.7,727 CDM,RX-10084,FLUVOXAMINE 100 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-10085,FLUVOXAMINE 50 MG TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-10093,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION,897.5,798.78,186.68,897.5,717 CDM,RX-10099,GADOPENTETATE DIMEGLUMINE 469.01 MG/ML (46.9 %) INTRAVENOUS SOLUTION,643.8,572.98,84.07,643.8,719 CDM,RX-100992,BARIUM SULFATE 700 MG TABLET,11.8,10.5,2.45,11.8,717 CDM,RX-100995,RITONAVIR 100 MG TABLET,35.8,31.86,7.45,35.8,727 CDM,RX-101,ACETAMINOPHEN 325 MG TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-10100,GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION,130.6,116.23,16.81,130.6,719 CDM,RX-10101,GANCICLOVIR SODIUM 500 MG/10 ML INTRAVENOUS SOLUTION (WETTED),145.1,129.14,30.18,145.1,719 CDM,RX-101023,"PRAMIPEXOLE ER 0.375 MG TABLET,EXTENDED RELEASE 24 HR",37.1,33.02,7.72,37.1,727 CDM,RX-101024,"PRAMIPEXOLE ER 0.75 MG TABLET,EXTENDED RELEASE 24 HR",13.1,11.66,2.72,13.1,727 CDM,RX-101034,"MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)",243.3,216.54,50.61,243.3,719 CDM,RX-10105,GENTAMICIN SULFATE (BULK) POWDER,62.8,55.89,13.06,62.8,715 CDM,RX-10109,GENTAMICIN 60 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,82.4,73.34,2.49,82.4,719 CDM,RX-10111,GENTAMICIN 80 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,82.6,73.51,2.49,82.6,722 CDM,RX-10112,GENTAMICIN 100 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,83.3,74.14,4.98,83.3,721 CDM,RX-10116,GLIPIZIDE 10 MG TABLET,6.8,6.05,1.41,6.8,727 CDM,RX-10117,GLIPIZIDE 5 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-10125,GLYBURIDE 1.25 MG TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-10126,GLYBURIDE 2.5 MG TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-10130,GLYCOPYRROLATE 1 MG TABLET,7.8,6.94,1.62,7.8,727 CDM,RX-10149,GUANFACINE 1 MG TABLET,10.2,9.08,2.12,10.2,727 CDM,RX-10150,GUANFACINE 2 MG TABLET,10.5,9.35,2.18,10.5,727 CDM,RX-10162,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,47.1,41.92,4.53,47.1,719 CDM,RX-10176,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",42.5,37.83,2.06,42.5,728 CDM,RX-10177,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",41.4,36.85,2.06,41.4,717 CDM,RX-10178,"HEPARIN (PORCINE) 20,000 UNIT/ML INJECTION SOLUTION",60.5,53.85,4.12,60.5,717 CDM,RX-102,ACETAMINOPHEN 500 MG TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-10203,HYDROCHLORIC ACID (BULK) 37 % LIQUID,112.4,100.04,23.38,112.4,727 CDM,RX-10209,HYDROCORTISONE 5 MG TABLET,10.0,8.9,2.08,10.0,727 CDM,RX-10210,HYDROCORTISONE 100 MG/60 ML ENEMA,29.4,26.17,6.12,29.4,727 CDM,RX-10219,HYDROCORTISONE VALERATE 0.2 % TOPICAL OINTMENT,352.5,313.73,73.32,352.5,727 CDM,RX-10225,HYDROMORPHONE 1 MG/ML ORAL LIQUID,540.1,480.69,112.34,540.1,727 CDM,RX-10226,HYDROMORPHONE 8 MG TABLET,12.1,10.77,2.52,12.1,727 CDM,RX-10227,HYDROMORPHONE 3 MG RECTAL SUPPOSITORY,41.9,37.29,8.72,41.9,727 CDM,RX-10235,HYDROXYCHLOROQUINE 200 MG TABLET,7.8,6.94,1.62,7.8,727 CDM,RX-10236,HYDROXYUREA 500 MG CAPSULE,8.0,7.12,1.66,8.0,727 CDM,RX-10246,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,0.5,0.45,0.1,0.5,727 CDM,RX-10248,IFOSFAMIDE 1 GRAM/20 ML INTRAVENOUS SOLUTION (WETTED),299.5,266.56,28.57,299.5,719 CDM,RX-10249,IFOSFAMIDE 3 GRAM/60 ML INTRAVENOUS SOLUTION (WETTED),494.4,440.02,85.71,494.4,719 CDM,RX-10264,INDAPAMIDE 1.25 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-10266,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,620.1,551.89,128.98,620.1,717 CDM,RX-10267,INDOMETHACIN 1 MG INTRAVENOUS SOLUTION,797.0,709.33,165.78,797.0,715 CDM,RX-10284,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,111.0,98.79,23.09,111.0,729 CDM,RX-10289,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,155.5,138.4,32.34,155.5,730 CDM,RX-103,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,0.5,0.45,0.1,0.5,727 CDM,RX-10307,INTERFERON GAMMA-1B 100 MCG (2 MILLION UNIT)/0.5 ML SUBCUTANEOUS SOLN,14529.1,12930.9,3022.05,14529.1,727 CDM,RX-10318,IOHEXOL 140 MG IODINE/ML INTRAVENOUS SOLUTION,72.2,64.26,15.02,72.2,719 CDM,RX-10319,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION,143.3,127.54,11.91,143.3,719 CDM,RX-10323,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,69.2,61.59,8.57,69.2,730 CDM,RX-10325,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION,109.0,97.01,2.31,109.0,719 CDM,RX-10326,IOPAMIDOL 250 MG IODINE/ML (51 %) INTRAVENOUS SOLUTION,110.2,98.08,22.92,110.2,719 CDM,RX-10327,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRATHECAL SOLUTION,147.0,130.83,1.71,147.0,719 CDM,RX-10328,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,74.8,66.57,4.28,120.2,5033 CDM,RX-10330,IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION,82.2,73.16,17.02,82.2,719 CDM,RX-10332,IOTHALAMATE MEGLUMINE 43 % INTRAVENOUS SOLUTION,101.1,89.98,21.03,101.1,719 CDM,RX-10333,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION,88.9,79.12,14.66,88.9,720 CDM,RX-10335,IOVERSOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,100.1,89.09,20.82,100.1,719 CDM,RX-10351,PHYSIOLOGICAL IRRIGATION NO.1 140 MEQ-5 MEQ-3 MEQ-98 MEQ/L SOLUTION,74.5,66.31,15.5,74.5,715 CDM,RX-10356,ISOSORBIDE MONONITRATE 10 MG TABLET,15.0,13.35,3.12,15.0,727 CDM,RX-10358,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION,366.4,326.1,8.73,366.4,739 CDM,RX-10362,ISRADIPINE 2.5 MG CAPSULE,9.9,8.81,2.06,9.9,727 CDM,RX-10363,ISRADIPINE 5 MG CAPSULE,12.5,11.13,2.6,12.5,727 CDM,RX-10364,ITRACONAZOLE 100 MG CAPSULE,13.8,12.28,2.87,13.8,727 CDM,RX-10369,KETOCONAZOLE 200 MG TABLET,8.3,7.39,1.73,8.3,727 CDM,RX-10373,LABETALOL 100 MG TABLET,6.3,5.61,1.31,6.3,727 CDM,RX-10374,LABETALOL 200 MG TABLET,6.8,6.05,1.41,6.8,727 CDM,RX-10375,LABETALOL 300 MG TABLET,7.6,6.76,1.58,7.6,727 CDM,RX-10380,AMMONIUM LACTATE 12 % LOTION,17.9,15.93,3.72,17.9,727 CDM,RX-10384,"LACTOBACILLUS ACIDOPHILUS, BULGARICUS 100 MILLION CELL GRANULES PACKET",6.3,5.61,1.31,6.3,727 CDM,RX-103879,NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL AEROSOL,565.9,503.65,117.71,565.9,715 CDM,RX-103880,LAMOTRIGINE 25 MG CHEWABLE DISPERSIBLE TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-103890,TAMSULOSIN 0.4 MG CAPSULE,5.9,5.25,1.23,5.9,727 CDM,RX-10390,LEUPROLIDE 11.25 MG INTRAMUSCULAR KIT,9995.1,8895.64,1730.32,9995.1,736 CDM,RX-10391,LEUPROLIDE 15 MG INTRAMUSCULAR KIT,10965.5,9759.3,1730.32,10965.5,736 CDM,RX-103926,"HYDROMORPHONE ER 8 MG TABLET,EXTENDED RELEASE 24 HR",35.6,31.68,7.4,35.6,727 CDM,RX-103927,"HYDROMORPHONE ER 12 MG TABLET,EXTENDED RELEASE 24 HR",55.3,49.22,11.5,55.3,727 CDM,RX-103928,"HYDROMORPHONE ER 16 MG TABLET,EXTENDED RELEASE 24 HR",67.0,59.63,13.94,67.0,727 CDM,RX-103935,SOTALOL 150 MG/10 ML (15 MG/ML) INTRAVENOUS SOLUTION,10380.0,9238.2,25.05,10380.0,735 CDM,RX-10394,LEVOBUNOLOL 0.5 % EYE DROPS,95.8,85.26,19.93,95.8,727 CDM,RX-104,ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY,0.5,0.45,0.1,0.5,727 CDM,RX-104006,LEVOTHYROXINE 25 MCG CAPSULE,21.7,19.31,4.51,21.7,727 CDM,RX-104007,LEVOTHYROXINE 50 MCG CAPSULE,21.7,19.31,4.51,21.7,727 CDM,RX-104008,LEVOTHYROXINE 75 MCG CAPSULE,21.7,19.31,4.51,21.7,727 CDM,RX-104010,LEVOTHYROXINE 100 MCG CAPSULE,21.7,19.31,4.51,21.7,727 CDM,RX-104011,LEVOTHYROXINE 112 MCG CAPSULE,21.7,19.31,4.51,21.7,727 CDM,RX-104012,LEVOTHYROXINE 125 MCG CAPSULE,21.7,19.31,4.51,21.7,727 CDM,RX-104013,LEVOTHYROXINE 137 MCG CAPSULE,21.7,19.31,4.51,21.7,727 CDM,RX-10403,LEVOTHYROXINE 88 MCG TABLET,6.5,5.79,1.35,6.5,727 CDM,RX-10404,LEVOTHYROXINE 112 MCG TABLET,6.8,6.05,1.41,6.8,727 CDM,RX-10405,LEVOTHYROXINE 137 MCG TABLET,6.9,6.14,1.44,6.9,727 CDM,RX-10406,LEVOTHYROXINE 175 MCG TABLET,7.2,6.41,1.5,7.2,727 CDM,RX-104159,"BARIUM SULFATE 40 % (W/V), 30% (W/W) ORAL PASTE",161.8,144.0,33.65,161.8,717 CDM,RX-104207,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,35.2,31.33,7.32,35.2,715 CDM,RX-104208,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,35.8,31.86,7.45,35.8,715 CDM,RX-10426,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",37.9,33.73,7.88,37.9,715 CDM,RX-104264,TERIPARATIDE 20 MCG/DOSE (560 MCG/2.24 ML) SUBCUTANEOUS PEN INJECTOR,2437.4,2169.29,506.98,2437.4,727 CDM,RX-10427,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",36.3,32.31,7.55,36.3,715 CDM,RX-10428,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",36.6,32.57,7.61,36.6,715 CDM,RX-10429,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",38.9,34.62,8.09,38.9,715 CDM,RX-10430,"LIDOCAINE-EPINEPHRINE 2%-1:100,000 INJECTION SOLUTION",35.4,31.51,7.36,35.4,715 CDM,RX-10431,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",44.0,39.16,9.15,44.0,715 CDM,RX-10434,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,81.0,72.09,16.85,81.0,715 CDM,RX-1044,BETHANECHOL CHLORIDE 25 MG TABLET,7.0,6.23,1.46,7.0,727 CDM,RX-10442,LIOTHYRONINE 10 MCG/ML INTRAVENOUS SOLUTION,2655.2,2363.13,41.19,2655.2,734 CDM,RX-10443,LIOTHYRONINE 5 MCG TABLET,6.1,5.43,1.27,6.1,727 CDM,RX-10449,LISINOPRIL 10 MG TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-1045,BETHANECHOL CHLORIDE 5 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-10450,LISINOPRIL 40 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-10451,LISINOPRIL 5 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-10454,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",6.5,5.79,1.35,6.5,727 CDM,RX-10455,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",7.1,6.32,1.48,7.1,727 CDM,RX-104555,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET,18.6,16.55,1.35,18.6,729 CDM,RX-104556,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET,81.9,72.89,4.06,81.9,729 CDM,RX-104568,LAMOTRIGINE 5 MG CHEWABLE DISPERSIBLE TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-104575,GANCICLOVIR 0.15 % EYE GEL,1411.6,1256.32,293.61,1411.6,727 CDM,RX-104576,TRANEXAMIC ACID 650 MG TABLET,18.0,16.02,3.74,18.0,727 CDM,RX-10459,LOMUSTINE 10 MG CAPSULE,415.4,369.71,86.4,415.4,727 CDM,RX-10460,LOMUSTINE 100 MG CAPSULE,3983.8,3545.58,828.63,3983.8,727 CDM,RX-104604,RIFAXIMIN 550 MG TABLET,194.3,172.93,40.41,194.3,727 CDM,RX-10461,LOMUSTINE 40 MG CAPSULE,1481.4,1318.45,308.13,1481.4,727 CDM,RX-10466,LORATADINE 10 MG TABLET,2.8,2.49,0.58,2.8,727 CDM,RX-10475,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION",12738.3,11337.09,2649.57,12738.3,736 CDM,RX-104764,SIROLIMUS 0.5 MG TABLET,12.3,10.95,1.11,12.3,729 CDM,RX-10478,MAFENIDE 85 MG/G TOPICAL CREAM,278.2,247.6,57.87,278.2,727 CDM,RX-104877,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,21.0,18.69,2.7,21.0,729 CDM,RX-104886,LEVOMEFOLATE CALCIUM 7.5 MG TABLET,6.6,5.87,1.37,6.6,727 CDM,RX-10491,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,2.3,2.05,0.48,2.3,727 CDM,RX-105,ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY,0.5,0.45,0.1,0.5,727 CDM,RX-10502,MALATHION 0.5 % LOTION,685.3,609.92,142.54,685.3,727 CDM,RX-105029,"PENICILLIN G BENZATHINE,PROCAIN 900,000 UNIT-300K UNIT/2 ML IM SYRINGE",688.3,612.59,19.52,688.3,736 CDM,RX-10512,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT",151.5,134.84,31.51,151.5,717 CDM,RX-10513,MEBENDAZOLE 100 MG CHEWABLE TABLET,2134.2,1899.44,443.91,2134.2,727 CDM,RX-10522,MELPHALAN HCL 50 MG/10 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),582.7,518.6,95.9,582.7,736 CDM,RX-10529,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,40.2,35.78,4.31,40.2,723 CDM,RX-10531,MERCAPTOPURINE 50 MG TABLET,8.5,7.57,1.77,8.5,727 CDM,RX-10533,"MESALAMINE ER 250 MG CAPSULE,EXTENDED RELEASE",14.9,13.26,3.1,14.9,727 CDM,RX-10535,MESALAMINE 4 GRAM/60 ML ENEMA,30.2,26.88,6.28,30.2,727 CDM,RX-10537,MESNA 100 MG/ML INTRAVENOUS SOLUTION,66.4,59.1,9.78,66.4,719 CDM,RX-105410,BIMATOPROST 0.01 % EYE DROPS,834.0,742.26,173.47,834.0,727 CDM,RX-105422,DOXEPIN 3 MG TABLET,15.6,13.88,3.24,15.6,727 CDM,RX-105424,CARGLUMIC ACID 200 MG DISPERSIBLE TABLET,482.7,429.6,100.4,482.7,727 CDM,RX-10544,METFORMIN 500 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-10546,METHADONE 10 MG/ML INJECTION SOLUTION,667.1,593.72,138.76,667.1,722 CDM,RX-105482,LACOSAMIDE 10 MG/ML ORAL SOLUTION,125.5,111.69,26.1,125.5,715 CDM,RX-10549,METHENAMINE HIPPURATE 1 GRAM TABLET,12.5,11.13,2.6,12.5,727 CDM,RX-105502,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE,4771.3,4246.46,29.38,4771.3,736 CDM,RX-10552,METHIMAZOLE 10 MG TABLET,8.0,7.12,1.66,8.0,727 CDM,RX-10553,METHIMAZOLE 5 MG TABLET,7.1,6.32,1.48,7.1,727 CDM,RX-105633,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",38.3,34.09,7.97,38.3,715 CDM,RX-105634,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",38.1,33.91,7.92,38.1,715 CDM,RX-105637,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,38.8,34.53,4.31,38.8,719 CDM,RX-105638,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,41.3,36.76,4.31,41.3,727 CDM,RX-10564,METHSUXIMIDE 300 MG CAPSULE,18.1,16.11,3.76,18.1,727 CDM,RX-105640,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,36.0,32.04,7.49,36.0,727 CDM,RX-10571,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,117.3,104.4,24.4,117.3,719 CDM,RX-10572,METHYLERGONOVINE 0.2 MG TABLET,50.1,44.59,10.42,50.1,727 CDM,RX-10575,METHYLPREDNISOLONE 32 MG TABLET,18.1,16.11,1.28,18.1,719 CDM,RX-10576,METHYLPREDNISOLONE 8 MG TABLET,9.4,8.37,0.32,9.4,719 CDM,RX-10577,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",90.7,80.72,18.87,90.7,717 CDM,RX-10578,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,85.2,75.83,17.72,85.2,717 CDM,RX-10579,METHYLPREDNISOLONE SODIUM SUCCINATE 2 GRAM INTRAVENOUS SOLUTION,361.4,321.65,75.17,361.4,717 CDM,RX-10581,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION,95.4,84.91,19.84,95.4,717 CDM,RX-10586,METOLAZONE 10 MG TABLET,8.1,7.21,1.68,8.1,727 CDM,RX-10587,METOLAZONE 2.5 MG TABLET,14.8,13.17,3.08,14.8,727 CDM,RX-10588,METOLAZONE 5 MG TABLET,16.0,14.24,3.33,16.0,727 CDM,RX-105899,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,44.4,39.52,1.84,44.4,722 CDM,RX-105900,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,46.3,41.21,2.45,46.3,725 CDM,RX-105901,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,51.9,46.19,3.68,51.9,720 CDM,RX-105902,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,60.0,53.4,4.9,60.0,719 CDM,RX-105903,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,66.4,59.1,6.13,66.4,719 CDM,RX-105904,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,68.6,61.05,7.36,68.6,719 CDM,RX-10592,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,173.1,154.06,36.0,173.1,727 CDM,RX-10594,METYROSINE 250 MG CAPSULE,303.7,270.29,63.17,303.7,727 CDM,RX-105940,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION,112.2,99.86,18.39,112.2,720 CDM,RX-10595,MEXILETINE 150 MG CAPSULE,11.0,9.79,2.29,11.0,727 CDM,RX-10596,MEXILETINE 200 MG CAPSULE,6.9,6.14,1.44,6.9,727 CDM,RX-10597,MEXILETINE 250 MG CAPSULE,7.3,6.5,1.52,7.3,727 CDM,RX-105970,INCOBOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION,751.5,668.84,5.57,751.5,736 CDM,RX-105971,INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION,1319.5,1174.36,5.57,1319.5,736 CDM,RX-105975,CLOZAPINE 200 MG DISINTEGRATING TABLET,79.4,70.67,16.52,79.4,727 CDM,RX-105980,"CHOLECALCIFEROL (VITAMIN D3) 1,250 MCG (50,000 UNIT) ORAL WAFER",15.1,13.44,3.14,15.1,727 CDM,RX-10599,MICONAZOLE NITRATE 2 % TOPICAL POWDER,67.0,59.63,13.94,67.0,715 CDM,RX-10606,MICROFIBRILLAR COLLAGEN HEMOSTAT POWDER,516.3,459.51,107.39,516.3,715 CDM,RX-106079,ULIPRISTAL 30 MG TABLET,126.8,112.85,26.37,126.8,715 CDM,RX-10608,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,75.7,67.37,8.11,75.7,720 CDM,RX-10609,MIDODRINE 2.5 MG TABLET,6.7,5.96,1.39,6.7,727 CDM,RX-10610,MIDODRINE 5 MG TABLET,6.7,5.96,1.39,6.7,727 CDM,RX-10612,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION,786.0,699.54,2.67,786.0,734 CDM,RX-106120,HEXAMINOLEVULINATE 100 MG INTRAVESICAL SOLUTION,2987.5,2658.88,621.4,2987.5,719 CDM,RX-10613,MINOXIDIL 2 % TOPICAL SOLUTION,140.2,124.78,29.16,140.2,727 CDM,RX-106176,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,16.5,14.69,3.43,16.5,729 CDM,RX-106177,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,15.1,13.44,3.14,15.1,729 CDM,RX-106249,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT",99.9,88.91,20.78,99.9,715 CDM,RX-106256,"COAGULATION FACTOR VIIA RECOMB 8 MG (8,000 MCG) INTRAVENOUS SOLUTION",48625.0,43276.25,2.66,48625.0,736 CDM,RX-10628,MISOPROSTOL 100 MCG TABLET,7.2,6.41,1.5,7.2,727 CDM,RX-10629,MISOPROSTOL 200 MCG TABLET,12.6,11.21,2.62,12.6,727 CDM,RX-10630,MITOMYCIN 20 MG/40 ML INTRAVENOUS SOLUTION (WETTED),369.3,328.68,20.35,369.3,736 CDM,RX-10631,MITOMYCIN 40 MG/80 ML INTRAVENOUS SOLUTION (WETTED),591.7,526.61,20.35,591.7,736 CDM,RX-106317,FINGOLIMOD 0.5 MG CAPSULE,35.6,31.68,7.4,35.6,727 CDM,RX-10632,MITOMYCIN 5 MG/10 ML INTRAVENOUS SOLUTION (WETTED),348.5,310.17,20.35,348.5,736 CDM,RX-106348,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,35.9,31.95,0.43,35.9,737 CDM,RX-106349,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,35.5,31.6,0.21,35.5,719 CDM,RX-106363,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,35.9,31.95,7.47,35.9,715 CDM,RX-106413,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR,14.05,12.505,2.91,14.1,1454 CDM,RX-106490,DABIGATRAN ETEXILATE 75 MG CAPSULE,13.7,12.19,2.85,13.7,727 CDM,RX-106491,DABIGATRAN ETEXILATE 150 MG CAPSULE,15.2,13.53,3.16,15.2,727 CDM,RX-10655,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,10.3,9.17,2.14,10.3,1454 CDM,RX-10674,MUPIROCIN 2 % TOPICAL OINTMENT,58.2,51.8,12.11,58.2,727 CDM,RX-10676,NABUMETONE 500 MG TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-106761,ABOBOTULINUMTOXINA 300 UNIT INTRAMUSCULAR SOLUTION,1110.5,988.35,8.75,1110.5,736 CDM,RX-10677,NABUMETONE 750 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-106783,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,122.2,108.76,18.11,122.2,727 CDM,RX-106804,DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION,8417.3,7491.4,29.38,8417.3,736 CDM,RX-10685,NALTREXONE 50 MG TABLET,14.0,12.46,2.91,14.0,727 CDM,RX-10691,NAPROXEN 25 MG/ML ORAL SUSPENSION,1033.5,919.82,214.97,1033.5,727 CDM,RX-10708,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",107.9,96.03,22.44,107.9,727 CDM,RX-10712,NICARDIPINE 20 MG CAPSULE,10.5,9.35,2.18,10.5,727 CDM,RX-10717,NICOTINE (POLACRILEX) 2 MG GUM,3.2,2.85,0.67,3.2,727 CDM,RX-10718,NICOTINE (POLACRILEX) 4 MG GUM,2.8,2.49,0.58,2.8,727 CDM,RX-10719,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE",5.4,4.81,1.12,5.4,727 CDM,RX-10720,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE",5.6,4.98,1.16,5.6,727 CDM,RX-10722,NIMODIPINE 30 MG CAPSULE,8.7,7.74,1.81,8.7,727 CDM,RX-10723,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION,3367.2,2996.81,700.38,3367.2,727 CDM,RX-10724,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,6.2,5.52,1.29,6.2,727 CDM,RX-10726,NITROGLYCERIN 100 MG/250 ML (400 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,192.3,171.15,40.0,192.3,717 CDM,RX-10747,NORETHINDRONE ACETATE 5 MG TABLET,6.3,5.61,1.31,6.3,727 CDM,RX-10757,NORTRIPTYLINE 10 MG/5 ML ORAL SOLUTION,519.8,462.62,108.12,519.8,727 CDM,RX-107660,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,117.6,104.66,24.46,117.6,727 CDM,RX-107661,BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH,94.9,84.46,19.74,94.9,727 CDM,RX-107662,BUPRENORPHINE 20 MCG/HOUR WEEKLY TRANSDERMAL PATCH,512.4,456.04,106.58,512.4,727 CDM,RX-107664,PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION,79458.6,70718.15,3660.83,79458.6,736 CDM,RX-107665,"CLONIDINE HCL ER 0.1 MG TABLET,EXTENDED RELEASE,12 HR",25.5,22.7,5.3,25.5,727 CDM,RX-107668,LURASIDONE 40 MG TABLET,8.1,7.21,1.68,8.1,727 CDM,RX-107669,LURASIDONE 80 MG TABLET,10.4,9.26,2.16,10.4,727 CDM,RX-107671,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION,619.9,551.71,4.23,619.9,736 CDM,RX-107672,DEXTROMETHORPHAN 20 MG-QUINIDINE 10 MG CAPSULE,93.9,83.57,19.53,93.9,727 CDM,RX-107750,IMMUNE GLOBU G 1 GRAM/10 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,421.7,375.31,48.96,421.7,736 CDM,RX-107752,IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,1708.2,1520.3,48.96,1708.2,736 CDM,RX-107753,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,3391.3,3018.26,48.96,3391.3,736 CDM,RX-107754,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,6357.5,5658.18,48.96,6357.5,736 CDM,RX-10778,ONDANSETRON HCL 4 MG TABLET,6.1,5.43,0.06,6.1,729 CDM,RX-10779,ONDANSETRON HCL 8 MG TABLET,6.8,6.05,0.13,6.8,729 CDM,RX-107798,BACLOFEN 50 MCG/ML (1 ML) INTRATHECAL SYRINGE,241.8,215.2,50.29,241.8,719 CDM,RX-107799,"BACLOFEN 10,000 MCG/20 ML (500 MCG/ML) INTRATHECAL SOLUTION",482.5,429.43,100.36,482.5,736 CDM,RX-107800,"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SOLUTION",1625.0,1446.25,181.22,1625.0,739 CDM,RX-10782,SODIUM BORATE-BORIC ACID-SODIUM CHLORIDE-WATER EYE WASH SOLN,64.1,57.05,13.33,64.1,727 CDM,RX-107829,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION,499.9,444.91,103.98,499.9,727 CDM,RX-1079,"BISACODYL 5 MG TABLET,DELAYED RELEASE",2.1,1.87,0.44,2.1,727 CDM,RX-10791,ORGAN PRESERVATION PERFUSION IRRIGATION SOLUTION,715.0,636.35,148.72,715.0,715 CDM,RX-1080,BISACODYL 10 MG RECTAL SUPPOSITORY,2.7,2.4,0.56,2.7,727 CDM,RX-108027,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,98.2,87.4,10.09,98.2,719 CDM,RX-108028,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,66.7,59.36,13.87,66.7,719 CDM,RX-108029,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,82.6,73.51,17.18,82.6,719 CDM,RX-108030,"DALTEPARIN (PORCINE) 10,000 ANTI-XA UNIT/ML SUBCUTANEOUS SYRINGE",148.8,132.43,30.95,148.8,719 CDM,RX-108031,"DALTEPARIN (PORCINE) 2,500 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRINGE",72.6,64.61,15.1,72.6,719 CDM,RX-108032,"DALTEPARIN (PORCINE) 5,000 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRINGE",92.8,82.59,19.3,92.8,719 CDM,RX-108038,TESTOSTERONE 1 % (25 MG/2.5 GRAM) TRANSDERMAL GEL PACKET,56.8,50.55,11.81,56.8,727 CDM,RX-108039,TESTOSTERONE 1 % (50 MG/5 GRAM) TRANSDERMAL GEL PACKET,20.9,18.6,4.35,20.9,727 CDM,RX-108041,DARBEPOETIN ALFA 25 MCG/0.42 ML IN POLYSORBATE INJECTION SYRINGE,263.9,234.87,2.93,263.9,734 CDM,RX-108042,DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,388.3,345.59,2.93,388.3,734 CDM,RX-108043,DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,519.9,462.71,2.93,519.9,734 CDM,RX-108044,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE,783.2,697.05,2.93,783.2,734 CDM,RX-108046,DARBEPOETIN ALFA 150 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,1112.2,989.86,2.93,1112.2,734 CDM,RX-108047,DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,1541.3,1371.76,2.93,1541.3,734 CDM,RX-108049,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE",1065.6,948.38,30.01,1065.6,736 CDM,RX-108051,"PENICILLIN G BENZATHINE AND PROCAINE 1,200,000 UNIT/2 ML IM SYRINGE",688.3,612.59,19.52,688.3,736 CDM,RX-108053,TESTOSTERONE 30 MG/ACTUATION (1.5 ML) TRANSDERM SOLUTION METERED PUMP,428.9,381.72,89.21,428.9,727 CDM,RX-108065,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,2402.9,2138.58,73.2,2402.9,736 CDM,RX-108069,ESTRADIOL 0.25 MG/0.25 GRAM (0.1 %) TRANSDERMAL GEL PACKET,18.7,16.64,3.89,18.7,727 CDM,RX-108071,ESTRADIOL 1 MG/GRAM (0.1 %) TRANSDERMAL GEL PACKET,20.5,18.25,4.26,20.5,727 CDM,RX-108074,FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION,1347.0,1198.83,1.0,1347.0,736 CDM,RX-108096,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,507.8,451.94,65.78,507.8,719 CDM,RX-10810,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP,5.3,4.72,1.1,5.3,727 CDM,RX-108106,PALIPERIDONE PALMITATE 39 MG/0.25 ML INTRAMUSCULAR SYRINGE,1608.1,1431.21,15.11,1608.1,736 CDM,RX-108107,PALIPERIDONE PALMITATE 78 MG/0.5 ML INTRAMUSCULAR SYRINGE,3191.2,2840.17,15.11,3191.2,736 CDM,RX-108108,PALIPERIDONE PALMITATE 117 MG/0.75 ML INTRAMUSCULAR SYRINGE,4574.4,4071.22,15.11,4574.4,736 CDM,RX-108109,PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE,8723.9,7764.27,15.11,8723.9,737 CDM,RX-108118,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,88.0,78.32,2.49,88.0,719 CDM,RX-108119,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,91.1,81.08,4.97,91.1,723 CDM,RX-108120,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,95.5,85.0,7.46,95.5,724 CDM,RX-108124,NAFCILLIN 2 GRAM/100 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,99.5,88.56,20.7,99.5,717 CDM,RX-108127,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION,52.0,46.28,10.82,52.0,717 CDM,RX-10813,OXYCODONE 5 MG/5 ML ORAL SOLUTION,24.4,21.72,5.08,24.4,727 CDM,RX-108130,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,82.4,73.34,2.3,82.4,719 CDM,RX-108131,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,44.1,39.25,3.57,44.1,719 CDM,RX-108132,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,84.1,74.85,4.59,84.1,723 CDM,RX-108133,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",52.2,46.46,7.14,52.2,719 CDM,RX-10814,OXYCODONE 5 MG TABLET,11.6,10.32,2.41,11.6,727 CDM,RX-108150,HEPATITIS B VIRUS VACCINE RECOMB (PF) 40 MCG/ML INTRAMUSCULAR SUSP,165.5,147.29,34.42,187.86,719 CDM,RX-108156,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION",2787.9,2481.23,181.22,2787.9,736 CDM,RX-10839,PEG 3350-ELECTROLYTES 236 GRAM-22.74 GRAM-6.74 GRAM-5.86 GRAM SOLUTION,62.0,55.18,12.9,62.0,727 CDM,RX-108422,DASATINIB 140 MG TABLET,1839.1,1636.8,382.53,1839.1,727 CDM,RX-108426,SPINOSAD 0.9 % TOPICAL SUSPENSION,853.6,759.7,177.55,853.6,727 CDM,RX-108431,ETRAVIRINE 200 MG TABLET,89.2,79.39,18.55,89.2,727 CDM,RX-10854,PAROMOMYCIN 250 MG CAPSULE,406.3,361.61,84.51,406.3,727 CDM,RX-10855,PAROXETINE 20 MG TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-10856,PAROXETINE 30 MG TABLET,6.3,5.61,1.31,6.3,727 CDM,RX-108721,"FACTOR XIII 1,000 UNIT-1,600 UNIT INTRAVENOUS SOLUTION",83.9,74.67,10.76,83.9,736 CDM,RX-108781,IOFLUPANE I 123 5 MCI/2.5 ML (185 MBQ/2.5 ML) INTRAVENOUS SOLUTION,6311.0,5616.79,1312.69,6311.0,737 CDM,RX-1088,BISMUTH SUBGALLATE (BULK) POWDER,36.6,32.57,7.61,36.6,727 CDM,RX-108804,RUFINAMIDE 40 MG/ML ORAL SUSPENSION,12.0,10.68,2.5,12.0,715 CDM,RX-10894,PENICILLAMINE 250 MG CAPSULE,37.5,33.38,7.8,37.5,727 CDM,RX-10897,"PENICILLIN G BENZATHINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE",668.1,594.61,30.01,668.1,736 CDM,RX-1090,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,0.5,0.45,0.1,0.5,3635 CDM,RX-109034,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,51.7,46.01,10.75,51.7,717 CDM,RX-10908,PENTAZOCINE 50 MG-NALOXONE 0.5 MG TABLET,16.7,14.86,3.47,16.7,727 CDM,RX-10917,PERMETHRIN 5 % TOPICAL CREAM,123.8,110.18,25.75,123.8,727 CDM,RX-10918,PERMETHRIN 1 % TOPICAL LIQUID,77.5,68.97,16.12,77.5,727 CDM,RX-10933,PHENELZINE 15 MG TABLET,6.9,6.14,1.44,6.9,727 CDM,RX-109395,GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION,37.7,33.55,0.63,37.7,719 CDM,RX-109402,VILAZODONE 10 MG TABLET,9.0,8.01,1.87,9.0,727 CDM,RX-109403,VILAZODONE 20 MG TABLET,9.1,8.1,1.89,9.1,727 CDM,RX-109404,VILAZODONE 40 MG TABLET,8.2,7.3,1.71,8.2,727 CDM,RX-10945,PHENOXYBENZAMINE 10 MG CAPSULE,92.9,82.68,19.32,92.9,727 CDM,RX-109452,"LAMOTRIGINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",12.9,11.48,2.68,12.9,727 CDM,RX-10947,PHENTOLAMINE 5 MG INJECTION SOLUTION,820.1,729.89,170.58,820.1,731 CDM,RX-109481,KIT FOR PREPARATION OF TC 99M-PENTETIC ACID 20 MG IV SOLUTION,1484.0,1320.76,308.67,1484.0,717 CDM,RX-109773,LINAGLIPTIN 5 MG TABLET,57.5,51.18,11.96,57.5,727 CDM,RX-109775,TESTOSTERONE 20.25 MG/1.25 GRAM PER PUMP ACT.(1.62 %) TRANSDERMAL GEL,166.3,148.01,34.59,166.3,727 CDM,RX-109776,ABIRATERONE 250 MG TABLET,19.6,17.44,4.08,19.6,727 CDM,RX-109784,SODIUM NITRITE-SODIUM THIOSULFATE 300 MG/10 ML-12.5 GRAM/50 ML IV SOLN,617.5,549.58,2.23,617.5,734 CDM,RX-109817,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,308.6,274.65,0.8,308.6,734 CDM,RX-109909,RILPIVIRINE HCL 25 MG TABLET,166.7,148.36,34.67,166.7,727 CDM,RX-11018,PHENYTOIN 50 MG CHEWABLE TABLET,8.7,7.74,1.81,8.7,727 CDM,RX-11019,PHENYTOIN SODIUM EXTENDED 30 MG CAPSULE,10.1,8.99,2.1,10.1,727 CDM,RX-11023,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,50.5,44.95,6.46,50.5,719 CDM,RX-11024,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,218.7,194.64,45.49,218.7,727 CDM,RX-110250,RIVAROXABAN 10 MG TABLET,52.1,46.37,10.84,52.1,727 CDM,RX-110257,AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE (PREMIX:ISO-OSMOTIC/CNR IN D5W),262.8,233.89,54.66,262.8,717 CDM,RX-110258,"AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",289.1,257.3,60.13,289.1,717 CDM,RX-110260,"GABAPENTIN ER 600 MG TABLET,EXTENDED RELEASE 24 HR",14.7,13.08,3.06,14.7,727 CDM,RX-110262,"TAPENTADOL ER 50 MG TABLET,EXTENDED RELEASE,12 HR",62.2,55.36,12.94,62.2,727 CDM,RX-11031,PIMOZIDE 2 MG TABLET,11.0,9.79,2.29,11.0,727 CDM,RX-110360,FIDAXOMICIN 200 MG TABLET,414.6,368.99,86.24,414.6,727 CDM,RX-110361,"VITAMIN E (DL, ACETATE) 450 MG (1,000 UNIT) CAPSULE",2.5,2.23,0.52,2.5,727 CDM,RX-110427,TICAGRELOR 90 MG TABLET,26.4,23.5,5.49,26.4,727 CDM,RX-11046,CALCIUM POLYCARBOPHIL 625 MG TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-11050,POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE,2.5,2.23,0.52,2.5,727 CDM,RX-11055,POTASSIUM AND SODIUM MONOBASIC PHOSPHATE 305 MG-700 MG TABLET,8.7,7.74,1.81,8.7,727 CDM,RX-11057,POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN,2.5,2.23,0.52,2.5,2181 CDM,RX-11067,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-110675,BELATACEPT 250 MG INTRAVENOUS SOLUTION,2715.8,2417.06,3.89,2715.8,736 CDM,RX-11074,POTASSIUM CHLORIDE 10 MEQ/100 ML INTRAVENOUS PIGGYBACK,84.5,75.21,0.7,84.5,721 CDM,RX-11075,POTASSIUM CHLORIDE 10 MEQ/50 ML INTRAVENOUS PIGGYBACK,84.1,74.85,0.7,84.1,720 CDM,RX-110751,LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT,3345.0,2977.05,176.45,3345.0,736 CDM,RX-11077,POTASSIUM CHLORIDE 20 MEQ/50 ML INTRAVENOUS PIGGYBACK,83.3,74.14,1.39,83.3,719 CDM,RX-11081,NACL 0.9% KCL 20 MEQ/L IV SOLP,82.0,72.98,17.06,82.0,717 CDM,RX-11083,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE",13.7,12.19,2.85,13.7,727 CDM,RX-11084,"POTASSIUM CITRATE ER 5 MEQ (540 MG) TABLET,EXTENDED RELEASE",5.7,5.07,1.19,5.7,727 CDM,RX-110998,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,6.9,6.14,1.44,6.9,727 CDM,RX-11110,PRAVASTATIN 10 MG TABLET,6.3,5.61,1.31,6.3,727 CDM,RX-11111,PRAVASTATIN 20 MG TABLET,6.7,5.96,1.39,6.7,727 CDM,RX-11112,PRAVASTATIN 40 MG TABLET,7.1,6.32,1.48,7.1,727 CDM,RX-11113,PRAZIQUANTEL 600 MG TABLET,207.1,184.32,43.08,207.1,727 CDM,RX-111147,"LIPASE-PROTEASE-AMYLASE (PORK) 3,000-9,500-15,000 UNIT CAPSULE,DEL REL",11.1,9.88,2.31,11.1,727 CDM,RX-111153,ZINC OXIDE-COD LIVER OIL 40 % TOPICAL PASTE,67.0,59.63,13.94,67.0,727 CDM,RX-11117,PREDNISOLONE 15 MG/5 ML ORAL SOLUTION,550.4,489.86,114.48,550.4,727 CDM,RX-111197,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",2866.0,2550.7400000000002,45.31,5507.0,2952 CDM,RX-111216,IODINE-POTASSIUM IODIDE 5 %-10 % TOPICAL SOLUTION,85.6,76.185,15.35,97.4,1430 CDM,RX-111273,EMTRICITABINE 200 MG-RILPIVIRINE 25 MG-TENOFOVIR DISPROX 300 MG TABLET,452.5,402.73,94.12,452.5,727 CDM,RX-11129,PRIMIDONE 50 MG TABLET,6.4,5.7,1.33,6.4,727 CDM,RX-111325,VEMURAFENIB 240 MG TABLET,185.3,164.92,38.54,185.3,727 CDM,RX-111340,LEUPROLIDE 11.25 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT,29135.3,25930.42,1730.32,29135.3,736 CDM,RX-111341,LEUPROLIDE 30 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT,32046.5,28521.39,1730.32,32046.5,736 CDM,RX-111348,BRENTUXIMAB VEDOTIN 50 MG/10 ML INTRAVENOUS SOLUTION (WETTED),37123.7,33040.09,258.64,37123.7,736 CDM,RX-11136,PROCARBAZINE 50 MG CAPSULE,364.4,324.32,75.8,364.4,727 CDM,RX-11138,PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY,31.4,27.95,6.53,31.4,727 CDM,RX-111395,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE,1633.2,1453.55,339.71,1633.2,727 CDM,RX-111399,CRIZOTINIB 250 MG CAPSULE,952.2,847.46,198.06,952.2,727 CDM,RX-11143,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,17.5,15.58,3.64,17.5,727 CDM,RX-111437,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION,2853.3,2539.44,5.19,2853.3,734 CDM,RX-11144,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,12.1,10.77,2.52,12.1,727 CDM,RX-11147,PROPAFENONE 225 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-11148,PROPAFENONE 300 MG TABLET,6.8,6.05,1.41,6.8,727 CDM,RX-11150,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,73.0,64.97,10.24,73.0,741 CDM,RX-11163,PROTRIPTYLINE 10 MG TABLET,20.5,18.25,4.26,20.5,727 CDM,RX-11164,PROTRIPTYLINE 5 MG TABLET,20.5,18.25,4.26,20.5,727 CDM,RX-112,ACETAZOLAMIDE 125 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-11217,PSYLLIUM HUSK (WITH SUGAR) 3.4 GRAM ORAL POWDER PACKET,4.2,3.74,0.87,4.2,727 CDM,RX-11218,PSYLLIUM HUSK 3.4 GRAM ORAL POWDER PACKET,3.7,3.29,0.77,3.7,727 CDM,RX-11236,PYRETHRINS 0.33 %-PIPERONYL BUTOXIDE 4 % SHAMPOO,28.9,25.72,6.01,28.9,727 CDM,RX-11238,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,44.5,39.6,5.35,47.0,2908 CDM,RX-11239,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,8.6,7.65,1.79,8.6,727 CDM,RX-11240,"PYRIDOSTIGMINE BROMIDE ER 180 MG TABLET,EXTENDED RELEASE",27.2,24.21,5.66,27.2,727 CDM,RX-11246,PYRIMETHAMINE 25 MG TABLET,535.5,476.6,111.38,535.5,727 CDM,RX-112481,POLIDOCANOL 1 % (20 MG/2 ML) INTRAVENOUS SOLUTION,39.2,34.89,8.15,39.2,719 CDM,RX-112555,DOCUSATE SODIUM 283 MG-BENZOCAINE 20 MG/5 ML ENEMA,7.8,6.94,1.62,7.8,727 CDM,RX-11256,RABIES IMMUNE GLOBULIN (PF) 150 UNIT/ML INTRAMUSCULAR SOLUTION,1287.3,1145.7,267.76,1287.3,736 CDM,RX-112703,CLOBAZAM 10 MG TABLET,20.1,17.89,4.18,20.1,727 CDM,RX-112704,CLOBAZAM 20 MG TABLET,11.5,10.23,2.39,11.5,727 CDM,RX-112781,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,464.1,413.05,1.47,464.1,747 CDM,RX-112834,RIVAROXABAN 15 MG TABLET,52.1,46.37,10.84,52.1,727 CDM,RX-112835,RIVAROXABAN 20 MG TABLET,52.1,46.37,10.84,52.1,727 CDM,RX-11285,RIBAVIRIN 6 GRAM/300 ML SOLUTION FOR INHALATION (WETTED),22504.2,20028.74,4680.87,22504.2,715 CDM,RX-11286,RIBAVIRIN 200 MG CAPSULE,9.5,8.46,1.98,9.5,727 CDM,RX-11287,RIBAVIRIN 200 MG TABLET,6.7,5.96,1.39,6.7,727 CDM,RX-11289,RIBOFLAVIN (VITAMIN B2) 50 MG TABLET,2.2,1.96,0.46,2.2,727 CDM,RX-11290,RIFABUTIN 150 MG CAPSULE,43.9,39.07,9.13,43.9,727 CDM,RX-11291,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,272.9,242.88,56.76,272.9,718 CDM,RX-11292,RIFAMPIN 150 MG CAPSULE,16.4,14.6,3.41,16.4,727 CDM,RX-112925,FLUOCINOLONE 0.01 % SCALP OIL AND SHOWER CAP,123.1,109.56,25.6,123.1,727 CDM,RX-11293,RIFAMPIN 300 MG CAPSULE,9.1,8.1,1.89,9.1,727 CDM,RX-112936,RUXOLITINIB 5 MG TABLET,964.5,858.41,200.62,964.5,727 CDM,RX-112937,RUXOLITINIB 10 MG TABLET,964.5,858.41,200.62,964.5,729 CDM,RX-113,ACETAZOLAMIDE 250 MG TABLET,12.4,11.04,2.58,12.4,727 CDM,RX-113026,ZOLPIDEM 1.75 MG SUBLINGUAL TABLET,35.0,31.15,7.28,35.0,727 CDM,RX-113077,TRAVOPROST 0.004 % EYE DROPS,184.8,164.47,38.44,184.8,727 CDM,RX-113082,RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION,10.6,9.43,2.2,10.6,727 CDM,RX-113088,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP",273.9,243.77,56.97,273.9,719 CDM,RX-113146,PENTETATE INDIUM DISODIUM IN-111 1.5 MCI/1.5 ML INTRATHECAL SOLUTION,11758.0,10464.62,745.62,11758.0,737 CDM,RX-11338,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION,891.6,793.52,50.37,891.6,736 CDM,RX-11340,SELEGILINE 5 MG TABLET,8.0,7.12,1.66,8.0,727 CDM,RX-113475,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,95.7,85.17,2.24,95.7,719 CDM,RX-113476,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",88.2,78.5,2.24,88.2,720 CDM,RX-113477,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",87.4,77.79,2.29,87.4,719 CDM,RX-11349,SENNOSIDES 8.6 MG TABLET,2.2,1.96,0.46,2.2,727 CDM,RX-11350,SERTRALINE 100 MG TABLET,6.2,5.52,1.29,6.2,727 CDM,RX-11351,SERTRALINE 50 MG TABLET,6.1,5.43,1.27,6.1,727 CDM,RX-113547,TENOFOVIR DISOPROXIL FUMARATE 40 MG/SCOOP (40 MG/GRAM) ORAL POWDER,2084.3,1855.03,433.53,2084.3,727 CDM,RX-113587,LURASIDONE 20 MG TABLET,7.3,6.5,1.52,7.3,727 CDM,RX-113623,AXITINIB 1 MG TABLET,271.5,241.64,56.47,271.5,727 CDM,RX-113624,AXITINIB 5 MG TABLET,417.7,371.75,86.88,417.7,727 CDM,RX-11364,SIMVASTATIN 10 MG TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-11365,SIMVASTATIN 20 MG TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-11366,SIMVASTATIN 40 MG TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-11367,SIMVASTATIN 5 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-11368,SINCALIDE 5 MCG SOLUTION FOR INJECTION,300.1,267.09,62.42,300.1,722 CDM,RX-11371,WHITE PETROLATUM-MINERAL OIL TOPICAL CREAM,23.0,20.47,4.78,23.0,727 CDM,RX-113740,DORZOLAMIDE-TIMOLOL (PF) 2 %-0.5 % EYE DROPS IN A DROPPERETTE,12.4,11.04,2.58,12.4,727 CDM,RX-11395,SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA,5.3,4.72,1.1,5.3,727 CDM,RX-114,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,127.0,113.03,26.42,127.0,719 CDM,RX-11403,NACL 0.9% IRRIGATION SOLN,57.0,50.73,11.86,57.0,2145 CDM,RX-11404,SODIUM CHLORIDE 2 % EYE DROPS,107.9,96.03,22.44,107.9,727 CDM,RX-11410,SODIUM THIOSULFATE (BULK) 100 % CRYSTALS,158.2,140.8,32.91,158.2,715 CDM,RX-11419,SOTALOL 160 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-11421,SOTALOL 80 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-11425,SPIRONOLACTONE 100 MG TABLET,7.2,6.41,1.5,7.2,727 CDM,RX-11426,SPIRONOLACTONE 50 MG TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-11438,SUCCIMER 100 MG CAPSULE,81.7,72.71,16.99,81.7,727 CDM,RX-11441,SUCRALFATE 100 MG/ML ORAL SUSPENSION,17.1,15.22,3.56,17.1,727 CDM,RX-11442,SUCRALFATE 1 GRAM TABLET,6.3,5.61,1.31,6.3,727 CDM,RX-11443,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION,82.5,73.43,17.16,82.5,715 CDM,RX-114555,"MAGNESIUM 64 MG (MAGNESIUM CHLORIDE) TABLET,DELAYED RELEASE",2.3,2.05,0.48,2.3,727 CDM,RX-11500,TEMAZEPAM 7.5 MG CAPSULE,20.2,17.98,4.2,20.2,727 CDM,RX-11507,TERBUTALINE 1 MG/ML INJECTION SOLUTION,39.8,35.42,2.84,39.8,720 CDM,RX-11508,TERBUTALINE 2.5 MG TABLET,11.3,10.06,2.35,11.3,727 CDM,RX-11509,TERBUTALINE 5 MG TABLET,13.1,11.66,2.72,13.1,727 CDM,RX-11510,TERCONAZOLE 0.4 % VAGINAL CREAM,140.8,125.31,29.29,140.8,727 CDM,RX-11523,TETRAHYDROZOLINE 0.05 %-ZINC 0.25 % EYE DROPS,66.6,59.27,13.85,66.6,727 CDM,RX-11561,TIMOLOL MALEATE 0.25 % EYE DROPS,63.6,56.6,13.23,63.6,727 CDM,RX-11562,TIMOLOL MALEATE 0.5 % EYE DROPS,66.0,58.74,13.73,66.0,727 CDM,RX-11565,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,219.2,195.09,35.72,219.2,720 CDM,RX-11566,TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT,995.9,886.35,207.15,995.9,715 CDM,RX-11567,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",133.5,118.82,27.77,133.5,715 CDM,RX-11573,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",43.8,38.98,9.11,43.8,715 CDM,RX-11574,TRANYLCYPROMINE 10 MG TABLET,7.3,6.5,1.52,7.3,727 CDM,RX-11575,TRAZODONE 300 MG TABLET,8.0,7.12,1.66,8.0,727 CDM,RX-11576,TRETINOIN 0.025 % TOPICAL CREAM,525.4,467.61,109.28,525.4,727 CDM,RX-11577,TRETINOIN 0.05 % TOPICAL CREAM,157.2,139.91,32.7,157.2,727 CDM,RX-11578,TRETINOIN 0.1 % TOPICAL CREAM,162.6,144.71,33.82,162.6,727 CDM,RX-11579,TRETINOIN 0.01 % TOPICAL GEL,260.9,232.2,54.27,260.9,727 CDM,RX-11584,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION,37.3,33.2,0.85,37.3,723 CDM,RX-11591,TRIENTINE 250 MG CAPSULE,651.6,579.92,135.53,651.6,727 CDM,RX-11595,TRIFLURIDINE 1 % EYE DROPS,678.8,604.13,141.19,678.8,727 CDM,RX-11596,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS",70.3,62.57,14.62,70.3,727 CDM,RX-116008,PREGABALIN 20 MG/ML ORAL SOLUTION,11.4,10.15,2.37,11.4,715 CDM,RX-116022,RALTEGRAVIR 25 MG CHEWABLE TABLET,12.6,11.21,2.62,12.6,727 CDM,RX-116023,RALTEGRAVIR 100 MG CHEWABLE TABLET,35.4,31.51,7.36,35.4,727 CDM,RX-116024,"GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION",108507.5,96571.68,427.72,108507.5,734 CDM,RX-116027,IVERMECTIN 0.5 % LOTION,524.9,467.16,109.18,524.9,727 CDM,RX-116035,"LIPASE-PROTEASE-AMYLASE (PORCINE) 10,440-39,150-39,150 UNIT TABLET",19.2,17.09,3.99,19.2,727 CDM,RX-116036,"LIPASE-PROTEASE-AMYLASE (PORCINE) 20,880-78,300-78,300 UNIT TABLET",32.9,29.28,6.84,32.9,727 CDM,RX-116052,ROTIGOTINE 1 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,99.0,88.11,20.59,99.0,727 CDM,RX-116053,ROTIGOTINE 3 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,99.0,88.11,20.59,99.0,727 CDM,RX-116054,ROTIGOTINE 8 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,99.0,88.11,20.59,99.0,727 CDM,RX-11608,TROMETHAMINE 36 MG/ML (0.3 M) INTRAVENOUS SOLUTION,1137.5,1012.38,236.6,1137.5,715 CDM,RX-116128,FLORBETAPIR F-18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION,13597.5,12101.78,1825.64,13597.5,740 CDM,RX-11620,UREA 40 % TOPICAL CREAM,182.7,162.6,38.0,182.7,727 CDM,RX-11624,URSODIOL 300 MG CAPSULE,11.3,10.06,2.35,11.3,727 CDM,RX-11627,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,618.6,550.55,128.67,618.6,717 CDM,RX-116277,TALIGLUCERASE ALFA 200 UNIT INTRAVENOUS SOLUTION,2771.5,2466.64,41.11,2771.5,736 CDM,RX-11628,VANCOMYCIN 125 MG CAPSULE,9.5,8.46,1.98,9.5,727 CDM,RX-11629,VANCOMYCIN 250 MG CAPSULE,15.9,14.15,3.31,15.9,727 CDM,RX-11630,VANCOMYCIN 50 MG/ML ORAL SOLUTION,785.4,699.01,163.36,785.4,727 CDM,RX-11634,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,44.3,39.43,9.21,44.3,715 CDM,RX-116345,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,39.7,35.33,1.21,39.7,724 CDM,RX-11635,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,53.8,47.88,11.19,53.8,715 CDM,RX-11641,"VITAMIN A PALMITATE 50,000 UNIT/ML INTRAMUSCULAR SOLUTION",158.3,140.89,32.93,158.3,717 CDM,RX-11664,WARFARIN 1 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-116806,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,76.1,67.73,15.83,76.1,724 CDM,RX-116809,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,144.8,128.87,30.12,144.8,719 CDM,RX-116820,"BACLOFEN 20,000 MCG/20 ML (1,000 MCG/ML) INTRATHECAL SOLUTION",862.5,767.63,179.4,862.5,736 CDM,RX-116842,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",45.7,40.67,9.51,45.7,727 CDM,RX-116843,"MIRABEGRON ER 50 MG TABLET,EXTENDED RELEASE 24 HR",39.0,34.71,8.11,39.0,727 CDM,RX-11692,ZIDOVUDINE 100 MG CAPSULE,10.0,8.9,2.08,10.0,727 CDM,RX-11693,ZIDOVUDINE 10 MG/ML ORAL SYRUP,10.5,9.35,2.18,10.5,727 CDM,RX-11700,ZOLPIDEM 10 MG TABLET,10.2,9.08,2.12,10.2,727 CDM,RX-11701,ZOLPIDEM 5 MG TABLET,10.3,9.17,2.14,10.3,727 CDM,RX-117032,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,237.2,211.11,49.34,237.2,720 CDM,RX-117047,CARFILZOMIB 60 MG/30 ML INTRAVENOUS SOLUTION (WETTED),10356.8,9217.55,55.65,10356.8,736 CDM,RX-117293,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO DISOPRO 300 MG TABLET,512.4,456.04,106.58,512.4,727 CDM,RX-117309,ESOMEPRAZOLE MAGNESIUM DR 2.5 MG GRANULES DELAYED RELEASE FOR SUSP,29.7,26.43,6.18,29.7,727 CDM,RX-117310,ESOMEPRAZOLE MAGNESIUM DR 5 MG GRANULES DELAYED RELEASE FOR SUSP,29.7,26.43,6.18,29.7,727 CDM,RX-117351,ENZALUTAMIDE 40 MG CAPSULE,441.8,393.2,91.89,441.8,727 CDM,RX-117352,LINACLOTIDE 145 MCG CAPSULE,35.6,31.68,7.4,35.6,727 CDM,RX-117353,LINACLOTIDE 290 MCG CAPSULE,35.6,31.68,7.4,35.6,727 CDM,RX-117356,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,11.9,10.59,2.48,11.9,727 CDM,RX-117365,BOSUTINIB 100 MG TABLET,559.0,497.51,116.27,559.0,727 CDM,RX-117421,TERIFLUNOMIDE 14 MG TABLET,1008.1,897.21,209.68,1008.1,727 CDM,RX-117443,TESTOSTERONE 1.62 % (20.25 MG/1.25 GRAM) TRANSDERMAL GEL PACKET,38.9,34.62,8.09,38.9,727 CDM,RX-117750,MELATONIN 1 MG/ML ORAL LIQUID,5.4,4.81,1.12,5.4,727 CDM,RX-117842,PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION,79286.6,70565.07,16491.61,79286.6,736 CDM,RX-11892,"DILTIAZEM ER 120 MG CAPSULE,EXTENDED RELEASE 12 HR",24.6,21.89,5.12,24.6,727 CDM,RX-119007,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",14.5,12.91,3.02,14.5,727 CDM,RX-119040,APIXABAN 2.5 MG TABLET,23.5,20.92,4.89,23.5,727 CDM,RX-119050,BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM,24.3,21.63,5.05,24.3,727 CDM,RX-119051,BUPRENORPHINE 12 MG-NALOXONE 3 MG SUBLINGUAL FILM,23.3,20.74,4.85,23.3,727 CDM,RX-119062,"OXCARBAZEPINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",50.1,44.59,10.42,50.1,727 CDM,RX-119109,TOFACITINIB 5 MG TABLET,250.6,223.03,52.12,250.6,727 CDM,RX-119142,ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION,52.7,46.9,10.96,52.7,715 CDM,RX-119149,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,49.7,44.23,10.34,49.7,715 CDM,RX-119168,DARUNAVIR 800 MG TABLET,238.0,211.82,49.5,238.0,727 CDM,RX-119246,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",12.7,11.3,2.64,12.7,727 CDM,RX-119247,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE",13.0,11.57,2.7,13.0,727 CDM,RX-119248,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",21.3,18.96,4.43,21.3,727 CDM,RX-11929,GADODIAMIDE 5 MMOL/10 ML (287 MG/ML) INTRAVENOUS SOLUTION,98.3,87.49,16.81,98.3,719 CDM,RX-119483,PONATINIB 15 MG TABLET,2392.0,2128.88,497.54,2392.0,727 CDM,RX-119484,PONATINIB 45 MG TABLET,2072.7,1844.7,431.12,2072.7,727 CDM,RX-119536,PASIREOTIDE 0.3 MG/ML (1 ML) SUBCUTANEOUS SOLUTION,1043.4,928.63,217.03,1043.4,727 CDM,RX-119614,APIXABAN 5 MG TABLET,23.5,20.92,4.89,23.5,727 CDM,RX-119623,"CROFELEMER 125 MG TABLET,DELAYED RELEASE",121.0,107.69,25.17,121.0,727 CDM,RX-119689,"BUDESONIDE DR-ER 9 MG TABLET,DELAYED AND EXTENDED RELEASE",101.6,90.42,21.13,101.6,727 CDM,RX-119842,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,47.0,41.83,1.71,47.0,729 CDM,RX-119843,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,41.8,37.2,4.61,41.8,719 CDM,RX-119867,GLYCEROL PHENYLBUTYRATE 1.1 GRAM/ML ORAL LIQUID,17802.0,15843.78,3702.82,17802.0,727 CDM,RX-120046,DEXTROAMPHETAMINE-AMPHETAMINE 7.5 MG TABLET,10.8,9.61,2.25,10.8,727 CDM,RX-120068,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,37.3,33.2,7.76,37.3,723 CDM,RX-120105,IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION,52.6,46.81,10.94,52.6,715 CDM,RX-120107,PARENTERAL AMINO ACID 10 % INTRAVENOUS SOLUTION (TROPHAMINE),788.3,701.59,163.97,788.3,715 CDM,RX-120135,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,73.8,65.68,5.14,73.8,719 CDM,RX-120173,"ARIPIPRAZOLE ER 400 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",7079.3,6300.58,7.28,7079.3,736 CDM,RX-12024,MECLIZINE 12.5 MG TABLET,6.3,5.61,1.31,6.3,727 CDM,RX-120245,DEXTROAMPHETAMINE-AMPHETAMINE 10 MG TABLET,11.3,10.06,2.35,11.3,727 CDM,RX-12025,MECLIZINE 25 MG TABLET,6.5,5.79,1.35,6.5,727 CDM,RX-120264,DEXTROAMPHETAMINE-AMPHETAMINE 12.5 MG TABLET,11.1,9.88,2.31,11.1,727 CDM,RX-120289,"ERYTHROMYCIN 500 MG TABLET,DELAYED RELEASE",26.3,23.41,5.47,26.3,727 CDM,RX-120304,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION,72.1,64.17,5.57,72.1,718 CDM,RX-120314,"ERYTHROMYCIN 250 MG TABLET,DELAYED RELEASE",18.1,16.11,3.76,18.1,727 CDM,RX-120319,CALCIUM 300 MG (AS CALCIUM CARBONATE 750 MG) CHEWABLE TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-120350,PREDNISONE 5 MG/ML ORAL CONCENTRATE,441.1,392.58,0.86,441.1,719 CDM,RX-120359,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,7.6,6.76,1.58,7.6,727 CDM,RX-120380,MICONAZOLE NITRATE 200 MG/5 GRAM (4 %) VAGINAL CREAM,21.0,18.69,4.37,21.0,727 CDM,RX-120393,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,46.7,41.56,9.71,46.7,719 CDM,RX-120398,DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE),81.8,72.8,17.01,81.8,727 CDM,RX-120429,PSEUDOEPHEDRINE 15 MG/5 ML ORAL LIQUID,24.8,22.07,5.16,24.8,727 CDM,RX-120432,DEXTROAMPHETAMINE-AMPHETAMINE 30 MG TABLET,11.3,10.06,2.35,11.3,727 CDM,RX-120465,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,70.8,63.01,14.73,70.8,727 CDM,RX-120475,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,65.2,58.03,13.56,65.2,715 CDM,RX-120477,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION,109.9,97.81,22.86,109.9,719 CDM,RX-120479,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,0.5,0.45,0.1,0.5,727 CDM,RX-120526,BELLADONNA ALKALOIDS-OPIUM 16.2 MG-30 MG RECTAL SUPPOSITORY,86.4,76.9,17.97,86.4,715 CDM,RX-120549,IOVERSOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,107.2,95.41,8.57,107.2,719 CDM,RX-120555,LEVOCARNITINE 500 MG TABLET,3.6,3.2,0.75,3.6,727 CDM,RX-120563,DEXTROAMPHETAMINE-AMPHETAMINE 20 MG TABLET,11.1,9.88,2.31,11.1,727 CDM,RX-120590,"LORATADINE 5 MG-PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE,12HR",4.1,3.65,0.85,4.1,727 CDM,RX-120605,DEXTROAMPHETAMINE-AMPHETAMINE 15 MG TABLET,11.7,10.41,2.43,11.7,727 CDM,RX-120624,LIDOCAINE VISCOUS 2 % MUCOSAL SOLUTION,6.7,5.96,1.27,20.9,2181 CDM,RX-120651,MICONAZOLE NITRATE 200 MG VAGINAL SUPPOSITORY,153.9,136.97,32.01,153.9,715 CDM,RX-120671,FLEXIBLE COLLODION (BULK) LIQUID,39.6,35.24,8.24,39.6,727 CDM,RX-120747,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,11.1,9.88,2.31,11.1,727 CDM,RX-120771,IBUPROFEN 100 MG CHEWABLE TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-120795,MISCELLANEOUS MEDICAL SUPPLY MISC,5.3,4.72,1.1,5.3,715 CDM,RX-120844,WHITE PETROLATUM-ZINC TOPICAL PASTE,109.6,97.54,22.8,109.6,727 CDM,RX-12098,"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR",8.2,7.3,1.71,8.2,727 CDM,RX-120999,DIPHENHYDRAMINE 50 MG/ML INJECTION SYRINGE,42.4,37.74,0.82,42.4,717 CDM,RX-121056,HYDROCORTISONE 1 % TOPICAL CREAM PACKET,2.5,2.23,0.52,2.5,727 CDM,RX-121130,"PETROLATUM, WHITE-WATER LOTION",15.6,13.88,3.24,15.6,727 CDM,RX-121432,MULTIVITAMIN TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-121440,"TACROLIMUS ER 0.5 MG CAPSULE,EXTENDED RELEASE 24 HR (ASTAGRAF)",11.9,10.59,2.48,11.9,729 CDM,RX-121469,"TACROLIMUS ER 1 MG CAPSULE,EXTENDED RELEASE 24 HR (ASTAGRAF)",18.8,16.73,3.91,18.8,729 CDM,RX-121470,"TACROLIMUS ER 5 MG CAPSULE,EXTENDED RELEASE 24 HR (ASTAGRAF)",73.7,65.59,15.33,73.7,729 CDM,RX-121473,"MEMANTINE 7 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",8.5,7.57,1.77,8.5,727 CDM,RX-121494,EVEROLIMUS (ANTINEOPLASTIC) 3 MG TABLET FOR ORAL SUSPENSION,2077.8,1849.24,432.18,2077.8,727 CDM,RX-121505,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,339.1,301.8,70.53,339.1,723 CDM,RX-121506,BEDAQUILINE 100 MG TABLET,538.8,479.53,112.07,538.8,727 CDM,RX-121529,"LIPASE-PROTEASE-AMYLASE (PORK)36,000-114,000-180K UNIT CAPSULE,DEL REL",50.0,44.5,10.4,50.0,727 CDM,RX-121562,CANAGLIFLOZIN 100 MG TABLET,70.1,62.39,14.58,70.1,727 CDM,RX-121564,CANAGLIFLOZIN 300 MG TABLET,70.1,62.39,14.58,70.1,727 CDM,RX-121732,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (ALSO CNR),232.6,207.01,48.38,232.6,715 CDM,RX-12197,"QUINIDINE GLUCONATE ER 324 MG TABLET,EXTENDED RELEASE",28.5,25.37,5.93,28.5,727 CDM,RX-122,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION,23.5,20.92,4.89,23.5,715 CDM,RX-122008,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,103.3,91.94,21.49,103.3,715 CDM,RX-122009,FLUTICASONE FUROATE 100 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,362.4,322.54,75.38,362.4,727 CDM,RX-12203,VENLAFAXINE 25 MG TABLET,8.5,7.57,1.77,8.5,727 CDM,RX-12204,VENLAFAXINE 50 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-12205,VENLAFAXINE 100 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-12206,VENLAFAXINE 75 MG TABLET,8.2,7.3,1.71,8.2,727 CDM,RX-122061,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SYRINGE,63.8,56.78,0.93,63.8,719 CDM,RX-12207,VENLAFAXINE 37.5 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-122091,"RADIUM RA 223 DICHLOR 1,100 KBQ/ML (30 MICROCURIE/ML) INTRAVENOUS SOLN",10470.0,9318.3,172.22,10470.0,737 CDM,RX-12211,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION,515.2,458.53,107.16,515.2,731 CDM,RX-122171,"ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION",143.6,127.8,29.87,143.6,717 CDM,RX-122185,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,37.0,32.93,7.7,37.0,726 CDM,RX-122186,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,90.4,80.46,6.21,90.4,719 CDM,RX-122190,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,53.8,47.88,6.21,53.8,719 CDM,RX-122196,EMOLLIENT TOPICAL CREAM,29.0,25.81,6.03,29.0,727 CDM,RX-1222,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,36.1,32.13,7.51,36.1,722 CDM,RX-122207,DABRAFENIB 75 MG CAPSULE,478.6,425.95,99.55,478.6,727 CDM,RX-122211,TRAMETINIB 0.5 MG TABLET,594.1,528.75,123.57,594.1,727 CDM,RX-122212,TRAMETINIB 2 MG TABLET,1877.7,1671.15,390.56,1877.7,727 CDM,RX-122226,POLYVINYL ALCOHOL-POVIDONE (PF) 1.4 %-0.6 % EYE DROPS IN A DROPPERETTE,3.0,2.67,0.62,3.0,727 CDM,RX-122267,NEOSTIGMINE METHYLSULFATE 1 MG/ML INJECTABLE SOLUTION,42.4,37.74,8.82,42.4,721 CDM,RX-122332,"IRON,CARBONYL 65 MG-VITAMIN C 125 MG TABLET,DELAYED RELEASE",2.6,2.31,0.54,2.6,727 CDM,RX-122363,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",26.8,23.85,5.57,26.8,727 CDM,RX-122365,"OXYCODONE ER 15 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",34.7,30.88,7.22,34.7,727 CDM,RX-122366,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",41.3,36.76,8.59,41.3,727 CDM,RX-122368,"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",69.8,62.12,14.52,69.8,727 CDM,RX-122370,"OXYCODONE ER 80 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",104.7,93.18,21.78,104.7,727 CDM,RX-12244,CALCIPOTRIENE 0.005 % TOPICAL OINTMENT,488.8,435.03,101.67,488.8,727 CDM,RX-122614,GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION,5295.6,4713.08,11.04,5295.6,736 CDM,RX-122648,FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION,3003.5,2673.12,1.11,3003.5,736 CDM,RX-122683,ASCORBIC ACID (VITAMIN C) 500 MG/5 ML ORAL SYRUP,2.4,2.14,0.5,2.4,1454 CDM,RX-122752,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION,64.8,57.67,13.48,64.8,719 CDM,RX-122784,DOLUTEGRAVIR 50 MG TABLET,263.0,234.07,54.7,263.0,727 CDM,RX-122823,"TOPIRAMATE XR 25 MG CAPSULE,EXTENDED RELEASE 24 HR",49.3,43.88,10.25,49.3,727 CDM,RX-122827,"TOPIRAMATE XR 100 MG CAPSULE,EXTENDED RELEASE 24 HR",111.4,99.15,23.17,111.4,727 CDM,RX-122828,"TOPIRAMATE XR 200 MG CAPSULE,EXTENDED RELEASE 24 HR",148.7,132.34,30.93,148.7,727 CDM,RX-122909,BUPRENORPHINE 15 MCG/HOUR WEEKLY TRANSDERMAL PATCH,258.9,230.42,53.85,258.9,727 CDM,RX-123,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,36.5,32.49,7.59,36.5,715 CDM,RX-123049,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,43.5,38.72,9.05,43.5,715 CDM,RX-123070,BORTEZOMIB 3.5 MG/3.5 ML INJECTION POWDER FOR SOLUTION (WETTED),233.2,207.55,48.51,233.2,719 CDM,RX-123075,WHITE PETROLATUM-MINERAL OIL TOPICAL OINTMENT,94.9,84.46,19.74,94.9,727 CDM,RX-123144,GENTAMICIN 120 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,84.1,74.85,4.98,84.1,721 CDM,RX-123206,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",15.8,14.06,3.29,15.8,727 CDM,RX-123439,BALANCED SALT SOLUTION (BSS) INTRAOCULAR IRRIGATION,20.5,18.25,4.26,20.5,715 CDM,RX-123518,ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION,10.8,9.61,0.5,10.8,731 CDM,RX-123560,ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSPENSION,59.0,52.51,12.27,59.0,727 CDM,RX-123563,ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION,55.9,49.75,11.63,55.9,727 CDM,RX-123587,CANDIDA ALBICANS SKIN TEST FDA STANDARD INTRADERMAL,155.5,138.4,32.34,155.5,717 CDM,RX-12370,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,71.2,63.37,14.81,71.2,717 CDM,RX-123744,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,220.1,195.89,45.78,220.1,718 CDM,RX-123775,SOMATROPIN 5 MG/1.5 ML (3.3 MG/ML) SUBCUTANEOUS PEN INJECTOR,2668.9,2375.32,555.13,2668.9,727 CDM,RX-123777,SOMATROPIN 15 MG/1.5 ML (10 MG/ML) SUBCUTANEOUS PEN INJECTOR,6597.2,5871.51,1372.22,6597.2,715 CDM,RX-123800,SODIUM CHLORIDE-ALOE VERA NASAL GEL,13.0,11.57,2.7,13.0,727 CDM,RX-123816,MULTIVIT-MIN-FOLIC ACID 0.4 MG-LYCOPENE 300 MCG-LUTEIN 250 MCG TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-123851,ORA-BLEND SF (SUGAR FREE),73.1,65.06,15.2,73.1,715 CDM,RX-123853,PHENOL 89 % TOPICAL SWAB,22.9,20.38,4.76,22.9,715 CDM,RX-123906,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION,48.2,42.9,4.84,48.2,719 CDM,RX-124107,MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE,90.6,80.63,9.37,90.6,719 CDM,RX-12411,FLUVASTATIN 20 MG CAPSULE,18.0,16.02,3.74,18.0,727 CDM,RX-124116,NACL 0.9% IV PGBK (MINI-BAG PLUS)(BRAND SPLIT),85.1,75.74000000000001,17.68,85.2,1430 CDM,RX-12412,FLUVASTATIN 40 MG CAPSULE,18.0,16.02,3.74,18.0,727 CDM,RX-124142,VITAMIN B COMPLEX-VITAMIN C 100 MG-FOLIC ACID 1 MG TABLET,2.6,2.31,0.54,2.6,727 CDM,RX-124204,PORACTANT ALFA 240 MG/3 ML INTRATRACHEAL SUSPENSION,3453.2,3073.35,718.27,3453.2,715 CDM,RX-124235,VIT C-VIT E-COPPER-ZINC OX-LUTEIN 226 MG-90 MG-5 MG-0.8 MG CAPSULE,2.8,2.49,0.58,2.8,727 CDM,RX-124253,"VITAMIN E (DL, ACETATE) 22.5 MG (50 UNIT)/ML ORAL DROPS",81.0,72.09,16.85,81.0,727 CDM,RX-124313,"BUPIVACAINE 0.5 %-EPINEPHRINE BITARTRATE 1:200,000 INJECTION,CARTRIDGE",45.2,40.23,9.4,45.2,715 CDM,RX-124422,TOBRAMYCIN 0.3 % EYE DROPS,69.7,62.03,14.5,69.7,727 CDM,RX-124425,INTERFERON BETA-1B 0.3 MG SUBCUTANEOUS KIT,2042.6,1817.91,249.94,2042.6,719 CDM,RX-124441,PERAMPANEL 2 MG TABLET,63.9,56.87,13.29,63.9,727 CDM,RX-124442,PERAMPANEL 4 MG TABLET,116.5,103.69,24.23,116.5,727 CDM,RX-124443,PERAMPANEL 6 MG TABLET,116.5,103.69,24.23,116.5,727 CDM,RX-124453,CLOZAPINE 50 MG/ML ORAL SUSPENSION,18.1,16.11,3.76,18.1,727 CDM,RX-124465,ARMODAFINIL 200 MG TABLET,7.5,6.68,1.56,7.5,727 CDM,RX-124466,"LEVOMILNACIPRAN ER 20 MG CAPSULE,24 HR,EXTENDED RELEASE",65.5,58.3,13.62,65.5,727 CDM,RX-124467,"LEVOMILNACIPRAN ER 40 MG CAPSULE,24 HR,EXTENDED RELEASE",65.5,58.3,13.62,65.5,727 CDM,RX-124468,"LEVOMILNACIPRAN ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",65.5,58.3,13.62,65.5,727 CDM,RX-124469,"LEVOMILNACIPRAN ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE",65.5,58.3,13.62,65.5,727 CDM,RX-124536,VORTIOXETINE 5 MG TABLET,64.3,57.23,13.37,64.3,727 CDM,RX-124537,VORTIOXETINE 10 MG TABLET,64.3,57.23,13.37,64.3,727 CDM,RX-124538,VORTIOXETINE 20 MG TABLET,64.3,57.23,13.37,64.3,727 CDM,RX-124571,"VIT A 300 MCG (1,000 UNIT)-C 200 MG-E 60 UNIT-LUTEIN 2 MG AND MINERALS TABLET",2.4,2.14,0.5,2.4,727 CDM,RX-124588,RIOCIGUAT 0.5 MG TABLET,495.1,440.64,102.98,495.1,727 CDM,RX-124589,RIOCIGUAT 1 MG TABLET,565.9,503.65,117.71,565.9,727 CDM,RX-124592,RIOCIGUAT 2.5 MG TABLET,530.4,472.06,110.32,530.4,727 CDM,RX-124653,MAGNESIUM GLUCONATE 500 MG (27 MG MAGNESIUM) TABLET,2.3,2.05,0.48,2.3,727 CDM,RX-124656,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,117.6,104.66,12.01,117.6,720 CDM,RX-124657,MACITENTAN 10 MG TABLET,1551.6,1380.92,322.73,1551.6,727 CDM,RX-124680,TESTOSTERONE 50 MG/5 GRAM (1 %) TRANSDERMAL GEL,65.9,58.65,13.71,65.9,727 CDM,RX-124685,TOCILIZUMAB 162 MG/0.9 ML SUBCUTANEOUS SYRINGE,3345.9,2977.85,5.71,3345.9,736 CDM,RX-124722,"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT",2.5,2.23,0.52,2.5,727 CDM,RX-124767,"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION",24133.8,21479.08,79.0,24133.8,737 CDM,RX-124768,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 730 MG/100 ML SOLN,96.0,85.44,19.97,96.0,715 CDM,RX-124804,PERITONEAL DIALYSIS 28 AND ICODEXTRIN 7.5 % CA 3.5 MEQ/L-MAG 0.5 MEQ/L,85.0,75.65,17.68,85.0,715 CDM,RX-124833,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,67.2,59.81,13.98,67.2,722 CDM,RX-124838,INSULIN ASPART (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,96.6,85.97,20.09,96.6,729 CDM,RX-124839,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS CARTRIDGE,116.7,103.86,24.27,116.7,729 CDM,RX-124840,INSULIN GLARGINE (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,105.5,93.9,21.94,105.5,729 CDM,RX-124843,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS PEN,148.2,131.9,30.83,148.2,729 CDM,RX-124845,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN,108.7,96.74,22.61,108.7,729 CDM,RX-124850,IBRUTINIB 140 MG CAPSULE,412.1,366.77,85.72,412.1,727 CDM,RX-124854,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,90.4,80.46,18.8,90.4,729 CDM,RX-124865,LIRAGLUTIDE 0.6 MG/0.1 ML (18 MG/3 ML) SUBCUTANEOUS PEN INJECTOR,671.0,597.19,139.57,671.0,727 CDM,RX-124887,ESLICARBAZEPINE 200 MG TABLET,22.4,19.94,4.66,22.4,727 CDM,RX-124888,ESLICARBAZEPINE 400 MG TABLET,22.5,20.02,4.68,22.5,727 CDM,RX-12491,ESTRADIOL 0.5 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-124917,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",29.4,26.17,6.12,29.4,727 CDM,RX-124926,POLIDOCANOL 1 % INTRAVENOUS FOAM,66.1,58.83,13.75,66.1,715 CDM,RX-124929,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION,39.1,34.8,1.18,39.1,721 CDM,RX-124930,GADOTERATE MEGLUMINE 0.5 MMOL/ML INTRAVENOUS SYRINGE,41.4,36.85,1.18,41.4,719 CDM,RX-124985,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",455.2,405.13,94.68,455.2,717 CDM,RX-124987,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",455.2,405.13,94.68,455.2,717 CDM,RX-124991,SUMATRIPTAN 4 MG/0.5 ML SUBCUTANEOUS CARTRIDGE (REFILL),508.8,452.83,101.68,508.8,719 CDM,RX-125001,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,87.3,77.7,18.16,87.3,722 CDM,RX-125021,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML INTRAMUSCULAR SYRINGE,302.1,268.87,62.84,302.1,736 CDM,RX-125036,UMECLIDINIUM 62.5 MCG-VILANTEROL 25 MCG/ACTUATION POWDR FOR INHALATION,261.4,232.65,54.37,261.4,727 CDM,RX-125046,"TREPROSTINIL DIOLAMINE ER 0.125 MG TABLET,EXTENDED RELEASE",36.1,32.13,7.51,36.1,727 CDM,RX-125047,"TREPROSTINIL DIOLAMINE ER 0.25 MG TABLET,EXTENDED RELEASE",58.3,51.89,12.13,58.3,727 CDM,RX-125048,"TREPROSTINIL DIOLAMINE ER 1 MG TABLET,EXTENDED RELEASE",221.3,196.96,46.03,221.3,727 CDM,RX-125074,DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET,49.0,43.61,10.19,49.0,727 CDM,RX-125075,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET,59.4,52.87,12.36,59.4,727 CDM,RX-125159,SODIUM PHOSPHATES 9.5 GRAM-3.5 GRAM/59 ML ENEMA,6.2,5.52,1.29,6.2,727 CDM,RX-125161,GLATIRAMER 40 MG/ML SUBCUTANEOUS SYRINGE,377.0,335.53,78.42,377.0,727 CDM,RX-125179,SODIUM-CL-POTASSIUM-CITRATE 70 MEQ-60 MEQ-20 MEQ-30 MEQ ORAL PACKET,9.4,8.37,1.96,9.4,727 CDM,RX-125429,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION,302.0,268.78,0.21,302.0,734 CDM,RX-125509,APREMILAST 30 MG TABLET,305.3,271.72,63.5,305.3,727 CDM,RX-12556,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,6.0,5.34,1.25,6.0,727 CDM,RX-12580,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,6.0,5.34,0.41,6.0,731 CDM,RX-1259,CAFFEINE 200 MG TABLET,2.4,2.14,0.5,2.4,727 CDM,RX-126092,"ARTICAINE 4 %-EPINEPHRINE BITARTRATE 1:100,000 DENTAL CARTRIDGE",41.7,37.11,8.67,41.7,715 CDM,RX-126112,NILOTINIB HCL 150 MG CAPSULE,362.0,322.18,75.3,362.0,727 CDM,RX-126113,DROXIDOPA 100 MG CAPSULE,9.2,8.19,1.91,9.2,727 CDM,RX-126114,DROXIDOPA 200 MG CAPSULE,11.0,9.79,2.29,11.0,727 CDM,RX-126115,DROXIDOPA 300 MG CAPSULE,18.0,16.02,3.74,18.0,727 CDM,RX-126119,"TOPIRAMATE XR 100 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24 HR",52.7,46.9,10.96,52.7,727 CDM,RX-126160,MERCAPTOPURINE 20 MG/ML ORAL SUSPENSION,3267.0,2907.63,679.54,3267.0,715 CDM,RX-126167,USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRINGE,37729.8,33579.52,6874.31,37729.8,731 CDM,RX-126168,USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE,75034.5,66780.71,13748.62,75034.5,731 CDM,RX-126190,ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE,3034.9,2701.06,631.26,3034.9,717 CDM,RX-126192,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS SYRINGE,5644.6,5023.69,1174.08,5644.6,717 CDM,RX-126194,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",6.2,5.52,1.29,6.2,727 CDM,RX-1262,CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN,105.7,94.07,21.99,105.7,717 CDM,RX-126219,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION,25557.8,22746.44,21.31,25557.8,738 CDM,RX-126226,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,77.3,68.8,1.55,77.3,719 CDM,RX-126227,TESTOSTERONE ENANTHATE 200 MG/ML INTRAMUSCULAR OIL,81.6,72.62,2.93,81.6,719 CDM,RX-126228,HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN,48.7,43.34,10.13,48.7,717 CDM,RX-126233,PHENOBARB-HYOSCYAMN-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG TABLET,21.3,18.96,4.43,21.3,727 CDM,RX-126244,DALBAVANCIN 500 MG INTRAVENOUS SOLUTION,4341.2,3863.67,15.61,4341.2,736 CDM,RX-126248,NILOTINIB HCL 200 MG CAPSULE,653.9,581.97,136.01,653.9,727 CDM,RX-126272,"GABAPENTIN ENACARBIL ER 300 MG TABLET,EXTENDED RELEASE",64.8,57.67,13.48,64.8,727 CDM,RX-126273,"GABAPENTIN ENACARBIL ER 600 MG TABLET,EXTENDED RELEASE",64.8,57.67,13.48,64.8,727 CDM,RX-126285,ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE,685.5,610.1,142.58,685.5,727 CDM,RX-126393,TEDIZOLID 200 MG TABLET,1430.8,1273.41,297.61,1430.8,727 CDM,RX-126397,RALTEGRAVIR 100 MG POWDER PACKET FOR ORAL SUSPENSION,35.4,31.51,7.36,35.4,727 CDM,RX-126404,CYCLOPHOSPHAMIDE 25 MG CAPSULE,10.5,9.35,2.09,10.5,719 CDM,RX-126405,CYCLOPHOSPHAMIDE 50 MG CAPSULE,14.3,12.73,2.97,14.3,719 CDM,RX-126453,BUPRENORPHINE 7.5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,166.5,148.19,34.63,166.5,727 CDM,RX-126466,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,86.2,76.72,1.86,86.2,726 CDM,RX-126566,"C1 ESTERASE INHIBITOR, RECOMBINANT 2,100 UNIT INTRAVENOUS SOLUTION",15337.5,13650.38,36.77,15337.5,736 CDM,RX-126576,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION,87.3,77.7,18.16,87.3,719 CDM,RX-126579,DANTROLENE 250 MG INTRAVENOUS SUSPENSION,5810.9,5171.7,1208.67,5810.9,715 CDM,RX-126603,OLODATEROL 2.5 MCG/ACTUATION MIST FOR INHALATION,660.6,587.93,137.4,660.6,727 CDM,RX-126619,GRANISETRON (PF) 1 MG/ML (1 ML) INTRAVENOUS SOLUTION,42.6,37.91,1.68,42.6,726 CDM,RX-126630,EMPAGLIFLOZIN 10 MG TABLET,37.2,33.11,7.74,37.2,727 CDM,RX-126632,EMPAGLIFLOZIN 25 MG TABLET,37.2,33.11,7.74,37.2,727 CDM,RX-12666,DOXEPIN 5 % TOPICAL CREAM,1035.9,921.95,215.47,1035.9,727 CDM,RX-126772,ABACAVIR 600 MG-DOLUTEGRAVIR 50 MG-LAMIVUDINE 300 MG TABLET,451.4,401.75,93.89,451.4,727 CDM,RX-126781,"RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION",521.7,464.31,108.51,521.7,736 CDM,RX-126786,PARENTERAL AMINO ACID 10 % COMBINATION (PREMASOL) INTRAVENOUS SOLUTION,727.0,647.03,151.22,727.0,715 CDM,RX-126788,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,33.6,29.9,6.99,33.6,715 CDM,RX-126857,SILDENAFIL 10 MG/ML ORAL SUSPENSION,115.6,102.88,24.04,115.6,727 CDM,RX-126885,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE,1549.2,1378.79,322.23,1549.2,736 CDM,RX-126967,"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:100,000 DENTAL CARTRIDGE",41.2,36.67,8.57,41.2,715 CDM,RX-127015,MORPHINE (PF) 30 MG/30 ML (1 MG/ML) PCA INTRAVENOUS SOLUTION,91.4,81.35,10.47,91.4,719 CDM,RX-127022,GADOPENTETATE DIMEGLUMINE 2.5 MMOL/5 ML(469.01 MG/ML) INTRAVENOUS SOLN,91.8,81.7,8.41,91.8,719 CDM,RX-127024,GADOPENTETATE DIMEGLUMINE 5 MMOL/10 ML (469.01 MG/ML) INTRAVENOUS SOLN,101.6,90.42,16.81,101.6,719 CDM,RX-127028,GADOPENTETATE DIMEGLUMINE 10 MMOL/20 ML(469.01 MG/ML) INTRAVENOUS SOLN,153.2,136.35,31.87,153.2,719 CDM,RX-127037,GADOPENTETATE DIMEGLUMINE 10 MMOL/20 ML (469.01 MG/ML) IV SYRINGE,188.1,167.41,33.63,188.1,719 CDM,RX-127078,GADODIAMIDE 7.5 MMOL/15 ML (287 MG/ML) INTRAVENOUS SOLUTION,122.4,108.94,25.22,122.4,719 CDM,RX-127079,GADODIAMIDE 10 MMOL/20 ML (287 MG/ML) INTRAVENOUS SOLUTION,146.5,130.38,30.47,146.5,719 CDM,RX-127188,SALIVA STIMULANT COMBINATION NO.3 ORAL MUCOSAL SPRAY,24.1,21.45,5.01,24.1,715 CDM,RX-127193,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,17.4,15.49,3.62,17.4,715 CDM,RX-127211,CLEVIDIPINE 50 MG/100 ML INTRAVENOUS EMULSION,663.3,590.34,2.85,663.3,734 CDM,RX-12724,TERBINAFINE HCL 250 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-127261,BICARBONATE HEMODIALYSIS SOLN WITHOUT CALCIUM 8 POT 2 MEQ-MAG 1 MEQ/L,231.3,205.86,48.11,231.3,715 CDM,RX-12729,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE,5.5,4.89,1.14,5.5,727 CDM,RX-127332,PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,1227.5,1092.47,1.68,1227.5,734 CDM,RX-127337,PIRFENIDONE 267 MG CAPSULE,10.8,9.61,2.25,10.8,727 CDM,RX-127348,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE",251.2,223.57,52.25,270.93,719 CDM,RX-127350,UMECLIDINIUM 62.5 MCG/ACTUATION BLISTER POWDER FOR INHALATION,184.7,164.38,38.42,184.7,727 CDM,RX-127353,PHENYLEPHRINE 1 %-KETOROLAC 0.3 % INTRAOCULAR CONCENTRATE FOR IRRIG,1493.3,1329.04,96.91,1493.3,734 CDM,RX-127354,ATAZANAVIR 50 MG ORAL POWDER PACKET,30.8,27.41,6.41,30.8,727 CDM,RX-127366,SUVOREXANT 5 MG TABLET,57.9,51.53,12.04,57.9,727 CDM,RX-127367,SUVOREXANT 10 MG TABLET,57.9,51.53,12.04,57.9,727 CDM,RX-127369,SUVOREXANT 20 MG TABLET,57.9,51.53,12.04,57.9,727 CDM,RX-127374,FLUTICASONE FUROATE 100 MCG/ACTUATION BLISTER POWDER FOR INHALATION,269.3,239.68,56.01,269.3,727 CDM,RX-127375,FLUTICASONE FUROATE 200 MCG/ACTUATION BLISTER POWDER FOR INHALATION,340.2,302.78,70.76,340.2,727 CDM,RX-127389,DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION,43.0,38.27,8.94,43.0,719 CDM,RX-127393,FERRIC CITRATE 210 MG IRON TABLET,27.9,24.83,25.2,25.2,1 CDM,RX-127395,NALOXEGOL 12.5 MG TABLET,56.1,49.93,11.67,56.1,727 CDM,RX-127396,NALOXEGOL 25 MG TABLET,56.1,49.93,11.67,56.1,727 CDM,RX-127398,DULAGLUTIDE 0.75 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,708.3,630.39,147.33,708.3,727 CDM,RX-127399,DULAGLUTIDE 1.5 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,708.3,630.39,147.33,708.3,727 CDM,RX-127401,DOPAMINE 200 MG/250 ML (800 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN,99.5,88.56,4.61,99.5,720 CDM,RX-127414,COBICISTAT 150 MG TABLET,26.0,23.14,5.41,26.0,727 CDM,RX-127467,TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,647.3,576.1,134.64,647.3,717 CDM,RX-127495,LEDIPASVIR 90 MG-SOFOSBUVIR 400 MG TABLET,3350.7,2982.12,696.95,3350.7,727 CDM,RX-127511,NINTEDANIB 100 MG CAPSULE,732.2,651.66,152.3,732.2,727 CDM,RX-127512,NINTEDANIB 150 MG CAPSULE,727.3,647.3,151.28,727.3,727 CDM,RX-127552,DARUNAVIR 800 MG-COBICISTAT 150 MG TABLET,270.6,240.83,56.28,270.6,727 CDM,RX-127559,IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,12290.0,10938.1,48.96,12290.0,736 CDM,RX-127573,"ANTIHEMOPHILIC FACTOR VIII,PORCINE REC 500(+/-) UNIT RANGE IV SOLUTION",47.0,41.83,3.23,47.0,736 CDM,RX-127575,SOTALOL 5 MG/ML ORAL SOLUTION,1710.0,1521.9,355.68,1710.0,727 CDM,RX-127603,"N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE",264.8,235.67,55.08,264.8,715 CDM,RX-127661,GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE,181.1,161.18,37.67,181.1,727 CDM,RX-127662,CHROMIUM CHLORIDE 4 MCG/ML INTRAVENOUS SOLUTION,107.9,96.03,22.44,107.9,715 CDM,RX-127665,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,84.4,75.12,17.56,84.4,717 CDM,RX-127668,PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION,140.7,125.22,29.27,140.7,715 CDM,RX-127694,DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,74.8,66.57,15.56,74.8,715 CDM,RX-127749,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,50.6,45.03,5.22,50.6,721 CDM,RX-127772,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE",256.0,227.84,53.25,256.0,722 CDM,RX-127841,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,569.0,506.41,9.07,569.0,736 CDM,RX-127907,EDOXABAN 60 MG TABLET,56.2,50.02,11.69,56.2,727 CDM,RX-127908,"CARBIDOPA ER 23.75 MG-LEVODOPA 95 MG CAPSULE,EXTENDED RELEASE",18.5,16.47,3.85,18.5,727 CDM,RX-127909,"CARBIDOPA ER 36.25 MG-LEVODOPA 145 MG CAPSULE,EXTENDED RELEASE",18.5,16.47,3.85,18.5,727 CDM,RX-127910,"CARBIDOPA ER 48.75 MG-LEVODOPA 195 MG CAPSULE,EXTENDED RELEASE",18.5,16.47,3.85,18.5,727 CDM,RX-127911,"CARBIDOPA ER 61.25 MG-LEVODOPA 245 MG CAPSULE,EXTENDED RELEASE",22.0,19.58,4.58,22.0,727 CDM,RX-127928,LISDEXAMFETAMINE 10 MG CAPSULE,26.9,23.94,5.6,26.9,727 CDM,RX-127962,ORAL SUSPEND,46.9,41.74,9.76,46.9,715 CDM,RX-127964,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,17201.3,15309.16,60.29,17201.3,736 CDM,RX-127980,MULTIVITAMIN-IRON-FOLIC ACID 400 MCG-CALCIUM AND MINERALS TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-128028,ATAZANAVIR 300 MG-COBICISTAT 150 MG TABLET,179.6,159.84,37.36,179.6,727 CDM,RX-12803,PILOCARPINE 5 MG TABLET,12.5,11.13,2.6,12.5,727 CDM,RX-128030,NOREPINEPHRINE BITARTRATE 4 MG/250 ML (16 MCG/ML) IN 0.9 % NACL IV,204.5,182.01,42.54,204.5,715 CDM,RX-128103,LENVATINIB 14 MG/DAY (10 MG X 1 AND 4 MG X 1) CAPSULE,1339.6,1192.24,278.64,1339.6,727 CDM,RX-128130,HYPOCHLOROUS ACID 0.01 %-SODIUM CHLORIDE TOPICAL SPRAY,910.9,810.7,189.47,910.9,727 CDM,RX-128147,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,28.3,25.19,5.89,28.3,727 CDM,RX-128153,ORA-SWEET SF (SUGAR FREE),65.4,58.21,13.6,65.4,727 CDM,RX-128154,ORAL SYRUP LIQUID,48.5,43.17,10.09,48.5,727 CDM,RX-128163,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION,1085.0,965.65,104.73,1085.0,736 CDM,RX-128183,"BARIUM SULFATE 40 % (W/V), 29% (W/W) ORAL SUSPENSION",8.6,7.65,1.79,8.6,717 CDM,RX-128196,THYROID (PORK) 15 MG TABLET,7.0,6.23,1.46,7.0,727 CDM,RX-128197,THYROID (PORK) 30 MG TABLET,7.0,6.23,1.46,7.0,727 CDM,RX-128199,THYROID (PORK) 60 MG TABLET,7.6,6.76,1.58,7.6,727 CDM,RX-128209,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE,297.3,264.6,61.84,297.3,727 CDM,RX-128210,THYROID (PORK) 120 MG TABLET,9.2,8.19,1.91,9.2,727 CDM,RX-128211,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION,878.0,781.42,1.01,878.0,734 CDM,RX-128215,THYROID (PORK) 180 MG TABLET,10.3,9.17,2.14,10.3,727 CDM,RX-128267,TREPROSTINIL 1.74 MG/2.9 ML (0.6 MG/ML) SOLUTION FOR NEBULIZATION,4109.3,3657.28,833.92,4109.3,731 CDM,RX-128328,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,43.3,38.54,9.01,43.3,715 CDM,RX-128355,LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET,2.8,2.49,0.58,2.8,727 CDM,RX-128431,DEFERASIROX 180 MG TABLET,8.5,7.57,1.77,8.5,727 CDM,RX-128432,DEFERASIROX 360 MG TABLET,10.9,9.7,2.27,10.9,727 CDM,RX-128434,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",6.8,6.05,1.41,6.8,727 CDM,RX-128477,PHENOL 1.5 % TOPICAL LIQUID,115.3,102.62,23.98,115.3,715 CDM,RX-128538,L.ACIDOPHILUS-L.BULGAR-B.BIFID-S.THERMOPH 1 BILLION CELL-250 MG TABLET,2.7,2.4,0.56,2.7,727 CDM,RX-128540,IVABRADINE 5 MG TABLET,39.2,34.89,8.15,39.2,727 CDM,RX-128589,SODIUM CITRATE 4 % INTRA-CATHETER INJECTION SYRINGE (PREMIX/CNR),45.8,40.76,9.53,45.8,715 CDM,RX-128604,GLYCERIN (LAXATIVE) 2.8 GRAM/2.7 ML RECTAL SOLUTION,4.6,4.09,0.96,4.6,727 CDM,RX-128612,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,54.4,48.42,11.32,54.4,719 CDM,RX-128613,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,65.9,58.65,13.71,65.9,719 CDM,RX-128614,METHYLPREDNISOLONE SOD SUCC (PF) 500 MG/4 ML INTRAVENOUS SOLUTION,191.8,170.7,39.89,191.8,717 CDM,RX-128615,"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION",234.4,208.62,48.76,234.4,717 CDM,RX-128692,HYDROMORPHONE (PF) 0.2 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN FOR PCA (PEDIATRIC),85.6,76.18,17.8,85.6,715 CDM,RX-128729,KIT FOR PREPARATION OF TC-99M-MEDRONATE SODIUM 20 MG IV SOLUTION,410.0,364.9,85.28,410.0,717 CDM,RX-128734,KIT FOR THE PREPARATION OF TC-99M-MEBROFENIN 45 MG IV SOLUTION,558.0,496.62,89.61,558.0,720 CDM,RX-128759,HYDROCORTISONE SOD SUCCINATE (PF) 500 MG/4 ML SOLUTION FOR INJECTION,352.2,313.46,73.26,352.2,719 CDM,RX-128761,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION,125.4,111.61,25.37,125.4,724 CDM,RX-12886,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION,155.0,137.95,5.37,600.3,2908 CDM,RX-128928,ETHIODIZED OIL 480 MG IODINE/ML FOR INJECTION,841.0,748.49,174.93,841.0,717 CDM,RX-129030,FENTANYL (PF) 50 MCG/ML BAG FOR INFUSION TITRATION (PREMIX/CNR),236.8,210.75,49.25,236.8,719 CDM,RX-129043,KIT FOR PREPARATION OF TC 99M-SODIUM THIOSULFATE 2 MG SOLUTION,451.0,401.39,93.81,451.0,729 CDM,RX-129046,KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION,531.0,472.59,110.45,531.0,728 CDM,RX-129115,TETRACAINE HCL (PF) 0.5 % EYE DROPS,49.9,44.41,10.38,49.9,715 CDM,RX-129119,PHENYLEPHRINE 10 MG/250 ML(40 MCG/ML)IN 0.9 % SOD.CHLORIDE INTRAVENOUS,226.4,201.5,47.09,226.4,718 CDM,RX-12912,PENTOSAN POLYSULFATE SODIUM 100 MG CAPSULE,48.1,42.81,10.0,48.1,727 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),203.7,181.29,42.37,203.7,715 CDM,RX-129134,KIT FOR PREPARATION OF TC-99M-MEDRONATE SODIUM IV SOLUTION,547.0,486.83,113.78,547.0,723 CDM,RX-129179,"SODIUM BICARBONATE 150 MEQ/1,150 ML IN DEXTROSE 5 % INTRAVENOUS",243.5,216.72,50.65,243.5,715 CDM,RX-12933,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",8.8,7.83,0.23,8.8,720 CDM,RX-12934,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE",28.5,25.37,1.13,28.5,719 CDM,RX-12935,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION,733.7,652.99,152.61,733.7,736 CDM,RX-129425,METHOHEXITAL 100 MG/10 ML (10 MG/ML) IN STERILE WATER (PF) IV SYRINGE,86.3,76.81,17.95,86.3,715 CDM,RX-129471,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,116.8,103.95,24.29,116.8,719 CDM,RX-129514,"HEPARIN (PORCINE) 5,000 UNIT/500 ML (10 UNIT/ML) IN 0.9 % NACL FLUSH SOLUTION",94.2,83.84,1.03,94.2,717 CDM,RX-129613,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (CNR/ROBOT),225.6,200.78,46.92,225.6,717 CDM,RX-129696,"CALCIUM PHOSPHATE, TRIBASIC (BULK) 100 % POWDER",58.8,52.33,12.23,58.8,715 CDM,RX-129698,METHYLCELLULOSE (WITH SUGAR) 2 GRAM/19 GRAM ORAL POWDER,24.3,21.63,5.05,24.3,727 CDM,RX-1299,"CALCIUM CARBONATE 1,250 MG (500 MG CALCIUM)/5 ML ORAL SUSPENSION",0.5,0.45,0.1,0.5,727 CDM,RX-129902,OMEGA 3-DHA-EPA-FISH OIL 60 MG-90 MG-500 MG CAPSULE,2.2,1.96,0.46,2.2,727 CDM,RX-129956,ISOFLURANE 99.9 % INHALATION LIQUID,107.5,95.68,22.36,107.5,715 CDM,RX-1300,"CALCIUM CARBONATE 1,250 MG (500 MG CALCIUM) TABLET",0.5,0.45,0.1,0.5,727 CDM,RX-13024,POTASSIUM IODIDE 130 MG TABLET,4.5,4.01,0.94,4.5,727 CDM,RX-130258,POTASSIUM PHOSPHATE 15 MMOL/100 ML IN 0.9 % SOD. CHLORIDE IV PIGGYBACK (CENTRAL LINE ONLY),206.3,183.61,42.91,206.3,715 CDM,RX-13031,BARIUM SULFATE 96 % (W/W) ORAL POWDER FOR SUSPENSION,16.2,14.42,3.37,16.2,717 CDM,RX-130322,SHAMPOO BASE NO.89 (BULK),23.7,21.09,4.93,23.7,715 CDM,RX-130355,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",15160.1,13492.49,203.58,15160.1,736 CDM,RX-130504,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,70.2,62.48,0.16,70.2,727 CDM,RX-130538,PHENOBARB-HYOSCYAMN-ATROPINE-SCOP 16.2 MG-0.1037 MG/5 ML (5 ML) ELIXIR,29.7,26.43,6.18,29.7,727 CDM,RX-1306,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,52.7,46.9,10.96,52.7,715 CDM,RX-13073,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",5.5,4.89,1.14,5.5,727 CDM,RX-1308,CALCIUM 200 MG (AS CALCIUM CITRATE 950 MG) TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-13089,LISINOPRIL 2.5 MG TABLET,6.8,6.05,1.41,6.8,727 CDM,RX-13092,FENTANYL CITRATE (BULK) 100 % POWDER,3204.9,2852.36,666.62,3204.9,717 CDM,RX-131151,OXYBUTYNIN 3.9 MG/24 HOUR TRANSDERMAL 4 DAY PATCH,14.8,13.17,3.08,14.8,727 CDM,RX-1312,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,64.7,57.58,13.46,64.7,723 CDM,RX-131205,HYALUR-PVP-ENOX-ALOE-PG-MALTO-HYDROXYETHYLCEL-CASTOR OIL MOUTHWASH,73.1,65.06,15.2,73.1,727 CDM,RX-131303,"PEDI MULTIVIT NO.22-VIT D3 37.5 MCG-VIT K 1,000 MCG CHEWABLE TABLET",0.5,0.45,0.1,0.5,727 CDM,RX-13132,VALACYCLOVIR 1 GRAM TABLET,10.6,9.43,2.2,10.6,727 CDM,RX-13133,VALACYCLOVIR 500 MG TABLET,9.6,8.54,2.0,9.6,727 CDM,RX-13135,NAPROXEN SODIUM 220 MG TABLET,2.2,1.96,0.46,2.2,727 CDM,RX-131452,SALIVA SUBSTITUTE COMBO NO.9 MOUTHWASH,71.6,63.72,14.89,71.6,727 CDM,RX-13159,PERINDOPRIL ERBUMINE 2 MG TABLET,7.1,6.32,1.48,7.1,727 CDM,RX-13160,PERINDOPRIL ERBUMINE 4 MG TABLET,7.2,6.41,1.5,7.2,727 CDM,RX-131693,FLUTICASONE FUROATE 200 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,362.4,322.54,75.38,362.4,727 CDM,RX-131764,"OXYCODONE ER 30 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",60.5,53.85,12.58,60.5,727 CDM,RX-131765,"OXYCODONE ER 60 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",88.7,78.94,18.45,88.7,727 CDM,RX-13178,IOVERSOL 350 MG IODINE/ML INTRAVENOUS SYRINGE,112.1,99.77,8.57,112.1,719 CDM,RX-13184,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",5.8,5.16,1.21,5.8,727 CDM,RX-131956,"ARIPIPRAZOLE ER 300 MG SUSPENSION, EXTENDED REL. INTRAMUSCULAR SYRINGE",5415.7,4819.97,7.28,5415.7,736 CDM,RX-131957,"ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE",7079.3,6300.58,7.28,7079.3,736 CDM,RX-131981,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR,11722.9,10433.38,89.34,11722.9,734 CDM,RX-132046,KIT FOR THE PREPARATION OF TC-99M-TETROFOSMIN 1.38 MG IV SOLUTION,372.0,331.08,77.38,372.0,717 CDM,RX-132214,ASENAPINE 2.5 MG SUBLINGUAL TABLET,70.3,62.57,14.62,70.3,727 CDM,RX-132277,DINUTUXIMAB 3.5 MG/ML INTRAVENOUS SOLUTION,53782.4,47866.34,11186.74,53782.4,719 CDM,RX-132308,PALIPERIDONE PALMITATE (3-MONTH) 273 MG/0.88 ML INTRAMUSCULAR SYRINGE,8723.6,7764.0,13.0,8723.6,734 CDM,RX-132309,PALIPERIDONE PALMITATE (3-MONTH) 410 MG/1.32 ML INTRAMUSCULAR SYRINGE,12873.1,11457.06,13.0,12873.1,734 CDM,RX-132310,PALIPERIDONE PALMITATE (3 MONTH) 546 MG/1.75 ML INTRAMUSCULAR SYRINGE,17023.1,15150.56,13.0,17023.1,734 CDM,RX-132311,PALIPERIDONE PALMITATE (3-MONTH) 819 MG/2.63 ML INTRAMUSCULAR SYRINGE,25321.6,22536.22,13.0,25321.6,734 CDM,RX-132354,PRESERVATIVE FREE CREAM BASE (BULK),70.2,62.48,14.6,70.2,727 CDM,RX-13257,COENZYME Q10 30 MG CAPSULE,2.6,2.31,0.54,2.6,727 CDM,RX-13358,FAMCICLOVIR 500 MG TABLET,7.2,6.41,1.5,7.2,727 CDM,RX-13369,SUMATRIPTAN 100 MG TABLET,7.2,6.41,1.5,7.2,727 CDM,RX-13444,NEFAZODONE 100 MG TABLET,9.8,8.72,2.04,9.8,727 CDM,RX-13445,NEFAZODONE 150 MG TABLET,10.3,9.17,2.14,10.3,727 CDM,RX-13446,NEFAZODONE 200 MG TABLET,10.4,9.26,2.16,10.4,727 CDM,RX-1350,CAPSAICIN 0.025 % TOPICAL CREAM,14.0,12.46,2.91,14.0,727 CDM,RX-13545,INDIUM 111-PENTETREOTIDE 3 MCI/ML-10 MCG INTRAVENOUS KIT,11901.0,10591.89,2000.94,11901.0,734 CDM,RX-1355,CARBAMAZEPINE 100 MG CHEWABLE TABLET,6.4,5.7,1.33,6.4,727 CDM,RX-1357,CARBAMAZEPINE 200 MG TABLET,6.9,6.14,1.44,6.9,727 CDM,RX-13577,FLUCONAZOLE 150 MG TABLET,7.2,6.41,1.5,7.2,727 CDM,RX-1359,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,55.9,49.75,11.63,55.9,727 CDM,RX-13644,"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE",7.0,6.23,1.46,7.0,727 CDM,RX-13691,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT,3141.8,2796.2,653.49,3141.8,736 CDM,RX-13713,GLUTAMINE (BULK) POWDER,326.4,290.5,67.89,326.4,715 CDM,RX-13884,COLESTIPOL 1 GRAM TABLET,18.3,16.29,3.81,18.3,727 CDM,RX-1395,CARISOPRODOL 350 MG TABLET,10.3,9.17,2.14,10.3,727 CDM,RX-13979,ACITRETIN 25 MG CAPSULE,24.2,21.54,5.03,24.2,727 CDM,RX-13980,ACITRETIN 10 MG CAPSULE,22.1,19.67,4.6,22.1,727 CDM,RX-13981,LAMOTRIGINE 25 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-13982,LAMOTRIGINE 100 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-13983,LAMOTRIGINE 200 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-14087,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,12.1,10.77,2.52,12.1,727 CDM,RX-14100,"DILTIAZEM ER 60 MG CAPSULE,EXTENDED RELEASE 12 HR",17.0,15.13,3.54,17.0,727 CDM,RX-14101,"DILTIAZEM ER 90 MG CAPSULE,EXTENDED RELEASE 12 HR",19.1,17.0,3.97,19.1,727 CDM,RX-14123,BALANCED SALT SOLUTION (BSS PLUS) INTRAOCULAR IRRIGATION,229.0,203.81,47.63,229.0,715 CDM,RX-14132,KETOCONAZOLE 2 % SHAMPOO,83.2,74.05,17.31,83.2,727 CDM,RX-14196,CONJ ESTROGEN-MEDROXYPROGESTERONE 0.625 MG-2.5 MG TABLET,34.5,30.7,7.18,34.5,727 CDM,RX-14197,CONJ ESTROGEN-MEDROXYPROGESTERONE 0.625 MG-5 MG TABLET,34.5,30.7,7.18,34.5,727 CDM,RX-14198,NEFAZODONE 250 MG TABLET,10.5,9.35,2.18,10.5,727 CDM,RX-14233,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,16.1,14.33,3.35,16.1,727 CDM,RX-14266,LAMOTRIGINE 150 MG TABLET,6.5,5.79,1.35,6.5,727 CDM,RX-14348,IOPROMIDE 300 MG IODINE/ML INJECTION SOLUTION,38.8,34.535,0.86,39.1,1440 CDM,RX-14349,IOPROMIDE 370 MG IODINE/ML INJECTION SOLUTION,35.4,31.51,0.86,35.4,720 CDM,RX-14356,IOVERSOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,102.7,91.4,8.57,102.7,719 CDM,RX-1445,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,37.4,33.29,1.9,37.4,734 CDM,RX-14471,DORZOLAMIDE 2 % EYE DROPS,77.6,69.06,16.14,77.6,727 CDM,RX-1448,CEFAZOLIN 500 MG SOLUTION FOR INJECTION,39.8,35.42,0.95,39.8,719 CDM,RX-14550,TERAZOSIN 1 MG CAPSULE,7.8,6.94,1.62,7.8,727 CDM,RX-14551,TERAZOSIN 2 MG CAPSULE,7.3,6.5,1.52,7.3,727 CDM,RX-14553,TERAZOSIN 5 MG CAPSULE,7.2,6.41,1.5,7.2,727 CDM,RX-14596,BIOTIN (BULK) 100 % POWDER,131.5,117.04,27.35,131.5,727 CDM,RX-14626,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",5.8,5.16,1.21,5.8,727 CDM,RX-14628,"INDOMETHACIN ER 75 MG CAPSULE,EXTENDED RELEASE",5.8,5.16,1.21,5.8,727 CDM,RX-14632,TRAMADOL 50 MG TABLET,10.5,9.35,2.18,10.5,727 CDM,RX-14634,CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION,4835.8,4303.86,1005.85,4835.8,736 CDM,RX-1465,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,43.5,38.72,2.36,43.5,725 CDM,RX-14702,ACETIC ACID (BULK) 5 % LIQUID (NON-STERILE),20.1,17.89,4.18,20.1,727 CDM,RX-14719,METFORMIN 850 MG TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-14720,GRANISETRON HCL 1 MG TABLET,9.3,8.28,1.93,9.3,729 CDM,RX-14792,TIZANIDINE 2 MG TABLET,7.6,6.76,1.58,7.6,727 CDM,RX-14793,TIZANIDINE 4 MG TABLET,6.8,6.05,1.41,6.8,727 CDM,RX-14823,LOSARTAN 25 MG TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-14824,LOSARTAN 50 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-14825,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,180.5,160.65,37.54,180.5,727 CDM,RX-14845,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",106.5,94.79,9.22,106.5,719 CDM,RX-14847,DOXYLAMINE SUCCINATE 25 MG TABLET,2.4,2.14,0.5,2.4,727 CDM,RX-14868,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,87.3,77.7,18.16,87.3,718 CDM,RX-14953,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,55.3,49.22,11.5,55.3,727 CDM,RX-15026,MOEXIPRIL 15 MG TABLET,8.2,7.3,1.71,8.2,727 CDM,RX-15027,NICOTINE 10 MG/ML NASAL SPRAY,462.0,411.18,96.1,462.0,715 CDM,RX-15065,FAMOTIDINE 10 MG TABLET,2.3,2.05,0.48,2.3,727 CDM,RX-15113,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,6.5,5.79,0.17,6.5,719 CDM,RX-15119,SEVOFLURANE 99.97 % INHALATION LIQUID,263.2,234.25,54.75,263.2,715 CDM,RX-15156,DEXRAZOXANE HCL 250 MG/25 ML INTRAVENOUS SOLUTION (WETTED) (RECONSTITUTE WITH SWFI),215.7,191.97,44.87,215.7,736 CDM,RX-15157,DEXRAZOXANE HCL 500 MG/50 ML INTRAVENOUS SOLUTION (WETTED) (RECONSTITUTE WITH SWFI),412.7,367.3,63.06,412.7,736 CDM,RX-15275,PIMOZIDE 1 MG TABLET,10.2,9.08,2.12,10.2,727 CDM,RX-15327,SUMATRIPTAN 25 MG TABLET,6.1,5.43,1.27,6.1,727 CDM,RX-15328,SUMATRIPTAN 50 MG TABLET,6.5,5.79,1.35,6.5,727 CDM,RX-1533,ACTIVATED CHARCOAL 260 MG CAPSULE,2.3,2.05,0.48,2.3,727 CDM,RX-15330,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,112.3,99.95,23.36,112.3,725 CDM,RX-15339,"DICLOFENAC SODIUM 25 MG TABLET,DELAYED RELEASE",7.7,6.85,1.6,7.7,727 CDM,RX-15340,"DICLOFENAC SODIUM 50 MG TABLET,DELAYED RELEASE",6.8,6.05,1.41,6.8,727 CDM,RX-15341,"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE",7.1,6.32,1.48,7.1,727 CDM,RX-15349,CETIRIZINE 5 MG TABLET,2.2,1.96,0.46,2.2,727 CDM,RX-15419,"IBUPROFEN 50 MG/1.25 ML ORAL DROPS,SUSPENSION",0.5,0.45,0.1,0.5,727 CDM,RX-15426,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,71.4,63.55,14.85,71.4,720 CDM,RX-15440,RIMANTADINE 100 MG TABLET,12.9,11.48,2.68,12.9,727 CDM,RX-15500,"METHYLPHENIDATE ER 20 MG TABLET,EXTENDED RELEASE",11.9,10.59,2.48,11.9,727 CDM,RX-15595,BUPIVACAINE (BULK) 100 % POWDER,108.8,96.83,22.63,108.8,717 CDM,RX-15636,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) CAPSULE",3.0,2.67,0.62,3.0,727 CDM,RX-15661,ALENDRONATE 10 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-15706,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,20.2,17.98,4.2,20.2,727 CDM,RX-15723,SOTALOL 120 MG TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-15738,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY,208.0,185.12,43.26,208.0,727 CDM,RX-15746,BICALUTAMIDE 50 MG TABLET,6.6,5.87,1.37,6.6,727 CDM,RX-15747,CARVEDILOL 6.25 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-15748,CARVEDILOL 25 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-15749,CARVEDILOL 12.5 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-15757,AZELAIC ACID 20 % TOPICAL CREAM,1655.2,1473.13,344.28,1655.2,727 CDM,RX-15788,ENALAPRIL 5 MG-HYDROCHLOROTHIAZIDE 12.5 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-15796,AZITHROMYCIN 100 MG/5 ML ORAL SUSPENSION,32.3,28.75,6.72,32.3,727 CDM,RX-15797,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,32.8,29.19,6.82,32.8,727 CDM,RX-15847,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",85.5,76.1,0.21,85.5,717 CDM,RX-15849,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",102.2,90.96,5.15,102.2,718 CDM,RX-15852,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,155.4,138.31,15.52,155.4,719 CDM,RX-15859,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,189.0,168.21,39.31,189.0,717 CDM,RX-15870,SULFACETAMIDE SODIUM 10 % EYE OINTMENT,226.5,201.59,47.11,226.5,727 CDM,RX-15880,LAMIVUDINE 150 MG TABLET,24.2,21.54,5.03,24.2,727 CDM,RX-15881,LAMIVUDINE 10 MG/ML ORAL SOLUTION,169.9,151.21,35.34,169.9,727 CDM,RX-15895,ACARBOSE 50 MG TABLET,6.7,5.96,1.39,6.7,727 CDM,RX-15950,SODIUM HYPOCHLORITE 0.25 % SOLUTION,106.2,94.52,22.09,106.2,727 CDM,RX-15981,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS,98.7,87.84,9.23,98.7,725 CDM,RX-15996,METHADONE 10 MG/ML ORAL CONCENTRATE,10.1,8.99,2.1,10.1,727 CDM,RX-16005,TRETINOIN 10 MG CAPSULE,45.0,40.05,9.36,45.0,727 CDM,RX-16013,ISOPROPYL ALCOHOL 70 % SOLUTION,55.0,48.95,11.44,55.0,727 CDM,RX-16034,CALCIPOTRIENE 0.005 % TOPICAL CREAM,302.2,268.96,62.86,302.2,727 CDM,RX-16050,GLUCOSE 4 GRAM CHEWABLE TABLET,2.7,2.4,0.56,2.7,727 CDM,RX-16052,DESMOPRESSIN 0.1 MG TABLET,10.6,9.43,2.2,10.6,727 CDM,RX-16053,DESMOPRESSIN 0.2 MG TABLET,14.0,12.46,2.91,14.0,727 CDM,RX-16070,IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY,124.2,110.54,25.83,124.2,715 CDM,RX-16071,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,117.1,104.22,24.36,117.1,715 CDM,RX-16081,FAMCICLOVIR 250 MG TABLET,6.5,5.79,1.35,6.5,727 CDM,RX-16124,RILUZOLE 50 MG TABLET,7.2,6.41,1.5,7.2,727 CDM,RX-16162,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,79.9,71.11,0.93,79.9,722 CDM,RX-16169,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,205.7,183.07,42.79,205.7,715 CDM,RX-16205,ANASTROZOLE 1 MG TABLET,7.0,6.23,1.46,7.0,727 CDM,RX-16218,CALCITRIOL 1 MCG/ML ORAL SOLUTION,12.4,11.04,2.58,12.4,727 CDM,RX-1622,CHLORDIAZEPOXIDE 10 MG CAPSULE,6.6,5.87,1.37,6.6,727 CDM,RX-1623,CHLORDIAZEPOXIDE 25 MG CAPSULE,7.4,6.59,1.54,7.4,727 CDM,RX-1624,CHLORDIAZEPOXIDE 5 MG CAPSULE,5.7,5.07,1.19,5.7,727 CDM,RX-162595,TRAMADOL 5 MG/ML SUGAR-FREE ORAL SUSPENSION (CNR) (RESTRICTED),11.7,10.41,2.2,12.8,1454 CDM,RX-162657,"IMMUNE GLOB,GAMMA(IGG) 15 %-18 % RANGE-GLYCINE INTRAMUSCULAR SOLUTION",809.3000000000001,720.2800000000001,49.03,1252.4,1474 CDM,RX-162678,TRABECTEDIN 1 MG/20 ML INTRAVENOUS SOLUTION (WETTED),11442.5,10183.83,391.07,11442.5,736 CDM,RX-162685,INSULIN DEGLUDEC (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,145.3,129.32,30.22,145.3,729 CDM,RX-162695,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,912.0,811.68,0.46,912.0,736 CDM,RX-162696,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,616.9,549.04,0.46,616.9,736 CDM,RX-162702,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION (RESTRICTED)",2356.7,2097.46,78.8,2356.7,736 CDM,RX-162703,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION (RESTRICTED)",4238.5,3772.27,78.8,4238.5,736 CDM,RX-162732,CANGRELOR 50 MG INTRAVENOUS SOLUTION,2853.9,2539.97,19.98,2853.9,734 CDM,RX-162802,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET,8.4,7.48,1.75,8.4,715 CDM,RX-162803,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET,8.6,7.65,1.79,8.6,715 CDM,RX-162804,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET,46.5,41.39,9.67,46.5,715 CDM,RX-162826,BREXPIPRAZOLE 0.25 MG TABLET,166.3,148.01,34.59,166.3,727 CDM,RX-162828,BREXPIPRAZOLE 0.5 MG TABLET,166.3,148.01,34.59,166.3,727 CDM,RX-162829,BREXPIPRAZOLE 1 MG TABLET,166.3,148.01,34.59,166.3,727 CDM,RX-162830,BREXPIPRAZOLE 2 MG TABLET,166.3,148.01,34.59,166.3,727 CDM,RX-162831,BREXPIPRAZOLE 3 MG TABLET,166.3,148.01,34.59,166.3,727 CDM,RX-162859,"TACROLIMUS ER 0.75 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",20.0,17.8,4.16,20.0,729 CDM,RX-162860,"TACROLIMUS ER 1 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",24.9,22.16,5.18,24.9,729 CDM,RX-162861,"TACROLIMUS ER 4 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",83.9,74.67,17.45,83.9,729 CDM,RX-163068,SULFUR HEXAFLUORIDE MICROSPHERES 25 MG INTRAVENOUS SUSPENSION,454.3,404.33,94.49,454.3,720 CDM,RX-163097,ELUXADOLINE 75 MG TABLET,98.6,87.75,20.51,98.6,727 CDM,RX-163106,EVOLOCUMAB 140 MG/ML SUBCUTANEOUS SYRINGE,801.8,713.6,166.77,801.8,727 CDM,RX-163152,TICAGRELOR 60 MG TABLET,24.6,21.89,5.12,24.6,727 CDM,RX-163223,FLUTEMETAMOL F-18 5 MCI (185 MBQ) INTRAVENOUS SOLUTION,22750.0,20247.5,1944.01,22750.0,734 CDM,RX-163286,PEDIATRIC MULTIVITAMIN NO.118 ORAL LIQUID,0.5,0.45,0.1,0.5,727 CDM,RX-163328,"ARIPIPRAZOLE LAUROXIL ER 662 MG/2.4 ML SUSPENSION, EXT.REL. IM SYRINGE",6290.8,5598.81,3.35,6290.8,736 CDM,RX-163329,"ARIPIPRAZOLE LAUROXIL ER 441 MG/1.6 ML SUSPENSION, EXT.REL. IM SYRINGE",4332.6,3856.01,3.35,4332.6,736 CDM,RX-163330,"ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2 ML SUSPENSION, EXT.REL. IM SYRINGE",8240.1,7333.69,3.35,8240.1,736 CDM,RX-163352,SODIUM IODIDE-131 (I-131) THERAPY SOLUTION,47.0,41.83,9.78,47.0,734 CDM,RX-1634,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,42.2,37.56,8.78,42.2,717 CDM,RX-163412,IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,6890.7,6132.72,1433.27,6890.7,715 CDM,RX-163447,COAGULATION FACTOR X 250 (+/-) UNIT RANGE INTRAVENOUS SOLUTION,63.6,56.6,9.78,63.6,736 CDM,RX-163448,COAGULATION FACTOR X 500 (+/-) UNIT RANGE INTRAVENOUS SOLUTION,63.6,56.6,9.78,63.6,736 CDM,RX-163450,BUPRENORPHINE HCL 75 MCG BUCCAL FILM,35.7,31.77,7.43,35.7,727 CDM,RX-163451,BUPRENORPHINE HCL 150 MCG BUCCAL FILM,35.7,31.77,7.43,35.7,727 CDM,RX-163452,BUPRENORPHINE HCL 300 MCG BUCCAL FILM,57.4,51.09,11.94,57.4,727 CDM,RX-1635,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,42.5,37.83,8.84,42.5,719 CDM,RX-163500,PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET,88.1,78.41,18.32,88.1,727 CDM,RX-163511,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION,8648.0,7696.72,31.27,8648.0,736 CDM,RX-163518,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFENAM 10 MG TABLET,491.3,437.26,102.19,491.3,727 CDM,RX-163529,ORA-BLEND,66.9,59.54,13.92,66.9,715 CDM,RX-16355,GLIMEPIRIDE 1 MG TABLET,6.6,5.87,1.37,6.6,727 CDM,RX-163550,COBIMETINIB 20 MG TABLET,457.8,407.44,95.22,457.8,727 CDM,RX-16356,GLIMEPIRIDE 2 MG TABLET,6.2,5.52,1.29,6.2,727 CDM,RX-163563,OSIMERTINIB 40 MG TABLET,1866.0,1660.74,388.13,1866.0,727 CDM,RX-163564,OSIMERTINIB 80 MG TABLET,1866.0,1660.74,388.13,1866.0,727 CDM,RX-16357,GLIMEPIRIDE 4 MG TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-163579,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION,9587.6,8532.96,71.37,9587.6,736 CDM,RX-163624,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 500 (+/-) UNIT IV SOLUTION",43.0,38.27,2.1,43.0,736 CDM,RX-163625,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 1,000(+/-) UNIT IV SOLUTION",43.0,38.27,2.1,43.0,736 CDM,RX-163649,ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION,7042.8,6268.09,7.89,7042.8,736 CDM,RX-163658,NALOXONE 4 MG/ACTUATION NASAL SPRAY,120.3,107.07,25.02,120.3,727 CDM,RX-163680,PEDIATRIC MULTIVITAMIN NO.128-VITAMIN K 500 MCG/ML ORAL LIQUID,0.5,0.45,0.1,0.5,2181 CDM,RX-163687,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,4367.1,3886.72,13.49,4367.1,736 CDM,RX-16369,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,44.6,39.69,1.99,44.6,720 CDM,RX-163690,SEBELIPASE ALFA 2 MG/ML INTRAVENOUS SOLUTION,25950.0,23095.5,539.91,25950.0,734 CDM,RX-1637,CHLOROQUINE 250 MG TABLET,15.2,13.53,3.16,15.2,727 CDM,RX-16371,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,53.0,47.17,3.98,53.0,719 CDM,RX-163711,ALECTINIB 150 MG CAPSULE,285.3,253.92,59.34,285.3,727 CDM,RX-163742,SELEXIPAG 200 MCG TABLET,904.2,804.74,188.07,904.2,727 CDM,RX-163745,SELEXIPAG 800 MCG TABLET,1372.9,1221.88,285.56,1372.9,727 CDM,RX-1638,CHLOROQUINE 500 MG TABLET,31.3,27.86,6.51,31.3,727 CDM,RX-1644,CHLORPHENIRAMINE 2 MG/5 ML ORAL SYRUP,91.0,80.99,18.93,91.0,727 CDM,RX-1645,CHLORPHENIRAMINE 4 MG TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-1649,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,119.9,106.71,24.94,119.9,719 CDM,RX-165203,DABIGATRAN ETEXILATE 110 MG CAPSULE,15.2,13.53,3.16,15.2,727 CDM,RX-165206,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,456.2,406.02,94.89,456.2,715 CDM,RX-165219,SELENIUM SULFIDE 2.5 % LOTION,93.2,82.95,19.39,93.2,727 CDM,RX-165276,"PHOSPHATE DIALY SOLN W-OUT CALCIUM,DEX K 4 MEQ-MG 1.5 MEQ-PO4 1 MMOL/L",157.5,140.18,32.76,157.5,715 CDM,RX-1653,CHLORPROMAZINE 10 MG TABLET,10.5,9.35,2.18,10.5,727 CDM,RX-1654,CHLORPROMAZINE 100 MG TABLET,19.0,16.91,3.95,19.0,727 CDM,RX-1657,CHLORPROMAZINE 50 MG TABLET,15.2,13.53,3.16,15.2,727 CDM,RX-166055,CARIPRAZINE 1.5 MG CAPSULE,170.1,151.39,35.38,170.1,727 CDM,RX-166056,CARIPRAZINE 3 MG CAPSULE,170.1,151.39,35.38,170.1,727 CDM,RX-166058,CARIPRAZINE 6 MG CAPSULE,170.1,151.39,35.38,170.1,727 CDM,RX-166064,URIDINE TRIACETATE 10 GRAM ORAL GRANULES IN PACKET,13921.4,12390.05,2895.65,13921.4,727 CDM,RX-1661,CHLORTHALIDONE 25 MG TABLET,7.5,6.68,1.56,7.5,727 CDM,RX-1662,CHLORTHALIDONE 50 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-16632,PAROXETINE 10 MG TABLET,6.4,5.7,1.33,6.4,727 CDM,RX-16633,PAROXETINE 40 MG TABLET,6.4,5.7,1.33,6.4,727 CDM,RX-1664,CHLORZOXAZONE 500 MG TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-166601,INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN,783.6,697.4,162.99,783.6,729 CDM,RX-166643,EMTRICITABINE 200 MG-RILPIVIRINE 25 MG-TENOFOVIR ALAFENAM 25 MG TABLET,452.5,402.73,94.12,452.5,727 CDM,RX-166644,METOPROLOL TARTRATE 37.5 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-166649,"TOFACITINIB ER 11 MG TABLET,EXTENDED RELEASE 24 HR",684.7,609.38,142.42,684.7,727 CDM,RX-166661,"FACTOR IX RECOMB, ALBUMIN FUSION PROTEIN 1,000 (+/-) UNIT IV SOLUTION",55.8,49.66,5.32,55.8,736 CDM,RX-166662,"FACTOR IX RECOMB, ALBUMIN FUSION PROTEIN 2,000 (+/-) UNIT IV SOLUTION",55.8,49.66,5.32,55.8,736 CDM,RX-166721,EPINEPHRINE HCL 100 MCG/10 ML(10 MCG/ML) IN 0.9 % SOD CHLOR IV SYRINGE,52.1,46.37,10.84,52.1,721 CDM,RX-166759,IXEKIZUMAB 80 MG/ML SUBCUTANEOUS SYRINGE,19010.0,16918.9,3954.08,19010.0,727 CDM,RX-167317,DEFIBROTIDE 80 MG/ML INTRAVENOUS SOLUTION,3981.3,3543.36,828.11,3981.3,715 CDM,RX-167382,EMTRICITABINE 200 MG-TENOFOVIR ALAFENAMIDE FUMARATE 25 MG TABLET,242.7,216.0,50.48,242.7,727 CDM,RX-167446,VENETOCLAX 10 MG TABLET,53.4,47.53,11.11,53.4,727 CDM,RX-167447,VENETOCLAX 50 MG TABLET,226.7,201.76,47.15,226.7,727 CDM,RX-167448,VENETOCLAX 100 MG TABLET,460.0,409.4,95.68,460.0,727 CDM,RX-167476,VANCOMYCIN 1 GRAM/200 ML IN 0.9 % SOD. CHLORIDE INTRAVENOUS PIGGYBACK,105.8,94.16,22.01,105.8,718 CDM,RX-1676,"CHORIONIC GONADOTROPIN, HUMAN 10,000 UNIT/ML IM POWDER FOR SOLUTION (WETTED)",658.0,585.62,136.86,658.0,719 CDM,RX-16830,MELATONIN 3 MG TABLET,2.4,2.14,0.5,2.4,727 CDM,RX-16880,CELLULOSE 80 % ORAL POWDER,50.8,45.21,10.57,50.8,715 CDM,RX-169245,MEPIVACAINE 30 MG/ML (3 %) INJECTION DENTAL CARTRIDGE,39.7,35.33,8.26,39.7,715 CDM,RX-169252,BRIVARACETAM 50 MG/5 ML INTRAVENOUS SOLUTION,54.3,48.33,11.29,54.3,719 CDM,RX-169253,BRIVARACETAM 10 MG/ML ORAL SOLUTION,89.1,79.3,14.71,95.9,3635 CDM,RX-169255,BRIVARACETAM 25 MG TABLET,95.9,85.35,19.95,95.9,727 CDM,RX-169256,BRIVARACETAM 50 MG TABLET,95.9,85.35,19.95,95.9,727 CDM,RX-169321,OXYCODONE ER 9 MG CAPSULE SPRINKLE EXTENDED RELEASE 12 HR(DON'T CRUSH),33.1,29.46,6.88,33.1,727 CDM,RX-169324,OXYCODONE ER 27 MG CAPSULE SPRINKLE EXTENDED RELEASE 12HR(DON'T CRUSH),75.5,67.19,15.7,75.5,727 CDM,RX-169325,OXYCODONE ER 36 MG CAPSULE SPRINKLE EXTENDED RELEASE 12HR(DON'T CRUSH),88.3,78.59,18.37,88.3,727 CDM,RX-16983,ADAPALENE 0.1 % TOPICAL GEL,114.7,102.08,23.86,114.7,727 CDM,RX-17010,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR",5.9,5.25,1.23,5.9,727 CDM,RX-17012,BLEOMYCIN 30 UNITS/6 ML SOLUTION FOR INJECTION (WETTED),300.9,267.8,52.94,300.9,719 CDM,RX-170144,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),6.9,6.14,1.44,6.9,727 CDM,RX-170145,"BUPROPION HCL 150 MG TABLET,12 HR SUSTAINED-RELEASE(SMOKING DETERRENT)",6.1,5.43,1.27,6.1,727 CDM,RX-17017,TRANDOLAPRIL 1 MG TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-17018,TRANDOLAPRIL 2 MG TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-17023,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-170260,CARFILZOMIB 30 MG/15 ML INTRAVENOUS SOLUTION (WETTED),5403.5,4809.11,55.65,5403.5,736 CDM,RX-170290,VANCOMYCIN 1.75 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,237.0,210.93,49.3,237.0,717 CDM,RX-1703,CITRIC ACID (BULK) POWDER,115.3,102.62,23.98,115.3,727 CDM,RX-170303,SOFOSBUVIR 400 MG-VELPATASVIR 100 MG TABLET,895.8,797.26,186.33,895.8,727 CDM,RX-17033,AZATHIOPRINE (BULK) POWDER,206.3,183.61,42.91,206.3,717 CDM,RX-17050,BACLOFEN (BULK) 100 % POWDER,90.0,80.1,18.72,90.0,717 CDM,RX-170725,LEECH (MEDICINAL),98.3,87.49,20.45,98.3,715 CDM,RX-170793,"VON WILLEBRAND FACTOR(RECOMB) 1,300 (+/-) UNIT RANGE INTRAVENOUS SOLN",42.9,38.18,1.85,42.9,736 CDM,RX-170794,VON WILLEBRAND FACTOR (RECOMB) 650 (+/-) UNIT RANGE INTRAVENOUS SOLN,42.9,38.18,1.85,42.9,736 CDM,RX-170795,APREPITANT 25 MG/ML ORAL SUSPENSION,1010.5,899.35,79.64,1010.5,719 CDM,RX-170817,FERROUS SULFATE 220 MG (44 MG IRON)/5 ML ORAL ELIXIR,58.7,52.24,12.21,58.7,727 CDM,RX-17085,CLONIDINE HCL (BULK) POWDER,119.8,106.62,24.92,119.8,717 CDM,RX-171418,"THEOPHYLLINE ER 400 MG TABLET,EXTENDED RELEASE 24 HR",8.4,7.48,1.75,8.4,727 CDM,RX-171424,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,228.0,202.92,47.42,228.0,715 CDM,RX-171441,METHYLNALTREXONE 150 MG TABLET,102.9,91.58,21.4,102.9,727 CDM,RX-171457,SOD POLYSTYRENE SULFONATE 30 GRAM-SORBITOL 40 GRAM/120 ML ENEMA,334.5,297.7,69.58,334.5,727 CDM,RX-171479,LISINOPRIL 1 MG/ML ORAL SOLUTION,2015.3,1793.62,419.18,2015.3,727 CDM,RX-17154,METOPROLOL TARTRATE (BULK) 100 % POWDER,531.0,472.59,110.45,531.0,727 CDM,RX-171879,METHYLENE BLUE (ANTIDOTE) 0.5 % (5 MG/ML) INTRAVENOUS SOLUTION,315.1,280.44,8.73,315.1,744 CDM,RX-171881,KIT FOR THE PREPARATION OF GA-68-DOTATATE 40 MCG INTRAVENOUS SOLN,197.5,175.78,41.08,197.5,743 CDM,RX-172004,USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION,5955.8,5300.66,12.99,5955.8,736 CDM,RX-17204,NIFEDIPINE (BULK) POWDER,713.4,634.93,148.39,713.4,715 CDM,RX-172384,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION,1207.9,1075.03,19.99,1207.9,736 CDM,RX-172387,AMINOLEVULINIC ACID HCL 10 % TOPICAL GEL,837.6,745.46,1.79,837.6,736 CDM,RX-172405,LEVONORGESTREL 17.5 MCG/24 HR (UP TO 5 YRS) 19.5MG INTRAUTERINE DEVICE,1676.2,1491.82,348.65,1676.2,720 CDM,RX-172407,"LIPASE-PROTEASE-AMYLASE(PORK)21,000-54,700-83,900 UNIT CAPSULE,DEL REL",27.8,24.74,5.78,27.8,727 CDM,RX-172408,"LIPASE-PROTEASE-AMYLASE(PORK)10,500-35,500-61,500 UNIT CAPSULE,DEL REL",16.4,14.6,3.41,16.4,727 CDM,RX-17285,TOPOTECAN 4 MG/4 ML INTRAVENOUS SOLUTION (WETTED),286.3,254.81,57.41,286.3,719 CDM,RX-17377,RISPERIDONE 1 MG/ML ORAL SOLUTION,5.6,4.98,1.16,5.6,727 CDM,RX-17378,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION,1655.8,1473.66,344.41,1655.8,740 CDM,RX-17379,MEROPENEM 500 MG INTRAVENOUS SOLUTION,44.7,39.78,2.2,44.7,719 CDM,RX-1738,CHLORDIAZEPOXIDE-CLIDINIUM 5 MG-2.5 MG CAPSULE,6.6,5.87,1.37,6.6,727 CDM,RX-17380,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,52.1,46.37,4.4,52.1,719 CDM,RX-17387,AZITHROMYCIN 600 MG TABLET,9.6,8.54,2.0,9.6,727 CDM,RX-1740,CLINDAMYCIN HCL 150 MG CAPSULE,5.8,5.16,1.21,5.8,727 CDM,RX-17403,NEVIRAPINE 200 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-17405,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,205.2,182.63,42.68,205.2,729 CDM,RX-1741,CLINDAMYCIN HCL 75 MG CAPSULE,15.0,13.35,3.12,15.0,727 CDM,RX-1742,CLINDAMYCIN PHOSPHATE 1 % TOPICAL SOLUTION,116.0,103.24,24.13,116.0,727 CDM,RX-17427,MELATONIN 5 MG TABLET,2.6,2.31,0.54,2.6,727 CDM,RX-17451,ETOPOSIDE PHOSPHATE 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED),765.1,680.94,12.01,765.1,719 CDM,RX-17464,BUSPIRONE 15 MG TABLET,6.4,5.7,1.33,6.4,727 CDM,RX-17465,MIRTAZAPINE 30 MG TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-17466,MIRTAZAPINE 15 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-17482,AZITHROMYCIN 500 MG TABLET,12.8,11.39,2.66,12.8,727 CDM,RX-1753,CLOMIPHENE CITRATE 50 MG TABLET,44.7,39.78,9.3,44.7,727 CDM,RX-1754,CLOMIPRAMINE 50 MG CAPSULE,47.9,42.63,9.96,47.9,727 CDM,RX-175459,PROCAINAMIDE 100 MG/ML INTRAVENOUS SYRINGE,207.8,184.94,43.22,338.89,736 CDM,RX-175461,TENOFOVIR ALAFENAMIDE 25 MG TABLET,172.4,153.44,35.86,172.4,727 CDM,RX-1755,CLONIDINE HCL 0.1 MG TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-1756,CLONIDINE HCL 0.2 MG TABLET,6.1,5.43,1.27,6.1,727 CDM,RX-17560,CALCIPOTRIENE 0.005 % SCALP SOLUTION,741.9,660.29,154.32,741.9,727 CDM,RX-175739,GLYCOPYRROLATE(PF) 0.4 MG/2 ML (0.2 MG/ML) IN STERILE WATER IV SYRINGE,41.9,37.29,8.72,41.9,717 CDM,RX-175785,NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION,366172.4,325893.44,1280.25,366172.4,734 CDM,RX-1759,CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET,13.7,12.19,2.85,13.7,727 CDM,RX-17594,IODIXANOL 270 MG IODINE/ML INTRAVENOUS SOLUTION,103.7,92.29,21.57,103.7,719 CDM,RX-17595,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,95.2,84.73,8.57,95.2,722 CDM,RX-1760,CLORAZEPATE DIPOTASSIUM 7.5 MG TABLET,14.6,12.99,3.04,14.6,727 CDM,RX-17600,SODIUM PHENYLBUTYRATE 500 MG TABLET,70.0,62.3,14.56,70.0,727 CDM,RX-17601,SODIUM PHENYLBUTYRATE 0.94 GRAM/GRAM ORAL POWDER,12236.2,10890.22,2545.13,12236.2,727 CDM,RX-176352,ENALAPRIL MALEATE 1 MG/ML ORAL SOLUTION,777.3,691.8,161.68,777.3,715 CDM,RX-176471,LINACLOTIDE 72 MCG CAPSULE,35.6,31.68,7.4,35.6,727 CDM,RX-1767,CLOTRIMAZOLE 1 % TOPICAL CREAM,57.2,50.91,11.9,57.2,727 CDM,RX-1768,CLOTRIMAZOLE 1 % TOPICAL SOLUTION,204.6,182.09,42.56,204.6,727 CDM,RX-177126,THIOTEPA 100 MG/10 ML SOLUTION FOR INJECTION (WETTED),1196.3,1064.71,10.54,1196.3,734 CDM,RX-177177,LISDEXAMFETAMINE 60 MG CHEWABLE TABLET,49.0,43.61,10.19,49.0,727 CDM,RX-177209,TELOTRISTAT ETHYL 250 MG TABLET,491.2,437.17,102.17,491.2,727 CDM,RX-177253,CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION,56170.5,49991.75,141.6,56170.5,736 CDM,RX-177259,VANCOMYCIN 100 GRAM SOLUTION FOR INJECTION,1162.5,1034.63,241.8,1162.5,721 CDM,RX-177327,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION,53872.3,47946.35,59.41,53872.3,736 CDM,RX-177328,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,5282.7,4701.6,1098.8,5282.7,727 CDM,RX-177340,DEUTETRABENAZINE 6 MG TABLET,275.0,244.75,57.2,275.0,727 CDM,RX-177379,VALBENAZINE 40 MG CAPSULE,860.6,765.93,179.0,860.6,727 CDM,RX-17801,ACETIC ACID 2 % EAR SOLUTION,123.7,110.09,25.73,123.7,727 CDM,RX-17837,ALBUTEROL SULFATE 90 MCG/ACTUATION AEROSOL HFA INHALER,127.8,113.74,26.58,127.8,727 CDM,RX-178576,METHOTREXATE 2.5 MG/ML ORAL SOLUTION,4017.2,3575.31,22.68,4017.2,729 CDM,RX-178584,MIDOSTAURIN 25 MG CAPSULE,760.6,676.93,158.2,760.6,727 CDM,RX-178590,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,12707.9,11310.03,85.12,12707.9,736 CDM,RX-178591,"ABALOPARATIDE 80 MCG/DOSE(3,120 MCG/1.56 ML) SUBCUTANEOUS PEN INJECTOR",7875.5,7009.2,1638.1,7875.5,727 CDM,RX-178613,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 3,000(+/-) UNIT IV SOLUTION",43.0,38.27,2.1,43.0,736 CDM,RX-178633,EDARAVONE 30 MG/100 ML INTRAVENOUS SOLUTION,3507.5,3121.68,20.99,3507.5,736 CDM,RX-178647,CERLIPONASE ALFA 150 MG/5 ML INTRAVENTRICULAR SOLUTION,90110.0,80197.9,120.36,90110.0,734 CDM,RX-17881,BRIMONIDINE 0.2 % EYE DROPS,69.6,61.94,14.48,69.6,727 CDM,RX-179233,DRONABINOL 5 MG/ML ORAL SOLUTION,64.0,56.96,13.31,64.0,727 CDM,RX-179256,CERLIPONASE ALFA 300 MG/10 ML(150 MG/5ML X2) INTRAVENTRICULAR KIT,90110.0,80197.9,120.36,90110.0,734 CDM,RX-179279,UREA 15 GRAM ORAL POWDER PACKET,16.3,14.51,3.39,16.3,727 CDM,RX-179288,"ARIPIPRAZOLE LAUROXIL ER 1,064 MG/3.9 ML SUSPENSION,EXT.REL IM SYRINGE",9852.8,8768.99,3.35,9852.8,736 CDM,RX-179326,"DEXTROAMPHETAMINE-AMPHETAMINE ER 12.5 MG CAPSULE, 3 BEAD, EXT REL 24HR",54.1,48.15,11.25,54.1,727 CDM,RX-179327,"DEXTROAMPHETAMINE-AMPHETAMINE ER 25 MG CAPSULE,3 BEAD,EXT RELEASE 24HR",54.1,48.15,11.25,54.1,727 CDM,RX-179339,HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION,28992.9,25803.68,34.18,28992.9,736 CDM,RX-17936,OLANZAPINE 5 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-17937,OLANZAPINE 10 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-17938,OLANZAPINE 7.5 MG TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-179442,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION,1085.4,966.01,27.0,1085.4,737 CDM,RX-17960,ZAFIRLUKAST 20 MG TABLET,15.0,13.35,3.12,15.0,727 CDM,RX-17961,ZIDOVUDINE 300 MG TABLET,6.6,5.87,1.37,6.6,727 CDM,RX-179934,POTASSIUM IODIDE 65 MG/ML ORAL DROPS,3.7,3.29,0.77,3.7,715 CDM,RX-179935,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,77.5,68.97,16.12,77.5,727 CDM,RX-179936,GLECAPREVIR 100 MG-PIBRENTASVIR 40 MG TABLET,519.7,462.53,108.1,519.7,727 CDM,RX-17997,AMMONIUM LACTATE 12 % TOPICAL CREAM,18.7,16.64,3.89,18.7,727 CDM,RX-179981,ENASIDENIB 50 MG TABLET,3643.6,3242.8,757.87,3643.6,727 CDM,RX-179982,ENASIDENIB 100 MG TABLET,3643.6,3242.8,757.87,3643.6,727 CDM,RX-179989,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL GEL,105.0,93.45,21.84,105.0,715 CDM,RX-180026,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS HALF-UNIT PEN,108.7,96.74,22.61,108.7,729 CDM,RX-180034,INOTUZUMAB OZOGAMICIN 0.9 MG/3.6 ML (0.25 MG/ML INITIAL CONCENTRATION) IV SOLN (WETTED),68378.3,60856.69,2698.05,68378.3,736 CDM,RX-180035,OLAPARIB 150 MG TABLET,504.6,449.09,104.96,504.6,727 CDM,RX-180036,OLAPARIB 100 MG TABLET,504.6,449.09,104.96,504.6,727 CDM,RX-1801,CODEINE SULFATE 15 MG TABLET,12.4,11.04,2.58,12.4,727 CDM,RX-1802,CODEINE SULFATE 30 MG TABLET,12.4,11.04,2.58,12.4,727 CDM,RX-180236,FLUCICLOVINE F18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION,12387.6,11024.96,322.27,12387.6,734 CDM,RX-180240,DELAFLOXACIN 300 MG INTRAVENOUS SOLUTION,251.0,223.39,52.21,251.0,719 CDM,RX-180242,TRIPTORELIN PAMOATE (PEDIATRIC) 22.5 MG IM SUSPENSION,57525.7,51197.87,3817.28,57525.7,734 CDM,RX-180254,PSYLLIUM HUSK (WITH SUGAR) 2.5 GRAM ORAL WAFER,4.3,3.83,0.89,4.3,727 CDM,RX-180268,GEMTUZUMAB OZOGAMICIN 4.5 MG/4.5 ML (1 MG/ML INITIAL CONCENTRATION) IV SOLN (WETTED),29692.7,26426.5,236.62,29692.7,736 CDM,RX-180304,BARIUM SULFATE 2 % (W/V) ORAL SUSPENSION,17.6,15.66,3.66,17.6,717 CDM,RX-18072,DIMETHYL SULFOXIDE (BULK) 99.99 % LIQUID,33.9,30.17,7.05,33.9,717 CDM,RX-181062,"L. ACIDOPHILUS,CASEI,RHAMNOSUS 50 BILLION CELL CAPSULE,DELAYED RELEASE",8.9,7.92,1.85,8.9,727 CDM,RX-181063,ETELCALCETIDE 5 MG/ML INTRAVENOUS SOLUTION,620.9,552.6,2.29,620.9,1432 CDM,RX-181065,INSULIN ASPART (NIACINAMIDE) (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,267.9,238.43,55.72,267.9,727 CDM,RX-181078,MEROPENEM-VABORBACTAM 2 GRAM INTRAVENOUS SOLUTION,637.9,567.73,2.18,637.9,734 CDM,RX-181122,FLUTICASONE FUR. 100 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,584.6,520.29,121.6,584.6,727 CDM,RX-181144,VALBENAZINE 80 MG CAPSULE,936.0,833.04,194.69,936.0,727 CDM,RX-181145,DILTIAZEM HCL 100 MG/100 ML (1 MG/ML) IN SOD CHLORIDE IV SOLN (PREMIX/CNR),231.3,205.86,48.11,231.3,715 CDM,RX-181219,"VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT",225.4,200.61,46.88,246.23,719 CDM,RX-181221,VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50 MCG IM SUSPENSION,225.4,200.61,46.88,246.23,719 CDM,RX-181321,LETERMOVIR 240 MG TABLET,903.8,804.38,187.99,903.8,727 CDM,RX-181322,LETERMOVIR 480 MG TABLET,903.8,804.38,187.99,903.8,727 CDM,RX-181324,LETERMOVIR 480 MG/24 ML (20 MG/ML) INTRAVENOUS SOLUTION (RESTRICTED),1097.0,976.33,228.18,1097.0,719 CDM,RX-181330,EPINEPHRINE HCL 100 MCG/10 ML (10 MCG/ML) IN D5W INTRAVENOUS SYRINGE,64.7,57.58,13.46,64.7,719 CDM,RX-181339,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE,13676.5,12172.09,164.59,13676.5,736 CDM,RX-181389,DOLUTEGRAVIR 50 MG-RILPIVIRINE 25 MG TABLET,426.9,379.94,88.8,426.9,727 CDM,RX-181401,"LIPASE-PROTEASE-AMYLASE (PORK) 20,000-63,000-84K UNIT CAPSULE, DEL REL",32.9,29.28,6.84,32.9,727 CDM,RX-18192,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,41.1,36.58,0.58,41.1,723 CDM,RX-18193,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION,39.7,35.33,2.19,39.7,719 CDM,RX-18194,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,49.65,44.19,5.75,49.9,1438 CDM,RX-18195,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,38.5,34.27,1.44,38.5,729 CDM,RX-182084,"LIPASE-PROTEASE-AMYLASE(PORK) 40,000-126,000-168K UNIT CAPSULE,DEL REL",61.1,54.38,12.71,61.1,727 CDM,RX-1821,COLCHICINE 0.6 MG TABLET,16.3,14.51,3.39,16.3,727 CDM,RX-182106,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION,1878.6,1671.95,101.95,1878.6,719 CDM,RX-182120,"BUPRENORPHINE ER 300 MG/1.5 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",5899.9,5250.91,1227.18,5899.9,736 CDM,RX-182121,"BUPRENORPHINE ER 100 MG/0.5 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",5899.8,5250.82,1227.16,5899.8,736 CDM,RX-182171,"FIBRINOGEN 1 GRAM (700 MG-1,300 MG) INTRAVENOUS SOLUTION",38.6,34.35,1.23,38.6,735 CDM,RX-182774,VORETIGENE NEPARVOVEC-RZYL 1.5X10EXP11 VG/0.3 ML(FINAL)SUBRETINAL SUSP,467500.0,416075.0,3002.58,488353.15,734 CDM,RX-182777,ANGIOTENSIN II 2.5 MG/ML INTRAVENOUS SOLUTION,5146.3,4580.21,1070.43,5146.3,717 CDM,RX-182838,LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION,197251.0,175553.39,316.99,197251.0,739 CDM,RX-18287,BISOPROLOL FUMARATE 10 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-18288,BISOPROLOL FUMARATE 5 MG TABLET,8.4,7.48,1.75,8.4,727 CDM,RX-18292,TORSEMIDE 10 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-18293,TORSEMIDE 20 MG TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-18294,TORSEMIDE 100 MG TABLET,6.2,5.52,1.29,6.2,727 CDM,RX-18295,TORSEMIDE 5 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-18302,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,50.4,44.86,5.02,50.4,719 CDM,RX-18303,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,45.7,40.67,3.76,45.7,720 CDM,RX-18304,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,41.3,36.76,2.51,41.3,719 CDM,RX-18307,GABAPENTIN 400 MG CAPSULE,5.6,4.98,1.16,5.6,727 CDM,RX-18308,GABAPENTIN 300 MG CAPSULE,5.5,4.89,1.14,5.5,727 CDM,RX-18309,GABAPENTIN 100 MG CAPSULE,5.4,4.81,1.12,5.4,727 CDM,RX-18310,RISPERIDONE 4 MG TABLET,6.3,5.61,1.31,6.3,727 CDM,RX-18311,RISPERIDONE 2 MG TABLET,6.2,5.52,1.29,6.2,727 CDM,RX-18312,RISPERIDONE 3 MG TABLET,6.4,5.7,1.33,6.4,727 CDM,RX-18313,RISPERIDONE 1 MG TABLET,6.1,5.43,1.27,6.1,727 CDM,RX-18315,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV",110.0,97.9,18.46,110.0,719 CDM,RX-18334,LACTULOSE 10 GRAM ORAL PACKET,37.6,33.46,7.82,37.6,727 CDM,RX-18385,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",7.6,6.76,1.58,7.6,727 CDM,RX-18386,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",5.2,4.63,1.08,5.2,727 CDM,RX-183931,GLUTAMINE (SICKLE CELL) 5 GRAM ORAL POWDER PACKET,86.6,77.07,18.01,86.6,727 CDM,RX-183958,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET,471.1,419.28,97.99,471.1,727 CDM,RX-183971,APALUTAMIDE 60 MG TABLET,450.7,401.12,93.75,450.7,727 CDM,RX-183973,"LIPASE-PROTEASE-AMYLASE(PORK)5,000-17,000-24,000 UNIT CAPSULE, DEL REL",12.2,10.86,2.54,12.2,727 CDM,RX-183974,"LIPASE-PROTEASE-AMYLASE (PORK) 25,000-79,000-105K UNIT CAPSULE,DEL REL",39.5,35.16,8.22,39.5,727 CDM,RX-18398,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,170.3,151.57,35.42,170.3,715 CDM,RX-183990,IBRUTINIB 140 MG TABLET,1116.0,993.24,232.13,1116.0,727 CDM,RX-18400,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION,243.1,216.36,50.56,243.1,715 CDM,RX-184002,IBRUTINIB 70 MG CAPSULE,1116.2,993.42,232.17,1116.2,727 CDM,RX-18551,CARVEDILOL 3.125 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-185986,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION,20226.5,18001.58,172.22,20226.5,736 CDM,RX-185995,NETARSUDIL 0.02 % EYE DROPS,1281.3,1140.36,266.51,1281.3,727 CDM,RX-186031,ROFLUMILAST 250 MCG TABLET,15.7,13.97,3.27,15.7,727 CDM,RX-186060,STERILE TALC 4 GRAM INTRAPLEURAL SUSPENSION,646.5,575.39,134.47,646.5,715 CDM,RX-18621,LATANOPROST 0.005 % EYE DROPS,63.5,56.52,13.21,63.5,727 CDM,RX-18743,PENCICLOVIR 1 % TOPICAL CREAM,2033.5,1809.82,422.97,2033.5,727 CDM,RX-18786,DONEPEZIL 5 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-18787,DONEPEZIL 10 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-18799,BETAINE 1 GRAM/SCOOP ORAL POWDER,5064.2,4507.14,1053.35,5064.2,727 CDM,RX-188267,RITONAVIR 100 MG ORAL POWDER PACKET,34.3,30.53,7.13,34.3,727 CDM,RX-188271,COCAINE 4 % NASAL SOLUTION,1088.8,969.03,226.47,1088.8,720 CDM,RX-188272,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION,71.3,63.46,14.83,71.3,737 CDM,RX-188336,"LIPASE-PROTEASE-AMYLASE(PORK)10,000-32,000-42,000 UNIT CAPSULE,DEL REL",19.2,17.09,3.99,19.2,727 CDM,RX-188342,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR SOLUTION,6020.3,5358.07,279.85,6020.3,734 CDM,RX-188357,GANCICLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,158.4,140.98,32.95,158.4,719 CDM,RX-188448,"LIPASE-PROTEASE-AMYLASE (PORK) 15,000-47,000-63K UNIT CAPSULE,DEL REL",25.5,22.7,5.3,25.5,727 CDM,RX-188451,FOSTAMATINIB 100 MG TABLET,853.7,759.79,177.57,853.7,727 CDM,RX-188452,FOSTAMATINIB 150 MG TABLET,853.7,759.79,177.57,853.7,727 CDM,RX-188461,BACLOFEN 5 MG TABLET,9.9,8.81,2.06,9.9,727 CDM,RX-188490,ERENUMAB-AOOE 70 MG/ML SUBCUTANEOUS AUTO-INJECTOR,2039.3,1814.98,424.17,2039.3,727 CDM,RX-188523,AVATROMBOPAG 20 MG TABLET,1371.7,1220.81,285.31,1371.7,727 CDM,RX-18877,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,10.0,8.9,0.06,10.0,729 CDM,RX-188808,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION,98.1,87.31,11.27,98.1,719 CDM,RX-188809,BARICITINIB 2 MG TABLET,306.6,272.87,63.77,306.6,727 CDM,RX-188821,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION",108.8,96.83,7.85,108.8,736 CDM,RX-188822,"EPOETIN ALFA-EPBX 3,000 UNIT/ML INJECTION SOLUTION",138.2,123.0,7.85,138.2,736 CDM,RX-188823,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION",167.6,149.16,7.85,167.6,736 CDM,RX-188824,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",344.0,306.16,7.85,344.0,736 CDM,RX-188825,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION",1029.5,916.26,7.85,1029.5,736 CDM,RX-188907,ORA-SWEET SYRUP,66.9,59.54,13.92,66.9,727 CDM,RX-188917,ENCORAFENIB 75 MG CAPSULE,288.2,256.5,59.95,288.2,727 CDM,RX-188918,BINIMETINIB 15 MG TABLET,282.9,251.78,58.84,282.9,727 CDM,RX-18908,NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,86.2,76.72,17.93,86.2,715 CDM,RX-189119,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,3459.1,3078.6,99.13,3459.1,737 CDM,RX-189147,"ARIPIPRAZOLE LAUROXIL,SUBMIC. ER 675 MG/2.4 ML SUSP,EXT.REL.IM SYRINGE",6406.0,5701.34,3.25,6406.0,736 CDM,RX-189159,PIMAVANSERIN 34 MG CAPSULE,569.2,506.59,118.39,569.2,727 CDM,RX-18918,LEVOFLOXACIN 250 MG TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-18919,LEVOFLOXACIN 500 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-189191,DARUNAVIR 800 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFEN 10 MG TABLET,519.9,462.71,108.14,519.9,727 CDM,RX-18920,TOPIRAMATE 25 MG TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-189209,IVOSIDENIB 250 MG TABLET,1819.2,1619.09,378.39,1819.2,727 CDM,RX-18921,TOPIRAMATE 200 MG TABLET,7.7,6.85,1.6,7.7,727 CDM,RX-189218,ELAGOLIX 150 MG TABLET,146.9,130.74,30.56,146.9,727 CDM,RX-18922,TOPIRAMATE 100 MG TABLET,6.4,5.7,1.33,6.4,727 CDM,RX-189695,CARFILZOMIB 10 MG/5 ML INTRAVENOUS SOLUTION (WETTED),2101.2,1870.07,55.65,2101.2,736 CDM,RX-189704,PARENTERAL AMINO ACID 15 % COMBINATION (CLINISOL SF) INTRAVENOUS SOLUTION,883.7,786.49,183.81,883.7,715 CDM,RX-189705,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET,80.4,71.56,16.72,80.4,727 CDM,RX-189706,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET,80.4,71.56,16.72,80.4,727 CDM,RX-189711,HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE,187.4,166.79,38.98,202.86,718 CDM,RX-190262,FILGRASTIM-AAFI 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,303.4,270.03,0.3,303.4,736 CDM,RX-190263,FILGRASTIM-AAFI 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,436.9,388.84,0.3,436.9,736 CDM,RX-190273,ERAVACYCLINE 50 MG INTRAVENOUS SOLUTION,285.7,254.27,1.3,285.7,736 CDM,RX-190338,DORAVIRINE 100 MG TABLET,208.8,185.83,43.43,208.8,727 CDM,RX-190348,FLUDEOXYGLUCOSE F-18 INTRAVENOUS SOLUTION,840.0,747.6,174.72,840.0,732 CDM,RX-190353,FREMANEZUMAB-VFRM 225 MG/1.5 ML SUBCUTANEOUS SYRINGE,2062.2,1835.36,428.94,2062.2,717 CDM,RX-190382,DUVELISIB 25 MG CAPSULE,1028.3,915.19,213.89,1028.3,727 CDM,RX-190634,EVEROLIMUS (IMMUNOSUPPRESSIVE) 1 MG TABLET,34.7,30.88,5.41,34.7,729 CDM,RX-190637,KIT FOR PREPARATION OF TC-99M-BICISATE 0.9 MG INTRAVENOUS SOLUTION,6996.0,6226.44,775.52,6996.0,734 CDM,RX-190640,AMINOLEVULINIC ACID HCL 30 MG/ML ORAL SOLUTION,9648.0,8586.72,2006.78,9648.0,727 CDM,RX-190645,RIVAROXABAN 2.5 MG TABLET,27.7,24.65,5.76,27.7,727 CDM,RX-190652,CANNABIDIOL 100 MG/ML ORAL SOLUTION,5430.6,4833.23,1129.56,5430.6,727 CDM,RX-190674,"CALCIUM CARBONATE-VITAMIN D3-VITAMIN K 1,625 MG (650 MG CALCIUM)-12.5 MCG (500 UNIT)-40 MCG CHEWABLE TABLET",0.5,0.45,0.1,0.5,727 CDM,RX-190766,KIT FOR THE PREP OF TC-99M-TILMANOCEPT 250 MCG SOLUTION FOR INJECTION,712.5,634.13,148.2,712.5,717 CDM,RX-190773,DUPILUMAB 200 MG/1.14 ML SUBCUTANEOUS SYRINGE,5282.7,4701.6,1098.8,5282.7,727 CDM,RX-190782,BALOXAVIR MARBOXIL 40 MG TABLET,529.5,471.26,110.14,529.5,727 CDM,RX-191033,FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION,408.4,363.48,84.95,408.4,715 CDM,RX-191036,OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE,1985.5,1767.1,44.6,1985.5,736 CDM,RX-191038,OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE,4288.1,3816.41,44.6,4288.1,738 CDM,RX-191053,TESTOSTERONE ENANTHATE 75 MG/0.5 ML SUBCUTANEOUS AUTO-INJECTOR,513.2,456.75,106.75,513.2,717 CDM,RX-191074,CEFEPIME 100 GRAM INTRAVENOUS SOLUTION,962.5,856.63,200.2,962.5,719 CDM,RX-191093,LORLATINIB 25 MG TABLET,768.3,683.79,159.81,768.3,727 CDM,RX-191094,LORLATINIB 100 MG TABLET,2067.8,1840.34,430.1,2067.8,727 CDM,RX-191141,REVEFENACIN 175 MCG/3 ML SOLUTION FOR NEBULIZATION,126.4,112.5,26.29,126.4,731 CDM,RX-191176,GILTERITINIB 40 MG TABLET,1039.9,925.51,216.3,1039.9,727 CDM,RX-191389,AMIFAMPRIDINE PHOSPHATE 10 MG TABLET,602.4,536.14,125.3,602.4,727 CDM,RX-191397,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,88.0,78.32,18.3,88.0,717 CDM,RX-191403,OMADACYCLINE 150 MG TABLET,804.0,715.56,167.23,804.0,727 CDM,RX-191404,OMADACYCLINE 100 MG INTRAVENOUS SOLUTION,1250.2,1112.68,4.02,1250.2,734 CDM,RX-191411,FLUOCINOLONE 0.18 MG INTRAVITREAL IMPLANT,28127.6,25033.56,529.89,28127.6,736 CDM,RX-191414,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,8261.0,7352.29,106.33,8261.0,738 CDM,RX-191481,LEVOTHYROXINE 200 MCG CAPSULE,21.7,19.31,4.51,21.7,727 CDM,RX-191482,TOCILIZUMAB 162 MG/0.9 ML SUBCUTANEOUS PEN INJECTOR,3288.6,2926.85,5.71,3288.6,736 CDM,RX-19153,CITRULLINE (BULK) POWDER,607.5,540.67,126.36,607.5,715 CDM,RX-19160,TAURINE (BULK) 100 % POWDER,196.5,174.89,40.87,196.5,727 CDM,RX-191751,ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION,272.9,242.88,56.76,272.9,715 CDM,RX-191752,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,108.8,96.83,22.63,108.8,717 CDM,RX-191754,GALCANEZUMAB-GNLM 120 MG/ML SUBCUTANEOUS SYRINGE,1995.1,1775.64,414.98,1995.1,727 CDM,RX-191759,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION",102.9,91.58,21.4,102.9,717 CDM,RX-19176,ATORVASTATIN 10 MG TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-191760,EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION,45820.0,40779.8,384.85,91215.0,2208 CDM,RX-191765,"BARIUM SULFATE 40 % (W/V), 29 % (W/W) (1,500 CPS) ORAL SUSPENSION",8.4,7.48,1.75,8.4,717 CDM,RX-19177,ATORVASTATIN 40 MG TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-19178,ATORVASTATIN 20 MG TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-19179,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,74.2,66.04,15.43,74.2,727 CDM,RX-192138,PRUCALOPRIDE 1 MG TABLET,8.0,7.12,1.66,8.0,727 CDM,RX-192150,LEVOTHYROXINE 100 MCG/ML ORAL SOLUTION,22.0,19.58,4.58,22.0,727 CDM,RX-192154,LEVOTHYROXINE 150 MCG/ML ORAL SOLUTION,21.4,19.05,4.45,21.4,727 CDM,RX-192158,FILGRASTIM-AAFI 300 MCG/ML INJECTION SOLUTION,303.4,270.03,0.3,303.4,736 CDM,RX-192159,FILGRASTIM-AAFI 480 MCG/1.6 ML INJECTION SOLUTION,436.9,388.84,0.3,436.9,736 CDM,RX-192180,CAPLACIZUMAB-YHDP 11 MG INJECTION KIT,18156.1,16158.93,802.49,18156.1,734 CDM,RX-19226,CABERGOLINE 0.5 MG TABLET,14.5,12.91,3.02,14.5,727 CDM,RX-192293,"TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION",94968.7,84522.14,356.93,94968.7,736 CDM,RX-192456,TACROLIMUS 0.2 MG ORAL GRANULES IN PACKET,21.9,19.49,19.8,19.8,1 CDM,RX-192458,TACROLIMUS 1 MG ORAL GRANULES IN PACKET,30.2,26.88,0.23,30.2,719 CDM,RX-192471,DEXAMETHASONE 0.4 MG INTRACANALICULAR INSERT,1089.7,969.83,102.94,1089.7,734 CDM,RX-192545,NETARSUDIL 0.02 %-LATANOPROST 0.005 % EYE DROPS,1097.7,976.95,228.32,1097.7,727 CDM,RX-192557,ERENUMAB-AOOE 140 MG/ML SUBCUTANEOUS AUTO-INJECTOR,2039.3,1814.98,424.17,2039.3,727 CDM,RX-192748,ONABOTULINUMTOXINA (COSMETIC) 100 UNIT INTRAMUSCULAR SOLUTION,1700.0,1513.0,6.5,1700.0,736 CDM,RX-192794,DOLUTEGRAVIR 50 MG-LAMIVUDINE 300 MG TABLET,377.0,335.53,78.42,377.0,727 CDM,RX-192795,ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE,6650.0,5918.5,12.07,6650.0,736 CDM,RX-192798,ARTIFICIAL TEARS (HYPROMELLOSE) (PF) 1.7 % EYE DROPS WITH APPLICATOR,168.4,149.88,35.03,168.4,727 CDM,RX-193023,LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION,265.0,235.85,6.83,265.0,734 CDM,RX-193273,SELENIUM 60 MCG/ML INTRAVENOUS SOLUTION,706.5,628.78,146.95,706.5,715 CDM,RX-193304,MEPOLIZUMAB 100 MG/ML SUBCUTANEOUS AUTO-INJECTOR,10347.6,9209.36,31.27,10347.6,736 CDM,RX-19333,CLONIDINE (PF) 100 MCG/ML EPIDURAL SOLUTION,41.7,37.11,8.67,41.7,720 CDM,RX-193545,KIT FOR TC 99M-LABELED RED BLOOD CELLS INTRAVENOUS SOLUTION,854.0,760.06,159.92,854.0,718 CDM,RX-193547,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,5151.0,4584.395,27.86,7971.5,1472 CDM,RX-193548,KIT FOR PREP TC-99M-MERTIATIDE (BETIATIDE) 1 MG INTRAVENOUS SOLUTION,1235.0,1099.15,256.88,1235.0,723 CDM,RX-193551,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",204.3,181.83,42.49,204.3,717 CDM,RX-193638,AMLODIPINE BENZOATE 1 MG/ML ORAL SUSPENSION,36.6,32.57,1.62,43.1,4362 CDM,RX-193694,DAROLUTAMIDE 300 MG TABLET,366.5,326.19,76.23,366.5,727 CDM,RX-194001,ASFOTASE ALFA 18 MG/0.45 ML SUBCUTANEOUS SOLUTION,3642.5,3241.83,757.64,3642.5,727 CDM,RX-194006,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",96.0,85.44,19.97,96.0,715 CDM,RX-194007,TAFAMIDIS 61 MG CAPSULE,2058.9,1832.42,428.25,2058.9,727 CDM,RX-194044,CARDIOPLEGIC SOLUTION (DEL NIDO) FOR PERFUSION (PREMIX/CNR),430.7,383.32,39.77,458.8,2145 CDM,RX-194078,"UPADACITINIB ER 15 MG TABLET,EXTENDED RELEASE 24 HR",751.4,668.75,156.29,751.4,727 CDM,RX-194272,LIDOCAINE 2.5 %-PRILOCAINE 2.5 % DENTAL CARTRIDGE,27.1,24.12,5.64,27.1,727 CDM,RX-194307,KIT FOR PREPARATION OF TC-99M-SODIUM OXIDRONATE 3.15 MG IV SOLUTION,192.0,170.88,39.94,192.0,719 CDM,RX-19433,WARFARIN 3 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-19436,BARIUM SULFATE 98 % ORAL POWDER FOR SUSPENSION,21.1,18.78,4.39,21.1,717 CDM,RX-194363,SEMAGLUTIDE 3 MG TABLET,113.2,100.75,23.55,113.2,727 CDM,RX-194364,SEMAGLUTIDE 7 MG TABLET,113.2,100.75,23.55,113.2,727 CDM,RX-194369,SODIUM PERTECHNETATE TC-99M INTRAVENOUS SOLUTION,26.0,23.14,5.41,26.0,723 CDM,RX-194541,CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION,85816.3,76376.51,82.08,85816.3,734 CDM,RX-194606,GALLIUM-67 CITRATE 74 MBQ/ML (2 MCI/ML) INTRAVENOUS SOLUTION,284.0,252.76,59.07,284.0,717 CDM,RX-194675,ELEXACAFTOR 100 MG-TEZACAF 50MG-IVACAF 75MG(D)/IVACAF 150MG(N) TABLETS,71773.5,63878.42,14928.89,71773.5,727 CDM,RX-19474,ACETAMINOPHEN 300 MG-CODEINE 15 MG TABLET,11.0,9.79,2.29,11.0,727 CDM,RX-19481,ASPIRIN-CAFFEINE 400 MG-32 MG TABLET,2.3,2.05,0.48,2.3,727 CDM,RX-19483,"CALCIUM CARBONATE 1,250 MG (500 MG CALCIUM)-VITAMIN D3 5 MCG (200 UNIT) TABLET",0.5,0.45,0.1,0.5,727 CDM,RX-19490,IODINE-SODIUM IODIDE 2 % TOPICAL TINCTURE,59.2,52.69,12.31,59.2,715 CDM,RX-194908,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,4756.900000000001,4233.64,29.38,7628.1,1474 CDM,RX-194909,PRETOMANID 200 MG TABLET,93.6,83.3,19.47,93.6,727 CDM,RX-194930,BARICITINIB 1 MG TABLET,306.6,272.87,63.77,306.6,727 CDM,RX-194981,LUSPATERCEPT-AAMT 75 MG/1.5 ML SUBCUTANEOUS SOLUTION (WETTED),31717.4,28228.49,41.98,31717.4,736 CDM,RX-195001,"IMMUNE GLOBULIN,GAMMA(IGG)-SLRA HUMAN 10 % INTRAVENOUS SOLUTION",12014.8,10693.17,496.74,12014.8,736 CDM,RX-195013,ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION,4018.2,3576.2,11.01,4018.2,734 CDM,RX-195263,INSULIN REGULAR U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,104.9,93.36,21.82,104.9,727 CDM,RX-195280,"MINERAL OIL, LIGHT STERILE",19.8,17.62,4.12,19.8,727 CDM,RX-195531,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,3425.65,3048.83,25.77,5211.0,1474 CDM,RX-195532,ZINC SULFATE 3 MG/ML INTRAVENOUS SOLUTION,106.7,94.96,22.19,106.7,715 CDM,RX-195533,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,4007.2000000000003,3566.4049999999997,27.85,6378.6,1472 CDM,RX-195534,IMIPENEM-CILASTATIN-RELEBACTAM 1.25 GRAM INTRAVENOUS SOLUTION,934.6,831.79,194.4,934.6,719 CDM,RX-195555,UBROGEPANT 50 MG TABLET,376.8,335.35,78.37,376.8,727 CDM,RX-195556,UBROGEPANT 100 MG TABLET,376.8,335.35,78.37,376.8,727 CDM,RX-195568,LUMATEPERONE 42 MG CAPSULE,190.3,169.37,39.58,190.3,727 CDM,RX-195605,DIAZEPAM 20 MG/2 SPRAY (10 MG/0.1 ML X 2) NASAL SPRAY,1137.7,1012.55,236.64,1137.7,727 CDM,RX-195825,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION,696.9,620.24,2.42,696.9,734 CDM,RX-196123,CENOBAMATE 50 MG TABLET,145.7,129.67,30.31,145.7,727 CDM,RX-196124,CENOBAMATE 100 MG TABLET,145.7,129.67,30.31,145.7,727 CDM,RX-196125,CENOBAMATE 150 MG TABLET,145.7,129.67,30.31,145.7,727 CDM,RX-196126,CENOBAMATE 200 MG TABLET,145.7,129.67,30.31,145.7,727 CDM,RX-196127,CENOBAMATE 12.5 MG (14)-25 MG (14) TABLETS IN A DOSE PACK,378.1,336.51,78.64,378.1,727 CDM,RX-196157,RIMEGEPANT 75 MG DISINTEGRATING TABLET,433.8,386.08,90.23,433.8,727 CDM,RX-196167,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,3029.8,2696.52,81.9,3029.8,736 CDM,RX-19636,PHENYLEPHRINE 10 % EYE DROPS,115.7,102.97,24.07,115.7,715 CDM,RX-196472,ELTROMBOPAG OLAMINE 25 MG ORAL POWDER PACKET,838.4,746.18,174.39,838.4,727 CDM,RX-196729,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION,1986.9,1768.34,6.73,1986.9,734 CDM,RX-19677,BENZOCAINE 20 % TOPICAL AEROSOL,62.0,55.18,12.9,62.0,727 CDM,RX-196785,INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION,1051.4,935.75,20.41,1051.4,737 CDM,RX-196787,LEMBOREXANT 5 MG TABLET,56.5,50.29,11.75,56.5,727 CDM,RX-196788,LEMBOREXANT 10 MG TABLET,56.5,50.29,11.75,56.5,727 CDM,RX-196809,NIMODIPINE 30 MG/5 ML ORAL SYRINGE (FOR ORAL USE ONLY),160.2,142.58,33.32,160.2,727 CDM,RX-196810,NIMODIPINE 60 MG/10 ML ORAL SYRINGE (FOR ORAL USE ONLY),165.6,147.38,34.44,165.6,727 CDM,RX-196819,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN",31586.6,28112.07,55.57,31586.6,738 CDM,RX-19696,BENZOCAINE 20 % MUCOSAL AEROSOL SPRAY,151.9,135.19,31.6,151.9,715 CDM,RX-19704,CARBACHOL 0.01 % INTRAOCULAR SOLUTION,54.0,48.06,11.23,54.0,715 CDM,RX-19711,CLINDAMYCIN 1 % LOTION,124.8,111.07,25.96,124.8,727 CDM,RX-197114,PEDIATRIC MULTIVITAMIN NO.189-FERROUS SULFATE 11 MG/ML ORAL DROPS,0.5,0.45,0.1,0.5,727 CDM,RX-19713,DIAZOXIDE 50 MG/ML ORAL SUSPENSION,668.7,595.14,139.09,668.7,727 CDM,RX-19714,DICLOFENAC 0.1 % EYE DROPS,78.4,69.78,16.31,78.4,727 CDM,RX-197191,DOLUTEGRAVIR 5 MG TABLET FOR ORAL SUSPENSION,32.3,28.75,6.72,32.3,727 CDM,RX-19732,HYDROCORTISONE ACETATE 10 % (80 MG) RECTAL FOAM,1348.9,1200.52,280.57,1348.9,727 CDM,RX-19733,KETOROLAC 0.5 % EYE DROPS,79.8,71.02,16.6,79.8,715 CDM,RX-19740,METHYLCELLULOSE (LAXATIVE) 500 MG TABLET,2.6,2.31,0.54,2.6,727 CDM,RX-19741,METRONIDAZOLE 0.75 % TOPICAL GEL,77.6,69.06,16.14,77.6,727 CDM,RX-197426,BRILLIANT BLUE 0.025% OPHTHALMIC SOLUTION,530.5,472.15,110.34,530.5,715 CDM,RX-19746,OFLOXACIN 0.3 % EYE DROPS,81.2,72.27,16.89,81.2,727 CDM,RX-197463,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS PEN INJECTOR,5282.7,4701.6,1098.8,5282.7,727 CDM,RX-197475,PEDIATRIC MULTIVITAMIN NO.192 250 MCG-50 MG-10 MCG/ML ORAL DROPS,0.5,0.45,0.1,0.5,727 CDM,RX-19770,TRIAMCINOLONE ACETONIDE 0.147 MG/GRAM TOPICAL AEROSOL,507.5,451.68,105.56,507.5,727 CDM,RX-19775,UREA 10 % TOPICAL CREAM,80.1,71.29,16.66,80.1,727 CDM,RX-19776,UREA 20 % TOPICAL CREAM,73.6,65.5,15.31,73.6,727 CDM,RX-19791,POVIDONE-IODINE 5 % EYE SOLUTION,14.6,12.99,3.04,14.6,715 CDM,RX-19805,METRONIDAZOLE 0.75 % TOPICAL CREAM,150.1,133.59,31.22,150.1,727 CDM,RX-19809,CROMOLYN 100 MG/5 ML ORAL CONCENTRATE,18.6,16.55,3.87,18.6,727 CDM,RX-198139,TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION,129.6,115.34,26.96,129.6,715 CDM,RX-198230,"MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION",168.9,150.32,35.13,196.48,719 CDM,RX-198280,COPPER CU-64 DOTATATE 148 MBQ/4 ML (4 MCI/4 ML) INTRAVENOUS SOLUTION,8500.0,7565.0,594.28,8500.0,734 CDM,RX-198285,DULAGLUTIDE 3 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,708.3,630.39,147.33,708.3,727 CDM,RX-198317,SORBITOL-MANNITOL-XANTHAN GUM ORAL LIQUID,5.1,4.54,1.06,5.1,727 CDM,RX-198328,PSYLLIUM HUSK (ASPARTAME) 3 GRAM/5.8 GRAMS ORAL POWDER PACKET,2.7,2.4,0.56,2.7,727 CDM,RX-198548,FLUTICASONE FUR. 200 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,584.6,520.29,121.6,584.6,727 CDM,RX-198592,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION,38528.8,34290.635,225.11,60302.4,1472 CDM,RX-19882,SERTRALINE 25 MG TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-198862,"EPOETIN ALFA-EPBX 20,000 UNIT/2 ML INJECTION SOLUTION",577.3,513.8,7.85,577.3,736 CDM,RX-198995,REMIMAZOLAM 20 MG INTRAVENOUS SOLUTION,136.3,121.31,28.35,136.3,725 CDM,RX-199017,"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION",577.3,513.8,7.85,577.3,736 CDM,RX-199036,GALLIUM GA-68 GOZETOTIDE 18.5 MBQ TO 185 MBQ/ML (0.5-5 MCI/ML) IV SOLN,591.6,526.52,123.05,591.6,734 CDM,RX-199075,"DIP,PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SYRNG",156.2,139.02,32.49,167.49,719 CDM,RX-199108,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,5086.35,4526.85,26.51,8177.2,1468 CDM,RX-19928,ITRACONAZOLE 10 MG/ML ORAL SOLUTION,512.3,455.95,106.56,512.3,727 CDM,RX-199386,VIBEGRON 75 MG TABLET,56.7,50.46,11.79,56.7,727 CDM,RX-199457,VERICIGUAT 5 MG TABLET,70.7,62.92,14.71,70.7,727 CDM,RX-199680,"PHYTONADIONE (VITAMIN K1) 1,000 MCG CAPSULE",2.5,2.23,0.52,2.5,727 CDM,RX-199691,TRILACICLIB 300 MG/20 ML INTRAVENOUS SOLUTION (WETTED),4435.4,3947.51,5.46,4435.4,734 CDM,RX-199948,ENZALUTAMIDE 40 MG TABLET,441.8,393.2,91.89,441.8,727 CDM,RX-199949,ENZALUTAMIDE 80 MG TABLET,823.5,732.92,171.29,823.5,727 CDM,RX-20038,SUMATRIPTAN 5 MG/ACTUATION NASAL SPRAY,158.2,140.8,32.91,158.2,727 CDM,RX-20039,SUMATRIPTAN 20 MG/ACTUATION NASAL SPRAY,82.8,73.69,17.22,82.8,727 CDM,RX-200465,THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION,5581.5,4967.54,1160.95,5581.5,738 CDM,RX-200470,ARTESUNATE 110 MG/11 ML INTRAVENOUS SOLUTION (WETTED) (RESTRICTED),13797.3,12279.6,2869.84,13797.3,719 CDM,RX-200525,"VILOXAZINE ER 100 MG CAPSULE,EXTENDED RELEASE 24 HR",50.2,44.68,10.44,50.2,727 CDM,RX-200527,"VILOXAZINE ER 200 MG CAPSULE,EXTENDED RELEASE 24 HR",50.2,44.68,10.44,50.2,727 CDM,RX-200613,LONCASTUXIMAB TESIRINE-LPYL 10 MG/2 ML INTRAVENOUS SOLUTION (WETTED),81733.4,72742.73,216.9,81733.4,734 CDM,RX-200621,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION,34619.5,30811.36,243.71,34619.5,734 CDM,RX-2007,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",38.7,34.44,0.73,38.7,722 CDM,RX-20077,MESNA 400 MG TABLET,187.0,166.43,38.9,187.0,727 CDM,RX-2008,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-200829,"VITAMIN A PALMITATE 7,500 MCG (25,000 UNIT) CAPSULE",2.3,2.05,0.48,2.3,727 CDM,RX-200876,VALBENAZINE 60 MG CAPSULE,936.0,833.04,194.69,936.0,727 CDM,RX-2009,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",2.2,1.96,0.46,2.2,727 CDM,RX-200961,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION,11050.1,9834.59,22.54,11050.1,735 CDM,RX-2010,CYANOCOBALAMIN (VIT B-12) 250 MCG TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-201100,"PIFLUFOLASTAT F 18 37 MBQ/ML TO 2,960 MBQ/ML (1-80 MCI/ML) IV SOLUTION",11500.0,10235.0,346.49,11500.0,734 CDM,RX-201101,SOTORASIB 120 MG TABLET,293.0,260.77,60.94,293.0,727 CDM,RX-2012,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-201220,SEMAGLUTIDE (WEIGHT LOSS) 1.7 MG/0.75 ML SUBCUTANEOUS PEN INJECTOR,906.5,806.79,188.55,906.5,727 CDM,RX-201262,AVAPRITINIB 25 MG TABLET,3952.9,3518.08,822.2,3952.9,727 CDM,RX-201478,HYDROXYETHYLCELLULOSE-GLYCERIN IN WATER INTRAUTERINE INFUSION FOAM SYR,12060.0,10733.4,2508.48,12060.0,715 CDM,RX-201497,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,322.9,287.38,67.16,357.5,717 CDM,RX-201528,ASPARAGINASE ERWINIA CHRYSANTHEMI-RYWN 10 MG/0.5 ML IM SOLUTION,15960.3,14204.67,55.47,15960.3,735 CDM,RX-201538,FINERENONE 10 MG TABLET,60.3,53.67,12.54,60.3,727 CDM,RX-20156,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION,237.6,211.46,19.21,237.6,720 CDM,RX-201569,BELUMOSUDIL 200 MG TABLET,1953.9,1738.97,406.41,1953.9,727 CDM,RX-2017,CYCLOBENZAPRINE 10 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-201765,ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION,14154.7,12597.68,18.08,14154.7,734 CDM,RX-202056,POLYETHYLENE GLYCOL 400 1 % EYE DROPS,96.8,86.15,20.13,96.8,727 CDM,RX-202117,TISOTUMAB VEDOTIN-TFTV 40 MG/4 ML INTRAVENOUS SOLUTION (WETTED),21058.3,18741.89,188.76,21058.3,734 CDM,RX-202284,FENTANYL (PF) 20 MCG/2 ML (10 MCG/ML) IN 0.9 % SOD CHLORIDE IV SYRINGE,91.0,80.99,18.93,91.0,715 CDM,RX-202326,AVACOPAN 10 MG CAPSULE,371.2,330.37,77.21,371.2,727 CDM,RX-2025,CYCLOPENTOLATE 1 % EYE DROPS,63.2,56.25,13.15,63.2,727 CDM,RX-202515,ASCIMINIB 20 MG TABLET,1172.2,1043.26,243.82,1172.2,727 CDM,RX-202516,ASCIMINIB 40 MG TABLET,1172.2,1043.26,243.82,1172.2,727 CDM,RX-202538,TOPIRAMATE 25 MG/ML ORAL SOLUTION,1789.8,1592.92,372.28,1789.8,727 CDM,RX-202754,SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION,20018.0,17816.02,84.57,20018.0,734 CDM,RX-202759,MARIBAVIR 200 MG TABLET,760.3,676.67,158.14,760.3,727 CDM,RX-202761,BICTEGRAVIR 30 MG-EMTRICITABINE 120 MG-TENOFOVIR ALAFENAM 15 MG TABLET,471.1,419.28,97.99,471.1,727 CDM,RX-202818,EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION (RESTRICTED),16210.5,14427.35,32.15,16210.5,734 CDM,RX-202973,RIVAROXABAN 1 MG/ML ORAL SUSPENSION,27.0,24.03,5.62,27.0,727 CDM,RX-202982,"UPADACITINIB ER 30 MG TABLET,EXTENDED RELEASE 24 HR",751.4,668.75,156.29,751.4,727 CDM,RX-203169,KIT FOR PREPARATION OF GA-68-GOZETOTIDE 25 MCG INTRAVENOUS SOLUTION,10000.0,8900.0,362.5,10000.0,747 CDM,RX-203191,FARICIMAB-SVOA 6 MG/0.05 ML INTRAVITREAL SOLUTION (WRAPPER),6346.0,5647.94,33.88,6346.0,734 CDM,RX-2032,CYPROHEPTADINE 2 MG/5 ML ORAL SYRUP,88.4,78.68,18.39,88.4,727 CDM,RX-203213,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION,19.4,17.27,4.04,19.4,727 CDM,RX-203236,VASOPRESSIN 0.4 UNIT/ML INTRAVENOUS SOLUTION,283.9,252.67,59.05,283.9,717 CDM,RX-2033,CYPROHEPTADINE 4 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-203366,"LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN",161500.0,143735.0,255.84,161500.0,736 CDM,RX-203379,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION,51.7,46.01,3.8,51.7,733 CDM,RX-203441,FILGRASTIM-AYOW 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,258.9,230.42,0.38,258.9,736 CDM,RX-203442,FILGRASTIM-AYOW 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,368.4,327.88,0.38,368.4,734 CDM,RX-203461,MEDIUM CHAIN TRIGLYCERIDES (MCT) 14 GRAM-130 KCAL/15 ML ORAL OIL,3.2,2.85,0.67,3.2,1454 CDM,RX-203531,"UPADACITINIB ER 45 MG TABLET,EXTENDED RELEASE 24 HR",1442.7,1284.0,300.08,1442.7,727 CDM,RX-203567,SEMAGLUTIDE (DIABETES) 2 MG/DOSE (8 MG/3 ML) SUBCUTANEOUS PEN INJECTOR,2805.8,2497.16,583.61,2805.8,727 CDM,RX-203898,SODIUM CHLORIDE 234 MG/ML (4 MEQ/ML) ORAL SOLUTION,5.65,5.025,1.06,217.6,12359 CDM,RX-204131,TIRZEPATIDE (DIABETES) 2.5 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,769.3,684.68,160.01,769.3,727 CDM,RX-204338,TREPROSTINIL 16 MCG CARTRIDGE,3337.5,2970.38,694.2,3337.5,727 CDM,RX-204339,TREPROSTINIL 32 MCG CARTRIDGE,3280.0,2919.2,682.24,3280.0,727 CDM,RX-204340,TREPROSTINIL 48 MCG CARTRIDGE,3200.1,2848.09,665.62,3200.1,727 CDM,RX-204341,TREPROSTINIL 64 MCG CARTRIDGE,3200.1,2848.09,665.62,3200.1,727 CDM,RX-204369,CHLOROTHIAZIDE (BULK) 100 % POWDER,1140.0,1014.6,237.12,1140.0,727 CDM,RX-204409,RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION,25675.3,22851.02,14.94,25675.3,734 CDM,RX-204411,RISANKIZUMAB-RZAA 360 MG/2.4 ML (150 MG/ML) SUBCUT WEARABLE INJECTOR,55658.7,49536.24,5634.0,55658.7,729 CDM,RX-20446,ANAGRELIDE 0.5 MG CAPSULE,7.4,6.59,1.54,7.4,727 CDM,RX-204603,FLORTAUCIPIR F-18 370 MBQ (10 MCI) INTRAVENOUS SOLUTION,9625.0,8566.25,2002.0,9625.0,735 CDM,RX-204760,LUMATEPERONE 10.5 MG CAPSULE,190.3,169.37,39.58,190.3,727 CDM,RX-204761,LUMATEPERONE 21 MG CAPSULE,190.3,169.37,39.58,190.3,727 CDM,RX-205029,PAFOLACIANINE 3.2 MG/1.6 ML INTRAVENOUS SOLUTION,11050.0,9834.5,2298.4,11050.0,717 CDM,RX-20506,AMANTADINE HCL 100 MG TABLET,7.5,6.68,1.56,7.5,727 CDM,RX-205098,ACALABRUTINIB MALEATE 100 MG TABLET,870.8,775.01,181.13,870.8,727 CDM,RX-205410,ZONISAMIDE 100 MG/5 ML ORAL SUSPENSION,15.6,13.885,3.02,16.7,1454 CDM,RX-205426,DEXTROMETHORPHAN IR 45 MG-BUPROPION ER 105 MG BIPHASIC TABLET,69.2,61.59,14.39,69.2,727 CDM,RX-205469,SPESOLIMAB-SBZO 60 MG/ML INTRAVENOUS SOLUTION,69799.6,62121.64,65.73,69799.6,734 CDM,RX-20566,MELOXICAM 7.5 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-20580,MELOXICAM 15 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-205801,TERLIPRESSIN 0.85 MG/5 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),2767.8,2463.34,575.7,2767.8,719 CDM,RX-20584,SULFACETAMIDE SODIUM (ACNE) 10 % LOTION (SUSPENSION),303.2,269.85,63.07,303.2,727 CDM,RX-205880,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,64435.9,57347.950000000004,140.9,118577.8,1468 CDM,RX-205883,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION,25713.0,22884.57,33.58,25713.0,735 CDM,RX-205884,TECLISTAMAB-CQYV 10 MG/ML SUBCUTANEOUS SOLUTION,5403.6,4809.2,33.58,5403.6,735 CDM,RX-206025,"POSACONAZOLE 300 MG ORAL SUSPENSION,DELAYED RELEASE IN A PACKET",676.8,602.35,140.77,676.8,727 CDM,RX-206042,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION (WRAPPER),119.3,106.18,24.81,119.3,717 CDM,RX-206044,GADOPICLENOL 5 MMOL/10 ML (0.5 MMOL/ML) INTRAVENOUS SYRINGE,238.4,212.18,49.59,238.4,717 CDM,RX-206100,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION,19572.3,17419.35,69.49,19572.3,734 CDM,RX-206112,TEPLIZUMAB-MZWV 1 MG/ML INTRAVENOUS SOLUTION,37701.8,33554.6,37.66,37701.8,734 CDM,RX-206295,DAXIBOTULINUMTOXINA-LANM 100 UNIT INTRAMUSCULAR SOLUTION,1175.0,1045.75,3.15,1175.0,734 CDM,RX-20634,FLUVOXAMINE 25 MG TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-206379,ADAGRASIB 200 MG TABLET,410.6,365.43,85.4,410.6,727 CDM,RX-206414,PIFLUFOLASTAT F 18 296 MBQ TO 370 MBQ (8 MCI TO 10 MCI) IV SYRINGE,11500.0,10235.0,346.49,11500.0,738 CDM,RX-206437,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION,28309.8,25195.725000000002,467.46,54372.2,1468 CDM,RX-207024,PIRTOBRUTINIB 100 MG TABLET,1240.2,1103.78,257.96,1240.2,727 CDM,RX-207067,BEVACIZUMAB-ADCD 25 MG/ML INTRAVENOUS SOLUTION,2823.3,2512.735,39.96,4283.8,1468 CDM,RX-207161,APALUTAMIDE 240 MG TABLET,1622.8,1444.29,337.54,1622.8,727 CDM,RX-20718,IMIQUIMOD 5 % TOPICAL CREAM PACKET,8.4,7.48,1.75,8.4,727 CDM,RX-207389,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 2,000 (+/-) UNIT IV SOLUTION",54.2,48.24,4.66,54.2,734 CDM,RX-207838,LEUPROLIDE 45 MG (PEDIATRIC 6 MONTH) INTRAMUSCULAR SYRINGE KIT,63667.9,56664.43,1730.32,63667.9,736 CDM,RX-207840,TOFERSEN 100 MG/15 ML (6.7 MG/ML) INTRATHECAL SOLUTION,39298.8,34975.93,159.4,39298.8,734 CDM,RX-20803,AMIFOSTINE CRYSTALLINE 500 MG INTRAVENOUS SOLUTION,2907.5,2587.68,604.76,2907.5,721 CDM,RX-208081,"BUPRENORPHINE ER 8 MG/0.16 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",1524.7,1356.98,317.14,1524.7,734 CDM,RX-208082,"BUPRENORPHINE ER 16 MG/0.32 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",1524.7,1356.98,317.14,1524.7,734 CDM,RX-208083,"BUPRENORPHINE ER 24 MG/0.48 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",1524.7,1356.98,317.14,1524.7,734 CDM,RX-208084,"BUPRENORPHINE ER 32 MG/0.64 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",1524.7,1356.98,317.14,1524.7,734 CDM,RX-208085,"BUPRENORPHINE ER 64 MG/0.18 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",5498.7,4893.84,1143.73,5498.7,734 CDM,RX-208086,"BUPRENORPHINE ER 96 MG/0.27 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",5498.7,4893.84,1143.73,5498.7,734 CDM,RX-208087,"BUPRENORPHINE ER 128 MG/0.36 ML SOLUTION,EXT.REL.SUBCUTANEOUS SYRINGE",5498.7,4893.84,1143.73,5498.7,734 CDM,RX-208093,TRAMETINIB 0.05 MG/ML ORAL SOLUTION,5827.8,5186.74,1212.18,5827.8,727 CDM,RX-208094,DABRAFENIB 10 MG TABLET FOR ORAL SUSPENSION,80.4,71.56,16.72,80.4,727 CDM,RX-208099,EPINEPHRINE 4 MG/250 ML (16 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN,246.7,219.56,51.31,246.7,717 CDM,RX-208105,"ARIPIPRAZOLE ER (2 MONTH) 960 MG/3.2 ML SUSP, EXTENDED REL IM SYRINGE",13733.4,12222.73,6.15,13733.4,731 CDM,RX-208249,EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION,47259.1,42060.6,55.84,47259.1,735 CDM,RX-20825001,EPCORITAMAB-BYSP 0.8 MG/ML SUBCUTANEOUS DILUTION,4350.8,3872.21,55.84,4350.8,734 CDM,RX-20825002,EPCORITAMAB-BYSP 0.16 MG/ML SUBCUTANEOUS DILUTION,4350.8,3872.21,55.84,4350.8,734 CDM,RX-20825004,EPCORITAMAB-BYSP 3 MG/0.6 ML SUBCUTANEOUS SOLUTION,4350.8,3872.21,55.84,4350.8,734 CDM,RX-208285,"FLOTUFOLASTAT F 18 296-5,846 MBQ/ML (8-158 MCI/ML) IV SOLUTION",12295.6,10943.08,671.22,12295.6,740 CDM,RX-208526,PEDIATRIC MULTIVITAMIN NO.227-FERROUS SULFATE 10 MG CHEWABLE TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-208602,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION,19601.0,17444.89,1686.96,31091.6,1468 CDM,RX-20887,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,44.1,39.25,9.17,44.1,717 CDM,RX-208898,"RSVPREF3 ANTIGEN-AS01E ADJUVANT(PF) 120 MCG/0.5 ML IM SUSPENSION, KIT",417.4,371.49,86.82,417.4,719 CDM,RX-208976,QUIZARTINIB 26.5 MG TABLET,1776.0,1580.64,369.41,1776.0,727 CDM,RX-208977,QUIZARTINIB 17.7 MG TABLET,1807.7,1608.85,376.0,1807.7,727 CDM,RX-2091,DACARBAZINE 200 MG/20 ML INTRAVENOUS SOLUTION (WETTED),235.6,209.68,9.49,235.6,719 CDM,RX-209218,ATROPINE 0.4 MG/ML INJECTION SOLUTION,65.0,57.85,13.52,65.0,721 CDM,RX-209236,SULBACTAM 1 GRAM-DURLOBACTAM 1 GRAM (0.5 GRAM X2) INTRAVENOUS SOLUTION,559.6,498.04,116.4,559.6,719 CDM,RX-209251,NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE,664.9,591.76,138.3,664.9,719 CDM,RX-209252,NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE,664.9,591.76,138.3,664.9,719 CDM,RX-209350,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION,29313.0,26088.57,72.62,29313.0,735 CDM,RX-209351,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION,2775.6,2470.28,72.62,2775.6,735 CDM,RX-209379,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION,29051.300000000003,25855.660000000003,184.07,36798.4,1468 CDM,RX-209403,AFLIBERCEPT 8 MG/0.07 ML INTRAVITREAL SOLUTION FOR INJECTION,7418.8,6602.73,311.38,7418.8,735 CDM,RX-20943,AZITHROMYCIN 250 MG TABLET,7.3,6.5,1.52,7.3,727 CDM,RX-20952,LEVOCARNITINE 330 MG TABLET,7.9,7.03,1.64,7.9,727 CDM,RX-20954,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,116.3,103.51,24.19,116.3,719 CDM,RX-209730,ISAVUCONAZONIUM SULFATE 74.5 MG CAPSULE,125.2,111.43,26.04,125.2,727 CDM,RX-210062,METRONIDAZOLE 500 MG/5 ML ORAL SUSPENSION,14.4,12.82,3.0,14.4,727 CDM,RX-210293,VONOPRAZAN 20 MG TABLET,80.6,71.73,16.76,80.6,727 CDM,RX-210294,VONOPRAZAN 10 MG TABLET,80.6,71.73,16.76,80.6,727 CDM,RX-210296,MEROPENEM 2 GRAM INTRAVENOUS SOLUTION,124.6,110.89,25.92,124.6,717 CDM,RX-210341,MIRIKIZUMAB-MRKZ 300 MG/15 ML (20 MG/ML) INTRAVENOUS SOLUTION,24276.2,21605.82,43.05,24276.2,734 CDM,RX-210352,TORIPALIMAB-TPZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION,27620.1,24581.89,39.41,27620.1,734 CDM,RX-21044,LEUPROLIDE ACETATE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,8575.3,7632.02,1730.32,8575.3,736 CDM,RX-21045,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,1897.5,1688.78,176.45,1897.5,736 CDM,RX-21057,OLANZAPINE 2.5 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-21058,ARTIFICIAL TEARS (HYPROMELLOSE) 0.3 % EYE GEL,78.2,69.6,16.27,78.2,727 CDM,RX-21061,OXCARBAZEPINE 300 MG TABLET,7.7,6.85,1.6,7.7,727 CDM,RX-21062,CITALOPRAM 20 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-21063,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,46.1,41.03,2.35,46.1,720 CDM,RX-210770,PHYSOSTIGMINE 0.4 MG/ML INTRAVENOUS SOLUTION,151.6,134.92,31.53,151.6,715 CDM,RX-210780,"TAUROLIDINE-HEPARIN 13.5 MG-1,000 UNITS/ML INTRA-CATHETER SOLUTION",528.5,470.37,109.93,528.5,717 CDM,RX-210806,TRAMADOL 25 MG TABLET,20.1,17.89,4.18,20.1,727 CDM,RX-21086,FLUOXETINE 40 MG CAPSULE,6.9,6.14,1.44,6.9,727 CDM,RX-210875,PEGFILGRASTIM-CBQV 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUT INJECTOR,10805.2,9616.63,106.33,10805.2,737 CDM,RX-210893,OMALIZUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,8151.1,7254.48,44.6,8151.1,737 CDM,RX-2110,SODIUM HYPOCHLORITE 0.5 % SOLUTION,110.8,98.61,23.05,110.8,727 CDM,RX-21108,LEUPROLIDE 30 MG (4 MONTH) INTRAMUSCULAR SYRINGE KIT,2379.9,2118.11,176.45,2379.9,736 CDM,RX-211284,KIT FOR THE PREPARATION OF TECHNETIUM TC 99M-LABELED CARBON INHALATION AEROSOL,949.5,845.06,197.5,949.5,734 CDM,RX-21135,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY (NON-REFRIGERATED),128.7,114.54,26.77,128.7,727 CDM,RX-211382,VANCOMYCIN 1.25 GRAM/250 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,187.4,166.79,38.98,187.4,720 CDM,RX-211413,PEMIVIBART 125 MG/ML INTRAVENOUS SOLUTION (EUA),1988.9,1770.12,413.69,1988.9,719 CDM,RX-211540,CENOBAMATE 25 MG TABLET,145.7,129.67,30.31,145.7,727 CDM,RX-211544,TOCILIZUMAB-AAZG 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,1078.1,959.51,4.42,1078.1,734 CDM,RX-211545,TOCILIZUMAB-AAZG 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,2497.7,2222.95,4.42,2497.7,734 CDM,RX-211546,TOCILIZUMAB-AAZG 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,4970.3,4423.57,4.42,4970.3,735 CDM,RX-211904,VALBENAZINE 80 MG SPRINKLE CAPSULE,936.0,833.04,194.69,936.0,727 CDM,RX-211992,SULBACTAM SODIUM 1 GRAM INTRAVENOUS SOLUTION,557.5,496.18,115.96,557.5,719 CDM,RX-2120,DANAZOL 200 MG CAPSULE,28.4,25.28,5.91,28.4,727 CDM,RX-212006,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION,43472.1,38690.17,1564.64,43472.1,736 CDM,RX-212007,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION,4752.2,4229.46,988.46,4752.2,736 CDM,RX-212319,APREPITANT 32 MG/4.4 ML (7.2 MG/ML) INTRAVENOUS EMULSION,312.3,277.95,1.91,312.3,747 CDM,RX-212320,TOCILIZUMAB-AAZG 162 MG/0.9 ML SUBCUTANEOUS SYRINGE,2503.5,2228.11,4.42,2503.5,734 CDM,RX-212362,IMETELSTAT 47 MG/1.5 ML INTRAVENOUS SOLUTION (WETTED),7859.7,6995.13,57.03,7859.7,734 CDM,RX-212364,IMETELSTAT 188 MG/6 ML INTRAVENOUS SOLUTION (WETTED),30088.8,26779.03,57.03,30088.8,734 CDM,RX-212598,SELPERCATINIB 40 MG TABLET,465.1,413.94,96.74,465.1,727 CDM,RX-21287,PRAMIPEXOLE 0.125 MG TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-21288,PRAMIPEXOLE 1 MG TABLET,8.8,7.83,1.83,8.8,727 CDM,RX-21289,PRAMIPEXOLE 1.5 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-21290,PRAMIPEXOLE 0.25 MG TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-21300,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE",5.9,5.25,1.23,5.9,727 CDM,RX-2131,DAPSONE 100 MG TABLET,8.3,7.39,1.73,8.3,727 CDM,RX-2132,DAPSONE 25 MG TABLET,7.0,6.23,1.46,7.0,727 CDM,RX-213287,"ATEZOLIZUMAB 1,875 MG-HYALURONIDASE-TQJS 30,000 UNIT/15 ML SUBCUT SOLN",33689.9,29984.01,31.58,33689.9,734 CDM,RX-213547,XANOMELINE 50 MG-TROSPIUM 20 MG CAPSULE,104.8,93.27,21.8,104.8,727 CDM,RX-21372,WARFARIN 4 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-21374,MYCOPHENOLATE MOFETIL 500 MG TABLET,7.6,6.76,0.34,7.6,719 CDM,RX-21381,RADIOPAQUE PVC MARKERS-BARIUM SULFATE 24 MARKERS CAPSULE,396.7,353.06,82.51,396.7,717 CDM,RX-213976,REVUMENIB 110 MG TABLET,2097.8,1867.04,436.34,2097.8,727 CDM,RX-213977,REVUMENIB 160 MG TABLET,2024.2,1801.54,421.03,2024.2,727 CDM,RX-213990,ZANIDATAMAB-HRII 300 MG/6 ML INTRAVENOUS SOLUTION (WETTED),10641.7,9471.11,25.05,10641.7,734 CDM,RX-214256,ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION,34446.6,30657.47,32.91,34446.6,734 CDM,RX-214801,BIFIDOBACTERIUM LONGUM 10 MILLION CELL CAPSULE,8.0,7.12,1.66,8.0,727 CDM,RX-214809,AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION,20965.2,18659.025,55.65,29578.8,1468 CDM,RX-214811,LETERMOVIR 120 MG ORAL PELLETS IN PACKET,238.4,212.18,49.59,238.4,727 CDM,RX-214818,USTEKINUMAB-KFCE 130 MG/26 ML INTRAVENOUS SOLUTION,1376.2,1224.82,24.98,3640.49,734 CDM,RX-214843,"NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION",23010.7,20479.52,27.36,23010.7,734 CDM,RX-21492,NEFAZODONE 50 MG TABLET,9.3,8.28,1.93,9.3,727 CDM,RX-214933,DATOPOTAMAB DERUXTECAN-DLNK 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED),14341.7,12764.11,12907.6,12907.6,1 CDM,RX-21509,LETROZOLE 2.5 MG TABLET,6.5,5.79,1.35,6.5,727 CDM,RX-215434,TREOSULFAN 5 GRAM/100 ML INTRAVENOUS SOLUTION (WETTED),8990.0,8001.1,32.33,8990.0,734 CDM,RX-215437,HYDROXYUREA (SICKLE CELL) 100 MG/ML ORAL SOLUTION,172.8,153.79,19.01,2283.2,2181 CDM,RX-215439,TREOSULFAN 1 GRAM/20 ML INTRAVENOUS SOLUTION (WETTED),2158.0,1920.62,32.33,2158.0,734 CDM,RX-215456,"FLURPIRIDAZ F-18 190 MBQ/ML TO 2,050 MBQ/ML INTRAVENOUS SOLUTION",1250.0,1112.5,260.0,1250.0,735 CDM,RX-215462,GLUCOSE 3.75 GRAM CHEWABLE TABLET,2.3,2.05,0.48,2.3,727 CDM,RX-215504,SUZETRIGINE 50 MG TABLET,56.7,50.46,11.79,56.7,727 CDM,RX-215546,GLYCOPYRROLATE (PF) 0.4 MG/2 ML (0.2 MG/ML) INJECTION SYRINGE,58.9,52.42,12.25,58.9,715 CDM,RX-21585,KETOCONAZOLE 1 % SHAMPOO,110.1,97.99,22.9,110.1,715 CDM,RX-215999,ECULIZUMAB-AAGH 300 MG/30 ML INTRAVENOUS SOLUTION,13938.7,12405.44,31.35,13938.7,734 CDM,RX-216005,CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET,7.9,7.03,1.64,7.9,715 CDM,RX-21688,ROPINIROLE 0.25 MG TABLET,6.4,5.7,1.33,6.4,727 CDM,RX-21689,ROPINIROLE 1 MG TABLET,6.3,5.61,1.31,6.3,727 CDM,RX-21690,ROPINIROLE 2 MG TABLET,6.4,5.7,1.33,6.4,727 CDM,RX-21691,ROPINIROLE 5 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-217246,AZTREONAM-AVIBACTAM 2 GRAM INTRAVENOUS SOLUTION,983.4,875.23,1.68,983.4,734 CDM,RX-21736,TOREMIFENE 60 MG TABLET,140.6,125.13,29.24,140.6,727 CDM,RX-217575,"FAT EMULSION OLIVE, SOYBEAN OIL 20 % INTRAVENOUS (CLINOLIPID)",193.55,172.26,39.5,197.2,1430 CDM,RX-217665,"ALBUMIN, IODINATED I-131 0.025 MCI/ML INTRAVENOUS SYRINGE",509.0,453.01,105.87,509.0,717 CDM,RX-217951,FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE,92.5,82.33,19.24,112.15,719 CDM,RX-217955,FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,25.3,22.52,5.26,26.52,725 CDM,RX-21800,ROPINIROLE 0.5 MG TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-21810,LAMIVUDINE 150 MG-ZIDOVUDINE 300 MG TABLET,12.3,10.95,2.56,12.3,727 CDM,RX-21818,DOXYCYCLINE MONOHYDRATE 100 MG TABLET,13.2,11.75,2.75,13.2,727 CDM,RX-21823,QUETIAPINE 25 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-21824,QUETIAPINE 100 MG TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-21825,QUETIAPINE 200 MG TABLET,6.4,5.7,1.33,6.4,727 CDM,RX-21827,TIAGABINE 4 MG TABLET,14.9,13.26,3.1,14.9,727 CDM,RX-21831,ADAPALENE 0.1 % TOPICAL CREAM,348.7,310.34,72.53,348.7,727 CDM,RX-218390,TENECTEPLASE 25 MG INTRAVENOUS SOLUTION,20226.5,18001.58,172.22,20226.5,736 CDM,RX-218412,COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE,158.6,141.15,32.99,184.69,717 CDM,RX-218550,COVID VAC 2025-26 (6MO-11YR)(MODERNA) (PF) 25 MCG/0.25 ML IM SYRINGE,144.3,128.43,30.01,168.02,719 CDM,RX-21867,METYRAPONE 250 MG CAPSULE,219.4,195.27,45.64,219.4,727 CDM,RX-21900,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,379.1,337.4,21.48,379.1,736 CDM,RX-219415,BELANTAMAB MAFODOTIN-BLMF 70 MG INTRAVENOUS SOLUTION,67280.4,59879.56,13994.32,67280.4,719 CDM,RX-220046,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION,765.1,680.94,12.01,765.1,719 CDM,RX-220047,TOPOTECAN 4 MG INTRAVENOUS SOLUTION,286.3,254.81,57.41,286.3,720 CDM,RX-220048,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,104.6,93.09,21.76,104.6,717 CDM,RX-220050,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,300.9,267.8,52.94,300.9,719 CDM,RX-220053,OXALIPLATIN 50 MG INTRAVENOUS SOLUTION,650.0,578.5,5.41,650.0,719 CDM,RX-220054,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,233.2,207.55,48.51,233.2,720 CDM,RX-220061,IMETELSTAT 47 MG INTRAVENOUS SOLUTION,7859.7,6995.13,57.03,7859.7,734 CDM,RX-220450,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION (RECONSTITUTE WITH SWFI),391.5,348.44,63.06,391.5,736 CDM,RX-220460,CEFAZOLIN 10 GRAM INTRAVENOUS SOLUTION,51.4,45.75,10.69,51.4,719 CDM,RX-220553,VARICELLA-ZOSTER GLYCOE VACCINE-AS01B ADJ(PF) 50 MCG/0.5 ML IM SYRINGE,337.1,300.02,70.12,337.1,719 CDM,RX-22142,CLOPIDOGREL 75 MG TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-22143,RALOXIFENE 60 MG TABLET,14.3,12.73,2.97,14.3,727 CDM,RX-22148,ACARBOSE 25 MG TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-22149,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",7356.799999999999,6547.555,75.22,11961.3,1474 CDM,RX-22156,DILTIAZEM 100 MG INTRAVENOUS SOLUTION ADD-VANTAGE,70.7,62.92,14.71,70.7,715 CDM,RX-22185,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,1295.1,1152.64,6.28,1295.1,734 CDM,RX-22217,"KETOPROFEN ER 200 MG 24 HR CAPSULE,EXTENDED RELEASE",29.7,26.43,6.18,29.7,727 CDM,RX-22240,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,45.4,40.41,9.44,45.4,731 CDM,RX-22243,FINASTERIDE 1 MG TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-22251,MUPIROCIN CALCIUM 2 % TOPICAL CREAM,208.3,185.39,43.33,208.3,727 CDM,RX-22257,OFLOXACIN 0.3 % EAR DROPS,98.3,87.49,20.45,98.3,727 CDM,RX-22289,CEFDINIR 300 MG CAPSULE,18.2,16.2,3.79,18.2,727 CDM,RX-22409,DIPHENHYDRAMINE-ZINC ACETATE 1 %-0.1 % TOPICAL CREAM,64.1,57.05,13.33,64.1,727 CDM,RX-22469,"LACTASE 3,000 UNIT TABLET",3.4,3.03,0.71,3.4,727 CDM,RX-22472,KETOROLAC 15 MG/ML INJECTION SOLUTION,37.6,33.46,0.3,37.6,749 CDM,RX-22473,KETOROLAC 30 MG/ML INJECTION SOLUTION (INCLUDES REPACKAGED VOLUMES),37.7,33.55,0.3,37.7,749 CDM,RX-22509,MONTELUKAST 10 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-22510,MONTELUKAST 5 MG CHEWABLE TABLET,7.7,6.85,1.6,7.7,727 CDM,RX-22532,INTERFERON BETA-1A (ALBUMIN) 44 MCG/0.5 ML SUBCUTANEOUS SYRINGE,351.8,313.1,73.17,351.8,727 CDM,RX-22560,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,58.0,51.62,12.06,58.0,727 CDM,RX-22584,REPAGLINIDE 0.5 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-22588,LOSARTAN 100 MG TABLET,6.4,5.7,1.33,6.4,727 CDM,RX-22646,"POTASSIUM CITRATE-CITRIC ACID 1,100 MG-334 MG/5 ML ORAL SOLUTION",6.1,5.43,1.27,6.1,727 CDM,RX-22660,URSODIOL 250 MG TABLET,12.3,10.95,2.56,12.3,727 CDM,RX-22661,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION,369.9,329.21,60.55,369.9,719 CDM,RX-22719,PRAMIPEXOLE 0.5 MG TABLET,7.7,6.85,1.6,7.7,727 CDM,RX-22782,TOLTERODINE 1 MG TABLET,6.8,6.05,1.41,6.8,727 CDM,RX-22783,TOLTERODINE 2 MG TABLET,6.5,5.79,1.35,6.5,727 CDM,RX-2279,HYDROCORTISONE ACETATE 1 % TOPICAL CREAM,17.2,15.31,3.58,17.2,727 CDM,RX-2283,DESIPRAMINE 10 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-22836,SILDENAFIL 25 MG TABLET,10.4,9.26,2.16,10.4,727 CDM,RX-22837,SILDENAFIL 50 MG TABLET,273.4,243.33,56.87,273.4,727 CDM,RX-22838,SILDENAFIL 100 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-2285,DESIPRAMINE 150 MG TABLET,16.8,14.95,3.49,16.8,727 CDM,RX-2286,DESIPRAMINE 25 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-2287,DESIPRAMINE 50 MG TABLET,6.3,5.61,1.31,6.3,727 CDM,RX-22953,"BRINZOLAMIDE 1 % EYE DROPS,SUSPENSION",513.5,457.02,106.81,513.5,727 CDM,RX-22959,PAROXETINE 10 MG/5 ML ORAL SUSPENSION,31.9,28.39,6.64,31.9,727 CDM,RX-22976,FENOFIBRATE MICRONIZED 67 MG CAPSULE,5.4,4.81,1.12,5.4,727 CDM,RX-22982,DORZOLAMIDE 22.3 MG-TIMOLOL 6.8 MG/ML EYE DROPS,80.4,71.56,16.72,80.4,727 CDM,RX-22986,"CIPROFLOXACIN 0.2 %-HYDROCORTISONE 1 % EAR DROPS,SUSPENSION",997.1,887.42,207.4,997.1,715 CDM,RX-22988,CIPROFLOXACIN 500 MG/5 ML ORAL SUSPENSION,28.7,25.54,5.97,28.7,727 CDM,RX-22992,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET,18.8,16.73,3.91,18.8,727 CDM,RX-22994,CAPECITABINE 500 MG TABLET,33.7,29.99,0.04,33.7,734 CDM,RX-23050,TIROFIBAN 5 MG/100 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,245.7,218.67,51.11,245.7,717 CDM,RX-23063,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION,66.4,59.1,13.81,66.4,727 CDM,RX-23082,BASILIXIMAB 20 MG INTRAVENOUS SOLUTION,11415.4,10159.71,2374.4,11415.4,736 CDM,RX-23122,PROGESTERONE MICRONIZED 100 MG CAPSULE,5.9,5.25,1.23,5.9,727 CDM,RX-23123,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,344.1,306.25,2.99,344.1,734 CDM,RX-23124,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION,110.3,98.17,2.99,110.3,734 CDM,RX-23128,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,63.0,56.07,13.1,63.0,719 CDM,RX-23150,"VERAPAMIL ER 180 MG 24 HR CAPSULE,EXTENDED RELEASE",9.3,8.28,1.93,9.3,727 CDM,RX-23151,"VERAPAMIL ER 240 MG 24 HR CAPSULE,EXTENDED RELEASE",9.7,8.63,2.02,9.7,727 CDM,RX-2320,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,66.9,59.54,13.92,66.9,727 CDM,RX-2322,DEXAMETHASONE 0.5 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-2323,DEXAMETHASONE 0.75 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-2324,DEXAMETHASONE 1 MG TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-2325,DEXAMETHASONE 1.5 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-2326,DEXAMETHASONE 2 MG TABLET,7.0,6.23,1.46,7.0,727 CDM,RX-2327,DEXAMETHASONE 4 MG TABLET,8.1,7.21,1.68,8.1,727 CDM,RX-2328,DEXAMETHASONE 6 MG TABLET,10.4,9.26,2.16,10.4,727 CDM,RX-2332,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,36.9,32.84,2.42,36.9,738 CDM,RX-2335,DEXAMETHASONE SODIUM PHOSPHATE 0.1 % EYE DROPS,193.3,172.04,40.21,193.3,727 CDM,RX-23365,RIFAPENTINE 150 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-23449,SIMVASTATIN 80 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-23458,AMOXICILLIN 875 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-23460,LIDOCAINE 5 % TOPICAL CREAM,101.8,90.6,21.17,101.8,727 CDM,RX-23461,LIDOCAINE 4 % TOPICAL CREAM,60.6,53.93,12.6,60.6,727 CDM,RX-23490,CITALOPRAM 40 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-2350,DEXTRAN 40 10 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,1201.3,1069.16,249.87,1201.3,717 CDM,RX-2353,DEXTROAMPHETAMINE SULFATE 10 MG TABLET,11.6,10.32,2.41,11.6,727 CDM,RX-2354,DEXTROAMPHETAMINE SULFATE 5 MG TABLET,11.6,10.32,2.41,11.6,727 CDM,RX-2357,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION (ML/HR DOSING),79.4,70.66499999999999,15.83,82.9,2868 CDM,RX-2359,DEXTROSE 20 % IN WATER (D20W) INTRAVENOUS SOLUTION,192.3,171.15,40.0,192.3,715 CDM,RX-2361,DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE,115.1,102.44,23.94,115.1,715 CDM,RX-2364,D5W IV SOLP,80.9,72.0,16.7,82.0,3585 CDM,RX-2365,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION,91.5,81.44,19.03,91.5,715 CDM,RX-2367,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION,203.65,181.25,39.31,218.3,1430 CDM,RX-23796,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,1282.3,1141.25,31.09,1282.3,736 CDM,RX-23814,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET,24.7,21.98,5.14,24.7,727 CDM,RX-23872,LEFLUNOMIDE 10 MG TABLET,12.5,11.13,2.6,12.5,727 CDM,RX-23873,LEFLUNOMIDE 20 MG TABLET,11.3,10.06,2.35,11.3,727 CDM,RX-23928,OXALIPLATIN 50 MG/10 ML INTRAVENOUS SOLUTION (WETTED),650.0,578.5,5.41,650.0,719 CDM,RX-23968,MYCOPHENOLATE 500 MG/15 ML INTRAVENOUS SOLUTION (WETTED),104.6,93.09,21.76,104.6,717 CDM,RX-2403,DIAZEPAM 10 MG TABLET,10.3,9.17,2.14,10.3,727 CDM,RX-2404,DIAZEPAM 2 MG TABLET,10.3,9.17,2.14,10.3,727 CDM,RX-24049,SODIUM NITRITE 30 MG/ML INTRAVENOUS SOLUTION,371.8,330.9,77.33,371.8,715 CDM,RX-2405,DIAZEPAM 5 MG TABLET,10.3,9.17,2.14,10.3,727 CDM,RX-24119,NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION,481.2,428.27,100.09,481.2,727 CDM,RX-2414,DICLOXACILLIN 250 MG CAPSULE,7.3,6.5,1.52,7.3,727 CDM,RX-2415,DICLOXACILLIN 500 MG CAPSULE,7.7,6.85,1.6,7.7,727 CDM,RX-2418,DICYCLOMINE 10 MG CAPSULE,6.6,5.87,1.37,6.6,727 CDM,RX-24188,"ANTIVENIN LATRODECTUS MACTANS 6,000 UNIT SOLUTION FOR INJECTION",140.1,124.69,29.14,140.1,727 CDM,RX-2420,DICYCLOMINE 20 MG TABLET,6.5,5.79,1.35,6.5,727 CDM,RX-24216,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,2.5,2.23,0.52,2.5,727 CDM,RX-24268,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",6.1,5.43,1.27,6.1,727 CDM,RX-24325,CROMOLYN 5.2 MG/SPRAY (4 %) NASAL SPRAY,73.8,65.68,15.35,73.8,727 CDM,RX-24335,TELMISARTAN 40 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-2436,DIFLUNISAL 500 MG TABLET,9.0,8.01,1.87,9.0,727 CDM,RX-24385,HYDROCORTISONE-ACETIC ACID 1 %-2 % EAR DROPS,408.5,363.57,84.97,408.5,727 CDM,RX-24398,"METFORMIN 1,000 MG TABLET",5.4,4.81,1.12,5.4,727 CDM,RX-24419,LAMIVUDINE 100 MG TABLET,38.1,33.91,7.92,38.1,727 CDM,RX-24438,ABACAVIR 300 MG TABLET,27.6,24.56,5.74,27.6,727 CDM,RX-2444,DIGOXIN 125 MCG (0.125 MG) TABLET,8.2,7.3,1.71,8.2,727 CDM,RX-2445,DIGOXIN 250 MCG (0.25 MG) TABLET,8.9,7.92,1.85,8.9,727 CDM,RX-24470,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",9.6,8.54,2.0,9.6,727 CDM,RX-24471,"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",14.4,12.82,3.0,14.4,727 CDM,RX-24473,CILOSTAZOL 50 MG TABLET,7.7,6.85,1.6,7.7,727 CDM,RX-24474,CILOSTAZOL 100 MG TABLET,7.6,6.76,1.58,7.6,727 CDM,RX-24500,CELECOXIB 100 MG CAPSULE,7.3,6.5,1.52,7.3,727 CDM,RX-24501,CELECOXIB 200 MG CAPSULE,8.4,7.48,1.75,8.4,727 CDM,RX-24521,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",5.9,5.25,1.23,5.9,727 CDM,RX-24559,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,2.6,2.31,0.54,2.6,727 CDM,RX-24571,LISINOPRIL 30 MG TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-24575,TIMOLOL MALEATE 0.25 % EYE GEL FORMING SOLUTION,530.9,472.5,110.43,530.9,727 CDM,RX-24576,TIMOLOL MALEATE 0.5 % EYE GEL FORMING SOLUTION,494.8,440.37,102.92,494.8,727 CDM,RX-24585,ANTI-THYMOCYTE GLOBULIN (RABBIT) 25 MG INTRAVENOUS SOLUTION,3293.7,2931.39,685.09,3293.7,736 CDM,RX-24586,LACTULOSE 20 GRAM ORAL PACKET,38.8,34.53,8.07,38.8,727 CDM,RX-24678,COENZYME Q10 100 MG CAPSULE,3.2,2.85,0.67,3.2,727 CDM,RX-24695,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,301.3,268.16,0.88,301.3,737 CDM,RX-24702,MODAFINIL 100 MG TABLET,26.1,23.23,5.43,26.1,727 CDM,RX-24703,MODAFINIL 200 MG TABLET,42.4,37.74,8.82,42.4,727 CDM,RX-24723,"OXYBUTYNIN CHLORIDE ER 15 MG TABLET,EXTENDED RELEASE 24 HR",8.3,7.39,1.73,8.3,727 CDM,RX-24731,BELLADONNA ALKALOIDS-OPIUM 16.2 MG-60 MG RECTAL SUPPOSITORY,100.7,89.62,20.95,100.7,715 CDM,RX-2474,DILTIAZEM 120 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-2475,DILTIAZEM 30 MG TABLET,6.6,5.87,1.37,6.6,727 CDM,RX-2476,DILTIAZEM 60 MG TABLET,6.8,6.05,1.41,6.8,727 CDM,RX-2477,DILTIAZEM 90 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-24788,PSYLLIUM ORAL PACKET,3.3,2.94,0.69,3.3,727 CDM,RX-2483,DIMENHYDRINATE 50 MG/ML INJECTION SOLUTION,56.6,50.37,1.05,56.6,719 CDM,RX-2485,DIMENHYDRINATE 50 MG TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-24914,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",8.0,7.12,0.23,8.0,719 CDM,RX-24915,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,11.6,10.32,0.19,11.6,731 CDM,RX-24916,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,10.3,9.17,0.28,10.3,731 CDM,RX-24932,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,68.0,60.52,12.73,68.0,716 CDM,RX-24933,METHOXSALEN 20 MCG/ML INJECTION SOLUTION,2303.4,2050.03,479.11,2303.4,715 CDM,RX-24945,MIRTAZAPINE 45 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-24984,POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER,67.5,60.08,14.04,67.5,727 CDM,RX-250,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,6.0,5.34,0.22,6.0,731 CDM,RX-25005,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,8.5,7.57,1.77,8.5,717 CDM,RX-2508,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,37.0,32.93,0.82,37.0,724 CDM,RX-25087,FLUOXETINE 10 MG TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-2509,DIPHENHYDRAMINE 25 MG CAPSULE,2.4,2.14,0.5,2.4,727 CDM,RX-251,ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION,67.5,60.08,4.19,67.5,731 CDM,RX-2510,DIPHENHYDRAMINE 50 MG CAPSULE,2.3,2.05,0.48,2.3,727 CDM,RX-25118,CIPROFLOXACIN 250 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-25119,CIPROFLOXACIN 500 MG TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-25120,CIPROFLOXACIN 750 MG TABLET,6.4,5.7,1.33,6.4,727 CDM,RX-2516,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,6.2,5.52,1.29,6.2,727 CDM,RX-25174,HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,283.3,252.14,58.93,283.3,715 CDM,RX-252,ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP,49.449999999999996,44.01,1.21,93.1,1454 CDM,RX-25238,"VERAPAMIL ER 120 MG 24 HR CAPSULE,EXTENDED RELEASE",11.2,9.97,2.33,11.2,727 CDM,RX-25246,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,16.2,14.42,3.37,16.2,727 CDM,RX-2528,DIPYRIDAMOLE 25 MG TABLET,6.6,5.87,1.37,6.6,727 CDM,RX-2529,DIPYRIDAMOLE 50 MG TABLET,7.2,6.41,1.5,7.2,727 CDM,RX-253,ALBUTEROL SULFATE 2 MG TABLET,26.0,23.14,5.41,26.0,727 CDM,RX-2530,DIPYRIDAMOLE 75 MG TABLET,8.3,7.39,1.73,8.3,727 CDM,RX-2535,DISOPYRAMIDE PHOSPHATE 100 MG CAPSULE,8.3,7.39,1.73,8.3,727 CDM,RX-2536,DISOPYRAMIDE PHOSPHATE 150 MG CAPSULE,9.4,8.37,1.96,9.4,727 CDM,RX-2537,"DISOPYRAMIDE PHOSPHATE ER 100 MG CAPSULE,EXTENDED RELEASE",18.7,16.64,3.89,18.7,727 CDM,RX-25373,MINOCYCLINE 75 MG CAPSULE,6.2,5.52,1.29,6.2,727 CDM,RX-254,ALBUTEROL SULFATE 4 MG TABLET,7.1,6.32,1.48,7.1,727 CDM,RX-2540,DISULFIRAM 250 MG TABLET,11.0,9.79,2.29,11.0,727 CDM,RX-25408,ALLOPURINOL 500 MG INTRAVENOUS SOLUTION,3803.2,3384.85,4.72,3803.2,734 CDM,RX-25424,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,5.8,5.16,1.21,5.8,727 CDM,RX-25425,FEXOFENADINE 180 MG TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-25471,KETOTIFEN 0.025 % (0.035 %) EYE DROPS,73.9,65.77,15.37,73.9,727 CDM,RX-2551,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",5.3,4.72,1.1,5.3,727 CDM,RX-25519,RISPERIDONE 0.25 MG TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-2552,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",5.5,4.89,1.14,5.5,727 CDM,RX-25520,RISPERIDONE 0.5 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-25528,PIOGLITAZONE 15 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-25529,PIOGLITAZONE 30 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-2553,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",5.6,4.98,1.16,5.6,727 CDM,RX-25530,PIOGLITAZONE 45 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-2566,DOCUSATE SODIUM 100 MG CAPSULE,2.2,1.96,0.46,2.2,727 CDM,RX-2568,DOCUSATE SODIUM 50 MG CAPSULE,3.1,2.76,0.64,3.1,727 CDM,RX-25820,IVERMECTIN 3 MG TABLET,15.5,13.8,3.22,15.5,727 CDM,RX-25855,GABAPENTIN 600 MG TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-25856,GABAPENTIN 800 MG TABLET,6.3,5.61,1.31,6.3,727 CDM,RX-25892,TEMOZOLOMIDE 5 MG CAPSULE,12.7,11.3,0.62,12.7,729 CDM,RX-25893,TEMOZOLOMIDE 20 MG CAPSULE,24.9,22.16,2.49,24.9,729 CDM,RX-25894,TEMOZOLOMIDE 100 MG CAPSULE,85.3,75.92,12.47,85.3,729 CDM,RX-25895,TEMOZOLOMIDE 250 MG CAPSULE,164.1,146.05,31.17,164.1,729 CDM,RX-25896,"RABEPRAZOLE 20 MG TABLET,DELAYED RELEASE",6.4,5.7,1.33,6.4,727 CDM,RX-25919,GANIRELIX 250 MCG/0.5 ML SUBCUTANEOUS SYRINGE,194.6,173.19,40.48,194.6,715 CDM,RX-2595,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,45.8,40.76,4.61,45.8,719 CDM,RX-25997,ZALEPLON 5 MG CAPSULE,5.7,5.07,1.19,5.7,727 CDM,RX-25998,ZALEPLON 10 MG CAPSULE,5.5,4.89,1.14,5.5,727 CDM,RX-2608,DOXEPIN 10 MG CAPSULE,6.8,6.05,1.41,6.8,727 CDM,RX-2609,DOXEPIN 100 MG CAPSULE,10.5,9.35,2.18,10.5,727 CDM,RX-2610,DOXEPIN 150 MG CAPSULE,7.3,6.5,1.52,7.3,727 CDM,RX-2611,DOXEPIN 25 MG CAPSULE,7.3,6.5,1.52,7.3,727 CDM,RX-2612,DOXEPIN 50 MG CAPSULE,8.0,7.12,1.66,8.0,727 CDM,RX-2613,DOXEPIN 75 MG CAPSULE,8.0,7.12,1.66,8.0,727 CDM,RX-2614,DOXEPIN 10 MG/ML ORAL CONCENTRATE,6.9,6.14,1.44,6.9,727 CDM,RX-2617,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION (WETTED),318.5,283.46,3.2,318.5,719 CDM,RX-2619,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION (WETTED),754.2,671.24,16.0,754.2,719 CDM,RX-2622,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,84.2,74.94,17.51,84.2,717 CDM,RX-26224,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",5.7,5.07,1.19,5.7,727 CDM,RX-26225,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",5.6,4.98,1.16,5.6,727 CDM,RX-26226,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,39.3,34.98,8.17,39.3,720 CDM,RX-2625,DOXYCYCLINE HYCLATE 100 MG TABLET,10.2,9.08,2.12,10.2,727 CDM,RX-26336,SIROLIMUS 1 MG/ML ORAL SOLUTION,15.1,13.44,1.11,15.1,719 CDM,RX-26371,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",7.8,6.94,1.62,7.8,727 CDM,RX-26404,SOMATROPIN 0.2 MG/0.25 ML SUBCUTANEOUS SYRINGE,146.5,130.38,30.47,146.5,727 CDM,RX-26429,ROPINIROLE 4 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-26431,IMIGLUCERASE 400 UNIT INTRAVENOUS SOLUTION,4803.7,4275.29,43.19,4803.7,736 CDM,RX-2654,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,61.6,54.82,12.81,61.6,723 CDM,RX-26546,OSELTAMIVIR 75 MG CAPSULE,7.6,6.76,1.58,7.6,727 CDM,RX-26547,ENTACAPONE 200 MG TABLET,17.3,15.4,3.6,17.3,727 CDM,RX-26551,EXEMESTANE 25 MG TABLET,8.4,7.48,1.75,8.4,727 CDM,RX-26703,CARBIDOPA 25 MG TABLET,7.3,6.5,1.52,7.3,727 CDM,RX-26816,LEVETIRACETAM 250 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-26817,LEVETIRACETAM 500 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-26818,LEVETIRACETAM 750 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-26854,MOXIFLOXACIN 400 MG TABLET,24.3,21.63,5.05,24.3,727 CDM,RX-26855,"METHYLPHENIDATE ER 10 MG TABLET,EXTENDED RELEASE",11.8,10.5,2.45,11.8,727 CDM,RX-26952,OLANZAPINE 15 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-26965,DOFETILIDE 125 MCG CAPSULE,14.4,12.82,3.0,14.4,727 CDM,RX-26966,DOFETILIDE 250 MCG CAPSULE,17.6,15.66,3.66,17.6,727 CDM,RX-26967,DOFETILIDE 500 MCG CAPSULE,19.2,17.09,3.99,19.2,727 CDM,RX-27023,TERBINAFINE HCL 1 % TOPICAL CREAM,70.2,62.48,14.6,70.2,727 CDM,RX-27027,BEXAROTENE 75 MG CAPSULE,101.0,89.89,21.01,101.0,727 CDM,RX-27032,METHACHOLINE CHLORIDE 100 MG POWDER FOR INHALATION (NON-STERILE),284.1,252.85,59.09,284.1,719 CDM,RX-27038,"PREDNISOLONE ACETATE 0.12 % EYE DROPS,SUSPENSION",531.0,472.59,110.45,531.0,727 CDM,RX-27046,BUSPIRONE 30 MG TABLET,8.7,7.74,1.81,8.7,727 CDM,RX-27047,PORACTANT ALFA 120 MG/1.5 ML INTRATRACHEAL SUSPENSION,1828.5,1627.37,380.33,1828.5,715 CDM,RX-27049,OXCARBAZEPINE 150 MG TABLET,6.7,5.96,1.39,6.7,727 CDM,RX-27094,FENOFIBRATE MICRONIZED 134 MG CAPSULE,5.6,4.98,1.16,5.6,727 CDM,RX-27096,NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL,598.0,532.22,124.38,598.0,715 CDM,RX-27112,RISEDRONATE 5 MG TABLET,28.0,24.92,5.82,28.0,727 CDM,RX-27123,LEUPROLIDE 7.5 MG (PED) INTRAMUSCULAR KIT,5696.4,5069.8,1184.85,5696.4,736 CDM,RX-27158,CICLOPIROX 8 % TOPICAL SOLUTION,98.9,88.02,20.57,98.9,727 CDM,RX-27178,TIAGABINE 2 MG TABLET,25.6,22.78,5.32,25.6,727 CDM,RX-27181,"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",9.9,8.81,2.06,9.9,727 CDM,RX-27234,MONTELUKAST 4 MG CHEWABLE TABLET,7.7,6.85,1.6,7.7,727 CDM,RX-27253,CEVIMELINE 30 MG CAPSULE,8.2,7.3,1.71,8.2,727 CDM,RX-27278,"ISOSORBIDE MONONITRATE ER 120 MG TABLET,EXTENDED RELEASE 24 HR",5.7,5.07,1.19,5.7,727 CDM,RX-27322,MAGNESIUM SULFATE (LAXATIVE) 495 MG/5 GRAM ORAL GRANULES,8.4,7.48,1.75,8.4,727 CDM,RX-27392,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION,1117.3,994.4,232.4,1117.3,719 CDM,RX-27418,"THEOPHYLLINE ER 100 MG CAPSULE,EXTENDED RELEASE 24 HR",18.0,16.02,3.74,18.0,727 CDM,RX-27419,"THEOPHYLLINE ER 200 MG CAPSULE,EXTENDED RELEASE 24 HR",24.3,21.63,5.05,24.3,727 CDM,RX-27421,"THEOPHYLLINE ER 300 MG CAPSULE,EXTENDED RELEASE 24 HR",28.7,25.54,5.97,28.7,727 CDM,RX-27430,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,197.6,175.86,41.1,197.6,717 CDM,RX-27431,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",656.3,584.11,108.47,656.3,736 CDM,RX-27457,ESTRADIOL 0.025 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,36.1,32.13,7.51,36.1,727 CDM,RX-27458,ESTRADIOL 0.0375 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,67.9,60.43,14.12,67.9,727 CDM,RX-27459,ESTRADIOL 0.05 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,66.2,58.92,13.77,66.2,727 CDM,RX-27460,ESTRADIOL 0.075 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,34.7,30.88,7.22,34.7,727 CDM,RX-27461,ESTRADIOL 0.1 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,33.8,30.08,7.03,33.8,727 CDM,RX-27464,ESTRADIOL 0.05 MG-NORETHINDRONE 0.14 MG/24 HR SEMIWKLY TRANSDERM PATCH,110.2,98.08,22.92,110.2,727 CDM,RX-27466,DEXTROSE 40 % ORAL GEL,46.1,41.03,9.59,46.1,727 CDM,RX-27471,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH,6.8,6.05,1.41,6.8,727 CDM,RX-27472,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH,7.3,6.5,1.52,7.3,727 CDM,RX-27474,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH,7.5,6.68,1.56,7.5,727 CDM,RX-27475,NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH,8.2,7.3,1.71,8.2,727 CDM,RX-27489,"FELODIPINE ER 2.5 MG TABLET,EXTENDED RELEASE 24 HR",5.4,4.81,1.12,5.4,727 CDM,RX-27490,"FELODIPINE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",5.5,4.89,1.14,5.5,727 CDM,RX-27491,"FELODIPINE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",5.5,4.89,1.14,5.5,727 CDM,RX-27505,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,34.0,30.26,7.07,34.0,727 CDM,RX-27506,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,52.3,46.55,10.88,52.3,727 CDM,RX-27507,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,65.3,58.12,13.58,65.3,727 CDM,RX-27512,LORATADINE 10 MG DISINTEGRATING TABLET,4.6,4.09,0.96,4.6,727 CDM,RX-27521,"LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR",4.5,4.01,0.94,4.5,727 CDM,RX-27629,RIZATRIPTAN 5 MG DISINTEGRATING TABLET,7.8,6.94,1.62,7.8,727 CDM,RX-27630,RIZATRIPTAN 10 MG DISINTEGRATING TABLET,7.9,7.03,1.64,7.9,727 CDM,RX-27631,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",8.0,7.12,1.66,8.0,727 CDM,RX-27632,"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",13.2,11.75,2.75,13.2,727 CDM,RX-27633,"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",8.3,7.39,1.73,8.3,727 CDM,RX-27634,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",5.9,5.25,1.23,5.9,727 CDM,RX-27635,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",17.4,15.49,3.62,17.4,727 CDM,RX-27636,"CARBAMAZEPINE ER 400 MG TABLET,EXTENDED RELEASE,12 HR",25.3,22.52,5.26,25.3,727 CDM,RX-27641,TOPIRAMATE 15 MG SPRINKLE CAPSULE,8.6,7.65,1.79,8.6,727 CDM,RX-27642,TOPIRAMATE 25 MG SPRINKLE CAPSULE,6.8,6.05,1.41,6.8,727 CDM,RX-27644,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",35.4,31.51,7.36,35.4,727 CDM,RX-27659,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",9.8,8.72,2.04,9.8,727 CDM,RX-27660,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",7.9,7.03,1.64,7.9,727 CDM,RX-27663,FLUORESCEIN 1 MG EYE STRIPS,5.7,5.07,1.19,5.7,715 CDM,RX-27693,"OMEPRAZOLE 10 MG CAPSULE,DELAYED RELEASE",5.4,4.81,1.12,5.4,727 CDM,RX-27694,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",5.6,4.98,1.16,5.6,727 CDM,RX-27695,"OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE",6.1,5.43,1.27,6.1,727 CDM,RX-27697,ONDANSETRON 4 MG DISINTEGRATING TABLET,6.5,5.79,0.06,6.5,729 CDM,RX-27698,ONDANSETRON 8 MG DISINTEGRATING TABLET,5.7,5.07,0.13,5.7,729 CDM,RX-27735,DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION,37.6,33.46,7.82,37.6,720 CDM,RX-27737,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,104.3,92.83,8.57,104.3,719 CDM,RX-27780,ZONISAMIDE 100 MG CAPSULE,6.8,6.05,1.41,6.8,727 CDM,RX-27796,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,92.5,82.32499999999999,18.51,96.0,2145 CDM,RX-27797,PERITONEAL DIALYSIS SOLN 4-1.5 % DEXTR CA+ 3.5 MEQ/L-LOW MAG 0.5 MEQ/L,106.5,94.79,22.15,106.5,715 CDM,RX-27800,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,92.5,82.32499999999999,18.51,96.0,2145 CDM,RX-27804,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,92.5,82.32499999999999,18.51,96.0,2145 CDM,RX-27838,NACL 0.9% IV SOLP,80.5,71.64,16.62,82.0,4333 CDM,RX-27857,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",7.0,6.23,1.46,7.0,727 CDM,RX-27858,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",7.1,6.32,1.48,7.1,727 CDM,RX-27859,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",7.2,6.41,1.5,7.2,727 CDM,RX-27860,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,6.7,5.96,1.39,6.7,727 CDM,RX-27862,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,6.7,5.96,1.39,6.7,727 CDM,RX-27863,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,6.5,5.79,1.35,6.5,727 CDM,RX-27886,POVIDONE-IODINE 10 % TOPICAL SWAB,5.7,5.07,1.19,5.7,715 CDM,RX-27905,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,27.1,24.12,5.64,27.1,727 CDM,RX-27906,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,38.4,34.18,7.99,38.4,727 CDM,RX-27907,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,43.8,38.98,9.11,43.8,727 CDM,RX-27908,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,66.1,58.83,13.75,66.1,727 CDM,RX-27980,ARTIFICIAL TEARS (HYPROMELLOSE) 0.5 % EYE DROPS,113.1,100.66,23.52,113.1,727 CDM,RX-27991,CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS IN A DROPPERETTE,3.0,2.67,0.62,3.0,727 CDM,RX-27992,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE LIQUID GEL DROPS,78.2,69.6,16.27,78.2,727 CDM,RX-27999,SODIUM POLYSTYRENE SULFONATE 15 GRAM/60 ML ORAL SUSPENSION,21.2,18.87,4.41,21.2,727 CDM,RX-28011,SERTRALINE 20 MG/ML ORAL CONCENTRATE,7.9,7.03,1.64,7.9,727 CDM,RX-28048,BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL,67.9,60.43,14.12,67.9,727 CDM,RX-28055,CALAMINE 8 %-ZINC OXIDE 8 % LOTION,55.0,48.95,11.44,55.0,727 CDM,RX-28113,ELECTROLYTE INTRAVENOUS SOLUTION,87.3,77.7,18.16,87.3,717 CDM,RX-28116,ELECTROLYTE-R (PH 7.4) INTRAVENOUS SOLUTION,83.8,74.58,17.43,83.8,715 CDM,RX-28150,COTTONSEED OIL TOPICAL,5.3,4.72,1.1,5.3,727 CDM,RX-28158,OLANZAPINE 20 MG TABLET,6.3,5.61,1.31,6.3,727 CDM,RX-28159,OLANZAPINE 5 MG DISINTEGRATING TABLET,10.1,8.99,2.1,10.1,727 CDM,RX-28160,OLANZAPINE 10 MG DISINTEGRATING TABLET,13.6,12.1,2.83,13.6,727 CDM,RX-28161,OLANZAPINE 15 MG DISINTEGRATING TABLET,7.0,6.23,1.46,7.0,727 CDM,RX-28162,OLANZAPINE 20 MG DISINTEGRATING TABLET,19.5,17.36,4.06,19.5,727 CDM,RX-28203,LIDOCAINE 5 % TOPICAL PATCH,12.0,10.68,2.5,12.0,727 CDM,RX-28224,LINEZOLID 600 MG TABLET,15.7,13.97,3.27,15.7,727 CDM,RX-28225,LINEZOLID 100 MG/5 ML ORAL SUSPENSION,1320.9,1175.6,274.75,1320.9,727 CDM,RX-28226,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,101.3,90.16,9.46,101.3,719 CDM,RX-28228,CITALOPRAM 10 MG/5 ML ORAL SOLUTION,8.3,7.39,1.73,8.3,727 CDM,RX-28229,VERTEPORFIN 15 MG INTRAVENOUS SOLUTION,4699.3,4182.38,11.54,4699.3,736 CDM,RX-28235,PENTAMIDINE 300 MG SOLUTION FOR INHALATION,206.5,183.79,42.95,206.5,717 CDM,RX-28245,ZANAMIVIR 5 MG/ACTUATION BLISTER POWDER FOR INHALATION,236.0,210.04,49.09,236.0,727 CDM,RX-28252,FENOFIBRATE 160 MG TABLET,9.9,8.81,2.06,9.9,727 CDM,RX-28278,RIVASTIGMINE 1.5 MG CAPSULE,14.2,12.64,2.95,14.2,727 CDM,RX-28330,FOLIC ACID-VIT B6-VIT B12 2.5 MG-25 MG-1 MG TABLET,2.5,2.23,0.52,2.5,727 CDM,RX-28384,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,12.1,10.77,2.52,12.1,727 CDM,RX-28408,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,46.8,41.65,9.73,46.8,727 CDM,RX-28452,TRICHLOROACETIC ACID 25 % TOPICAL SOLUTION,43.1,38.36,8.96,43.1,715 CDM,RX-2850,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,64.7,57.58,13.46,64.7,721 CDM,RX-28534,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION,170.5,151.75,35.46,170.5,729 CDM,RX-28572,CALCIUM 315 MG (AS CITRATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-2863,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",9.4,8.37,1.96,9.4,727 CDM,RX-28639,SULFACETAMIDE SODIUM-SULFUR 10 %-5 % (W/W) TOPICAL CLEANSER,169.6,150.94,35.28,169.6,727 CDM,RX-28643,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",7.8,6.94,1.62,7.8,727 CDM,RX-28645,ATORVASTATIN 80 MG TABLET,6.7,5.96,1.39,6.7,727 CDM,RX-28750,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR",24.4,21.72,5.08,24.4,727 CDM,RX-28751,"METHYLPHENIDATE ER 36 MG TABLET,EXTENDED RELEASE 24 HR",23.9,21.27,4.97,23.9,727 CDM,RX-28761,LUTEIN 6 MG CAPSULE,2.3,2.05,0.48,2.3,727 CDM,RX-28774,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,12.0,10.68,1.21,12.0,731 CDM,RX-28775,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,16.6,14.77,1.21,16.6,731 CDM,RX-28809,WHITE PETROLATUM TOPICAL JELLY,60.4,53.76,12.56,60.4,727 CDM,RX-28810,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP",206.1,183.43,42.87,206.1,727 CDM,RX-28815,GLYCERIN (BULK) 100 % LIQUID,1201.5,1069.335,62.0,2104.9,1454 CDM,RX-28824,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,75.9,67.55,15.79,75.9,727 CDM,RX-28842,CYCLOSPORINE MODIFIED 25 MG CAPSULE,6.6,5.87,0.6,6.6,729 CDM,RX-28843,CYCLOSPORINE MODIFIED 100 MG CAPSULE,9.3,8.28,1.93,9.3,729 CDM,RX-28844,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION,515.6,458.88,104.08,515.6,729 CDM,RX-2885,ERYTHROMYCIN WITH ETHANOL 2 % TOPICAL GEL,108.1,96.21,22.48,108.1,727 CDM,RX-2888,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,29.4,26.17,6.12,29.4,727 CDM,RX-28899,OXYCODONE 15 MG TABLET,13.4,11.93,2.79,13.4,727 CDM,RX-28900,OXYCODONE 30 MG TABLET,15.0,13.35,3.12,15.0,727 CDM,RX-28911,CARMUSTINE 100 MG/30 ML INTRAVENOUS SOLUTION (WETTED),1380.6,1228.73,238.46,1380.6,736 CDM,RX-28912,DACTINOMYCIN 0.5 MG/ML INTRAVENOUS SOLUTION (WETTED),1452.1,1292.37,302.04,1452.1,736 CDM,RX-2892,"ERYTHROMYCIN 333 MG TABLET,DELAYED RELEASE",25.4,22.61,5.28,25.4,727 CDM,RX-28929,LOPINAVIR-RITONAVIR 400 MG-100 MG/5 ML ORAL SOLUTION,60.7,54.02,12.63,60.7,727 CDM,RX-28947,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,425.4,378.61,0.8,425.4,734 CDM,RX-28958,SIROLIMUS 1 MG TABLET,36.2,32.22,1.11,36.2,720 CDM,RX-28964,LEVOFLOXACIN 750 MG TABLET,6.5,5.79,1.35,6.5,727 CDM,RX-2899,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,426.3,379.41,88.67,426.3,727 CDM,RX-28995,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",6.6,5.87,1.37,6.6,727 CDM,RX-2903,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,252.8,224.99,23.18,252.8,719 CDM,RX-29048,ALENDRONATE 70 MG TABLET,6.1,5.43,1.27,6.1,727 CDM,RX-29069,TAZAROTENE 0.1 % TOPICAL CREAM,688.1,612.41,143.12,688.1,727 CDM,RX-29072,ALENDRONATE 35 MG TABLET,6.1,5.43,1.27,6.1,727 CDM,RX-29176,TELMISARTAN 20 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-29267,QUETIAPINE 300 MG TABLET,6.4,5.7,1.33,6.4,727 CDM,RX-29269,"DILTIAZEM ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE",5.6,4.98,1.16,5.6,727 CDM,RX-29270,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",6.3,5.61,1.31,6.3,727 CDM,RX-29271,"DILTIAZEM ER 180 MG CAPSULE,24 HR,EXTENDED RELEASE",5.9,5.25,1.23,5.9,727 CDM,RX-29272,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",6.2,5.52,1.29,6.2,727 CDM,RX-29273,"DILTIAZEM ER 240 MG CAPSULE,24 HR,EXTENDED RELEASE",6.3,5.61,1.31,6.3,727 CDM,RX-29274,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",6.4,5.7,1.33,6.4,727 CDM,RX-29275,"DILTIAZEM ER 300 MG CAPSULE,24 HR,EXTENDED RELEASE",6.4,5.7,1.33,6.4,727 CDM,RX-29276,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",9.9,8.81,2.06,9.9,727 CDM,RX-29277,"DILTIAZEM ER 360 MG CAPSULE,24 HR,EXTENDED RELEASE",6.8,6.05,1.41,6.8,727 CDM,RX-29278,"DILTIAZEM CD 360 MG CAPSULE,EXTENDED RELEASE 24 HR",6.6,5.87,1.37,6.6,727 CDM,RX-29279,"DILTIAZEM ER 420 MG CAPSULE,24 HR,EXTENDED RELEASE",8.2,7.3,1.71,8.2,727 CDM,RX-29280,LEVONORGESTREL 21 MCG/24 HR (UP TO 8 YEARS) 52 MG INTRAUTERINE DEVICE,1676.2,1491.82,348.65,1676.2,725 CDM,RX-29287,DOCOSANOL 10 % TOPICAL CREAM,51.3,45.66,10.67,51.3,727 CDM,RX-2929,ESTRADIOL CYPIONATE 5 MG/ML INTRAMUSCULAR OIL,72.5,64.53,15.08,72.5,719 CDM,RX-29299,BALSALAZIDE 750 MG CAPSULE,10.0,8.9,2.08,10.0,727 CDM,RX-2930,ESTRADIOL VALERATE 10 MG/ML INTRAMUSCULAR OIL,121.9,108.49,8.56,121.9,719 CDM,RX-2931,ESTRADIOL VALERATE 20 MG/ML INTRAMUSCULAR OIL,70.9,63.1,8.56,70.9,719 CDM,RX-29313,CROTALIDAE POLYVAL IMMUNE FAB 1 GRAM SOLUTION FOR INJECTION,3607.1,3210.32,750.28,3607.1,736 CDM,RX-2932,ESTRADIOL VALERATE 40 MG/ML INTRAMUSCULAR OIL,64.6,57.49,8.56,64.6,719 CDM,RX-29335,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,42.8,38.09,8.9,42.8,719 CDM,RX-29346,"DILTIAZEM ER (XR/XT) 120 MG CAPSULE,EXTENDED RELEASE 24 HR, CONTROLLED",6.6,5.87,1.37,6.6,727 CDM,RX-29347,"DILTIAZEM ER (XR/XT) 180 MG CAPSULE,EXTENDED RELEASE 24 HR, CONTROLLED",7.0,6.23,1.46,7.0,727 CDM,RX-29348,"DILTIAZEM ER (XR/XT) 240 MG CAPSULE,EXTENDED RELEASE 24 HR, CONTROLLED",7.5,6.68,1.56,7.5,727 CDM,RX-2938,CONJUGATED ESTROGENS 1.25 MG TABLET,28.6,25.45,5.95,28.6,727 CDM,RX-29388,"METHYLPHENIDATE ER 54 MG TABLET,EXTENDED RELEASE 24 HR",13.4,11.93,2.79,13.4,727 CDM,RX-29396,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,170.6,151.83,35.48,170.6,719 CDM,RX-29424,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,104.2,92.74,21.67,104.2,727 CDM,RX-29437,NATEGLINIDE 60 MG TABLET,6.7,5.96,1.39,6.7,727 CDM,RX-29442,TACROLIMUS 0.03 % TOPICAL OINTMENT,153.7,136.79,31.97,153.7,727 CDM,RX-29443,TACROLIMUS 0.1 % TOPICAL OINTMENT,211.8,188.5,44.05,211.8,727 CDM,RX-29464,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION,166.7,148.36,15.52,166.7,719 CDM,RX-29518,CLINDAMYCIN 1 %-BENZOYL PEROXIDE 5 % TOPICAL GEL,218.2,194.2,45.39,218.2,727 CDM,RX-29531,MIRTAZAPINE 15 MG DISINTEGRATING TABLET,6.3,5.61,1.31,6.3,727 CDM,RX-29532,MIRTAZAPINE 30 MG DISINTEGRATING TABLET,6.7,5.96,1.39,6.7,727 CDM,RX-29567,CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION,172.1,153.17,35.8,172.1,719 CDM,RX-29568,CASPOFUNGIN 70 MG INTRAVENOUS SOLUTION,159.8,142.22,33.24,159.8,719 CDM,RX-29676,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL,5.6,4.98,1.16,5.6,715 CDM,RX-29745,"ESOMEPRAZOLE MAGNESIUM 20 MG CAPSULE,DELAYED RELEASE",5.9,5.25,1.23,5.9,727 CDM,RX-29746,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",21.8,19.4,4.53,21.8,727 CDM,RX-29778,ZIPRASIDONE 20 MG CAPSULE,12.5,11.13,2.6,12.5,727 CDM,RX-29779,ZIPRASIDONE 40 MG CAPSULE,8.8,7.83,1.83,8.8,727 CDM,RX-29780,ZIPRASIDONE 60 MG CAPSULE,15.8,14.06,3.29,15.8,727 CDM,RX-29781,ZIPRASIDONE 80 MG CAPSULE,15.7,13.97,3.27,15.7,727 CDM,RX-29800,"FLUOXETINE 90 MG CAPSULE,DELAYED RELEASE",108.2,96.3,22.51,108.2,727 CDM,RX-29805,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",411.7,366.41,85.63,411.7,717 CDM,RX-29806,GALANTAMINE 4 MG TABLET,19.4,17.27,4.04,19.4,727 CDM,RX-29807,GALANTAMINE 8 MG TABLET,14.2,12.64,2.95,14.2,727 CDM,RX-29834,HYPROMELLOSE 2 % INTRAOCULAR SYRINGE,131.3,116.86,27.31,131.3,715 CDM,RX-29858,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",6.1,5.43,1.27,6.1,727 CDM,RX-29967,BUSPIRONE 7.5 MG TABLET,10.5,9.35,2.18,10.5,727 CDM,RX-30070,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",6.4,5.7,1.33,6.4,727 CDM,RX-30071,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",6.7,5.96,1.39,6.7,727 CDM,RX-30072,"METOPROLOL SUCCINATE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",8.0,7.12,1.66,8.0,727 CDM,RX-30076,"METHYLPHENIDATE CD 20 MG BIPHASIC 30-70 CAPSULE,EXTENDED RELEASE",15.7,13.97,3.27,15.7,727 CDM,RX-30148,VALGANCICLOVIR 450 MG TABLET,35.9,31.95,7.47,35.9,727 CDM,RX-30264,CITALOPRAM 10 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-30479,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,202.6,180.31,42.14,202.6,727 CDM,RX-30807,"FENTANYL (PF) 10 MCG/ML IN NACL 0.9%, 250 ML",144.7,128.78,30.1,144.7,715 CDM,RX-30863,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.1 %-NACL INJECTION SOLUTION (CONTINUOUS ONLY),257.3,229.0,1.37,257.3,719 CDM,RX-30961,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,8.0,7.12,1.66,8.0,719 CDM,RX-310,ALLOPURINOL 100 MG TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-31025,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",350.7,312.12,34.16,350.7,720 CDM,RX-31086,CEFAZOLIN 100 GRAM SOLUTION FOR INJECTION,342.5,304.83,71.24,342.5,715 CDM,RX-31087,CEFAZOLIN 300 GRAM SOLUTION FOR INJECTION,762.5,678.63,158.6,762.5,715 CDM,RX-311,ALLOPURINOL 300 MG TABLET,6.4,5.7,1.33,6.4,727 CDM,RX-31158,BRIMONIDINE 0.15 % EYE DROPS,322.7,287.2,67.12,322.7,727 CDM,RX-31177,AMOXICILLIN (14:1) 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,27.4,24.39,5.7,27.4,727 CDM,RX-31209,VALSARTAN 80 MG TABLET,8.8,7.83,1.83,8.8,727 CDM,RX-31210,VALSARTAN 160 MG TABLET,9.3,8.28,1.93,9.3,727 CDM,RX-3123070,BORTEZOMIB 3.5 MG SOLUTION FOR INJECTION (SUBQ EQUIVALENCY),233.2,207.55,48.51,233.2,719 CDM,RX-31310,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION,575.5,512.2,94.45,575.5,735 CDM,RX-31336,FENOFIBRATE 54 MG TABLET,9.1,8.1,1.89,9.1,727 CDM,RX-31432,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION,11949.8,10635.32,2485.56,11949.8,736 CDM,RX-31576,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",49.9,44.41,10.38,49.9,727 CDM,RX-31587,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",12.0,10.68,2.5,12.0,727 CDM,RX-31588,"DEXTROAMPHETAMINE-AMPHETAMINE ER 20 MG 24HR CAPSULE,EXTEND RELEASE",33.2,29.55,6.91,33.2,727 CDM,RX-31589,"DEXTROAMPHETAMINE-AMPHETAMINE ER 30 MG 24HR CAPSULE,EXTEND RELEASE",13.8,12.28,2.87,13.8,727 CDM,RX-31684,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,12.9,11.48,2.68,12.9,727 CDM,RX-3177,FLOXURIDINE 0.5 GRAM/5 ML SOLUTION FOR INJECTION (WETTED),12145.6,10809.58,2526.28,12145.6,736 CDM,RX-31783,"THEOPHYLLINE ER 400 MG CAPSULE,EXTENDED RELEASE 24 HR",38.3,34.09,7.97,38.3,727 CDM,RX-3184,FLUOCINOLONE 0.025 % TOPICAL CREAM,148.4,132.08,30.87,148.4,727 CDM,RX-31845,DEXMETHYLPHENIDATE 2.5 MG TABLET,10.7,9.52,2.23,10.7,727 CDM,RX-31846,DEXMETHYLPHENIDATE 5 MG TABLET,11.0,9.79,2.29,11.0,727 CDM,RX-31847,DEXMETHYLPHENIDATE 10 MG TABLET,11.6,10.32,2.41,11.6,727 CDM,RX-3186,FLUOCINOLONE 0.01 % TOPICAL SOLUTION,121.1,107.78,25.19,121.1,727 CDM,RX-31864,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,17.7,15.75,3.68,17.7,727 CDM,RX-3187,FLUOCINONIDE 0.05 % TOPICAL CREAM,84.9,75.56,17.66,84.9,727 CDM,RX-31875,BOSENTAN 62.5 MG TABLET,66.8,59.45,13.89,66.8,727 CDM,RX-31876,BOSENTAN 125 MG TABLET,65.8,58.56,13.69,65.8,727 CDM,RX-3188,FLUOCINONIDE 0.05 % TOPICAL GEL,150.4,133.86,31.28,150.4,727 CDM,RX-31882,FROVATRIPTAN 2.5 MG TABLET,95.8,85.26,19.93,95.8,727 CDM,RX-3189,FLUOCINONIDE 0.05 % TOPICAL OINTMENT,104.6,93.09,21.76,104.6,727 CDM,RX-3190,FLUOCINONIDE 0.05 % TOPICAL SOLUTION,109.0,97.01,22.67,109.0,727 CDM,RX-31906,MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,282.5,251.43,42.12,282.5,719 CDM,RX-31921,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,89.4,79.57,9.19,89.4,719 CDM,RX-31922,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,82.7,73.6,17.2,82.7,720 CDM,RX-32019,DESLORATADINE 5 MG TABLET,6.6,5.87,1.37,6.6,727 CDM,RX-32052,PIMECROLIMUS 1 % TOPICAL CREAM,374.8,333.57,77.96,374.8,727 CDM,RX-3208,"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION",297.6,264.86,61.9,297.6,727 CDM,RX-32128,PRAVASTATIN 80 MG TABLET,7.5,6.68,1.56,7.5,727 CDM,RX-3215,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,49.7,44.23,7.13,49.7,719 CDM,RX-3216,FLUPHENAZINE 2.5 MG/ML INJECTION SOLUTION,55.4,49.31,11.52,55.4,717 CDM,RX-3217,FLUPHENAZINE 5 MG/ML ORAL CONCENTRATE,12.8,11.39,2.66,12.8,727 CDM,RX-3218,FLUPHENAZINE 1 MG TABLET,14.2,12.64,2.95,14.2,727 CDM,RX-3219,FLUPHENAZINE 10 MG TABLET,24.7,21.98,5.14,24.7,727 CDM,RX-3220,FLUPHENAZINE 2.5 MG TABLET,18.5,16.47,3.85,18.5,727 CDM,RX-3221,FLUPHENAZINE 5 MG TABLET,16.2,14.42,3.37,16.2,727 CDM,RX-32215,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,58.4,51.98,5.04,58.4,719 CDM,RX-3223,FLURAZEPAM 15 MG CAPSULE,55.8,49.66,11.61,55.8,727 CDM,RX-32248,NORELGESTROMIN 150 MCG-E.ESTRADIOL 35 MCG/24 HR WEEKLY TRANSDERM PATCH,136.2,121.22,28.33,136.2,727 CDM,RX-32267,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,11722.9,10433.38,89.34,11722.9,734 CDM,RX-32298,EFAVIRENZ 600 MG TABLET,13.0,11.57,2.7,13.0,727 CDM,RX-3232,FOLIC ACID 5 MG/ML INJECTION SOLUTION,119.4,106.27,24.84,119.4,717 CDM,RX-32329,LEVALBUTEROL 0.31 MG/3 ML SOLUTION FOR NEBULIZATION,10.3,9.17,0.09,10.3,731 CDM,RX-3233,FOLIC ACID 1 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-3234,FOLIC ACID 400 MCG TABLET,2.7,2.4,0.56,2.7,727 CDM,RX-32374,FLUOCINOLONE-HYDROQUINONE-TRETINOIN 0.01 %-4 %-0.05 % TOPICAL CREAM,767.1,682.72,159.56,767.1,727 CDM,RX-324,ALPRAZOLAM 0.25 MG TABLET,10.2,9.08,2.12,10.2,727 CDM,RX-32415,"DEXTROAMPHETAMINE SULFATE ER 5 MG CAPSULE,EXTENDED RELEASE",16.0,14.24,3.33,16.0,727 CDM,RX-32416,"DEXTROAMPHETAMINE SULFATE ER 10 MG CAPSULE,EXTENDED RELEASE",21.9,19.49,4.56,21.9,727 CDM,RX-32427,"DEXTROAMPHETAMINE SULFATE ER 15 MG CAPSULE,EXTENDED RELEASE",25.2,22.43,5.24,25.2,727 CDM,RX-325,ALPRAZOLAM 0.5 MG TABLET,11.4,10.15,2.37,11.4,727 CDM,RX-32589,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION,69.2,61.59,12.98,69.2,720 CDM,RX-326,ALPRAZOLAM 1 MG TABLET,10.2,9.08,2.12,10.2,727 CDM,RX-32654,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",24.5,21.81,5.1,24.5,727 CDM,RX-32700,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION,1700.0,1513.0,6.5,1700.0,741 CDM,RX-32716,VITAMIN B COMPLEX AND C NO.10-FOLIC ACID 900 MCG/5 ML ORAL LIQUID,3.1,2.76,0.64,3.1,727 CDM,RX-32855,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION,134.6,119.79,28.0,134.6,719 CDM,RX-32872,SULFACETAMIDE SODIUM 10 % TOPICAL CLEANSER,267.1,237.72,55.56,267.1,727 CDM,RX-32895,RISEDRONATE 35 MG TABLET,10.2,9.08,2.12,10.2,727 CDM,RX-3291,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,36.4,32.4,7.57,36.4,722 CDM,RX-32914,"DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP",40.0,35.6,8.32,40.0,717 CDM,RX-3292,FUROSEMIDE 10 MG/ML ORAL SOLUTION,27.1,24.12,5.64,27.1,727 CDM,RX-32931,TREPROSTINIL STRAIGHT DRUG INFUSION 1 MG/ML,1133.7,1008.99,54.71,1133.7,736 CDM,RX-3294,FUROSEMIDE 20 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-3295,FUROSEMIDE 40 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-3296,FUROSEMIDE 80 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-32979,IMATINIB 100 MG TABLET,15.2,13.53,3.16,15.2,727 CDM,RX-33005,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",12.0,10.68,2.5,12.0,727 CDM,RX-33006,"DEXTROAMPHETAMINE-AMPHETAMINE ER 15 MG 24HR CAPSULE,EXTEND RELEASE",12.0,10.68,2.5,12.0,727 CDM,RX-33007,"DEXTROAMPHETAMINE-AMPHETAMINE ER 25 MG 24HR CAPSULE,EXTEND RELEASE",13.8,12.28,2.87,13.8,727 CDM,RX-33008,VORICONAZOLE 50 MG TABLET,28.1,25.01,5.84,28.1,727 CDM,RX-33009,VORICONAZOLE 200 MG TABLET,64.6,57.49,13.44,64.6,727 CDM,RX-33083,MIDODRINE 10 MG TABLET,7.8,6.94,1.62,7.8,727 CDM,RX-33108,"BUPROPION HCL SR 200 MG TABLET,12 HR SUSTAINED-RELEASE",5.3,4.72,1.1,5.3,727 CDM,RX-33175,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,84.8,75.47,17.64,84.8,719 CDM,RX-33198,"METHYLPHENIDATE LA 20 MG BIPHASIC 50-50 CAPSULE,EXTENDED RELEASE",15.8,14.06,3.29,15.8,727 CDM,RX-33199,"METHYLPHENIDATE LA 30 MG BIPHASIC 50-50 CAPSULE,EXTENDED RELEASE",17.5,15.58,3.64,17.5,727 CDM,RX-33227,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,9.2,8.19,1.91,9.2,727 CDM,RX-33228,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,9.6,8.54,2.0,9.6,727 CDM,RX-33229,AMOXICILLIN (7:1) 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION,19.0,16.91,3.95,19.0,727 CDM,RX-33230,AMOXICILLIN (7:1) 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,32.7,29.1,6.8,32.7,727 CDM,RX-33512,ESCITALOPRAM 10 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-33513,ESCITALOPRAM 20 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-33541,VALSARTAN 40 MG TABLET,7.9,7.03,1.64,7.9,727 CDM,RX-33591,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,3065.8,2728.56,377.52,3065.8,736 CDM,RX-33669,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE,1235.3,1099.42,176.45,1235.3,736 CDM,RX-3378,GEMFIBROZIL 600 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-33816,ADEFOVIR 10 MG TABLET,100.1,89.09,20.82,100.1,727 CDM,RX-33862,"AMOXICILLIN-POTASSIUM CLAVULANATE 1,000 MG-62.5 MG TABLET,EXT.REL 12HR",26.9,23.94,5.6,26.9,727 CDM,RX-34089,DUTASTERIDE 0.5 MG CAPSULE,5.8,5.16,1.21,5.8,727 CDM,RX-34153,EZETIMIBE 10 MG TABLET,17.9,15.93,3.72,17.9,727 CDM,RX-3423,GENTAMICIN 0.1 % TOPICAL CREAM,98.4,87.58,20.47,98.4,727 CDM,RX-3424,GENTAMICIN 0.1 % TOPICAL OINTMENT,103.8,92.38,21.59,103.8,727 CDM,RX-34247,CLINDAMYCIN 1.2 % (1 % BASE)-BENZOYL PEROXIDE 5 % TOPICAL GEL,239.1,212.8,49.73,239.1,727 CDM,RX-3425,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION,42.8,38.09,2.49,42.8,719 CDM,RX-3426,GENTAMICIN 40 MG/ML INJECTION SOLUTION,40.6,36.13,2.49,40.6,726 CDM,RX-3428,GENTAMICIN 0.3 % EYE DROPS,63.9,56.87,13.29,63.9,727 CDM,RX-3430,GENTIAN VIOLET 1 % TOPICAL SOLUTION,74.6,66.39,15.52,74.6,715 CDM,RX-34369,ARIPIPRAZOLE 10 MG TABLET,6.7,5.96,1.39,6.7,727 CDM,RX-34370,ARIPIPRAZOLE 15 MG TABLET,9.1,8.1,1.89,9.1,727 CDM,RX-34371,ARIPIPRAZOLE 20 MG TABLET,9.7,8.63,2.02,9.7,727 CDM,RX-34372,ARIPIPRAZOLE 30 MG TABLET,11.3,10.06,2.35,11.3,727 CDM,RX-34418,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",6.2,5.52,1.29,6.2,727 CDM,RX-34444,ATOMOXETINE 10 MG CAPSULE,9.2,8.19,1.91,9.2,727 CDM,RX-34445,ATOMOXETINE 18 MG CAPSULE,6.8,6.05,1.41,6.8,727 CDM,RX-34446,ATOMOXETINE 25 MG CAPSULE,14.0,12.46,2.91,14.0,727 CDM,RX-34447,ATOMOXETINE 40 MG CAPSULE,16.9,15.04,3.52,16.9,727 CDM,RX-34448,ATOMOXETINE 60 MG CAPSULE,16.9,15.04,3.52,16.9,727 CDM,RX-34505,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,11.9,10.59,2.48,11.9,727 CDM,RX-34544,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,12.2,10.86,2.54,12.2,727 CDM,RX-346,ALUMINUM POTASSIUM SULFATE (ALUM) POWDER (STERILE),251.1,223.48,52.23,251.1,715 CDM,RX-34708,NITAZOXANIDE 100 MG/5 ML ORAL SUSPENSION,1090.65,970.6800000000001,139.19,1512.1,1454 CDM,RX-34711,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,16.6,14.77,2.6,16.6,719 CDM,RX-34712,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,21.3,18.96,4.43,21.3,719 CDM,RX-34769,NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE,3.2,2.85,0.67,3.2,727 CDM,RX-34770,NICOTINE (POLACRILEX) 4 MG BUCCAL LOZENGE,3.3,2.94,0.69,3.3,727 CDM,RX-3489,GLYBURIDE 5 MG TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-34897,ESCITALOPRAM 5 MG/5 ML ORAL SOLUTION,7.9,7.03,1.64,7.9,727 CDM,RX-3493,GLYCINE 1.5 % UROLOGIC SOLUTION FOR IRRIGATION,81.5,72.53,16.95,81.5,715 CDM,RX-35126,"NEOMYCIN 3.5 MG-POLYMYXIN 10,000 UNIT-HYDROCORT 10 MG/ML EYE DROP,SUSP",468.3,416.79,97.41,468.3,727 CDM,RX-35134,ROSUVASTATIN 10 MG TABLET,6.8,6.05,1.41,6.8,727 CDM,RX-35135,ROSUVASTATIN 20 MG TABLET,7.3,6.5,1.52,7.3,727 CDM,RX-35136,ROSUVASTATIN 40 MG TABLET,7.7,6.85,1.6,7.7,727 CDM,RX-35179,"DILTIAZEM ER 240 MG TABLET,EXTENDED RELEASE 24 HR",11.6,10.32,2.41,11.6,727 CDM,RX-35194,AZELAIC ACID 15 % TOPICAL GEL,418.6,372.55,87.07,418.6,727 CDM,RX-35209,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,12.8,11.39,2.66,12.8,727 CDM,RX-35262,SIROLIMUS 2 MG TABLET,20.7,18.42,2.23,20.7,719 CDM,RX-353,ALUMINUM HYDROXIDE GEL 320 MG/5 ML ORAL SUSPENSION,20.3,18.07,4.22,20.3,727 CDM,RX-3542,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,0.5,0.45,0.1,0.5,727 CDM,RX-35488,APREPITANT 80 MG CAPSULE,503.2,447.85,50.97,503.2,719 CDM,RX-35489,APREPITANT 125 MG CAPSULE,576.4,513.0,79.64,576.4,719 CDM,RX-35625,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET,13.8,12.28,2.87,13.8,727 CDM,RX-35626,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET,8.0,7.12,1.66,8.0,727 CDM,RX-35627,CLONAZEPAM 0.5 MG DISINTEGRATING TABLET,13.1,11.66,2.72,13.1,727 CDM,RX-35628,CLONAZEPAM 1 MG DISINTEGRATING TABLET,8.5,7.57,1.77,8.5,727 CDM,RX-35629,CLONAZEPAM 2 MG DISINTEGRATING TABLET,14.8,13.17,3.08,14.8,727 CDM,RX-35639,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",679.2,604.49,141.27,679.2,717 CDM,RX-35640,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,58.4,51.98,12.15,58.4,721 CDM,RX-35686,RISPERIDONE 0.5 MG DISINTEGRATING TABLET,7.1,6.32,1.48,7.1,727 CDM,RX-35687,RISPERIDONE 1 MG DISINTEGRATING TABLET,8.1,7.21,1.68,8.1,727 CDM,RX-35688,RISPERIDONE 2 MG DISINTEGRATING TABLET,8.2,7.3,1.71,8.2,727 CDM,RX-35699,MOXIFLOXACIN 0.5 % EYE DROPS,81.4,72.45,16.93,81.4,715 CDM,RX-35709,OMEPRAZOLE (BULK) 100 % POWDER,289.5,257.65,60.22,289.5,715 CDM,RX-35771,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",6.4,5.7,1.33,6.4,727 CDM,RX-35775,AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION,20580.8,18316.91,230.15,20580.8,736 CDM,RX-35779,LARONIDASE 2.9 MG/5 ML INTRAVENOUS SOLUTION,3319.8,2954.62,39.87,3319.8,736 CDM,RX-3578,HALOPERIDOL 0.5 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-3580,HALOPERIDOL 10 MG TABLET,9.1,8.1,1.89,9.1,727 CDM,RX-3581,HALOPERIDOL 2 MG TABLET,6.7,5.96,1.39,6.7,727 CDM,RX-3582,HALOPERIDOL 20 MG TABLET,17.7,15.75,3.68,17.7,727 CDM,RX-3583,HALOPERIDOL 5 MG TABLET,7.8,6.94,1.62,7.8,727 CDM,RX-3584,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,38.0,33.82,0.84,38.0,726 CDM,RX-3585,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,5.4,4.81,1.12,5.4,727 CDM,RX-35942,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",6.1,5.43,1.27,6.1,727 CDM,RX-35943,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",6.3,5.61,1.31,6.3,727 CDM,RX-35957,CONJ ESTROGEN-MEDROXYPROGESTERONE 0.45 MG-1.5 MG TABLET,34.5,30.7,7.18,34.5,727 CDM,RX-36023,MONTELUKAST 4 MG ORAL GRANULES IN PACKET,9.5,8.46,1.98,9.5,727 CDM,RX-36046,NACL 0.45% KCL 20 MEQ/L IV SOLP,85.5,76.1,17.78,85.5,717 CDM,RX-36092,IMATINIB 400 MG TABLET,49.4,43.97,10.28,49.4,727 CDM,RX-36149,ATAZANAVIR 150 MG CAPSULE,14.7,13.08,3.06,14.7,727 CDM,RX-36150,ATAZANAVIR 200 MG CAPSULE,87.3,77.7,18.16,87.3,727 CDM,RX-36198,CONJUGATED ESTROGENS 0.45 MG TABLET,28.6,25.45,5.95,28.6,727 CDM,RX-36252,EMTRICITABINE 200 MG CAPSULE,38.9,34.62,8.09,38.9,727 CDM,RX-36349,"METHYLPHENIDATE CD 30 MG BIPHASIC 30-70 CAPSULE,EXTENDED RELEASE",15.7,13.97,3.27,15.7,727 CDM,RX-364,AMANTADINE HCL 100 MG CAPSULE,8.8,7.83,1.83,8.8,727 CDM,RX-36438,ARIPIPRAZOLE 5 MG TABLET,6.6,5.87,1.37,6.6,727 CDM,RX-36461,POTASSIUM IODIDE 65 MG TABLET,2.0,1.78,0.42,2.0,727 CDM,RX-36495,"METHYLPHENIDATE CD 10 MG BIPHASIC 30-70 CAPSULE,EXTENDED RELEASE",19.3,17.18,4.01,19.3,727 CDM,RX-365,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,65.4,58.21,13.6,65.4,727 CDM,RX-36576,"CIPROFLOXACIN 0.3 %-DEXAMETHASONE 0.1 % EAR DROPS,SUSPENSION",284.4,253.12,59.16,284.4,715 CDM,RX-36590,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,7.9,7.03,1.64,7.9,727 CDM,RX-36591,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,63.2,56.25,4.06,63.2,725 CDM,RX-36612,ROSUVASTATIN 5 MG TABLET,9.9,8.81,2.06,9.9,727 CDM,RX-36631,KETOROLAC 0.4 % EYE DROPS,261.2,232.47,54.33,261.2,727 CDM,RX-36775,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",8.5,7.57,1.77,8.5,727 CDM,RX-36776,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",10.2,9.08,2.12,10.2,727 CDM,RX-36823,ALPHA LIPOIC ACID 100 MG CAPSULE,2.4,2.14,0.5,2.4,727 CDM,RX-36959,AMIODARONE 100 MG TABLET,7.0,6.23,1.46,7.0,727 CDM,RX-36962,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID,35.2,31.33,7.32,35.2,727 CDM,RX-36966,MEMANTINE 10 MG TABLET,6.1,5.43,1.27,6.1,727 CDM,RX-3697,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,47.9,42.63,5.05,47.9,720 CDM,RX-36976,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,10.1,8.99,2.1,10.1,727 CDM,RX-3698,HYDRALAZINE 10 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-36982,"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR",5.4,4.81,1.12,5.4,727 CDM,RX-36983,EPLERENONE 25 MG TABLET,20.1,17.89,4.18,20.1,727 CDM,RX-36984,EPLERENONE 50 MG TABLET,7.8,6.94,1.62,7.8,727 CDM,RX-36987,ZONISAMIDE 25 MG CAPSULE,5.3,4.72,1.1,5.3,727 CDM,RX-36988,ZONISAMIDE 50 MG CAPSULE,5.5,4.89,1.14,5.5,727 CDM,RX-36989,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,90.1,80.19,16.1,90.1,719 CDM,RX-3699,HYDRALAZINE 100 MG TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-3700,HYDRALAZINE 25 MG TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-3701,HYDRALAZINE 50 MG TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-37125,METFORMIN 500 MG/5 ML ORAL SOLUTION,27.9,24.83,5.8,27.9,727 CDM,RX-37170,MEMANTINE 5 MG TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-3720,HYDROCHLOROTHIAZIDE 25 MG TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-3721,HYDROCHLOROTHIAZIDE 50 MG TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-37237,"RISPERIDONE MICROSPHERES ER 25 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE",1190.3,1059.37,10.98,1190.3,736 CDM,RX-37238,"RISPERIDONE MICROSPHERES ER 37.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS",1823.0,1622.47,10.98,1823.0,736 CDM,RX-37239,"RISPERIDONE MICROSPHERES ER 50 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE",2555.7,2274.57,10.98,2555.7,736 CDM,RX-3725,HYDROCORTISONE 0.5 % TOPICAL CREAM,63.1,56.16,13.12,63.1,727 CDM,RX-3726,HYDROCORTISONE 1 % TOPICAL CREAM,20.2,17.98,4.2,20.2,727 CDM,RX-3727,HYDROCORTISONE 2.5 % TOPICAL CREAM,58.6,52.15,12.19,58.6,727 CDM,RX-3728,HYDROCORTISONE 1 % LOTION,68.2,60.7,14.19,68.2,727 CDM,RX-3731,HYDROCORTISONE 1 % TOPICAL OINTMENT,57.3,51.0,11.92,57.3,727 CDM,RX-3732,HYDROCORTISONE 2.5 % TOPICAL OINTMENT,62.6,55.71,13.02,62.6,727 CDM,RX-3733,HYDROCORTISONE 10 MG TABLET,10.2,9.08,2.12,10.2,727 CDM,RX-3734,HYDROCORTISONE 20 MG TABLET,10.9,9.7,2.27,10.9,727 CDM,RX-37343,SACCHAROMYCES BOULARDII 250 MG CAPSULE,4.3,3.83,0.89,4.3,727 CDM,RX-37354,DEXTROMETHORPHAN HBR 15 MG CAPSULE,5.5,4.89,1.14,5.5,727 CDM,RX-3738,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,10.5,9.35,2.18,10.5,727 CDM,RX-37400,TADALAFIL 5 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-37401,TADALAFIL 10 MG TABLET,179.7,159.93,37.38,179.7,727 CDM,RX-37459,CONJ ESTROGEN-MEDROXYPROGESTERONE 0.3 MG-1.5 MG TABLET,34.5,30.7,7.18,34.5,727 CDM,RX-37495,GLYCERIN (LAXATIVE) 5.4 GRAM/5.4 ML RECTAL SOLUTION,4.2,3.74,0.87,4.2,727 CDM,RX-37567,"CARBAMAZEPINE ER 100 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",9.9,8.81,2.06,9.9,727 CDM,RX-3760,HYDROMORPHONE 2 MG TABLET,11.3,10.06,2.35,11.3,727 CDM,RX-3761,HYDROMORPHONE 4 MG TABLET,11.6,10.32,2.41,11.6,727 CDM,RX-37616,TOPIRAMATE 50 MG TABLET,6.5,5.79,1.35,6.5,727 CDM,RX-3762,HYDROMORPHONE (BULK) 100 % POWDER,1903.7,1694.29,395.97,1903.7,717 CDM,RX-37635,ESCITALOPRAM 5 MG TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-37637,METOPROLOL TARTRATE 25 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-37643,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR",12.2,10.86,2.54,12.2,727 CDM,RX-37644,"PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR",14.1,12.55,2.93,14.1,727 CDM,RX-37645,"PROPAFENONE ER 425 MG CAPSULE,EXTENDED RELEASE 12 HR",14.1,12.55,2.93,14.1,727 CDM,RX-37648,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",9.7,8.63,2.02,9.7,727 CDM,RX-37649,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",7.5,6.68,1.56,7.5,727 CDM,RX-37650,"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR",5.6,4.98,1.16,5.6,727 CDM,RX-37651,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",0.5,0.45,0.1,0.5,727 CDM,RX-37653,"DISOPYRAMIDE PHOSPHATE ER 150 MG CAPSULE,EXTENDED RELEASE",20.5,18.25,4.26,20.5,727 CDM,RX-37662,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE",5.8,5.16,1.21,5.8,727 CDM,RX-37664,ALOSETRON 0.5 MG TABLET,21.8,19.4,4.53,21.8,727 CDM,RX-3770,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,118.8,105.73,24.71,118.8,719 CDM,RX-3771,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,252.9,225.08,52.6,252.9,727 CDM,RX-3772,HYDROXYZINE HCL 10 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-3774,HYDROXYZINE HCL 25 MG TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-3775,HYDROXYZINE HCL 50 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-37761,RASPBERRY FLAVOR (BULK) LIQUID,105.7,94.07,21.99,105.7,727 CDM,RX-3782,HYOSCYAMINE 0.125 MG/ML ORAL DROPS,8.0,7.12,1.66,8.0,727 CDM,RX-3783,HYOSCYAMINE SULFATE 0.125 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-37848,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,44.0,39.16,5.43,554.3,2908 CDM,RX-37894,PEMETREXED DISODIUM 500 MG/20 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),352.5,313.73,4.36,352.5,736 CDM,RX-37962,PILOCARPINE 7.5 MG TABLET,7.4,6.59,1.54,7.4,727 CDM,RX-38062,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",15.6,13.88,0.37,15.6,719 CDM,RX-38063,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",26.2,23.32,0.73,26.2,729 CDM,RX-38092,HYPROMELLOSE 2.5 % EYE DROPS,118.7,105.64,24.69,118.7,715 CDM,RX-38100,CINACALCET 30 MG TABLET,76.6,68.17,15.93,76.6,714 CDM,RX-38101,CINACALCET 60 MG TABLET,7.6,6.76,1.58,7.6,714 CDM,RX-38102,CINACALCET 90 MG TABLET,9.2,8.19,1.91,9.2,714 CDM,RX-38103,VORICONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,1347.5,1199.28,280.28,1347.5,727 CDM,RX-38213,"ORPHENADRINE CITRATE ER 100 MG TABLET,EXTENDED RELEASE",6.0,5.34,1.25,6.0,727 CDM,RX-38224,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",11.8,10.5,2.45,11.8,727 CDM,RX-38225,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",5.8,5.16,1.21,5.8,727 CDM,RX-38226,"PROPRANOLOL ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE",5.9,5.25,1.23,5.9,727 CDM,RX-38227,"PROPRANOLOL ER 160 MG CAPSULE,24 HR,EXTENDED RELEASE",6.2,5.52,1.29,6.2,727 CDM,RX-38245,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,9.6,8.54,2.0,9.6,727 CDM,RX-38263,OLANZAPINE 10 MG INJECTION SOLUTION,89.7,79.83,18.66,89.7,717 CDM,RX-38270,CYCLOPHOSPHAMIDE 1 GRAM/50 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),623.5,554.91,0.48,623.5,734 CDM,RX-38271,CYCLOPHOSPHAMIDE 500 MG/25 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),384.7,342.38,0.48,384.7,734 CDM,RX-38280,CYCLOPHOSPHAMIDE 2 GRAM/100 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),1324.9,1179.16,0.48,1324.9,734 CDM,RX-38285,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,0.5,0.45,0.1,0.5,727 CDM,RX-38303,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,112.5,100.13,23.4,112.5,719 CDM,RX-38305,SUFENTANIL CITRATE (BULK) POWDER,27756.2,24703.02,5773.29,27756.2,715 CDM,RX-38318,NELFINAVIR 625 MG TABLET,39.6,35.24,8.24,39.6,727 CDM,RX-38321,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE,3.2,2.85,0.67,3.2,727 CDM,RX-38387,"METHYLPHENIDATE LA 10 MG BIPHASIC 50-50 CAPSULE,EXTENDED RELEASE",21.7,19.31,4.51,21.7,727 CDM,RX-3841,IBUPROFEN 200 MG TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-38421,MIRTAZAPINE 7.5 MG TABLET,15.3,13.62,3.18,15.3,727 CDM,RX-3843,IBUPROFEN 400 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-3844,IBUPROFEN 600 MG TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-3845,IBUPROFEN 800 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-38479,CLOZAPINE 25 MG DISINTEGRATING TABLET,11.7,10.41,2.43,11.7,727 CDM,RX-38480,CLOZAPINE 100 MG DISINTEGRATING TABLET,22.9,20.38,4.76,22.9,727 CDM,RX-38488,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,7.5,6.68,1.56,7.5,727 CDM,RX-38489,ETHOSUXIMIDE 250 MG/5 ML ORAL SOLUTION,6.9,6.14,1.44,6.9,727 CDM,RX-38494,AGALSIDASE BETA 5 MG INTRAVENOUS SOLUTION,3303.9,2940.47,230.15,3303.9,736 CDM,RX-3860,IMIPRAMINE 10 MG TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-3861,IMIPRAMINE 25 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-3862,IMIPRAMINE 50 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-38624,FOLIC ACID-VIT B6-VIT B12 2.5 MG-25 MG-2 MG TABLET,7.6,6.76,1.58,7.6,727 CDM,RX-38673,GRAPE FLAVOR (BULK) LIQUID,141.2,125.67,29.37,141.2,727 CDM,RX-38701,"NEOMYCIN-BACITRACIN-POLYMYXN 3.5 MG-400 UNIT-10,000 UNIT/GRAM EYE OINT",122.4,108.94,25.46,122.4,715 CDM,RX-3879,INDAPAMIDE 2.5 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-38830,DOXERCALCIFEROL 0.5 MCG CAPSULE,28.6,25.45,5.95,28.6,727 CDM,RX-38907,TINIDAZOLE 500 MG TABLET,16.5,14.69,3.43,16.5,727 CDM,RX-3897,INDOMETHACIN 25 MG CAPSULE,6.0,5.34,1.25,6.0,727 CDM,RX-38977,TROSPIUM 20 MG TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-3898,INDOMETHACIN 50 MG CAPSULE,5.9,5.25,1.23,5.9,727 CDM,RX-3900,INDOMETHACIN 25 MG/5 ML ORAL SUSPENSION,5983.4,5325.23,1244.55,5983.4,715 CDM,RX-3901,INDOMETHACIN 50 MG RECTAL SUPPOSITORY,561.9,500.09,116.88,561.9,715 CDM,RX-39063,RIFAXIMIN 200 MG TABLET,45.9,40.85,9.55,45.9,727 CDM,RX-391,AMILORIDE 5 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-39136,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",67.5,60.08,14.04,67.5,727 CDM,RX-39254,NITAZOXANIDE 500 MG TABLET,284.3,253.03,59.13,284.3,727 CDM,RX-39255,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,10.5,9.35,2.18,10.5,727 CDM,RX-39265,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,137.8,122.64,10.11,137.8,721 CDM,RX-39275,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",5.3,4.72,1.1,5.3,727 CDM,RX-39276,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",5.3,4.72,1.1,5.3,727 CDM,RX-39277,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",5.6,4.98,1.16,5.6,727 CDM,RX-39301,ABACAVIR 600 MG-LAMIVUDINE 300 MG TABLET,11.4,10.15,2.37,11.4,727 CDM,RX-39315,METHYLPHENIDATE 10 MG/5 ML ORAL SOLUTION,11.7,10.41,2.43,11.7,715 CDM,RX-39390,"ARGININE HCL (L-ARGININE) 1,000 MG TABLET",2.4,2.14,0.5,2.4,727 CDM,RX-39497,CARBIDOPA 25 MG-LEVODOPA 100 MG DISINTEGRATING TABLET,7.5,6.68,1.56,7.5,727 CDM,RX-39522,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,55.9,49.75,11.63,55.9,727 CDM,RX-39575,"MESALAMINE ER 500 MG CAPSULE,EXTENDED RELEASE",24.7,21.98,5.14,24.7,727 CDM,RX-39700,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SYRINGE,85.4,76.01,5.14,85.4,719 CDM,RX-39717,URSODIOL 500 MG TABLET,8.1,7.21,1.68,8.1,727 CDM,RX-39720,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",8.6,7.65,1.79,8.6,727 CDM,RX-39744,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,45.4,40.41,9.44,45.4,715 CDM,RX-39786,"BARIUM SULFATE 40 % (W/V), 30 % (W/W) ORAL SUSPENSION",11.4,10.15,2.37,11.4,717 CDM,RX-39918,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,38.1,33.91,2.38,38.1,719 CDM,RX-39970,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION,2269.0,2019.41,471.95,2269.0,727 CDM,RX-39975,LANTHANUM 500 MG CHEWABLE TABLET,23.1,20.56,20.8,20.8,1 CDM,RX-40009,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,8.0,7.12,1.66,8.0,727 CDM,RX-400099,CALCIUM CHLORIDE 100 MG/ML STRAIGHT DRUG INFUSION 100 ML (CNR/REPACKAGING) WRAPPER,220.9,196.6,45.95,220.9,715 CDM,RX-40010,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,10.1,8.99,2.1,10.1,727 CDM,RX-400291,NACL 0.9% IV BOLUS,75.94999999999999,67.595,15.64,81.0,4300 CDM,RX-400292,NACL 0.45% IV BOLUS,82.0,72.98,17.06,82.0,1434 CDM,RX-400293,D5W IV BOLUS,80.3,71.47,15.97,103.9,3581 CDM,RX-400294,D5-NACL 0.9% IV BOLUS,82.0,72.98,3.01,82.0,719 CDM,RX-400295,D5-NACL 0.45% IV BOLUS,82.0,72.98,17.06,82.0,717 CDM,RX-400296,LACTATED RINGERS IV BOLUS,81.15,72.225,16.7,82.0,1434 CDM,RX-400297,D5LR IV BOLUS,81.15,72.225,16.7,82.0,1434 CDM,RX-400302,DEXTROSE 10 % IV BOLUS,82.9,73.78,17.24,82.9,717 CDM,RX-400308,ENOXAPARIN DILUTION INJECTION 20 MG/ML (NEO/PED),46.3,41.21,1.84,46.3,719 CDM,RX-400403,HEPATITIS B IMMUNE GLOBULIN > 312 UNITS/ML IVPB BAG OF STRAIGHT DRUG (WRAPPER),9858.4,8773.98,66.64,9858.4,734 CDM,RX-400503,METOPROLOL TARTRATE 12.5 MG PO PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-400673,FOSCARNET IV SYRINGE 24 MG/ML (NEO/PED) (CENTRAL LINE ONLY),897.5,798.78,186.68,897.5,717 CDM,RX-400723,IMMUNE GLOB G 20%-PROL-IGA 0-50 MCG/ML SUBCUTANEOUS SOLN (WRAPPER),1252.4499999999998,1114.6799999999998,14.34,4016.4,2944 CDM,RX-400801,HUM PROTHROMBIN CPLX (PCC) 4FACTOR (KCENTRA) (BRAND SPLIT) IV INFUSION,41.8,37.2,2.14,41.8,734 CDM,RX-400922,INSULIN LISPRO SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),108.7,96.74,22.61,108.7,719 CDM,RX-400923,INSULIN LISPRO SUBCUTANEOUS CARB CALCULATOR PRN SNACKS (WRAPPER),108.7,96.74,22.61,108.7,719 CDM,RX-400924,INSULIN ASPART SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),96.6,85.97,20.09,96.6,719 CDM,RX-400925,INSULIN ASPART SUBCUTANEOUS CARB CALCULATOR PRN SNACKS (WRAPPER),96.6,85.97,20.09,96.6,719 CDM,RX-400926,INSULIN GLULISINE SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),148.2,131.9,30.83,148.2,719 CDM,RX-400927,INSULIN GLULISINE SUBCUTANEOUS CARB CALCULATOR PRN SNACKS (WRAPPER),148.2,131.9,30.83,148.2,719 CDM,RX-400928,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML SUBCUTANEOUS INJECTION CARB CALCULATOR SCHEDULED,155.5,138.4,32.34,155.5,719 CDM,RX-4024,ISONIAZID 100 MG/ML INJECTION SOLUTION,822.5,732.03,0.32,822.5,734 CDM,RX-4025,ISONIAZID 50 MG/5 ML ORAL SOLUTION,779.5,693.76,162.14,779.5,727 CDM,RX-4026,ISONIAZID 100 MG TABLET,11.5,10.23,2.39,11.5,727 CDM,RX-40267,BENZOCAINE 20 % TOPICAL OINTMENT,62.1,55.27,12.92,62.1,727 CDM,RX-403,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,65.4,58.21,13.6,65.4,717 CDM,RX-4031,ISOPROPYL ALCOHOL 91 % SOLUTION,60.0,53.4,12.48,60.0,727 CDM,RX-40320,ESZOPICLONE 1 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-40321,ESZOPICLONE 2 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-40322,ESZOPICLONE 3 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-40369,"MESALAMINE 1,000 MG RECTAL SUPPOSITORY",11.6,10.32,2.41,11.6,727 CDM,RX-40392,SOLIFENACIN 5 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-40393,SOLIFENACIN 10 MG TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-40404,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION,668.9,595.32,4.19,668.9,736 CDM,RX-40446,ARIPIPRAZOLE 1 MG/ML ORAL SOLUTION,37.6,33.46,7.82,37.6,727 CDM,RX-40475,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,4116.6,3663.77,10.54,4116.6,736 CDM,RX-40574,ZICONOTIDE 100 MCG/ML INTRATHECAL SOLUTION,3564.5,3172.41,10.14,3564.5,736 CDM,RX-40589,ALPRAZOLAM 0.25 MG DISINTEGRATING TABLET,8.5,7.57,1.77,8.5,727 CDM,RX-4064,ISOSORBIDE DINITRATE 10 MG TABLET,6.9,6.14,1.44,6.9,727 CDM,RX-4065,ISOSORBIDE DINITRATE 20 MG TABLET,7.4,6.59,1.54,7.4,727 CDM,RX-4066,ISOSORBIDE DINITRATE 30 MG TABLET,6.2,5.52,1.29,6.2,727 CDM,RX-4068,ISOSORBIDE DINITRATE 5 MG TABLET,7.2,6.41,1.5,7.2,727 CDM,RX-40697,FLUTICASONE PROPIONATE 44 MCG/ACTUATION HFA AEROSOL INHALER,463.9,412.87,96.49,463.9,727 CDM,RX-40698,FLUTICASONE PROPIONATE 110 MCG/ACTUATION HFA AEROSOL INHALER,592.5,527.33,123.24,592.5,727 CDM,RX-407,AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION,87.5,77.88,11.97,87.5,719 CDM,RX-4081004452,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION (NDCS CONTAIN PRESERVATIVES-FOR CNR COMPOUNDING),35.2,31.33,7.32,35.2,715 CDM,RX-408124838,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR SCHEDULED),96.6,85.97,20.09,96.6,729 CDM,RX-40812483801,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR PRN SNACKS),96.6,85.97,20.09,96.6,729 CDM,RX-408124839,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS CARTRIDGE (CARB CALCULATOR SCHEDULED),116.7,103.86,24.27,116.7,729 CDM,RX-40812483901,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS CARTRIDGE (CARB CALCULATOR PRN SNACKS),116.7,103.86,24.27,116.7,729 CDM,RX-408124843,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR SCHEDULED),148.2,131.9,30.83,148.2,729 CDM,RX-40812484301,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR PRN SNACKS),148.2,131.9,30.83,148.2,729 CDM,RX-408124845,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR SCHEDULED),108.7,96.74,22.61,108.7,729 CDM,RX-40812484501,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR PRN SNACKS),108.7,96.74,22.61,108.7,729 CDM,RX-40817405,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),205.2,182.63,42.68,205.2,729 CDM,RX-4081740501,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR PRN SNACKS),205.2,182.63,42.68,205.2,729 CDM,RX-4082636,BACITRACIN 500 UNIT/GRAM TOPICAL PACKET (WRAPPER),2.4,2.14,0.5,2.4,727 CDM,RX-40828534,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),170.5,151.75,35.46,170.5,729 CDM,RX-4082853401,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR PRN SNACKS),170.5,151.75,35.46,170.5,729 CDM,RX-4083066,FERROUS GLUCONATE 324 MG (38 MG IRON) TABLET (WRAPPER),2.2,1.96,0.46,2.2,727 CDM,RX-4083818,BACITRACIN 500 UNIT/GRAM TOPICAL OINTMENT (WRAPPER),8.0,7.12,1.66,8.0,727 CDM,RX-40840043,METRONIDAZOLE 5 MG/ML IV - DRAWN UP FROM PREMIX BAG,80.6,71.73,16.76,80.6,717 CDM,RX-40840046,PRISMASATE 2/0 DIALYSIS SOLUTION (HIGH BICARBONATE),280.0,249.2,58.24,280.0,715 CDM,RX-40840048,FAT EMULSION 20 % IV RATE BASED (TOXICITY USE ONLY),216.7,192.86,45.07,216.7,715 CDM,RX-40840054,LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION,13.4,11.93,2.79,13.4,715 CDM,RX-40840065,XENON-133 IN AIR GAS FOR INHALATION (WRAPPER),492.0,437.88,102.34,492.0,717 CDM,RX-40840090,FAT EMULSION 20 % IV INJECTION (ANESTHESIA TOXICITY),216.7,192.86,45.07,216.7,715 CDM,RX-40841000,INSULIN LISPRO SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML,205.2,182.63,42.68,205.2,719 CDM,RX-40841002,INSULIN GLULISINE SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,304.1,270.65,63.25,304.1,719 CDM,RX-40841003,INSULIN ASPART SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,170.5,151.75,35.46,170.5,719 CDM,RX-40841005,INSULIN REGULAR SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,155.5,138.4,32.34,155.5,719 CDM,RX-40841006,INSULIN ASPART (NIACINAMIDE) SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,267.9,238.43,55.72,267.9,719 CDM,RX-40872,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,74.1,65.95,1.62,74.1,719 CDM,RX-4087974,LACTOBACILLUS RHAMNOSUS GG 10-15 BILLION CELL (WRAPPER),4.9,4.36,1.02,4.9,727 CDM,RX-40887889,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),304.1,270.65,63.25,304.1,719 CDM,RX-4088788901,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR PRN SNACKS),304.1,270.65,63.25,304.1,719 CDM,RX-4089105401,IRINOTECAN 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),184.45,164.16,4.13,242.2,1438 CDM,RX-4089296,GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) INTRAVENOUS SOLUTION (WRAPPER),36.7,32.66,0.63,36.7,719 CDM,RX-41003,GLYCERIN (ADULT) RECTAL SUPPOSITORY,3.5,3.12,0.73,3.5,727 CDM,RX-41010806201,TOCILIZUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER) (RESTRICTED),3661.8,3259.0,5.71,6898.6,2208 CDM,RX-41010891001,DOCETAXEL 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),389.1,346.3,59.89,389.1,719 CDM,RX-41010895501,IPILIMUMAB 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER),64745.2,57623.23,183.48,103322.3,1472 CDM,RX-41011063001,MITOMYCIN 0.5 MG/ML SYRINGE (FOR OR USE ONLY),348.5,310.17,20.35,348.5,736 CDM,RX-41011278701,GEMCITABINE 38 MG/ML INTRAVENOUS SOLUTION (WRAPPER),234.9,209.06,24.77,234.9,720 CDM,RX-41011278702,GEMCITABINE 38 MG/ML IV SOLUTION FOR BLADDER INSTILLATION (WRAPPER),269.3,239.68,56.01,269.3,717 CDM,RX-41011694701,DOCETAXEL 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),801.3,713.16,119.78,801.3,719 CDM,RX-41012724901,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),139.2,123.89,6.4,139.2,720 CDM,RX-41012784401,NIVOLUMAB 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),9850.3,8766.77,32.96,23010.7,2208 CDM,RX-41012818201,CYTARABINE (PF) 20 MG/ML INJECTION SOLUTION (WRAPPER),118.9,105.82,0.96,118.9,719 CDM,RX-4101420301,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),287.4,255.79,31.28,287.4,719 CDM,RX-4101701201,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION (IM/SUBQ EQUIVALENCY),300.9,267.8,52.94,300.9,719 CDM,RX-41019253401,ATEZOLIZUMAB 60 MG/ML INTRAVENOUS SOLUTION (WRAPPER),23718.0,21109.02,91.34,23718.0,734 CDM,RX-41020831,AMIFOSTINE CRYSTALLINE 500 MG SOLUTION (SUBQ EQUIVALENCY),5389.9,4797.01,1121.1,5389.9,721 CDM,RX-41027136101,TELISOTUZUMAB VEDOTIN-TLLV 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),23807.300000000003,21188.495,7412.2,35441.0,2 CDM,RX-41039265001,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION (FOR DESENSITIZATION),137.8,122.64,10.11,137.8,719 CDM,RX-41041000013,FLUOROURACIL CHEMO IVPB 50 MG/ML STRAIGHT DRUG (C-SERIES),258.15,229.75,2.23,379.1,2876 CDM,RX-4105000016,MESNA 100 MG/ML SYRINGE (NEO/PED) - RST ONLY,66.4,59.1,9.78,66.4,719 CDM,RX-4105000093,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION (FOR ORAL USE) (PEDIATRIC),117.6,104.66,12.01,117.6,719 CDM,RX-4105000104,ETOPOSIDE 0.5 MG/ML DILUTION INJECTION (PEDIATRIC) - RST ONLY,106.4,94.7,1.2,106.4,719 CDM,RX-4105000134,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION (PEDIATRIC),765.1,680.94,12.01,765.1,719 CDM,RX-4107842001,AZACITIDINE 100 MG SOLUTION FOR INJECTION (SUBQ EQUIVALENCY),267.7,238.25,53.25,267.7,719 CDM,RX-41082200,FLUOROURACIL INFUSION PUMP (COMPOUNDED BY NON-MAYO PHARMACY),109.4,97.37,2.23,109.4,719 CDM,RX-4108220401,FLUOROURACIL 50 MG/ML INTRAVENOUS SOLUTION (WRAPPER),107.2,95.41,2.23,107.2,719 CDM,RX-410859701,VINCRISTINE 1 MG/ML PF INTRAVENOUS SOLUTION (WRAPPER),234.8,208.97,18.75,234.8,722 CDM,RX-4108800801,EPIRUBICIN 2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),349.4,310.97,56.72,349.4,719 CDM,RX-410928901,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION (IM/SUBQ EQUIVALENCY),251.4,223.75,26.47,251.4,719 CDM,RX-4109961001,OXALIPLATIN 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER),120.4,107.16,5.41,120.4,720 CDM,RX-41124,PHENOL 89% TOPICAL LIQUID (COMMERCIAL NON-STERILE),85.2,75.83,6.66,138.4,1438 CDM,RX-41137,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,45.9,40.85,2.07,45.9,719 CDM,RX-41144,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,102.9,91.58,14.32,102.9,719 CDM,RX-41147,ENTECAVIR 0.5 MG TABLET,72.0,64.08,14.98,72.0,727 CDM,RX-41148,ENTECAVIR 1 MG TABLET,148.1,131.81,30.8,148.1,727 CDM,RX-41149,ENTECAVIR 0.05 MG/ML ORAL SOLUTION,158.7,141.24,33.01,158.7,727 CDM,RX-41193,FLUOCINOLONE 0.59 MG INTRAVITREAL IMPLANT,57135.0,50850.15,340.31,57135.0,736 CDM,RX-41294,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,1155.6,1028.48,93.62,1155.6,721 CDM,RX-41382,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,24.3,21.63,5.05,24.3,727 CDM,RX-41463,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,37.3,33.2,7.76,37.3,715 CDM,RX-41497,PARICALCITOL 1 MCG CAPSULE,8.3,7.39,1.73,8.3,727 CDM,RX-41498,PARICALCITOL 2 MCG CAPSULE,88.4,78.68,18.39,88.4,727 CDM,RX-41545,"DEXMETHYLPHENIDATE ER 5 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",18.6,16.55,3.87,18.6,727 CDM,RX-41548,"DEXMETHYLPHENIDATE ER 10 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",14.3,12.73,2.97,14.3,727 CDM,RX-41550,GALSULFASE 5 MG/5 ML INTRAVENOUS SOLUTION,6797.5,6049.78,508.76,6797.5,736 CDM,RX-41623,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION,90.6,80.63,18.84,90.6,727 CDM,RX-41652,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,86.0,76.54,17.89,86.0,719 CDM,RX-41657,"SODIUM CHLORIDE, SODIUM BICARB-NASAL RINSE SQUEEZE BOTTLE WITH PACKET",92.9,82.68,19.32,92.9,727 CDM,RX-41787,SODIUM TETRADECYL SULFATE 1 % (10 MG/ML) INTRAVENOUS SOLUTION,144.0,128.16,29.95,144.0,717 CDM,RX-41793,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION,260.9,232.2,54.27,260.9,715 CDM,RX-41804,COENZYME Q10 200 MG CAPSULE,3.1,2.76,0.64,3.1,727 CDM,RX-41815,KIT FOR YTTRIUM-90-IBRITUMOMAB 3.2 MG/2 ML INTRAVENOUS,137256.0,122157.84,28549.25,137256.0,734 CDM,RX-41829,MEMANTINE 2 MG/ML ORAL SOLUTION,13.9,12.37,2.89,13.9,727 CDM,RX-41831,LIDOCAINE 5 % TOPICAL OINTMENT,92.7,82.5,19.28,92.7,715 CDM,RX-41832,SILDENAFIL 20 MG TABLET,7.2,6.41,1.5,7.2,727 CDM,RX-41899,METRONIDAZOLE 1 % TOPICAL GEL,256.2,228.02,53.29,256.2,727 CDM,RX-42064,RAMELTEON 8 MG TABLET,15.9,14.15,3.31,15.9,727 CDM,RX-42119,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,8.3,7.39,1.73,8.3,727 CDM,RX-42162,PREGABALIN 25 MG CAPSULE,12.3,10.95,2.56,12.3,727 CDM,RX-42163,PREGABALIN 50 MG CAPSULE,11.9,10.59,2.48,11.9,727 CDM,RX-42164,PREGABALIN 75 MG CAPSULE,11.9,10.59,2.48,11.9,727 CDM,RX-42165,PREGABALIN 100 MG CAPSULE,12.0,10.68,2.5,12.0,727 CDM,RX-42166,PREGABALIN 150 MG CAPSULE,11.7,10.41,2.43,11.7,727 CDM,RX-42167,PREGABALIN 200 MG CAPSULE,13.6,12.1,2.83,13.6,727 CDM,RX-42168,PREGABALIN 225 MG CAPSULE,14.0,12.46,2.91,14.0,727 CDM,RX-42169,PREGABALIN 300 MG CAPSULE,13.8,12.28,2.87,13.8,727 CDM,RX-42219,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,12.4,11.04,2.58,12.4,727 CDM,RX-4237,KETAMINE 100 MG/ML INJECTION SOLUTION,91.1,81.08,18.95,91.1,720 CDM,RX-4238,KETAMINE 50 MG/ML INJECTION SOLUTION,47.0,41.83,9.78,47.0,715 CDM,RX-4241,KETOPROFEN 50 MG CAPSULE,5.8,5.16,1.21,5.8,727 CDM,RX-42486,"NEPAFENAC 0.1 % EYE DROPS,SUSPENSION",1000.1,890.09,208.02,1000.1,727 CDM,RX-42622,"MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT",403.8,359.38,83.99,403.8,719 CDM,RX-42678,"ZOLPIDEM ER 12.5 MG TABLET,EXTENDED RELEASE,MULTIPHASE",10.9,9.7,2.27,10.9,727 CDM,RX-4294,CYSTEINE (L-CYSTEINE) 50 MG/ML INTRAVENOUS SOLUTION,325.4,289.61,67.68,325.4,715 CDM,RX-42989,EMTRICITABINE 10 MG/ML ORAL SOLUTION,430.8,383.41,89.61,430.8,727 CDM,RX-4318,LACTATED RINGERS INTRAVENOUS SOLUTION,80.3,71.47,16.33,82.0,2205 CDM,RX-432,AMITRIPTYLINE 10 MG TABLET,6.3,5.61,1.31,6.3,727 CDM,RX-433,AMITRIPTYLINE 100 MG TABLET,7.3,6.5,1.52,7.3,727 CDM,RX-434,AMITRIPTYLINE 150 MG TABLET,6.2,5.52,1.29,6.2,727 CDM,RX-43415,DEFERASIROX 125 MG DISPERSIBLE TABLET,10.1,8.99,2.1,10.1,727 CDM,RX-43416,DEFERASIROX 250 MG DISPERSIBLE TABLET,376.2,334.82,78.25,376.2,727 CDM,RX-435,AMITRIPTYLINE 25 MG TABLET,6.2,5.52,1.29,6.2,727 CDM,RX-43548,"LANTHANUM 1,000 MG CHEWABLE TABLET",22.4,19.94,20.2,20.2,1 CDM,RX-43558,MEPERIDINE 50 MG/5 ML ORAL SOLUTION,71.5,63.64,14.87,71.5,727 CDM,RX-436,AMITRIPTYLINE 50 MG TABLET,6.7,5.96,1.39,6.7,727 CDM,RX-43675,SORAFENIB 200 MG TABLET,421.2,374.87,87.61,421.2,727 CDM,RX-437,AMITRIPTYLINE 75 MG TABLET,7.1,6.32,1.48,7.1,727 CDM,RX-43717,LIDOCAINE HCL 4 % LARYNGOTRACHEAL SOLUTION,34.5,30.7,7.18,34.5,715 CDM,RX-4392,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION,60.8,54.11,8.83,60.8,720 CDM,RX-4393,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION,88.5,78.77,18.41,88.5,719 CDM,RX-4396,LEUCOVORIN CALCIUM 15 MG TABLET,22.2,19.76,4.62,22.2,727 CDM,RX-4397,LEUCOVORIN CALCIUM 25 MG TABLET,32.4,28.84,6.74,32.4,727 CDM,RX-4398,LEUCOVORIN CALCIUM 5 MG TABLET,8.0,7.12,1.66,8.0,727 CDM,RX-4420,LEVOTHYROXINE 25 MCG TABLET,6.2,5.52,1.29,6.2,727 CDM,RX-4421,LEVOTHYROXINE 50 MCG TABLET,6.2,5.52,1.29,6.2,727 CDM,RX-4422,LEVOTHYROXINE 75 MCG TABLET,6.6,5.87,1.37,6.6,727 CDM,RX-4423,LEVOTHYROXINE 100 MCG TABLET,6.6,5.87,1.37,6.6,727 CDM,RX-4424,LEVOTHYROXINE 125 MCG TABLET,6.8,6.05,1.41,6.8,727 CDM,RX-4425,LEVOTHYROXINE 150 MCG TABLET,6.9,6.14,1.44,6.9,727 CDM,RX-4426,LEVOTHYROXINE 200 MCG TABLET,8.1,7.21,1.68,8.1,727 CDM,RX-4427,LEVOTHYROXINE 300 MCG TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-4450,LIDOCAINE HCL 4 % (40 MG/ML) TOPICAL SOLUTION,124.2,110.54,25.83,124.2,715 CDM,RX-4452,LIDOCAINE 10 MG/ML (1 %) INJECTION SOLUTION (WRAPPER),35.2,31.33,7.32,35.2,715 CDM,RX-4453,LIDOCAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,36.6,32.57,7.61,36.6,715 CDM,RX-4455,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION,37.3,33.2,7.76,37.3,715 CDM,RX-4459,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,62.1,55.27,12.92,62.1,715 CDM,RX-446,AMOXAPINE 100 MG TABLET,10.3,9.17,2.14,10.3,727 CDM,RX-450,AMOXICILLIN 250 MG CAPSULE,7.9,7.03,1.64,7.9,727 CDM,RX-4504,LIOTHYRONINE 25 MCG TABLET,7.0,6.23,1.46,7.0,727 CDM,RX-451,AMOXICILLIN 500 MG CAPSULE,7.9,7.03,1.64,7.9,727 CDM,RX-452,AMOXICILLIN 250 MG CHEWABLE TABLET,6.2,5.52,1.29,6.2,727 CDM,RX-4526,LISINOPRIL 20 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-4528,LITHIUM CARBONATE 150 MG CAPSULE,5.6,4.98,1.16,5.6,727 CDM,RX-4529,LITHIUM CARBONATE 300 MG CAPSULE,5.8,5.16,1.21,5.8,727 CDM,RX-4530,LITHIUM CARBONATE 600 MG CAPSULE,6.0,5.34,1.25,6.0,727 CDM,RX-4531,LITHIUM CARBONATE 300 MG TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-4560,LOPERAMIDE 2 MG CAPSULE,7.4,6.59,1.54,7.4,727 CDM,RX-4571,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,77.8,69.24,16.18,77.8,727 CDM,RX-4572,LORAZEPAM 0.5 MG TABLET,10.2,9.08,2.12,10.2,727 CDM,RX-4573,LORAZEPAM 1 MG TABLET,10.3,9.17,2.14,10.3,727 CDM,RX-4574,LORAZEPAM 2 MG TABLET,10.3,9.17,2.14,10.3,727 CDM,RX-4599,LOXAPINE SUCCINATE 10 MG CAPSULE,6.9,6.14,1.44,6.9,727 CDM,RX-4600,LOXAPINE SUCCINATE 25 MG CAPSULE,6.6,5.87,1.37,6.6,727 CDM,RX-4601,LOXAPINE SUCCINATE 5 MG CAPSULE,6.7,5.96,1.39,6.7,727 CDM,RX-464,AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION,164.4,146.32,34.2,164.4,720 CDM,RX-466,AMPICILLIN 500 MG CAPSULE,7.0,6.23,1.46,7.0,727 CDM,RX-469,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,39.8,35.42,1.36,39.8,719 CDM,RX-4712,MAGNESIUM CITRATE ORAL SOLUTION,0.5,0.45,0.1,0.5,727 CDM,RX-4717,MAGNESIUM 500 MG (AS MAGNESIUM OXIDE) TABLET,2.2,1.96,0.46,2.2,727 CDM,RX-4719,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,82.7,73.6,3.73,82.7,720 CDM,RX-472,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,91.3,81.26,2.72,91.3,720 CDM,RX-4720,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,39.4,35.07,0.93,39.4,724 CDM,RX-473,AMPICILLIN 250 MG SOLUTION FOR INJECTION,37.5,33.38,0.68,37.5,719 CDM,RX-474,AMPICILLIN 500 MG SOLUTION FOR INJECTION,38.0,33.82,0.68,38.0,719 CDM,RX-4749,MANNITOL 20 % INTRAVENOUS SOLUTION,223.2,198.65,46.43,223.2,715 CDM,RX-4750,MANNITOL 25 % INTRAVENOUS SOLUTION,51.5,45.84,10.71,51.5,717 CDM,RX-4752,MANNITOL (BULK) POWDER,7.8,6.94,1.62,7.8,727 CDM,RX-478,AMYL NITRITE 0.3 ML SOLUTION FOR INHALATION,36.8,32.75,7.65,36.8,715 CDM,RX-4854,MEDROXYPROGESTERONE 10 MG TABLET,9.9,8.81,2.06,9.9,727 CDM,RX-4855,MEDROXYPROGESTERONE 2.5 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-4870,MEGESTROL 20 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-4871,MEGESTROL 40 MG TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-4903,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION,76.7,68.26,9.37,76.7,720 CDM,RX-4904,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION,77.0,68.53,9.37,77.0,719 CDM,RX-4914,MEPIVACAINE 1 % (10 MG/ML) INJECTION SOLUTION,67.0,59.63,13.94,67.0,719 CDM,RX-4952,METHADONE 5 MG/5 ML ORAL SOLUTION,10.9,9.7,2.27,10.9,727 CDM,RX-4953,METHADONE 10 MG TABLET,10.9,9.7,2.27,10.9,727 CDM,RX-4954,METHADONE 5 MG TABLET,11.3,10.06,2.35,11.3,727 CDM,RX-4959,METHAMPHETAMINE 5 MG TABLET,31.1,27.68,6.47,31.1,727 CDM,RX-4961,METHAZOLAMIDE 25 MG TABLET,10.2,9.08,2.12,10.2,727 CDM,RX-4965,METHENAMINE MANDELATE 0.5 GRAM TABLET,9.9,8.81,2.06,9.9,727 CDM,RX-4966,METHENAMINE MANDELATE 1 GRAM TABLET,14.8,13.17,3.08,14.8,727 CDM,RX-4969,METHIONINE (BULK) POWDER,110.8,98.61,23.05,110.8,715 CDM,RX-4971,METHOCARBAMOL 500 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-4972,METHOCARBAMOL 750 MG TABLET,6.1,5.43,1.27,6.1,727 CDM,RX-4973,METHOTREXATE SODIUM 2.5 MG TABLET,12.9,11.48,0.17,12.9,729 CDM,RX-4975,METHOTREXATE SODIUM (PF) 1 GRAM/20 ML SOLUTION FOR INJECTION (WETTED),337.0,299.93,59.32,337.0,719 CDM,RX-4982,METHYLDOPA 250 MG TABLET,24.3,21.63,5.05,24.3,727 CDM,RX-4986,METHYLPHENIDATE 10 MG TABLET,15.8,14.06,3.29,15.8,727 CDM,RX-4987,METHYLPHENIDATE 20 MG TABLET,10.6,9.43,2.2,10.6,727 CDM,RX-4988,METHYLPHENIDATE 5 MG TABLET,18.9,16.82,3.93,18.9,727 CDM,RX-4991,METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK,60.5,53.85,3.36,60.5,719 CDM,RX-4992,METHYLPREDNISOLONE 16 MG TABLET,13.4,11.93,0.64,13.4,719 CDM,RX-4993,METHYLPREDNISOLONE 4 MG TABLET,9.7,8.63,0.16,9.7,719 CDM,RX-4995,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,38.6,34.35,8.03,38.6,722 CDM,RX-4996,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,58.5,52.07,12.17,58.5,718 CDM,RX-5002,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,39.6,35.24,1.25,39.6,723 CDM,RX-500410,OMEPRAZOLE 2 MG-SODIUM BICARBONATE 84 MG/ML ORAL SUSPENSION (WRAPPER),1097.7,976.95,228.32,1097.7,727 CDM,RX-5005,METOCLOPRAMIDE 10 MG TABLET,7.0,6.23,1.46,7.0,727 CDM,RX-5006,METOCLOPRAMIDE 5 MG TABLET,6.9,6.14,1.44,6.9,727 CDM,RX-500677,CEFEPIME 5 MG/ML LOCK SOLUTION (CNR),35.8,31.86,1.0,35.8,1438 CDM,RX-5008,METOPROLOL TARTRATE 100 MG TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-5009,METOPROLOL TARTRATE 50 MG TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-5015,METRONIDAZOLE 250 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-5016,METRONIDAZOLE 500 MG TABLET,6.7,5.96,1.39,6.7,727 CDM,RX-5018,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,80.6,71.73,16.76,80.6,728 CDM,RX-5040,MICONAZOLE NITRATE 2 % VAGINAL CREAM,18.7,16.64,3.89,18.7,727 CDM,RX-5086,MINERAL OIL ORAL,2.3,2.05,0.48,2.3,727 CDM,RX-5087,MINERAL OIL ENEMA,8.1,7.21,1.68,8.1,727 CDM,RX-5110,MINOCYCLINE 100 MG CAPSULE,8.0,7.12,1.66,8.0,727 CDM,RX-5111,MINOCYCLINE 50 MG CAPSULE,5.7,5.07,1.19,5.7,727 CDM,RX-5114,MINOXIDIL 10 MG TABLET,7.1,6.32,1.48,7.1,727 CDM,RX-5115,MINOXIDIL 2.5 MG TABLET,7.0,6.23,1.46,7.0,727 CDM,RX-5176,MORPHINE 10 MG/5 ML ORAL SOLUTION,12.75,11.35,2.1,89.9,4362 CDM,RX-5178,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,11.1,9.88,2.31,11.1,727 CDM,RX-5179,MORPHINE 30 MG IMMEDIATE RELEASE TABLET,11.9,10.59,2.48,11.9,727 CDM,RX-5180,MORPHINE 10 MG RECTAL SUPPOSITORY,29.9,26.61,6.22,29.9,727 CDM,RX-5181,MORPHINE 20 MG RECTAL SUPPOSITORY,32.9,29.28,6.84,32.9,727 CDM,RX-5182,MORPHINE 30 MG RECTAL SUPPOSITORY,39.6,35.24,8.24,39.6,727 CDM,RX-5183,MORPHINE 5 MG RECTAL SUPPOSITORY,25.3,22.52,5.26,25.3,727 CDM,RX-5184,MORPHINE (BULK) 100 % POWDER,224.8,200.07,46.76,224.8,717 CDM,RX-5330,NADOLOL 20 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-5331,NADOLOL 40 MG TABLET,21.0,18.69,4.37,21.0,727 CDM,RX-5332,NADOLOL 80 MG TABLET,6.5,5.79,1.35,6.5,727 CDM,RX-5333,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,47.4,42.19,9.86,47.4,717 CDM,RX-5335,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,52.2,46.46,10.86,52.2,717 CDM,RX-5339,NALBUPHINE 10 MG/ML INJECTION SOLUTION,48.0,42.72,3.96,48.0,721 CDM,RX-5373,NALOXONE 0.4 MG/ML INJECTION SOLUTION,123.5,109.92,25.69,123.5,719 CDM,RX-5374,NALOXONE 1 MG/ML INJECTION SYRINGE,84.3,75.03,17.53,84.3,717 CDM,RX-5391,NAPROXEN 250 MG TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-5392,NAPROXEN 375 MG TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-5393,NAPROXEN 500 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-5395,NAPROXEN SODIUM 550 MG TABLET,6.3,5.61,1.31,6.3,727 CDM,RX-5472,NEOMYCIN 500 MG TABLET,8.5,7.57,1.77,8.5,727 CDM,RX-5473,NEOMYCIN SULFATE (BULK) POWDER,107.5,95.68,22.36,107.5,727 CDM,RX-5539,NIACIN 100 MG TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-5548,NIACINAMIDE 500 MG TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-5558,NIFEDIPINE 10 MG CAPSULE,6.3,5.61,1.31,6.3,727 CDM,RX-5559,NIFEDIPINE 20 MG CAPSULE,7.7,6.85,1.6,7.7,727 CDM,RX-5593,NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE,13.6,12.1,2.83,13.6,727 CDM,RX-5595,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,10.1,8.99,2.1,10.1,727 CDM,RX-5599,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,89.9,80.01,18.7,89.9,717 CDM,RX-5600,"NITROGLYCERIN ER 2.5 MG CAPSULE,EXTENDED RELEASE",6.7,5.96,1.39,6.7,727 CDM,RX-5604,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,16.2,14.42,3.37,16.2,715 CDM,RX-5606,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT,12.2,10.86,2.54,12.2,729 CDM,RX-5674,NORTRIPTYLINE 10 MG CAPSULE,5.5,4.89,1.14,5.5,727 CDM,RX-5675,NORTRIPTYLINE 25 MG CAPSULE,5.6,4.98,1.16,5.6,727 CDM,RX-5676,NORTRIPTYLINE 50 MG CAPSULE,6.0,5.34,1.25,6.0,727 CDM,RX-5677,NORTRIPTYLINE 75 MG CAPSULE,6.0,5.34,1.25,6.0,727 CDM,RX-5749,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",64.1,57.05,13.33,64.1,727 CDM,RX-5750,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",93.8,83.48,19.51,93.8,727 CDM,RX-5751,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",6.7,5.96,1.39,6.7,727 CDM,RX-5752,"NYSTATIN 500,000 UNIT TABLET",6.5,5.79,1.35,6.5,727 CDM,RX-5754,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/G-0.1 % TOPICAL CREAM",75.4,67.11,15.68,75.4,727 CDM,RX-5755,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT",67.0,59.63,13.94,67.0,727 CDM,RX-5925,OXACILLIN 10 GRAM SOLUTION FOR INJECTION,197.7,175.95,26.17,197.7,719 CDM,RX-5926,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,52.1,46.37,5.23,52.1,719 CDM,RX-5930,OXAZEPAM 10 MG CAPSULE,13.1,11.66,2.72,13.1,727 CDM,RX-5931,OXAZEPAM 15 MG CAPSULE,19.3,17.18,4.01,19.3,727 CDM,RX-5932,OXAZEPAM 30 MG CAPSULE,20.4,18.16,4.24,20.4,727 CDM,RX-5938,OXYBUTYNIN CHLORIDE 5 MG TABLET,6.2,5.52,1.29,6.2,727 CDM,RX-5940,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,11.0,9.79,2.29,11.0,727 CDM,RX-5943,OXYMETAZOLINE 0.05 % NASAL SPRAY,8.2,7.3,1.71,8.2,727 CDM,RX-5944,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,38.8,34.53,8.07,38.8,717 CDM,RX-6030,PAPAVERINE 30 MG/ML INJECTION SOLUTION,102.8,91.49,21.38,102.8,727 CDM,RX-6085,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,120.1,106.89,24.98,120.1,719 CDM,RX-6086,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,53.5,47.62,8.07,53.5,719 CDM,RX-6091,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION,45.1,40.14,9.38,45.1,727 CDM,RX-6092,PENICILLIN V POTASSIUM 250 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-6093,PENICILLIN V POTASSIUM 500 MG TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-6097,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,2042.1,1817.47,27.99,2042.1,736 CDM,RX-6157,PERPHENAZINE 2 MG TABLET,7.7,6.85,1.6,7.7,727 CDM,RX-6158,PERPHENAZINE 4 MG TABLET,8.3,7.39,1.73,8.3,727 CDM,RX-6159,PERPHENAZINE 8 MG TABLET,8.9,7.92,1.85,8.9,727 CDM,RX-6193,PHENAZOPYRIDINE 100 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-6194,PHENAZOPYRIDINE 200 MG TABLET,6.6,5.87,1.37,6.6,727 CDM,RX-6212,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,29.7,26.43,6.18,29.7,727 CDM,RX-6213,PHENOBARBITAL 100 MG TABLET,10.8,9.61,2.25,10.8,727 CDM,RX-6214,PHENOBARBITAL 15 MG TABLET,10.5,9.35,2.18,10.5,727 CDM,RX-6216,PHENOBARBITAL 30 MG TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-6218,PHENOBARBITAL 60 MG TABLET,10.8,9.61,2.25,10.8,727 CDM,RX-622,ARGININE (L-ARGININE) 500 MG TABLET,2.3,2.05,0.48,2.3,727 CDM,RX-6221,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,186.1,165.63,38.71,186.1,719 CDM,RX-6224,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,133.9,119.17,27.85,133.9,719 CDM,RX-6225,PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR,22.8,20.29,4.74,22.8,727 CDM,RX-6232,PHENTERMINE 30 MG CAPSULE,10.7,9.52,2.23,10.7,727 CDM,RX-6233,PHENTERMINE 37.5 MG CAPSULE,10.6,9.43,2.2,10.6,727 CDM,RX-6242,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,38.7,34.44,8.05,38.7,717 CDM,RX-6243,PHENYLEPHRINE 0.25 % NASAL SPRAY,15.7,13.97,3.27,15.7,727 CDM,RX-6244,PHENYLEPHRINE 0.5 % NASAL SPRAY,15.7,13.97,3.27,15.7,715 CDM,RX-6246,PHENYLEPHRINE 2.5 % EYE DROPS,102.2,90.96,21.26,102.2,715 CDM,RX-6257,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,10.0,8.9,2.08,10.0,727 CDM,RX-6279,PILOCARPINE 1 % EYE DROPS,182.7,162.6,38.0,182.7,727 CDM,RX-6280,PILOCARPINE 2 % EYE DROPS,181.0,161.09,37.65,181.0,727 CDM,RX-6282,PILOCARPINE 4 % EYE DROPS,253.7,225.79,52.77,253.7,727 CDM,RX-6297,PINDOLOL 5 MG TABLET,7.0,6.23,1.46,7.0,727 CDM,RX-6310,PIROXICAM 10 MG CAPSULE,8.7,7.74,1.81,8.7,727 CDM,RX-6311,PIROXICAM 20 MG CAPSULE,6.2,5.52,1.29,6.2,727 CDM,RX-6393,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",53.6,47.7,11.15,53.6,715 CDM,RX-6420,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,133.6,118.9,27.79,133.6,715 CDM,RX-6429,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,40.1,35.69,2.78,40.1,720 CDM,RX-6432,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,100.7,89.62,20.95,100.7,727 CDM,RX-6434,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,8.0,7.12,1.66,8.0,727 CDM,RX-6445,POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION,50.4,44.86,10.48,50.4,727 CDM,RX-6458,POVIDONE-IODINE 10 % TOPICAL SOLUTION (NON-STERILE),6.7,5.965,1.33,7.0,1430 CDM,RX-6462,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION,311.2,276.97,64.73,311.2,717 CDM,RX-6468,PRAZOSIN 1 MG CAPSULE,8.6,7.65,1.79,8.6,727 CDM,RX-6469,PRAZOSIN 2 MG CAPSULE,10.6,9.43,2.2,10.6,727 CDM,RX-6470,PRAZOSIN 5 MG CAPSULE,15.3,13.62,3.18,15.3,727 CDM,RX-6483,PREDNISOLONE 5 MG TABLET,47.7,42.45,9.92,47.7,727 CDM,RX-6487,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",154.4,137.42,32.12,154.4,727 CDM,RX-6492,PREDNISONE 5 MG/5 ML ORAL SOLUTION,922.5,821.03,2.88,922.5,719 CDM,RX-6493,PREDNISONE 1 MG TABLET,5.4,4.81,0.01,5.4,720 CDM,RX-6494,PREDNISONE 10 MG TABLET,5.5,4.89,0.06,5.5,719 CDM,RX-6495,PREDNISONE 2.5 MG TABLET,5.5,4.89,0.02,5.5,720 CDM,RX-6496,PREDNISONE 20 MG TABLET,5.7,5.07,0.12,5.7,729 CDM,RX-6497,PREDNISONE 5 MG TABLET,5.6,4.98,0.03,5.6,721 CDM,RX-6498,PREDNISONE 50 MG TABLET,6.0,5.34,0.29,6.0,719 CDM,RX-6541,PRIMAQUINE 26.3 MG (15 MG BASE) TABLET,11.7,10.41,2.43,11.7,727 CDM,RX-6544,PRIMIDONE 250 MG TABLET,6.8,6.05,1.41,6.8,727 CDM,RX-6561,PROBENECID 500 MG TABLET,9.1,8.1,1.89,9.1,727 CDM,RX-6562,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,1068.0,950.52,222.14,1068.0,736 CDM,RX-6563,PROCAINAMIDE 500 MG/ML INJECTION SOLUTION,1545.7,1375.67,294.69,1545.7,736 CDM,RX-6580,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,41.3,36.76,2.9,41.3,727 CDM,RX-6582,PROCHLORPERAZINE MALEATE 10 MG TABLET,9.3,8.28,1.93,9.3,729 CDM,RX-6583,PROCHLORPERAZINE MALEATE 5 MG TABLET,8.5,7.57,1.77,8.5,729 CDM,RX-6618,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,41.3,36.76,4.57,41.3,723 CDM,RX-6620,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,68.5,60.97,14.25,68.5,727 CDM,RX-6621,PROMETHAZINE 12.5 MG TABLET,6.7,5.96,1.39,6.7,727 CDM,RX-6622,PROMETHAZINE 25 MG TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-6627,PROMETHAZINE 6.25 MG-CODEINE 10 MG/5 ML SYRUP,5.5,4.89,1.14,5.5,727 CDM,RX-663,ASCORBIC ACID (VITAMIN C) 250 MG TABLET,2.7,2.4,0.56,2.7,727 CDM,RX-664,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,2.2,1.96,0.46,2.2,727 CDM,RX-6644,PROPARACAINE 0.5 % EYE DROPS,23.2,20.65,4.83,23.2,715 CDM,RX-6655,PROPRANOLOL 40 MG/5 ML (8 MG/ML) ORAL SOLUTION,222.9,198.38,46.36,222.9,727 CDM,RX-6656,PROPRANOLOL 10 MG TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-6657,PROPRANOLOL 20 MG TABLET,6.5,5.79,1.35,6.5,727 CDM,RX-6658,PROPRANOLOL 40 MG TABLET,7.0,6.23,1.46,7.0,727 CDM,RX-6660,PROPRANOLOL 80 MG TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-6662,PROPYLTHIOURACIL 50 MG TABLET,15.2,13.53,3.16,15.2,727 CDM,RX-6677,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,150.8,134.21,31.37,150.8,729 CDM,RX-6714,PSEUDOEPHEDRINE 30 MG TABLET,2.2,1.96,0.46,2.2,727 CDM,RX-6715,PSEUDOEPHEDRINE 60 MG TABLET,10.2,9.08,2.12,10.2,727 CDM,RX-6716,"PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE",3.3,2.94,0.69,3.3,727 CDM,RX-6738,PYRAZINAMIDE 500 MG TABLET,26.2,23.32,5.45,26.2,727 CDM,RX-6744,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION,86.6,77.07,17.89,86.6,719 CDM,RX-6746,PYRIDOXINE (VITAMIN B6) 25 MG TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-6747,PYRIDOXINE (VITAMIN B6) 250 MG TABLET,2.4,2.14,0.5,2.4,727 CDM,RX-6748,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,2.5,2.23,0.52,2.5,727 CDM,RX-6777,QUINIDINE SULFATE 200 MG TABLET,46.4,41.3,9.65,46.4,727 CDM,RX-6778,QUINIDINE SULFATE 300 MG TABLET,48.4,43.08,10.07,48.4,727 CDM,RX-679,ASPIRIN 81 MG CHEWABLE TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-681,ASPIRIN 325 MG TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-685,"ASPIRIN 325 MG TABLET,DELAYED RELEASE",0.5,0.45,0.1,0.5,727 CDM,RX-693,ASPIRIN 300 MG RECTAL SUPPOSITORY,0.5,0.45,0.1,0.5,727 CDM,RX-700080,VASOPRESSIN 20 UNIT/ML INJ SOLN (WRAPPER),84.1,74.85,17.49,84.1,722 CDM,RX-700081,WITCH HAZEL TOPICAL PADS (WRAPPER),18.5,16.47,3.85,18.5,727 CDM,RX-700092,FENTANYL 5 MCG/ML DILUTION INJECTION (NEONATE) RST PROD LAB/CNR,85.0,75.65,1.37,85.0,719 CDM,RX-700129,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL-WATER IV (WRAPPER),263.5,234.51,29.22,263.5,719 CDM,RX-700132,"MVI, ADULT INTRAVENOUS SOLUTION (WRAPPER)",68.4,60.88,14.08,73.5,2868 CDM,RX-700133,"MVI, PEDIATRIC INTRAVENOUS SOLUTION (WRAPPER)",94.3,83.93,19.61,94.3,715 CDM,RX-700136,CHROMIUM CHLORIDE 1 MCG/ML PEDS DILUTION (TPN),53.3,47.44,11.09,53.3,715 CDM,RX-700144,GENTAMICIN 1 MG/ML DILUTION INJECTION (NEONATE) - RST,107.2,95.41,2.49,107.2,719 CDM,RX-700257,"DIPH,PERTUSS(ACEL),TET VAC(PF) 0.5 ML IM (WRAPPER)",66.8,59.45,13.89,66.8,719 CDM,RX-700262,HEPATITIS A VIRUS VACCINE (PF) 0.5 ML IM (WRAPPER),48.5,43.17,10.09,48.5,717 CDM,RX-700263,HEPATITIS A VIRUS VACCINE (PF) 1 ML IM (WRAPPER),118.5,105.47,24.65,118.5,719 CDM,RX-700267,TETANUS AND DIPHTHER. TOX (PF) 0.5 ML IM (WRAPPER),53.8,47.88,11.19,53.8,719 CDM,RX-700271,VANCOMYCIN 100 MG/ML INJECTION (NEO/PED) - RST ONLY,41.4,36.85,8.61,41.4,717 CDM,RX-700272,CEFTRIAXONE 100 MG/ML INJECTION (NEO/PED) - RST ONLY,38.8,34.53,2.13,38.8,719 CDM,RX-700274,CEFAZOLIN 20 MG/ML DILUTION INJECTION (NEONATE) CNR,40.2,35.78,0.95,40.2,719 CDM,RX-700276,VANCOMYCIN 10 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,41.5,36.94,8.63,41.5,717 CDM,RX-700286,PIPERACILLIN-TAZOBACTAM 200 MG OF PIPERACILLIN/ML INJECTION (NEO/PED) - RST ONLY,41.3,36.76,2.51,41.3,719 CDM,RX-700288,CEFEPIME 100 MG/ML INJECTION (NEO/PED) - RST ONLY,44.6,39.69,1.99,44.6,719 CDM,RX-700290,CEFTAZIDIME 100 MG/ML INJECTION (NEO/PED),45.9,40.85,3.38,45.9,719 CDM,RX-700344,NEONATAL PARENTERAL STARTER FLUID - CENTRAL LINE,694.7,618.28,144.5,694.7,715 CDM,RX-700348,COPPER 0.4 MG/ML INJECTION (TPN)(WRAPPER),99.4,88.47,20.68,99.4,717 CDM,RX-700349,COPPER 100 MCG/ML INJECTION PEDS DILUTION (TPN),242.7,216.0,50.48,242.7,715 CDM,RX-700351,MANGANESE 0.1 MG/ML INJECTION (TPN)(WRAPPER),113.0,100.57,23.5,113.0,715 CDM,RX-700355,HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML IM (WRAPPER),37.4,33.29,7.78,37.4,721 CDM,RX-700356,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM (WRAPPER),48.9,43.52,10.17,48.9,721 CDM,RX-700359,CALCIUM GLUCONATE STRAIGHT DRUG INFUSION SYRINGE 50 ML,154.4,137.42,32.12,154.4,717 CDM,RX-700361,NEONATAL PARENTERAL STARTER FLUID - PERIPHERAL LINE,684.2,608.94,142.31,684.2,715 CDM,RX-700366,CALCIUM GLUCONATE STRAIGHT DRUG INFUSION 100 ML,154.4,137.42,32.12,154.4,717 CDM,RX-700371,"FENTANYL (PF) 1,500 MCG/30 ML (50 MCG/ML) CARTRIDGE FOR INFUSION TITRATION (WRAPPER)",309.4,275.37,20.49,309.4,719 CDM,RX-700373,HYDROMORPHONE 30 MG/30 ML IN 0.9 % NACL SYRINGE FOR INFUSION TITRATION (WRAPPER),216.4,192.6,45.01,216.4,715 CDM,RX-700375,SODIUM CHLORIDE 0.9 % FLUSH BAG,76.8,68.35,15.68,86.9,4294 CDM,RX-700383,"HEPARIN 10,000 UNITS/500 ML NACL 0.9% (APHERESIS) (CNR/RST PROD LAB)",186.5,165.99,38.79,186.5,715 CDM,RX-700389,LCD 10% IN AQUAPHOR,280.8,249.91,58.41,280.8,727 CDM,RX-700392,MESALAMINE 500 MG PARTIAL (1/2) RECTAL SUPPOSITORY,63.7,56.69,13.25,63.7,727 CDM,RX-700393,"METOPROLOL SUCCINATE ER 12.5 MG PARTIAL (1/2) TABLET, EXTENDED RELEASE",5.9,5.25,1.23,5.9,727 CDM,RX-700395,PROMETHAZINE 6.25 MG PARTIAL (1/2) RECTAL SUPPOSITORY,16.6,14.77,3.45,16.6,727 CDM,RX-700398,ADENOSINE 3 MG/ML INTRAVENOUS (WRAPPER),42.1,37.47,3.65,42.1,722 CDM,RX-700400,C1 ESTERASE INHIBITOR 500 UNIT/10 ML INTRAVENOUS SOLUTION (WRAPPER),9875.0,8788.75,75.86,9875.0,736 CDM,RX-700404,WHITE PETROLATUM TOPICAL OINTMENT BULK (WRAPPER),94.0,83.66,19.55,94.0,727 CDM,RX-700405,DIAZEPAM 1 MG/ML ORAL SOLUTION (WRAPPER),193.9,172.57,40.33,193.9,727 CDM,RX-700406,DIAZEPAM 5 MG/ML INJECTION (WRAPPER),146.8,130.65,15.39,146.8,720 CDM,RX-700407,DIBUCAINE 1 % OINTMENT (WRAPPER),64.0,56.96,13.31,64.0,727 CDM,RX-700408,DOCUSATE SODIUM 283 MG ENEMA (WRAPPER),7.8,6.94,1.62,7.8,727 CDM,RX-700410,ESMOLOL 100 MG/10 ML INTRAVENOUS INJECTION (WRAPPER),59.7,53.13,12.42,59.7,720 CDM,RX-700411,ETOMIDATE 2 MG/ML INTRAVENOUS INJECTION (WRAPPER),42.0,37.38,8.74,42.0,715 CDM,RX-700412,FOSPHENYTOIN 50 MG PE/ML INJECTION SOLUTION (WRAPPER),88.6,78.85,1.47,88.6,734 CDM,RX-700415,MORPHINE (PF) 10 MG/ML INJECTION (WRAPPER),78.3,69.69,3.49,78.3,719 CDM,RX-700416,MORPHINE 2 MG/ML INJECTION (WRAPPER),78.3,69.69,16.29,78.3,719 CDM,RX-700417,MORPHINE 4 MG/ML INJECTION (WRAPPER),78.1,69.51,3.49,78.1,719 CDM,RX-700419,FENTANYL (PF) 50 MCG/ML INJECTION (WRAPPER),73.7,65.59,15.33,73.7,715 CDM,RX-700420,LORAZEPAM 2 MG/ML INJECTION SOLUTION (WRAPPER),76.2,67.82,1.62,76.2,723 CDM,RX-700421,LORAZEPAM 4 MG/ML INJECTION SOLUTION (WRAPPER),76.0,67.64,3.23,76.0,719 CDM,RX-700423,FAT EMULSION 20 % INTRAVENOUS SYRINGE (NEONATE)(RESTRICTED),216.7,192.86,45.07,216.7,715 CDM,RX-700424,HYDROMORPHONE 2 MG/ML INJECTION (WRAPPER),163.9,145.87,34.09,163.9,717 CDM,RX-700425,KETAMINE 10 MG/ML INJECTION (WRAPPER),159.7,142.13,33.22,159.7,715 CDM,RX-700426,LABETALOL 5 MG/ML INJECTION (WRAPPER),60.8,54.11,12.65,60.8,723 CDM,RX-700429,VANCOMYCIN 1 MG/ML INTRADISCAL INJECTION DILUTION (RADIANT),35.2,31.33,7.32,35.2,717 CDM,RX-700432,FAT EMULSION 20 % INTRAVENOUS PARTIAL BAG (NEONATE/PEDS)(RESTRICTED),216.7,192.86,45.07,216.7,715 CDM,RX-700433,CEFAZOLIN 5 MG/ML IN NACL 0.9% INJECTION DILUTION (RADIANT MIXTURE INGREDIENT) CNR,36.2,32.22,0.95,36.2,719 CDM,RX-700435,CLINDAMYCIN 5 MG/ML INJECTION SOLUTION DILUTION (RADIANT),43.7,38.89,9.09,43.7,715 CDM,RX-700458,AZTREONAM 1 GRAM IM EQUIVALENCY,124.5,110.81,25.9,124.5,717 CDM,RX-700494,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INJECTION (WRAPPER),103.8,92.38,21.59,103.8,717 CDM,RX-700497,LCD 20% IN AQUAPHOR,292.5,260.33,60.84,292.5,727 CDM,RX-700498,LCD 10% IN VANICREAM LITE LOTION,280.0,249.2,58.24,280.0,727 CDM,RX-700499,LCD 20% IN VANICREAM LITE LOTION,232.4,206.84,48.34,232.4,727 CDM,RX-700502,INTERFERON BETA-1A 30 MCG/0.5 ML INTRAMUSCULAR (WRAPPER),22532.4,20053.84,930.22,22532.4,731 CDM,RX-700503,SUCCINYLCHOLINE INJECTION 20 MG/ML (WRAPPER),53.6,47.7,11.15,53.6,715 CDM,RX-700505,ZINC OXIDE TOPICAL OINTMENT (WRAPPER),8.7,7.74,1.81,8.7,727 CDM,RX-700506,WHITE PETROLATUM-MINERAL OIL EYE OINTMENT (WRAPPER),33.7,29.99,7.01,33.7,727 CDM,RX-700507,DIPHENHYDRAMINE-LIDO-ALUM-MAG HYDROX-SIMETH 25-200-400-400-40 MG/30 ML (CNR),407.7,362.85,84.8,407.7,715 CDM,RX-700508,NYSTATIN-TRIAMCINOLONE-DIPHENHYDRAMINE-HYDROCORTISONE MOUTHWASH,177.9,158.33,37.0,177.9,715 CDM,RX-700509,PROGESTERONE VAGINAL SUPPOSITORY 100 MG (FIRST-PROGESTERONE),24.1,21.45,5.01,24.1,715 CDM,RX-700529,RX AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION - 15 ML,68.7,61.14,14.29,68.7,719 CDM,RX-700589,RX OSELTAMIVIR 6 MG/ML ORAL SUSPENSION - 60 ML,511.1,454.88,106.31,511.1,719 CDM,RX-700610,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION (WRAPPER),66.1,58.83,6.46,66.1,719 CDM,RX-700628,POTASSIUM CHLORIDE IV SYRINGE 0.2 MEQ/ML (NEO/PED),84.1,74.85,0.7,84.1,719 CDM,RX-700629,POTASSIUM CHLORIDE IV SYRINGE 0.4 MEQ/ML (NEO/PED),83.3,74.14,1.39,83.3,719 CDM,RX-700633,OMEPRAZOLE 2 MG/ML SUSPENSION (SUGAR FREE COMPOUNDED) (RESTRICTED),473.4,421.33,98.47,473.4,715 CDM,RX-700635,"HEPARIN 10,000 UNITS + ACD-A 1000 ML (APHERESIS)(CNR)",190.9,169.9,39.71,190.9,715 CDM,RX-700637,AMINOCAPROIC ACID 250 MG/ML INJECTION (NEO/PED) - RST ONLY,65.4,58.21,13.6,65.4,715 CDM,RX-700638,AZITHROMYCIN 100 MG/ML INJECTION (NEO/PED) - RST ONLY,46.1,41.03,2.35,46.1,719 CDM,RX-700640,AZTREONAM 200 MG/ML INJECTION (NEO/PED) - RST ONLY,124.5,110.81,25.9,124.5,715 CDM,RX-700641,BUMETANIDE 0.25 MG/ML INJECTION (NEO/PED) - RST ONLY,42.8,38.09,8.9,42.8,715 CDM,RX-700645,CEFOXITIN 100 MG/ML INJECTION (PEDIATRIC),49.5,44.06,5.45,49.5,719 CDM,RX-700646,CEFUROXIME 100 MG/ML INJECTION (NEO/PED),36.2,32.22,4.72,36.2,719 CDM,RX-700647,CHLORAMPHENICOL 100 MG/ML INJECTION (NEO/PED) - RST ONLY,168.1,149.61,34.96,168.1,736 CDM,RX-700652,CIPROFLOXACIN IV SYRINGE 2 MG/ML (NEO/PED) - DRAWN UP FROM PREMIX BAG,82.4,73.34,2.3,82.4,719 CDM,RX-700655,DIGOXIN 25 MCG/ML DILUTION INJECTION (NEONATE)- RST ONLY,42.5,37.83,8.84,42.5,719 CDM,RX-700656,AMPICILLIN 250 MG VIAL (100 MG/ML) (NEO/PED),37.5,33.38,0.68,37.5,719 CDM,RX-700657,ENALAPRILAT 50 MCG/ML DILUTION INJECTION,44.6,39.69,9.28,44.6,715 CDM,RX-700658,ERYTHROMYCIN 5 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,66.1,58.83,13.75,66.1,719 CDM,RX-700660,ETHACRYNATE 5 MG/ML INJECTION (NEO/PED) - RST ONLY,1272.0,1132.08,264.58,1272.0,715 CDM,RX-700661,FAMOTIDINE 1 MG/ML DILUTION INJECTION (NEONATE),104.9,93.36,21.82,104.9,715 CDM,RX-700662,FLUCONAZOLE 2 MG/ML IV SYRINGE (NEO/PED) - DRAWN UP FROM PREMIX BAG,89.7,79.83,10.3,89.7,719 CDM,RX-700663,FUROSEMIDE 1 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,40.8,36.31,8.49,40.8,721 CDM,RX-700665,DEXAMETHASONE 0.1 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,40.4,35.96,0.12,40.4,719 CDM,RX-700667,DEXAMETHASONE 4 MG/ML INJECTION OVER 15 MIN (NEO/PED),36.9,32.84,2.42,36.9,719 CDM,RX-700668,MAGNESIUM SULFATE 500 MG/ML IV SYRINGE (NEO/PED) - RST ONLY (1 HOUR INFUSION),39.4,35.07,0.93,39.4,719 CDM,RX-700672,FUROSEMIDE 10 MG/ML SYRINGE (PEDIATRIC) - RST ONLY,36.4,32.4,7.57,36.4,721 CDM,RX-700673,GRANISETRON 1 MG/ML INTRAVENOUS SOLUTION (PEDIATRIC),42.6,37.91,1.68,42.6,719 CDM,RX-700674,HYDRALAZINE 20 MG/ML INJECTION SOLUTION (PEDIATRICS),47.9,42.63,5.05,47.9,719 CDM,RX-700678,ASPIRIN DESENSITIZATION 325 MG CAPSULE,0.5,0.45,0.1,0.5,727 CDM,RX-700679,CARBAMAZEPINE 200 MG SUPPOSITORY,19.6,17.44,4.08,19.6,727 CDM,RX-700680,CARBAMAZEPINE 300 MG SUPPOSITORY,20.7,18.42,4.31,20.7,727 CDM,RX-700681,CARBAMAZEPINE 400 MG SUPPOSITORY,20.7,18.42,4.31,20.7,727 CDM,RX-700682,CEFUROXIME 1 MG/0.1 ML INTRAOCULAR SYRINGE (CNR),324.7,288.98,2.36,324.7,719 CDM,RX-700683,BEVACIZUMAB 1.25 MG/0.05 ML INTRAOCULAR SYRINGE (WRAPPER),429.2,381.99,1.83,429.2,734 CDM,RX-700684,METOPROLOL 5 MG/5 ML INTRAVENOUS SOLUTION (WRAPPER),36.2,32.22,7.53,36.2,719 CDM,RX-700686,METHOTREXATE 400 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),290.9,258.9,2.97,290.9,719 CDM,RX-700689,COAL TAR 2% IN PETROLATUM,80.7,71.82,16.79,80.7,727 CDM,RX-700693,BUTYLATED HYDROXYANISOLE (BHA) CAPSULE 50 MG,70.7,62.92,14.71,70.7,727 CDM,RX-700694,BUTYLATED HYDROXYANISOLE (BHA) CAPSULE 250 MG,71.7,63.81,14.91,71.7,727 CDM,RX-700695,BUTYLATED HYDROXYTOLUENE (BHT) CAPSULE 50 MG,70.5,62.75,14.66,70.5,727 CDM,RX-700696,BUTYLATED HYDROXYTOLUENE (BHT) CAPSULE 250 MG,70.9,63.1,14.75,70.9,727 CDM,RX-700701,CEFAZOLIN 1 GRAM IM EQUIVALENCY,37.4,33.29,2.85,37.4,719 CDM,RX-700702,CEFEPIME 1 GRAM IM EQUIVALENCY,44.7,39.78,2.99,44.7,719 CDM,RX-700707,CEFOXITIN 1 GRAM IM EQUIVALENCY,49.5,44.06,5.45,49.5,719 CDM,RX-700709,CEFTAZIDIME 1 GRAM IM EQUIVALENCY,46.0,40.94,5.06,46.0,719 CDM,RX-700718,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION (FOR IM USE ONLY),37.7,33.55,1.59,37.7,719 CDM,RX-700719,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION (FOR IM USE ONLY),38.8,34.53,2.13,38.8,719 CDM,RX-700720,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION (FOR IM USE ONLY),42.2,37.56,4.25,42.2,719 CDM,RX-700721,CEFUROXIME SODIUM 750 MG IM EQUIVALENCY,49.6,44.14,4.72,49.6,719 CDM,RX-700723,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION (IM EQUIVALENCY),74.1,65.95,9.74,74.1,719 CDM,RX-700725,DOXYCYCLINE HYCLATE 100 MG POWDER FOR SOLN (SCLEROSING),84.2,74.94,17.51,84.2,715 CDM,RX-700728,ERTAPENEM 1 GRAM IM EQUIVALENCY,82.7,73.6,17.2,82.7,719 CDM,RX-700741,METHOHEXITAL 500 MG SOLUTION FOR INJECTION (IM EQUIVALENCY),373.3,332.24,77.65,373.3,715 CDM,RX-700747,HYDRALAZINE 2 MG/ML DILUTION INJECTION (PEDIATRICS),48.2,42.9,5.05,48.2,719 CDM,RX-700748,HYDROCORTISONE SOD SUCCINATE 1 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,45.0,40.05,9.36,45.0,719 CDM,RX-700749,HYDROCORTISONE SOD SUCCINATE 5 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,64.3,57.23,13.37,64.3,719 CDM,RX-700754,LINEZOLID 2 MG/ML IV (NEO/PED) - DRAWN UP FROM PREMIX BAG,101.3,90.16,9.46,101.3,719 CDM,RX-700756,ENALAPRILAT 1.25 MG/ML INJECTION (NEO/PED),52.8,46.99,10.98,52.8,715 CDM,RX-700757,FAMOTIDINE 10 MG/ML IV SYRINGE (NEO/PED) - RST ONLY,37.6,33.46,7.82,37.6,717 CDM,RX-700765,EDTA DISODIUM 0.25 MOLAR OPHTHALMIC SOLUTION (RST PROD LAB),157.0,139.73,32.66,157.0,727 CDM,RX-700768,IBUPROFEN 50 MG SUPPOSITORY,0.5,0.45,0.1,0.5,727 CDM,RX-700769,IBUPROFEN 200 MG SUPPOSITORY,0.5,0.45,0.1,0.5,727 CDM,RX-700783,DIAZEPAM 5 MG SUPPOSITORY,23.6,21.0,4.91,23.6,727 CDM,RX-700786,CLONIDINE HCL 0.1 MG SUPPOSITORY,139.7,124.33,29.06,139.7,727 CDM,RX-700788,HYDROCORTISONE 1 % IN PLASTICIZED BASE,176.4,157.0,36.69,176.4,727 CDM,RX-700800,ROCURONIUM 10 MG/ML INJECTION (WRAPPER),49.4,43.97,10.28,49.4,715 CDM,RX-700802,EPHEDRINE (PF) 5 MG/ML INTRAVENOUS INJECTION (WRAPPER),42.3,37.65,8.8,42.3,715 CDM,RX-700803,GLYCOPYRROLATE 0.2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),38.4,34.18,7.99,38.4,729 CDM,RX-700804,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION (WRAPPER),80.3,71.47,0.32,80.3,741 CDM,RX-700814,LORAZEPAM 1 MG SUPPOSITORY,22.8,20.29,4.74,22.8,727 CDM,RX-700815,MAGNESIUM DISIMPACTION ENEMA 120 ML,55.1,49.04,11.46,55.1,715 CDM,RX-700817,MENTHOL 1% IN VANICREAM (INPT),127.1,113.12,26.44,127.1,727 CDM,RX-700819,METOPROLOL TARTRATE 25 MG SUPPOSITORY,11.7,10.41,2.43,11.7,727 CDM,RX-700827,COLISTIN (COLISTIMETHATE) INJECTION FOR INHALATION 25 MG/ML,73.0,64.97,13.89,73.0,719 CDM,RX-700831,OCTREOTIDE ACETATE 500 MCG/ML INJECTION (WRAPPER),85.4,76.01,17.76,85.4,727 CDM,RX-700832,EPHEDRINE SULFATE 50 MG/ML INJECTION (WRAPPER),48.1,42.81,10.0,48.1,715 CDM,RX-700848,PENTAMIDINE INHALATION SOLUTION 50 MG/ML (PHARMACY PREPARED CNR OR DISPENSE PREP),206.5,183.79,42.95,206.5,717 CDM,RX-700850,"POLYMYXIN B SULFATE 500,000 UNIT SOLN FOR INJ (IM EQUIVALENCY)",53.6,47.7,11.15,53.6,715 CDM,RX-700852,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION (IM EQUIVALENCY),526.8,468.85,109.57,526.8,717 CDM,RX-700854,RIBAVIRIN CONTINUOUS INHALATION SOLUTION 6 GRAMS/300 ML (RESTRICTED),58807.5,52338.68,12231.96,58807.5,715 CDM,RX-700866,SODIUM ACETATE 0.28% (0.034 MEQ/ML) INJ VIAL 100 ML,74.6,66.39,15.52,74.6,715 CDM,RX-700867,ACETAMINOPHEN 20 MG RECTAL SUPPOSITORY,0.5,0.45,0.1,0.5,727 CDM,RX-700874,HYDROCORTISONE 2.5% IN PLASTICIZED BASE,216.2,192.42,44.97,216.2,727 CDM,RX-700877,HYDROCORTISONE 2.5% IN VANICREAM,91.4,81.35,19.01,91.4,727 CDM,RX-700880,AMIODARONE 5 MG/ML ORAL SUSPENSION,416.4,370.6,86.61,416.4,727 CDM,RX-700881,AMITRIPTYLINE 10 MG/ML ORAL SUSPENSION,242.9,216.18,50.52,242.9,727 CDM,RX-700883,AMITRIPTYLINE 20 MG/G (2%) IN LIPODERM CREAM,15.6,13.88,3.24,15.6,727 CDM,RX-700884,AMITRIPTYLINE 2%-KETAMINE 0.5% IN LIPODERM CREAM,15.9,14.15,3.31,15.9,727 CDM,RX-700885,AMITRIPTYLINE 2%-GABAPENTIN 5%-KETAMINE 5% IN LIPODERM CREAM,16.8,14.95,3.49,16.8,727 CDM,RX-700888,AMITRIPTYLINE 2%-KETAMINE 5%-CLONIDINE 0.2% IN LIPODERM CREAM,22.6,20.11,4.7,22.6,727 CDM,RX-700889,AMITRIPTYLINE 2 %-KETAMINE 5 %-LIDOCAINE 5 % IN LIPODERM CREAM,16.8,14.95,3.49,16.8,727 CDM,RX-700891,AMITRIPTYLINE 4%-BACLOFEN 2%-KETAMINE 2% IN LIPODERM,21.2,18.87,4.41,21.2,727 CDM,RX-700892,AMMONIUM CHLORIDE 500 MG CAPSULES,18.7,16.64,3.89,18.7,727 CDM,RX-700893,AMITRIPTYLINE 2%-KETAMINE 5% IN PROPYLENE GLYCOL,104.3,92.83,21.69,104.3,727 CDM,RX-700894,AMITRIPTYLINE 2%-KETAMINE 5%-LIDOCAINE 2% IN VANICREAM,16.7,14.86,3.47,16.7,727 CDM,RX-700903,ICHTHAMMOL 3% IN ZINC OXIDE OINTMENT,122.8,109.29,25.54,122.8,727 CDM,RX-700904,ICHTHAMMOL 3% IN ZINC OXIDE PASTE,119.7,106.53,24.9,119.7,727 CDM,RX-700906,NEOMYCIN 25 MG/ML ORAL SOLUTION,288.5,256.76,60.01,288.5,727 CDM,RX-700907,CALCIUM GLUCONATE 2.5% GEL (COMMERCIAL OTC/RST PROD LAB COMPOUND),172.2,153.26,35.82,172.2,727 CDM,RX-700910,CHLORAL HYDRATE 325 MG SUPPOSITORY,37.9,33.73,7.88,37.9,727 CDM,RX-700912,TRIAMCINOLONE ACETONIDE 0.01 % IN VANICREAM,154.4,137.42,32.12,154.4,727 CDM,RX-700915,TRIAMCINOLONE ACETONIDE 0.025% IN VANICREAM,262.8,233.89,54.66,262.8,727 CDM,RX-700916,TRIAMCINOLONE ACETONIDE 0.05% IN PLASTICIZED BASE,172.4,153.44,35.86,172.4,727 CDM,RX-700918,TRIAMCINOLONE ACETONIDE 0.05% IN VANICREAM,346.3,308.21,72.03,346.3,727 CDM,RX-700920,TRIAMCINOLONE ACETONIDE 0.1% IN PLASTICIZED BASE,195.8,174.26,40.73,195.8,727 CDM,RX-700921,TRIAMCINOLONE ACETONIDE 0.1% IN VANICREAM,96.7,86.06,20.11,96.7,727 CDM,RX-700923,TRIAMCINOLONE ACETONIDE 0.5% IN VANICREAM,249.6,222.14,51.92,249.6,727 CDM,RX-700924,ETHANOL (ETHYL ALCOHOL) 70% LOCK SOLUTION (CNR),1013.9,902.37,210.89,1013.9,715 CDM,RX-700926,BECLOMETHASONE 1 MG/ML IN CORN OIL ORAL SOLUTION,11.2,9.97,2.33,11.2,727 CDM,RX-700929,BUDESONIDE 3 MG/10 ML (0.03%) ORAL SUSPENSION (CNR),36.0,32.04,7.49,36.0,727 CDM,RX-700940,DEXAMETHASONE 0.4 MG/ML ORAL RINSE,12.6,11.21,2.62,12.6,727 CDM,RX-700941,CIDOFOVIR 1% IN VANICREAM,2242.3,1995.65,466.4,2242.3,727 CDM,RX-700944,CROMOLYN SODIUM 1% IN VANICREAM,272.2,242.26,56.62,272.2,727 CDM,RX-700945,CROMOLYN SODIUM 5% IN VANICREAM,349.4,310.97,72.68,349.4,727 CDM,RX-700958,"BUPIVACAINE PNC 0.1% IN 0.9% NACL, 289 ML (MAYO PROD LAB OR CNR)",190.4,169.46,39.6,190.4,715 CDM,RX-700959,"BUPIVACAINE PNC 0.2% IN 0.9% NACL, 341 ML (MAYO PROD LAB OR CNR)",201.0,178.89,41.81,201.0,715 CDM,RX-700961,CYCLOPENTOLATE 0.125%-PHENYLEPHRINE 1.25% OPHTHALMIC SOLN (DILATING DROPS) IN HYPROMELLOSE,107.7,95.85,22.4,107.7,715 CDM,RX-700963,GENTAMICIN 20 MCG/ML-POLYMYXIN B 500 UNITS/ML IN NACL 0.9% (DABS MODIFIED) IRRIGATION (CNR BOTTLES),115.3,102.62,23.98,115.3,715 CDM,RX-701001,ACETAMINOPHEN 162.5 MG PO PARTIAL (1/2) TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-701002,ACETAMINOPHEN 250 MG PO PARTIAL (1/2) TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-701004,ACETAZOLAMIDE 125 MG PARTIAL (1/2) TABLET,7.2,6.41,1.5,7.2,727 CDM,RX-701007,ALLOPURINOL 50 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701008,ALLOPURINOL 150 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701009,ALPRAZOLAM 0.125 MG PARTIAL (1/2) TABLET,10.1,8.99,2.1,10.1,727 CDM,RX-701012,AMILORIDE 2.5 MG PARTIAL (1/2) TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-701014,AMITRIPTYLINE 5 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-701017,AMITRIPTYLINE 12.5 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-701023,ARGININE (L-ARGININE) 250 MG PARTIAL (1/2) TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-701025,ASCORBIC ACID 125 MG PARTIAL (1/2) TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-701027,ASPIRIN 40.5 MG PARTIAL (1/2) CHEWABLE TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-701028,ASPIRIN 162.5 MG PARTIAL (1/2) TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-701030,ATENOLOL 12.5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701034,BENZTROPINE 0.25 MG PARTIAL (1/2) TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-701039,BETHANECHOL CHLORIDE 2.5 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-701040,CAFFEINE 100 MG PARTIAL (1/2) TABLET,2.2,1.96,0.46,2.2,727 CDM,RX-701041,CALCIUM CARBONATE 625 MG (250 MG CALCIUM) PARTIAL (1/2) TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-701043,CALCIUM CITRATE 100 MG (475 MG) PARTIAL (1/2) TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-701044,CARBAMAZEPINE 50 MG PARTIAL (1/2) CHEWABLE TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-701045,CARBAMAZEPINE 100 MG PARTIAL (1/2) TABLET,8.8,7.83,1.83,8.8,727 CDM,RX-701051,CHLORPHENIRAMINE 2 MG PO PARTIAL (1/2) TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-701055,CHLORPROMAZINE 12.5 MG PARTIAL (1/2) TABLET,12.3,10.95,2.56,12.3,727 CDM,RX-701059,CHLORTHALIDONE 12.5 MG PARTIAL (1/2) TABLET,6.6,5.87,1.37,6.6,727 CDM,RX-701064,CLONIDINE HCL 0.05 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701073,COLCHICINE 0.3 MG PARTIAL (1/2) TABLET,12.1,10.77,2.52,12.1,727 CDM,RX-701074,CORTISONE 12.5 MG PARTIAL (1/2) TABLET,29.4,26.17,6.12,29.4,727 CDM,RX-701075,CYANOCOBALAMIN (VIT B-12) 50 MCG PARTIAL (1/2) TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-701080,CYPROHEPTADINE 2 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-701082,DAPSONE 12.5 MG PARTIAL (1/2) TABLET,8.0,7.12,1.66,8.0,727 CDM,RX-701089,DEXAMETHASONE 0.25 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-701090,DEXAMETHASONE 0.375 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701100,DIAZEPAM 2.5 MG PARTIAL (1/2) TABLET,10.1,8.99,2.1,10.1,727 CDM,RX-701102,DIFLUNISAL 250 MG PARTIAL (1/2) TABLET,7.2,6.41,1.5,7.2,727 CDM,RX-701103,DIGOXIN 62.5 MCG PARTIAL (1/2) TABLET,6.5,5.79,1.35,6.5,727 CDM,RX-701106,DILTIAZEM 15 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-701108,DILTIAZEM 45 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-701109,DIMENHYDRINATE 25 MG PARTIAL (1/2) TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-701111,DIPYRIDAMOLE 12.5 MG PARTIAL (1/2) TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-701114,DISULFIRAM 125 MG PARTIAL (1/2) TABLET,7.8,6.94,1.62,7.8,727 CDM,RX-701124,FERROUS SULFATE 162 MG (32.5 MG IRON) PARTIAL (1/2) TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-701129,FLUPHENAZINE 2.5 MG PARTIAL (1/2) TABLET,11.0,9.79,2.29,11.0,727 CDM,RX-701130,FOLIC ACID 0.5 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701131,FOLIC ACID 200 MCG PARTIAL (1/2) TABLET,2.4,2.14,0.5,2.4,727 CDM,RX-701132,FUROSEMIDE 10 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701135,GEMFIBROZIL 300 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-701137,HALOPERIDOL 0.25 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701142,HALOPERIDOL 2.5 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-701143,HYDRALAZINE 5 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701145,HYDRALAZINE 12.5 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-701151,HYDROMORPHONE 1 MG PARTIAL (1/2) TABLET,10.2,9.08,2.12,10.2,727 CDM,RX-701153,HYDROXYZINE HCL 5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701154,HYDROXYZINE HCL 12.5 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701157,IBUPROFEN 100 MG PO PARTIAL (1/2) TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-701161,IMIPRAMINE 5 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-701166,ISONIAZID 150 MG PO PARTIAL (1/2) TABLET,6.3,5.61,1.31,6.3,727 CDM,RX-701171,ISOSORBIDE DINITRATE 2.5 MG PARTIAL (1/2) TABLET,6.4,5.7,1.33,6.4,727 CDM,RX-701175,LEUCOVORIN CALCIUM 2.5 MG PARTIAL (1/2) TABLET,7.1,6.32,1.48,7.1,727 CDM,RX-701177,LEVOTHYROXINE 12.5 MCG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701179,LEVOTHYROXINE 37.5 MCG PARTIAL (1/2) TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-701181,LEVOTHYROXINE 62.5 MCG PARTIAL (1/2) TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-701185,LIOTHYRONINE 12.5 MCG PARTIAL (1/2) TABLET,6.2,5.52,1.29,6.2,727 CDM,RX-701188,LITHIUM CARBONATE 150 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701190,LORAZEPAM 0.25 MG PARTIAL (1/2) TABLET,10.1,8.99,2.1,10.1,727 CDM,RX-701200,MEDROXYPROGESTERONE 1.25 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-701213,METHOCARBAMOL 250 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701215,METHOTREXATE SODIUM 1.25 MG PARTIAL (1/2) TABLET,7.6,6.76,0.17,7.6,729 CDM,RX-701226,METOCLOPRAMIDE 2.5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701229,METRONIDAZOLE 125 MG PARTIAL (1/2) TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-701232,MINOXIDIL 1.25 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701235,NADOLOL 10 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701238,NAPROXEN 125 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-701239,NAPROXEN 187.5 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-701243,NEOMYCIN 250 MG PARTIAL (1/2) TABLET,6.3,5.61,1.31,6.3,727 CDM,RX-701244,NIACIN 50 MG PARTIAL (1/2) TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-701251,OXYBUTYNIN CHLORIDE 2.5 MG PARTIAL (1/2) TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-701252,PENICILLIN V POTASSIUM 125 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-701254,PERPHENAZINE 1 MG PARTIAL (1/2) TABLET,6.9,6.14,1.44,6.9,727 CDM,RX-701257,PHENAZOPYRIDINE 50 MG PARTIAL (1/2) TABLET,7.9,7.03,1.64,7.9,727 CDM,RX-701261,PHENOBARBITAL 7.5 MG PARTIAL (1/2) TABLET,10.3,9.17,2.14,10.3,727 CDM,RX-701270,PINDOLOL 2.5 MG PARTIAL (1/2) TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-701271,PREDNISOLONE 2.5 MG PARTIAL (1/2) TABLET,25.1,22.34,5.22,25.1,727 CDM,RX-701272,PREDNISONE 0.5 MG PARTIAL (1/2) TABLET,5.2,4.63,0.01,5.2,719 CDM,RX-701274,PREDNISONE 1.25 MG PARTIAL (1/2) TABLET,5.2,4.63,0.01,5.2,719 CDM,RX-701279,PRIMIDONE 125 MG PARTIAL (1/2) TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-701280,PROBENECID 250 MG PARTIAL (1/2) TABLET,7.3,6.5,1.52,7.3,727 CDM,RX-701282,PROCHLORPERAZINE MALEATE 2.5 MG PARTIAL (1/2) TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-701283,PROMETHAZINE 6.25 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-701287,PROPRANOLOL 5 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701292,PROPYLTHIOURACIL 25 MG PARTIAL (1/2) TABLET,8.9,7.92,1.85,8.9,727 CDM,RX-701295,PYRAZINAMIDE 250 MG PARTIAL (1/2) TABLET,11.8,10.5,2.45,11.8,727 CDM,RX-701296,PYRIDOXINE (VITAMIN B6) 12.5 MG PARTIAL (1/2) TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-701304,SELENIUM 25 MCG PARTIAL (1/2) TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-701306,SIMETHICONE 40 MG PARTIAL (1/2) CHEWABLE TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-701309,SODIUM CHLORIDE 0.5 GRAM PARTIAL (1/2) TABLET,2.3,2.05,0.48,2.3,727 CDM,RX-701311,SPIRONOLACTONE 12.5 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-701314,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-701315,SULFASALAZINE 250 MG PARTIAL (1/2) TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-701318,TAMOXIFEN 5 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701320,THIAMINE HCL (VITAMIN B1) 25 MG PARTIAL (1/2) TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-701321,THIOGUANINE 20 MG PARTIAL (1/2) TABLET,820.3,730.07,170.62,820.3,727 CDM,RX-701333,TRAZODONE 75 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701334,TRAZODONE 25 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701335,TRIAMTERENE 18.75 MG-HYDROCHLOROTHIAZIDE 12.5 MG PARTIAL (1/2) TABLET,6.1,5.43,1.27,6.1,727 CDM,RX-701343,TRIHEXYPHENIDYL 1 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701344,TRIHEXYPHENIDYL 2.5 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-701345,TRIMETHOPRIM 50 MG PARTIAL (1/2) TABLET,7.2,6.41,1.5,7.2,727 CDM,RX-701346,VERAPAMIL 60 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-701347,VERAPAMIL 20 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701351,WARFARIN 1.25 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701353,WARFARIN 3.75 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701355,ACETAMINOPHEN 80 MG PO PARTIAL (1/2) CHEWABLE TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-701363,AMLODIPINE 1.25 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-701369,AZATHIOPRINE 25 MG PARTIAL (1/2) TABLET,5.8,5.16,0.07,5.8,719 CDM,RX-701376,BROMOCRIPTINE 1.25 MG PARTIAL (1/2) TABLET,7.5,6.68,1.56,7.5,727 CDM,RX-701377,BUMETANIDE 0.25 MG PARTIAL (1/2) TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-701378,BUMETANIDE 0.5 MG PARTIAL (1/2) TABLET,6.2,5.52,1.29,6.2,727 CDM,RX-701380,BUPROPION HCL 50 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701381,BUPROPION HCL 37.5 MG PARTIAL (1/2) TABLET,6.7,5.96,1.39,6.7,727 CDM,RX-701383,BUSPIRONE 2.5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701389,CAPTOPRIL 6.25 MG PARTIAL (1/2) TABLET,6.5,5.79,1.35,6.5,727 CDM,RX-701392,CARBIDOPA 5 MG-LEVODOPA 50 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-701393,CARBIDOPA 12.5 MG-LEVODOPA 50 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-701394,CARBIDOPA 12.5 MG-LEVODOPA 125 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-701400,CEFUROXIME AXETIL 125 MG PARTIAL (1/2) TABLET,11.2,9.97,2.33,11.2,727 CDM,RX-701408,CLARITHROMYCIN 125 MG PARTIAL (1/2) TABLET,6.6,5.87,1.37,6.6,727 CDM,RX-701410,CLONAZEPAM 0.25 MG PARTIAL (1/2) TABLET,10.7,9.52,2.23,10.7,727 CDM,RX-701411,CLONAZEPAM 0.5 MG PARTIAL (1/2) TABLET,10.1,8.99,2.1,10.1,727 CDM,RX-701414,CLOZAPINE 12.5 MG PARTIAL (1/2) TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-701420,DOXAZOSIN 0.5 MG PARTIAL (1/2) TABLET,6.4,5.7,1.33,6.4,727 CDM,RX-701425,ENALAPRIL MALEATE 1.25 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701437,CONJUGATED ESTROGENS 0.15 MG PARTIAL (1/2) TABLET,13.6,12.1,2.83,13.6,727 CDM,RX-701440,ETHACRYNIC ACID 12.5 MG PARTIAL (1/2) TABLET,36.0,32.04,7.49,36.0,727 CDM,RX-701441,ETHAMBUTOL 50 MG PARTIAL (1/2) TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-701450,FELBAMATE 200 MG PARTIAL (1/2) TABLET,10.8,9.61,2.25,10.8,727 CDM,RX-701451,FELBAMATE 300 MG PARTIAL (1/2) TABLET,8.8,7.83,1.83,8.8,727 CDM,RX-701452,FINASTERIDE 2.5 MG PARTIAL (1/2) TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-701456,FLECAINIDE 25 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701459,FLUCONAZOLE 25 MG PARTIAL (1/2) TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-701460,FLUDROCORTISONE 0.05 MG PARTIAL (1/2) TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-701468,GLIPIZIDE 2.5 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701471,GLYCOPYRROLATE 0.5 MG PARTIAL (1/2) TABLET,6.6,5.87,1.37,6.6,727 CDM,RX-701475,GUANFACINE 0.5 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701477,HYDROCORTISONE 2.5 MG PARTIAL (1/2) TABLET,6.5,5.79,1.35,6.5,727 CDM,RX-701479,HYDROXYCHLOROQUINE 100 MG PARTIAL (1/2) TABLET,7.4,6.59,1.54,7.4,727 CDM,RX-701480,INDAPAMIDE 0.625 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701482,ISOSORBIDE MONONITRATE 5 MG PARTIAL (1/2) TABLET,9.9,8.81,2.06,9.9,727 CDM,RX-701484,KETOCONAZOLE 100 MG PARTIAL (1/2) TABLET,7.5,6.68,1.56,7.5,727 CDM,RX-701486,LABETALOL 50 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701488,LABETALOL 150 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701489,LEVOTHYROXINE 44 MCG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701490,LEVOTHYROXINE 56 MCG PARTIAL (1/2) TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-701497,LISINOPRIL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701499,"LITHIUM CARBONATE ER 225 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE",6.0,5.34,1.25,6.0,727 CDM,RX-701500,LORATADINE 5 MG PARTIAL (1/2) TABLET,2.4,2.14,0.5,2.4,727 CDM,RX-701504,MAGNESIUM OXIDE 200 MG PARTIAL (1/2) TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-701508,MERCAPTOPURINE 25 MG PARTIAL (1/2) TABLET,7.0,6.23,1.46,7.0,727 CDM,RX-701509,METFORMIN 250 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701510,METHENAMINE HIPPURATE 0.5 GRAM PARTIAL (1/2) TABLET,8.8,7.83,1.83,8.8,727 CDM,RX-701512,METHIMAZOLE 2.5 MG PARTIAL (1/2) TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-701514,METHYLPREDNISOLONE 1 MG PARTIAL (1/2) TABLET,7.7,6.85,0.16,7.7,719 CDM,RX-701518,METOLAZONE 1.25 MG PARTIAL (1/2) TABLET,6.7,5.96,1.39,6.7,727 CDM,RX-701520,MIDODRINE 1.25 MG PARTIAL (1/2) TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-701522,MISOPROSTOL 50 MCG PARTIAL (1/2) TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-701527,NALTREXONE 25 MG PARTIAL (1/2) TABLET,8.3,7.39,1.73,8.3,727 CDM,RX-701528,NORETHINDRONE ACETATE 2.5 MG PARTIAL (1/2) TABLET,7.9,7.03,1.64,7.9,727 CDM,RX-701533,ONDANSETRON HCL 2 MG PARTIAL (1/2) TABLET,5.2,4.63,0.03,5.2,729 CDM,RX-701536,OXYCODONE 2.5 MG PARTIAL (1/2) TABLET,10.4,9.26,2.16,10.4,727 CDM,RX-701545,PHENELZINE 7.5 MG PO PARTIAL (1/2) TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-701546,PHENYTOIN 25 MG PARTIAL (1/2) CHEWABLE TABLET,6.1,5.43,1.27,6.1,727 CDM,RX-701547,PHYTONADIONE (VITAMIN K1) 2.5 MG PARTIAL (1/2) TABLET,91.3,81.26,18.99,91.3,727 CDM,RX-701549,CALCIUM POLYCARBOPHIL 312.5 MG PARTIAL (1/2) TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-701550,PRAVASTATIN 5 MG PARTIAL (1/2) TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-701554,PRIMIDONE 25 MG PARTIAL (1/2) TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-701555,PROPAFENONE 75 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-701556,PROPAFENONE 112.5 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701559,PROTRIPTYLINE 2.5 MG PARTIAL (1/2) TABLET,6.9,6.14,1.44,6.9,727 CDM,RX-701560,PYRIDOSTIGMINE BROMIDE 30 MG PARTIAL (1/2) TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-701561,"PYRIDOSTIGMINE BROMIDE ER 90 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE",21.2,18.87,4.41,21.2,727 CDM,RX-701578,SIMVASTATIN 2.5 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701580,SOTALOL 40 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-701584,SUCRALFATE 0.5 GRAM PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701592,WARFARIN 0.5 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701594,ZOLPIDEM 2.5 MG PARTIAL (1/2) TABLET,10.1,8.99,2.1,10.1,727 CDM,RX-701595,MECLIZINE 6.25 MG PARTIAL (1/2) TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-701597,"THEOPHYLLINE ER 150 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE,12 HR",10.7,9.52,2.23,10.7,727 CDM,RX-701599,VENLAFAXINE 12.5 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701603,VENLAFAXINE 18.75 MG PARTIAL (1/2) TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-701607,ESTRADIOL 0.25 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-701608,TERBINAFINE HCL 125 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701613,PILOCARPINE 2.5 MG PARTIAL (1/2) TABLET,8.8,7.83,1.83,8.8,727 CDM,RX-701616,LISINOPRIL 1.25 MG PARTIAL (1/2) TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-701618,VALACYCLOVIR 250 MG PARTIAL (1/2) TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-701619,NAPROXEN SODIUM 110 MG PARTIAL (1/2) TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-701623,"VERAPAMIL ER (SR) 60 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE",5.4,4.81,1.12,5.4,727 CDM,RX-701631,LAMOTRIGINE 12.5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701637,LAMOTRIGINE 75 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701638,"VERAPAMIL ER (SR) 90 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE",5.3,4.72,1.1,5.3,727 CDM,RX-701640,METFORMIN 425 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701641,GRANISETRON HCL 0.5 MG PARTIAL (1/2) TABLET,8.5,7.57,1.77,8.5,729 CDM,RX-701644,TIZANIDINE 1 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701646,LOSARTAN 12.5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701648,DOXYLAMINE SUCCINATE 12.5 MG PARTIAL (1/2) TABLET,2.4,2.14,0.5,2.4,727 CDM,RX-701652,FAMOTIDINE 5 MG PARTIAL (1/2) TABLET,2.2,1.96,0.46,2.2,727 CDM,RX-701656,CETIRIZINE 2.5 MG PARTIAL (1/2) TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-701659,SOTALOL 60 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701666,ACARBOSE 25 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701669,DESMOPRESSIN 0.05 MG PARTIAL (1/2) TABLET,7.9,7.03,1.64,7.9,727 CDM,RX-701675,GLIMEPIRIDE 0.5 MG PARTIAL (1/2) TABLET,6.4,5.7,1.33,6.4,727 CDM,RX-701678,PAROXETINE 5 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-701686,HYOSCYAMINE 0.0625 MG PARTIAL (1/2) SUBLINGUAL TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701701,BISOPROLOL FUMARATE 2.5 MG PARTIAL (1/2) TABLET,6.3,5.61,1.31,6.3,727 CDM,RX-701707,TORSEMIDE 50 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701708,TORSEMIDE 2.5 MG PARTIAL (1/2) TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-701714,CARVEDILOL 1.5625 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701715,DONEPEZIL 2.5 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-701717,LEVOFLOXACIN 125 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701719,TOPIRAMATE 12.5 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-701722,ATORVASTATIN 5 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701725,CABERGOLINE 0.25 MG PARTIAL (1/2) TABLET,18.2,16.2,3.79,18.2,727 CDM,RX-701726,WARFARIN 1.5 MG PARTIAL (1/2) TABLET,8.7,7.74,1.81,8.7,727 CDM,RX-701731,SERTRALINE 12.5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701733,MESNA 200 MG PARTIAL (1/2) TABLET,125.8,111.96,26.17,125.8,727 CDM,RX-701735,MELOXICAM 3.75 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701737,FLUVOXAMINE 12.5 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701741,AZITHROMYCIN 125 MG PARTIAL (1/2) TABLET,6.2,5.52,1.29,6.2,727 CDM,RX-701743,OLANZAPINE 1.25 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701748,PRAMIPEXOLE 0.0625 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701758,ROPINIROLE 0.125 MG PARTIAL (1/2) TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-701766,QUETIAPINE 12.5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701775,CLOPIDOGREL 37.5 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-701793,URSODIOL 125 MG PARTIAL (1/2) TABLET,8.6,7.65,1.79,8.6,727 CDM,RX-701795,TOLTERODINE 0.5 MG PARTIAL (1/2) TABLET,7.2,6.41,1.5,7.2,727 CDM,RX-701822,LAMIVUDINE 50 MG PARTIAL (1/2) TABLET,12.6,11.21,2.62,12.6,727 CDM,RX-701824,CILOSTAZOL 25 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-701826,"ISOSORBIDE MONONITRATE ER 15 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE 24 HR",5.3,4.72,1.1,5.3,727 CDM,RX-701827,CHOLECALCIFEROL (VITAMIN D3) 5 MCG (200 UNIT) PARTIAL (1/2) TABLET,2.3,2.05,0.48,2.3,727 CDM,RX-701832,MIRTAZAPINE 22.5 MG PARTIAL (1/2) TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-701835,FLUOXETINE 5 MG PARTIAL (1/2) TABLET,6.6,5.87,1.37,6.6,727 CDM,RX-701839,CIPROFLOXACIN 125 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701846,RISPERIDONE 0.125 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701850,PIOGLITAZONE 22.5 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701858,ENTACAPONE 100 MG PARTIAL (1/2) TABLET,11.8,10.5,2.45,11.8,727 CDM,RX-701860,CARBIDOPA 12.5 MG PARTIAL (1/2) TABLET,6.4,5.7,1.33,6.4,727 CDM,RX-701861,LEVETIRACETAM 125 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701863,LEVETIRACETAM 375 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-701864,MOXIFLOXACIN 200 MG PARTIAL (1/2) TABLET,7.9,7.03,1.64,7.9,727 CDM,RX-701867,OXCARBAZEPINE 75 MG PARTIAL (1/2) TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-701878,COLESEVELAM 312.5 MG PARTIAL (1/2) TABLET,10.5,9.35,2.18,10.5,727 CDM,RX-701897,QUETIAPINE 150 MG PARTIAL (1/2) TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-701904,GALANTAMINE 2 MG PARTIAL (1/2) TABLET,10.7,9.52,2.23,10.7,727 CDM,RX-701908,BUSPIRONE 3.75 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701909,VALGANCICLOVIR 225 MG PARTIAL (1/2) TABLET,22.1,19.67,4.6,22.1,727 CDM,RX-701911,CITALOPRAM 5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701919,TENOFOVIR DISOPROXIL FUMARATE 150 MG PARTIAL (1/2) TABLET,9.9,8.81,2.06,9.9,727 CDM,RX-701923,BOSENTAN 31.25 MG PARTIAL (1/2) TABLET,386.5,343.99,80.39,386.5,727 CDM,RX-701933,IMATINIB 50 MG PARTIAL (1/2) TABLET,84.6,75.29,17.6,84.6,727 CDM,RX-701939,VALSARTAN 20 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701943,EZETIMIBE 5 MG PARTIAL (1/2) TABLET,15.9,14.15,3.31,15.9,727 CDM,RX-701944,ARIPIPRAZOLE 5 MG PARTIAL (1/2) TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-701945,ARIPIPRAZOLE 7.5 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-701946,ARIPIPRAZOLE 10 MG PARTIAL (1/2) TABLET,7.3,6.5,1.52,7.3,727 CDM,RX-701947,ARIPIPRAZOLE 15 MG PARTIAL (1/2) TABLET,8.0,7.12,1.66,8.0,727 CDM,RX-701957,CYCLOBENZAPRINE 2.5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701960,"POTASSIUM CHLORIDE ER 5 MEQ PARTIAL (1/2) TABLET,EXTENDED RELEASE(PART/CRYST)",5.6,4.98,1.16,5.6,727 CDM,RX-701966,ARIPIPRAZOLE 2.5 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-701967,ROSUVASTATIN 2.5 MG PARTIAL (1/2) TABLET,6.7,5.96,1.39,6.7,727 CDM,RX-701969,AMIODARONE 50 MG PARTIAL (1/2) TABLET,9.6,8.54,2.0,9.6,727 CDM,RX-701971,EPLERENONE 12.5 MG PARTIAL (1/2) TABLET,23.7,21.09,4.93,23.7,727 CDM,RX-701977,MEMANTINE 2.5 MG PARTIAL (1/2) TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-701982,ESCITALOPRAM 2.5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-701984,CINACALCET 15 MG PARTIAL (1/2) TABLET,50.8,45.21,10.57,50.8,727 CDM,RX-701989,MIRTAZAPINE 3.75 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-701995,TROSPIUM 10 MG PARTIAL (1/2) TABLET (RESTRICTED),6.1,5.43,1.27,6.1,727 CDM,RX-701996,RIFAXIMIN 100 MG PARTIAL (1/2) TABLET,33.6,29.9,6.99,33.6,727 CDM,RX-702004,LANTHANUM 250 MG PARTIAL (1/2) CHEWABLE TABLET,21.8,19.4,19.6,19.6,1 CDM,RX-702006,FENOFIBRATE NANOCRYSTALLIZED 72.5 MG PARTIAL (1/2) TABLET,7.6,6.76,1.58,7.6,727 CDM,RX-702010,SOLIFENACIN 2.5 MG PARTIAL (1/2) TABLET,24.9,22.16,5.18,24.9,727 CDM,RX-702015,ENTECAVIR 0.25 MG PARTIAL (1/2) TABLET,31.1,27.68,6.47,31.1,727 CDM,RX-702017,SILDENAFIL 10 MG PARTIAL (1/2) TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-702019,RAMELTEON 4 MG PARTIAL (1/2) TABLET,25.4,22.61,5.28,25.4,727 CDM,RX-702027,ARIPIPRAZOLE 1 MG PARTIAL (1/2) TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-702041,CHOLECALCIFEROL (VITAMIN D3) 12.5 MCG (500 UNIT) PARTIAL (1/2) TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-702044,HYDROCHLOROTHIAZIDE 6.25 MG PARTIAL (1/2) TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-702046,SITAGLIPTIN 25 MG PARTIAL (1/2) TABLET,28.4,25.28,5.91,28.4,727 CDM,RX-702049,ALISKIREN 75 MG PARTIAL (1/2) TABLET,14.0,12.46,2.91,14.0,727 CDM,RX-702055,MELATONIN 0.5 MG PARTIAL (1/2) TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-702065,NEBIVOLOL 1.25 MG PARTIAL (1/2) TABLET,13.0,11.57,2.7,13.0,727 CDM,RX-702082,RUFINAMIDE 100 MG PARTIAL (1/2) TABLET,21.3,18.96,4.43,21.3,727 CDM,RX-702095,FEBUXOSTAT 20 MG PARTIAL (1/2) TABLET,22.0,19.58,4.58,22.0,727 CDM,RX-702103,DRONEDARONE 200 MG PARTIAL (1/2) TABLET,21.9,19.49,4.56,21.9,727 CDM,RX-702114,LAMOTRIGINE 12.5 MG PARTIAL (1/2) CHEWABLE DISPERSIBLE TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-702118,LAMOTRIGINE 2.5 MG PARTIAL (1/2) CHEWABLE DISPERSIBLE TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-702127,LURASIDONE 20 MG PARTIAL (1/2) TABLET,58.0,51.62,12.06,58.0,727 CDM,RX-702128,LURASIDONE 40 MG PARTIAL (1/2) TABLET,62.6,55.71,13.02,62.6,727 CDM,RX-702129,FERROUS GLUCONATE 162 MG (19 MG IRON) PARTIAL (1/2) TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-702148,CLOBAZAM 2.5 MG PARTIAL (1/4) TABLET,11.7,10.41,2.43,11.7,727 CDM,RX-702149,CLOBAZAM 5 MG PARTIAL (1/2) TABLET,10.8,9.61,2.25,10.8,727 CDM,RX-702156,LURASIDONE 10 MG PARTIAL (1/2) TABLET,62.6,55.71,13.02,62.6,727 CDM,RX-702158,APIXABAN 1.25 MG PARTIAL (1/2) TABLET,17.3,15.4,3.6,17.3,727 CDM,RX-702172,IBUPROFEN 50 MG PARTIAL (1/2) CHEWABLE TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-702180,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM (WRAPPER)",453.1,403.26,94.24,453.1,719 CDM,RX-702184,VORTIOXETINE 5 MG PARTIAL (1/2) TABLET,25.4,22.61,5.28,25.4,727 CDM,RX-702187,RIOCIGUAT 0.5 MG PO PARTIAL (1/2) TABLET,206.0,183.34,42.85,206.0,727 CDM,RX-702191,MACITENTAN 5 MG PARTIAL (1/2) TABLET,570.2,507.48,118.6,570.2,727 CDM,RX-702210,ALLOPURINOL 25 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-702211,ALLOPURINOL 75 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-702214,AMITRIPTYLINE 2.5 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-702215,ARIPIPRAZOLE 0.5 MG PARTIAL (1/4) TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-702218,ATENOLOL 6.25 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-702220,ATORVASTATIN 2.5 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-702222,BISOPROLOL FUMARATE 1.25 MG PARTIAL (1/4) TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-702223,BOSENTAN 15.625 MG PARTIAL (1/4) TABLET,186.9,166.34,38.88,186.9,727 CDM,RX-702224,BUMETANIDE 0.125 MG PARTIAL (1/4) TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-702225,CAPTOPRIL 3.125 MG PARTIAL (1/4) TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-702226,CARBAMAZEPINE 25 MG CHEWABLE PARTIAL (1/4) TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-702227,CARBIDOPA 6.25 MG-LEVODOPA 25 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-702230,CIPROFLOXACIN 62.5 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-702231,CITALOPRAM 2.5 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-702232,CLONIDINE HCL 0.025 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-702233,CLOZAPINE 6.25 MG PARTIAL (1/4) TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-702234,CYCLOBENZAPRINE 1.25 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-702236,DESMOPRESSIN 0.025 MG PARTIAL (1/4) TABLET,6.5,5.79,1.35,6.5,727 CDM,RX-702237,DIGOXIN 31.25 MCG PARTIAL (1/4) TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-702238,DILTIAZEM 7.5 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-702241,EZETIMIBE 2.5 MG PARTIAL (1/4) TABLET,10.5,9.35,2.18,10.5,727 CDM,RX-702242,FELBAMATE 100 MG PARTIAL (1/4) TABLET,7.9,7.03,1.64,7.9,727 CDM,RX-702243,FELBAMATE 150 MG PARTIAL (1/4) TABLET,6.9,6.14,1.44,6.9,727 CDM,RX-702244,FINASTERIDE 1.25 MG PARTIAL (1/4) TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-702247,FLUDROCORTISONE 0.025 MG PARTIAL (1/4) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-702248,FOLIC ACID 0.25 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-702250,FUROSEMIDE 5 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-702251,GABAPENTIN 150 MG PARTIAL (1/4) TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-702253,GLIPIZIDE 1.25 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-702254,GLYCOPYRROLATE 0.25 MG PARTIAL (1/4) TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-702255,GUANFACINE 0.25 MG PARTIAL (1/4) TABLET,6.3,5.61,1.31,6.3,727 CDM,RX-702256,HALOPERIDOL 0.125 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-702257,HYDRALAZINE 2.5 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-702258,HYDROCORTISONE 1.25 MG PARTIAL (1/4) TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-702259,HYDROXYCHLOROQUINE 50 MG PARTIAL (1/4) TABLET,5.8,5.16,1.21,5.8,727 CDM,RX-702260,ISONIAZID 25 MG PARTIAL (1/4) TABLET,6.5,5.79,1.35,6.5,727 CDM,RX-702262,LABETALOL 25 MG PARTIAL (1/4) TABLET TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-702263,LAMIVUDINE 25 MG PARTIAL (1/4) TABLET TABLET,14.6,12.99,3.04,14.6,727 CDM,RX-702269,LOSARTAN 6.25 MG PARTIAL (1/4) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-702274,METHYLPREDNISOLONE 0.5 MG PARTIAL (1/4) TABLET,6.3,5.61,0.16,6.3,719 CDM,RX-702275,METOCLOPRAMIDE 1.25 MG PARTIAL (1/4) TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-702276,METOLAZONE 0.625 MG PARTIAL (1/4) TABLET,5.9,5.25,1.23,5.9,727 CDM,RX-702277,METOPROLOL TARTRATE 6.25 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-702278,"METOPROLOL SUCCINATE ER 6.25 MG EXTENDED RELEASE 24 HR, PARTIAL (1/4) TABLET",5.2,4.63,1.08,5.2,727 CDM,RX-702281,MISOPROSTOL 25 MCG PARTIAL (1/4) TABLET,5.5,4.89,1.14,5.5,727 CDM,RX-702284,NALTREXONE 12.5 MG PARTIAL (1/4) TABLET,6.7,5.96,1.39,6.7,727 CDM,RX-702288,OLANZAPINE 0.625 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-702289,ONDANSETRON HCL 1 MG PARTIAL (1/4) TABLET,5.1,4.54,0.02,5.1,729 CDM,RX-702290,OXYBUTYNIN CHLORIDE 1.25 MG PARTIAL (1/4) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-702292,PHENAZOPYRIDINE 25 MG PARTIAL (1/4) TABLET,6.5,5.79,1.35,6.5,727 CDM,RX-702293,PHENOBARBITAL 3.75 MG PARTIAL (1/4) TABLET,10.2,9.08,2.12,10.2,727 CDM,RX-702294,PHENYTOIN 12.5 MG CHEWABLE PARTIAL (1/4) TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-702295,PHYTONADIONE (VITAMIN K1) 1.25 MG PARTIAL (1/4) TABLET,54.6,48.59,11.36,54.6,727 CDM,RX-702299,PYRIDOSTIGMINE BROMIDE 15 MG PARTIAL (1/4) TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-702300,QUETIAPINE 6.25 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-702304,SILDENAFIL 5 MG PARTIAL (1/4) TABLET,5.4,4.81,1.12,5.4,727 CDM,RX-702306,SOTALOL 20 MG PARTIAL (1/4) TABLET,5.6,4.98,1.16,5.6,727 CDM,RX-702307,SPIRONOLACTONE 6.25 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-702308,TIZANIDINE 0.5 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-702310,TRAZODONE 12.5 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-702312,TRIHEXYPHENIDYL 0.5 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-702313,VALSARTAN 10 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-702315,VERAPAMIL 10 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 CDM,RX-702316,VERAPAMIL 30 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-702317,WARFARIN 0.25 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-702318,WARFARIN 0.625 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-702320,ANTIHEMOPHILIC FACTOR-VWF -- HUMATE-P (BRAND SPLIT) (RESTRICTED),39.9,35.51,1.49,39.9,736 CDM,RX-702323,"ANTIHEMOPHILIC FVIII,FULL LENGTH (ALB-FREE) -- KOGENATE (BRAND SPLIT) (RESTRICTED)",39.2,34.89,1.54,39.2,736 CDM,RX-702324,"ANTIHEMOPHILIC FVIII,FULL LENGTH (ALB-FREE) -- ADVATE (BRAND SPLIT) (RESTRICTED)",40.6,36.13,1.54,40.6,737 CDM,RX-702328,COAGULATION FACTOR IX (RECOMB) -- BENEFIX (BRAND SPLIT) (RESTRICTED),39.1,34.8,1.85,39.1,736 CDM,RX-702330,MEFLOQUINE 31.25 MG COMPOUNDED CAPSULE,23.8,21.18,4.95,23.8,727 CDM,RX-702331,MEFLOQUINE 36 MG COMPOUNDED CAPSULE,23.8,21.18,4.95,23.8,727 CDM,RX-702332,MEFLOQUINE 40 MG COMPOUNDED CAPSULE,23.8,21.18,4.95,23.8,727 CDM,RX-702333,MEFLOQUINE 45 MG COMPOUNDED CAPSULE,23.8,21.18,4.95,23.8,727 CDM,RX-702334,MEFLOQUINE 50 MG COMPOUNDED CAPSULE,23.8,21.18,4.95,23.8,727 CDM,RX-702339,KIT FOR PREPARATION OF TC 99M-SODIUM THIOSULFATE 2 MG SOLN (FILTERED),451.0,401.39,93.81,451.0,717 CDM,RX-702353,RUBIDIUM RB-82 CHLORIDE INTRAVENOUS SOLUTION,661.0,588.29,137.49,661.0,717 CDM,RX-702354,YTTRIUM-90 MICROSPHERES 3 GBQ/5 ML FOR INTRAVENOUS SOLUTION,41487.5,36923.88,8629.4,41487.5,734 CDM,RX-702355,YTTRIUM-90 MICROSPHERES 3-20 GBQ/0.6 ML FOR INTRAVENOUS SOLUTION,42870.0,38154.3,8916.96,42870.0,734 CDM,RX-702356,IODINE-125 (I-125) SEED,495.0,440.55,102.96,495.0,718 CDM,RX-702357,CHOLINE-11 (C-11) 33.1 MCI/ML INTRAVENOUS SOLUTION,6840.0,6087.6,1422.72,6840.0,744 CDM,RX-702358,SODIUM FLUORIDE F-18 (F-18) 91.5 MCI/ML INTRAVENOUS SOLUTION,375.0,333.75,78.0,375.0,717 CDM,RX-702359,SODIUM IODIDE-131 (I-131) > 100 MICROCURIE DIAGNOSTIC CAPSULE,42.5,37.83,8.84,42.5,717 CDM,RX-702361,INDIUM-111 CHARCOAL CAPSULE,506.0,450.34,105.25,506.0,728 CDM,RX-702362,AMMONIA (N-13) 37.5 MCI/ML INTRAVENOUS SOLUTION,1327.5,1181.47,276.12,1327.5,723 CDM,RX-702363,CHROMIC PHOSPHATE P-32 45 MCI/3 ML INJECTION SUSPENSION,1100.0,979.0,228.8,1100.0,719 CDM,RX-702364,SODIUM PHOSPHATE P-32 10 MCI/4 ML INTRAVENOUS SOLUTION,1080.0,961.2,224.64,1080.0,734 CDM,RX-702369,INDIUM IN-111 OXYQUINOLINE WBC INTRAVENOUS SOLN,6563.0,5841.07,1103.19,6563.0,734 CDM,RX-702378,CEFUROXIME 50 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.2,4.63,1.08,5.2,727 CDM,RX-702382,AMIKACIN 250 MG/ML SOLUTION FOR INHALATION,39.6,35.24,2.14,39.6,719 CDM,RX-702391,VANCOMYCIN 250 MG/5 ML (50 MG/ML) INHALATION SOLUTION (CNR),8.9,7.92,1.85,8.9,715 CDM,RX-702402,ELASTOMERIC PUMP RESERVOIR (CB6007) 600 ML/750 ML (1 ML/HR),1582.5,1408.43,329.16,1582.5,717 CDM,RX-702406,AZITHROMYCIN 500 MG/250 ML IN 0.9% NACL (CNR),83.8,74.58,2.35,83.8,719 CDM,RX-702420,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),36.3,32.31,7.55,36.3,717 CDM,RX-702422,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % IV SYRINGE (NEONATE),228.0,202.92,47.42,228.0,715 CDM,RX-702424,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/1 ML IM (WRAPPER),65.1,57.94,13.54,80.4,721 CDM,RX-702462,GENTAMICIN 80 MG/1000 ML STERILE IRRIGATION (WILSON'S SOLUTION) (CNR),346.0,307.94,71.97,346.0,715 CDM,RX-702469,LIDOCAINE-HYALURONIDASE (OPHTHALMIC BLOCK SOLUTION #1) CNR,172.4,153.44,35.86,172.4,715 CDM,RX-702480,"FOSCARNET 2,400 MCG/0.1 ML INTRAOCULAR INJECTION (REPACKAGED)",1154.4,1027.42,240.12,1154.4,717 CDM,RX-702501,ALPHA-1-PROTEINASE INHIBITOR -- ARALAST (BRAND SPLIT),36.9,32.84,5.46,36.9,736 CDM,RX-702515,ARGININE HCL (L-ARGININE) 10% INFUSION (NEO/PED),275.8,245.46,57.37,275.8,715 CDM,RX-702516,ACETAZOLAMIDE 10 MG/ML DILUTION INJECTION (NEO/PED) (CNR),49.5,44.06,10.3,49.5,719 CDM,RX-702518,ARGININE HCL (L-ARGININE) 10 % ORAL SOLUTION (PEDIATRIC),135.8,120.86,28.25,135.8,715 CDM,RX-702548,TETRACAINE 1%-OXYMETAZOLINE 0.025% NASAL SPRAY (CNR),55.6,49.48,11.56,55.6,727 CDM,RX-702561,CEFTRIAXONE 100 MG/ML IN SWIFI SYRINGES (CNR),57.9,51.53,2.13,57.9,719 CDM,RX-702567,CIDOFOVIR 5 MG/ML INTRALESIONAL INJECTION DILUTION (MAYO PROD LAB),256.3,228.11,53.31,628.24,736 CDM,RX-702568,CYANOCOBALAMIN (VIT B-12) 100 MCG/ML INJECTION DILUTION,279.9,249.11,0.73,279.9,719 CDM,RX-70257,RISPERIDONE 3 MG DISINTEGRATING TABLET,10.0,8.9,2.08,10.0,727 CDM,RX-702570,DEXAMETHASONE PHOSPHATE 24 MG/ML TRANSTYMPANIC INJECTION (RST PRD LAB),126.1,112.23,26.23,126.1,715 CDM,RX-70258,RISPERIDONE 4 MG DISINTEGRATING TABLET,11.7,10.41,2.43,11.7,727 CDM,RX-702584,FOSPHENYTOIN 25 MG/ML PE/ML DILUTION INJECTION,111.0,98.79,1.47,111.0,734 CDM,RX-702586,GENTAMICIN 8 MG/ML ORAL SUSPENSION,14.8,13.17,2.49,14.8,719 CDM,RX-702587,GENTAMICIN 20 MG/0.5 ML SUBCONJUNCTIVAL INJECTION (PF) (MAYO PRD LAB),58.1,51.71,2.49,58.1,719 CDM,RX-702590,POTASSIUM PERMANGANATE 5% CONCENTRATED IRRIGATION (MAYO PROD LAB),102.2,90.96,21.26,102.2,715 CDM,RX-702591,ACETAMINOPHEN 60 MG PARTIAL (1/2) RECTAL SUPPOSITORY,0.5,0.45,0.1,0.5,727 CDM,RX-702595,TETRACAINE 0.5% LOLLIPOP (ADULT),93.3,83.04,19.41,93.3,715 CDM,RX-702596,SULFAMETHOXAZOLE 80 MG-TRIMETHOPRIM 16 MG/ML IMPLANT SOAKING SOLUTION,249.9,222.41,51.98,249.9,715 CDM,RX-702597,LIDOCAINE-BUPIVACAINE-HYALURONIDASE (OPHTHALMIC BLOCK SOLUTION #2) CNR,148.4,132.08,30.87,148.4,715 CDM,RX-702599,LIDOCAINE-BUPIVACAINE-HYALURONIDASE (OPHTHALMIC BLOCK #4) CNR,301.0,267.89,62.61,301.0,715 CDM,RX-702602,ETHYL ALCOHOL 63 %-HYDROCHLORIC ACID 3.4 % (ACID ALCOHOL) STERILE IRRIGATION (RST PROD LAB-USING FILTERED HCL 10%),138.4,123.18,28.79,138.4,715 CDM,RX-702604,POLYETHYLENE GLYCOLS OTIC CREAM (MAYO PROD LAB),46.0,40.94,9.57,46.0,715 CDM,RX-702607,PAPAVERINE 30 MG-ALPROSTADIL 10 MCG/ML (BIAN 1) INJECTION (MAYO PRODUCTION LAB),145.2,129.23,30.2,145.2,727 CDM,RX-702611,MORPHINE 1 MG/ML INHALATION SOLUTION (CNR),11.3,10.06,2.35,11.3,715 CDM,RX-702612,ALPROSTADIL INFUSION 250 MCG/25 ML (10 MCG/ML) IN D10 (CNR),338.3,301.09,70.37,338.3,715 CDM,RX-702614,CEFEPIME 100 MG/ML INJECTION SYRINGES (CNR),60.7,54.02,1.99,60.7,719 CDM,RX-702616,CALCIUM CHLORIDE 10 MG/ML DILUTION INJECTION (NEO/PED) (CNR) CV OR ONLY,38.1,33.91,7.92,38.1,715 CDM,RX-70262,BRIMONIDINE 0.1 % EYE DROPS,303.2,269.85,63.07,303.2,715 CDM,RX-702624,EPINEPHRINE 0.8 MG/50 ML (16 MCG/ML) NACL 0.45% SYRINGE (NEO/PEDS) CNR,195.5,174.0,40.66,195.5,721 CDM,RX-702625,DOPAMINE 40 MG/50 ML (800 MCG/ML) IN NACL 0.45% SYRINGE (NEO/PED) CNR,82.2,73.16,0.92,82.2,719 CDM,RX-702626,MILRINONE 10 MG/50 ML (200 MCG/ML) IN NACL 0.45% SYRINGE (NEO/PED) CNR,201.7,179.51,3.11,201.7,719 CDM,RX-702627,HEPARIN 1000 UNITS/100 ML (10 U/ML) IN NACL 0.9% IRRIGATION FLUSH (CNR),6.1,5.43,1.27,6.1,715 CDM,RX-702629,ASPIRIN 150 MG PARTIAL (1/2) RECTAL SUPPOSITORY,0.5,0.45,0.1,0.5,727 CDM,RX-702632,OXACILLIN 2 GRAM/62 ML IN NACL 0.9% (CNR),184.9,164.56,5.23,184.9,719 CDM,RX-702633,CEFAZOLIN IRRIGATION 1 G IN NACL 0.9% 1000 ML (BOTTLE) CNR,71.0,63.19,14.77,71.0,715 CDM,RX-702634,LIDOCAINE 1%-BUPIVACAINE 0.25% INFILTRATION SOLUTION (CNR),40.2,35.78,8.36,40.2,715 CDM,RX-702636,CEFAZOLIN 25 MG/0.5 ML SUBCONJUNCTIVAL INJECTION (CNR),51.0,45.39,0.95,51.0,719 CDM,RX-702650,ASPIRIN 75 MG RECTAL SUPPOSITORY,0.5,0.45,0.1,0.5,727 CDM,RX-702651,GLYCERIN (CHILD) 0.6 G PARTIAL (1/2) SUPPOSITORY,3.5,3.12,0.73,3.5,719 CDM,RX-702652,GLYCERIN (CHILD) 0.3 G PARTIAL (1/4) SUPPOSITORY,3.5,3.12,0.73,3.5,719 CDM,RX-702653,BISACODYL 5 MG PARTIAL (1/2) RECTAL SUPPOSITORY,2.6,2.31,0.54,2.6,727 CDM,RX-702657,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 10% IV SOLUTION (RESTRICTED)",2356.7,2097.46,78.8,2356.7,736 CDM,RX-702658,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 10% IV SOLUTION (RESTRICTED)",4238.5,3772.27,78.8,4238.5,736 CDM,RX-702664,VITAMIN B COMPLEX-VITAMIN C 50 MG-FOLIC ACID 0.5 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 CDM,RX-702665,GLYCERIN STERILE 99 % INJECTION (RST PROD LAB),130.0,115.7,27.04,130.0,717 CDM,RX-702666,"DIAZEPAM 7.5 MG RECTAL KIT (VARIABLE DOSED KIT, LOCKED AT 7.5 MG)",745.3,663.32,155.02,745.3,727 CDM,RX-702667,RIBOFLAVIN (VITAMIN B2) 25 MG PARTIAL (1/2) TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-702669,CAFFEINE 50 MG PARTIAL (1/4) TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-70267,NELARABINE 5 MG/ML INTRAVENOUS SOLUTION,620.1,551.89,79.86,620.1,736 CDM,RX-702670,"HIGH K BLOOD CARDIOPLEGIA SOLUTION (CNR) KCL 100, NA BICARB 50 MEQ IN LR 1000 ML",214.4,190.82,44.6,214.4,715 CDM,RX-702671,"LOW K BLOOD CARDIOPLEGIA SOLUTION (CNR) KCL 50 MEQ, NA BICARB 50 MEQ IN LR 1000 ML",199.0,177.11,41.39,199.0,715 CDM,RX-702672,MAGNESIUM GLUCONATE 250 MG (13.5 MG MAGNESIUM) PARTIAL (1/2) TABLET,2.1,1.87,0.44,2.1,727 CDM,RX-702673,MORPHINE (PF) 5 MG/ML INJECTION SOLUTION (MAYO PROD LAB),33.0,29.37,6.86,33.0,715 CDM,RX-702674,UBIQUINONE (COENZYME Q10) 200 MG TABLET,5.1,4.54,1.06,5.1,727 CDM,RX-702675,UBIQUINONE (COENZYME Q10) 100 MG PARTIAL (1/2) TABLET,3.5,3.12,0.73,3.5,727 CDM,RX-702676,UBIQUINONE (COENZYME Q10) 50 MG PARTIAL (1/4) TABLET,2.8,2.49,0.58,2.8,727 CDM,RX-702685,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION INFUSION (BAG-HYPERBARIC USE),73.0,64.97,10.24,73.0,719 CDM,RX-702691,TRANEXAMIC ACID 100 MG/ML IV SOLUTION FOR NASAL SPRAY,354.3,315.33,73.69,354.3,715 CDM,RX-702692,TRANEXAMIC ACID 1G/50 ML 0.9% NACL VIAL (MAYO PROD LAB),216.7,192.86,45.07,216.7,715 CDM,RX-702702,D5W 500 ML FOR IMPELLA,104.8,93.27,2.01,203.7,2157 CDM,RX-702709,NALOXONE 1 MG/ML INJECTION FOR ORAL USE,44.3,39.43,9.21,44.3,727 CDM,RX-702714,MITOMYCIN 0.5 MG/ML TOPICAL TRACHEAL SOLUTION (CNR),88.0,78.32,18.3,88.0,736 CDM,RX-702715,METRONIDAZOLE 1 % TOPICAL SPRAY (MAYO PROD LAB),343.8,305.98,71.51,343.8,727 CDM,RX-702717,PEDATRIC MULTIVITAMIN-IRON CHEWABLE PARTIAL (1/2) TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-702719,GLUTARALDEHYDE 0.625% TOPICAL SOLUTION,307.0,273.23,63.86,307.0,727 CDM,RX-702720,TRIFLUOPERAZINE 2.5 MG PARTIAL (1/4) TABLET,6.4,5.7,1.33,6.4,727 CDM,RX-702721,EMBOLIZATION QUADRASPHERE 25 MG VIAL (VOLUME=5 ML AFTER DRUG ADDITION),3060.0,2723.4,636.48,3060.0,715 CDM,RX-702722,SILVER NITRATE 10 % CONC IRRIGATION (STERILE) (RST PROD LAB),219.3,195.18,45.61,219.3,715 CDM,RX-702724,PHYSIOLOGICAL IRRIGATION SOLUTION (PERFADEX),1418.8,1262.73,163.7,2050.6,1430 CDM,RX-702725,PYRIDOXAL PHOSPHATE (COENZYMATED B-6) 100 MG,2.7,2.4,0.56,2.7,727 CDM,RX-702729,RANIBIZUMAB 0.3 MG/0.05 ML INTRAVITREAL SOLUTION (WRAPPER),3334.0,2967.26,86.38,3334.0,736 CDM,RX-702738,ASCORBIC ACID (ASCORBATE SODIUM)(VITAMIN C) 500 MG/ML INJ SOLN (WRAPPER),39.1,34.8,8.13,39.1,717 CDM,RX-702741,ONABOTULINUMTOXINA 11.25 UNITS/0.45 ML (2.5 UNITS/0.1 ML) CNR,191.3,170.26,6.5,191.3,736 CDM,RX-702742,ACETAMINOPHEN 40 MG RECTAL SUPPOSITORY (MAYO PRD LAB COMPOUND),0.5,0.45,0.1,0.5,727 CDM,RX-702751,VANCOMYCIN 25 MCG-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),35.6,31.68,7.4,35.6,717 CDM,RX-702752,DAPSONE 2 MG/ML SUSPENSION (CNR),13.0,11.57,2.7,13.0,727 CDM,RX-702754,VANCOMYCIN ENEMA 500 MG/100 ML NACL 0.9% (CNR),13.8,12.28,2.87,13.8,717 CDM,RX-702757,CEFUROXIME 100 MG/ML PERIARTICULAR INJECTION (1.5 G VIAL),35.6,31.68,2.36,35.6,719 CDM,RX-702758,DIPHENYLCYCLOPROPENONE 0.0001% IN PEG (DPCP),847.8,754.54,176.34,847.8,715 CDM,RX-702759,DIPHENYLCYCLOPROPENONE 0.001% IN PEG (DPCP) RST PROD LAB - CLINIC USE,482.7,429.6,100.4,482.7,715 CDM,RX-702760,DIPHENYLCYCLOPROPENONE 0.005% IN PEG (DPCP) RST PROD LAB - CLINIC USE,857.2,762.91,178.3,857.2,715 CDM,RX-702761,DIPHENYLCYCLOPROPENONE 0.01% IN PEG (DPCP) RST PROD LAB - CLINIC USE,857.2,762.91,178.3,857.2,715 CDM,RX-702762,DIPHENYLCYCLOPROPENONE 0.025% IN PEG (DPCP),418.5,372.47,87.05,418.5,715 CDM,RX-702764,DIPHENYLCYCLOPROPENONE 0.1% IN PEG (DPCP),418.0,372.02,86.94,418.0,715 CDM,RX-702765,DIPHENYLCYCLOPROPENONE 0.25% IN PEG (DPCP),418.5,372.47,87.05,418.5,715 CDM,RX-702766,DIPHENYLCYCLOPROPENONE 0.5% IN PEG (DPCP),418.1,372.11,86.96,418.1,715 CDM,RX-702767,DIPHENYLCYCLOPROPENONE 2% IN PEG (DPCP),418.2,372.2,86.99,418.2,715 CDM,RX-702768,VANCOMYCIN 5 MG/ML SOAK SOLUTION FOR OR (CNR),145.6,129.58,30.28,145.6,717 CDM,RX-702777,KETAMINE (1 MG/ML) 100 MG IN 100 ML NACL 0.9% IVPB (CNR),79.8,71.02,16.6,79.8,715 CDM,RX-702778,COSYNTROPIN 1 MCG/ML DILUTION INJECTION SOLUTION (CNR),35.4,31.51,7.36,35.4,719 CDM,RX-7028,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION",39.2,34.89,8.11,39.3,2145 CDM,RX-702802,PERFLUTREN PROTEIN-TYPE A MICROSPHERES (DIAGNOSTIC) 0.22 MG/ML IV SUSP,306.8,273.05,63.81,306.8,719 CDM,RX-702803,SULFUR HEXAFLUORIDE MICROSPHERES (DIAGNOSTIC) INTRAVENOUS SUSPENSION,454.3,404.33,94.49,454.3,719 CDM,RX-702804,LIDOCAINE 10 MG/ML (1%) STRAIGHT DRUG FOR INTRAPLEURAL USE (WRAPPER),35.9,31.95,7.47,35.9,715 CDM,RX-702806,ASCORBIC ACID (VITAMIN C) 100 MG/ML SUSPENSION (MAYO PROD LAB),10.0,8.9,2.08,10.0,2181 CDM,RX-702834,HEPARIN 5000 UNITS-NITROGLYCERIN 4 MG-VERAPAMIL 10 MG IN NACL 0.9% 1009.8 ML NON-PVC (CNR),214.2,190.64,44.55,214.2,715 CDM,RX-70284,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",3.1,2.76,0.64,3.1,727 CDM,RX-702842,IOTHALAMATE MEGLUMINE 30% INJECTION (WRAPPER) CNR/PROD LAB/COMMERCIAL,35.4,31.51,0.29,35.4,719 CDM,RX-702844,DIPHENYLCYCLOPROPENONE 1% IN PEG (DPCP),866.7,771.36,180.27,866.7,715 CDM,RX-702846,"DOBUTAMINE 25 MG/25 ML (1,000 MCG/ML) IN D10W SYRINGE (NEO/PED) CNR",77.1,68.62,9.23,77.1,719 CDM,RX-70285,FLUOCINOLONE ACETONIDE OIL 0.01 % EAR DROPS,157.7,140.35,32.8,157.7,727 CDM,RX-70287,ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION,4335.4,3858.51,44.11,4335.4,736 CDM,RX-702870,LACOSAMIDE 10 MG/ML SYRINGE PUMP (PEDIATRIC),133.9,119.17,27.85,133.9,717 CDM,RX-702904,GLYBURIDE 1 MG/ML SUGAR FREE ORAL SUSPENSION (CNR),9.4,8.37,1.96,9.4,727 CDM,RX-702926,HYDROMORPHONE (PF) 1 MG/ML INJECTION SOLUTION (WRAPPER),84.0,74.76,17.47,84.0,717 CDM,RX-702934,SARGRAMOSTIM 250 MCG/ML SOLUTION FOR INHALATION (USING INJECTION VIAL),980.0,872.2,50.37,980.0,736 CDM,RX-702936,METHADONE 150 MG/30 ML (5 MG/ML) PCA (HOSPIRA) CNR,1091.9,971.79,227.12,1091.9,719 CDM,RX-702938,ASPIRIN 0.1 MG/ML ORAL SOLUTION FOR DESENSITIZATION,5.4,4.81,1.12,5.4,727 CDM,RX-702940,METHYLPREDNISOLONE SOD SUCC (PF) 2 MG/ML (0.2%) OPHTHALMIC SOLUTION,62.1,55.27,12.92,62.1,727 CDM,RX-702941,NACL 0.9% INTRAPLEURAL FLUSH,77.15,68.66499999999999,15.7,89.3,4294 CDM,RX-702947,LEVOCARNITINE 200 MG/ML SYRINGE (PEDIATRIC),116.3,103.51,24.19,116.3,719 CDM,RX-702964,BOSENTAN 6.25 MG/ML SUGAR-FREE ORAL SUSPENSION (NEO/PED) CNR,4774.2,4249.04,993.03,4774.2,727 CDM,RX-702975,ASCORBIC ACID 500 MG/50 ML IN NACL 0.9% (CNR),103.9,92.47,21.61,103.9,715 CDM,RX-702983,PHYSIOLOGICAL IRRIGATION SOLUTION (PERFADEX PLUS),3118.0,2775.02,648.54,3118.0,715 CDM,RX-702985,PHENOL 89% (STERILE) LIQUID (FILTERED BY RST PRODUCTION LAB/HOSPITAL PHARMACY ONLY),91.2,81.17,18.97,91.2,715 CDM,RX-702987,AMITRIPTYLINE 2%-KETAMINE 0.5% TOPICAL FOAM (MAYO PROD LAB),363.4,323.43,75.59,363.4,727 CDM,RX-702993,PHENYLEPHRINE 4 MG/50 ML (80 MCG/ML) IN NACL 0.9% (RST OR PILOT),84.7,75.38,17.62,84.7,715 CDM,RX-703000,"PENICILLIN G 500,000 UNITS/ML STOCK SOLUTION FOR DESENSITIZATION",170.8,152.01,35.53,170.8,717 CDM,RX-703008,AMPICILLIN 250 MG/ML STOCK SOLUTION FOR DESENSITIZATION,105.8,94.16,2.72,105.8,719 CDM,RX-703018,NAFCILLIN 250 MG/ML STOCK SOLUTION FOR DESENSITIZATION,65.1,57.94,13.54,65.1,715 CDM,RX-703033,CLOPIDOGREL 0.5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.6,4.98,1.16,5.6,727 CDM,RX-703036,CIPROFLOXACIN 10 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.8,5.16,1.21,5.8,727 CDM,RX-703039,CEFPODOXIME 5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,7.1,6.32,1.48,7.1,727 CDM,RX-703042,AMOXICILLIN 5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.2,4.63,1.08,5.2,727 CDM,RX-703048,CEPHALEXIN 5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.1,4.54,1.06,5.1,727 CDM,RX-703051,PENICILLIN V POTASSIUM 5 MG/ML STOCK SOLUTION FOR ORAL DESENSITIZATION,5.1,4.54,1.06,5.1,727 CDM,RX-703057,SULFAMETHOXAZOLE 10 MG-TRIMETHOPRIM 2 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.5,4.89,1.14,5.5,727 CDM,RX-703058,CEFAZOLIN 200 MG/ML STOCK SOLUTION FOR DESENSITIZATION,48.5,43.17,1.9,48.5,719 CDM,RX-70306,ARIPIPRAZOLE 2 MG TABLET,8.1,7.21,1.68,8.1,727 CDM,RX-703061,CEFEPIME 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,56.4,50.2,3.98,56.4,719 CDM,RX-703073,CEFTAZIDIME 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,125.5,111.69,6.75,125.5,719 CDM,RX-703076,CEFTRIAXONE FOR DESENSITIZATION 100 MG/ML STOCK SOLUTION,73.0,64.97,4.25,73.0,719 CDM,RX-703088,AZTREONAM 250 MG/ML STOCK SOLUTION FOR DESENSITIZATION,396.1,352.53,82.39,396.1,715 CDM,RX-703093,PIPERACILLIN-TAZOBACTAM 225 MG/ML STOCK SOLUTION FOR DESENSITIZATION,219.6,195.44,3.76,219.6,719 CDM,RX-703100,ALTEPLASE 12.5 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),341.7,304.11,71.07,341.7,733 CDM,RX-703105,CEFTAZIDIME 2.25 MG/0.1 ML INTRAOCULAR INJECTION (CNR),36.5,32.49,1.69,36.5,719 CDM,RX-703118,MEROPENEM 50 MG/ML STOCK SOLUTION FOR DESENSITIZATION,82.6,73.51,2.2,82.6,719 CDM,RX-703128,AZITHROMYCIN 2 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,8.2,7.3,1.71,8.2,727 CDM,RX-703130,AZITHROMYCIN 100 MG/ML STOCK SOLUTION FOR IV DESENSITIZATION,45.1,40.14,2.35,45.1,719 CDM,RX-703139,LEUCOVORIN CALCIUM 10 MG/ML INJECTION SYRINGE (NEO/PED),60.8,54.11,8.83,60.8,719 CDM,RX-703140,LEVETIRACETAM 100 MG/ML IV SYRINGE (PEDIATRIC) - RST ONLY,40.1,35.69,2.24,40.1,719 CDM,RX-703141,INDOMETHACIN 0.5 MG/ML INJECTION,797.0,709.33,165.78,797.0,715 CDM,RX-703143,CLARITHROMYCIN 50 MG/ML ORAL SOLUTION FOR DESENSITIZATION,5.1,4.54,1.06,5.1,727 CDM,RX-703146,ERTAPENEM 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,129.3,115.08,21.07,129.3,719 CDM,RX-703150,VANCOMYCIN 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,110.8,98.61,23.05,110.8,717 CDM,RX-703164,AMPHOTERICIN B LIPOSOME 4 MG/ML STOCK SOLUTION FOR DESENSITIZATION,313.8,279.28,21.48,313.8,736 CDM,RX-703174,"PENICILLIN G POTASSIUM 500,000 UNITS/ML INJECTION (NEO/PED) - RST ONLY",53.5,47.62,8.07,53.5,719 CDM,RX-703177,METHYLPREDNISOLONE SOD SUCC (PF) 4 MG/ML DILUTION INJECTION (NEO/PED),53.4,47.53,11.11,53.4,721 CDM,RX-703178,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML INJECTION (NEO/PED) - RST ONLY,54.4,48.42,11.32,54.4,717 CDM,RX-703179,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/ML INJECTION (NEO/PED) - RST ONLY,191.8,170.7,39.89,191.8,717 CDM,RX-703180,NAFCILLIN 250 MG/ML INJECTION (NEO/PED) - RST ONLY,47.4,42.19,9.86,47.4,715 CDM,RX-703183,NALOXONE 10 MCG/ML DILUTION INJECTION (NEO/PED) - RST ONLY (CNR),87.9,78.23,18.28,87.9,717 CDM,RX-703191,PRALIDOXIME 50 MG/ML INJECTION (PEDIATRIC) - RST ONLY,311.2,276.97,64.73,311.2,717 CDM,RX-703192,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION (NEO/PED) - RST ONLY,86.6,77.07,17.89,86.6,719 CDM,RX-703195,METOPROLOL 1 MG/ML INJECTION (NEO/PED) - RST ONLY,37.4,33.29,7.78,37.4,715 CDM,RX-703205,RIFAMPIN 60 MG/ML INJECTION (NEO/PED) - RST ONLY,272.9,242.88,56.76,272.9,715 CDM,RX-703206,ONDANSETRON 2 MG/ML SYRINGE PUMP (PEDIATRIC) - RST ONLY,35.9,31.95,0.43,35.9,719 CDM,RX-703210,THIAMINE INJECTION 100 MG/ML INJECTION (NEO/PED) - RST ONLY,48.0,42.72,4.15,48.0,719 CDM,RX-703211,TOBRAMYCIN 40 MG/ML INJECTION (OVER 30 MIN) (NEO/PED) - RST ONLY,38.1,33.91,2.38,38.1,719 CDM,RX-703212,ZIDOVUDINE 10 MG/ML INJECTION (NEO/PED) - RST ONLY,142.5,126.83,1.51,142.5,736 CDM,RX-703213,ZIDOVUDINE 1 MG/ML DILUTION INJECTION (NEONATE),42.0,37.38,1.51,42.0,736 CDM,RX-703216,TOBRAMYCIN 40 MG/ML INJECTION (OVER 60 MIN) (NEO/PED) - RST ONLY,38.1,33.91,2.38,38.1,719 CDM,RX-703236,LIDOCAINE 2%-PHENYLEPHRINE 0.5% NASAL SPRAY (NON-STERILE),62.8,55.89,13.06,62.8,715 CDM,RX-703239,CALCIUM CHLORIDE STRAIGHT DRUG SYRINGE (NEO/PED),65.2,58.03,13.56,65.2,715 CDM,RX-70324,CLOZAPINE 200 MG TABLET,10.2,9.08,2.12,10.2,727 CDM,RX-703240,CALCIUM GLUCONATE 100 MG/ML STRAIGHT DRUG SYRINGE (NEO/PED),109.55000000000001,97.5,13.46,154.4,1434 CDM,RX-703241,MAGNESIUM SULFATE 500 MG/ML IV SYRINGE (NEO/PED) - RST ONLY (OVER 2 HOURS),39.4,35.07,0.93,39.4,719 CDM,RX-703243,NEONATAL STD BASE SOLUTION - SODIUM ACETATE 0.28% WITH HEPARIN 1 UNIT/ML INFUSION (CNR),58.0,51.62,12.06,58.0,715 CDM,RX-703245,VANCOMYCIN 2 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),36.8,32.75,7.65,36.8,717 CDM,RX-703247,LINEZOLID 2 MG/ML-HEPARIN 50 UNITS/ML LOCK SOLUTION (CNR) (RESTRICTED),35.8,31.86,3.15,35.8,719 CDM,RX-703248,LINEZOLID 1.6 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR) (RESTRICTED),38.05,33.865,3.15,39.2,1438 CDM,RX-703249,GENTAMICIN 1 MG/ML-HEPARIN 2500 UNITS/ML LOCK SOLUTION (CNR),39.0,34.71,2.49,39.0,719 CDM,RX-703250,CEFAZOLIN 5 MG/ML-HEPARIN 50 UNITS/ML LOCK SOLUTION (CNR),36.1,32.13,0.95,36.1,719 CDM,RX-703251,CEFEPIME 5 MG/ML-HEPARIN 50 UNITS/ML LOCK SOLUTION (CNR),35.4,31.51,1.0,35.4,719 CDM,RX-703270,DANTROLENE 5 MG/ML ORAL SUSPENSION,669.3,595.68,139.21,669.3,727 CDM,RX-703271,AMIODARONE 50 MG/ML IV SYRINGE (NEON/PED) - RST ONLY,91.5,81.44,19.03,91.5,717 CDM,RX-703308,MANNITOL 20 % IV SYRINGE,119.9,106.71,24.94,119.9,715 CDM,RX-703314,VALPROIC ACID (AS SODIUM SALT) 50 MG/ML ORAL SOLUTION (WRAPPER),9.3,8.28,1.93,9.3,727 CDM,RX-703315,PHENYTOIN 25 MG/ML ORAL SUSPENSION (WRAPPER),6.25,5.5649999999999995,1.25,6.7,5089 CDM,RX-703316,MEGESTROL 40 MG/ML ORAL SUSPENSION (WRAPPER),107.5,95.68,22.36,107.5,727 CDM,RX-703317,LITHIUM CITRATE 8 MEQ/5 ML ORAL SOLUTION (WRAPPER),439.9,391.51,8.9,837.0,1454 CDM,RX-703318,MIDAZOLAM 2 MG/ML SYRUP (WRAPPER),29.3,26.08,6.09,29.3,727 CDM,RX-703321,ELASTOMERIC PUMP RESERVOIR 100 ML (100 ML/HR),20.3,18.07,4.22,20.3,717 CDM,RX-703322,ELASTOMERIC PUMP RESERVOIR 250 ML (175 ML/HR),37.5,33.38,7.8,37.5,717 CDM,RX-703323,ELASTOMERIC PUMP RESERVOIR 400 ML (100 ML/HR),57.1,50.82,11.88,57.1,715 CDM,RX-703348,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML INJECTION (NEO/PED) - RST ONLY,125.4,111.61,25.37,125.4,719 CDM,RX-703350,HYDROCORTISONE SOD SUCCINATE (PF) 500 MG/4 ML INJECTION (NEO/PED) - RST ONLY,352.2,313.46,73.26,352.2,719 CDM,RX-703359,"MESALAMINE 400 MG CAPSULE, DELAYED RELEASE (WRAPPER)",30.1,26.79,6.26,30.1,727 CDM,RX-703360,"OMEGA 3-DHA-EPA-FISH OIL 1,000 MG CAPSULE (WRAPPER)",2.7,2.4,0.56,2.7,727 CDM,RX-703362,VITAMIN E 45 MG (100 UNIT) CAPSULE (WRAPPER),2.1,1.87,0.44,2.1,727 CDM,RX-703363,"HEPARIN (PORCINE) 5,000 UNITS/ML INJECTION SOLUTION (WRAPPER)",38.6,34.35,1.03,38.6,727 CDM,RX-703366,GLUCAGON 1 MG/ML INJECTION (WRAPPER),417.1,371.22,86.76,417.1,734 CDM,RX-703367,HYALURONIDASE 150 UNIT/ML INJECTION (WRAPPER),204.7,182.18,42.58,204.7,719 CDM,RX-703374,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9% NACL SYRINGE (WRAPPER),36.8,32.75,7.65,36.8,722 CDM,RX-703383,TRANEXAMIC ACID 40 MG/10 ML SYRINGE PUMP PRIME (CNR),40.8,36.31,8.49,40.8,715 CDM,RX-7034,SALSALATE 500 MG TABLET,6.0,5.34,1.25,6.0,727 CDM,RX-703409,LIDOCAINE 0.9 %-SODIUM BICARBONATE 0.84% BUFFERED (WRAPPER),35.2,31.33,7.32,35.2,715 CDM,RX-703425,MITOMYCIN 40 MG INTRAVENOUS SOLUTION 2 MG/ML (BLADDER INSTILL EQUIVALENCY),591.7,526.61,20.35,591.7,736 CDM,RX-703426,MITOMYCIN 20 MG INTRAVENOUS SOLUTION 2 MG/ML (BLADDER INSTILL EQUIVALENCY),369.3,328.68,20.35,369.3,736 CDM,RX-703432,DROPERIDOL 0.625 MG/ML DILUTION INJECTION (NEO/PED),64.4,57.32,13.4,64.4,715 CDM,RX-703434,INSULIN REGULAR INFUSION 100 U/100 ML (1 UNIT/ML) IN NACL 0.9% (CNR/PREMIX) WRAPPER,202.0,179.78,42.02,202.0,717 CDM,RX-703437,NITROGLYCERIN 100 MCG/1 ML IN NACL 0.9% DILUTION INJECTION,49.2,43.79,10.23,49.2,715 CDM,RX-703459,OCTREOTIDE ACETATE 100 MCG/ML INJECTION (WRAPPER),42.0,37.38,8.74,42.0,727 CDM,RX-703461,"LIDOCAINE 1 %-EPINEPHRINE 1:200,000 INJECTION SOLUTION (CNR)",43.1,38.36,8.96,43.1,715 CDM,RX-703472,VANCOMYCIN 1.5 GRAM/265 ML IN 0.9% NACL (CNR),199.4,177.47,41.48,199.4,717 CDM,RX-703478,TRANEXAMIC ACID 1 G/60 ML 0.9% NACL (CNR),193.5,172.22,40.25,193.5,715 CDM,RX-703482,"BUPIVACAINE 0.25%-LIDOCAINE 1%-EPINEPHRINE 1:200,000 INJ (CNR/MAYO PRD LAB)",44.3,39.43,9.21,44.3,715 CDM,RX-703484,MULTIVITAMIN/MINERAL-PRENATAL (WRAPPER),5.6,4.98,1.16,5.6,727 CDM,RX-703485,CHLORAL HYDRATE 50 MG/ML SUGAR-FREE ORAL SUSPENSION,15.2,13.530000000000001,2.7,17.4,1454 CDM,RX-703486,MULTIVITAMIN WITH MINERALS TABLET (WRAPPER),0.5,0.45,0.1,0.5,727 CDM,RX-703487,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR (WRAPPER),92.4,82.24,19.22,92.4,719 CDM,RX-703491,VITAMIN E 180 MG (400 UNIT) CAPSULE (WRAPPER),2.7,2.4,0.56,2.7,727 CDM,RX-703492,LACTULOSE 200 G/1000 ML IN STERILE WATER ENEMA (CNR),254.8,226.77,53.0,254.8,715 CDM,RX-7035,SALSALATE 750 MG TABLET,6.3,5.61,1.31,6.3,727 CDM,RX-703500,METOPROLOL TARTRATE 12.5 MG SUPPOSITORY,11.6,10.32,2.41,11.6,727 CDM,RX-703502,MORPHINE 3 MG/G (0.3%) IN LIPODERM CREAM,27.9,24.83,5.8,27.9,727 CDM,RX-703503,MORPHINE 6 MG/G (0.6%) IN LIPODERM CREAM,28.2,25.1,5.87,28.2,727 CDM,RX-703504,MORPHINE 9 MG/G (0.9%) IN LIPODERM CREAM,28.6,25.45,5.95,28.6,727 CDM,RX-703508,MINERAL OIL USP OTIC DROPS,24.6,21.89,5.12,24.6,727 CDM,RX-703509,MINERAL OIL-GLYCERIN ENEMA-NACL 1:1:2,259.7,231.13,54.02,259.7,715 CDM,RX-703510,MINOCYCLINE 10 MG/ML ORAL SUSPENSION,24.2,21.54,5.03,24.2,727 CDM,RX-703515,MORPHINE 0.5 MG/0.2 ML IN AQUAPHOR,25.9,23.05,5.39,25.9,727 CDM,RX-703518,SALICYLIC ACID 3% IN PLASTICIZED BASE,171.6,152.72,35.69,171.6,727 CDM,RX-703532,SALICYLIC ACID 20%-5-FLUOROURACIL 5% IN PLASTICIZED BASE,342.0,304.38,71.14,342.0,727 CDM,RX-703536,GUAIACOL-CHLOROBUTANOL-BALSAM PERU-EUGENOL (DRY SOCKET PASTE),128.2,114.1,26.67,128.2,727 CDM,RX-703538,NIFEDIPINE 0.1% IN PLASTICIZED PF BASE,96.3,85.71,20.03,96.3,727 CDM,RX-703541,NITROFURAZONE 0.2% IN MIXED PEG BASE,100.5,89.45,20.9,100.5,727 CDM,RX-703542,NITROGLYCERIN IN D5W 100 MCG/ML INTRA-ARTERIAL SYRINGE,44.1,39.25,9.17,44.1,715 CDM,RX-703543,PHENYLEPHRINE 500 MCG/ML DILUTION INJECTION (RST PROD LAB/CNR),36.7,32.66,7.63,36.7,717 CDM,RX-703545,NEONATAL STD BASE SOLUTION - SODIUM CHLORIDE 0.2% WITH HEPARIN 1 UNIT/ML INFUSION (CNR),35.6,31.68,7.4,35.6,727 CDM,RX-703547,SODIUM THIOSULFATE 25% IN ZINC OXIDE OINTMENT,262.1,233.27,54.52,262.1,727 CDM,RX-703552,TRETINOIN 10 MG/ML ORAL SUSPENSION,558.9,497.42,116.25,558.9,727 CDM,RX-703555,POLYMYXIN B-BACITRACIN-ZINC OXIDE (WAITES ANTIBIOTIC DRESSING),110.1,97.99,22.9,110.1,727 CDM,RX-703558,CHOLESTYRAMINE 5%-MINERAL OIL 5% IN TRIPLE PASTE,276.1,245.73,57.43,276.1,727 CDM,RX-703564,RESORCINOL-CALAMINE LOTION (MAYO PROD FOR NOMLANDS),454.4,404.42,94.52,454.4,727 CDM,RX-703566,PROMETHAZINE 12.5 MG/G IN LIPODERM CREAM,20.0,17.8,4.16,20.0,727 CDM,RX-703567,PROMETHAZINE 25 MG/G IN LIPODERM CREAM,20.0,17.8,4.16,20.0,715 CDM,RX-703569,SODIUM BENZOATE 250 MG CAPSULE,63.2,56.25,13.15,63.2,727 CDM,RX-703579,TEMOZOLOMIDE 10 MG/ML ORAL SUSPENSION,16.1,14.33,3.35,16.1,727 CDM,RX-703586,PROMETHAZINE 7.5 MG/0.1 ML IN LIPODERM CREAM,5.9,5.25,1.23,5.9,727 CDM,RX-703587,QUETIAPINE 25 MG SUPPOSITORY,12.7,11.3,2.64,12.7,727 CDM,RX-703588,QUETIAPINE 100 MG SUPPOSITORY,6.2,5.52,1.29,6.2,727 CDM,RX-703589,ROSE-GERANIUM IN SESAME OIL NASAL SPRAY,76.0,67.64,15.81,76.0,727 CDM,RX-703597,SIROLIMUS 1% IN PETROLATUM,433.6,385.9,90.19,433.6,727 CDM,RX-703601,ASPIRIN 20.25 MG PARTIAL (1/4) CHEWABLE TABLET,0.5,0.45,0.1,0.5,727 CDM,RX-703605,P-HYDROXYBENZOIC ACID 50 MG CAPSULE,70.6,62.83,14.68,70.6,727 CDM,RX-703606,P-HYDROXYBENZOIC ACID 250 MG CAPSULE,72.6,64.61,15.1,72.6,727 CDM,RX-703611,ATENOLOL 2 MG/ML SF ORAL SUSPENSION,5.1,4.54,1.06,5.1,727 CDM,RX-703612,AZATHIOPRINE 5 MG/ML ORAL SUSPENSION,458.3,407.89,0.98,458.3,719 CDM,RX-703613,BACLOFEN 5 MG/ML ORAL SUSPENSION,5.6,4.98,1.16,5.6,727 CDM,RX-703614,BETHANECHOL CHLORIDE 5 MG/ML ORAL SUPENSION (CNR),286.9,255.34,59.68,286.9,727 CDM,RX-703615,BIOTIN 10 MG/ML ORAL SUSPENSION (CNR),272.7,242.7,56.72,272.7,727 CDM,RX-703616,CAPTOPRIL 1 MG/ML ORAL SUSPENSION (CNR),20.7,18.42,4.31,20.7,727 CDM,RX-703617,CARBIDOPA-LEVODOPA 2.5 MG-10 MG/ML ORAL SUSPENSION (CNR),13.1,11.66,2.72,13.1,727 CDM,RX-703618,CARVEDILOL 1.67 MG/ML ORAL SUSPENSION (CNR),14.2,12.64,2.95,14.2,727 CDM,RX-703621,CLONIDINE 5 MCG/ML ORAL SUSPENSION,16.9,15.04,1.29,669.5,5089 CDM,RX-703622,CLONAZEPAM 0.1 MG/ML ORAL SUSPENSION (SUGAR FREE),643.1,572.36,133.76,643.1,727 CDM,RX-703623,CLOPIDOGREL 5 MG/ML ORAL SUSPENSION,292.8,260.59,60.9,292.8,727 CDM,RX-703625,DIAZOXIDE 10 MG/ML ORAL SUSPENSION (DILUTION),70.1,62.39,14.58,70.1,727 CDM,RX-703626,DILTIAZEM 12 MG/ML ORAL SUSPENSION,31.1,27.68,6.47,31.1,727 CDM,RX-703627,"DIPHENHYDRAMINE 0.83 MG-NYSTATIN 33,333 U-LIDOCAINE 6.7 MG/ML SUSP",7.0,6.23,1.46,7.0,715 CDM,RX-703630,DILTIAZEM 12 MG/ML SUGAR-FREE ORAL SUSPENSION,1119.2,996.09,232.79,1119.2,727 CDM,RX-703631,DIPYRIDAMOLE 10 MG/ML ORAL SUSPENSION,244.0,217.16,50.75,244.0,727 CDM,RX-703634,DOXAPRAM 2 MG/ML ORAL DILUTION SOLUTION,181.0,161.09,37.65,181.0,715 CDM,RX-703635,FLECAINIDE 20 MG/ML ORAL SUSPENSION (CNR),389.8,346.92,81.08,389.8,727 CDM,RX-703636,FLUCYTOSINE 50 MG/ML ORAL SUSPENSION (CNR) (RESTRICTED),6691.2,5955.17,1391.77,6691.2,727 CDM,RX-703639,GLUTAMINE 500 MG/ML ORAL SUSPENSION,4.7,4.18,0.98,4.7,727 CDM,RX-703640,HYDROCHLOROTHIAZIDE 5 MG/ML ORAL SUSPENSION,288.1,256.41,59.92,288.1,727 CDM,RX-703641,HYDROMORPHONE 10 MG/ML CONCENTRATED ORAL DROPS,10.9,9.7,2.27,10.9,727 CDM,RX-703642,HYDROXYCHLOROQUINE 25 MG/ML ORAL SUSPENSION,9.0,8.01,1.87,9.0,4362 CDM,RX-703644,ISRADIPINE 1 MG/ML ORAL SUSPENSION,50.7,45.12,10.55,50.7,727 CDM,RX-703645,LABETALOL 40 MG/ML ORAL SUSPENSION (CNR),32.95,29.325,1.14,60.4,1454 CDM,RX-703647,LAMOTRIGINE 1 MG/ML ORAL SUSPENSION,284.7,253.38,59.22,284.7,727 CDM,RX-703651,METOLAZONE 1 MG/ML ORAL SUSPENSION,9.0,8.01,1.87,9.0,727 CDM,RX-703652,METOLAZONE 1 MG/ML SUGAR-FREE ORAL SUSPENSION,9.0,8.01,1.87,9.0,727 CDM,RX-703653,METOPROLOL TARTRATE 10 MG/ML ORAL SUSP,80.2,71.38,16.68,80.2,727 CDM,RX-703655,MEXILETINE 10 MG/ML ORAL SUSPENSION,291.2,259.17,60.57,291.2,727 CDM,RX-703656,MORPHINE 0.1 MG/ML ORAL SUSPENSION DILUTION (NEONATE),103.5,92.12,21.53,103.5,727 CDM,RX-703657,MOXIFLOXACIN 20 MG/ML ORAL SUSPENSION,28.2,25.1,5.87,28.2,727 CDM,RX-703659,MOXIFLOXACIN 20 MG/ML SUGAR-FREE ORAL SUSPENSION,28.2,25.1,5.87,28.2,727 CDM,RX-703660,NADOLOL 10 MG/ML ORAL SUSPENSION,305.9,272.25,63.63,305.9,727 CDM,RX-703661,NADOLOL 10 MG/ML SUGAR-FREE ORAL SUSPENSION,305.9,272.25,63.63,305.9,727 CDM,RX-703662,NIFEDIPINE 4 MG/ML ORAL SUSPENSION,93.7,83.39,19.49,93.7,727 CDM,RX-703665,POTASSIUM ACETATE 1 MEQ/ML ORAL SOLUTION,255.1,227.04,53.06,255.1,715 CDM,RX-703666,PRAZOSIN 100 MCG/ML ORAL SUSPENSION,18.9,16.82,3.93,18.9,727 CDM,RX-703675,AMIKACIN 200 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),35.5,31.6,0.71,35.5,719 CDM,RX-703676,AMPHOTERICIN B 1.5 MG/ML (0.15%) OPHTHALMIC SOLUTION (CNR),96.3,85.71,20.03,96.3,727 CDM,RX-703678,AMPHOTERICIN B 5 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),164.5,146.41,34.22,164.5,719 CDM,RX-703685,CEFTAZIDIME 50 MG/ML OPHTHALMIC SOLUTION (CNR),910.6,810.43,189.4,910.6,727 CDM,RX-703687,CLINDAMYCIN 1 MG/0.1 ML INTRAOCULAR INJECTION (CNR),35.7,31.77,7.43,35.7,717 CDM,RX-703688,CHLORHEXIDINE GLUCONATE 0.02% STERILE OPHTHALMIC SOLUTION (CNR),81.3,72.36,16.91,81.3,715 CDM,RX-703691,EPINEPHRINE-LIDOCAINE 0.025%-0.75% IN BSS PLUS INTRAOCULAR INJECTION/SOLUTION (CNR),57.1,50.82,11.88,57.1,715 CDM,RX-703692,GANCICLOVIR 2000 MCG/0.05 ML INTRAOCULAR INJECTION (CNR),200.9,178.8,38.55,200.9,719 CDM,RX-703694,GENTAMICIN 15 MG/ML (1.5 %) OPHTHALMIC SOLUTION (CNR),62.3,55.45,12.96,62.3,715 CDM,RX-703696,METHYLPREDNISOLONE SOD SUCC (PF) 10 MG/ML (1%) OPHTHALMIC SOLUTION (CNR),79.3,70.58,16.49,79.3,727 CDM,RX-703697,MITOMYCIN 0.2 MG/ML (0.02 %) OPHTHALMIC SOLUTION (CNR),211.2,187.97,43.93,211.2,715 CDM,RX-703700,RIFAMPIN 25 MG/ML ORAL SUSPENSION,142.6,126.91,29.66,142.6,727 CDM,RX-703701,RIFAMPIN 25 MG/ML SUGAR-FREE ORAL SUSPENSION,329.5,293.26,68.54,329.5,727 CDM,RX-703705,SILDENAFIL 2.5 MG/ML ORAL SUSPENSION (CNR),401.8,357.6,83.57,401.8,727 CDM,RX-703711,TOPIRAMATE 6 MG/ML ORAL SUSPENSION,423.3,376.74,88.05,423.3,727 CDM,RX-703713,TRANEXAMIC ACID 5% ORAL RINSE,23.5,20.92,4.89,23.5,715 CDM,RX-703714,URSODIOL 20 MG/ML ORAL SUSPENSION (CNR),33.5,29.82,4.01,645.0,3635 CDM,RX-703716,VALACYCLOVIR 50 MG/ML ORAL SUSPENSION,419.1,373.0,87.17,419.1,727 CDM,RX-703722,ACETAZOLAMIDE 25 MG/ML ORAL SUSPENSION (CNR),22.5,20.02,4.68,22.5,727 CDM,RX-703723,PROPRANOLOL 0.1 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,47.1,41.92,9.8,47.1,719 CDM,RX-703724,ALLOPURINOL 20 MG/ML ORAL SUSPENSION (CNR),164.5,146.41,34.22,164.5,727 CDM,RX-703725,AMPHOTERICIN B 100 MCG/ML MOUTHWASH,443.5,394.72,49.78,443.5,719 CDM,RX-703726,GENTAMICIN 10 MG/ML INJECTION (NEO/PED) - RST ONLY,42.8,38.09,2.49,42.8,719 CDM,RX-703728,SALICYLIC ACID 10% IN VANICREAM,157.9,140.53,32.84,157.9,727 CDM,RX-703816,HYDROMORPHONE 4 MG/ML INJECTION (WRAPPER),76.1,67.73,15.83,76.1,717 CDM,RX-703818,DIGOXIN 50 MCG/ML ORAL SOLUTION (WRAPPER),413.4,367.93,85.99,413.4,727 CDM,RX-703843,TOBRAMYCIN 15 MG/ML (1.5%) OPHTHALMIC SOLUTION (CNR),73.9,65.77,15.37,73.9,727 CDM,RX-703846,VANCOMYCIN 25 MG/0.5 ML (PF) SUBCONJUNCTIVAL INJECTION,544.8,484.87,113.32,544.8,717 CDM,RX-703847,VANCOMYCIN 25 MG/ML (2.5%) PF IN NACL 0.9% OPHTHALMIC SOLUTION,65.4,58.21,13.6,65.4,727 CDM,RX-703849,VANCOMYCIN 1000 MCG/0.1 ML INTRAOCULAR SOLUTION (CNR),35.4,31.51,7.36,35.4,717 CDM,RX-703851,VORICONAZOLE 100 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),140.6,125.13,0.86,140.6,719 CDM,RX-703853,CEFAZOLIN 5 MG/ML LOCK SOLUTION (CNR),35.2,31.33,0.95,35.2,1438 CDM,RX-703854,CEFAZOLIN 5 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),35.95,31.995,0.95,36.1,1438 CDM,RX-703855,CEFAZOLIN 5 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR),35.7,31.77,0.95,35.7,1438 CDM,RX-703856,CEFAZOLIN 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),36.3,32.31,0.95,36.3,1438 CDM,RX-703857,CEFEPIME 5 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),35.7,31.77,1.0,35.7,1438 CDM,RX-703859,CEFEPIME 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),37.25,33.155,1.0,37.4,1438 CDM,RX-703860,VANCOMYCIN 5 MG/ML LOCK SOLUTION (CNR),36.099999999999994,32.13,7.47,36.3,1434 CDM,RX-703861,VANCOMYCIN 5 MG/ML-SODIUM CITRATE 3.8% LOCK SOLUTION (CNR),35.4,31.51,7.36,35.4,1434 CDM,RX-703862,VANCOMYCIN 2.5 MG/ML-GENTAMICIN 1 MG/ML LOCK SOLUTION (CNR),35.650000000000006,31.725,7.4,35.7,1430 CDM,RX-703863,VANCOMYCIN 2.5 MG/ML-GENTAMICIN 1 MG/ML-SODIUM CITRATE 3.8% LOCK SOLN (CNR),35.4,31.51,7.36,35.4,1430 CDM,RX-703864,VANCOMYCIN 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),37.6,33.465,7.7,38.2,1434 CDM,RX-703865,AMPHOTERICIN B 2.5 MG/ML LOCK SOLUTION (CNR) (RESTRICTED),49.8,44.32,10.36,49.8,1438 CDM,RX-703866,DAPTOMYCIN 5 MG/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),36.3,32.31,0.32,36.3,1438 CDM,RX-703873,DAPTOMYCIN 5 MG/ML-HEPARIN 100 UNITS/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),49.75,44.28,0.32,50.1,1438 CDM,RX-703874,AMIKACIN 5 MG/ML LOCK SOLUTION (CNR),36.1,32.13,0.71,36.1,1438 CDM,RX-703876,GENTAMICIN 5 MG/ML LOCK SOLUTION (CNR),36.2,32.22,2.49,36.2,1438 CDM,RX-703877,GENTAMICIN 1 MG/ML-SODIUM CITRATE 3.9% LOCK SOLUTION (CNR),35.4,31.51,2.49,35.4,1438 CDM,RX-703878,ETHANOL (ETHYL ALCOHOL) 30%-SODIUM CITRATE 2.8% LOCK SOLUTION (CNR)(RESTRICTED),458.35,407.93,81.47,525.0,1430 CDM,RX-703880,LINEZOLID 2 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR) (RESTRICTED),37.5,33.38,3.15,37.5,719 CDM,RX-703904,SODIUM CHLORIDE INTRATHECAL PUMP INFUSION,39.8,35.42,8.28,39.8,715 CDM,RX-70392,SULFACETAMIDE-PREDNISOLONE 10 %-0.23 % (0.25 %) EYE DROPS,105.2,93.63,21.88,105.2,727 CDM,RX-703921,LINEZOLID 2 MG/ML LOCK SOLUTION (REPACKAGED BAG) IN 5% DEXTROSE (RESTRICTED),35.400000000000006,31.505,3.15,35.6,2157 CDM,RX-703922,LINEZOLID 1 MG/ML IN SODIUM CITRATE 2% LOCK SOLUTION (CNR) (RESTRICTED),36.7,32.665,3.15,37.0,1438 CDM,RX-703923,DAPTOMYCIN 5 MG/ML-HEPARIN 1000 UNITS/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),37.7,33.55,0.32,37.7,1438 CDM,RX-703929,DEXTROSE 10 % WITH HEPARIN 0.5 UNIT/ML INFUSION (NEONATAL CODE),36.4,32.4,0.21,36.4,717 CDM,RX-703931,AMIKACIN 250 MG/ML INJECTION (NEO/PED) - RST ONLY,44.1,39.25,3.57,44.1,719 CDM,RX-703941,POTASSIUM PERCHLORATE 200 MG/30 ML SOLUTION,20.0,17.8,4.16,20.0,715 CDM,RX-703945,NXSTAGE PUREFLOW 0K RFP-402 DIALYSATE,231.3,205.86,48.11,231.3,715 CDM,RX-703946,NXSTAGE PUREFLOW 2K RFP-400 DIALYSATE,231.3,205.86,48.11,231.3,715 CDM,RX-703947,NXSTAGE PUREFLOW 4K RFP-401 DIALYSATE,231.3,205.86,48.11,231.3,715 CDM,RX-703959,INSULIN ASPART SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,170.5,151.75,35.46,170.5,719 CDM,RX-703960,INSULIN GLULISINE SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,304.1,270.65,63.25,304.1,719 CDM,RX-703961,INSULIN LISPRO SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,205.2,182.63,42.68,205.2,719 CDM,RX-703963,INSULIN REGULAR SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML BASAL,155.5,138.4,32.34,155.5,719 CDM,RX-703964,SODIUM BICARBONATE 1 MEQ/ML ORAL SOLUTION,63.8,56.78,13.27,63.8,715 CDM,RX-70397,QUETIAPINE 50 MG TABLET,5.7,5.07,1.19,5.7,727 CDM,RX-703971,ADENOSINE 6 MCG/ML INTRAVENOUS SOLUTION,35.2,31.33,0.61,35.2,719 CDM,RX-70398,QUETIAPINE 400 MG TABLET,8.5,7.57,1.77,8.5,727 CDM,RX-703983,NACL 0.9% IV SOLP CRRT (PEDIATRIC),82.0,72.98,17.06,82.0,715 CDM,RX-703992,METOCLOPRAMIDE 5 MG/ML INJECTION (NEO/PED) - RST ONLY,39.6,35.24,1.25,39.6,719 CDM,RX-703993,PROCHLORPERAZINE EDISYLATE 5 MG/ML INJECTION (NEO/PED) - RST ONLY,41.3,36.76,2.9,41.3,719 CDM,RX-703999,GENTAMICIN 40 MG/ML INJECTION (NEO/PED) - RST ONLY,40.6,36.13,2.49,40.6,719 CDM,RX-704000,HUM PROTHROMBIN CPLX (PCC) 4FACTOR (KCENTRA) (BRAND SPLIT) IV,41.8,37.2,2.14,41.8,735 CDM,RX-704013,METHACHOLINE CHLORIDE 25 MG/ML SOLUTION FOR CHALLENGE,216.3,192.51,44.99,216.3,719 CDM,RX-704014,METHACHOLINE CHLORIDE 10 MG/ML SOLUTION FOR CHALLENGE,22.4,19.94,4.66,22.4,719 CDM,RX-704015,METHACHOLINE CHLORIDE 2.5 MG/ML SOLUTION FOR CHALLENGE,9.0,8.01,1.87,9.0,719 CDM,RX-704016,METHACHOLINE CHLORIDE 0.25 MG/ML SOLUTION FOR CHALLENGE,5.5,4.89,1.14,5.5,719 CDM,RX-704017,METHACHOLINE CHLORIDE 0.025 MG/ML SOLUTION FOR CHALLENGE,5.5,4.89,1.14,5.5,719 CDM,RX-704026,GLYCOPYRROLATE 20 MCG/ML DILUTION INJECTION (NEONATE) - RST ONLY,68.8,61.23,14.31,68.8,715 CDM,RX-704031,BENZOCAINE 20% MUCOSAL ORAL (WRAPPER),27.1,24.12,5.64,27.1,727 CDM,RX-704032,SODIUM CHLORIDE 1 GRAM TABLET (WRAPPER),2.8,2.49,0.58,2.8,727 CDM,RX-704037,DEXAMETHASONE 10 MG/ML INJECTION SOLUTION (WRAPPER),39.7,35.33,1.21,39.7,719 CDM,RX-704038,BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (WRAPPER),36.1,32.13,7.51,36.1,717 CDM,RX-704039,BUPIVACAINE 0.5 % (5 MG/ML) INJECTION SOLUTION (WRAPPER),36.0,32.04,7.49,36.0,717 CDM,RX-704040,RANIBIZUMAB 0.5 MG/0.05 ML INTRAVITREAL SOLUTION (WRAPPER),5273.2,4693.15,86.38,5273.2,736 CDM,RX-704041,LIDOCAINE 20 MG/ML (2 %) INJECTION SOLUTION (WRAPPER),35.8,31.86,7.45,35.8,715 CDM,RX-704043,DOXAPRAM 20 MG/ML INTRAVENOUS SOLUTION (NEONATE) - RST ONLY,209.6,186.54,43.6,209.6,715 CDM,RX-704044,CHLOROTHIAZIDE 25 MG/ML INJECTION (NEO/PED),147.3,131.1,30.64,147.3,719 CDM,RX-704051,FLUMAZENIL 10 MCG/ML DILUTION INJECTION (NEONATE) - RST ONLY,44.7,39.78,9.3,44.7,715 CDM,RX-704052,PHENOBARBITAL 10 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,191.8,170.7,33.44,191.8,719 CDM,RX-704053,ROCURONIUM 1 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,41.6,37.02,8.65,41.6,715 CDM,RX-704055,METHADONE 0.5 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY (RESTRICTED),103.7,92.29,20.36,103.7,719 CDM,RX-704056,MORPHINE 0.2 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,77.7,69.15,15.52,77.7,719 CDM,RX-704058,ZINC SULFATE 44 MG/ML (10 MG/ML ELEMENTAL) ORAL SUSPENSION,3.0,2.67,0.46,290.5,4362 CDM,RX-704064,NACL 0.45% IV SOLP CRRT,82.0,72.98,17.06,82.0,717 CDM,RX-704111,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 NACL INJECTION ANES ONLY,81.9,72.89,17.04,81.9,715 CDM,RX-704113,NITROGLYCERIN 50 MG/250 ML INJECTION ANES,189.0,168.21,39.31,189.0,717 CDM,RX-704114,FENTANYL-ROPIVACAINE-NACL (PF) 2 MCG/ML-0.2 % INJECTION (WRAPPER) ANES ONLY,284.3,253.03,59.13,284.3,715 CDM,RX-704115,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION ANES ONLY,70.6,62.83,14.68,70.6,715 CDM,RX-704116,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION ANES ONLY,37.3,33.2,7.76,37.3,715 CDM,RX-704117,KETAMINE 10 MG/ML INFUSION (WRAPPER) ANES ONLY,159.7,142.13,33.22,159.7,715 CDM,RX-704118,FENTANYL (PF) 2 MCG/ML-ROPIVACAINE 0.2%-NACL EPIDURAL (WRAPPER) ANES ONLY,284.3,253.03,59.13,284.3,715 CDM,RX-704122,OXYCODONE 20 MG/ML ORAL CONCENTRATE (WRAPPER),13.0,11.57,2.7,13.0,727 CDM,RX-704126,NALOXONE 0.4 MG/ML INJECTION SOLUTION - RST ONLY,123.5,109.92,25.69,123.5,717 CDM,RX-704127,GLYCOPYRROLATE 0.2 MG/ML INJECTION FOR ORAL USE,27.2,24.21,5.66,27.2,715 CDM,RX-704129,GLYCOPYRROLATE 0.2 MG/ML INJECTION (NEO/PED),38.4,34.18,7.99,38.4,715 CDM,RX-704130,MESNA 100 MG/ML INJECTION FOR ORAL USE,32.5,28.93,6.76,32.5,719 CDM,RX-704131,LORAZEPAM 0.1 MG/ML DILUTION INJECTION (NEONATE) - RST,71.6,63.72,1.62,71.6,719 CDM,RX-704132,LABETALOL 0.5 MG/ML DILUTION INJECTION (NEONATE) - RST,37.2,33.11,7.74,37.2,717 CDM,RX-704133,VASOPRESSIN 0.2 UNITS/ML DILUTION INJECTION (NEONATE) - RST ONLY,41.0,36.49,8.53,41.0,715 CDM,RX-704134,DOXAPRAM 2 MG/ML DILUTION INJECTION (NEONATE),129.8,115.52,27.0,129.8,715 CDM,RX-704135,ATRACURIUM 1 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,38.7,34.44,8.05,38.7,715 CDM,RX-704137,"EPINEPHRINE 10 MCG/ML (1:100,000) IN NACL 0.9% DILUTION INJECTION (NEO/PEDS) CNR 10 ML VIAL STOCK VIAL FOR PATIENT-SPECIFIC DOSES",40.7,36.22,8.47,40.7,721 CDM,RX-704138,PROTAMINE 1 MG/ML DILUTION INJECTION,45.7,40.67,1.81,45.7,719 CDM,RX-704139,IRON DEXTRAN 1 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,50.0,44.5,10.4,50.0,736 CDM,RX-704140,METOCLOPRAMIDE 0.5 MG/ML DILUTION INJECTION,41.6,37.02,1.25,41.6,719 CDM,RX-704146,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INJECTION FOR ORAL USE,44.6,39.69,9.28,44.6,715 CDM,RX-704149,LIDOCAINE 10 MG/ML (1%) INJECTION FOR INHALATION USE,35.2,31.33,7.32,35.2,715 CDM,RX-704152,POTASSIUM CHLORIDE IV SYRINGE 0.1 MEQ/ML (NEO/PED),84.5,75.21,0.7,84.5,719 CDM,RX-704153,SODIUM PHOSPHATE 3 MMOL/ML INJECTION FOR ORAL USE,27.7,24.65,5.76,27.7,715 CDM,RX-704157,ALTEPLASE 1 MG/ML SYRINGE FOR STROKE (NEO/PED),20815.5,18525.79,94.45,20815.5,733 CDM,RX-704158,CALCIUM CHLORIDE 100 MG/ML (10%) INJECTION FOR ORAL USE,31.4,27.95,6.53,31.4,715 CDM,RX-704159,CALCIUM GLUCONATE 100 MG/ML (10%) INJECTION FOR ORAL USE,72.7,64.705,6.45,114.4,1434 CDM,RX-704161,NIFEDIPINE 10 MG/0.34 ML LIQUID (DRAWN UP FROM CAPSULE),6.3,5.61,1.31,6.3,727 CDM,RX-704165,LEVOCARNITINE 200 MG/ML INJECTION FOR ORAL USE,76.3,67.91,15.87,76.3,719 CDM,RX-704166,VALPROATE SODIUM 100 MG/ML INJECTION FOR ORAL USE,13.0,11.57,2.7,13.0,717 CDM,RX-704181,IRON SUCROSE 20 MG/ML INJECTION WRAPPER,107.3,95.5,22.32,107.3,717 CDM,RX-704189,INSULIN U-50 REGULAR HUMAN 50 UNIT/ML DILUTION INJECTION - RST ONLY,63.0,56.07,13.1,63.0,729 CDM,RX-704191,INSULIN LISPRO (U-50) 50 UNIT/ML INJECTION DILUTION - RST ONLY,135.5,120.6,28.18,135.5,729 CDM,RX-704192,INSULIN LISPRO (U-10) 10 UNIT/ML INJECTION DILUTION - RST ONLY,92.8,82.59,19.3,92.8,729 CDM,RX-704195,ALTEPLASE 1 MG/ML IVPB FOR STROKE (NEO/PED),20815.5,18525.79,94.45,20815.5,733 CDM,RX-704197,AMPHOTERICIN B 50 MG VIAL USED IN INTRACAVITY/ENDOBRONCHIAL SOLUTION,164.4,146.32,34.2,164.4,719 CDM,RX-704198,SODIUM ACETATE 2 MEQ/ML INJECTION FOR ORAL USE,24.6,21.89,5.12,24.6,715 CDM,RX-704199,CEFAZOLIN 200 MG/ML VIAL (IV PUSH - PEDS OR) - RST ONLY,37.4,33.29,1.9,37.4,719 CDM,RX-704200,AMPICILLIN 250 MG VIAL (100 MG/ML) (IV PUSH - PEDS OR) - RST ONLY,37.5,33.38,0.68,37.5,719 CDM,RX-704201,AMPICILLIN 500 MG VIAL (100 MG/ML) (IV PUSH - PEDS OR) - RST ONLY,38.0,33.82,0.68,38.0,719 CDM,RX-704202,AMPICILLIN 1 G VIAL (100 MG/ML) (IV PUSH - PEDS OR) - RST ONLY,39.8,35.42,1.36,39.8,719 CDM,RX-704203,IODINE-POTASSIUM IODIDE 5 %-10 % ORAL SOLUTION (PEDIATRIC),50.2,44.68,10.44,50.2,1430 CDM,RX-704205,VALPROATE SODIUM 100 MG/ML INJECTION (NEO/PED) - RST ONLY,44.1,39.25,9.17,44.1,717 CDM,RX-704212,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION INFUSION (PEDIATRIC),73.0,64.97,10.24,73.0,719 CDM,RX-704213,PROPOFOL 10 MG/ML INTRAVENOUS SYRINGE (PEDIATRIC),42.7,38.0,2.05,42.7,719 CDM,RX-704214,GENTAMICIN 20 MCG/ML-POLYMYXIN B 500 UNITS/ML IN NACL 0.9% (DABS MODIFIED) IRRIGATION (CNR SYRINGE),30.0,26.7,6.24,30.0,715 CDM,RX-704215,KETAMINE 2 MG/ML IN NACL 0.9% 100 ML (CNR),86.5,76.99,17.99,86.5,715 CDM,RX-704259,CYCLOPENTOLATE 0.125%-PHENYLEPHRINE 1.25% IN CARBOXYMETHYLCELLULOSE OPHTHALMIC SOLUTION (DILATING DROPS),63.5,56.52,13.21,63.5,715 CDM,RX-704264,VASOPRESSIN 2 UNITS/ML DILUTION STOCK VIAL (NEONATE COMPOUNDING) CNR,529.5,471.26,110.14,529.5,717 CDM,RX-704265,ADENOSINE 0.3 MG/ML INTRAVENOUS DILUTION (NEONATE) CNR,39.9,35.51,1.83,39.9,719 CDM,RX-704266,TRANEXAMIC ACID 100 MG/ML INHALATION SOLUTION (VIAL & REPACKAGED INJ),39.4,35.07,8.2,39.4,715 CDM,RX-704279,"BUPIVACAINE (PF) 0.1% IN NACL 0.9%, 577 ML (CNR FOR ON-Q COMPOUNDING)",183.8,163.58,38.23,183.8,715 CDM,RX-704280,"BUPIVACAINE (PF) 0.2% IN NACL 0.9%, 682 ML (CNR FOR ON-Q COMPOUNDING)",225.4,200.61,46.88,225.4,715 CDM,RX-704284,SULFAMETHOXAZOLE-TRIMETHOPRIM 16 MG/ML LOCK SOLUTION (REPACKAGED INJECTION VIAL) (RESTRICTED),46.7,41.565,9.24,49.0,1434 CDM,RX-704285,SULFAMETHOXAZOLE-TRIMETHOPRIM 10 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (RESTRICTED),42.3,37.65,8.8,42.3,717 CDM,RX-704294,"WATER FOR IRRIGATION, STERILE SOLUTION (WRAPPER INCLUDES SWFI)",63.95,56.915000000000006,11.23,73.1,6435 CDM,RX-704296,RIBAVIRIN 40 MG/ML ORAL SUSPENSION,26.7,23.76,5.55,26.7,3575 CDM,RX-704301,FENTANYL 15 MCG/ML-BUPIVACAINE 1.75 MG/ML EPIDURAL LOAD/BOLUS (RST PROD LAB ONLY),135.8,120.86,28.25,135.8,717 CDM,RX-704302,SULFAMETHOXAZOLE-TRIMETHOPRIM 10 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (2 & 3 ML SYRINGES) (RESTRICTED),40.25,35.825,8.15,41.3,1434 CDM,RX-704311,CHLORHEXIDINE GLUCONATE 20 % (STERILE) SOLUTION (FILTERED BY RST PROD LAB),108.6,96.65,22.59,108.6,715 CDM,RX-704320,ROMIPLOSTIM 125 MCG/ML DILUTION INJECTION (PEDS),4933.2,4390.55,1026.11,4933.2,721 CDM,RX-704338,ATROPINE 0.1 MG/ML INJECTION SYRINGE FOR ENTERAL USE,73.8,65.68,11.96,73.8,719 CDM,RX-70434,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",8.9,7.92,1.85,8.9,727 CDM,RX-704346,CIPROFLOXACIN IVPB 2 MG/ML (NEO/PED) - DRAWN UP FROM PREMIX BAG,82.4,73.34,2.3,82.4,719 CDM,RX-704365,TRANEXAMIC ACID 3 G/75 ML (40 MG/ML) IN NACL 0.9% STERILE SOLUTION (CNR-VIAL),108.4,96.48,22.55,108.4,715 CDM,RX-704366,TRANEXAMIC ACID 500 MG/5 ML (100 MG/ML) ENDOBRONCHIAL SOLUTION (CATH TIP SYRINGE),39.4,35.07,8.2,39.4,715 CDM,RX-704373,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION (MIXTURE RECORD USE ONLY),91.5,81.44,19.03,91.5,715 CDM,RX-704378,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION (NEO/PED) - RST ONLY",108.8,96.83,7.85,108.8,736 CDM,RX-704383,RUXOLITINIB 2.5 MG PO PARTIAL (1/2) TABLET,486.4,432.9,101.17,486.4,729 CDM,RX-704384,ASPIRIN 37.5 MG RECTAL SUPPOSITORY,0.5,0.45,0.1,0.5,727 CDM,RX-704394,CYCLOPENTOLATE 2% PRESERVATIVE FREE OPHTHALMIC SOLN (HIGH RISK COMPOUNDING ONLY),405.0,360.45,84.24,405.0,715 CDM,RX-704400,MINOCYCLINE 1 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.6,4.98,1.16,5.6,727 CDM,RX-704409,OXACILLIN 40 MG/ML DILUTION INJECTION (NEONATE),52.2,46.46,1.31,52.2,719 CDM,RX-704419,DEXTROSE 20 % IN WATER (D20W) IV BOLUS (NEO/PED),192.3,171.15,40.0,192.3,715 CDM,RX-704421,CALCIUM CHLORIDE 100 MG/ML (10 %) IV BOLUS (NEO/PED),65.2,58.03,13.56,65.2,715 CDM,RX-704423,CALCIUM GLUCONATE 100 MG/ML (10 %) IV BOLUS (NEO/PED),64.7,57.58,13.46,64.7,717 CDM,RX-704427,ANTI-INHIBITOR COAGULANT COMPLEX (FEIBA)(WRAPPER),43.3,38.54,2.41,43.3,735 CDM,RX-704432,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION (PEDS HYPERKALEMIA),155.5,138.4,32.34,155.5,729 CDM,RX-704434,DEXTROSE 12.5 % WITH HEPARIN 0.5 UNITS/ML INFUSION (NEONATAL CODE),75.0,66.75,0.21,75.0,717 CDM,RX-704464,LIDOCAINE-BUPIVACAINE-EPINEPHRINE-HYALURONIDASE (OPHTHALMIC BLOCK #3) CNR (USING PF EPI),327.7,291.65,68.16,327.7,715 CDM,RX-704465,CIDOFOVIR 5 MG/ML INJECTION DILUTION STOCK VIAL (NEONATE COMPOUNDING) CNR,216.1,192.33,44.95,628.24,736 CDM,RX-704472,LIDOCAINE-EPINEPHRINE-HYALURONIDASE (OPHTHALMIC BLOCK #6) CNR (USING PF EPI),225.5,200.7,46.9,225.5,715 CDM,RX-704475,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION (WRAPPER)",56.6,50.37,11.77,56.6,717 CDM,RX-704495,SODIUM POLYSTYRENE SULFONATE POWDER (FOR TREATMENT OF INFANT FORMULA/BREAST MILK),216.6,192.77,45.05,216.6,715 CDM,RX-704496,HYDROCHLORIC ACID 10 % (STERILE) LIQUID (FILTERED BY RST PRODUCTION LA/HOSPITAL PHARMACY ONLY),17.1,15.22,3.56,17.1,715 CDM,RX-704499,TENECTEPLASE IV FOR STROKE (PEDIATRIC),20226.5,18001.58,172.22,20226.5,736 CDM,RX-704502,KETOTIFEN FUMARATE 1 MG E4M CAPSULE,5.1,4.54,1.06,5.1,727 CDM,RX-704529,HYALURONIDASE 30 UNIT/0.2 ML SYRINGES (EXTRAVASATION) 150 UNIT VIAL,204.7,182.18,42.58,204.7,719 CDM,RX-704534,SODIUM CHLORIDE 3 % INTRAVENOUS BOLUS SOLUTION,83.8,74.58,17.43,83.8,717 CDM,RX-704535,KIT FOR PREPARATION OF TC-99M-EXAMETAZIME WBC 0.5 MG INTRAVENOUS KIT,225.0,200.25,46.8,1074.25,734 CDM,RX-704542,"DESVENLAFAXINE ER 50 MG TABLET,EXTENDED RELEASE 24 HOUR (WRAPPER)",12.8,11.39,2.66,12.8,727 CDM,RX-704546,PENTAMIDINE 300 MG SOLUTION FOR INHALATION (USING INJECTION SOLN),157.6,140.26,32.78,157.6,717 CDM,RX-704557,FLUCONAZOLE 2 MG/ML-SODIUM CHLORIDE(ISO) IVPB DRAWN UP FROM PREMIX BAG,86.6,77.07,5.15,86.6,719 CDM,RX-704564,FD&C BLUE DYE NO.2 8 MG/ML (0.8 %) SOLUTION,5.2,4.63,1.08,5.2,715 CDM,RX-704566,ALPHA-1-PROTEINASE INHIBITOR (PROLASTIN C LIQUID)(BRAND SPLIT) 1000 MG +/-/20 ML,36.8,32.75,5.46,36.8,736 CDM,RX-704567,ALPHA-1-PROTEINASE INHIBITOR -- ZEMAIRA (BRAND SPLIT),37.1,33.02,5.46,37.1,736 CDM,RX-704580,SODIUM IODIDE-123 >/= 1 MILLICURIE CAPSULE,76.0,67.64,15.81,76.0,717 CDM,RX-704581,IBANDRONATE 3 MG/3 ML INTRAVENOUS SOLUTION (WRAPPER),240.1,213.69,45.34,240.1,719 CDM,RX-704582,TRANEXAMIC ACID 8 MG/ML INFUSION IN 0.9% NACL 250 ML (CNR),237.8,211.64,49.46,237.8,715 CDM,RX-704593,KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION (MIBI),145.0,129.05,30.16,145.0,717 CDM,RX-704594,KETAMINE (2 MG/ML) 500 MG IN 0.9% NACL 250 ML (CNR),139.0,123.71,28.91,139.0,715 CDM,RX-704612,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML INJECTION SOL (WRAPPER),224.8,200.07,46.76,224.8,736 CDM,RX-704615,HYDROCORTISONE 1 %-PRAMOXINE 1 % FOAM (WRAPPER),618.5,550.47,128.65,618.5,727 CDM,RX-704618,MORPHINE CONCENTRATE 20 MG/ML ORAL SOLUTION (WRAPPER),10.2,9.08,2.12,10.2,727 CDM,RX-704619,GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION (WRAPPER),36.7,32.66,0.63,36.7,719 CDM,RX-704620,GADOBUTROL 15 MMOL/15 ML (1 MMOL/ML) INTRAVENOUS SOLUTION (WRAPPER),36.7,32.66,0.63,36.7,719 CDM,RX-704643,THIAMINE (VITAMIN B1) 100 MG TABLET (WRAPPER),2.6,2.31,0.54,2.6,727 CDM,RX-704649,RITUXIMAB 10 MG/ML INTRAOCULAR SYRINGE (FOR OR USE ONLY),132.9,118.28,27.64,132.9,1472 CDM,RX-704653,ELASTOMERIC PUMP RESERVOIR (CB004) 400 ML/550 ML (2-14 ML/HR),843.6,750.8,175.47,843.6,717 CDM,RX-704658,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION (WRAPPER),413.5,368.02,86.01,413.5,729 CDM,RX-704660,SODIUM IODIDE-123 < 1 MILLICURIE CAPSULE,76.0,67.64,15.81,76.0,717 CDM,RX-704661,SODIUM IODIDE-123 < 1 MILLICURIE ORAL SOLUTION,76.0,67.64,15.81,76.0,724 CDM,RX-704662,SODIUM IODIDE-123 >/= 1 MILLICURIE ORAL SOLUTION,759.0,675.51,157.87,759.0,718 CDM,RX-704663,SODIUM IODIDE-131 (I-131) 100 MICROCURIE DIAGNOSTIC SOLUTION,42.5,37.83,8.84,42.5,717 CDM,RX-704665,SODIUM IODIDE-131 (I-131) 0.8 CM,1576.73,1403.29,327.96,1576.73,455 CDM,SUP-T493325,GRAFT COSTAL CARTILAGE STERILE 5.0 8.0CM COSTAL CARTILAGE (1) > 0.8 CM,2020.45,1798.2,420.25,2020.45,455 CDM,SUP-T493625,GRAFT TISSUE RIB COSTAL CARTILAGE REGENERATIVE NASAL EAR SALINE SUSPENSION IRRIGATION 0.8X5 8CM COSTAL CARTILAGE 2 0.8CM,1925.68,1713.86,400.54,1925.68,455 CDM,SUP-T493825,GRAFT TISSUE RIB COSTAL CARTILAGE REGENERATIVE NASAL EAR STERILE SALINE SUSPENSION IRRIGATION 0.8X5CM COSTAL CARTILAGE (2) 0.8 CM,1458.26,1297.85,303.32,1458.26,455 CDM,SUP-T549010,IMPLANT GRAFT BONE FILLER DBM PUTTY SYRINGE STERILE OSTEOMAX 1.0CC,269.25,239.63,56.0,269.25,455 CDM,SUP-T549025,IMPLANT GRAFT BONE FILLER DBM PUTTY SYRINGE STERILE OSTEOMAX 2.5CC,592.35,527.19,123.21,592.35,455 CDM,SUP-T549050,IMPLANT GRAFT BONE FILLER DBM PUTTY SYRINGE LATEX FREE STERILE OSTEOMAX 5.0CC,1206.24,1073.55,250.9,1206.24,455 CDM,SUP-T549100,IMPLANT GRAFT BONE DBM PUTTY SYRINGE STERILE OSTEOMAX 10.0CC,1873.98,1667.84,389.79,1873.98,455 CDM,SUP-T553536,IMPLANT GRAFT BONE FILLER PUTTY CANMAXX STERILE 30CC,1744.74,1552.82,362.91,1744.74,455 CDM,SUP-T553636,IMPLANT GRAFT BONE FILLER PUTTY CANMAXX STERILE 60CC,3024.22,2691.56,629.04,3024.22,455 CDM,SUP-T553736,IMPLANT GRAFT BONE FILLER PUTTY CANMAXX STERILE 120CC,5176.06,4606.69,1076.62,5176.06,455 CDM,SUP-T58050,IMPLANT GRAFT BONE FILLER DBM PUTTY SYRINGE STERILE 5CC,1337.27,1190.17,278.15,1337.27,455 CDM,SUP-T60615205,GRFT ALL STRP DBM 20X50X3-6,3774.0,3358.86,784.99,3774.0,459 CDM,SUP-T60615251,GRFT ALL STRP DBM STRP 20X50X5,2541.0,2261.49,528.53,2541.0,459 CDM,SUP-T70B001LL,GRFT COSTAL CARTILAGE,1400.1,1246.09,291.22,1400.1,455 CDM,SUP-T7406,SPACER SPINAL W15XH6XL12.5MM 7DEG LORDOTIC CORTICO CANCELLOUS ANTERIOR CERVICAL FROZEN,1712.43,1524.06,356.19,1712.43,455 CDM,SUP-T7407,IMPLANT GRAFT BONE SPACER CORTICAL CANCELLOUS FROZEN STERILE CERVICAL 7MM,1712.43,1524.06,356.19,1712.43,455 CDM,SUP-T7408,IMPLANT GRAFT BONE SPACER CORTICAL CANCELLOUS FROZEN STERILE CERVICAL 8MM,1712.43,1524.06,356.19,1712.43,455 CDM,SUP-T81073,GRAFT CARTILAGE MEMBRANE COLLAGEN STERILE MACI 3X5CM,130672.41,116298.44,27179.86,130672.41,457 CDM,SUP-T81074,GRFT CARTILAGE MACI DBL,261344.82,232596.89,54359.72,261344.82,457 CDM,SUP-T8406,IMPLANT GRAFT BONE SPACER FROZEN LATEX FREE STERILE CERVICAL LORDOTIC STANDARD 6MM,2352.22,2093.48,489.26,2352.22,471 CDM,SUP-T8407,IMPLANT GRAFT BONE SPACER FROZEN LATEX FREE STERILE CERVICAL LORDOTIC STANDARD 7MM,2352.22,2093.48,489.26,2352.22,471 CDM,SUP-T90A1040025,GRAFT HUMAN TISSUE 25CC CANCELLOUS BONE CORTICAL FIBER DEMINERALIZED FROZEN ADVANCED,1534.73,1365.91,319.22,1534.73,455 CDM,SUP-T90A1040050,GRAFT HUMAN TISSUE 50CC CANCELLOUS BONE CORTICAL FIBER DEMINERALIZED FROZEN ADVANCED,2638.65,2348.4,548.84,2638.65,455 CDM,SUP-T90A1040100,GRFT BN FILL ACP CANC 100CC,5277.3,4696.8,1097.68,5277.3,455 CDM,SUP-T9406,IMPLANT GRAFT BONE SPACER FROZEN LATEX FREE STERILE CERVICAL LORDOTIC LARGE 6MM,2352.22,2093.48,489.26,2352.22,471 CDM,SUP-T9407,IMPLANT GRAFT BONE SPACER FROZEN LATEX FREE STERILE CERVICAL LORDOTIC LARGE 7MM,2352.22,2093.48,489.26,2352.22,471 CDM,SUP-T990230,GRFT TNDN ACHL WHLE,4406.4,3921.7,916.53,4406.4,459 CDM,SUP-TABS201701,IMPLANT GRAFT BONE FILLER DBM FIBER CORTICAL INJECTABLE 1CC STERILE,443.72,394.91,92.29,443.72,455 CDM,SUP-TABS201702,IMPLANT GRAFT BONE FILLER DBM FIBER CORTICAL INJECTABLE STERILE 2.5CC,887.45,789.83,184.59,887.45,455 CDM,SUP-TABS201705,IMPLANT GRAFT BONE FILLER DBM FIBERS INJECTABLE STERILE EXPAND 5CC,1663.97,1480.93,346.11,1663.97,455 CDM,SUP-TABS201710,IMPLANT GRAFT BONE FILLER DBM FIBERS INJECTABLE LATEX FREE STERILE EXPAND 10CC,2884.21,2566.95,599.92,2884.21,455 CDM,SUP-TABS4200308,GRAFT TISSUE CORD STEM CELL REGENERATIVE SOFT TISSUE COVERING STERILE THICK 3 8CM 3X8CM,9064.0,8066.96,1885.31,9064.0,464 CDM,SUP-TAFLEX103,GRAFT TISSUE DECELLULARIZED DERMIS READY TO USE REGENERATIVE ACHILLES TENDON ROTATOR CUFF STERILE 1.26 1.74MM ARTHROFLEX 1.5X50X90MM,5277.3,4696.8,124.71,5277.3,472 CDM,SUP-TAFLEX651,ACELLULAR DERMAL,10749.86,9567.38,124.71,10749.86,472 CDM,SUP-TAM204X04,GRFT AMN MBRN ACTSH 4X4,3790.0,3373.1,788.32,3790.0,459 CDM,SUP-TATL80,IMPLANT GRAFT BONE WHOLE BONE ANKLE TALUS FRESH STERILE LEFT,13096.32,11655.72,2724.03,13096.32,455 CDM,SUP-TBE2110FD,GRAFT TISSUE SKIN FREEZE DRIED STERILE 0.1MM THICK EPIPATCH 10X10MM,480.0,427.2,99.84,480.0,459 CDM,SUP-TBL210001,IMPLANT GRAFT BONE FILLER SPINE DBM FIBERS CHIPS CORTICAL CANCELLOUS FREEZE DRIED PLIAFX PAK 1CC STERILE,219.58,195.43,45.67,219.58,455 CDM,SUP-TBL210005,IMPLANT GRAFT BONE FILLER SPINE DBM FIBERS CHIPS CORTICAL CANCELLOUS FREEZE DRIED PLIAFX PAK 5CC STERILE,1053.97,938.03,219.23,1053.97,455 CDM,SUP-TBL210030,IMPLANT GRAFT BONE FILLER SPINE DEMINERALIZED FIBERS CHIPS CORTICAL CANCELLOUS FREEZE DRIED STERILE PLIAFX PAK 30CC,6138.9,5463.62,1276.89,6138.9,455 CDM,SUP-TCA2020,GRAFT SOFT TISSUE AMNIOTIC MEMBRANE UMBILICAL CORD ROOM TEMPERATURE REGENERATIVE STERILE AVIVE PLUS 2X2CM,3177.15,2827.66,660.85,3177.15,455 CDM,SUP-TCA2040,GRAFT SOFT TISSUE AMNIOTIC MEMBRANE UMBILICAL CORD ROOM TEMPERATURE REGENERATIVE STERILE AVIVE PLUS 2X4CM,4835.73,4303.8,1005.83,4835.73,455 CDM,SUP-TCAN3014BP,GRAFT BONE SUBSTITUTE 30CC GRIND 1 4MM CANCELLOUS CHIP FREEZE DRIED,707.44,629.62,147.15,707.44,455 CDM,SUP-TDCELL104,GRAFT TISSUE SKIN AWM DERMIS READY TO USE REGENERATIVE RECONSTRUCTIVE SURGERY STERILE UNMESHED THICK 0.2 1.00MM DERMACELL 4X8CM,4682.77,4167.67,124.71,4682.77,471 CDM,SUP-TDF020606,GRAFT TISSUE AMNIOTIC MEMBRANE STEM CELL FREEZE DRIED REGENERATIVE PLACENTA STERILE TRI LAYER BIODEFENCE 6X6CM,8172.51,7273.53,124.71,8172.51,471 CDM,SUP-TDPPGK,GRAFT ARTERIAL PULMONARY DECELLULARIZED PATCH 2.5-5X3-8CM,11890.0,10582.1,2473.12,11890.0,459 CDM,SUP-TDPPGN,GRAFT TISSUE SKIN DERMIS FROZEN LATEX FREE STERILE 3 8X1.5 5CM,11890.0,10582.1,2473.12,11890.0,455 CDM,SUP-TDXT001,GRFT CRTLG DIST MNSCS LAT RT,3300.0,2937.0,686.4,3300.0,459 CDM,SUP-TDXT002,GRAFT TISSUE CARTILAGE REGENERATIVE MENISCUS LATERAL LEFT LATEX FREE STERILE,3554.1,3163.15,739.25,3554.1,455 CDM,SUP-TFA30,GRAFT VASCULAR FEMORAL ARTERY CRYOPRESERVED LATEX FREE STERILE 30CM,13457.12,11976.84,2799.08,13457.12,459 CDM,SUP-TFCD80,GRFT WHLE BN FSH LAT RT,23198.8,20646.93,4825.35,23198.8,455 CDM,SUP-TFCPD7,IMPLANT GRAFT BONE DOWEL CANCELLOUS FREEZE DRIED STERILE PLUG WITH NONVIABLE CARTILAGE 7X16MM,786.21,699.73,163.53,786.21,476 CDM,SUP-TFDL60,GRFT WHLE BN DISTL FEM LT FRZN,14883.84,13246.62,3095.84,14883.84,471 CDM,SUP-TFDR67,IMPLANT GRAFT BONE WHOLE BONE FEMUR DISTAL WITH GROWTH PLATE RIGHT FROZEN LATEX FREE STERILE OSTEOARTICULAR,16461.0,14650.29,3423.89,16461.0,459 CDM,SUP-TFFHN,IMPLANT GRAFT BONE WHOLE BONE FEMORAL HEAD WITH NECK FROZEN LATEX FREE STERILE 43MM,2601.75,2315.56,541.16,2601.75,455 CDM,SUP-TFWR67,IMPLANT GRAFT BONE WHOLE BONE FEMUR WHOLE WITH GROWTH PLATE FROZEN LATEX FREE STERILE RIGHT,21537.42,19168.3,4479.78,21537.42,455 CDM,SUP-THPR60,GRFT HUM PROX W/RCUF FRZN,10218.0,9094.02,2125.34,10218.0,459 CDM,SUP-TNMPFSML,IMPLANT GRAFT BONE FILLER NMP FIBERS CORTICAL FREEZE DRIED STERILE SMALL,6225.06,5540.3,1294.81,6225.06,455 CDM,SUP-TOASF01,IMPLANT GRAFT BONE FILLER ALLOGENEIC MORPHOGENTIC PROTEIN FIBER LATEX FREE STERILE OSTEOAMP 1CC,1338.06,1190.87,278.32,1338.06,455 CDM,SUP-TOASF025,IMPLANT GRAFT BONE FILLER ALLOGENEIC MORPHOGENETIC PROTEIN FIBERS LATEX FREE STERILE OSTEOAMP 2.5CC,2136.34,1901.34,444.36,2136.34,455 CDM,SUP-TOASF05,IMPLANT GRAFT BONE FILLER ALLOGENEIC MORPHOGENETIC PROTEIN FIBERS LATEX FREE STERILE OSTEOAMP 5CC,3373.16,3002.11,701.62,3373.16,455 CDM,SUP-TOASF10,IMPLANT GRAFT BONE FILLER ALLOGENEIC MORPHOGENTIC PROTEIN FIBER LATEX FREE STERILE OSTEOAMP 10CC,5621.94,5003.53,1169.36,5621.94,455 CDM,SUP-TOASF15,IMPLANT GRAFT BONE FILLER ALLOGENEIC MORPHOGENTIC PROTEIN FIBER LATEX FREE STERILE OSTEOAMP 15CC,7613.74,6776.23,1583.66,7613.74,455 CDM,SUP-TP01V920252,CELLULAR BONE V92 FC+ 2.5CC,3850.28,3426.75,800.86,3850.28,455 CDM,SUP-TPCD20,GRAFT BONE DOWEL CORTICAL CANCELLOUS FULLY HYDRATED CANNULATED CHAMFERED TIP 25 29X20MM HUMAN,1840.0,1637.6,382.72,1840.0,459 CDM,SUP-TPCD22,DOWEL CANNULATED PRESERVON 22MM,1981.68,1763.7,412.19,1981.68,455 CDM,SUP-TPCDXL10,GRAFT BONE SUBSTITUTE DOWEL L30-35MM DIA10MM XLONG CANCELLOUS FULLY CANNULATED PRESERVON,2154.0,1917.06,448.03,2154.0,455 CDM,SUP-TPCDXL12,GRAFT BONE SUBSTITUTE DOWEL L30-35MM DIA12MM XLONG CANCELLOUS FULLY CANNULATED PRESERVON,2154.0,1917.06,448.03,2154.0,455 CDM,SUP-TPCDXL14,GRAFT BONE SUBSTITUTE DOWEL L30-35MM DIA14MM XLONG CANCELLOUS FULLY CANNULATED PRESERVON,2154.0,1917.06,448.03,2154.0,455 CDM,SUP-TPCDXL16,GRAFT BONE SUBSTITUTE DOWEL L30-35MM DIA16MM XLONG CANCELLOUS FULLY CANNULATED PRESERVON,2154.0,1917.06,448.03,2154.0,455 CDM,SUP-TPCDXL18,GRAFT BONE SUBSTITUTE XL L30 35MM DIA18MM 100 CANCELLOUS CANNULATED DOWEL FULLY HYDRATED FOR ACL PCL PROCEDURE,2154.0,1917.06,448.03,2154.0,476 CDM,SUP-TPCPD6,IMPLANT GRAFT BONE PLUG CANCELLOUS READY TO USE LATEX FREE STERILE WITHOUT CARTILAGE 6MM,1077.0,958.53,224.02,1077.0,455 CDM,SUP-TPCPD7,IMPLANT GRAFT BONE PLUG CANCELLOUS READY TO USE LATEX FREE STERILE WITHOUT CARTILAGE 7MM,1077.0,958.53,224.02,1077.0,455 CDM,SUP-TPCPD8,IMPLANT GRAFT BONE PLUG CANCELLOUS READY TO USE LATEX FREE STERILE WITHOUT CARTILAGE 8MM,1077.0,958.53,224.02,1077.0,455 CDM,SUP-TQDT001,GRAFT TENDON QUADRICEPS BONE BLOCK REGENERATIVE THIGH STERILE,4889.58,4351.73,1017.03,4889.58,455 CDM,SUP-TTPR64,GRFT WHLE BN TIB PROX RT FRZN,17744.01,15792.17,3690.75,17744.01,455 CDM,SUP-TTWR67,IMPLANT GRAFT BONE WHOLE BONE TIBIA WHOLE WITH GROWTH PLATE FROZEN LATEX FREE STERILE RIGHT 67MM,20642.21,18371.57,4293.58,20642.21,455 CDM,SUP-TVBM9901,GRFT FBC STM CEL DBM 1CC,975.16,867.89,202.83,975.16,459 CDM,SUP-TVBM9902,GRFT FBC STM CEL DBM 2CC,2002.0,1781.78,416.42,2002.0,459 CDM,SUP-TVBM9915,GRFT FBC STM CEL DBM 15CC,10780.0,9594.2,2242.24,10780.0,459 CDM,SUP-TVG1LAM10B,IMPLANT GRAFT BONE SPACER CORTICAL PRESERVON STERILE LAMINOPLASTY 5X8X10MM,1453.95,1294.02,302.42,1453.95,455 CDM,SUP-TVG1LAM6B,IMPLANT GRAFT BONE SPACER CORTICAL PRESERVON LATEX FREE STERILE LAMINOPLASTY 5X6X8MM,1453.95,1294.02,302.42,1453.95,455 CDM,SUP-TVG1LAM8B,IMPLANT GRAFT BONE SPACER CORTICAL PRESERVON STERILE LAMINOPLASTY 5X8X8MM,1475.49,1313.19,306.9,1475.49,455 CDM,SUP-W4184227005T0473,IMPLANT GRAFT BONE FILLER DBM MORSELIZED FREEZE DRIED STERILE THREE FOURTHS FILLED 0.75,570.81,508.02,118.73,570.81,455 CDM,SUP-W4184227010T0473,IMPLANT GRAFT BONE FILLER DBM MORSELIZED FREEZE DRIED STERILE HALF FILLED 0.5ML,387.72,345.07,80.65,387.72,476 CDM,SUP-Z3M1256B,APPLICATOR LABEL GUN STERILIZATION HANDHELD PRINTING W/JULIAN DATING FOR USE WITH 1257 AND 1269 SERIES LABELS RECORD KEEPING SYSTEMS,608.74,541.78,126.62,608.74,455 CDM,SUP-ZAART60060239,IMP SILICON CARVING SZ2 SMO,1220.0,1085.8,253.76,1220.0,471 CDM,SUP-ZAART60060339,IMPLANT SILICONE CARVING SZ3 SMO,1220.0,1085.8,253.76,1220.0,471 CDM,SUP-ZAART60060439,IMP SILICON CARVING SZ4 SMO,1220.0,1085.8,253.76,1220.0,471 CDM,SUP-ZAART60060539,TESTICULAR SZ5 SMO,1160.0,1032.4,241.28,1160.0,471 CDM,SUP-ZABBO1060002,GUIDEWIRE VASCULAR STRAIGHT TIP STAINLESS STEEL STERILE PERIPHERAL CLTI PROCEDURES HYDROPHOBIC COATING HI TORQUE ST 0.014INX6X10X300CM,362.0,322.18,75.3,362.0,475 CDM,SUP-ZABBO1060002A,GUIDEWIRE VASCULAR ANGLED TIP STAINLESS STEEL STERILE PERIPHERAL CLTI PROCEDURES HYDROPHOBIC COATING HI TORQUE ST 0.014INX6X10X300CM,362.0,322.18,75.3,362.0,475 CDM,SUP-ZABBO1060004,GUIDEWIRE VASCULAR STRAIGHT TIP STAINLESS STEEL STERILE PERIPHERAL CLTI PROCEDURES HYDROPHOBIC COATING HI TORQUE MT 0.014INX4X25X300CM,362.0,322.18,75.3,362.0,475 CDM,SUP-ZABBO1060004A,GUIDEWIRE VASCULAR ANGLED TIP STAINLESS STEEL STERILE PERIPHERAL CLTI PROCEDURES HYDROPHOBIC COATING HI TORQUE MT 0.014INX4X25X300CM,362.0,322.18,75.3,362.0,475 CDM,SUP-ZABBO1117ANS,ACCESSORY NERVE STIMULATOR NEEDLE EPIDURAL SPINAL LATEX FREE STERILE 17GAX10CM,244.8,217.87,50.92,244.8,455 CDM,SUP-ZABBO1182ANS,ACCESSORY NERVE STIMULATOR CASE TRANSMITTER TRIAL,180.0,160.2,35.84,180.0,461 CDM,SUP-ZABBO1239ANS,ACCESSORY NERVE STIMULATOR BELT MULTIPURPOSE LATEX FREE TENNABELT 38IN,180.0,160.2,37.44,180.0,455 CDM,SUP-ZABBO15500,KIT CONTROLLER NEUROSTIMULATOR PAIN MANAGEMENT SPINE PATIENT ETERNA,3397.5,3023.78,706.68,3397.5,455 CDM,SUP-ZABBO222ETCTRSY33,ETENA KIT - IPG CONTROLLER MAGNET KIT _,37000.0,32930.0,7696.0,37000.0,455 CDM,SUP-ZABBO222PP5CTRSY33,IMPLANT PULSE GENERATOR NEUROSTIMULATOR PAIN MANAGEMENT PATIENT STERILE PLUS 5,33980.0,30242.2,7067.84,33980.0,456 CDM,SUP-ZABBO222PP7CTRSY33,PLUS 7 IPG WITH PATIENT CONTROLLER,33980.0,30242.2,7067.84,33980.0,458 CDM,SUP-ZABBO3702ANS,ANTEN0 CHARGING S1STEM,387.6,344.96,80.62,387.6,455 CDM,SUP-ZABBO3772CONTRLSYS,IMPLANT GENERATOR NEUROSTIMULATOR PAIN MANAGEMENT PERMANENT COMPATIBLE 16 WITH PROGRAMMER STERILE,30653.72,27281.81,6375.97,30653.72,456 CDM,SUP-ZABBO66700,SYSTEM CHARGING NEUROSTIMULATOR DEEP BRAIN STIM ESSENTIAL TREMOR STERILE,8800.0,7832.0,1830.4,8800.0,455 CDM,SUP-ZABBO7783,DRG PATIENT PROGRAMMER,2000.0,1780.0,416.0,2000.0,459 CDM,SUP-ZABBOATFSEDFX,CATH TCTFLX SE BID CRV D F UNIFIED,7800.0,6942.0,1622.4,7800.0,462 CDM,SUP-ZABBOUS5088,OXYGENATOR INFANT HOLLOW FIBER STAND ALONE AMG PMP,8800.0,7832.0,1830.4,8800.0,455 CDM,SUP-ZABBOZCB00115,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +11.5D,170.0,151.3,35.36,182.16,462 CDM,SUP-ZABBOZCB00120,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +12.0D ZCB0000120,170.0,151.3,35.36,182.16,462 CDM,SUP-ZABBOZCB00135,LENS INTRAOCULAR MULTIFOCAL TORIC2 PRESBYOPIA CORRECTION SINGLE PIECE +31.0D,170.0,151.3,35.36,182.16,462 CDM,SUP-ZABBOZCB00140,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +13.5D SA6AT4.135,170.0,151.3,35.36,182.16,462 CDM,SUP-ZABBOZCB00145,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +14.5D,170.0,151.3,35.36,182.16,462 CDM,SUP-ZABBOZCB00150,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +15.0D,170.0,151.3,35.36,182.16,462 CDM,SUP-ZABBOZCB00245,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +24.5D,170.0,151.3,35.36,182.16,462 CDM,SUP-ZABBOZCB00250,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR MENISCUS OPTIC 6.0X13.5 FOLDABLE SINGLE PIECE UV BLOCKING 10.0D,170.0,151.3,35.36,182.16,462 CDM,SUP-ZABBOZCB00255,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +25.5D,170.0,151.3,35.36,182.16,462 CDM,SUP-ZABBOZCB00260,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.0D SA60AT.250,170.0,151.3,35.36,182.16,462 CDM,SUP-ZABBOZCB00265,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +26.5D,170.0,151.3,35.36,182.16,462 CDM,SUP-ZABBOZCB00270,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +27.0D,170.0,151.3,35.36,182.16,462 CDM,SUP-ZABBOZCB00280,LENS INTRAOCULAR +28.0 DIOPTER L13MM DIA6MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX ANTERIOR ASPHERIC MONOFOCAL FOLDABLE UV BLOCKING ACRYLIC HYDROPHOBIC,170.0,151.3,35.36,182.16,462 CDM,SUP-ZABBOZCB00285,LENS INTRAOCULAR +28.5 DIOPTER L13MM DIA6MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX ANTERIOR ASPHERIC MONOFOCAL FOLDABLE UV BLOCKING ACRYLIC HYDROPHOBIC,170.0,151.3,35.36,182.16,462 CDM,SUP-ZABBOZCB00300,LENS INTRAOCULAR +30.0 DIOPTER L13MM DIA6MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX ANTERIOR ASPHERIC MONOFOCAL FOLDABLE UV BLOCKING ACRYLIC HYDROPHOBIC,170.0,151.3,35.36,182.16,462 CDM,SUP-ZABBV629180116,TUBE INTESTINAL 9FR L120CM FOR,455.73,405.6,94.79,455.73,455 CDM,SUP-ZABIO4000021,CP PUMP SET PLUS COMPANION SHEATH,52000.0,46280.0,10816.0,52000.0,455 CDM,SUP-ZACCLTPT,TRKR PT TRD SGL,968.0,861.52,201.34,968.0,455 CDM,SUP-ZACELWS0303,GRAFT BIOLOGICAL SOFT TISSUE PORCINE LATEX FREE STERILE URINARY BLADDER EXTRACELLULAR FENESTRATED SHEET WOUND CARE PRESSURE ULCERS PODIATRIC LACERATION 3X3.5CM,117.61,104.67,24.46,117.61,455 CDM,SUP-ZACELWS0710,BIOLOGICAL W7XL10CM 1 LAYER PREFENESTRATED FOR WOUND,465.96,414.7,96.92,465.96,471 CDM,SUP-ZACEPRE5321,KIT NEGATIVE PRESSURE WITH W22XL24CM DRESSING FOR INCISION MANAGEMENT SYSTEM BELLA FORM KT INCISION MAN,3442.5,3063.83,716.04,3442.5,455 CDM,SUP-ZACEPRE5421,KIT NEGATIVE PRESSURE WITH W27XL29CM DRESSING FOR INCISION MANAGEMENT SYSTEM BELLA FORM,3746.25,3334.16,779.22,3746.25,455 CDM,SUP-ZACT33X39GRN,CUSTOM LINER 33X39 TINT ROLL,176.4,157.0,36.69,176.4,455 CDM,SUP-ZACTISS2,WRAP THERAPEUTIC GEL SHOULDER OR HIP COLD 2 INSERT,162.24,144.39,33.75,162.24,455 CDM,SUP-ZACUTRBL2294,TEMPLATE BENDING RIB FRACTURE MINIMALLY INVASIVE,456.0,405.84,94.85,456.0,476 CDM,SUP-ZACUTRBL2311,BIT DRILL SURGICAL STAINLESS STEEL 2X6MM,1325.0,1179.25,275.6,1325.0,455 CDM,SUP-ZACUTRBL2312,BIT DRILL SURGICAL STAINLESS STEEL 2X8MM,1325.0,1179.25,275.6,1325.0,455 CDM,SUP-ZACUTRBL2313,BIT DRILL SURGICAL STAINLESS STEEL 10X2MM,1325.0,1179.25,275.6,1325.0,455 CDM,SUP-ZACUTRBL2314,BIT DRILL SURGICAL STAINLESS STEEL 2X12MM,1325.0,1179.25,275.6,1325.0,455 CDM,SUP-ZACUTRBL2315,BIT DRILL SURGICAL STAINLESS STEEL 2X14MM,1325.0,1179.25,275.6,1325.0,455 CDM,SUP-ZADTE711LWKINDX,ELECTRODE ENDOSCOPIC MONOPOLAR CUT LOOP DISPOSABLE 183CM,384.0,341.76,79.87,384.0,455 CDM,SUP-ZADVMSYN0914,KT EYESHLD OPTH,445.5,396.5,92.66,445.5,455 CDM,SUP-ZADVS14202CA6,TAPE AUTOCLAVE STERILIZATION STEAM INDICATOR SPECIAL INK 0.75INX60YD,9.8,8.72,2.04,9.8,455 CDM,SUP-ZALCO100030526,CONTACT LENS NIGHT/DAY AQUA 6P 860 138 00.00 OPTIX,434.4,386.62,90.36,434.4,455 CDM,SUP-ZALCO33825P,SCRAPER OPHTHALMIC 25GA FLEX LOOP RETRACTABLE TIP MICROTEXTURED SURFACE ADJUSTABLE STIFFNESS,920.04,818.84,191.37,920.04,455 CDM,SUP-ZALCO61175,RETRACTOR SURGICAL HOOK OPHTHALMIC NYLON FLEXIBLE STERILE DISPOSABLE,502.1,446.87,104.44,502.1,455 CDM,SUP-ZALCO70552P,SCISSORS SURGICAL 25GA CURVED,1064.9,947.76,221.5,1064.9,455 CDM,SUP-ZALCO8065149523,CANNULA OPHTHALMIC IRRIGATION SOFT TIP SILICONE END 23GA,151.92,135.21,31.6,151.92,455 CDM,SUP-ZALCO8065149527,CANNULA OPHTHALMIC IRRIGATION ASPIRATION SHORT SOFT TIP NEEDLELESS SINGLE USE 23GAX0.8MM,151.62,134.94,31.54,151.62,455 CDM,SUP-ZALCO8065149529,CANN SFT TP SHRT 27GX0.8,224.28,199.61,46.65,224.28,455 CDM,SUP-ZALCO8065750957,PACK VITRECTOMY TUBING FLUID 20/25GA,445.32,396.33,92.63,445.32,455 CDM,SUP-ZALCO8065751014,PACK VITRECTOMY SYRINGE AUTO GAS FILL,415.75,370.02,86.48,415.75,455 CDM,SUP-ZALCO8065751177,TIP PHACOEMULSIFICATION 0.9MM 45DEG MINI FLARED ABS TURBOSONICS,438.18,389.98,91.14,438.18,455 CDM,SUP-ZALCO8065912301,BLADE OPHTHALMIC 23GA SATIN FINISH DISPOSABLE,166.74,148.4,34.68,166.74,455 CDM,SUP-ZALLO10017000,GRAFT TENDON ACHILLES IRRADIATED BLOCK FROZEN CALCANEUS STERILE 17CM,3123.3,2779.74,649.65,3123.3,455 CDM,SUP-ZALLO10017100,GRAFT TENDON ACHILLES FROZEN FOOT STERILE 10X265MM,4101.22,3650.09,853.05,4101.22,455 CDM,SUP-ZALLO12117010,IMPLANT GRAFT BONE STRIP CORTICAL LATEX FREE STERILE FROZEN 1X10CM,398.49,354.66,82.89,398.49,455 CDM,SUP-ZALLO12117024,GRAFT HUMAN TISSUE W2XL11-24CM CORTICAL STRUTS FROZEN,721.59,642.22,150.09,721.59,455 CDM,SUP-ZALLO12420059,GRAFT TISSUE COSTAL CARTILAGE FREEZE DRIED STERILE 2CM,1184.7,1054.38,246.42,1184.7,455 CDM,SUP-ZALLO12420060,GRAFT TISSUE COSTAL CARTILAGE FREEZE DRIED STERILE 6.1CM,1647.81,1466.55,342.74,1647.81,455 CDM,SUP-ZALLO15317020,GRAFT HUMAN TISSUE L21CM IMPLANT SHAFT FEMUR BONE LESS THAN FROZEN IRRADIATED FEMORAL STRUT 1/2 SPLIT UNDER,1238.55,1102.31,257.62,1238.55,455 CDM,SUP-ZALLO15317021,GRAFT TISSUE FROZEN FEMORAL STRUT 1/2 SPLIT IRRADIATED OVER 21CM,1712.43,1524.06,356.19,1712.43,455 CDM,SUP-ZALLO15617016,GRFT FEM SHFT FRZN 16-20,1830.9,1629.5,380.83,1830.9,455 CDM,SUP-ZALLO16816002,GRAFT TISSUE FROZEN HUMERUS DISTAL LEFT,2739.89,2438.5,569.9,2739.89,455 CDM,SUP-ZALLO17517000,IMPLANT GRAFT BONE WHOLE BONE ILIUM SEGMENT FROZEN STERILE ONE THIRD SPLIT,2907.9,2588.03,604.84,2907.9,455 CDM,SUP-ZALLO17817000,GRAFT TENDON PATELLA FROZEN STERILE,3831.97,3410.45,797.05,3831.97,455 CDM,SUP-ZALLO17917000,GRAFT TENDON PATELLA FROZEN WHOLE STERILE,5923.5,5271.92,1232.09,5923.5,455 CDM,SUP-ZALLO18617000,GRAFT RIB WHLE,495.42,440.92,103.05,495.42,455 CDM,SUP-ZALLO18717000,GRAFT TENDON SEMITENDINOSUS FROZEN STERILE 6MMX23CM,3114.68,2772.07,647.85,3114.68,455 CDM,SUP-ZALLO24416050,IMPLANT GRAFT BONE FILLER DBM CHIPS CANCELLOUS FROZEN NONPURGED 50CC STERILE,2746.35,2444.25,571.24,2746.35,455 CDM,SUP-ZALLO24417025,GRAFT BONE CHIPS NON PURGED IRRADIATED FROZEN CANCELLOUS 25CC,1561.65,1389.87,324.82,1561.65,455 CDM,SUP-ZALLO24417050,IMPLANT GRAFT BONE FILLER DBM CHIPS CANCELLOUS FROZEN NONPURGED IRRADIATED 50CC STERILE,2746.35,2444.25,571.24,2746.35,455 CDM,SUP-ZALLO24417100,GRAFT BONE CHIPS NON PURGED IRRADIATED FROZEN CANCELLOUS 100CC,4728.03,4207.95,983.43,4728.03,455 CDM,SUP-ZALLO25917000,GRAFT HUMERAL SHAFT FROZEN OVER 16CM,1436.72,1278.68,298.84,1436.72,455 CDM,SUP-ZALLO27715090,GRFT FILL JAR 1-4X90CC,2828.2,2517.1,588.27,2828.2,455 CDM,SUP-ZALLO28225001,GRAFT TISSUE MEDIAL TIBIAL DERMIS FRESH FROZEN MENISCUS STERILE 4.1X3.4CM,10770.0,9585.3,2240.16,10770.0,455 CDM,SUP-ZALLO30717016,GRAFT BONE 14 TO 16MM FROZEN WEDGE SPINAL TRICORTICAL ILIUM UNDER,1292.4,1150.24,268.82,1292.4,455 CDM,SUP-ZALLO30817019,GRAFT TISSUE FROZEN WEDGE SPINAL TRICORTICAL ILIUM UNDER 17 TO 19MM,1497.03,1332.36,311.38,1497.03,455 CDM,SUP-ZALLO31017023,GRFT ILIUM WDG TRICORT 23,1970.91,1754.11,409.95,1970.91,455 CDM,SUP-ZALLO32247001,GRAFT BONE FEMORAL MEDIAL RIGHT STERILE,26494.2,23579.84,5510.79,26494.2,455 CDM,SUP-ZALLO32247002,GRAFT BONE FILLER FRESH FROZEN STERILE OSTEOCHONDRAL,26494.2,23579.84,5510.79,26494.2,455 CDM,SUP-ZALLO32447002,GRFT TIB PLTU WHL W/MNSCS LT,27140.4,24154.96,5645.2,27140.4,455 CDM,SUP-ZALLO32647001,GRAFT BONE TALUS RIGHT CORTICAL FRESH FROZEN STERILE 3.8X3.2CM,14754.9,13131.86,3069.02,14754.9,455 CDM,SUP-ZALLO32647002,IMPLANT GRAFT BONE FILLER CARTILAGE STERILE FRESH LEFT TALUS 3.2X3.9CM,14754.9,13131.86,3069.02,14754.9,455 CDM,SUP-ZALLO33547001,GRAFT BONE FEMORAL WHOLE RIGHT FROZEN FRESH STERILE,45987.9,40929.23,9565.48,45987.9,455 CDM,SUP-ZALLO33547002,GRFT FEM CONDYLE WHL LT FRSH,45987.9,40929.23,9565.48,45987.9,455 CDM,SUP-ZALLO41517000,GRAFT TENDON TIBIAL ANTERIOR FROZEN DOUBLE STRAND 6MMX23CM STERILE,3114.68,2772.07,647.85,3114.68,455 CDM,SUP-ZALLO41617000,GRAFT TENDON TIBIAL POSTERIOR FROZEN DOUBLE STRAND 6MMX23CM STERILE,3114.68,2772.07,647.85,3114.68,455 CDM,SUP-ZALLO41715016,GRFT PAT WDG 16,1453.95,1294.02,302.42,1453.95,455 CDM,SUP-ZALLO41847001,GRAFT BONE FEMORAL HEAD STERILE WHOLE RIGHT FRESH,16155.0,14377.95,3360.24,16155.0,455 CDM,SUP-ZALLO43647004,GRFT BN MDL CNDYL TROCH LT,41787.6,37190.96,8691.82,41787.6,455 CDM,SUP-ZALLO43917000,GRAFT TENDON TIBIAL ANTERIOR FROZEN STERILE ORTHO 6MMX23CM,3114.68,2772.07,647.85,3114.68,455 CDM,SUP-ZALLO44647001,GRFT BN HUM DIST RT,15293.4,13611.13,3181.03,15293.4,455 CDM,SUP-ZALLO44647002,IMPLANT GRAFT BONE WHOLE BONE HUMERUS DISTAL FRESH STERILE LEFT,15293.4,13611.13,3181.03,15293.4,455 CDM,SUP-ZALLO44947001,IMPLANT GRAFT BONE WHOLE BONE MEDIAL HEMI TIBIAL PLATEAU WITH MENISCUS FRESH STERILE RIGHT,16908.9,15048.92,3517.05,16908.9,455 CDM,SUP-ZALLO45647010,GRAFT BONE OSTEOCHONDRAL PRECUT MATURE HYALINE CARTILAGE 10MM,6246.6,5559.47,1299.29,6246.6,455 CDM,SUP-ZALPHSTR0822110,CANNULA 10MM TO,1028.0,914.92,213.82,1028.0,455 CDM,SUP-ZAMOBG102350,IMPLANT GLAUCOMA GLOBAL BERVELDT PLANA,1400.0,1246.0,291.2,1400.0,457 CDM,SUP-ZAMOZCB00130,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +12.0D ZCB0000130,170.0,151.3,35.36,182.16,462 CDM,SUP-ZAMOZCB00160,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +16.0D,170.0,151.3,35.36,182.16,462 CDM,SUP-ZAMOZCB00170,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +24.0D SA6AT3.240,170.0,151.3,35.36,182.16,462 CDM,SUP-ZAMOZCB00175,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +17.5D,170.0,151.3,35.36,182.16,462 CDM,SUP-ZAMOZCB00180,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +20.0D,170.0,151.3,35.36,182.16,462 CDM,SUP-ZAMOZCB00185D,INSULIN SOLUTION FROM BOVINE PANCREAS 1,170.0,151.3,35.36,182.16,462 CDM,SUP-ZAMOZCB00195,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.0D SN6AT5.200,170.0,151.3,35.36,182.16,462 CDM,SUP-ZAMOZCB00205,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.5X13.4 SINGLE PIECE UV LIGHT ABSORBING +10.0D,170.0,151.3,35.36,182.16,462 CDM,SUP-ZAMOZCB00210,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +24.0D,170.0,151.3,35.36,182.16,462 CDM,SUP-ZAMOZCB00215,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +14.0D,170.0,151.3,35.36,182.16,462 CDM,SUP-ZAMOZCB00225,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +22.5D,170.0,151.3,35.36,182.16,462 CDM,SUP-ZAMOZCB00230,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +20.5D,170.0,151.3,35.36,182.16,462 CDM,SUP-ZAMOZCB00240,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +24.0D,170.0,151.3,35.36,182.16,462 CDM,SUP-ZAMR410235F,CATHETER ENDOSCOPIC DILATOR BILIARY ANGLED TIP HYDROPHILIC COATED LATEX FREE STERILE SINGLE USE 5FRX23CM,215.18,191.51,44.76,215.18,457 CDM,SUP-ZAMRCNGL3,PLATFORM ADVANCED MINI WITH CAP WOUND PROTECTOR/RETRACTOR REMOVAL TETHER 10MM 12MM SLEEVE INTRODUCER,2475.0,2202.75,514.8,2475.0,455 CDM,SUP-ZAMRGTK17,SYSTEM EXTRACTION BAG 6500ML RING DIA17CM CONTAINED WITH BALLOON BLUNT TIP SYSTEM,1100.0,979.0,228.8,1100.0,455 CDM,SUP-ZAMS72006601,IMPLANT UROLOGICAL PROSTHESIS PENILE URINARY INCONTINENCE Y CONNECTOR CUFF SIZER LATEX FREE STERILE SINGLE USE,5715.36,5086.67,1188.79,5715.36,455 CDM,SUP-ZAMS72013301,KIT UROLOGICAL 3.5CM PENILE MALE CUFF PRESSURE REGULATING BALLOON PUMP OCCLUSIVE BELT URINARY SPHINCTER 800,13504.52,12019.02,2808.94,13504.52,456 CDM,SUP-ZAMS72018501,PROSTHESIS PENILE RESERVOIR 100ML FLAT INFLATABLE WITH MS PUMP PRECONNECTED 700,5884.04,5236.8,1223.88,5884.04,457 CDM,SUP-ZAMT9C2020,TUBE FEED AMT DOME 20FR,426.25,379.36,31.63,426.25,458 CDM,SUP-ZAMTM152030,BUTTON TUBE GASTROSTOMY FEEDING SILICONE BALLOON LOW MINI ONE 20FRX3CM,539.0,479.71,31.63,539.0,458 CDM,SUP-ZANGH787107221045,DIAGNOSTIC PERIPHERAL RADIOPAQUE CURVE BERENSTEIN 0.038IN GUIDEWIRE STERILE NON BRAIDED HIGH TORQUE SHAFT SOFT VU 5FRX65CM,54.44,48.45,11.32,54.44,474 CDM,SUP-ZANGH787117235045BX5,DIAGNOSTIC PERIPHERAL RADIOPAQUE CURVE BERENSTEIN .035IN GUIDEWIRE SIDE HOLE STERILE BRAIDED SOFT TORQUE SHAFT 4FRX110CM .035 BRAIDED,155.36,138.27,32.31,155.36,474 CDM,SUP-ZANGI11403001,KIT SURGICAL LASER GOLD TIP STERILE VENACURE PROCEDURE KIT VENACURE 45CM DISPOSABLE,1929.15,1716.94,401.26,1929.15,455 CDM,SUP-ZANGIEVLTPVAK,KIT ENDOVENOUS LASER TREATMENT LOW VENACURE EVLT 400UM,993.4,884.13,206.63,993.4,462 CDM,SUP-ZANGIH787124007035,GUIDEWIRE VASCULAR STRAIGHT TIP STAINLESS STEEL CORONARY STERILE OCCLUDING BALL PULSE SPRAY 0.035INX2X154CM,792.0,704.88,164.74,792.0,455 CDM,SUP-ZANGIH965251950,CANNULA PERFUSION VENOUS QUICK CONNECTOR 20 DEGREE TIP STERILE,43500.0,38715.0,9048.0,43500.0,455 CDM,SUP-ZANGIH965251960,CANNULA PERFUSION VENOUS QUICK CONNECTOR 180 DEGREE TIP STERILE 180 DEGREE,43500.0,38715.0,9048.0,43500.0,455 CDM,SUP-ZANSE20873080,GLOVE SURGICAL NATURAL RUBBER BEADED CUFF TEXTURED POWDER FREE KHAKI LATEX STERILE RADIATION LEAD FREE ATTENUATING SIZE 8.0,171.6,152.72,35.69,171.6,455 CDM,SUP-ZANSL20873075,GLOVE SURGICAL NATURAL RUBBER BEADED CUFF TEXTURED POWDER FREE KHAKI LATEX STERILE RADIATION LEAD FREE ATTENUATING SIZE 7.5,171.6,152.72,35.69,171.6,455 CDM,SUP-ZANTHRELTOKKNA5,KIT NASAL AIRWAY 10FR SUCTION SEPTAL SPLINTS LUER LOCK SYRINGE AND ADAPTER TIP CLEAR FLO,610.5,543.35,126.98,610.5,455 CDM,SUP-ZAPEXAM21S,HANDLE KNIFE SUPERFICIAL CIRCULAR 5IN,1072.5,954.53,223.08,1072.5,455 CDM,SUP-ZAPEXAM22S,HANDLE SURGICAL KNIFE PENETRATOR SUPERFICIAL 5IN,1025.0,912.25,213.2,1025.0,455 CDM,SUP-ZAPEXAM23,KNIFE BACKCUTTING BLADE LONG STRAIGHT HANDLE 3MMX8IN,1025.0,912.25,213.2,1025.0,455 CDM,SUP-ZAPEXAM23S,KNIFE SURGICAL BACK CUTTING STRAIGHT HANDLE 5INX2.6MM,1025.0,912.25,213.2,1025.0,455 CDM,SUP-ZAPOLB4815,KIT INTRAGASTRIC BALLOON EXTRACTION TOOL ASPIRATOR INJECTOR ORBERA ASP,550.0,489.5,114.4,550.0,455 CDM,SUP-ZAPOLCNHC01213L,SUTURE LONG X-TACK DISPOSABLE,1003.75,893.34,208.78,1003.75,455 CDM,SUP-ZAPOLXTACK160H,SYSTEM TACKING L160CM ENDOSCOPIC DISPOSABLE X-TACK,1654.0,1472.06,344.03,1654.0,471 CDM,SUP-ZAPOLXTACK235H,SYSTEM TACKING L235CM ENDOSCOPIC DISPOSABLE X-TACK,3721.5,3312.14,774.07,3721.5,455 CDM,SUP-ZAPPMC8303,RETRACTOR SURGICAL L SHEATH 25CM INCISION RANGE 9-14CM WOUND PROTECTOR FLEXIBLE RING FOR ANATOMICAL CONFORMITY,293.7,261.39,61.09,293.7,455 CDM,SUP-ZAPPMG6313,RETRACTOR SURGICAL L SHEATH L25CM 9-14CM INCISION RIGID RING C SECTION RETRACTION FOR UTERINE EXPOSURE O,294.0,261.66,61.15,294.0,455 CDM,SUP-ZAPPMG6314,RETRACTOR SURGICAL XL SHEATH L34CM 11-17CM INCISION RIGID RING C SECTION RETRACTION FOR UTERINE EXPOSURE O,372.0,331.08,77.38,372.0,455 CDM,SUP-ZAPR101063,SET BONE BIOPSY CANNULA STYLET EJECTOR PIN DEPTH GAUGE 15GAX13CM,681.45,606.49,141.74,681.45,455 CDM,SUP-ZARGO756610060,10F X 60CM LOCKING STANDARD PIGTAIL,130.4,116.06,27.12,130.4,464 CDM,SUP-ZARGO756612060,12F X 60CM LOCKING STANDARD PIGTAIL,130.4,116.06,27.12,130.4,464 CDM,SUP-ZARRUM04018,KIT ARTERIAL POLYURETHANE INDWELLING SPRING GUIDEWIRE 18GAX6IN,54.4,48.42,11.32,54.4,463 CDM,SUP-ZARTABS1010BC,GRAFT BONE SUBSTITUTE 1CC CARTILAGE EXTRACELLULAR INJECTABLE FOR SCAFFOLD OVER MICROFRACTURED DEFECT,2174.25,1935.08,452.24,2174.25,455 CDM,SUP-ZARTAR872416,SCREW BONE CORTICAL CANNULATED TITANIUM SELFTAPPING NONLOCKING FOR WRIST ANKLE HAND FOOT 2.4X16MM NONSTERILE,226.6,201.67,47.13,226.6,476 CDM,SUP-ZARTAR8724V08,SCREW BONE 2.4X8MM FULLY THREADED LOCKING TITANIUM LOW VARIABLE ANGLE,288.4,256.68,59.99,288.4,476 CDM,SUP-ZARTAR8724V10,SCREW BONE 2.4X10MM FULLY THREADED LOCKING TITANIUM LOW VARIABLE ANGLE,288.4,256.68,59.99,288.4,476 CDM,SUP-ZARTAR8724V12,SCREW BONE 2.4X12MM FULLY THREADED LOCKING TITANIUM LOW VARIABLE ANGLE,288.4,256.68,59.99,288.4,476 CDM,SUP-ZARTAR8724V22,SCREW BONE 2.4X22MM FULLY THREADED LOCKING TITANIUM LOW VARIABLE ANGLE,288.4,256.68,59.99,288.4,476 CDM,SUP-ZARTAR8724V24,SCREW BONE 2.4X24MM FULLY THREADED LOCKING TITANIUM LOW VARIABLE ANGLE,288.4,256.68,59.99,288.4,476 CDM,SUP-ZARTAR8724V30,SCREW BONE 2.4X30MM FULLY THREADED LOCKING TITANIUM LOW VARIABLE ANGLE,288.4,256.68,59.99,288.4,476 CDM,SUP-ZARTAR873018PT,SCREW BONE 3X18MM CANCELLOUS PARTIALLY THREADED TITANIUM,309.0,275.01,64.27,309.0,476 CDM,SUP-ZARTAR873024PT,SCREW BONE L24MM DIA3MM TITANIUM CANNULATED PARTIALLY THREADED LOW,309.0,275.01,64.27,309.0,476 CDM,SUP-ZARTAR873026PT,SCREW BONE 3X26MM CANCELLOUS PARTIALLY THREADED TITANIUM,309.0,275.01,64.27,309.0,476 CDM,SUP-ZARTAR873028PT,SCREW BONE 3X28MM CANCELLOUS PARTIALLY THREADED TITANIUM,309.0,275.01,64.27,309.0,476 CDM,SUP-ZARTAR873030PT,SCREW BONE 3X30MM CANNULATED PARTIALLY THREADED TITANIUM LOW,309.0,275.01,64.27,309.0,476 CDM,SUP-ZARTAR873036PT,SCREW BONE L36MM DIA3MM TITANIUM CANNULATED PARTIALLY THREADED LOW,309.0,275.01,64.27,309.0,476 CDM,SUP-ZARTAR874030PTS,SCREW BONE CANCELLOUS CANNULATED TITANIUM SELFTAPPING SHORT PARTIAL THREAD HAND WRIST LOW 4.0X30MM,339.9,302.51,70.7,339.9,476 CDM,SUP-ZARTAR874034PTS,SCREW BONE CANCELLOUS CANNULATED TITANIUM SELFTAPPING SHORT PARTIAL THREAD HAND WRIST LOW 4.0X34MM,339.9,302.51,70.7,339.9,476 CDM,SUP-ZARTAR874046PTS,SCREW BONE CANCELLOUS CANNULATED TITANIUM SELFTAPPING SHORT PARTIAL THREAD HAND WRIST LOW 4.0X46MM,339.9,302.51,70.7,339.9,476 CDM,SUP-ZARTAR874048PTS,SCREW BONE CANCELLOUS CANNULATED TITANIUM SELFTAPPING SHORT PARTIAL THREAD HAND WRIST LOW 4.0X48MM,339.9,302.51,70.7,339.9,476 CDM,SUP-ZARTAR893010,SCREW BONE L10MM DIA2MM SILVER CORTICAL FOOT ANKLE TITANIUM SELF DRILLING SELF TAPPING SOLID FULLY THREADED OFF FOR METATARSAL OSTEOTOMIES,494.4,440.02,102.84,494.4,476 CDM,SUP-ZARTAR893011,SCREW BONE L11MM DIA2MM MAGENTA CORTICAL FOOT ANKLE TITANIUM SELF DRILLING SELF TAPPING SOLID FULLY THREADED OFF FOR METATARSAL OSTEOTOMIES,494.4,440.02,102.84,494.4,476 CDM,SUP-ZARTAR893013,SCREW BONE L13MM DIA2MM CORTICAL FOOT ANKLE TITANIUM SELF DRILLING SELF TAPPING SOLID FULLY THREADED OFF FOR METATARSAL OSTEOTOMIES,494.4,440.02,102.84,494.4,476 CDM,SUP-ZARTAR893014,SCREW BONE CORTICAL SOLID TITANIUM SELFTAPPING FULL THREAD NONLOCKING FOR FOOT HAND ANKLE WRIST PURPLE LOW 2.0X14MM STERILE,494.4,440.02,102.84,494.4,476 CDM,SUP-ZARTAR8944L,IMPLANT PLATE BONE TITANIUM LOW LONG 28MM,1843.7,1640.89,383.49,1843.7,476 CDM,SUP-ZARTAR8944PR20,INSTRUMENT SURGICAL REAMER PHALANGEAL TITANIUM SOLID LOW CIRCULAR STERILE 20MM DISPOSABLE,2085.75,1856.32,433.84,2085.75,455 CDM,SUP-ZARTAR8944S,IMPLANT PLATE BONE LOCKING FOREFOOT TITANIUM LOW 8 HOLE NONSTERILE STRAIGHT SHORT STANDARD 1.5MM,1843.7,1640.89,383.49,1843.7,476 CDM,SUP-ZARTHABS110120,GRAFT TISSUE DISC FROZEN REGENERATIVE STERILE 20MM,18858.27,16783.86,3922.52,18858.27,455 CDM,SUP-ZARTHABS110225,GRAFT HUMAN TISSUE W20XL25MM OSTEOCHONDRAL ANKLE TALUS CRYOPRESERVED,24404.82,21720.29,5076.2,24404.82,476 CDM,SUP-ZARTHABS200801,IMPLANT GRAFT BONE FILLER DBM CORTICAL FIBER 1CC,421.54,375.17,87.68,421.54,455 CDM,SUP-ZARTHABS200803,IMPLANT GRAFT BONE FILLER DBM CORTICAL FIBER 5CC,1553.03,1382.2,323.03,1553.03,455 CDM,SUP-ZARTHABS209001,IMPLANT GRAFT BONE FILLER SCAFFOLD CORTICAL CANCELLOUS SYRINGE STERILE ARTHROCELL PLUS 1.0CC,1220.24,1086.01,253.81,1220.24,455 CDM,SUP-ZARTHABS209010,IMPLANT GRAFT BONE FILLER SCAFFOLD CORTICAL CANCELLOUS SYRINGE STERILE ARTHROCELL PLUS 10CC,12360.0,11000.4,2570.88,12360.0,459 CDM,SUP-ZARTHAR3600DC,KIT SUTURE SELFDRILLING 1.6MM STERILE,1004.25,893.78,208.88,1004.25,455 CDM,SUP-ZARTHAR3650DS,KIT INSTRUMENT SET ARTHROSCOPIC FIXATION SUTURE DRILL SPEAR OBTURATOR DISPOSABLE 2.6MM,1004.25,893.78,208.88,1004.25,455 CDM,SUP-ZARTHAR873020PT,SCREW BONE L20MM DIA3MM TITANIUM CANNULATED PARTIALLY THREADED LOW,309.0,275.01,64.27,309.0,476 CDM,SUP-ZARTHAR873022PT,SCREW BONE 3X22MM CANCELLOUS PARTIALLY THREADED TITANIUM,309.0,275.01,64.27,309.0,476 CDM,SUP-ZARTHAR873032PT,SCREW BONE L32MM DIA3MM TITANIUM CANNULATED PARTIALLY THREADED LOW,309.0,275.01,64.27,309.0,476 CDM,SUP-ZARTHAR874026PTS,SCREW BONE CANCELLOUS CANNULATED TITANIUM SELFTAPPING SHORT PARTIAL THREAD HAND WRIST LOW 4.0X26MM,339.9,302.51,70.7,339.9,476 CDM,SUP-ZARTHAR874036PTS,SCREW BONE CANCELLOUS CANNULATED TITANIUM SELFTAPPING SHORT PARTIAL THREAD HAND WRIST LOW 4.0X36MM,339.9,302.51,70.7,339.9,476 CDM,SUP-ZASAHAINCKI200BSFT,GUIDEWIRE VASCULAR CURVE TIP HYDROPHILIC COATED LATEX FREE STERILE JACKET RESHAPABLE 0.36MMX30X200CM RND,1100.0,979.0,228.8,1100.0,475 CDM,SUP-ZASCESMCP50010WW,IMPLANT METACARPOPHALANGEAL SIZE 10 30DEG SILICONE ELASTOMER PREFLEXED FLEXIBLE HINGE PROSTHESIS CEMENTLESS REPLACEMENT,3982.5,3544.43,828.36,3982.5,469 CDM,SUP-ZASCESMCP50020WW,IMPLANT METACARPOPHALANGEAL SIZE 20 30DEG SILICONE ELASTOMER PREFLEXED FLEXIBLE HINGE PROSTHESIS CEMENTLESS REPLACEMENT,3982.5,3544.43,828.36,3982.5,469 CDM,SUP-ZASCESMCP50040WW,IMPLANT METACARPOPHALANGEAL SIZE 40 30DEG SILICONE ELASTOMER PREFLEXED FLEXIBLE HINGE PROSTHESIS CEMENTLESS REPLACEMENT,3982.5,3544.43,828.36,3982.5,469 CDM,SUP-ZATOS7215,GUIDEWIRE VASCULAR STERILE KIT,274.18,244.02,57.03,274.18,475 CDM,SUP-ZATOS8141US,IMPLANT OTOLARYNGOLOGY VOICE PROSTHESIS SET PUNCTURE TRACHEAL SILICONE ANGLED FLAP VALVE WITH SELF INSERTER STERILE VEGA 17FRX10MM,2033.46,1809.78,422.96,2033.46,455 CDM,SUP-ZATRI001400005,DPRS CLR CARD SURG ART,3118.5,2775.47,648.65,3118.5,455 CDM,SUP-ZATRI001700001SK,KIT ABLATION SYSTEM L150MM TEMPERATURE CONTROLLED RADIOFREQUENCY 150 CARDIAC,14270.0,12700.3,2968.16,14270.0,462 CDM,SUP-ZATRIA000957,PROBE CORRUGATED CRYOABLATION MULTI REGION STAINLESS STEEL STERILE SINGLE USE CRYOICE 10CM,9400.0,8366.0,1955.2,9400.0,455 CDM,SUP-ZATRIDCP213BIT,OPHTHALMIC BALLOON PEDIATRIC L13MM DIA2MM LACRIMAL BILATERAL FOR DACRYOPLASTY,1165.5,1037.3,242.42,1165.5,470 CDM,SUP-ZAVAL701063537,PERFUSION BI-CAVAL DUAL-LUMEN 27FRX31CM,9400.0,8366.0,1955.2,9400.0,455 CDM,SUP-ZAVAL701063538,PERFUSION BI-CAVAL DUAL-LUMEN 31FRX31CM,9400.0,8366.0,1955.2,9400.0,455 CDM,SUP-ZAXO111230,GRAFT TISSUE PERIPHERAL NERVE REPAIR DERMIS REGENERATIVE STERILE 1 2X30MM,9148.04,8141.76,1902.79,9148.04,455 CDM,SUP-ZAXOG111250,GRFT AVN NRV 1-2X50,7750.0,6897.5,1612.0,7750.0,455 CDM,SUP-ZAXOG211230,GRAFT NERVE L30MM DIA2-3MM PERIPHERAL NATURAL CONNECTION PROCESSED FOR,9148.04,8141.76,1902.79,9148.04,455 CDM,SUP-ZAXOG211250,GRAFT NERVE L50MM DIA2-3MM PERIPHERAL NATURAL CONNECTION PROCESSED FOR,13152.32,11705.56,2735.68,13152.32,455 CDM,SUP-ZAXOG211270,GRAFT TISSUE PERIPHERAL NERVE REPAIR DERMIS REGENERATIVE STERILE 2 3X70MM,16766.74,14922.4,3487.48,16766.74,455 CDM,SUP-ZAXOG311230,GRAFT TISSUE PERIPHERAL NERVE REPAIR DERMIS REGENERATIVE STERILE 3 4X30MM,9148.04,8141.76,1902.79,9148.04,455 CDM,SUP-ZAXOG311250,GRAFT TISSUE PERIPHERAL NERVE DERMIS REGENERATIVE STERILE 3 4X50MM,14261.63,12692.85,2966.42,14261.63,455 CDM,SUP-ZAXOG311270,GRAFT TISSUE PERIPHERAL NERVE REPAIR DERMIS REGENERATIVE STERILE 3 4X70MM,18293.92,16281.59,3805.14,18293.92,455 CDM,SUP-ZAXOG411230,GRAFT TISSUE PERIPHERAL NERVE REPAIR DERMIS REGENERATIVE STERILE 4 5X30MM,9148.04,8141.76,1902.79,9148.04,455 CDM,SUP-ZAXOG411250,GRAFT TISSUE PERIPHERAL NERVE REPAIR DERMIS REGENERATIVE STERILE 4 5X50MM,14261.63,12692.85,2966.42,14261.63,455 CDM,SUP-ZAXOG411270,GRAFT TISSUE PERIPHERAL NERVE REPAIR DERMIS REGENERATIVE STERILE 4 5X70MM,18293.92,16281.59,3805.14,18293.92,455 CDM,SUP-ZBACT109608,GRAFT BONE SUBSTITUTE DBM BLOCK 8MM TRABECULAR BONE KBM,430.8,383.41,89.61,430.8,476 CDM,SUP-ZBACT109633,GRAFT BONE SUBSTITUTE DBM STRIP 26X19X7MM TRABECULAR BONE KBM,2154.0,1917.06,448.03,2154.0,455 CDM,SUP-ZBACT109712,GRAFT BONE SUBSTITUTE 30X30MM CORTICAL KBM,1841.67,1639.09,383.07,1841.67,476 CDM,SUP-ZBACT109713,GRAFT BONE 50X25MM HUMAN CORTICAL DEMINERALIZED ORBITALWRAP,2296.0,2043.44,477.57,2296.0,459 CDM,SUP-ZBACT109714,GRAFT BONE SUBSTITUTE 70X40MM CORTICAL KBM,4943.43,4399.65,1028.23,4943.43,455 CDM,SUP-ZBACT109781,IMPLANT GRAFT BONE BOAT DBM CORTICAL STERILE 3DEMIN 25X100MM,6900.0,6141.0,1435.2,6900.0,459 CDM,SUP-ZBACT109785,GRFT 3DM BOAT DBM 25X50,4850.0,4316.5,1008.8,4850.0,459 CDM,SUP-ZBACT122025,IMPLANT GRAFT BONE FILLER DBM GRANULES OSTEOFACTOR PRO 2.5CC STERILE,3004.83,2674.3,625.0,3004.83,455 CDM,SUP-ZBALTHYBRID10D300,GUIDEWIRE VASCULAR STRAIGHT TIP LATEX FREE STERILE 0.010X310CM,1390.0,1237.1,289.12,1390.0,475 CDM,SUP-ZBARDHW35SS,GUIDEWIRE UROLOGICAL HYDROPHILIC COATED STRAIGHT TIP STIFF PLUS 0.035INX150CM,96.0,85.44,19.97,96.0,475 CDM,SUP-ZBAUSE5654,PROBE LACRIMAL SIZE 0 INTUBATION TAPER AND REGULAR DOUBLE ENDED QUICKERT,484.0,430.76,100.67,484.0,455 CDM,SUP-ZBAUSEEU0650,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +6.5D,190.0,169.1,39.52,190.0,462 CDM,SUP-ZBAUSEEU0750,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +7.5D,190.0,169.1,39.52,190.0,462 CDM,SUP-ZBAUSEEU0850,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +8.5D,190.0,169.1,39.52,190.0,462 CDM,SUP-ZBAUSEEU0950,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +9.5D,190.0,169.1,39.52,190.0,462 CDM,SUP-ZBAUSEEU3050,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +30.5D,190.0,169.1,39.52,190.0,462 CDM,SUP-ZBAUSEEU3150,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +31.5D,190.0,169.1,39.52,190.0,462 CDM,SUP-ZBAUSEEU3250,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +32.5D,190.0,169.1,39.52,190.0,462 CDM,SUP-ZBAUSEEU3350,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +33.5D,190.0,169.1,39.52,190.0,462 CDM,SUP-ZBAUSES500010,IMPLANT OPHTHALMIC INJECTION EYE SILICONE OIL STERILE 10ML,919.9,818.71,191.34,919.9,455 CDM,SUP-ZBAUSMXUE0600,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +6.0D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE0800,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +8.0D,190.0,169.1,39.52,190.0,462 CDM,SUP-ZBAUSMXUE0900,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +9.0D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE1000,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +10.0D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE1050,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +10.5D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE1100,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +11.0D,190.0,169.1,39.52,190.0,462 CDM,SUP-ZBAUSMXUE1150,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +11.5D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE1200,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +12.0D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE1250,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +12.5D,190.0,169.1,39.52,190.0,462 CDM,SUP-ZBAUSMXUE1300,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +13.0D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE1350,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +13.5D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE1400,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +14.0D,190.0,169.1,39.52,190.0,462 CDM,SUP-ZBAUSMXUE1450,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +14.5D,190.0,169.1,39.52,190.0,462 CDM,SUP-ZBAUSMXUE1500,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +15.0D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE1550,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +15.5D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE1600,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +16.0D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE1650,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +16.5D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE1700,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +17.0D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE1750,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +17.5D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE1800,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +18.0D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE1850,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +18.5D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE1900,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +19.0D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE1950,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +19.5D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE2050,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +20.5D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE2100,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +21.0D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE2150,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +21.5D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE2200,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +22.0D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE2250,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +22.5D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE2300,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +23.0D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE2350,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +23.5D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE2400,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +24.0D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE2450,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +24.5D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE2500,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +25.0D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE2550,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +25.5D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE2600,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +26.0D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAUSMXUE2650,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +26.5D,238.0,211.82,49.5,238.0,462 CDM,SUP-ZBAXT0600036,TISS CLSR DPLTP 20X10,214.26,190.69,44.57,214.26,455 CDM,SUP-ZBAXT1505288,KT TISS CLSR FLS HMST 5ML,755.15,672.08,157.07,755.15,455 CDM,SUP-ZBAXT50125,OCCLUDER CORONARY L12MM BULB DIA1.25MM INTERNAL VESSEL SILICONE RUBBER FLEXIBLE SHAFT DISPOSABLE,390.6,347.63,81.24,390.6,455 CDM,SUP-ZBBRAONO12100,DEVICE RETRIEVAL NITINOL BRAIDED LOOP ONOCOR 12FR,28125.0,25031.25,5850.0,28125.0,455 CDM,SUP-ZBDM373460CA10,VALVE CHEST-DRAINAGE RUBBER 1-WAY-FILTER TRANSPARENT,176.94,157.48,36.8,176.94,455 CDM,SUP-ZBDM377300CA3,BLADE OPHTHALMIC L84MM 5MM CUTTING SURFACE STRAIGHT SICKLE,265.02,235.87,55.12,265.02,455 CDM,SUP-ZBDMMOG2L,SPLINT ORTHOPEDIC FIBERGLASS WRIST TAPE PADDED 15FTX2IN,220.74,196.46,45.91,220.74,455 CDM,SUP-ZBDMOG3L2,SPLINT ORTHOPEDIC FIBERGLASS WRIST IMMOBILIZER EASY-STRETCH 15FTX3IN,327.24,291.24,68.07,327.24,455 CDM,SUP-ZBDMOG4L2,SYSTEM SPLINTING W4INXL15FT FIBERGLASS PADDED INTERLOCKING PERFORMANCE TECHNOLOGY WRINKLE FREE EASY ROLL FORM FULL EDUCATIONAL SUPPORT ORTHOGLASS,395.64,352.12,82.29,395.64,455 CDM,SUP-ZBEAV0009725,BLADE OPHTHALMIC L15.8MM DIA11MM CORNEAL TREPHINE STRAIGHT DELICATE DISPOSABLE,415.86,370.12,86.5,415.86,455 CDM,SUP-ZBEAV5061,CANN LWC ANT CHMBR 20GAX9/64,240.96,214.45,50.12,240.96,455 CDM,SUP-ZBEAV585031,TREPHINE SURGICAL 21GA L1.5IN LACRIMAL SISLER,407.58,362.75,84.78,407.58,455 CDM,SUP-ZBEAV9550025,BLADE TREPHINE DIA9.5MM CORNEAL HANDCRAFTED FOR,380.28,338.45,79.1,380.28,455 CDM,SUP-ZBEAVBEAVER6600,BLADE OPHTHALMIC NO66 MINI ROUNDED TIP ON ONE SIDE,218.04,194.06,45.35,218.04,455 CDM,SUP-ZBENTSU1301238,DRAINAGE T TUBING SILICONE SMOOTH CROSSARM TRANSLUCENT 12FRX30CM,957.44,852.12,199.15,957.44,464 CDM,SUP-ZBENTSU1301240,DRAINAGE T TUBING SILICONE SMOOTH CROSSARM TRANSLUCENT 16FRX30CM,620.52,552.26,129.07,620.52,464 CDM,SUP-ZBFFL0423XL,BRA SURGICAL 3XL PINK 86% NYLON 14% LYCRA SOFT FRONT CLOSURE ADJUSTABLE SIDE OPENING ELIZABETH,174.0,154.86,36.19,174.0,455 CDM,SUP-ZBFFL0424XL,BRA SURGICAL 4XL PINK 86% NYLON 14% LYCRA SOFT FRONT CLOSURE ADJUSTABLE SIDE OPENING ELIZABETH,174.0,154.86,36.19,174.0,455 CDM,SUP-ZBFFL042L,BRA LG PINK,174.0,154.86,36.19,174.0,455 CDM,SUP-ZBFFL042M,BRA MEDIUM PINK,179.58,159.83,37.35,179.58,455 CDM,SUP-ZBFFL042S,BRA SURGICAL SM PINK 86% NYLON 14% LYCRA SOFT FRONT CLOSURE ADJUSTABLE SIDE OPENING ELIZABETH,174.0,154.86,36.19,174.0,455 CDM,SUP-ZBFFL042XL,BRA SURGICAL WITH SIDE DRAIN OPENING PINK MASTHEAD XLG,174.0,154.86,36.19,174.0,455 CDM,SUP-ZBFFL042XXL,BRA XXL PINK,174.0,154.86,36.19,174.0,455 CDM,SUP-ZBFFL0452XLB,BRA POST OP JUDY LONG LINE BLACK 2XLG,240.0,213.6,49.92,240.0,455 CDM,SUP-ZBFFL0453XLB,BRA POST OP JUDY LONG LINE BLACK 3XLG,240.0,213.6,49.92,240.0,455 CDM,SUP-ZBFFL0454XLB,BRA POST OP JUDY LONG LINE BLACK 4XLG,240.0,213.6,49.92,240.0,455 CDM,SUP-ZBFFL045LB,BRA POST OP JUDY LONG LINE BLACK LARGE,240.0,213.6,49.92,240.0,455 CDM,SUP-ZBFFL045MB,BRA POST OP JUDY LONG LINE BLACK MEDIUM,240.0,213.6,49.92,240.0,455 CDM,SUP-ZBFFL045SB,BRA POST OP JUDY LONG LINE BLACK SMALL,240.0,213.6,49.92,240.0,455 CDM,SUP-ZBFFL045XLB,BRA POST OP JUDY LONG LINE BLACK XLARGE,240.0,213.6,49.92,240.0,455 CDM,SUP-ZBIODEDG46,DRESSING WOUND SILICONE GEL CLEAR 14.5X12CM,250.74,223.16,52.15,250.74,455 CDM,SUP-ZBIOLDAR620,DISC RADIAL EXTERNAL BLEEDING 1.2X2.4CM,159.0,141.51,33.07,159.0,455 CDM,SUP-ZBIOM110005306,BIT DRILL FOR SOFT SHORT SHAFT PACK DIA2.9MM,605.0,538.45,125.84,605.0,455 CDM,SUP-ZBIOM110007525,SCREW BONE 4X10MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007527,SCREW BONE 4X12MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007529,SCREW BONE 4X14MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007531,SCREW BONE 4X16MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007533,SCREW BONE 4X18MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007535,SCREW BONE 4X20MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007537,SCRW PTHRD CANN 4.0X22,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007539,SCREW BONE 4X24MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007541,SCRW PTHRD CANN 4.0X26,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007543,SCREW BONE 4X28MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007545,SCRW PTHRD CANN 4.0X30,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007547,SCRW PTHRD CANN 4.0X32,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007549,SCRW PTHRD CANN 4.0X34,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007551,SCREW BONE 4X36MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007553,SCREW BONE 4X38MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007555,SCREW BONE 4X40MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007557,SCRW PTHRD CANN 4.0X42,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007559,SCRW PTHRD 4.0X44,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007561,SCRW PTHRD CANN 4.0X46,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007563,SCRW PTHRD CANN 4.0X48,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007565,SCREW BONE 4X50MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007567,SCRW PTHRD CANN 4.0X55,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007569,SCREW BONE 4X60MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007571,SCREW BONE 4X65MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007573,SCREW BONE 4X70MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,324.0,288.36,67.39,324.0,476 CDM,SUP-ZBIOM110007575,SCREW BONE 4X10MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007577,SCREW BONE 4X12MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007579,SCREW BONE 4X14MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007581,SCREW BONE 4X16MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007583,SCREW BONE 4X18MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007585,SCREW BONE 4X20MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007587,SCREW BONE 4X22MM CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING TITANIUM ALLOY LOW DRIVE,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007589,SCREW BONE 4X24MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007591,SCREW BONE 4X26MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007593,SCREW BONE 4X28MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007595,SCREW BONE 4X30MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007597,SCRW FTHRD CANN 4.0X32,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007599,SCREW BONE 4X34MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007601,SCREW BONE 4X36MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007603,SCREW BONE 4X38MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007605,SCREW BONE 4X40MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007607,SCREW BONE 4X42MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007609,SCREW BONE 4X44MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007611,SCREW BONE 4X46MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007613,SCREW BONE 4X48MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007615,SCREW BONE 4X50MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007617,SCREW BONE 4X55MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007619,SCREW BONE 4X60MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007621,SCREW BONE 4X65MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,306.0,272.34,63.65,306.0,476 CDM,SUP-ZBIOM110007636,SCREW BONE 5X30MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,342.0,304.38,71.14,342.0,476 CDM,SUP-ZBIOM110007638,SCRW PTHRD CANN 5.0X32,342.0,304.38,71.14,342.0,476 CDM,SUP-ZBIOM110007640,SCRW PTHRD CANN 5.0X34,342.0,304.38,71.14,342.0,476 CDM,SUP-ZBIOM110007642,SCREW BONE 5X36MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,342.0,304.38,71.14,342.0,476 CDM,SUP-ZBIOM110007644,SCRW PTHRD CANN 5.0X38,342.0,304.38,71.14,342.0,476 CDM,SUP-ZBIOM110007646,SCREW BONE 5X40MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,342.0,304.38,71.14,342.0,476 CDM,SUP-ZBIOM110007648,SCREW BONE 5X42MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,342.0,304.38,71.14,342.0,476 CDM,SUP-ZBIOM110007650,SCREW BONE 5X44MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,342.0,304.38,71.14,342.0,476 CDM,SUP-ZBIOM110007652,SCREW BONE 5X46MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,342.0,304.38,71.14,342.0,476 CDM,SUP-ZBIOM110007654,SCREW BONE 5X48MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,342.0,304.38,71.14,342.0,476 CDM,SUP-ZBIOM110007656,SCRW PTHRD CANN 5.0X50,342.0,304.38,71.14,342.0,476 CDM,SUP-ZBIOM110007658,SCRW PTHRD CANN 5.0X55,342.0,304.38,71.14,342.0,476 CDM,SUP-ZBIOM110007660,SCREW BONE 5X60MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,342.0,304.38,71.14,342.0,476 CDM,SUP-ZBIOM110007662,SCREW BONE 5X65MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,342.0,304.38,71.14,342.0,476 CDM,SUP-ZBIOM110007664,SCREW BONE 5X70MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,342.0,304.38,71.14,342.0,476 CDM,SUP-ZBIOM110007666,SCREW BONE 5X75MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,342.0,304.38,71.14,342.0,476 CDM,SUP-ZBIOM110007668,SCREW BONE 5X80MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,342.0,304.38,71.14,342.0,476 CDM,SUP-ZBIOM110007670,SCRW PTHRD CANN 5.0X85,342.0,304.38,71.14,342.0,476 CDM,SUP-ZBIOM110007672,SCREW BONE 5X90MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,342.0,304.38,71.14,342.0,476 CDM,SUP-ZBIOM110007674,SCREW BONE 5X95MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,342.0,304.38,71.14,342.0,476 CDM,SUP-ZBIOM110007676,SCREW BONE 5X100MM NONSTERILE DRIVE HEAD CANNULATED PARTIALLY THREADED SELF TAPPING SELF DRILLING LOW,342.0,304.38,71.14,342.0,476 CDM,SUP-ZBIOM110007688,SCREW BONE 5X30MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,333.0,296.37,69.26,333.0,476 CDM,SUP-ZBIOM110007690,SCREW BONE CANNULATED FULL THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 5.0X32MM,333.0,296.37,69.26,333.0,476 CDM,SUP-ZBIOM110007692,SCREW BONE 5X34MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,333.0,296.37,69.26,333.0,476 CDM,SUP-ZBIOM110007694,SCREW BONE 5X36MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,333.0,296.37,69.26,333.0,476 CDM,SUP-ZBIOM110007696,SCREW BONE 5X38MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,333.0,296.37,69.26,333.0,476 CDM,SUP-ZBIOM110007698,SCREW BONE 5X40MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,333.0,296.37,69.26,333.0,476 CDM,SUP-ZBIOM110007700,SCREW BONE 5X42MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,333.0,296.37,69.26,333.0,476 CDM,SUP-ZBIOM110007702,SCREW BONE 5X44MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,333.0,296.37,69.26,333.0,476 CDM,SUP-ZBIOM110007704,SCREW BONE 5X46MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,333.0,296.37,69.26,333.0,476 CDM,SUP-ZBIOM110007706,SCREW BONE 5X48MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,333.0,296.37,69.26,333.0,476 CDM,SUP-ZBIOM110007708,SCREW BONE 5X50MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,333.0,296.37,69.26,333.0,476 CDM,SUP-ZBIOM110007710,SCREW BONE 5X55MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,333.0,296.37,69.26,333.0,476 CDM,SUP-ZBIOM110007712,SCREW BONE 5X60MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,333.0,296.37,69.26,333.0,476 CDM,SUP-ZBIOM110007714,SCREW BONE 5X65MM CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING TITANIUM ALLOY LOW DRIVE,333.0,296.37,69.26,333.0,476 CDM,SUP-ZBIOM110007716,SCREW BONE 5X70MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,333.0,296.37,69.26,333.0,476 CDM,SUP-ZBIOM110007718,SCREW BONE 5X75MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,333.0,296.37,69.26,333.0,476 CDM,SUP-ZBIOM110007720,SCREW BONE 5X80MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,333.0,296.37,69.26,333.0,476 CDM,SUP-ZBIOM110007722,SCREW BONE 5X85MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,333.0,296.37,69.26,333.0,476 CDM,SUP-ZBIOM110007724,SCREW BONE 5X90MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,333.0,296.37,69.26,333.0,476 CDM,SUP-ZBIOM110007726,SCREW BONE 5X95MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,333.0,296.37,69.26,333.0,476 CDM,SUP-ZBIOM110007728,SCREW BONE 5X100MM DRIVE HEAD CANNULATED FULLY THREADED SELF TAPPING SELF DRILLING LOW,333.0,296.37,69.26,333.0,476 CDM,SUP-ZBIOM110007733,SCREW BONE 6.5X30MM CANCELLOUS HEX HEAD CANNULATED PARTIALLY THREADED 16MM SELF DRILLING,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007735,SCREW BONE 6.5X35MM CANCELLOUS HEX HEAD CANNULATED PARTIALLY THREADED 16MM SELF DRILLING,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007737,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 6.5X40MM,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007739,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 6.5X45MM,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007741,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 6.5X50MM,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007743,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 6.5X55MM,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007745,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 6.5X60MM,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007747,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 6.5X65MM,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007749,SCREW BONE 6.5X70MM CANCELLOUS HEX HEAD CANNULATED PARTIALLY THREADED 16MM SELF DRILLING,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007751,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 6.5X75MM,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007753,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 6.5X80MM,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007755,SCRW 16T CANN 6.5X85X16,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007757,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 6.5X90MM,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007759,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 6.5X95MM,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007761,SCREW BONE 6.5X100MM CANCELLOUS HEX HEAD CANNULATED PARTIALLY THREADED 16MM SELF DRILLING,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007763,SCREW BONE 6.5X105MM CANCELLOUS HEX HEAD CANNULATED PARTIALLY THREADED 16MM SELF DRILLING,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007765,SCREW BONE 6.5X110MM CANCELLOUS HEX HEAD CANNULATED PARTIALLY THREADED 16MM SELF DRILLING,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007767,SCREW BONE 6.5X115MM CANCELLOUS HEX HEAD CANNULATED PARTIALLY THREADED 16MM SELF DRILLING,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007769,SCREW BONE 6.5X120MM CANCELLOUS HEX HEAD CANNULATED PARTIALLY THREADED 16MM SELF DRILLING,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007771,SCREW BONE 6.5X125MM CANCELLOUS HEX HEAD CANNULATED PARTIALLY THREADED 16MM SELF DRILLING,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007773,SCREW BONE 6.5X130MM CANCELLOUS HEX HEAD CANNULATED PARTIALLY THREADED 16MM SELF DRILLING,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007803,SCREW BONE CANNULATED PARTIAL THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 6.5X70MM,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007805,SCREW BONE CANNULATED PARTIAL THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 6.5X75MM,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007807,SCREW BONE CANNULATED PARTIAL THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 6.5X80MM,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007809,SCREW BONE CANNULATED PARTIAL THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 6.5X85MM,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007811,SCREW BONE CANNULATED PARTIAL THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 6.5X90MM,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007813,SCREW BONE CANNULATED PARTIAL THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 6.5X95MM,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007815,SCREW BONE CANNULATED PARTIAL THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 6.5X100MM,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007817,SCREW BONE 6.5X105MM CANCELLOUS HEX HEAD CANNULATED PARTIALLY THREADED 40MM SELF DRILLING,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007819,SCREW BONE CANNULATED PARTIAL THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 6.5X110MM,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007821,SCREW BONE CANNULATED PARTIAL THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 6.5X115MM,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007823,SCREW BONE 6.5X120MM CANCELLOUS HEX HEAD CANNULATED PARTIALLY THREADED 40MM SELF DRILLING,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007825,SCREW BONE CANNULATED PARTIAL THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 6.5X125MM,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007827,SCREW BONE CANNULATED PARTIAL THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 6.5X130MM,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007841,SCRW FTHRD CANN 6.5X30,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007843,SCRW FTHRD CANN 6.5X35,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007845,SCRW FTHRD CANN 6.5X40,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007847,SCRW FTHRD CANN 6.5X45,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007849,SCRW FTHRD CANN 6.5X50,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007851,SCREW BONE 6.5X55MM CANCELLOUS CANNULATED FULLY THREADED SELF DRILLING,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007853,SCRW FTHRD CANN 6.5X60,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007855,SCREW BONE 6.5X65MM CANCELLOUS CANNULATED FULLY THREADED SELF DRILLING,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007857,SCRW FTHRD CANN 6.5X70,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007859,SCRW FTHRD CANN 6.5X75,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007861,SCRW FTHRD CANN 6.5X80,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007863,SCRW FTHRD CANN 6.5X85,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007865,SCRW FTHRD CANN 6.5X90,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007867,SCRW FTHRD CANN 6.5X95,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007869,SCRW FTHRD CANN 6.5X100,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007871,SCRW FTHRD CANN 6.5X105,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007873,SCRW FTHRD CANN 6.5X110,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007875,SCRW FTHRD CANN 6.5X115,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007877,SCRW FTHRD CANN 6.5X120,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007879,SCRW FTHRD CANN 6.5X125,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007881,SCRW FTHRD CANN 6.5X130,513.0,456.57,106.7,513.0,476 CDM,SUP-ZBIOM110007898,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 8.0X40MM,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110007900,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 8.0X45MM,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110007902,SCRW 16T CANN 8.0X50X16,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110007904,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 8.0X55MM,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110007906,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 8.0X60MM,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110007908,SCRW 16T CANN 8.0X65X16,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110007910,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 8.0X70MM,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110007912,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 8.0X75MM,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110007914,SCRW 16T CANN 8.0X80X16,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110007916,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 8.0X85MM,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110007918,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 8.0X90MM,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110007920,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 8.0X95MM,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110007922,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 8.0X100MM,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110007924,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 8.0X105MM,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110007926,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 8.0X110MM,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110007928,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 8.0X115MM,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110007930,SCRW PTHRD CANN 8X16X120,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110007932,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 8.0X125MM,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110007934,SCREW BONE CANNULATED 16MM THREAD FOR CANNULATED SCREW SYSTEM NON STERILE 8.0X130MM,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110008002,SCRW FTHRD CANN 8.0X40,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110008004,SCRW FTHRD CANN 8.0X45,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110008006,SCREW BONE 8X50MM CANNULATED FULLY THREADED,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110008008,SCRW FTHRD CANN 8.0X55,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110008010,SCRW FTHRD CANN 8.0X60,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110008012,SCRW FTHRD CANN 8.0X65,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110008014,SCRW FTHRD CANN 8.0X70,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110008016,SCRW FTHRD CANN 8.0X75,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110008018,SCRW FTHRD CANN 8.0X80,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110008020,SCRW FTHRD CANN 8.0X85,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110008022,SCRW FTHRD CANN 8.0X90,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110008024,SCRW FTHRD CANN 8.0X95,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110008026,SCRW FTHRD CANN 8.0X100,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110008028,SCRW FTHRD CANN 8.0X105,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110008030,SCRW FTHRD CANN 8.0X110,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110008032,SCRW FTHRD CANN 8.0X115,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110008034,SCRW FTHRD CANN 8.0X120,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110008036,SCRW FTHRD CANN 8.0X125,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110008038,SCRW FTHRD CANN 8.0X130,531.0,472.59,110.45,531.0,476 CDM,SUP-ZBIOM110008351,WASHR FLT 6.5,117.0,104.13,24.34,117.0,476 CDM,SUP-ZBIOM110008353,WASHR FLT 8,117.0,104.13,24.34,117.0,476 CDM,SUP-ZBIOM110008399,GUIDE SURGICAL INSTRUMENT BONE DRILL TITANIUM PIN STERILE 2.8X450MM DISPOSABLE,261.0,232.29,54.29,261.0,475 CDM,SUP-ZBIOM110018526,KWIRE FIXATION TENSIONER 0.9X70MM,72.0,64.08,14.98,72.0,476 CDM,SUP-ZBIOM110027744,DRL BIT BMT CANN SS 2X65,495.0,440.55,102.96,495.0,455 CDM,SUP-ZBIOM110027746,BIT DRILL DIA2.5MM NONSTERILE HEAD ADD ON DISPOSABLE,495.0,440.55,102.96,495.0,455 CDM,SUP-ZBIOM110027747,BIT DRILL SURGICAL CANNULATED STAINLESS STEEL LATEX FREE NON STERILE 3MM,495.0,440.55,102.96,495.0,455 CDM,SUP-ZBIOM14447,BIT DRILL L DIA5.5MM CANNULATED DISPOSABLE,1037.3,923.2,215.76,1037.3,455 CDM,SUP-ZBIOM211201406,BIT DRILL SURGICAL STAINLESS STEEL STERILE GRADUATED DISTAL 4.3MM,924.0,822.36,192.19,924.0,455 CDM,SUP-ZBIOM211201410,SLEEVE DRILL MEASURING DIA4.3MM FOR DISTAL SCREW INSERTION HIP FRACTURE,1172.5,1043.53,243.88,1172.5,455 CDM,SUP-ZBIOM211201505,BIT DRILL HIP ANTIROTATION SCREW FOR SYSTEM,1435.0,1277.15,298.48,1435.0,455 CDM,SUP-ZBIOM214143000,BIT DRILL SURGICAL CANNULATED STAINLESS STEEL STERILE 3.8MM,1140.0,1014.6,237.12,1140.0,455 CDM,SUP-ZBIOM214144000,BIT DRILL SURGICAL CANNULATED STAINLESS STEEL LATEX FREE STERILE 5MM CANNULATED SCREW SYSTEM 4.5MM,1140.0,1014.6,237.12,1140.0,455 CDM,SUP-ZBIOM214288008,BIT DRILL DIA2MM SHORT MARKED LOCKING FOR TOTAL FOOT PLATING SYSTEM,303.6,270.2,63.15,303.6,455 CDM,SUP-ZBIOM231220202,BIT DRILL SURGICAL TITANIUM QUICK NONSTERILE ANATOMIC LOCK PLATE SYSTEM 1.1MM,250.8,223.21,52.17,250.8,455 CDM,SUP-ZBIOM231220203,BIT DRILL DIA1.5MM WITH MINI QUICK DISPOSABLE FOR HAND FRACTURE SYSTEM,250.8,223.21,52.17,250.8,455 CDM,SUP-ZBIOM231220204,BIT DRILL SURGICAL TITANIUM QUICK 2MM,250.8,223.21,52.17,250.8,455 CDM,SUP-ZBIOM231220205,BIT DRILL SURGICAL TITANIUM QUICK 2.5MM,250.8,223.21,52.17,250.8,455 CDM,SUP-ZBIOM281001175,GUIDEPIN ORTHOPEDIC L444MM THREADED REDUCTION FOR HIP FRACTURE NAIL,400.0,356.0,83.2,400.0,476 CDM,SUP-ZBIOM405800,PIN FIXATION L9IN DIA3.2MM FOR REVERSE SHOULDER SYSTEM,186.24,165.75,38.74,186.24,476 CDM,SUP-ZBIOM405883,BIT DRILL SURGICAL STAINLESS STEEL LATEX FREE STERILE REVERSE SHOULDER SYSTEM 3.2MM,490.82,436.83,102.09,490.82,455 CDM,SUP-ZBIOM506109,BLADE SURGICAL SAW STAINLESS STEEL OSCILLATING CUT STERILE 4.75MM,1930.5,1718.15,401.54,1930.5,455 CDM,SUP-ZBIOM740004,SYSTEM IMPLANT PLATE BONE STERNAL LATEX FREE STERILE 360 DEGREE 360,5800.0,5162.0,1206.4,5800.0,476 CDM,SUP-ZBIOM824159000,SURGICAL TITANIUM SMALL FRAGMENT EASY OUT TAP COUPLING 3.5MM,1003.2,892.85,208.67,1003.2,455 CDM,SUP-ZBIOM824161070,INSTRUMENT SURGICAL TAP BONE SOLID STAINLESS STEEL QUICK COUPLING 4.0MM CANCELLOUS SCREW LATEX FREE NON STERILE SMALL FRAGMENT PLATING SYSTEM 70MM,1878.65,1672.0,390.76,1878.65,455 CDM,SUP-ZBIOM824299000,PIN FIX MACRO SM FRAG PLT 12,189.0,168.21,39.31,189.0,476 CDM,SUP-ZBIOM829016006,K WIRE 1.6MMX6IN THREADED TIP FOR SMALL FRAGMENT PLATING SYSTEM,63.0,56.07,13.1,63.0,476 CDM,SUP-ZBIOM829033070,DRL BIT CANN SS QC 4.0,449.46,400.02,93.49,449.46,455 CDM,SUP-ZBIOM912071,BIT DRILL SURGICAL STAINLESS STEEL STERILE SHORT 1.4MM,432.0,384.48,89.86,432.0,455 CDM,SUP-ZBIOM921420,GRFT CST CRTLG,1268.71,1129.15,263.89,1268.71,455 CDM,SUP-ZBIOM939999386,INSTRUMENT SURGICAL TAP BONE STAINLESS STEEL QUICK 2.7MM CORTICAL SCREW LATEX FREE NON STERILE SMALL PLATING SYSTEM,866.25,770.96,180.18,866.25,455 CDM,SUP-ZBIOMFPD20,DRIVER SURGICAL DIA2MM FOR ANATOMIC VOLAR PLATING SYSTEM,231.0,205.59,48.05,231.0,455 CDM,SUP-ZBIOSRD134402,OCTARAY BIOSENSE REPROCESSED STERILE,4352.0,3873.28,905.22,4352.0,455 CDM,SUP-ZBIOSRD135703,EXTENSION QDOT REPROCESSED,3091.5,2751.44,643.03,3091.5,455 CDM,SUP-ZBIOT404622,DEFIBRILLATOR CARDIAC DUAL CHAMBER DF1 CONNECTOR WITH CLOSED LOOP STIMULATION ILIVIA DR-T,27380.0,24368.2,5695.04,27380.0,456 CDM,SUP-ZBIOTAG3535,GRAFT TISSUE OCULAR AMNIOTIC MEMBRANE FROZEN REGENERATIVE STERILE 3.5X3.5CM,2450.0,2180.5,509.6,2450.0,457 CDM,SUP-ZBIRD08149020,"PADDING 36X21X.25"" FELT HIGH QUALITY MEDICAL GRADE SEPARATED LATEX-FREE CAST WHITE 0.25X21X36IN",189.0,168.21,39.31,189.0,455 CDM,SUP-ZBKULUA1344,GUIDE NEEDLE TRANSDUCER DISPOSABLE,1465.0,1303.85,304.72,1465.0,455 CDM,SUP-ZBLEDAT092000,KIT PAD BRACE ORTHOPEDIC KNEE ANKLE FOOT SHORT,286.14,254.66,59.52,286.14,455 CDM,SUP-ZBLEDEK090000,BRACE KNEE POST OPERATIVE WITH TELESCOPING BAR WEE ROM,561.06,499.34,116.7,561.06,455 CDM,SUP-ZBOS420011,TUBE TRACHEOSTOMY SIZE 11 DIA11XL60MM STANDARD CLEAR WITH PLUG RING SET ADAPTER 4200 SERIES SAFE-T-TUBE,402.0,357.78,83.62,402.0,471 CDM,SUP-ZBOS420013,TUBE TRACHEOSTOMY 12 L69MM OD13MM ID11MM CLEAR SILICONE NONADHERENT WITHOUT ADAPTER STANDARD 4200 SERIES SAFE-T-TUBE,402.0,357.78,83.62,402.0,471 CDM,SUP-ZBOST03721,STENT TRACHEOBRONCHIAL SILICONE NON COVERED NON RADIOPAQUE NONADHERENT STERILE 10X20MM DISPOSABLE,1046.0,930.94,217.57,1046.0,457 CDM,SUP-ZBOST03761,STENT TRACHEOBRONCHIAL SILICONE NON COVERED NON RADIOPAQUE NON ADHERENT LATEX FREE STERILE ONE TIME USE 10X40MM,930.0,827.7,193.44,930.0,457 CDM,SUP-ZBOST04001,STENT TRACHEOBRONCHIAL SILICONE NON COVERED NON RADIOPAQUE NON ADHERENT LATEX FREE STERILE ONE TIME USE 12X40MM,950.0,845.5,197.6,950.0,457 CDM,SUP-ZBOST04151,STENT TRACHEOBRONCHIAL SILICONE NON COVERED NON RADIOPAQUE NON ADHERENT LATEX FREE STERILE ONE TIME USE 18X50MM,950.0,845.5,197.6,950.0,457 CDM,SUP-ZBOST091011,STENT TRACHEOBRONCHIAL SILICONE NON COVERED NON RADIOPAQUE NON ADHERENT LATEX FREE STERILE ONE TIME USE 14X10X110X50MM,2110.0,1877.9,438.88,2110.0,457 CDM,SUP-ZBOST092011,STENT TRACHEOBRONCHIAL SILICONE NON COVERED NON RADIOPAQUE NONADHERENT STERILE 15X12X110X50MM DISPOSABLE,2322.0,2066.58,482.98,2322.0,457 CDM,SUP-ZBOST093011,STENT TRACHEOBRONCHIAL SILICONE NON COVERED NON RADIOPAQUE NON ADHERENT LATEX FREE STERILE ONE TIME USE 16 13 13X110 50 50MM,2110.0,1877.9,438.88,2110.0,457 CDM,SUP-ZBOST320007,TUBE TRACHEOSTOMY SILICONE PEDIATRIC SMOOTH ANGLED FOR UPPER AIRWAY OBSTRUCTION LATEX FREE STERILE SINGLE USE SAFE T TUBE 7MM,388.0,345.32,80.7,388.0,471 CDM,SUP-ZBOSTMT400,KIT MEASURING THYROPLASTY MALE,808.5,719.57,168.17,808.5,455 CDM,SUP-ZBOSTMTF06,IMPLANT THYROPLASTY SIZE 6 SILICONE FOR FEMALE PATIENT,850.0,756.5,176.8,850.0,455 CDM,SUP-ZBOSTMTF07,IMPLANT OTOLARYNGOLOGY KIT FEMALE THYROPLASTY VOCAL CORD SILICONE SIZE 7 LATEX FREE STERILE,850.0,756.5,176.8,850.0,455 CDM,SUP-ZBOSTMTF08,IMPLANT OTOLARYNGOLOGY KIT FEMALE THYROPLASTY VOCAL CORD SILICONE SIZE 8 LATEX FREE STERILE,850.0,756.5,176.8,850.0,455 CDM,SUP-ZBOSTMTM08,IMPLANT OTOLARYNGOLOGY KIT MALE THYROPLASTY VOCAL CORD SILICONE SIZE 8 LATEX FREE STERILE,850.0,756.5,176.8,850.0,455 CDM,SUP-ZBOSTMTM09,IMPLANT OTOLARYNGOLOGY KIT MALE THYROPLASTY VOCAL CORD SILICONE SIZE 9 LATEX FREE STERILE,850.0,756.5,176.8,850.0,455 CDM,SUP-ZBOSTMTM10,IMPLANT OTOLARYNGOLOGY KIT MALE THYROPLASTY VOCAL CORD SILICONE SIZE 10 LATEX FREE STERILE,850.0,756.5,176.8,850.0,455 CDM,SUP-ZBOSTMTM12,IMPLANT OTOLARYNGOLOGY KIT MALE THYROPLASTY VOCAL CORD SILICONE SIZE 12 LATEX FREE STERILE,800.0,712.0,166.4,800.0,455 CDM,SUP-ZBRAC600502,NDL BIOP BN 17X5 %I,658.9,586.42,137.05,658.9,455 CDM,SUP-ZBRAC600504,NDL BIOP BN 17X10 %I,645.98,574.92,134.36,645.98,455 CDM,SUP-ZBRAC600506,NDL BIOP BN 17X15,523.71,466.1,108.93,523.71,455 CDM,SUP-ZBREGAE028200,BRACE ELBOW RIGHT FULL RANGE OF MOTION HINGE ADJUSTABLE TELESCOPING BAR WEE BOW,471.3,419.46,98.03,471.3,455 CDM,SUP-ZBRYAKG0530,DILATATION 10CC L55CM BALLOON L30MM DIA5MM 17ATM SINGLE LUMEN 2 RADIOPAQUE MARKER NONSLIP DISPOSABLE,1199.96,1067.96,249.59,1199.96,470 CDM,SUP-ZBRYAKG0730,ENDOSCOPIC DILATOR LARYNX RAPID EXCHANGE SINGLE LUMEN PROXIMAL END RADIOPAQUE MARKER STERILE 7X30MMX55CM DISPOSABLE,1199.96,1067.96,249.59,1199.96,470 CDM,SUP-ZBRYAKG0830,ENDOSCOPIC DILATOR LARYNX RAPID EXCHANGE SINGLE LUMEN PROXIMAL END RADIOPAQUE MARKER STERILE 8X30MMX55CM DISPOSABLE,1199.96,1067.96,249.59,1199.96,470 CDM,SUP-ZBRYAKG0930,ENDOSCOPIC DILATOR LARYNX RAPID EXCHANGE SINGLE LUMEN PROXIMAL END RADIOPAQUE MARKER STERILE 9X30MMX55CM DISPOSABLE,1199.96,1067.96,249.59,1199.96,470 CDM,SUP-ZBRYAKG1030,ENDOSCOPIC DILATOR LARYNX RAPID EXCHANGE SINGLE LUMEN PROXIMAL END RADIOPAQUE MARKER STERILE 10X30MMX55CM DISPOSABLE,1199.96,1067.96,249.59,1199.96,470 CDM,SUP-ZBRYAKG1440,ENDOSCOPIC DILATOR LARYNX RAPID EXCHANGE SINGLE LUMEN PROXIMAL END RADIOPAQUE MARKER STERILE 14X40MMX55CM DISPOSABLE,1199.96,1067.96,249.59,1199.96,470 CDM,SUP-ZBRYATG0060S,TUBE ENDOTRACHEAL SILICONE ORAL CUFFED STERILE TENAX 6.0X9.3MMX34CM,1231.9,1096.39,256.24,1231.9,455 CDM,SUP-ZBSC105039001,KIT THROMBECTOMY ARTERIAL STAINLESS STEEL OVER THE WIRE HYDROPHILIC COATED RADIOPAQUE CROSS STREAM STERILE 0.035IN GUIDEWIRE COMPATIBLE 6FRX50CM,2977.5,2649.98,619.32,2977.5,457 CDM,SUP-ZBSC467186,LEAD IMPLANTABLE PACEMAKER QUADRIPOLAR ENDOCARDIAL TINED FIXATION COATED PLATINUM IRIDIUM LEFT VENTRICULAR IS 4 CONNECTOR STRAIGHT TIP STERILE 2.6FRX86CM,3388.0,3015.32,704.7,3388.0,456 CDM,SUP-ZBSC467486,LEAD PACING L86CM LEFT VENTRICLE SILICONE POLYURETHANE ETFE TITANIUM PLATINUM IRIDIUM QUADRIPOLAR SPIRAL DEXAMETHASONE ACETATE ELUTING TINES FIXATION X4,3388.0,3015.32,704.7,3388.0,456 CDM,SUP-ZBSC467595,LEAD IMPLANTABLE PACEMAKER QUADRIPOLAR ENDOCARDIAL TINED FIXATION COATED PLATINUM IRIDIUM LEFT VENTRICULAR IS 4 CONNECTOR SHORT SPIRAL TIP STERILE 2.6FRX95CM,3388.0,3015.32,704.7,3388.0,456 CDM,SUP-ZBSCAC10030120,FIBER SURGICAL LASER LITHOTRIPSY 550MICRON MOSES 550UM,2407.28,2142.48,500.71,2407.28,455 CDM,SUP-ZBSCD22015SB,DEVICE DELIVERY WATER VAPOR,2500.0,2225.0,520.0,2500.0,471 CDM,SUP-ZBSCH749393021902,GUIDEWIRE VASCULAR STRAIGHT TIP STAINLESS STEEL CORONARY STERILE WORKHORSE WIRE 0.014INX190CM 5PK,152.0,135.28,31.62,152.0,475 CDM,SUP-ZBSCH749393031902,GUIDEWIRE VASCULAR STRAIGHT TIP STAINLESS STEEL CORONARY STERILE CROSSING WIRE 0.014INX190CM,228.0,202.92,47.42,228.0,475 CDM,SUP-ZBSCM00515032,FORCEP ENDOSCOPIC SPECIMEN RETRIEVAL BIOPSY POLYPECTOMY STAINLESS STEEL OVAL CUP HOT SERRATED WORKING STERILE RADIAL 4 2.4X2.8MMX240CM DISPOSABLE,200.04,178.04,41.61,200.04,455 CDM,SUP-ZBSCM00555510,NEEDLE ENDOSCOPIC 22GA L0-8CM L2.4MM DIA1.65MM ADJUSTABLE HANDLE DISPOSABLE FOR EUS GUIDED FINE NEEDLE ASPIRATION,1007.4,896.59,209.54,1007.4,455 CDM,SUP-ZBSCM00558381,ENDOSCOPIC DILATOR ESOPHAGEAL PYLORIC RAPID INFLATION BALLOON FIXED WIRE GUIDED HIGH PRESSURE OBLONG WORKING STERILE 18 20MMX8X180CM DISPOSABLE,321.96,286.54,66.97,321.96,470 CDM,SUP-ZBSCM00560100,ELECTROHEMOSTASIS L300CM OD10FR BIPOLAR STANDARD PLUG CONNECTOR DISPOSABLE GOLD PROBE,836.66,744.63,174.03,836.66,455 CDM,SUP-ZBSCM0061801570,STENT URETERAL 7FR L22-30CM AXXCESS 6FR HYDROPLUS SOFT TAPER TIP NAUTILUS KIDNEY BLADDER COIL PLACEMENT MARKER WITHOUT GUIDEWIRE VL,230.12,204.81,47.86,230.12,460 CDM,SUP-ZBSCM0062502220,SHEATH URETERAL L36CM OD13FR ID11FR HYDROPHILIC REINFORCED STAINLESS STEEL COIL RADIOPAQUE MARKER BAND DUAL DILATOR SINGLE LATCH MECHANISM INNOVATIVE HUB KINK RESISTANT HD,250.72,223.14,52.15,250.72,471 CDM,SUP-ZBSCM006SV16SB,VUE HYDROGEL 16 PACK,6000.0,5340.0,1248.0,6000.0,471 CDM,SUP-ZBSCSC1160,KIT PULSE GENERATOR FOR SPINAL CORD STIMULATION WAVEWRITER,34000.0,30260.0,7072.0,34000.0,458 CDM,SUP-ZBSCSC55621,KIT REMOTE FOR SPINAL CORD STIMULATOR WAVEWRITER,1750.0,1557.5,364.0,1750.0,459 CDM,SUP-ZBSCWMFLXPROPERPROC,FLX PRO PROCEDURE - DEVICE,35000.0,31150.0,7280.0,35000.0,464 CDM,SUP-ZBTG5003819,SET IV ADMINISTRATION 1 POLIDOCANOL INJECTABLE FOAM CANISTER NANOMETER TUBING,330.0,293.7,68.64,330.0,455 CDM,SUP-ZBUFFVS135,FILTER SMOKE EVACUATOR MULTI PORT VARIABLE LIFE SINGLE USE,722.48,643.01,150.28,722.48,455 CDM,SUP-ZBWMFLXPROACCPERPROC,SYSTEM BI DIRECTIONAL STEERABLE SHEATH TRUSTEER,6000.0,5340.0,1248.0,6000.0,455 CDM,SUP-ZCADW202830000,KT EPID SPN ELCTRD,1610.0,1432.9,334.88,1610.0,455 CDM,SUP-ZCALDCALDS01BSL,SLNG FEMALE BLUE,2294.0,2041.66,477.15,2294.0,471 CDM,SUP-ZCAR48012L,GIRDLE COMPRESSION ABOVE THE KNEE POWERNET CHAMPAGNE LG,456.5,406.29,94.95,456.5,455 CDM,SUP-ZCAR48012XL,GIRDLE COMPRESSION ABOVE THE KNEE POWERNET CHAMPAGNE XLG,440.0,391.6,91.52,440.0,455 CDM,SUP-ZCARD1303361BX6,STERILE SPONGE SIZE 100,17.79,15.83,3.7,17.79,455 CDM,SUP-ZCARD51000014,KT PROTEKDUO INSERTION,2362.5,2102.63,491.4,2362.5,455 CDM,SUP-ZCARD9464BX6,TRAY BIOPSY NEEDLE 11GA L14CM 13GA L10CM WITH EJECTOR ROD SLEEVE FOR BONE LESION,2058.75,1832.29,428.22,2058.75,455 CDM,SUP-ZCARE3204,RETAINER VISCERA MD FISH,263.76,234.75,54.86,263.76,455 CDM,SUP-ZCARESN1020001,SUT SS BBC MF SLV 18,72.9,64.88,15.16,72.9,476 CDM,SUP-ZCARO28003,VEST COMPRESSION BEIGE MALE SMALL,336.0,299.04,69.89,336.0,455 CDM,SUP-ZCARO28003BGL,GARMENT COMPRESSION VEST 42 44IN CHEST 40IN WAIST 2IN ELASTIC BAND BEIGE POWERNET FABRIC LIGHTWEIGHT BREATHABLE SHOULDER STRAP DOUBLE REINFORCED FRONT PANEL MALE LG,324.0,288.36,67.39,324.0,455 CDM,SUP-ZCARO28003L,GARMENT COMPRESSION VEST SEQUENTIAL DEVICE CHEST FOR GYNECOMASTIA PROCEDURE DOUBLE REINFORCED FRONT PANEL ELASTIC WAISTBAND SHOULDER STRAP BLACK BEIGE MALE NONSTERILE 42 44IN REUSABLE LG,112.0,99.68,23.3,4106.14,468 CDM,SUP-ZCARO48012CM,GIRDLE COMPRESSION GARMENT CHAMPAGNE LIPOSUCTION ABOVE THE KNEE POWERNET MD,440.0,391.6,91.52,440.0,455 CDM,SUP-ZCARO48012CS,GIRDLE COMPRESSION ABOVE THE KNEE POWERNET CHAMPAGNE SM,440.0,391.6,91.52,440.0,455 CDM,SUP-ZCARO48012CXXL,GIRDLE COMPRESSION GRIDLE WITH ZIPPERS AND HOOK AND EYE CLOSURES ABOVE THE KNEE LENGTH CHAMPAGNE POWERKNIT STYLE 4 8012 2XLG,467.5,416.08,97.24,467.5,455 CDM,SUP-ZCARO48012CXXXL,GIRDLE COMPRESSION POWERNET ABOVE KNEE CHAMPAGNE 3XLG,467.5,416.08,97.24,467.5,455 CDM,SUP-ZCARO48112B2XL,GIRDLE M BLK XXL,517.0,460.13,107.54,517.0,455 CDM,SUP-ZCARO48112BL,GIRDLE COMPRESSION MALE ABOVE THE KNEE LENGTH BLACK STYLE 4 8100 LG,489.5,435.66,101.82,489.5,455 CDM,SUP-ZCARO48112BM,GIRDLE COMPRESSION MALE ABOVE THE KNEE LENGTH BLACK STYLE 4 8100 MD,508.75,452.79,105.82,508.75,455 CDM,SUP-ZCARO48112BXL,GIRDLE COMPRESSION MALE ABOVE THE KNEE LENGTH BLACK STYLE 4 8100 XLG,489.5,435.66,101.82,489.5,455 CDM,SUP-ZCENTMNS11330,PK ABLATION CUSTOM,269.52,239.87,56.06,269.52,455 CDM,SUP-ZCETECTXR001,SUTURE PLUS NON ABSORBABLE BRAIDED BLUE AND WHITE SIZE: 2 0 WITHOUT NEEDLE CARTRIDGE LATEX FREE STERILE PLUS,1750.0,1557.5,364.0,1750.0,455 CDM,SUP-ZCHAH01028XL,IMPLANT HIP FEMORAL HEAD CHROMIUM EXTRA LARGE STERILE 28MM,960.0,854.4,199.68,960.0,469 CDM,SUP-ZCHAH04028LG,IMPLANT HIP FEMORAL HEAD CHROMIUM LARGE STERILE 28MM,1050.0,934.5,218.4,1050.0,469 CDM,SUP-ZCHAH04028MD,IMPLANT HIP FEMORAL HEAD CHROMIUM MEDIUM STERILE 28MM,1050.0,934.5,218.4,1050.0,469 CDM,SUP-ZCHAH04028SH,IMPLANT HIP FEMORAL HEAD CHROMIUM SHORT STERILE 28MM,1050.0,934.5,218.4,1050.0,469 CDM,SUP-ZCIANSAVI06MINIGAMMA,TRAY CATH APPL MINI 06,5000.0,4450.0,1040.0,5000.0,456 CDM,SUP-ZCLS941312,KT LSR FIBR TROC TP,10000.0,8900.0,2080.0,10000.0,455 CDM,SUP-ZCLS941313,KIT SURGICAL LASER APPLICATOR SINGLE USE LATEX FREE STERILE COMPATIBLE,8800.0,7832.0,1830.4,8800.0,455 CDM,SUP-ZCLS941322,KIT APPL LSR THERM ABL 15,10000.0,8900.0,2080.0,10000.0,455 CDM,SUP-ZCLS941323,KIT APPL LSR THERM ABL 25,10000.0,8900.0,2080.0,10000.0,455 CDM,SUP-ZCOCH90440,COCHLEAR IMPLANT HEARING DEVICE FIXTURE FLANGELESS BONE ANCHORED TITANIUM AUDITORY OSSEOINTEGRATED SELF TAPPING LATEX FREE STERILE FIXED MOUNT 4MM,1296.0,1153.44,269.57,1296.0,476 CDM,SUP-ZCOLO890209,NEEDLE TRANSURETHRAL PYROLTYC CARBION URINARY INCONTINENCE PENCIL TIP 20GAX15IN,300.0,267.0,62.4,300.0,455 CDM,SUP-ZCOLO909471S,PENILE TRUE-LOCK PLUG,256.2,228.02,53.29,256.2,455 CDM,SUP-ZCOLO937212,GRAFT TISSUE LATA DERMIS COLLAGEN NON FREEZE DRIED REGENERATIVE URINARY INCONTINENCE STERILE 2X12CM,2866.0,2550.74,596.13,2866.0,459 CDM,SUP-ZCOLO938266,GRAFT TISSUE PERICARDIUM HEART STERILE THICK 0.3 0.5MM 6X6CM,3801.0,3382.89,790.61,3801.0,459 CDM,SUP-ZCOM1176,GRFT CST CRTLG 0.8X3.8,861.6,766.82,179.21,861.6,459 CDM,SUP-ZCOMMT321751,GRFT GLND W LABRUM,8185.2,7284.83,1702.52,8185.2,455 CDM,SUP-ZCOMPSKCP20,PROBE COAGULATION MONOPOLAR,1470.25,1308.52,305.81,1470.25,455 CDM,SUP-ZCOMT100514,GRAFT HUMAN TISSUE FEMORAL HEAD FROZEN WITHOUT CARTILAGE,1985.99,1767.53,413.09,1985.99,455 CDM,SUP-ZCOMT113514,IMPLANT GRAFT BONE WHOLE BONE FEMORAL SHAFT FROZEN STERILE 11CM,2541.72,2262.13,528.68,2541.72,455 CDM,SUP-ZCOMT114314,GRFT BN FEM WHLE FZ LT,8400.6,7476.53,1747.32,8400.6,455 CDM,SUP-ZCOMT121525,GRAFT TISSUE COSTAL CARTILAGE SALINE STERILE 5CM,800.0,712.0,166.4,800.0,459 CDM,SUP-ZCOMT121625,GRAFT TISSUE COSTAL CARTILAGE SALINE STERILE 5CM+,1130.85,1006.46,235.22,1130.85,455 CDM,SUP-ZCOMT231514,GRFT TNDN PLNTRS SGL,2662.34,2369.48,553.77,2662.34,455 CDM,SUP-ZCOMT233613,IMPLANT GRAFT BONE WHOLE BONE TENDON ACHILLES WITH BONE FROZEN STERILE 23CM,3218.08,2864.09,669.36,3218.08,455 CDM,SUP-ZCOMT233713,GRAFT TENDON ACHILLES STERILE BONE ASETPIC,2513.72,2237.21,522.85,2513.72,455 CDM,SUP-ZCOMT233913,GRAFT HUMAN TISSUE 10MM TENDON ACHILLES PRE SHAPED ASEPTIC,4456.63,3966.4,926.98,4456.63,455 CDM,SUP-ZCOMT234113,GRAFT TENDON STERILE,2274.62,2024.41,473.12,2274.62,455 CDM,SUP-ZCOMT234313,GRAFT LIGAMENT PATELLA STERILE,4228.3,3763.19,879.49,4228.3,455 CDM,SUP-ZCOMT234513,GRAFT TISSUE LIGAMENT PATELLAR PRE SHAPED ASEPTIC HUMAN 10MM,4456.63,3966.4,926.98,4456.63,455 CDM,SUP-ZCOMT234713,GRAFT TENDON PERONEUS LONGUS STERILE 7.5X230MM,3198.69,2846.83,665.33,3198.69,455 CDM,SUP-ZCOMT234813,GRAFT TENDON SEMITENDINOSUS LEG STERILE SINGLE STRAND SEMITENDINOSUS SNG STRAND,2229.39,1984.16,463.71,2229.39,455 CDM,SUP-ZCOMT234913,GRAFT TENDON SEMITENDINOSUS STERILE,2330.63,2074.26,484.77,2330.63,455 CDM,SUP-ZCOMT235113,GRAFT TENDON TIBIAL ANTERIOR STERILE 0.95X31CM,3383.93,3011.7,703.86,3383.93,455 CDM,SUP-ZCOMT235213,GRAFT TENDON TIBIAL POSTERIOR STERILE 7.5X230MM,3256.85,2898.6,677.42,3256.85,455 CDM,SUP-ZCONM3034A,BULB LIGHT SM CLEAR T5 03937 2000 HOUR LIFE FLX LITE 10IN,204.42,181.93,42.52,204.42,455 CDM,SUP-ZCONM3058A,BULB LIGHT SOURCE SMALL FLEXIBLE 5IN FLEX5IN,174.0,154.86,36.19,174.0,455 CDM,SUP-ZCONM9350,SET TUBING SMALL JOINT CANNULA BEVELED ATRAUMATIC TIP DESIGN DISPOSABLE,443.03,394.3,92.15,443.03,455 CDM,SUP-ZCONMC9264,BLADE SHAVER L13CM DIA3.5MM LARGE HUB,331.14,294.71,68.88,331.14,455 CDM,SUP-ZCONMH9111,BUR SHAVER L13CM DIA4.5MM 12000RPM SPHERICAL LARGE HUB,346.08,308.01,71.98,346.08,455 CDM,SUP-ZCONV422605,DRESSING SILVER COATED ANTIMICROBIAL GEL ADHESIVE AG 9CMX25CM,173.88,154.75,36.17,173.88,455 CDM,SUP-ZCONV422606,DRESSING SILVER COATED ANTIMICROBIAL GEL ADHESIVE AG 9CMX30CM,195.9,174.35,40.75,195.9,455 CDM,SUP-ZCONV422607,DRESSING SILVER COATED ANTIMICROBIAL GEL ADHESIVE AG 9CMX35CM,196.2,174.62,40.81,196.2,455 CDM,SUP-ZCOO6003BX12,MANIPULATOR SURGICAL UTERINE ENDOSCOPIC STERILE DISPOSABLE KRONNER MANIPUJECTOR 5MMX33CM,832.37,740.81,173.13,832.37,455 CDM,SUP-ZCOOKG35166,IRRIGATION SALIVARY DUCT STONE REMOVAL STRAIGHT TIP,577.5,513.98,120.12,577.5,455 CDM,SUP-ZCOOKG47333,COIL EMBOLIZATION COATED PLATINUM PUSHABLE LATEX FREE STERILE 2MMX0.018INX5CM,153.34,136.47,31.89,153.34,471 CDM,SUP-ZCOOKG55822,SET DRAINAGE SUPRAPUBIC PERCUTANEOUS 10FRX30CM,97.4,86.69,20.26,97.4,455 CDM,SUP-ZCOOKG59858,NDL INJ ACJ FLX ENDO 23GAX230,208.2,185.3,43.31,208.2,455 CDM,SUP-ZCOOP3304G,RING RETRACTOR NORYL RESIN PLASTIC SELF RETAINING 31.5X18.3CM,553.63,492.73,115.16,553.63,455 CDM,SUP-ZCOOP3309G,RTRC GEN RNG 19.6X8.9,506.99,451.22,105.45,506.99,455 CDM,SUP-ZCOOP33294G,HOOK RETRACTION BLADE L9MM ELASTIC STAY TWO FINGER LONE,424.44,377.75,88.28,424.44,455 CDM,SUP-ZCOOPKCRUMI25,CUP MANIPULATOR DIA2.5CM PNEUMO OCCLUSION BALLOON FOR ELECTROSURGERY II,937.15,834.06,194.93,937.15,455 CDM,SUP-ZCOOPKCRUMI30,MANIPULATOR UTERINE CUP DIA3CM KOH-EFFICIENT FOR ELECTROSURGERY DISPOSABLE II,1007.44,896.62,209.55,1007.44,455 CDM,SUP-ZCOOPKCRUMI35,MANIPULATOR UTERINE CUP DIA3.5CM KOH-EFFICIENT FOR ELECTROSURGERY DISPOSABLE II,1007.44,896.62,209.55,1007.44,455 CDM,SUP-ZCOOPLHSCOLPOLRG,TP MNPLT HYT SCRCLP LG,1043.79,928.97,217.11,1043.79,455 CDM,SUP-ZCOOPLHSCOLPOSML,TIP MANIPULATOR SM SACROCOLPOPEXY HANDLE DISPOSABLE HOYTE,1200.95,1068.85,249.8,1200.95,455 CDM,SUP-ZCOOPUML516,TIP INTRAUTERINE L6CM DIA5.1MM LAVENDER SILICONE SOFT FLEXIBLE DISTAL END DISPOSABLE II,632.17,562.63,131.49,632.17,455 CDM,SUP-ZCOOPUMW676,TIP INTRAUTERINE L6CM DIA6.7MM ORANGE SILICONE FLEXIBLE DISPOSABLE II,561.94,500.13,116.88,561.94,455 CDM,SUP-ZCOOR12525520238,BLADE ASSY 38MM,10725.0,9545.25,2230.8,10725.0,455 CDM,SUP-ZCOVI8886326172,SUTURE SIZE 1 L18IN NONABSORBABLE BLUE L48MM GS-25 1/2 CIRCLE TAPERPOINT NEEDLE BRAIDED POLYESTER,5.04,4.49,1.05,5.04,455 CDM,SUP-ZCOVIE377336C,CAUTERY ELECTRODE BLADE LG HOOK PTFE COATED LAPAROSCOPIC WIRE CLEAN COAT 4.8MMX36CM DISPOSABLE,167.88,149.41,34.92,167.88,455 CDM,SUP-ZCROW0KS01,BACKGROUND STERILE,880.0,783.2,183.04,880.0,455 CDM,SUP-ZCRYOA020,VALVE CONDUIT AORTIC ARTERY DESCENDING THORACIC 20MM L11CM 8MM DIA15MMX6CM,29990.0,26691.1,6237.92,29990.0,455 CDM,SUP-ZCRYOAV00,VALVE AORTIC ID6-30MM WITH CONDUIT,22990.0,20461.1,4781.92,22990.0,455 CDM,SUP-ZCRYOBGATSY,ADHESIVE APPLICATOR TISSUE GLUE STANDARD SYRINGE TIP,300.0,267.0,62.4,300.0,455 CDM,SUP-ZCRYOPCFV00,GRAFT VEIN FEMORAL CONDUIT WITHOUT COMPETENT VALVE PEDIATRIC STERILE 4+MM,13000.0,11570.0,2704.0,13000.0,457 CDM,SUP-ZCRYOPCFV10,GRFT VN CRYV VLV 12-16X4+,13000.0,11570.0,2704.0,13000.0,455 CDM,SUP-ZCRYOPCSV00,GRFT VN CRYV W/O VLV 12-16X3+,13000.0,11570.0,2704.0,13000.0,455 CDM,SUP-ZCRYOPCSV10,GRFT VN CRYV VLV 12-16X3+,13000.0,11570.0,2704.0,13000.0,455 CDM,SUP-ZCRYOR010,GRAFT VASCULAR ARTERY BIFURCATED AORTA ILIAC STERILE 15MMX11CM,35590.0,31675.1,7402.72,35590.0,457 CDM,SUP-ZCRYOR020,GRAFT TISSUE ARTERY FEMORAL ARTERY STERILE 4 5MMX10 30CM,10790.0,9603.1,2244.32,10790.0,457 CDM,SUP-ZCRYOV060,GRAFT VASCULAR FEMORAL VEIN FROZEN ARM LATEX FREE STERILE 6 15MMX10 30CM,10590.0,9425.1,2202.72,10590.0,457 CDM,SUP-ZCSACO8407030501,KIT SPRAY CRYOTHERAPY TISSUE LIQUID NITROGEN CATHETER PASSIVE VENTING LATEX FREE STERILE SINGLE USE 7FR,6780.0,6034.2,1410.24,6780.0,455 CDM,SUP-ZCYBE502,KIT ACCESSORY NEUROSTIMULATOR VAGUS NERVE STIMULATION VAGUS NERVE PERMANENT TITANIUM SINGLE PIN RECEPTACLE NON PYROGENIC LATEX FREE STERILE 33CM,1410.0,1254.9,293.28,1410.0,471 CDM,SUP-ZDARCOQ3B,SHOE LG MALE PATIENT POSTOPERATIVE ANKLE STRAP STRAPLESS FOREFOOT CLOSURE ORTHOWEDGE BLACK ORTHOWEDGE LGX10.5 12,157.98,140.6,32.86,157.98,455 CDM,SUP-ZDAVO1203035,MESH-SURGICAL HERNIA SYNTHETIC POLY-4-HYDROXYBUTYRATE RECTANGLE LATEX-FREE STERILE 30X35CM,43695.8,38889.26,9088.73,43695.8,462 CDM,SUP-ZDENT420076,GRFT NBL MIN/DBM CORT 0.5,156.0,138.84,32.45,156.0,476 CDM,SUP-ZDENTAT18LR,PACK DENTAL TEXTURED TAPERED SELFTHREADING WITH 5 MARKING CAPS 1.8X14MM,464.0,412.96,96.51,464.0,458 CDM,SUP-ZDENTAT18MR,PACK DENTAL TEXTURED TAPERED SELFTHREADING WITH 5 MARKING CAPS 1.8X10MM,464.0,412.96,96.51,464.0,458 CDM,SUP-ZDENTAT18SR,PACK DENTAL TEXTURED TAPERED SELFTHREADING WITH 5 MARKING CAPS 1.8X7MM,464.0,412.96,96.51,464.0,458 CDM,SUP-ZDENTAT22LR,PACK DENTAL TEXTURED TAPERED SELFTHREADING WITH 5 MARKING CAPS 2.2X14MM,464.0,412.96,96.51,464.0,458 CDM,SUP-ZDENTAT22MR,PACK DENTAL TEXTURED TAPERED SELFTHREADING WITH 5 MARKING CAPS 2.2X10MM,464.0,412.96,96.51,464.0,458 CDM,SUP-ZDENTAT22SR,PACK DENTAL TEXTURED TAPERED SELFTHREADING WITH 5 MARKING CAPS 2.2X7MM,464.0,412.96,96.51,464.0,458 CDM,SUP-ZDENTAT24LR,PACK DENTAL TEXTURED TAPERED SELFTHREADING WITH 5 MARKING CAPS 2.4X14MM,464.0,412.96,96.51,464.0,458 CDM,SUP-ZDENTAT24MR,PACK DENTAL TEXTURED TAPERED SELFTHREADING WITH 5 MARKING CAPS 2.4X10MM,464.0,412.96,96.51,464.0,458 CDM,SUP-ZDENTAT24SSR,PACK DENTAL TEXTURED TAPERED SELFTHREADING WITH 5 MARKING CAPS 2.4X7MM,464.0,412.96,96.51,464.0,458 CDM,SUP-ZDEPU186789120,IMPLANT SPINAL ROD LUMBAR TITANIUM STRAIGHT NONSTERILE MINIMALLY INVASIVE SURGERY 5.5X130MM,570.36,507.62,118.63,570.36,476 CDM,SUP-ZDEPU232009,IMPLANT PLATE BONE COMPRESSION LOCKING PROXIMAL DISTAL HUMERAL TIBIAL STAINLESS STEEL 10 HOLE LATEX FREE NON STERILE LIMITED CONTACT ANGLED BLADE 45X132MM,1829.88,1628.59,380.62,1829.88,476 CDM,SUP-ZDERO106423,DRESSING SURGICAL GAUZE FINE MESH FOLDED,187.08,166.5,38.91,187.08,455 CDM,SUP-ZDESI640,VEST COMPRESSION NYLON SPANDEX ADJUSTABLE MALE BLACK LG,365.1,324.94,75.94,365.1,455 CDM,SUP-ZDESIFC80,WRP FC CMPR UNSX 3.2X400,178.26,158.65,37.08,178.26,455 CDM,SUP-ZDFINSTR1015L,KIT BONE-CEMENT UNIVERSAL-SPINE INSTRUMENT PROBE ABLATION LATEX-FREE STERILE SINGLE-USE,7714.0,6865.46,1604.51,7714.0,463 CDM,SUP-ZDIGIEDS7APDP2,PROBE BIPOLAR THUMB FORCEP MUSCLE LOCATING STIMULATOR 190CM LEAD WIRE,794.75,707.33,165.31,794.75,455 CDM,SUP-ZDJO110449206000,SLING ARM SM UP TO 11IN BLACK UNISEX WITH PILLOW ULTRASLING II,82.98,73.85,17.26,158.94,477 CDM,SUP-ZDJO110449306000,SLING SHOULDER MD ULTRA II,82.98,73.85,17.26,158.94,477 CDM,SUP-ZDJO1191149,BRACE ORTHOPEDIC KNEE POST-OPERATIVE COOL TELESCOPING QUICK-RELEASE BUCKLE LOCK FOAM TROM COOL BLACK TROM- 26-32IN,121.46,108.1,25.26,1058.14,468 CDM,SUP-ZDJOR01EFL,BOOT WALKING L MEN 10-13 WOMEN 11-15 H17.4IN STANDARD ANKLE FOOT POLYPROPYLENE SHELL HDPE FRONT PANEL NYLON STRAP DURABLE SEMI RIGID LOW SOLE SKID AIRSELECT,80.8,71.91,16.81,397.73,468 CDM,SUP-ZDJOR01EFM,BOOT ORTHOPEDIC ANKLE FOOT FOAM MEDIUM LIGHT MALE 7 10 FEMALE 8 11 GRAY LATEX FREE NON STERILE AIRSELECT,80.8,71.91,16.81,397.73,468 CDM,SUP-ZDJOR01EFS,BOOT ORTHOPEDIC ANKLE FOOT FOAM SMALL LIGHT MALE 4 7 FEMALE 5 8 GRAY NONSTERILE AIRSELECT,80.8,71.91,16.81,397.73,468 CDM,SUP-ZDJOR01EFXL,BOOT ORTHOPEDIC ANKLE FOOT FOAM XLG LIGHT MALE 13+ FEMALE 15+ GRAY AIRSELECT NONSTERILE,80.8,71.91,16.81,397.73,468 CDM,SUP-ZDJOR01FP,WALKER FOAM AIRCAST PEDS,76.24,67.85,15.86,397.73,468 CDM,SUP-ZDJOR01PL,BRACE WALKING L SHOE MAN 10-13 WOMAN 11-15 EXTRA PNEUMATIC SEMI RIGID SHELL PROTECTION LIGHTWEIGHT TRIMMABLE OVERLAPPING WITH DUPLEX AIRCELL TECHNOLOGY XP WALKER,126.62,112.69,26.34,397.73,468 CDM,SUP-ZDJOR01PM,BRACE WALKING IUM ANKLE FOOT EXTRA PNEUMATIC LOW SOLE ADJUSTABLE CELL WIDE FOOTBASE SEMIRIGID SHELL XP WALKER MALE FEMALE XP-WALKER MED,140.68,125.21,29.26,397.73,468 CDM,SUP-ZDJOR1113453,SLING ARM M FOR 11-13IN 30DEG RIGHT QUALITY BREATHABLE THERMOFORMED PADDING MESH FABRIC WITH DEROTATION STRAP FOR IMMOBILIZATION ULTRASLING III ER,110.02,97.92,22.88,158.94,477 CDM,SUP-ZDJOR1113463,SLING SHOULDER SIZE 3 MD FOR 11-13IN ELBOW CREASE TO OF INDEX FINGER 30DEG LEFT ARM MOISTURE WICKING MESH FABRIC FOAM PILLOW DEROTATIONAL STRAP QUICK RELEASE BUCKLE DONJOY ULTRASLING III ER,110.02,97.92,22.88,158.94,477 CDM,SUP-ZDJOR1121519,BRACE KNEE L19-25IN BLACK GRAY ALUMINUM FOAM FOR 71CM THIGH HOOK LOOP CLOSURE X-ACT ROM,162.28,144.43,33.75,1058.14,468 CDM,SUP-ZDJOR119121,BRACE ELBOW FOR 8-21IN BICEP 6-18.5IN FOREARM RIGHT TELESCOPING TO FIT BUCKLE 4 CUFF DONJOY X ACT ROM,164.48,146.39,34.21,699.2,468 CDM,SUP-ZDJOR119122,BRACE ELBOW FOR 8-21IN BICEP 6-18.5IN FOREARM LEFT TELESCOPING TO FIT BUCKLE 4 CUFF DONJOY X ACT ROM,176.44,157.03,36.7,699.2,468 CDM,SUP-ZDJOR13003726,IMPLANT KNEE PATELLAR COMPONENT POLYETHYLENE ROUND DOMED 3 VITAMIN E STERILE 8X26MM ALL POLY DOMED TRI,400.0,356.0,83.2,400.0,469 CDM,SUP-ZDJOR13951025,BIT DRILL SURGICAL STAINLESS STEEL 2.5X127MM,150.06,133.55,31.21,150.06,455 CDM,SUP-ZDJOR80002304,IMPLANT BONE PIN FIXATION STAINLESS STEEL TIBIAL LOCKING LATEX FREE STERILE QUICK RELEASE 1.5IN,439.2,390.89,91.35,439.2,476 CDM,SUP-ZDJOR80002505,PIN FIXATION STAINLESS STEEL STRAIGHT STERILE,1300.0,1157.0,270.4,1300.0,455 CDM,SUP-ZDJOR80104126,IMPLANT BONE PIN FIXATION STAINLESS STEEL TIBIAL LOCKING LATEX FREE STERILE 126MM,520.0,462.8,108.16,520.0,476 CDM,SUP-ZDJOR80409098,PIN FIX 2.4X228 SHLDR ARTH,1250.0,1112.5,260.0,1250.0,455 CDM,SUP-ZDORC2281BTD06,NDL OPTH BRSH TP ASP 23GAX0.6,1016.29,904.5,211.39,1016.29,455 CDM,SUP-ZDORNK2010710,FIBR LSR 400UM,968.0,861.52,201.34,968.0,455 CDM,SUP-ZDUTC1272VFI06,CANNULA OPHTHALMIC FLUID INJECTION 23GA,238.56,212.32,49.62,238.56,455 CDM,SUP-ZDUTC1420D,KERATOSCOPE,207.96,185.08,43.26,207.96,455 CDM,SUP-ZECOL3464,DRP CSECT MCR,438.9,390.62,91.29,438.9,455 CDM,SUP-ZELESEIKT10032000,NEEDLE SURGICAL LASER FIBER OPTIC STERILE ECHOLASER EVO,5200.0,4628.0,1081.6,5200.0,455 CDM,SUP-ZELS20000GS,GUIDE SHEATH CORONARY AORTIC TAVR PASCAL,61200.0,54468.0,12729.6,61200.0,465 CDM,SUP-ZELS4800,SUPPORT HEART WOVEN POLYESTER WITH 6MM TAPE,1000.05,890.04,208.01,1000.05,455 CDM,SUP-ZELS9880TFX29MA,VALVE MITRAL SAPIAN M3 SYSTEM 29MM,108000.0,96120.0,22464.0,108000.0,471 CDM,SUP-ZELSS3TFPDS23A,KIT TRANSCATHETER PULMONIC 23MM 3,65000.0,57850.0,13520.0,65000.0,471 CDM,SUP-ZELSS3TFPDS26A,KIT TRANSCATHETER PULMONIC 26MM 3,65000.0,57850.0,13520.0,65000.0,471 CDM,SUP-ZELSS3TFPDS29A,KIT TRANSCATHETER PULMONIC 29MM 3,65000.0,57850.0,13520.0,65000.0,471 CDM,SUP-ZELSS3UCM220A,KIT IMPLANT VALVE CORONARY AORTIC TISSUE TRANSCATHETER STERILE LOADING SYSTEM 3 20MM,65000.0,57850.0,13520.0,65000.0,471 CDM,SUP-ZELSS3UCM223A,KIT IMPLANT VALVE CORONARY AORTIC TISSUE TRANSCATHETER STERILE LOADING SYSTEM 3 23MM,65000.0,57850.0,13520.0,65000.0,471 CDM,SUP-ZELSS3UCM226A,KIT IMPLANT VALVE CORONARY AORTIC TISSUE TRANSCATHETER STERILE LOADING SYSTEM 3 26MM,65000.0,57850.0,13520.0,65000.0,471 CDM,SUP-ZELSS3URCM20A,IMPLANT VALVE CORONARY AORTIC TISSUE TAVR BIOPROSTHESIS STERILE SAPIEN3 RESILIA 20MM,68000.0,60520.0,14144.0,68000.0,455 CDM,SUP-ZELSS3URCM23A,IMPLANT VALVE CORONARY AORTIC TISSUE TAVR BIOPROSTHESIS STERILE SAPIEN3 RESILIA 23MM,68000.0,60520.0,14144.0,68000.0,455 CDM,SUP-ZELSS3URCM26A,IMPLANT VALVE CORONARY AORTIC TISSUE TAVR BIOPROSTHESIS STERILE SAPIEN3 RESILIA 26MM,68000.0,60520.0,14144.0,68000.0,455 CDM,SUP-ZELSS3URCM29A,IMPLANT VALVE CORONARY AORTIC TISSUE TAVR BIOPROSTHESIS LATEX FREE STERILE SAPIEN3 RESILIA 29MM,68000.0,60520.0,14144.0,68000.0,455 CDM,SUP-ZELSS3USTA123A,SYSTEM TRANSCATHETER 23MM AORTIC HEART VALVE WITH CERTITUDE 3,65000.0,57850.0,13520.0,65000.0,471 CDM,SUP-ZELSS3USTA126A,KT SAPIEN S3 ULTRA CERT 26,65000.0,57850.0,13520.0,65000.0,471 CDM,SUP-ZELSS3USTA129A,SYSTEM TRANSCATHETER 29MM AORTIC HEART VALVE WITH CERTITUDE 3,65000.0,57850.0,13520.0,65000.0,471 CDM,SUP-ZELSTRL,RETRACTOR SURGICAL RING SOFT TISSUE CARDIAC POLYESTER FABRIC LARGE STERILE 9CM DISPOSABLE,1750.0,1557.5,364.0,1750.0,455 CDM,SUP-ZELSTRS,RETRACTOR SURGICAL RING SOFT TISSUE CARDIAC POLYESTER FABRIC SMALL STERILE 6CM DISPOSABLE,1400.0,1246.0,291.2,1400.0,455 CDM,SUP-ZELSX3816HKCDC,KT PRS CATH OXM SEPSIS 8.5FX16,980.0,872.2,203.84,980.0,463 CDM,SUP-ZELSXT245HK,KT CATH PEDIAST OXM 4.5FX5,600.0,534.0,124.8,600.0,463 CDM,SUP-ZEMCI6700,CATH 1FR 220CM HABIB EUS RF,3590.0,3195.1,746.72,3590.0,456 CDM,SUP-ZETEX766016,GRFT BTB TCP SYR 5,5923.5,5271.92,1232.09,5923.5,455 CDM,SUP-ZETEX766017,GRFT BTB TCP SYR 10,5212.68,4639.29,1084.24,5212.68,455 CDM,SUP-ZETHEL5ML,APPLIER CLIP MD LG L13IN DIA5MM ENDOSCOPIC MULTIPLE 5,984.01,875.77,204.67,984.01,455 CDM,SUP-ZETHI1978,HEMOSTATIC AGENT SPONGE GELATIN ABSORBABLE MALLEABLE 1GR,816.86,727.01,169.91,816.86,455 CDM,SUP-ZETHIC821G,SUTURE NONABSORBABLE MONOFILAMENT BLUE SIZE: 0 LENGTH: 18IN NEEDLE: CT 1 1/2 CIRCLE TAPER STERILE,16.4,14.6,3.41,16.4,455 CDM,SUP-ZETHIECS25B,STAPLER INTERNAL USE CIRCULAR SEALED EXTRA LARGE LATEX FREE STERILE 25MM,2532.69,2254.09,526.8,2532.69,455 CDM,SUP-ZETHIECS29B,STAPLER INTERNAL CIRCULAR SEALED LATEX FREE XLARGE 29MM,2532.69,2254.09,526.8,2532.69,455 CDM,SUP-ZETHIECS33B,STAPLER INTERNAL USE CIRCULAR SEALED EXTRA LARGE LATEX FREE STERILE 33MM,2532.69,2254.09,526.8,2532.69,455 CDM,SUP-ZETHIGCR40B,STAPLER INTERNAL USE STANDARD CURVED RELOAD BLUE STERILE 40MM,1417.4,1261.49,294.82,1417.4,455 CDM,SUP-ZETHIGCR40G,STAPLER INTERNAL USE THICK CURVED RELOAD STERILE 40MM,1417.4,1261.49,294.82,1417.4,455 CDM,SUP-ZETHIGCS40G,STAPLER INTERNAL USE THICK CURVED RELOAD LATEX FREE STERILE SINGLE USE 40MM,2267.24,2017.84,471.59,2267.24,455 CDM,SUP-ZETHISXPP1A400,SUTURE SYMMETRIC PLUS ABSORBABLE ANTIBACTERIAL COATED MONOFILAMENT VIOLET SIZE: 1 LENGTH: 18IN NEEDLE: CTX 1 1/2 CIRCLE TAPER SYMMETRIC PLUS STERILE,159.18,141.67,33.11,159.18,455 CDM,SUP-ZETHISXPP1A401,SUTURE SYMMETRIC PLUS ABSORBABLE MONOFILAMENT VIOLET SIZE: 0 LENGTH: 18IN NEEDLE: CT 1 1/2 CIRCLE TAPER STERILE SYMMETRIC PLUS,158.7,141.24,33.01,158.7,455 CDM,SUP-ZETHITLC75,STAPLER INTERNAL CUTTER RELOADABLE TITANIUM LOCKOUT STAGGERED NON ABSORBABLE THICK TISSUE DISPOSABLE BLUE STERILE TWO ROW 1.5X75MM,1134.65,1009.84,236.01,1134.65,455 CDM,SUP-ZETHIVST02,SEALANT FIBRIN PRE FILLED MALLEABLE TIP 2ML,371.04,330.23,77.18,371.04,482 CDM,SUP-ZFCIMR1410,RING CATARACT PMMA TYPE 14A LENGTH GREAT THAN 28MM FOR HIGHLY MYOPIC EYE,358.0,318.62,74.46,1046.28,457 CDM,SUP-ZFCIOMR1400,RING CATARACT PMMA TYPE 14 LENGTH GREAT THAN 24MM FOR NORMAL EYE,984.5,876.21,204.78,984.5,455 CDM,SUP-ZFCIOMR1L,RNG OPT MORCHER TENS CTR 11,498.0,443.22,103.58,1046.28,457 CDM,SUP-ZFCIOMR2C,RNG OPT MORCHER TENS CIONN 11,498.0,443.22,103.58,1046.28,457 CDM,SUP-ZFCIOMR6E,RING FIXATION L10.14MM DIA10MM PMMA PARTIAL TYPE 6E FOR ZONULAR WEAKNESS DISPOSABLE SEGMENT,390.0,347.1,81.12,1046.28,457 CDM,SUP-ZFCIOS17410,TUBE OPHTHALMIC L21MM DIA4MM GLASS SILICONE FLANGE FOR CONJUNCTIVODACRYOCYSTORHINOSTOMY STOPLOSS,490.0,436.1,101.92,490.0,457 CDM,SUP-ZFCIOS17411,STOPLOSS TUBES L 18MM DIA 4MM GLASS TUBE SILICONE FLANGE,490.0,436.1,101.92,490.0,457 CDM,SUP-ZFCIOS17412,REAGENT ANALYZER L50CM 96 CAPILLARY 1 ARRAY UNCOATED GENOTYPING SEQUENCING,490.0,436.1,101.92,490.0,457 CDM,SUP-ZFCIOS17416,STOPLOSS TUBES 20MM LENGTH 4MM DIAMETER GLASS TUBE SILICONE FLANGE,490.0,436.1,101.92,490.0,457 CDM,SUP-ZFCIOS17417,STOPLOSS TUBES 4MM 16MM LENGTH,490.0,436.1,101.92,490.0,457 CDM,SUP-ZFCIOS17418,INTENDED AS AN ADAPTER BETWEEN THE PERFADEX PLUS BAG AND A TUBING SET WITH A STANDARD SPIKE.,490.0,436.1,101.92,490.0,457 CDM,SUP-ZFCIOS17419,STOPLOSS TUBES L 22MM DIA 4MM GLASS TUBE SILICONE FLANGE,490.0,436.1,101.92,490.0,457 CDM,SUP-ZFCIOS17420,STOPLOSS TUBES 12MM LENGTH 4MM DIAMETER GLASS TUBE SILICONE FLANGE,490.0,436.1,101.92,490.0,457 CDM,SUP-ZFCIOS17421,STOPLOSS TUBES L 19MM DIA 4MM GLASS TUBE SILICONE FLANGE,490.0,436.1,101.92,490.0,457 CDM,SUP-ZFCIOS17422,STOPLOSS TUBES 11MM LENGTH 4MM DIAMETER GLASS TUBE SILICONE FLANGE,490.0,436.1,101.92,490.0,457 CDM,SUP-ZFCIOS61019U,IMPLANT OPHTHALMIC SPHERE LACRIMAL DUCT ORBITAL LIGHTWEIGHT LATEX FREE STERILE SILICONE 19MM,100.0,89.0,20.8,1046.28,457 CDM,SUP-ZFCIOS61020U,IMPLANT OPHTHALMIC SPHERE LACRIMAL DUCT ORBITAL LIGHTWEIGHT LATEX FREE STERILE SILICONE 20MM,110.0,97.9,22.88,1046.28,457 CDM,SUP-ZFCIS17413,STOPLOSS TUBES L 17MM DIA 4MM GLASS TUBE SILICONE FLANGE,490.0,436.1,101.92,490.0,457 CDM,SUP-ZFOOTP1PIC14S,PICC OD1.4FR WITH INTRODUCER KIT,252.0,224.28,52.42,252.0,463 CDM,SUP-ZFOOTP1PIC19S,KIT PICC 1.9 28CM POLYURETHANE COMPLE,240.0,213.6,49.92,240.0,463 CDM,SUP-ZFOOTP2PIC19S,KIT PICC PICC 1.9 30CM POLY DUAL LUM COMLETE,322.0,286.58,66.98,322.0,463 CDM,SUP-ZFRESSET002125,SET IV LVP IVNX PRIM SGL INLT,4.0,3.56,0.83,4.0,455 CDM,SUP-ZFUJIDP2618DT50,SLITTER PLASMA DIATHERMIC CLUTCH CUT 5.0MM,2652.75,2360.95,551.77,2652.75,455 CDM,SUP-ZGALFPRPR3506,NEEDLE CRYOABLATION 90 DEGREE 1X SCANCARD 1X SMARTCARD 2X IDENTIFICATION LABELS 2.4MM,1900.0,1691.0,395.2,1900.0,463 CDM,SUP-ZGALFPRPR4010,NEEDLE CRYOABLATION MULTI STRAIGHT GREY THERMAL 1.5MM,990.0,881.1,205.92,990.0,463 CDM,SUP-ZGEER200020,SYSTEM APPLICATOR MICROFIBER ADVANTEX G8,211.06,187.84,43.9,211.06,476 CDM,SUP-ZGEHEE8350PB,PAPER PRINTER FOR ULTRASOUND DISINFECTION,435.6,387.68,90.6,435.6,455 CDM,SUP-ZGEHEY531,CONTRAST MEDIA INJECTION OMNIPAQUE POLYMER BOTTLE 350MG 75ML,8.22,7.32,1.71,8.22,455 CDM,SUP-ZGELZSLV634S,SLV SHLDR JNT PAIN,411.0,365.79,85.49,411.0,455 CDM,SUP-ZGENZ82004,BONE KT ESSENTIALS GENZYME,525.58,467.77,109.32,525.58,455 CDM,SUP-ZGET61301606629BX100,SWAB SAFESTEP TEST,1225.0,1090.25,254.8,1225.0,455 CDM,SUP-ZGISUGIS45,MARKER ENDOSCOPIC TISSUE TATTOO CARBON BLACK SUSPENSION PREFILLED PREASSEMBLED SYRINGE FOR COLON CANCER EX,228.0,202.92,47.42,228.0,455 CDM,SUP-ZGRAC655B,IMPLANT OTOLARYNGOLOGY OSSICULAR PROSTHESIS DISTAL END TITANIUM CENTERED BYTE PARTIAL LATEX FREE STERILE ADJUSTABLE 3.0MM,896.0,797.44,186.37,896.0,458 CDM,SUP-ZGRAC986001,IMPLANT OTOLARYNGOLOGY CEMENT BONE EAR PROSTHESIS FOR APPLICATOR STERILE 1GM,893.2,794.95,185.79,893.2,476 CDM,SUP-ZGRENEET107C03,TIP DOME 3FR 120CM ELECTRODE FLEXIBLE REUSABLE,770.0,685.3,160.16,770.0,455 CDM,SUP-ZGULD14252,SPHERE ORBITAL DIA14MM PMMA FOR RETAINING EYE SOCKET,128.0,113.92,26.62,1046.28,457 CDM,SUP-ZGULD14253,IMPLANT OPHTHALMIC SPHERE EYE INERT HARD LIGHTWEIGHT STERILE 16MM,128.0,113.92,26.62,1046.28,457 CDM,SUP-ZGULD14254,IMPLANT OPHTHALMIC SPHERE EYE INERT HARD LIGHTWEIGHT STERILE 18MM,128.0,113.92,26.62,1046.28,457 CDM,SUP-ZGULD14255,IMPLANT OPHTHALMIC SPHERE EYE INERT HARD LIGHTWEIGHT STERILE 20MM,128.0,113.92,26.62,1046.28,457 CDM,SUP-ZGULD14264,CONFORMER OPTHALMIC PLASTIC WITHOUT HOLES CLEAR SM,384.0,341.76,79.87,384.0,455 CDM,SUP-ZGULD14265,CONFORMER OPHTHALMIC M ADULT W21XL23.87MM THK6.6MM ORBITAL PMMA WITHOUT HOLE UNBREAKABLE LIGHTWEIGHT INERT TEMPORARY DEVICE MAINTAIN THE,384.0,341.76,79.87,384.0,455 CDM,SUP-ZGULD14267,CONFORMER OPHTHALMIC SM W0.75XH0.22XL0.87IN PMMA HARD CLEAR PLASTIC HOLE LIGHTWEIGHT INERT VIRTUALLY UNBREAKABLE TEMPORARY DEVICE,438.0,389.82,91.1,438.0,455 CDM,SUP-ZGULD14268,CONFORMER OPHTHALMIC PLASTIC WITH-HOLES HARD CLEAR MED,438.0,389.82,91.1,438.0,455 CDM,SUP-ZGULD14269,CONFORMER OPHTHALMIC PLASTIC WITH-HOLES HARD CLEAR LG,438.0,389.82,91.1,438.0,455 CDM,SUP-ZGWSC100003019,IMPLANT OPHTHALMIC TUBE TEAR DUCT STANDARD BEVEL STERILE 3X19MM,282.0,250.98,58.66,282.0,455 CDM,SUP-ZGWSC100003020,IMPLANT OPHTHALMIC TUBE TEAR DUCT STANDARD BEVEL STERILE 3X20MM,282.0,250.98,58.66,282.0,455 CDM,SUP-ZGWSC100003021,IMPLANT OPHTHALMIC TUBE TEAR DUCT STANDARD BEVEL STERILE 3X21MM,282.0,250.98,58.66,282.0,455 CDM,SUP-ZGWSC100003022,IMPLANT OPHTHALMIC TUBE TEAR DUCT STANDARD BEVEL STERILE 3X22MM,282.0,250.98,58.66,282.0,455 CDM,SUP-ZGWSC100003023,IMPLANT OPHTHALMIC TUBE TEAR DUCT STANDARD BEVEL STERILE 3X23MM,282.0,250.98,58.66,282.0,455 CDM,SUP-ZGWSC100003024,IMPLANT OPHTHALMIC TUBE TEAR DUCT STANDARD BEVEL STERILE 3X24MM,282.0,250.98,58.66,282.0,455 CDM,SUP-ZGWSC100003509,IMPLANT OPHTHALMIC TUBE TEAR DUCT STANDARD BEVEL STERILE 3.5X9MM,282.0,250.98,58.66,282.0,455 CDM,SUP-ZGWSC100003511,IMPLANT OPHTHALMIC TUBE TEAR DUCT STANDARD BEVEL STERILE 3.5X11MM,282.0,250.98,58.66,282.0,455 CDM,SUP-ZGWSC100003518,IMPLANT OPHTHALMIC TUBE TEAR DUCT STANDARD BEVEL STERILE 3.5X18MM,312.0,277.68,64.9,312.0,455 CDM,SUP-ZGWSC100003519,IMPLANT OPHTHALMIC TUBE TEAR DUCT STANDARD BEVEL STERILE 3.5X19MM,282.0,250.98,58.66,282.0,455 CDM,SUP-ZGWSC100003520,IMPLANT OPHTHALMIC TUBE TEAR DUCT STANDARD BEVEL STERILE 3.5X20MM,312.0,277.68,64.9,312.0,455 CDM,SUP-ZGWSC100003521,IMPLANT OPHTHALMIC TUBE TEAR DUCT STANDARD BEVEL STERILE 3.5X21MM,282.0,250.98,58.66,282.0,455 CDM,SUP-ZGWSC100003522,IMPLANT OPHTHALMIC TUBE TEAR DUCT STANDARD BEVEL STERILE 3.5X22MM,312.0,277.68,64.9,312.0,455 CDM,SUP-ZGWSC100003523,IMPLANT OPHTHALMIC TUBE TEAR DUCT STANDARD BEVEL STERILE 3.5X23MM,312.0,277.68,64.9,312.0,455 CDM,SUP-ZGWSC110003010,IMPLANT OPHTHALMIC TUBE TEAR DUCT SUTURE HOLE STERILE 3.0X10MM HOLE 3.0X10,136.0,121.04,28.29,136.0,458 CDM,SUP-ZGWSC110003016,IMPLANT OPHTHALMIC TUBE TEAR DUCT SUTURE HOLE STERILE 3.0X16MM HOLE 3.0X16,136.0,121.04,28.29,136.0,458 CDM,SUP-ZGWSC110003513,IMPLANT OPHTHALMIC TUBE TEAR DUCT SUTURE HOLE STERILE 3.5X13MM HOLE 3.5X13,136.0,121.04,28.29,136.0,458 CDM,SUP-ZGWSC110003517,IMPLANT OPHTHALMIC TUBE TEAR DUCT SUTURE HOLE STERILE 3.5X17MM HOLE 3.5X17,136.0,121.04,28.29,136.0,458 CDM,SUP-ZGWSC111003010,TUBE OPHTHALMIC IMPLANT L10MM OD3MM WITH SUTURE HOLE FROST,196.0,174.44,40.77,196.0,458 CDM,SUP-ZGWSC111003012,TUBE 3.0X12 FROST WITH HOLE,196.0,174.44,40.77,196.0,458 CDM,SUP-ZGWSC111003014,TUBE3.0X14 FROST W/HOLE,196.0,174.44,40.77,196.0,458 CDM,SUP-ZGWSC111003511,TUBE 3.5X11 FROST WITH HOLE,196.0,174.44,40.77,196.0,458 CDM,SUP-ZGWSC111003513,TUBE OPHTHALMIC IMPLANT L13MM OD3.5MM WITH SUTURE HOLE FROST,196.0,174.44,40.77,196.0,458 CDM,SUP-ZGWSC111003515,TUBE OPHTHALMIC L15MM OD3.5MM IMPLANT FROSTED WITH SUTURE HOLE SEMI PERMANENT BOROSILICATE GLASS,196.0,174.44,40.77,196.0,458 CDM,SUP-ZGWSC111003517,TUBE OPHTHALMIC L17MM OD3.5MM IMPLANT FROSTED WITH SUTURE HOLE SEMI PERMANENT BOROSILICATE GLASS,196.0,174.44,40.77,196.0,458 CDM,SUP-ZGWSC111004015,TUBE4X15 FROSTED W/HOLE,196.0,174.44,40.77,196.0,458 CDM,SUP-ZGWSC111103514,TUBE 3.5X14 WITH HOLE ANGLED,208.0,185.12,43.26,208.0,458 CDM,SUP-ZGWSC111103515,TUBE 3.5X15 WITH HOLE ANGLED,208.0,185.12,43.26,208.0,458 CDM,SUP-ZGWSC111104014,TB JNS SUT HL FRST ANG 4.0X14,208.0,185.12,43.26,208.0,458 CDM,SUP-ZGWSC111104015,TUBE 4.0X15 ANGLED WITH HOLE,208.0,185.12,43.26,208.0,458 CDM,SUP-ZGWSC80000DMEK,TUBE OPHTHALMIC MODIFIED FOR DESCEMET MEMBRANE ENDOTHELIAL KERATOPLASTY,220.0,195.8,45.76,1046.28,457 CDM,SUP-ZGYRU70890932,STENT FRONTAL SINUS SILICONE MEDIUM WHITE BIORESORBABLE 3.2X4X38X48MM,256.56,228.34,53.36,256.56,455 CDM,SUP-ZHALY01201630,KIT FEEDING TUBE 16FR STOMA L3CM BALLOON 5ML SILICONE RECESSED TAPERED DISTAL TIP LOW PROXIMAL ANTIREFLUX VALVE LOK EXTENSION SET CONNECTOR MECHANISM RADIOPAQUE STRIPE,597.25,531.55,31.63,597.25,458 CDM,SUP-ZHALY34145,WRAP STERILIZATION W48XL48IN WHITE BLUE KC400 NO5 POLYPROPYLENE FABRIC ONE STEP QUICK CHECK MICROBIAL PROTECTION KIMGUARD,429.83,382.55,89.4,429.83,455 CDM,SUP-ZHEALBC01,60MM BLUE BAND CLAMP,193.5,172.22,40.25,193.5,455 CDM,SUP-ZHEALBC02,70MM RED BAND CLAMP,193.5,172.22,40.25,193.5,455 CDM,SUP-ZHEALR42655,TUBING/POUCH STERILIZATION HEAT SEALED DUAL INDICATOR ROLL 6INX655FT,289.56,257.71,60.23,289.56,455 CDM,SUP-ZHEAR1650,BATTERY REPLACEMENT LITHIUM-ION VENTRICULAR-ASSIST-DEVICE RECHARGEABLE,1500.0,1335.0,312.0,1500.0,457 CDM,SUP-ZHEMO70136050,SCALPEL HANDPIEC THRML RMH/ENT,1754.6,1561.59,364.96,1754.6,455 CDM,SUP-ZHEMO9210864,F DRUG DELIVERY MICROSPONGE,1250.0,1112.5,260.0,1250.0,455 CDM,SUP-ZHISTOHISKT2000,TRAY HISTOTRIPSY CUSTOM STERILE,20550.0,18289.5,4274.4,20550.0,455 CDM,SUP-ZHOBB3406,GW TEFL 0.038INX260,93.0,82.77,19.34,93.0,475 CDM,SUP-ZHOLO10403FC,DEVICE HYSTEROSCOPIC TISSUE REMOVAL L32CM DIA3MM STAINLESS STEEL COATED WITH HARDNESS HIGH WEAR RESISTANCE DISPOSABLE REACH,4207.5,3744.68,875.16,4207.5,455 CDM,SUP-ZHOLO30403LITE,DEVICE TISSUE REMOVAL L32CM DIA3MM STAINLESS STEEL FOR HYSTEROSCOPY LITE,2250.0,2002.5,468.0,2250.0,455 CDM,SUP-ZHOLO50603XL,DEVICE TISSUE REMOVAL FLUID MANAGEMENT HAND HELD XLG,4320.0,3844.8,898.56,4320.0,455 CDM,SUP-ZHOLOFLT005,BAG WASTE FLUID MANAGEMENT,360.0,320.4,74.88,360.0,455 CDM,SUP-ZHOLOFLT212,KIT TISSUE TRAP WASTE BAG SINGLE USE PRO,1320.0,1174.8,274.56,1320.0,455 CDM,SUP-ZHOLOPHB03,HANDPIECE GROUNDING PAD LAPAROSCOPIC UTERINE FIBROID ACESSA PROVU,9720.0,8650.8,2021.76,9720.0,455 CDM,SUP-ZHOLTRIMARKTD13BX10,MARKER BIOPSY SITE TITANIUM CORK WITH INTRODUCER DEPLOYMENT FOR GUIDED BREAST SYSTEM,113.4,100.93,23.59,113.4,462 CDM,SUP-ZHOODLT08,TUBE T TRACHEAL LONG ULTRASMOOTH PLUS COATED SILICONE 8MM X 58MM 8MM X 12MM 8MM X 39MM 8MM X 6.5MM,1065.0,947.85,221.52,1065.0,455 CDM,SUP-ZHOODLT10,TUBE TRACH MONT LNG 10,1091.65,971.57,227.06,1091.65,455 CDM,SUP-ZHOODLT512,TB TRACH SIL XLNG SMTH 12,1091.65,971.57,227.06,1091.65,455 CDM,SUP-ZHOODLT514,TB TRACH SIL XLNG SMTH 14,1091.65,971.57,227.06,1091.65,455 CDM,SUP-ZHOODLT516,TUBE TRACHEOSTOMY SILICONE ADULT LONG T STERILE 16MM,1065.0,947.85,221.52,1065.0,455 CDM,SUP-ZHOODRST07,RADIOPAQUE STANDARD TRACHEAL T TUBES OD SIZE7MM A 14 B 9.5 C 38,947.38,843.17,197.06,947.38,455 CDM,SUP-ZHOODST507,TB TRACH 7,1058.37,941.95,220.14,1058.37,455 CDM,SUP-ZHOODST510,T TUBE TRACHEAL DIA10MM 23X17X44X8MM SILICONE SMOOTH PLUS SINGLE PIECE CONSTRUCTION WITH STOPPER RING FLANGED PLUG,1058.37,941.95,220.14,1058.37,455 CDM,SUP-ZHOODST512,TUBE TRACHEOSTOMY SILICONE STANDARD T 12MM STERILE,1058.37,941.95,220.14,1058.37,455 CDM,SUP-ZHOODST514,TUBE TRACHEOSTOMY SILICONE STANDARD T LATEX FREE STERILE 14MM,1084.82,965.49,225.64,1084.82,455 CDM,SUP-ZHOODST516,TUBE TRACHEOSTOMY T 16 MM STANDARD,1058.37,941.95,220.14,1058.37,455 CDM,SUP-ZHUGE8000BPA031,URETEROSCOPE STANDARD SINGLE USE SLIM 6.3FR,1499.0,1334.11,311.79,1499.0,460 CDM,SUP-ZHUMA800002,SYMVESS 800002,34000.0,30260.0,7072.0,34000.0,459 CDM,SUP-ZI0128ASY300071400,FIBER SURGICAL LASER STERILE 0.4MM,2475.0,2202.75,514.8,2475.0,455 CDM,SUP-ZI0128ASY300071600,FIBER SURGICAL LASER STERILE 0.6MM,2475.0,2202.75,514.8,2475.0,455 CDM,SUP-ZILLUCT009701,SET INTRODUCER SHEATH DILATOR 5.5MM,81.84,72.84,17.02,81.84,476 CDM,SUP-ZILLUCT020501,GUIDEWIRE ORTHOPEDIC NAIL 2.0MM BALL TIP STERILE,287.7,256.05,59.84,287.7,475 CDM,SUP-ZILLUCT024301,GUIDEWIRE ORTHOPEDIC NAIL 1.2MM BALL TIP STERILE,256.88,228.62,53.43,256.88,475 CDM,SUP-ZILLUCT026401,SET INTRODUCER SHEATH DILATOR 7.0MM,81.84,72.84,17.02,81.84,476 CDM,SUP-ZILLUCT029901,SET INTRODUCER SHEATH DILATOR 4.5MM,81.84,72.84,17.02,81.84,476 CDM,SUP-ZILLUCT030001,CEMENT BONE MONOMER PHOTODYNAMIC TCP VIAL POUCH STERILE 20ML,1103.54,982.15,229.54,1103.54,476 CDM,SUP-ZILLUMUM09120,IMPLANT BONE KIT PIN FIXATION MINI PHOTODYNAMIC STERILE 9X120MM,8946.22,7962.14,1860.81,8946.22,476 CDM,SUP-ZILLUMUS1100160,IMPLANT BONE KIT PIN FIXATION PHOTODYNAMIC STERILE 11X160MM,9525.54,8477.73,1981.31,9525.54,476 CDM,SUP-ZILLUMUS1700220,IMPLANT BONE KIT PIN FIXATION PHOTODYNAMIC STERILE 17X220MM,11114.12,9891.57,2311.74,11114.12,476 CDM,SUP-ZILLUMUS1700260,IMPLANT BONE KIT PIN FIXATION PHOTODYNAMIC STERILE 17X260MM,11592.6,10317.41,2411.26,11592.6,476 CDM,SUP-ZILLUMUS2213160,IMPLANT BONE KIT PIN FIXATION PHOTODYNAMIC STERILE 22/13X160MM,10874.86,9678.63,2261.97,10874.86,476 CDM,SUP-ZILLUMUS2213220,IMPLANT BONE KIT PIN FIXATION PHOTODYNAMIC STERILE 22/13X220MM,12068.9,10741.32,2510.33,12068.9,476 CDM,SUP-ZILLUS2213260,IMPLANT BONE KIT PIN FIXATION PHOTODYNAMIC STERILE 22/13X260MM,12308.16,10954.26,2560.1,12308.16,476 CDM,SUP-ZILLUUS2200100,IMPLANT BONE KIT PIN FIXATION STERILE LED LIGJHT 22X100MM,9990.74,8891.76,2078.07,9990.74,476 CDM,SUP-ZILLUUS2213140,IMPLANT BONE KIT PIN FIXATION PHOTODYNAMIC STERILE 22/13X140MM,10635.62,9465.7,2212.21,10635.62,476 CDM,SUP-ZIMACE85101LE,KT CT IMV NVKT GD INTRV NDL HLDR,1094.67,974.26,227.69,1094.67,455 CDM,SUP-ZINAMSZ68240,SIZER BREAST IMPLANT 240-270CC P4.2CM DIA11CM ROUND ANTERIOR DIAPHRAGM VALVE DISPOSABLE MODERATE STYLE 168MP,270.0,240.3,56.16,270.0,455 CDM,SUP-ZINAMSZ68270,SIZER BREAST IMPLANT 270-300CC P3.9CM DIA11.6CM ROUND ANTERIOR DIAPHRAGM VALVE DISPOSABLE MODERATE STYLE 168MP,270.0,240.3,56.16,270.0,455 CDM,SUP-ZINAMSZ68390,SIZER BREAST 390-420CC P4.5-4.6CM DIA13-12.9CM SALINE STYLE 68MP MODERATE ANTERIOR DIAPHRAGM VALVE DISPOSABLE,270.0,240.3,56.16,270.0,455 CDM,SUP-ZINAMSZ68450,SIZER BREAST 450-480CC P4.6-4.7CM DIA13.7-13.6CM SALINE STYLE 68MP MODERATE ANTERIOR DIAPHRAGM VALVE DISPOSABLE,270.0,240.3,56.16,270.0,455 CDM,SUP-ZINAR51101,SHEATH ASPIRATION 16FR L15CM FOR EMBOLUS ASPIRATION,4000.0,3560.0,832.0,4000.0,471 CDM,SUP-ZINARFTPPP,PRICE PER PROCEDURE,22000.0,19580.0,4576.0,22000.0,471 CDM,SUP-ZINCI2030,STAPLER SKIN COPOLYMER REGULAR 30 COUNT SUBCUTICULAR 0.7X3.5X5MM,449.46,400.02,93.49,449.46,455 CDM,SUP-ZINDUNMPFLGL,IMPLANT GRAFT BONE STRIP FIBER CANCELLOUS FREEZE DRIED LATEX FREE SERILE LARGE NMP 11.1CM,11405.43,10150.83,2372.33,11405.43,455 CDM,SUP-ZINDUNMPSXLG,IMPLANT GRAFT BONE STRIP FIBER CANCELLOUS FREEZE DRIED LATEX FREE SERILE LONG NMP 15.7CM,10716.15,9537.37,2228.96,10716.15,455 CDM,SUP-ZINNOBIM1620,BIOPSY NEEDLE 200MM 16G,632.5,562.92,131.56,632.5,455 CDM,SUP-ZINNOBIM1810,BIOPSY NEEDLE 100MM 18G,632.5,562.92,131.56,632.5,455 CDM,SUP-ZINNOBIM1815,BIOPSY NEEDLE 150MM 18G,632.5,562.92,131.56,632.5,455 CDM,SUP-ZINNOBIM1820,BIOPSY NEEDLE 200MM 18G,632.5,562.92,131.56,632.5,455 CDM,SUP-ZINS3028,IMPLANT GENERATOR NEUROSTIMULATOR SLEEP APNEA THORACIC PERMANENT TITANIUM POLYURETHANE SILICONE COMPATIBLE 2 LOW CONNECTOR PORTS THROAT AND TONGUE STIMULATION STERILE LATEX FREE,36450.0,32440.5,7581.6,36450.0,456 CDM,SUP-ZINSASM002222,BG H2O FILL ASSY STD,1800.0,1602.0,374.4,1800.0,455 CDM,SUP-ZINSP4340,IMPLANT LEAD NEUROSTIMULATOR SLEEP APNEA THORACIC PERMANENT SILICONE COMPATIBLE SENSING RESPIRATORY LATEX FREE STERILE,6750.0,6007.5,1404.0,6750.0,458 CDM,SUP-ZINT1104B,KIT PRESSURE MONITOR INTRACRANIAL TRANSDUCER TIPPED DRILL BIT STYLET FIBEROPTIC 4FRX2.7MM,3353.81,2984.89,697.59,3353.81,455 CDM,SUP-ZINT430002,RETRACTOR ROBOTIC DIA6MM ROUND TOOTH DA VINCI SYSTEM SP,771.81,686.91,160.54,771.81,455 CDM,SUP-ZINT430007,CAUTERY ELECTROSURGICAL DIA6MM MONOPOLAR SP,654.45,582.46,136.13,654.45,455 CDM,SUP-ZINT430011,FORCEPS BIPOLAR DIA6MM FENESTRATED DA VINCI SYSTEM SP,1012.53,901.15,210.61,1012.53,455 CDM,SUP-ZINT430012,SHEATH INSTRUMENT DISPOSABLE SP,185.22,164.85,38.53,185.22,455 CDM,SUP-ZINT430013,DRAPE ARM SP,1922.76,1711.26,399.93,1922.76,455 CDM,SUP-ZINT430020,SHEATH CAMERA SP,370.44,329.69,77.05,370.44,455 CDM,SUP-ZINT430022,KIT ENTRY GUIDE SP 25X100MM,1018.71,906.65,211.89,1018.71,455 CDM,SUP-ZINT430035,SCISSOR TIP MONOPOLAR CURVED SP,679.14,604.43,141.26,679.14,455 CDM,SUP-ZINT430036,CANN ETRY GD DV-SP 25X100,9261.0,8242.29,1926.29,9261.0,455 CDM,SUP-ZINT430068,CORD DV-SP SHLD ENRG MNPLR,1391.6,1238.52,289.45,1391.6,455 CDM,SUP-ZINT46360B,STAPLE RELOAD CARTRIDGE INTERNAL USE ENDOSCOPIC TITANIUM NON ABSORBABLE BLUE STERILE SINGLE USE 60MM,1183.35,1053.18,246.14,1183.35,455 CDM,SUP-ZINTE1650050,NEEDLE INJECTOR OROTRACH LARYNGEAL STERILE DISPOSABLE 27GAX8MM,191.16,170.13,39.76,191.16,455 CDM,SUP-ZINTE2010800,KIT NAVG HIP LATERAL/POSTERIOR,4477.5,3984.98,931.32,4477.5,455 CDM,SUP-ZINTE2010801,KIT NAVG HIP DISK,4580.0,4076.2,952.64,4580.0,455 CDM,SUP-ZINTE2010802,KIT NAVG TOTAL KNEE,4477.5,3984.98,931.32,4477.5,455 CDM,SUP-ZINTECUT443L,CUTTER CANNULATED SINGLE USE L INSTRUMENTATION,642.95,572.23,133.73,642.95,455 CDM,SUP-ZINTECUT443M,CUTTER CANNULATED SINGLE USE M INSTRUMENTATION,600.6,534.53,124.92,600.6,455 CDM,SUP-ZINTECUT443S,CUTTER CANNULATED SINGLE USE SM INSTRUMENTATION,642.95,572.23,133.73,642.95,455 CDM,SUP-ZINTEDF020404,GRAFT TISSUE AMNIOTIC MEMBRANE STEM CELL FREEZE DRIED REGENERATIVE PLACENTA STERILE TRI LAYER BIODEFENCE 4X4CM,7664.26,6821.19,124.71,7664.26,471 CDM,SUP-ZINTEINS5HND,KT CRANI PRE PACKAGED 5.31,1855.67,1651.55,385.98,1855.67,455 CDM,SUP-ZINTEMCP11005DWW,IMPLANT FINGER JOINT FINGER DISTAL PYROCARBON METACARPOPHALANGEAL LATEX FREE STERILE TRANSFORMING EXTREMITIES SIZE 5,2480.6,2207.73,515.96,2480.6,469 CDM,SUP-ZINTEMCP11005PWW,IMPLANT FINGER JOINT FINGER PROXIMAL PYROCARBON METACARPOPHALANGEAL LATEX FREE STERILE TRANSFORMING EXTREMITIES SIZE 5,3874.16,3448.0,805.83,3874.16,469 CDM,SUP-ZINTEMS2610,BIT DRILL SURGICAL TITANIUM NONSTERILE 1.7MM,3888.0,3460.32,808.7,3888.0,455 CDM,SUP-ZINTEMS2620,BIT DRILL SURGICAL TITANIUM NONSTERILE 2MM,3888.0,3460.32,808.7,3888.0,455 CDM,SUP-ZINTEMS2630,BIT DRILL OD2.7MM,1832.3,1630.75,381.12,1832.3,455 CDM,SUP-ZINTENL8505065,SHUNT ENDARTERECTOMY L10CM DIA3X4MM CAROTID SILICONE STAINLESS STEEL FULLY SPRING REINFORCED INTERNAL STRAIGHT,1204.02,1071.58,250.44,1204.02,455 CDM,SUP-ZINTENL8505066,SHUNT ENDARTERECTOMY L10CM DIA3.5X5MM CAROTID SILICONE STAINLESS STEEL FULLY SPRING REINFORCED INTERNAL STRAIGHT,1204.02,1071.58,250.44,1204.02,455 CDM,SUP-ZINTENL8505067,IMPLANT SHUNT CAROTID ENDARTERECTOMY TEMPORARY EXTERNAL LOOP SOFT CONICAL BULB SPRING REINFORCED SILICONE STERILE 4X5MMX10CM DISPOSABLE,1204.02,1071.58,250.44,1204.02,455 CDM,SUP-ZINTENL8505071,IMPLANT SHUNT CAROTID ENDARTERECTOMY TEMPORARY EXTERNAL LOOP SOFT CONICAL BULB SPRING REINFORCED SILICONE 3X5MMX30CM STERILE DISPOSABLE,1333.46,1186.78,277.36,1333.46,455 CDM,SUP-ZINTENL8505072,IMPLANT SHUNT CAROTID ENDARTERECTOMY TEMPORARY EXTERNAL LOOP SOFT CONICAL BULB SPRING REINFORCED SILICONE 4X5MMX30CM STERILE DISPOSABLE,1333.46,1186.78,277.36,1333.46,455 CDM,SUP-ZINTEPIP20010DWW,IMPLANT-FINGER-JOINT FINGER DISTAL PYROCARBON INTERPHALANGEAL LATEX-FREE STERILE TRANSFORMING-EXTREMITIES SIZE-10,3060.46,2723.81,636.58,3060.46,469 CDM,SUP-ZINTEPIP20010PWW,IMPLANT-FINGER-JOINT FINGER PROXIMAL PYROCARBON INTERPHALANGEAL LATEX-FREE STERILE TRANSFORMING-EXTREMITIES SIZE-10,3060.46,2723.81,636.58,3060.46,469 CDM,SUP-ZINTEPIP20020DWW,IMPLANT-FINGER-JOINT FINGER DISTAL PYROCARBON INTERPHALANGEAL LATEX-FREE STERILE TRANSFORMING-EXTREMITIES SIZE-20,3060.46,2723.81,636.58,3060.46,469 CDM,SUP-ZINTEPIP20020PWW,IMPLANT-FINGER-JOINT FINGER PROXIMAL PYROCARBON INTERPHALANGEAL LATEX-FREE STERILE TRANSFORMING-EXTREMITIES SIZE-20,7050.0,6274.5,1466.4,7050.0,469 CDM,SUP-ZINTEPIP20030DWW,IMPLANT-FINGER-JOINT FINGER DISTAL PYROCARBON INTERPHALANGEAL LATEX-FREE STERILE TRANSFORMING-EXTREMITIES SIZE-30,7050.0,6274.5,1466.4,7050.0,469 CDM,SUP-ZINTEPIP20040PWW,IMPLANT-FINGER-JOINT FINGER PROXIMAL PYROCARBON INTERPHALANGEAL LATEX-FREE STERILE TRANSFORMING-EXTREMITIES SIZE-40,7410.0,6594.9,1541.28,7410.0,469 CDM,SUP-ZINTNL8505070,IMPLANT SHUNT CAROTID ENDARTERECTOMY TEMPORARY EXTERNAL LOOP SOFT CONICAL BULB SPRING REINFORCED SILICONE STERILE 3X4MMX30CM DISPOSABLE,1333.46,1186.78,277.36,1333.46,455 CDM,SUP-ZINTSMCP50030WW,IMPLANT METACARPOPHALANGEAL SIZE 30 30DEG SILICONE ELASTOMER PREFLEXED FLEXIBLE HINGE PROSTHESIS CEMENTLESS REPLACEMENT,3982.5,3544.43,828.36,3982.5,469 CDM,SUP-ZINTSPIP5201WW,IMPLANT FINGER JOINT FINGER PROXIMAL SILICONE INTERPHALANGEAL STERILE TRANSFORMING EXTREMITIES PREFLEXED LOW,3982.5,3544.43,828.36,3982.5,469 CDM,SUP-ZINTU470359,OBTURATOR BLADELESS ROBOTIC STANDARD 8MM,185.22,164.85,38.53,185.22,455 CDM,SUP-ZINTU48052202,SEALER VESSEL CAUTERY ROBOTIC EXTENDED CURVED XI,3373.65,3002.55,701.72,3373.65,455 CDM,SUP-ZINTU48630G,STAPLE RELOAD CARTRIDGE ROBOTIC STAINLESS STEEL 30 XI 4.3MM,967.07,860.69,201.15,967.07,455 CDM,SUP-ZINTU490305,ROBOTIC FULLY ARTICULATING BRONCHOSCOPIC 3.5MM,2925.0,2603.25,608.4,2925.0,465 CDM,SUP-ZINVO252110,CURETTE ADENOID STRAIGHT SIZE 1 22CM,180.0,160.2,37.44,180.0,455 CDM,SUP-ZINVO252130,CURETTE ADENOID STRAIGHT SIZE 3 22CM,180.0,160.2,37.44,180.0,455 CDM,SUP-ZIOP68250,GRAFT TISSUE PERICARDIUM REGENERATIVE THIGH 1.5X1.5CM STERILE,638.0,567.82,132.7,638.0,459 CDM,SUP-ZIOPSGP14,EYE LID WEIGHTS 1.4GA GOLD,1400.0,1246.0,291.2,1400.0,457 CDM,SUP-ZIZIMG90004,MXR CMNT BN OSTST MNMIX CL,825.0,734.25,171.6,825.0,455 CDM,SUP-ZJEDM280184,SET INTUBATION LACRIMAL PROBE FLEXIBLE 0.016X0.025IN,561.0,499.29,116.69,561.0,455 CDM,SUP-ZJRF116614,GRFT TNDN PAT FRX HEM,5169.6,4600.94,1075.28,5169.6,459 CDM,SUP-ZJRF28225002,GRAFT TISSUE MEDIAL TIBIAL DERMIS FRESH FROZEN MENISCUS STERILE,10770.0,9585.3,2240.16,10770.0,455 CDM,SUP-ZJRF28325001,GRAFT TISSUE MEDIAL TIBIAL DERMIS FRESH FROZEN MENISCUS STERILE,10770.0,9585.3,2240.16,10770.0,455 CDM,SUP-ZJRF28325002,GRAFT TISSUE LATERAL LEFT DERMIS FRESH FROZEN MENISCUS STERILE,10770.0,9585.3,2240.16,10770.0,455 CDM,SUP-ZJRF32147001,IMPLANT GRAFT BONE WHOLE BONE FEMORAL LATERAL HEMI FRESH STERILE RIGHT,25848.0,23004.72,5376.38,25848.0,455 CDM,SUP-ZJRF32147002,GRFT FEM LAT LT HEM,25977.24,23119.74,5403.27,25977.24,455 CDM,SUP-ZJRF33647001,IMPLANT GRAFT BONE WHOLE BONE PATELLA WITH ATTACHMENTS FRESH STERILE RIGHT,26386.5,23483.99,5488.39,26386.5,455 CDM,SUP-ZJRFACT002,GRFT TNDN ACHL W BN BLCK,4400.0,3916.0,915.2,4400.0,459 CDM,SUP-ZJRFAWO001,GRAFT TENDON ACHILLES ACL PCL STERILE WITHOUT BONE,4200.3,3738.27,873.66,4200.3,455 CDM,SUP-ZJRFAWO002,GRFT TNDN ACHL ASP W/O BN BLCK,3015.6,2683.88,627.24,3015.6,455 CDM,SUP-ZJRFQDT102,GRAFT HUMAN TISSUE QUADRICEPS TENDON FOR CRUCIATE LIGAMENT,7620.0,6781.8,1584.96,7620.0,459 CDM,SUP-ZKARL26006MD10,ENDOSCOPIC L300CM 8MM PLUG UNIPOLAR STRAIGHT HIGH FREQUENCY REUSABLE,181.32,161.37,37.71,181.32,455 CDM,SUP-ZKARL26188PI,DMY NEO VAG 3X10,1965.78,1749.54,408.88,1965.78,455 CDM,SUP-ZKARL27069KS,KNIFE COLD HK STRL DISP,1047.15,931.96,217.81,1047.15,455 CDM,SUP-ZKARL28164FGD2,FCP INS ENDO DIST 2X20,1845.0,1642.05,383.76,1845.0,455 CDM,SUP-ZKARL28164FGL2,INSERT FORCEPS BIPOLAR DISTAL ANGLED VERTICAL CLOSING 1MMX20CM,1845.0,1642.05,383.76,1845.0,455 CDM,SUP-ZKARL28164FGM2,INSERT FORCEPS BIPOLAR DISTAL ANGLED HORIZONTAL CLOSING 1MMX20CM,1845.0,1642.05,383.76,1845.0,455 CDM,SUP-ZKARLXUSM0031,BTL STN COLL 8/140ML,192.0,170.88,39.94,192.0,455 CDM,SUP-ZKATEK202050,TREPHINE SURGICAL DIA6MM RADIAL VACUUM DISPOSABLE FOR RECIPIENT CORNEA,478.5,425.87,99.53,478.5,455 CDM,SUP-ZKATEK202052,TREPHINE SURGICAL DIA6.5MM RADIAL VACUUM DISPOSABLE FOR RECIPIENT CORNEA,478.5,425.87,99.53,478.5,455 CDM,SUP-ZKATEK202054,BLADE VACUUM TREPHINE STAINLESS STEEL CORNEAL 360 DEGREE 7MM,495.0,440.55,102.96,495.0,455 CDM,SUP-ZKATEK202055,TREPHINE SURGICAL DIA7.25MM D0.255MM 360DEG RADIAL VACUUM FOR RECIPIENT CORNEA SUCTION CHAMBER 16 COMPARTMENT DISPOSABLE KERATOPLASTY,495.0,440.55,102.96,495.0,455 CDM,SUP-ZKATEK202056,BLADE VACUUM TREPHINE STAINLESS STEEL CORNEAL 360 DEGREE 7.5MM,478.5,425.87,99.53,478.5,455 CDM,SUP-ZKATEK202057,BLADE VACUUM TREPHINE STAINLESS STEEL CORNEAL 360 DEGREE 7.75MM,495.0,440.55,102.96,495.0,455 CDM,SUP-ZKATEK202058,BLADE VACUUM TREPHINE STAINLESS STEEL CORNEAL 360 DEGREE 8MM,495.0,440.55,102.96,495.0,455 CDM,SUP-ZKATEK202059,TREPHINE SURGICAL DIA8.25MM RADIAL VACUUM FOR RECIPIENT CORNEA SUCTION CHAMBER 16 COMPARTMENT DISPOSABLE KERATOPLASTY,495.0,440.55,102.96,495.0,455 CDM,SUP-ZKATEK202060,BLADE VACUUM TREPHINE STAINLESS STEEL CORNEAL 360 DEGREE 8.5MM,495.0,440.55,102.96,495.0,455 CDM,SUP-ZKATEK202061,BLADE TREPHINE VACUUM OPHTHALMIC STAINLESS STEEL CORNEAL 360 DEGREE 8.75MM,456.5,406.29,94.95,456.5,455 CDM,SUP-ZKATEK202062,BLADE TREPHINE VACUUM OPHTHALMIC STAINLESS STEEL CORNEAL 360 DEGREE 9MM,495.0,440.55,102.96,495.0,455 CDM,SUP-ZKATEK202100,PUNCH OPHTHALMIC 6MM CORNEAL CYLINDRICAL DELICATE,418.0,372.02,86.94,418.0,455 CDM,SUP-ZKATEK202104,PUNCH SURGICAL STAINLESS STEEL VACUUM 4 GUIDE POST CORNEAL DONOR RECIPIENT STERILE DISPOSABLE 7.0MM SHARP/DELICATE,484.0,430.76,100.67,484.0,455 CDM,SUP-ZKATEK202105,PUNCH OPHTHALMIC 7.25MM CORNEAL CYLINDRICAL DELICATE,484.0,430.76,100.67,484.0,455 CDM,SUP-ZKATEK202106,PUNCH DONOR CORNEA DIA7.5MM VACUUM DISPOSABLE,484.0,430.76,100.67,484.0,455 CDM,SUP-ZKATEK202108,PUNCH OPHTHALMIC DIA8MM VACUUM DISPOSABLE FOR DONOR CORNEA,484.0,430.76,100.67,484.0,455 CDM,SUP-ZKATEK202110,PUNCH SURGICAL 8.5MM VACUUM FOR DONOR CORNEA,484.0,430.76,100.67,484.0,455 CDM,SUP-ZKATEK202111,PUNCH OPHTHALMIC 8.75MM CORNEAL CYLINDRICAL DELICATE,484.0,430.76,100.67,484.0,455 CDM,SUP-ZKATEK202112,PUNCH OPHTHALMIC 9MM CORNEAL CYLINDRICAL DELICATE,484.0,430.76,100.67,484.0,455 CDM,SUP-ZKATEK202113,PUNCH CORNEAL TREPHINE DONOR VACUUM 9.5 MM STERILE DISPOSABLE,484.0,430.76,100.67,484.0,455 CDM,SUP-ZKATEK202114,PUNCH OPHTHALMIC 9.5MM CORNEAL CYLINDRICAL DELICATE,484.0,430.76,100.67,484.0,455 CDM,SUP-ZKATEK72610,SET LACRIMAL INTUBATION OD0.9MM DOUBLE ARMED,537.08,478.0,111.71,537.08,455 CDM,SUP-ZKCIM82750265S,KIT DRESSING ABDOMINAL,2109.74,1877.67,39.9,2109.74,456 CDM,SUP-ZKCIM827505310S,SPONGE WOUND DRESSING FOAM NEGATIVE PRESSURE UUM ASSISTED CLOSURE OPEN PORE LG HYDROPHOBIC BLACK 3.3X15X26MM,288.78,257.01,39.9,288.78,456 CDM,SUP-ZKCIM8275071,CANISTER NEG PRESSURE 500ML TUBING RESERVOIR WITHOUT GEL CLAMP CONNECTOR FOR,162.06,144.23,33.71,162.06,455 CDM,SUP-ZKCIPRE1001USS,KIT NEG PRESSURE 20CM INCISION MANAGEMENT PEEL PALACE WITH CASE CANISTER,1915.65,1704.93,398.46,1915.65,455 CDM,SUP-ZKCIPRE1055USS,KIT NEG PRESSURE L20CM PEEL PLACE WITH PRESSURE INDICATOR,1268.5,1128.96,263.85,1268.5,455 CDM,SUP-ZKCIPRE1101USS,KIT INCISION MANAGEMENT 13CM PEEL AND PLACE DISPOSABLE,1915.65,1704.93,398.46,1915.65,455 CDM,SUP-ZKCIPRE4001USS,KIT DRESSING NEGATIVE PRESSURE HYDROCOLLOID DISPOSABLE CUSTOMIZABLE INCISION MANAGEMENT SYSTEM WITH PAD DRAPE RULER PLUS 150ML CANISTER CONNECTOR 125 UNIT CARRYING CASE AC POWER CORD/ADAPTER,2515.5,2238.8,523.22,2515.5,455 CDM,SUP-ZKCIULTDUO0500,SET TUBE DUO SEPARATE DELIVERY REMOVAL PAD DISPOSABLE VERAT RAC,447.18,397.99,93.01,447.18,455 CDM,SUP-ZKCIULTVFL05MD,KIT WOUND DRESSING NEGATIVE PRESSURE MEDIUM FOAM BLACK SPIRAL WITH DUAL TRACK PAD AND DRAPE STERILE MEDIUM,619.85,551.67,39.9,619.85,456 CDM,SUP-ZKCIULTVFLO5LG,DRESSING NEGATIVE PRESSURE LG,1058.4,941.98,220.15,1058.4,455 CDM,SUP-ZKIM69392,PROTECTOR HOOD ENDOSCOPIC SPECIMEN RETRIEVAL GASTROINTESTINAL TRACT STAINLESS STEEL BELL SHAPED OBJECT LATEX STERILE SINGLE USE 7.25X7.5IN,172.32,153.36,35.84,172.32,455 CDM,SUP-ZKIMB020018A,TUBE FEEDING 18FR JEJUNAL L51CM SILICONE INFLATABLE INTERNAL RETENTION BALLOON EXTERNAL RING MEDICATION PORT CONNECTOR TRIMMABLE DISTAL TIP RADIOPAQUE STRIPE,786.72,700.18,163.64,786.72,455 CDM,SUP-ZKIMC02301840,TUBE FEEDING JEJUNAL SILICONE LOW TAPERED DISTAL TIP STERILE 18FRX4.0X51CM,1032.24,918.69,31.63,1032.24,458 CDM,SUP-ZKINA271001004,SET HANDPIECE BONE CARBOJET XF PREPARATION,1039.5,925.16,216.22,1039.5,455 CDM,SUP-ZKLSM014737007,BIT DRILL SURGICAL TWIST WITH NOTCH SAGITTAL SPLIT NONSTERILE FOR LEVI TROCAR 1.5X105MM,682.94,607.82,142.05,682.94,455 CDM,SUP-ZKLSM254490591,BIT DRILL SURGICAL TWIST STAINLESS STEEL J NOTCH 5MM STOP NONSTERILE FOR 2MM SCREW 1.5X50MM,455.24,405.16,94.69,455.24,455 CDM,SUP-ZKLSM254490791,BIT DRILL SURGICAL TWIST STAINLESS STEEL J NOTCH 7MM STOP NONSTERILE FOR 2MM SCREW 1.5X50MM,455.24,405.16,94.69,455.24,455 CDM,SUP-ZKLSM254490991,BIT DRILL SURGICAL STAINLESS STEEL 2MM SCREW MINI SYSTEM 1.5X50MM,455.24,405.16,94.69,455.24,455 CDM,SUP-ZKLSM254491191,DRL BIT TWST 1.5X50X11,455.24,405.16,94.69,455.24,455 CDM,SUP-ZKLSM254491691,BIT DRILL SURGICAL TWIST STAINLESS STEEL J NOTCH 21MM STOP NONSTERILE FOR 2MM SCREW 1.5X50MM,455.24,405.16,94.69,455.24,455 CDM,SUP-ZKLSM254520091,BIT DRILL SURGICAL TWIST STAINLESS STEEL J COUPLING WITH NOTCH WITHOUT STOP NONSTERILE FOR 1.5MM SCREW TS 1.1X50MM,479.22,426.51,99.68,479.22,455 CDM,SUP-ZKLSM254520591,BIT DRILL SURGICAL TWIST STAINLESS STEEL J COUPLING WITH NOTCH 5MM STOP NONSTERILE FOR 1.5MM SCREW TS 1.1X50MM,479.22,426.51,99.68,479.22,455 CDM,SUP-ZKLSM254520791,BIT DRILL SURGICAL TWIST STAINLESS STEEL J COUPLING WITH NOTCH 7MM STOP NONSTERILE FOR 1.5MM SCREW TS 1.1X50MM,479.22,426.51,99.68,479.22,455 CDM,SUP-ZKLSM254520991,BIT DRILL SURGICAL TWIST STAINLESS STEEL J COUPLING WITH NOTCH 9MM STOP NONSTERILE FOR 1.5MM SCREW 1.1X50MM,479.22,426.51,99.68,479.22,455 CDM,SUP-ZKLSM254540591,BIT DRILL SURGICAL STAINLESS STEEL STERILE J LATCH 0.7X50MM,479.22,426.51,99.68,479.22,455 CDM,SUP-ZKLSM254540791,BIT DRILL SURGICAL TWIST STAINLESS STEEL J NOTCH ATTACHMENT 7MM STOP STERILE FOR 1.0MM MICRO SCREW 0.7X50MM,479.22,426.51,99.68,479.22,455 CDM,SUP-ZKLSM254570591,DRL BIT JNOT 0.8X50X5,479.22,426.51,99.68,479.22,455 CDM,SUP-ZKLSM254570791,DRL BIT JNOT 0.8X50X7,479.22,426.51,99.68,479.22,455 CDM,SUP-ZKLSM255520491,PLT MANDIB LVL TI 4H LNG,101.6,90.42,21.13,101.6,476 CDM,SUP-ZKLSM507747004,TEMPLATE SIZING PLATE ALUMINUM STRAIGHT 20 HOLE MANDIBULAR LEVEL 1 FOR 2.0/2.5/3.0 SYSTEM ALUMINUM,91.46,81.4,19.02,91.46,476 CDM,SUP-ZKLSM507817704,PLATE BONE CRANIOMAXILLOFACIAL MANDIBULAR TITANIUM CURVED LOCKING LATEX FREE NON STERILE 6 HOLE TS 2MM,91.46,81.4,19.02,91.46,476 CDM,SUP-ZKLSM507857704,TEMPLATE PLATE MANDIBLE DOUBLE ANGLED 26 HOLE LEVEL 1 2/2.5MM FOR 2.0/2.5 SYSTEM ALUMINUM,91.46,81.4,19.02,91.46,476 CDM,SUP-ZKLSM507898304,PLT DBLANG 32H 2.0X2.5,91.46,81.4,19.02,91.46,476 CDM,SUP-ZKLSM507917704,PLATE BONE CRANIOMAXILLOFACIAL MANDIBULAR TITANIUM LOCKING STERILE PRE BENT ANGLED LEFT 26 HOLE LEVEL ONE 3MM FOR 2.7 SYST ALUMINUM,91.46,81.4,19.02,91.46,476 CDM,SUP-ZKLSM507957704,TEMPLATE SIZING PLATE TITANIUM ANGLE 26 HOLE MANDIBULAR TS FOR 2.7 SYSTEM ALUMINUM,91.46,81.4,19.02,91.46,476 CDM,SUP-ZKLSM507998304,TEMPLATE SIZING PLATE TITANIUM ANGLE 32 HOLE MANDIBULAR TS FOR 2.7 SYSTEM ALUMINUM,91.46,81.4,19.02,91.46,476 CDM,SUP-ZKLSM508000271,ACCESSORY BATTERY SURGICAL INSTRUMENT SCREWDRIVER RAPIDFIRE STERILE DISPOSABLE,368.7,328.14,76.69,368.7,455 CDM,SUP-ZKLSM509240007,DRILL TWIST STAINLESS STEEL NO STOP 1.5X34,711.48,633.22,147.99,711.48,455 CDM,SUP-ZKLSM509911571,SCREWDRIVER ASD 1.5 STERILE,620.68,552.41,129.1,620.68,455 CDM,SUP-ZKLSM509912071,BLADE SCREWDRIVER SURGICAL STERILE ANGULUS II 2.0X11MM,620.68,552.41,129.1,620.68,455 CDM,SUP-ZKLSM509961707,"TWIST DRILL, ANGULUS II, 1.5X17 MM,,STERILE,QTY:001 EA",723.14,643.59,150.41,723.14,455 CDM,SUP-ZKLSM514000107,ARM ACTIVATION INTERNAL FIXATION CARDANIC NONSTERILE FOR DISTRACTOR FLEXIBLE 6.25IN,688.44,612.71,143.2,688.44,455 CDM,SUP-ZKLSM514309507,SCREWDRIVER SURGICAL L0.3MM 1 TURN STRAIGHT FOR II DISTRACTION SYSTEM,1601.25,1425.11,333.06,1601.25,455 CDM,SUP-ZKLSM515009007,SCREWDRIVER SURGICAL TITANIUM STANDARD NONSTERILE FOR DISTRACTION 1.5MM,1598.3,1422.49,332.45,1598.3,455 CDM,SUP-ZKLSM516007007,SCREW CAP X-FIX S/D,466.12,414.85,96.95,466.12,476 CDM,SUP-ZKLSM516712809,TEMPLATE TRAUMA SIZING BONE SPLINT MAXILLOFACIAL TITANIUM NONSTERILE 1X4X325MM,524.16,466.5,109.03,524.16,476 CDM,SUP-ZKLSM525100507,BIT DRILL SURGICAL STAINLESS STEEL J NOTCH 5MM STOP TWIST RX F/1.6MM SONICPINS SINGLE USE -RX 1X50MM,686.4,610.9,142.77,686.4,455 CDM,SUP-ZKLSM525100807,BIT DRILL L50MM OD1MM 8MM STOP J NOTCH ATTACHMENT HOLE STERILE REUSABLE FOR SONICPIN,686.4,610.9,142.77,686.4,455 CDM,SUP-ZKLSM525160507,DRILL TWIST L50MM DIA1.6MM 5MM STOP NONSTERILE STAINLESS STEEL HOLE J NOTCH ATTACHMENT FOR 2.1MM SONICPINS RX SYSTEM,686.4,610.9,142.77,686.4,455 CDM,SUP-ZKLSM525160607,BIT DRILL L50MM OD1.6MM 6MM STOP J NOTCH ATTACHMENT HOLE STERILE REUSABLE FOR SONICPIN,686.4,610.9,142.77,686.4,455 CDM,SUP-ZKLSM526100507,BIT DRILL SURGICAL STAINLESS STEEL BOS 5MM STOP TWIST RX F/1.6MM SONICPINS SINGLE USE -RX 1X40MM,686.4,610.9,142.77,686.4,455 CDM,SUP-ZKLSM526100807,DRL BIT SNC SS 1X40,686.4,610.9,142.77,686.4,455 CDM,SUP-ZKLSM526160507,BIT DRILL SURGICAL TWIST STAINLESS STEEL QUICK HEX 5MM STOP NONSTERILE FOR 2.1MM SONICPINS RX 1.6X40MM,686.4,610.9,142.77,686.4,455 CDM,SUP-ZKLSM526160571,BIT DRILL SURGICAL TWIST STAINLESS STEEL QUICK HEX 5MM STOP STERILE FOR 2.1MM SONICPINS RX 1.6X40MM,774.4,689.22,161.08,774.4,455 CDM,SUP-ZKLSM526161007,DRILL TWIST L40MM DIA1.6MM 10MM STOP STAINLESS STEEL REUSABLE FOR SONOTRODE TIP RX,686.4,610.9,142.77,686.4,455 CDM,SUP-ZKLSMKLSBP2001,BATT REPL RECHRG 2,1455.0,1294.95,302.64,1455.0,455 CDM,SUP-ZKOGEDNLL05S,FORCEPS BIPOLAR ILLUMINATED DISPOSABLE 0.05MMX6.25IN,1593.0,1417.77,331.34,1593.0,455 CDM,SUP-ZKURO703059US,MAGNETOS FLEX 0.25 1MM GRANULES IN AN OPEN FIBRILLAR XL,10016.1,8914.33,2083.35,10016.1,476 CDM,SUP-ZKURZ1002257,OSSCLR CLIP PRTPROS TI 0.2X3.5,960.0,854.4,199.68,960.0,471 CDM,SUP-ZKURZ1006710,OSSCLR PST CLIP TI 0.4X5.5,956.0,850.84,198.85,956.0,471 CDM,SUP-ZKURZ1006711,OSSCLR PST CLIP PROS 0.4X5.75,956.0,850.84,198.85,956.0,471 CDM,SUP-ZLABOOPTBDL7004B,URETHRAL DRUG COATED BALLOON STERILE WITH INFLATION DEVICE OPTILUME 30FRX3CM,10275.0,9144.75,2137.2,10275.0,455 CDM,SUP-ZLABOOPTBDL7005B,INFLATION DEVICE OPTLME 30FRX5CM,6850.0,6096.5,1424.8,6850.0,470 CDM,SUP-ZLABOS7R161014,COLONIC RADIOPAQUE 16 14FRX5CM,1300.0,1157.0,270.4,1300.0,455 CDM,SUP-ZLGM3XLB,GIRDLE COMPRESSION HIGH WAIST CALF 3XLG SIDE SUPPORT LEFT RIGHT ZIPPER BLACK FEMALE NONSTERILE,649.0,577.61,134.99,649.0,455 CDM,SUP-ZLIFACISVG200M06P,GRFT SPCR VRT MD 0D CERV 6X6,1550.0,1379.5,322.4,1550.0,471 CDM,SUP-ZLIFACISVG200M07P,GRFT SPCR VRT MD 0D CERV 7X7,1550.0,1379.5,322.4,1550.0,471 CDM,SUP-ZLIFACISVG200S06P,GRAFT ACDF SPACER SM ANTERIOR H6MM POSTERIOR H6MM AP DIA11.5MM ML DIA12.5MM 0DEG PARALLEL CORTICAL CANCELLOUS PRESERVON VG2,1550.0,1379.5,322.4,1550.0,471 CDM,SUP-ZLIFACISVG200S07P,GRFT SPCR VRT SM 0D CERV 7X7,1550.0,1379.5,322.4,1550.0,471 CDM,SUP-ZLIFE1518320,GRAFT TISSUE ACELLULAR DERMIS READY TO USE REGENERATIVE STERILE MEDIUM THICK 1.6 +/0.4MM 16X20CM,18710.0,16651.9,124.71,18710.0,475 CDM,SUP-ZLIFE1518320P,GRAFT TISSUE ACELLULAR DERMIS READY TO USE SPINE STERILE MEDIUM THICK 1.6+/0.4MM PERFORATED 16X20CM,19272.0,17152.08,124.71,19272.0,475 CDM,SUP-ZLIFEAFLEX601,GRAFT TISSUE DECELLULARIZED DERMIS REGENERATIVE LATEX FREE STERILE ARTHROFLEX 4X40X70MM,9003.72,8013.31,124.71,9003.72,472 CDM,SUP-ZLIFEBL1500001,IMPLANT GRAFT BONE FILLER CELLULAR BONE PUTTY CORTICAL CANCELLOUS FROZEN STERILE 1CC,861.6,766.82,179.21,861.6,476 CDM,SUP-ZLIFEBL1500002,IMPLANT GRAFT BONE FILLER CELLULAR BONE PUTTY CORTICAL CANCELLOUS FROZEN STERILE 5CC,3715.65,3306.93,772.86,3715.65,476 CDM,SUP-ZLIFEBL1600001,GRAFT BONE FILLER CELLULAR BONE PUTTY CORTICAL CANCELLOUS FROZEN SM 1CC HUMAN,1134.08,1009.33,235.89,1134.08,455 CDM,SUP-ZLIFEBL1600002,GRAFT BONE FILLER CELLULAR BONE PUTTY CORTICAL CANCELLOUS FROZEN MD 5CC HUMAN,4614.56,4106.96,959.83,4614.56,455 CDM,SUP-ZLIFEBL1600003,IMPLANT GRAFT BONE FILLER CELLULAR BONE PUTTY CORTICAL CANCELLOUS FROZEN STERILE LARGE 10CC,7108.2,6326.3,1478.51,7108.2,455 CDM,SUP-ZLIFEBL170025050,GRFT PLF STRP DBM 25X50X4,1650.0,1468.5,343.2,1650.0,459 CDM,SUP-ZLIFEBL210010,IMPLANT GRAFT BONE FILLER SPINE DBM FIBERS CHIPS CORTICAL CANCELLOUS FREEZE DRIED PLIAFX PAK 10CC STERILE,1811.51,1612.24,376.79,1811.51,455 CDM,SUP-ZLIFEBL210020,IMPLANT GRAFT BONE FILLER SPINE DEMINERALIZED FIBERS CHIPS CORTICAL CANCELLOUS FREEZE DRIED PLIAFX PAK 20CC STERILE,4092.6,3642.41,851.26,4092.6,455 CDM,SUP-ZLIFECAN6014BP,GRAFT BONE SUBSTITUTE CHIPS 60CC 1 4MM CANCELLOUS FREEZE DRIED HUMAN,1174.2,1045.04,244.23,1174.2,476 CDM,SUP-ZLIFECAN9014BP,GRAFT BONE SUBSTITUTE CHIPS 90CC 1-4MM CANCELLOUS FREEZE DRIED,1883.22,1676.07,391.71,1883.22,455 CDM,SUP-ZLIFECCART30,GRFT CRTLG COSTL FRXN 7X30-59,850.0,756.5,176.8,850.0,471 CDM,SUP-ZLIFEFCPD11,IMPLANT GRAFT BONE DOWEL CANCELLOUS FREEZE DRIED STERILE PLUG WITH NONVIABLE CARTILAGE 11X16MM,786.21,699.73,163.53,786.21,455 CDM,SUP-ZLIFEFCPD9,IMPLANT GRAFT BONE DOWEL CANCELLOUS FREEZE DRIED STERILE PLUG WITH NONVIABLE CARTILAGE 9X16MM,786.21,699.73,163.53,786.21,455 CDM,SUP-ZLIFEFWR64,GRAFT HUMAN TISSUE WHOLE FEMUR WITH HEAD RIGHT FROZEN,20192.4,17971.24,4200.02,20192.4,459 CDM,SUP-ZLIFEHPL60,GRFT HUM PROX LT W CUFF,11561.81,10290.01,2404.86,11561.81,455 CDM,SUP-ZLIFEHVAL,VLV AORT CRD 22,24177.8,21518.24,5028.98,24177.8,455 CDM,SUP-ZLIFEHVAS,VALVE GRAFT AORTIC FROZEN REGENERATIVE HEART SM 16MM HUMAN,35273.12,31393.08,7336.81,35273.12,471 CDM,SUP-ZLIFEHVPL,VALVE GRAFT PULMONARY FROZEN REGENERATIVE HEART LG 22MM HUMAN,24177.8,21518.24,5028.98,24177.8,471 CDM,SUP-ZLIFEHVPM,VALVE PULMONARY M DIA21-17MM CRYOPRESERVED,35273.12,31393.08,7336.81,35273.12,471 CDM,SUP-ZLIFEHVPS,VLV PULM CRD HMGRFT 16,35273.12,31393.08,7336.81,35273.12,471 CDM,SUP-ZLIFEHWL60,GRAFT HUMAN TISSUE WHOLE HUMERUS WITH ROTATOR CUFF LEFT OSTEOARTICULAR FROZEN,11806.07,10507.4,2455.66,11806.07,455 CDM,SUP-ZLIFELC3006,PACK SINGLE VIAL,1292.02,1149.9,268.74,1292.02,475 CDM,SUP-ZLIFEOCAN20A,GRAFT BONE SUBSTITUTE POWDER 2CC 250-1000 MINERALIZED CANCELLOUS FREEZE DRIED,277.66,247.12,57.75,277.66,455 CDM,SUP-ZLIFERSL60,GRAFT HUMAN TISSUE LG L60MM WHOLE LEFT OSTEOARTICULAR CRYOPRESERVED,5086.8,4527.25,1058.05,5086.8,459 CDM,SUP-ZLIFERSR60,GRAFT HUMAN TISSUE LG L60MM WHOLE RIGHT OSTEOARTICULAR CRYOPRESERVED,5086.8,4527.25,1058.05,5086.8,459 CDM,SUP-ZLIFESCR60,GRFT BN SCAP FZ RT,10959.55,9754.0,2279.59,10959.55,455 CDM,SUP-ZLIFEULL60,GRFT ULNA SHFT,7142.66,6356.97,1485.67,7142.66,455 CDM,SUP-ZLIFEVG1LAM12B,SPACER LAMINOPLASTY W9XH6XL12MM CORTICAL PRESERVON VG1,1453.95,1294.02,302.42,1453.95,455 CDM,SUP-ZLIMLFSYSKIT01US21,SYSTEM KIT STENT PERIPHERAL PTFE COVERED EXTENSION NITINOL STERILE LIMFLO,50000.0,44500.0,10400.0,50000.0,471 CDM,SUP-ZLINK17293027,HIP STM LNK 27.5X330,9606.0,8549.34,1998.05,9606.0,469 CDM,SUP-ZLIPO301005,GRFT NANO FAT LIPOASP SGL,880.0,783.2,183.04,880.0,455 CDM,SUP-ZLIV1000125002,IMPLANT GENERATOR NEUROSTIMULATOR DEEP BRAIN STIMULATION PERMANENT TITANIUM STERILE VNS MODEL M100 3.2X4.5CM,70270.0,62540.3,14616.16,70270.0,456 CDM,SUP-ZLIV627224202,PK MUF PLEGIA,904.48,804.99,188.13,904.48,455 CDM,SUP-ZLIVA020271801,PACK ACCESSORIES HEMOCONCENTRATOR MYOCARDIAL PROTECTION,635.25,565.37,132.13,635.25,455 CDM,SUP-ZLIVAAR11016,AOR ROOT CAN W/OUT VENT LN 16G,200.94,178.84,41.8,200.94,455 CDM,SUP-ZLKSM503221707,BIT DRILL SURGICAL TWIST CYLINDRICAL LAG SYSTEM SINGLE USE RX 1.7/2.3X140MM,479.22,426.51,99.68,479.22,455 CDM,SUP-ZLNETAFLEX101,GRAFT TENDON DECELLULARIZED DERMIS ACHILLES STERILE THICK 0.9 1.99MM ARTHROFLEX 1.75X40X70MM,3984.9,3546.56,124.71,3984.9,472 CDM,SUP-ZLNETAFLEX401,GRAFT TISSUE PATCH DERMIS ROOM TEMPERATURE ACHILLES STERILE THICK 0.8 1.7MM ARTHROFLEX 1X40X70MM,3554.1,3163.15,124.71,3554.1,472 CDM,SUP-ZLUME25210219,TUBING PUMP DISPOSABLE,175.92,156.57,36.59,175.92,455 CDM,SUP-ZLUMEAC1059590,FIBER LASER L2M OD1.04MM ID0.5MM 295UM CO2 DISPOSABLE ACUPULSE,4050.0,3604.5,842.4,4050.0,455 CDM,SUP-ZMAIRCFD0800177,DEVICE FIXATION TINE H3.5MM UPPER LID BROW BIOABSORBABLE DRILL BIT INSERTION TOOL DISPOSABLE TRANSBLEPH,660.0,587.4,137.28,660.0,476 CDM,SUP-ZMAMMMAM3001,MARKER SITE IDENTIFIER BREAST-BIOPSY S COLLAGEN TITANIUM 11GA,167.58,149.15,34.86,167.58,462 CDM,SUP-ZMAMMMAM3002,MARKER SECOND SITE IDENTIFIER TISSUE BREAST-BIOPSY PROBE 11GA,167.58,149.15,34.86,167.58,462 CDM,SUP-ZMAQALM367210900BX10,BULB ALM HALOGEN 23V 100 WATT,455.51,405.4,94.75,455.51,455 CDM,SUP-ZMAQU175622P,IMPLANT GRAFT VASCULAR WOVEN POLYESTER STRAIGHT THORACIC COLLAGEN COATED STERILE DOUBLE VELOUR PLATINUM 22MMX60CM,1439.32,1280.99,299.38,1439.32,457 CDM,SUP-ZMAQU701053824,QUADROX BIO LINE BEQ HMOD70000,1646.25,1465.16,342.42,1646.25,455 CDM,SUP-ZMAQUD68400047901U,CATHETHER INTRA AORTIC BALLOON 6IN INTRODUCER SHEATH EXTENDER W/INSERTION 7.5FR 34CC 7.5FRX34CC,3644.87,3243.93,758.13,3644.87,455 CDM,SUP-ZMAQUD68400048001U,CATHETHER INTRA AORTIC BALLOON 6IN INTRODUCER SHEATH EXTENDER W/INSERTION 7.5FR 40CC 7.5FRX40CC,3642.26,3241.61,757.59,3642.26,455 CDM,SUP-ZMAQUD68400056801U,CATHETHER INTRA-AORTIC-BALLOON FIBER-OPTIC 2-STATLOCK 7.5FR-40CC 7.5FRX40CC,2030.8,1807.41,422.41,2030.8,461 CDM,SUP-ZMAQUD68400057601U,IABP 8FR BALLOON 50CC FIBEROPTIC CONNECTOR WITH INSERTION KIT DATASCOPE PLUS,4056.6,3610.37,843.77,4056.6,455 CDM,SUP-ZMAQUHGKTP0875CP,GRAFT VASCULAR 8X75MM CAROTID KNIT,195.8,174.26,40.73,195.8,457 CDM,SUP-ZMAR180014D,FCP BIPOLAR JEWELERS DISP,166.8,148.45,34.69,166.8,455 CDM,SUP-ZMAREB193436H,BRA MASTECTOMY DRAINAGE BULB MANAGEMENT BEIGE MD 34 36,303.84,270.42,63.2,303.84,455 CDM,SUP-ZMAREB193840H,BRA MASTECTOMY DRAINAGE BULB MANAGEMENT BEIGE LG 38 40,299.22,266.31,62.24,299.22,455 CDM,SUP-ZMAREB194244H,BRA MASTECTOMY DRAINAGE BULB MANAGEMENT BEIGE XL 42 44,302.16,268.92,62.85,302.16,455 CDM,SUP-ZMAREB194648H,BRA MASTECTOMY DRN BULB 2X,314.64,280.03,65.45,314.64,455 CDM,SUP-ZMAREB195052H,BRA MASTECTOMY DRAINAGE BULB MANAGEMENT BEIGE 3XL 50 52,266.4,237.1,55.41,266.4,455 CDM,SUP-ZMAREBNVL3032H,BRA COMPRESSION SIZE 3032 BEIGE SLIDE ADJUSTABLE SHOULDER STRAP REMOVABLE FABRIC LOOP FRONT CLOSURE SOFT ELASTIC BAND UNDERBUST,208.68,185.73,43.41,208.68,455 CDM,SUP-ZMAREBNVL5456H,BRA MASTECTOMY 4XL,208.68,185.73,43.41,208.68,455 CDM,SUP-ZMAREBVNL5456H,BRA COMFORT WEAR 4XL BEIGE,195.0,173.55,40.56,195.0,455 CDM,SUP-ZMARELGA2XLB,GIRDLE COMPRESSION SEQUENTIAL DEVICE HIGH WAIST NYLON SPANDEX BIKINI ZIPPERLESS NO LEGS BLACK FEMALE NONSTERILE REUSABLE 2XLG,230.88,205.48,48.02,230.88,455 CDM,SUP-ZMARELGA3XLB,GIRDLE COMPRESSION HIGH WAIST WITHOUT LEGS BIKINI BLACK FEMALE NONSTERILE 3XLG,230.88,205.48,48.02,230.88,455 CDM,SUP-ZMARELGA4XLB,GIRDLE COMPRESSION GARMENT FEMALE 1ST STAGE WITH NO LEG COVERAGE ABDOMINAL LENGTH SIDE ZIPPER BLACK 4XLG,248.64,221.29,51.72,248.64,455 CDM,SUP-ZMARELGALB,GIRDLE COMPRESSION HIGH WAIST BIKINI LG,230.88,205.48,48.02,230.88,455 CDM,SUP-ZMARELGAMB,GIRDLE COMPRESSION HIGH WAIST BIKINI MD,230.88,205.48,48.02,230.88,455 CDM,SUP-ZMARELGAXLB,GIRDLE COMPRESSION HIGH WAIST BIKINI XLG,230.88,205.48,48.02,230.88,455 CDM,SUP-ZMARELGM2XLB,GIRDLE HIGH WAIST CALF ZIPPER F BLACK 2XLG,649.0,577.61,134.99,649.0,455 CDM,SUP-ZMARELGMLB,GIRDLE COMPRESSION HIGH WAIST CALF SIDE SUPPORT LEFT RIGHT ZIPPER BLACK FEMALE NONSTERILE LG,649.0,577.61,134.99,649.0,455 CDM,SUP-ZMARELGMMB,GIRDLE COMPRESSION HIGH WAIST CALF SIDE SUPPORT LEFT RIGHT ZIPPER BLACK FEMALE NONSTERILE MD,328.56,292.42,68.34,328.56,455 CDM,SUP-ZMARELGMSB,GIRDLE COMPRESSION HIGH WAIST CALF SMALL SIDE SUPPORT LEFT RIGHT ZIPPER BLACK FEMALE NON STERILE,328.56,292.42,68.34,328.56,455 CDM,SUP-ZMARELGMXLB,GIRDLE COMPRESSION HIGH WAIST CALF SIDE SUPPORT LEFT RIGHT ZIPPER BLACK FEMALE NONSTERILE XLG,649.0,577.61,134.99,649.0,455 CDM,SUP-ZMARELGS2XLB,GIRDLE COMPRESSION HIGH WAISTED SHORT LENGTH 2XLG,704.0,626.56,146.43,704.0,455 CDM,SUP-ZMARELGS3XLB,GIRDLE COMPRESSION HIGH WAISTED SHORT LENGTH 3XLG,704.0,626.56,146.43,704.0,455 CDM,SUP-ZMARELGS4XLB,GIRDLE COMPRESSION BLACK FEMALE ABOVE MID THIGH HIGH WAIST SHORT LENGTH SOFT ELASTIC WAISTBAND PADDED HOOK AND EYE SIDE ZIPPER CLOSURE 4XLG,306.36,272.66,63.72,306.36,455 CDM,SUP-ZMARELGSLB,GIRDLE COMPRESSION HIGH WAISTED SHORT LENGTH LG,704.0,626.56,146.43,704.0,455 CDM,SUP-ZMARELGSMB,GIRDLE COMPRESSION HIGH WAISTED SHORT LENGTH MD,704.0,626.56,146.43,704.0,455 CDM,SUP-ZMARELGSSB,GIRDLE COMPRESSION HIGH WAISTED SHORT LENGTH SM,284.16,252.9,59.11,284.16,455 CDM,SUP-ZMARELGSXLB,GIRDLE COMPRESSION HIGH WAISTED SHORT LENGTH XLG,704.0,626.56,146.43,704.0,455 CDM,SUP-ZMARL15285,ILEOSTOMY FLEXIBLE LATEX FREE STERILE MEDIUM STRAIGHT 24IN,288.54,256.8,60.02,288.54,455 CDM,SUP-ZME4030,DRESSING HEMOSTATIC W12XL12IN 3 PLY CONTROL+,1329.6,1183.34,276.56,1329.6,455 CDM,SUP-ZMECT03630001,SCALPEL SURGICAL MF1 W2.9XL4MM THK1MM FLAP,1853.19,1649.34,385.46,1853.19,455 CDM,SUP-ZMED3240,CANNULA OPHTHALMIC IRRIGATION DUAL BORE SINGLE PORT FLEX TIP FLEX TIP 25GAX0.5X31MM DISPOSABLE,312.0,277.68,64.9,312.0,455 CDM,SUP-ZMEDE0790016,CANISTER SUCTION POLYPROPYLENE THORACIC DRAINAGE WITHOUT SOLIDIFIER ON LID 0.8L,223.98,199.34,46.59,223.98,455 CDM,SUP-ZMEDE0790021,TUBING DRAINAGE CHEST SINGLE CONNECTOR SAMPLE PORT MEDIUM 20 32FR DISPOSABLE,223.8,199.18,46.55,223.8,455 CDM,SUP-ZMEDLDYNJ44920B,PACK SURGICAL ACCOUSTIC NEUROMA CUSTOM STERILE,1279.7,1138.93,266.18,1279.7,455 CDM,SUP-ZMEDLDYNJ44921A,PK DIRECT ANTERIOR HIP,565.4,503.21,117.6,565.4,455 CDM,SUP-ZMEDLDYNJ44923D,PACK SURGICAL TOTAL BILATERAL CUSTOM STERILE,718.14,639.14,149.37,718.14,455 CDM,SUP-ZMEDLDYNJ44924B,PK BRST CUST,400.02,356.02,83.2,400.02,455 CDM,SUP-ZMEDLDYNJ44926D,PACK SURGICAL CAROTID CUSTOM STERILE,576.73,513.29,119.96,576.73,455 CDM,SUP-ZMEDLDYNJ44927C,PACK SURGICAL CAROTID VASCULAR CUSTOM STERILE,587.95,523.28,122.29,587.95,455 CDM,SUP-ZMEDLDYNJ44928C,PACK SURGICAL CARPAL TUNNEL CUSTOM STERILE,328.26,292.15,68.28,328.26,455 CDM,SUP-ZMEDLDYNJ44939B,PK GEN THYROID,268.56,239.02,55.86,268.56,455 CDM,SUP-ZMEDLDYNJ44941D,PACK SURGICAL HAND CUSTOM STERILE,414.76,369.14,86.27,414.76,455 CDM,SUP-ZMEDLDYNJ44942C,PACK SURGICAL HEAD AND NECK MAJOR CUSTOM STERILE,414.7,369.08,86.26,414.7,455 CDM,SUP-ZMEDLDYNJ44943C,PACK SURGICAL HEAD AND NECK MINOR CUSTOM STERILE,356.58,317.36,74.17,356.58,455 CDM,SUP-ZMEDLDYNJ44945A,PACK SURGICAL LABOR AND DELIVERY STERILE,207.18,184.39,43.09,207.18,455 CDM,SUP-ZMEDLDYNJ44951B,PACK SURGICAL MAJOR VAGINAL CUSTOM STERILE,354.06,315.11,73.64,354.06,455 CDM,SUP-ZMEDLDYNJ44953B,PACK SURGICAL MINOR ABDOMINAL BREAST STERILE,381.48,339.52,79.35,381.48,455 CDM,SUP-ZMEDLDYNJ44968C,PACK-SURGICAL TOTAL-KNEE LATEX-FREE STERILE,549.95,489.46,114.39,549.95,455 CDM,SUP-ZMEDLDYNJ44969B,PACK SURGICAL TOTAL SHOULDER STERILE,556.82,495.57,115.82,556.82,455 CDM,SUP-ZMEDLDYNJ52382A,SHUNT PACK,1170.8,1042.01,243.53,1170.8,455 CDM,SUP-ZMEDLDYNJ57038,PK EAR CUST,346.98,308.81,72.17,346.98,455 CDM,SUP-ZMEDLDYNJ57039,PACK CYSTO URETEROSCOPY CUSTOM,371.58,330.71,77.29,371.58,455 CDM,SUP-ZMEDLDYNJ907088,LAPAROSCOPIC,925.71,823.88,192.55,925.71,455 CDM,SUP-ZMEDO3261,CANN OPTH MCTIP BVL 25GA/40GA,561.0,499.29,116.69,561.0,455 CDM,SUP-ZMEDO3275,KIT INJECTOR RETINAL WITH CONNECTOR MICRODOSE 1ML,156.0,138.84,32.45,156.0,455 CDM,SUP-ZMEDT245041,GRAFT HUMAN TISSUE W11XH10XL14MM CANCELLOUS CORTICAL FREEZE DRIED ASR,1723.2,1533.65,358.43,1723.2,455 CDM,SUP-ZMEDT245641,GRAFT HUMAN TISSUE W11XH6XL14MM CANCELLOUS CORTICAL FREEZE DRIED ASR,1723.2,1533.65,358.43,1723.2,455 CDM,SUP-ZMEDT245741FZ,GRFT CORT CRN DBM ASR 7X14X11,1723.2,1533.65,358.43,1723.2,455 CDM,SUP-ZMEDT245841FZ,GRAFT HUMAN TISSUE W11XH8XL14MM CANCELLOUS CORTICAL FREEZE DRIED ASR,1723.2,1533.65,358.43,1723.2,455 CDM,SUP-ZMEDT245941,GRAFT HUMAN TISSUE W14XH9XL11MM CANCELLOUS,1723.2,1533.65,358.43,1723.2,455 CDM,SUP-ZMEDT293007,IMPLANT GRAFT BONE SPACER CORTICAL FREEZE DRIED STERILE LUMBAR 7X30MM,7915.95,7045.2,1646.52,7915.95,459 CDM,SUP-ZMEDT293009,GRFT CORT CRS WDG 9X30,10677.81,9503.25,2220.98,10677.81,459 CDM,SUP-ZMEDT293010,IMPLANT GRAFT BONE SPACER CORTICAL FREEZE DRIED STERILE LUMBAR 10X30MM,7915.95,7045.2,1646.52,7915.95,459 CDM,SUP-ZMEDT345541,IMPLANT GRAFT BONE DOWEL CORTICAL CANCELLOUS FREEZE DRIED STERILE 5X11X14MM,1669.35,1485.72,347.22,1669.35,455 CDM,SUP-ZMEDT345641,IMPLANT GRAFT BONE DOWEL CORTICAL CANCELLOUS FREEZE DRIED STERILE 6X11X14MM,1669.35,1485.72,347.22,1669.35,455 CDM,SUP-ZMEDT345741,IMPLANT GRAFT BONE DOWEL CORTICAL CANCELLOUS FREEZE DRIED STERILE 7X11X14MM,1669.35,1485.72,347.22,1669.35,455 CDM,SUP-ZMEDT345841,IMPLANT GRAFT BONE DOWEL CORTICAL CANCELLOUS FREEZE DRIED STERILE 8X11X14MM,1669.35,1485.72,347.22,1669.35,455 CDM,SUP-ZMEDT345941,IMPLANT GRAFT BONE DOWEL CORTICAL CANCELLOUS FREEZE DRIED STERILE 9X11X14MM,1669.35,1485.72,347.22,1669.35,455 CDM,SUP-ZMEDT50106,GRAFT BONE SUBSTITUTE 6CC PUTTY DBF,1876.13,1669.76,390.24,1876.13,455 CDM,SUP-ZMEDT609002,GRAFT BONE SHIM CORTICAL CERVICAL STERILE 2X8X8MM,911.14,810.91,189.52,911.14,455 CDM,SUP-ZMEDT609003,IMPLANT GRAFT BONE DOWEL CORTICAL STERILE CERVICAL 3X8X8MM,995.15,885.68,206.99,995.15,455 CDM,SUP-ZMEDT609004,GRAFT TENDON TIBIAL ANTERIOR FROZEN STERILE 4X8X8MM,1077.0,958.53,224.02,1077.0,455 CDM,SUP-ZMEDT6250V57S,GUIDING CORONARY STRAIGHT 0.035IN GUIDEWIRE PEBA STERILE HYDROPHILIC COATED 8.5 9.5FRX22.6IN,588.0,523.32,122.3,588.0,474 CDM,SUP-ZMEDT6250VMPR,GUIDING CORONARY CURVE MULTIPURPOSE RIGHT 0.035IN GUIDEWIRE POLYETHER BLOCK AMIDE POLYAMIDE HYDROPHILIC COATED 9FRX45CM SUREVALVE VERSION STERILE,588.0,523.32,122.3,588.0,474 CDM,SUP-ZMEDT9771IP,KIT NEUROSTIMULATOR PERCUTANEOUS,37511.0,33384.79,7802.29,37511.0,458 CDM,SUP-ZMEDT9771IR,KIT IMPLANT NERVE STIMULATOR SPINAL CORD STIMULATION COMPATIBLE RECHARGEABLE STERILE,33911.0,30180.79,7053.49,33911.0,458 CDM,SUP-ZMEDT9771IS,KIT INTELLISSENSOR SURGICAL SYSTEM,42911.0,38190.79,8925.49,42911.0,456 CDM,SUP-ZMEDT9771LS,IMPLANT GENERATOR NEUROSTIMULATOR PAIN MANAGEMENT SPINE STERILE,42750.0,38047.5,8892.0,42750.0,458 CDM,SUP-ZMEDTCMRM6122USB,MESH PACEMAKER MD W2.5XL2.7IN ABSORBABLE ANTIBACTERIAL,1790.0,1593.1,372.32,1790.0,471 CDM,SUP-ZMEDTEC05,CASSETTE ANCILLARY WITH 5 IMPLANT FOR EVAR ENDO,3382.0,3009.98,703.46,3382.0,471 CDM,SUP-ZMEDTETLW1610C124E,STENT GRAFT ILIAC BIFURCATED POLYESTER NITINOL STERILE CONTRALATERAL LIMB C DESIGN E DELIVERY SYSTEM II 16X10X124MM,9416.0,8380.24,1958.53,9416.0,471 CDM,SUP-ZMEDTETLW1613C156E,STENT GRAFT ILIAC BIFURCATED POLYESTER NITINOL STERILE CONTRALATERAL LIMB C DESIGN E DELIVERY SYSTEM II 16X13X156MM,12114.0,10781.46,2519.71,12114.0,471 CDM,SUP-ZMEDTETLW1613C199E,STENT GRAFT ILIAC BIFURCATED POLYESTER NITINOL STERILE CONTRALATERAL LIMB C DESIGN E DELIVERY SYSTEM II 16X13X199MM,12294.0,10941.66,2557.15,12294.0,471 CDM,SUP-ZMEDTETLW1613C82E,STENT GRAFT ILIAC BIFURCATED POLYESTER NITINOL EXTENSION STERILE CONTRALATERAL LIMB C DESIGN E DELIVERY SYSTEM II 16X13X82MM,9180.0,8170.2,1909.44,9180.0,471 CDM,SUP-ZMEDTETLW1616C156E,STENT GRAFT ILIAC BIFURCATED POLYESTER NITINOL STERILE CONTRALATERAL LIMB C DESIGN E DELIVERY SYSTEM II 16X16X156MM,12114.0,10781.46,2519.71,12114.0,471 CDM,SUP-ZMEDTETLW1616C93E,STENT GRAFT ILIAC BIFURCATED POLYESTER NITINOL EXTENSION STERILE CONTRALATERAL LIMB C DESIGN E DELIVERY SYSTEM II 16X16X93MM,8802.0,7833.78,1830.82,8802.0,471 CDM,SUP-ZMEDTETLW1620C82E,STENT GRAFT ILIAC BIFURCATED POLYESTER NITINOL EXTENSION STERILE CONTRALATERAL LIMB C DESIGN E DELIVERY SYSTEM II 16X20X82MM,8470.0,7538.3,1761.76,8470.0,471 CDM,SUP-ZMEDTETLW1624C156E,STENT GRAFT ILIAC BIFURCATED POLYESTER NITINOL STERILE CONTRALATERAL LIMB C DESIGN E DELIVERY SYSTEM II 16X24X156MM,12114.0,10781.46,2519.71,12114.0,471 CDM,SUP-ZMEDTETLW1628C124E,STENT GRAFT ILIAC BIFURCATED POLYESTER NITINOL STERILE CONTRALATERAL LIMB C DESIGN E DELIVERY SYSTEM II 16X28X124MM,9416.0,8380.24,1958.53,9416.0,471 CDM,SUP-ZMEDTETUF2514C102E,STENT GRAFT ABDOMINAL AORTIC ANEURYSM STERILE INFRARENAL C DESIGN E DELIVERY SYSTEM II 25X14X102MM,18880.0,16803.2,3927.04,18880.0,471 CDM,SUP-ZMEDTETUF3214C102E,STENT GRAFT AORTIC ABDOMINAL ANEURYSM POLYESTER NITINOL MAIN BODY STERILE II 32X14X120MM,18880.0,16803.2,3927.04,18880.0,471 CDM,SUP-ZMEDTETUF3614C102E,STENT GRAFT ABDOMINAL AORTIC ANEURYSM POLYESTER NITINOL MAIN BODY STERILE II 36X14X102MM 2 ILIAC,18880.0,16803.2,3927.04,18880.0,471 CDM,SUP-ZMEDTINTELTRIAL2,KIT NEUROSTIMULATOR SPINE TRIAL LEAD LATEX FREE STERILE,1900.0,1691.0,395.2,1900.0,457 CDM,SUP-ZMEDTIPU07004013P,PERIPHERAL DRUG COATED L130CM BALLOON 7X40MM IN.PACT 018,1720.0,1530.8,357.76,1720.0,470 CDM,SUP-ZMEDTIPU07006013P,PERIPHERAL DRUG COATED L130CM BALLOON 7X60MM IN.PACT 018,1720.0,1530.8,357.76,1720.0,470 CDM,SUP-ZMEDTIPU07008013P,BALLOON PERIPHERAL OVER THE WIRE DRUG COATED STERILE 0.018IN GUIDEWIRE COMPATIBLE IN PACT 7FRX7.0X80MMX130CM,1720.0,1530.8,357.76,1720.0,470 CDM,SUP-ZMEDTLF1212A,SEALER LAPAROSCOPIC SM L18.8CM OPEN HAND/FOOT SWITCHING FORCETRIAD ENERGY PLATFORM,1906.5,1696.79,396.55,1906.5,455 CDM,SUP-ZMEDTMICRAAV2SYSTEM,PACEMAKER SYSTEM DUAL CHAMBER COMPATIBLE STERILE LEADLESS,24440.0,21751.6,5083.52,24440.0,471 CDM,SUP-ZMEDTMICRATCPSYSTEM,SYSTEM PACEMAKER VR SINGLE CHAMBER LEADLESS TRANSCATHETER COMPATIBLE STERILE 23FR 105CM,17500.0,15575.0,3640.0,17500.0,455 CDM,SUP-ZMEDTMICRAVR2SYSTEM,IMPLANT PACEMAKER SYSTEM VR COMPATIBLE STERILE LEADLESS,18820.0,16749.8,3914.56,18820.0,471 CDM,SUP-ZMEDTNEUROKIT400T03,KIT NEUROLOGICAL LASER DIAGNOSTIC 3MM,27000.0,24030.0,5616.0,27000.0,455 CDM,SUP-ZMEDTNEUROKIT400T10,LASER DIFFUSING TIP GUIDED 10MM,27000.0,24030.0,5616.0,27000.0,455 CDM,SUP-ZMEDTPCP020020180,BALLOON PERIPHERAL OVER THE WIRE COMPLIANT DRUG COATED STERILE 0.018IN GUIDEWIRE COMPATIBLE PLUS 4FRX2.0X20MMX180CM,240.0,213.6,49.92,240.0,461 CDM,SUP-ZMEDTPCP020080130,BALLOON PERIPHERAL OVER THE WIRE COMPLIANT DRUG COATED STERILE 0.018IN GUIDEWIRE COMPATIBLE PLUS 4FRX2.0X80MMX130CM,240.0,213.6,49.92,240.0,461 CDM,SUP-ZMEDTPCP025020180,BALLOON PERIPHERAL OVER THE WIRE COMPLIANT DRUG COATED STERILE 0.018IN GUIDEWIRE COMPATIBLE PLUS 4FRX2.5X20MMX180CM,240.0,213.6,49.92,240.0,461 CDM,SUP-ZMEDTPCP035080130,BALLOON PERIPHERAL OVER THE WIRE COMPLIANT DRUG COATED STERILE 0.018IN GUIDEWIRE COMPATIBLE PLUS 4FRX3.5X80MMX130CM,240.0,213.6,49.92,240.0,461 CDM,SUP-ZMEDTPED225018,DEVICE EMBOLIZATION L18MM DIA2.5MM NEUROVASCULAR FLOW DIVERTING RESHEATHABLE FLEXIBLE BRAID SOFT DISTAL TIP,25750.0,22917.5,5356.0,25750.0,459 CDM,SUP-ZMEDTR2292,REPROCESSED ANALYZER SURGICAL,1094.5,974.11,227.66,1094.5,455 CDM,SUP-ZMEDTS1826,STENT BILIARY 9 MM DIA 26 MM LENGTH STAINLESS STEEL 9 FR SELF EXPANDABLE,1200.0,1068.0,249.6,1200.0,457 CDM,SUP-ZMEDTSFR432010,THROMBECTOMY STENT CLOT RETRIEVAL L20MM DIA3MM V01 FOR REVASCULARISATION SOLITAIRE X,18315.0,16300.35,3809.52,18315.0,455 CDM,SUP-ZMEDTT50101,IMPLANT GRAFT BONE FILLER DBM PUTTY INJECTABLE STERILE 1CC,566.5,504.19,117.83,566.5,455 CDM,SUP-ZMEDTT50103,IMPLANT GRAFT BONE FILLER DBM PUTTY INJECTABLE STERILE 3CC,1057.61,941.27,219.98,1057.61,455 CDM,SUP-ZMEDTT50206,GRAFT DBF 6CC CANNULA ACCELERATE HUMAN,2046.3,1821.21,425.63,2046.3,455 CDM,SUP-ZMEDTT50209,SET BONE GRAFT DELIVERY SYSTEM WITH 9CC DBF 2 CANNULA ACCELERATE,2714.04,2415.5,564.52,2714.04,455 CDM,SUP-ZMEDTT50212,GRAFT ACCELERATE DBF 12CC HUMAN,3166.38,2818.08,658.61,3166.38,455 CDM,SUP-ZMEDTT50303,IMPLANT GRAFT BONE FILLER DBF INJECTABLE LATEX FREE STERILE 3CC,1162.0,1034.18,241.7,1162.0,476 CDM,SUP-ZMEDTT50306,GRAFT BONE SUBSTITUTE 6CC DEMINERALIZED BONE FIBER INJECT,2030.0,1806.7,422.24,2030.0,476 CDM,SUP-ZMEDTT50309,IMPLANT GRAFT BONE DBF INJECTABLE STERILE 9CC,2660.0,2367.4,553.28,2660.0,476 CDM,SUP-ZMEDTVCLASKIT600T15,15 MM FIBER KIT AND VISUALIZATION,14268.0,12698.52,2967.74,14268.0,455 CDM,SUP-ZMEDW1415LH15,COAGULATION,3800.0,3382.0,790.4,3800.0,462 CDM,SUP-ZMEDX20600,GRFT FEM HD GRF FRZN 45,2668.81,2375.24,555.11,2668.81,455 CDM,SUP-ZMENT28003BGM,GARMENT COMPRESSION VEST BEIGE POWERNET FABRIC WITH 2IN ELASTIC WAISTBAND SHOULDER STRAP MALE MD,336.0,299.04,69.89,336.0,455 CDM,SUP-ZMENT28003BGXL,GARMENT COMPRESSION VEST BEIGE XLG,384.0,341.76,79.87,384.0,455 CDM,SUP-ZMENT28003BGXXL,GARMENT COMPRESSION VEST DOUBLE REINFORCED SHOULDER STRAPS ZIPPER HOOK/EYE CLOSURE MALE POWERKNIT FABRIC BEIGE 2XLG,354.0,315.06,73.63,354.0,455 CDM,SUP-ZMERI760211M,VESSEL SIZING L100CM OD5FR ID0.052IN 0.035IN GUIDEWIRE 11 MARKER BAND 10 SIDEPORT PIGTAIL NON BRAIDED,363.9,323.87,75.69,363.9,455 CDM,SUP-ZMERI80129207,STENT ESOPHAGEAL L70MM DIA12MM DELIVERY DEVICE L67CM DIA16MM POLYURETHANE SILICONE FULLY COVERED PROXIMAL SUTURE KNOT ANTIMIGRATION STRUT LOW,5400.0,4806.0,1123.2,5400.0,459 CDM,SUP-ZMERI80129210,STENT ESOPHAGEAL POLYURETHANE OVER THE WIRE FULLY COVERED ALIMAXX ES 16FRX14X70MM,3600.0,3204.0,748.8,3600.0,459 CDM,SUP-ZMERI80129213,STENT ESOPHAGEAL 16MMX70CM GEOMETRIC FULLY COVERED POLYURETHANE COVER ANTIMIGRATION STRUT PURSE STRING DESIGN NITINOL 16X70MM,5400.0,4806.0,1123.2,5400.0,459 CDM,SUP-ZMERI90129207,STENT TRACHEOBRONCHIAL POLYURETHANE OVER THE WIRE COVERED FLEXIBLE LOW PRELOADED STERILE 10X20MM DISPOSABLE,5000.0,4450.0,1040.0,5000.0,459 CDM,SUP-ZMERI90129208,STENT TRACHEAL 16FR L30MM L62CM DIA10MM POLYURETHANE OVER THE WIRE FULLY COVERED,5000.0,4450.0,1040.0,5000.0,459 CDM,SUP-ZMERI90129209,STENT TRACHEAL L40MM DIA10MM WORKING L61CM 16FR POLYURETHANE OVER THE WIRE FULLY COVERED,5000.0,4450.0,1040.0,5000.0,459 CDM,SUP-ZMERI90129210,STENT TRACHEOBRONCHIAL POLYURETHANE OVER THE WIRE COVERED FLEXIBLE LOW PRELOADED STERILE 12X20MM DISPOSABLE,5000.0,4450.0,1040.0,5000.0,459 CDM,SUP-ZMERI90129211,STENT TRACHEAL L30MM DIA12MM WORKING L62CM 16FR POLYURETHANE OVER THE WIRE FULLY COVERED,5000.0,4450.0,1040.0,5000.0,459 CDM,SUP-ZMERI90129212,STENT TRACHEAL L40MM DIA12MM WORKING L61CM 16FR POLYURETHANE OVER THE WIRE FULLY COVERED,5000.0,4450.0,1040.0,5000.0,459 CDM,SUP-ZMERI90129213,STENT TRACHEOBRONCHIAL POLYURETHANE OVER THE WIRE COVERED FLEXIBLE LOW PRELOADED STERILE 14X20MM DISPOSABLE,5000.0,4450.0,1040.0,5000.0,459 CDM,SUP-ZMERI90129214,STENT TRACHEAL 16FR L30MM L62CM DIA14MM POLYURETHANE OVER THE WIRE FULLY COVERED,5000.0,4450.0,1040.0,5000.0,459 CDM,SUP-ZMERI90129215,STENT TRACHEOBRONCHIAL L40MM DIA14MM POLYURETHANE LOW OVER THE WIRE FULLY COVERED FLEXIBLE,5000.0,4450.0,1040.0,5000.0,459 CDM,SUP-ZMERIAERO1015,STENT TRACHEOBRONCHIAL COVERED STERILE 10X15MM DISPOSABLE,5100.0,4539.0,1060.8,5100.0,459 CDM,SUP-ZMERIAERO1215,STENT TRACHEOBRONCHIAL L15MM OD12MM FULLY COVERED,5100.0,4539.0,1060.8,5100.0,459 CDM,SUP-ZMERIAERO1415,STENT TRACHEOBRONCHIAL L15MM OD14MM FULLY COVERED MINI,5100.0,4539.0,1060.8,5100.0,459 CDM,SUP-ZMERIAERO815,STENT TRACHEOBRONCHIAL COVERED STERILE 8X15MM DISPOSABLE,5100.0,4539.0,1060.8,5100.0,459 CDM,SUP-ZMERIAERO820,STENT TRACHEOBRONCHIAL COVERED STERILE 8X20MM DISPOSABLE,5100.0,4539.0,1060.8,5100.0,459 CDM,SUP-ZMERMAXX1915,STENT ESOPHAGEAL SILICONE OVER THE WIRE FULLY COVERED LOW FLEXBILE DELIVERY 24FRX19X150MMX90CM,5600.0,4984.0,1164.8,5600.0,459 CDM,SUP-ZMERMAXX197,STENT ESOPHAGEAL L70MM DIA19MM FULLY COVERED OVER THE WIRE,5600.0,4984.0,1164.8,5600.0,459 CDM,SUP-ZMERZ8044MO9010M1,IMPLANT OTOLARYNGOLOGY VOICE PROSTHESIS VOCAL CORD GEL CALCIUM HYDROXLYAPATITE SYRINGE STERILE PROLAYN PLUS 1CC,1470.0,1308.3,305.76,1470.0,455 CDM,SUP-ZMERZ8602M0K5,PROLARYN IMPLANT OTOLARYNGOLOGY VOICE PROSTHESIS VOCAL CHORD TRACHEOESOPHAGEAL CALCIUM HYDROXLYAPATITE INJECTABLE STERILE 1ML,1470.0,1308.3,305.76,1470.0,455 CDM,SUP-ZMICR3904M,DRAPE ARTHROSCOPY W/POUCH,499.9,444.91,103.98,499.9,455 CDM,SUP-ZMICR810101,BLADE 45D SPEAR TIP NARROW SHAFT OFFSET ENT SURGICAL MYRINGOTOMY DISPOSABLE,1415.0,1259.35,294.32,1415.0,455 CDM,SUP-ZMICRCF48331,COAGULATION FORCEPS GROOVED,792.0,704.88,164.74,792.0,455 CDM,SUP-ZMICRCF48361,COAGULATION FORCEPS GROOVED,792.0,704.88,164.74,792.0,455 CDM,SUP-ZMICRGC595M2,GUIDING PERIPHERAL RADIOPAQUE CURVE MULTIPURPOSE 2 0.059IN GUIDEWIRE SINGLE 5FRX95CM STERILE,560.0,498.4,116.48,560.0,474 CDM,SUP-ZMICRGC695M2,GUIDING 6FR 95CM MP2 SINGLE,560.0,498.4,116.48,560.0,474 CDM,SUP-ZMICRRC30411,SURECLIP MINI REPOSITIONABLE 235CM,200.0,178.0,41.6,200.0,471 CDM,SUP-ZMICRRT083001,RETRACTOR ENDOSCOPIC 5MM TROCAR 80MM HEART WIDTH REVEEL 300MM,890.07,792.16,185.13,890.07,455 CDM,SUP-ZMICRVIVIPG,IMPLANT GENERATOR NEUROSTIMULATOR DEEP BRAIN STIM PERMANENT TITANIUM STERILE VIVISTIM,59000.0,52510.0,12272.0,59000.0,455 CDM,SUP-ZMIMEAF100,GRAFT HUMAN TISSUE 100MG PLACENTAL TISSUE,592.35,527.19,123.21,592.35,455 CDM,SUP-ZMIMEEI5200,GRAFT HUMAN TISSUE 4X4.5CM,5923.5,5271.92,1232.09,5923.5,457 CDM,SUP-ZMIMEES4400,GRAFT TISSUE AMNIOTIC MEMBRANE STEM CELL REGENERATIVE CHRONIC WOUND CARE STERILE 4X4.5CM,3075.91,2737.56,639.79,3075.91,462 CDM,SUP-ZMIMEGS5140,GRAFT TISSUE AMNIOTIC MEMBRANE STEM CELL REGENERATIVE CHRONIC WOUND CARE STERILE 14MM,740.0,658.6,124.71,740.0,473 CDM,SUP-ZMIMEGS5440,GRAFT TISSUE AMNIOTIC MEMBRANE STEM CELL REGENERATIVE CHRONIC WOUND CARE STERILE 4X4CM,6748.48,6006.15,1403.68,6748.48,462 CDM,SUP-ZMIMEGS5560,GRAFT TISSUE AMNIOTIC MEMBRANE STEM CELL REGENERATIVE CHRONIC WOUND CARE STERILE 5X6CM,12809.84,11400.76,2664.45,12809.84,462 CDM,SUP-ZMIMEGS5770,GRAFT TISSUE AMNIOTIC MEMBRANE STEM CELL REGENERATIVE CHRONIC WOUND CARE STERILE 7X7CM,21434.45,19076.66,4458.37,21434.45,462 CDM,SUP-ZMIMEXL5616,GRFT SKN AMN EPF6X16,16790.43,14943.48,3492.41,16790.43,462 CDM,SUP-ZMIMEXL5920,GRAFT HUMAN TISSUE XL 9X20CM DEHYDRATED MEMBRANE,25406.43,22611.72,5284.54,25406.43,462 CDM,SUP-ZMIMGGS5230,GRAFT TISSUE AMNIOTIC MEMBRANE STEM CELL REGENERATIVE CHRONIC WOUND CARE STERILE 2X3CM,2664.5,2371.41,554.22,2664.5,459 CDM,SUP-ZMINEMVBF0618ABX10,FORCEPS MINERVAGRASP SINGLE USE FLEXIBLE CYSTOSCOPY BIOPSY 1.8X60,270.0,240.3,56.16,270.0,455 CDM,SUP-ZMIVIMIA9095S,CATH GD MXS 8FX90,990.0,881.1,205.92,990.0,474 CDM,SUP-ZMIZU0715010,PROBE ULTRASOUND SLIM HANDLE 280MM,1937.5,1724.38,403.0,1937.5,455 CDM,SUP-ZMIZU170017219C,CLIP ANEURYSM NO72 19C L36.5MM OPENING 18MM HANDLE L25MM 1.67N LONG TITANIUM STRAIGHT,824.0,733.36,171.39,824.0,471 CDM,SUP-ZMMIINSPBM1221,FCP MICRO NANOWRIST,4000.04,3560.04,832.01,4000.04,455 CDM,SUP-ZMMIINSRFM3221,SCSS MCR NANOWRIST,4000.04,3560.04,832.01,4000.04,455 CDM,SUP-ZMNEUROKIT400T10X4,KIT NEUROLOGIC ABLATION DIFFUSING TIP WITH ACCESSORIES 10MM,57104.0,50822.56,11877.63,57104.0,462 CDM,SUP-ZMNLI2514,TISSUE SCLERA IMPLANT 1/4,1200.0,1068.0,249.6,1200.0,457 CDM,SUP-ZMOLEKIM1309T,NEEDLE INTERVENTIONAL 13GA L94MM TROCAR TIP LOCKING CAP FOR GUIDED APPLICATION,390.0,347.1,81.12,390.0,455 CDM,SUP-ZMOLEKIM1509T,NEEDLE INTERVENTIONAL 15GA L94MM TROCAR TIP LOCKING CAP FOR GUIDED APPLICATION,390.0,347.1,81.12,390.0,455 CDM,SUP-ZMOLEKIM2215,NDL COAX INTNVNTL 22/15GAX150,390.0,347.1,81.12,390.0,455 CDM,SUP-ZMONTNBP00001,PRB LSR NROBLT SDFR DIR SZ 000,31713.0,28224.57,6596.3,31713.0,455 CDM,SUP-ZMONTRPD01,DRIVER PROBE ROBOTIC LOW FOR NEUROBLATE SYSTEM,10605.0,9438.45,2205.84,10605.0,455 CDM,SUP-ZMOSS517719,TB G 3 PRT 18FR,1375.0,1223.75,286.0,1375.0,455 CDM,SUP-ZMRIBS1014,BIOPSY MR NONFERROMAGNETIC NO11 SIZE11 9CM DISPOSABLE,330.0,293.7,68.64,330.0,455 CDM,SUP-ZMTEKORS100,DRAPE IRRIGATION FLUID WARMER W44XL44IN WITH AORN STANDARDS PORTABLE,233.7,207.99,48.61,233.7,455 CDM,SUP-ZMTF004708,SPACER SPINAL W30XH8XL10/11MM TRANSFORAMINAL POSTERIOR LUMBAR INTERBODY FROZEN,7289.74,6487.87,1516.27,7289.74,459 CDM,SUP-ZMTF004709,SPACER SPINAL W30XH9XL10/11MM TRANSFORAMINAL POSTERIOR LUMBAR INTERBODY FROZEN,7289.74,6487.87,1516.27,7289.74,459 CDM,SUP-ZMTF004710,GRAFT BONE SPACER CORTICAL CANCELLOUS FROZEN LUMBAR TPLIF 10MM STERILE,7289.74,6487.87,1516.27,7289.74,455 CDM,SUP-ZMTF004711,SPACER SPINAL W30XH11XL10/11MM TRANSFORAMINAL POSTERIOR LUMBAR INTERBODY FROZEN,7289.74,6487.87,1516.27,7289.74,459 CDM,SUP-ZMTF004712,SPACER SPINAL W30XH12XL10/11MM TRANSFORAMINAL POSTERIOR LUMBAR INTERBODY FROZEN,7289.74,6487.87,1516.27,7289.74,459 CDM,SUP-ZMTF004713,IMPLANT GRAFT BONE SPACER FROZEN STERILE LUMBAR 30X13MM,7289.74,6487.87,1516.27,7289.74,459 CDM,SUP-ZMTF004715,SPACER SPINAL W30XH15XL10/11MM TRANSFORAMINAL POSTERIOR LUMBAR INTERBODY FROZEN,7472.79,6650.78,1554.34,7472.79,459 CDM,SUP-ZMTF006809,SPACER SPINAL W27-32XH9XL22-24MM ANTERIOR CORTICO CANCELLOUS ANTERIOR LUMBAR INTERBODY FROZEN,7811.01,6951.8,1624.69,7811.01,459 CDM,SUP-ZMTF006811,SPACER SPINAL W27-32XH11XL21-26MM ANTERIOR CORTICO CANCELLOUS ANTERIOR LUMBAR INTERBODY FROZEN,7811.01,6951.8,1624.69,7811.01,455 CDM,SUP-ZMTF006813,GRAFT BONE SPACER CORTICAL CANCELLOUS FROZEN LUMBAR STERILE CC ALIF ANTERIOR BI CONVEX 13MM,7811.01,6951.8,1624.69,7811.01,455 CDM,SUP-ZMTF006815,SPACER SPINAL W27-32XH15XL21-26MM ANTERIOR CORTICO CANCELLOUS ANTERIOR LUMBAR INTERBODY FROZEN,7811.01,6951.8,1624.69,7811.01,455 CDM,SUP-ZMTF006817,GRAFT BONE SPACER CORTICAL CANCELLOUS FROZEN LUMBAR STERILE CC ALIF ANTERIOR BI CONVEX 17MM,7811.01,6951.8,1624.69,7811.01,459 CDM,SUP-ZMTF006819,SPACER SPINAL W27-32XH19XL21-26MM ANTERIOR CORTICO CANCELLOUS ANTERIOR LUMBAR INTERBODY FROZEN,7811.01,6951.8,1624.69,7811.01,459 CDM,SUP-ZMTF006821,SPACER SPINAL W27-32XH21XL21-26MM ANTERIOR CORTICO CANCELLOUS ANTERIOR LUMBAR INTERBODY FROZEN,8199.11,7297.21,1705.41,8199.11,459 CDM,SUP-ZMTF006909,SPACER SPINAL W27-32XH9XL22-24MM ANTEROLATERAL BI CONVEX CORTICO CANCELLOUS ANTERIOR LUMBAR INTERBODY FROZEN,7195.82,6404.28,1496.73,7195.82,459 CDM,SUP-ZMTF006911,SPACER SPINAL W27-32XH11XL21-26MM ANTEROLATERAL BI CONVEX CORTICO CANCELLOUS ANTERIOR LUMBAR INTERBODY FROZEN,7195.82,6404.28,1496.73,7195.82,459 CDM,SUP-ZMTF006913,SPACER SPINAL W27-32XH13XL21-26MM ANTEROLATERAL BI CONVEX CORTICO CANCELLOUS ANTERIOR LUMBAR INTERBODY FROZEN,7195.82,6404.28,1496.73,7195.82,459 CDM,SUP-ZMTF006915,SPACER SPINAL W27-32XH15XL21-26MM ANTEROLATERAL BI CONVEX CORTICO CANCELLOUS ANTERIOR LUMBAR INTERBODY FROZEN,7195.82,6404.28,1496.73,7195.82,459 CDM,SUP-ZMTF006917,SPACER SPINAL W27-32XH17XL21-26MM ANTEROLATERAL BI CONVEX CORTICO CANCELLOUS ANTERIOR LUMBAR INTERBODY FROZEN,7195.82,6404.28,1496.73,7195.82,459 CDM,SUP-ZMTF006919,SPACER SPINAL W27-32XH19XL21-26MM ANTEROLATERAL BI CONVEX CORTICO CANCELLOUS ANTERIOR LUMBAR INTERBODY FROZEN,7195.82,6404.28,1496.73,7195.82,459 CDM,SUP-ZMTF006921,SPACER SPINAL W27-32XH21XL21-26MM ANTEROLATERAL BI CONVEX CORTICO CANCELLOUS ANTERIOR LUMBAR INTERBODY FROZEN,7214.31,6420.74,1500.58,7214.31,459 CDM,SUP-ZMTF007405,SPACER SPINAL W15XH5XL12.5MM 7DEG LORDOTIC CORTICO CANCELLOUS ANTERIOR CERVICAL FROZEN,1712.43,1524.06,356.19,1712.43,455 CDM,SUP-ZMTF007409,SPACER SPINAL W15XH9XL12.5MM 7DEG LORDOTIC CORTICO CANCELLOUS ANTERIOR CERVICAL FROZEN,1712.43,1524.06,356.19,1712.43,455 CDM,SUP-ZMTF007410,IMPLANT GRAFT BONE SPACER CORTICAL CANCELLOUS FROZEN STERILE CERVICAL 10MM,1712.43,1524.06,356.19,1712.43,455 CDM,SUP-ZMTF007411,IMPLANT GRAFT BONE SPACER CORTICAL CANCELLOUS FROZEN STERILE CERVICAL 11MM,1712.43,1524.06,356.19,1712.43,455 CDM,SUP-ZMTF007412,IMPLANT GRAFT BONE SPACER CORTICAL CANCELLOUS FROZEN STERILE CERVICAL 12MM,1712.43,1524.06,356.19,1712.43,455 CDM,SUP-ZMTF011017,GRFT DBM CNF 17,1696.28,1509.69,352.83,1696.28,476 CDM,SUP-ZMTF015807,SPACER SPINAL W10XL24MM ANTERIOR/POSTERIOR H7/4.6MM POSTERIOR LUMBAR INTERBODY FREEZE DRIED,4706.15,4188.47,978.88,4706.15,459 CDM,SUP-ZMTF017305,SPACER SPINAL W15XH5XL12.5MM PARALLEL CORTICO CANCELLOUS ANTERIOR CERVICAL FREEZE DRIED,1712.43,1524.06,356.19,1712.43,459 CDM,SUP-ZMTF017306,SPACER SPINAL W15XH6XL12.5MM PARALLEL CORTICO CANCELLOUS ANTERIOR CERVICAL FREEZE DRIED,1712.43,1524.06,356.19,1712.43,459 CDM,SUP-ZMTF017307,SPACER SPINAL W15XH7XL12.5MM PARALLEL CORTICO CANCELLOUS ANTERIOR CERVICAL FREEZE DRIED,1712.43,1524.06,356.19,1712.43,459 CDM,SUP-ZMTF017308,SPACER SPINAL W15XH8XL12.5MM PARALLEL CORTICO CANCELLOUS ANTERIOR CERVICAL FREEZE DRIED,1712.43,1524.06,356.19,1712.43,459 CDM,SUP-ZMTF017309,SPACER SPINAL W15XH9XL12.5MM PARALLEL CORTICO CANCELLOUS ANTERIOR CERVICAL FREEZE DRIED,1712.43,1524.06,356.19,1712.43,459 CDM,SUP-ZMTF017310,SPACER SPINAL W15XH10XL12.5MM PARALLEL CORTICO CANCELLOUS ANTERIOR CERVICAL FREEZE DRIED,1712.43,1524.06,356.19,1712.43,459 CDM,SUP-ZMTF017311,SPACER SPINAL W15XH11XL12.5MM PARALLEL CORTICO CANCELLOUS ANTERIOR CERVICAL FREEZE DRIED,1712.43,1524.06,356.19,1712.43,459 CDM,SUP-ZMTF017312,SPACER SPINAL W15XH12XL12.5MM PARALLEL CORTICO CANCELLOUS ANTERIOR CERVICAL FREEZE DRIED,1712.43,1524.06,356.19,1712.43,459 CDM,SUP-ZMTF018406,BONE LORDOTIC CC NAT STD 6MM,2094.16,1863.8,435.59,2094.16,455 CDM,SUP-ZMTF018407,GRFT SPCR LRDTC NAT STD 7,2094.16,1863.8,435.59,2094.16,455 CDM,SUP-ZMTF018408,GRFT SPCR LRDTC NAT STD 8,2094.16,1863.8,435.59,2094.16,455 CDM,SUP-ZMTF018409,GRFT SPCR LRDTC NAT STD 9,2533.34,2254.67,526.93,2533.34,455 CDM,SUP-ZMTF018410,GRFT SPCR LRDTC NAT STD 10,2094.16,1863.8,435.59,2094.16,455 CDM,SUP-ZMTF019406,GRFT SPCR LRDTC NAT LG 6,2094.16,1863.8,435.59,2094.16,455 CDM,SUP-ZMTF019407,GRFT SPCR LRDTC NAT LG 7,2094.16,1863.8,435.59,2094.16,455 CDM,SUP-ZMTF019408,GRFT SPCR LRDTC NAT LG 8,2094.16,1863.8,435.59,2094.16,455 CDM,SUP-ZMTF019409,IMPLANT GRAFT BONE SPACER CORTICAL CANCELLOUS FREEZE DRIED STERILE LORDOOTIC LARGE 9X12.5X13.7MM,2094.16,1863.8,435.59,2094.16,455 CDM,SUP-ZMTF019410,IMPLANT GRAFT BONE SPACER CORTICAL CANCELLOUS FREEZE DRIED STERILE LORDOOTIC LARGE 10X12.5X13.7MM,1944.44,1730.55,404.44,1944.44,459 CDM,SUP-ZMTF038100A,GRAFT BONE FILLER DBM PUTTY SYRINGE FREEZE DRIED 10CC HUMAN,2214.53,1970.93,460.62,2214.53,455 CDM,SUP-ZMTF258224,GRAFT CARTILAGE CARTILAGE SHEET FROZEN REGENERATIVE STERILE MEDIUM 3.5 4.0CM,2268.16,2018.66,471.78,2268.16,455 CDM,SUP-ZMTF258225,GRAFT CARTILAGE CARTILAGE SHEET FROZEN REGENERATIVE STERILE LARGE 4.1 5CM,1919.58,1708.43,399.27,1919.58,455 CDM,SUP-ZMTF400085,GRFT CHP CANC CRSH 60CC,1820.35,1620.11,378.63,1820.35,476 CDM,SUP-ZMTF400090,IMPLANT GRAFT BONE FILLER CRUSHED CANCELLOUS FREEZE DRIED STERILE 90CC,2797.4,2489.69,581.86,2797.4,455 CDM,SUP-ZMTF400130,GRAFT HUMAN TISSUE W10XL36MM CORES LIGAMENT FREEZE DRIED,2150.6,1914.03,447.32,2150.6,455 CDM,SUP-ZMTF400132,GRAFT HUMAN TISSUE W12XL36MM CORES LIGAMENT FREEZE DRIED,2150.6,1914.03,447.32,2150.6,455 CDM,SUP-ZMTF400134,GRAFT HUMAN TISSUE W14XL36MM CORES LIGAMENT FREEZE DRIED,2150.6,1914.03,447.32,2150.6,455 CDM,SUP-ZMTF400136,GRAFT HUMAN TISSUE W16XL36MM CORES LIGAMENT FREEZE DRIED,2150.6,1914.03,447.32,2150.6,476 CDM,SUP-ZMTF400140,IMPLANT GRAFT BONE FILLER CHIPS CANCELLOUS FREEZE DRIED JAR 5CC STERILE,235.2,209.33,48.92,235.2,455 CDM,SUP-ZMTF400155,GRAFT BONE FILLER CHIPS CANCELLOUS FREEZE DRIED JAR 60CC HUMAN,1483.03,1319.9,308.47,1483.03,455 CDM,SUP-ZMTF400160,GRAFT BONE FILLER CHIPS CANCELLOUS FREEZE DRIED JAR 90CC HUMAN,2204.19,1961.73,458.47,2204.19,455 CDM,SUP-ZMTF400541,GRFT WDG HTO 12,2150.6,1914.03,447.32,2150.6,476 CDM,SUP-ZMTF410001,GRAFT BONE SUBSTITUTE SM CANCELLOUS MORSELIZED WITH VIABLE CELL FROZEN,1292.4,1150.24,268.82,1292.4,455 CDM,SUP-ZMTF420077,GRFT DMN PWDR 1CC,200.32,178.28,41.67,200.32,476 CDM,SUP-ZMTF430015,GRAFT TENDON HEMI PATELLAR BONE TENDON BONE FROZEN REGENERATIVE STERILE 18 14CM WITH OUT QUADRICEP 8X14CMX13 30MM,5351.96,4763.24,1113.21,5351.96,455 CDM,SUP-ZMTF430036,GRAFT TENDON WHOLE PATELLAR BONE TENDON BONE FROZEN REGENERATIVE STERILE 13 20CM WITH QUADRICEP 8CM,11047.61,9832.37,2297.9,11047.61,455 CDM,SUP-ZMTF430120,GRAFT TISSUE LATA FROZEN STERILE 60MMX10CM,1423.92,1267.29,296.18,1423.92,455 CDM,SUP-ZMTF430200,GRAFT TENDON ACHILLES TENDON WITH CALCANEUS FROZEN REGENERATIVE STERILE 19.5CM,4305.29,3831.71,895.5,4305.29,455 CDM,SUP-ZMTF430201,GRAFT HUMAN TISSUE W10-20MMXL19.5CM ACHILLES TENDON WITH CALCANEUS FROZEN FOR LIGAMENT,4428.86,3941.69,921.2,4428.86,455 CDM,SUP-ZMTF430207,GRFT TNDN ACH PRESHP,5076.98,4518.51,1056.01,5076.98,455 CDM,SUP-ZMTF430300,GRAFT BONE W3-10MMXL20-38CM TENDON FROZEN,2340.32,2082.88,486.79,2340.32,455 CDM,SUP-ZMTF430340,GRAFT TENDON TIBIAL POSTERIOR FROZEN STERILE 6 12MMX22 38CM,3338.7,2971.44,694.45,3338.7,455 CDM,SUP-ZMTF430342,TENDON TIBIA POST SM,2800.2,2492.18,582.44,2800.2,455 CDM,SUP-ZMTF430345,GRAFT TENDON PERONEUS LONGUS FROZEN STERILE 6 12MMX22 38CM,2742.04,2440.42,570.34,2742.04,455 CDM,SUP-ZMTF430350,GRAFT TENDON SEMITENDINOSUS FROZEN STERILE 3 10MMX26 38CM,3663.95,3260.92,762.1,3663.95,455 CDM,SUP-ZMTF430355,GRAFT TENDON SEMITENDINOSUS FROZEN STERILE 3 10MMX20 25.9CM,3663.95,3260.92,762.1,3663.95,455 CDM,SUP-ZMTF430401,GRFT MNSCS PLTU MDL LT,12600.9,11214.8,2620.99,12600.9,459 CDM,SUP-ZMTF430402,GRAFT HUMAN TISSUE LEFT LATERAL WITH HEMI PLATEAU FROZEN MENISCUS,12600.9,11214.8,2620.99,12600.9,459 CDM,SUP-ZMTF430411,GRFT MNSCS PLTU MDL RT,12600.9,11214.8,2620.99,12600.9,459 CDM,SUP-ZMTF430412,GRFT MNSCS PLTU LAT RT,12600.9,11214.8,2620.99,12600.9,459 CDM,SUP-ZMTF430521,GRAFT TENDON ACHILLES FROZEN STERILE 10 20MMX16 19.4CM,4337.55,3860.42,902.21,4337.55,455 CDM,SUP-ZMTF430600,GRFT MNSCS FRZN,3432.01,3054.49,713.86,3432.01,455 CDM,SUP-ZMTF450010,IMPLANT GRAFT BONE WHOLE BONE RIB SEGMENT FROZEN STERILE 50 300X5 30MM,1152.76,1025.96,239.77,1152.76,455 CDM,SUP-ZMTF450012,GRAFT BONE COSTAL CARTILAGE RIB LEFT LARGE FROZEN REGENERATIVE EAR STERILE EXTEARNA,9000.0,8010.0,1872.0,9000.0,459 CDM,SUP-ZMTF450013,GRAFT BONE COSTAL CARTILAGE RIB RIGHT LARGE FROZEN REGENERATIVE EAR STERILE EXTEARNA,9000.0,8010.0,1872.0,9000.0,459 CDM,SUP-ZMTF450030,GRAFT BONE CARTILAGE SEGMENT FROZEN 3 10X3 20X10 30MM HUMAN,1358.18,1208.78,282.5,1358.18,455 CDM,SUP-ZMTF450070,IMPLANT GRAFT BONE WHOLE BONE TIBIA FROZEN STERILE WITH BONE TENDON BONE RIGHT,19524.0,17376.36,4060.99,19524.0,455 CDM,SUP-ZMTF450090,GRFT BN TIB WHL RT FRZN BTB,35775.79,31840.45,7441.36,35775.79,455 CDM,SUP-ZMTF450100,IMPLANT GRAFT BONE WHOLE BONE FEMORAL HEAD FROZEN STERILE 44MM,2186.83,1946.28,454.86,2186.83,455 CDM,SUP-ZMTF450125,GRAFT BONE COSTAL CARTILAGE RIB LEFT SMALL FROZEN REGENERATIVE EAR STERILE EXTEARNA,7800.0,6942.0,1622.4,7800.0,459 CDM,SUP-ZMTF450135,GRAFT BONE COSTAL CARTILAGE RIB RIGHT SMALL FROZEN REGENERATIVE EAR STERILE EXTEARNA,7800.0,6942.0,1622.4,7800.0,459 CDM,SUP-ZMTF450300,IMPLANT GRAFT BONE WHOLE BONE FEMUR FROZEN STERILE LEFT DISTAL 20CM,20049.43,17843.99,4170.28,20049.43,455 CDM,SUP-ZMTF450310,IMPLANT GRAFT BONE WHOLE BONE FEMUR FROZEN LATEX FREE STERILE PROXIMAL WITH HEAD LEFT,10170.24,9051.51,2115.41,10170.24,455 CDM,SUP-ZMTF450315,GRAFT BONE WHOLE BONE FEMUR FROZEN PROXIMAL WITHOUT HEAD LEFT HUMAN,6572.28,5849.33,1367.03,6572.28,455 CDM,SUP-ZMTF450316,IMPLANT GRAFT BONE WHOLE BONE FEMUR FROZEN STERILE LEFT,31646.0,28164.94,6582.37,31646.0,476 CDM,SUP-ZMTF450327,GRFT BN ULNA WHL LT FRZN,5286.56,4705.04,1099.6,5286.56,455 CDM,SUP-ZMTF450328,IMPLANT GRAFT BONE WHOLE BONE FROZEN STERILE LEFT,9503.45,8458.07,1976.72,9503.45,455 CDM,SUP-ZMTF450330,IMPLANT GRAFT BONE WHOLE BONE HUMERUS FROZEN STERILE PROXIMAL WITH CUFF LEFT,13641.28,12140.74,2837.39,13641.28,455 CDM,SUP-ZMTF450331,IMPLANT GRAFT BONE WHOLE BONE HUMERUS FROZEN STERILE LEFT WITH CUFF,19851.26,17667.62,4129.06,19851.26,455 CDM,SUP-ZMTF450349,IMPLANT GRAFT BONE WHOLE BONE HUMERUS FROZEN STERILE LEFT WITHOUT CUFF,16236.85,14450.8,3377.26,16236.85,455 CDM,SUP-ZMTF450350,IMPLANT GRAFT BONE WHOLE BONE HUMERUS FROZEN STERILE PROXIMAL WITHOUT CUFF LEFT,10933.7,9730.99,2274.21,10933.7,455 CDM,SUP-ZMTF450352,IMPLANT GRAFT BONE WHOLE BONE HUMERUS FROZEN STERILE DISTAL LEFT,6384.46,5682.17,1327.97,6384.46,455 CDM,SUP-ZMTF450360,IMPLANT GRAFT BONE WHOLE BONE FEMUR FROZEN STERILE DISTAL RIGHT,20049.43,17843.99,4170.28,20049.43,455 CDM,SUP-ZMTF450375,GRFT FEM MTF PROX RT WO HD,6572.28,5849.33,1367.03,6572.28,476 CDM,SUP-ZMTF450376,IMPLANT GRAFT BONE WHOLE BONE FEMUR FROZEN STERILE RIGHT,34082.74,30333.64,7089.21,34082.74,455 CDM,SUP-ZMTF450380,GRAFT BONE WHOLE BONE TIBIA FROZEN PROXIMAL RIGHT HUMAN,16155.0,14377.95,3360.24,16155.0,455 CDM,SUP-ZMTF450383,IMPLANT GRAFT BONE WHOLE BONE TIBIA FROZEN STERILE RIGHT DISTAL LARGE,5546.55,4936.43,1153.68,5546.55,455 CDM,SUP-ZMTF450385,GRFT BN FRZN WHL RT,23996.0,21356.44,4991.17,23996.0,459 CDM,SUP-ZMTF450387,IMPLANT GRAFT BONE WHOLE BONE ULNA FROZEN STERILE RIGHT,9503.45,8458.07,1976.72,9503.45,476 CDM,SUP-ZMTF450388,IMPLANT GRAFT BONE WHOLE BONE FROZEN STERILE RIGHT,9503.45,8458.07,1976.72,9503.45,476 CDM,SUP-ZMTF450390,IMPLANT GRAFT BONE WHOLE BONE HUMERUS FROZEN STERILE PROXIMAL WITH CUFF RIGHT,13641.28,12140.74,2837.39,13641.28,455 CDM,SUP-ZMTF450391,IMPLANT GRAFT BONE WHOLE BONE HUMERUS FROZEN STERILE WITH CUFF RIGHT,19851.26,17667.62,4129.06,19851.26,455 CDM,SUP-ZMTF450399,IMPLANT GRAFT BONE WHOLE BONE HUMERUS FROZEN STERILE RIGHT WITHOUT CUFF,16236.85,14450.8,3377.26,16236.85,469 CDM,SUP-ZMTF450400,IMPLANT GRAFT BONE WHOLE BONE HUMERUS FROZEN STERILE PROXIMAL WITHOUT CUFF RIGHT,10933.7,9730.99,2274.21,10933.7,476 CDM,SUP-ZMTF450402,IMPLANT GRAFT BONE WHOLE BONE HUMERUS FROZEN STERILE DISTAL RIGHT,6384.46,5682.17,1327.97,6384.46,476 CDM,SUP-ZMTF450410,GRFT FEM SHFT 5CM,1442.1,1283.47,299.96,1442.1,469 CDM,SUP-ZMTF450430,GRFT BN FEM SHFT FRZN 10,2176.25,1936.86,452.66,2176.25,455 CDM,SUP-ZMTF450520,GRFT TIB SHFT FRZN 10,1994.04,1774.7,414.76,1994.04,455 CDM,SUP-ZMTF450600,IMPLANT GRAFT BONE WHOLE BONE FIBULA SHAFT FROZEN STERILE 40X5MM,1169.97,1041.27,243.35,1169.97,455 CDM,SUP-ZMTF450610,IMPLANT GRAFT BONE WHOLE BONE FIBULA SHAFT FROZEN STERILE 60X5MM,1398.89,1245.01,290.97,1398.89,476 CDM,SUP-ZMTF450630,IMPLANT GRAFT BONE WHOLE BONE FIBULA SHAFT FROZEN STERILE 5X100MM,1412.25,1256.9,293.75,1412.25,476 CDM,SUP-ZMTF450636,IMPLANT GRAFT BONE WHOLE BONE FIBULA SHAFT FROZEN STERILE 5X180MM,1675.25,1490.97,348.45,1675.25,455 CDM,SUP-ZMTF450641,GRAFT BONE FROZEN STRUCTURAL LEFT PROXIMAL FIBULA IMPLANTABLE,6240.14,5553.72,1297.95,6240.14,476 CDM,SUP-ZMTF450642,GRFT FIB PROX RT FRZN,6240.14,5553.72,1297.95,6240.14,476 CDM,SUP-ZMTF450825,GRAFT BONE ILIAC WHOLE FROZEN PELVIS STERILE,25387.04,22594.47,5280.5,25387.04,455 CDM,SUP-ZMTF450910,IMPLANT GRAFT BONE STRIP TRICORTICAL FROZEN STERILE 5 30X20 24X60MM,4494.32,3999.94,934.82,4494.32,455 CDM,SUP-ZMTF450990,IMPLANT GRAFT BONE FILLER DBM STERILE FROZEN RIGHT PELVIC,9923.48,8831.9,2064.08,9923.48,476 CDM,SUP-ZMTF460216,GRAFT BONE ULNAR PROXIMAL LEFT FROZEN ARM STERILE WITH TRICEPS OSTEOARTICULAR,11946.08,10632.01,2484.78,11946.08,455 CDM,SUP-ZMTF460217,GRAFT BONE ULNA PROXIMAL RIGHT STERILE WITH,11946.08,10632.01,2484.78,11946.08,455 CDM,SUP-ZMTF460305,GRFT FEM DIST FRZN LT,18233.61,16227.91,3792.59,18233.61,455 CDM,SUP-ZMTF460315,GRFT FEM PROX LT FRZN,18233.61,16227.91,3792.59,18233.61,476 CDM,SUP-ZMTF460325,IMPLANT GRAFT BONE WHOLE BONE TIBIA FROZEN STERILE LEFT PROXIMAL,29705.81,26438.17,6178.81,29705.81,455 CDM,SUP-ZMTF460330,IMPLANT GRAFT BONE STERILE CUFF OSTEOARTICULAL STRUCTURAL,23013.34,20481.87,4786.77,23013.34,455 CDM,SUP-ZMTF460335,GRAFT BONE HUMERAL PROXIMAL LEFT FROZEN STERILE PROSTHETIC COMPOSITE STRUCTURAL,20503.93,18248.5,4264.82,20503.93,455 CDM,SUP-ZMTF460340,GRAFT BONE ELBOW LEFT FROZEN STERILE OSTEOARTICULAL STRUCTURAL 19X18.5CM,28320.79,25205.5,5890.72,28320.79,455 CDM,SUP-ZMTF460350,GRAFT BONE ELBOW RIGHT FROZEN STERILE OSTEOARTICULAL STRUCTURAL,28320.79,25205.5,5890.72,28320.79,455 CDM,SUP-ZMTF460360,GRFT FEM DIST FRZN RT,17252.0,15354.28,3588.42,17252.0,476 CDM,SUP-ZMTF460375,GRFT FEM PROX FRZN RT,18233.61,16227.91,3792.59,18233.61,476 CDM,SUP-ZMTF460385,GRAFT BONE PROXIMAL TIBIAL RIGHT FROZEN STERILE,31192.07,27760.94,6487.95,31192.07,455 CDM,SUP-ZMTF460390,GRFT HUM PROX OA RT CUF,14235.79,12669.85,2961.04,14235.79,455 CDM,SUP-ZMTF460521,GRFT BN FEM CNDYL LAT LT,23586.3,20991.81,4905.95,23586.3,457 CDM,SUP-ZMTF460523,GRFT BN FEM CNDYL LAT RT,23586.3,20991.81,4905.95,23586.3,457 CDM,SUP-ZMTF990130,GRFT HUM DIST FRSH LT,18739.8,16678.42,3897.88,18739.8,455 CDM,SUP-ZMTF990216,GRFT ULNA PROX FRZN LT,8863.71,7888.7,1843.65,8863.71,455 CDM,SUP-ZMTF990217,GRFT ULNA PROX RT,8863.71,7888.7,1843.65,8863.71,455 CDM,SUP-ZMVATMF010007,FILT H2O LCK CAP 0.2 MICRN,990.0,881.1,205.92,990.0,455 CDM,SUP-ZNALU34001,TOOL NERVE STIMULATOR DISC 15X76MM,9000.03,8010.03,1872.01,9000.03,455 CDM,SUP-ZNALU34007,TOOL NERVE STIMULATOR BELT 122CM,300.0,267.0,62.4,300.0,455 CDM,SUP-ZNALU34009,TOOL NERVE STIMULATOR LIMB CUFF 46CM,300.0,267.0,62.4,300.0,455 CDM,SUP-ZNALU34011,TOOL NERVE STIMULATOR LIMB CUFF LARGE 64CM,300.0,267.0,62.4,300.0,455 CDM,SUP-ZNALU43001,TOOL NERVE STIMULATOR 76MM,5400.0,4806.0,1123.2,5400.0,455 CDM,SUP-ZNALU72005,KIT IMPLANT EXTENSION NEUROSTIMULATOR 4 ELECTRODE,4800.0,4272.0,998.4,4800.0,455 CDM,SUP-ZNALUPD000242,REMOTE,1000.0,890.0,208.0,1000.0,459 CDM,SUP-ZNCMNC9540250,BAND RESISTANCE PINK 50YD ROLL,310.56,276.4,64.6,310.56,455 CDM,SUP-ZNCMNC9540350,NORCO RESISTANCE BAND LEVEL,372.72,331.72,77.53,372.72,455 CDM,SUP-ZNEURIDDNP905,PROBE NEUROSTIMULATOR L90MM DIRECT NERVE WHITE AND SUBDERMAL NEEDLE 0.4GA L12MM NEEDLETAPE ALCOHOL WIPE HUMMINGBIRD,360.0,320.4,74.88,360.0,455 CDM,SUP-ZNEURKPPAR003,ACRYLIC RESIN W TRACERS (SINGLE),279.0,248.31,58.03,279.0,476 CDM,SUP-ZNEURKPPAR003TA,CEMENT BONE 10GM ACRYLIC WITH CONTRAST AGENT AND TANTALUM MICROPARTICLES OPEN MIXING RADIOPAQUE WITHOUT ANTIBIOTICS,534.0,475.26,111.07,534.0,455 CDM,SUP-ZNEURLSE600MSP,ELECTRODE EMG 1 ET TUBE EASYAIM 2.5 5MM,825.0,734.25,171.6,825.0,455 CDM,SUP-ZNEURNVTKITC3P75,KIT MONITOR CRANIAL RECURRENT LARYNGEAL NERVE SIZE 7,1325.0,1179.25,275.6,1325.0,455 CDM,SUP-ZNEURNVTKITMS,KIT SURGICAL PARATHYROIDECTOMY NERVE LOCATOR 6 7FR,1072.5,954.53,223.08,1072.5,455 CDM,SUP-ZNEUWPR20CM15GA,PROBE CERTUS PR 20CM,8064.0,7176.96,1677.31,8064.0,455 CDM,SUP-ZNEVREPMD1040,TR EPID 14GAX4,412.56,367.18,85.81,412.56,455 CDM,SUP-ZNEVRHF10A,KIT GENERATOR NEUROSTIMULATOR PAIN MANAGEMENT SPINE STERILE I,37000.0,32930.0,7696.0,37000.0,456 CDM,SUP-ZNEVRHF10B,KIT GENERATOR NEUROSTIMULATOR PAIN MANAGEMENT SPINE REMOTE STERILE II,37000.0,32930.0,7696.0,37000.0,456 CDM,SUP-ZNEVRHF10C,SYSTEM SPINAL CORD STIMULATION IPG PATIENT REMOTE AND OMNIA,43000.0,38270.0,8944.0,43000.0,456 CDM,SUP-ZNEVRHFXD,KIT SCS WITH GENERATOR AND REMOTE HFX IQ_,46000.0,40940.0,9568.0,46000.0,455 CDM,SUP-ZNEVRHFXIQ,BUNDLE HFX WITH REMOTE_,72000.0,64080.0,14976.0,72000.0,456 CDM,SUP-ZNEWC330212070,PIN FIXATION 1.2X70MM,216.0,192.24,44.93,216.0,455 CDM,SUP-ZNEWC330212120MAR1,PIN FIXATION LATEX FREE XPERT 1.2X120MM,72.0,64.08,14.98,72.0,476 CDM,SUP-ZNEWC330214120,K WIRE FIXATION LATEX FREE 1.4X120MM,72.0,64.08,14.98,72.0,476 CDM,SUP-ZNEWCANC696,BIT DRILL SURGICAL QUICK COUPLING SKIP 1.8X140MM,1310.0,1165.9,272.48,1310.0,455 CDM,SUP-ZNEWCBDT18L14,LOCKING SCREW 1.8 MM - L14 MM,371.2,330.37,77.21,371.2,476 CDM,SUP-ZNEWCBDT18L16,SCREW BONE PARTIAL THREAD LOCKING DISTAL ULNA BLUE INITIAL R XPERT 1.8X16MM NONSTERILE,371.2,330.37,77.21,371.2,476 CDM,SUP-ZNEWCBDT18L18,SCREW BONE PARTIAL THREAD LOCKING DISTAL ULNA BLUE INITIAL R XPERT 1.8X18MM NONSTERILE,371.2,330.37,77.21,371.2,476 CDM,SUP-ZNEWCBDT18L20,SCREW BONE 1.8X20MM WRIST LOCKING 2.4 VOLAR PLATE XPERT,371.2,330.37,77.21,371.2,476 CDM,SUP-ZNEWCBDT18L22,SCREW BONE 1.8X22MM WRIST LOCKING 2.4 VOLAR PLATE XPERT,371.2,330.37,77.21,371.2,476 CDM,SUP-ZNEWCBDT18L24,SCREW BONE 1.8X24MM WRIST LOCKING 2.4 VOLAR PLATE XPERT,371.2,330.37,77.21,371.2,476 CDM,SUP-ZNEWCBDT18L26,LOCKING SCREW 1.8 MM - L26 MM,371.2,330.37,77.21,371.2,476 CDM,SUP-ZNEWCDETDF1,IMPLANT PLATE BONE RADIAL COLUMN LATERO DORSAL LATEX FREE NON STERILE RIGHT SIZE 1 XPERT,1014.0,902.46,210.91,1014.0,476 CDM,SUP-ZNEWCDETDF2,IMPLANT PLATE BONE RADIAL COLUMN LATERO DORSAL LATEX FREE NON STERILE RIGHT SIZE 2 XPERT,1092.0,971.88,227.14,1092.0,476 CDM,SUP-ZNEWCDETDF3,IMPLANT PLATE BONE RADIAL COLUMN LATERO DORSAL LATEX FREE NON STERILE RIGHT SIZE 3 XPERT,1419.6,1263.44,295.28,1419.6,476 CDM,SUP-ZNEWCDETDVW1,IMPLANT PLATE BONE WIDE LATEX FREE RIGHT SIZE 1 XPERT WRIST 27X53MM,1560.0,1388.4,324.48,1560.0,476 CDM,SUP-ZNEWCDETGF1,IMPLANT PLATE BONE RADIAL COLUMN LATERO DORSAL LATEX FREE NON STERILE LEFT SIZE 1 XPERT,1014.0,902.46,210.91,1014.0,476 CDM,SUP-ZNEWCDETGF2,IMPLANT PLATE BONE RADIAL COLUMN LATERO DORSAL LATEX FREE NON STERILE LEFT SIZE 2 XPERT,1092.0,971.88,227.14,1092.0,476 CDM,SUP-ZNEWCDETGF3,IMPLANT PLATE BONE RADIAL COLUMN LATERO DORSAL LATEX FREE NON STERILE LEFT SIZE 3 XPERT,1419.6,1263.44,295.28,1419.6,476 CDM,SUP-ZNEWCDETGVW1,IMPLANT PLATE BONE WIDE LATEX FREE LEFT SIZE 1 XPERT WRIST 27X53MM,1560.0,1388.4,324.48,1560.0,476 CDM,SUP-ZNEWCDETSL1,IMPLANT PLATE BONE RADIAL COLUMN LATEX FREE NON STERILE SYMMETRICAL SIZE 1 XPERT,936.0,833.04,194.69,936.0,476 CDM,SUP-ZNEWCDETSL2,IMPLANT PLATE BONE RADIAL COLUMN LATEX FREE NON STERILE SYMMETRICAL SIZE 2 XPERT,1053.18,937.33,219.06,1053.18,476 CDM,SUP-ZNEWCDETSL3,IMPLANT PLATE BONE RADIAL COLUMN LATEX FREE NON STERILE SYMMETRICAL SIZE 3 XPERT,1053.0,937.17,219.02,1053.0,476 CDM,SUP-ZNEWCDTDBN2,IMPLANT PLATE BONE RADIAL VOLAR NARROW HEAD LATEX FREE NON STERILE RIGHT SIZE 2 XPERT,2926.8,2604.85,608.77,2926.8,476 CDM,SUP-ZNEWCDTDBS2,IMPLANT PLATE BONE RADIAL VOLAR STANDARD HEAD LATEX FREE NON STERILE RIGHT SIZE 2 XPERT,3082.8,2743.69,641.22,3082.8,476 CDM,SUP-ZNEWCDTDH3,IMPLANT PLATE BONE RADIAL HOOK VOLAR RIM LATEX FREE RIGHT SIZE 3 XPERT WRIST,1365.0,1214.85,283.92,1365.0,471 CDM,SUP-ZNEWCDTDRNS1,IMPLANT PLATE BONE DORSO MEDIAL EXTRA NARROW HEAD LATEX FREE NON STERILE RIGHT SIZE 1 XPERT,1014.0,902.46,210.91,1014.0,476 CDM,SUP-ZNEWCDTDRNS2,IMPLANT PLATE BONE DORSO MEDIAL EXTRA NARROW HEAD LATEX FREE NON STERILE RIGHT SIZE 2 XPERT,1092.0,971.88,227.14,1092.0,476 CDM,SUP-ZNEWCDTDRNS3,IMPLANT PLATE BONE DORSO MEDIAL EXTRA NARROW HEAD LATEX FREE NON STERILE RIGHT SIZE 3 XPERT,936.0,833.04,194.69,936.0,476 CDM,SUP-ZNEWCDTDVN2,IMPLANT PLATE BONE DISTAL POLYAXIAL NARROW HEAD NONSTERILE RIGHT SIZE 2 XPERT 2.4MM,1248.0,1110.72,259.58,1248.0,476 CDM,SUP-ZNEWCDTDVN3,IMPLANT PLATE BONE DISTAL NARROW HEAD LATEX FREE NON STERILE RIGHT SIZE 3 XPERT 2.4MM,1365.0,1214.85,283.92,1365.0,476 CDM,SUP-ZNEWCDTDVS2,IMPLANT PLATE BONE DISTAL POLYAXIAL STANDARD HEAD LATEX FREE NON STERILE RIGHT SIZE 2 XPERT 2.4MM,1248.0,1110.72,259.58,1248.0,476 CDM,SUP-ZNEWCDTDVS3,IMPLANT PLATE BONE DISTAL POLYAXIAL STANDARD HEAD LATEX FREE NON STERILE RIGHT SIZE 3 XPERT 2.4MM,1365.0,1214.85,283.92,1365.0,476 CDM,SUP-ZNEWCDTDVS4,IMPLANT PLATE BONE DISTAL POLYAXIAL STANDARD HEAD LATEX FREE NON STERILE RIGHT SIZE 4 XPERT 2.4MM,1560.0,1388.4,324.48,1560.0,476 CDM,SUP-ZNEWCDTDVW2,IMPLANT PLATE BONE DISTAL POLYAXIAL WIDE HEAD LATEX FREE NON STERILE RIGHT SIZE 2 XPERT 2.4MM,2028.0,1804.92,421.82,2028.0,476 CDM,SUP-ZNEWCDTDVW3,IMPLANT PLATE BONE DISTAL WIDE LATEX FREE RIGHT SIZE 3 XPERT WRIST 26X55MM,1560.0,1388.4,324.48,1560.0,476 CDM,SUP-ZNEWCDTGBN2,IMPLANT PLATE BONE RADIAL VOLAR NARROW HEAD LATEX FREE NON STERILE LEFT SIZE 2 XPERT,2926.8,2604.85,608.77,2926.8,476 CDM,SUP-ZNEWCDTGRNS1,IMPLANT PLATE BONE DORSO MEDIAL EXTRA NARROW HEAD LATEX FREE NON STERILE LEFT SIZE 1 XPERT,1014.0,902.46,210.91,1014.0,476 CDM,SUP-ZNEWCDTGRNS2,IMPLANT PLATE BONE DORSO MEDIAL EXTRA NARROW HEAD LATEX FREE NON STERILE LEFT SIZE 2 XPERT,1092.0,971.88,227.14,1092.0,476 CDM,SUP-ZNEWCDTGRNS3,IMPLANT PLATE BONE DORSO MEDIAL EXTRA NARROW HEAD LATEX FREE NON STERILE LEFT SIZE 3 XPERT,936.0,833.04,194.69,936.0,476 CDM,SUP-ZNEWCDTGVN2,IMPLANT PLATE BONE DISTAL POLYAXIAL NARROW HEAD NONSTERILE LEFT SIZE 2 XPERT 2.4MM,1248.0,1110.72,259.58,1248.0,476 CDM,SUP-ZNEWCDTGVN3,IMPLANT PLATE BONE DISTAL NARROW HEAD LATEX FREE NON STERILE LEFT SIZE 3 XPERT 2.4MM,1365.0,1214.85,283.92,1365.0,476 CDM,SUP-ZNEWCDTGVS2,IMPLANT PLATE BONE DISTAL POLYAXIAL STANDARD HEAD LATEX FREE NON STERILE LEFT SIZE 2 XPERT 2.4MM,1248.0,1110.72,259.58,1248.0,476 CDM,SUP-ZNEWCDTGVS3,IMPLANT PLATE BONE DISTAL POLYAXIAL STANDARD HEAD LATEX FREE NON STERILE LEFT SIZE 3 XPERT 2.4MM,1365.0,1214.85,283.92,1365.0,476 CDM,SUP-ZNEWCDTGVS4,IMPLANT PLATE BONE DISTAL POLYAXIAL STANDARD HEAD LATEX FREE NON STERILE LEFT SIZE 4 XPERT 2.4MM,1560.0,1388.4,324.48,1560.0,476 CDM,SUP-ZNEWCDTGVW2,IMPLANT PLATE BONE DISTAL POLYAXIAL WIDE HEAD LATEX FREE NON STERILE LEFT SIZE 2 XPERT 2.4MM,2028.0,1804.92,421.82,2028.0,476 CDM,SUP-ZNEWCDTGVW3,IMPLANT PLATE BONE DISTAL WIDE LATEX FREE LEFT SIZE 3 XPERT WRIST 26X55MM,1560.0,1388.4,324.48,1560.0,476 CDM,SUP-ZNEWCDTSH2,IMPLANT PLATE BONE HOOK VOLAR LATEX FREE NON STERILE SYMMETRICAL SIZE 2 XPERT,1419.6,1263.44,295.28,1419.6,476 CDM,SUP-ZNEWCDTSTH2,IMPLANT PLATE BONE HOOK DORSAL LATEX FREE NON STERILE SYMMETRICAL SIZE 2 XPERT,1419.6,1263.44,295.28,1419.6,476 CDM,SUP-ZNEWCH13BDT24L14,LOCKING SCREW - 2.4 MM - CANNULATED 1.3 MM - L 14 MM,405.6,360.98,84.36,405.6,476 CDM,SUP-ZNEWCH13BDT24L16,LOCKING SCREW - 2.4 MM - CANNULATED 1.3 MM - L 16 MM,405.6,360.98,84.36,405.6,476 CDM,SUP-ZNEWCH13BDT24L18,LOCKING SCREW - 2.4 MM - CANNULATED 1.3 MM - L 18 MM,405.6,360.98,84.36,405.6,476 CDM,SUP-ZNEWCH13BDT24L20,LOCKING SCREW - 2.4 MM - CANNULATED 1.3 MM - L 20 MM,405.6,360.98,84.36,405.6,476 CDM,SUP-ZNEWCH13BDT24L22,LOCKING SCREW - 2.4 MM - CANNULATED 1.3 MM - L 22 MM,405.6,360.98,84.36,405.6,476 CDM,SUP-ZNEWCH13BDT24L24,LOCKING SCREW - 2.4 MM - CANNULATED 1.3 MM - L 24 MM,405.6,360.98,84.36,405.6,476 CDM,SUP-ZNEWCH13BDT24L26,LOCKING SCREW 2.4MM CANNULATED 1.3MM L 26MM XPERT WRIST 2.4X26MM,405.6,360.98,84.36,405.6,476 CDM,SUP-ZNEWWTE,IMPLANT-OPHTHALMIC EXTENDER-TUBE EYE GLAUCOMA LATEX-FREE STERILE 0.305X0.635MM,687.5,611.88,143.0,687.5,455 CDM,SUP-ZNINE9610160,SYSTEM INFLATION,797.5,709.78,165.88,797.5,455 CDM,SUP-ZNOBE25040,COUNTERSINK SURGICAL INSTRUMENT DRILL NARROW PLATFORM SYSTEM 26MM,178.56,158.92,37.14,178.56,455 CDM,SUP-ZNOBEN4410B,BONE DEMINERALIZED CORT 0.5CC,97.9,87.13,20.36,97.9,459 CDM,SUP-ZNOBEN4420,IMPLANT-GRAFT-BONE FILLER DBM GRANULES CORTICAL LATEX-FREE STERILE 1CC,130.9,116.5,27.23,130.9,476 CDM,SUP-ZNOBEN4430,IMPLANT-GRAFT-BONE FILLER DBM GRANULES CORTICAL LATEX-FREE STERILE 2CC,193.6,172.3,40.27,193.6,476 CDM,SUP-ZNOBLN4420BA,GRFT NBL MIN/DBM CORT 1,130.9,116.5,27.23,130.9,459 CDM,SUP-ZNSPI406345,LEAD STIMULATION FOR OBSTRUCTIVE SLEEP APNEW 103554,3900.0,3471.0,811.2,3900.0,458 CDM,SUP-ZNUMEBB057,BALLOON-PERIPHERAL OVER-THE-WIRE NON-COMPLIANT LATEX-FREE STERILE PEDIATRIC STENT-PLACEMENT CHEATHAM-PLATINUM-STENT .035IN-GUIDEWIRE-COMPATIBLE 15MMX4CM,1818.38,1618.36,378.22,1818.38,470 CDM,SUP-ZNUMEPDC029,BALLOON CORONARY RAPID EXCHANGE STERILE 0.035IN GUIDEWIRE COMPATIBLE,1478.44,1315.81,307.52,1478.44,461 CDM,SUP-ZNUMEPTSX354,BALLOON CORONARY RAPID EXCHANGE 0.035IN GUIDEWIRE COMPATIBLE SIZING X 9FRX35MMX4CM STERILE,600.4,534.36,124.88,600.4,461 CDM,SUP-ZNUMEPVN401,BALLOON PERIPHERAL OVER THE WIRE NON COMPLIANT STERILE 0.035IN GUIDEWIRE COMPATIBLE X 9FRX18.0X50MMX110CM,4282.52,3811.44,890.76,4282.52,455 CDM,SUP-ZNUMEPVN404,BALLOON CORONARY OVER THE WIRE NONCOMPLIANT STERILE X 10FRX20MMX5X110CM,4282.52,3811.44,890.76,4282.52,455 CDM,SUP-ZNUMEPVN413,BALLOON PERIPHERAL OVER THE WIRE NON COMPLIANT STERILE 0.035IN GUIDEWIRE COMPATIBLE X 9FRX28.0X50MMX110CM,4282.52,3811.44,890.76,4282.52,455 CDM,SUP-ZNUVA5016001,IMPLANT GRAFT BONE FILLER CELLULAR BONE PUTTY FROZEN STERILE SMALL 1CC,850.83,757.24,176.97,850.83,455 CDM,SUP-ZNUVA5016005,IMPLANT GRAFT BONE FILLER CELLULAR BONE PUTTY FROZEN STERILE MEDIUM 5CC,4038.75,3594.49,840.06,4038.75,455 CDM,SUP-ZNUVA5016010,IMPLANT GRAFT BONE FILLER CELLULAR BONE PUTTY FROZEN STERILE LARGE 10CC,7862.1,6997.27,1635.32,7862.1,455 CDM,SUP-ZNYXONXPKG003979US,SYSTEM GENIO INNOVATIVE FOR OBSTRUCTIVE SLEEO APENA,49900.0,44411.0,10379.2,49900.0,456 CDM,SUP-ZOCU55105,IMPROVUE OPHTHALMIC LUBRICANT DROPS,224.88,200.14,46.78,224.88,455 CDM,SUP-ZOCUL14122,EYE IMPLANT ALLEN SZ 17,598.0,532.22,124.38,1046.28,457 CDM,SUP-ZOCUL14124,EYE IMPLANT ALLEN SZ 19,598.0,532.22,124.38,1046.28,457 CDM,SUP-ZOCULZR3630,DRAPE,238.8,212.53,49.67,238.8,455 CDM,SUP-ZOLYMBMLV242QR30,BASKET LITHOTRIPTER BULLET TIP HARD 30MMX195CM,1683.05,1497.91,350.07,1683.05,455 CDM,SUP-ZOLYMFG33W,BASKET ENDOSCOPIC SPECIMEN RETRIEVAL FOREIGN BODY GASTROENTEROSCOPY 4 WIRE SPIRAL LUER LOCK CONNECTOR INTERGRATED HANDLE STERILE 10MMX250CM DISPOSABLE,1186.85,1056.3,246.86,1186.85,455 CDM,SUP-ZOLYMG2602527A,GUIDEWIRE ENDOSCOPIC BILIARY ANGLED TIP HYDROPHILIC COATED DISPOSABLE STERILE TORQUABLE RADIOPAQUE 0.025INX270CM,329.02,292.83,68.44,329.02,475 CDM,SUP-ZOLYMG2602545A,GUIDEWIRE ENDOSCOPIC BILIARY ANGLED TIP FLOURINE COATED DISPOSABLE 0.025INX450CM,329.02,292.83,68.44,329.02,475 CDM,SUP-ZOLYMKDV411M072,SPHINCTEROTOME ENDOSCOPIC TRIPLE LUMEN PRECURVED TAPERED TIP DISPOSABLE CLEVERCUT3V 4.5FRX7X25MM,669.08,595.48,139.17,669.08,455 CDM,SUP-ZOLYMMD47706,KNIFE ENDOSCOPIC STANDARD STERILE MONOPOLAR 1.8X2.8MM,3847.19,3424.0,800.22,3847.19,455 CDM,SUP-ZOLYMNA201SX4022A,NEEDLE ASPIRATION SOUND ENDOSCOPIC INSERTION PORTION CANNULA WORKING ADULT DIMPLED ECHOGENIC TIP REMOVABLE SAFETY STERILE 22GAX1.8X40X700MM,492.47,438.3,102.43,492.47,455 CDM,SUP-ZOLYMNAU403SX4019,NEEDLE ASPIRATION 19GA HISTOLOGY FLEXIBLE 2,1540.0,1370.6,320.32,1540.0,455 CDM,SUP-ZOLYMSVSVSKKIT,KIT SIZING VALVE AIRWAY BALLOON SYRINGE GAUGE,1575.0,1401.75,327.6,1575.0,455 CDM,SUP-ZOLYMTFLFBX200S,FIBER SURGICAL LASER THULIUM STERILE 200,1682.4,1497.34,349.94,1682.4,455 CDM,SUP-ZOLYMTFLFBX365S,FIBER SURGICAL LASER THULIUM LATEX FREE STERILE 365,1675.0,1490.75,348.4,1675.0,455 CDM,SUP-ZOLYMWA22521C,ELECTRODE CUTTING LOOP HIGH FREQUENCY ARTHROSCOPIC NON STERILE PLASMA VAPORIZATION TURIS 24FR 12 DEG HIGH FREQUENCY,1882.85,1675.74,391.63,1882.85,455 CDM,SUP-ZOLYMWA22737S,ELECTRODE LOOP PLASMA LONG MEDIUM LATEX FREE ELECTROSURGICAL GENERATOR 24FR,2083.68,1854.48,433.41,2083.68,455 CDM,SUP-ZOLYMWA22741S,ELECTRODE BUTTON PLASMA LONG ELECTROSURGICAL GENERATOR OVAL 24FR,2460.38,2189.74,511.76,2460.38,455 CDM,SUP-ZOLYMWA47707S,ELECTRODE PLASMA OVAL 12 30DEGREE GYNECOLOGY STERILE 24FR,2212.29,1968.94,460.16,2212.29,455 CDM,SUP-ZOLYMWA47723S,BAND PLASMA MEDIUM 12 30DEGREE GYNECOLOGY STERILE,2212.29,1968.94,460.16,2212.29,455 CDM,SUP-ZOLYMWB990210,HANDPIECE APPLICATOR CONICAL NASAL BIPOLAR HYPERPLASTIC HYPERTROPHY GENTLE PROBREATH SUBMUCOSAL VOLUME REDUCTION RADIOFREQUENCY INDUCED THERMOTHERAPY 1.1MM PROBREATH 1.1X100MM DISPOSABLE,955.3,850.22,198.7,955.3,455 CDM,SUP-ZOLYTB0009OF,TUBING SET 0009OFX,1890.0,1682.1,393.12,1890.0,455 CDM,SUP-ZOLYWA22751S,ELECTRODE BIPOLAR HIGH FREQUENCY ROLLER PLASMA ROLLER 24 28FR,2083.68,1854.48,433.41,2083.68,455 CDM,SUP-ZOLYWA22755S,ELECTRODE BIPOLAR HIGH FREQUENCY LATEX FREE ANGLED NEEDLE PLASMA NEEDLE 24 28FR,2172.83,1933.82,451.95,2172.83,455 CDM,SUP-ZOLYWA22766S,ELECTRODE BIPOLAR HIGH FREQUENCY BUTTON PLASMA OVALBUTTON 24FR,2460.38,2189.74,511.76,2460.38,455 CDM,SUP-ZONC001007,MARKER IMAGING PRELOADED X MARK GOLD 1.15MMX1CM,308.7,274.74,64.21,308.7,462 CDM,SUP-ZONC001028,MARKER GOLD .085X2XMARK PRELOD,300.0,267.0,62.4,300.0,462 CDM,SUP-ZONC001078,MARKER FIDUCIAL GOLD PRELOADED 0.085MMX2CM,406.0,361.34,84.45,406.0,462 CDM,SUP-ZORG11045,GRAFT HUMAN TISSUE W5XL7.5CM FIBROBLAST DERIVED DERMAL SUBSTITUTE BIOABSORBABLE,2994.06,2664.71,44.04,2994.06,459 CDM,SUP-ZORGAAPLIGRAF,GRFT APL 0.75X7.5,2789.43,2482.59,124.71,2789.43,471 CDM,SUP-ZORT0010052508,SCREW BONE CORTICAL CANNULATED SELFTAPPING FULL THREAD NONLOCKING LONG SHORT BONE PELVIS SCAPULA YELLOW 2.7X8MM NONSTERILE,104.0,92.56,21.63,104.0,476 CDM,SUP-ZORT0110050029,GUIDEWIRE ORTHOPEDIC THREADED CHROMIUM LATEX FREE NON STERILE 2.5X150MM,529.78,471.5,110.19,529.78,476 CDM,SUP-ZORTH0112000050,GUIDEWIRE ORTHOPEDIC THREADED TITANIUM TIBIAL NONSTERILE 2.4X230MM,441.48,392.92,91.83,441.48,475 CDM,SUP-ZORTH10012,WRENCH SURGICAL STAINLESS STEEL TORQUE POLYHEDRAL REUSABLE 3MM,63.16,56.21,13.14,63.16,476 CDM,SUP-ZORTH13570,T WRENCH EXTERNAL FIXATION STAINLESS STEEL FOR CLAMP SYSTEM 3MM,248.12,220.83,51.61,248.12,476 CDM,SUP-ZORTHM203,CLAMP EXTERNAL FIXATION THREADED NONSWIVEL SYSTEM 30MM STERILE,924.28,822.61,192.25,924.28,455 CDM,SUP-ZORTHM225,SCREW TEMPLATE EXTERNAL FIXATION STAINLESS STEEL 4 WIRE 4 WIREGUIDE 4 PIN GUIDE NONSTERILE,479.16,426.45,99.67,479.16,455 CDM,SUP-ZORTHM310,SCREW BONE CORTICAL SELF TAPPING THREADED STERILE 3/2.5X18X50MM,336.1,299.13,69.91,336.1,476 CDM,SUP-ZORTHM311,SCREW EXTERNAL FIXATION SELF DRILLING THREADED LATEX FREE STERILE 3/2.5X20X60MM,336.1,299.13,69.91,336.1,476 CDM,SUP-ZORTHM312,SCREW BONE L60MM DIA3MM THREAD L25MM SELF DRILLING FIXATION,336.1,299.13,69.91,336.1,476 CDM,SUP-ZORTHM511,CLAMP EXTERNAL FIXATION FOOT MULTIPLANAR STERILE,21150.33,18823.79,4399.27,21150.33,455 CDM,SUP-ZOSBOBK406,PROTECTOR ORTHOPEDIC FOOT STUMP RIGID BLACK NONSTERILE,1445.0,1286.05,300.56,1445.0,455 CDM,SUP-ZOSBOHFS102,CUSHION HI-DENSITY FOAM RING,519.75,462.58,108.11,519.75,455 CDM,SUP-ZOSSU423100,BRACE KNEE DLX POST OP COOL,254.0,226.06,52.83,1286.85,469 CDM,SUP-ZOSSU980301,KIT BRACE HIP OPERATING ROOM,962.5,856.63,200.2,962.5,455 CDM,SUP-ZOSSUB8381480,BRACE KNEE ADULT FOR 16-32IN THIGH POST OP COOL,201.4,179.25,41.89,1286.85,469 CDM,SUP-ZOSTE20210067,SCREW SPINAL SACRAL LUMBAR CANNULATED SACROILIAC FASTENER 10X67.5MM,5850.0,5206.5,1216.8,5850.0,476 CDM,SUP-ZOSTE20210072,SCREW SPINAL SACRAL LUMBAR CANNULATED LATEX FREE SACROILIAC FASTENER 10X72.5MM,5850.0,5206.5,1216.8,5850.0,476 CDM,SUP-ZOSTE20210077,SCREW SPINAL SACRAL LUMBAR CANNULATED LATEX FREE SACROILIAC FASTENER 10X77.5MM,5850.0,5206.5,1216.8,5850.0,476 CDM,SUP-ZOSTE20210082,SCREW SPINAL SACRAL LUMBAR CANNULATED SACROILIAC FASTENER 10X82.5MM,5850.0,5206.5,1216.8,5850.0,476 CDM,SUP-ZOSTE20212067,SCREW SPINAL SACRAL LUMBAR CANNULATED LATEX FREE SACROILIAC FASTENER 12X67.5MM,5850.0,5206.5,1216.8,5850.0,476 CDM,SUP-ZOSTE20212072,SCREW SPINAL SACRAL LUMBAR CANNULATED LATEX FREE SACROILIAC FASTENER 12X72.5MM,5850.0,5206.5,1216.8,5850.0,476 CDM,SUP-ZOSTE20212077,SCREW SPINAL SACRAL LUMBAR CANNULATED LATEX FREE FASTENER 12X77.5,5850.0,5206.5,1216.8,5850.0,471 CDM,SUP-ZOSTE20212082,SCREW SPINAL SACRAL LUMBAR CANNULATED LATEX FREE SACROILIAC FASTENER 12X82.5MM,5850.0,5206.5,1216.8,5850.0,476 CDM,SUP-ZOSTE2140221T,PLT RGD DCP 15H,82.8,73.69,17.22,82.8,476 CDM,SUP-ZOSTE42110,GRAFT BONE SUBSTITUTE FLEX 2.5X5CM DEMINERALIZED BONE FREEZE DRIED,1486.26,1322.77,309.14,1486.26,455 CDM,SUP-ZOSTE42210,GRAFT BONE SUBSTITUTE W5XL2.5CM DEMINERALIZED BONE,2369.4,2108.77,492.84,2369.4,455 CDM,SUP-ZOSTE42275,GRAFT BONE STRIP DBM PUTTY JAR 1X10CM HUMAN,2309.09,2055.09,480.29,2309.09,476 CDM,SUP-ZOSTE43102,BONE PUTTY DBM GRAFTON 1,302.4,269.14,62.9,302.4,476 CDM,SUP-ZOSTE44125,IMPLANT GRAFT BONE FILLER DBM JAR STERILE LARGE DEFECT 5CC,1645.66,1464.64,342.3,1645.66,455 CDM,SUP-ZOSTE44135,GRAFT BONE LARGE DEFECT ORTHOBLEND DEMINERALIZED BONE 15CC,2824.0,2513.36,587.39,2824.0,455 CDM,SUP-ZOSTEX00025,IMPLANT GRAFT BONE FILLER DBM CRUSHED CANCELLOUS SYRINGE STERILE FREEZE DRIED 60CC,1686.58,1501.06,350.81,1686.58,455 CDM,SUP-ZOTIC78250151,IMPRESSION MATERIAL EAR A ZOFT,390.0,347.1,81.12,390.0,455 CDM,SUP-ZOTOMS2500,KIT COLLECTION L2.5IN OD1.8IN BONE DUST STAINLESS STEEL DISPOSABLE MESH SCREEN FILTER,384.3,342.03,79.93,384.3,455 CDM,SUP-ZOVES20070,SET SYSTEM ENDOSCOPIC MARKING PROBE GRASPER GASTROINTESTINAL RESECTION FLEXIBLE FULL THICKNESS,5956.0,5300.84,1238.85,5956.0,455 CDM,SUP-ZOVES4000201,CUTTER ENDOSCOPIC BIPOLAR DIRECT THE,2200.5,1958.45,457.7,2200.5,455 CDM,SUP-ZOVES4000202,FORCEPS ENDOSCOPIC TISSUE MANIPULATION FLEXIBLE WITH DIRECT INSTRUMENT CONDUCTING WIRE DISPOSABLE,2200.5,1958.45,457.7,2200.5,455 CDM,SUP-ZPATT5545721,PADDING CAST W9INXL4YD BEIGE WITH SOFT LOW-PROFILE ADHESIVE,167.64,149.2,34.87,167.64,455 CDM,SUP-ZPBIY3000,BINDER PELVIC RADIOLUCENT COMPATIBLE FOR FRACTURE STABILIZATION,1800.0,1602.0,374.4,1800.0,455 CDM,SUP-ZPEDICDSTB10,TOTE DEEP LG BOX CASE CART 16X13IN BLUE 14 1.2X17 3/4X10IN,321.36,286.01,66.84,321.36,455 CDM,SUP-ZPEGAFCDISC,DISC SURGICAL DISPOSABLE,1230.0,1094.7,255.84,1230.0,455 CDM,SUP-ZPEGAGWIRE016,GUIDEWIRE ORTHOPEDIC NONSTERILE CANNULATED REAMER 1.6X450MM,148.0,131.72,30.78,148.0,475 CDM,SUP-ZPEGAGWIRE020,FD GUIDE WIRE 2.0MM X 457MM,148.0,131.72,30.78,148.0,475 CDM,SUP-ZPENUCAT3KIT,THROMBECTOMY ASPIRATION STAINLESS STEEL OVER THE WIRE PROXIMAL DISTAL SEPARATOR STERILE STRAIGHT TIP 4FRX150CM,5480.0,4877.2,1139.84,5480.0,455 CDM,SUP-ZPERFPRS1030,RETRACTOR TRAXI PANNICULUS,563.92,501.89,117.3,563.92,455 CDM,SUP-ZPFIZ3269172,PWDR HMST GLF ABS MUCSL 1GM,573.76,510.65,119.34,573.76,455 CDM,SUP-ZPFSM100,SPLINT FT POSTROR XL CROSS,172.9,153.88,35.96,387.0,468 CDM,SUP-ZPFSM101,SPLINT BRACE ANKLE LG STANDARD TIBIAL MALLEABLE HOSPITAL GRADE ALLOY RIGID STRONG DURABLE EXPANDED HEEL POCKET DEEP CROSS RIVETED STRAPS,172.9,153.88,35.96,387.0,468 CDM,SUP-ZPFSM102,BRACE ANKLE M STANDARD TIBIAL MALLEABLE HOSPITAL GRADE ALLOY RIGID STRONG DURABLE EXPANDED HEEL POCKET DEEP CROSS RIVETED STRAPS,172.9,153.88,35.96,172.9,468 CDM,SUP-ZPFSM103,SPLNT ORTH FT POST SM,172.9,153.88,35.96,387.0,468 CDM,SUP-ZPFSM108,SPLINT W/KNEE POST ATTA CROSS,131.2,116.77,27.29,257.79,457 CDM,SUP-ZPFSM2013,SPLINT FT POSTROR SM CUT CROSS,238.6,212.35,49.63,387.0,468 CDM,SUP-ZPFSM2100,SPLINT FT POSTROR XL CUT CROSS,238.6,212.35,49.63,387.0,468 CDM,SUP-ZPFSM2101,BRACE ANKLE L STANDARD TIBIAL MALLEABLE HOSPITAL GRADE ALLOY EF CUTOUTS RIGID STRONG DURABLE EXPANDED HEEL POCKET DEEP CROSS RIVETED STRAPS,238.6,212.35,49.63,387.0,468 CDM,SUP-ZPFSM2102,BRACE ANKLE M STANDARD TIBIAL MALLEABLE HOSPITAL GRADE ALLOY EF CUTOUTS RIGID STRONG DURABLE EXPANDED HEEL POCKET DEEP CROSS RIVETED STRAPS,238.6,212.35,49.63,387.0,468 CDM,SUP-ZPHIL7840099FC0757,NDL BIOP 18GAX175,990.0,881.1,205.92,990.0,455 CDM,SUP-ZPHIL784009FCS0815,NEEDLE-BIOPSY COAXIAL FULL-AUTOMATED BLUE 14GAX111/150MM,594.0,528.66,123.55,594.0,455 CDM,SUP-ZPHOT00416111,TB SUCT FRZR FLX 8F,478.5,425.87,99.53,478.5,455 CDM,SUP-ZPMT12011B,RING OPEN BACK EXTRA SMALL FOR,3188.0,2837.32,663.1,3188.0,471 CDM,SUP-ZPMT120122,SET HEAD PIN TITANIUM 3IN,1006.0,895.34,209.25,1006.0,476 CDM,SUP-ZPMT12035MEDWB,VEST 5 MEDIUM CUSTOM,2288.0,2036.32,475.9,4106.14,468 CDM,SUP-ZPMT12111XLARGE,RIN OPEN BACK EXTRA LARGE INCLUDES 3IN SKULL/POSITIONING PINC,3284.0,2922.76,683.07,3284.0,476 CDM,SUP-ZPMT12113MEDIUM,KIT TRAUMA CUSTOM RING AND WRENCH MEDIUM T RING AND WRENCH,11340.0,10092.6,2358.72,11340.0,455 CDM,SUP-ZPMT12113SLARGE,KIT TRAUMA CUSTOM RING AND WRENCH LG,11200.0,9968.0,2329.6,11200.0,455 CDM,SUP-ZPMT12113SMALL,KIT TRAUMA OPEN BACK SMALL,11340.0,10092.6,2358.72,11340.0,455 CDM,SUP-ZPMT12113SS1,KIT TRAUMA CUSTOM RING AND WRENCH SMALL,11340.0,10092.6,2358.72,11340.0,455 CDM,SUP-ZPMT12113XLARGE,KIT TRAUMA OPEN BACK XLARGE,11340.0,10092.6,2358.72,11340.0,455 CDM,SUP-ZPMT12335LARGE,SYSTEM TRACTION L VEST GRAPHITE COMPOSITE NYLON SOFT FLEXIBLE TAPERED VEST DESIGN ANTERIOR POSTERIOR CERVICAL HEAD NECK FOR COMPRESSION,2596.0,2310.44,539.97,4106.14,468 CDM,SUP-ZPMT12335MEDIUM,VEST MD,2596.0,2310.44,539.97,4106.14,468 CDM,SUP-ZPMT12335SMALL,VEST SM,2402.0,2137.78,499.62,4106.14,468 CDM,SUP-ZPMT12335XLARGE,VEST XL,2402.0,2137.78,499.62,4106.14,468 CDM,SUP-ZPMT211064168,ELECTRODE SUBDURAL GRID PLATINUM 8X8,8716.0,7757.24,1812.93,8716.0,455 CDM,SUP-ZPMT21271201087QDC,INTERCONNECTION 12 CONTACT,2430.0,2162.7,505.44,2430.0,455 CDM,SUP-ZPRIMFAS13,GRFT FASC LAT 78,1432.41,1274.84,297.94,1432.41,459 CDM,SUP-ZPRIMFCW10,GRFT BN FEM CNDYL BILAT,6832.49,6080.92,1421.16,6832.49,455 CDM,SUP-ZPRIMFWL14,GRFT BN FEM LT WHL,13645.59,12144.58,2838.28,13645.59,455 CDM,SUP-ZPRIMHWR60,GRFT HUM RCUF WHL RT,11146.95,9920.79,2318.57,11146.95,455 CDM,SUP-ZPRIMTPL64,GRFT BN LFN TIB PROX LT,20477.43,18224.91,4259.31,20477.43,455 CDM,SUP-ZPRIMULR60,GRFT BN LFN ULNA WHL RT,7142.66,6356.97,1485.67,7142.66,455 CDM,SUP-ZPROS26F100S,ELECTRODE MONOPOLAR UROLOGY FLEX CONE TIP VAPORIZATION ROLLER BAR BLACK 24 28FR USA SYSTEM USA SERIES NICKEL SILVER GROOVED SALINETRODE STERILE DISPOSABLE 2.6FR,1525.0,1357.25,317.2,1525.0,455 CDM,SUP-ZPRYTKT1835C,SET CONVENIENCE WITH NEEDLE INTRODUCER SHEATH SHORT GUIDEWIRE PREFILLED SYRINGE NYLON SUTURE SCALPEL CLAMP INSERT INFLATION QUICK REFERENCE POCKET GUIDE,1560.0,1388.4,324.48,1560.0,455 CDM,SUP-ZPULSCPE18G07,ELECTROCE PERCUTANEOUS INPULSE VYBRANCE 18GX7CM,14997.0,13347.33,3119.38,14997.0,455 CDM,SUP-ZPURDBTA01G,CLEANER HIBICLENS 1GAL,245.1,218.14,50.98,245.1,455 CDM,SUP-ZQUESDCP315BI,OPHTHALMIC BALLOON L15MM DIA3MM BILATERAL,600.0,534.0,124.8,600.0,474 CDM,SUP-ZRAINUF80,WRAP COMPRESSION FACIAL COVERED EARS NYLON LYCRA ADJUSTABLE FIT 4 WAY BEIGE MALE FEMALE NONSTERILE,216.0,192.24,44.93,216.0,455 CDM,SUP-ZRECOPRDSPPP,FEE PROCEDURE ULTRASOUND RENAL DENERVATION SYSTEM PARADISE,40000.0,35600.0,8320.0,40000.0,455 CDM,SUP-ZRELIRLVRFGMR,RENTAL FEE MONTHLY RADIOFREQUENCY GENERATOR,5400.0,4806.0,1123.2,5400.0,455 CDM,SUP-ZRELIRLVRFGPR,RENTAL FEE GENERATOR RADIOFREQUENCY PROCEDURE,1375.0,1223.75,286.0,1375.0,455 CDM,SUP-ZRESP9030004502,IMPLANT SUTURE SCREW IN SELF DRILLING LATEX FREE STERILE HORNET LARGE 4.5X14MM,520.0,462.8,108.16,520.0,476 CDM,SUP-ZRESP9030010000,AWL SUTURE SELF DRILLING HARRIER ROTATOR CUFF HORNET DISPOSABLE,693.0,616.77,144.14,693.0,455 CDM,SUP-ZRESP9040004500,IMPLANT SUTURE PUSH IN SELF DRILLING LATEX FREE STERILE LARGE 4.5X21MM PUSH IN KNOTLESS,742.0,660.38,154.34,742.0,476 CDM,SUP-ZRHYTSMB1710,ELECTRODE EEG CUSTOMIZED,298.92,266.04,62.18,298.92,455 CDM,SUP-ZRIDG36889,LOOP & SHEAR TRANSECTING KIT,1440.0,1281.6,299.52,1440.0,455 CDM,SUP-ZRTI453101,IMPLANT GRAFT BONE WHOLE BONE MENISCUS FROZEN STERILE LEFT LATERAL WITH BONE,11631.6,10352.12,2419.37,11631.6,455 CDM,SUP-ZRUSH100C,IMPLANT-BONE INTRAMEDULLARY-NAIL TIBIAL TITANIUM LATEX-FREE STERILE CONDYLE 6MMX31.7CM,304.0,270.56,63.23,304.0,476 CDM,SUP-ZRUSH200A,IMPLANT-BONE INTRAMEDULLARY-NAIL TIBIAL TITANIUM LATEX-FREE STERILE CONDYLE 5MMX20.32CM,290.0,258.1,60.32,290.0,476 CDM,SUP-ZRUSH200E,PIN FIXATION LATEX-FREE 3/16X11,290.0,258.1,60.32,290.0,476 CDM,SUP-ZRUSH200G,IMPLANT-BONE INTRAMEDULLARY-NAIL TIBIAL TITANIUM LATEX-FREE STERILE CONDYLE 5MMX31.1CM,290.0,258.1,60.32,290.0,476 CDM,SUP-ZRUSH300K,PIN FIXATION LATEX-FREE 1/8X9IN,250.0,222.5,52.0,250.0,476 CDM,SUP-ZRWMI2208120,CONTAINER TISSUE COLLECTION 2000ML DISPOSABLE FOR MORCELLATION FOLLOWING LASER PROSTATE ENUCLEATION,154.62,137.61,32.16,154.62,455 CDM,SUP-ZSALI241318,NDL DEFLUX 23GAX3.7GAX3.5.,577.5,513.98,120.12,577.5,455 CDM,SUP-ZSALUCLSCHGEVK,SYSTEM NEUROSTIMULATOR CLOSED LOOP CHARGING EVOKE,4900.0,4361.0,1019.2,4900.0,458 CDM,SUP-ZSALUPERMSYS602EVK,IMPLANT GENERATOR NEUROSTIMULATOR CLOSED LOOP BUNDLE EVOKE 60CM,60000.0,53400.0,12480.0,60000.0,458 CDM,SUP-ZSALUPERMSYS902EVK,IMPLANT GENERATOR NEUROSTIMULATOR CLOSED LOOP BUNDLE EVOKE 90CM,60000.0,53400.0,12480.0,60000.0,458 CDM,SUP-ZSALUTRIALSYS602EVK,IMPLANT LEAD NEUROSTIMULATOR PERCUTANEOUS 2 TRIAL LATEX STERILE EVOKE 60CM,2400.0,2136.0,499.2,2400.0,458 CDM,SUP-ZSALUTRIALSYS902EVK,IMPLANT LEAD NEUROSTIMULATOR PERCUTANEOUS 2 TRIAL LATEX STERILE EVOKE 90CM,2400.0,2136.0,499.2,2400.0,458 CDM,SUP-ZSART019535,LEAD CARDIAC PACING MYOCARDIAL TEMPORARY BLUE DISPOSABLE LATEX FREE STERILE 6FT,176.28,156.89,36.67,176.28,455 CDM,SUP-ZSHIP3TTFILTRON500,KIT CANISTER LIPOSUCTION WASTE-COLLECTION 500ML,1559.25,1387.73,324.32,1559.25,455 CDM,SUP-ZSHIR11045,DERMAGRAFT GRAFT-TISSUE ACELLULAR DERMIS FREEZE-DRIED REGENERATIVE BREAST LATEX-FREE STERILE THICK 1.04MM 5CMX735CM,2994.06,2664.71,44.04,2994.06,459 CDM,SUP-ZSJM1194,LEAD FOR SPINAL CORD STIMULATOR,306.0,272.34,63.65,306.0,455 CDM,SUP-ZSJM1LEADTRIALSYS,IMPLANT LEAD NEUROSTIMULATOR PERCUTANEOUS SPINE 8 ELECTRODE TITANIUM 8 ENHANCED STYLET 1 STERILE,2300.0,2047.0,478.4,2300.0,457 CDM,SUP-ZSJM2LEADTRIALSYS,IMPLANT LEAD NEUROSTIMULATOR PERCUTANEOUS SPINE 8 ELECTRODE TITANIUM 8 ENHANCED STYLET 2 STERILE,3190.0,2839.1,663.52,3190.0,457 CDM,SUP-ZSJM3086,IMPLANT LEAD NEUROSTIMULATOR PERCUTANEOUS SPINE 8 ELECTRODE TITANIUM 8 ENHANCED STYLET LATEX FREE STERILE 60CM,854.0,760.06,177.63,854.0,457 CDM,SUP-ZSJM3159,IMPLANT-LEAD-NEUROSTIMULATOR PERCUTANEOUS SPINE 4-ELECTRODE TITANIUM 4-CHANNEL ENHANCED-STYLET STERILE LATEX-FREE 3.6MMX90CM,2550.0,2269.5,530.4,2550.0,458 CDM,SUP-ZSJM3183,KIT LEAD NEUROSTIMULATOR L30CM 8 ELECTRODE,3600.0,3204.0,748.8,3600.0,458 CDM,SUP-ZSJM3789,GENERATOR NEUROSTIMULATOR 16 RECHARGEABLE,24473.2,21781.15,5090.43,24473.2,458 CDM,SUP-ZSJM3852,PROGRAMMER PATIENT IMPLANT GENERATOR NEUROSTIMULATOR PAIN MANAGEMENT SPINE PERMANENT TITANIUM COMPATIBLE MULTIPROGRAM RECHARGEABLE STERILE,4268.7,3799.14,887.89,4268.7,455 CDM,SUP-ZSJM3853,PROGRAMMER NEUROSTIMULATOR,4268.7,3799.14,887.89,4268.7,455 CDM,SUP-ZSMAL3003500,PIN ORTHOPEDIC STAINLESS STEEL THREADED NONSTERILE REMOTION 2.4X140MM,168.0,149.52,34.94,168.0,455 CDM,SUP-ZSMIT10714,KIT ARTHROSCOPIC FIXATION MENISCAL REPAIR WITH SPINAL DISPOSABLE,633.27,563.61,131.72,633.27,455 CDM,SUP-ZSMIT72290004,WAND ANGLED 50 DEGREE ABLATION ARTHROSCOPIC STERILE AMBIENT HIPVAC 4.6MM,1806.39,1607.69,375.73,1806.39,455 CDM,SUP-ZSMIT912690,RING EXTERNAL FIXATION FOOT LATEX FREE 110MMX3/4IN,2578.5,2294.86,536.33,2578.5,455 CDM,SUP-ZSMIT912692,RING EXTERNAL FIXATION FOOT LATEX FREE 100MMX3/4IN,2178.0,1938.42,453.02,2178.0,455 CDM,SUP-ZSMIT912693,RING EXTERNAL FIXATION FOOT LATEX FREE 100MMX5/8IN,2178.0,1938.42,453.02,2178.0,455 CDM,SUP-ZSMITEICA707101,WAND PLASMA MINI SMALL SILICONE INSULATED COBLATOR ARTHROSCOPIC NON STERILE DISTAL ABLATIVE 2.9MMX22CM,3478.5,3095.87,723.53,3478.5,455 CDM,SUP-ZSMITEICA887501,WAND PLASMA MINI SMALL SILICONE INSULATED COBLATION ARTHROSCOPIC NONSTERILE DISTAL ABLATIVE,1395.0,1241.55,290.16,1395.0,455 CDM,SUP-ZSNOAGB1125,GRAFT TISSUE STERILE 1.5X2CM,660.0,587.4,137.28,660.0,458 CDM,SUP-ZSNOAGB1235,GRAFT HUMAN TISSUE 2X3CM FOR DENTAL SURGERY BIOXCLUDE,472.0,420.08,98.18,472.0,459 CDM,SUP-ZSNOAGB1525,GRFT CHR ALGRFT 15X25,300.0,267.0,62.4,300.0,459 CDM,SUP-ZSONA404145000003,KT TB CRYSUR ABL PROST,7200.0,6408.0,1497.6,7200.0,455 CDM,SUP-ZSONYCFVE30SK,KIT EYE SHIELD 3D FRAME,420.72,374.44,87.51,420.72,455 CDM,SUP-ZSOR020120801,KT DHFHEMOCONCENTRATOR 0.6,460.63,409.96,95.81,460.63,455 CDM,SUP-ZSORI627100701,TUBING PERFUSION L120IN SMA 3/8X3/32IN,270.9,241.1,56.35,270.9,455 CDM,SUP-ZSORI627131601,TUBING PERFUSION PUMP 120IN .5INX3/32IN STERILE 0.5X3/32X120IN,327.6,291.56,68.14,327.6,455 CDM,SUP-ZSORIAF826,IMPLANT RING ANNULOPLASTY MITRAL BARIUM IMPREGNATED SILICONE FULLY FLEXIBLE STERILE LATEX FREE 26MM,1760.0,1566.4,366.08,1760.0,471 CDM,SUP-ZSORIAF828,RING ANNULOPLASTY DIA28MM,1760.0,1566.4,366.08,1760.0,471 CDM,SUP-ZSORIAF830,IMPLANT RING ANNULOPLASTY MITRAL BARIUM IMPREGNATED SILICONE FULLY FLEXIBLE STERILE LATEX FREE 30MM,1760.0,1566.4,366.08,1760.0,471 CDM,SUP-ZSORIAF832,IMPLANT RING ANNULOPLASTY MITRAL BARIUM IMPREGNATED SILICONE FULLY FLEXIBLE STERILE LATEX FREE 32MM,1760.0,1566.4,366.08,1760.0,471 CDM,SUP-ZSORIAF834,IMPLANT RING ANNULOPLASTY MITRAL BARIUM IMPREGNATED SILICONE FULLY FLEXIBLE STERILE LATEX FREE 34MM,1760.0,1566.4,366.08,1760.0,471 CDM,SUP-ZSORIAF836,IMPLANT RING ANNULOPLASTY MITRAL BARIUM IMPREGNATED SILICONE FULLY FLEXIBLE STERILE LATEX FREE 36MM,1760.0,1566.4,366.08,1760.0,471 CDM,SUP-ZSORIR5025,IMPLANT VALVE CORONARY AORTIC STERILE 25MM,5380.0,4788.2,1119.04,5380.0,471 CDM,SUP-ZSORIR5027,VALVE AORTIC 27MM CORK SHAPED SEWING CUFF TITANIUM STIFFENING RING BILEAFLET REDUCED SERIES,5380.0,4788.2,1119.04,5380.0,471 CDM,SUP-ZSORIR5029,VALVE AORTIC OD29MM MECHANICAL ROTATABLE REDUCED SERIES,5380.0,4788.2,1119.04,5380.0,471 CDM,SUP-ZSOSFP010,PILLOW FETAL SILCONE CAESAREAN SECTION BALLOON SAFETY FETAL PILLOW,4179.0,3719.31,869.23,4179.0,455 CDM,SUP-ZSOUTCHDCM,BUR SD CUT MAXILFAC 2.8-3.9,471.9,419.99,98.16,471.9,455 CDM,SUP-ZSPEC621530RL,MATERIAL SCISSOR SURGICAL TEST ROLL PEACH 18FT,240.0,213.6,49.92,240.0,455 CDM,SUP-ZSPEC621531RL,MATERIAL SCISSOR SURGICAL TEST ROLL ORANGE 18FT,240.0,213.6,49.92,240.0,455 CDM,SUP-ZSPESSI1BR100S2526D,ELCTRD MNPLR RHIZ STIM 100,528.0,469.92,109.82,528.0,455 CDM,SUP-ZSR0830CS,STENT TRANSCAROTID L30MM DIA8MM L57CM CROSSING 5FR ARTERIAL SHEATH ID8FR 0.014IN,7000.0,6230.0,1456.0,7000.0,459 CDM,SUP-ZSR0840CS,STENT TRANSCAROTID L40MM DIA8MM L57CM CROSSING 5FR ARTERIAL SHEATH ID8FR 0.014IN,7000.0,6230.0,1456.0,7000.0,459 CDM,SUP-ZSR0940CS,STENT TRANSCAROTID L40MM DIA9MM L57CM CROSSING 6FR ARTERIAL SHEATH ID8FR 0.014IN,7000.0,6230.0,1456.0,7000.0,459 CDM,SUP-ZSR1040CS,STENT TRANSCAROTID L40MM DIA10MM L57CM CROSSING 6FR ARTERIAL SHEATH ID8FR 0.014IN,7000.0,6230.0,1456.0,7000.0,459 CDM,SUP-ZSSWH10411,TIP XTRACT ALL TIP STAINLESS STEEL 2A UNC HIP STEM MALE STERILE 12 24TPI DISPOSABLE,1500.0,1335.0,312.0,1500.0,455 CDM,SUP-ZSSWH10412,XTRACT ALLTIP STAINLESS STEEL 2A UNC HIP STEM MALE STERILE XTRACT ALL 12 28TPI DISPOSABLE,1500.0,1335.0,312.0,1500.0,455 CDM,SUP-ZSSWH10413,XTRACT ALLTIP STAINLESS STEEL 2A UNC HIP STEM MALE STERILE XTRACT ALL 1/4IN 20TPI DISPOSABLE,1500.0,1335.0,312.0,1500.0,455 CDM,SUP-ZSSWH10414,XTRACT ALLTIP STAINLESS STEEL 2A UNF HIP STEM MALE STERILE XTRACT ALL 1/4IN 28TPI DISPOSABLE,1500.0,1335.0,312.0,1500.0,455 CDM,SUP-ZSSWH10415,XTRACT ALLTIP STAINLESS STEEL 2A UNC HIP STEM MALE STERILE XTRACT ALL 5/16IN 18TPI DISPOSABLE,1500.0,1335.0,312.0,1500.0,455 CDM,SUP-ZSSWH10416,TIP XTRACT ALL TIP STAINLESS STEEL 2A UNF HIP STEM MALE STERILE 5/16IN 24TPI DISPOSABLE,1500.0,1335.0,312.0,1500.0,455 CDM,SUP-ZSSWH10417,TIP XTRACT ALL TIP STAINLESS STEEL 2A UNC HIP STEM MALE STERILE 3/8IN 16TPI DISPOSABLE,1500.0,1335.0,312.0,1500.0,455 CDM,SUP-ZSSWH10418,TIP XTRACT ALL TIP STAINLESS STEEL 2A UNF HIP STEM MALE STERILE 3/8IN 24TPI DISPOSABLE,1500.0,1335.0,312.0,1500.0,455 CDM,SUP-ZSSWH10419,XTRACT ALLTIP STAINLESS STEEL 2A UNC HIP STEM MALE STERILE XTRACT ALL 7/16IN 14TPI DISPOSABLE,1500.0,1335.0,312.0,1500.0,455 CDM,SUP-ZSSWH10421,TIP XTRACT ALL TIP STAINLESS STEEL 6G M SERIES HIP STEM MALE STERILE 5MM 0.8MM DISPOSABLE,1500.0,1335.0,312.0,1500.0,455 CDM,SUP-ZSSWH10422,TIP XTRACT ALL TIP STAINLESS STEEL 6G M SERIES HIP STEM MALE STERILE 5.5MM 0.9MM DISPOSABLE,1500.0,1335.0,312.0,1500.0,455 CDM,SUP-ZSSWH10423,TIP XTRACT ALL TIP STAINLESS STEEL 6G M SERIES HIP STEM MALE STERILE 6MM 0.75MM DISPOSABLE,1500.0,1335.0,312.0,1500.0,455 CDM,SUP-ZSSWH10424,TIP XTRACT ALL TIP STAINLESS STEEL 6G M SERIES HIP STEM MALE STERILE 6MM 1.0MM DISPOSABLE,1500.0,1335.0,312.0,1500.0,455 CDM,SUP-ZSSWH10425,XTRACT ALLTIP STAINLESS STEEL 6G M SERIES HIP STEM MALE STERILE XTRACT ALL 7MM 1.0MM DISPOSABLE,1500.0,1335.0,312.0,1500.0,455 CDM,SUP-ZSSWH10426,XTRACT ALLTIP STAINLESS STEEL 6G M SERIES HIP STEM MALE STERILE XTRACT ALL 8MM 1.0MM DISPOSABLE,1500.0,1335.0,312.0,1500.0,455 CDM,SUP-ZSSWH10427,TIP XTRACT ALL TIP STAINLESS STEEL 6G M SERIES HIP STEM MALE STERILE 8MM 1.25MM DISPOSABLE,1500.0,1335.0,312.0,1500.0,455 CDM,SUP-ZSSWH10428,TIP XTRACT ALL TIP STAINLESS STEEL 6G M SERIES HIP STEM MALE STERILE 10MM 1.0MM DISPOSABLE,1500.0,1335.0,312.0,1500.0,455 CDM,SUP-ZSSWH10429,TIP XTRACT ALL TIP STAINLESS STEEL 6G M SERIES HIP STEM MALE STERILE 10MM 1.25MM DISPOSABLE,1500.0,1335.0,312.0,1500.0,455 CDM,SUP-ZSSWH10430,TIP XTRACT ALL TIP STAINLESS STEEL 6G M SERIES HIP STEM MALE STERILE 10MM 1.5MM DISPOSABLE,1500.0,1335.0,312.0,1500.0,455 CDM,SUP-ZSTERMED3080,FILTER EQUIPMENT SINGLE USE,797.12,709.44,165.8,797.12,455 CDM,SUP-ZSTJU1803,TOOL INSERTION LEAD AND EXTENSION,1750.0,1557.5,364.0,1750.0,455 CDM,SUP-ZSTJU3660ANS,IMPLANT-LEAD-NEUROSTIMULATOR PERCUTANEOUS SPINE 20-ELECTRODE TITANIUM 16-CHANNEL CURVED-PADDLE LATEX-FREE STERILE 4.95X5.55CM,31300.0,27857.0,6510.4,31300.0,456 CDM,SUP-ZSTJU6371,EXTENSION L50CM BLACK MARKER BAND WITH EXTEND LEAD TECHNOLOGY FOR IPG,1900.0,1691.0,395.2,1900.0,456 CDM,SUP-ZSTJU6372,EXTENSION L60CM BLACK MARKER BAND WITH EXTEND LEAD TECHNOLOGY FOR IPG,1900.0,1691.0,395.2,1900.0,458 CDM,SUP-ZSTJU6373ANS,LEAD DEEP-BRAIN-STIMULATOR EXTENSION BLACK DIRECTIONAL 8-CHANNEL FLEXIBLE 90CM,1900.0,1691.0,395.2,1900.0,456 CDM,SUP-ZSTJU6660ANS,IMPLANT GENERATOR NEUROSTIMULATOR DEEP BRAIN STIMULATION PERMANENT TITANIUM COMPATIBLE QUADRAPOLAR DOUBLE MULTIPROGRAM NONRECHARGEABLE ST JUDE MEDICAL LEAD COMPATIBLE 1.34X4.95X5.55CM STERILE,19500.0,17355.0,4056.0,19500.0,456 CDM,SUP-ZSTJU6661,STIMULATOR NERVE DEEP BRAIN IMPLANTABLE IPG MDT LEAD COMP 5.55HX4.95WX1.34T,19500.0,17355.0,4056.0,19500.0,456 CDM,SUP-ZSTJU6662,IMPLANT GENERATOR NEUROSTIMULATOR DEEP BRAIN STIMULATION PERMANENT TITANIUM COMPATIBLE QUADRAPOLAR DOUBLE MULTIPROGRAM NON RECHARGEABLE LATEX FREE ST JUDE MEDICAL LEAD COMPATIBLE 1.35X5.02X6.6,33600.0,29904.0,6988.8,33600.0,456 CDM,SUP-ZSTJU6663ANS,IMPLANT-GENERATOR-NEUROSTIMULATOR DEEP-BRAIN-STIMULATION BRAIN PERMANENT TITANIUM MRI-COMPATIBLE QUADRAPOLAR-DOUBLE-CHANNEL-MULTIPROGRAM NON-RECHARGEABLE LATEX-FREE STERILE 5.02X6.68X1.35CM,33600.0,29904.0,6988.8,33600.0,456 CDM,SUP-ZSTJU6883,CONTROLLER PATIENT,3000.0,2670.0,624.0,3000.0,459 CDM,SUP-ZSTJUDAVHDDF16,MAPPING CORONARY QUADRAPOLAR STEERABLE 3 3 3MM SPACING D F CURVE HIGH DENSITY BIDIRECTIONAL STERILE 8FRX13MMX105CM DISPOSABLE,3600.0,3204.0,748.8,3600.0,463 CDM,SUP-ZSTRA0240006S,CAP CRANIOMAXILLOFACIAL DENTAL TITANIUM CLOSURE LATEX FREE STERILE BLUE SMALL CONNECTION 0.5MM,97.5,86.78,20.28,97.5,458 CDM,SUP-ZSTRA0240007S,ABUTMENT CRANIOMAXILLOFACIAL DENTAL TITANIUM HEALING LATEX FREE STERILE BLUE SMALL CONNECTION CONICAL OVAL 2MM,97.5,86.78,20.28,97.5,458 CDM,SUP-ZSTRA0240008S,ABUTMENT CRANIOMAXILLOFACIAL DENTAL TITANIUM HEALING LATEX FREE STERILE BLUE SMALL CONNECTION CONICAL OVAL 3.5MM,97.5,86.78,20.28,97.5,458 CDM,SUP-ZSTRA0240009S,ABUTMENT CRANIOMAXILLOFACIAL DENTAL TITANIUM HEALING LATEX FREE STERILE BLUE SMALL CONNECTION CONICAL OVAL 5MM,97.5,86.78,20.28,97.5,458 CDM,SUP-ZSTRA0260025S,CYLINDER GUIDING NARROW FOR BONE LEVEL BONE PROFILER,206.7,183.96,42.99,206.7,455 CDM,SUP-ZSTRA0260026S,CYLINDER GUIDING REGULAR FOR BONE LEVEL BONE PROFILER,206.7,183.96,42.99,206.7,455 CDM,SUP-ZSTRY01030400,DRAPE SURGICAL ARTHROSCOPIC HIP STERILE CHECK DISPOSABLE,181.86,161.86,37.83,181.86,455 CDM,SUP-ZSTRY0108195,DRL BIT DYN SS 1.5X50X7,554.18,493.22,115.27,554.18,455 CDM,SUP-ZSTRY0108196,DRL BIT DYN TWST 1.5X50X21,553.58,492.69,115.14,553.58,455 CDM,SUP-ZSTRY0108198,DRL BIT DYN SS 1.5X105,681.4,606.45,141.73,681.4,455 CDM,SUP-ZSTRY0375638000,BLADE SHAVER ARTHROSCOPIC SERRATED YELLOW SMALL JOINT 3.5MM,222.0,197.58,46.18,222.0,455 CDM,SUP-ZSTRY0380544150,BLADE SHAVER L125MM DIA4.5MM ANGLED CUTTER PLUS,222.0,197.58,46.18,222.0,455 CDM,SUP-ZSTRY0485860000,BUR SURGICAL XL OD5.5MM DMND,687.5,611.88,143.0,687.5,455 CDM,SUP-ZSTRY0702310000,RING SURGICAL SUCTION GENERAL SURGERY BLACK HOLE HIGH FLOW WITH TUBING 11.5IN,157.56,140.23,32.77,157.56,455 CDM,SUP-ZSTRY0909000042,CEMENT VERTEBRAL AUGMENTATION KIT EXPANDER STERILE 4.2MM,7721.92,6872.51,1606.16,7721.92,456 CDM,SUP-ZSTRY0909000050,CEMENT VERTEBRAL AUGMENTATION KIT EXPANDER STERILE 5.0MM,7721.92,6872.51,1606.16,7721.92,456 CDM,SUP-ZSTRY0909000058,CEMENT VERTEBRAL AUGMENTATION KIT EXPANDER STERILE 5.8MM,7721.92,6872.51,1606.16,7721.92,456 CDM,SUP-ZSTRY0909400400,CEMENT VERTEBRAL FILLER DEVICE STERILE INJECTOR TRANSFER TUBE 4.2MM,121.84,108.44,25.34,121.84,471 CDM,SUP-ZSTRY0909400500,INJECTOR TRANSFER FILLER DEVICE STERILE INJECTOR TRANSFER TUBE 5.0 5.8MM,121.84,108.44,25.34,121.84,471 CDM,SUP-ZSTRY1021310000,BALLOON VERTEBRAL AUGMENTATION KIT STERILE 13GAX10MM,5300.0,4717.0,1102.4,5300.0,455 CDM,SUP-ZSTRY1021315000,SYSTEM VERTEBRAL AUGMENTATION BALLOON L15MM NEEDLE 13GA,5300.0,4717.0,1102.4,5300.0,455 CDM,SUP-ZSTRY190681,CLIP IRRIGATION SHOULDER ARTHROPLASTY,544.5,484.61,113.26,544.5,455 CDM,SUP-ZSTRY190682,SHOULDER ARTHROPLASTY,297.48,264.76,61.88,297.48,455 CDM,SUP-ZSTRY2200004,BIT DRILL-SURGICAL STAINLESS-STEEL REPROCESSED 1.6X105MM,537.63,478.49,111.83,537.63,455 CDM,SUP-ZSTRY2296003109S2,BLADE SURGICAL SAW STAINLESS STEEL OSCILLATING OFFSET CUT STANDARD TOOTH STERILE MERCURY FREE 0.38X6X25MM,453.2,403.35,94.27,453.2,455 CDM,SUP-ZSTRY2296003124,BLADE SAW THK0.38MM D43MM CUT THK0.6MM 10MM MICRO SAGITTAL THIN OFFSET,151.86,135.16,31.59,151.86,455 CDM,SUP-ZSTRY250070500,SET TUBING SURGICAL IRRIGATION TRUMPET VALVE PROBE TIP PUMP STERILE DISPOSABLE II 5MMX10FT,334.98,298.13,69.68,334.98,455 CDM,SUP-ZSTRY279401100,PROBE ARTHROSCOPIC CAUTERY 90DEG ANGLED 4X135MM DISPOSABLE,632.5,562.92,131.56,632.5,455 CDM,SUP-ZSTRY279401200,PROBE WAND ARTHROSCOPIC ABLATOR INTEGRATED NON BENDABLE 4X135MM,786.5,699.99,163.59,786.5,455 CDM,SUP-ZSTRY35281110,NAIL RUSH A 1/4X11IN %I,125.76,111.93,26.16,125.76,476 CDM,SUP-ZSTRY35281116,NAIL RUSH B 1/4X11 3/4IN %I,125.76,111.93,26.16,125.76,476 CDM,SUP-ZSTRY35281124,NAIL RUSH C 1/4X12-1/2IN %I,466.4,415.1,97.01,466.4,476 CDM,SUP-ZSTRY35281140,NAIL RUSH E 1/4X14IN %I,125.76,111.93,26.16,125.76,476 CDM,SUP-ZSTRY35281146,NAIL RUSH F 1/4X14-3/4IN %I,125.76,111.93,26.16,125.76,476 CDM,SUP-ZSTRY35281154,NAIL RUSH G 1/4X15-1/2IN %I,125.76,111.93,26.16,125.76,476 CDM,SUP-ZSTRY35281162,NAIL RUSH H 1/4X16-1/4IN %I,125.76,111.93,26.16,125.76,476 CDM,SUP-ZSTRY35281170,NAIL RUSH I 1/4X17IN %I,125.76,111.93,26.16,125.76,476 CDM,SUP-ZSTRY35282080,NAIL RUSH A 3/16X8IN %I,405.6,360.98,84.36,405.6,476 CDM,SUP-ZSTRY35282086,NAIL RUSH B 3/16X8-3/4IN %I,405.6,360.98,84.36,405.6,476 CDM,SUP-ZSTRY35282094,NAIL RUSH C 1/16X9-1/2IN %I,112.64,100.25,23.43,112.64,476 CDM,SUP-ZSTRY35282102,NAIL RUSH D 1/16X10-1/4IN %I,466.4,415.1,97.01,466.4,476 CDM,SUP-ZSTRY35282110,NAIL RUSH E 3/16X11IN %I,466.4,415.1,97.01,466.4,476 CDM,SUP-ZSTRY35282116,NAIL RUSH F 3/16X11-1/4IN %I,112.64,100.25,23.43,112.64,476 CDM,SUP-ZSTRY35282124,NAIL RUSH G 3/16X12-1/2IN %I,466.4,415.1,97.01,466.4,476 CDM,SUP-ZSTRY35282132,NAIL RUSH H 3/16X13-1/4IN %I,112.64,100.25,23.43,112.64,476 CDM,SUP-ZSTRY35283040,NAIL RUSH A 1/8X4IN %I,83.6,74.4,17.39,83.6,476 CDM,SUP-ZSTRY35283044,NAIL RUSH B 1/8X4-1/2IN %I,83.6,74.4,17.39,83.6,476 CDM,SUP-ZSTRY35283050,NAIL RUSH C 1/8X5IN %I,83.6,74.4,17.39,83.6,476 CDM,SUP-ZSTRY35283054,NAIL RUSH D 1/8X5-1/2IN %I,485.06,431.7,100.89,485.06,476 CDM,SUP-ZSTRY35283060,NAIL RUSH E 1/8X6IN %I,405.6,360.98,84.36,405.6,476 CDM,SUP-ZSTRY35283064,NAIL RUSH F 1/8X6-1/2IN %I,83.6,74.4,17.39,83.6,476 CDM,SUP-ZSTRY35283070,NAIL RUSH G 1/8X7IN %I,83.6,74.4,17.39,83.6,476 CDM,SUP-ZSTRY35283074,NAIL RUSH H 1/8X7-1/2IN %I,95.04,84.59,19.77,95.04,476 CDM,SUP-ZSTRY35283080,NAIL RUSH I 1/8X8IN %I,405.6,360.98,84.36,405.6,476 CDM,SUP-ZSTRY35283084,NAIL RUSH J 1/8X8-1/2IN %I,485.06,431.7,100.89,485.06,476 CDM,SUP-ZSTRY35283090,NAIL RUSH K 1/8X9IN %I,466.4,415.1,97.01,466.4,476 CDM,SUP-ZSTRY35283094,ROD RUSH 3.2MM 240MM %I,95.04,84.59,19.77,95.04,476 CDM,SUP-ZSTRY35283100,ROD RUSH 3.2MM 250MM %I,466.4,415.1,97.01,466.4,476 CDM,SUP-ZSTRY3910080040,CANNULA ENDOSCOPIC SILICONE LATEX FREE DOUBLE DAM TRANSPARENT 8X40MM,174.0,154.86,36.19,174.0,455 CDM,SUP-ZSTRY3910080050,8X50 SILICONE CANNULA,174.0,154.86,36.19,174.0,455 CDM,SUP-ZSTRY3910900091,NEEDLE SUTURE PASSER 360 DEGREE RP DISPOSABLE,759.0,675.51,157.87,759.0,455 CDM,SUP-ZSTRY502500100,KT INFLW TB SET THRMCLR,922.63,821.14,191.91,922.63,455 CDM,SUP-ZSTRY50543005,WRENCH T HANDLE MINI EXTERNAL FIXATION 7X2MM,248.0,220.72,51.58,248.0,476 CDM,SUP-ZSTRY5091226,BURR SURGICAL ROUND FLUTED CARBIDE MICRO STERILE MEDIUM 3.0X50MM,234.6,208.79,48.8,234.6,455 CDM,SUP-ZSTRY5091247,BURR SURGICAL ROUND FLUTED CARBIDE MICRO STERILE MEDIUM 1X19MM,230.82,205.43,48.01,230.82,455 CDM,SUP-ZSTRY5400134279,BLADE SURGICAL SAW STAINLESS STEEL OSCILLATING CRESCENTIC OFFSET CUT 18 TEETH STERILE 0.38X30X30MM,159.6,142.04,33.2,159.6,455 CDM,SUP-ZSTRY5400134281,BLADE SAW W20XL30MM THK0.38MM STAINLESS STEEL CRESCENTIC OFFSET FOR OSCILLATING SYSTEM,159.6,142.04,33.2,159.6,455 CDM,SUP-ZSTRY540033527,BLADE SURGICAL SAW STAINLESS STEEL OSCILLATING SAGITTAL EXTRA LONG WIDE DOUBLE CUT 0.56X13X45MM,218.7,194.64,45.49,218.7,455 CDM,SUP-ZSTRY6080412,COUNTERSINK DRILL SURGICAL DENTAL END LATEX FREE STERILE 1.2MM,160.0,142.4,33.28,160.0,458 CDM,SUP-ZSTRY6250201,BATTERY PACK SURGICAL INSTRUMENT SCREWDRIVER FOR VARISPEED STERILE VARISPEED DISPOSABLE,1089.0,969.21,226.51,1089.0,455 CDM,SUP-ZSTRY6625127090,BLADE SURGICAL SAW STAINLESS STEEL SAGITTAL CUT HEAVY DUTY STERILE MERCURY FREE 1.33X19.5X90MM,1739.95,1548.56,361.91,1739.95,455 CDM,SUP-ZSTRY663820,SCREW BONE 2.3X20MM T6 DRIVE TITANIUM,140.0,124.6,29.12,140.0,476 CDM,SUP-ZSTRY6725127090,BLADE SURGICAL SAW STAINLESS STEEL OSCILLATING CUT STERILE MERCURY FREE 1.27X19.5X90MM,1120.0,996.8,232.96,1120.0,455 CDM,SUP-ZSTRY829032070,BIT DRILL L5.5IN DIA3.5MM OVER QUICK DISPOSABLE FOR SMALL FRAGMENT PLATING SYSTEM,420.0,373.8,87.36,420.0,455 CDM,SUP-ZSTRY8515F101,IMPLANT KNEE FEMORAL COMPONENT CEMENTED LEFT LATEX FREE STERILE SIZE 1 POSTERIOR STABILIZED PRO,2200.0,1958.0,457.6,2200.0,469 CDM,SUP-ZSTRY8515F102,IMPLANT KNEE FEMORAL COMPONENT CEMENTED RIGHT LATEX FREE STERILE SIZE 1 POSTERIOR STABILIZED PRO,2200.0,1958.0,457.6,2200.0,469 CDM,SUP-ZSTRY8515F201,IMPLANT KNEE FEMORAL COMPONENT CEMENTED LEFT LATEX FREE STERILE SIZE 2 POSTERIOR STABILIZED PRO,2200.0,1958.0,457.6,2200.0,469 CDM,SUP-ZSTRY8515F202,IMPLANT KNEE FEMORAL COMPONENT CEMENTED RIGHT LATEX FREE STERILE SIZE 2 POSTERIOR STABILIZED PRO,2200.0,1958.0,457.6,2200.0,469 CDM,SUP-ZSTRY8515F301,IMPLANT KNEE FEMORAL COMPONENT CEMENTED LEFT STERILE SIZE 3 POSTERIOR STABILIZED PRO,2200.0,1958.0,457.6,2200.0,469 CDM,SUP-ZSTRY8515F302,IMPLANT KNEE FEMORAL COMPONENT CEMENTED RIGHT LATEX FREE STERILE SIZE 3 POSTERIOR STABILIZED PRO,2200.0,1958.0,457.6,2200.0,469 CDM,SUP-ZSTRY8515F401,IMPLANT KNEE FEMORAL COMPONENT CEMENTED LEFT LATEX FREE STERILE SIZE 4 POSTERIOR STABILIZED PRO,2200.0,1958.0,457.6,2200.0,469 CDM,SUP-ZSTRY8515F402,IMPLANT KNEE FEMORAL COMPONENT CEMENTED RIGHT LATEX FREE STERILE SIZE 4 POSTERIOR STABILIZED PRO,2200.0,1958.0,457.6,2200.0,469 CDM,SUP-ZSTRY8515F501,IMPLANT KNEE FEMORAL COMPONENT CEMENTED LEFT LATEX FREE STERILE SIZE 5 POSTERIOR STABILIZED PRO,2200.0,1958.0,457.6,2200.0,469 CDM,SUP-ZSTRY8515F502,IMPLANT KNEE FEMORAL COMPONENT CEMENTED RIGHT LATEX FREE STERILE SIZE 5 POSTERIOR STABILIZED PRO,2200.0,1958.0,457.6,2200.0,469 CDM,SUP-ZSTRY8515F601,IMPLANT KNEE FEMORAL COMPONENT CEMENTED LEFT LATEX FREE STERILE SIZE 6 POSTERIOR STABILIZED PRO,2200.0,1958.0,457.6,2200.0,469 CDM,SUP-ZSTRY8515F602,IMPLANT KNEE FEMORAL COMPONENT CEMENTED RIGHT LATEX FREE STERILE SIZE 6 POSTERIOR STABILIZED PRO,2200.0,1958.0,457.6,2200.0,469 CDM,SUP-ZSTRY8515F701,IMPLANT KNEE FEMORAL COMPONENT CEMENTED LEFT LATEX FREE STERILE SIZE 7 POSTERIOR STABILIZED PRO,2200.0,1958.0,457.6,2200.0,469 CDM,SUP-ZSTRY8515F702,IMPLANT KNEE FEMORAL COMPONENT CEMENTED RIGHT LATEX FREE STERILE SIZE 7 POSTERIOR STABILIZED PRO,2200.0,1958.0,457.6,2200.0,469 CDM,SUP-ZSTRY8515F801,IMPLANT KNEE FEMORAL COMPONENT CEMENTED LEFT LATEX FREE STERILE SIZE 8 POSTERIOR STABILIZED PRO,2200.0,1958.0,457.6,2200.0,469 CDM,SUP-ZSTRY8515F802,IMPLANT KNEE FEMORAL COMPONENT CEMENTED RIGHT LATEX FREE STERILE SIZE 8 POSTERIOR STABILIZED PRO,2200.0,1958.0,457.6,2200.0,469 CDM,SUP-ZSTRY8703,SPHERE OPHTHALMIC DIA21MM BIOCOMPATIBLE WITH INSERTER,1092.0,971.88,227.14,1443.04,468 CDM,SUP-ZSTRYABS201005,IMPLANT GRAFT BONE FILLER DBM PUTTY STERILE PURE 5CC,2218.62,1974.57,461.47,2218.62,455 CDM,SUP-ZSTRYCAT00241,KIT LAPAROSCOPIC INSTRUMENT HIP PORTAL ENTRY 17GAX30CC STRL DISP,1225.0,1090.25,254.8,1225.0,455 CDM,SUP-ZSTRYLHD6BM,BURR SURGICAL DISSECTING FLUTED BALL CARBIDE MICRO LATEX FREE STERILE STANDARD SHORT 6MM,572.0,509.08,118.98,572.0,455 CDM,SUP-ZSUNM00311M,SUPPORT ORTHOPEDIC IUM HIP WRAP TAPELESS SPICA CLOSURE REVERSIBLE HIPRAP HIPRAP MED,391.2,348.17,81.37,391.2,455 CDM,SUP-ZSUNM00311P,WRAP HIPRAP HIP WRAP TAPELESS SPICA CLOSURE REVERSIBLE,391.2,348.17,81.37,391.2,455 CDM,SUP-ZSUNM00311S,WRAP HIP RAP THERAPEUTIC HIP REVERSIBLE WITHOUT TAPE SM,391.2,348.17,81.37,391.2,455 CDM,SUP-ZSUNM00311XL,HIPRAP WRAP THERAPEUTIC HIP XLARGE POST OPERATIVE TAPELESS SPICA CLOSURE REVERSIBLE XLARGE,391.2,348.17,81.37,391.2,455 CDM,SUP-ZSUNMSMIDS3040HTB,MED HIGH PRESSURE INFLATOR,103.5,92.12,21.53,103.5,470 CDM,SUP-ZSURE480033,NEEDLE HYPODERMIC EXTRA NITINOL LNX 24GAX9CM,852.5,758.73,177.32,852.5,455 CDM,SUP-ZSYN214227070,DRILL BIT SURGICAL STAINLESS STEEL CALIBRATED SM FRAGMENT SYSTEM 2.7MM,441.0,392.49,91.73,441.0,455 CDM,SUP-ZSYNASYN0924,EYESHIELD FRAME MDS 3D,216.0,192.24,44.93,216.0,455 CDM,SUP-ZSYNO50100,OCCLUDER CARDIOVASCULAR L12MM BULB DIA1MM SILICONE RUBBER CORONARY VESSEL RADIOPAQUE DISPOSABLE,390.6,347.63,81.24,390.6,455 CDM,SUP-ZSYNT05000021S,SCREWDRIVER BATTERY POWERED CRANIOTOMY DISPOSABLE,437.16,389.07,90.93,437.16,455 CDM,SUP-ZSYNT136524000,HEAD FEMORAL DIA32MM +13 OFFSET STANDARD 12/14 ARTICUL/EZE TAPERED SKIRTED,600.0,534.0,124.8,600.0,469 CDM,SUP-ZSYNT150640003,IMPLANT KNEE TIBIAL BASEPLATE CHROMIUM CEMENTED FIXED STERILE SIZE 3,4189.34,3728.51,871.38,4189.34,469 CDM,SUP-ZSYNT150640004,IMPLANT KNEE TIBIAL BASEPLATE CHROMIUM CEMENTED FIXED STERILE SIZE 4,4189.34,3728.51,871.38,4189.34,469 CDM,SUP-ZSYNT150640005,IMPLANT KNEE TIBIAL BASEPLATE CHROMIUM CEMENTED FIXED STERILE SIZE 5,4189.34,3728.51,871.38,4189.34,469 CDM,SUP-ZSYNT150640006,IMPLANT KNEE TIBIAL BASEPLATE CHROMIUM CEMENTED FIXED STERILE SIZE 6,4189.34,3728.51,871.38,4189.34,469 CDM,SUP-ZSYNT150640007,IMPLANT KNEE TIBIAL BASEPLATE CHROMIUM CEMENTED FIXED STERILE SIZE 7,4189.34,3728.51,871.38,4189.34,469 CDM,SUP-ZSYNT150640008,IMPLANT KNEE TIBIAL BASEPLATE CHROMIUM CEMENTED FIXED STERILE SIZE 8,4189.34,3728.51,871.38,4189.34,469 CDM,SUP-ZSYNT151214050,IMPLANT KNEE STEM EXTENSION CEMENTED STERILE 14X50MM,2068.86,1841.29,430.32,2068.86,469 CDM,SUP-ZSYNT214288009,PIN EXTERNAL FIXATION SELF TAPPING LATEX FREE STERILE CANCELLOUS THREADED 4.5MM,230.0,204.7,47.84,230.0,476 CDM,SUP-ZSYNT22946,PLATE RECN 4.5MM STR 16HL %I,874.8,778.57,181.96,874.8,476 CDM,SUP-ZSYNT230787004,GUIDEPIN ORTHOPEDIC L190MM DIA2.5MM CENTRAL METAGLENE FOR,521.95,464.54,108.57,521.95,455 CDM,SUP-ZSYNT24015,PLT FT LCD 5H LCK 4.5X100,529.4,471.17,110.12,529.4,476 CDM,SUP-ZSYNT24049,PLT BUTTRS DCP RT 11H LCK 214,1490.4,1326.46,310.0,1490.4,476 CDM,SUP-ZSYNT24071,PLT BUTTRS LCD LT 11H 253X16X5,1498.98,1334.09,311.79,1498.98,476 CDM,SUP-ZSYNT24072,PLT BUTTRS DCP LT 15H 16X285,1539.0,1369.71,320.11,1539.0,476 CDM,SUP-ZSYNT24073,PLT BUTTRS LCD RT 11H 221X16X5,1455.9,1295.75,302.83,1455.9,476 CDM,SUP-ZSYNT24075,PLT BUTTRS DCP RT 15H 16X285,1539.0,1369.71,320.11,1539.0,476 CDM,SUP-ZSYNT286202102,MECHANOMYOGRAPHY WITH GROUND 2 PACK,1396.5,1242.89,290.47,1396.5,455 CDM,SUP-ZSYNT286202104,MECHANOMYOGRAPHY WITH GROUND 4 PACK,2425.5,2158.7,504.5,2425.5,455 CDM,SUP-ZSYNT30949,BOLT BONE SCREW CONICAL 4.5MM,500.06,445.05,104.01,500.06,455 CDM,SUP-ZSYNT80055,SCREWDRIVER INSERT RECESS 0.3MM OPERACE DISPOSABLE,2100.6,1869.53,436.92,2100.6,455 CDM,SUP-ZSYNT950502302,PIN FIXATION STAINLESS STEEL THREADED STERILE 3.25MM,1447.1,1287.92,301.0,1447.1,455 CDM,SUP-ZTAEWEST2010F18,STNT TTS NITIS FC 10.5FX10,5156.0,4588.84,1072.45,5156.0,459 CDM,SUP-ZTBIC0301AL90,GRAFT TISSUE CORNEA EYE STERILE SPLIT THICKNESS HALF MOON 9MM,820.0,729.8,170.56,820.0,471 CDM,SUP-ZTDC1SLCAR131510BX10,HARVESTER CARRAWAY 2.41MMX15CM,330.0,293.7,68.64,330.0,455 CDM,SUP-ZTDC1SLINF142010BX10,INFILTRATOR TUMESCENT 2.11MMX20CM SUPERLUERLOK,330.0,293.7,68.64,330.0,455 CDM,SUP-ZTDC1SLINJ170910BX10,INJECTOR SURGICAL L9CM DIA1.47MM SUPERLUERLOK DISPOSABLE,207.0,184.23,43.06,207.0,455 CDM,SUP-ZTDC1SLINJ190510BX10,INJECTOR LIPOSUCTION 1.07MMX5CM SUPERLUERLOK,207.0,184.23,43.06,207.0,455 CDM,SUP-ZTDC1SLMIL141510BX10,LOCK SYRINGE HIGH PRESSURE 2.11MMX15CM,366.0,325.74,76.13,366.0,455 CDM,SUP-ZTDC1SLTON132010BX10,HARVESTER CELL L20CM DIA2.41MM DISPOSABLE TONNARD SUPERLUERLOK,366.0,325.74,76.13,366.0,455 CDM,SUP-ZTELE4022,SNARE ENDO PED,155.64,138.52,32.37,155.64,455 CDM,SUP-ZTELE895037W,SUTURE NON ABSORBABLE BRAIDED WHITE SIZE: 3 0 LENGTH: 18IN NEEDLE: KC 25 LATEX FREE STERILE,488.62,434.87,101.63,488.62,455 CDM,SUP-ZTELIVE022,STRPR VN CONVNTN SGL,427.38,380.37,88.9,427.38,455 CDM,SUP-ZTERU3CXNX19RW,OXYGENATOR 4LITER RESERVOIR OUTLET PORT LEFT SIDE CAPIOX,2362.5,2102.63,491.4,2362.5,455 CDM,SUP-ZTERU731407788RM,IMPLANT GRAFT VASCULAR WOVEN STERILE WITH ANTE FLO AND RADIOPAQUE 7X8X14MM,7670.0,6826.3,1595.36,7670.0,457 CDM,SUP-ZTERUHP2S0200,DEVICE EMBOLIZATION PREFILLED SYRINGE 20CC POLYETHYLENE GLYCOL MICROSPHERE YELLOW TIGHT CALIBRATION 200UMX2ML,566.0,503.74,117.73,566.0,471 CDM,SUP-ZTERUHP2S0400,DEVICE EMBOLIZATION PREFILLED SYRINGE 20CC POLYETHYLENE GLYCOL MICROSPHERE BLUE TIGHT CALIBRATION 400UMX2ML,566.0,503.74,117.73,566.0,471 CDM,SUP-ZTERUHP2S0600,DEVICE EMBOLIZATION PREFILLED SYRINGE 20CC POLYETHYLENE GLYCOL MICROSPHERE RED TIGHT CALIBRATION 600UMX2ML,566.0,503.74,117.73,566.0,471 CDM,SUP-ZTERUHP2S0800,DEVICE EMBOLIZATION PREFILLED SYRINGE 20CC POLYETHYLENE GLYCOL MICROSPHERE TIGHT CALIBRATION 800UMX2ML,566.0,503.74,117.73,566.0,471 CDM,SUP-ZTERUM03959B,HEMOCONCENTRATOR CARDIAC SURGERY NO RINSE FEMALE LUER LOCK FILTRATE CONNECTION HIGH FLUX MEDICA PUREMA 0.9SQM,544.5,484.61,113.26,544.5,455 CDM,SUP-ZTHOR10006827,KT HRT3 LVAD ACCY CUF ADPT,6460.2,5749.58,1343.72,6460.2,455 CDM,SUP-ZTHOR106524US,KIT VENTRICULAR ASSIST FOR III IMPLANT,209362.86,186332.95,43547.47,209362.86,471 CDM,SUP-ZTHOR106525US,VENTRICULAR DEVICE MODULAR FOR 3 SYSTEM,10371.24,9230.4,2157.22,10371.24,468 CDM,SUP-ZTHOR106531US,CONTROLLER VENTRICULAR ASSIST WITH EMERGENCY BACK BATTERY FOR 3 SYSTEM,11880.0,10573.2,2471.04,22365.94,457 CDM,SUP-ZTORNDKY090,PASSER SUTURE PASS THREAD 2.5 SHORT DISPOSABLE FOR TOTAL ELBOW ARTHROPLASTY EV,100.0,89.0,20.8,100.0,469 CDM,SUP-ZTORNDWD017,PIN FIXATION TROCAR SINGLE END STERILE 2.5X220MM,220.0,195.8,45.76,220.0,475 CDM,SUP-ZTORNDWD063,PIN FIXATION STERILE 2.5X200MM,220.0,195.8,45.76,220.0,469 CDM,SUP-ZTORNDWJ150,IMPLANT SCREW CENTRAL GLENOID LOCKING TITANIUM REVERSE NONSTERILE 6.5X50MM,500.0,445.0,104.0,500.0,476 CDM,SUP-ZTRAC35560,TUBE TRACHEOSTOMY UNCUFFED PEDIATRIC V NECK FLANGE STERILE 6X62MM,216.6,192.77,45.05,216.6,455 CDM,SUP-ZTRAC35560C54,TUBE TRACHEOSTOMY UNCUFFED PEDIATRIC V NECK FLANGE STERILE 6X54MM,1048.3,932.99,218.05,1048.3,455 CDM,SUP-ZTRIMHEX2712,SCRW CORT 2.7X12,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMHEX2714,SCRW CORT 2.7X14,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMHEX3208,SCRW CORT 3.2X8,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMHEX3210,SCRW CORT 3.2X10,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMHEX3211,SCRW CORT 3.2X11,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMHEX3212,SCRW CORT 3.2X12,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMHEX3213,SCRW CORT 3.2X13,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMHEX3214,SCRW CORT 3.2X14,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMHEX3215,SCRW CORT 3.2X15,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMHEX3216,SCRW CORT 3.2X16,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMHEX3218,SCRW CORT 3.2X18,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMHEX3220,SCRW CORT 3.2X20,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMLCBS2710,SCREW BONE CORTICAL LOCKING LOW 2.7X10MM,180.0,160.2,37.44,180.0,476 CDM,SUP-ZTRIMLCBS2716,SCREW BONE L16MM DIA2.7MM ULNAR ANKLE CORTICAL LOCKING THREADED HEX LOW RECESS FOR OSTEOTOMY COMPRESSION PLATE FIXATION SYSTEM,180.0,160.2,37.44,180.0,476 CDM,SUP-ZTRIMRCP3,IMPLANT PLATE BONE LOCKING RADIAL WRIST TITANIUM 3 HOLE NONSTERILE COLUMN,1110.0,987.9,230.88,1110.0,476 CDM,SUP-ZTRIMRCP5,IMPLANT PLATE BONE LOCKING RADIAL WRIST TITANIUM 5 HOLE NONSTERILE COLUMN,1110.0,987.9,230.88,1110.0,476 CDM,SUP-ZTRIMTPEG14,IMPLANT BONE FIXATION STAINLESS STEEL VOLAR THREADED LOCKING NONSTERILE 14MM,180.0,160.2,37.44,180.0,476 CDM,SUP-ZTRIMTPEG16,IMPLANT BONE FIXATION STAINLESS STEEL VOLAR THREADED LOCKING NONSTERILE 16MM,180.0,160.2,37.44,180.0,476 CDM,SUP-ZTRIMTPEG18,IMPLANT BONE FIXATION STAINLESS STEEL VOLAR THREADED LOCKING NONSTERILE 18MM,180.0,160.2,37.44,180.0,476 CDM,SUP-ZTRIMTPEG20,IMPLANT BONE FIXATION STAINLESS STEEL VOLAR THREADED LOCKING NONSTERILE 20MM,180.0,160.2,37.44,180.0,476 CDM,SUP-ZTRIMTPEG22,IMPLANT BONE FIXATION STAINLESS STEEL VOLAR THREADED LOCKING NONSTERILE 22MM,180.0,160.2,37.44,180.0,476 CDM,SUP-ZTRIMTPEG24,IMPLANT BONE FIXATION STAINLESS STEEL VOLAR THREADED LOCKING NONSTERILE 24MM,180.0,160.2,37.44,180.0,476 CDM,SUP-ZTRIMTPEG26,IMPLANT BONE FIXATION STAINLESS STEEL VOLAR THREADED LOCKING NONSTERILE 26MM,180.0,160.2,37.44,180.0,476 CDM,SUP-ZTRIMTPEG28,IMPLANT BONE FIXATION STAINLESS STEEL VOLAR THREADED LOCKING NONSTERILE 28MM,180.0,160.2,37.44,180.0,476 CDM,SUP-ZTRIMTRX2310,SCREW BONE L10MM DIA2.3MM STAINLESS STEEL CORTICAL,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMTRX2312,SCREW BONE L12MM DIA2.3MM STAINLESS STEEL CORTICAL,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMTRX2314,SCREW BONE L14MM DIA2.3MM STAINLESS STEEL CORTICAL,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMTRX2316,SCREW BONE L16MM DIA2.3MM STAINLESS STEEL CORTICAL,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMTRX2318,SCREW BONE L18MM DIA2.3MM STAINLESS STEEL CORTICAL,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMTRX2320,SCREW BONE L20MM DIA2.3MM STAINLESS STEEL CORTICAL,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMTRX2322,SCREW BONE L22MM DIA2.3MM STAINLESS STEEL CORTICAL,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMTRX2324,SCREW BONE L24MM DIA2.3MM STAINLESS STEEL CORTICAL,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMTRX2326,SCREW BONE L26MM DIA2.3MM STAINLESS STEEL CORTICAL,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMTRX2328,SCREW BONE L28MM DIA2.3MM STAINLESS STEEL CORTICAL,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMTRX2330,SCREW BONE L30MM DIA2.3MM STAINLESS STEEL CORTICAL,160.0,142.4,33.28,160.0,476 CDM,SUP-ZTRIMUPEG14,IMPLANT BONE FIXATION STAINLESS STEEL VOLAR LOCKING NONSTERILE 14MM,180.0,160.2,37.44,180.0,476 CDM,SUP-ZTRIMUPEG16,IMPLANT BONE FIXATION STAINLESS STEEL VOLAR LOCKING NONSTERILE 16MM,180.0,160.2,37.44,180.0,476 CDM,SUP-ZTRIMUPEG18,IMPLANT BONE FIXATION STAINLESS STEEL VOLAR LOCKING NONSTERILE 18MM,180.0,160.2,37.44,180.0,476 CDM,SUP-ZTRIMUPEG20,IMPLANT BONE FIXATION STAINLESS STEEL VOLAR LOCKING NONSTERILE 20MM,180.0,160.2,37.44,180.0,476 CDM,SUP-ZTRIMUPEG22,IMPLANT BONE FIXATION STAINLESS STEEL VOLAR LOCKING NONSTERILE 22MM,180.0,160.2,37.44,180.0,476 CDM,SUP-ZTRIMVBP32,PIN FIXATION STAINLESS STEEL STERILE 32MM,670.0,596.3,139.36,670.0,476 CDM,SUP-ZTRIMVLBPL37,IMPLANT PLATE BONE LOCKING VOLAR LEFT BEARING WRIST STAINLESS STEEL 3 HOLE 7 NONSTERILE,1940.0,1726.6,403.52,1940.0,476 CDM,SUP-ZTRIMVLBPL55,IMPLANT PLATE BONE LOCKING VOLAR BEARING WRIST STAINLESS STEEL 5 HOLE NONSTERILE LEFT 5,2130.0,1895.7,443.04,2130.0,476 CDM,SUP-ZTRIMVLBPL57,IMPLANT PLATE BONE LOCKING VOLAR BEARING WRIST STAINLESS STEEL 5 HOLE NONSTERILE LEFT 7,2130.0,1895.7,443.04,2130.0,476 CDM,SUP-ZTRIMVLBPL77,IMPLANT PLATE BONE LOCKING VOLAR BEARING WRIST STAINLESS STEEL 7 HOLE NONSTERILE LEFT 7,2330.0,2073.7,484.64,2330.0,476 CDM,SUP-ZTRIMVLBPR37,IMPLANT PLATE BONE LOCKING VOLAR BEARING WRIST STAINLESS STEEL 3 HOLE RIGHT 7 NONSTERILE,1940.0,1726.6,403.52,1940.0,476 CDM,SUP-ZTRIMVLBPR55,IMPLANT PLATE BONE LOCKING VOLAR BEARING WRIST STAINLESS STEEL 5 HOLE NONSTERILE RIGHT 5,2130.0,1895.7,443.04,2130.0,476 CDM,SUP-ZTRIMVLBPR57,IMPLANT PLATE BONE LOCKING VOLAR BEARING WRIST STAINLESS STEEL 5 HOLE NONSTERILE RIGHT 7,2130.0,1895.7,443.04,2130.0,476 CDM,SUP-ZTRIMVLBPR77,IMPLANT PLATE BONE LOCKING VOLAR BEARING WRIST STAINLESS STEEL 7 HOLE NONSTERILE RIGHT 7,2330.0,2073.7,484.64,2330.0,476 CDM,SUP-ZTRIMVPPL37,IMPLANT PLATE BONE VOLAR WRIST TITANIUM 3 HOLE NONSTERILE LEFT 7 FIXED,1220.0,1085.8,253.76,1220.0,476 CDM,SUP-ZTRIMVPPL57,IMPLANT PLATE BONE VOLAR WRIST TITANIUM 5 HOLE NONSTERILE LEFT 7 FIXED,1400.0,1246.0,291.2,1400.0,476 CDM,SUP-ZTRIMVPPR37,IMPLANT PLATE BONE VOLAR WRIST TITANIUM 3 HOLE NONSTERILE RIGHT 7 FIXED,1220.0,1085.8,253.76,1220.0,476 CDM,SUP-ZTRIMWASHR,IMPLANT BONE WASHER STAINLESS STEEL NONSTERILE PLATE WIRE FORM 0.22X0.44IN,180.0,160.2,37.44,180.0,476 CDM,SUP-ZTRIMWHD6,IMPLANT PLATE BONE DORSAL WRIST TITANIUM 6 HOLE NONSTERILE HOOK,1490.0,1326.1,309.92,1490.0,476 CDM,SUP-ZTRIMWHV4,IMPLANT PLATE BONE VOLAR WRIST TITANIUM 4 HOLE NONSTERILE HOOK NEUTRAL,1300.0,1157.0,270.4,1300.0,476 CDM,SUP-ZTRIMWHV6,IMPLANT PLATE BONE VOLAR WRIST TITANIUM 6 HOLE NONSTERILE HOOK,1490.0,1326.1,309.92,1490.0,476 CDM,SUP-ZTULDC1SLINJ1807BX10,INJECTOR SUPER CLEAR GENERATION 1 1.27MMX7CM,207.0,184.23,43.06,207.0,455 CDM,SUP-ZTULDJS36005,LOCK SYRINGE SKIP 3-POSITION FOR-USE-WITH-60CC-SYRINGES,193.2,171.95,40.19,193.2,455 CDM,SUP-ZTULDNTC05,CARTRIDGE NANO TRANSFER O RING SINGLE USE NANOFAT,270.0,240.3,56.16,270.0,455 CDM,SUP-ZTULIBRUSHLG,BRUSH CLEANING TULIP LARGE 3.7MM,1450.0,1290.5,301.6,1450.0,455 CDM,SUP-ZTULIDSLINJ2004,INJECTOR FAT 20GA L4CM DIA0.7MM ATRAUMATIC TIP,207.0,184.23,43.06,207.0,455 CDM,SUP-ZTULIDSLSPO1415,INJECTOR SPOON TIP SKIP SUPER SINGLE USE 2.11MM X 15CM,330.0,293.7,68.64,330.0,455 CDM,SUP-ZUNITVRS08140,VERSAD 8 DELIVERY CATH,4390.0,3907.1,913.12,4390.0,474 CDM,SUP-ZURGO00317,SOLUTION CLEANSER HYPOCHLOROUS ACID/SODIUM CHLORIDE INSTILL/SPIKEABLE BOTTLE VASHE 16OZ,181.02,161.11,37.65,181.02,455 CDM,SUP-ZUSENBX00711550,SYSTEM WATER BOTTLE SURGICAL IRRIGATION LONG TUBING,1500.0,1335.0,312.0,1500.0,455 CDM,SUP-ZUSSCTECT1510AR,MESH SURGICAL HERNIA SYNTHETIC POLYESTER SHEET STERILE KNITTED RIGHT 3D FLEXIBLE LIGHTWEIGHT ANATOMICAL MACROPOROUS TRIMMABLE 4X6IN,190.46,169.51,39.62,190.46,462 CDM,SUP-ZUTAH4385005,UMBILICAL VESSEL POLYURETHANE TRIPLE LUMEN LUER LOCK UMBILI CATH 5FRX42CM,76.56,68.14,15.92,76.56,474 CDM,SUP-ZUTAHIPC5000E,INTRAUTERINE PRESSURE MONITORING DUAL LUMEN WITH TIP AMNIOINFUSION PORT OUTSIDE ZEROING SILICONE,173.88,154.75,36.17,173.88,455 CDM,SUP-ZVER80006,KIT BIOPSY CARTLIAGE-GROWTH,1326.86,1180.91,275.99,1326.86,455 CDM,SUP-ZVESAEV6035F2RR,CORONARY ARTERIAL THROMBECTOMY ENVAST 6.0X35,6190.0,5509.1,1287.52,6190.0,457 CDM,SUP-ZVIDA9408VC006,TRAY BIOPSY 11GA L102MM STAINLESS STEEL BONE MARROW POWERED,870.82,775.03,181.13,870.82,455 CDM,SUP-ZVIDA9411VC006,TRAY NEEDLE STAINLESS STEEL BIOPSY BONE MARROW 11GAX152MM,870.82,775.03,181.13,870.82,455 CDM,SUP-ZVIDA9461VC006,TRAY BIOPSY COAXIAL BONE LESION 12GAX19CM 10GA,2058.75,1832.29,428.22,2058.75,455 CDM,SUP-ZVYGO1261203,CENTRAL VENOUS 28GA 20CM GUIDEWIRE SPLITTING NEEDLE POLYURETHANE 1FRX20CM,132.0,117.48,27.46,132.0,455 CDM,SUP-ZWA22732S,ELECTRODE CUTTING CAUTERY ABLATION STERILE LOW 24FR,2083.68,1854.48,433.41,2083.68,455 CDM,SUP-ZWEBE0718601,CATH ILEAL RESERVOIR,329.7,293.43,21.2,329.7,455 CDM,SUP-ZWLGO2U02A,SUTURE TEX NON ABSORBABLE MONOFILAMENT UNDYED SIZE: CV 2 LENGTH: 48IN NEEDLE: TH 26 DOUBLE ARMED LATEX FREE STERILE TEX,163.5,145.51,34.01,163.5,455 CDM,SUP-ZWLGOASD27A,OCCLUDER CARDIOVASCULAR 27MM 10FR L80CM ASD,16324.0,14528.36,3395.39,16324.0,459 CDM,SUP-ZWLGOASD32A,OCCLUDER CARDIOVASCULAR 32MM 10FR L80CM ASD,16324.0,14528.36,3395.39,16324.0,459 CDM,SUP-ZWLGOASD37A,OCCLUDER CARDIOVASCULAR 37MM 10FR L80CM ASD,16324.0,14528.36,3395.39,16324.0,459 CDM,SUP-ZWLGOASD44A,OCCLUDER CARDIOVASCULAR 44MM 10FR L80CM ASD,16324.0,14528.36,3395.39,16324.0,459 CDM,SUP-ZWLGOASD48A,OCCLUDER CARDIOVASCULAR 48MM 14FR L80CM ASD,16324.0,14528.36,3395.39,16324.0,459 CDM,SUP-ZWMFLXPROFXDPERPROC,PROCEDURE FXD CURVE SYSTEM,4000.04,3560.04,832.01,4000.04,455 CDM,SUP-ZWRIG110,BLADE SAW ULNAL RAYHACK SAGI%I,456.5,406.29,94.95,456.5,455 CDM,SUP-ZWRIG496H018,HEAD RADIAL DIA18MM CHROME STANDARD PRESS FIT BILATERAL PROLINE,4180.0,3720.2,869.44,4180.0,469 CDM,SUP-ZWRIG496H020,HEAD RADIAL DIA20MM CHROME STANDARD PRESS FIT BILATERAL PROLINE,4180.0,3720.2,869.44,4180.0,469 CDM,SUP-ZWRIG496H022,HEAD RADIAL DIA22MM CHROME MOLYBDENUM STRAIGHT PRESS FIT PROLINE,4180.0,3720.2,869.44,4180.0,469 CDM,SUP-ZWRIG496H024,HEAD RADIAL DIA24MM 2499KITA PROLINE,4180.0,3720.2,869.44,4180.0,469 CDM,SUP-ZWRIG496H026,HEAD RADIAL DIA26MM CHROME STANDARD PRESS FIT BILATERAL PROLINE,4180.0,3720.2,869.44,4180.0,469 CDM,SUP-ZWRIG496H028,HEAD RADIAL DIA28MM CHROME STANDARD PRESS FIT BILATERAL PROLINE,4180.0,3720.2,869.44,4180.0,469 CDM,SUP-ZWRIG496H218,HEAD RADIAL DIA18MM + 2 OFFSET CHROME STANDARD BILATERAL PRESS FIT NONCOATED PROLINE,4180.0,3720.2,869.44,4180.0,469 CDM,SUP-ZWRIG496H220,HEAD RADIAL DIA20MM +2MM OFFSET CHROME STANDARD PRESS FIT BILATERAL PROLINE,4180.0,3720.2,869.44,4180.0,469 CDM,SUP-ZWRIG496H222,HEAD RADIAL DIA22MM +2MM OFFSET CHROME STANDARD PRESS FIT BILATERAL PROLINE,4180.0,3720.2,869.44,4180.0,469 CDM,SUP-ZWRIG496H224,HEAD RADIAL DIA24MM +2MM OFFSET STANDARD CHROME STRAIGHT MODULAR BILATERAL PRESS FIT PROLINE,4180.0,3720.2,869.44,4180.0,469 CDM,SUP-ZWRIG496H226,HEAD RADIAL DIA26MM +2MM OFFSET CHROME STANDARD PRESS FIT BILATERAL PROLINE,4180.0,3720.2,869.44,4180.0,469 CDM,SUP-ZWRIG496H228,HEAD RADIAL DIA28MM +2MM OFFSET CHROME STANDARD PRESS FIT BILATERAL PROLINE,4180.0,3720.2,869.44,4180.0,469 CDM,SUP-ZWRIG496H418,HEAD RADIAL +4 DIA18MM CHROMIUM MODULAR PROLINE,4180.0,3720.2,869.44,4180.0,469 CDM,SUP-ZWRIG496H420,HEAD RADIAL DIA20MM +4MM OFFSET 2499KITA PROLINE,4180.0,3720.2,869.44,4180.0,469 CDM,SUP-ZWRIG496H422,HEAD RADIAL DIA22MM +4MM OFFSET CHROME STANDARD PRESS FIT BILATERAL PROLINE,4180.0,3720.2,869.44,4180.0,469 CDM,SUP-ZWRIG496H424,IMPLANT HEAD RADIAL ELBOW STAINLESS STEEL MODULAR +4MM LATEX FREE STERILE PROLINE 24MM,4180.0,3720.2,869.44,4180.0,469 CDM,SUP-ZWRIG496H426,HEAD RADIAL DIA26MM +4MM OFFSET CHROME STANDARD BILATERAL PRESS FIT PROLINE,4180.0,3720.2,869.44,4180.0,469 CDM,SUP-ZWRIG496H428,HEAD RADIAL DIA28MM +4MM OFFSET 2499KITA PROLINE,4180.0,3720.2,869.44,4180.0,469 CDM,SUP-ZWRIG496S045,STEM RADIAL DIA4.5MM CHROME STRAIGHT PRESS FIT DISPOSABLE PROLINE,4914.0,4373.46,1022.11,4914.0,469 CDM,SUP-ZWRIG496S065,STEM RADIAL DIA6.5MM CHROME STANDARD BILATERAL PRESS FIT NONCOATED PROLINE,4914.0,4373.46,1022.11,4914.0,469 CDM,SUP-ZWRIG496S075,STEM RADIAL DIA7.5MM 2499KITA PROLINE,4914.0,4373.46,1022.11,4914.0,469 CDM,SUP-ZWRIG496S085,STEM RADIAL DIA8.5MM CHROME STRAIGHT PRESS FIT PROLINE,4914.0,4373.46,1022.11,4914.0,469 CDM,SUP-ZWRIG496S095,STEM RADIAL DIA9.5MM CHROME STRAIGHT PRESS FIT DISPOSABLE PROLINE,4914.0,4373.46,1022.11,4914.0,469 CDM,SUP-ZWRIG496S245,STEM RADIAL DIA4.5MM + 2 CHROME STRAIGHT PRESS FIT DISPOSABLE PROLINE,4914.0,4373.46,1022.11,4914.0,469 CDM,SUP-ZWRIG496S255,STEM RADIAL DIA5.5MM + 2 CHROME STRAIGHT PRESS FIT DISPOSABLE PROLINE,4914.0,4373.46,1022.11,4914.0,469 CDM,SUP-ZWRIG496S265,STEM RADIAL DIA6.5MM +2MM OFFSET 2499KITA PROLINE,4914.0,4373.46,1022.11,4914.0,469 CDM,SUP-ZWRIG496S275,STEM RADIAL DIA7.5MM + 2 CHROME STRAIGHT PRESS FIT DISPOSABLE PROLINE,4914.0,4373.46,1022.11,4914.0,469 CDM,SUP-ZWRIG496S285,STEM FINGER JOINT SIZE 0 PROXIMAL INTERPHALANGEAL SILICONE,4914.0,4373.46,1022.11,4914.0,469 CDM,SUP-ZWRIG496S295,STEM RADIAL DIA9.5MM + 2 CHROME STRAIGHT PRESS FIT DISPOSABLE PROLINE,4914.0,4373.46,1022.11,4914.0,469 CDM,SUP-ZWRIG496S445,IMPLANT STEM RADIAL ELBOW STAINLESS STEEL MODULAR EXTRA LARGE +4MM STERILE PROLINE 4.5MM,4914.0,4373.46,1022.11,4914.0,469 CDM,SUP-ZWRIG496S455,IMPLANT STEM RADIAL ELBOW STAINLESS STEEL MODULAR EXTRA LARGE +4MM STERILE PROLINE 5.5MM,4914.0,4373.46,1022.11,4914.0,469 CDM,SUP-ZWRIG496S465,IMPLANT STEM RADIAL ELBOW STAINLESS STEEL MODULAR EXTRA LARGE +4MM STERILE PROLINE 6.5MM,4914.0,4373.46,1022.11,4914.0,469 CDM,SUP-ZWRIG496S475,IMPLANT STEM RADIAL ELBOW STAINLESS STEEL MODULAR EXTRA LARGE +4MM STERILE PROLINE 7.5MM,4914.0,4373.46,1022.11,4914.0,469 CDM,SUP-ZWRIG496S485,IMPLANT STEM RADIAL ELBOW STAINLESS STEEL MODULAR EXTRA LARGE +4MM STERILE PROLINE 8.5MM,4914.0,4373.46,1022.11,4914.0,469 CDM,SUP-ZWRIG496S495,STEM RADIAL DIA9.5MM +4MM OFFSET 2499KITA PROLINE,4914.0,4373.46,1022.11,4914.0,469 CDM,SUP-ZWRIG86UM4X07,GRAFT HUMAN TISSUE W4XL7CM THK2MM EXTREME HUMAN DERMIS REGENERATIVE TISSUE,5660.71,5038.03,124.71,5660.71,473 CDM,SUP-ZWRIG87SR0050,GRAFT BONE SUBSTITUTE 5CC CALCIUM SULFATE CALCIUM PHOSPHATE INJECTABLE REGENERATIVE,3844.89,3421.95,799.74,3844.89,476 CDM,SUP-ZWRIG87SR0150,GRAFT BONE SUBSTITUTE LG 40CC CALCIUM SULFATE WITH CALCIUM PHOSPHATE REGENERATIVE INJECTABLE,9268.66,8249.11,1927.88,9268.66,476 CDM,SUP-ZWRIG87SR0400,GRAFT BONE SUBSTITUTE LG 40CC CALCIUM SULFATE WITH CALCIUM PHOSPHATE REGENERATIVE INJECTABLE,15967.6,14211.16,3321.26,15967.6,476 CDM,SUP-ZWRIGDWE412,GLENOID PEGGED COMPONENT M35 FOR GLENOID SYSTEM,2400.0,2136.0,499.2,2400.0,469 CDM,SUP-ZWRIGDWE413,GLENOID FIXATION COMPONENT M40,2400.0,2136.0,499.2,2400.0,469 CDM,SUP-ZWRIGDWE421,SHOULDER GLENOID FIXATION COMPONENT LG DIA40MM BACKSIDE PEGGED,2400.0,2136.0,499.2,2400.0,469 CDM,SUP-ZWRIGDWK404LA25S,IMPLANT COMPONENT GLENOID STERILE LEFT MEDIUM,3600.0,3204.0,748.8,3600.0,469 CDM,SUP-ZWRIGDWK404RA15S,IMPLANT COMPONENT GLENOID STERILE RIGHT MEDIUM,3600.0,3204.0,748.8,3600.0,469 CDM,SUP-ZWRIGDWK405LA15S,IMPLANT COMPONENT GLENOID STERILE LARGE LEFT,3600.0,3204.0,748.8,3600.0,469 CDM,SUP-ZWRIGDWK405RA25S,IMPLANT COMPONENT GLENOID STERILE RIGHT LARGE,3600.0,3204.0,748.8,3600.0,469 CDM,SUP-ZXODUSPK10399,KIT POSITIONING OPERATING ROOM,22.45,19.98,4.67,22.45,455 CDM,SUP-ZXODUSPK10723,OPERATING ROOM POSITIONING COVER PILLOW CHEST,193.08,171.84,40.16,193.08,455 CDM,SUP-ZXUSM0044,SHEATH URETERAL 12 14FRX46CM,900.0,801.0,187.2,900.0,471 CDM,SUP-ZXUSM0047,SHEATH URETERAL 12 14FRX55CM,900.0,801.0,187.2,900.0,471 CDM,SUP-ZXUSM0061,SHEATH URETERAL 12 14FRX40CM,900.0,801.0,187.2,900.0,471 CDM,SUP-ZYNOVG0108,IMPLANT GRAFT VASCULAR LATEX FREE STERILE VASCUGUARD 0.88CM,332.5,295.93,69.16,332.5,464 CDM,SUP-ZZI110008391,K WIRE FIXATION STAINLESS STEEL TROCAR TIP LATEX FREE STERILE 1.25X150MM,181.5,161.54,37.75,181.5,476 CDM,SUP-ZZIM110031424,CUP HUMERAL DIA36MM STANDARD SHOULDER,2000.0,1780.0,416.0,2000.0,469 CDM,SUP-ZZIM110031426,CUP HUMERAL DIA36MM +3MM RETENTIVE POLYETHYLENE VIVACIT E REVERSE,2000.0,1780.0,416.0,2000.0,469 CDM,SUP-ZZIMM00114701035,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X10MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114701036,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD ELBOW FOOT 3.5X10MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114701040,SCREW BONE L10MM DIA4MM CANCELLOUS ALLOY SELF TAPPING SELF DRILLING CANNULATED NONLOCKING HEX HEAD 1/3 THREADED,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114701041,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X10MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114701235,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X12MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114701236,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD ELBOW FOOT 3.5X12MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114701240,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/3 THREAD ELBOW FOOT NONSTERILE 4.0X12MM,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114701241,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X12MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114701435,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X14MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114701436,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD ELBOW FOOT 3.5X14MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114701440,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/3 THREAD ELBOW FOOT NONSTERILE 4.0X14MM,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114701441,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X14MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114701635,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X16MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114701636,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD ELBOW FOOT 3.5X16MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114701640,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/3 THREAD ELBOW FOOT NONSTERILE 4.0X16MM,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114701641,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT NONSTERILE 4.0X16MM,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114701835,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X18MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114701836,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD ELBOW FOOT 3.5X18MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114701840,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/3 THREAD ELBOW FOOT NONSTERILE 4.0X18MM,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114701841,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT NONSTERILE 4.0X18MM,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114702035,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X20MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114702036,SCREW BONE L20MM DIA3.5MM CANCELLOUS ALLOY SELF TAPPING SELF DRILLING CANNULATED NONLOCKING FULLY THREADED,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114702040,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/3 THREAD ELBOW FOOT NONSTERILE 4.0X20MM,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114702041,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT NONSTERILE 4.0X20MM,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114702072,SCREW BONE L20MM DIA7MM CANCELLOUS COMPRESSION ALLOY SELF TAPPING SELF DRILLING CANNULATED NONLOCKING HEX DRIVE FULLY THREADED,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114702235,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X22MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114702236,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD ELBOW FOOT 3.5X22MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114702240,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/3 THREAD ELBOW FOOT NONSTERILE 4.0X22MM,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114702241,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT NONSTERILE 4.0X22MM,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114702435,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X24MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114702436,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD ELBOW FOOT 3.5X24MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114702440,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/3 THREAD ELBOW FOOT NONSTERILE 4.0X24MM,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114702441,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X24MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114702572,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD ELBOW FOOT NONSTERILE 7.0X25MM,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114702635,SCREW BONE L26MM DIA3.5MM CANCELLOUS ALLOY SELF TAPPING SELF DRILLING CANNULATED NONLOCKING HEX HEAD PARTIALLY THREADED,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114702636,SCREW BONE L26MM DIA3.5MM CANCELLOUS ALLOY SELF TAPPING SELF DRILLING CANNULATED NONLOCKING FULLY THREADED,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114702640,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/3 THREAD ELBOW FOOT 4.0X26MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114702641,SCREW BONE L26MM DIA4MM CANCELLOUS ALLOY SELF TAPPING SELF DRILLING CANNULATED NONLOCKING HEX HEAD 1/2 THREADED,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114702835,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X28MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114702836,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD ELBOW FOOT 3.5X28MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114702840,SCREW BONE L28MM DIA4MM CANCELLOUS ALLOY SELF TAPPING SELF DRILLING CANNULATED NONLOCKING 1/3 THREADED HEX DRIVE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114702841,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X28MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114703035,SCRW BDR ST PTHRD 3.5X30,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114703036,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD ELBOW FOOT 3.5X30MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114703040,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/3 THREAD ELBOW FOOT 4.0X30MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114703041,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X30MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114703070,SCREW BONE 7X30MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114703072,SCREW BONE 7X30MM CANNULATED FULLY THREADED 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114703235,SCREW BONE L32MM DIA3.5MM CANCELLOUS SELF TAPPING SELF DRILLING CANNULATED NONLOCKING PARTIALLY THREADED,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114703236,SCREW BONE L32MM DIA3.5MM CANCELLOUS ALLOY SELF TAPPING SELF DRILLING CANNULATED NONLOCKING HEX HEAD FULLY THREADED,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114703240,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/3 THREAD ELBOW FOOT 4.0X32MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114703241,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X32MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114703435,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X34MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114703436,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD ELBOW FOOT 3.5X34MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114703440,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/3 THREAD ELBOW FOOT 4.0X34MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114703441,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X34MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114703570,SCREW BONE 7X35MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114703572,SCREW BONE 7X35MM CANNULATED FULLY THREADED 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114703635,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X36MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114703636,SCREW BONE 3.5X36MM CANCELLOUS CANNULATED FULLY THREADED NONLOCKING SELF TAPPING SELF DRILLING ALLOY,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114703640,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/3 THREAD ELBOW FOOT 4.0X36MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114703641,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X36MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114703835,SCRW BDR ST PTHRD 3.5X38,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114703836,SCRW BDR ST FTHRD 3.5X38,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114703840,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/3 THREAD ELBOW FOOT 4.0X38MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114703841,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X38MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114704035,SCRW BDR ST PTHRD 3.5X40,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114704036,SCREW BONE 3.5X40MM CANCELLOUS CANNULATED FULLY THREADED NONLOCKING SELF TAPPING SELF DRILLING ALLOY,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114704040,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/3 THREAD ELBOW FOOT 4.0X40MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114704041,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X40MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114704070,SCREW BONE 7X40MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114704072,SCREW BONE 7X40MM CANNULATED FULLY THREADED 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114704235,SCRW BDR ST PTHRD 3.5X42,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114704236,SCREW BONE 3.5X42MM CANCELLOUS CANNULATED FULLY THREADED NONLOCKING SELF TAPPING SELF DRILLING ALLOY,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114704240,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/3 THREAD ELBOW FOOT 4.0X42MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114704241,SCRW BDR ST 1/2T 4.0X42,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114704435,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X44MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114704436,SCREW BONE L44MM DIA3.5MM CANCELLOUS ALLOY SELF TAPPING SELF DRILLING CANNULATED NONLOCKING FULLY THREADED,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114704440,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/3 THREAD ELBOW FOOT 4.0X44MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114704441,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X44MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114704555,SCREW BONE 5.5X45MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114704556,SCREW BONE 5.5X45MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114704557,SCREW BONE L45MM DIA5.5MM HEX HEAD FULLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114704570,SCRW BDR ST 16T 7X45,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114704571,SCREW BONE 7X45MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114704572,SCREW BONE 7X45MM CANNULATED FULLY THREADED 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114704635,SCRW BDR ST PTHRD 3.5X46,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114704636,SCREW BONE L46MM DIA3.5MM CANCELLOUS ALLOY SELF TAPPING SELF DRILLING CANNULATED NONLOCKING FULLY THREADED,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114704640,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/3 THREAD ELBOW FOOT 4.0X46MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114704641,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X46MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114704835,SCRW BDR ST PTHRD 3.5X48,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114704836,SCREW BONE L48MM DIA3.5MM CANCELLOUS ALLOY SELF TAPPING SELF DRILLING CANNULATED NONLOCKING FULLY THREADED,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114704840,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/3 THREAD ELBOW FOOT 4.0X48MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114704841,SCRW BDR ST 1/2T 4.0X48,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114705035,SCRW BDR ST PTHRD 3.5X50,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114705036,SCREW BONE 3.5X50MM CANCELLOUS CANNULATED FULLY THREADED NONLOCKING SELF TAPPING SELF DRILLING ALLOY,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114705040,SCRW BDR ST 16T 4.0X50,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114705041,SCRW BDR ST 1/2T 4.0X50,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114705055,SCREW BONE 5.5X50MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114705056,SCREW BONE 5.5X50MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114705057,SCREW BONE L50MM DIA5.5MM HEX HEAD FULLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114705070,SCREW BONE 7X50MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114705071,SCREW BONE 7X50MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114705072,SCREW BONE 7X50MM CANNULATED FULLY THREADED 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114705535,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X55MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114705536,SCREW BONE 3.5X55MM CANCELLOUS HEX HEAD CANNULATED FULLY THREADED NONLOCKING SELF TAPPING SELF DRILLING ALLOY LARGE FRAGMENT PLATING SYSTEM,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114705540,SCREW BONE L55MM DIA4MM CANCELLOUS ALLOY SELF TAPPING SELF DRILLING NONLOCKING THREAD L18.3MM HEAD DIA5MM HEX HEAD COMPRESSION,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114705541,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X55MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114705555,SCREW BONE 5.5X55MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114705556,SCREW BONE 5.5X55MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114705557,SCREW BONE 5.5X55MM CANNULATED FULLY THREADED 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114705570,SCREW BONE 7X55MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114705571,SCREW BONE 7X55MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114705572,SCREW BONE 7X55MM CANNULATED FULLY THREADED 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114706035,SCREW BONE L60MM DIA3.5MM HEX HEAD PARTIALLY THREADED CORTICAL CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114706036,SCREW BONE 3.5X60MM CANCELLOUS HEX HEAD CANNULATED FULLY THREADED NONLOCKING SELF TAPPING SELF DRILLING ALLOY,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114706040,SCRW BDR ST 16T 4.0X60,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114706041,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X60MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114706055,SCREW BONE 5.5X60MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114706056,SCREW BONE 5.5X60MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114706057,SCREW BONE L60MM DIA5.5MM HEX HEAD FULLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114706070,SCREW BONE 7X60MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114706071,SCREW BONE 7X60MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114706072,SCREW BONE 7X60MM CANNULATED FULLY THREADED 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114706075,SCREW BONE L60MM DIA7.5MM THREAD L16MM HEX HEAD PARTIALLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114706076,SCREW BONE 7.5X60MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114706535,SCREW BONE L65MM DIA3.5MM THREAD L21.7MM HEX HEAD PARTIALLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114706536,SCREW BONE 3.5X65MM CANNULATED FULLY THREADED 108 ALLOY,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114706540,SCREW BONE L65MM DIA4MM THREAD L1/3 HEX HEAD CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114706541,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X65MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114706555,SCREW BONE 5.5X65MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114706556,SCREW BONE 5.5X65MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114706557,SCREW BONE L65MM DIA5.5MM HEX HEAD FULLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114706570,SCREW BONE 7X65MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114706571,SCREW BONE L65MM DIA7MM CANCELLOUS COMPRESSION CANNULATED SELF TAPPING SELF DRILLING NONLOCKING THREAD L32MM HEX DRIVE ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114706572,SCREW BONE 7X65MM CANNULATED FULLY THREADED 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114706575,SCREW BONE L65MM DIA7.5MM THREAD L16MM HEX HEAD PARTIALLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114706576,SCREW BONE 7X65MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114707035,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X70MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114707036,SCREW BONE 70MM CANCELLOUS HEX HEAD CANNULATED FULLY THREADED NONLOCKING SELF TAPPING SELF DRILLING ALLOY LARGE FRAGMENT PLATING SYSTEM,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114707040,SCREW BONE L70MM DIA4MM THREAD L1/3 HEX HEAD CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114707041,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X70MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114707055,SCREW BONE 5.5X70MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114707056,SCREW BONE 5.5X70MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114707057,SCREW BONE L70MM DIA5.5MM HEX HEAD FULLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114707070,SCREW BONE 7X70MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114707071,SCREW BONE L70MM DIA7MM COMPRESSION CANCELLOUS CANNULATED SELF TAPPING SELF DRILLING NONLOCKING THREAD L32MM HEX DRIVE ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114707072,SCREW BONE L70MM DIA7MM HEX HEAD FULLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114707075,SCREW BONE L70MM DIA7.5MM THREAD L16MM HEX HEAD PARTIALLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114707076,SCREW BONE 7.5X70MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114707535,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X75MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114707536,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD ELBOW FOOT 3.5X75MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114707540,SCREW BONE L75MM DIA4MM THREAD L1/3 HEX HEAD CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114707541,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X75MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114707555,SCREW BONE 5.5X75MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114707556,SCREW BONE 5.5X75MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114707557,SCREW BONE L75MM DIA5.5MM HEX HEAD FULLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114707570,SCREW BONE 7X75MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114707571,SCREW BONE 7X75MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114707572,SCREW BONE 7X75MM CANNULATED FULLY THREADED 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114707575,SCREW BONE L75MM DIA7.5MM THREAD L16MM HEX HEAD CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114707576,SCREW BONE 7.5X75MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114708035,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X80MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114708036,SCREW BONE L80MM DIA3.5MM HEX HEAD FULLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114708040,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/3 THREAD ELBOW FOOT 4.0X80MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114708041,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X80MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114708055,SCREW BONE 5.5X80MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114708056,SCREW BONE 5.5X80MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114708057,SCRW BDR ST FTHRD 5.5X80,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114708070,SCREW BONE 7X80MM CANNULATED PARTIALLY THREADED 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114708071,SCREW BONE 7X80MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114708072,SCREW BONE L80MM DIA7MM COMPRESSION CANCELLOUS FULLY THREADED CANNULATED SELF TAPPING SELF DRILLING NONLOCKING HEX DRIVE ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114708075,SCREW BONE L80MM DIA7.5MM THREAD L16MM HEX HEAD PARTIALLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114708076,SCREW BONE 7.5X80MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114708535,SCREW BONE L85MM DIA3.5MM THREAD L28.3MM HEX HEAD PARTIALLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114708536,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD ELBOW FOOT 3.5X85MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114708540,SCREW BONE 4X85MM CANNULATED 1/3 THREADED 108 ALLOY,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114708541,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X85MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114708555,SCREW BONE 5.5X85MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114708556,SCREW BONE 5.5X85MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114708557,SCREW BONE L85MM DIA5.5MM HEX HEAD FULLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114708570,SCREW BONE 7X85MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114708571,SCREW BONE 7X85MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114708572,SCREW BONE L85MM DIA7MM COMPRESSION CANCELLOUS FULLY THREADED CANNULATED SELF TAPPING SELF DRILLING NONLOCKING HEX DRIVE ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114708575,SCREW BONE L85MM DIA7.5MM HEX HEAD PARTIALLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114708576,SCREW BONE L85MM DIA7.5MM CANCELLOUS ALLOY SELF TAPPING SELF DRILLING NONLOCKING THREAD L32MM HEAD DIA8.2MM HEX HEAD COMPRESSION,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114709035,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X90MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114709036,SCREW BONE L90MM DIA3.5MM HEX HEAD FULLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114709040,SCREW BONE L90MM DIA4MM STANDARD CANCELLOUS SELF TAPPING SELF DRILLING CANNULATED NONLOCKING 1/3 THREAD,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114709041,SCREW BONE L90MM DIA4MM THREAD L45MM HEX HEAD PARTIALLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114709055,SCREW BONE 5.5X90MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114709056,SCREW BONE 5.5X90MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114709057,SCREW BONE L90MM DIA5.5MM HEX HEAD FULLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114709070,SCREW BONE L90MM DIA7MM CANNULATED THREAD L16MM,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114709071,SCREW BONE 7X90MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114709072,SCREW BONE 7X90MM CANNULATED FULLY THREADED 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114709075,SCREW BONE 7.5X90MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114709076,SCREW BONE 7.5X90MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114709535,SCREW BONE L95MM DIA3.5MM THREAD L31.7MM HEX HEAD PARTIALLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114709536,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD ELBOW FOOT 3.5X95MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114709540,SCREW BONE 4X95MM CANNULATED 1/3 THREADED 108 ALLOY,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114709541,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X95MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114709555,SCREW BONE 5.5X95MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114709556,SCREW BONE 5.5X95MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114709557,SCREW BONE L95MM DIA5.5MM HEX HEAD FULLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114709570,SCREW BONE L95MM DIA7MM CANNULATED THREAD L16MM,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114709571,SCRW BDR ST 32T 7X95,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114709572,SCREW BONE L95MM DIA7MM COMPRESSION CANCELLOUS FULLY THREADED CANNULATED SELF TAPPING SELF DRILLING NONLOCKING HEX DRIVE ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114709575,SCREW BONE 7.5X95MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114709576,SCREW BONE 7.5X95MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114709600,WASHR FLT SS CANN SCRW 3.5-4,77.0,68.53,16.02,77.0,476 CDM,SUP-ZZIMM00114709700,IMPLANT BONE WASHER FLAT STAINLESS STEEL NONSTERILE 4.9X12.7MM,77.0,68.53,16.02,77.0,476 CDM,SUP-ZZIMM00114709800,IMPLANT BONE WASHER FLAT STAINLESS STEEL NONSTERILE 6.5X12.7MM,77.0,68.53,16.02,77.0,476 CDM,SUP-ZZIMM00114709900,IMPLANT BONE WASHER FLAT STAINLESS STEEL NONSTERILE 12.7X5.5X1.5MM,77.0,68.53,16.02,77.0,476 CDM,SUP-ZZIMM00114710035,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X100MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114710036,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD ELBOW FOOT 3.5X100MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114710040,SCREW BONE 4X100MM CANNULATED 1/3 THREADED 108 ALLOY,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114710041,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X100MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114710055,SCRW BDR ST 16T 5.5X100,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114710056,SCREW BONE L100MM DIA5.5MM THREAD L32MM HEX HEAD PARTIALLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114710057,SCRW BDR ST FTHRD 5.5X100,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114710070,SCREW BONE L100MM DIA7MM CANNULATED THREAD L16MM,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114710071,SCREW BONE 7X100MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114710072,SCREW BONE L100MM DIA7MM COMPRESSION CANCELLOUS FULLY THREADED CANNULATED SELF TAPPING SELF DRILLING NONLOCKING HEX DRIVE ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114710075,SCREW BONE L100MM DIA7.5MM THREAD L16MM HEX HEAD PARTIALLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114710076,SCREW BONE L100MM L32MM DIA7.5MM STANDARD CANCELLOUS SELF TAPPING SELF DRILLING CANNULATED NONLOCKING THREADED HEX DRIVE HEAD DIA8.2MMNONSTERILE FOR L FRAGMENT PLATING SYSTEM,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114710535,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X105MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114710536,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD ELBOW FOOT 3.5X105MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114710540,SCREW BONE 4X105MM CANNULATED 1/3 THREADED 108 ALLOY,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114710541,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X105MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114710555,SCREW BONE 5.5X105MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114710556,SCREW BONE 5.5X105MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114710557,SCREW BONE 5.5X105MM CANNULATED FULLY THREADED 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114710570,SCREW BONE L105MM DIA7MM CANNULATED THREAD L16MM,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114710571,SCREW BONE 7X105MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114710572,SCREW BONE 7X105MM CANNULATED FULLY THREADED 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114710575,SCREW BONE L105MM DIA7.5MM THREAD L16MM HEX HEAD PARTIALLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114710576,SCREW BONE 7.5X105MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114711035,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X110MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114711036,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD ELBOW FOOT 3.5X110MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114711040,SCREW BONE 4X110MM CANNULATED 1/3 THREADED 108 ALLOY,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114711041,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X110MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114711055,SCREW BONE 5.5X110MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114711056,SCREW BONE 5.5X110MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114711057,SCREW BONE 5.5X110MM CANNULATED FULLY THREADED 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114711070,SCREW BONE 7X110MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114711071,SCREW BONE 7X110MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114711072,SCREW BONE 7X110MM CANNULATED FULLY THREADED 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114711075,SCREW BONE L110MM DIA7.5MM THREAD L16MM HEX HEAD PARTIALLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114711076,SCREW BONE 7.5X110MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114711535,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X115MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114711536,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD ELBOW FOOT 3.5X115MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114711540,SCREW BONE 4X115MM CANNULATED 1/3 THREADED 108 ALLOY,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114711541,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X115MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114711555,SCREW BONE L115MM DIA5.5MM THREAD L16MM HEX HEAD PARTIALLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114711556,SCREW BONE 5.5X115MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114711557,SCREW BONE 5.5X115MM CANNULATED FULLY THREADED 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114711570,SCREW BONE 7X115MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114711571,SCREW BONE L115MM DIA7MM CANCELLOUS ALLOY SELF TAPPING SELF DRILLING NONLOCKING THREAD L32MM HEAD DIA8.1MM HEX HEAD COMPRESSION,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114711572,SCREW BONE 7X115MM CANNULATED FULLY THREADED 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114711575,SCREW BONE L115MM DIA7.5MM THREAD L16MM HEX HEAD PARTIALLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114711576,SCRW BDR ST 32T 7.5X115,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114712035,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X120MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114712036,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD ELBOW FOOT 3.5X120MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114712040,SCREW BONE 4X120MM CANNULATED 1/3 THREADED 108 ALLOY,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114712041,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X120MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114712055,SCREW BONE 5.5X120MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114712056,SCREW BONE 5.5X120MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114712057,SCREW BONE 5.5X120MM CANNULATED FULLY THREADED 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114712070,SCREW BONE 7X120MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114712071,SCREW BONE 7X120MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114712072,SCREW BONE 7X120MM CANNULATED FULLY THREADED 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114712073,SCREW BONE CANNULATED STAINLESS STEEL SELF TAPPING 64MM THREAD ELBOW FOOT NON STERILE 7X120MM,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114712075,SCREW BONE L120MM DIA7.5MM THREAD L16MM HEX HEAD PARTIALLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114712076,SCREW BONE L120MM DIA7.5MM STANDARD CANCELLOUS SELF TAPPING SELF DRILLING CANNULATED NONLOCKING PARTIALLY THREADED THREAD L32MM HEX DRIVE HEAD DIA8.2MM NONSTERILE FOR L FRAGMENT PLATING SYSTEM,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114712078,SCREW BONE 7.5X120MM CANNULATED PARTIALLY THREADED 64MM 108 ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114712535,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X125MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114712536,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD ELBOW FOOT 3.5X125MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114712540,SCREW BONE 4X125MM CANNULATED 1/3 THREADED 108 ALLOY,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114712541,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X125MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114712555,SCREW BONE L125MM DIA5.5MM THREAD L16MM HEX HEAD PARTIALLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114712556,SCREW BONE 5.5X125MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114712557,SCREW BONE 5.5X125MM CANNULATED FULLY THREADED 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114712570,SCREW BONE 7X125MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114712571,SCREW BONE 7X125MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114712572,SCREW BONE 7X125MM CANNULATED FULLY THREADED 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114712573,SCREW BONE L125MM DIA7MM HEX HEAD CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114712575,SCREW BONE L125MM DIA7.5MM THREAD L16MM HEX HEAD PARTIALLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114712576,SCREW BONE 7.5X125MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114712578,SCREW BONE L125MM DIA7.5MM HEX HEAD CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114713035,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING PARTIAL THREAD ELBOW FOOT 3.5X130MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114713036,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD ELBOW FOOT 3.5X130MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00114713040,SCREW BONE 4X130MM CANNULATED 1/3 THREADED 108 ALLOY,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114713041,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING 1/2 THREAD ELBOW FOOT 4.0X130MM NONSTERILE,280.0,249.2,58.24,280.0,476 CDM,SUP-ZZIMM00114713055,SCREW BONE 5.5X130MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114713056,SCREW BONE 5.5X130MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114713057,SCRW BDR ST FTHRD 5.5X130,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114713070,SCREW BONE 7X130MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114713071,SCREW BONE L130MM DIA7MM THREAD L32MM COMPRESSION CANCELLOUS CANNULATED SELF TAPPING SELF DRILLING NONLOCKING HEX DRIVE ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114713072,SCREW BONE 7X130MM CANNULATED FULLY THREADED 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114713073,SCREW BONE CANNULATED STAINLESS STEEL SELF TAPPING 64MM THREAD ELBOW FOOT NON STERILE 7X130MM,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114713075,SCREW BONE L130MM DIA7.5MM THREAD L16MM HEX HEAD PARTIALLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,380.0,338.2,79.04,380.0,476 CDM,SUP-ZZIMM00114713076,SCREW BONE 7.5X130MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114713078,SCREW BONE CANNULATED STAINLESS STEEL SELF TAPPING 64MM THREAD ELBOW FOOT NON STERILE 7.5X130MM,380.0,338.2,79.04,380.0,476 CDM,SUP-ZZIMM00114713555,SCREW BONE 5.5X135MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114713556,SCREW BONE 5.5X135MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114713557,SCRW BDR ST FTHRD 5.5X135,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114713570,SCREW BONE 7X135MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114713571,SCREW BONE 7X135MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114713572,SCREW BONE 7X135MM CANNULATED FULLY THREADED 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114713573,SCREW BONE CANNULATED STAINLESS STEEL SELF TAPPING 64MM THREAD ELBOW FOOT NON STERILE 7X135MM,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114713575,SCREW BONE 7.5X135MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,380.0,338.2,79.04,380.0,476 CDM,SUP-ZZIMM00114713576,SCRW BDR ST 32T 7.5X135,380.0,338.2,79.04,380.0,476 CDM,SUP-ZZIMM00114713578,SCREW BONE CANNULATED STAINLESS STEEL SELF TAPPING 64MM THREAD ELBOW FOOT NON STERILE 7.5X135MM,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114714055,SCREW BONE 5.5X140MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114714056,SCREW BONE 5.5X140MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114714057,SCRW BDR ST FTHRD 5.5X140,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114714070,SCREW BONE L16MM DIA7MM THREAD L16MM COMPRESSION CORTICAL CANNULATED NONLOCKING ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114714071,SCREW BONE L32MM DIA7MM THREAD L32MM COMPRESSION CORTICAL CANNULATED NONLOCKING ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114714072,SCREW BONE STANDARD 7X140MM CORTICAL CANNULATED FULLY THREADED NONLOCKING ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114714073,SCREW BONE CANNULATED STAINLESS STEEL SELF TAPPING 75MM THREAD ELBOW FOOT NON STERILE 7X140MM,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114714075,SCRW BDR ST 16T 7.5X140,380.0,338.2,79.04,380.0,476 CDM,SUP-ZZIMM00114714076,SCREW BONE L140MM DIA7.5MM 108 SELF TAPPING SELF DRILLING CANNULATED NONLOCKING PARTIALLY THREADED THREAD L32MM HEX DRIVE NONSTERILE FOR L FRAGMENT PLATING SYSTEM,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114714078,SCREW BONE 7.5X140MM CANNULATED PARTIALLY THREADED 75MM 108 ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114714555,SCREW BONE 5.5X145MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,311.6,277.32,64.81,311.6,476 CDM,SUP-ZZIMM00114714556,SCREW BONE 5.5X145MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114714557,SCRW BDR ST FTHRD 5.5X145,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114714570,SCREW BONE L145MM DIA7MM COMPRESSION CANCELLOUS PARTIALLY THREADED CANNULATED SELF TAPPING SELF DRILLING NONLOCKING ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114714571,SCREW BONE 7X145MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114714572,SCREW BONE L145MM DIA7MM ALLOY CANNULATED NONLOCKING FULLY THREADED,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114714573,SCREW BONE 7X145MM CANNULATED PARTIALLY THREADED 75MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114714575,SCRW BDR ST 16T 7.5X145,380.0,338.2,79.04,380.0,476 CDM,SUP-ZZIMM00114714576,SCREW BONE 7.5X145MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114714578,SCREW BONE L145MM DIA7.5MM THREAD L75MM HEX HEAD PARTIALLY THREADED CANCELLOUS CANNULATED NONLOCKING SELF TAPPING SELF DRILLING ALLOY FOR L FRAGMENT PLATING SYSTEM,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114715055,SCREW BONE 5.5X150MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114715056,SCREW BONE 5.5X150MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114715057,SCRW BDR ST FTHRD 5.5X150,287.0,255.43,59.7,287.0,476 CDM,SUP-ZZIMM00114715070,SCREW BONE 7X150MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114715071,SCREW BONE 7X150MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114715072,SCREW BONE 7X150MM CANNULATED FULLY THREADED 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114715073,SCREW BONE CANNULATED STAINLESS STEEL SELF TAPPING PARTIAL THREAD ELBOW FOOT NON STERILE 7.0X150MM,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114715075,SCREW BONE 7.5X150MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114715076,SCREW BONE DIA7.5MM L150MM 32MM STANDARD THREAD CANCELLOUS CANNULATED SELF TAP DRILL NON LOCKING HEX DRIVE NONSTERILE ALLOY 108,380.0,338.2,79.04,380.0,476 CDM,SUP-ZZIMM00114715078,SCREW BONE CANNULATED STAINLESS STEEL SELF TAPPING 75MM THREAD ELBOW FOOT NON STERILE 7.5X150MM,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114715570,SCREW BONE 7X155MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114715571,SCREW BONE 7X155MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114715572,SCREW BONE 7X155MM COMPRESSION CANCELLOUS CANNULATED FULLY THREADED NONLOCKING SELF TAPPING SELF DRILLING ALLOY HEX DRIVE,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114715573,SCREW BONE CANNULATED STAINLESS STEEL SELF TAPPING PARTIAL THREAD ELBOW FOOT NON STERILE 7.0X155MM,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114715578,SCREW BONE 7.5X155MM CANNULATED PARTIALLY THREADED 75MM 108 ALLOY,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114716070,SCREW BONE L160MM DIA7MM COMPRESSION CANCELLOUS PARTIALLY THREADED CANNULATED SELF TAPPING SELF DRILLING NONLOCKING ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114716071,SCREW BONE 7X160MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114716072,SCREW BONE 7X160MM CANCELLOUS HEX HEAD CANNULATED FULLY THREADED NONLOCKING SELF TAPPING SELF DRILLING ALLOY LARGE FRAGMENT PLATING SYSTEM,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114716073,SCREW BONE CANNULATED STAINLESS STEEL SELF TAPPING 75MM THREAD ELBOW FOOT NON STERILE 7.0X160MM,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114716078,SCREW BONE CANNULATED STAINLESS STEEL SELF TAPPING PARTIAL THREAD ELBOW FOOT NON STERILE 7.5X160MM,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114716570,SCREW BONE 7X165MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114716571,SCREW BONE 7X165MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114716572,SCREW BONE L165MM DIA7MM COMPRESSION CANCELLOUS FULLY THREADED CANNULATED SELF TAPPING SELF DRILLING NONLOCKING HEX DRIVE ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114716573,SCREW BONE CANNULATED STAINLESS STEEL SELF TAPPING PARTIAL THREAD ELBOW FOOT NON STERILE 7.0X165MM,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114716578,SCREW BONE CANNULATED STAINLESS STEEL SELF TAPPING PARTIAL THREAD ELBOW FOOT NON STERILE 7.5X165MM,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114717070,SCREW BONE 7X170MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114717071,SCREW BONE 7X170MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114717072,SCREW BONE 7X170MM CANNULATED FULLY THREADED 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114717073,SCREW BONE CANNULATED STAINLESS STEEL SELF TAPPING PARTIAL THREAD ELBOW FOOT NON STERILE 7.0X170MM,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114717078,SCREW BONE CANNULATED STAINLESS STEEL SELF TAPPING PARTIAL THREAD ELBOW FOOT NON STERILE 7.5X170MM,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114717570,SCREW BONE 7X175MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114717571,SCREW BONE 7X175MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114717572,SCREW BONE 7X175MM COMPRESSION CANCELLOUS CANNULATED FULLY THREADED NONLOCKING SELF TAPPING SELF DRILLING ALLOY HEX DRIVE,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114717573,SCREW BONE CANNULATED STAINLESS STEEL SELF TAPPING PARTIAL THREAD ELBOW FOOT NON STERILE 7X175MM,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114717578,SCREW BONE CANNULATED STAINLESS STEEL SELF TAPPING PARTIAL THREAD ELBOW FOOT NON STERILE 7.5X175MM,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00114718070,SCREW BONE 7X180MM CANNULATED PARTIALLY THREADED 16MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114718071,SCREW BONE 7X180MM CANNULATED PARTIALLY THREADED 32MM 108 ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114718072,SCREW BONE L180MM DIA7MM COMPRESSION CANCELLOUS FULLY THREADED CANNULATED SELF TAPPING SELF DRILLING NONLOCKING HEX DRIVE ALLOY,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114718073,SCREW BONE CANNULATED STAINLESS STEEL SELF TAPPING PARTIAL THREAD ELBOW FOOT NON STERILE 7X180MM,343.0,305.27,71.34,343.0,476 CDM,SUP-ZZIMM00114718078,SCREW BONE CANNULATED STAINLESS STEEL SELF TAPPING PARTIAL THREAD ELBOW FOOT NON STERILE 7.5X180MM,350.0,311.5,72.8,350.0,476 CDM,SUP-ZZIMM00219501300,CARRIER GRAFT POLYVINYL CHLORIDE SKIN 3 TO 1 EXPANSION RATIO PLATEAU GROOVED 8X3IN,264.0,234.96,54.91,264.0,455 CDM,SUP-ZZIMM00234712405,SCRW 16T 6.5X105,84.0,74.76,17.47,84.0,476 CDM,SUP-ZZIMM00235700608,IMPLANT PLATE BONE LOCKING PROXIMAL LATERAL TIBIAL STAINLESS STEEL LOW 8 HOLE NONSTERILE LEFT PRE CONTOURED FIXED ANGLE 5.5X158MM,1764.0,1569.96,366.91,1764.0,476 CDM,SUP-ZZIMM00235700614,IMPLANT PLATE BONE LOCKING PROXIMAL LATERAL TIBIAL STAINLESS STEEL LOW 14 HOLE NONSTERILE LEFT TAPERED PRE CONTOURED 5.5X250MM,1834.0,1632.26,381.47,1834.0,476 CDM,SUP-ZZIMM00235902635,SCREW BONE NONCANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD LOCKING FOR PERIARTICULAR PROXIMAL HUMERAL LOCKING PLATE SYSTEM 3.5X26MM NONSTERILE,154.0,137.06,32.03,154.0,476 CDM,SUP-ZZIMM00235910055,SCREW BONE CANNULATED STAINLESS STEEL SELFTAPPING FULL THREAD LOCKING FOR PERIARTICULAR DISTAL FEMORAL LOCKING PLATE 5.5X100MM NONSTERILE,259.0,230.51,53.87,259.0,476 CDM,SUP-ZZIMM00236007147,BIT DRILL SURGICAL CANNULATED STAINLESS STEEL NONSTERILE PERCUTANEOUS 4.7MM,654.5,582.51,136.14,654.5,455 CDM,SUP-ZZIMM00560600010,GRFT PRV 110MG,10041.95,8937.34,2088.73,10041.95,455 CDM,SUP-ZZIMM00590103533,SCREW BONE CORTICAL STAINLESS STEEL FOR PERSONALIZED KNEE SYSTEM STERILE HEXAGONAL HEAD 3.5X33MM,139.68,124.32,29.05,139.68,476 CDM,SUP-ZZIMM00713306658,TRABECULAR METAL ACETABULAR SYSTEM CUP CONSTRUCT SHORT FLANGE PROV. 66/68/70 SHELL58 LINER RIGHT DISPOSABLE,514.1,457.55,106.93,514.1,469 CDM,SUP-ZZIMM00713606254,IMPLANT TRIAL HIP ACETABULAR POLYETHYLENE LONG LEFT FLANGE STERILE TRABECULAR METAL 54X62 64MM DISPOSABLE,514.1,457.55,106.93,514.1,469 CDM,SUP-ZZIMM00998604015,TREPHINE MRI 11.5MMX8,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604016,TREPHINE FEMORAL L8IN ID12MM STAINLESS STEEL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604017,TREPHINE FEMORAL L8IN ID12.5MM STAINLESS STEEL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604018,TREPHINE FEMORAL L8IN ID13MM STAINLESS STEEL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604019,TREPHINE FEMORAL L8IN ID13.5MM STAINLESS STEEL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604020,TREPHINE FEMORAL L8IN ID14MM STAINLESS STEEL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604021,TREPHINE FEMORAL L8IN ID14.5MM STAINLESS STEEL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604022,BLADE TREPHINE STAINLESS STEEL FEMORAL MANUAL 15MMX8IN,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604023,TREPHINE SURGICAL L8IN ID15.5MM MANUAL FEMORAL HIP STAINLESS STEEL NONSTERILE DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604024,TREPHINE SURGICAL L8IN ID16MM MANUAL FEMORAL HIP STAINLESS STEEL NONSTERILE DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604025,TREPHINE FEMORAL L8IN ID16.5MM STAINLESS STEEL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604026,TREPHINE FEMORAL L8IN ID17MM STAINLESS STEEL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604027,TREPHINE FEMORAL L8IN ID17.5MM STAINLESS STEEL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604028,TREPHINE FEMORAL L8IN ID18MM STAINLESS STEEL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604029,TREPHINE SURGICAL L8IN DIA18.5MM STAINLESS STEEL MANUAL FOR FEMORAL HIP DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604030,TREPHINE FEMORAL L8IN ID19MM STAINLESS STEEL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604031,TREPHINE SURGICAL L8IN ID19.5MM FEMORAL STAINLESS STEEL MANUAL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604032,TREPHINE SURGICAL L8IN ID20MM FEMORAL STAINLESS STEEL MANUAL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604033,TREPHINE FEMORAL L8IN ID20.5MM STAINLESS STEEL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604034,TREPHINE FEMORAL L8IN ID21MM STAINLESS STEEL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604035,TREPHINE SURGICAL L8IN ID21.5MM FEMORAL STAINLESS STEEL MANUAL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604036,TREPHINE SURGICAL L8IN ID22MM FEMORAL STAINLESS STEEL MANUAL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604037,TREPHINE SURGICAL L8IN ID22.5MM FEMORAL STAINLESS STEEL MANUAL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604038,TREPHINE SURGICAL L8IN ID23MM FEMORAL STAINLESS STEEL MANUAL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604039,TREPHINE FEMORAL L8IN ID23MM STAINLESS STEEL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM00998604040,TREPHINE SURGICAL L8IN ID24MM FEMORAL STAINLESS STEEL MANUAL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZIMM0100101914,STEM FEMORAL L190MM DIA14MM 135DEG HIP 100 POROUS 12/14 TAPERED UNCEMENTED SL,7578.0,6744.42,1576.22,7578.0,469 CDM,SUP-ZZIMM0100101917,STEM FEMORAL L190MM DIA17MM 135DEG HIP PROTASUL-100 POROUS UNCEMENTED 12/14 TAPERED SL,7578.0,6744.42,1576.22,7578.0,469 CDM,SUP-ZZIMM0100101918,STEM FEMORAL L190MM DIA18MM 135DEG HIP PROTASUL-100 POROUS UNCEMENTED 12/14 TAPERED SL,7578.0,6744.42,1576.22,7578.0,469 CDM,SUP-ZZIMM0100101920,STEM FEMORAL L190MM DIA20MM 135DEG HIP 100 POROUS 12/14 TAPERED UNCEMENTED SL,7578.0,6744.42,1576.22,7578.0,469 CDM,SUP-ZZIMM0100102217,STEM FEMORAL L225MM DIA17MM NECK ANGLE 135DEG HIP PROTASUL-100 POROUS 12/14 TAPERED UNCEMENTED SL,7578.0,6744.42,1576.22,7578.0,469 CDM,SUP-ZZIMM0100102219,STEM FEMORAL L225MM DIA19MM NECK ANGLE 135DEG HIP PROTASUL-100 POROUS 12/14 TAPERED CEMENTED SL,7578.0,6744.42,1576.22,7578.0,469 CDM,SUP-ZZIMM0100102221,STEM FEMORAL L225MM DIA21MM 135DEG HIP PROTASUL-100 POROUS UNCEMENTED 12/14 TAPERED SL,7578.0,6744.42,1576.22,7578.0,469 CDM,SUP-ZZIMM0100102614,IMPLANT HIP FEMORAL STEM TITANIUM POROUS STERILE 135 DEGREE COLLARLESS SL 14X265MM,7578.0,6744.42,1576.22,7578.0,469 CDM,SUP-ZZIMM0100102621,STEM FEMORAL L265MM DIA21MM NECK ANGLE 135DEG HIP PROTASUL-100 POROUS 12/14 TAPERED CEMENTED SL,7578.0,6744.42,1576.22,7578.0,469 CDM,SUP-ZZIMM0100102623,IMPLANT HIP FEMORAL STEM TITANIUM POROUS STERILE 135 DEGREE SL 23X265MM,9312.0,8287.68,1936.9,9312.0,469 CDM,SUP-ZZIMM0100102624,IMPLANT HIP FEMORAL STEM TITANIUM POROUS STERILE 135 DEGREE SL 24X265MM,7578.0,6744.42,1576.22,7578.0,469 CDM,SUP-ZZIMM0100102625,IMPLANT HIP FEMORAL STEM TITANIUM POROUS STERILE 135 DEGREE SL 25X265MM,9312.0,8287.68,1936.9,9312.0,469 CDM,SUP-ZZIMM0100551202,IMPLANT HIP FEMORAL STEM B TITANIUM POROUS LATEX FREE STERILE 137 DEGREE COLLARLESS SIZE 2 90-129MM,3292.0,2929.88,684.74,3292.0,469 CDM,SUP-ZZIMM0100551203,IMPLANT HIP FEMORAL STEM TIVANIUM POROUS LATEX FREE STERILE 137 DEGREE OFFSET B SIZE 3,3292.0,2929.88,684.74,3292.0,469 CDM,SUP-ZZIMM0100551204,IMPLANT HIP FEMORAL STEM B TITANIUM POROUS LATEX FREE STERILE 137 DEGREE COLLARLESS SIZE 4 90-129MM,3292.0,2929.88,684.74,3292.0,469 CDM,SUP-ZZIMM0100551206,IMPLANT HIP FEMORAL STEM TITANIUM POROUS LATEX FREE STERILE 137 DEGREE COLLARLESS B SIZE 6 90-129MM,3292.0,2929.88,684.74,3292.0,469 CDM,SUP-ZZIMM0100551208,IMPLANT HIP FEMORAL STEM B TITANIUM POROUS LATEX FREE STERILE 137 DEGREE COLLARLESS SIZE 8 90-129MM,3292.0,2929.88,684.74,3292.0,469 CDM,SUP-ZZIMM0100551209,IMPLANT HIP FEMORAL STEM B TITANIUM POROUS LATEX FREE STERILE 137 DEGREE COLLARLESS SIZE 9 90-129MM,3292.0,2929.88,684.74,3292.0,469 CDM,SUP-ZZIMM0100551211,IMPLANT HIP FEMORAL STEM B TITANIUM POROUS LATEX FREE STERILE 137 DEGREE COLLARLESS SIZE 11 90-129MM,3292.0,2929.88,684.74,3292.0,469 CDM,SUP-ZZIMM0100551212,IMPLANT HIP FEMORAL STEM TIVANIUM POROUS LATEX FREE STERILE 137 DEGREE TAPERED B SIZE 12,3292.0,2929.88,684.74,3292.0,469 CDM,SUP-ZZIMM0100551213,IMPLANT HIP FEMORAL STEM B TITANIUM POROUS LATEX FREE STERILE 137 DEGREE COLLARLESS SIZE 13 90-129MM,3292.0,2929.88,684.74,3292.0,469 CDM,SUP-ZZIMM0100551214,IMPLANT HIP FEMORAL STEM TIVANIUM POROUS LATEX FREE STERILE 137 DEGREE TAPERED SIZE B14,3292.0,2929.88,684.74,3292.0,469 CDM,SUP-ZZIMM110017222,IMPLANT HIP ACETABULAR LINER POLYETHYLENE VITAMIN E STANDARD LATEX FREE STERILE 10 DEGREE SIZE H +5MM 36MM,2813.46,2503.98,585.2,2813.46,469 CDM,SUP-ZZIMM110017223,IMPLANT HIP ACETABULAR LINER POLYETHYLENE VITAMIN E STANDARD LATEX FREE STERILE 10 DEGREE SIZE I +5MM 36MM,2813.46,2503.98,585.2,2813.46,469 CDM,SUP-ZZIMM110017227,IMPLANT HIP ACETABULAR LINER POLYETHYLENE VITAMIN E STANDARD LATEX FREE STERILE 10 DEGREE SIZE H +5MM 40MM,2813.46,2503.98,585.2,2813.46,469 CDM,SUP-ZZIMM110017228,IMPLANT HIP ACETABULAR LINER POLYETHYLENE VITAMIN E STANDARD LATEX FREE STERILE 10 DEGREE SIZE I +5MM 40MM,2813.46,2503.98,585.2,2813.46,469 CDM,SUP-ZZIMM110017229,IMPLANT HIP ACETABULAR LINER POLYETHYLENE VITAMIN E STANDARD LATEX FREE STERILE 10 DEGREE SIZE J +5MM 40MM,2813.46,2503.98,585.2,2813.46,469 CDM,SUP-ZZIMM131227213,SCREW BONE L13MM DIA2.7MM DISTAL RADIAL NONLOCKING FULLY THREADED SQUARE DRIVE HEAD LOW BLUNTED,98.0,87.22,20.38,98.0,476 CDM,SUP-ZZIMM131227226,SCREW BONE L26MM DIA2.7MM CORTICAL DISTAL RADIAL NONLOCKING FULLY THREADED SQUARE DRIVE HEAD LOW BLUNTED,98.0,87.22,20.38,98.0,476 CDM,SUP-ZZIMM131227230,SCREW BONE L30MM DIA2.7MM DISTAL VOLAR GOLD TITANIUM LOW NONLOCKING,98.0,87.22,20.38,98.0,476 CDM,SUP-ZZIMM42500005401,IMPLANT KNEE FEMORAL COMPONENT CEMENTED CHROMIUM LEFT STERILE SIZE 3 POSTERIOR STABILIZED NARROW,2700.0,2403.0,561.6,2700.0,469 CDM,SUP-ZZIMM42511200618,IMPLANT KNEE TIBIAL INSERT SIZE 7 12 G H POLYETHYLENE FIXED STERILE LEFT CONGRUENT 18MM,900.0,801.0,187.2,900.0,469 CDM,SUP-ZZIMM42512100310,SURFACE ARTICULAR TIBIAL SIZE C-D FEMORAL SIZE 4-5 H10MM LEFT MEDIAL CONGRUENT FIXED BEARING LIZED KNEE SYSTEM,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100312,SURFACE ARTICULAR FEMORAL 4-5 TIBIAL CD/CR H12MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100313,SURFACE ARTICULAR FEMORAL 4-5 TIBIAL CD/CR H13MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100316,SURFACE ARTICULAR FEMORAL 4-5 TIBIAL CD/CR H16MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100318,SURFACE ARTICULAR FEMORAL SIZE 4-5 TIBIAL SIZE CD H18MM LEFT KNEE POLYETHYLENE MEDIAL CONGRUENT CRUCIATE RETAINING FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100320,SURFACE ARTICULAR FEMORAL 4-5 TIBIAL CD/CR H20MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100414,SURFACE ARTICULAR FEMORAL 6-7 TIBIAL CD/CR H14MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100416,SURFACE ARTICULAR FEMORAL SIZE 6-7 TIBIAL SIZE CD H16MM LEFT KNEE CRUCIATE RETAINING MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100418,SURFACE ARTICULAR FEMORAL 6-7 TIBIAL CD/CR H18MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100420,SURFACE ARTICULAR FEMORAL SIZE 6-7 TIBIAL SIZE CD H20MM LEFT KNEE CRUCIATE RETAINING MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100610,SURFACE ARTICULAR FEMORAL 4-5 TIBIAL EF/CR H10MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100611,SURFACE ARTICULAR FEMORAL SIZE 4-5 TIBIAL SIZE EF H11MM LEFT KNEE POLYETHYLENE MEDIAL CONGRUENT CRUCIATE RETAINING FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100612,SURFACE ARTICULAR FEMORAL SIZE 4-5 TIBIAL E-F H12MM LEFT MEDIAL CONGRUENT CRUCIATE RETAINING FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100613,SURFACE ARTICULAR FEMORAL SIZE 4-5 TIBIAL SIZE EF H13MM LEFT KNEE POLYETHYLENE MEDIAL CONGRUENT CRUCIATE RETAINING FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100614,SURFACE ARTICULAR FEMORAL 4-5 TIBIAL EF/CR H14MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100616,SURFACE ARTICULAR FEMORAL SIZE 4-5 TIBIAL SIZE EF H16MM LEFT KNEE POLYETHYLENE MEDIAL CONGRUENT CRUCIATE RETAINING FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100618,SURFACE ARTICULAR FEMORAL 4-5 TIBIAL EF/CR H18MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100620,SURFACE ARTICULAR FEMORAL 4-5 TIBIAL EF/CR H20MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100716,SURFACE ARTICULAR FEMORAL 6-7 TIBIAL EF/CR H16MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100718,SURFACE ARTICULAR FEMORAL SIZE 6-7 TIBIAL E-F H18MM LEFT MEDIAL CONGRUENT CRUCIATE RETAINING FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100720,SURFACE ARTICULAR FEMORAL 6-7 TIBIAL EF/CR H20MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100818,SURFACE ARTICULAR FEMORAL SIZE 8-11 TIBIAL SIZE EF H18MM LEFT KNEE POLYETHYLENE MEDIAL CONGRUENT CRUCIATE RETAINING FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100820,SURFACE ARTICULAR FEMORAL 8-11 TIBIAL EF/CR H20MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100913,SURFACE ARTICULAR FEMORAL SIZE 8-11 TIBIAL G-H H13MM LEFT MEDIAL CONGRUENT CRUCIATE RETAINING FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100914,SURFACE ARTICULAR FEMORAL 8-11 TIBIAL GH/CR H14MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100916,SURFACE ARTICULAR FEMORAL 8-11 TIBIAL GH/CR H16MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512100918,SURFACE ARTICULAR FEMORAL 8-11 TIBIAL GH/CR H18MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512101010,SURFACE ARTICULAR H10MM LEFT KNEE FIXED BEARING MEDIAL CONGRUENT FOR GH TIBIAL 12 CRUCIATE RETAINING FEMORAL,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512101011,SURFACE ARTICULAR FEMORAL 12 TIBIAL GH/CR H11MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512101012,SURFACE ARTICULAR FEMORAL 12 TIBIAL GH/CR H12MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512101013,SURFACE ARTICULAR FEMORAL 12 TIBIAL GH/CR H13MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512101014,SURFACE ARTICULAR FEMORAL 12 TIBIAL GH/CR H14MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512101018,SURFACE ARTICULAR FEMORAL 12 TIBIAL GH/CR H18MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42512101020,SURFACE ARTICULAR FEMORAL 12 TIBIAL GH/CR H20MM LEFT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100311,SURFACE ARTICULAR FEMORAL SIZE 4-5 TIBIAL A-B H11MM RIGHT MEDIAL CONGRUENT CRUCIATE RETAINING FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100314,SURFACE ARTICULAR FEMORAL 4-5 TIBIAL AB/CR H14MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100316,SURFACE ARTICULAR FEMORAL SIZE 4-5 TIBIAL SIZE AB H16MM RIGHT KNEE POLYETHYLENE CRUCIATE RETAINING FIXED CONVENTIONAL,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100320,SURFACE ARTICULAR FEMORAL 4-5 TIBIAL AB/CR H20MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100413,SURFACE ARTICULAR FEMORAL SIZE 6-7 TIBIAL SIZE CD H13MM RIGHT KNEE CRUCIATE RETAINING MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100416,SURFACE ARTICULAR FEMORAL 6-7 TIBIAL CD/CR H16MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100418,SURFACE ARTICULAR FEMORAL 6-7 TIBIAL CD/CR H18MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100420,SURFACE ARTICULAR FEMORAL 6-7 TIBIAL CD/CR H20MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100610,SURFACE ARTICULAR FEMORAL 4-5 TIBIAL EF/CR H10MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100611,SURFACE ARTICULAR TIBIAL EF FEMORAL SIZE 4-5 H11MM LEFT KNEE POLYETHYLENE CRUCIATE RETAINING FIXED BEARING CONGRUENT VIVACIT E,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100612,SURFACE ARTICULAR FEMORAL SIZE 4-5 TIBIAL SIZE EF H12MM RIGHT KNEE POLYETHYLENE CRUCIATE RETAINING FIXED CONVENTIONAL,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100613,SURFACE ARTICULAR FEMORAL 4-5 TIBIAL EF/CR H13MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100614,SURFACE ARTICULAR FEMORAL 4-5 TIBIAL EF/CR H14MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100616,SURFACE ARTICULAR FEMORAL 4-5 TIBIAL EF/CR H16MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100618,SURFACE ARTICULAR FEMORAL 4-5 TIBIAL EF/CR H18MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100620,SURFACE ARTICULAR FEMORAL 4-5 TIBIAL EF/CR H20MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100714,SURFACE ARTICULAR FEMORAL SIZE 6-7 TIBIAL SIZE EF H14MM RIGHT KNEE POLYETHYLENE CRUCIATE RETAINING FIXED CONVENTIONAL,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100718,SURFACE ARTICULAR FEMORAL 6-7 TIBIAL EF/CR H18MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100720,SURFACE ARTICULAR FEMORAL 6-7 TIBIAL EF/CR H20MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100814,SURFACE ARTICULAR H14MM RIGHT KNEE FIXED BEARING MEDIAL CONGRUENT FOR E-F TIBIAL 8-11 CRUCIATE RETAINING FEMORAL,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100818,SURFACE ARTICULAR FEMORAL 8-11 TIBIAL EF/CR H18MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100820,SURFACE ARTICULAR FEMORAL 8-11 TIBIAL EF/CR H20MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100913,SURFACE ARTICULAR FEMORAL 8-11 TIBIAL GH/CR H13MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100916,SURFACE ARTICULAR FEMORAL 8-11 TIBIAL GH/CR H16MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100918,SURFACE ARTICULAR FEMORAL 8-11 TIBIAL GH/CR H18MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522100920,SURFACE ARTICULAR FEMORAL 8-11 TIBIAL GH/CR H20MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522101010,SURFACE ARTICULAR H10MM RIGHT KNEE FIXED BEARING MEDIAL CONGRUENT FOR G-H TIBIAL 12 CRUCIATE RETAINING FEMORAL,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522101012,SURFACE ARTICULAR FEMORAL SIZE 12 TIBIAL G-H H12MM RIGHT MEDIAL CONGRUENT CRUCIATE RETAINING FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522101013,IMPLANT KNEE TIBIAL INSERT SIZE 12 G H POLYETHYLENE VITAMIN E ENHANCED FIXED LATEX FREE STERILE RIGHT MEDIAL VIVACIT E 13MM,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522101014,SURFACE ARTICULAR FEMORAL 12 TIBIAL GH/CR H14MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522101016,SURFACE ARTICULAR FEMORAL 12 TIBIAL GH/CR H16MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522101018,SURFACE ARTICULAR FEMORAL 12 TIBIAL GH/CR H18MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM42522101020,SURFACE ARTICULAR FEMORAL 12 TIBIAL GH/CR H20MM RIGHT POLYETHYLENE MEDIAL CONGRUENT FIXED BEARING,1700.0,1513.0,353.6,1700.0,469 CDM,SUP-ZZIMM47430902501,PIN FIXATION TROCAR SINGLE END LATEX FREE STERILE REVERSE 2.5X150MM,836.0,744.04,173.89,836.0,455 CDM,SUP-ZZIMM713305648,IMPLANT HIP ACETABULAR TITANIUM PROVISIONAL LONG RIGHT FLANGE TRABECULAR METAL 48X56 60MM,514.1,457.55,106.93,514.1,469 CDM,SUP-ZZIMM713307264,IMPLANT HIP ACETABULAR TRABECULAR METAL POROUS SHORT FLANGE RIGHT HIP STERILE SHELL LINER PROVISIONAL TRABECULAR METAL 64X72 74MM,514.1,457.55,106.93,514.1,469 CDM,SUP-ZZIMM713405648,IMPLANT TRIAL HIP ACETABULAR POLYETHYLENE LONG LEFT FLANGE LATEX FREE STERILE DISPOSABLE 48X56-60MM,514.1,457.55,106.93,514.1,469 CDM,SUP-ZZIMM713406254,IMPLANT TRIAL HIP ACETABULAR POLYETHYLENE SHORT LEFT FLANGE LATEX FREE STERILE DISPOSABLE 54X62-64MM,514.1,457.55,106.93,514.1,469 CDM,SUP-ZZIMM713406658,TRIAL SHELL 66/68/70MM LINER 58MM LEFT ACETABULAR TRABECULAR METAL SHORT FLANGE PROVISIONAL DISPOSABLE,514.1,457.55,106.93,514.1,469 CDM,SUP-ZZIMM713407668,SHORT FLANGE PROV. 767880 SHELL 68 LINER LEFT DISPOSABLE,514.1,457.55,106.93,514.1,469 CDM,SUP-ZZIMM713505648,IMPLANT HIP ACETABULAR TRABECULAR METAL POROUS LONG FLANGE RIGHT HIP STERILE SHELL LINER PROVISIONAL TRABECULAR METAL 48X56/58/60MM,514.1,457.55,106.93,514.1,469 CDM,SUP-ZZIMM998604014,TREPHINE FEMORAL L8IN ID11MM STAINLESS STEEL DISPOSABLE,1665.0,1481.85,346.32,1665.0,455 CDM,SUP-ZZMED460,DRESSING GAUZE HEMOSTATIC DOUBLE WRAPPED 12X12IN,428.34,381.22,89.09,428.34,455 CDM,SUP-ZZOL89002065,ELECTRODE DEFIBRILLATOR MULTIFUNCTION PAD PEDIATRIC PEDI PADZ,209.82,186.74,43.64,209.82,455 CPT,0001U,HC RBC TYPING,1684.0,1498.76,350.27,1684.0,736 CPT,0001U,PR RBC TYPING,1684.0,1498.76,720.0,1684.0,481 CPT,0003M,PR LIVER DIS 10 ASSAYS W/NASH,1229.0,1093.81,503.4,1229.0,481 CPT,0010U,HC NFCT DS STRN TYP WHL GEN SEQ,933.0,830.37,194.06,933.0,718 CPT,0015M,PR ADRENAL CORTICAL ASSAY 25,2360.0,2100.4,1305.37,2360.0,467 CPT,0027U,HC JAK2 GENE TRGT SEQ ANALYSIS,400.0,356.0,83.2,400.0,735 CPT,0027U,PR JAK2 GENE TRGT SEQ ANALYSIS,400.0,356.0,121.91,400.0,481 CPT,0029U,HC RX METAB ADVERSE REACT TARGET SEQ ANALYSIS,600.0,534.0,124.8,1113.41,735 CPT,0029U,PR RX METAB ADVERSE REACT TARGET SEQ ANALYSIS,600.0,534.0,528.0,600.0,481 CPT,0030U,HC RX METAB WARFARIN TARGET SEQ ANALYSIS,700.0,623.0,134.13,700.0,736 CPT,0030U,PR RX METAB WARFARIN TARGET SEQ ANALYSIS,700.0,623.0,134.13,700.0,481 CPT,0031U,HC CYP1A2 GENE COMMON VARIANTS,600.0,534.0,124.8,600.0,736 CPT,0031U,PR CYP1A2 GENE COMMON VARIANTS,600.0,534.0,174.81,600.0,481 CPT,0032U,HC COMT GENE,600.0,534.0,124.8,600.0,736 CPT,0032U,PR COMT GENE,600.0,534.0,174.81,600.0,481 CPT,0034U,HC TPMT NUDT15 GENE COMMON VARIANTS,600.0,534.0,124.8,699.26,736 CPT,0034U,PR TPMT NUDT15 GENE COMMON VARIANTS,600.0,534.0,466.17,600.0,481 CPT,0054T,PR CPTR-ASST MUSCSKEL NAVIGJ ORTHO FLUOR IMAGES,848.0,754.72,120.25,848.0,464 CPT,0055T,PR COMP ASST MUSCSKEL NAV ORTHO,870.0,774.3,120.25,870.0,464 CPT,0070U,HC CYP2D6 GEN COM&SLCT RAR VRNT,600.0,534.0,124.8,1014.56,736 CPT,0070U,PR CYP2D6 GEN COM&SLCT RAR VRNT,600.0,534.0,528.0,600.0,481 CPT,0071T,HC MR FUS UTERINE ABLATION <200CC,5829.0,5187.81,1212.43,5829.0,733 CPT,0071T,PR MR FUS UTERINE ABLATION <200CC,5240.0,4663.6,524.0,5240.0,477 CPT,0071U,HC CYP2D6 FULL GENE SEQUENCE,600.0,534.0,124.8,900.0,736 CPT,0071U,PR CYP2D6 FULL GENE SEQUENCE,600.0,534.0,528.0,600.0,481 CPT,0072T,PR MR FUS UTERINE ABLATION >200CC,5760.0,5126.4,576.0,5760.0,477 CPT,0072U,HC CYP2D6 GEN CYP2D6-2D7 HYBRID,600.0,534.0,124.8,676.37,736 CPT,0072U,PR CYP2D6 GEN CYP2D6-2D7 HYBRID,600.0,534.0,450.91,600.0,481 CPT,0075T,HC PLC VERT/CAROTID STENT INIT,11009.0,9798.01,748.94,11009.0,719 CPT,0075T,PR PLC VERT/CAROTID STENT INIT,2470.0,2198.3,2173.6,2470.0,477 CPT,0076U,HC CYP2D6 3' GENE DUP/MLT,600.0,534.0,124.8,676.37,736 CPT,0076U,PR CYP2D6 3' GENE DUP/MLT,600.0,534.0,450.91,600.0,481 CPT,0077U,HC IG PARAPROTEIN QUAL SERUM,191.0,169.99,39.73,191.0,742 CPT,0077U,HC IG PARAPROTEIN QUAL URINE,191.0,169.99,39.73,191.0,742 CPT,0077U,PR IG PARAPROTEIN QUAL SERUM,191.0,169.99,43.43,191.0,467 CPT,0077U,PR IG PARAPROTEIN QUAL URINE,191.0,169.99,43.43,191.0,467 CPT,0084U,HC IDCORE XT RBC GENOTYPE,1800.0,1602.0,374.4,1800.0,736 CPT,0084U,PR IDCORE XT RBC GENOTYPE,1800.0,1602.0,720.0,1800.0,481 CPT,0086U,HC INFCT DIS CULTURE W/FISH 6+ TARGETS,437.0,388.93,90.9,437.0,736 CPT,0086U,PR INFCT DIS CULTURE W/FISH 6+ TARGETS,437.0,388.93,200.0,437.0,481 CPT,0101T,PR EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS,200.0,178.0,176.0,200.0,484 CPT,0101T,PR EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS - 2 SITES,250.0,222.5,220.0,250.0,493 CPT,0101T,PR EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS - 3 SITES,300.0,267.0,264.0,300.0,484 CPT,0106T,PR QST TEST & INTERP EXT TOUCH,69.0,61.41,10.92,69.0,483 CPT,0107T,PR QST TEST & INTERP EXT VIBR,69.0,61.41,10.92,69.0,483 CPT,0108T,PR QST TEST & INTERP EXT COOLING,69.0,61.41,10.92,69.0,483 CPT,0109T,PR QST TEST & INTERP EXT HEAT PAN,69.0,61.41,10.92,69.0,483 CPT,0119U,HC CERAMIDES,190.0,169.1,39.52,190.0,736 CPT,0119U,PR CERAMIDES,190.0,169.1,83.76,190.0,481 CPT,0184T,0184T REMOVAL OF RECTAL TUMOR USING AN ENDOSCOPE,,,215.76,8054.9,20 CPT,0184T,PR EXCISN RECTAL TMR MICROSURG APP,2395.0,2131.55,752.48,2395.0,482 CPT,0200T,PR PERC SACRL AUGMNTATION UNILAT,13065.0,11627.85,1568.03,13065.0,482 CPT,0201T,PR PERC SACRL AUGMNTATION BILAT,9103.0,8101.67,1568.03,9103.0,482 CPT,0202U,HC RESPIR PATH 22 TARGETS,834.0,742.26,173.47,834.0,739 CPT,0202U,HC RESPIR PATHOGEN 22 TARGETS 2,834.0,742.26,173.47,834.0,739 CPT,0202U,PR RESPIR PATH 22 TARGETS,834.0,742.26,416.78,834.0,481 CPT,0202U,PR RESPIR PATHOGEN 22 TARGETS 2,834.0,742.26,416.78,834.0,481 CPT,0219U,HC INFECT AGENT HIV NEXT-GEN SEQ ANALYSIS,1748.0,1555.72,363.58,1748.0,736 CPT,0219U,PR INFECT AGENT HIV NEXT-GEN SEQ ANALYSIS,1748.0,1555.72,725.0,1748.0,467 CPT,0232T,0232T HARVEST AND INJECTIONS OF PLATELET RICH PLASMA USING IMAGING GUIDANCE FACILITY,,,47.09,407.26,19 CPT,0232T,HC PRP INJECTION,1834.0,1632.26,381.47,1834.0,734 CPT,0232T,PR BMAC INJECTION,3500.0,3115.0,350.0,3500.0,480 CPT,0232T,PR BMAC INJECTION MULTI SITE,5000.0,4450.0,500.0,5000.0,480 CPT,0232T,PR PRP 1 SITE W/A2MRP ADD ON,1950.0,1735.5,195.0,1950.0,480 CPT,0232T,PR PRP 2 SITE W/A2MRP ADD ON,2550.0,2269.5,255.0,2550.0,480 CPT,0232T,PR PRP-1 SITE,1200.0,1068.0,120.0,1200.0,480 CPT,0232T,PR PRP-2 SITES,1800.0,1602.0,180.0,1800.0,480 CPT,0232T,PR PRP-3 SITES,2400.0,2136.0,240.0,2400.0,480 CPT,0232T,PR PRP-4 SITES,3000.0,2670.0,300.0,3000.0,480 CPT,0238T,PR TLPA ILIAC ARTY EA VSSL,13798.0,12280.22,1379.8,13798.0,477 CPT,0278T,PR TRANCATH ELE MOD PAIN REPROC EA,303.0,269.67,10.77,303.0,507 CPT,0338T,HC TXCATH RENL SYMP DENERV UNILAT,11310.0,10065.9,2352.48,11310.0,734 CPT,0338T,PR TXCAT RENL SYMP DENERV UNILAT,7751.0,6898.39,775.1,7751.0,477 CPT,0358T,PR BIA WHOLE BODY COMPOSITION ASSESSMENT W/I&R,62.0,55.18,22.65,62.0,482 CPT,0361U,HC NEUROFILAMENT LIGHT CHAIN,599.0,533.11,124.59,599.0,719 CPT,0361U,PR NEUROFILAMENT LIGHT CHAIN,599.0,533.11,527.12,599.0,463 CPT,0402T,PR COLLAGEN CROSS-LINKING OF CORNEA,1556.0,1384.84,285.87,1556.0,482 CPT,0420T,HC DESTRUCT NEUROFIBROMATA EXT >100,1629.0,1449.81,338.83,1629.0,734 CPT,0420T,PR DESTRUCT NEUROFIBROMATA EXT >100,1232.0,1096.48,389.0,1232.0,482 CPT,0430U,HC MALABSORPTION EVAL PANEL QUANT,605.0,538.45,61.54,605.0,734 CPT,0430U,PR MALABSORPTION EVAL PANEL QUANT,605.0,538.45,61.54,605.0,467 CPT,0431U,HC GLYCINE ALPHA 1 LCBA,136.0,121.04,28.29,136.0,734 CPT,0431U,PR GLYCINE ALPHA 1 LCBA,136.0,121.04,36.57,136.0,481 CPT,0432U,HC KELCH LIKE PROTEIN 11 QUAL,136.0,121.04,28.29,136.0,736 CPT,0432U,PR KELCH LIKE PROTEIN 11 QUAL,136.0,121.04,36.57,136.0,481 CPT,0437T,PR IMPLANTATION OF NON-BIOLOGIC O,1442.0,1283.38,216.15,1442.0,482 CPT,0441T,PR ABLT PERC LWR EXT PERIPH NRV,6998.0,6228.22,177.44,6998.0,482 CPT,0449T,PR INSN AQUEOUS DRN DEV,5843.0,5200.27,656.37,5843.0,482 CPT,0480U,HC METAGENOMIC SEQUENCING,3425.0,3048.25,712.4,3425.0,735 CPT,0480U,PR METAGENOMIC SEQUENCING,3425.0,3048.25,2126.2,3425.0,481 CPT,0481U,HC IDH1/IDH2/TERT NGS,1600.0,1424.0,332.8,1600.0,734 CPT,0481U,PR IDH1/IDH2/TERT NGS,1600.0,1424.0,674.24,1600.0,481 CPT,0482U,HC BIOCHEM ASSAY OB PREECLAMPSIA,322.0,286.58,66.98,322.0,734 CPT,0482U,PR BIOCHEM ASSAY OB PREECLAMPSIA,322.0,286.58,128.82,322.0,467 CPT,0483T,HC TMVI PERCUTANEOUS APPROACH,29263.0,26044.07,1955.91,29263.0,719 CPT,0483T,PR TMVI PERCUTANEOUS APPROACH,16359.0,14559.51,532.01,16359.0,482 CPT,0505T,HC EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR,25939.0,23085.71,5395.31,25939.0,734 CPT,0505T,PR EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR,33751.0,30038.39,8652.57,33751.0,482 CPT,0516T,"HC INS W-LESS STIM, DEV INT/PROG; ELECTRODE ONLY",13770.0,12255.3,554.25,13867.76,734 CPT,0517T,"HC INS W-LESS STIM, DEV INT/PROG; GEN ONLY",13770.0,12255.3,485.04,13867.76,734 CPT,0519T,HC REM/REP WIRELESS STIM L VENT PACE-GEN,16349.0,14550.61,1250.31,16349.0,734 CPT,0528U,HC PNEUMONIA PANEL BIOFIRE,895.0,796.55,186.16,952.26,739 CPT,0528U,PR PNEUMONIA PANEL BIOFIRE,895.0,796.55,634.84,895.0,481 CPT,0545T,HC TCAT TV ANN RCNSTJ W/IMPL ADJST ANN RCNSTJ DEV,3643.0,3242.27,757.74,3643.0,719 CPT,0545T,PR TCAT TV ANN RCNSTJ W/IMPL ADJST ANN RCNSTJ DEV,10480.0,9327.2,1048.0,10480.0,477 CPT,0552T,HC LOW-LVL LASER THER DYN PHOTONIC & THERMOKIN NRG,75.0,66.75,9.81,75.0,719 CPT,0552T,PR LOW-LVL LASER THER DYN PHOTONIC & THERMOKIN NRG,75.0,66.75,5.34,75.0,482 CPT,0554T,PR CT BONE STRENGTH,987.0,878.43,98.7,987.0,477 CPT,0555T,HC CT BONE STRENGTH DATA TRANSMISSION,71.0,63.19,14.77,71.0,734 CPT,0556T,HC CT BONE STRENGTH ASSESSMENT,664.0,590.96,138.11,664.0,734 CPT,0557T,PR CT BONE STRENGTH INTERP & REPORT,255.0,226.95,25.5,255.0,477 CPT,0558T,PR CT BIOMECHANICAL ANALYSIS,299.0,266.11,29.9,299.0,477 CPT,0559T,HC 3D ANATOMIC MODEL FIRST STRUCTURE,1676.0,1491.64,14.36,1676.0,735 CPT,0559T,PR 3D ANATOMIC MODEL FIRST STRUCTURE,411.0,365.79,7.81,411.0,482 CPT,0560T,HC 3D ANATOMIC MODEL EA ADDTL STRUCTURE,225.0,200.25,7.19,225.0,717 CPT,0560T,PR 3D ANATOMIC MODEL EA ADDTL STRUCTURE,54.0,48.06,3.91,54.0,482 CPT,0561T,HC 3D ANATOMIC GUIDE FIRST,1386.0,1233.54,57.41,1386.0,734 CPT,0561T,PR 3D ANATOMIC GUIDE FIRST,147.0,130.83,31.23,147.0,482 CPT,0562T,HC 3D ANATOMIC GUIDE EA ADDTL,188.0,167.32,28.71,188.0,717 CPT,0562T,PR 3D ANATOMIC GUIDE EA ADDTL,21.0,18.69,15.62,21.0,482 CPT,0569T,"HC TRNSCTH TRICUSP VLV REPAIR, INIT",18526.0,16488.14,3853.41,18526.0,717 CPT,0569T,"PR TRNSCTH TRICUSP VLV REPAIR, INIT",9113.0,8110.57,911.3,9113.0,477 CPT,0570T,"HC TRNSCTH TRICUS VLV REP, EA ADDL",3018.0,2686.02,627.74,3018.0,717 CPT,0570T,"PR TRNSCTH TRICUS VLV REP, EA ADDL",1786.0,1589.54,343.87,1786.0,482 CPT,0571T,HC IMPL ICD W SUBSTERN LEADS,54865.0,48829.85,11411.92,54865.0,734 CPT,0571T,PR IMPL ICD W SUBSTERN LEADS,3096.0,2755.44,309.6,3096.0,477 CPT,0572T,HC IMP SUBSTERN DEFIB ELECTRODE,22029.0,19605.81,4582.03,22029.0,734 CPT,0573T,HC REMOVE SUBSTERN DEFIB ELECTRODE,9687.0,8621.43,2014.9,9687.0,734 CPT,0573T,PR REMOVE SUBSTERN DEFIB ELECTRODE,4288.0,3816.32,428.8,4288.0,477 CPT,0575T,PR PROG EVAL INPER ICD SUBSTERNAL,528.0,469.92,52.8,528.0,478 CPT,0576T,PR INTEROGATE EVAL ICD SUBSTERNAL,358.0,318.62,61.89,358.0,483 CPT,0577T,HC EP EVAL ICD SUBSTERNAL,3886.0,3458.54,808.29,3886.0,734 CPT,0577T,PR EP EVAL ICD SUBSTERNAL,3724.5,3314.8050000000003,288.1,4568.0,954 CPT,0578T,PR INTER ICD SBSTRNL PROF EA 90DAYS,351.0,312.39,32.4,351.0,484 CPT,0579T,HC INTER ICD SBSTRNL TECH EA 90DAYS,228.0,202.92,37.4,228.0,734 CPT,0579T,PR INTER ICD SBSTRNL TECH EA 90DAYS,235.0,209.15,23.5,235.0,479 CPT,0580T,HC REMOVE SUBSTERN DEFIB GENERATOR,9687.0,8621.43,2014.9,9687.0,734 CPT,0580T,PR REMOVE SUBSTERN DEFIB GENERATOR,7750.0,6897.5,775.0,7750.0,477 CPT,0581T,PR ABLAT BREAST TUMOR(S) PERC CRYO UNILAT,10610.0,9442.9,418.56,10610.0,482 CPT,0582T,PR ABLAT PROSTATE TRANSURETHRAL THERMO,15341.0,13653.49,1534.1,15341.0,477 CPT,0582U,HC RAPID WHOLE GENOME SEQ,5500.0,4895.0,1144.0,11373.3,734 CPT,0582U,PR RAPID WHOLE GENOME SEQ,5500.0,4895.0,4840.0,5500.0,481 CPT,0583U,HC RAPID WHOLE GENOME SEQ COMPARATOR,3000.0,2670.0,624.0,5686.65,734 CPT,0583U,PR RAPID WHOLE GENOME SEQ COMPARATOR,3000.0,2670.0,2640.0,3000.0,481 CPT,0584U,HC RT QUIC PRION CSF,120.0,106.8,24.96,811.49,734 CPT,0584U,PR RT QUIC PRION CSF,120.0,106.8,105.6,120.0,481 CPT,0591T,PR HWC INITIAL SESSION,107.0,95.23,10.7,107.0,485 CPT,0592T,PR HWC FOLLOW UP SESSION,67.0,59.63,6.7,67.0,478 CPT,0600T,"PR ABLT IRR ELECTROPORATION 1+ TMR, PERC",14321.0,12745.69,1432.1,14321.0,477 CPT,0613T,"HC PERQ TCAT IMPLT INTERATRIAL SEPTAL SHUNT, W/R & L HRT CATH",12144.0,10808.16,2525.95,12144.0,719 CPT,0613T,"PR PERQ TCAT IMPLT INTERATRIAL SEPTAL SHUNT, W/R & L HRT CATH",7320.0,6514.8,6441.6,7320.0,477 CPT,0614T,HC RMV & REPLACE SUBSTERNAL IMPL DEFIB PULS GEN,50227.0,44702.03,10447.22,50227.0,734 CPT,0615T,PR EYE MVMT ALYS W/O CALBRJ I&R,191.0,169.99,168.08,191.0,477 CPT,0620T,HC ENDOVASC VENOUS ARTERIALIZATION TIBIAL/PERONEAL,55900.0,49751.0,11627.2,58441.09,734 CPT,0620T,PR ENDOVASC VENOUS ARTERIALIZATION TIBIAL/PERONEAL,16086.0,14316.54,804.3,16086.0,477 CPT,0636T,PR CT BREAST W 3D BILAT WO CNTRST,2013.5,1792.015,120.3,2824.0,954 CPT,0643T,HC TCAT L VENTR RSTRJ DEV IMPLT,12261.0,10912.29,2550.29,12261.0,719 CPT,0644T,HC TCAT RMVL/DBLK ICAR MAS PERQ,12261.0,10912.29,2507.93,12261.0,734 CPT,0644T,PR TCAT RMVL/DBLK ICAR MAS PERQ,7634.0,6794.26,682.16,7634.0,482 CPT,0645T,HC TCAT IMPLTJ C SINS RDCTJ DEV,12261.0,10912.29,2550.29,24322.51,734 CPT,0645T,PR TCAT IMPLTJ C SINS RDCTJ DEV,7007.0,6236.23,3153.15,7007.0,477 CPT,0646T,HC TTVI/RPLCMT W/PRSTC VLV PERQ,15765.0,14030.85,3279.12,15765.0,719 CPT,0646T,PR TTVI/RPLCMT W/PRSTC VLV PERQ,9952.0,8857.28,497.6,9952.0,477 CPT,0652T,HC EGD FLX TRANSNASAL DX BR/WA,4096.0,3645.44,851.97,4096.0,734 CPT,0652T,PR EGD FLX TRANSNASAL DX BR/WA,1711.0,1522.79,769.95,1711.0,477 CPT,0653T,HC EGD FLX TRANSNASAL BX 1/MLT,4096.0,3645.44,851.97,4096.0,735 CPT,0653T,PR EGD FLX TRANSNASAL BX 1/MLT,1711.0,1522.79,769.95,1711.0,477 CPT,0654T,HC EGD FLX TRANSNASAL TUBE/CATH,4311.0,3836.79,896.69,5115.46,734 CPT,0654T,PR EGD FLX TRANSNASAL TUBE/CATH,1690.0,1504.1,84.5,1690.0,477 CPT,0656T,PR ANT LUMB/THRLUMB BDY TETHERING <7 SEG,19564.0,17411.96,8803.8,19564.0,477 CPT,0657T,PR ANT LUMB/THRLUMB BDY TETHERING 8+ SEG,23941.0,21307.49,10773.45,23941.0,477 CPT,0659T,HC TCAT INTRA-C NFS SUPERSAT O2,1751.0,1558.39,364.21,1751.0,719 CPT,0673T,HC ABLATION B9 THYROID NODULE PERQ LASER W/IMG GDN,6593.0,5867.77,1371.34,6593.0,734 CPT,0675T,HC LAPS INSJ NEW/RPLCMT LEAD PERM ISDSS 1ST LEAD,13659.0,12156.51,2841.07,14784.18,734 CPT,0675T,PR LAPS INSJ NEW/RPLCMT LEAD PERM ISDSS 1ST LEAD,2971.0,2644.19,1336.95,2971.0,477 CPT,0686T,HC HISTOTRIPSY OF MALIGNANT HEPATOCELLAR TISSUE,27849.0,24785.61,5792.59,27849.0,734 CPT,0686T,PR HISTOTRIPSY OF MALIGNANT HEPATOCELLAR TISSUE,11615.0,10337.35,5226.75,11615.0,477 CPT,0707T,PR NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT,2559.0,2277.51,1151.55,2559.0,477 CPT,0719T,PR PST VERTEBRAL JOINT RPLCMT LUMBAR SPI SINGLE SGM,12281.0,10930.09,5526.45,12281.0,477 CPT,0737T,PR XENOGRAFT IMPLANTATION INTO ARTICULAR SURFACE,10510.0,9353.9,4729.5,10510.0,477 CPT,0743T,PR BONE STRENGTH & FRACTURE RSK CNCRNT VRT FX ASSMT,1086.0,966.54,955.68,1086.0,477 CPT,0744T,HC INSJ BIOPROSTC VLV FEM VN,17483.0,15559.87,3636.46,17483.0,734 CPT,0745T,HC CAR ABLT RAD ARR N-INVAS LOC,13113.0,11670.57,2727.5,13113.0,719 CPT,0746T,HC CAR ABLT RAD ARR CNV LOC MAP,12731.0,11330.59,2648.05,12731.0,719 CPT,0748T,HC NJX STM CL PRDCT ANL SFT TIS,1379.0,1227.31,286.83,1379.0,719 CPT,0764T,PR ASSTV ALG ECG RSK-BASED ASSMT RELATED CONCURRENT ECG,102.0,90.78,10.2,102.0,459 CPT,0780T,HC INSTLJ FECAL MICROBIOTA SSP RCT NMA LWR GI TRC,796.0,708.44,133.33,796.0,735 CPT,0780T,PR INSTLJ FECAL MICROBIOTA SSP RCT NMA LWR GI TRC,2678.0,2383.42,267.8,2678.0,477 CPT,0795T,HC TCAT INS 2CHMBR LDLS PM CMPL,45095.0,40134.55,9379.76,45095.0,734 CPT,0795T,PR TCAT INS 2CHMBR LDLS PM CMPL,10926.0,9724.14,546.3,10926.0,477 CPT,0797T,HC TCAT INS 2CHMBR LDLS PM RV,47697.0,42450.33,9920.98,47697.0,734 CPT,0797T,PR TCAT INS 2CHMBR LDLS PM RV,10926.0,9724.14,546.3,10926.0,477 CPT,0800T,PR TCAT RMVL 2CHMBR LDLS PM RV,4181.0,3721.09,1881.45,4181.0,477 CPT,0804T,HC PRGRMG EVL LDLS PM 2CHMBR IP,218.0,194.02,37.4,218.0,734 CPT,0804T,PR PRGRMG EVL LDLS PM 2CHMBR IP,285.0,253.65,22.5,345.0,955 CPT,0823T,HC TCAT INS 1CHMBR LDLS PM RA,63106.0,56164.34,13126.05,63106.0,735 CPT,0823T,PR TCAT INS 1CHMBR LDLS PM RA,3723.0,3313.47,186.15,3723.0,477 CPT,0824T,HC TCAT RMV 1CHMBR LDLS PM RA,4624.0,4115.36,961.79,4624.0,734 CPT,0824T,PR TCAT RMV 1CHMBR LDLS PM RA,4045.0,3600.05,1820.25,4045.0,477 CPT,0866T,PR QUAN MRI ALYS BRN W/DX MRI,376.0,334.64,16.1,537.0,1437 CPT,0882T,PR INTRAOP THER ESTIM PN UE 1ST,4928.0,4385.92,492.8,4928.0,477 CPT,0913T,HC PRQ TCAT THER RX NTRAC BALO1,9297.0,8274.33,1933.78,15316.89,735 CPT,0913T,PR PRQ TCAT THER RX NTRAC BALO1,7212.0,6418.68,360.6,7212.0,477 CPT,0914T,HC PRQ TCAT THR RX NTRC BAL SEP,1860.0,1655.4,386.88,1860.0,717 CPT,0914T,PR PRQ TCAT THR RX NTRC BAL SEP,1442.0,1283.38,1268.96,1442.0,477 CPT,0937T,PR XTRNL ECG REC>15D<30D,2059.0,1832.51,1811.92,2059.0,477 CPT,0938T,HC XTRNL ECG REC>15D<30D REC,777.0,691.53,161.62,777.0,719 CPT,0938T,PR XTRNL ECG REC>15D<30D REC,102.0,90.78,89.76,102.0,477 CPT,0939T,HC XTRNL ECG REC>15D<30D SCAN,1780.0,1584.2,370.24,1780.0,719 CPT,0939T,PR XTRNL ECG REC>15D<30D SCAN,1762.0,1568.18,1550.56,1762.0,477 CPT,0940T,PR XTRNL ECG REC>15D<30D R&I,194.0,172.66,170.72,194.0,477 CPT,10005,"FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE, FIRST GROWTH FACILITY",,,58.73,939.55,21 CPT,10005,HC FNA BX W/US GDN 1ST LES,2201.0,1958.89,58.73,2201.0,1486 CPT,10005,PR FNA BX W/US GDN 1ST LES,701.0,623.89,53.28,701.0,488 CPT,10006,"FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE, EACH ADDITIONAL GROWTH FACILITY",,,87.33,939.55,20 CPT,10006,HC FNA BX W/US GDN EA ADDL,1304.0,1160.56,87.33,1304.0,1438 CPT,10006,PR FNA BX W/US GDN EA ADDL,489.0,435.21,47.51,489.0,484 CPT,10007,PR FNA BX W/FLUOR GDN 1ST LES,1334.0,1187.26,141.18,1334.0,482 CPT,10008,PR FNA BX W/FLUOR GDN EA ADDL,901.0,801.89,114.73,901.0,482 CPT,10009,HC FNA BX W/CT GDN 1ST LES,3016.0,2684.24,625.05,3016.0,734 CPT,10009,PR FNA BX W/CT GDN 1ST LES,2130.0,1895.7,170.02,2130.0,482 CPT,10010,HC FNA BX W/CT GDN EA ADDL,2010.0,1788.9,352.89,2010.0,717 CPT,10010,PR FNA BX W/CT GDN EA ADDL,888.0,790.32,191.97,888.0,482 CPT,10011,PR FNA BX W/MR GDN 1ST LES,2261.0,2012.29,113.05,2261.0,477 CPT,10012,PR FNA BX W/MR GDN EA ADDL,1703.0,1515.67,170.3,1703.0,477 CPT,10021,"FINE NEEDLE ASPIRATION BIOPSY, FIRST GROWTH FACILITY",,,43.03,539.37,21 CPT,10021,HC FNA BX WO IMG 1ST LESION,724.0,644.36,43.03,724.0,743 CPT,10021,PR FNA BX WO IMG 1ST LESION,627.0,558.03,40.56,627.0,482 CPT,10030,DRAINAGE OF FLUID COLLECTION IN SOFT TISSUE USING IMAGING GUIDANCE FACILITY,,,110.5,939.55,21 CPT,10030,HC IMG GUIDE FLUID CATH DRAIN,3298.0,2935.22,110.5,3298.0,739 CPT,10030,PR IMG GUIDE FLUID CATH DRAIN,2338.0,2080.82,256.13,2338.0,482 CPT,10035,HC PLC LOC DEV PERC W IMG 1ST LESN,1916.0,1705.24,67.44,1916.0,736 CPT,10035,"PLACEMENT OF SOFT TISSUE LOCATING DEVICE USING X-RAY, FIRST GROWTH FACILITY",,,67.44,2191.35,20 CPT,10035,PR PLC LOC DEV PERC W IMG 1ST LESN,1636.0,1456.04,142.64,1636.0,482 CPT,10036,HC PLC LOC DEV PERC W IMG ADD LESN,2102.0,1870.78,34.31,2102.0,719 CPT,10036,"PLACEMENT OF SOFT TISSUE LOCATING DEVICE USING X-RAY, EACH ADDITIONAL GROWTH FACILITY",,,68.62,2590.89,20 CPT,10036,PR PLC LOC DEV PERC W IMG ADD LESN,1688.0,1502.32,241.14,1688.0,482 CPT,1003T,PR ARTHRP 1ST CRP/MTCRPL PROSTC,6412.0,5706.68,320.6,6412.0,477 CPT,10040,ACNE SURGERY FACILITY,,,40.83,231.48,19 CPT,10040,HC ACNE SURGERY,276.0,245.64,40.83,276.0,738 CPT,10040,PR ACNE SURGERY,352.0,313.28,39.43,352.0,508 CPT,10060,HC I&D ABSC SMPL/SNGL,586.0,521.54,99.12,586.0,2214 CPT,10060,PR I&D ABSC SMPL/SNGL,527.0,469.03,44.39,527.0,516 CPT,10060,SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS FACILITY,,,99.12,266.2,21 CPT,10061,COMPLICATED OR MULTIPLE DRAINAGE OF SKIN ABSCESS FACILITY,,,167.98,539.37,20 CPT,10061,HC I&D ABSC CMPLX/MULT,821.0,730.69,167.98,821.0,1472 CPT,10061,PR I&D ABSC CMPLX/MULT,1021.0,908.69,74.95,1021.0,516 CPT,10080,HC I&D PILONIDAL CYST SMPL,1038.0,923.82,102.21,1038.0,736 CPT,10080,PR I&D PILONIDAL CYST SMPL,900.0,801.0,94.09,900.0,507 CPT,10080,SIMPLE DRAINAGE OF CYST OF TAILBONE FACILITY,,,102.21,939.55,20 CPT,10081,COMPLICATED DRAINAGE OF CYST OF TAILBONE FACILITY,,,159.45,939.55,20 CPT,10081,HC I&D PILONIDAL CYST CMPLX,2662.0,2369.18,159.45,2662.0,736 CPT,10081,PR I&D PILONIDAL CYST CMPLX,1327.0,1181.03,153.82,1327.0,489 CPT,10120,HC INCISN/RMVL FB SUBQ SMPL,761.0,677.29,100.59,761.0,2208 CPT,10120,PR INCISN/RMVL FB SUBQ SMPL,633.0,563.37,64.18,633.0,490 CPT,10120,"REMOVAL OF FOREIGN BODY FROM TISSUE, ACCESSED BENEATH THE SKIN, SIMPLE FACILITY",,,407.39,905.31,20 CPT,10121,HC INCISN/RMVL FB SUBQ CMPLX,4598.0,4092.22,164.77,4598.0,736 CPT,10121,PR INCISN/RMVL FB SUBQ CMPLX,1313.0,1168.57,110.7,1313.0,482 CPT,10121,"REMOVAL OF FOREIGN BODY FROM TISSUE, ACCESSED BENEATH THE SKIN, COMPLEX FACILITY",,,164.77,2191.35,20 CPT,10140,DRAINAGE OF BLOOD OR FLUID ACCUMULATION FACILITY-EXPRESS CARE,,,112.29,2191.35,21 CPT,10140,HC I&D HEMA/SEROMA/FLUID COLL,4598.0,4092.22,112.29,4598.0,2948 CPT,10140,PR I&D HEMA/SEROMA/FLUID COLL,833.0,741.37,70.5,833.0,489 CPT,10160,"ASPIRATION OF ABSCESS, BLOOD, OR CYST FACILITY",,,89.07,539.37,21 CPT,10160,HC NDL ASP ABSC/HEMA/BULLA/CYST,703.0,625.67,89.07,703.0,2220 CPT,10160,PR NDL ASP ABSC/HEMA/BULLA/CYST,617.0,549.13,53.17,617.0,483 CPT,10180,COMPLEX DRAINAGE OF WOUND INFECTION AFTER SURGERY FACILITY,,,166.37,3853.99,20 CPT,10180,HC I&D WND POSTOP CMPLX,6198.0,5516.22,5578.2,5578.2,1 CPT,10180,PR I&D WND POSTOP CMPLX,1313.0,1168.57,97.87,1313.0,507 CPT,11000,PR DBRD EXTEN INFECTED SKIN <=10%,271.0,241.19,24.09,271.0,482 CPT,11004,PR DBRD SKIN SUBQ EXTRNL GENT&PERIN,3083.0,2743.87,186.55,3083.0,482 CPT,11005,PR DBRD SKIN SUBQ TISS ABD WALL,5915.0,5264.35,501.77,5915.0,482 CPT,11006,PR DBRD SUBQ EXTRNL PERI/ABD WALL,4394.0,3910.66,228.73,4394.0,482 CPT,11008,PR RMVL PROSTH ABD WALL INFECTN,1591.0,1415.99,176.46,1591.0,482 CPT,11010,HC DBRD OPN FX SKIN & SUBQ TISS,2903.0,2583.67,234.42,2903.0,736 CPT,11010,PR DBRD OPN FX SKIN & SUBQ TISS,2481.0,2208.09,187.92,2481.0,482 CPT,11010,REMOVAL OF FOREIGN MATERIAL FROM SKIN AND TISSUE AT OPEN BROKEN AND/OR DISLOCATED BONE FACILITY,,,234.42,4341.31,20 CPT,11011,PR DBRD OPN FX SUBQ TISS/MUS,3107.0,2765.23,214.37,3107.0,482 CPT,11012,HC DBRD OPN FX SUBQ TISS/MUS/BN,5789.0,5152.21,334.1,5789.0,737 CPT,11012,PR DBRD OPN FX SUBQ TISS/MUS/BN,3871.0,3445.19,272.48,3871.0,482 CPT,11012,"REMOVAL OF FOREIGN MATERIAL FROM SKIN, TISSUE, MUSCLE, AND BONE AT OPEN BROKEN AND/OR DISLOCATED BONE FACILITY",,,334.1,4341.31,20 CPT,11042,HC DBRD SKIN & SUBQ TISS<=20SCM,1037.0,922.93,53.27,1037.0,2214 CPT,11042,PR DBRD SKIN & SUBQ TISS<=20SCM,468.0,416.52,45.89,468.0,515 CPT,11042,"REMOVAL OF SKIN AND TISSUE, 20.0 SQ CM OR LESS FACILITY",,,53.27,539.37,21 CPT,11043,PR DBRD MUS/FASCIA<=20SCM,1268.0,1128.52,81.01,1268.0,507 CPT,11043,"REMOVAL OF MUSCLE AND/OR TISSUE, 20.0 SQ CM OR LESS FACILITY",,,129.46,980.6,20 CPT,11044,HC DBRD BONE MUS/FASCIA<=20SCM,4983.0,4434.87,187.36,4983.0,737 CPT,11044,PR DBRD BONE MUS/FASCIA<=20SCM,1883.0,1675.87,126.65,1883.0,482 CPT,11044,"REMOVAL OF BONE, 20.0 SQ CM OR LESS FACILITY",,,187.36,2191.35,21 CPT,11045,HC DBRD SKIN & SUBQ TISS ADD 20SCM,108.0,96.12,20.5,108.0,719 CPT,11045,PR DBRD SKIN & SUBQ TISS ADD 20SCM,170.0,151.3,33.27,170.0,482 CPT,11045,"REMOVAL OF SKIN AND TISSUE, EACH ADDITIONAL 20.0 SQ CM OR LESS FACILITY",,,20.5,3682.76,20 CPT,11046,PR DBRD MUS/FASCIA ADD 20SCM,498.0,443.22,59.64,498.0,482 CPT,11046,"REMOVAL OF MUSCLE AND/OR TISSUE, EACH ADDITIONAL 20.0 SQ CM OR LESS FACILITY",,,87.06,980.6,20 CPT,11047,PR DBRD BN MUS/FASC EA ADD 20SCM,791.0,703.99,99.59,791.0,482 CPT,11047,"REMOVAL OF BONE, EACH ADDITIONAL 20.0 SQ CM OR LESS",,,541.59,2191.35,20 CPT,11055,HC PAR/CUT BENIGN SKIN LESN SNGL,233.0,207.37,13.03,266.2,736 CPT,11055,PR PAR/CUT BENIGN SKIN LESN SNGL,220.0,195.8,24.66,220.0,509 CPT,11055,"REMOVAL OF NONCANCER THICKENED SKIN GROWTH, 1 GROWTH FACILITY",,,13.03,231.48,19 CPT,11056,HC PAR/CUT BENIGN SKIN LESN 2-4,283.0,251.87,18.82,283.0,736 CPT,11056,PR PAR/CUT BENIGN SKIN LESN 2-4,219.0,194.91,28.46,219.0,508 CPT,11056,"REMOVAL OF NONCANCER THICKENED SKIN GROWTH, 2-4 GROWTHS FACILITY",,,18.82,231.48,19 CPT,11057,HC PAR/CUT BENIGN SKIN LESN >4,292.0,259.88,24.29,292.0,736 CPT,11057,PR PAR/CUT BENIGN SKIN LESN >4,192.0,170.88,31.07,192.0,508 CPT,11057,"REMOVAL OF NONCANCER THICKENED SKIN GROWTH, MORE THAN 4 GROWTHS FACILITY",,,24.29,266.2,20 CPT,11102,"BIOPSY OF RELATED SKIN GROWTH, FIRST GROWTH FACILITY",,,28.84,539.37,21 CPT,11102,HC TANGNTL BX SKIN SINGLE LES,445.0,396.05,28.84,539.37,744 CPT,11102,PR TANGNTL BX SKIN SINGLE LES,340.0,302.6,33.37,340.0,512 CPT,11103,"BIOPSY OF RELATED SKIN GROWTH, EACH ADDITIONAL GROWTH FACILITY",,,33.76,539.37,21 CPT,11103,HC TANGNTL BX SKIN EA SEP/ADDL,445.0,396.05,16.88,445.0,726 CPT,11103,PR TANGNTL BX SKIN EA SEP/ADDL,202.0,179.78,33.88,202.0,510 CPT,11104,HC PUNCH BX SKIN SINGLE LESION,476.0,423.64,36.19,539.37,1494 CPT,11104,PR PUNCH BX SKIN SINGLE LESION,459.0,408.51,42.23,459.0,513 CPT,11104,"PUNCH BIOPSY, FIRST SKIN GROWTH FACILITY",,,36.19,539.37,21 CPT,11105,HC PUNCH BX SKIN EA SEP/ADDL,445.0,396.05,19.86,445.0,1452 CPT,11105,PR PUNCH BX SKIN EA SEP/ADDL,246.0,218.94,41.66,246.0,512 CPT,11105,"PUNCH BIOPSY, EACH ADDITIONAL SKIN GROWTH FACILITY",,,19.86,539.37,20 CPT,11106,HC INCAL BX SKN SINGLE LES,1353.0,1204.17,43.89,1353.0,738 CPT,11106,"INCISION BIOPSY, FIRST SKIN GROWTH FACILITY",,,43.89,980.6,21 CPT,11106,PR INCAL BX SKN SINGLE LES,660.0,587.4,52.65,660.0,507 CPT,11107,HC INCAL BX SKN EA SEP/ADDL,1077.0,958.53,23.79,1077.0,719 CPT,11107,"INCISION BIOPSY, EACH ADDITIONAL SKIN GROWTH FACILITY",,,23.79,980.6,20 CPT,11107,PR INCAL BX SKN EA SEP/ADDL,362.0,322.18,57.84,362.0,482 CPT,11200,HC RMVL SKIN TAGS <=15,422.0,375.58,68.41,422.0,738 CPT,11200,PR RMVL SKIN TAGS <=15,420.0,373.8,37.59,420.0,491 CPT,11200,"REMOVAL OF SKIN TAG, 1-15 SKIN TAGS FACILITY",,,68.41,231.48,19 CPT,11201,HC RMVL SKIN TAGS EA ADD 10,142.0,126.38,12.4,142.0,719 CPT,11201,PR RMVL SKIN TAGS EA ADD 10,124.0,110.36,14.61,124.0,489 CPT,11201,"REMOVAL OF SKIN TAG, EACH ADDITIONAL 10 SKIN TAGS FACILITY",,,24.8,539.37,20 CPT,11300,HC SHAVE LESN TR/EXT <=0.5CM,486.0,432.54,26.49,539.37,737 CPT,11300,PR SHAVE LESN TR/EXT <=0.5CM,329.0,292.81,39.7,329.0,489 CPT,11300,"SHAVING OF SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.5 CM OR LESS FACILITY",,,79.47,469.01,19 CPT,11301,HC SHAVE LESN TR/EXT 0.6-1.0 CM,486.0,432.54,40.15,486.0,737 CPT,11301,PR SHAVE LESN TR/EXT 0.6-1.0 CM,465.0,413.85,47.65,465.0,489 CPT,11301,"SHAVING OF SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,40.15,3853.99,20 CPT,11302,HC SHAVE LESN TR/EXT 1.1-2.0CM,554.0,493.06,46.64,554.0,736 CPT,11302,PR SHAVE LESN TR/EXT 1.1-2.0CM,493.0,438.77,53.95,493.0,489 CPT,11302,"SHAVING OF SKIN GROWTH OF BODY, ARMS, OR LEGS, 1.1-2.0 CM FACILITY",,,46.64,266.2,20 CPT,11303,HC SHAVE LESN TR/EXT >2.0 CM,578.0,514.42,55.09,578.0,737 CPT,11303,PR SHAVE LESN TR/EXT >2.0 CM,533.0,474.37,60.06,533.0,482 CPT,11303,"SHAVING OF SKIN GROWTH OF BODY, ARMS, OR LEGS, MORE THAN 2.0 CM FACILITY",,,55.09,539.37,21 CPT,11305,HC SHAVE S/N/H/F/G LESN <=0.5CM,483.0,429.87,31.21,483.0,736 CPT,11305,PR SHAVE S/N/H/F/G LESN <=0.5CM,352.0,313.28,41.48,352.0,489 CPT,11305,"SHAVING OF SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.5 CM OR LESS FACILITY",,,62.42,539.37,20 CPT,11306,HC SHAVE S/N/H/F/G LESN 0.6-1.0CM,514.0,457.46,39.06,514.0,736 CPT,11306,PR SHAVE S/N/H/F/G LESN 0.6-1.0CM,398.0,354.22,48.33,398.0,489 CPT,11306,"SHAVING OF SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.6-1.0 CM FACILITY",,,39.06,352.29,20 CPT,11307,HC SHAVE S/N/H/F/G LESN 1.1-2.0CM,554.0,493.06,49.1,554.0,736 CPT,11307,PR SHAVE S/N/H/F/G LESN 1.1-2.0CM,463.0,412.07,53.97,463.0,489 CPT,11307,"SHAVING OF SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 1.1-2.0 CM FACILITY",,,49.1,266.2,20 CPT,11308,HC SHAVE S/N/H/F/G LESN > 2.0CM,653.0,581.17,56.96,653.0,736 CPT,11308,PR SHAVE S/N/H/F/G LESN > 2.0CM,488.0,434.32,57.18,488.0,489 CPT,11310,HC SHAVE F/E/EY/NO/L/M LESN <=0.5CM,471.0,419.19,34.99,471.0,738 CPT,11310,PR SHAVE F/E/EY/NO/L/M LESN <=0.5CM,374.0,332.86,45.83,374.0,489 CPT,11310,"SHAVING OF SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.5 CM OR LESS FACILITY",,,34.99,266.2,20 CPT,11311,HC SHAVE F/E/EY/NO/L/M LESN 0.6-1.0CM,471.0,419.19,48.51,471.0,736 CPT,11311,PR SHAVE F/E/EY/NO/L/M LESN 0.6-1.0CM,439.0,390.71,54.01,439.0,489 CPT,11311,"SHAVING OF SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.6-1.0 CM FACILITY",,,48.51,266.2,20 CPT,11312,HC SHAVE F/E/EY/NO/L/M LESN 1.1-2.0CM,554.0,493.06,57.8,554.0,736 CPT,11312,PR SHAVE F/E/EY/NO/L/M LESN 1.1-2.0CM,513.0,456.57,61.44,513.0,482 CPT,11312,"SHAVING OF SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 1.1-2.0 CM FACILITY",,,57.8,539.37,20 CPT,11313,HC SHAVE F/E/EY/NO/L/M LESN >2.0 CM,554.0,493.06,73.64,554.0,736 CPT,11313,PR SHAVE F/E/EY/NO/L/M LESN >2.0 CM,611.0,543.79,71.83,611.0,482 CPT,11313,"SHAVING OF SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, MORE THAN 2.0 CM FACILITY",,,73.64,539.37,20 CPT,11400,HC EXCISN BEN LESN TR/LMB <=0.5CM,1288.0,1146.32,75.16,1288.0,737 CPT,11400,PR EXCISN BEN LESN TR/LMB <=0.5CM,627.0,558.03,52.26,627.0,489 CPT,11400,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.5 CM OR LESS FACILITY",,,75.16,939.55,20 CPT,11401,HC EXCISN BEN LESN TR/EXT 0.6-1CM,1299.0,1156.11,92.14,1299.0,740 CPT,11401,PR EXCISN BEN LESN TR/EXT 0.6-1CM,741.0,659.49,62.98,741.0,489 CPT,11401,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,92.14,539.37,20 CPT,11402,HC EXCISN BEN LESN TR/EXT 1.1-2CM,1507.0,1341.23,99.74,1507.0,742 CPT,11402,PR EXCISN BEN LESN TR/EXT 1.1-2CM,828.0,736.92,69.44,828.0,490 CPT,11402,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 1.1-2.0 CM FACILITY",,,99.74,939.55,21 CPT,11403,HC EXCISN BEN LESN TR/EXT 2.1-3CM,1837.0,1634.93,131.69,1837.0,742 CPT,11403,PR EXCISN BEN LESN TR/EXT 2.1-3CM,902.0,802.78,80.66,902.0,489 CPT,11403,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 2.1-3.0 CM FACILITY",,,131.69,939.55,21 CPT,11404,HC EXCISN BEN LESN TR/EXT 3.1-4CM,3324.0,2958.36,145.57,3324.0,738 CPT,11404,PR EXCISN BEN LESN TR/EXT 3.1-4CM,1275.0,1134.75,92.63,1275.0,489 CPT,11404,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 3.1-4.0 CM FACILITY",,,145.57,2191.35,21 CPT,11406,HC EXCISN BEN LESN TR/EXT >4CM,4912.0,4371.68,215.41,4912.0,740 CPT,11406,PR EXCISN BEN LESN TR/EXT >4CM,1769.0,1574.41,132.34,1769.0,489 CPT,11406,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, MORE THAN 4.0 CM FACILITY",,,215.41,2191.35,21 CPT,11420,HC EXCISN BEN LESN S/N/H/F <=0.5,1769.0,1574.41,74.7,2191.35,737 CPT,11420,PR EXCISN BEN LESN S/N/H/F <=0.5,744.0,662.16,50.95,744.0,489 CPT,11420,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.5 CM OR LESS FACILITY",,,74.7,2191.35,20 CPT,11421,HC EXCISN BEN LESN S/N/H/F .6-1CM,1938.0,1724.82,96.19,1938.0,738 CPT,11421,PR EXCISN BEN LESN S/N/H/F .6-1CM,861.0,766.29,64.63,861.0,489 CPT,11421,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.6-1.0 CM FACILITY",,,96.19,2191.35,20 CPT,11422,HC EXCISN BEN LESN S/N/H 1.1-2CM,2104.0,1872.56,121.12,2191.35,740 CPT,11422,PR EXCISN BEN LESN S/N/H 1.1-2CM,894.0,795.66,72.7,894.0,490 CPT,11422,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 1.1-2.0 CM FACILITY",,,121.12,2191.35,20 CPT,11423,HC EXCISN BEN LESN S/N/H 2.1-3CM,3411.0,3035.79,139.23,3411.0,740 CPT,11423,PR EXCISN BEN LESN S/N/H 2.1-3CM,1120.0,996.8,84.15,1120.0,489 CPT,11423,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 2.1-3.0 CM FACILITY",,,139.23,3853.99,21 CPT,11424,HC EXCISN BEN LESN S/N/H 3.1-4CM,4093.0,3642.77,158.38,4093.0,738 CPT,11424,PR EXCISN BEN LESN S/N/H 3.1-4CM,1344.0,1196.16,97.71,1344.0,489 CPT,11424,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 3.1-4.0 CM FACILITY",,,158.38,2191.35,20 CPT,11426,HC EXCISN BEN LESN S/N/H/F >4.0CM,5747.0,5114.83,232.39,5747.0,737 CPT,11426,PR EXCISN BEN LESN S/N/H/F >4.0CM,1900.0,1691.0,134.79,1900.0,489 CPT,11426,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, MORE THAN 4.0 CM FACILITY",,,232.39,3853.99,20 CPT,11440,HC EXCISN BEN LESN F/E/EY/NO/L/M<=.5CM,1614.0,1436.46,97.02,1614.0,737 CPT,11440,PR EXCISN BEN LESN F/E/EY/NO/L/M<=.5CM,728.0,647.92,58.1,728.0,489 CPT,11440,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.5 CM OR LESS FACILITY",,,97.02,939.55,21 CPT,11441,HC EXCISN BEN LESN F/E/EY/NO/L .6-1CM,1614.0,1436.46,117.64,1614.0,738 CPT,11441,PR EXCISN BEN LESN F/E/EY/NO/L .6-1CM,801.0,712.89,70.44,801.0,489 CPT,11441,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.6-1.0 CM FACILITY",,,117.64,939.55,20 CPT,11442,HC EXCISN BEN LESN F/E/EY/NO 1.1-2CM,2094.0,1863.66,128.7,2094.0,737 CPT,11442,PR EXCISN BEN LESN F/E/EY/NO 1.1-2CM,945.0,841.05,78.59,945.0,483 CPT,11442,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 1.1-2.0 CM FACILITY",,,128.7,939.55,20 CPT,11443,HC EXCISN BEN LESN F/E/EY/NO 2.1-3CM,3892.0,3463.88,154.39,3892.0,737 CPT,11443,PR EXCISN BEN LESN F/E/EY/NO 2.1-3CM,1140.0,1014.6,92.72,1140.0,482 CPT,11443,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.1-3.0 CM FACILITY",,,154.39,2191.35,20 CPT,11444,HC EXCISN BEN LESN F/E/EY/NO 3.1-4CM,3892.0,3463.88,192.33,3892.0,736 CPT,11444,PR EXCISN BEN LESN F/E/EY/NO 3.1-4CM,1457.0,1296.73,115.5,1457.0,483 CPT,11444,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 3.1-4.0 CM FACILITY",,,192.33,2191.35,20 CPT,11446,HC EXCISN BEN LESN F/E/EY/NO/L/M >4CM,5286.0,4704.54,269.58,5286.0,737 CPT,11446,PR EXCISN BEN LESN F/E/EY/NO/L/M >4CM,2511.0,2234.79,158.65,2511.0,482 CPT,11446,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, MORE THAN 4.0 CM FACILITY",,,269.58,3853.99,20 CPT,11450,HC EXCISN SKN HDRDNTS AXLRY SMPL,6555.0,5833.95,241.57,6555.0,737 CPT,11450,PR EXCISN SKN HDRDNTS AXLRY SMPL,2054.0,1828.06,185.22,2054.0,482 CPT,11450,REMOVAL OF SKIN AND TISSUE OF UNDERARMS FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR FACILITY,,,241.57,3853.99,20 CPT,11462,HC EXCISN SKN HDRDNTS INGNL SMPL,5747.0,5114.83,231.36,5747.0,736 CPT,11462,PR EXCISN SKN HDRDNTS INGNL SMPL,1925.0,1713.25,181.2,1925.0,482 CPT,11462,REMOVAL OF SKIN AND TISSUE OF GROIN FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR FACILITY,,,231.36,3853.99,20 CPT,11470,HC EXCISN LESN SWEAT GLAND SMPL,6123.0,5449.47,266.17,6123.0,737 CPT,11470,PR EXCISN LESN SWEAT GLAND SMPL,2096.0,1865.44,201.15,2096.0,482 CPT,11470,REMOVAL OF SKIN AND TISSUE OF ANUS OR NAVEL FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR FACILITY,,,266.17,3853.99,20 CPT,11471,PR EXCISN LESN SWEAT GLAND CMPLX,2394.0,2130.66,234.75,2394.0,482 CPT,11600,HC EXCISN LESN MLG TR/LMB <=0.5CM,1407.0,1252.23,105.02,1407.0,736 CPT,11600,PR EXCISN LESN MLG TR/LMB <=0.5CM,664.0,590.96,80.57,664.0,482 CPT,11600,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.5 CM OR LESS FACILITY",,,210.04,939.55,20 CPT,11601,HC EXCISN LESN MLG TR/LMB .6-1CM,1460.0,1299.4,124.15,1460.0,738 CPT,11601,PR EXCISN LESN MLG TR/LMB .6-1CM,902.0,802.78,92.16,902.0,489 CPT,11601,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,124.15,939.55,20 CPT,11602,HC EXCISN LESN MLG TR/LMB 1.1-2CM,1471.0,1309.19,132.8,1471.0,741 CPT,11602,PR EXCISN LESN MLG TR/LMB 1.1-2CM,935.0,832.15,97.8,935.0,489 CPT,11602,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 1.1-2.0 CM FACILITY",,,132.8,539.37,21 CPT,11603,HC EXCISN LESN MLG TR/LMB 2.1-3CM,1614.0,1436.46,157.32,1614.0,740 CPT,11603,PR EXCISN LESN MLG TR/LMB 2.1-3CM,1111.0,988.79,111.59,1111.0,489 CPT,11603,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 2.1-3.0 CM FACILITY",,,157.32,939.55,21 CPT,11604,HC EXCISN LESN MLG TR/LMB 3.1-4CM,1966.0,1749.74,173.5,1966.0,740 CPT,11604,PR EXCISN LESN MLG TR/LMB 3.1-4CM,1230.0,1094.7,125.34,1230.0,489 CPT,11604,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 3.1-4.0 CM FACILITY",,,173.5,939.55,21 CPT,11606,HC EXCISN LESN MLG TR/LMB >4CM,5259.0,4680.51,257.9,5259.0,738 CPT,11606,PR EXCISN LESN MLG TR/LMB >4CM,2142.0,1906.38,184.32,2142.0,482 CPT,11606,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, MORE THAN 4.0 CM FACILITY",,,257.9,2191.35,21 CPT,11620,PR EXCISN LESN MLG NK/EXT <=.5CM,781.0,695.09,80.71,781.0,482 CPT,11621,HC EXCISN LESN MLG NK/EXT .6-1CM,1407.0,1252.23,125.17,1407.0,736 CPT,11621,PR EXCISN LESN MLG NK/EXT .6-1CM,935.0,832.15,92.72,935.0,489 CPT,11621,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.6-1.0 CM FACILITY",,,125.17,939.55,20 CPT,11622,HC EXCISN LESN MLG NK/EXT 1.1-2CM,1507.0,1341.23,139.49,1507.0,738 CPT,11622,PR EXCISN LESN MLG NK/EXT 1.1-2CM,964.0,857.96,101.37,964.0,489 CPT,11622,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 1.1-2.0 CM FACILITY",,,139.49,939.55,20 CPT,11623,HC EXCISN LESN MLG NK/EXT 2.1-3CM,3411.0,3035.79,170.61,3411.0,738 CPT,11623,PR EXCISN LESN MLG NK/EXT 2.1-3CM,1197.0,1065.33,118.97,1197.0,489 CPT,11623,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 2.1-3.0 CM FACILITY",,,170.61,2191.35,21 CPT,11624,HC EXCISN LESN MLG NK/EXT 3.1-4CM,4093.0,3642.77,193.8,4093.0,738 CPT,11624,PR EXCISN LESN MLG NK/EXT 3.1-4CM,1645.0,1464.05,136.28,1645.0,482 CPT,11624,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 3.1-4.0 CM FACILITY",,,193.8,2191.35,21 CPT,11626,HC EXCISN LESN MLG NK/EXT >4CM,5747.0,5114.83,238.6,5747.0,739 CPT,11626,PR EXCISN LESN MLG NK/EXT >4CM,2075.0,1846.75,166.62,2075.0,482 CPT,11626,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, MORE THAN 4.0 CM FACILITY",,,238.6,3853.99,21 CPT,11640,HC EXCISN LESN MLG F/E/EY/NO <=0.5CM,1291.0,1148.99,107.63,1291.0,736 CPT,11640,PR EXCISN LESN MLG F/E/EY/NO <=0.5CM,838.0,745.82,82.34,838.0,482 CPT,11640,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.5 CM OR LESS FACILITY",,,107.63,939.55,20 CPT,11641,HC EXCISN LESN MLG F/E/EY/NO/L .6-1CM,1507.0,1341.23,130.09,1507.0,737 CPT,11641,PR EXCISN LESN MLG F/E/EY/NO/L .6-1CM,1240.0,1103.6,96.13,1240.0,489 CPT,11641,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.6-1.0 CM FACILITY",,,130.09,939.55,21 CPT,11642,HC EXCISN LESN MLG F/E/EY/NO 1.1-2CM,1614.0,1436.46,149.32,1614.0,737 CPT,11642,PR EXCISN LESN MLG F/E/EY/NO 1.1-2CM,1231.0,1095.59,108.04,1231.0,482 CPT,11642,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 1.1-2.0 CM FACILITY",,,149.32,939.55,21 CPT,11643,HC EXCISN LESN MLG F/E/EY/NO 2.1-3CM,3411.0,3035.79,185.25,3411.0,736 CPT,11643,PR EXCISN LESN MLG F/E/EY/NO 2.1-3CM,1407.0,1252.23,127.05,1407.0,482 CPT,11643,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.1-3.0 CM FACILITY",,,185.25,2191.35,20 CPT,11644,HC EXCISN LESN MLG F/E/EY/NO 3.1-4CM,3411.0,3035.79,228.23,3411.0,736 CPT,11644,PR EXCISN LESN MLG F/E/EY/NO 3.1-4CM,1725.0,1535.25,157.34,1725.0,482 CPT,11644,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 3.1-4.0 CM FACILITY",,,228.23,5195.02,20 CPT,11646,HC EXCISN LESN MLG F/E/EY/NO/L/M >4CM,5747.0,5114.83,313.5,5747.0,736 CPT,11646,PR EXCISN LESN MLG F/E/EY/NO/L/M >4CM,2790.0,2483.1,204.47,2790.0,482 CPT,11646,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, MORE THAN 4.0 CM FACILITY",,,313.5,8810.21,20 CPT,11719,PR TRIM NONDYSTROPHIC NAILS,84.0,74.76,5.87,84.0,491 CPT,11719,TRIMMING OF FINGERNAILS OR TOENAILS FACILITY,,,6.46,2191.35,20 CPT,11720,HC DBRD NAIL(S) 1-5,141.0,125.49,12.03,141.0,736 CPT,11720,PR DBRD NAIL(S) 1-5,121.0,107.69,22.65,121.0,510 CPT,11720,"REMOVAL OF FINGERNAILS OR TOENAILS, 1-5 NAILS FACILITY",,,12.03,231.48,19 CPT,11721,HC DBRD NAILS >5,186.0,165.54,20.26,186.0,736 CPT,11721,PR DBRD NAILS >5,128.0,113.92,30.98,128.0,510 CPT,11721,"REMOVAL OF FINGERNAILS OR TOENAILS, 6 OR MORE NAILS FACILITY",,,20.26,176.65,19 CPT,11730,HC AVUL NAIL PLATE SMPL,450.0,400.5,47.23,450.0,2208 CPT,11730,PR AVUL NAIL PLATE SMPL,412.0,366.68,45.64,412.0,489 CPT,11730,"SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED, FIRST NAIL FACILITY",,,47.23,939.55,20 CPT,11732,HC AVUL NAIL PLATE SMPL EA ADD,298.0,265.22,14.37,298.0,1438 CPT,11732,PR AVUL NAIL PLATE SMPL EA ADD,166.0,147.74,26.32,166.0,489 CPT,11732,"SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED, EACH ADDITIONAL NAIL FACILITY",,,14.37,266.2,20 CPT,11740,HC EVAC SUBUNGUAL HEMA,274.0,243.86,31.22,274.0,736 CPT,11740,PR EVAC SUBUNGUAL HEMA,256.0,227.84,20.13,256.0,514 CPT,11750,HC EXCISN NAIL BED PRTL/COMPLT,827.0,736.03,92.0,827.0,1472 CPT,11750,PERMANENT REMOVAL FINGERNAIL OR TOENAIL FACILITY,,,92.0,539.37,20 CPT,11750,PR EXCISN NAIL BED PRTL/COMPLT,832.0,740.48,64.18,832.0,489 CPT,11755,BIOPSY OF FINGERNAIL OR TOENAIL FACILITY,,,52.15,939.55,20 CPT,11755,HC BX NAIL UNIT,1899.0,1690.11,52.15,1899.0,737 CPT,11755,PR BX NAIL UNIT,480.0,427.2,48.62,480.0,491 CPT,11760,HC RPR NAIL BED,1730.0,1539.7,100.7,1730.0,1472 CPT,11760,PR RPR NAIL BED,1066.0,948.74,75.86,1066.0,489 CPT,11760,REPAIR OF FINGERNAIL OR TOENAIL BED FACILITY,,,100.7,4341.31,20 CPT,11762,PR RCNSTRCT NAIL BED W GRAFT,1507.0,1341.23,119.01,1507.0,482 CPT,11762,REPAIR OF FINGERNAIL OR TOENAIL BED WITH GRAFT,,,168.99,2133.49,20 CPT,11765,HC EXCISN INGROWN TOENAIL,531.0,472.59,88.41,539.37,736 CPT,11765,PR EXCISN INGROWN TOENAIL,510.0,453.9,57.01,510.0,514 CPT,11770,PR EXCISN PILONIDAL CYST SMPL,1597.0,1421.33,133.17,1597.0,507 CPT,11770,SIMPLE REMOVAL OF CYST OF TAILBONE FACILITY,,,168.84,3853.99,20 CPT,11771,EXTENSIVE REMOVAL OF CYST OF TAILBONE PROFESSIONAL,,,413.94,3853.99,20 CPT,11771,PR EXCISN PILONIDAL CYST EXTEN,2697.0,2400.33,274.06,2697.0,482 CPT,11772,COMPLICATED REMOVAL OF CYST OF TAILBONE PROFESSIONAL,,,541.56,3853.99,20 CPT,11772,PR EXCISN PILONIDAL CYST CMPLX,3674.0,3269.86,335.95,3674.0,482 CPT,11900,HC INJ INTRALESN <=7 LESN,352.0,313.28,23.03,352.0,741 CPT,11900,"INJECTION INTO SKIN GROWTH, 1-7 GROWTHS FACILITY",,,23.03,231.48,19 CPT,11900,PR INJ INTRALESN <=7 LESN,229.0,203.81,19.67,229.0,510 CPT,11901,HC INJ INTRALESN >7 LESN,389.0,346.21,34.99,389.0,737 CPT,11901,"INJECTION INTO SKIN GROWTH, MORE THAN 7 GROWTHS FACILITY",,,34.99,266.2,20 CPT,11901,PR INJ INTRALESN >7 LESN,313.0,278.57,27.88,313.0,482 CPT,11920,PR TATTOO INCL MICROPIG<= 6.0 SCM,1642.0,1461.38,74.34,1642.0,507 CPT,11921,PR TATTOO INCL MICROPIG 6.1-20 CM,2308.0,2054.12,79.71,2308.0,510 CPT,11922,PR TATTOO INCL MPIG EA ADD 20 SCM,785.0,698.65,45.52,785.0,507 CPT,11950,HC INJ FILL MATERIAL SUBQ <=1CC,871.0,775.19,41.24,871.0,736 CPT,11950,"INJECTION OF FILLING MATERIAL UNDER SKIN, 1.0 CC OR LESS FACILITY",,,41.24,266.2,20 CPT,11950,PR INJ FILL MATERIAL SUBQ <=1CC,910.0,809.9,35.2,910.0,482 CPT,11951,PR SUBQ INJ FILLING MATRL >1CC,1258.0,1119.62,46.67,1258.0,483 CPT,11960,INSERTION OF TISSUE EXPANDER,,,2749.29,4701.83,20 CPT,11960,PR INSN TISS EXPAND NOT BREAST,6550.0,5829.5,373.91,6550.0,482 CPT,11970,PR RPLC TISS EXPAND W PERM IMPLNT,6271.0,5581.19,200.84,6271.0,482 CPT,11970,REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT IMPLANT,,,492.26,9627.58,20 CPT,11971,PR RMVL TISS EXPAND WO INS IMPLNT,2194.0,1952.66,201.02,2194.0,482 CPT,11971,REMOVAL OF TISSUE EXPANDER,,,492.7,8810.21,20 CPT,11976,PR RMVL IMPL CONTRACEPTIVE CAPSULE,718.0,639.02,57.88,718.0,482 CPT,11976,REMOVAL OF IMPLANTABLE CONTRACEPTIVE CAPSULES FACILITY,,,73.46,4295.03,20 CPT,11980,PLACEMENT OF HORMONE PELLET UNDER SKIN FACILITY,,,45.13,4295.03,20 CPT,11980,PR IMPL SUBQ HORMONE PELLET,480.0,427.2,32.82,480.0,509 CPT,11981,INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE FACILITY,,,50.15,5195.02,20 CPT,11981,PR INS NON-BIODEGRADABLE DRUG DEL,567.0,504.63,36.23,567.0,514 CPT,11982,PR RMVL DRUG IMPL,689.0,613.21,38.49,689.0,515 CPT,11982,REMOVAL OF DRUG DELIVERY IMPLANT FROM TISSUE FACILITY,,,58.06,592.72,20 CPT,11983,PR RMVL W REINS NONBIO DEL IMPL,826.0,735.14,48.1,826.0,515 CPT,11983,REMOVAL WITH REINSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE FACILITY,,,81.3,592.72,20 CPT,12001,HC SMPL RPR S/NK/TR/EXT <=2.5CM,550.0,489.5,40.17,550.0,1476 CPT,12001,PR SMPL RPR S/NK/TR/EXT <=2.5CM,551.0,490.39,45.7,551.0,489 CPT,12001,"SIMPLE REPAIR OF SURFACE WOUND OF SCALP, NECK, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.5 CM OR LESS FACILITY",,,40.17,980.6,20 CPT,12002,HC SMPL S/NK/TR/EXT 2.6-7.5CM,710.0,631.9,52.16,710.0,1476 CPT,12002,PR SMPL S/NK/TR/EXT 2.6-7.5CM,604.0,537.56,47.3,604.0,514 CPT,12002,"SIMPLE REPAIR OF SURFACE WOUND OF SCALP, NECK, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.6-7.5 CM FACILITY",,,52.16,980.6,20 CPT,12004,HC SMPL RPR S/N/TR/EXT 7.6-12.5CM,811.0,721.79,64.8,811.0,1472 CPT,12004,PR SMPL RPR S/N/TR/EXT 7.6-12.5CM,985.0,876.65,54.54,985.0,507 CPT,12004,"SIMPLE REPAIR OF SURFACE WOUND OF SCALP, NECK, UNDERARMS, TRUNK, ARMS, OR LEGS, 7.6-12.5 CM FACILITY",,,64.8,980.6,20 CPT,12005,HC SMPL RPR S/NK/TR/EXT 12.6-20CM,855.0,760.95,80.07,855.0,1472 CPT,12005,PR SMPL RPR S/NK/TR/EXT 12.6-20CM,1264.0,1124.96,83.57,1264.0,482 CPT,12006,HC SMPL RPR S/NK/TR/EXT 20.1-30CM,960.0,854.4,97.65,960.0,1472 CPT,12006,PR SMPL RPR S/NK/TR/EXT 20.1-30CM,1714.0,1525.46,94.81,1714.0,482 CPT,12006,"SIMPLE REPAIR OF SURFACE WOUND OF SCALP, NECK, UNDERARMS, TRUNK, ARMS, OR LEGS, 20.1-30.0 CM FACILITY",,,97.65,980.6,20 CPT,12007,HC SMPL RPR SCLP/NK/TR/EXT >30CM,1199.0,1067.11,119.9,1199.0,736 CPT,12007,PR SMPL RPR SCLP/NK/TR/EXT >30CM,1714.0,1525.46,100.11,1714.0,482 CPT,12007,"SIMPLE REPAIR OF SURFACE WOUND TO SCALP, NECK, UNDERARMS, TRUNK, ARMS, OR LEGS, MORE THAN 30.0 CM FACILITY",,,119.9,895.33,20 CPT,12011,HC SMPL RPR F/E/EY/NO/L/M<=2.5CM,550.0,489.5,49.38,550.0,2208 CPT,12011,PR SMPL RPR F/E/EY/NO/L/M<=2.5CM,626.0,557.14,55.91,626.0,489 CPT,12011,"SIMPLE REPAIR OF SURFACE WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.5 CM OR LESS FACILITY",,,49.38,980.6,20 CPT,12013,HC SMPL RPR F/E/EY/NO/L/M 2.6-5CM,710.0,631.9,49.63,710.0,1472 CPT,12013,PR SMPL RPR F/E/EY/NO/L/M 2.6-5CM,821.0,730.69,49.28,821.0,514 CPT,12013,"SIMPLE REPAIR OF SURFACE WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.6-5.0 CM FACILITY",,,49.63,980.6,20 CPT,12014,HC SMPL RPR F/E/EY/NO/L/M 5.1-7.5CM,748.0,665.72,63.94,748.0,1472 CPT,12014,PR SMPL RPR F/E/EY/NO/L/M 5.1-7.5CM,1190.0,1059.1,68.16,1190.0,482 CPT,12014,"SIMPLE REPAIR OF SURFACE WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 5.1-7.5 CM FACILITY",,,63.94,980.6,20 CPT,12015,HC SMPL RPR F/E/EY/N/L/M 7.6-12.5CM,761.0,677.29,80.16,761.0,1472 CPT,12015,PR SMPL RPR F/E/EY/N/L/M 7.6-12.5CM,1512.0,1345.68,70.83,1512.0,507 CPT,12015,"SIMPLE REPAIR OF SURFACE WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 7.6-12.5 CM FACILITY",,,80.16,980.6,20 CPT,12016,HC SMPL RPR F/E/EY/N/L/M 12.6-20CM,1077.0,958.53,108.33,1077.0,736 CPT,12016,PR SMPL RPR F/E/EY/N/L/M 12.6-20CM,1867.0,1661.63,105.2,1867.0,482 CPT,12020,HC TX WND DEHIS SMPL,1665.0,1481.85,170.83,1665.0,2211 CPT,12020,PR TX WND DEHIS SMPL,1466.0,1304.74,108.47,1466.0,507 CPT,12020,SIMPLE CLOSURE OF SURFACE WOUND REOPENING FACILITY,,,170.83,980.6,20 CPT,12021,PR TX WND DEHIS W PACKING,782.0,695.98,62.85,782.0,508 CPT,12031,HC INT RPR SCLP/AX/TR/EXT <=2.5,972.0,865.08,129.61,972.0,1482 CPT,12031,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.5 CM OR LESS FACILITY",,,129.61,539.37,21 CPT,12031,PR INT RPR SCLP/AX/TR/EXT <=2.5,919.0,817.91,106.03,919.0,482 CPT,12032,HC INT RPR SCLP/AX/TR/EXT 2.6-7.5,972.0,865.08,161.04,972.0,1486 CPT,12032,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.6-7.5 CM FACILITY",,,161.04,539.37,21 CPT,12032,PR INT RPR SCLP/AX/TR/EXT 2.6-7.5,1207.0,1074.23,122.36,1207.0,489 CPT,12034,HC INT RPR SCLP/AX/TR/EXT 7.6-12.5,1109.0,987.01,172.89,1109.0,1478 CPT,12034,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 7.6-12.5 CM FACILITY",,,172.89,539.37,21 CPT,12034,PR INT RPR SCLP/AX/TR/EXT 7.6-12.5,1335.0,1188.15,135.47,1335.0,482 CPT,12035,HC INT RPR SCLP/AX/TR/EXT 12.6-20,1265.0,1125.85,212.48,1265.0,1478 CPT,12035,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 12.6-20.0 CM FACILITY",,,212.48,2191.35,20 CPT,12035,PR INT RPR SCLP/AX/TR/EXT 12.6-20,1758.0,1564.62,166.34,1758.0,482 CPT,12036,HC INT RPR SCLP/AX/TR/EXT 20-30,2177.0,1937.53,252.02,2177.0,1472 CPT,12036,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 20.1-30.0 CM FACILITY",,,252.02,980.6,20 CPT,12036,PR INT RPR SCLP/AX/TR/EXT 20-30,2168.0,1929.52,190.89,2168.0,482 CPT,12037,HC INT RPR SCLP/AX/TR/EXT >30.0,3230.0,2874.7,285.62,3230.0,737 CPT,12037,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, MORE THAN 30.0 CM",,,285.62,10897.67,20 CPT,12037,PR INT RPR SCLP/AX/TR/EXT >30.0,2600.0,2314.0,212.45,2600.0,482 CPT,12041,HC INT RPR NK/HND/FT/EXG <=2.5,972.0,865.08,124.9,972.0,1480 CPT,12041,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 2.5 CM OR LESS FACILITY",,,124.9,2191.35,20 CPT,12041,PR INT RPR NK/HND/FT/EXG <=2.5,1079.0,960.31,107.05,1079.0,482 CPT,12042,HC INT RPR NK/HND/FT/EXG 2.6-7.5,972.0,865.08,163.24,972.0,1480 CPT,12042,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 2.6-7.5 CM FACILITY",,,163.24,539.37,21 CPT,12042,PR INT RPR NK/HND/FT/EXG 2.6-7.5,1150.0,1023.5,123.96,1150.0,489 CPT,12044,HC INT RPR NK/HND/FT/EXG 7.6-12.5,1109.0,987.01,182.47,1109.0,1478 CPT,12044,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 7.6-12.5 CM FACILITY",,,182.47,980.6,21 CPT,12044,PR INT RPR NK/HND/FT/EXG 7.6-12.5,1525.0,1357.25,157.32,1525.0,482 CPT,12045,HC INT RPR NK/HND/FT/EXG 12.6-20,1332.0,1185.48,255.65,1332.0,736 CPT,12045,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 12.6-20.0 CM FACILITY",,,255.65,980.6,20 CPT,12045,PR INT RPR NK/HND/FT/EXG 12.6-20,1979.0,1761.31,181.99,1979.0,482 CPT,12046,HC INT RPR NK/HND/FT/EXG 20-30,2691.0,2394.99,290.91,2691.0,736 CPT,12046,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 20.1-30.0 CM FACILITY",,,290.91,980.6,20 CPT,12046,PR INT RPR NK/HND/FT/EXG 20-30,2613.0,2325.57,221.06,2613.0,482 CPT,12051,HC INT RPR F/E/EY/NO/L/M <=2.5,972.0,865.08,144.33,972.0,1480 CPT,12051,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.5 CM OR LESS FACILITY",,,144.33,539.37,21 CPT,12051,PR INT RPR F/E/EY/NO/L/M <=2.5,1153.0,1026.17,114.98,1153.0,483 CPT,12052,HC INT F/E/EY/NO/L/M 2.6-5,972.0,865.08,166.65,972.0,1482 CPT,12052,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.6-5.0 CM FACILITY",,,166.65,539.37,21 CPT,12052,PR INT F/E/EY/NO/L/M 2.6-5,1210.0,1076.9,126.47,1210.0,482 CPT,12053,HC INT RPR F/E/EY/NO/L/M 5.1-7.5,1109.0,987.01,179.93,1109.0,1480 CPT,12053,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 5.1-7.5 CM FACILITY",,,179.93,539.37,21 CPT,12053,PR INT RPR F/E/EY/NO/L/M 5.1-7.5,1721.0,1531.69,146.47,1721.0,482 CPT,12054,HC INT RPR F/E/EY/NO/L/M 7.6-12.5,1109.0,987.01,186.99,1109.0,1476 CPT,12054,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 7.6-12.5 CM FACILITY",,,186.99,980.6,20 CPT,12054,PR INT RPR F/E/EY/NO/L/M 7.6-12.5,1807.0,1608.23,157.91,1807.0,482 CPT,12055,HC INT RPR F/E/EY/NO/L/M 12.6-20,1109.0,987.01,230.67,1109.0,736 CPT,12055,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 12.6-20.0 CM FACILITY",,,277.0,539.37,20 CPT,12055,PR INT RPR F/E/EY/NO/L/M 12.6-20,2588.0,2303.32,218.61,2588.0,482 CPT,12056,HC INT RPR F/E/EY/NO/L/M 20.1-30,1187.0,1056.43,246.9,1187.0,736 CPT,12056,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 20.1-30.0 CM FACILITY",,,330.31,980.6,20 CPT,12056,PR INT RPR F/E/EY/NO/L/M 20.1-30,3170.0,2821.3,250.18,3170.0,482 CPT,12057,HC INTERMEDIATE RPR FACE >30CM,2093.0,1862.77,361.18,2093.0,736 CPT,12057,PR INTERMEDIATE RPR FACE >30CM,3185.0,2834.65,259.12,3185.0,482 CPT,13100,"COMPLICATED REPAIR OF WOUND OF TRUNK, 1.1-2.5 CM FACILITY",,,164.66,980.6,20 CPT,13100,HC CMPLX RPR TRUNK 1.1-2.5CM,1829.0,1627.81,164.66,1829.0,736 CPT,13100,PR CMPLX RPR TRUNK 1.1-2.5CM,1225.0,1090.25,137.16,1225.0,483 CPT,13101,"COMPLICATED REPAIR OF WOUND OF TRUNK, 2.6-7.5 CM FACILITY",,,203.09,2191.35,20 CPT,13101,HC CMPLX RPR TRUNK 2.6-7.5CM,1958.0,1742.62,203.09,1958.0,738 CPT,13101,PR CMPLX RPR TRUNK 2.6-7.5CM,1427.0,1270.03,158.58,1427.0,482 CPT,13102,"COMPLICATED REPAIR OF WOUND OF TRUNK, EACH ADDITIONAL 5.0 CM OR LESS FACILITY",,,277.25,2191.35,20 CPT,13102,HC CMPLX RPR TRUNK EA <=5CM,1958.0,1742.62,55.45,1958.0,720 CPT,13102,PR CMPLX RPR TRUNK EA <=5CM,873.0,776.97,96.01,873.0,482 CPT,13120,"COMPLICATED REPAIR OF WOUND OF SCALP, ARMS, OR LEGS, 1.1-2.5 CM FACILITY",,,191.8,2361.58,20 CPT,13120,HC CMPLX RPR SCLP/LIMB 1.1-2.5CM,1187.0,1056.43,191.8,1187.0,736 CPT,13120,PR CMPLX RPR SCLP/LIMB 1.1-2.5CM,1332.0,1185.48,142.34,1332.0,482 CPT,13121,"COMPLICATED REPAIR OF WOUND OF SCALP, ARMS, OR LEGS, 2.6-7.5 CM FACILITY",,,207.13,4341.31,21 CPT,13121,HC CMPLX RPR SCLP/LIMB 2.6-7.5CM,1623.0,1444.47,207.13,1623.0,1474 CPT,13121,PR CMPLX RPR SCLP/LIMB 2.6-7.5CM,1904.0,1694.56,169.49,1904.0,489 CPT,13122,"COMPLICATED REPAIR OF WOUND OF SCALP, ARMS, OR LEGS, EACH ADDITIONAL 5.0 CM OR LESS FACILITY",,,63.27,3853.99,20 CPT,13122,HC CMPLX RPR SCLP/LIMB ADD 5CM,1332.0,1185.48,63.27,1332.0,1438 CPT,13122,PR CMPLX RPR SCLP/LIMB ADD 5CM,839.0,746.71,102.39,839.0,489 CPT,13131,"COMPLICATED REPAIR OF WOUND OF FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, 1.1-2.5 CM FACILITY",,,195.94,539.37,20 CPT,13131,HC CMPLX RPR FACE/AX/EXT 1.1-2.5,1109.0,987.01,195.94,1109.0,2208 CPT,13131,PR CMPLX RPR FACE/AX/EXT 1.1-2.5,1465.0,1303.85,155.67,1465.0,483 CPT,13132,"COMPLICATED REPAIR OF WOUND OF FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, 2.6-7.5 CM FACILITY",,,241.46,539.37,20 CPT,13132,HC CMPLX RPR FACE/AX/EXT 2.6-7.5,1523.0,1355.47,241.46,1523.0,1474 CPT,13132,PR CMPLX RPR FACE/AX/EXT 2.6-7.5,2211.0,1967.79,187.14,2211.0,482 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",,,96.49,3853.99,20 CPT,13133,HC CMPLX RPR FACE/AX/EXT ADD 5CM,1109.0,987.01,96.49,1109.0,1438 CPT,13133,PR CMPLX RPR FACE/AX/EXT ADD 5CM,1018.0,906.02,133.99,1018.0,482 CPT,13151,"COMPLICATED REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIP, 1.1-2.5 CM FACILITY",,,223.56,980.6,20 CPT,13151,HC CMPLX RPR EY/NO/E/L 1.1-2.5CM,1525.0,1357.25,223.56,1525.0,1472 CPT,13151,PR CMPLX RPR EY/NO/E/L 1.1-2.5CM,1818.0,1618.02,169.32,1818.0,482 CPT,13152,"COMPLICATED REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIP, 2.6-7.5 CM FACILITY",,,266.66,980.6,21 CPT,13152,HC CMPLX RPR EY/NO/E/L 2.6-7.5CM,1829.0,1627.81,266.66,1829.0,1478 CPT,13152,PR CMPLX RPR EY/NO/E/L 2.6-7.5CM,2893.0,2574.77,197.85,2893.0,482 CPT,13153,"COMPLICATED REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIP, EACH ADDITIONAL 5.0 CM OR LESS FACILITY",,,105.8,980.6,20 CPT,13153,HC CMPLX RPR EY/NO/E/L ADD<=5CM,1360.0,1210.4,105.8,1360.0,1440 CPT,13153,PR CMPLX RPR EY/NO/E/L ADD<=5CM,1287.0,1145.43,149.71,1287.0,482 CPT,13160,EXTENSIVE OR COMPLICATED REPAIR OF SURFACE WOUND REOPENING FACILITY,,,699.53,4701.83,21 CPT,13160,HC RPR WND SURGICAL SECNDRY CMPLX,7544.0,6714.16,699.53,7544.0,737 CPT,13160,PR RPR WND SURGICAL SECNDRY CMPLX,4274.0,3803.86,285.41,4274.0,482 CPT,14000,HC TISS XFER TR DEFECT <=10SCM,5364.0,4773.96,446.07,5364.0,736 CPT,14000,PR TISS XFER TR DEFECT <=10SCM,3088.0,2748.32,266.83,3088.0,482 CPT,14000,"REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN, 10.0 SQ CM OR LESS",,,446.07,8810.21,20 CPT,14001,PR TISS XFER TR DEFECT 10-30SCM,4570.0,4067.3,340.44,4570.0,482 CPT,14001,"REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN, 10.1-30.0 SQ CM PROFESSIONAL",,,571.14,5195.02,20 CPT,14020,HC TISS XFER SCLP/LIMB <=10SCM,4989.0,4440.21,488.02,4989.0,737 CPT,14020,PR TISS XFER SCLP/LIMB <=10SCM,2808.0,2499.12,288.44,2808.0,482 CPT,14020,"REPAIR OF WOUND OF SCALP, ARMS, OR LEGS BY TRANSFERRING SKIN, 10.0 SQ CM OR LESS FACILITY",,,488.02,2737.57,20 CPT,14021,HC TISS XFER SCLP/LIMB 10-30SCM,4989.0,4440.21,596.99,4989.0,736 CPT,14021,PR TISS XFER SCLP/LIMB 10-30SCM,4388.0,3905.32,353.79,4388.0,482 CPT,14021,"REPAIR OF WOUND OF SCALP, ARMS, OR LEGS BY TRANSFERRING SKIN, 10.1-30.0 SQ CM FACILITY",,,596.99,5195.02,20 CPT,14040,HC TISS XFER FACE/NK/EXT <=10SCM,4989.0,4440.21,527.62,4989.0,739 CPT,14040,PR TISS XFER FACE/NK/EXT <=10SCM,4168.0,3709.52,308.1,4168.0,482 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",,,527.62,2737.57,21 CPT,14041,HC TISS XFER FACE/NK/EXT 10-30CM,5315.0,4730.35,630.01,5315.0,738 CPT,14041,PR TISS XFER FACE/NK/EXT 10-30CM,4576.0,4072.64,371.89,4576.0,482 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",,,630.01,2737.57,20 CPT,14060,HC TISS XFER EAR/EY/N/LIP <=10SCM,4989.0,4440.21,555.21,4989.0,739 CPT,14060,PR TISS XFER EAR/EY/N/LIP <=10SCM,3742.0,3330.38,309.83,3742.0,482 CPT,14060,"REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIPS BY TRANSFERRING SKIN, 10.0 SQ CM OR LESS FACILITY",,,555.21,2737.57,21 CPT,14061,HC TISS XFER EY/N/E/LIP 10.1-30SCM,4989.0,4440.21,675.61,4989.0,739 CPT,14061,PR TISS XFER EY/N/E/LIP 10.1-30SCM,5673.0,5048.97,401.29,5673.0,482 CPT,14061,"REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIPS BY TRANSFERRING SKIN, 10.1-30.0 SQ CM FACILITY",,,675.61,2737.57,21 CPT,14301,HC TISS XFER ADJ 30.1-60SCM,7029.0,6255.81,728.61,7029.0,744 CPT,14301,PR TISS XFER ADJ 30.1-60SCM,6694.0,5957.66,445.08,6694.0,482 CPT,14301,"REPAIR OF WOUND BY TRANSFERRING SKIN, 30.1-60.0 SQ CM FACILITY",,,728.61,8810.21,21 CPT,14302,HC TISS XFER ADJ ADD 30SCM,2893.0,2574.77,168.32,2893.0,1450 CPT,14302,PR TISS XFER ADJ ADD 30SCM,1646.0,1464.94,170.44,1646.0,482 CPT,14302,"REPAIR OF WOUND BY TRANSFERRING SKIN, EACH ADDITIONAL 30.0 SQ CM FACILITY",,,504.96,8810.21,20 CPT,14350,PR FILLETED FGR/TOE FLAP W PREP,3184.0,2833.76,242.82,3184.0,482 CPT,14350,REPAIR OF TISSUE LOSS OF FINGER OR TOE,,,595.13,4341.31,20 CPT,15002,PR PREP WND TR/EXT PEDS 100SCM,1814.0,1614.46,245.69,1814.0,507 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",,,183.42,980.6,20 CPT,15003,PR PREP WND TR/EXT EA ADD 100SCM,508.0,452.12,58.61,508.0,482 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",,,35.74,4701.83,20 CPT,15004,HC PREP WND HD/EXT EA ADD 100SCM,3949.0,3514.61,215.92,3949.0,737 CPT,15004,PR PREP WND HD/EXT EA ADD 100SCM,2191.0,1949.99,275.16,2191.0,507 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",,,215.92,539.37,21 CPT,15005,PR PREP WND HD/EXT >100SCM,952.0,847.28,96.58,952.0,482 CPT,15005,"PREPARATION OF SKIN GRAFT SITE OF FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, FEET, FINGERS, OR TOES, EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN, O",,,70.59,980.6,20 CPT,15050,HC PINCH GRFT SMALL AREA <= 2 CM,2503.0,2227.67,413.18,2503.0,736 CPT,15050,PR PINCH GRFT SMALL AREA <= 2 CM,3076.0,2737.64,243.04,3076.0,482 CPT,15050,"SKIN GRAFT TO TIP OF FINGER OR TOE, 2.0 CM OR LESS FACILITY",,,413.18,980.6,20 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",,,623.38,2737.57,20 CPT,15100,PR GRFT SPLIT SKN TR/LIMB 100SCM,4901.0,4361.89,364.42,4901.0,482 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",,,92.52,2737.57,20 CPT,15101,PR GRFT SPLIT SKN TR/LIMB ADD 100,1243.0,1106.27,160.2,1243.0,482 CPT,15120,HC SPLIT AUTGRFT F/NK/HF <=100SCM,5651.0,5029.39,583.25,5651.0,737 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",,,583.25,4701.83,20 CPT,15120,PR SPLIT AUTGRFT F/NK/HF <=100SCM,5102.0,4540.78,346.78,5102.0,482 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",,,442.12,4701.83,20 CPT,15121,PR SPLIT AUTGRFT F/NK/HF EA ADD,1524.0,1356.36,175.73,1524.0,482 CPT,15135,"DEEP LAYER SELF SKIN GRAFT OF FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, FEET, FINGERS, OR TOES, 100.0 SQ CM OR 1% BODY AREA OF INFANTS AND CHILDREN, OR LESS FACILITY",,,643.75,4701.83,20 CPT,15135,HC DERM AUTGRFT F/NK/HF <= 100SCM,5867.0,5221.63,643.75,5867.0,736 CPT,15135,PR DERM AUTGRFT F/NK/HF <= 100SCM,5863.0,5218.07,358.14,5863.0,482 CPT,15200,"FULL THICKNESS SKIN GRAFT TO TRUNK, 20.0 SQ CM OR LESS",,,577.41,2737.57,20 CPT,15200,HC GRFT FULL THCK TR <=20 SCM,7947.0,7072.83,577.41,7947.0,736 CPT,15200,PR GRFT FULL THCK TR <=20 SCM,3984.0,3545.76,349.17,3984.0,482 CPT,15201,"FULL THICKNESS SKIN GRAFT TO TRUNK, EACH ADDITIONAL 20.0 SQ CM",,,657.8,2737.57,20 CPT,15201,PR GRFT FULL THCK TR EA ADD 20 SCM,974.0,866.86,118.91,974.0,482 CPT,15220,"FULL THICKNESS SKIN GRAFT TO SCALP, ARMS, OR LEGS, 20.0 SQ CM OR LESS FACILITY",,,518.29,4341.31,20 CPT,15220,HC GRFT FULL THCK SCLP <= 20 SCM,4159.0,3701.51,518.29,4159.0,736 CPT,15220,PR GRFT FULL THCK SCLP <= 20 SCM,3818.0,3398.02,314.39,3818.0,482 CPT,15221,"FULL THICKNESS SKIN GRAFT TO SCALP, ARMS, OR LEGS, EACH ADDITIONAL 20.0 SQ CM FACILITY",,,53.44,2737.57,20 CPT,15221,HC GRFT FULL THCK SCLP EA ADD 20 CM,5200.0,4628.0,53.44,5200.0,719 CPT,15221,PR GRFT FULL THCK SCLP EA ADD 20 CM,771.0,686.19,107.55,771.0,482 CPT,15240,"FULL THICKNESS SKIN GRAFT TO FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, 20.0 SQ CM OR LESS FACILITY",,,675.93,7114.06,21 CPT,15240,HC GRFT FULL THCK F/G/HF <=20SCM,4159.0,3701.51,675.93,4159.0,740 CPT,15240,PR GRFT FULL THCK F/G/HF <=20SCM,5021.0,4468.69,376.33,5021.0,482 CPT,15241,"FULL THICKNESS SKIN GRAFT TO FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, EACH ADDITIONAL 20.0 SQ CM FACILITY",,,83.26,2737.57,20 CPT,15241,HC GRFT FULL TH F/G/H EA ADD 20CM,4045.0,3600.05,83.26,4045.0,719 CPT,15241,PR GRFT FULL THCK F/G/HF EA ADD 20CM,1570.0,1397.3,143.66,1570.0,482 CPT,15260,"FULL THICKNESS SKIN GRAFT TO NOSE, EARS, EYELIDS, OR LIPS, 20.0 SQ CM OR LESS FACILITY",,,705.5,2737.57,20 CPT,15260,HC GRFT FULL THCK EY/NO/E/L <=20SCM,4045.0,3600.05,705.5,4045.0,739 CPT,15260,PR GRFT FULL THCK EY/NO/E/L <=20SCM,5129.0,4564.81,402.69,5129.0,482 CPT,15261,"FULL THICKNESS SKIN GRAFT TO NOSE, EARS, EYELIDS, OR LIPS, EACH ADDITIONAL 20.0 SQ CM FACILITY",,,106.38,3154.46,20 CPT,15261,HC GRFT FL TH EYNOEL EA ADD 20SCM,3371.0,3000.19,106.38,3371.0,719 CPT,15261,PR GRFT FULL THCK EY/NO/E/L EA ADD 20SCM,1647.0,1465.83,166.73,1647.0,482 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",,,70.78,980.6,20 CPT,15271,HC SKN GRFT A/TR/L <=100SCM/1ST 25,4062.0,3615.18,70.78,4062.0,736 CPT,15271,PR SKN GRFT A/TR/L <=100SCM/1ST 25,917.0,816.13,54.11,917.0,507 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",,,27.18,4295.03,20 CPT,15272,HC SKN SUBST GRFT A/TR/L ADD 25SCM,2038.0,1813.82,13.59,2038.0,719 CPT,15272,PR SKN SUBST GRFT A/TR/L ADD 25SCM,196.0,174.44,20.34,196.0,482 CPT,15273,HC SKN GRFT A/TR/L <=100SCM PEDS,5243.0,4666.27,158.18,5243.0,736 CPT,15273,PR SKN GRFT A/TR/L <=100SCM PEDS,2008.0,1787.12,127.64,2008.0,482 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",,,158.18,2737.57,20 CPT,15274,PR SKN GRFT A/TR/L ADD 100SCM PEDS,512.0,455.68,68.9,512.0,482 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",,,35.29,165.11,19 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",,,79.99,980.6,20 CPT,15275,HC SKN GRFT F/N/G/HF <=100SCM,3269.0,2909.41,79.99,3269.0,1472 CPT,15275,PR SKN GRFT F/N/G/HF <=100SCM,1172.0,1043.08,54.92,1172.0,507 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 ",,,41.0,980.6,20 CPT,15276,HC SKN GRFT F/N/G/HF ADD 25SCM,2242.0,1995.38,20.5,2242.0,719 CPT,15276,HC SKN GRFT F/N/H/F/G ADD 25SCM,2242.0,1995.38,20.5,2242.0,719 CPT,15276,PR SKN GRFT F/N/G/HF ADD 25SCM,267.0,237.63,26.54,267.0,482 CPT,15277,HC GRFT F/N/G/HF <=100SCM 1ST,4811.0,4281.79,181.96,4811.0,736 CPT,15277,PR GRFT F/N/G/HF <=100SCM 1ST,1880.0,1673.2,142.95,1880.0,482 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",,,181.96,2737.57,20 CPT,15278,PR GRFT F/N/G/HF <=100SCM ADD,581.0,517.09,80.2,581.0,482 CPT,15570,PR FORM DIRECT/TUBED PEDICLE TRUNK,6505.0,5789.45,388.18,6505.0,482 CPT,15572,"CREATION OF FLAP GRAFT TO SCALP, ARMS, OR LEGS",,,636.8,5195.02,20 CPT,15572,PR FORM PEDCL SCLP/A/L,5153.0,4586.17,370.88,5153.0,482 CPT,15574,"CREATION OF FLAP GRAFT TO FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET FACILITY",,,610.61,7854.46,20 CPT,15574,HC FORM PEDCL FACE/NK/AX/EXG/EXT,6409.0,5704.01,610.61,6409.0,736 CPT,15574,PR FORM PEDCL FACE/NK/AX/EXG/EXT,6106.0,5434.34,348.13,6106.0,482 CPT,15576,"CREATION OF FLAP GRAFT TO EYELIDS, NOSE, EARS, LIPS, OR MOUTH FACILITY",,,543.3,2737.57,20 CPT,15576,HC FORM PEDCL EYNOEL,4989.0,4440.21,543.3,4989.0,737 CPT,15576,PR FORM PEDCL EY/NO/E/L,4501.0,4005.89,318.7,4501.0,482 CPT,15600,PR DELAY FLAP TR,2950.0,2625.5,152.3,2950.0,482 CPT,15600,TRANSFER OF SKIN FLAP TO TRUNK,,,207.98,4701.83,21 CPT,15610,HC DELAY FLAP SCLP/A/L,16423.0,14616.47,229.64,16423.0,736 CPT,15610,PR DELAY FLAP SCLP/A/L,3049.0,2713.61,159.18,3049.0,482 CPT,15620,HC DELAY FLAP FACE/NK/AX/EXG/EXT,8602.0,7655.78,295.7,8602.0,737 CPT,15620,PR DELAY FLAP FACE/NK/AX/EXG/EXT,3338.0,2970.82,187.4,3338.0,482 CPT,15620,"TRANSFER OF SKIN FLAP TO FOREHEAD, CHEEKS, CHIN, NECK, UNDERARMS, GENITALS, HANDS, OR FEET FACILITY",,,295.7,2737.57,21 CPT,15630,HC DELAY FLAP EY/NO/E/L,5341.0,4753.49,303.25,5341.0,737 CPT,15630,PR DELAY FLAP EY/NO/E/L,3040.0,2705.6,190.33,3040.0,482 CPT,15630,"TRANSFER OF SKIN FLAP TO EYELIDS, NOSE, EARS, OR LIPS FACILITY",,,303.25,2737.57,20 CPT,15731,"CREATION OF FLAP GRAFT TO NOSE, FOREHEAD, TEMPLE, OR SCALP FACILITY",,,836.91,7854.46,21 CPT,15731,HC FHD FLAP W/VAS PEDCL,8539.0,7599.71,836.91,8539.0,738 CPT,15731,PR FHD FLAP W VASC PEDCL,6929.0,6166.81,455.19,6929.0,482 CPT,15733,CREATION OF FLAP GRAFT TO HEAD AND/OR NECK,,,1284.8,7854.46,20 CPT,15733,PR MUSC MYOQ/FSCQ FLP H&N PEDCL,7765.0,6910.85,349.47,7765.0,482 CPT,15734,CREATION OF MUSCLE GRAFT TO TRUNK,,,1283.37,8589.5,20 CPT,15734,PR MUSCLE FLAP TRUNK,13204.0,11751.56,523.62,13204.0,482 CPT,15736,CREATION OF MUSCLE GRAFT TO ARM,,,1046.35,3853.99,20 CPT,15736,PR MUSCLE FLAP UPPER EXT,9297.0,8274.33,426.91,9297.0,482 CPT,15738,CREATION OF MUSCLE GRAFT TO LEG,,,2150.04,4701.83,20 CPT,15738,PR MUSCLE FLAP LWR EXT,12635.0,11245.15,438.61,12635.0,482 CPT,15740,CREATION OF SKIN AND TISSUE GRAFT FACILITY,,,716.77,4676.96,20 CPT,15740,HC FLAP ISLAND PEDCL,3371.0,3000.19,701.17,3371.0,737 CPT,15740,PR FLAP ISLAND PEDCL,5940.0,5286.6,417.67,5940.0,482 CPT,15750,CREATION OF NERVE AND BLOOD VESSEL SKIN GRAFT,,,793.05,2590.89,20 CPT,15750,PR FLAP NEUR VASC PEDCL,8775.0,7809.75,323.57,8775.0,482 CPT,15756,PR MUS FLAP W MICROVASC ANAST,23012.0,20480.68,750.63,23012.0,482 CPT,15757,PR SKIN FLAP W MICROVASC ANAST,19698.0,17531.22,745.48,19698.0,482 CPT,15757,SKIN GRAFT WITH REPAIR OF SMALL BLOOD VESSEL,,,1655.14,2740.71,20 CPT,15758,PR FCL FLAP W MICROVASC ANAST,24895.0,22156.55,743.55,24895.0,482 CPT,15760,GRAFT WITH CLOSURE OF WOUND FACILITY,,,587.09,2737.57,20 CPT,15760,PR COMPOSITE SKIN GRAFT,6304.0,5610.56,342.89,6304.0,482 CPT,15769,PR GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC,4144.0,3688.16,174.99,4144.0,482 CPT,15769,SELF SOFT TISSUE GRAFT,,,643.35,8021.24,21 CPT,15770,"CREATION OF SKIN, FAT AND MUSCLE GRAFT",,,580.82,3154.46,20 CPT,15770,PR DERM FAT FASCIA GRAFT,6104.0,5432.56,236.98,6104.0,482 CPT,15771,"GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO TRUNK, BREASTS, SCALP, ARMS, OR LEGS, 50.0 CC OR LESS",,,696.42,8810.21,21 CPT,15771,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS,4666.0,4152.74,263.33,4666.0,482 CPT,15772,"GRAFT USING PATIENT'S FAT REMOVED BY LIPOSUCTION AND INSERTED INTO TRUNK, BREASTS, SCALP, ARMS, OR LEGS, EACH ADDITIONAL 50.0 CC",,,595.02,10844.49,20 CPT,15772,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC,1399.0,1245.11,161.85,1399.0,482 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",,,475.3,2737.57,21 CPT,15773,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS,5250.0,4672.5,249.11,5250.0,482 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",,,687.86,9627.58,20 CPT,15774,PR GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC,1541.0,1371.49,158.11,1541.0,482 CPT,15777,IMPLANTATION OF BIOLOGIC IMPLANT TO SOFT TISSUE,,,167.81,18284.64,20 CPT,15777,PR IMPLANTATION BIOLOGIC IMPLANT,1560.0,1388.4,171.99,1560.0,482 CPT,15778,IMPLANTATION OF ARTIFICIAL MATERIAL FOR DELAYED CLOSURE OF DEFECTS DUE TO SOFT TISSUE INFECTION OR TRAUMA,,,3.8,473.03,20 CPT,15778,PR IMPL ABSRB MSH/PRSTH DLY CLS,3183.0,2832.87,128.67,3183.0,482 CPT,15781,HC DERMABRASION SEGMNTL FACE,3371.0,3000.19,360.16,3371.0,736 CPT,15781,PR DERMABRASION SEGM FACE,2449.0,2179.61,210.75,2449.0,482 CPT,15781,SCRAPING OF SKIN OF FACE FACILITY,,,360.16,939.55,20 CPT,15783,DERMABRASION OF SUPERFICIAL SCARS OR TATTOOS FROM SKIN FACILITY,,,301.16,539.37,21 CPT,15783,HC DERMABRASION SUPERFICIAL ANY,2457.0,2186.73,301.16,2457.0,737 CPT,15783,PR DERMABRASION SUPERFICIAL ANY,2746.0,2443.94,179.39,2746.0,482 CPT,15786,HC ABRASION SNGL LESN,435.0,387.15,90.48,435.0,737 CPT,15786,PR ABRASION SNGL LESN,1126.0,1002.14,94.66,1126.0,482 CPT,15786,"SCRAPING OF SKIN GROWTH, FIRST GROWTH FACILITY",,,115.49,266.2,21 CPT,15788,CHEMICAL PEEL OF OUTER LAYER OF SKIN OF FACE FACILITY,,,194.04,539.37,20 CPT,15788,HC CHEM PEEL FACIAL EPIDERMAL,997.0,887.33,194.04,997.0,736 CPT,15788,PR CHEM PEEL FACIAL EPIDERMAL,1571.0,1398.19,157.28,1571.0,482 CPT,15789,PR CHEM PEEL FACIAL DERMAL,2237.0,1990.93,213.41,2237.0,482 CPT,15792,HC CHEM PEEL NONFACIAL EPIDERMAL,820.0,729.8,170.56,980.6,736 CPT,15792,PR CHEM PEEL NONFACIAL EPIDERMAL,1642.0,1461.38,135.59,1642.0,482 CPT,15820,PR BLEPH LWR EYELID,4739.0,4217.71,239.74,4739.0,482 CPT,15820,REPAIR OF LOWER EYELID DEFECT FACILITY,,,445.97,3098.72,20 CPT,15821,PR BLEPH LWR EYELID W FAT PAD,4095.0,3644.55,257.16,4095.0,482 CPT,15821,REMOVAL OF EXCESSIVE SKIN OF LOWER EYELID AND FAT AROUND EYE FACILITY,,,475.3,3098.72,20 CPT,15822,HC BLEPH UPR EYELID,6244.0,5557.16,349.68,6244.0,736 CPT,15822,PR BLEPH UPR EYELID,3497.0,3112.33,191.33,3497.0,482 CPT,15822,REMOVAL OF EXCESSIVE SKIN OF UPPER EYELID FACILITY,,,349.68,3570.6,20 CPT,15823,PR BLEPH UPR EYELID W EXCESS SKIN LID,4389.0,3906.21,257.32,4389.0,482 CPT,15823,REMOVAL OF EXCESSIVE SKIN AND FAT OF UPPER EYELID PROFESSIONAL,,,474.98,3098.72,20 CPT,15824,PR RHYTIDECTOMY FOREHEAD,6125.0,5451.25,2756.25,6125.0,477 CPT,15825,"INCISION, STRETCHING, AND SUTURE OF NECK SKIN FACILITY",,,3551.33,4701.83,17 CPT,15825,PR RHYTIDECTOMY NK W TGHTNNG,11634.0,10354.26,5235.3,11634.0,477 CPT,15828,PR RHYTIDECTOMY CHEEK/CHIN/NECK,16788.0,14941.32,7554.6,16788.0,477 CPT,15828,"REMOVAL OF WRINKLES AND EXTRA SKIN OF CHEEKS, CHIN, AND NECK",,,122.08,5322.11,19 CPT,15829,PR RHYTIDECTOMY SUPERFICIAL,14390.0,12807.1,6475.5,14390.0,477 CPT,15829,"REMOVAL OF WRINKLES AND EXTRA SKIN WITH GRAFTING OF CHEEKS, CHIN, AND NECK FACILITY",,,445.97,5322.11,19 CPT,15830,PR EXCISN EXCESS SKIN/TISS ABD,9326.0,8300.14,407.97,9326.0,482 CPT,15830,REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN,,,999.93,8810.21,20 CPT,15832,PR EXCISN EXCESS SKIN/TISS THIGH,6235.0,5549.15,325.13,6235.0,482 CPT,15832,REMOVAL OF EXTRA SKIN AND TISSUE OF THIGH,,,796.88,3853.99,20 CPT,15833,REMOVAL OF EXTRA SKIN AND TISSUE OF LEG,,,757.21,3853.99,20 CPT,15834,PR EXCISN EXCESS SKIN/TISS HIP,10818.0,9628.02,314.19,10818.0,482 CPT,15834,REMOVAL OF EXTRA SKIN AND TISSUE OF HIP,,,770.06,8810.21,20 CPT,15835,PR EXCISN EXCESS SKIN/TISS BUTTOCK,7150.0,6363.5,326.16,7150.0,482 CPT,15836,PR EXCISN EXCESS SKIN/TISS ARM,4656.0,4143.84,282.71,4656.0,482 CPT,15836,REMOVAL OF EXTRA SKIN AND TISSUE OF ARM,,,692.92,4362.42,20 CPT,15837,PR EXCISN EXCESS SKIN FRARM/HAND,5514.0,4907.46,372.52,5514.0,482 CPT,15837,REMOVAL OF EXTRA SKIN AND TISSUE OF FOREARM OR HAND,,,626.05,4341.31,20 CPT,15838,PR EXCISN EXCESS SKN/TISS FAT PAD,3633.0,3233.37,233.89,3633.0,482 CPT,15839,HC EXCISN EXCESS SKN/TISS OTHER,11400.0,10146.0,644.66,11400.0,739 CPT,15839,PR EXCISN EXCESS SKN/TISS OTHER,5077.0,4518.53,379.27,5077.0,482 CPT,15839,REMOVAL OF EXTRA SKIN AND TISSUE OF OTHER AREA PROFESSIONAL,,,1289.32,3853.99,21 CPT,15840,PR FACE NRV PALSY FASCIA GRFT,7692.0,6845.88,343.71,7692.0,482 CPT,15840,TISSUE GRAFT TO TREAT FACIAL PARALYSIS,,,842.43,3154.46,20 CPT,15841,MUSCLE GRAFT TO TREAT FACIAL PARALYSIS,,,1486.85,3154.46,20 CPT,15841,PR GRAFT FACIAL NRV PARLYS FREE,10882.0,9684.98,606.64,10882.0,482 CPT,15842,MICROSURGICAL MUSCLE GRAFT TO TREAT FACIAL PARALYSIS,,,2211.7,4398.97,20 CPT,15842,PR GRFT FACE NRV PALSY FREE MICRO,22292.0,19839.88,902.38,22292.0,482 CPT,15845,MUSCLE TRANSFER TO TREAT FACIAL PARALYSIS,,,918.75,2590.89,20 CPT,15845,PR GRAFT FACIAL NRV PARLYS MUS TR,7360.0,6550.4,374.85,7360.0,482 CPT,15847,EXTENSIVE REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN-EXPRESS CARE,,,497.82,8810.21,20 CPT,15847,PR EXCISN EXC SKIN/ SUBQ TISS ABD,5192.0,4620.88,270.81,5192.0,482 CPT,15850,REMOVAL OF SUTURES UNDER ANESTHESIA BY SAME SURGEON,,,83.63,3154.46,19 CPT,15851,PR RMVL SUTR W ANES OTHER SURG,383.0,340.87,22.82,383.0,482 CPT,15851,REMOVAL OF SUTURES OR STAPLES UNDER ANESTHESIA,,,55.93,4341.31,20 CPT,15852,DRESSING CHANGE UNDER ANESTHESIA,,,36.12,2737.57,21 CPT,15852,PR DRSG CHNG W ANES NOT BURN,327.0,291.03,14.74,327.0,482 CPT,15853,PR RMVL SUTURES WO ANES,71.0,63.19,9.36,71.0,483 CPT,15854,PR RMVL SUTURES & STAPLE WO ANES,112.0,99.68,14.66,112.0,489 CPT,15860,INJECTION OF AGENT INTO VEIN TO ASSESS BLOOD FLOW OF SKIN GRAFT OR FLAP,,,84.99,20696.78,20 CPT,15860,PR TEST INJ VASC FLOW FLAP/GRFT,1311.0,1166.79,34.68,1311.0,482 CPT,15876,PR SUCTION ASSIS LIPECTOMY HD/NK,4106.0,3654.34,1847.7,4106.0,477 CPT,15876,SUCTION ASSISTED REMOVAL OF FAT OF HEAD AND NECK,,,3551.33,4701.83,17 CPT,15877,PR SUCTION ASSIS LIPECTOMY TRUNK,5588.0,4973.32,2514.6,5588.0,477 CPT,15877,SUCTION ASSISTED REMOVAL OF FAT OF BODY,,,999.93,8810.21,19 CPT,15878,PR SUCT ASSIS LIPECTOMY UPP EXT,2263.0,2014.07,1018.35,2263.0,477 CPT,15878,SUCTION ASSISTED REMOVAL OF FAT OF ARM,,,25.48,2737.57,19 CPT,15879,PR SUCT ASSIS LIPECTOMY LWR EXT,6993.0,6223.77,3146.85,6993.0,477 CPT,15879,SUCTION ASSISTED REMOVAL OF FAT OF LEG,,,101.72,4701.83,19 CPT,15920,PR EXCISN TAIL BONE ULCER,3858.0,3433.62,239.0,3858.0,482 CPT,15933,PR EXCISN ULCER SAC SUTR OSTEOT,5887.0,5239.43,314.52,5887.0,482 CPT,15935,PR EXCISN SAC PRES ULCER W OSTECTMY,8469.0,7537.41,404.12,8469.0,482 CPT,15936,PR EXCISN SAC PRESS ULCER IN PREP,5186.0,4615.54,317.0,5186.0,482 CPT,15937,PR EXCISN ULCER PREP GRFT OSTEOT,6271.0,5581.19,353.04,6271.0,482 CPT,15941,PR EXCISN ISCH DECUB ULCER W OST,7070.0,6292.3,336.36,7070.0,482 CPT,15946,PR EXCISN ULCER ISCHL PREP GRFT,9891.0,8802.99,555.18,9891.0,482 CPT,15958,PR EXCISN ULC TROCHNT GRFT OSTEOT,8866.0,7890.74,416.42,8866.0,482 CPT,16000,HC TX BURN 1ST DEGREE INIT,470.0,418.3,38.79,470.0,736 CPT,16000,PR TX BURN 1ST DEGREE INIT,378.0,336.42,36.02,378.0,482 CPT,16020,HC DBRD BURN PRTL THCK <5%,550.0,489.5,52.42,550.0,736 CPT,16020,PR DBRD BURN PRTL THCK <5%,400.0,356.0,37.51,400.0,482 CPT,16025,HC DBRD BURN PRTL THCK 5-10%,707.0,629.23,636.4,636.4,1 CPT,16025,PR DBRD BURN PRTL THCK 5-10%,578.0,514.42,66.19,578.0,482 CPT,16030,PR DBRD BURN PRTL THCK >10%,1102.0,980.78,84.65,1102.0,482 CPT,17000,"DESTRUCTION OF PRECANCER SKIN GROWTH, 1 GROWTH FACILITY",,,47.11,231.48,20 CPT,17000,HC DEST PREMALIGNANT LESN 1ST,267.0,237.63,47.11,267.0,745 CPT,17000,PR DEST PREMALIGNANT LESN 1ST,276.0,245.64,23.01,276.0,515 CPT,17003,"DESTRUCTION OF PRECANCER SKIN GROWTH, 2-14 GROWTHS FACILITY",,,3.36,266.2,21 CPT,17003,HC DEST PREMALIGNANT LESN 2-14,234.0,208.26,1.68,234.0,726 CPT,17003,PR DEST PREMALIGNANT LESN 2-14,37.0,32.93,4.5,37.0,514 CPT,17004,"DESTRUCTION OF PRECANCER SKIN GROWTH, 15 OR MORE GROWTHS FACILITY",,,80.76,539.37,21 CPT,17004,HC DEST PREMALIGNANT LESN =>15,673.0,598.97,80.76,673.0,738 CPT,17004,PR DEST PREMALIGNANT LESN =>15,671.0,597.19,112.75,671.0,508 CPT,17106,"DESTRUCTION OF BIRTHMARK, LESS THAN 10.0 SQ CM FACILITY",,,232.66,539.37,21 CPT,17106,HC DEST CUT LESN PROLIF <10SCM,1315.0,1170.35,232.66,1315.0,737 CPT,17106,PR DEST CUT LESN PROLIF <10SCM,1519.0,1351.91,137.98,1519.0,482 CPT,17107,"DESTRUCTION OF BIRTHMARK, 10.0-50.0 SQ CM FACILITY",,,301.4,980.6,20 CPT,17107,HC DEST CUT LESN HCOLIF 10-50SCM,1525.0,1357.25,301.4,1525.0,736 CPT,17107,PR DEST CUT LESN PROLIF 10-50SCM,2752.0,2449.28,179.2,2752.0,482 CPT,17108,"DESTRUCTION OF BIRTHMARK, MORE THAN 50.0 SQ CM FACILITY",,,437.39,2737.57,20 CPT,17108,HC DEST CUT LESN HCOLIF >50SCM,4633.0,4123.37,437.39,4633.0,736 CPT,17108,PR DEST CUT LESN PROLIF >50SCM,4087.0,3637.43,253.48,4087.0,482 CPT,17110,"DESTRUCTION OF SKIN GROWTH, 1-14 GROWTHS FACILITY",,,61.9,231.48,20 CPT,17110,HC DEST BENIGN LESN OTHR<=14,276.0,245.64,57.41,276.0,744 CPT,17110,PR DEST BENIGN LESN OTHR<=14,371.0,330.19,38.87,371.0,514 CPT,17111,"DESTRUCTION OF SKIN GROWTH, 15 OR MORE GROWTHS FACILITY",,,73.08,231.48,19 CPT,17111,HC DEST BENIGN LESIONS OTHR >=15,348.0,309.72,72.38,348.0,738 CPT,17111,PR DEST BENIGN LESIONS OTHR >=15,466.0,414.74,45.37,466.0,507 CPT,17250,APPLICATION OF CHEMICAL TO STOP TISSUE REGROWTH IN WOUND FACILITY,,,34.24,724.99,20 CPT,17250,HC CAUTERIZE CHEM GRANULATION TIS,801.0,712.89,34.24,801.0,2208 CPT,17250,PR CAUTERIZE CHEM GRANULATION TIS,358.0,318.62,31.43,358.0,508 CPT,17260,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 0.5 CM OR LESS FACILITY",,,57.96,266.2,20 CPT,17260,HC DEST LESN MLG T/A/L <=0.5CM,434.0,386.26,57.96,434.0,737 CPT,17260,PR DEST LESN MLG T/A/L <=0.5CM,383.0,340.87,39.5,383.0,482 CPT,17261,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,72.55,539.37,21 CPT,17261,HC DEST LESN MLG T/A/L .6-1CM,434.0,386.26,72.55,434.0,740 CPT,17261,PR DEST LESN MLG T/A/L .6-1CM,517.0,460.13,50.08,517.0,509 CPT,17262,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 1.1-2.0 CM FACILITY",,,90.43,539.37,21 CPT,17262,HC DEST LESN MLG TR/LIMB 1.1-2CM,434.0,386.26,90.27,434.0,742 CPT,17262,PR DEST LESN MLG TR/LIMB 1.1-2CM,664.0,590.96,60.09,664.0,512 CPT,17263,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 2.1-3.0 CM FACILITY",,,99.37,980.6,21 CPT,17263,HC DEST LESN MLG TR/LIMB 2.1-3CM,434.0,386.26,90.27,434.0,739 CPT,17263,PR DEST LESN MLG TR/LIMB 2.1-3CM,732.0,651.48,76.58,732.0,489 CPT,17264,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 3.1-4.0 CM FACILITY",,,105.86,539.37,20 CPT,17264,HC DEST LESN MLG TR/LIMB 3.1-4CM,554.0,493.06,105.86,554.0,736 CPT,17264,PR DEST LESN MLG TR/LIMB 3.1-4CM,831.0,739.59,82.17,831.0,482 CPT,17266,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, MORE THAN 4.0 CM FACILITY",,,123.4,539.37,20 CPT,17266,HC DEST LESN MLG TR/LIMB >4CM,887.0,789.43,123.4,887.0,736 CPT,17266,PR DEST LESN MLG TR/LIMB >4CM,1007.0,896.23,93.54,1007.0,489 CPT,17270,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.5 CM OR LESS FACILITY",,,79.04,266.2,20 CPT,17270,HC DEST LESN MLG S/NK/EXT<=.5CM,434.0,386.26,79.04,434.0,736 CPT,17270,PR DEST LESN MLG S/NK/EXT<=.5CM,472.0,420.08,59.88,472.0,482 CPT,17271,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.6-1.0 CM FACILITY",,,86.64,266.2,21 CPT,17271,HC DEST LESN MLG S/NK/EXT .6-1CM,434.0,386.26,86.64,434.0,738 CPT,17271,PR DEST LESN MLG S/NK/EXT .6-1CM,595.0,529.55,56.15,595.0,507 CPT,17272,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 1.1-2.0 CM FACILITY",,,98.36,980.6,21 CPT,17272,HC DEST LESN MLG S/NK/EXT 1.1-2CM,462.0,411.18,96.1,462.0,738 CPT,17272,PR DEST LESN MLG S/NK/EXT 1.1-2CM,704.0,626.56,63.32,704.0,509 CPT,17273,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 2.1-3.0 CM FACILITY",,,111.01,539.37,21 CPT,17273,HC DEST LESN MLG S/NK/EXT 2.1-3CM,678.0,603.42,111.01,678.0,737 CPT,17273,PR DEST LESN MLG S/NK/EXT 2.1-3CM,850.0,756.5,82.88,850.0,489 CPT,17274,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 3.1-4.0 CM FACILITY",,,134.37,539.37,20 CPT,17274,HC DEST LESN MLG S/NK/EXT 3.1-4CM,1109.0,987.01,134.37,1109.0,736 CPT,17274,PR DEST LESN MLG S/NK/EXT 3.1-4CM,948.0,843.72,96.89,948.0,482 CPT,17276,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, MORE THAN 4.0 CM FACILITY",,,161.14,539.37,20 CPT,17276,HC DEST SKIN MAL LES >4.0 CM,1147.0,1020.83,161.14,1147.0,736 CPT,17276,PR DEST SKIN MAL LES >4.0 CM,1267.0,1127.63,112.58,1267.0,482 CPT,17280,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.5 CM OR LESS FACILITY",,,72.55,266.2,20 CPT,17280,HC DEST LESN MLG F/E/EY/NO/L/M <=.5CM,434.0,386.26,72.55,434.0,736 CPT,17280,PR DEST LESN MLG F/E/EY/NO/L/M <=.5CM,571.0,508.19,56.39,571.0,482 CPT,17281,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.6-1.0 CM FACILITY",,,193.16,289.74,21 CPT,17281,HC DEST LESN MLG F/E/EY/NO/L/M .6-1CM,734.0,653.26,96.58,734.0,737 CPT,17281,PR DEST LESN MLG F/E/EY/NO/L/M .6-1CM,578.0,514.42,60.55,578.0,507 CPT,17282,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 1.1-2.0 CM FACILITY",,,110.33,266.2,21 CPT,17282,HC DEST LESN MLG F/E/EY/NO/L/M 1.1-2CM,838.0,745.82,110.33,838.0,737 CPT,17282,PR DEST LESN MLG F/E/EY/NO/L/M 1.1-2CM,737.0,655.93,69.13,737.0,507 CPT,17283,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.1-3.0 CM FACILITY",,,136.38,539.37,21 CPT,17283,HC DEST SKIN MLG LESN 2.1-3.0 CM,853.0,759.17,136.38,853.0,737 CPT,17283,PR DEST SKIN MLG LESN 2.1-3.0 CM,948.0,843.72,96.17,948.0,489 CPT,17284,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 3.1-4.0 CM FACILITY",,,159.03,980.6,20 CPT,17284,HC DEST SKIN MLG LESN 3.1-4.0 CM,1112.0,989.68,159.03,1112.0,736 CPT,17284,PR DEST SKIN MLG LESN 3.1-4.0 CM,1055.0,938.95,109.62,1055.0,482 CPT,17286,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, MORE THAN 4.0 CM FACILITY",,,215.47,980.6,20 CPT,17286,HC DEST LESN MLG F/E/EY/NO/L/M >4CM,1112.0,989.68,215.47,1112.0,736 CPT,17286,PR DEST LESN MLG F/E/EY/NO/L/M >4CM,1418.0,1262.02,141.48,1418.0,482 CPT,17311,HC MOHS HD/NK/EXDT/EXG 1 STAGE,1611.0,1433.79,274.93,1611.0,744 CPT,17311,PR MOHS HD/NK/EXDT/EXG 1 STAGE,2852.0,2538.28,271.75,2852.0,482 CPT,17311,"REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF HEAD, NECK, HANDS, FEET, OR GENITALS, 1-5 TISSUE BLOCKS FACILITY",,,274.93,980.6,21 CPT,17312,HC MOHS HD/NK/EXDT/EXG ADD STAGE,1306.0,1162.34,146.21,1306.0,724 CPT,17312,PR MOHS HD/NK/EXDT/EXG ADD STAGE,1681.0,1496.09,329.09,1681.0,482 CPT,17312,"REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF HEAD, NECK, HANDS, FEET, OR GENITALS, EACH ADDITIONAL STAGE, 1-5 TISSUE BLOCKS FACILITY",,,292.42,980.6,20 CPT,17313,HC MOHS TR/LIMB 1 STAGE 1-5,1611.0,1433.79,246.76,1611.0,741 CPT,17313,PR MOHS TR/LIMB 1 STAGE 1-5,2588.0,2303.32,255.49,2588.0,482 CPT,17313,"REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF TRUNK, ARMS, OR LEGS, 1-5 TISSUE BLOCKS FACILITY",,,246.76,980.6,21 CPT,17314,HC MOHS TR/LIMB EA ADD STAGE,1074.0,955.86,133.68,1074.0,720 CPT,17314,PR MOHS TR/LIMB EA ADD STAGE,1561.0,1389.29,315.5,1561.0,482 CPT,17314,"REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF TRUNK, ARMS, OR LEGS, EACH ADDITIONAL STAGE, 1-5 TISSUE BLOCKS FACILITY",,,133.68,980.6,20 CPT,17315,HC MOHS EA BLOCK AFTER FIRST 5,885.0,787.65,38.71,885.0,721 CPT,17315,PR MOHS EA BLOCK AFTER FIRST 5,375.0,333.75,64.4,375.0,482 CPT,17315,"REMOVAL AND MICROSCOPIC EXAM OF GROWTH, EACH ADDITIONAL BLOCK AFTER 5 TISSUE BLOCKS FACILITY",,,193.55,980.6,20 CPT,17380,HC ELECTROLYSIS EPILATION EA 30 MIN,1797.0,1599.33,373.78,1797.0,734 CPT,17380,PR ELECTROLYSIS EPILATION EA 30 MIN,536.0,477.04,241.2,536.0,477 CPT,17999,HC CO2 LASER RESURFACING 1 SEGMNT,276.0,245.64,57.41,276.0,742 CPT,17999,HC CO2 LASER RESURFACING 2 SEGMNT,276.0,245.64,57.41,276.0,742 CPT,17999,HC LASER DEST LESN <10 SQ CM,276.0,245.64,57.41,276.0,742 CPT,17999,HC LASER DESTR LESN 10-50 SQ CM,276.0,245.64,57.41,276.0,742 CPT,17999,HC LASER DESTR LESN >50 SQ CM,276.0,245.64,57.41,276.0,742 CPT,17999,HC UNLISTED PROC SKIN MEMB & TISS,276.0,245.64,57.41,276.0,742 CPT,17999,HC US LYMPHATIC MAPPING WITH CONTRAST,578.0,514.42,120.22,578.0,742 CPT,17999,LASER DEST LESN <10 SQ CM - FACILITY,,,201.06,266.2,18 CPT,17999,PR CO2 LASER RESURFACING 1 SEGMNT,1908.0,1698.12,95.4,1908.0,483 CPT,17999,PR CO2 LASER RESURFACING 2 SEGMNT,2441.0,2172.49,122.05,2441.0,483 CPT,17999,PR CO2 LASER RESURFACING TOTAL FACE,3812.0,3392.68,190.6,3812.0,483 CPT,17999,PR COSM CO2 LASER 1 SEGM,956.0,850.84,47.8,956.0,483 CPT,17999,PR COSM CO2 LASER 2 SEGM,1208.0,1075.12,60.4,1208.0,483 CPT,17999,PR COSM CO2 LASER 3 SEGM,1458.0,1297.62,72.9,1458.0,483 CPT,17999,PR COSM CO2 LASER FULL FACE,2762.0,2458.18,138.1,2762.0,483 CPT,17999,PR FIBROBLAST SKIN BX,459.0,408.51,22.95,459.0,483 CPT,17999,PR FRAXEL LASER LARGE TX,1404.0,1249.56,70.2,1404.0,483 CPT,17999,PR FRAXEL LASER REGIONAL TX,596.0,530.44,29.8,596.0,483 CPT,17999,PR FRAXEL LASER SPOT TX,250.0,222.5,12.5,250.0,483 CPT,17999,PR IPL OPH DRY EYE,515.0,458.35,25.75,515.0,483 CPT,17999,PR LASER DEST LESN <10 SQ CM,363.0,323.07,18.15,363.0,483 CPT,17999,PR LASER DESTR LESN 10-50 SQ CM,734.0,653.26,36.7,734.0,483 CPT,17999,PR LASER DESTR LESN >50 SQ CM,1666.0,1482.74,83.3,1666.0,483 CPT,17999,PR LASER RMVL TATTOO <10SQ CM,200.0,178.0,10.0,200.0,483 CPT,17999,PR US LYMPHATIC MAPPING WITH CONTRAST,190.0,169.1,9.5,190.0,483 CPT,17999,PR VEINTX EXCEL V LASER,317.0,282.13,15.85,317.0,483 CPT,19000,"ASPIRATION OF CYST OF BREAST, FIRST CYST FACILITY",,,33.98,14103.72,20 CPT,19000,HC ASP BREAST CYST,1397.0,1243.33,33.98,1397.0,736 CPT,19000,PR ASP BREAST CYST,567.0,504.63,38.97,567.0,482 CPT,19001,HC ASP BREAST CYST ADD,594.0,528.66,16.94,594.0,719 CPT,19001,PR ASP BREAST CYST ADD,262.0,233.18,20.83,262.0,482 CPT,19020,DRAINAGE OF ABSCESS OF BREAST FACILITY,,,299.34,5880.35,20 CPT,19020,PR MASTOTOMY W EXPLR/DRAIN ABSC,2238.0,1991.82,205.29,2238.0,482 CPT,19030,PR INJ PROC FOR DUCTOGRAM,548.0,487.72,64.81,548.0,482 CPT,19081,HC BX BRST W DEV 1ST LESN STERETCTC,4107.0,3655.23,130.61,4107.0,736 CPT,19081,PR BX BRST W DEV 1ST LESN STERETCTC,2983.0,2654.87,196.04,2983.0,482 CPT,19082,PR BX BRST W DEV ADD STRTC GUID,2109.0,1877.01,300.47,2109.0,482 CPT,19083,"BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND, FIRST GROWTH FACILITY",,,123.14,2191.35,20 CPT,19083,HC BX BRST W DEV 1ST LESN US GUID,4237.0,3770.93,123.14,4237.0,736 CPT,19083,PR BX BRST W DEV 1ST LESN US GUID,2740.0,2438.6,195.1,2740.0,482 CPT,19084,"BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND, EACH ADDITIONAL GROWTH FACILITY",,,61.64,14103.72,20 CPT,19084,PR BX BRST ADD LESION US GUID,2256.0,2007.84,295.69,2256.0,482 CPT,19085,"BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI, FIRST GROWTH FACILITY",,,143.69,2191.35,20 CPT,19085,HC BX BREAST W LOC MR GUID 1ST,4376.0,3894.64,143.69,4376.0,737 CPT,19085,PR BX BREAST W LOC MR GUID 1ST,4686.0,4170.54,296.87,4686.0,482 CPT,19086,"BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI, EACH ADDITIONAL GROWTH FACILITY",,,71.8,3853.99,20 CPT,19086,HC BX BREAST W LOC MR GUID ADD,3831.0,3409.59,71.8,3831.0,720 CPT,19086,PR BX BREAST W LOC MR GUID ADD,3224.0,2869.36,459.64,3224.0,482 CPT,19100,PR BX BRST PERC WO IMG GUID,640.0,569.6,65.09,640.0,482 CPT,19101,BIOPSY OF BREAST THROUGH INCISION,,,200.32,9627.58,20 CPT,19101,PR BX BRST OPN,2139.0,1903.71,137.96,2139.0,482 CPT,19110,EXPLORATION OF BREAST NIPPLE PROFESSIONAL,,,334.18,5195.02,20 CPT,19110,PR EXPLORE NIPPLE,2675.0,2380.75,211.37,2675.0,482 CPT,19112,PR EXCISN LACTIFEROUS DUCT FSTL,2502.0,2226.78,200.75,2502.0,482 CPT,19120,HC RMVL BREAST LESN 1 OR MORE,7655.0,6812.95,378.56,7655.0,737 CPT,19120,PR RMVL BREAST LESN 1 OR MORE,2944.0,2620.16,223.87,2944.0,482 CPT,19120,"REMOVAL OF GROWTH AND TISSUE OF BREAST, DUCT, OR NIPPLE PROFESSIONAL",,,378.56,5195.02,20 CPT,19125,PR EXCISN BRST LESN MARKER ID OPN,3270.0,2910.3,247.22,3270.0,482 CPT,19125,"REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER, FIRST GROWTH PROFESSIONAL",,,418.26,5195.02,20 CPT,19126,PR EXCISN BRST LESN MARKER ID ADD,1407.0,1252.23,104.03,1407.0,482 CPT,19126,"REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER, EACH ADDITIONAL GROWTH",,,127.49,5195.02,20 CPT,19281,HC PLC BREAST LOC DEV MAMMO 1ST,2051.0,1825.39,79.04,2191.35,737 CPT,19281,"PLACEMENT OF LOCATING DEVICE IN BREAST USING IMAGING GUIDANCE, FIRST GROWTH FACILITY",,,79.04,5195.02,20 CPT,19281,PR PLC BREAST LOC DEV MAMMO 1ST,1355.0,1205.95,95.92,1355.0,482 CPT,19282,"PLACEMENT OF LOCATING DEVICE IN BREAST USING IMAGING GUIDANCE, EACH ADDITIONAL GROWTH FACILITY",,,701.22,5195.02,19 CPT,19282,PR PLC BREAST LOC DEV MAMMO ADD,813.0,723.57,135.89,813.0,482 CPT,19283,"PLACEMENT OF LOCATING DEVICE IN BREAST USING X-RAY WITH NEEDLE GUIDANCE, FIRST GROWTH FACILITY",,,79.58,5195.02,20 CPT,19283,PR PERC LOC DEV BRST 1ST STRTCTC,1611.0,1433.79,102.17,1611.0,482 CPT,19284,PR PERC DEV BRST EA ADD STRTCTC,940.0,836.6,149.6,940.0,482 CPT,19285,HC PLC BRST LOC DEV 1ST W US,1875.0,1668.75,67.88,1875.0,737 CPT,19285,"PLACEMENT OF LOCATING DEVICE IN BREAST USING ULTRASOUND GUIDANCE, FIRST GROWTH FACILITY",,,1696.44,5195.02,19 CPT,19285,PR PLC BRST LOC DEV 1ST W US,1607.0,1430.23,144.65,1607.0,482 CPT,19286,HC PLC BRST LOC DEV EA ADD/US,1662.0,1479.18,34.11,1662.0,719 CPT,19286,"PLACEMENT OF LOCATING DEVICE IN BREAST USING ULTRASOUND GUIDANCE, EACH ADDITIONAL GROWTH FACILITY",,,848.22,8810.21,19 CPT,19286,PR PLC BRST LOC DEV EA ADD/US,1213.0,1079.57,238.17,1213.0,482 CPT,19287,HC PLC BREAST LOC DEV MR GUID 1ST,3714.0,3305.46,100.91,3714.0,736 CPT,19287,"PLACEMENT OF LOCATING DEVICE IN BREAST USING MRI GUIDANCE, FIRST GROWTH FACILITY",,,100.91,2191.35,20 CPT,19287,PR PLC BREAST LOC DEV MR GUID 1ST,4322.0,3846.58,248.29,4322.0,482 CPT,19288,PR PLC BREAST LOC DEV MR GUID EA ADD,2603.0,2316.67,380.28,2603.0,482 CPT,19297,PLACEMENT OF EXPANDABLE TUBE IN BREAST FOR RADIATION TREATMENT USING IMAGING GUIDANCE WITH PARTIAL REMOVAL OF BREAST,,,73.91,8810.21,20 CPT,19297,PR PLC BRST CATH FOR RAD,664.0,590.96,60.31,664.0,482 CPT,19300,PR MASTECTOMY GYNECOMASTIA,3231.0,2875.59,253.42,3231.0,482 CPT,19300,REMOVAL OF EXTRA BREAST TISSUE IN MALE,,,403.57,5629.04,20 CPT,19301,PARTIAL REMOVAL OF BREAST PROFESSIONAL,,,579.2,5195.02,20 CPT,19301,PR MASTECTOMY PARTIAL,4100.0,3649.0,236.32,4100.0,482 CPT,19302,PARTIAL REMOVAL OF BREAST AND UNDERARM LYMPH NODES PROFESSIONAL,,,793.43,8810.21,20 CPT,19302,PR MAST PRTL W AXLRY LYMPHDEC,5657.0,5034.73,323.72,5657.0,482 CPT,19303,PR MASTECT SMPL COMPLT,7731.0,6880.59,341.27,7731.0,482 CPT,19303,SIMPLE COMPLETE REMOVAL OF BREAST PROFESSIONAL,,,836.43,20696.78,20 CPT,19305,"EXTENSIVE REMOVAL OF BREAST, CHEST MUSCLE, AND UNDERARM LYMPH NODES",,,1004.39,8810.21,20 CPT,19305,PR MAST RADCL INCL PECT MUS,6828.0,6076.92,409.79,6828.0,482 CPT,19307,PR MASTECT RADICAL MODIFIED,6613.0,5885.57,420.81,6613.0,482 CPT,19307,REMOVAL OF BREAST AND UNDERARM LYMPH NODES,,,1031.39,8810.21,20 CPT,19316,PR MASTOPEXY,7335.0,6528.15,280.57,7335.0,482 CPT,19316,REPAIR FOR SAGGING OF THE BREAST,,,687.67,9972.47,20 CPT,19318,BREAST REDUCTION PROFESSIONAL,,,921.14,9972.47,20 CPT,19318,PR BREAST REDUC,10120.0,9006.8,375.83,10120.0,482 CPT,19325,INSERTION OF BREAST IMPLANT,,,538.66,9627.58,20 CPT,19325,PR BREAST AUGMENT W IMPLNT,5535.0,4926.15,219.78,5535.0,482 CPT,19328,PR RMVL INTACT BRST IMPLNT,3968.0,3531.52,198.68,3968.0,482 CPT,19328,REMOVAL OF INTACT BREAST IMPLANT,,,486.96,5880.35,20 CPT,19330,PR RMVL RPTRD BRST IMPLNT,5204.0,4631.56,228.41,5204.0,482 CPT,19330,REMOVAL OF RUPTURED BREAST IMPLANT AND IMPLANT MATERIAL,,,559.83,12275.12,20 CPT,19340,PLACEMENT OF IMPLANT ON SAME DAY OF BREAST RECONSTRUCTION,,,662.31,20696.78,20 CPT,19340,PR IMMED INSRT BRST IMPLNT,8184.0,7283.76,270.22,8184.0,482 CPT,19342,PLACEMENT OF IMPLANT ON SEPARATE DAY OF BREAST RECONSTRUCTION,,,657.88,12275.12,20 CPT,19342,PR DELAYED INSRT/RPLC BRST IMPLNT,7003.0,6232.67,268.42,7003.0,482 CPT,19350,PR RCNST NIPPLE/AREOLA,6604.0,5877.56,355.06,6604.0,482 CPT,19350,RECONSTRUCTION OF NIPPLE OR AREA AROUND NIPPLE,,,584.29,5195.02,20 CPT,19357,PR RCNST BRST TISS EXPAND,14443.0,12854.27,417.53,14443.0,482 CPT,19357,RECONSTRUCTION OF BREAST USING TISSUE EXPANDER,,,1023.34,20696.78,20 CPT,19361,PR RCNST BRST W LAT DORSI FLAP,14488.0,12894.32,528.41,14488.0,482 CPT,19364,PR RCNST BRST W FREE FLAP,39858.0,35473.62,899.16,39858.0,482 CPT,19364,RECONSTRUCTION OF BREAST WITH TISSUE GRAFT,,,3923.84,6611.43,20 CPT,19367,PR RCNST BRST W TRAM FLAP,16669.0,14835.41,595.81,16669.0,482 CPT,19370,PR REV PERI CAPSULOTOMY BRST,5195.0,4623.55,238.27,5195.0,482 CPT,19370,REVISION OF CAPSULE AROUND BREAST IMPLANT,,,583.98,9972.47,20 CPT,19371,PR PERI IMPLT CAPSULECTOMY BRST COMPL,6994.0,6224.66,250.38,6994.0,482 CPT,19371,REMOVAL OF CAPSULE AROUND BREAST IMPLANT,,,613.67,10897.67,20 CPT,19380,PR REVISION OF RECONSTRUCTED BRST,6488.0,5774.32,284.14,6488.0,482 CPT,19380,SURGICAL CHANGE TO RECONSTRUCTED BREAST,,,696.42,10844.49,20 CPT,19499,PR MOLECULAR GUIDED BREAST BIOPSY,2983.0,2654.87,149.15,2983.0,477 CPT,19499,PR TOMO GUIDED BREAST BIOPSY,2983.0,2654.87,149.15,2983.0,477 CPT,19499,PR TOMO GUIDED BREAST LOC DEV,1355.0,1205.95,67.75,1355.0,477 CPT,19499,TOMO GUIDED BREAST BIOPSY - FACILITY,,,3923.84,5195.02,17 CPT,20100,PR EXPLR PNTRATE WND NK,3903.0,3473.67,202.96,3903.0,482 CPT,20101,PR EXPLR PNTRATE WND CHST,2523.0,2245.47,253.29,2523.0,482 CPT,20102,PR EXPLR PNTRATE WND ABD/FLNK/BCK,3092.0,2751.88,266.51,3092.0,482 CPT,20103,EXPLORATION OF WOUND OF ARM OR LEG FACILITY,,,295.56,2191.35,20 CPT,20103,HC EXPLR PNTRATE WND EXT,5277.0,4696.53,295.56,5277.0,736 CPT,20103,PR EXPLR PNTRATE WND EXT,3075.0,2736.75,236.28,3075.0,482 CPT,20150,PR EXCISE EPIPHYSEAL BAR,5948.0,5293.72,350.46,5948.0,482 CPT,20150,REMOVAL OF GROWTH PLATE,,,858.97,4341.31,20 CPT,20200,BIOPSY OF MUSCLE FACILITY,,,82.36,2191.35,21 CPT,20200,PR BX MUS SUPFCL,1063.0,946.07,97.27,1063.0,506 CPT,20205,DEEP BIOPSY OF MUSCLE,,,133.09,3853.99,21 CPT,20205,PR BX MUS DEEP,1421.0,1264.69,134.79,1421.0,482 CPT,20206,HC BX MUS PERC NDL,2812.0,2502.68,48.95,2812.0,741 CPT,20206,NEEDLE BIOPSY OF MUSCLE FACILITY,,,48.95,2191.35,21 CPT,20206,PR BX MUS PERC NDL,924.0,822.36,86.58,924.0,482 CPT,20220,BIOPSY OF BONE USING NEEDLE OR TROCAR FACILITY,,,72.98,2191.35,21 CPT,20220,HC BX BN TROCAR/NDL SUPFCL,2722.0,2422.58,72.98,2722.0,739 CPT,20220,PR BX BN TROCAR/NDL SUPFCL,840.0,747.6,91.34,840.0,482 CPT,20225,DEEP BIOPSY OF BONE USING NEEDLE OR TROCAR FACILITY,,,107.83,2191.35,21 CPT,20225,HC BX BN TROCAR/NDL DEEP,4020.0,3577.8,107.83,4020.0,740 CPT,20225,PR BX BN TROCAR/NDL DEEP,1995.0,1775.55,149.59,1995.0,482 CPT,20240,BIOPSY OF SURFACE BONE,,,120.46,3853.99,20 CPT,20240,PR BX BN OPN SUPFCL,1353.0,1204.17,49.15,1353.0,482 CPT,20245,BIOPSY OF DEEP BONE,,,280.7,3853.99,20 CPT,20245,PR BX BN OPN DEEP,3437.0,3058.93,114.53,3437.0,482 CPT,20251,PR BX VERTEBRAL BODY OPEN LUMB/CERV,4200.0,3738.0,158.04,4200.0,482 CPT,20501,HC INJ SINUS TRACT DX,843.0,750.27,29.53,843.0,719 CPT,20501,INJECTION OF ABNORMAL MUSCLE DRAINAGE TRACT FOR X-RAY STUDY FACILITY,,,29.53,724.99,20 CPT,20501,PR INJ SINUS TRACT DX,516.0,459.24,55.94,516.0,482 CPT,20520,PR RMVL FB MUS SMPL,964.0,857.96,93.05,964.0,482 CPT,20525,COMPLICATED REMOVAL OF FOREIGN BODY IN DEEP MUSCLE OR TENDON FACILITY,,,220.4,3853.99,20 CPT,20525,PR RMVL FB MUS DEEP/COMPLICATED,2943.0,2619.27,200.71,2943.0,482 CPT,20526,HC INJ THER CARPAL TUNNEL,801.0,712.89,45.81,801.0,1472 CPT,20526,INJECTION OF CARPAL TUNNEL FACILITY,,,45.81,2590.89,20 CPT,20526,PR INJ THER CARPAL TUNNEL,431.0,383.59,34.96,431.0,482 CPT,20527,HC INJ ENZYME PALMAR FASCIAL CORD,792.0,704.88,54.55,792.0,736 CPT,20527,INJECTION OF MEDICATION INTO PALM FACILITY,,,54.55,407.26,20 CPT,20527,PR INJ ENZYME PALMAR FASCIAL CORD,447.0,397.83,37.26,447.0,482 CPT,20550,HC INJ SNGL TNDN/SHTH/LGMNT,1010.0,898.9,31.46,1010.0,2208 CPT,20550,INJECTION INTO TENDON OR LIGAMENT FACILITY,,,31.46,460.99,20 CPT,20550,PR INJ SNGL TNDN/SHTH/LGMNT,303.0,269.67,24.2,303.0,484 CPT,20551,HC INJ SNGL TENDN ORIGIN/INS,483.0,429.87,31.36,483.0,2208 CPT,20551,INJECTION INTO TENDON AT ATTACHMENT TO BONE OR MUSCLE FACILITY,,,31.36,407.26,20 CPT,20551,PR INJ SNGL TENDN ORIGIN/INS,291.0,258.99,24.29,291.0,482 CPT,20552,HC INJ TRIGGER PNT<=2 MUS,687.0,611.43,34.44,687.0,2220 CPT,20552,"INJECTION OF TRIGGER POINTS, 1-2 MUSCLES FACILITY",,,34.44,407.26,21 CPT,20552,PR INJ TRIGGER PNT<=2 MUS,375.0,333.75,20.79,375.0,490 CPT,20553,HC INJ TRIGGER PNT >=3 MUS,887.0,789.43,39.27,887.0,1476 CPT,20553,"INJECTION OF TRIGGER POINTS, 3 OR MORE MUSCLES FACILITY",,,39.27,407.26,20 CPT,20553,PR INJ TRIGGER PNT >=3 MUS,434.0,386.26,24.02,434.0,488 CPT,20555,PR NDL PLCMNT MUS RADIOELE,2290.0,2038.1,110.46,2290.0,482 CPT,20560,PR NDL INSERT W/O INJECT; 1-2 MUSCLES PT,53.0,47.17,20.31,53.0,483 CPT,20561,PR NDL INSERT W/O INJECT; 3 OR MORE MUSCLES PT,85.0,75.65,31.0,85.0,484 CPT,20600,ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT FACILITY,,,29.73,2191.35,20 CPT,20600,HC ARTHCS ASP/INJ SM JT WO US,801.0,712.89,29.73,801.0,2948 CPT,20600,PR ARTHCS ASP/INJ SM JT WO US,311.0,276.79,22.51,311.0,482 CPT,20604,ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT USING ULTRASOUND GUIDANCE FACILITY,,,37.36,407.26,20 CPT,20604,HC ARTHCS ASP/INJ JOINT/BURSA W US,1225.0,1090.25,37.36,1225.0,2208 CPT,20604,PR ARTHCS ASP/INJ JOINT/BURSA W US,633.0,563.37,35.16,633.0,482 CPT,20605,ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT FACILITY,,,60.8,407.26,20 CPT,20605,HC ARTHCS ASP/INJ INT JT WO US,776.0,690.64,30.4,776.0,2948 CPT,20605,PR ARTHCS ASP/INJ INT JT WO US,323.0,287.47,19.48,323.0,507 CPT,20606,ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT USING ULTRASOUND GUIDANCE FACILITY,,,42.17,936.57,20 CPT,20606,HC ARTHCS ASP/INJ INT JT W US,1185.0,1054.65,42.17,1185.0,2948 CPT,20606,PR ARTHCS ASP/INJ INT JT W US,722.0,642.58,37.96,722.0,491 CPT,20610,ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT FACILITY,,,36.97,460.99,20 CPT,20610,HC ARTHCS ASP/INJ MJR JT WO US,759.0,675.51,36.97,759.0,2948 CPT,20610,PR ARTHCS ASP/INJ MJR JT WO US,371.0,330.19,23.19,371.0,514 CPT,20611,ASPIRATION AND/OR INJECTION OF FLUID LARGE JOINT USING ULTRASOUND GUIDANCE FACILITY,,,47.09,407.26,20 CPT,20611,HC ARTHCS ASP/INJ MJR JT W US,781.0,695.09,47.09,781.0,2211 CPT,20611,PR ARTHCS ASP/INJ MJR JT W US,851.0,757.39,35.64,851.0,508 CPT,20612,ASPIRATION AND/OR INJECTION OF CYST OF TENDON FACILITY,,,34.94,407.26,20 CPT,20612,HC ASP/INJ CYST GANGLION,466.0,414.74,34.94,466.0,1472 CPT,20612,PR ASP/INJ CYST GANGLION,341.0,303.49,27.3,341.0,482 CPT,20615,ASPIRATION AND INJECTION OF CYST OF BONE FACILITY,,,140.16,939.55,20 CPT,20615,HC ASP/INJ CYST BN,5016.0,4464.24,140.16,5016.0,736 CPT,20615,PR ASP/INJ CYST BN,1291.0,1148.99,101.36,1291.0,482 CPT,20650,HC INS WIRE/PIN APP TRACTION,8782.0,7815.98,153.18,8782.0,736 CPT,20650,PR INS WIRE/PIN APP TRACTION,806.0,717.34,100.08,806.0,482 CPT,20660,PR APP TONGS/CALIPER CRAN W RMVL,2275.0,2024.75,76.04,2275.0,482 CPT,20661,PR APP CRANIAL HALO INCL RMVL,3438.0,3059.82,212.75,3438.0,482 CPT,20664,PR APPL HALO 6/> PINS THIN SKULL,5944.0,5290.16,350.31,5944.0,482 CPT,20670,HC RMVL IMPLANT SUPERFICIAL,5660.0,5037.4,135.7,5660.0,739 CPT,20670,PR RMVL IMPLANT SUPERFICIAL,1689.0,1503.21,152.13,1689.0,482 CPT,20670,REMOVAL OF SURFACE IMPLANT FROM BONE FACILITY,,,135.7,2191.35,21 CPT,20680,HC RMVL IMPLANT DEEP,7687.0,6841.43,374.32,7687.0,742 CPT,20680,PR RMVL IMPLANT DEEP,2842.0,2529.38,252.43,2842.0,482 CPT,20680,REMOVAL OF DEEP IMPLANT FROM BONE PROFESSIONAL,,,374.32,3853.99,21 CPT,20690,PLACEMENT OF SINGLE DIRECTION EXTERNAL BONE STABILIZING DEVICE TO ARM OR LEG,,,510.95,9627.58,20 CPT,20690,PR APP UNIPLN EXTRNL FIX,3652.0,3250.28,208.47,3652.0,482 CPT,20692,PLACEMENT OF MULTIPLE DIRECTION EXTERNAL BONE STABILIZING DEVICE TO ARM OR LEG,,,990.39,17034.43,20 CPT,20692,PR APP MLTPLN EXTRNL FIX,5119.0,4555.91,404.08,5119.0,482 CPT,20693,PR ADJUST EXTRNL FIX W ANES,2861.0,2546.29,167.65,2861.0,482 CPT,20693,REVISION OF EXTERNAL BONE STABILIZING DEVICE UNDER ANESTHESIA,,,410.9,9627.58,20 CPT,20694,HC RMVL EXTRNL FIX W ANES,6361.0,5661.29,314.47,6361.0,736 CPT,20694,PR RMVL EXTRNL FIX W ANES,2518.0,2241.02,184.4,2518.0,482 CPT,20694,REMOVAL OF EXTERNAL BONE STABILIZING DEVICE UNDER ANESTHESIA,,,314.47,9627.58,20 CPT,20696,PR APP MLTPLN EXT FIX W SCAA,6981.0,6213.09,408.95,6981.0,482 CPT,20700,INSERTION OF DRUG-DELIVERY DEVICE IN DEEP TISSUE,,,119.28,3853.99,20 CPT,20700,"PR INSERT DRUG-DELVRY DEVICE(S), DEEP (EG, SUBFSCL), ADD",731.0,650.59,64.89,731.0,482 CPT,20701,"PR RMVL DRUG-DELVRY DEVICE(S), DEEP (EG, SUBFSCL), ADD",564.0,501.96,50.18,564.0,482 CPT,20701,REMOVAL OF DRUG-DELIVERY DEVICES FROM BENEATH FIBROUS COVERING OF MUSCLE,,,92.25,4701.83,20 CPT,20702,INSERTION OF DRUG-DELIVERY DEVICE IN BONE,,,206.85,3853.99,20 CPT,20702,"PR INSERT OF DRUG DELVRY DEVICE(S), INTRAMEDULLARY, ADD",1202.0,1069.78,112.53,1202.0,482 CPT,20703,"PR RMVL DRUG-DELVRY DEVICE(S), INTRAMEDULLARY, ADD",896.0,797.44,82.16,896.0,482 CPT,20703,REMOVAL OF DRUG-DELIVERY DEVICES FROM MARROW CAVITY OF BONE,,,151.04,9627.58,20 CPT,20704,INSERTION OF DRUG-DELIVERY DEVICE IN JOINT,,,217.83,4341.31,20 CPT,20704,"PR INSERT DRUG-DELVRY DEVICE(S), INTRA-ARTICLR, ADD",1250.0,1112.5,118.5,1250.0,482 CPT,20705,"PR RMVL DRUG-DELVRY DEVICE(S), INTRA-ARTICLR, ADD",1034.0,920.26,97.45,1034.0,482 CPT,20705,REMOVAL OF DRUG-DELIVERY DEVICES INTO JOINT,,,179.13,4341.31,20 CPT,20816,PR RPLNT DGT MCP TO INS FLX TDN,14883.0,13245.87,692.16,14883.0,482 CPT,20822,PR RPLNT DGT DIST TIP TO SUB TDN,11066.0,9848.74,607.2,11066.0,482 CPT,20900,HARVEST OF GRAFT FROM SMALL BONE PROFESSIONAL,,,150.73,9627.58,20 CPT,20900,PR GRFT BN ANY AREA MINOR/SML,2478.0,2205.42,161.2,2478.0,482 CPT,20902,HARVEST OF GRAFT FROM LARGE BONE,,,224.18,17034.43,20 CPT,20902,PR GRFT BN ANY AREA MJR/LRG,3023.0,2690.47,91.47,3023.0,482 CPT,20910,PR CARTILAGE GRAFT COSTOCHONDRAL,3307.0,2943.23,181.16,3307.0,482 CPT,20910,RIB CARTILAGE GRAFT,,,444.02,7854.46,20 CPT,20912,GRAFT OF NOSE CARTILAGE,,,417.17,7854.46,20 CPT,20912,PR GRFT CRTLG NASAL SEPTUM,3381.0,3009.09,170.21,3381.0,482 CPT,20920,PR GRFT FASCIA LATA BY STRIPPER,2293.0,2040.77,140.17,2293.0,482 CPT,20920,REMOVAL OF DEEP THIGH TISSUE FOR GRAFT,,,343.55,3154.46,20 CPT,20922,INCISION OF DEEP THIGH TISSUE FOR GRAFT,,,440.75,7854.46,20 CPT,20922,PR GRFT FASCIA LATA INCISN CMPLX,4415.0,3929.35,258.22,4415.0,482 CPT,20924,PR GRFT TNDN FROM DISTANCE,3729.0,3318.81,182.44,3729.0,482 CPT,20924,TENDON GRAFT,,,447.16,9627.58,20 CPT,20930,PLACEMENT OF FRAGMENTED BONE GRAFT OR MATERIAL TO SPINE TO PROMOTE BONE GROWTH,,,1516.97,36001.56,20 CPT,20930,PR ALLOGRAFT MORSEL SPINE SURG,1279.0,1138.31,1125.52,1279.0,423 CPT,20931,GRAFT OF DONOR BONE TO SPINE,,,84.9,17034.43,20 CPT,20931,PR ALLOGRAFT STRUCTURE SPINE SURG,1211.0,1077.79,69.28,1211.0,482 CPT,20932,PR OSTEOART ALGRFT W/SURF & B1,5969.0,5312.41,480.68,5969.0,482 CPT,20934,PR INTERCALARY ALGRFT COMPL,5875.0,5228.75,480.68,5875.0,482 CPT,20936,HARVEST OF BONE FROM SAME SPINE INCISION FOR GRAFT,,,1325.9,23263.96,20 CPT,20936,PR AUTOGRAFT LOCAL SPINE SURG,2003.0,1782.67,1762.64,2003.0,423 CPT,20937,HARVEST OF BONE FRAGMENT FOR SPINE BONE GRAFT,,,129.59,36001.56,20 CPT,20937,PR AUTOGRAFT MORSEL SPINE SURG SEP,2208.0,1965.12,105.75,2208.0,482 CPT,20938,PR AUTOGRAFT SPINE SURG STRCT/BI/TRICORT,2364.0,2103.96,115.64,2364.0,482 CPT,20939,ASPIRATION OF BONE MARROW FOR SPINE BONE GRAFT,,,80.73,36001.56,20 CPT,20939,PR BONE MARROW ASPIR BONE GRFG,503.0,447.67,43.92,503.0,482 CPT,20950,PR MONITOR INTERSTITIAL FLUID PRSR,1434.0,1276.26,114.13,1434.0,482 CPT,20955,PR GRFT BN FIBULA MICROVASC ANAST,17166.0,15277.74,863.72,17166.0,482 CPT,20962,BONE GRAFT WITH MICROVASCULAR CONNECTION,,,2262.1,9627.58,20 CPT,20962,PR GRFT BN NOT FIBULA MICROVASC ANAST,13249.0,11791.61,922.94,13249.0,482 CPT,20969,PR FREE OSTQ FLAP W MICROVASC GR TOE,20403.0,18158.67,889.38,20403.0,482 CPT,20970,PR OSTEOCUTANEOUS FLAP W ANAST ILIAC,23588.0,20993.32,956.84,23588.0,482 CPT,20982,DESTRUCTION OF GROWTHS AND ADJACENT SOFT TISSUE FACILITY,,,297.91,23263.96,21 CPT,20982,HC ABLATION BN TMR RADIOFREQUENCY,14632.0,13022.48,297.91,23263.96,739 CPT,20982,PR ABLATION BN TMR RADIOFREQUENCY,10449.0,9299.61,1448.52,10449.0,482 CPT,20983,FREEZING OF GROWTH OF BONE AND ADJACENT SOFT TISSUE FACILITY,,,284.57,9627.58,21 CPT,20983,HC ABLT THRPY REDUC/ERADCTN BN TMR,11747.0,10454.83,284.57,11747.0,738 CPT,20983,PR ABLATION BN TMR CRYOABLATION,13696.0,12189.44,2048.73,13696.0,482 CPT,20985,PR CASN PROC MUSSKL NO IMG,914.0,813.46,92.13,914.0,464 CPT,20999,PR BARBOTAGE PROC,4345.0,3867.05,217.25,4345.0,478 CPT,20999,PR EXTRCRPL MAGTRANSDUCT THER (EMTT),50.0,44.5,2.5,50.0,478 CPT,20999,UNLISTED PROC MUSCKELTAL SYS - FACILITY,,,583.98,5195.02,19 CPT,21010,INCISION OF JAW JOINT,,,643.59,4398.97,20 CPT,21010,PR ARTHROTOMY TMJ,4403.0,3918.67,262.59,4403.0,482 CPT,21011,HC EXCISN TMR FACE/SCLP SUBQ <2CM,6497.0,5782.33,241.62,6497.0,736 CPT,21011,PR EXCISN TMR FACE/SCLP SUBQ <2CM,1779.0,1583.31,159.44,1779.0,489 CPT,21011,"REMOVAL OF GROWTH UNDER SKIN OF FACE OR SCALP, LESS THAN 2.0 CM FACILITY",,,241.62,2191.35,20 CPT,21012,HC EXCISN TMR FACE/SCLP SUBQ>=2CM,6621.0,5892.69,306.9,6621.0,736 CPT,21012,PR EXCISN TMR FACE/SCLP SUBQ>=2CM,1877.0,1670.53,125.22,1877.0,483 CPT,21012,"REMOVAL OF GROWTH UNDER SKIN OF FACE OR SCALP, 2.0 CM OR MORE FACILITY",,,306.9,2191.35,20 CPT,21013,HC EXCISN TMR FACE/SCALP SUBFAS <2CM,13627.0,12128.03,353.43,13627.0,736 CPT,21013,PR EXCISN TMR FACE/SCALP SUBFAS <2CM,2542.0,2262.38,225.53,2542.0,482 CPT,21013,"REMOVAL OF GROWTH OF MUSCLE OF FACE OR SCALP, LESS THAN 2.0 CM PROFESSIONAL",,,353.43,3154.46,20 CPT,21014,HC EXCISN TMR FACE/SCALP SUBFAS >=2CM,6792.0,6044.88,455.18,6792.0,737 CPT,21014,PR EXCISN TMR FACE/SCALP SUBFAS >=2CM,2768.0,2463.52,185.72,2768.0,482 CPT,21014,"REMOVAL OF GROWTH OF MUSCLE OF FACE OR SCALP, 2.0 CM OR MORE FACILITY",,,455.18,4398.97,20 CPT,21016,PR RADCL RSECT TMR FACE/SCLP>=2CM,6649.0,5917.61,345.13,6649.0,482 CPT,21025,PR EXCISN BN MAND,4323.0,3847.47,335.73,4323.0,482 CPT,21025,REMOVAL OF LOWER JAW BONE,,,589.82,7854.46,21 CPT,21026,PR EXCISN BN FACIAL,3184.0,2833.76,232.21,3184.0,482 CPT,21026,REMOVAL OF FACE BONE-EXPRESS CARE,,,401.75,7854.46,20 CPT,21029,PR RMVL CONTOURING BN TMR FACIAL,4505.0,4009.45,324.88,4505.0,482 CPT,21029,REMOVAL OF GROWTH OF FACE BONE,,,546.74,4979.29,20 CPT,21030,PR EXCISN TMR BEN E&C,2339.0,2081.71,192.04,2339.0,482 CPT,21030,REMOVAL OF GROWTH OR CYST OF JAW OR UPPER CHEEK,,,327.36,7854.46,20 CPT,21031,PR EXCISN TORUS MANDIBULARIS,1824.0,1623.36,157.94,1824.0,506 CPT,21031,REMOVAL OF BONY GROWTH OF JAW BONE INSIDE MOUTH,,,246.87,8890.63,20 CPT,21032,PR EXCISN MAXILLARY TORUS PALATIN,1822.0,1621.58,155.54,1822.0,482 CPT,21032,REMOVAL OF BONY GROWTH OF UPPER JAW BONE INSIDE MOUTH,,,237.56,4398.97,20 CPT,21034,PR EXCISN TMR MLG MAXILLA/ZYGOMA,6822.0,6071.58,516.48,6822.0,482 CPT,21034,REMOVAL OF GROWTH OF UPPER JAW OR UPPER CHEEK BONE,,,939.03,7854.46,20 CPT,21040,PR EXCISN TMR MANDIBLE BN ENUC,1817.0,1617.13,193.72,1817.0,482 CPT,21040,REMOVAL OF GROWTH OR CYST OF LOWER JAW BONE,,,328.39,4398.97,20 CPT,21044,PR EXCISN LESN MLG MAND,5986.0,5327.54,297.71,5986.0,482 CPT,21044,REMOVAL OF GROWTH OF LOWER JAW BONE,,,729.68,7854.46,21 CPT,21045,PR EXCISN MLG TMR MAND RADICAL,7252.0,6454.28,411.36,7252.0,482 CPT,21046,PR EXCISN BEN TMR MAND INTRAORAL,5743.0,5111.27,354.58,5743.0,482 CPT,21046,REMOVAL OF GROWTH OR CYST OF LOWER JAW BONE THROUGH MOUTH,,,869.07,7854.46,20 CPT,21047,PR EXCISN BEN TMR MAND EXTRAORAL,10099.0,8988.11,418.15,10099.0,482 CPT,21047,REMOVAL OF GROWTH OR CYST OF PART OF LOWER JAW BONE,,,2049.74,7854.46,20 CPT,21048,PR EXCISN TMR BEN MAXL IO OSTEO,5767.0,5132.63,357.47,5767.0,482 CPT,21048,REMOVAL OF GROWTH OR CYST OF UPPER JAW BONE THROUGH MOUTH,,,876.15,7854.46,20 CPT,21049,PR EXCISN TMR BEN EO/PRTL MAXL,9112.0,8109.68,396.66,9112.0,482 CPT,21050,PR REMOVAL OF JAW JOINT,4961.0,4415.29,313.05,4961.0,482 CPT,21050,REMOVAL OF ROUNDED ENDS OF LOWER JAW JOINT BONE,,,767.27,7854.46,20 CPT,21060,PR MENISCECTOMY JAW JT PRTL/COMPLT,5942.0,5288.38,281.36,5942.0,482 CPT,21060,REMOVAL OF LOWER JAW JOINT BONE TISSUE,,,689.61,7854.46,20 CPT,21070,PARTIAL REMOVAL OF LOWER JAW BONE,,,517.5,8890.63,20 CPT,21070,PR CORONOIDECTOMY SEPARATE PROC,4407.0,3922.23,211.14,4407.0,482 CPT,21073,MANIPULATION OF HINGED JOINTS OF UPPER AND LOWER JAW BONES UNDER ANESTHESIA,,,214.93,4341.31,20 CPT,21073,PR MANIP OF TMJ THER W ANES,1579.0,1405.31,174.35,1579.0,482 CPT,21076,PR IMPRESS&PREP OBTURATOR PROSTH,5150.0,4583.5,364.34,5150.0,507 CPT,21076,PREPARATION OF TEMPORARY PROSTHESIS TO CLOSE AN OPENING IN MOUTH,,,592.94,7854.46,20 CPT,21079,IMPRESSION AND CUSTOM PREPARATION OF TEMPORARY ORAL PROSTHESIS,,,982.64,7854.46,20 CPT,21079,PR IMPRESS&PREP INTERIM OBTURATOR - NEW,8797.0,7829.33,604.81,8797.0,508 CPT,21080,PR IMPRESS&PREP DEFINIT OBTURATOR - NEW,11898.0,10589.22,687.52,11898.0,494 CPT,21081,PR IMPR&PRP MAND RES <=4 W/IMPLNT BAR,13370.0,11899.3,632.89,13370.0,485 CPT,21081,PR IMPR&PRP MAND RES >=5 W/IMPLNT BAR,15729.0,13998.81,632.89,15729.0,485 CPT,21081,PR IMPRESS&PREP MANDIBULAR RES <=4,9859.0,8774.51,632.89,9859.0,509 CPT,21081,PR IMPRESS&PREP MANDIBULAR RES >=5,11599.0,10323.11,632.89,11599.0,509 CPT,21082,PR IMPRESS&PREP PALATAL AUGMENT,9700.0,8633.0,597.06,9700.0,506 CPT,21083,PR IMPRESS&PREP PALATAL LIFT,6820.0,6069.8,563.8,6820.0,491 CPT,21084,PR IMPRESS&PREP SPEECH AID PROSTH - ADULT,11534.0,10265.26,642.55,11534.0,482 CPT,21085,IMPRESSION AND CUSTOM PREPARATION OF ORAL SURGICAL SPLINT,,,407.64,7854.46,21 CPT,21085,PR GUNNING SPLINT,748.0,665.72,283.97,748.0,483 CPT,21085,PR IMPRESS&CUST ORAL SURG SPLINT,2670.0,2376.3,283.97,2670.0,507 CPT,21085,PR IMPRESS&PREP IMPLNT TISSUE BOLSTER,801.0,712.89,283.97,801.0,507 CPT,21085,PR IMPRESS&PREP PALATAL STENT,854.0,760.06,283.97,854.0,483 CPT,21086,PR IMPRESS&PREP AURICULAR PROSTH - NEW,16671.0,14837.19,646.03,16671.0,482 CPT,21088,PR IMPRESS&PREP FACIAL PROSTH - NEW,10697.0,9520.33,1069.7,10697.0,477 CPT,21089,PR FLUORIDE APPL TRAY ONE ARCH,248.0,220.72,24.8,248.0,483 CPT,21089,PR FLUORIDE APPL TRAYS UPPER & LOWER,496.0,441.44,49.6,496.0,483 CPT,21089,PR IMPRESS&PREP MAXILLARY RES <=4,9859.0,8774.51,985.9,9859.0,483 CPT,21089,PR IMPRESS&PREP MAXILLARY RES >=5,11599.0,10323.11,1159.9,11599.0,483 CPT,21089,PR IMPRESS&PREP PALATAL LIFT - INTERIM,5175.0,4605.75,517.5,5175.0,483 CPT,21089,PR IMPRESS&PREP PALATAL LIFT -MOD SIMPLE,987.0,878.43,98.7,987.0,483 CPT,21089,PR IMPRESS&PREP PALATAL LIFT-MOD COMPLEX,1974.0,1756.86,197.4,1974.0,483 CPT,21089,PR IMPRSS&PRP AURICULAR PROSTH - REPAIR,5403.0,4808.67,540.3,5403.0,483 CPT,21089,PR IMPRSS&PRP AURICULAR PROSTH - REPLACE,8105.0,7213.45,810.5,8105.0,483 CPT,21089,PR IMPRSS&PRP DEFINIT OBTRTR REPAIR - 4TO6 TEETH RPLCMNT,822.0,731.58,82.2,822.0,483 CPT,21089,PR IMPRSS&PRP FACIAL PROSTH - REPAIR,5403.0,4808.67,540.3,5403.0,483 CPT,21089,PR IMPRSS&PRP FACIAL PROSTH - REPLACE,8105.0,7213.45,810.5,8105.0,483 CPT,21089,PR IMPRSS&PRP INTERIM DEFINIT REPAIR - 1TO3 TEETH RPLCMNT,574.0,510.86,57.4,574.0,483 CPT,21089,PR IMPRSS&PRP INTERIM DEFINIT REPAIR - SIMPLE,310.0,275.9,31.0,310.0,483 CPT,21089,PR IMPRSS&PRP INTERIM OBTRTR REPAIR - 1TO3 TEETH RPLCMNT,574.0,510.86,57.4,574.0,483 CPT,21089,PR IMPRSS&PRP INTERIM OBTRTR REPAIR - 4TO6 TEETH RPLCMNT,822.0,731.58,82.2,822.0,483 CPT,21089,PR IMPRSS&PRP INTERIM OBTRTR REPAIR - SIMPLE,310.0,275.9,31.0,310.0,483 CPT,21089,PR IMPRSS&PRP NASAL PROSTH - REPAIR,5403.0,4808.67,540.3,5403.0,483 CPT,21089,PR IMPRSS&PRP NASAL PROSTH - REPLACE,8105.0,7213.45,810.5,8105.0,483 CPT,21089,PR IMPRSS&PRP ORBITAL PROSTH - REPAIR,5403.0,4808.67,540.3,5403.0,483 CPT,21089,PR IMPRSS&PRP ORBITAL PROSTH - REPLACE,8105.0,7213.45,810.5,8105.0,483 CPT,21089,PR INTERIM FXD RES PROSTH - MANDIBLE,5175.0,4605.75,517.5,5175.0,483 CPT,21089,PR INTERIM FXD RES PROSTH - MAXILLARY,5175.0,4605.75,517.5,5175.0,483 CPT,21089,PR INTERIM REMVBL RES PROSTH - MANDIBLE,1377.0,1225.53,137.7,1377.0,483 CPT,21089,PR INTERIM REMVBL RES PROSTH - MAXILLARY,1377.0,1225.53,137.7,1377.0,483 CPT,21089,PR LAB REBASE FXD RES PROSTH - CMPLT ARCH,1303.0,1159.67,130.3,1303.0,483 CPT,21089,PR LAB REBASE FXD RES PROSTH - PRTL ARCH,1108.0,986.12,110.8,1108.0,483 CPT,21089,PR LAB RELINE DEFNTV RMVBL RES PROSTH - CMPLT ARCH,793.0,705.77,79.3,793.0,483 CPT,21089,PR LAB RELINE DEFNTV RMVBL RES PROSTH - PRTL ARCH,674.0,599.86,67.4,674.0,483 CPT,21089,PR MAX IMPLT BAR W/ RMVBLE RES PROSTH <=5,15729.0,13998.81,1572.9,15729.0,483 CPT,21089,PR MAX IMPLT BAR W/ RMVBLE RES PROSTH >=4,13370.0,11899.3,1337.0,13370.0,483 CPT,21089,PR MOD DEFINITIVE OBTURATOR - CMPLX,1974.0,1756.86,197.4,1974.0,483 CPT,21089,PR MOD DEFINITIVE OBTURATOR - SMPL,987.0,878.43,98.7,987.0,483 CPT,21089,PR MOD INTERIM OBTURATOR - COMPLEX,1648.0,1466.72,164.8,1648.0,483 CPT,21089,PR MOD INTERIM OBTURATOR - SIMPLE,824.0,733.36,82.4,824.0,483 CPT,21089,PR MOD SURGICAL OBTURATOR,661.0,588.29,66.1,661.0,483 CPT,21089,PR NAM THERAPY,4874.0,4337.86,487.4,4874.0,483 CPT,21089,PR ORAL RADIATION SHIELD,2076.0,1847.64,207.6,2076.0,483 CPT,21089,PR REPAIR RMVBL RES PROSTH - 1TO3 TEETH W/WO CLASP,1110.0,987.9,111.0,1110.0,483 CPT,21089,PR REPAIR RMVBL RES PROSTH - 4TO6 TEETH W/WO CLASP,1661.0,1478.29,166.1,1661.0,483 CPT,21089,PR REPAIR RMVBL RES PROSTH - ACRYLIC RESIN ONLAY W/WO CLASP,619.0,550.91,61.9,619.0,483 CPT,21089,PR RMVL & RNSRTN FXD RES PROSTH - 1 ARCH,558.0,496.62,55.8,558.0,483 CPT,21089,PR RMVL & RNSRTN FXD RES PROSTH - 2 ARCHES,1116.0,993.24,111.6,1116.0,483 CPT,21089,PR SEMI-PRECSN ABUTMNT -INITIAL PLCMNT 1-3,723.0,643.47,72.3,723.0,483 CPT,21089,PR SEMI-PRECSN ABUTMNT -INITIAL PLCMNT >=4,1157.0,1029.73,115.7,1157.0,483 CPT,21089,PR SEMI-PRECSN ABUTMNT ATTCHMT/PCKUP MFP PROSTH -1TO2 ABTMNT,1808.0,1609.12,180.8,1808.0,483 CPT,21089,PR SEMI-PRECSN ABUTMNT ATTCHMT/PCKUP MFP PROSTH ->=3 ABTMNT,3616.0,3218.24,361.6,3616.0,483 CPT,21089,PR SPEECH AID PROSTH - MOD COMPLEX,1974.0,1756.86,197.4,1974.0,483 CPT,21089,PR SPEECH AID PROSTH - MOD SIMPLE,987.0,878.43,98.7,987.0,483 CPT,21089,PR THERMOPLASTIC-BSD INTERIM RMVBL PROSTH,413.0,367.57,41.3,413.0,483 CPT,21089,UNLISTED PROC MAXILLOFAC PROSTH,,,8.09,314.25,19 CPT,21110,APPLICATION AND REMOVAL OF DENTAL FIXATION DEVICE,,,335.21,1006.83,20 CPT,21110,PR APP INTERDENTAL FIXATION DEVICE,3147.0,2800.83,357.02,3147.0,482 CPT,21120,IMPLANTATION OF GRAFT TO ENLARGE CHIN BONE,,,475.49,7854.46,20 CPT,21120,PR GENIOPLASTY AUGMENTATION,4844.0,4311.16,289.22,4844.0,482 CPT,21121,ENLARGEMENT OF CHIN BY MOVEMENT OF BONE,,,472.44,7854.46,20 CPT,21121,PR GENIOPLASTY-SLIDING OSTEOTOMY,7103.0,6321.67,261.19,7103.0,482 CPT,21122,ENLARGEMENT OF CHIN BY MOVEMENT OF MULTIPLE BONES,,,673.72,7854.46,20 CPT,21122,PR GENIOPLASTY >=2 SLIDING OSTEOT,9028.0,8034.92,274.88,9028.0,482 CPT,21125,ENLARGEMENT OF LOWER JAW WITH IMPLANT,,,583.3,7854.46,20 CPT,21137,PR REDUCT FOREHEAD CONTOUR ONLY,7698.0,6851.22,265.19,7698.0,482 CPT,21137,REPAIR OF BONY DEFECT OF FOREHEAD,,,649.96,8202.17,20 CPT,21139,PR RDUCT FRHEAD CNTR&SETBK FRNT SINUS,10667.0,9493.63,380.3,10667.0,482 CPT,21139,REPAIR OF FRONTAL SINUS THROUGH FOREHEAD,,,1864.2,7854.46,20 CPT,21141,PR RCNST MIDFACE WO BN GRFT,12749.0,11346.61,472.24,12749.0,482 CPT,21141,RECONSTRUCTION OF UPPER JAW AND MIDFACE BONES,,,1157.44,7854.46,20 CPT,21142,PR LEFORT I-2 PIECE WO GRFT,13838.0,12315.82,483.34,13838.0,482 CPT,21142,"REPAIR OF MIDFACE BONES, 2 BONES",,,1184.66,7854.46,20 CPT,21143,PR LEFORT I-3/> PIECE WO GRAFT,15185.0,13514.65,496.81,15185.0,482 CPT,21143,"REPAIR OF MIDFACE BONES, 3 OR MORE BONES",,,1217.67,7854.46,20 CPT,21145,PR LEFORT I-1 PIECE W GRAFT,16255.0,14466.95,540.92,16255.0,482 CPT,21145,"RECONSTRUCTION OF MIDFACE BONES WITH BONE GRAFT, SINGLE PIECE (LEFORT I)",,,1325.79,7854.46,20 CPT,21146,PR LEFORT I-2 PIECE W GRAFT,14613.0,13005.57,565.35,14613.0,482 CPT,21146,"REPAIR OF MIDFACE BONES WITH BONE GRAFT, 2 BONES",,,1385.65,7854.46,20 CPT,21147,PR LEFORT I-3/> PIECE W GRAFT,15306.0,13622.34,592.77,15306.0,482 CPT,21147,"REPAIR OF MIDFACE BONES WITH BONE GRAFT, 3 OR MORE BONES",,,1452.85,7854.46,20 CPT,21154,PR RCNST MIDFACE ANY WO LEFORT I,14678.0,13063.42,646.07,14678.0,482 CPT,21175,PR RCNST BIF SUPR LAT ORB&LWR FHD,20367.0,18126.63,737.41,20367.0,482 CPT,21179,PR RCNST ENTIRE FOREHEAD,12674.0,11279.86,514.18,12674.0,482 CPT,21181,PR RMVL BY CONTOUR BENIGN TUMOR,4968.0,4421.52,259.88,4968.0,482 CPT,21196,PR RCNST LWR JAW W FIXATION,16121.0,14347.69,506.87,16121.0,482 CPT,21196,RECONSTRUCTION OF JAW BONES WITH INSERTION OF HARDWARE,,,1242.33,7854.46,21 CPT,21198,INCISION OR PARTIAL REMOVAL OF LOWER JAW BONE,,,871.14,7854.46,20 CPT,21198,PR OSTEOTOMY MANDIBLE SEGMENTAL,9521.0,8473.69,355.43,9521.0,482 CPT,21199,INCISION OR PARTIAL REMOVAL OF LOWER JAW BONE AND MOVEMENT OF TONGUE MUSCLE,,,858.62,7854.46,20 CPT,21199,PR RCNST LWR JAW W ADVANCE,9014.0,8022.46,350.32,9014.0,482 CPT,21206,PR OSTEOTOMY MAXILLA SEGMENTAL,8655.0,7702.95,343.11,8655.0,482 CPT,21208,INCISION AND REPAIR OF BONY DEFECT OF CHEEK BONE WITH REPOSITIONING OF BONY SEGMENT,,,647.29,7854.46,20 CPT,21209,INCISION AND REPAIR OF BONY DEFECT OF CHEEK BONE INCLUDING BONY SEGMENT REDUCTION,,,539.35,7854.46,20 CPT,21209,PR OSTEOPLASTY FACIAL BNS RED,4739.0,4217.71,324.39,4739.0,482 CPT,21210,PR GRFT BN NASAL/MAXILLARY,4147.0,3690.83,735.13,4147.0,482 CPT,21210,REPAIR OF NASAL OR CHEEK BONE WITH BONE GRAFT,,,669.32,7854.46,20 CPT,21215,PR GRFT BN MAND,4569.0,4066.41,1710.91,4569.0,482 CPT,21215,REPAIR OF LOWER JAW BONE WITH BONE GRAFT,,,695.28,7854.46,20 CPT,21230,HARVEST OF RIB CARTILAGE FOR GRAFTING,,,625.4,7854.46,20 CPT,21230,PR GRFT RIB CRTLG AUTOGENOUS,6956.0,6190.84,255.17,6956.0,482 CPT,21235,HC GRFT EAR CRTLG AUTOGENOUS,10212.0,9088.68,488.65,10212.0,739 CPT,21235,OBTAINING EAR CARTILAGE FOR GRAFTING FACILITY,,,488.65,7854.46,21 CPT,21235,PR GRFT EAR CRTLG AUTOGENOUS,5127.0,4563.03,296.41,5127.0,482 CPT,21240,PR ARTHRO TMJ W/WO AUTOGRFT,10085.0,8975.65,368.98,10085.0,482 CPT,21240,REPAIR OF HINGED JOINT OF UPPER AND LOWER JAW BONES,,,904.35,7854.46,20 CPT,21243,PR ARTHRO TMPMAND JT W PROSTH RPLC,17214.0,15320.46,569.18,17214.0,482 CPT,21243,REPAIR OF HINGED JOINT OF UPPER AND LOWER JAW BONES WITH PROSTHESIS,,,1395.04,36001.56,20 CPT,21244,PR RCNST EXT MAND W TXOST BN PLT,8758.0,7794.62,352.17,8758.0,482 CPT,21245,PARTIAL REPAIR OF LOWER JAW OR CHEEK BONE WITH IMPLANT,,,834.21,7854.46,20 CPT,21245,PR RCNST MNDBL SUBOST IMPL PRTL,6684.0,5948.76,516.49,6684.0,482 CPT,21246,COMPLETE RECONSTRUCTION OF LOWER OR UPPER JAW BONE WITH JAW BONE IMPLANT (SUBPERIOSTEAL),,,733.15,7854.46,20 CPT,21246,PR ARTHROPLASTY MANDIB/MAX COMPLT,5535.0,4926.15,299.13,5535.0,482 CPT,21248,RECONSTRUCTION OF PART OF LOWER OR UPPER JAW BONE WITH IMPLANT,,,697.51,7854.46,20 CPT,21249,COMPLETE RECONSTRUCTION OF LOWER OR UPPER JAW BONE WITH JAW BONE IMPLANT (ENDOSTEAL),,,965.4,7854.46,20 CPT,21256,PR RCNST ORBIT W OSTEOT & BN GRFT,10663.0,9490.07,429.41,10663.0,482 CPT,21256,RECONSTRUCTION OF EYE SOCKET BONE WITH BONE GRAFT,,,1052.47,7854.46,20 CPT,21270,INSERTION OF PROSTHETIC MATERIAL TO ENLARGE CHEEK BONE,,,637.91,7854.46,20 CPT,21270,PR MALAR AUGMENT PROSTH MATRL,6359.0,5659.51,440.32,6359.0,482 CPT,21280,PR MEDIAL CANTHOPEXY SEP PROC,5014.0,4462.46,210.32,5014.0,482 CPT,21280,TIGHTENING OF TENDON OF INNER PORT OF LOWER EYELID PROFESSIONAL,,,515.49,4398.97,20 CPT,21282,PR CANTHOPEXY LAT,3720.0,3310.8,148.36,3720.0,482 CPT,21282,TIGHTENING OF TENDON OF OUTER EDGE OF LOWER EYELID,,,363.61,4398.97,20 CPT,21299,PR ZYGOMATIC IMPLANTS BILATERAL,9539.0,8489.71,476.95,9539.0,477 CPT,21299,PR ZYGOMATIC IMPLANTS UNILATERAL,6359.0,5659.51,317.95,6359.0,477 CPT,21299,UNLISTED PROC CRANIO & MAXILLOFAC FACILITY,,,80.73,314.25,19 CPT,21315,HC CLSD TX NASAL FX WO STABL,4774.0,4248.86,50.51,4774.0,736 CPT,21315,PR CLSD TX NASAL FX WO STABL,1394.0,1240.66,65.2,1394.0,482 CPT,21320,CLOSED TREATMENT OF BROKEN NOSE BONE WITH PLACEMENT OF STABILIZING DEVICE,,,77.07,4398.97,20 CPT,21320,PR CLSD TX NASAL FX W STABL,1813.0,1613.57,89.78,1813.0,482 CPT,21325,PR OPN TX NASAL FX UNCOMP,2670.0,2376.3,166.1,2670.0,482 CPT,21330,PR OPN TX NASAL FX COMPLT W FIX,4632.0,4122.48,195.33,4632.0,482 CPT,21335,PR OPEN TX NOSE & SEPTAL FX,6528.0,5809.92,255.7,6528.0,482 CPT,21335,TREATMENT OF BROKEN NOSE BONE AND TISSUE SEPARATING NOSE AIRWAYS,,,626.72,4398.97,20 CPT,21337,CLOSED TREATMENT OF BROKEN BONE SEPARATING NOSE AIRWAYS,,,274.63,4398.97,20 CPT,21337,PR CLSD TX NSL FX SEPT W/WO STABL,2256.0,2007.84,172.77,2256.0,482 CPT,21338,PR OPEN NASOETHMOID FX WO FIX,4512.0,4015.68,250.67,4512.0,482 CPT,21343,PR OPN TX DEPRSD FRNTL SINUS FX,8020.0,7137.8,383.19,8020.0,482 CPT,21343,TREATMENT OF DEPRESSED BROKEN FRONT SINUS BONE,,,939.19,7854.46,20 CPT,21344,PR OPN TX FRNT SINUS FX CMPLX,12065.0,10737.85,471.51,12065.0,482 CPT,21344,TREATMENT OF COMPLICATED BROKEN FRONT SINUS BONE,,,1155.66,7854.46,20 CPT,21346,PR OPN TX NASOMAX FX W FIX,6454.0,5744.06,362.97,6454.0,482 CPT,21346,TREATMENT OF BROKEN NOSE AND UPPER JAW BONES WITH PLACEMENT OF STABILIZING DEVICE,,,889.63,7854.46,20 CPT,21347,PR OPN TX NASOMAXILLLARY FX CMPLX,9642.0,8581.38,369.93,9642.0,482 CPT,21347,TREATMENT OF COMPLEX BROKEN NOSE AND UPPER JAW BONES THROUGH MULTIPLE OPENINGS,,,906.69,7854.46,20 CPT,21355,TREATMENT OF BROKEN CHEEK BONE ACCESSED THROUGH THE SKIN WITH MANIPULATION,,,283.41,4398.97,20 CPT,21356,PR OPN TX ZYGOMATIC ARCH FX,3435.0,3057.15,238.4,3435.0,482 CPT,21356,TREATMENT OF DEPRESSED BROKEN UPPER PORTION OF CHEEK BONE,,,364.67,7854.46,20 CPT,21360,PR OPN TX DEPRESSED MALAR FX,4975.0,4427.75,183.58,4975.0,482 CPT,21360,TREATMENT OF DEPRESSED BROKEN CHEEK BONE,,,449.95,7854.46,20 CPT,21365,PR OPN TX CMPLX MALAR FX,6979.0,6211.31,371.8,6979.0,482 CPT,21365,TREATMENT OF COMPLICATED BROKEN CHEEK BONE WITH PLACEMENT OF INTERNAL STABILIZING DEVICE,,,911.28,7854.46,20 CPT,21385,PR OPN TX ORBIT FX TRANSANTRAL,4739.0,4217.71,262.15,4739.0,482 CPT,21386,PR OPN TX ORBIT FX PERIORBITAL,5614.0,4996.46,243.93,5614.0,482 CPT,21386,TREATMENT OF BROKEN FLOOR OF EYE BONE THROUGH EYE AREA,,,597.85,7854.46,20 CPT,21387,PR OPN TX ORBITAL FLOOR FX COMBIN AP,5825.0,5184.25,272.58,5825.0,482 CPT,21390,PR OPN TX ORBIT FLOOR FX W IMPL,6920.0,6158.8,278.41,6920.0,482 CPT,21390,TREATMENT OF BROKEN FLOOR OF EYE BONE THROUGH EYE AREA WITH IMPLANT,,,682.38,7854.46,20 CPT,21400,PR CLSD TX ORBIT WO MANIPULATION,1593.0,1417.77,97.05,1593.0,482 CPT,21406,PR OPN TX ORBIT FX WO IMPLANT,5431.0,4833.59,211.59,5431.0,482 CPT,21407,PR OPN TX ORBIT FX W IMPLANT,5675.0,5050.75,226.9,5675.0,482 CPT,21407,TREATMENT OF BROKEN EYE BONE WITH IMPLANT,,,556.11,7854.46,20 CPT,21421,PR CLSD TX PALATAL/MAXIL FX W FIX,4063.0,3616.07,268.18,4063.0,482 CPT,21422,PR OPN TX PALATAL/MAXILLARY FX,5284.0,4702.76,232.04,5284.0,482 CPT,21422,TREATMENT OF BROKEN ROOF OF MOUTH OR UPPER JAW BONE,,,568.71,7854.46,20 CPT,21423,PR OPN TX PALATAL/MAXIL FX CMPLX,6698.0,5961.22,279.27,6698.0,482 CPT,21431,PR CLOSED TX CRANIOFACIAL SEPARATION,4967.0,4420.63,259.79,4967.0,482 CPT,21432,PR OPN TX CRANIOFACIAL SEP W WIRE,5393.0,4799.77,262.86,5393.0,482 CPT,21433,COMPLICATED REPAIR OF BROKEN FACE AND SKULL BONES,,,1429.32,7854.46,20 CPT,21433,PR OPEN TX CRANIOFCL SEP MULT APPR,9883.0,8795.87,583.17,9883.0,482 CPT,21440,HC TX MAND/MAXI FX ALVEOLAR RDGE,5474.0,4871.86,4926.6,4926.6,1 CPT,21440,PR TX MAND/MAXI FX ALVEOLAR RDGE,3166.0,2817.74,327.34,3166.0,482 CPT,21450,PR CLSD TX MANDIB FX WO MANIP,3621.0,3222.69,245.48,3621.0,482 CPT,21452,PR PERC TX MANDIB FX W EXTRNL FIX,5211.0,4637.79,316.98,5211.0,482 CPT,21453,CLOSED TREATMENT OF BROKEN LOWER JAW BONE WITH PLACEMENT OF STABILIZING DEVICE TO TEETH,,,887.41,7854.46,20 CPT,21453,PR CLSD TX MANDBL FX INTRDNTL FIX,5147.0,4580.83,458.12,5147.0,482 CPT,21454,PR OPN TX MANDIB FX W EXTRNL FIX,4043.0,3598.27,178.14,4043.0,482 CPT,21461,PR OPN TX MANDIB FX WO INTDENT FIX,7103.0,6321.67,735.37,7103.0,482 CPT,21461,TREATMENT OF BROKEN LOWER JAW BONE,,,957.57,7854.46,20 CPT,21462,PR OPN TX MANDIB FX W INTDENT FIX,8393.0,7469.77,833.95,8393.0,482 CPT,21462,TREATMENT OF BROKEN LOWER JAW BONE WITH PLACEMENT OF STABILIZING DEVICE TO TEETH,,,1088.85,7854.46,20 CPT,21465,PR OPN TX MANDIBULAR CONDYLAR FX,7261.0,6462.29,284.24,7261.0,482 CPT,21465,TREATMENT OF BROKEN HINGED END OF LOWER JAW BONE,,,696.65,7854.46,20 CPT,21470,COMPLICATED TREATMENT OF BROKEN LOWER JAW BONE WITH PLACEMENT OF STABILIZING DEVICE TO TEETH,,,990.34,7854.46,20 CPT,21470,PR OPN TX CMPLX MANDIB FX MLT APPR,8855.0,7880.95,404.06,8855.0,482 CPT,21480,HC CLSD TX DISLOC TMJ,959.0,853.51,27.52,959.0,736 CPT,21480,PR CLSD TX DISLOC TMJ,684.0,608.76,70.69,684.0,482 CPT,21485,PR CLSD TX TEMPOROMAND DISLC CMPLX,2183.0,1942.87,412.01,2183.0,482 CPT,21490,TREATMENT OF DISLOCATED JAW JOINT,,,686.64,7854.46,20 CPT,21497,PR WIRING INTERDENTAL NOT FX,2497.0,2222.33,294.29,2497.0,482 CPT,21499,UNLISTED PROC MUSSKL HEAD,,,11.46,314.25,20 CPT,21501,I&D DEEP ABSC/HEMATOMA NECK/CHEST - PROFESSIONAL,,,313.09,10844.49,20 CPT,21501,PR I&D DEEP ABSC NK/THORAX,2157.0,1919.73,207.53,2157.0,482 CPT,21550,BIOPSY OF SOFT TISSUE OF NECK OR CHEST FACILITY,,,138.45,2191.35,20 CPT,21550,PR BX SOFT TISS NK/THORAX,1333.0,1186.37,110.34,1333.0,482 CPT,21552,HC EXCISN TMR NK/THRX SUBQ >=3CM,7381.0,6569.09,398.79,7381.0,737 CPT,21552,PR EXCISN TMR NK/THRX SUBQ >=3CM,2357.0,2097.73,162.71,2357.0,489 CPT,21552,"REMOVAL OF GROWTH OF SOFT TISSUE UNDER SKIN OF NECK OR FRONT OF CHEST, 3.0 CM OR MORE FACILITY",,,398.79,3853.99,20 CPT,21554,PR EXCISN TMR THRX SUBFSCL >=5CM,4134.0,3679.26,257.63,4134.0,482 CPT,21554,"REMOVAL OF GROWTH OF MUSCLE OF NECK OR FRONT OF CHEST, 5.0 CM OR MORE",,,631.43,3853.99,20 CPT,21555,HC EXCISN TMR NK/THORAX SUBQ <3CM,5259.0,4680.51,282.42,5259.0,737 CPT,21555,PR EXCISN TMR NK/THORAX SUBQ <3CM,2076.0,1847.64,184.5,2076.0,489 CPT,21555,"REMOVAL OF GROWTH UNDER SKIN OF NECK OR FRONT OF CHEST, LESS THAN 3.0 CM FACILITY",,,282.42,2191.35,21 CPT,21556,HC EXCISN TMR THORAX SUBFSCL <5CM,9376.0,8344.64,462.11,9376.0,736 CPT,21556,PR EXCISN TMR THORAX SUBFSCL <5CM,2750.0,2447.5,188.54,2750.0,482 CPT,21556,"REMOVAL OF GROWTH OF MUSCLE OF NECK OR FRONT OF CHEST, LESS THAN 5.0 CM PROFESSIONAL",,,462.11,3853.99,20 CPT,21557,"EXTENSIVE REMOVAL OF GROWTH OF NECK OR FRONT OF CHEST, LESS THAN 5.0 CM",,,817.73,3853.99,20 CPT,21557,PR RSECT TMR NK/THORAX RADCL <5CM,6148.0,5471.72,333.64,6148.0,482 CPT,21558,"EXTENSIVE REMOVAL OF GROWTH OF NECK OR FRONT OF CHEST, 5.0 CM OR MORE",,,1126.34,3853.99,20 CPT,21558,PR RSECT TMR NK/THRX RADCL >=5CM,7994.0,7114.66,459.55,7994.0,482 CPT,21600,PARTIAL REMOVAL OF RIB,,,1072.58,9627.58,20 CPT,21600,PR EXCISN RIB PARTIAL,5301.0,4717.89,218.81,5301.0,482 CPT,21601,PR EXCISION CHEST WALL TUMOR INCLUDING RIBS,10178.0,9058.42,415.48,10178.0,482 CPT,21601,REMOVAL OF GROWTH OF CHEST WALL AND RIB,,,1018.32,3853.99,20 CPT,21602,PR EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC,13854.0,12330.06,580.37,13854.0,482 CPT,21603,PR EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC,15868.0,14122.52,630.55,15868.0,482 CPT,21615,PR EXCISION 1ST &/CERVICAL RIB,5635.0,5015.15,215.16,5635.0,482 CPT,21615,REMOVAL OF FIRST AND/OR EXTRA RIB AT NECK,,,527.35,9627.58,20 CPT,21620,PR OSTECTOMY STERNUM PARTIAL,4750.0,4227.5,190.08,4750.0,482 CPT,21627,PR DEBRIDEMENT STERNAL,3954.0,3519.06,213.41,3954.0,482 CPT,21630,PR RADICAL RESECTION STERNUM,8715.0,7756.35,449.45,8715.0,482 CPT,21685,PR HYOID MYOTOMY & SUSPENSION,6821.0,6070.69,334.02,6821.0,482 CPT,21685,REPOSITIONING OF BONE AND MUSCLES IN NECK,,,818.66,7854.46,20 CPT,21720,PR DVISN STNOCLEDMSTOD OP WO CAST,3210.0,2856.9,215.18,3210.0,482 CPT,21720,"RELEASE OF TENDONS OF NECK MUSCLE, OPEN PROCEDURE",,,527.4,4341.31,20 CPT,21740,PR RCNST RPECTUS EXCAVATUM OPN,11105.0,9883.45,365.68,11105.0,482 CPT,21740,REPAIR OF ABNORMAL POSITION OF CHEST BONE,,,896.26,9627.58,20 CPT,21742,MINIMALLY INVASIVE REPAIR OF ABNORMAL POSITION OF CHEST BONE,,,12.59,4341.31,20 CPT,21742,PR RCNST PEC EXCISN WO THORSC,11138.0,9912.82,383.43,11138.0,482 CPT,21743,PR RCNST PEC EXCISN W THORSC,13785.0,12268.65,689.25,13785.0,477 CPT,21743,REPAIR OF BREAST BONE DEPRESSION USING AN ENDOSCOPE,,,10.34,4341.31,19 CPT,21750,PR CLSR SEP STERNUM W/WO DBRD,6045.0,5380.05,245.71,6045.0,482 CPT,21750,TREATMENT OF BROKEN CHEST BONE FOLLOWING SURGERY,,,602.22,9627.58,20 CPT,21811,PR OPN TX RIB FX W FIX 1-3 RIBS,5085.0,4525.65,198.58,5085.0,482 CPT,21811,"TREATMENT OF BROKEN RIBS ON SIDE WITH PLACEMENT OF STABILIZING DEVICE, 1-3 RIBS",,,486.72,9627.58,20 CPT,21812,PR OPN TX RIB FX W FIX 4-6 RIBS,6423.0,5716.47,239.45,6423.0,482 CPT,21813,PR OPN TX RIB FX W FIX >=7 RIBS,8863.0,7888.07,321.54,8863.0,482 CPT,21825,PR TX STERNUM FX W/WO SKELT FIX,5323.0,4737.47,215.03,5323.0,482 CPT,21825,TREATMENT OF BROKEN CHEST BONE,,,527.04,9627.58,17 CPT,21899,UNLISTED PROC NK/THORAX - FACILITY,,,2444.7,4341.31,19 CPT,21920,BIOPSY OF SURFACE SOFT TISSUE TO BACK OR LOWER SIDES,,,137.07,2191.35,20 CPT,21920,PR BX SOFT TISS BACK/FLANK SUPFCL,838.0,745.82,106.97,838.0,482 CPT,21925,DEEP BIOPSY OF SOFT TISSUE OF BACK OR LOWER SIDES,,,353.98,2191.35,20 CPT,21925,PR BX SOFT TISS BACK/FLANK DEEP,2374.0,2112.86,215.94,2374.0,482 CPT,21930,HC EXCISN TMR BACK/FLNK SUBQ <3CM,4912.0,4371.68,330.7,4912.0,736 CPT,21930,PR EXCISN TMR BACK/FLNK SUBQ <3CM,2444.0,2175.16,214.44,2444.0,482 CPT,21930,"REMOVAL OF GROWTH UNDER SKIN OF BACK OR LOWER SIDES, LESS THAN 3.0 CM FACILITY",,,330.7,2191.35,20 CPT,21931,HC EXCISN TMR BK/FLNK SUBQ >=3CM,6045.0,5380.05,419.6,6045.0,738 CPT,21931,PR EXCISN TMR BK/FLNK SUBQ >=3CM,2618.0,2330.02,145.52,2618.0,514 CPT,21931,"REMOVAL OF GROWTH UNDER SKIN OF BACK OR LOWER SIDES, 3.0 CM OR MORE FACILITY",,,419.6,2191.35,20 CPT,21932,PR EXCISN TMR BACK SUBFSCL <5CM,3998.0,3558.22,237.09,3998.0,482 CPT,21932,"REMOVAL OF GROWTH OF MUSCLE OF BACK OR LOWER SIDES, LESS THAN 5.0 CM",,,581.1,3853.99,20 CPT,21933,HC EXCISN TMR BACK SUBFSCL >=5CM,8445.0,7516.05,645.24,8445.0,734 CPT,21933,PR EXCISN TMR BACK SUBFSCL >=5CM,4223.0,3758.47,263.26,4223.0,482 CPT,21933,"REMOVAL OF GROWTH OF MUSCLE OF BACK OR LOWER SIDES, 5.0 CM OR MORE PROFESSIONAL",,,645.24,3853.99,20 CPT,21935,"EXTENSIVE REMOVAL OF GROWTH OF BACK OR LOWER SIDE, LESS THAN 5.0 CM",,,880.42,3853.99,20 CPT,21935,PR RSECT TMR BACK RADICAL <5CM,6561.0,5839.29,359.21,6561.0,482 CPT,21936,"EXTENSIVE REMOVAL OF GROWTH OF BACK OR LOWER SIDE, 5.0 CM OR MORE",,,1196.57,3853.99,20 CPT,21936,PR RSECT TMR BACK RADICAL >=5CM,9710.0,8641.9,488.2,9710.0,482 CPT,22010,PR I&D OPN DEEP ABSC CERV/THOR,10977.0,9769.53,354.46,10977.0,482 CPT,22015,PR I&D OPN DEEP ABSC LUMB/SAC,6813.0,6063.57,346.0,6813.0,482 CPT,22100,PR EXCISN PRTL POSTR VERT CERV,8105.0,7213.45,368.17,8105.0,482 CPT,22101,PR PRTL EXCISN VERT INTRNSC THOR,8375.0,7453.75,325.78,8375.0,482 CPT,22102,PR PRTL EXCISN VERT INTRNSC LUMB,7599.0,6763.11,273.01,7599.0,482 CPT,22103,PR EXCISN PRTL POSTR VRT EA ADD,1419.0,1262.91,85.52,1419.0,482 CPT,22110,PARTIAL REMOVAL OF UPPER SPINE BONE,,,1426.1,17034.43,19 CPT,22110,PR PRTL EXCISN VRT WO DCMP CERVICAL,5184.0,4613.76,378.49,5184.0,482 CPT,22116,PR PRTL EXCISN VRT WO DCMP EA ADD,1099.0,978.11,88.76,1099.0,482 CPT,22206,PR OSTEOMY SPINE POSTR 3 COL THOR,20098.0,17887.22,824.95,20098.0,482 CPT,22207,PR OSTEOMY SPINE POSTR 3 COL LUMB,21657.0,19274.73,806.4,21657.0,482 CPT,22208,PR OSTEOMY SP POSTR 3 COL EA ADD,3109.0,2767.01,372.02,3109.0,482 CPT,22210,PR OST SPINE POSTR 1 VRT SEG CRV,17089.0,15209.21,628.58,17089.0,482 CPT,22212,PR OST SPINE POSTR 1 VRT SEG THRX,13773.0,12257.97,539.84,13773.0,482 CPT,22214,PR OST SPINE POSTR 1 VRT SEG LMBR,15317.0,13632.13,536.62,15317.0,482 CPT,22216,"INCISION OR REMOVAL OF SPINE BONE SEGMENT, EACH ADDITIONAL SEGMENT",,,561.84,36001.56,20 CPT,22216,PR OST SPINE POSTR EA ADD SEGM,4434.0,3946.26,229.23,4434.0,482 CPT,22220,PR OST SPINE ANTR 1 VRT SEG CRV,10024.0,8921.36,575.08,10024.0,482 CPT,22222,PR OSTEOTOMY SPINE DISCECT THORACIC,6519.0,5801.91,641.1,6519.0,482 CPT,22224,PR OST SPINE ANTR 1 VRT SEG LMBR,12415.0,11049.35,555.26,12415.0,482 CPT,22226,PR OST SPINE ANTR EA ADD SEG,5752.0,5119.28,228.59,5752.0,482 CPT,22310,CLOSED TREATMENT OF BROKEN SPINE BONE WITH CAST OR BRACE FACILITY,,,247.2,416.18,20 CPT,22310,HC CLSD TX VRT WO MANIP REQ CAST,1264.0,1124.96,247.2,1264.0,736 CPT,22310,PR CLSD TX VRT WO MANIP REQ CAST,2772.0,2467.08,134.1,2772.0,482 CPT,22315,PR CLSD TX VRT FX REQ CAST MANIP,4939.0,4395.71,392.68,4939.0,482 CPT,22325,PR OPN TX FX POSTR 1 VERT LUMB,11415.0,10159.35,530.77,11415.0,482 CPT,22326,PR OPN TX FX POSTR 1 VERT CERV,14666.0,13052.74,536.44,14666.0,482 CPT,22327,PR OPN TX FX POSTR 1 VERT THRX,13706.0,12198.34,551.15,13706.0,482 CPT,22328,PR OPN TX FX SPINE EA ADD SEGM,3688.0,3282.32,177.31,3688.0,482 CPT,22510,HC PERC CERVICOTHORACIC INJECT,8803.0,7834.67,358.36,8803.0,739 CPT,22510,PR PERC CERVICOTHORACIC INJECT,7310.0,6505.9,725.63,7310.0,482 CPT,22510,STABILIZATION OF UPPER SPINE BONE FACILITY,,,358.36,4341.31,21 CPT,22511,HC PERC LUMBOSACRAL INJECTION,8803.0,7834.67,338.76,8803.0,738 CPT,22511,PR PERC LUMBOSACRAL INJECTION,5871.0,5225.19,731.24,5871.0,482 CPT,22511,STABILIZATION OF LOWER SPINE BONE FACILITY,,,338.76,9627.58,21 CPT,22512,HC VERTEBROPLASTY ADDL INJECT,5989.0,5330.21,165.22,5989.0,720 CPT,22512,PR VERTEBROPLASTY ADDL INJECT,2918.0,2597.02,603.74,2918.0,482 CPT,22512,"STABILIZATION OF SPINE BONE, EACH ADDITIONAL BONE FACILITY",,,330.44,9627.58,20 CPT,22513,HC PERC VERTEBPLSTY CAVTY IMG GUID 1,18864.0,16788.96,420.13,18864.0,739 CPT,22513,PR PERC VERTEBPLSTY CAVTY IMG GUID 1,10732.0,9551.48,2416.46,10732.0,482 CPT,22513,TREATMENT OF BROKEN MIDDLE SPINE BONE WITH PLACEMENT OF STABILIZING DEVICE USING IMAGING GUIDANCE FACILITY,,,420.13,23263.96,21 CPT,22514,HC PERC VERT AGMNTJ CAV CRTJ LMBR,18864.0,16788.96,393.69,18864.0,736 CPT,22514,PR PERC VERT AGMNTJ CAV CRTJ LMBR,8807.0,7838.23,2419.98,8807.0,482 CPT,22514,TREATMENT OF BROKEN LOWER SPINE BONE WITH PLACEMENT OF STABILIZING DEVICE FACILITY,,,393.69,23263.96,20 CPT,22515,HC PERC VERT AGMNT MECH EA ADD,11247.0,10009.83,171.41,11247.0,719 CPT,22515,PR PERC VERT AGMNT MECH EA ADD,4959.0,4413.51,2481.39,4959.0,482 CPT,22515,"TREATMENT OF BROKEN SPINE BONE WITH STABILIZING DEVICE, EACH ADDITIONAL SEGMENT FACILITY",,,342.82,9627.58,20 CPT,22532,PR ARTHRDSIS LATERAL THORACIC,18650.0,16598.5,629.8,18650.0,482 CPT,22533,PR ARTHRDSIS LUMB W MIN DISC,14007.0,12466.23,573.74,14007.0,482 CPT,22534,PR ARTHRDSIS THOR/LUMB EA ADD,5816.0,5176.24,228.99,5816.0,482 CPT,22551,"FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE, 1 DISC",,,1426.1,17034.43,21 CPT,22551,PR ARTHRDSIS ANTR BOD CRV BEL C2,18542.0,16502.38,581.85,18542.0,482 CPT,22552,"FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE, EACH ADDITIONAL DISC",,,611.46,17034.43,20 CPT,22552,PR ARTHRDSIS ANTR CRV BEL C2 ADD,5386.0,4793.54,249.48,5386.0,482 CPT,22554,FUSION OF UPPER SPINE BONES THROUGH FRONT OF NECK WITH PARTIAL REMOVAL OF DISC,,,1092.44,17034.43,20 CPT,22554,PR ARTHRDSIS DISECT CERV BEL C2,14850.0,13216.5,445.72,14850.0,482 CPT,22556,PR ARTHRDSIS ANTR THORACIC,14276.0,12705.64,584.74,14276.0,482 CPT,22558,FUSION OF LOWER SPINE BONE THROUGH ABDOMEN WITH PARTIAL REMOVAL OF DISC,,,2568.12,36001.56,20 CPT,22558,PR ARTHRDSIS ANTR LUMBAR,20641.0,18370.49,523.9,20641.0,482 CPT,22585,"FUSION OF SPINE BONES THROUGH FRONT OF BODY WITH PARTIAL REMOVAL OF DISC, EACH ADDITIONAL DISC",,,251.29,17034.43,20 CPT,22585,PR ARTHRDSIS ANTR INTBODY EA ADD,5159.0,4591.51,205.05,5159.0,482 CPT,22586,PR ARTHRDSIS PRESACRAL INTRBDY L5-S1,9713.0,8644.57,716.44,9713.0,482 CPT,22590,PR ARTHRDSIS CRNCERV POSTR TECH,18675.0,16620.75,565.79,18675.0,482 CPT,22595,PR ARTHRDSIS ATLAS AXIS POSTR C1 C2,12629.0,11239.81,544.78,12629.0,482 CPT,22600,FUSION OF SPINE IN NECK BY POSTERIOR APPROACH,,,1155.08,23263.96,20 CPT,22600,PR ARTHRDSIS CERV BEL C2 POSTR,13892.0,12363.88,471.28,13892.0,482 CPT,22610,PR ARTHRDSIS THOR POSTR TECHNIQUE,13341.0,11873.49,462.72,13341.0,482 CPT,22612,FUSION OF SPINE IN LOWER BACK,,,1325.9,23263.96,21 CPT,22612,PR ARTHRDSIS LUMB POSTR TECHNIQUE,19016.0,16924.24,540.97,19016.0,482 CPT,22614,FUSION OF ADDITIONAL SEGMENT OF SPINE,,,302.51,23263.96,20 CPT,22614,PR ARTHRDSIS POSTR TECH EA ADD,5454.0,4854.06,246.85,5454.0,482 CPT,22630,PR ARTHRDSIS POSTR INTRBDY LUMB,15174.0,13504.86,547.02,15174.0,482 CPT,22632,PR ARTHRDSIS POSTR LUMB EA ADD,3689.0,3283.21,201.69,3689.0,482 CPT,22633,FUSION OF SPINE IN LOWER BACK WITH PARTIAL REMOVAL OF SPINE BONE AND DISC,,,1516.97,36001.56,20 CPT,22633,PR ARTHRDSIS LUMB W POSTR/POSTRLT,22575.0,20091.75,618.93,22575.0,482 CPT,22634,FUSION OF ADDITIONAL SEGMENT OF SPINE WITH PARTIAL REMOVAL OF SPINE BONE AND DISC,,,374.4,36001.56,20 CPT,22634,PR ARTHRDSIS LUMB POSTR/POSTRLT ADD,5756.0,5122.84,305.51,5756.0,482 CPT,22800,PR ARTHRDSIS POSTR SPN DFRM <=6 SEGM,15274.0,13593.86,486.19,15274.0,482 CPT,22802,PR ARTHRDSIS POSTR SPN DFRM 7-12 SEGM,18741.0,16679.49,712.62,18741.0,482 CPT,22804,"FUSION TO REPAIR SPINE DEFORMITY THROUGH BACK, 13 OR MORE BONES",,,1997.89,23263.96,20 CPT,22804,PR ARTHRDSIS POSTR SPN DFRM 13+ SEGM,19382.0,17249.98,815.14,19382.0,482 CPT,22810,PR ARTHRDSIS ANTR SPINE DFRM 4-7VT,13006.0,11575.34,676.44,13006.0,482 CPT,22830,PR EXPLORATION SPINAL FUSION,12150.0,10813.5,294.66,12150.0,482 CPT,22836,PR ANT THRC VRT BODY TETHRG <7,23456.0,20875.84,680.96,23456.0,482 CPT,22837,PR ANT THRC VRT BODY TETHRG 8+,25525.0,22717.25,647.24,25525.0,482 CPT,22838,PR REV RPLC/RMV THRC VRT TETHRG,26341.0,23443.49,655.7,26341.0,482 CPT,22840,PLACEMENT OF STABILIZING DEVICE TO BACK OF 1 SPINE BONE IN NECK,,,583.85,36001.56,20 CPT,22840,PR POSTR NON SEGM INSTRUMENTATION,9460.0,8419.4,476.42,9460.0,482 CPT,22842,"PLACEMENT OF STABILIZING DEVICE TO BACK, 3-6 SPINE BONE SEGMENTS",,,589.72,23263.96,20 CPT,22842,PR INSTRUM POSTR SEGM 3-6 SEGMS,10641.0,9470.49,481.21,10641.0,482 CPT,22843,PR INSTRUM POSTR SEGM 7-12 SEGMS,10065.0,8957.85,515.21,10065.0,482 CPT,22844,PR INSTRUM POSTR SEGM >=13 SEGMS,9871.0,8785.19,624.84,9871.0,482 CPT,22845,"PLACEMENT OF STABILIZING DEVICE TO FRONT, 2-3 SPINE BONE SEGMENTS",,,560.89,17034.43,21 CPT,22845,PR INSTRUM ANTR 2-3 VERT SEGMS,10695.0,9518.55,457.69,10695.0,482 CPT,22846,"PLACEMENT OF STABILIZING DEVICE TO FRONT, 4-7 SPINE BONE SEGMENTS",,,583.0,17034.43,20 CPT,22846,PR INSTRUM ANTR 4-7 VERT SEGMS,10857.0,9662.73,475.73,10857.0,482 CPT,22848,INSERTION OF INSTRUMENTATION TO PELVIC BONES,,,278.6,36001.56,20 CPT,22848,PR FIXATION PELVIC,4041.0,3596.49,227.34,4041.0,482 CPT,22849,PR REINSERTION SPINAL FIX DEVICE,11219.0,9984.91,449.94,11219.0,482 CPT,22849,REINSERTION OF SPINAL FIXATION DEVICE,,,2205.56,23263.96,20 CPT,22850,PR RMVL POSTR NON SEGM INSTRUM,6425.0,5718.25,267.08,6425.0,482 CPT,22850,REMOVAL OF STABILIZING DEVICE FROM BACK OF SPINE,,,654.61,23263.96,20 CPT,22852,PR RMVL POSTR SEGM INSTRUM,7202.0,6409.78,258.47,7202.0,482 CPT,22852,REMOVAL OF SEGMENTAL STABILIZING DEVICE FROM BACK OF SPINE,,,633.51,9627.58,20 CPT,22853,INSERTION OF CAGE OR MESH DEVICE TO SPINE BONE AND DISC SPACE DURING SPINE FUSION,,,894.87,17034.43,21 CPT,22853,PR INSJ BIOMECHANICAL DEVICE,3584.0,3189.76,162.27,3584.0,482 CPT,22854,INSERTION OF CAGE OR MESH DEVICE IN DISC SPACE DURING SPINE FUSION,,,388.64,17034.43,20 CPT,22854,PR INSN BIOMECHANICAL DEVICE,3514.0,3127.46,211.42,3514.0,482 CPT,22855,PR REMOVAL ANTERIOR INSTRUM,6470.0,5758.3,386.1,6470.0,482 CPT,22855,REMOVAL OF STABILIZING DEVICE FROM FRONT OF SPINE,,,946.32,9627.58,20 CPT,22856,"INSERTION OF ARTIFICIAL UPPER SPINE DISC, ANTERIOR APPROACH",,,1362.33,23263.96,20 CPT,22856,PR TOT DISC ARTHRP ANTR APP CRV,27994.0,24914.66,555.83,27994.0,482 CPT,22857,PR ARTHRO TOTAL DISC LUMB ANTR,11604.0,10327.56,591.96,11604.0,482 CPT,22858,PR ARTHRO TOTAL DISC CERV ANTR,8826.0,7855.14,319.99,8826.0,482 CPT,22859,PR INSN INTRVTBL BIOMECHANICAL DEV,3141.0,2795.49,211.53,3141.0,482 CPT,22869,PLACEMENT OF STABILIZING DEVICE TO LOWER SPINE LEVEL FACILITY,,,575.7,17034.43,18 CPT,22899,UNLISTED PROCEDURE SPINE - FACILITY,,,247.2,600.48,19 CPT,22900,PR EXCISN TMR ABD SUBFSCL <5CM,2632.0,2342.48,206.85,2632.0,482 CPT,22900,"REMOVAL OF GROWTH OF MUSCLE OF ABDOMEN, LESS THAN 5.0 CM",,,506.98,3853.99,20 CPT,22901,HC EXCISN TMR ABD SUBFSCL >=5CM,9756.0,8682.84,590.22,9756.0,737 CPT,22901,PR EXCISN TMR ABD SUBFSCL >=5CM,4006.0,3565.34,240.81,4006.0,482 CPT,22901,"REMOVAL OF GROWTH OF MUSCLE OF ABDOMEN, 5.0 CM OR MORE FACILITY",,,590.22,3853.99,20 CPT,22902,HC EXCISN TMR ABD WALL SUBQ <3CM,5259.0,4680.51,310.57,5259.0,736 CPT,22902,PR EXCISN TMR ABD WALL SUBQ <3CM,2407.0,2142.23,204.82,2407.0,482 CPT,22902,"REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL, LESS THAN 3.0 CM FACILITY",,,931.71,3853.99,20 CPT,22903,HC EXCISN TMR ABD WALL SUBQ >=3CM,6895.0,6136.55,397.08,6895.0,738 CPT,22903,PR EXCISN TMR ABD WALL SUBQ >=3CM,2175.0,1935.75,162.01,2175.0,489 CPT,22903,"REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL, 3.0 CM OR MORE FACILITY",,,794.16,3853.99,21 CPT,22904,PR RSECT TMR ABD RADICAL <5CM,6265.0,5575.85,369.49,6265.0,482 CPT,22905,PR RSECT TMR ABD RADICAL >=5CM,6593.0,5867.77,462.98,6593.0,482 CPT,22999,CRYOABLATION ABDOMINAL - FACILITY,,,247.2,642.38,19 CPT,22999,HC CRYOABLATION ABDOMINAL,6593.0,5867.77,247.2,6593.0,735 CPT,22999,PR CRYOABLATION ABDOMINAL,15730.0,13999.7,786.5,15730.0,477 CPT,23020,PR CAPSULAR CONTRACTURE RELEASE,6600.0,5874.0,250.48,6600.0,482 CPT,23020,RELEASE OF TENDON OF SHOULDER JOINT,,,613.91,9627.58,20 CPT,23030,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF SHOULDER,,,230.49,3853.99,20 CPT,23030,PR I&D SHOULDER DEEP ABSC/HEMA,2463.0,2192.07,190.66,2463.0,482 CPT,23035,PR INCISN BN CORTEX SHOULDER,4761.0,4237.29,244.53,4761.0,482 CPT,23040,"INCISION OF SHOULDER JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,635.35,4341.31,20 CPT,23040,PR ARTHRT GLH JT EXPLR RMVL FB,5251.0,4673.39,259.23,5251.0,482 CPT,23044,"INCISION OF COLLAR BONE JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,511.53,4341.31,20 CPT,23044,PR ARTHRT AC/SC JT EXPLR,3657.0,3254.73,208.71,3657.0,482 CPT,23066,PR BX SOFT TISS SHOULDER DEEP,2966.0,2639.74,251.8,2966.0,482 CPT,23071,HC EXCISN TMR SHOULDER SUBQ >=3CM,6284.0,5592.76,379.84,6284.0,736 CPT,23071,PR EXCISN TMR SHOULDER SUBQ >=3CM,2556.0,2274.84,154.98,2556.0,482 CPT,23071,"REMOVAL OF GROWTH UNDER SKIN OF SHOULDER AREA, 3.0 CM OR MORE PROFESSIONAL",,,379.84,2191.35,20 CPT,23073,PR EXCISN TMR SHLDR SUBFSCL >=5CM,4377.0,3895.53,249.95,4377.0,482 CPT,23073,"REMOVAL OF GROWTH OF MUSCLE OF SHOULDER, 5.0 CM OR MORE",,,612.62,3853.99,20 CPT,23075,HC EXCISN TMR SHLDR SUBQ <3CM,5259.0,4680.51,304.14,5259.0,736 CPT,23075,PR EXCISN TMR SHLDR SUBQ <3CM,1751.0,1558.39,222.11,1751.0,482 CPT,23075,"REMOVAL OF GROWTH UNDER SKIN OF SHOULDER AREA, LESS THAN 3.0 CM FACILITY",,,304.14,2191.35,20 CPT,23076,PR EXCISN TMR SHLDR SUBFSCL<5CM,3928.0,3495.92,200.6,3928.0,482 CPT,23076,"REMOVAL OF GROWTH OF MUSCLE OF SHOULDER, LESS THAN 5.0 CM",,,491.67,3853.99,20 CPT,23077,"EXTENSIVE REMOVAL OF GROWTH OF SHOULDER, LESS THAN 5.0 CM",,,969.06,3853.99,20 CPT,23077,PR RSECT TMR SHLDR RADICAL <5CM,9622.0,8563.58,395.38,9622.0,482 CPT,23078,"EXTENSIVE REMOVAL OF GROWTH OF SHOULDER, 5.0 CM OR MORE",,,1219.92,3853.99,20 CPT,23078,PR RSECT TMR SHLDR RADICAL >=5CM,11877.0,10570.53,497.73,11877.0,482 CPT,23101,"INCISION TO REPAIR JOINTS BETWEEN SHOULDER, CHEST AND COLLAR BONES",,,421.64,4341.31,20 CPT,23101,PR ARTHRT AC/SC W BX/EXCISN CRTLG,2620.0,2331.8,172.03,2620.0,482 CPT,23107,PR ARTHRT GLH JT EXPLR W/WO RMVL,5423.0,4826.47,241.53,5423.0,482 CPT,23120,PARTIAL REMOVAL OF COLLAR BONE PROFESSIONAL,,,537.97,9627.58,20 CPT,23120,PR CLAVICULETOMY PARTIAL,4144.0,3688.16,219.49,4144.0,482 CPT,23125,PR CLAVICULECTOMY TOTAL,4806.0,4277.34,257.19,4806.0,482 CPT,23130,PARTIAL REMOVAL OR REPAIR OF SHOULDER BONE NEAR COLLAR BONE,,,561.73,9627.58,20 CPT,23130,PR ACROMIOPLAS/ACROMIONECT PRTL,4105.0,3653.45,229.19,4105.0,482 CPT,23140,PR EXCISN BONE LESN CLAV/SCAP,3535.0,3146.15,205.68,3535.0,482 CPT,23140,REMOVAL OF CYST OR GROWTH OF COLLAR BONE OR SHOULDER BLADE,,,504.11,4341.31,20 CPT,23150,PR EXCISN BEN BONE LESION HUMERUS,5426.0,4829.14,243.68,5426.0,482 CPT,23150,REMOVAL OF CYST OR GROWTH OF TOP PART OF UPPER ARM BONE,,,597.25,4341.31,20 CPT,23156,PR EXCISN BEN BN LESN HUM W ALLOGRFT,4454.0,3964.06,247.31,4454.0,482 CPT,23180,PR EXCISN BN CLAVICLE PARTIAL,4823.0,4292.47,252.94,4823.0,482 CPT,23182,PARTIAL REMOVAL OF INFECTED SHOULDER BLADE,,,607.84,9627.58,20 CPT,23182,PR PARTIAL EXCISION BONE SCAPULA,4385.0,3902.65,248.0,4385.0,482 CPT,23184,PARTIAL REMOVAL OF INFECTED TOP OF UPPER ARM BONE,,,657.31,9627.58,20 CPT,23184,PR PART EXCIS BONE PROX HUM,6167.0,5488.63,268.18,6167.0,482 CPT,23190,PARTIAL REMOVAL OF SHOULDER BLADE,,,1039.18,4341.31,20 CPT,23190,PR OSTECTOMY SCAPULA PARTIAL,3968.0,3531.52,212.0,3968.0,482 CPT,23195,PR RESECTION HUMERAL HEAD,5663.0,5040.07,272.52,5663.0,482 CPT,23200,PR RADCL RSECT CLAVICLE TUMOR,9254.0,8236.06,517.26,9254.0,482 CPT,23210,PR RSECT TMR SCAPULA RADICAL,12610.0,11222.9,600.38,12610.0,482 CPT,23220,PR RAD RSECT PROX HUM TMR,11960.0,10644.4,655.3,11960.0,482 CPT,23333,PR RMVL FB SHOULDER DEEP,3144.0,2798.16,178.16,3144.0,482 CPT,23333,"REMOVAL OF FOREIGN BODY OF SHOULDER JOINT, ACCESSED BENEATH THE TISSUE OR MUSCLE",,,436.65,17034.43,20 CPT,23334,PR PRSTH RMVL HUMERAL OR GLENOID,7097.0,6316.33,373.21,7097.0,482 CPT,23334,REMOVAL OF BALL OR SOCKET PROSTHESIS FROM SHOULDER,,,914.72,9627.58,20 CPT,23335,PR PRSTH RMVL HUMERAL & GLENOID,8416.0,7490.24,437.32,8416.0,482 CPT,23335,REMOVAL OF BALL AND SOCKET PROSTHESIS FROM SHOULDER,,,914.72,9627.58,19 CPT,23350,HC INJ SHOULDER ARTHGM,719.0,639.91,40.15,719.0,719 CPT,23350,INJECTION OF CONTRAST FOR IMAGING OF SHOULDER JOINT FACILITY,,,40.15,1040.11,20 CPT,23350,PR INJ SHOULDER ARTHGM,646.0,574.94,54.93,646.0,507 CPT,23395,PR TRANSFER MUS SHLDR/UARM SNGL,11459.0,10198.51,450.14,11459.0,482 CPT,23395,RELOCATION OF ONE MUSCLE OF SHOULDER OR UPPER ARM,,,1103.28,9627.58,20 CPT,23397,PR TRANSFER MUS SHLDR/UARM MULT,9300.0,8277.0,396.57,9300.0,482 CPT,23397,RELOCATION OF MULTIPLE MUSCLES OF SHOULDER OR UPPER ARM,,,971.99,9627.58,20 CPT,23400,PR SCAPULOPEXY,5542.0,4932.38,343.14,5542.0,482 CPT,23405,INCISION OF SHOULDER TENDON FACILITY,,,544.89,9627.58,20 CPT,23405,PR TENOTOMY SHOULDER SNGL TENDON,5533.0,4924.37,222.32,5533.0,482 CPT,23406,INCISION OF SHOULDER MULTIPLE TENDONS THROUGH SAME INCISION,,,646.95,9627.58,20 CPT,23406,PR INCISN TENDON(S) & MUSCLE(S),7824.0,6963.36,263.96,7824.0,482 CPT,23410,PR RPR RUPT MUSCTNDN CUFF ACUTE,6663.0,5930.07,293.76,6663.0,482 CPT,23410,REPAIR OF ACUTE TORN SHOULDER ROTATOR CUFF PROFESSIONAL,,,719.99,9627.58,20 CPT,23412,PR RPR RUPT MUSCTNDN CUFF CHRONIC,7613.0,6775.57,303.67,7613.0,482 CPT,23412,REPAIR OF CHRONIC TORN SHOULDER ROTATOR CUFF PROFESSIONAL,,,744.29,9627.58,20 CPT,23415,PR RLS CORAC LGMNT W/WO ACPLSTY,5119.0,4555.91,254.35,5119.0,482 CPT,23415,RELEASE OF COLLAR BONE AND SHOULDER LIGAMENT,,,623.41,9627.58,20 CPT,23420,PR RCNST AVUL CMPLX SHLDR CHR,7352.0,6543.28,347.7,7352.0,482 CPT,23420,REPAIR OF COMPLETE TEAR OF SHOULDER ROTATOR CUFF WITH RELEASE OF PRESSURE ON COLLAR BONE,,,852.19,9627.58,20 CPT,23430,ANCHORING OF BICEPS TENDON PROFESSIONAL,,,658.27,9627.58,21 CPT,23430,PR TENODESIS BICEP LONG TENDON,4955.0,4409.95,268.58,4955.0,482 CPT,23450,PR CAPSULORRHAPHY ANTERIOR,8167.0,7268.63,332.25,8167.0,482 CPT,23450,REATTACHMENT OF SHOULDER JOINT CAPSULE WITHOUT BONE TRANSFER,,,814.33,9627.58,20 CPT,23455,PR CPSLRPY ANTR W LABRAL RPR,8025.0,7142.25,336.72,8025.0,482 CPT,23460,PR CPSLRPY ANTR W BONE BLOCK,10056.0,8949.84,381.27,10056.0,482 CPT,23460,REPAIR OF SHOULDER JOINT CAPSULE AND SHOULDER BLADE WITH BONE BLOCK,,,934.47,9627.58,20 CPT,23462,PR CPSLRPY ANTR W CORACOID TRNSFR,8565.0,7622.85,371.69,8565.0,482 CPT,23462,REATTACHMENT OF SHOULDER JOINT CAPSULE WITH BONE TRANSFER (CORACOID BONE),,,910.99,9627.58,20 CPT,23465,PR CAPSULORRHAPHY GLENOHUM PST,8134.0,7239.26,390.18,8134.0,482 CPT,23465,REPAIR OF SHOULDER JOINT CAPSULE IN THE BACK OF THE JOINT,,,956.31,9627.58,20 CPT,23466,PR CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS,8871.0,7895.19,396.97,8871.0,482 CPT,23466,REPAIR AND TIGHTENING OF SHOULDER JOINT CAPSULE,,,972.97,9627.58,20 CPT,23470,PARTIAL REPLACEMENT OF SHOULDER JOINT,,,1015.36,17034.43,20 CPT,23470,PR ARTHRO GLH JT HEMIARTHRO,11390.0,10137.1,414.27,11390.0,482 CPT,23472,PR ARTHRO GLH JT TOTAL SHOULDER,13135.0,11690.15,493.83,13135.0,482 CPT,23472,"PROSTHETIC REPAIR OF SHOULDER JOINT, TOTAL SHOULDER PROFESSIONAL",,,1210.36,23263.96,21 CPT,23473,PR REVIS SHLDR ARTHRO HUM OR GLENOID,14283.0,12711.87,546.18,14283.0,482 CPT,23473,REVISION OF TOTAL SHOULDER REPAIR,,,1338.68,17034.43,20 CPT,23474,PR REVIS SHLDR ARTHRO HUM&GLENOID,15429.0,13731.81,587.42,15429.0,482 CPT,23474,"REVISION OF TOTAL SHOULDER REPAIR, TOTAL SHOULDER",,,1439.74,17034.43,20 CPT,23480,INCISION OR PARTIAL REMOVAL OF COLLAR BONE,,,716.38,9627.58,20 CPT,23480,PR OSTEOTOMY CLAV W/WO INT FIX,6303.0,5609.67,292.29,6303.0,482 CPT,23485,INCISION OR PARTIAL REMOVAL OF COLLAR BONE WITH BONE GRAFT,,,815.99,17034.43,20 CPT,23485,PR OST CLAVICLE BN GRFT NONUNION,6144.0,5468.16,332.93,6144.0,482 CPT,23491,PR PROPH TX W/WO METHYL PROX HUM,7097.0,6316.33,357.85,7097.0,482 CPT,23491,STABILIZATION OF TOP OF UPPER ARM BONE WITH DEVICE,,,877.08,17034.43,20 CPT,23500,HC CLSD TX CLAVICLE FX WO MANIP,840.0,747.6,174.72,840.0,1472 CPT,23500,PR CLSD TX CLAVICLE FX WO MANIP,1238.0,1101.82,103.06,1238.0,482 CPT,23515,PR OPN TX CLAVICLE FX W INT FIX,4762.0,4238.18,261.97,4762.0,482 CPT,23515,TREATMENT OF BROKEN COLLAR BONE PROFESSIONAL,,,642.08,9627.58,20 CPT,23525,PR CLSD TX DISCLOC STERNOCLAV W MANIP,2152.0,1915.28,177.99,2152.0,482 CPT,23530,PR OPEN TX STERNOCLAV DISCL,4085.0,3635.65,212.27,4085.0,482 CPT,23530,TREATMENT OF DISLOCATED JOINT BETWEEN COLLAR AND CHEST BONES,,,520.27,9627.58,20 CPT,23532,PR OPEN STERNOCLAV DISLOC W/GRAFT,3853.0,3429.17,230.59,3853.0,482 CPT,23532,TREATMENT OF DISLOCATED JOINT BETWEEN COLLAR AND CHEST BONES WITH TISSUE GRAFT,,,565.16,9627.58,20 CPT,23540,PR CLSD TX DISLOC CLAV WO MANIP,1120.0,996.8,110.31,1120.0,482 CPT,23550,PR OPN TX DISLOC CLAV ACUTE/CHR,4211.0,3747.79,209.52,4211.0,482 CPT,23550,TREATMENT OF DISLOCATED JOINT BETWEEN COLLAR BONE AND SHOULDER,,,513.53,9627.58,20 CPT,23552,PR OPN TX DISLOC CLAV W FASC GRFT,5692.0,5065.88,236.76,5692.0,482 CPT,23552,TREATMENT OF DISLOCATED JOINT BETWEEN COLLAR BONE AND SHOULDER WITH TISSUE GRAFT,,,580.29,9627.58,20 CPT,23570,HC CLSD TX SCAPULAR FX WO MANIP,788.0,701.32,163.9,788.0,736 CPT,23570,PR CLSD TX SCAPULAR FX WO MANIP,1221.0,1086.69,106.02,1221.0,482 CPT,23585,PR OPN TX SCAPULAR FX W INT FIX,5597.0,4981.33,342.3,5597.0,482 CPT,23585,TREATMENT OF BROKEN SHOULDER BLADE,,,838.97,9627.58,20 CPT,23600,HC CLSD TX PROX HUMRL FX WO MANIP,1244.0,1107.16,247.2,1244.0,1472 CPT,23600,PR CLSD TX PROX HUMRL FX WO MANIP,1640.0,1459.6,129.84,1640.0,507 CPT,23605,PR CLSD TX PROX HUMRL FX W MANIP,3209.0,2856.01,211.77,3209.0,482 CPT,23615,PR OPN TX PROX HUMERAL FX W FIX,5878.0,5231.42,316.19,5878.0,482 CPT,23615,TREATMENT OF BROKEN TOP OF UPPER ARM BONE,,,774.98,17034.43,20 CPT,23616,PR OPN TX PROX HUM FX W PRSTH RPL,9490.0,8446.1,426.85,9490.0,482 CPT,23616,TREATMENT OF BROKEN UPPER ARM BONE WITH REPLACEMENT,,,1046.19,23263.96,20 CPT,23620,HC CLSD TX GRT TBERSTY FX WO MANIP,782.0,695.98,162.66,782.0,736 CPT,23620,PR CLSD TX GRT TBERSTY FX WO MANIP,1556.0,1384.84,105.41,1556.0,507 CPT,23625,PR CLSD TX GRT TBERSTY FX W MANIP,2591.0,2305.99,177.82,2591.0,482 CPT,23630,PR OPN TX HUM TUBEROSITY FX W FIX,4461.0,3970.29,283.07,4461.0,482 CPT,23630,"TREATMENT OF UPPER ARM BONE, BROKEN AT SHOULDER JOINT PROFESSIONAL",,,693.8,23263.96,20 CPT,23650,HC CLSD TX DISLOC SHLDR WO ANES,1214.0,1080.46,247.2,1214.0,736 CPT,23650,PR CLSD TX DISLOC SHLDR WO ANES,2342.0,2084.38,172.61,2342.0,482 CPT,23655,HC CLSD TX DISLOC SHLDR W ANES,3040.0,2705.6,401.53,3040.0,1472 CPT,23655,PR CLSD TX DISLOC SHLDR W ANES,2325.0,2069.25,163.83,2325.0,482 CPT,23660,PR OPEN TX ACUTE SHLDR DISLO,4885.0,4347.65,213.64,4885.0,482 CPT,23665,HC CLSD TX DISLOC SHLDR W MANIP,2248.0,2000.72,399.71,2248.0,736 CPT,23665,PR CLSD TX DISLOC SHLDR W MANIP,2351.0,2092.39,197.44,2351.0,482 CPT,23670,PR OPN TX DISLOC SHLDR W MANIP,8071.0,7183.19,313.38,8071.0,482 CPT,23680,PR OPN TX DISLOC SHLDR W NECK FX,5865.0,5219.85,330.85,5865.0,482 CPT,23700,MANIPULATION OF SHOULDER JOINT UNDER ANESTHESIA PROFESSIONAL,,,175.64,2133.49,20 CPT,23700,PR MANIP W ANES SHLDR INC APP FIX,2022.0,1799.58,71.66,2022.0,482 CPT,23800,FUSION OF BONES OF SHOULDER JOINT,,,885.45,9627.58,20 CPT,23800,PR ARTHRODESIS GLENOHUMERAL JT,7817.0,6957.13,361.27,7817.0,482 CPT,23802,FUSION OF SHOULDER JOINT BONE WITH SELF BONE GRAFT,,,1105.52,17034.43,20 CPT,23802,PR ARTHRODESIS GLNHMRL JT W AUTO GRFT,8629.0,7679.81,451.05,8629.0,482 CPT,23900,PR INTERTHORACOSCAPULAR AMP,9095.0,8094.55,476.74,9095.0,482 CPT,23920,PR DISARTICULATION SHOULDER,7775.0,6919.75,394.47,7775.0,482 CPT,23929,HC CRYOABLATION SHOULDER/CLAVICLE,5369.0,4778.41,247.2,5369.0,735 CPT,23929,HC LASER SHOULDER ABLATION,5651.0,5029.39,247.2,5651.0,735 CPT,23929,PR CRYOABLATION SHOULDER/CLAVICLE,15730.0,13999.7,786.5,15730.0,477 CPT,23929,"PR MFAT, INCL HRVST AND INJ, SHOULDER, SNGL SITE",4000.0,3560.0,200.0,4000.0,477 CPT,23929,PR TENOTOMY SHLDR TX1 PROCEDURE,5612.0,4994.68,280.6,5612.0,477 CPT,23929,TENOTOMY SHLDR TX1 PROCEDURE FACILITY,,,21.71,327.28,19 CPT,23930,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF UPPER ARM OR ELBOW,,,193.27,3853.99,20 CPT,23930,PR I&D UARM/ELB DEEP ABSC/HEMA,2110.0,1877.9,152.75,2110.0,482 CPT,23931,PR I&D UARM/ELBOW BURSA,1565.0,1392.85,131.82,1565.0,482 CPT,23935,INCISION OF UPPER ARM OR ELBOW BONE,,,471.85,4341.31,20 CPT,23935,PR DRAIN ARM/ELBOW BONE LESION,3346.0,2977.94,192.52,3346.0,482 CPT,24000,"INCISION OF ELBOW JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,439.03,4341.31,20 CPT,24000,PR ATHRT ELB W DRAIN/RMVL FB,3088.0,2748.32,179.13,3088.0,482 CPT,24006,INCISION OF ELBOW WITH RELEASE OF JOINT CAPSULE,,,627.16,4341.31,20 CPT,24006,PR ARTHRT ELB W CAPSULAR EXCISN,4391.0,3907.99,255.88,4391.0,482 CPT,24065,PR BX SOFT TISS ARM/ELBOW SUPFCL,1017.0,905.13,106.46,1017.0,482 CPT,24066,BIOPSY OF DEEP TISSUE OF UPPER ARM OR ELBOW,,,393.46,3853.99,20 CPT,24066,PR BX SOFT TISS ARM/ELBOW DEEP,3090.0,2750.1,274.12,3090.0,482 CPT,24071,HC EXCISN TMR ARM/ELB SUBQ >=3CM,6153.0,5476.17,365.7,6153.0,736 CPT,24071,PR EXCISN TMR ARM/ELB SUBQ >=3CM,2398.0,2134.22,149.21,2398.0,489 CPT,24071,"REMOVAL OF GROWTH UNDER SKIN OF UPPER ARM OR ELBOW, 3.0 CM OR MORE FACILITY",,,365.7,3853.99,20 CPT,24073,PR EXCISN TMR ARM/ELB DEEP >=5CM,4934.0,4391.26,247.91,4934.0,482 CPT,24073,"REMOVAL OF GROWTH OF MUSCLE OF UPPER ARM OR ELBOW, 5.0 CM OR MORE PROFESSIONAL",,,607.61,3853.99,20 CPT,24075,HC EXCISN TMR ARM/ELBOW SUBQ <3CM,4093.0,3642.77,303.91,4093.0,737 CPT,24075,PR EXCISN TMR ARM/ELBOW SUBQ <3CM,2494.0,2219.66,228.47,2494.0,489 CPT,24075,"REMOVAL OF GROWTH UNDER SKIN OF UPPER ARM OR ELBOW, LESS THAN 3.0 CM FACILITY",,,303.91,2191.35,20 CPT,24076,HC EXCISN TMR ARM/ELB SUBFSCL<5CM,15373.0,13681.97,490.98,15373.0,736 CPT,24076,PR EXCISN TMR ARM/ELB SUBFSCL<5CM,3418.0,3042.02,200.32,3418.0,482 CPT,24076,"REMOVAL OF GROWTH OF MUSCLE OF UPPER ARM OR ELBOW, LESS THAN 5.0 CM",,,490.98,3853.99,20 CPT,24077,"EXTENSIVE REMOVAL OF GROWTH OF UPPER ARM OR ELBOW, LESS THAN 5.0 CM",,,884.44,3853.99,20 CPT,24077,PR RSECT RADCL TMR UARM/ELB<5CM,6765.0,6020.85,360.85,6765.0,482 CPT,24079,"EXTENSIVE REMOVAL OF GROWTH OF UPPER ARM OR ELBOW, 5.0 CM OR MORE",,,1129.13,3853.99,20 CPT,24079,PR RSECT RADCL TMR UARM/ELB>=5CM,8579.0,7635.31,460.69,8579.0,482 CPT,24100,INCISION OF ELBOW WITH BIOPSY OF JOINT LINING,,,392.11,4341.31,20 CPT,24100,PR ARTHROTOMY ELBOW W SYNOVIAL BX,3216.0,2862.24,159.98,3216.0,482 CPT,24101,INCISION AND EXPLORATION OF ELBOW JOINT PROFESSIONAL,,,460.09,4341.31,20 CPT,24101,PR ATHRT ELB W/WO BX RMVL FB,3625.0,3226.25,187.72,3625.0,482 CPT,24102,PR ATHRT ELBOW W SYNOVECTOMY,5868.0,5222.52,223.65,5868.0,482 CPT,24105,PR EXCISN BURSA OLECRANON,2223.0,1978.47,141.37,2223.0,482 CPT,24105,REMOVAL OF FLUID-FILLED SAC OF ELBOW,,,346.5,4341.31,20 CPT,24110,PR EXCISN BN CYST/BEN TMR HUMERUS,4873.0,4336.97,219.09,4873.0,482 CPT,24110,REMOVAL OF CYST OR GROWTH OF UPPER ARM BONE,,,536.97,4341.31,20 CPT,24115,REMOVAL OF CYST OR GROWTH OF UPPER ARM BONE AND SELF BONE GRAFT,,,652.19,9627.58,20 CPT,24116,PR EXCISN BONE LESN HUM W ALLOGRFT,5680.0,5055.2,304.93,5680.0,482 CPT,24120,PR EXCISN BN CYST HD/NK RAD/OLEPR,3932.0,3499.48,196.99,3932.0,482 CPT,24120,REMOVAL OF CYST OR GROWTH OF ELBOW OR UPPER FOREARM BONE,,,482.82,4341.31,20 CPT,24125,PR EXCISN BN LESN RAD/OLEC W AUTOGRFT,4240.0,3773.6,229.59,4240.0,482 CPT,24125,REMOVAL OF CYST OR GROWTH OF ELBOW OR UPPER FOREARM BONE AND SELF BONE GRAFT,,,562.71,4341.31,20 CPT,24126,PR EXCISN BN LESN RAD/OLEC W ALLOGRFT,4699.0,4182.11,238.18,4699.0,482 CPT,24130,PR EXCISN RADIAL HEAD,3981.0,3543.09,188.99,3981.0,482 CPT,24130,REMOVAL OF FOREARM BONE AT ELBOW JOINT,,,463.21,23263.96,20 CPT,24140,PARTIAL REMOVAL OF INFECTED UPPER ARM BONE,,,619.24,9627.58,20 CPT,24140,PR EXCISN BONE HUMERUS PARTIAL,4576.0,4072.64,252.65,4576.0,482 CPT,24145,PARTIAL REMOVAL OF INFECTED FOREARM BONE AT ELBOW,,,535.29,9627.58,20 CPT,24145,PR EXCISN PRTL BN RADIAL HEAD/NK,4055.0,3608.95,218.4,4055.0,482 CPT,24147,PARTIAL REMOVAL OF INFECTED ELBOW BONE PROFESSIONAL,,,568.98,9627.58,20 CPT,24147,PR EXCISN BN OLECRANON PRCS PRTL,4385.0,3902.65,232.15,4385.0,482 CPT,24149,EXTENSIVE REMOVAL OF BONY GROWTH AND TISSUE FROM ELBOW TO INCREASE ELBOW MOTION,,,1028.65,9627.58,20 CPT,24149,PR RSECT RADCL SOFT TISS/BN ELB,8577.0,7633.53,419.69,8577.0,482 CPT,24150,EXTENSIVE REMOVAL OF GROWTH OF UPPER ARM BONE,,,1296.29,23263.96,20 CPT,24150,PR RAD RSECT DISTAL HUM TUMOR,9772.0,8697.08,528.89,9772.0,482 CPT,24160,PR RMVL PROSTH HUM&ULN COMPONENTS,9188.0,8177.32,436.17,9188.0,482 CPT,24160,REMOVAL OF ELBOW JOINT PROSTHESIS,,,1069.04,4341.31,20 CPT,24164,PR PROSTHESIS REMOVAL RADIAL HEAD,4396.0,3912.44,261.86,4396.0,482 CPT,24164,REMOVAL OF FOREARM BONE PROSTHESIS AT ELBOW JOINT,,,641.8,9627.58,20 CPT,24200,HC RMVL FB UPR ARM/ELBOW SUBQ,5933.0,5280.37,136.93,5933.0,736 CPT,24200,PR RMVL FB UPR ARM/ELBOW SUBQ,943.0,839.27,97.8,943.0,482 CPT,24201,PR RMVL FB UPPER ARM/ELBOW DEEP,2560.0,2278.4,268.48,2560.0,482 CPT,24201,"REMOVAL OF FOREIGN BODY, UPPER ARM OR ELBOW AREA PROFESSIONAL",,,375.17,3853.99,20 CPT,24220,HC INJ ELBOW ARTHGM,843.0,750.27,53.32,843.0,719 CPT,24220,INJECTION OF CONTRAST FOR IMAGING OF ELBOW JOINT FACILITY,,,53.32,9627.58,20 CPT,24220,PR INJ ELBOW ARTHGM,1033.0,919.37,76.45,1033.0,482 CPT,24300,HC MANIPULATION ELBOW W ANES,8296.0,7383.44,436.75,8296.0,736 CPT,24300,MANIPULATION OF ELBOW UNDER ANESTHESIA,,,436.75,2133.49,20 CPT,24300,PR MANIPULATION ELBOW W ANES,2635.0,2345.15,178.2,2635.0,482 CPT,24301,PR MUS/TNDN TRANSFER UARM/ELB SNG,6548.0,5827.72,269.12,6548.0,482 CPT,24301,RELOCATION OF MUSCLE OR TENDON OF UPPER ARM OR ELBOW,,,659.61,9627.58,20 CPT,24305,LENGTHENING OF TENDON OF UPPER ARM OR ELBOW,,,514.72,9627.58,20 CPT,24305,PR TENDON LENGTHENING UPR ARM/ELB,4845.0,4312.05,210.01,4845.0,482 CPT,24310,"INCISION OF TENDON LOCATED FROM ELBOW TO SHOULDER, OPEN PROCEDURE",,,421.11,4341.31,20 CPT,24310,PR TENOTOMY OPN ELB TO SHLDR EA,4345.0,3867.05,171.82,4345.0,482 CPT,24332,RELEASE OF UPPER ARM TENDON,,,559.35,4341.31,20 CPT,24341,PR RPR TNDN/MUS ELBOW UARM,5545.0,4935.05,275.35,5545.0,482 CPT,24341,REPAIR OF TENDON OR MUSCLE OF UPPER ARM OR ELBOW,,,1349.74,9627.58,20 CPT,24342,PR REINS TNDN BICEP/TRICEP DISTAL,6412.0,5706.68,275.39,6412.0,482 CPT,24342,REINSERTION OF TORN UPPER ARM TENDON PROFESSIONAL,,,674.97,9627.58,20 CPT,24343,PR REPR ELBOW LAT LIGMNT W TISS,6139.0,5463.71,262.8,6139.0,482 CPT,24343,REPAIR OF LIGAMENT OF THUMB SIDE OF ELBOW,,,644.1,17034.43,20 CPT,24344,PR RCNST LAT LGMNT ELB W GRFT,6765.0,6020.85,395.18,6765.0,482 CPT,24344,REPAIR OF LIGAMENT OF THUMB SIDE OF ELBOW WITH TENDON GRAFT,,,968.57,9627.58,20 CPT,24345,PR RPR MED COLLAT LGMNT WLOC TISS,5051.0,4495.39,261.55,5051.0,482 CPT,24345,REPAIR OF LIGAMENT OF SMALL FINGER SIDE OF ELBOW,,,641.06,9627.58,20 CPT,24346,PR RCNST MED COLTRL LIGM ELB W GRFT,8381.0,7459.09,395.18,8381.0,482 CPT,24346,REPAIR OF LIGAMENT OF SMALL FINGER SIDE OF ELBOW WITH TENDON GRAFT,,,968.57,17034.43,20 CPT,24357,PR TENOTOMY ELBOW PERCUTANEOUS,3656.0,3253.84,153.12,3656.0,482 CPT,24358,INCISION OF ELBOW TENDON WITH REMOVAL OF TISSUE PROFESSIONAL,,,476.89,4341.31,20 CPT,24358,PR TENOTOMY ELB DBRD TISS/BN OPN,3616.0,3218.24,194.57,3616.0,482 CPT,24359,INCISION AND REPAIR OF ELBOW TENDON WITH REMOVAL OF TISSUE OR BONE,,,583.72,4341.31,20 CPT,24359,PR TENOTOMY ELB DBRD OPN TNDN RPR,4258.0,3789.62,238.16,4258.0,482 CPT,24360,PR ARTHROPLASTY ELBOW W MEMBRANE,5761.0,5127.29,320.64,5761.0,482 CPT,24360,REPAIR OF ELBOW JOINT WITH TISSUE GRAFT,,,785.88,9627.58,20 CPT,24361,PR ARTHR ELB W DISTL HUM PROST RP,7745.0,6893.05,355.16,7745.0,482 CPT,24363,PR ARTHRO ELB W DH/PU PROSTH RPLC,13034.0,11600.26,494.32,13034.0,482 CPT,24363,PROSTHETIC REPAIR OF ELBOW JOINT,,,1211.56,23263.96,20 CPT,24365,JOINT REPAIR (ARTHROPLASTY) FOREARM BONE ON THE THUMB SIDE (RADIUS) AT THE ELBOW WITHOUT AN IMPLANT,,,571.4,17034.43,20 CPT,24365,PR ARTHROPLASTY RADIAL HEAD,4215.0,3751.35,233.13,4215.0,482 CPT,24366,JOINT REPAIR (ARTHROPLASTY) FOREARM BONE ON THE THUMB SIDE (RADIUS) AT THE ELBOW WITH AND IMPLANT,,,599.57,17034.43,20 CPT,24366,PR ARTHRO RADIAL HEAD W IMPL,4852.0,4318.28,244.63,4852.0,482 CPT,24370,PR REV ELB ARTHRO HUM/ULNA COMPNT,10225.0,9100.25,522.9,10225.0,482 CPT,24370,"REVISION OF TOTAL ELBOW REPAIR (ARTHROPLASTY), UPPER ARM OR FOREARM COMPONENTS",,,1281.61,17034.43,20 CPT,24371,PR REV ELB ARTHRO HUM&LNA COMPNT,11410.0,10154.9,595.64,11410.0,482 CPT,24371,"REVISION OF TOTAL ELBOW REPAIR (ARTHROPLASTY), UPPER ARM AND FOREARM COMPONENTS",,,1459.89,23263.96,20 CPT,24400,PR OSTEOTOMY HUMERUS W/WO INT FIX,5975.0,5317.75,297.59,5975.0,482 CPT,24410,INCISION OR PARTIAL REMOVAL OF UPPER ARM BONE WITH INSERTION OF ROD,,,914.41,17034.43,20 CPT,24410,PR REVISION OF HUMERUS,7139.0,6353.71,373.08,7139.0,482 CPT,24420,PR OSTEOPLASTY HUMERUS,6723.0,5983.47,386.79,6723.0,482 CPT,24420,RECONSTRUCTION OF UPPER ARM BONE,,,948.0,17034.43,20 CPT,24430,PR RPR NON/MALUNION HUM WO GRFT,7466.0,6644.74,370.64,7466.0,482 CPT,24430,REPAIR OF NONHEALED BROKEN UPPER ARM BONE,,,908.43,17034.43,20 CPT,24435,PR RPR NON/MALUNION HUM W AUTOGRFT,8957.0,7971.73,385.28,8957.0,482 CPT,24435,REPAIR OF NONHEALED BROKEN UPPER ARM BONE WITH SELF BONE GRAFT,,,944.31,17034.43,20 CPT,24498,PR TX PROPHX HUM SHAFT W/WO MMA,5715.0,5086.35,306.92,5715.0,482 CPT,24500,HC CLSD TX HUM SHAFT FX WO MANIP,1109.0,987.01,230.67,1109.0,1472 CPT,24500,PR CLSD TX HUM SHAFT FX WO MANIP,1790.0,1593.1,166.0,1790.0,482 CPT,24505,HC CLSD TX HUM FX W MANIP W/WO TRCTN,2837.0,2524.93,453.13,2837.0,736 CPT,24505,PR CLSD TX HUM FX W MANIP W/WO TRCTN,2901.0,2581.89,230.45,2901.0,482 CPT,24515,PR OPN TX HUM FX W PLT W/WO CERCLG,5699.0,5072.11,315.9,5699.0,482 CPT,24515,TREATMENT OF BROKEN MIDDLE PART OF UPPER ARM BONE WITH PLACEMENT OF STABILIZING DEVICE (PLATE/SCREWS),,,774.26,17034.43,20 CPT,24516,PR OPN TX HUM FX W INSRT IMPLNT,6552.0,5831.28,305.19,6552.0,482 CPT,24516,TREATMENT OF BROKEN MIDDLE PART OF UPPER ARM BONE WITH PLACEMENT OF STABILIZING DEVICE (IMPLANT),,,748.02,17034.43,20 CPT,24530,CLOSED TREATMENT OF UPPER ARM BONE BROKEN AT ELBOW FACILITY,,,247.2,521.96,20 CPT,24530,HC CLSD TX SUPRA HUM FX WO MANIP,1102.0,980.78,229.22,1102.0,1472 CPT,24530,PR CLSD TX SUPRA HUM FX WO MANIP,1973.0,1755.97,147.38,1973.0,507 CPT,24535,HC CLSD TX SUPRA HUM FX W MANIP,4468.0,3976.52,538.49,4468.0,1472 CPT,24535,PR CLSD TX SUPRA HUM FX W MANIP,3975.0,3537.75,272.29,3975.0,482 CPT,24538,PLACEMENT OF STABILIZING DEVICE TO UPPER ARM BROKEN AT ELBOW,,,714.48,9627.58,20 CPT,24538,PR FIX SKEL PERC SUPRA HUM FX,5048.0,4492.72,291.51,5048.0,482 CPT,24545,PR OPN TX HUM SUPRA FX WO EXTENSN,5917.0,5266.13,329.49,5917.0,482 CPT,24545,TREATMENT OF UPPER ARM BONE BROKEN AT ELBOW,,,807.57,17034.43,20 CPT,24546,PR OPN TX HUM SUPRA FX W EXTENSN,8194.0,7292.66,364.64,8194.0,482 CPT,24546,TREATMENT OF BROKEN UPPER ARM BONE AT ELBOW WITH EXTENSION,,,893.72,17034.43,20 CPT,24560,CLOSED TREATMENT OF BROKEN OUTER PART OF UPPER ARM BONE AT ELBOW FACILITY,,,247.2,466.89,20 CPT,24560,HC CLSD TX HUM EPICNDY FX WO MANIP,814.0,724.46,169.31,814.0,1472 CPT,24560,PR CLSD TX HUM EPICNDY FX WO MANIP,1653.0,1471.17,133.22,1653.0,507 CPT,24565,PR CLSD TX HUM EPICNDY FX W MANIP,3418.0,3042.02,238.24,3418.0,482 CPT,24566,PLACEMENT OF STABILIZING DEVICE FOR BROKEN OUTER PART OF UPPER ARM AT ELBOW,,,656.18,2133.49,20 CPT,24566,PR PERC SK HUM EPICNDY FX W MANIP,4009.0,3568.01,267.72,4009.0,482 CPT,24575,PR OPN TX HUM EPICNDY FX W FIX,5676.0,5051.64,268.56,5676.0,482 CPT,24575,TREATMENT OF BROKEN OUTER PART OF UPPER ARM BONE AT ELBOW,,,1316.44,17034.43,20 CPT,24576,CLOSED TREATMENT OF BROKEN ELBOW FACILITY,,,247.2,493.38,20 CPT,24576,HC CLSD TX HUM CONDYL FX WO MANIP,800.0,712.0,166.4,800.0,1472 CPT,24576,PR CLSD TX HUM CONDYL FX WO MANIP,1877.0,1670.53,164.49,1877.0,482 CPT,24577,PR CLSD TX HUM CONDYLAR FX W MANIP,5962.0,5306.18,244.62,5962.0,482 CPT,24579,PR OPN TX HUM CONDYLAR FX W FIX,5488.0,4884.32,300.19,5488.0,482 CPT,24579,TREATMENT OF BROKEN ELBOW,,,735.76,17034.43,20 CPT,24582,PLACEMENT OF STABILIZING DEVICE FOR BROKEN ELBOW WITH MANIPULATION,,,744.63,9627.58,20 CPT,24582,PR FIX PRQ FX HUM CNDYLR W MANIP,5626.0,5007.14,303.81,5626.0,482 CPT,24586,PR OPN TX PERIARTICUL FX &/DISLOC ELB,9574.0,8520.86,377.91,9574.0,482 CPT,24586,TREATMENT OF BROKEN OR DISLOCATED UPPER OR FOREARM BONES AT ELBOW,,,926.24,17034.43,20 CPT,24600,HC CLSD TX DISLOC ELBOW WO ANES,1175.0,1045.75,244.4,1175.0,734 CPT,24600,PR CLSD TX DISLOC ELBOW WO ANES,3563.0,3171.07,188.23,3563.0,482 CPT,24605,HC CLSD TX DISLOC ELBOW W ANES,3582.0,3187.98,458.5,3582.0,736 CPT,24605,PR CLSD TX DISLOC ELBOW W ANES,3458.0,3077.62,187.07,3458.0,482 CPT,24615,PR OPEN TX ACUTE/CHR ELB DISLO,4730.0,4209.7,255.69,4730.0,482 CPT,24615,TREATMENT OF DISLOCATED ELBOW,,,626.69,9627.58,20 CPT,24620,HC CLSD TX ELB FX/DISLOC W MANIP,3252.0,2894.28,540.98,3252.0,736 CPT,24620,PR CLSD TX ELB FX/DISLOC W MANIP,3331.0,2964.59,220.72,3331.0,482 CPT,24635,PR TX MONTEG ELB FX/DISLOC W FIX,6033.0,5369.37,247.91,6033.0,482 CPT,24635,TREATMENT OF BROKEN AND DISLOCATED FOREARM BONES AT ELBOW,,,607.61,9627.58,20 CPT,24640,HC TX ELBOW NURSEMAID FX W MANIP,814.0,724.46,70.66,814.0,736 CPT,24640,PR TX ELBOW NURSEMAID FX W MANIP,702.0,624.78,42.57,702.0,489 CPT,24650,CLOSED TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE AT ELBOW FACILITY,,,247.2,379.23,20 CPT,24650,HC CLSD TX RADL HD/NK FX WO MANIP,725.0,645.25,150.8,725.0,1472 CPT,24650,PR CLSD TX RADL HD/NK FX WO MANIP,1367.0,1216.63,103.06,1367.0,507 CPT,24655,HC CL TX RADL HEAD/NK FX W MANIP,3750.0,3337.5,425.13,3750.0,736 CPT,24655,PR CL TX RADL HEAD/NK FX W MANIP,2644.0,2353.16,211.6,2644.0,482 CPT,24665,PR OPN TX RADIAL HEAD/NK FX W FIX,4348.0,3869.72,241.64,4348.0,482 CPT,24665,TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE AT ELBOW,,,592.26,9627.58,20 CPT,24666,PR OPN TX RADL HD/NK FX W PROSTH,5358.0,4768.62,264.33,5358.0,482 CPT,24666,TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE AT ELBOW WITH PROSTHESIS,,,647.87,17034.43,20 CPT,24670,CLOSED TREATMENT OF BROKEN FOREARM BONE ON SMALL FINGER SIDE AT ELBOW FACILITY,,,247.2,410.97,20 CPT,24670,HC CLSD TX ULNAR PROX FX WO MANIP,1054.0,938.06,219.23,1054.0,1472 CPT,24670,PR CLSD TX ULNAR PROX FX WO MANIP,1601.0,1424.89,134.92,1601.0,482 CPT,24675,HC CLSD TX ULNAR HCOX FX W MANIP,4007.0,3566.23,406.44,4007.0,736 CPT,24675,HC CLSD TX ULNAR PROX FX W MANIP,4007.0,3566.23,406.44,4007.0,736 CPT,24675,PR CLSD TX ULNAR PROX FX W MANIP,2374.0,2112.86,204.95,2374.0,482 CPT,24685,PR OPN TX ULNAR FX PROX W FIX,4618.0,4110.02,241.34,4618.0,482 CPT,24685,TREATMENT OF BROKEN FOREARM BONE ON SMALL FINGER SIDE AT ELBOW PROFESSIONAL,,,591.51,9627.58,20 CPT,24900,AMPUTATION OF ARM THROUGH UPPER ARM BONE WITH CLOSURE,,,679.73,17034.43,20 CPT,24900,PR AMP ARM THRU HUM W PRIM CLSR,4565.0,4062.85,277.33,4565.0,482 CPT,24920,"PR AMPUTATN ARM,THRU HUMERUS,CIRCULAR",5143.0,4577.27,263.57,5143.0,482 CPT,24925,PR AMP ARM THRU HUM CLSR/SCAR REV,3766.0,3351.74,211.2,3766.0,482 CPT,24925,SECONDARY CLOSURE OR REVISION OF SCAR OF PREVIOUS UPPER ARM BONE AMPUTATION,,,517.63,4341.31,20 CPT,24999,HC ABLATION HUM/ELB BN PERC CRYO,6593.0,5867.77,247.2,6593.0,734 CPT,24999,PR TX1 TENOTOMY ELBOW PERCUTANEOUS,4577.0,4073.53,228.85,4577.0,477 CPT,24999,TX1 TENOTOMY ELBOW PERCUTANEOUS FACILITY,,,674.87,9627.58,19 CPT,25000,INCISION OR THE TENDON COVERING ON THE TOP SIDE OF THE WRIST FACILITY,,,330.72,2133.49,20 CPT,25000,PR INCISN EXTENSOR TNDN SHTH WRST,2409.0,2144.01,134.94,2409.0,482 CPT,25001,INCISION OR THE TENDON COVERING ON THE PALM SIDE OF THE WRIST,,,330.78,9627.58,20 CPT,25001,PR INCISN FLEXOR TNDN SHTH WRIST,2796.0,2488.44,134.96,2796.0,482 CPT,25020,PR DCMPRN FORARM FLEX/EXT WO DBRD,7333.0,6526.37,289.31,7333.0,482 CPT,25023,PR DCMPRN FOREARM FLEX/EXT W DBRD,7180.0,6390.2,497.93,7180.0,482 CPT,25024,"INCISION OF TISSUE OF FOREARM AND/OR WRIST MUSCLE COMPARTMENT ON BOTH SIDES OF THE FOREARM TO RELIEVE PRESSURE, WITHOUT REMOVAL OF TISSUE",,,684.07,4341.31,20 CPT,25024,PR DCMPRN FORARM FLEX&EXT WO DBRD,4738.0,4216.82,279.1,4738.0,482 CPT,25025,INCISION TO RELIEVE PRESSURE IN TOP AND PALM SIDE OF WRIST COMPARTMENT WITH REMOVAL OF DAMAGED TISSUE,,,1048.86,4532.56,20 CPT,25028,PR I&D FOREARM DEEP ABSCESS/HEMA,3808.0,3389.12,276.1,3808.0,482 CPT,25035,PR INCISN DEEP BN CORTEX FRARM/WRST,4578.0,4074.42,217.74,4578.0,482 CPT,25040,PR ARTHRT RADIO/MIDCARPAL W EXPLR,4640.0,4129.6,202.93,4640.0,482 CPT,25065,BIOPSY OF SURFACE TISSUE OF FOREARM OR WRIST,,,141.41,3853.99,20 CPT,25065,PR BX SOFT TISS FRARM /WRST SUPFC,950.0,845.5,106.36,950.0,482 CPT,25066,BIOPSY OF DEEP TISSUE OF FOREARM AND/OR WRIST,,,344.68,3853.99,20 CPT,25066,PR BX SOFT TISS FOREARM/WRST DEEP,2564.0,2281.96,140.63,2564.0,482 CPT,25071,HC EXCISN TMR WRST SUBQ>=3CM,5853.0,5209.17,379.3,5853.0,736 CPT,25071,PR EXCISN TMR WRST SUBQ>=3CM,2881.0,2564.09,154.76,2881.0,489 CPT,25071,"REMOVAL OF GROWTH UNDER SKIN OF FOREARM OR WRIST, 3.0 CM OR MORE FACILITY",,,379.3,3853.99,20 CPT,25073,PR EXCISN TMR WRST SUBFSCL>=3CM,4463.0,3972.07,195.86,4463.0,482 CPT,25073,"REMOVAL OF GROWTH OF MUSCLE OF FOREARM OR WRIST, 3.0 CM OR MORE",,,960.08,3853.99,20 CPT,25075,HC EXCISN TMR WRST SUBQ<3CM,4093.0,3642.77,291.94,4093.0,736 CPT,25075,PR EXCISN TMR WRST SUBQ<3CM,2212.0,1968.68,222.32,2212.0,489 CPT,25075,"REMOVAL OF GROWTH UNDER SKIN OF FOREARM OR WRIST, LESS THAN 3.0 CM FACILITY",,,291.94,2191.35,20 CPT,25076,PR EXCISN TMR WRST SUBFSCL<3CM,4148.0,3691.72,190.55,4148.0,482 CPT,25076,"REMOVAL OF GROWTH OF MUSCLE OF FOREARM OR WRIST, LESS THAN 3.0 CM",,,467.04,2191.35,20 CPT,25077,"EXTENSIVE REMOVAL OF GROWTH OF FOREARM OR WRIST, LESS THAN 3.0 CM",,,760.29,5195.02,20 CPT,25077,PR RSECT TMR WRIST RADCL <3 CM,7686.0,6840.54,310.2,7686.0,482 CPT,25078,"EXTENSIVE REMOVAL OF GROWTH OF FOREARM OR WRIST, 3.0 CM OR MORE",,,1001.63,3853.99,20 CPT,25078,PR RSECT TMR WRST RADCL >=3CM,7611.0,6773.79,408.67,7611.0,482 CPT,25085,INCISION TO REPAIR OR RELEASE CAPSULE OF WRIST JOINT,,,407.28,9627.58,20 CPT,25085,PR CAPSULOTOMY WRIST,4103.0,3651.67,166.17,4103.0,482 CPT,25100,INCISION OF JOINT CAPSULE OF WRIST,,,332.74,4341.31,20 CPT,25100,PR ARTHROTOMY WRIST JOINT W BX,2591.0,2305.99,135.76,2591.0,482 CPT,25101,INCISION AND EXPLORATION OF WRIST JOINT PROFESSIONAL,,,376.41,4341.31,20 CPT,25101,PR ARTHRT WRST JT W EXPLORATION,3595.0,3199.55,153.58,3595.0,482 CPT,25105,INCISION INTO WRIST JOINT WITH REMOVAL OF JOINT LINING TISSUE,,,444.14,4341.31,20 CPT,25105,PR ARTHRT WRST JT W SYNOVECTOMY,4210.0,3746.9,181.21,4210.0,482 CPT,25107,INCISION TO REPAIR WRIST JOINT WITH REPAIR OF CARTILAGE,,,562.13,4341.31,20 CPT,25107,PR ARTHRT DSTL RADIOULNR JT W RPR,5255.0,4676.95,229.35,5255.0,482 CPT,25109,PR EXCISN TNDN FOREARM/WRST EA,4029.0,3585.81,196.89,4029.0,482 CPT,25109,REMOVAL OF TENDON OF FOREARM AND/OR WRIST,,,482.56,4341.31,20 CPT,25110,PR EXCISN LESN TNDN SHTH FOREARM,2999.0,2669.11,132.42,2999.0,482 CPT,25110,REMOVAL OF GROWTH OF TENDON COVERING OF FOREARM OR WRIST,,,324.56,2133.49,20 CPT,25111,PR EXCISN WRST GANGLION PRIMARY,2571.0,2288.19,126.81,2571.0,482 CPT,25111,REMOVAL OF FIRST CYST OF WRIST PROFESSIONAL,,,310.8,2133.49,20 CPT,25112,PR EXCISN WRST GANGLION RECURRENT,2849.0,2535.61,147.73,2849.0,482 CPT,25112,REMOVAL OF RECURRENT CYST OF WRIST FACILITY,,,362.08,2133.49,20 CPT,25115,EXTENSIVE REMOVAL OF GROWTH OF SOFT TISSUE STRUCTURES IN PALM SIDE OF WRIST,,,668.26,2590.89,20 CPT,25115,PR EXCISN TNDN SHTH FLEXORS RADCL,6001.0,5340.89,272.65,6001.0,482 CPT,25116,EXTENSIVE REMOVAL OF GROWTH OF SOFT TISSUE STRUCTURES IN TOP SIDE OF WRIST,,,546.06,4341.31,20 CPT,25116,PR EXCISN TNDN SHTH EXTNSRS RADCL,6194.0,5512.66,222.79,6194.0,482 CPT,25118,PR SYNO EXT TNDN SHTH WRST SNGL,3645.0,3244.05,145.1,3645.0,482 CPT,25118,REMOVAL OF LINING OF TENDON COVERING OF WRIST FACILITY,,,355.64,2133.49,20 CPT,25119,PR SYN EXT TND SHTH WRST W RSCT DU,3509.0,3123.01,188.94,3509.0,482 CPT,25119,REMOVAL OF TENDON LINING ON TOP SIDE OF WRIST AND END OF FOREARM BONE AT WRIST,,,463.08,4341.31,20 CPT,25120,PR EXCISN BN CYST RADIUS/ULNA,4902.0,4362.78,185.14,4902.0,482 CPT,25120,REMOVAL OF CYST OR GROWTH OF LOWER FOREARM BONE,,,453.78,4341.31,20 CPT,25126,PR EXCISN CYST/TMR RADS/UL W ALLOGRFT,4504.0,4008.56,222.13,4504.0,482 CPT,25130,PR EXCISN CYST/TMR CARPAL BONES,4162.0,3704.18,168.72,4162.0,482 CPT,25130,REMOVAL OF CYST OR GROWTH OF WRIST BONE,,,413.52,4341.31,20 CPT,25135,PR EXCISN CYST/TMR CRPL W AUTOGRFT,3787.0,3370.43,209.76,3787.0,482 CPT,25136,PR EXCISN CYST CARPAL BN W ALLOGRFT,4038.0,3593.82,187.76,4038.0,482 CPT,25136,REMOVAL OF CYST OR GROWTH OF WRIST BONE WITH BONE GRAFT,,,460.19,9627.58,20 CPT,25150,PR EXCISN BN ULNA PARTIAL,5377.0,4785.53,207.28,5377.0,482 CPT,25150,REMOVAL OF DISEASED PART OF FOREARM BONE ON SMALL FINGER SIDE,,,508.03,9627.58,20 CPT,25151,PR EXCISN BN RADIUS PARTIAL,7055.0,6278.95,211.69,7055.0,482 CPT,25151,REMOVAL OF DISEASED PART OF FOREARM BONE ON THUMB SIDE,,,518.84,9627.58,20 CPT,25170,PR RSECT RADIUS/ULNAR TMR RADCL,10934.0,9731.26,503.64,10934.0,482 CPT,25210,PR CARPECTOMY ONE BONE,3945.0,3511.05,182.33,3945.0,482 CPT,25210,REMOVAL OF WRIST BONE,,,446.89,4341.31,20 CPT,25215,PR CARPECTOMY PROX ROW ALL BONES,5676.0,5051.64,224.37,5676.0,482 CPT,25215,REMOVAL OF MULTIPLE WRIST BONES,,,549.93,4341.31,20 CPT,25230,PARTIAL REMOVAL OF WRIST BONE NEAR THUMB,,,395.45,4341.31,20 CPT,25230,PR STYLOIDECTOMY RADIAL,3387.0,3014.43,161.35,3387.0,482 CPT,25240,PR EXCISN DISTAL ULNA PRTL/COMPLT,3577.0,3183.53,160.21,3577.0,482 CPT,25240,REMOVAL OR PARTIAL REMOVAL OF LOWER END OF FOREARM BONE ON SMALL FINGER SIDE AT WRIST,,,392.66,9627.58,20 CPT,25246,PR INJ WRIST ARTHGM,809.0,720.01,76.85,809.0,482 CPT,25250,REMOVAL OF WRIST PROSTHESIS,,,487.93,2133.49,20 CPT,25251,"REMOVAL OF WRIST PROSTHESIS, COMPLICATED",,,637.9,4341.31,20 CPT,25259,MANIPULATION OF WRIST UNDER ANESTHESIA,,,426.74,9627.58,20 CPT,25260,PR RPR TNDN/MS FLX FRARM/WRST PRI EA,4484.0,3990.76,233.39,4484.0,482 CPT,25260,PRIMARY REPAIR OF TENDON OR MUSCLE OF PALM SIDE OF FOREARM OR WRIST,,,572.03,4341.31,19 CPT,25265,PR RPR TNDN/MS FLX FRARM/WRST SEC EA,5426.0,4829.14,266.6,5426.0,482 CPT,25265,REPAIR OF FOREARM AND/OR WRIST TENDON OR MUSCLE ON THE UNDERSIDE OF THE WRIST (FLEXOR) WITH GRAFT,,,653.42,4341.31,20 CPT,25270,PR RPR TNDN/MS EXT FRARM/WRST PRI EA,4162.0,3704.18,183.46,4162.0,482 CPT,25270,REPAIR OF FOREARM AND/OR WRIST TENDON OR MUSCLE,,,1348.92,23263.96,20 CPT,25272,PR RPR TNDN/MS EXT FRARM/WRST SEC EA,4283.0,3811.87,207.36,4283.0,482 CPT,25272,"REPAIR OF FOREARM AND/OR WRIST TENDON OR MUSCLE ON THE TOP OF THE WRIST (EXTENSOR), SECONDARY",,,2032.96,9627.58,20 CPT,25274,PR RPR TNDN WRST EXTENS EA TNDN,5005.0,4454.45,238.76,5005.0,482 CPT,25274,REPAIR OF TENDON OR MUSCLE ON TOP SIDE OF FOREARM OR WRIST WITH GRAFT,,,1170.36,11643.84,20 CPT,25275,PR RPR TNDN SHTH EXT WRST W GRFT,5119.0,4555.91,241.91,5119.0,482 CPT,25275,REPAIR OF FOREARM AND/OR WRIST TENDON COVERING WITH GRAFT,,,592.92,9627.58,20 CPT,25280,LENGTHENING OR SHORTENING OF TENDON OF FOREARM AND/OR WRIST,,,3279.02,9627.58,17 CPT,25280,PR LNGTH/SHRT FLXR/EXTSR TNDN EA,4324.0,3848.36,206.59,4324.0,482 CPT,25290,"INCISION OF TENDON OF FOREARM AND/OR WRIST, OPEN PROCEDURE",,,396.67,4341.31,20 CPT,25290,PR TENOTOMY FLEXOR/EXTNSR WRST EA,4057.0,3610.73,161.84,4057.0,482 CPT,25295,PR TENOLYSIS FLEXR/EXTNSR WRST EA,5012.0,4460.68,193.49,5012.0,482 CPT,25295,REMOVAL OF SCAR TISSUE TO RELEASE TENDON OF FOREARM OR WRIST,,,474.23,4341.31,20 CPT,25300,ANCHORING OF FLEXING TENDON OF FINGERS TO WRIST BONE,,,621.06,4341.31,20 CPT,25300,PR TENODESIS WRIST FLEXORS FNGRS,5208.0,4635.12,253.39,5208.0,482 CPT,25301,ANCHORING OF EXTENDING TENDON OF FINGERS TO WRIST BONE,,,568.57,4341.31,20 CPT,25301,PR TENODESIS WRIST EXTENSRS FNGRS,5761.0,5127.29,231.98,5761.0,482 CPT,25310,PR TRNSPL FLX/EXT TNDN SNGL EA,6203.0,5520.67,260.45,6203.0,482 CPT,25310,RELOCATION OF TENDON OF FOREARM AND/OR WRIST PROFESSIONAL,,,638.34,9627.58,20 CPT,25312,PR TRNSPL FLX/EXT SNGL TNDN GRFT,5043.0,4488.27,256.21,5043.0,482 CPT,25312,RELOCATION OF TENDON OF FOREARM AND/OR WRIST WITH GRAFTS,,,627.97,4341.31,20 CPT,25315,PR FLEXOR ORGIN SLIDE FRARM&/WRIST,6400.0,5696.0,276.42,6400.0,482 CPT,25315,REPAIR OF TENDON OF FOREARM AND/OR WRIST,,,677.5,9627.58,20 CPT,25316,RELEASE AND RELOCATION OF TENDONS OF FOREARM OR WRIST,,,797.59,9627.58,20 CPT,25320,PR CPSLRPY/RCNST WRST FOR CARP,8658.0,7705.62,360.43,8658.0,482 CPT,25320,RECONSTRUCTION OF WRIST JOINT,,,883.4,9627.58,20 CPT,25332,PR ARTHRP WRST W/WO INTERPOS,7669.0,6825.41,298.63,7669.0,482 CPT,25332,REPAIR OF WRIST JOINT,,,731.93,4341.31,20 CPT,25337,PR RCNST DISTAL JT W/WO REDUC,6932.0,6169.48,321.37,6932.0,482 CPT,25337,REPAIR OF TENDONS OF OUTER FOREARM AT WRIST JOINT,,,787.67,9627.58,20 CPT,25350,INCISION OR PARTIAL REMOVAL OF FOREARM BONE ON THUMB SIDE NEAR HAND,,,594.42,9627.58,20 CPT,25350,PR OSTEOTOMY RADIUS DISTAL THIRD,5617.0,4999.13,242.53,5617.0,482 CPT,25355,INCISION OR PARTIAL REMOVAL OF FOREARM BONE ON THUMB SIDE NEAR ELBOW OR IN MIDDLE,,,675.72,4341.31,20 CPT,25355,PR OSTEOTOMY RADIUS MID/PRX THIRD,6723.0,5983.47,275.7,6723.0,482 CPT,25360,INCISION OR PARTIAL REMOVAL OF FOREARM BONE ON SMALL FINGER SIDE,,,578.45,9627.58,20 CPT,25360,PR OSTEOTOMY ULNA,4819.0,4288.91,236.01,4819.0,482 CPT,25365,INCISION OR PARTIAL REMOVAL OF BOTH FOREARM BONES,,,797.93,17034.43,20 CPT,25365,PR OSTEOTOMY RADIUS & ULNA,6915.0,6154.35,325.56,6915.0,482 CPT,25390,PR OSTEOPLASTY RADIUS/ULNA SHRTNG,6604.0,5877.56,271.78,6604.0,482 CPT,25390,SHORTENING OF ONE OF THE FOREARM BONES,,,666.13,9627.58,20 CPT,25394,PR OSTEOPLASTY CARPAL BONE SHRTNG,4672.0,4158.08,282.13,4672.0,482 CPT,25394,SHORTENING OF WRIST BONE,,,691.48,9627.58,20 CPT,25400,PR RPR NON/MALUN RAD/ULN WO GRFT,6235.0,5549.15,283.56,6235.0,482 CPT,25400,REPAIR NON-HEALED FRACTURE OF FOREARM BONE,,,695.0,9627.58,20 CPT,25405,PR RPR NON/MALUNION RAD/ULN W AUTGRFT,6974.0,6206.86,359.87,6974.0,482 CPT,25405,REPAIR NON-HEALED FRACTURE OF FOREARM BONE WITH PATIENT-DERIVED BONE GRAFT,,,882.03,17034.43,20 CPT,25415,PR RPR NON/MALUN RAD&ULN WO GRFT,6758.0,6014.62,341.96,6758.0,482 CPT,25420,PR RPR NON/MALUN RAD & ULN W GRFT,8835.0,7863.15,406.66,8835.0,482 CPT,25425,PR RPR DEFECT W AUTOGRFT RADIUS/ULNA,6902.0,6142.78,340.37,6902.0,482 CPT,25430,INSERTION OF VASCULAR BONE GRAFT INTO WRIST BONE,,,656.95,4341.31,20 CPT,25430,PR INS VASCULAR PEDICLE CRPL BONE,5148.0,4581.72,268.04,5148.0,482 CPT,25431,PR RPR NONUNION CARPAL BONE EA,5699.0,5072.11,283.42,5699.0,482 CPT,25440,PR RPR NONUN SCPHD CRPL BN RDL STYL,5942.0,5288.38,271.79,5942.0,482 CPT,25440,"REPAIR OF NON-HEALED WRIST BONE, SCAPHOID OR NAVICULAR AT THE BASE OF THE THUMB",,,666.15,9627.58,20 CPT,25442,ARTHROPLASTY OR REPLACEMENT OF THE END OF THE FOREARM BONE ON THE SMALL FINGER SIDE AT THE WRIST LEVEL,,,701.28,23263.96,20 CPT,25442,PR ARTHRO W PROSTH RPLC ULNA,5215.0,4641.35,286.12,5215.0,482 CPT,25443,"ARTHROPLASTY OR REPLACEMENT OF WRIST BONE, ONE WRIST BONE (SCAPHOID OR NAVICULAR BONE)",,,694.95,9627.58,20 CPT,25443,PR ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL,5308.0,4724.12,283.54,5308.0,482 CPT,25444,"ARTHROPLASTY OR REPLACEMENT OF WRIST BONE, ONE WRIST BONE (LUNATE BONE)",,,718.14,17034.43,20 CPT,25445,"ARTHROPLASTY OR REPLACEMENT OF WRIST BONE, ONE WRIST BONE (TRAPEZIUM BONE)",,,628.4,9627.58,20 CPT,25445,PR ARTHRO W PROSTH RPLC TRAP,5129.0,4564.81,256.39,5129.0,482 CPT,25446,ARTHROPLASTY OR REPLACEMENT OF THE ENTIRE WRIST JOINT,,,985.65,23263.96,20 CPT,25446,PR ARTHRO W PROSTH RPLC TOT WRST,7682.0,6836.98,402.15,7682.0,482 CPT,25447,PR ARTHRO INTERCARP/CMC JT,5477.0,4874.53,288.66,5477.0,482 CPT,25447,REMOVAL OF BONE JOINTS BETWEEN WRIST AND FINGERS PROFESSIONAL,,,707.5,4341.31,20 CPT,25448,PR ARTHRP INTERCARP/CARP/MTCRPL JT SUSP,6596.0,5870.44,317.44,6596.0,482 CPT,25448,REPLACEMENT OF JOINT BETWEEN WRIST AND FINGERS USING TENDON OR STITCHES PROFESSIONAL,,,446.89,4341.31,20 CPT,25449,PR REV ARTHRP W RMVL IMPL WRIST,5904.0,5254.56,357.55,5904.0,482 CPT,25449,REVISION OF WRIST JOINT REPLACEMENT WITH REMOVAL OF EXISTING PROSTHESIS,,,876.34,9627.58,20 CPT,25450,PR ARR EPIPSL DISTAL RADIUS/UNLA,4254.0,3786.06,228.0,4254.0,482 CPT,25450,STAPLING OR REMOVAL OF GROWTH PLATE OF FOREARM BONE,,,558.81,9627.58,20 CPT,25490,PR TX PROPHYLACTIC RADS W/WO MMA,4724.0,4204.36,261.02,4724.0,482 CPT,25490,STABILIZATION OF FOREARM BONE ON THUMB SIDE WITH DEVICE,,,639.74,9627.58,20 CPT,25491,PR TX PROPHYLACTIC ULNA W/WO MMA,5302.0,4718.78,266.69,5302.0,482 CPT,25500,CLOSED TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON THUMB SIDE FACILITY,,,247.2,398.78,20 CPT,25500,HC TX RADIAL SHAFT FX WO MANIP,934.0,831.26,194.27,934.0,1472 CPT,25500,PR TX RADIAL SHAFT FX WO MANIP,1501.0,1335.89,111.39,1501.0,507 CPT,25505,HC TX RADIAL SHAFT FX W MANIP,3135.0,2790.15,470.37,3135.0,1472 CPT,25505,PR TX RADIAL SHAFT FX W MANIP,2897.0,2578.33,233.7,2897.0,482 CPT,25515,PR OPN TX RADIAL SHAFT FX W FIX,4668.0,4154.52,245.38,4668.0,482 CPT,25515,TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON THUMB SIDE,,,601.42,9627.58,20 CPT,25525,PR TX FX RADIAL SHAFT OPN W FIX,4593.0,4087.77,284.7,4593.0,482 CPT,25526,PR OPN TX RDL SHAFT FX,6416.0,5710.24,343.48,6416.0,482 CPT,25526,TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON THUMB SIDE AND DISLOCATED WRIST JOINT WITH REPAIR OF CARTILAGE,,,841.85,9627.58,20 CPT,25530,CLOSED TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON SMALL FINGER SIDE FACILITY,,,247.2,373.01,20 CPT,25530,HC CLSD TX ULNAR SHAFT FX WO MANIP,882.0,784.98,183.46,882.0,1472 CPT,25530,PR CLSD TX ULNAR SHAFT FX WO MANIP,1568.0,1395.52,121.51,1568.0,482 CPT,25535,CLOSED TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON SMALL FINGER SIDE WITH MANIPULATION FACILITY,,,434.89,4341.31,20 CPT,25535,HC CLSD TX ULNAR SHAFT FX W MANIP,3376.0,3004.64,247.2,3376.0,1472 CPT,25535,PR CLSD TX ULNAR SHAFT FX W MANIP,2495.0,2220.55,217.26,2495.0,482 CPT,25545,PR OPN TX ULNAR SHAFT FX W FIX,4685.0,4169.65,231.11,4685.0,482 CPT,25545,TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON SMALL FINGER SIDE,,,566.43,9627.58,20 CPT,25560,CLOSED TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES FACILITY,,,247.2,399.83,20 CPT,25560,HC CLSD TX RDL & ULNAR FX WO MANIP,867.0,771.63,180.34,867.0,1472 CPT,25560,PR CLSD TX RDL & ULNAR FX WO MANIP,1532.0,1363.48,113.3,1532.0,507 CPT,25565,CLOSED TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES WITH MANIPULATION FACILITY,,,486.89,2133.49,20 CPT,25565,HC CLSD TX RDL & ULNAR FX W MANIP,3085.0,2745.65,486.89,3085.0,1472 CPT,25565,PR CLSD TX RDL & ULNAR FX W MANIP,2946.0,2621.94,246.47,2946.0,482 CPT,25574,PR OPN TX RDL&ULN FX W FIX RAD/ULN,4447.0,3957.83,248.23,4447.0,482 CPT,25575,PR OPN TX RDL&ULN FX W FIX RAD&ULN,6228.0,5542.92,325.55,6228.0,482 CPT,25575,TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES WITH PLACEMENT OF STABILIZING DEVICE ON BOTH BONES,,,797.91,9627.58,20 CPT,25600,CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST AREA ON THE THUMB SIDE OF THE WRIST WITHOUT MANIPULATION FACILITY,,,247.2,503.78,20 CPT,25600,HC CLSD TX DIST RDL FX WO MANIP,1153.0,1026.17,239.82,1153.0,1472 CPT,25600,PR CLSD TX DIST RDL FX WO MANIP,1544.0,1374.16,155.26,1544.0,482 CPT,25605,CLOSED TREATMENT OF BROKEN OR GROWTH PLATE SEPARATE OF FOREARM BONE AT WRIST WITH MANIPULATION FACILITY,,,525.94,2133.49,20 CPT,25605,HC CLSD TX DIST RDL FX W MANIP,2771.0,2466.19,525.94,2771.0,1474 CPT,25605,PR CLSD TX DIST RDL FX W MANIP,3010.0,2678.9,250.34,3010.0,482 CPT,25606,PLACEMENT OF STABILIZING DEVICE FOR BROKEN FOREARM BONE ON THUMB SIDE AT WRIST,,,611.02,4341.31,20 CPT,25606,PR FIX FX PERC SKELETAL DIST RDL,3655.0,3252.95,249.3,3655.0,482 CPT,25607,PR OPN TX DIST RDL EXART FX W FIX,4376.0,3894.64,270.34,4376.0,482 CPT,25607,"TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST, ABOVE WRIST, WITH PLACEMENT OF STABILIZING DEVICE PROFESSIONAL",,,662.58,9627.58,20 CPT,25608,PR OPN TX DIST RDL INART FX 2 FIX,4889.0,4351.21,298.13,4889.0,482 CPT,25608,TREATMENT OF 2 BROKEN LOWER FOREARM BONE PIECES ON THUMB SIDE INSIDE WRIST JOINT WITH PLACEMENT OF STABILIZING DEVICE PROFESSIONAL,,,730.7,9627.58,20 CPT,25609,PR OPN TX DIST RDL INART FX 3 FIX,5879.0,5232.31,373.51,5879.0,482 CPT,25609,TREATMENT OF 3 OR MORE BROKEN LOWER FOREARM BONE PIECES ON THUMB SIDE INSIDE WRIST JOINT WITH PLACEMENT OF STABILIZING DEVICE PROFESSIONAL,,,915.46,9627.58,20 CPT,25622,CLOSED TREATMENT OF BROKEN WRIST BONE NEAR BASE OF THUMB FACILITY,,,247.2,432.99,20 CPT,25622,HC CLSD TX CRPL SCPHD FX WO MANIP,1038.0,923.82,215.9,1038.0,1474 CPT,25622,PR CLSD TX CRPL SCPHD FX WO MANIP,1544.0,1374.16,119.66,1544.0,507 CPT,25628,PR OPN TX CARPAL SCPHD FX W FIX,5677.0,5052.53,259.17,5677.0,482 CPT,25628,TREATMENT OF BROKEN WRIST BONE LOCATED NEAR BASE OF THUMB-EXPRESS CARE,,,635.22,9627.58,20 CPT,25630,CLOSED TREATMENT OF OTHER BROKEN WRIST BONE FACILITY,,,247.2,422.94,20 CPT,25630,HC CLSD TX CRPL FX WO MANIP EA BN,918.0,817.02,190.94,918.0,1472 CPT,25630,PR CLSD TX CRPL FX WO MANIP EA BN,1419.0,1262.91,137.9,1419.0,482 CPT,25635,PR CLSD TX CRPL FX W MANIP EA BN,2476.0,2203.64,207.25,2476.0,482 CPT,25645,PR OPN TX CARPAL BONE FX EA BONE,3952.0,3517.28,211.13,3952.0,482 CPT,25645,TREATMENT OF OTHER BROKEN WRIST BONES FACILITY,,,517.48,4341.31,20 CPT,25650,CLOSED TREATMENT OF BROKEN BASE OF FOREARM BONE ON SMALL FINGER SIDE AT WRIST FACILITY,,,247.2,472.82,20 CPT,25650,HC CLSD TX ULNAR FX STYLOID,1278.0,1137.42,247.2,1278.0,1472 CPT,25650,PR CLSD TX ULNAR FX STYLOID,1775.0,1579.75,151.32,1775.0,482 CPT,25651,PLACEMENT OF STABILIZING DEVICE FOR BROKEN BASE OF FOREARM BONE ON SMALL FINGER SIDE AT WRIST,,,454.2,4341.31,20 CPT,25651,PR FIX PERC SKEL FX ULNAR STYLOID,2725.0,2425.25,185.32,2725.0,482 CPT,25652,PR OPN TX ULNAR STYLOID FX,4157.0,3699.73,229.28,4157.0,482 CPT,25652,TREATMENT OF BROKEN BASE OF FOREARM BONE ON SMALL FINGER SIDE AT WRIST,,,561.95,9627.58,20 CPT,25660,PR CLSD TX DISLOC RADIOCAR>=1 W MANIP,2347.0,2088.83,174.8,2347.0,482 CPT,25670,PR OPEN WRIST DISCL 1/>BONES,3802.0,3383.78,223.68,3802.0,482 CPT,25675,PR CLSD TX DISLOC RADIUS W MANIP,3319.0,2953.91,230.27,3319.0,482 CPT,25676,PR OPN TX DISLOC DIST RADIOULNAR,4539.0,4039.71,230.61,4539.0,482 CPT,25676,TREATMENT OF DISLOCATED FOREARM BONES AT WRIST,,,565.22,9627.58,20 CPT,25680,PR CLSD TX TRANS-SCAPRLUNAR FX DISLOC,2108.0,1876.12,202.53,2108.0,482 CPT,25685,PR OPN TX TRANS-SCAPRLUNAR FX DISLOC,5016.0,4464.24,265.51,5016.0,482 CPT,25685,TREATMENT OF BROKEN AND DISLOCATED WRIST BONES,,,650.75,9627.58,20 CPT,25690,PR CLSD TX LUNATE DISLOC W MANIP,3309.0,2945.01,188.3,3309.0,482 CPT,25695,PR OPEN TREATMENT LUNATE DISLOC,4723.0,4203.47,231.41,4723.0,482 CPT,25695,TREATMENT OF BROKEN WRIST (LUNATE) BONE,,,1134.36,17034.43,20 CPT,25800,COMPLETE FUSION OF WRIST JOINT,,,637.35,9627.58,20 CPT,25800,PR ARTHRDSIS WRST COMPLT WO GRFT,4755.0,4231.95,260.04,4755.0,482 CPT,25805,PR ARTHRODESIS WRST W SLIDING GRFT,4255.0,3786.95,303.73,4255.0,482 CPT,25810,FUSION OF WRIST JOINT WITH GRAFT FROM HIP OR OTHER BONE,,,751.82,17034.43,20 CPT,25810,PR ARTHRDSIS WRST W ILIAC AUTOGRFT,6600.0,5874.0,306.75,6600.0,482 CPT,25820,FUSION OF PART OF WRIST JOINT,,,590.37,9627.58,20 CPT,25820,PR ARTHRDSIS WRST LTD WO BN GRFT,5666.0,5042.74,240.87,5666.0,482 CPT,25825,FUSION OF PART OF WRIST JOINT WITH PATIENT-DERIVED BONE GRAFT,,,1424.86,9627.58,20 CPT,25825,PR ARTHRODESIS WRST LTD W AUTOGRFT,6763.0,6019.07,290.67,6763.0,482 CPT,25830,FUSION OF BOTH FOREARM BONES AT WRIST,,,937.58,9627.58,20 CPT,25830,PR ARTHRDSIS DISTAL RADIOU JT,6096.0,5425.44,382.54,6096.0,482 CPT,25900,AMPUTATION OF ARM THROUGH FOREARM BONES,,,634.35,9627.58,20 CPT,25900,PR AMP FRARM THROUGH RADIUS&ULNA,4494.0,3999.66,258.82,4494.0,482 CPT,25905,PR AMP FOREARM THRU RADIUS & ULNA OPEN CIRCULAR,4220.0,3755.8,253.52,4220.0,482 CPT,25907,PR AMP F/ARM THRU RADIUS&ULNA SEC CLOSURE/SCAR RE,4318.0,3843.02,225.92,4318.0,482 CPT,25907,REVISION OF SCAR OR WOUND CLOSURE OF PREVIOUS AMPUTATION AT FOREARM BONES,,,553.72,4341.31,20 CPT,25909,PR AMP FRARM RADIUS&ULNA RE-AMP,4640.0,4129.6,248.34,4640.0,482 CPT,25927,PR TRANSMETACARPAL AMPUTATION,4661.0,4148.29,330.19,4661.0,482 CPT,25999,UNLISTED PROC FOREARM/WRIST PROFESSIONAL,,,294.48,3853.99,19 CPT,26010,HC I&D ABSC FGR SMPL,703.0,625.67,140.81,703.0,1472 CPT,26010,PR I&D ABSC FGR SMPL,1176.0,1046.64,130.96,1176.0,507 CPT,26010,SIMPLE DRAINAGE OF ABSCESS OF FINGER FACILITY,,,140.81,266.2,20 CPT,26011,HC I&D ABSC FINGER COMPLICATED,3399.0,3025.11,175.02,3399.0,736 CPT,26011,PR I&D ABSC FINGER COMPLICATED,2249.0,2001.61,211.92,2249.0,482 CPT,26020,DRAINAGE OF TENDON OF FINGER AND/OR PALM,,,508.97,4341.31,20 CPT,26020,PR DRN TNDN SHEATH DIGIT/PALM EA,3336.0,2969.04,207.66,3336.0,482 CPT,26025,PR DRN PALMAR BURSA SNGL,2410.0,2144.9,157.97,2410.0,482 CPT,26034,INCISION OF HAND OR FINGER BONE,,,504.21,2133.49,20 CPT,26034,PR INCISN HAND/FINGER BONE CORTEX,3814.0,3394.46,205.72,3814.0,482 CPT,26035,PR DCMPRN FINGERS/HAND INJ INJURY,6428.0,5720.92,314.34,6428.0,482 CPT,26037,PR FASCIOTOMY DCMPRN HAND,3890.0,3462.1,203.98,3890.0,482 CPT,26040,PR FASCIOTOMY PALMAR PERCUTANEOUS,2342.0,2084.38,122.05,2342.0,482 CPT,26040,RELEASE OF TISSUE OF PALM FACILITY,,,299.13,2133.49,20 CPT,26045,PARTIAL RELEASE OF CONNECTIVE TISSUE OF PALM,,,433.8,4341.31,20 CPT,26045,PR FASCIOTOMY PALMAR OPEN PARTIAL,3281.0,2920.09,176.99,3281.0,482 CPT,26055,HC INCISN TNDN SHEATH,6525.0,5807.25,278.79,6525.0,738 CPT,26055,INCISION OF TENDON COVERING OF FINGER FACILITY,,,278.79,2133.49,20 CPT,26055,PR INCISN TNDN SHEATH,2909.0,2589.01,257.34,2909.0,482 CPT,26060,INCISION OF FINGER TENDON,,,236.79,4341.31,20 CPT,26060,PR TENOTOMY PERC EACH DIGIT,1883.0,1675.87,96.61,1883.0,482 CPT,26070,"INCISION OF WRIST JOINT AT FINGER FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,301.8,2590.89,20 CPT,26070,PR ARTHRT EXPL DRN LOOSE/FB CMC JT,2755.0,2451.95,123.14,2755.0,482 CPT,26075,HC ARTHRT EXPL DRN LOOSE/FB MCP JT,8756.0,7792.84,318.01,8756.0,736 CPT,26075,"INCISION OF LOWER FINGER JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,318.01,4341.31,20 CPT,26075,PR ARTHRT EXPL DRN LOOSE/FB MCP JT,2755.0,2451.95,129.75,2755.0,482 CPT,26080,"INCISION OF FINGER JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY FACILITY",,,374.24,2133.49,20 CPT,26080,PR ARTHRT EXPL DRN LOOSE/FB I-P JT,2673.0,2378.97,152.69,2673.0,482 CPT,26100,INCISION OF WRIST JOINT AT FINGER WITH BIOPSY,,,325.58,4341.31,20 CPT,26100,PR ARTHRT BX CMC JT EA,2310.0,2055.9,132.84,2310.0,482 CPT,26105,INCISION OF JOINT AT BASE OF FINGER WITH BIOPSY,,,327.03,4341.31,20 CPT,26105,PR ARTHROTOMY BX MTCARPHLNG JT EA,2268.0,2018.52,133.43,2268.0,482 CPT,26110,INCISION OF FINGER JOINT WITH BIOPSY,,,307.1,2133.49,20 CPT,26110,PR ARTHROTOMY I-P JT W BX EACH,2418.0,2152.02,125.3,2418.0,482 CPT,26111,PR EXCISN TMR HND/FGR SUBQ >=1.5C,2868.0,2552.52,152.57,2868.0,482 CPT,26111,REMOVAL (1.5 CENTIMETERS OR GREATER) TISSUE BENEATH THE SKIN GROWTH OF HAND OR FINGER PROFESSIONAL,,,373.95,2191.35,20 CPT,26113,PR EXCISN TMR HND/FGR DEEP>=1.5CM,4339.0,3861.71,199.14,4339.0,482 CPT,26113,"REMOVAL OF GROWTH OF MUSCLE OF HAND OR FINGER, 1.5 CM OR MORE FACILITY",,,488.08,2191.35,20 CPT,26115,PR EXCISN TMR HND/FGR SUBQ <1.5CM,2678.0,2383.42,237.93,2678.0,482 CPT,26115,REMOVAL (LESS THAN 1.5 CENTIMETERS) TISSUE BENEATH THE SKIN GROWTH OF HAND OR FINGER PROFESSIONAL,,,308.53,2191.35,20 CPT,26116,PR EXCISN TMR HND/FGR SUBF <1.5CM,4072.0,3624.08,192.32,4072.0,482 CPT,26116,"REMOVAL OF GROWTH OF MUSCLE OF HAND OR FINGER, LESS THAN 1.5 CM FACILITY",,,471.36,2191.35,20 CPT,26117,"EXTENSIVE REMOVAL OF GROWTH OF HAND OR FINGER, LESS THAN 3.0 CM",,,656.5,3853.99,20 CPT,26117,PR RADCL RSECT HAND TUMOR < 3 CM,6197.0,5515.33,267.85,6197.0,482 CPT,26118,"EXTENSIVE REMOVAL OF GROWTH OF HAND OR FINGER, 3.0 CM OR MORE",,,916.98,5195.02,20 CPT,26118,PR RADCL RSECT HAND TMR >=3CM,7743.0,6891.27,374.13,7743.0,482 CPT,26121,PR FASCTMY PALM W/WO ZPLASTY,5369.0,4778.41,218.5,5369.0,482 CPT,26121,REMOVAL OF CONNECTIVE TISSUE OF PALM FACILITY,,,535.54,4341.31,20 CPT,26123,PR FASCTMY PALM PRTL W SNGL DIG,6823.0,6072.47,303.62,6823.0,482 CPT,26123,"REMOVAL OF CONNECTIVE TISSUE OF PALM AND RELEASE OF FINGER, FIRST DIGIT PROFESSIONAL",,,744.17,4341.31,20 CPT,26125,PR FASCTMY PALM PRTL EA ADD DIG,2273.0,2022.97,170.82,2273.0,482 CPT,26125,"REMOVAL OF CONNECTIVE TISSUE OF PALM AND RELEASE OF FINGER, EACH ADDITIONAL DIGIT PROFESSIONAL",,,418.68,4341.31,20 CPT,26130,PR SYNOVECTOMY CMC JT,4142.0,3686.38,178.69,4142.0,482 CPT,26130,REMOVAL OF WRIST JOINT LINING,,,437.97,4341.31,20 CPT,26135,PR SYNOVTMY MCP INCL RCNST EA,4599.0,4093.11,202.13,4599.0,482 CPT,26135,REPAIR OF HAND JOINT,,,495.4,9627.58,20 CPT,26140,PR SYNOVTMY I-P INCL RCNST,4022.0,3579.58,187.46,4022.0,482 CPT,26140,REMOVAL OF JOINT LINING AND REPAIR OF TENDON ON THE TOPSIDE OF FINGER,,,459.46,2133.49,20 CPT,26145,PR SYNO FLEXOR TNDN PALM/FGR EA,4632.0,4122.48,189.87,4632.0,482 CPT,26145,"REPAIR OF TENDON, FINGER, AND/OR PALM OF HAND",,,465.35,2133.49,20 CPT,26160,HC EXCISN LESN TNDN SHTH HND/FGR,6302.0,5608.78,298.04,6302.0,736 CPT,26160,PR EXCISN LESN TNDN SHTH HND/FGR,2637.0,2346.93,268.14,2637.0,482 CPT,26160,REMOVAL OF GROWTH OF TENDON FINGER OR HAND PROFESSIONAL,,,298.04,2133.49,20 CPT,26170,PR REMOVAL OF PALM TENDON EACH,2688.0,2392.32,153.41,2688.0,482 CPT,26170,REMOVAL OF TENDON OF PALM,,,375.99,2133.49,20 CPT,26180,PR EXCISN TNDN FGR/FLEXOR/EXTNSR,3449.0,3069.61,168.98,3449.0,482 CPT,26180,REMOVAL OF TENDON OF FINGER,,,414.17,4341.31,20 CPT,26185,PR SESAMOIDECTOMY THUMB OR FINGER,4384.0,3901.76,213.94,4384.0,482 CPT,26200,PR EXCISN BN CYST/TMR METACARPAL,2624.0,2335.36,167.23,2624.0,482 CPT,26200,REMOVAL OF CYST OR GROWTH FROM HAND BONE,,,409.87,4341.31,20 CPT,26205,PR EXCISN CYST/TMR MTCAR W AUTOGRFT,4124.0,3670.36,222.46,4124.0,482 CPT,26205,REMOVAL OF CYST OR GROWTH FROM HAND BONE WITH SELF BONE GRAFT,,,545.23,9627.58,20 CPT,26210,PR EXCISN BN CYST PROX/MID/DIST PHAL,3060.0,2723.4,167.87,3060.0,482 CPT,26210,REMOVAL OF CYST OR GROWTH OF FINGER BONE,,,411.45,2133.49,20 CPT,26215,PR EXCISN CYST/TMR PHLX FGR W AUTOGRFT,4821.0,4290.69,210.23,4821.0,482 CPT,26215,REMOVAL OF CYST OR GROWTH OF FINGER BONE WITH SELF BONE GRAFT,,,515.26,4341.31,20 CPT,26230,PR EXCISN BN METACARPAL PRTL,3558.0,3166.62,183.33,3558.0,482 CPT,26235,HC EXCISN BN PROX/MID PHAL PRTL,5006.0,4455.34,442.97,5006.0,737 CPT,26235,PARTIAL REMOVAL OF FINGER BONE NEAREST HAND OR MIDDLE OF FINGER FACILITY,,,442.97,2133.49,20 CPT,26235,PR EXCISN BN PROX/MID PHAL PRTL,3444.0,3065.16,180.73,3444.0,482 CPT,26236,PARTIAL REMOVAL OF FINGER BONE AT END OF FINGER FACILITY,,,403.82,4341.31,20 CPT,26236,PR EXCISN BN DISTAL PHAL PRTL,3207.0,2854.23,164.76,3207.0,482 CPT,26250,EXTENSIVE REMOVAL OF GROWTH OF HAND BONE,,,922.86,4341.31,20 CPT,26260,EXTENSIVE REMOVAL OF GROWTH OF FINGER,,,699.89,4341.31,20 CPT,26260,PR RSECT TMR PROX/MID PHALANX RADCL,5721.0,5091.69,285.56,5721.0,482 CPT,26320,PR RMVL IMPLANT FROM FINGER/HAND,2818.0,2508.02,132.4,2818.0,482 CPT,26320,REMOVAL OF IMPLANT FROM FINGER OR HAND,,,324.5,9627.58,20 CPT,26340,MANIPULATION OF FINGER JOINT UNDER ANESTHESIA FACILITY,,,1083.36,2133.49,20 CPT,26340,PR MANIP FGR JT UNDER ANES EA JT,2248.0,2000.72,147.34,2248.0,482 CPT,26341,MANIPULATION OF FINGER FOR CONNECTIVE TISSUE RELEASE FOLLOWING ENZYME INJECTION FACILITY,,,70.25,327.28,20 CPT,26341,PR MANIP PALMAR FASCIAL POST INJ,679.0,604.31,50.12,679.0,482 CPT,26350,PR RPR FLEX TNDN NOT Z2 WO GRFT EA,5425.0,4828.25,295.91,5425.0,482 CPT,26350,REPAIR OF FINGER TENDON OF UNDER SIDE OF HAND OTHER THAN UPPER MOST PART OF PALM AND FINGERS,,,725.26,4341.31,20 CPT,26352,PR REP FLX TNDN Z2 W FREE GRFT EA,6267.0,5577.63,320.0,6267.0,482 CPT,26352,REPAIR OF FINGER TENDON ON UNDER SIDE OF HAND WITH A GRAFT NOT IN ZONE 2,,,784.3,9627.58,20 CPT,26356,PR RPR FLEX TNDN ZN 2 PRIM WO GRFT,7450.0,6630.5,294.79,7450.0,482 CPT,26356,PRIMARY REPAIR OF FINGER TENDON ON UNDERSIDE OF THE HAND WITHOUT A GRAFT IN ZONE 2 FACILITY,,,722.52,4341.31,20 CPT,26357,PR RPR FLEX TNDN Z2 SECNDRY WO GRFT,6207.0,5524.23,331.27,6207.0,482 CPT,26357,SECONDARY REPAIR OF FINGER TENDON ON UNDERSIDE OF HAND WITHOUT A GRAFT IN ZONE 2,,,811.93,4341.31,20 CPT,26358,PR RPR FLXR TNDN Z2 SECNDRY W GRFT,8424.0,7497.36,360.87,8424.0,482 CPT,26358,SECONDARY REPAIR OF FINGER TENDON ON UNDERSIDE OF HAND WITH A GRAFT IN ZONE 2,,,884.48,9627.58,20 CPT,26370,PR RPR ROFUNDUS TNDN PRIM EA,6896.0,6137.44,302.83,6896.0,482 CPT,26370,REPAIR OF TENDON DEEP IN UNDERSIDE OF FINGER,,,742.22,4341.31,20 CPT,26372,PR RPR/ADVMNT TNDN W GRFT,6923.0,6161.47,354.79,6923.0,482 CPT,26372,SECONDARY REPAIR OF TENDON DEEP IN UNDERSIDE OF FINGER WITH A GRAFT,,,869.57,9627.58,20 CPT,26373,PR RPR/ADVMNT TNDN WO GRFT,6473.0,5760.97,343.97,6473.0,482 CPT,26373,SECONDARY REPAIR OF TENDON DEEP IN UNDERSIDE OF FINGER,,,843.06,4341.31,20 CPT,26390,PR EXCISN FLEX TNDN HAND W IMPLN,4583.0,4078.87,334.23,4583.0,482 CPT,26392,PR RMVL SYNTH ROD&INSJ FLXR TDN,7450.0,6630.5,382.52,7450.0,482 CPT,26410,PR RPR EXTNSR TNDN HND WO GRFT EA,3957.0,3521.73,240.46,3957.0,482 CPT,26410,REPAIR OF TENDON ON TOP OF HAND FACILITY,,,1178.72,4341.31,20 CPT,26412,PR RPR EXTNSR TNDN HND W GRFT,4618.0,4110.02,277.37,4618.0,482 CPT,26412,REPAIR OF TENDON ON TOP OF HAND WITH GRAFT,,,679.83,9627.58,20 CPT,26415,REMOVAL OF TENDON FROM TOP OF HAND OR FINGER WITH ROD INSERTION,,,806.39,4341.31,20 CPT,26416,PR RMVL SYNTH ROD & INSJ XTNSR TDN GRF H/F EA ROD,4233.0,3767.37,353.19,4233.0,482 CPT,26416,REMOVAL OF ROD WITH TENDON GRAFT AT TOP OF HAND OR FINGER,,,2596.98,4341.31,20 CPT,26418,HC RPR EXTNSR TNDN FGR WO GRFT,5221.0,4646.69,620.77,5221.0,736 CPT,26418,PR RPR EXTNSR TNDN FGR WO GRFT,3623.0,3224.47,253.28,3623.0,482 CPT,26418,REPAIR OF TENDON ON TOP SIDE OF FINGER FACILITY,,,620.77,2133.49,20 CPT,26420,PR RPR EXTNSR TNDN FGR W GRFT,4943.0,4399.27,286.03,4943.0,482 CPT,26426,PR RPR EXTNSR TNDN SECNDRY W TISS,4403.0,3918.67,185.7,4403.0,482 CPT,26426,SECONDARY REPAIR OF TENDON OF TOP OF FINGER USING TISSUE,,,455.15,4341.31,20 CPT,26432,CLOSED TREATMENT OF TENDON OF UPPER SIDE OF FINGER,,,535.23,2133.49,20 CPT,26432,PR CLSD TX EXT TNDN DIST W/WO PIN,2815.0,2505.35,218.38,2815.0,482 CPT,26433,PR RPR EXTNSR TNDN DIST INS,3844.0,3421.16,227.69,3844.0,482 CPT,26433,REPAIR OF TENDON ON UPPER SIDE OF END OF FINGER,,,558.06,4341.31,20 CPT,26434,PR RPR EXTNSR TNDN DIST W GRFT,4892.0,4353.88,275.62,4892.0,482 CPT,26437,PR REALIGN EXTNSR TNDN HAND EA,4675.0,4160.75,259.25,4675.0,482 CPT,26437,REPAIR OF TENDON ON UPPER SIDE OF HAND FACILITY,,,635.41,4341.31,20 CPT,26440,PR TENOLYSIS FLEXOR PALM/FINGER,3832.0,3410.48,258.22,3832.0,482 CPT,26440,RELEASE OF TENDON OF PALM OR FINGER FACILITY,,,1265.78,2133.49,20 CPT,26442,PR TENOLYSIS FLEXOR PALM&FINGER,4707.0,4189.23,381.3,4707.0,482 CPT,26445,PR TENOLYSIS EXTNSR TNDN HND/FGR,4434.0,3946.26,243.95,4434.0,482 CPT,26445,RELEASE OF TENDON OF TOP OF HAND OR FINGER FACILITY,,,1195.82,4341.31,20 CPT,26449,PR TENOLYSIS COMPLX EXTNSR FGR EA,7941.0,7067.49,258.48,7941.0,482 CPT,26449,RELEASE OF TENDON EXTENDING FROM FINGER TO FOREARM,,,2534.08,4341.31,20 CPT,26450,INCISION OF TENDON OF PALM,,,451.76,4341.31,20 CPT,26450,PR TENOTOMY FLEX PALM OPN EA TNDN,4128.0,3673.92,184.32,4128.0,482 CPT,26455,INCISION OF TENDON OF FINGER,,,451.79,4341.31,20 CPT,26455,PR TENOTOMY FLEXOR FNGR OPN EA,2742.0,2440.38,184.33,2742.0,482 CPT,26460,INCISION OF TENDON AT TOP OF HAND OR FINGER,,,442.29,4341.31,20 CPT,26460,PR TENOTOMY EXTNSR HND/FGR OPN EA,2742.0,2440.38,180.46,2742.0,482 CPT,26471,PR TENODESIS PROX I-P JT EA,4238.0,3771.82,257.26,4238.0,482 CPT,26471,SUTURE OF TENDON TO FIRST JOINT OF FINGER,,,630.53,4341.31,20 CPT,26474,PR TENODESIS DISTAL JOINT EACH,3297.0,2934.33,261.49,3297.0,482 CPT,26474,SUTURE OF TENDON TO JOINT OF FINGER NEAR TOP OF FINGER,,,640.89,9627.58,20 CPT,26476,LENGTHENING OF TENDON ON UPPER SIDE OF HAND OR FINGER,,,634.64,4341.31,20 CPT,26476,PR LENGTHN TNDN EXTNS HND/FNGR EA,3931.0,3498.59,258.94,3931.0,482 CPT,26477,SHORTENING OF TENDON OF UPPER SIDE OF HAND OR FINGER,,,1204.9,4341.31,20 CPT,26478,LENGTHENING OF TENDON OF PALM SIDE OF FINGER OR HAND,,,1273.12,4341.31,20 CPT,26478,PR LENGTHN TNDN FLEXOR HAND/FNGR,4388.0,3905.32,259.72,4388.0,482 CPT,26480,PR TRNSF TNDN DORSUM WO GRFT EA,5535.0,4926.15,260.4,5535.0,482 CPT,26480,TRANSFER OF TENDON TO BACK OF HAND,,,638.24,9627.58,20 CPT,26483,PR TRANSFER TNDN DORSUM W GRFT,7026.0,6253.14,331.62,7026.0,482 CPT,26483,TRANSFER OF TENDON TO BACK OF HAND WITH GRAFT,,,812.79,11643.84,20 CPT,26485,PR TRNSPL TNDN PALMAR WO GRFT EA,5334.0,4747.26,321.07,5334.0,482 CPT,26485,TRANSFER OF TENDON TO PALM,,,786.93,4341.31,20 CPT,26490,PR OPPONENSPLASTY SUPER TENDON EA,5303.0,4719.67,323.83,5303.0,482 CPT,26490,TRANSFER OF TENDON FROM RING FINGER TO THUMB,,,793.69,4341.31,20 CPT,26492,PR OPPONENSPLASTY TNDN W GRFT EA,6290.0,5598.1,354.63,6290.0,482 CPT,26492,TRANSFER OF TENDON TO THUMB WITH GRAFT,,,869.19,9627.58,20 CPT,26494,TRANSFER OF TENDON IN PALM TO THUMB,,,795.9,4341.31,20 CPT,26496,PR OPPONENSPLASTY OTHER METHODS,5298.0,4715.22,345.64,5298.0,482 CPT,26496,"TRANSFER OF TENDON TO THUMB, PALM, OR WRIST",,,847.14,4341.31,20 CPT,26498,PR TRANSFER TNDN ALL 4 FNGRS,7417.0,6601.13,435.24,7417.0,482 CPT,26498,"TRANSFER OF TENDONS OF HAND, ALL 4 FINGERS",,,1066.77,4341.31,20 CPT,26499,CORRECTION CLAW FINGER,,,3278.52,11643.84,20 CPT,26499,PR CORRECTION CLAW FINGER,5610.0,4992.9,334.41,5610.0,482 CPT,26500,PR RCNST TNDN PULLEY W TISS,3844.0,3421.16,273.3,3844.0,482 CPT,26502,PR RCNST TNDN PULLEY W GRFT,4885.0,4347.65,295.05,4885.0,482 CPT,26502,REPAIR OF LIGAMENT SURROUNDING FINGER TENDON WITH GRAFT,,,723.15,4341.31,20 CPT,26508,PR RLS THENAR MUSCLE,4388.0,3905.32,256.47,4388.0,482 CPT,26508,RELEASE OF MUSCLES OF PALM NEAR THUMB,,,628.59,9627.58,20 CPT,26510,PR TRNSF TNDN CROSS INTRINSIC EA,5378.0,4786.42,250.84,5378.0,482 CPT,26510,TRANSFER OF FINGER TENDON,,,614.81,9627.58,20 CPT,26516,PR CAPSULODESIS MCP JT EA,5503.0,4897.67,284.7,5503.0,482 CPT,26516,"REPAIR OF JOINT CAPSULE OF HAND AND PALM, 1 FINGER",,,697.8,9627.58,20 CPT,26520,INCISION OR REMOVAL OF JOINT CAPSULE BETWEEN HAND AND FINGER FACILITY,,,660.0,9627.58,20 CPT,26520,PR CAPSULECTOMY MCP JT EA,5199.0,4627.11,269.28,5199.0,482 CPT,26525,PR CAPSULECTOMY I-P JT EA,5101.0,4539.89,271.74,5101.0,482 CPT,26525,REPAIR OF JOINT CAPSULE OF FINGER,,,666.02,2133.49,20 CPT,26530,PR ARTHROPLASTY MCP JT EA,4344.0,3866.16,198.55,4344.0,482 CPT,26530,REPAIR OF JOINT CONNECTING HAND AND FINGER BONES,,,486.64,9627.58,20 CPT,26531,PR ARTHROPLSTY MCP JT W PROSTH EA,4874.0,4337.86,228.93,4874.0,482 CPT,26531,REPAIR OF JOINT BETWEEN HAND AND FINGER BONES WITH PROSTHESIS,,,561.09,9627.58,20 CPT,26536,PR ARTHROPLSTY I-P JT W PROSTH EA,4788.0,4261.32,292.24,4788.0,482 CPT,26536,REPLACEMENT OF FINGER JOINT WITH PROSTHESIS PROFESSIONAL,,,716.28,9627.58,20 CPT,26540,PR RPR LGMNT MCP/I-P JT,5330.0,4743.7,270.29,5330.0,482 CPT,26540,REPAIR OF LIGAMENT OF FINGER OR HAND AND FINGER JOINT,,,662.48,4341.31,20 CPT,26541,PR RCNSTRCT LGMNT MCP W TDN/FSCAL GRFT,6587.0,5862.43,315.83,6587.0,482 CPT,26541,REPAIR OF LIGAMENT OF FINGER OR HAND TO FINGER JOINT WITH GRAFT,,,774.09,4341.31,20 CPT,26542,PR RCNST LGMNT MCP W LOCAL TISS,5539.0,4929.71,276.85,5539.0,482 CPT,26542,REPAIR OF LIGAMENT OF HAND TO FINGER JOINT WITH LOCAL TISSUE,,,678.55,4341.31,20 CPT,26545,PR RCNST LGMNT I-P JT EA,5721.0,5091.69,281.18,5721.0,482 CPT,26545,REPAIR OF LIGAMENT OF FINGER JOINT WITH GRAFT,,,689.16,4341.31,20 CPT,26546,PR RPR NONUNION/METCARP/PHALANX,5814.0,5174.46,392.69,5814.0,482 CPT,26546,REPAIR OF NONHEALED HAND OR FINGER BONE,,,962.47,9627.58,20 CPT,26548,PR RPR & RCNST FGR VOLAR PLATE,5691.0,5064.99,303.1,5691.0,482 CPT,26548,REPAIR OF JOINT BETWEEN FINGER AND PALM,,,742.88,4341.31,20 CPT,26550,PR POLLICIZATION DIGIT,12758.0,11354.62,592.59,12758.0,482 CPT,26550,SURGICAL CREATION OF THUMB,,,1452.41,4341.31,20 CPT,26556,PR TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS,24047.0,21401.83,1170.29,24047.0,482 CPT,26560,PR RPR SYNDACTYLY EA W FLAPS,4403.0,3918.67,254.22,4403.0,482 CPT,26560,REPAIR OF WEBBED FINGER WITH SKIN FLAPS,,,623.09,3853.99,20 CPT,26561,PR RPR SYNDACTYLY EA W FLAPS&GRFT,7656.0,6813.84,369.92,7656.0,482 CPT,26561,REPAIR OF WEBBED FINGER WITH SKIN FLAPS AND GRAFTS,,,906.65,4341.31,20 CPT,26562,COMPLEX REPAIR OF EACH WEBBED FINGER,,,1247.27,4341.31,20 CPT,26562,PR RPR SYNDACTYLY EA CMPLX,13138.0,11692.82,508.89,13138.0,482 CPT,26565,INCISION OR REMOVAL OF HAND BONE,,,671.82,4341.31,20 CPT,26565,PR OSTEOTOMY METACARPAL EA,4943.0,4399.27,274.11,4943.0,482 CPT,26567,PARTIAL REMOVAL OF FINGER BONE,,,681.22,4341.31,20 CPT,26567,PR OSTEOTOMY PHALANX FINGER EA,5101.0,4539.89,277.94,5101.0,482 CPT,26568,LENGTHENING OF HAND OR FINGER BONE,,,881.84,9627.58,20 CPT,26568,PR OSTEOPLAST LNGTH METCARP/PHLNX,5875.0,5228.75,359.79,5875.0,482 CPT,26580,PR RPR CLEFT HAND,8528.0,7589.92,559.32,8528.0,482 CPT,26580,REPAIR OF DEFORMED HAND,,,1370.88,4341.31,19 CPT,26587,PR RCNST POLYDACTYLOUS TISS BN,6255.0,5566.95,372.13,6255.0,482 CPT,26587,REMOVAL OF EXTRA FINGER,,,912.08,4341.31,20 CPT,26590,REPAIR OF ENLARGED FINGER,,,1265.94,2133.49,20 CPT,26591,PR RPR INTRINSIC MUS HAND EA,4262.0,3793.18,199.2,4262.0,482 CPT,26591,REPAIR OF HAND MUSCLE,,,488.23,4341.31,20 CPT,26593,PR RLS INTRINSIC MUS HAND EA,4310.0,3835.9,254.35,4310.0,482 CPT,26593,RELEASE OF HAND MUSCLE,,,623.4,9627.58,20 CPT,26600,CLOSED TREATMENT OF BROKEN HAND BONE FACILITY,,,247.2,442.31,20 CPT,26600,HC CLSD TX METCARP FX WO MANIP EA BN,854.0,760.06,177.63,854.0,1472 CPT,26600,PR CLSD TX METCARP FX WO MANIP EA BN,1300.0,1157.0,116.92,1300.0,507 CPT,26605,CLOSED TREATMENT OF BROKEN HAND BONE WITH MANIPULATION FACILITY,,,247.2,454.83,20 CPT,26605,HC CLSD TX METCARP FX W MANIP EA BN,1597.0,1421.33,247.2,1597.0,1472 CPT,26605,PR CLSD TX METCARP FX W MANIP EA BN,1890.0,1682.1,128.16,1890.0,507 CPT,26608,PR FIX PERC METCARP FX EA,3380.0,3008.2,182.09,3380.0,482 CPT,26608,TREATMENT OF BROKEN FINGER BONE WITH STABILIZING DEVICE ACCESSED THROUGH SKIN,,,446.3,4341.31,20 CPT,26615,PR OPN TX METCARP FX W FIX SNGL EA BN,4405.0,3920.45,213.97,4405.0,482 CPT,26615,TREATMENT OF BROKEN MIDHAND BONE,,,524.42,4341.31,20 CPT,26645,HC CLSD TX THUMB FX W MANIP,4762.0,4238.18,375.32,4762.0,736 CPT,26645,PR CLSD TX THUMB FX W MANIP,2516.0,2239.24,191.7,2516.0,482 CPT,26650,PLACEMENT OF STABILIZING DEVICE FOR BROKEN THUMB AT WRIST WITH MANIPULATION,,,453.75,4341.31,20 CPT,26650,PR FIX PERC THUMB DISLOC W MANIP,3238.0,2881.82,185.13,3238.0,482 CPT,26665,PR OPN TX CMC FX THUMB DISLOC,5313.0,4728.57,226.35,5313.0,482 CPT,26665,TREATMENT OF BROKEN THUMB AT WRIST,,,554.78,4341.31,20 CPT,26670,HC CLSD TX CMC DISLOC W MANIP,1011.0,899.79,210.29,1011.0,1472 CPT,26670,PR CLSD TX CMC DISLOC W MANIP,2864.0,2548.96,144.85,2864.0,507 CPT,26676,PLACEMENT OF STABILIZING DEVICE FOR DISLOCATED HAND BONE AT WRIST JOINT WITH MANIPULATION,,,471.55,4341.31,20 CPT,26676,PR FIX CMC DISLOC W MANIP,3588.0,3193.32,192.39,3588.0,482 CPT,26685,PR OPN TX CMC DISLOC W FIX EA JT,4974.0,4426.86,210.18,4974.0,482 CPT,26685,TREATMENT OF BROKEN HAND BONE AT WRIST,,,515.14,4341.31,20 CPT,26686,COMPLICATED TREATMENT OF DISLOCATED MIDHAND BONE AT WRIST,,,560.62,4341.31,20 CPT,26686,PR OPN TX CMC DISLOC CMPLX EA JT,5528.0,4919.92,228.74,5528.0,482 CPT,26700,PR CLSD TX MCP DISLOC W MANIP WO ANS,1752.0,1559.28,136.88,1752.0,507 CPT,26705,CLOSED TREATMENT OF DISLOCATED HAND JOINT AT BASE OF FINGER WITH MANIPULATION UNDER ANESTHESIA FACILITY,,,381.55,2133.49,20 CPT,26705,PR CLSD TX MCP DISLOC W MANP W ANS,2154.0,1917.06,194.38,2154.0,482 CPT,26706,PLACEMENT OF STABILIZING DEVICE FOR DISLOCATED HAND JOINT AT BASE OF FINGER WITH MANIPULATION-EXPRESS CARE,,,403.5,4341.31,20 CPT,26706,PR FIX PERC MCP DISLOC W MANIP,2995.0,2665.55,164.63,2995.0,482 CPT,26715,PR OPN TX MCP DISLOC W INT FIX,3579.0,3185.31,212.96,3579.0,482 CPT,26720,CLOSED TREATMENT OF BROKEN FINGER OR THUMB AT MIDPORTION OR PART NEAR HAND FACILITY,,,200.55,327.28,20 CPT,26720,HC CLSD TX PHAL SHFT FX WO MANIP EA,777.0,691.53,161.62,777.0,1472 CPT,26720,PR CLSD TX PHAL SHFT FX WO MANIP EA,870.0,774.3,94.59,870.0,482 CPT,26725,CLOSED TREATMENT OF BROKEN FINGER OR THUMB AT MIDPORTION OR PART NEAR HAND WITH MANIPULATION FACILITY,,,247.2,465.62,20 CPT,26725,HC CLSD TX PHAL SHFT FX W MANIP EA,1034.0,920.26,215.07,1034.0,1472 CPT,26725,PR CLSD TX PHAL SHFT FX W MANIP EA,1794.0,1596.66,157.64,1794.0,482 CPT,26727,PLACEMENT OF STABILIZING DEVICE FOR BROKEN FINGER OR THUMB AT MIDPORTION OR PART NEAR HAND WITH MANIPULATION PROFESSIONAL,,,439.6,4341.31,20 CPT,26727,PR TX PERC FGR PROX/MID W MANIP EA,3634.0,3234.26,179.36,3634.0,482 CPT,26735,PR OPN TX PHALANGEAL SHAFT FX EA,3872.0,3446.08,220.15,3872.0,482 CPT,26735,TREATMENT OF BROKEN FINGER AT MIDPORTION OR PART NEAR HAND,,,539.57,4341.31,20 CPT,26740,CLOSED TREATMENT OF BROKEN FINGER OR HAND AT BASE OF FINGER FACILITY,,,221.18,331.77,20 CPT,26740,HC CLSD TX ARTICLR FX WO MANIP EA,857.0,762.73,178.26,857.0,1472 CPT,26740,PR CLSD TX ARTICLR FX WO MANIP EA,1313.0,1168.57,89.58,1313.0,507 CPT,26742,CLOSED TREATMENT OF BROKEN FINGER OR HAND AT BASE OF FINGER WITH MANIPULATION,,,327.21,9627.58,20 CPT,26742,PR CLSD TX ARTICULAR FX W MANIP EA,2406.0,2141.34,167.72,2406.0,482 CPT,26746,PR OPN TX ARTICULAR FX W FIX EA JT,5363.0,4773.07,267.05,5363.0,482 CPT,26746,TREATMENT OF BROKEN FINGER OR HAND AT BASE OF FINGER,,,654.54,4341.31,20 CPT,26750,CLOSED TREATMENT OF BROKEN END OF FINGER OR THUMB FACILITY,,,203.7,327.28,20 CPT,26750,HC CLSD TX DISTL PHAL WO MANIP EA,743.0,661.27,154.54,743.0,1472 CPT,26750,PR CLSD TX DISTL PHAL WO MANIP EA,1069.0,951.41,74.94,1069.0,507 CPT,26755,HC CLSD TX DISTL PHAL FX W MANIP EA,950.0,845.5,197.6,950.0,1472 CPT,26755,PR CLSD TX DISTL PHAL FX W MANIP EA,1733.0,1542.37,151.97,1733.0,482 CPT,26756,PLACEMENT OF STABILIZING DEVICE FOR BROKEN END OF FINGER OR THUMB PROFESSIONAL,,,401.24,4341.31,20 CPT,26756,PR FIX PERC SKEL DIST PHAL FX EA,2514.0,2237.46,163.71,2514.0,482 CPT,26765,HC OPN TX DIST PHAL FX W INT FIX EA,6927.0,6165.03,467.81,6927.0,736 CPT,26765,PR OPN TX DIST PHAL FX W INT FIX EA,2760.0,2456.4,190.87,2760.0,482 CPT,26765,TREATMENT OF BROKEN END OF FINGER OR THUMB,,,467.81,4341.31,20 CPT,26770,CLOSED TREATMENT OF DISLOCATED FINGER JOINT WITH MANIPULATION FACILITY,,,247.2,445.02,20 CPT,26770,HC CLSD TX I-P DISLOC W MANIP WO ANES,814.0,724.46,169.31,814.0,1472 CPT,26770,PR CLSD TX I-P DISLOC W MANIP WO ANES,1547.0,1376.83,122.2,1547.0,507 CPT,26775,PR TX I-P DISLOC W MANIP W ANES,2015.0,1793.35,175.31,2015.0,482 CPT,26776,PR CLSD TX PERC I-P DISLOC W MANIP,2912.0,2591.68,171.36,2912.0,482 CPT,26785,PR OPN TX I-P DISLOC W FIX SNGL,3313.0,2948.57,205.13,3313.0,482 CPT,26785,TREATMENT OF DISLOCATED FINGER JOINT,,,502.76,4341.31,20 CPT,26841,FUSION OF THUMB AT WRIST,,,731.5,9627.58,20 CPT,26841,PR ARTHRDSIS CMC W/WO INT FIX,4744.0,4222.16,298.45,4744.0,482 CPT,26842,FUSION OF THUMB AT WRIST WITH BONE GRAFT,,,788.54,9627.58,20 CPT,26842,PR ARTHRDSIS CMC W/WO INT FIX W AUTOGRFT,6426.0,5719.14,321.73,6426.0,482 CPT,26843,PR ARTHRDSIS CMC OTHER THAN THMB,5209.0,4636.01,303.91,5209.0,482 CPT,26844,PR ARTHRDSIS CMC W AUTOGRFT,6635.0,5905.15,330.91,6635.0,482 CPT,26850,FUSION OF JOINT BETWEEN FINGER AND HAND,,,687.86,9627.58,20 CPT,26850,PR ARTHRDSIS MCP W/WO INT FIX,4974.0,4426.86,280.65,4974.0,482 CPT,26852,FUSION OF FINGER JOINT AT HAND WITH SELF BONE GRAFT,,,770.7,9627.58,20 CPT,26852,PR ARTHRDSIS MCP W AUTOGRFT,5137.0,4571.93,314.45,5137.0,482 CPT,26860,"FUSION OF FINGER JOINT, INITIAL JOINT PROFESSIONAL",,,597.26,9627.58,20 CPT,26860,PR ARTHRDSIS I-P JT W/WO FIX,4295.0,3822.55,243.68,4295.0,482 CPT,26861,"FUSION OF FINGER JOINT, EACH ADDITIONAL JOINT",,,79.39,9627.58,20 CPT,26861,PR ARTHRDSIS IP W/WO FIX EA ADD,986.0,877.54,64.78,986.0,482 CPT,26862,"FUSION OF FINGER JOINT WITH SELF BONE GRAFT, INITIAL JOINT",,,717.71,9627.58,20 CPT,26862,PR ARTHRDSIS IP W AUTOGRFT,5423.0,4826.47,292.83,5423.0,482 CPT,26863,"FUSION OF FINGER JOINT WITH SELF BONE GRAFT, EACH ADDITIONAL JOINT",,,176.47,9627.58,20 CPT,26863,PR ARTHRODESIS I-P JT W AUTOGRFT EA,1612.0,1434.68,144.0,1612.0,482 CPT,26910,AMPUTATION OF FINGER OR THUMB,,,718.13,9627.58,20 CPT,26910,PR AMP MTCRPL W FGR OR THUMB SNGL,5682.0,5056.98,293.0,5682.0,482 CPT,26951,AMPUTATION OF FINGER OR THUMB WITH DIRECT CLOSURE FACILITY,,,685.35,4341.31,20 CPT,26951,HC AMP FGR/THUMB W DIRECT CLSR,6837.0,6084.93,685.35,6837.0,736 CPT,26951,PR AMP FGR/THUMB W DIRECT CLSR,4091.0,3640.99,279.63,4091.0,482 CPT,26952,AMPUTATION OF FINGER OR THUMB WITH TISSUE FLAP FACILITY,,,650.81,4341.31,20 CPT,26952,HC AMP FGR/THUMB W ADV FLAPS,6837.0,6084.93,650.81,6837.0,736 CPT,26952,PR AMP FGR/THUMB W ADV FLAPS,4739.0,4217.71,265.53,4739.0,482 CPT,26989,UNLISTED PROC HANDS/FINGERS PROFESSIONAL,,,141.96,327.28,19 CPT,26990,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF PELVIS OR HIP NEAR JOINT,,,1262.38,4341.31,20 CPT,26990,PR I&D PELVIS/HIP JT DEEP ABSC,4623.0,4114.47,257.53,4623.0,482 CPT,26992,INCISION OF PELVIS AND/OR HIP JOINT BONE,,,889.32,4341.31,20 CPT,26992,PR INCISN BN CORTEX PELV/HIP JT,6601.0,5874.89,362.85,6601.0,482 CPT,27000,INCISION OF HIP TENDON THROUGH SKIN,,,353.28,17034.43,20 CPT,27000,PR TENOTOMY HIP ADDUCTOR PERC,2969.0,2642.41,144.14,2969.0,482 CPT,27001,INCISION OF HIP TENDON,,,486.22,4914.02,20 CPT,27001,PR TENOTOMY ADDUCTOR HIP OPN,4755.0,4231.95,198.38,4755.0,482 CPT,27005,PR TENOTOMY HIP FLEX OPN SEP PROC,5837.0,5194.93,259.02,5837.0,482 CPT,27006,PR TENOTOMY HIP ABD/EXTEN OPEN,6301.0,5607.89,255.33,6301.0,482 CPT,27025,INCISION OF CONNECTIVE TISSUE OF HIP OR THIGH,,,827.55,4341.31,20 CPT,27025,PR FASCIOTOMY HIP/THIGH,7802.0,6943.78,337.64,7802.0,482 CPT,27030,INCISION AND DRAINAGE OF HIP JOINT,,,803.77,9627.58,20 CPT,27030,PR ARTHRT HIP W DRN,6096.0,5425.44,327.94,6096.0,482 CPT,27033,PR ARTHRT HIP INCL EXPLR RMVL FB,7917.0,7046.13,340.6,7917.0,482 CPT,27036,PR CPSLMY HIP W RLS HIP FLXR MUSC,7643.0,6802.27,360.66,7643.0,482 CPT,27036,REPAIR OF HIP JOINT CAPSULE,,,883.96,9627.58,20 CPT,27040,BIOPSY OF SURFACE TISSUE OF PELVIS AND HIP,,,174.71,2191.35,20 CPT,27041,PR BX PELV/HIP AREA DEEP,4043.0,3598.27,250.99,4043.0,482 CPT,27043,HC EXCISN TMR PLV/HIP SUBQ>=3CM,7724.0,6874.36,420.19,7724.0,734 CPT,27043,PR EXCISN TMR PLV/HIP SUBQ>=3CM,2599.0,2313.11,171.44,2599.0,482 CPT,27043,"REMOVAL OF GROWTH UNDER SKIN OF PELVIS AND HIP, 3.0 CM OR MORE PROFESSIONAL",,,420.19,3853.99,20 CPT,27045,PR EXCISN TMR PLV/HP SUBFSCL>=5CM,5007.0,4456.23,261.85,5007.0,482 CPT,27045,"REMOVAL OF GROWTH OF MUSCLE OF PELVIS AND HIP, 5.0 CM OR MORE",,,641.79,3853.99,20 CPT,27047,HC EXCISN TMR PELVIS/HIP SUBQ<3CM,7215.0,6421.35,329.58,7215.0,736 CPT,27047,PR EXCISN TMR PELVIS/HIP SUBQ<3CM,3058.0,2721.62,211.31,3058.0,489 CPT,27047,"REMOVAL OF GROWTH UNDER SKIN OF PELVIS AND HIP, LESS THAN 3.0 CM FACILITY",,,659.16,3853.99,20 CPT,27048,PR EXCISN TMR PLV/HIP SUBFSCL<5CM,3698.0,3291.22,222.89,3698.0,482 CPT,27049,"EXTENSIVE REMOVAL OF GROWTH OF PELVIS AND HIP, LESS THAN 5.0 CM",,,1199.62,3853.99,20 CPT,27049,PR RSECT TMR PELVIS/HIP <5CM,10092.0,8981.88,489.45,10092.0,482 CPT,27054,PR ARTHROTOMY HIP W SYNOVECTOMY,6691.0,5954.99,250.82,6691.0,482 CPT,27059,"EXTENSIVE REMOVAL OF GROWTH OF PELVIS AND HIP, 5.0 CM OR MORE",,,1511.07,3853.99,20 CPT,27059,PR RSECT TMR PELVIS/HIP >=5CM,14804.0,13175.56,616.52,14804.0,482 CPT,27062,PR EXCISN TROC BURSA/CALCIFICATN,3105.0,2763.45,168.33,3105.0,482 CPT,27062,REMOVAL OF FLUID-FILLED SAC (BURSA) OR CALCIUM DEPOSIT OF PELVIS PROFESSIONAL,,,412.57,4341.31,20 CPT,27065,PR EXCISN BN CYST IL/PU/FM SUPFC,4289.0,3817.21,197.42,4289.0,482 CPT,27065,"REMOVAL OF CYST OR GROWTH OF HIP, PUBIC, OR HEAD OF THIGH BONE WITH SELF BONE GRAFT",,,483.86,9627.58,20 CPT,27066,PR EXCISN BN CYST IL/PU/FM DEEP,6513.0,5796.57,291.57,6513.0,482 CPT,27066,"REMOVAL OF DEEP CYST OR GROWTH OF HIP, PUBIC, OR HEAD OF THIGH BONE WITH SELF BONE GRAFT",,,714.62,4341.31,20 CPT,27070,"PARTIAL REMOVAL OF SUPERFICIAL CYST OR GROWTH OF HIP, PUBIC, OR HEAD OF THIGH BONE WITH SELF BONE GRAFT",,,783.96,4341.31,20 CPT,27070,PR EXCISN PRTL ILIUM WING SUPFCL,6281.0,5590.09,319.86,6281.0,482 CPT,27071,"PARTIAL REMOVAL OF DEEP CYST OR GROWTH OF HIP, PUBIC, OR HEAD OF THIGH BONE WITH SELF BONE GRAFT",,,868.62,4341.31,20 CPT,27071,PR EXCISN PRTL ILIUM WING DEEP,8395.0,7471.55,354.4,8395.0,482 CPT,27075,PR RSECT TUMOR ILIUM WING RAD,12070.0,10742.3,699.8,12070.0,482 CPT,27076,PR RSECT TMR ILIUM/ISCH/ACET RAD,15993.0,14233.77,838.43,15993.0,482 CPT,27077,PR RSECT TUMOR INOMINATE BN TOT,17989.0,16010.21,931.04,17989.0,482 CPT,27078,PR RSECT TMR ISCH TUBR&GRT TRCNTR,11329.0,10082.81,690.62,11329.0,482 CPT,27080,PR COCCYGECTOMY PRIMARY,3673.0,3268.97,190.66,3673.0,482 CPT,27080,REMOVAL OF TAILBONE,,,467.31,4341.31,20 CPT,27087,PR RMVL FB PELVIS/HIP DEEP,3316.0,2951.24,227.17,3316.0,482 CPT,27087,REMOVAL OF FOREIGN BODY IN TISSUE OR MUSCLE OF PELVIS OR HIP,,,556.78,4341.31,20 CPT,27090,PR RMVL HIP PROSTHESIS,5987.0,5328.43,296.25,5987.0,482 CPT,27091,PR RMVL HIP PROSTHESIS CMPLX,15386.0,13693.54,543.78,15386.0,482 CPT,27093,HC INJ PROC HIP ARTHGRPH WO ANES,946.0,841.94,54.56,946.0,720 CPT,27093,INJECTION OF CONTRAST FOR IMAGING OF HIP JOINT FACILITY,,,54.56,1040.11,20 CPT,27093,PR INJ PROC HIP ARTHGRPH WO ANES,994.0,884.66,81.26,994.0,507 CPT,27095,HC INJ PROC HIP ARTHGRPH W ANES,3048.0,2712.72,65.03,3048.0,719 CPT,27095,INJECTION OF CONTRAST FOR IMAGING OF HIP UNDER ANESTHESIA FACILITY,,,65.03,3853.99,20 CPT,27095,PR INJ PROC HIP ARTHGRPH W ANES,1549.0,1378.61,133.95,1549.0,482 CPT,27096,HC INJ SI JT W IMA W ARTHROGRPHY,1611.0,1433.79,71.13,1611.0,1472 CPT,27096,INJECTION OF ANESTHETIC OR STEROID INTO JOINT BETWEEN LOWER SPINE AND HIP BONE USING IMAGING GUIDANCE FACILITY,,,4.31,1060.12,19 CPT,27096,PR INJ SI JT W IMA W ARTHROGRPHY,1418.0,1262.02,71.79,1418.0,482 CPT,27097,PR RLS HAMSTRING PROXIMAL,9390.0,8357.1,247.61,9390.0,482 CPT,27120,PR ACETABULOPLASTY,10249.0,9121.61,449.28,10249.0,482 CPT,27122,PR ACETABULOPLASTY RSECT FEM HEAD,9194.0,8182.66,384.87,9194.0,482 CPT,27122,REPAIR OF HIP SOCKET WITH REMOVAL OF HEAD OF THIGH BONE,,,943.3,10897.67,20 CPT,27125,PR HEMIARTHROPLASTY HIP PRTL,9528.0,8479.92,394.18,9528.0,482 CPT,27130,PR ARTHRO ACETAB&FEM PROSTH (THA),15181.0,13511.09,439.85,15181.0,482 CPT,27130,REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS PROFESSIONAL,,,1078.05,17034.43,21 CPT,27132,PR CONVERT PREV TOTAL HIP ARTHRO,17977.0,15999.53,568.51,17977.0,482 CPT,27132,TOTAL HIP REPLACEMENT AFTER PREVIOUS HIP SURGERY PROFESSIONAL,,,1393.39,17034.43,20 CPT,27134,PR REV TOTAL HIP BOTH COMPONENT,18626.0,16577.14,637.4,18626.0,482 CPT,27134,REVISION OF THIGH BONE AND HIP JOINT PROSTHESIS,,,1562.25,17034.43,20 CPT,27137,PR REV TOTAL HIP ACETABULR ONLY,15321.0,13635.69,497.41,15321.0,482 CPT,27137,REVISION OF HIP SOCKET PART OF HIP PROSTHESIS,,,1219.13,17034.43,20 CPT,27138,PR REV TOTAL HIP FEMORAL ONLY,15321.0,13635.69,515.87,15321.0,482 CPT,27138,REVISION OF THIGH BONE PROSTHESIS,,,1264.39,17034.43,20 CPT,27140,PR OST&TRNSF GRT TROCH OF FEMUR,5335.0,4748.15,317.21,5335.0,482 CPT,27140,REPOSITIONING OF PART OF HEAD OF THIGH BONE,,,777.48,9627.58,20 CPT,27146,INCISION OR PARTIAL REMOVAL OF HIP BONE,,,556.78,4341.31,19 CPT,27146,PR OSTEOTOMY ILIAC/ACETABULAR BN,9612.0,8554.68,444.25,9612.0,482 CPT,27147,PR OSTEOT ILIAC ACETAB HIP REDUCT,12355.0,10995.95,502.45,12355.0,482 CPT,27151,PR OSTEOT IL/ACETAB BN W FEM OST,15439.0,13740.71,540.41,15439.0,482 CPT,27156,PR OSTEOT IL/ACETAB BN W HIP REDUC,16544.0,14724.16,579.24,16544.0,482 CPT,27158,PR OSTEOTOMY PELVIS BILATERAL,11614.0,10336.46,480.51,11614.0,482 CPT,27161,INCISION OR PARTIAL REMOVAL OF NECK OF THIGH BONE,,,1040.22,9627.58,20 CPT,27161,PR OSTEOTOMY FEM NECK SEP PROC,10557.0,9395.73,424.41,10557.0,482 CPT,27165,INCISION OR PARTIAL REMOVAL OF THIGH BONE BELOW NECK WITH PLACEMENT OF STABILIZING DEVICE OR CAST,,,1173.84,9627.58,20 CPT,27165,PR OSTEOT INTER/SUBTROCHANTERIC,11800.0,10502.0,478.93,11800.0,482 CPT,27170,BONE GRAFT TO UPPER THIGH BONE,,,1980.1,9627.58,20 CPT,27170,PR BN GRFT FEM HEAD/NK/INTERTRO,11108.0,9886.12,403.94,11108.0,482 CPT,27176,PR TX SLIP FEM EPIPHYSIS IN SITU,8688.0,7732.32,327.94,8688.0,482 CPT,27176,TREATMENT OF GROWTH PLATE AT TOP OF THIGH WITH PINS INSERTED THROUGH SKIN',,,803.76,4341.31,20 CPT,27177,PR OPEN RX SLIP EPIPHYSIS,8829.0,7857.81,391.36,8829.0,482 CPT,27177,TREATMENT OF SLIPPED GROWTH PLATE AT UPPER END OF THIGH BONE WITH PINNING OR BONE GRAFT,,,959.21,4341.31,20 CPT,27178,PR OPN TX SLIPPED FEM CLSD MANIP,6193.0,5511.77,327.94,6193.0,482 CPT,27181,PR OPN TX FEM EPHIPH W OSTEOT&FIX,9504.0,8458.56,393.75,9504.0,482 CPT,27181,REPAIR OF GROWTH PLATE IN HEAD OF THIGH BONE WITH PLACEMENT OF STABILIZING DEVICE,,,965.06,10897.67,20 CPT,27185,PR ARRST EPIPHYSEAL TRCHNTR FEM,3920.0,3488.8,260.09,3920.0,482 CPT,27185,REMOVAL OF GROWTH PLATE OF UPPER THIGH BONE,,,637.47,9627.58,20 CPT,27187,PR TX PROPHX FEM NK&PROX W/WO MMA,9479.0,8436.31,351.34,9479.0,482 CPT,27187,STABILIZATION OF UPPER THIGH BONE WITH DEVICE,,,861.12,9627.58,20 CPT,27197,PR CLSD TX POST PELVIC RING FX WO MANIP,911.0,810.79,48.3,911.0,482 CPT,27198,PR CLSD TX POST PELVIC RING FX W MANIP,2347.0,2088.83,107.62,2347.0,482 CPT,27215,PR OPN TX PELVIC BN FX W FIX,6244.0,5557.16,510.34,6244.0,482 CPT,27215,TREATMENT OF BROKEN BONES ON SIDE OF PELVIS,,,0.3,470.8,5 CPT,27216,PLACEMENT OF STABILIZING DEVICE FOR BROKEN AND/OR DISLOCATED BONE ON SIDE OF PELVIS,,,0.3,695.35,5 CPT,27216,PR TX PELVIC BN FX PERC SKEL FIX,7097.0,6316.33,743.92,7097.0,482 CPT,27217,PR OPN TX PELVIC BN ANTR W FIX,8280.0,7369.2,704.0,8280.0,482 CPT,27218,PR OPN TX PELVIC BN POSTR W FIX,10456.0,9305.84,935.85,10456.0,482 CPT,27220,PR CLSD TX ACETABULUM FX W MANIP,2899.0,2580.11,149.44,2899.0,507 CPT,27222,PR CLSD TX ACETAB HIP FX W MANIP,6150.0,5473.5,349.26,6150.0,482 CPT,27226,PR OPN TX ACETAB FX WALL W FIX,8633.0,7683.37,367.74,8633.0,482 CPT,27227,PR OPN TX ACETAB FX 1 CLMNS W FIX,13063.0,11626.07,562.94,13063.0,482 CPT,27228,PR OPN TX ACETAB FX 2 CLMNS W FIX,15423.0,13726.47,635.4,15423.0,482 CPT,27230,PR CLSD TX FEM FX PROX WO MANIP,2868.0,2552.52,210.78,2868.0,482 CPT,27235,PLACEMENT OF STABILIZING DEVICE FOR UPPER END OF BROKEN THIGH BONE,,,783.7,10897.67,20 CPT,27235,PR TX FEM FX PROX END NK PERC,7023.0,6250.47,319.75,7023.0,482 CPT,27236,PR OPN TX FEM FX PROX END NK,8279.0,7368.31,414.72,8279.0,482 CPT,27236,TREATMENT OF UPPER END OF BROKEN THIGH BONE WITH PLACEMENT OF STABILIZING DEVICE OR PROSTHETIC REPLACEMENT,,,1016.46,9627.58,20 CPT,27238,PR CLSD TX FEMORAL FX WO MANIP,3210.0,2856.9,177.81,3210.0,482 CPT,27240,PR CLSD TX FEMORAL FX W MANIP,5901.0,5251.89,342.49,5901.0,482 CPT,27244,PR TX FEM FX W PLATE/SCREW IMPL,8940.0,7956.6,426.28,8940.0,482 CPT,27244,TREATMENT OF BROKEN NECK OF THIGH BONE WITH PLATE/SCREW IMPLANT,,,1044.8,9627.58,20 CPT,27245,PR TX FEM FX W INTRAMEDULLRY IMPL,8581.0,7637.09,425.42,8581.0,482 CPT,27245,TREATMENT OF BROKEN NECK OF THIGH BONE WITH BONE IMPLANT,,,1042.69,9627.58,20 CPT,27246,HC CLSD TX GREATER TROCH WO MANIP,1362.0,1212.18,247.2,1362.0,736 CPT,27246,PR CLSD TX GREATER TROCH WO MANIP,1938.0,1724.82,167.68,1938.0,482 CPT,27248,PR OPN TX GREATER TROCH FX,5674.0,5049.86,261.66,5674.0,482 CPT,27250,HC CLSD TX DISLOC HIP WO ANES,1063.0,946.07,154.11,1063.0,736 CPT,27250,PR CLSD TX DISLOC HIP WO ANES,2085.0,1855.65,62.88,2085.0,482 CPT,27252,HC CLSD TX HIP DISLOC W ANES,2945.0,2621.05,612.56,2945.0,1472 CPT,27252,PR CLSD TX HIP DISLOC W ANES,4489.0,3995.21,273.81,4489.0,482 CPT,27253,PR OPN TX HIP DISLOC WO FIX,5585.0,4970.65,331.65,5585.0,482 CPT,27257,PR TX HIP DISLOC W MANIP W ANES,2459.0,2188.51,125.14,2459.0,482 CPT,27257,TREATMENT OF SPONTANEOUS DISLOCATED HIP UNDER ANESTHESIA,,,306.72,2133.49,20 CPT,27258,PR OPN TX HIP DISLOC SPONT,11396.0,10142.44,388.14,11396.0,482 CPT,27258,TREATMENT OF SPONTANEOUS DISLOCATED HIP,,,951.31,4341.31,20 CPT,27259,PR OPN TX HIP DISLOC W FEM SHORT,11645.0,10364.05,530.77,11645.0,482 CPT,27265,HC CLSD TX HIP DISLOC WO ANES,1202.0,1069.78,247.2,1202.0,736 CPT,27265,PR CLSD TX HIP DISLOC WO ANES,2693.0,2396.77,192.81,2693.0,482 CPT,27266,CLOSED TREATMENT OF DISLOCATED HIP PROSTHESIS UNDER ANESTHESIA FACILITY,,,526.96,2133.49,20 CPT,27266,HC TX POST HIP ARTHR DISLOC ANES,3784.0,3367.76,526.96,3784.0,1444 CPT,27266,PR TX POST HIP ARTHR DISLOC ANES,3557.0,3165.73,215.0,3557.0,482 CPT,27267,HC CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANIP,7388.0,6575.32,411.1,7388.0,721 CPT,27267,PR CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANIP,2902.0,2582.78,167.73,2902.0,482 CPT,27269,PR OPN TX FEM FX PROX HEAD W FIX,8279.0,7368.31,424.61,8279.0,482 CPT,27279,FUSION OF PELVIC JOINT USING IMAGING GUIDANCE,,,704.93,23263.96,20 CPT,27279,PR ARTHRDSIS SACROILIAC PERC,4048.0,3602.72,287.61,4048.0,482 CPT,27280,"FUSION OF SACROILIAC JOINT BETWEEN SPINE AND PELVIS WITH BONE GRAFT, OPEN PROCEDURE",,,1154.06,23263.96,20 CPT,27280,PR ARTHRDSIS SACROILIAC JT W GRFT,8442.0,7513.38,470.86,8442.0,482 CPT,27282,FUSION OF JOINT BETWEEN PUBIC BONES,,,704.93,26332.98,19 CPT,27282,PR ARTHRODESES SYMPH PUBIS W GRFT,5542.0,4932.38,308.01,5542.0,482 CPT,27290,PR AMP INTERPELVIABDOMINAL,10605.0,9438.45,555.44,10605.0,482 CPT,27295,PR DISARTICULATION OF HIP,9461.0,8420.29,431.61,9461.0,482 CPT,27299,HC TENEX PELVIS/HIP,1342.0,1194.38,247.2,1342.0,735 CPT,27299,PR CURETTAGE FEMUR TUMOR,6513.0,5796.57,325.65,6513.0,477 CPT,27299,PR GLUTEUS MAXIMUS TRANSFER,6906.0,6146.34,345.3,6906.0,477 CPT,27299,"PR MFAT, EA ADDL HIP SITE(JNT/SFT TISSUE)",1500.0,1335.0,75.0,1500.0,477 CPT,27299,"PR MFAT, INCL HRVST AND INJ, HIP, SNGL SITE",4000.0,3560.0,200.0,4000.0,477 CPT,27299,PR PERIACETABULAR OSTEOTOMY (PAO),38448.0,34218.72,1922.4,38448.0,477 CPT,27299,PR TX1 TENOTOMY ADD/HMSTRNG PERC SNG,3132.0,2787.48,156.6,3132.0,477 CPT,27299,PR TX1 TENOTOMY HIP ADDUCTOR PERC,3909.0,3479.01,195.45,3909.0,477 CPT,27299,PR US-GUIDED PSOAS TENDON RELEASE/TENOTOMY,2969.0,2642.41,148.45,2969.0,477 CPT,27299,UNLISTED PROC PELVIS/HIP JOINT - FACILITY,,,98.97,327.28,19 CPT,27301,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF THIGH OR KNEE,,,457.39,4341.31,20 CPT,27301,PR I&D ABSC/BURSA/HEMA THIGH/KNEE,3969.0,3532.41,285.34,3969.0,482 CPT,27303,INCISION OF BONE OF THIGH OR KNEE,,,570.65,4341.31,20 CPT,27303,PR INCISN FEM W OPN BN CORTX DEEP,4063.0,3616.07,232.83,4063.0,482 CPT,27305,INCISION OF CONNECTIVE TISSUE BETWEEN THIGH AND KNEE,,,441.29,4341.31,20 CPT,27305,PR FASCIOTOMY ILIOTIBIAL OPEN,3239.0,2882.71,180.05,3239.0,482 CPT,27306,PR TENOTOMY ADD/HMSTRNG PERC SNG,2168.0,1929.52,129.92,2168.0,482 CPT,27310,"INCISION OF KNEE JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY PROFESSIONAL",,,649.41,4341.31,20 CPT,27310,PR ARTHRT KNEE EXPLR/DRN/RMVL FB,5740.0,5108.6,264.96,5740.0,482 CPT,27323,PR BX SOFT TISS THIGH/KNEE SUPFCL,1380.0,1228.2,111.52,1380.0,482 CPT,27324,BIOPSY OF DEEP TISSUE OF THIGH OR KNEE,,,381.73,3853.99,20 CPT,27324,PR BX SOFT TISS THIGH/KNEE DEEP,3188.0,2837.32,155.75,3188.0,482 CPT,27325,REMOVAL OF NERVE OF HAMSTRING MUSCLE,,,1539.18,2590.89,20 CPT,27326,PR NEURECTOMY POPLITEAL,3067.0,2729.63,195.97,3067.0,482 CPT,27326,REMOVAL OF NERVE OF CALF MUSCLE,,,960.62,2590.89,20 CPT,27327,HC EXCISN TMR THIGH/KNEE SUBQ<3CM,5602.0,4985.78,292.88,5602.0,736 CPT,27327,PR EXCISN TMR THIGH/KNEE SUBQ<3CM,2504.0,2228.56,216.25,2504.0,482 CPT,27327,"REMOVAL OF GROWTH UNDER SKIN OF THIGH OR KNEE, 3.0 CM OR MORE FACILITY",,,292.88,2191.35,20 CPT,27328,PR EXCISN TMR TH/KNE SUBFSCL<5CM,3462.0,3081.18,224.79,3462.0,482 CPT,27328,"REMOVAL OF GROWTH OF MUSCLE OF THIGH OR KNEE, 5.0 CM OR LESS FACILITY",,,550.96,3853.99,20 CPT,27329,"EXTENSIVE REMOVAL OF GROWTH OF THIGH OR KNEE, LESS THAN 5.0 CM",,,893.92,3853.99,20 CPT,27329,PR RSECT TMR THIGH/KNEE <5CM,8892.0,7913.88,364.72,8892.0,482 CPT,27331,"INCISION OF KNEE JOINT FOR EXPLORATION, BIOPSY, OR REMOVAL OF FOREIGN BODY",,,437.12,4341.31,20 CPT,27331,PR ARTHRT KNEE JT EXPLOR/BX/RMVL,4372.0,3891.08,178.35,4372.0,482 CPT,27332,INCISION OF KNEE JOINT WITH REMOVAL OF CARTILAGE OF INNER OR OUTER SIDE OF KNEE,,,581.91,17034.43,20 CPT,27332,PR ARTHRT EXCISN KNEE MED/LAT,4751.0,4228.39,237.42,4751.0,482 CPT,27334,INCISION OF KNEE JOINT WITH REMOVAL OF CARTILAGE OF FRONT OR BACK OF KNEE,,,613.63,4341.31,20 CPT,27334,PR ARTHRT W SYNOVECTOMY KNEE,5665.0,5041.85,250.36,5665.0,482 CPT,27335,INCISION OF KNEE JOINT WITH REMOVAL OF CARTILAGE OF FRONT AND BACK OF KNEE,,,676.39,9627.58,20 CPT,27335,PR ARTHRT KNEE ANTR&POSTR,6578.0,5854.42,275.97,6578.0,482 CPT,27337,HC EXCISN TMR THIGH/KNE SUBQ>=3CM,7381.0,6569.09,380.39,7381.0,736 CPT,27337,PR EXCISN TMR THIGH/KNE SUBQ>=3CM,2934.0,2611.26,155.2,2934.0,489 CPT,27337,REMOVAL OF GROWTH UNDER SKIN THIGH OR KNEE 3 CM OR GREATER FACILITY,,,380.39,3853.99,20 CPT,27339,PR EXCISN TMR TH/KNE SUBFSCL>=5CM,5358.0,4768.62,270.49,5358.0,482 CPT,27339,"REMOVAL OF GROWTH OF MUSCLE OF THIGH OR KNEE, 5.0 CM OR MORE PROFESSIONAL",,,662.96,3853.99,20 CPT,27340,PR EXCISN PREPATELLAR BURSA,2816.0,2506.24,144.78,2816.0,482 CPT,27340,REMOVAL OF FLUID-FILLED SAC FROM JOINT AT FRONT OF KNEE PROFESSIONAL,,,354.85,17034.43,20 CPT,27345,PR EXCISN SYNOVIAL CYST POP SPACE,4103.0,3651.67,181.67,4103.0,482 CPT,27345,REMOVAL OF CYST OF BACK OF KNEE,,,445.26,4341.31,20 CPT,27347,PR EXCISN LESN KNEE MENISC/CAPSL,4776.0,4250.64,197.31,4776.0,482 CPT,27347,REMOVAL OF GROWTH OF KNEE CARTILAGE OR CAPSULE,,,483.6,4341.31,20 CPT,27350,PR PATELLECTOMY/HEMIPATELLECTOMY,6027.0,5364.03,239.49,6027.0,482 CPT,27350,REMOVAL OF KNEECAP,,,586.98,9627.58,20 CPT,27355,PR EXCISN BN CYST/BENIGN TMR FEM,5829.0,5187.81,222.99,5829.0,482 CPT,27355,REMOVAL OF CYST OR GROWTH OF THIGH BONE,,,546.54,4341.31,20 CPT,27356,PR EXCISN BN FEMUR W ALLOGRAFT,5936.0,5283.04,267.75,5936.0,482 CPT,27356,REMOVAL OF CYST OR GROWTH OF THIGH BONE WITH DONOR BONE GRAFT,,,1312.5,17034.43,20 CPT,27357,PR EXCISN BN FEMUR W AUTOGRAFT,5642.0,5021.38,294.45,5642.0,482 CPT,27358,PR EXCISN BN FEMUR W INTRNL FIX,3069.0,2731.41,174.94,3069.0,482 CPT,27358,REMOVAL OF CYST OR GROWTH OF THIGH BONE WITH PLACEMENT OF STABILIZING DEVICE,,,214.39,17034.43,20 CPT,27360,PARTIAL REMOVAL OF THIGH AND/OR LOWER LEG BONES,,,812.49,4341.31,20 CPT,27360,PR EXCISN BN FEM/TIB/FIB PRTL,6037.0,5372.93,331.5,6037.0,482 CPT,27364,"EXTENSIVE REMOVAL OF GROWTH OF THIGH OR KNEE, 5.0 CM OR MORE",,,1318.18,3853.99,20 CPT,27364,PR RSECT TMR THIGH/KNEE >=5CM,14468.0,12876.52,537.82,14468.0,482 CPT,27365,EXTENSIVE REMOVAL OF GROWTH OF THIGH OR KNEE BONE,,,1695.63,4341.31,20 CPT,27365,PR RSECT TUMOR FEMUR/KNEE RADICAL,15864.0,14118.96,691.82,15864.0,482 CPT,27369,HC NJX CNTRST KNE ARTHG/CT/MRI,1312.0,1167.68,272.9,1312.0,717 CPT,27369,INJECTION OF CONTRAST FOR IMAGING OF KNEE JOINT FACILITY,,,167.52,276.44,20 CPT,27369,PR NJX CNTRST KNE ARTHG/CT/MRI,976.0,868.64,63.91,976.0,507 CPT,27372,PR RMVL FB THIGH/KNEE DEEP,4022.0,3579.58,255.56,4022.0,482 CPT,27372,REMOVAL OF FOREIGN BODY DEEP IN TISSUE OF THIGH OR KNEE,,,371.69,3853.99,20 CPT,27380,PR SUTR INFRAPATELLAR TNDN PRIM,4396.0,3912.44,233.16,4396.0,482 CPT,27380,PRIMARY SUTURE OF TENDON BELOW KNEE PROFESSIONAL,,,571.46,9627.58,20 CPT,27381,PR SUTR INFRAPATELLAR TNDN SCNDRY,5701.0,5073.89,299.45,5701.0,482 CPT,27381,SECONDARY SUTURE OF TENDON BELOW KNEE PROFESSIONAL,,,733.94,9627.58,20 CPT,27385,PR SUTR QUAD/HAMSTRNG RUPT PRIM,4513.0,4016.57,230.73,4513.0,482 CPT,27385,PRIMARY SUTURE OF RUPTURED MUSCLE OF THIGH PROFESSIONAL,,,565.5,9627.58,20 CPT,27386,PR SUTR QUAD/HAMSTRNG RUPT SCNDRY,6906.0,6146.34,312.47,6906.0,482 CPT,27386,SECONDARY SUTURE OF RUPTURED MUSCLE OF THIGH,,,765.85,9627.58,20 CPT,27390,PR TENOTOMY HAMSTRING OPN SNGL,2903.0,2583.67,164.07,2903.0,482 CPT,27390,REPAIR OF HAMSTRING TENDON,,,402.13,4914.02,20 CPT,27391,PR TENOTOMY HMSTRNG OPN MULT 1 LEG,3861.0,3436.29,213.59,3861.0,482 CPT,27393,LENGTHENING OF HAMSTRING TENDON,,,453.48,10897.67,20 CPT,27393,PR LENGTHENING TNDN SNGL,3509.0,3123.01,185.02,3509.0,482 CPT,27394,LENGTHENING OF MULTIPLE HAMSTRING TENDONS IN LEG,,,584.35,9627.58,20 CPT,27394,PR LENGTHENING TNDN MULT 1 LEG,3728.0,3317.92,238.42,3728.0,482 CPT,27395,LENGTHENING OF MULTIPLE HAMSTRING TENDONS IN BOTH LEGS,,,772.44,4341.31,20 CPT,27395,PR LENGTHENING TNDN MULT BILAT,6808.0,6059.12,315.16,6808.0,482 CPT,27396,PR TRANSPLANT THIGH SNGL TNDN,4215.0,3751.35,227.06,4215.0,482 CPT,27400,"PR TENDON/MUSC XFER,HAMSTR-FEMUR",4720.0,4200.8,253.7,4720.0,482 CPT,27400,TRANSFER OF TENDON OR MUSCLE IN HAMSTRING TO FEMUR,,,621.8,17034.43,20 CPT,27403,INCISION AND REPAIR OF KNEE CARTILAGE,,,577.05,9627.58,20 CPT,27403,PR ARTHRT W MENISCUS RPR KNEE,6027.0,5364.03,235.44,6027.0,482 CPT,27405,PR RPR KNE TORN LGMNT PRIM COLLAT,5696.0,5069.44,246.08,5696.0,482 CPT,27405,PRIMARY REPAIR OF TORN LIGAMENT OR JOINT CAPSULE AT OUTSIDE PART OF KNEE,,,603.13,9627.58,20 CPT,27407,PR RPR KNE TORN LGMNT PRIM CRUCT,5521.0,4913.69,287.45,5521.0,482 CPT,27412,IMPLANTATION OF SELF CARTILAGE INTO KNEE JOINT,,,1389.08,9627.58,20 CPT,27412,PR IMPL KNEE AUTO CHONDROCYTE,14335.0,12758.15,566.75,14335.0,482 CPT,27415,IMPLANTATION OF DONOR CARTILAGE CELLS INTO KNEE JOINT,,,1174.55,17034.43,20 CPT,27415,PR ALLOGRAFT OSTEOCHON KNEE OPN,10510.0,9353.9,479.22,10510.0,482 CPT,27416,IMPLANTATION OF SELF CARTILAGE CELLS INTO KNEE BONE,,,843.31,9627.58,20 CPT,27416,PR AUTOGRAFT OSTEOCHON KNEE OPN,6868.0,6112.52,344.07,6868.0,482 CPT,27418,PR TUBERCLEPLASTY ANTERIOR TIBIAL,5798.0,5160.22,293.38,5798.0,482 CPT,27418,REPAIR OF UPPER END OF SHIN BONE AT KNEE JOINT PROFESSIONAL,,,719.06,9627.58,20 CPT,27422,PR RCNST DISLOC PATEL EXTN REALIGN,6123.0,5449.47,268.65,6123.0,482 CPT,27422,REPAIR OF DISLOCATING KNEECAP WITH REALIGNMENT PROFESSIONAL,,,658.45,9627.58,20 CPT,27425,PR RELEASE LAT RETINACULAR OPN,3799.0,3381.11,172.78,3799.0,482 CPT,27425,RELEASE OF LIGAMENTS OF KNEE JOINT,,,423.47,4341.31,20 CPT,27427,PR RCNST LGMNT KNEE EXART,5965.0,5308.85,255.76,5965.0,482 CPT,27427,RECONSTRUCTION OF LIGAMENTS OUTSIDE KNEE JOINT PROFESSIONAL,,,626.86,17034.43,20 CPT,27429,PR RCNST LGMNT KNEE INTR/EXTR,10648.0,9476.72,448.95,10648.0,482 CPT,27429,RECONSTRUCTION OF LIGAMENTS INSIDE AND OUTSIDE KNEE JOINT,,,1100.35,17034.43,20 CPT,27430,PR QUADRICEPSPLASTY,5433.0,4835.37,268.61,5433.0,482 CPT,27430,REPAIR OF MUSCLE GROUP ABOVE KNEE JOINT,,,658.34,9627.58,20 CPT,27435,INCISION OF BACK PORTION OF KNEE JOINT CAPSULE,,,718.21,4341.31,20 CPT,27435,PR CAPSULOTOMY KNEE POSTR RELEASE,6032.0,5368.48,293.03,6032.0,482 CPT,27438,PR ARTHRO PATELLA W PROSTHESIS,6486.0,5772.54,299.42,6486.0,482 CPT,27438,REPAIR OF KNEECAP WITH PROSTHESIS PROFESSIONAL,,,733.87,17034.43,20 CPT,27442,PR ARTHRO FEM CONDYL/TIB PLAT KNEE,6879.0,6122.31,307.91,6879.0,482 CPT,27442,REPAIR OF END OF THIGH OR LOWER LEG BONE AT KNEE JOINT WITH PROSTHESIS PROFESSIONAL,,,754.68,17034.43,20 CPT,27443,PR ARTHRO FEM CONDYLES PRTL DBRD,5214.0,4640.46,291.79,5214.0,482 CPT,27445,KNEE JOINT REPLACEMENT USING HINGED PROSTHESIS,,,100.4,956.31,17 CPT,27446,PR ARTHRO KNEE MED/LAT CMPRT (UNILAT),8536.0,7597.04,397.9,8536.0,482 CPT,27446,REPLACEMENT OF KNEE JOINT ON SIDE OF KNEE,,,975.23,17034.43,20 CPT,27447,PR ARTHRO KNEE CONDYLE&PLAT (TKA),13820.0,12299.8,439.02,13820.0,482 CPT,27447,"REPLACEMENT OF KNEE JOINT, BOTH SIDES OF KNEE PROFESSIONAL",,,1076.03,17034.43,21 CPT,27448,INCISION OR PARTIAL REMOVAL OF MIDDLE PORTION OF THIGH BONE,,,714.7,9627.58,20 CPT,27448,PR OSTEOTOMY FEM SHAFT WO FIX,5079.0,4520.31,291.6,5079.0,482 CPT,27450,INCISION OR PARTIAL REMOVAL OF MIDDLE PORTION OF THIGH BONE WITH STABILIZING DEVICE,,,1739.88,17034.43,20 CPT,27450,PR OSTEOTOMY FEM SHAFT W FIX,8890.0,7912.1,354.94,8890.0,482 CPT,27454,PR OSTEOTOMY FEM SHAFT MULT,9184.0,8173.76,448.84,9184.0,482 CPT,27455,"INCISION OR PARTIAL REMOVAL OF UPPER PORTION OF LOWER LEG BONE TO REPAIR DEFORMITY, BEFORE BONE GROWTH COMPLETED",,,838.26,9627.58,20 CPT,27455,PR OSTEOTOMY TIB BFR EPIPHYS CLSR,5137.0,4571.93,342.01,5137.0,482 CPT,27457,"INCISION OR PARTIAL REMOVAL OF UPPER PORTION OF LOWER LEG BONE TO REPAIR DEFORMITY, AFTER BONE GROWTH COMPLETED",,,821.14,9627.58,20 CPT,27457,PR OSTEOTOMY TIB AFT EPIPHYS CLSR,8347.0,7428.83,335.03,8347.0,482 CPT,27465,PR OSTEOPLASTY FEMUR SHORTENING,9607.0,8550.23,491.11,9607.0,482 CPT,27465,SHORTENING OF THIGH BONE,,,1203.7,9627.58,20 CPT,27466,LENGTHENING OF THIGH BONE,,,1272.45,9627.58,20 CPT,27466,PR OSTEOPLASTY FEMUR LENGTHENING,8107.0,7215.23,519.16,8107.0,482 CPT,27470,PR RPR FEMUR NON/MALUNION WO GRFT,8106.0,7214.34,413.54,8106.0,482 CPT,27470,REPAIR OF NONHEALED BROKEN THIGH BONE,,,1013.57,9627.58,20 CPT,27472,PR RPR FEMUR NON/MALUNION W GRFT,9253.0,8235.17,439.36,9253.0,482 CPT,27472,REPAIR OF NONHEALED BROKEN THIGH BONE WITH SELF BONE GRAFT,,,1076.86,9627.58,20 CPT,27475,PR ARRST EPIPHYSEAL DISTAL FEMUR,5954.0,5299.06,241.43,5954.0,482 CPT,27475,REMOVAL OF GROWTH PLATE AT LOWER END OF THIGH BONE,,,591.73,9627.58,19 CPT,27477,PR ARRST EPIPHYSEAL TIB/FIB PROX,6529.0,5810.81,263.71,6529.0,482 CPT,27477,REMOVAL OF GROWTH PLATE OF BOTH LOWER LEG BONES,,,646.33,9627.58,20 CPT,27479,PR ARRST EPIPHYSL COMB FM/TIB/FIB,8240.0,7333.6,324.26,8240.0,482 CPT,27479,REMOVAL OF GROWTH PLATE OF LEG AND THIGH BONES,,,794.75,9627.58,20 CPT,27485,PR ARRST HEMIEPIPHYSEAL,5958.0,5302.62,243.38,5958.0,482 CPT,27485,REMOVAL OF GROWTH PLATE OF LEG OR THIGH BONES,,,596.51,10897.67,20 CPT,27486,PR REV TOT KNEE ARTHRO 1 COMPNT,12088.0,10758.32,483.66,12088.0,482 CPT,27486,REVISION OF COMPONENT OF TOTAL KNEE JOINT PROSTHESIS PROFESSIONAL,,,1185.44,17034.43,19 CPT,27487,PR REV TOT KNEE ARTHRO FEM&TIB,13682.0,12176.98,594.65,13682.0,482 CPT,27487,REVISION OF THIGH AND LOWER LEG BONE COMPONENTS OF TOTAL KNEE JOINT PROSTHESIS PROFESSIONAL,,,1457.47,23263.96,20 CPT,27488,PR RMVL PROSTH KNEE,7929.0,7056.81,418.73,7929.0,482 CPT,27488,REMOVAL OF TOTAL KNEE JOINT PROSTHESIS,,,1026.29,17034.43,20 CPT,27495,PR PROPHX TX FEMUR W/WO MMA,7661.0,6818.29,394.21,7661.0,482 CPT,27495,STABILIZATION OF THIGH BONE WITH DEVICE,,,966.2,9627.58,20 CPT,27496,INCISION OF CONNECTIVE TISSUE OF THIGH AND/OR KNEE TO RELIEVE PRESSURE,,,505.8,9627.58,20 CPT,27496,PR DCMPRN THIGH/KNEE SNGL CMPRT,3769.0,3354.41,206.37,3769.0,482 CPT,27498,PR DCMPRN THIGH/KNEE MULT CMPRT,4093.0,3642.77,241.15,4093.0,482 CPT,27500,CLOSED TREATMENT OF BROKEN THIGH BONE FACILITY,,,247.2,660.6,20 CPT,27500,HC CLSD TX FEMORAL SHAFT WO MANIP,2057.0,1830.73,247.2,2057.0,1472 CPT,27500,PR CLSD TX FEMORAL SHAFT WO MANIP,3339.0,2971.71,225.68,3339.0,482 CPT,27501,CLOSED TREATMENT OF BROKEN THIGH BONE AT LOWER END FACILITY,,,247.2,682.71,20 CPT,27501,HC CLSD TX SPRA/TRNSCNDL WO MANIP,962.0,856.18,200.1,962.0,736 CPT,27501,PR CLSD TX SPRA/TRNSCNDL WO MANIP,3468.0,3086.52,215.43,3468.0,482 CPT,27502,HC CLSD TX FEM SHAFT FX W MANIP,5425.0,4828.25,701.92,5425.0,1472 CPT,27502,PR CLSD TX FEM SHAFT FX W MANIP,5615.0,4997.35,286.39,5615.0,482 CPT,27503,PR CLSD TX SPRA/TRNSCNDL W MANIP,6112.0,5439.68,287.18,6112.0,482 CPT,27506,PR OPN TX FEM FX INTRAMEDLRY IMPL,8646.0,7694.94,465.69,8646.0,482 CPT,27506,TREATMENT OF BROKEN SHAFT OF THIGH BONE WITH IMPLANT,,,1141.39,9627.58,20 CPT,27507,PR OPN TX FEM FX W PLATE/SCREWS,8458.0,7527.62,335.46,8458.0,482 CPT,27507,TREATMENT OF BROKEN MIDDLE OF THIGH BONE WITH PLACEMENT OF STABILIZING DEVICE,,,822.19,9627.58,20 CPT,27508,HC CLSD TX FEM FX DIST WO MANIP,1250.0,1112.5,247.2,1250.0,1468 CPT,27508,PR CLSD TX FEM FX DIST WO MANIP,3334.0,2967.26,228.96,3334.0,482 CPT,27509,PR FIX SKEL PERC FEM FX W/WO EXT,4933.0,4390.37,254.29,4933.0,482 CPT,27509,TREATMENT OF BROKEN THIGH BONE AT FAR END WITH PLACEMENT OF STABILIZING DEVICE,,,623.25,9627.58,20 CPT,27510,HC CLSD TX FEMORAL W MANIP,4348.0,3869.72,630.79,4348.0,736 CPT,27510,PR CLSD TX FEMORAL W MANIP,5200.0,4628.0,257.36,5200.0,482 CPT,27511,PR TX FEM SUPRACONDYL FX WO EXTSN,8458.0,7527.62,341.31,8458.0,482 CPT,27513,PR TX FEM SUPRACONDYL FX W EXTSN,9376.0,8344.64,417.74,9376.0,482 CPT,27514,PR OPN TX FEMORAL FX W FIX,8654.0,7702.06,331.8,8654.0,482 CPT,27520,HC CLSD TX PATELLA FX WO MANIP,881.0,784.09,183.25,881.0,736 CPT,27520,PR CLSD TX PATELLA FX WO MANIP,1899.0,1690.11,147.97,1899.0,482 CPT,27524,PR OPN TX PATELLA FX FIX/PATLCTMY,5517.0,4910.13,270.95,5517.0,482 CPT,27524,TREATMENT OF BROKEN KNEECAP WITH PLACEMENT OF STABILIZING DEVICE AND/OR REMOVAL OF KNEECAP PROFESSIONAL,,,664.09,9627.58,20 CPT,27530,CLOSED TREATMENT OF BROKEN SHIN BONE FACILITY,,,247.2,441.29,20 CPT,27530,HC CLSD TX TIB FX WO MANIP,889.0,791.21,184.91,889.0,1472 CPT,27530,PR CLSD TX TIB FX WO MANIP,1977.0,1759.53,119.19,1977.0,507 CPT,27532,PR CLSD TX TIB FX W/WO MANIP,3614.0,3216.46,266.79,3614.0,482 CPT,27535,PR OPN TX TIB FX PROX UNICONDYLAR,5938.0,5284.82,309.66,5938.0,482 CPT,27535,TREATMENT OF BROKEN SIDE OF UPPER END OF SHIN BONE,,,758.97,9627.58,20 CPT,27536,PR OPN TX TIB FX PROX BICONDYLAR,7692.0,6845.88,415.32,7692.0,482 CPT,27536,TREATMENT OF BROKEN SHIN BONE ON BOTH SIDES OF UPPER END,,,1017.94,9627.58,20 CPT,27538,PR CLSD TX KNEE W/WO MANIP,2804.0,2495.56,213.64,2804.0,482 CPT,27540,PR OPN TX KNEE W/WO FIX,5755.0,5121.95,292.51,5755.0,482 CPT,27540,TREATMENT OF BROKEN SHIN BONE AT KNEE,,,716.94,9627.58,20 CPT,27552,CLOSED TREATMENT OF DISLOCATED KNEE UNDER ANESTHESIA FACILITY,,,574.95,2133.49,20 CPT,27552,PR CLSD TX KNEE DISLOC W ANES,4452.0,3962.28,234.58,4452.0,482 CPT,27556,PR OPN TX KNE DISLOC WO LGMNT RPR,6527.0,5809.03,303.31,6527.0,482 CPT,27558,PR OPN TX KNEE DISLOC W LIG RPR&AUGM,8064.0,7176.96,402.82,8064.0,482 CPT,27560,HC CLSD TX PATLLR DISLOC WO ANES,1001.0,890.89,208.21,1001.0,736 CPT,27560,PR CLSD TX PATLLR DISLOC WO ANES,3663.0,3260.07,185.27,3663.0,482 CPT,27562,PR CLSD TX PATLLR DISLOC W ANES,3430.0,3052.7,185.18,3430.0,482 CPT,27566,PR OPN TX PATLLR DISLC W/WO PTLMY,6177.0,5497.53,315.9,6177.0,482 CPT,27570,HC MANIP KNEE JT W ANES,5061.0,4504.29,143.57,5061.0,736 CPT,27570,MANIPULATION OF KNEE JOINT UNDER ANESTHESIA FACILITY,,,143.57,2133.49,20 CPT,27570,PR MANIP KNEE JT W ANES,1392.0,1238.88,58.58,1392.0,482 CPT,27580,PR ARTHRODESIS KNEE ANY TECH,9941.0,8847.49,517.09,9941.0,482 CPT,27590,PR AMP THIGH THRU FEM,5574.0,4960.86,264.9,5574.0,482 CPT,27592,PR AMP THIGH THRU FEM OPN,5006.0,4455.34,233.47,5006.0,482 CPT,27594,PR AMP THIGH THRU FEMUR SEC CLSR,3107.0,2765.23,181.17,3107.0,482 CPT,27596,PR AMP THIGH THRU FEM REAMP,6203.0,5520.67,246.37,6203.0,482 CPT,27598,PR DISARTICULATION AT KNEE,5755.0,5121.95,239.93,5755.0,482 CPT,27599,PR MANI KNEE JT W REGIONAL/MAC ANES,1392.0,1238.88,69.6,1392.0,477 CPT,27599,PR MARLEX MESH RECON EXTNSR,6906.0,6146.34,345.3,6906.0,477 CPT,27599,"PR MFAT, IINCL HRVST AND INJ, KNEE, BILATERAL",5500.0,4895.0,275.0,5500.0,477 CPT,27599,"PR MFAT, IINCL HRVST AND INJ, KNEE, SNGL SITE",4000.0,3560.0,200.0,4000.0,477 CPT,27599,PR TENOTOMY KNEE W/TENEX,3226.0,2871.14,161.3,3226.0,477 CPT,27599,UNLISTED PROCEDURE FEMUR/KNEE - FACILITY,,,1076.03,17034.43,19 CPT,27600,INCISION OF CONNECTIVE TISSUE OF FRONT OR SIDE OF LOWER LEG TO RELIEVE PRESSURE,,,351.09,4341.31,20 CPT,27600,PR DCMPRN LEG ANTR/LATERAL CMPRT,2909.0,2589.01,143.25,2909.0,482 CPT,27601,INCISION OF CONNECTIVE TISSUE OF BACK OF LOWER LEG TO RELIEVE PRESSURE,,,397.17,4341.31,20 CPT,27601,PR DCMPRN LEG POSTR CMPRT,3776.0,3360.64,162.05,3776.0,482 CPT,27602,INCISION OF CONNECTIVE TISSUE OF FRONT AND/OR SIDE AND BACK OF LOWER LEG TO RELIEVE PRESSURE,,,403.36,4341.31,20 CPT,27602,PR DCMPRN LEG ANTR/LATERAL/POSTR,3674.0,3269.86,164.57,3674.0,482 CPT,27603,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF LEG OR ANKLE FACILITY,,,354.72,3853.99,20 CPT,27603,PR I&D LEG/ANK DEEP ABSC/HEMA,3055.0,2718.95,217.51,3055.0,482 CPT,27605,HC TNTMY ACHIL TNDN PERC LOC ANES,5302.0,4718.78,168.76,5302.0,736 CPT,27605,INCISION OF ACHILLES TENDON USING LOCAL ANESTHETIC FACILITY,,,168.76,2133.49,20 CPT,27605,PR TNTMY ACHIL TNDN PERC LOC ANES,2190.0,1949.1,137.57,2190.0,482 CPT,27606,INCISION OF ACHILLES TENDON UNDER ANESTHESIA,,,242.37,9627.58,20 CPT,27606,PR TNTMY ACHIL TNDN PERC GEN ANES,2334.0,2077.26,98.89,2334.0,482 CPT,27607,PR INCISION LEG/ANKLE,3674.0,3269.86,218.31,3674.0,482 CPT,27610,"INCISION OF ANKLE JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,578.47,4341.31,20 CPT,27610,PR ARTHRT ANKLE EXPLR/DRN/RMVL FB,5173.0,4603.97,236.02,5173.0,482 CPT,27612,INCISION OF ANKLE JOINT WITH RELEASE OF JOINT LINING,,,518.83,4341.31,20 CPT,27612,PR ARTHRT ANK POSTR CAPSULAR RLS,4565.0,4062.85,211.69,4565.0,482 CPT,27613,BIOPSY OF SURFACE TISSUE OF LEG OR ANKLE FACILITY,,,145.18,2191.35,20 CPT,27613,HC BX SOFT TISS LEG/ANKLE SUPFCL,4912.0,4371.68,145.18,4912.0,736 CPT,27613,PR BX SOFT TISS LEG/ANKLE SUPFCL,993.0,883.77,105.37,993.0,482 CPT,27614,BIOPSY OF DEEP TISSUE OF LEG OR ANKLE,,,375.15,3853.99,20 CPT,27614,PR BX SOFT TISS LEG/ANKLE DEEP,2136.0,1901.04,244.77,2136.0,482 CPT,27615,"EXTENSIVE REMOVAL OF GROWTH OF LEG OR ANKLE, LESS THAN 5.0 CM",,,874.85,3853.99,20 CPT,27615,PR RSECT TMR LEG/ANK <5CM RADCL,6815.0,6065.35,356.94,6815.0,482 CPT,27616,PR RSECT TMR LEG/ANK >=5CM RADCL,9060.0,8063.4,437.24,9060.0,482 CPT,27618,HC EXCISN TMR LEG/ANKLE SUBQ <3CM,5890.0,5242.1,284.08,5890.0,736 CPT,27618,PR EXCISN TMR LEG/ANKLE SUBQ <3CM,2212.0,1968.68,208.32,2212.0,482 CPT,27618,"REMOVAL OF GROWTH UNDER SKIN OF LEG OR ANKLE, LESS THAN 3.0 CM FACILITY",,,284.08,2191.35,20 CPT,27619,PR EXCISN TMR LEG/ANKLE SUBF <5CM,3674.0,3269.86,169.19,3674.0,482 CPT,27619,"REMOVAL OF GROWTH OF MUSCLE OF LEG OR ANKLE, LESS THAN 5.0 CM",,,414.67,5195.02,20 CPT,27620,INCISION AND EXPLORATION OF ANKLE JOINT,,,417.15,4341.31,20 CPT,27620,PR ARTHRT ANKLE W JT EXPLR,3827.0,3406.03,170.2,3827.0,482 CPT,27625,PR ARTHROTOMY ANKLE W SYNOVECTOMY,4204.0,3741.56,213.46,4204.0,482 CPT,27625,REMOVAL OF MEMBRANE COVERING OF ANKLE JOINT,,,523.18,17034.43,20 CPT,27626,PR ARTHRT ANK SYNO&TNOSYNO,6041.0,5376.49,220.06,6041.0,482 CPT,27626,REMOVAL OF MEMBRANE COVERING ANKLE JOINT AND TENDON,,,539.35,4341.31,20 CPT,27630,PR EXCISN LESN LEG/ANK TNDN SHTH,3160.0,2812.4,229.01,3160.0,482 CPT,27630,REMOVAL OF GROWTH OF LEG AND/OR ANKLE TENDON LINING OR CAPSULE PROFESSIONAL,,,334.46,4341.31,20 CPT,27632,PR EXCISN TMR LEG/ANK >=3CM,2417.0,2151.13,150.59,2417.0,482 CPT,27632,"REMOVAL OF GROWTH UNDER SKIN OF LEG OR ANKLE, 3.0 CM OR MORE PROFESSIONAL",,,369.08,3853.99,20 CPT,27634,PR EXCISN TMR LEG/ANK >=5CM,4976.0,4428.64,238.58,4976.0,482 CPT,27634,"REMOVAL OF GROWTH OF MUSCLE OF LEG OR ANKLE, 5.0 CM OR MORE",,,584.76,3853.99,20 CPT,27635,PR EXCISN BN CYST TIB/FIB,4928.0,4385.92,212.15,4928.0,482 CPT,27635,REMOVAL OF CYST OR GROWTH OF LOWER LEG BONE PROFESSIONAL,,,519.98,4341.31,20 CPT,27637,PR EXCISN CYST TIB/FIB W AUTOGRFT,6473.0,5760.97,273.2,6473.0,482 CPT,27638,PR EXCISN BN CYST TIB/FIB W GRFT,6041.0,5376.49,269.74,6041.0,482 CPT,27640,PARTIAL REMOVAL OF SHIN BONE,,,725.91,4341.31,20 CPT,27640,PR EXCISN BN TIB PRTL,5921.0,5269.69,296.17,5921.0,482 CPT,27641,PARTIAL REMOVAL OF OUTER LOWER LEG BONE,,,580.59,4341.31,20 CPT,27641,PR EXCISN BN FIB PRTL,5202.0,4629.78,236.88,5202.0,482 CPT,27645,EXTENSIVE REMOVAL OF GROWTH OF SHIN BONE,,,1471.52,4341.31,20 CPT,27645,PR RSECT TUMOR TIBIA RADICAL,9925.0,8833.25,600.38,9925.0,482 CPT,27646,PR RSECT TUMOR FIBULA RADICAL,8862.0,7887.18,526.4,8862.0,482 CPT,27648,INJECTION FOR X-RAY IMAGING OF ANKLE FACILITY,,,40.69,4341.31,20 CPT,27648,PR INJ ANK ARTHROGRAPHY,981.0,873.09,85.03,981.0,482 CPT,27650,PR RPR ACHILLES TNDN PRIM,5213.0,4639.57,244.06,5213.0,482 CPT,27650,REPAIR OF RUPTURED ACHILLES TENDON PROFESSIONAL,,,598.17,9627.58,20 CPT,27652,PR RPR ACHILLES TNDN PRIM W GRFT,5635.0,5015.15,240.82,5635.0,482 CPT,27654,PR RPR ACHILLES TNDN SECNDRY,6269.0,5579.41,263.58,6269.0,482 CPT,27654,SECONDARY REPAIR OF RUPTURED ACHILLES TENDON PROFESSIONAL,,,646.03,9627.58,20 CPT,27658,PR RPR FLEXOR TNDN LEG WO GRFT,2664.0,2370.96,140.34,2664.0,482 CPT,27659,PR RPR FLEXOR TENDON LEG SECNDRY,3476.0,3093.64,174.86,3476.0,482 CPT,27659,SECONDARY REPAIR OF TENDON ON BACK OF LEG,,,428.58,9627.58,20 CPT,27664,PR RPR EXTNSR TNDN LEG WO GRFT,2813.0,2503.57,135.52,2813.0,482 CPT,27665,PR RPR EXTNSR TNDN LEG W/WO GRFT,3207.0,2854.23,156.88,3207.0,482 CPT,27675,PR RPR DISLOC PRNEAL TNDN WO OS,3503.0,3117.67,183.5,3503.0,482 CPT,27675,REPAIR OF DISLOCATING LOWER LEG TENDONS WITHOUT A CUT THROUGH THE LOWER LEG BONE ON THE OUTSIDE OF THE LEG (FIBULA) PROFESSIONAL,,,449.75,4341.31,20 CPT,27676,PR RPR DISLOC PRNEAL TNDN W OS,4793.0,4265.77,222.91,4793.0,482 CPT,27676,REPAIR OF DISLOCATED LOWER LEG TENDONS BY INCISION OR PARTIAL REMOVAL OF LOWER LEG BONE PROFESSIONAL,,,546.33,9627.58,20 CPT,27680,PR TNLYS LEG/ANKLE FLEX/EXT SNG,2785.0,2478.65,159.65,2785.0,482 CPT,27680,RELEASE OF LEG AND/OR ANKLE TENDON PROFESSIONAL,,,391.29,9627.58,20 CPT,27685,LENGTHENING OR SHORTENING OF TENDON OF LEG OR ANKLE PROFESSIONAL,,,427.59,4341.31,20 CPT,27685,PR LNGTH/SHORT LEG/ANK TNDN SNGL,3722.0,3312.58,274.44,3722.0,482 CPT,27686,LENGTHENING OR SHORTENING OF MULTIPLE TENDONS OF LEG OR ANKLE,,,480.41,10897.67,20 CPT,27686,PR LNGHT/SHORT LEG/ANK TNDN MULT,4633.0,4123.37,196.01,4633.0,482 CPT,27687,LENGTHENING OF CALF MUSCLE PROFESSIONAL,,,416.76,4914.02,20 CPT,27687,PR GASTROCNEMIUS RECESSION,3207.0,2854.23,170.04,3207.0,482 CPT,27690,PR TRNSF/TRNSPL TNDN SNGL SUPFCL,4618.0,4110.02,238.24,4618.0,482 CPT,27690,TRANSFER OF TENDON AND MUSCLE REROUTING AT LOWER LEG OR ANKLE PROFESSIONAL,,,583.91,9627.58,20 CPT,27691,PR TRNSF/TRNSPL TENDON SNGL DEEP,6002.0,5341.78,273.28,6002.0,482 CPT,27691,TRANSFER OF DEEP TENDON OF FOOT WITH MUSCLE REROUTING PROFESSIONAL,,,669.79,9627.58,20 CPT,27692,PR TRNSF/TRNSPL TENDON EA ADD,840.0,747.6,66.73,840.0,482 CPT,27692,"TRANSFER OF TENDON WITH MUSCLE REROUTING AT FOOT, EACH ADDITIONAL TENDON",,,81.78,9627.58,20 CPT,27695,PR RPR DISRPTD LGMNT ANK COLAT,3872.0,3446.08,182.21,3872.0,482 CPT,27695,PRIMARY REPAIR OF DISRUPTED ANKLE LIGAMENT PROFESSIONAL,,,446.59,9627.58,20 CPT,27698,PR RPR ANK SECNDRY DISRUP LGMNT,5529.0,4920.81,231.9,5529.0,482 CPT,27698,SECONDARY REPAIR OF DISRUPTED COLLATERAL LIGAMENT OF ANKLE PROFESSIONAL,,,568.38,9627.58,20 CPT,27702,PR ARTHROPLASTY ANK W IMPLANT,8213.0,7309.57,339.68,8213.0,482 CPT,27702,RECONSTRUCTION OF ANKLE JOINT WITH PROSTHESIS PROFESSIONAL,,,832.54,36001.56,20 CPT,27703,PR ARTHROPLASTY ANKLE REV TOTAL,9469.0,8427.41,389.48,9469.0,482 CPT,27703,REPAIR OF ANKLE JOINT WITH REVISION OF PROSTHESIS,,,954.61,23263.96,20 CPT,27704,PR RMVL OF ANKLE IMPL,4218.0,3754.02,206.17,4218.0,482 CPT,27704,REMOVAL OF ANKLE IMPLANT,,,505.31,4341.31,20 CPT,27705,INCISION OR PARTIAL REMOVAL OF SHIN BONE,,,654.58,9627.58,20 CPT,27705,PR OSTEOTOMY TIBIA,5416.0,4820.24,267.07,5416.0,482 CPT,27707,INCISION OR PARTIAL REMOVAL OF LOWER LEG BONE,,,377.54,9627.58,20 CPT,27707,PR OSTEOTOMY FIBULA,2664.0,2370.96,154.04,2664.0,482 CPT,27709,INCISION OR PARTIAL REMOVAL OF SHIN AND OUTER LOWER LEG BONES,,,982.6,17034.43,20 CPT,27709,PR OSTEOTOMY TIBIA AND FIBULA,8727.0,7767.03,400.9,8727.0,482 CPT,27712,PR OSTEOTOMY MULT W RELIGNMT ROD,7287.0,6485.43,387.88,7287.0,482 CPT,27713,PR OSTEOT TIBIA IMED LNGTH DEV,9900.0,8811.0,673.33,9900.0,482 CPT,27715,PR OSTEOPLSTY TIB&FIB LNGTH/SHORT,7277.0,6476.53,516.43,7277.0,482 CPT,27720,PR RPR NON/MALUNION TIB WO GRFT,7685.0,6839.65,311.78,7685.0,482 CPT,27720,REPAIR OF NONHEALED BROKEN SHIN BONE,,,764.16,9627.58,20 CPT,27724,PR RPR NON/MALUNION TIB AUTOGRAFT,10609.0,9442.01,429.36,10609.0,482 CPT,27724,REPAIR OF NONHEALED BROKEN SHIN BONE WITH SELF GRAFT FROM HIP OR OTHER BONE,,,1052.34,9627.58,20 CPT,27726,PR RPR NON/MALUNION FIB W FIX,6778.0,6032.42,334.31,6778.0,482 CPT,27726,REPAIR OF NONHEALED BROKEN OUTER LOWER LEG BONE WITH PLACEMENT OF STABILIZING DEVICE,,,819.37,9627.58,20 CPT,27730,PR ARREST EPHYSL DIST TIB OPN,3613.0,3215.57,216.54,3613.0,482 CPT,27730,SCRAPING OR STAPLING OF SHIN BONE GROWTH PLATE OF LOWER LEG BONE AT ANKLE,,,530.72,4341.31,20 CPT,27732,FUSION OF LOWER OUTER LEG BONE GROWTH PLATE,,,421.65,4341.31,20 CPT,27732,PR ARREST EPHYSL DIST FIB OPN,2762.0,2458.18,172.04,2762.0,482 CPT,27734,FUSION OF LOWER END OF GROWTH PLATE OF LOWER LEG BONE,,,587.16,4914.02,20 CPT,27734,PR ARREST EPHYSL DIST TIBFIB OPN,4135.0,3680.15,239.56,4135.0,482 CPT,27740,PR ARREST EPIPHYSEAL TIB & FIB,5894.0,5245.66,256.6,5894.0,482 CPT,27742,FUSION OF LOWER AND UPPER ENDS OF GROWTH PLATES OF LOWER LEG AND THIGH BONES,,,687.76,4341.31,20 CPT,27742,PR ARREST EPIPHYSEAL TIB/FIB/FEM,6229.0,5543.81,280.61,6229.0,482 CPT,27745,PLACEMENT OF STABILIZING DEVICE FOR SHIN BONE,,,641.72,9627.58,20 CPT,27745,PR PROPHX TX TIBIA W/WO MMA,4591.0,4085.99,261.82,4591.0,482 CPT,27750,CLOSED TREATMENT OF BROKEN MIDDLE PART OF SHIN BONE FACILITY,,,247.2,485.28,20 CPT,27750,HC CLSD TX TIB SHAFT FX WO MANIP,1105.0,983.45,229.84,1105.0,1472 CPT,27750,PR CLSD TX TIB SHAFT FX WO MANIP,1848.0,1644.72,157.94,1848.0,482 CPT,27752,CLOSED TREATMENT OF MIDDLE PART OF BROKEN SHIN BONE WITH MANIPULATION FACILITY,,,476.47,2133.49,20 CPT,27752,HC CLSD TX TIB SHAFT FX W MANIP,4354.0,3875.06,476.47,4354.0,1472 CPT,27752,PR CLSD TX TIB SHAFT FX W MANIP,3527.0,3139.03,239.56,3527.0,482 CPT,27756,PLACEMENT OF STABILIZING DEVICE FOR BROKEN MIDDLE PART OF SHIN BONE,,,536.35,9627.58,20 CPT,27756,PR PERC FIX TIBIAL SHAFT FX,4788.0,4261.32,218.83,4788.0,482 CPT,27758,PR OPN TX TIB FX PLATE/SCRWS,6351.0,5652.39,319.36,6351.0,482 CPT,27758,TREATMENT BROKEN MIDDLE PART OF SHIN BONE WITH PLATE OR SCREWS,,,782.75,17034.43,20 CPT,27759,PR TX TIB FX INTRAMDLRY IMPL,6971.0,6204.19,350.25,6971.0,482 CPT,27759,TREATMENT OF BROKEN PART OF SHIN BONE WITH ROD,,,858.46,17034.43,20 CPT,27760,HC CLSD TX MDL MELLEOL WO MANIP,839.0,746.71,174.51,839.0,1472 CPT,27760,PR CLSD TX MDL MELLEOL WO MANIP,1837.0,1634.93,150.91,1837.0,482 CPT,27762,PR CLSD TX MDL MALLEOL W MANIP,2645.0,2354.05,233.17,2645.0,482 CPT,27766,PR OPN TX MEDIAL MALLEOL FX,4103.0,3651.67,225.52,4103.0,482 CPT,27766,TREATMENT OF INSIDE PORTION OF BROKEN SHIN BONE AT ANKLE PROFESSIONAL,,,552.73,9627.58,20 CPT,27767,HC CLSD TX POSTR MALLEOL WO MANIP,1591.0,1415.99,1432.0,1432.0,2 CPT,27767,PR CLSD TX POSTR MALLEOL WO MANIP,1303.0,1159.67,129.23,1303.0,482 CPT,27768,PR CLSD TX POSTR MALLEOL W MANIP,3036.0,2702.04,172.99,3036.0,482 CPT,27769,PR OPN TX POSTR MALLEOLUS FX,4510.0,4013.9,260.09,4510.0,482 CPT,27780,HC CLSD TX PROX FIBULA WO MANIP,915.0,814.35,190.32,915.0,1472 CPT,27780,PR CLSD TX PROX FIBULA WO MANIP,1345.0,1197.05,141.68,1345.0,482 CPT,27781,PR CLSD TX PROX FIBULA W MANIP,3792.0,3374.88,194.94,3792.0,482 CPT,27784,PR OPN TX PROX FIBULA FX W/FIX,3875.0,3448.75,260.25,3875.0,482 CPT,27784,TREATMENT OF BROKEN UPPER OR MIDDLE PART OF OUTER LOWER LEG BONE PROFESSIONAL,,,637.87,9627.58,20 CPT,27786,CLOSED TREATMENT OF BROKEN OUTSIDE LOWER LEG BONE AT ANKLE FACILITY,,,247.2,429.06,20 CPT,27786,HC CLSD TX DIST FIB WO MANIP,1189.0,1058.21,247.2,1189.0,1472 CPT,27786,PR CLSD TX DIST FIB WO MANIP,1400.0,1246.0,140.4,1400.0,482 CPT,27788,HC CLSD TX DIST FIB FX W MANIP,1709.0,1521.01,247.2,1709.0,736 CPT,27788,PR CLSD TX DIST FIB FX W MANIP,2225.0,1980.25,197.69,2225.0,482 CPT,27792,PR OPN TX DIST FIB FX,4030.0,3586.7,235.77,4030.0,482 CPT,27792,TREATMENT OF BROKEN OUTER LOWER LEG BONE AT ANKLE PROFESSIONAL,,,577.85,9627.58,20 CPT,27808,HC CLSD TX BIMALOR ANK WO MANIP,922.0,820.58,191.78,922.0,736 CPT,27808,PR CLSD TX BIMALOR ANK WO MANIP,1903.0,1693.67,153.6,1903.0,482 CPT,27810,CLOSED TREATMENT OF 2 BROKEN LOWER LEG BONES AT ANKLE WITH MANIPULATION FACILITY,,,444.06,17034.43,20 CPT,27810,HC CLSD TX BIMALOR ANK W MANIP,2883.0,2565.87,444.06,2883.0,1472 CPT,27810,PR CLSD TX BIMALOR ANK W MANIP,2655.0,2362.95,222.27,2655.0,482 CPT,27814,PR OPN TX BIMALOR ANK FX,6037.0,5372.93,275.48,6037.0,482 CPT,27814,TREATMENT OF BOTH BROKEN LOWER LEG BONES AT ANKLE PROFESSIONAL,,,675.19,9627.58,20 CPT,27816,HC CLSD TX TRIMALOR ANK WO MANIP,1188.0,1057.32,247.1,1188.0,736 CPT,27816,PR CLSD TX TRIMALOR ANK WO MANIP,1904.0,1694.56,153.05,1904.0,482 CPT,27818,CLOSED TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE WITH MANIPULATION FACILITY,,,454.13,17034.43,20 CPT,27818,HC CLSD TX TRIMALOR ANK FX MANIP,3033.0,2699.37,454.13,3033.0,1472 CPT,27818,PR CLSD TX TRIMALOR ANK FX MANIP,2980.0,2652.2,230.86,2980.0,482 CPT,27822,PR OPN TX TRIMALOR ANK FX WO FIX,6048.0,5382.72,321.23,6048.0,482 CPT,27822,TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE PROFESSIONAL,,,787.32,9627.58,20 CPT,27823,PR OPN TX TRIMALOR ANK FX W FIX,6971.0,6204.19,357.25,6971.0,482 CPT,27823,TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE WITH FIXATION OF POSTERIOR LIP PROFESSIONAL,,,875.6,9627.58,20 CPT,27824,CLOSED TREATMENT OF BROKEN SHIN BONE AT LOWER WEIGHT BEARING JOINT FACILITY,,,247.2,461.72,20 CPT,27824,HC CLSD TX TIB W/WO ANES WO MANIP,1018.0,906.02,211.74,1018.0,1472 CPT,27824,PR CLSD TX TIB W/WO ANES WO MANIP,1986.0,1767.54,141.99,1986.0,482 CPT,27825,CLOSED TREATMENT OF BROKEN SHIN BONE AT LOWER WEIGHT BEARING JOINT WITH MANIPULATION AND/OR TRACTION FACILITY,,,453.49,9627.58,20 CPT,27825,HC CLSD TX TIB W/WO ANES W TRACT,5479.0,4876.31,453.49,5479.0,736 CPT,27825,PR CLSD TX TIB W/WO ANES W TRACT,3869.0,3443.41,237.61,3869.0,482 CPT,27826,PR OPN TX DIST TIB W FIB INT FIX,6081.0,5412.09,316.16,6081.0,482 CPT,27826,TREATMENT OF BROKEN OUTER LOWER LEG BONE AT LOWER WEIGHT BEARING JOINT,,,774.9,9627.58,20 CPT,27827,PR OPN TX DIST TIBIA FX,7314.0,6509.46,407.07,7314.0,482 CPT,27827,TREATMENT OF BROKEN SHIN BONE AT LOWER WEIGHT BEARING JOINT,,,997.72,17034.43,20 CPT,27828,PR OPN TX DIST TIB W TIB&FIB FIX,9266.0,8246.74,473.0,9266.0,482 CPT,27828,TREATMENT OF BROKEN LOWER WEIGHT BEARING JOINT OF BOTH LOWER LEG BONES,,,1159.31,17034.43,20 CPT,27829,PR OPN TX DIST TIBFIB DISRPN,4377.0,3895.53,262.89,4377.0,482 CPT,27829,TREATMENT OF LIGAMENT TEAR AT ANKLE JOINT PROFESSIONAL,,,644.33,9627.58,20 CPT,27832,PR OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB,5121.0,4557.69,275.93,5121.0,482 CPT,27832,TREATMENT OF DISLOCATED KNEE JOINT,,,676.3,9627.58,20 CPT,27840,HC CLSD TX DISLOC ANKLE WO ANES,1305.0,1161.45,1174.6,1174.6,1 CPT,27840,PR CLSD TX DISLOC ANKLE WO ANES,3124.0,2780.36,177.53,3124.0,482 CPT,27842,HC CLSD TX DISLOC ANKLE W ANES,3716.0,3307.24,467.06,3716.0,736 CPT,27842,PR CLSD TX DISLOC ANKLE W ANES,2888.0,2570.32,190.56,2888.0,482 CPT,27860,MANIPULATION OF ANKLE UNDER GENERAL ANESTHESIA,,,148.31,4914.02,20 CPT,27860,PR MANIP ANKLE W ANES,1407.0,1252.23,60.51,1407.0,482 CPT,27870,"FUSION OF ANKLE JOINT, OPEN PROCEDURE PROFESSIONAL",,,874.38,23263.96,20 CPT,27870,PR ARTHRODESIS ANKLE OPN,7515.0,6688.35,356.75,7515.0,482 CPT,27871,FUSION OF LOWER LEG BONE AT KNEE OR ANKLE JOINT,,,611.44,17034.43,20 CPT,27871,PR ARTHRODESIS TIBFIB PROX/DISTAL,4460.0,3969.4,249.47,4460.0,482 CPT,27880,AMPUTATION OF BOTH LOWER LEG BONES,,,742.15,9627.58,20 CPT,27880,PR AMP LEG THRU TIB &FIB,5144.0,4578.16,302.8,5144.0,482 CPT,27882,PR AMP LEG THRU TIB &FIB OPN,5024.0,4471.36,204.39,5024.0,482 CPT,27884,PR AMP LEG THRU TIB &FIB CLSR/REV,3506.0,3120.34,206.12,3506.0,482 CPT,27886,PR AMP LEG THRU TIB &FIB REAMP,5032.0,4478.48,225.26,5032.0,482 CPT,27886,RE-AMPUTATION OF LOWER LEG,,,552.1,11643.84,20 CPT,27888,PR AMP ANKLE THRU MALL CLSR&RSECT,4798.0,4270.22,194.04,4798.0,482 CPT,27892,PR DCMPRN FASCT LEG ANTR/LAT DBRD,4141.0,3685.49,198.16,4141.0,482 CPT,27893,INCISION OF CONNECTIVE TISSUE AT BACK OF LOWER LEG TO RELIEVE PRESSURE WITH REMOVAL OF MUSCLE AND/OR NERVE,,,556.95,9627.58,20 CPT,27894,PR DCMPRN LEG ANTR/LAT/POSTR DBRD,7590.0,6755.1,285.15,7590.0,482 CPT,27899,PR ACHILLES OR PATELLAR TENDON SCRAPING,2190.0,1949.1,109.5,2190.0,477 CPT,27899,PR PERC COMPTMNT RELEASE,2909.0,2589.01,145.45,2909.0,477 CPT,27899,PR TX1 TNTMY ACHIL TNDN PERC LOC ANES,3222.0,2867.58,161.1,3222.0,477 CPT,27899,UNLISTED PROCEDURE LEG/ANKLE - FACILITY,,,4.09,327.28,19 CPT,28001,DRAINAGE OF FLUID FILLED SAC IN FOOT,,,83.07,9627.58,20 CPT,28001,PR I&D BURSA FOOT,951.0,846.39,67.69,951.0,482 CPT,28002,PR I&D FASCIA FOOT SNGL,2156.0,1918.84,98.09,2156.0,482 CPT,28005,PR INCISION FOOT BN LESN,3245.0,2888.05,211.28,3245.0,482 CPT,28008,INCISION OF CONNECTIVE TISSUE OF FOOT AND/OR TOE FACILITY,,,269.37,9627.58,20 CPT,28008,PR FASCIOTOMY FOOT&/TOE,1950.0,1735.5,171.18,1950.0,482 CPT,28010,PR TENOTOMY TOE TNDN PERC SNGL,1543.0,1373.27,95.12,1543.0,482 CPT,28010,REPAIR OF TOE TENDON FACILITY,,,194.64,2133.49,20 CPT,28011,PR TENOTOMY TOE TNDN PERC MULT,1808.0,1609.12,128.88,1808.0,482 CPT,28011,REPAIR OF MULTIPLE TOE TENDONS PROFESSIONAL,,,258.13,9627.58,20 CPT,28020,"INCISION OF FOOT AT ANKLE JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,339.22,9627.58,20 CPT,28020,PR ARTHRT INTARS/TARSOMET RMVL FB,2302.0,2048.78,227.73,2302.0,482 CPT,28022,PR ARTHRT MTRPHL W EXPL RMVL FB,2322.0,2066.58,201.6,2322.0,482 CPT,28024,"INCISION OF TOE JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,290.31,2133.49,20 CPT,28024,PR ARTHRT I-P W EXPL RMVL FB,1768.0,1573.52,192.07,1768.0,482 CPT,28035,PR RELEASE TARSAL TUNL,3276.0,2915.64,220.39,3276.0,482 CPT,28035,RELEASE OF NERVE BETWEEN TISSUE AND ANKLE BONE,,,332.56,9627.58,20 CPT,28039,PR EXCISN TMR FT/TOE SUBQ >=1.5CM,2718.0,2419.02,192.13,2718.0,482 CPT,28039,REMOVAL (1.5 CENTIMETERS OR GREATER) TISSUE GROWTH BENEATH THE SKIN OF FOOT OR TOE PROFESSIONAL,,,304.89,3853.99,20 CPT,28041,PR EXCISN TMR FT/TOE SUBF >=1.5CM,2855.0,2540.95,165.79,2855.0,482 CPT,28043,PR EXCISN TMR FT/TOE SUBQ <1.5CM,1643.0,1462.27,154.9,1643.0,482 CPT,28043,REMOVAL (LESS THAN 1.5 CENTIMETERS) TISSUE GROWTH BENEATH THE SKIN OF FOOT OR TOE PROFESSIONAL,,,241.15,23263.96,20 CPT,28045,PR EXCISN TMR FT/TOE SUBF <1.5CM,2198.0,1956.22,196.12,2198.0,482 CPT,28045,"REMOVAL OF GROWTH OF MUSCLE OF FOOT OR TOE, LESS THAN 1.5 CM PROFESSIONAL",,,320.52,3853.99,20 CPT,28046,PR RADCL RSECT TUMOR SFT TISS FOOT< 3CM,3756.0,3342.84,258.44,3756.0,482 CPT,28047,PR EXCISN TMR FT/TOE >=3CM RADCL,6664.0,5930.96,368.1,6664.0,482 CPT,28050,BIOPSY THROUGH A JOINT OPENING IN THE MIDFOOT,,,257.63,9627.58,20 CPT,28050,PR ARTHROTOMY FOOT JT LINING W BX,2511.0,2234.79,165.55,2511.0,482 CPT,28060,PR FASCIECTOMY PLANTAR PRTL,2293.0,2040.77,212.26,2293.0,482 CPT,28070,PR RMVL FOOT JT LINING,2691.0,2394.99,209.92,2691.0,482 CPT,28070,REMOVAL OF FOOT BONE JOINT LINING AT ANKLE,,,318.6,9627.58,20 CPT,28080,PR EXCISN INTERDIGITAL NEUROMA,2749.0,2446.61,222.47,2749.0,482 CPT,28080,REMOVAL OF FIBROUS NERVE GROWTH FROM BETWEEN TOES PROFESSIONAL,,,362.41,2133.49,20 CPT,28086,PR SYNO FOOT TNDN SHEATH FLEXOR,3936.0,3503.04,218.5,3936.0,482 CPT,28086,REMOVAL OF LINING OF TENDON ON UNDER SURFACE OF FOOT PROFESSIONAL,,,324.85,17034.43,20 CPT,28090,PR EXCISN LESN FT TNDN/SHTH/CPSL,2950.0,2625.5,190.47,2950.0,482 CPT,28090,REMOVAL OF GROWTH OF TENDON COVERING OR JOINT CAPSULE OF FOOT PROFESSIONAL,,,287.09,2133.49,20 CPT,28092,PR EXCISN LESN TOE TNDN/SHTH/CPSL,1866.0,1660.74,172.04,1866.0,482 CPT,28092,REMOVAL OF GROWTH OF TENDON COVERING OR JOINT CAPSULE OF TOES PROFESSIONAL,,,255.3,2133.49,20 CPT,28100,PR EXCISN BN CYST/TMR TALUS,3656.0,3253.84,259.79,3656.0,482 CPT,28100,REMOVAL OF CYST OR GROWTH OF HEEL OR ANKLE BONE PROFESSIONAL,,,387.89,4341.31,20 CPT,28103,PR EXCISN TMR TALUS W ALLOGRFT,3358.0,2988.62,143.81,3358.0,482 CPT,28104,PR EXCISN BN CYST/TMR TARSAL,3303.0,2939.67,218.61,3303.0,482 CPT,28104,REMOVAL OF CYST OR GROWTH OF FOOT BONE,,,328.56,4341.31,20 CPT,28106,PR EXCISN BN CYST TRSL W AUTOGRFT,2919.0,2597.91,157.77,2919.0,482 CPT,28106,REMOVAL OF CYST OR GROWTH OF FOOT BONE WITH SELF BONE GRAFT,,,386.68,17034.43,20 CPT,28107,PR EXCISN BN CYST TRSL W ALLOGRFT,3398.0,3024.22,202.04,3398.0,482 CPT,28107,REMOVAL OF CYST OR GROWTH OF FOOT BONE WITH BONE GRAFT,,,317.49,9627.58,20 CPT,28108,PR EXCISN BN CYST/TMR PHAL FT,1997.0,1777.33,175.19,1997.0,482 CPT,28108,REMOVAL OF CYST OR GROWTH OF TOE BONE,,,267.83,2133.49,20 CPT,28110,PR OSTECTOMY EXCISN 5TH MTRSL HD,2378.0,2116.42,189.96,2378.0,482 CPT,28110,REMOVAL OF BUNION AT FIFTH TOE JOINT PROFESSIONAL,,,275.18,4341.31,20 CPT,28111,REMOVAL OF FOOT BONE AT GREAT TOE JOINT,,,292.72,4341.31,20 CPT,28112,PR OSTECTOMY EXCISN 2-4TH MTRSL,2491.0,2216.99,195.68,2491.0,482 CPT,28112,"REMOVAL OF TOE BONE AT SECOND, THIRD, OR FOURTH JOINTS PROFESSIONAL",,,289.18,9627.58,20 CPT,28113,COMPLETE REMOVAL OF FOOT BONE AT FIFTH TOE JOINT PROFESSIONAL,,,397.81,4341.31,20 CPT,28113,PR OSTECTOMY EXCISN 5TH MTRSL,2378.0,2116.42,237.05,2378.0,482 CPT,28114,PR OSTECTOMY EXCISN ALL MTRSL HDS,4782.0,4255.98,445.88,4782.0,482 CPT,28116,PR OSTECTOMY EXCISN TARSL COALITN,4659.0,4146.51,270.61,4659.0,482 CPT,28116,REMOVAL OF ABNORMAL BONES AT ANKLE JOINT PROFESSIONAL,,,472.5,4341.31,20 CPT,28118,PR OSTECTOMY CALCANEUS,3060.0,2723.4,254.36,3060.0,482 CPT,28118,REMOVAL OF HEEL BONE PROFESSIONAL,,,390.74,9627.58,20 CPT,28119,PR OSTECTOMY CALCANEUS FOR SPUR,2741.0,2439.49,214.65,2741.0,482 CPT,28119,REMOVAL OF HEEL BONE SPUR,,,336.37,4341.31,20 CPT,28120,PARTIAL REMOVAL OF INFECTED FOOT OR HEEL BONE PROFESSIONAL,,,451.79,4341.31,20 CPT,28120,PR PRTL RMVL ANKLE/HEEL,3252.0,2894.28,275.9,3252.0,482 CPT,28122,PARTIAL REMOVAL OF FOOT OR HEEL BONE PROFESSIONAL,,,403.84,4341.31,20 CPT,28122,PR RMVL BN FT NOT ANK/HEEL PRTL,3226.0,2871.14,241.47,3226.0,482 CPT,28124,PARTIAL REMOVAL OF TOE BONE PROFESSIONAL,,,310.96,4341.31,20 CPT,28124,PR PRTL RMVL PHALANX TOE,2541.0,2261.49,192.5,2541.0,482 CPT,28126,PR PRTL RMVL PHAL BASE EA TOE,1889.0,1681.21,157.33,1889.0,482 CPT,28126,REMOVAL OF TOE BONE AT FOOT,,,232.31,4341.31,20 CPT,28140,PR METATARSECTOMY,2941.0,2617.49,224.22,2941.0,482 CPT,28153,PR RSECT CONDYLE EA TOE DISTAL,1997.0,1777.33,162.23,1997.0,482 CPT,28153,REMOVAL OF END OF TOE AT JOINT PROFESSIONAL,,,245.71,4341.31,20 CPT,28160,PR EXCISN I-P JT TOE PROX END,1873.0,1666.97,165.41,1873.0,482 CPT,28190,HC RMVL FB FT SUBCUTANEOUS,3359.0,2989.51,124.25,3359.0,734 CPT,28190,PR RMVL FB FT SUBCUTANEOUS,1127.0,1003.03,97.67,1127.0,489 CPT,28190,"REMOVAL OF FOREIGN BODY OF FOOT TISSUE, ACCESSED BENEATH THE SKIN FACILITY",,,124.25,939.55,20 CPT,28192,HC RMVL FB FT DEEP,5770.0,5135.3,286.33,5770.0,736 CPT,28192,PR RMVL FB FT DEEP,1790.0,1593.1,185.4,1790.0,482 CPT,28192,"REMOVAL OF FOREIGN BODY OF FOOT TISSUE, DEEP",,,286.33,2191.35,20 CPT,28193,PR RMVL FB FOOT COMPLICATED,2668.0,2374.52,206.98,2668.0,482 CPT,28200,PR RPR TNDN FLEXOR FT WO GRFT,3069.0,2731.41,204.32,3069.0,482 CPT,28200,REPAIR OF TENDON ON SOLE OF FOOT PROFESSIONAL,,,303.86,4341.31,20 CPT,28202,PR RPR TNDN FLX FT W GRFT EA,2958.0,2632.62,245.28,2958.0,482 CPT,28202,SECONDARY REPAIR OF TENDON ON SOLE OF FOOT WITH GRAFT,,,393.58,9627.58,20 CPT,28208,PR RPR TNDN EXTENSOR FT,2293.0,2040.77,201.89,2293.0,482 CPT,28208,REPAIR OF TENDON OF TOP SIDE OF FOOT,,,300.63,4341.31,20 CPT,28220,PR TENOLYSIS FLEXOR FT SNGL TNDN,2349.0,2090.61,181.29,2349.0,482 CPT,28220,REMOVAL OF SCAR TISSUE OF TENDON ON BOTTOM SIDE OF FOOT PROFESSIONAL,,,281.77,17034.43,20 CPT,28225,PR TENOLYSIS EXTNSR FT SNGL TNDN,1420.0,1263.8,166.99,1420.0,482 CPT,28230,INCISION TO LENGTHEN FOOT TENDON FACILITY,,,263.06,9627.58,20 CPT,28230,PR TENOTOMY TENDON FLEXOR FT OPN,1939.0,1725.71,174.78,1939.0,482 CPT,28232,INCISION TO LENGTHEN TOE TENDON FACILITY,,,226.2,4341.31,20 CPT,28232,PR TENOTOMY TNDN FLEXOR TOE OPN,1443.0,1284.27,152.31,1443.0,482 CPT,28234,INCISION TO RELEASE FOOT TENDON PROFESSIONAL,,,1024.12,2133.49,20 CPT,28234,PR TENOTOMY EXTNSR FT/TOE OPN EA,1708.0,1520.12,167.85,1708.0,482 CPT,28238,PR RCNST POSTR TIB TNDN EXCIS,3782.0,3365.98,275.19,3782.0,482 CPT,28238,RECONSTRUCTION OF ANKLE TENDON WITH REMOVAL OF EXTRA ANKLE JOINT BONE PROFESSIONAL,,,441.81,9627.58,20 CPT,28240,PR TENOTOMY ABDUCTOR HALLUC MUS,1824.0,1623.36,178.7,1824.0,482 CPT,28240,RELEASE OR LENGTHENING OF TENDON IN FOOT,,,269.92,9627.58,20 CPT,28250,PR DIVISION PLANTAR FASCIA & MUS,2548.0,2267.72,240.94,2548.0,482 CPT,28261,PR CAPSULOTOMY MIDFOOT W TNDN,4830.0,4298.7,444.8,4830.0,482 CPT,28262,EXTENSIVE REPAIR OF FOOT DEFECT WITH TENDON LENGTHENING AND RELIEF OF TENSION IN FOOT,,,969.14,9627.58,20 CPT,28262,PR CAPSULOTOMY MIDFOOT EXTENSIVE,9360.0,8330.4,582.9,9360.0,482 CPT,28264,PR CAPSULOTOMY MIDTARSAL,4269.0,3799.41,381.49,4269.0,482 CPT,28270,INCISION OF JOINT CAPSULE OF FOOT AND TOE PROFESSIONAL,,,310.3,9627.58,20 CPT,28270,PR CAPSULOTOMY METATARSOPHAL JT,2388.0,2125.32,198.26,2388.0,482 CPT,28272,INCISION OF TOE JOINT CAPSULE FACILITY,,,234.16,9627.58,20 CPT,28272,PR CAPSULOTOMY I-P EACH JOINT,1313.0,1168.57,153.31,1313.0,482 CPT,28285,CORRECTION OF TOE JOINT DEFORMITY PROFESSIONAL,,,361.01,9627.58,20 CPT,28285,PR CORRECTION HAMMERTOE,2529.0,2250.81,221.9,2529.0,482 CPT,28288,PR OSTECTOMY MTRSL HD PRTL,2721.0,2421.69,247.23,2721.0,482 CPT,28288,REMOVAL OF FOOT BONE SPUR PROFESSIONAL,,,406.25,4341.31,20 CPT,28289,CORRECTION OF RIGID DEFORMITY OF FIRST JOINT OF BIG TOE PROFESSIONAL,,,424.53,4341.31,20 CPT,28289,PR CORR BUNION W CHEILECTOMY,3504.0,3118.56,283.99,3504.0,482 CPT,28291,CORRECTION OF RIGID DEFORMITY OF FIRST JOINT OF BIG TOE USING IMPLANT,,,8.22,9627.58,20 CPT,28291,PR HALUX RIGDUS CORR W/IMPLT,4045.0,3600.05,271.16,4045.0,482 CPT,28292,CORRECTION OF BUNION PROFESSIONAL,,,447.15,9627.58,20 CPT,28292,PR CORR BUNION KELLER/MAYO TYPE,3565.0,3172.85,284.53,3565.0,482 CPT,28296,CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF MIDFOOT BONE TOWARD TOE AREA PROFESSIONAL,,,470.49,4341.31,20 CPT,28296,PR CORR BUNION W MTRSL OSTEOTOMY,5082.0,4522.98,359.54,5082.0,482 CPT,28297,CORRECTION OF BUNION WITH FOREFOOT AND MIDFOOT BONE FUSION PROFESSIONAL,,,541.9,17034.43,20 CPT,28297,PR CORR BUNION LAPIDUS TYPE PROC,4693.0,4176.77,417.98,4693.0,482 CPT,28298,CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF BIG TOE PROFESSIONAL,,,465.77,9627.58,20 CPT,28298,PR CORR BUNION PHALANX OSTEOT,3767.0,3352.63,348.35,3767.0,482 CPT,28299,CORR BUNION DOUBLE OSTEOTOMY - PROFESSIONAL,,,543.37,9627.58,20 CPT,28299,PR CORR BUNION DOUBLE OSTEOTOMY,5447.0,4847.83,420.26,5447.0,482 CPT,28300,INCISION OR PARTIAL REMOVAL OF HEEL BONE PROFESSIONAL,,,580.35,9627.58,20 CPT,28300,PR OSTEOTOMY CALCANEUS,4396.0,3912.44,236.79,4396.0,482 CPT,28302,INCISION OR PARTIAL REMOVAL OF ANKLE BONE,,,634.92,9627.58,20 CPT,28302,PR OSTEOTOMY TALUS,5074.0,4515.86,259.05,5074.0,482 CPT,28304,INCISION OR PARTIAL REMOVAL OF FOOT BONE PROFESSIONAL,,,553.75,9627.58,20 CPT,28304,PR OSTEOTOMY TARSAL BN,5481.0,4878.09,347.79,5481.0,482 CPT,28305,INCISION OR PARTIAL REMOVAL OF FOOT BONE WITH BONE GRAFT,,,596.01,9627.58,20 CPT,28305,PR OSTEOTOMY TARSAL BN W AUTOGRFT,3630.0,3230.7,243.17,3630.0,482 CPT,28306,INCISION OR PARTIAL REMOVAL OF BIG TOE BONE TO STRAIGHTEN TOE,,,371.23,9627.58,20 CPT,28306,PR OSTEOTOMY 1ST METATARSAL,3127.0,2783.03,253.27,3127.0,482 CPT,28307,INCISION OR PARTIAL REMOVAL OF BIG TOE BONE WITH SELF BONE GRAFT TO STRAIGHTEN TOE,,,472.81,9627.58,20 CPT,28307,PR OSTEOTOMY 1ST METATARSL W GRFT,3926.0,3494.14,338.75,3926.0,482 CPT,28308,INCISION OR PARTIAL REMOVAL OF FOOT BONE (OTHER THAN BIG TOE) TO STRAIGHTEN TOE PROFESSIONAL,,,360.71,4341.31,20 CPT,28308,PR OSTEOTOMY METATARSAL NOT 1ST,2872.0,2556.08,236.92,2872.0,482 CPT,28310,INCISION OR PARTIAL REMOVAL OF BIG TOE BONE AT FIRST TOE BONE LEVEL TO STRAIGHTEN TOE,,,338.19,9627.58,20 CPT,28310,PR OSTEOTOMY PROX PHALANX 1ST TOE,2382.0,2119.98,228.43,2382.0,482 CPT,28312,INCISION OR PARTIAL REMOVAL OF TOE BONE TO STRAIGHTEN TOE,,,334.7,9627.58,20 CPT,28312,PR OSTEOTOMY OTHER PHALANGES,2258.0,2009.62,241.17,2258.0,482 CPT,28313,PR RCNST DFRM TOE SOFT TISS,3051.0,2715.39,220.16,3051.0,482 CPT,28313,RECONSTRUCTION OF SOFT TISSUE ANGULAR DEFORMITY OF TOE,,,334.76,4341.31,20 CPT,28315,PR SESAMOIDECTOMY 1ST TOE,1970.0,1753.3,194.75,1970.0,482 CPT,28315,REMOVAL OF SMALL BONE UNDERLYING LONG BONE OF FOOT AT BIG TOE JOINT PROFESSIONAL,,,302.03,4341.31,20 CPT,28320,PR RPR TARSAL BNS NON/MALUNION,3500.0,3115.0,225.1,3500.0,482 CPT,28320,REPAIR OF NONHEALED BROKEN MIDFOOT BONE,,,551.71,17034.43,20 CPT,28322,PR RPR METATAR BNS NON/MALUNION,4020.0,3577.8,325.36,4020.0,482 CPT,28322,REPAIR OF NONHEALED BROKEN FOREFOOT BONE PROFESSIONAL,,,515.97,9627.58,20 CPT,28344,PR RCNST TOE POLYDACTYLY,2800.0,2492.0,166.81,2800.0,482 CPT,28344,REMOVAL OF EXTRA TOES WITH RECONSTRUCTION,,,258.31,4341.31,20 CPT,28345,PR RCNST TOE SYNDACTYLY EA WEB,3869.0,3443.41,203.8,3869.0,482 CPT,28345,REMOVAL OF CONGENITAL WEB SPACE DEFORMITY OF TOES,,,330.76,2133.49,20 CPT,28400,CLOSED TREATMENT OF BROKEN HEEL BONE FACILITY,,,229.69,344.54,20 CPT,28400,HC CLSD TX CALCANEAL FX WO MANIP,977.0,869.53,203.22,977.0,1472 CPT,28400,PR CLSD TX CALCANEAL FX WO MANIP,1385.0,1232.65,109.28,1385.0,482 CPT,28405,PR CLSD TX CALCANEAL FX W MANIP,2307.0,2053.23,198.95,2307.0,482 CPT,28406,PR PERC FIX CALCANEAL FX W MANIP,2940.0,2616.6,216.06,2940.0,482 CPT,28415,PR OPN TX CALCANEAL FX,7474.0,6651.86,407.01,7474.0,482 CPT,28415,TREATMENT OF BROKEN HEEL BONE PROFESSIONAL,,,997.56,9627.58,20 CPT,28420,PR OPN TX CALCANEAL FX W BN GRFT,8378.0,7456.42,464.48,8378.0,482 CPT,28420,TREATMENT OF BROKEN HEEL BONE WITH GRAFT,,,1138.42,17034.43,20 CPT,28430,CLOSED TREATMENT OF BROKEN ANKLE JOINT BONE FACILITY,,,211.91,327.28,20 CPT,28430,HC CLSD TX TALUS FX WO MANIP,929.0,826.81,193.23,929.0,1472 CPT,28430,PR CLSD TX TALUS FX WO MANIP,1417.0,1261.13,107.07,1417.0,482 CPT,28435,PR CLSD TX TALUS FX W MANIP,2515.0,2238.35,165.09,2515.0,482 CPT,28436,PLACEMENT OF STABILIZING DEVICE FOR BROKEN ANKLE JOINT WITH MANIPULATION,,,481.57,9627.58,20 CPT,28436,PR PERC FIX TALUS FX W MANIP,3138.0,2792.82,196.48,3138.0,482 CPT,28445,PR OPN TX TALUS FX,7097.0,6316.33,376.04,7097.0,482 CPT,28445,TREATMENT OF BROKEN BONE BETWEEN FOOT AND ANKLE,,,921.67,9627.58,19 CPT,28446,IMPLANTATION OF SELF CARTILAGE CELLS INTO FOOT JOINT WITH GRAFT PROFESSIONAL,,,1051.67,9627.58,20 CPT,28446,PR OPN OSTEOCHON AUTOGRAFT TALUS,8792.0,7824.88,429.08,8792.0,482 CPT,28450,HC CLSD TX TARSAL BN WO MANIP,940.0,836.6,191.26,940.0,1472 CPT,28450,PR CLSD TX TARSAL BN WO MANIP,1037.0,922.93,79.56,1037.0,507 CPT,28455,PR CLSD TX TARSAL BN W MANIP,1685.0,1499.65,105.39,1685.0,482 CPT,28456,PR PERC SKEL FIX TARSAL FX W MANIP,2245.0,1998.05,153.99,2245.0,482 CPT,28465,PR OPN TX TARSAL FX,4101.0,3649.89,243.15,4101.0,482 CPT,28465,TREATMENT OF BROKEN HIND PORTION OF FOOT PROFESSIONAL,,,595.95,9627.58,20 CPT,28470,CLOSED TREATMENT OF BROKEN BONE IN FOREFOOT OR MIDFOOT FACILITY,,,205.79,327.28,20 CPT,28470,HC CLSD TX METATARSAL FX WO MANIP,724.0,644.36,150.59,724.0,1472 CPT,28470,PR CLSD TX METATARSAL FX WO MANIP,1051.0,935.39,81.5,1051.0,507 CPT,28475,HC CLSD TX METATARSAL FX W MANIP,2709.0,2411.01,218.58,2709.0,734 CPT,28475,PR CLSD TX METATARSAL FX W MANIP,1432.0,1274.48,110.78,1432.0,482 CPT,28476,PLACEMENT OF STABILIZING DEVICE FOR BROKEN FOOT BONE WITH MANIPULATION PROFESSIONAL,,,382.16,4341.31,20 CPT,28476,PR PERC FIX METATARSAL FX W MANIP,2222.0,1977.58,155.92,2222.0,482 CPT,28485,PR OPN TX METATARSAL FX,3322.0,2956.58,214.54,3322.0,482 CPT,28485,TREATMENT OF BROKEN MIDPORTION OF FOOT PROFESSIONAL,,,525.82,9627.58,20 CPT,28490,HC CLSD TX GRT TOE FX WO MANIP,700.0,623.0,130.84,700.0,1472 CPT,28490,PR CLSD TX GRT TOE FX WO MANIP,763.0,679.07,54.79,763.0,507 CPT,28495,PR CLSD TX GRT TOE FX W MANIP,967.0,860.63,79.53,967.0,482 CPT,28496,PR PERC FIX GRT TOE FX W MANIP,2171.0,1932.19,224.3,2171.0,482 CPT,28505,PR OPN TX PHALANX FX INCL INT FIX,3213.0,2859.57,268.24,3213.0,482 CPT,28505,TREATMENT OF BROKEN GREAT TOE,,,453.99,4341.31,20 CPT,28510,HC CLSD TX PHALANX FX WO MANIP,696.0,619.44,123.77,696.0,736 CPT,28510,PR CLSD TX PHALANX FX WO MANIP,686.0,610.54,45.07,686.0,514 CPT,28515,HC CLSD TX PHALANX FX W MANIP,1325.0,1179.25,143.28,1325.0,1472 CPT,28515,PR CLSD TX PHALANX FX W MANIP,718.0,639.02,70.8,718.0,482 CPT,28525,PR OPN TX PHALANX FX,2650.0,2358.5,231.71,2650.0,482 CPT,28530,HC CLSD TX SESAMOID FX,962.0,856.18,102.22,962.0,736 CPT,28530,PR CLSD TX SESAMOID FX,680.0,605.2,50.26,680.0,482 CPT,28540,HC CLSD TX TARSAL DISLOC WO ANES,858.0,763.62,169.49,858.0,736 CPT,28555,PR OPN TX TARSAL DISLOC,4723.0,4203.47,352.58,4723.0,482 CPT,28555,TREATMENT OF DISLOCATED MIDFOOT OR HINDFOOT BONES,,,584.06,9627.58,20 CPT,28575,PR CLSD TX TALTAR DISLOC W ANES,2290.0,2038.1,168.85,2290.0,482 CPT,28585,PR OPN TX TALTAR DISLOC W INT FIX,3957.0,3521.73,379.02,3957.0,482 CPT,28605,PR CLSD TX TARSMET DISLOC W ANES,1656.0,1473.84,154.12,1656.0,482 CPT,28606,PR FIX TARSMET DISLOC W MANIP,2774.0,2468.86,151.37,2774.0,482 CPT,28615,PR OPN TX TARSMET DISLOC,4596.0,4090.44,310.54,4596.0,482 CPT,28615,TREATMENT OF DISLOCATED MIDFOOT BONE PROFESSIONAL,,,761.13,9627.58,20 CPT,28635,PR CLSD TX MTRPHL DISLOC W ANEST,1076.0,957.64,70.39,1076.0,482 CPT,28636,PLACEMENT OF STABILIZING DEVICE FOR DISLOCATED JOINT BETWEEN TOE AND FOOT WITH MANIPULATION,,,414.36,4341.31,20 CPT,28636,PR PERC FIX MTRPHL DISLOC MANIP,1301.0,1157.89,156.18,1301.0,482 CPT,28660,HC CLSD TX I-P DISLOC WO ANEST,764.0,679.96,96.46,764.0,734 CPT,28660,PR CLSD TX I-P DISLOC WO ANEST,710.0,631.9,59.69,710.0,482 CPT,28675,PR OPN TX DISLOC I-P W INTRNL FIX,2721.0,2421.69,237.65,2721.0,482 CPT,28715,FUSION OF 3 BONES OF ANKLE PROFESSIONAL,,,838.97,17034.43,20 CPT,28715,PR ARTHRODESIS TRIPLE,8092.0,7201.88,342.3,8092.0,482 CPT,28725,FUSION OF FOOT BELOW ANKLE PROFESSIONAL,,,694.4,17034.43,20 CPT,28725,PR ARTHRODESIS SUBTALAR,6567.0,5844.63,283.32,6567.0,482 CPT,28730,FUSION OF MULTIPLE FOOT JOINTS PROFESSIONAL,,,648.28,17034.43,20 CPT,28730,PR ARTHRDSIS MIDT/TARSMET MULT,5228.0,4652.92,264.5,5228.0,482 CPT,28737,FUSION OF UPPER PART OF FOOT AND LENGTHENING OF TENDON,,,607.05,17034.43,20 CPT,28737,PR ARTHRODESIS MIDT W TNDN W LGTH,3899.0,3470.11,247.68,3899.0,482 CPT,28740,FUSION OF FOOT IN MIDFOOT REGION PROFESSIONAL,,,553.89,17034.43,20 CPT,28740,PR ARTHRODESIS MIDT/TARSMET SNGL,5030.0,4476.7,339.72,5030.0,482 CPT,28750,FUSION OF BIG TOE AT JOINT WITH FOOT PROFESSIONAL,,,515.07,9627.58,20 CPT,28750,PR ARTHRODESIS GREAT TOE MTRPHL,4085.0,3635.65,421.61,4085.0,482 CPT,28755,FUSION OF BIG TOE BETWEEN TOE JOINTS,,,451.47,9627.58,20 CPT,28755,PR ARTHRODESIS GREAT TOE I-P,2617.0,2329.13,373.51,2617.0,482 CPT,28760,FUSION OF BIG TOE BETWEEN TOE JOINTS WITH TENDON TRANSFER,,,517.98,9627.58,20 CPT,28760,PR ARTHRODESIS W EXTNSR TRNSFR,4584.0,4079.76,315.11,4584.0,482 CPT,28800,PR AMP FOOT MIDTARSAL,4055.0,3608.95,192.7,4055.0,482 CPT,28805,AMPUTATION OF FOOT ACROSS INSTEP PROFESSIONAL,,,617.95,4341.31,20 CPT,28805,PR AMP FOOT TRANSMETATARSAL,3808.0,3389.12,252.13,3808.0,482 CPT,28810,AMPUTATION OF TOE AND MIDFOOT BONE PROFESSIONAL,,,378.54,4341.31,20 CPT,28810,PR AMP METATARSAL W TOE SINGLE,3045.0,2710.05,154.45,3045.0,482 CPT,28820,AMPUTATION OF TOE AT JOINT BETWEEN FOREFOOT AND TOES PROFESSIONAL,,,152.75,4341.31,20 CPT,28820,PR AMP TOE MTP JOINT,2802.0,2493.78,119.26,2802.0,482 CPT,28825,AMPUTATION OF TOE AT TOE JOINT PROFESSIONAL,,,148.09,4341.31,20 CPT,28825,PR AMP TOE INTERPHALANGEAL JT,2208.0,1965.12,116.51,2208.0,482 CPT,28899,PR TX1 PLANT FASC PROC W KIT,2920.0,2598.8,146.0,2920.0,478 CPT,28899,TX1 PLANT FASC PROC W KIT FACILITY,,,669.79,9627.58,19 CPT,29000,APPLICATION OF HALO TYPE BODY CAST FACILITY,,,191.88,371.1,20 CPT,29000,HC APP CAST BODY HALO TYPE,2198.0,1956.22,191.88,2198.0,736 CPT,29010,APPLICATION OF JACKET TYPE BODY CAST,,,145.28,371.1,20 CPT,29010,HC APP CAST RISSER JACKET LOCALIZ,1038.0,923.82,145.28,1038.0,736 CPT,29010,PR APP CAST RISSER JACKET LOCALIZ,1731.0,1540.59,128.13,1731.0,482 CPT,29035,APPLICATION OF SHOULDER TO HIP BODY CAST FACILITY,,,132.24,371.1,20 CPT,29035,HC APP CAST BODY,1728.0,1537.92,132.24,1728.0,736 CPT,29035,PR APP CAST BODY,1320.0,1174.8,121.55,1320.0,482 CPT,29040,HC APP CAST BODY SHLDR HIPS MINERVA,1544.0,1374.16,156.68,1544.0,736 CPT,29055,APPLICATION OF SHOULDER SPICA CAST FACILITY,,,124.33,371.1,20 CPT,29055,PR APP CAST SHOULDER SPICA,2374.0,2112.86,104.01,2374.0,482 CPT,29065,APPLICATION OF SHOULDER TO HAND CAST FACILITY,,,61.35,371.1,20 CPT,29065,HC APP CAST LONG ARM,774.0,688.86,61.35,774.0,1472 CPT,29065,PR APP CAST LONG ARM,529.0,470.81,36.89,529.0,507 CPT,29075,APPLICATION OF ELBOW TO FINGER CAST FACILITY,,,56.34,371.1,20 CPT,29075,HC APP CAST SHORT ELBOW-FGR,750.0,667.5,56.34,750.0,1478 CPT,29075,PR APP CAST SHORT ELBOW-FGR,410.0,364.9,33.36,410.0,507 CPT,29085,APPLICATION OF HAND AND LOWER FOREARM CAST FACILITY,,,60.56,215.61,20 CPT,29085,HC APP CAST SHORT ARM GAUNTLET,517.0,460.13,60.56,517.0,739 CPT,29085,PR APP CAST SHORT ARM GAUNTLET,493.0,438.77,36.5,493.0,489 CPT,29105,APPLICATION OF LOWER AND UPPER ARM SPLINT FACILITY,,,33.92,215.61,20 CPT,29105,HC APP SPLINT LONG ARM,427.0,380.03,33.92,427.0,1472 CPT,29105,PR APP SPLINT LONG ARM,362.0,322.18,32.98,362.0,507 CPT,29125,APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT FACILITY,,,39.6,176.53,20 CPT,29125,HC APP SPLINT SHORT ARM STATIC,428.0,380.92,39.6,428.0,1474 CPT,29125,PR APP SPLINT SHORT ARM STATIC,288.0,256.32,32.14,288.0,489 CPT,29126,PR APP SPLINT SHORT ARM DYNAMIC,355.0,315.95,34.74,355.0,482 CPT,29130,APPLICATION OF NONMOVEABLE FINGER SPLINT FACILITY,,,24.03,176.53,20 CPT,29130,HC APP SPLINT FINGER STATIC,353.0,314.17,24.03,353.0,1472 CPT,29130,PR APP SPLINT FINGER STATIC,220.0,195.8,18.36,220.0,482 CPT,29131,PR APP SPLINT FGR DYNAMIC,269.0,239.41,23.95,269.0,482 CPT,29240,HC STRAPPING SHOULDER,451.0,401.39,15.2,451.0,736 CPT,29240,PLACEMENT OF STRAPPING TO SHOULDER FACILITY,,,15.2,176.53,20 CPT,29240,PR STRAPPING SHOULDER,190.0,169.1,10.04,190.0,507 CPT,29280,HC STRAPPING HAND OR FINGER,392.0,348.88,16.18,392.0,736 CPT,29280,PLACEMENT OF STRAPPING TO HAND OR FINGER FACILITY,,,16.18,78.27,20 CPT,29280,PR STRAPPING HAND OR FINGER,194.0,172.66,10.26,194.0,507 CPT,29305,APPLICATION OF HIP SPICA CAST ON LEG FACILITY,,,143.84,371.1,20 CPT,29305,HC APP CAST HIP SPICA 1 LEG,2007.0,1786.23,143.84,2007.0,736 CPT,29305,PR APP CAST HIP SPICA 1 LEG,1449.0,1289.61,114.5,1449.0,482 CPT,29325,"APPLICATION OF HIP SPICA CAST ON BOTH LEGS, OR ON LEG AND PART OF OTHER LEG",,,159.53,371.1,20 CPT,29325,HC APP CAST HIP SPICA 1.5/BOTH,1974.0,1756.86,159.53,1974.0,736 CPT,29325,PR APP CAST HIP SPICA 1-1.5/BOTH,1970.0,1753.3,125.95,1970.0,482 CPT,29345,APPLICATION OF LONG LEG CAST FROM THIGH TO TOE FACILITY,,,86.48,371.1,20 CPT,29345,HC APP CAST LONG LEG,950.0,845.5,86.48,950.0,1474 CPT,29345,PR APP CAST LONG LEG,662.0,589.18,50.5,662.0,507 CPT,29355,APPLICATION OF WALKING CAST COVERING THIGH TO TOE FACILITY,,,91.37,371.1,20 CPT,29355,HC APP CAST LONG LEG WALK,896.0,797.44,91.37,896.0,736 CPT,29355,PR APP CAST LONG LEG WALK,899.0,800.11,61.54,899.0,482 CPT,29365,APPLICATION OF THIGH TO LOWER LEG CYLINDER CAST FACILITY,,,77.8,371.1,21 CPT,29365,HC APP CAST CYLINDER,896.0,797.44,77.8,896.0,737 CPT,29365,PR APP CAST CYLINDER,808.0,719.12,55.58,808.0,482 CPT,29405,APPLICATION OF SHORT LEG CAST FACILITY,,,53.46,371.1,20 CPT,29405,HC APP CAST SHORT LEG KNEE-TOE,750.0,667.5,53.46,750.0,1480 CPT,29405,PR APP CAST SHORT LEG KNEE-TOE,450.0,400.5,29.98,450.0,507 CPT,29425,APPLICATION OF WALKING CAST COVERING BELOW KNEE TO TOE FACILITY,,,49.63,371.1,20 CPT,29425,HC APP CAST SHORT LEG WALK,754.0,671.06,49.63,754.0,738 CPT,29425,PR APP CAST SHORT LEG WALK,482.0,428.98,27.82,482.0,507 CPT,29435,APPLICATION OF KNEECAP TENDON BEARING CAST FACILITY,,,76.53,371.1,20 CPT,29435,HC APP PATELLAR TNDN BEAR CAST,1108.0,986.12,76.53,1108.0,736 CPT,29445,"APPLICATION OF WALKING CAST COVERING FOOT, ANKLE, AND LOWER LEG FACILITY",,,86.56,371.1,20 CPT,29445,HC APP CAST LEG RIGID TOT CONTACT,896.0,797.44,86.56,896.0,1472 CPT,29445,PR APP CAST LEG RIGID TOT CONTACT,802.0,713.78,44.92,802.0,482 CPT,29450,APPLICATION OF LEG CAST AND MANIPULATION OF FOOT TO TREAT DEFORMITY FACILITY,,,95.66,215.61,20 CPT,29450,HC APP CAST CLUBFOOT W MOLD/MANIP,765.0,680.85,95.66,765.0,737 CPT,29450,PR APP CAST CLUBFOOT W MOLD/MANIP,821.0,730.69,49.5,821.0,507 CPT,29505,APPLICATION OF LONG LEG SPLINT FROM THIGH TO ANKLE OR TOE FACILITY,,,52.53,215.61,20 CPT,29505,HC APP SPLINT LONG LEG,493.0,438.77,52.53,493.0,1472 CPT,29505,PR APP SPLINT LONG LEG,408.0,363.12,37.77,408.0,507 CPT,29515,APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT FACILITY,,,47.58,215.61,20 CPT,29515,HC APP SPLINT SHORT LEG,475.0,422.75,47.58,475.0,1472 CPT,29515,PR APP SPLINT SHORT LEG,312.0,277.68,28.19,312.0,507 CPT,29540,PR STRAPPING ANKLE/FOOT,131.0,116.59,11.33,131.0,491 CPT,29550,PR STRAPPING TOES,134.0,119.26,7.84,134.0,482 CPT,29580,HC STRAPPING UNNA BOOT,423.0,376.47,21.82,423.0,736 CPT,29580,PR STRAPPING UNNA BOOT,351.0,312.39,25.59,351.0,482 CPT,29580,"STRAPPING, UNNA BOOT FACILITY",,,21.82,244.05,20 CPT,29581,"APPLICATION OF VEIN WOUND COMPRESSION BANDAGES ON LOWER LEG, ANKLE, AND FOOT FACILITY",,,22.9,244.05,20 CPT,29581,HC APP MULTILYR COMPRSN SYS LWR LEG,409.0,364.01,22.9,409.0,736 CPT,29581,PR APP MULTILYR COMPRSN SYS LWR LEG,335.0,298.15,29.52,335.0,507 CPT,29584,HC APP MULTILYR COMPRSN AM/HD/FIN,368.0,327.52,13.17,368.0,736 CPT,29584,PR APP MULTILYR COMPRSN AM/HD/FIN,419.0,372.91,31.04,419.0,482 CPT,29700,HC RMVL/BIVALV CAST BODY,727.0,647.03,28.19,727.0,736 CPT,29700,PR RMVL/BIVALV CAST BODY,306.0,272.34,27.91,306.0,482 CPT,29700,"REMOVAL OR CUTTING OF GAUNTLET, BOOT, OR BODY CAST FACILITY",,,28.19,371.1,20 CPT,29705,HC RMVL/BIVALV CAST FULL ARM/LEG,511.0,454.79,38.03,511.0,736 CPT,29705,PR RMVL/BIVALV CAST FULL ARM/LEG,371.0,330.19,27.58,371.0,482 CPT,29705,REMOVAL OR CUTTING OF FULL ARM OR LEG CAST FACILITY,,,38.03,371.1,20 CPT,29710,HC RMVL/BIVAL SHLDR/HIP,1211.0,1077.79,66.7,1211.0,736 CPT,29710,PR RMVL/BIVAL SHLDR/HIP,723.0,643.47,54.14,723.0,482 CPT,29710,"REMOVAL OR CUTTING OF SHOULDER, HIP SPICA, OR JACKET CAST",,,66.7,371.1,20 CPT,29730,EXAM OF SKIN SURFACE BY CREATION OF OPENING IN CAST FACILITY,,,36.22,215.61,20 CPT,29730,HC WINDOWING OF CAST,517.0,460.13,36.22,517.0,736 CPT,29730,PR WINDOWING OF CAST,332.0,295.48,26.7,332.0,482 CPT,29799,"UNLISTED PROC, CASTING OR STRAPPING",,,35.4,215.61,19 CPT,29800,DIAGNOSTIC EXAM OF JAW JOINT USING AN ENDOSCOPE,,,482.22,4914.02,20 CPT,29800,PR ATHRSCPY TMJ DX W/WO SYNOVL BX,3550.0,3159.5,196.75,3550.0,482 CPT,29804,EXAM OF JAW JOINT USING AN ENDOSCOPE,,,521.18,4341.31,20 CPT,29804,PR ARTHROSCOPY TMJ SURGICAL,7279.0,6478.31,212.64,7279.0,482 CPT,29805,PR ARTHROSCOPY SHLDR DX W/WO BX,3310.0,2945.9,174.06,3310.0,482 CPT,29806,PR ARTHSC SHLDR CAPSULORRHAPHY,7737.0,6885.93,372.49,7737.0,482 CPT,29806,REPAIR OF SHOULDER JOINT CAPSULE USING AN ENDOSCOPE PROFESSIONAL,,,912.95,9627.58,20 CPT,29807,PR ARTHSC SHLDR RPR SLAP LESN,7855.0,6990.95,364.73,7855.0,482 CPT,29807,REPAIR OF SHOULDER SOCKET USING AN ENDOSCOPE PROFESSIONAL,,,893.95,9627.58,20 CPT,29819,PR ARTHSC SHLDR W RMVL FB,5510.0,4903.9,212.97,5510.0,482 CPT,29819,REMOVAL OF LOOSE OR FOREIGN BODY IN SHOULDER JOINT USING AN ENDOSCOPE,,,521.98,4341.31,20 CPT,29820,PARTIAL REMOVAL OF SHOULDER JOINT LINING USING AN ENDOSCOPE,,,476.37,9627.58,20 CPT,29820,PR ARTHSC SHLDR SYNO PARTIAL,5333.0,4746.37,194.36,5333.0,482 CPT,29821,REMOVAL OF ENTIRE SHOULDER JOINT LINING USING AN ENDOSCOPE,,,528.48,9627.58,20 CPT,29822,LIMITED REMOVAL OF ABNORMAL SHOULDER JOINT TISSUE USING ENDOSCOPE PROFESSIONAL,,,489.85,9627.58,20 CPT,29822,PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2,4288.0,3816.32,199.86,4288.0,482 CPT,29823,PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+,5120.0,4556.8,215.94,5120.0,482 CPT,29823,REMOVAL OF EXTENSIVE SHOULDER JOINT TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,529.27,9627.58,20 CPT,29824,PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE PROFESSIONAL,,,605.91,9627.58,20 CPT,29824,PR ARTHSC SHLDR DISTAL CLAVTMY,3742.0,3330.38,247.21,3742.0,482 CPT,29825,PR ARTHSC SHLDR LYSIS ADHESION,5196.0,4624.44,214.17,5196.0,482 CPT,29825,REMOVAL OF SHOULDER SCAR TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,524.93,4341.31,20 CPT,29826,PR ARTHSC SHLDR DCMPRN SUBACR SPC,1766.0,1571.74,110.06,1766.0,482 CPT,29826,SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE PROFESSIONAL,,,134.88,9627.58,20 CPT,29827,PR ARTHSC SHLDR W ROTATOR CUFF RPR,6459.0,5748.51,373.42,6459.0,482 CPT,29827,REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE PROFESSIONAL,,,915.23,9627.58,20 CPT,29828,PR ARTHSC SHLDR BICEPS TENODESIS,5429.0,4831.81,323.38,5429.0,482 CPT,29828,RELEASE OF TENDON CONNECTING BICEPS MUSCLE AND SHOULDER USING AN ENDOSCOPE PROFESSIONAL,,,792.58,9627.58,20 CPT,29830,DIAGNOSTIC EXAM OF ELBOW JOINT USING AN ENDOSCOPE,,,416.3,4341.31,20 CPT,29830,PR ARTHSC ELBOW DX W/WO SYNOV BX,4379.0,3897.31,169.85,4379.0,482 CPT,29834,PR ARTHSC ELBOW W RMVL FB,4211.0,3747.79,181.68,4211.0,482 CPT,29834,REMOVAL OF LOOSE OR FOREIGN BODY IN ELBOW JOINT USING AN ENDOSCOPE PROFESSIONAL,,,445.29,4341.31,20 CPT,29835,PARTIAL REMOVAL OF ELBOW JOINT LINING USING AN ENDOSCOPE,,,461.56,4341.31,20 CPT,29835,PR ARTHSC ELBOW SYNOVECTOMY PRTL,4513.0,4016.57,188.32,4513.0,482 CPT,29836,PR ARTHSC ELBOW SYNOVECTOMY COMPLT,5033.0,4479.37,212.66,5033.0,482 CPT,29836,REMOVAL OF ENTIRE ELBOW JOINT LINING USING AN ENDOSCOPE,,,521.21,9627.58,20 CPT,29837,PR ARTHSC ELBOW DBRD LIMITED,4736.0,4215.04,195.54,4736.0,482 CPT,29837,REMOVAL OF ELBOW JOINT TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,479.27,4341.31,20 CPT,29838,PR ARTHSC ELBOW DBRD EXTEN,5910.0,5259.9,216.05,5910.0,482 CPT,29838,REMOVAL OF EXTENSIVE DAMAGED TISSUE FROM ELBOW JOINT USING AN ENDOSCOPE,,,529.52,4341.31,20 CPT,29840,DIAGNOSTIC EXAM OF WRIST USING AN ENDOSCOPE,,,419.52,4341.31,20 CPT,29840,PR ARTHSC WRIST DX W/WO SYNOV BX,3281.0,2920.09,171.17,3281.0,482 CPT,29843,PR ARTHSC WRST INFECT LAVAGE&DRAIN,3777.0,3361.53,182.01,3777.0,482 CPT,29844,PARTIAL REMOVAL OF WRIST JOINT LINING USING AN ENDOSCOPE,,,447.86,4341.31,20 CPT,29844,PR ARTHSC WRST SYNOVECTOMY PRTL,4534.0,4035.26,182.73,4534.0,482 CPT,29845,PR ARTHSC WRST SYNOVECTOMY COMPLT,5196.0,4624.44,212.11,5196.0,482 CPT,29845,REMOVAL OF ENTIRE WRIST JOINT LINING USING AN ENDOSCOPE,,,519.86,4341.31,20 CPT,29846,PR ARTHSC WRIST EXCISN/REPAIR,4277.0,3806.53,189.33,4277.0,482 CPT,29846,REMOVAL OR REPAIR OF WRIST CARTILAGE USING AN ENDOSCOPE,,,464.05,4341.31,20 CPT,29847,PLACEMENT OF INTERNAL STABILIZING DEVICE USING AN ENDOSCOPE TO TREAT BROKEN OR UNSTABLE WRIST,,,488.74,9627.58,20 CPT,29847,PR ARTHSC WRST INT FIX FX/INSTBLTY,6342.0,5644.38,199.41,6342.0,482 CPT,29848,PR ENDO WRST RLS TRNSV CRPL LGMNT,3556.0,3164.84,189.34,3556.0,482 CPT,29855,PR ARTHSC TIB FX PROX UNICNDYLR,6425.0,5718.25,280.68,6425.0,482 CPT,29855,TREATMENT OF BROKEN UPPER PORTION OF LOWER LEG BONE ON SIDE USING AN ENDOSCOPE,,,687.93,9627.58,20 CPT,29861,PR ARTHSC HIP W RMVL FB,6704.0,5966.56,253.9,6704.0,482 CPT,29861,REMOVAL OF LOOSE OR FOREIGN BODY IN HIP JOINT USING AN ENDOSCOPE,,,622.29,9627.58,20 CPT,29862,PR ARTHSC HIP W DEBRIDEMENT,7111.0,6328.79,293.04,7111.0,482 CPT,29862,REMOVAL OR SHAVING OF HIP JOINT SOCKET CARTILAGE USING AN ENDOSCOPE,,,718.23,9627.58,20 CPT,29863,PR ARTHSC HIP W SYNOVECTOMY,7209.0,6416.01,292.42,7209.0,482 CPT,29866,PR ARTHSC KNE OSTEOCHON AUTOGRAFT,8474.0,7541.86,375.13,8474.0,482 CPT,29867,PR ARTHSC KNE OSTEOCHON ALLOGRAFT,10170.0,9051.3,449.52,10170.0,482 CPT,29868,PR ARTHSC KNE MNSC TRANSPL MED/LAT,14834.0,13202.26,573.44,14834.0,482 CPT,29868,REPAIR OF KNEE CARTILAGE WITH DONOR CARTILAGE GRAFT USING AN ENDOSCOPE,,,1405.48,9627.58,20 CPT,29870,DIAGNOSTIC EXAM OF KNEE USING AN ENDOSCOPE,,,381.28,4341.31,20 CPT,29870,PR ARTHSC KNEE DX W/WO SYNOV BX,3584.0,3189.76,240.82,3584.0,482 CPT,29871,PR ARTHSC KNEE LAVAGE&DRAINAGE,3664.0,3260.96,190.22,3664.0,482 CPT,29873,PR ARTHSC KNEE W LAT RELEASE,4550.0,4049.5,203.77,4550.0,482 CPT,29873,RELEASE OF LIGAMENTS AT OUTER SIDE OF KNEE JOINT USING AN ENDOSCOPE PROFESSIONAL,,,499.43,4341.31,20 CPT,29874,PR ARTHSC KNEE W RMVL FB,4839.0,4306.71,195.49,4839.0,482 CPT,29874,REMOVAL OF LOOSE OR FOREIGN BODY IN KNEE JOINT USING AN ENDOSCOPE PROFESSIONAL,,,479.14,9627.58,20 CPT,29875,PARTIAL REMOVAL OF KNEE JOINT LINING USING AN ENDOSCOPE PROFESSIONAL,,,449.88,4341.31,20 CPT,29875,PR ARTHSC KNEE SYNOVECTOMY LTD,3850.0,3426.5,183.55,3850.0,482 CPT,29876,PR ARTHSC KNEE SYNOVECTOMY MJR,6439.0,5730.71,237.06,6439.0,482 CPT,29876,REMOVAL OF JOINT LINING FROM MULTIPLE KNEE JOINT COMPARTMENTS USING AN ENDOSCOPE PROFESSIONAL,,,581.03,4341.31,20 CPT,29877,PR ARTHSC KNEE DBRD/SHAVE CRTLG,5149.0,4582.61,226.6,5149.0,482 CPT,29877,REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE PROFESSIONAL,,,555.39,4341.31,20 CPT,29879,PR ARTHSC KNEE ABRASION ARTHRO,5521.0,4913.69,240.02,5521.0,482 CPT,29879,REPAIR OF KNEE JOINT WITH DRILLING AND OR SCRAPING OF JOINT USING AN ENDOSCOPE PROFESSIONAL,,,588.28,4341.31,20 CPT,29880,PR ARTHSC KNE W MNSCECTOMY MED&LAT,5305.0,4721.45,206.27,5305.0,482 CPT,29880,REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE PROFESSIONAL,,,505.56,4341.31,20 CPT,29881,PR ARTHSC KNE W MNSCECTOMY MED/LAT,4162.0,3704.18,199.82,4162.0,482 CPT,29881,REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE PROFESSIONAL,,,489.75,4341.31,20 CPT,29882,PR ARTHSC KNE W MNSC RPR MED/LAT,5041.0,4486.49,247.24,5041.0,482 CPT,29882,REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE PROFESSIONAL,,,605.98,4341.31,20 CPT,29883,PR ARTHSC KNE W MNSC RPR MED&LAT,7659.0,6816.51,301.35,7659.0,482 CPT,29883,REPAIR OF INSIDE AND OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE,,,738.59,9627.58,20 CPT,29884,PR ARTHSC KNEE W LYSIS ADHESN,5527.0,4919.03,226.33,5527.0,482 CPT,29884,REMOVAL OF SCAR TISSUE FROM KNEE USING AN ENDOSCOPE PROFESSIONAL,,,554.73,4341.31,20 CPT,29886,PR ARTHSC KNEE W DRILL LESN,5650.0,5028.5,233.1,5650.0,482 CPT,29886,REPAIR OF KNEE JOINT BY DRILLING CARTILAGE USING AN ENDOSCOPE,,,571.32,9627.58,20 CPT,29887,PR ARTHSC KNEE W DRILL INT FIX,7223.0,6428.47,273.27,7223.0,482 CPT,29887,REPAIR OF KNEE JOINT WITH BONE GRAFT AND INTERNAL STABILIZING DEVICE USING AN ENDOSCOPE,,,669.78,9627.58,20 CPT,29888,PR ARTHSC AID ACL RPR,7661.0,6818.29,340.55,7661.0,482 CPT,29888,REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE PROFESSIONAL,,,834.67,17034.43,20 CPT,29889,PR ARTHSC AID PCL RPR,10698.0,9521.22,432.61,10698.0,482 CPT,29889,REPAIR OF POSTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE,,,1060.31,17034.43,20 CPT,29891,PR ARTHSC ANKLE EXCISN DEFECT,4777.0,4251.53,246.74,4777.0,482 CPT,29891,REMOVAL OF SHIN AND/OR ANKLE BONE DEFECT USING AN ENDOSCOPE PROFESSIONAL,,,604.76,4341.31,20 CPT,29894,PR ARTHSC ANKLE W RVML FB,4348.0,3869.72,184.59,4348.0,482 CPT,29895,PARTIAL REMOVAL OF ANKLE JOINT LINING USING AN ENDOSCOPE PROFESSIONAL,,,415.15,4341.31,20 CPT,29895,PR ARTHSC ANKLE SYNO PARTIAL,4127.0,3673.03,169.38,4127.0,482 CPT,29897,PR ARTHSC ANKLE DRBD LIMITED,4211.0,3747.79,180.79,4211.0,482 CPT,29897,REMOVAL OF LIMITED DEAD OR INFECTED TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,443.11,4341.31,20 CPT,29898,PR ARTHSC ANKLE DRBD EXTEN,4547.0,4046.83,204.02,4547.0,482 CPT,29898,REMOVAL OF EXTENSIVE DEAD OR INFECTED TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,500.05,4341.31,20 CPT,29901,PR ARTHSC MCP W DEBRID,4127.0,3673.03,203.85,4127.0,482 CPT,29901,REMOVAL OF DEAD OR INFECTED FINGER JOINT TISSUE USING AN ENDOSCOPE,,,499.63,4341.31,20 CPT,29906,PR ARTHSC SUBTALAR JT W DBRD,5651.0,5029.39,243.19,5651.0,482 CPT,29914,PR ARTHRSC HIP W FEMOROPLASTY,6795.0,6047.55,350.31,6795.0,482 CPT,29914,RESHAPING OF THIGH BONE AT HIP JOINT USING AN ENDOSCOPE,,,858.59,9627.58,20 CPT,29915,PR ARTHRSC HIP W ACETABULOPLSTY,8631.0,7681.59,356.53,8631.0,482 CPT,29915,RESHAPING OF HIP SOCKET USING AN ENDOSCOPE,,,873.84,9627.58,20 CPT,29916,PR ARTHRSC HIP W LABRAL REPAIR,7418.0,6602.02,355.93,7418.0,482 CPT,29916,REPAIR OF HIP JOINT SOCKET CARTILAGE USING AN ENDOSCOPE,,,872.36,9627.58,20 CPT,29999,PR ARTHROSCOPIC CAPSULORRHAPHY ? HIP,7737.0,6885.93,386.85,7737.0,477 CPT,29999,PR ARTHROSCOPIC HARDWARE REMOVAL,2842.0,2529.38,142.1,2842.0,477 CPT,29999,PR ARTHSC BICEPS TENOTOMY,5533.0,4924.37,276.65,5533.0,477 CPT,29999,PR ARTHSC EXCN SYN CYST POP SPACE,4103.0,3651.67,205.15,4103.0,477 CPT,29999,PR ARTHSC PSOAS LENGTH W CAPSULE PLICATION,13574.0,12080.86,678.7,13574.0,477 CPT,29999,PR ARTHSC PSOAS TENDON LENGTH,5837.0,5194.93,291.85,5837.0,477 CPT,29999,PR ARTHSC RMVL OSTEOPHYTE KNEE,4928.0,4385.92,246.4,4928.0,477 CPT,29999,PR ARTHSC SHLDR REMPLISSAGE,6459.0,5748.51,322.95,6459.0,477 CPT,29999,PR ARTHSC SUBAC BALLOON SHLDR,6054.0,5388.06,302.7,6054.0,477 CPT,29999,UNLISTED PROCEDURE ARTHROSCOPY - PROFESSIONAL,,,872.36,9627.58,19 CPT,30000,DRAINAGE OF ABSCESS OR BLOOD ACCUMULATION OF NOSE,,,107.23,314.25,20 CPT,30020,DRAINAGE OF ABSCESS OR BLOOD ACCUMULATION OF NASAL CARTILAGE FACILITY,,,108.26,715.58,20 CPT,30020,PR DRAIN ABSC/HEM NASAL SEPTUM,1043.0,928.27,109.52,1043.0,482 CPT,30100,BIOPSY OF LINING OF NOSE FACILITY,,,58.82,2058.65,20 CPT,30100,HC BIOPSY INTRANASAL,3258.0,2899.62,58.82,3258.0,737 CPT,30100,PR BIOPSY INTRANASAL,610.0,542.9,49.01,610.0,509 CPT,30110,PR EXCISION NASAL POLYP SIMPLE,1102.0,980.78,100.68,1102.0,482 CPT,30115,EXTENSIVE REMOVAL OF NASAL POLYP,,,426.74,4946.79,20 CPT,30115,PR EXCISION NASAL POLYP EXTENSIVE,2037.0,1812.93,174.11,2037.0,482 CPT,30117,PR EXCISN/DEST INTNASAL LESN INT APPR,3885.0,3457.65,392.51,3885.0,482 CPT,30117,REMOVAL OR DESTRUCTION OF GROWTH OF NOSE THROUGH NOSE FACILITY,,,368.13,4398.97,20 CPT,30118,PR EXCISN/DEST INTNASAL LESN EXT APPR,3557.0,3165.73,253.06,3557.0,482 CPT,30118,REMOVAL OR DESTRUCTION OF GROWTH OF NOSE,,,620.24,9627.58,20 CPT,30120,HC EXC/SURG PLN SKN/NOSE RHINOPHY,9553.0,8502.17,361.83,9553.0,737 CPT,30120,PR EXC/SURG PLN SKN/NOSE RHINOPHY,3495.0,3110.55,208.2,3495.0,482 CPT,30120,REMOVAL OR SCRAPING OF SKIN ON NOSE FACILITY,,,361.83,4398.97,21 CPT,30124,PR EXCISN CYST NOSE SMPL SUBQ,1768.0,1573.52,111.64,1768.0,482 CPT,30125,PR EXCISN CYST NOSE CMPLX BN/CRTLG,4251.0,3783.39,234.76,4251.0,482 CPT,30125,REMOVAL OF GROWTH UNDER NASAL BONE OR CARTILAGE,,,575.39,7854.46,20 CPT,30130,PR EXCISN TURBINATE PRTL/COMPLT,2135.0,1900.15,158.92,2135.0,482 CPT,30130,REMOVAL OF NASAL AIR PASSAGE,,,389.5,10599.17,20 CPT,30140,PR SUBMUC RSECT TURB PRTL/COMPLT,2795.0,2487.55,100.26,2795.0,507 CPT,30140,REMOVAL OF NASAL AIR PASSAGE UNDER LINING TISSUE PROFESSIONAL,,,144.39,4398.97,20 CPT,30150,PR RHINECTOMY PARTIAL,4000.0,3560.0,283.45,4000.0,482 CPT,30160,PR RHINECTOMY TOTAL,4649.0,4137.61,287.67,4649.0,482 CPT,30160,REMOVAL OF NOSE,,,705.06,7854.46,20 CPT,30220,INSERTION OF IMPLANT TO CLOSE NASAL PASSAGE FACILITY,,,112.37,2058.65,20 CPT,30220,PR INS NASAL/SEPTAL PROSTH BUTTON,1378.0,1226.42,104.41,1378.0,508 CPT,30300,HC RMVL FB INTRANASAL OFFICE PROC,443.0,394.27,92.14,443.0,736 CPT,30300,PR RMVL FB INTRANASAL OFFICE PROC,839.0,746.71,74.21,839.0,507 CPT,30310,PR RMVL FB INTRANASAL GEN ANES,1180.0,1050.2,76.36,1180.0,482 CPT,30310,REMOVAL OF FOREIGN BODY IN NOSE UNDER ANESTHESIA,,,187.15,4398.97,20 CPT,30400,PR RHINP PRIM/LAT CRTLG NASALTIP,4917.0,4376.13,478.39,4917.0,482 CPT,30400,RESHAPING OF TIP OF NOSE,,,1172.53,7854.46,20 CPT,30410,PR RHINP PRIM COMPLT EXTRNL PARTS,6424.0,5717.36,537.96,6424.0,482 CPT,30410,"RESHAPING OF BONE, CARTILAGE, AND/OR TIP OF NOSE",,,1318.52,7854.46,20 CPT,30420,PR RHINP PRIM W MJR SEPTAL REPAIR,9339.0,8311.71,519.47,9339.0,482 CPT,30420,RESHAPING OF BONY CARTILAGE DIVIDING NASAL PASSAGES PROFESSIONAL,,,1273.21,7854.46,21 CPT,30430,PR RHINP SECNDRY MINOR REVISION,5041.0,4486.49,428.39,5041.0,482 CPT,30430,REVISION TO RESHAPE NOSE OR SMALL AMOUNT OF TIP OF NOSE AFTER PREVIOUS REPAIR,,,1049.97,7854.46,20 CPT,30435,PR RHINP SECNDRY INT REVISION,7403.0,6588.67,513.86,7403.0,482 CPT,30435,REVISION TO RESHAPE NASAL BONES AFTER PREVIOUS REPAIR,,,1259.46,7854.46,20 CPT,3044F,3044F MOST RECENT HEMOGLOBIN A1C LEVEL <7.0% PROFESSIONAL,,,18.11,569.55,20 CPT,30450,PR RHINP SECNDRY MAJOR REVISION,10778.0,9592.42,645.66,10778.0,482 CPT,30450,REVISION TO RESHAPE NASAL BONES AND TIP OF NOSE AFTER PREVIOUS REPAIR,,,1582.5,7854.46,20 CPT,30460,PR RHINOPLASTY TIP ONLY,6273.0,5582.97,299.59,6273.0,482 CPT,30460,REVISION OF CONGENITAL NASAL DEFECT TO LENGTHEN TIP OF NOSE,,,734.28,7854.46,20 CPT,30462,PR RHINOPLASTY TIP/SEPT/OSTEOT,16856.0,15001.84,569.17,16856.0,482 CPT,30462,REVISION OF CONGENITAL NASAL DEFECT WITH LENGTHENING OF TIP OF NOSE,,,1395.01,7854.46,20 CPT,30465,PR RPR NASAL VESTIBULAR STENOSIS,6911.0,6150.79,364.81,6911.0,482 CPT,30465,REPAIR OF NASAL PASSAGE PROFESSIONAL,,,894.13,7854.46,21 CPT,3046F,3046F MOST RECENT HEMOGLOBIN A1C LEVEL > 9.0% PROFESSIONAL,,,117.96,282.22,7 CPT,3051F,3051F MOST RECENT HG A1C>EQUAL TO 7.0%&<8.0% PROFESSIONAL,,,18.11,569.55,20 CPT,30520,PR SEPTO/SUBM RESEC W/WO CART GRFT,4441.0,3952.49,244.67,4441.0,482 CPT,30520,RESHAPING OF NASAL CARTILAGE PROFESSIONAL,,,599.68,4398.97,21 CPT,3052F,3052F MOST RECENT HG A1C>EQUAL TO 8.0%&=1 SITE,6823.0,6072.47,134.42,6823.0,737 CPT,31625,PR BRONCHOSCOPY W BX >=1 SITE,2015.0,1793.35,157.07,2015.0,482 CPT,31626,HC BRONCH W PLCMT FIDUCIAL MARKER,7796.0,6938.44,168.73,9363.87,736 CPT,31626,PLACEMENT OF RADIATION THERAPY MARKERS INTO LUNG AIRWAYS USING AN ENDOSCOPE FACILITY,,,168.73,15316.89,20 CPT,31626,PR BRONCH W PLCMT FIDUCIAL MARKER,2332.0,2075.48,359.12,2332.0,482 CPT,31627,COMPUTER-ASSISTED IMAGE-GUIDED NAVIGATION OF LUNG AIRWAYS USING AN ENDOSCOPE FACILITY,,,80.86,9363.87,20 CPT,31627,PR BRONCH W COMP ASST IMG NAV,1761.0,1567.29,964.56,1761.0,482 CPT,31628,"BIOPSY OF LOBE OF LUNG USING AN ENDOSCOPE, 1 LOBE FACILITY",,,151.82,4946.79,21 CPT,31628,HC BRONCH TRANSBRONCH LUNG BX SNG,7931.0,7058.59,151.82,7931.0,740 CPT,31628,PR BRONCH TRANSBRONCH LUNG BX SNG,1830.0,1628.7,166.84,1830.0,482 CPT,31629,HC BRONCH TRANSBRONCH NDL ASP BX,8565.0,7622.85,160.86,8565.0,740 CPT,31629,"NEEDLE BIOPSY OF WINDPIPE CARTILAGE, AIRWAY, AND/OR LUNG USING AN ENDOSCOPE FACILITY",,,160.86,9363.87,21 CPT,31629,PR BRONCH TRANSBRONCH NDL ASP BX,2197.0,1955.33,203.62,2197.0,482 CPT,31630,DILATION OF WINDPIPE CARTILAGE OR TREATMENT OF BROKEN WINDPIPE CARTILAGE USING AN ENDOSCOPE FACILITY,,,167.45,9363.87,21 CPT,31630,PR BRONCH W TRACHEAL/BRONCH DIL,2074.0,1845.86,68.32,2074.0,482 CPT,31631,HC BRONCH W TRACH STENT PLCMNT,11195.0,9963.55,189.66,11195.0,738 CPT,31631,PLACEMENT OF STENT INTO WINDPIPE USING AN ENDOSCOPE FACILITY,,,189.66,9363.87,21 CPT,31631,PR BRONCH W TRACH STENT PLCMNT,1711.0,1522.79,77.38,1711.0,482 CPT,31632,"BIOPSY OF LOBE OF LUNG USING AN ENDOSCOPE, EACH ADDITIONAL LOBE FACILITY",,,41.41,4946.79,20 CPT,31632,HC BRONCH TRANSBRONCH LUNG BX EA,2732.0,2431.48,41.41,2732.0,721 CPT,31632,PR BRONCH TRANSBRONCH LUNG BX EA,537.0,477.93,55.38,537.0,482 CPT,31633,"NEEDLE BIOPSY OF LOBE OF LUNG USING AN ENDOSCOPE, EACH ADDITIONAL LOBE FACILITY",,,53.55,9363.87,20 CPT,31633,PR BRONCH TRANSBRONCH NDL ASP EA,621.0,552.69,68.94,621.0,482 CPT,31634,EXAM OF LUNG AIRWAYS WITH REPAIR OF AIR LEAK USING AN ENDOSCOPE FACILITY,,,162.93,9363.87,20 CPT,31634,PR BRONCHOSCOPY BALLOON OCCLUSION,6395.0,5691.55,669.31,6395.0,482 CPT,31635,HC BRONCHOSCOPY W REMOVAL FB,9816.0,8736.24,150.87,9816.0,737 CPT,31635,PR BRONCHOSCOPY W REMOVAL FB,2188.0,1947.32,131.11,2188.0,482 CPT,31635,REMOVAL OF FOREIGN BODY IN LUNG AIRWAYS USING AN ENDOSCOPE FACILITY,,,150.87,4946.79,20 CPT,31636,HC BRONCH W PLC BRNCL STENT INIT,9989.0,8890.21,186.23,9989.0,738 CPT,31636,"PLACEMENT OF STENT IN LUNG AIRWAY USING AN ENDOSCOPE, FIRST STENT FACILITY",,,186.23,9363.87,21 CPT,31636,PR BRONCH W PLC BRNCL STENT INIT,1826.0,1625.14,75.98,1826.0,482 CPT,31637,"PLACEMENT OF STENT IN LUNG AIRWAY USING AN ENDOSCOPE, EACH ADDITIONAL STENT",,,63.92,9363.87,20 CPT,31637,PR BRONCH W PLC BRNCL STENT EA,547.0,486.83,52.16,547.0,482 CPT,31638,PR BRONCH REV TRACH/BRNCL STENT,1863.0,1658.07,85.32,1863.0,482 CPT,31638,REVISION OF PREVIOUSLY INSERTED LUNG AIRWAY STENT USING AN ENDOSCOPE FACILITY,,,209.1,9363.87,20 CPT,31640,PR BRONCHOSCOPY W EXCISN TUMOR,2864.0,2548.96,85.27,2864.0,482 CPT,31640,REMOVAL OF GROWTH OF LUNG AIRWAYS USING AN ENDOSCOPE FACILITY,,,209.0,9363.87,20 CPT,31641,DESTRUCTION OF GROWTH OR NARROWING OF LUNG AIRWAY USING AN ENDOSCOPE FACILITY,,,214.23,9363.87,21 CPT,31641,HC BRONCH DEST TMR RLF STENOSIS,9799.0,8721.11,214.23,9799.0,738 CPT,31641,PR BRONCH DEST TMR RLF STENOSIS,2456.0,2185.84,87.41,2456.0,482 CPT,31645,ASPIRATION OF INITIAL SECRETION OF LUNG AIRWAY USING AN ENDOSCOPE FACILITY,,,127.31,4946.79,20 CPT,31645,HC BRONCHOSCOPY W ASP THER INIT,5644.0,5023.16,127.31,5644.0,737 CPT,31645,PR BRONCHOSCOPY W ASP THER INIT,1559.0,1387.51,125.43,1559.0,482 CPT,31646,PR BRONCHOSCOPY W ASP THER SUBSQ,1539.0,1369.71,50.36,1539.0,482 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,,,177.18,9363.87,20 CPT,31647,HC BRONCH W BALN OCC INIT LOBE,19124.0,17020.36,177.18,19124.0,736 CPT,31647,PR BRONCH W BALN OCC INIT LOBE,1655.0,1472.95,72.29,1655.0,482 CPT,31648,PR BRONCH RMVL BRONCHL VALVE INIT,1675.0,1490.75,69.11,1675.0,482 CPT,31648,"REMOVAL OF BRONCHIAL VALVES OF LUNG AIRWAYS OF LOBE OF LUNG USING AN ENDOSCOPE, INITIAL LOBE FACILITY",,,169.37,4946.79,20 CPT,31649,PR BRONCH RMVL BRONCHL VALVE ADD,494.0,439.66,56.39,494.0,482 CPT,31651,HC BRONCH OCCLUS VALVE ADD LOBE,5954.0,5299.06,63.92,5954.0,719 CPT,31651,PR BRONCH OCCLUS VALVE ADD LOBE,559.0,497.51,61.13,559.0,482 CPT,31652,"EXAM OF LUNG AIRWAYS AND SAMPLING OF LYMPH NODES USING AN ENDOSCOPE AND ULTRASOUND GUIDANCE, 1-2 LYMPH NODES FACILITY",,,189.07,4946.79,21 CPT,31652,HC BRONCH W EBUS 1-2 NODE SAMPLE,11651.0,10369.39,189.07,11651.0,741 CPT,31652,PR BRONCH W EBUS 1-2 NODE SAMPLE,2887.0,2569.43,563.03,2887.0,482 CPT,31653,"EXAM OF LUNG AIRWAYS AND SAMPLING OF LYMPH NODES USING AN ENDOSCOPE AND ULTRASOUND GUIDANCE, 3 OR MORE LYMPH NODES FACILITY",,,209.27,9363.87,21 CPT,31653,HC BRONCH W EBUS >=3 NODE SAMPLE,11688.0,10402.32,209.27,11688.0,742 CPT,31653,PR BRONCH W EBUS >=3 NODE SAMPLE,3674.0,3269.86,580.81,3674.0,482 CPT,31654,EXAM OF LUNG AIRWAYS WITH DIAGNOSTIC OR THERAPEUTIC PROCEDURE ON GROWTHS USING AN ENDOSCOPE AND ULTRASOUND FACILITY,,,57.01,9363.87,20 CPT,31654,HC BRONCH W EBUS DX/TX PERIPH LESN,6036.0,5372.04,57.01,6036.0,722 CPT,31654,PR BRONCH W EBUS DX/TX PERIPH LESN,737.0,655.93,106.54,737.0,482 CPT,31720,HC CATH ASPIRATION NASOTRACHEAL,382.0,339.98,43.54,382.0,736 CPT,31730,PR TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER,1997.0,1777.33,486.73,1997.0,482 CPT,31750,PR TRACHEOPLASTY CERVICAL,9155.0,8147.95,494.4,9155.0,482 CPT,31760,PR TRACHEOPLASTY INTRATHORACIC,10815.0,9625.35,485.18,10815.0,482 CPT,31770,PR BRONCHOPLASTY GRAFT REPAIR,9850.0,8766.5,459.43,9850.0,482 CPT,31780,PR EXCISN TRACHEA STENOSIS&ANASTO,9242.0,8225.38,396.79,9242.0,482 CPT,31781,PR EXCISN TRACH STEN&ANAST CERVICTHOR,11460.0,10199.4,469.42,11460.0,482 CPT,31785,PR EXCISN TRACHEA TMR CERVICAL,7700.0,6853.0,352.63,7700.0,482 CPT,31786,PR EXCISN TRACHEA TMR THORACIC,10364.0,9223.96,499.17,10364.0,482 CPT,31800,PR SUTURE TRACHEAL WOUND CERVICAL,4519.0,4021.91,255.8,4519.0,482 CPT,31820,CLOSURE OF PERMANENT WINDPIPE OPENING OR ABNORMAL DRAINAGE TRACT,,,287.71,4398.97,21 CPT,31820,PR SURG CLSR TRACH/FSTLA WO RPR,2423.0,2156.47,178.53,2423.0,482 CPT,31825,PR SURG CLSR TRACH/FSTLA W RPR,3342.0,2974.38,243.37,3342.0,482 CPT,31830,PR REVISION TRACHEOSTOMY SCAR,2215.0,1971.35,197.3,2215.0,482 CPT,31830,REVISION OF PERMANENT WINDPIPE OPENING SCAR,,,320.33,4398.97,20 CPT,31899,UNLISTED PROC TRACHEA BRONCHI - FACILITY,,,151.82,4946.79,19 CPT,32035,PR THORACOSTOMY EMPYEMA RIB RSECT,5231.0,4655.59,273.5,5231.0,482 CPT,32036,PR THORACOSTOMY DRAINAGE EMPYEMA,6049.0,5383.61,290.29,6049.0,482 CPT,32096,PR THORCTMY BX LUNG INFILTRATE UNILAT,5301.0,4717.89,282.28,5301.0,482 CPT,32097,PR THORCTMY BX LNG NODL/MASS UNILAT,5301.0,4717.89,284.77,5301.0,482 CPT,32098,PR THORCTMY W BIOPSY OF PLEURA,4982.0,4433.98,267.35,4982.0,482 CPT,32100,INCISION AND EXPLORATION OF CHEST CAVITY,,,705.75,9458.73,20 CPT,32100,PR THORCTMY WITH EXPLORATION,6783.0,6036.87,287.95,6783.0,482 CPT,32110,PR THORCTMY CTRL HEMRG/RPR TEAR,8633.0,7683.37,515.34,8633.0,482 CPT,32120,PR THORCTMY POSTOP COMPL,7090.0,6310.1,316.06,7090.0,482 CPT,32124,PR THORCTMY OPN INTPLR PNEUMONOLYS,6783.0,6036.87,334.18,6783.0,482 CPT,32140,PR THORCTMY W REMOVAL OF CYST,8066.0,7178.74,353.88,8066.0,482 CPT,32141,PR THORCTMY W RESECTION BULLAE,9133.0,8128.37,525.66,9133.0,482 CPT,32150,PR THORCTMY W RMVL INTRAPLEURAL FB,7945.0,7071.05,362.37,7945.0,482 CPT,32160,PR THORCTMY W CARDIAC MASSAGE,7476.0,6653.64,288.2,7476.0,482 CPT,32220,PR DECORTICATION PULMONARY TOTAL,9689.0,8623.21,570.99,9689.0,482 CPT,32225,PR DECORTICATION PULMONARY PRTL,6867.0,6111.63,354.93,6867.0,482 CPT,32310,PR PLEURECTOMY PARIETAL,6154.0,5477.06,330.08,6154.0,482 CPT,32320,PR DECORT & PARIETAL PLEURECTOMY,9597.0,8541.33,567.08,9597.0,482 CPT,32400,HC BIOPSY PLEURA PERCUTANEOUS NDL,2762.0,2458.18,68.51,2762.0,737 CPT,32400,NEEDLE BIOPSY OF LINING OF LUNG FACILITY,,,68.51,2191.35,20 CPT,32400,PR BIOPSY PLEURA PERCUTANEOUS NDL,833.0,741.37,67.36,833.0,482 CPT,32408,"CORE NEEDLE BIOPSY OF LUNG OR CENTER CAVITY OF CHEST (MEDIASTINUM), ACCESSED THROUGH SKIN FACILITY",,,384.56,2191.35,21 CPT,32408,HC BX LUNG/MEDIASTINUM PERC NDL,4272.0,3802.08,888.58,4272.0,738 CPT,32408,PR BX LUNG/MEDIASTINUM PERC NDL,2152.0,1915.28,333.05,2152.0,482 CPT,32440,PR REMOVAL OF LUNG PNEUMONECTOMY,11175.0,9945.75,548.08,11175.0,482 CPT,32442,PR RMVL LUNG PNEUMNCTMY RESCT TRACH,19206.0,17093.34,1026.1,19206.0,482 CPT,32445,PR RMVL LUNG PNEUMNCTMY EXTR PLRL,29222.0,26007.58,1202.02,29222.0,482 CPT,32480,PR RMVL LUNG NOT PNEUMONEC 1 LOBE,10270.0,9140.3,516.04,10270.0,482 CPT,32480,REMOVAL OF LOBE OF LUNG,,,975.43,1897.2,20 CPT,32482,PR RMVL LUNG NOT PNEUMONEC 2 LOBE,12302.0,10948.78,553.95,12302.0,482 CPT,32484,PR RMVL LUNG SNGL SEGMENTECTOMY,11222.0,9987.58,496.25,11222.0,482 CPT,32486,PR RMVL LUNG SLEEVE LOBECTOMY,14607.0,13000.23,791.68,14607.0,482 CPT,32488,PR RMVL LUNG COMPLETION PNEUMONEC,15606.0,13889.34,817.94,15606.0,482 CPT,32491,PR REMOVAL LUNG VOLUME REDUCTION,11069.0,9851.41,519.26,11069.0,482 CPT,32501,PR RESECT & RPR BRONCHUS,1718.0,1529.02,158.8,1718.0,482 CPT,32504,PR RSECT LUNG TUM W CW RCNSTRCT,13246.0,11788.94,702.01,13246.0,482 CPT,32505,INITIAL REMOVAL OF WEDGE OF LUNG TISSUE,,,812.6,3853.99,20 CPT,32505,PR THORACOTOMY W WEDGE RSECT INIT,6367.0,5666.63,331.54,6367.0,482 CPT,32506,PR THORACOTOMY W WEDGE RSECT ADDL,1249.0,1111.61,101.93,1249.0,482 CPT,32506,"REMOVAL OF LUNG TISSUE WEDGE THROUGH CHEST, EACH ADDITIONAL REMOVAL",,,249.84,3853.99,20 CPT,32507,PR THORACOTOMY RSECT DX WEDGE,1290.0,1148.1,101.93,1290.0,482 CPT,32550,HC INSERTION/CATH PLEURAL CAVITY,8437.0,7508.93,170.44,8437.0,737 CPT,32550,INSERTION OF INDWELLING TUBE FOR DRAINAGE OF LUNG FLUID FACILITY,,,170.44,4750.49,20 CPT,32550,PR INSERTION/CATH PLEURAL CAVITY,2540.0,2260.6,644.74,2540.0,482 CPT,32551,HC INS TUBE THORACOSTOMY,2301.0,2047.89,130.77,2301.0,1472 CPT,32551,PR INS TUBE THORACOSTOMY,1302.0,1158.78,53.36,1302.0,482 CPT,32552,HC REMOVAL LUNG/PLEURAL CATHETER,3564.0,3171.96,140.71,3564.0,1474 CPT,32552,PR REMOVAL LUNG/PLEURAL CATHETER,1366.0,1215.74,75.5,1366.0,482 CPT,32552,REMOVAL OF INDWELLING TUBE IN LINING OF LUNG FACILITY,,,140.71,832.31,20 CPT,32553,HC INS MARK THOR FOR RT PERC,4421.0,3934.69,143.73,4421.0,736 CPT,32553,INSERTION OF DEVICE IN CHEST CAVITY FOR RADIATION THERAPY GUIDANCE FACILITY,,,143.73,1836.47,20 CPT,32553,PR INS MARK THOR FOR RT PERC,1685.0,1499.65,201.11,1685.0,482 CPT,32554,ASPIRATION OF FLUID FROM CHEST CAVITY FACILITY,,,74.6,832.31,20 CPT,32554,HC THORACENTESIS PLEURA WO IMG,3110.0,2767.9,74.6,3110.0,1472 CPT,32554,PR THORACENTESIS PLEURA WO IMG,1222.0,1087.58,106.58,1222.0,482 CPT,32555,ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE FACILITY,,,89.05,832.31,21 CPT,32555,HC THORACENTESIS PLEURA W IMG,3925.0,3493.25,89.05,3925.0,2214 CPT,32555,PR THORACENTESIS PLEURA W IMG,1499.0,1334.11,127.48,1499.0,482 CPT,32556,DRAINAGE OF FLUID FROM CHEST CAVITY WITH INSERTION OF INDWELLING TUBE FACILITY,,,103.72,14103.72,20 CPT,32556,HC PLEURA DRAIN PERC WO IMG GUID,4981.0,4433.09,103.72,4981.0,736 CPT,32556,PR PLEURA DRAIN PERC WO IMG GUID,2281.0,2030.09,348.43,2281.0,482 CPT,32557,DRAINAGE OF FLUID FROM CHEST CAVITY WITH INSERTION OF INDWELLING TUBE USING IMAGING GUIDANCE FACILITY,,,121.99,4946.79,20 CPT,32557,HC PLEURA DRAIN PERC W IMG GUID,3926.0,3494.14,121.99,3926.0,736 CPT,32557,PR PLEURA DRAIN PERC W IMG GUID,1815.0,1615.35,267.54,1815.0,482 CPT,32560,INSTILLATION OF AGENT ONTO LUNG SURFACE USING CHEST TUBE FACILITY,,,63.37,832.31,20 CPT,32560,PR INSTILLATION AGT PLEURODESIS,1006.0,895.34,113.08,1006.0,482 CPT,32561,HC INSTILLATION FIBRINOLYSIS INIT,2978.0,2650.42,56.88,2978.0,737 CPT,32561,INITIAL INSTILLATION OF AGENT ONTO LUNG LINING USING CHEST TUBE FACILITY,,,56.88,832.31,20 CPT,32561,PR INSTILLATION FIBRINOLYSIS INIT,659.0,586.51,40.46,659.0,482 CPT,32601,"DIAGNOSTIC EXAM OF LUNGS, HEART SAC, CHEST CAVITY, OR LUNG LINING USING AN ENDOSCOPE FACILITY",,,259.34,8021.24,20 CPT,32601,HC THORSC DX LUNG/MED/PLRL W/O BX,21363.0,19013.07,259.34,21363.0,736 CPT,32601,PR THORSC DX LUNG/MED/PLRL WO BX,2616.0,2328.24,105.81,2616.0,482 CPT,32606,BIOPSY OF TISSUE OF CHEST USING AN ENDOSCOPE,,,382.85,8021.24,20 CPT,32606,PR THORSC DX MEDIASTINAL W BIOPSY,3230.0,2874.7,156.21,3230.0,482 CPT,32607,PR THORSC DX BX LNG INFILTRAT UNILAT,2540.0,2260.6,106.04,2540.0,482 CPT,32608,BIOPSY OF GROWTH OF LUNG USING AN ENDOSCOPE,,,315.94,14103.72,20 CPT,32608,PR THORSC W DX BX LUNG NODULE UNILAT,2949.0,2624.61,128.91,2949.0,482 CPT,32609,BIOPSY OF LUNG LINING USING AN ENDOSCOPE FACILITY,,,218.15,8021.24,21 CPT,32609,HC THORACOSCOPY W/BX OF PLEURA,23048.0,20512.72,218.15,23048.0,740 CPT,32609,PR THORACOSCOPY W BX OF PLEURA,2088.0,1858.32,89.01,2088.0,482 CPT,32650,ADHESION OF LININGS OF LUNG USING AN ENDOSCOPE,,,449.8,894.41,20 CPT,32650,PR THORACOSCOPY W PLEURODESIS,5469.0,4867.41,243.28,5469.0,482 CPT,32651,PR THORSC W PRTL PULM DECORT,8235.0,7329.15,383.84,8235.0,482 CPT,32652,PR THORSC TOTAL PULM DECORT,10232.0,9106.48,576.83,10232.0,482 CPT,32652,REMOVAL OF CHEST CAVITY LINING AND LUNG LINING USING AN ENDOSCOPE,,,1413.79,2330.23,20 CPT,32653,PR THORSC REMOVAL INTRAPLEURAL FB,7408.0,6593.12,373.25,7408.0,482 CPT,32653,REMOVAL OF FOREIGN BODY IN LINING OF CHEST CAVITY USING AN ENDOSCOPE,,,705.75,1372.25,20 CPT,32654,CONTROL OF TRAUMATIC BLEEDING IN CHEST USING AN ENDOSCOPE,,,794.08,1534.53,20 CPT,32654,PR THORSC HEMR CTRL TRAUMATIC,7279.0,6478.31,417.39,7279.0,482 CPT,32655,PR THORSC RSECT BULLAE W/WO PLRL,6654.0,5922.06,338.82,6654.0,482 CPT,32656,PR THORACOSC PARIETAL PLEURECTOMY,6004.0,5343.56,289.68,6004.0,482 CPT,32658,PR THORSC RMVL FB PERICARDIAL SAC,4947.0,4402.83,258.78,4947.0,482 CPT,32659,PR THORSC PRTL RSECT PERICARDIAL,7003.0,6232.67,267.12,7003.0,482 CPT,32661,PR THORSC EXCISN PERICARDIAL CYST,7183.0,6392.87,286.23,7183.0,482 CPT,32662,PR THORSC EXCISN MEDIASTINAL CYST,8357.0,7437.73,319.03,8357.0,482 CPT,32662,REMOVAL OF CYST OR GROWTH OF CHEST CAVITY USING AN ENDOSCOPE,,,594.58,1172.9,20 CPT,32663,PR THORSC W LOBECTOMY SINGLE LOBE,10271.0,9141.19,483.89,10271.0,482 CPT,32664,PR THORSC THORACIC SYMPATHECTOMY,9632.0,8572.48,302.26,9632.0,482 CPT,32664,REMOVAL OF NERVES TO CHEST CAVITY USING AN ENDOSCOPE,,,614.25,1111.23,19 CPT,32666,INITIAL REMOVAL OF WEDGE OF LUNG TISSUE USING AN ENDOSCOPE,,,579.61,1143.77,20 CPT,32666,PR THORSC THER WEDGE RSECT INIT,6700.0,5963.0,311.11,6700.0,482 CPT,32667,PR THORSC THER WEDGE RSECT ADDL,1249.0,1111.61,102.02,1249.0,482 CPT,32667,"REMOVAL OF WEDGE OF TISSUE OF LUNG USING AN ENDOSCOPE, EACH ADDITIONAL REMOVAL",,,100.12,375.06,20 CPT,32668,PR THORACOSCOPY DX WEDGE RSECT,1299.0,1156.11,102.29,1299.0,482 CPT,32669,PR THORACOSCOPY W SEGMENTECTOMY,10663.0,9490.07,465.47,10663.0,482 CPT,32670,PR THORACOSCOPY W BILOBECTOMY,13141.0,11695.49,549.45,13141.0,482 CPT,32673,PR THORSC RSECT THYMUS UNI/BILAT,9524.0,8476.36,423.54,9524.0,482 CPT,32674,PR THORSC MEDI-REG LYMPHDENECTOMY,1713.0,1524.57,140.52,1713.0,482 CPT,32674,REMOVAL OF LYMPH NODES OF CHEST CAVITY USING AN ENDOSCOPE,,,172.2,8021.24,20 CPT,32800,PR RPR LUNG HERNIA THRU CHEST WAL,6424.0,5717.36,341.16,6424.0,482 CPT,32850,PR DONOR PNEUMONECTOMY FRM CADAVR,8912.0,7931.68,7842.56,8912.0,477 CPT,32851,PR LUNG TRNSPL SNG WO CARDPULM BYPASS,21249.0,18911.61,1110.94,21249.0,482 CPT,32852,PR LUNG TRNSPL SNGL W CARDPULM BYPASS,28083.0,24993.87,1218.72,28083.0,482 CPT,32853,PR LUNG TRNSPL 2 WO CARDPULM BYPASS,47385.0,42172.65,1541.3,47385.0,482 CPT,32854,PR LUNG TRNSPL DBL W CARDPULM BYPASS,53433.0,47555.37,1632.61,53433.0,482 CPT,32855,PR PREP TRNSPL CADAVER DONOR LUNG UNILAT,3891.0,3462.99,116.56,3891.0,482 CPT,32856,PR PREP TRNSPL CADAVER DONOR LUNG BIL,5026.0,4473.14,140.22,5026.0,482 CPT,32994,DESTRUCTION OF GROWTH OF LUNG USING EXTREME COLD FACILITY,,,24.15,14103.72,20 CPT,32994,HC ABLATE PULM TUMOR PERQ CRYBL,22433.0,19965.37,4666.06,22433.0,734 CPT,32994,PR ABLATE PULM TUMOR PERQ CRYBL,16594.0,14768.66,1894.47,16594.0,482 CPT,32997,PR TOTAL LUNG LAVAGE UNILATERAL,2439.0,2170.71,117.36,2439.0,482 CPT,32998,DESTRUCTION OF GROWTH OF LUNG USING RADIOFREQUENCY FACILITY,,,358.32,8021.24,20 CPT,32998,HC RF ABLT PULM TUMORS UNILAT,13060.0,11623.4,358.32,13060.0,736 CPT,32998,PR RF ABLT PULM TUMORS UNILAT,8856.0,7881.84,1213.33,8856.0,482 CPT,32999,PR PREOP LUNG NODULE RADIO,356.0,316.84,17.8,356.0,477 CPT,32999,UNLISTED PROC LUNGS & PLEURA - FACILITY,,,8.69,832.31,19 CPT,33016,HC PERICARDIOCENTESIS W IMAGE GUIDE,5863.0,5218.07,181.6,5863.0,736 CPT,33016,PR PERICARDIOCENTESIS W IMAGE GUIDE,1666.0,1482.74,74.1,1666.0,482 CPT,33017,DRAINAGE OF HEART SAC USING TUBE AND IMAGING GUIDANCE (6 YEARS OR OLDER) FACILITY,,,199.1,724.99,19 CPT,33017,HC PERI DRN W FLUOR/US >6YR W/O CONG,6572.0,5849.08,160.73,6572.0,736 CPT,33017,PR PERI DRN W FLUOR/US >6YR W/O CONG,1485.0,1321.65,77.72,1485.0,482 CPT,33018,HC PERI DRAIN W FLUOR/US GUIDE CONG,6786.0,6039.54,222.6,6786.0,734 CPT,33018,PR PERI DRAIN W FLUOR/US GUIDE CONG,2542.0,2262.38,90.82,2542.0,482 CPT,33019,PR PERICARDIAL DRAIN W CT GUIDE,2076.0,1847.64,68.56,2076.0,482 CPT,33020,PR PERICARIOTOMY RMVL CLOT/FB PRIM,7494.0,6669.66,289.4,7494.0,482 CPT,33025,PR CREATE PERICARD WNDW PRTL RESEC,7107.0,6325.23,273.9,7107.0,482 CPT,33030,PR PERICARDECT SUBTOT/COMP WO BYP,9719.0,8649.91,687.59,9719.0,482 CPT,33031,PR PERICARDECT SUBTOT/COMP W BYP,17634.0,15694.26,844.5,17634.0,482 CPT,33050,PR RESECTION PERICARDIAL CYST/TMR,7045.0,6270.05,358.75,7045.0,482 CPT,33120,PR EXCISN INTRACARDIAC TMR W BYP,16269.0,14479.41,712.24,16269.0,482 CPT,33120,REMOVAL OF GROWTH OF HEART ON HEART-LUNG MACHINE,,,1362.17,2618.52,20 CPT,33130,PR RESECTION EXTERNAL CARDIAC TMR,10731.0,9550.59,484.42,10731.0,482 CPT,33202,INSERTION OF ELECTRODE TO OUTER LAYER OF HEART,,,672.58,29512.89,20 CPT,33202,PR INS EPICARDIAL ELECTRODE OPEN,6363.0,5663.07,274.42,6363.0,482 CPT,33206,HC INS/RPLC PCMKR ATRIAL,24792.0,22064.88,367.16,24792.0,736 CPT,33206,INSERTION OF PACEMAKER AND UPPER HEART CHAMBER ELECTRODE FACILITY,,,367.16,13867.76,20 CPT,33206,PR INS/RPLC PCMKR ATRIAL,3519.0,3131.91,149.8,3519.0,482 CPT,33207,HC INS/RPLC PCMKR VENT,19833.0,17651.37,383.48,19833.0,736 CPT,33207,INSERTION OF PACEMAKER AND LOWER HEART CHAMBER ELECTRODE FACILITY,,,383.48,13867.76,20 CPT,33207,PR INS/RPLC PCMKR VENT,4204.0,3741.56,156.46,4204.0,482 CPT,33208,HC INS/RPLC PCMKR ATRIAL & VENT,24792.0,22064.88,413.35,24792.0,738 CPT,33208,INSERTION OF PACEMAKER AND UPPER AND LOWER HEART CHAMBER ELECTRODE FACILITY,,,413.35,13867.76,20 CPT,33208,PR INS/RPLC PCMKR ATRIAL & VENT,4630.0,4120.7,168.65,4630.0,482 CPT,33210,HC INS/RPLC TEMP ELEC/PCMKR SNGL,10985.0,9776.65,125.91,10985.0,736 CPT,33210,PR INS/RPLC TEMP ELEC/PCMKR SNGL,1545.0,1375.05,51.37,1545.0,482 CPT,33211,PR INS/RPLC TEMP ELEC/PCMKR DUAL,1499.0,1334.11,53.24,1499.0,482 CPT,33212,HC INS PCMKR PLS GEN EXIST 1 LEAD,16884.0,15026.76,267.61,16884.0,736 CPT,33212,INSERTION OF PACEMAKER PULSE GENERATOR WITH EXISTING SINGLE LEAD FACILITY,,,267.61,10979.83,20 CPT,33212,PR INS PCMKR PLS GEN EXIST 1 LEAD,2586.0,2301.54,109.19,2586.0,482 CPT,33213,HC INS PCMKR PLS GEN EXIST 2 LEAD,20364.0,18123.96,277.56,20364.0,737 CPT,33213,INSERTION OF PACEMAKER PULSE GENERATOR WITH EXISTING DUAL LEADS FACILITY,,,277.56,13867.76,21 CPT,33213,PR INS PCMKR PLS GEN EXIST 2 LEAD,2382.0,2119.98,113.25,2382.0,482 CPT,33214,HC UPGRADE IMPL PCMKR SYS,31419.0,27962.91,388.83,31419.0,736 CPT,33214,PR UPGRADE IMPL PCMKR SYS,3522.0,3134.58,158.65,3522.0,482 CPT,33215,HC REPOSITION PCMKR/LEAD RA/RV,7607.0,6770.23,250.65,7607.0,736 CPT,33215,PR REPOSITION PCMKR/LEAD RA/RV,2124.0,1890.36,102.27,2124.0,482 CPT,33215,REPOSITIONING OF PACEMAKER OR DEFIBRILLATOR ELECTRODE FACILITY,,,250.65,10979.83,20 CPT,33216,HC INS SNGL ELTRD/PPCMKR/ICD,13297.0,11834.33,304.05,13297.0,738 CPT,33216,INSERTION OF 1 ELECTRODE FOR PERMANENT PACEMAKER OR DEFIBRILLATOR FACILITY,,,304.05,10979.83,21 CPT,33216,PR INS SNGL ELTRD/PPCMKR/ICD,3082.0,2742.98,124.05,3082.0,482 CPT,33217,HC INSERT ELECTRODE IMPLANT DUAL,14639.0,13028.71,303.05,14639.0,736 CPT,33217,INSERTION OF 2 ELECTRODES FOR PERMANENT PACEMAKER OR DEFIBRILLATOR FACILITY,,,303.05,10979.83,20 CPT,33217,PR INSERT ELECTRODE IMPLANT DUAL,2739.0,2437.71,123.65,2739.0,482 CPT,33218,HC RPR SNGL ELTRD/PPCMKR/ICD,10574.0,9410.86,320.42,10574.0,736 CPT,33218,PR RPR SNGL ELTRD/PPCMKR/ICD,2658.0,2365.62,130.73,2658.0,482 CPT,33218,REPAIR OF ELECTRODE FOR PERMANENT PACEMAKER OR DEFIBRILLATOR FACILITY,,,320.42,41646.9,20 CPT,33220,PR RPR 2 ELECTRODES/PPCMKR/ICD,2777.0,2471.53,127.46,2777.0,482 CPT,33221,HC INS PCMKR/GEN EXIST MULTI LEAD,34381.0,30599.09,291.06,34381.0,736 CPT,33221,PR INS PCMKR/GEN EXIST MULTI LEAD,2434.0,2166.26,118.75,2434.0,482 CPT,33222,HC RELOCATION SKIN POCKET PCMKR,7650.0,6808.5,287.29,7650.0,737 CPT,33222,PR RELOCATION SKIN POCKET PCMKR,2207.0,1964.23,117.22,2207.0,482 CPT,33222,RELOCATION OF PACEMAKER SKIN POCKET FACILITY,,,287.29,2737.57,21 CPT,33223,HC RELOCATION SKIN POCKET DFIB,7842.0,6979.38,333.43,7842.0,736 CPT,33223,PR RELOCATION SKIN POCKET DFIB,2741.0,2439.49,136.04,2741.0,482 CPT,33223,RELOCATION OF DEFIBRILLATOR SKIN POCKET FACILITY,,,333.43,29512.89,20 CPT,33224,HC INS PACING ELCTD LV LEAD CONN,24792.0,22064.88,394.91,24792.0,737 CPT,33224,INSERTION OF LEFT LOWER HEART ELECTRODE AND ATTACHMENT TO PACEMAKER OR DEFIBRILLATOR FACILITY,,,394.91,13867.76,20 CPT,33224,PR INS PACING ELCTD LV LEAD CONN,3426.0,3049.14,161.13,3426.0,482 CPT,33225,HC INS PACING ELCTD LV LEAD ADD,20108.0,17896.12,351.28,20108.0,720 CPT,33225,INSERTION OF LEFT LOWER HEART ELECTRODE FOR PACEMAKER OR DEFIBRILLATOR FACILITY,,,351.28,41646.9,21 CPT,33225,PR INS PACING ELCTD LV LEAD ADD,2976.0,2648.64,286.64,2976.0,482 CPT,33226,HC REPO IMPL LV ELECT,10885.0,9687.65,378.06,10885.0,736 CPT,33226,PR REPO IMPL LV ELECT,2912.0,2591.68,154.25,2912.0,482 CPT,33226,REPOSITIONING OF LEFT LOWER HEART ELECTRODE FACILITY,,,378.06,4189.36,20 CPT,33227,HC RPLC PERM GEN SNGL LEAD,21854.0,19450.06,276.12,21854.0,737 CPT,33227,PR RPLC PERM GEN SNGL LEAD,2325.0,2069.25,112.66,2325.0,482 CPT,33227,REMOVAL AND REPLACEMENT OF SINGLE LEAD PERMANENT PACEMAKER FACILITY,,,276.12,10979.83,21 CPT,33228,HC RPLC PERM GEN DUAL LEAD,19286.0,17164.54,287.9,19286.0,739 CPT,33228,PR RPLC PERM GEN DUAL LEAD,2228.0,1982.92,117.47,2228.0,482 CPT,33228,REMOVAL AND REPLACEMENT OF DUAL LEAD PERMANENT PACEMAKER FACILITY,,,287.9,13867.76,21 CPT,33229,HC RPLC PERM GEN MULT LEAD,22856.0,20341.84,301.19,25556.51,737 CPT,33229,PR RPLC PERM GEN MULT LEAD,2330.0,2073.7,122.89,2330.0,482 CPT,33229,REMOVAL AND REPLACEMENT OF MULTIPLE LEAD PERMANENT PACEMAKER FACILITY,,,301.19,25556.51,21 CPT,33230,HC INS PULSE GEN W EXST DUAL LEAD,52891.0,47072.99,302.41,52891.0,736 CPT,33230,PR INS PULSE GEN W EXST DUAL LEAD,2613.0,2325.57,123.39,2613.0,482 CPT,33231,HC INS PULSE GEN W EXST MULT LEAD,57877.0,51510.53,323.86,57877.0,736 CPT,33231,PR INS PULSE GEN W EXST MULT LEAD,2618.0,2330.02,132.14,2618.0,482 CPT,33233,HC RMVL PCMKR PULSE GEN ONLY,11149.0,9922.61,198.0,11149.0,738 CPT,33233,PR RMVL PCMKR PULSE GEN ONLY,1669.0,1485.41,80.79,1669.0,482 CPT,33233,REMOVAL OF PERMANENT PACEMAKER PULSE GENERATOR FACILITY,,,198.0,25556.51,21 CPT,33234,HC RMVL PCMKR ELEC 1 LEAD SYS,7838.0,6975.82,391.32,7838.0,738 CPT,33234,PR RMVL PCMKR ELEC 1 LEAD SYS,3445.0,3066.05,159.66,3445.0,482 CPT,33234,REMOVAL OF SINGLE ELECTRODE FROM RIGHT HEART FACILITY,,,391.32,13867.76,21 CPT,33235,HC RMVL PCMKR ELEC DUAL LEAD SYS,9910.0,8819.9,519.11,9910.0,736 CPT,33235,PR RMVL PCMKR ELEC DUAL LEAD SYS,4077.0,3628.53,211.8,4077.0,482 CPT,33235,REMOVAL OF DUAL ELECTRODES FROM RIGHT HEART FACILITY,,,519.11,13867.76,20 CPT,33236,PR RMVL PPCMKR THORCTMY,5718.0,5089.02,292.16,5718.0,482 CPT,33237,PR RMVL EPICAR PCMKR&ELEC 2 LEAD,6726.0,5986.14,311.11,6726.0,482 CPT,33238,PR RMVL TRANSVENOUS ELEC THRCTMY,7247.0,6449.83,351.58,7247.0,482 CPT,33240,HC INS ICD ONLY W EXIST SNGL LEAD,44542.0,39642.38,291.31,44542.0,736 CPT,33240,PR INS ICD ONLY W EXIST SNGL LEAD,3009.0,2678.01,118.86,3009.0,482 CPT,33241,HC RMVL ICD GEN ONLY SUBQ,9989.0,8890.21,183.46,9989.0,736 CPT,33241,PR RMVL ICD GEN ONLY SUBQ,1522.0,1354.58,74.85,1522.0,482 CPT,33241,REMOVAL OF DEFIBRILLATOR FACILITY,,,183.46,41646.9,20 CPT,33243,PR RMVL ICD ELEC THORCOM 1/2 CHAM,9544.0,8494.16,481.91,9544.0,482 CPT,33243,REMOVAL OF DEFIBRILLATOR ELECTRODES THROUGH INCISION,,,1181.15,29512.89,20 CPT,33244,HC RMVL ICD ELEC TRANSVEN EXTRACT,9488.0,8444.32,697.95,9488.0,736 CPT,33244,PR RMVL ICD ELEC TRANSVEN EXTRACT,6527.0,5809.03,284.77,6527.0,482 CPT,33244,REMOVAL OF DEFIBRILLATOR ELECTRODES THROUGH VEIN FACILITY,,,697.95,41646.9,20 CPT,33249,HC INS/RPLC DFIB W TRANSVEN LEAD,47111.0,41928.79,723.02,47111.0,738 CPT,33249,INSERTION OF IMPLANTABLE DEFIBRILLATOR SYSTEM FACILITY,,,723.02,41646.9,21 CPT,33249,PR INS/RPLC DFIB W TRANSVEN LEAD,6298.0,5605.22,294.99,6298.0,482 CPT,33251,PR ABLT ARRHYTHMOGENIC FOCI W BYP,10921.0,9719.69,561.58,10921.0,482 CPT,33254,PR ABLT TISS/RECONSTCT ATRIA LTD,9430.0,8392.7,477.09,9430.0,482 CPT,33256,PR ABLT TISS/RECON ATRIA EXT W BP,13574.0,12080.86,672.19,13574.0,482 CPT,33257,PR ABLT&RCNSTRCT ATRIA W OTH PROC,4838.0,4305.82,423.93,4838.0,482 CPT,33258,PR ABLT&RCNSTRCT ATRIA WO BYPASS,4913.0,4372.57,474.45,4913.0,482 CPT,33259,PR ABLT&RCNSTRCT ATRIA W BYPASS,6434.0,5726.26,611.33,6434.0,482 CPT,33261,PR ABLT VENTR ARRHYTHMOGENIC FOC,11139.0,9913.71,565.36,11139.0,482 CPT,33262,HC RMVL&RPLC ICD GEN SNGL LEAD,48067.0,42779.63,300.84,48067.0,739 CPT,33262,PR RMVL&RPLC ICD GEN SNGL LEAD,2433.0,2165.37,122.75,2433.0,482 CPT,33262,REMOVAL AND REPLACEMENT OF SINGLE LEAD DEFIBRILLATOR FACILITY,,,300.84,29512.89,21 CPT,33263,HC RMVL&RPLC ICD GEN DUAL LEAD,51209.0,45576.01,312.27,51209.0,737 CPT,33263,PR RMVL&RPLC ICD GEN DUAL LEAD,2695.0,2398.55,127.41,2695.0,482 CPT,33263,REMOVAL AND REPLACEMENT OF DUAL LEAD DEFIBRILLATOR FACILITY,,,312.27,29512.89,20 CPT,33264,HC RMVL&RPLC ICD GEN MULTI LEAD,54163.0,48205.07,323.95,54163.0,737 CPT,33264,PR RMVL&RPLC ICD GEN MULTI LEAD,2728.0,2427.92,132.17,2728.0,482 CPT,33264,REMOVAL AND REPLACEMENT OF MULTIPLE LEAD DEFIBRILLATOR FACILITY,,,323.95,41646.9,21 CPT,33265,LIMITED RECONSTRUCTION OF UPPER HEART CHAMBER AND ALTERATION OF ELECTRICAL PATHWAY USING AN ENDOSCOPE,,,898.13,1755.18,20 CPT,33265,"PR ENDO ABLATE/ RECONSTUCT ATRIA, LIMITED",9248.0,8230.72,477.41,9248.0,482 CPT,33266,PR ENDO TISS ABLT/RECST ATRIA EXT,13758.0,12244.62,638.43,13758.0,482 CPT,33267,PR EXCL LAA OPEN ANY METHOD,8143.0,7247.27,363.69,8143.0,482 CPT,33268,PR EXCL LAA OPN OTH PX ANY METH,1201.0,1068.89,84.73,1201.0,482 CPT,33269,PR EXCL LAA THRSCP ANY METHOD,6108.0,5436.12,294.13,6108.0,482 CPT,33270,HC INS/RPLC SUBQ ICD W SUBQ ELEC,51711.0,46022.79,447.78,51711.0,736 CPT,33270,INSERTION OR REPLACEMENT OF DEFIBRILLATOR WITH ELECTRODE FACILITY,,,447.78,41646.9,20 CPT,33270,PR INS/RPLC SUBQ ICD W SUBQ ELEC,4626.0,4117.14,182.7,4626.0,482 CPT,33271,HC INST SQ IPLT DFB ELEC,21960.0,19544.4,368.01,21960.0,736 CPT,33271,INSERTION OF DEFIBRILLATOR ELECTRODE FACILITY,,,368.01,10979.83,20 CPT,33271,PR INST SQ IPLT DFB ELEC,3393.0,3019.77,150.15,3393.0,482 CPT,33272,HC RMVL SQ IPLT DFB ELEC,10431.0,9283.59,284.06,10431.0,736 CPT,33272,PR RMVL SQ IPLT DFB ELEC,3018.0,2686.02,115.9,3018.0,482 CPT,33272,REMOVAL OF DEFIBRILLATOR ELECTRODE FACILITY,,,284.06,41646.9,20 CPT,33273,HC REPOS PREV IMPLT SQ IMPLT DEF,20709.0,18431.01,326.61,20709.0,736 CPT,33273,PR REPOS PREV IMPLT SQ IMPLT DEF,1782.0,1585.98,133.26,1782.0,482 CPT,33273,REPOSITIONING OF DEFIBRILLATOR ELECTRODE FACILITY,,,326.61,1615.44,20 CPT,33274,HC RPLC/INSRT TRANSCATH LEADLS PM,47697.0,42450.33,571.47,47697.0,735 CPT,33274,INSERTION OF PERMANENT LEADLESS PACEMAKER USING IMAGING GUIDANCE FACILITY,,,444.22,25556.51,21 CPT,33274,PR RPLC/INSRT TRANSCATH LEADLS PM,4396.0,3912.44,155.44,4396.0,482 CPT,33275,HC TRANSCATH REMOVAL LEADLESS PM VENTRICULAR,4469.0,3977.41,604.7,4469.0,734 CPT,33275,PR TRSCTH REM PERM LEADLESS ICD,4181.0,3721.09,164.48,4181.0,482 CPT,33276,HC INSN PHRNC NRV STIM SYS,24792.0,22064.88,689.07,58441.09,734 CPT,33276,INSERTION OF PHRENIC NERVE STIMULATOR GENERATOR AND STIMULATING LEAD(S) FACILITY,,,13.56,58441.09,20 CPT,33276,PR INSN PHRNC NRV STIM SYS,5917.0,5266.13,187.43,5917.0,482 CPT,33277,HC INSN PHRNC NRV STIM TRANSVNS,10885.0,9687.65,340.07,10885.0,717 CPT,33277,PR INSN PHRNC NRV STIM TRANSVNS,3082.0,2742.98,185.0,3082.0,482 CPT,33278,HC RMVL PHRNC NRV STIM SYS,7357.0,6547.73,677.96,7357.0,734 CPT,33278,PR RMVL PHRNC NRV STIM SYS,4280.0,3809.2,184.41,4280.0,482 CPT,33279,HC RMVL PHRNC NRV STIM TRANSVNS,7357.0,6547.73,421.32,7357.0,734 CPT,33279,PR RMVL PHRNC NRV STIM TRANSVNS,3445.0,3066.05,114.6,3445.0,482 CPT,33280,HC RMVL PHRNC NRV STIM PG ONLY,11149.0,9922.61,266.43,11149.0,734 CPT,33280,PR RMVL PHRNC NRV STIM PG ONLY,1669.0,1485.41,72.47,1669.0,482 CPT,33281,HC REPOSG PHRNC NRV STIM TRNSVN,7140.0,6354.6,462.84,7140.0,734 CPT,33281,PR REPOSG PHRNC NRV STIM TRNSVN,2274.0,2023.86,125.89,2274.0,482 CPT,33285,HC IMPL PT ACTV CARD EVENT RECORD,18216.0,16212.24,67.76,18216.0,740 CPT,33285,INSERTION OF HEART RHYTHM MONITOR UNDER SKIN FACILITY,,,67.76,10979.83,21 CPT,33285,PR IMPL PT ACTV CARD EVENT RECORD,5997.0,5337.33,1680.23,5997.0,482 CPT,33286,HC RMVL IMPL CARDIAC EVENT RECORD,3203.0,2850.67,66.76,3203.0,738 CPT,33286,PR RMVL IMPL CARDIAC EVENT RECORD,1048.0,932.72,49.96,1048.0,482 CPT,33286,REMOVAL OF HEART RHYTHM MONITOR FROM UNDER THE SKIN FACILITY,,,66.76,939.55,21 CPT,33287,HC RMV&RPLCMT PHRNC NRV STIM PG,20513.0,18256.57,468.59,40942.15,734 CPT,33287,PR RMV&RPLCMT PHRNC NRV STIM PG,2489.0,2215.21,127.46,2489.0,482 CPT,33287,REMOVAL AND REPLACEMENT OF PHRENIC NERVE STIMULATOR PULSE GENERATOR FACILITY,,,4.81,40942.15,20 CPT,33288,HC RMV&RPLCMT PHRNC NRV STIM LD,20513.0,18256.57,624.6,20513.0,734 CPT,33288,PR RMV&RPLCMT PHRNC NRV STIM LD,3112.0,2769.68,169.89,3112.0,482 CPT,33289,"HC TRANSCATH IMPL W-LESS PULM PRESS SENSOR, RHC",54867.0,48831.63,386.52,54867.0,734 CPT,33289,INSERTION OF WIRELESS PRESSURE SENSOR INTO LUNG ARTERY THROUGH TUBE WITH REVIEW BY RADIOLOGIST FACILITY,,,7.88,38057.22,20 CPT,33289,"PR TRANSCATH IMPL W-LESS PULM PRESS SENSOR, RHC",3055.0,2718.95,105.14,3055.0,482 CPT,33300,PR RPR CARDIAC WOUND WO BYPASS,12180.0,10840.2,826.86,12180.0,482 CPT,33305,PR RPR CARDIAC WOUND W BYPASS,18089.0,16099.21,1365.73,18089.0,482 CPT,33310,PR CARDIOTOMY EXPLORATORY,7505.0,6679.45,419.11,7505.0,482 CPT,33315,PR CARDIOT RMVL FB/THRMB W BYP,11943.0,10629.27,651.92,11943.0,482 CPT,33320,PR SUTR RPR AORTA/GRT VSSL WO BYP,7880.0,7013.2,374.54,7880.0,482 CPT,33322,PR SUTR RPR AORTA/GRT VSSL W BYP,9568.0,8515.52,489.04,9568.0,482 CPT,33330,PR RPR AORTA/GRT VSSL WO SHNT BYP,9531.0,8482.59,503.63,9531.0,482 CPT,33335,PR INS GRAFT AORTA/GRT VSSL W BYP,14149.0,12592.61,650.37,14149.0,482 CPT,33340,HC PERC TXCATH CLSR LT ATR APNDG,29809.0,26530.01,509.19,29809.0,734 CPT,33340,PR PERC TXCATH CLSR LT ATR APNDG,6815.0,6065.35,232.28,6815.0,482 CPT,33340,REPAIR OF LEFT UPPER HEART CHAMBER WITH IMPLANT WITH REVIEW BY RADIOLOGIST FACILITY-EXPRESS CARE,,,298.6,853.97,20 CPT,33361,HC RPLC AORTIC VLV PERC FEM ARTY,58544.0,52104.16,784.75,58544.0,736 CPT,33361,PR RPLC AORTIC VLV PERC FEM ARTY,9139.0,8133.71,391.88,9139.0,482 CPT,33362,HC RPLC AORTIC VLV OPEN FEM ARTY,63885.0,56857.65,1044.77,63885.0,734 CPT,33362,PR RPLC AORTIC VLV OPEN FEM ARTY,10966.0,9759.74,426.27,10966.0,482 CPT,33363,PR RPLC AORTIC VLV OPN AXL ARTRY,10966.0,9759.74,442.73,10966.0,482 CPT,33364,PR RPLC AORTIC VLV OPN ILIAC ARTY,10966.0,9759.74,460.41,10966.0,482 CPT,33365,PR RPLC AORTIC VALVE TRANSAORTIC,11943.0,10629.27,461.99,11943.0,482 CPT,33366,PR TRANSCATHATER RPLC AORTIC VLV,12795.0,11387.55,508.14,12795.0,482 CPT,33368,PR RPLC AORTIC VLV W ART/VEN APP,6490.0,5776.1,490.19,6490.0,482 CPT,33369,PR RPLC AORTIC VLV CNTRL ART/VEN,6788.0,6041.32,647.43,6788.0,482 CPT,33370,HC TCAT PLMT&RMVL CEPD PERQ,13817.0,12297.13,154.41,13817.0,717 CPT,33370,PLACEMENT AND SUBSEQUENT REMOVAL OF DEVICE TO PROTECT BRAIN FROM EMBOLISM THROUGH CATHETER USING IMAGING GUIDANCE FACILITY,,,154.41,34679.84,20 CPT,33370,PR TCAT PLMT&RMVL CEPD PERQ,854.0,760.06,84.0,854.0,482 CPT,33390,PR VLVPLSTY AORTIC VALVE SMPL,15823.0,14082.47,647.56,15823.0,482 CPT,33391,PR VLVPLSTY AORTIC VALVE CMPLX,18737.0,16675.93,776.77,18737.0,482 CPT,33404,PR CNSTRCT APICAL-AORTIC CONDUIT,13942.0,12408.38,613.59,13942.0,482 CPT,33405,PR RPLC AORTIC VLV W PROSTH VLV,17298.0,15395.22,776.94,17298.0,482 CPT,33406,PR RPLC AORTIC VLV W BYP ALLOGRFT,20476.0,18223.64,975.05,20476.0,482 CPT,33410,PR RPLC AORTIC VLV STENTLESS TISS,13418.0,11942.02,870.25,13418.0,482 CPT,33411,PR RPLC AORTIC VLV ANNULUS ENLGMT,23519.0,20931.91,1135.74,23519.0,482 CPT,33412,PR RPLC AORTIC VALVE KONNO PROC,21786.0,19389.54,1070.7,21786.0,482 CPT,33413,PR RPLC AV TRNSLOC AUTOLOG PULM VLV,27225.0,24230.25,1102.92,27225.0,482 CPT,33414,PR RPR VENTR OUTFLOW TRACT OBSTR,15692.0,13965.88,726.22,15692.0,482 CPT,33415,INCISION OR REMOVAL OF TISSUE BELOW AORTIC VALVE,,,1323.64,2555.79,20 CPT,33415,PR RSECT/INC SUBVALVULAR TISSUE,15741.0,14009.49,695.18,15741.0,482 CPT,33416,PR VENTRICULOMYOTOMY-MYECTOMY,21160.0,18832.4,696.91,21160.0,482 CPT,33416,REMOVAL OF THICKENED HEART MUSCLE AT LEFT LOWER HEART CHAMBER,,,1322.9,2562.15,20 CPT,33417,PR AORTOPLASTY SUPRAVALVULAR STNS,13242.0,11785.38,579.99,13242.0,482 CPT,33418,HC TXCATH MITRAL VALVE REPAIR INI,70062.0,62355.18,1414.35,70062.0,734 CPT,33418,PR TXCATH MITRAL VALVE REPAIR INI,13484.0,12000.76,577.06,13484.0,482 CPT,33419,HC TRNSCATH MITR VLV RPR ADD PROST,2259.0,2010.51,326.71,2259.0,719 CPT,33419,PR TRNSCATH MITR VLV RPR ADD PROST,3652.0,3250.28,266.6,3652.0,482 CPT,33422,PR VALVOTOMY MITRAL VLV OPN HEART,12265.0,10915.85,585.8,12265.0,482 CPT,33425,PR VLVPLSTYLSTY MITRAL VLV W BYP,21062.0,18745.18,931.48,21062.0,482 CPT,33426,PR VLVPLSTYLSTY W BYP W PROSTH RING,17878.0,15911.42,816.14,17878.0,482 CPT,33427,PR VLVPLSTYLSTY W BYP WO PROSTH RING,20127.0,17913.03,832.13,20127.0,482 CPT,33430,PR RPLC MITRAL VLV W CARDPULM BYP,21159.0,18831.51,959.22,21159.0,482 CPT,33440,PR RPLC AV TRNSLOC AUTOLOG PULM VLV ROSS-KONNO,25804.0,22965.56,1155.76,25804.0,482 CPT,33463,PR VLVPLSTY TRICUSPID VLV WO RING INS,23086.0,20546.54,1045.57,23086.0,482 CPT,33464,PR VLVPLSTY TRICUSPID VLV W RING INS,17218.0,15324.02,832.78,17218.0,482 CPT,33465,PR RPLC TRICUSPID VLV W CARD BYP,15824.0,14083.36,935.98,15824.0,482 CPT,33468,PR TRICUSPID VLV REPO & PLICATION,20513.0,18256.57,825.22,20513.0,482 CPT,33474,PR VALVOTOMY PULM VLV OPN HEART,14628.0,13018.92,743.35,14628.0,482 CPT,33475,PR REPLACEMENT PULMONARY VALVE,19707.0,17539.23,787.86,19707.0,482 CPT,33476,PR RESECT RT VENT INFUND STENOSIS,9829.0,8747.81,532.7,9829.0,482 CPT,33477,HC TRANSCATH PULM VLV IMPL PERC,52141.0,46405.49,870.64,52141.0,737 CPT,33477,INSERTION OF PULMONARY VALVE FACILITY,,,870.64,1547.64,20 CPT,33477,PR TRANSCATH PULM VLV IMPL PERC,9858.0,8773.62,420.96,9858.0,482 CPT,33478,PR OUTFLOW TRACT AUGMENTATION,13707.0,12199.23,548.92,13707.0,482 CPT,33496,PR RPR NONSTRUCT PROSTH VLV DYSFN,12166.0,10827.74,584.86,12166.0,482 CPT,33500,PR RPR CORONARY AV/AC FIST W BYP,10507.0,9351.23,548.72,10507.0,482 CPT,33502,PR RPR ANOM CORONARY ART LIGATION,8347.0,7428.83,452.4,8347.0,482 CPT,33504,PR RPR COR ART PULM GRFT W BYP,11196.0,9964.44,514.19,11196.0,482 CPT,33505,PR RPR COR ART W INTRAPULM TUNNEL,16753.0,14910.17,687.92,16753.0,482 CPT,33506,PR RPR COR ART FRM PULM TO AORTA,14985.0,13336.65,690.66,14985.0,482 CPT,33507,PR RPR AORTIC ORIGIN CORONARY ART,16423.0,14616.47,584.02,16423.0,482 CPT,33508,PR ENDO SURG W VA HARVEST CABG,150.0,133.5,10.42,150.0,482 CPT,33510,PR COR ART BYPASS 1 COR VEN GRAFT,12994.0,11564.66,664.77,12994.0,482 CPT,33511,PR COR ART BYPASS 2 COR VEN GRAFT,14965.0,13318.85,730.13,14965.0,482 CPT,33512,PR COR ART BYPASS 3 COR VEN GRAFT,15660.0,13937.4,826.05,15660.0,482 CPT,33513,PR COR ART BYPASS 4 COR VEN GRAFT,16328.0,14531.92,842.19,16328.0,482 CPT,33516,PR COR ART BYP >=6 COR VEN GRAFT,23984.0,21345.76,930.65,23984.0,482 CPT,33517,PR COR ART BYP W VEIN GRFT 1 VEIN,1437.0,1278.93,122.87,1437.0,482 CPT,33518,PR COR ART BYP W VEIN GRFT 2 VEIN,2878.0,2561.42,269.57,2878.0,482 CPT,33519,PR COR ART BYP W VEIN GRFT 3 VEIN,3585.0,3190.65,356.36,3585.0,482 CPT,33521,PR COR ART BYP W VEIN GRFT 4 VEIN,5014.0,4462.46,427.85,5014.0,482 CPT,33522,PR COR ART BYP W VEIN GRFT 5 VEIN,6499.0,5784.11,480.04,6499.0,482 CPT,33530,PR REOP COR ART BYP/VALVE PROC,3716.0,3307.24,344.61,3716.0,482 CPT,33533,PR CABG W ARTL GRFT 1 ARTL GRFT,15050.0,13394.5,643.81,15050.0,482 CPT,33534,PR CABG W ARTL GRFT 2 ARTL GRFT,17726.0,15776.14,753.99,17726.0,482 CPT,33535,PR CABG W ARTL GRFT 3 ARTL GRFT,19106.0,17004.34,835.26,19106.0,482 CPT,33536,PR CABG W ARTL GRFT >=4 ARTL GRFT,20517.0,18260.13,898.03,20517.0,482 CPT,33542,PR MYOCARDIAL RESECTION,16618.0,14790.02,896.31,16618.0,482 CPT,33545,PR REPAIR POSTINFARCTION VSD,24042.0,21397.38,1048.7,24042.0,482 CPT,33548,PR SURG VENT RESTORATION PROC,19118.0,17015.02,1017.77,19118.0,482 CPT,33572,PR ENDARTERCOMY CORONAY ARTERY,2697.0,2400.33,151.05,2697.0,482 CPT,33600,PR CLSR ATRIOVENT VLV SUTR/PATCH,15901.0,14151.89,596.49,15901.0,482 CPT,33602,PR CLSR SEMILUNAR VLV AORTIC/PULM,15247.0,13569.83,580.13,15247.0,482 CPT,33606,PR ANAST PULM ARTERY TO AORTA,13842.0,12319.38,614.76,13842.0,482 CPT,33608,PR RPR CARD NOT PULM ATRESIA VSD,20164.0,17945.96,623.17,20164.0,482 CPT,33611,PR RPR RT VENT W INTRAVENT TUN,14982.0,13333.98,661.55,14982.0,482 CPT,33612,PR RPR RT VENT W VENT TRACT OBSTR,14643.0,13032.27,678.62,14643.0,482 CPT,33617,PR RPR COMPLEX CARDIAC ANOMALY,19662.0,17499.18,738.49,19662.0,482 CPT,33619,PR RPR 1 VENT W OUTFLW OBSTRUCT,25250.0,22472.5,943.06,25250.0,482 CPT,33620,PR APP RT< PULM ART BAND,10895.0,9696.55,560.19,10895.0,482 CPT,33621,PR TRNSTHORACIC CATH INS STENT PLC,5856.0,5211.84,325.71,5856.0,482 CPT,33622,PR RECONSTRUCTION CARDIAC ANOMALY,23377.0,20805.53,1144.39,23377.0,482 CPT,33641,PR RPR ATRIAL SEPTAL DEFECT W BYP,13720.0,12210.8,559.95,13720.0,482 CPT,33645,PR DIR/PATCH CLSR SINUS VENOSUS,13850.0,12326.5,590.53,13850.0,482 CPT,33647,PR RPR ATRIAL&VEN SEPTAL DEFECT,15991.0,14231.99,617.93,15991.0,482 CPT,33660,PR RPR INCOMPLT/PRTL AV CANAL,15965.0,14208.85,598.18,15965.0,482 CPT,33665,PR REPAIR INT/TRANSIONAL AV CANAL,16026.0,14263.14,649.4,16026.0,482 CPT,33670,PR RPR CMPLX AV CANAL W/WO PROSTH,21868.0,19462.52,659.53,21868.0,482 CPT,33675,PR CLSR MULT VEN SEPTAL DEFECTS,17034.0,15160.26,668.4,17034.0,482 CPT,33681,PR CLSR SNGL VEN SEPTAL DEFECT,12963.0,11537.07,641.1,12963.0,482 CPT,33684,PR CLSR V-SEPTL DEFECT W PULM,16035.0,14271.15,641.25,16035.0,482 CPT,33690,PR BANDING PULMONARY ARTERY,9924.0,8832.36,427.5,9924.0,482 CPT,33692,PR RPR T-FALLOT WO PULM ATRES,13801.0,12282.89,656.64,13801.0,482 CPT,33694,PR RPR T-FALLOT WO PULM ATRES PATCH,13705.0,12197.45,661.55,13705.0,482 CPT,33697,PR RPR T-FALLOT W PULM ATRESIA,13139.0,11693.71,695.47,13139.0,482 CPT,33720,PR RPR SINUS VALSALVA ANEURYSM,10949.0,9744.61,537.71,10949.0,482 CPT,33724,PR RPR ISOLATED PRTL PULM VENOUS,10926.0,9724.14,526.99,10926.0,482 CPT,33726,PR RPR PULM VENOUS STENOSIS,14798.0,13170.22,688.09,14798.0,482 CPT,33730,PR RPR COMPLT PULM VENOUS RETURN,14650.0,13038.5,583.15,14650.0,507 CPT,33732,PR RPR COR TRIATR/SUPRAVAL MTRL RNG,12932.0,11509.48,573.67,12932.0,482 CPT,33735,PR ATRIAL SEPTECT/SEPTOST CLSD,9749.0,8676.61,458.93,9749.0,482 CPT,33736,PR ATR SEPTECT/SEPTOST OPN W BYP,13499.0,12014.11,494.89,13499.0,482 CPT,33741,HC TAS CONGENITAL CAR ANOMAL,15381.0,13689.09,486.85,15381.0,734 CPT,33741,"INCISION OF PARTITION BETWEEN UPPER CHAMBERS OF HEART TO ALLOW BLOOD FLOW FOR CONGENITAL HEART DEFECTS, VIA CATHETER USING IMAGING GUIDANCE FACILITY",,,156.41,863.18,20 CPT,33741,PR TAS CONGENITAL CAR ANOMAL,5404.0,4809.56,234.79,5404.0,482 CPT,33745,"CREATION OF SHUNT FOR BLOOD FLOW WITHIN HEART FOR CONGENITAL HEART DEFECTS, VIA CATHETER USING IMAGING GUIDANCE FACILITY",,,752.15,24322.51,20 CPT,33745,HC TIS CGEN CAR ANOMAL 1ST SHNT,15765.0,14030.85,695.93,15765.0,734 CPT,33745,PR TIS CGEN CAR ANOMAL 1ST SHNT,6609.0,5882.01,335.66,6609.0,482 CPT,33746,HC TIS CGEN CAR ANOMAL EA ADDL,3154.0,2807.06,328.75,3154.0,732 CPT,33746,PR TIS CGEN CAR ANOMAL EA ADDL,3270.0,2910.3,268.26,3270.0,482 CPT,33750,PR SHUNT SUBCLAVIAN PULM ARTY,10886.0,9688.54,438.04,10886.0,482 CPT,33755,PR SHUNT ASCEND AORT PULM ARTY,9672.0,8608.08,465.78,9672.0,482 CPT,33762,PR SHUNT DESCEND AORT PULM ARTY,10567.0,9404.63,444.6,10567.0,482 CPT,33764,PR SHUNT CENTRAL W PROSTHETIC GRFT,14634.0,13024.26,465.78,14634.0,482 CPT,33766,PR SHUNT SUP VENA CAVA SNGL LUNG,10454.0,9304.06,461.0,10454.0,482 CPT,33767,PR SHUNT SUP VENA CAVA BOTH LUNG,12533.0,11154.37,490.39,12533.0,482 CPT,33768,PR ANAST CAVOPULM 2ND SUP VEN CAVA,3058.0,2721.62,271.59,3058.0,482 CPT,33770,PR RPR TRPOS GRT VSL WO ENLGMNT,14131.0,12576.59,711.53,14131.0,482 CPT,33777,PR RPR TRPOS GRT VSL W BYP OBSTR,15053.0,13397.17,645.11,15053.0,482 CPT,33778,PR RPR TRPOS GRT VSSL AORTIC PULM,26143.0,23267.27,678.47,26143.0,507 CPT,33780,PR RPR TGV ART RCNST W CLSR VSD,26179.0,23299.31,793.42,26179.0,482 CPT,33786,PR TOTAL RPR TRUNCUS ARTERIOSUS,16113.0,14340.57,766.48,16113.0,482 CPT,33788,PR REIMPLANTATION PULM ARTERY,11773.0,10477.97,526.23,11773.0,482 CPT,33800,PR AORT SUSP TRACH DCMPRS,8939.0,7955.71,344.05,8939.0,482 CPT,33800,SUTURE OF AORTA TO CHEST BONE,,,843.25,7854.46,20 CPT,33802,PR DIVISION ABERRANT VESSEL VASC,6846.0,6092.94,386.79,6846.0,482 CPT,33803,PR DIVISION ABERRANT VSL REANAST,9828.0,8746.92,398.69,9828.0,482 CPT,33820,PR RPR PATENT DUCTUS ARTY LIG,9281.0,8260.09,341.15,9281.0,482 CPT,33822,PR RPR PATENT DUCT ARETERIOS <18,12148.0,10811.72,358.41,12148.0,482 CPT,33840,PR EXCISN COARC AORTA W ANASTOM,12195.0,10853.55,437.2,12195.0,482 CPT,33845,PR EXCISN COARC AORTA W GRFT,14111.0,12558.79,471.26,14111.0,482 CPT,33851,PR EXCISION COARCTATION AORTA,13799.0,12281.11,448.12,13799.0,482 CPT,33852,PR RPR HYPOPLSTC AORT W GRFT WO BYP,13725.0,12215.25,489.33,13725.0,482 CPT,33853,PR RPR HYPOPLSTC AORTIC W PROSTH,20752.0,18469.28,633.9,20752.0,482 CPT,33858,PR AS-AORT GRF F/AORTIC DSJ,27506.0,24480.34,1138.26,27506.0,482 CPT,33859,PR AS-AORT GRF F/DS OTH/THN DSJ,17357.0,15447.73,823.75,17357.0,482 CPT,33863,PR ASC AORTA GRFT BYP&AORTIC RPLC,21368.0,19017.52,1056.09,21368.0,482 CPT,33863,REPAIR OF ASCENDING AORTA WITH GRAFT ON HEART-LUNG MACHINE WITH AORTIC ROOT REPLACEMENT AND HEART RECONSTRUCTION,,,2036.5,7765.32,20 CPT,33864,PR ASC AORTA GRFT VLV ROOT REMODEL,24350.0,21671.5,1078.17,24350.0,482 CPT,33866,PR AORTIC HEMIARCH GRAFT W CIRC ARREST-ADD ON,8141.0,7245.49,603.55,8141.0,482 CPT,33866,REPAIR OF AORTIC ARCH WITH GRAFT,,,198.04,5176.88,20 CPT,33871,PR TRANSVRS A-ARCH GRF HYPTHRM,23603.0,21006.67,1090.43,23603.0,482 CPT,33875,PR DESC THOR AORTA GRFT W/WO BYP,23513.0,20926.57,922.32,23513.0,482 CPT,33877,PR RPR THORACOABD AORTIC ANEURYSM,29725.0,26455.25,1185.22,29725.0,482 CPT,33880,PR ENDOVSC RPR W COVRG SUBCL ART,14284.0,12712.76,464.31,14284.0,482 CPT,33881,PR ENDOVSC RPR WO COVRG SUBCL ART,11948.0,10633.72,390.26,11948.0,482 CPT,33883,PR PLC PROX PROSTH EVASC RPR INIT,9131.0,8126.59,348.3,9131.0,482 CPT,33886,PR PLC DSTL EXTSN PROSTH DELAYED,7081.0,6302.09,347.28,7081.0,482 CPT,33894,HC EVASC ST RPR THRC/AA ACRS BR,9048.0,8052.72,751.09,9048.0,732 CPT,33894,PR EVASC ST RPR THRC/AA ACRS BR,7180.0,6390.2,306.45,7180.0,482 CPT,33895,HC EVASC ST RPR THRC/AA X CRSG,7916.0,7045.24,505.75,7916.0,734 CPT,33895,PR EVASC ST RPR THRC/AA X CRSG,5709.0,5081.01,243.94,5709.0,482 CPT,33895,REPAIR OF AORTA BY INSERTION OF STENT NOT CROSSING MAJOR SIDE BRANCHES FACILITY,,,156.41,896.82,20 CPT,33897,BALLOON DILATION OF NATIVE OR RECURRENT NARROWING OF HEART BLOOD VESSEL FACILITY,,,223.89,666.48,20 CPT,33897,HC PERQ TRLUML ANGP NT/RECR COA,6786.0,6039.54,375.94,6786.0,734 CPT,33897,PR PERQ TRLUML ANGP NT/RECR COA,4252.0,3784.28,181.29,4252.0,482 CPT,33900,HC PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI,39805.0,35426.45,679.82,39805.0,734 CPT,33900,"PLACEMENT OF STENT IN PULMONARY ARTERY WITH NORMAL ANATOMICAL CONNECTIONS, ON ONE SIDE OF BODY FACILITY",,,18.85,15316.89,20 CPT,33900,PR PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI,5050.0,4494.5,184.91,5050.0,482 CPT,33901,PR PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ BI,6492.0,5777.88,243.21,6492.0,482 CPT,33902,HC PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL,39774.0,35398.86,863.18,39774.0,734 CPT,33902,"PLACEMENT OF STENT IN PULMONARY ARTERY WITH ABNORMAL ANATOMICAL CONNECTIONS, ON ONE SIDE OF BODY FACILITY",,,255.99,24322.51,20 CPT,33902,PR PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL,6054.0,5388.06,234.79,6054.0,482 CPT,33903,PR PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL,7214.0,6420.46,276.91,7214.0,482 CPT,33904,PR PERQ P-ART REVSC ST EA ADDL VSL/SEP LES NM/ABNL,2631.0,2341.59,185.72,2631.0,482 CPT,33910,PR PULM ARTY EMBOLECTOMY W BYP,14817.0,13187.13,899.19,14817.0,482 CPT,33916,PR PULM ENDARTERECT W/WO EMBOLECT,24584.0,21879.76,1399.26,24584.0,482 CPT,33917,PR RPR PULMONARY ART STENOSIS,13094.0,11653.66,511.57,13094.0,482 CPT,33920,PR REPAIR ATRESIA PULMONARY ARTY,13663.0,12160.07,524.05,13663.0,507 CPT,33922,PR TRANSECTION PULM ARTY W BYP,11328.0,10081.92,486.02,11328.0,482 CPT,33924,PR LIGATION PULM ARTERY SHUNT,3037.0,2702.93,186.28,3037.0,482 CPT,33925,PR REPAIR PULM ARTY ARBORIZATION,11996.0,10676.44,582.26,11996.0,482 CPT,33926,PR RPR PULM ART ARBORIZ ANOM W BYP,15971.0,14214.19,810.21,15971.0,482 CPT,33927,PR IMPLTJ TOT RPLCMT HRT SYS,20838.0,18545.82,831.87,20838.0,482 CPT,33928,PR RMVL & RPLCMT TOT HRT SYS,22250.0,19802.5,1112.5,22250.0,477 CPT,33929,PR RMVL RPLCMT HRT SYS F/TRNSPL,4945.0,4401.05,494.5,4945.0,477 CPT,33930,PR CARD-PNEUMONECTOMY DONOR,15065.0,13407.85,13257.2,15065.0,477 CPT,33933,PR BKBENCH PREP CADAV HEART/LUNG,18268.0,16258.52,159.11,18268.0,482 CPT,33935,PR TRNSPL HRT LNG W CARDECT PNUMEC,33972.0,30235.08,1684.01,33972.0,482 CPT,33940,PR DONOR CARDIECTOMY,8878.0,7901.42,7812.64,8878.0,477 CPT,33944,PR PREP TRNSPL CADAVER DONOR HEART,2882.0,2564.98,112.39,2882.0,482 CPT,33945,PR HEART TRNSPL W/WO RCPT CARDIECTOMY,37519.0,33391.91,1646.25,37519.0,482 CPT,33946,HC ECMO INITIATION VENO-VENOUS,4790.0,4263.1,4311.0,4311.0,1 CPT,33946,PR ECMO INITIATION VENO-VENOUS,2360.0,2100.4,204.95,2360.0,482 CPT,33947,HC ECMO INITIATION VENO-ART,4946.0,4401.94,4451.4,4451.4,1 CPT,33947,PR ECMO INITIATION VENO-ART,2579.0,2295.31,225.58,2579.0,482 CPT,33948,HC ECMO DLY MGMT VENO-VENOUS,5001.0,4450.89,4501.0,4501.0,1 CPT,33948,PR ECMO DLY MGMT VENO-VENOUS,2259.0,2010.51,162.47,2259.0,482 CPT,33949,HC ECMO DLY MGMT VENO-ARTERIAL,5001.0,4450.89,4501.0,4501.0,1 CPT,33949,PR ECMO DLY MGMT VENO-ARTERIAL,1956.0,1740.84,157.03,1956.0,482 CPT,33951,HC ECMO INS PRPH CANNULA <=5YRS PERC,8483.0,7549.87,7634.8,7634.8,1 CPT,33951,PR ECMO INS PRPH CANNULA <=5YRS PERC,3401.0,3026.89,141.15,3401.0,482 CPT,33952,HC ECMO INSERT CANNULA >=6YR PERC,8758.0,7794.62,7882.2,7882.2,1 CPT,33952,PR ECMO INSERT CANNULA >=6YR PERC,3204.0,2851.56,140.22,3204.0,482 CPT,33953,PR ECMO INS PRPH CANNULA <=5YRS OPN,3789.0,3372.21,157.19,3789.0,482 CPT,33954,PR ECMO INS PRPH CNULA >=6YR,3569.0,3176.41,156.83,3569.0,482 CPT,33955,PR ECMO INS CNTRL CANNULA <=5YRS,6537.0,5817.93,274.66,6537.0,482 CPT,33956,PR ECMO INSERT CENTRL CANLA >=6YR,7329.0,6522.81,273.75,7329.0,482 CPT,33957,PR ECMO REPOS CNTRL CANNULA <=5YR PERC,1760.0,1566.4,61.83,1760.0,482 CPT,33958,HC ECMO REPOS CANNULA >=6YR PERC,5655.0,5032.95,5089.6,5089.6,1 CPT,33958,PR ECMO REPOS CANNULA >=6YR PERC,1721.0,1531.69,61.83,1721.0,482 CPT,33959,PR ECMO REPOS PERIPH CANNULA <=5YRS,2216.0,1972.24,78.42,2216.0,482 CPT,33962,PR ECMO REPOS CANNULA >=6YR OPN,1949.0,1734.61,78.42,1949.0,482 CPT,33963,PR ECMO REPOS CNTRL CANNULA <=5YR OPN,4265.0,3795.85,155.47,4265.0,482 CPT,33964,PR ECMO REPOS CANNULA >=6YR,3910.0,3479.9,163.86,3910.0,482 CPT,33965,PR ECMO RMVL CNTRL CANNULA <=5YR PERC,1741.0,1549.49,61.83,1741.0,482 CPT,33966,HC ECMO RMVL CANNULA >=6YR PERC,5089.0,4529.21,192.56,5089.0,734 CPT,33966,PR ECMO RMVL CANNULA >=6YR PERC,1944.0,1730.16,78.57,1944.0,482 CPT,33967,HC INS INTRA AORTIC BLN DEV PERC,6435.0,5727.15,167.84,6435.0,736 CPT,33967,PR INS INTRA AORTIC BLN DEV PERC,1812.0,1612.68,81.62,1812.0,482 CPT,33968,HC RMVL INTRA AORTIC BLN DEV PERC,4347.0,3868.83,3912.4,3912.4,1 CPT,33968,PR RMVL INTRA AORTIC BLN DEV PERC,276.0,245.64,21.67,276.0,482 CPT,33969,PR ECMO RMVL PERIPH CANNULA <=5YRS,2276.0,2025.64,90.97,2276.0,482 CPT,33970,PR INS INTRA AORTIC BLN FEM ART,2554.0,2273.06,113.68,2554.0,482 CPT,33971,PR RMVL INTRA AORTIC BLN FEM ART,4706.0,4188.34,249.57,4706.0,482 CPT,33973,PR INS INTRA AORTIC BLN ASC AORTA,3690.0,3284.1,166.1,3690.0,482 CPT,33975,PR INS VENT ASSIST DEV SNGL VENT,8637.0,7686.93,424.82,8637.0,482 CPT,33976,PR INS VENT ASSIST DEVICE BIVENT,10123.0,9009.47,523.84,10123.0,482 CPT,33977,PR RMVL VENT ASSIST DEVICE 1 VENT,8939.0,7955.71,377.22,8939.0,482 CPT,33978,PR RMVL VAD EXTRACORPOREAL BIVENT,8899.0,7920.11,451.3,8899.0,482 CPT,33979,PR INS VENT ASSIST DEV IMPL 1VENT,19903.0,17713.67,638.06,19903.0,482 CPT,33980,PR RMVL VENT ASST DEV IMPL SNGL,23465.0,20883.85,593.46,23465.0,482 CPT,33981,PR RPLC VAD SNGL/BIVENT PUMPS,7540.0,6710.6,274.51,7540.0,482 CPT,33982,PR RPLC VAD IMPL INTRACORPL SNGL,13220.0,11765.8,644.85,13220.0,482 CPT,33983,PR RPLC VAD IMPL SNGL VENT W BYP,22034.0,19610.26,759.04,22034.0,482 CPT,33984,PR ECMO RMVL PRPH CANNULA >=6YR OPN,2581.0,2297.09,93.35,2581.0,482 CPT,33985,PR ECMO RMVL CNTRL CANNULA <=5YR,3870.0,3444.3,170.6,3870.0,482 CPT,33986,PR ECMO RMVL CNTRL CANNULA >=6YR OPN,4157.0,3699.73,172.46,4157.0,482 CPT,33987,PR ARTL EXPOS/GRFT PERFSN ECMO,1622.0,1443.58,137.77,1622.0,482 CPT,33988,PR INS LT HEART VENT THOR ECMO,6451.0,5741.39,257.76,6451.0,482 CPT,33989,PR RMVL LT HEART VENT THOR ECMO,4288.0,3816.32,163.86,4288.0,482 CPT,33990,HC INS PERC VENT ASSIST DEV LEFT HEART ARTERIAL ONLY W IMG,10718.0,9539.02,278.21,10718.0,734 CPT,33990,PR INS PERC VENT ASSIST DEV LEFT HEART ARTERIAL ONLY W IMG,3159.0,2811.51,113.51,3159.0,482 CPT,33991,HC INSERT VAD PERC LEFT HEART W S&I ART&VEN,5254.0,4676.06,369.12,5254.0,734 CPT,33991,PR INSERT VAD PERC LEFT HEART W S&I ART&VEN,4180.0,3720.2,150.6,4180.0,482 CPT,33992,"HC RMVL PERC VENT ASSIST DEV LEFT HEART,ART &/OR ART&VEN",15322.0,13636.58,146.36,15322.0,734 CPT,33992,"PR RMVL PERC VENT ASSIST DEV, LEFT HEART,ART &/OR ART&VEN",1435.0,1277.15,59.72,1435.0,482 CPT,33993,PR REPO PERC VENT ASSIST DEV RT OR LT,2233.0,1987.37,52.75,2233.0,482 CPT,33995,HC INSERT PERQ VAD R HRT VENOUS,10718.0,9539.02,278.6,10718.0,732 CPT,33995,PR INSERT PERQ VAD R HRT VENOUS,2614.0,2326.46,113.67,2614.0,482 CPT,33997,PR REMOVE PERQ R HRT VAD,1449.0,1289.61,50.77,1449.0,482 CPT,33999,HC TRANSCAROTID TAVR,58544.0,52104.16,628.65,58544.0,734 CPT,33999,PR TRANSCAROTID TAVR,10966.0,9759.74,548.3,10966.0,477 CPT,33999,UNLISTED PROC CARDIAC SURG - FACILITY,,,232.03,7382.99,19 CPT,34101,PR EMBLC/THRMBC AX/BRACH ARM INC,4339.0,3861.71,196.91,4339.0,482 CPT,34111,PR EMBLC/THRMBC RADIAL/ULNAR ARM,3747.0,3334.83,197.25,3747.0,482 CPT,34151,PR EMBLC/THRMBC RNL/CEL/AORTILIAC,10345.0,9207.05,454.6,10345.0,482 CPT,34201,PR EMBLC/THRMBC FEM POP AORTILIAC,7002.0,6231.78,333.42,7002.0,482 CPT,34203,PR EMBLC/THRMBC POPLITEAL TIBIO,6455.0,5744.95,310.84,6455.0,482 CPT,34401,PR THRMBC DIR/W CATH VENA ABD INC,9556.0,8504.84,435.55,9556.0,482 CPT,34502,PR RCNSTRCT VENA CAVA ANY METHOD,13951.0,12416.39,519.76,13951.0,482 CPT,34701,PR EVASC RPR A-AO NDGFT,7338.0,6530.82,401.63,7338.0,482 CPT,34702,PR EVASC RPR A-AO NDGFT RPT,9138.0,8132.82,579.66,9138.0,482 CPT,34703,PR EVASC RPR A-UNILAC NDGFT,10126.0,9012.14,444.64,10126.0,482 CPT,34705,PR EVAC RPR A-BIILIAC NDGFT,8223.0,7318.47,493.66,8223.0,482 CPT,34706,PR EVASC RPR A-BIILIAC RPT,12763.0,11359.07,732.98,12763.0,482 CPT,34707,PR EVASC RPR ILIO-ILIAC NDGFT,7651.0,6809.39,378.33,7651.0,482 CPT,34707,REPAIR OF GROIN ARTERY WITH GRAFT FOR OTHER THAN RUPTURE WITH REVIEW BY RADIOLOGIST,,,161.04,1390.92,20 CPT,34708,PR EVASC RPR ILIO-ILIAC RPT,12232.0,10886.48,587.28,12232.0,482 CPT,34709,PR PLMT XTN PROSTH EVASC RPR,1784.0,1587.76,205.53,1784.0,482 CPT,34710,PR DLYD PLMT XTN PROSTH 1ST VSL,5189.0,4618.21,261.07,5189.0,482 CPT,34711,PR DLYD PLMT XTN PROSTH EA ADDL,1466.0,1304.74,188.05,1466.0,482 CPT,34712,PR TCAT DLVR ENHNCD FIXJ DEV,3967.0,3530.63,215.63,3967.0,482 CPT,34713,PR PERQ ACCESS & CLSR FEM ART,665.0,591.85,78.64,665.0,482 CPT,34714,PR OPN FEM ART EXPOS CNDT CRTJ,1690.0,1504.1,176.23,1690.0,482 CPT,34715,PR OPN AX/SUBCLA ART EXPOS,1744.0,1552.16,192.14,1744.0,482 CPT,34716,EXPOSURE OF UNDERARM OR UPPER CHEST ARTERY WITH CREATION OF CONDUIT,,,198.04,5176.88,20 CPT,34716,PR OPN AX/SUBCLA ART EXPOS CNDT,2752.0,2449.28,244.0,2752.0,482 CPT,34717,PR EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI,3112.0,2769.68,282.09,3112.0,482 CPT,34718,PR EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI,8386.0,7463.54,399.02,8386.0,482 CPT,34812,EXPOSURE OF THIGH ARTERY FOR INSERTION OF PROSTHESIS,,,130.06,241.56,20 CPT,34812,PR OPEN FEM ARTY EXPOSURE UNILAT,2320.0,2064.8,131.41,2320.0,482 CPT,34831,PR RPR ANYSM W AORTOBIILIAC PRSTH,12856.0,11441.84,627.75,12856.0,482 CPT,34834,PR BRACH ART EXPOS DPL PROSTH UNILAT,1941.0,1727.49,82.86,1941.0,482 CPT,34841,PR ENDOVASC VISCER AORT RPR 1 GRFT,9975.0,8877.75,597.49,9975.0,482 CPT,34842,PR EVASC VISC AORTA RPR 2 GRAFT,11969.0,10652.41,752.28,11969.0,482 CPT,34843,PR EVASC VISCER AORT RPR 3 GRFT,13964.0,12427.96,907.06,13964.0,482 CPT,34844,PR EVASC VISC AORTA RPR 4 GRAFT,15457.0,13756.73,1061.85,15457.0,482 CPT,34845,PR VISC & INFRAREN ABD 1 PROSTH,16279.0,14488.31,1095.37,16279.0,482 CPT,34846,PR VISC & INFRAREN ABD 2 PROSTH,15959.0,14203.51,1249.72,15959.0,482 CPT,34847,PR VISC & INFRAREN ABD 3 PROSTH,22024.0,19601.36,1404.51,22024.0,482 CPT,34848,PR VISC & INFRAREN ABD 4+ PROSTH,24899.0,22160.11,1559.3,24899.0,482 CPT,35001,PR DIR RPR ARYSM CAROTID-SUBCL,9671.0,8607.19,363.39,9671.0,482 CPT,35011,PR DIR RPR ANEURYSM AX-BRACHIAL,8125.0,7231.25,329.8,8125.0,482 CPT,35021,PR RPR ANEURYSM SUBCLAV ARTY,7859.0,6994.51,447.54,7859.0,482 CPT,35045,PR DIR RPR ANEURYSM RAD/ULNR ARTY,5813.0,5173.57,314.82,5813.0,482 CPT,35045,REPAIR OF ANEURYSM OR FOREARM ARTERY WITH GRAFT,,,771.62,7382.99,20 CPT,35081,PR DIR RPR ARYSM ABDOMINAL AORTA,12489.0,11115.21,564.63,12489.0,482 CPT,35082,PR DIR RPR RUPTD ARYSM ABD AORTA,17000.0,15130.0,700.69,17000.0,482 CPT,35091,PR DIR RPR ARYSM ABD AORTA W VISC,12474.0,11101.86,572.35,12474.0,482 CPT,35092,PR DIR RPR RUPT AAA W VISCERA VSL,17195.0,15303.55,815.36,17195.0,482 CPT,35102,PR DIR REPAIR AAA W ILIAC VESSEL,13719.0,12209.91,609.36,13719.0,482 CPT,35111,PR RPR ANEURYSM SPLENIC ARTY,9817.0,8737.13,431.79,9817.0,482 CPT,35121,PR DIR RPR ARYSM HEP/CEL/RENL/MES,11605.0,10328.45,512.5,11605.0,482 CPT,35131,PR DIR RPR ARYSM& GRFT ILIAC ARTY,9671.0,8607.19,452.96,9671.0,482 CPT,35141,PR DIR RPR ARYSM& GRFT FEM ARTY,7712.0,6863.68,356.22,7712.0,482 CPT,35142,PR DIR RPR RUPTD ARYSM& GRFT FEM,9828.0,8746.92,429.67,9828.0,482 CPT,35151,PR DIR RPR ARYSM& GRFT POPLT ARTY,7963.0,7087.07,403.37,7963.0,482 CPT,35190,PR RPR/TRAUMATIC AV FISTULA EXT,5532.0,4923.48,249.5,5532.0,482 CPT,35190,REPAIR OF ABNORMAL ARTERY-VEIN CONNECTION IN ARM OR LEG,,,611.51,7382.99,20 CPT,35201,PR RPR BLOOD VESSEL DIRECT NECK,8059.0,7172.51,308.38,8059.0,482 CPT,35201,REPAIR OF BLOOD VESSEL OF NECK,,,755.82,17034.43,20 CPT,35206,PR RPR BLOOD VSSL DIR UPR EXTRM,6203.0,5520.67,267.42,6203.0,482 CPT,35207,PR RPR BLOOD VESSEL DIR HAND FGR,7034.0,6260.26,262.11,7034.0,482 CPT,35207,REPAIR OF BLOOD VESSEL OF HAND OR FINGER,,,642.43,4189.36,20 CPT,35211,PR RPR BLD VSSL INTRATHORA W BYP,10747.0,9564.83,412.77,10747.0,507 CPT,35216,PR RPR BLD VSSL INTRATHORA WO BYP,12977.0,11549.53,700.83,12977.0,482 CPT,35221,PR RPR BLD VSSL DIRECT INTRA ABD,10304.0,9170.56,486.35,10304.0,482 CPT,35226,PR RPR BLD VSSL DIRECT LOWER EXT,5834.0,5192.26,274.26,5834.0,482 CPT,35236,PR RPR BLD VSSL W VEIN GRAFT UE,9320.0,8294.8,335.87,9320.0,482 CPT,35241,PR RPR BLD VSL VEIN GRF INTRATHOR,9951.0,8856.39,505.62,9951.0,482 CPT,35246,PR RPR BLD VSSL VEIN GRFT INTRTHOR,11215.0,9981.35,546.33,11215.0,482 CPT,35251,PR RPR BLD VSSL VEIN GRFT INTRAABD,13034.0,11600.26,566.54,13034.0,482 CPT,35256,PR RPR BLD VSSL VEIN GRFT LOWEREXT,8735.0,7774.15,336.92,8735.0,482 CPT,35261,PR RPR BLD VSL W GRFT NOT VEIN NK,8735.0,7774.15,322.24,8735.0,482 CPT,35266,PR RPR BLD VSL NOT VEIN GRFT UE,6098.0,5427.22,285.55,6098.0,482 CPT,35271,PR RPR BLD VSL NOT V GRFT IT W BYP,8957.0,7971.73,488.45,8957.0,482 CPT,35271,REPAIR OF BLOOD VESSEL OF CHEST WITH GRAFT ON HEART-LUNG MACHINE,,,987.36,3988.75,20 CPT,35276,PR RPR BLDVSL NOT V GRFT IT WO BYP,9068.0,8070.52,515.27,9068.0,482 CPT,35281,PR RPR BLVSL W GRFT INTRA ABD,11226.0,9991.14,537.53,11226.0,482 CPT,35286,PR RPR BLVSL W GRFT LOWER EXT,6767.0,6022.63,304.2,6767.0,482 CPT,35301,PR TEA CARTD/VERTB/SUBCL NECK INC,7846.0,6982.94,368.95,7846.0,482 CPT,35302,PR TEA W GRFT SUPERFICIAL FEM ARTY,7380.0,6568.2,363.86,7380.0,482 CPT,35303,PR TEA W GRAFT POPLITEAL ARTERY,8380.0,7458.2,399.99,8380.0,482 CPT,35305,PR TEA W GRAFT TIB/PER ARTY 1 VSL,8131.0,7236.59,394.56,8131.0,482 CPT,35321,PR TEA W/WO PATCH GRFT AX BRACHIAL,6253.0,5565.17,299.04,6253.0,482 CPT,35331,PR TEA W/WO PATCH GRAFT ABD AORTA,9728.0,8657.92,453.96,9728.0,482 CPT,35341,PR TEA W/WO PATCH GRFT MES/CEL/RNL,8809.0,7840.01,447.58,8809.0,482 CPT,35351,PR TEA W/WO PATCH GRAFT ILIAC,8036.0,7152.04,420.07,8036.0,482 CPT,35355,PR TEA W/WO PATCH GRFT ILIOFEMORAL,8695.0,7738.55,334.62,8695.0,482 CPT,35371,PR TEA W/WO PATCH GRFT COMMON FEM,6466.0,5754.74,266.75,6466.0,482 CPT,35371,REMOVAL OF BLOOD CLOT AND PORTION OF UPPER THIGH ARTERY,,,522.93,980.69,20 CPT,35372,PR TEA W/WO P GRAFT PROFUNDA FEM,7352.0,6543.28,318.43,7352.0,482 CPT,35500,PR HARVEST UE VEIN 1 SGM LE/CABG,2158.0,1920.62,204.38,2158.0,482 CPT,35536,PR BYPASS W VEIN SPLENORENAL,11049.0,9833.61,547.72,11049.0,482 CPT,35556,PR BYP W VEIN FEMRL TO POPLITEAL,8925.0,7943.25,453.35,8925.0,482 CPT,35558,PR BYPASS W VEIN FEMRL TO FEMRL,8483.0,7549.87,397.53,8483.0,482 CPT,35560,PR BYPASS W VEIN AORTORENAL,10970.0,9763.3,552.36,10970.0,482 CPT,35566,PR BYP FEM TO ANT/POST TIBIAL,10266.0,9136.74,537.49,10266.0,482 CPT,35570,PR BYP TIB-TIB/PERONEAL-TIB,10942.0,9738.38,478.93,10942.0,482 CPT,35571,PR BYP POP TO TIBL OR PERONEAL,8761.0,7797.29,430.52,8761.0,482 CPT,35600,PR HARVEST UE ARTY 1 SEGMENT CABG,1657.0,1474.73,121.96,1657.0,482 CPT,35606,PR BYP NOT VEIN CAROTID TO SUBCL,9263.0,8244.07,382.76,9263.0,482 CPT,35621,PR BYP NOT VEIN AXILLARY TO FEM,7571.0,6738.19,355.53,7571.0,482 CPT,35626,PR BYP NOT VEIN AORTOSUBCL/CARTD,13628.0,12128.92,540.26,13628.0,482 CPT,35631,PR BYP NOT VEIN AORTO CEL/MSN/REN,16897.0,15038.33,599.74,16897.0,482 CPT,35633,PR BYP GRFT NOT VEIN ILIO TO MSN,15559.0,13847.51,644.51,15559.0,482 CPT,35636,PR BYP GRFT NOT VEIN SPLENORENAL,10221.0,9096.69,517.38,10221.0,482 CPT,35637,PR BYP GRF NOT VEIN AORTOILIAC,10553.0,9392.17,537.85,10553.0,482 CPT,35638,PR BYP NOT VEIN AORTOBI TO ILIAC,12858.0,11443.62,568.18,12858.0,482 CPT,35646,PR BYP NOT VEIN AORTOBI TO FEM,10211.0,9087.79,553.54,10211.0,482 CPT,35647,PR BYP NOT VEIN AORTO TO FEMORAL,10322.0,9186.58,485.01,10322.0,482 CPT,35654,PR BYP NOT VEIN AX TO FEM TO FEM,8476.0,7543.64,443.87,8476.0,482 CPT,35656,PR BYP NOT VEIN FEMORAL TO POP,8402.0,7477.78,349.53,8402.0,482 CPT,35661,PR BYP NOT VEIN FEM TO FEM,8051.0,7165.39,354.23,8051.0,482 CPT,35663,PR BYP GRFT NOT VEIN ILIOILIAC,10268.0,9138.52,397.13,10268.0,482 CPT,35665,PR BYP GRFT NOT VEIN ILIOFEMORAL,8402.0,7477.78,383.96,8402.0,482 CPT,35666,PR BYP NOT VEIN FEM TO ANT TIB,9765.0,8690.85,422.29,9765.0,482 CPT,35682,PR BYP AUTOG COMPOSIT 2 SEG 2 LOC,2576.0,2292.64,223.65,2576.0,482 CPT,35694,PR TRPOS&/RPLC SUBCL CARTD ARTY,7260.0,6461.4,322.96,7260.0,482 CPT,35695,PR TRPOS&/RPLC CARTD SUBCL ARTY,8163.0,7265.07,334.88,8163.0,482 CPT,35697,PR RIMPL VISC ARTY INFRARNL AORT,1503.0,1337.67,93.88,1503.0,482 CPT,35700,PR REOP > 1 MO AFTER ORIGINAL OP,1266.0,1126.74,96.75,1266.0,482 CPT,35701,PR EXPLR W/WO LYSIS CAROTID ARTY,4371.0,3890.19,145.11,4371.0,482 CPT,35702,EXPLORATION OF ARM ARTERY,,,503.64,11643.84,20 CPT,35702,PR EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY,3344.0,2976.16,136.99,3344.0,482 CPT,35703,EXPLORATION OF LEG ARTERY,,,10.74,510.92,20 CPT,35703,PR EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY,3464.0,3082.96,138.97,3464.0,482 CPT,35800,"EXPLORATION OF NECK FOR BLEEDING, BLOOD CLOT, OR INFECTION AFTER SURGERY",,,611.89,7382.99,19 CPT,35800,PR EXPLR PO HEMR THROM/INFC NECK,3758.0,3344.62,249.65,3758.0,482 CPT,35820,"EXPLORATION OF CHEST FOR BLEEDING, BLOOD CLOT, OR INFECTION AFTER SURGERY",,,1315.54,2511.39,20 CPT,35820,PR EXPLR PO HEMR THROM/INFC CHEST,12181.0,10841.09,683.1,12181.0,482 CPT,35840,"EXPLORATION OF ABDOMEN FOR BLEEDING, BLOOD CLOT, OR INFECTION AFTER SURGERY",,,813.96,1520.03,20 CPT,35840,PR EXPLR PO HEMR THROM/INFC ABD,5177.0,4607.53,413.45,5177.0,482 CPT,35860,PR EXPLR PO HEMR THROM/INFC EXT,3626.0,3227.14,282.88,3626.0,482 CPT,35870,PR RPR GRFT ENTERIC FSTL,9680.0,8615.2,406.3,9680.0,482 CPT,35875,HC THROMB ARTL GRFT NOT HEMO GRFT,15140.0,13474.6,479.28,15140.0,736 CPT,35875,PR THROMB ARTL GRFT NOT HEMO GRFT,4330.0,3853.7,195.55,4330.0,482 CPT,35876,PR THROMB ARTL/VEIN GRFT W REV GRFT,7443.0,6624.27,309.43,7443.0,482 CPT,35883,PR REV FEM ANAST OPN NONAUTOG GRFT,8489.0,7555.21,388.64,8489.0,482 CPT,35903,PR EXCISN INFECTED GRFT EXTREMITY,4135.0,3680.15,190.15,4135.0,482 CPT,35903,REMOVAL OF INFECTED GRAFT OF ARM OR LEG,,,466.05,4189.36,20 CPT,35905,PR EXCISION INFECTED GRAFT THORAX,9466.0,8424.74,544.52,9466.0,482 CPT,35907,PR EXCISN INFECTED GRAFT ABDOMEN,12539.0,11159.71,616.78,12539.0,482 CPT,36000,HC INTRO NDL/CATH VEIN,401.5,357.335,53.46,546.0,2151 CPT,36000,INSERTION OF NEEDLE OR TUBE INTO VEIN FACILITY,,,241.81,724.99,19 CPT,36000,PR INTRO NDL/CATH VEIN,191.0,169.99,28.65,191.0,430 CPT,36002,HC INJ PERC TX EXT PSEUDOARYSM,1858.0,1653.62,85.32,1858.0,736 CPT,36002,INJECTION TO CAUSE BLOOD CLOT IN DISEASED OR PSEUDOANEURYSM OF ARM OR LEG FACILITY,,,85.32,4301.41,20 CPT,36002,PR INJ PERC TX EXT PSEUDOARYSM,1046.0,930.94,59.77,1046.0,482 CPT,36005,HC INJ EXT VENOGRPH W NDLCATH,1288.0,1146.32,38.14,1288.0,1440 CPT,36005,INJECTION FOR X-RAY IMAGING PROCEDURE INTO VEIN OF ARM OR LEG FACILITY,,,38.14,15316.89,20 CPT,36005,PR INJ EXT VENOGRPH W NDLCATH,1110.0,987.9,100.68,1110.0,482 CPT,36010,HC INTRO CATH SUPR/INF VENA CAVA,3178.0,2828.42,85.85,3178.0,1438 CPT,36010,INSERTION OF TUBE INTO VENA CAVA FACILITY,,,85.85,7551.6,20 CPT,36010,PR INTRO CATH SUPR/INF VENA CAVA,1697.0,1510.33,210.18,1697.0,482 CPT,36011,HC SEL CATH PLC VEN SYS 1ST ORDER,3788.0,3371.32,124.39,3788.0,1440 CPT,36011,"INSERTION OF TUBE INTO VEIN, FIRST ORDER BRANCH FACILITY",,,124.39,15316.89,20 CPT,36011,PR SEL CATH PLC VEN SYS 1ST ORDER,2837.0,2524.93,321.67,2837.0,482 CPT,36012,HC SEL CATH PLC VEN SYS 2ND ORDER,3669.0,3265.41,139.61,3669.0,722 CPT,36012,"INSERTION OF TUBE INTO VEIN, SECOND ORDER BRANCH FACILITY",,,279.22,24322.51,20 CPT,36012,PR SEL CATH PLC VEN SYS 2ND ORDER,3445.0,3066.05,331.81,3445.0,482 CPT,36013,HC INTRO CATH RT HEART/PULM ARTY,2603.0,2316.67,103.31,2603.0,719 CPT,36013,INSERTION OF TUBE INTO RIGHT HEART OR MAIN PULMONARY ARTERY FACILITY,,,103.31,7382.99,20 CPT,36013,PR INTRO CATH RT HEART/PULM ARTY,2800.0,2492.0,320.5,2800.0,482 CPT,36014,HC SEL CATH PLC LT/RT PULM ARTERY,4500.0,4005.0,119.79,4500.0,720 CPT,36014,INSERTION OF TUBE INTO LEFT OR RIGHT PULMONARY ARTERY FACILITY,,,119.79,24322.51,20 CPT,36014,PR SEL CATH PLC LT/RT PULM ARTERY,2416.0,2150.24,309.28,2416.0,482 CPT,36015,HC PLC CATH SEGM PULM ARTY,5516.0,4909.24,137.98,5516.0,720 CPT,36015,INSERTION OF TUBE INTO ARTERY OF LOBE OF LUNG FACILITY,,,137.98,24322.51,20 CPT,36015,PR PLC CATH SEGM PULM ARTY,2791.0,2483.99,327.22,2791.0,482 CPT,36140,HC INTRO NDL/CATH EXT ARTY,2680.0,2385.2,70.39,2680.0,1438 CPT,36140,INSERTION OF NEEDLE OR TUBE INTO ARTERY OF ARM OR LEG FACILITY,,,70.39,138.71,20 CPT,36140,PR INTRO NDL/CATH EXT ARTY,1467.0,1305.63,205.41,1467.0,482 CPT,36160,INSERTION OF NEEDLE OR TUBE INTO AORTA FACILITY,,,98.79,24322.51,20 CPT,36160,PR INTRO NDL/INTRACATH AORT TRNSLMB,2023.0,1800.47,224.43,2023.0,482 CPT,36200,HC INTRODUCTION CATHETER AORTA,2630.0,2340.7,108.69,2630.0,1438 CPT,36200,INSERTION OF TUBE INTO AORTA FACILITY,,,104.77,163.04,20 CPT,36200,PR INTRODUCTION CATHETER AORTA,1805.0,1606.45,230.57,1805.0,482 CPT,36215,HC SEL CATH EA 1ST ORD THRC/BRCH,3302.0,2938.78,174.38,3302.0,1438 CPT,36215,"INSERTION OF TUBE INTO CHEST OR ARM ARTERY, EACH FIRST ORDER BRANCH FACILITY",,,871.9,15316.89,20 CPT,36215,PR SEL CATH EA 1ST ORD THRC/BRCH,4064.0,3616.96,438.97,4064.0,482 CPT,36216,HC SEL CATH 1ST/2ND ORD THRC/BRCH,5106.0,4544.34,217.91,6155.0,1438 CPT,36216,"INSERTION OF TUBE INTO CHEST OR ARM ARTERY, INITIAL SECOND ORDER BRANCH FACILITY",,,217.91,24322.51,20 CPT,36216,PR SEL CATH 1ST/2ND ORD THRC/BRCH,3504.0,3118.56,440.32,3504.0,482 CPT,36217,HC SEL CATH 3RD+ORD SEL THRC/BRCH,4321.0,3845.69,266.96,4321.0,1438 CPT,36217,"INSERTION OF TUBE INTO CHEST OR ARM ARTERY, INITIAL THIRD ORDER BRANCH FACILITY",,,266.96,15316.89,20 CPT,36217,PR SEL CATH 3RD+ORD SEL THRC/BRCH,5025.0,4472.25,811.88,5025.0,482 CPT,36218,HC SEL CATH EA 2ND+ ORD THRC/BRCH,2472.0,2200.08,41.68,2472.0,719 CPT,36218,"INSERTION OF TUBE INTO CHEST OR ARM ARTERY, ADDITIONAL SECOND, THIRD ORDER AND BEYOND FACILITY",,,41.68,24322.51,20 CPT,36218,PR SEL CATH EA 2ND+ ORD THRC/BRCH,821.0,730.69,187.98,821.0,482 CPT,36221,HC NONSEL CATH THOR AORTA W ANGIO,11178.0,9948.42,157.45,11178.0,736 CPT,36221,INSERTION OF TUBE INTO CHEST AORTA FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,157.45,4301.41,20 CPT,36221,PR NONSEL CATH THOR AORTA W ANGIO,3435.0,3057.15,389.57,3435.0,482 CPT,36222,HC SEL CATH CARTD ANGIO EXTRACRAN,12816.0,11406.24,222.77,12816.0,736 CPT,36222,INSERTION OF TUBE INTO EXTRACRANIAL ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,222.77,24322.51,20 CPT,36222,PR SEL CATH CARTD ANGIO EXTRACRAN,4189.0,3728.21,513.68,4189.0,482 CPT,36223,HC SEL CATH CARTD ANGIO INTRCR,17238.0,15341.82,258.59,17238.0,738 CPT,36223,INSERTION OF TUBE INTO INTRACRANIAL ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,258.59,8356.96,20 CPT,36223,PR SEL CATH CARTD ANGIO INTRCR,5091.0,4530.99,784.91,5091.0,482 CPT,36224,HC SEL CATH INTRNL CARTD ARTERY,19424.0,17287.36,287.75,19424.0,737 CPT,36224,INSERTION OF TUBE INTO INTERNAL NECK ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,287.75,7382.99,20 CPT,36224,PR SEL CATH INTRNL CARTD ARTERY,6406.0,5701.34,964.8,6406.0,482 CPT,36225,HC SEL CATH SUBCL ARTY ANGIO VERT,12408.0,11043.12,255.99,12408.0,736 CPT,36225,INSERTION OF TUBE INTO CHEST ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,287.75,8356.96,19 CPT,36225,PR SEL CATH SUBCL ARTY ANGIO VERT,6250.0,5562.5,733.37,6250.0,482 CPT,36226,HC SEL CATH VERT ARTY ANGIO VERT,19424.0,17287.36,285.98,19424.0,737 CPT,36226,INSERTION OF TUBE INTO BRAIN ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,285.98,15316.89,20 CPT,36226,PR SEL CATH VERT ARTY ANGIO VERT,5962.0,5306.18,938.13,5962.0,482 CPT,36227,HC SEL CATH EXT CARTD W ANGIO,8518.0,7581.02,93.47,8518.0,721 CPT,36227,INSERTION OF TUBE INTO EXTERNAL NECK ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,186.94,8356.96,20 CPT,36227,PR SEL CATH EXT CARTD W ANGIO,1811.0,1611.79,215.1,1811.0,482 CPT,36228,HC SEL CATH INT CARTD W ANGIO,7396.0,6582.44,192.29,7396.0,719 CPT,36228,INSERTION OF TUBE INTO NECK OR BRAIN ARTERY FOR DIAGNOSIS OR TREATMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,192.29,24322.51,20 CPT,36228,PR SEL CATH INT CARTD W ANGIO,4415.0,3929.35,1262.18,4415.0,482 CPT,36245,HC SEL CATH EA 1ST ORD ABD PLV/LE,3975.0,3537.75,187.65,3975.0,1440 CPT,36245,"INSERTION OF TUBE INTO ABDOMINAL, PELVIC, OR LEG ARTERY, EACH FIRST ORDER BRANCH FACILITY",,,187.65,15316.89,20 CPT,36245,PR SEL CATH EA 1ST ORD ABD PLV/LE,3107.0,2765.23,492.9,3107.0,482 CPT,36246,HC SEL CATH 2ND ORDER ABD PLV/LE,3158.0,2810.62,197.43,3158.0,1440 CPT,36246,"INSERTION OF TUBE INTO ABDOMINAL, PELVIC, OR LEG ARTERY, INITIAL SECOND ORDER BRANCH FACILITY",,,197.43,15316.89,20 CPT,36246,PR SEL CATH 2ND ORDER ABD PLV/LE,2403.0,2138.67,322.58,2403.0,482 CPT,36247,HC SEL CATH 3RD+ ORD SEL ABD LE,5108.0,4546.12,236.42,5108.0,1438 CPT,36247,"INSERTION OF TUBE INTO ABDOMINAL, PELVIC, OR LEG ARTERY, INITIAL THIRD ORDER BRANCH FACILITY",,,236.42,15316.89,20 CPT,36247,PR SEL CATH 3RD+ ORD SEL ABD LE,3577.0,3183.53,557.11,3577.0,482 CPT,36248,HC SEL CATH EA 2ND+ ORD ABD LE,2320.0,2064.8,38.73,2320.0,719 CPT,36248,"INSERTION OF TUBE INTO ABDOMINAL, PELVIC, OR LEG ARTERY, ADDITIONAL SECOND, THIRD, AND BEYOND FACILITY",,,38.73,24322.51,20 CPT,36248,PR SEL CATH EA 2ND+ ORD ABD LE,529.0,470.81,91.06,529.0,482 CPT,36251,HC SEL CATH RENAL ARTY&ANGIO UNILAT,9679.0,8614.31,202.89,9679.0,1472 CPT,36251,INSERTION OF TUBE INTO FIRST ORDER MAIN AND ACCESSORY ARTERIES OF KIDNEY FOR IMAGING WITH REVIEW BY RADIOLOGIST FACILITY,,,202.89,15316.89,20 CPT,36251,PR SEL CATH RENAL ARTY&ANGIO UNILAT,3861.0,3436.29,503.32,3861.0,482 CPT,36252,HC SEL CATH RENAL ARTY&ANGIO BIL,11613.0,10335.57,276.01,11613.0,1472 CPT,36252,INSERTION OF TUBE INTO FIRST ORDER MAIN AND ACCESSORY ARTERIES OF BOTH KIDNEYS FOR IMAGING WITH REVIEW BY RADIOLOGIST FACILITY,,,276.01,4189.36,20 CPT,36252,PR SEL CATH RENAL ARTY&ANGIO BIL,4244.0,3777.16,546.62,4244.0,482 CPT,36253,HC CATH 2ND+ORD RENAL ARTERY UNILAT,11613.0,10335.57,285.35,11613.0,737 CPT,36253,INSERTION OF TUBE INTO SECOND OR THIRD ORDER BRANCHES OF ARTERIES OF KIDNEY FOR IMAGING WITH REVIEW BY RADIOLOGIST FACILITY,,,285.35,24322.51,20 CPT,36253,PR CATH 2ND+ORD RENAL ARTERY UNILAT,5289.0,4707.21,785.03,5289.0,482 CPT,36254,HC PLC CATH REN ARTY >=2ND ORD BI,14538.0,12938.82,323.1,14538.0,736 CPT,36254,PR PLC CATH REN ARTY >=2ND ORD BI,5697.0,5070.33,781.5,5697.0,482 CPT,36262,REMOVAL OF IMPLANTED ARTERIAL INFUSION PUMP PROFESSIONAL,,,295.15,4958.22,20 CPT,36406,PR VENIPUNCTURE <3 YRS OTHER VEIN,102.0,90.78,7.54,102.0,482 CPT,36410,HC VENI >=3 YR W RN,959.0,853.51,7.58,959.0,721 CPT,36410,INSERTION OF NEEDLE INTO VEIN (3 YEARS OR OLDER) FACILITY,,,7.58,282.22,20 CPT,36410,PR VENI >=3 YR W MD,97.0,86.33,6.57,97.0,509 CPT,36415,HC VENIPUNCTURE,34.0,30.26,7.07,34.0,750 CPT,36415,INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE FACILITY,,,304.08,1587.71,20 CPT,36415,PR VENIPUNCTURE,34.0,30.26,9.34,34.0,500 CPT,36416,HC COLLECTION SPECIMEN CAP BLOOD,24.0,21.36,4.99,24.0,720 CPT,36416,PR COLLECTION SPECIMEN CAP BLOOD,24.0,21.36,21.12,24.0,463 CPT,36416,PUNCTURE OF SKIN FOR COLLECTION OF BLOOD SAMPLE FACILITY,,,684.5,1139.38,18 CPT,36430,HC BLOOD TRANSFUSION,1214.0,1080.46,48.07,1214.0,742 CPT,36430,PR BLOOD TRANSFUSION,455.0,404.95,33.34,455.0,509 CPT,36430,TRANSFUSION OF BLOOD OR BLOOD PRODUCTS FACILITY,,,48.07,585.35,21 CPT,36460,INTRAUTERINE FETAL TRANSFUSION,,,272.35,585.35,20 CPT,36460,PR TRANSFUSION INTRAUTERINE FETAL,3147.0,2800.83,111.12,3147.0,482 CPT,36465,HC NJX NONCMPND SCLRSNT 1 VEIN,5912.0,5261.68,1229.7,5912.0,734 CPT,36465,INJECTION OF CHEMICAL AGENT INTO SINGLE INCOMPETENT VEIN OF LEG USING ULTRASOUND GUIDANCE FACILITY,,,1.14,2737.57,20 CPT,36465,PR NJX NONCMPND SCLRSNT 1 VEIN,5849.0,5205.61,534.46,5849.0,482 CPT,36466,HC NJX NONCMPND SCLRSNT MLT VN,6040.0,5375.6,1256.32,6040.0,735 CPT,36466,INJECTION OF CHEMICAL AGENT INTO MULTIPLE INCOMPETENT VEINS OF SAME LEG USING ULTRASOUND GUIDANCE FACILITY,,,2040.89,3098.72,18 CPT,36466,PR NJX NONCMPND SCLRSNT MLT VN,6365.0,5664.85,555.12,6365.0,482 CPT,36468,HC INJ SNGL/MULT SPIDER VEIN LIMB,1107.0,985.23,230.26,1107.0,734 CPT,36468,"INJECTION OF CHEMICAL AGENT INTO SPIDER VEIN OF ARM, LEG, OR TRUNK FACILITY",,,407.39,539.37,17 CPT,36468,PR INJ SNGL/MULT SPIDER VEIN LIMB,693.0,616.77,311.85,693.0,477 CPT,36470,HC INJ SCLEROSING SOLN SNGL VEIN,1566.0,1393.74,30.33,1566.0,737 CPT,36470,INJECTION OF CHEMICAL AGENT INTO SINGLE INCOMPETENT VEIN FACILITY,,,30.33,4189.36,20 CPT,36470,PR INJ SCLEROSING SOLN SNGL VEIN,690.0,614.1,48.98,690.0,482 CPT,36471,HC INJ SCLEROSING SOLN MULT VEIN,1624.0,1445.36,60.22,1624.0,1478 CPT,36471,INJECTION OF CHEMICAL AGENT INTO MULTIPLE INCOMPETENT VEINS OF LEG FACILITY,,,60.22,610.52,20 CPT,36471,PR INJ SCLEROSING SOLN MULT VEIN,879.0,782.31,70.23,879.0,482 CPT,36473,HC ENDOVEN ABLT MCHNCHEM 1ST VN,13794.0,12276.66,1779.63,13794.0,734 CPT,36473,MECHANOCHEMICAL DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING IMAGING GUIDANCE FACILITY,,,0.65,4189.36,20 CPT,36473,PR ENDOVEN ABLT MCHNCHEM 1ST VN,6673.0,5938.97,484.06,6673.0,482 CPT,36474,HC ENDOVEN ABLT MCHNCHEM EA ADD,3348.0,2979.72,354.75,3348.0,717 CPT,36474,MECHANOCHEMICAL DESTRUCTION OF SUBSEQUENT INCOMPETENT VEINS OF ARM OR LEG USING IMAGING GUIDANCE FACILITY,,,0.62,4189.36,20 CPT,36474,PR ENDOVEN ABLT MCHNCHEM EA ADD,2053.0,1827.17,192.98,2053.0,482 CPT,36475,DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE FACILITY,,,220.48,7382.99,20 CPT,36475,HC ENDOVENOUS ABLATION 1ST VEIN,8326.0,7410.14,220.48,8326.0,737 CPT,36475,PR ENDOVENOUS ABLATION 1ST VEIN,8897.0,7918.33,429.87,8897.0,482 CPT,36476,DESTRUCTION OF SUBSEQUENT INCOMPETENT VEINS OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE FACILITY-EXPRESS CARE,,,104.53,7382.99,20 CPT,36476,HC ENDOVENOUS ABLATION 2ND+ VEIN,5651.0,5029.39,104.53,5651.0,719 CPT,36476,PR ENDOVENOUS ABLATION 2ND+ VEIN,2490.0,2216.1,220.75,2490.0,482 CPT,36478,HC ENDOVENOUS ABLT LASER 1ST VEIN,8065.0,7177.85,222.3,8065.0,737 CPT,36478,LASER DESTRUCTION OF INCOMPETENT VEIN OF ARM OR LEG USING IMAGING GUIDANCE FACILITY,,,222.3,4189.36,20 CPT,36478,PR ENDOVENOUS ABLT LASER 1ST VEIN,7679.0,6834.31,398.64,7679.0,482 CPT,36479,HC ENDOVENOUS ABLT LASER 2ND+VEIN,5377.0,4785.53,106.98,5377.0,720 CPT,36479,"LASER DESTRUCTION OF INCOMPETENT VEINS OF ARM OR LEG USING IMAGING GUIDANCE, SUBSEQUENT FACILITY",,,106.98,4742.03,20 CPT,36479,PR ENDOVENOUS ABLT LASER 2ND+VEIN,2841.0,2528.49,247.71,2841.0,482 CPT,36481,HC CATH PORTAL VEIN PERC,4546.0,4045.94,264.68,4546.0,720 CPT,36481,INSERTION OF TUBE INTO PORTAL VEIN OF LIVER FACILITY,,,264.68,15316.89,20 CPT,36481,PR CATH PORTAL VEIN PERC,4647.0,4135.83,678.02,4647.0,482 CPT,36482,CHEMICAL DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING IMAGING GUIDANCE FACILITY,,,2525.63,7382.99,18 CPT,36482,HC ENDOVEN THER CHEM ADHES 1ST,12898.0,11479.22,2525.63,12898.0,735 CPT,36482,PR ENDOVEN THER CHEM ADHES 1ST,6349.0,5650.61,686.97,6349.0,482 CPT,36483,CHEMICAL DESTRUCTION OF SUBSEQUENT INCOMPETENT VEINS OF ARM OR LEG USING IMAGING GUIDANCE FACILITY,,,5.73,7382.99,20 CPT,36483,HC ENDOVEN THER CHEM ADHES SBSQ,6354.0,5655.06,200.9,6354.0,718 CPT,36500,HC CATH VEN SEL ORGAN BLD SAMPLNG,4546.0,4045.94,145.26,4546.0,720 CPT,36500,INSERTION OF TUBE INTO VEIN WITH COLLECTION OF BLOOD SAMPLE FACILITY,,,145.26,7382.99,20 CPT,36500,PR CATH VEN SEL ORGAN BLD SAMPLNG,1319.0,1173.91,59.27,1319.0,482 CPT,36510,PR CATH UMBILICAL VEIN DX/THER,614.0,546.46,29.8,614.0,507 CPT,36511,HC APHERESIS THERAPEUTIC WBC,8161.0,7263.29,88.76,8161.0,736 CPT,36512,HC APHERESIS THERAPEUTIC RBC,6555.0,5833.95,83.5,6555.0,736 CPT,36512,MECHANICAL SEPARATION OF RED BLOOD CELLS FROM BLOOD FACILITY,,,83.5,2066.4,20 CPT,36513,HC APHERESIS THERAPEUTIC PLT,5304.0,4720.56,84.93,5304.0,736 CPT,36514,HC APHERESIS THERAPEUTIC PLASMA,5189.0,4618.21,74.8,5189.0,738 CPT,36514,MECHANICAL SEPARATION OF PLASMA FROM BLOOD FACILITY,,,74.8,2066.4,20 CPT,36516,HC LDL APHERESIS,10948.0,9743.72,66.6,10948.0,736 CPT,36516,MECHANICAL SEPARATION OF PLASMA AND ABNORMAL ANTIBODIES FROM BLOOD FACILITY,,,66.6,5778.9,20 CPT,36522,HC PHOTOPHERESIS EXTRACORPOREAL,12957.0,11531.73,75.59,12957.0,738 CPT,36522,MECHANICAL SEPARATION OF WHITE BLOOD CELLS AND PLATELETS FROM BLOOD FACILITY,,,75.59,5778.9,20 CPT,36555,HC INS NONTUNL CVC <5YR,5399.0,4805.11,75.72,5399.0,1472 CPT,36555,INSERTION OF NON-TUNNELED CENTRAL VENOUS TUBE FOR INFUSION (YOUNGER THAN 5 YEARS) FACILITY,,,75.72,4189.36,20 CPT,36555,PR INS NONTUNL CVC <5YR,1256.0,1117.84,174.53,1256.0,482 CPT,36556,HC INS NON-TUN CVC >5YR,5068.0,4510.52,72.45,5068.0,1480 CPT,36556,INSERTION OF NON-TUNNELED CENTRAL VENOUS TUBE FOR INFUSION (5 YEARS OR OLDER) FACILITY,,,72.45,4189.36,21 CPT,36556,PR INS NON-TUN CVC >5YR,1230.0,1094.7,193.73,1230.0,482 CPT,36557,HC INS TUNL CVC WO PORT < 5 YR,11613.0,10335.57,281.27,11613.0,736 CPT,36557,INSERTION OF TUNNELED CENTRAL VENOUS TUBE FOR INFUSION (YOUNGER THAN 5 YEARS) FACILITY,,,281.27,7382.99,20 CPT,36557,PR INS TUNL CVC WO PORT < 5 YR,5276.0,4695.64,515.25,5276.0,482 CPT,36558,HC INS TUNL CVC WO PORT >=5YR,7423.0,6606.47,219.2,7423.0,738 CPT,36558,INSERTION OF TUNNELED CENTRAL VENOUS TUBE FOR INFUSION (5 YEARS OR OLDER) FACILITY,,,219.2,4189.36,20 CPT,36558,PR INS TUNL CVC WO PORT >=5YR,3576.0,3182.64,322.49,3576.0,482 CPT,36560,INSERTION OF CENTRAL VENOUS TUBE WITH PORT (YOUNGER THAN 5 YEARS) FACILITY,,,330.83,8021.24,20 CPT,36560,PR INS TUNL CVAD W PORT < 5 YR,7260.0,6461.4,545.99,7260.0,482 CPT,36561,HC INS TUNL CVAD W PORT >= 5 YR,6722.0,5982.58,279.91,6722.0,739 CPT,36561,INSERTION OF CENTRAL VENOUS TUBE WITH PORT (5 YEARS OR OLDER) FACILITY,,,279.91,4189.36,20 CPT,36561,PR INS TUNL CVAD W PORT >= 5 YR,3580.0,3186.2,392.42,3580.0,482 CPT,36565,INSERTION OF 2 CENTRAL VENOUS TUBES IN 2 VEINS FOR INFUSION FACILITY,,,286.7,15316.89,20 CPT,36568,HC INS PICC WO SUBQ PORT < 5 YR WO GUIDE,3158.0,2810.62,77.91,3158.0,736 CPT,36568,INSERTION OF TUBE FOR INFUSION (YOUNGER THAN 5 YEARS) FACILITY,,,77.91,2088.6,20 CPT,36568,PR INS PICC WO SUBQ PORT < 5 YR WO GUIDE,1431.0,1273.59,54.04,1431.0,507 CPT,36569,HC INS PICC WO PORT/PUMP >=5YR WO GUIDE,3158.0,2810.62,78.8,3158.0,1480 CPT,36569,INSERTION OF TUBE FOR INFUSION (5 YEARS OR OLDER) FACILITY,,,78.8,2088.6,21 CPT,36569,PR INS PICC WO PORT/PUMP >=5YR WO GUIDE,1069.0,951.41,64.3,1069.0,482 CPT,36572,HC INSJ PICC RS&I <5 YR,3158.0,2810.62,552.32,3158.0,734 CPT,36572,PR INSJ PICC RS&I <5 YR,3058.0,2721.62,300.46,3058.0,482 CPT,36573,HC INSJ PICC RS&I 5 YR+,3380.0,3008.2,555.5,3380.0,735 CPT,36573,"INSERTION OF TUBE FOR INFUSION WITH IMAGING GUIDANCE AND REVIEW BY RADIOLOGIST, PATIENT 5 YEARS OR OLDER FACILITY",,,161.79,2088.6,20 CPT,36573,PR INSJ PICC RS&I 5 YR+,1202.0,1069.78,302.19,1202.0,482 CPT,36575,HC RPR TUN/NON-TUNL CVC WO PORT,2320.0,2064.8,28.25,2320.0,736 CPT,36575,PR RPR TUN/NON-TUNL CVC WO PORT,879.0,782.31,51.87,879.0,507 CPT,36578,PR RPLC CATH CVAD W SUBQ PORT,2779.0,2473.31,175.38,2779.0,482 CPT,36580,HC RPLC CVC NONTUNL COMPLT,3850.0,3426.5,53.47,3850.0,736 CPT,36580,PR RPLC CVC NONTUNL COMPLT,1135.0,1010.15,157.5,1135.0,482 CPT,36580,REPLACEMENT OF NONTUNNELED CENTRAL VENOUS TUBE FACILITY,,,53.47,2088.6,20 CPT,36581,HC RPLC COMPLT TUNL CVC WO PORT,6134.0,5459.26,155.86,6134.0,738 CPT,36581,PR RPLC COMPLT TUNL CVC WO PORT,3585.0,3190.65,312.64,3585.0,482 CPT,36581,REPLACEMENT OF TUNNELED CENTRAL VENOUS TUBE FACILITY,,,155.86,4189.36,21 CPT,36582,HC RPLC COMPLT TUNL CVAD W PORT,9679.0,8614.31,241.67,9679.0,736 CPT,36582,PR RPLC COMPLT TUNL CVAD W PORT,4655.0,4142.95,349.89,4655.0,482 CPT,36582,REPLACEMENT OF TUNNELED CENTRAL VENOUS TUBE WITH PORT FACILITY,,,241.67,4189.36,20 CPT,36584,HC RPLC COMPLT PICC CVC WO PORT W GUIDE/S&I,3669.0,3265.41,47.93,3669.0,1474 CPT,36584,PR RPLC COMPLT PICC CVC WO PORT W GUIDE/S&I,736.0,655.04,254.78,736.0,482 CPT,36584,REPLACEMENT OF PERIPHERALLY INSERTED CENTRAL VENOUS TUBE (PICC) WITH REVIEW BY RADIOLOGIST FACILITY,,,47.93,2088.6,20 CPT,36589,HC RMVL TUN CV CATH WO SUBQ PORT,2243.0,1996.27,118.17,2243.0,2223 CPT,36589,PR RMVL TUN CV CATH WO SUBQ PORT,1186.0,1055.54,55.64,1186.0,482 CPT,36589,REMOVAL OF TUNNELED CENTRAL VENOUS TUBE FACILITY,,,118.17,832.31,21 CPT,36590,HC RMVL TUNL CVAD W SUBQ PORT/PMP,3975.0,3537.75,161.79,3975.0,745 CPT,36590,PR RMVL TUNL CVAD W SUBQ PORT/PMP,1422.0,1265.58,88.03,1422.0,482 CPT,36590,REMOVAL OF CENTRAL VENOUS TUBE WITH PORT OR PUMP FACILITY,,,161.79,2088.6,21 CPT,36591,COLLECTION OF BLOOD SAMPLE FROM IMPLANTED DEVICE FACILITY,,,31.03,176.53,21 CPT,36591,HC COLLECT BLOOD FROM IMPLANT VAD,250.0,222.5,31.03,250.0,750 CPT,36591,PR COLLECT BLOOD FROM IMPLANT VAD,143.0,127.27,25.32,143.0,490 CPT,36592,COLLECTION OF BLOOD SAMPLE FROM CENTRAL VENOUS TUBE FACILITY,,,34.47,176.65,20 CPT,36592,HC COLLECT BLOOD PICC VENOUS NOS,242.0,215.38,34.47,242.0,745 CPT,36592,PR COLLECT BLOOD PICC VENOUS NOS,141.0,125.49,28.13,141.0,484 CPT,36593,DECLOTTING OF CENTRAL VENOUS TUBE FACILITY,,,38.69,438.25,21 CPT,36593,HC DECLOT IMPL VAD/CATH,707.0,629.23,38.69,707.0,741 CPT,36593,PR DECLOT IMPL VAD/CATH,198.0,176.22,26.84,198.0,510 CPT,36595,HC MCHNL RMVL PRICATH OBSTR CVAD,5377.0,4785.53,148.55,5377.0,736 CPT,36595,MECHANICAL REMOVAL OF OBSTRUCTIVE MATERIAL FROM CENTRAL VENOUS TUBE FACILITY,,,148.55,4189.36,20 CPT,36595,PR MCHNL RMVL PRICATH OBSTR CVAD,2545.0,2265.05,238.0,2545.0,482 CPT,36597,HC REPO PREV PLC CVC FLUORO GUID,4037.0,3592.93,48.8,4037.0,736 CPT,36597,PR REPO PREV PLC CVC FLUORO GUID,576.0,512.64,45.43,576.0,482 CPT,36598,CONTRAST INJECTION FOR IMAGING TO EVALUATE CENTRAL VENOUS ACCESS DEVICE FACILITY,,,28.87,282.22,20 CPT,36598,HC INJ CNTRST RAD EVAL CVAD FLUOR,1355.0,1205.95,28.87,1355.0,736 CPT,36598,PR INJ CNTRST RAD EVAL CVAD FLUOR,776.0,690.64,47.68,776.0,482 CPT,36600,ARTERY PUNCTURE COLLECTION OF BLOOD SAMPLE FACILITY,,,12.61,1139.38,19 CPT,36600,HC ARTERIAL PUNCTURE,214.0,190.46,12.61,214.0,738 CPT,36600,HC ARTERIAL PUNCTURE TEC,240.0,213.6,12.61,240.0,738 CPT,36600,PR ARTERIAL PUNCTURE,169.0,150.41,9.5,169.0,512 CPT,36620,HC ARTL CATH/CNULA MONITOR PERC,2320.0,2064.8,39.02,2320.0,1434 CPT,36620,INSERTION OF ARTERY TUBE FOR BLOOD SAMPLING OR INFUSION THROUGH SKIN FACILITY,,,39.02,832.31,20 CPT,36620,PR ARTL CATH/CNULA MONITOR PERC,527.0,469.03,31.84,527.0,484 CPT,36660,PR CATH UMBCL ARTY NB DX/THERAPY,670.0,596.3,19.45,670.0,507 CPT,36680,HC PLC NEEDLE INTRAOSSEUS INF,700.0,623.0,52.69,700.0,736 CPT,36680,PR PLC NEEDLE INTRAOSSEUS INF,527.0,469.03,21.5,527.0,482 CPT,36818,PR ART VEN ANAST OPN UARM CEPHALC,4742.0,4220.38,228.67,4742.0,482 CPT,36818,RELOCATION OF MAJOR UPPER ARM VEIN WITH CONNECTION TO ARM ARTERY FOR HEMODIALYSIS,,,560.46,7382.99,20 CPT,36819,PR ART VEN ANAST OPN UARM BASILIC,6208.0,5525.12,240.45,6208.0,482 CPT,36819,RELOCATION OF UPPER ARM SURFACE VEIN WITH CONNECTION TO ARM ARTERY FOR HEMODIALYSIS,,,589.33,7382.99,20 CPT,36820,PR ART VEN ANAST OPN FORARM VEIN,6397.0,5693.33,241.24,6397.0,482 CPT,36821,PR ARTERIOVENOUS ANAST OPN DIRECT,3917.0,3486.13,218.22,3917.0,482 CPT,36821,RELOCATION OF ARM VEIN WITH CONNECTION TO ARM ARTERY FOR HEMODIALYSIS,,,534.85,4189.36,20 CPT,36830,CREATION OF ARTERY-VEIN CONNECTION USING TUBE GRAFT FOR HEMODIALYSIS,,,540.03,7382.99,20 CPT,36830,PR CREATE ART VEN FSTL NONAUTGRFT,5530.0,4921.7,220.33,5530.0,482 CPT,36831,PR THRMBCT ART VEN FSTL WO REV,3732.0,3321.48,205.84,3732.0,482 CPT,36831,REMOVAL OF BLOOD CLOT FROM HEMODIALYSIS GRAFT,,,504.5,7382.99,20 CPT,36832,PR REV ART VEN FSTL WO THRMBCT,4523.0,4025.47,250.65,4523.0,482 CPT,36832,REVISION OF HEMODIALYSIS GRAFT FACILITY,,,614.33,7382.99,20 CPT,36833,PR REV ART VEN FSTL W THRMBCT,6115.0,5442.35,267.56,6115.0,482 CPT,36838,PR DSTL REVASC UPEXT HEMO ACCESS,7443.0,6624.27,370.41,7443.0,482 CPT,36901,HC AV FISTULA IMAGING,3787.0,3370.43,787.7,3787.0,735 CPT,36901,INSERTION OF NEEDLE AND/OR TUBE INTO HEMODIALYSIS CIRCUIT WITH REVIEW BY RADIOLOGIST FACILITY,,,4.52,2088.6,21 CPT,36901,PR AV FISTULA IMAGING,2626.0,2337.14,281.78,2626.0,482 CPT,36902,HC AV FISTULA PTA,14188.0,12627.32,1804.62,14188.0,735 CPT,36902,INSERTION OF NEEDLE AND/OR TUBE INTO HEMODIALYSIS CIRCUIT AND BALLOON DILATION OF DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,8.57,7551.6,21 CPT,36902,PR AV FISTULA PTA,5128.0,4563.92,490.86,5128.0,482 CPT,36903,HC AV FISTULA STENT,23387.0,20814.43,4864.5,23387.0,734 CPT,36903,INSERTION OF NEEDLE AND/OR TUBE INTO HEMODIALYSIS CIRCUIT AND INSERTION OF STENT IN DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,14.56,15316.89,20 CPT,36903,PR AV FISTULA STENT,20033.0,17829.37,2003.45,20033.0,482 CPT,36904,HC AV FISTULA THROMBECTOMY,14257.0,12688.73,2634.89,14257.0,734 CPT,36904,PR AV FISTULA THROMBECTOMY,8415.0,7489.35,716.69,8415.0,482 CPT,36904,REMOVAL AND/OR DISSOLVING OF BLOOD CLOT IN HEMODIALYSIS CIRCUIT AND BALLOON DILATION OF DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,431.63,7551.6,20 CPT,36905,HC AV FISTULA PTA THROMBECTOMY,23387.0,20814.43,3343.49,23387.0,734 CPT,36905,PR AV FISTULA PTA THROMBECTOMY,8965.0,7978.85,909.43,8965.0,482 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",,,431.63,15316.89,20 CPT,36906,HC AV FISTULA STENT THROMBECTOMY,35081.0,31222.09,7296.85,35081.0,734 CPT,36906,PR AV FISTULA STENT THROMBECTOMY,23527.0,20939.03,2464.29,23527.0,482 CPT,36906,REMOVAL AND/OR DISSOLVING OF BLOOD CLOT IN HEMODIALYSIS CIRCUIT AND BALLOON DILATION OF DIALYSIS SEGMENT AND PLACEMENT OF STENT WITH REVIEW BY RADIOLOGIST FACILITY,,,431.63,24322.51,20 CPT,36907,BALLOON DILATION OF DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,13.71,7551.6,20 CPT,36907,HC AV FISTULA PTA CENTRAL,12898.0,11479.22,872.13,12898.0,717 CPT,36907,PR AV FISTULA PTA CENTRAL,3145.0,2799.05,474.44,3145.0,482 CPT,36908,INSERTION OF STENT IN DIALYSIS SEGMENT WITH REVIEW BY RADIOLOGIST FACILITY,,,20.9,4189.36,20 CPT,36908,PR AV FISTULA STENT CENTRAL,9628.0,8568.92,1151.04,9628.0,482 CPT,36909,PERMANENT BLOCKAGE OF HEMODIALYSIS CIRCUIT WITH REVIEW BY RADIOLOGIST FACILITY,,,21.42,7551.6,20 CPT,37180,PR VENOUS ANAST OPN SPLENORENAL,16792.0,14944.88,714.06,16792.0,482 CPT,37182,HC INS HEPATIC SHUNT (TIPS),19549.0,17398.61,660.09,24322.51,736 CPT,37182,INSERTION OF SHUNTS TO BYPASS BLOOD FLOW TO LIVER WITH REVIEW BY RADIOLOGIST FACILITY,,,660.09,24322.51,20 CPT,37182,PR INS HEPATIC SHUNT (TIPS),7281.0,6480.09,269.32,7281.0,482 CPT,37183,HC REVISE HEPATIC SHUNT (TIPS),20517.0,18260.13,303.2,20517.0,736 CPT,37183,PR REVISE HEPATIC SHUNT (TIPS),8984.0,7995.76,2257.41,8984.0,482 CPT,37183,REVISION OF SHUNTS TO BYPASS BLOOD FLOW TO LIVER WITH REVIEW BY RADIOLOGIST FACILITY,,,303.2,7551.6,20 CPT,37184,HC THRMBCT MECH PRIM PERC INIT VSL,19240.0,17123.6,342.43,24322.51,736 CPT,37184,PR THRMBCT MECH PRIM PERC INIT VSL,9819.0,8738.91,666.41,9819.0,482 CPT,37184,"PRIMARY REMOVAL AND DISSOLVING OF BLOOD CLOT FROM ARTERY OR ARTERY GRAFT USING FLUOROSCOPIC GUIDANCE, INITIAL VESSEL FACILITY",,,342.43,24322.51,20 CPT,37185,PR THRMBC MECH PRIM PERC SBSQ VSL,4112.0,3659.68,371.03,4112.0,482 CPT,37186,HC THRMBCT PERC TRLUML SEC NONCOR,10091.0,8980.99,193.49,10091.0,719 CPT,37186,PR THRMBCT PERC TRLUML SEC NONCOR,6119.0,5445.91,946.8,6119.0,482 CPT,37186,SECONDARY REMOVAL AND DISSOLVING OF BLOOD CLOT FROM ARTERY OR ARTERY GRAFT USING FLUOROSCOPIC GUIDANCE FACILITY,,,153.5,502.12,20 CPT,37187,HC THRMBCT MECH TRLUML VEIN,17576.0,15642.64,316.3,17576.0,736 CPT,37187,PR THRMBCT MECH TRLUML VEIN,7136.0,6351.04,655.75,7136.0,482 CPT,37187,"REMOVAL AND DISSOLVING OF BLOOD CLOT FROM VEIN USING FLUOROSCOPIC GUIDANCE, INITIAL TREATMENT FACILITY",,,316.3,24322.51,20 CPT,37188,HC THRMBC PERC MECH TRLUML RPT TX,9596.0,8540.44,226.67,9596.0,736 CPT,37188,PR THRMBC PERC MECH TRLUML RPT TX,6652.0,5920.28,1131.21,6652.0,482 CPT,37191,HC INSERT EVASC VENA CAVA FILTER,13002.0,11571.78,176.71,13002.0,737 CPT,37191,INSERTION OF VENA CAVA FILTER WITH REVIEW BY RADIOLOGIST FACILITY,,,176.71,7382.99,21 CPT,37191,PR INSERT EVASC VENA CAVA FILTER,4490.0,3996.1,783.33,4490.0,482 CPT,37193,HC RTREV/RMVL EVASC VENACAVA FLTR,8239.0,7332.71,277.8,8239.0,737 CPT,37193,PR RTREV/RMVL EVASC VENACAVA FLTR,4789.0,4262.21,579.46,4789.0,482 CPT,37193,REMOVAL OF VENA CAVA FILTER WITH REVIEW BY RADIOLOGIST FACILITY,,,277.8,4189.36,21 CPT,37195,HC THROMBOLYSIS CEREBRAL INFUS,1206.0,1073.34,250.85,1206.0,734 CPT,37197,HC RTREV/RMVL INTRAVASC FB W IMG,9596.0,8540.44,240.55,9596.0,1472 CPT,37197,PR RTREV/RMVL INTRAVASC FB W IMG,8419.0,7492.91,608.02,8419.0,482 CPT,37197,RETRIEVAL OF FOREIGN BODY IN BLOOD VESSEL WITH REVIEW BY RADIOLOGIST FACILITY,,,240.55,4189.36,20 CPT,37200,BIOPSY OF BLOOD VESSEL USING TUBE FACILITY,,,174.35,7382.99,21 CPT,37200,HC TRANSCATHETER BIOPSY,8510.0,7573.9,174.35,8510.0,737 CPT,37200,PR TRANSCATHETER BIOPSY,1874.0,1667.86,71.14,1874.0,482 CPT,37211,HC TRANSCATH ARTL THPY W S&I INIT,12387.0,11024.43,304.12,12387.0,736 CPT,37211,PR TRANSCATH ARTL THPY W S&I INIT,4079.0,3630.31,124.08,4079.0,482 CPT,37212,HC TRANSCATH VEN THPY W S&I INIT,4771.0,4246.19,267.08,4771.0,736 CPT,37212,"INSERTION OF TUBE INTO VEIN FOR DRUG INFUSION FOR BLOOD CLOT WITH REVIEW BY RADIOLOGIST, INITIAL TREATMENT DAY FACILITY",,,267.08,24322.51,20 CPT,37212,PR TRANSCATH VEN THPY W S&I INIT,3728.0,3317.92,108.97,3728.0,482 CPT,37213,HC TRANSCATH ARTL/VEN THPY W S&I,9773.0,8697.97,182.98,9773.0,721 CPT,37213,PR TRANSCATH ARTL/VEN THPY W S&I,2517.0,2240.13,74.66,2517.0,482 CPT,37214,HC CESSATION THROMBLYS RMVL CATH,6870.0,6114.3,96.47,6870.0,721 CPT,37214,PR CESSATION THROMBLYS RMVL CATH,1477.0,1314.53,39.36,1477.0,482 CPT,37215,HC PLC STENT CAROTID EMBO PROTECT,19412.0,17276.68,636.05,19412.0,736 CPT,37215,INSERTION OF STENT AND BLOOD CLOT PROTECTION DEVICE IN NECK ARTERY WITH REVIEW BY RADIOLOGIST FACILITY,,,785.38,24322.51,20 CPT,37215,PR PLC STENT CAROTID EMBO PROTECT,7541.0,6711.49,320.44,7541.0,482 CPT,37216,HC PLC STNT CARTD WO EMBO PROTECT,12432.0,11064.48,2585.86,12432.0,717 CPT,37216,PR PLC STNT CARTD WO EMBO PROTECT,8533.0,7594.37,821.91,8533.0,482 CPT,37217,PR PLC STENT INTRTHRC CARTD/INNOM,9044.0,8049.16,353.15,9044.0,482 CPT,37220,"BALLOON DILATION OF GROIN ARTERY, INITIAL VESSEL FACILITY",,,3164.26,4189.36,17 CPT,37221,"INSERTION OF STENT IN GROIN ARTERY, INITIAL VESSEL FACILITY",,,9.57,343.66,17 CPT,37223,"INSERTION OF STENT IN GROIN ARTERY, ADDITIONAL VESSEL FACILITY",,,4.28,147.21,5 CPT,37224,BALLOON DILATION OF ARTERY OF LEG FACILITY,,,11.79,310.21,5 CPT,37225,REMOVAL OF PLAQUE IN ARTERIES OF LEG FACILITY,,,3164.26,4189.36,17 CPT,37226,INSERTION OF STENT IN ARTERIES OF LEG FACILITY,,,12.84,361.87,5 CPT,37227,REMOVAL OF PLAQUE AND INSERTION OF STENTS IN ARTERIES OF LEG FACILITY,,,153.5,502.12,17 CPT,37228,"BALLOON DILATION OF ARTERY OF LEG, INITIAL VESSEL FACILITY",,,11.79,378.19,17 CPT,37230,"INSERTION OF STENT IN ARTERY OF LEG, INITIAL VESSEL FACILITY",,,25.68,487.39,5 CPT,37231,"REMOVAL OF PLAQUE AND INSERTION OF STENTS IN ARTERY OF LEG, INITIAL VESSEL FACILITY",,,483.17,527.0,2 CPT,37232,"BALLOON DILATION OF ARTERY OF LEG, EACH ADDITIONAL VESSEL FACILITY",,,3164.26,4189.36,17 CPT,37234,"INSERTION OF STENT IN ARTERY OF LEG, EACH ADDITIONAL VESSEL FACILITY",,,29.96,198.32,17 CPT,37235,"REMOVAL OF PLAQUE AND INSERTION OF STENTS IN ARTERY OF LEG, EACH ADDITIONAL VESSEL FACILITY",,,247.84,270.32,2 CPT,37236,HC PLC OPN/PERC STENT INIT,22722.0,20222.58,344.94,22722.0,1474 CPT,37236,"INSERTION OF STENT IN ARTERY (EXCEPT LOWER EXTREMITY, CHEST, HEART, NECK AND BRAIN) WITH REVIEW BY RADIOLOGIST, INITIAL ARTERY FACILITY",,,344.94,15316.89,20 CPT,37236,PR PLC OPN/PERC STENT INIT,11546.0,10275.94,1068.2,11546.0,482 CPT,37237,HC PLC OPN/PERC STENT EA ADD,19178.0,17068.42,164.66,19178.0,719 CPT,37237,"INSERTION OF STENT IN ARTERY (EXCEPT LOWER EXTREMITY, CHEST, HEART, NECK AND BRAIN) WITH REVIEW BY RADIOLOGIST, EACH ADDITIONAL ARTERY FACILITY",,,164.66,15316.89,20 CPT,37237,PR PLC OPN/PERC STENT EA ADD,3765.0,3350.85,997.89,3765.0,482 CPT,37238,HC PLC OPN/PERC STENT SAME INIT,22722.0,20222.58,242.67,22722.0,1476 CPT,37238,"INSERTION OF STENT IN VEIN WITH REVIEW BY RADIOLOGIST, INITIAL VEIN FACILITY",,,242.67,15316.89,21 CPT,37238,PR PLC OPN/PERC STENT SAME INIT,11274.0,10033.86,1360.08,11274.0,482 CPT,37239,HC PLC OPN/PERC STENT SAME EA ADD,13317.0,11852.13,118.16,13317.0,719 CPT,37239,"INSERTION OF STENT IN VEIN WITH REVIEW BY RADIOLOGIST, EACH ADDITIONAL VEIN FACILITY",,,118.16,15316.89,20 CPT,37239,PR PLC OPN/PERC STENT SAME EA ADD,6186.0,5505.54,1379.51,6186.0,482 CPT,37241,HC VASC EMBL/OCCLUDE VENOUS,24199.0,21537.11,342.49,24199.0,1478 CPT,37241,OCCLUSION OF VEIN WITH REVIEW BY RADIOLOGIST FACILITY,,,342.49,15316.89,21 CPT,37241,PR VASC EMBL/OCCLUDE VENOUS,14681.0,13066.09,1828.36,14681.0,482 CPT,37242,HC VASC EMBL/OCCLUDE ARTERIAL,24199.0,21537.11,380.0,24322.51,1478 CPT,37242,OCCLUSION OF ARTERY WITH REVIEW BY RADIOLOGIST FACILITY,,,380.0,24322.51,21 CPT,37242,PR VASC EMBL/OCCLUDE ARTERIAL,11731.0,10440.59,2783.89,11731.0,482 CPT,37243,HC VASC EMBL/OCCLUDE TMR INFARCT,20167.0,17948.63,453.38,20167.0,739 CPT,37243,OCCLUSION OF GROWTHS OR OBSTRUCTED VESSELS WITH REVIEW BY RADIOLOGIST FACILITY,,,453.38,15316.89,21 CPT,37243,PR VASC EMBL/OCCLUDE TMR INFARCT,13622.0,12123.58,3339.12,13622.0,482 CPT,37244,HC VASC EMBL/OCCLUDE HEMORRHAGE,24199.0,21537.11,532.12,24199.0,736 CPT,37244,OCCLUSION OF ARTERY OR VEIN BLEEDING WITH REVIEW BY RADIOLOGIST FACILITY,,,532.12,15316.89,20 CPT,37244,PR VASC EMBL/OCCLUDE HEMORRHAGE,10217.0,9093.13,2543.34,10217.0,482 CPT,37246,"BALLOON DILATION OF ARTERY WITH REVIEW BY RADIOLOGIST, INITIAL ARTERY FACILITY",,,187.65,7551.6,21 CPT,37246,HC PTA ARTERIAL INITIAL,17107.0,15225.23,2636.64,17107.0,1470 CPT,37246,PR PTA ARTERIAL INITIAL,9232.0,8216.48,717.17,9232.0,482 CPT,37247,"BALLOON DILATION OF ARTERY WITH REVIEW BY RADIOLOGIST, EACH ADDITIONAL ARTERY FACILITY",,,276.01,7551.6,20 CPT,37247,PR PTA ARTERIAL EA ADD,3317.0,2952.13,488.06,3317.0,482 CPT,37248,"BALLOON DILATION OF VEIN WITH REVIEW BY RADIOLOGIST, INITIAL VEIN FACILITY",,,187.65,7551.6,20 CPT,37248,HC PTA VENOUS INITIAL,13526.5,12038.585,1972.1,13736.0,1474 CPT,37248,PR PTA VENOUS INITIAL,6395.0,5691.55,536.41,6395.0,482 CPT,37249,"BALLOON DILATION OF VEIN WITH REVIEW BY RADIOLOGIST, EACH ADDITIONAL VEIN FACILITY",,,139.61,7551.6,20 CPT,37249,HC PTA VENOUS EA ADD,8064.0,7176.96,635.85,8064.0,717 CPT,37249,PR PTA VENOUS EA ADD,2628.0,2338.92,345.9,2628.0,482 CPT,37252,HC INTRAVASC US NONCORONARY INIT VSL,9437.0,8398.93,70.69,9437.0,1438 CPT,37252,PR INTRAVASC US NONCORONARY INIT VSL,5317.0,4732.13,743.11,5317.0,482 CPT,37252,"ULTRASOUND EVALUATION OF BLOOD VESSEL WITH REVIEW BY RADIOLOGIST, INITIAL VESSEL FACILITY",,,4.19,343.66,8 CPT,37253,HC INTRAVASC US NONCORONARY ADD VSL,4465.0,3973.85,56.06,4771.0,1438 CPT,37253,PR INTRAVASC US NONCORONARY ADD VSL,1020.0,907.8,135.77,1020.0,482 CPT,37253,"ULTRASOUND EVALUATION OF BLOOD VESSEL WITH REVIEW BY RADIOLOGIST, EACH ADDITIONAL VESSEL FACILITY",,,56.06,15316.89,20 CPT,37254,HC REVSC EVASC IVT ANGIO SF 1ST,17075.0,15196.75,3125.54,17075.0,1468 CPT,37254,PR REVSC EVASC IVT ANGIO SF 1ST,8320.0,7404.8,850.15,8320.0,482 CPT,37255,HC REVSC EVASC IVT ANGIO SF EA,6915.0,6154.35,756.8,6915.0,717 CPT,37255,PR REVSC EVASC IVT ANGIO SF EA,3128.0,2783.92,411.7,3128.0,482 CPT,37256,HC REVSC EVASC IVT ANGIO CPLX 1,17075.0,15196.75,3551.6,17075.0,1468 CPT,37256,PR REVSC EVASC IVT ANGIO CPLX 1,9756.0,8682.84,990.98,9756.0,482 CPT,37257,HC REVSC EVSC IVT ANGIO CPLX EA,6097.0,5426.33,855.03,6097.0,717 CPT,37257,PR REVSC EVSC IVT ANGIO CPLX EA,3552.0,3161.28,465.14,3552.0,482 CPT,37258,HC REVSC EVASC IVT STENT SF 1ST,30855.0,27460.95,5408.81,30855.0,1468 CPT,37258,PR REVSC EVASC IVT STENT SF 1ST,16777.0,14931.53,1471.2,16777.0,482 CPT,37259,HC REVSC EVASC IVT STENT SF EA,15149.0,13482.61,1819.31,15149.0,1434 CPT,37259,PR REVSC EVASC IVT STENT SF EA,5087.0,4527.43,989.7,5087.0,482 CPT,37260,HC REVSC EVASC IVT ST CPLX 1ST,30855.0,27460.95,6417.84,30855.0,1468 CPT,37260,PR REVSC EVASC IVT ST CPLX 1ST,39723.0,35353.47,3505.57,39723.0,482 CPT,37261,HC REVSC EVASC IVT ST CPLX EA,15149.0,13482.61,3150.99,15149.0,1434 CPT,37261,PR REVSC EVASC IVT ST CPLX EA,14183.0,12622.87,2798.37,14183.0,482 CPT,37262,HC IV LITHOTRP IVT W/IN SM ART,7234.0,6438.26,1504.67,7234.0,717 CPT,37262,PR IV LITHOTRP IVT W/IN SM ART,20964.0,18657.96,2848.25,20964.0,482 CPT,37263,HC REVSC EVASC FPVT ANGIO SF 1,17441.0,15522.49,3627.73,17441.0,1468 CPT,37263,PR REVSC EVASC FPVT ANGIO SF 1,20368.0,18127.52,2258.2,20368.0,482 CPT,37264,HC REVSC EVASC FPVT ANGIO SF EA,6675.0,5940.75,1388.4,6675.0,1434 CPT,37264,PR REVSC EVASC FPVT ANGIO SF EA,13368.0,11897.52,1816.98,13368.0,482 CPT,37265,HC REVSC EVSC FPVT ANGIO CPLX 1,17441.0,15522.49,3627.73,17441.0,1468 CPT,37265,PR REVSC EVSC FPVT ANGIO CPLX 1,25614.0,22796.46,2837.75,25614.0,482 CPT,37266,HC RVSC EVSC FPVT ANGIO CPLX EA,6572.0,5849.08,1366.98,6572.0,717 CPT,37267,HC REVSC EVSC FPVT STENT SF 1ST,27050.0,24074.5,5626.4,27050.0,1468 CPT,37267,PR REVSC EVSC FPVT STENT SF 1ST,8284.0,7372.76,2162.38,8284.0,482 CPT,37268,HC REVSC EVASC FPVT STENT SF EA,11432.0,10174.48,2377.86,11432.0,717 CPT,37269,HC REVSC EVASC FPVT ST CPLX 1ST,27050.0,24074.5,5626.4,27050.0,1468 CPT,37269,PR REVSC EVASC FPVT ST CPLX 1ST,18374.0,16352.86,4809.39,18374.0,482 CPT,37270,HC REVSC EVASC FPVT ST CPLX EA,9137.0,8131.93,1900.5,9137.0,717 CPT,37271,HC REVSC EVSC FPVT ATHRC SF 1ST,33785.0,30068.65,7027.28,33785.0,1468 CPT,37271,PR REVSC EVSC FPVT ATHRC SF 1ST,42768.0,38063.52,4411.03,42768.0,482 CPT,37272,HC REVSC EVSC FPVT ATHRC SF EA,14891.0,13252.99,3097.33,14891.0,717 CPT,37273,HC REVSC EVSC FPVT ATHRC CPLX 1,33785.0,30068.65,7027.28,33785.0,1468 CPT,37273,PR REVSC EVSC FPVT ATHRC CPLX 1,53560.0,47668.4,5520.66,53560.0,482 CPT,37274,HC RVSC EVSC FPVT ATHRC CPLX EA,14639.0,13028.71,3044.91,14639.0,717 CPT,37275,HC RVSC EVSC FPVT ST ATHRC SF 1,33785.0,30068.65,7027.28,33785.0,734 CPT,37275,PR RVSC EVSC FPVT ST ATHRC SF 1,35227.0,31352.03,4284.69,35227.0,482 CPT,37276,HC RVSC EVSC FPVT ST ATHR SF EA,12965.0,11538.85,2696.72,12965.0,717 CPT,37277,HC RVSC EVSC FPVT ST ATHR CPX 1,33785.0,30068.65,7027.28,33785.0,1468 CPT,37277,PR RVSC EVSC FPVT ST ATHR CPX 1,52868.0,47052.52,6434.18,52868.0,482 CPT,37278,HC RVSC EVSC FPVT ST ATH CPX EA,13425.0,11948.25,2792.4,13425.0,717 CPT,37279,HC IV LITHOTRP FPVT W/IN SM ART,9005.0,8014.45,1873.04,9005.0,1434 CPT,37279,PR IV LITHOTRP FPVT W/IN SM ART,28506.0,25370.34,3873.37,28506.0,482 CPT,37280,HC REVSC EVSC TPVT ANGIO SF 1ST,21947.0,19532.83,4063.94,21947.0,1468 CPT,37280,PR REVSC EVSC TPVT ANGIO SF 1ST,10339.0,9201.71,1105.39,10339.0,482 CPT,37281,HC REVSC EVSC TPVT ANGIO SF EA,13385.0,11912.65,1107.66,13385.0,1434 CPT,37281,PR REVSC EVSC TPVT ANGIO SF EA,3705.0,3297.45,602.57,3705.0,482 CPT,37282,HC RVSC EVSC TPVT ANGIO CPLX 1,21947.0,19532.83,4564.98,21947.0,1468 CPT,37282,PR RVSC EVSC TPVT ANGIO CPLX 1,23376.0,20804.64,2526.44,23376.0,482 CPT,37283,HC RVSC EVSC TPVT ANGIO CPLX EA,13385.0,11912.65,1291.08,13385.0,1434 CPT,37283,PR RVSC EVSC TPVT ANGIO CPLX EA,4341.0,3863.49,702.35,4341.0,482 CPT,37284,HC REVSC EVASC TPVT ST SF 1ST,58820.0,52349.8,8592.54,58820.0,1468 CPT,37284,PR REVSC EVASC TPVT ST SF 1ST,10870.0,9674.3,2337.17,10870.0,482 CPT,37285,HC REVSC EVASC TPVT ST SF EA,19422.0,17285.58,4039.78,19422.0,717 CPT,37285,PR REVSC EVASC TPVT ST SF EA,9064.0,8066.96,2323.74,9064.0,482 CPT,37286,HC REVSC EVASC TPVT ST CPLX 1ST,58820.0,52349.8,12234.56,58820.0,1468 CPT,37286,PR REVSC EVASC TPVT ST CPLX 1ST,20013.0,17811.57,4315.98,20013.0,482 CPT,37287,HC REVSC EVASC TPVT ST CPLX EA,29218.0,26004.02,6077.34,29218.0,717 CPT,37287,PR REVSC EVASC TPVT ST CPLX EA,16060.0,14293.4,4121.89,16060.0,482 CPT,37288,HC REVSC EVSC TPVT ATHRC SF 1ST,58820.0,52349.8,11908.86,58820.0,734 CPT,37288,PR REVSC EVSC TPVT ATHRC SF 1ST,26482.0,23568.98,3239.21,26482.0,482 CPT,37289,HC REVSC EVSC TPVT ATHRC SF EA,20735.0,18454.15,1378.4,20735.0,717 CPT,37290,HC REVSC EVSC TPVT ATHRC CPLX 1,58820.0,52349.8,12234.56,58820.0,734 CPT,37290,PR REVSC EVSC TPVT ATHRC CPLX 1,36168.0,32189.52,4427.14,36168.0,482 CPT,37291,HC REVSC EVSC TPVT ATHR CPLX EA,22442.0,19973.38,1601.03,22442.0,717 CPT,37292,HC RVSC EVSC TPVT ST ATHRC SF 1,59840.0,53257.6,12446.72,59840.0,1468 CPT,37292,PR RVSC EVSC TPVT ST ATHRC SF 1,30726.0,27346.14,4259.3,30726.0,482 CPT,37293,HC RVSC EVSC TPVT ST ATHR SF EA,26314.0,23419.46,5357.64,26314.0,717 CPT,37293,PR RVSC EVSC TPVT ST ATHR SF EA,13952.0,12417.28,2914.56,13952.0,482 CPT,37294,HC RVSC EVSC TPVT ST ATHR CPX 1,59840.0,53257.6,12446.72,59840.0,1468 CPT,37294,PR RVSC EVSC TPVT ST ATHR CPX 1,45642.0,40621.38,6337.35,45642.0,482 CPT,37295,HC RVSC EVSC TPVT ST ATH CPX EA,27673.0,24628.97,5755.98,27673.0,717 CPT,37295,PR RVSC EVSC TPVT ST ATH CPX EA,23861.0,21236.29,4998.69,23861.0,482 CPT,37296,HC REVSC EVASC IMVT ANGIO SF 1,21947.0,19532.83,4564.98,21947.0,734 CPT,37296,PR REVSC EVASC IMVT ANGIO SF 1,31780.0,28284.2,1243.39,31780.0,482 CPT,37297,HC REVSC EVASC IMVT ANGIO SF EA,13210.0,11756.9,1240.41,13210.0,717 CPT,37298,HC REVSC EVSC IMVT ANGIO CPLX 1,21947.0,19532.83,4564.98,21947.0,1468 CPT,37299,HC REVSC EVSC IMVT ANGIO CPX EA,13385.0,11912.65,1340.25,13385.0,717 CPT,37607,PR LIG/BANDING ANGIOACCESS AVF,2842.0,2529.38,128.09,2842.0,482 CPT,37607,TYING OR BANDING OF SURGICALLY CREATED ARTERY-VEIN CONNECTION FACILITY,,,313.93,7382.99,20 CPT,37609,PR LIGATION/BIOPSY TEMPORAL ARTY,1714.0,1525.46,124.85,1714.0,482 CPT,37609,TYING OR BIOPSY OF ARTERY ON SIDE OF SKULL FACILITY,,,174.71,4362.42,20 CPT,37615,PR LIGATION MAJOR ARTERY NECK,3490.0,3106.1,176.93,3490.0,482 CPT,37616,PR LIGATION MJR ARTERY CHEST,7597.0,6761.33,396.71,7597.0,482 CPT,37617,PR LIGATION MAJOR ARTERY ABDOMEN,7688.0,6842.32,441.65,7688.0,482 CPT,37618,PR LIGATION MAJOR ARTY EXTREMITY,3007.0,2676.23,138.59,3007.0,482 CPT,37618,TYING OF MAJOR ARM OR LEG ARTERY,,,339.67,3853.99,20 CPT,37619,PR LIGATION OF INFERIOR VENA CAVA,9394.0,8360.66,574.67,9394.0,482 CPT,37700,PR LIGATION & DIV SAPHENOUS VEIN,2236.0,1990.04,84.68,2236.0,482 CPT,37700,TYING AND DIVISION OF LONG LEG VEIN,,,207.54,4189.36,20 CPT,37718,PR LIG & STRIP SHORT SAPH VEIN,3026.0,2693.14,131.96,3026.0,482 CPT,37718,"TYING, INCISION, AND STRIPPING OF SHORT LEG VEIN",,,323.43,4189.36,20 CPT,37722,PR LIG & STRIP LONG SAPH VEIN,4192.0,3730.88,154.57,4192.0,482 CPT,37722,"TYING, INCISION, AND STRIPPING OF LONG LEG VEIN",,,378.84,4189.36,20 CPT,37761,PR LIG PRFRATR VEIN OPEN GRFT 1LEG,4049.0,3603.61,179.04,4049.0,482 CPT,37765,HC PHLEB VEINS 1 EXT 10-20 INCS,8960.5,7974.845,221.4,10187.0,1472 CPT,37765,PR PHLEB VEINS 1 EXT 10-20 INCS,3871.0,3445.19,161.15,3871.0,482 CPT,37765,"REMOVAL OF VARICOSE VEINS OF ARM OR LEG, 10-20 INCISIONS FACILITY",,,221.4,4189.36,20 CPT,37766,HC PHLEB VEINS 1 EXT > 20 INCS,11140.0,9914.6,271.15,11140.0,737 CPT,37766,PR PHLEB VEINS 1 EXT > 20 INCS,4206.0,3743.34,190.84,4206.0,482 CPT,37766,"REMOVAL OF VARICOSE VEINS OF ARM OR LEG, MORE THAN 20 INCISIONS FACILITY",,,271.15,7382.99,20 CPT,37780,PR LIG&DIV SHRT SAPH VEIN SAPH JN,1574.0,1400.86,81.29,1574.0,482 CPT,37780,TYING AND DIVISION OF SHORT LEG VEIN,,,199.23,4189.36,20 CPT,37799,HC MECHANICAL REMOVAL OF FIBRIN SHEATH,3369.0,2998.41,628.65,3369.0,740 CPT,37799,HC PHLEB VARICOSE VEIN 10 OR LESS BILAT,5801.0,5162.89,628.65,5801.0,1480 CPT,37799,HC PHLEB VARICOSE VEIN 10 OR LESS UNILAT,3867.0,3441.63,628.65,3867.0,1480 CPT,37799,HC SPEC COLLECT ARTERIAL LINE,72.0,64.08,14.98,832.31,740 CPT,37799,PR MECHANICAL REMOVAL OF FIBRIN SHEATH,1273.0,1132.97,63.65,1273.0,482 CPT,37799,PR PHLEB VARICOSE VEIN 10 OR LESS BILAT,2997.0,2667.33,149.85,2997.0,482 CPT,37799,PR PHLEB VARICOSE VEIN 10 OR LESS UNILAT,1936.0,1723.04,96.8,1936.0,482 CPT,37799,PR SPEC COLLECT ARTERIAL LINE,24.0,21.36,1.2,24.0,482 CPT,37799,SPEC COLLECT ARTERIAL LINE - FACILITY,,,435.87,832.31,20 CPT,38100,PR SPLENECTOMY TOT SEPARATE PROC,8138.0,7242.82,395.35,8138.0,482 CPT,38100,REMOVAL OF SPLEEN,,,774.45,1453.5,20 CPT,38101,PARTIAL REMOVAL OF SPLEEN,,,780.1,1462.82,20 CPT,38101,PR SPLENECTOMY PARTIAL,8566.0,7623.74,397.89,8566.0,482 CPT,38102,PR SPLENECTOMY TOTAL W OTHR PROC,2248.0,2000.72,172.01,2248.0,482 CPT,38120,EXAM OF SPLEEN USING AN ENDOSCOPE,,,907.72,14103.72,20 CPT,38120,PR LAPAROSCOPIC SURG SPLENECTOMY,7562.0,6730.18,370.35,7562.0,482 CPT,38200,PR INJECTION FOR SPLEEN X-RAY,1082.0,962.98,42.44,1082.0,482 CPT,38205,HC HPC HARVEST ALLOGENIC,6529.0,5810.81,67.43,6529.0,734 CPT,38206,COLLECTION OF STEM CELLS FOR TRANSPLANTATION FACILITY,,,65.81,4189.36,21 CPT,38206,HC HPC HARVEST AUTOLOGOUS,6457.0,5746.73,65.81,6457.0,738 CPT,38207,HC 2 TX CRYOPRESERVE/STORAGE,6665.0,5931.85,442.12,6665.0,736 CPT,38207,HC 3 TX CRYOPRESERVE/STORAGE,9000.0,8010.0,442.12,9000.0,736 CPT,38207,HC CRYOPRESERVE/STORAGE,4865.0,4329.85,442.12,4865.0,736 CPT,38207,PR CRYOPRESERVE/STORAGE,4865.0,4329.85,36.38,4865.0,483 CPT,38207,PRESERVATION AND STORAGE OF STEM CELLS FOR TRANSPLANTATION FACILITY,,,361.22,4189.36,20 CPT,38208,HC THAW,3031.0,2697.59,442.12,3031.0,735 CPT,38208,THAWING OF FROZEN STEM CELLS FOR TRANSPLANTATION FACILITY,,,215.81,585.35,20 CPT,38209,HC THAW & WASH,3519.0,3131.91,442.12,3519.0,734 CPT,38209,THAWING AND WASHING OF FROZEN STEM CELLS FOR TRANSPLANTATION FACILITY,,,99.04,585.35,19 CPT,38210,HC T CELL DEPLETION,22912.0,20391.68,442.12,22912.0,734 CPT,38210,PR T CELL DEPLETION,22912.0,20391.68,64.37,22912.0,482 CPT,38212,HC RBC DEPLETION,1812.0,1612.68,376.9,1812.0,734 CPT,38214,HC PLASMA DEPLETION,4274.0,3803.86,442.12,4274.0,736 CPT,38214,PR PLASMA DEPLETION,4274.0,3803.86,33.27,4274.0,483 CPT,38214,PREPARATION OF STEM CELLS FOR TRANSPLANTATION WITH REDUCTION OF BLOOD FLUID (PLASMA) VOLUME FACILITY,,,442.12,585.35,18 CPT,38215,HC TRANSPLANT CELL CONCENTRATION,3707.0,3299.23,442.12,3707.0,734 CPT,38215,PR TRANSPLANT CELL CONCENTRATION,3707.0,3299.23,38.49,3707.0,482 CPT,38220,ASPIRATION OF BONE MARROW SAMPLE FOR DIAGNOSIS FACILITY,,,53.72,2191.35,20 CPT,38220,HC BONE MARROW ASPIRATION ONLY,2326.0,2070.14,53.72,2326.0,736 CPT,38220,PR BONE MARROW ASPIRATION ONLY,860.0,765.4,69.04,860.0,482 CPT,38221,BIOPSY OF BONE MARROW FACILITY,,,55.56,2191.35,20 CPT,38221,HC BONE MARROW BIOPSY NDL/TROCAR,2490.0,2216.1,55.56,2490.0,736 CPT,38221,PR BONE MARROW BIOPSY NDL/TROCAR,922.0,820.58,68.52,922.0,482 CPT,38222,BIOPSY AND ASPIRATION OF BONE MARROW SAMPLE FOR DIAGNOSIS FACILITY,,,266.43,3853.99,21 CPT,38222,HC DX BONE MARROW BX & ASPIR,3501.0,3115.89,266.43,3853.99,747 CPT,38222,PR DX BONE MARROW BX & ASPIR,1004.0,893.56,72.47,1004.0,482 CPT,38225,"HARVESTING OF BLOOD-DERIVED T WHITE BLOOD CELLS (T LYMPHOCYTES) FOR CHIMERIC ANTIGEN RECEPTOR T-CELL (CAR-T) THERAPY, PER DAY FACILITY",,,7.77,69.74,19 CPT,38225,HC CAR-T; HARVESTING CELLS,12990.0,11561.1,63.94,12990.0,720 CPT,38226,HC CAR-T; CRYO FOR TRANSPORT,14985.0,13336.65,25.85,14985.0,720 CPT,38226,HC CAR-T; PREP FRESH CELLS FOR TRANSPORT,9890.0,8802.1,25.85,9890.0,720 CPT,38226,PREPARATION OF BLOOD-DERIVED T WHITE BLOOD CELLS (T LYMPHOCYTES) FOR TRANSPORTATION FOR CHIMERIC ANTIGEN RECEPTOR T-CELL (CAR-T) THERAPY FACILITY,,,7.77,28.19,19 CPT,38227,HC CAR-T; RECEIPT AND PREP OF CELLS FOR ADMIN,15420.0,13723.8,26.08,15420.0,720 CPT,38227,RECEIPT AND PREPARATION OF BLOOD-DERIVED T WHITE BLOOD CELLS (T LYMPHOCYTES) FOR CHIMERIC ANTIGEN RECEPTOR T-CELL (CAR-T) THERAPY FACILITY,,,26.08,650749.29,17 CPT,38228,ADMINISTRATION OF BLOOD-DERIVED T WHITE BLOOD CELLS (T LYMPHOCYTES) FOR CHIMERIC ANTIGEN RECEPTOR T-CELL (CAR-T) THERAPY FACILITY,,,331.01,480.65,19 CPT,38228,HC CAR-T CLL ADMN AUTOLOGOUS,13809.0,12290.01,331.01,13809.0,736 CPT,38228,PR CAR-T THERAPY AUTOL CAR-T CELL ADMINISTRATION,2749.0,2446.61,261.47,2749.0,482 CPT,38230,PR BONE MARROW HARVEST TX ALLOGEN,3119.0,2775.91,64.52,3119.0,482 CPT,38232,PR BN MARROW HARVEST TRANPL AUTO,1451.0,1291.39,60.49,1451.0,482 CPT,38240,HC BMT/STEM CELL TX ALLO,9517.0,8470.13,197.69,83457.52,737 CPT,38240,TRANSPLANTATION OF DONOR STEM CELLS PER DONOR FACILITY,,,197.69,83457.52,21 CPT,38241,HC BMT/STEM CELL TX AUTO,8724.0,7764.36,145.55,8724.0,737 CPT,38241,TRANSPLANTATION OF PATIENT-DERIVED STEM CELLS FACILITY,,,145.55,2066.4,21 CPT,38242,TRANSPLANTATION OF DONOR WHITE BLOOD CELLS FACILITY,,,1560.77,2066.4,17 CPT,38243,HC HPC BOOST,4679.0,4164.31,99.04,4679.0,736 CPT,38243,TRANSPLANTATION OF DONOR STEM CELLS FACILITY,,,99.04,2066.4,20 CPT,38305,PR DRAIN LYMPH NODE ABSC EXTNSV,1567.0,1394.63,186.32,1567.0,482 CPT,38308,INCISION OR OTHER OPERATION ON LYMPHATIC CHANNELS,,,417.15,5195.02,20 CPT,38308,PR LYMPHANGIOTOMY,3100.0,2759.0,170.2,3100.0,482 CPT,38380,PR SUTR&/LIG THORA DUCT CERV APPR,4244.0,3777.16,201.09,4244.0,482 CPT,38381,PR SUTR&/LIG THORA DUCT THOR APPR,8523.0,7585.47,286.71,8523.0,482 CPT,38500,BIOPSY OR REMOVAL OF LYMPH NODES PROFESSIONAL,,,227.0,5195.02,20 CPT,38500,PR BX/EXCISN LYMPH NODE OPN SUPFCL,1925.0,1713.25,144.64,1925.0,482 CPT,38505,HC BX/EXCISN LYMPH NODE NDL SUPFCL,3285.0,2923.65,71.32,3285.0,738 CPT,38505,NEEDLE BIOPSY OR REMOVAL OF SURFACE LYMPH NODES FACILITY,,,71.32,2191.35,20 CPT,38505,PR BX/EXCISN LYMPH NODE NDL SUPFCL,1065.0,947.85,69.21,1065.0,482 CPT,38510,BIOPSY OR REMOVAL OF DEEP LYMPH NODES OF NECK,,,351.61,5195.02,20 CPT,38510,PR BX/EXC LYMPHNODE OPN DEEP CERV,3103.0,2761.67,216.1,3103.0,482 CPT,38520,BIOPSY OR REMOVAL OF LYMPH NODES OF NECK WITH REMOVAL OF FAT PAD,,,410.56,5195.02,20 CPT,38525,BIOPSY OR REMOVAL OF DEEP LYMPH NODES OF UNDERARM PROFESSIONAL,,,397.53,9972.47,20 CPT,38525,PR BX/EXC LYMPHNODE OPN AXILLARY,3207.0,2854.23,162.19,3207.0,482 CPT,38530,PR BX/EXC LYMPHNODE OPEN MAMMARY,6263.0,5574.07,202.43,6263.0,482 CPT,38531,BIOPSY OR REMOVAL OF LYMPH NODES OF GROIN PROFESSIONAL,,,377.58,7114.06,20 CPT,38531,"PR BX/EXC LYMPHNODE OPN, INGUINOFEM",3036.0,2702.04,162.72,3036.0,482 CPT,38562,PR LMTD LMPHADEC STAGE PEL&AORTIC,5754.0,5121.06,254.42,5754.0,482 CPT,38564,PR LMTD LMPHADEC STAGE RPR AORTIC,5232.0,4656.48,249.01,5232.0,482 CPT,38570,BIOPSY AND REMOVAL OF LYMPH NODES OF ABDOMINAL CAVITY USING AN ENDOSCOPE,,,444.2,14103.72,20 CPT,38570,PR LAPROSC RETROPERIT LYMPH ND BX,4105.0,3653.45,181.24,4105.0,482 CPT,38571,PR LAPROSC BILAT TOT PELV LMPHADEC,5807.0,5168.23,229.14,5807.0,482 CPT,38571,REMOVAL OF LYMPH NODES OF BOTH SIDES OF PELVIS USING AN ENDOSCOPE,,,561.62,14103.72,21 CPT,38572,PR LAP LMPHADC&PERIAORTC LYMPH BX,6448.0,5738.72,311.47,6448.0,482 CPT,38589,PR LAP RESEC RETROPERITONEL LYM NODES,12064.0,10736.96,603.2,12064.0,477 CPT,38589,UNLISTED PROC LAP LYMPH SYS,,,141.96,8021.24,19 CPT,38700,PR SUPRAHYOID LYMPHADENECTOMY,5718.0,5089.02,273.91,5718.0,482 CPT,38700,REMOVAL OF LYMPH NODES FROM CHIN TO THYROID CARTILAGE,,,671.35,8810.21,20 CPT,38720,PR CERVICAL LYMPHADENECTOMY,9581.0,8527.09,455.22,9581.0,482 CPT,38724,PR CERV LMPH MOD/RAD NECK DISSECT,11831.0,10529.59,483.98,11831.0,482 CPT,38724,"REMOVAL OF LYMPH NODES, MUSCLE, AND TISSUE OF NECK",,,1017.63,1779.32,20 CPT,38740,PARTIAL REMOVAL OF LYMPH NODES OF UNDERARM,,,617.52,8021.24,20 CPT,38740,PR AXILLARY LYMPHADENECTOMY SUPF,4142.0,3686.38,251.95,4142.0,482 CPT,38745,PR AXILLARY LYMPHADENECTOMY COMPL,6947.0,6182.83,313.27,6947.0,482 CPT,38745,REMOVAL OF LYMPH NODES OF UNDERARM PROFESSIONAL,,,767.81,8021.24,20 CPT,38746,PR LMPHADEC THOR THORCOM MED®,2080.0,1851.2,140.52,2080.0,482 CPT,38747,PR LMPHADEC ABDL REG CELIAC GASTR,2214.0,1970.46,173.55,2214.0,482 CPT,38760,PR INGUINOFEM LMPHADEC SUPFCL,5570.0,4957.3,293.2,5570.0,482 CPT,38760,REMOVAL OF LYMPH NODES OF GROIN,,,718.62,8810.21,20 CPT,38765,PARTIAL REMOVAL OF LYMPH NODES OF GROIN AND PELVIS,,,896.66,1683.12,20 CPT,38765,PR INGUINO LMPHDEC W PLVC LMPHDEC,8932.0,7949.48,457.81,8932.0,482 CPT,38770,PR PLVC LMPHDEC ILIAC HYPOGASTRIC,7129.0,6344.81,281.83,7129.0,482 CPT,38780,PR RPERIT TABDL LMPHDEC PLVC RENL,12064.0,10736.96,368.53,12064.0,482 CPT,38780,REMOVAL OF LYMPH NODES OF ABDOMINAL CAVITY,,,727.34,1354.88,20 CPT,38790,HC INJ PROCEDURE LYMPHANGIOGRAPHY,3357.0,2987.73,71.9,3357.0,720 CPT,38790,INJECTION PROCEDURE FOR IMAGING OF LYMPHATIC SYSTEM FACILITY,,,71.9,107.85,3 CPT,38790,PR INJ PROCEDURE LYMPHANGIOGRAPHY,855.0,760.95,29.34,855.0,482 CPT,38792,HC INJ RADIOACT TRACE SENTINEL ND,1225.0,1090.25,25.86,1225.0,741 CPT,38792,INJECTION OF RADIOACTIVE MATERIAL FOR X-RAY IDENTIFICATION OF LYMPH NODE FACILITY,,,25.86,600.39,20 CPT,38792,PR INJ RADIOACT TRACE SENTINEL ND,356.0,316.84,33.55,356.0,482 CPT,38794,EXPOSURE OF LYMPH DUCT OF CHEST CAVITY FACILITY,,,248.69,539.37,20 CPT,38794,HC CANNULATION THORACIC DUCT,4043.0,3598.27,248.69,4043.0,719 CPT,38794,PR CANNULATION THORACIC DUCT,2295.0,2042.55,101.47,2295.0,482 CPT,38900,IMAGING OF LYMPH NODES DURING SURGERY PROFESSIONAL,,,109.67,14103.72,20 CPT,38900,PR INTRAOP SENTINL LYMPH NODE INJ,975.0,867.75,108.01,975.0,482 CPT,38999,HC FRESH CELL ADMIN PREPARATION,3031.0,2697.59,442.12,3031.0,738 CPT,38999,HC TCR HARVESTING CELLS,12990.0,11561.1,442.12,12990.0,738 CPT,38999,HC TCR PREP FOR TRANSPORTATION,9890.0,8802.1,442.12,9890.0,738 CPT,38999,HC TCR RECEIPT AND PREP FOR ADMIN,15420.0,13723.8,442.12,15420.0,738 CPT,38999,HC TIL PREP FOR TRANSPORTATION,12363.0,11003.07,442.12,12363.0,738 CPT,38999,HC TIL RECEIPT AND PREP FOR ADMIN,19275.0,17154.75,442.12,19275.0,738 CPT,38999,PR LYMPH NODE ABLATION,1236.0,1100.04,61.8,1236.0,477 CPT,38999,PR MESENTERIC LYMPHADENECTOMY,2214.0,1970.46,110.7,2214.0,477 CPT,38999,UNLISTED PROC HEMIC/LYMPHATIC - FACILITY,,,64.38,585.35,20 CPT,39000,"EXPLORATION, DRAINAGE, BIOPSY, OR REMOVAL OF FOREIGN BODY IN CHEST CAVITY THROUGH NECK",,,347.22,686.61,20 CPT,39000,PR MEDIAST W EXPL DRAIN CERV APPR,4116.0,3663.24,186.76,4116.0,482 CPT,39010,PR MEDIAST EXPL DRAIN TTHOR APPR,6342.0,5644.38,283.55,6342.0,482 CPT,39200,PR RESECTION OF MEDIASTINAL CYST,8478.0,7545.42,306.4,8478.0,482 CPT,39200,REMOVAL OF CYST BELOW BREAST BONE,,,575.19,1126.46,20 CPT,39220,PR RESECTION MEDIASTINAL TUMOR,9549.0,8498.61,396.43,9549.0,482 CPT,39220,REMOVAL OF GROWTH BELOW BREAST BONE,,,761.7,1457.45,20 CPT,39401,PR MEDIASTINOSCOPY W MEDIASTINAL BX,2724.0,2424.36,107.56,2724.0,482 CPT,39402,EXAM OF CHEST WITH BIOPSY OF LYMPH NODE USING AN ENDOSCOPE,,,338.78,8021.24,21 CPT,39402,PR MEDIASTINOSCOPY W LYMPH ND BX,3003.0,2672.67,138.22,3003.0,482 CPT,39501,PR REPAIR LACERATION DIAPHRAGM,7401.0,6586.89,301.6,7401.0,482 CPT,39503,PR RPR NEONATAL DIPHRG HERNIA,31280.0,27839.2,1937.78,31280.0,482 CPT,39540,PR RPR HERNIA NOT NEONATAL ACUTE,6965.0,6198.85,301.89,6965.0,482 CPT,39541,PR RPR HERNIA NOT NEONATAL CHRNC,10045.0,8940.05,327.04,10045.0,482 CPT,39545,PR IMBRICATION DIAPHRAGM EVENTRAT,10252.0,9124.28,324.91,10252.0,482 CPT,39560,PR RESC DIAPHRAGM W SIMPLE REPAIR,6490.0,5776.1,283.3,6490.0,482 CPT,39560,SIMPLE REPAIR OF MUSCLE SEPARATING CHEST AND ABDOMINAL CAVITIES,,,694.36,8021.24,20 CPT,39561,PR RESC DIAPHRAGM W COMPLX REPAIR,11217.0,9983.13,454.02,11217.0,482 CPT,39599,UNLISTED PROCEDURE DIAPHRAGM,,,1571.78,8021.24,19 CPT,40490,BIOPSY OF LIP FACILITY,,,53.65,314.25,21 CPT,40490,HC BIOPSY LIP,787.0,700.43,53.65,787.0,737 CPT,40490,PR BIOPSY LIP,479.0,426.31,41.49,479.0,508 CPT,40500,PR VERMILIONECTOMY LIP W MUC ADV,2752.0,2449.28,214.15,2752.0,482 CPT,40510,PR EXCISN LIP TRANSV WEDGE W CLSR,2562.0,2280.18,200.47,2562.0,482 CPT,40510,REMOVAL OF WEDGE OF LIP TISSUE WITH CLOSURE FACILITY,,,305.06,4398.97,20 CPT,40525,PR EXCISN LIP RCNST W LOCAL FLAP,4334.0,3857.26,194.12,4334.0,482 CPT,40527,PR EXCISN LIP RCNST W CROSS FLAP,6063.0,5396.07,215.58,6063.0,482 CPT,40527,REMOVAL OF LIP WITH REPAIR USING TISSUE GRAFT,,,528.38,7854.46,20 CPT,40650,HC RPR LIP FULL THICK VERMIL ONLY,2443.0,2174.27,336.2,2443.0,736 CPT,40650,PR RPR LIP FULL THICK VERMIL ONLY,2443.0,2174.27,231.12,2443.0,482 CPT,40652,HC RPR LIP F THICK HALF VERTC HT,3590.0,3195.1,380.36,3590.0,736 CPT,40654,PR RPR LIP F THICK >HALF VERTC HT,5002.0,4451.78,248.16,5002.0,482 CPT,40654,REPAIR OF VERTICAL LIP WOUND EXTENDING TO OVER HALF OF LIP FACILITY,,,380.36,2058.65,20 CPT,40700,PR RPR CLEFT LIP PLASTIC PRIM UNILAT,7795.0,6937.55,351.55,7795.0,482 CPT,40700,PRIMARY PLASTIC REPAIR OF DEFORMITY PRESENT AT BIRTH ON 1 SIDE OF NOSE AND/OR LIP,,,861.64,7854.46,20 CPT,40701,PLASTIC REPAIR OF DEFORMITY PRESENT AT BIRTH ON BOTH SIDES OF NOSE AND/OR LIP,,,1003.63,7854.46,20 CPT,40701,PR RPR CLEFT LIP PLSTC BILAT 1 STG,7735.0,6884.15,409.48,7735.0,482 CPT,40720,PR RPR CLEFT LIP PLSTC SECONDARY,9094.0,8093.66,354.97,9094.0,482 CPT,40720,SECONDARY PLASTIC REPAIR OF NOSE AND LIP DEFORMITY PRESENT AT BIRTH,,,870.02,4979.29,20 CPT,40761,PLASTIC REPAIR OF NOSE AND/OR LIP DEFORMITY PRESENT AT BIRTH USING A TISSUE GRAFT,,,905.31,7854.46,20 CPT,40761,PR LSTC RPR CLFT LIP/NSL DFRM,10190.0,9069.1,369.37,10190.0,482 CPT,40799,PR UPPER LIP SHORTENING,2622.0,2333.58,131.1,2622.0,477 CPT,40799,UNLISTED PROCEDURE LIPS,,,799.73,7854.46,19 CPT,40800,HC DRN MOUTH LESION SMPL,1098.0,977.22,114.18,1098.0,736 CPT,40800,PR DRN MOUTH LESION SMPL,776.0,690.64,85.99,776.0,489 CPT,40800,"SIMPLE DRAINAGE OF ABSCESS, CYST, OR BLOOD ACCUMULATION OF MOUTH FACILITY",,,114.18,939.55,20 CPT,40801,"COMPLICATED DRAINAGE OF ABSCESS, CYST, OR BLOOD ACCUMULATION OF MOUTH",,,184.07,715.58,20 CPT,40801,PR DRN MOUTH LESION CMPLX,1531.0,1362.59,124.61,1531.0,482 CPT,40804,PR RMVL FB VESTIBULE MOUTH SMPL,774.0,688.86,85.38,774.0,506 CPT,40804,SIMPLE REMOVAL OF EMBEDDED FOREIGN BODY IN MOUTH,,,113.04,1203.39,20 CPT,40806,PR INCISION LABIAL FRENUM,684.0,608.76,41.77,684.0,482 CPT,40808,BIOPSY OF MOUTH FACILITY,,,80.48,4398.97,21 CPT,40808,HC BIOPSY VESTIBULE OF MOUTH,1450.0,1290.5,80.48,1450.0,738 CPT,40808,PR BIOPSY VESTIBULE OF MOUTH,850.0,756.5,58.42,850.0,510 CPT,40810,PR EXCISN LESN MOUTH WO RPR,936.0,833.04,88.41,936.0,507 CPT,40810,REMOVAL OF GROWTH OF TISSUE OF MOUTH FACILITY,,,112.54,4398.97,21 CPT,40812,PR EXCISN LESN MOUTH W RPR SMPL,1330.0,1183.7,97.12,1330.0,508 CPT,40812,REMOVAL OF GROWTH OF MOUTH WITH SIMPLE REPAIR FACILITY,,,163.88,2058.65,21 CPT,40814,PR EXCISN LESN MOUTH W RPR CMPLX,1553.0,1382.17,154.67,1553.0,482 CPT,40814,REMOVAL OF GROWTH OF MOUTH WITH COMPLICATED REPAIR,,,258.11,4398.97,20 CPT,40816,PR EXCISN LESN MOUTH W MUS EXCISN,2244.0,1997.16,165.15,2244.0,482 CPT,40818,PR EXCISN MUCOSA MOUTH DONOR GRFT,1552.0,1381.28,148.4,1552.0,482 CPT,40818,REMOVAL OF MOUTH TISSUE FOR GRAFTING,,,242.4,4398.97,20 CPT,40819,PR EXCISN FRENUM LABIAL/BUCCAL,1262.0,1123.18,112.59,1262.0,482 CPT,40820,DESTRUCTION OF GROWTH OR SCAR OF MOUTH FACILITY,,,152.81,4398.97,20 CPT,40820,PR DEST LESN/SCAR VESTIBULE MOUTH,1067.0,949.63,103.86,1067.0,482 CPT,40830,HC CLSR LAC VEST MOUTH<=2.5 CM,924.0,822.36,135.29,924.0,736 CPT,40830,PR CLSR LAC VEST MOUTH<=2.5 CM,1020.0,907.8,94.32,1020.0,482 CPT,40830,"REPAIR OF LACERATED MOUTH, 2.5 CM OR LESS FACILITY",,,135.29,2058.65,20 CPT,40831,HC CLSR LAC VEST MOUTH>2.5 CM/CMPLX,2123.0,1889.47,188.24,2123.0,736 CPT,40831,PR CLSR LAC VEST MOUTH>2.5 CM/CMPLX,1775.0,1579.75,126.87,1775.0,482 CPT,40831,"REPAIR OF LACERATED MOUTH, MORE THAN 2.5 CM FACILITY",,,188.24,7854.46,20 CPT,40840,PR VESTIBULOPLASTY ANTERIOR,4319.0,3843.91,353.8,4319.0,482 CPT,40840,REPAIR TO INCREASE DEPTH OF FRONT PORTION OF MOUTH,,,537.53,7854.46,20 CPT,40845,COMPLEX REPAIR TO INCREASE DEPTH OF MOUTH,,,993.93,7854.46,20 CPT,40899,UNLISTED PROC VESTIBULE MOUTH,,,5932.53,7854.46,17 CPT,41000,PR I&D INTRAORAL LESN LINGUAL,781.0,695.09,64.57,781.0,482 CPT,41005,PR I&D INTRAORAL LESN SUBLINGUAL,931.0,828.59,94.94,931.0,482 CPT,41007,PR I&D INTRAORAL SUBMENTAL SPACE,1872.0,1666.08,136.52,1872.0,482 CPT,41008,PR I&D ABSC INTRAORAL SUBMAND SPACE,1943.0,1729.27,167.8,1943.0,482 CPT,41009,PR I&D ABSC INTRAORAL MASTICAT SPACE,1615.0,1437.35,175.51,1615.0,482 CPT,41010,HC INCISN LINGUAL FRENUM FRENOTMY,389.0,346.21,80.91,2058.65,736 CPT,41010,INCISION OF TISSUE CONNECTING TONGUE AND FLOOR OF MOUTH FACILITY,,,100.55,2058.65,20 CPT,41010,PR INCISN LINGUAL FRENUM FRENOTMY,1089.0,969.21,86.46,1089.0,489 CPT,41015,PR I&D EXTRAORAL ABSC SUBLINGUAL,2803.0,2494.67,166.27,2803.0,482 CPT,41016,"DRAINAGE OF ABSCESS, CYST, OR BLOOD ACCUMULATION BENEATH CHIN FROM OUTSIDE MOUTH",,,317.09,7854.46,20 CPT,41016,PR I&D EXTRAORAL ABSC SUBMENTAL,1915.0,1704.35,195.84,1915.0,482 CPT,41017,"DRAINAGE OF ABSCESS, CYST, OR BLOOD ACCUMULATION UNDER JAW BONE FROM OUTSIDE MOUTH",,,313.21,4398.97,20 CPT,41017,PR I&D EXTRAORAL ABSC SUBMANDIB,1945.0,1731.05,193.98,1945.0,482 CPT,41018,"DRAINAGE OF ABSCESS, CYST, OR BLOOD ACCUMULATION UNDER LOWER TEETH FROM OUTSIDE MOUTH",,,363.31,5599.38,20 CPT,41018,PR I&D EXTRAORAL ABSC MASTICATOR,2944.0,2620.16,221.15,2944.0,482 CPT,41100,BIOPSY OF FRONT 2/3 OF TONGUE FACILITY,,,94.37,4398.97,20 CPT,41100,HC BX TONGUE ANTR 2/3,2440.0,2171.6,94.37,2440.0,738 CPT,41100,PR BX TONGUE ANTR 2/3,908.0,808.12,65.03,908.0,511 CPT,41105,BIOPSY OF BACK 1/3 OF TONGUE,,,97.17,4398.97,20 CPT,41105,PR BX TONGUE POSTR 1/3,872.0,776.08,76.95,872.0,482 CPT,41108,BIOPSY OF FLOOR OF MOUTH FACILITY,,,81.9,4398.97,20 CPT,41108,HC BIOPSY FLOOR MOUTH,3257.0,2898.73,81.9,3257.0,736 CPT,41108,PR BIOPSY FLOOR MOUTH,751.0,668.39,69.46,751.0,482 CPT,41110,PR EXCISN LESN TONGUE WO CLSR,930.0,827.7,78.64,930.0,508 CPT,41110,REMOVAL OF GROWTH OF TONGUE WITHOUT CLOSURE FACILITY,,,115.74,4398.97,20 CPT,41112,PR EXCISN LESN TNG W CLSR ANTR 2/3,1587.0,1412.43,118.02,1587.0,508 CPT,41112,REMOVAL OF GROWTH OF FRONT 2/3 OF TONGUE WITH SWITCHES FACILITY,,,220.36,4398.97,21 CPT,41113,PR EXCISN LESN TNG W CLSR POSTR 1/3,1855.0,1650.95,148.97,1855.0,482 CPT,41113,REMOVAL OF GROWTH OF BACK 1/3 OF TONGUE WITH SUTURING,,,238.29,4398.97,20 CPT,41115,PR EXCISN LINGUAL FRENUM,1045.0,930.05,88.59,1045.0,507 CPT,41115,REMOVAL OF TISSUE CONNECTING TONGUE AND FLOOR OF MOUTH,,,129.32,2058.65,20 CPT,41116,PR EXCISN LESN FLOOR OF MOUTH,1819.0,1618.91,136.22,1819.0,482 CPT,41116,REMOVAL OF GROWTH OF FLOOR OF MOUTH,,,196.05,4398.97,21 CPT,41120,PR GLOSSECTOMY <1/2 TONGUE,6276.0,5585.64,390.07,6276.0,482 CPT,41120,REMOVAL OF LESS THAN HALF OF TONGUE,,,956.06,7854.46,21 CPT,41130,PARTIAL REMOVAL OF TONGUE,,,933.22,1722.6,20 CPT,41130,PR GLOSSECTOMY HEMIGLOSSECTOMY,7627.0,6788.03,468.55,7627.0,482 CPT,41140,PR GLSSC COMPL WO RAD NECK DISEC,16893.0,15034.77,756.53,16893.0,482 CPT,41150,PR GLSSC COMPOSITE W MANDIB RESEC,16344.0,14546.16,760.87,16344.0,482 CPT,41150,"REMOVAL OF TONGUE, FLOOR OF MOUTH, AND JAW BONE",,,848.22,7854.46,19 CPT,41250,HC RPR LAC <=2.5CM ANTR 2/3 TNG,832.0,740.48,159.37,832.0,736 CPT,41250,PR RPR LAC <=2.5CM ANTR 2/3 TNG,1077.0,958.53,136.4,1077.0,482 CPT,41251,PR RPR LAC <=2.5CM POSTR 1/3 TNG,865.0,769.85,173.25,865.0,482 CPT,41251,"REPAIR OF LACERATED BACK 1/3 OF TONGUE, 2.5 CM OR LESS",,,217.71,5599.38,20 CPT,41252,PR RPR LAC TONGUE >2.6CM COMPLX,2006.0,1785.34,138.42,2006.0,482 CPT,41512,PERMANENT SUSPENSION OF TONGUE BASE USING SUTURES,,,606.15,7854.46,20 CPT,41512,PR TONGUE BASE SUSPENSION PERMANENT SUTURE TQ,4327.0,3851.03,247.31,4327.0,482 CPT,41530,PR SUBMUC ABLT TNG >=1 SITE/SESN,12891.0,11472.99,379.91,12891.0,482 CPT,41599,UNLISTED PROC TNG/FLOOR OF MOUTH,,,111.48,314.25,19 CPT,41800,HC DRN ABSC HEMA DENTOAVEOLAR,796.0,708.44,133.33,796.0,736 CPT,41800,PR DRN ABSC HEMA DENTOAVEOLAR,963.0,857.07,157.9,963.0,482 CPT,41805,PR RMVL EMBEDDED FB DENTOALVEOLAR,1610.0,1432.9,131.5,1610.0,497 CPT,41806,PR RMVL FB DENTOALVEOLAR BONE,1137.0,1011.93,173.86,1137.0,482 CPT,41820,PR GINGIVECTOMY EA QUADRANT,1214.0,1080.46,546.3,1214.0,477 CPT,41820,REMOVAL OF OVERGROWN GUM TISSUE,,,3.06,4398.97,19 CPT,41823,PR EXCISN OSS TUBEROST DENTOAVEOLAR,1973.0,1755.97,232.95,1973.0,506 CPT,41823,REMOVAL OF DENTAL BONE,,,346.85,7854.46,20 CPT,41825,PR EXCISN LESN DNTOALVOLR WO RPR,850.0,756.5,88.11,850.0,506 CPT,41825,REMOVAL OF DENTAL BONE GROWTH,,,108.37,4398.97,20 CPT,41826,PR EXCISN LESN DNTOALVOLR W RPR SMPL,1486.0,1322.54,103.91,1486.0,507 CPT,41826,REMOVAL OF DENTAL BONE GROWTH WITH SIMPLE REPAIR,,,174.84,7854.46,20 CPT,41827,PR EXCISN LESN DNTOALVOLR W RPR CMPLX,2316.0,2061.24,175.71,2316.0,482 CPT,41828,PR EXCISN HYPERPLASTIC ALVEOL MUC EA,1134.0,1009.26,152.5,1134.0,482 CPT,41830,PR ALVEOLECTOMY W CURRETTAGE,1767.0,1572.63,204.23,1767.0,482 CPT,41830,REMOVAL OF TISSUE OVERGROWTH AT TEETH OR TOOTH SOCKET,,,285.05,4398.97,20 CPT,41850,DESTRUCTION OF GROWTH OF STRUCTURE SUPPORTING TEETH,,,141.96,2058.65,19 CPT,41850,PR DEST LESN DNTOALVOLR STRUCTURE,823.0,732.47,41.15,823.0,477 CPT,41870,GRAFT OF MOUTH TISSUE LINING TO GUM SURFACE,,,965.4,7854.46,19 CPT,41870,PR PERIODONTAL MUCOSAL GRAFTING,1651.0,1469.39,742.95,1651.0,477 CPT,41874,PR ALVEOLOPLASTY EACH QUADRANT,1089.0,969.21,158.6,1089.0,482 CPT,41874,RESHAPING OF TOOTH SOCKET,,,875.76,7854.46,20 CPT,41899,HC UNLISTED PROC DENTOALVEOLAR,554.0,493.06,115.23,554.0,735 CPT,41899,PR EXCISION OF HYPERTROPHIC GRANULATION TISSUE,1067.0,949.63,53.35,1067.0,481 CPT,41899,PR GINGIVAL BIOPSY,850.0,756.5,42.5,850.0,481 CPT,41899,UNLISTED PROC DENTOALVEOLAR - FACILITY,,,237.36,565.48,20 CPT,42000,PR DRAINAGE ABSCESS PALATE UVULA,987.0,878.43,55.15,987.0,507 CPT,42100,BIOPSY OF ROOF OF MOUTH FACILITY,,,98.79,2191.35,20 CPT,42100,HC BIOPSY PALATE UVULA,3153.0,2806.17,98.79,3153.0,736 CPT,42100,PR BIOPSY PALATE UVULA,872.0,776.08,60.64,872.0,485 CPT,42104,PR EXCISN LESN PALATE UVULA WO CLSR,1053.0,937.17,75.53,1053.0,507 CPT,42104,REMOVAL OF GROWTH OF ROOF OF MOUTH FACILITY,,,119.15,4398.97,21 CPT,42106,PR EXCISN LESN PALAT UVLA W CLS SMPL,1290.0,1148.1,106.27,1290.0,482 CPT,42106,REMOVAL OF GROWTH OF ROOF OF MOUTH WITH SIMPLE CLOSURE,,,145.67,4398.97,20 CPT,42107,PR EXCISN LESN PALAT UVLA W FLAP CLS,2304.0,2050.56,189.93,2304.0,482 CPT,42107,REMOVAL OF GROWTH OF ROOF OF MOUTH WITH LOCAL TISSUE GRAFT,,,294.69,7854.46,20 CPT,42120,PARTIAL REMOVAL OF ROOF OF MOUTH,,,886.06,7854.46,20 CPT,42120,PR RESCT PALATE/EXTENS RESCT LESN,6552.0,5831.28,361.51,6552.0,482 CPT,42140,PR UVULECTOMY EXCISION UVULA,1464.0,1302.96,125.07,1464.0,482 CPT,42140,REMOVAL OF SOFT TISSUE OF ROOF OF MOUTH,,,149.14,4398.97,20 CPT,42145,COMPLEX REMOVAL OF SOFT TISSUE OF ROOF OF MOUTH,,,582.94,7854.46,20 CPT,42145,PR PALATOPHARYNGOPLASTY,5197.0,4625.33,237.84,5197.0,482 CPT,42160,DESTRUCTION OF GROWTH OR SOFT TISSUE OF ROOF OF MOUTH FACILITY,,,125.54,4398.97,20 CPT,42160,PR DEST LESN PALATE UVULA,879.0,782.31,94.69,879.0,482 CPT,42180,PR RPR LACERATION OF PALATE<=2 CM,1337.0,1189.93,102.41,1337.0,482 CPT,42182,PR RPR PALATE LAC >2CM CMPLX,2355.0,2095.95,131.24,2355.0,482 CPT,42200,PR PALATOPLASTY CLEFT PALATE,9563.0,8511.07,326.29,9563.0,482 CPT,42200,REPAIR OF DEFECT OF SOFT AND/OR HARD TISSUE OF ROOF OF MOUTH FOR CLEFT PALATE,,,799.73,7854.46,20 CPT,42205,PR PALATOP CLEFT PALATE W CLSR,10514.0,9357.46,334.42,10514.0,482 CPT,42205,REPAIR OF DEFECT OF SOFT TISSUE OF ROOF OF MOUTH FOR CLEFT PALATE,,,819.64,4398.97,20 CPT,42210,PR PALATOP CLEFT PALATE W GRAFT,10278.0,9147.42,374.4,10278.0,482 CPT,42210,REPAIR OF CLEFT PALATE WITH BONE GRAFT,,,917.65,7854.46,20 CPT,42215,PR PALATOP CLEFT PALATE MJR REV,6562.0,5840.18,252.72,6562.0,482 CPT,42215,REVISION OF PRIOR CLEFT PALATE REPAIR,,,619.4,7854.46,20 CPT,42220,PR PALATOP CLEFT SECNDRY LENGTH,5885.0,5237.65,210.73,5885.0,482 CPT,42225,PR PALATOP CLEFT W PHRYNGL FLAP,8550.0,7609.5,385.6,8550.0,482 CPT,42225,REPAIR OF CLEFT PALATE WITH LOCAL TISSUE GRAFT FROM THROAT,,,945.08,7854.46,20 CPT,42226,LENGTHENING OF ROOF OF MOUTH WITH THROAT TISSUE GRAFT,,,813.13,7854.46,20 CPT,42226,PR LENGTHN PALATE PHRYNGL FLAP,10698.0,9521.22,331.76,10698.0,482 CPT,42235,LENGTHENING OF ROOF OF MOUTH WITH TISSUE GRAFT FROM TISSUE SEPARATING NOSE AIRWAYS,,,674.26,7854.46,20 CPT,42235,PR RRP ANTR PALATE W VOMER FLAP,5523.0,4915.47,275.1,5523.0,482 CPT,42260,PR REPAIR NASOLABIAL FISTULA,5124.0,4560.36,339.58,5124.0,482 CPT,42260,REPAIR OF ABNORMAL CONNECTION FROM NASAL SINUS TO SKIN,,,559.07,7854.46,20 CPT,42281,INSERTION OF ROOF OF MOUTH PROSTHESIS,,,149.62,7854.46,20 CPT,42300,PR DRAINAGE ABSCESS PAROTID SMPLE,899.0,800.11,86.67,899.0,482 CPT,42310,DRAINAGE OF ABSCESS OF LOWER JAW FROM INSIDE OF MOUTH,,,124.73,715.58,20 CPT,42310,PR DRN ABSC SUBMAX/SUBLIN INTORAL,763.0,679.07,74.03,763.0,482 CPT,42320,PR DRN ABSC SUBMAX INTRAORAL,1410.0,1254.9,105.38,1410.0,482 CPT,42330,PR SIALOLITHTOMY UNCOMP INTRAORAL,1392.0,1238.88,95.68,1392.0,482 CPT,42330,UNCOMPLICATED REMOVAL OF SALIVA GLAND STONE FROM INSIDE MOUTH FACILITY,,,144.45,4398.97,20 CPT,42335,COMPLICATED REMOVAL OF SALIVA GLAND STONE FROM INSIDE MOUTH,,,231.46,7854.46,20 CPT,42335,PR SIALOLITHOTOMY COMPL INTRAORAL,1843.0,1640.27,173.81,1843.0,482 CPT,42340,PR SIALOLITHOTOMY EXT/COMP INTRA,4358.0,3878.62,212.31,4358.0,482 CPT,42400,HC BX SALIVARY GLAND NEEDLE,2164.0,1925.96,46.45,2164.0,737 CPT,42400,NEEDLE BIOPSY OF SALIVA GLAND FACILITY,,,46.45,939.55,21 CPT,42400,PR BX SALIVARY GLAND NEEDLE,622.0,553.58,38.59,622.0,482 CPT,42405,BIOPSY OF SALIVA GLAND FACILITY,,,193.52,2590.89,20 CPT,42405,PR BX SALIVARY GLAND INCISIONAL,1385.0,1232.65,104.54,1385.0,509 CPT,42408,PR EXCISN SUBLINGUAL SALIVARY CYST,2050.0,1824.5,231.09,2050.0,482 CPT,42408,REMOVAL OF SALIVARY CYST UNDER TONGUE,,,313.42,7854.46,20 CPT,42409,CREATION OF TRACT TO DRAIN CYST OF SALIVA GLAND,,,203.49,4398.97,20 CPT,42409,PR MARSUP SUBLINGUAL SALIV CYST,1687.0,1501.43,157.21,1687.0,482 CPT,42410,PR EXCISN PRTD TMR LAT WO NRV DISEC,3841.0,3418.49,215.73,3841.0,482 CPT,42410,"REMOVAL OF GROWTH OF SALIVA GLAND OR SALIVA GLAND, LATERAL LOBE",,,528.75,7854.46,20 CPT,42415,PR EXCISN PRTD TMR LAT W NRV DISEC,7222.0,6427.58,354.64,7222.0,482 CPT,42415,REMOVAL OF GROWTH OF SALIVA GLAND WITH RELEASE OF FACIAL NERVE,,,869.22,7854.46,21 CPT,42420,PR EXCISN PRTD TMR TOT W NRV DISEC,9233.0,8217.37,394.85,9233.0,482 CPT,42420,REMOVAL OF GROWTH OF SALIVA GLAND OR SALIVA GLAND WITH RELEASE OF FACIAL NERVE,,,967.76,7854.46,20 CPT,42425,PR EXCISN PRTD TMR TOT EN BLOC RMVL,6357.0,5657.73,282.13,6357.0,482 CPT,42425,"REMOVAL OF GROWTH OF SALIVA GLAND OR SALIVA GLAND, AND FACIAL NERVE",,,691.5,7854.46,20 CPT,42440,PR EXCISN SUBMANDIB SUBMAX GLAND,4162.0,3704.18,144.26,4162.0,482 CPT,42440,REMOVAL OF SALIVA GLAND UNDER FLOOR OF MOUTH,,,353.57,7854.46,20 CPT,42450,PR EXCISN SUBLINGUAL GLAND,2955.0,2629.95,189.73,2955.0,482 CPT,42450,REMOVAL OF SALIVA GLAND UNDER TONGUE,,,318.25,7854.46,20 CPT,42500,PR PLASTIC RPR SALIV DUCT PRIM,2696.0,2399.44,180.57,2696.0,482 CPT,42500,SIMPLE REPAIR OF SALIVARY DUCT,,,303.03,7854.46,20 CPT,42505,COMPLICATED PLASTIC REPAIR OF SALIVARY DUCT,,,394.06,7854.46,20 CPT,42505,PR PLASTIC RPR SALIV DUCT SECNDRY,5437.0,4838.93,229.63,5437.0,482 CPT,42510,CREATION OF NEW DRAINAGE TRACTS OF MAJOR SALIVA GLAND DUCTS ON BOTH SIDES OF MOUTH WITH TYING OF SALIVA GLAND DUCTS BELOW BOTH SIDES OF JAW,,,515.74,147401.74,20 CPT,42600,CLOSURE OF ABNORMAL DRAINAGE TRACT OF SALIVA GLAND,,,306.77,4398.97,20 CPT,42650,INSERTION OF PROBE TO WIDEN SALIVA GLAND DUCT FACILITY,,,51.57,7854.46,20 CPT,42660,PR DILAT&CATH SALIVARY DUCT,515.0,458.35,40.88,515.0,482 CPT,42665,PR LIGATION SALIV DUCT INTRAORAL,1869.0,1663.41,149.86,1869.0,482 CPT,42665,TYING OF SALIVA GLAND DUCT,,,191.34,8890.63,20 CPT,42699,UNLISTED PROC SALIV GLANDS/DUCTS,,,4.91,314.25,19 CPT,42700,HC I&D ABSCESS PERITONSILLAR,1594.0,1418.66,124.03,1594.0,736 CPT,42700,PR I&D ABSCESS PERITONSILLAR,831.0,739.59,80.34,831.0,482 CPT,42720,DRAINAGE OF ABSCESS OF THROAT FROM INSIDE MOUTH,,,315.46,4398.97,20 CPT,42720,PR I&D ABSC PHRYNGL INTRAORAL,2094.0,1863.66,175.96,2094.0,482 CPT,42725,PR I&D ABSC PHRYNGL EXTRAORAL,3259.0,2900.51,273.33,3259.0,482 CPT,42800,BIOPSY OF BACK OF THROAT FACILITY,,,102.8,2058.65,20 CPT,42800,PR BIOPSY OROPHARYNX,965.0,858.85,64.38,965.0,483 CPT,42804,PR BX NASOPHRYNX VISIBLE LESN SMP,913.0,812.57,88.15,913.0,482 CPT,42804,SIMPLE BIOPSY OF GROWTH OF THROAT BEHIND NOSE FACILITY,,,110.54,4398.97,20 CPT,42806,PR BX NASOPHRYNX SURVEY PRIM LESN,1013.0,901.57,98.14,1013.0,482 CPT,42808,PR EXCISN/DEST LESION PHARYNX,1108.0,986.12,94.04,1108.0,482 CPT,42808,REMOVAL OR DESTRUCTION OF GROWTH OF THROAT,,,141.81,4398.97,20 CPT,42809,HC REMOVAL FB PHARYNX,950.0,845.5,111.68,950.0,736 CPT,42809,PR REMOVAL FB PHARYNX,955.0,849.95,86.51,955.0,482 CPT,42809,REMOVAL OF FOREIGN BODY IN THROAT FACILITY,,,111.68,1203.39,20 CPT,42810,PR EXCISN BRANCHL CLEFT CYST CONFIND,2461.0,2190.29,156.11,2461.0,482 CPT,42810,REMOVAL OF CONGENITAL SKIN AND TISSUE CYST OF NECK,,,250.63,4398.97,20 CPT,42815,PR EXCISN BRANCHL CLEFT CYST EXTEND,3576.0,3182.64,187.5,3576.0,482 CPT,42815,REMOVAL OF CONGENITAL CYST OR ABNORMAL DRAINAGE TRACT OF NECK AND/OR THROAT,,,459.56,7854.46,20 CPT,42820,PR TONSILLECT&ADENOIDECT <12 YRS,1769.0,1574.41,102.0,1769.0,482 CPT,42820,REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS),,,250.0,7854.46,20 CPT,42821,PR TONSILLECT&ADENOIDECT >=12 YRS,1728.0,1537.92,106.51,1728.0,482 CPT,42821,REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER),,,261.06,4398.97,20 CPT,42825,PR TONSILLECTOMY PRIM/SEC <12YRS,1685.0,1499.65,96.08,1685.0,482 CPT,42825,REMOVAL OF TONSILS (YOUNGER THAN 12 YEARS),,,235.49,7854.46,20 CPT,42826,PR TONSILLECTOMY PRIM/SEC >=12YR,1606.0,1429.34,91.06,1606.0,482 CPT,42826,REMOVAL OF TONSILS (12 YEARS OR OLDER),,,223.17,4398.97,20 CPT,42830,PR ADENOIDECTOMY PRIMARY <12YRS,1582.0,1407.98,77.22,1582.0,482 CPT,42830,PRIMARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS),,,189.26,4398.97,20 CPT,42831,PR ADENOIDECTOMY PRIMARY >=12YRS,1769.0,1574.41,84.25,1769.0,482 CPT,42831,PRIMARY REMOVAL OF ADENOIDS (12 YEARS OR OLDER) PROFESSIONAL,,,206.49,10599.17,20 CPT,42835,PR ADENOIDECTOMY SECNDRY <12YRS,1099.0,978.11,72.57,1099.0,482 CPT,42835,SECONDARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS),,,177.87,4398.97,20 CPT,42836,SECONDARY REMOVAL OF ADENOIDS (12 YEARS OR OLDER),,,214.9,4398.97,20 CPT,42842,"EXTENSIVE REMOVAL OF TONSILS, TISSUE, MUSCLE, AND BONE",,,882.38,7854.46,21 CPT,42842,PR RADCL RSECT TONSIL WO CLOSURE,8056.0,7169.84,360.01,8056.0,482 CPT,42844,"EXTENSIVE REMOVAL OF TONSILS, TISSUE, MUSCLE, AND BONE WITH LOCAL TISSUE GRAFT",,,1183.41,7854.46,20 CPT,42844,PR RADCL RSECT TONSIL W LOCAL FLAP,10401.0,9256.89,482.83,10401.0,482 CPT,42870,PR EXCISN/DEST LINGUAL TONSIL,2331.0,2074.59,220.24,2331.0,482 CPT,42870,REMOVAL OR DESTRUCTION OF GROWTH OF TONGUE LYMPH NODE,,,539.79,7854.46,20 CPT,42890,PR LIMITED PHARYNGECTOMY,8142.0,7246.38,492.04,8142.0,482 CPT,42892,PARTIAL REMOVAL OF WALL OF THROAT WITH SUTURE REPAIR,,,1573.75,7854.46,20 CPT,42892,PR RESCT LAT PHRYNGL WALL/PYRFRM,10604.0,9437.56,642.09,10604.0,482 CPT,42894,PR RESCT PHRYNGL WALL REQ CLSR,15091.0,13430.99,808.7,15091.0,482 CPT,42900,PR SUTURE PHARYNX WOUND/INJRY,2198.0,1956.22,111.67,2198.0,482 CPT,42900,SUTURE OF WOUND OR INJURY IN THROAT,,,273.69,9627.58,20 CPT,42950,PLASTIC OR RECONSTRUCTIVE REPAIR OF THROAT,,,717.22,7854.46,20 CPT,42950,PR PHARYNGOPLASTY,5070.0,4512.3,292.63,5070.0,482 CPT,42960,PR CNTRL OROPHARYNGEAL HEMR SMPL,913.0,812.57,56.53,913.0,482 CPT,42961,PR CNTRL OROPHARYNGEAL HEMR CMPLX,1952.0,1737.28,146.08,1952.0,482 CPT,42962,PR CNTRL OROPHARYNGEAL HEMR SURG,2638.0,2347.82,178.81,2638.0,482 CPT,42970,PR CNTRL NASOPHARYNGEAL HEMR SMPL,2371.0,2110.19,142.46,2371.0,482 CPT,42975,EVALUATION OF SLEEP-DISORDERED BREATHING BY EXAMINATION OF UPPER AIRWAY USING AN ENDOSCOPE PROFESSIONAL,,,9.9,2361.58,21 CPT,42975,PR DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX,1024.0,911.36,32.35,1024.0,482 CPT,42999,UNLISTED PROC PHARYNX/ADEN/TONSL,,,2.04,314.25,19 CPT,43030,INCISION OF MUSCLE AT UPPER ESOPHAGUS,,,442.73,7854.46,21 CPT,43030,PR CRICOPHARYNGEAL MYOTOMY,3600.0,3204.0,180.64,3600.0,482 CPT,43045,PR ESOPHAGOTOMY RMVL FB THOR APPR,8235.0,7329.15,466.31,8235.0,482 CPT,43100,PR EXCISN LESN ESOPH RPR CERV APPR,4771.0,4246.19,217.01,4771.0,482 CPT,43101,PR EXCISN LESN ESOPH RPR THOR APPR,7309.0,6505.01,358.23,7309.0,482 CPT,43107,PR TOT ESOPHCTOMY WO THORCTOMY,19291.0,17168.99,1010.17,19291.0,482 CPT,43112,PR TOT ESOPHCTOMY W THORCTOMY,21721.0,19331.69,1166.84,21721.0,482 CPT,43117,PR PRTL ESOPHAGECTOMY DSTL,18900.0,16821.0,1108.15,18900.0,482 CPT,43122,PR PRTL ESOPHAGECTOMY THORACOABD,19122.0,17018.58,855.29,19122.0,482 CPT,43123,PR ESOPHAGECT THOACOABD/ABD PRTL,29399.0,26165.11,1516.69,29399.0,482 CPT,43124,PR TOT/PRTL ESOPHCTMY WO RCNST,23729.0,21118.81,1295.65,23729.0,482 CPT,43130,PR DIVERTICULECTOMY CERV APPR,5020.0,4467.8,272.95,5020.0,482 CPT,43130,REMOVAL OF DEFECT IN WALL OF ESOPHAGUS THROUGH NECK,,,668.98,7854.46,21 CPT,43180,HC ESOPHAGOSCOPY RIGID TRANSORAL,18163.0,16165.07,452.26,18163.0,738 CPT,43180,PR ESOPHAGOSCOPY RIGID TRANSORAL,3828.0,3406.92,184.52,3828.0,482 CPT,43180,REMOVAL OF DEFECT IN WALL OF ESOPHAGUS USING A RIGID ENDOSCOPE FACILITY-EXPRESS CARE,,,452.26,7854.46,21 CPT,43191,DIAGNOSTIC EXAM OF ESOPHAGUS USING AN ENDOSCOPE,,,128.13,2546.02,20 CPT,43191,PR ESOPHAGOSCOPY RIGID DX,930.0,827.7,52.28,930.0,482 CPT,43192,INJECTION INTO ESOPHAGUS USING AN ENDOSCOPE,,,138.8,2546.02,20 CPT,43193,BIOPSY OF ESOPHAGUS USING A RIGID ENDOSCOPE,,,139.58,4946.79,20 CPT,43193,PR ESOPHSCOPY RIGID TXORAL W BX,1109.0,987.01,56.95,1109.0,482 CPT,43194,PR ESOPHSCOPY RIG TXORAL RMVL FB,1394.0,1240.66,61.72,1394.0,482 CPT,43195,"BALLOON DILATION OF ESOPHAGUS USING A RIGID ENDOSCOPE, LESS THAN 3.0 CM",,,150.52,5115.46,20 CPT,43195,HC ESOPHSCOPY RIGID TXORAL BALN,8172.0,7273.08,150.52,8172.0,736 CPT,43195,PR ESOPHSCOPY RIGID TXORAL BALN,1421.0,1264.69,61.41,1421.0,482 CPT,43196,INSERTION OF WIRE AND DILATION OF ESOPHAGUS USING AN ENDOSCOPE,,,162.51,2546.02,20 CPT,43196,PR ESOPHSCOPY RIG TXORAL GUID WIR,1279.0,1138.31,66.31,1279.0,482 CPT,43197,DIAGNOSTIC EXAM OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH NOSE FACILITY,,,63.88,1203.39,20 CPT,43197,HC ESOPHSCOPY FLEX TRANSNASAL DX,5033.0,4479.37,63.88,5033.0,736 CPT,43197,PR ESOPHSCOPY FLEX TRANSNASAL DX,922.0,820.58,80.06,922.0,482 CPT,43198,BIOPSY OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH NOSE FACILITY,,,76.37,1203.39,20 CPT,43198,HC ESOPHAGOSCOPY FLEX NASAL BX,9945.0,8851.05,76.37,9945.0,737 CPT,43198,PR ESOPHAGOSCOPY FLEX NASAL BX,1467.0,1305.63,88.38,1467.0,482 CPT,43200,DIAGNOSTIC EXAM OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH MOUTH FACILITY,,,75.32,1203.39,20 CPT,43200,HC ESOPHSCOPY FLEX TRANSORAL DX,6469.0,5757.41,75.32,6469.0,738 CPT,43200,PR ESOPHSCOPY FLEX TRANSORAL DX,1144.0,1018.16,117.82,1144.0,482 CPT,43201,HC ESOPHSCOPY TXORAL W SUBMUC INJ,8579.0,7635.31,87.85,8579.0,736 CPT,43201,INJECTION INTO ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,87.85,2546.02,20 CPT,43201,PR ESOPHSCOPY TXORAL W SUBMUC INJ,2071.0,1843.19,113.95,2071.0,482 CPT,43202,BIOPSY OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE THROUGH MOUTH FACILITY,,,89.12,2546.02,21 CPT,43202,HC ESOPHSCOPY FLEX TXORAL W BX,6870.0,6114.3,89.12,6870.0,737 CPT,43202,PR ESOPHSCOPY FLEX TXORAL W BX,1870.0,1664.3,162.29,1870.0,482 CPT,43204,PR ESOPHAGOSCOPY W INJ SCLEROSIS,1169.0,1040.41,47.23,1169.0,482 CPT,43205,HC ESOPHAGOSCOPY FLEX LIGATION,7668.0,6824.52,120.9,7668.0,736 CPT,43205,PR ESOPHAGOSCOPY FLEX LIGATION,1804.0,1605.56,49.33,1804.0,482 CPT,43205,TYING OF DILATED VEINS OF ESOPHAGUS WITH BANDS USING A FLEXIBLE ENDOSCOPE FACILITY,,,120.9,2546.02,20 CPT,43210,HC EGD FLEX TRANSORAL W FUNDOPLASTY,32576.0,28992.64,356.18,32576.0,736 CPT,43210,PR EGD FLEX TRANSORAL W FUNDOPLASTY,3183.0,2832.87,145.32,3183.0,482 CPT,43211,HC ESOPHAGOSCOPY W EMR,7505.0,6679.45,197.76,7505.0,736 CPT,43211,PR ESOPHAGOSCOPY W EMR,1799.0,1601.11,80.69,1799.0,482 CPT,43211,REMOVAL OF TISSUE LINING OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,197.76,2546.02,20 CPT,43212,HC ESOPHSCOPY TXORAL STENT PLC,12900.0,11481.0,158.9,12900.0,736 CPT,43212,PLACEMENT OF STENT IN ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,158.9,8054.9,20 CPT,43212,PR ESOPHSCOPY TXORAL STENT PLC,1576.0,1402.64,64.83,1576.0,482 CPT,43213,PR ESOPHAGOSCOPY RETROGRADE BALN,3196.0,2844.44,518.08,3196.0,482 CPT,43214,PR ESOPHSCOPY DILATE BALN >=30MM,1490.0,1326.1,64.37,1490.0,482 CPT,43215,HC ESOPHAGOSCOPY FLEX RMVL FB,8131.0,7236.59,120.17,8131.0,1472 CPT,43215,PR ESOPHAGOSCOPY FLEX RMVL FB,1658.0,1475.62,178.74,1658.0,482 CPT,43215,REMOVAL OF FOREIGN BODIES IN ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,120.17,2546.02,20 CPT,43217,PR ESOPHAGOSCOPY W RMVL SNARE,1738.0,1546.82,192.39,1738.0,482 CPT,43220,"BALLOON DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE, LESS THAN 3.0 CM FACILITY",,,100.7,2546.02,20 CPT,43220,HC ESOPHSCOPY DILATE BALN <30MM,6870.0,6114.3,100.7,6870.0,737 CPT,43220,PR ESOPHSCOPY DILATE BALN <30MM,2641.0,2350.49,398.81,2641.0,482 CPT,43226,DILATION OF ESOPHAGUS WITH INSERTION OF GUIDE WIRE USING A FLEXIBLE ENDOSCOPE FACILITY,,,109.71,2546.02,20 CPT,43226,HC ESOPHSCOPY FLEX GUIDE WIRE DIL,9637.0,8576.93,109.71,9637.0,736 CPT,43226,PR ESOPHSCOPY FLEX GUIDE WIRE DIL,1595.0,1419.55,169.85,1595.0,482 CPT,43227,PR ESOPHAGOSCOPY W CTRL BLEED,2050.0,1824.5,270.42,2050.0,482 CPT,43229,HC ESOPHAGOSCOPY LESION W ABLT,8946.0,7961.94,166.42,8946.0,736 CPT,43229,PR ESOPHAGOSCOPY LESION W ABLT,2346.0,2087.94,322.84,2346.0,482 CPT,43231,HC ESOPHAGOSCOPY W EUS EXAM,8579.0,7635.31,132.69,8579.0,736 CPT,43231,PR ESOPHAGOSCOPY W EUS EXAM,1637.0,1456.93,54.14,1637.0,482 CPT,43231,ULTRASOUND EXAM OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,132.69,2546.02,20 CPT,43232,HC ESOPHAGOSCOPY W EUS FNA/BX,9766.0,8691.74,169.56,9766.0,736 CPT,43232,PR ESOPHAGOSCOPY W EUS FNA/BX,2069.0,1841.41,69.18,2069.0,482 CPT,43232,ULTRASOUND GUIDED FINE NEEDLE ASPIRATION OR BIOPSY OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,169.56,2546.02,20 CPT,43233,"BALLOON DILATION OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE, 3.0 CM OR MORE FACILITY",,,190.97,2546.02,21 CPT,43233,HC EGD W BALN DIL > 30MM,7443.0,6624.27,190.97,7443.0,738 CPT,43233,PR EGD W BALN DIL > 30MM,1537.0,1367.93,77.92,1537.0,482 CPT,43235,"DIAGNOSTIC EXAM OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,105.91,1203.39,21 CPT,43235,HC EGD TRANSORAL DX,4571.0,4068.19,105.91,4571.0,1494 CPT,43235,PR EGD TRANSORAL DX,1490.0,1326.1,132.26,1490.0,482 CPT,43236,HC EGD W DIRECT SUBMUCOSAL INJ,4854.0,4320.06,118.3,4854.0,738 CPT,43236,"INJECTION OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,118.3,2546.02,21 CPT,43236,PR EGD W DIRECT SUBMUCOSAL INJ,1818.0,1618.02,183.73,1818.0,482 CPT,43237,HC EGD W EUS LTD,5740.0,5108.6,165.46,5740.0,744 CPT,43237,PR EGD W EUS LTD,1291.0,1148.99,67.51,1291.0,482 CPT,43237,"ULTRASOUND EXAM OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE THROUGH MOUTH FACILITY",,,165.46,2546.02,21 CPT,43238,HC EGD W EUS FNA/BX ESOPH ONLY,7576.0,6742.64,195.64,7576.0,743 CPT,43238,PR EGD W EUS FNA/BX ESOPH ONLY,1764.0,1569.96,79.82,1764.0,482 CPT,43238,ULTRASOUND GUIDED NEEDLE ASPIRATION OR BIOPSY OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,195.64,2546.02,21 CPT,43239,"BIOPSY OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,118.3,1203.39,21 CPT,43239,HC EGD W BIOPSY SNGL/MULT,4466.0,3974.74,118.3,4466.0,1506 CPT,43239,PR EGD W BIOPSY SNGL/MULT,1742.0,1550.38,172.23,1742.0,482 CPT,43240,"DRAINAGE OF FLUID COLLECTION OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,325.85,8054.9,20 CPT,43240,HC EGD W TRANSMURAL DRN,8579.0,7635.31,325.85,8579.0,736 CPT,43240,PR EGD W TRANSMURAL DRN,2353.0,2094.17,132.95,2353.0,482 CPT,43241,HC EGD INTRALUMINAL TUBE/CATH INS,5198.0,4626.22,120.91,5198.0,739 CPT,43241,"INSERTION OF TUBE OR TUBE IN ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,120.91,2546.02,21 CPT,43241,PR EGD INTRALUMINAL TUBE/CATH INS,1288.0,1146.32,49.33,1288.0,482 CPT,43242,HC EGD W EUS FNA BX,7488.0,6664.32,220.0,7488.0,739 CPT,43242,PR EGD W EUS FNA BX,2358.0,2098.62,89.76,2358.0,482 CPT,43242,"ULTRASOUND GUIDED NEEDLE ASPIRATION OR BIOPSY OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,220.0,2546.02,21 CPT,43243,HC EGD INJ SCLEROSIS,5827.0,5186.03,198.15,5827.0,736 CPT,43243,INJECTION OF DILATED VEIN OF STOMACH AND/OR ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,198.15,2546.02,20 CPT,43243,PR EGD INJ SCLEROSIS,2009.0,1788.01,80.85,2009.0,482 CPT,43244,HC EGD BAND LIGATION VARICIES,5543.0,4933.27,206.02,5543.0,739 CPT,43244,PR EGD BAND LIGATION VARICIES,1804.0,1605.56,84.06,1804.0,482 CPT,43244,TYING OF DILATED VEINS OF STOMACH AND/OR ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,206.02,2546.02,21 CPT,43245,DILATION OF STOMACH OUTLET USING A FLEXIBLE ENDOSCOPE FACILITY,,,148.35,2546.02,21 CPT,43245,HC EGD DILATION GASTR/DUOD STRICT,6653.0,5921.17,148.35,6653.0,739 CPT,43245,PR EGD DILATION GASTR/DUOD STRICT,2450.0,2180.5,269.61,2450.0,482 CPT,43246,HC EGD PERC PLC GASTROTOMY TUBE,7345.0,6537.05,167.2,7345.0,737 CPT,43246,INSERTION OF STOMACH TUBE USING A FLEXIBLE ENDOSCOPE FACILITY,,,167.2,2546.02,21 CPT,43246,PR EGD PERC PLC GASTROTOMY TUBE,1692.0,1505.88,68.22,1692.0,482 CPT,43247,HC EGD FLEX RMVL FB,6653.0,5921.17,149.64,6653.0,1480 CPT,43247,PR EGD FLEX RMVL FB,1739.0,1547.71,173.94,1739.0,482 CPT,43247,"REMOVAL OF FOREIGN BODIES OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,149.64,1203.39,21 CPT,43248,HC EGD INSERT GUIDE WIRE,5827.0,5186.03,141.18,5827.0,741 CPT,43248,INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE FACILITY,,,141.18,1203.39,21 CPT,43248,PR EGD INSERT GUIDE WIRE,1905.0,1695.45,187.74,1905.0,482 CPT,43249,"BALLOON DILATION OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE, LESS THAN 3.0 CM FACILITY",,,130.36,2546.02,21 CPT,43249,HC EGD BALN DILATION ESOPH <30MM,6235.0,5549.15,130.36,6235.0,1484 CPT,43249,PR EGD BALN DILATION ESOPH <30MM,3460.0,3079.4,491.54,3460.0,482 CPT,43250,HC EGD DX W RMVL HOT BX,5723.0,5093.47,143.98,5723.0,736 CPT,43250,PR EGD DX W RMVL HOT BX,2334.0,2077.26,204.02,2334.0,482 CPT,43250,"REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE WITH ELECTRICAL CAUTERY FACILITY",,,143.98,2546.02,20 CPT,43251,HC EGD W RMVL SNARE,5903.0,5253.67,165.21,5903.0,743 CPT,43251,PR EGD W RMVL SNARE,2334.0,2077.26,223.9,2334.0,482 CPT,43251,"REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE FACILITY",,,165.21,2546.02,21 CPT,43252,HC EGD W ENDOMICROSCOPY,5724.0,5094.36,142.95,5724.0,736 CPT,43252,PR EGD W ENDOMICROSCOPY,1995.0,1775.55,153.68,1995.0,482 CPT,43253,HC EGD W EUS TRANSMURAL INJ,7618.0,6780.02,220.1,7618.0,738 CPT,43253,"INJECTION OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE OR MARKER IN ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,220.1,2546.02,21 CPT,43253,PR EGD W EUS TRANSMURAL INJ,1872.0,1666.08,89.8,1872.0,482 CPT,43254,HC EGD W EMR,7015.0,6243.35,226.1,7015.0,739 CPT,43254,PR EGD W EMR,1850.0,1646.5,92.25,1850.0,482 CPT,43254,"REMOVAL OF TISSUE LINING OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,226.1,2546.02,21 CPT,43255,"CONTROL OF BLEEDING OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,169.25,2546.02,21 CPT,43255,HC EGD CTRL BLEED ANY,6128.0,5453.92,169.25,6128.0,738 CPT,43255,PR EGD CTRL BLEED ANY,2564.0,2281.96,284.02,2564.0,482 CPT,43257,HC ENDO UGI W THERMAL GERD TX,7706.0,6858.34,195.4,7706.0,736 CPT,43257,HEAT DELIVERY TO MUSCLE AT ESOPHAGUS AND/OR STOMACH TO TREAT GASTRIC REFLUX USING A FLEXIBLE ENDOSCOPE FACILITY,,,195.4,5115.46,20 CPT,43257,PR ENDO UGI W THERMAL GERD TX,2170.0,1931.3,79.73,2170.0,482 CPT,43259,HC EGD W EUS,5959.0,5303.51,190.15,5959.0,741 CPT,43259,PR EGD W EUS,1743.0,1551.27,77.58,1743.0,482 CPT,43259,"ULTRASOUND EXAM OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,190.15,2546.02,21 CPT,43260,"DIAGNOSTIC EXAM OF GALLBLADDER AND PANCREATIC, LIVER, AND BILE DUCTS USING AN ENDOSCOPE FACILITY",,,268.35,5115.46,21 CPT,43260,HC ERCP DX,8844.0,7871.16,268.35,8844.0,739 CPT,43260,PR ERCP DX,2027.0,1804.03,109.49,2027.0,482 CPT,43261,"BIOPSY OF GALLBLADDER, PANCREATIC, LIVER, AND BILE DUCTS USING A FLEXIBLE ENDOSCOPE FACILITY",,,281.96,5115.46,21 CPT,43261,HC ERCP W BX,7794.0,6936.66,281.96,7794.0,738 CPT,43261,PR ERCP W BX,2493.0,2218.77,115.04,2493.0,482 CPT,43262,HC ERCP SPHINC/PAPILLOT,7811.0,6951.79,297.04,7811.0,738 CPT,43262,INCISION OF PANCREATIC OUTLET USING A FLEXIBLE ENDOSCOPE FACILITY,,,297.04,5115.46,21 CPT,43262,PR ERCP SPHINC/PAPILLOT,2783.0,2476.87,121.19,2783.0,482 CPT,43263,PR ERCP W MANOMETRY,2965.0,2638.85,121.48,2965.0,482 CPT,43264,HC ERCP W RMVL STONE,9294.0,8271.66,302.63,9294.0,742 CPT,43264,PR ERCP W RMVL STONE,3541.0,3151.49,123.48,3541.0,482 CPT,43264,REMOVAL OF STONE OR DEBRIS FROM BILE OR PANCREATIC DUCT USING A FLEXIBLE ENDOSCOPE FACILITY,,,302.63,8054.9,21 CPT,43265,DESTRUCTION OF STONE OF BILE OR PANCREATIC DUCT USING A FLEXIBLE ENDOSCOPE FACILITY,,,358.9,8054.9,21 CPT,43265,HC ERCP W DESTRUCT CALCULI,11780.0,10484.2,358.9,11780.0,738 CPT,43265,PR ERCP W DESTRUCT CALCULI,4867.0,4331.63,146.43,4867.0,482 CPT,43266,HC EGD W STENT PLC,10360.0,9220.4,182.52,10360.0,737 CPT,43266,"PLACEMENT OF STENT IN ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,182.52,8054.9,20 CPT,43266,PR EGD W STENT PLC,1318.0,1173.02,74.47,1318.0,482 CPT,43270,"DESTRUCTION OF POLYP OR GROWTH OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY",,,188.91,5115.46,21 CPT,43270,HC EGD W LESION ABLATION,6653.0,5921.17,188.91,6653.0,740 CPT,43270,PR EGD W LESION ABLATION,2901.0,2581.89,331.03,2901.0,482 CPT,43273,EXAM OF COMMON BILE AND/OR PANCREATIC DUCT USING A FLEXIBLE ENDOSCOPE FACILITY,,,97.08,5115.46,21 CPT,43273,HC ENDOSCOPIC PANCREATOSCOPY,5651.0,5029.39,97.08,5651.0,721 CPT,43273,PR ENDOSCOPIC PANCREATOSCOPY,883.0,785.87,79.22,883.0,482 CPT,43274,HC ERCP DUCT STENT PLC W DIL,11081.0,9862.09,383.27,11081.0,740 CPT,43274,INSERTION OF STENT INTO PANCREATIC OR BILE DUCT USING A FLEXIBLE ENDOSCOPE FACILITY,,,383.27,8054.9,21 CPT,43274,PR ERCP DUCT STENT PLC W DIL,3273.0,2912.97,156.38,3273.0,482 CPT,43275,HC ERCP W RMVL FB/STNT DUCT,10937.0,9733.93,312.77,10937.0,739 CPT,43275,PR ERCP W RMVL FB/STNT DUCT,2488.0,2214.32,127.61,2488.0,482 CPT,43275,REMOVAL OF STENT FROM PANCREATIC OR BILE DUCT USING A FLEXIBLE ENDOSCOPE FACILITY,,,312.77,5115.46,20 CPT,43276,HC ERCP STENT EXCHANGE W DIL,10892.0,9693.88,398.99,10892.0,741 CPT,43276,PR ERCP STENT EXCHANGE W DIL,3294.0,2931.66,162.79,3294.0,482 CPT,43276,REPLACEMENT OF STENT IN PANCREATIC OR BILE DUCT USING A FLEXIBLE ENDOSCOPE FACILITY,,,398.99,8054.9,21 CPT,43277,BALLOON DILATION OF PANCREATIC OR BILE DUCT OR SPHINCTER USING A FLEXIBLE ENDOSCOPE FACILITY,,,629.38,5115.46,21 CPT,43277,HC ERCP W TRANS BALN DIL,8313.0,7398.57,314.69,8313.0,739 CPT,43277,PR ERCP W TRANS BALN DIL,2769.0,2464.41,128.4,2769.0,482 CPT,43278,DESTRUCTION OF POLYP OR GROWTH OF GALLBLADDER AND/OR BILE DUCT USING A FLEXIBLE ENDOSCOPE FACILITY,,,358.57,8054.9,20 CPT,43278,HC ERCP ABLATION W DIL,10951.0,9746.39,358.57,10951.0,736 CPT,43278,PR ERCP ABLATION W DIL,3915.0,3484.35,146.3,3915.0,482 CPT,43279,PR LAPAROSCOPY ESOPHAGOMYOTOMY,9676.0,8611.64,439.45,9676.0,482 CPT,43279,REPAIR OF MUSCLE AT LOWER ESOPHAGUS AND STOMACH USING AN ENDOSCOPE,,,856.17,1615.61,20 CPT,43280,PR LAPAROSCOPY FUNDOPLASTY,7318.0,6513.02,371.97,7318.0,482 CPT,43280,STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS USING AN ENDOSCOPE,,,911.68,14103.72,20 CPT,43281,PR LAP PARAESOPH HERNIA WO MESH,10946.0,9741.94,520.54,10946.0,482 CPT,43281,REPAIR OF HERNIA OF MUSCLE AT ESOPHAGUS AND STOMACH USING AN ENDOSCOPE,,,1275.82,14103.72,21 CPT,43282,PR LAP PARAESOPH HERNIA W MESH,9303.0,8279.67,584.02,9303.0,482 CPT,43283,LENGTHENING OF ESOPHAGUS USING AN ENDOSCOPE,,,125.41,14103.72,20 CPT,43283,PR LAP ESOPHAGEAL LENGTHN ADDL,1092.0,971.88,102.33,1092.0,482 CPT,43285,PR RMVL ESOPHGL SPHNCTR DEV,5211.0,4637.79,238.92,5211.0,482 CPT,43285,REMOVAL OF MAGNETIC BAND FROM BASE OF ESOPHAGUS USING AN ENDOSCOPE,,,95.37,8021.24,21 CPT,43287,PR ESPHG DIST 2/3 W/LAPS MBL,21789.0,19392.21,1203.42,21789.0,482 CPT,43288,PR ESPHG THRSC MOBLJ,22706.0,20208.34,1264.25,22706.0,482 CPT,43290,HC EGD FLX TRNSORL DPLMNT BALLOON,11882.0,10574.98,1923.03,11882.0,734 CPT,43290,PLACEMENT OF BALLOON IN STOMACH FOR WEIGHT LOSS USING FLEXIBLE ENDOSCOPE FACILITY,,,25.48,2546.02,19 CPT,43290,PR EGD FLX TRNSORL DPLMNT BALLOON,2385.0,2122.65,1073.25,2385.0,482 CPT,43291,HC EGD FLX TRNSORL RMVL BALLOON,6955.0,6189.95,767.1,6955.0,734 CPT,43291,PR EGD FLX TRNSORL RMVL BALLOON,2044.0,1819.16,208.65,2044.0,482 CPT,43300,PR ESOPH RPR CERV APPR WO FSTL RPR,5179.0,4609.31,214.88,5179.0,482 CPT,43312,PR ESOPHPLSTY THOR APPR W FSTL,10681.0,9506.09,537.6,10681.0,482 CPT,43313,PR ESOPHPLSTY CONG DFCT WO RPR FSTL,34002.0,30261.78,992.26,34002.0,482 CPT,43327,PR EGST FUNDOPLASTY W LAPAROTOMY,6233.0,5547.37,292.4,6233.0,482 CPT,43328,PR EGST FUNDOPLASTY W THORACOTOMY,7792.0,6934.88,389.09,7792.0,482 CPT,43332,PR RPR HIATAL HERNIA WO MESH,7792.0,6934.88,396.21,7792.0,482 CPT,43333,PR RPR HIATAL HERNIA W MESH,8667.0,7713.63,431.3,8667.0,482 CPT,43334,PR RPR HIAT HERNIA THRCTM WO MESH,8116.0,7223.24,426.85,8116.0,482 CPT,43335,PR RPR HIAT HERNIA THRCTM W MESH,8933.0,7950.37,458.02,8933.0,482 CPT,43351,PR ESPHAGOSTOMY FISTULIZATION EXT,8206.0,7303.34,472.99,8206.0,482 CPT,43352,PR ESOPHAGOSTOMY EXTRNL CERV APPR,6893.0,6134.77,383.73,6893.0,482 CPT,43360,PR RCNST ESOPHAGECTOMY STOMACH,15436.0,13738.04,776.68,15436.0,482 CPT,43361,PR RCNST ESOPHAGECT INTSTN W COLON,23521.0,20933.69,915.96,23521.0,482 CPT,43410,PR SUTR ESOPH WND CERV APPR,7176.0,6386.64,349.06,7176.0,482 CPT,43410,SUTURE OF WOUND OR INJURY TO ESOPHAGUS THROUGH NECK,,,855.53,8021.24,20 CPT,43425,PR CLSR ESOPHAGOSTOMY TH/ABD APPR,10694.0,9517.66,506.42,10694.0,482 CPT,43450,HC DIL ESOPHAGUS UNGUIDED SOUND,2617.0,2329.13,70.39,2617.0,736 CPT,43450,PR DIL ESOPHAGUS UNGUIDED SOUND,591.0,525.99,87.05,591.0,482 CPT,43453,DILATION OF ESOPHAGUS WITH A GUIDE WIRE FACILITY,,,74.0,2546.02,20 CPT,43453,HC DILATION ESOPHAGUS GUIDE WIRE,4325.0,3849.25,74.0,4325.0,736 CPT,43453,PR DILATION ESOPHAGUS GUIDE WIRE,1145.0,1019.05,346.83,1145.0,482 CPT,43460,PR ESOPHAGOGASTRIC TAMPONADE,1611.0,1433.79,73.15,1611.0,482 CPT,43496,PR TRNSF JEJUNM W MICROVASC ANAST,15981.0,14223.09,925.57,15981.0,482 CPT,43497,HC PERORAL ENDOSCOPIC MYOTOMY (POEM),13031.0,11597.59,1024.01,13031.0,737 CPT,43497,INCISION OF MUSCLE OF LOWER ESOPHAGUS USING AN ENDOSCOPE FACILITY,,,5.83,8054.9,21 CPT,43497,PR PERORAL ENDOSCOPIC MYOTOMY (POEM),6594.0,5868.66,278.53,6594.0,482 CPT,43499,HC ENDOSCOPIC SUTURING PROCEDURE,6128.0,5453.92,908.93,6128.0,736 CPT,43499,HC ESD ESOPHAGUS,7505.0,6679.45,908.93,7505.0,736 CPT,43499,HC ZENKER'S PERORAL ENDOSCOPIC MYOTOMY (Z-POEM),13031.0,11597.59,908.93,13031.0,736 CPT,43499,PR ENDOSCOPIC SUTURING PROCEDURE,2564.0,2281.96,128.2,2564.0,477 CPT,43499,PR ESD ESOPHAGUS,2159.0,1921.51,107.95,2159.0,477 CPT,43499,PR ZENKER'S PERORAL ENDOSCOPIC MYOTOMY (Z-POEM),6594.0,5868.66,329.7,6594.0,477 CPT,43499,UNLISTED PROCEDURE ESOPHAGUS - FACILITY,,,392.94,2546.02,20 CPT,43500,PR GASTROTOMY W EXPLR/RMVL FB,4649.0,4137.61,278.26,4649.0,482 CPT,43520,PR PYLORMYOTOMY CUT PYLORIC MUS,6935.0,6172.15,252.21,6935.0,482 CPT,43605,PR BIOPSY OF STOMACH LAPAROTOMY,6893.0,6134.77,295.08,6893.0,482 CPT,43610,PR EXCISN ULCER/BEN TMR STOMACH,8832.0,7860.48,339.24,8832.0,482 CPT,43611,PR EXCISN TMR MLG STOMACH LOCAL,8853.0,7879.17,424.99,8853.0,482 CPT,43620,PR GASTRECTOMY TOTAL,12627.0,11238.03,668.21,12627.0,482 CPT,43621,PR GASTRECTOMY TOTAL W ROUX-EN-Y,15970.0,14213.3,765.19,15970.0,482 CPT,43631,PR GASTRECT PRTL DSTL W GASTRODUOD,9241.0,8224.49,498.41,9241.0,482 CPT,43632,PR GASTRECTOMY DIST PARTL W G-J,15047.0,13391.83,686.74,15047.0,482 CPT,43633,PR GASTRECTOMY PARTL W ROUX-EN-Y,12932.0,11509.48,650.82,12932.0,482 CPT,43644,BYPASS OF STOMACH USING AN ENDOSCOPE,,,1163.4,2175.57,20 CPT,43644,PR LAP GASTR BYP&ROUX-EN-Y <150CM,14566.0,12963.74,591.76,14566.0,482 CPT,43645,BYPASS OF STOMACH WITH RECONSTRUCTION OF SMALL BOWEL USING AN ENDOSCOPE,,,1239.23,2309.46,20 CPT,43653,CREATION OF SURGICAL OPENING FROM STOMACH TO SKIN USING AN ENDOSCOPE,,,520.64,8021.24,20 CPT,43653,PR LAPAROSCOPY SURGICAL GASTRO,4802.0,4273.78,212.42,4802.0,482 CPT,43659,UNLISTED PROCEDURE LAP STOMACH,,,1275.82,14103.72,20 CPT,43752,HC PLC TUBE NASAL/OROGAST W FLUOR,744.0,662.16,32.43,744.0,1472 CPT,43752,INSERTION OF STOMACH TUBE THROUGH NOSE OR MOUTH USING FLUOROSCOPIC GUIDANCE FACILITY,,,32.43,592.72,20 CPT,43752,PR PLC TUBE NASAL/OROGAST W FLUOR,401.0,356.89,26.46,401.0,482 CPT,43753,HC INTUB&ASP/LAVAGE GASTRIC THER,550.0,489.5,18.58,550.0,736 CPT,43753,PR INTUB&ASP/LAVAGE GASTRIC THER,303.0,269.67,15.16,303.0,482 CPT,43756,DIAGNOSTIC INSERTION OF TUBE INTO UPPER SMALL BOWEL AND SPECIMEN COLLECTION USING IMAGING GUIDANCE FACILITY,,,46.02,2546.02,20 CPT,43756,HC DUODENAL INTUBATION DX SNGL,856.0,761.84,46.02,1203.39,736 CPT,43756,PR DUODENAL INTUBATION DX SNGL,1044.0,929.16,252.67,1044.0,482 CPT,43757,HC DUODENAL INTUBATION DX MULT,6636.0,5906.04,67.56,6636.0,736 CPT,43757,INSERTION OF TUBE INTO UPPER SMALL BOWEL FOR COLLECTION OF MULTIPLE BILE AND PANCREATIC SPECIMENS USING IMAGING GUIDANCE AFTER ADMINISTRATION OF DRUGS TO STIMULATE SECRETIONS FACILITY,,,67.56,2546.02,20 CPT,43757,PR DUODENAL INTUBATION DX MULT,398.0,354.22,338.66,398.0,482 CPT,43761,HC REPOSITION GASTROSTOMY TUBE,2058.0,1831.62,82.33,2058.0,1472 CPT,43761,PR REPOSITION GASTROSTOMY TUBE,911.0,810.79,48.04,911.0,482 CPT,43761,REPOSITIONING OF ORAL OR NASAL FEEDING TUBE IN SMALL BOWEL FACILITY,,,82.33,331.5,20 CPT,43762,HC RPLC GTUBE WO REVISION OF GASTRO TRACT W/O IMAG,1659.0,1476.51,250.38,1659.0,1472 CPT,43762,PR RPLC GTUBE WO REVISION OF GASTRO TRACT W/O IMAG,1086.0,966.54,95.63,1086.0,509 CPT,43762,REPLACEMENT OF STOMACH STOMA TUBE FACILITY,,,250.38,413.6,19 CPT,43763,HC RPLC GTUBE W REVISION OF GASTRO TRACT W/O IMAG,1659.0,1476.51,250.38,1659.0,1468 CPT,43763,PR RPLC GTUBE W REVISION OF GASTRO TRACT W/O IMAG,2838.0,2525.82,130.07,2838.0,507 CPT,43763,REPLACEMENT OF STOMACH STOMA TUBE WITH REVISION OF STOMA OPENING FACILITY,,,2.97,562.56,20 CPT,43771,ADJUSTMENT OF STOMACH REDUCTION DEVICE USING AN ENDOSCOPE,,,862.55,1633.13,20 CPT,43772,PR LAP RMVL GASTRIC DEVICE,8187.0,7286.43,329.96,8187.0,482 CPT,43772,REMOVAL OF STOMACH REDUCTION DEVICE USING AN ENDOSCOPE,,,808.73,5115.46,20 CPT,43773,REPLACEMENT OF STOMACH REDUCTION DEVICE USING AN ENDOSCOPE,,,1088.75,8021.24,20 CPT,43774,PR LAP RMVL GASTRIC DEV ALL PARTS,8863.0,7888.07,334.27,8863.0,482 CPT,43774,REMOVAL OF STOMACH REDUCTION DEVICE AND PORT USING AN ENDOSCOPE,,,819.29,5115.46,20 CPT,43775,PARTIAL REMOVAL OF STOMACH FOR WEIGHT LOSS USING AN ENDOSCOPE,,,728.07,1321.5,20 CPT,43775,PR LAP LONGITUDINAL GASTRECTOMY,9479.0,8436.31,359.45,9479.0,482 CPT,43800,PR PYLOROPLASTY,5609.0,4992.01,322.41,5609.0,482 CPT,43820,HC GASTROJEJUNOSTOMY WO VAGOTOMY,10071.0,8963.19,906.72,10071.0,736 CPT,43820,PARTIAL REMOVAL OF STOMACH WITH ATTACHMENT OF STOMACH TO SMALL BOWEL FACILITY,,,1136.07,4750.49,20 CPT,43820,PR GASTROJEJUNOSTOMY WO VAGOTOMY,11173.0,9943.97,463.52,11173.0,482 CPT,43830,INSERTION OF STOMACH FEEDING TUBE,,,619.78,2546.02,20 CPT,43830,PR GASTROSTOMY WO CNSTRCT G TUBE,5227.0,4652.03,252.87,5227.0,482 CPT,43840,PR GASTRORRHAPHY SUTR ULCER/WND,6976.0,6208.64,468.24,6976.0,482 CPT,43840,"SUTURE OF PERFORATED ULCER, WOUND, OR INJURY OF STOMACH OR UPPER SMALL BOWEL",,,1147.63,5115.46,20 CPT,43843,PR GASTR RSTCV WO BYP WO VRT BND,9281.0,8260.09,443.09,9281.0,482 CPT,43846,PR GASTRIC RSTCV W BYP <=150CM,12821.0,11410.69,567.6,12821.0,482 CPT,43848,PR REV GASTRIC RSTCV PROC OPN,16974.0,15106.86,656.6,16974.0,482 CPT,43848,REVISION OF UPPER STOMACH BYPASS,,,1299.34,2413.95,20 CPT,43860,PR REV GASTRO/JJNL ANAST WO VGTMY,12326.0,10970.14,556.73,12326.0,482 CPT,43870,CLOSURE OF SURGICALLY CREATED OPENING FROM STOMACH TO SKIN,,,615.84,5115.46,20 CPT,43870,PR CLOSURE GASTROSTOMY SURG,5229.0,4653.81,251.27,5229.0,482 CPT,43889,HC GSTR RSTCV PX TRNSORL ESG,28628.0,25478.92,1019.67,28628.0,734 CPT,43889,PR GSTR RSTCV PX TRNSORL ESG,2720.0,2420.8,277.35,2720.0,482 CPT,43999,HC ENDO PGM,1822.0,1621.58,378.98,1822.0,735 CPT,43999,HC ESD STOMACH,8418.0,7492.02,908.93,8418.0,735 CPT,43999,HC EUS GUIDED GASTROJEJUNOSTOMY,12085.0,10755.65,908.93,12085.0,735 CPT,43999,HC GASTRIC PERORAL ENDOSCOPIC MYOTOMY (G-POEM),13031.0,11597.59,908.93,13031.0,735 CPT,43999,HC TORE PROCEDURE,8418.0,7492.02,908.93,14103.72,735 CPT,43999,"HC UPPER GI BLEED DETECTION, CAPSULE",1011.0,899.79,210.29,1203.39,735 CPT,43999,PR ENDO PGM,40.0,35.6,2.0,40.0,478 CPT,43999,PR ESD STOMACH,2220.0,1975.8,111.0,2220.0,478 CPT,43999,PR EUS GUIDED GASTROJEJUNOSTOMY,13408.0,11933.12,670.4,13408.0,478 CPT,43999,PR GASTRIC PERORAL ENDOSCOPIC MYOTOMY (G-POEM),6594.0,5868.66,329.7,6594.0,478 CPT,43999,PR TORE PROCEDURE,2220.0,1975.8,111.0,2220.0,478 CPT,43999,UNLISTED PROCEDURE STOMACH - FACILITY,,,105.91,1203.39,20 CPT,44005,PR ENTEROLYSIS,6267.0,5577.63,375.93,6267.0,482 CPT,44015,PR INS/INTRO CATH ENTERO/JEJUNUM,2156.0,1918.84,91.89,2156.0,482 CPT,44020,PR ENTEROTOMY SM INTSTN EXPLR/BX,6262.0,5573.18,337.72,6262.0,482 CPT,44021,PR ENTEROTOMY SM INTSTN DCMPRN,4599.0,4093.11,335.72,4599.0,482 CPT,44025,PR COLOTOMY EXPLORE/BX/RMVL FB,7515.0,6688.35,340.43,7515.0,482 CPT,44050,PR REDUC VOLVULUS BY LAPAROTOMY,6458.0,5747.62,325.43,6458.0,482 CPT,44055,PR CORR MALROTATION BOWEL,8828.0,7856.92,505.24,8828.0,482 CPT,44110,PR EXCISN >=1LESN INTSTN ENTRTMY SNGL,5369.0,4778.41,297.55,5369.0,482 CPT,44110,REMOVAL OF GROWTH OF SMALL OR LARGE BOWELS,,,580.1,1093.92,20 CPT,44111,PR EXCISN LES INTSTN ENTRTMY MULT,6978.0,6210.42,339.53,6978.0,482 CPT,44120,PARTIAL REMOVAL OF SMALL BOWEL WITH RECONNECTION,,,821.56,1537.1,20 CPT,44120,PR ENTERCTMY RSECT SM INTSTN SNGL,6835.0,6083.15,418.09,6835.0,482 CPT,44121,PR ENTERECT RSECT SM INTST EA ADD,2292.0,2039.88,156.93,2292.0,482 CPT,44125,PARTIAL REMOVAL OF SMALL BOWEL WITH CREATION OF OPENING TO SKIN,,,795.31,1493.1,20 CPT,44125,PR ENTERECTMY SM INTSTN ENTERSTMY,7587.0,6752.43,406.13,7587.0,482 CPT,44126,PR ENTERECTMY SM INTSTN WO TAPER,12852.0,11438.28,832.79,12852.0,482 CPT,44127,PR ENTERECTMY SM INTSTN W TAPER,15250.0,13572.5,955.62,15250.0,482 CPT,44128,PR ENTERECTMY SM INTSTN EA ADD,1719.0,1529.91,156.82,1719.0,482 CPT,44130,PR ENTEROENTEROSTMY ANAST INTSTN,8828.0,7856.92,454.88,8828.0,482 CPT,44139,PR MOBIL SPLENC FLEX W PRTL COLCTMY,771.0,686.19,78.24,771.0,482 CPT,44139,RELEASE OF LARGE BOWEL FROM SPLEEN AND ABDOMINAL WALL WITH PARTIAL REMOVAL OF LARGE BOWEL,,,79.5,143.82,20 CPT,44140,PR COLECTOMY PARTL W ANASTOMOSIS,7699.0,6852.11,462.23,7699.0,482 CPT,44141,PR COLECTMY PARTL W CECOST/COLOST,9858.0,8773.62,626.93,9858.0,482 CPT,44143,PR COLECTOMY PARTL W END CLSR,9368.0,8337.52,566.03,9368.0,482 CPT,44144,PR COLECTMY PARTL W COLOST/ILEOST,10328.0,9191.92,604.63,10328.0,482 CPT,44145,PR COLECTOMY PARTL COLOPROCTOSTMY,8606.0,7659.34,563.57,8606.0,482 CPT,44146,PR COLECTOMY PARTL CLPRCT&COLSTMY,14524.0,12926.36,722.77,14524.0,482 CPT,44150,PR COLECTMY TOT ABD W ILEOS/ILEOP,11363.0,10113.07,647.07,11363.0,482 CPT,44155,PR COLECTOMY TOT ABD PROCT&ILEOST,12795.0,11387.55,718.29,12795.0,482 CPT,44156,PR COLECTOMY ABD CONTINENT ILEOST,17202.0,15309.78,789.46,17202.0,482 CPT,44158,PR COLECTOMY W ILEAL RESERVOIR,15575.0,13861.75,768.13,15575.0,482 CPT,44160,PR COLECTOMY PARTL RMVL TRM ILEUM,8877.0,7900.53,428.9,8877.0,482 CPT,44180,PR LAPAROSCOPY ENTEROLYSIS,5169.0,4600.41,319.17,5169.0,482 CPT,44180,RELEASE OF SMALL BOWEL SCAR TISSUE USING AN ENDOSCOPE,,,782.27,8021.24,21 CPT,44186,CREATION OF OPENING FROM SMALL BOWEL TO SKIN WITH INSERTION OF A TUBE FOR DECOMPRESSION OR FEEDING USING AN ENDOSCOPE,,,569.84,8021.24,20 CPT,44186,PR LAPAROSCOPY JEJUNOSTOMY,4111.0,3658.79,232.5,4111.0,482 CPT,44187,CREATION OF OPENING FROM SMALL BOWEL TO SKIN USING AN ENDOSCOPE,,,954.78,4295.03,20 CPT,44187,PR LAP ILEOST/JEJUNOST NON TUBE,6820.0,6069.8,389.55,6820.0,482 CPT,44188,CREATION OF LARGE BOWEL OPENING USING AN ENDOSCOPE,,,1051.34,2773.53,20 CPT,44188,PR LAPAROSCOPY COLOSTMY/CECOSTMY,7737.0,6885.93,428.95,7737.0,482 CPT,44202,PARTIAL REMOVAL AND RECONNECTION OF SMALL BOWEL USING AN ENDOSCOPE,,,1167.37,8021.24,20 CPT,44202,PR LAP ENTERECT RESEC&ANAST SNGL,9844.0,8761.16,476.29,9844.0,482 CPT,44203,PR LAP ENTERECT RESEC&ANAST EA,1632.0,1452.48,156.66,1632.0,482 CPT,44204,PARTIAL REMOVAL OF LARGE BOWEL USING AN ENDOSCOPE,,,1288.45,8021.24,16 CPT,44204,PR LAP COLECTOMY PRTL ANASTOMOSIS,8769.0,7804.41,525.69,8769.0,482 CPT,44205,PARTIAL REMOVAL OF SMALL AND LARGE BOWEL WITH ATTACHMENT OF SMALL AND LARGE BOWEL USING AN ENDOSCOPE,,,904.02,1684.5,20 CPT,44205,PR LAP COLECTOMY W ILEOCOLOSTOMY,8303.0,7389.67,458.19,8303.0,482 CPT,44206,PR LAP COLECTOMY W CLSR DIST SEGM,10549.0,9388.61,594.96,10549.0,482 CPT,44207,PARTIAL REMOVAL OF LARGE BOWEL AND REATTACHMENT TO RECTUM USING AN ENDOSCOPE,,,1511.31,14103.72,20 CPT,44207,PR LAP COLECTMY ANAST COLOPROCT,11611.0,10333.79,616.62,11611.0,482 CPT,44208,PR LAP COLECTMY COLOPROCT CLSTMY,14311.0,12736.79,676.41,14311.0,482 CPT,44210,PR LAP COLECTOMY TOT WO PROCTCTMY,11664.0,10380.96,616.5,11664.0,482 CPT,44211,PR LAP COLECTOMY TOT W PROCTCTMY,15466.0,13764.74,742.99,15466.0,482 CPT,44212,PR COLCTMY TOT W PROCTMY/ILEOSTMY,14458.0,12867.62,708.31,14458.0,482 CPT,44213,PARTIAL RELEASE OF LARGE BOWEL AND PARTIAL REMOVAL OF LARGE BOWEL USING AN ENDOSCOPE,,,124.17,224.01,20 CPT,44213,PR LAPAROSCOPY MOBILE W COLECTOMY,1272.0,1132.08,121.86,1272.0,482 CPT,44227,CLOSURE OF OPENING FROM LARGE OR SMALL BOWEL TO SKIN USING AN ENDOSCOPE,,,1116.78,2076.98,20 CPT,44227,PR LAPAROSCOPY CLSR ENTEROSTOMY,10152.0,9035.28,564.94,10152.0,482 CPT,44238,UNLISTED PROC LAP INTESTINE,,,527.75,8021.24,19 CPT,44300,PR PLC ENTEROST/CECOST TUBE OPN,5129.0,4564.81,295.14,5129.0,482 CPT,44310,PR ILEOSTOMY/JEJUNOSTOMY NON-TUBE,5930.0,5277.7,361.0,5930.0,482 CPT,44310,SMALL INTESTINE DIVERTED THROUGH OPENING IN ABDOMEN,,,706.73,1327.22,20 CPT,44312,PR REVISION ILEOSTOMY SIMPLE,3361.0,2991.29,215.02,3361.0,482 CPT,44312,SIMPLE REVISION OF SUPERFICIAL SCAR TISSUE FROM SURGICALLY CREATED OPENING OF SMALL BOWEL TO SKIN,,,527.0,4295.03,20 CPT,44314,PR REVISION ILEOSTOMY COMPLICATED,6122.0,5448.58,352.77,6122.0,482 CPT,44316,PR CONTINENT ILEOS KOCK PROC,9566.0,8513.74,485.38,9566.0,482 CPT,44320,CREATION OF OPENING FROM LARGE BOWEL TO SKIN,,,816.17,1538.25,20 CPT,44320,PR COLOSTOMY OR SKIN LVL CECOSTMY,6635.0,5905.15,418.41,6635.0,482 CPT,44340,PR REVISION COLOSTOMY SIMPLE,3349.0,2980.61,231.28,3349.0,482 CPT,44345,PR REVISION COLOSTOMY COMPLEX,6382.0,5679.98,370.14,6382.0,482 CPT,44346,PR COLOSTOMY RPR PARACLST HERNIA,7724.0,6874.36,412.2,7724.0,482 CPT,44360,DIAGNOSTIC EXAM OF SMALL BOWEL (EXCLUDING LOWER SMALL INTESTINE) USING AN ENDOSCOPE FACILITY,,,122.57,2546.02,21 CPT,44360,HC ENDO UPPER SM INTESTINE,6643.0,5912.27,122.57,6643.0,739 CPT,44360,PR ENDO UPPER SM INTESTINE,1815.0,1615.35,50.01,1815.0,482 CPT,44361,BIOPSY OF SMALL BOWEL (EXCEPT ILEUM) USING AN ENDOSCOPE FACILITY,,,134.98,2546.02,21 CPT,44361,HC ENDO SM INTESTINE W BX,6097.0,5426.33,134.98,6097.0,738 CPT,44361,PR ENDO SM INTESTINE W BX,1938.0,1724.82,55.07,1938.0,482 CPT,44363,HC ENDO SM INTESTINE W RMVL FB,8931.0,7948.59,162.09,8931.0,737 CPT,44363,PR ENDO SM INTESTINE W RMVL FB,1427.0,1270.03,66.14,1427.0,482 CPT,44363,REMOVAL OF FOREIGN BODIES FROM SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,162.09,2546.02,20 CPT,44364,HC ENTEROSCOPY RMVL POLYP SNARE,9140.0,8134.6,172.62,9140.0,737 CPT,44364,PR ENTEROSCOPY RMVL POLYP SNARE,2321.0,2065.69,70.43,2321.0,482 CPT,44364,REMOVAL OF SMALL BOWEL POLYPS OR GROWTHS USING AN ENDOSCOPE FACILITY,,,172.62,2546.02,21 CPT,44366,CONTROL OF BLEEDING OF FIRST OR SECOND PART OF SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,201.45,2546.02,20 CPT,44366,HC ENDO SM INTESTINE W CTRL BLEED,8579.0,7635.31,201.45,8579.0,737 CPT,44366,PR ENDO SM INTESTINE W CTRL BLEED,2237.0,1990.93,82.19,2237.0,482 CPT,44369,DESTRUCTION OF POLYP OR GROWTH OF SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,206.36,2546.02,20 CPT,44369,HC ENDO SM INTESTINE W ABLATION,8309.0,7395.01,206.36,8309.0,736 CPT,44369,PR ENDO SM INTESTINE W ABLATION,2402.0,2137.78,84.2,2402.0,482 CPT,44370,HC ENDO SM INTESTINE W STENT PLC,10502.0,9346.78,225.88,10502.0,736 CPT,44370,PR ENDO SM INTESTINE W STENT PLC,3057.0,2720.73,92.16,3057.0,482 CPT,44372,HC ENDO SM INTSTN W PLC TUBE PERC,7354.0,6545.06,200.72,7354.0,738 CPT,44372,INSERTION OF TUBE INTO MIDDLE SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,200.72,2546.02,20 CPT,44372,PR ENDO SM INTSTN W PLC TUBE PERC,2891.0,2572.99,81.9,2891.0,482 CPT,44373,CONVERSION OF STOMACH TUBE TO TUBE IN MIDDLE SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,161.55,2546.02,20 CPT,44373,HC ENDO SM INTSTN W G-J TUBE,5959.0,5303.51,161.55,5959.0,736 CPT,44373,PR ENDO SM INTSTN W G-J TUBE,1898.0,1689.22,65.91,1898.0,482 CPT,44376,DIAGNOSTIC EXAM OF SMALL BOWEL (INCLUDING LOWER SMALL INTESTINE) USING AN ENDOSCOPE FACILITY,,,237.63,2546.02,20 CPT,44376,HC ENTEROSCOPY W ILEUM W/WO BX,8221.0,7316.69,237.63,8221.0,736 CPT,44376,PR ENTEROSCOPY W ILEUM W/WO BX,1960.0,1744.4,96.96,1960.0,482 CPT,44377,BIOPSY OF SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,248.87,2546.02,20 CPT,44377,HC ENDO SM INTESTINE W ILIUM BX,9140.0,8134.6,248.87,9140.0,736 CPT,44377,PR ENDO SM INTESTINE W ILIUM BX,2321.0,2065.69,101.54,2321.0,482 CPT,44378,CONTROL OF BLEEDING OF SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,319.49,2546.02,20 CPT,44378,HC ENDO SM INTSTN W ILIUM CTRL,9766.0,8691.74,319.49,9766.0,736 CPT,44378,PR ENDO SM INTSTN W ILIUM CTRL,3303.0,2939.67,130.35,3303.0,482 CPT,44380,DIAGNOSTIC EXAM OF SMALL BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM SMALL BOWEL TO SKIN FACILITY,,,51.62,1203.39,21 CPT,44380,HC ILEOSCOPY STOMA DX,5197.0,4625.33,51.62,5197.0,739 CPT,44380,PR ILEOSCOPY STOMA DX,973.0,865.97,92.72,973.0,482 CPT,44381,BALLOON DILATION OF SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,74.27,2546.02,20 CPT,44381,HC ILEOSCOPY STOMA W BALN DIL,5724.0,5094.36,74.27,5724.0,736 CPT,44381,PR ILEOSCOPY STOMA W BALN DIL,4239.0,3772.71,445.94,4239.0,482 CPT,44382,BIOPSY OF SMALL BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LOWER SMALL BOWEL TO SKIN FACILITY,,,65.48,1203.39,20 CPT,44382,HC ILEOSCOPY STOMA W BX SNGL/MULT,5641.0,5020.49,65.48,5641.0,738 CPT,44382,PR ILEOSCOPY STOMA W BX SNGL/MULT,1254.0,1116.06,138.76,1254.0,482 CPT,44384,HC ILEOSCOPY STOMA W STENT PLC,10127.0,9013.03,127.35,10127.0,736 CPT,44384,INSERTION OF STENT INTO SMALL BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM SMALL BOWEL TO SKIN FACILITY,,,127.35,2546.02,20 CPT,44384,PR ILEOSCOPY STOMA W STENT PLC,1340.0,1192.6,51.96,1340.0,482 CPT,44385,DIAGNOSTIC EXAM OF SURGICALLY CREATED POUCH OF SMALL BOWEL USING AN ENDOSCOPE FACILITY,,,64.13,1233.87,21 CPT,44385,HC ENDO EVAL SM INTST POUCH DX,6010.0,5348.9,64.13,6010.0,738 CPT,44385,PR ENDO EVAL SM INTST POUCH DX,1262.0,1123.18,100.77,1262.0,482 CPT,44386,BIOPSY OF SMALL BOWEL POUCH USING AN ENDOSCOPE FACILITY,,,77.7,1233.87,21 CPT,44386,HC ENDO EVAL SM INTST POUCH BX,5282.0,4700.98,77.7,5282.0,742 CPT,44386,PR ENDO EVAL SM INTST POUCH BX,2096.0,1865.44,143.61,2096.0,482 CPT,44388,DIAGNOSTIC EXAM OF LARGE BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LARGE BOWEL TO SKIN FACILITY,,,132.43,1233.87,21 CPT,44388,HC COLONOSCOPY STOMA DX,5197.0,4625.33,132.43,5197.0,739 CPT,44388,PR COLONOSCOPY STOMA DX,2084.0,1854.76,143.36,2084.0,482 CPT,44389,BIOPSY OF LARGE BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LARGE BOWEL TO SKIN FACILITY,,,145.46,1587.71,21 CPT,44389,HC COLONOSCOPY STOMA BX SNGL/MULT,6235.0,5549.15,145.46,6235.0,737 CPT,44389,PR COLONOSCOPY STOMA BX SNGL/MULT,2853.0,2539.17,186.96,2853.0,482 CPT,44390,HC COLONSCPY STOMA W RMVL FB,4825.0,4294.25,177.52,4825.0,736 CPT,44390,PR COLONSCPY STOMA W RMVL FB,2706.0,2408.34,183.07,2706.0,482 CPT,44391,HC COLONOSCOPY STOMA W CTRL BLEED,5276.0,4695.64,193.57,5276.0,736 CPT,44391,PR COLONOSCOPY STOMA W CTRL BLEED,2575.0,2291.75,288.34,2575.0,482 CPT,44392,PR COLONSCPY STOMA W HOT BX FORCP,1958.0,1742.62,174.2,1958.0,482 CPT,44394,HC COLONOSCOPY W RMVL LESN SNARE,6654.0,5922.06,189.24,6654.0,738 CPT,44394,PR COLONOSCOPY W RMVL LESN SNARE,2187.0,1946.43,196.41,2187.0,482 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,,,189.24,1587.71,21 CPT,44401,HC COLONOSCOPY STOMA ABLATION,6162.0,5484.18,5545.8,5545.8,1 CPT,44401,PR COLONOSCOPY STOMA ABLATION,8065.0,7177.85,1077.31,8065.0,482 CPT,44402,HC COLONOSCOPY STENT VIA STOMA,17960.0,15984.4,219.1,17960.0,736 CPT,44402,PR COLONOSCOPY STENT VIA STOMA,2441.0,2172.49,89.4,2441.0,482 CPT,44403,HC COLONOSCOPY STOMA EMR,7771.0,6916.19,253.94,7771.0,736 CPT,44403,PR COLONOSCOPY STOMA EMR,2673.0,2378.97,103.61,2673.0,482 CPT,44403,REMOVAL OF LINING OF LARGE BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LARGE BOWEL TO SKIN FACILITY,,,253.94,1587.71,20 CPT,44404,HC COLONOSCOPY STOMA INJ SUBMUC,5824.0,5183.36,145.02,5824.0,737 CPT,44404,INJECTION BENEATH LINING OF LARGE BOWEL USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM LARGE BOWEL TO SKIN FACILITY,,,145.02,1587.71,21 CPT,44404,PR COLONOSCOPY STOMA INJ SUBMUC,2793.0,2485.77,190.42,2793.0,482 CPT,44405,BALLOON DILATION OF LARGE BOWEL USING AN ENDOSCOPE FACILITY,,,155.51,1587.71,21 CPT,44405,HC COLONOSCOPY STOMA W BAL DIL,5724.0,5094.36,155.51,5724.0,737 CPT,44405,PR COLONOSCOPY STOMA W BAL DIL,3330.0,2963.7,253.18,3330.0,482 CPT,44407,HC COLONOSCOPY STOMA W US NDL BX,3780.0,3364.2,230.48,3780.0,736 CPT,44407,PR COLONOSCOPY STOMA W US NDL BX,2392.0,2128.88,94.04,2392.0,482 CPT,44408,HC COLONOSCOPY STOMA W DECOMP,4097.0,3646.33,194.97,4097.0,736 CPT,44408,PR COLONOSCOPY STOMA W DECOMP,2159.0,1921.51,79.55,2159.0,482 CPT,44500,DILATION OF STOMACH AND/OR SMALL BOWEL USING LONG GASTROINTESTINAL TUBE FACILITY,,,15.49,1203.39,20 CPT,44500,HC INTRO GI TUBE LONG,1087.0,967.43,15.49,1203.39,1472 CPT,44500,PR INTRO GI TUBE LONG,228.0,202.92,12.64,228.0,482 CPT,44602,PR ENTERORRHAPHY PERFORATION SNGL,7801.0,6942.89,472.24,7801.0,482 CPT,44602,SUTURE OF TEAR OF HOLE IN SMALL BOWEL,,,1157.45,5115.46,20 CPT,44603,PR ENTERORRHAPHY PERFORATION MULT,7817.0,6957.13,545.8,7817.0,482 CPT,44604,PR SUTR LG INTSTN PERF WO COLOST,6712.0,5973.68,359.54,6712.0,482 CPT,44605,PR SUTR LG INTSTN PERF W COLOST,9333.0,8306.37,445.33,9333.0,482 CPT,44615,PR STRICTUROPLASTY INTSTN OBSTR,8566.0,7623.74,369.39,8566.0,482 CPT,44615,RELEASE OF SMALL BOWEL OBSTRUCTION,,,723.41,1358.03,20 CPT,44620,CLOSURE OF SURGICALLY CREATED LARGE OR SMALL BOWEL OPENING,,,589.43,1108.83,20 CPT,44620,PR CLSR ENTEROSTMY LG/SM INTSTN,6253.0,5565.17,301.6,6253.0,482 CPT,44625,CLOSURE OF SURGICALLY CREATED LARGE OR SMALL BOWEL OPENING WITH BOWEL REMOVAL AND REATTACHMENT,,,688.81,1288.67,20 CPT,44625,PR CLSR ENTEROSTMY INTSTN W RSECT,6755.0,6011.95,350.52,6755.0,482 CPT,44626,CLOSURE OF SURGICALLY CREATED LARGE OR SMALL BOWEL OPENING WITH BOWEL REMOVAL AND REATTACHMENT OF LARGE BOWEL AND RECTUM,,,1068.19,1979.82,20 CPT,44626,PR CLSR ENTEROSTMY INTSTN COLORCT,10273.0,9142.97,538.51,10273.0,482 CPT,44640,PR CLSR INTSTN CUTANEOUS FISTULA,8877.0,7900.53,475.47,8877.0,482 CPT,44650,PR CLSR ENTEROENTERIC/COLIC FSTL,8694.0,7737.66,490.97,8694.0,482 CPT,44660,PR CLSR ENTEROVESC FSTL WO RSECT,7245.0,6448.05,457.95,7245.0,482 CPT,44661,PR CLSR ENTEROVESC FSTL W RSECT,9332.0,8305.48,525.05,9332.0,482 CPT,44705,ASSESSMENT AND OVERSEEING PREPARATION OF DONOR FECAL SPECIMEN FACILITY,,,156.32,1233.87,17 CPT,44705,HC PREPARE FECAL MICROBIOTA,4767.0,4242.63,58.54,4767.0,736 CPT,44705,PR PREPARE FECAL MICROBIOTA,599.0,533.11,119.01,599.0,482 CPT,44799,HC ESD SMALL INTESTINE,5403.0,4808.67,908.93,5403.0,738 CPT,44799,HC INTESTINAL BALLON DILATION,4917.0,4376.13,908.93,4917.0,738 CPT,44799,HC LOWER DBL BALLOON,9140.0,8134.6,908.93,9140.0,738 CPT,44799,HC LOWER DBL BALLOON W/ BIOPSY,8221.0,7316.69,908.93,8221.0,738 CPT,44799,PR INTESTINAL BALLOON DILAT,1815.0,1615.35,90.75,1815.0,477 CPT,44799,PR LOWER DBL BALLOON,2321.0,2065.69,116.05,2321.0,477 CPT,44799,PR LOWER DBL BALLOON W/BIOPSY,2321.0,2065.69,116.05,2321.0,477 CPT,44799,UNLISTED PROC SMALL INTESTINE - FACILITY,,,212.94,2546.02,20 CPT,44800,PR EXCISN MECKEL DIVERTICULUM,4413.0,3927.57,276.9,4413.0,482 CPT,44800,REPAIR OF CONGENITAL BOWEL DEFECT,,,678.66,4295.03,20 CPT,44820,PR EXCISION LESION MESENTERY,6093.0,5422.77,298.3,6093.0,482 CPT,44850,PR SUTURE MESENTERY,5363.0,4773.07,264.11,5363.0,482 CPT,44899,UNLISTED PROC DIVRTCLM&MESENTERY,,,98.16,226.05,17 CPT,44950,PR APPENDECTOMY,3765.0,3350.85,224.08,3765.0,482 CPT,44955,PR APPENDECTOMY W OTHR MAJOR PROC,634.0,564.26,54.45,634.0,482 CPT,44960,PR APPENDECTOMY RUPTR W ABSCESS,4825.0,4294.25,304.02,4825.0,482 CPT,44970,PR LAPAROSCOPY APPENDECTOMY,3575.0,3181.75,215.32,3575.0,482 CPT,44970,REMOVAL OF APPENDIX USING AN ENDOSCOPE PROFESSIONAL,,,527.75,8021.24,21 CPT,44979,UNLISTED PROC LAP APPENDIX,,,1288.45,8021.24,15 CPT,45000,DRAINAGE OF ABSCESS OF PELVIC REGION,,,391.19,4295.03,20 CPT,45000,PR DRN PELVIC ABSCESS TXRECTAL,2400.0,2136.0,159.61,2400.0,482 CPT,45005,PR I&D ABSCESS SUBMUCOSAL RECTUM,1289.0,1147.21,148.1,1289.0,482 CPT,45020,PR I&D SPRAELV PLVRCTL/RTRRCTL,2912.0,2591.68,212.08,2912.0,482 CPT,45100,BIOPSY OF ANAL AND/OR RECTAL WALL THROUGH ANUS PROFESSIONAL,,,288.13,3682.76,20 CPT,45100,PR BX ANORECTAL WALL ANAL APPR,1741.0,1549.49,117.56,1741.0,482 CPT,45110,PR PROCTECTOMY CMPLT W COLOSTOMY,11514.0,10247.46,635.03,11514.0,482 CPT,45111,PR PROCTECTOMY PARTL RSECT RECTUM,8479.0,7546.31,381.13,8479.0,482 CPT,45112,PR PROCTECTOMY ABDOMINOPERINEAL,14268.0,12698.52,629.47,14268.0,482 CPT,45113,PR PRCTMY W RCTL MUCOSECTMY PARTL,12516.0,11139.24,652.45,12516.0,482 CPT,45119,PR PRCTMY PULL THRU W RESERVOIR,13580.0,12086.2,656.9,13580.0,482 CPT,45123,PARTIAL REMOVAL OF RECTUM THROUGH PERINEUM,,,769.55,1446.89,20 CPT,45123,PR PROCTECTOMY WO ANAST PARTL,7765.0,6910.85,393.56,7765.0,482 CPT,45126,PR PELV EXENTERATION COLORECT MLG,20245.0,18018.05,940.49,20245.0,482 CPT,45130,PR EXCISN RECTL PROCIDENTIA ANAST,7484.0,6660.76,382.31,7484.0,482 CPT,45130,REPAIR OF PROLAPSED RECTUM THROUGH ANUS,,,641.68,9838.84,19 CPT,45136,PR EXCISN ILEOANAL RSRVR ILEOSTMY,12875.0,11458.75,631.39,12875.0,482 CPT,45171,PR EXCISN RCTL TMR PRTL TRNSANAL APPR,3335.0,2968.15,238.18,3335.0,482 CPT,45171,REMOVAL OF GROWTH OF RECTUM THROUGH ANUS-EXPRESS CARE,,,583.78,3682.76,21 CPT,45172,PR EXCISN RECTAL TMR FULL,5239.0,4662.71,307.49,5239.0,482 CPT,45172,REMOVAL OF GROWTH OF RECTUM THROUGH ANUS WITH REMOVAL OF A PORTION OF MUSCLE,,,753.65,3682.76,20 CPT,45190,DESTRUCTION OF GROWTH OF RECTUM,,,646.52,14103.72,20 CPT,45300,DIAGNOSTIC EXAM OF RECTUM AND LOWER LARGE BOWEL USING AN ENDOSCOPE FACILITY,,,42.46,8021.24,20 CPT,45300,HC PROCTOSIGMOIDOSCOPY DX,2554.0,2273.06,42.46,2554.0,736 CPT,45300,PR PROCTOSIGMOIDOSCOPY DX,509.0,453.01,60.8,509.0,482 CPT,45303,PR PROCTOSIGMOID RIGID W DIL,2769.0,2464.41,427.66,2769.0,482 CPT,45305,BIOPSIES OF RECTUM AND/OR LOWER LARGE BOWEL USING A RIGID ENDOSCOPE FACILITY,,,65.16,1587.71,20 CPT,45305,PR PROCTOSIGMOIDOSCOPY BX,748.0,665.72,80.86,748.0,482 CPT,45309,REMOVAL OF POLYP OR GROWTH OF RECTUM AND LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE FACILITY,,,78.29,1587.71,20 CPT,45330,DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,51.6,1233.87,21 CPT,45330,HC SIGMOIDOSCOPY FLEXIBLE DX,3150.0,2803.5,51.6,3150.0,741 CPT,45330,PR SIGMOIDOSCOPY FLEXIBLE DX,847.0,753.83,88.79,847.0,483 CPT,45331,BIOPSY OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,64.24,1233.87,21 CPT,45331,HC SIGMOIDOSCOPY FLEXIBLE W BX,3723.0,3313.47,64.24,3723.0,743 CPT,45331,PR SIGMOIDOSCOPY FLEXIBLE W BX,1230.0,1094.7,133.77,1230.0,483 CPT,45332,HC SIGMOID FLEX W RMVL FB,7124.0,6340.36,91.59,7124.0,740 CPT,45332,PR SIGMOID FLEX W RMVL FB,1383.0,1230.87,128.52,1383.0,482 CPT,45332,SIGMOIDOSCOPY FLEXIBLE WITH REMOVAL OF FOREIGN BODY FACILITY,,,91.59,1587.71,21 CPT,45333,HC SIGMOID FLEX W RMVL TMR HOT BX,3808.0,3389.12,82.17,3808.0,736 CPT,45333,PR SIGMOID FLEX W RMVL TMR HOT BX,1466.0,1304.74,151.74,1466.0,482 CPT,45333,REMOVAL OF POLYPS OR GROWTHS OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE WITH ELECTRICAL CAUTERY FACILITY,,,82.17,1233.87,20 CPT,45334,CONTROL OF BLEEDING OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,101.68,1587.71,21 CPT,45334,HC SIGMOID FLEX W CTRL BLEED,5806.0,5167.34,101.68,5806.0,738 CPT,45334,PR SIGMOID FLEX W CTRL BLEED,1286.0,1144.54,225.46,1286.0,482 CPT,45335,HC SIGMOID FLEX W SUBMUCOSAL INJ,4057.0,3610.73,59.87,4057.0,738 CPT,45335,INJECTION BENEATH LINING OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,59.87,1233.87,21 CPT,45335,PR SIGMOID FLEX W SUBMUCOSAL INJ,1285.0,1143.65,135.91,1285.0,482 CPT,45337,HC SIGMOID FLEX W DECOMPRESSION,5827.0,5186.03,94.9,5827.0,736 CPT,45337,PR SIGMOID FLEX W DECOMPRESSION,1142.0,1016.38,38.72,1142.0,482 CPT,45338,HC SIGMOID FLEX W RMVL TMR SNARE,4965.0,4418.85,103.99,4965.0,739 CPT,45338,PR SIGMOID FLEX W RMVL TMR SNARE,1518.0,1351.02,137.36,1518.0,482 CPT,45338,REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE FACILITY,,,103.99,1587.71,21 CPT,45340,BALLOON DILATION OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,69.24,1587.71,20 CPT,45340,HC SIGMOID FLEX W DIL BALN,6042.0,5377.38,69.24,6042.0,736 CPT,45340,PR SIGMOID FLEX W DIL BALN,1803.0,1604.67,210.83,1803.0,482 CPT,45341,HC SIGMOID FLEX W EUS EXAM,5544.0,4934.16,107.16,5544.0,737 CPT,45341,PR SIGMOID FLEX W EUS EXAM,816.0,726.24,43.72,816.0,482 CPT,45341,ULTRASOUND EXAM OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,107.16,1233.87,20 CPT,45342,FINE NEEDLE ASPIRATION AND/OR BIOPSY OF LOWER LARGE BOWEL WITH ULTRASOUND GUIDANCE USING A FLEXIBLE ENDOSCOPE FACILITY,,,144.41,1587.71,21 CPT,45342,HC SIGMOID FLEX W EUS FNA/BX,8309.0,7395.01,144.41,8309.0,741 CPT,45342,PR SIGMOID FLEX W EUS FNA/BX,1473.0,1310.97,58.92,1473.0,482 CPT,45346,DESTRUCTION OF POLYP OR GROWTH OF LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,136.47,1587.71,20 CPT,45346,HC SIGMOIDOSCOPY W ABLATION,5724.0,5094.36,136.47,5724.0,737 CPT,45346,PR SIGMOIDOSCOPY W ABLATION,2184.0,1943.76,982.8,2184.0,482 CPT,45347,HC SIGMOIDOSCOPY W PLCMT STENT,8712.0,7753.68,130.66,8712.0,736 CPT,45347,INSERTION OF STENT INTO LOWER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,130.66,8054.9,20 CPT,45347,PR SIGMOIDOSCOPY W PLCMT STENT,1297.0,1154.33,53.31,1297.0,482 CPT,45349,HC SIGMOID FLEX EMR,8181.0,7281.09,167.57,8181.0,738 CPT,45349,PR SIGMOID FLEX EMR,1611.0,1433.79,68.37,1611.0,482 CPT,45349,REMOVAL OF LOWER PORTION OF LARGE BOWEL TISSUE USING A FLEXIBLE ENDOSCOPE FACILITY,,,167.57,3682.76,21 CPT,45350,HC SIGMOID FLEX W BAND LIG,5724.0,5094.36,87.79,5724.0,736 CPT,45350,PR SIGMOID FLEX W BAND LIG,1822.0,1621.58,309.41,1822.0,482 CPT,45378,DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,156.32,1233.87,21 CPT,45378,HC COLONOSCOPY DIAGNOSTIC,4402.0,3917.78,156.32,4402.0,746 CPT,45378,PR COLONOSCOPY DIAGNOSTIC,1706.0,1518.34,153.39,1706.0,482 CPT,45379,HC COLONOSCOPY W RMVL FB,6870.0,6114.3,200.15,6870.0,736 CPT,45379,PR COLONOSCOPY W RMVL FB,2756.0,2452.84,194.69,2756.0,482 CPT,45379,REMOVAL OF FOREIGN BODIES IN LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,200.15,1587.71,20 CPT,45380,BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,169.2,1587.71,21 CPT,45380,HC COLONOSCOPY W BIOPSY,4681.0,4166.09,169.2,4681.0,748 CPT,45380,PR COLONOSCOPY W BIOPSY,2199.0,1957.11,195.94,2199.0,482 CPT,45381,HC COLONOSCOPY W SUBMUC INJ,3557.0,3165.73,169.2,3557.0,740 CPT,45381,INJECTION BENEATH LINING OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,169.2,1587.71,21 CPT,45381,PR COLONOSCOPY W SUBMUC INJ,2253.0,2005.17,200.29,2253.0,482 CPT,45382,CONTROL OF BLEEDING OF UPPER LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,216.73,1587.71,20 CPT,45382,HC COLONOSCOPY W CTRL BLEED,5565.0,4952.85,216.73,5565.0,737 CPT,45382,PR COLONOSCOPY W CTRL BLEED,3291.0,2928.99,299.75,3291.0,482 CPT,45384,HC COLONOSCOPY W RMVL TMR HOT BX,5566.0,4953.74,190.53,5566.0,736 CPT,45384,PR COLONOSCOPY W RMVL TMR HOT BX,2798.0,2490.22,218.81,2798.0,482 CPT,45384,REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE WITH ELECTRICAL CAUTERY FACILITY,,,190.53,3682.76,20 CPT,45385,HC COLONOSCOPY W RMVL SNARE,4504.0,4008.56,213.13,4504.0,749 CPT,45385,PR COLONOSCOPY W RMVL SNARE,2325.0,2069.25,203.07,2325.0,482 CPT,45385,REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE FACILITY,,,213.13,1587.71,21 CPT,45386,BALLOON DILATION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,178.48,1587.71,21 CPT,45386,HC COLONOSCOPY W BALN DIL,5390.0,4797.1,178.48,5390.0,738 CPT,45386,PR COLONOSCOPY W BALN DIL,2738.0,2436.82,275.59,2738.0,482 CPT,45388,DESTRUCTION OF POLYP OR GROWTH OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,226.1,1587.71,21 CPT,45388,HC COLONOSCOPY W TMR ABLATE,5391.0,4797.99,226.1,5391.0,737 CPT,45388,PR COLONOSCOPY W TMR ABLATE,3301.0,2937.89,1108.62,3301.0,482 CPT,45389,HC COLONOSCOPY FLEX STENT PLC,8712.0,7753.68,241.37,8712.0,736 CPT,45389,INSERTION OF STENT IN LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,241.37,8054.9,20 CPT,45389,PR COLONOSCOPY FLEX STENT PLC,2429.0,2161.81,98.48,2429.0,482 CPT,45390,HC COLONOSCOPY W EMR,6678.0,5943.42,277.05,6678.0,742 CPT,45390,PR COLONOSCOPY W EMR,2802.0,2493.78,113.04,2802.0,482 CPT,45390,REMOVAL OF LARGE BOWEL TISSUE USING A FLEXIBLE ENDOSCOPE FACILITY,,,277.05,3682.76,21 CPT,45391,HC COLONOSCOPY W EUS EXAM,5462.0,4861.18,216.31,5462.0,736 CPT,45391,PR COLONOSCOPY W EUS EXAM,1988.0,1769.32,88.26,1988.0,482 CPT,45391,ULTRASOUND EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE FACILITY,,,216.31,1587.71,20 CPT,45392,FINE NEEDLE ASPIRATION AND/OR BIOPSY OF LARGE BOWEL WITH ULTRASOUND GUIDANCE USING A FLEXIBLE ENDOSCOPE FACILITY,,,253.46,1587.71,20 CPT,45392,HC COLONOSCOPY W TRANS EUS FNA/BX,7762.0,6908.18,253.46,7762.0,736 CPT,45392,PR COLONOSCOPY W TRANS EUS FNA/BX,2588.0,2303.32,103.41,2588.0,482 CPT,45393,HC COLONOSCOPY W DECOMPRESSION,5724.0,5094.36,206.65,5724.0,736 CPT,45393,PR COLONOSCOPY W DECOMPRESSION,2388.0,2125.32,84.32,2388.0,482 CPT,45395,PR LAP PRCTMY W COLOSTOMY COMPLT,11521.0,10253.69,682.76,11521.0,482 CPT,45397,PR LAP PROCTECTOMY W RESERVOIR,15074.0,13415.86,739.69,15074.0,482 CPT,45398,HC COLONOSCOPY W BAND LIG,3968.0,3531.52,196.84,3968.0,736 CPT,45398,PR COLONOSCOPY W BAND LIG,3110.0,2767.9,371.28,3110.0,482 CPT,45399,HC CHROMOENDOSCOPY COLON,3557.0,3165.73,739.86,3557.0,737 CPT,45399,HC ESD COLON,6678.0,5943.42,931.95,6678.0,737 CPT,45399,PR CHROMOENDOSCOPY COLON,2253.0,2005.17,112.65,2253.0,478 CPT,45399,PR ESD COLON,2802.0,2493.78,140.1,2802.0,478 CPT,45399,UNLISTED PROCEDURE COLON - FACILITY,,,354.9,1233.87,20 CPT,45400,PR LAP PROCTOPEXY PROLAPSE,7916.0,7045.24,397.44,7916.0,482 CPT,45400,REPAIR OF RECTAL PROLAPSE USING AN ENDOSCOPE,,,1948.24,14103.72,20 CPT,45499,UNLISTED PROCEDURE LAP RECTUM,,,1064.7,8021.24,19 CPT,45505,PR PROCTOPLASTY PROLAPSE MUC MEMB,3740.0,3328.6,231.66,3740.0,482 CPT,45505,REPAIR OF PROLAPSED LINING OF RECTUM THROUGH ANUS,,,567.79,3682.76,20 CPT,45540,PR PROCTOPEXY ABDOMINAL APPROACH,6944.0,6180.16,370.3,6944.0,482 CPT,45540,SUTURE OF RECTUM TO SACRUM THROUGH ABDOMEN,,,907.59,4638.65,20 CPT,45541,SUTURE OF RECTUM TO SACRUM THROUGH PERINEUM,,,830.87,3682.76,20 CPT,45560,REPAIR OF BULGING OF RECTUM INTO VAGINA,,,594.12,9838.84,20 CPT,45562,PR EXPLR/RPR/DRAIN RECTUM INJURY,6535.0,5816.15,417.81,6535.0,482 CPT,45800,PR CLSR RECTOVESICAL FSTL,7532.0,6703.48,447.1,7532.0,482 CPT,45820,PR CLSR RECTOURETHRAL FISTULA,7963.0,7087.07,448.1,7963.0,482 CPT,45900,MANUAL REPLACEMENT OF PROLAPSED RECTUM UNDER ANESTHESIA,,,195.39,1233.87,20 CPT,45900,PR REDUC RECTAL PROLAPSE W ANES,1066.0,948.74,79.72,1066.0,482 CPT,45905,DILATION OF SPHINCTER OF ANUS UNDER ANESTHESIA,,,161.41,1587.71,21 CPT,45905,PR DIL ANAL SPHINCTER W ANES,1112.0,989.68,65.86,1112.0,482 CPT,45910,DILATION OF NARROWING OF RECTUM UNDER ANESTHESIA,,,179.06,1587.71,20 CPT,45910,PR DIL RECTAL STRICTURE W ANES,1315.0,1170.35,73.06,1315.0,482 CPT,45915,PR RMVL FECAL IMPACTION/FB W ANES,1630.0,1450.7,161.97,1630.0,482 CPT,45915,REMOVAL OF IMPACTED STOOL OR FOREIGN BODY IN RECTUM UNDER ANESTHESIA PROFESSIONAL,,,220.33,1587.71,20 CPT,45990,DIAGNOSTIC EXAM OF ANUS AND RECTUM UNDER ANESTHESIA FACILITY,,,92.15,4295.03,21 CPT,45990,PR EXAM ANORECTAL SURG W ANES,844.0,751.16,37.6,844.0,482 CPT,45999,HC ESD RECTUM,4771.0,4246.19,931.95,5115.46,735 CPT,45999,PR ESD RECTUM,1933.0,1720.37,96.65,1933.0,477 CPT,45999,UNLISTED PROCEDURE RECTUM - FACILITY,,,282.74,1233.87,19 CPT,46020,INSERTION OF DRAIN (SETON) INTO ANUS,,,103.54,3682.76,20 CPT,46020,PR PLACEMENT OF SETON,1567.0,1394.63,35.91,1567.0,507 CPT,46030,PR RMVL ANAL SETON OTHER MARKER,829.0,737.81,116.23,829.0,482 CPT,46030,REMOVAL OF DRAIN (SETON) FROM ANUS,,,75.56,3682.76,20 CPT,46040,DRAINAGE OF DEEP ABSCESS IN RECTUM FACILITY,,,413.04,1587.71,21 CPT,46040,HC I&D RECTAL ABSCESS,5640.0,5019.6,413.04,5640.0,737 CPT,46040,PR I&D RECTAL ABSCESS,2855.0,2540.95,250.56,2855.0,489 CPT,46045,INCISION AND DRAINAGE OF ABSCESS WITHIN WALL OF RECTUM UNDER ANESTHESIA,,,424.41,3682.76,20 CPT,46045,PR I&D ABSCESS TRANSANAL W ANES,2198.0,1956.22,173.16,2198.0,482 CPT,46050,DRAINAGE OF SUPERFICIAL RECTAL ABSCESS SURROUNDING ANUS FACILITY,,,99.5,3682.76,20 CPT,46050,HC I&D PERIANAL ABSCESS SUPFCL,3407.0,3032.23,99.5,3407.0,738 CPT,46050,PR I&D PERIANAL ABSCESS SUPFCL,1162.0,1034.18,92.91,1162.0,507 CPT,46060,INCISION AND DRAINAGE OF ABSCESS IN WALL OF RECTUM OR BETWEEN RECTUM AND MUSCLE WITH INCISION OR REMOVAL OF ABNORMAL DRAINAGE TRACT PROFESSIONAL,,,470.52,3682.76,20 CPT,46060,PR I&D ISCHIORECT/INTRAMURAL ABSC,3079.0,2740.31,191.97,3079.0,482 CPT,46080,INCISION OF SPHINCTER OF ANUS,,,139.94,3682.76,20 CPT,46080,PR SPHINCTEROT ANAL DVISN SPHINCT,1620.0,1441.8,126.65,1620.0,482 CPT,46083,HC INCISN THROMB HEMM EXTRNL,862.0,767.18,102.45,862.0,736 CPT,46083,INCISION OF EXTERNAL HEMORRHOID WITH BLOOD CLOT FACILITY,,,102.45,331.5,20 CPT,46083,PR INCISN THROMB HEMM EXTRNL,815.0,725.35,91.3,815.0,489 CPT,46200,REMOVAL OF CHRONIC TEAR OF ANUS,,,339.71,3682.76,20 CPT,46220,PR EXCISN EXTRNL PAPILLA ANUS SNGL,974.0,866.86,95.35,974.0,507 CPT,46220,REMOVAL OF SINGLE EXTERNAL NONCANCER GROWTH OF ANUS FACILITY,,,114.42,1587.71,20 CPT,46221,HC LIGATION OF HEMORRHOID(S),2350.0,2091.5,191.74,2350.0,736 CPT,46221,PR LIGATION OF HEMORRHOID(S),1246.0,1108.94,112.39,1246.0,508 CPT,46221,REMOVAL OF EXTERNAL HEMORRHOIDS BY RUBBER BANDING FACILITY,,,191.74,1233.87,20 CPT,46230,PR EXCISN EXTRNL PAPILLAE ANUS MULT,1566.0,1393.74,117.25,1566.0,508 CPT,46230,REMOVAL OF MULTIPLE EXTERNAL NONCANCER GROWTHS OF ANUS FACILITY,,,156.94,3682.76,20 CPT,46255,PR HEMRDECT INT & EXT SNGL GROUP,2595.0,2309.55,197.93,2595.0,507 CPT,46255,REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP PROFESSIONAL,,,333.91,3682.76,20 CPT,46260,PR HEMRDECT INT & EXT >=2 GROUPS,3059.0,2722.51,185.39,3059.0,482 CPT,46260,REMOVAL OF MULTIPLE HEMORRHOID GROUPS PROFESSIONAL,,,454.39,3682.76,21 CPT,46270,PR TX ANAL FSTL SURG SUBQ,2670.0,2376.3,240.07,2670.0,482 CPT,46270,REPAIR OF ABNORMAL ANAL DRAINAGE TRACT PROFESSIONAL,,,391.11,3682.76,20 CPT,46275,PR TX ANAL FSTL SURG INTERSPHINCT,2967.0,2640.63,252.88,2967.0,482 CPT,46275,REPAIR OF ABNORMAL DRAINAGE TRACT IN ANAL SPHINCTER,,,408.42,3682.76,20 CPT,46280,PR TX ANAL FSTL SURG CMPLX,2975.0,2647.75,188.58,2975.0,482 CPT,46280,REPAIR OF ABNORMAL DRAINAGE TRACT AROUND ANAL SPHINCTER,,,462.2,3682.76,20 CPT,46288,PR CLSR ANAL FSTL RECTAL FLAP,3338.0,2970.82,214.65,3338.0,482 CPT,46288,REPAIR OF ABNORMAL ANAL DRAINAGE TRACT WITH RECTAL TISSUE FLAP,,,526.09,3682.76,20 CPT,46320,PR EXCISN THROMB HEMM EXTRNL,865.0,769.85,80.05,865.0,507 CPT,46505,HC CHEMODENERV INTRNL ANAL SPHINCTER,5503.0,4897.67,237.18,5503.0,740 CPT,46505,INJECTION OF AGENT TO DESTROY NERVE TO INTERNAL SPHINCTER OF ANUS FACILITY,,,237.18,1587.71,21 CPT,46505,PR CHEMODENERV INTRNL ANAL SPHINCTER,2120.0,1886.8,116.58,2120.0,507 CPT,46600,DIAGNOSTIC EXAM OF ANUS USING AN ENDOSCOPE FACILITY,,,39.11,1587.71,20 CPT,46600,HC ANOSCOPY DIAGNOSTIC,642.0,571.38,39.11,642.0,1472 CPT,46600,PR ANOSCOPY DIAGNOSTIC,399.0,355.11,45.15,399.0,515 CPT,46601,DIAGNOSTIC EXAM OF ANUS WITH MAGNIFICATION AND CHEMICAL AGENT ENHANCEMENT USING AN ENDOSCOPE FACILITY,,,81.33,3682.76,21 CPT,46601,HC ANOSCOPY DX W HRA & CHEM AGNT,362.0,322.18,75.3,592.72,737 CPT,46601,PR ANOSCOPY DX W HRA & CHEM AGNT,836.0,744.04,56.93,836.0,482 CPT,46604,DILATION OF ANUS USING AN ENDOSCOPE,,,58.9,1587.71,20 CPT,46604,PR ANOSCOPY W DILATION,1856.0,1651.84,287.94,1856.0,482 CPT,46606,BIOPSY OF ANUS USING AN ENDOSCOPE FACILITY,,,67.18,1587.71,21 CPT,46606,PR ANOSCOPY W BX SINGLE/MULTIPLE,1199.0,1067.11,107.45,1199.0,507 CPT,46607,BIOPSY OF ANUS WITH MAGNIFICATION AND CHEMICAL AGENT ENHANCEMENT USING AN ENDOSCOPE FACILITY,,,107.09,3682.76,21 CPT,46607,HC ANOSCOPY DX W HRA & CHEM W BX,3229.0,2873.81,107.09,3229.0,741 CPT,46607,PR ANOSCOPY DX W HRA & CHEM W BX,1452.0,1292.28,79.1,1452.0,508 CPT,46608,PR ANOSCOPY W RMVL FB,931.0,828.59,131.33,931.0,482 CPT,46610,PR ANOSCOPY W RMVL SNGL TMR HOT BX,1031.0,917.59,125.66,1031.0,482 CPT,46612,PR ANOSCOPY W RMVL MULT TUMORS,1513.0,1346.57,149.5,1513.0,482 CPT,46615,DESTRUCTION OF ANAL POLYP OR GROWTH USING AN ENDOSCOPE FACILITY,,,79.71,3682.76,21 CPT,46615,HC ANOSCOPY ABLATION LESION,10993.0,9783.77,79.71,10993.0,739 CPT,46615,PR ANOSCOPY ABLATION LESION,861.0,766.29,66.15,861.0,507 CPT,46700,"PLASTIC REPAIR OF ANAL STRICTURE, ADULT",,,609.99,3682.76,20 CPT,46700,PR ANOPLASTY PLSTC STRICTURE ADLT,3452.0,3072.28,248.88,3452.0,482 CPT,46705,"PLASTIC REPAIR OF ANAL STRICTURE, INFANT",,,400.72,808.43,20 CPT,46705,PR ANOPLASTY PLSTC STRICTURE INFNT,4045.0,3600.05,219.89,4045.0,482 CPT,46706,PR REPAIR ANAL FISTULA W FIBRIN GLUE,1108.0,986.12,67.61,1108.0,482 CPT,46706,REPAIR OF ABNORMAL ANAL DRAINAGE TRACT WITH TISSUE GLUE,,,165.7,3682.76,20 CPT,46707,PR RPR ANORECTAL FSTL W PLUG,2623.0,2334.47,196.49,2623.0,482 CPT,46707,REPAIR OF ABNORMAL ANAL DRAINAGE TRACT WITH IMPLANTED PLUG,,,481.58,3682.76,20 CPT,46712,PR RPR ILEOANAL PCH TRNPER/TRNABD,18675.0,16620.75,762.8,18675.0,482 CPT,46715,PR RPR LOW IMPERF ANUS W FISTULA,3449.0,3069.61,209.93,3449.0,482 CPT,46716,PR RPR LOW IMPERF ANUS W TRNSPSTN,6134.0,5459.26,457.74,6134.0,482 CPT,46740,PR RPR IMPRF ANUS W FISTULA,12358.0,10998.62,768.51,12358.0,482 CPT,46740,REPAIR OF ABSENCE OF OPENING IN ANUS AND ABNORMAL OPENING FROM RECTUM INTO URETHRA OR VAGINA THROUGH REGION BETWEEN THIGHS OR BELOW SACRUM,,,1473.33,2825.4,20 CPT,46746,PR RPR CLOACAL ANOMALY CMBN ABDL&SACROPRNL,24455.0,21764.95,1327.61,24455.0,482 CPT,46750,PR SPHINCTEROPLASTY ANAL ADULT,4240.0,3773.6,263.19,4240.0,482 CPT,46750,"REPAIR OF ANAL MUSCLE FOR INCONTINENCE OR PROLAPSE, ADULT",,,645.07,6637.28,20 CPT,46761,PR SPHINCTRPLSTY ANAL IMBRICATION,4422.0,3935.58,316.8,4422.0,482 CPT,46900,PR DEST LESN ANUS SMPL CHEMICAL,920.0,818.8,93.0,920.0,507 CPT,46910,PR DEST LESN ANUS SMPL ELECTRO,1107.0,985.23,120.79,1107.0,482 CPT,46910,SIMPLE DESTRUCTION OF GROWTH OF ANUS,,,124.55,2737.57,20 CPT,46916,PR DEST LESN ANUS SMPL CRYOSURG,890.0,792.1,103.98,890.0,482 CPT,46917,HC DEST LESN ANUS SMPL LASER SURG,7929.0,7056.81,115.52,7929.0,736 CPT,46917,LASER DESTRUCTION OF GROWTH OF ANUS,,,115.52,3682.76,20 CPT,46917,PR DEST LESN ANUS SMPL LASER SURG,2391.0,2127.99,191.29,2391.0,482 CPT,46922,PR DEST LESN ANUS SMPL SURG EXCISN,1315.0,1170.35,119.21,1315.0,508 CPT,46922,SIMPLE REMOVAL OF GROWTH OF ANUS PROFESSIONAL,,,127.55,3682.76,20 CPT,46924,EXTENSIVE DESTRUCTION OF GROWTH OF ANUS,,,163.82,3682.76,20 CPT,46924,PR DEST LESION ANUS EXTENSIVE,2533.0,2254.37,255.59,2533.0,482 CPT,46940,INITIAL REPAIR OF ANAL TEAR WITH DILATION OF ANAL MUSCLE,,,129.78,3682.76,20 CPT,46945,PR HEMORRHOID LIG BAND SINGLE,1401.0,1246.89,139.49,1401.0,482 CPT,46947,PR HEMORRHOIDOPEXY STAPLING,2183.0,1942.87,144.97,2183.0,482 CPT,46947,STAPLING OF INTERNAL HEMORRHOID,,,355.31,3682.76,20 CPT,46999,UNLISTED PROCEDURE ANUS - PROFESSIONAL,,,567.84,3682.76,20 CPT,47000,HC BX NDL LIVER PERC,2718.0,2419.02,72.98,2718.0,743 CPT,47000,NEEDLE BIOPSY OF LIVER THROUGH SKIN FACILITY,,,72.98,2191.35,21 CPT,47000,PR BX NDL LIVER PERC,1237.0,1100.93,118.54,1237.0,482 CPT,47001,NEEDLE BIOPSY OF LIVER,,,81.9,8021.24,20 CPT,47001,PR BX LIVER NEEDLE W OTHR PROC,705.0,627.45,66.83,705.0,482 CPT,47010,PR HEPATOTOMY OPN DRN ABSC/CYST,9040.0,8045.6,423.84,9040.0,482 CPT,47100,PARTIAL REMOVAL OF LIVER TISSUE,,,748.22,8021.24,20 CPT,47100,PR BIOPSY LIVER WEDGE,4854.0,4320.06,305.28,4854.0,482 CPT,47120,PARTIAL REMOVAL OF LIVER LOBE,,,1567.8,2939.09,20 CPT,47120,PR HEPATECTMY RESECT PARTL LOBECT,13957.0,12421.73,799.43,13957.0,482 CPT,47122,PR HEPATECTMY RESECT TRISEGMENT,28774.0,25608.86,1150.21,28774.0,482 CPT,47125,PR HEPATECTMY LEFT LOBECT TOT,23425.0,20848.25,1033.62,23425.0,482 CPT,47130,PR HEPATECTMY RIGHT LOBECT TOT,22988.0,20459.32,1105.42,22988.0,482 CPT,47133,PR DONOR HEPATECTOMY CADAVER,11504.0,10238.56,10123.52,11504.0,477 CPT,47135,PR TRANSPLANT LIVER,58041.0,51656.49,1849.05,58041.0,482 CPT,47141,PR HEPATECTOMY DONOR LIVE TOT LT,37116.0,33033.24,1459.15,37116.0,482 CPT,47142,PR HEPATECTOMY DONOR LIVE TOT RT,43549.0,38758.61,1599.2,43549.0,482 CPT,47143,PR BKBENCH PREP CADV DNR WHOLE LVR,5922.0,5270.58,199.34,5922.0,482 CPT,47146,PR BKBENCH LIVER VEN ANAST EA,2599.0,2313.11,105.93,2599.0,482 CPT,47147,PR BKBENCH ARTERIAL ANASTOMOSIS,3235.0,2879.15,123.72,3235.0,482 CPT,47300,PR MARSUPIALIZATN LIVER CYST/ABSC,7645.0,6804.05,398.37,7645.0,482 CPT,47350,PR SUTR LIVER HEMORRHAGE SMPL,8051.0,7165.39,477.73,8051.0,482 CPT,47362,PR MGMT LIVER HEMORRHAGE,8997.0,8007.33,422.49,8997.0,507 CPT,47370,DESTRUCTION OF GROWTHS OF LIVER USING AN ENDOSCOPE,,,1060.4,14103.72,20 CPT,47379,PR LAP LIVER CYST FENEST,9040.0,8045.6,452.0,9040.0,477 CPT,47379,UNLISTED PROCEDURE LAP LIVER,,,282.74,8021.24,20 CPT,47380,DESTRUCTION OF GROWTH OF LIVER USING RADIOFREQUENCY FACILITY,,,973.95,1825.07,20 CPT,47380,PR ABLT OPN LIVER TMR RF,9554.0,8503.06,496.42,9554.0,482 CPT,47381,PR ABLT OPN LIVER TMR CRYOSURG,9576.0,8522.64,506.23,9576.0,482 CPT,47382,DESTRUCTION OF GROWTH OF LIVER THROUGH SKIN USING RADIOFREQUENCY FACILITY,,,604.91,8021.24,21 CPT,47382,HC ABLT >=1 LVR TMR PERC RADIOFREQ,12190.0,10849.1,604.91,12190.0,741 CPT,47382,PR ABLT >=1 LVR TMR PERC RADIOFREQ,11980.0,10662.2,1417.99,11980.0,482 CPT,47383,DESTRUCTION OF GROWTH OF LIVER THROUGH SKIN USING FREEZING FACILITY,,,379.03,14103.72,20 CPT,47383,HC ABLT PERC LIVER TMR CRYOABLAT,12591.0,11205.99,379.03,14103.72,736 CPT,47383,PR ABLT PERC LIVER TMR CRYOABLAT,15730.0,13999.7,2430.12,15730.0,482 CPT,47399,CHEMOSATURATION OF LIVER FACILITY,,,188.16,5115.46,19 CPT,47399,PR PERCUT ETHANOL INJECT THERAPY,1236.0,1100.04,61.8,1236.0,477 CPT,47420,PR CHOLEDOCHOTMY WO DUODNL SPHIN,8079.0,7190.31,457.88,8079.0,482 CPT,47480,PR CHOLECYSTOTOMY W EXP RMVL CALC,4925.0,4383.25,314.82,4925.0,482 CPT,47490,HC CHOLECYSTOSTOMY PERC W CATH PLC,6722.0,5982.58,290.43,6722.0,1472 CPT,47490,INSERTION OF TUBE INTO GALLBLADDER USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,290.43,4750.49,20 CPT,47490,PR CHOLECYSTOSTOMY PERC W CATH PLC,2768.0,2463.52,118.5,2768.0,482 CPT,47531,HC INJ CHOLANGIO PERC EXIST ACCESS,5246.0,4668.94,58.93,5246.0,738 CPT,47531,INJECTION OF BILE DUCT FOR X-RAY THROUGH ALREADY EXISTING SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,58.93,4750.49,21 CPT,47531,PR INJ CHOLANGIO PERC EXIST ACCESS,1512.0,1345.68,165.39,1512.0,482 CPT,47532,HC INJ CHOLANGIO PERC NEW ACCESS,6722.0,5982.58,171.99,6722.0,736 CPT,47532,PR INJ CHOLANGIO PERC NEW ACCESS,2322.0,2066.58,333.24,2322.0,482 CPT,47533,HC PLC BILIARY DRN CATH EXTRNL,6722.0,5982.58,214.33,6722.0,736 CPT,47533,PLACEMENT OF EXTERNAL DRAINAGE TUBE OF BILIARY DUCT USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,214.33,4750.49,20 CPT,47533,PR PLC BILIARY DRN CATH EXTRNL,6171.0,5492.19,458.63,6171.0,482 CPT,47534,HC PLC BILIARY DRN CATH INTRNL-EXTRNL,6722.0,5982.58,298.91,6722.0,736 CPT,47534,PLACEMENT OF INTERNAL-EXTERNAL DRAINAGE TUBE OF BILIARY DUCT USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,298.91,4750.49,20 CPT,47534,PR PLC BILIARY DRN CATH INTRNL-EXTRNL,5546.0,4935.94,500.29,5546.0,482 CPT,47535,HC CONV EXT BIL DRN CATH INTRNL-EXTRNL,7678.0,6833.42,160.0,7678.0,736 CPT,47535,PR CONV EXT BIL DRN CATH INTRNL-EXTRNL,5043.0,4488.27,350.36,5043.0,482 CPT,47536,HC EXCHG BIL DRN CATH PERC W IMG,6722.0,5982.58,108.57,6722.0,738 CPT,47536,PR EXCHG BIL DRN CATH PERC W IMG,3170.0,2821.3,250.01,3170.0,482 CPT,47536,REPLACEMENT OF LIVER DUCT DRAINAGE TUBE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,108.57,4750.49,21 CPT,47537,HC RMVL BIL DRN CATH W FLURO,2069.0,1841.41,79.64,2069.0,737 CPT,47537,PR RMVL BIL DRN CATH W FLURO,1927.0,1715.03,191.51,1927.0,482 CPT,47537,REMOVAL OF BILIARY DRAINAGE TUBE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,79.64,1203.39,20 CPT,47538,HC PLC STNT BILE DUCT PERC EXIST,13317.0,11852.13,191.21,13317.0,736 CPT,47538,PLACEMENT OF STENT OF BILIARY DUCT THROUGH EXISTING SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,191.21,8021.24,20 CPT,47538,PR PLC STNT BILE DUCT PERC EXIST,8618.0,7670.02,1460.52,8618.0,482 CPT,47540,HC PLC STNT BILE DUCT PERC NEW W CATH,13317.0,11852.13,355.32,13317.0,736 CPT,47541,HC PLC ACCESS BIL TREE SM BOWEL NEW,12280.0,10929.2,274.92,12280.0,737 CPT,47541,PLACEMENT OF ACCESS DEVICE INTO BILIARY TRACT USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,274.92,8589.5,20 CPT,47541,PR PLC ACCESS BIL TREE SM BOWEL NEW,5509.0,4903.01,485.46,5509.0,482 CPT,47542,BALLOON DILATION OF BILE DUCT USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,109.86,4750.49,20 CPT,47542,HC BLN DILAT BIL DUCT PERC EA,5377.0,4785.53,109.86,5377.0,719 CPT,47542,PR BLN DILAT BIL DUCT PERC EA,2232.0,1986.48,390.86,2232.0,482 CPT,47543,BIOPSY OF BILE DUCT OR LIVER DUCT USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,115.56,8589.5,20 CPT,47543,HC ENDOLUMINAL BX BIL TREE PERC,4688.0,4172.32,115.56,4688.0,719 CPT,47543,PR ENDOLUMINAL BX BIL TREE PERC,2179.0,1939.31,304.92,2179.0,482 CPT,47544,HC RMVL BIL DUCT &/ GALBLDR CALC,7197.0,6405.33,126.35,7197.0,719 CPT,47544,PR RMVL BIL DUCT &/ GALBLDR CALC,2453.0,2183.17,655.6,2453.0,482 CPT,47544,REMOVAL OF BILIARY DUCT OR GALLBLADDER STONE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,126.35,8054.9,20 CPT,47554,PR BILRY ENDO PERC VIA T-TUBE W RMVL,3918.0,3487.02,150.48,3918.0,482 CPT,47562,PR LAPAROSCOPY CHOLECYSTECTOMY,4974.0,4426.86,234.61,4974.0,482 CPT,47562,REMOVAL OF GALLBLADDER USING AN ENDOSCOPE PROFESSIONAL,,,575.01,8021.24,21 CPT,47563,PR LAPAROSCOPY CHOLECYST W CHOLNG,5717.0,5088.13,253.54,5717.0,482 CPT,47563,REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE PROFESSIONAL,,,621.42,8021.24,21 CPT,47564,REMOVAL OF GALLBLADDER WITH EXPLORATION OF COMMON BILE DUCT USING AN ENDOSCOPE,,,962.64,14103.72,20 CPT,47579,OTHER PROCEDURE ON BILE DUCT USING AN ENDOSCOPE,,,41.58,8021.24,19 CPT,47600,PR CHOLECYSTECTOMY,6780.0,6034.2,374.0,6780.0,482 CPT,47600,REMOVAL OF GALLBLADDER,,,725.62,1375.01,20 CPT,47605,PR CHOLECYSTECTOMY W CHOLANGIOGR,6818.0,6068.02,391.98,6818.0,482 CPT,47711,PR EXCISN BILE DUCT TMR EXTRHPATC,11937.0,10623.93,534.4,11937.0,482 CPT,47712,PR EXCISN BILE DUCT TMR INTRHPATC,12409.0,11044.01,677.09,12409.0,482 CPT,47715,PR EXCISION CHOLEDOCHAL CYST,8618.0,7670.02,462.07,8618.0,482 CPT,47760,PR ANASTOMOSIS EXTRHPATC BIL DUCT,11939.0,10625.71,763.5,11939.0,482 CPT,47765,PR ANASTOMOSIS INTRHPATC BIL DUCT,18776.0,16710.64,1016.36,18776.0,482 CPT,47780,PR ANASTOMOSIS ROUX-EN-Y EXTRHPTC,13325.0,11859.25,837.05,13325.0,482 CPT,47785,PR ANASTOMOSIS ROUX-EN-Y INTRHPTC,21327.0,18981.03,1086.09,21327.0,482 CPT,47800,PR RCNST BILRY DUCT ANSTOMOSIS,11297.0,10054.33,540.77,11297.0,482 CPT,47999,HC CHROMENDOSCOPY BILIARY TRACT,3557.0,3165.73,739.86,3557.0,734 CPT,47999,HC MARS DAILY TREATMENT,7653.0,6811.17,908.93,7653.0,734 CPT,47999,PR CHROMENDOSCOPY BILIARY TRACT,2253.0,2005.17,112.65,2253.0,477 CPT,47999,UNLISTED PROC BILIARY TRACT - FACILITY,,,383.27,8054.9,19 CPT,48100,PR BIOPSY PANCREAS OPEN,5862.0,5217.18,313.22,5862.0,482 CPT,48102,HC BIOPSY PANCREAS PERC NEEDLE,2580.0,2296.2,193.22,2580.0,737 CPT,48102,NEEDLE BIOPSY OF PANCREAS FACILITY,,,193.22,2191.35,21 CPT,48102,PR BIOPSY PANCREAS PERC NEEDLE,2245.0,1998.05,200.13,2245.0,482 CPT,48105,PR DBRD PANCREAS NECROTIZING,15061.0,13404.29,950.06,15061.0,482 CPT,48120,PR EXCISN LESN PANCREAS,7601.0,6764.89,384.58,7601.0,482 CPT,48140,PR PANCREATECT WO PANCROJEJUNOST,10634.0,9464.26,537.07,10634.0,482 CPT,48150,PR PNCRTECT TOT DUOD W PANCRJEJ,18159.0,16161.51,1055.98,18159.0,482 CPT,48152,PR PNCRTECT TOT DUOD WO PANCRJEJ,19227.0,17112.03,976.64,19227.0,482 CPT,48153,PR PNCRTECT NR TOT DUOD W PANCRJEJ,18159.0,16161.51,1048.3,18159.0,482 CPT,48155,PR PANCREATECTOMY TOTAL,11686.0,10400.54,634.36,11686.0,482 CPT,48540,PR ANAST PANCREAS CYST ROUX-EN-Y,8223.0,7318.47,446.8,8223.0,482 CPT,48548,PR ANAST PANCRJEJUN SIDE-TO-SIDE,11503.0,10237.67,569.7,11503.0,482 CPT,48550,PR PANCREATECTOMY DONOR,8663.0,7710.07,7623.44,8663.0,477 CPT,48551,PR BKBENCH DONOR PANCREAS,5333.0,4746.37,92.16,5333.0,482 CPT,48552,PR BKBENCH DONOR PANCREAS ANAST,1665.0,1481.85,75.92,1665.0,482 CPT,48554,PR TXPLANT PANCREATIC ALLOGRFT,21368.0,19017.52,963.37,21368.0,482 CPT,48556,PR RMVL TXPLANT PANCREATIC ALLO,7997.0,7117.33,465.15,7997.0,482 CPT,48999,ENDO PANCREATIC NECROSECTOMY - FACILITY,,,149.64,939.55,20 CPT,48999,HC ENDO PANCREATIC NECROSECTOMY,2706.0,2408.34,562.85,2706.0,735 CPT,48999,HC EUS RADIO FREQUENCY ABLATION,12190.0,10849.1,709.65,12190.0,735 CPT,48999,HC PANC LITHOTRIPSY SHOCK WAVE,3756.0,3342.84,709.65,3756.0,735 CPT,48999,PR ENDO PANCREATIC NECROSECTOMY,15061.0,13404.29,753.05,15061.0,477 CPT,48999,PR EUS RADIO FREQUENCY ABLATION,14376.0,12794.64,718.8,14376.0,477 CPT,48999,PR PANC LITHOTRIPSY SHOCK WAVE,5437.0,4838.93,271.85,5437.0,477 CPT,49000,EXPLORATION OF ABDOMINAL CAVITY,,,434.67,4676.96,19 CPT,49000,PR LAP CELIOTOMY W/WO BX EXPLR,5575.0,4961.75,271.08,5575.0,482 CPT,49002,PR REOPNING OF RECENT LAPAROTOMY,6256.0,5567.84,359.6,6256.0,482 CPT,49002,REOPENING OF RECENT ABDOMINAL INCISION,,,702.8,1322.06,20 CPT,49010,EXPLORATION BEHIND ABDOMINAL CAVITY,,,779.32,8589.5,20 CPT,49010,PR EXPLR RETROPERITONEAL W/WO BX,5746.0,5113.94,317.97,5746.0,482 CPT,49020,DRAINAGE OF ABDOMINAL ABSCESS OR INFECTION,,,1078.25,2026.14,20 CPT,49020,PR DRN PERITON ABSC OPN,8584.0,7639.76,551.11,8584.0,482 CPT,49060,PR DRN RETROPERITONEAL ABCESS OPN,6487.0,5773.43,381.29,6487.0,482 CPT,49062,PR DRN EXTRAPERITONEAL LYMPHOCELE,5792.0,5154.88,271.47,5792.0,482 CPT,49082,DRAINAGE OF FLUID FROM ABDOMINAL CAVITY FACILITY,,,67.14,1203.39,20 CPT,49082,HC PARACENTESIS ABD WO IMG,2053.0,1827.17,67.14,2053.0,2208 CPT,49082,PR PARACENTESIS ABD WO IMG,895.0,796.55,100.45,895.0,482 CPT,49083,DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE FACILITY,,,88.52,1203.39,21 CPT,49083,HC PARACENTESIS ABD W IMG,2131.5,1897.0349999999999,88.52,2199.0,2226 CPT,49083,PR PARACENTESIS ABD W IMG,1172.0,1043.08,116.47,1172.0,482 CPT,49180,HC BX ABD/RETROPERITNL MASS PERC,2957.0,2631.73,67.16,2957.0,741 CPT,49180,NEEDLE BIOPSY OF GROWTH OF ABDOMINAL CAVITY FACILITY,,,67.16,2191.35,21 CPT,49180,PR BX ABD/RETROPERITNL MASS PERC,1225.0,1090.25,69.05,1225.0,482 CPT,49185,HC SCLEROTHERAPY FLUID COLLECT PERC,3371.0,3000.19,98.7,3371.0,739 CPT,49185,INJECTION OF CHEMICAL AGENT INTO FLUID COLLECTION USING IMAGING GUIDANCE FACILITY,,,98.7,2191.35,21 CPT,49185,PR SCLEROTHERAPY FLUID COLLECT PERC,2471.0,2199.19,1005.2,2471.0,483 CPT,49186,"PR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 5 CM/<",7607.0,6770.23,455.99,7607.0,482 CPT,49187,"PR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 5.1-10",9986.0,8887.54,574.09,9986.0,482 CPT,49188,"PR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 10.1-20",12320.0,10964.8,688.29,12320.0,482 CPT,49189,"PR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST 20.1-30",16016.0,14254.24,796.21,16016.0,482 CPT,49190,"PR OPN EXCISION/DSTRUCT INTRA-ABD, TUMOR/CYST >30 CM",20820.0,18529.8,978.96,20820.0,482 CPT,49203,"REMOVAL OR DESTRUCTION OF CYSTS OR GROWTHS OF ABDOMINAL CAVITY, 5.0 CM OR LESS",,,413.56,475.59,15 CPT,49204,"REMOVAL OR DESTRUCTION OF CYSTS OR GROWTHS OF ABDOMINAL CAVITY, 5.1 TO 10.0 CM",,,60.12,69.14,15 CPT,49205,"REMOVAL OR DESTRUCTION OF CYSTS OR GROWTHS OF ABDOMINAL CAVITY, MORE THAN 10.0 CM",,,413.56,475.59,15 CPT,49215,PR EXCISN PRESAC/SACROCOCCYGEAL TMR,12638.0,11247.82,745.81,12638.0,482 CPT,49215,REMOVAL OF GROWTH OF PELVIS OR SACRUM,,,1827.96,4341.31,20 CPT,49250,PR UMBILECTOMY OMPHALECTMY EXCISN,3540.0,3150.6,214.08,3540.0,482 CPT,49255,PR OMENTECTOMY EPIPLOECTOMY,5076.0,4517.64,282.24,5076.0,482 CPT,49320,DIAGNOSTIC EXAM OF ABDOMEN USING AN ENDOSCOPE,,,290.51,8021.24,21 CPT,49320,PR LAP ABD/PERITNM/OMENT DX BRUSH,2839.0,2526.71,118.53,2839.0,482 CPT,49321,BIOPSY OF ABDOMEN USING AN ENDOSCOPE,,,302.9,8021.24,21 CPT,49321,PR LAPAROSCOPY W BX SNGL/MULT,2280.0,2029.2,123.59,2280.0,482 CPT,49322,ASPIRATION OF ABDOMINAL CAVITY OR CYST USING AN ENDOSCOPE,,,325.25,8021.24,20 CPT,49322,PR LAPAROSCOPY W ASP CAVITY/CYST,3682.0,3276.98,132.7,3682.0,482 CPT,49324,INSERTION OF ABDOMINAL CAVITY TUBE USING AN ENDOSCOPE,,,331.31,8021.24,20 CPT,49324,PR LAPAROSCOPY W INS TUNL CATH,2546.0,2265.94,135.18,2546.0,482 CPT,49325,PR LAP W REV INTRAPERITONEAL CATH,2759.0,2455.51,143.32,2759.0,482 CPT,49325,REVISION OF ABDOMINAL CAVITY TUBE USING AN ENDOSCOPE,,,351.26,8021.24,20 CPT,49326,PR LAPAROSCOPY W OMENTOPEXY,1782.0,1585.98,121.52,1782.0,482 CPT,49329,LAP REMOVAL IUD PROFESSIONAL,,,141.96,8021.24,19 CPT,49329,PR LAP OMENTAL FLAP EXTRA ABDOMINAL,7989.0,7110.21,399.45,7989.0,477 CPT,49329,PR LAP RELEASE MED ARC LIG,5575.0,4961.75,278.75,5575.0,477 CPT,49400,HC INJ AIR/CNTRST PERITONEAL CAV,968.0,861.52,73.85,968.0,719 CPT,49400,INJECTION OF AIR OR X-RAY CONTRAST INTO ABDOMINAL CAVITY FACILITY,,,73.85,2546.02,20 CPT,49402,PR RMVL PERITONEAL FOREIGN BODY,5017.0,4465.13,297.11,5017.0,482 CPT,49405,DRAINAGE OF FLUID COLLECTION BY TUBE THROUGH SKIN USING IMAGING GUIDANCE FACILITY,,,157.44,3853.99,20 CPT,49405,HC DRN VISC FLUID CATH PERC W IMG,4221.0,3756.69,157.44,4221.0,736 CPT,49405,PR DRN VISC FLUID CATH PERC W IMG,2730.0,2429.7,345.96,2730.0,482 CPT,49406,DRAINAGE OF FLUID COLLECTION OF ABDOMINAL CAVITY BY TUBE USING IMAGING GUIDANCE FACILITY,,,157.44,2191.35,21 CPT,49406,HC DRN PERITNM FLUID CATH W IMG,4881.0,4344.09,157.44,4881.0,740 CPT,49406,PR DRN PERITNM FLUID CATH W IMG,2680.0,2385.2,345.68,2680.0,482 CPT,49407,DRAINAGE OF FLUID COLLECTION BY TUBE THROUGH VAGINA OR RECTUM USING IMAGING GUIDANCE FACILITY,,,168.76,2191.35,20 CPT,49407,HC DRN TRANSREC/VAG FL CATH W IMG,4221.0,3756.69,168.76,4221.0,736 CPT,49407,PR DRN TRANSREC/VAG FL CATH W IMG,3486.0,3102.54,302.62,3486.0,482 CPT,49411,HC INS INTERS DEV RAD THPY PERC INTRA-ABD,4549.0,4048.61,150.73,4549.0,740 CPT,49411,INSERTION OF DEVICE IN ABDOMINAL CAVITY THROUGH SKIN FOR RADIATION THERAPY GUIDANCE FACILITY,,,150.73,1836.47,21 CPT,49411,PR INS MARK ABD/PEL FOR RT PERC,1897.0,1688.33,192.61,1897.0,482 CPT,49418,HC INS INTRAPERITONEAL CATH W IMG,8593.0,7647.77,165.24,8593.0,737 CPT,49418,INSERTION OF ABDOMINAL TUBE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,165.24,4750.49,20 CPT,49418,PR INS INTRAPERITONEAL CATH W IMG,3664.0,3260.96,388.54,3664.0,482 CPT,49421,PR INS TUNL IP CATH DIALYSIS OPEN,2788.0,2481.32,74.89,2788.0,482 CPT,49422,HC RMVL TUNL INTRAPERITONEAL CATH,6722.0,5982.58,180.31,6722.0,737 CPT,49422,PR RMVL TUNL INTRAPERITONEAL CATH,2950.0,2625.5,73.57,2950.0,482 CPT,49422,REMOVAL OF ABDOMINAL CAVITY TUBE FACILITY,,,180.31,4189.36,20 CPT,49423,EXCHANGE OF ABDOMINAL CAVITY DRAINAGE TUBE USING IMAGING GUIDANCE FACILITY,,,57.26,2546.02,21 CPT,49423,HC EXCHNG DRN CATH RAD GUIDANCE,3487.0,3103.43,57.26,3487.0,742 CPT,49423,PR EXCHNG DRN CATH RAD GUIDANCE,1276.0,1135.64,228.52,1276.0,482 CPT,49424,HC INJ CNTRST EVAL ABSC/CYST,930.0,827.7,30.56,930.0,724 CPT,49424,INJECTION OF CONTRAST THROUGH ABDOMINAL CAVITY TUBE FOR X-RAY STUDY FACILITY,,,30.56,724.99,21 CPT,49424,PR INJ CNTRST EVAL ABSC/CYST,433.0,385.37,70.81,433.0,482 CPT,49436,PR DELAYED CREATION EXIT SITE EMBEDDED CATHETER,1014.0,902.46,228.31,1014.0,482 CPT,49440,HC INSERT GASTROSTOMY TUBE PERC,3364.0,2993.96,169.3,3364.0,1474 CPT,49440,INSERTION OF STOMACH TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST FACILITY,,,169.3,2546.02,21 CPT,49440,PR INSERT GASTROSTOMY TUBE PERC,3553.0,3162.17,325.13,3553.0,482 CPT,49441,HC INSERT DUODEN/JEJUN TUBE PERC,3975.0,3537.75,202.09,3975.0,1472 CPT,49441,PR INSERT DUODEN/JEJUN TUBE PERC,3804.0,3385.56,403.3,3804.0,482 CPT,49442,HC INS TUBE CECOSTOMY W FL,4536.5,4037.485,171.17,5098.0,1472 CPT,49442,PR INS TUBE CECOSTOMY W FL,3724.0,3314.36,260.32,3724.0,482 CPT,49446,CONVERSION OF STOMACH TUBE TO STOMACH-TO-SMALL BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST FACILITY,,,118.46,2546.02,20 CPT,49446,HC CONVERSION TO GASTRO-JEJ TUBE,3603.0,3206.67,118.46,3603.0,1472 CPT,49446,PR CONVERSION TO GASTRO-JEJ TUBE,3148.0,2801.72,315.89,3148.0,482 CPT,49450,HC RPLC GASTROST/CECOST TUBE PERC,1933.0,1720.37,53.12,1933.0,2214 CPT,49450,PR RPLC GASTROST/CECOST TUBE PERC,1855.0,1650.95,199.6,1855.0,508 CPT,49450,REPLACEMENT OF STOMACH OR LARGE BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST FACILITY,,,53.12,1203.39,21 CPT,49451,HC RPLC DUOD/JEJ TUBE PERC,2069.0,1841.41,71.49,2069.0,1478 CPT,49451,PR RPLC DUOD/JEJ TUBE PERC,1924.0,1712.36,249.89,1924.0,482 CPT,49451,REPLACEMENT OF SMALL BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST FACILITY,,,71.49,1203.39,21 CPT,49452,HC RPLC TUBE GASTRO-JEJ W FLUORO,2630.0,2340.7,110.25,2630.0,1474 CPT,49452,PR RPLC TUBE GASTRO-JEJ W FLUORO,3791.0,3373.99,301.32,3791.0,482 CPT,49452,REPLACEMENT OF STOMACH-TO-SMALL BOWEL TUBE USING FLUOROSCOPIC GUIDANCE WITH CONTRAST FACILITY,,,110.25,1203.39,21 CPT,49460,HC RMVL OBSTR MATERIAL GI TUBE,2320.0,2064.8,40.14,2320.0,736 CPT,49460,PR RMVL OBSTR MATERIAL GI TUBE,2728.0,2427.92,298.1,2728.0,482 CPT,49465,"CONTRAST INJECTION FOR X-RAY IMAGING THROUGH EXISTING TUBE IN STOMACH, SMALL BOWEL OR LARGE BOWEL FACILITY",,,24.41,316.58,20 CPT,49465,HC INJ CONTRAST RAD EVAL GI TUBE,941.0,837.49,24.41,941.0,736 CPT,49465,PR INJ CONTRAST RAD EVAL GI TUBE,560.0,498.4,53.72,560.0,482 CPT,49491,PR RPR HERNIA PRETERM REDUC INIT,5287.0,4705.43,283.31,5287.0,482 CPT,49491,REPAIR OF GROIN HERNIA IN PRETERM INFANT YOUNGER THAN 37 WEEKS GESTATION PERFORMED FROM BIRTH TO 50 WEEKS POSTCONCEPTION,,,694.38,9079.41,20 CPT,49492,REPAIR OF TRAPPED GROIN HERNIA IN PRETERM INFANT YOUNGER THAN 37 WEEKS GESTATION PERFORMED FROM BIRTH TO 50 WEEKS POSTCONCEPTION,,,824.61,5377.19,20 CPT,49495,PR RPR HERNIA FULLTERM REDUC INIT,3821.0,3400.69,149.14,3821.0,482 CPT,49495,REPAIR OF GROIN HERNIA IN FULL TERM INFANT YOUNGER THAN 6 MONTHS OR PRETERM INFANT OLDER THAN 50 WEEKS OF AGE POSTCONCEPTION AND YOUNGER THAN 6 MONTHS AT TIME OF SURGERY,,,365.54,4750.49,20 CPT,49500,PR RPR HERNIA 6MO-<5YR REDUC INIT,3598.0,3202.22,155.85,3598.0,482 CPT,49500,REPAIR OF GROIN HERNIA (6 MONTHS TO YOUNGER THAN 5 YEARS),,,381.98,8589.5,20 CPT,49505,PR RPR INGUINL HERNIA >5YR REDUC,3266.0,2906.74,189.74,3266.0,482 CPT,49505,REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) PROFESSIONAL,,,465.05,4750.49,20 CPT,49507,PR RPR INGUINL HERNIA >5 INCARC,4242.0,3775.38,211.85,4242.0,482 CPT,49507,REPAIR OF TRAPPED GROIN HERNIA (5 YEARS OR OLDER) PROFESSIONAL,,,519.24,4750.49,20 CPT,49520,PR RPR RCUR INGUINL HERNIA REDUC,4565.0,4062.85,225.94,4565.0,482 CPT,49520,REPAIR OF GROIN HERNIA THAT IS NOT TRAPPED PROFESSIONAL,,,553.76,4750.49,20 CPT,49521,PR RPR RCUR INGUINL HERNIA INCARC,4777.0,4251.53,254.02,4777.0,482 CPT,49521,REPAIR OF TRAPPED OR STRANGULATED GROIN HERNIA PROFESSIONAL,,,622.59,8589.5,20 CPT,49525,PR RPR INGUINAL HERNIA SLIDING,4279.0,3808.31,206.56,4279.0,482 CPT,49525,REPAIR OF SLIDING GROIN HERNIA,,,506.28,4750.49,20 CPT,49550,PR RPR FEM HERNIA REDUCIBLE INIT,3429.0,3051.81,208.02,3429.0,482 CPT,49550,REPAIR OF FEMORAL GROIN HERNIA,,,509.85,4750.49,20 CPT,49553,PR RPR FEMORAL HERNIA INCARC INITIAL,3957.0,3521.73,226.64,3957.0,482 CPT,49560,REPAIR OF INCISIONAL OR ABDOMINAL HERNIA,,,10.56,15.84,3 CPT,49565,REPAIR OF RECURRENT INCISIONAL OR ABDOMINAL HERNIA,,,10652.64,14103.72,17 CPT,49568,PLACEMENT OF MESH TO REPAIR INCISIONAL OR ABDOMINAL HERNIA,,,10.56,15.84,3 CPT,49570,REPAIR OF INCISIONAL OR ABDOMINAL HERNIA IN UPPER STOMACH AREA,,,153.5,176.53,3 CPT,49580,REPAIR OF HERNIA AT NAVEL (YOUNGER THAN 5 YEARS),,,5932.53,7854.46,17 CPT,49587,REPAIR OF TRAPPED HERNIA AT NAVEL (5 YEARS OR OLDER),,,4088.55,4701.83,15 CPT,49590,REPAIR OF HERNIA BETWEEN ABDOMINAL MUSCLES,,,20.5,83.07,15 CPT,49591,"INITIAL REPAIR OF SLIDING HERNIA OF ABDOMEN, LESS THAN 3 CM IN LENGTH PROFESSIONAL",,,424.02,8054.9,20 CPT,49591,PR RPR AA HRN 1ST < 3 CM RDC,2723.0,2423.47,115.34,2723.0,482 CPT,49592,"INITIAL REPAIR OF ENTRAPPED HERNIA OF ABDOMEN, LESS THAN 3 CM IN LENGTH PROFESSIONAL",,,14.23,8021.24,21 CPT,49592,PR RPR AA HRN 1ST < 3 NCR/STRN,4032.0,3588.48,158.58,4032.0,482 CPT,49593,"INITIAL REPAIR OF SLIDING HERNIA OF ABDOMEN, 3-10 CM IN LENGTH PROFESSIONAL",,,384.56,8589.5,21 CPT,49593,PR RPR AA HRN 1ST 3-10 RDC,4881.0,4344.09,190.42,4881.0,482 CPT,49594,"INITIAL REPAIR OF ENTRAPPED HERNIA OF ABDOMEN, 3-10 CM IN LENGTH PROFESSIONAL",,,19.14,8021.24,20 CPT,49594,PR RPR AA HRN 1ST 3-10 NCR/STRN,6456.0,5745.84,246.84,6456.0,482 CPT,49595,"INITIAL REPAIR OF SLIDING HERNIA OF ABDOMEN, MORE THAN 10 CM IN LENGTH",,,282.74,8589.5,20 CPT,49595,PR RPR AA HRN 1ST > 10 RDC,6894.0,6135.66,255.71,6894.0,482 CPT,49596,"INITIAL REPAIR OF ENTRAPPED HERNIA OF ABDOMEN, MORE THAN 10 CM IN LENGTH",,,27.63,1245.44,20 CPT,49596,PR RPR AA HRN 1ST > 10 NCR/STRN,9192.0,8180.88,338.76,9192.0,482 CPT,49605,PR RPR LG OMPHALOCELE W/WO PROSTH,26495.0,23580.55,1624.8,26495.0,482 CPT,49606,PR RPR OMPHALOCELE W RMVL PROSTH,8736.0,7775.04,388.41,8736.0,482 CPT,49613,PR RPR AA HRN RCR < 3 RDC,3501.0,3115.89,141.09,3501.0,482 CPT,49613,"REPAIR OF RECURRENT SLIDING HERNIA OF ABDOMEN, LESS THAN 3 CM IN LENGTH PROFESSIONAL",,,354.9,4750.49,20 CPT,49614,PR RPR AA HRN RCR < 3 NCR/STRN,4727.0,4207.03,190.0,4727.0,482 CPT,49614,"REPAIR OF RECURRENT ENTRAPPED HERNIA OF ABDOMEN, LESS THAN 3 CM IN LENGTH PROFESSIONAL",,,16.07,8021.24,20 CPT,49615,PR RPR AA HRN RCR 3-10 RDC,5410.0,4814.9,211.64,5410.0,482 CPT,49615,"REPAIR OF RECURRENT SLIDING HERNIA OF ABDOMEN, 3-10 CM IN LENGTH",,,11.17,8589.5,20 CPT,49616,PR RPR AA HRN RCR 3-10 NCR/STRN,7373.0,6561.97,283.39,7373.0,482 CPT,49616,"REPAIR OF RECURRENT ENTRAPPED HERNIA OF ABDOMEN, 3-10 CM IN LENGTH PROFESSIONAL",,,122.08,1041.86,20 CPT,49617,PR RPR AA HRN RCR > 10 RDC,7638.0,6797.82,293.22,7638.0,482 CPT,49617,"REPAIR OF RECURRENT SLIDING HERNIA OF ABDOMEN, MORE THAN 10 CM IN LENGTH",,,16.27,1078.01,20 CPT,49618,PR RPR AA HRN RCR > 10 NCR/STRN,11053.0,9837.17,409.52,11053.0,482 CPT,49618,"REPAIR OF RECURRENT ENTRAPPED HERNIA OF ABDOMEN, MORE THAN 10 CM IN LENGTH",,,101.72,1505.6,20 CPT,49621,PR RPR PARASTOMAL HERNIA RDC,5811.0,5171.79,250.06,5811.0,482 CPT,49622,PR RPR PARASTOMAL HRNA NCR/STRN,7299.0,6496.11,309.21,7299.0,482 CPT,49623,PR RMVL NINFCT MESH HERNIA RPR,1273.0,1132.97,132.66,1273.0,482 CPT,49623,REMOVAL OF MESH AT SAME TIME AS HERNIA REPAIR PROFESSIONAL,,,98.97,8021.24,20 CPT,49650,PR LAP RPR HERNIA INGUINAL INIT,3214.0,2860.46,159.36,3214.0,482 CPT,49650,REPAIR OF GROIN HERNIA USING AN ENDOSCOPE PROFESSIONAL,,,390.58,8021.24,20 CPT,49651,PR LAP RPR HERNIA INGUINAL RECUR,3685.0,3279.65,206.25,3685.0,482 CPT,49651,REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE PROFESSIONAL,,,505.51,8021.24,20 CPT,49659,UNLISTED PROC LAP HERNIA,,,18.32,8021.24,19 CPT,49900,PR SUTR ABD WALL EVISC/DEHIS,4738.0,4216.82,300.84,4738.0,482 CPT,49900,SUTURE OF POSTSURGICAL OPENING IN ABDOMINAL WALL,,,569.3,1106.03,20 CPT,49904,PR OMENTAL FLAP EXTRA ABDOMINAL,7989.0,7110.21,482.21,7989.0,482 CPT,49905,PR OMENTAL FLAP INTRA ABDOMINAL,2687.0,2391.43,229.86,2687.0,482 CPT,49905,REPAIR OF ABDOMEN USING ABDOMINAL LINING GRAFT,,,281.69,14103.72,20 CPT,49999,PR PERC ABLAT ABD/RETROPERTNEAL,15730.0,13999.7,786.5,15730.0,477 CPT,49999,UNLISTED PROC ABD/PERIT/OMEN - FACILITY,,,642.38,1203.39,20 CPT,50080,PR NEPHROSTOLITHOTOMY PERC <=2CM,6083.0,5413.87,243.55,6083.0,482 CPT,50080,SIMPLE SURGICAL TREATMENT OF KIDNEY STONE WITH IMAGING GUIDANCE,,,596.92,12560.15,20 CPT,50081,COMPLEX SURGICAL TREATMENT OF KIDNEY STONE WITH IMAGING GUIDANCE,,,947.09,12560.15,20 CPT,50081,PR NEPHROLITHOTOMY PERC >2CM,10067.0,8959.63,386.42,10067.0,482 CPT,50200,HC BIOPSY RENAL NEEDLE/TROC PERC,2722.0,2422.58,105.3,2722.0,739 CPT,50200,NEEDLE BIOPSY OF KIDNEY FACILITY,,,105.3,2191.35,20 CPT,50200,PR BIOPSY RENAL NEEDLE/TROC PERC,1395.0,1241.55,203.24,1395.0,482 CPT,50205,PR BX RENAL SURG EXPOSURE KIDNEY,5443.0,4844.27,264.89,5443.0,482 CPT,50220,PR NEPHREC INCL PARTL URETERECT,8235.0,7329.15,366.86,8235.0,482 CPT,50230,PR NEPHREC RMVL LYMPHDEC/THROMB,11601.0,10324.89,437.88,11601.0,482 CPT,50234,PR NEPHREC W TOT URETREC SAME INC,11567.0,10294.63,446.46,11567.0,482 CPT,50240,PARTIAL REMOVAL OF KIDNEY,,,928.56,1686.84,20 CPT,50240,PR NEPHRECTOMY PARTIAL,10450.0,9300.5,458.82,10450.0,482 CPT,50280,PR EXCISION/UNROOFING CYST KIDNEY,7582.0,6747.98,329.2,7582.0,482 CPT,50323,PR BKBENCH CADAVER RENAL GRFT,3147.0,2800.83,116.91,3147.0,482 CPT,50325,PR BKBENCH LIVING RENAL GRFT,3776.0,3360.64,68.8,3776.0,482 CPT,50327,PR BKBENCH RENAL GRFT VEN ANAST,1720.0,1530.8,70.22,1720.0,482 CPT,50328,PR BKBENCH RENAL GRFT ARTL ANAST,1534.0,1365.26,61.44,1534.0,482 CPT,50360,PR TRANSPLANT RENAL WO NEPHREC,20150.0,17933.5,847.25,20150.0,482 CPT,50365,PR TRANSPLANT RENAL W NEPHREC,21479.0,19116.31,1037.15,21479.0,482 CPT,50380,PR REIMPLANTATION KIDNEY,12746.0,11343.94,740.49,12746.0,482 CPT,50382,HC RPLC URETER STNT PERC S&I,6722.0,5982.58,204.14,6722.0,736 CPT,50382,PR RPLC URETER STNT PERC S&I,3289.0,2927.21,390.53,3289.0,482 CPT,50382,REMOVAL AND REPLACEMENT OF STENT IN URETER WITH REVIEW BY RADIOLOGIST FACILITY,,,204.14,4676.96,20 CPT,50384,HC REMOVAL URETER STENT PERC S&I,6098.0,5427.22,184.63,6098.0,736 CPT,50384,PR REMOVAL URETER STENT PERC S&I,3766.0,3351.74,337.0,3766.0,482 CPT,50384,REMOVAL OF STENT IN URETER THROUGH SKIN WITH REVIEW BY RADIOLOGIST FACILITY,,,184.63,2773.53,20 CPT,50387,HC RMVL/RPLC TRANSNEPH STNT W S&I,3975.0,3537.75,67.59,3975.0,736 CPT,50387,PR RMVL/RPLC TRANSNEPH STNT W S&I,1234.0,1098.26,215.62,1234.0,482 CPT,50387,REMOVAL AND REPLACEMENT OF STENT IN KIDNEY AND URETER USING FLUOROSCOPIC GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,67.59,3139.42,20 CPT,50389,HC RMVL NEPHROSTOMY TUBE W FLUORO,1933.0,1720.37,43.11,1933.0,738 CPT,50389,PR RMVL NEPHROSTOMY TUBE W FLUORO,841.0,748.49,164.69,841.0,482 CPT,50389,REMOVAL OF KIDNEY DRAINAGE TUBE USING FLUOROSCOPIC GUIDANCE FACILITY,,,43.11,925.18,21 CPT,50390,ASPIRATION AND/OR INJECTION OF CYST OF KIDNEY FACILITY,,,152.36,3853.99,20 CPT,50390,HC ASPIRATION/INJ RENAL CYST PERC,2706.0,2408.34,76.18,2706.0,737 CPT,50390,PR ASPIRATION/INJ RENAL CYST PERC,816.0,726.24,31.08,816.0,482 CPT,50391,PR INSTILL THER AGENT RENL/URETER,1018.0,906.02,50.28,1018.0,482 CPT,50396,HC MANOMETRIC STDS THRU NEPHROST,1716.0,1527.24,96.24,1716.0,736 CPT,50396,MEASUREMENT OF URINE FLOW IN KIDNEYS AND URETERS FACILITY,,,96.24,925.18,20 CPT,50396,PR MANOMETRIC STDS THRU NEPHROST,968.0,861.52,39.27,968.0,482 CPT,50430,HC INJ ANTEGRD NFROSGRM&/URTGRM NEW,4829.0,4297.81,128.47,4829.0,736 CPT,50430,INJECTION PROCEDURE FOR IMAGING OF KIDNEY AND URETER THROUGH NEW SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,128.47,4676.96,20 CPT,50430,PR INJ ANTEGRD NFROSGRM&/URTGRM NEW,2183.0,1942.87,254.49,2183.0,482 CPT,50431,HC INJ ANTEGRD NFROSGRM&/URTGRM EXIST,1966.0,1749.74,56.86,1966.0,737 CPT,50431,INJECTION PROCEDURE FOR IMAGING OF KIDNEY AND URETER THROUGH ALREADY EXISTING SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,56.86,925.18,20 CPT,50431,PR INJ ANTEGRD NFROSGRM&/URTGRM EXIST,972.0,865.08,127.67,972.0,482 CPT,50432,HC PLC NEPHROSTOMY CATH PERC NEW,5651.0,5029.39,168.54,5651.0,737 CPT,50432,PLACEMENT OF TUBE OF KIDNEY USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,337.08,4676.96,20 CPT,50432,PR PLC NEPHROSTOMY CATH PERC NEW,3524.0,3136.36,356.93,3524.0,482 CPT,50433,HC PLC NEPHROURETERAL CATH PERC NEW,10099.0,8988.11,208.07,10099.0,737 CPT,50433,PLACEMENT OF TUBE OF KIDNEY AND URINARY TUBE THROUGH NEW SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,208.07,5293.96,20 CPT,50433,PR PLC NEPHROURETERAL CATH PERC NEW,3469.0,3087.41,444.02,3469.0,482 CPT,50434,CONVERSION OF KIDNEY TUBE TO NEPHROURETERAL TUBE USING IMAGING GUIDANCE AND STUDY OF KIDNEY AND URETER WITH REVIEW BY RADIOLOGIST FACILITY,,,157.92,3139.42,20 CPT,50434,HC CONV NEPHROST TO NEPHROURET CATH,4253.0,3785.17,157.92,4253.0,736 CPT,50434,PR CONV NEPHROST TO NEPHROURET CATH,3671.0,3267.19,357.65,3671.0,482 CPT,50435,HC EXCHG NEPHROST CATH PERC,3636.0,3236.04,83.78,3636.0,737 CPT,50435,PR EXCHG NEPHROST CATH PERC,1738.0,1546.82,233.87,1738.0,482 CPT,50435,REPLACEMENT OF KIDNEY DRAINAGE TUBE USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,83.78,3139.42,20 CPT,50436,DILATION OF EXISTING OPENING INTO URINARY TRACT USING IMAGING GUIDANCE FACILITY,,,193.55,12560.15,20 CPT,50436,PR PERQ DIL XST TRC ENDOUROLOGIC PX W/IMG,1341.0,1193.49,52.65,1341.0,482 CPT,50437,DILATION OF EXISTING OPENING INTO URINARY TRACT AND CREATION OF NEW ACCESS INTO URINE COLLECTING SYSTEM OF KIDNEY USING IMAGING GUIDANCE FACILITY,,,318.12,12560.15,20 CPT,50437,PR PERQ DIL XST TRC NEW ACS REN COLTJ SYS,2200.0,1958.0,86.53,2200.0,482 CPT,50541,DESTRUCTION OF CYST OF KIDNEY USING AN ENDOSCOPE,,,776.24,14103.72,20 CPT,50541,PR LAPAROSCOPY ABLATION RENL CYST,6517.0,5800.13,316.71,6517.0,482 CPT,50543,PARTIAL REMOVAL OF KIDNEY USING AN ENDOSCOPE,,,1257.66,14103.72,20 CPT,50543,PR LAPAROSCOPY PARTL NEPHRECTOMY,11577.0,10303.53,513.13,11577.0,482 CPT,50544,PR LAPAROSCOPY PYELOPLASTY,10490.0,9336.1,424.7,10490.0,482 CPT,50544,REPAIR OF KIDNEY USING AN ENDOSCOPE,,,1040.93,14103.72,20 CPT,50545,PR LAPAROSCOPY RADCL NEPHRECTOMY,12210.0,10866.9,456.67,12210.0,482 CPT,50545,REMOVAL OF KIDNEY AND LYMPH NODES USING AN ENDOSCOPE,,,929.54,1678.94,20 CPT,50546,PR LAP NEPHREC W PARTL URETERECT,9454.0,8414.06,415.09,9454.0,482 CPT,50546,REMOVAL OF KIDNEY AND PARTIAL REMOVAL OF URETER USING AN ENDOSCOPE,,,839.48,1526.04,20 CPT,50547,PR LAP LIVING DONOR NEPHRECTOMY,15548.0,13837.72,573.41,15548.0,482 CPT,50548,PR LAP NEPHREC W TOT URETERECT,11577.0,10303.53,458.12,11577.0,482 CPT,50548,REMOVAL OF KIDNEY AND URETER USING AN ENDOSCOPE,,,933.71,1684.25,20 CPT,50549,UNLISTED PROC LAP RENAL,,,1040.93,14103.72,19 CPT,50551,EXAM OF KIDNEY USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM KIDNEY TO SKIN,,,244.63,7114.06,20 CPT,50551,PR ENDO RENAL NEPHROST/PYELSTMY,2270.0,2020.3,149.17,2270.0,482 CPT,50553,INSERTION OF TUBE INTO URETER USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM KIDNEY TO SKIN,,,260.57,7114.06,20 CPT,50553,PR ENDO RENL NEPHROST URETER CATH,2453.0,2183.17,159.32,2453.0,482 CPT,50555,BIOPSY OF KIDNEY USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM KIDNEY TO SKIN,,,282.4,12560.15,20 CPT,50555,PR ENDO RENL NEPHROST/PYELSTMY BX,2607.0,2320.23,169.63,2607.0,482 CPT,50557,DESTRUCTION AND/OR REMOVAL OF GROWTH OF KIDNEY USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM KIDNEY TO SKIN,,,285.86,12560.15,20 CPT,50557,PR ENDO RENL NEPHROST/PYELSTMY W FULG,2304.0,2050.56,172.58,2304.0,482 CPT,50561,PR ENDO RENAL NEPHROSTOMY RMVL FB,3775.0,3359.75,195.31,3775.0,482 CPT,50561,REMOVAL OF FOREIGN BODY OR STONE IN KIDNEY USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM KIDNEY TO SKIN,,,325.75,12560.15,20 CPT,50562,PR ENDO RENAL NEPHROST RSECT TUM,4412.0,3926.68,197.43,4412.0,482 CPT,50562,REMOVAL OF GROWTH OF KIDNEY USING AN ENDOSCOPE INSERTED THROUGH SURGICALLY CREATED OPENING FROM KIDNEY TO SKIN,,,483.88,12560.15,20 CPT,50570,EXAM OF KIDNEY USING AN ENDOSCOPE,,,404.06,12560.15,20 CPT,50575,PR ENDO RENL NEPHROTOMY ENDOPYELO,3571.0,3178.19,238.25,3571.0,482 CPT,50590,PR LITHOTRIPSY SHOCK WAVE,5437.0,4838.93,303.11,5437.0,482 CPT,50590,SHOCK WAVE CRUSHING OF KIDNEY STONES,,,496.82,4676.96,20 CPT,50592,DESTRUCTION OF GROWTH OF KIDNEY USING RADIOFREQUENCY FACILITY,,,283.15,8021.24,20 CPT,50592,HC ABLATION RENAL TUMORS UNILAT RF,11818.0,10518.02,283.15,11818.0,737 CPT,50592,PR ABLATION RENAL TUMORS UNILAT RF,6382.0,5679.98,1091.37,6382.0,482 CPT,50593,DESTRUCTION OF GROWTH OF KIDNEY BY FREEZING FACILITY,,,378.73,14103.72,20 CPT,50593,HC ABLATION RENAL TUMOR PERC CRYO,15601.0,13884.89,378.73,15601.0,737 CPT,50593,PR ABLATION RENAL TUMOR PERC CRYO,8156.0,7258.84,1459.2,8156.0,482 CPT,50605,PR URETEROTOMY INS INDWELLNG STNT,7228.0,6432.92,347.89,7228.0,482 CPT,50606,BIOPSY OF URETER AND/OR RENAL PELVIS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,116.8,2773.53,20 CPT,50630,PR URTROLITHOTOMY LWR 1/3 URETER,6725.0,5985.25,309.93,6725.0,482 CPT,50630,REMOVAL OF STONE FROM LOWER URETER,,,626.24,1139.43,20 CPT,50650,PR URETERECTOMY W BLADDER CUFF,8351.0,7432.39,358.83,8351.0,482 CPT,50650,REMOVAL OF URETER AND PARTIAL REMOVAL OF BLADDER,,,879.49,4676.96,20 CPT,50684,HC INJ URETERO/URETEROPYELOGRAPHY,1794.0,1596.66,45.44,1794.0,719 CPT,50684,PR INJ URETERO/URETEROPYELOGRAPHY,851.0,757.39,52.76,851.0,482 CPT,50688,CHANGE OF TUBE OR STENT IN URETER FACILITY,,,68.89,2773.53,21 CPT,50688,HC CHANGE URETEROSTOMY TUBE/STENT,4037.0,3592.93,68.89,4037.0,738 CPT,50688,PR CHANGE URETEROSTOMY TUBE/STENT,557.0,495.73,28.11,557.0,482 CPT,50690,HC INJ ILEAL CON/URETEROPYLGRPHY,919.0,817.91,59.89,919.0,719 CPT,50690,INJECTION OF BLADDER AND URETER FOR IMAGING FACILITY,,,59.89,331.5,20 CPT,50690,PR INJ ILEAL CON/URETEROPYLGRPHY,616.0,548.24,47.44,616.0,484 CPT,50693,HC PLC URETER STNT PRE-EXIST NEPHROST TRCT,6722.0,5982.58,167.45,6722.0,736 CPT,50693,PLACEMENT OF STENT OF URETER THROUGH EXISTING SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,167.45,4676.96,20 CPT,50693,PR PLC URETER STNT PRE-EXIST NEPHROST TRCT,2990.0,2661.1,391.69,2990.0,482 CPT,50694,HC PLC URETER STNT NEW WO NEPHROST CATH,7197.0,6405.33,217.35,7197.0,736 CPT,50694,PLACEMENT OF STENT OF URETER THROUGH NEW SKIN ACCESS USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,217.35,4676.96,20 CPT,50694,PR PLC URETER STNT NEW WO NEPHROST CATH,4372.0,3891.08,437.85,4372.0,482 CPT,50695,HC PLC URETER STNT NEW W NEPHROST CATH,10605.0,9438.45,277.96,10605.0,736 CPT,50695,PR PLC URETER STNT NEW W NEPHROST CATH,5717.0,5088.13,524.7,5717.0,482 CPT,50700,PR URETROPLASTY PLASTIC OPR URETER,6206.0,5523.34,322.56,6206.0,482 CPT,50706,BALLOON DILATION TREATMENT OF STRICTURE OF URETER USING IMAGING GUIDANCE WITH REVIEW BY RADIOLOGIST FACILITY,,,146.19,4676.96,20 CPT,50706,HC BALN DIL URETER STRICTURE W IMG,4991.0,4441.99,146.19,4991.0,719 CPT,50706,PR BALN DIL URETER STRICTURE W IMG,3259.0,2900.51,654.68,3259.0,482 CPT,50715,PR URETEROLYSIS W/WO REPO URETER,8295.0,7382.55,419.54,8295.0,482 CPT,50727,PR REV URINARY CUTNEOUS ANASTOM,4786.0,4259.54,184.57,4786.0,482 CPT,50727,REVISION OF OPENING FROM URINARY TRACT TO SKIN,,,452.37,4676.96,20 CPT,50728,PR REV URINARY ANAST W RPR HERNIA,4746.0,4223.94,247.64,4746.0,482 CPT,50728,REVISION OF OPENING FROM URINARY TRACT TO SKIN WITH REPAIR OF HERNIA,,,1.47,44.67,19 CPT,50740,PR URETEROPYELO ANASTMO RENL PELV,9479.0,8436.31,424.47,9479.0,482 CPT,50760,PR URETEROURETEROSTOMY,8675.0,7720.75,390.3,8675.0,482 CPT,50760,REMOVAL AND RECONNECTION OF DISEASED OR INJURED PORTION OF URETER,,,956.62,4676.96,20 CPT,50770,PR TRANSURETEROURETEROSTOMY ANAST,9384.0,8351.76,397.96,9384.0,482 CPT,50780,CONNECTION OF URETER TO BLADDER,,,773.47,1413.59,20 CPT,50780,PR URETERONEOCYST ANAST 1 URETER,9109.0,8107.01,384.5,9109.0,482 CPT,50782,CONNECTION OF EXTRA URETER TO BLADDER,,,752.86,1367.9,20 CPT,50782,PR URETERONEOCYST ANAST DUP URETER,10400.0,9256.0,372.07,10400.0,482 CPT,50785,PR URETERONEOCYST W VESICO HTCH/FLAP,10885.0,9687.65,417.23,10885.0,482 CPT,50800,PR URETEROENTEROSTOMY DIRECT,6055.0,5388.95,322.55,6055.0,482 CPT,50815,PR URETEROCOLON CONDUIT W ANAST,8177.0,7277.53,424.31,8177.0,482 CPT,50820,PR URETEROILEAL CONDUIT W ANAST,10577.0,9413.53,453.13,10577.0,482 CPT,50825,PR DIVERT CONTINENT ANAST INTSTN,12905.0,11485.45,564.48,12905.0,482 CPT,50830,PR URINARY UNDIVERSION,12332.0,10975.48,615.87,12332.0,482 CPT,50830,REPAIR TO RESTORE URINE FLOW IN URETER,,,1254.44,2264.21,20 CPT,50840,PR RPLC URETER W INTSTN SEGMENT,8310.0,7395.9,426.62,8310.0,482 CPT,50845,CONNECTION OF BLADDER TO POUCH AT JUNCTION OF SMALL AND LARGE BOWEL WITH CREATION OF OPENING TO SKIN,,,882.18,1606.64,20 CPT,50845,PR CUTANEOUS APPENDICO-VESICOSTMY,8492.0,7557.88,437.01,8492.0,482 CPT,50860,PR URETEROSTOMY TXPLNT URETER-SKIN,7044.0,6269.16,329.07,7044.0,482 CPT,50900,PR URETERORRHAPHY SUTURE URETER,7206.0,6413.34,295.01,7206.0,482 CPT,50947,PR LAP URETERONEO W CYSTOSC STENT,9215.0,8201.35,474.91,9215.0,482 CPT,50947,REPOSITIONING OF URETER AND INSERTION OF STENT USING AN ENDOSCOPE,,,1163.98,14103.72,20 CPT,50948,PR LAP URETERONEO WO CYSTOSC,9071.0,8073.19,435.61,9071.0,482 CPT,50948,REPOSITIONING OF URETER USING AN ENDOSCOPE,,,1067.67,14103.72,20 CPT,50949,PR ROBOT ASSISTED URETEROURETEROSTOMY,8675.0,7720.75,433.75,8675.0,477 CPT,50949,UNLISTED PROC LAP URETER,,,6058.5,8021.24,17 CPT,50951,EXAM OF KIDNEY AND URETER USING AN ENDOSCOPE INSERTED THROUGH AN ALREADY CREATED URETER OPENING,,,253.89,12560.15,20 CPT,50951,PR ENDO URETER THRU URETEROSTOMY,2307.0,2053.23,155.61,2307.0,482 CPT,50953,INSERTION OF TUBE INTO URETER USING AN ENDOSCOPE INSERTED THROUGH AN ALREADY CREATED OPENING IN URETER,,,270.7,4676.96,20 CPT,50953,PR ENDO URETER URETEROST W CATH,2448.0,2178.72,164.85,2448.0,482 CPT,50955,BIOPSY OF KIDNEY OR URETER USING AN ENDOSCOPE INSERTED THROUGH AN ALREADY CREATED OPENING IN URETER,,,291.43,7114.06,20 CPT,50955,PR ENDO URETER URETEROST W BX,2233.0,1987.37,175.42,2233.0,482 CPT,50957,DESTRUCTION AND/OR REMOVAL OF GROWTH OF KIDNEY OR URETER USING AN ENDOSCOPE INSERTED THROUGH AN ALREADY CREATED OPENING IN URETER,,,293.11,8052.56,20 CPT,50957,PR ENDO URETER URETEROST W FULG,2996.0,2666.44,177.09,2996.0,482 CPT,50961,PR ENDO URETER URETEROST RMVL FB,2533.0,2254.37,160.18,2533.0,482 CPT,50961,REMOVAL OF FOREIGN BODY OR STONE IN KIDNEY OR URETER USING AN ENDOSCOPE INSERTED THROUGH AN ALREADY CREATED OPENING IN URETER,,,263.02,7114.06,20 CPT,51040,INCISION OF BLADDER WITH DRAINAGE,,,262.85,6637.28,20 CPT,51040,PR CYSTOSTOMY CYSTOTOMY W DRAIN,2413.0,2147.57,107.25,2413.0,482 CPT,51045,PR CYSTOTOMY INS URETER CATH/STNT,4854.0,4320.06,176.5,4854.0,482 CPT,51050,PR CYSTOLITHOT CYSTO W RMVL CALC,4143.0,3687.27,169.0,4143.0,482 CPT,51100,PR ASPIRATION BLADDER NEEDLE,360.0,320.4,30.07,360.0,482 CPT,51102,ASPIRATION OF BLADDER WITH INSERTION OF BLADDER TUBE TO SKIN FACILITY,,,118.95,2773.53,21 CPT,51102,HC ASP BLADDER/INS SUPUBIC CATH,5008.0,4457.12,118.95,5008.0,738 CPT,51102,PR ASP BLADDER/INS SUPUBIC CATH,1473.0,1310.97,96.91,1473.0,482 CPT,51500,PR EXCISION URACHAL CYST/SINUS,5911.0,5260.79,225.64,5911.0,482 CPT,51525,PR CYSTO EXCISN BLAD DIVERTICULUM,7010.0,6238.9,298.71,7010.0,482 CPT,51530,PR CYSTOTOMY EXCISION BLADDER TMR,6163.0,5485.07,269.91,6163.0,482 CPT,51535,PR CYSTOTOMY EXCISION URETEROCELE,6025.0,5362.25,273.01,6025.0,482 CPT,51550,PR CYSTECTOMY PARTIAL SIMPLE,7408.0,6593.12,334.35,7408.0,482 CPT,51555,PR CYSTECTOMY PARTIAL COMPLICATED,8632.0,7682.48,434.11,8632.0,482 CPT,51565,PR CYSTECTOMY PARTL REIMPL URETER,8295.0,7382.55,444.43,8295.0,482 CPT,51570,PR CYSTECTOMY COMPLETE,9522.0,8474.58,502.55,9522.0,482 CPT,51575,PR CYSTECTOMY W BILAT PELV LYMPHDEC,12039.0,10714.71,619.69,12039.0,482 CPT,51580,PR CYSTECTOMY W URETEROSIG/TX,13223.0,11768.47,648.77,13223.0,482 CPT,51585,PR CYSTECT URETROSIG BILAT LYMPHDEC,15910.0,14159.9,719.62,15910.0,482 CPT,51590,PR CYSTECT W URETEROILEAL CONDUIT,20517.0,18260.13,657.63,20517.0,482 CPT,51595,PR CYSTECT URETEROILEAL LYMPHDEC,22286.0,19834.54,743.58,22286.0,482 CPT,51596,PR CYSTECT COMPLT W CONT DIVERSN,25509.0,22703.01,802.82,25509.0,482 CPT,51597,PR EXNTR PELV COMPLT UROLOG MLG,19055.0,16958.95,782.76,19055.0,482 CPT,51600,HC INJ CYSTOGRAPHY/VUCG,1065.0,947.85,35.46,1065.0,722 CPT,51600,INJECTION PROCEDURE FOR IMAGING OF BLADDER DURING VOIDING FACILITY,,,35.46,316.58,20 CPT,51600,PR INJ CYSTOGRAPHY/VUCG,963.0,857.07,85.85,963.0,483 CPT,51610,HC INJ RETROGRADE URCG,1039.0,924.71,55.53,1039.0,722 CPT,51610,INJECTION PROCEDURE THROUGH BLADDER AND URETHRA FOR X-RAY IMAGING FACILITY,,,55.53,316.58,20 CPT,51610,PR INJ RETROGRADE URCG,834.0,742.26,52.25,834.0,483 CPT,51700,HC IRRI BLAD SMPL LAVAGE&/INSTILL,504.0,448.56,24.52,504.0,736 CPT,51700,PR IRRI BLAD SMPL LAVAGE&/INSTILL,390.0,347.1,31.88,390.0,484 CPT,51700,SIMPLE BLADDER IRRIGATION AND/OR INSTILLATION FACILITY,,,24.52,331.5,20 CPT,51701,HC INS NON-INDWELLING BLAD CATH,286.0,254.54,20.5,286.0,734 CPT,51701,PR INS NON-INDWELLING BLAD CATH,299.0,266.11,18.18,299.0,483 CPT,51702,HC INS TEMP INDW BLAD CATH SMPL,344.0,306.16,21.18,344.0,740 CPT,51702,PR INS TEMP INDW BLAD CATH SMPL,368.0,327.52,26.6,368.0,486 CPT,51702,SIMPLE INSERTION OF TEMPORARY BLADDER TUBE FACILITY,,,21.18,4189.36,21 CPT,51703,COMPLICATED INSERTION OF BLADDER TUBE FACILITY,,,63.39,8021.24,20 CPT,51703,HC INS TEMP INDWL BLAD CATH COMPL,488.0,434.32,63.39,488.0,736 CPT,51703,PR INS TEMP INDWL BLAD CATH COMPL,688.0,612.32,62.32,688.0,483 CPT,51705,HC CHANGE CYSTOSTOMY TUBE SIMPLE,658.0,585.62,44.67,658.0,1476 CPT,51705,PR CHANGE CYSTOSTOMY TUBE SIMPLE,516.0,459.24,40.95,516.0,491 CPT,51705,SIMPLE CHANGE OF BLADDER TUBE FACILITY,,,44.67,4676.96,21 CPT,51710,COMPLICATED CHANGE OF BLADDER TUBE FACILITY,,,69.83,5293.96,20 CPT,51710,PR CHANGE CYSTOSTOMY TUBE COMPL,996.0,886.44,56.82,996.0,482 CPT,51715,INJECTION OF IMPLANT MATERIAL BENEATH LINING OF BLADDER AND/OR URETHRA USING AN ENDOSCOPE FACILITY,,,164.97,4676.96,21 CPT,51715,PR ENDO INJ IMPL MATRL URETH&/BLAD,1702.0,1514.78,138.69,1702.0,482 CPT,51720,INSTILLATION OF ANTI-CANCER DRUG INTO BLADDER FACILITY,,,35.66,7114.06,20 CPT,51720,PR INSTILL ANTICARCINOGEN BLAD,718.0,639.02,37.13,718.0,486 CPT,51721,PR INS TRURL ABLT TRNSDC THR US,4685.0,4169.65,230.53,4685.0,482 CPT,51725,PR CYSTOMETROGRAM SIMPLE,1241.0,1104.49,80.72,1241.0,482 CPT,51726,COMPLEX MEASUREMENT OF PRESSURE OF URINE FLOW IN BLADDER FACILITY,,,250.38,409.44,20 CPT,51726,PR CYSTOMETROGRAM COMPLEX,1081.0,962.0899999999999,33.18,1727.0,969 CPT,51728,COMPLEX MEASUREMENT OF PRESSURE OF URINE FLOW IN BLADDER WITH VOIDING PRESSURE STUDIES FACILITY,,,339.06,925.18,20 CPT,51728,PR CMG CMPLX W VOIDING PRESSURE,1268.0,1128.52,40.94,1788.0,1451 CPT,51729,PR CMG CMPLX VOID&URETHRAL PRES,2076.0,1847.64,144.58,2076.0,482 CPT,51741,PR UROFLOWMETRY CMPLX,391.0,347.99,6.09,391.0,490 CPT,51784,NON-NEEDLE MEASUREMENT AND RECORDING OF ELECTRICAL ACTIVITY OF MUSCLES AT BLADDER AND BOWEL OPENINGS FACILITY,,,65.73,170.72,20 CPT,51784,PR EMG ANAL/URETHRAL NOT NEEDLE,508.0,452.12,12.24,1013.0,1446 CPT,51785,NEEDLE MEASUREMENT AND RECORDING OF ELECTRICAL ACTIVITY OF MUSCLES AT BLADDER AND BOWEL OPENINGS FACILITY,,,389.91,9627.58,20 CPT,51785,PR EMG ANAL/URETHRAL NEEDLE,1090.5,970.545,33.88,1709.0,964 CPT,51792,PR STIMULUS EVOKED RESPONSE,268.0,238.52,21.54,268.0,482 CPT,51797,INSERTION OF DEVICE INTO ABDOMEN WITH PRESSURE AND URINE FLOW RATE STUDY FACILITY,,,157.01,925.18,20 CPT,51797,PR VOIDING PRES STUDY INTRABD,1125.0,1001.25,128.12,1125.0,487 CPT,51798,HC MEAS PST VOID RESID US NON IMG,233.0,207.37,12.57,233.0,1476 CPT,51798,PR MEAS PST VOID RESID US NON IMG,141.0,125.49,10.26,141.0,490 CPT,51800,PR CYSTOPLASTY/CYSTOURETHROPLASTY,9868.0,8782.52,360.01,9868.0,482 CPT,51840,PR VESICOURETHROPEXY ANTR SIMPLE,5470.0,4868.3,240.58,5470.0,482 CPT,51840,SIMPLE SUTURE OF BLADDER NECK TO VAGINAL WALL AND PUBIC BONE WITH URETHRA SUSPENSION,,,589.66,14103.72,20 CPT,51860,PR CYSTORRHAPHY SUTURE BLAD SMPL,5630.0,5010.7,261.61,5630.0,482 CPT,51860,"SUTURE OF SIMPLE WOUND, INJURY, OR RUPTURE OF BLADDER",,,641.2,14103.72,20 CPT,51865,PR CYSTORRHAPHY SUTURE BLAD COMPL,5549.0,4938.61,311.89,5549.0,482 CPT,51865,"SUTURE OF COMPLICATED WOUND, INJURY, OR RUPTURE OF BLADDER",,,764.43,3853.99,20 CPT,51880,CLOSURE OF SURGICALLY CREATED OPENING FROM BLADDER TO SKIN,,,407.39,4676.96,20 CPT,51880,PR CLOSURE CYSTOSTOMY,3540.0,3150.6,166.22,3540.0,482 CPT,51900,PR CLOSURE VESICOVAGINAL FISTULA,7582.0,6747.98,288.94,7582.0,482 CPT,51900,REPAIR OF ABNORMAL DRAINAGE TRACT FROM BLADDER INTO VAGINA THROUGH ABDOMEN,,,708.17,4676.96,20 CPT,51940,PR CLOSURE EXSTROPHY BLADDER,13829.0,12307.81,561.41,13829.0,482 CPT,51960,PR ENTEROCYSTOPLASTY ANASTOMOSIS,10018.0,8916.02,477.71,10018.0,482 CPT,51980,PR CUTANEOUS VESICOSTOMY,5066.0,4508.74,251.09,5066.0,482 CPT,51992,CREATION OF SLING AROUND URETHRA TO CONTROL LEAKAGE USING AN ENDOSCOPE,,,695.84,8021.24,20 CPT,51999,PR ROBOT ASSIST CYSTECTOMY,11426.0,10169.14,1142.6,11426.0,477 CPT,51999,PR ROBOT ASST CYST W CONT DIVER/NEOBLADDER,30611.0,27243.79,2100.0,30611.0,477 CPT,51999,PR ROBOT ASST CYSTECTOMY W CONDUIT,24620.0,21911.8,2100.0,24620.0,477 CPT,51999,PR ROBOTIC BLADDER DIVERTICULECTOMY,7010.0,6238.9,701.0,7010.0,477 CPT,51999,UNLISTED PROC LAP BLADDER,,,765.82,14103.72,20 CPT,52000,DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE FACILITY,,,66.87,2773.53,21 CPT,52000,HC CYSTOURETHROSCOPY,1299.0,1156.11,66.87,1299.0,741 CPT,52000,PR CYSTOURETHROSCOPY,1123.0,999.47,74.8,1123.0,515 CPT,52001,IRRIGATION AND REMOVAL OF MULTIPLE BLOOD CLOTS FROM BLADDER AND URETHRA USING AN ENDOSCOPE FACILITY,,,238.4,7114.06,20 CPT,52001,PR CYSTOURETHROSCOPY IRRI CLOTS,1822.0,1621.58,167.24,1822.0,482 CPT,52005,INSERTION OF TUBE INTO URETER USING AN ENDOSCOPE THROUGH BLADDER AREA,,,113.71,14103.72,20 CPT,52005,PR CYSTOURETHROSCOPY URETER CATH,1637.0,1456.93,113.99,1637.0,482 CPT,52007,INSERTION OF TUBE INTO URETER AND BIOPSY OF URETER AND/OR RENAL PELVIS USING AN ENDOSCOPE,,,139.62,4676.96,20 CPT,52007,PR CYSTHRSCPY W URETER CATH&BX,1789.0,1592.21,176.02,1789.0,482 CPT,52204,BIOPSY OF BLADDER USING AN ENDOSCOPE FACILITY,,,119.83,4676.96,21 CPT,52204,PR CYSTOURETHROSCOPY WITH BX,2108.0,1876.12,144.81,2108.0,483 CPT,52214,"DESTRUCTION OF TISSUE OF BLADDER, URETHRA, OR SURROUNDING GLANDS USING AN ENDOSCOPE FACILITY",,,142.55,4676.96,21 CPT,52214,PR CYSTHRSCPY W FULGURATION LESNS,4785.0,4258.65,299.78,4785.0,482 CPT,52224,"DESTRUCTION OF GROWTH OF BLADDER AND URETHRA USING AN ENDOSCOPE, LESS THAN 0.5 CM FACILITY",,,164.96,4676.96,21 CPT,52224,PR CYSTHRSCPY W FULG LESNS MINOR,4251.0,3783.39,312.71,4251.0,484 CPT,52234,"DESTRUCTION AND/OR REMOVAL OF GROWTH OF BLADDER AND URETHRA USING AN ENDOSCOPE, 0.5-2.0 CM FACILITY",,,204.74,4676.96,21 CPT,52234,PR CYSTHRSCPY FULG BLAD TMR SMALL,2401.0,2136.89,83.54,2401.0,483 CPT,52235,"DESTRUCTION AND/OR REMOVAL OF GROWTH OF BLADDER AND URETHRA USING AN ENDOSCOPE, 2.0-5.0 CM PROFESSIONAL",,,240.11,4676.96,21 CPT,52235,PR CYSTHRSCPY FULG BLAD TMR MED,2605.0,2318.45,97.97,2605.0,482 CPT,52240,DESTRUCTION AND/OR REMOVAL OF LARGE GROWTH OF BLADDER USING AN ENDOSCOPE PROFESSIONAL,,,324.01,7114.06,21 CPT,52240,PR CYSTHRSCPY FULG BLAD TMR LRG,4080.0,3631.2,132.2,4080.0,482 CPT,52260,DILATION OF BLADDER USING AN ENDOSCOPE UNDER GENERAL OR SPINAL ANESTHESIA FACILITY,,,174.92,2773.53,20 CPT,52260,PR CYSTHRSCPY DIL BLAD GNRL ANES,1473.0,1310.97,71.37,1473.0,482 CPT,52275,INCISION OF URETHRA IN MALE USING AN ENDOSCOPE,,,206.84,2773.53,20 CPT,52276,INCISION OF URETHRA USING AN ENDOSCOPE,,,220.35,2773.53,20 CPT,52276,PR CYSTHRSCPY DIRCT VISN URETHROT,2476.0,2203.64,89.91,2476.0,482 CPT,52277,PR CYSTHRSCPY RSECT EXTRNL SPHINC,2392.0,2128.88,109.49,2392.0,482 CPT,52281,DILATION OF URETHRA USING AN ENDOSCOPE FACILITY,,,129.16,2773.53,21 CPT,52281,PR CYSTHRSCPY W CALIB&/DIL URETH,1524.0,1356.36,106.78,1524.0,508 CPT,52284,DRUG DELIVERY USING A DRUG-COATED BALLOON FOR MALE TREATMENT OF URETHRAL STRICTURE USING AN ENDOSCOPE PROFESSIONAL,,,3.8,7114.06,21 CPT,52284,PR CYSTO RX BALO CATH URTL STRX,1377.0,1225.53,619.65,1377.0,482 CPT,52287,EXAM WITH INJECTIONS OF CHEMICAL FOR DESTRUCTION OF BLADDER USING AN ENDOSCOPE FACILITY,,,139.74,2773.53,21 CPT,52287,HC CYSTHRSCPY INJ CHEMODENRVATION,5564.0,4951.96,139.74,5564.0,739 CPT,52287,PR CYSTHRSCPY INJ CHEMODENRVATION,1480.0,1317.2,147.18,1480.0,482 CPT,52300,PR CYSTHRSCPY W RSECT URETEROCELE,2184.0,1943.76,95.14,2184.0,482 CPT,52300,REMOVAL OR DESTRUCTION OF ABNORMAL POUCHES OF URETER AT BLADDER USING AN ENDOSCOPE,,,233.17,4676.96,20 CPT,52301,PR CYSTHRSCPY RSECT ECTOPC URTRCL,2559.0,2277.51,98.22,2559.0,482 CPT,52301,"REMOVAL OR DESTRUCTION OF ABNORMAL POUCHES OF URETER AT BLADDER, ECTOPIC URETEROCELE, USING AN ENDOSCOPE",,,240.74,7114.06,20 CPT,52305,PR CYSTHRSCPY RSECT BLAD DVRTCLM,2184.0,1943.76,94.15,2184.0,482 CPT,52305,REMOVAL OF BLADDER POUCHES USING AN ENDOSCOPE,,,230.76,7114.06,20 CPT,52310,PR CYSTHRSCPY RMVL FB/STENT SMPL,1721.0,1531.69,102.59,1721.0,511 CPT,52310,"SIMPLE REMOVAL OF FOREIGN BODY, STONE, OR STENT IN URETHRA OR BLADDER USING AN ENDOSCOPE FACILITY",,,127.04,2773.53,21 CPT,52315,"COMPLICATED REMOVAL OF FOREIGN BODY, STONE, OR STENT IN URETHRA OR BLADDER USING AN ENDOSCOPE FACILITY",,,228.21,2773.53,20 CPT,52315,PR CYSTHRSCPY RMVL FB/STENT CMPLX,2897.0,2578.33,183.42,2897.0,483 CPT,52317,"CRUSHING, FRAGMENTING, AND REMOVAL OF BLADDER STONES, LESS THAN 2.5 CM PROFESSIONAL",,,285.96,4676.96,21 CPT,52317,PR LITHOLAPAXY SMPL <2.5CM,4211.0,3747.79,353.52,4211.0,482 CPT,52318,"CRUSHING, FRAGMENTING, AND REMOVAL OF BLADDER STONES, MORE THAN 2.5 CM PROFESSIONAL",,,389.11,7114.06,21 CPT,52318,PR LITHOLAPAXY COMPL >2.5CM,4306.0,3832.34,158.76,4306.0,482 CPT,52320,PR CYSTHRSCPY W RMVL URETER CALC,2325.0,2069.25,83.27,2325.0,482 CPT,52327,INJECTION OF IMPLANT MATERIAL IN BLADDER USING AN ENDOSCOPE,,,211.09,7114.06,20 CPT,52327,PR CYSTHRSCPY W SUBURETERIC INJ,3258.0,2899.62,86.13,3258.0,482 CPT,52332,INSERTION OF STENT IN URETER USING AN ENDOSCOPE PROFESSIONAL,,,132.19,7114.06,21 CPT,52332,PR CYSTHRSCPY W INS URETERAL STNT,2754.0,2451.06,151.82,2754.0,482 CPT,52341,DILATION OF BLADDER AND URETHRA USING AN ENDOSCOPE,,,236.56,4676.96,19 CPT,52341,PR CYSTHRSCPY W TX URETERAL STRIC,2606.0,2319.34,96.52,2606.0,482 CPT,52342,PR CYSTHRSCPY TX URETERPELV STRIC,2802.0,2493.78,104.74,2802.0,482 CPT,52342,REPAIR OF STRICTURE AT JUNCTION OF KIDNEY AND URETER USING AN ENDOSCOPE,,,256.72,4676.96,20 CPT,52344,PR CYSTHRSCPY/URTRSCPY TX URET STRIC,2816.0,2506.24,124.7,2816.0,482 CPT,52344,REPAIR OF STRICTURE OF URETER USING AN ENDOSCOPE,,,305.63,4676.96,20 CPT,52345,PR CYSTHRSCPY/URTRSCPY TX URETROPELV,4283.0,3811.87,133.02,4283.0,482 CPT,52345,REPAIR OF STRICTURE OF UPPER ATTACHMENT OF URETER TO KIDNEY USING AN ENDOSCOPE,,,326.02,4676.96,20 CPT,52346,PR CYSTHRSCPY/URTRSCPY TX INTRARENAL,5003.0,4452.67,150.25,5003.0,482 CPT,52351,"DIAGNOSTIC EXAM OF BLADDER, URETHRA, AND URETER OR KIDNEY USING AN ENDOSCOPE PROFESSIONAL",,,251.45,4676.96,20 CPT,52351,PR CYSTHRSCPY W URTRSCPY/PYELO DX,2621.0,2332.69,87.21,2621.0,507 CPT,52352,PR CYSTHRSCPY/URTRSCPY RMVL CALC,3475.0,3092.75,119.74,3475.0,482 CPT,52352,REMOVAL OR MANIPULATION OF STONE IN URETER OR KIDNEY USING AN ENDOSCOPE PROFESSIONAL,,,293.48,4676.96,20 CPT,52353,CRUSHING OF STONE OF URETER USING AN ENDOSCOPE PROFESSIONAL,,,323.81,7114.06,20 CPT,52353,PR CYSTHRSCPY URTRSCPY LITHOTRIP,3963.0,3527.07,132.12,3963.0,482 CPT,52354,BIOPSY AND/OR DESTRUCTION OF GROWTH OF URETER OR KIDNEY USING AN ENDOSCOPE PROFESSIONAL,,,344.51,7114.06,21 CPT,52354,PR CYSTHRSCPY/URTRSCPY BX PELV LESN,4386.0,3903.54,140.56,4386.0,482 CPT,52355,PR CYSTHRSCPY URTRSCPY PELV TMR,4842.0,4309.38,157.3,4842.0,482 CPT,52355,REMOVAL OF GROWTH OF URETER OR KIDNEY USING AN ENDOSCOPE,,,385.54,7114.06,20 CPT,52356,CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE PROFESSIONAL,,,343.13,7114.06,20 CPT,52356,PR CYSTHRSCPY/URTRSCPY LITHO INS STNT,4376.0,3894.64,140.0,4376.0,482 CPT,52400,"INCISION, DESTRUCTION, OR REMOVAL OF CONGENITAL DEFECTS OF BLADDER AND URETHRA USING AN ENDOSCOPE",,,405.73,4676.96,20 CPT,52400,PR CYSTHRSCPY INCISN URETHRAL VALVE,4435.0,3947.15,165.54,4435.0,482 CPT,52402,INCISION OR REMOVAL OF EJACULATORY DUCT USING AN ENDOSCOPE,,,216.6,4676.96,20 CPT,52402,PR CYSTHRSCPY TRANSURETHRAL RSECT,2046.0,1820.94,88.38,2046.0,482 CPT,52441,"INSERTION OF IMPLANT IN URETHRA WITHIN PROSTATE GLAND USING AN ENDOSCOPE, 1 IMPLANT",,,145.02,260.78,20 CPT,52441,PR CYSTHRSCPY INS TP IMPLANT SNGL,4654.0,4142.06,516.44,4654.0,482 CPT,52442,"INSERTION OF IMPLANT IN URETHRA WITHIN PROSTATE GLAND USING AN ENDOSCOPE, EACH ADDITIONAL IMPLANT",,,34.84,185.58,20 CPT,52442,PR CYSTHRSCPY INS TP IMPLANT EA,3323.0,2957.47,722.45,3323.0,482 CPT,52450,INCISION OF PROSTATE PROFESSIONAL,,,418.99,4676.96,20 CPT,52450,PR INCISN PROSTATE TRANSURETHRAL,3353.0,2984.17,170.95,3353.0,482 CPT,52500,PR RSECT BLAD NK TRANSURETHRAL,3995.0,3555.55,138.04,3995.0,482 CPT,52500,REMOVAL OF BLADDER NECK THROUGH URETHRA,,,338.33,4676.96,20 CPT,52597,PR TRANSRECT RBTC WTRJT RESECT PROSTATE,7203.0,6410.67,213.02,7203.0,482 CPT,52601,PR RSECT PROS CMPLT ELECTROSURG,4907.0,4367.23,204.42,4907.0,482 CPT,52601,REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE PROFESSIONAL,,,501.03,7114.06,21 CPT,52630,COMPLETE REMOVAL OF REMAINING OR REGROWN PROSTATE TISSUE WITH CONTROL OF BLEEDING USING AN ENDOSCOPE,,,360.49,7114.06,21 CPT,52630,PR RSECT REGROW PROS TISS TXURETH,3497.0,3112.33,147.08,3497.0,482 CPT,52640,PR RSECT POSTOP BLAD NK CONTRCTR,2483.0,2209.87,119.17,2483.0,482 CPT,52640,REMOVAL OF POSTSURGICAL TIGHTENING OF BLADDER NECK,,,292.08,4676.96,21 CPT,52648,COMPLETE LASER VAPORIZATION OF PROSTATE INCLUDING CONTROL OF BLEEDING USING AN ENDOSCOPE,,,503.14,7114.06,21 CPT,52648,PR LASER VAPORIZATION PROS CMPLT,9498.0,8453.22,205.28,9498.0,482 CPT,52649,COMPLETE LASER FRAGMENTATION OF PROSTATE INCLUDING CONTROL OF BLEEDING USING AN ENDOSCOPE PROFESSIONAL,,,623.86,7114.06,21 CPT,52649,PR LASER ENUCLEATION PROSTATE,6414.0,5708.46,254.54,6414.0,482 CPT,52700,PR TXURETH DRAINAGE PROSTATE ABSC,3130.0,2785.7,158.07,3130.0,482 CPT,53010,INCISION OR REPAIR OF ABNORMAL URETHRA,,,271.23,7114.06,20 CPT,53010,PR URETHROTOMY PERINEAL URETHRA,2090.0,1860.1,110.66,2090.0,482 CPT,53020,INCISION OF EXTERNAL URINARY OPENING,,,81.86,2773.53,20 CPT,53020,PR MEATOTOMY EXCEPT INFANT,989.0,880.21,28.39,989.0,507 CPT,53025,"INCISION OF EXTERNAL URINARY OPENING, INFANT",,,60.12,2773.53,20 CPT,53025,PR MEATOTOMY INFANT,488.0,434.32,24.53,488.0,482 CPT,53060,DRAINAGE OF ABSCESS OR CYST OF SKENE'S GLANDS,,,139.74,2773.53,20 CPT,53200,BIOPSY OF URETHRA,,,239.76,2773.53,20 CPT,53200,PR BIOPSY URETHRA,1067.0,949.63,55.16,1067.0,507 CPT,53210,PR URETHRECTOMY CYSTOS TOT FEMALE,5995.0,5335.55,269.63,5995.0,482 CPT,53210,REMOVAL OF BLADDER AND URETHRA IN FEMALE,,,660.85,4676.96,20 CPT,53215,PR URETHRECTOMY CYSTOS TOT MALE,6758.0,6014.62,321.82,6758.0,482 CPT,53215,REMOVAL OF BLADDER AND URETHRA IN MALE,,,788.77,7114.06,20 CPT,53220,PR EXCISION CARCINOMA URETHRA,3269.0,2909.41,162.06,3269.0,482 CPT,53220,REMOVAL OR DESTRUCTION OF CANCER URETHRA,,,397.19,4676.96,20 CPT,53230,PR EXCISN URETHRAL DVERTCLM FMALE,4761.0,4237.29,213.93,4761.0,482 CPT,53230,REMOVAL OF POUCH OF URETHRA IN FEMALE,,,524.34,7114.06,20 CPT,53235,REMOVAL OF POUCH OF URETHRA IN MALE,,,550.57,7114.06,20 CPT,53250,REMOVAL OF SEMINAL FLUID GLAND,,,351.83,4676.96,20 CPT,53260,PR EXCISION URETHRAL POLYP DISTAL,1311.0,1166.79,84.29,1311.0,482 CPT,53260,REMOVAL OR DESTRUCTION OF POLYPS OF URETHRA,,,157.09,4676.96,20 CPT,53265,PR EXCISION URETHRAL CARUNCLE,1558.0,1386.62,91.37,1558.0,482 CPT,53265,REMOVAL OR DESTRUCTION OF GROWTH OF URETHRA,,,161.03,2773.53,20 CPT,53270,PR EXCISN/FULG SKENES GLANDS,1580.0,1406.2,86.79,1580.0,482 CPT,53270,REMOVAL OR DESTRUCTION OF MUCOUS GLANDS OF URETHRA,,,161.5,4676.96,20 CPT,53275,PR EXCISN URETHRAL PROLAPSE,1839.0,1636.71,92.17,1839.0,482 CPT,53275,REMOVAL OR DESTRUCTION OF PROLAPSE OF URETHRA,,,225.9,4676.96,20 CPT,53400,PR URTHPLSTY 1 STG FSTL/DVRTCLM,4978.0,4430.42,280.15,4978.0,482 CPT,53400,"REPAIR OF ABNORMAL DRAINAGE TRACT, POUCH, OR STRICTURE OF URETHRA, FIRST STAGE",,,686.64,7114.06,20 CPT,53405,PR URTHPLSTY 2 STG URINARY DIVRSN,6493.0,5778.77,304.9,6493.0,482 CPT,53405,SECOND STAGE REPAIR OF URETHRA WITH CREATION OF NEW URETHRA,,,747.31,7114.06,20 CPT,53410,PR URTHPLSTY 1 STG RECNST URETHRA,8138.0,7242.82,340.23,8138.0,482 CPT,53410,RECONSTRUCTION OF URETHRA IN MALE,,,833.9,7114.06,20 CPT,53415,PR URTHPLSTY 1 STG RECNST TRNSPUB,9330.0,8303.7,390.56,9330.0,482 CPT,53415,RECONSTRUCTION OR REPAIR OF URETHRA,,,790.64,1435.89,20 CPT,53430,PR URTHPLSTY RCNST FEMALE URETHRA,8725.0,7765.25,335.47,8725.0,482 CPT,53430,RECONSTRUCTION OF URETHRA IN FEMALE,,,822.22,7114.06,20 CPT,53440,CREATION OF SLING AROUND URETHRA IN MALE TO CONTROL LEAKAGE,,,647.63,17505.14,20 CPT,53440,PR SLING OPR MALE INCONTINENCE,6463.0,5752.07,264.24,6463.0,482 CPT,53442,PR RMVL/REV SLING MALE INCONT,6046.0,5380.94,278.71,6046.0,482 CPT,53442,REMOVAL OR REVISION OF SLING IN MALE FOR URINARY INCONTINENCE,,,683.11,7114.06,20 CPT,53444,INSERTION OF ARTIFICIAL URINARY SPHINCTER,,,680.83,27499.52,20 CPT,53444,PR INSERTION TANDEM CUFF,6123.0,5449.47,277.78,6123.0,482 CPT,53445,INSERTION OF INFLATABLE URETHRA OR BLADDER NECK SPHINCTER,,,657.2,27499.52,21 CPT,53445,PR INS INFLT BLADDER NK SPHINC,6731.0,5990.59,268.14,6731.0,482 CPT,53446,PR RMVL INFLT URETHRAL SPHINCTER,4906.0,4366.34,228.59,4906.0,482 CPT,53446,REMOVAL OF INFLATABLE URETHRA OR BLADDER NECK SPHINCTER,,,560.27,7114.06,21 CPT,53447,PR RMVL&RPLC INFLT URETH SPHINC,7160.0,6372.4,283.54,7160.0,482 CPT,53447,REMOVAL AND REPLACEMENT OF INFLATABLE URETHRA OR BLADDER NECK SPHINCTER,,,694.94,27499.52,21 CPT,53448,PR RMVL&RPLC SPHINC INFECT FIELD,9387.0,8354.43,441.46,9387.0,482 CPT,53448,REMOVAL AND REPLACEMENT OF INFLATABLE URETHRA OR BLADDER NECK SPHINCTER THROUGH AN INFECTED FIELD,,,892.98,1623.02,20 CPT,53449,PR REPAIR INFLT URETHRAL SPHINC,4658.0,4145.62,217.53,4658.0,482 CPT,53450,PR URETHROMEATOPLASTY,2813.0,2503.57,147.96,2813.0,482 CPT,53450,REPAIR OF URETHRA AND URINARY OPENING,,,362.65,4676.96,20 CPT,53451,INSERTION OF ADJUSTABLE BALLOON CONTINENCE DEVICE ON BOTH SIDES OF URETHRA USING IMAGING GUIDANCE,,,17.14,17505.14,20 CPT,53451,PR PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV BI INSJ,1869.0,1663.41,590.75,1869.0,482 CPT,53452,PR PERIURETHRL TPRNL ADJTBL BALO CNTNC DEV UNI INSJ,1246.0,1108.94,295.38,1246.0,482 CPT,53453,PR PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV RMVL EA,1589.0,1414.21,502.16,1589.0,482 CPT,53454,PR PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV ADJMT,1114.0,991.46,45.67,1114.0,482 CPT,53500,PR URETHROLYSIS TV W CYSTHRSCPY,4658.0,4145.62,258.13,4658.0,482 CPT,53500,RELEASE OF SCAR TISSUE OF URETHRA USING AN ENDOSCOPE,,,632.67,6637.28,20 CPT,53505,PR URETHRORRHAPHY SUTURE PENILE,4046.0,3600.94,173.82,4046.0,482 CPT,53510,PR URETHRORRHAPHY SUTURE PERINEAL,4306.0,3832.34,224.08,4306.0,482 CPT,53515,PR URETHRORRHAPHY PROS-MEMBRANOUS,5169.0,4600.41,278.19,5169.0,482 CPT,53520,CLOSURE OF ABNORMAL DRAINAGE TRACT FROM URETHRA TO SKIN IN MALE,,,488.9,7114.06,20 CPT,53520,PR CLSR URETHROSTOMY FSTL MALE,4064.0,3616.96,199.47,4064.0,482 CPT,53600,PR DIL URETHRAL STRICT MALE INIT,553.0,492.17,36.32,553.0,483 CPT,53605,PR DIL URETH STRICT MALE PASSAGE,494.0,439.66,21.33,494.0,482 CPT,53854,DESTRUCTION OF PROSTATE TISSUE USING RADIOFREQUENCY INDUCED HEATED WATER VAPOR,,,177.16,5205.08,21 CPT,53854,PR TXURETH PROST TISS RF THERMO,15403.0,13708.67,1415.78,15403.0,482 CPT,53865,INSERTION OF A TEMPORARY DEVICE FOR PRESSURE NECROSIS OF BLADDER NECK AND PROSTATE USING AN ENDOSCOPE,,,4.52,12560.15,20 CPT,53865,PR CYSTO INSJ DEV ISCHMC RMDLG,4805.0,4276.45,1290.76,4805.0,482 CPT,53899,PR ENDOSCOPIC POSTERIOR URETHROPLASTY,9330.0,8303.7,466.5,9330.0,477 CPT,53899,UNLISTED PROC URINARY SYSTEM - FACILITY,,,250.38,675.93,20 CPT,54001,INCISION OF FORESKIN,,,124.63,2773.53,20 CPT,54001,PR SLITTING PREPUCE NOT NEWBORN,1229.0,1093.81,81.84,1229.0,482 CPT,54015,PR I&D PENIS DEEP,1913.0,1702.57,107.73,1913.0,482 CPT,54050,PR DEST LESN PENIS SMPL CHEMICAL,523.0,465.47,50.48,523.0,514 CPT,54055,HC DEST LESN PENIS SMPL ELECTRO,4330.0,3853.7,84.75,4330.0,736 CPT,54055,PR DEST LESN PENIS SMPL ELECTRO,551.0,490.39,56.6,551.0,482 CPT,54055,SIMPLE DESTRUCTION OF GROWTH OF PENIS USING ELECTRIC CURRENT FACILITY,,,84.75,2737.57,20 CPT,54056,HC DEST LESN PENIS SMPL CRYOSURG,435.0,387.15,90.48,435.0,737 CPT,54056,PR DEST LESN PENIS SMPL CRYOSURG,685.0,609.65,58.64,685.0,483 CPT,54056,SIMPLE DESTRUCTION OF GROWTH OF PENIS USING FREEZING FACILITY,,,97.67,266.2,20 CPT,54060,HC DEST LESN PENIS SMPL SURG EXCISN,5341.0,4753.49,118.39,5341.0,736 CPT,54060,PR DEST LESN PENIS SMPL SURG EXCISN,1367.0,1216.63,81.26,1367.0,482 CPT,54060,REMOVAL OF GROWTH OF PENIS,,,118.39,12560.15,20 CPT,54065,DESTRUCTION OF MULTIPLE GROWTHS OF PENIS FACILITY,,,146.55,2737.57,20 CPT,54065,HC DEST LESN PENIS EXTENSIVE,5986.0,5327.54,146.55,5986.0,736 CPT,54065,PR DEST LESN PENIS EXTENSIVE,1382.0,1229.98,90.08,1382.0,482 CPT,54100,BIOPSY OF PENIS FACILITY,,,100.2,2191.35,20 CPT,54100,HC BIOPSY PENIS,4093.0,3642.77,100.2,4093.0,737 CPT,54100,PR BIOPSY PENIS,714.0,635.46,82.53,714.0,484 CPT,54105,BIOPSY OF DEEP STRUCTURE OF PENIS,,,186.95,3853.99,20 CPT,54105,PR BIOPSY PENIS DEEP STRUCTURES,1496.0,1331.44,114.28,1496.0,482 CPT,54110,PR EXCISION OF PENILE PLAQUE,4256.0,3787.84,220.88,4256.0,482 CPT,54111,PR EXCISN PENILE PLAQUE GRFT<=5CM,5637.0,5016.93,278.94,5637.0,482 CPT,54111,"REMOVAL OF ABNORMALLY THICKENED TISSUE IN PENIS WITH GRAFT, 5.0 CM OR LESS",,,683.66,7114.06,20 CPT,54112,PR EXCISN PENILE PLAQUE GRFT >5CM,6522.0,5804.58,326.26,6522.0,482 CPT,54112,"REMOVAL OF ABNORMALLY THICKENED TISSUE IN PENIS WITH GRAFT, MORE THAN 5.0 CM",,,799.64,12560.15,20 CPT,54115,PR REMOVAL FB PENILE TISSUE DEEP,2614.0,2326.46,188.36,2614.0,482 CPT,54120,PARTIAL AMPUTATION OF PENIS,,,548.79,4676.96,21 CPT,54120,PR AMPUTATION OF PENIS PARTIAL,4691.0,4174.99,223.91,4691.0,482 CPT,54125,AMPUTATION OF PENIS,,,707.11,7114.06,20 CPT,54125,PR AMPUTATION OF PENIS COMPLETE,5731.0,5100.59,288.5,5731.0,482 CPT,54130,PR AMP PENIS RAD ING-FEM LYMPHDEC,7855.0,6990.95,412.81,7855.0,482 CPT,54150,HC CIRCUMCISION W CLAMP/BLOCK,468.0,416.52,78.94,2773.53,736 CPT,54150,PR CIRCUMCISION W CLAMP/BLOCK,857.0,762.73,51.58,857.0,509 CPT,54150,REMOVAL OF FORESKIN USING CLAMP OR DEVICE FACILITY,,,78.94,8021.24,20 CPT,54160,PR CIRCUMCISION NOT CLAMP <28 DAY,1528.0,1359.92,91.65,1528.0,482 CPT,54161,PR CIRCUMCISION NOT CLAMP >28DAY,1626.0,1447.14,70.53,1626.0,484 CPT,54161,REMOVAL OF FORESKIN (OLDER THAN 28 DAYS) FACILITY,,,172.86,2773.53,21 CPT,54162,PR EXCISN PENILE POST CIRC ADHESN,1454.0,1294.06,89.63,1454.0,508 CPT,54162,REMOVAL OF SCAR TISSUE AFTER FORESKIN REMOVAL FACILITY,,,176.3,2773.53,20 CPT,54163,PR REPAIR INCMPLT CIRCUMCISION,1794.0,1596.66,81.47,1794.0,482 CPT,54163,REPAIR OF INCOMPLETE REMOVAL OF FORESKIN,,,199.67,2773.53,20 CPT,54164,INCISION OF MEMBRANE ATTACHING FORESKIN AND PENIS,,,179.27,2773.53,20 CPT,54164,PR FRENULOTOMY OF PENIS,1574.0,1400.86,73.14,1574.0,482 CPT,54200,PR INJECTION PEYRONIE DISEASE,711.0,632.79,49.08,711.0,486 CPT,54220,PR IRRIG CORP CAVERNOSA PRIAPISM,1149.0,1022.61,100.65,1149.0,482 CPT,54235,INJECTION PROCEDURE TO CAUSE ERECTION FACILITY,,,65.32,12560.15,20 CPT,54235,PR INJ CORPCAV W PHARM AGENT,530.0,471.7,37.87,530.0,486 CPT,54300,PR PLASTIC OP PENIS STRT CHORDEE,5225.0,4650.25,228.48,5225.0,482 CPT,54300,REPAIR OF CURVED PENIS,,,560.0,4676.96,20 CPT,54304,PR PENIS CORR 1ST SG HYPOSPADIAS,6432.0,5724.48,262.12,6432.0,482 CPT,54304,REPAIR OF CURVED PENIS AND URINARY OUTLET,,,642.45,4676.96,20 CPT,54308,PR URTHPLSTY 2 SG HYPOSPADIAS<3CM,5528.0,4919.92,251.82,5528.0,482 CPT,54308,"REPAIR OF URINARY OUTLET AT UNDERSIDE OF PENIS, LESS THAN 3.0 CM",,,617.2,7114.06,20 CPT,54312,PR URTHPLSTY 2 SG HYPOSPADIAS>3CM,5941.0,5287.49,287.25,5941.0,482 CPT,54312,"REPAIR OF URINARY OUTLET AT UNDERSIDE OF PENIS, MORE THAN 3.0 CM",,,704.05,4676.96,20 CPT,54316,PR URTHPLSTY 2 SG HYPSPDS W GRAFT,6971.0,6204.19,345.3,6971.0,482 CPT,54316,"REPAIR OF URINARY OUTLET OF PENIS WITH SKIN GRAFT, STAGE 2 OF 2",,,846.32,12560.15,20 CPT,54322,PR RPR 1 SG HYPSPDS MEATAL ADV,5420.0,4823.8,273.02,5420.0,482 CPT,54322,SIMPLE REPAIR AND RELOCATION OF URINARY OUTLET AT UNDERSIDE OF PENIS,,,669.15,4676.96,20 CPT,54324,PR RPR 1 SG HYPSPDS W URTHRPLSTY,9213.0,8199.57,336.52,9213.0,482 CPT,54324,REPAIR OF URINARY OUTLET OF PENIS WITH SKIN FLAP,,,824.79,4676.96,20 CPT,54326,PR RPR 1ST HYPSPDS URTHRPLSTY&MBL,8531.0,7592.59,328.07,8531.0,482 CPT,54326,REPAIR OF URINARY OUTLET AT UNDERSIDE OF PENIS WITH SKIN FLAP,,,804.08,4676.96,20 CPT,54328,PR RPR 1 SG HYPSPDS W DISSCT EXT,7952.0,7077.28,326.11,7952.0,482 CPT,54328,"REPAIR OF URINARY OUTLET AT UNDERSIDE OF HEAD OF PENIS WITH LOCAL SKIN FLAPS, SKIN GRAFT PATCH, AND/OR ISLAND FLAP",,,799.29,4676.96,20 CPT,54332,PR RPR 1 SG PROX PENL HYPSPDS/DISSECT,9241.0,8224.49,350.57,9241.0,482 CPT,54332,REPAIR OF URINARY OUTLET AT UNDERSIDE OF BASE OF PENIS WITH SKIN GRAFT TUBE AND/OR ISLAND FLAP,,,859.23,4676.96,20 CPT,54336,PR RPR 1 SG PERI HYPSPDS W GRAFT,9838.0,8755.82,411.51,9838.0,482 CPT,54336,REPAIR OF URINARY OUTLET BETWEEN THIGHS IN MALE WITH SKIN GRAFT TUBE AND/OR ISLAND FLAP,,,1008.59,7114.06,20 CPT,54340,PR RPR HYPOSPADIAS COMPL SMPL,5164.0,4595.96,202.69,5164.0,482 CPT,54340,SIMPLE REPAIR OF URINARY OUTLET COMPLICATIONS AT UNDERSIDE OF PENIS,,,496.78,4676.96,20 CPT,54344,PR RPR HYPOSPADIAS COMPL MBL,8952.0,7967.28,328.65,8952.0,482 CPT,54344,REPAIR OF COMPLICATION OF URINARY OUTLET OF PENIS AT UNDERSIDE OF PENIS WITH MOBILIZATION OF SKIN GRAFT OR FLAP,,,805.52,12560.15,20 CPT,54348,"EXTENSIVE REPAIR OF URINARY OUTLET AT UNDERSIDE OF PENIS WITH FLAP, PATCH OR GRAFT",,,860.31,7114.06,20 CPT,54352,EXTENSIVE REVISION OF PREVIOUS REPAIR OF URINARY OUTLET AT UNDERSIDE OF PENIS WITH SKIN GRAFTS AND FLAPS,,,1192.02,7114.06,20 CPT,54352,PR REV HYPSPDS REPAIR W DISSECT,12477.0,11104.53,486.35,12477.0,482 CPT,54360,PR PLASTIC OPR PENIS ANGULATION,6094.0,5423.66,253.14,6094.0,483 CPT,54360,SURGERY TO CORRECT ABNORMAL PENIS ANGLE,,,620.44,12560.15,20 CPT,54380,PR PLSTC OPR EPISPDS DIST SPHINC,5646.0,5024.94,280.59,5646.0,482 CPT,54380,REPAIR OF URINARY OUTLET OF PENIS,,,687.71,2773.53,20 CPT,54400,INSERTION OF NON-INFLATABLE PENILE IMPLANT,,,462.23,17505.14,20 CPT,54400,PR INS PENILE PROSTH NON-INFLT,3679.0,3274.31,188.59,3679.0,482 CPT,54401,INSERTION OF INFLATABLE PENILE IMPLANT,,,593.56,27499.52,20 CPT,54401,PR INS PENILE PROSTH INFLATABLE,4619.0,4110.91,242.17,4619.0,482 CPT,54405,INSERTION OF MULTICOMPONENT INFLATABLE PENILE IMPLANT,,,691.67,27499.52,21 CPT,54405,PR INS IPP MULTI COMPONENT,8116.0,7223.24,282.2,8116.0,482 CPT,54406,PR REMOVAL IPP MULTI COMPONENT,5668.0,5044.52,257.52,5668.0,482 CPT,54406,REMOVAL OF ALL COMPONENTS OF INFLATABLE PENILE IMPLANT,,,631.18,4676.96,21 CPT,54408,PR RPR IPP MULTI COMPONENT,5763.0,5129.07,278.65,5763.0,482 CPT,54408,REPAIR OF MULTICOMPONENT INFLATABLE PENILE IMPLANT,,,682.97,7114.06,21 CPT,54410,PR RMVL&RPLC IPP MULT COMPONENT,7153.0,6366.17,303.49,7153.0,482 CPT,54410,REMOVAL AND REPLACEMENT OF MULTICOMPONENT INFLATABLE PENILE IMPLANT DURING SAME SURGERY,,,743.84,27499.52,21 CPT,54411,PR RMVL&RPLC IPP MULTCOMP INF FLD,8240.0,7333.6,359.69,8240.0,482 CPT,54415,PR RMVL NON INFLT PENILE PROSTH,4046.0,3600.94,190.86,4046.0,482 CPT,54415,REMOVAL OF INFLATABLE OR NONINFLATABLE PENILE IMPLANT,,,467.8,4676.96,20 CPT,54416,PR RMVL&RPL SEMI/SELF PENL PROSTH,4644.0,4133.16,255.35,4644.0,482 CPT,54416,REMOVAL AND REPLACEMENT OF NONINFLATABLE PENILE IMPLANT,,,625.85,27499.52,20 CPT,54417,PR RMVL&RPL SEMI/SELF PP INF FLD,6889.0,6131.21,314.37,6889.0,482 CPT,54417,REMOVAL AND REPLACEMENT OF INFECTED NONINFLATABLE PENILE IMPLANT,,,770.52,27499.52,20 CPT,54430,PR SHUNT CORPCAV-CORPUS SPONGOSUM,4592.0,4086.88,226.19,4592.0,482 CPT,54437,PR RPR TRAUMETIC CORPOREAL TEAR,5286.0,4704.54,241.31,5286.0,482 CPT,54450,PR MANIP FORESKIN,389.0,346.21,23.99,389.0,508 CPT,54505,INCISION OF TESTICLE FOR BIOPSY,,,184.83,4676.96,20 CPT,54505,PR BIOPSY TESTIS INCISIONAL,1696.0,1509.44,75.41,1696.0,482 CPT,54512,PR EXCISN EXTRAPRL LESION TESTIS,3323.0,2957.47,190.38,3323.0,482 CPT,54512,REMOVAL OF GROWTH OF TESTICLE,,,466.6,4750.49,20 CPT,54520,PR ORCHIECTOMY SIMPLE,2492.0,2217.88,118.98,2492.0,482 CPT,54520,SIMPLE REMOVAL OF TESTICLE,,,291.6,5293.96,20 CPT,54522,PARTIAL REMOVAL OF TESTICLE,,,509.34,4676.96,20 CPT,54522,PR ORCHIECTOMY PARTIAL,4453.0,3963.17,207.81,4453.0,482 CPT,54530,PR ORCHIECTOMY RADCL INGUINAL APPR,3683.0,3277.87,182.67,3683.0,482 CPT,54530,REMOVAL OF GROWTH OF TESTICLE THROUGH GROIN,,,447.72,4750.49,20 CPT,54535,PR ORCHIECTOMY RADCL W ABD EXPLR,4307.0,3833.23,261.28,4307.0,482 CPT,54535,REMOVAL OF GROWTH OF TESTICLE THROUGH ABDOMEN,,,640.38,4676.96,20 CPT,54550,EXPLORATION OF SPERMATIC VEINS AND SCROTUM USING AN ENDOSCOPE,,,430.54,4750.49,20 CPT,54600,PR REDUCTION TESTIS TORSION,3236.0,2880.04,162.61,3236.0,482 CPT,54600,REPAIR OF TWISTED TESTICLE,,,398.56,5293.96,20 CPT,54620,PR FIXATION CONTRALATERAL TESTIS,2444.0,2175.16,105.93,2444.0,482 CPT,54620,SUTURE OF TESTICLE TO OTHER TESTICLE,,,259.62,4676.96,20 CPT,54640,PR ORCHIOPEXY INGUINAL OR SCROTAL APPR,4102.0,3650.78,151.86,4102.0,482 CPT,54640,REPOSITIONING AND SUTURE OF MISPLACED TESTICLE PROFESSIONAL,,,372.21,4750.49,20 CPT,54650,PR ORCHIOPEXY INTRA ABD TESTIS,5772.0,5137.08,251.89,5772.0,482 CPT,54660,INSERTION OF TESTICULAR IMPLANT,,,321.23,8052.56,20 CPT,54660,PR INS OF TESTICULAR PROSTHESIS,2465.0,2193.85,131.06,2465.0,482 CPT,54670,PR REPAIR TESTICULAR INJURY,2622.0,2333.58,148.07,2622.0,482 CPT,54680,PR TRANSPLANT TESTIS TO THIGH,5379.0,4787.31,275.83,5379.0,482 CPT,54690,PR ORCHIECTOMY LAPAROSCOPIC,5010.0,4458.9,229.96,5010.0,482 CPT,54690,REMOVAL OF TESTICLES USING AN ENDOSCOPE,,,563.61,8021.24,20 CPT,54692,PR LAP ORCHIOPEXY INTRA-ABD,6189.0,5508.21,263.31,6189.0,482 CPT,54692,REMOVAL OF CONGENITAL MALPOSITIONED TESTICLE USING AN ENDOSCOPE,,,645.36,8021.24,20 CPT,54700,"INCISION AND DRAINAGE OF SPERM RESERVOIR, TESTIS, AND/OR SCROTAL AREA FACILITY",,,190.85,2773.53,20 CPT,54700,PR I&D EPIDIDYMIS TESTIS&/SCRTL,1378.0,1226.42,77.87,1378.0,489 CPT,54830,PR EXCISN LOCAL LESN EPIDIDYMIS,3143.0,2797.27,135.87,3143.0,482 CPT,54830,REMOVAL OF GROWTH OF SPERM DUCT,,,333.01,4750.49,20 CPT,54840,PR EXCISION OF SPERMATOCELE,2131.0,1896.59,116.74,2131.0,482 CPT,54840,REMOVAL OF FLUID ACCUMULATION IN SPERM RESERVOIR,,,286.13,5293.96,20 CPT,54860,PR EPIDIDYMECTOMY UNILATERAL,2483.0,2209.87,151.34,2483.0,483 CPT,54860,REMOVAL OF SPERM RESERVOIR,,,370.92,4750.49,20 CPT,54861,PR EPIDIDYMECTOMY BILATERAL,3780.0,3364.2,202.41,3780.0,482 CPT,54861,REMOVAL OF BOTH SPERM RESERVOIRS,,,496.1,4676.96,20 CPT,54900,PR EPIDIDYMOVASOSTOMY UNILATERAL,5046.0,4490.94,281.14,5046.0,482 CPT,54901,PR EPIDIDYMOVASOSTOMY BILATERAL,8775.0,7809.75,368.04,8775.0,482 CPT,55000,ASPIRATION OF FLUID COLLECTION IN TESTICLE AND SPERM RESERVOIR FACILITY,,,73.64,2773.53,20 CPT,55000,PR ASP HYDROCELE TUNICA VAG,716.0,637.24,50.66,716.0,482 CPT,55040,PR EXCISION HYDROCELE UNILATERAL,2483.0,2209.87,123.05,2483.0,482 CPT,55040,REMOVAL OF FLUID COLLECTION IN TESTICLE AND SPERM RESERVOIR PROFESSIONAL,,,301.58,4750.49,20 CPT,55041,PR EXCISION HYDROCELE BILATERAL,4243.0,3776.27,183.44,4243.0,482 CPT,55041,REMOVAL OF FLUID COLLECTION IN BOTH TESTICLES AND SPERM RESERVOIRS,,,449.61,9117.51,20 CPT,55060,PR RPR TUNICA VAGINALIS HYDROCELE,2263.0,2014.07,138.38,2263.0,482 CPT,55060,REPAIR OF FLUID COLLECTION IN TESTICLE AND SPERM RESERVOIR,,,339.16,4676.96,20 CPT,55100,DRAINAGE OF ABSCESS OF SCROTUM FACILITY,,,157.14,3682.76,20 CPT,55100,PR DRAINAGE SCROTUM ABSCESS,1476.0,1313.64,99.45,1476.0,489 CPT,55110,PR EXPLORATION SCROTUM,2108.0,1876.12,141.4,2108.0,482 CPT,55110,SEARCH OF SCROTUM,,,346.57,4676.96,20 CPT,55120,PR REMOVAL FOREIGN BODY SCROTUM,1744.0,1552.16,129.81,1744.0,482 CPT,55150,PR RESECTION OF SCROTUM,2847.0,2533.83,177.35,2847.0,482 CPT,55150,REMOVAL OF DISEASED OR INJURED SCROTUM,,,434.67,4750.49,20 CPT,55175,PR SCROTOPLASTY SIMPLE,3035.0,2701.15,132.86,3035.0,482 CPT,55175,SIMPLE REPAIR OF SCROTUM,,,325.64,27499.52,21 CPT,55180,COMPLICATED REPAIR OF SCROTUM,,,594.17,8052.56,20 CPT,55180,PR SCROTOPLASTY COMPLICATED,4518.0,4021.02,242.42,4518.0,482 CPT,55250,PR VASECTOMY INCL SEMEN EXAM,1943.0,1729.27,119.06,1943.0,510 CPT,55250,REMOVAL OF SPERM DUCT FACILITY,,,210.96,4750.49,20 CPT,55300,INCISION OF SPERM DUCT FOR X-RAY PROCEDURE,,,155.95,7114.06,20 CPT,55300,PR VASOTOMY VASOGRAMS UNI/BILAT,1407.0,1252.23,63.63,1407.0,482 CPT,55400,INCISION OR REPAIR OF SPERM DUCT,,,435.26,5293.96,20 CPT,55400,PR VASOVASOSTOMY VASOVASORRHAPHY,6459.0,5748.51,177.59,6459.0,482 CPT,55500,PR EXCISN HYDROCELE SPRM CORD,2882.0,2564.98,142.71,2882.0,482 CPT,55500,REMOVAL OF FLUID COLLECTION IN SPERM CORD,,,349.77,4676.96,20 CPT,55520,PR EXCISN LESN SPERMATIC CORD,3148.0,2801.72,169.8,3148.0,482 CPT,55520,REMOVAL OF GROWTH OF SPERM CORD,,,416.18,4676.96,20 CPT,55530,PR EXCISN VARICOCELE SPRM CORD,2904.0,2584.56,127.64,2904.0,482 CPT,55530,REMOVAL OF SPERMATIC CORD VENOUS DILATION OR TYING OF SPERMATIC VEINS,,,312.83,4676.96,20 CPT,55535,REMOVAL OF SPERMATIC CORD VENOUS DILATION OR SUTURING OF SPERMATIC VEINS,,,380.27,9722.64,20 CPT,55650,PR VESICULECTOMY ANY APPROACH,5091.0,4530.99,252.83,5091.0,482 CPT,55700,BIOPSY OF PROSTATE GLAND FACILITY,,,90.05,475.59,18 CPT,55706,HC BX PROSTATE NDL TRANSPRNEAL,7293.0,6490.77,192.31,7293.0,736 CPT,55706,PR BX PROSTATE NDL TRANSPRNEAL,2356.0,2096.84,78.46,2356.0,482 CPT,55707,PR BX PRST8 TRCT US GUIDED,2162.0,1924.18,139.06,2162.0,482 CPT,55708,PR BX PRST8 TRCT US W/MRI FUS 1,2932.0,2609.48,170.49,2932.0,482 CPT,55709,PR BX PRST8 TPRNL US GUIDED,2162.0,1924.18,202.99,2162.0,507 CPT,55710,PR BX PRST8 TPRN US W/MRI FUS 1,2932.0,2609.48,227.43,2932.0,509 CPT,55711,PR BX PRST8 TRCT MRI-US 1ST,2932.0,2609.48,149.73,2932.0,482 CPT,55712,PR BX PRST8 TPRNL MRI-US 1ST,2932.0,2609.48,249.47,2932.0,482 CPT,55713,HC BX PRST8 IN-BORE CT/MRI BX 1,18558.0,16516.62,1155.39,18558.0,734 CPT,55713,PR BX PRST8 IN-BORE CT/MRI BX 1,4626.0,4117.14,314.27,4626.0,482 CPT,55714,HC BX PRST8 IN-BORE CT/MRI 1,8664.0,7710.96,1128.54,8664.0,734 CPT,55714,PR BX PRST8 IN-BORE CT/MRI 1,1357.0,1207.73,306.97,1357.0,482 CPT,55715,HC BX PRST8 EA ADD MRI-US/CT/MR,4790.0,4263.1,118.61,4790.0,718 CPT,55715,PR BX PRST8 EA ADD MRI-US/CT/MR,679.0,604.31,54.84,679.0,507 CPT,55720,PR PROSTATOTOMY DRAIN ABSC SMPL,3102.0,2760.78,161.54,3102.0,482 CPT,55720,SIMPLE INCISION AND DRAINAGE OF ABSCESS OF PROSTATE,,,395.92,4676.96,20 CPT,55821,PR PROSTATECTOMY SUPRAPUBIC PRTL,5855.0,5210.95,292.13,5855.0,482 CPT,55840,PR PROSTATECTOMY RETROPUBIC RADCL,9431.0,8393.59,403.37,9431.0,482 CPT,55840,REMOVAL OF PROSTATE,,,819.85,1482.98,20 CPT,55842,PR PROSTATECTOMY W LYMPH NODE BX,9465.0,8423.85,402.79,9465.0,482 CPT,55842,REMOVAL OF PROSTATE GLAND AND LYMPH NODE BIOPSY THROUGH ABDOMINAL INCISION,,,818.87,1480.85,20 CPT,55845,PR PROSTEC W BILAT PELV LYMPHDEC,12041.0,10716.49,466.4,12041.0,482 CPT,55845,REMOVAL OF PROSTATE GLAND AND SURROUNDING LYMPH NODES ON BOTH SIDES OF PELVIS THROUGH ABDOMINAL INCISION,,,950.89,1714.7,20 CPT,55866,PR LAP PROSTEC RETROPUBIC RADCL,10203.0,9080.67,417.28,10203.0,482 CPT,55866,SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE,,,1022.73,14103.72,21 CPT,55867,PR LAPS SURG PRSTECT SMPL STOT,8805.0,7836.45,365.03,8805.0,482 CPT,55867,SIMPLE SURGICAL SUBTOTAL REMOVAL OF PROSTATE USING LAPAROSCOPE,,,420.4,14103.72,21 CPT,55869,PR LAP SRG PROSTATECTOMY BI PELV LMPHAD,16010.0,14248.9,511.54,16010.0,482 CPT,55873,DESTRUCTION OF PROSTATE USING IMAGING GUIDANCE FACILITY,,,654.14,12560.15,21 CPT,55873,HC CRYOSURG ABLATION PROSTATE,18582.0,16537.98,654.14,18582.0,737 CPT,55873,PR CRYOSURG ABLATION PROSTATE,15230.0,13554.7,2367.36,15230.0,482 CPT,55874,HC TPRNL PLMT BIODEGRDABL MATRL,9277.0,8256.53,1929.62,9277.0,740 CPT,55874,INJECTION OF BIODEGRADABLE MATERIAL NEXT TO PROSTATE FACILITY,,,87.2,7114.06,20 CPT,55874,PR TPRNL PLMT BIODEGRDABL MATRL,9330.0,8303.7,1550.81,9330.0,482 CPT,55875,INSERTION OF NEEDLE OR TUBE INTO PROSTATE FOR RADIATION THERAPY,,,660.19,12560.15,20 CPT,55875,PR PLC CATH TRANSPERI PROSTATE,4543.0,4043.27,269.36,4543.0,482 CPT,55876,HC PLC INTERS RAD DEVICE PROSTATE,3898.0,3469.22,87.2,3898.0,741 CPT,55876,PLACEMENT OF DEVICE IN PROSTATE FOR RADIATION THERAPY FACILITY,,,87.2,7114.06,20 CPT,55876,PR PLC INTERS RAD DEVICE PROSTATE,906.0,806.34,60.96,906.0,482 CPT,55877,PR ABLTJ IRE PROSTATE 1+ TUM PERCUT,14321.0,12745.69,260.44,14321.0,482 CPT,55880,"HIGH-INTENSITY ULTRASOUND DESTRUCTION OF CANCEROUS TISSUE IN PROSTATE GLAND, ACCESSED THROUGH RECTUM USING ULTRASOUND GUIDANCE",,,16.38,12560.15,21 CPT,55880,PR HIFU ABLATION PROSTATE W US GUIDE,5636.0,5016.04,340.31,5636.0,482 CPT,55881,PR ABLT TRURL PRST8 TIS THRM US,10544.0,9384.16,3875.86,10544.0,482 CPT,55882,HC ABLT TRURL PRST8 TIS TRNSDCR,22198.0,19756.22,4617.18,22198.0,735 CPT,55882,INSERTION OF ULTRASOUND TRANSDUCER THROUGH URETHRA FOR DELIVERY OF HEAT ULTRASOUND FOR DESTRUCTION OF PROSTATE TISSUE USING MRI GUIDANCE FACILITY,,,18.98,17505.14,21 CPT,55882,PR ABLT TRURL PRST8 TIS TRNSDCR,15230.0,13554.7,4025.36,15230.0,482 CPT,55899,HC CRYO PROSTATE ABALTION,3898.0,3469.22,250.38,3898.0,735 CPT,55899,HC UNLISTED PROC MALE GENITAL SYS,3898.0,3469.22,250.38,3898.0,735 CPT,55899,PR MICRO TEST SPRMEXTR(MICROTESE) BILATERAL,3180.0,2830.2,159.0,3180.0,481 CPT,55899,PR MICRO TEST SPRMEXTR(MICROTESE) UNILATERAL,2120.0,1886.8,106.0,2120.0,481 CPT,55899,PR MICROEPIDIDYMAL SPERM ASPIRATN,2274.0,2023.86,113.7,2274.0,481 CPT,55899,PR MR FUS PROSTATE ABLATION,15230.0,13554.7,761.5,15230.0,481 CPT,55899,PR TESTICULAR SPERM EXTRACT(TESE) BILATERAL,2544.0,2264.16,127.2,2544.0,481 CPT,55899,PR TESTICULAR SPERM EXTRACT(TESE) UNILATERAL,1696.0,1509.44,84.8,1696.0,481 CPT,55899,PR UROCUFF,447.0,397.83,22.35,447.0,481 CPT,55899,UNLISTED PROC MALE GENITAL SYS - FACILITY,,,312.83,4676.96,20 CPT,55980,OPERATION TO CHANGE SEX FEMALE TO MALE,,,822.22,7114.06,19 CPT,56405,HC I&D VULVA/PERINEAL ABSCESS,943.0,839.27,112.52,943.0,736 CPT,56405,INCISION AND DRAINAGE OF ABSCESS OF EXTERNAL FEMALE GENITALS FACILITY,,,112.52,404.32,20 CPT,56405,PR I&D VULVA/PERINEAL ABSCESS,706.0,628.34,58.11,706.0,489 CPT,56420,HC I&D BARTHOLINS GLAND ABSCESS,879.0,782.31,95.88,879.0,736 CPT,56420,INCISION AND DRAINAGE OF ABSCESS OF FEMALE GENITAL GLAND FACILITY,,,95.88,268.24,20 CPT,56420,PR I&D BARTHOLINS GLAND ABSCESS,728.0,647.92,73.48,728.0,482 CPT,56440,CREATION OF DRAINAGE TRACT FOR GLAND CYST OF FEMALE GENITALS FACILITY,,,153.93,4295.03,20 CPT,56440,PR MARSUP BARTHOLINS GLAND CYST,1488.0,1324.32,62.81,1488.0,482 CPT,56441,PR LYSIS OF LABIAL ADHESIONS,936.0,833.04,72.39,936.0,482 CPT,56441,REMOVAL OF SCAR TISSUE OF FEMALE GENITALS FACILITY,,,134.46,4295.03,21 CPT,56442,PR HYMENOTOMY INCISION SIMPLE,458.0,407.62,16.91,458.0,482 CPT,56442,SIMPLE INCISION OF HYMEN,,,41.45,4295.03,20 CPT,56501,HC DESTRUCTION LESION VULVA SMPL,7231.0,6435.59,115.77,7231.0,739 CPT,56501,PR DESTRUCTION LESION VULVA SMPL,766.0,681.74,63.39,766.0,507 CPT,56501,SIMPLE DESTRUCTION OF GROWTH OF EXTERNAL FEMALE GENITALS FACILITY,,,115.77,2737.57,21 CPT,56515,EXTENSIVE DESTRUCTION OF GROWTH OF EXTERNAL FEMALE GENITALS FACILITY,,,180.17,2737.57,20 CPT,56515,HC DEST LESN VULVA EXTENSIVE,7429.0,6611.81,180.17,7429.0,737 CPT,56515,PR DEST LESN VULVA EXTENSIVE,1300.0,1157.0,92.16,1300.0,507 CPT,56605,"BIOPSY OF GROWTH OF EXTERNAL FEMALE GENITALS, FIRST GROWTH FACILITY",,,47.58,1222.05,21 CPT,56605,HC BX VULVA/PERINEUM 1 LESN,1187.0,1056.43,47.58,1222.05,741 CPT,56605,PR BX VULVA/PERINEUM 1 LESN,465.0,413.85,31.41,465.0,510 CPT,56606,"BIOPSY OF GROWTH OF EXTERNAL FEMALE GENITALS, EACH ADDITIONAL GROWTH FACILITY",,,23.39,1222.05,20 CPT,56606,HC BX VULVA/PERINEUM ADD LESN,1109.0,987.01,23.39,1109.0,721 CPT,56606,PR BX VULVA/PERINEUM ADD LESN,256.0,227.84,26.0,256.0,508 CPT,56620,PR VULVECTMY SIMPLE/PARTL,3676.0,3271.64,211.57,3676.0,482 CPT,56620,SIMPLE PARTIAL REMOVAL OF EXTERNAL FEMALE GENITALS PROFESSIONAL,,,518.55,4295.03,20 CPT,56625,REMOVAL OF EXTERNAL FEMALE GENITALS,,,581.65,4295.03,20 CPT,56630,EXTENSIVE PARTIAL REMOVAL OF EXTERNAL FEMALE GENITALS,,,565.48,5195.02,19 CPT,56630,PR VULVECTOMY RADICAL PARTIAL,7523.0,6695.47,339.47,7523.0,482 CPT,56631,PARTIAL REMOVAL OF EXTERNAL FEMALE GENITALS AND LYMPH NODES ON SIDE OF GROIN,,,1024.66,5195.02,20 CPT,56631,PR VULVECT RADCL PRTL UNILAT LYMPHDEC,7900.0,7031.0,418.06,7900.0,482 CPT,56632,PARTIAL REMOVAL OF EXTERNAL FEMALE GENITALS AND LYMPH NODES ON BOTH SIDES OF GROIN,,,829.08,1068.98,19 CPT,56632,PR VULVECT RADCL PRTL BILAT LYMPHDEC,9747.0,8674.83,506.7,9747.0,482 CPT,56633,COMPLETE REMOVAL OF FEMALE GENITALS,,,1062.92,9972.47,20 CPT,56633,PR VULVECTOMY RADICAL COMPLETE,8157.0,7259.73,433.67,8157.0,482 CPT,56634,COMPLETE REMOVAL OF EXTERNAL FEMALE GENITALS AND LYMPH NODES ON SIDE OF GROIN,,,1130.86,5195.02,20 CPT,56700,PARTIAL REMOVAL OF HYMEN PROFESSIONAL,,,172.54,4295.03,20 CPT,56700,PR HYMENECTOMY PARTL/REV HYMEN RG,1441.0,1282.49,70.4,1441.0,482 CPT,56740,PR EXCISN BARTHOLIN GLAND/CYST,1687.0,1501.43,108.2,1687.0,489 CPT,56740,REMOVAL OF CYST OF FEMALE GENITAL GLAND,,,265.2,4295.03,20 CPT,56800,PLASTIC REPAIR OF VAGINAL OPENING,,,213.84,6637.28,20 CPT,56800,PR PLASTIC REPAIR OF INTROITUS,1595.0,1419.55,87.25,1595.0,482 CPT,56805,PR CLITOROPLASTY INTERSEX,6065.0,5397.85,388.42,6065.0,482 CPT,56805,RECONSTRUCTION OR CREATION OF THE EXTERNAL FEMALE SEXUAL ORGAN FOR INTERSEX STATE,,,952.0,4750.49,20 CPT,56810,PR PERINEOPLASTY RPERINEUM NONOB,2163.0,1925.07,92.5,2163.0,482 CPT,56810,REPAIR OF SKIN IN AREA BETWEEN ANUS AND GENITALS PROFESSIONAL,,,226.72,4295.03,20 CPT,56820,EXAM OF EXTERNAL FEMALE GENITALS USING AN ENDOSCOPE FACILITY,,,69.65,268.24,20 CPT,56820,PR COLPOSCOPY VULVA,716.0,637.24,42.87,716.0,511 CPT,56821,EXAM AND BIOPSY OF EXTERNAL FEMALE GENITALS USING AN ENDOSCOPE FACILITY,,,92.9,404.32,20 CPT,56821,PR COLPOSCOPY VULVA W BX,796.0,708.44,57.13,796.0,509 CPT,57020,REMOVAL OF ABDOMINAL FLUID FACILITY,,,63.27,6637.28,20 CPT,57023,INCISION AND DRAINAGE OF VAGINAL BLOOD ACCUMULATION,,,264.77,4295.03,20 CPT,57061,PR DEST LESN VAGINAL SIMPLE,824.0,733.36,65.74,824.0,482 CPT,57061,SIMPLE DESTRUCTION OF GROWTH OF VAGINA FACILITY,,,101.99,4295.03,21 CPT,57065,EXTENSIVE DESTRUCTION OF GROWTH OF VAGINA,,,157.29,4295.03,20 CPT,57065,PR DEST LESN VAGINAL EXTENSIVE,1606.0,1429.34,96.01,1606.0,482 CPT,57100,PR BX VAGINAL MUCOSA SMPL,626.0,557.14,35.29,626.0,507 CPT,57100,SIMPLE BIOPSY OF VAGINAL MUCOUS MEMBRANE FACILITY,,,53.63,1222.05,21 CPT,57105,BIOPSY OF EXTENSIVE AREA OF VAGINAL MUCOUS MEMBRANE,,,129.81,4295.03,20 CPT,57105,PR BX VAGINAL MUCOSA EXTEN W SUTURE,1045.0,930.05,69.65,1045.0,482 CPT,57106,PARTIAL REMOVAL OF VAGINAL WALL,,,466.47,8021.24,21 CPT,57106,PR VAGINECTMY PARTL RMVL VAG WALL,3342.0,2974.38,190.32,3342.0,482 CPT,57107,PARTIAL REMOVAL OF VAGINAL WALL AND TISSUE,,,1221.29,9079.41,20 CPT,57107,PR VAGNC PART W REMV PARAVAG TISS,9567.0,8514.63,498.29,9567.0,482 CPT,57109,PR VAGNC RMVL PVG TISS PELV LYMPH,10385.0,9242.65,607.14,10385.0,482 CPT,57110,PR VAGINECTMY CMPLT RMVL VAG WALL,6618.0,5890.02,303.57,6618.0,482 CPT,57110,REMOVAL OF VAGINAL WALL,,,744.04,7114.06,20 CPT,57120,PR COLPOCLEISIS,4298.0,3825.22,182.37,4298.0,482 CPT,57120,SUTURE CLOSURE OF VAGINA AND VAGINAL OPENING,,,446.98,6637.28,21 CPT,57130,PR EXCISN OF VAGINAL SEPTUM,1473.0,1310.97,88.11,1473.0,482 CPT,57130,REMOVAL OF ABNORMAL TISSUE DIVIDING VAGINA FACILITY,,,145.84,6637.28,20 CPT,57135,PR EXCISN OF VAGINAL CYST/TUMOR,1643.0,1462.27,96.45,1643.0,482 CPT,57135,REMOVAL OF CYST OR GROWTH OF VAGINAL FACILITY,,,159.41,6637.28,21 CPT,57155,HC INS UTERINE TANDEM/VAG OVOIDS,10445.0,9296.05,229.27,10445.0,737 CPT,57155,INSERTION OF DEVICE INTO UTERUS FOR RADIATION THERAPY FACILITY,,,229.27,9838.84,21 CPT,57155,PR INS UTERINE TANDEM/VAG OVOIDS,2991.0,2661.99,160.29,2991.0,482 CPT,57156,HC INS VAG BRACHYTHRPY DEV,1686.0,1500.54,122.92,1686.0,738 CPT,57156,INSERTION OF DEVICE INTO VAGINA FOR RADIATION THERAPY FACILITY,,,122.92,404.32,21 CPT,57156,PR INS VAG BRACHYTHRPY DEV,1234.0,1098.26,90.82,1234.0,482 CPT,57160,PR FIT/INST PESSARY/OTR DEV,389.0,346.21,23.58,389.0,510 CPT,57170,PR FIT DIAPHRAGM/CERV CAP,359.0,319.51,28.62,359.0,482 CPT,57200,PR COLPORRHAPHY VAG SUTURE INJURY,1849.0,1645.61,118.2,1849.0,482 CPT,57200,SUTURE OF NONOBSTETRICAL INJURY OF VAGINA,,,289.69,4295.03,20 CPT,57210,SUTURE OF INJURY OF VAGINA AND/OR SKIN,,,335.23,4295.03,20 CPT,57220,PLASTIC REPAIR OF MUSCLES AT URINARY OPENING THROUGH VAGINA,,,296.25,9838.84,20 CPT,57220,PR SPHINCTER URETHRA VAGINAL APPR,2418.0,2152.02,120.87,2418.0,482 CPT,57240,PR COLPORPHY ANTR RPR CYSTOCELE,3643.0,3242.27,208.89,3643.0,482 CPT,57240,REPAIR OF BLADDER HERNIA INTO VAGINAL WALL,,,511.97,9838.84,21 CPT,57250,PR COLPORPHY POSTR RPR RECTOCELE,3794.0,3376.66,208.63,3794.0,482 CPT,57250,REPAIR OF HERNIATED RECTUM INTO VAGINAL WALL,,,511.34,6637.28,20 CPT,57260,"PLASTIC REPAIR OF VAGINA AND TISSUE SEPARATING VAGINA, RECTUM, AND BLADDER",,,641.68,9838.84,21 CPT,57260,PR COLPORRHAPHY ANTEROPOSTERIOR,4625.0,4116.25,261.81,4625.0,482 CPT,57265,PR COLPORPHY A/P RPR ENTEROCELE,4940.0,4396.6,291.97,4940.0,482 CPT,57265,REPAIR OF BULGING OF RECTUM AND BLADDER INTO VAGINAL WALL,,,715.61,9838.84,21 CPT,57267,INSERTION OF ARTIFICIAL MATERIAL FOR PELVIC FLOOR DEFECT,,,201.76,6637.28,20 CPT,57268,PR REPAIR ENTEROCELE VAGINAL APPR,3037.0,2702.93,176.09,3037.0,482 CPT,57268,REPAIR OF PROTRUSION OF INTESTINE INTO RECTUM OR VAGINA THROUGH VAGINA,,,431.59,6637.28,20 CPT,57270,PR REPAIR ENTEROCELE ABDL APPR,4182.0,3721.98,274.37,4182.0,482 CPT,57280,ATTACHMENT OF VAGINA TO REAR PELVIC BONE,,,672.37,1199.9,20 CPT,57280,PR COLPOPEXY ABDOMINAL APPROACH,5708.0,5080.12,326.37,5708.0,482 CPT,57282,PR COLPOPEXY VAG EXTRPERIT APPR,4164.0,3705.96,235.14,4164.0,482 CPT,57282,REPAIR OF PELVIC LIGAMENTS THROUGH VAGINA,,,576.32,9838.84,21 CPT,57283,PR COLPOPEXY VAG INTRPERIT APPR,4043.0,3598.27,235.87,4043.0,482 CPT,57283,REPAIR OF PROLAPSING VAGINAL VAULT THROUGH VAGINA,,,578.11,9838.84,21 CPT,57287,PR RMVL/RVSN SLING STRESS INCONT,4416.0,3930.24,255.61,4416.0,482 CPT,57287,REMOVAL OR REVISION OF INCONTINENCE SLING,,,626.5,4295.03,20 CPT,57288,CREATION OF SLING AROUND URETHRA IN FEMALE TO CONTROL LEAKAGE,,,624.7,6637.28,21 CPT,57288,PR SLING OPR STRESS INCONTINENCE,4990.0,4441.1,254.88,4990.0,482 CPT,57292,CONSTRUCTION OF ARTIFICIAL VAGINA USING TISSUE GRAFT,,,680.95,6637.28,20 CPT,57292,PR CNSTRCT ARTIFICIAL VAGINA W GRAFT,8920.0,7938.8,277.83,8920.0,482 CPT,57295,PR REV PROSTH VAG GRFT VAG APPR,2802.0,2493.78,172.93,2802.0,482 CPT,57295,REVISION OF PROSTHETIC VAGINAL GRAFT,,,423.84,4295.03,20 CPT,57296,PR REV PROSTH VAG GRFT ABD APPR,6920.0,6158.8,319.29,6920.0,482 CPT,57300,CLOSURE OF ABNORMAL DRAINAGE TRACT FROM RECTUM TO VAGINA THROUGH VAGINA OR ANUS,,,1065.72,4295.03,20 CPT,57300,PR CLSR RECTOVAG FSTL VAG/ANL APP,4152.0,3695.28,217.41,4152.0,482 CPT,57305,PR CLSR RECTOVAG FSTL ABD APPR,4515.0,4018.35,341.91,4515.0,482 CPT,57308,CLOSURE OF ABNORMAL DRAINAGE TRACT FROM RECTUM TO VAGINA WITH PERINEAL RECONSTRUCTION,,,471.63,1807.98,20 CPT,57308,PR CLSR RECTOVAG FSTL TXPERI APPR,4511.0,4014.79,245.89,4511.0,482 CPT,57310,CLOSURE OF ABNORMAL DRAINAGE TRACT FROM URETHRA TO VAGINA,,,862.4,9838.84,20 CPT,57310,PR CLOSURE OF URETHROVAGINAL FSTL,3037.0,2702.93,175.93,3037.0,482 CPT,57311,CLOSURE OF ABNORMAL DRAINAGE TRACT FROM URETHRA TO VAGINA WITH TRANSPLANT,,,965.6,4295.03,20 CPT,57311,PR RPR URETHROVAGINAL LESN,3628.0,3228.92,196.98,3628.0,482 CPT,57320,PR CLSR VESICOVAG FIST VAG APPR,4465.0,3973.85,192.22,4465.0,482 CPT,57330,PR CLSR VESICOVAG FSTL TRNSVG/VAG APPR,4729.0,4208.81,267.58,4729.0,482 CPT,57335,PLASTIC REPAIR OF VAGINA FOR INTERSEX STATE,,,963.26,6637.28,20 CPT,57335,PR VAGINOPLASTY INTERSEX,8328.0,7411.92,393.01,8328.0,482 CPT,57400,PR DILATION OF VAGINA UNDER ANES,1046.0,930.94,43.75,1046.0,482 CPT,57410,PELVIC EXAM UNDER ANESTHESIA FACILITY,,,90.33,4295.03,21 CPT,57410,PR PELVIC EXAMINATION UNDER ANES,626.0,557.14,36.86,626.0,482 CPT,57415,PR RMVL IMPACTED VAG FB W ANES,789.0,702.21,60.57,789.0,482 CPT,57415,REMOVAL OF IMPACTED FOREIGN BODY IN VAGINA UNDER ANESTHESIA,,,148.46,4295.03,21 CPT,57420,EXAM OF VAGINA AND CERVIX USING AN ENDOSCOPE FACILITY,,,74.66,404.32,20 CPT,57420,PR COLPOSCOPY ENTIRE VAG W CERVIX,780.0,694.2,46.04,780.0,508 CPT,57421,BIOPSY OF VAGINA AND CERVIX USING AN ENDOSCOPE FACILITY,,,100.02,4295.03,20 CPT,57421,PR COLPOSCOPY ENTIRE VAG CX W BX,798.0,710.22,60.68,798.0,511 CPT,57425,PR LAPAROSCOPY COLPOPEXY,7064.0,6286.96,327.06,7064.0,482 CPT,57425,SURGICAL REPAIR OF VAGINAL DEFECT USING AN ENDOSCOPE,,,801.61,14103.72,21 CPT,57426,PR REV PROST VAG GRFT LAPAROSCOPC,5728.0,5097.92,296.97,5728.0,482 CPT,57452,EXAM OF CERVIX AND UPPER PART OF VAGINA USING AN ENDOSCOPE FACILITY,,,77.11,4295.03,20 CPT,57452,PR COLPOSCOPY CERVIX UPR/ADJ VAG,585.0,520.65,42.12,585.0,507 CPT,57454,BIOPSY AND SCRAPING OF CERVIX USING AN ENDOSCOPE FACILITY,,,110.36,4295.03,20 CPT,57454,PR COLPOSCOPY CERVIX W BX & ECC,824.0,733.36,55.08,824.0,511 CPT,57455,BIOPSY OF CERVIX USING AN ENDOSCOPE FACILITY,,,88.63,4295.03,20 CPT,57455,PR COLPOSCOPY CERVIX W BX,780.0,694.2,53.75,780.0,507 CPT,57456,PR COLPOSCOPY CERVIX W ECC,732.0,651.48,50.35,732.0,509 CPT,57456,SCRAPING OF CERVIX USING AN ENDOSCOPE FACILITY,,,81.94,404.32,20 CPT,57460,BIOPSY OF CERVIX USING AN ENDOSCOPE WITH LOOP ELECTRODE FACILITY,,,131.3,4295.03,20 CPT,57460,PR COLPOSCOPY CX W LOOP ELEC BX,1578.0,1404.42,123.83,1578.0,483 CPT,57461,CONE BIOPSY OF CERVIX AND VAGINA USING AN ENDOSCOPE WITH LOOP ELECTRODE FACILITY,,,148.42,4295.03,20 CPT,57461,PR COLPOSCOPY CERVIX W LOOP CONIZ,2150.0,1913.5,139.37,2150.0,482 CPT,57500,BIOPSY OF CERVIX OR REMOVAL OF GROWTH FACILITY,,,64.18,1222.05,20 CPT,57500,HC BIOPSY CERVIX SNGL/MULT LESN,2348.0,2089.72,64.18,2348.0,737 CPT,57500,PR BIOPSY CERVIX SNGL/MULT LESN,711.0,632.79,51.82,711.0,508 CPT,57505,PR CURETTAGE ENDOCERVICAL,704.0,626.56,59.99,704.0,483 CPT,57505,SCRAPING OF TISSUE OF CERVIX FACILITY,,,96.16,4295.03,20 CPT,57510,ELECTRO OR THERMAL DESTRUCTION OF CERVIX FACILITY,,,95.05,4295.03,19 CPT,57510,PR CAUTERY CERVIX ELECTRO/THERMAL,741.0,659.49,64.58,741.0,482 CPT,57513,LASER DESTRUCTION OF CERVIX,,,124.56,4295.03,20 CPT,57513,PR CAUTERY CERVIX LASER ABLATION,1829.0,1627.81,78.31,1829.0,482 CPT,57520,PR CONIZATION CERVIX KNIFE/LASER,2145.0,1909.05,141.83,2145.0,482 CPT,57520,REMOVAL OR DESTRUCTION OF CERVIX WITH COLD KNIFE OR LASER FACILITY,,,258.26,4295.03,20 CPT,57522,PR CONIZATION CX EXCISN LOOP ELEC,1906.0,1696.34,118.4,1906.0,482 CPT,57522,REMOVAL OR DESTRUCTION OF CERVIX USING LOOP ELECTRODE FACILITY,,,219.04,4295.03,20 CPT,57530,AMPUTATION OF CERVIX,,,321.3,9838.84,20 CPT,57530,PR TRACHELECTOMY AMP CERVIX,2414.0,2148.46,131.09,2414.0,482 CPT,57550,REMOVAL OF REMAINING CERVIX THROUGH VAGINA,,,364.64,9838.84,20 CPT,57556,REMOVAL OF REMAINING CERVIX WITH REPAIR OF HERNIATED BOWEL INTO VAGINAL WALL,,,489.62,6637.28,20 CPT,57700,SUTURE OF CERVIX,,,305.42,6637.28,20 CPT,57720,PR TRACHELORRHAPHY UTERINE CERVIX,1978.0,1760.42,115.98,1978.0,482 CPT,57800,PR DIL CERVIX CANAL INSTRUMENTAL,416.0,370.24,29.44,416.0,482 CPT,58100,BIOPSY OF LINING OF UTERUS FACILITY,,,50.43,268.24,21 CPT,58100,HC BX ENDOMETRIAL WO CERVIX DIL,503.0,447.67,50.43,503.0,1478 CPT,58100,PR BX ENDOMETRIAL WO CERVIX DIL,505.0,449.45,32.87,505.0,485 CPT,58110,EXAM OF CERVIX USING AN ENDOSCOPE WITH BIOPSY OF LINING OF UTERUS FACILITY,,,32.28,524.58,20 CPT,58110,PR ENDOMETRIAL SAMPL PERF W COLPO,341.0,303.49,33.59,341.0,508 CPT,58120,DILATION AND SCRAPING OF UTERUS FACILITY,,,196.54,4295.03,20 CPT,58120,HC D&C NONOBSTETRICAL,6319.0,5623.91,196.54,6319.0,736 CPT,58120,PR D&C NONOBSTETRICAL,1770.0,1575.3,99.75,1770.0,510 CPT,58140,PR MYOMECTOMY 1-4 MYOMA ABD APPR,6470.0,5758.3,308.26,6470.0,482 CPT,58145,"REMOVAL OF GROWTH OF UTERUS THROUGH VAGINA, 1-4 GROWTHS FACILITY",,,468.09,4295.03,20 CPT,58146,PR MYOMECTOMY 5+ MYOMA ABD APPR,6283.0,5591.87,383.51,6283.0,482 CPT,58146,REMOVAL OF 5 OR MORE GROWTHS OF UTERUS THROUGH ABDOMEN,,,797.02,1409.97,20 CPT,58150,PR HYSTERECTOMY TOTAL ABD,5797.0,5159.33,351.07,5797.0,482 CPT,58150,REMOVAL OF UTERUS AND CERVIX THROUGH ABDOMEN,,,708.2,1290.68,20 CPT,58180,PR HYSTERECTOMY SUPRACERV ABD,7122.0,6338.58,327.23,7122.0,482 CPT,58200,PR HYSTERECTOMY TOT ABD BX LYMPH,9514.0,8467.46,469.49,9514.0,482 CPT,58200,REMOVAL OF UTERUS THROUGH ABDOMEN WITH PARTIAL REMOVAL OF VAGINA,,,939.11,1726.07,20 CPT,58210,PR HYSTERECTOMY RADCL ABD,12318.0,10963.02,627.22,12318.0,482 CPT,58210,"REMOVAL OF UTERUS, CERVIX, AND LYMPH NODES OF PELVIS WITH BIOPSY OF LYMPH NODES OF AORTA",,,1537.31,8021.24,20 CPT,58240,PR EXENTERATION PELVIC GYN MLG,19606.0,17449.34,1007.11,19606.0,482 CPT,58260,PR HYSTERECTOMY VAGINAL <=250 G,5632.0,5012.48,282.02,5632.0,482 CPT,58260,"REMOVAL OF UTERUS THROUGH VAGINA, 250.0 G OR LESS",,,691.22,9838.84,20 CPT,58262,PR HYST VAG <=250G RMVL TUBES/OV,6016.0,5354.24,310.79,6016.0,482 CPT,58262,"REMOVAL OF UTERUS, TUBES, AND/OR OVARIES THROUGH VAGINA, 250.0 G OR LESS-EXPRESS CARE",,,761.73,6637.28,20 CPT,58263,PR HYST VAG <=250G W TUB&/OV W ENTR,7506.0,6680.34,332.57,7506.0,482 CPT,58263,"REMOVAL OF UTERUS, TUBES, AND/OR OVARIES WITH REPAIR OF HERNIATED BOWEL THROUGH VAGINA, 250.0 G OR LESS",,,815.12,9838.84,20 CPT,58270,PR HYSTERECTOMY W RPR ENTEROCELE,6977.0,6209.53,300.82,6977.0,482 CPT,58270,"REMOVAL OF UTERUS WITH REPAIR OF HERNIATED BOWEL THROUGH VAGINA, 250.0 G OR LESS",,,737.29,9838.84,20 CPT,58280,REMOVAL OF UTERUS AND VAGINA WITH REPAIR OF HERNIATED BOWEL INTO RECTUM OR VAGINA THROUGH VAGINA,,,865.66,6637.28,20 CPT,58291,PR HYST VAG UTRS>250 G W TUBES/OV,7758.0,6904.62,412.53,7758.0,482 CPT,58291,"REMOVAL OF UTERUS, TUBES, AND/OR OVARIES THROUGH VAGINA, MORE THAN 250.0 G",,,1011.09,9838.84,20 CPT,58292,"REMOVAL OF UTERUS, TUBES, AND/OR OVARIES WITH REPAIR OF HERNIATED BOWEL THROUGH VAGINA, MORE THAN 250.0 G",,,1064.29,9838.84,20 CPT,58300,HC INSERT OF INTRAUTERINE DEVICE,1533.0,1364.37,35.33,1533.0,725 CPT,58300,INSERTION OF IUD FOR PREGNANCY PREVENTION FACILITY,,,124.99,4295.03,19 CPT,58300,PR INSERT OF INTRAUTERINE DEVICE,503.0,447.67,91.0,503.0,494 CPT,58301,HC REMOVAL OF INTRAUTERINE DEVICE,1533.0,1364.37,53.12,1533.0,1480 CPT,58301,PR REMOVAL OF INTRAUTERINE DEVICE,450.0,400.5,37.61,450.0,512 CPT,58301,REMOVAL OF IUD FACILITY,,,53.12,4295.03,20 CPT,58322,PR ARTIFICIAL INSEM INTRA-UTERINE,413.0,367.57,36.67,413.0,486 CPT,58340,HC CATH W INJ CNTRST HSG,654.0,582.06,49.36,654.0,722 CPT,58340,INSERTION OF TUBE AND INTRODUCTION OF CONTRAST FOR X-RAY OF UTERUS AND FALLOPIAN TUBES FACILITY,,,49.36,316.58,20 CPT,58340,PR CATH W INJ CNTRST HSG,870.0,774.3,97.69,870.0,486 CPT,58345,INSERTION OF TUBE INTO FALLOPIAN TUBE,,,238.32,6637.28,20 CPT,58350,INJECTION OF X-RAY CONTRAST INTO FALLOPIAN TUBE,,,80.86,8021.24,20 CPT,58350,PR CHROMOTUBATION OVIDUCT,664.0,590.96,57.95,664.0,482 CPT,58353,HC ENDOMETRIAL ABLATION THERMAL,8174.0,7274.86,191.32,8174.0,736 CPT,58353,PR ENDOMETRIAL ABLATION THERMAL,5062.0,4505.18,366.51,5062.0,482 CPT,58356,DESTRUCTION OF LINING OF UTERUS USING ULTRASOUND GUIDANCE,,,281.5,9838.84,20 CPT,58400,PR RPR UTERUS SUSPENSION,3621.0,3222.69,160.55,3621.0,482 CPT,58400,REPOSITIONING OF UTERUS,,,393.49,6637.28,20 CPT,58542,"PARTIAL REMOVAL OF UTERUS, TUBES, AND/OR OVARIES WITH RETENTION OF CERVIX USING AN ENDOSCOPE, 250.0 G OR LESS",,,683.6,14103.72,20 CPT,58544,"PARTIAL REMOVAL OF UTERUS, TUBES, AND/OR OVARIES WITH RETENTION OF CERVIX USING AN ENDOSCOPE, MORE THAN 250.0 G",,,746.09,14103.72,20 CPT,58544,PR LAP SUPRACERV HYST>250 W RMVL,7124.0,6340.36,304.41,7124.0,482 CPT,58545,PR LAP MYOMECTOMY 1-4 MYOMA<=250 G,8065.0,7177.85,304.65,8065.0,482 CPT,58545,"REMOVAL OF GROWTH OF UTERUS USING AN ENDOSCOPE, 250.0 G OR LESS",,,746.69,8021.24,20 CPT,58546,PR LAP MYOMECTOMY 5+MYOMAS>250 G,8318.0,7403.02,369.65,8318.0,482 CPT,58546,"REMOVAL OF GROWTH OF UTERUS USING AN ENDOSCOPE, MORE THAN 250.0 G",,,905.99,14103.72,20 CPT,58548,PR LAP RADCL HYST W BILAT LYMPHDEC,10615.0,9447.35,646.69,10615.0,482 CPT,58548,"REMOVAL OF UTERUS, CERVIX, AND LYMPH NODES OF PELVIS WITH BIOPSY OF AORTIC LYMPH NODE USING AN ENDOSCOPE",,,1585.01,8021.24,20 CPT,58552,PR LAP VAG HYST UTRS=<250 W RMVL,6616.0,5888.24,331.7,6616.0,482 CPT,58552,"REMOVAL OF UTERUS, TUBES, AND/OR OVARIES THROUGH VAGINA USING AN ENDOSCOPE, 250.0 G OR LESS",,,812.98,14103.72,20 CPT,58553,"REMOVAL OF UTERUS THROUGH VAGINA USING AN ENDOSCOPE, MORE THAN 250.0",,,911.32,14103.72,20 CPT,58554,PR LAP VAG HYST UTRS>250 G W RMVL,7134.0,6349.26,437.66,7134.0,482 CPT,58554,"REMOVAL OF UTERUS, TUBES, AND/OR OVARIES THROUGH VAGINA USING AN ENDOSCOPE, MORE THAN 250.0 G",,,1072.68,14103.72,20 CPT,58555,DIAGNOSTIC EXAM OF UTERUS USING AN ENDOSCOPE FACILITY,,,124.99,4295.03,21 CPT,58555,HC HYSTEROSCOPY DIAGNOSTIC,6412.0,5706.68,124.99,6412.0,743 CPT,58555,PR HYSTEROSCOPY DIAGNOSTIC,2001.0,1780.89,132.19,2001.0,482 CPT,58558,BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE FACILITY,,,188.77,4295.03,21 CPT,58558,HC HYSTERSCPY W BX ENDOMETR/POLYP,9466.0,8424.74,188.77,9466.0,742 CPT,58558,PR HYSTERSCPY W BX ENDOMETR/POLYP,4039.0,3594.71,524.35,4039.0,485 CPT,58559,HC HYST W LYSIS INTRAUTER ADHES,8065.0,7177.85,229.7,8065.0,737 CPT,58559,PR HYST W LYSIS INTRAUTER ADHES,3137.0,2791.93,93.72,3137.0,482 CPT,58559,RELEASE OF SCAR TISSUE OF UTERUS USING AN ENDOSCOPE FACILITY,,,229.7,6637.28,20 CPT,58560,PR HYSTEROSCOPY W DIVISION SEPTUM,3853.0,3429.17,103.2,3853.0,482 CPT,58560,RELEASE OF SCAR TISSUE OF UTERUS AND RELEASE OR REMOVAL AND SEPTUM USING AN ENDOSCOPE,,,252.94,6637.28,20 CPT,58561,PR HYSTEROSCOPY RMVL LEIOMYOMATA,4299.0,3826.11,117.78,4299.0,482 CPT,58561,REMOVAL OF GROWTH OF MUSCLE OF UTERUS USING AN ENDOSCOPE FACILITY,,,288.68,6637.28,20 CPT,58562,HC HYSTEROSCOPY RMVL IMPACTED FB,9657.0,8594.73,180.29,9657.0,738 CPT,58562,PR HYSTEROSCOPY RMVL IMPACTED FB,2391.0,2127.99,158.96,2391.0,482 CPT,58562,REMOVAL OF FOREIGN BODY IN UTERUS USING AN ENDOSCOPE FACILITY,,,180.29,4295.03,20 CPT,58563,EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE FACILITY,,,200.08,6637.28,20 CPT,58563,PR HYSTEROSCOPY ENDOMETRIAL ABLT,7292.0,6489.88,833.96,7292.0,482 CPT,58565,PLACEMENT OF IMPLANTS TO BLOCK FALLOPIAN TUBES USING AN ENDOSCOPE,,,379.28,8021.24,20 CPT,58565,PR HYSTERSCPY OCC BI TUBE W IMPL,7573.0,6739.97,649.47,7573.0,482 CPT,58570,PR LAP W TOTAL HYST UTRS<=250G,6231.0,5545.59,275.36,6231.0,482 CPT,58570,"REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE, 250.0 G OR LESS",,,674.89,14103.72,20 CPT,58571,PR LAP TOT HYST UTRS<=250G W TB/OV,6228.0,5542.92,312.46,6228.0,482 CPT,58571,"REMOVAL OF UTERUS, TUBES, AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE, 250.0 G OR LESS PROFESSIONAL",,,765.82,14103.72,21 CPT,58572,"REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE, MORE THAN 250.0 G",,,871.32,14103.72,20 CPT,58573,PR LAP TOT HYST UTRS>250G W TB/OV,7868.0,7002.52,415.29,7868.0,482 CPT,58573,"REMOVAL OF UTERUS, TUBES, AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE, MORE THAN 250.0 G PROFESSIONAL",,,1017.86,14103.72,20 CPT,58575,PR LAPS TOT HYST RESJ MAL,13697.0,12190.33,664.46,13697.0,482 CPT,58575,REMOVAL OF UTERUS FOR REMOVAL OF GROWTH USING AN ENDOSCOPE,,,848.22,8021.24,19 CPT,58578,UNLISTED PROC LAP UTRS,,,540.31,8021.24,19 CPT,58579,UNLISTED PROC HYSTEROSCOPY,,,10.95,268.24,19 CPT,58580,DESTRUCTION OF UTERINE FIBROID(S) USING HEAT WITH ULTRASOUND GUIDANCE AND MONITORING FACILITY,,,70.98,9838.84,20 CPT,58600,TYING OR INCISION OF FALLOPIAN TUBES,,,311.42,6637.28,20 CPT,58605,PR LIG FALLOPIAN TUBE POST PARTUM,2862.0,2547.18,115.78,2862.0,482 CPT,58611,PR LIG FALLOPIAN TUBE W OTHR SURG,635.0,565.15,48.78,635.0,482 CPT,58660,PR LAPAROSCOPY W LYSIS ADHESIONS,5051.0,4495.39,235.35,5051.0,482 CPT,58661,PR LAPAROSCOPY W RMVL ADNEXA,4686.0,4170.54,220.45,4686.0,482 CPT,58661,REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE PROFESSIONAL,,,540.31,9079.41,20 CPT,58662,DESTRUCTION OR REMOVAL OF OVARY OR GROWTH OF PELVIS USING AN ENDOSCOPE PROFESSIONAL,,,597.61,8021.24,20 CPT,58662,PR LAP W FULG/EXC LESN OV/VISC/PERIT,4526.0,4028.14,243.83,4526.0,482 CPT,58670,DESTRUCTION OF FALLOPIAN TUBES USING AN ENDOSCOPE,,,312.11,8021.24,20 CPT,58670,PR LAPAROSCOPY FULGURATN OVIDUCTS,3216.0,2862.24,127.34,3216.0,482 CPT,58671,BLOCKAGE OF UTERINE TUBES BY DEVICE USING AN ENDOSCOPE,,,312.11,8021.24,20 CPT,58673,REPAIR OF UTERINE TUBE USING AN ENDOSCOPE,,,648.02,14103.72,20 CPT,58674,DESTRUCTION OF GROWTH OF UTERUS USING AN ENDOSCOPE WITH ULTRASOUND GUIDANCE AND MONITORING,,,188.77,14103.72,20 CPT,58674,PR LAPS ABLTJ UTERINE FIBROIDS W/INTRAOP US GDN,5296.0,4713.44,272.97,5296.0,482 CPT,58679,UNLISTED PROC LAP OVIDUCT/OVARY,,,597.61,8021.24,19 CPT,58700,PR SALPINGECTMY CMPLT/PRTL UNI/BILAT,4953.0,4408.17,276.82,4953.0,482 CPT,58700,REMOVAL OF UTERINE TUBES,,,556.79,1017.71,20 CPT,58720,PR SALPINGO-OOPHORECTOMY,5034.0,4480.26,264.26,5034.0,482 CPT,58720,REMOVAL OF UTERINE TUBES AND OVARIES,,,647.69,9838.84,20 CPT,58800,DRAINAGE OF CYSTS OF OVARIES THROUGH VAGINA,,,266.03,4295.03,20 CPT,58800,PR DRN OVARIAN CYST VAG APPR,2839.0,2526.71,138.69,2839.0,482 CPT,58805,DRAINAGE OF CYSTS OF OVARIES THROUGH ABDOMEN,,,359.16,8021.24,20 CPT,58805,PR DRN OVARIAN CYST ABD APPR,3552.0,3161.28,146.54,3552.0,482 CPT,58825,PR TRANSPOSITION OVARY(S),5368.0,4777.52,238.87,5368.0,482 CPT,58925,PR CYSTECTOMY OVARIAN,4181.0,3721.09,264.22,4181.0,482 CPT,58925,REMOVAL OF CYSTS OF OVARIES,,,647.58,6637.28,20 CPT,58940,PR OOPHORECTOMY,3804.0,3385.56,196.53,3804.0,482 CPT,58950,PR RSECT OVARIAN MLG BSO,7514.0,6687.46,402.46,7514.0,482 CPT,58951,PR RSECT OVARIAN MLG SALPING TAH,13152.0,11705.28,498.18,13152.0,482 CPT,58952,PR RSECT OVARIAN MLG RADCL DISSECT,13628.0,12128.92,569.39,13628.0,482 CPT,58952,"REMOVAL OF LINING OF ABDOMEN, OVARIES, AND FALLOPIAN TUBES WITH REDUCTION OF GROWTH",,,1395.55,8021.24,20 CPT,58953,PR SALPINGO-OOPHORECTOMY BILAT HYST,15900.0,14151.0,689.29,15900.0,482 CPT,58953,"REMOVAL OF LINING OF ABDOMEN, UTERUS, OVARIES, AND FALLOPIAN TUBES WITH EXTENSIVE REDUCTION OF GROWTH",,,1390.38,2534.13,20 CPT,58954,PR SALPINGO-OOPHORECTOMY BILAT LYMPH,17265.0,15365.85,744.82,17265.0,482 CPT,58956,PR SALPINGO-OOPHORECTOMY TOTAL,9734.0,8663.26,472.89,9734.0,482 CPT,58958,PR RSECT RCUR OVARY MLG W LYMPH,14556.0,12954.84,549.03,14556.0,482 CPT,58960,EXAM OF ABDOMINAL CAVITY WITH REMOVAL OR BIOPSY OF ABDOMINAL LINING OR LYMPH NODES,,,868.62,8021.24,20 CPT,58960,PR LAPAROTOMY STAGING OVARIAN MLG,7170.0,6381.3,354.4,7170.0,482 CPT,58970,HC PUNC FOLLICLE OOCYTE RETRIEVE,2155.0,1917.95,159.92,2155.0,740 CPT,58970,PR PUNC FOLLICLE OOCYTE RETRIEVE,3861.0,3436.29,92.32,3861.0,482 CPT,58970,REMOVAL OF EGGS FROM OVARIES FACILITY,,,159.92,1222.05,20 CPT,58974,HC INTRA-UTERINE EMBRYO TRANSFER,1184.0,1053.76,215.42,1222.05,734 CPT,58974,INJECTION OF FERTILIZED EGGS INTO UTERUS FACILITY,,,3.99,1222.05,20 CPT,58974,PR INTRA-UTERINE EMBRYO TRANSFER,1781.0,1585.09,58.6,1781.0,486 CPT,58999,PR MONALISA TOUCH VAGINAL LASER TX PKG,1549.0,1378.61,77.45,1549.0,478 CPT,58999,PR UTERINE SOUNDING,571.0,508.19,28.55,571.0,478 CPT,58999,"PR VAG LASER TX, EACH TX",516.0,459.24,25.8,516.0,478 CPT,58999,PR VAGINAL CUFF REPAIR/REVISION,1849.0,1645.61,92.45,1849.0,478 CPT,58999,UNLISTED PROC FEMALE GENT - FACILITY,,,141.96,4295.03,20 CPT,59000,PR AMNIOCENTESIS DIAGNOSTIC,891.0,792.99,45.6,891.0,484 CPT,59000,REMOVAL OF SAMPLE OF AMNIOTIC FLUID SURROUNDING FETUS FOR DIAGNOSIS,,,63.66,1222.05,20 CPT,59001,PR AMNIOCENTESIS THERAPEUTIC AFR,1504.0,1338.56,56.58,1504.0,482 CPT,59001,REMOVAL OF AMNIOTIC FLUID TO REDUCE AMOUNT OF FLUID SURROUNDING FETUS USING ULTRASOUND GUIDANCE,,,138.68,404.32,20 CPT,59012,PR CORDOCENTESIS INTRAUTERINE,1635.0,1455.15,63.33,1635.0,482 CPT,59012,REMOVAL OF BLOOD FROM FETAL UMBILICAL CORD,,,155.22,404.32,20 CPT,59015,PR SAMPLING CHORIONIC VILLUS,1579.0,1405.31,59.81,1579.0,482 CPT,59015,REMOVAL OF TISSUE FROM PLACENTA FOR DIAGNOSIS,,,102.25,1222.05,20 CPT,59025,FETAL TEST FACILITY,,,47.97,268.24,20 CPT,59025,HC FETAL NON STRESS TEST,674.0,599.86,47.97,674.0,741 CPT,59025,PR FETAL NON STRESS TEST,192.0,170.88,17.47,249.0,1449 CPT,59070,INFUSION OF NORMAL SALINE INTO FETAL AMNIOTIC SAC USING ULTRASOUND GUIDANCE,,,238.69,404.32,20 CPT,59070,PR AMNIOINFUSION TRNSABD W GUIDE,2453.0,2183.17,151.1,2453.0,482 CPT,59072,OCCLUSION OF FETAL UMBILICAL CORD USING ULTRASOUND GUIDANCE,,,305.38,598.61,20 CPT,59072,PR FETL UMBIL CORD OCCL W/US GUID,3558.0,3166.62,162.82,3558.0,482 CPT,59074,DRAINAGE OF FETAL FLUID USING ULTRASOUND GUIDANCE,,,238.69,404.32,20 CPT,59074,PR DRAINAGE FETAL FLUID W US GUID,2499.0,2224.11,144.79,2499.0,482 CPT,59076,PLACEMENT OF SHUNT INTO FETAL CHEST USING ULTRASOUND GUIDANCE,,,305.38,598.61,20 CPT,59076,"PR FETAL SHUNT PLACEMENT, W/ US",3317.0,2952.13,162.82,3317.0,482 CPT,59136,REMOVAL OF TUBAL PREGNANCY AND REPAIR OF UTERINE WALL,,,153.5,14295.9,16 CPT,59151,PR LAP ECTOPIC PREG W SALP/OOPH,5277.0,4696.53,249.11,5277.0,482 CPT,59151,REMOVAL OF OVARIAN OR TUBAL PREGNANCY WITH REMOVAL OF OVARY AND/OR TUBE USING AN ENDOSCOPE,,,610.56,8021.24,20 CPT,59160,PR CURRETTAGE POSTPARTUM,1538.0,1368.82,100.89,1538.0,482 CPT,59160,SCRAPING OF LINING OF UTERUS AFTER DELIVERY,,,148.63,4295.03,20 CPT,59200,INSERTION OF DILATOR DEVICE INTO CERVIX FACILITY,,,51.57,4295.03,20 CPT,59200,PR INSERT CERVICAL DILATOR,442.0,393.38,43.04,442.0,508 CPT,59300,PR EPISIOTOMY/VAGINAL REPAIR,1113.0,990.57,86.14,1113.0,482 CPT,59320,PR CERCLAGE CERVIX VAGINAL,1853.0,1649.17,48.79,1853.0,482 CPT,59320,SUTURE OF CERVIX DURING PREGNANCY THROUGH VAGINA,,,119.57,4295.03,20 CPT,59325,PR CERCLAGE CERVIX ABDOMINAL,2535.0,2256.15,76.2,2535.0,482 CPT,59350,PR HYSTERORRHAPHY RUPT UTERUS,2705.0,2407.45,86.16,2705.0,482 CPT,59400,PR ROUTINE VAG ANTE/POSTPRTUM PKG,7847.0,6983.83,688.33,7847.0,507 CPT,59409,PR DEL VAG ONLY,4285.0,3813.65,257.2,4285.0,482 CPT,59410,PR DEL VAG ONLY INCL POSTPARTUM,4730.0,4209.7,349.13,4730.0,482 CPT,59412,HC EXTERNAL CEPHALIC VERSION,5449.0,4849.61,82.04,5449.0,736 CPT,59412,PR EXTERNAL CEPHALIC VERSION,991.0,881.99,66.94,991.0,482 CPT,59412,TURNING OF FETUS THROUGH EXTERNAL MANIPULATION FACILITY,,,82.04,4295.03,20 CPT,59414,PR DELIVERY PLACENTA SEP PROC,820.0,729.8,28.87,820.0,482 CPT,59425,PR ANTEPARTUM CARE ONLY 4-6 VISIT,1962.0,1746.18,367.16,1962.0,510 CPT,59426,PR ANTEPARTUM CARE ONLY 7+ VISITS,3487.0,3103.43,674.08,3487.0,509 CPT,59430,PR POST PARTUM CARE ONLY,723.0,643.47,84.32,723.0,482 CPT,59510,CESAREAN DELIVERY WITH CARE BEFORE AND AFTER DELIVERY,,,1360.13,3280.53,20 CPT,59510,PR ROUTINE C/S ANTE/POSTPRTUM PKG,9499.0,8454.11,892.31,9499.0,482 CPT,59514,PR DELIVERY ONLY CESAREAN,4050.0,3604.5,289.38,4050.0,482 CPT,59515,CESAREAN DELIVERY WITH CARE AFTER DELIVERY,,,682.8,1590.77,20 CPT,59515,PR DEL ONLY CESAREAN POSTPARTUM,5432.0,4834.48,432.69,5432.0,482 CPT,59525,PR HYSTERECTOMY AFTER CESAREAN,3551.0,3160.39,297.95,3551.0,482 CPT,59610,PR ROUTINE VBAC PACKAGE,8157.0,7259.73,713.11,8157.0,507 CPT,59612,PR VBAC DEL ONLY,4646.0,4134.94,287.86,4646.0,482 CPT,59614,PR VBAC DEL ONLY W PP,5390.0,4797.1,374.03,5390.0,482 CPT,59618,PR C/S AFTER ATMPT VBAC PACKAGE,8800.0,7832.0,899.87,8800.0,482 CPT,59622,PR C/S ONLY AFTER ATMPT VBAC W PP,6710.0,5971.9,446.51,6710.0,482 CPT,59812,PR TX INCOMPLETE ABORTION,1868.0,1662.52,135.49,1868.0,482 CPT,59812,TREATMENT OF MISCARRIAGE FACILITY,,,249.94,4295.03,20 CPT,59820,PR TX MISSED ABORTION SURG 1ST T,2054.0,1828.06,164.33,2054.0,483 CPT,59820,TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER PROFESSIONAL,,,320.27,4295.03,20 CPT,59821,PR TX MISSED ABORTION SURG 2ND T,2531.0,2252.59,161.65,2531.0,482 CPT,59821,TREATMENT OF MISCARRIAGE DURING SECOND TRIMESTER,,,310.27,4295.03,20 CPT,59830,PR TX SEPTIC ABORTION,2791.0,2483.99,152.87,2791.0,482 CPT,59840,INDUCED ABORTION BY DILATION AND SCRAPING OF UTERINE,,,181.64,4295.03,20 CPT,59840,PR ABORTION INDUCED BY D&C,2019.0,1796.91,92.2,2019.0,482 CPT,59841,INDUCED ABORTION BY DILATION,,,297.67,4295.03,20 CPT,59841,PR ABORTION INDUCED BY D&E,2033.0,1809.37,158.19,2033.0,482 CPT,59855,PR ABORT INDUC 1+ VAG SUPP,3015.0,2683.35,139.41,3015.0,482 CPT,59856,PR ABORT IND 1+ VAG SUPP D&C EVAC,4705.0,4187.45,161.19,4705.0,482 CPT,59870,PR EVAC&CURETT UTER MOLE,3166.0,2817.74,179.62,3166.0,482 CPT,59870,REMOVAL OF ABNORMAL PREGNANCY CONTENTS WITH SCRAPING OF UTERINE WALL,,,440.24,4295.03,20 CPT,59871,PR RMVL CERCLAGE SUTR W ANES,867.0,771.63,43.21,867.0,482 CPT,59871,REMOVAL OF SUTURE OF CERVIX UNDER ANESTHESIA,,,105.9,4295.03,20 CPT,59897,UNL FETAL INVASIVE PROC US FACILITY,,,70.98,268.24,19 CPT,59899,UNLISTED PROC MATERNITY/DEL,,,17.31,268.24,19 CPT,60100,HC BIOPSY THYROID PERC CORE NDL,1657.0,1474.73,61.73,1657.0,738 CPT,60100,NEEDLE BIOPSY OF THYROID THROUGH SKIN FACILITY,,,61.73,939.55,20 CPT,60100,PR BIOPSY THYROID PERC CORE NDL,811.0,721.79,43.28,811.0,482 CPT,60200,INCISION OF CYST OR GROWTH OF THYROID,,,580.21,8021.24,20 CPT,60200,PR EXCISN CYST/ADENOMA THYROID,4197.0,3735.33,236.73,4197.0,482 CPT,60210,PARTIAL REMOVAL OF THYROID LOBE ON SIDE OF NECK,,,599.65,8021.24,20 CPT,60210,PR LBCTMY THYROID UNILAT PARTIAL,4748.0,4225.72,244.66,4748.0,482 CPT,60212,PARTIAL REMOVAL OF THYROID LOBES ON BOTH SIDES OF NECK AND CONNECTING TISSUE,,,880.88,8021.24,20 CPT,60212,PR LBCTMY THYRD PRTL W SUB LBCTMY,6480.0,5767.2,359.4,6480.0,482 CPT,60220,PR LBCTMY THYROID TOTAL UNILAT,5978.0,5320.42,243.23,5978.0,482 CPT,60220,REMOVAL OF THYROID LOBE ON SIDE OF NECK,,,596.15,8021.24,20 CPT,60225,PR LBCTMY THYRD TOTL W SUB LBCTMY,7003.0,6232.67,321.93,7003.0,482 CPT,60225,REMOVAL OF THYROID LOBE ON SIDE OF NECK AND PARTIAL REMOVAL OF THYROID LOBE ON OPPOSITE SIDE OF NECK INCLUDING TISSUE IN BETWEEN,,,789.05,8021.24,20 CPT,60240,PR THYROIDECTOMY TOTAL/COMPLETE,7302.0,6498.78,312.27,7302.0,482 CPT,60240,REMOVAL OF THYROID,,,765.36,14103.72,21 CPT,60252,PR THYROIDECTOMY W LTD NK DISSECT,10332.0,9195.48,443.73,10332.0,482 CPT,60252,REMOVAL OF THYROID AND SURROUNDING LYMPH NODES WITH LIMITED NECK REMOVAL,,,1087.57,7854.46,20 CPT,60254,PR THYROIDECTOMY W RAD NK DISSECT,12207.0,10864.23,555.96,12207.0,482 CPT,60260,PR THYROIDECTOMY RMVL REMAIN TISS,6387.0,5684.43,365.53,6387.0,482 CPT,60260,REMOVAL OF REMAINING THYROID TISSUE FROM PRIOR OPERATION,,,895.89,7854.46,20 CPT,60270,PR THYROIDECT SUBSTERNL THOR APPR,9263.0,8244.07,460.11,9263.0,482 CPT,60271,PR THYROIDECT SUBSTERNL CERV APPR,7419.0,6602.91,355.96,7419.0,482 CPT,60271,REMOVAL OF THYROID THROUGH CHEST OR BACK,,,872.44,7854.46,20 CPT,60280,PR EXCISN THYROGLOSSAL DUCT CYST,4243.0,3776.27,160.4,4243.0,482 CPT,60280,REMOVAL OF CYST OF THYROID OR DRAINAGE OF THYROID GLAND DUCT,,,393.12,8021.24,20 CPT,60281,PR EXCISN THYROGLOS DUCT CYST RECUR,5439.0,4840.71,204.59,5439.0,482 CPT,60281,REMOVAL OF RECURRENT CYST OF THYROID OR DRAINAGE OF THYROID GLAND DUCT,,,501.45,8021.24,20 CPT,60300,ASPIRATION AND/OR INJECTION OF CYST OF THYROID FACILITY,,,39.35,939.55,21 CPT,60300,HC ASP INJ THYROID CYST,1580.0,1406.2,39.35,1580.0,737 CPT,60300,PR ASP INJ THYROID CYST,665.0,591.85,41.86,665.0,482 CPT,60500,PR PARATHYROIDECTOMY EXPLOR,7106.0,6324.34,334.4,7106.0,482 CPT,60500,REMOVAL OR EXPLORATION OF PARATHYROID GLANDS,,,819.59,7854.46,21 CPT,60502,PR PARATHYROIDECTOMY RE-EXPLOR,8374.0,7452.86,448.17,8374.0,482 CPT,60502,REMOVAL OR RE-EXPLORATION OF PARATHYROID GLANDS,,,1098.44,7854.46,20 CPT,60505,PR PARATHYRDCT MEDIASTINAL EXPLOR,10257.0,9128.73,462.29,10257.0,482 CPT,60512,PR PARATHYROID AUTOTRANSPLANT ADD-ON,1836.0,1634.04,155.64,1836.0,482 CPT,60512,REMOVAL AND REIMPLANTATION OF PARATHYROID TISSUE,,,190.74,8021.24,20 CPT,60520,PR THYMECTOMY TXCERV APPR,7861.0,6996.29,365.42,7861.0,482 CPT,60520,REMOVAL OF THYMUS GLAND THROUGH NECK,,,895.64,7854.46,20 CPT,60521,PR THYMECTOMY STERNL/THOR APPR,8648.0,7696.72,399.78,8648.0,482 CPT,60522,PR THYMECTOMY STERNL/THOR DISSECT,10411.0,9265.79,480.32,10411.0,482 CPT,60540,PR ADRENALECTOMY,7854.0,6990.06,377.77,7854.0,482 CPT,60540,REMOVAL OR EXPLORATION OF ADRENAL GLAND THROUGH ABDOMEN,,,738.14,1388.87,20 CPT,60545,PR ADRENALECTOMY W EXCISN TMR,9926.0,8834.14,436.23,9926.0,482 CPT,60545,REMOVAL OR EXPLORATION OF ADRENAL GLAND THROUGH ABDOMEN WITH REMOVAL OF GROWTH ABDOMEN,,,845.86,1603.79,20 CPT,60600,PR EXCISN CARTD TMR WO EXCISN ART,11126.0,9902.14,448.33,11126.0,482 CPT,60600,REMOVAL OF GROWTH OF CAROTID ARTERY,,,2197.7,24322.51,20 CPT,60605,PR EXCISN CARTD TMR W EXCISN ART,13976.0,12438.64,537.84,13976.0,482 CPT,60650,PR LAPAROSCOPY ADRENALECTOMY,9296.0,8273.44,409.52,9296.0,482 CPT,60650,REMOVAL OR EXPLORATION OF ADRENAL GLAND THROUGH ABDOMEN USING AN ENDOSCOPE,,,810.04,1505.58,20 CPT,60660,DESTRUCTION USING HEAT OF ONE OR MORE NODULES ON ONE THYROID LOBE FACILITY,,,10.74,3924.06,21 CPT,60660,HC ABLTJ 1/+THYR NDUL 1LOBE PRQ,5909.0,5259.01,1229.07,5909.0,738 CPT,60660,PR ABLTJ 1/+THYR NDUL 1LOBE PRQ,3190.0,2839.1,1067.35,3190.0,482 CPT,60661,DESTRUCTION USING HEAT OF ONE OR MORE NODULES ON ADDITIONAL THYROID LOBE FACILITY,,,0.81,2191.35,20 CPT,60699,PR PERC ABLATION THYROID,3191.0,2839.99,159.55,3191.0,477 CPT,60699,PR PERC ETHANOL RX PARATHYROID,2401.0,2136.89,120.05,2401.0,477 CPT,60699,PR PERC RF ABLATION THYROID,3191.0,2839.99,159.55,3191.0,477 CPT,60699,UNLISTED PROC ENDOCRINE - FACILITY,,,64.38,8021.24,20 CPT,61020,PR VENT PERC BURR HOLE WO INJ,890.0,792.1,30.34,890.0,507 CPT,61026,PR VENT PERC BURR HOLE W INJ,1297.0,1154.33,38.59,1297.0,482 CPT,61070,ASPIRATION OF CEREBROSPINAL FLUID AND INJECTION IN SHUNT TUBING OR RESERVOIR FACILITY,,,48.41,936.57,20 CPT,61070,HC PUNC SHUNT TUBE ASP INJ PROC,2287.0,2035.43,48.41,2287.0,1472 CPT,61070,PR PUNC SHUNT TUBE ASP INJ PROC,673.0,598.97,16.79,673.0,507 CPT,61107,CREATION OF OPENING IN SKULL FOR INSERTION OF BRAIN TUBE OR MONITORING DEVICE FACILITY,,,197.78,361.89,20 CPT,61107,PR IMPL TWIST DRILL HOLE VEN CATH,5837.0,5194.93,196.87,5837.0,482 CPT,61140,PR BURR HOLE W BX BRAIN LESION,11060.0,9843.4,455.54,11060.0,482 CPT,61150,PR BURR HOLE W DRNG BRAIN ABSCESS,12016.0,10694.24,476.26,12016.0,482 CPT,61154,PR BURR HOLE W EVAC HEMATOMA,14100.0,12549.0,463.76,14100.0,482 CPT,61156,PR BURR HOLE W ASP HEMATOMA,7930.0,7057.7,436.09,7930.0,482 CPT,61210,BURR HOLE FOR INSERTION OF BRAIN TUBE OR MONITORING DEVICE,,,281.64,9772.31,20 CPT,61210,PR BURR HOLE IMPL CRBRAL MNTR DEV,5405.0,4810.45,114.91,5405.0,482 CPT,61215,PR INSRT SUBQ RESERVOIR VENT CATH,4876.0,4339.64,207.82,4876.0,482 CPT,61304,PR CRNCTMY EXPLOR SUPRATENTORIAL,14585.0,12980.65,571.26,14585.0,482 CPT,61305,PR CRNCTMY EXPLOR INFRATENTORIAL,17214.0,15320.46,693.86,17214.0,482 CPT,61312,PR CRNCTMY HEMA SUPRA EXTRADURAL,20326.0,18090.14,706.7,20326.0,482 CPT,61313,PR CRNCTMY HEMA SUPRA INTRACEREB,17528.0,15599.92,691.97,17528.0,482 CPT,61314,PR CRNCTMY HEMA INFRATENT EXTRDRL,15215.0,13541.35,635.0,15215.0,482 CPT,61315,PR CRNCTMY HEMA SUPRA INTRACRBLR,20987.0,18678.43,713.35,20987.0,482 CPT,61320,PR CRNCTMY DRN ABSC SUPRA,15829.0,14087.81,649.45,15829.0,482 CPT,61321,PR CRNCTMY DRN ABSC INFRA,16577.0,14753.53,731.29,16577.0,482 CPT,61322,PR CRNCTMY DCMPRN WO LBCTMY,19927.0,17735.03,813.71,19927.0,482 CPT,61322,REMOVAL OF SKULL BONE TO REDUCE BRAIN PRESSURE,,,1994.37,4189.36,20 CPT,61323,PR CRNCTMY W/WO DURAPLST W LBCTMY,22385.0,19922.65,807.5,22385.0,482 CPT,61333,PR EXPLORATION ORBIT W RMVL LESN,14311.0,12736.79,689.99,14311.0,482 CPT,61343,PR CRNCTMY SUBOCIP W CERV LMNCTMY,25055.0,22298.95,747.17,25055.0,482 CPT,61345,PR OTHR CRANIAL DCMPRSN PSTR FOSSA,14249.0,12681.61,703.81,14249.0,482 CPT,61458,PR CRNCTMY SUBOCIP EXPLR CRNL NRV,19834.0,17652.26,695.12,19834.0,482 CPT,61458,REMOVAL OF SKULL BASE BONE FOR EXPLORATION OR RELEASE OF CRANIAL NERVES,,,1320.94,2555.57,20 CPT,61460,PR CRNCTMY SUBOCIP >=1 CRNL NRV,23827.0,21206.03,723.77,23827.0,482 CPT,61500,PR CRNCTMY EXCISION TMR SKULL,16296.0,14503.44,440.25,16296.0,482 CPT,61500,REMOVAL OF GROWTH OF BRAIN OR OTHER GROWTH OF SKULL BONE,,,878.75,1618.56,20 CPT,61501,PR CRANIECTOMY OSTEOMYELITIS,10452.0,9302.28,390.25,10452.0,482 CPT,61501,REMOVAL OF INFECTED SKULL BONE,,,53.27,539.37,19 CPT,61510,PR CRNCTMY EXCISN BRAIN TMR SUPRA,20285.0,18053.65,769.27,20285.0,482 CPT,61512,PR CRNCTMY EXCISN MENINGIOMA SUPRA,20820.0,18529.8,868.08,20820.0,482 CPT,61512,REMOVAL OF SKULL BONE FOR REMOVAL OF GROWTH OF UPPER BRAIN MEMBRANE,,,2127.64,9627.58,20 CPT,61514,PR CRNCTMY EXCISN ABSC SUPRA,20328.0,18091.92,658.94,20328.0,482 CPT,61516,PR CRNCTMY EXCISION CYST SUPRA,18174.0,16174.86,646.62,18174.0,482 CPT,61518,PR CRNCTMY EXCISN BRN TMR INFRATENT,22429.0,19961.81,948.3,22429.0,482 CPT,61519,PR CRNCTMY EXCISN TMR MENINGIOMA,29672.0,26408.08,991.09,29672.0,482 CPT,61520,PR CRNCTMY EXCISN BRN TMR CEREB ANGL,28697.0,25540.33,1235.57,28697.0,482 CPT,61521,PR CRNCTMY EXCISN BRN TMR SKULL BASE,24106.0,21454.34,1057.81,24106.0,482 CPT,61524,PR CRNCTMY EXCISN CYST,20447.0,18197.83,716.88,20447.0,482 CPT,61526,PR CRNCTMY TRANSTEMP EXCISN TMR,22538.0,20058.82,1095.62,22538.0,482 CPT,61530,PR CRNCTMY EXCISN TMR W MID/POSTR FOSS,22490.0,20016.1,1026.39,22490.0,482 CPT,61533,PR CRANIOT SUBDURAL IMPL ELECTRODE,16668.0,14834.52,535.4,16668.0,482 CPT,61534,PR CRANIOT EXCISN EPILEPTOGENIC FCS,16406.0,14601.34,580.85,16406.0,482 CPT,61535,PR CRANIOT RMVL EPI/SUBDRL ELECTRD,9877.0,8790.53,371.36,9877.0,482 CPT,61536,PR CRANIOT EPILEPTOGENIC FOCUS,25829.0,22987.81,871.53,25829.0,482 CPT,61537,PR CRANIOT LBCTMY TEMP WO ECOG,20554.0,18293.06,824.77,20554.0,482 CPT,61538,PR CRANIOT W TEMPORAL LOBECTOMY,21755.0,19361.95,890.7,21755.0,482 CPT,61539,PR CRANIOT WO TEMPORAL LOBECTOMY,26545.0,23625.05,803.51,26545.0,482 CPT,61540,PR CRANIOT LBCTMY NOT TEMP WO ECOG,16256.0,14467.84,746.04,16256.0,482 CPT,61541,PR CRANIOT TRANSEC CORP COLLOSUM,20737.0,18455.93,737.66,20737.0,482 CPT,61545,PR CRANIOT EXCISN CRANIOPHARYNG,25660.0,22837.4,1079.59,25660.0,482 CPT,61546,PR CRANIOT EXCISN PIT TMR INTRACRAN,19685.0,17519.65,786.85,19685.0,482 CPT,61564,PR EXCISN CRAN BN TMR W OPT NRV DCMPRS,15778.0,14042.42,823.26,15778.0,482 CPT,61566,PR CRNCTMY AMYGDALOHIPPOCAMPECTMY,20346.0,18107.94,766.12,20346.0,482 CPT,61581,PR APP CRNFCL ANTR FOSSA EXTRADRL,31836.0,28334.04,919.99,31836.0,482 CPT,61583,PR APP CRNFCL INTRADURAL W CRANIOT,28641.0,25490.49,1059.05,28641.0,482 CPT,61584,PR APP ORBTCRNL EXTRDRL WO EXTNSN,25307.0,22523.23,1030.94,25307.0,482 CPT,61586,PR BICORNL TRANSZYG APP WO BN GRFT,19050.0,16954.5,984.42,19050.0,482 CPT,61590,PR APP INFRATEMPRL PRE AURICULAR,32175.0,28635.75,1009.44,32175.0,482 CPT,61591,PR APP INFRATEMPRL POST AURICULAR,29060.0,25863.4,1036.34,29060.0,482 CPT,61591,REMOVAL OF SKULL BONE BEHIND EAR TO APPROACH GROWTH OF BRAIN,,,2109.63,7620.15,20 CPT,61592,PR APP ORBITOCRANIAL ZYGOMATIC,27788.0,24731.32,1095.93,27788.0,482 CPT,61592,REMOVAL OF CHEEK BONE AND SKULL TO APPROACH GROWTH OF BRAIN,,,2686.09,7854.46,20 CPT,61595,PR APPR TRANSTEMPORAL DCMPRN NRV,24535.0,21836.15,819.98,24535.0,482 CPT,61595,REMOVAL OF SKULL BONE BEHIND EAR TO APPROACH GROWTH OF BRAIN THROUGH THE TEMPORAL LOBE,,,1634.55,3014.64,20 CPT,61597,PR TRANSCONDYLAR PSTR CRNL FOSSA,25110.0,22347.9,1061.44,25110.0,482 CPT,61598,PR APPROACH TRANSPETROSAL,33726.0,30016.14,1031.27,33726.0,482 CPT,61600,PR RSECT LSN ANTR CRNL FOSSA EXTR,19826.0,17645.14,727.54,19826.0,482 CPT,61601,PR RSECT LSN ANTR CRNL FOSSA INTR,25460.0,22659.4,876.45,25460.0,482 CPT,61605,PR RSECT LSN INFRATMPRL FOSS EXTR,19484.0,17340.76,734.76,19484.0,482 CPT,61606,PR RSECT LSN INFRATMPRL FOSS INTR,25009.0,22258.01,988.64,25009.0,482 CPT,61606,REMOVAL OF GROWTH OR TISSUE OF LOWER SKULL BASE WITHIN BRAIN MEMBRANE,,,4846.24,7854.46,20 CPT,61608,PR RSECT LSN PARASELLAR AREA INTR,32770.0,29165.3,1129.01,32770.0,482 CPT,61616,PR RSECT LSN POSTR CRNL FOSS INTR,32612.0,29024.68,1139.81,32612.0,482 CPT,61618,PR RPR SECNDRY DURA CSF LEAK GRFT,9855.0,8770.95,443.62,9855.0,482 CPT,61618,REPAIR OF BRAIN COVERING BY TISSUE OR SYNTHETIC GRAFT,,,1087.3,7854.46,20 CPT,61623,BALLOON OCCLUSION OF HEAD OR NECK ARTERY WITH REVIEW BY RADIOLOGIST FACILITY,,,451.79,15316.89,20 CPT,61623,HC EVASC TEMP BALN ARTL OCCLUSION,20167.0,17948.63,451.79,20167.0,736 CPT,61623,PR EVASC TEMP BALN ARTL OCCLUSION,5032.0,4478.48,184.33,5032.0,482 CPT,61624,HC TXCATH OCCL/EMBL CNS,19004.0,16913.56,900.23,24322.51,739 CPT,61624,OCCLUSION OF CENTRAL NERVOUS SYSTEM OR SPINAL CORD ARTERY FACILITY,,,900.23,24322.51,20 CPT,61624,PR TXCATH OCCL/EMBL CNS,9686.0,8620.54,367.3,9686.0,482 CPT,61626,HC TXCATH OCCL/EMBL NON CNS,20830.0,18538.7,662.45,20830.0,736 CPT,61626,OCCLUSION OF HEAD OR NECK ARTERY FACILITY,,,662.45,24322.51,20 CPT,61626,PR TXCATH OCCL/EMBL NON CNS,11370.0,10119.3,4040.72,11370.0,482 CPT,61630,BALLOON DILATION OF BLOOD VESSEL IN HEAD FACILITY,,,1103.1,4189.36,20 CPT,61630,HC ANGIO BALN PERC INTRACRANIAL,18936.0,16853.04,900.83,18936.0,736 CPT,61630,PR ANGIO BALN PERC INTRACRANIAL,9734.0,8663.26,450.07,9734.0,482 CPT,61635,HC INS STNT INTRACRANIAL,13317.0,11852.13,1194.58,13317.0,734 CPT,61635,PR INS STNT INTRACRANIAL,12429.0,11061.81,487.39,12429.0,482 CPT,61645,HC PERC ARTL M-THROMB &/NFS INTRCR,15788.0,14051.32,658.09,15788.0,734 CPT,61645,PR PERC ARTL TRNSLUM THRMBCT INTRCRNL,5048.0,4492.72,537.0,5048.0,482 CPT,61650,HC EVASC INTRCRNL PROLNG RX ADMIN INIT,12703.0,11305.67,377.9,12703.0,737 CPT,61650,"INFUSION OF CHEMICAL AGENT INTO ARTERY OF BRAIN WITH INSERTION OF TUBE AND IMAGING, INITIAL TERRITORY FACILITY",,,377.9,676.55,20 CPT,61650,PR EVASC INTRCRNL PROLNG RX ADMIN INIT,3417.0,3041.13,184.02,3417.0,482 CPT,61651,HC EVASC INTRCRNL PROLNG RX ADMIN ADD,5352.0,4763.28,161.22,5352.0,737 CPT,61651,"INFUSION OF CHEMICAL AGENT INTO ARTERY OF BRAIN WITH INSERTION OF TUBE AND IMAGING, EACH ADDITIONAL TERRITORY FACILITY",,,161.22,289.08,20 CPT,61651,PR EVASC INTRCRNL PROLNG RX ADMIN ADD,1702.0,1514.78,157.26,1702.0,482 CPT,61680,PR INTRCR AV MALFORM SUPRA SMPL,23349.0,20780.61,780.17,23349.0,482 CPT,61682,PR INTRCR AV MALFORM SUPRA COMPLX,34656.0,30843.84,1350.6,34656.0,482 CPT,61684,PR INTRCR AV MALFORM INFRA SMPL,22405.0,19940.45,959.49,22405.0,482 CPT,61686,PR INTRCR AV MALFORM INFRA CMPLX,33599.0,29903.11,1480.19,33599.0,482 CPT,61690,PR INTRCR AV MALFORM DURAL SMPL,18280.0,16269.2,750.63,18280.0,482 CPT,61697,PR CMPLX INTRCR ARYSM CARTD CIRC,33296.0,29633.44,1396.85,33296.0,482 CPT,61698,PR CMPLX INTRCR ARYSM VRTBRBSLR,34052.0,30306.28,1522.33,34052.0,482 CPT,61700,PR SMPL INTRCR ARYSM CARTD CIRC,27788.0,24731.32,1128.13,27788.0,482 CPT,61711,PR ANAST ARTY EXTRACRNL-INTRACRNL,21106.0,18784.34,878.0,21106.0,482 CPT,61715,HC MRGFUS STRTCTC ABLT TRGT ICR,24519.0,21821.91,5099.95,24519.0,735 CPT,61715,"MRI GUIDED HIGH INTENSITY FOCUSED ULTRASOUND, COMPUTER-ASSISTED DESTRUCTION OF INTRACRANIAL TISSUE FACILITY",,,3.8,14784.18,20 CPT,61715,PR MRGFUS STRTCTC ABLT TRGT ICR,12713.0,11314.57,5720.85,12713.0,477 CPT,61735,PR CREATE LESN STRTCTC SUBCORT,16237.0,14450.93,559.22,16237.0,482 CPT,61736,"LASER INTERSTITIAL THERMAL THERAPY (LITT) OF SINGLE, SIMPLE GROWTH WITHIN SKULL",,,781.08,1446.84,20 CPT,61736,PR LITT LES ICR SINGLE TRAJECTORY 1 SIMPLE LESION,10609.0,9442.01,787.08,10609.0,482 CPT,61737,LASER INTERSTITIAL THERMAL THERAPY (LITT) OF MULTIPLE OR COMPLEX GROWTH WITHIN SKULL,,,262.46,1709.07,20 CPT,61737,PR LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS,13019.0,11586.91,929.73,13019.0,482 CPT,61750,"COMPUTER-ASSISTED BIOPSY, ASPIRATION, OR EXCISION OF GROWTH OF BRAIN",,,928.8,1812.18,20 CPT,61750,PR BX STEREOTACTIC INTRACRNL LESN,15582.0,13867.98,492.92,15582.0,482 CPT,61751,"COMPUTER-ASSISTED BIOPSY, ASPIRATION, OR EXCISION OF GROWTH OF BRAIN USING CT AND/OR MRI GUIDANCE",,,922.18,1830.63,20 CPT,61751,PR BX STRTCTC INTRACRN LSN CT/MRI,13587.0,12092.43,497.93,13587.0,482 CPT,61760,PR IMPL STRTCTC ELECTRODES CEREB,18662.0,16609.18,551.86,18662.0,482 CPT,61781,COMPUTER-ASSISTED PROCEDURE INSIDE BRAIN,,,180.83,1116.64,20 CPT,61781,PR STRTCTC COMP-ASSIST CRNL INTRA,3376.0,3004.64,147.56,3376.0,482 CPT,61782,COMPUTER-ASSISTED PROCEDURE OUTSIDE MEMBRANE COVERING BRAIN,,,134.21,9363.87,20 CPT,61782,PR STRTCTC COMP-ASSIST CRNL EXTRA,1515.0,1348.35,109.52,1515.0,482 CPT,61783,COMPUTER-ASSISTED SPINAL PROCEDURE,,,177.82,36001.56,20 CPT,61783,PR STRTCTC COMP-ASSIST NAV SPINAL,2774.0,2468.86,145.1,2774.0,482 CPT,61796,"COMPUTER-ASSISTED RADIOSURGERY OF SIMPLE GROWTH OF BRAIN, FIRST GROWTH",,,489.22,9772.31,19 CPT,61796,PR RADIOSURG CRANIAL LESION SMPL,14528.0,12929.92,726.13,14528.0,482 CPT,61797,"COMPUTER-ASSISTED RADIOSURGERY OF SIMPLE GROWTH OF BRAIN, EACH ADDITIONAL GROWTH",,,489.22,9772.31,19 CPT,61797,PR RADIOSURG CRANL LESN SMPL ADD,5812.0,5172.68,136.94,5812.0,482 CPT,61798,"COMPUTER-ASSISTED RADIOSURGERY OF COMPLEX GROWTH OF BRAIN, FIRST GROWTH",,,489.22,9772.31,20 CPT,61798,PR RADIOSURG CRANIAL LESION CMPLX,15671.0,13947.19,949.46,15671.0,482 CPT,61799,PR RADIOSURG CRANL LESN CMPLX ADD,5643.0,5022.27,189.11,5643.0,482 CPT,61799,RADIOSURG CRANL LESN CMPLX ADD,,,1688.0,9772.31,20 CPT,61800,COMPUTER-ASSISTED RADIOSURGERY APPLICATION OF HEADFRAME FACILITY,,,489.22,9772.31,20 CPT,61800,PR APP STEREOTACTIC HEADFRAME,1694.0,1507.66,102.17,1694.0,482 CPT,61860,PR CRNCTMY IMPL NEUROSTIM CORTIC,9951.0,8856.39,542.63,9951.0,482 CPT,61863,PR IMPL ELCTD SUBCORT WO REC 1ST,10506.0,9350.34,534.9,10506.0,482 CPT,61863,"REMOVAL OF SKULL BONE WITH COMPUTER-ASSISTED INSERTION OF NEUROSTIMULATOR ELECTRODES IN BRAIN, FIRST ARRAY",,,996.53,1966.53,20 CPT,61864,PR IMPL ELCTD SUBCORT WO REC EA,3841.0,3418.49,177.41,3841.0,482 CPT,61864,"REMOVAL OF SKULL BONE WITH COMPUTER-ASSISTED INSERTION OF NEUROSTIMULATOR ELECTRODES IN BRAIN, EACH ADDITIONAL ARRAY",,,178.4,326.13,20 CPT,61867,PR IMPL ELCTD SUBCORT W REC 1ST,19469.0,17327.41,777.77,19469.0,482 CPT,61867,"REMOVAL OF SKULL BONE WITH COMPUTER-ASSISTED INSERTION OF NEUROSTIMULATOR ELECTRODES IN BRAIN WITH RECORDING, FIRST ARRAY",,,1487.07,2859.44,20 CPT,61868,PR IMPL ELCTD SUBCORT W REC EA,5650.0,5028.5,312.0,5650.0,482 CPT,61868,"REMOVAL OF SKULL BONE WITH COMPUTER-ASSISTED INSERTION OF NEUROSTIMULATOR ELECTRODES IN BRAIN WITH RECORDING, EACH ADDITIONAL ARRAY",,,314.59,573.53,20 CPT,61880,PR REVISN INTRACRN NEURSTIM ELECT,6432.0,5724.48,229.08,6432.0,482 CPT,61880,REVISION OR REMOVAL OF BRAIN NEUROSTIMULATOR ELECTRODES,,,561.46,14784.18,20 CPT,61885,INSERTION OF BRAIN NEUROSTIMULATOR PULSE DEVICE WITH CONNECTION TO SINGLE ELECTRODE ARRAY,,,509.89,40942.15,20 CPT,61885,PR INS CRNL PULSE GEN 1 CONNECT,5276.0,4695.64,208.04,5276.0,482 CPT,61886,INSERTION OF BRAIN NEUROSTIMULATOR PULSE DEVICE WITH CONNECTION TO 2 OR MORE ELECTRODE ARRAYS,,,850.18,40942.15,21 CPT,61886,PR INS CRNL PULSE GEN 2+ CONNECT,5721.0,5091.69,346.88,5721.0,482 CPT,61888,PR RMVL CRANIAL NEUROSTIMULATOR,4407.0,3922.23,146.87,4407.0,482 CPT,61888,REMOVAL OF BRAIN NEUROSTIMULATOR DEVICE,,,359.96,14784.18,20 CPT,61889,PR INS SK-MNT CRNL NSTM PG/RCVR,13520.0,12032.8,618.89,13520.0,482 CPT,61891,PR REV/RPLCMT SK-MNT CRNL NSTM,6867.0,6111.63,304.66,6867.0,482 CPT,61891,REVISION OR REPLACEMENT OF SKULL-MOUNTED CRANIAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER,,,36.11,40942.15,20 CPT,61892,PR RMV SK-MNT CRNL NSTM PG/RCVR,8850.0,7876.5,392.91,8850.0,482 CPT,62000,PR ELEV DPRESD SKL FX SMPL EXTRA,8168.0,7269.52,374.45,8168.0,482 CPT,62005,ELEVATION OF COMPLICATED DEPRESSED BROKEN SKULL BONE,,,1105.8,7854.46,20 CPT,62005,PR ELEV DPRESD SKL FX CMPLX EXTRA,11924.0,10612.36,451.17,11924.0,482 CPT,62010,PR ELEV DEPRS SKULL FX RPR DURA,17914.0,15943.46,540.94,17914.0,482 CPT,62100,PR CRANIOTOMY RPR CSF LEAK,15829.0,14087.81,528.11,15829.0,482 CPT,62100,REMOVAL OF SKULL BONE FOR REPAIR OF CEREBROSPINAL FLUID LEAK,,,1049.3,1941.57,20 CPT,62120,PR RPR OF ENCEPHALOCELE,15663.0,13940.07,789.74,15663.0,482 CPT,62121,PR CRANIOT REPAIR ENCEPHALOCELE,13652.0,12150.28,533.51,13652.0,482 CPT,62121,REMOVAL OF SKULL BONE FOR REPAIR OF HERNIATED BRAIN AT SKULL BASE,,,613.28,7854.46,19 CPT,62140,PR CRNPLSTY SKULL DEFECT <5 CM,12944.0,11520.16,356.46,12944.0,482 CPT,62140,"REPAIR OF SKULL BONE DEFECT, 5 CM OR LESS",,,873.66,4398.97,20 CPT,62141,PR CRNPLSTY SKULL DEFECT >5 CM,14028.0,12484.92,402.54,14028.0,482 CPT,62141,"REPAIR OF SKULL BONE DEFECT, MORE THAN 5.0 CM",,,764.39,1479.9,20 CPT,62142,PR REMOVAL BONE FLAP SKULL,9847.0,8763.83,327.43,9847.0,482 CPT,62142,REMOVAL OF SKULL BONE FLAP OR SKULL PLATE,,,601.95,1203.78,20 CPT,62143,PR REPLACEMENT BONE FLAP SKULL,10863.0,9668.07,376.1,10863.0,482 CPT,62146,PR CRANIOPLASTY W AUTOGRAFT<5CM,9391.0,8357.99,444.35,9391.0,482 CPT,62147,PR CRANIOPLASTY W AUTOGRAFT>5CM,20200.0,17978.0,485.61,20200.0,482 CPT,62147,"REPAIR OF SKULL BONE WITH GRAFT, MORE THAN 5.0 CM",,,944.5,1785.33,20 CPT,62160,PR NEUROENDO INTRACRNL PLC CATH,2119.0,1885.91,118.22,2119.0,482 CPT,62161,PR NEUROENDO INTRACRNL DSCT ADHES,18139.0,16143.71,536.4,18139.0,482 CPT,62162,PR NEUROENDO INTRACRNL W CATH DRN,18979.0,16891.31,657.42,18979.0,482 CPT,62164,PR NEUROENDO W RETRIEVAL FB,22180.0,19740.2,732.28,22180.0,482 CPT,62165,PR NEUROENDO INTRA EXCISN PIT TMR,21573.0,19199.97,512.9,21573.0,482 CPT,62165,REMOVAL OF GROWTH OF PITUITARY USING AN ENDOSCOPE,,,1023.77,3771.3,20 CPT,62200,PR VENTRICULOCISTERN 3RD VENT,17588.0,15653.32,484.08,17588.0,482 CPT,62201,COMPUTER-ASSISTED CREATION OF CEREBROSPINAL FLUID DRAINAGE TRACT IN THIRD VENTRICLE OF BRAIN,,,812.49,1629.81,20 CPT,62201,PR VENTRICULOCISTERN 3 VENT STREO,12400.0,11036.0,443.31,12400.0,482 CPT,62220,PR CREATE SHUNT VENTRICULO-ATRIAL,8748.0,7785.72,348.51,8748.0,482 CPT,62223,"CREATION OF BRAIN FLUID DRAINAGE SHUNT, VENTRICULO-PERITONEAL, -PLEURAL, OTHER TERMINUS",,,693.48,2747.04,20 CPT,62223,PR CREATE SHUNT VENTRIC-PERITONL,11158.0,9930.62,317.56,11158.0,507 CPT,62225,PR REPLACE VENTRICULAR CATHETER,5681.0,5056.09,212.75,5681.0,482 CPT,62225,REPLACEMENT OR IRRIGATION OF TUBE IN BRAIN,,,521.45,4532.56,20 CPT,62230,INSERTION OR REVISION OF CEREBROSPINAL FLUID DRAINAGE SHUNT VALVE OR TUBE,,,746.17,11643.84,20 CPT,62230,PR REPLACE/REVISE CSF SHUNT,8595.0,7649.55,304.44,8595.0,482 CPT,62252,HC REPROGRAM CSF SHUNT,918.0,817.02,99.34,918.0,736 CPT,62252,PR REPROGRAM CSF SHUNT,400.0,356.0,30.21,796.0,1448 CPT,62252,REPROGRAMMING OF CEREBROSPINAL FLUID SHUNT FACILITY,,,99.34,407.51,20 CPT,62256,PR RMVL CSF SHUNT SYSTEM WO RPLC,6018.0,5356.02,236.07,6018.0,482 CPT,62256,REMOVAL OF CEREBROSPINAL FLUID SHUNT SYSTEM,,,578.59,4750.49,20 CPT,62258,PR RMVL CSF SHUNT SYSTEM W RPLC,12529.0,11150.81,397.36,12529.0,482 CPT,62267,ASPIRATION OF SPINAL DISC TISSUE FOR DIAGNOSTIC PURPOSES FACILITY,,,127.94,939.55,21 CPT,62267,HC PERC ASP INTERDISCAL DX,2580.0,2296.2,127.94,2580.0,737 CPT,62267,PR PERC ASP INTERDISCAL DX,1359.0,1209.51,104.23,1359.0,482 CPT,62270,HC PUNCTURE SPINAL LUMBAR DX,1539.0,1369.71,52.24,1539.0,2214 CPT,62270,PR PUNCTURE SPINAL LUMBAR DX,972.0,865.08,65.91,972.0,490 CPT,62270,REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST FACILITY,,,52.24,936.57,20 CPT,62272,HC PUNCTURE SPINAL THER DRN CSF,2831.0,2519.59,74.3,2831.0,1472 CPT,62272,PR PUNCTURE SPINAL THER DRN CSF,1212.0,1078.68,85.71,1212.0,482 CPT,62272,REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FACILITY,,,74.3,936.57,20 CPT,62273,HC INJ EPI BLD/CLOT PATCH,2302.0,2048.78,98.0,2302.0,1480 CPT,62273,INJECTION OF BLOOD OR BLOOD CLOT INTO SPINAL CANAL FACILITY,,,196.0,936.57,21 CPT,62273,PR INJ EPI BLD/CLOT PATCH,1588.0,1413.32,69.29,1588.0,482 CPT,62284,HC INJ MYELOGRAPHY CT WO C1/C2,1576.0,1402.64,68.52,1576.0,1440 CPT,62284,INJECTION OF CONTRAST FOR IMAGING OF LOWER SPINAL CANAL FACILITY,,,68.52,102.78,3 CPT,62284,PR INJ MYELOGRAPHY CT WO C1/C2,1335.0,1188.15,73.39,1335.0,482 CPT,62302,HC MYELOGRAPHY LUMB INJ S&I CERV,2976.0,2648.64,97.62,2976.0,737 CPT,62302,PR MYELOGRAPHY LUMB INJ S&I CERV,1705.0,1517.45,99.71,1705.0,482 CPT,62302,X-RAY OF UPPER SPINAL CANAL WITH REVIEW BY RADIOLOGIST FACILITY,,,97.62,1040.11,20 CPT,62303,HC MYELOGRAPHY LUMB INJ S&I THOR,3080.0,2741.2,97.53,3080.0,738 CPT,62303,PR MYELOGRAPHY LUMB INJ S&I THOR,1541.0,1371.49,101.49,1541.0,482 CPT,62303,X-RAY OF MIDDLE SPINAL CANAL WITH REVIEW BY RADIOLOGIST FACILITY,,,97.53,1040.11,21 CPT,62304,HC MYELOGRAPHY LUMB INJ S&I LUMB,2547.0,2266.83,96.29,2547.0,738 CPT,62304,PR MYELOGRAPHY LUMB INJ S&I LUMB,1260.0,1121.4,98.75,1260.0,482 CPT,62304,X-RAY OF LOWER SPINAL CANAL WITH REVIEW BY RADIOLOGIST FACILITY,,,96.29,1040.11,21 CPT,62305,HC MYELOGRAPHY LUMB INJ >2 RGNS,2684.0,2388.76,100.32,2684.0,741 CPT,62305,PR MYELOGRAPHY LUMB INJ >2 RGNS,1542.0,1372.38,107.96,1542.0,482 CPT,62305,X-RAY OF MULTIPLE REGIONS OF SPINAL CANAL WITH REVIEW BY RADIOLOGIST FACILITY,,,100.32,1040.11,21 CPT,62320,INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL FACILITY,,,1.54,936.57,20 CPT,62320,PR INJ SPINE CERV/THOR WO IMG,1410.0,1254.9,65.92,1410.0,482 CPT,62321,HC INJ SPINE CERV/THOR W IMG,2298.0,2045.22,417.5,2298.0,1476 CPT,62321,INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE FACILITY,,,1.54,936.57,21 CPT,62321,PR INJ SPINE CERV/THOR W IMG,1544.0,1374.16,113.56,1544.0,482 CPT,62322,INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL FACILITY,,,3.8,1173.52,20 CPT,62322,PR INJ SPINE LUMB/SAC WO IMG,1510.0,1343.9,59.05,1510.0,482 CPT,62322,PR OB EPIDUR VAG BIRTH < 90 MIN,1349.0,1200.61,59.05,1349.0,482 CPT,62323,HC INJ SPINE LUMB/SAC W IMG,2467.0,2195.63,412.92,2467.0,1480 CPT,62323,INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE FACILITY,,,7.94,936.57,21 CPT,62323,PR INJ SPINE LUMB/SAC W IMG,1279.0,1138.31,112.32,1279.0,482 CPT,62324,PR INJ INF/BOLUS CERV/THORAC DX WO IMG,1468.0,1306.52,62.18,1468.0,482 CPT,62325,PR NJX INTRLMNR CRV/THOR W IMG GUID,1892.0,1683.88,108.6,1892.0,482 CPT,62326,HC INJ INF/BOLUS LUMB/SACRAL DX WO IMG,3975.0,3537.75,228.6,3975.0,734 CPT,62326,PR INJ INF/BOLUS LUMB/SACRAL DX WO IMG,1295.0,1152.55,62.18,1295.0,482 CPT,62326,PR OB EPIDUR VAG BIRTH > 90 MIN,2134.0,1899.26,62.18,2134.0,482 CPT,62326,PR OB EPIDUR VAG BIRTH CONVERTED TO C/S,2989.0,2660.21,62.18,2989.0,482 CPT,62327,PR INJ INTERLAMINAR LUMBAR/ SAC,1841.0,1638.49,112.64,1841.0,482 CPT,62328,HC PUNCTURE SPINAL LUMBAR DX W GUID,2038.0,1813.82,323.46,2038.0,1480 CPT,62328,PR PUNCTURE SPINAL LUMBAR DX W GUID,964.0,857.96,74.79,964.0,482 CPT,62328,REMOVAL OF SPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST USING IMAGING GUIDANCE FACILITY,,,165.97,936.57,21 CPT,62329,HC PUNCTURE SPINAL THER DRN CSF W GUID,2840.0,2527.6,406.5,2840.0,734 CPT,62329,PR PUNCTURE SPINAL THER DRN CSF W GUID,2232.0,1986.48,110.57,2232.0,482 CPT,62329,REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP USING IMAGING GUIDANCE FACILITY,,,63.0,936.57,20 CPT,62350,"INSERTION, REVISION, OR REPOSITIONING OF SPINAL CANAL TUBE FOR MEDICATION ADMINISTRATION",,,354.36,23914.14,20 CPT,62350,PR IMPL CATH WO LAMINECTOMY,4241.0,3774.49,144.58,4241.0,482 CPT,62355,PR RMVL PREV IMPL CATH,3900.0,3471.0,107.98,3900.0,482 CPT,62355,REMOVAL OF IMPLANTED TUBE IN SPINAL CANAL,,,264.64,2590.89,20 CPT,62362,INSERTION OF PROGRAMMABLE SPINAL CANAL DRUG INFUSION PUMP,,,346.4,23914.14,21 CPT,62362,PR IMPL FOR INFUSION PROGRAM PUMP,4795.0,4267.55,141.33,4795.0,482 CPT,62365,PR REMOVAL OF SUBQ RESERVOIR,3204.0,2851.56,112.94,3204.0,482 CPT,62367,PR ELEC ANLYS PUMP WO RPRG/REFILL,299.0,266.11,22.67,299.0,510 CPT,62368,ELECTRONIC ANALYSIS AND REPROGRAMMING OF SPINAL CANAL DRUG INFUSION PUMP FACILITY,,,27.9,407.51,20 CPT,62368,HC ELEC ANLYS PUMP W RPRG,920.0,818.8,27.9,920.0,736 CPT,62368,PR ELEC ANLYS PUMP W RPRG,459.0,408.51,37.07,459.0,485 CPT,62369,PR ELEC ANALYSIS W REPRG REFIL,740.0,658.6,79.7,740.0,485 CPT,62370,ELECTRONIC ANALYSIS REPROGRAMMING AND REFILL OF SPINAL CANAL DRUG INFUSION PUMP BY PHYSICIAN FACILITY,,,37.75,407.51,21 CPT,62370,HC ELEC ANLYS PUMP W RPRG&RFLL,1039.0,924.71,37.75,1039.0,739 CPT,62370,PR ELEC ANLYS PUMP W RPRG&RFLL,592.0,526.88,67.42,592.0,507 CPT,62380,PR ENDOSC DCMPRN FIRST INTRSPC LUMB,10114.0,9001.46,596.69,10114.0,482 CPT,62380,RELEASE OF LOWER SPINAL CORD AND/OR NERVE ROOT USING ENDOSCOPE,,,408.73,9627.58,20 CPT,63001,"PARTIAL REMOVAL OF SPINE BONE WITH EXPLORATION AND/OR RELEASE OF UPPER SPINAL CORD OR NERVES, 1-2 SEGMENTS",,,1053.82,9627.58,20 CPT,63001,PR LAMINECTOMY W EXPLR CERVICAL,11900.0,10591.0,429.96,11900.0,482 CPT,63003,PR LAMINECTOMY W EXPLR THORACIC,13189.0,11738.21,431.63,13189.0,482 CPT,63005,"PARTIAL REMOVAL OF SPINE BONE WITH EXPLORATION AND/OR RELEASE OF LOWER SPINAL CORD OR NERVES, 1-2 SEGMENTS",,,1061.64,9627.58,21 CPT,63005,PR LAMINECTOMY W EXPLR LUMBAR,9690.0,8624.1,433.15,9690.0,482 CPT,63011,"PARTIAL REMOVAL OF SPINE BONE WITH EXPLORATION AND/OR RELEASE OF SACRAL SPINAL CORD OR NERVES, 1-2 SEGMENTS",,,926.33,9627.58,20 CPT,63011,PR LMNCTMY WO FACETECT <=2 SEG SAC,8175.0,7275.75,377.95,8175.0,482 CPT,63012,PR LAMINECTOMY W RMVL FACETS LUMB,13188.0,11737.32,420.03,13188.0,482 CPT,63015,"PARTIAL REMOVAL OF SPINE BONE WITH EXPLORATION AND/OR RELEASE OF UPPER SPINAL CORD OR NERVES, MORE THAN 2 SEGMENTS",,,1274.84,9627.58,20 CPT,63015,PR LMNCTMY W EXPLR 2+ SEG CERV,16488.0,14674.32,520.14,16488.0,482 CPT,63016,PR LMNCTMY W EXPLR 2+ SEG THOR,14830.0,13198.7,526.54,14830.0,482 CPT,63017,"PARTIAL REMOVAL OF SPINE BONE WITH EXPLORATION AND/OR RELEASE OF LOWER SPINAL CORD OR NERVES, MORE THAN 2 SEGMENTS",,,1106.03,9627.58,20 CPT,63017,PR LMNCTMY W EXPLR 2+ SEG LUMB,14187.0,12626.43,451.26,14187.0,482 CPT,63020,"PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF UPPER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC, 1 INTERSPACE",,,964.39,9627.58,20 CPT,63020,PR LMNOTOMY W DCMPRN 1 SPACE CERV,17401.0,15486.89,393.47,17401.0,482 CPT,63030,PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC,,,818.85,9627.58,20 CPT,63030,PR LMNOTOMY W DCMPRN 1 SPACE LUMB,13875.0,12348.75,334.09,13875.0,482 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",,,180.12,9627.58,20 CPT,63035,PR LMNOTOMY W DCMPRN EA ADD SPACE,4837.0,4304.93,146.98,4837.0,482 CPT,63040,"PARTIAL REMOVAL OF SPINE BONE WITH RE-EXPLORATION, RELEASE OF UPPER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC, 1 INTERSPACE",,,1155.54,9627.58,20 CPT,63040,PR LMNOTOMY REEXPLOR 1 SPACE CERV,12656.0,11263.84,471.46,12656.0,482 CPT,63042,"PARTIAL REMOVAL OF SPINE BONE WITH RE-EXPLORATION, RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC, 1 INTERSPACE",,,1102.8,9627.58,20 CPT,63042,PR LMNOTOMY REEXPLOR 1 SPACE LUMB,18529.0,16490.81,449.94,18529.0,482 CPT,63044,PR LMNOTOMY REEXPLOR LUMB EA ADD,8792.0,7824.88,357.02,8792.0,482 CPT,63045,"PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF UPPER SPINAL CORD AND/OR NERVES, 1 SEGMENT",,,1113.84,9627.58,20 CPT,63045,PR LAMIN/FACE/FORAMIN 1 SEG CERV,18476.0,16443.64,454.45,18476.0,482 CPT,63046,"PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF MIDDLE SPINAL CORD AND/OR NERVES, 1 SEGMENT",,,1061.92,9627.58,20 CPT,63046,PR LAMIN/FACE/FORAMIN 1 SEG THOR,17428.0,15510.92,433.27,17428.0,482 CPT,63047,"PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES, 1 SEGMENT",,,962.39,9627.58,21 CPT,63047,PR LAMIN/FACE/FORAMIN 1 SEG LUMB,16041.0,14276.49,392.66,16041.0,482 CPT,63048,"PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF SPINAL CORD AND/OR NERVES, EACH ADDITIONAL SEGMENT",,,162.61,9627.58,20 CPT,63048,PR LAMIN/FACE/FORAMIN EA ADD SEG,4893.0,4354.77,132.69,4893.0,482 CPT,63051,PR LMNPLSTY CERV W DCMPRN&RECNSTR,20883.0,18585.87,575.93,20883.0,482 CPT,63051,RECONSTRUCTION OF UPPER SPINE BONE AND POSTERIOR BONY ELEMENTS WITH RELEASE OF UPPER SPINAL CORD,,,1411.59,9627.58,20 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,,,299.1,36001.56,20 CPT,63052,PR LAM/FAC/FOR POST ARTHR SGL VERT SEG,4272.0,3802.08,162.71,4272.0,482 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,,,266.24,36001.56,20 CPT,63053,PR LAM/FAC/FOR POST ARTHR EA ADD SEG,2341.0,2083.49,144.83,2341.0,482 CPT,63055,PR TRANSPEDIC DCMPRN 1 SEG THOR,16378.0,14576.42,557.48,16378.0,482 CPT,63056,PR TRANSPEDIC DCMPRN 1 SEG LUMB,18020.0,16037.8,509.86,18020.0,482 CPT,63056,"RELEASE OF LOWER SPINAL CORD AND/OR NERVES, SINGLE SEGMENT",,,1249.64,9627.58,20 CPT,63057,PR TRANSPEDIC DCMPRN EA ADD SEG,4915.0,4374.35,202.26,4915.0,482 CPT,63064,PR COSTOVERT DCMPRN 1 SEG THOR,11450.0,10190.5,605.23,11450.0,482 CPT,63066,PR COSTOVERT DCMPRN EA ADD SEG,1512.0,1345.68,128.53,1512.0,482 CPT,63077,PR DISCTMY ANT W DCMPRN THOR SNGL,12413.0,11047.57,494.41,12413.0,482 CPT,63081,PR CRPCTMY ANTR APP CERV SNGL,18807.0,16738.23,600.57,18807.0,482 CPT,63081,"REMOVAL OF UPPER SPINE BONE WITH RELEASE OF SPINAL CORD AND/OR NERVES, ANTERIOR APPROACH, SINGLE SEGMENT",,,1471.98,17034.43,20 CPT,63082,PR CRPCTMY ANTR APP CERV EA ADD,5229.0,4653.81,167.48,5229.0,482 CPT,63085,PR CRPCTMY TRNSTHOR APP THOR SNGL,17115.0,15232.35,656.56,17115.0,482 CPT,63086,PR CRPCTMY TRANSTHOR THOR EA ADD,3641.0,3240.49,120.56,3641.0,482 CPT,63087,PR CRPCTMY THRCOLMB THOR/LUMB SNGL,18878.0,16801.42,814.88,18878.0,482 CPT,63088,PR CRPCTMY THRCOLMB THOR/LUMB ADD,2348.0,2089.72,164.78,2348.0,482 CPT,63090,PR CRPCTMY PERIT THOR/LUMB/SAC SNGL,17915.0,15944.35,665.82,17915.0,482 CPT,63091,PR CRPCTMY PERIT THOR/LUMB/SAC ADD,2636.0,2346.04,113.34,2636.0,482 CPT,63101,PR CRPCTMY LAT EXTRCV THOR SNGL,20419.0,18172.91,795.77,20419.0,482 CPT,63102,PR CRPCTMY LAT EXTRCV LUMB SNGL,16480.0,14667.2,784.13,16480.0,482 CPT,63103,PR CRPCTMY LAT EXTRCV TH/LB EA AD,3782.0,3365.98,185.24,3782.0,482 CPT,63172,PR LMNCTMY W DRN CYST SUBARACH,11158.0,9930.62,498.45,11158.0,482 CPT,63173,PR LMNCTMY W DRN CYST PERITONEAL,12691.0,11294.99,603.04,12691.0,482 CPT,63173,REMOVAL OF SPINE BONE WITH DRAINAGE OF CYST OF SPINAL CORD INTO LUNG OR ABDOMEN,,,1136.16,4434.12,20 CPT,63185,PR LMNCTMY W RHIZOTOMY <=2 SEG,8691.0,7734.99,445.15,8691.0,482 CPT,63190,PR LMNCTMY W RHIZOTOMY >2 SEG,16748.0,14905.72,425.85,16748.0,482 CPT,63200,PR LAMINECTOMY RELEASE CORD LUMB,13156.0,11708.84,549.02,13156.0,482 CPT,63250,PR LMNCTMY EXCISN AV MALFORM CERV,24627.0,21918.03,992.77,24627.0,482 CPT,63251,PR LMNCTMY EXCISN AV MALFORM THOR,21659.0,19276.51,1018.73,21659.0,482 CPT,63252,PR LMNCTMY EXCISN AV MALF THORCOLUMB,23854.0,21230.06,1018.45,23854.0,482 CPT,63265,PR LMNCTMY EXCISN LSN EXTRA CERV,12778.0,11372.42,578.36,12778.0,482 CPT,63265,REMOVAL OF UPPER SPINE BONE AND GROWTH OUTSIDE SPINE MEMBRANE,,,1417.55,9627.58,20 CPT,63266,PR LMNCTMY EXCISN LSN EXTRA THOR,13570.0,12077.3,594.19,13570.0,482 CPT,63266,REMOVAL OF GROWTH OF MIDDLE SPINE BONE OUTSIDE SPINE MEMBRANE,,,1456.33,9627.58,20 CPT,63267,PR LMNCTMY EXCISN LSN EXTRA LUMB,11880.0,10573.2,480.79,11880.0,482 CPT,63267,REMOVAL OF GROWTH OF LOWER SPINE BONE OUTSIDE SPINE MEMBRANE,,,1178.39,9627.58,20 CPT,63268,PR LAMINECT EXCISN INTRSPN LESN SACRAL,14194.0,12632.66,521.93,14194.0,482 CPT,63270,PR LMNCTMY EXCISN LSN INTRA CERV,16588.0,14763.32,715.21,16588.0,482 CPT,63271,PR LMNCTMY EXCISN LSN INTRA THOR,15910.0,14159.9,712.98,15910.0,482 CPT,63271,REMOVAL OF GROWTH OF MIDDLE SPINE BONE WITHIN SPINE MEMBRANE,,,1360.69,2621.24,20 CPT,63272,PR LMNCTMY EXCISN LSN INTRA LUMB,17562.0,15630.18,652.15,17562.0,482 CPT,63272,REMOVAL OF GROWTH OF LOWER SPINE BONE WITHIN SPINE MEMBRANE,,,1251.5,2397.6,20 CPT,63275,PR LMNCTMY BX NEO EXTRADUR CERV,15173.0,13503.97,619.43,15173.0,482 CPT,63275,REMOVAL OR BIOPSY OF GROWTH OF UPPER SPINE BONE OUTSIDE SPINE MEMBRANE,,,1190.15,2277.3,20 CPT,63276,PR LMNCTMY BX NEO EXTRADUR THOR,12245.0,10898.05,617.13,12245.0,482 CPT,63277,PR LMNCTMY BX NEO EXTRADUR LUMB,12510.0,11133.9,541.31,12510.0,482 CPT,63277,REMOVAL OR BIOPSY OF GROWTH OF LOWER SPINE BONE OUTSIDE SPINE MEMBRANE,,,1043.9,3980.19,20 CPT,63278,PR LMNCTMY BX NEO EXTRADUR SAC,13225.0,11770.25,563.52,13225.0,482 CPT,63280,PR LMNCTMY BX INTRDUR EXTMED CERV,24787.0,22060.43,731.58,24787.0,482 CPT,63281,PR LMNCTMY BX INTRDUR EXTMED THOR,20400.0,18156.0,725.76,20400.0,482 CPT,63281,"REMOVAL OR BIOPSY OF GROWTH OF MIDDLE SPINE BONE WITHIN SPINE MEMBRANE, EXTRAMEDULLARY",,,1377.14,2668.22,20 CPT,63282,PR LMNCTMY BX INTRDUR EXTMED LUMB,19281.0,17160.09,688.78,19281.0,482 CPT,63282,"REMOVAL OR BIOPSY OF GROWTH OF LOWER SPINE BONE WITHIN SPINE MEMBRANE, EXTRAMEDULLARY",,,1304.5,2532.27,20 CPT,63283,PR LMNCTMY BX INTRDUR INTMED SAC,13875.0,12348.75,665.73,13875.0,482 CPT,63285,PR LMNCTMY BX INTRDUR INTMED CERV,26916.0,23955.24,888.61,26916.0,482 CPT,63286,PR LMNCTMY BX INTRDUR INTMED THOR,18693.0,16636.77,879.0,18693.0,482 CPT,63290,PR LMNCTMY BX EXTRA/INTRADUR ANY,22577.0,20093.53,943.37,22577.0,482 CPT,63295,PR RCNST OSTPLSTC DORSAL SPN,3213.0,2859.57,207.09,3213.0,482 CPT,63300,PR CRPCTMY EXCISN LSN EXTRDUR CERV,15189.0,13518.21,625.49,15189.0,482 CPT,63301,PR CRPCTMY EXCISN EXTRDR THOR TRTHOR,15480.0,13777.2,760.59,15480.0,482 CPT,63302,PR EXCISN LESN EXDUR THOR THORCOLM AP,14814.0,13184.46,752.39,14814.0,482 CPT,63303,PR CRPCTMY EXCISN EXTRDR LUMB/SAC,15710.0,13981.9,789.12,15710.0,482 CPT,63308,PR CRPCTMY EXCISN LESN CERV EA ADD,2378.0,2116.42,201.99,2378.0,482 CPT,63620,"COMPUTER-ASSISTED RADIOSURGERY OF GROWTH OF SPINE, FIRST GROWTH",,,489.22,9772.31,20 CPT,63650,INSERTION OF SPINAL NEUROSTIMULATOR ELECTRODE ARRAY THROUGH SKIN FACILITY,,,360.22,8455.72,21 CPT,63650,PR IMPL NEUROSTIM ELEC PERC EPI,7486.0,6662.54,992.12,7486.0,482 CPT,63655,PR LAMINECTOMY W IMPL NS ELEC EPI,8604.0,7657.56,309.65,8604.0,482 CPT,63655,REMOVAL OF SPINE BONE FOR INSERTION OF NEUROSTIMULATOR ELECTRODE PLATE IN SPINE,,,758.93,25740.17,21 CPT,63661,INSERTION OF SPINAL NEUROSTIMULATOR ELECTRODE ARRAY USING FLUOROSCOPIC GUIDANCE PROFESSIONAL,,,289.13,4638.65,20 CPT,63661,PR REMOVAL SPINE NEUROSTIM ARRAY,5090.0,4530.1,300.4,5090.0,482 CPT,63662,PR REMOVAL SPINE NEUROSTIM PLATE,5457.0,4856.73,313.84,5457.0,482 CPT,63662,REMOVAL OF SPINAL NEUROSTIMULATOR ELECTRODE PLATE USING FLUOROSCOPIC GUIDANCE,,,769.22,4638.65,20 CPT,63663,PR REV SPINE ELEC PERC ARRAY,5681.0,5056.09,386.44,5681.0,482 CPT,63663,REVISION OF SPINAL NEUROSTIMULATOR ELECTRODE ARRAY USING FLUOROSCOPIC GUIDANCE,,,387.61,8455.72,20 CPT,63664,REVISION OF SPINAL NEUROSTIMULATOR ELECTRODE PLATE USING FLUOROSCOPIC GUIDANCE,,,800.66,40942.15,20 CPT,63685,INSERTION OR REPLACEMENT OF SPINAL NEUROSTIMULATOR GENERATOR OR RECEIVER PROFESSIONAL,,,297.28,40942.15,21 CPT,63685,PR INS/RPLCMT SPI NPGR POCKET,5030.0,4476.7,121.29,5030.0,482 CPT,63688,PR REV/RMV IMP SPI NPGR DTCH CN,5480.0,4877.2,116.05,5480.0,482 CPT,63688,REMOVAL OR REVISION OF SPINAL NEUROSTIMULATOR GENERATOR OR RECEIVER PROFESSIONAL,,,284.42,40942.15,20 CPT,63704,PR REPAIR MYELOMENINGOCELE <5CM,11537.0,10267.93,600.44,11537.0,482 CPT,63706,PR REPAIR MYELOMENINGOCELE >5CM,14359.0,12779.51,658.18,14359.0,482 CPT,63707,PR REPAIR CSF LEAK WO LAMINECTOMY,10306.0,9172.34,341.33,10306.0,482 CPT,63707,REPAIR OF CEREBROSPINAL FLUID LEAK,,,836.59,9627.58,20 CPT,63709,PR REPAIR CSF LEAK W LAMINECTOMY,13156.0,11708.84,397.19,13156.0,482 CPT,63709,REPAIR OF CEREBROSPINAL FLUID LEAK WITH PARTIAL REMOVAL OF VERTEBRA,,,757.28,1460.25,20 CPT,63710,PR DURAL GRAFT SPINAL,9963.0,8867.07,386.57,9963.0,482 CPT,63741,PR CREATE SHUNT LUMB WO LMNCTMY,6486.0,5772.54,262.41,6486.0,482 CPT,63744,PR RPLC LUMBOSUBARACHNOID SHUNT,5955.0,5299.95,268.96,5955.0,482 CPT,63744,"REPLACEMENT, IRRIGATION, OR REVISION OF LOWER SPINAL CANAL SHUNT",,,659.21,4532.56,20 CPT,64400,HC INJ ANES TRIGEMINAL NRV,1115.0,992.35,42.96,1115.0,1472 CPT,64400,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO FACE NERVE FACILITY,,,42.96,407.26,20 CPT,64400,PR INJ ANES TRIGEMINAL NRV,960.0,854.4,48.8,960.0,489 CPT,64405,HC INJ ANES GREATER OCCIPITAL NRV,1265.0,1125.85,41.4,1265.0,2208 CPT,64405,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE FACILITY,,,41.4,407.26,20 CPT,64405,PR INJ ANES GREATER OCCIPITAL NRV,854.0,760.06,30.64,854.0,482 CPT,64408,PR INJ ANES VAGUS NRV,766.0,681.74,32.13,766.0,482 CPT,64415,HC INJ ANES BRACHIAL PLEX W GUIDANCE,4191.0,3729.99,64.04,4191.0,1472 CPT,64415,PR INJ ANES BRACHIAL PLEX W GUIDANCE,1808.0,1609.12,63.29,1808.0,482 CPT,64416,HC INJ ANES BRACHIAL PLEXUS CONT W GUIDANCE,4854.0,4320.06,69.2,4854.0,736 CPT,64416,PR INJ ANES BRACHIAL PLEXUS CONT W GUIDANCE,2059.0,1832.51,28.24,2059.0,482 CPT,64417,HC INJ ANES AXILLARY NERVE W GUIDANCE,3189.0,2838.21,58.82,3189.0,736 CPT,64417,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER ARM AND SHOULDER NERVE (AXILLARY NERVE) FACILITY,,,58.82,1173.52,20 CPT,64417,PR INJ ANES AXILLARY NERVE W GUIDANCE,1299.0,1156.11,76.31,1299.0,482 CPT,64418,HC INJ ANES SUPRASCAPULAR NERVE,2277.0,2026.53,45.76,2277.0,736 CPT,64418,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO SUPRASCAPULAR SHOULDER NERVE FACILITY,,,45.76,936.57,20 CPT,64418,PR INJ ANES SUPRASCAPULAR NERVE,882.0,784.98,36.2,882.0,482 CPT,64420,HC INJ ANES INTERCOSTAL NRV SNGL LVL,1711.0,1522.79,50.74,1711.0,1472 CPT,64420,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO RIB NERVE FACILITY,,,50.74,936.57,20 CPT,64420,PR INJ ANES INTERCOSTAL NRV SNGL LVL,863.0,768.07,43.14,863.0,482 CPT,64421,HC INJ ANES INTERCOSTAL NRV EA ADDL LEVEL,2309.0,2055.01,20.64,2309.0,736 CPT,64421,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO MULTIPLE RIB NERVES FOR REGIONAL NERVE BLOCK FACILITY,,,20.64,1173.52,20 CPT,64421,PR INJ ANES INTERCOSTAL NRV EA ADDL LEVEL,1201.0,1068.89,28.06,1201.0,482 CPT,64425,PR INJ ANES ILIOINGUINAL NRV,898.0,799.22,49.48,898.0,482 CPT,64430,HC INJ NRV BLOCK PUDENDAL,2484.0,2210.76,46.54,2484.0,736 CPT,64430,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO EXTERNAL GENITALS AND ANUS NERVE FACILITY,,,46.54,1173.52,20 CPT,64430,PR INJ NRV BLOCK PUDENDAL,1135.0,1010.15,38.76,1135.0,482 CPT,64435,PR INJ ANES AGENT PARACERV NRV,644.0,573.16,29.97,644.0,482 CPT,64445,HC INJ ANES SCIATIC NERVE W GUIDANCE,3223.0,2868.47,63.06,3223.0,1472 CPT,64445,PR INJ ANES SCIATIC NERVE W GUIDANCE,1466.0,1304.74,70.75,1466.0,482 CPT,64446,PR INJ ANES SCIATIC NRV CONT INFUS W GUIDANCE,2786.0,2479.54,27.55,2786.0,482 CPT,64447,HC INJ ANES FEM NERVE W GUIDANCE,3630.0,3230.7,58.35,3630.0,1472 CPT,64447,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO THIGH NERVE (FEMORAL NERVE) PROFESSIONAL,,,58.35,936.57,20 CPT,64447,PR INJ ANES FEM NERVE W GUIDANCE,1301.0,1157.89,54.66,1301.0,482 CPT,64448,PR INJ ANES FEM NERVE CONT W GUIDANCE,1931.0,1718.59,26.42,1931.0,482 CPT,64449,PR INJ ANES LUMB PLEX POSTR CONT,1496.0,1331.44,23.5,1496.0,482 CPT,64450,HC INJ ANES OTHER PERIPHERAL NRV,1869.0,1663.41,37.1,1869.0,2948 CPT,64450,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO OTHER NERVE OR BRANCH FACILITY,,,37.1,936.57,20 CPT,64450,PR INJ ANES OTHER PERIPHERAL NRV,755.0,671.95,32.95,755.0,482 CPT,64451,HC INJ ANES/STEROID NERVES SACROILIAC JNT,3764.0,3349.96,365.45,3764.0,734 CPT,64451,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO SPINE AND PELVIS NERVE USING IMAGING GUIDANCE FACILITY,,,1.71,936.57,20 CPT,64451,PR INJ ANES/STEROID NERVES SACROILIAC JNT,1733.0,1542.37,99.4,1733.0,482 CPT,64454,HC INJ ANES/STEROID GENICULAR NERVE,3112.0,2769.68,355.5,3112.0,736 CPT,64454,INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO KNEE NERVE BRANCH USING IMAGING GUIDANCE FACILITY,,,1.54,936.57,20 CPT,64454,PR INJ ANES/STEROID GENICULAR NERVE,1391.0,1237.99,96.7,1391.0,482 CPT,64455,INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO FOOT NERVE FACILITY,,,28.51,407.26,20 CPT,64455,PR INJ ANES STEROID PLANTAR NRV,303.0,269.67,20.05,303.0,489 CPT,64461,HC PARAVERTEB BLOCK THOR SNGL,2697.0,2400.33,68.32,2697.0,1472 CPT,64461,"INJECTION OF ANESTHETIC AGENT INTO THORACIC VERTEBRA USING IMAGING GUIDANCE, SINGLE SITE FACILITY",,,68.32,936.57,20 CPT,64461,PR PARAVERTEB BLOCK THOR SNGL,1067.0,949.63,60.55,1067.0,482 CPT,64462,PR PARAVERTEB BLOCK THOR 2ND & ADD,887.0,789.43,63.18,887.0,482 CPT,64463,PR PARAVERTEB BLOCK THOR CONTINUOUS,1690.0,1504.1,108.59,1690.0,482 CPT,64466,PR THRC FASCIAL PLN BLK UNI NJX,1753.0,1560.17,57.62,1753.0,482 CPT,64467,PR THRC FASCIAL PLN BLK UNI NFS,2362.0,2102.18,111.04,2362.0,482 CPT,64468,BILATERAL THORACIC FASCIAL PLANE BLOCK BY INJECTION(S) FACILITY,,,245.78,3853.99,21 CPT,64468,PR THRC FASCIAL PLN BLK BI NJX,2630.0,2340.7,66.85,2630.0,482 CPT,64469,PR THRC FASCIAL PLN BLK BI NFS,3544.0,3154.16,172.75,3544.0,482 CPT,64473,PR LWR XTR FSCL PLN BLK UNI NJX,1301.0,1157.89,54.8,1301.0,482 CPT,64474,PR LWR XTR FSCL PLN BLK UNI NFS,1931.0,1718.59,109.62,1931.0,482 CPT,64479,HC INJ ANES FORAMEN SNGL CRV/THRC,2904.0,2584.56,112.89,2904.0,1476 CPT,64479,"INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO UPPER OR MIDDLE SPINE NERVE ROOT USING IMAGING GUIDANCE, SINGLE LEVEL FACILITY",,,112.89,1173.52,20 CPT,64479,PR INJ ANES FORAMEN SNGL CRV/THRC,2222.0,1977.58,116.88,2222.0,482 CPT,64480,HC INJ ANES FORAMEN ADD LVL,2960.0,2634.4,50.82,2960.0,1438 CPT,64480,"INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO UPPER OR MIDDLE SPINE NERVE ROOT USING IMAGING GUIDANCE, EACH ADDITIONAL LEVEL FACILITY-EXPRESS CARE",,,50.82,1173.52,20 CPT,64480,PR INJ ANES FORAMEN ADD LVL,1152.0,1025.28,116.92,1152.0,482 CPT,64483,HC INJ ANES FORAMEN EPI LUMB SNGL,2770.0,2465.3,96.47,2770.0,1478 CPT,64483,"INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE, SINGLE LEVEL FACILITY",,,96.47,1173.52,20 CPT,64483,PR INJ ANES FORAMEN EPI LUMB SNGL,1919.0,1707.91,108.78,1919.0,482 CPT,64484,HC INJ ANES FORAMEN EPI LUMB ADD,1522.0,1354.58,42.12,1522.0,1440 CPT,64484,"INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE, EACH ADDITIONAL LEVEL FACILITY",,,42.12,1173.52,20 CPT,64484,PR INJ ANES FORAMEN EPI LUMB ADD,851.0,757.39,96.35,851.0,482 CPT,64486,INJECTION OF LOCAL ANESTHETIC FOR ABDOMINAL WALL PAIN CONTROL ON SIDE USING IMAGING GUIDANCE PROFESSIONAL,,,46.5,69.75,3 CPT,64486,PR TAP BLOCK UNILAT BY INJ,1379.0,1227.31,51.37,1379.0,482 CPT,64488,PR INJ ANES TRANSABDOM PLANE BIL,1106.0,984.34,60.24,1106.0,483 CPT,64490,HC INJ FACET JT CERV/THOR 1 LVL,3219.0,2864.91,91.05,3219.0,1474 CPT,64490,"INJECTION OF UPPER OR MIDDLE SPINE FACET JOINT USING IMAGING GUIDANCE, SINGLE LEVEL FACILITY",,,91.05,1328.34,20 CPT,64490,PR INJ FACET JT CERV/THOR 1 LVL,1748.0,1555.72,83.7,1748.0,482 CPT,64491,HC INJ FACET JT CERV/THOR 2 LVL,1572.0,1399.08,48.45,1572.0,1440 CPT,64491,"INJECTION OF UPPER OR MIDDLE SPINE FACET JOINT USING IMAGING GUIDANCE, SECOND LEVEL FACILITY",,,48.45,1328.34,20 CPT,64491,PR INJ FACET JT CERV/THOR 2 LVL,876.0,779.64,82.45,876.0,482 CPT,64492,HC INJ FACET JT CERV/THOR >=3 LVL,1572.0,1399.08,49.29,1572.0,1438 CPT,64492,"INJECTION OF UPPER OR MIDDLE SPINE FACET JOINT USING IMAGING GUIDANCE, THIRD AND ANY ADDITIONAL LEVEL FACILITY",,,49.29,1173.52,20 CPT,64492,PR INJ FACET JT CERV/THOR >=3 LVL,1098.0,977.22,83.13,1098.0,482 CPT,64493,HC INJ FACET JT LUMB/SAC 1 LVL,3323.0,2957.47,79.0,3323.0,1474 CPT,64493,"INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE, SINGLE LEVEL FACILITY",,,79.0,1328.34,20 CPT,64493,PR INJ FACET JT LUMB/SAC 1 LVL,1597.0,1421.33,77.95,1597.0,482 CPT,64494,HC INJ FACET JT LUMB/SAC 2 LVL,1886.0,1678.54,42.12,1886.0,1440 CPT,64494,"INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE, SECOND LEVEL FACILITY",,,42.12,1328.34,20 CPT,64494,PR INJ FACET JT LUMB/SAC 2 LVL,712.0,633.68,78.12,712.0,482 CPT,64495,HC INJ FACET JT LUMB/SAC >= 3 LVL,1886.0,1678.54,43.49,1886.0,1438 CPT,64495,"INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE, THIRD AND ANY ADDITIONAL LEVEL FACILITY",,,43.49,1328.34,20 CPT,64495,PR INJ FACET JT LUMB/SAC >= 3 LVL,712.0,633.68,80.65,712.0,482 CPT,64505,HC INJ ANES SPENOPLTN GANGLION,1307.0,1163.23,89.77,1307.0,1472 CPT,64505,"INJECTION OF ANESTHETIC AGENT, TRIGEMINAL NERVE BUNDLE FACILITY",,,89.77,407.26,20 CPT,64505,PR INJ ANES SPENOPLTN GANGLION,721.0,641.69,58.78,721.0,482 CPT,64510,HC INJ ANES STELLATE GANGLION,2639.0,2348.71,67.99,2639.0,737 CPT,64510,INJECTION OF ANESTHETIC AGENT INTO SYMPATHETIC NERVE BUNDLE FACILITY,,,67.99,1173.52,20 CPT,64510,PR INJ ANES STELLATE GANGLION,1229.0,1093.81,63.08,1229.0,482 CPT,64517,HC INJ ANES SUPR HYPOGASTRIC PLEX,3180.0,2830.2,110.22,3180.0,736 CPT,64517,INJECTION OF ANESTHETIC AGENT INTO SACRAL NERVE BUNDLE FACILITY,,,110.22,1173.52,20 CPT,64517,PR INJ ANES SUPR HYPOGASTRIC PLEX,1709.0,1521.01,82.27,1709.0,482 CPT,64520,HC INJ ANES AGENT LUMBAR/THORACIC,3180.0,2830.2,74.83,3180.0,737 CPT,64520,INJECTION OF ANESTHETIC AGENT INTO MIDDLE OR LOWER SPINE SYMPATHETIC NERVE FACILITY,,,74.83,1173.52,20 CPT,64520,PR INJ ANES AGENT LUMBAR/THORACIC,1260.0,1121.4,99.95,1260.0,482 CPT,64530,HC INJ ANES AGENT CELIAC PLEX,3280.0,2919.2,82.82,3280.0,739 CPT,64530,INJECTION OF ANESTHETIC AGENT INTO ABDOMINAL SYMPATHETIC NERVE BUNDLE FACILITY,,,82.82,1173.52,21 CPT,64530,PR INJ ANES AGENT CELIAC PLEX,1659.0,1476.51,96.89,1659.0,482 CPT,64553,INSERTION OF CRANIAL NERVE NEUROSTIMULATOR ELECTRODE,,,396.5,40942.15,20 CPT,64553,PR IMPL NEUROSTIM CRANIAL PERC,1667.0,1483.63,750.15,1667.0,482 CPT,64555,HC IMPL NEUROSTIM PERIPHERAL PERC,17379.0,15467.31,282.81,17379.0,737 CPT,64555,INSERTION OF PERIPHERAL NERVE NEUROSTIMULATOR ELECTRODE THROUGH SKIN FACILITY,,,282.81,14784.18,21 CPT,64555,PR IMPL NEUROSTIM PERIPHERAL PERC,3375.0,3003.75,925.49,3375.0,482 CPT,64561,INSERTION OF SACRAL NERVE NEUROSTIMULATOR ELECTRODE ARRAY FACILITY,,,255.58,8455.72,21 CPT,64561,PR IMPL NEUROSTIM SAC NRV W IMG,5478.0,4875.42,302.28,5478.0,482 CPT,64566,PR NEUROSTIM POSTR TIB PERC NDL,757.0,673.73,41.05,757.0,509 CPT,64568,INSERTION OF CRANIAL NERVE NEUROSTIMULATOR ELECTRODE AND GENERATOR,,,594.74,58441.09,21 CPT,64568,PR INCISION IMPL CRANIAL NERVE,6210.0,5526.9,242.66,6210.0,482 CPT,64569,PR REV CRANIAL NERVE NEUROSTIM,7913.0,7042.57,271.87,7913.0,482 CPT,64570,PR RMVL CRANIAL NERVE NEUROSTIM,4931.0,4388.59,280.82,4931.0,482 CPT,64581,INSERTION OF SACRAL NERVE NEUROSTIMULATOR ELECTRODE,,,551.02,8455.72,21 CPT,64581,PR INCISN IMPLN NRSTIM SACRAL NRV,4627.0,4118.03,224.82,4627.0,482 CPT,64582,INSERTION OF HYPOGLOSSAL NERVE NEUROSTIMULATOR ELECTRODE AND GENERATOR AND BREATHING SENSOR ELECTRODE PROFESSIONAL,,,10.74,40942.15,21 CPT,64582,PR OPN MPLTJ HPGLSL NSTM ARY PG,6040.0,5375.6,278.18,6040.0,482 CPT,64583,PR REV/RPLCT HPGLSL NSTM ARY PG,7750.0,6897.5,286.68,7750.0,482 CPT,64583,REVISION OR REPLACEMENT OF HYPOGLOSSAL NERVE NEUROSTIMULATOR ELECTRODE AND BREATHING SENSOR ELECTRODE WITH CONNECTION TO EXISTING GENERATOR PROFESSIONAL,,,11.05,14784.18,20 CPT,64584,PR RMVL HPGLSL NSTIM ARY PG,3487.0,3103.43,243.57,3487.0,482 CPT,64584,REMOVAL OF HYPOGLOSSAL NERVE NEUROSTIMULATOR ELECTRODE AND GENERATOR AND BREATHING SENSOR ELECTRODE,,,3.8,4532.56,20 CPT,64585,PR REV/RMVL PERIPH NEUROSTIM ELEC,2202.0,1959.78,102.02,2202.0,482 CPT,64585,REVISION OF PERIPHERAL NEUROSTIMULATOR ELECTRODES FACILITY,,,130.79,4638.65,21 CPT,64590,"INSERTION OR REPLACEMENT OF PERIPHERAL, SACRAL, OR GASTRIC NEUROSTIMULATOR GENERATOR OR RECEIVER PROFESSIONAL",,,251.93,25740.17,21 CPT,64590,PR INS/RPLC PERIPH/GASTR NEUROSTIM,2011.0,1789.79,170.52,2011.0,482 CPT,64595,PR REV/RMVL PERIPH/GASTR NEUROSTIM,1881.0,1674.09,139.16,1881.0,482 CPT,64595,"REMOVAL OR REVISION OF A PERIPHERAL, SACRAL, OR GASTRIC NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER FACILITY",,,198.79,4638.65,20 CPT,64596,PR INS/RPLCMT PRQ ELTRD RA PN 1,5228.0,4652.92,2352.6,5228.0,477 CPT,64597,PR INS/RPLCM PRQ ELTRD RA PN EA,3659.0,3256.51,3219.92,3659.0,477 CPT,64600,DESTRUCTION OF FIRST DIVISION OF FACE NERVE BRANCH,,,207.9,1173.52,20 CPT,64605,PR DESTRCT TRIGEM 2ND/3RD DIV,5132.0,4567.48,436.74,5132.0,482 CPT,64610,DESTRUCTION OF FACE NERVE BRANCH UNDER X-RAY MONITORING FACILITY,,,401.61,2590.89,21 CPT,64610,HC DESTRCT TRIGEM 2/3 DIV RADMNTR,12451.0,11081.39,401.61,12451.0,737 CPT,64610,PR DESTRCT TRIGEM 2/3 DIV RADMNTR,4159.0,3701.51,336.2,4159.0,482 CPT,64611,HC CHEMODENERV PAROTID SUBMAN,1054.0,938.06,100.84,1054.0,736 CPT,64611,INJECTION OF CHEMICAL FOR PARALYSIS OF SALIVARY GLANDS ON BOTH SIDES OF MOUTH FACILITY,,,100.84,3154.46,20 CPT,64611,PR CHEMODENERV PAROTID SUBMAN,645.0,574.05,53.91,645.0,483 CPT,64612,HC CHEMODENERV FACIAL MUS UNILAT,967.0,860.63,102.93,967.0,738 CPT,64612,INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON SIDE OF FACE FACILITY,,,102.93,4398.97,20 CPT,64612,PR CHEMODENERV FACIAL MUS UNILAT,1304.0,1160.56,56.02,1304.0,482 CPT,64615,INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE FACILITY,,,95.47,2590.89,20 CPT,64615,PR CHEMODENERV FACIAL TRIGEM BIL,1067.0,949.63,50.15,1067.0,514 CPT,64616,HC CHEMODENERV NECK MUSCLE UNILAT,1384.0,1231.76,88.74,1384.0,737 CPT,64616,INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON SIDE OF NECK EXCLUDING VOICE BOX FACILITY,,,88.74,2546.02,20 CPT,64616,PR CHEMODENERV NECK MUSCLE UNILAT,928.0,825.92,54.72,928.0,483 CPT,64617,PR CHEMODENERV LARYNX UNILAT W EMG,1435.0,1277.15,63.42,1435.0,483 CPT,64620,INJECTION OF AGENT TO DESTROY RIB NERVE,,,160.65,1173.52,20 CPT,64620,PR DEST NEURO AGNT INTERCOSTAL NRV,1482.0,1318.98,90.08,1482.0,482 CPT,64624,DESTRUCTION OF NERVE BRANCHES OF KNEE USING IMAGING GUIDANCE FACILITY,,,2.74,2590.89,20 CPT,64624,HC DEST NEURO AGNT GENICULAR NERVE,5407.0,4812.23,623.01,5407.0,736 CPT,64624,PR DEST NEURO AGNT GENICULAR NERVE,2741.0,2439.49,169.46,2741.0,489 CPT,64625,DESTRUCTION OF NERVES SUPPLYING JOINT BETWEEN SPINE AND PELVIS USING IMAGING GUIDANCE FACILITY,,,0.32,2590.89,20 CPT,64625,HC RF ABLATION NERVES SACROILIAC JNT,6911.0,6150.79,748.14,6911.0,736 CPT,64625,PR RF ABLATION NERVES SACROILIAC JNT,3347.0,2978.83,203.5,3347.0,482 CPT,64628,"HEAT DESTRUCTION OF INTRAOSSEOUS BASIVERTEBRAL NERVE IN BONES OF SPINE IN LOWER BACK, FIRST TWO BONES FACILITY",,,15.35,17034.43,21 CPT,64628,PR THER DES INTRA BAS NRV 1ST 2 BOD LUM/SAC,8452.0,7522.28,143.19,8452.0,482 CPT,64629,HEAT DESTRUCTION OF INTRAOSSEOUS BASIVERTEBRAL NERVE IN ADDITIONAL BONE OF SPINE IN LOWER BACK FACILITY,,,238.62,17034.43,18 CPT,64629,PR THER DES INTRA BAS NRV EA ADD BOD LUM/SAC,3379.0,3007.31,129.81,3379.0,482 CPT,64633,"DESTRUCTION OF UPPER OR MIDDLE SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE, SINGLE FACET JOINT FACILITY",,,167.21,2590.89,20 CPT,64633,HC DEST CERV/THOR FACET JT,4921.0,4379.69,167.21,4921.0,738 CPT,64633,PR DEST CERV/THOR FACET JT,3275.0,2914.75,188.4,3275.0,482 CPT,64634,"DESTRUCTION OF UPPER OR MIDDLE SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE, EACH ADDITIONAL FACET JOINT FACILITY",,,55.27,2590.89,20 CPT,64634,HC DEST CERV/THOR FACET JT ADD,2628.0,2338.92,55.27,2628.0,721 CPT,64634,PR DEST CERV/THOR FACET JT ADD,1175.0,1045.75,220.39,1175.0,482 CPT,64635,"DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE, SINGLE FACET JOINT FACILITY",,,167.8,2932.68,20 CPT,64635,HC DEST LUMB/SAC FACET JT,5269.0,4689.41,167.8,5269.0,737 CPT,64635,PR DEST LUMB/SAC FACET JT,3365.0,2994.85,191.02,3365.0,482 CPT,64636,"DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE, EACH ADDITIONAL FACET JOINT FACILITY",,,48.45,2932.68,20 CPT,64636,HC DEST LUMB/SAC FACET JT ADD,2628.0,2338.92,48.45,2628.0,720 CPT,64636,PR DEST LUMB/SAC FACET JT ADD,1036.0,922.04,208.09,1036.0,482 CPT,64640,DESTRUCTION OF PERIPHERAL NERVE OR BRANCH FACILITY,,,215.08,1173.52,20 CPT,64640,HC DEST OTHER PERIPHERAL NERVE,2531.0,2252.59,107.54,2531.0,736 CPT,64640,PR DEST OTHER PERIPHERAL NERVE,1092.0,971.88,109.36,1092.0,482 CPT,64642,HC CHEMODENERV 1 EXT 1-4 MUSCLE,1802.0,1603.78,87.88,1802.0,740 CPT,64642,"INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON ARM OR LEG, 1-4 MUSCLES, FIRST EXTREMITY FACILITY",,,87.88,936.57,21 CPT,64642,PR CHEMODENERV 1 EXT 1-4 MUSCLE,871.0,775.19,64.04,871.0,486 CPT,64643,HC CHEMODENERV EA ADD EXT 1-4 MUS,832.0,740.48,54.74,832.0,722 CPT,64643,"INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON ARM OR LEG, 1-4 MUSCLES, EACH ADDITIONAL EXTREMITY FACILITY",,,54.74,936.57,20 CPT,64643,PR CHEMODENERV EA ADD EXT 1-4 MUS,531.0,472.59,78.32,531.0,485 CPT,64644,HC CHEMODENERV 1 EXT >=5 MUS,1777.0,1581.53,95.04,1777.0,737 CPT,64644,"INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON ARM OR LEG, 5 OR MORE MUSCLES, FIRST EXTREMITY FACILITY",,,95.04,936.57,21 CPT,64644,PR CHEMODENERV 1 EXT >=5 MUS,909.0,809.01,75.38,909.0,484 CPT,64645,HC CHEMODENERV EXT EA ADD > 4 MUS,1019.0,906.91,62.88,1019.0,719 CPT,64645,"INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON ARM OR LEG, 5 OR MORE MUSCLES, EACH ADDITIONAL EXTREMITY FACILITY",,,8.75,94.32,20 CPT,64645,PR CHEMODENERV EXT EA ADD > 4 MUS,800.0,712.0,100.95,800.0,484 CPT,64646,HC CHEMODENERV TRUNK 1-5 MUS,1802.0,1603.78,93.43,1802.0,1474 CPT,64646,"INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON TRUNK, 1-5 MUSCLES FACILITY",,,93.43,936.57,21 CPT,64646,PR CHEMODENERV TRUNK 1-5 MUS,992.0,882.88,66.03,992.0,482 CPT,64647,HC CHEMODENERV TRUNK OVER 5 MUS,2649.0,2357.61,105.37,2649.0,1474 CPT,64647,"INJECTION OF CHEMICAL FOR PARALYSIS OF NERVE MUSCLES ON TRUNK, 6 OR MORE MUSCLES FACILITY",,,105.37,936.57,20 CPT,64647,PR CHEMODENERV TRUNK OVER 5 MUS,911.0,810.79,73.7,911.0,482 CPT,64650,HC CHEMODENERV ECCRINE GLND AXIL BOTH,722.0,642.58,31.02,722.0,738 CPT,64650,INJECTION OF CHEMICAL FOR PARALYSIS OF UNDERARM SWEAT GLANDS FACILITY,,,31.02,407.26,20 CPT,64650,PR CHEMODENERV ECCRINE GLND AXIL BOTH,599.0,533.11,34.96,599.0,482 CPT,64653,HC CHEMODENERV ECCRINE GLND OTHR,815.0,725.35,39.34,815.0,736 CPT,64653,INJECTION OF CHEMICAL FOR PARALYSIS OF SWEAT GLANDS FACILITY,,,39.34,407.26,20 CPT,64653,PR CHEMODENERV ECCRINE GLND OTHR,960.0,854.4,34.74,960.0,507 CPT,64680,HC DEST NERVE CELIAC PLEX,3975.0,3537.75,142.0,3975.0,736 CPT,64680,INJECTION OF AGENT TO DESTROY ABDOMINAL NERVE BUNDLE FACILITY,,,142.0,1173.52,20 CPT,64680,PR DEST NERVE CELIAC PLEX,2048.0,1822.72,141.93,2048.0,482 CPT,64702,PR NEUROPLASTY DIGITAL SAME DIGIT,3752.0,3339.28,191.86,3752.0,482 CPT,64702,RELEASE OF FINGER NERVE,,,470.23,2590.89,20 CPT,64704,PR NEUROPLASTY HAND/FEET NERVE,2579.0,2295.31,122.03,2579.0,482 CPT,64704,RELEASE OF HAND OR FOOT NERVE,,,299.09,2590.89,20 CPT,64708,PR NEUROPLASTY ARM/LEG MJR NERVE,4586.0,4081.54,183.98,4586.0,482 CPT,64708,RELEASE OF ARM OR LEG NERVE PROFESSIONAL,,,901.84,4341.31,21 CPT,64712,PR NEUROPLASTY SCIATIC NERVE,5257.0,4678.73,214.15,5257.0,482 CPT,64712,RELEASE OF SCIATIC NERVE,,,524.87,9627.58,20 CPT,64713,PR NEUROPLASTY BRACHIAL PLEXUS,6949.0,6184.61,282.69,6949.0,482 CPT,64713,RELEASE OF MAJOR ARM OR LEG NERVE,,,692.85,11643.84,20 CPT,64714,PR NEUROPLASTY LUMBAR PLEXUS,7133.0,6348.37,272.37,7133.0,482 CPT,64716,PR NEUROPLASTY CRANIAL NERVE,4982.0,4433.98,183.12,4982.0,482 CPT,64716,RELEASE AND/OR RELOCATION OF CRANIAL NERVE,,,448.82,4398.97,20 CPT,64718,PR NEUROPLASTY ULNAR NRV AT ELBOW,5595.0,4979.55,224.39,5595.0,482 CPT,64718,RELEASE AND/OR RELOCATION OF ELBOW NERVE PROFESSIONAL,,,549.97,2590.89,20 CPT,64719,PR NEUROPLASTYULNAR NERVE AT WRST,3627.0,3228.03,151.3,3627.0,482 CPT,64719,RELEASE AND/OR RELOCATION OF WRIST NERVE,,,370.83,4532.56,20 CPT,64721,HC NEUROPLASTY MEDN NRV CARP TUNL,6676.0,5941.64,406.53,6676.0,737 CPT,64721,PR NEUROPLASTY MEDN NRV CARP TUNL,3714.0,3305.46,190.82,3714.0,482 CPT,64721,RELEASE AND/OR RELOCATION OF HAND NERVE PROFESSIONAL,,,406.53,2590.89,20 CPT,64722,PR DECOMPRESSION UNSPECIFIED NRV,6447.0,5737.83,143.69,6447.0,482 CPT,64722,RELEASE OF UNSPECIFIED NERVE,,,352.18,20696.78,20 CPT,64727,PR NEUROLYSIS INTRNL W MICROSCOPE,1513.0,1346.57,114.13,1513.0,482 CPT,64736,"INCISION OR REMOVAL OF CHIN, LOWER LIP, AND JAW NERVE",,,295.24,2590.89,20 CPT,64738,PR TRANSECTION/AVUL W/OSTEO,3231.0,2875.59,163.28,3231.0,482 CPT,64742,INCISION OR REMOVAL OF FACE NERVE,,,1256.73,2932.68,20 CPT,64742,PR TRANSECTION/AVUL FCL NRV,3803.0,3384.67,170.92,3803.0,482 CPT,64744,INCISION OR REMOVAL OF SCALP AND OVER EAR NERVE,,,494.88,2590.89,20 CPT,64763,INCISION OR REMOVAL OF OUTSIDE PELVIC AND THIGH NERVE,,,463.61,2590.89,20 CPT,64763,PR TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY,3612.0,3214.68,189.16,3612.0,482 CPT,64766,PR TRANSECTION OBTURATOR INTRPELV,5061.0,4504.29,231.29,5061.0,482 CPT,64772,INCISION OR REMOVAL OF SPINAL NERVE PROFESSIONAL,,,1466.82,4341.31,20 CPT,64772,PR TRANS/AVUL OTH SPN NRV EXTRADUR,4659.0,4146.51,199.49,4659.0,482 CPT,64774,PR EXCISN NEUROMA CUTANEOUS NERVE,2813.0,2503.57,158.78,2813.0,482 CPT,64774,REMOVAL OF GROWTH OF SKIN NERVE,,,389.16,2590.89,20 CPT,64776,PR EXCISN NEUROMA DIGITAL NERVE,2452.0,2182.28,145.95,2452.0,482 CPT,64776,"REMOVAL OF GROWTH OF FINGER OR TOE NERVE, SAME DIGIT",,,357.71,2590.89,20 CPT,64782,PR EXCISN NEUROMA HAND/FOOT,2755.0,2451.95,169.91,2755.0,482 CPT,64782,"REMOVAL OF GROWTH OF NERVE OF HAND OR FOOT NERVE, FIRST NERVE",,,416.43,3195.53,20 CPT,64784,PR EXCISN NEUROMA MJR PERIPHERAL,5006.0,4455.34,257.7,5006.0,482 CPT,64784,REMOVAL OF GROWTH OF PERIPHERAL NERVE,,,631.6,2590.89,20 CPT,64787,IMPLANTATION OF NERVE END INTO BONE OR MUSCLE,,,187.24,2590.89,20 CPT,64787,PR IMPL NERVE END INTO BONE/MUS,2048.0,1822.72,152.79,2048.0,482 CPT,64788,PR EXCISN NEUROFIBROMA CUTAN NRV,3306.0,2942.34,151.5,3306.0,482 CPT,64788,REMOVAL OF GROWTH OF SKIN NERVE OR NERVE LINING FACILITY,,,371.32,11643.84,20 CPT,64790,PR EXCISN NEUROFIBROMA MJR PERIPH,6918.0,6157.02,301.8,6918.0,482 CPT,64790,REMOVAL OF GROWTH OF MAJOR PERIPHERAL NERVE OR NERVE LINING,,,739.7,2590.89,21 CPT,64792,PR EXCISN NEUROFIBROMA EXTENSIVE,7618.0,6780.02,438.07,7618.0,482 CPT,64792,"REMOVAL OF GROWTH OF MAJOR PERIPHERAL NERVE OR NERVE LINING, EXTENSIVE INCLUDING GROWTH",,,1073.7,4532.56,20 CPT,64795,BIOPSY OF NERVE FACILITY,,,167.4,2590.89,21 CPT,64795,PR BIOPSY OF NERVE,1727.0,1537.03,68.3,1727.0,482 CPT,64804,"PR SYMPATHECTOMY,CERVICOTHORACIC",7260.0,6461.4,432.14,7260.0,482 CPT,64804,REMOVAL OF UPPER AND MIDDLE SPINE SYMPATHETIC NERVES,,,1059.17,2590.89,20 CPT,64820,PR SYMPATHECTOMY DGTL ARTERIES EA,4706.0,4188.34,269.12,4706.0,482 CPT,64820,REMOVAL OF FINGER OR TOE SYMPATHETIC NERVE,,,659.61,2590.89,20 CPT,64822,PR SYMPATHECTOMY ULNAR ARTERY,4509.0,4013.01,254.26,4509.0,482 CPT,64831,PR SUTURE DGTL NRV HAND/FT SNGL,4844.0,4311.16,249.71,4844.0,482 CPT,64831,"SUTURE OF HAND OR FOOT DIGITAL NERVE, FIRST DIGITAL NERVE",,,612.03,4341.31,20 CPT,64832,PR SUTURE DGTL NRV HAND/FT EA ADD,2476.0,2203.64,210.69,2476.0,482 CPT,64832,"SUTURE OF HAND OR FOOT DIGITAL NERVE, EACH ADDITIONAL DIGITAL NERVE",,,258.2,2590.89,20 CPT,64834,PR SUTURE NERVE HAND/FOOT COMMON,4817.0,4287.13,255.33,4817.0,482 CPT,64834,SUTURE OF HAND OR FOOT COMMON SENSORY NERVE,,,625.8,4532.56,20 CPT,64835,PR SUTURE 1 NRV MED MOTOR THENAR,5626.0,5007.14,288.16,5626.0,482 CPT,64836,PR SUTURE OF 1 NERVE ULNAR MOTOR,5324.0,4738.36,288.16,5324.0,482 CPT,64837,PR SUTURE HAND/FOOT EA ADD NERVE,2627.0,2338.03,230.88,2627.0,482 CPT,64840,PR SUTURE POSTERIOR TIBIAL NERVE,7952.0,7077.28,336.99,7952.0,482 CPT,64856,PR SUTR MJR NRV ARM/LG W TRANSPSTN,6523.0,5805.47,345.58,6523.0,482 CPT,64856,SUTURE AND RELOCATION OF ARM OR LEG PERIPHERAL NERVE,,,847.01,11643.84,20 CPT,64857,PR SITR MJR NRV ARM/LG WO TRNSPSTN,8076.0,7187.64,358.15,8076.0,482 CPT,64857,SUTURE OF ARM OR LEG PERIPHERAL NERVE,,,877.81,4532.56,20 CPT,64858,PR SUTURE SCIATIC NERVE,8264.0,7354.96,402.8,8264.0,482 CPT,64859,PR SUTURE PERIPH NERVE EA ADD,2618.0,2330.02,157.04,2618.0,482 CPT,64859,SUTURE OF PERIPHERAL NERVE,,,192.45,11643.84,20 CPT,64864,PR SUTURE FACIAL NRV EXTRACRANIAL,7826.0,6965.14,290.02,7826.0,482 CPT,64864,SUTURE OF FACE NERVE OUTSIDE SKULL,,,2132.46,11643.84,20 CPT,64866,CONNECTION OF FACE-SPINAL NERVES TO RESTORE FUNCTION TO THE FACE,,,1069.3,9627.58,20 CPT,64868,CONNECTION OF FACE-HYPOGLOSSAL NERVES TO RESTORE FUNCTION TO THE FACE,,,827.29,3154.46,20 CPT,64868,PR ANAST FACIAL SPINAL HYPOGLOS,7309.0,6505.01,337.54,7309.0,482 CPT,64872,DELAYED SUTURE NERVE REPAIR,,,270.78,11643.84,20 CPT,64872,PR SUTR NRV REQ SECNDY/DELAY SUTR,899.0,800.11,73.65,899.0,482 CPT,64874,PR SUTR NRV REQ EXTNS MOBL/TRANSP,1348.0,1199.72,110.32,1348.0,482 CPT,64885,"GRAFT OF HEAD OR NECK NERVE, 4.0 CM OR LESS",,,877.99,11643.84,20 CPT,64885,PR NERVE GRAFT HEAD/NECK <=4CM,7628.0,6788.92,358.22,7628.0,482 CPT,64886,"GRAFT OF HEAD OR NECK NERVE, MORE THAN 4.0 CM",,,1051.85,11643.84,20 CPT,64886,PR NERVE GRFT HEAD/NECK>4 CM,12789.0,11382.21,429.16,12789.0,482 CPT,64890,PR NERVE GRFT HAND/FT SNGL<=4 CM,8392.0,7468.88,371.37,8392.0,482 CPT,64891,"GRAFT OF HAND OR FOOT NERVE, MORE THAN 4.0 CM",,,966.18,11643.84,20 CPT,64891,PR NERVE GRFT HAND/FT SNGL >4CM,9068.0,8070.52,394.2,9068.0,482 CPT,64892,"GRAFT OF ARM OR LEG NERVE, 4.0 CM OR LESS",,,1775.88,11643.84,20 CPT,64892,PR NERVE GRFT ARM/LEG SNGL<=4 CM,7486.0,6662.54,362.28,7486.0,482 CPT,64893,"GRAFT OF ARM OR LEG NERVE, MORE THAN 4.0 CM",,,944.24,4532.56,20 CPT,64893,PR NERVE GRFT ARM/LEG SNGL>4 CM,8284.0,7372.76,385.25,8284.0,482 CPT,64897,PR NERVE GRFT ARM/LEG MULT<=4 CM,8930.0,7947.7,431.67,8930.0,482 CPT,64898,"GRAFT OF MULTIPLE ARM OR LEG NERVES, MORE THAN 4.0 CM",,,2292.6,11643.84,20 CPT,64898,PR NERVE GRFT ARM/LEG MULT>4 CM,11614.0,10336.46,467.69,11614.0,482 CPT,64901,"GRAFT OF SINGLE STRAND OF NERVE, EACH ADDITIONAL NERVE",,,2311.25,11643.84,20 CPT,64901,PR NERVE GRFT EA NERVE SINGL,4069.0,3621.41,377.2,4069.0,482 CPT,64902,GRAFT OF MULTIPLE NERVE SECTIONS,,,534.9,11643.84,20 CPT,64902,PR NERVE GRFT EA NERVE MULT,5110.0,4547.9,436.48,5110.0,482 CPT,64905,PR NRV PEDICLE TRANSFER 1ST STAGE,8983.0,7994.87,337.98,8983.0,482 CPT,64905,"TRANSFER OF NERVE TO INJURED NERVE, STAGE 1 OF 2",,,828.38,11643.84,20 CPT,64910,PR NRV RPR SYNTH COND ALLOGRFT EA,5414.0,4818.46,271.02,5414.0,482 CPT,64910,REPAIR OF NERVE WITH GRAFT,,,664.26,11643.84,21 CPT,64911,PR NRV RPR W AUTOGEN VEIN GRFT EA,6515.0,5798.35,364.49,6515.0,482 CPT,64912,PR NRV RPR W/NRV ALGRFT 1ST,4626.0,4117.14,316.64,4626.0,482 CPT,64912,"REPAIR OF NERVE USING NERVE GRAFT, FIRST STRAND",,,1164.12,11643.84,20 CPT,64913,PR NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND,1031.0,917.59,110.01,1031.0,482 CPT,64913,"REPAIR OF NERVE USING NERVE GRAFT, EACH ADDITIONAL STRAND",,,202.23,11643.84,20 CPT,64999,HC CHEMODNRVTIN ECCRINE GLDS,677.0,602.53,140.82,778.55,740 CPT,64999,HC CHMODNRV ECCRINE GLDS/SOFT TIS HND/FT,677.0,602.53,140.82,778.55,740 CPT,64999,HC MR FUS SPINE,3026.0,2693.14,307.61,3479.9,740 CPT,64999,HC PERC INTER DISC CORE BX,3775.0,3359.75,307.61,4341.25,740 CPT,64999,HC PULSED RF ANY PERIPHERAL NRV,2770.0,2465.3,307.61,3185.5,740 CPT,64999,HC PULSED RF CERV/THOR FAC JT,4921.0,4379.69,307.61,5659.15,740 CPT,64999,HC SYNOVIAL CYST ASPIRATION/INJECTION,3323.0,2957.47,307.61,3821.45,740 CPT,64999,HC UNLISTED PROCEDURE NERVOUS SYS,3850.0,3426.5,307.61,4427.5,740 CPT,64999,PR CHEMODNRVTIN ECCRINE GLDS,465.0,413.85,23.25,465.0,477 CPT,64999,PR CHMODNRV ECCRINE GLDS/SOFT TIS HND/FT,599.0,533.11,29.95,599.0,477 CPT,64999,PR ENDOSCOPIC BIOPSY OF SKULL-BASED TUMOR,19826.0,17645.14,991.3,19826.0,477 CPT,64999,PR ENDOSCOPIC ENDONASAL SKULL BASE TUMOR RESECTION,39324.0,34998.36,1966.2,39324.0,477 CPT,64999,PR ENDOSCOPIC TRANSNASAL RESECTION OF SKULL-BASED TUMOR,23791.0,21173.99,1189.55,23791.0,477 CPT,64999,PR ERECTOR SPINAE PLANE BLOCK BILATERAL,1133.0,1008.37,56.65,1133.0,477 CPT,64999,PR ERECTOR SPINAE PLANE BLOCK UNILATERAL,755.0,671.95,37.75,755.0,477 CPT,64999,PR INTRACRANIAL EEG RF ABLATION,13587.0,12092.43,679.35,13587.0,477 CPT,64999,PR MR FUS SPINE,3365.0,2994.85,168.25,3365.0,477 CPT,64999,PR PULSED RF ANY PERIPHERAL NERVE,1092.0,971.88,54.6,1092.0,477 CPT,64999,PR PULSED RF CERV/THOR FAC JT,3275.0,2914.75,163.75,3275.0,477 CPT,64999,PR SPG BLK W/CATH,721.0,641.69,36.05,721.0,477 CPT,64999,PR SYNOVIAL CYST ASPIRATION/INJECTION,1597.0,1421.33,79.85,1597.0,477 CPT,64999,PR THREADED CARPAL TUNNEL,3714.0,3305.46,185.7,3714.0,477 CPT,64999,UNLISTED PROCEDURE NERVOUS SYS - FACILITY,,,307.61,407.26,18 CPT,65091,PR EVISCERATION OCULAR WO IMPLANT,3857.0,3432.73,269.82,3857.0,482 CPT,65091,REMOVAL OF EYE CONTENTS,,,661.32,5216.2,20 CPT,65093,PR EVISCERATION OCULAR W IMPLANT,3998.0,3558.22,268.75,3998.0,482 CPT,65093,REMOVAL OF EYE CONTENTS WITH INSERTION OF IMPLANT,,,658.69,5216.2,20 CPT,65101,PR ENUCLEATION EYE WO IMPLANT,4713.0,4194.57,309.29,4713.0,482 CPT,65105,PR ENUCLEATION EYE W IMPL W MUS,5621.0,5002.69,344.18,5621.0,482 CPT,65105,REMOVAL OF EYEBALL WITH INSERTION OF IMPLANT ATTACHED TO MUSCLES,,,843.58,5484.25,20 CPT,65110,PR EXENTERATN ORBIT RMVL CONTENTS,8257.0,7348.73,462.78,8257.0,482 CPT,65110,REMOVAL OF EYE CONTENTS AND EYE SOCKET BONE,,,1134.27,5216.2,20 CPT,65112,PR EXENTERATN ORBIT RMVL CNTNS&BN,9912.0,8821.68,527.06,9912.0,482 CPT,65112,REMOVAL OF EYE CONTENTS AND THERAPEUTIC REMOVAL OF EYE SOCKET BONE,,,1291.8,5216.2,20 CPT,65175,REMOVAL OF EYE IMPLANT,,,698.75,5216.2,20 CPT,65205,HC RMVL FB EYE SUPFCL,470.0,418.3,24.14,470.0,736 CPT,65205,PR RMVL FB EYE SUPFCL,255.0,226.95,9.69,255.0,507 CPT,65210,PR RMVL FB EYE SUBCONJUNCT,313.0,278.57,15.46,313.0,482 CPT,65220,HC REMOVAL FB CORNEA WO SLIT LAMP,685.0,609.65,35.97,685.0,736 CPT,65220,PR REMOVAL FB CORNEA WO SLIT LAMP,355.0,315.95,25.76,355.0,489 CPT,65222,HC REMOVAL FB CORNEA W SLIT LAMP,550.0,489.5,41.19,550.0,736 CPT,65222,PR REMOVAL FB CORNEA W SLIT LAMP,377.0,335.53,27.33,377.0,482 CPT,65235,PR RMVL FB INTRAOCULAR ANT EYE,4521.0,4023.69,256.29,4521.0,482 CPT,65235,REMOVAL OF FOREIGN BODY IN EYE OR LENS,,,628.16,3062.03,20 CPT,65260,REMOVAL OF FOREIGN BODY IN EYE WITH A MAGNET,,,828.31,7060.33,20 CPT,65265,PR REMOVAL FB NONMAGNETIC EXTR,6447.0,5737.83,378.73,6447.0,482 CPT,65265,REMOVAL OF FOREIGN BODY IN EYE,,,928.26,7060.33,20 CPT,65270,PR RPR LACERATION CONJUNCTIVA,1029.0,915.81,116.11,1029.0,482 CPT,65275,PR RPR CORNEA NONPERFARATING,2791.0,2483.99,240.85,2791.0,482 CPT,65280,PR REPAIR EYE WOUND,4128.0,3673.92,227.05,4128.0,482 CPT,65280,REPAIR OF PERFORATING LACERATION OF CORNEA AND/OR SCLERA,,,556.49,7060.33,20 CPT,65285,PR RPR EYE WND W RSECT UVEAL TISS,5503.0,4897.67,372.11,5503.0,482 CPT,65286,PR RPR EYE WOUND W TISS GLUE APP,3342.0,2974.38,285.81,3342.0,482 CPT,65286,REPAIR OF LACERATED CORNEA AND/OR SCLERA USING TISSUE GLUE,,,413.53,3062.03,20 CPT,65400,PR EXCISION LESION CORNEA,2785.0,2478.65,284.34,2785.0,482 CPT,65400,REMOVAL OF GROWTH OF CORNEA FACILITY,,,516.8,1497.15,20 CPT,65410,BIOPSY OF CORNEA,,,84.94,3154.46,20 CPT,65420,REMOVAL OR RELOCATION OF CORNEAL CONJUNCTIVA,,,331.7,3062.03,20 CPT,65426,PR EXCISN PTERYGIUM WITH GRAFT,3191.0,2839.99,274.65,3191.0,482 CPT,65426,REMOVAL OR RELOCATION OF CORNEAL CONJUNCTIVA WITH GRAFT PROFESSIONAL,,,408.17,3154.46,20 CPT,65430,PR SCRAPE CORNEA DX,800.0,712.0,46.86,800.0,482 CPT,65430,SCRAPING OF CORNEA FOR DIAGNOSIS FACILITY,,,83.91,3062.03,20 CPT,65435,PR REMOVAL CORNEAL EPITHELIUM,384.0,341.76,34.01,384.0,482 CPT,65435,REMOVAL OF OUTER LAYER OF CORNEA FACILITY,,,59.62,3154.46,20 CPT,65436,PR RMVL CORNEAL EPITHELM W CHELAT,1815.0,1615.35,158.98,1815.0,482 CPT,65436,REMOVAL OF OUTER LAYER OF CORNEA WITH APPLICATION OF CHELATING AGENT FACILITY,,,313.34,3062.03,20 CPT,65450,DESTRUCTION OF GROWTH OF CORNEA,,,287.66,431.49,20 CPT,65600,MULTIPLE PUNCTURES OF CORNEA FACILITY,,,296.59,3154.46,20 CPT,65600,PR PUNCTURES ANTR CORNEA MULTIPLE,1783.0,1586.87,180.75,1783.0,482 CPT,65710,PR KERATOPLASTY ANTERIOR LAMELLAR,8111.0,7218.79,395.84,8111.0,482 CPT,65710,TRANSPLANTATION OF TISSUE FROM 1 CORNEA TO OTHER CORNEA,,,970.18,7060.33,20 CPT,65730,PENETRATING TRANSPLANTATION OF TISSUE FROM 1 CORNEA TO OTHER CORNEA (EXCEPT IN APHAKIA OR PSEUDOPHAKIA),,,1052.02,5484.25,20 CPT,65730,PR KERATOPLASTY PENETRATE,7469.0,6647.41,429.23,7469.0,482 CPT,65750,PENETRATING TRANSPLANTATION OF TISSUE FROM 1 CORNEA TO OTHER CORNEA (IN APHAKIA),,,1052.82,19246.77,20 CPT,65750,PR KERATOPLASTY PENETRATE APHAKIA,9528.0,8479.92,429.55,9528.0,482 CPT,65755,PENETRATING TRANSPLANTATION OF TISSUE FROM 1 CORNEA TO OTHER CORNEA (IN PSEUDOPHAKIA) PROFESSIONAL,,,1047.77,5484.25,20 CPT,65755,PR KERATOPLASTY PENETRATE PSEUDO,7712.0,6863.68,427.49,7712.0,482 CPT,65756,PR KERATOPLASTY ENDOTHELIAL,7244.0,6447.16,396.76,7244.0,482 CPT,65756,TRANSPLANTATION OF OUTER LAYER OF CORNEAL TISSUE PROFESSIONAL,,,972.45,5484.25,20 CPT,65760,REMOVAL AND RESHAPING OF CORNEAL TISSUE-EXPRESS CARE,,,0.3,871.47,19 CPT,65770,INSERTION OF CORNEA PROSTHESIS,,,1160.58,19246.77,20 CPT,65770,PR KERATOPROSTHESIS,8900.0,7921.0,473.52,8900.0,482 CPT,65772,INCISION OF CORNEA TO CORRECT ASTIGMATISM,,,346.63,3062.03,20 CPT,65772,PR INCISN CORNEAL CORRECT ASTIGM,2281.0,2030.09,187.28,2281.0,482 CPT,65775,REMOVAL OF CORNEAL TISSUE TO CORRECT ASTIGMATISM,,,493.98,3154.46,20 CPT,65778,PLACEMENT OF AMNIOTIC MEMBRANE ON EYE SURFACE FOR WOUND HEALING FACILITY,,,35.0,7060.33,20 CPT,65778,PR PLC AMNIOTIC MEMB OCLR WO SUTR,5063.0,4506.07,534.25,5063.0,482 CPT,65779,PLACEMENT OF AMNIOTIC MEMBRANE ON EYE SURFACE WITH SUTURES FOR WOUND HEALING,,,82.21,3062.03,20 CPT,65779,PR PLC AMNIOTIC MEMB OCLR W SUTR,4752.0,4229.28,476.53,4752.0,482 CPT,65780,PR RCNST OCULAR W MEMBRANE,4594.0,4088.66,208.55,4594.0,482 CPT,65780,TRANSPLANTATION OF FETAL SAC TISSUE TO CORNEA,,,511.15,5216.2,20 CPT,65781,TRANSPLANTATION OF STEM CELLS TO CORNEA,,,1103.85,7060.33,20 CPT,65782,TRANSPLANTATION OF STEM CELLS FROM 1 CORNEA TO OTHER CORNEA,,,957.68,5216.2,20 CPT,65800,PR PARACENT ANTR CHAMB EYE W ASP,812.0,722.68,48.84,812.0,482 CPT,65800,REMOVAL OF EYE FLUID FACILITY,,,68.83,5484.25,20 CPT,65810,COMPLEX REMOVAL OF EYE FLUID FACILITY,,,396.17,3062.03,20 CPT,65810,PR PARACENTSIS EYE HYALOID MEMB,2550.0,2269.5,161.64,2550.0,482 CPT,65815,PR PARACENT ANT CHAMB EYE RMV BLD,3019.0,2686.91,262.75,3019.0,482 CPT,65815,REMOVAL OF BLOOD FROM EYE PROFESSIONAL,,,406.5,5484.25,20 CPT,65820,INCISION TO IMPROVE EYE FLUID FLOW,,,719.38,5484.25,20 CPT,65820,PR GONIOTOMY,4060.0,3613.4,293.51,4060.0,482 CPT,65850,INSERTION OF EYE FLUID DRAINAGE TUBE,,,702.51,3062.03,20 CPT,65850,PR TRABECULOTOMY AB EXTERNO,4013.0,3571.57,286.63,4013.0,482 CPT,65855,HC TRABECULOPLASTY LASER SURG,2904.0,2584.56,168.09,2904.0,737 CPT,65855,LASER REPAIR TO IMPROVE EYE FLUID FLOW FACILITY,,,168.09,729.74,20 CPT,65855,PR TRABECULOPLASTY LASER SURG,2338.0,2080.82,99.71,2338.0,482 CPT,65860,LASER REMOVAL OF SCAR TISSUE OF EYE,,,205.15,3465.98,20 CPT,65860,PR SEVER ADHESN EYE SEGMENT LASER,1982.0,1763.98,126.05,1982.0,482 CPT,65865,PR SEVER ADHESN EYE GONIOSYNECH,3003.0,2672.67,167.12,3003.0,482 CPT,65865,REMOVAL OF SCAR TISSUE IN EYE (GONIOSYNECHIAE) PROFESSIONAL,,,409.61,3062.03,20 CPT,65870,PR SEVER ADHESN EYE ANTR SYNECH,3616.0,3218.24,206.85,3616.0,482 CPT,65870,REMOVAL OF SCAR TISSUE IN EYE (ANTERIOR SYNECHIAE) PROFESSIONAL,,,506.98,5484.25,20 CPT,65875,PR SEVER ADHESN EYE POSTR SYNECH,3703.0,3295.67,221.11,3703.0,482 CPT,65875,REMOVAL OF SCAR TISSUE IN EYE (POSTERIOR SYNECHIAE),,,541.94,5484.25,20 CPT,65900,REMOVAL OF OUTER LINING OF CORNEA,,,838.31,5484.25,20 CPT,65920,PR RMVL IMPLNT MATERIAL ANTR EYE,4721.0,4201.69,274.19,4721.0,482 CPT,65920,REMOVAL OF IMPLANTED LENS OF EYE,,,672.02,3062.03,20 CPT,65930,PR RMVL BLOOD CLOT EYE ANTR,3427.0,3050.03,220.35,3427.0,482 CPT,66020,INJECTION OF AIR OR LIQUID INTO EYE,,,112.47,3062.03,20 CPT,66020,PR INJ ANTR CHAMBER EYE AIR/LIQ,855.0,760.95,80.66,855.0,482 CPT,66030,INJECTION OF MEDICATION INTO EYE,,,96.93,3062.03,20 CPT,66030,PR INJ ANTR CHAMBER EYE MED,704.0,626.56,72.78,704.0,482 CPT,66130,REMOVAL OF GROWTH OF SCLERA,,,467.88,3154.46,20 CPT,66160,REMOVAL OF SCLERA AND IRIS AND CREATION OF EYE FLUID DRAINAGE TRACT FOR TREATMENT OF GLAUCOMA,,,837.29,3062.03,20 CPT,66170,CREATION OF EYE FLUID DRAINAGE TRACT FOR TREATMENT OF GLAUCOMA PROFESSIONAL,,,925.59,3062.03,20 CPT,66170,PR GLAUCOMA SURG TRABECULECTOMY,5125.0,4561.25,377.64,5125.0,482 CPT,66172,CREATION OF EYE FLUID DRAINAGE TRACT FOR TREATMENT OF GLAUCOMA WITH PREVIOUS SCARRING,,,1016.51,3062.03,20 CPT,66172,PR GLAUCOMA SURG W SCARRING,6174.0,5494.86,414.74,6174.0,482 CPT,66174,DILATION OF FLUID OUTFLOW DRAINAGE WITHIN EYE PROFESSIONAL,,,534.7,5484.25,20 CPT,66174,PR TRNSLMN DIL AQUS WO DEV/STENT,5344.0,4756.16,218.16,5344.0,482 CPT,66179,CREATION OF SHUNT TO IMPROVE EYE FLUID FLOW PROFESSIONAL,,,910.41,7060.33,20 CPT,66180,CREATION OF SHUNT TO IMPROVE EYE FLUID FLOW USING TISSUE GRAFT PROFESSIONAL,,,955.96,7060.33,20 CPT,66180,PR SHNT AQUS EXTRAOCL RSRVR W GRFT,7877.0,7010.53,390.03,7877.0,482 CPT,66184,PR RVSN AQUEOUS SHNT EXTRAOCLR WO GRFT,4939.0,4395.71,277.13,4939.0,482 CPT,66184,REVISION OF EYE FLUID DRAINAGE SHUNT PROFESSIONAL,,,679.23,3062.03,20 CPT,66185,PR RVISN AQUS SHNT EXTRCLR RSRVR,5083.0,4523.87,295.57,5083.0,482 CPT,66185,REVISION OF EYE FLUID DRAINAGE SHUNT WITH GRAFT PROFESSIONAL,,,724.44,3062.03,20 CPT,66250,PR RPR OPERATIVE WND ANTR SEGM,3542.0,3152.38,307.29,3542.0,482 CPT,66250,REVISION OR REPAIR OF OPERATIVE WOUND OF EYE PROFESSIONAL,,,471.66,3154.46,20 CPT,66500,INCISION OF IRIS TO IMPROVE EYE FLUID FLOW,,,351.89,5484.25,20 CPT,66600,PR IRIDECTOMY W CORNEAL SECTION,5605.0,4988.45,320.41,5605.0,482 CPT,66600,REMOVAL OF IRIS AND GROWTH,,,785.31,5484.25,20 CPT,66625,PR IRIDOTOMY PERIPHERAL,2889.0,2571.21,149.52,2889.0,482 CPT,66625,REMOVAL OF MARGIN OF IRIS TO IMPROVE EYE FLUID FLOW,,,366.46,3062.03,20 CPT,66630,REMOVAL OF SECTION OF IRIS TO IMPROVE EYE FLUID FLOW,,,479.83,5484.25,20 CPT,66635,PARTIAL REMOVAL OF IRIS AND EYELID BORDER TO IMPROVE EYE FLUID FLOW,,,483.97,3465.98,20 CPT,66680,PR REPAIR IRIS CILIARY BODY,3587.0,3192.43,203.84,3587.0,482 CPT,66680,REPAIR OF IRIS AND LENS,,,499.61,5484.25,20 CPT,66682,PR SUTURE IRIS CILIARY BODY,3587.0,3192.43,227.77,3587.0,482 CPT,66682,SUTURE OF IRIS AND LENS,,,558.25,5484.25,20 CPT,66683,IMPLANTATION OF IRIS PROSTHESIS,,,972.45,21840.31,20 CPT,66710,DESTRUCTION OF LENS TISSUE USING LASER PROFESSIONAL,,,330.42,3154.46,20 CPT,66710,PR DEST CILIARY TRANSSCLERAL,2914.0,2593.46,180.95,2914.0,482 CPT,66711,DESTRUCTION OF TISSUE ENCIRCLING LENS USING AN ENDOSCOPE,,,443.34,3062.03,20 CPT,66711,PR DESTRUCTION CILIARY ENDOSCOPIC,3637.0,3236.93,180.89,3637.0,482 CPT,66720,PR DEST CILIARY CRYOTHERAPY,3334.0,2967.26,193.32,3334.0,482 CPT,66761,"CREATION OF EYE FLUID DRAINAGE TRACTS IN IRIS USING A LASER, PER SESSION FACILITY",,,199.71,5484.25,20 CPT,66761,PR IRIDOTOMY LASER PER SESSION,2706.0,2408.34,122.29,2706.0,482 CPT,66762,PR IRIDOPLASTY PHOTOCOAGULATION,3705.0,3297.45,195.94,3705.0,482 CPT,66770,DESTRUCTION OF GROWTH OF IRIS USING A LASER-EXPRESS CARE,,,410.26,729.74,20 CPT,66820,PR RMVL SECNDRY MEMBRANE CATARACT,1985.0,1766.65,172.39,1985.0,482 CPT,66820,REMOVAL OF RECURRING CATARACT IN LENS CAPSULE BY STAB INCISION,,,422.51,7060.33,20 CPT,66821,PR DISC SECNDRY MEMB CATARACT LSR,1652.0,1470.28,136.98,1652.0,482 CPT,66821,REMOVAL OF RECURRING CATARACT IN LENS CAPSULE USING A LASER FACILITY,,,273.86,729.74,20 CPT,66825,PR REPOSIT INTRAOCL LENS PROSTH,3949.0,3514.61,296.18,3949.0,482 CPT,66825,REPOSITIONING OF LENS PROSTHESIS,,,725.92,5484.25,20 CPT,66830,PR RMVL SEC MEMB CATARACT CORNEO,4305.0,3831.45,242.42,4305.0,482 CPT,66830,REMOVAL OF RECURRING CATARACT IN LENS CAPSULE WITH SECTIONING OF CORNEA AND SCLERAL AREAS,,,594.15,3062.03,20 CPT,66840,ASPIRATION OF LENS MATERIAL BY ASPIRATION PROFESSIONAL,,,581.6,3062.03,20 CPT,66840,PR RMVL LENS MATERIAL ASPIRATION,4479.0,3986.31,237.3,4479.0,482 CPT,66850,ASPIRATION OF LENS MATERIAL BY FRAGMENTING AND ASPIRATION PROFESSIONAL,,,659.41,5484.25,20 CPT,66850,PR RMVL LENS MATERIAL PHACOFRAGM,4644.0,4133.16,269.04,4644.0,482 CPT,66852,PR RMVL LENS MATERIAL PARS PLANA,5716.0,5087.24,284.84,5716.0,482 CPT,66852,REMOVAL OF LENS MATERIAL PROFESSIONAL,,,698.14,5484.25,20 CPT,66920,REMOVAL OF LENS MATERIAL AND CAPSULE,,,624.45,7060.33,20 CPT,66930,REMOVAL OF LENS MATERIAL AND CAPSULE FOR DISLOCATED LENS,,,713.95,5484.25,20 CPT,66982,COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS PROFESSIONAL,,,619.88,3062.03,20 CPT,66982,PR RMVL CATARACT EXTRACAP CMPLX,5274.0,4693.86,252.91,5274.0,482 CPT,66983,REMOVAL OF CATARACT AND CAPSULE WITH INSERTION OF PROSTHETIC LENS,,,4142.29,5484.25,17 CPT,66984,PR RMVL CATARACT INSERT LENS,4283.0,3811.87,185.99,4283.0,482 CPT,66984,REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS PROFESSIONAL,,,455.85,3062.03,20 CPT,66985,INSERTION OF PROSTHETIC LENS,,,649.0,5484.25,20 CPT,66985,PR INS IOL WO CATARACT RMVL,3984.0,3545.76,264.79,3984.0,482 CPT,66986,EXCHANGE OF PROSTHETIC LENS PROFESSIONAL,,,751.54,5484.25,20 CPT,66986,PR EXCHANGE INTRAOCULAR LENS,5134.0,4569.26,306.63,5134.0,482 CPT,66989,COMPLEX EXTRACAPSULAR REMOVAL OF CATARACT WITH INSERTION OF ARTIFICIAL LENS AND INSERTION OF DRAINAGE DEVICE IN FRONT CHAMBER OF EYE PROFESSIONAL,,,1058.48,7060.33,18 CPT,66989,PR XCPSL CTRC RMVL CPLX INSJ 1+,7424.0,6607.36,287.91,7424.0,482 CPT,66990,EXAM OF EYE USING AN ENDOSCOPE,,,68.16,9627.58,20 CPT,66991,EXTRACAPSULAR REMOVAL OF CATARACT WITH INSERTION OF ARTIFICIAL LENS AND INSERTION OF DRAINAGE DEVICE IN FRONT CHAMBER OF EYE PROFESSIONAL,,,860.18,7060.33,18 CPT,66991,PR XCAPSL CTRC RMVL INSJ 1+,5848.0,5204.72,233.97,5848.0,482 CPT,66999,UNLISTED PROC ANTR SEGMENT EYE,,,837.29,3062.03,19 CPT,67005,PARTIAL REMOVAL OF EYE FLUID BETWEEN LENS AND RETINA PROFESSIONAL,,,408.92,3062.03,20 CPT,67005,PR RMVL VITREOUS ANTR APP PRTL,4052.0,3606.28,166.84,4052.0,482 CPT,67010,PARTIAL REMOVAL OF EYE FLUID BETWEEN LENS AND RETINA WITH MECHANICAL REMOVAL OF EYE FLUID,,,461.98,3062.03,20 CPT,67010,PR RMVL VITREOUS PRTL W VETRCTMY,4506.0,4010.34,188.49,4506.0,482 CPT,67015,ASPIRATION OR RELEASE OF EYE FLUID BETWEEN LENS AND RETINA,,,519.39,3062.03,20 CPT,67015,PR ASP VITREOUS FLUID PARS PLANA,4602.0,4095.78,211.91,4602.0,482 CPT,67025,PR INJECTION VITREOUS SUBSTITUTE,4629.0,4119.81,302.41,4629.0,482 CPT,67028,HC INJECTION INTRAVITREAL,1340.0,1192.6,73.63,1340.0,743 CPT,67028,INJECTION OF DRUG INTO EYE FACILITY,,,73.63,496.07,21 CPT,67028,PR INJECTION INTRAVITREAL,1132.0,1007.48,46.31,1132.0,482 CPT,67031,PR SEVER VITR STRANDS LASER >=1,2104.0,1872.56,158.43,2104.0,482 CPT,67036,PR VITRECTOMY MECH PARS PLANA,8104.0,7212.56,304.57,8104.0,482 CPT,67036,REMOVAL OF EYE FLUID (VITREOUS) BETWEEN LENS AND RETINA,,,746.5,5484.25,20 CPT,67039,DESTRUCTION OF EYE FLUID (VITREOUS) BETWEEN LENS AND RETINA USING A LASER,,,794.85,5484.25,21 CPT,67039,PR VITRECTOMY W FOCAL ENDOLASER,8751.0,7788.39,324.3,8751.0,482 CPT,67040,DESTRUCTION OF EYE FLUID (VITREOUS) BETWEEN LENS AND RETINA AND ALL OF RETINA USING A LASER,,,853.62,5484.25,20 CPT,67040,PR VITRECTOMY W ENDOLASER PANRET,10430.0,9282.7,348.28,10430.0,482 CPT,67041,PR VITRECT W RMVL PRERETINAL MEMB,9063.0,8066.07,381.94,9063.0,482 CPT,67041,REMOVAL OF MEMBRANE OF RETINA,,,936.11,5484.25,20 CPT,67042,PR VITRECTOMY W RMVL LIM RET MEMB,9996.0,8896.44,381.8,9996.0,482 CPT,67042,REMOVAL OF MEMBRANE OF RETINA WITH REMOVAL OF INTERNAL LIMITING MEMBRANE OF RETINA,,,935.77,5484.25,20 CPT,67043,PR VITRECTOMY W RMVL SUBRET MEMB,10647.0,9475.83,401.72,10647.0,482 CPT,67043,REMOVAL OF MEMBRANE OF RETINA WITH REMOVAL OF SUBRETINAL MEMBRANE,,,984.59,5484.25,20 CPT,67101,PR RPR DETACHED RETINA CRYOTHRPY,4439.0,3950.71,136.85,4439.0,482 CPT,67105,PR RPR DETACHED RETINA PHOTOCOAG,3923.0,3491.47,121.56,3923.0,482 CPT,67107,PR RPR DETACH RET SCLER BUCKLING,8185.0,7284.65,375.81,8185.0,482 CPT,67107,REPAIR OF DETACHED RETINA AND DRAINAGE OF EYE FLUID BETWEEN LENS AND RETINA,,,921.1,5484.25,20 CPT,67108,PR RPR DETACHED RETINA W VITRECT,10960.0,9754.4,396.59,10960.0,482 CPT,67108,REPAIR OF DETACHED RETINA WITH DRAINAGE AND REMOVAL OF EYE FLUID BETWEEN LENS AND RETINA,,,972.04,5484.25,20 CPT,67110,PR RPR DETACH RETINA W IN AIR/GAS,5510.0,4903.9,362.33,5510.0,482 CPT,67113,COMPLEX REPAIR OF DETACHED RETINA AND DRAINAGE OF EYE FLUID BETWEEN LENS AND RETINA,,,1088.5,7060.33,20 CPT,67113,PR RPR DETACH RETINA CMPLX,11443.0,10184.27,444.11,11443.0,482 CPT,67120,PR RMVL EYE IMPL EXTRAOCULAR,3750.0,3337.5,273.17,3750.0,482 CPT,67120,REMOVAL OF IMPLANT MATERIAL FROM OUTSIDE OF EYE PROFESSIONAL,,,469.84,3062.03,20 CPT,67121,PR RMVL EYE IMPL INTRAOCULAR,4740.0,4218.6,306.68,4740.0,482 CPT,67121,REMOVAL OF IMPLANT MATERIAL FROM INSIDE OF EYE,,,751.65,5484.25,20 CPT,67141,PR PROPH RETINAL DETACHMENT CRYO,3205.0,2852.45,110.47,3205.0,482 CPT,67145,PHOTOCOAGULATION TREATMENT TO PREVENT DETACHMENT OF RETINA FACILITY,,,186.9,5484.25,20 CPT,67145,PR PROPH RETINAL DETACH PHOTOCOAG,2808.0,2499.12,100.1,2808.0,482 CPT,67208,DESTRUCTION OF GROWTH OF RETINA BY HEAT OR FREEZING,,,318.09,726.38,20 CPT,67208,PR DEST RETINA LESION CRYOTHERAPY,4572.0,4069.08,245.11,4572.0,482 CPT,67210,DESTRUCTION OF GROWTH OF RETINA USING A LASER FACILITY,,,422.62,729.74,20 CPT,67210,PR DEST RETINA LESION PHOTOCOAG,2903.0,2583.67,209.87,2903.0,482 CPT,67218,DESTRUCTION OF GROWTH OF RETINA BY IMPLANTATION OF RADIATION SOURCE,,,1130.59,5216.2,20 CPT,67218,PR DEST RETINA LESION RADIATION,9366.0,8335.74,461.28,9366.0,482 CPT,67220,DESTRUCTION OF VASCULAR GROWTH BETWEEN RETINA AND SCLERA BY PHOTOCOAGULATION,,,422.52,826.01,20 CPT,67220,PR DEST CHOROID LESION PHOTOCOAG,3816.0,3396.24,216.14,3816.0,482 CPT,67221,DESTRUCTION OF VASCULAR GROWTH BETWEEN RETINA AND SCLERA BY PHOTODYNAMIC THERAPY FACILITY,,,163.6,729.74,20 CPT,67221,HC DEST CHOROID LSN PHOTODYNAMIC,2366.0,2105.74,163.6,2366.0,736 CPT,67221,PR DEST CHOROID LSN PHOTODYNAMIC,2369.0,2108.41,115.41,2369.0,482 CPT,67227,DESTRUCTION OF LEAKING BLOOD VESSELS OF RETINA,,,211.67,5216.2,20 CPT,67228,DESTRUCTION OF LEAKING BLOOD VESSELS OF RETINA USING LASER FACILITY,,,248.49,5484.25,20 CPT,67228,PR TX RETINOPATHY PHOTOCOAG EXT,3826.0,3405.14,137.99,3826.0,482 CPT,67229,"DESTRUCTION OF LEAKING BLOOD VESSELS OF RETINA, PRETERM INFANT",,,600.63,1427.42,20 CPT,67229,PR TX RETINOPATHY <= 1 YR,6620.0,5891.8,388.26,6620.0,482 CPT,67250,REPAIR OF DEFECT OF SCLERA,,,791.24,3062.03,20 CPT,67255,PR SCLERAL REINFORCEMENT W GRAFT,4651.0,4139.39,240.73,4651.0,482 CPT,67255,REPAIR OF DEFECT OF SCLERA WITH GRAFT PROFESSIONAL,,,590.01,5484.25,20 CPT,67299,UNLISTED PROC POSTR SEGMENT,,,519.39,3062.03,19 CPT,67311,PR STRABISMUS 1 HOR MUSCLE,4771.0,4246.19,157.43,4771.0,482 CPT,67311,REALIGNMENT OF HORIZONTAL EYE MUSCLE,,,385.85,3272.93,20 CPT,67312,PR STRABISMUS 2 HOR MUSCLE,5968.0,5311.52,223.37,5968.0,482 CPT,67312,REALIGNMENT OF EYE BY REPAIR OF 2 HORIZONTAL MUSCLES,,,547.47,5904.33,20 CPT,67314,PR STRABISMUS 1 VER MUSCLE,5243.0,4666.27,157.43,5243.0,482 CPT,67314,REALIGNMENT OF VERTICAL EYE MUSCLE,,,385.85,3570.6,20 CPT,67316,PR STRABISMUS 2 VER MUSCLE,6355.0,5655.95,238.25,6355.0,482 CPT,67316,REALIGNMENT OF MULTIPLE VERTICAL EYE MUSCLES,,,583.93,3570.6,20 CPT,67318,PR STRABISMUS SUPER OBLIQUE MUS,5780.0,5144.2,231.65,5780.0,482 CPT,67318,REALIGNMENT OF EYE MUSCLE AT UPPER INNER EDGE OF EYE,,,567.76,3154.46,20 CPT,67320,PR TXPOSITION EXTRAOCULAR MUSCLE,4652.0,4140.28,110.52,4652.0,482 CPT,67320,RELOCATION OF EYE MUSCLE TO RESTORE FUNCTION,,,135.44,3154.46,20 CPT,67331,PR STRABISMUS NOT EXTRAOCULAR,3014.0,2682.46,79.96,3014.0,482 CPT,67331,REALIGNMENT OF EYE MUSCLE FOLLOWING INJURY OR EYE SURGERY,,,97.99,3154.46,20 CPT,67332,PR STRABISMUS W SCARRING,2947.0,2622.83,128.41,2947.0,482 CPT,67332,REALIGNMENT OF EYE MUSCLE COMPLICATED BY SCARRING OR RESTRICTIVE MUSCLE MOVEMENT,,,157.37,3570.6,20 CPT,67334,PR STRABISMUS W POSTR FIX SUTR,2480.0,2207.2,78.79,2480.0,482 CPT,67334,REALIGNMENT OF EYE MUSCLE BY SUTURE,,,96.56,3154.46,20 CPT,67335,PLACEMENT OF ADJUSTABLE SUTURES DURING EYE MUSCLE SURGERY,,,145.05,5216.2,20 CPT,67335,PR PLC EYE SUTURE DURING SURGERY,1425.0,1268.25,118.36,1425.0,482 CPT,67343,PR RELEASE EYE TISSUE,4026.0,3583.14,234.74,4026.0,482 CPT,67343,RELEASE OF EXTENSIVE SCAR TISSUE OF EYE,,,575.34,3154.46,20 CPT,67345,DESTRUCTION OF EYE MUSCLE BY INJECTION OF CHEMICAL FACILITY,,,180.44,476.69,20 CPT,67345,PR CHEMDNRV EXTRAOCULAR MUSCLE,1544.0,1374.16,99.0,1544.0,482 CPT,67346,BIOPSY OF EYE MUSCLE,,,157.81,5216.2,20 CPT,67346,PR BX EXTRAOCULAR MUSCLE,1560.0,1388.4,64.39,1560.0,482 CPT,67400,EXPLORATION OF CAVITY BEHIND EYE,,,905.23,5216.2,20 CPT,67400,PR ORBITOTOMY EXPLORATION,6055.0,5388.95,369.34,6055.0,482 CPT,67405,INCISION AND DRAINAGE OF CAVITY BEHIND EYE,,,798.8,3154.46,20 CPT,67405,PR ORBITOTOMY W DRAINAGE,5310.0,4725.9,325.91,5310.0,482 CPT,67412,PR ORBITOTOMY W LESION REMOVAL,4814.0,4284.46,354.48,4814.0,482 CPT,67412,REMOVAL OF GROWTH OF CAVITY BEHIND EYE,,,868.82,3154.46,20 CPT,67413,PR ORBITOTOMY W FB REMOVAL,5777.0,5141.53,343.69,5777.0,482 CPT,67413,REMOVAL OF FOREIGN BODY IN CAVITY BEHIND EYE,,,842.36,3154.46,20 CPT,67414,PR ORBITOTOMY W BONE REMOVAL,7036.0,6262.04,501.96,7036.0,482 CPT,67414,REMOVAL OF BONE CAVITY BEHIND EYE FOR DECOMPRESSION,,,1230.29,10599.17,20 CPT,67415,FINE NEEDLE ASPIRATION OF ORBITAL CONTENTS,,,79.46,3062.03,20 CPT,67415,PR FINE NEEDLE ASP ORBTL CONTENTS,789.0,702.21,32.42,789.0,482 CPT,67420,PR ORBITOTOMY W LESN RMVL LAT APP,9178.0,8168.42,602.55,9178.0,482 CPT,67420,REMOVAL OF BONE AND GROWTH OF CAVITY BEHIND EYE,,,2953.64,5216.2,20 CPT,67445,PR ORBITOTOMY W BONE RMVL LAT APP,8523.0,7585.47,527.53,8523.0,482 CPT,67445,REMOVAL OF BONE FROM CAVITY BEHIND EYE WITH BONE FLAP,,,1292.95,9363.87,20 CPT,67450,EXPLORATION OF CAVITY BEHIND EYE WITH BONE FLAP,,,1209.28,5216.2,20 CPT,67450,PR ORBITMY BN FLAP EXPL W/WO BX,8663.0,7710.07,493.39,8663.0,482 CPT,67500,PR INJ RETROBULBAR MEDICATION,584.0,519.76,31.84,584.0,482 CPT,67515,INJECTION OF DRUG OR SUBSTANCE INTO MEMBRANE COVERING EYEBALL FACILITY,,,37.35,421.13,20 CPT,67515,PR INJECTION TENONS CAPSULE,572.0,509.08,20.85,572.0,482 CPT,67516,HC SUPRACHOROIDAL SPACE INJECTION OF PHARMACOLOGIC AGENT,1258.0,1119.62,180.57,1258.0,734 CPT,67516,PR SUPRACHOROIDAL SPACE INJECTION OF PHARMACOLOGIC AGENT,1132.0,1007.48,49.12,1132.0,482 CPT,67550,INSERTION OF IMPLANT OUTSIDE EYE MUSCLES,,,948.54,5216.2,20 CPT,67550,PR INSERT ORBITAL IMPL,5542.0,4932.38,387.01,5542.0,482 CPT,67560,PR RMVL/REVISE ORBITAL IMPLANT,5046.0,4490.94,394.32,5046.0,482 CPT,67560,REMOVAL OR REVISION OF IMPLANT OUTSIDE EYE MUSCLES,,,966.47,5216.2,20 CPT,67570,PR DECOMPRESSION OPTIC NERVE,7862.0,6997.18,448.54,7862.0,482 CPT,67570,RELEASE OF OPTIC NERVE,,,1099.36,5904.33,20 CPT,67599,UNLISTED PROCEDURE ORBIT,,,318.09,555.21,19 CPT,67700,HC BLEPHAROTOMY DRN ABSC EYELID,1932.0,1719.48,101.49,1932.0,736 CPT,67700,INCISION AND DRAINAGE OF ABSCESS OF EYELID FACILITY,,,101.49,476.69,20 CPT,67700,PR BLEPHAROTOMY DRN ABSC EYELID,1304.0,1160.56,116.15,1304.0,482 CPT,67710,PR SEVERING TARSORRHAPHY,1212.0,1078.68,99.33,1212.0,482 CPT,67710,REMOVAL OF SUTURES BETWEEN UPPER AND LOWER EYELIDS FACILITY,,,86.39,5216.2,20 CPT,67715,HC CANTHOTOMY SEPARATE PROCEDURE,5256.0,4677.84,99.56,5256.0,736 CPT,67715,INCISION OF CORNER OF EYE AT EYELID FACILITY,,,99.56,3154.46,20 CPT,67715,PR CANTHOTOMY SEPARATE PROCEDURE,1552.0,1381.28,112.98,1552.0,482 CPT,67800,PR EXCISION CHALAZION SINGLE,519.0,461.91,53.19,519.0,482 CPT,67800,REMOVAL OF CHRONIC GROWTH OF EYELID FACILITY,,,85.34,421.13,20 CPT,67801,PR EXCISN CHALAZION MULT SAME LID,976.0,868.64,67.04,976.0,482 CPT,67805,PR EXCISN CHALAZION MULT DIFF LID,1176.0,1046.64,83.99,1176.0,482 CPT,67805,REMOVAL OF MULTIPLE CHRONIC GROWTHS OF DIFFERENT EYELIDS FACILITY,,,136.09,476.69,20 CPT,67808,PR EXCISION CHALAZION W ANES,1580.0,1406.2,128.59,1580.0,482 CPT,67808,REMOVAL OF CHRONIC EYELID GROWTH UNDER GENERAL ANESTHESIA AND/OR REQUIRING HOSPITALIZATION,,,315.16,3154.46,20 CPT,67810,BIOPSY OF EYELID FACILITY,,,52.9,421.13,20 CPT,67810,HC BX EYELID SKIN & LID MARGIN,1109.0,987.01,52.9,1109.0,737 CPT,67810,PR BX EYELID SKIN & LID MARGIN,764.0,679.96,74.45,764.0,482 CPT,67820,PR CORRECT TRICHIASIS EPIL FORCEP,214.0,190.46,7.53,214.0,482 CPT,67820,REMOVAL OF EYELASHES USING FORCEPS FACILITY,,,18.8,5216.2,20 CPT,67825,PR CORRECT TRICHIASIS EPILATION,695.0,618.55,55.15,695.0,482 CPT,67825,REMOVAL OF EYELASHES FACILITY,,,106.63,3570.6,20 CPT,67830,PR CORRECT TRICHIASIS INC LID MRG,1060.0,943.4,110.67,1060.0,482 CPT,67830,REMOVAL OF EYELASHES BY INCISION FACILITY,,,117.62,1322.66,20 CPT,67840,PR EXCISION LESION EYELID,1055.0,938.95,114.17,1055.0,482 CPT,67840,REMOVAL OF GROWTH OF EYELID FACILITY,,,132.03,1322.66,20 CPT,67850,PR DEST LESN EYELID MARGIN <=1CM,1022.0,909.58,85.89,1022.0,482 CPT,67875,PR TEMPORARY CLSR EYELIDS SUTURE,1217.0,1083.13,74.25,1217.0,482 CPT,67875,TEMPORARY CLOSURE OF EYELIDS BY SUTURE FACILITY,,,79.55,5216.2,20 CPT,67880,CREATION OF PERMANENT EYELID MARGIN SCARRING FACILITY,,,315.26,5216.2,20 CPT,67880,PR CNSTRCT EYE INTERMARG ADHSNS,2142.0,1906.38,192.15,2142.0,482 CPT,67882,CREATION OF PERMANENT EYELID MARGIN SCARRING WITH RELOCATION OF EYELID TISSUE,,,400.64,3570.6,20 CPT,67882,PR CNSTRCT INTERMARG ADSN W TRNSP,3056.0,2719.84,234.28,3056.0,482 CPT,67900,HC REPAIR BROW PTOSIS,8063.0,7176.07,424.3,8063.0,737 CPT,67900,PR REPAIR BROW PTOSIS,3783.0,3366.87,267.49,3783.0,482 CPT,67900,REPAIR OF BROW PARALYSIS PROFESSIONAL,,,424.3,3570.6,20 CPT,67901,PR RPR BLEPHAROPT FRNT MUS W SUTR,6259.0,5570.51,324.06,6259.0,482 CPT,67901,REPAIR OF UPPER EYELID MUSCLE TO CORRECT DROOPING OR PARALYSIS USING EXTERNAL MATERIAL,,,494.57,3570.6,20 CPT,67902,PR RPR BLEPHAROPT FRNT MUSC AUTOL FCL SLING,4732.0,4211.48,246.73,4732.0,482 CPT,67902,REPAIR OF UPPER EYELID MUSCLE TO CORRECT DROOPING OR PARALYSIS USING INTERNAL TISSUES,,,604.72,5216.2,20 CPT,67903,PR RPR BLEPHAROPT LEVAT RSECT INT,5036.0,4482.04,247.01,5036.0,482 CPT,67904,PR RPR BLEPHAROPT LEVAT RSECT EXT,5745.0,5113.05,303.15,5745.0,482 CPT,67904,REPAIR OF TENDON OF UPPER EYELID FACILITY,,,499.32,3570.6,20 CPT,67908,PR RPR BLEPH CONJ-TARSO-MULLER'S,4107.0,3655.23,223.17,4107.0,482 CPT,67908,"REMOVAL OF TISSUE, MUSCLE, AND MEMBRANE TO CORRECT EYELID DROOPING OR PARALYSIS PROFESSIONAL",,,370.68,3570.6,20 CPT,67909,PR REDUCTION OVERCORRECT PTOSIS,3439.0,3060.71,225.28,3439.0,482 CPT,67911,CORRECTION OF WIDELY-OPENED UPPER EYELID,,,469.37,4398.97,20 CPT,67911,PR CORRECTION EYELID RETRACTION,4030.0,3586.7,191.51,4030.0,482 CPT,67912,PR CORREC LAGOPHTHALMOS W IMPLNT,5136.0,4571.04,366.29,5136.0,482 CPT,67912,RESTORATION OF EYELID BLINKING FUNCTION WITH IMPLANT FACILITY,,,413.5,3154.46,20 CPT,67914,PR REPAIR OF ECTROPION SUTURE,2202.0,1959.78,200.87,2202.0,482 CPT,67914,SUTURE REPAIR OF TURNING-OUTWARD UPPER OR LOWER EYELID DEFECT FACILITY,,,288.18,3570.6,20 CPT,67916,PR RPR ECTROPION EXCISN TARSAL WEDGE,2701.0,2403.89,250.16,2701.0,482 CPT,67916,REPAIR OF TURNING-OUTWARD EYELID DEFECT,,,366.34,3154.46,20 CPT,67917,EXTENSIVE REPAIR OF TURNING-OUTWARD EYELID DEFECT PROFESSIONAL,,,386.15,3154.46,20 CPT,67917,PR REPAIR ECTROPION EXTENSIVE,3914.0,3483.46,255.57,3914.0,482 CPT,67921,PR REPAIR ENTROPION SUTURE,1849.0,1645.61,196.45,1849.0,482 CPT,67921,SUTURE REPAIR OF TURNING-INWARD EYELID DEFECT FACILITY,,,274.94,4398.97,20 CPT,67923,PR RPR ENTROPION EXCISN TARSAL WEDGE,3474.0,3091.86,249.93,3474.0,482 CPT,67923,REPAIR OF TURNING-INWARD EYELID DEFECT,,,366.15,3570.6,20 CPT,67924,EXTENSIVE REPAIR OF TURNING-INWARD EYELID DEFECT PROFESSIONAL,,,386.39,3570.6,20 CPT,67924,PR REPAIR ENTROPION EXTENSIVE,3283.0,2921.87,266.33,3283.0,482 CPT,67930,PR SUTR EYELID RECENT WOUND PRTL,1742.0,1550.38,152.22,1742.0,482 CPT,67935,HC REPAIR EYELID WOUND FULL THICK,5044.0,4489.16,359.14,5044.0,736 CPT,67935,PR REPAIR EYELID WOUND FULL THICK,3088.0,2748.32,246.37,3088.0,482 CPT,67935,REPAIR OF WOUND OF EYELID MARGIN FACILITY,,,359.14,3154.46,20 CPT,67938,PR REMOVAL EMBEDED FB EYELID,803.0,714.67,104.74,803.0,482 CPT,67950,PR CANTHOPLASTY,3648.0,3246.72,239.92,3648.0,482 CPT,67950,RECONSTRUCTION OF EYELID MARGIN FACILITY,,,391.1,9627.58,20 CPT,67961,PR EXCISN&RPR EYELID<=1/4 MARGIN,4159.0,3701.51,241.67,4159.0,482 CPT,67961,REMOVAL OF UP TO 1/4 OF EYELID MARGIN AND REPAIR OF EYELID PROFESSIONAL-EXPRESS CARE,,,384.74,3154.46,20 CPT,67966,PR EXCISN&RPR EYELID>1/4 MARGIN,4815.0,4285.35,317.81,4815.0,482 CPT,67966,REMOVAL OF OVER 1/4 OF EYELID MARGIN AND REPAIR OF EYELID,,,544.53,3154.46,20 CPT,67971,PR RCNST EYELID <= 2/3 1ST STG,4854.0,4320.06,243.13,4854.0,482 CPT,67971,RECONSTRUCTION OF UP TO 2/3 OF EYELID WITH TISSUE FROM OPPOSITE EYELID,,,595.9,3570.6,20 CPT,67973,PR RECONSTR EYELID LOWER 1 STGE,6576.0,5852.64,310.43,6576.0,482 CPT,67973,RECONSTRUCTION OF LOWER EYELID BY TRANSFER OF EYELID TISSUE FROM OPPOSITE EYELID,,,760.84,3154.46,20 CPT,67974,RECONSTRUCTION OF UPPER EYELID WITH TISSUE FROM OPPOSITE EYELID,,,759.4,5216.2,20 CPT,67975,PR RECONSTR EYELID SCND STGE,3191.0,2839.99,231.38,3191.0,482 CPT,67975,RECONSTRUCTION OF EYELID BY TRANSFER OF EYELID TISSUE FROM OPPOSITE EYELID,,,567.1,3154.46,20 CPT,67999,PR BLEPHEX,258.0,229.62,12.9,258.0,477 CPT,67999,PR ENDOSCOPIC BROW LIFT,3783.0,3366.87,189.15,3783.0,477 CPT,67999,PR ILUX,618.0,550.02,30.9,618.0,477 CPT,67999,UNLISTED PROCEDURE EYELIDS FACILITY,,,346.62,476.69,19 CPT,68020,PR INCISN CONJUNCTIVA DRAINE CYST,644.0,573.16,49.46,644.0,482 CPT,68100,BIOPSY OF EYELID LINING FACILITY,,,556.85,3154.46,20 CPT,68100,PR BIOPSY OF CONJUNCTIVA,847.0,753.83,73.83,847.0,482 CPT,68110,PR EXCISN LESN CONJUNCTIVA<= 1 CM,1139.0,1013.71,97.61,1139.0,482 CPT,68110,"REMOVAL OF GROWTH OF EYELID LINING, 1.0 CM OR LESS FACILITY",,,637.6,3154.46,20 CPT,68115,PR EXCISN LESN CONJUNCTIVA> 1 CM,1192.0,1060.88,136.14,1192.0,482 CPT,68115,"REMOVAL OF GROWTH OF EYELID LINING, MORE THAN 1.0 CM",,,154.61,3154.46,20 CPT,68130,PR EXCISN LSN CONJUNCT ADJ SCLERA,2616.0,2328.24,226.82,2616.0,482 CPT,68130,REMOVAL OF GROWTH OF EYELID LINING AND SCLERA,,,353.49,3154.46,20 CPT,68135,DESTRUCTION OF GROWTH OF EYELID LINING,,,128.24,3154.46,20 CPT,68135,PR DESTRUCTION LESION CONJUNCTIVA,846.0,752.94,64.81,846.0,482 CPT,68200,INJECTION INTO CONJUNCTIVA,,,28.46,670.91,20 CPT,68200,PR INJECTION SUBCONJUNCTIVAL,315.0,280.35,16.8,315.0,482 CPT,68320,PR CNJNCTVPLSTY W CNJNCT GRFT,3319.0,2953.91,306.04,3319.0,482 CPT,68320,REPAIR OF EYELID LINING WITH GRAFT FROM EXTERNAL EYE,,,463.11,3154.46,20 CPT,68325,REPAIR OF CONJUNCTIVA WITH GRAFT FROM CHEEK TISSUE,,,552.42,5904.33,20 CPT,68326,PR CNJNCTVPLSTY RCNST W GRFT,5528.0,4919.92,221.86,5528.0,482 CPT,68326,RECONSTRUCTION OF CONJUNCTIVA WITH GRAFT FROM OUTER EYE OR REARRANGEMENT PROFESSIONAL,,,543.77,5216.2,20 CPT,68328,"PR REVISE CONJUNC,FIX CUL-DE-SAC=BUCCAL",5064.0,4506.96,240.5,5064.0,482 CPT,68328,RECONSTRUCTION OF CONJUNCTIVA WITH GRAFT FROM CHEEK,,,589.45,3154.46,20 CPT,68335,PR RPR SYMBLEPHARON W GRAFT,4955.0,4409.95,222.41,4955.0,482 CPT,68335,RELEASE OF SCAR TISSUE FROM EYELIDS WITH GRAFT,,,545.11,5216.2,20 CPT,68340,PR RPR/DIVISION SYMBLEPHARON,3826.0,3405.14,252.74,3826.0,482 CPT,68360,PARTIAL RELOCATION OF CONJUNCTIVAL FLAP,,,350.67,7060.33,20 CPT,68360,PR CONJUNCTIVAL FLAP BRIDGE/PRTL,2973.0,2645.97,223.43,2973.0,482 CPT,68362,PR FLAP CONJUNCTIVAL TOTAL,3310.0,2945.9,224.97,3310.0,482 CPT,68362,RELOCATION OF CONJUNCTIVAL FLAP,,,551.4,5216.2,20 CPT,68399,UNLISTED PROC CONJUNCTIVA,,,2382.59,3154.46,17 CPT,68440,PR SNIP INCISION LACRIMAL PUNCTUM,816.0,726.24,43.51,816.0,482 CPT,68440,SNIP INCISION OF TEAR DUCT AT INNER CORNER OF EYE PROFESSIONAL,,,90.83,3570.6,20 CPT,68500,REMOVAL OF TEAR PRODUCING GLAND,,,911.12,5216.2,20 CPT,68510,BIOPSY OF TEAR PRODUCING GLAND,,,228.45,3154.46,20 CPT,68510,PR BIOPSY LACRIMAL GLAND,2617.0,2329.13,183.94,2617.0,482 CPT,68520,PR EXCISION LACRIMAL SAC,4507.0,4011.23,259.75,4507.0,482 CPT,68520,REMOVAL OF TEAR SAC,,,636.63,5216.2,20 CPT,68525,PR BIOPSY LACRIMAL SAC,1243.0,1106.27,81.37,1243.0,482 CPT,68530,PR REMOVAL FB LACRIMAL PASSAGES,2097.0,1866.33,177.79,2097.0,482 CPT,68530,REMOVAL OF FOREIGN BODY OR STONE IN TEAR PASSAGES,,,208.58,4946.79,20 CPT,68550,REMOVAL OF GROWTH OF TEAR PRODUCING GLAND WITH OSTEOTOMY,,,1040.56,5216.2,20 CPT,68700,PLASTIC REPAIR OF TEAR DUCT,,,508.74,3154.46,20 CPT,68700,PR PLASTIC REPAIR CANALICULI,3522.0,3134.58,207.57,3522.0,482 CPT,68705,PR CORRECT EVERTED PUNCTUM CAUT,2212.0,1968.68,106.59,2212.0,482 CPT,68720,CREATION OF DRAINAGE TRACT FROM TEAR SAC TO NASAL CAVITY,,,693.65,5216.2,20 CPT,68720,PR DACRYOCYSTORHINOSTOMY,5179.0,4609.31,283.01,5179.0,482 CPT,68750,CREATION OF TEAR DRAINAGE TRACT TO NASAL CAVITY WITH INSERTION OF TUBE OR STENT,,,740.95,5904.33,20 CPT,68750,PR CONJUNCTIVORHINOSTOMY W TUBE,5314.0,4729.46,302.31,5314.0,482 CPT,68760,PR CLOSURE LACRIMAL PUNCTUM,912.0,811.68,90.04,912.0,482 CPT,68760,"REPAIR TEAR DUCT OPENING BY HEAT, TYING, OR LASER SURGERY FACILITY",,,126.18,421.13,20 CPT,68761,CLOSURE OF TEAR DUCT OPENING USING PLUG FACILITY,,,103.5,3570.6,20 CPT,68761,PR CLSR LACRIM PUNCTUM BY PLUG EA,676.0,601.64,58.92,676.0,482 CPT,68801,DILATION OF TEAR DRAINAGE OPENING FACILITY,,,71.9,3154.46,20 CPT,68801,PR DILATION LACRIMAL PUNCTUM,527.0,469.03,38.87,527.0,482 CPT,68810,INSERTION OF PROBE INTO NASAL TEAR DUCT FACILITY,,,111.09,476.69,20 CPT,68810,PR PROBE NASOLACRIMAL DUCT,899.0,800.11,65.66,899.0,482 CPT,68811,INSERTION OF PROBE INTO NASAL TEAR DUCT UNDER ANESTHESIA,,,115.66,3154.46,20 CPT,68811,PR PROBE NASOLACRIMAL DUCT W ANES,1098.0,977.22,47.19,1098.0,482 CPT,68815,PR PROBE NASOLACRIMAL DUCT W TUBE,1977.0,1759.53,153.5,1977.0,482 CPT,68815,PROBING OF NASAL TEAR DUCT WITH INSERTION OF TUBE OR STENT,,,190.97,9363.87,20 CPT,68816,PR PROBE NASOLACRIMAL DUCT W CATH,3128.0,2783.92,346.76,3128.0,482 CPT,68840,PR PROBE LACRIMAL CANALICULI,652.0,580.28,54.97,652.0,482 CPT,68840,PROBING OF NASAL TEAR DUCT FACILITY,,,104.14,9079.41,20 CPT,68899,UNLISTED PROC LACRIMAL SYS PROFESSIONAL,,,50.09,421.13,19 CPT,69000,HC DRAIN ABSC EXTERNAL EAR SIMPLE,1879.0,1672.31,113.94,1879.0,736 CPT,69000,PR DRAIN ABSC EXTERNAL EAR SIMPLE,663.0,590.07,65.98,663.0,514 CPT,69000,SIMPLE DRAINAGE OF ABSCESS OR BLOOD ACCUMULATION OF EXTERNAL EAR FACILITY,,,113.94,939.55,20 CPT,69005,PR DRAIN ABSC EAR EXTRNL CMPLX,1491.0,1326.99,89.26,1491.0,482 CPT,69020,PR DRAIN LESION EAR CANAL EXTRNL,578.0,514.42,80.8,578.0,507 CPT,69090,PIERCING OF EAR,,,140.07,2330.23,19 CPT,69090,PR EAR PIERCING,124.0,110.36,109.12,124.0,477 CPT,69100,BIOPSY OF EAR FACILITY,,,36.01,314.25,20 CPT,69100,HC BIOPSY EXTERNAL EAR,738.0,656.82,36.01,738.0,737 CPT,69100,PR BIOPSY EXTERNAL EAR,391.0,347.99,32.16,391.0,507 CPT,69105,BIOPSY OF EAR CANAL FACILITY,,,55.62,2058.65,20 CPT,69105,HC BX EXTERNAL AUDITORY CANAL,5215.0,4641.35,55.62,5215.0,736 CPT,69105,PR BX EXTERNAL AUDITORY CANAL,776.0,690.64,50.16,776.0,507 CPT,69110,PARTIAL REMOVAL OF EXTERNAL EAR WITH SIMPLE REPAIR,,,293.75,3853.99,20 CPT,69110,PR EXCISN EXTRNL EAR PRTL SMPL,2717.0,2418.13,190.67,2717.0,482 CPT,69120,PR EXCISN EXTRNL EAR COMPLETE AMP,2661.0,2368.29,144.16,2661.0,482 CPT,69140,PR EXCISN EXOSTOSIS EXT AUD CANAL,4778.0,4252.42,339.07,4778.0,482 CPT,69140,REMOVAL OF BONY GROWTHS OF EAR CANAL,,,831.05,7854.46,20 CPT,69145,PR EXCISN SOFT TISS LSN EXTRNL CANAL,1656.0,1473.84,165.02,1656.0,482 CPT,69145,REMOVAL OF GROWTH IN SOFT TISSUE OF EAR CANAL FACILITY,,,231.93,3853.99,20 CPT,69200,HC RMVL FB EAR CANAL EXTRNL,463.0,412.07,39.54,463.0,736 CPT,69200,PR RMVL FB EAR CANAL EXTRNL,453.0,403.17,28.02,453.0,507 CPT,69205,PR RMVL FB EAR CANAL EXTRNL ANES,796.0,708.44,34.58,796.0,482 CPT,69205,REMOVAL OF FOREIGN BODY IN EAR CANAL UNDER ANESTHESIA FACILITY,,,84.74,2480.43,20 CPT,69209,HC RMVL IMPACT CERUMEN IRRIG UNILAT,224.0,199.36,17.28,239.0,1472 CPT,69209,PR RMVL IMPACT CERUMEN IRRIG UNILAT,89.0,79.21,6.0,89.0,494 CPT,69209,REMOVAL OF IMPACTED EAR WAX BY WASHING FACILITY,,,17.28,7854.46,20 CPT,69210,HC RMVL IMPACT CERUMEN W/INSTRUMENT UNILAT,151.0,134.39,25.55,151.0,736 CPT,69210,PR RMVL IMPACT CERUMEN W/INSTRUMENT UNILAT,218.0,194.02,16.25,218.0,510 CPT,69210,REMOVAL OF IMPACTED EAR WAX FACILITY,,,25.55,7854.46,20 CPT,69220,PR DBRD MASTOIDECTOMY SIMPLE,513.0,456.57,26.72,513.0,507 CPT,69220,SIMPLE REMOVAL OF SKIN DEBRIS AND DRAINAGE OF MASTOID CAVITY FACILITY,,,41.99,7854.46,20 CPT,69222,COMPLEX REMOVAL OF SKIN DEBRIS AND DRAINAGE OF MASTOID CAVITY,,,123.07,7854.46,20 CPT,69222,PR DBRD MASTOIDECTOMY COMPLEX,946.0,841.94,75.1,946.0,507 CPT,69300,PR OTOPLASTY PROTRUDING EAR,4917.0,4376.13,262.31,4917.0,482 CPT,69300,REPAIR OF PROTRUDING EAR FACILITY,,,410.58,4979.29,20 CPT,69310,PR RCNST EXTR AUDITORY CANAL,6855.0,6100.95,414.9,6855.0,482 CPT,69310,RECONSTRUCTION OF EAR CANAL,,,1016.9,7854.46,20 CPT,69320,CREATION OF EAR CANAL,,,1391.96,7854.46,20 CPT,69320,PR RCNST CANAL CONGEN ATRESIA,11134.0,9909.26,567.92,11134.0,482 CPT,69399,UNLISTED PROC EXTERNAL EAR,,,7.47,314.25,19 CPT,69420,PR MYRINGOT INCL ASP/TUBE INFLATN,789.0,702.21,66.27,789.0,507 CPT,69421,"INCISION, ASPIRATION, AND INFLATION OF EARDRUM UNDER ANESTHESIA",,,134.14,4398.97,20 CPT,69421,PR MYRINGOTOMY W ANES,1038.0,923.82,46.52,1038.0,507 CPT,69424,PR RMVL VENTILATING TUBE W ANES,733.0,652.37,53.46,733.0,482 CPT,69424,REMOVAL OF IMPLANTED EARDRUM TUBE UNDER ANESTHESIA,,,54.05,1203.39,20 CPT,69433,INCISION OF EARDRUM WITH INSERTION OF EARDRUM TUBE UNDER LOCAL OR TOPICAL ANESTHESIA FACILITY,,,116.42,809.98,20 CPT,69433,PR TYMPANOSTOMY LOC/TOP ANES,925.0,823.25,69.94,925.0,507 CPT,69436,INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA,,,140.07,4398.97,20 CPT,69436,PR TYMPANOSTOMY W GEN ANES,1430.0,1272.7,48.58,1430.0,507 CPT,69440,EXPLORATION OF MIDDLE EAR,,,607.91,4398.97,20 CPT,69440,PR MIDDLE EAR EXPLORATION,3717.0,3308.13,248.03,3717.0,482 CPT,69450,PR TYMPANOLYSIS TRANSCANAL,4079.0,3630.31,198.38,4079.0,482 CPT,69501,INCISION OF MASTOID BONE,,,613.28,7854.46,20 CPT,69501,PR TRANSMASTOID ANTROTOMY,4315.0,3840.35,250.22,4315.0,482 CPT,69502,PR MASTOIDECTOMY COMPLETE,5722.0,5092.58,329.99,5722.0,482 CPT,69502,REMOVAL OF MIDDLE EAR (MASTOID) BONE,,,808.8,7854.46,21 CPT,69505,REMOVAL OF MIDDLE EAR BONE AND REMOVAL OF GROWTH OF MIDDLE EAR,,,1102.78,7854.46,20 CPT,69530,EXTENSIVE REMOVAL OF BONES AROUND INNER EAR AND MASTOID BONE,,,1472.89,7854.46,20 CPT,69530,PR PETROUS ABICECTOMY W MASTDCTMY,9140.0,8134.6,600.94,9140.0,482 CPT,69535,PR RSECT TEMPORAL BN EXTERNAL APP,15558.0,13846.62,924.93,15558.0,482 CPT,69540,PR EXCISION AURAL POLYP,850.0,756.5,85.93,850.0,482 CPT,69540,REMOVAL OF POLYP OF OUTER EAR,,,118.14,7854.46,20 CPT,69550,PR EXCISN AURAL GLOMOS TMR TRNSCANL,6303.0,5609.67,390.93,6303.0,482 CPT,69550,REMOVAL OF GROWTH OF OUTER EAR THROUGH EAR CANAL,,,958.16,7854.46,20 CPT,69552,PR EXCISN AURAL GLOMUS TMR TRNSMASTD,8145.0,7249.05,564.1,8145.0,482 CPT,69552,REMOVAL OF GROWTH OF OUTER EAR THROUGH MASTOID BONE,,,1382.58,7854.46,20 CPT,69601,PR REV MASTOIDECTOMY COMPL,6710.0,5971.9,355.76,6710.0,482 CPT,69601,REVISION OF OPERATION OF MIDDLE EAR BONES AND REMOVAL OF REMAINING BONES,,,871.95,7854.46,20 CPT,69604,REVISION OF OPERATION OF MIDDLE EAR AND EARDRUM,,,952.06,7854.46,20 CPT,69610,PR REPAIR TYMPANIC MEMBRANE,1662.0,1479.18,152.5,1662.0,482 CPT,69610,REPAIR OF EARDRUM,,,237.34,2058.65,20 CPT,69620,PR MYRINGOPLASTY,5015.0,4463.35,300.15,5015.0,482 CPT,69620,REPAIR OF DEFECT OR TEAR OF EARDRUM FACILITY,,,438.02,7854.46,20 CPT,69631,PR TYMPANOPLASTY WO RCNST,6732.0,5991.48,317.31,6732.0,482 CPT,69631,REPAIR OF EARDRUM AND EAR CANAL WITH OPENING TO EAR BONES,,,777.71,7854.46,20 CPT,69632,PR TYMPANOPLASTY W RCNST,8529.0,7590.81,382.87,8529.0,482 CPT,69632,"REPAIR OF EARDRUM, EAR CANAL, AND BONES",,,938.4,7854.46,20 CPT,69633,PR TYMPANOPLSTY W RCNST&PROSTH,7442.0,6623.38,372.68,7442.0,482 CPT,69633,"REPAIR OF EARDRUM, EAR CANAL, AND BONES WITH INSERTION OF PROSTHESIS",,,913.43,7854.46,20 CPT,69635,PR TYMPLSTY W ANTROT WO RCNST,7676.0,6831.64,465.27,7676.0,482 CPT,69635,REPAIR OF EARDRUM AND EAR CANAL WITH INCISION OF MIDDLE EAR BONE,,,1140.35,7854.46,20 CPT,69637,PR TYMPPLSTY W ANTROT/MAST PROSTH,8896.0,7917.44,511.64,8896.0,482 CPT,69637,"REPAIR OF EARDRUM, EAR CANAL, AND BONES WITH PLACEMENT OF IMPLANT AND OPENING OF MIDDLE EAR",,,1254.01,7854.46,20 CPT,69641,COMPLEX REPAIR OF EARDRUM AND EAR CANAL WITH REMOVAL OF MASTOID BONE,,,897.66,7854.46,20 CPT,69641,PR TYMPLSTY W MASTOID WO RCNST,8939.0,7955.71,366.25,8939.0,482 CPT,69642,PR TYMPLSTY W MASTOID W RCNST,9410.0,8374.9,466.55,9410.0,482 CPT,69642,"REPAIR OF EARDRUM, EAR CANAL, AND BONES WITH REMOVAL OF MIDDLE EAR BONE",,,1143.49,7854.46,20 CPT,69643,PR TYMPLSTY WO OSC CHAIN RCNST,9328.0,8301.92,427.9,9328.0,482 CPT,69643,REPAIR OF EARDRUM AND EAR CANAL WITH REMOVAL OF MIDDLE EAR BONE,,,1048.77,7854.46,20 CPT,69644,PR TYMPLSTY W OSC CHAIN RCNST,10176.0,9056.64,544.56,10176.0,482 CPT,69644,"REPAIR OF EARDRUM, EAR CANAL, AND BONES WITH REMOVAL OF MASTOID BONE, WITH INTACT CANAL WALL",,,1334.71,7854.46,20 CPT,69645,EXTENSIVE REPAIR OF EARDRUM AND EAR CANAL WITH REMOVAL OF MIDDLE EAR BONE,,,1314.88,7854.46,20 CPT,69645,PR TYMPLSTY RAD WO OSC CHN RCSTRC,8658.0,7705.62,536.47,8658.0,482 CPT,69646,EXTENSIVE REPAIR AND RECONSTRUCTION OF EARDRUM AND EAR CANAL WITH REMOVAL OF MIDDLE EAR BONE,,,1388.55,7854.46,20 CPT,69646,PR TYMPLSTY RAD W OSC CHN RCSTRCT,12255.0,10906.95,566.53,12255.0,482 CPT,69650,PR STAPES MOBILIZATION,5010.0,4458.9,283.55,5010.0,482 CPT,69660,INCISION OR REMOVAL OF MIDDLE EAR BONE,,,789.27,7854.46,20 CPT,69660,PR STAPEDECTOMY REESTAB OSSICULAR,6527.0,5809.03,322.02,6527.0,482 CPT,69661,INCISION OR REMOVAL OF EAR BONE WITH DRILLING,,,1024.99,7854.46,20 CPT,69661,PR STAPEDECTOMY W FOOTPLATE DRILL,8075.0,7186.75,418.2,8075.0,482 CPT,69662,PR REVISION OF STAPEDECTOMY,8924.0,7942.36,399.21,8924.0,482 CPT,69662,REVISION OF OPERATION OF EAR BONE,,,978.46,7854.46,20 CPT,69670,CREATION OF FLAP TO CLOSE MASTOID CAVITY,,,812.43,7854.46,20 CPT,69670,PR MASTOID OBLITERATION,6993.0,6223.77,331.47,6993.0,482 CPT,69705,"DILATION OF CANAL BETWEEN MIDDLE EAR AND THROAT (EUSTACHIAN TUBE) ON ONE SIDE OF BODY, USING ENDOSCOPE INSERTED THROUGH NOSE",,,11.17,7854.46,20 CPT,69705,PR NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI,9841.0,8758.49,1073.46,9841.0,482 CPT,69706,"DILATION OF CANAL BETWEEN MIDDLE EAR AND THROAT (EUSTACHIAN TUBE) ON BOTH SIDES OF BODY, USING ENDOSCOPE INSERTED THROUGH NOSE",,,140.07,7854.46,20 CPT,69706,PR NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI,19280.0,17159.2,1109.42,19280.0,482 CPT,69710,INSERTION OR REPLACEMENT OF EAR BONE HEARING DEVICE,,,1472.89,7854.46,19 CPT,69710,PR IMPL ELECTRO HEARING DEV TEMP BN,2857.0,2542.73,2514.16,2857.0,477 CPT,69714,IMPLANTATION OF COCHLEAR STIMULATING SYSTEM INTO SKULL WITH ATTACHMENT THROUGH SKIN TO EXTERNAL SPEECH PROCESSOR,,,420.43,17034.43,20 CPT,69714,PR IMPL TEMP BONE WO MASTOIDECT,5605.0,4988.45,171.54,5605.0,482 CPT,69716,IMPLANTATION OF COCHLEAR STIMULATING SYSTEM INTO MASTOID BONE OF SKULL WITH MAGNETIC ATTACHMENT TO EXTERNAL SPEECH PROCESSOR,,,8.9,17034.43,20 CPT,69716,PR IMPLTJ OI IMPLT SKL TC ESP,5769.0,5134.41,212.01,5769.0,482 CPT,69717,PR RPL IMPL TEMP BN WO MASTOIDECT,6926.0,6164.14,192.51,6926.0,482 CPT,69717,REPLACEMENT OF COCHLEAR STIMULATING SYSTEM IN SKULL WITH ATTACHMENT THROUGH SKIN TO EXTERNAL SPEECH PROCESSOR,,,471.82,9627.58,20 CPT,69719,PR REVJ/RPLCMT OI IMPLT TC ESP,5542.0,4932.38,219.08,5542.0,482 CPT,69719,REPLACEMENT OF COCHLEAR STIMULATING SYSTEM INTO MASTOID BONE OF SKULL WITH MAGNETIC ATTACHMENT TO EXTERNAL SPEECH PROCESSOR,,,3.8,17034.43,20 CPT,69720,RELEASE OF FACE NERVE THROUGH SIDE,,,1020.83,7854.46,20 CPT,69726,PR RMVL OI IMPLT SKL PERQ ESP,3685.0,3279.65,165.85,3685.0,482 CPT,69727,PR RMVL OI IMPLT SKL TC ESP,4523.0,4025.47,183.59,4523.0,482 CPT,69727,REMOVAL OF ENTIRE COCHLEAR STIMULATING SYSTEM FROM MASTOID BONE OF SKULL WITH MAGNETIC ATTACHMENT TO EXTERNAL SPEECH PROCESSOR,,,61.04,4341.31,20 CPT,69799,UNLISTED PROCEDURE MIDDLE EAR,,,9.91,314.25,19 CPT,69801,PR TRANSCANAL LABYRINTH PERFUSION,482.0,428.98,76.49,482.0,507 CPT,69805,OPERATION OF INNER EAR,,,868.07,7854.46,20 CPT,69805,PR ENDOLYMPHATIC SAC OP WO SHUNT,8120.0,7226.8,354.18,8120.0,482 CPT,69806,OPERATION OF INNER EAR WITH INSERTION OF SHUNT,,,783.8,43747.58,20 CPT,69806,PR EDOLYMPHATIC SAC OP W SHUNT,8786.0,7819.54,319.79,8786.0,482 CPT,69905,PR LABYRINTHECTOMY TRANSCANAL,6245.0,5558.05,323.28,6245.0,482 CPT,69905,REMOVAL OF INNER EAR CANAL,,,792.34,43747.58,20 CPT,69910,PR LABYRINTHECTOMY W MASTOIDECT,7516.0,6689.24,341.84,7516.0,482 CPT,69930,INSERTION OF COCHLEAR DEVICE,,,1011.61,43747.58,20 CPT,69930,PR COCHLEAR DEVICE IMPLANTATION,10906.0,9706.34,412.74,10906.0,482 CPT,69949,UNLISTED PROC INNER EAR,,,808.8,7854.46,19 CPT,69955,PR DCMPRN&/RPR FACIAL NERVE TOTAL,12513.0,11136.57,663.76,12513.0,482 CPT,69955,RELEASE OF FACE NERVE,,,1626.85,7854.46,20 CPT,69979,UNLISTED PROC TEMP BN MID FOS,,,237.36,314.25,19 CPT,69990,PR MICROSURG TQS W USE OPER MICRO,3717.0,3308.13,135.88,3717.0,464 CPT,69990,USE OF OPERATING MICROSCOPE PROFESSIONAL,,,166.52,9627.58,20 CPT,70100,PR XR MANDIBLE PRTL 1-3V,103.0,91.67,7.23,169.0,964 CPT,70110,PR XR MANDIBLE COMPLT MIN 4V,141.0,125.49000000000001,9.42,222.0,964 CPT,70140,PR XR FACIAL BONES 1-2V,135.0,120.15,7.78,208.0,964 CPT,70150,PR XR FACIAL BONES COMPLT MIN 3V,174.5,155.305,9.98,277.0,964 CPT,70160,PR XR NASAL BONES COMPLT MIN 3V,94.0,83.66,6.67,155.0,964 CPT,70200,PR XR ORBITS COMPLT MIN 4V,170.5,151.745,10.53,268.0,964 CPT,70210,PR XR SINUS 1-2V,114.5,101.905,6.67,183.0,964 CPT,70220,PR XR SINUS COMPLT MIN 3V,179.0,159.31,8.33,245.0,1446 CPT,70250,PR XR SKULL 1-3V,172.0,153.08,6.95,224.0,1446 CPT,70260,PR XR SKULL COMPLT MIN 4V,209.5,186.455,10.53,324.0,964 CPT,70300,PR XR TEETH SINGLE VIEW,37.5,33.375,4.21,55.0,997 CPT,70320,PR XR TEETH COMPLT FULL MOUTH,152.5,135.725,8.97,255.0,1012 CPT,70336,PR MRI TMJ,1947.5,1733.275,53.55,3110.0,964 CPT,70350,PR CEPHALOGRAM,150.0,133.5,6.96,202.0,969 CPT,70355,PR ORTHOPANTOGRAM,130.0,115.69999999999999,8.05,171.0,973 CPT,70360,PR XR NECK/SOFT TISS,111.5,99.23499999999999,6.95,176.0,964 CPT,70371,PR SPEECH EVAL CMPLX W VIDEO,394.0,350.65999999999997,33.05,577.0,964 CPT,70450,PR CT HEAD/BRAIN WO CNTRST,683.0,607.87,31.44,1068.0,1446 CPT,70460,PR CT HEAD/BRAIN W CNTRST,1028.0,914.92,41.49,1566.0,1446 CPT,70470,PR CT HEAD/BRAIN WO/W CNTRST,1349.0,1200.61,46.7,2015.0,1446 CPT,70471,PR CTA H&N C+ W/NONCONTRAST IMG,2643.0,2352.27,94.31,3899.0,1446 CPT,70472,PR CT CERE PRFU ALYS C+W/CT/CTA,2787.0,2480.43,28.96,3560.0,1446 CPT,70473,PR CT CERE PRFU ALY C+WO CT/CTA,4510.0,4013.9,37.84,5517.0,1446 CPT,70480,PR CT ORBIT/EAR/FOSSA WO CNTRST,960.0,854.4,47.25,1513.0,1446 CPT,70481,PR CT ORBIT/EAR/FOSSA W CNTRST,1299.0,1156.11,41.49,1810.0,1446 CPT,70482,PR CT ORBT/EAR/FOSSA WO/W CNTRST,1561.0,1389.29,46.42,2140.0,1446 CPT,70486,PR CT MAXFAC WO CNTRST,869.0,773.41,31.72,1245.0,1450 CPT,70487,PR CT MAXFAC W CNTRST,1233.0,1097.37,41.49,1856.0,1446 CPT,70488,PR CT MAXFAC WO/W CNTRST,1481.0,1318.09,46.7,2145.0,1446 CPT,70490,PR CT NECK/SOFT TISS WO CNTRST,898.0,799.22,47.25,1464.0,1446 CPT,70491,PR CT NECK/SOFT TISS W CNTRST,1139.0,1013.71,50.82,1721.0,1446 CPT,70492,PR CT NECK/SOFT TISS WO/W CNTRST,1412.0,1256.68,59.14,2106.0,1446 CPT,70496,PR CTA HEAD WO/W CNTRST,2035.0,1811.15,64.16,2910.0,1446 CPT,70498,PR CTA NECK WO/W CNTRST,1924.0,1712.36,64.16,2752.0,1446 CPT,70540,PR MRI ORBIT/FACE/NCK WO CNTRST,2237.0,1990.93,49.44,3055.0,1446 CPT,70542,PR MRI ORBIT/FACE/NCK W CNTRST,2291.5,2039.435,59.69,3600.0,964 CPT,70543,PR MRI ORBT/FACE/NCK WO/W CNTRST,3465.0,3083.85,78.96,4852.0,1446 CPT,70544,PR MRA HEAD WO CNTRST,2298.0,2045.22,43.95,3062.0,1446 CPT,70545,PR MRA HEAD W CNTRST,2658.0,2365.62,43.95,3479.0,1446 CPT,70546,PR MRA HEAD WO/W CNTRST,4311.0,3836.79,54.2,5395.0,1446 CPT,70547,PR MRA NECK WO CNTRST,1839.0,1636.71,43.95,2453.0,1446 CPT,70548,PR MRA NECK W CNTRST,2307.0,2053.23,55.02,3622.0,964 CPT,70549,PR MRA NECK WO/W CNTRST,3754.0,3341.06,66.08,4900.0,1446 CPT,70551,PR MRI BRAIN PEDS VENT WO CNTRST,979.5,871.755,54.2,1463.0,965 CPT,70551,PR MRI BRAIN WO CNTRST,1994.0,1774.66,54.2,3018.0,1447 CPT,70552,PR MRI BRAIN W CNTRST,2465.0,2193.85,65.54,3505.0,1446 CPT,70553,PR MRI BRAIN WO/W CNTRST,3909.0,3479.01,83.98,5784.0,1446 CPT,70554,PR MRI FUNCT BRAIN NOT REQ MD,2574.5,2291.3050000000003,77.94,4113.0,964 CPT,70555,PR MRI FUNCTIONAL BRAIN REQ MD,3687.0,3281.43,91.56,6161.0,964 CPT,71045,PR XR EXAM CHEST 1V,119.0,105.91,6.67,177.0,1446 CPT,71045,PR XR EXAM CHEST 1V B-READ,117.5,104.575,6.67,177.0,964 CPT,71046,PR XR EXAM CHEST 2V,148.0,131.72,8.05,212.0,1447 CPT,71047,PR XR EXAM CHEST 3V,189.5,168.655,10.25,291.0,964 CPT,71048,PR XR EXAM CHEST 4+V,192.0,170.88,11.7,292.0,964 CPT,71100,PR XR RIB UNILAT 2V,149.0,132.61,8.33,208.0,1446 CPT,71101,PR XR RIB W PA CHST UNILAT MIN 3V,169.0,150.41,10.05,261.0,964 CPT,71110,PR XR RIB BILAT 3V,181.5,161.535,10.8,278.0,964 CPT,71111,PR XR RIB W PA CHST BILAT MIN 4V,232.0,206.48,11.98,324.0,1446 CPT,71120,PR XR STERNUM MIN 2V,133.0,118.36999999999999,7.49,209.0,964 CPT,71130,PR XR STERNCLAV JT MIN 3V,140.0,124.6,8.33,225.0,964 CPT,71250,PR CT THORAX WO CNTRST,895.0,796.55,39.48,1412.0,1446 CPT,71260,PR CT THORAX W CNTRST,1255.0,1116.95,42.86,1832.0,1446 CPT,71270,PR CT THORAX WO/W CNTRST,1514.5,1347.905,45.88,2354.0,964 CPT,71271,PR CT THORAX LOW DOSE LUNG CA SCRN WO CNTRST,577.0,513.53,39.48,894.0,1446 CPT,71275,PR CTA CHEST WO/W CNTRST,1803.0,1604.67,66.52,2609.0,1446 CPT,71550,PR MRI CHEST WO CNTRST,2448.0,2178.72,53.29,3096.0,1446 CPT,71551,PR MRI CHEST W CNTRST,2225.5,1980.695,63.62,3686.0,964 CPT,71552,PR MRI CHEST WO/W CNTRST,4000.0,3560.0,82.89,5109.0,1446 CPT,71555,PR MRA CHEST W OR WO CNTRST,3001.0,2670.89,66.08,3959.0,1446 CPT,72020,PR XR SPINE 1V,67.0,59.63,6.13,97.0,1446 CPT,72040,PR XR SPINE CERV 2-3V,133.0,118.37,8.33,181.0,1446 CPT,72050,PR XR SPINE CERV MIN 4-5V,220.0,195.8,10.33,288.0,1446 CPT,72052,PR XR SPINE CERV >= 6 VIEWS,206.0,183.34,11.43,337.0,964 CPT,72070,PR XR SPINE THORAC 2V,117.0,104.13,7.78,164.0,1446 CPT,72072,PR XR SPINE THORAC 3V,182.0,161.98,8.32,248.0,1446 CPT,72074,PR XR SPINE THORAC MIN 4V,229.0,203.81,9.15,307.0,1446 CPT,72080,PR XR SPINE THORACOLUMBAR 2V,161.0,143.29,8.05,224.0,1446 CPT,72081,PR XR SPINE THORACOLUMBAR 1V,156.5,139.285,10.06,244.0,964 CPT,72082,PR XR SPINE THORACOLUMBAR 2-3V,273.0,242.97,11.99,344.0,1446 CPT,72083,PR XR SPINE THORACOLUMBAR 4-5V,257.5,229.17499999999998,13.64,426.0,964 CPT,72084,PR XR SPINE THORACOLUMBAR 6>V,293.0,260.77,15.83,489.0,964 CPT,72100,PR XR SPINE LUMBOSACRAL 2-3V,140.0,124.6,8.61,190.0,1446 CPT,72110,PR XR SPINE LUMBOSACRAL MIN 4V,219.0,194.91,10.06,288.0,1446 CPT,72114,PR XR SPINE LUMBOSACRAL MIN 6V,281.0,250.09,11.43,366.0,1446 CPT,72120,PR XR LUMBOSACRAL BEND 2-3V,216.0,192.24,8.61,291.0,1446 CPT,72125,PR CT CERV SPINE WO CNTRST,1094.0,973.66,37.01,1671.0,1446 CPT,72126,PR CT CERV SPINE W CNTRST,1574.5,1401.305,44.77,2375.0,964 CPT,72127,PR CT CERV SPINE WO/W CNTRST,1570.0,1397.3000000000002,46.42,2435.0,964 CPT,72128,PR CT THORAC SPINE WO CNTRST,1101.0,979.89,37.01,1684.0,1446 CPT,72129,PR CT THORAC SPINE W CNTRST,1381.0,1229.09,44.77,2042.0,1446 CPT,72130,PR CT THORAC SPINE WO/W CNTRST,1568.5,1395.965,46.7,2436.0,964 CPT,72131,PR CT LUMBAR SPINE WO CNTRST,1181.0,1051.09,37.01,1809.0,1446 CPT,72132,PR CT LUMBAR SPINE W CNTRST,1529.0,1360.81,44.77,2263.0,1446 CPT,72133,PR CT LUMBAR SPINE WO/W CNTRST,1486.5,1322.9850000000001,46.7,2306.0,964 CPT,72141,PR MRI CERV SPINE WO CNTRST,1675.0,1490.75,54.48,2584.0,1446 CPT,72142,PR MRI CERV SPINE W CNTRST,2589.0,2304.21,65.98,3669.0,1446 CPT,72146,PR MRI THORAC SPINE WO CNTRST,2211.0,1967.79,54.48,3407.0,1446 CPT,72147,PR MRI THORAC SPINE W CNTRST,2598.0,2312.22,65.82,3685.0,1446 CPT,72148,PR MRI LUMB SPINE WO CNTRST,1552.0,1381.28,54.75,2389.0,1446 CPT,72149,PR MRI LUMB SPINE W CNTRST,2658.0,2365.62,65.82,3789.0,1446 CPT,72156,PR MRI CERV SPINE WO/W CNTRST,3293.0,2930.77,84.26,4872.0,1446 CPT,72157,PR MRI THORAC SPINE WO/W CNTRST,3404.0,3029.56,84.26,5032.0,1446 CPT,72158,PR MRI LUMB SPINE WO/W CNTRST,3223.0,2868.47,84.26,4773.0,1446 CPT,72159,PR MRA SPINE W/WO CNTRST,2155.0,1917.95,66.08,2825.0,1446 CPT,72170,PR XR PELVIS 1-2V,124.0,110.36,6.67,175.0,1446 CPT,72190,PR XR PELVIS COMPLT MIN 3V,192.0,170.88,9.78,266.0,1446 CPT,72191,PR CTA PELVIS WO/W CNTRST,1800.0,1602.0,65.68,2757.0,964 CPT,72192,PR CT PELVIS WO CNTRST,874.0,777.86,39.75,1385.0,1447 CPT,72193,PR CT PELVIS W CNTRST,1377.0,1225.53,42.58,1787.0,1446 CPT,72194,PR CT PELVIS WO/W CNTRST,1724.0,1534.36,44.77,2241.0,1446 CPT,72195,PR MRI PELVIS WO CNTRST,2317.0,2062.13,53.57,3258.0,1446 CPT,72196,PR MRI PELVIS W CNTRST,2235.5,1989.595,63.62,3467.0,964 CPT,72197,PR MRI PELVIS WO/W CNTRST,3463.0,3082.07,80.96,4911.0,1446 CPT,72198,PR MRA PELVIS W/WO CNTRST,2086.5,1856.9850000000001,65.52,3371.0,964 CPT,72200,PR XR SACROILIAC JOINT 1-2V,158.0,140.62,6.67,208.0,1446 CPT,72202,PR XR SACROILIAC JOINT >= 3 V,176.0,156.64,8.32,239.0,1446 CPT,72220,PR XR SACRUM COCCYX MIN 2V,156.0,138.84,6.67,208.0,1446 CPT,72295,PR DISCOGRAPHY LUMB S&I,1103.0,981.67,32.49,1638.0,964 CPT,73000,PR XR CLAVICLE COMPLT,139.0,123.71,6.41,183.0,1446 CPT,73010,PR XR SCAPULA COMPLT,128.0,113.92,7.24,189.0,964 CPT,73020,PR XR SHOULDER 1V,107.0,95.23,5.85,160.0,1446 CPT,73030,PR XR SHOULDER COMPLT MIN 2V,153.0,136.17,7.23,205.0,1446 CPT,73040,PR XR ARTHRO SHOULDER S&I,330.5,294.145,21.42,551.0,964 CPT,73050,PR XR AC JOINT BILAT,131.5,117.035,7.51,202.0,964 CPT,73060,PR XR HUMERUS MIN 2V,145.0,129.05,6.41,189.0,1446 CPT,73070,PR XR ELBOW 2V,126.0,112.14,6.41,171.0,1446 CPT,73080,PR XR ELBOW COMPLT MIN 3V,151.0,134.39,6.67,201.0,1446 CPT,73090,PR XR FOREARM 2V,139.0,123.71,6.13,187.0,1446 CPT,73092,PR XR UPR EXT INFANT MIN 2V,115.5,102.795,6.13,187.0,964 CPT,73100,PR XR WRIST 2V,134.0,119.26,6.68,174.0,1446 CPT,73110,PR XR WRIST COMPLT MIN 3V,150.0,133.5,6.96,187.0,1446 CPT,73120,PR XR HAND 2V,125.0,111.25,6.41,166.0,1446 CPT,73130,PR XR HAND MIN 3V,132.0,117.48,6.96,168.0,1446 CPT,73140,PR XR FINGER(S) MIN 2V,121.0,107.69,5.3,145.0,1446 CPT,73200,PR CT UPR EXT WO CNTRST,977.0,869.53,37.01,1379.0,1446 CPT,73201,PR CT UPR EXT W CNTRST,1191.0,1059.99,42.58,1612.0,1446 CPT,73202,PR CT UPR EXT WO/W CNTRST,1272.0,1132.08,44.5,2069.0,964 CPT,73206,PR CTA UPR EXT WO/W CNTRST,1630.0,1450.7,65.68,2349.0,1446 CPT,73218,PR MRI UPR EXT NONJOINT WO CNTRST,2237.0,1990.93,50.28,2805.0,1446 CPT,73219,PR MRI UPR EXT NONJOINT W CNTRST,1874.0,1667.8600000000001,59.98,3070.0,964 CPT,73220,PR MRI UPR EXT NOJNT WO/W CNTRST,3151.0,2804.39,79.52,4132.0,1446 CPT,73221,PR MRI UPR EXT JOINT WO CNTRST,1574.0,1400.86,50.57,2250.0,1446 CPT,73222,PR MRI UPR EXT JOINT W CNTRST,1871.5,1665.635,60.25,3029.0,964 CPT,73223,PR MRI UPR EXT JOINT WO/W CNTRST,3209.0,2856.01,79.52,4292.0,1446 CPT,73501,PR XR HIP W PELVIS UNILAT 1V,148.0,131.72,7.23,201.0,1446 CPT,73502,PR XR HIP W PELVIS UNILAT 2-3V,188.0,167.32,8.61,241.0,1446 CPT,73503,PR XR HIP W PELVIS UNILAT 4>V,263.0,234.07,10.62,333.0,1446 CPT,73521,PR XR HIP W PELVIS BILAT 2V,197.0,175.33,8.61,263.0,1446 CPT,73522,PR XR HIP W PELVIS BILAT 3-4V,233.0,207.37,11.15,312.0,1446 CPT,73523,PR XR HIP W PELVIS BILAT MIN 5V,302.0,268.78,11.7,394.0,1446 CPT,73525,PR XR ARTHGM HIP S&I,342.0,304.38,22.62,564.0,964 CPT,73551,PR XR FEMUR 1V,130.0,115.7,6.41,176.0,1446 CPT,73552,PR XR FEMUR MIN 2V,171.0,152.19,6.95,224.0,1446 CPT,73560,PR XR KNEE 1-2V,141.0,125.49,6.41,183.0,1446 CPT,73562,PR XR KNEE 3V,158.0,140.62,7.51,201.0,1446 CPT,73564,PR XR KNEE COMPLT MIN 4V,176.0,156.64,8.89,228.0,1446 CPT,73565,PR XR KNEE BILAT STAND AP,117.0,104.13000000000001,6.68,195.0,964 CPT,73590,PR XR TIBIA & FIBULA 2V,129.0,114.81,6.13,168.0,1446 CPT,73592,HC XR LWR EXT INFANT MIN 2V,416.0,370.24,30.98,416.0,736 CPT,73592,PR XR LWR EXT INFANT MIN 2V,96.0,85.44,6.13,155.0,964 CPT,73600,PR XR ANKLE 2V,124.0,110.36,6.41,162.0,1446 CPT,73610,PR XR ANKLE COMPLT MIN 3V,156.0,138.84,6.67,201.0,1446 CPT,73620,PR XR FOOT 2V,91.0,80.99,6.13,122.0,1446 CPT,73630,PR XR FOOT COMPLT MIN 3V,147.0,130.83,6.4,191.0,1446 CPT,73650,PR XR CALCANEUS MIN 2V,108.0,96.12,6.13,147.0,1446 CPT,73660,PR XR TOE(S) MIN 2V,120.0,106.8,5.03,152.0,1446 CPT,73700,PR CT LWR EXT WO CNTRST,901.0,801.89,37.01,1378.0,1446 CPT,73701,PR CT LWR EXT W CNTRST,1063.0,946.07,42.58,1549.0,1446 CPT,73702,PR CT LWR EXT WO/W CNTRST,1430.5,1273.145,44.5,2237.0,964 CPT,73706,PR CTA LWR EXT WO/W CNTRST,1747.0,1554.83,69.06,2558.0,1446 CPT,73718,PR MRI LWR EXT NONJNT WO CNTRST,1902.0,1692.78,49.72,2617.0,1446 CPT,73719,PR MRI LWR EXT NONJOINT W CNTRST,2178.5,1938.8650000000002,59.41,3409.0,964 CPT,73720,PR MRI LWR EXT NOJNT WO/W CNTRST,2895.0,2576.55,79.24,4070.0,1446 CPT,73721,PR MRI LWR EXT JOINT WO CNTRST,1439.0,1280.71,50.28,2059.0,1446 CPT,73722,PR MRI LWR EXT JOINT W CNTRST,1882.0,1674.98,60.25,3049.0,964 CPT,73723,PR MRI LWR EXT JOINT WO/W CNTRST,3307.0,2943.23,79.24,4427.0,1446 CPT,73725,PR MRA LWR EXT W OR WO CNTRST,2101.0,1869.89,65.96,3389.0,964 CPT,74018,PR XR EXAM ABDOMEN 1V,139.0,123.71,6.95,194.0,1446 CPT,74019,PR XR EXAM ABDOMEN 2V,150.0,133.5,8.6,212.0,1446 CPT,74021,PR XR EXAM ABDOMEN 3+V,166.0,147.74,9.97,257.0,964 CPT,74022,PR XR ABDOMEN COMPLT W 1VW CHEST,261.0,232.29,40.66,261.0,482 CPT,74150,PR CT ABDOMEN WO CNTRST,792.0,704.88,43.68,1306.0,1446 CPT,74160,PR CT ABDOMEN W CNTRST,1424.0,1267.36,46.7,1892.0,1446 CPT,74170,PR CT ABDOMEN WO/W CNTRST,1619.0,1440.91,51.37,2175.0,1446 CPT,74174,PR CTA ABD&PELVIS WO/W CNTRST,2623.0,2334.47,80.4,3541.0,1447 CPT,74175,PR CTA ABDOMEN WO/W CNTRST,1993.0,1773.77,66.23,2881.0,1446 CPT,74176,PR CT ABD&PELVIS WO CNTRST,970.0,863.3,63.88,1699.0,1446 CPT,74177,PR CT ABD&PELVIS W CNTRST,1822.0,1621.58,66.8,2503.0,1447 CPT,74178,PR CT ABD&PELVIS WO/W CNTRST,2351.0,2092.39,74.02,3207.0,1446 CPT,74181,PR MRI ABDOMEN WO CNTRST,1862.0,1657.18,53.29,2804.0,1446 CPT,74182,PR MRI ABDOMEN W CNTRST,2614.0,2326.46,63.34,3518.0,1446 CPT,74183,PR MRI ABDOMEN WO/W CNTRST,3233.0,2877.37,80.96,4577.0,1446 CPT,74185,PR MRA ABDOMEN WO/W CNTRST,2704.0,2406.56,65.68,3549.0,1446 CPT,74220,PR XR ESOPHAGUS,303.0,269.67,22.21,425.0,1446 CPT,74221,PR XR ESOPHAGUS DBL CONTRAST,488.0,434.32,25.59,693.0,1446 CPT,74230,PR SWALLOWING STUDY W VIDEO,442.0,393.38,19.75,551.0,1446 CPT,74240,PR XR UGI SINGLE CONTRAST,499.0,444.11,30.27,764.0,964 CPT,74246,PR XR UGI DOUBLE CONTRAST,427.5,380.475,33.37,658.0,964 CPT,74248,PR XR SMALL BOWEL FOLLOW THROUGH,372.0,331.08,25.59,533.0,964 CPT,74250,PR XR SMALL BOWEL,337.5,300.375,29.78,516.0,964 CPT,74261,PR CT COLONOGRAPHY DX WO CNTRST,1475.5,1313.1950000000002,88.46,1971.0,964 CPT,74262,PR CT COLONOGRAPHY DX WO/W CNTRST,1505.0,1339.45,92.31,2179.0,964 CPT,74263,PR CT COLONOGRAPHY SCRN,1603.0,1426.67,97.61,2458.0,964 CPT,74270,PR XR COLON SINGLE CONTRAST,471.0,419.19,38.11,686.0,1446 CPT,74280,PR XR COLON AIR CNTRST,583.5,519.315,46.14,921.0,964 CPT,74283,PR XR THERAPEUTIC ENEMA,316.0,281.24,82.42,316.0,482 CPT,74300,PR CHOLANG OR S&I,104.0,92.56,10.13,104.0,482 CPT,74328,HC ERCP CATH BILIARY S&I,1626.5,1447.585,159.88,1678.0,1450 CPT,74328,PR ERCP CATH BILIARY S&I,96.0,85.44,19.43,96.0,482 CPT,74329,HC ENDO CATH PANCREATIC SYSTEM,1620.5,1442.245,160.22,1672.0,1440 CPT,74329,PR ENDO CATH PANCREATIC SYSTEM,117.0,104.13,19.71,117.0,482 CPT,74330,HC ERCP CATH BILIARY&PANCREAS S&I,1286.0,1144.54,163.33,1286.0,1438 CPT,74330,PR ERCP CATH BILIARY&PANCREAS S&I,160.0,142.4,22.24,160.0,482 CPT,74340,HC INTRO LONG G TUBE W FL S&I,995.0,885.55,137.74,995.0,719 CPT,74340,PR INTRO LONG G TUBE W FL S&I,116.0,103.24,20.02,116.0,482 CPT,74360,HC INTRALUMINAL DILATION S&I,1266.0,1126.74,164.23,1306.0,1444 CPT,74360,PR INTRALUMINAL DILATION S&I,82.0,72.98,22.98,82.0,482 CPT,74363,PR DIL BILIARY WO/W STNT SI PERC,324.0,288.36,122.56,324.0,482 CPT,74400,PR IVP WO OR W KUB/TOMO,319.0,283.90999999999997,18.09,547.0,964 CPT,74420,HC UROGRAPHY RETRO WO OR W KUB,880.0,783.2,82.29,880.0,742 CPT,74420,PR UROGRAPHY RETRO WO OR W KUB,409.0,364.01,19.95,627.0,966 CPT,74425,PR UROGRAPHY ANTEGRADE S&I,531.0,472.59,18.91,642.0,1448 CPT,74430,PR CYSTOGRAPHY MIN 3VWS S&I,255.0,226.95,11.98,394.0,1448 CPT,74440,PR VASOGRAPHY S&I,509.0,453.01,84.01,509.0,482 CPT,74450,PR URETHROCYSTOGRAPHY RETRO S&I,229.0,203.81,12.25,385.0,966 CPT,74455,PR URETHROCYSTOGRAPHY VOIDING S&I,382.0,339.98,12.53,666.0,966 CPT,74712,PR SINGLE MRI FETAL GESTATION,2382.0,2119.98,110.96,3683.0,1446 CPT,74740,PR HSG S&I,276.0,245.64,14.17,463.0,964 CPT,74775,PR PERINEOGRAM,566.0,503.74,74.17,566.0,482 CPT,75557,PR CARD MRI MORPH&FUNC WO CNTRST,2779.0,2473.31,86.7,4025.0,964 CPT,75561,PR CARD MRI MORP&FUNC WO/W CNTRST,3309.5,2945.455,96.28,5002.0,964 CPT,75563,PR CARD MRI MORPH&FUNC WO/W ST,3404.5,3030.005,111.11,5167.0,964 CPT,75565,PR CARD MRI VELOCITY FLOW MAPPING,309.5,275.455,9.15,495.0,964 CPT,75571,PR CT HRT WO CNTRST W CA SCORE,275.5,245.195,21.39,437.0,964 CPT,75572,PR CT HRT W CNTRST MORPHOLOGY,1188.0,1057.32,64.56,1768.0,964 CPT,75573,PR CT HRT MORPHOLOGY CONGENITAL,1437.5,1279.375,94.71,2090.0,964 CPT,75574,PR CTA HRT CORONARY W CNTRST,2165.0,1926.85,88.58,3249.0,1446 CPT,75580,PR N-INVAS EST C FFR SW ALY CTA,130.0,115.7,27.71,130.0,482 CPT,75605,PR AORTOGRAPHY THORACIC S&I,786.5,699.985,40.47,1107.0,964 CPT,75625,PR AORTOGRAPHY ABDOMINAL S&I,567.0,504.63,49.72,1115.0,1446 CPT,75630,PR AORTOGRAPHY ABD LWR EXT S&I,961.0,855.29,53.73,1670.0,1446 CPT,75635,PR CTA ABD ART RUNOF WO/W CNTRST,1767.0,1572.63,87.14,2795.0,1446 CPT,75705,PR ANGIOGRAPHY SPINAL SEL S&I,1121.0,997.69,92.13,1961.0,1446 CPT,75710,PR ANGIOGRAPHY EXT UNILAT S&I,1227.5,1092.475,61.64,1609.0,964 CPT,75716,PR ANGIOGRAPHY EXT BILAT S&I,710.0,631.9,60.46,1305.0,1446 CPT,75726,PR ANGIOGRAPHY VISCERAL SEL S&I,602.0,535.78,64.1,1129.0,1446 CPT,75736,PR ANGIOGRAPHY PELVIC SEL S&I,1408.0,1253.12,39.59,2141.0,1446 CPT,75741,PR ANGIO PULMONARY UNILAT SEL S&I,708.0,630.12,46.27,979.0,964 CPT,75743,PR ANGIO PULMONARY BILAT SEL S&I,1070.5,952.7449999999999,58.87,1424.0,964 CPT,75746,PR ANGIO PULMONARY NONSEL S&I,847.0,753.8299999999999,40.64,1234.0,964 CPT,75756,PR ANGIOGRAPHY INTRNL MAMMARY S&I,725.0,645.25,42.16,1098.0,964 CPT,75774,PR ANGIOGRAPHY SEL ADD VSSL S&I,515.0,458.35,35.13,956.0,1446 CPT,75801,PR LYMPHANGIOGRPH EXT ONLY UNILAT,939.0,835.71,33.72,1644.0,964 CPT,75803,PR LYMPHANGIOGRPH EXT ONLY BILAT,1022.0,909.5799999999999,43.13,1727.0,964 CPT,75805,PR LYMPHANGIOGRPH PELV/ABD UNILAT,1016.5,904.6850000000001,30.07,1812.0,964 CPT,75807,PR LYMPHANGIOGRPH PELV/ABD BILAT,747.0,664.83,40.41,1346.0,964 CPT,75809,PR SHUNTOGRAM NONVASC SHUNT S&I,312.0,277.68,18.47,491.0,964 CPT,75810,PR SPLENOPORTOGRAPHY S&I,1662.5,1479.625,36.87,3091.0,964 CPT,75820,HC VENOGRAPHY EXT UNILAT S&I,2297.0,2044.33,107.13,2297.0,739 CPT,75820,PR VENOGRAPHY EXT UNILAT S&I,351.0,312.39,37.98,627.0,1446 CPT,75822,PR VENOGRAPHY EXT BILAT S&I,688.0,612.3199999999999,52.92,919.0,964 CPT,75825,HC VENOGRAPHY IVC S&I,4682.0,4166.98,112.35,4682.0,737 CPT,75825,PR VENOGRAPHY IVC S&I,907.0,807.23,40.28,1631.0,1446 CPT,75827,PR VENOGRAPHY SVC S&I,931.0,828.59,40.64,1634.0,1446 CPT,75831,PR VENO RENAL UNILAT SEL S&I,729.0,648.81,39.4,1238.0,1446 CPT,75833,PR VENO RENAL BILAT SEL S&I,1115.5,992.7950000000001,55.15,1542.0,964 CPT,75860,PR VENOGRAPHY SINUS OR JUG S&I,1117.0,994.13,41.8,1887.0,1446 CPT,75870,PR VENOGRAPHY SUPERIOR SAG SINUS,1381.5,1229.535,47.17,2060.0,964 CPT,75885,PR TXHEP PORT PERC W HEMO EVAL,605.0,538.45,49.98,1117.0,1446 CPT,75887,PR TXHEP PORT PERC WO HEMO EVAL,1003.0,892.67,49.98,1861.0,1446 CPT,75889,PR VENO HEPATIC W HEMODYN S&I,1733.0,1542.37,39.8,2901.0,1446 CPT,75891,PR VENO HEPATIC WO HEMODYN S&I,1435.0,1277.15,40.07,2409.0,1446 CPT,75893,PR VENOUS SAMPLING THRU CATH S&I,862.0,767.18,20.26,1404.0,964 CPT,75894,PR THRPY TXCATH EMBL S&I,4297.0,3824.33,95.81,4558.0,1446 CPT,75898,PR ANGIO FU THRU CATH S&I,534.0,475.26,79.57,836.0,1446 CPT,75901,PR RMVL MECH CVAD OBSTRUCT S&I,917.0,816.13,17.61,1013.0,1446 CPT,75970,PR BX TRANSCATH S&I,3199.0,2847.11,29.01,3424.0,1446 CPT,75984,PR CHG DRN CATH W CNTRST S&I,457.0,406.73,29.29,660.0,964 CPT,75989,PR GUIDE DRN PERC PLC CATH S&I,866.5,771.1850000000001,43.2,1169.0,964 CPT,76000,HC FLUOROSCOPY EXAM UP TO 1 HR,669.0,595.41,44.1,669.0,738 CPT,76000,PR FLUOROSCOPY EXAM UP TO 1 HR,280.0,249.2,12.06,422.0,1446 CPT,76010,PR XR NOSE TO RECTUM CHILD,105.5,93.89500000000001,6.67,164.0,964 CPT,76080,PR XR FISTULA/ABSC/SINUS TRCT S&I,289.0,257.21,18.97,413.0,964 CPT,76098,PR XR SURG SPECIMEN,116.5,103.685,11.7,174.0,964 CPT,76100,PR XR SINGLE PLANE TOMO,206.5,183.785,21.66,317.0,965 CPT,76140,PR XR CONSULTATION,952.0,847.28,837.76,952.0,477 CPT,76376,HC 3D WO IND WORKSTATION,634.0,564.26,25.44,634.0,720 CPT,76376,PR 3D WO IND WORKSTATION,379.0,337.31,7.49,590.0,1448 CPT,76377,PR 3D W IND WORKSTATION,414.0,368.46,29.52,770.0,1446 CPT,76380,PR CT LTD FU STDY,636.5,566.485,35.42,959.0,964 CPT,76390,PR MR SPECTROSCOPY,1711.0,1522.79,1004.08,2852.0,1431 CPT,76391,PR MR ELASTOGRAPHY,1241.0,1104.49,40.02,1651.0,1446 CPT,76496,PR VENOGRM SEL EA ADD VSSL STUDY,698.5,621.665,388.08,956.0,954 CPT,76497,PR CT SKELETAL SURVEY LDWB,2155.0,1917.95,134.5,3500.0,1431 CPT,76498,PR MR LYMPHANGIOGRAM,5268.0,4688.52,85.0,8422.0,954 CPT,76498,PR MR STEALTH,4583.5,4079.315,85.0,6436.0,954 CPT,76498,PR MRI PROCTOGRAPHY,3428.5,3051.365,85.0,4911.0,954 CPT,76498,PR MRI PROCTOGRAPHY & ENDOANAL,5556.5,4945.285,85.0,8169.0,954 CPT,76498,PR MRI WHOLE BODY,2155.0,1917.95,85.0,3500.0,1431 CPT,76499,PR BODY COMPOSITION DXA,657.0,584.73,24.8,1066.0,954 CPT,76499,PR CONTRAST ENHANCED SPECTRAL MAMMOGRAPHY,61.0,54.29,6.1,61.0,477 CPT,76499,PR DXA BODY COMP WO RADOINTERP,84.0,74.76,8.4,84.0,482 CPT,76506,PR ECHOENCEPHGRAPHY,382.0,339.97999999999996,23.4,604.0,964 CPT,76510,PR OPTHAL US DX QUANT B&A SCAN,645.0,574.05,31.51,825.0,964 CPT,76511,PR OPHTHAL US DX QUANT A SCAN,470.0,418.3,28.76,581.0,964 CPT,76512,HC US OPHTHALMIC DX B-SCAN,224.0,199.36,46.59,224.0,736 CPT,76512,PR US OPHTHALMIC DX B-SCAN,401.0,356.89,15.23,639.0,1446 CPT,76513,PR OPHTHAL US DX EYE WATER BATH,382.0,339.98,26.54,536.0,964 CPT,76514,PR OPHTHAL US DX EYE THICKNESS,71.0,63.19,3.17,104.0,1453 CPT,76519,PR OPHTHAL US A SCAN W IO LENS,279.5,248.755,24.62,395.0,964 CPT,76536,PR US HEAD&NECK SOFT TISS,413.0,367.57,21.12,541.0,1447 CPT,76604,PR US CHEST,261.0,232.29,22.02,481.0,1447 CPT,76641,PR US BREAST COMPLT UNILAT,345.5,307.495,26.97,519.0,964 CPT,76642,PR US BREAST LTD UNILAT,300.0,267.0,25.04,478.0,1446 CPT,76700,PR US ABD COMPLT,438.5,390.265,29.99,664.0,964 CPT,76705,HC US ABD LTD,596.0,530.44,87.13,596.0,743 CPT,76705,PR US ABD LTD,399.0,355.11,21.94,579.0,1449 CPT,76706,PR US ABD AORTA SCREEN AAA,357.0,317.72999999999996,20.37,579.0,964 CPT,76770,PR US RETROPERITONEAL COMPLT,456.0,405.84,27.24,664.0,1446 CPT,76775,PR US RETROPERITONEAL LTD,251.0,223.39,21.66,449.0,1446 CPT,76776,PR US TRANSPLANT KIDNEY W DPLR,448.5,399.165,27.78,725.0,964 CPT,76800,PR US SPINE CANAL,496.0,441.44,48.67,753.0,1446 CPT,76801,PR OB US < 14 WKS SINGLE FETUS,489.5,435.655,37.22,703.0,965 CPT,76802,PR OB US < 14 WKS ADD FETUS,369.5,328.855,31.65,449.0,964 CPT,76805,PR US OB OVER 14WKS SNGL,481.0,428.09000000000003,37.78,716.0,964 CPT,76810,PR US OB OVER 14WKS ADD,508.0,452.12,37.79,665.0,964 CPT,76811,PR US OB DETAILED SNGL,778.5,692.865,72.94,1040.0,965 CPT,76812,PR US OB DETAILED ADD GEST,676.5,602.085,68.82,942.0,964 CPT,76813,PR US OB NUCHAL TRANSLUCENCY SNGL,516.5,459.68500000000006,45.29,697.0,965 CPT,76815,PR US PREGNANT UTERUS LIMITED,296.0,263.44,24.5,471.0,1451 CPT,76816,PR US OB FU PER FETUS,386.5,343.985,32.76,567.0,964 CPT,76817,PR US OB TRANSVAGINAL,370.0,329.3,28.36,537.0,969 CPT,76818,PR BPP W NONSTRESS TEST,424.0,377.36,40.26,601.0,964 CPT,76819,PR FETAL BIOPHYS PROFIL WO NST,356.0,316.84000000000003,29.46,503.0,965 CPT,76820,PR DPLR VELOC FETAL UMBIL ARTERY,271.5,241.635,19.4,356.0,964 CPT,76821,PR DPLR VELOC FETL MID CRBRAL ARTY,455.0,404.95000000000005,26.91,664.0,964 CPT,76825,PR ECHO FETAL CARDIOVASC,571.0,508.19,63.7,571.0,482 CPT,76827,PR US DPLR FETAL ECHO,281.0,250.09,22.15,281.0,482 CPT,76828,PR CHG SONO FETAL HRT DOPPL F/U,164.0,145.96,21.6,164.0,482 CPT,76830,PR US TRANSVAGINAL,451.0,401.39,25.88,618.0,1452 CPT,76831,PR ECHO EXAM UTERUS,474.5,422.305,27.82,734.0,968 CPT,76856,PR US PELVIS COMPLETE,363.0,323.07,25.88,558.0,965 CPT,76857,PR US FOLLICLE TRACK INFERTILITY TECH,333.0,296.37,41.72,333.0,487 CPT,76857,PR US PELVIS LTD/FU,243.0,216.26999999999998,18.92,333.0,969 CPT,76857,PR US PELVIS LTD/FU LTD,333.0,296.37,41.72,333.0,487 CPT,76870,PR US SCROTUM,411.0,365.78999999999996,23.67,635.0,964 CPT,76872,PR US TRANSRECTAL,627.0,558.03,25.73,805.0,1453 CPT,76873,PR US TRANSRECTAL PROSTATE VOLUME,719.0,639.91,61.55,1008.0,964 CPT,76881,PR US EXT NON-VASC COMPLETE,413.0,367.57,9.06,518.0,1446 CPT,76882,PR US EXT LTD,128.0,113.92,25.6,255.0,1454 CPT,76883,HC US NRV&ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY,731.0,650.59,104.77,731.0,734 CPT,76883,PR US NRV&ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY,557.0,495.73,13.55,706.0,1447 CPT,76885,PR US INFANT HIPS DYNAMIC,425.5,378.695,27.24,670.0,964 CPT,76886,PR US INFANT HIPS LTD STATIC,418.0,372.02,22.85,649.0,964 CPT,76932,HC US ENDOMYOCARDIAL BX S&I,815.0,725.35,99.7,815.0,719 CPT,76932,PR US ENDOMYOCARDIAL BX S&I,427.5,380.475,27.7,643.0,964 CPT,76937,HC US GUIDE VASC ACCESS,428.0,380.91999999999996,40.33,435.0,1456 CPT,76937,PR US GUIDE VASC ACCESS,128.0,113.92,10.67,193.0,1446 CPT,76940,PR US GUIDE TISS ABLT,895.5,796.995,78.77,1141.0,964 CPT,76942,HC US GUIDE PLC NDL,1072.0,954.08,64.38,1089.0,1456 CPT,76942,PR US GUIDE PLC NDL,507.0,451.23,25.25,676.0,1454 CPT,76945,CHG US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S&I,997.0,887.33,79.54,997.0,482 CPT,76946,PR US AMNIOCENTESIS IMG,398.0,354.21999999999997,14.74,518.0,966 CPT,76948,HC ECHO GUIDE OVA ASPIRATION,322.0,286.58,66.98,322.0,723 CPT,76948,PR ECHO GUIDE OVA ASPIRATION,419.5,373.35499999999996,25.81,604.0,964 CPT,76965,PR US GUIDE INTERS RADIOTHER,948.0,843.72,54.9,948.0,482 CPT,76978,PR US TRGT DYN MBUBB 1ST LES,1497.5,1332.775,59.69,2165.0,964 CPT,76981,PR US PARENCHYMA,541.0,481.49,23.35,858.0,965 CPT,76998,PR US GUIDE INTRAOPERATIVE,611.0,543.79,37.05,849.0,964 CPT,76998,PR US GUIDE INTRAOPERATIVE LTD,702.0,624.78,80.12,702.0,482 CPT,76999,PR US MAPPING OF MICRO-BUBBLES,649.5,578.0550000000001,45.0,849.0,966 CPT,77001,PR FLUORO GUIDE PLC CVAD,314.0,279.46,13.77,534.0,964 CPT,77002,HC FLUORO GUIDE NDL PLC,806.0,717.34,123.27,806.0,723 CPT,77002,PR FLUORO GUIDE NDL PLC,360.0,320.4,18.44,464.0,1523 CPT,77003,PR FLUORO GUIDE SPINE INJ,387.0,344.42999999999995,19.18,612.0,1014 CPT,77011,PR CT GUIDE STERO LOCALIZ,1900.0,1691.0,48.15,2608.0,1446 CPT,77012,PR CT GUIDE NDL PLC,1237.5,1101.375,53.42,1613.0,964 CPT,77013,PR CT GUIDE TISS ABLT,2030.0,1806.7,140.17,2766.0,1446 CPT,77021,PR MRI GUIDE NDL PLC,1598.5,1422.665,56.54,2747.0,964 CPT,77022,PR MRI GUIDE/MONITOR TISS ABLATE,4537.0,4037.9300000000003,152.76,7028.0,964 CPT,77046,PR MRI BREAST WO CNTRST UNILAT,1962.5,1746.625,53.02,3003.0,964 CPT,77047,PR MRI BREAST WO CNTRST BILAT,2052.5,1826.725,58.59,3089.0,964 CPT,77048,PR MRI BREAST WOW CNTRST W/CAD UNILAT,2293.5,2041.215,77.32,3576.0,964 CPT,77049,PR MRI BREAST WOW CNTRST W/CAD BILAT,2820.5,2510.245,84.54,4326.0,964 CPT,77061,PR DIGITAL BREAST TOMO UNILAT,149.0,132.61,10.66,260.0,1446 CPT,77062,PR DIGITAL BREAST TOMO BILAT,183.5,163.315,22.21,257.0,964 CPT,77063,PR DIGITAL SCRN BRST TOMO BILAT,148.5,132.165,22.21,194.0,964 CPT,77065,"PR DIAG MAMMO, UNILATERAL, W/CAD",449.0,399.61,30.07,637.0,1446 CPT,77066,"PR DIAG MAMMO, BILATERAL, W/CAD",613.0,545.57,37.01,860.0,1446 CPT,77067,"PR SCREEN MAMMO, BILATERAL, W/CAD",384.0,341.76,28.06,528.0,1446 CPT,77071,HC APP STRESS JOINT RADIOGRAPHY,394.0,350.66,58.05,394.0,736 CPT,77071,PR APP STRESS JOINT RADIOGRAPHY,209.0,186.01,47.37,209.0,482 CPT,77072,PR BONE AGE STUDY,113.0,100.57000000000001,7.22,168.0,964 CPT,77073,PR BONE LENGTH STUDY,210.0,186.9,10.34,291.0,1446 CPT,77074,PR XR BONE SURVEY LIMITED,223.0,198.47,16.45,341.0,964 CPT,77075,PR XR BONE SURVEY COMPLETE,416.0,370.24,20.57,559.0,1446 CPT,77076,PR XR BONE SURVEY INFANT,408.5,363.565,25.87,627.0,964 CPT,77078,PR CT BN DENSITY 1>= SITES,347.5,309.275,9.15,624.0,964 CPT,77080,PR DEXA BONE DENSITY AXIAL,328.0,291.92,7.49,533.0,964 CPT,77081,PR DEXA BONE DENSITY APPENDICULAR,158.0,140.62,7.49,246.0,964 CPT,77084,PR MRI BONE MARROW BLOOD SUPPLY,1573.5,1400.415,58.87,2561.0,964 CPT,77085,PR DEXA BN DENSITY AXIAL W FX,316.0,281.24,11.43,504.0,964 CPT,77086,PR FX ASSESS VIA DEXA,141.0,125.49,6.4,230.0,964 CPT,77089,PR TBS DXA/OTHER IMG CALCULATION W/I&R FX RISK PROF ONLY,86.0,76.54,32.62,86.0,482 CPT,77091,HC TBS TECHNICAL CALCULATION ONLY,239.0,212.71,40.88,239.0,744 CPT,77092,PR TBS INTERPRETATION & REPORT FX RISK BY OTHER QHP,82.0,72.98,8.05,82.0,482 CPT,77261,PR TX PLANNING THER RAD SIMPLE,729.0,648.81,56.21,729.0,465 CPT,77263,PR TX PLANNING THER RAD COMPLEX,1330.0,1183.7,134.13,1330.0,439 CPT,77280,PR SET RAD SIM THER FIELD SMPL,938.0,834.8199999999999,30.0,1577.0,940 CPT,77290,PR SET RAD SIM THER FIELD CMPLX,2293.5,2041.215,66.11,4000.0,874 CPT,77293,PR RESP MOTION MANAGEMENT SIM,1551.5,1380.835,84.56,2557.0,871 CPT,77295,PR 3D RAD THER ISODOSE FIELD PLAN,7618.0,6780.02,181.85,9553.0,1307 CPT,77300,PR BASIC CALCULATE RADTN DOSE,527.0,469.03,26.41,812.0,941 CPT,77301,PR IMRT RADIOTHERAPY PLAN,7879.0,7012.31,339.02,10293.0,1308 CPT,77306,PR TELETHX ISODOSE PLN SMPL,1035.0,921.1500000000001,59.7,1392.0,934 CPT,77307,HC TELETHX ISODOSE PLN CMPLX,1532.0,1363.48,292.01,1532.0,738 CPT,77307,PR TELETHX ISODOSE PLN CMPLX,1525.0,1357.25,115.31,2550.0,1396 CPT,77317,PR BRACHYTX ISODOSE PLAN INT,1511.5,1345.2350000000001,77.68,2293.0,964 CPT,77318,PR BRACHYTX ISODOSE PLAN COMPLEX,2134.0,1899.2600000000002,122.97,3092.0,964 CPT,77321,PR SPECIAL TELETX PORT PLAN,1180.5,1050.645,40.25,1832.0,934 CPT,77331,PR SPECIAL DOSIMETRY,542.5,482.825,36.95,804.0,867 CPT,77332,PR RAD TX DEV DESIGN SIMPLE,424.0,377.36,19.17,659.0,935 CPT,77333,PR RAD TX DEV DESIGN INTERMEDIATE,457.5,407.17499999999995,31.64,719.0,935 CPT,77334,PR RAD TX DEV DESIGN COMPLEX,997.0,887.3299999999999,48.6,1531.0,874 CPT,77336,HC CONSULT RAD PHYSICS/ WEEK,756.0,672.84,93.15,756.0,750 CPT,77336,PR CONSULT RAD PHYSICS/ WEEK,665.0,591.85,76.01,665.0,472 CPT,77338,PR DESIGN MLC DEV FOR IMRT,1770.0,1575.3,182.12,3643.0,1308 CPT,77370,HC CONSULT RAD PHYSICS SPECIAL,944.0,840.16,134.7,944.0,738 CPT,77370,PR CONSULT RAD PHYSICS SPECIAL,838.0,745.82,123.77,838.0,468 CPT,77371,HC RADTN STEREOTACTIC CRAN COBALT,17813.0,15853.57,1733.91,17813.0,739 CPT,77372,HC RADTN STEREOTACTIC CRAN LINEAR,17727.0,15777.03,955.83,17727.0,740 CPT,77372,PR RADTN STEREOTACTIC CRAN LINEAR,13311.0,11846.79,779.96,13311.0,436 CPT,77373,HC STEREOTACTIC BODY RADTN DEL,12078.0,10749.42,1000.91,12078.0,747 CPT,77373,PR STEREOTACTIC BODY RADTN DEL,12078.0,10749.42,816.74,12078.0,471 CPT,77387,PR GUIDANCE FOR LOC RAD TX,534.5,475.705,29.43,870.0,934 CPT,77402,HC RADTN TX DEL >=1 MEV SMPL,1066.0,948.74,102.25,1066.0,736 CPT,77402,PR RADIATION TREATMENT DELIVERY 1 MEV >= SIMPLE,1066.0,948.74,68.59,1066.0,467 CPT,77407,HC RADTN TX DEL >=1 MEV INT 3D,1520.0,1352.8,316.16,1520.0,734 CPT,77407,HC RADTN TX DEL >=1 MEV INT 3D HYPO,1900.0,1691.0,386.52,1900.0,734 CPT,77407,HC RADTN TX DEL >=1 MEV INT IMRT,6003.0,5342.67,386.52,6003.0,734 CPT,77407,HC RADTN TX DEL >=1 MEV INT IMRT HYPO,7504.0,6678.56,386.52,7504.0,734 CPT,77407,PR RADTN RX DEL >=1 MEV INT IMRT,6003.0,5342.67,259.06,6003.0,471 CPT,77407,PR RADTN RX DEL >=1 MEV INT IMRT HYPO,7504.0,6678.56,259.06,7504.0,469 CPT,77407,PR RADTN TX DEL >=1 MEV INT 3D,1520.0,1352.8,259.06,1520.0,437 CPT,77407,PR RADTN TX DEL >=1 MEV INT 3D HYPO,1900.0,1691.0,259.06,1900.0,469 CPT,77412,HC RADTN TX DEL >=1 MEV COMPLEX 2D,1772.0,1577.08,368.58,1772.0,741 CPT,77412,HC RADTN TX DEL >=1 MEV COMPLEX 3D,1772.0,1577.08,368.58,1772.0,741 CPT,77412,HC RADTN TX DEL >=1 MEV COMPLEX 3D HYPO,2215.0,1971.35,460.72,2215.0,741 CPT,77412,HC RADTN TX DEL >=1 MEV COMPLEX IMRT,6003.0,5342.67,553.73,6003.0,741 CPT,77412,HC RADTN TX DEL >=1 MEV COMPLEX IMRT HYPO,7504.0,6678.56,553.73,7504.0,741 CPT,77412,PR RADTN TX DEL >=1 MEV COMPLEX,1095.0,974.55,371.04,1095.0,483 CPT,77412,PR RADTN TX DEL >=1 MEV COMPLEX 2D,1772.0,1577.08,371.04,1772.0,466 CPT,77412,PR RADTN TX DEL >=1 MEV COMPLEX 3D,1772.0,1577.08,371.04,1772.0,435 CPT,77412,PR RADTN TX DEL >=1 MEV COMPLEX 3D HYPO,2215.0,1971.35,371.04,2215.0,466 CPT,77412,PR RADTN TX DEL >=1 MEV COMPLEX IMRT,6003.0,5342.67,371.04,6003.0,466 CPT,77412,PR RADTN TX DEL >=1 MEV COMPLEX IMRT HYPO,7504.0,6678.56,371.04,7504.0,466 CPT,77417,HC THER RADIOLOGY PORT FILMS,236.0,210.04,49.09,271.4,719 CPT,77417,PR THER RADIOLOGY PORT FILMS,153.0,136.17,134.64,153.0,464 CPT,77425,HC INTRAOP RADTN ELECTRON SNGL TX,16371.0,14570.19,3405.17,16371.0,734 CPT,77425,PR INTRAOP RADTN ELECTRON SNGL TX,14086.0,12536.54,12395.68,14086.0,477 CPT,77427,PR RADTN THER MGMT 5 TREATMENTS,1198.0,1066.22,156.21,1198.0,470 CPT,77431,PR RADTN THER MGMT 1/2 FRACTONS,628.0,558.92,85.28,628.0,435 CPT,77432,PR RADTN TX MGMT STERETCTC CRNL LSN,3558.0,3166.62,337.89,3558.0,483 CPT,77435,PR STEREOTACTIC BODY RADTN MGMT,4330.0,3853.7,510.95,4330.0,486 CPT,77436,HC SURF RADJ THER TX PLANNING,1278.0,1137.42,37.43,1278.0,734 CPT,77436,PR SURF RADJ THER TX PLANNING,938.0,834.8199999999999,33.85,1577.0,964 CPT,77437,HC SURF RADJ THER SUPFC<=150KV,525.0,467.25,102.25,525.0,734 CPT,77438,HC SURF RAD THR ORTHVLT>150-500,525.0,467.25,102.25,525.0,734 CPT,77469,PR RAD TX INTRAOPERATIVE MGMT,2565.0,2282.85,210.58,2565.0,482 CPT,77470,PR SPECIAL TX PROC,1801.5,1603.335,86.02,2437.0,964 CPT,77523,HC PROTON TX DEL INTERMEDIATE,6003.0,5342.67,1248.62,6003.0,743 CPT,77523,HC PROTON TX DEL INTERMEDIATE - HYPOFRACTIONATION,7504.0,6678.56,1252.42,7504.0,743 CPT,77525,HC PROTON TX DEL COMPLEX,6003.0,5342.67,1248.62,6003.0,736 CPT,77525,HC PROTON TX DEL COMPLEX - HYPOFRACTIONATION,7504.0,6678.56,1252.42,7504.0,736 CPT,77770,PR HDR RDNCL/ICAV BRACHTX 1 CHNL,2550.5,2269.945,82.64,4481.0,964 CPT,77771,PR HDR RDNCL/ICAV BRACHTX 2-12CHNL,3159.5,2811.955,161.31,4946.0,964 CPT,77772,PR HDR RDNCL/ICAV BRACHTX > 12CHNL,4562.0,4060.18,227.3,7261.0,964 CPT,77778,PR INTERS RADTN APP COMPLEX,3980.5,3542.645,371.83,5877.0,964 CPT,77789,HC SURFACE APP RADIATION SOURCE,3409.0,3034.01,102.25,3409.0,736 CPT,78012,PR THYROID UPTAKE SNGL/MULT,292.5,260.325,6.94,530.0,964 CPT,78013,PR THYROID IMAGING,614.5,546.905,13.34,1120.0,964 CPT,78014,PR THYROID IMG UPTAKE SNGL/MULT,696.0,619.44,18.08,1260.0,964 CPT,78015,PR THYROID CARCIN/MET IMG LTD,663.5,590.515,24.77,1157.0,964 CPT,78018,PR THYROID CARCIN/MET IMG WB,879.0,782.3100000000001,30.51,1551.0,964 CPT,78020,PR THYROID CARCIN/MET UPTAKE,356.5,317.28499999999997,21.01,539.0,964 CPT,78070,PR PARATHYROID PLANAR IMAGING,620.5,552.245,29.16,1092.0,964 CPT,78071,PR PARATHYROID PLANAR IMG W SPECT,1063.0,946.07,43.31,1817.0,964 CPT,78072,PR PARATHYRD PLANAR IMG W SPECT/CT,1972.5,1755.5249999999999,56.83,3341.0,964 CPT,78102,PR BONE MARROW IMAGING LTD,842.0,749.38,19.73,992.0,1446 CPT,78104,PR BONE MARROW IMAGING WB,949.0,844.61,28.59,1642.0,964 CPT,78122,PR WHOLE BLOOD VOLUME,417.0,371.13,16.64,695.0,964 CPT,78185,PR SPLEEN IMG ONLY WO/W VASC FLOW,588.5,523.765,12.67,1068.0,964 CPT,78195,PR LYMPH NODE IMAGING,1409.5,1254.455,42.75,2415.0,964 CPT,78201,PR LIVER IMAGING STATIC ONLY,559.0,497.51,15.81,1007.0,964 CPT,78215,PR LIVER & SPLEEN IMAGING STATIC,546.0,485.94,18.09,973.0,964 CPT,78226,PR HEPATOBILIARY SYS IMAGING,1430.0,1272.7,26.96,1614.0,1446 CPT,78227,PR HEPATOBILIARY SYS IMG W DRUG,1029.0,915.81,32.8,1865.0,964 CPT,78231,PR SALIVARY GLAND W SERIAL IMAGES,625.0,556.25,16.51,1046.0,964 CPT,78258,PR ESOPHAGEAL MOTILITY STUDY,781.5,695.5350000000001,26.96,1344.0,964 CPT,78261,PR GASTRIC MUCOSA IMAGING,821.0,730.6899999999999,21.71,1433.0,964 CPT,78262,PR NM GASTRIC REFLUX STUDY,656.0,583.84,25.04,1151.0,964 CPT,78264,PR GASTRIC EMPTYING,758.5,675.065,28.6,1355.0,964 CPT,78265,PR GASTRIC EMPTYING W SM BWL,1513.5,1347.0149999999999,35.82,2694.0,964 CPT,78266,PR GASTRIC EMPTY W SM BWL & COLN,1785.5,1589.095,38.2,3196.0,964 CPT,78278,PR ACUTE GI BLEED IMAGING,1051.5,935.835,36.1,1842.0,964 CPT,78290,PR MECKEL DIVERTICULUM EXAM,574.5,511.305,24.77,1042.0,964 CPT,78291,PR PERITONEAL VENOUS SHUNT TEST,724.5,644.805,32.53,1240.0,964 CPT,78300,PR BONE/JOINT IMAGING LTD,512.5,456.125,22.48,900.0,964 CPT,78305,PR BONE/JOINT IMAGING MULT AREAS,675.0,600.75,30.33,1172.0,964 CPT,78306,PR BONE/JOINT IMAGING WB,725.0,645.25,31.07,1266.0,964 CPT,78315,PR BONE/JOINT IMAGING 3 PHASE,814.5,724.905,36.92,1420.0,964 CPT,78350,PR BONE DENSITY STUDY,205.5,182.89499999999998,10.55,293.0,964 CPT,78428,PR CARDIAC SHUNT DECTECTION,582.5,518.425,28.25,968.0,964 CPT,78429,PR MYOCARDIAL PET CT METABOL SNGL,2503.5,2228.1150000000002,62.59,4728.0,959 CPT,78430,PR MYOCARDIAL PET CT PERFUSION SNGL,1519.5,1352.355,59.77,2876.0,964 CPT,78431,PR MYOCARDIAL PET CT PERFUSION MULT,4130.0,3675.7,69.98,7864.0,964 CPT,78432,PR MYOCARDIAL PET METABOL/PERFUSION,3833.0,3411.37,76.93,7330.0,959 CPT,78433,PR MYOCARDIAL PET CT METABOL/PERFUSION,4463.0,3972.0699999999997,81.0,8507.0,964 CPT,78434,PR AQMBF PET REST & STRESS,381.0,339.09000000000003,23.24,633.0,964 CPT,78451,PR MYOCARDIAL PERF SPECT SNGL,1110.0,987.9,50.94,1848.0,964 CPT,78452,PR MYOCARDIAL PERF SPECT MULT,1662.5,1479.625,60.09,2837.0,964 CPT,78453,PR MYOCARDIAL PERF PLANAR SNGL,578.5,514.865,36.37,990.0,964 CPT,78454,PR MYOCARDIAL PERF PLANAR MULT,815.0,725.35,48.89,1410.0,964 CPT,78459,PR MYOCARDIAL PET METABOL EVAL,4634.0,4124.26,57.01,4934.0,1446 CPT,78472,PR CARD BLOOD POOL SNGL,911.5,811.235,36.03,1504.0,964 CPT,78473,PR CARD BLOOD POOL MULTI,1484.5,1321.205,54.61,2371.0,964 CPT,78491,PR MYOCARDIAL PET PERFUSION SNGL,2796.0,2488.44,57.05,2953.0,1446 CPT,78492,PR MYOCARDIAL PET PERFUSION MULT,3483.0,3099.87,66.68,3710.0,1446 CPT,78494,PR CARD BLOOD POOL SPECT,902.5,803.225,43.79,1437.0,964 CPT,78579,PR LUNG VENTILATION IMAGING,622.0,553.5799999999999,17.81,1102.0,964 CPT,78580,PR LUNG PERFUSION IMAGING,768.5,683.965,26.96,1330.0,964 CPT,78582,PR LUNG VENT/PERF IMAGING,1780.0,1584.2,38.65,2121.0,1446 CPT,78597,PR QUANT LUNG PERFUSION DIFF,784.0,697.76,26.59,1330.0,964 CPT,78598,PR QUANT LUNG VENT/PERFUSION DIFF,1981.0,1763.09,30.23,2297.0,1446 CPT,78606,PR BRAIN IMG < 4 VWS W VASC FLOW,931.0,828.5899999999999,23.03,1697.0,964 CPT,78608,PR PET BRAIN METABOLIC EVAL,6170.0,5491.3,53.54,6439.0,1446 CPT,78609,PR PET BRAIN PERFUSION EVAL,4468.0,3976.52,71.16,6439.0,964 CPT,78630,PR CSF FLOW CISTERNOGRAPHY,1143.0,1017.27,24.48,2077.0,964 CPT,78635,PR CSF FLOW VENTRICULOGRAPHY,962.0,856.1800000000001,22.49,1762.0,964 CPT,78645,PR CSF FLOW SHUNT EVAL,1117.5,994.575,20.56,2057.0,964 CPT,78650,PR CSF LEAKAGE DETECTION,991.0,881.99,19.25,1807.0,964 CPT,78660,PR RADIOPHARM DACRYOSCINTIGRAPHY,585.5,521.095,16.78,1012.0,964 CPT,78700,PR KIDNEY IMG MORPHLOGY,423.0,376.47,16.08,750.0,964 CPT,78707,PR KIDNEY VAS FLOW WO DRUG SNGL,741.0,659.49,34.72,1235.0,964 CPT,78708,PR KIDNEY VAS FLOW W DRUG SNGL,951.0,846.39,43.31,1454.0,964 CPT,78740,PR VOIDING CYSTOGRAM URETERAL REFLUX STUDY,764.0,679.96,21.88,1359.0,964 CPT,78800,PR MOLECULAR BREAST IMAGING,290.5,258.545,23.92,508.0,964 CPT,78800,PR TUMOR LOC LIMITED,572.5,509.525,23.92,1016.0,964 CPT,78801,PR TUMOR LOC MULTIPLE,1337.5,1190.375,26.41,2362.0,964 CPT,78802,PR TUMOR LOC WB SNGL DAY,1720.0,1530.8,28.59,1974.0,1446 CPT,78803,PR TUMOR LOC SPECT,2915.0,2594.35,39.39,3396.0,1446 CPT,78804,PR TUMOR LOC WB MIN 2 DAYS,2105.0,1873.4499999999998,36.09,3905.0,964 CPT,78811,PR PET LIMITED,3286.5,2924.985,55.19,6273.0,964 CPT,78812,PR PET TRUNK,3716.0,3307.24,69.35,7055.0,964 CPT,78813,PR PET WHOLE BODY,3337.0,2969.93,70.98,6330.0,964 CPT,78814,PR PET/CT LIMITED,4259.0,3790.5099999999998,78.83,8035.0,964 CPT,78815,PR PET/CT TRUNK,7617.0,6779.13,87.71,8162.0,1446 CPT,78816,PR PET/CT WHOLE BODY,4483.0,3989.87,89.07,8400.0,964 CPT,78830,PR TUMOR LOC SPECT W CT SINGLE AREA 1 DAY,1974.5,1757.305,52.35,3429.0,964 CPT,78831,PR TUMOR LOC SPECT 2+ AREA 1 DAY OR 1 AREA 2+ DAY,2795.0,2487.55,64.87,4958.0,964 CPT,78832,PR TUMOR LOC SPECT W CT 2+ AREA 1 DAY OR 1 AREA 2+ DAY,3598.5,3202.665,75.37,6452.0,964 CPT,78835,PR QUANT SINGLE AREA,442.5,393.825,17.18,719.0,964 CPT,79005,PR NM RADIOPHARM THRPY ORAL ADMIN,880.5,783.645,65.64,1094.0,964 CPT,79101,PR NM RADIOPHARM THRPY IV ADMIN,912.5,812.125,72.53,1123.0,964 CPT,79200,PR RADIOPHARM THRPY INTRACAV,909.0,809.01,62.93,1141.0,964 CPT,79403,PR NM RADRX THRPY MONOCLONL AB IV,1141.0,1015.49,70.87,1506.0,964 CPT,79445,PR RADIOPHARM THPY INTRA ARTERIAL,1354.5,1205.505,84.14,1641.0,964 CPT,80047,HC BASIC MET PANEL IONIZED CA,108.0,96.12,13.46,108.0,734 CPT,80047,PR BASIC MET PANEL IONIZED CA,108.0,96.12,13.73,108.0,481 CPT,80048,HC BASIC METABOLIC PANEL TOTAL CA,99.0,88.11,8.29,99.0,746 CPT,80048,PR BASIC METABOLIC PANEL TOTAL CA,99.0,88.11,8.46,99.0,487 CPT,80050,HC GENERAL HEALTH PANEL,258.0,229.62,49.13,258.0,719 CPT,80050,PR GENERAL HEALTH PANEL,258.0,229.62,227.04,258.0,477 CPT,80051,HC ELECTROLYTE PANEL,61.0,54.29,6.87,61.0,739 CPT,80051,PR ELECTROLYTE PANEL,61.0,54.29,7.01,61.0,484 CPT,80053,HC COMPREHENSIVE METABOLIC PANEL,114.0,101.46,10.35,114.0,750 CPT,80053,PR COMPREHENSIVE METABOLIC PANEL,114.0,101.46,10.56,114.0,486 CPT,80061,HC LIPID PANEL,134.0,119.26,13.12,134.0,740 CPT,80061,PR LIPID PANEL,134.0,119.26,13.39,134.0,481 CPT,80069,HC RENAL FUNCTION PANEL,103.0,91.67,8.51,103.0,741 CPT,80069,PR RENAL FUNCTION PANEL,103.0,91.67,8.68,103.0,484 CPT,80074,HC ACUTE HEPATITIS PANEL,438.0,389.82,46.68,438.0,737 CPT,80074,PR ACUTE HEPATITIS PANEL,438.0,389.82,47.63,438.0,467 CPT,80076,HC HEPATIC FUNCTION PANEL,93.0,82.77,8.01,93.0,739 CPT,80076,PR HEPATIC FUNCTION PANEL,93.0,82.77,8.17,93.0,482 CPT,80081,HC OB PANEL INCL HIV,493.0,438.77,73.36,493.0,736 CPT,80081,PR OB PANEL INCL HIV,493.0,438.77,74.86,493.0,481 CPT,80143,HC DRUG ASSAY ACETAMINOPHEN,219.0,194.91,18.27,219.0,740 CPT,80143,PR DRUG ASSAY ACETAMINOPHEN,219.0,194.91,18.64,219.0,481 CPT,80145,HC DRUG ASSAY ADALIMUMAB,334.0,297.26,37.8,334.0,736 CPT,80145,PR DRUG ASSAY ADALIMUMAB,334.0,297.26,38.57,334.0,467 CPT,80150,HC AMIKACIN ASSAY,217.0,193.13,14.78,217.0,736 CPT,80150,HC AMIKACIN ASSAY 2,217.0,193.13,14.78,217.0,736 CPT,80150,PR AMIKACIN ASSAY,217.0,193.13,15.08,217.0,481 CPT,80150,PR AMIKACIN ASSAY 2,217.0,193.13,15.08,217.0,481 CPT,80151,HC DRUG ASSAY AMIODARONE,184.0,163.76,18.27,184.0,736 CPT,80151,PR DRUG ASSAY AMIODARONE,184.0,163.76,18.64,184.0,467 CPT,80155,HC CAFFEINE ASSAY,126.0,112.14,26.21,126.0,735 CPT,80156,HC CARBAMAZEPINE/TEGRETOL ASSAY,143.0,127.27,14.28,143.0,734 CPT,80156,PR CARBAMAZEPINE/TEGRETOL ASSAY,143.0,127.27,14.57,143.0,481 CPT,80157,HC CARBAMAZEPINE FREE ASSAY,129.0,114.81,12.99,129.0,736 CPT,80157,PR CARBAMAZEPINE FREE ASSAY,129.0,114.81,13.25,129.0,481 CPT,80158,HC CYCLOSPORINE ASSAY,212.0,188.68,17.69,212.0,736 CPT,80158,PR CYCLOSPORINE ASSAY,212.0,188.68,18.05,212.0,467 CPT,80159,HC CLOZAPINE ASSAY,142.0,126.38,17.43,142.0,736 CPT,80159,PR CLOZAPINE ASSAY,142.0,126.38,20.15,142.0,467 CPT,80161,HC DRUG ASSAY CARBAMAZEPINE 10-11,171.0,152.19,16.12,171.0,734 CPT,80161,PR DRUG ASSAY CARBAMAZEPINE 10-11,171.0,152.19,18.64,171.0,467 CPT,80162,HC DIGOXIN TOTAL ASSAY,125.0,111.25,13.01,125.0,736 CPT,80162,PR DIGOXIN TOTAL ASSAY,125.0,111.25,13.28,125.0,481 CPT,80163,HC DIGOXIN FREE ASSAY,107.0,95.23,13.01,107.0,736 CPT,80163,PR DIGOXIN FREE ASSAY,107.0,95.23,13.28,107.0,481 CPT,80164,HC VALPROIC ACID ASSAY,119.0,105.91,13.27,119.0,737 CPT,80164,PR VALPROIC ACID ASSAY,119.0,105.91,13.54,119.0,481 CPT,80165,HC VALPROIC ACID FREE ASSAY,138.0,122.82,13.27,138.0,737 CPT,80165,PR VALPROIC ACID FREE ASSAY,138.0,122.82,13.54,138.0,481 CPT,80167,HC DRUG ASSAY FELBAMATE,164.0,145.96,16.12,164.0,737 CPT,80167,PR DRUG ASSAY FELBAMATE,164.0,145.96,18.64,164.0,467 CPT,80168,HC ETHOSUXIMIDE ASSAY,208.0,185.12,16.01,208.0,736 CPT,80168,PR ETHOSUXIMIDE ASSAY,208.0,185.12,16.34,208.0,467 CPT,80169,HC EVEROLIMUS ASSAY,280.0,249.2,13.46,280.0,737 CPT,80169,PR EVEROLIMUS ASSAY,280.0,249.2,13.73,280.0,467 CPT,80170,HC GENTAMICIN ASSAY,120.0,106.8,14.17,120.0,734 CPT,80170,HC GENTAMICIN ASSAY 2,120.0,106.8,14.17,120.0,734 CPT,80170,PR GENTAMICIN ASSAY,120.0,106.8,16.38,120.0,481 CPT,80170,PR GENTAMICIN ASSAY 2,120.0,106.8,16.38,120.0,481 CPT,80171,HC GABAPENTIN ASSAY,213.0,189.57,18.74,213.0,734 CPT,80171,PR GABAPENTIN ASSAY,213.0,189.57,21.67,213.0,467 CPT,80173,HC HALOPERIDOL ASSAY,149.0,132.61,15.78,149.0,735 CPT,80173,PR HALOPERIDOL ASSAY,114.0,101.46,15.78,114.0,481 CPT,80175,HC LAMOTRIGINE ASSAY,128.0,113.92,11.46,128.0,736 CPT,80175,PR LAMOTRIGINE ASSAY,128.0,113.92,13.25,128.0,467 CPT,80176,HC LIDOCAINE ASSAY,58.0,51.62,12.06,58.0,735 CPT,80177,HC LEVETIRACETAM/KEPPRA ASSAY,124.0,110.36,11.46,124.0,737 CPT,80177,PR LEVETIRACETAM/KEPPRA ASSAY,124.0,110.36,13.25,124.0,467 CPT,80178,HC LITHIUM ASSAY,73.0,64.97,6.48,73.0,734 CPT,80178,PR LITHIUM ASSAY,73.0,64.97,6.61,73.0,481 CPT,80179,HC DRUG ASSAY SALICYLATE,122.0,108.58,18.27,122.0,739 CPT,80179,PR DRUG ASSAY SALICYLATE,122.0,108.58,18.64,122.0,481 CPT,80180,HC MYCOPHENOLIC ACID ASSAY,226.0,201.14,15.61,226.0,737 CPT,80180,PR MYCOPHENOLIC ACID ASSAY,226.0,201.14,18.05,226.0,467 CPT,80181,HC DRUG ASSAY FLECAINIDE,164.0,145.96,18.27,164.0,736 CPT,80181,PR DRUG ASSAY FLECAINIDE,164.0,145.96,18.64,164.0,467 CPT,80183,HC OXCARBAZEPINE ASSAY,160.0,142.4,12.99,160.0,736 CPT,80183,PR OXCARBAZEPINE ASSAY,160.0,142.4,13.25,160.0,467 CPT,80184,HC PHENOBARBITAL ASSAY,120.0,106.8,13.23,120.0,736 CPT,80184,PR PHENOBARBITAL ASSAY,120.0,106.8,15.3,120.0,481 CPT,80185,HC PHENYTOIN TOTAL ASSAY,120.0,106.8,12.99,120.0,736 CPT,80185,PR PHENYTOIN TOTAL ASSAY,120.0,106.8,13.25,120.0,481 CPT,80186,HC PHENYTOIN FREE ASSAY,131.0,116.59,13.48,131.0,736 CPT,80186,PR PHENYTOIN FREE ASSAY,131.0,116.59,13.76,131.0,481 CPT,80187,HC DRUG ASSAY POSACONAZOLE,196.0,174.44,26.57,196.0,736 CPT,80187,PR DRUG ASSAY POSACONAZOLE,196.0,174.44,27.11,196.0,467 CPT,80188,HC PRIMIDONE ASSAY,165.0,146.85,14.35,165.0,736 CPT,80188,PR PRIMIDONE ASSAY,165.0,146.85,16.59,165.0,481 CPT,80189,HC DRUG ASSAY ITRACONAZOLE,292.0,259.88,23.45,292.0,734 CPT,80189,PR DRUG ASSAY ITRACONAZOLE,292.0,259.88,27.11,292.0,467 CPT,80192,HC PROCAINAMIDE W NAPA ASSAY,157.0,139.73,16.75,157.0,735 CPT,80193,PR DRUG ASSAY LEFLUNOMIDE,295.0,262.55,38.57,295.0,467 CPT,80194,HC QUINIDINE ASSAY,176.0,156.64,16.79,176.0,717 CPT,80195,HC SIROLIMUS ASSAY,306.0,272.34,11.88,306.0,736 CPT,80195,PR SIROLIMUS ASSAY,306.0,272.34,13.73,306.0,467 CPT,80197,HC TACROLIMUS ASSAY,198.0,176.22,11.88,198.0,737 CPT,80197,PR TACROLIMUS ASSAY,198.0,176.22,13.73,198.0,467 CPT,80198,HC THEOPHYLLINE ASSAY,171.0,152.19,13.86,171.0,736 CPT,80198,PR THEOPHYLLINE ASSAY,171.0,152.19,14.14,171.0,467 CPT,80200,HC TOBRAMYCIN ASSAY,171.0,152.19,13.95,171.0,734 CPT,80201,HC TOPIRAMATE ASSAY 2,176.0,156.64,10.31,176.0,736 CPT,80201,PR TOPIRAMATE ASSAY 2,176.0,156.64,11.92,176.0,467 CPT,80202,HC VANCOMYCIN ASSAY,165.0,146.85,13.27,165.0,739 CPT,80202,PR VANCOMYCIN ASSAY,165.0,146.85,13.54,165.0,481 CPT,80203,HC ZONISAMIDE ASSAY,194.0,172.66,12.99,194.0,736 CPT,80203,PR ZONISAMIDE ASSAY,194.0,172.66,13.25,194.0,467 CPT,80204,HC DRUG ASSAY METHOTREXATE,364.0,323.96,37.8,364.0,732 CPT,80204,PR DRUG ASSAY METHOTREXATE,364.0,323.96,38.57,364.0,481 CPT,80210,HC DRUG ASSAY RUFINAMIDE,217.0,193.13,26.57,217.0,736 CPT,80210,PR DRUG ASSAY RUFINAMIDE,217.0,193.13,27.11,217.0,467 CPT,80220,HC DRUG ASSAY HYDROXYCHLOROQUINE,228.0,202.92,18.27,228.0,732 CPT,80220,PR DRUG ASSAY HYDROXYCHLOROQUINE,228.0,202.92,18.64,228.0,467 CPT,80230,HC DRUG ASSAY INFLIXIMAB,298.0,265.22,37.8,298.0,736 CPT,80230,PR DRUG ASSAY INFLIXIMAB,298.0,265.22,38.57,298.0,467 CPT,80235,HC DRUG ASSAY LACOSAMIDE,252.0,224.28,23.45,252.0,738 CPT,80235,PR DRUG ASSAY LACOSAMIDE,252.0,224.28,27.11,252.0,467 CPT,80280,HC DRUG ASSAY VEDOLIZUMAB,348.0,309.72,37.8,348.0,737 CPT,80280,PR DRUG ASSAY VEDOLIZUMAB,348.0,309.72,38.57,348.0,467 CPT,80285,HC DRUG ASSAY VORICONAZOLE,190.0,169.1,23.45,190.0,736 CPT,80285,PR DRUG ASSAY VORICONAZOLE,190.0,169.1,27.11,190.0,467 CPT,80299,HC APIXABAN ANTI-XA,196.0,174.44,16.12,196.0,738 CPT,80299,HC BUSULFAN ASSAY,196.0,174.44,16.12,196.0,738 CPT,80299,HC BUSULFAN ASSAY 2,196.0,174.44,16.12,196.0,738 CPT,80299,HC DRUG THERAPEUTIC DRUG 10,196.0,174.44,16.12,196.0,738 CPT,80299,HC DRUG THERAPEUTIC DRUG 11,196.0,174.44,16.12,196.0,738 CPT,80299,HC DRUG THERAPEUTIC DRUG 12,196.0,174.44,16.12,196.0,738 CPT,80299,HC DRUG THERAPEUTIC DRUG 13,196.0,174.44,16.12,196.0,738 CPT,80299,HC DRUG THERAPEUTIC DRUG 16,196.0,174.44,16.12,196.0,738 CPT,80299,HC DRUG THERAPEUTIC DRUG 17,196.0,174.44,16.12,196.0,738 CPT,80299,HC DRUG THERAPEUTIC DRUG 2,196.0,174.44,16.12,196.0,738 CPT,80299,HC DRUG THERAPEUTIC DRUG 4,196.0,174.44,16.12,196.0,738 CPT,80299,HC DRUG THERAPEUTIC DRUG 5,196.0,174.44,16.12,196.0,738 CPT,80299,HC DRUG THERAPEUTIC DRUG 6,196.0,174.44,16.12,196.0,738 CPT,80299,HC DRUG THERAPEUTIC DRUG 8,196.0,174.44,16.12,196.0,738 CPT,80299,HC DULOXETINE ASSAY,196.0,174.44,16.12,196.0,738 CPT,80299,HC ECULIZUMAB ASSAY,196.0,174.44,16.12,196.0,738 CPT,80299,HC FLUCYTOSINE ASSAY,196.0,174.44,16.12,196.0,738 CPT,80299,HC FLUOXETINE ASSAY,196.0,174.44,16.12,196.0,738 CPT,80299,HC FLUTICASONE 17 BETA QUANT,196.0,174.44,16.12,196.0,738 CPT,80299,HC MEXILETINE SERUM,196.0,174.44,16.12,196.0,738 CPT,80299,HC NITISINONE (TYRBS-NCCI),196.0,174.44,16.12,196.0,738 CPT,80299,HC PERAMPANEL,196.0,174.44,16.12,196.0,738 CPT,80299,HC PROPAFENONE ASSAY,196.0,174.44,16.12,196.0,738 CPT,80299,HC QUANTITATIVE ASSAY DRUG,196.0,174.44,16.12,196.0,738 CPT,80299,HC RIVAROXABAN ANTI-XA,196.0,174.44,16.12,196.0,738 CPT,80299,HC SULFAMETHOXAZOLE ASSAY,196.0,174.44,16.12,196.0,738 CPT,80299,HC SYN GLUCOCORTICOID SCRN,196.0,174.44,16.12,196.0,738 CPT,80299,HC SYN GLUCOCORTICOID SCRN URINE,196.0,174.44,16.12,196.0,738 CPT,80299,HC THERAPEUTIC DRUG NES,196.0,174.44,16.12,196.0,738 CPT,80299,HC THERAPEUTIC DRUG NES 1,196.0,174.44,16.12,196.0,738 CPT,80299,HC THIOPURINE METABOLITES,196.0,174.44,16.12,196.0,738 CPT,80299,HC TRIMETHOPRIM ASSAY,196.0,174.44,16.12,196.0,738 CPT,80299,PR APIXABAN ANTI-XA,196.0,174.44,18.64,196.0,481 CPT,80299,PR DRUG THERAPEUTIC DRUG 10,196.0,174.44,18.64,196.0,467 CPT,80299,PR DRUG THERAPEUTIC DRUG 11,196.0,174.44,18.64,196.0,481 CPT,80299,PR DRUG THERAPEUTIC DRUG 12,196.0,174.44,18.64,196.0,467 CPT,80299,PR DRUG THERAPEUTIC DRUG 13,196.0,174.44,18.64,196.0,467 CPT,80299,PR DRUG THERAPEUTIC DRUG 16,196.0,174.44,18.64,196.0,481 CPT,80299,PR DRUG THERAPEUTIC DRUG 17,196.0,174.44,18.64,196.0,467 CPT,80299,PR DRUG THERAPEUTIC DRUG 2,196.0,174.44,18.64,196.0,467 CPT,80299,PR DRUG THERAPEUTIC DRUG 3,196.0,174.44,18.64,196.0,467 CPT,80299,PR DRUG THERAPEUTIC DRUG 4,196.0,174.44,18.64,196.0,467 CPT,80299,PR DRUG THERAPEUTIC DRUG 5,196.0,174.44,18.64,196.0,467 CPT,80299,PR DRUG THERAPEUTIC DRUG 6,196.0,174.44,18.64,196.0,467 CPT,80299,PR DRUG THERAPEUTIC DRUG 8,196.0,174.44,18.64,196.0,467 CPT,80299,PR DULOXETINE ASSAY,196.0,174.44,18.64,196.0,467 CPT,80299,PR ECULIZUMAB ASSAY,196.0,174.44,18.64,196.0,467 CPT,80299,PR FLUOXETINE ASSAY,196.0,174.44,18.64,196.0,467 CPT,80299,PR FLUTICASONE 17 BETA QUANT,196.0,174.44,18.64,196.0,481 CPT,80299,PR MEXILETINE SERUM,196.0,174.44,18.64,196.0,467 CPT,80299,PR PERAMPANEL,196.0,174.44,18.64,196.0,467 CPT,80299,PR QUANTITATIVE ASSAY DRUG,196.0,174.44,18.64,196.0,467 CPT,80299,PR RIVAROXABAN ANTI-XA,196.0,174.44,18.64,196.0,481 CPT,80299,PR SULFAMETHOXAZOLE ASSAY,196.0,174.44,18.64,196.0,467 CPT,80299,PR SYN GLUCOCORTICOID SCRN,196.0,174.44,18.64,196.0,467 CPT,80299,PR SYN GLUCOCORTICOID SCRN URINE,196.0,174.44,18.64,196.0,467 CPT,80299,PR THERAPEUTIC DRUG NES,196.0,174.44,18.64,196.0,467 CPT,80299,PR THERAPEUTIC DRUG NES 1,196.0,174.44,18.64,196.0,467 CPT,80299,PR THIOPURINE METABOLITES,196.0,174.44,18.64,196.0,467 CPT,80306,HC DRUG TEST PRSMV INSTRMNT,184.0,163.76,14.83,184.0,734 CPT,80306,PR DRUG TEST PRSMV INSTRMNT,184.0,163.76,17.14,184.0,481 CPT,80307,HC DRUG SCRN ANLYZR10 RX MAINT,130.0,115.7,27.04,130.0,739 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR1,262.0,233.18,54.5,262.0,739 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR10,262.0,233.18,54.5,262.0,739 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR12,262.0,233.18,54.5,262.0,739 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR13,262.0,233.18,54.5,262.0,739 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR15 (CSMEU),262.0,233.18,54.5,262.0,739 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR2,262.0,233.18,54.5,262.0,739 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR3,262.0,233.18,54.5,262.0,739 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR4,262.0,233.18,54.5,262.0,739 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR5,262.0,233.18,54.5,262.0,739 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR6,262.0,233.18,54.5,262.0,739 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR7,262.0,233.18,54.5,262.0,739 CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR9,262.0,233.18,54.5,262.0,739 CPT,80307,HC FENTANYL SCREEN,262.0,233.18,54.5,262.0,739 CPT,80307,PR DRUG SCRN ANLYZR10 RX MAINT,130.0,115.7,62.14,130.0,467 CPT,80307,PR DRUG TEST PRSMV CHEM ANLYZR1,262.0,233.18,62.14,262.0,481 CPT,80307,PR DRUG TEST PRSMV CHEM ANLYZR12,262.0,233.18,62.14,262.0,467 CPT,80307,PR DRUG TEST PRSMV CHEM ANLYZR13,262.0,233.18,62.14,262.0,481 CPT,80307,PR DRUG TEST PRSMV CHEM ANLYZR15 (CSMEU),262.0,233.18,62.14,262.0,467 CPT,80307,PR DRUG TEST PRSMV CHEM ANLYZR16,262.0,233.18,62.14,262.0,467 CPT,80307,PR DRUG TEST PRSMV CHEM ANLYZR2,262.0,233.18,62.14,262.0,467 CPT,80307,PR DRUG TEST PRSMV CHEM ANLYZR3,262.0,233.18,62.14,262.0,481 CPT,80307,PR DRUG TEST PRSMV CHEM ANLYZR5,262.0,233.18,62.14,262.0,467 CPT,80307,PR DRUG TEST PRSMV CHEM ANLYZR6,262.0,233.18,62.14,262.0,481 CPT,80307,PR DRUG TEST PRSMV CHEM ANLYZR7,262.0,233.18,62.14,262.0,467 CPT,80307,PR FENTANYL SCREEN,262.0,233.18,62.14,262.0,481 CPT,80400,HC ACTH STIMULATION PANEL ADRENAL,304.0,270.56,31.97,304.0,739 CPT,80400,PR ACTH STIMULATION PANEL ADRENAL,304.0,270.56,32.62,304.0,481 CPT,80402,"PR ACTH STIM PANEL, 21 HYDROXYLASE DEFIC",378.0,336.42,86.96,378.0,481 CPT,80428,PR HGH STIMULATION PANEL,585.0,520.65,66.7,585.0,467 CPT,80430,PR HGH SUPRESSION PANEL,577.0,513.53,129.33,577.0,467 CPT,80503,PR PATH CONSULT LIMITED 5-20 MIN,229.0,203.81,21.42,229.0,484 CPT,80504,PR PATH CONSULT MOD COMPLEX 21-40 MIN,368.0,327.52,41.19,368.0,483 CPT,80505,PR PATH CONSULT HIGH COMPLEX 41-60 MIN,621.0,552.69,75.94,621.0,482 CPT,81001,HC URINALYSIS AUTO W MICRO,38.0,33.82,3.11,38.0,743 CPT,81001,HC URINALYSIS AUTO W MICRO 2,38.0,33.82,3.11,38.0,743 CPT,81001,PR URINALYSIS AUTO W MICRO,38.0,33.82,3.17,38.0,481 CPT,81001,PR URINALYSIS AUTO W MICRO 2,38.0,33.82,3.17,38.0,481 CPT,81002,HC URINALYSIS NON AUTO SINGLE COMP,34.0,30.26,3.41,34.0,734 CPT,81002,PR URINALYSIS NON AUTO SINGLE COMP,34.0,30.26,3.48,34.0,481 CPT,81003,HC URINALYSIS AUTO SINGLE COMP,26.0,23.14,2.21,26.0,737 CPT,81003,HC URINALYSIS AUTO WO MICRO,26.0,23.14,2.21,26.0,737 CPT,81003,HC URINE AUTO SPECIFIC GRAVITY,27.0,24.03,2.21,27.0,737 CPT,81003,PR URINALYSIS AUTO SINGLE COMP,26.0,23.14,2.25,26.0,482 CPT,81003,PR URINALYSIS AUTO WO MICRO,26.0,23.14,2.25,26.0,482 CPT,81003,PR URINE AUTO SPECIFIC GRAVITY,27.0,24.03,2.25,27.0,482 CPT,81003,PR URINE DIP STICK,22.0,19.58,2.25,22.0,489 CPT,81003,PR URINE DIP STICK EXPRESS CARE,,,2.25,22.0,456 CPT,81005,HC URINE AUTO SPECIFIC GRAVITY,23.0,20.47,20.6,20.6,1 CPT,81005,PR URINE AUTO SPECIFIC GRAVITY,23.0,20.47,2.17,23.0,481 CPT,81015,PR URINALYSIS MICRO ONLY,27.0,24.03,3.05,27.0,481 CPT,81025,HC PREG TEST URINE VIS COMP,54.0,48.06,8.44,54.0,745 CPT,81025,PR PREG TEST URINE VIS COMP,54.0,48.06,8.61,54.0,487 CPT,81050,HC VOLUME MEASUREMENT,33.0,29.37,3.57,33.0,734 CPT,81050,PR VOLUME MEASUREMENT,33.0,29.37,3.64,33.0,490 CPT,81120,HC GENE IDH1 (NGAMT),317.0,282.13,65.94,317.0,740 CPT,81120,HC IDH1 GENE (IDHQ),226.0,201.14,47.01,289.88,740 CPT,81120,PR GENE IDH1 (NGAMT),317.0,282.13,193.25,317.0,481 CPT,81120,PR IDH1 GENE (IDHQ),226.0,201.14,193.25,226.0,481 CPT,81121,HC GENE IDH2 (NGAMT),314.0,279.46,65.31,443.69,740 CPT,81121,HC IDH2 GENE (IDHQ),344.0,306.16,71.55,443.69,740 CPT,81121,PR GENE IDH2 (NGAMT),314.0,279.46,276.32,314.0,481 CPT,81121,PR IDH2 GENE (IDHQ),344.0,306.16,295.79,344.0,481 CPT,81161,HC DMD DUPLICATION/DELETION ANALYSIS,700.0,623.0,145.6,700.0,736 CPT,81161,PR DMD DUPLICATION/DELETION ANALYSIS,700.0,623.0,279.0,700.0,481 CPT,81162,HC BRCA1/2 FULL GENE,2000.0,1780.0,416.0,2737.32,737 CPT,81162,HC BRCA1/BRCA2 (COMCP),263.0,234.07,54.7,2737.32,737 CPT,81162,HC BRCA1/BRCA2 (XCP),240.0,213.6,49.92,2737.32,737 CPT,81162,HC BRCA1/BRCA2 GENE (BRTP),710.0,631.9,147.68,2737.32,737 CPT,81162,HC BRCA1/BRCA2 GENE (T1GS),114.0,101.46,23.71,2737.32,737 CPT,81162,PR BRCA1/2 FULL GENE,2000.0,1780.0,1760.0,2000.0,481 CPT,81162,PR BRCA1/BRCA2 (COMCP),263.0,234.07,231.44,263.0,481 CPT,81162,PR BRCA1/BRCA2 (XCP),240.0,213.6,211.2,240.0,481 CPT,81162,PR BRCA1/BRCA2 GENE (BRTP),710.0,631.9,624.8,710.0,481 CPT,81162,PR BRCA1/BRCA2 GENE (T1GS),114.0,101.46,100.32,114.0,481 CPT,81163,HC BRCA1/2 MUTATION ANALYSIS (BRCAT),1600.0,1424.0,332.8,1600.0,736 CPT,81163,PR BRCA1/2 MUTATION ANALYSIS (BRCAT),1600.0,1424.0,468.0,1600.0,481 CPT,81170,HC ABL1 KD VARIANTS,465.0,413.85,96.72,465.0,736 CPT,81170,PR ABL1 KD VARIANTS,465.0,413.85,300.0,465.0,481 CPT,81174,HC GENE AR (FMTT),500.0,445.0,104.0,500.0,736 CPT,81174,PR GENE AR (FMTT),500.0,445.0,185.2,500.0,481 CPT,81177,HC ATN1 GENE DETC ABNOR ALLELES,500.0,445.0,104.0,500.0,736 CPT,81177,PR ATN1 GENE DETC ABNOR ALLELES,500.0,445.0,137.0,500.0,481 CPT,81178,HC ATAXIN 1 GENE (SCAP),140.0,124.6,29.12,205.5,736 CPT,81178,HC ATAXIN 1 GENE (SCARA),500.0,445.0,104.0,500.0,736 CPT,81178,PR ATAXIN 1 GENE (SCAP),140.0,124.6,123.2,140.0,481 CPT,81178,PR ATAXIN 1 GENE (SCARA),500.0,445.0,137.0,500.0,481 CPT,81179,HC ATAXIN 2 GENE (SCAP),140.0,124.6,29.12,205.5,736 CPT,81179,HC ATAXIN 2 GENE (SCARA),500.0,445.0,104.0,500.0,736 CPT,81179,PR ATAXIN 2 GENE (SCAP),140.0,124.6,123.2,140.0,481 CPT,81179,PR ATAXIN 2 GENE (SCARA),500.0,445.0,137.0,500.0,481 CPT,81180,HC ATAXIN 3 GENE (SCAP),140.0,124.6,29.12,205.5,736 CPT,81180,HC ATAXIN 3 GENE (SCARA),500.0,445.0,104.0,500.0,736 CPT,81180,PR ATAXIN 3 GENE (SCAP),140.0,124.6,123.2,140.0,481 CPT,81180,PR ATAXIN 3 GENE (SCARA),500.0,445.0,137.0,500.0,481 CPT,81181,HC ATAXIN 7 GENE (SCAP),140.0,124.6,29.12,205.5,736 CPT,81181,HC ATAXIN 7 GENE (SCARA),500.0,445.0,104.0,500.0,736 CPT,81181,PR ATAXIN 7 GENE (SCAP),140.0,124.6,123.2,140.0,481 CPT,81181,PR ATAXIN 7 GENE (SCARA),500.0,445.0,137.0,500.0,481 CPT,81184,HC CACNA1A GENE (SCAP),140.0,124.6,29.12,205.5,736 CPT,81184,HC CACNA1A GENE (SCARA),500.0,445.0,104.0,500.0,736 CPT,81184,PR CACNA1A GENE (SCAP),140.0,124.6,123.2,140.0,481 CPT,81184,PR CACNA1A GENE (SCARA),500.0,445.0,137.0,500.0,481 CPT,81185,HC CACNA1A FULL GENE (HMEP),363.0,323.07,75.5,1269.41,736 CPT,81185,PR CACNA1A FULL GENE (HMEP),363.0,323.07,319.44,363.0,481 CPT,81188,HC CSTB REPEAT EXPAND ANLYS (CSTB),700.0,623.0,134.26,700.0,736 CPT,81188,PR CSTB REPEAT EXPAND ANLYS (CSTB),700.0,623.0,137.0,700.0,481 CPT,81194,HC NTRK TRANSLOC ANALYSIS,2000.0,1780.0,416.0,2000.0,736 CPT,81194,PR NTRK TRANSLOC ANALYSIS,2000.0,1780.0,518.28,2000.0,481 CPT,81201,HC APC GENE (XCP),110.0,97.9,22.88,1170.0,737 CPT,81201,HC APC GENE SEQ (COMCP),113.0,100.57,23.5,1170.0,737 CPT,81201,PR APC GENE (XCP),110.0,97.9,96.8,110.0,481 CPT,81201,PR APC GENE SEQ (COMCP),113.0,100.57,99.44,113.0,481 CPT,81202,HC APC FAMILIAL ADNMATUS KNWN MUT,500.0,445.0,104.0,500.0,736 CPT,81202,PR APC FAMILIAL ADNMATUS KNWN MUT,500.0,445.0,280.0,500.0,481 CPT,81204,HC AR GENE CHARAC ALLELES,400.0,356.0,83.2,400.0,736 CPT,81204,PR AR GENE CHARAC ALLELES,400.0,356.0,137.0,400.0,481 CPT,81206,HC BCR/ABL1 MAJOR BKPT QUAL/QUANT,529.0,470.81,110.03,529.0,740 CPT,81206,HC BCR/ABL1 MAJOR BKPT QUAL/QUANT A1 (BADX-NCCI),195.0,173.55,40.56,245.94,740 CPT,81206,HC BCR/ABL1 MAJOR BKPT QUAL/QUANT A1 (BCRFX-NCCI),195.0,173.55,40.56,245.94,740 CPT,81206,PR BCR/ABL1 MAJOR BKPT QUAL/QUANT,529.0,470.81,163.96,529.0,481 CPT,81206,PR BCR/ABL1 MAJOR BKPT QUAL/QUANT A1 (BADX-NCCI),195.0,173.55,163.96,195.0,481 CPT,81206,PR BCR/ABL1 MAJOR BKPT QUAL/QUANT A1 (BCRFX-NCCI),195.0,173.55,163.96,195.0,481 CPT,81207,HC BCR/ABL1 MINOR BKPT QUAL/QUANT,491.0,436.99,102.13,491.0,740 CPT,81207,HC BCR/ABL1 MINOR BKPT QUAL/QUANT A1 (BADX-NCCI),171.0,152.19,35.57,217.26,740 CPT,81207,HC BCR/ABL1 MINOR BKPT QUAL/QUANT A1 (BCRFX-NCCI),171.0,152.19,35.57,217.26,740 CPT,81207,PR BCR/ABL1 MINOR BKPT QUAL/QUANT,491.0,436.99,144.84,491.0,481 CPT,81207,PR BCR/ABL1 MINOR BKPT QUAL/QUANT A1 (BADX-NCCI),171.0,152.19,144.84,171.0,481 CPT,81207,PR BCR/ABL1 MINOR BKPT QUAL/QUANT A1 (BCRFX-NCCI),171.0,152.19,144.84,171.0,481 CPT,81208,HC BCR/ABL1 OTHR BKPT QUAL/QUANT A1 (BADX-NCCI),254.0,226.06,52.83,321.93,740 CPT,81208,HC BCR/ABL1 OTHR BKPT QUAL/QUANT A1 (BCRFX-NCCI),254.0,226.06,52.83,321.93,740 CPT,81208,PR BCR/ABL1 OTHR BKPT QUAL/QUANT A1 (BADX-NCCI),254.0,226.06,214.62,254.0,481 CPT,81208,PR BCR/ABL1 OTHR BKPT QUAL/QUANT A1 (BCRFX-NCCI),254.0,226.06,214.62,254.0,481 CPT,81210,HC BRAF MUTAION ANALYSIS V600 TUMOR,472.0,420.08,98.18,472.0,736 CPT,81210,HC BRAF MUTATION ANALYSIS V600E 1,900.0,801.0,171.89,900.0,736 CPT,81210,HC BRAF V600 SOMATIC MUT ANALYSIS TUMORE,900.0,801.0,171.89,900.0,736 CPT,81210,HC CFDNA BRAF V600 TEST,900.0,801.0,171.89,900.0,736 CPT,81210,PR BRAF MUTATION ANALYSIS V600E 1,900.0,801.0,175.4,900.0,481 CPT,81210,PR BRAF V600 SOMATIC MUT ANALYSIS TUMORE,900.0,801.0,175.4,900.0,481 CPT,81210,PR CFDNA BRAF V600 TEST,900.0,801.0,175.4,900.0,481 CPT,81215,HC GENE BRCA1 KNOWN VARIANT,500.0,445.0,450.0,450.0,1 CPT,81215,PR GENE BRCA1 KNOWN VARIANT,500.0,445.0,375.25,500.0,481 CPT,81217,HC GENE BRCA2 KNOWN VARIANT,500.0,445.0,450.0,450.0,1 CPT,81217,PR GENE BRCA2 KNOWN VARIANT,500.0,445.0,375.25,500.0,481 CPT,81219,HC CALR MUTATION ANALYSIS,465.0,413.85,96.72,465.0,737 CPT,81219,HC CALR MUTATION ANALYSIS 1,439.0,390.71,91.31,439.0,737 CPT,81219,PR CALR MUTATION ANALYSIS,465.0,413.85,121.63,465.0,481 CPT,81219,PR CALR MUTATION ANALYSIS 1,439.0,390.71,121.63,439.0,481 CPT,81220,HC CTFR COMMON VARIANTS (CFMP),281.0,250.09,58.45,834.9,736 CPT,81220,HC CTFR COMMON VARIANTS (CFSMN),352.0,313.28,73.22,834.9,736 CPT,81220,HC CTFR COMMON VARIANTS (CSFP),282.0,250.98,58.66,834.9,736 CPT,81220,PR CTFR COMMON VARIANTS (CFMP),281.0,250.09,247.28,281.0,481 CPT,81220,PR CTFR COMMON VARIANTS (CFSMN),352.0,313.28,309.76,352.0,481 CPT,81220,PR CTFR COMMON VARIANTS (CSFP),282.0,250.98,248.16,282.0,481 CPT,81221,HC CFTR GENE KNOWN MUTATION,500.0,445.0,95.28,500.0,736 CPT,81221,PR CFTR GENE KNOWN MUTATION,500.0,445.0,97.22,500.0,481 CPT,81222,HC CTFR DUP/DEL (CFMP),219.0,194.91,45.55,652.61,736 CPT,81222,HC CTFR DUP/DEL (CFSMN),275.0,244.75,57.2,652.61,736 CPT,81222,HC CTFR DUP/DEL (CSFP),220.0,195.8,45.76,652.61,736 CPT,81222,PR CFTR GENE DUP/DEL VARIANTS (CFTRZ),361.0,321.29,317.68,361.0,481 CPT,81222,PR CFTR GENE DUP/DEL VARIANTS (HPPAN),598.0,532.22,435.07,598.0,481 CPT,81222,PR CTFR DUP/DEL (CFMP),219.0,194.91,192.72,219.0,481 CPT,81222,PR CTFR DUP/DEL (CFSMN),275.0,244.75,242.0,275.0,481 CPT,81222,PR CTFR DUP/DEL (CSFP),220.0,195.8,193.6,220.0,481 CPT,81223,HC CFTR GENE (HPANP),800.0,712.0,166.4,800.0,736 CPT,81223,HC CFTR GENE FULL ANALYSIS (CFTRN),1000.0,890.0,208.0,1000.0,736 CPT,81223,HC CFTR GENE FULL SEQUENCE (PANGP),570.0,507.3,118.56,748.5,736 CPT,81223,HC CFTR GENE FULL SEQUENCE (PHCGD),832.0,740.48,173.06,832.0,736 CPT,81223,PR CFTR GENE (HPANP),800.0,712.0,499.0,800.0,481 CPT,81223,PR CFTR GENE FULL ANALYSIS (CFTRN),1000.0,890.0,499.0,1000.0,481 CPT,81223,PR CFTR GENE FULL SEQUENCE,639.0,568.71,499.0,639.0,481 CPT,81223,PR CFTR GENE FULL SEQUENCE (HPPAN),598.0,532.22,499.0,598.0,481 CPT,81223,PR CFTR GENE FULL SEQUENCE (PANGP),570.0,507.3,499.0,570.0,481 CPT,81223,PR CFTR GENE FULL SEQUENCE (PHCGD),832.0,740.48,499.0,832.0,481 CPT,81225,HC CYP2C19 GENE ANALYSIS,600.0,534.0,124.8,600.0,738 CPT,81225,HC CYP2C19 GENOTYPE (CYPR),600.0,534.0,124.8,600.0,738 CPT,81225,PR CYP2C19 GENE ANALYSIS,600.0,534.0,291.36,600.0,481 CPT,81225,PR CYP2C19 GENOTYPE (CYPR),600.0,534.0,291.36,600.0,481 CPT,81227,HC CYP2C9 GENE COM VARIANTS,600.0,534.0,124.8,600.0,736 CPT,81227,PR CYP2C9 GENE COM VARIANTS,600.0,534.0,174.81,600.0,481 CPT,81229,HC MCR MICROARRAY POC,1700.0,1513.0,353.6,1740.0,738 CPT,81229,HC MCR MICROARRAY POC TUMOR FFPE,1700.0,1513.0,353.6,1740.0,738 CPT,81229,HC MICROARRAY BLOOD,1700.0,1513.0,353.6,1740.0,738 CPT,81229,HC MICROARRAY PRENATAL,1700.0,1513.0,353.6,1740.0,738 CPT,81229,PR MCR MICROARRAY POC,1700.0,1513.0,1160.0,1700.0,481 CPT,81229,PR MCR MICROARRAY POC TUMOR FFPE,1700.0,1513.0,1160.0,1700.0,481 CPT,81229,PR MICROARRAY BLOOD,1700.0,1513.0,1160.0,1700.0,481 CPT,81229,PR MICROARRAY PRENATAL,1700.0,1513.0,1160.0,1700.0,481 CPT,81230,HC CYP3A4 GENOTYPE,600.0,534.0,124.8,600.0,736 CPT,81230,PR CYP3A4 GENOTYPE,600.0,534.0,174.81,600.0,481 CPT,81231,HC CYP3A5 GENOTYPE,600.0,534.0,124.8,600.0,736 CPT,81231,PR CYP3A5 GENOTYPE,600.0,534.0,174.81,600.0,481 CPT,81232,HC DPYD FULL GENE SEQUENCING,1000.0,890.0,171.31,1000.0,738 CPT,81232,HC DPYD GENOTYPE,600.0,534.0,124.8,600.0,738 CPT,81232,PR DPYD FULL GENE SEQUENCING,1000.0,890.0,174.81,1000.0,481 CPT,81232,PR DPYD GENOTYPE,600.0,534.0,174.81,600.0,481 CPT,81235,HC CFDNA EGFR T790M,900.0,801.0,187.2,900.0,737 CPT,81235,HC EGFR GENE ANALYSIS COM VAR,1200.0,1068.0,249.6,1200.0,737 CPT,81235,HC EGFR GENE ANALYSIS COM VAR (EGFRT),1200.0,1068.0,249.6,1200.0,737 CPT,81235,PR CFDNA EGFR T790M,900.0,801.0,324.58,900.0,481 CPT,81235,PR EGFR GENE ANALYSIS COM VAR,1200.0,1068.0,324.58,1200.0,481 CPT,81235,PR EGFR GENE ANALYSIS COM VAR (EGFRT),1200.0,1068.0,324.58,1200.0,481 CPT,81238,"HC F9 GENE, FULL GENE (GNBLF)",296.0,263.44,61.57,900.0,736 CPT,81238,"HC F9 GENE, FULL GENE (GNHMB)",1000.0,890.0,208.0,1000.0,736 CPT,81238,"PR F9 GENE, FULL GENE (GNBLF)",296.0,263.44,260.48,296.0,481 CPT,81238,"PR F9 GENE, FULL GENE (GNHMB)",1000.0,890.0,600.0,1000.0,481 CPT,81240,HC F2 GENE ANLYS 20210G A/B VAR,400.0,356.0,64.38,400.0,737 CPT,81240,HC F2 GENE ANLYS 20210G A/B VAR (PTMUT),400.0,356.0,64.38,400.0,737 CPT,81240,PR F2 GENE ANLYS 20210G A/B VAR,400.0,356.0,65.69,400.0,481 CPT,81240,PR F2 GENE ANLYS 20210G A/B VAR (PTMUT),400.0,356.0,65.69,400.0,481 CPT,81241,HC F5 LEIDEN VAR,400.0,356.0,71.9,400.0,737 CPT,81241,HC F5 LEIDEN VAR (F5DNA),400.0,356.0,71.9,400.0,737 CPT,81241,PR F5 LEIDEN VAR,400.0,356.0,73.37,400.0,481 CPT,81241,PR F5 LEIDEN VAR (F5DNA),400.0,356.0,73.37,400.0,481 CPT,81243,HC FMR1 FRAGL X SYNDRM ANLY,500.0,445.0,55.9,500.0,736 CPT,81243,PR FMR1 FRAGL X SYNDRM ANLY,500.0,445.0,57.04,500.0,481 CPT,81244,HC FMR1 FRAGL X SYNDRM ANLY FUP,416.0,370.24,43.99,416.0,736 CPT,81244,PR FMR1 FRAGL X SYNDRM ANLY FUP,416.0,370.24,44.89,416.0,481 CPT,81245,HC FLT3 GENE DUP VAR (NGAMT),190.0,169.1,39.52,248.27,739 CPT,81245,HC FLTITD VARIANCE,323.0,287.47,67.18,323.0,739 CPT,81245,PR FLT3 GENE DUP VAR (NGAMT),190.0,169.1,165.51,190.0,481 CPT,81245,PR FLTITD VARIANCE,323.0,287.47,165.51,323.0,481 CPT,81246,HC FLT3 GENE,162.0,144.18,33.7,162.0,739 CPT,81246,HC FLT3 GENE DOMAIN VAR (NGAMT),271.0,241.19,56.37,271.0,739 CPT,81246,PR FLT3 GENE,162.0,144.18,83.0,162.0,481 CPT,81246,PR FLT3 GENE DOMAIN VAR (NGAMT),271.0,241.19,83.0,271.0,481 CPT,81248,HC GENE G6PD SEQ,500.0,445.0,104.0,562.88,736 CPT,81248,PR GENE G6PD SEQ,500.0,445.0,375.25,500.0,481 CPT,81249,HC G6PD FULL GENE ANALYSIS,1033.0,919.37,214.86,1033.0,736 CPT,81249,"HC G6PD GENE, FULL SEQ (PHCGD)",1001.0,890.89,208.21,1001.0,736 CPT,81249,PR G6PD FULL GENE ANALYSIS,1033.0,919.37,600.0,1033.0,481 CPT,81249,"PR G6PD GENE, FULL SEQ (PHCGD)",1001.0,890.89,600.0,1001.0,481 CPT,81253,HC GENE GJB2 SEQ,500.0,445.0,60.29,500.0,736 CPT,81253,PR GENE GJB2 SEQ,500.0,445.0,61.52,500.0,481 CPT,81256,HC HFE HEMOCHROMATOSIS GEN ANALYS,400.0,356.0,64.05,400.0,736 CPT,81256,PR HFE HEMOCHROMATOSIS GEN ANALYS,400.0,356.0,65.36,400.0,481 CPT,81257,HC HBA1/HBA2 GENE (CSFP),43.0,38.27,8.94,153.39,736 CPT,81257,PR HBA1/HBA2 GENE (CSFP),43.0,38.27,37.84,43.0,481 CPT,81258,HC GENE HBA1/HBA2 SEQ,500.0,445.0,104.0,562.88,736 CPT,81258,PR GENE HBA1/HBA2 SEQ,500.0,445.0,375.25,500.0,481 CPT,81259,HC HBA1/HBA2 ALPHA GLOBIN GENE SEQ,500.0,445.0,104.0,900.0,737 CPT,81259,PR HBA1/HBA2 ALPHA GLOBIN GENE SEQ,500.0,445.0,440.0,500.0,481 CPT,81261,HC IGH GENE REARRANGE,280.0,249.2,58.24,296.99,738 CPT,81261,HC IGH GENE REARRANGE (IGHDX),1033.0,919.37,194.03,1033.0,738 CPT,81261,HC IGH GENE REARRANGE (IGMRD),1033.0,919.37,194.03,1033.0,738 CPT,81261,PR IGH GENE REARRANGE,280.0,249.2,197.99,280.0,482 CPT,81261,PR IGH GENE REARRANGE (IGHDX),1033.0,919.37,197.99,1033.0,482 CPT,81261,PR IGH GENE REARRANGE (IGMRD),1033.0,919.37,197.99,1033.0,482 CPT,81263,HC IGH SOMATIC HYPERMUTATION,671.0,597.19,139.57,671.0,737 CPT,81263,PR IGH SOMATIC HYPERMUTATION,671.0,597.19,294.52,671.0,481 CPT,81264,HC IGK REARRANGE ABN CLONAL POP,244.0,217.16,50.75,259.1,738 CPT,81264,PR IGK REARRANGE ABN CLONAL POP,244.0,217.16,172.73,244.0,482 CPT,81265,HC COMPARATIVE STR MARKERS,800.0,712.0,166.4,800.0,737 CPT,81265,HC COMPARATIVE STR MARKERS 2,855.0,760.95,177.84,855.0,737 CPT,81265,PR COMPARATIVE STR MARKERS,800.0,712.0,233.07,800.0,481 CPT,81265,PR COMPARATIVE STR MARKERS 2,855.0,760.95,233.07,855.0,481 CPT,81266,HC STR MARKERS SPECIMEN ANAL ADD,300.0,267.0,62.4,457.22,736 CPT,81266,PR STR MARKERS SPECIMEN ANAL ADD,300.0,267.0,264.0,300.0,481 CPT,81267,HC CHIMERISM ANLYS NO CELL SELECT,542.0,482.38,112.74,542.0,740 CPT,81267,PR CHIMERISM ANLYS NO CELL SELECT,542.0,482.38,207.46,542.0,481 CPT,81268,HC CHIMERISM ANLYS W CELL SELECT,1146.0,1019.94,238.37,1146.0,738 CPT,81268,PR CHIMERISM ANLYS W CELL SELECT,1146.0,1019.94,260.79,1146.0,481 CPT,81269,HC ALPHA GLOBIN CLUSTER DEL/DUP (AGDD),700.0,623.0,145.6,700.0,736 CPT,81269,HC ALPHA GLOBIN CLUSTER LOCUS DEL/DUP (WAGDR),700.0,623.0,145.6,700.0,736 CPT,81269,HC ALPHA GLOBIN GENE SEQUENCE,700.0,623.0,145.6,700.0,736 CPT,81269,PR ALPHA GLOBIN CLUSTER DEL/DUP (AGDD),700.0,623.0,202.4,700.0,481 CPT,81269,PR ALPHA GLOBIN CLUSTER LOCUS DEL/DUP (WAGDR),700.0,623.0,202.4,700.0,481 CPT,81269,PR ALPHA GLOBIN GENE SEQUENCE,700.0,623.0,202.4,700.0,481 CPT,81270,HC JAK2 GENE ANALYSIS (MPNR),465.0,413.85,89.83,465.0,739 CPT,81270,HC JAK2 GENE ANALYSIS (PVJAK),345.0,307.05,71.76,345.0,739 CPT,81270,HC JAK2 GENE ANALYSIS V617F,400.0,356.0,83.2,400.0,739 CPT,81270,PR JAK2 GENE ANALYSIS (MPNR),465.0,413.85,91.66,465.0,481 CPT,81270,PR JAK2 GENE ANALYSIS (PVJAK),345.0,307.05,91.66,345.0,481 CPT,81270,PR JAK2 GENE ANALYSIS V617F,400.0,356.0,91.66,400.0,481 CPT,81271,HC HTT GENE DETC ABNOR ALLELES,400.0,356.0,83.2,400.0,736 CPT,81271,PR HTT GENE DETC ABNOR ALLELES,400.0,356.0,137.0,400.0,481 CPT,81273,HC D816V VARIANT ANALYSIS (KITQ),613.0,545.57,122.37,613.0,739 CPT,81273,HC KIT ASP816VAL MUT ANALYSIS - 1,612.0,544.68,122.37,612.0,739 CPT,81273,PR D816V VARIANT ANALYSIS (KITQ),613.0,545.57,124.87,613.0,481 CPT,81273,PR KIT ASP816VAL MUT ANALYSIS - 1,612.0,544.68,124.87,612.0,481 CPT,81275,HC KRAS GENE ANALYSIS 2 (KRASW),450.0,400.5,93.6,450.0,739 CPT,81275,"HC KRAS GENE ANALYSIS, EXON 2 VAR (KRASP)",490.0,436.1,101.92,490.0,739 CPT,81275,"HC KRAS GENE VAR-EXON 2, PANEL",450.0,400.5,93.6,450.0,739 CPT,81275,PR KRAS GENE ANALYSIS 2 (KRASW),450.0,400.5,193.25,450.0,481 CPT,81275,"PR KRAS GENE ANALYSIS, EXON 2 VAR (KRASP)",490.0,436.1,193.25,490.0,481 CPT,81275,"PR KRAS GENE VAR-EXON 2, PANEL",450.0,400.5,193.25,450.0,481 CPT,81276,"HC KRAS GENE ADDTL VAR, PANEL",450.0,400.5,93.6,450.0,739 CPT,81276,"HC KRAS GENE ANALYSIS, ADDTL VAR (KRASP)",410.0,364.9,85.28,410.0,739 CPT,81276,"HC KRAS GENE ANALYSIS, ADDTL VAR (KRASW)",450.0,400.5,93.6,450.0,739 CPT,81276,"PR KRAS GENE ADDTL VAR, PANEL",450.0,400.5,193.25,450.0,481 CPT,81276,"PR KRAS GENE ANALYSIS, ADDTL VAR (KRASP)",410.0,364.9,193.25,410.0,481 CPT,81276,"PR KRAS GENE ANALYSIS, ADDTL VAR (KRASW)",450.0,400.5,193.25,450.0,481 CPT,81277,HC CYTOGEN NEOPLASIA MICROARRAY 1,2200.0,1958.0,457.6,2200.0,737 CPT,81277,HC CYTOGEN NEOPLASIA MICROARRAY 2,2200.0,1958.0,457.6,2200.0,737 CPT,81277,HC CYTOGEN NEOPLASIA MICROARRAY 3,2200.0,1958.0,457.6,2200.0,737 CPT,81277,PR CYTOGEN NEOPLASIA MICROARRAY 1,2200.0,1958.0,1160.0,2200.0,481 CPT,81277,PR CYTOGEN NEOPLASIA MICROARRAY 2,2200.0,1958.0,1160.0,2200.0,481 CPT,81277,PR CYTOGEN NEOPLASIA MICROARRAY 3,2200.0,1958.0,1160.0,2200.0,481 CPT,81283,HC IL28B POLYMORPHISM GENOTYPE,600.0,534.0,71.9,600.0,736 CPT,81283,PR IL28B POLYMORPHISM GENOTYPE,600.0,534.0,73.37,600.0,481 CPT,81284,HC FXN REPEAT EXPANSION ANALYSIS (AFXN),700.0,623.0,134.26,700.0,736 CPT,81284,PR FXN REPEAT EXPANSION ANALYSIS (AFXN),700.0,623.0,137.0,700.0,481 CPT,81287,HC MGMT METHYLATION ANALYSIS,500.0,445.0,104.0,500.0,736 CPT,81287,PR MGMT METHYLATION ANALYSIS,500.0,445.0,124.64,500.0,481 CPT,81288,HC MLH1 HYPERMETHYLATION ANALYSIS,500.0,445.0,104.0,500.0,736 CPT,81288,HC MLH1 HYPERMETHYLATION ANALYSIS 3,500.0,445.0,104.0,500.0,736 CPT,81288,PR MLH1 HYPERMETHYLATION ANALYSIS,500.0,445.0,192.32,500.0,482 CPT,81288,PR MLH1 HYPERMETHYLATION ANALYSIS 3,500.0,445.0,192.32,500.0,482 CPT,81289,HC GENE FXN (FMTT),500.0,445.0,104.0,500.0,736 CPT,81289,PR GENE FXN (FMTT),500.0,445.0,185.2,500.0,481 CPT,81292,HC MLH1 GENE (XCP),55.0,48.95,11.44,1013.1,737 CPT,81292,HC MLH1 GENE SEQ (COMCP),99.0,88.11,20.59,1013.1,737 CPT,81292,HC MLH1 GENE SEQ (T1GS),42.0,37.38,8.74,1013.1,737 CPT,81292,PR MLH1 GENE (XCP),55.0,48.95,48.4,55.0,481 CPT,81292,PR MLH1 GENE SEQ (COMCP),99.0,88.11,87.12,99.0,481 CPT,81292,PR MLH1 GENE SEQ (T1GS),42.0,37.38,36.96,42.0,481 CPT,81293,HC MLH1 GENE KNOWN VARIANTS,500.0,445.0,104.0,500.0,736 CPT,81293,PR MLH1 GENE KNOWN VARIANTS,500.0,445.0,331.0,500.0,481 CPT,81295,HC MSH2 GENE (XCP),52.0,46.28,10.82,572.55,737 CPT,81295,HC MSH2 GENE SEQ (COMCP),55.0,48.95,11.44,572.55,737 CPT,81295,HC MSH2 GENE SEQ (T1GS),24.0,21.36,4.99,572.55,737 CPT,81295,PR MSH2 GENE (XCP),52.0,46.28,45.76,52.0,481 CPT,81295,PR MSH2 GENE SEQ (COMCP),55.0,48.95,48.4,55.0,481 CPT,81295,PR MSH2 GENE SEQ (T1GS),24.0,21.36,21.12,24.0,481 CPT,81296,HC MSH2 KNOWN MUTATION,500.0,445.0,104.0,506.6,736 CPT,81296,PR MSH2 KNOWN MUTATION,500.0,445.0,337.73,500.0,481 CPT,81298,HC MSH6 GENE (XCP),170.0,151.3,35.36,962.78,737 CPT,81298,HC MSH6 GENE SEQ (COMCP),252.0,224.28,52.42,962.78,737 CPT,81298,HC MSH6 GENE SEQ (T1GS),40.0,35.6,8.32,962.78,737 CPT,81298,PR MSH6 GENE (XCP),170.0,151.3,149.6,170.0,481 CPT,81298,PR MSH6 GENE SEQ (COMCP),252.0,224.28,221.76,252.0,481 CPT,81298,PR MSH6 GENE SEQ (T1GS),40.0,35.6,35.2,40.0,481 CPT,81299,HC MSH6 GENE KNOWN VARIANTS,500.0,445.0,104.0,500.0,736 CPT,81299,PR MSH6 GENE KNOWN VARIANTS,500.0,445.0,308.0,500.0,481 CPT,81301,HC MICROSATELLITE INSTABILITY,1200.0,1068.0,249.6,1200.0,736 CPT,81301,PR MICROSATELLITE INSTABILITY,1200.0,1068.0,348.56,1200.0,481 CPT,81302,HC MECP2 GENE FULL ANLYS (MCP2Z),1000.0,890.0,208.0,1000.0,736 CPT,81302,PR MECP2 GENE FULL ANLYS (MCP2Z),1000.0,890.0,527.87,1000.0,481 CPT,81305,HC MYD88 GENE PRO VRNT,413.0,367.57,85.9,413.0,737 CPT,81305,HC MYD88 GENE PRO VRNT (LPLFX),386.0,343.54,80.29,386.0,737 CPT,81305,PR MYD88 GENE PRO VRNT,413.0,367.57,175.4,413.0,481 CPT,81305,PR MYD88 GENE PRO VRNT (LPLFX),386.0,343.54,175.4,386.0,481 CPT,81307,HC PALB2 GENE (BRTP),263.0,234.07,54.7,1014.75,737 CPT,81307,HC PALB2 GENE (XCP),180.0,160.2,37.44,1014.75,737 CPT,81307,HC PALB2 GENE SEQ (COMCP),268.0,238.52,55.74,1014.75,737 CPT,81307,PR PALB2 GENE (BRTP),263.0,234.07,231.44,263.0,481 CPT,81307,PR PALB2 GENE (XCP),180.0,160.2,158.4,180.0,481 CPT,81307,PR PALB2 GENE SEQ (COMCP),268.0,238.52,235.84,268.0,481 CPT,81308,HC GENE PALB2 (FMTT),500.0,445.0,104.0,500.0,736 CPT,81308,PR GENE PALB2 (FMTT),500.0,445.0,301.35,500.0,481 CPT,81309,HC PIK3CA GENE ANALYSIS (PIK3B),1200.0,1068.0,249.6,1200.0,737 CPT,81309,HC PIK3CA GENE ANALYSIS (PIK3T),1200.0,1068.0,249.6,1200.0,737 CPT,81309,PR PIK3CA GENE ANALYSIS (PIK3B),1200.0,1068.0,274.83,1200.0,481 CPT,81309,PR PIK3CA GENE ANALYSIS (PIK3T),1200.0,1068.0,274.83,1200.0,481 CPT,81310,HC NPM1 MUTATION ANALYSIS (NPM1Q),399.0,355.11,82.99,399.0,738 CPT,81310,PR NPM1 MUTATION ANALYSIS (NPM1Q),399.0,355.11,246.52,399.0,481 CPT,81315,HC PML/RARALPHA BKPT QUAL/QUANT,469.0,417.41,97.55,469.0,738 CPT,81315,PR PML/RARALPHA BKPT QUAL/QUANT,469.0,417.41,207.31,469.0,481 CPT,81317,HC PMS2 GENE FULL SEQ PNL (T1GS),42.0,37.38,8.74,1014.75,737 CPT,81317,HC PMS2 GENE SEQ (COMCP),101.0,89.89,21.01,1014.75,737 CPT,81317,HC PMS2 GENE SEQ (XCP),99.0,88.11,20.59,1014.75,737 CPT,81317,PR PMS2 GENE FULL SEQ PNL (T1GS),42.0,37.38,36.96,42.0,481 CPT,81317,PR PMS2 GENE SEQ (COMCP),101.0,89.89,88.88,101.0,481 CPT,81317,PR PMS2 GENE SEQ (XCP),99.0,88.11,87.12,99.0,481 CPT,81318,HC PMS2 KNOWN FAMILIAL VARIANTS,500.0,445.0,104.0,500.0,734 CPT,81318,PR PMS2 KNOWN FAMILIAL VARIANTS,500.0,445.0,331.0,500.0,481 CPT,81319,HC PMS2 (DUP/DEL) (COMCP),30.0,26.7,6.24,305.25,736 CPT,81319,HC PMS2 GENE DUP/DEL (XCP),30.0,26.7,6.24,305.25,736 CPT,81319,PR PMS2 (DUP/DEL) (COMCP),30.0,26.7,26.4,30.0,481 CPT,81319,PR PMS2 GENE DUP/DEL (XCP),30.0,26.7,26.4,30.0,481 CPT,81321,HC PTEN FULL GENE,1000.0,890.0,208.0,1000.0,738 CPT,81321,HC PTEN GENE (XCP),87.0,77.43,18.1,900.0,738 CPT,81321,HC PTEN GENE (BRTP),233.0,207.37,48.46,900.0,738 CPT,81321,HC PTEN GENE (RENCP),284.0,252.76,59.07,900.0,738 CPT,81321,HC PTEN GENE SEQ (COMCP),87.0,77.43,18.1,900.0,738 CPT,81321,PR PTEN FULL GENE,1000.0,890.0,600.0,1000.0,481 CPT,81321,PR PTEN GENE (XCP),87.0,77.43,76.56,87.0,481 CPT,81321,PR PTEN GENE (BRTP),233.0,207.37,205.04,233.0,481 CPT,81321,PR PTEN GENE (RENCP),284.0,252.76,249.92,284.0,481 CPT,81321,PR PTEN GENE SEQ (COMCP),87.0,77.43,76.56,87.0,481 CPT,81322,HC PTEN GENE KNOWN MUT,500.0,445.0,450.0,450.0,1 CPT,81322,PR PTEN GENE KNOWN MUT,500.0,445.0,46.6,500.0,481 CPT,81324,HC PMP22 GENE DUP/DELETE,500.0,445.0,450.0,450.0,1 CPT,81324,PR PMP22 GENE DUP/DELETE,500.0,445.0,440.0,500.0,481 CPT,81326,HC GENE PMP22 SEQ,500.0,445.0,450.0,450.0,1 CPT,81326,PR GENE PMP22 SEQ,500.0,445.0,46.6,500.0,481 CPT,81328,HC SLCO1B1 GENOTYPE STATIN,600.0,534.0,124.8,600.0,736 CPT,81328,PR SLCO1B1 GENOTYPE STATIN,600.0,534.0,174.81,600.0,481 CPT,81329,HC SMN1 GENE DOS/DELETION (SMNCS),400.0,356.0,83.2,400.0,736 CPT,81329,HC SMN1 GENE DOS/DELETION (SMNDX),400.0,356.0,83.2,400.0,736 CPT,81329,HC SMN1/SMN2 DOSAGE/DELETION (CFSMN),173.0,153.97,35.98,205.5,736 CPT,81329,HC SMN1/SMN2 DOSAGE/DELETION (CSFP),139.0,123.71,28.91,205.5,736 CPT,81329,PR SMN1 GENE DOS/DELETION (SMNCS),400.0,356.0,137.0,400.0,481 CPT,81329,PR SMN1 GENE DOS/DELETION (SMNDX),400.0,356.0,137.0,400.0,481 CPT,81329,PR SMN1/SMN2 DOSAGE/DELETION (CFSMN),173.0,153.97,137.0,173.0,481 CPT,81329,PR SMN1/SMN2 DOSAGE/DELETION (CSFP),139.0,123.71,122.32,139.0,481 CPT,81331,HC SNRPN/UBE3A METHYLATION ANALYSIS,500.0,445.0,50.05,500.0,736 CPT,81331,PR SNRPN/UBE3A METHYLATION ANALYSIS,500.0,445.0,51.07,500.0,481 CPT,81336,HC SMN1 GENE FULL GENE SEQ,1000.0,890.0,208.0,1000.0,736 CPT,81336,PR SMN1 GENE FULL GENE SEQ,1000.0,890.0,301.35,1000.0,481 CPT,81339,HC MPL GENE SEQ ALYS EXON 10,516.0,459.24,107.33,516.0,736 CPT,81339,"HC MPL GENE SEQ ALYS EXON 10, 2",465.0,413.85,96.72,465.0,736 CPT,81339,PR MPL GENE SEQ ALYS EXON 10,516.0,459.24,185.2,516.0,481 CPT,81339,"PR MPL GENE SEQ ALYS EXON 10, 2",465.0,413.85,185.2,465.0,481 CPT,81340,HC TRB GENE REARRANGE AMPLIFY,377.0,335.53,78.42,377.0,738 CPT,81340,HC TRB GENE REARRANGE AMPLIFY (TCRB),354.0,315.06,73.63,354.0,738 CPT,81340,PR TRB GENE REARRANGE AMPLIFY,377.0,335.53,208.92,377.0,481 CPT,81340,PR TRB GENE REARRANGE AMPLIFY (TCRB),354.0,315.06,208.92,354.0,481 CPT,81342,HC TRG GENE REARRANGEMENT ANALYS,308.0,274.12,64.06,308.0,738 CPT,81342,PR TRG GENE REARRANGEMENT ANALYS,308.0,274.12,201.5,308.0,481 CPT,81345,HC TERT PROMOTER ANALYSIS DDPCR (TERTD),900.0,801.0,181.5,900.0,736 CPT,81345,PR TERT PROMOTER ANALYSIS DDPCR (TERTD),900.0,801.0,185.2,900.0,481 CPT,81350,HC UGT1A1 FULL GENE SEQ (UGTFZ DEX-Z),1000.0,890.0,208.0,1000.0,736 CPT,81350,HC UGT1A1 GENE ANALYSIS 3,600.0,534.0,124.8,600.0,736 CPT,81350,PR UGT1A1 FULL GENE SEQ (UGTFZ DEX-Z),1000.0,890.0,234.0,1000.0,481 CPT,81350,PR UGT1A1 GENE ANALYSIS 3,600.0,534.0,234.0,600.0,481 CPT,81351,HC TP53 GENE (BRTP),250.0,222.5,52.0,962.78,737 CPT,81351,HC TP53 GENE (RENCP),302.0,268.78,62.82,962.78,737 CPT,81351,HC TP53 GENE (WILMP),1383.0,1230.87,287.66,1383.0,737 CPT,81351,HC TP53 GENE (XCP),95.0,84.55,19.76,962.78,737 CPT,81351,HC TP53 GENE SEQ (COMCP),93.0,82.77,19.34,962.78,737 CPT,81351,HC TP53 MUTATION ANALYSIS (TP53),1200.0,1068.0,249.6,1200.0,737 CPT,81351,PR TP53 GENE (BRTP),250.0,222.5,220.0,250.0,481 CPT,81351,PR TP53 GENE (RENCP),302.0,268.78,265.76,302.0,481 CPT,81351,PR TP53 GENE (WILMP),1383.0,1230.87,641.85,1383.0,481 CPT,81351,PR TP53 GENE (XCP),95.0,84.55,83.6,95.0,481 CPT,81351,PR TP53 GENE SEQ (COMCP),93.0,82.77,81.84,93.0,481 CPT,81351,PR TP53 MUTATION ANALYSIS (TP53),1200.0,1068.0,641.85,1200.0,481 CPT,81352,HC TP53 GENE TARGET SEQ,511.0,454.79,106.29,511.0,737 CPT,81352,HC TP53 GENE TARGET SEQ (NGAMT),664.0,590.96,138.11,664.0,737 CPT,81352,PR TP53 GENE TARGET SEQ,511.0,454.79,329.51,511.0,481 CPT,81352,PR TP53 GENE TARGET SEQ (NGAMT),664.0,590.96,329.51,664.0,481 CPT,81361,HC HBB GENE (CSFP),73.0,64.97,15.18,262.22,736 CPT,81361,PR HBB GENE (CSFP),73.0,64.97,64.24,73.0,481 CPT,81362,HC GENE HBB SEQ,500.0,445.0,104.0,562.88,736 CPT,81362,PR GENE HBB SEQ,500.0,445.0,375.25,500.0,481 CPT,81363,HC BETA GLOBIN CLUSTER LOCUS DEL/DUP,700.0,623.0,145.6,700.0,736 CPT,81363,HC BETA GLOBIN CLUSTER LOCUS DUP/DELETE,700.0,623.0,145.6,700.0,736 CPT,81363,HC HBB GENE DEL/DUP (CSFP),73.0,64.97,15.18,303.6,736 CPT,81363,PR BETA GLOBIN CLUSTER LOCUS DEL/DUP,700.0,623.0,202.4,700.0,481 CPT,81363,PR BETA GLOBIN CLUSTER LOCUS DUP/DELETE,700.0,623.0,202.4,700.0,481 CPT,81363,PR HBB GENE DEL/DUP (CSFP),73.0,64.97,64.24,73.0,481 CPT,81364,HC HBB - BETA-GLOB GEN SEQ,500.0,445.0,104.0,500.0,737 CPT,81364,HC HBB BETA-GLOB GEN SEQ (WBSQR),500.0,445.0,104.0,500.0,737 CPT,81364,PR HBB - BETA-GLOB GEN SEQ,500.0,445.0,324.58,500.0,481 CPT,81364,PR HBB BETA-GLOB GEN SEQ (WBSQR),500.0,445.0,324.58,500.0,481 CPT,81370,HC HLA I & II TYPING LR (SSOGP),1719.0,1529.91,357.55,1719.0,736 CPT,81370,PR HLA I & II TYPING LR (SSOGP),1719.0,1529.91,402.12,1719.0,481 CPT,81371,HC HLA CONFIRM TYPING LR,1261.0,1122.29,262.29,1261.0,737 CPT,81371,PR HLA CONFIRM TYPING LR,1261.0,1122.29,404.52,1261.0,481 CPT,81372,HC HLA CL I ABC TYPING LR,1180.0,1050.2,245.44,1180.0,736 CPT,81372,HC HLA CLASS I TYPING LOW RESOL (HLABD),1180.0,1050.2,245.44,1180.0,736 CPT,81372,PR HLA CL I ABC TYPING LR,1180.0,1050.2,403.59,1180.0,481 CPT,81372,PR HLA CLASS I TYPING LOW RESOL (HLABD),1180.0,1050.2,403.59,1180.0,481 CPT,81373,HC HLA-C CONFIRM TYPING LR (CFC),518.0,461.02,107.74,518.0,736 CPT,81373,PR HLA-C CONFIRM TYPING LR (CFC),518.0,461.02,127.43,518.0,481 CPT,81375,HC HLA II LOW RESOL DRB1/3/4/5 & DQB1 (HLABD),811.0,721.79,168.69,811.0,736 CPT,81375,PR HLA II LOW RESOL DRB1/3/4/5 & DQB1 (HLABD),811.0,721.79,220.74,811.0,481 CPT,81376,HC CELIAC ASSOCIATED HLA-DQ TYPING,538.0,478.82,111.9,538.0,737 CPT,81376,HC HLA DP CONFIRM TYPING LR,538.0,478.82,111.9,538.0,737 CPT,81376,HC HLA DP TYPING LR,538.0,478.82,111.9,538.0,737 CPT,81376,HC HLA DQ CONFIRM TYPING LR,538.0,478.82,111.9,538.0,737 CPT,81376,HC HLA II TYPING 1 LOCUS LR (SSOGP),538.0,478.82,111.9,538.0,737 CPT,81376,HC HLA-DPB1 TYPING LOW RES,535.0,476.15,111.28,535.0,737 CPT,81376,HC NARCOLEPSY ASSOCIATED HLA AG,538.0,478.82,111.9,538.0,737 CPT,81376,PR CELIAC ASSOCIATED HLA-DQ TYPING,538.0,478.82,122.22,538.0,481 CPT,81376,PR HLA DP CONFIRM TYPING LR,538.0,478.82,122.22,538.0,481 CPT,81376,PR HLA DP TYPING LR,538.0,478.82,122.22,538.0,481 CPT,81376,PR HLA DQ CONFIRM TYPING LR,538.0,478.82,122.22,538.0,481 CPT,81376,PR HLA II TYPING 1 LOCUS LR (SSOGP),538.0,478.82,122.22,538.0,481 CPT,81376,PR HLA-DPB1 TYPING LOW RES,538.0,478.82,122.22,538.0,481 CPT,81376,PR NARCOLEPSY ASSOCIATED HLA AG,538.0,478.82,122.22,538.0,481 CPT,81378,HC HLA I & II TYPING HR,2482.0,2208.98,338.66,2482.0,737 CPT,81378,PR HLA I & II TYPING HR,2482.0,2208.98,345.57,2482.0,482 CPT,81379,HC HLA CL I ABC TYPING HR,1774.0,1578.86,328.67,1774.0,734 CPT,81379,PR HLA CL I ABC TYPING HR,1774.0,1578.86,335.38,1774.0,481 CPT,81381,HC GENOTYPE CARBAMAZEPINE,300.0,267.0,62.4,300.0,734 CPT,81381,HC HLAB 5701,600.0,534.0,124.8,600.0,734 CPT,81381,HC HLAB 5801,600.0,534.0,124.8,600.0,734 CPT,81381,PR GENOTYPE CARBAMAZEPINE,300.0,267.0,169.9,300.0,481 CPT,81381,PR HLAB 5701,600.0,534.0,169.9,600.0,481 CPT,81381,PR HLAB 5801,600.0,534.0,169.9,600.0,481 CPT,81382,HC HLA CL II TYPING HR,833.0,741.37,121.21,833.0,737 CPT,81382,PR HLA CL II TYPING HR,833.0,741.37,123.68,833.0,481 CPT,81401,HC AMINOGLYCOSIDE-INDUCED HEARING LOSS (AIHL),400.0,356.0,83.2,400.0,738 CPT,81401,HC APOB APOLIPOPROTEIN E GENOTYPE,400.0,356.0,83.2,400.0,738 CPT,81401,HC BWS/RSS MOLECULAR ANALYSIS,386.0,343.54,80.29,386.0,738 CPT,81401,HC GALACTOSEMIA MUTATION PANEL (GALMP),800.0,712.0,134.26,800.0,738 CPT,81401,HC GALC GENE,700.0,623.0,134.26,700.0,738 CPT,81401,HC INV(16) CBFB-MYH11 QUANT,516.0,459.24,107.33,516.0,738 CPT,81401,HC KCNQ1OT1 METHYLATION ANALYSIS,314.0,279.46,65.31,314.0,738 CPT,81401,HC MOPATH PROC LEVEL 2 (NEPHP),13.0,11.57,2.7,205.5,738 CPT,81401,"HC RUNX1/RUNX1T1, QUANT",439.0,390.71,91.31,439.0,738 CPT,81401,PR AMINOGLYCOSIDE-INDUCED HEARING LOSS (AIHL),400.0,356.0,137.0,400.0,481 CPT,81401,PR APOB APOLIPOPROTEIN E GENOTYPE,400.0,356.0,137.0,400.0,481 CPT,81401,PR BWS/RSS MOLECULAR ANALYSIS,386.0,343.54,137.0,386.0,481 CPT,81401,PR GALACTOSEMIA MUTATION PANEL (GALMP),800.0,712.0,137.0,800.0,481 CPT,81401,PR GALC GENE,700.0,623.0,137.0,700.0,481 CPT,81401,PR INV(16) CBFB-MYH11 QUANT,516.0,459.24,137.0,516.0,481 CPT,81401,PR KCNQ1OT1 METHYLATION ANALYSIS,314.0,279.46,137.0,314.0,481 CPT,81401,PR MOPATH PROC LEVEL 2 (NEPHP),13.0,11.57,11.44,13.0,481 CPT,81401,"PR RUNX1/RUNX1T1, QUANT",439.0,390.71,137.0,439.0,481 CPT,81402,HC CYP21A2 COMMON VARIANTS,356.0,316.84,74.05,356.0,736 CPT,81402,HC UPD UNIPARENTAL DISOMY,700.0,623.0,145.6,700.0,736 CPT,81402,PR CYP21A2 COMMON VARIANTS,356.0,316.84,150.33,356.0,481 CPT,81402,PR UPD UNIPARENTAL DISOMY,700.0,623.0,150.33,700.0,481 CPT,81403,HC AGXT KNOWN MUTATION (FMTT),500.0,445.0,104.0,500.0,737 CPT,81403,HC AMYL KNOWN MUTATION,500.0,445.0,104.0,500.0,737 CPT,81403,HC APAOA1 KNOWN MUTATION (FMTT),500.0,445.0,104.0,500.0,737 CPT,81403,HC ARSA GENE KNOWN MUTATION,500.0,445.0,104.0,500.0,737 CPT,81403,HC DAZ/SRY DELETION,400.0,356.0,83.2,400.0,737 CPT,81403,HC DMD GENE MLPA,500.0,445.0,104.0,500.0,737 CPT,81403,HC EPCAM (DUP/DEL) (COMCP),23.0,20.47,4.78,277.8,737 CPT,81403,HC EPCAM GENE DUP/DEL (XCP),26.0,23.14,5.41,277.8,737 CPT,81403,HC F8 INVERSION ANALYSIS (F8INP/F8INP),626.0,557.14,130.21,626.0,737 CPT,81403,HC F8 INVERSION ANALYSIS 2,400.0,356.0,83.2,400.0,737 CPT,81403,HC FLCN GENE KNOWN MUTATION (FMTT),500.0,445.0,104.0,500.0,737 CPT,81403,HC GAA KNOWN MUTATION,500.0,445.0,104.0,500.0,737 CPT,81403,HC GAUCHER DISEASE KNOWN MUTATION,500.0,445.0,104.0,500.0,737 CPT,81403,HC GLA KNOWN MUTATION,500.0,445.0,104.0,500.0,737 CPT,81403,HC HEXA GENE KNOWN MUTATION,500.0,445.0,104.0,500.0,737 CPT,81403,HC IDS KNOWN MUTATION,500.0,445.0,104.0,500.0,737 CPT,81403,HC KVAR1 SINGLE VARIANT KNOWN GENE,500.0,445.0,104.0,500.0,737 CPT,81403,HC MOPATH PROC LEVEL 4 (AFTDP),69.0,61.41,14.35,277.8,737 CPT,81403,HC MOPATH PROC LEVEL 4 (LQTSG),220.0,195.8,45.76,277.8,737 CPT,81403,HC MOPATH PROC LEVEL 4 (PARDP),60.0,53.4,12.48,277.8,737 CPT,81403,HC MOPATH PROC LEVEL 4 (SMCP),470.0,418.3,97.76,470.0,737 CPT,81403,HC MOPATH PROC LEVEL 4 (SQTSG),435.0,387.15,90.48,435.0,737 CPT,81403,HC MOPATH PROC LEVEL 4 (T1GS),11.0,9.79,2.29,277.8,737 CPT,81403,"HC NPC1/NPC2 GENES, KNOWN MUTATION",500.0,445.0,104.0,500.0,737 CPT,81403,HC SDH KNOWN MUTATION,500.0,445.0,104.0,500.0,737 CPT,81403,HC UBA1 MUTATION QUANTITATIVE (UBA1Q),863.0,768.07,179.5,863.0,737 CPT,81403,HC VHL KNOWN MUTATION,500.0,445.0,104.0,500.0,737 CPT,81403,HC X-ALD KNOWN MUTATION,500.0,445.0,104.0,500.0,737 CPT,81403,PR AGXT KNOWN MUTATION (FMTT),500.0,445.0,185.2,500.0,481 CPT,81403,PR AMYL KNOWN MUTATION,500.0,445.0,185.2,500.0,481 CPT,81403,PR APAOA1 KNOWN MUTATION (FMTT),500.0,445.0,185.2,500.0,481 CPT,81403,PR ARSA GENE KNOWN MUTATION,500.0,445.0,185.2,500.0,481 CPT,81403,PR DAZ/SRY DELETION,400.0,356.0,185.2,400.0,481 CPT,81403,PR DMD GENE MLPA,500.0,445.0,185.2,500.0,481 CPT,81403,PR EPCAM (DUP/DEL) (COMCP),23.0,20.47,20.24,23.0,481 CPT,81403,PR EPCAM GENE DUP/DEL (XCP),26.0,23.14,22.88,26.0,481 CPT,81403,PR F8 INVERSION ANALYSIS (F8INP/F8INP),626.0,557.14,185.2,626.0,481 CPT,81403,PR F8 INVERSION ANALYSIS 2,400.0,356.0,185.2,400.0,481 CPT,81403,PR FLCN GENE KNOWN MUTATION (FMTT),500.0,445.0,185.2,500.0,481 CPT,81403,PR GAA KNOWN MUTATION,500.0,445.0,185.2,500.0,481 CPT,81403,PR GAUCHER DISEASE KNOWN MUTATION,500.0,445.0,185.2,500.0,481 CPT,81403,PR GLA KNOWN MUTATION,500.0,445.0,185.2,500.0,481 CPT,81403,PR HEXA GENE KNOWN MUTATION,500.0,445.0,185.2,500.0,481 CPT,81403,PR IDS KNOWN MUTATION,500.0,445.0,185.2,500.0,481 CPT,81403,PR KVAR1 SINGLE VARIANT KNOWN GENE,500.0,445.0,185.2,500.0,481 CPT,81403,PR MOPATH PROC LEVEL 4 (AFTDP),69.0,61.41,60.72,69.0,481 CPT,81403,PR MOPATH PROC LEVEL 4 (LQTSG),220.0,195.8,185.2,220.0,481 CPT,81403,PR MOPATH PROC LEVEL 4 (PARDP),60.0,53.4,52.8,60.0,481 CPT,81403,PR MOPATH PROC LEVEL 4 (SMCP),470.0,418.3,185.2,470.0,481 CPT,81403,PR MOPATH PROC LEVEL 4 (SQTSG),435.0,387.15,185.2,435.0,481 CPT,81403,PR MOPATH PROC LEVEL 4 (T1GS),11.0,9.79,9.68,11.0,481 CPT,81403,"PR NPC1/NPC2 GENES, KNOWN MUTATION",500.0,445.0,185.2,500.0,481 CPT,81403,PR SDH KNOWN MUTATION,500.0,445.0,185.2,500.0,481 CPT,81403,PR UBA1 MUTATION QUANTITATIVE (UBA1Q),863.0,768.07,185.2,863.0,481 CPT,81403,PR VHL KNOWN MUTATION,500.0,445.0,185.2,500.0,481 CPT,81403,PR X-ALD KNOWN MUTATION,500.0,445.0,185.2,500.0,481 CPT,81404,HC BTD FULL GENE ANALYSIS (BTD),700.0,623.0,145.6,700.0,739 CPT,81404,HC MOPATH PROC LEVEL 5 (COMCP),33.0,29.37,6.86,412.25,739 CPT,81404,HC MOPATH PROC LEVEL 5 (RENCP),129.0,114.81,26.83,412.25,739 CPT,81404,HC MOPATH PROC LEVEL 5 (XCP),43.0,38.27,8.94,412.25,739 CPT,81404,HC MOPATH PROC LEVEL 5 (AFTDP),102.0,90.78,21.22,412.25,739 CPT,81404,HC MOPATH PROC LEVEL 5 (AHUGP),1467.0,1305.63,269.33,1467.0,739 CPT,81404,HC MOPATH PROC LEVEL 5 (CHDGG),79.0,70.31,16.43,412.25,739 CPT,81404,HC MOPATH PROC LEVEL 5 (CKDGP),45.0,40.05,9.36,412.25,739 CPT,81404,HC MOPATH PROC LEVEL 5 (EDMDP),573.0,509.97,119.18,573.0,739 CPT,81404,HC MOPATH PROC LEVEL 5 (HPANP),400.0,356.0,83.2,412.25,739 CPT,81404,HC MOPATH PROC LEVEL 5 (IMNP),380.0,338.2,79.04,412.25,739 CPT,81404,HC MOPATH PROC LEVEL 5 (NEPHP),21.0,18.69,4.37,412.25,739 CPT,81404,HC MOPATH PROC LEVEL 5 (PANGP),314.0,279.46,65.31,412.25,739 CPT,81404,HC MOPATH PROC LEVEL 5 (PARDP),88.0,78.32,18.3,412.25,739 CPT,81404,HC MOPATH PROC LEVEL 5 (RBART),365.0,324.85,75.92,412.25,739 CPT,81404,HC MOPATH PROC LEVEL 5 (RSCGP),119.0,105.91,24.75,412.25,739 CPT,81404,HC PRSS1 FULL GENE ANALYSIS,700.0,623.0,145.6,700.0,739 CPT,81404,HC SDHD GENE (SDHMP),400.0,356.0,83.2,412.25,739 CPT,81404,"HC SOD1 GENE, FULL GENE ANALYSIS (SOD1Z)",1000.0,890.0,208.0,1000.0,739 CPT,81404,"HC TTR GENE, FULL GENE ANALYSIS (TTRZ)",1000.0,890.0,208.0,1000.0,739 CPT,81404,HC UGT1A1 FULL GENE SEQ (UGTFG),1000.0,890.0,208.0,1000.0,739 CPT,81404,HC VHL FULL GENE,1000.0,890.0,208.0,1000.0,739 CPT,81404,HC VHL FULL GENE (NHEM),1466.0,1304.74,269.33,1466.0,739 CPT,81404,HC VHL FULL GENE (NHEP),813.0,723.57,169.1,813.0,739 CPT,81404,HC VHL GENE (MCFRC),280.0,249.2,58.24,412.25,739 CPT,81404,HC VHL GENE FULL GENE ANALYSIS,700.0,623.0,145.6,700.0,739 CPT,81404,PR BTD FULL GENE ANALYSIS (BTD),700.0,623.0,274.83,700.0,481 CPT,81404,PR MOPATH PROC LEVEL 5 (COMCP),33.0,29.37,29.04,33.0,481 CPT,81404,PR MOPATH PROC LEVEL 5 (RENCP),129.0,114.81,113.52,129.0,481 CPT,81404,PR MOPATH PROC LEVEL 5 (XCP),43.0,38.27,37.84,43.0,481 CPT,81404,PR MOPATH PROC LEVEL 5 (AFTDP),102.0,90.78,89.76,102.0,481 CPT,81404,PR MOPATH PROC LEVEL 5 (AHUGP),1467.0,1305.63,274.83,1467.0,481 CPT,81404,PR MOPATH PROC LEVEL 5 (CHDGG),79.0,70.31,69.52,79.0,481 CPT,81404,PR MOPATH PROC LEVEL 5 (CKDGP),45.0,40.05,39.6,45.0,481 CPT,81404,PR MOPATH PROC LEVEL 5 (EDMDP),573.0,509.97,274.83,573.0,481 CPT,81404,PR MOPATH PROC LEVEL 5 (HPANP),400.0,356.0,274.83,400.0,481 CPT,81404,PR MOPATH PROC LEVEL 5 (IMNP),380.0,338.2,274.83,380.0,481 CPT,81404,PR MOPATH PROC LEVEL 5 (NEPHP),21.0,18.69,18.48,21.0,481 CPT,81404,PR MOPATH PROC LEVEL 5 (PANGP),314.0,279.46,274.83,314.0,481 CPT,81404,PR MOPATH PROC LEVEL 5 (PARDP),88.0,78.32,77.44,88.0,481 CPT,81404,PR MOPATH PROC LEVEL 5 (RBART),365.0,324.85,274.83,365.0,481 CPT,81404,PR MOPATH PROC LEVEL 5 (RSCGP),119.0,105.91,104.72,119.0,481 CPT,81404,PR PRSS1 FULL GENE ANALYSIS,700.0,623.0,274.83,700.0,481 CPT,81404,PR PRSS1 FULL GENE ANALYSIS (HPPAN),356.0,316.84,274.83,356.0,481 CPT,81404,PR SDHD GENE (SDHMP),400.0,356.0,274.83,400.0,481 CPT,81404,"PR SOD1 GENE, FULL GENE ANALYSIS (SOD1Z)",1000.0,890.0,274.83,1000.0,481 CPT,81404,PR SPINK1 FULL GENE ANALYSIS (HPPAN),163.0,145.07,143.44,163.0,481 CPT,81404,"PR TTR GENE, FULL GENE ANALYSIS (TTRZ)",1000.0,890.0,274.83,1000.0,481 CPT,81404,PR UGT1A1 FULL GENE SEQ (UGTFG),1000.0,890.0,274.83,1000.0,481 CPT,81404,PR VHL FULL GENE,1000.0,890.0,274.83,1000.0,481 CPT,81404,PR VHL FULL GENE (NHEM),1466.0,1304.74,274.83,1466.0,481 CPT,81404,PR VHL FULL GENE (NHEP),813.0,723.57,274.83,813.0,481 CPT,81404,PR VHL GENE (MCFRC),280.0,249.2,246.4,280.0,481 CPT,81404,PR VHL GENE FULL GENE ANALYSIS,700.0,623.0,274.83,700.0,481 CPT,81405,HC CTRC GENE (HPANP),400.0,356.0,83.2,452.03,738 CPT,81405,HC CYP21A2 FULL GENE ANALYSIS,644.0,573.16,133.95,644.0,738 CPT,81405,HC FH FULL GENE,1000.0,890.0,208.0,1000.0,738 CPT,81405,HC FH MUTATION ANALYSIS (TFH),1200.0,1068.0,249.6,1200.0,738 CPT,81405,HC GLA FULL GENE ANALYSIS (GLA),700.0,623.0,145.6,700.0,738 CPT,81405,HC MOPATH PROC LEVEL 6 (ADPKP),353.0,314.17,73.42,452.03,738 CPT,81405,HC MOPATH PROC LEVEL 6 (AFTDP),112.0,99.68,23.3,452.03,738 CPT,81405,HC MOPATH PROC LEVEL 6 (APGP),623.0,554.47,129.58,623.0,738 CPT,81405,HC MOPATH PROC LEVEL 6 (CASRG),1000.0,890.0,208.0,1000.0,738 CPT,81405,HC MOPATH PROC LEVEL 6 (CHDGG),86.0,76.54,17.89,452.03,738 CPT,81405,HC MOPATH PROC LEVEL 6 (CKDGP),51.0,45.39,10.61,452.03,738 CPT,81405,HC MOPATH PROC LEVEL 6 (COMCP),35.0,31.15,7.28,452.03,738 CPT,81405,HC MOPATH PROC LEVEL 6 (CPVTG),250.0,222.5,52.0,452.03,738 CPT,81405,HC MOPATH PROC LEVEL 6 (CVHBG),136.0,121.04,28.29,452.03,738 CPT,81405,HC MOPATH PROC LEVEL 6 (EDMDP),628.0,558.92,130.62,628.0,738 CPT,81405,HC MOPATH PROC LEVEL 6 (HMEP),129.0,114.81,26.83,452.03,738 CPT,81405,HC MOPATH PROC LEVEL 6 (IMNP),380.0,338.2,79.04,452.03,738 CPT,81405,HC MOPATH PROC LEVEL 6 (MSUDP),481.0,428.09,100.05,481.0,738 CPT,81405,HC MOPATH PROC LEVEL 6 (NEPHP),22.0,19.58,4.58,452.03,738 CPT,81405,HC MOPATH PROC LEVEL 6 (PANGP),344.0,306.16,71.55,452.03,738 CPT,81405,HC MOPATH PROC LEVEL 6 (PARDP),98.0,87.22,20.38,452.03,738 CPT,81405,HC MOPATH PROC LEVEL 6 (PCGP),625.0,556.25,130.0,625.0,738 CPT,81405,HC MOPATH PROC LEVEL 6 (PHEGP),624.0,555.36,129.79,624.0,738 CPT,81405,HC MOPATH PROC LEVEL 6 (RENCP),142.0,126.38,29.54,452.03,738 CPT,81405,HC MOPATH PROC LEVEL 6 (RFSGS),81.0,72.09,16.85,452.03,738 CPT,81405,HC MOPATH PROC LEVEL 6 (RSCGP),130.0,115.7,27.04,452.03,738 CPT,81405,HC MOPATH PROC LEVEL 6 (SDHMP),400.0,356.0,83.2,452.03,738 CPT,81405,HC MOPATH PROC LEVEL 6 (XCP),49.0,43.61,10.19,452.03,738 CPT,81405,HC PKLR FULL GENE (NHEP),892.0,793.88,185.54,892.0,738 CPT,81405,HC PKLR FULL GENE (PKLRZ),1000.0,890.0,208.0,1000.0,738 CPT,81405,HC PKLR FULL GENE AND DELETION,500.0,445.0,104.0,500.0,738 CPT,81405,HC SLCA1 FULL GENE SEQ (NMEM),1500.0,1335.0,295.32,1500.0,738 CPT,81405,HC STK11 FULL GENE,1000.0,890.0,208.0,1000.0,738 CPT,81405,HC STK11 GENE (BRTP),118.0,105.02,24.54,452.03,738 CPT,81405,HC WT1 GENE (WILMP),402.0,357.78,83.62,452.03,738 CPT,81405,HC X-ALD FULL GENE ANALYSIS (ABCD1),700.0,623.0,145.6,700.0,738 CPT,81405,PR CTRC FULL GENE ANALYSIS (HPPAN),286.0,254.54,251.68,286.0,481 CPT,81405,PR CTRC GENE (HPANP),400.0,356.0,301.35,400.0,481 CPT,81405,PR CYP21A2 FULL GENE ANALYSIS,644.0,573.16,301.35,644.0,481 CPT,81405,PR FH FULL GENE,1000.0,890.0,301.35,1000.0,481 CPT,81405,PR FH MUTATION ANALYSIS (TFH),1200.0,1068.0,301.35,1200.0,481 CPT,81405,PR GLA FULL GENE ANALYSIS (GLA),700.0,623.0,301.35,700.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (ADPKP),353.0,314.17,301.35,353.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (AFTDP),112.0,99.68,98.56,112.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (APGP),623.0,554.47,301.35,623.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (CASRG),1000.0,890.0,301.35,1000.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (CHDGG),86.0,76.54,75.68,86.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (CKDGP),51.0,45.39,44.88,51.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (COMCP),35.0,31.15,30.8,35.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (CPVTG),250.0,222.5,220.0,250.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (CVHBG),136.0,121.04,119.68,136.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (EDMDP),628.0,558.92,301.35,628.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (HMEP),129.0,114.81,113.52,129.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (IMNP),380.0,338.2,301.35,380.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (MSUDP),481.0,428.09,301.35,481.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (NEPHP),22.0,19.58,19.36,22.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (PANGP),344.0,306.16,301.35,344.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (PARDP),98.0,87.22,86.24,98.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (PCGP),625.0,556.25,301.35,625.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (PHEGP),624.0,555.36,301.35,624.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (RENCP),142.0,126.38,124.96,142.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (RFSGS),81.0,72.09,71.28,81.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (RSCGP),130.0,115.7,114.4,130.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (SDHMP),400.0,356.0,301.35,400.0,481 CPT,81405,PR MOPATH PROC LEVEL 6 (XCP),49.0,43.61,43.12,49.0,481 CPT,81405,PR PKLR FULL GENE (NHEP),892.0,793.88,301.35,892.0,481 CPT,81405,PR PKLR FULL GENE (PKLRZ),1000.0,890.0,301.35,1000.0,481 CPT,81405,PR PKLR FULL GENE AND DELETION,500.0,445.0,301.35,500.0,481 CPT,81405,PR SLCA1 FULL GENE SEQ (NMEM),1500.0,1335.0,301.35,1500.0,481 CPT,81405,PR STK11 FULL GENE,1000.0,890.0,301.35,1000.0,481 CPT,81405,PR STK11 GENE (BRTP),118.0,105.02,103.84,118.0,481 CPT,81405,PR WT1 GENE (WILMP),402.0,357.78,301.35,402.0,481 CPT,81405,PR X-ALD FULL GENE ANALYSIS (ABCD1),700.0,623.0,301.35,700.0,481 CPT,81406,HC ACADV FULL GENE ANALYSIS (ACADV),700.0,623.0,145.6,700.0,738 CPT,81406,HC ATP7B FULL GENE ANALYSIS (WNDZ),1000.0,890.0,208.0,1000.0,738 CPT,81406,HC BTK GENE FULL ANALYSIS (BTKSG),1000.0,890.0,208.0,1000.0,738 CPT,81406,HC CDH1 FULL GENE,1000.0,890.0,208.0,1000.0,738 CPT,81406,HC CDH1 GENE (BRTP),110.0,97.9,22.88,424.32,738 CPT,81406,HC GAA FULL GENE SEQUENCE (GAAN),700.0,623.0,145.6,700.0,738 CPT,81406,HC GALACTOSEMIA FULL GENE ANALYSIS (GALZ),1000.0,890.0,208.0,1000.0,738 CPT,81406,HC HEXA FULL GENE ANALYSIS (HEXAN),700.0,623.0,145.6,700.0,738 CPT,81406,HC IDUA FULL GENE ANALYSIS (IDUA),700.0,623.0,145.6,700.0,738 CPT,81406,HC MOPATH PROC LEVEL 7 (ADPKP),331.0,294.59,68.85,424.32,738 CPT,81406,HC MOPATH PROC LEVEL 7 (AFTDP),105.0,93.45,21.84,424.32,738 CPT,81406,HC MOPATH PROC LEVEL 7 (APGP),585.0,520.65,121.68,585.0,738 CPT,81406,HC MOPATH PROC LEVEL 7 (BRFKT),1600.0,1424.0,277.22,1600.0,738 CPT,81406,HC MOPATH PROC LEVEL 7 (CHDGG),81.0,72.09,16.85,424.32,738 CPT,81406,HC MOPATH PROC LEVEL 7 (CKDGP),48.0,42.72,9.98,424.32,738 CPT,81406,HC MOPATH PROC LEVEL 7 (COMCP),33.0,29.37,6.86,424.32,738 CPT,81406,HC MOPATH PROC LEVEL 7 (CVHBG),126.0,112.14,26.21,424.32,738 CPT,81406,HC MOPATH PROC LEVEL 7 (EDMDP),295.0,262.55,61.36,424.32,738 CPT,81406,HC MOPATH PROC LEVEL 7 (HCHLG),230.0,204.7,47.84,424.32,738 CPT,81406,HC MOPATH PROC LEVEL 7 (HHTGG),595.0,529.55,123.76,595.0,738 CPT,81406,HC MOPATH PROC LEVEL 7 (HMEP),122.0,108.58,25.38,424.32,738 CPT,81406,HC MOPATH PROC LEVEL 7 (HYPBG),470.0,418.3,97.76,470.0,738 CPT,81406,HC MOPATH PROC LEVEL 7 (IMNP),380.0,338.2,79.04,424.32,738 CPT,81406,HC MOPATH PROC LEVEL 7 (LIPOG),230.0,204.7,47.84,424.32,738 CPT,81406,HC MOPATH PROC LEVEL 7 (LQTSG),325.0,289.25,67.6,424.32,738 CPT,81406,HC MOPATH PROC LEVEL 7 (MSUDP),453.0,403.17,94.22,453.0,738 CPT,81406,HC MOPATH PROC LEVEL 7 (NEPHP),21.0,18.69,4.37,424.32,738 CPT,81406,HC MOPATH PROC LEVEL 7 (OIBFG),133.0,118.37,27.66,424.32,738 CPT,81406,HC MOPATH PROC LEVEL 7 (PARDP),92.0,81.88,19.14,424.32,738 CPT,81406,HC MOPATH PROC LEVEL 7 (PCGP),584.0,519.76,121.47,584.0,738 CPT,81406,HC MOPATH PROC LEVEL 7 (PHEGP),585.0,520.65,121.68,585.0,738 CPT,81406,HC MOPATH PROC LEVEL 7 (RBART),377.0,335.53,78.42,424.32,738 CPT,81406,HC MOPATH PROC LEVEL 7 (RENCP),134.0,119.26,27.87,424.32,738 CPT,81406,HC MOPATH PROC LEVEL 7 (RFSGS),77.0,68.53,16.02,424.32,738 CPT,81406,HC MOPATH PROC LEVEL 7 (RSCGP),123.0,109.47,25.58,424.32,738 CPT,81406,HC MOPATH PROC LEVEL 7 (SMCP),460.0,409.4,95.68,460.0,738 CPT,81406,HC MOPATH PROC LEVEL 7 (SQTSG),665.0,591.85,138.32,665.0,738 CPT,81406,HC MOPATH PROC LEVEL 7 (T1GS),9.0,8.01,1.87,424.32,738 CPT,81406,HC MOPATH PROC LEVEL 7 (TSCP1),400.0,356.0,83.2,424.32,738 CPT,81406,HC MOPATH PROC LEVEL 7 (TYRGP),1478.0,1315.42,277.22,1478.0,738 CPT,81406,HC MOPATH PROC LEVEL 7 (XCP),42.0,37.38,8.74,424.32,738 CPT,81406,HC RET FULL GENE,1000.0,890.0,208.0,1000.0,738 CPT,81406,HC SDHA GENE (SDHMP),400.0,356.0,83.2,424.32,738 CPT,81406,HC TSC1 GENE (MCFRC),290.0,258.1,60.32,424.32,738 CPT,81406,PR ACADV FULL GENE ANALYSIS (ACADV),700.0,623.0,282.88,700.0,481 CPT,81406,PR ATP7B FULL GENE ANALYSIS (WNDZ),1000.0,890.0,282.88,1000.0,481 CPT,81406,PR BTK GENE FULL ANALYSIS (BTKSG),1000.0,890.0,282.88,1000.0,481 CPT,81406,PR CDH1 FULL GENE,1000.0,890.0,282.88,1000.0,481 CPT,81406,PR CDH1 GENE (BRTP),110.0,97.9,96.8,110.0,481 CPT,81406,PR GAA FULL GENE SEQUENCE (GAAN),700.0,623.0,282.88,700.0,481 CPT,81406,PR GALACTOSEMIA FULL GENE ANALYSIS (GALZ),1000.0,890.0,282.88,1000.0,481 CPT,81406,PR HEXA FULL GENE ANALYSIS (HEXAN),700.0,623.0,282.88,700.0,481 CPT,81406,PR IDUA FULL GENE ANALYSIS (IDUA),700.0,623.0,282.88,700.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (ADPKP),331.0,294.59,282.88,331.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (AFTDP),105.0,93.45,92.4,105.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (APGP),585.0,520.65,282.88,585.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (BRFKT),1600.0,1424.0,282.88,1600.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (CHDGG),81.0,72.09,71.28,81.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (CKDGP),48.0,42.72,42.24,48.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (COMCP),33.0,29.37,29.04,33.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (CVHBG),126.0,112.14,110.88,126.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (EDMDP),295.0,262.55,259.6,295.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (HCHLG),230.0,204.7,202.4,230.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (HHTGG),595.0,529.55,282.88,595.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (HMEP),122.0,108.58,107.36,122.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (HYPBG),470.0,418.3,282.88,470.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (IMNP),380.0,338.2,282.88,380.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (LIPOG),230.0,204.7,202.4,230.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (LQTSG),325.0,289.25,282.88,325.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (MSUDP),453.0,403.17,282.88,453.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (NEPHP),21.0,18.69,18.48,21.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (OIBFG),133.0,118.37,117.04,133.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (PARDP),92.0,81.88,80.96,92.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (PCGP),584.0,519.76,282.88,584.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (PHEGP),585.0,520.65,282.88,585.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (RBART),377.0,335.53,282.88,377.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (RENCP),134.0,119.26,117.92,134.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (RFSGS),77.0,68.53,67.76,77.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (RSCGP),123.0,109.47,108.24,123.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (SMCP),460.0,409.4,282.88,460.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (SQTSG),665.0,591.85,282.88,665.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (T1GS),9.0,8.01,7.92,9.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (TSCP1),400.0,356.0,282.88,400.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (TYRGP),1478.0,1315.42,282.88,1478.0,481 CPT,81406,PR MOPATH PROC LEVEL 7 (XCP),42.0,37.38,36.96,42.0,481 CPT,81406,PR RET FULL GENE,1000.0,890.0,282.88,1000.0,481 CPT,81406,PR SDHA GENE (SDHMP),400.0,356.0,282.88,400.0,481 CPT,81406,PR TSC1 GENE (MCFRC),290.0,258.1,255.2,290.0,481 CPT,81407,"HC BRUGADA SYNDROME, SCN5A FULL GENE",1000.0,890.0,208.0,1269.41,737 CPT,81407,"HC F8 GENE, FULL GENE (GNBLF)",418.0,372.02,86.94,1269.41,737 CPT,81407,"HC F8 GENE, FULL GENE (GNHMA)",1450.0,1290.5,301.6,1450.0,737 CPT,81407,HC MOPATH PROC LEVEL 8 (ADPKP),868.0,772.52,180.54,1269.41,737 CPT,81407,HC MOPATH PROC LEVEL 8 (AFTDP),314.0,279.46,65.31,1269.41,737 CPT,81407,HC MOPATH PROC LEVEL 8 (ALAGP),1789.0,1592.21,372.11,1789.0,737 CPT,81407,HC MOPATH PROC LEVEL 8 (ALPGP),392.0,348.88,81.54,1269.41,737 CPT,81407,HC MOPATH PROC LEVEL 8 (CHDGG),242.0,215.38,50.34,1269.41,737 CPT,81407,HC MOPATH PROC LEVEL 8 (CKDGP),144.0,128.16,29.95,1269.41,737 CPT,81407,HC MOPATH PROC LEVEL 8 (HCHLG),1378.0,1226.42,286.62,1378.0,737 CPT,81407,HC MOPATH PROC LEVEL 8 (HMEP),363.0,323.07,75.5,1269.41,737 CPT,81407,HC MOPATH PROC LEVEL 8 (HYPBG),1350.0,1201.5,280.8,1350.0,737 CPT,81407,HC MOPATH PROC LEVEL 8 (LQTSG),1005.0,894.45,209.04,1269.41,737 CPT,81407,HC MOPATH PROC LEVEL 8 (NEPHP),63.0,56.07,13.1,1269.41,737 CPT,81407,HC MOPATH PROC LEVEL 8 (PARDP),275.0,244.75,57.2,1269.41,737 CPT,81407,HC MOPATH PROC LEVEL 8 (RBART),1125.0,1001.25,234.0,1269.41,737 CPT,81407,HC MOPATH PROC LEVEL 8 (RENCP),397.0,353.33,82.58,1269.41,737 CPT,81407,HC MOPATH PROC LEVEL 8 (RFSGS),230.0,204.7,47.84,1269.41,737 CPT,81407,HC MOPATH PROC LEVEL 8 (RSCGP),368.0,327.52,76.54,1269.41,737 CPT,81407,HC MOPATH PROC LEVEL 8 (T1GS),53.0,47.17,11.02,1269.41,737 CPT,81407,HC MOPATH PROC LEVEL 8 (TSCP1),1600.0,1424.0,332.8,1600.0,737 CPT,81407,HC MOPATH PROC LEVEL 8 (XCP),120.0,106.8,24.96,1269.41,737 CPT,81407,HC TSC2 GENE (MCFRC),850.0,756.5,176.8,1269.41,737 CPT,81407,"PR BRUGADA SYNDROME, SCN5A FULL GENE",1000.0,890.0,846.27,1000.0,481 CPT,81407,"PR F8 GENE, FULL GENE (GNBLF)",418.0,372.02,367.84,418.0,481 CPT,81407,"PR F8 GENE, FULL GENE (GNHMA)",1450.0,1290.5,846.27,1450.0,481 CPT,81407,PR MOPATH PROC LEVEL 8 (ADPKP),868.0,772.52,763.84,868.0,481 CPT,81407,PR MOPATH PROC LEVEL 8 (AFTDP),314.0,279.46,276.32,314.0,481 CPT,81407,PR MOPATH PROC LEVEL 8 (ALAGP),1789.0,1592.21,846.27,1789.0,481 CPT,81407,PR MOPATH PROC LEVEL 8 (ALPGP),392.0,348.88,344.96,392.0,481 CPT,81407,PR MOPATH PROC LEVEL 8 (CHDGG),242.0,215.38,212.96,242.0,481 CPT,81407,PR MOPATH PROC LEVEL 8 (CKDGP),144.0,128.16,126.72,144.0,481 CPT,81407,PR MOPATH PROC LEVEL 8 (HCHLG),1378.0,1226.42,846.27,1378.0,481 CPT,81407,PR MOPATH PROC LEVEL 8 (HMEP),363.0,323.07,319.44,363.0,481 CPT,81407,PR MOPATH PROC LEVEL 8 (HYPBG),1350.0,1201.5,846.27,1350.0,481 CPT,81407,PR MOPATH PROC LEVEL 8 (LQTSG),1005.0,894.45,846.27,1005.0,481 CPT,81407,PR MOPATH PROC LEVEL 8 (NEPHP),63.0,56.07,55.44,63.0,481 CPT,81407,PR MOPATH PROC LEVEL 8 (PARDP),275.0,244.75,242.0,275.0,481 CPT,81407,PR MOPATH PROC LEVEL 8 (RBART),1125.0,1001.25,846.27,1125.0,481 CPT,81407,PR MOPATH PROC LEVEL 8 (RENCP),397.0,353.33,349.36,397.0,481 CPT,81407,PR MOPATH PROC LEVEL 8 (RFSGS),230.0,204.7,202.4,230.0,481 CPT,81407,PR MOPATH PROC LEVEL 8 (RSCGP),368.0,327.52,323.84,368.0,481 CPT,81407,PR MOPATH PROC LEVEL 8 (T1GS),53.0,47.17,46.64,53.0,481 CPT,81407,PR MOPATH PROC LEVEL 8 (TSCP1),1600.0,1424.0,846.27,1600.0,481 CPT,81407,PR MOPATH PROC LEVEL 8 (XCP),120.0,106.8,105.6,120.0,481 CPT,81407,PR TSC2 GENE (MCFRC),850.0,756.5,748.0,850.0,481 CPT,81408,HC ATM GENE (BRTP),777.0,691.53,161.62,3000.0,737 CPT,81408,"HC DMD GENE, FULL GENE ANALYSIS (DMDZ)",1000.0,890.0,208.0,3000.0,737 CPT,81408,HC FBN1 FULL GENE ANALYSIS,1000.0,890.0,208.0,3000.0,737 CPT,81408,HC MOPATH PROC LEVEL 8 (LIPOG),1440.0,1281.6,299.52,3000.0,737 CPT,81408,HC MOPATH PROC LEVEL 9 (ALPGP),737.0,655.93,153.3,3000.0,737 CPT,81408,HC MOPATH PROC LEVEL 9 (CHDGG),422.0,375.58,87.78,3000.0,737 CPT,81408,HC MOPATH PROC LEVEL 9 (CKDGP),341.0,303.49,70.93,3000.0,737 CPT,81408,HC MOPATH PROC LEVEL 9 (COMCP),235.0,209.15,48.88,3000.0,737 CPT,81408,HC MOPATH PROC LEVEL 9 (CPVTG),1667.0,1483.63,346.74,3000.0,737 CPT,81408,HC MOPATH PROC LEVEL 9 (CVHBG),897.0,798.33,186.58,3000.0,737 CPT,81408,HC MOPATH PROC LEVEL 9 (EDSGG),973.0,865.97,202.38,3000.0,737 CPT,81408,HC MOPATH PROC LEVEL 9 (HMEP),858.0,763.62,178.46,3000.0,737 CPT,81408,HC MOPATH PROC LEVEL 9 (NEPHP),151.0,134.39,31.41,3000.0,737 CPT,81408,HC MOPATH PROC LEVEL 9 (OIBFG),838.0,745.82,174.3,3000.0,737 CPT,81408,HC MOPATH PROC LEVEL 9 (PARDP),649.0,577.61,134.99,3000.0,737 CPT,81408,HC MOPATH PROC LEVEL 9 (RFSGS),542.0,482.38,112.74,3000.0,737 CPT,81408,HC MOPATH PROC LEVEL 9 (XCP),245.0,218.05,50.96,3000.0,737 CPT,81408,HC NF1 FULL GENE,1000.0,890.0,208.0,3000.0,737 CPT,81408,HC VWF GENE (GNBLF),987.0,878.43,205.3,3000.0,737 CPT,81408,HC VWF GENE (GNVWD),1900.0,1691.0,395.2,3000.0,737 CPT,81408,PR ATM GENE (BRTP),777.0,691.53,683.76,777.0,481 CPT,81408,"PR DMD GENE, FULL GENE ANALYSIS (DMDZ)",1000.0,890.0,880.0,1000.0,481 CPT,81408,PR FBN1 FULL GENE ANALYSIS,1000.0,890.0,880.0,1000.0,481 CPT,81408,PR MOPATH PROC LEVEL 8 (LIPOG),1440.0,1281.6,1267.2,1440.0,481 CPT,81408,PR MOPATH PROC LEVEL 9 (ALPGP),737.0,655.93,648.56,737.0,481 CPT,81408,PR MOPATH PROC LEVEL 9 (CHDGG),422.0,375.58,371.36,422.0,481 CPT,81408,PR MOPATH PROC LEVEL 9 (CKDGP),341.0,303.49,300.08,341.0,481 CPT,81408,PR MOPATH PROC LEVEL 9 (COMCP),235.0,209.15,206.8,235.0,481 CPT,81408,PR MOPATH PROC LEVEL 9 (CPVTG),1667.0,1483.63,1466.96,1667.0,481 CPT,81408,PR MOPATH PROC LEVEL 9 (CVHBG),897.0,798.33,789.36,897.0,481 CPT,81408,PR MOPATH PROC LEVEL 9 (EDSGG),973.0,865.97,856.24,973.0,481 CPT,81408,PR MOPATH PROC LEVEL 9 (HMEP),858.0,763.62,755.04,858.0,481 CPT,81408,PR MOPATH PROC LEVEL 9 (NEPHP),151.0,134.39,132.88,151.0,481 CPT,81408,PR MOPATH PROC LEVEL 9 (OIBFG),838.0,745.82,737.44,838.0,481 CPT,81408,PR MOPATH PROC LEVEL 9 (PARDP),649.0,577.61,571.12,649.0,481 CPT,81408,PR MOPATH PROC LEVEL 9 (RFSGS),542.0,482.38,476.96,542.0,481 CPT,81408,PR MOPATH PROC LEVEL 9 (XCP),245.0,218.05,215.6,245.0,481 CPT,81408,PR NF1 FULL GENE,1000.0,890.0,880.0,1000.0,481 CPT,81408,PR VWF GENE (GNBLF),987.0,878.43,868.56,987.0,481 CPT,81408,PR VWF GENE (GNVWD),1900.0,1691.0,1672.0,1900.0,481 CPT,81410,HC COMPREHENSIVE AORTOPATHY GENE PANEL,2000.0,1780.0,416.0,2000.0,736 CPT,81410,HC MARFAN AND RELATED CONDITIONS PANEL,2000.0,1780.0,416.0,2000.0,736 CPT,81410,HC POSTMORTEM AORTOPATHY PANEL,1900.0,1691.0,395.2,1900.0,736 CPT,81410,PR COMPREHENSIVE AORTOPATHY GENE PANEL,2000.0,1780.0,504.0,2000.0,481 CPT,81410,PR MARFAN AND RELATED CONDITIONS PANEL,2000.0,1780.0,504.0,2000.0,481 CPT,81410,PR POSTMORTEM AORTOPATHY PANEL,1900.0,1691.0,504.0,1900.0,481 CPT,81413,HC COMPREHENSIVE ARRHYTHMIA GENE PANEL,2000.0,1780.0,416.0,2000.0,736 CPT,81413,PR COMPREHENSIVE ARRHYTHMIA GENE PANEL,2000.0,1780.0,584.9,2000.0,481 CPT,81415,HC EXOME,5334.0,4747.26,1109.47,7170.0,736 CPT,81415,HC WHOLE EXOME SEQ (WESDX),3000.0,2670.0,624.0,7170.0,736 CPT,81415,PR EXOME,5334.0,4747.26,4693.92,5334.0,481 CPT,81415,PR WHOLE EXOME SEQ (WESDX),3000.0,2670.0,2640.0,3000.0,481 CPT,81416,HC EXOME COMPARATOR,1240.0,1103.6,257.92,18000.0,736 CPT,81416,HC EXOME COMPARATOR (G226),1500.0,1335.0,312.0,18000.0,736 CPT,81416,HC WHOLE EXOME SEQ REANAL COMPARATOR (WESPR),1500.0,1335.0,312.0,18000.0,736 CPT,81416,PR EXOME COMPARATOR,1240.0,1103.6,1091.2,1240.0,481 CPT,81416,PR EXOME COMPARATOR (G226),1500.0,1335.0,1320.0,1500.0,481 CPT,81416,PR WHOLE EXOME SEQ REANAL COMPARATOR (WESPR),1500.0,1335.0,1320.0,1500.0,481 CPT,81417,HC WHOLE EXOME SEQ REANAL (WESPR),1500.0,1335.0,312.0,1500.0,736 CPT,81417,HC WHOLE EXOME SEQ REANALYSIS (WESR),1500.0,1335.0,312.0,1500.0,736 CPT,81417,PR WHOLE EXOME SEQ REANAL (WESPR),1500.0,1335.0,320.0,1500.0,481 CPT,81417,PR WHOLE EXOME SEQ REANALYSIS (WESR),1500.0,1335.0,320.0,1500.0,481 CPT,81418,HC PSYCH PHARMACOGENOMICS PANEL (PSYQP),1500.0,1335.0,312.0,1500.0,734 CPT,81418,PR PSYCH PHARMACOGENOMICS PANEL (PSYQP),1500.0,1335.0,917.08,1500.0,481 CPT,81419,HC COMP EPILEPSY GENE PANEL (EPPAN),2500.0,2225.0,520.0,3672.84,734 CPT,81419,PR COMP EPILEPSY GENE PANEL (EPPAN),2500.0,2225.0,2200.0,2500.0,481 CPT,81425,HC GENOME SEQUENCE ANALYSIS (WGSDX),4000.0,3560.0,832.0,7546.8,736 CPT,81425,HC RAPID WHOLE GENOME SEQ,5500.0,4895.0,1144.0,7546.8,736 CPT,81425,PR GENOME SEQUENCE ANALYSIS (WGSDX),4000.0,3560.0,3520.0,4000.0,481 CPT,81425,PR RAPID WHOLE GENOME SEQ,5500.0,4895.0,4840.0,5500.0,481 CPT,81426,HC GENOME SEQ ANALYSIS EA COMPARATOR (G227),2000.0,1780.0,416.0,4064.93,736 CPT,81426,HC RAPID WHOLE GENOME SEQ COMPARATOR,3000.0,2670.0,624.0,4064.93,736 CPT,81426,PR GENOME SEQ ANALYSIS EA COMPARATOR (G227),2000.0,1780.0,1760.0,2000.0,481 CPT,81426,PR RAPID WHOLE GENOME SEQ COMPARATOR,3000.0,2670.0,2640.0,3000.0,481 CPT,81427,HC GENOME RE-EVALUATION (WGSR),1500.0,1335.0,312.0,3506.48,736 CPT,81427,PR GENOME RE-EVALUATION (WGSR),1500.0,1335.0,1320.0,1500.0,481 CPT,81430,HC HEARING LOSS GENE PANEL (AHLP),1763.0,1569.07,366.7,2437.5,736 CPT,81430,PR HEARING LOSS GENE PANEL (AHLP),1763.0,1569.07,1551.44,1763.0,481 CPT,81431,HC HEARING LOSS DUP/DEL ANALYSIS PANEL (AHLP),737.0,655.93,153.3,1019.36,736 CPT,81431,PR HEARING LOSS DUP/DEL ANALYSIS PANEL (AHLP),737.0,655.93,648.56,737.0,481 CPT,81432,HC BREAST CA GENOMIC SEQ XCP,2500.0,2225.0,520.0,2500.0,736 CPT,81432,HC HEREDITARY BREAST/GYN CANCER PANEL (BRGYP),2000.0,1780.0,416.0,2000.0,736 CPT,81432,HC HEREDITARY PANCREATIC CANCER PANEL (PANCP),2000.0,1780.0,416.0,2000.0,736 CPT,81432,HC HEREDITARY PROSTATE CANCER PANEL (PRS8P),2000.0,1780.0,416.0,2000.0,736 CPT,81432,HC RAPID HERED BREAST CANCER PANEL (BRTP),2500.0,2225.0,520.0,2500.0,736 CPT,81432,PR BREAST CA GENOMIC SEQ XCP,2500.0,2225.0,1303.95,2500.0,481 CPT,81432,PR HEREDITARY BREAST/GYN CANCER PANEL (BRGYP),2000.0,1780.0,1303.95,2000.0,481 CPT,81432,PR HEREDITARY PANCREATIC CANCER PANEL (PANCP),2000.0,1780.0,1303.95,2000.0,481 CPT,81432,PR HEREDITARY PROSTATE CANCER PANEL (PRS8P),2000.0,1780.0,1303.95,2000.0,481 CPT,81432,PR RAPID HERED BREAST CANCER PANEL (BRTP),2500.0,2225.0,1303.95,2500.0,481 CPT,81435,HC COLON CA GENOMIC SEQ XCP,2500.0,2225.0,520.0,2500.0,736 CPT,81435,HC HEREDITARY GI CANCER PANEL,2000.0,1780.0,416.0,2000.0,736 CPT,81435,HC LYNCH SYNDROME PANEL (LYNCP),2000.0,1780.0,416.0,2000.0,736 CPT,81435,PR COLON CA GENOMIC SEQ XCP,2500.0,2225.0,1303.95,2500.0,481 CPT,81435,PR HEREDITARY GI CANCER PANEL,2000.0,1780.0,1303.95,2000.0,481 CPT,81435,PR LYNCH SYNDROME PANEL (LYNCP),2000.0,1780.0,1303.95,2000.0,481 CPT,81437,HC HEREDITARY ENDOCRINE CANCER PANEL,2000.0,1780.0,416.0,2000.0,736 CPT,81437,HC HEREDITARY PGL/PCC PANEL,2000.0,1780.0,416.0,2000.0,736 CPT,81437,HC HEREDITARY THYROID CANCER PANEL (THYRP),2000.0,1780.0,416.0,2000.0,736 CPT,81437,HC NEUROENDOCRINE CA GENOMIC SEQ XCP,2500.0,2225.0,520.0,2500.0,736 CPT,81437,PR HEREDITARY ENDOCRINE CANCER PANEL,2000.0,1780.0,1303.95,2000.0,481 CPT,81437,PR HEREDITARY PGL/PCC PANEL,2000.0,1780.0,1303.95,2000.0,481 CPT,81437,PR HEREDITARY THYROID CANCER PANEL (THYRP),2000.0,1780.0,1303.95,2000.0,481 CPT,81437,PR NEUROENDOCRINE CA GENOMIC SEQ XCP,2500.0,2225.0,1303.95,2500.0,481 CPT,81439,HC ARRHYTHMOGENIC CARDIOMYOPATHY PANEL (ARVGG),2000.0,1780.0,416.0,2000.0,736 CPT,81439,HC CARDIOMYOPATHY AND ARRHYTHMIA PANEL,2500.0,2225.0,520.0,2500.0,736 CPT,81439,HC COMPREHENSIVE CARDIOMYOPATHY PANEL,2500.0,2225.0,520.0,2500.0,736 CPT,81439,HC DILATED CARDIOMYOPATHY/LVNC PANEL,2500.0,2225.0,520.0,2500.0,736 CPT,81439,HC HYPERTROPHIC CARDIOMYOPATHY PANEL,2000.0,1780.0,416.0,2000.0,736 CPT,81439,HC POSTMORTEM ARRHYTHMIA GENE PANEL,1900.0,1691.0,395.2,1900.0,736 CPT,81439,HC POSTMORTEM CARDIOMYOP/ARRYTHM PANEL,1900.0,1691.0,395.2,1900.0,736 CPT,81439,HC POSTMORTEM CARDIOMYOPATHY PANEL,1900.0,1691.0,395.2,1900.0,736 CPT,81439,PR ARRHYTHMOGENIC CARDIOMYOPATHY PANEL (ARVGG),2000.0,1780.0,584.9,2000.0,481 CPT,81439,PR CARDIOMYOPATHY AND ARRHYTHMIA PANEL,2500.0,2225.0,584.9,2500.0,481 CPT,81439,PR COMPREHENSIVE CARDIOMYOPATHY PANEL,2500.0,2225.0,584.9,2500.0,481 CPT,81439,PR DILATED CARDIOMYOPATHY/LVNC PANEL,2500.0,2225.0,584.9,2500.0,481 CPT,81439,PR HYPERTROPHIC CARDIOMYOPATHY PANEL,2000.0,1780.0,584.9,2000.0,481 CPT,81439,PR POSTMORTEM ARRHYTHMIA GENE PANEL,1900.0,1691.0,584.9,1900.0,481 CPT,81439,PR POSTMORTEM CARDIOMYOP/ARRYTHM PANEL,1900.0,1691.0,584.9,1900.0,481 CPT,81439,PR POSTMORTEM CARDIOMYOPATHY PANEL,1900.0,1691.0,584.9,1900.0,481 CPT,81440,HC MITOCHON NUCLEAR (CMITO),2996.0,2666.44,623.17,4986.0,736 CPT,81440,HC NUC MITOCHON GENE PANEL (NMITO),2500.0,2225.0,520.0,4986.0,736 CPT,81440,PR MITOCHON NUCLEAR (CMITO),2996.0,2666.44,2636.48,2996.0,481 CPT,81440,PR NUC MITOCHON GENE PANEL (NMITO),2500.0,2225.0,2200.0,2500.0,481 CPT,81441,HC BONE MARROW FAILURE GENE PANEL (BMFGP),2500.0,2225.0,520.0,3672.84,734 CPT,81441,PR BONE MARROW FAILURE GENE PANEL (BMFGP),2500.0,2225.0,2200.0,2500.0,481 CPT,81442,HC NOONAN SYNDROME AND RELATED PANEL,2000.0,1780.0,416.0,3215.4,736 CPT,81442,PR NOONAN SYNDROME AND RELATED PANEL,2000.0,1780.0,1760.0,2000.0,481 CPT,81443,HC 3-METHYLGLUT ACIDURIA PANEL (3MGAP),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC ALPS GENE PANEL (ALPSG),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC ATAXIA GENE PANEL (ATAXP),2500.0,2225.0,520.0,3672.84,737 CPT,81443,HC AUTOINFLAMMATORY GENE PANEL (AUTOG),2500.0,2225.0,520.0,3672.84,737 CPT,81443,HC BATTEN DISEASE GENE PANEL (NCLGP),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC BCELL/ANTIBODY DEFICIENCY GENE PANEL (BCELL),2500.0,2225.0,520.0,3672.84,737 CPT,81443,HC BLEEDING COMPREHENSIVE PANEL (GNBLC),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC CDG GENE PANEL (CDGGP),2500.0,2225.0,520.0,3672.84,737 CPT,81443,HC CHOLESTASIS GENE PANEL (CHLGP),2500.0,2225.0,520.0,3672.84,737 CPT,81443,HC COMBINED IMMUNODEF GENE PANEL (COMID),2500.0,2225.0,520.0,3672.84,737 CPT,81443,HC CONGENITAL LACTIC ACIDOSIS PANEL (CLADP),1040.0,925.6,216.32,3672.84,737 CPT,81443,HC CONGENITAL MYASTHENIA GENE PANEL (CMSP),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC CONGENITAL NEUTROPENIA GENE PANEL (SCCNP),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC DISTAL WEAKNESS GENE PANEL (DWPAN),2500.0,2225.0,520.0,3672.84,737 CPT,81443,HC DYSREGULATION/AUTOIMM GENE PANEL (IMMAU),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC EARLY ONSET IBD GENE PANEL (EOIBD),2500.0,2225.0,520.0,3672.84,737 CPT,81443,HC EBV/LYMPHOPROLIFERATION GENE PANEL (EBLPD),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC FATTY ACID OXIDATION GENE PANEL (HFAOP),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC GLYCOGEN STORAGE DIS GENE PANEL (GSDGP),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC HEREDITARY HEMOLYTICS ANEMIA (NHHA),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC HLH GENE PANEL (HLHGP),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC HYPER-IGE SYNDROME GENE PANEL (HIESG),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC INBORN ERR OF IMMUNITY GENE PANEL (IEICP),2500.0,2225.0,520.0,3672.84,737 CPT,81443,HC LGMD AND CMS GENE PANEL (LGCMP),2500.0,2225.0,520.0,3672.84,737 CPT,81443,HC LSD GENE PANEL (LSDGP),2500.0,2225.0,520.0,3672.84,737 CPT,81443,HC MACROTHROMBOCYTOPENIA PANEL (GNMTC),1775.0,1579.75,369.2,3672.84,737 CPT,81443,HC METHYL ACIDURIA GENE PANEL (MMAGP),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC MMA PA COMBINED GENE PANEL (MPAGP),2080.0,1851.2,432.64,3672.84,737 CPT,81443,HC MOTOR NEURON DISEASE GENE PANEL (MNDP),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC MUSCULAR DYSTROPHY GENE PANEL (MDYSP),2500.0,2225.0,520.0,3672.84,737 CPT,81443,HC NEUROMUSCULAR GENE PANEL (MUPAN),2500.0,2225.0,520.0,3672.84,737 CPT,81443,HC PEROXISOMAL DISORDER GENE PANEL (PDGP),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC PLATELET COMPREHENSIVE PANEL (GNPLT),2500.0,2225.0,520.0,3672.84,737 CPT,81443,HC PLATELET FUNCTION DEFECT PANEL (GNPFD),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC POSTMORTEM HLH GENE PANEL,1900.0,1691.0,395.2,3672.84,737 CPT,81443,HC POSTMORTEM MYASTHENIA GENE PANEL,1900.0,1691.0,395.2,3672.84,737 CPT,81443,HC RBC ENZYME SEQUENCING NGS (NENZ),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC RHABDO/METABOLIC MYOPATHY PANEL (RABMP),2500.0,2225.0,520.0,3672.84,737 CPT,81443,HC SCID GENE PANEL (SCIDP),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC STORAGE POOL DEFICIENCY PANEL (GNSPD),1775.0,1579.75,369.2,3672.84,737 CPT,81443,HC TELOMERE DISORDERS GENE PANEL (TELDP),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC THROMBOCYTOPENIA GENE PANEL (GNHTC),1775.0,1579.75,369.2,3672.84,737 CPT,81443,HC THROMBOSIS COMPREHENSIVE PANEL (GNTHR),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC UREA CYCLE DISORDERS GENE PANEL (UCDP),2000.0,1780.0,416.0,3672.84,737 CPT,81443,HC VIRAL SUSCEPTIBILITY GENE PANEL (VIRID),2000.0,1780.0,416.0,3672.84,737 CPT,81443,PR 3-METHYLGLUT ACIDURIA PANEL (3MGAP),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR ALPS GENE PANEL (ALPSG),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR ATAXIA GENE PANEL (ATAXP),2500.0,2225.0,2200.0,2500.0,481 CPT,81443,PR AUTOINFLAMMATORY GENE PANEL (AUTOG),2500.0,2225.0,2200.0,2500.0,481 CPT,81443,PR BATTEN DISEASE GENE PANEL (NCLGP),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR BCELL/ANTIBODY DEFICIENCY GENE PANEL (BCELL),2500.0,2225.0,2200.0,2500.0,481 CPT,81443,PR BLEEDING COMPREHENSIVE PANEL (GNBLC),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR CDG GENE PANEL (CDGGP),2500.0,2225.0,2200.0,2500.0,481 CPT,81443,PR CHOLESTASIS GENE PANEL (CHLGP),2500.0,2225.0,2200.0,2500.0,481 CPT,81443,PR COMBINED IMMUNODEF GENE PANEL (COMID),2500.0,2225.0,2200.0,2500.0,481 CPT,81443,PR CONGENITAL LACTIC ACIDOSIS PANEL (CLADP),1040.0,925.6,915.2,1040.0,481 CPT,81443,PR CONGENITAL MYASTHENIA GENE PANEL (CMSP),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR CONGENITAL NEUTROPENIA GENE PANEL (SCCNP),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR CONGENITAL NEUTROPENIA PID PANEL (SCNGP),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR DISTAL WEAKNESS GENE PANEL (DWPAN),2500.0,2225.0,2200.0,2500.0,481 CPT,81443,PR DYSREGULATION/AUTOIMM GENE PANEL (IMMAU),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR EARLY ONSET IBD GENE PANEL (EOIBD),2500.0,2225.0,2200.0,2500.0,481 CPT,81443,PR EBV/LYMPHOPROLIFERATION GENE PANEL (EBLPD),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR FATTY ACID OXIDATION GENE PANEL (HFAOP),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR GLYCOGEN STORAGE DIS GENE PANEL (GSDGP),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR HEREDITARY HEMOLYTICS ANEMIA (NHHA),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR HLH GENE PANEL (HLHGP),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR HYPER-IGE SYNDROME GENE PANEL (HIESG),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR INBORN ERR OF IMMUNITY GENE PANEL (IEICP),2500.0,2225.0,2200.0,2500.0,481 CPT,81443,PR LGMD AND CMS GENE PANEL (LGCMP),2500.0,2225.0,2200.0,2500.0,481 CPT,81443,PR LSD GENE PANEL (LSDGP),2500.0,2225.0,2200.0,2500.0,481 CPT,81443,PR MACROTHROMBOCYTOPENIA PANEL (GNMTC),1775.0,1579.75,1562.0,1775.0,481 CPT,81443,PR METHYL ACIDURIA GENE PANEL (MMAGP),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR MMA PA COMBINED GENE PANEL (MPAGP),2080.0,1851.2,1830.4,2080.0,481 CPT,81443,PR MOTOR NEURON DISEASE GENE PANEL (MNDP),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR MUSCULAR DYSTROPHY GENE PANEL (MDYSP),2500.0,2225.0,2200.0,2500.0,481 CPT,81443,PR NEUROMUSCULAR GENE PANEL (MUPAN),2500.0,2225.0,2200.0,2500.0,481 CPT,81443,PR PEROXISOMAL DISORDER GENE PANEL (PDGP),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR PLATELET COMPREHENSIVE PANEL (GNPLT),2500.0,2225.0,2200.0,2500.0,481 CPT,81443,PR PLATELET FUNCTION DEFECT PANEL (GNPFD),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR POSTMORTEM HLH GENE PANEL,1900.0,1691.0,1672.0,1900.0,481 CPT,81443,PR POSTMORTEM MYASTHENIA GENE PANEL,1900.0,1691.0,1672.0,1900.0,481 CPT,81443,PR RBC ENZYME SEQUENCING NGS (NENZ),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR RHABDO/METABOLIC MYOPATHY PANEL (RABMP),2500.0,2225.0,2200.0,2500.0,481 CPT,81443,PR SCID GENE PANEL (SCIDP),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR STORAGE POOL DEFICIENCY PANEL (GNSPD),1775.0,1579.75,1562.0,1775.0,481 CPT,81443,PR TELOMERE DISORDERS GENE PANEL (TELDP),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR THROMBOCYTOPENIA GENE PANEL (GNHTC),1775.0,1579.75,1562.0,1775.0,481 CPT,81443,PR THROMBOSIS COMPREHENSIVE PANEL (GNTHR),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR UREA CYCLE DISORDERS GENE PANEL (UCDP),2000.0,1780.0,1760.0,2000.0,481 CPT,81443,PR VIRAL SUSCEPTIBILITY GENE PANEL (VIRID),2000.0,1780.0,1760.0,2000.0,481 CPT,81445,HC HISTONE GENES MUTATION ANALYSIS (HISGT),1600.0,1424.0,332.8,1600.0,736 CPT,81445,HC MAYCOMPLETE ADULT DG PANEL (MCADG),1600.0,1424.0,332.8,1600.0,736 CPT,81445,PR HISTONE GENES MUTATION ANALYSIS (HISGT),1600.0,1424.0,597.91,1600.0,481 CPT,81445,PR MAYCOMPLETE ADULT DG PANEL (MCADG),1600.0,1424.0,597.91,1600.0,481 CPT,81448,HC MOTOR AND SENSORY NEUROPATHY PANEL (IMSNP),2500.0,2225.0,520.0,2500.0,736 CPT,81448,HC PERIPHERAL NEUROPATHY GENE PANEL (PEPAN),2500.0,2225.0,520.0,2500.0,736 CPT,81448,HC SENSORY NEUROPATHY GENE PANEL (ISNP),2000.0,1780.0,416.0,2000.0,736 CPT,81448,HC SPASTIC PARAPLEGIA GENE PANEL (ISPP),2500.0,2225.0,520.0,2500.0,736 CPT,81448,PR MOTOR AND SENSORY NEUROPATHY PANEL (IMSNP),2500.0,2225.0,584.9,2500.0,481 CPT,81448,PR PERIPHERAL NEUROPATHY GENE PANEL (PEPAN),2500.0,2225.0,584.9,2500.0,481 CPT,81448,PR SENSORY NEUROPATHY GENE PANEL (ISNP),2000.0,1780.0,584.9,2000.0,481 CPT,81448,PR SPASTIC PARAPLEGIA GENE PANEL (ISPP),2500.0,2225.0,584.9,2500.0,481 CPT,81449,HC MAYOCOMPLETE LUNG REARRANGEMENTS (MCLNR),1200.0,1068.0,249.6,1200.0,734 CPT,81449,PR MAYOCOMPLETE LUNG REARRANGEMENTS (MCLNR),1200.0,1068.0,597.91,1200.0,481 CPT,81450,HC B-CELL LYMPHOMA NGS,2538.0,2258.82,527.9,2538.0,743 CPT,81450,HC CHRONIC LYMPHOID NEOPLASM NGS,2137.0,1901.93,444.5,2137.0,743 CPT,81450,HC HISTIOCYTIC NEOPLASM NGS,1843.0,1640.27,383.34,1843.0,743 CPT,81450,HC NEXT GEN AML 8,1875.0,1668.75,390.0,1875.0,743 CPT,81450,HC ONCOHEME NGS FOR HEMATOLOGIC CANCER,2620.0,2331.8,544.96,2620.0,743 CPT,81450,HC PLASMA CELL MYELOMA NGS,2137.0,1901.93,444.5,2137.0,743 CPT,81450,"HC REFLEX ANALYSIS, NGSHM",929.0,826.81,193.23,1139.3,743 CPT,81450,HC T-CELL LYMPHOMA NGS,2137.0,1901.93,444.5,2137.0,743 CPT,81450,PR B-CELL LYMPHOMA NGS,2538.0,2258.82,759.53,2538.0,482 CPT,81450,PR CHRONIC LYMPHOID NEOPLASM NGS,2137.0,1901.93,759.53,2137.0,482 CPT,81450,PR NEXT GEN AML 8,1875.0,1668.75,759.53,1875.0,482 CPT,81450,PR ONCOHEME NGS FOR HEMATOLOGIC CANCER,2620.0,2331.8,759.53,2620.0,482 CPT,81450,PR PLASMA CELL MYELOMA NGS,2137.0,1901.93,759.53,2137.0,482 CPT,81450,"PR REFLEX ANALYSIS, NGSHM",929.0,826.81,759.53,929.0,482 CPT,81450,PR T-CELL LYMPHOMA NGS,2137.0,1901.93,759.53,2137.0,482 CPT,81451,HC HEMATOLOGIC GENE FUSION PANEL (HEFUS),2578.0,2294.42,536.22,2578.0,734 CPT,81451,PR HEMATOLOGIC GENE FUSION PANEL (HEFUS),2578.0,2294.42,759.53,2578.0,481 CPT,81455,HC NEURO-ONC EXPAND PANEL (NONCP),1800.0,1602.0,374.4,4379.4,736 CPT,81455,PR NEURO-ONC EXPAND PANEL (NONCP),1800.0,1602.0,1584.0,1800.0,481 CPT,81456,HC MAYOCOMPLETE TARGETED RNASEQ PANEL (MCRSP),2000.0,1780.0,416.0,4379.4,736 CPT,81456,HC MAYOCOMPLETE TRANSCRIP RNASEQ (MCRSQ),2000.0,1780.0,416.0,4379.4,736 CPT,81456,HC NEURO-ONC PANEL FUSIONS (NONCR),2000.0,1780.0,416.0,4379.4,736 CPT,81456,HC SARCOMA TARGETED GENE PANEL (SARCP),2000.0,1780.0,416.0,4379.4,736 CPT,81456,HC SOLID ORGAN NEOPLASM RNA (MCSRC),2754.0,2451.06,572.83,4379.4,736 CPT,81456,HC SOLID ORGAN NEOPLASM RNA (NONCP),1800.0,1602.0,374.4,4379.4,736 CPT,81456,PR MAYOCOMPLETE TARGETED RNASEQ PANEL (MCRSP),2000.0,1780.0,1760.0,2000.0,481 CPT,81456,PR MAYOCOMPLETE TRANSCRIP RNASEQ (MCRSQ),2000.0,1780.0,1760.0,2000.0,481 CPT,81456,PR NEURO-ONC PANEL FUSIONS (NONCR),2000.0,1780.0,1760.0,2000.0,481 CPT,81456,PR SARCOMA TARGETED GENE PANEL (SARCP),2000.0,1780.0,1760.0,2000.0,481 CPT,81456,PR SOLID ORGAN NEOPLASM RNA (MCSRC),2754.0,2451.06,2423.52,2754.0,481 CPT,81456,PR SOLID ORGAN NEOPLASM RNA (NONCP),1800.0,1602.0,1584.0,1800.0,481 CPT,81457,HC MAYCOCOMPLETE GYN PANEL TEST (MCGYN),1600.0,1424.0,332.8,1600.0,739 CPT,81457,HC MAYOCOMPLETE BLAD/PROS PANEL (MCBPP),1600.0,1424.0,332.8,1600.0,739 CPT,81457,HC MAYOCOMPLETE CRC PANEL TEST (MCCRC),1600.0,1424.0,332.8,1600.0,739 CPT,81457,HC MAYOCOMPLETE ENDOMETRIAL PANEL (MCECP),1600.0,1424.0,332.8,1600.0,739 CPT,81457,HC MAYOCOMPLETE GIST PANEL TEST (MCGST),1600.0,1424.0,332.8,1600.0,739 CPT,81457,HC MAYOCOMPLETE KIDNEY CANCER PANEL TEST (MCKCP),1600.0,1424.0,332.8,1600.0,739 CPT,81457,HC MAYOCOMPLETE LUNG CANCER MUTATIONS (MCLNM),1600.0,1424.0,332.8,1600.0,739 CPT,81457,HC MAYOCOMPLETE LUNG CANCER PANEL TEST (MCLNG),2800.0,2492.0,582.4,2800.0,739 CPT,81457,HC MAYOCOMPLETE MELANOMA PANEL TEST (MCMLN),1600.0,1424.0,332.8,1600.0,739 CPT,81457,HC MAYOCOMPLETE OVARY CANCER PANEL (MCOCP),1600.0,1424.0,332.8,1600.0,739 CPT,81457,HC MAYOCOMPLETE SARCOMA MUTATION PANEL (MCSMP),1600.0,1424.0,332.8,1600.0,739 CPT,81457,HC MAYOCOMPLETE SARCOMA PANEL TEST (MCSRC),846.0,752.94,175.97,1345.31,739 CPT,81457,HC NEURO-ONC PANEL MUT (NONCM),1600.0,1424.0,332.8,1600.0,739 CPT,81457,PR MAYCOCOMPLETE GYN PANEL TEST (MCGYN),1600.0,1424.0,896.87,1600.0,481 CPT,81457,PR MAYOCOMPLETE BLAD/PROS PANEL (MCBPP),1600.0,1424.0,896.87,1600.0,481 CPT,81457,PR MAYOCOMPLETE CRC PANEL TEST (MCCRC),1600.0,1424.0,896.87,1600.0,481 CPT,81457,PR MAYOCOMPLETE ENDOMETRIAL PANEL (MCECP),1600.0,1424.0,896.87,1600.0,481 CPT,81457,PR MAYOCOMPLETE GIST PANEL TEST (MCGST),1600.0,1424.0,896.87,1600.0,481 CPT,81457,PR MAYOCOMPLETE KIDNEY CANCER PANEL TEST (MCKCP),1600.0,1424.0,896.87,1600.0,481 CPT,81457,PR MAYOCOMPLETE LUNG CANCER MUTATIONS (MCLNM),1600.0,1424.0,896.87,1600.0,481 CPT,81457,PR MAYOCOMPLETE LUNG CANCER PANEL TEST (MCLNG),2800.0,2492.0,896.87,2800.0,481 CPT,81457,PR MAYOCOMPLETE MELANOMA PANEL TEST (MCMLN),1600.0,1424.0,896.87,1600.0,481 CPT,81457,PR MAYOCOMPLETE OVARY CANCER PANEL (MCOCP),1600.0,1424.0,896.87,1600.0,481 CPT,81457,PR MAYOCOMPLETE SARCOMA MUTATION PANEL (MCSMP),1600.0,1424.0,896.87,1600.0,481 CPT,81457,PR MAYOCOMPLETE SARCOMA PANEL TEST (MCSRC),846.0,752.94,744.48,846.0,481 CPT,81457,PR NEURO-ONC PANEL MUT (NONCM),1600.0,1424.0,896.87,1600.0,481 CPT,81459,HC MAYOCOMPLETE SOLID TUM PANEL (MCSTP),3600.0,3204.0,748.8,4484.33,735 CPT,81459,PR MAYOCOMPLETE SOLID TUM PANEL (MCSTP),3600.0,3204.0,2989.55,3600.0,481 CPT,81460,HC MITOCHON FULL GENOME (CMITO),1160.0,1032.4,241.28,1930.5,736 CPT,81460,HC MITOCHON FULL GENOME ANALYSIS (CLADP),935.0,832.15,194.48,1930.5,736 CPT,81460,HC MITOCHONDRIAL FULL GENE ANALYSIS,1707.0,1519.23,355.06,1930.5,736 CPT,81460,PR MITOCHON FULL GENOME (CMITO),1160.0,1032.4,1020.8,1160.0,481 CPT,81460,PR MITOCHON FULL GENOME ANALYSIS (CLADP),935.0,832.15,822.8,935.0,481 CPT,81460,PR MITOCHONDRIAL FULL GENE ANALYSIS,1707.0,1519.23,1287.0,1707.0,481 CPT,81463,HC MAYOCOMPLETE LIQUID BIOPSY PANEL(MCLBP),3600.0,3204.0,748.8,3600.0,734 CPT,81463,PR MAYOCOMPLETE LIQUID BIOPSY PANEL(MCLBP),3600.0,3204.0,1345.31,3600.0,481 CPT,81465,HC MITOCHON DELETION (CMITO),844.0,751.16,175.55,1404.0,736 CPT,81465,HC WHOLE MITOCHON GENOME (MITOP),793.0,705.77,164.94,1404.0,736 CPT,81465,HC WHOLE MITOCHON GENOME LARGE DEL (CLADP),525.0,467.25,109.2,1404.0,736 CPT,81465,PR MITOCHON DELETION (CMITO),844.0,751.16,742.72,844.0,481 CPT,81465,PR WHOLE MITOCHON GENOME (MITOP),793.0,705.77,697.84,793.0,481 CPT,81465,PR WHOLE MITOCHON GENOME LARGE DEL (CLADP),525.0,467.25,462.0,525.0,481 CPT,81479,HC ACUTE PORPHYRIA GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,"HC ADAMTS13 GENE, FULL GENE (GNADM)",1000.0,890.0,208.0,1000.0,723 CPT,81479,HC AHUS/TMA/C3G GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC ALAGILLE SYNDROME GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC ALK MUTATION ANALYSIS (ALKT),1200.0,1068.0,249.6,1200.0,723 CPT,81479,HC ALPORT SYNDROME GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC ANGIOEDEMA/COMPLEMENT GENE PANEL (AECDP),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC APOL1 GENOTYPE,400.0,356.0,83.2,400.0,723 CPT,81479,HC AUDIOLOGENE HEARING LOSS PANEL (AHLP-MEC),2500.0,2225.0,520.0,2500.0,723 CPT,81479,HC B-CATENIN MUTATIONS ANALYSIS (CTNBT),1200.0,1068.0,249.6,1200.0,723 CPT,81479,HC BAP1 FULL GENE,1000.0,890.0,208.0,1000.0,723 CPT,81479,HC BARTTER SYNDROME GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC BCR/ABL1 REFLEX QUAL/QUANT (BCRFX-MEC-NCCI),581.0,517.09,120.85,581.0,723 CPT,81479,HC BCR/ABL1 RNA QUAL DIAG (BADX-MEC-NCCI),620.0,551.8,128.96,620.0,723 CPT,81479,HC BLEEDING FOCUSED GENE PANEL (MEC),1750.0,1557.5,364.0,1750.0,723 CPT,81479,HC BPGM FULL GENE ANALYSIS,700.0,623.0,145.6,700.0,723 CPT,81479,HC BRAF/KIT MUTATION ANALYSIS TUMOR (MEC),1600.0,1424.0,332.8,1600.0,723 CPT,81479,HC C9ORF72 MOLECULAR ANALYSIS,700.0,623.0,145.6,700.0,723 CPT,81479,"HC CARRIER SCREEN, FOCUSED PANEL (MEC)",800.0,712.0,166.4,800.0,723 CPT,81479,HC CDA SEQUENCING NGS (NCDA),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC CDKN1C FULL GENE ANALYSIS,700.0,623.0,145.6,700.0,723 CPT,81479,HC CEREBROVASCULAR GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC CF AND SMA CARRIER SCREEN PANEL (MEC),800.0,712.0,166.4,800.0,723 CPT,81479,"HC CFDNA KRAS 12, 13, 61, 146 BLOOD (MEC)",900.0,801.0,187.2,900.0,723 CPT,81479,HC CFTR GENE FULL ANALYSIS (CFTRN DEX-Z),1000.0,890.0,208.0,1000.0,723 CPT,81479,HC CGD/PHAGOCYTE DISORDER GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC COMBINED MTDNA+NUCLEAR GENE PANEL (CMITO DEX-Z),5000.0,4450.0,1040.0,5000.0,723 CPT,81479,HC COMPREHENSIVE NEPHROLOGY GENE PANEL (MEC),2500.0,2225.0,520.0,2500.0,723 CPT,81479,HC CONGENITAL HEART DISEASE GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC CONGENITAL LACTIC ACIDOSIS PANEL (MEC),2500.0,2225.0,520.0,2500.0,723 CPT,81479,HC CPVT GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC CXCR4 MUTATION,568.0,505.52,118.14,568.0,723 CPT,81479,"HC CXCR4, GENE MUTATION, REFLEX",579.0,515.31,120.43,579.0,723 CPT,81479,HC CYB5 AND CYB5 REDUCTASE NGS (NCYB),3550.0,3159.5,738.4,3550.0,723 CPT,81479,"HC CYP21A2 GENE, FULL GENE ANALYSIS (CYPZ) (MEC)",1000.0,890.0,208.0,1000.0,723 CPT,81479,HC CYP2B6 GENOTYPE (2B6V),600.0,534.0,124.8,600.0,723 CPT,81479,HC CYSTIC FIBROSIS (CF) MUTATION PANEL (MEC),500.0,445.0,104.0,500.0,723 CPT,81479,HC CYSTIC FIBROSIS PANEL (CFMP DEX-Z),500.0,445.0,104.0,500.0,723 CPT,81479,HC CYSTIC KIDNEY DISEASE GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC CYSTINURIA GENE PANEL (CYSGP),2080.0,1851.2,432.64,2080.0,723 CPT,81479,HC DICER1 MUTATION ANALYSIS (DICET),1200.0,1068.0,249.6,1200.0,723 CPT,81479,HC EHLERS-DANLOS SYNDROME GENE PANEL (EDSGG)(MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC EMERY-DREIFUS GENE PANEL EDMDP (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC ERYTHROCYTOSIS FOCUSED PANEL NGS (NHEM-MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC ERYTHROCYTOSIS FULL PANEL NGS (NHEP-MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC ESR1 MUTATIONS ANALYSIS (ESR1T),1200.0,1068.0,249.6,1200.0,723 CPT,81479,HC EXP PANCREATITIS GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,"HC F11 GENE, FULL GENE (GNF11)",1450.0,1290.5,301.6,1450.0,723 CPT,81479,"HC F13A1 AND B GENES, FULL GENE (GNF13)",2000.0,1780.0,416.0,2000.0,723 CPT,81479,"HC F7 GENE, FULL GENE (GNF7)",1450.0,1290.5,301.6,1450.0,723 CPT,81479,"HC FGA/B/G GENES, FULL GENE (GNFIB)",2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC FLCN FULL GENE,1000.0,890.0,208.0,1000.0,723 CPT,81479,HC FLT3 MUTATION ANALYSIS (FLT DEX-Z),441.0,392.49,91.73,441.0,723 CPT,81479,"HC FLT3 MUTATION ANALYSIS, BLOOD (MEC)",441.0,392.49,91.73,441.0,723 CPT,81479,HC FMR1 GENE (CSFP),43.0,38.27,8.94,43.0,723 CPT,81479,HC FOCUSED ADPKD GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC FOXL2 MUTATIONS ANALYSIS (XL2T),1200.0,1068.0,249.6,1200.0,723 CPT,81479,HC FSGS/NEPHROTIC SYNDROME GENE PANEL (MEC),2500.0,2225.0,520.0,2500.0,723 CPT,81479,HC FTD/ALS GENE PANEL AFTDP (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC GAMMA GLOBIN FULL GENE SEQ (WGSQR),400.0,356.0,83.2,400.0,723 CPT,81479,"HC GAMMA GLOBIN FULL GENE SEQUENCING, V",561.0,499.29,116.69,561.0,723 CPT,81479,HC GATA2 GENE FULL ANAYLYIS (GATAS),1000.0,890.0,208.0,1000.0,723 CPT,81479,HC GAUCHER DISEASE FULL GENE ANA (GBA),700.0,623.0,145.6,700.0,723 CPT,81479,HC GP1BA GENE (GNVWD),100.0,89.0,20.8,100.0,723 CPT,81479,HC HEMIPLEGIC MIGRAINE GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC HEREDIATRY ERYTHROCYTOSIS MUT,700.0,623.0,145.6,700.0,723 CPT,81479,HC HEREDITARY ANGIOEDEMA PANEL (GNANG),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC HEREDITARY COMMON CANCER PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC HEREDITARY EXPANDED CANCER PANEL (MEC),2500.0,2225.0,520.0,2500.0,723 CPT,81479,HC HEREDITARY PANCREATITIS GENE PANEL (HPANP-MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC HEREDITARY RENAL CANCER PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC HEREDITARY WILMS TUMOR PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC HEXB FULL GENE ANALYSIS (HEXBZ),1000.0,890.0,208.0,1000.0,723 CPT,81479,HC HHT AND VASCULAR GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC HYPERCHOLESTEROLEMIA GENE PANEL (HCHLG)(MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC HYPERTRIGLYCERIDEMIA GENE PANEL,2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC HYPOBETALIPOPROTEINEMIA GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,"HC IDH1 AND IDH2, QUANT (IDHQ DEX-Z)",570.0,507.3,118.56,570.0,723 CPT,81479,HC IDH1/IDH2 MUTATIONS ANALYSIS (IDHT),1600.0,1424.0,332.8,1600.0,723 CPT,81479,HC IGH/IK GENE REARRANGE BCGET/BCGBM/BCGR/BCGRV (MEC),507.0,451.23,105.46,507.0,723 CPT,81479,HC IMMUNOGLOBULIN GENE REARR (BCGRV DEX-Z),520.0,462.8,108.16,520.0,723 CPT,81479,HC INBORN ERR OF IMMUNITY GENE PANEL (IEICP DEX-Z)),2500.0,2225.0,520.0,2500.0,723 CPT,81479,HC KETONE DISORDERS GENE PANEL (KETGP),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC KRAS GENE PANEL (KRASD DEX-Z),855.0,760.95,177.84,855.0,723 CPT,81479,HC KRAS MUTATION ANALYSIS (KRASW DEX-Z),828.0,736.92,172.22,828.0,723 CPT,81479,"HC KRAS MUTATION ANALYSIS, PERITONEAL (MEC)",855.0,760.95,177.84,855.0,723 CPT,81479,HC LIPODYSTROPHY GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC LONG QT SYNDROME GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC MAYO COMPLETE ACUTE MYELOID LEUKEMIA (MEC),1756.0,1562.84,365.25,1756.0,723 CPT,81479,HC MAYOCOMPLETE FIBROMYOMATOUS RCC (MEC),1600.0,1424.0,332.8,1600.0,723 CPT,81479,HC MAYOCOMPLETE LUNG REARRANGEMENTS MCLNR (MEC),1656.0,1473.84,344.45,1656.0,723 CPT,81479,HC MAYOCOMPLETE SOLID TUM PANEL (MCSTP DEX-Z),3600.0,3204.0,748.8,3600.0,723 CPT,81479,HC MCAD MUTATION SCREEN (ACADM),700.0,623.0,145.6,700.0,723 CPT,81479,HC MITOCHON DELETION HETEROPLASMY (DMITO),500.0,445.0,104.0,500.0,723 CPT,81479,HC MITOCHON FULL GENOME ANALYSIS (MEC),2500.0,2225.0,520.0,2500.0,723 CPT,81479,HC MITOCHONDRIAL FULL GENOME ANAL (MITOP DEX-Z),2500.0,2225.0,520.0,2500.0,723 CPT,81479,HC MLH1/BRAF ANALYSIS (BRMLH DEX-Z),1400.0,1246.0,291.2,1400.0,723 CPT,81479,HC MOPATH PROC (ADPKP),117.0,104.13,24.34,117.0,723 CPT,81479,HC MOPATH PROC (AFTDP),37.0,32.93,7.7,37.0,723 CPT,81479,HC MOPATH PROC (AHUGP),533.0,474.37,110.86,533.0,723 CPT,81479,HC MOPATH PROC (ALAGP),211.0,187.79,43.89,211.0,723 CPT,81479,HC MOPATH PROC (ALPGP),134.0,119.26,27.87,134.0,723 CPT,81479,HC MOPATH PROC (APGP),207.0,184.23,43.06,207.0,723 CPT,81479,HC MOPATH PROC (BRFKT),1600.0,1424.0,332.8,1600.0,723 CPT,81479,HC MOPATH PROC (BRTP),39.0,34.71,8.11,39.0,723 CPT,81479,HC MOPATH PROC (CHDGG),29.0,25.81,6.03,29.0,723 CPT,81479,HC MOPATH PROC (CKDGP),17.0,15.13,3.54,17.0,723 CPT,81479,HC MOPATH PROC (COMCP),12.0,10.68,2.5,12.0,723 CPT,81479,HC MOPATH PROC (CPVTG),83.0,73.87,17.26,83.0,723 CPT,81479,HC MOPATH PROC (CVHBG),45.0,40.05,9.36,45.0,723 CPT,81479,HC MOPATH PROC (EDMDP),209.0,186.01,43.47,209.0,723 CPT,81479,HC MOPATH PROC (EDSGG),54.0,48.06,11.23,54.0,723 CPT,81479,HC MOPATH PROC (GNBLF),50.0,44.5,10.4,50.0,723 CPT,81479,HC MOPATH PROC (HCHLG),162.0,144.18,33.7,162.0,723 CPT,81479,HC MOPATH PROC (HHTGG),215.0,191.35,44.72,215.0,723 CPT,81479,HC MOPATH PROC (HMEP),43.0,38.27,8.94,43.0,723 CPT,81479,HC MOPATH PROC (HYPBG),180.0,160.2,37.44,180.0,723 CPT,81479,HC MOPATH PROC (IMNP),100.0,89.0,20.8,100.0,723 CPT,81479,HC MOPATH PROC (LIPOG),100.0,89.0,20.8,100.0,723 CPT,81479,HC MOPATH PROC (LQTSG),125.0,111.25,26.0,125.0,723 CPT,81479,HC MOPATH PROC (MCFRC),180.0,160.2,37.44,180.0,723 CPT,81479,HC MOPATH PROC (MSUDP),160.0,142.4,33.28,160.0,723 CPT,81479,HC MOPATH PROC (NEPHP),10.0,8.9,2.08,10.0,723 CPT,81479,HC MOPATH PROC (NHEM),534.0,475.26,111.07,534.0,723 CPT,81479,HC MOPATH PROC (NHEP),295.0,262.55,61.36,295.0,723 CPT,81479,HC MOPATH PROC (NMEM),500.0,445.0,104.0,500.0,723 CPT,81479,HC MOPATH PROC (OIBFG),58.0,51.62,12.06,58.0,723 CPT,81479,HC MOPATH PROC (PANGP),114.0,101.46,23.71,114.0,723 CPT,81479,HC MOPATH PROC (PARDP),32.0,28.48,6.66,32.0,723 CPT,81479,HC MOPATH PROC (PCGP),207.0,184.23,43.06,207.0,723 CPT,81479,HC MOPATH PROC (PHCGD),167.0,148.63,34.74,167.0,723 CPT,81479,HC MOPATH PROC (PHEGP),206.0,183.34,42.85,206.0,723 CPT,81479,HC MOPATH PROC (PKLRG),200.0,178.0,41.6,200.0,723 CPT,81479,HC MOPATH PROC (RBART),133.0,118.37,27.66,133.0,723 CPT,81479,HC MOPATH PROC (RENCP),65.0,57.85,13.52,65.0,723 CPT,81479,HC MOPATH PROC (RFSGS),26.0,23.14,5.41,26.0,723 CPT,81479,HC MOPATH PROC (RSCGP),44.0,39.16,9.15,44.0,723 CPT,81479,HC MOPATH PROC (SMCP),150.0,133.5,31.2,150.0,723 CPT,81479,HC MOPATH PROC (SQTSG),235.0,209.15,48.88,235.0,723 CPT,81479,HC MOPATH PROC (T1GS),6.0,5.34,1.25,6.0,723 CPT,81479,HC MOPATH PROC (TYRGP),522.0,464.58,108.58,522.0,723 CPT,81479,HC MOPATH PROC (WILMP),215.0,191.35,44.72,215.0,723 CPT,81479,HC MOPATH PROC (XCP),16.0,14.24,3.33,16.0,723 CPT,81479,HC MOTOR NEURON DISEASE GENE PAN (MNDP DEX-Z),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC MOTOR NEUROPATHY GENE PANEL IMNP (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC MSUD GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC MUSCLE CHANNEL GENE PANEL SMCP (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,"HC MYH9 GENE, FULL GENE (GNMY9)",1450.0,1290.5,301.6,1450.0,723 CPT,81479,HC MYOD1 MUTATION ANALYSIS (MYODT),1200.0,1068.0,249.6,1200.0,723 CPT,81479,HC NAT2F FULL GENE SEQ (NAT2Q),600.0,534.0,124.8,600.0,723 CPT,81479,HC NEURO-ONC EXPAND PANEL (NONCP DEX-Z),3600.0,3204.0,748.8,3600.0,723 CPT,81479,HC NOTCH3 GENE FULL ANLYS (NTC3Z),1000.0,890.0,208.0,1000.0,723 CPT,81479,HC NTRK GENES MUTATION ANALYSIS (NTRKM),1600.0,1424.0,332.8,1600.0,723 CPT,81479,HC OSTEO IMPERF AND BONE FRAGILITY GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC PARKINSON DIS GENE PANEL PARDP (MEC),2500.0,2225.0,520.0,2500.0,723 CPT,81479,HC PHENYLALANINE DISORDERS GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC POLE MUTATION ANALYSIS (POLET),1200.0,1068.0,249.6,1200.0,723 CPT,81479,HC PORPHYRIA COMPREHENSIVE GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC PRIMARY CILIARY DYSKINESIA PANEL,2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC PRKAR1A FULL GENE ANALYSIS,1000.0,890.0,208.0,1000.0,723 CPT,81479,"HC PROC GENE, FULL GENE (GNPRC)",1000.0,890.0,208.0,1000.0,723 CPT,81479,"HC PROS GENE, FULL GENE (GNPRS)",1000.0,890.0,208.0,1000.0,723 CPT,81479,HC PULMONARY FIBROSIS GENE PANEL (IPFGP),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC RAPID HERED BREAST CANCER TEST (MEC),2500.0,2225.0,520.0,2500.0,723 CPT,81479,HC RBC MEMBRANE SEQUENCING (NMEM-MEC),3550.0,3159.5,738.4,3550.0,723 CPT,81479,HC RENAL STONE/ELECTROLYTE GENE PANEL (MEC),2500.0,2225.0,520.0,2500.0,723 CPT,81479,HC SDH GENES MUTATION ANALYSIS (MEC),1600.0,1424.0,332.8,1600.0,723 CPT,81479,"HC SEPTIN9 GENE, FULL GENE ANALYSIS (SEP9Z)",1000.0,890.0,208.0,1000.0,723 CPT,81479,HC SERPINA1 FULL GENE ANALYSIS,700.0,623.0,145.6,700.0,723 CPT,81479,HC SERPINC1 FULL GENE NGS,983.0,874.87,204.46,983.0,723 CPT,81479,"HC SERPINC1 GENE, FULL GENE (GNANT)",1000.0,890.0,208.0,1000.0,723 CPT,81479,HC SHORT QT SYNDROME GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC SPINOCEREBELLAR ATAXIA PANEL (MEC),700.0,623.0,145.6,700.0,723 CPT,81479,"HC T CELL RECEPTOR GENE REARRANGE, BM (MEC)",643.0,572.27,133.74,643.0,723 CPT,81479,HC TELOMERE DEFECTS GENE PANEL,2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC TIER 1 GENOMIC SCREEN (MEC),350.0,311.5,72.8,350.0,723 CPT,81479,HC TRB/TCG GENE REARRANGEMENT (TCGBM DEX-Z),685.0,609.65,142.48,685.0,723 CPT,81479,HC TREC IMMUNE RECONSTITUTION,700.0,623.0,145.6,700.0,723 CPT,81479,HC TTR GENE FULL GENE ANALYSIS (TTRZ DEX-Z),1000.0,890.0,208.0,1000.0,723 CPT,81479,HC TUBEROUS SCLEROSIS GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC TYROSINE DISORDERS GENE PANEL (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,HC VWF AND GP1BA GENES (MEC),2000.0,1780.0,416.0,2000.0,723 CPT,81479,PR ACUTE PORPHYRIA GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,"PR ADAMTS13 GENE, FULL GENE (GNADM)",1000.0,890.0,100.0,1000.0,477 CPT,81479,PR AHUS/TMA/C3G GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR ALAGILLE SYNDROME GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR ALK MUTATION ANALYSIS (ALKT),1200.0,1068.0,120.0,1200.0,477 CPT,81479,PR ALPORT SYNDROME GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR ANGIOEDEMA/COMPLEMENT GENE PANEL (AECDP),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR APOL1 GENOTYPE,400.0,356.0,40.0,400.0,477 CPT,81479,PR AUDIOLOGENE HEARING LOSS PANEL (AHLP-MEC),2500.0,2225.0,250.0,2500.0,477 CPT,81479,PR B-CATENIN MUTATIONS ANALYSIS (CTNBT),1200.0,1068.0,120.0,1200.0,477 CPT,81479,PR BAP1 FULL GENE,1000.0,890.0,100.0,1000.0,477 CPT,81479,PR BARTTER SYNDROME GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR BCR/ABL1 REFLEX QUAL/QUANT (BCRFX-MEC-NCCI),620.0,551.8,62.0,620.0,477 CPT,81479,PR BCR/ABL1 RNA QUAL DIAG (BADX-MEC-NCCI),620.0,551.8,62.0,620.0,477 CPT,81479,PR BLEEDING FOCUSED GENE PANEL (MEC),1750.0,1557.5,175.0,1750.0,477 CPT,81479,PR BPGM FULL GENE ANALYSIS,700.0,623.0,70.0,700.0,477 CPT,81479,PR BRAF/KIT MUTATION ANALYSIS TUMOR (MEC),1600.0,1424.0,160.0,1600.0,477 CPT,81479,PR C9ORF72 MOLECULAR ANALYSIS,700.0,623.0,70.0,700.0,477 CPT,81479,"PR CARRIER SCREEN, FOCUSED PANEL (MEC)",800.0,712.0,80.0,800.0,477 CPT,81479,PR CDA SEQUENCING NGS (NCDA),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR CDKN1C FULL GENE ANALYSIS,700.0,623.0,70.0,700.0,477 CPT,81479,PR CEREBROVASCULAR GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR CF AND SMA CARRIER SCREEN PANEL (MEC),800.0,712.0,80.0,800.0,477 CPT,81479,PR CFTR GENE FULL ANALYSIS (CFTRN DEX-Z),1000.0,890.0,100.0,1000.0,477 CPT,81479,PR CGD/PHAGOCYTE DISORDER GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR COMBINED MTDNA+NUCLEAR GENE PANEL (CMITO DEX-Z),5000.0,4450.0,500.0,5000.0,477 CPT,81479,PR COMPREHENSIVE NEPHROLOGY GENE PANEL (MEC),2500.0,2225.0,250.0,2500.0,477 CPT,81479,PR CONGENITAL HEART DISEASE GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR CONGENITAL LACTIC ACIDOSIS PANEL (MEC),2500.0,2225.0,250.0,2500.0,477 CPT,81479,PR CPVT GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR CXCR4 MUTATION,568.0,505.52,56.8,568.0,477 CPT,81479,"PR CXCR4, GENE MUTATION, REFLEX",579.0,515.31,57.9,579.0,477 CPT,81479,PR CYB5 AND CYB5 REDUCTASE NGS (NCYB),3550.0,3159.5,355.0,3550.0,477 CPT,81479,"PR CYP21A2 GENE, FULL GENE ANALYSIS (CYPZ) (MEC)",1000.0,890.0,100.0,1000.0,477 CPT,81479,PR CYP2B6 GENOTYPE (2B6V),600.0,534.0,60.0,600.0,477 CPT,81479,PR CYSTIC FIBROSIS (CF) MUTATION PANEL (MEC),500.0,445.0,50.0,500.0,477 CPT,81479,PR CYSTIC FIBROSIS PANEL (CFMP DEX-Z),500.0,445.0,50.0,500.0,477 CPT,81479,PR CYSTIC KIDNEY DISEASE GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR CYSTINURIA GENE PANEL (CYSGP),2080.0,1851.2,208.0,2080.0,477 CPT,81479,PR DICER1 MUTATION ANALYSIS (DICET),1200.0,1068.0,120.0,1200.0,477 CPT,81479,PR EHLERS-DANLOS SYNDROME GENE PANEL (EDSGG)(MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR EMERY-DREIFUS GENE PANEL EDMDP (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR ERYTHROCYTOSIS FOCUSED PANEL NGS (NHEM-MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR ERYTHROCYTOSIS FULL PANEL NGS (NHEP-MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR ESR1 MUTATIONS ANALYSIS (ESR1T),1200.0,1068.0,120.0,1200.0,477 CPT,81479,PR EXP PANCREATITIS GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,"PR F11 GENE, FULL GENE (GNF11)",1450.0,1290.5,145.0,1450.0,477 CPT,81479,"PR F13A1 AND B GENES, FULL GENE (GNF13)",2000.0,1780.0,200.0,2000.0,477 CPT,81479,"PR F7 GENE, FULL GENE (GNF7)",1450.0,1290.5,145.0,1450.0,477 CPT,81479,"PR FGA/B/G GENES, FULL GENE (GNFIB)",2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR FLCN FULL GENE,1000.0,890.0,100.0,1000.0,477 CPT,81479,PR FLT3 MUTATION ANALYSIS (FLT DEX-Z),485.0,431.65,48.5,485.0,477 CPT,81479,"PR FLT3 MUTATION ANALYSIS, BLOOD (MEC)",485.0,431.65,48.5,485.0,477 CPT,81479,PR FMR1 GENE (CSFP),43.0,38.27,4.3,43.0,477 CPT,81479,PR FOCUSED ADPKD GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR FOXL2 MUTATIONS ANALYSIS (XL2T),1200.0,1068.0,120.0,1200.0,477 CPT,81479,PR FSGS/NEPHROTIC SYNDROME GENE PANEL (MEC),2500.0,2225.0,250.0,2500.0,477 CPT,81479,PR FTD/ALS GENE PANEL AFTDP (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR GAMMA GLOBIN FULL GENE SEQ (WGSQR),400.0,356.0,40.0,400.0,477 CPT,81479,"PR GAMMA GLOBIN FULL GENE SEQUENCING, V",561.0,499.29,56.1,561.0,477 CPT,81479,PR GATA2 GENE FULL ANAYLYIS (GATAS),1000.0,890.0,100.0,1000.0,477 CPT,81479,PR GAUCHER DISEASE FULL GENE ANA (GBA),700.0,623.0,70.0,700.0,477 CPT,81479,PR GP1BA GENE (GNVWD),100.0,89.0,10.0,100.0,477 CPT,81479,PR HEMIPLEGIC MIGRAINE GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR HEREDIATRY ERYTHROCYTOSIS MUT,700.0,623.0,70.0,700.0,477 CPT,81479,PR HEREDITARY ANGIOEDEMA PANEL (GNANG),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR HEREDITARY COMMON CANCER PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR HEREDITARY EXPANDED CANCER PANEL (MEC),2500.0,2225.0,250.0,2500.0,477 CPT,81479,PR HEREDITARY PANCREATITIS GENE PANEL (HPANP-MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR HEREDITARY RENAL CANCER PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR HEREDITARY WILMS TUMOR PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR HEXB FULL GENE ANALYSIS (HEXBZ),1000.0,890.0,100.0,1000.0,477 CPT,81479,PR HHT AND VASCULAR GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR HYPERCHOLESTEROLEMIA GENE PANEL (HCHLG)(MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR HYPERTRIGLYCERIDEMIA GENE PANEL,2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR HYPOBETALIPOPROTEINEMIA GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,"PR IDH1 AND IDH2, QUANT (IDHQ DEX-Z)",570.0,507.3,57.0,570.0,477 CPT,81479,PR IDH1/IDH2 MUTATIONS ANALYSIS (IDHT),1600.0,1424.0,160.0,1600.0,477 CPT,81479,PR IGH/IK GENE REARRANGE BCGET/BCGBM/BCGR/BCGRV (MEC),507.0,451.23,50.7,507.0,477 CPT,81479,PR IMMUNOGLOBULIN GENE REARR (BCGRV DEX-Z),520.0,462.8,52.0,520.0,477 CPT,81479,PR INBORN ERR OF IMMUNITY GENE PANEL (IEICP DEX-Z)),2500.0,2225.0,250.0,2500.0,477 CPT,81479,PR KETONE DISORDERS GENE PANEL (KETGP),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR KRAS GENE PANEL (KRASD DEX-Z),900.0,801.0,90.0,900.0,477 CPT,81479,PR KRAS MUTATION ANALYSIS (KRASW DEX-Z),828.0,736.92,82.8,828.0,477 CPT,81479,PR LIPODYSTROPHY GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR LONG QT SYNDROME GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR MAYO COMPLETE ACUTE MYELOID LEUKEMIA (MEC),1756.0,1562.84,175.6,1756.0,477 CPT,81479,PR MAYOCOMPLETE FIBROMYOMATOUS RCC (MEC),1600.0,1424.0,160.0,1600.0,477 CPT,81479,PR MAYOCOMPLETE SOLID TUM PANEL (MCSTP DEX-Z),3600.0,3204.0,360.0,3600.0,477 CPT,81479,PR MCAD MUTATION SCREEN (ACADM),700.0,623.0,70.0,700.0,477 CPT,81479,PR MITOCHON DELETION HETEROPLASMY (DMITO),500.0,445.0,50.0,500.0,477 CPT,81479,PR MITOCHON FULL GENOME ANALYSIS (MEC),2500.0,2225.0,250.0,2500.0,477 CPT,81479,PR MITOCHONDRIAL FULL GENOME ANAL (MITOP DEX-Z),2500.0,2225.0,250.0,2500.0,477 CPT,81479,PR MLH1/BRAF ANALYSIS (BRMLH DEX-Z),1400.0,1246.0,140.0,1400.0,477 CPT,81479,PR MOPATH PROC (ADPKP),117.0,104.13,11.7,117.0,477 CPT,81479,PR MOPATH PROC (AFTDP),37.0,32.93,3.7,37.0,477 CPT,81479,PR MOPATH PROC (AHUGP),533.0,474.37,53.3,533.0,477 CPT,81479,PR MOPATH PROC (ALAGP),211.0,187.79,21.1,211.0,477 CPT,81479,PR MOPATH PROC (ALPGP),134.0,119.26,13.4,134.0,477 CPT,81479,PR MOPATH PROC (APGP),207.0,184.23,20.7,207.0,477 CPT,81479,PR MOPATH PROC (BRFKT),1600.0,1424.0,160.0,1600.0,477 CPT,81479,PR MOPATH PROC (BRTP),39.0,34.71,3.9,39.0,477 CPT,81479,PR MOPATH PROC (CHDGG),29.0,25.81,2.9,29.0,477 CPT,81479,PR MOPATH PROC (CKDGP),17.0,15.13,1.7,17.0,477 CPT,81479,PR MOPATH PROC (COMCP),12.0,10.68,1.2,12.0,477 CPT,81479,PR MOPATH PROC (CPVTG),83.0,73.87,8.3,83.0,477 CPT,81479,PR MOPATH PROC (CVHBG),45.0,40.05,4.5,45.0,477 CPT,81479,PR MOPATH PROC (EDMDP),209.0,186.01,20.9,209.0,477 CPT,81479,PR MOPATH PROC (EDSGG),54.0,48.06,5.4,54.0,477 CPT,81479,PR MOPATH PROC (GNBLF),50.0,44.5,5.0,50.0,477 CPT,81479,PR MOPATH PROC (HCHLG),162.0,144.18,16.2,162.0,477 CPT,81479,PR MOPATH PROC (HHTGG),215.0,191.35,21.5,215.0,477 CPT,81479,PR MOPATH PROC (HMEP),43.0,38.27,4.3,43.0,477 CPT,81479,PR MOPATH PROC (HYPBG),180.0,160.2,18.0,180.0,477 CPT,81479,PR MOPATH PROC (IMNP),100.0,89.0,10.0,100.0,477 CPT,81479,PR MOPATH PROC (LIPOG),100.0,89.0,10.0,100.0,477 CPT,81479,PR MOPATH PROC (LQTSG),125.0,111.25,12.5,125.0,477 CPT,81479,PR MOPATH PROC (MCFRC),180.0,160.2,18.0,180.0,477 CPT,81479,PR MOPATH PROC (MSUDP),160.0,142.4,16.0,160.0,477 CPT,81479,PR MOPATH PROC (NEPHP),10.0,8.9,1.0,10.0,477 CPT,81479,PR MOPATH PROC (NHEM),534.0,475.26,53.4,534.0,477 CPT,81479,PR MOPATH PROC (NHEP),295.0,262.55,29.5,295.0,477 CPT,81479,PR MOPATH PROC (NMEM),500.0,445.0,50.0,500.0,477 CPT,81479,PR MOPATH PROC (OIBFG),58.0,51.62,5.8,58.0,477 CPT,81479,PR MOPATH PROC (PANGP),114.0,101.46,11.4,114.0,477 CPT,81479,PR MOPATH PROC (PARDP),32.0,28.48,3.2,32.0,477 CPT,81479,PR MOPATH PROC (PCGP),207.0,184.23,20.7,207.0,477 CPT,81479,PR MOPATH PROC (PHCGD),167.0,148.63,16.7,167.0,477 CPT,81479,PR MOPATH PROC (PHEGP),206.0,183.34,20.6,206.0,477 CPT,81479,PR MOPATH PROC (PKLRG),200.0,178.0,20.0,200.0,477 CPT,81479,PR MOPATH PROC (RBART),133.0,118.37,13.3,133.0,477 CPT,81479,PR MOPATH PROC (RENCP),65.0,57.85,6.5,65.0,477 CPT,81479,PR MOPATH PROC (RFSGS),26.0,23.14,2.6,26.0,477 CPT,81479,PR MOPATH PROC (RSCGP),44.0,39.16,4.4,44.0,477 CPT,81479,PR MOPATH PROC (SMCP),150.0,133.5,15.0,150.0,477 CPT,81479,PR MOPATH PROC (SQTSG),235.0,209.15,23.5,235.0,477 CPT,81479,PR MOPATH PROC (T1GS),6.0,5.34,0.6,6.0,477 CPT,81479,PR MOPATH PROC (TYRGP),522.0,464.58,52.2,522.0,477 CPT,81479,PR MOPATH PROC (WILMP),215.0,191.35,21.5,215.0,477 CPT,81479,PR MOPATH PROC (XCP),16.0,14.24,1.6,16.0,477 CPT,81479,PR MOTOR NEURON DISEASE GENE PAN (MNDP DEX-Z),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR MOTOR NEUROPATHY GENE PANEL IMNP (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR MSUD GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR MUSCLE CHANNEL GENE PANEL SMCP (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,"PR MYH9 GENE, FULL GENE (GNMY9)",1450.0,1290.5,145.0,1450.0,477 CPT,81479,PR MYOD1 MUTATION ANALYSIS (MYODT),1200.0,1068.0,120.0,1200.0,477 CPT,81479,PR NAT2F FULL GENE SEQ (NAT2Q),600.0,534.0,60.0,600.0,477 CPT,81479,PR NEURO-ONC EXPAND PANEL (NONCP DEX-Z),3600.0,3204.0,360.0,3600.0,477 CPT,81479,PR NOTCH3 GENE FULL ANLYS (NTC3Z),1000.0,890.0,100.0,1000.0,477 CPT,81479,PR NTRK GENES MUTATION ANALYSIS (NTRKM),1600.0,1424.0,160.0,1600.0,477 CPT,81479,PR OSTEO IMPERF AND BONE FRAGILITY GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR PARKINSON DIS GENE PANEL PARDP (MEC),2500.0,2225.0,250.0,2500.0,477 CPT,81479,PR PHENYLALANINE DISORDERS GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR POLE MUTATION ANALYSIS (POLET),1200.0,1068.0,120.0,1200.0,477 CPT,81479,PR PORPHYRIA COMPREHENSIVE GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR PRIMARY CILIARY DYSKINESIA PANEL,2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR PRKAR1A FULL GENE ANALYSIS,1000.0,890.0,100.0,1000.0,477 CPT,81479,"PR PROC GENE, FULL GENE (GNPRC)",1000.0,890.0,100.0,1000.0,477 CPT,81479,"PR PROS GENE, FULL GENE (GNPRS)",1000.0,890.0,100.0,1000.0,477 CPT,81479,PR PROS1 FULL GENE NGS,1061.0,944.29,106.1,1061.0,477 CPT,81479,PR PULMONARY FIBROSIS GENE PANEL (IPFGP),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR RAPID HERED BREAST CANCER TEST (MEC),2500.0,2225.0,250.0,2500.0,477 CPT,81479,PR RBC MEMBRANE SEQUENCING (NMEM-MEC),3550.0,3159.5,355.0,3550.0,477 CPT,81479,PR RENAL STONE/ELECTROLYTE GENE PANEL (MEC),2500.0,2225.0,250.0,2500.0,477 CPT,81479,PR SDH GENES MUTATION ANALYSIS (MEC),1600.0,1424.0,160.0,1600.0,477 CPT,81479,"PR SEPTIN9 GENE, FULL GENE ANALYSIS (SEP9Z)",1000.0,890.0,100.0,1000.0,477 CPT,81479,PR SERPINA1 FULL GENE ANALYSIS,700.0,623.0,70.0,700.0,477 CPT,81479,PR SERPINC1 FULL GENE NGS,983.0,874.87,98.3,983.0,477 CPT,81479,"PR SERPINC1 GENE, FULL GENE (GNANT)",1000.0,890.0,100.0,1000.0,477 CPT,81479,PR SHORT QT SYNDROME GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR SPINOCEREBELLAR ATAXIA PANEL (MEC),700.0,623.0,70.0,700.0,477 CPT,81479,"PR T CELL RECEPTOR GENE REARRANGE, BM (MEC)",643.0,572.27,64.3,643.0,477 CPT,81479,PR TIER 1 GENOMIC SCREEN (MEC),350.0,311.5,35.0,350.0,477 CPT,81479,PR TRB/TCG GENE REARRANGEMENT (TCGBM DEX-Z),643.0,572.27,64.3,643.0,477 CPT,81479,PR TREC IMMUNE RECONSTITUTION,700.0,623.0,70.0,700.0,477 CPT,81479,PR TTR GENE FULL GENE ANALYSIS (TTRZ DEX-Z),1000.0,890.0,100.0,1000.0,477 CPT,81479,PR TUBEROUS SCLEROSIS GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR TYROSINE DISORDERS GENE PANEL (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81479,PR VWF AND GP1BA GENES (MEC),2000.0,1780.0,200.0,2000.0,477 CPT,81508,PR FIRST TRIMESTER MATERNAL SCRN,330.0,293.7,54.3,330.0,481 CPT,81513,HC BACTERIAL VAGINOSIS AMP RNA,383.0,340.87,79.66,383.0,740 CPT,81513,PR BACTERIAL VAGINOSIS AMP RNA,383.0,340.87,142.63,383.0,467 CPT,81517,HC LIVER DISEASE ANALYZE 3 BIOMARKERS,977.0,869.53,176.19,977.0,733 CPT,81517,PR LIVER DISEASE ANALYZE 3 BIOMARKERS,977.0,869.53,176.19,977.0,481 CPT,81596,HC INFCT DS CHRNC HCV 6 ASSAYS,494.0,439.66,70.75,494.0,734 CPT,81596,PR INFCT DS CHRNC HCV 6 ASSAYS,494.0,439.66,72.19,494.0,481 CPT,81599,HC CHD GENETIC RISK SCORE,800.0,712.0,166.4,800.0,719 CPT,81599,HC PREECLAMPSIA SLFT-1/PIGF RATIO,213.0,189.57,44.3,213.0,719 CPT,81599,HC TIMP2/IGFBP7 AKI RISK SCORE,269.0,239.41,55.95,269.0,719 CPT,81599,PR CHD GENETIC RISK SCORE,800.0,712.0,80.0,800.0,477 CPT,81599,PR PREECLAMPSIA SLFT-1/PIGF RATIO,213.0,189.57,21.3,213.0,477 CPT,81599,PR TIMP2/IGFBP7 AKI RISK SCORE,262.0,233.18,26.2,262.0,477 CPT,82010,HC KETONE QUANT,99.0,88.11,7.07,99.0,739 CPT,82010,PR KETONE QUANT,99.0,88.11,8.17,99.0,481 CPT,82013,PR ACETYLCHOLINESTERASE ASSAY,181.0,161.09,12.29,181.0,481 CPT,82017,HC ACYLCARNITINE QUANT EA 2,128.0,113.92,16.53,128.0,737 CPT,82017,PR ACYLCARNITINE QUANT EA 2,128.0,113.92,16.87,128.0,481 CPT,82024,HC ACTH,329.0,292.81,37.85,329.0,739 CPT,82024,HC ACTH 1,329.0,292.81,37.85,329.0,739 CPT,82024,PR ACTH,329.0,292.81,38.62,329.0,467 CPT,82024,PR ACTH 1,329.0,292.81,38.62,329.0,467 CPT,82040,HC ALBUMIN SERUM/PLASMA/WHOLE BLD,39.0,34.71,4.85,39.0,741 CPT,82040,HC ALBUMIN SERUM/PLASMA/WHOLE BLD 2,39.0,34.71,4.85,39.0,741 CPT,82040,PR ALBUMIN SERUM/PLASMA/WHOLE BLD,39.0,34.71,4.95,39.0,481 CPT,82040,PR ALBUMIN SERUM/PLASMA/WHOLE BLD 2,39.0,34.71,4.95,39.0,481 CPT,82042,HC ALBUMIN URINE/OTHER SOURCE QUANT,70.0,62.3,7.62,70.0,742 CPT,82042,HC ALBUMIN URINE/OTHER SOURCE QUANT 2,70.0,62.3,7.62,70.0,742 CPT,82042,PR ALBUMIN URINE/OTHER SOURCE QUANT,70.0,62.3,7.78,70.0,467 CPT,82043,HC MICROALBUMIN QUANT URINE,92.0,81.88,5.66,92.0,738 CPT,82043,PR MICROALBUMIN QUANT URINE,92.0,81.88,5.78,92.0,481 CPT,82075,HC BREATHALYZER ETOH ASSAY,93.0,82.77,19.34,93.0,735 CPT,82075,PR BREATHALYZER ETOH ASSAY,93.0,82.77,30.0,93.0,485 CPT,82077,HC ASSAY OF ALCOHOL NON-URINE/BREATH,176.0,156.64,16.92,176.0,737 CPT,82077,PR ASSAY OF ALCOHOL NON-URINE/BREATH,176.0,156.64,17.27,176.0,481 CPT,82085,HC ALDOLASE ASSAY,93.0,82.77,8.4,93.0,737 CPT,82085,PR ALDOLASE ASSAY,93.0,82.77,9.71,93.0,481 CPT,82088,HC ALDOSTERONE PLASMA,288.0,256.32,39.94,288.0,738 CPT,82088,HC ALDOSTERONE SERUM,288.0,256.32,39.94,288.0,738 CPT,82088,HC ALDOSTERONE URINE,288.0,256.32,39.94,288.0,738 CPT,82088,PR ALDOSTERONE PLASMA,288.0,256.32,40.75,288.0,467 CPT,82088,PR ALDOSTERONE SERUM,288.0,256.32,40.75,288.0,481 CPT,82088,PR ALDOSTERONE URINE,288.0,256.32,40.75,288.0,467 CPT,82103,HC ALPHA 1 ANTITRYPSIN TOTAL,145.0,129.05,13.17,145.0,736 CPT,82103,HC ALPHA 1 ANTITRYPSIN TOTAL 1,145.0,129.05,13.17,145.0,736 CPT,82103,PR ALPHA 1 ANTITRYPSIN TOTAL,145.0,129.05,13.44,145.0,467 CPT,82103,PR ALPHA 1 ANTITRYPSIN TOTAL 1,145.0,129.05,13.44,145.0,467 CPT,82104,HC ALPHA1 ANTITRYPSIN PHENOTYPE,180.0,160.2,14.17,180.0,736 CPT,82104,PR ALPHA1 ANTITRYPSIN PHENOTYPE,180.0,160.2,14.46,180.0,467 CPT,82105,HC ALPHA FETOPROTEIN SERUM,138.0,122.82,16.43,138.0,740 CPT,82105,PR ALPHA FETOPROTEIN SERUM,138.0,122.82,16.77,138.0,467 CPT,82106,PR ALPHA FETOPROTEIN AMNIOTIC,131.0,116.59,17.0,131.0,481 CPT,82107,HC AFP L3 FRACTN ISOFRM TTL AFP,427.0,380.03,63.12,427.0,736 CPT,82107,PR AFP L3 FRACTN ISOFRM TTL AFP,427.0,380.03,64.41,427.0,467 CPT,82108,HC ALUMINUM ASSAY,236.0,210.04,22.04,236.0,734 CPT,82108,HC ALUMINUM ASSAY 1,271.0,241.19,22.04,271.0,734 CPT,82108,PR ALUMINUM ASSAY,236.0,210.04,25.48,236.0,467 CPT,82108,PR ALUMINUM ASSAY 1,236.0,210.04,25.48,236.0,467 CPT,82131,HC METHIONINE (TYRBS-NCCI),215.0,191.35,22.52,215.0,734 CPT,82131,HC TRYPTOPHAN,215.0,191.35,22.52,215.0,734 CPT,82131,PR TRYPTOPHAN,215.0,191.35,22.98,215.0,481 CPT,82131,PR TRYTOPHAN 2,217.0,193.13,22.98,217.0,481 CPT,82135,HC AMINOLEVULINIC ACID,202.0,179.78,14.23,202.0,734 CPT,82135,HC AMINOLEVULINIC ACID 2,202.0,179.78,14.23,202.0,734 CPT,82135,PR AMINOLEVULINIC ACID,202.0,179.78,16.45,202.0,481 CPT,82135,PR AMINOLEVULINIC ACID 2,202.0,179.78,16.45,202.0,481 CPT,82136,HC AMINO ACIDS 2 TO 5 QUANT EA,183.0,162.87,19.22,183.0,737 CPT,82136,HC AMINO ACIDS 2 TO 5 QUANT EA 2,213.0,189.57,19.22,213.0,737 CPT,82136,HC AMINO ACIDS QUANT 2-5 EA 2 (CMMPP/CMMPS-NCCI),210.0,186.9,19.22,210.0,737 CPT,82136,PR AMINO ACIDS 2 TO 5 QUANT EA,183.0,162.87,19.61,183.0,481 CPT,82136,PR AMINO ACIDS 2 TO 5 QUANT EA 2,213.0,189.57,19.61,213.0,481 CPT,82136,PR AMINO ACIDS QUANT 2-5 EA 2 (CMMPP/CMMPS-NCCI),210.0,186.9,19.61,210.0,481 CPT,82139,HC AMINO ACIDS 6 OR MORE QUANT EA,207.0,184.23,16.53,207.0,737 CPT,82139,HC AMINO ACIDS 6 OR MORE QUANT EA 2 (AAPD-R),207.0,184.23,16.53,207.0,737 CPT,82139,PR AMINO ACIDS 6 OR MORE QUANT EA,207.0,184.23,16.87,207.0,481 CPT,82139,PR AMINO ACIDS 6 OR MORE QUANT EA 2 (AAPD-R),207.0,184.23,16.87,207.0,481 CPT,82140,HC AMMONIA ASSAY,118.0,105.02,14.28,118.0,738 CPT,82140,PR AMMONIA ASSAY,118.0,105.02,14.57,118.0,481 CPT,82150,HC AMYLASE ASSAY,63.0,56.07,6.35,63.0,741 CPT,82150,HC AMYLASE ASSAY 2,63.0,56.07,6.35,63.0,741 CPT,82150,HC AMYLASE PANCREATIC ASSAY,63.0,56.07,6.35,63.0,741 CPT,82150,PR AMYLASE ASSAY,63.0,56.07,6.48,63.0,481 CPT,82150,PR AMYLASE ASSAY 2,63.0,56.07,6.48,63.0,481 CPT,82157,HC ANDROSTENEDIONE,312.0,277.68,28.69,312.0,737 CPT,82157,HC ANDROSTENEDIONE (CAH21),312.0,277.68,28.69,312.0,737 CPT,82157,PR ANDROSTENEDIONE,312.0,277.68,29.28,312.0,467 CPT,82164,HC ANGIOTENSIN I CONVERT ENZYME,156.0,138.84,14.31,156.0,736 CPT,82164,PR ANGIOTENSIN I CONVERT ENZYME,156.0,138.84,14.6,156.0,481 CPT,82166,HC ANTIMULLERIAN HORMONE,255.0,226.95,38.62,255.0,733 CPT,82166,PR ANTIMULLERIAN HORMONE,255.0,226.95,38.62,255.0,467 CPT,82172,HC APOLIPOPROTEIN EACH,80.0,71.2,16.64,80.0,736 CPT,82172,PR APOLIPOPROTEIN EACH,80.0,71.2,21.09,80.0,481 CPT,82175,HC ARSENIC ASSAY URINE/SERUM/WB EA,196.0,174.44,18.59,196.0,737 CPT,82175,HC ARSENIC ASSAY URINE/SERUM/WB EA 1,196.0,174.44,18.59,196.0,737 CPT,82175,PR ARSENIC ASSAY NOT URINE/SERUM/WB,196.0,174.44,18.97,196.0,467 CPT,82175,PR ARSENIC ASSAY URINE/SERUM/WB EA,196.0,174.44,18.97,196.0,467 CPT,82175,PR ARSENIC ASSAY URINE/SERUM/WB EA 1,196.0,174.44,18.97,196.0,467 CPT,82180,HC ASCORBIC ACID/VITAMIN C BLOOD,124.0,110.36,9.69,124.0,737 CPT,82180,PR ASCORBIC ACID/VITAMIN C BLOOD,124.0,110.36,9.89,124.0,467 CPT,82232,HC BETA 2 MICROGLOBULIN,191.0,169.99,15.86,191.0,736 CPT,82232,PR BETA 2 MICROGLOBULIN,191.0,169.99,16.18,191.0,467 CPT,82234,HC BETA-AMYLOID 1-42,159.0,141.51,33.07,193.38,734 CPT,82234,HC BETA-AMYLOID 1-42 2,159.0,141.51,33.07,193.38,734 CPT,82234,PR BETA-AMYLOID 1-42,159.0,141.51,128.92,159.0,467 CPT,82234,PR BETA-AMYLOID 1-42 2,159.0,141.51,128.92,159.0,467 CPT,82239,HC BILE ACIDS TOTAL,149.0,132.61,16.78,149.0,737 CPT,82239,PR BILE ACIDS TOTAL,149.0,132.61,17.12,149.0,481 CPT,82247,HC BILIRUBIN TOTAL,43.0,38.27,4.34,43.0,744 CPT,82247,PR BILIRUBIN TOTAL,43.0,38.27,5.02,43.0,493 CPT,82248,HC BILIRUBIN DIRECT,37.0,32.93,4.92,37.0,747 CPT,82248,PR BILIRUBIN DIRECT,37.0,32.93,5.02,37.0,481 CPT,82261,HC BIOTINIDASE EA SPECIMEN,58.0,51.62,12.06,58.0,736 CPT,82261,PR BIOTINIDASE EA SPECIMEN,58.0,51.62,16.87,58.0,481 CPT,82271,HC OCCULT BLOOD GASTRIC,24.0,21.36,4.99,24.0,734 CPT,82274,HC OCCULT BLOOD FECES IMMUNOASSAY,89.0,79.21,15.92,89.0,736 CPT,82274,PR OCCULT BLOOD FECES IMMUNOASSAY,89.0,79.21,15.92,89.0,481 CPT,82300,HC CADMIUM BLOOD,164.0,145.96,20.45,164.0,737 CPT,82300,HC CADMIUM URINE,164.0,145.96,20.45,164.0,737 CPT,82300,PR CADMIUM BLOOD,164.0,145.96,23.64,164.0,467 CPT,82300,PR CADMIUM URINE,164.0,145.96,23.64,164.0,467 CPT,82306,HC VITAMIN D 25 HYDROXY,255.0,226.95,29.01,255.0,742 CPT,82306,PR VITAMIN D 25 HYDROXY,255.0,226.95,29.6,255.0,467 CPT,82308,HC CALCITONIN LYMPH NODE,343.0,305.27,26.25,343.0,737 CPT,82308,HC CALCITONIN SERUM,343.0,305.27,26.25,343.0,737 CPT,82308,PR CALCITONIN SERUM,343.0,305.27,26.79,343.0,467 CPT,82310,HC CALCIUM TOTAL,42.0,37.38,4.46,42.0,741 CPT,82310,PR CALCIUM TOTAL,42.0,37.38,5.16,42.0,488 CPT,82330,HC CALCIUM IONIZED,121.0,107.69,13.41,121.0,742 CPT,82330,PR CALCIUM IONIZED,121.0,107.69,13.68,121.0,481 CPT,82340,HC CA URINE QUANT TIMED SPECIMEN,49.0,43.61,5.22,49.0,736 CPT,82340,PR CA URINE QUANT TIMED SPECIMEN,49.0,43.61,6.03,49.0,481 CPT,82365,HC CALCULUS INFRARED SPECTROSCOPY,123.0,109.47,12.64,123.0,738 CPT,82365,PR CALCULUS INFRARED SPECTROSCOPY,123.0,109.47,12.9,123.0,467 CPT,82373,HC CARBOHYDRATE DEF TRANSFERRIN,244.0,217.16,17.7,244.0,736 CPT,82373,PR CARBOHYDRATE DEF TRANSFERRIN,244.0,217.16,18.06,244.0,481 CPT,82374,HC CO2 ASSAY,30.0,26.7,4.78,30.0,738 CPT,82374,PR CO2 ASSAY,30.0,26.7,4.88,30.0,482 CPT,82375,HC CARBOXYHEMOGLOBIN QUANT,131.0,116.59,12.07,131.0,742 CPT,82375,HC CARBOXYHEMOGLOBIN QUANT 2,131.0,116.59,12.07,131.0,742 CPT,82375,HC CARBOXYHEMOGLOBIN QUANT 3,131.0,116.59,12.07,131.0,742 CPT,82375,PR CARBOXYHEMOGLOBIN QUANT,130.0,115.7,12.32,130.0,487 CPT,82378,HC CARCINOEMBRYONIC ANTIGEN/CEA,186.0,165.54,16.4,186.0,746 CPT,82378,HC CARCINOEMBRYONIC ANTIGEN/CEA 1,186.0,165.54,16.4,186.0,746 CPT,82378,HC CARCINOEMBRYONIC ANTIGEN/CEA 2,186.0,165.54,16.4,186.0,746 CPT,82378,PR CARCINOEMBRYONIC ANTIGEN/CEA,186.0,165.54,18.96,186.0,467 CPT,82379,HC CARNITINE QUANT EA SPECIMEN,148.0,131.72,16.53,148.0,737 CPT,82379,PR CARNITINE QUANT EA SPECIMEN,148.0,131.72,16.87,148.0,481 CPT,82384,HC CATECHOLAMINES FRACTIONATED,237.0,210.93,24.75,237.0,736 CPT,82384,PR CATECHOLAMINES FRACTIONATED,237.0,210.93,25.25,237.0,467 CPT,82390,HC CERULOPLASMIN,124.0,110.36,10.53,124.0,736 CPT,82390,PR CERULOPLASMIN,124.0,110.36,10.74,124.0,481 CPT,82397,HC ALPHA SUBUNIT/APGH,134.0,119.26,13.84,134.0,737 CPT,82397,HC CHEMILUMINESCENT ASSAY,134.0,119.26,13.84,134.0,737 CPT,82397,HC CHEMILUMINESCENT ASSAY 1,134.0,119.26,13.84,134.0,737 CPT,82397,HC CHEMILUMINESCENT ASSAY 2,134.0,119.26,13.84,134.0,737 CPT,82397,HC PTH RELATED PEPTIDE/PTHRP,134.0,119.26,13.84,134.0,737 CPT,82397,PR ALPHA SUBUNIT/APGH,134.0,119.26,14.12,134.0,467 CPT,82397,PR CHEMILUMINESCENT ASSAY,134.0,119.26,14.12,134.0,467 CPT,82397,PR CHEMILUMINESCENT ASSAY 1,134.0,119.26,14.12,134.0,481 CPT,82397,PR CHEMILUMINESCENT ASSAY 2,134.0,119.26,14.12,134.0,467 CPT,82397,PR PTH RELATED PEPTIDE/PTHRP,134.0,119.26,14.12,134.0,467 CPT,82435,HC CHLORIDE BLOOD,26.0,23.14,4.51,26.0,739 CPT,82435,PR CHLORIDE BLOOD,26.0,23.14,4.6,26.0,483 CPT,82436,HC CHLORIDE URINE,41.0,36.49,5.64,41.0,736 CPT,82436,PR CHLORIDE URINE,41.0,36.49,5.75,41.0,481 CPT,82438,HC CHLORIDE OTHER SOURCE,104.0,92.56,5.0,104.0,735 CPT,82438,PR CHLORIDE OTHER SOURCE,104.0,92.56,5.0,104.0,481 CPT,82465,HC CHOLESTEROL TOTAL,34.0,30.26,4.26,34.0,736 CPT,82465,PR CHOLESTEROL TOTAL,34.0,30.26,4.35,34.0,481 CPT,82480,HC CHOLINESTERASE SERUM,96.0,85.44,7.71,96.0,736 CPT,82480,PR CHOLINESTERASE SERUM,96.0,85.44,7.87,96.0,481 CPT,82495,HC CHROMIUM ASSAY,156.0,138.84,17.54,156.0,736 CPT,82495,HC CHROMIUM ASSAY 2,156.0,138.84,17.54,156.0,736 CPT,82495,HC CHROMIUM ASSAY 3,156.0,138.84,17.54,156.0,736 CPT,82495,PR CHROMIUM ASSAY,156.0,138.84,20.28,156.0,467 CPT,82495,PR CHROMIUM ASSAY 2,156.0,138.84,20.28,156.0,467 CPT,82495,PR CHROMIUM ASSAY 3,156.0,138.84,20.28,156.0,467 CPT,82507,HC CITRATE ASSAY,167.0,148.63,24.05,167.0,734 CPT,82507,PR CITRATE ASSAY,167.0,148.63,27.8,167.0,481 CPT,82523,HC COLLAGEN CROSS LINKS,254.0,226.06,18.31,254.0,736 CPT,82523,PR COLLAGEN CROSS LINKS,254.0,226.06,18.68,254.0,467 CPT,82525,HC COPPER ASSAY 2,114.0,101.46,10.73,114.0,740 CPT,82525,HC COPPER ASSAY SERUM,114.0,101.46,10.73,114.0,740 CPT,82525,HC COPPER ASSAY TISSUE,114.0,101.46,10.73,114.0,740 CPT,82525,HC COPPER ASSAY URINE,114.0,101.46,10.73,114.0,740 CPT,82525,PR COPPER ASSAY 2,114.0,101.46,12.41,114.0,467 CPT,82525,PR COPPER ASSAY SERUM,114.0,101.46,12.41,114.0,467 CPT,82525,PR COPPER ASSAY TISSUE,114.0,101.46,12.41,114.0,467 CPT,82525,PR COPPER ASSAY URINE,114.0,101.46,12.41,114.0,467 CPT,82528,HC CORTICOSTERONE,257.0,228.73,22.52,257.0,735 CPT,82530,HC CORTISOL FREE,192.0,170.88,14.45,192.0,736 CPT,82530,HC CORTISOL FREE 1,192.0,170.88,14.45,192.0,736 CPT,82530,PR CORTISOL FREE,192.0,170.88,16.71,192.0,467 CPT,82530,PR CORTISOL FREE 1,192.0,170.88,16.71,192.0,467 CPT,82533,HC CORTISOL 1,145.0,129.05,15.97,145.0,743 CPT,82533,HC CORTISOL TOTAL,145.0,129.05,15.97,145.0,743 CPT,82533,PR CORTISOL TOTAL,145.0,129.05,16.3,145.0,481 CPT,82540,HC CREATINE ASSAY,68.0,60.52,4.55,68.0,736 CPT,82540,PR CREATINE ASSAY,68.0,60.52,4.64,68.0,481 CPT,82542,"HC 24, 25 DIHYDROXY",156.0,138.84,23.61,156.0,740 CPT,82542,"HC 7AC4, BILE ACID SYNTH",156.0,138.84,23.61,156.0,740 CPT,82542,HC A1AT PROTEOTYPE,156.0,138.84,23.61,156.0,740 CPT,82542,HC ACYLGLYCINES QN,156.0,138.84,23.61,156.0,740 CPT,82542,HC AMYLOID PROTEIN 2,156.0,138.84,23.61,156.0,740 CPT,82542,HC BILE ACID FRACT AND TOTAL,156.0,138.84,23.61,156.0,740 CPT,82542,HC COENZYME Q10 REDUC&TOTAL,156.0,138.84,23.61,156.0,740 CPT,82542,HC COL CHR/MS NES,156.0,138.84,23.61,156.0,740 CPT,82542,HC COL CHR/MS STABLE MULT QUANT,156.0,138.84,23.61,156.0,740 CPT,82542,HC COL CHROMOTOGRAPHY (CMMPP/CMMPS-MEC-NCCI),695.0,618.55,23.61,695.0,740 CPT,82542,HC COL CHROMOTOGRAPHY (PKU-MEC-NCCI),220.0,195.8,23.61,220.0,740 CPT,82542,HC COL CHROMOTOGRAPHY (SUAC-MEC-NCCI),272.0,242.08,23.61,272.0,740 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 10,156.0,138.84,23.61,156.0,740 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 11,156.0,138.84,23.61,156.0,740 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 12,156.0,138.84,23.61,156.0,740 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 13,156.0,138.84,23.61,156.0,740 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 2,156.0,138.84,23.61,156.0,740 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 3,156.0,138.84,23.61,156.0,740 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 4,156.0,138.84,23.61,156.0,740 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 5,156.0,138.84,23.61,156.0,740 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 6,156.0,138.84,23.61,156.0,740 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 7,156.0,138.84,23.61,156.0,740 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 8,156.0,138.84,23.61,156.0,740 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN 9,156.0,138.84,23.61,156.0,740 CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN LTE4/NMH,156.0,138.84,23.61,156.0,740 CPT,82542,HC DEOXYCORTISOL 21,156.0,138.84,23.61,156.0,740 CPT,82542,HC GALACTITOL,156.0,138.84,23.61,156.0,740 CPT,82542,HC GLUCOPSYCHOSINE BLD SPOT QUANT,156.0,138.84,23.61,156.0,740 CPT,82542,HC GUANIDINOACETATE,156.0,138.84,23.61,156.0,740 CPT,82542,HC GUANIDINOACETATE QUANT,156.0,138.84,23.61,156.0,740 CPT,82542,HC HYPEROXALURIA,156.0,138.84,23.61,156.0,740 CPT,82542,HC LYSOSOMAL DISORDER SN QUANT,156.0,138.84,23.61,156.0,740 CPT,82542,HC METHYLHISTAMINE QUANT,156.0,138.84,23.61,156.0,740 CPT,82542,HC OXYSTEROLS QUANT,156.0,138.84,23.61,156.0,740 CPT,82542,HC POLYOLS,156.0,138.84,23.61,156.0,740 CPT,82542,HC PORPHOBILINOGEN,156.0,138.84,23.61,156.0,740 CPT,82542,HC PORPHYRINS FRACTION,156.0,138.84,23.61,156.0,740 CPT,82542,HC PORPHYRINS FRACTION 1,156.0,138.84,23.61,156.0,740 CPT,82542,HC PURINE AND PYRIMIDINE PANEL,156.0,138.84,23.61,156.0,740 CPT,82542,HC PYRIDOXIC ACID QUANT,156.0,138.84,23.61,156.0,740 CPT,82542,HC SEROTONIN RELEASE ASSAY,156.0,138.84,23.61,156.0,740 CPT,82542,HC STEROLS PLASMA QUANT,156.0,138.84,23.61,156.0,740 CPT,82542,HC SUCCINYLACETONE (SUAC-NCCI),156.0,138.84,23.61,156.0,740 CPT,82542,HC SUCCINYLACETONE (TYRBS-NCCI),156.0,138.84,23.61,156.0,740 CPT,82542,"PR 24, 25 DIHYDROXY",156.0,138.84,24.09,156.0,469 CPT,82542,"PR 7AC4, BILE ACID SYNTH",156.0,138.84,24.09,156.0,483 CPT,82542,PR A1AT PROTEOTYPE,156.0,138.84,24.09,156.0,469 CPT,82542,PR ACYLGLYCINES QN,156.0,138.84,24.09,156.0,483 CPT,82542,PR ADMA MS QUANT,156.0,138.84,24.09,156.0,483 CPT,82542,PR AMYLOID PROTEIN 2,156.0,138.84,24.09,156.0,483 CPT,82542,PR BILE ACID FRACT AND TOTAL,156.0,138.84,24.09,156.0,483 CPT,82542,PR COENZYME Q10 REDUC&TOTAL,156.0,138.84,24.09,156.0,483 CPT,82542,PR COL CHR/MS NES,156.0,138.84,24.09,156.0,483 CPT,82542,PR COL CHR/MS STABLE MULT QUANT,156.0,138.84,24.09,156.0,469 CPT,82542,PR COL CHROMOTOGRAPHY (CMMPP/CMMPS-MEC-NCCI),695.0,618.55,24.09,695.0,483 CPT,82542,PR COL CHROMOTOGRAPHY (PKUBS-MEC-NCCI),192.0,170.88,24.09,192.0,483 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN 10,156.0,138.84,24.09,156.0,483 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN 12,156.0,138.84,24.09,156.0,483 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN 13,156.0,138.84,24.09,156.0,483 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN 14,156.0,138.84,24.09,156.0,483 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN 2,156.0,138.84,24.09,156.0,469 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN 3,156.0,138.84,24.09,156.0,483 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN 4,156.0,138.84,24.09,156.0,483 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN 5,156.0,138.84,24.09,156.0,483 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN 6,156.0,138.84,24.09,156.0,469 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN 7,156.0,138.84,24.09,156.0,483 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN 8,156.0,138.84,24.09,156.0,483 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN 9,156.0,138.84,24.09,156.0,483 CPT,82542,PR COL CHROMOTOGRAPHY QUAL/QUAN LTE4/NMH,156.0,138.84,24.09,156.0,469 CPT,82542,PR DEOXYCORTISOL 21,156.0,138.84,24.09,156.0,483 CPT,82542,PR F2 ISOPROSTANES QUANT,156.0,138.84,24.09,156.0,483 CPT,82542,PR GALACTITOL,156.0,138.84,24.09,156.0,483 CPT,82542,PR GLUCOPSYCHOSINE BLD SPOT QUANT,156.0,138.84,24.09,156.0,483 CPT,82542,PR GUANIDINOACETATE,156.0,138.84,24.09,156.0,483 CPT,82542,PR GUANIDINOACETATE QUANT,156.0,138.84,24.09,156.0,483 CPT,82542,PR HYPEROXALURIA,156.0,138.84,24.09,156.0,483 CPT,82542,PR IOHEXOL PLASMA DISAPPEARANCE,156.0,138.84,24.09,156.0,483 CPT,82542,PR LYSOPC BY LC MS/MS QUANT,156.0,138.84,24.09,156.0,483 CPT,82542,PR LYSOSOMAL DISORDER SN QUANT,156.0,138.84,24.09,156.0,483 CPT,82542,PR METHYLHISTAMINE QUANT,156.0,138.84,24.09,156.0,469 CPT,82542,PR OXYSTEROLS QUANT,156.0,138.84,24.09,156.0,483 CPT,82542,PR POLYOLS,156.0,138.84,24.09,156.0,483 CPT,82542,PR PORPHOBILINOGEN,156.0,138.84,24.09,156.0,483 CPT,82542,PR PORPHYRINS FRACTION,156.0,138.84,24.09,156.0,483 CPT,82542,PR PORPHYRINS FRACTION 1,156.0,138.84,24.09,156.0,483 CPT,82542,PR PURINE AND PYRIMIDINE PANEL,156.0,138.84,24.09,156.0,483 CPT,82542,PR PYRIDOXIC ACID QUANT,156.0,138.84,24.09,156.0,469 CPT,82542,PR SEROTONIN RELEASE ASSAY,156.0,138.84,24.09,156.0,483 CPT,82542,PR STEROLS PLASMA QUANT,156.0,138.84,24.09,156.0,483 CPT,82550,HC CREATINE KINASE TOTAL,57.0,50.73,5.63,57.0,742 CPT,82550,PR CREATINE KINASE TOTAL,57.0,50.73,6.51,57.0,481 CPT,82565,HC CREATININE BLOOD,40.0,35.6,4.43,40.0,742 CPT,82565,PR CREATININE BLOOD,40.0,35.6,5.12,40.0,488 CPT,82570,HC CREATININE OTHER SOURCE,53.0,47.17,5.08,53.0,736 CPT,82570,PR CREATININE OTHER SOURCE,53.0,47.17,5.18,53.0,481 CPT,82575,HC CREATININE CLEARANCE,106.0,94.34,9.27,106.0,739 CPT,82575,PR CREATININE CLEARANCE,106.0,94.34,9.46,106.0,481 CPT,82575,PR SHORT RENAL CLRNCE CREATININE,106.0,94.34,9.46,106.0,481 CPT,82585,HC CRYOFIBRINOGEN ASSAY,106.0,94.34,12.23,106.0,736 CPT,82585,PR CRYOFIBRINOGEN ASSAY,106.0,94.34,14.14,106.0,467 CPT,82595,HC CRYOGLOBULIN QUAL,76.0,67.64,5.6,76.0,736 CPT,82595,PR CRYOGLOBULIN QUAL,76.0,67.64,6.47,76.0,467 CPT,82607,HC VITAMIN B12 ASSAY,158.0,140.62,13.04,158.0,742 CPT,82607,PR VITAMIN B12 ASSAY,158.0,140.62,15.08,158.0,481 CPT,82610,HC CYSTATIN C 2,126.0,112.14,18.15,126.0,737 CPT,82610,PR CYSTATIN C 2,126.0,112.14,18.52,126.0,481 CPT,82626,HC DHEA,266.0,236.74,24.76,266.0,736 CPT,82626,PR DHEA,266.0,236.74,25.27,266.0,467 CPT,82627,HC DHEA SULFATE,215.0,191.35,21.79,215.0,737 CPT,82627,PR DHEA SULFATE,215.0,191.35,22.23,215.0,467 CPT,82633,HC DESOXYCORTICOSTERONE 11,320.0,284.8,30.36,320.0,736 CPT,82633,PR DESOXYCORTICOSTERONE 11,320.0,284.8,30.98,320.0,467 CPT,82634,HC DEOXYCORTISOL 11,214.0,190.46,28.69,214.0,736 CPT,82634,PR DEOXYCORTISOL 11,214.0,190.46,29.28,214.0,467 CPT,82642,HC DIHYDROTESTOSTERONE,313.0,278.57,28.69,313.0,736 CPT,82642,PR DIHYDROTESTOSTERONE,313.0,278.57,29.28,313.0,467 CPT,82652,HC VITAMIN D 1 25 DIHYDROXY,293.0,260.77,33.3,293.0,737 CPT,82652,PR VITAMIN D 1 25 DIHYDROXY,293.0,260.77,38.5,293.0,467 CPT,82653,HC ELASTASE PANCREATIC FECAL QUANT,148.0,131.72,22.97,148.0,734 CPT,82653,PR ELASTASE PANCREATIC FECAL QUANT,148.0,131.72,22.97,148.0,467 CPT,82657,HC ALPHA GALACTOSIDASE LEUKOCYTE,193.0,171.77,21.73,193.0,742 CPT,82657,HC ALPHA GALACTOSIDASE PLASMA,193.0,171.77,21.73,193.0,742 CPT,82657,HC ALPHA MANNOSIDASE LEUKOCYTES,192.0,170.88,21.73,192.0,742 CPT,82657,HC ARYLSULFATASE A LEUKOCYTES,193.0,171.77,21.73,193.0,742 CPT,82657,HC BETA GALACTOSIDASE ANY SOURCE,193.0,171.77,21.73,193.0,742 CPT,82657,HC DISACCHARIDES ANALYSIS,193.0,171.77,21.73,193.0,742 CPT,82657,HC ENZYME ACT IN BLOOD CELLS (LSD6W-NCCI),193.0,171.77,21.73,193.0,742 CPT,82657,HC ENZYME ACTIVITY IN BLOOD CELLS,193.0,171.77,21.73,193.0,742 CPT,82657,HC ENZYME ACTIVITY IN BLOOD CELLS 2,193.0,171.77,21.73,193.0,742 CPT,82657,HC ENZYME ACTIVITY IN BLOOD CELLS 3,193.0,171.77,21.73,193.0,742 CPT,82657,HC ENZYME ACTIVITY IN BLOOD CELLS 4,193.0,171.77,21.73,193.0,742 CPT,82657,HC ENZYME ACTIVITY IN BLOOD CELLS 5,193.0,171.77,21.73,193.0,742 CPT,82657,HC HEXOKINASE,182.0,161.98,21.73,182.0,742 CPT,82657,HC LYSOSOMAL ACID LIPASE,193.0,171.77,21.73,193.0,742 CPT,82657,HC METHEMOGLOBIN REDUCTASE,184.0,163.76,21.73,184.0,742 CPT,82657,HC PBG DEAMINASE,193.0,171.77,21.73,193.0,742 CPT,82657,HC TPPI AND PPTI,193.0,171.77,21.73,193.0,742 CPT,82657,HC UPG DECARBOXYLASE,193.0,171.77,21.73,193.0,742 CPT,82657,PR ALPHA GALACTOSIDASE LEUKOCYTE,193.0,171.77,22.17,193.0,481 CPT,82657,PR ALPHA GALACTOSIDASE PLASMA,193.0,171.77,22.17,193.0,481 CPT,82657,PR ALPHA MANNOSIDASE LEUKOCYTES,192.0,170.88,22.17,192.0,481 CPT,82657,PR ARYLSULFATASE A LEUKOCYTES,193.0,171.77,22.17,193.0,481 CPT,82657,PR BETA GALACTOSIDASE ANY SOURCE,193.0,171.77,22.17,193.0,481 CPT,82657,PR ENZYME ACT IN BLOOD CELLS (LSD6W-NCCI),193.0,171.77,22.17,193.0,481 CPT,82657,PR ENZYME ACTIVITY IN BLOOD CELLS 2,193.0,171.77,22.17,193.0,481 CPT,82657,PR ENZYME ACTIVITY IN BLOOD CELLS 3,193.0,171.77,22.17,193.0,481 CPT,82657,PR ENZYME ACTIVITY IN BLOOD CELLS 4,193.0,171.77,22.17,193.0,481 CPT,82657,PR ENZYME ACTIVITY IN BLOOD CELLS 5,193.0,171.77,22.17,193.0,481 CPT,82657,PR HEXOKINASE,182.0,161.98,22.17,182.0,481 CPT,82657,PR LYSOSOMAL ACID LIPASE,193.0,171.77,22.17,193.0,481 CPT,82657,PR METHEMOGLOBIN REDUCTASE,184.0,163.76,22.17,184.0,481 CPT,82657,PR PBG DEAMINASE,193.0,171.77,22.17,193.0,481 CPT,82657,PR PPM PMI LEUKOCYTES,193.0,171.77,22.17,193.0,481 CPT,82657,PR UPG DECARBOXYLASE,193.0,171.77,22.17,193.0,481 CPT,82657,PR UROPORPHYRINOGEN III SYNTHASE,193.0,171.77,22.17,193.0,481 CPT,82664,HC ELECTROPHORETIC TECH NES,286.0,254.54,59.49,286.0,736 CPT,82664,PR ELECTROPHORETIC TECH NES,286.0,254.54,61.5,286.0,481 CPT,82668,HC ERYTHROPOIETIN ASSAY,231.0,205.59,18.41,231.0,738 CPT,82668,PR ERYTHROPOIETIN ASSAY,231.0,205.59,18.79,231.0,467 CPT,82670,HC ESTRADIOL ASSAY,171.0,152.19,27.38,171.0,738 CPT,82670,PR ESTRADIOL ASSAY,171.0,152.19,27.94,171.0,481 CPT,82671,HC ESTROGENS FRACTIONATED,316.0,281.24,27.94,316.0,734 CPT,82671,PR ESTROGENS FRACTIONATED,316.0,281.24,32.3,316.0,467 CPT,82677,PR ESTRIOL ASSAY,171.0,152.19,24.18,171.0,467 CPT,82679,HC ESTRONE ASSAY,249.0,221.61,21.58,249.0,734 CPT,82679,PR ESTRONE ASSAY,249.0,221.61,24.95,249.0,467 CPT,82710,HC FECAL FAT QUANT,204.0,181.56,14.53,204.0,734 CPT,82710,PR FECAL FAT QUANT,204.0,181.56,16.8,204.0,481 CPT,82725,HC FATTY ACID NONESTERFIED,103.0,91.67,18.39,103.0,736 CPT,82725,PR FATTY ACID NONESTERFIED,103.0,91.67,18.77,103.0,481 CPT,82726,HC FATTY ACID VERY LONG CHAIN,101.0,89.89,19.36,101.0,736 CPT,82726,PR FATTY ACID VERY LONG CHAIN,101.0,89.89,19.75,101.0,481 CPT,82728,HC FERRITIN ASSAY,110.0,97.9,13.36,110.0,744 CPT,82728,PR FERRITIN ASSAY,110.0,97.9,13.63,110.0,482 CPT,82731,HC FETAL FIBRONECTIN,703.0,625.67,63.12,703.0,736 CPT,82735,HC FLUORIDE ASSAY,144.0,128.16,18.17,144.0,736 CPT,82735,PR FLUORIDE ASSAY,144.0,128.16,18.54,144.0,467 CPT,82746,HC FOLIC ACID SERUM ASSAY,121.0,107.69,12.72,121.0,742 CPT,82746,PR FOLIC ACID SERUM ASSAY,121.0,107.69,14.7,121.0,481 CPT,82760,PR GALACTOSE PLASMA,55.0,48.95,11.2,55.0,481 CPT,82775,HC GALT QUANT,65.0,57.85,13.52,65.0,735 CPT,82775,PR GALT QUANT,65.0,57.85,21.07,65.0,481 CPT,82777,HC GALECTIN 3,88.0,78.32,18.3,88.0,736 CPT,82777,PR GALECTIN 3,88.0,78.32,44.25,88.0,481 CPT,82784,HC ASSAY IGA/IGD/IGG/IGM EACH 2,86.0,76.54,9.11,86.0,744 CPT,82784,HC IMMUNOGLOBGULINS EA,86.0,76.54,9.11,86.0,744 CPT,82784,HC IMMUNOGLOBULIN CSF,86.0,76.54,9.11,86.0,744 CPT,82784,HC IMMUNOGLOBULIN IGD,86.0,76.54,9.11,86.0,744 CPT,82784,PR ASSAY IGA/IGD/IGG/IGM EACH 2,86.0,76.54,9.3,86.0,467 CPT,82784,PR IMMUNOGLOBGULINS EA,86.0,76.54,9.3,86.0,467 CPT,82784,PR IMMUNOGLOBULIN CSF,86.0,76.54,9.3,86.0,467 CPT,82784,PR IMMUNOGLOBULIN IGD,86.0,76.54,9.3,86.0,467 CPT,82785,HC IMMUNOGLOBULIN IGE ASSAY,126.0,112.14,14.24,126.0,737 CPT,82785,PR IMMUNOGLOBULIN IGE ASSAY,126.0,112.14,16.46,126.0,467 CPT,82787,HC IMMUNOGLOBIN SUBCLASSES EA,134.0,119.26,7.86,134.0,736 CPT,82787,HC IMMUNOGLOBIN SUBCLASSES EA 2,134.0,119.26,7.86,134.0,736 CPT,82787,PR IMMUNOGLOBIN SUBCLASSES EA,134.0,119.26,8.02,134.0,467 CPT,82787,PR IMMUNOGLOBIN SUBCLASSES EA 2,134.0,119.26,8.02,134.0,467 CPT,82803,HC BLD GASES ANY COMBINATION,105.0,93.45,21.84,105.0,742 CPT,82803,PR BLD GASES ANY COMBINATION,105.0,93.45,26.07,105.0,482 CPT,82805,HC BLD GASES W DIRECT MEAS O2 SAT,164.0,145.96,34.11,164.0,742 CPT,82805,HC BLD GASES W DIRECT MEAS O2 SAT 2,164.0,145.96,34.11,164.0,742 CPT,82805,PR BLD GASES W DIRECT MEAS O2 SAT,164.0,145.96,78.77,164.0,487 CPT,82805,PR BLD GASES W DIRECT MEAS O2 SAT 2,164.0,145.96,78.77,164.0,487 CPT,82938,HC GASTRIN AFTER SECRETIN STIMLN,161.0,143.29,17.69,161.0,735 CPT,82941,HC GASTRIN ASSAY,167.0,148.63,15.25,167.0,736 CPT,82941,PR GASTRIN ASSAY,167.0,148.63,17.63,167.0,467 CPT,82943,HC GLUCAGON ASSAY,230.0,204.7,12.36,230.0,736 CPT,82943,PR GLUCAGON ASSAY,230.0,204.7,14.29,230.0,467 CPT,82945,HC GLUCOSE BODY FLUID,75.0,66.75,3.85,75.0,742 CPT,82945,HC GLUCOSE OTHER FLUID,75.0,66.75,3.85,75.0,742 CPT,82945,PR GLUCOSE BODY FLUID,75.0,66.75,3.93,75.0,482 CPT,82945,PR GLUCOSE OTHER FLUID,75.0,66.75,3.93,75.0,482 CPT,82947,HC GLUCOSE BLOOD QUANT,33.0,29.37,3.85,33.0,745 CPT,82947,HC GLUCOSE BLOOD QUANT 2,33.0,29.37,3.85,33.0,745 CPT,82947,PR GLUCOSE BLOOD QUANT,33.0,29.37,3.93,33.0,485 CPT,82947,PR GLUCOSE BLOOD QUANT 2,33.0,29.37,3.93,33.0,485 CPT,82950,PR GLUCOSE POSTDOSE,43.0,38.27,4.75,43.0,482 CPT,82951,HC GTT 3 SPECIMENS,107.0,95.23,12.61,107.0,736 CPT,82951,PR GTT 3 SPECIMENS,107.0,95.23,12.87,107.0,481 CPT,82952,HC GTT EA ADD 3 > SPECIMENS,36.0,32.04,3.84,36.0,736 CPT,82952,PR GTT EA ADD 3 > SPECIMENS,36.0,32.04,3.92,36.0,481 CPT,82955,HC G6PD QUANT,134.0,119.26,9.51,134.0,738 CPT,82955,PR G6PD QUANT,134.0,119.26,9.7,134.0,481 CPT,82963,HC ASSAY OF GLUCOSIDASE,190.0,169.1,18.58,190.0,736 CPT,82963,HC CHG ASSAY OF GLUCOSIDASE (LSD6W-NCCI),196.0,174.44,18.58,196.0,736 CPT,82963,PR ASSAY OF GLUCOSIDASE,190.0,169.1,21.48,190.0,481 CPT,82963,PR CHG ASSAY OF GLUCOSIDASE (LSD6W-NCCI),196.0,174.44,21.48,196.0,481 CPT,82977,HC GAMMA GLUTAMYL TRANSFERASE,57.0,50.73,7.06,57.0,737 CPT,82977,PR GAMMA GLUTAMYL TRANSFERASE,57.0,50.73,7.2,57.0,481 CPT,82978,HC GLUTATHIONE ASSAY,94.0,83.66,15.14,94.0,734 CPT,82978,PR GLUTATHIONE ASSAY,94.0,83.66,15.45,94.0,481 CPT,82985,HC FRUCTOSAMINE ASSAY,94.0,83.66,14.5,94.0,738 CPT,82985,PR FRUCTOSAMINE ASSAY,94.0,83.66,16.76,94.0,481 CPT,83001,HC FSH/FOLLICLE STIM HORMONE,154.0,137.06,18.21,154.0,739 CPT,83001,PR FSH/FOLLICLE STIM HORMONE,154.0,137.06,18.58,154.0,481 CPT,83002,HC LUTEINIZING HORMONE,154.0,137.06,18.15,154.0,740 CPT,83002,HC LUTEINIZING HORMONE 1,154.0,137.06,18.15,154.0,740 CPT,83002,PR LUTEINIZING HORMONE,154.0,137.06,18.52,154.0,481 CPT,83002,PR LUTEINIZING HORMONE 1,154.0,137.06,18.52,154.0,467 CPT,83003,HC HUMAN GROWTH HORMONE ASSAY,155.0,137.95,16.34,155.0,736 CPT,83003,PR HUMAN GROWTH HORMONE ASSAY,155.0,137.95,16.67,155.0,467 CPT,83010,HC HAPTOGLOBIN ASSAY QUANT,152.0,135.28,10.88,152.0,740 CPT,83010,PR HAPTOGLOBIN ASSAY QUANT,152.0,135.28,12.58,152.0,467 CPT,83013,HC HELICOBACTER PYLORI BREATH TEST,322.0,286.58,66.01,322.0,736 CPT,83013,PR HELICOBACTER PYLORI BREATH TEST,322.0,286.58,67.36,322.0,467 CPT,83014,HC H PYLORI DRUG ADMIN,64.0,56.96,7.86,64.0,735 CPT,83014,PR H PYLORI DRUG ADMIN,64.0,56.96,7.86,64.0,486 CPT,83018,HC HEAVY METAL QUANT EA,174.0,154.86,19.0,174.0,736 CPT,83018,HC HEAVY METAL QUANT EA 4,174.0,154.86,19.0,174.0,736 CPT,83018,HC HEAVY METAL QUANT EA 8,174.0,154.86,19.0,174.0,736 CPT,83018,PR HEAVY METAL QUANT EA,174.0,154.86,21.96,174.0,467 CPT,83018,PR HEAVY METAL QUANT EA 2,174.0,154.86,21.96,174.0,467 CPT,83018,PR HEAVY METAL QUANT EA 3,174.0,154.86,21.96,174.0,467 CPT,83018,PR HEAVY METAL QUANT EA 4,174.0,154.86,21.96,174.0,467 CPT,83018,PR HEAVY METAL QUANT EA 8,174.0,154.86,21.96,174.0,467 CPT,83020,"HC HB VARIANT, A2 AND F QUAN",124.0,110.36,12.61,124.0,737 CPT,83020,"PR HB VARIANT, A2 AND F QUAN",124.0,110.36,12.87,124.0,481 CPT,83021,HC HEMOGLOBIN CHROMATOGRAPHY QUANT,228.0,202.92,17.7,228.0,737 CPT,83021,PR HEMOGLOBIN CHROMATOGRAPHY QUANT,228.0,202.92,18.06,228.0,481 CPT,83036,HC HEMOGLOBIN GLYCATED A1C,80.0,71.2,8.4,80.0,745 CPT,83036,HC HEMOGLOBIN GLYCATED A1C 2,80.0,71.2,8.4,80.0,745 CPT,83036,PR HEMOGLOBIN GLYCATED A1C,80.0,71.2,9.71,80.0,485 CPT,83036,PR HEMOGLOBIN GLYCATED A1C 2,80.0,71.2,9.71,80.0,485 CPT,83050,HC METHEMOGLOBIN QUANT,66.0,58.74,8.04,66.0,742 CPT,83050,HC METHEMOGLOBIN QUANT 2,66.0,58.74,8.04,66.0,742 CPT,83050,HC METHEMOGLOBIN QUANT 3,66.0,58.74,8.04,66.0,742 CPT,83050,PR METHEMOGLOBIN QUANT,66.0,58.74,8.2,66.0,487 CPT,83051,HC HEMOGLOBIN PLASMA ASSAY,74.0,65.86,7.16,74.0,736 CPT,83051,PR HEMOGLOBIN PLASMA ASSAY,74.0,65.86,7.31,74.0,481 CPT,83060,HC SULFHEMOGLOBIN QUANT,118.0,105.02,7.61,118.0,734 CPT,83060,PR SULFHEMOGLOBIN QUANT,118.0,105.02,8.8,118.0,481 CPT,83068,HC HEMOGLOBIN UNSTABLE SCREEN,103.0,91.67,9.28,103.0,734 CPT,83068,PR HEMOGLOBIN UNSTABLE SCREEN,103.0,91.67,9.47,103.0,481 CPT,83070,HC HEMOSIDERIN ASSAY QUAL,100.0,89.0,4.66,100.0,734 CPT,83070,PR HEMOSIDERIN ASSAY QUAL,100.0,89.0,4.75,100.0,481 CPT,83080,HC HEXOSAMINIDASE ASSAY,161.0,143.29,16.53,161.0,734 CPT,83080,HC HEXOSAMINIDASE LEUKOCYTES,162.0,144.18,16.53,162.0,734 CPT,83080,HC HEXOSAMINIDASE SERUM,162.0,144.18,16.53,162.0,734 CPT,83080,PR HEXOSAMINIDASE ASSAY,161.0,143.29,16.87,161.0,481 CPT,83080,PR HEXOSAMINIDASE LEUKOCYTES,162.0,144.18,16.87,162.0,481 CPT,83080,PR HEXOSAMINIDASE SERUM,162.0,144.18,16.87,162.0,481 CPT,83090,HC HOMOCYSTEINE ASSAY,160.0,142.4,17.56,160.0,737 CPT,83090,HC HOMOCYSTEINE ASSAY 2 (CMMPP/CMMPS-NCCI),164.0,145.96,17.56,164.0,737 CPT,83090,PR HOMOCYSTEINE ASSAY,160.0,142.4,17.92,160.0,481 CPT,83090,PR HOMOCYSTEINE ASSAY 2 (CMMPP/CMMPS-NCCI),164.0,145.96,17.92,164.0,481 CPT,83150,HC HOMOVANILLIC ACID ASSAY,98.0,87.22,20.38,98.0,736 CPT,83150,PR HOMOVANILLIC ACID ASSAY,98.0,87.22,22.41,98.0,481 CPT,83497,HC 5 HIAA ASSAY,88.0,78.32,12.64,88.0,737 CPT,83497,PR 5 HIAA ASSAY,88.0,78.32,12.9,88.0,481 CPT,83498,HC 17-HYDROXYPROGESTERONE (CAH21),237.0,210.93,26.63,237.0,737 CPT,83498,HC HYDROXYPROGESTERONE ASSAY,237.0,210.93,26.63,237.0,737 CPT,83498,PR HYDROXYPROGESTERONE ASSAY,237.0,210.93,27.17,237.0,467 CPT,83516,HC BULLOUS PEMPHGD EACH,104.0,92.56,11.3,104.0,741 CPT,83516,HC CENTOMERE AB MULT,119.0,105.91,11.3,119.0,741 CPT,83516,HC DESMOGLEIN EACH,104.0,92.56,11.3,104.0,741 CPT,83516,HC HMG-COA ELISA,119.0,105.91,11.3,119.0,741 CPT,83516,HC IMMUNOASSAY MULT STEP METHOD A1,119.0,105.91,11.3,119.0,741 CPT,83516,HC IMMUNOASSAY MULT STEP METHOD A2,119.0,105.91,11.3,119.0,741 CPT,83516,HC IMMUNOASSAY MULT STEP METHOD A3,119.0,105.91,11.3,119.0,741 CPT,83516,HC IMMUNOASSAY MULT STEP METHOD A4,119.0,105.91,11.3,119.0,741 CPT,83516,HC MYELOPEROXIDASE AB EACH,119.0,105.91,11.3,119.0,741 CPT,83516,HC PROTEINASE 3 AB EACH,119.0,105.91,11.3,119.0,741 CPT,83516,PR BULLOUS PEMPHGD EACH,104.0,92.56,11.53,104.0,481 CPT,83516,PR CENTOMERE AB MULT,119.0,105.91,11.53,119.0,467 CPT,83516,PR DESMOGLEIN EACH,104.0,92.56,11.53,104.0,481 CPT,83516,PR IMMUNOASSAY MULT STEP METHOD A1,119.0,105.91,11.53,119.0,481 CPT,83516,PR IMMUNOASSAY MULT STEP METHOD A2,119.0,105.91,11.53,119.0,467 CPT,83516,PR IMMUNOASSAY MULT STEP METHOD A3,119.0,105.91,11.53,119.0,481 CPT,83516,PR IMMUNOASSAY MULT STEP METHOD A4,119.0,105.91,11.53,119.0,467 CPT,83516,PR IMMUNOASSAY NONANTIBODY,107.0,95.23,11.53,107.0,481 CPT,83516,PR MYELOPEROXIDASE AB EACH,119.0,105.91,11.53,119.0,467 CPT,83516,PR PROTEINASE 3 AB EACH,119.0,105.91,11.53,119.0,467 CPT,83518,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAN,63.0,56.07,9.45,63.0,737 CPT,83518,PR IMMUNOASSAY ANALYTE QUAL/SEMIQUAN,63.0,56.07,9.64,63.0,467 CPT,83519,HC ACHR GANGLIONIC AB RIA,196.0,174.44,18.03,196.0,737 CPT,83519,HC OREXIN A RIA,196.0,174.44,18.03,196.0,737 CPT,83519,HC PANCREATIC POLYPEPTIDE QUANT RIA,196.0,174.44,18.03,196.0,737 CPT,83519,HC PROCOLLAGEN I INTACT TERM RIA,196.0,174.44,18.03,196.0,737 CPT,83519,PR ACHR GANGLIONIC AB RIA,196.0,174.44,18.4,196.0,481 CPT,83519,PR OREXIN A RIA,196.0,174.44,18.4,196.0,467 CPT,83519,PR PANCREATIC POLYPEPTIDE QUANT RIA,196.0,174.44,18.4,196.0,467 CPT,83519,PR PROCOLLAGEN I INTACT TERM RIA,196.0,174.44,18.4,196.0,467 CPT,83519,PR VGKC COMPLEX AB RIA,196.0,174.44,18.4,196.0,481 CPT,83520,HC ADALIMUMAB,159.0,141.51,14.94,159.0,741 CPT,83520,HC C1 ESTERASE INHIBITOR QUANT,159.0,141.51,14.94,159.0,741 CPT,83520,HC CYTOKINE PANEL,32.0,28.48,6.66,32.0,741 CPT,83520,HC CYTOKINE PANEL (CYTH1),32.0,28.48,6.66,32.0,741 CPT,83520,HC CYTOKINE PANEL (CYTH2),32.0,28.48,6.66,32.0,741 CPT,83520,HC FRATAXIN QUANT,169.0,150.41,14.94,169.0,741 CPT,83520,HC GDF15,169.0,150.41,14.94,169.0,741 CPT,83520,HC IGFBP 3 QUANT,159.0,141.51,14.94,159.0,741 CPT,83520,HC IGG/IGM ASIALO GM1 TITER,159.0,141.51,14.94,159.0,741 CPT,83520,HC IGG/IGM MONOS GM1 TITER,159.0,141.51,14.94,159.0,741 CPT,83520,HC IGG/IMM DISIALO GD1B TITER,159.0,141.51,14.94,159.0,741 CPT,83520,HC IMMUNOASSAY QUANT NOS,159.0,141.51,14.94,159.0,741 CPT,83520,HC IMMUNOASSAY QUANT NOS 1,159.0,141.51,14.94,159.0,741 CPT,83520,HC IMMUNOASSAY QUANT NOS 2,159.0,141.51,14.94,159.0,741 CPT,83520,HC IMMUNOASSAY QUANT NOS 4,159.0,141.51,14.94,159.0,741 CPT,83520,HC IMMUNOASSAY QUANT NOS 5,159.0,141.51,14.94,159.0,741 CPT,83520,HC IMMUNOASSAY QUANT NOS 6,159.0,141.51,14.94,159.0,741 CPT,83520,HC IMMUNOASSAY QUANT NOS 8,154.0,137.06,14.94,154.0,741 CPT,83520,HC IMMUNOASSAY QUANT NOS 9,154.0,137.06,14.94,154.0,741 CPT,83520,HC INHIBIN B QUANT,159.0,141.51,14.94,159.0,741 CPT,83520,HC INTACT FIBROBLAST GF 23,159.0,141.51,14.94,159.0,741 CPT,83520,HC NEURON SPECIFIC ENOLASE QUANT,159.0,141.51,14.94,159.0,741 CPT,83520,HC NEURON SPECIFIC ENOLASE QUANT SERUM,159.0,141.51,14.94,159.0,741 CPT,83520,HC PHOSPHOLIPASE A2 RECEPT,159.0,141.51,14.94,159.0,741 CPT,83520,HC THYROTROPIN RECEPTOR ANTIBODY QUANT,159.0,141.51,14.94,159.0,741 CPT,83520,HC TRYPTASE SERUM,159.0,141.51,14.94,159.0,741 CPT,83520,PR ADALIMUMAB,159.0,141.51,17.27,159.0,467 CPT,83520,PR C1 ESTERASE INHIBITOR QUANT,159.0,141.51,17.27,159.0,467 CPT,83520,PR CYTOKINE PANEL,32.0,28.48,17.27,32.0,467 CPT,83520,PR CYTOKINE PANEL (CYTH1),32.0,28.48,17.27,32.0,467 CPT,83520,PR CYTOKINE PANEL (CYTH2),32.0,28.48,17.27,32.0,467 CPT,83520,PR FRATAXIN QUANT,169.0,150.41,17.27,169.0,481 CPT,83520,PR GDF15,169.0,150.41,17.27,169.0,481 CPT,83520,PR IGFBP 3 QUANT,159.0,141.51,17.27,159.0,467 CPT,83520,PR IGG/IGM ASIALO GM1 TITER,159.0,141.51,17.27,159.0,481 CPT,83520,PR IGG/IGM MONOS GM1 TITER,159.0,141.51,17.27,159.0,481 CPT,83520,PR IGG/IMM DISIALO GD1B TITER,159.0,141.51,17.27,159.0,481 CPT,83520,PR IMMUNOASSAY QUANT NOS,159.0,141.51,17.27,159.0,467 CPT,83520,PR IMMUNOASSAY QUANT NOS 1,159.0,141.51,17.27,159.0,467 CPT,83520,PR IMMUNOASSAY QUANT NOS 2,159.0,141.51,17.27,159.0,467 CPT,83520,PR IMMUNOASSAY QUANT NOS 4,159.0,141.51,17.27,159.0,467 CPT,83520,PR IMMUNOASSAY QUANT NOS 5,159.0,141.51,17.27,159.0,467 CPT,83520,PR IMMUNOASSAY QUANT NOS 6,159.0,141.51,17.27,159.0,467 CPT,83520,PR IMMUNOASSAY QUANT NOS 8,154.0,137.06,17.27,154.0,481 CPT,83520,PR IMMUNOASSAY QUANT NOS 9,154.0,137.06,17.27,154.0,481 CPT,83520,PR INHIBIN B QUANT,159.0,141.51,17.27,159.0,467 CPT,83520,PR INTACT FIBROBLAST GF 23,159.0,141.51,17.27,159.0,467 CPT,83520,PR NEURON SPECIFIC ENOLASE QUANT,159.0,141.51,17.27,159.0,467 CPT,83520,PR NEURON SPECIFIC ENOLASE QUANT SERUM,159.0,141.51,17.27,159.0,467 CPT,83520,PR PHOSPHOLIPASE A2 RECEPT,159.0,141.51,17.27,159.0,481 CPT,83520,PR THYROTROPIN RECEPTOR ANTIBODY QUANT,159.0,141.51,17.27,159.0,467 CPT,83520,PR TRYPTASE SERUM,159.0,141.51,17.27,159.0,467 CPT,83521,HC IG LIGHT CHAINS FREE EA 2,154.0,137.06,17.27,154.0,741 CPT,83521,HC IG LIGHT CHAINS FREE EA 3,154.0,137.06,17.27,154.0,741 CPT,83521,PR IG LIGHT CHAINS FREE EA,154.0,137.06,17.27,154.0,481 CPT,83521,PR IG LIGHT CHAINS FREE EA 2,154.0,137.06,17.27,154.0,467 CPT,83521,PR IG LIGHT CHAINS FREE EA 3,154.0,137.06,17.27,154.0,467 CPT,83525,HC INSULIN ASSAY TOTAL,92.0,81.88,11.2,92.0,736 CPT,83525,PR INSULIN ASSAY TOTAL,92.0,81.88,11.43,92.0,481 CPT,83527,HC INSULIN ASSAY FREE,174.0,154.86,12.69,174.0,736 CPT,83527,PR INSULIN ASSAY FREE,174.0,154.86,12.95,174.0,467 CPT,83529,HC ASSAY OF INTERLEUKIN-6 (CYPAN),39.0,34.71,8.11,39.0,735 CPT,83529,HC ASSAY OF INTERLEUKIN-6 (IL-6),150.0,133.5,17.27,150.0,735 CPT,83529,PR ASSAY OF INTERLEUKIN-6 (CYPAN),39.0,34.71,17.27,39.0,467 CPT,83529,PR ASSAY OF INTERLEUKIN-6 (IL-6),150.0,133.5,17.27,150.0,467 CPT,83540,HC IRON ASSAY TOTAL,46.0,40.94,6.34,46.0,743 CPT,83540,PR IRON ASSAY TOTAL,46.0,40.94,6.47,46.0,482 CPT,83550,HC IRON BINDING CAPACITY,64.0,56.96,8.57,64.0,743 CPT,83550,PR IRON BINDING CAPACITY,64.0,56.96,8.74,64.0,482 CPT,83605,HC D-LACTATE,105.0,93.45,11.34,105.0,744 CPT,83605,HC LACTIC ACID BLOOD,93.0,82.77,11.34,93.0,744 CPT,83605,HC LACTIC ACID/LACTATE ASSAY,93.0,82.77,11.34,93.0,744 CPT,83605,PR D-LACTATE,105.0,93.45,11.57,105.0,486 CPT,83605,PR LACTIC ACID BLOOD,93.0,82.77,11.57,93.0,486 CPT,83605,PR LACTIC ACID/LACTATE ASSAY,93.0,82.77,11.57,93.0,486 CPT,83615,HC LACTATE DEHYDROGENASE/LDH,44.0,39.16,5.92,44.0,745 CPT,83615,PR LACTATE DEHYDROGENASE/LDH,44.0,39.16,6.04,44.0,481 CPT,83631,HC FECAL LACTOFERRIN QUANT,199.0,177.11,19.63,199.0,735 CPT,83655,HC LEAD BLOOD,89.0,79.21,10.48,89.0,737 CPT,83655,HC LEAD URINE,89.0,79.21,10.48,89.0,737 CPT,83655,PR LEAD ASSAY,89.0,79.21,12.11,89.0,467 CPT,83655,PR LEAD BLOOD,89.0,79.21,12.11,89.0,467 CPT,83655,PR LEAD URINE,89.0,79.21,12.11,89.0,467 CPT,83690,HC LIPASE ASSAY,66.0,58.74,6.75,66.0,742 CPT,83690,PR LIPASE ASSAY,66.0,58.74,6.89,66.0,481 CPT,83695,HC LIPOPROTEIN A,85.0,75.65,14.03,85.0,736 CPT,83695,PR LIPOPROTEIN A,85.0,75.65,14.32,85.0,481 CPT,83700,HC LP CHOLESTEROL,141.0,125.49,11.03,141.0,734 CPT,83700,PR LP CHOLESTEROL,141.0,125.49,11.26,141.0,481 CPT,83701,HC LIPOPROTEIN HIGH RESOLUTION,319.0,283.91,29.29,319.0,734 CPT,83701,PR LIPOPROTEIN HIGH RESOLUTION,319.0,283.91,33.86,319.0,481 CPT,83704,PR NMR LIPOPROFILE,182.0,161.98,34.19,182.0,481 CPT,83718,HC HDL CHOLESTEROL,56.0,49.84,8.03,56.0,736 CPT,83718,PR HDL CHOLESTEROL,56.0,49.84,8.19,56.0,481 CPT,83722,HC SMALL DENSE LDL CHOLESTEROL,122.0,108.58,25.38,122.0,736 CPT,83722,PR SMALL DENSE LDL CHOLESTEROL,122.0,108.58,34.19,122.0,481 CPT,83735,HC MAGNESIUM ASSAY,64.0,56.96,6.57,64.0,744 CPT,83735,PR MAGNESIUM ASSAY,64.0,56.96,6.7,64.0,481 CPT,83785,HC MANGANESE ASSAY 2,161.0,143.29,26.12,161.0,736 CPT,83785,PR MANGANESE ASSAY 2,161.0,143.29,26.65,161.0,467 CPT,83789,HC CERAMIDE TRIHEX/SULFATIDE,126.0,112.14,23.63,126.0,736 CPT,83789,HC HEMOGLOBIN VAR ANALYSIS QUANT,117.0,104.13,23.63,117.0,736 CPT,83789,HC IODINE LAB,113.0,100.57,23.5,113.0,736 CPT,83789,HC LYSOSOMAL DISORDER QUANT,126.0,112.14,23.63,126.0,736 CPT,83789,HC LYSOSOMAL SIX PANEL (LSD6W-MEC-NCCI),378.0,336.42,23.63,378.0,736 CPT,83789,HC SUPPLEMENTAL NB SCREEN,126.0,112.14,23.63,126.0,736 CPT,83789,PR CDGN,126.0,112.14,24.11,126.0,481 CPT,83789,PR CERAMIDE TRIHEX/SULFATIDE,126.0,112.14,24.11,126.0,481 CPT,83789,PR HEMOGLOBIN VAR ANALYSIS QUANT,117.0,104.13,24.11,117.0,481 CPT,83789,PR IODINE LAB,113.0,100.57,24.11,113.0,467 CPT,83789,PR LYSOSOMAL DISORDER QUANT,126.0,112.14,24.11,126.0,481 CPT,83825,HC MERCURY QUANT,207.0,184.23,15.93,207.0,737 CPT,83825,PR MERCURY QUANT,207.0,184.23,16.26,207.0,467 CPT,83825,PR MERCURY QUANT 1,207.0,184.23,16.26,207.0,467 CPT,83835,HC METANEPHRINES,263.0,234.07,16.6,263.0,736 CPT,83835,HC METANEPHRINES URINE,263.0,234.07,16.6,263.0,736 CPT,83835,PR METANEPHRINES,263.0,234.07,16.94,263.0,467 CPT,83835,PR METANEPHRINES URINE,263.0,234.07,16.94,263.0,467 CPT,83861,PR MICROFLUIDIC ANALYSIS TEAR OSMOL,62.0,55.18,22.48,62.0,481 CPT,83864,HC MUCOPOLYSACCHARIDES QNT,313.0,278.57,27.93,313.0,736 CPT,83864,"HC MUCOPOLYSACCHARIDES QNT, S",313.0,278.57,27.93,313.0,736 CPT,83864,PR MUCOPOLYSACCHARIDES QNT,313.0,278.57,28.5,313.0,481 CPT,83874,HC MYOGLOBIN,131.0,116.59,12.66,131.0,737 CPT,83874,PR MYOGLOBIN,131.0,116.59,12.92,131.0,481 CPT,83880,HC NATRIURETIC PEPTIDE/BNP 2,214.0,190.46,38.47,214.0,740 CPT,83880,PR NATRIURETIC PEPTIDE/BNP,214.0,190.46,39.26,214.0,481 CPT,83880,PR NATRIURETIC PEPTIDE/BNP 2,214.0,190.46,39.26,214.0,481 CPT,83883,HC ALPHA 1 MICROGLOBIN,178.0,158.42,13.33,178.0,736 CPT,83883,HC ALPHA 1 MICROGLOBIN 1,178.0,158.42,13.33,178.0,736 CPT,83883,HC ASSAY NEPHELOMETRY NOT SPEC,184.0,163.76,13.33,184.0,736 CPT,83883,HC C1 ESTERASE INHIB AG S,178.0,158.42,13.33,178.0,736 CPT,83883,HC NEPHELOMETRY EA ANALYTE NES,184.0,163.76,13.33,184.0,736 CPT,83883,HC RETINOL BINDING PROTEIN,178.0,158.42,13.33,178.0,736 CPT,83883,HC RETINOL BINDING PROTEIN 1,178.0,158.42,13.33,178.0,736 CPT,83883,HC TOTAL LIGHT CHAIN EA,178.0,158.42,13.33,178.0,736 CPT,83883,PR ALPHA 1 MICROGLOBIN,178.0,158.42,13.6,178.0,481 CPT,83883,PR ALPHA 1 MICROGLOBIN 1,178.0,158.42,13.6,178.0,481 CPT,83883,PR ALPHA 2 MICROGLOBIN,178.0,158.42,13.6,178.0,481 CPT,83883,PR C1 ESTERASE INHIB AG S,178.0,158.42,13.6,178.0,467 CPT,83883,PR NEPHELOMETRY EA ANALYTE NES,184.0,163.76,13.6,184.0,467 CPT,83883,PR RETINOL BINDING PROTEIN,178.0,158.42,13.6,178.0,481 CPT,83883,PR RETINOL BINDING PROTEIN 1,178.0,158.42,13.6,178.0,481 CPT,83883,PR TOTAL LIGHT CHAIN EA,178.0,158.42,13.6,178.0,467 CPT,83884,HC NEUROFILAMENT LIGHT CHAIN ASSAY,599.0,533.11,116.23,599.0,734 CPT,83884,PR NEUROFILAMENT LIGHT CHAIN ASSAY,599.0,533.11,116.23,599.0,467 CPT,83885,HC NICKEL SERUM,162.0,144.18,24.02,162.0,736 CPT,83885,PR NICKEL SERUM,162.0,144.18,24.51,162.0,467 CPT,83915,HC NUCLEOTIDASE 5 ASSAY,147.0,130.83,10.93,147.0,734 CPT,83915,PR NUCLEOTIDASE 5 ASSAY,147.0,130.83,11.15,147.0,481 CPT,83916,HC OLIGOCLONAL BANDS,240.0,213.6,26.84,240.0,739 CPT,83916,PR OLIGOCLONAL BANDS,240.0,213.6,27.39,240.0,467 CPT,83918,HC ORGANIC ACIDS TOTAL QUANT,311.0,276.79,23.13,311.0,737 CPT,83918,HC ORGANIC ACIDS TOTAL QUANT 2 (CMMPP/CMMPS-NCCI),321.0,285.69,23.13,321.0,737 CPT,83918,PR ORGANIC ACIDS TOTAL QUANT,311.0,276.79,23.6,311.0,481 CPT,83918,PR ORGANIC ACIDS TOTAL QUANT 2 (CMMPP/CMMPS-NCCI),321.0,285.69,23.6,321.0,481 CPT,83919,HC ORGANIC ACIDS QUAL,239.0,212.71,16.12,239.0,736 CPT,83919,PR ORGANIC ACIDS QUAL,239.0,212.71,16.45,239.0,481 CPT,83921,HC ORGANIC ACID 1 QUANT,180.0,160.2,18.35,180.0,738 CPT,83921,HC ORGANIC ACID 1 QUANT 2,180.0,160.2,18.35,180.0,738 CPT,83921,HC ORGANIC ACID 1 QUANT 5,181.0,161.09,18.35,181.0,738 CPT,83921,PR ORGANIC ACID 1 QUANT,180.0,160.2,21.21,180.0,481 CPT,83921,PR ORGANIC ACID 1 QUANT 2,180.0,160.2,21.21,180.0,481 CPT,83921,PR ORGANIC ACID 1 QUANT 4,186.0,165.54,21.21,186.0,481 CPT,83921,PR ORGANIC ACID 1 QUANT 5,181.0,161.09,21.21,181.0,481 CPT,83930,HC OSMOLALITY ASSAY BLOOD,88.0,78.32,6.48,88.0,739 CPT,83930,PR OSMOLALITY ASSAY BLOOD,88.0,78.32,6.61,88.0,481 CPT,83935,HC OSMOLALITY ASSAY URINE,78.0,69.42,6.68,78.0,742 CPT,83935,HC OSMOLALITY ASSAY URINE 2,78.0,69.42,6.68,78.0,742 CPT,83935,PR OSMOLALITY ASSAY URINE,78.0,69.42,6.82,78.0,481 CPT,83935,PR OSMOLALITY ASSAY URINE 2,78.0,69.42,6.82,78.0,481 CPT,83937,HC OSTEOCALCIN ASSAY,234.0,208.26,25.82,234.0,734 CPT,83937,PR OSTEOCALCIN ASSAY,234.0,208.26,29.85,234.0,467 CPT,83945,HC OXYLATE ASSAY,97.0,86.33,14.16,97.0,736 CPT,83945,HC OXYLATE URINE,97.0,86.33,14.16,97.0,736 CPT,83945,PR OXYLATE ASSAY,97.0,86.33,14.45,97.0,481 CPT,83945,PR OXYLATE URINE,97.0,86.33,14.45,97.0,481 CPT,83951,HC DES GAMMA CARBOXY PROTHROMBIN,604.0,537.56,63.12,604.0,736 CPT,83951,PR DES GAMMA CARBOXY PROTHROMBIN,604.0,537.56,64.41,604.0,467 CPT,83970,HC PARATHORMONE/PTH,294.0,261.66,40.45,294.0,738 CPT,83970,HC PARATHORMONE/PTH 1,294.0,261.66,40.45,294.0,738 CPT,83970,PR PARATHORMONE/PTH,294.0,261.66,41.28,294.0,481 CPT,83970,PR PARATHORMONE/PTH 1,294.0,261.66,41.28,294.0,481 CPT,83986,HC PH BODY FLUID,36.0,32.04,3.51,36.0,741 CPT,83986,HC PH URINE,36.0,32.04,3.51,36.0,741 CPT,83986,PR PH BODY FLUID,37.0,32.93,3.58,37.0,482 CPT,83986,PR PH URINE,36.0,32.04,3.58,36.0,482 CPT,83993,HC CALPROTECTIN FECAL,220.0,195.8,19.24,220.0,736 CPT,83993,PR CALPROTECTIN FECAL,220.0,195.8,19.63,220.0,467 CPT,84030,HC PHENYLALANINE (PKU-NCCI),62.0,55.18,5.5,62.0,735 CPT,84030,HC PHENYLALANINE (TYRBS-NCCI),64.0,56.96,5.5,64.0,735 CPT,84030,PR PHENYLALANINE (PKU-NCCI),62.0,55.18,5.5,62.0,481 CPT,84030,PR PHENYLALANINE (PKUBS-NCCI),56.0,49.84,5.5,56.0,481 CPT,84066,HC PROSTATIC ACID PHOSPHATE,108.0,96.12,9.47,108.0,736 CPT,84066,PR PROSTATIC ACID PHOSPHATE,108.0,96.12,9.66,108.0,481 CPT,84075,HC ALK PHOSPHATASE,42.0,37.38,4.48,42.0,742 CPT,84075,PR ALK PHOSPHATASE,42.0,37.38,5.18,42.0,481 CPT,84080,HC ALK PHOSPHATASE ISOENZYMES,147.0,130.83,14.48,147.0,738 CPT,84080,PR ALK PHOSPHATASE ISOENZYMES,147.0,130.83,14.78,147.0,467 CPT,84087,HC PHOSPHOHEXOSE ISOMERASE,224.0,199.36,10.52,224.0,734 CPT,84087,PR PHOSPHOHEXOSE ISOMERASE,224.0,199.36,10.73,224.0,481 CPT,84100,HC PHOSPHORUS ASSAY,37.0,32.93,4.65,37.0,740 CPT,84100,PR PHOSPHORUS ASSAY,37.0,32.93,4.74,37.0,481 CPT,84105,HC PHOSPHORUS ASSAY URINE,42.0,37.38,5.0,42.0,736 CPT,84105,PR PHOSPHORUS ASSAY URINE,42.0,37.38,5.78,42.0,481 CPT,84105,PR TUBULAR REABSORPTION PHOSPHATE,42.0,37.38,5.78,42.0,481 CPT,84110,HC PORPHOBILINOGEN URINE QUANT,134.0,119.26,8.27,134.0,736 CPT,84110,HC PORPHOBILINOGEN URINE QUANT 2,134.0,119.26,8.27,134.0,736 CPT,84110,PR PORPHOBILINOGEN URINE QUANT,134.0,119.26,8.44,134.0,481 CPT,84110,PR PORPHOBILINOGEN URINE QUANT 2,134.0,119.26,8.44,134.0,481 CPT,84120,HC PORPHYRINS URINE QUANT/FRACT,237.0,210.93,14.42,237.0,736 CPT,84120,HC PORPHYRINS URINE QUANT/FRACT 2,237.0,210.93,14.42,237.0,736 CPT,84120,PR PORPHYRINS URINE QUANT/FRACT,237.0,210.93,14.71,237.0,481 CPT,84120,PR PORPHYRINS URINE QUANT/FRACT 2,237.0,210.93,14.71,237.0,481 CPT,84126,HC PORPHYRINS FECES QUANT,237.0,210.93,33.83,237.0,735 CPT,84126,PR PORPHYRINS FECES QUANT,237.0,210.93,39.11,237.0,481 CPT,84132,HC POTASSIUM SER/PLASMA/WHOLE BLD,42.0,37.38,4.66,42.0,741 CPT,84132,PR POTASSIUM SER/PLASMA/WHOLE BLD,42.0,37.38,4.76,42.0,488 CPT,84133,HC POTASSIUM URINE,37.0,32.93,4.64,37.0,737 CPT,84133,PR POTASSIUM URINE,37.0,32.93,4.73,37.0,481 CPT,84134,HC PREALBUMIN,145.0,129.05,14.3,145.0,741 CPT,84134,PR PREALBUMIN,145.0,129.05,14.59,145.0,467 CPT,84140,HC PREGNENOLONE,237.0,210.93,20.26,237.0,736 CPT,84140,PR PREGNENOLONE,237.0,210.93,20.67,237.0,467 CPT,84143,HC 17-HYDROXYPREGNENOLONE (17PRN),210.0,186.9,22.35,210.0,736 CPT,84143,PR 17 HYDROXYPREGNENOLONE,210.0,186.9,22.81,210.0,467 CPT,84143,PR 17-HYDROXYPREGNENOLONE (17PRN),210.0,186.9,22.81,210.0,467 CPT,84144,HC PROGESTERONE ASSAY,180.0,160.2,18.04,180.0,736 CPT,84144,PR PROGESTERONE ASSAY,180.0,160.2,20.86,180.0,481 CPT,84145,HC PROCALCITONIN 1,187.0,166.43,26.68,187.0,738 CPT,84145,PR PROCALCITONIN 1,187.0,166.43,27.22,187.0,482 CPT,84146,HC PROLACTIN ASSAY,170.0,151.3,16.76,170.0,739 CPT,84146,PR PROLACTIN ASSAY,170.0,151.3,19.38,170.0,481 CPT,84150,HC PROSTAGLANDIN ASSAY EACH,373.0,331.97,40.93,373.0,738 CPT,84150,PR PROSTAGLANDIN ASSAY EACH,373.0,331.97,41.77,373.0,467 CPT,84153,HC PSA TOTAL,166.0,147.74,18.02,166.0,740 CPT,84153,HC PSA TOTAL ULTRASENSITIVE,166.0,147.74,18.02,166.0,740 CPT,84153,PR PSA TOTAL,166.0,147.74,18.39,166.0,481 CPT,84153,PR PSA TOTAL 1,166.0,147.74,18.39,166.0,467 CPT,84153,PR PSA TOTAL ULTRASENSITIVE,166.0,147.74,18.39,166.0,467 CPT,84154,HC PSA FREE,161.0,143.29,18.02,161.0,736 CPT,84154,PR PSA FREE,161.0,143.29,18.39,161.0,467 CPT,84155,HC PROTEIN TOTAL SERUM/PLASMA,40.0,35.6,3.6,40.0,738 CPT,84155,PR PROTEIN TOTAL SERUM/PLASMA,40.0,35.6,3.67,40.0,481 CPT,84156,HC PROTEIN TOTAL URINE,39.0,34.71,3.6,39.0,738 CPT,84156,PR PROTEIN TOTAL URINE,39.0,34.71,3.67,39.0,481 CPT,84157,HC PROTEIN TOTAL BODY FLUID,57.0,50.73,3.92,57.0,745 CPT,84157,HC PROTEIN TOTAL CSF,57.0,50.73,3.92,57.0,745 CPT,84157,PR PROTEIN TOTAL BODY FLUID,57.0,50.73,4.0,57.0,481 CPT,84157,PR PROTEIN TOTAL CSF,57.0,50.73,4.0,57.0,481 CPT,84165,HC PROTEIN ELECTROPHORESIS SERUM,119.0,105.91,10.53,119.0,736 CPT,84165,PR PROTEIN ELECTROPHORESIS SERUM,119.0,105.91,10.74,119.0,481 CPT,84166,HC PROTEIN ELECTROPHORESIS URINE,187.0,166.43,17.47,187.0,736 CPT,84166,PR PROTEIN ELECTROPHORESIS URINE,187.0,166.43,17.83,187.0,467 CPT,84182,HC CRMP 5 WESTERN BLOT,225.0,200.25,28.63,225.0,739 CPT,84182,HC PROTEIN WESTERN BLOT TEST 1,225.0,200.25,28.63,225.0,739 CPT,84182,HC PROTEIN WESTERN BLOT TEST 2,225.0,200.25,28.63,225.0,739 CPT,84182,HC PROTEIN WESTERN BLOT TEST 3,225.0,200.25,28.63,225.0,739 CPT,84182,HC WESTERN BLOT TEST BAND ID EA,225.0,200.25,28.63,225.0,739 CPT,84182,PR CRMP 5 WESTERN BLOT,225.0,200.25,29.21,225.0,481 CPT,84182,PR PROTEIN WESTERN BLOT TEST 1,225.0,200.25,29.21,225.0,481 CPT,84182,PR PROTEIN WESTERN BLOT TEST 2,225.0,200.25,29.21,225.0,481 CPT,84182,PR PROTEIN WESTERN BLOT TEST 3,225.0,200.25,29.21,225.0,481 CPT,84182,PR WESTERN BLOT TEST BAND ID EA,225.0,200.25,29.21,225.0,481 CPT,84206,HC PROINSULIN ASSAY,225.0,200.25,26.16,225.0,736 CPT,84206,PR PROINSULIN ASSAY,225.0,200.25,26.69,225.0,467 CPT,84207,HC VITAMIN B6 ASSAY,259.0,230.51,27.54,259.0,739 CPT,84207,PR VITAMIN B6 ASSAY,259.0,230.51,28.1,259.0,467 CPT,84210,HC PYRUVATE ASSAY,45.0,40.05,9.36,45.0,737 CPT,84210,PR PYRUVATE ASSAY,45.0,40.05,14.48,45.0,481 CPT,84220,HC PYRUVATE KINASE ASSAY,237.0,210.93,9.25,237.0,734 CPT,84220,PR PYRUVATE KINASE ASSAY,237.0,210.93,9.44,237.0,481 CPT,84238,HC SOLUBLE TRANSFERRIN RECEPTOR,296.0,263.44,31.63,296.0,739 CPT,84238,PR SOLUBLE TRANSFERRIN RECEPTOR,296.0,263.44,36.57,296.0,481 CPT,84244,HC RENIN ACTIVITY 1 BLOOD,218.0,194.02,19.02,218.0,737 CPT,84244,PR RENIN ACTIVITY 1 BLOOD,218.0,194.02,21.99,218.0,467 CPT,84252,HC RIBOFLAVIN B2,217.0,193.13,19.84,217.0,736 CPT,84252,HC VITAMIN B2 ASSAY,217.0,193.13,19.84,217.0,736 CPT,84252,PR RIBOFLAVIN B2,217.0,193.13,20.24,217.0,467 CPT,84252,PR VITAMIN B2 ASSAY,217.0,193.13,20.24,217.0,481 CPT,84255,HC SELENIUM ASSAY,202.0,179.78,22.08,202.0,737 CPT,84255,PR SELENIUM ASSAY,202.0,179.78,25.53,202.0,467 CPT,84260,HC SEROTONIN ASSAY,258.0,229.62,30.36,258.0,736 CPT,84260,PR SEROTONIN ASSAY,258.0,229.62,30.98,258.0,467 CPT,84270,HC SEX HORMONE BINDING GLOBULIN,171.0,152.19,21.3,171.0,736 CPT,84270,PR SEX HORMONE BINDING GLOBULIN,171.0,152.19,21.73,171.0,467 CPT,84275,HC ASSAY OF SIALIC ACID,149.0,132.61,13.17,149.0,736 CPT,84275,PR ASSAY OF SIALIC ACID,149.0,132.61,13.44,149.0,481 CPT,84295,HC SODIUM SERUM/PLASMA/WHOLE BLD,45.0,40.05,4.71,45.0,741 CPT,84295,PR SODIUM SERUM/PLASMA/WHOLE BLD,45.0,40.05,4.81,45.0,486 CPT,84300,HC SODIUM ASSAY URINE,50.0,44.5,4.38,50.0,737 CPT,84300,PR SODIUM ASSAY URINE,50.0,44.5,5.06,50.0,481 CPT,84302,HC SODIUM ASSAY OTHER SOURCES,86.0,76.54,4.86,86.0,735 CPT,84302,PR SODIUM ASSAY OTHER SOURCES,86.0,76.54,4.86,86.0,481 CPT,84305,HC SOMATOMEDIN/IGF1,267.0,237.63,20.83,267.0,736 CPT,84305,PR SOMATOMEDIN/IGF1,267.0,237.63,21.26,267.0,467 CPT,84311,HC CHOLESTEROL NON SERUM,43.0,38.27,7.94,43.0,737 CPT,84311,HC PORPHYRINS,53.0,47.17,7.94,53.0,737 CPT,84311,HC PORPHYRINS TOTAL,53.0,47.17,7.94,53.0,737 CPT,84311,PR ARYLSULFATASE A URINE,43.0,38.27,8.1,43.0,481 CPT,84311,PR CHOLESTEROL NON SERUM,43.0,38.27,8.1,43.0,481 CPT,84311,PR PORPHYRINS,53.0,47.17,8.1,53.0,481 CPT,84311,PR PORPHYRINS TOTAL,53.0,47.17,8.1,53.0,481 CPT,84376,HC REDUCING SUBSTANCE URINE OR STOOL,106.0,94.34,4.76,106.0,736 CPT,84376,PR REDUCING SUBSTANCE URINE OR STOOL,106.0,94.34,5.5,106.0,481 CPT,84377,HC OLIGOSACCHARIDE,146.0,129.94,5.39,146.0,736 CPT,84377,HC SUGARS MULT QUAL,114.0,101.46,5.39,114.0,736 CPT,84377,PR OLIGOSACCHARIDE,146.0,129.94,5.5,146.0,481 CPT,84377,PR SUGARS MULT QUAL,114.0,101.46,5.5,114.0,481 CPT,84378,HC GALACTOSE 1 PHOS,93.0,82.77,11.3,93.0,736 CPT,84378,HC GALACTOSE 1 PHOSPHATE 2,93.0,82.77,11.3,93.0,736 CPT,84378,PR GALACTOSE 1 PHOS,93.0,82.77,11.53,93.0,481 CPT,84378,PR GALACTOSE 1 PHOSPHATE 2,93.0,82.77,11.53,93.0,481 CPT,84379,HC SUGARS MULT QUANT,258.0,229.62,11.53,258.0,735 CPT,84379,PR SUGARS MULT QUANT,258.0,229.62,11.53,258.0,481 CPT,84392,HC SULFATE ASSAY URINE,38.0,33.82,4.75,38.0,734 CPT,84392,PR SULFATE ASSAY URINE,38.0,33.82,5.49,38.0,481 CPT,84393,HC TAU PHOSPHORYLATED EA,159.0,141.51,33.07,193.38,733 CPT,84393,HC TAU PHOSPHORYLATED EA 2,159.0,141.51,33.07,193.38,733 CPT,84393,PR TAU PHOSPHORYLATED EA,159.0,141.51,128.92,159.0,467 CPT,84393,PR TAU PHOSPHORYLATED EA 2,159.0,141.51,128.92,159.0,467 CPT,84394,HC TOTAL TAU,159.0,141.51,33.07,193.38,734 CPT,84394,HC TOTAL TAU 2,159.0,141.51,33.07,193.38,734 CPT,84394,PR TOTAL TAU,159.0,141.51,128.92,159.0,467 CPT,84394,PR TOTAL TAU 2,159.0,141.51,128.92,159.0,467 CPT,84402,HC TESTOSTERONE FREE,195.0,173.55,24.96,195.0,737 CPT,84402,PR TESTOSTERONE FREE,195.0,173.55,25.47,195.0,467 CPT,84403,HC TESTOSTERONE TOTAL SERUM,187.0,166.43,25.29,187.0,741 CPT,84403,PR TESTOSTERONE TOTAL SERUM,187.0,166.43,25.81,187.0,467 CPT,84410,HC TESTOSTERONE BIOAVAILABLE DRCT MEAS,349.0,310.61,50.25,349.0,736 CPT,84410,PR TESTOSTERONE BIOAVAILABLE DRCT MEAS,349.0,310.61,51.28,349.0,467 CPT,84425,HC VITAMIN B1 THIAMINE ASSAY,178.0,158.42,20.81,178.0,739 CPT,84425,PR VITAMIN B1 THIAMINE ASSAY,178.0,158.42,21.23,178.0,467 CPT,84432,HC THYROGLOBULIN LYMPH NODE,142.0,126.38,15.74,142.0,738 CPT,84432,HC THYROGLOBULIN MASS SPEC,142.0,126.38,15.74,142.0,738 CPT,84432,HC THYROGLOBULIN SERUM,142.0,126.38,15.74,142.0,738 CPT,84432,PR THYROGLOBULIN LYMPH NODE,142.0,126.38,16.06,142.0,467 CPT,84432,PR THYROGLOBULIN MASS SPEC,142.0,126.38,16.06,142.0,467 CPT,84432,PR THYROGLOBULIN SERUM,142.0,126.38,16.06,142.0,467 CPT,84433,HC ASSAY TPMT,236.0,210.04,21.73,236.0,732 CPT,84433,PR ASSAY TPMT,236.0,210.04,22.17,236.0,481 CPT,84436,HC T4 TOTAL,68.0,60.52,6.73,68.0,736 CPT,84436,PR T4 TOTAL,68.0,60.52,6.87,68.0,481 CPT,84439,HC T4 FREE,94.0,83.66,8.84,94.0,742 CPT,84439,PR T4 FREE,94.0,83.66,9.02,94.0,481 CPT,84442,HC THYROXINE BIND GLOBULIN,172.0,153.08,14.48,172.0,736 CPT,84442,PR THYROXINE BIND GLOBULIN,172.0,153.08,14.78,172.0,467 CPT,84443,HC THYROID STIMULATING HORMONE,133.0,118.37,16.46,133.0,743 CPT,84443,PR THYROID STIMULATING HORMONE,133.0,118.37,16.8,133.0,481 CPT,84445,HC THYROID STIM IMMUNOGLOBIN,489.0,435.21,43.99,489.0,736 CPT,84445,PR THYROID STIM IMMUNOGLOBIN,489.0,435.21,50.86,489.0,467 CPT,84446,HC VITAMIN E ASSAY,133.0,118.37,12.27,133.0,739 CPT,84446,HC VITAMIN E ASSAY 2,133.0,118.37,12.27,133.0,739 CPT,84446,PR VITAMIN E ASSAY,133.0,118.37,14.18,133.0,467 CPT,84446,PR VITAMIN E ASSAY 2,133.0,118.37,14.18,133.0,467 CPT,84450,HC AST/SGOT,48.0,42.72,4.48,48.0,741 CPT,84450,PR AST/SGOT,48.0,42.72,5.18,48.0,493 CPT,84460,HC ALT/SGPT,38.0,33.82,4.58,38.0,741 CPT,84460,PR ALT/SGPT,38.0,33.82,5.3,38.0,481 CPT,84466,HC TRANSFERRIN,120.0,106.8,12.5,120.0,736 CPT,84466,PR TRANSFERRIN,120.0,106.8,12.76,120.0,481 CPT,84478,HC TRIGLYCERIDES,49.0,43.61,5.63,49.0,738 CPT,84478,HC TRIGLYCERIDES 1,49.0,43.61,5.63,49.0,738 CPT,84478,PR TRIGLYCERIDES,49.0,43.61,5.74,49.0,481 CPT,84478,PR TRIGLYCERIDES 1,49.0,43.61,5.74,49.0,481 CPT,84479,PR T3 OR T4 UPTAKE,70.0,62.3,6.47,70.0,481 CPT,84480,HC T3 TOTAL,115.0,102.35,13.9,115.0,738 CPT,84480,PR T3 TOTAL,115.0,102.35,14.18,115.0,481 CPT,84481,HC T3 FREE,163.0,145.07,16.6,163.0,736 CPT,84481,PR T3 FREE,163.0,145.07,16.94,163.0,467 CPT,84482,HC T3 REVERSE,200.0,178.0,13.63,200.0,734 CPT,84482,PR T3 REVERSE,200.0,178.0,15.76,200.0,467 CPT,84484,HC TROPONIN QUANT,142.0,126.38,12.22,142.0,741 CPT,84484,PR TROPONIN QUANT,142.0,126.38,12.47,142.0,481 CPT,84510,HC TYROSINE (PKU-NCCI),151.0,134.39,12.22,151.0,717 CPT,84510,HC TYROSINE (SUAC-NCCI),132.0,117.48,12.22,132.0,717 CPT,84510,HC TYROSINE (TYRBS-NCCI),156.0,138.84,12.22,156.0,717 CPT,84510,PR TYROSINE (PKU-NCCI),151.0,134.39,10.63,151.0,481 CPT,84510,PR TYROSINE (PKUBS-NCCI),136.0,121.04,10.63,136.0,481 CPT,84520,HC UREA NITROGEN/BUN,38.0,33.82,3.42,38.0,737 CPT,84520,PR UREA NITROGEN/BUN,38.0,33.82,3.95,38.0,485 CPT,84540,HC UREA NITROGEN URINE,43.0,38.27,5.45,43.0,719 CPT,84540,PR UREA NITROGEN URINE,43.0,38.27,5.56,43.0,481 CPT,84550,HC URIC ACID BLOOD,43.0,38.27,4.43,43.0,742 CPT,84550,PR URIC ACID BLOOD,43.0,38.27,4.52,43.0,481 CPT,84560,HC URIC ACID OTHER SOURCE,45.0,40.05,4.98,45.0,736 CPT,84560,PR URIC ACID OTHER SOURCE,45.0,40.05,5.08,45.0,481 CPT,84585,HC VANILLYLMANDELIC ACID URINE,117.0,104.13,15.19,117.0,736 CPT,84585,PR VANILLYLMANDELIC ACID URINE,117.0,104.13,15.5,117.0,481 CPT,84586,HC VASOACTIVE INTESTINAL PEPTIDE,457.0,406.73,34.62,457.0,736 CPT,84586,PR VASOACTIVE INTESTINAL PEPTIDE,457.0,406.73,35.33,457.0,467 CPT,84588,HC COPEPTIN PROAVP,458.0,407.62,33.26,458.0,736 CPT,84588,PR COPEPTIN PROAVP,458.0,407.62,33.94,458.0,467 CPT,84590,HC VITAMIN A ASSAY,138.0,122.82,10.04,138.0,740 CPT,84590,HC VITAMIN A ASSAY 2,153.0,136.17,10.04,153.0,740 CPT,84590,PR VITAMIN A ASSAY,138.0,122.82,11.61,138.0,467 CPT,84590,PR VITAMIN A ASSAY 2,153.0,136.17,11.61,153.0,467 CPT,84591,HC ASSAY OF NOS VITAMIN,245.0,218.05,16.72,245.0,736 CPT,84591,HC BIOTIN,230.0,204.7,16.72,230.0,736 CPT,84591,PR ASSAY OF NOS VITAMIN,245.0,218.05,17.06,245.0,467 CPT,84591,PR BIOTIN,230.0,204.7,17.06,230.0,481 CPT,84597,HC VITAMIN K ASSAY,249.0,221.61,11.87,249.0,736 CPT,84597,PR VITAMIN K ASSAY,249.0,221.61,13.72,249.0,467 CPT,84630,HC ZINC ASSAY,112.0,99.68,9.85,112.0,739 CPT,84630,PR ZINC ASSAY,112.0,99.68,11.39,112.0,467 CPT,84630,PR ZINC ASSAY 2,112.0,99.68,11.39,112.0,467 CPT,84681,HC C PEPTIDE ASSAY,171.0,152.19,20.39,171.0,738 CPT,84681,PR C PEPTIDE ASSAY,171.0,152.19,20.81,171.0,481 CPT,84702,HC BETA HCG QUANTITATIVE,144.0,128.16,14.75,144.0,743 CPT,84702,HC BETA HUMAN CHORIONIC GONADTRPN,139.0,123.71,14.75,139.0,743 CPT,84702,PR BETA HCG QUANTITATIVE,144.0,128.16,15.05,144.0,467 CPT,84702,PR BETA HUMAN CHORIONIC GONADTRPN,139.0,123.71,15.05,139.0,481 CPT,84702,PR HCG INTERFERENCE EVAL,144.0,128.16,15.05,144.0,467 CPT,84999,HC NITROGEN TOTAL 1,62.0,55.18,12.9,62.0,719 CPT,84999,HC OSMOLALITY STOOL,38.0,33.82,7.9,38.0,719 CPT,84999,HC POTASSIUM QUANTITATIVE STOOL,27.0,24.03,5.62,27.0,719 CPT,84999,HC RT-QUIC PRION,120.0,106.8,24.96,120.0,719 CPT,84999,PR NITROGEN TOTAL 1,62.0,55.18,54.56,62.0,477 CPT,84999,PR OSMOLALITY STOOL,38.0,33.82,33.44,38.0,477 CPT,84999,PR POTASSIUM QUANTITATIVE STOOL,27.0,24.03,23.76,27.0,477 CPT,84999,PR RT-QUIC PRION,120.0,106.8,105.6,120.0,477 CPT,85007,HC BLOOD MANUAL DIFF,37.0,32.93,3.29,37.0,746 CPT,85007,PR BLOOD MANUAL DIFF,37.0,32.93,3.8,37.0,481 CPT,85008,HC BLOOD SMEAR WO DIFF WBC,35.0,31.15,2.97,35.0,718 CPT,85008,PR BLOOD SMEAR WO DIFF WBC,35.0,31.15,3.43,35.0,481 CPT,85013,HC HEMATOCRIT SPUN,32.0,28.48,6.66,32.0,736 CPT,85014,HC HEMATOCRIT,30.0,26.7,2.32,30.0,741 CPT,85014,HC HEMATOCRIT 1,29.0,25.81,2.32,29.0,741 CPT,85014,HC HEMATOCRIT 2,30.0,26.7,2.32,30.0,741 CPT,85014,PR HEMATOCRIT,30.0,26.7,2.37,30.0,481 CPT,85014,PR HEMATOCRIT 1,29.0,25.81,2.37,29.0,481 CPT,85018,HC HEMOGLOBIN,26.0,23.14,2.32,26.0,743 CPT,85018,HC HEMOGLOBIN 2,26.0,23.14,2.32,26.0,743 CPT,85018,HC HEMOGLOBIN 3,30.0,26.7,2.32,30.0,743 CPT,85018,PR HEMOGLOBIN,26.0,23.14,2.37,26.0,487 CPT,85018,PR HEMOGLOBIN 1,30.0,26.7,2.37,30.0,487 CPT,85018,PR HEMOGLOBIN 2,26.0,23.14,2.37,26.0,487 CPT,85025,HC CBC W AUTO DIFF,76.0,67.64,6.72,76.0,748 CPT,85025,PR CBC W AUTO DIFF,76.0,67.64,7.77,76.0,487 CPT,85027,HC CBC AUTO WO DIFF,52.0,46.28,5.6,52.0,745 CPT,85027,PR CBC AUTO WO DIFF,52.0,46.28,6.47,52.0,489 CPT,85045,HC RETICULOCYTE COUNT AUTO,41.0,36.49,3.91,41.0,738 CPT,85045,PR RETICULOCYTE COUNT AUTO,41.0,36.49,3.99,41.0,481 CPT,85046,HC RETICYTE/HGB CONCENTRATE 2,42.0,37.38,5.46,42.0,743 CPT,85046,PR RETICYTE/HGB CONCENTRATE 2,42.0,37.38,5.57,42.0,481 CPT,85049,HC PLATELET COUNT AUTO,34.0,30.26,3.88,34.0,741 CPT,85049,HC PLATELET COUNT AUTO 1,34.0,30.26,3.88,34.0,741 CPT,85049,PR PLATELET COUNT AUTO,34.0,30.26,4.48,34.0,481 CPT,85049,PR PLATELET COUNT AUTO 1,34.0,30.26,4.48,34.0,481 CPT,85055,HC IMMATURE PLT FRACTION,163.0,145.07,33.9,163.0,735 CPT,85055,PR IMMATURE PLT FRACTION,163.0,145.07,35.74,163.0,481 CPT,85060,PR BLOOD SMEAR INTERPRETATION,134.0,119.26,15.23,134.0,486 CPT,85097,PR BONE MARROW SMEAR INTERP,422.0,375.58,55.2,422.0,482 CPT,85130,HC CHROMOGENIC FIX,189.0,168.21,11.65,189.0,736 CPT,85130,HC CHROMOGENIC FVIII 2,170.0,151.3,11.65,170.0,736 CPT,85130,PR CHROMOGENIC FIX,189.0,168.21,11.89,189.0,481 CPT,85130,PR CHROMOGENIC FVIII 2,170.0,151.3,11.89,170.0,481 CPT,85210,HC FACTOR II ACTIVITY,276.0,245.64,11.23,276.0,736 CPT,85210,PR FACTOR II ACTIVITY,276.0,245.64,12.98,276.0,481 CPT,85220,HC FACTOR V ACTIVITY,373.0,331.97,15.27,373.0,736 CPT,85220,PR FACTOR V ACTIVITY,373.0,331.97,17.65,373.0,481 CPT,85230,HC FACTOR VII ACTIVITY,312.0,277.68,15.48,312.0,736 CPT,85230,PR FACTOR VII ACTIVITY,312.0,277.68,17.9,312.0,481 CPT,85240,HC FACTOR VIII 1 STAGE ASSAY,266.0,236.74,17.54,266.0,736 CPT,85240,PR FACTOR VIII 1 STAGE ASSAY,266.0,236.74,17.9,266.0,481 CPT,85245,HC RISTOCETIN COFACTOR,288.0,256.32,22.48,288.0,736 CPT,85245,PR RISTOCETIN COFACTOR,288.0,256.32,22.94,288.0,481 CPT,85246,HC VON WILLEBRAND FACTOR ANTIGEN,319.0,283.91,22.48,319.0,737 CPT,85246,HC VWD 2N (NORMANDY),340.0,302.6,22.48,340.0,737 CPT,85246,PR VON WILLEBRAND FACTOR ANTIGEN,319.0,283.91,22.94,319.0,481 CPT,85246,PR VWD 2N (NORMANDY),340.0,302.6,22.94,340.0,481 CPT,85247,HC WILLEBRAND FACTOR MULTIMERANALYSIS,427.0,380.03,22.48,427.0,736 CPT,85247,PR WILLEBRAND FACTOR MULTIMERANALYSIS,427.0,380.03,22.94,427.0,481 CPT,85250,HC FACTOR IX ASSAY,320.0,284.8,16.47,320.0,736 CPT,85250,PR FACTOR IX ASSAY,320.0,284.8,19.04,320.0,481 CPT,85260,HC CHROMOGENIC FACTOR X ACTIVITY,272.0,242.08,15.48,272.0,736 CPT,85260,HC FACTOR X ASSAY,312.0,277.68,15.48,312.0,736 CPT,85260,PR CHROMOGENIC FACTOR X ACTIVITY,272.0,242.08,17.9,272.0,481 CPT,85260,PR FACTOR X ASSAY,312.0,277.68,17.9,312.0,481 CPT,85270,HC FACTOR XI ASSAY,279.0,248.31,15.48,279.0,736 CPT,85270,PR FACTOR XI ASSAY,279.0,248.31,17.9,279.0,481 CPT,85280,HC FACTOR XII ASSAY,320.0,284.8,16.74,320.0,736 CPT,85280,PR FACTOR XII ASSAY,320.0,284.8,19.35,320.0,481 CPT,85290,FACTOR XIII ACTIVITY,338.0,300.82,16.34,338.0,481 CPT,85290,HC FACTOR XIII ACTIVITY,338.0,300.82,16.01,338.0,734 CPT,85291,HC CLOT SOLUBILITY FACTOR XIII,218.0,194.02,8.93,218.0,736 CPT,85291,PR CLOT SOLUBILITY FACTOR XIII,218.0,194.02,9.11,218.0,481 CPT,85300,HC ANTITHROMBIN III ACTIVITY,177.0,157.53,11.61,177.0,737 CPT,85300,PR ANTITHROMBIN III ACTIVITY,177.0,157.53,11.85,177.0,481 CPT,85301,HC ANTITHROMBIN III ANTIGEN,188.0,167.32,10.59,188.0,734 CPT,85301,PR ANTITHROMBIN III ANTIGEN,188.0,167.32,10.81,188.0,481 CPT,85302,HC PROTEIN C ANTIGEN,303.0,269.67,11.77,303.0,736 CPT,85302,PR PROTEIN C ANTIGEN,303.0,269.67,12.01,303.0,481 CPT,85303,HC PROTEIN C ACTIVITY,249.0,221.61,13.56,249.0,737 CPT,85303,PR PROTEIN C ACTIVITY,249.0,221.61,13.84,249.0,481 CPT,85305,HC PROTEIN S TOTAL,290.0,258.1,10.04,290.0,736 CPT,85305,PR PROTEIN S TOTAL,290.0,258.1,11.61,290.0,481 CPT,85306,HC PROTEIN S FREE,242.0,215.38,15.01,242.0,737 CPT,85306,PR PROTEIN S FREE,242.0,215.38,15.32,242.0,481 CPT,85307,HC APC RESISTANCE V,224.0,199.36,15.01,224.0,737 CPT,85307,PR APC RESISTANCE V,224.0,199.36,15.32,224.0,481 CPT,85335,HC CHROMOGENIC FACTOR VIII INHIBITOR,296.0,263.44,11.13,296.0,736 CPT,85335,HC FACTOR INHIBITOR BETHESDA TITER,340.0,302.6,11.13,340.0,736 CPT,85335,HC FACTOR INHIBITOR SCREEN,329.0,292.81,11.13,329.0,736 CPT,85335,HC FACTOR INHIBITOR TEST,340.0,302.6,11.13,340.0,736 CPT,85335,PR CHROMOGENIC FACTOR VIII INHIBITOR,296.0,263.44,12.87,296.0,481 CPT,85335,PR FACTOR INHIBITOR BETHESDA TITER,340.0,302.6,12.87,340.0,481 CPT,85335,PR FACTOR INHIBITOR SCREEN,329.0,292.81,12.87,329.0,481 CPT,85335,PR FACTOR INHIBITOR TEST,329.0,292.81,12.87,329.0,481 CPT,85347,HC COAGULATION TIME ACTIVATED,29.0,25.81,4.19,29.0,745 CPT,85347,PR COAGULATION TIME ACTIVATED,29.0,25.81,4.28,29.0,481 CPT,85366,HC SOLUBLE FIBIRIN MONOMER COMPLEX,220.0,195.8,45.76,220.0,736 CPT,85366,PR SOLUBLE FIBIRIN MONOMER COMPLEX,220.0,195.8,80.46,220.0,481 CPT,85379,HC D-DIMER QUANT,104.0,92.56,9.98,104.0,742 CPT,85379,PR D-DIMER QUANT,104.0,92.56,10.18,104.0,481 CPT,85384,HC FIBRINOGEN ACTIVITY,86.0,76.54,9.53,86.0,740 CPT,85384,PR FIBRINOGEN ACTIVITY,86.0,76.54,9.72,86.0,481 CPT,85385,HC FIBRINOGEN ANTIGEN,82.0,72.98,14.17,82.0,736 CPT,85385,PR FIBRINOGEN ANTIGEN,82.0,72.98,14.46,82.0,481 CPT,85390,HC FIBRINOLYSINS/COAGULOPATHY I&R,126.0,112.14,15.17,126.0,736 CPT,85390,PR FIBRINOLYSINS/COAGULOPATHY I&R,126.0,112.14,15.48,126.0,481 CPT,85397,HC COAG FUNCTIONAL ACTIVITY NOS 2,319.0,283.91,30.24,319.0,736 CPT,85397,HC VON WILLEBRAND FACTOR ACTIVITY,336.0,299.04,30.24,336.0,736 CPT,85397,PR COAG FUNCTIONAL ACTIVITY NOS 2,319.0,283.91,30.86,319.0,481 CPT,85397,PR VON WILLEBRAND FACTOR ACTIVITY,336.0,299.04,30.86,336.0,481 CPT,85410,HC ALPHA 2 PLASMIN INHIBITOR,216.0,192.24,7.56,216.0,736 CPT,85410,PR ALPHA 2 PLASMIN INHIBITOR,216.0,192.24,7.71,216.0,481 CPT,85415,HC PLASMINOGN ACTIVATR 1 ANTG,291.0,258.99,14.87,291.0,736 CPT,85415,PR PLASMINOGN ACTIVATR 1 ANTG,291.0,258.99,17.19,291.0,481 CPT,85420,HC PLASMINOGEN ACTIVITY,286.0,254.54,6.4,286.0,736 CPT,85420,PR PLASMINOGEN ACTIVITY,286.0,254.54,6.53,286.0,481 CPT,85461,HC HGB/RBC FETAL ROSETTE,35.0,31.15,7.28,35.0,737 CPT,85461,PR HGB/RBC FETAL ROSETTE,35.0,31.15,9.36,35.0,481 CPT,85520,HC HEPARIN ASSAY,312.0,277.68,11.32,312.0,738 CPT,85520,PR HEPARIN ASSAY,312.0,277.68,13.09,312.0,481 CPT,85530,HC HEPARIN-PROTAMINE TOL,147.0,130.83,13.09,147.0,735 CPT,85547,HC MECHANICAL FRAGILITY RBC,103.0,91.67,8.6,103.0,735 CPT,85547,PR MECHANICAL FRAGILITY RBC,103.0,91.67,8.6,103.0,481 CPT,85549,HC MURAMIDASE (LYSOZYME),143.0,127.27,18.38,143.0,736 CPT,85549,PR MURAMIDASE (LYSOZYME),143.0,127.27,18.75,143.0,481 CPT,85557,HC OSMOTIC FRAGILITY INCUBATED,179.0,159.31,13.09,179.0,734 CPT,85557,PR OSMOTIC FRAGILITY INCUBATED,179.0,159.31,13.36,179.0,481 CPT,85576,HC PLATELET AGGREGATION EA,155.0,137.95,24.41,155.0,737 CPT,85576,PR PLATELET AGGREGATION EA,155.0,137.95,24.91,155.0,481 CPT,85576,PR PLATELET AGGREGATION EA 1,151.0,134.39,24.91,151.0,481 CPT,85576,PR PLATELET AGGREGATION EA 2,151.0,134.39,24.91,151.0,481 CPT,85597,HC PLATELET NEUTRALIZATION,190.0,169.1,17.62,190.0,736 CPT,85597,PR PLATELET NEUTRALIZATION,190.0,169.1,17.98,190.0,481 CPT,85598,HC HEXAGONAL PHOSPHOLIPID ASSAY,222.0,197.58,17.62,222.0,736 CPT,85598,PR HEXAGONAL PHOSPHOLIPID ASSAY,222.0,197.58,17.98,222.0,481 CPT,85610,HC PROTHROMBIN TIME,38.0,33.82,4.2,38.0,749 CPT,85610,PR PROTHROMBIN TIME,38.0,33.82,4.29,38.0,486 CPT,85611,HC PROTHROMBIN MIXING STUDIES,72.0,64.08,3.86,72.0,736 CPT,85611,PR PROTHROMBIN MIXING STUDIES,72.0,64.08,3.94,72.0,481 CPT,85613,HC RUSSELL VIPER VENOM DILUTED,99.0,88.11,9.39,99.0,737 CPT,85613,PR RUSSELL VIPER VENOM DILUTED,99.0,88.11,9.58,99.0,481 CPT,85635,HC REPTILASE TEST,139.0,123.71,8.52,139.0,737 CPT,85635,PR REPTILASE TEST,139.0,123.71,9.85,139.0,481 CPT,85652,HC SEDIMENTATION RATE AUTOMATED,40.0,35.6,2.65,40.0,745 CPT,85652,PR SEDIMENTATION RATE AUTOMATED,40.0,35.6,2.7,40.0,481 CPT,85660,HC RBC SICKLING REDUCTION,65.0,57.85,4.77,65.0,737 CPT,85660,PR RBC SICKLING REDUCTION,65.0,57.85,5.51,65.0,481 CPT,85670,HC THROMBIN TIME,83.0,73.87,5.65,83.0,737 CPT,85670,PR THROMBIN TIME,83.0,73.87,5.77,83.0,481 CPT,85730,HC THROMBOPLASTIN TIME (APTT),64.0,56.96,5.89,64.0,743 CPT,85730,PR THROMBOPLASTIN TIME (APTT),64.0,56.96,6.01,64.0,486 CPT,85732,HC APTT MIXING STUDY EACH,114.0,101.46,6.34,114.0,736 CPT,85732,PR APTT MIXING STUDY EACH,114.0,101.46,6.47,114.0,481 CPT,85810,HC VISCOSITY,128.0,113.92,11.44,128.0,736 CPT,85810,PR VISCOSITY,128.0,113.92,11.67,128.0,467 CPT,85999,HC EOSINOPHIL COUNT 1,128.0,113.92,26.62,128.0,721 CPT,85999,HC EOSINOPHILS U,50.0,44.5,10.4,50.0,721 CPT,85999,HC XANTHOCHROMIA BODY FLUIDS,128.0,113.92,26.62,128.0,721 CPT,85999,PR EOSINOPHIL COUNT 1,128.0,113.92,112.64,128.0,477 CPT,85999,PR EOSINOPHILS U,50.0,44.5,44.0,50.0,477 CPT,85999,PR XANTHOCHROMIA BODY FLUIDS,128.0,113.92,112.64,128.0,477 CPT,86001,HC ALLERGEN IGG QUANT/SEMI EA,58.0,51.62,7.66,58.0,736 CPT,86001,HC REF ALLERGEN SPECIFIC IGG,21.09,18.77,4.39,21.09,736 CPT,86001,PR ALLERGEN IGG QUANT/SEMI EA,58.0,51.62,7.82,58.0,467 CPT,86001,PR REF ALLERGEN SPECIFIC IGG,21.09,18.77,7.82,21.09,481 CPT,86003,HC ALLERGEN IGE QUANT/SEMI EA,41.0,36.49,4.52,41.0,737 CPT,86003,PR ALLERGEN IGE QUANT/SEMI EA,41.0,36.49,5.22,41.0,467 CPT,86008,HC ALLERGEN IGE RECOMB/PURIFY EA,60.0,53.4,12.48,60.0,736 CPT,86008,HC ALLERGEN IGE RECOMB/PURIFY EA 2,60.0,53.4,12.48,60.0,736 CPT,86008,HC ALLERGEN IGE RECOMB/PURIFY EA 3,60.0,53.4,12.48,60.0,736 CPT,86008,PR ALLERGEN IGE RECOMB/PURIFY EA,60.0,53.4,17.93,60.0,467 CPT,86008,PR ALLERGEN IGE RECOMB/PURIFY EA 2,60.0,53.4,17.93,60.0,467 CPT,86008,PR ALLERGEN IGE RECOMB/PURIFY EA 3,60.0,53.4,17.93,60.0,467 CPT,86015,HC ACTIN SMOOTH MUSCLE AB EA,152.0,135.28,10.42,152.0,735 CPT,86015,PR ACTIN SMOOTH MUSCLE AB EA,152.0,135.28,12.05,152.0,467 CPT,86021,HC ANTIBODY ID LEUKOCYTE AB,239.0,212.71,14.75,239.0,736 CPT,86021,HC GRANULOCYTE ANTIBODY,239.0,212.71,14.75,239.0,736 CPT,86021,PR ANTIBODY ID LEUKOCYTE AB,239.0,212.71,15.05,239.0,481 CPT,86021,PR GRANULOCYTE ANTIBODY,239.0,212.71,15.05,239.0,481 CPT,86022,HC HEPARIN - PF4 ANTIBODY (HIT),334.0,297.26,18.0,334.0,736 CPT,86022,HC PLATELET ANTIBODIES,301.0,267.89,18.0,301.0,736 CPT,86022,HC PLATELET ANTIBODY CROSSMATCH,301.0,267.89,18.0,301.0,736 CPT,86022,PR HEPARIN - PF4 ANTIBODY (HIT),334.0,297.26,18.37,334.0,481 CPT,86022,PR PLATELET ANTIBODIES,301.0,267.89,18.37,301.0,481 CPT,86022,PR PLATELET ANTIBODY CROSSMATCH,345.0,307.05,18.37,345.0,481 CPT,86036,HC ANCA SCREEN EA AB,174.0,154.86,11.81,174.0,735 CPT,86036,HC ANCA SCREEN EA AB 2,174.0,154.86,11.81,174.0,735 CPT,86036,PR ANCA SCREEN EA AB,174.0,154.86,12.05,174.0,467 CPT,86036,PR ANCA SCREEN EA AB 2,174.0,154.86,12.05,174.0,467 CPT,86038,HC ANTINUCLEAR ANTIBODIES/ANA,115.0,102.35,11.85,115.0,737 CPT,86038,PR ANTINUCLEAR ANTIBODIES/ANA,115.0,102.35,12.09,115.0,467 CPT,86039,HC ANTINUCLEAR ANTIBODIES HEP2,99.0,88.11,10.94,99.0,737 CPT,86039,PR ANTINUCLEAR ANTIBODIES HEP2,99.0,88.11,11.16,99.0,467 CPT,86041,HC ACH RECP MUSC BINDING AB,224.0,199.36,18.03,224.0,735 CPT,86041,PR ACH RECP MUSC BINDING AB,224.0,199.36,18.4,224.0,481 CPT,86043,HC ACHR MODULATE FLOW CYTO,136.0,121.04,11.81,136.0,734 CPT,86043,PR ACHR MODULATE FLOW CYTO,136.0,121.04,12.05,136.0,481 CPT,86053,HC AQUAPORIN-4 AB FLOW CYTO EA,199.0,177.11,37.73,199.0,735 CPT,86053,HC AQUAPORIN-4 AB FLOW CYTO EA 2,199.0,177.11,37.73,199.0,735 CPT,86053,PR AQUAPORIN-4 AB FLOW CYTO EA,199.0,177.11,37.73,199.0,481 CPT,86053,PR AQUAPORIN-4 AB FLOW CYTO EA 2,199.0,177.11,37.73,199.0,481 CPT,86060,HC ANTISTREPTOLYSIN O TITER,80.0,71.2,6.31,80.0,734 CPT,86060,PR ANTISTREPTOLYSIN O TITER,80.0,71.2,7.3,80.0,467 CPT,86078,PR TRANSFUSION REACTION WORKUP,319.0,283.91,41.46,319.0,485 CPT,86140,HC C-REACTIVE PROTEIN,82.0,72.98,5.08,82.0,746 CPT,86140,PR C-REACTIVE PROTEIN,82.0,72.98,5.18,82.0,482 CPT,86141,HC CRP HIGH SENSITIVITY,83.0,73.87,12.69,83.0,738 CPT,86141,PR CRP HIGH SENSITIVITY,83.0,73.87,12.95,83.0,481 CPT,86146,HC BETA 2 GLYCOPROTEIN I AB EA,178.0,158.42,24.94,178.0,737 CPT,86146,PR BETA 2 GLYCOPROTEIN I AB EA,178.0,158.42,25.45,178.0,467 CPT,86147,HC CARDIOLIPIN AB EA IG CLASS,165.0,146.85,24.94,165.0,738 CPT,86147,PR CARDIOLIPIN AB EA IG CLASS,165.0,146.85,25.45,165.0,467 CPT,86148,HC ANTI PHOSPHATIDYLSERINE AB,145.0,129.05,13.9,145.0,736 CPT,86148,"HC PS/PT AB,IGG/IGM,S",145.0,129.05,13.9,145.0,736 CPT,86148,PR ANTI PHOSPHATIDYLSERINE AB,145.0,129.05,16.07,145.0,467 CPT,86148,"PR PS/PT AB,IGG/IGM,S",145.0,129.05,16.07,145.0,481 CPT,86157,HC COLD AGGLUTININ TITER,102.0,90.78,7.9,102.0,736 CPT,86157,PR COLD AGGLUTININ TITER,102.0,90.78,8.06,102.0,481 CPT,86160,HC COMPLEMENT AG EA COMPONENT,108.0,96.12,11.76,108.0,737 CPT,86160,HC COMPLEMENT ANTIGEN EACH 1,108.0,96.12,11.76,108.0,737 CPT,86160,HC COMPLEMENT COMPONENT,108.0,96.12,11.76,108.0,737 CPT,86160,HC COMPLEMENT COMPONENT C1Q,108.0,96.12,11.76,108.0,737 CPT,86160,HC COMPLEMENT COMPONENT C5/C2,108.0,96.12,11.76,108.0,737 CPT,86160,PR COMPLEMENT AG EA COMPONENT,108.0,96.12,12.0,108.0,467 CPT,86160,PR COMPLEMENT ANTIGEN EACH 1,108.0,96.12,12.0,108.0,467 CPT,86160,PR COMPLEMENT COMPONENT,108.0,96.12,12.0,108.0,467 CPT,86160,PR COMPLEMENT COMPONENT C1Q,108.0,96.12,12.0,108.0,467 CPT,86160,PR COMPLEMENT COMPONENT C5/C2,108.0,96.12,12.0,108.0,467 CPT,86161,HC COMPLEMENT FUNC ACTVTY EA,156.0,138.84,11.76,156.0,736 CPT,86161,HC COMPLEMENT FUNC ACTVTY EA 2,156.0,138.84,11.76,156.0,736 CPT,86161,HC COMPLEMENT FUNC ACTVTY EA 3,156.0,138.84,11.76,156.0,736 CPT,86161,HC COMPLEMENT FUNC ACTVTY EA 5,156.0,138.84,11.76,156.0,736 CPT,86161,HC COMPLEMENT FUNC ACTVTY EA 6,156.0,138.84,11.76,156.0,736 CPT,86161,HC COMPLMENT FUNC ACTVTY EA ALT PATHWAY,156.0,138.84,11.76,156.0,736 CPT,86161,PR COMPLEMENT FUNC ACTVTY EA,156.0,138.84,12.0,156.0,467 CPT,86161,PR COMPLEMENT FUNC ACTVTY EA 1,156.0,138.84,12.0,156.0,467 CPT,86161,PR COMPLEMENT FUNC ACTVTY EA 2,156.0,138.84,12.0,156.0,467 CPT,86161,PR COMPLEMENT FUNC ACTVTY EA 3,156.0,138.84,12.0,156.0,467 CPT,86161,PR COMPLEMENT FUNC ACTVTY EA 5,156.0,138.84,12.0,156.0,467 CPT,86161,PR COMPLEMENT FUNC ACTVTY EA 6,156.0,138.84,12.0,156.0,467 CPT,86161,PR COMPLMENT FUNC ACTVTY EA ALT PATHWAY,156.0,138.84,12.0,156.0,467 CPT,86162,HC COMPLEMENT TOTAL,205.0,182.45,17.58,205.0,736 CPT,86162,PR COMPLEMENT TOTAL,205.0,182.45,20.32,205.0,467 CPT,86200,HC CYCLIC CITRULLINATED PEPT AB,118.0,105.02,12.69,118.0,737 CPT,86200,PR CYCLIC CITRULLINATED PEPT AB,118.0,105.02,12.95,118.0,467 CPT,86215,HC DEOXYRIBONUCLEASE AB,187.0,166.43,12.99,187.0,734 CPT,86215,PR DEOXYRIBONUCLEASE AB,187.0,166.43,13.25,187.0,467 CPT,86225,HC DNA AB NATIVE/DOUBLE STRANDED,121.0,107.69,13.47,121.0,738 CPT,86225,PR DNA AB NATIVE/DOUBLE STRANDED,121.0,107.69,13.74,121.0,467 CPT,86231,HC ENDOMYSIAL AB EA IG CLASS,167.0,148.63,12.09,167.0,735 CPT,86231,HC ENDOMYSIAL AB EA IG CLASS 2,146.0,129.94,12.09,146.0,735 CPT,86231,PR ENDOMYSIAL AB EA IG CLASS,167.0,148.63,12.09,167.0,481 CPT,86231,PR ENDOMYSIAL AB EA IG CLASS 2,146.0,129.94,12.09,146.0,481 CPT,86235,HC EXTRACT NUC AG EA AB,104.0,92.56,17.57,104.0,737 CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY,104.0,92.56,17.57,104.0,737 CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY 2,104.0,92.56,17.57,104.0,737 CPT,86235,PR EXTRACT NUC AG EA AB,104.0,92.56,17.93,104.0,467 CPT,86235,PR NUCLEAR ANTIGEN ANTIBODY,104.0,92.56,17.93,104.0,467 CPT,86235,PR NUCLEAR ANTIGEN ANTIBODY 2,104.0,92.56,17.93,104.0,467 CPT,86255,HC AMPA R AB CBA,128.0,113.92,11.81,128.0,741 CPT,86255,HC AMPHIPHYSIN AB TITER,128.0,113.92,11.81,128.0,741 CPT,86255,HC CASPR2-IGG AB TITER,128.0,113.92,11.81,128.0,741 CPT,86255,HC CONTACTIN-1 IGG CBA,128.0,113.92,11.81,128.0,741 CPT,86255,HC CRMP 5 IGG TITER,128.0,113.92,11.81,128.0,741 CPT,86255,HC FLUORESCENT ANTIBODY SCREEN,128.0,113.92,11.81,128.0,741 CPT,86255,HC FLUORESCENT NONINF AG AB EA 10,128.0,113.92,11.81,128.0,741 CPT,86255,HC FLUORESCENT NONINF AG AB EA 11,128.0,113.92,11.81,128.0,741 CPT,86255,HC FLUORESCENT NONINF AG AB EA 4,128.0,113.92,11.81,128.0,741 CPT,86255,HC FLUORESCENT NONINF AG AB EA 5,128.0,113.92,11.81,128.0,741 CPT,86255,HC FLUORESCENT NONINF AG AB EA 6,128.0,113.92,11.81,128.0,741 CPT,86255,HC FLUORESCENT NONINF AG AB EA 7,128.0,113.92,11.81,128.0,741 CPT,86255,HC FLUORESCENT NONINF AG AB EA 8,128.0,113.92,11.81,128.0,741 CPT,86255,HC FLUORESCENT NONINF AG AB EA 9,128.0,113.92,11.81,128.0,741 CPT,86255,HC FLUORESCENT NONINFCT AG AB EA LEV2,128.0,113.92,11.81,128.0,741 CPT,86255,HC GFAP CBA,128.0,113.92,11.81,128.0,741 CPT,86255,HC GFAP IFA,128.0,113.92,11.81,128.0,741 CPT,86255,HC GLIAL NUCLEAR AB TITER,128.0,113.92,11.81,128.0,741 CPT,86255,HC LGI1-IGG AB CBA TITER,128.0,113.92,11.81,128.0,741 CPT,86255,HC PARANEOPLASTIC PEMPHIGUS,132.0,117.48,11.81,132.0,741 CPT,86255,HC PURKINJE CELL AB TITER,128.0,113.92,11.81,128.0,741 CPT,86255,"HC RARE SUBEPI BLISTERING VARIANTS, S",132.0,117.48,11.81,132.0,741 CPT,86255,HC THSD7A AB,128.0,113.92,11.81,128.0,741 CPT,86255,PR AMPA R AB CBA,128.0,113.92,12.05,128.0,481 CPT,86255,PR AMPHIPHYSIN AB TITER,128.0,113.92,12.05,128.0,481 CPT,86255,PR CASPR2-IGG AB TITER,128.0,113.92,12.05,128.0,481 CPT,86255,PR CONTACTIN-1 IGG CBA,128.0,113.92,12.05,128.0,481 CPT,86255,PR CRMP 5 IGG TITER,128.0,113.92,12.05,128.0,481 CPT,86255,PR FLUORESCENT ANTIBODY SCREEN,128.0,113.92,12.05,128.0,481 CPT,86255,PR FLUORESCENT NONINF AG AB EA 10,128.0,113.92,12.05,128.0,481 CPT,86255,PR FLUORESCENT NONINF AG AB EA 4,128.0,113.92,12.05,128.0,481 CPT,86255,PR FLUORESCENT NONINF AG AB EA 5,128.0,113.92,12.05,128.0,481 CPT,86255,PR FLUORESCENT NONINF AG AB EA 6,128.0,113.92,12.05,128.0,481 CPT,86255,PR FLUORESCENT NONINF AG AB EA 7,128.0,113.92,12.05,128.0,481 CPT,86255,PR FLUORESCENT NONINF AG AB EA 8,128.0,113.92,12.05,128.0,481 CPT,86255,PR FLUORESCENT NONINF AG AB EA 9,128.0,113.92,12.05,128.0,481 CPT,86255,PR FLUORESCENT NONINFCT AG AB EA LEV2,128.0,113.92,12.05,128.0,481 CPT,86255,PR GFAP CBA,128.0,113.92,12.05,128.0,481 CPT,86255,PR GFAP IFA,128.0,113.92,12.05,128.0,481 CPT,86255,PR GLIAL NUCLEAR AB TITER,128.0,113.92,12.05,128.0,481 CPT,86255,PR LGI1-IGG AB CBA TITER,128.0,113.92,12.05,128.0,481 CPT,86255,PR PARANEOPLASTIC PEMPHIGUS,132.0,117.48,12.05,132.0,481 CPT,86255,PR PURKINJE CELL AB TITER,128.0,113.92,12.05,128.0,481 CPT,86255,"PR RARE SUBEPI BLISTERING VARIANTS, S",132.0,117.48,12.05,132.0,481 CPT,86255,PR THSD7A AB,128.0,113.92,12.05,128.0,481 CPT,86256,HC FLUORESCENT AB TITER EA 2,116.0,103.24,10.42,116.0,734 CPT,86256,HC FLUORESCENT AB TITER EA 3,116.0,103.24,10.42,116.0,734 CPT,86256,HC FLUORESCENT AB TITER EA 6,116.0,103.24,10.42,116.0,734 CPT,86256,HC FLUORESCENT AB TITER EA LEV 2,116.0,103.24,10.42,116.0,734 CPT,86256,HC GFAP IFA TITER,116.0,103.24,10.42,116.0,734 CPT,86256,HC KLHL11 AB IFA TITER,116.0,103.24,10.42,116.0,734 CPT,86256,HC SRP IFA TITER,116.0,103.24,10.42,116.0,734 CPT,86256,PR FLUORESCENT AB TITER EA 2,116.0,103.24,12.05,116.0,481 CPT,86256,PR FLUORESCENT AB TITER EA 3,116.0,103.24,12.05,116.0,481 CPT,86256,PR FLUORESCENT AB TITER EA 6,116.0,103.24,12.05,116.0,481 CPT,86256,PR FLUORESCENT AB TITER EA LEV 2,116.0,103.24,12.05,116.0,481 CPT,86256,PR GABA B R AB IF TITER,116.0,103.24,12.05,116.0,481 CPT,86256,PR KLHL11 AB IFA TITER,116.0,103.24,12.05,116.0,481 CPT,86256,PR SRP IFA TITER,116.0,103.24,12.05,116.0,481 CPT,86258,HC GLIADIN AB EA IG CLASS,140.0,124.6,12.05,140.0,733 CPT,86258,PR GLIADIN AB EA IG CLASS,140.0,124.6,12.05,140.0,467 CPT,86300,HC IMMUNOASSAY TUMOR CA 15.3,223.0,198.47,20.39,223.0,738 CPT,86300,HC IMMUNOASSAY TUMOR CA 27.29/CA 15-3,223.0,198.47,20.39,223.0,738 CPT,86300,PR IMMUNOASSAY TUMOR CA 15.3,223.0,198.47,20.81,223.0,467 CPT,86300,PR IMMUNOASSAY TUMOR CA 27.29/CA 15-3,223.0,198.47,20.81,223.0,481 CPT,86301,HC IMMUNOASSAY TUMOR CA 19-9,230.0,204.7,20.39,230.0,743 CPT,86301,HC IMMUNOASSAY TUMOR CA 19-9 1,230.0,204.7,20.39,230.0,743 CPT,86301,PR IMMUNOASSAY TUMOR CA 19-9,230.0,204.7,20.81,230.0,467 CPT,86301,PR IMMUNOASSAY TUMOR CA 19-9 1,230.0,204.7,20.81,230.0,467 CPT,86304,HC IMMUNOASSAY TUMOR CA 125,233.0,207.37,20.39,233.0,739 CPT,86304,PR IMMUNOASSAY TUMOR CA 125,233.0,207.37,20.81,233.0,467 CPT,86305,HC HUMAN EPIDIDYMIS PROTEIN 4/HE4,446.0,396.94,20.81,446.0,736 CPT,86305,PR HUMAN EPIDIDYMIS PROTEIN 4/HE4,446.0,396.94,20.81,446.0,467 CPT,86308,HC HETEROPHILE AB SCREEN,53.0,47.17,4.48,53.0,735 CPT,86308,PR HETEROPHILE AB SCREEN,53.0,47.17,5.18,53.0,467 CPT,86316,HC ALPHA-FETOPROTEIN CSF QUANT,279.0,248.31,20.39,279.0,736 CPT,86316,HC CHROMOGRANIN A QUANT,279.0,248.31,20.39,279.0,736 CPT,86316,HC IMMUNOASSAY TUMOR OTHER QUANT,279.0,248.31,20.39,279.0,736 CPT,86316,PR ALPHA-FETOPROTEIN CSF QUANT,279.0,248.31,20.81,279.0,467 CPT,86316,PR CHROMOGRANIN A QUANT,279.0,248.31,20.81,279.0,467 CPT,86316,PR IMMUNOASSAY TUMOR OTHER QUANT,279.0,248.31,20.81,279.0,467 CPT,86317,HC ANTI-DIPTHERIA TOXOID IGG,101.0,89.89,14.69,101.0,737 CPT,86317,HC ANTI-TETANUS TOXOID IGG,101.0,89.89,14.69,101.0,737 CPT,86317,HC HBV SURFACE AB QUANT,101.0,89.89,14.69,101.0,737 CPT,86317,HC S PNEUMONIAE IGG AB TOTAL,101.0,89.89,14.69,101.0,737 CPT,86317,PR ANTI-DIPTHERIA TOXOID IGG,101.0,89.89,14.99,101.0,467 CPT,86317,PR ANTI-TETANUS TOXOID IGG,101.0,89.89,14.99,101.0,467 CPT,86317,PR HBV SURFACE AB QUANT,101.0,89.89,14.99,101.0,467 CPT,86317,PR S PNEUMONIAE IGG AB TOTAL,101.0,89.89,14.99,101.0,467 CPT,86334,HC IFE SERUM,205.0,182.45,21.89,205.0,735 CPT,86334,HC IFE SERUM 2,205.0,182.45,21.89,205.0,735 CPT,86334,PR IFE SERUM,205.0,182.45,22.34,205.0,467 CPT,86334,PR IFE SERUM 2,205.0,182.45,22.34,205.0,467 CPT,86335,HC IFE OTHER FLUIDS,306.0,272.34,28.76,306.0,737 CPT,86335,HC IFE URINE,306.0,272.34,28.76,306.0,737 CPT,86335,PR IFE OTHER FLUIDS,306.0,272.34,29.35,306.0,467 CPT,86335,PR IFE URINE,306.0,272.34,29.35,306.0,481 CPT,86336,HC INHIBIN A,141.0,125.49,15.28,141.0,736 CPT,86336,PR INHIBIN A,141.0,125.49,15.59,141.0,467 CPT,86337,HC INSULIN AB,352.0,313.28,20.98,352.0,738 CPT,86337,PR INSULIN AB,352.0,313.28,21.41,352.0,481 CPT,86340,HC INTRINSIC FACTOR AB,189.0,168.21,14.78,189.0,736 CPT,86340,PR INTRINSIC FACTOR AB,189.0,168.21,15.08,189.0,467 CPT,86341,HC GAD65 AB,180.0,160.2,23.1,180.0,741 CPT,86341,HC IA2 AB,180.0,160.2,23.1,180.0,741 CPT,86341,"HC ZNT8, AB",180.0,160.2,23.1,180.0,741 CPT,86341,PR GAD65 AB,180.0,160.2,23.57,180.0,481 CPT,86341,PR IA2 AB,180.0,160.2,23.57,180.0,481 CPT,86341,"PR ZNT8, AB",180.0,160.2,23.57,180.0,481 CPT,86352,HC CELLULAR FUNCTION W STIM 1,473.0,420.97,98.38,473.0,736 CPT,86352,HC CELLULAR FUNCTION W STIM 2,473.0,420.97,98.38,473.0,736 CPT,86352,PR CELLULAR FUNCTION W STIM 1,473.0,420.97,135.86,473.0,467 CPT,86352,PR CELLULAR FUNCTION W STIM 2,473.0,420.97,135.86,473.0,467 CPT,86353,HC LYMPHOCYTE BLASTOGENESIS,248.0,220.72,48.05,248.0,736 CPT,86353,HC LYMPHOCYTE BLASTOGENESIS AG,248.0,220.72,48.05,248.0,736 CPT,86353,HC LYMPHOCYTE BLASTOGENESIS AG 1,248.0,220.72,48.05,248.0,736 CPT,86353,HC LYMPHOCYTE BLASTOGENESIS AG 2,248.0,220.72,48.05,248.0,736 CPT,86353,HC LYMPHOCYTE BLASTOGENESIS MITOGENS,248.0,220.72,48.05,248.0,736 CPT,86353,PR LYMPHOCYTE BLASTOGENESIS,248.0,220.72,49.03,248.0,467 CPT,86353,PR LYMPHOCYTE BLASTOGENESIS AG,248.0,220.72,49.03,248.0,467 CPT,86353,PR LYMPHOCYTE BLASTOGENESIS AG 1,248.0,220.72,49.03,248.0,467 CPT,86353,PR LYMPHOCYTE BLASTOGENESIS AG 2,248.0,220.72,49.03,248.0,467 CPT,86353,PR LYMPHOCYTE BLASTOGENESIS MITOGENS,248.0,220.72,49.03,248.0,467 CPT,86355,HC B CELL TOTAL COUNT,233.0,207.37,36.98,233.0,741 CPT,86355,HC B CELL TOTAL COUNT 2,226.0,201.14,36.98,226.0,741 CPT,86355,PR B CELL TOTAL COUNT,233.0,207.37,37.73,233.0,467 CPT,86355,PR B CELL TOTAL COUNT 2,226.0,201.14,37.73,226.0,467 CPT,86356,HC MONONUCLEAR CELL AG EA,156.0,138.84,26.24,156.0,738 CPT,86356,HC MONONUCLEAR CELL AG EA 1,156.0,138.84,26.24,156.0,738 CPT,86356,HC MONONUCLEAR CELL AG EA 3,156.0,138.84,26.24,156.0,738 CPT,86356,HC MONONUCLEAR CELL AG EA 4,156.0,138.84,26.24,156.0,738 CPT,86356,HC MONONUCLEAR CELL ANTIGEN,156.0,138.84,26.24,156.0,738 CPT,86356,PR MONONUCLEAR CELL AG EA,156.0,138.84,26.78,156.0,467 CPT,86356,PR MONONUCLEAR CELL AG EA 1,156.0,138.84,26.78,156.0,467 CPT,86356,PR MONONUCLEAR CELL AG EA 3,156.0,138.84,26.78,156.0,467 CPT,86356,PR MONONUCLEAR CELL AG EA 4,156.0,138.84,26.78,156.0,467 CPT,86356,PR MONONUCLEAR CELL AG EA 6,156.0,138.84,26.78,156.0,481 CPT,86356,PR MONONUCLEAR CELL AG EA 7,156.0,138.84,26.78,156.0,467 CPT,86356,PR MONONUCLEAR CELL ANTIGEN,156.0,138.84,26.78,156.0,467 CPT,86357,HC NATURAL KILLER TOTAL COUNT,189.0,168.21,36.98,189.0,740 CPT,86357,HC NATURAL KILLER TOTAL COUNT 2,183.0,162.87,36.98,183.0,740 CPT,86357,PR NATURAL KILLER TOTAL COUNT,189.0,168.21,37.73,189.0,467 CPT,86357,PR NATURAL KILLER TOTAL COUNT 2,183.0,162.87,37.73,183.0,467 CPT,86359,HC T CELL TOTAL COUNT,237.0,210.93,36.98,237.0,741 CPT,86359,HC T CELL TOTAL COUNT 1,237.0,210.93,36.98,237.0,741 CPT,86359,PR T CELL TOTAL COUNT,237.0,210.93,37.73,237.0,467 CPT,86359,PR T CELL TOTAL COUNT 1,237.0,210.93,37.73,237.0,467 CPT,86360,HC T CELL ABSOLUTE CD4/CD8 RATIO,316.0,281.24,46.04,316.0,741 CPT,86360,PR T CELL ABSOLUTE CD4/CD8 RATIO,316.0,281.24,46.98,316.0,467 CPT,86361,HC T CELL ABSOLUTE COUNT,258.0,229.62,26.78,258.0,735 CPT,86361,PR T CELL ABSOLUTE COUNT,258.0,229.62,26.78,258.0,467 CPT,86363,HC MOG-IGG1 AB FLOW CYTO EA,189.0,168.21,37.73,189.0,733 CPT,86363,PR MOG-IGG1 AB FLOW CYTO EA,189.0,168.21,37.73,189.0,481 CPT,86364,HC TISSUE TRANSGLUTAMINASE EA IG CLASS,130.0,115.7,11.3,130.0,738 CPT,86364,PR TISSUE TRANSGLUTAMINASE EA IG CLASS,130.0,115.7,11.53,130.0,467 CPT,86366,HC MUSK AUTO AB,224.0,199.36,18.03,224.0,735 CPT,86366,PR MUSK AUTO AB,224.0,199.36,18.4,224.0,481 CPT,86367,HC STEM CELLS TOTAL COUNT,303.0,269.67,63.02,303.0,737 CPT,86367,PR STEM CELLS TOTAL COUNT,303.0,269.67,77.78,303.0,481 CPT,86376,HC MICROSOMAL AB EA,145.0,129.05,14.26,145.0,740 CPT,86376,HC MICROSOMAL AB EA/TPO,145.0,129.05,14.26,145.0,740 CPT,86376,PR MICROSOMAL AB EA,145.0,129.05,14.55,145.0,467 CPT,86376,PR MICROSOMAL AB EA/TPO,145.0,129.05,14.55,145.0,481 CPT,86381,HC MITOCHONDRIAL AB EA,192.0,170.88,22.01,192.0,735 CPT,86381,PR MITOCHONDRIAL AB EA,192.0,170.88,25.45,192.0,467 CPT,86431,HC RHEUMATOID FACTOR QUANT,64.0,56.96,5.56,64.0,737 CPT,86431,PR RHEUMATOID FACTOR QUANT,64.0,56.96,5.67,64.0,467 CPT,86480,HC TB TEST CELL IMMUNITY MEASURE 2,294.0,261.66,60.74,294.0,736 CPT,86480,PR TB TEST CELL IMMUNITY MEASURE 2,294.0,261.66,61.98,294.0,467 CPT,86580,HC TB INTRADERMAL TEST,44.0,39.16,9.15,44.0,736 CPT,86580,PR TB INTRADERMAL TEST,44.0,39.16,7.7,44.0,497 CPT,86581,HC STREP PNEUM AB MULTIPLEX,356.0,316.84,74.05,356.0,734 CPT,86581,PR STREP PNEUM AB MULTIPLEX,356.0,316.84,92.03,356.0,467 CPT,86592,HC SYPHILIS TEST RPR QUAL,52.0,46.28,4.18,52.0,737 CPT,86592,HC VDRL,52.0,46.28,4.18,52.0,737 CPT,86592,PR SYPHILIS TEST RPR QUAL,52.0,46.28,4.27,52.0,467 CPT,86592,PR VDRL,52.0,46.28,4.27,52.0,467 CPT,86593,HC SYPHILIS NON-TREPONEMAL AB QUAN,45.0,40.05,4.31,45.0,737 CPT,86593,HC SYPHILIS NON-TREPONEMAL AB QUAN 2,45.0,40.05,4.31,45.0,737 CPT,86593,PR SYPHILIS NON-TREPONEMAL AB QUAN,45.0,40.05,4.4,45.0,467 CPT,86593,PR SYPHILIS NON-TREPONEMAL AB QUAN 2,45.0,40.05,4.4,45.0,467 CPT,86596,HC VOLTAGE-GTD CA CHNL AB EA,195.0,173.55,12.05,195.0,736 CPT,86596,PR VOLTAGE-GTD CA CHNL AB EA,195.0,173.55,12.05,195.0,481 CPT,86606,HC ASPERGILLUS AB EACH,118.0,105.02,13.02,118.0,734 CPT,86606,PR ASPERGILLUS AB EACH,118.0,105.02,15.05,118.0,467 CPT,86611,HC BARTONELLA AB EACH,92.0,81.88,9.98,92.0,736 CPT,86611,PR BARTONELLA AB EACH,92.0,81.88,10.18,92.0,467 CPT,86612,HC BLASTOMYCES AB,139.0,123.71,11.16,139.0,738 CPT,86612,HC BLASTOMYCES AB EIA,139.0,123.71,11.16,139.0,738 CPT,86612,PR BLASTOMYCES AB,139.0,123.71,12.9,139.0,467 CPT,86612,PR BLASTOMYCES AB EIA,139.0,123.71,12.9,139.0,467 CPT,86615,HC BORDETELLA AB EACH,183.0,162.87,12.93,183.0,736 CPT,86615,PR BORDETELLA AB EACH,183.0,162.87,13.19,183.0,467 CPT,86617,HC LYME DISEASE CONFIRMATORY TEST,147.0,130.83,13.4,147.0,734 CPT,86617,HC LYME DISEASE CONFIRMATORY TEST 2,147.0,130.83,13.4,147.0,734 CPT,86617,PR LYME DISEASE CONFIRMATORY TEST,147.0,130.83,15.49,147.0,481 CPT,86617,PR LYME DISEASE CONFIRMATORY TEST 2,147.0,130.83,15.49,147.0,467 CPT,86618,HC LYME DISEASE AB,149.0,132.61,16.69,149.0,736 CPT,86618,HC LYME DISEASE AB 4,149.0,132.61,16.69,149.0,736 CPT,86618,PR LYME DISEASE AB,149.0,132.61,17.03,149.0,467 CPT,86618,PR LYME DISEASE AB 4,149.0,132.61,17.03,149.0,467 CPT,86622,HC BRUCELLA AB EACH,113.0,100.57,8.75,113.0,736 CPT,86622,HC BRUCELLA AB EACH AGGLUTINATION,113.0,100.57,8.75,113.0,736 CPT,86622,PR BRUCELLA AB EACH,113.0,100.57,8.93,113.0,467 CPT,86622,PR BRUCELLA AB EACH AGGLUTINATION,113.0,100.57,8.93,113.0,467 CPT,86631,HC CHLAMYDIA AB,120.0,106.8,11.58,120.0,736 CPT,86631,HC CHLAMYDIA AB 2,120.0,106.8,11.58,120.0,736 CPT,86631,PR CHLAMYDIA AB,120.0,106.8,11.82,120.0,481 CPT,86631,PR CHLAMYDIA AB 2,120.0,106.8,11.82,120.0,467 CPT,86632,HC CHLAMYDIA IGM AB,131.0,116.59,12.43,131.0,736 CPT,86632,HC CHLAMYDIA IGM AB 2,131.0,116.59,12.43,131.0,736 CPT,86632,PR CHLAMYDIA IGM AB,131.0,116.59,12.68,131.0,481 CPT,86632,PR CHLAMYDIA IGM AB 2,131.0,116.59,12.68,131.0,467 CPT,86635,HC COCCIDIOIDES AB,139.0,123.71,9.92,139.0,738 CPT,86635,PR COCCIDIOIDES AB,139.0,123.71,11.47,139.0,467 CPT,86638,HC Q FEVER/COXIELLA BRUNETII AB IGG,62.0,55.18,11.88,62.0,737 CPT,86638,HC Q FEVER/COXIELLA BRUNETII AB IGM,62.0,55.18,11.88,62.0,737 CPT,86638,HC QFEVER ANTIBODY SCRN,62.0,55.18,11.88,62.0,737 CPT,86638,PR Q FEVER/COXIELLA BRUNETII AB IGG,62.0,55.18,12.12,62.0,467 CPT,86638,PR Q FEVER/COXIELLA BRUNETII AB IGM,62.0,55.18,12.12,62.0,467 CPT,86638,PR QFEVER ANTIBODY SCRN,62.0,55.18,12.12,62.0,467 CPT,86644,HC CYTOMEGALOVIRUS AB,164.0,145.96,12.45,164.0,738 CPT,86644,PR CYTOMEGALOVIRUS AB,164.0,145.96,14.39,164.0,467 CPT,86645,HC CYTOMEGALOVIRUS AB IGM,162.0,144.18,14.58,162.0,737 CPT,86645,PR CYTOMEGALOVIRUS AB IGM,162.0,144.18,16.85,162.0,467 CPT,86651,HC ENCEPHALITIS CALIFORNIA AB IGG,139.0,123.71,12.93,139.0,736 CPT,86651,HC ENCEPHALITIS CALIFORNIA AB IGM,139.0,123.71,12.93,139.0,736 CPT,86651,PR ENCEPHALITIS CALIFORNIA AB IGG,139.0,123.71,13.19,139.0,467 CPT,86651,PR ENCEPHALITIS CALIFORNIA AB IGM,139.0,123.71,13.19,139.0,467 CPT,86652,HC ENCEPHALITIS EAST EQUINE AB IGG,172.0,153.08,12.93,172.0,736 CPT,86652,HC ENCEPHALITIS EAST EQUINE AB IGM,172.0,153.08,12.93,172.0,736 CPT,86652,PR ENCEPHALITIS EAST EQUINE AB IGG,172.0,153.08,13.19,172.0,467 CPT,86652,PR ENCEPHALITIS EAST EQUINE AB IGM,172.0,153.08,13.19,172.0,467 CPT,86653,HC ENCEPHALITIS ST LOUIS AB IGG,139.0,123.71,12.93,139.0,736 CPT,86653,HC ENCEPHALITIS ST LOUIS AB IGM,139.0,123.71,12.93,139.0,736 CPT,86653,PR ENCEPHALITIS ST LOUIS AB IGG,139.0,123.71,13.19,139.0,467 CPT,86653,PR ENCEPHALITIS ST LOUIS AB IGM,139.0,123.71,13.19,139.0,467 CPT,86654,HC ENCEPHALITIS WEST EQUINE AB IGG,139.0,123.71,12.93,139.0,736 CPT,86654,HC ENCEPHALITIS WEST EQUINE AB IGM,139.0,123.71,12.93,139.0,736 CPT,86654,PR ENCEPHALITIS WEST EQUINE AB IGG,139.0,123.71,13.19,139.0,467 CPT,86654,PR ENCEPHALITIS WEST EQUINE AB IGM,139.0,123.71,13.19,139.0,467 CPT,86664,HC EPSTEIN-BARR NUCLEAR AG AB,119.0,105.91,14.98,119.0,737 CPT,86664,PR EPSTEIN-BARR NUCLEAR AG AB,119.0,105.91,15.29,119.0,467 CPT,86665,HC EPSTEIN-BARR VIRAL CAPSID AB EA,167.0,148.63,17.78,167.0,737 CPT,86665,PR EPSTEIN-BARR VIRAL CAPSID AB EA,167.0,148.63,18.14,167.0,467 CPT,86666,HC EHRLICHIA ANTIBODY,130.0,115.7,8.81,130.0,736 CPT,86666,HC EHRLICHIA ANTIBODY 1,130.0,115.7,8.81,130.0,736 CPT,86666,PR EHRLICHIA ANTIBODY,130.0,115.7,10.18,130.0,467 CPT,86666,PR EHRLICHIA ANTIBODY 1,130.0,115.7,10.18,130.0,467 CPT,86668,HC FRANCISELLA TULARENSIS 1,104.0,92.56,13.88,104.0,736 CPT,86668,HC FRANCISELLA TULARENSIS 2,104.0,92.56,13.88,104.0,736 CPT,86668,PR FRANCISELLA TULARENSIS 1,104.0,92.56,14.16,104.0,467 CPT,86668,PR FRANCISELLA TULARENSIS 2,104.0,92.56,14.16,104.0,467 CPT,86671,HC FUNGUS AB NES EACH 2,205.0,182.45,10.6,205.0,736 CPT,86671,HC SPOROTHRIX AB,205.0,182.45,10.6,205.0,736 CPT,86671,PR FUNGUS AB NES EACH 2,205.0,182.45,12.25,205.0,467 CPT,86682,HC ECHINOCOCCUS AB IGG,205.0,182.45,11.25,205.0,736 CPT,86682,HC HELMINTH AB NES 2,205.0,182.45,11.25,205.0,736 CPT,86682,HC HELMINTH AB NES 3,205.0,182.45,11.25,205.0,736 CPT,86682,HC SCHISTOSOMA AB,205.0,182.45,11.25,205.0,736 CPT,86682,HC STRONGYLOIDES AB IGG,205.0,182.45,11.25,205.0,736 CPT,86682,PR ECHINOCOCCUS AB IGG,205.0,182.45,13.01,205.0,467 CPT,86682,PR HELMINTH AB NES 2,205.0,182.45,13.01,205.0,467 CPT,86682,PR HELMINTH AB NES 3,205.0,182.45,13.01,205.0,467 CPT,86682,PR SCHISTOSOMA AB,205.0,182.45,13.01,205.0,467 CPT,86682,PR STRONGYLOIDES AB IGG,205.0,182.45,13.01,205.0,467 CPT,86684,HC HAEMOPHILUS INFL B AB IGG,224.0,199.36,15.52,224.0,736 CPT,86684,PR HAEMOPHILUS INFL B AB IGG,224.0,199.36,15.84,224.0,467 CPT,86689,HC HIV AB CONFIRMATORY TEST,287.0,255.43,16.74,287.0,736 CPT,86689,PR HIV AB CONFIRMATORY TEST,287.0,255.43,19.35,287.0,481 CPT,86689,PR HTLV AB CONFIRMATORY TEST,287.0,255.43,19.35,287.0,481 CPT,86689,PR HTLV I-II BLOT DONOR,158.0,140.62,19.35,158.0,481 CPT,86692,"HC HDV TOTAL AB, S",200.0,178.0,14.84,200.0,736 CPT,86692,"PR HDV TOTAL AB, S",200.0,178.0,17.16,200.0,467 CPT,86695,HC HERPES SIMPLEX TYPE 1 AB,115.0,102.35,11.41,115.0,738 CPT,86695,PR HERPES SIMPLEX TYPE 1 AB,115.0,102.35,13.19,115.0,467 CPT,86696,HC HERPES SIMPLEX TYPE 2 AB,142.0,126.38,16.74,142.0,738 CPT,86696,PR HERPES SIMPLEX TYPE 2 AB,142.0,126.38,19.35,142.0,467 CPT,86698,HC HISTOPLASMA AB EA,126.0,112.14,11.93,126.0,738 CPT,86698,PR HISTOPLASMA AB EA,126.0,112.14,13.79,126.0,467 CPT,86701,HC HIV 1 AB,102.0,90.78,8.71,102.0,736 CPT,86701,PR HIV 1 AB,102.0,90.78,8.89,102.0,467 CPT,86702,HC HIV 2 AB,195.0,173.55,13.25,195.0,736 CPT,86702,PR HIV 2 AB,195.0,173.55,13.52,195.0,467 CPT,86703,HC HIV 1/HIV 2 AB RAPID SCREEN,119.0,105.91,13.71,119.0,738 CPT,86703,PR HIV 1/HIV 2 AB RAPID SCREEN,119.0,105.91,13.71,119.0,481 CPT,86703,PR HIV 1/HIV 2 AB SCREEN EIA,119.0,105.91,13.71,119.0,481 CPT,86704,HC HBV CORE AB TOTAL,109.0,97.01,10.42,109.0,739 CPT,86704,"HC HEP B SCRN CORE AB TOT (HBCSN, HBCT2)",109.0,97.01,10.42,109.0,739 CPT,86704,PR HBV CORE AB TOTAL,109.0,97.01,12.05,109.0,467 CPT,86704,"PR HEP B SCRN CORE AB TOT (HBCSN, HBCT2)",109.0,97.01,12.05,109.0,467 CPT,86705,HC HBV CORE IGM AB,129.0,114.81,11.53,129.0,736 CPT,86705,PR HBV CORE IGM AB,129.0,114.81,11.77,129.0,467 CPT,86706,HC HBV SURFACE AB,97.0,86.33,10.53,97.0,736 CPT,86706,"HC HEP B SCRN SURF AB (HBBSN, HBSNQ, HBSQN)",97.0,86.33,10.53,97.0,736 CPT,86706,PR HBV SURFACE AB,97.0,86.33,10.74,97.0,467 CPT,86706,"PR HEP B SCRN SURF AB (HBBSN, HBSNQ, HBSQN)",97.0,86.33,10.74,97.0,467 CPT,86707,HC HBV E AB,124.0,110.36,10.01,124.0,736 CPT,86707,PR HBV E AB,124.0,110.36,11.57,124.0,467 CPT,86708,HC HAV AB TOTAL,100.0,89.0,12.14,100.0,737 CPT,86708,PR HAV AB TOTAL,100.0,89.0,12.39,100.0,467 CPT,86709,HC HAV IGM AB,113.0,100.57,11.03,113.0,737 CPT,86709,PR HAV IGM AB,113.0,100.57,11.26,113.0,467 CPT,86713,HC LEGIONELLA AB,215.0,191.35,15.3,215.0,734 CPT,86713,PR LEGIONELLA AB,215.0,191.35,15.3,215.0,481 CPT,86717,HC LEISHMANIA AB,217.0,193.13,12.01,217.0,736 CPT,86717,PR LEISHMANIA AB,217.0,193.13,12.25,217.0,467 CPT,86720,HC LEPTOSPIRA AB,194.0,172.66,14.01,194.0,736 CPT,86720,PR LEPTOSPIRA AB,194.0,172.66,16.2,194.0,467 CPT,86735,HC MUMPS AB IGG,148.0,131.72,12.79,148.0,737 CPT,86735,HC MUMPS AB IGM,148.0,131.72,12.79,148.0,737 CPT,86735,PR MUMPS AB IGG,148.0,131.72,13.05,148.0,467 CPT,86735,PR MUMPS AB IGM,148.0,131.72,13.05,148.0,467 CPT,86738,HC M PNEUMONIAE AB,117.0,104.13,11.45,117.0,737 CPT,86738,HC M PNEUMONIAE AB EIA,117.0,104.13,11.45,117.0,737 CPT,86738,PR M PNEUMONIAE AB,117.0,104.13,13.24,117.0,467 CPT,86738,PR M PNEUMONIAE AB EIA,117.0,104.13,13.24,117.0,467 CPT,86747,HC PARVOVIRUS AB,152.0,135.28,14.73,152.0,737 CPT,86747,PR PARVOVIRUS AB,152.0,135.28,15.03,152.0,467 CPT,86753,HC PROTOZOA AB NES,149.0,132.61,10.72,149.0,738 CPT,86753,HC PRTZA BABESIA MICROTI AB,149.0,132.61,10.72,149.0,738 CPT,86753,HC PRTZA ENTAMOEBA HISTOLYTICA AB 2,149.0,132.61,10.72,149.0,738 CPT,86753,HC TRYPANOSOMA CRUZI AB IGG,149.0,132.61,10.72,149.0,738 CPT,86753,PR PROTOZOA AB NES,149.0,132.61,12.39,149.0,467 CPT,86753,PR PRTZA BABESIA MICROTI AB,149.0,132.61,12.39,149.0,467 CPT,86753,PR PRTZA ENTAMOEBA HISTOLYTICA AB 2,149.0,132.61,12.39,149.0,467 CPT,86753,PR TRYPANOSOMA CRUZI AB IGG,149.0,132.61,12.39,149.0,467 CPT,86757,HC RICKETTSIA AB IGG,143.0,127.27,16.74,143.0,736 CPT,86757,HC RICKETTSIA AB IGM,143.0,127.27,16.74,143.0,736 CPT,86757,PR RICKETTSIA AB IGG,143.0,127.27,19.35,143.0,467 CPT,86757,PR RICKETTSIA AB IGM,143.0,127.27,19.35,143.0,467 CPT,86762,HC RUBELLA AB IGG,93.0,82.77,14.1,93.0,737 CPT,86762,PR RUBELLA AB IGG,93.0,82.77,14.39,93.0,467 CPT,86765,HC RUBEOLA AB IGG,147.0,130.83,12.62,147.0,737 CPT,86765,HC RUBEOLA AB IGM,147.0,130.83,12.62,147.0,737 CPT,86765,PR RUBEOLA AB IGG,147.0,130.83,12.88,147.0,467 CPT,86765,PR RUBEOLA AB IGM,147.0,130.83,12.88,147.0,467 CPT,86769,HC SARS-COV-2 ANTIBODY,95.0,84.55,19.76,95.0,736 CPT,86769,HC SARS-COV-2 SPIKE AB,95.0,84.55,19.76,95.0,736 CPT,86769,PR SARS-COV-2 ANTIBODY,95.0,84.55,42.13,95.0,467 CPT,86769,PR SARS-COV-2 SPIKE AB,95.0,84.55,42.13,95.0,467 CPT,86777,HC TOXOPLASMA AB IGG,186.0,165.54,12.45,186.0,736 CPT,86777,PR TOXOPLASMA AB IGG,186.0,165.54,14.39,186.0,467 CPT,86778,HC TOXOPLASMA IGM AB,190.0,169.1,12.46,190.0,736 CPT,86778,PR TOXOPLASMA IGM AB,190.0,169.1,14.41,190.0,467 CPT,86780,HC SYPHILIS TPPA,99.0,88.11,12.98,99.0,739 CPT,86780,HC TREPONEMA PALLIDUM AB 2,99.0,88.11,12.98,99.0,739 CPT,86780,HC TREPONEMA PALLIDUM AB 3,99.0,88.11,12.98,99.0,739 CPT,86780,PR SYPHILIS TPPA,99.0,88.11,13.24,99.0,467 CPT,86780,PR TREPONEMA PALLIDUM AB 2,99.0,88.11,13.24,99.0,467 CPT,86784,HC TRICHINELLA 2,163.0,145.07,10.86,163.0,736 CPT,86784,PR TRICHINELLA 2,163.0,145.07,12.56,163.0,467 CPT,86787,HC VARICELLA ZOSTER AB,132.0,117.48,12.62,132.0,738 CPT,86787,HC VARICELLA ZOSTER AB IGM,132.0,117.48,12.62,132.0,738 CPT,86787,PR VARICELLA ZOSTER AB,132.0,117.48,12.88,132.0,467 CPT,86787,PR VARICELLA ZOSTER AB IGM,132.0,117.48,12.88,132.0,467 CPT,86788,HC WEST NILE VIRUS AB IGM,150.0,133.5,16.51,150.0,736 CPT,86788,PR WEST NILE VIRUS AB IGM,150.0,133.5,16.85,150.0,467 CPT,86789,HC WEST NILE VIRUS AB IGG,150.0,133.5,14.1,150.0,736 CPT,86789,PR WEST NILE VIRUS AB IGG,150.0,133.5,14.39,150.0,467 CPT,86790,HC CHIKUNGUNYA AB EA,171.0,152.19,11.14,171.0,736 CPT,86790,HC DENGUE FEVER EA,171.0,152.19,11.14,171.0,736 CPT,86790,HC HEV AB,171.0,152.19,11.14,171.0,736 CPT,86790,HC HEV AB 1,171.0,152.19,11.14,171.0,736 CPT,86790,HC HEV IGM AB CONFIRM,171.0,152.19,11.14,171.0,736 CPT,86790,HC HTLV I AB,171.0,152.19,11.14,171.0,736 CPT,86790,HC POWASSAN VIRUS IGM,171.0,152.19,11.14,171.0,736 CPT,86790,PR CHIKUNGUNYA AB EA,171.0,152.19,12.88,171.0,467 CPT,86790,PR DENGUE FEVER EA,171.0,152.19,12.88,171.0,467 CPT,86790,PR HEV AB,171.0,152.19,12.88,171.0,467 CPT,86790,PR HEV AB 1,171.0,152.19,12.88,171.0,467 CPT,86790,PR HEV IGM AB CONFIRM,171.0,152.19,12.88,171.0,467 CPT,86790,PR HTLV I AB,171.0,152.19,12.88,171.0,467 CPT,86790,PR POWASSAN VIRUS IGM,171.0,152.19,12.88,171.0,467 CPT,86794,HC ZIKA VIRUS AB,210.0,186.9,16.51,210.0,736 CPT,86794,PR ZIKA VIRUS AB,210.0,186.9,16.85,210.0,467 CPT,86800,HC THYROGLOBULIN AB,138.0,122.82,15.59,138.0,737 CPT,86800,PR THYROGLOBULIN AB,138.0,122.82,15.91,138.0,467 CPT,86803,HC HCV AB CADAVER SCREEN,125.0,111.25,14.27,125.0,738 CPT,86803,HC HCV AB SCREEN,125.0,111.25,14.27,125.0,738 CPT,86803,HC HCV AB W REFLEX,125.0,111.25,13.98,125.0,738 CPT,86803,PR HCV AB SCREEN,125.0,111.25,14.27,125.0,467 CPT,86803,PR HCV AB W REFLEX,125.0,111.25,14.27,125.0,467 CPT,86804,PR HCV AB CONFIRMATION,229.0,203.81,15.49,229.0,481 CPT,86812,HC HLA TYPING A/B/C SNGL AG,209.0,186.01,25.29,209.0,736 CPT,86812,PR HLA TYPING A/B/C SNGL AG,209.0,186.01,25.81,209.0,481 CPT,86825,HC FLOW CYTOMETRIC CROSSMATCH,563.0,501.07,94.71,563.0,734 CPT,86825,PR FLOW CYTOMETRIC CROSSMATCH,563.0,501.07,109.49,563.0,481 CPT,86826,HC HLA CROSSMATCH EACH SERUM,327.0,291.03,31.6,327.0,734 CPT,86826,PR HLA CROSSMATCH EACH SERUM,327.0,291.03,36.53,327.0,481 CPT,86832,HC HLA AB CLASS I SOLID PHASE,1102.0,980.78,229.22,1102.0,739 CPT,86832,PR HLA AB CLASS I SOLID PHASE,1102.0,980.78,323.75,1102.0,481 CPT,86833,HC HLA AB CLASS II SOLID PHASE,911.0,810.79,189.49,911.0,739 CPT,86833,PR HLA AB CLASS II SOLID PHASE,911.0,810.79,325.8,911.0,481 CPT,86850,HC ANTIBODY SCREEN RBC EA SERUM,85.0,75.65,9.57,85.0,748 CPT,86850,PR ANTIBODY SCREEN RBC EA SERUM,85.0,75.65,9.77,85.0,481 CPT,86860,HC ANTIBODY ELUTION RBC EACH,183.0,162.87,38.06,226.05,735 CPT,86860,PR ANTIBODY ELUTION RBC EACH,183.0,162.87,161.04,183.0,477 CPT,86870,HC ANTIBODY ID RBC EACH PANEL,150.0,133.5,31.2,475.59,739 CPT,86870,PR ANTIBODY ID RBC EACH PANEL,150.0,133.5,15.0,150.0,477 CPT,86880,HC DIRECT COOMBS C3 EA ANTISERUM,62.0,55.18,5.28,78.27,739 CPT,86880,HC DIRECT COOMBS EA ANTISERUM,62.0,55.18,5.28,78.27,739 CPT,86880,HC TRANSFUSION RXN-DAT TUBE,62.0,55.18,5.28,78.27,739 CPT,86880,PR DIRECT COOMBS C3 EA ANTISERUM,62.0,55.18,5.39,62.0,481 CPT,86880,PR DIRECT COOMBS EA ANTISERUM,62.0,55.18,5.39,62.0,481 CPT,86886,HC AHG INDIRECT TITER EA,80.0,71.2,5.08,226.05,737 CPT,86886,HC ALLO ANTIBODY TITER,80.0,71.2,5.08,226.05,737 CPT,86886,PR AHG INDIRECT TITER EA,80.0,71.2,5.18,80.0,481 CPT,86886,PR ALLO ANTIBODY TITER,80.0,71.2,5.18,80.0,481 CPT,86891,HC INTRAOP/POSTOP BLOOD SALVAGE,847.0,753.83,176.18,1068.98,735 CPT,86900,HC BLOOD TYPING ABO,34.0,30.26,2.93,176.53,748 CPT,86900,PR BLOOD TYPING ABO,34.0,30.26,2.99,34.0,481 CPT,86901,HC BLOOD TYPING RH(D),30.0,26.7,2.93,49.56,748 CPT,86901,PR BLOOD TYPING RH(D),30.0,26.7,2.99,30.0,481 CPT,86902,HC BLOOD TYPING DONOR UNIT EA AG,156.0,138.84,6.22,475.59,738 CPT,86902,PR BLOOD TYPING DONOR UNIT EA AG,156.0,138.84,6.35,156.0,481 CPT,86905,HC RBC AG NOT ABO/RH(D) EA,69.0,61.41,3.75,475.59,741 CPT,86905,PR RBC AG NOT ABO/RH(D) EA,69.0,61.41,3.83,69.0,481 CPT,86920,HC COMPATIBILITY TEST IMM SPIN EA,239.0,212.71,18.54,239.0,736 CPT,86920,PR COMPATIBILITY TEST IMM SPIN EA,239.0,212.71,23.9,239.0,477 CPT,86922,HC COMPATIBILITY TEST AG EA,154.0,137.06,29.78,226.05,736 CPT,86922,PR COMPATIBILITY TEST AG EA,154.0,137.06,15.4,154.0,477 CPT,86923,HC COMPATIBILITY TEST ELECTRONIC,107.0,95.23,22.26,226.05,739 CPT,86923,PR COMPATIBILITY TEST ELECTRONIC,107.0,95.23,10.7,107.0,477 CPT,86941,HC HEMOLYSIN/AGGLUT INCUBATED,189.0,168.21,11.87,189.0,736 CPT,86941,PR HEMOLYSIN/AGGLUT INCUBATED,189.0,168.21,12.11,189.0,481 CPT,86945,HC IRRADIATION OF BLD EA UNIT,292.0,259.88,37.43,292.0,734 CPT,86965,HC POOLING BLOOD PRODUCTS,455.0,404.95,94.64,455.0,734 CPT,86978,HC PRETREAT SERUM AB ID ABSRP EA,167.0,148.63,34.74,167.0,734 CPT,86978,PR PRETREAT SERUM AB ID ABSRP EA,167.0,148.63,16.7,167.0,477 CPT,86985,HC SPLIT BLOOD EA UNIT,152.0,135.28,31.62,226.05,735 CPT,87015,HC CONC FOR INFECTIOUS AGENT,69.0,61.41,6.55,69.0,742 CPT,87015,PR CONC FOR INFECTIOUS AGENT,69.0,61.41,6.68,69.0,481 CPT,87040,HC CULT BLOOD ISOL W PRES ID,95.0,84.55,8.93,95.0,740 CPT,87040,PR CULT BLOOD ISOL W PRES ID,95.0,84.55,10.32,95.0,481 CPT,87045,HC CULT STOOL AEROBIC SALM SHIG,101.0,89.89,8.17,101.0,736 CPT,87045,PR CULT STOOL AEROBIC SALM SHIG,101.0,89.89,9.44,101.0,481 CPT,87046,HC CULT STOOL ADD PATHOGENS EA 2,81.0,72.09,8.17,81.0,734 CPT,87046,HC STOOL CULT AEROBIC BACT EA,81.0,72.09,8.17,81.0,734 CPT,87046,PR CULT STOOL ADD PATHOGENS EA 2,81.0,72.09,9.44,81.0,481 CPT,87046,PR STOOL CULT AEROBIC BACT EA,81.0,72.09,9.44,81.0,481 CPT,87070,HC CULT AEROBIC OTHER PRESUMPT ID,87.0,77.43,8.45,87.0,745 CPT,87070,HC CULT AEROBIC OTHER PRESUMPT ID 2,87.0,77.43,8.45,87.0,745 CPT,87070,HC CULT AEROBIC OTHER PRESUMPT ID 3,87.0,77.43,8.45,87.0,745 CPT,87070,PR CULT AEROBIC OTHER PRESUMPT ID,87.0,77.43,8.62,87.0,481 CPT,87070,PR CULT AEROBIC OTHER PRESUMPT ID 2,87.0,77.43,8.62,87.0,481 CPT,87075,HC CULT ANAEROBIC ISOL PRES ID,118.0,105.02,9.28,118.0,743 CPT,87075,HC CULT ANAEROBIC ISOL PRES ID 2,118.0,105.02,9.28,118.0,743 CPT,87075,PR CULT ANAEROBIC ISOL PRES ID,118.0,105.02,9.47,118.0,481 CPT,87075,PR CULT ANAEROBIC ISOL PRES ID 2,118.0,105.02,9.47,118.0,481 CPT,87076,HC CULT ANAEROBIC DEFIN ID EA ISOL,85.0,75.65,7.92,85.0,740 CPT,87076,PR CULT ANAEROBIC DEFIN ID EA ISOL,85.0,75.65,8.08,85.0,481 CPT,87077,HC CULT AEROBIC COMM KIT ID EA,73.0,64.97,7.92,73.0,742 CPT,87077,HC CULT AEROBIC DEFIN ID EA ISOL,73.0,64.97,7.92,73.0,742 CPT,87077,HC CULT AEROBIC DEFIN ID EA ISOL 1,73.0,64.97,7.92,73.0,742 CPT,87077,HC CULT AEROBIC DEFIN ID EA ISOL 2,73.0,64.97,7.92,73.0,742 CPT,87077,PR CULT AEROBIC DEFIN ID EA ISOL,73.0,64.97,8.08,73.0,481 CPT,87077,PR CULT AEROBIC DEFIN ID EA ISOL 1,73.0,64.97,8.08,73.0,481 CPT,87077,PR CULT AEROBIC DEFIN ID EA ISOL 2,73.0,64.97,8.08,73.0,481 CPT,87081,HC CULT SINGLE SPECIFIC ORG EACH,55.0,48.95,6.5,55.0,745 CPT,87081,HC CULT SINGLE SPECIFIC ORG EACH 1,55.0,48.95,6.5,55.0,745 CPT,87081,HC CULT SINGLE SPECIFIC ORG EACH 2,55.0,48.95,6.5,55.0,745 CPT,87081,PR CULT SINGLE SPECIFIC ORG EACH,55.0,48.95,6.63,55.0,481 CPT,87081,PR CULT SINGLE SPECIFIC ORG EACH 2,55.0,48.95,6.63,55.0,481 CPT,87086,HC CULT/COLONY COUNT QUANT URINE,64.0,56.96,7.91,64.0,742 CPT,87086,PR CULT/COLONY COUNT QUANT URINE,64.0,56.96,8.07,64.0,481 CPT,87101,HC CULT FUNGI PRES ID HAIR/SK/NA,97.0,86.33,7.56,97.0,739 CPT,87101,PR CULT FUNGI PRES ID HAIR/SK/NA,97.0,86.33,7.71,97.0,481 CPT,87102,HC CULT FUNGI PRESUMPT ID OTHER,87.0,77.43,8.24,87.0,744 CPT,87102,PR CULT FUNGI PRESUMPT ID OTHER,87.0,77.43,8.41,87.0,481 CPT,87103,HC CULT FUNGI PRES ID BLOOD,95.0,84.55,17.7,95.0,740 CPT,87103,PR CULT FUNGI PRES ID BLOOD,95.0,84.55,20.46,95.0,481 CPT,87106,HC CULT FUNGI DEFIN ID YEAST,87.0,77.43,10.11,87.0,740 CPT,87106,PR CULT FUNGI DEFIN ID YEAST,87.0,77.43,10.32,87.0,481 CPT,87107,HC CULT FUNGI DEFIN ID MOLD,106.0,94.34,10.11,106.0,739 CPT,87107,PR CULT FUNGI DEFIN ID MOLD,106.0,94.34,10.32,106.0,481 CPT,87116,HC CULT AFB PRES ID,123.0,109.47,10.58,123.0,745 CPT,87116,PR CULT AFB PRES ID,123.0,109.47,10.8,123.0,481 CPT,87118,HC CULT MYCOBACTERIA DEFIN ID,82.0,72.98,14.32,82.0,739 CPT,87118,PR CULT MYCOBACTERIA DEFIN ID,82.0,72.98,14.61,82.0,481 CPT,87147,HC SEROTYPING AGGLUT EA METH 1,44.0,39.16,5.08,44.0,734 CPT,87147,HC SEROTYPING AGGLUT EA METH 2,44.0,39.16,5.08,44.0,734 CPT,87147,HC SEROTYPING AGGLUT EA METH >2,44.0,39.16,5.08,44.0,734 CPT,87147,PR SEROTYPING AGGLUT EA METH 1,44.0,39.16,5.18,44.0,481 CPT,87147,PR SEROTYPING AGGLUT EA METH 2,44.0,39.16,5.18,44.0,481 CPT,87147,PR SEROTYPING AGGLUT EA METH >2,44.0,39.16,5.18,44.0,481 CPT,87150,HC BCB BCID MULTIPLEX PCR,207.0,184.23,34.39,207.0,737 CPT,87150,HC CULT TYPE ID BY AMPL PROBE,207.0,184.23,34.39,207.0,737 CPT,87150,HC CULT TYPE ID BY AMPL PROBE 2,207.0,184.23,34.39,207.0,737 CPT,87150,HC DNA/RNA AMPLIFIED PROBE EACH,207.0,184.23,34.39,207.0,737 CPT,87150,HC DNA/RNA AMPLIFIED PROBE EACH 2,207.0,184.23,34.39,207.0,737 CPT,87150,HC ID MTBCX SPECIATION PCR,207.0,184.23,34.39,207.0,737 CPT,87150,HC MYCOBACTERIA BROTH PROBE ID,207.0,184.23,34.39,207.0,737 CPT,87150,HC MYCOBACTERIA PROBE ID,207.0,184.23,34.39,207.0,737 CPT,87150,PR CULT TYPE ID BY AMPL PROBE,207.0,184.23,35.09,207.0,481 CPT,87150,PR CULT TYPE ID BY AMPL PROBE 2,207.0,184.23,35.09,207.0,481 CPT,87150,PR DNA/RNA AMPLIFIED PROBE EACH,207.0,184.23,35.09,207.0,481 CPT,87150,PR DNA/RNA AMPLIFIED PROBE EACH 2,207.0,184.23,35.09,207.0,481 CPT,87150,PR MYCOBACTERIA BROTH PROBE ID,207.0,184.23,35.09,207.0,481 CPT,87150,PR MYCOBACTERIA PROBE ID,207.0,184.23,35.09,207.0,481 CPT,87153,HC CULT ID BY SEQUENCING ANAEROBE,573.0,509.97,99.79,573.0,739 CPT,87153,HC CULTURE TYPING BY NUC ACID SEQ 1,573.0,509.97,99.79,573.0,739 CPT,87153,HC CULTURE TYPING BY NUC ACID SEQ 2,573.0,509.97,99.79,573.0,739 CPT,87153,HC CULTURE TYPING BY NUC ACID SEQ 3,573.0,509.97,99.79,573.0,739 CPT,87153,PR CULT ID BY SEQUENCING ANAEROBE,573.0,509.97,115.36,573.0,481 CPT,87153,PR CULTURE TYPING BY NUC ACID SEQ 1,573.0,509.97,115.36,573.0,481 CPT,87153,PR CULTURE TYPING BY NUC ACID SEQ 2,573.0,509.97,115.36,573.0,481 CPT,87153,PR CULTURE TYPING BY NUC ACID SEQ 3,573.0,509.97,115.36,573.0,481 CPT,87154,HC CULTURE TYPE BLD PATH 6+ TARGET,436.0,388.04,90.69,436.0,735 CPT,87154,PR CULTURE TYPE BLD PATH 6+ TARGET,436.0,388.04,218.06,436.0,481 CPT,87168,HC MACROSCOPIC EXAM ARTHROPOD,73.0,64.97,4.18,73.0,736 CPT,87168,PR MACROSCOPIC EXAM ARTHROPOD,73.0,64.97,4.27,73.0,481 CPT,87169,HC MACROSCOPIC EXAM PARASITE,50.0,44.5,3.73,50.0,736 CPT,87169,PR MACROSCOPIC EXAM PARASITE,50.0,44.5,4.31,50.0,481 CPT,87172,HC PINWORM EXAM,65.0,57.85,3.69,65.0,736 CPT,87172,PR PINWORM EXAM,65.0,57.85,4.27,65.0,481 CPT,87176,HC HOMOGENIZATION TISS FOR CULT,74.0,65.86,5.76,74.0,745 CPT,87176,PR HOMOGENIZATION TISS FOR CULT,74.0,65.86,5.88,74.0,481 CPT,87177,HC OVA & PARASITE CONC & ID,75.0,66.75,7.7,75.0,736 CPT,87177,PR OVA & PARASITE CONC & ID,75.0,66.75,8.9,75.0,481 CPT,87181,HC ANTIMICROBIAL SUSCEPTIBILITY,46.0,40.94,4.66,46.0,739 CPT,87181,HC SUSCEPTIBILITY ANAEROBIC,46.0,40.94,4.66,46.0,739 CPT,87181,PR ANTIMICROBIAL SUSCEPTIBILITY,46.0,40.94,4.75,46.0,481 CPT,87182,HC CARBAPENEMASE ENZYME DETECT,66.0,58.74,13.73,66.0,719 CPT,87182,PR CARBAPENEMASE ENZYME DETECT,66.0,58.74,58.08,66.0,466 CPT,87183,HC CARBAPENEM RESIST GENES,207.0,184.23,35.09,207.0,734 CPT,87183,PR CARBAPENEM RESIST GENES,207.0,184.23,35.09,207.0,481 CPT,87184,HC SUSCEPTIBILITY DISK PER PLATE,64.0,56.96,6.47,64.0,734 CPT,87185,HC BETA LACTAMASE,66.0,58.74,4.66,66.0,738 CPT,87185,HC CARBAPENEMASE,66.0,58.74,4.66,66.0,738 CPT,87185,PR BETA LACTAMASE,66.0,58.74,4.75,66.0,481 CPT,87185,PR CARBAPENEMASE,66.0,58.74,4.75,66.0,481 CPT,87186,HC SUSCEPTIBILITY PER PLATE 1,69.0,61.41,8.48,69.0,742 CPT,87186,HC SUSCEPTIBILITY PER PLATE 2,69.0,61.41,8.48,69.0,742 CPT,87186,HC SUSCEPTIBILITY PER PLATE 3,69.0,61.41,8.48,69.0,742 CPT,87186,HC SUSCEPTIBILITY PER PLATE 4,69.0,61.41,8.48,69.0,742 CPT,87186,HC SUSCEPTIBLITY PANEL YEAST,69.0,61.41,8.48,69.0,742 CPT,87186,PR SUSCEPTIBILITY PER PLATE 1,69.0,61.41,8.65,69.0,481 CPT,87186,PR SUSCEPTIBILITY PER PLATE 2,69.0,61.41,8.65,69.0,481 CPT,87186,PR SUSCEPTIBILITY PER PLATE 3,69.0,61.41,8.65,69.0,481 CPT,87186,PR SUSCEPTIBILITY PER PLATE 4,69.0,61.41,8.65,69.0,481 CPT,87186,PR SUSCEPTIBLITY PANEL YEAST,69.0,61.41,8.65,69.0,481 CPT,87188,HC SUSCEPT MACROBROTH EA DRUG,112.0,99.68,6.51,112.0,737 CPT,87188,PR SUSCEPT MACROBROTH EA DRUG,112.0,99.68,6.64,112.0,481 CPT,87205,HC SMEAR GRAM STAIN,35.0,31.15,4.18,35.0,743 CPT,87205,PR SMEAR GRAM STAIN,35.0,31.15,4.27,35.0,481 CPT,87206,HC SMEAR ACID FAST ANY SOURCE,72.0,64.08,4.66,72.0,745 CPT,87206,HC SMEAR PNEUMOCYSTIS,72.0,64.08,4.66,72.0,745 CPT,87206,PR SMEAR ACID FAST ANY SOURCE,72.0,64.08,5.39,72.0,481 CPT,87207,HC SMEAR FILARIA BLOOD,95.0,84.55,5.87,95.0,734 CPT,87207,HC SMEAR MALARIA/BABESIA,95.0,84.55,5.87,95.0,734 CPT,87207,HC SPECIAL STAIN INCL OR PARASITE,95.0,84.55,5.87,95.0,734 CPT,87207,PR SMEAR MALARIA/BABESIA,95.0,84.55,5.99,95.0,481 CPT,87207,PR SPECIAL STAIN INCL OR PARASITE,95.0,84.55,5.99,95.0,481 CPT,87209,HC SMEAR COMPLEX STAIN O&P,107.0,95.23,15.55,107.0,736 CPT,87209,HC STAIN SLIDE EXAM,107.0,95.23,15.55,107.0,736 CPT,87209,PR SMEAR COMPLEX STAIN O&P,107.0,95.23,17.98,107.0,481 CPT,87210,HC SMEAR WET MOUNT,34.0,30.26,5.7,34.0,735 CPT,87210,PR SMEAR WET MOUNT,34.0,30.26,5.82,34.0,481 CPT,87220,PR KOH FUNGI SKIN/HAIR/NAILS,38.0,33.82,4.27,38.0,488 CPT,87254,HC VIRUS ID SHELL VIAL,154.0,137.06,19.56,154.0,735 CPT,87305,HC ASPERGILLUS AG EIA,167.0,148.63,10.36,167.0,741 CPT,87305,PR ASPERGILLUS AG EIA,167.0,148.63,11.98,167.0,467 CPT,87324,HC CLOSTRIDIUM TOXIN AG EIA,151.0,134.39,11.74,151.0,734 CPT,87324,PR CLOSTRIDIUM TOXIN AG EIA,151.0,134.39,11.98,151.0,481 CPT,87328,HC CRYPTOSPORIDIUM AG EIA,87.0,77.43,13.54,87.0,734 CPT,87328,PR CRYPTOSPORIDIUM AG EIA,87.0,77.43,13.82,87.0,481 CPT,87329,HC GIARDIA AG EIA,90.0,80.1,11.74,90.0,734 CPT,87329,PR GIARDIA AG EIA,90.0,80.1,11.98,90.0,481 CPT,87340,"HC HEP B SCRN SURF AG IA (HBGPS, HBGSN)",80.0,71.2,10.12,80.0,741 CPT,87340,HC HEP B SURF AG,80.0,71.2,10.12,80.0,741 CPT,87340,"PR HEP B SCRN SURF AG IA (HBGPS, HBGSN)",80.0,71.2,10.33,80.0,467 CPT,87340,PR HEP B SURF AG,80.0,71.2,10.33,80.0,467 CPT,87341,HC EIA HEP B AG NEUTRALIZATION,121.0,107.69,10.12,121.0,734 CPT,87341,PR EIA HEP B AG NEUTRALIZATION,121.0,107.69,10.33,121.0,467 CPT,87350,HC HEPATITIS BE AG EIA,108.0,96.12,9.97,108.0,736 CPT,87350,PR HEPATITIS BE AG EIA,108.0,96.12,11.53,108.0,467 CPT,87385,HC HISTOPLASMA CAPSULATUM AG EIA,233.0,207.37,11.46,233.0,736 CPT,87385,PR HISTOPLASMA CAPSULATUM AG EIA,233.0,207.37,13.25,233.0,481 CPT,87389,HC HIV-1 AG W HIV-1 & HIV-2 AB SCRN,126.0,112.14,23.6,126.0,739 CPT,87389,HC HIV-1 AG W HIV-1 & HIV-2 AB SCRN 1,126.0,112.14,23.6,126.0,739 CPT,87389,HC HIV-1 AG W/HIV-1 & HIV-2 AB,126.0,112.14,23.6,126.0,739 CPT,87389,PR HIV-1 AG W HIV-1 & HIV-2 AB SCRN,126.0,112.14,24.08,126.0,467 CPT,87389,PR HIV-1 AG W HIV-1 & HIV-2 AB SCRN 1,126.0,112.14,24.08,126.0,467 CPT,87389,PR HIV-1 AG W/HIV-1 & HIV-2 AB,126.0,112.14,24.08,126.0,467 CPT,87425,HC ROTAVIRUS AG EIA,151.0,134.39,11.74,151.0,734 CPT,87425,PR ROTAVIRUS AG EIA,151.0,134.39,11.98,151.0,481 CPT,87426,HC SARSCOV CORONAVIRUS AG IA,81.0,72.09,16.85,81.0,736 CPT,87449,HC AG DETECT NOS EIA MULT,142.0,126.38,11.74,142.0,738 CPT,87449,HC AG DETECT NOS EIA MULT 2,142.0,126.38,11.74,142.0,738 CPT,87449,HC BLASTOMYCES AG,142.0,126.38,11.74,142.0,738 CPT,87449,HC BLASTOMYCES AG QUANT EIA,142.0,126.38,11.74,142.0,738 CPT,87449,HC FUNGITELL,142.0,126.38,11.74,142.0,738 CPT,87449,PR AG DETECT NOS EIA MULT 2,142.0,126.38,11.98,142.0,467 CPT,87449,PR BLASTOMYCES AG,142.0,126.38,11.98,142.0,467 CPT,87449,PR BLASTOMYCES AG QUANT EIA,142.0,126.38,11.98,142.0,481 CPT,87449,PR FUNGITELL,142.0,126.38,11.98,142.0,467 CPT,87467,HC HEPATITIS B SURFACE AG QUAN,165.0,146.85,24.81,165.0,734 CPT,87468,HC ANAPLASMA PHAGOCYTOPHILUM (EHRL/EPCRB-NCCI),91.0,80.99,18.93,91.0,734 CPT,87468,PR ANAPLASMA PHAGOCYTOPHILUM (EHRL/EPCRB-NCCI),91.0,80.99,35.09,91.0,481 CPT,87469,HC BABESIA (LBAB/LBABP-NCCI),91.0,80.99,18.93,91.0,734 CPT,87469,PR BABESIA (LBAB/LBABP-NCCI),91.0,80.99,35.09,91.0,481 CPT,87476,HC B BURGDORFERI PCR (PBORB/PBORR-NCCI),91.0,80.99,18.93,91.0,737 CPT,87476,PR B BURGDORFERI PCR (PBORB/PBORR-NCCI),91.0,80.99,35.09,91.0,481 CPT,87478,HC BORRELIA MIYAMOTOI AMP PRB,204.0,181.56,34.39,204.0,734 CPT,87478,HC BORRELIA MIYAMOTOI AMP PRB 2,204.0,181.56,34.39,204.0,734 CPT,87478,PR BORRELIA MIYAMOTOI AMP PRB,204.0,181.56,35.09,204.0,481 CPT,87478,PR BORRELIA MIYAMOTOI AMP PRB 2,204.0,181.56,35.09,204.0,481 CPT,87481,HC CANDIDA AMP PROBE,151.0,134.39,31.41,151.0,740 CPT,87481,HC CANDIDA AMP PROBE (CANDI-MEC NCCI),450.0,400.5,34.39,450.0,740 CPT,87481,HC CANDIDA AMP PROBE (CANDI-NCCI),151.0,134.39,31.41,151.0,740 CPT,87481,HC CANDIDA DNA AMP PROBE 2,151.0,134.39,31.41,151.0,740 CPT,87481,PR CANDIDA AMP PROBE,151.0,134.39,35.09,151.0,467 CPT,87483,HC CNS DNA AMP PROBE TYPE 12-25,834.0,742.26,173.47,834.0,738 CPT,87483,PR CNS DNA AMP PROBE TYPE 12-25,834.0,742.26,416.78,834.0,481 CPT,87484,HC EHRLICHIA CHAFFEENSIS (EHRL/EPCRB-NCCI),91.0,80.99,18.93,91.0,734 CPT,87484,PR EHRLICHIA CHAFFEENSIS (EHRL/EPCRB-NCCI),91.0,80.99,35.09,91.0,481 CPT,87491,HC CHLAMYDIA TRACH DNA AMPL PROBE,217.0,193.13,34.39,217.0,739 CPT,87491,HC CHLAMYDIA TRACH DNA AMPL PROBE (CGRNA/MCTGC-NCCI),217.0,193.13,34.39,217.0,739 CPT,87491,PR CHLAMYDIA TRACH DNA AMPL PROBE,217.0,193.13,35.09,217.0,467 CPT,87491,PR CHLAMYDIA TRACH DNA AMPL PROBE (CGRNA/MCTGC-NCCI),217.0,193.13,35.09,217.0,467 CPT,87493,HC C DIFFICILE TOXIN AMPL PROBE,198.0,176.22,32.24,198.0,737 CPT,87493,PR C DIFFICILE TOXIN AMPL PROBE,198.0,176.22,37.27,198.0,481 CPT,87494,HC INFECT AGENT CHLAM/GONORR MULTI (MCTGC),439.0,390.71,70.18,439.0,735 CPT,87494,HC INFECT AGENT CHLAM/GONORR MULTIPLEX,439.0,390.71,70.18,439.0,735 CPT,87494,PR INFECT AGENT CHLAM/GONORR MULTI (MCTGC),439.0,390.71,70.18,439.0,467 CPT,87494,PR INFECT AGENT CHLAM/GONORR MULTIPLEX,439.0,390.71,70.18,439.0,467 CPT,87496,HC CMV DNA AMPL PROBE QUAL,267.0,237.63,30.35,267.0,737 CPT,87496,HC CYTOMEGALOVIRUS DETECTION/PCR,267.0,237.63,30.35,267.0,737 CPT,87496,PR CYTOMEGALOVIRUS DETECTION/PCR,267.0,237.63,35.09,267.0,481 CPT,87497,HC CMV PCR QUANT A1,561.0,499.29,37.06,561.0,742 CPT,87497,PR CMV PCR QUANT A1,561.0,499.29,42.84,561.0,467 CPT,87498,HC ENTEROVIRUS,224.0,199.36,34.39,224.0,737 CPT,87498,PR ENTEROVIRUS,224.0,199.36,35.09,224.0,481 CPT,87500,HC VRE BY RAPID PCR,116.0,103.24,24.13,116.0,736 CPT,87500,PR VRE BY RAPID PCR,116.0,103.24,35.09,116.0,481 CPT,87507,HC GASTROINTESTIONAL PATHOGEN PANEL,834.0,742.26,173.47,834.0,739 CPT,87507,PR GASTROINTESTIONAL PATHOGEN PANEL,834.0,742.26,416.78,834.0,481 CPT,87513,"HC HELICO PYLORI, CLARITHROMYCIN RESIST",198.0,176.22,35.09,198.0,732 CPT,87513,"HC HELICO PYLORI, CLARITHROMYCIN RESIST 2",181.0,161.09,35.09,181.0,732 CPT,87513,"HC HELICO PYLORI, CLARITHROMYCIN RESIST 3",181.0,161.09,35.09,181.0,732 CPT,87513,"PR HELICO PYLORI, CLARITHROMYCIN RESIST 2",181.0,161.09,35.09,181.0,481 CPT,87513,"PR HELICO PYLORI, CLARITHROMYCIN RESIST 3",181.0,161.09,35.09,181.0,481 CPT,87517,HC HEP B PCR QUANT,699.0,622.11,41.98,699.0,737 CPT,87517,PR HEP B PCR QUANT,699.0,622.11,42.84,699.0,467 CPT,87522,HC HEP C PCR QUANT,448.0,398.72,37.06,448.0,737 CPT,87522,PR HEP C PCR QUANT,448.0,398.72,42.84,448.0,467 CPT,87523,HC HDV DNA DETECT QUANT,180.0,160.2,37.06,180.0,734 CPT,87529,HC HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/HSVC/LHSVC/HSVZA/HSVA-NCCI),256.0,227.84,34.39,256.0,739 CPT,87529,HC HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/LHSVC/HSVC/HSVA-MEC NCCI),512.0,455.68,34.39,512.0,739 CPT,87529,PR HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/HSVC/LHSVC/HSVZA/HSVA-NCCI),256.0,227.84,35.09,256.0,481 CPT,87529,PR HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/LHSVC/HSVC/HSVA-MEC NCCI),512.0,455.68,35.09,512.0,481 CPT,87532,HC HHV-6 BY RAPID PCR,183.0,162.87,34.39,183.0,736 CPT,87532,PR HHV-6 BY RAPID PCR,183.0,162.87,35.09,183.0,481 CPT,87533,HC HHV-6 DNA QUANT,288.0,256.32,36.12,288.0,737 CPT,87533,PR HHV-6 DNA QUANT,288.0,256.32,41.76,288.0,481 CPT,87535,HC HIV-1 DNA AMPL PROBE 2,533.0,474.37,30.35,533.0,738 CPT,87535,PR HIV-1 DNA AMPL PROBE 2,533.0,474.37,35.09,533.0,467 CPT,87536,HC HIV 1 PCR QUANT,603.0,536.67,83.4,603.0,737 CPT,87536,PR HIV 1 PCR QUANT,603.0,536.67,85.1,603.0,467 CPT,87538,HC HIV-2 PROBE & REVRSE TRNSCR 2,670.0,596.3,30.35,670.0,736 CPT,87538,PR HIV-2 PROBE & REVRSE TRNSCR 2,670.0,596.3,35.09,670.0,467 CPT,87556,HC MTB COMPLEX BY RAPID PCR,304.0,270.56,40.85,304.0,737 CPT,87556,PR MTB COMPLEX BY RAPID PCR,304.0,270.56,41.68,304.0,481 CPT,87563,HC M GENITALIUM AMP PROBE,196.0,174.44,30.35,196.0,736 CPT,87563,PR M GENITALIUM AMP PROBE,196.0,174.44,35.09,196.0,467 CPT,87564,"HC MYCOBACT TUBERC, RIFAMPIN RESIST",484.0,430.76,76.77,484.0,735 CPT,87564,"PR MYCOBACT TUBERC, RIFAMPIN RESIST",484.0,430.76,76.77,484.0,481 CPT,87581,HC MYCOPLASMA PNEUMO AMPL PROBE,129.0,114.81,26.83,129.0,736 CPT,87581,PR MYCOPLASMA PNEUMO AMPL PROBE,129.0,114.81,35.09,129.0,481 CPT,87591,HC NEISSERIA GONORR DNA AMPL,222.0,197.58,34.39,222.0,739 CPT,87591,HC NEISSERIA GONORR DNA AMPL (CGRNA/MCTGC),222.0,197.58,34.39,222.0,739 CPT,87591,PR NEISSERIA GONORR DNA AMPL,222.0,197.58,35.09,222.0,467 CPT,87591,PR NEISSERIA GONORR DNA AMPL (CGRNA/MCTGC),222.0,197.58,35.09,222.0,467 CPT,87593,HC INFECT AGNT DETECT ORTHOPOXVIRUS,117.0,104.13,24.34,117.0,734 CPT,87593,PR INFECT AGNT DETECT ORTHOPOXVIRUS,117.0,104.13,51.31,117.0,481 CPT,87594,HC PNEUMOCYSTIS JIROVECII AMP PROBE,181.0,161.09,35.09,181.0,738 CPT,87594,PR PNEUMOCYSTIS JIROVECII AMP PROBE,181.0,161.09,35.09,181.0,481 CPT,87624,"HC HPV HIGH RISK, SCREENING",198.0,176.22,34.39,198.0,736 CPT,87624,PR HPV HIGH RISK,198.0,176.22,35.09,198.0,481 CPT,87624,"PR HPV HIGH RISK, SCREENING",198.0,176.22,35.09,198.0,481 CPT,87626,HC HPV SEPARATE HI-RISK TYPES,198.0,176.22,41.18,198.0,737 CPT,87626,HC HPV SEPARATE HI-RISK TYPES 2,198.0,176.22,41.18,198.0,737 CPT,87626,PR HPV SEPARATE HI-RISK TYPES,198.0,176.22,70.2,198.0,467 CPT,87626,PR HPV SEPARATE HI-RISK TYPES 2,198.0,176.22,70.2,198.0,467 CPT,87627,HC JT INFECT PANEL 26+ TARGETS (JIP),895.0,796.55,186.16,1019.66,734 CPT,87627,PR JT INFECT PANEL 26+ TARGETS (JIP),895.0,796.55,679.77,895.0,481 CPT,87631,HC RESP VIRUS 3 TO 5 TARGETS,424.0,377.36,88.19,424.0,738 CPT,87631,HC RESP VIRUS 3 TO 5 TARGETS 2,424.0,377.36,88.19,424.0,738 CPT,87631,PR RESP VIRUS 3 TO 5 TARGETS,424.0,377.36,142.63,424.0,482 CPT,87631,PR RESP VIRUS 3 TO 5 TARGETS 2,424.0,377.36,142.63,424.0,468 CPT,87633,HC RESP VIRUS 12 TO 25 TARGETS,834.0,742.26,173.47,834.0,735 CPT,87633,PR RESP VIRUS 12 TO 25 TARGETS,834.0,742.26,416.78,834.0,481 CPT,87634,HC RSV DNA/RNA AMP PROBE,236.0,210.04,49.09,236.0,736 CPT,87634,PR RSV DNA/RNA AMP PROBE,236.0,210.04,70.2,236.0,481 CPT,87635,HC SARS-COVID19,136.0,121.04,28.29,136.0,740 CPT,87635,HC SARS-COVID19 2,136.0,121.04,28.29,136.0,740 CPT,87635,PR SARS-COVID19,136.0,121.04,51.31,136.0,482 CPT,87635,PR SARS-COVID19 2,136.0,121.04,51.31,136.0,468 CPT,87636,HC SARSCOV2 & INF A&B AMP PRB,324.0,288.36,67.39,324.0,739 CPT,87636,PR SARSCOV2 & INF A&B AMP PRB,324.0,288.36,142.63,324.0,467 CPT,87637,"HC SARSCOV2,INF A/B, RSV MULT AMP PROBE",430.0,382.7,89.44,430.0,736 CPT,87637,"HC SARSCOV2,INF A/B, RSV MULT AMP PROBE 2",430.0,382.7,89.44,430.0,736 CPT,87637,"PR SARSCOV2,INF A/B, RSV MULT AMP PROBE",430.0,382.7,142.63,430.0,467 CPT,87637,"PR SARSCOV2,INF A/B, RSV MULT AMP PROBE 2",430.0,382.7,142.63,430.0,467 CPT,87641,HC MRSA AMPL PROBE,153.0,136.17,31.82,153.0,738 CPT,87641,PR MRSA AMPL PROBE,153.0,136.17,35.09,153.0,481 CPT,87651,"HC GROUP A STREP PCR, THROAT",169.0,150.41,34.39,169.0,737 CPT,87651,"HC STREP GROUP A, PCR, POCT",169.0,150.41,34.39,169.0,737 CPT,87651,"PR GROUP A STREP PCR, THROAT",169.0,150.41,35.09,169.0,481 CPT,87651,"PR STREP GROUP A, PCR, POCT",164.0,145.96,35.09,164.0,468 CPT,87661,HC TRICHOMONAS VAG AMP PROBE,184.0,163.76,34.39,184.0,739 CPT,87661,PR TRICHOMONAS VAG AMP PROBE,184.0,163.76,35.09,184.0,467 CPT,87662,HC ZIKA VIRUS AMPL PROBE,511.0,454.79,51.31,511.0,735 CPT,87662,PR ZIKA VIRUS AMPL PROBE,511.0,454.79,51.31,511.0,481 CPT,87798,HC ACANTHAMOEBA SPECIES (FLARP-NCCI),175.0,155.75,30.35,175.0,742 CPT,87798,"HC ACANTHAMOEBA SPECIES, PCR",175.0,155.75,30.35,175.0,742 CPT,87798,HC B GARINII/B AFZELII PCR (PBORB/PBORR-NCCI),91.0,80.99,18.93,91.0,742 CPT,87798,HC B MAYONII PCR (PBORB/PBORR-NCCI),91.0,80.99,18.93,91.0,742 CPT,87798,HC BABESIA (BABPB/LBAB/BABPR/LBABP-NCCI),97.0,86.33,20.18,97.0,742 CPT,87798,HC BALAMUTHIA MANDRILLARIS AMPL PROBE (FLARP-NCCI),181.0,161.09,30.35,181.0,742 CPT,87798,HC BORDETELLA (BPRPV/BPRP-NCCI),181.0,161.09,30.35,181.0,742 CPT,87798,HC BORDETELLA 2 (BPRPV/BPRP-MEC NCCI),361.0,321.29,30.35,361.0,742 CPT,87798,HC BRBS PCR AND SEQUENCING,175.0,155.75,30.35,175.0,742 CPT,87798,"HC CHIKUNGUNYA VIRUS, PCR",181.0,161.09,30.35,181.0,742 CPT,87798,HC COCCIDIOIDES BY RAPID PCR,181.0,161.09,30.35,181.0,742 CPT,87798,HC COXIELLA BURNETII/Q FEVER PC,181.0,161.09,30.35,181.0,742 CPT,87798,HC DENGUE VIRUS PCR,175.0,155.75,30.35,175.0,742 CPT,87798,HC DETECT AGENT NOS DNA AMP,181.0,161.09,30.35,181.0,742 CPT,87798,HC DETECT AGENT NOS DNA AMP 2,175.0,155.75,30.35,175.0,742 CPT,87798,HC EHRLICHIA/ANAPLASMA (EHRL/EPCRB-NCCI),97.0,86.33,20.18,97.0,742 CPT,87798,HC EPSTEIN BARR AMPL PROBE,181.0,161.09,30.35,181.0,742 CPT,87798,HC H PYLORI+CLARITHRO RESIST,181.0,161.09,30.35,181.0,742 CPT,87798,HC INF AGENT NOS AMPL PROBE EA ORGSM,181.0,161.09,30.35,181.0,742 CPT,87798,HC INF AGENT NOS AMPL PROBE EA ORGSM 1,181.0,161.09,30.35,181.0,742 CPT,87798,HC INF AGENT NOS AMPL PROBE EA ORGSM 2,181.0,161.09,30.35,181.0,742 CPT,87798,HC JC VIRUS DETECTION BY PCR,175.0,155.75,30.35,175.0,742 CPT,87798,HC MALARIA DETECTION RAPID PCR,181.0,161.09,30.35,181.0,742 CPT,87798,HC MICROSPORIDIA PCR,181.0,161.09,30.35,181.0,742 CPT,87798,HC MYCOPLASMA HOMINIS AMP PROBE,175.0,155.75,30.35,175.0,742 CPT,87798,HC NAEGLERIA FOWLERI AMPL PROBE (FLARP-NCCI),181.0,161.09,30.35,181.0,742 CPT,87798,HC PARVOVIRUS B19 BY RAPID PCR,181.0,161.09,30.35,181.0,742 CPT,87798,HC Q FEVER PCR,181.0,161.09,30.35,181.0,742 CPT,87798,HC TOXOPLASMA GONDII AMPL PB,175.0,155.75,30.35,175.0,742 CPT,87798,HC TOXOPLASMA GONDII PCR CSF,181.0,161.09,30.35,181.0,742 CPT,87798,HC UREAPLASMA PCR (URBRP/URPRP/URRP?NCCI),181.0,161.09,30.35,181.0,742 CPT,87798,HC VARICELLA ZOSTER VIRUS DETECT,175.0,155.75,30.35,175.0,742 CPT,87798,HC WEST NILE AMPL PROBE,175.0,155.75,30.35,175.0,742 CPT,87798,HC WHIPPLES DISEASE DNA DETECT,181.0,161.09,30.35,181.0,742 CPT,87798,"PR ACANTHAMOEBA SPECIES, PCR",175.0,155.75,35.09,175.0,482 CPT,87798,PR B GARINII/B AFZELII PCR (PBORB/PBORR-NCCI),91.0,80.99,35.09,91.0,482 CPT,87798,PR B MAYONII PCR (PBORB/PBORR-NCCI),91.0,80.99,35.09,91.0,482 CPT,87798,PR BABESIA (BABPB/LBAB/BABPR/LBABP-NCCI),97.0,86.33,35.09,97.0,482 CPT,87798,PR BORDETELLA (BPRPV/BPRP-NCCI),181.0,161.09,35.09,181.0,482 CPT,87798,PR BORDETELLA 2 (BPRPV/BPRP-MEC NCCI),361.0,321.29,35.09,361.0,482 CPT,87798,PR BRBS PCR AND SEQUENCING,175.0,155.75,35.09,175.0,482 CPT,87798,"PR CHIKUNGUNYA VIRUS, PCR",181.0,161.09,35.09,181.0,482 CPT,87798,PR COCCIDIOIDES BY RAPID PCR,181.0,161.09,35.09,181.0,482 CPT,87798,PR COXIELLA BURNETII/Q FEVER PC,181.0,161.09,35.09,181.0,482 CPT,87798,PR DENGUE VIRUS PCR,175.0,155.75,35.09,175.0,482 CPT,87798,PR DETECT AGENT NOS DNA AMP,181.0,161.09,35.09,181.0,482 CPT,87798,PR DETECT AGENT NOS DNA AMP 2,175.0,155.75,35.09,175.0,482 CPT,87798,PR EHRLICHIA/ANAPLASMA (EHRL/EPCRB-NCCI),97.0,86.33,35.09,97.0,482 CPT,87798,PR EPSTEIN BARR AMPL PROBE,181.0,161.09,35.09,181.0,482 CPT,87798,PR H PYLORI+CLARITHRO RESIST,181.0,161.09,35.09,181.0,482 CPT,87798,PR INF AGENT NOS AMPL PROBE EA ORGSM,181.0,161.09,35.09,181.0,482 CPT,87798,PR INF AGENT NOS AMPL PROBE EA ORGSM 2,181.0,161.09,35.09,181.0,482 CPT,87798,PR JC VIRUS DETECTION BY PCR,175.0,155.75,35.09,175.0,482 CPT,87798,PR MICROSPORIDIA PCR,181.0,161.09,35.09,181.0,482 CPT,87798,PR MYCOPLASMA HOMINIS AMP PROBE,175.0,155.75,35.09,175.0,482 CPT,87798,PR PARVOVIRUS B19 BY RAPID PCR,181.0,161.09,35.09,181.0,482 CPT,87798,PR Q FEVER PCR,181.0,161.09,35.09,181.0,482 CPT,87798,PR TOXOPLASMA GONDII AMPL PB,175.0,155.75,35.09,175.0,482 CPT,87798,PR TOXOPLASMA GONDII PCR CSF,181.0,161.09,35.09,181.0,482 CPT,87798,PR UREAPLASMA PCR (URBRP/URPRP/URRP?NCCI),181.0,161.09,35.09,181.0,482 CPT,87798,PR VARICELLA ZOSTER VIRUS DETECT,175.0,155.75,35.09,175.0,482 CPT,87798,PR WEST NILE AMPL PROBE,175.0,155.75,35.09,175.0,482 CPT,87798,PR WHIPPLES DISEASE DNA DETECT,181.0,161.09,35.09,181.0,482 CPT,87799,HC BK VIRUS DNA QN BY RAPID PCR,231.0,205.59,41.98,231.0,739 CPT,87799,HC DETECT AGENT NOS DNA QUANT,231.0,205.59,41.98,231.0,739 CPT,87799,HC DETECT AGENT NOS DNA QUANT 1,231.0,205.59,41.98,231.0,739 CPT,87799,HC EBV DNA DETECT QUANT,231.0,205.59,41.98,231.0,739 CPT,87799,PR BK VIRUS DNA QN BY RAPID PCR,231.0,205.59,42.84,231.0,467 CPT,87799,PR DETECT AGENT NOS DNA QUANT,231.0,205.59,42.84,231.0,467 CPT,87799,PR DETECT AGENT NOS DNA QUANT 1,231.0,205.59,42.84,231.0,467 CPT,87799,PR EBV DNA DETECT QUANT,231.0,205.59,42.84,231.0,467 CPT,87801,HC BARTONELLA BY RAPID PCR,353.0,314.17,68.8,353.0,741 CPT,87801,HC LEGIONELLA SPECIES DETECTION,353.0,314.17,68.8,353.0,741 CPT,87801,HC LYME DISEASE PCR (PBORB/PBORR/LYMPV-MEC-NCCI),273.0,242.97,56.78,273.0,741 CPT,87801,HC MULT ORGANISM AMPL PROBE (CGRNA/MCTGC-MEC-NCCI),439.0,390.71,68.8,439.0,741 CPT,87801,HC MULT ORGANISM AMPL PROBE 1,353.0,314.17,68.8,353.0,741 CPT,87801,HC MULT ORGANISM AMPL PROBE 2,353.0,314.17,68.8,353.0,741 CPT,87801,HC MULT ORGANISM AMPL PROBE 3,353.0,314.17,68.8,353.0,741 CPT,87801,PR BARTONELLA BY RAPID PCR,353.0,314.17,70.2,353.0,481 CPT,87801,PR LEGIONELLA SPECIES DETECTION,353.0,314.17,70.2,353.0,481 CPT,87801,PR LYME DISEASE PCR (PBORB/PBORR/LYMPV-MEC-NCCI),273.0,242.97,70.2,273.0,481 CPT,87801,PR MULT ORGANISM AMPL PROBE (CGRNA/MCTGC-MEC-NCCI),439.0,390.71,70.2,439.0,467 CPT,87801,PR MULT ORGANISM AMPL PROBE 1,353.0,314.17,70.2,353.0,481 CPT,87801,PR MULT ORGANISM AMPL PROBE 2,353.0,314.17,70.2,353.0,481 CPT,87801,PR MULT ORGANISM AMPL PROBE 3,353.0,314.17,70.2,353.0,481 CPT,87899,HC AGENT NOS ASSAY W OPTIC,90.0,80.1,15.75,90.0,738 CPT,87899,HC CRYPTOCOCCAL ANTIGEN,90.0,80.1,15.75,90.0,738 CPT,87899,"HC CRYPTOCOCCUS AG SCRN, LFA",90.0,80.1,15.75,90.0,738 CPT,87899,"HC CRYPTOCOCCUS AG TITER, LFA",90.0,80.1,15.75,90.0,738 CPT,87899,HC CRYPTOCOCCUS AG W OPTIC,90.0,80.1,15.75,90.0,738 CPT,87899,HC LEGIONELLA AG URINE W OPTIC,90.0,80.1,15.75,90.0,738 CPT,87899,HC STREP PNEUMONIAE AG W OPTIC,90.0,80.1,15.75,90.0,738 CPT,87899,PR AGENT NOS ASSAY W OPTIC,90.0,80.1,16.07,90.0,467 CPT,87899,"PR CRYPTOCOCCUS AG SCRN, LFA",90.0,80.1,16.07,90.0,467 CPT,87899,PR CRYPTOCOCCUS AG W OPTIC,90.0,80.1,16.07,90.0,467 CPT,87899,PR LEGIONELLA AG URINE W OPTIC,90.0,80.1,16.07,90.0,467 CPT,87899,PR STREP PNEUMONIAE AG W OPTIC,90.0,80.1,16.07,90.0,467 CPT,87902,HC HEP C GENOTYPE DNA REVERSE 1,1300.0,1157.0,222.69,1300.0,736 CPT,87902,PR HEP C GENOTYPE DNA REVERSE,1300.0,1157.0,257.45,1300.0,467 CPT,87902,PR HEP C GENOTYPE DNA REVERSE 1,1300.0,1157.0,257.45,1300.0,467 CPT,87999,HC BABESIA (BABPB/LBAB/BABPR/LBABP-MEC NCCI),284.0,252.76,59.07,284.0,719 CPT,87999,HC EHRLICHIA/ANAPLASMA (EHRL/EPCRB-MEC NCCI),374.0,332.86,77.79,374.0,719 CPT,87999,HC FREE LIVING AMOEBA PCR (FLARP-MEC NCCI),535.0,476.15,111.28,535.0,719 CPT,87999,HC HCV GENOTYPIC DRUG RESISTANCE (HCVDR?MEC NCCI),1758.0,1564.62,365.66,1758.0,719 CPT,87999,HC HERPES & VARICELLA ZOSTER (LHSVZ-MEC NCCI),529.0,470.81,110.03,529.0,719 CPT,87999,HC HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/HSVC/LHSVC-MEC NCCI),499.0,444.11,103.79,499.0,719 CPT,87999,HC JOINT INFECTION PANEL,895.0,796.55,186.16,895.0,719 CPT,87999,HC MULT ORGANISM AMPL PROBE (BRBPS DEX-Z),353.0,314.17,73.42,353.0,719 CPT,87999,HC UREAPLASMA PCR (URBRP/URPRP/URRP?MEC NCCI),360.0,320.4,74.88,360.0,719 CPT,87999,PR BABESIA (BABPB/LBAB/BABPR/LBABP-MEC NCCI),284.0,252.76,28.4,284.0,477 CPT,87999,PR EHRLICHIA/ANAPLASMA (EHRL/EPCRB-MEC NCCI),374.0,332.86,37.4,374.0,477 CPT,87999,PR HCV GENOTYPIC DRUG RESISTANCE (HCVDR?MEC NCCI),1767.0,1572.63,176.7,1767.0,463 CPT,87999,PR HERPES SIMPLEX (HSVPV/LHSV/HSVPB/LHSVB/HSVC/LHSVC-MEC NCCI),449.0,399.61,44.9,449.0,477 CPT,87999,PR JOINT INFECTION PANEL,895.0,796.55,89.5,895.0,477 CPT,87999,PR MULT ORGANISM AMPL PROBE (BRBPS DEX-Z),353.0,314.17,35.3,353.0,477 CPT,87999,PR UREAPLASMA PCR (URBRP/URPRP/URRP?MEC NCCI),360.0,320.4,36.0,360.0,477 CPT,88108,HC CYTOP CONCEN SMEARS & INTERP,203.0,180.67,42.22,203.0,741 CPT,88108,PR CYTOP CONCEN SMEARS & INTERP,198.0,176.22,17.41,362.0,1447 CPT,88112,HC CYTOP NONGYN LIQUID BASED,248.0,220.72,51.58,248.0,743 CPT,88112,PR CYTOP NONGYN LIQUID BASED,219.0,194.91,21.24,418.0,1447 CPT,88120,HC FISH BLADDER CA MANUAL,1611.0,1433.79,196.56,1611.0,734 CPT,88120,PR FISH BLADDER CA MANUAL,1694.0,1507.66,44.39,1972.0,1446 CPT,88141,PR CYTOP C/V INTERPRET,103.0,91.67,19.8,103.0,486 CPT,88142,HC CYTOP GYN THIN PREP MANUAL,112.0,99.68,19.85,112.0,739 CPT,88142,PR CYTOP GYN THIN PREP MANUAL,108.0,96.12,20.26,108.0,481 CPT,88161,HC CYTOP SMEAR NONGYN W PREP,177.0,157.53,33.37,177.0,736 CPT,88161,PR CYTOP SMEAR NONGYN W PREP,128.0,113.92,19.61,227.0,1446 CPT,88162,HC CYTO SMEAR NONGYN EXTND STUDY,255.0,226.95,53.04,255.0,736 CPT,88162,PR CYTO SMEAR NONGYN EXTND STUDY,202.5,180.225,30.06,279.0,964 CPT,88172,HC CYTOP FNA IMMEDIATE EVAL,250.0,222.5,52.0,250.0,736 CPT,88172,PR CYTOP FNA IMMEDIATE EVAL,258.0,229.62,27.03,290.0,964 CPT,88173,HC CYTOP FNA INTERP & REPORT,457.0,406.73,60.12,457.0,747 CPT,88173,PR CYTOP FNA INTERP & REPORT,336.0,299.04,53.5,573.0,1447 CPT,88177,HC CYTOP FNA EVAL ADEQUACY EA ADD,86.0,76.54,17.89,86.0,720 CPT,88177,PR CYTOP FNA EVAL ADEQUACY EA ADD,127.0,113.03,16.58,131.0,964 CPT,88182,HC FLOW CELL CYCLE/DNA ANALYSIS,400.0,356.0,60.12,400.0,746 CPT,88182,PR FLOW CELL CYCLE/DNA ANALYSIS,245.0,218.05,28.66,417.0,1446 CPT,88184,HC FLOW CYTO FIRST MARKER,438.0,389.82,75.34,475.59,748 CPT,88184,HC FLOW CYTO FIRST MARKER 1,411.0,365.79,75.34,475.59,748 CPT,88184,HC FLOW CYTO FIRST MARKER 2,411.0,365.79,75.34,475.59,748 CPT,88184,HC FLOW CYTO FIRST MARKER 3,411.0,365.79,75.34,475.59,748 CPT,88184,PR FLOW CYTO FIRST MARKER,411.0,365.79,67.75,411.0,482 CPT,88184,PR FLOW CYTO FIRST MARKER 1,411.0,365.79,67.75,411.0,468 CPT,88184,PR FLOW CYTO FIRST MARKER 2,411.0,365.79,67.75,411.0,482 CPT,88184,PR FLOW CYTO FIRST MARKER 3,411.0,365.79,67.75,411.0,482 CPT,88185,HC FLOW CYTO EA ADD MARKER,153.0,136.17,23.71,153.0,731 CPT,88185,HC FLOW CYTO EA ADD MARKER 2,148.0,131.72,23.71,148.0,731 CPT,88185,PR FLOW CYTO EA ADD MARKER,153.0,136.17,19.35,153.0,482 CPT,88185,PR FLOW CYTO EA ADD MARKER 2,153.0,136.17,19.35,153.0,482 CPT,88187,PR FLOW CYTO INTERP 2-8 MARKERS,437.0,388.93,28.28,437.0,489 CPT,88188,PR FLOW CYTO INTERP 9-15 MARKERS,578.0,514.42,46.95,578.0,487 CPT,88189,PR FLOW CYTO INTERP > 15 MARKERS,743.0,661.27,63.75,743.0,488 CPT,88230,HC TISS CULT LYMPHOCYTE,653.0,581.17,114.16,653.0,736 CPT,88230,PR TISS CULT LYMPHOCYTE,653.0,581.17,116.49,653.0,481 CPT,88233,HC TISS CULT SKN/OTH SOLID TISS BX,657.0,584.73,136.66,657.0,737 CPT,88233,PR TISS CULT SKN/OTH SOLID TISS BX,657.0,584.73,140.73,657.0,481 CPT,88235,HC TISS CULT AMNIOTIC/CHR CELLS,693.0,616.77,144.14,693.0,736 CPT,88235,PR TISS CULT AMNIOTIC/CHR CELLS,693.0,616.77,150.3,693.0,481 CPT,88237,HC TISS CULT BONE MARROW,851.0,757.39,124.34,851.0,743 CPT,88237,PR TISS CULT BONE MARROW,847.0,753.83,143.75,847.0,481 CPT,88240,HC CRYOPRESERVE FREEZING&STORAGE CELLS,395.0,351.55,12.81,395.0,737 CPT,88240,PR CRYOPRESERVE FREEZING&STORAGE CELLS,395.0,351.55,13.07,395.0,481 CPT,88262,HC CHROMO ANALYSIS 15-20 CELL BAND,1058.0,941.62,122.98,1058.0,736 CPT,88262,HC CHROMO ANALYSIS <15 - 2 KARO (REDUC),1058.0,941.62,122.98,1058.0,736 CPT,88262,PR CHROMO ANALYSIS 15-20 CELL BAND,1058.0,941.62,125.49,1058.0,481 CPT,88262,PR CHROMO ANALYSIS <15 - 2 KARO (REDUC),1058.0,941.62,125.49,1058.0,481 CPT,88264,HC CHROMO ANALYSIS <20 CELLS (REDUC),1213.0,1079.57,125.09,1213.0,744 CPT,88264,HC CHROMOSOME ANALYSIS 20-25 CELL,1213.0,1079.57,125.09,1213.0,744 CPT,88264,HC COG METAPHASES 20-25,1073.0,954.97,125.09,1073.0,744 CPT,88264,PR CHROMO ANALYSIS <20 CELLS (REDUC),1213.0,1079.57,144.61,1213.0,481 CPT,88264,PR CHROMOSOME ANALYSIS 20-25 CELL,1213.0,1079.57,144.61,1213.0,481 CPT,88267,PR CHROMO ANALYSIS PLCNTA 15 CELL,1697.0,1510.33,188.57,1697.0,481 CPT,88269,HC CHROMO AMNIO CELL 6-12/1KARYO SITU,1345.0,1197.05,170.19,1345.0,736 CPT,88269,PR CHROMO AMNIO CELL 6-12/1KARYO SITU,1345.0,1197.05,173.66,1345.0,481 CPT,88271,HC MOL CYTOG DNA PROBE CELL SUSP EA,149.0,132.61,18.53,149.0,744 CPT,88271,HC MOL CYTOG DNA PROBE EA,149.0,132.61,18.53,149.0,744 CPT,88271,HC MOL CYTOG DNA PROBE SORT CELL EA,149.0,132.61,18.53,149.0,744 CPT,88271,PR MOL CYTOG DNA PROBE CELL SUSP EA,149.0,132.61,21.42,149.0,481 CPT,88271,PR MOL CYTOG DNA PROBE EA,149.0,132.61,21.42,149.0,481 CPT,88271,PR MOL CYTOG DNA PROBE SORT CELL EA,149.0,132.61,21.42,149.0,481 CPT,88273,HC CYTOG CHROMO 10-30CELL,268.0,238.52,34.11,268.0,736 CPT,88273,HC CYTOG CHROMO <10 CELL (REDUC),236.0,210.04,34.11,236.0,736 CPT,88273,PR CYTOG CHROMO 10-30CELL,268.0,238.52,34.81,268.0,481 CPT,88273,PR CYTOG CHROMO <10 CELL (REDUC),236.0,210.04,34.81,236.0,481 CPT,88274,HC CYTOG INTERPHASE SORT CELL 25-99 CELL,240.0,213.6,41.53,240.0,740 CPT,88274,HC CYTOG INTRPHASE 25-99 CELL,238.0,211.82,41.53,238.0,740 CPT,88274,HC CYTOG INTRPHASE <25 CELL,238.0,211.82,41.53,238.0,740 CPT,88274,PR CYTOG INTERPHASE SORT CELL 25-99 CELL,240.0,213.6,42.38,240.0,481 CPT,88274,PR CYTOG INTRPHASE 25-99 CELL,238.0,211.82,42.38,238.0,481 CPT,88274,PR CYTOG INTRPHASE <25 CELL,240.0,213.6,42.38,240.0,481 CPT,88275,HC CYTOG INTERPHASE 100-300 ISH,332.0,295.48,44.28,332.0,741 CPT,88275,HC CYTOG INTERPHASE CELL SUSP 100-300 ISH,333.0,296.37,44.28,333.0,741 CPT,88275,PR CYTOG INTERPHASE 100-300 ISH,332.0,295.48,51.19,332.0,481 CPT,88275,PR CYTOG INTERPHASE CELL SUSP 100-300 ISH,333.0,296.37,51.19,333.0,481 CPT,88280,PR CHROMO ANLYS ADD KARYOTYPE EA 2,274.0,243.86,33.47,274.0,481 CPT,88285,HC CHROMO ANLYS ADD CELL COUNT EA,154.0,137.06,26.37,154.0,736 CPT,88285,PR CHROMO ANLYS ADD CELL COUNT EA,154.0,137.06,26.91,154.0,481 CPT,88291,"PR COG-CHROMOSOMES, HEMATOLOGIC, BM",293.0,260.77,26.96,293.0,486 CPT,88291,PR CYTOG & MOL INTERP & REPORT 1,204.0,181.56,26.96,204.0,486 CPT,88291,PR CYTOG & MOL INTERP & REPORT 3,204.0,181.56,26.96,204.0,486 CPT,88291,PR CYTOG & MOL INTERP & REPORT 4,204.0,181.56,26.96,204.0,486 CPT,88291,PR CYTOG & MOL INTERP & REPORT 5,204.0,181.56,26.96,204.0,486 CPT,88291,PR CYTOG & MOL INTERP & REPORT 6,204.0,181.56,26.96,204.0,486 CPT,88291,PR CYTOG & MOL INTERP & REPORT 7,204.0,181.56,26.96,204.0,486 CPT,88291,PR CYTOG & MOL INTERP & REPORT 8,335.0,298.15,26.96,335.0,486 CPT,88300,HC LVL 1 SURG PATH GROSS MICRO,102.0,90.78,15.71,102.0,740 CPT,88300,PR LVL 1 SURG PATH GROSS MICRO,62.0,55.18,3.39,108.0,1446 CPT,88302,HC LVL 2 SURG PATH GROSS MICRO,231.0,205.59,31.91,231.0,738 CPT,88302,PR LVL 2 SURG PATH GROSS MICRO,125.0,111.25,5.3,202.0,1446 CPT,88304,HC LVL 3 SURG PATH GROSS MICRO,262.0,233.18,40.92,262.0,748 CPT,88304,PR LVL 3 SURG PATH GROSS MICRO,148.0,131.72,8.33,261.0,1448 CPT,88305,HC LVL 4 SURG PATH GROSS MICRO,347.0,308.83,60.12,347.0,761 CPT,88305,PR LVL 4 SURG PATH GROSS MICRO,235.0,209.15,28.67,417.0,1450 CPT,88307,HC LVL 5 SURG PATH GROSS MICRO,691.0,614.99,143.73,691.0,752 CPT,88307,PR LVL 5 SURG PATH GROSS MICRO,524.0,466.36,62.4,950.0,1449 CPT,88309,HC LVL 6 SURG PATH GROSS MICRO,1308.0,1164.12,272.06,1308.0,745 CPT,88309,PR LVL 6 SURG PATH GROSS MICRO,826.5,735.585,109.87,999.0,964 CPT,88311,HC DECALCIFICATION PROC,85.0,75.65,17.68,85.0,732 CPT,88311,PR DECALCIFICATION PROC,72.0,64.08,6.81,117.0,1446 CPT,88312,HC SPECIAL STAIN GROUP 1,319.0,283.91,60.12,319.0,745 CPT,88312,PR SPECIAL STAIN GROUP 1,323.0,287.47,20.42,442.0,1447 CPT,88313,HC SPECIAL STAIN GROUP 2,260.0,231.4,54.08,260.0,747 CPT,88313,PR SPECIAL STAIN GROUP 2,259.0,230.51,9.16,325.0,1447 CPT,88314,HC SPECIAL STAIN HISTOCHEMICAL,276.0,245.64,57.41,276.0,723 CPT,88314,PR SPECIAL STAIN HISTOCHEMICAL,270.5,240.745,15.16,406.0,964 CPT,88319,HC HISTOCHEMISTRY FOR ENZYME,412.0,366.68,85.7,1068.98,740 CPT,88319,PR HISTOCHEMISTRY FOR ENZYME,373.0,331.97,20.7,530.0,1446 CPT,88321,PR CONSULT SLIDE WO PREP,521.0,463.69,76.15,521.0,492 CPT,88323,HC CONSULT SLIDE W PREP,314.0,279.46,60.12,314.0,735 CPT,88323,PR CONSULT SLIDE W PREP,547.0,486.83,24.76,625.0,1449 CPT,88325,PR CONSULT COMP W RVW RECORDS&SPEC,628.0,558.92,124.33,628.0,491 CPT,88331,HC FROZEN SECTION 1ST BLOCK,284.0,252.76,59.07,284.0,747 CPT,88331,PR FROZEN SECTION 1ST BLOCK,333.0,296.37,32.89,413.0,1447 CPT,88332,HC FROZEN SECTION ADD TISS BLOCK,121.0,107.69,25.17,121.0,728 CPT,88332,PR FROZEN SECTION ADD TISS BLOCK,199.0,177.11,12.32,213.0,1446 CPT,88333,HC CONSULT SURG TOUCH PREP INIT,196.0,174.44,40.77,1068.98,737 CPT,88333,PR CONSULT SURG TOUCH PREP INIT,374.0,332.86,46.91,392.0,964 CPT,88341,HC IMMUNO STAIN PER SPEC EA ADD AB,299.0,266.11,62.19,299.0,736 CPT,88341,PR IMMUNO STAIN PER SPEC EA ADD AB,286.0,254.54,21.8,424.0,1453 CPT,88342,HC IMMUNO STAIN PER SPEC INITIAL AB,369.0,328.41,76.75,369.0,754 CPT,88342,PR IMMUNO STAIN PER SPEC INITIAL AB,295.0,262.55,26.75,488.0,1452 CPT,88344,HC IMMUNO STAIN EA MULTIPLEX AB,553.0,492.17,115.02,553.0,742 CPT,88344,HC IMMUNO STAIN EA MULTIPLEX AB 2,589.0,524.21,122.51,589.0,742 CPT,88344,PR IMMUNO STAIN EA MULTIPLEX AB,588.0,523.32,29.5,809.0,1446 CPT,88344,PR IMMUNO STAIN EA MULTIPLEX AB 2,589.0,524.21,29.5,811.0,1446 CPT,88346,HC IF STUDY EA AB DIR METHOD,339.0,301.71,70.51,339.0,744 CPT,88346,PR IF STUDY EA AB DIR METHOD,166.0,147.74,27.28,326.0,1447 CPT,88348,HC ELECTRON MICROSCOPY DX,2028.0,1804.92,421.82,2028.0,741 CPT,88348,HC ELECTRON MICROSCOPY DX PARTIAL,1320.0,1174.8,274.56,1320.0,741 CPT,88348,PR ELECTRON MICROSCOPY DX,1053.0,937.17,58.82,1478.0,1447 CPT,88350,HC IMMUNOFLUORESCENCE EA ADD,280.0,249.2,58.24,280.0,728 CPT,88350,PR IMMUNOFLUORESCENCE EA ADD,175.0,155.75,22.34,343.0,1447 CPT,88356,PR MORPHOMETRIC ANALYSIS NERVE,794.0,706.66,184.35,794.0,482 CPT,88360,HC TUMOR IMMUNOHISTO MANUAL EA AB,542.0,482.38,112.74,542.0,745 CPT,88360,PR TUMOR IMMUNOHISTO MANUAL EA AB,333.0,296.37,31.95,579.0,1449 CPT,88361,HC TUMOR IMMUNOHISTO CAT EA AB,481.0,428.09,100.05,481.0,743 CPT,88361,PR TUMOR IMMUNOHISTO CAT EA AB,689.0,613.21,33.0,1029.0,1446 CPT,88362,HC NERVE TEASING PREP,1023.0,910.47,212.78,1068.98,738 CPT,88362,PR NERVE TEASING PREP,820.0,729.8,85.67,1219.0,1446 CPT,88364,HC INSITU HYBRID EA ADD PROBE,470.0,418.3,97.76,470.0,724 CPT,88364,PR INSITU HYBRID EA ADD PROBE,417.0,371.13,25.91,612.0,1446 CPT,88365,HC INSITU HYBRID INITIAL PROBE,595.0,529.55,123.76,595.0,742 CPT,88365,PR INSITU HYBRID INITIAL PROBE,246.0,218.94,33.06,465.0,1446 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A1,948.0,843.72,196.56,948.0,743 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A2,1377.0,1225.53,196.56,1377.0,743 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A3,1377.0,1225.53,196.56,1377.0,743 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A4,1377.0,1225.53,196.56,1377.0,743 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A5,1377.0,1225.53,196.56,1377.0,743 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A6,1377.0,1225.53,196.56,1377.0,743 CPT,88377,HC MORPH INSITU MAN EA MULTIPLEX A7,1377.0,1225.53,196.56,1377.0,743 CPT,88377,PR MORPH INSITU MAN EA MULTIPLEX,1111.0,988.7900000000001,49.76,1867.0,964 CPT,88377,PR MORPH INSITU MAN EA MULTIPLEX A1,955.0,849.9499999999999,49.76,1556.0,964 CPT,88377,PR MORPH INSITU MAN EA MULTIPLEX A2,1377.0,1225.53,49.76,1720.0,1446 CPT,88377,PR MORPH INSITU MAN EA MULTIPLEX A3,1377.0,1225.53,49.76,1720.0,1446 CPT,88377,PR MORPH INSITU MAN EA MULTIPLEX A4,1377.0,1225.53,49.76,1720.0,1446 CPT,88377,PR MORPH INSITU MAN EA MULTIPLEX A5,1031.5,918.035,49.76,1720.0,964 CPT,88377,PR MORPH INSITU MAN EA MULTIPLEX A6,1377.0,1225.53,49.76,1720.0,1446 CPT,88377,PR MORPH INSITU MAN EA MULTIPLEX A7,1031.5,918.035,49.76,1720.0,964 CPT,88380,HC MICRODISSECTION LASER,785.0,698.65,118.93,785.0,721 CPT,88380,HC MICRODISSECTION LASER 2,815.0,725.35,118.93,815.0,721 CPT,88380,PR MICRODISSECTION LASER,268.0,238.52,39.59,495.0,1448 CPT,88380,"PR MICRODISSECTION, LASER 2",320.0,284.8,39.59,501.0,1448 CPT,88381,HC MICRODISSECTION MANUAL,681.0,606.09,141.65,681.0,728 CPT,88381,PR MICRODISSECTION MANUAL,683.0,607.87,17.9,861.0,1448 CPT,88720,HC BILIRUBIN TRANSCUTANEOUS,60.0,53.4,4.92,60.0,736 CPT,88720,PR BILIRUBIN TRANSCUTANEOUS,49.0,43.61,5.02,49.0,488 CPT,88749,PR SKIN ADVANCED GLYCATION ENDPRODUCTS SPECTROSCOPY,62.0,55.18,54.56,62.0,482 CPT,89050,HC CELL COUNT BODY FLUID,60.0,53.4,4.72,60.0,735 CPT,89050,PR CELL COUNT BODY FLUID,60.0,53.4,4.72,60.0,481 CPT,89051,HC CELL COUNT FLUID W DIFF COUNT 2,93.0,82.77,5.49,93.0,745 CPT,89051,HC CELL COUNT W DIFF BODY FLUID,89.0,79.21,5.49,89.0,745 CPT,89051,HC CELL COUNT W DIFF BRONCH LAVAGE,97.0,86.33,5.49,97.0,745 CPT,89051,HC CELL COUNT W DIFF SPUTUM,97.0,86.33,5.49,97.0,745 CPT,89051,PR CELL COUNT FLUID W DIFF COUNT 2,93.0,82.77,5.6,93.0,481 CPT,89051,PR CELL COUNT W DIFF BODY FLUID,89.0,79.21,5.6,89.0,481 CPT,89055,HC LEUKOCYTES FECES,58.0,51.62,4.18,58.0,736 CPT,89055,PR LEUKOCYTES FECES,58.0,51.62,4.27,58.0,481 CPT,89060,HC CRYSTAL EXAM FLUID/TISSUE,91.0,80.99,7.18,91.0,739 CPT,89060,PR CRYSTAL EXAM FLUID/TISSUE,91.0,80.99,7.33,91.0,483 CPT,89190,HC EOSINOPHIL COUNT NASAL SWAB,41.0,36.49,36.8,36.8,1 CPT,89220,HC SPUTUM OBTN SPECIMEN AERO,188.0,167.32,169.2,169.2,1 CPT,89230,HC SWEAT CHOLORIDE IONTOPHORESIS,199.0,177.11,2.7,199.0,736 CPT,89230,PR SWEAT CHOLORIDE IONTOPHORESIS,199.0,177.11,2.33,199.0,484 CPT,89240,PR MICRODROP SPERM RISE,100.0,89.0,10.0,100.0,479 CPT,89240,PR PENTOXIFLLINE STIM SPERM,85.0,75.65,8.5,85.0,479 CPT,89250,PR CULTURE OOCYTE/EMBRYO< 4 DAYS,3203.0,2850.67,2818.64,3203.0,481 CPT,89250,PR CULTURE THAWED EMBRYOS,500.0,445.0,440.0,500.0,481 CPT,89250,PR CULTURE THAWED OOCYTE,635.0,565.15,558.8,635.0,481 CPT,89253,PR ASSTD EMBRYO HATCH MICROTECHNIQ,510.0,453.9,448.8,510.0,480 CPT,89254,PR OOCYTE ID FOLLICULAR FLUID,1041.0,926.49,916.08,1041.0,478 CPT,89255,PR PREP EMBRYO FOR TRANSFER,496.0,441.44,436.48,496.0,480 CPT,89257,PR SPERM IDENTIFICATION,1159.0,1031.51,1019.92,1159.0,477 CPT,89258,PR CRYOPRESERVATION EMBRYO,1239.0,1102.71,1090.32,1239.0,479 CPT,89259,HC CRYOPRESERVATION SPERM,405.0,360.45,84.24,405.0,734 CPT,89259,PR CRYOPRESERVATION SPERM,405.0,360.45,356.4,405.0,477 CPT,89261,PR SPERM ISOLATE COMPLEX PREP INSEM,459.0,408.51,403.92,459.0,480 CPT,89264,HC SPERM ID FRM TESTIS COMPLX,1189.0,1058.21,52.22,1189.0,734 CPT,89264,PR SPERM ID FRM TESTIS COMPLX,1189.0,1058.21,1046.32,1189.0,477 CPT,89268,PR INSEMINATION OOCYTES,690.0,614.1,607.2,690.0,477 CPT,89272,PR EXTEND CULTURE OOCYTE 4-7 DAYS,620.0,551.8,545.6,620.0,480 CPT,89280,PR INTRACYTOPLASMIC SPERM INJ 10,1859.0,1654.51,1635.92,1859.0,478 CPT,89290,PR EMBRYO BIOPSY <=5,2375.0,2113.75,2090.0,2375.0,478 CPT,89291,PR BX OOCYTE POLAR BODY> 5 EMBRYOS,3098.0,2757.22,2726.24,3098.0,478 CPT,89310,HC SEMEN ANALYSIS MOTILITY&COUNT,106.0,94.34,7.45,106.0,736 CPT,89310,PR SEMEN ANALYSIS MOTILITY&COUNT,106.0,94.34,8.61,106.0,481 CPT,89322,HC ANLYS SEMEN VOL/CNT/MOT/DIFF,227.0,202.03,15.19,227.0,736 CPT,89322,PR ANLYS SEMEN VOL/CNT/MOT/DIFF,227.0,202.03,15.5,227.0,481 CPT,89331,PR POST EJACULATE ANALYSIS,172.0,153.08,19.59,172.0,481 CPT,89335,HC CRYOPRESERVE TESTI TISSUE,538.0,478.82,52.22,538.0,734 CPT,89335,PR CRYOPRESERVE TESTI TISSUE,538.0,478.82,473.44,538.0,477 CPT,89337,PR CRYOPRESERVATION OOCYTE/S,1859.0,1654.51,1635.92,1859.0,477 CPT,89352,PR THAWING CRYOPRESERVED EMBRYO,1239.0,1102.71,1090.32,1239.0,479 CPT,89353,PR THAWING CRYOPRESRVED; SPERM,170.0,151.3,149.6,170.0,478 CPT,89354,PR THAW CRYOPRSVRD; REPROD TISS,211.0,187.79,185.68,211.0,478 CPT,89356,PR THAWING OOCYTES EA ALIQUOT,1040.0,925.6,915.2,1040.0,478 CPT,89398,PR SPERM STRICT ONLY,187.0,166.43,164.56,187.0,477 CPT,90380,"PR RSV MONOC ANTIBODY, 0.5 ML DOSAGE IM",665.0,591.85,585.2,665.0,484 CPT,90381,"PR RSV MONOC ANTIBODY, 1 ML DOSAGE IM",665.0,591.85,585.2,665.0,486 CPT,90460,PR IMMUN ADM <=18YR W COUNSL INIT,59.0,52.51,16.2,59.0,519 CPT,90461,PR IMMUN ADM <=18YR W COUNSL ADD,42.0,37.38,6.95,42.0,493 CPT,90471,HC ADMIN VACC SNGL,85.0,75.65,16.51,95.53,741 CPT,90471,PR ADMIN VACC SNGL,57.0,50.73,18.17,57.0,497 CPT,90472,HC ADMIN VACC ADD,42.0,37.38,8.74,42.0,720 CPT,90472,PR ADMIN VACC ADD,42.0,37.38,11.17,42.0,517 CPT,90473,PR IMMUN ADM INTRANASAL/ORAL INIT,59.0,52.51,14.25,59.0,489 CPT,90474,PR IMMUN ADM INTRANASAL/ORAL ADD,42.0,37.38,10.06,42.0,490 CPT,90480,HC ADMIN COVID-19 VACCINE,65.0,57.85,13.52,65.0,733 CPT,90480,PR ADMIN COVID-19 VACCINE,65.0,57.85,44.14,65.0,437 CPT,90589,PR CHIKUNGUNYA VIRUS VACCINE LIVE FOR IM USE,273.0,242.97,240.24,273.0,477 CPT,90593,PR CHIKUNGUNYA VACC RECOMB IM,387.0,344.43,340.56,387.0,477 CPT,90611,PR SMALLPOX & MONKEYPOX VAC 0.5ML,391.0,347.99,344.08,391.0,479 CPT,90619,PR MENINGOCOCCAL ACWY-TT VACCINE IM,164.0,145.96,144.32,164.0,491 CPT,90620,PR BEXSERO MENINGOCOCCAL B VACCINE,313.0,278.57,275.44,313.0,486 CPT,90627,PR TICK-BORNE ENCEPH VACC INACTIVATED 0.5ML IM,456.0,405.84,401.28,456.0,477 CPT,90632,PR HEP A VACCINE ADULT IM,115.0,102.35,73.54,115.0,489 CPT,90633,PR HEPA VACC 2 DOSE PED/ADOL IM USE,47.0,41.83,41.36,47.0,486 CPT,90633,PR HEPA VACC 2 DOSE PED/ADOL IM USE Wisconsin Medicaid,1.0,0.89,0.88,1.0,484 CPT,90647,PR HIB VACCINE PRP-OMP 3 DOSE IM,47.0,41.83,41.36,47.0,482 CPT,90651,PR HPV VACCINE NON VALENT IM,424.0,377.36,373.12,424.0,492 CPT,90651,PR HPV VACCINE NON VALENT IM Wisconsin Medicaid,1.0,0.89,0.88,1.0,484 CPT,90656,PR FLU IIV3 TRIVALENT NO PRESERV IM,26.0,23.14,22.35,26.0,441 CPT,90660,PR LAIV3 VACCINE LIVE FOR INTRANASAL USE,40.0,35.6,28.87,40.0,433 CPT,90662,PR INFLUENZA VACC HIGH DOSE >65 YRS,91.0,80.99,80.08,91.0,437 CPT,90670,PR PNEUMOCOCCAL VACC 13 VAL IM,315.0,280.35,277.2,315.0,477 CPT,90672,PR INFLUENZA VAL 4 INTRANASAL,37.0,32.93,32.56,37.0,477 CPT,90675,"PR RABIES VACCINE, IM",663.0,590.07,319.75,663.0,482 CPT,90677,PR PCV20 VACCINE IM,323.0,287.47,284.24,323.0,498 CPT,90678,PR RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE,376.0,334.64,330.88,376.0,491 CPT,90680,PR RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE,138.0,122.82,121.44,138.0,486 CPT,90691,PR TYPHOID VACCINE IM,269.0,239.41,236.72,269.0,487 CPT,90696,PR DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE,84.0,74.76,73.92,84.0,486 CPT,90697,PR DTAP-IPV-HIB-HEPB VACCINE IM,218.0,194.02,191.84,218.0,486 CPT,90698,PR DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE,125.0,111.25,110.0,125.0,488 CPT,90700,"PR DTAP IMMUNIZATION, IM, <7 YO",39.0,34.71,34.32,39.0,487 CPT,90707,PR MMR VACCINE SUBQ,147.0,130.83,129.36,147.0,490 CPT,90710,"PR COMBINED VACCINE,MMR+VARICELLA,SUB-Q",388.0,345.32,341.44,388.0,486 CPT,90713,PR POLIOVIRUS IPV SC/IM,83.0,73.87,73.04,83.0,484 CPT,90714,PR TD VACCINE NO PRSRV >/= 7 IM,52.0,46.28,38.97,52.0,468 CPT,90715,PR TDAP VACCINE >7 IM,65.0,57.85,39.69,65.0,496 CPT,90716,PR CHICKEN POX VACCINE SUBQ,261.0,232.29,229.68,261.0,487 CPT,90717,"PR YELLOW FEVER IMMUNIZATN,LIVE,SUB-Q",269.0,239.41,236.72,269.0,481 CPT,90732,PR PNEUMOCOCCAL POLYSAC VACCINE,163.0,145.07,133.47,163.0,481 CPT,90734,PR MENINGOCOCCAL VACCINE IM,230.0,204.7,202.4,230.0,478 CPT,90738,"PR JAPANESE ENCEPH VACC, INACTIVATED, IM",440.0,391.6,387.2,440.0,479 CPT,90739,PR HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE,187.0,166.43,164.56,187.0,491 CPT,90740,PR HEP B VACCINE DIALYSIS DOSE IM,158.0,140.62,139.04,158.0,482 CPT,90744,PR HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM,36.0,32.04,31.68,36.0,488 CPT,90746,PR HEPATITIS VACCINE 3 DOSE ADULT,62.0,55.18,54.56,62.0,491 CPT,90750,PR HZV VACC RECOMBINANT IM,225.0,200.25,198.0,225.0,489 CPT,90785,PR PSYTX COMPLEX INTERACTIVE,62.0,55.18,11.1,62.0,499 CPT,90791,HC PSYCH EVAL DX,504.0,448.56,104.83,504.0,719 CPT,90791,PR PSYCH EVAL DX,488.0,434.32,142.12,488.0,490 CPT,90792,PR PSYCH EVAL DX W MED SVCS,815.0,725.35,162.99,815.0,483 CPT,90832,HC PSYTX PAT 30 MIN,296.0,263.44,61.57,296.0,719 CPT,90832,PR PSYTX PAT 30 MIN,223.0,198.47,70.35,223.0,486 CPT,90833,PR PSYTX PAT 30 MIN W E&M,219.0,194.91,65.68,219.0,482 CPT,90834,HC PSYTX PAT 45 MIN,372.0,331.08,77.38,372.0,719 CPT,90834,PR PSYTX PAT 45 MIN,301.0,267.89,93.21,301.0,488 CPT,90836,PR PSYTX PAT 45 MIN W E&M,282.0,250.98,83.35,282.0,483 CPT,90837,HC PSYTX PAT 60 MIN,372.0,331.08,77.38,372.0,721 CPT,90837,PR PSYTX PAT 60 MIN,332.0,295.48,136.84,332.0,487 CPT,90838,PR PSYTX PAT 60 MIN W E&M,316.0,281.24,110.05,316.0,482 CPT,90839,HC PSYTX CRISIS 60 MIN,612.0,544.68,127.3,612.0,719 CPT,90839,PR PSYTX CRISIS 60 MIN,468.0,416.52,120.58,468.0,484 CPT,90840,PR PSYTX CRISIS ADD 30 MIN,250.0,222.5,57.94,250.0,484 CPT,90846,HC FAMILY PSYTX WO PAT,465.0,413.85,96.72,465.0,722 CPT,90846,PR FAMILY PSYTX WO PAT,276.0,245.64,86.14,276.0,483 CPT,90847,HC FAMILY PSYTX W PAT,449.0,399.61,93.39,449.0,719 CPT,90847,PR FAMILY PSYTX W PAT,297.0,264.33,82.1,297.0,501 CPT,90849,HC MULT FAM GROUP PSYTX,474.0,421.86,29.79,474.0,721 CPT,90849,PR MULT FAM GROUP PSYTX,228.0,202.92,33.01,228.0,482 CPT,90849,PR MULT FAM GROUP PSYTX >90 MIN,250.0,222.5,33.01,250.0,482 CPT,90853,HC GROUP PSYTX,533.0,474.37,24.2,533.0,721 CPT,90853,HC GROUP PSYTX 61 TO 90 MIN,553.0,492.17,24.2,553.0,721 CPT,90853,HC GROUP PSYTX 91 TO 120 MIN,806.0,717.34,24.2,806.0,721 CPT,90853,HC GROUP PSYTX > 121 MIN,614.0,546.46,24.2,614.0,721 CPT,90853,HC GROUP PSYTX UP TO 60 MIN,533.0,474.37,24.2,533.0,721 CPT,90853,PR GROUP PSYTX,205.0,182.45,22.79,205.0,500 CPT,90853,PR GROUP PSYTX 61 TO 90 MIN,284.0,252.76,24.79,284.0,482 CPT,90853,PR GROUP PSYTX 91 TO 120 MIN,361.0,321.29,24.79,361.0,483 CPT,90853,PR GROUP PSYTX > 121 MIN,365.0,324.85,24.79,365.0,482 CPT,90853,PR GROUP PSYTX UP TO 60 MIN,199.0,177.11,22.79,199.0,500 CPT,90867,HC TMS TX INIT,816.0,726.24,169.73,816.0,735 CPT,90867,PR TMS TX INIT,1229.0,1093.81,310.87,1229.0,483 CPT,90868,HC TMS TX INIT SUBSQ,814.0,724.46,169.31,814.0,736 CPT,90868,PR TMS TX INIT SUBSQ,841.0,748.49,180.67,841.0,483 CPT,90869,HC TMS TX INIT SUBSQ REDETERMN,1089.0,969.21,216.39,1089.0,734 CPT,90869,PR TMS TX INIT SUBSQ REDETERMN,1112.0,989.68,260.57,1112.0,482 CPT,90870,HC ELECTROCONVULSIVE THERAPY,2189.0,1948.21,96.77,2189.0,739 CPT,90870,PR ELECTROCONVULSIVE THERAPY,771.0,686.19,149.08,771.0,482 CPT,90880,PR HYPNOTHERAPY,417.0,371.13,85.09,417.0,482 CPT,90887,PR INTERP/EXPLN PSYCH RSLTS W FAM,178.0,158.42,87.69,178.0,428 CPT,90899,PR PSYCH ECONSULT,52.0,46.28,5.2,52.0,477 CPT,90901,PR BIOFEEDBACK TRAINING ANY,235.0,209.15,33.97,235.0,482 CPT,90912,PR BIOFEEDBACK TRAIN PERINEAL INITIAL 15MIN MD/DO/QHP,273.0,242.97,57.19,273.0,507 CPT,90912,PR BIOFEEDBACK TRAIN PERINEAL INITIAL 15MIN OT,273.0,242.97,67.28,273.0,482 CPT,90912,PR BIOFEEDBACK TRAIN PERINEAL INITIAL 15MIN PT,273.0,242.97,67.28,273.0,482 CPT,90913,PR BIOFEEDBACK TRAIN PERINEAL EA ADD 15MIN MD/DO/QHP,204.0,181.56,22.51,204.0,507 CPT,90913,PR BIOFEEDBACK TRAIN PERINEAL EA ADD 15MIN PT,204.0,181.56,26.49,204.0,482 CPT,90913,PR BIOFEEDBACK TRAIN PERINEAL EA ADD15MIN OT,204.0,181.56,26.49,204.0,482 CPT,90935,HC HEMODIALYSIS TREATMENT IP,4329.0,3852.81,59.89,4329.0,737 CPT,90935,PR HEMODIALYSIS W SINGLE EVAL,461.0,410.29,41.54,461.0,508 CPT,90937,PR HEMODIALYSIS REPEATED EVAL,569.0,506.41,59.58,569.0,507 CPT,90945,HC CAPD TREATMENT IP,2627.0,2338.03,75.72,2627.0,736 CPT,90945,HC CCPD TREATMENT IP,2627.0,2338.03,75.72,2627.0,736 CPT,90945,PR OTHER NON HEMO W SINGLE EVAL,616.0,548.24,61.79,616.0,482 CPT,90947,PR OTHER NON HEMO REPEATED EVAL,854.0,760.06,83.84,854.0,484 CPT,90954,PR ESRD SRV 4 VSTS PER MO 2-11,5718.0,5089.02,825.91,5718.0,484 CPT,90955,PR ESRD SRV 2-3 VSTS PER MO 2-11,1832.0,1630.48,431.15,1832.0,484 CPT,90956,PR ESRD SRV 1 VISIT PER MO 2-11,1334.0,1187.26,294.5,1334.0,484 CPT,90957,PR ESRD SRV 4 VSTS PER MO 12-19,4019.0,3576.91,637.37,4019.0,484 CPT,90958,PR ESRD SRV 2-3 VSTS PER MO 12-19,2192.0,1950.88,415.56,2192.0,484 CPT,90959,PR ESRD SRV 1 VISIT PER MO 12-19,1443.0,1284.27,271.98,1443.0,484 CPT,90960,PR ESRD SRV 4 VISITS PER MO 20+,1300.0,1157.0,299.05,1261.0,267 CPT,90961,PR ESRD SRV 2-3 VSTS PER MO 20+,1079.0,960.31,249.27,1079.0,482 CPT,90962,PR ESRD SRV 1 VISIT PER MO 20+,831.0,739.59,173.4,831.0,482 CPT,90964,PR ESRD HOME PAT SRV PER MO 2-11,2800.0,2492.0,427.96,2800.0,482 CPT,90965,PR ESRD HOME PAT SRV PER MO 12-19,2359.0,2099.51,413.57,2359.0,482 CPT,90966,PR ESRD HOME PAT SRV PER MO 20+,1065.0,947.85,211.64,1065.0,507 CPT,90968,PR ESRD TRANSIENT MD EVAL 2-11,331.0,294.59,14.2,331.0,484 CPT,90969,PR ESRD HOME PAT SRV PER DAY 12-19,107.0,95.23,11.83,107.0,507 CPT,90969,PR ESRD TRANSIENT MD EVAL 12-19,331.0,294.59,11.83,331.0,507 CPT,90970,PR ESRD SRV =4,208.0,185.12,3.17,236.0,1477 CPT,92545,PR OSCILLATING TRACKNG TEST W REC,194.0,172.66,2.89,221.0,1478 CPT,92546,PR SINUSOIDAL VERTL AXIS ROTATION,419.0,372.91,11.92,496.0,1479 CPT,92548,PR COMP DYM PSTRGRPHY SNSRY ORG TEST,530.5,472.145,27.05,568.0,967 CPT,92550,PR TYMPANOMETRY & REFLEX THRESH,115.0,102.35,17.76,115.0,489 CPT,92551,PR PURE TONE HEARING TEST AIR,64.0,56.96,11.71,64.0,496 CPT,92552,PR PURE TONE AUDIOMETRY AIR,117.0,104.13,33.73,117.0,490 CPT,92553,PR AUDIOMETRY AIR&BONE,149.0,132.61,41.03,149.0,485 CPT,92555,PR SPEECH AUDIOMETRY THRESHOLD,81.0,72.09,24.76,81.0,496 CPT,92556,PR SPEECH AUD THRESHOLD W RECGNIT,128.0,113.92,38.78,128.0,488 CPT,92557,PR COMPREHENSIVE HEARING TEST,207.0,184.23,29.34,207.0,493 CPT,92558,PR EVOKED OAE SCREENING,151.0,134.39,9.56,151.0,485 CPT,92565,PR STENGER TEST PURE TONE,74.0,65.86,18.59,74.0,491 CPT,92567,PR TYMPANOMETRY,86.0,76.54,13.1,86.0,492 CPT,92568,PR ACOUSTIC REFLX TEST THRESHOLD,87.0,77.43,12.47,87.0,484 CPT,92570,PR TYMP/ACOUSTIC REFLEX/DECAY,172.0,153.08,25.73,172.0,486 CPT,92579,PR AUDIOMETRY VISUAL REINFORCEMNT,178.0,158.42,35.44,178.0,498 CPT,92582,PR AUDIOMETRY CONDITIONING PLAY,232.0,206.48,72.72,232.0,487 CPT,92583,PR SELECT PICTURE AUDIOMETRY,137.0,121.93,51.41,137.0,491 CPT,92587,PR EVOKED OTOACOUSTIC EMISSNS LTD,176.5,157.08499999999998,14.95,186.0,984 CPT,92588,PR EVOKED AUD TEST COMPREHEN,285.0,253.65,23.48,315.0,967 CPT,92597,HC EVAL PROSTHETIC VOICE ST,692.0,615.88,50.31,692.0,735 CPT,92597,PR EVAL PROSTHETIC VOICE ST,493.0,438.77,58.37,493.0,482 CPT,92601,PR ANLYS COCHLEAR IMPLT W PROG<7Y,920.0,818.8,127.55,920.0,491 CPT,92602,PR ANLYS COCLR IMP REPROG<7 SUBSQ,585.0,520.65,80.38,585.0,492 CPT,92603,PR ANLYS COCHLEAR IMPLT W PROG>7Y,758.0,674.62,120.3,758.0,493 CPT,92604,PR ANLYS COCLR IMP REPROG>7 SUBSQ,521.0,463.69,72.29,521.0,486 CPT,92607,HC EVAL SPEECH-GEN DEV 1STHR ST,597.0,531.33,86.56,597.0,735 CPT,92607,PR EVAL SPEECH-GEN DEV 1STHR ST,409.0,364.01,100.99,409.0,482 CPT,92608,HC EVAL SPCH-GEN DEV EA ADD 30 MIN ST,227.0,202.03,33.92,227.0,736 CPT,92608,PR EVAL SPCH-GEN DEV EA ADD 30MIN ST,213.0,189.57,39.55,213.0,491 CPT,92609,HC THER SPEECH-GENERATING DEV ST,320.0,284.8,66.56,320.0,735 CPT,92609,PR THER SPEECH-GENERATING DEV ST,237.0,210.93,84.72,237.0,491 CPT,92610,HC EVAL SWALLOW FUNC OT,529.0,470.81,48.7,529.0,736 CPT,92610,HC EVAL SWALLOW FUNC ST,529.0,470.81,48.7,529.0,736 CPT,92610,PR EVAL SWALLOW FUNC OT,529.0,470.81,70.0,529.0,482 CPT,92610,PR EVAL SWALLOW FUNC ST,529.0,470.81,70.0,529.0,482 CPT,92611,HC EVAL SWALLOW FUNC FLUORO OT,636.0,566.04,63.24,636.0,736 CPT,92611,HC EVAL SWALLOW FUNC FLUORO ST,636.0,566.04,63.24,636.0,736 CPT,92611,PR EVAL SWALLOW FUNC FLUORO OT,636.0,566.04,74.81,636.0,482 CPT,92611,PR EVAL SWALLOW FUNC FLUORO ST,636.0,566.04,74.81,636.0,482 CPT,92612,HC EVAL SWALLOW FBROPT ENDO ST,936.0,833.04,45.0,936.0,736 CPT,92612,PR EVAL SWALLOW FBROPT ENDO ST,907.0,807.23,165.73,907.0,482 CPT,92613,PR EVAL SWALLOW FBROPT ENDO I&R,296.0,263.44,28.67,296.0,484 CPT,92614,PR EVAL LARYG SWALL FBROPT ENDO ST,680.0,605.2,125.15,680.0,482 CPT,92616,PR EVAL SWALL FBROPT ENDO LARY,1078.0,959.42,189.26,1078.0,482 CPT,92620,PR EVAL CNTRL AUD FUNC INIT 60MIN,303.0,269.67,72.93,303.0,482 CPT,92622,PR DX ALY AUD OI SND PRCSR INIT 60MIN,434.0,386.26,63.88,434.0,492 CPT,92623,PR DX ALY AUD OI SND PRCSR EACH ADL 15MIN,129.0,114.81,16.56,129.0,491 CPT,92625,PR ASSESSMENT OF TINNITUS,226.0,201.14,53.94,226.0,493 CPT,92626,"PR EVAL AUD FNCTN SURG IMP, 1ST HR",432.0,384.48,69.37,432.0,485 CPT,92627,"PR EVAL AUD FNCTN SURG IMP, EA 15 MIN",121.0,107.69,16.56,121.0,491 CPT,92631,PR HEARING AID SELECT UNI/BIL FIRST 30,120.0,106.8,105.6,120.0,479 CPT,92632,PR HEARING AID SELECT UNI/BIL ADD 15,60.0,53.4,52.8,60.0,478 CPT,92636,PR HEARING AID POST FITG F/UP FIRST 30,120.0,106.8,105.6,120.0,477 CPT,92637,PR HEARING AID POST FITG F/UP ADD 15,60.0,53.4,52.8,60.0,477 CPT,92640,PR DX ANLYS W PROG IMPLT PER HR,445.0,396.05,87.6,445.0,492 CPT,92650,PR AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS,344.0,306.16,27.12,344.0,482 CPT,92651,PR AEP HEARING STATUS DETER I&R,379.0,337.31,65.74,379.0,482 CPT,92652,PR AUD EVOKED POTENTIAL THRESHOLD EST,459.0,408.51,88.04,459.0,483 CPT,92653,HC AUD EVOKED POTENTIAL NEURODIAGNOSTIC,543.0,483.27,112.94,543.0,734 CPT,92653,PR AUD EVOKED POTENTIAL NEURODIAGNOSTIC,368.5,327.965,65.5,644.0,965 CPT,92700,PR SACCADIC EYE TEST,221.0,196.69,22.1,221.0,488 CPT,92700,PR SMELL TEST,93.0,82.77,9.3,93.0,488 CPT,92700,PR VEMP,475.0,422.75,47.5,475.0,488 CPT,92700,PR VHIT LATERAL CANALS ONLY,379.0,337.31,37.9,379.0,488 CPT,92920,HC PTCA SNGL MJR ARTY/BRNCH,15347.0,13658.83,343.7,15347.0,736 CPT,92920,PR PTCA SNGL MJR ARTY/BRNCH,3790.0,3373.1,140.23,3790.0,482 CPT,92924,HC PTCA W COR ANGIO SNGL MJR,23581.0,20987.09,416.77,23581.0,736 CPT,92924,PR PTCA W COR ANGIO SNGL MJR,4183.0,3722.87,170.04,4183.0,482 CPT,92928,HC PLC INTRACOR STNT SNGL,20101.0,17889.89,411.64,20101.0,737 CPT,92928,PR PLC INTRACOR STNT SNGL,4018.0,3576.02,167.95,4018.0,482 CPT,92930,HC PERQ TCAT PLMT NTRAC ST 2+LES 2+ST 2+C SEGMENTS,49370.0,43939.3,731.0,49370.0,734 CPT,92930,PR PERQ TCAT PLMT NTRAC ST 2+LES 2+ST 2+C SEGMENTS,2615.0,2327.35,198.83,2615.0,482 CPT,92933,HC PTCA INTRACOR STNT SNGL MJR,30580.0,27216.2,491.39,30580.0,736 CPT,92933,PR PTCA INTRACOR STNT SNGL MJR,4825.0,4294.25,200.49,4825.0,482 CPT,92937,HC PERC REVASC TRANS COR SNGL VESL,23583.0,20988.87,464.83,23583.0,736 CPT,92937,PR PERC REVASC TRANS COR SNGL VESL,3847.0,3423.83,189.65,3847.0,482 CPT,92941,HC PERC REVASC TRANS MI SNGL VESL,25692.0,22865.88,428.45,25692.0,736 CPT,92941,PR PERC REVASC TRANS MI SNGL VESL,4815.0,4285.35,213.64,4815.0,482 CPT,92943,HC PERC REVASC TRANS CHR SNGL VESL,23579.0,20985.31,563.02,23579.0,736 CPT,92943,PR PERC REVASC TRANS CHR SNGL VESL,4815.0,4285.35,229.71,4815.0,482 CPT,92945,HC PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRD&RTRGR,31090.0,27670.1,913.95,31090.0,732 CPT,92945,PR PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRD&RTRGR,3270.0,2910.3,248.6,3270.0,482 CPT,92950,HC CPR,1279.0,1138.31,160.73,1279.0,2202 CPT,92950,PR CPR,1647.0,1465.83,306.44,1647.0,482 CPT,92953,HC TEMP EXTERNAL PACING,1121.0,997.69,0.78,1121.0,736 CPT,92953,PR TEMP EXTERNAL PACING,83.0,73.87,0.64,83.0,482 CPT,92960,HC CARDIOVSN ELECT EXTERNAL,2072.0,1844.08,92.05,2072.0,1484 CPT,92960,PR CARDIOVSN ELECT EXTERNAL,1061.0,944.29,106.52,1061.0,508 CPT,92961,HC CARDIOVSN ELECT INTERNAL,3195.0,2843.55,193.59,3195.0,736 CPT,92961,PR CARDIOVSN ELECT INTERNAL,2513.0,2236.57,157.97,2513.0,482 CPT,92972,HC PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY,3246.0,2888.94,176.76,3246.0,717 CPT,92972,PR PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY,2127.0,1893.03,96.16,2127.0,482 CPT,92973,HC THROMB CRNARY PERC,10206.0,9083.34,72.41,10206.0,719 CPT,92973,PR THROMB CRNARY PERC,1274.0,1133.86,59.09,1274.0,482 CPT,92974,HC TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX,7756.0,6902.84,123.39,7756.0,719 CPT,92974,PR TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX,1044.0,929.16,100.69,1044.0,482 CPT,92978,HC IVUS HRT EA VSSL INIT W S&I,3419.0,3042.91,281.7,3419.0,720 CPT,92978,PR IVUS HRT EA VSSL INIT W S&I,743.5,661.715,69.38,943.0,964 CPT,92979,HC IVUS HRT EA VSSL ADD W S&I,2610.0,2322.9,166.79,2610.0,719 CPT,92979,PR IVUS HRT EA VSSL ADD W S&I,674.5,600.3050000000001,55.2,825.0,964 CPT,92986,HC PERC BALLOON VALVULO AORTIC,14878.0,13241.42,1053.98,14878.0,736 CPT,92986,PR PERC BALLOON VALVULO AORTIC,9211.0,8197.79,430.03,9211.0,482 CPT,92987,HC PERC BALLOON VALVULO MITRAL,17936.0,15963.04,1088.21,17936.0,737 CPT,92987,PR PERC BALLOON VALVULO MITRAL,11042.0,9827.38,443.99,11042.0,482 CPT,92990,HC PERC BALLOON VALVULO PULM,22959.0,20433.51,872.42,22959.0,737 CPT,92990,PR PERC BALLOON VALVULO PULM,10570.0,9407.3,355.95,10570.0,482 CPT,92997,HC PTA PULMONARY ARTY SNGL VSSL,14107.0,12555.23,494.47,15316.89,736 CPT,92997,PR PTA PULMONARY ARTY SNGL VSSL,7987.0,7108.43,201.75,7987.0,482 CPT,92998,HC PTA PULMONARY ARTY ADD VSSL,11911.0,10600.79,245.13,11911.0,719 CPT,92998,PR PTA PULMONARY ARTY ADD VSSL,3966.0,3529.74,200.03,3966.0,482 CPT,93000,PR EKG 12 LEAD W I&R,258.0,229.62,12.37,258.0,499 CPT,93005,HC EKG 12 LEAD TRACE ONLY,271.0,241.19,6.97,271.0,746 CPT,93005,PR EKG 12 LEAD TRACE ONLY,141.0,125.49,5.69,141.0,482 CPT,93010,PR EKG I&R ONLY,117.0,104.13,6.67,117.0,483 CPT,93015,PR CV STRESS TEST W SI&R,515.0,458.35,60.33,515.0,482 CPT,93016,PR CV STRESS TEST SUP ONLY,157.0,139.73,16.84,157.0,482 CPT,93017,HC CV STRESS TEST TRACE ONLY,952.0,847.28,39.72,952.0,753 CPT,93017,PR CV STRESS TEST TRACE ONLY,348.0,309.72,32.41,348.0,482 CPT,93018,PR CV STRESS TEST I&R ONLY,124.0,110.36,11.07,124.0,482 CPT,93024,HC ERGONOVINE PROVOCATION TEST,805.0,716.45,115.41,805.0,737 CPT,93024,PR ERGONOVINE PROVOCATION TEST,482.0,428.98,43.45,589.0,964 CPT,93050,PR ARTERIAL PRESS WAVEFORM ANALYS,129.5,115.255,6.67,161.0,965 CPT,93224,PR HOLTER MONITOR <=48 HRS GLOBAL,1314.0,1169.46,58.28,1314.0,498 CPT,93225,HC HOLTER MONITR<=48HRS RECORDING,510.0,453.9,18.31,510.0,741 CPT,93225,PR HOLTER MONITR<=48HRS RECORDING,231.0,205.59,14.94,231.0,482 CPT,93226,HC HOLTER MONITR<=48HRS SCN/REPRT,830.0,738.7,35.5,830.0,741 CPT,93226,PR HOLTER MONITR<=48HRS SCN/REPRT,739.0,657.71,28.97,739.0,482 CPT,93227,PR HOLTER MONITR<=48HRS R&I,209.0,186.01,14.36,209.0,489 CPT,93228,PR REMOTE 30 DAY ECG PHYS REV,164.0,145.96,20.07,164.0,493 CPT,93229,HC REMOTE 30 DAY ECG TECH SUPP,2650.0,2358.5,373.96,2650.0,736 CPT,93229,PR REMOTE 30 DAY ECG TECH SUPP,7426.0,6609.14,635.52,7203.22,489 CPT,93241,PR LT CONT REC>48 HR & <= 7 DY GLBL,1613.0,1435.57,233.28,1564.61,477 CPT,93242,HC LT CONT REC>48 HR & <= 7 DY REC,608.0,541.12,17.67,608.0,734 CPT,93242,PR LT CONT REC>48 HR & <= 7 DY REC,81.0,72.09,9.61,81.0,482 CPT,93243,HC LT CONT REC>48 HR&<=7 DY SCR/RPT,1394.0,1240.66,133.33,1394.0,734 CPT,93243,PR LT CONT REC>48 HR&<=7 DY SCR/RPT,1380.0,1228.2,205.37,1380.0,482 CPT,93244,PR LT CONT REC >48 HR & <=7 DY R&I,152.0,135.28,18.29,152.0,482 CPT,93245,PR LT CONT REC>7 DY & <= 15 DY GLBL,1822.0,1621.58,241.93,1822.0,482 CPT,93246,HC LT CONT REC>7 DY & <= 15 DY REC,688.0,612.32,17.67,688.0,734 CPT,93246,PR LT CONT REC>7 DY & <= 15 DY REC,91.0,80.99,9.61,91.0,482 CPT,93247,HC LT CONT REC>7 DY&<=15 DY SCR/RPT,1576.0,1402.64,133.33,1576.0,734 CPT,93247,PR LT CONT REC>7 DY&<=15 DY SCR/RPT,1560.0,1388.4,212.39,1560.0,482 CPT,93248,PR LT CONT REC >7 DY & <= 15 DY R&I,171.0,152.19,19.93,171.0,482 CPT,93260,PR PROGR DEV EVAL IMPLT SUBQ ICD,414.0,368.46000000000004,32.96,473.0,967 CPT,93261,PR INTERROGATE DEV IMPLT SUBQ ICD,366.0,325.74,28.56,416.0,967 CPT,93264,PR REM MNTR WRLS P-ART PRS SNR UP TO 30DAY,437.0,388.93,36.36,437.0,507 CPT,93268,PR EVENT MONITOR 30 DAY GLOBAL,2573.0,2289.97,141.27,2573.0,485 CPT,93270,HC EVENT MONITOR 30DAY RECORDING,498.0,443.22,8.35,498.0,737 CPT,93270,PR EVENT MONITOR 30DAY RECORDING,224.0,199.36,6.81,217.28,483 CPT,93271,HC EVENT MONITR 30DAY TRANS/ANLYS,1345.0,1197.05,95.27,1345.0,738 CPT,93271,PR EVENT MONITR 30DAY TRANS/ANLYS,2150.0,1913.5,115.35,2085.5,483 CPT,93272,PR EVENT MONITR 30DAY R&I,199.0,177.11,19.11,199.0,487 CPT,93278,HC EKG SIGNAL AVERAGING,385.0,342.65,33.3,385.0,736 CPT,93278,PR EKG SIGNAL AVERAGING,276.0,245.64,9.99,349.0,965 CPT,93279,PR PROGR DEV EVAL PCMKR SNGL LEAD/LEADLS,251.0,223.39,24.9,312.0,969 CPT,93280,HC PROGR DEV EVAL PCMKR DUAL LEAD,209.0,186.01,37.4,209.0,738 CPT,93280,PR PROGR DEV EVAL PCMKR DUAL LEAD,285.0,253.65,29.66,345.0,971 CPT,93281,PR PROGR DEV EVAL PCMKR MULT LEAD,354.5,315.505,32.96,389.0,967 CPT,93282,PR PROGR DEV EVAL ICD SNGL LEAD,345.0,307.05,32.68,413.0,969 CPT,93283,PR PROGR DEV EVAL ICD DUAL LEAD,385.0,342.65,44.03,456.0,974 CPT,93284,PR PROGR DEV EVAL ICD MULT LEAD,481.5,428.53499999999997,47.87,526.0,969 CPT,93285,PR PROGR DEV EVAL SUBQ CARD MON,196.0,174.44,20.23,234.0,966 CPT,93286,HC PERI-PROC PCMKR EVAL & PROG,261.0,232.29,44.94,261.0,722 CPT,93286,PR PERI-PROC PCMKR EVAL & PROG,114.0,101.46000000000001,11.63,152.0,971 CPT,93287,PR PERI-PROC ICD LEAD EVAL & PROG,225.5,200.695,17.48,277.0,972 CPT,93288,PR INTERROGATE DEVICE PACEMAKER,176.0,156.64,16.3,227.0,966 CPT,93289,PR INTERROGATE DEVICE ICD,284.5,253.20499999999998,28.55,338.0,967 CPT,93291,HC INTERROGATE DEV SUBQ CARD MON,166.0,147.74,28.99,166.0,736 CPT,93291,PR INTERROGATE DEV SUBQ CARD MON,173.5,154.415,14.1,221.0,966 CPT,93294,PR INTER PCMKR REM PROF EA 90DAYS,192.0,170.88,23.41,192.0,488 CPT,93295,PR INTER ICD REM PROF EA 90DAYS,299.0,266.11,28.72,299.0,490 CPT,93296,HC INTER PCMKR/ICD REM TECH 90DAYS,235.0,209.15,32.41,235.0,736 CPT,93296,PR INTER PCMKR/ICD REM TECH 90DAYS,191.0,169.99,26.45,191.0,491 CPT,93297,PR INTER ICM REM 30DAYS,501.0,445.89,42.53,501.0,508 CPT,93298,PR INTER SUBQ CAR MON REM 30DAYS,594.0,528.66,85.46,594.0,488 CPT,93303,PR ECHO CONGENITAL CARD COMPLETE,534.0,475.26,48.68,534.0,482 CPT,93304,PR ECHO CONGENITAL CARD FU/LTD,383.0,340.87,28.19,383.0,482 CPT,93306,PR ECHO TTE 2D W DPLR COMPLETE,2892.5,2574.325,54.53,5249.0,977 CPT,93306,PR ECHO TTE W DPLR CMPLT W CNTRST,6663.0,5930.07,162.47,6663.0,488 CPT,93306,PR MN LYNX - ECHO TTE 2D W DPLR COMPLETE,2037.0,1812.93,162.47,2037.0,488 CPT,93308,PR ECHO 2D TTE FU/LTD W CONTRST,2665.0,2371.85,83.77,2665.0,487 CPT,93308,PR ECHO TTE 2D FU/LIMITED,1203.5,1071.115,19.94,2135.0,970 CPT,93312,PR ECHO TEE 2D COMPLETE,925.0,823.25,85.17,925.0,482 CPT,93313,PR ECHO TEE 2D PLC ONLY,533.0,474.37,8.09,533.0,482 CPT,93314,PR ECHO TEE IMG ACQUSIT I&R,572.0,509.08,69.9,572.0,482 CPT,93315,PR TEE CONGENITAL CARD ANOMALIES,1269.0,1129.41,100.1,1269.0,482 CPT,93317,PR TEE IMAGE ACUISITION I&R,862.0,767.18,69.07,862.0,482 CPT,93318,PR ECHO TRANSESOPH INTRAOP,1099.5,978.5550000000001,81.09,1559.0,964 CPT,93319,HC 3D ECHO IMG CGEN CAR ANOMAL,2082.0,1852.98,83.91,2082.0,724 CPT,93319,PR 3D ECHO IMG CGEN CAR ANOMAL,265.0,235.85,45.65,265.0,482 CPT,93320,PR ECHO DPLR COMPLETE,1103.0,981.6700000000001,14.09,1969.0,964 CPT,93321,PR ECHO DPLR FU/LIMITED,639.0,568.71,5.85,1166.0,970 CPT,93321,PR MN LYNX - ECHO DPLR FU/LIMITED,293.0,260.77,21.0,293.0,487 CPT,93325,PR ECHO DPLR COLOR FLOW MAP,826.5,735.585,2.75,1519.0,970 CPT,93351,PR ECHO TTE STRESS W CONT ECG,1396.0,1242.44,65.6,2193.0,964 CPT,93352,PR ADMIN ECG CNTRST AGENT,250.0,222.5,29.46,250.0,482 CPT,93355,HC ECHO TEE,6698.0,5961.22,184.9,6698.0,720 CPT,93355,PR ECHO TEE,1232.0,1096.48,150.88,1232.0,482 CPT,93356,HC MYOCARDIAL STRAIN IMAGING,268.0,238.52,55.64,268.0,727 CPT,93356,PR MYOCARDIAL STRAIN IMAGING,245.0,218.05,30.27,245.0,487 CPT,93451,HC RIGHT HEART CATH,11619.0,10340.91,863.46,12373.0,1482 CPT,93451,PR RIGHT HEART CATH,3770.0,3355.3,48.86,6164.0,964 CPT,93452,HC LT HRT CATH W VENTRICULOGRAPHY,13480.0,11997.2,875.23,13480.0,736 CPT,93452,PR LT HRT CATH W VENTRICULOGRAPHY,3550.5,3159.945,86.81,5364.0,964 CPT,93453,HC RT< HRT CATH W VENTRICLGRPHY,17545.0,15615.05,1112.95,17545.0,737 CPT,93453,PR RT< HRT CATH W VENTRICLGRPHY,5377.0,4785.53,115.8,8083.0,964 CPT,93454,HC CATH PLC COR ARTY ANGIO S&I,9297.0,8274.33,876.42,9297.0,741 CPT,93454,PR CATH PLC COR ARTY ANGIO S&I,4618.5,4110.465,87.44,7212.0,964 CPT,93455,HC CATH PLC COR ARTY/GRFT ANGIO,12277.0,10926.53,976.27,12277.0,737 CPT,93455,PR CATH PLC COR ARTY/GRFT ANGIO,3149.0,2802.61,101.82,4784.0,964 CPT,93456,HC CATH PLC COR ARTY/ANG W RT HRT,14909.0,13269.01,1091.29,14909.0,740 CPT,93456,PR CATH PLC COR ARTY/ANG W RT HRT,4994.0,4444.66,113.83,7797.0,964 CPT,93457,HC CATH PLC ARTY/GRFT ANG W R HRT,15725.0,13995.25,1189.19,15725.0,737 CPT,93457,PR CATH PLC ARTY/GRFT ANG W R HRT,3812.0,3392.6800000000003,127.93,5598.0,964 CPT,93458,HC CATH PLC ARTY/VENT ANG W L HRT,11432.0,10174.48,1006.38,11432.0,741 CPT,93458,PR CATH PLC ARTY/VENT ANG W L HRT,5588.5,4973.764999999999,107.65,8599.0,964 CPT,93459,HC CATH PLC ARTY/GRFT ANG W L HRT,14246.0,12678.94,1081.49,14246.0,737 CPT,93459,PR CATH PLC ARTY/GRFT ANG W L HRT,6743.5,6001.715,122.13,10479.0,964 CPT,93460,HC CATH PLC ART/VEN ANG W R&L HRT,13563.0,12071.07,1199.76,13563.0,741 CPT,93460,PR CATH PLC ART/VEN ANG W R&L HRT,8901.0,7921.889999999999,136.59,13488.0,964 CPT,93461,HC CATH PLC ART/GRFT ANG W R&L HRT,17357.0,15447.73,1321.96,17357.0,737 CPT,93461,PR CATH PLC ART/GRFT ANG W R&L HRT,7407.5,6592.674999999999,150.79,11167.0,964 CPT,93462,HC LT HRT CATH TXSPTL PUNC,11169.0,9940.41,157.58,11169.0,721 CPT,93462,PR LT HRT CATH TXSPTL PUNC,1551.0,1380.39,151.02,1551.0,482 CPT,93463,HC DRUG ADMIN AND HEMODYN MEAS,1249.0,1111.61,79.92,1249.0,722 CPT,93463,PR DRUG ADMIN AND HEMODYN MEAS,754.0,671.06,76.15,754.0,482 CPT,93464,HC EXERCISE STUDY W HEMODYN MEAS,1456.0,1295.84,226.17,1456.0,725 CPT,93464,PR EXERCISE STUDY W HEMODYN MEAS,1106.5,984.7850000000001,70.89,1557.0,964 CPT,93503,HC INS/PLC FLOW DIR CATH,6563.5,5841.514999999999,77.57,6575.0,1472 CPT,93503,PR INS/PLC FLOW DIR CATH,1482.0,1318.98,63.3,1482.0,482 CPT,93505,HC BX ENDOMYOCARDIAL,7639.0,6798.71,652.06,7639.0,1482 CPT,93505,PR BX ENDOMYOCARDIAL,3508.5,3122.5649999999996,85.77,5135.0,964 CPT,93563,HC INJ ANGIO CONG HRT CATH S&I,4183.0,3722.87,40.84,4183.0,719 CPT,93563,PR INJ ANGIO CONG HRT CATH S&I,682.0,606.98,38.38,682.0,482 CPT,93564,HC INJ PROC CARD CATH CONG HRT,293.0,260.77,42.21,293.0,719 CPT,93564,PR INJ PROC CARD CATH CONG HRT,801.0,712.89,39.49,801.0,482 CPT,93565,HC INJ CATH LT VENT/ATRIAL ANGIO,1961.0,1745.29,20.65,1961.0,719 CPT,93565,PR INJ CATH LT VENT/ATRIAL ANGIO,497.0,442.33,19.37,497.0,482 CPT,93566,HC INJ CATH RT VENT/ATRIAL ANGIO,2580.0,2296.2,20.59,2580.0,719 CPT,93566,PR INJ CATH RT VENT/ATRIAL ANGIO,822.0,731.58,19.33,822.0,482 CPT,93567,HC INJ CATH SUPRVLV AORTOGRAPHY,1610.0,1432.9,28.76,1610.0,719 CPT,93567,PR INJ CATH SUPRVLV AORTOGRAPHY,590.0,525.1,27.12,590.0,482 CPT,93568,HC INJ PULM ANGIO S&I,2888.0,2570.32,36.35,2888.0,719 CPT,93568,PR INJ PULM ANGIO S&I,1454.0,1294.06,34.15,1454.0,482 CPT,93569,HC NJX CTH SLCT P-ART ANGRP UNI,1521.0,1353.69,53.93,1521.0,717 CPT,93569,PR NJX CTH SLCT P-ART ANGRP UNI,986.0,877.54,29.34,986.0,482 CPT,93571,HC INTRVAS DPLR ANGIO INIT,3368.0,2997.52,281.7,3368.0,723 CPT,93571,PR INTRVAS DPLR ANGIO INIT,1408.5,1253.565,69.38,2140.0,964 CPT,93572,HC INTRVAS DPLR ANGIO ADD,1768.0,1573.52,367.74,2033.2,719 CPT,93572,PR INTRVAS DPLR ANGIO ADD,637.0,566.93,55.2,860.0,959 CPT,93573,HC NJX CATH SLCT P-ART ANGRP BI,1379.0,1227.31,89.57,1379.0,717 CPT,93573,PR NJX CATH SLCT P-ART ANGRP BI,1110.0,987.9,48.72,1110.0,482 CPT,93574,HC NJX CATH SLCT PULM VN ANGRPH,1379.0,1227.31,98.28,1379.0,717 CPT,93574,PR NJX CATH SLCT PULM VN ANGRPH,1233.0,1097.37,53.46,1233.0,482 CPT,93575,HC NJX CATH SLCT P ANGRPH MAPCA,1379.0,1227.31,131.7,1379.0,717 CPT,93575,PR NJX CATH SLCT P ANGRPH MAPCA,1296.0,1153.44,71.64,1296.0,482 CPT,93580,HC TX CATH CLSR ASD W IMP,27133.0,24148.37,752.15,27133.0,741 CPT,93580,PR TX CATH CLSR ASD W IMP,9198.0,8186.22,306.88,9198.0,482 CPT,93581,HC TX CATH CLSR VSD W IMP,37356.0,33246.84,1016.29,37356.0,736 CPT,93581,PR TX CATH CLSR VSD W IMP,12022.0,10699.58,414.65,12022.0,482 CPT,93582,HC PERC TRANSCATH CLSR PDA,44851.0,39917.39,506.17,44851.0,737 CPT,93582,PR PERC TRANSCATH CLSR PDA,6875.0,6118.75,206.52,6875.0,482 CPT,93583,HC PERC TRANSCATH SEP RED THRPY,1111.0,988.79,231.09,1111.0,734 CPT,93583,PR PERC TRANSCATH SEP RED THRPY,7115.0,6332.35,231.84,7115.0,482 CPT,93584,HC VENOGRAPHY CHD ANOMALOUS/PERSISTENT SVC NT DRG,4668.0,4154.52,71.0,4668.0,717 CPT,93584,PR VENOGRAPHY CHD ANOMALOUS/PERSISTENT SVC NT DRG,622.0,553.58,38.62,622.0,482 CPT,93585,HC VENOGRAPHY CHD AZYGOS/HEMIAZYGOS VENOUS SYSTEM,4668.0,4154.52,66.98,4668.0,717 CPT,93585,PR VENOGRAPHY CHD AZYGOS/HEMIAZYGOS VENOUS SYSTEM,617.0,549.13,36.43,617.0,482 CPT,93586,HC VENOGRAPHY CHD CORONARY SINUS,4668.0,4154.52,86.81,4668.0,717 CPT,93586,PR VENOGRAPHY CHD CORONARY SINUS,739.0,657.71,47.22,739.0,482 CPT,93587,HC VENOGRAPHY CHD VENOVENOUS COLTRL AT/ABOVE HRT,4668.0,4154.52,125.03,4668.0,717 CPT,93587,PR VENOGRAPHY CHD VENOVENOUS COLTRL AT/ABOVE HRT,1090.0,970.1,68.01,1090.0,482 CPT,93588,HC VENOGRAPHY CHD VENOVENOUS COLLATERAL BELOW HEART,4668.0,4154.52,126.03,4668.0,717 CPT,93588,PR VENOGRAPHY CHD VENOVENOUS COLLATERAL BELOW HEART,1102.0,980.78,68.56,1102.0,482 CPT,93590,"HC PARAVALVULAR LEAK CLOSURE, INI",34875.0,31038.75,1313.09,34875.0,734 CPT,93590,"PR PARAVALVULAR LEAK CLOSURE, INI",8220.0,7315.8,357.16,8220.0,482 CPT,93591,HC PERC TRANSCATH CLSR AORTIC,41831.0,37229.59,1085.09,41831.0,734 CPT,93591,PR PERC TXCATH CLSR PARAVLVR AORTIC,6690.0,5954.1,295.15,6690.0,482 CPT,93592,"HC PARAVLAVULAR LEAK CLOSURE, EA",3799.0,3381.11,473.55,3799.0,717 CPT,93592,"PR PARAVLAVULAR LEAK CLOSURE, EA",2984.0,2655.76,257.61,2984.0,482 CPT,93593,HC R HRT CATH CHD NML NT CNJ,12816.0,11406.24,2665.73,12816.0,734 CPT,93593,PR R HRT CATH CHD NML NT CNJ,1389.0,1236.21,625.05,1389.0,477 CPT,93594,HC R HRT CATH CHD ABNL NT CNJ,12816.0,11406.24,2665.73,12816.0,736 CPT,93594,PR R HRT CATH CHD ABNL NT CNJ,7397.0,6583.33,3328.65,7397.0,477 CPT,93595,HC L HRT CATH CHD NM/ABN NT CNJ,13233.0,11777.37,2752.46,13233.0,734 CPT,93595,PR L HRT CATH CHD NM/ABN NT CNJ,7918.0,7047.02,3563.1,7918.0,477 CPT,93596,HC R&L HRT CATH CHD NML NT CNJ,15214.0,13540.46,3164.51,15214.0,735 CPT,93596,PR R&L HRT CATH CHD NML NT CNJ,4456.0,3965.84,2005.2,4456.0,477 CPT,93597,HC R&L HRT CATH CHD ABNL NT CNJ,14735.0,13114.15,3064.88,14735.0,734 CPT,93597,PR R&L HRT CATH CHD ABNL NT CNJ,4261.0,3792.29,1917.45,4261.0,477 CPT,93598,HC CAR OUTP MEAS DRG CATH CHD,3280.0,2919.2,682.24,3280.0,717 CPT,93598,PR CAR OUTP MEAS DRG CATH CHD,310.0,275.9,53.23,310.0,482 CPT,93600,HC RECORDING HIS BUNDLE,11779.0,10483.31,189.28,11779.0,736 CPT,93600,PR RECORDING HIS BUNDLE,907.5,807.675,85.25,1047.0,964 CPT,93602,PR RECORDING INTRA-ATRIAL ELEC,810.0,720.9000000000001,84.52,948.0,964 CPT,93609,HC INTRAVENT MAPPING TACHYCARDIA,5560.0,4948.4,364.62,5560.0,719 CPT,93610,HC PACING INTRA ATRIAL,6989.0,6220.21,203.33,10348.63,736 CPT,93610,PR PACING INTRA ATRIAL,983.0,874.87,118.1,1039.0,964 CPT,93612,HC PACING INTRA VENTRICULAR,10767.0,9582.63,214.95,10767.0,1474 CPT,93612,PR PACING INTRA VENTRICULAR,1046.5,931.385,118.5,1246.0,964 CPT,93613,HC MAP EPS 3D,9497.0,8452.33,220.46,9497.0,721 CPT,93613,PR MAP EPS 3D,2454.0,2184.06,179.9,2454.0,482 CPT,93618,HC PACING HRT RHYTHM,5331.0,4744.59,366.54,5331.0,1472 CPT,93618,PR PACING HRT RHYTHM,1876.5,1670.085,159.26,2172.0,964 CPT,93619,HC EP EVAL WO ARRHYTHMIA,13650.0,12148.5,680.77,13650.0,736 CPT,93620,HC EP EVAL W ARRHYTHMIA,14290.0,12718.1,923.08,14290.0,739 CPT,93620,PR EP EVAL W ARRHYTHMIA,6201.0,5518.89,227.01,7334.0,964 CPT,93621,HC EP EVAL W LT ATRL/COR SIN PCNG,6089.0,5419.21,314.25,6089.0,720 CPT,93621,PR EP EVAL W LT ATRL/COR SIN PCNG,2495.0,2220.55,60.0,4008.0,964 CPT,93622,HC EP EVAL W LT VENT PACING,11413.0,10157.57,505.35,11413.0,719 CPT,93622,PR EP EVAL W LT VENT PACING,2332.0,2075.48,124.45,3561.0,964 CPT,93623,HC STIM HRT PACING POST IV INF,5662.0,5039.18,296.97,5662.0,722 CPT,93623,PR STIM HRT PACING POST IV INF,1402.5,1248.225,39.48,2005.0,964 CPT,93624,HC EP FOLLOW UP STUDY W ARRYTH,11426.0,10169.14,300.32,11426.0,737 CPT,93624,PR EP FOLLOW UP STUDY W ARRYTH,1726.5,1536.585,87.42,1884.0,964 CPT,93631,HC INTRAOP EPI/ENDO CARD PAC/MAP,7939.0,7065.71,1651.31,7939.0,719 CPT,93631,PR INTRAOP EPI/ENDO CARD PAC/MAP,1543.0,1373.27,298.13,1543.0,482 CPT,93641,HC EVAL EPS ICD GENERATOR W TEST,3944.0,3510.16,587.3,3944.0,719 CPT,93641,PR EVAL EPS ICD GENERATOR W TEST,2438.5,2170.265,113.08,2644.0,964 CPT,93642,HC EVAL EPS ICD SYS,4119.0,3665.91,312.19,4119.0,736 CPT,93642,PR EVAL EPS ICD SYS,2470.0,2198.3,92.62,2647.0,964 CPT,93644,HC EP EVAL SUBCUT IMPLT DEFIB,3918.0,3487.02,189.22,3918.0,719 CPT,93644,PR EP EVAL SUBCUT IMPLT DEFIB,2087.0,1857.43,56.13,2139.0,964 CPT,93650,HC ABLT AV NODE,13841.0,12318.49,444.22,13841.0,739 CPT,93650,PR ABLT AV NODE,4840.0,4307.6,181.24,4840.0,482 CPT,93653,HC EP EVAL W SUPRAVENT ABLATE,38205.0,34002.45,633.43,38205.0,742 CPT,93653,PR EP EVAL W SUPRAVENT ABLATE,5618.0,5000.02,258.44,5618.0,482 CPT,93654,HC EP EVAL W VENT TACHY ABLATE,45677.0,40652.53,763.57,45677.0,740 CPT,93654,PR EP EVAL W VENT TACHY ABLATE,8757.0,7793.73,311.54,8757.0,482 CPT,93655,HC ABLT ARRHYTHMIA ADD ON,18072.0,16084.08,232.14,18072.0,723 CPT,93655,PR ABLT ARRHYTHMIA ADD ON,2970.0,2643.3,189.43,2970.0,482 CPT,93656,HC EP EVAL TX ART FIB PULM VEIN,45676.0,40651.64,718.24,45676.0,743 CPT,93656,PR EP EVAL TX ART FIB PULM VEIN,8095.0,7204.55,293.04,8095.0,482 CPT,93657,HC ABLT ATRIUM ADD LINEAR CATH,11737.0,10445.93,232.14,11737.0,721 CPT,93657,PR ABLT ATRIUM ADD LINEAR CATH,3032.0,2698.48,189.43,3032.0,482 CPT,93660,HC TILT TABLE EVAL W/WO DRUG,2336.0,2079.04,169.24,2336.0,739 CPT,93660,PR TILT TABLE EVAL W/WO DRUG,1061.5,944.735,36.4,1282.0,964 CPT,93662,HC ECHO INTRACARDIAC,4629.0,4119.81,298.6,4629.0,726 CPT,93662,PR ECHO INTRACARDIAC,1804.5,1606.005,55.67,2657.0,964 CPT,93668,HC PAD REHAB PER SES,271.0,241.19,23.36,271.0,734 CPT,93702,HC BIS LYMPHEDEMA ASSESS OT,363.0,323.07,75.5,363.0,737 CPT,93702,HC BIS LYMPHEDEMA ASSESS PT,363.0,323.07,75.5,363.0,737 CPT,93702,PR BIS LYMPHEDEMA ASSESS,363.0,323.07,110.94,363.0,482 CPT,93750,HC INTERO VAD IN PERSON,2127.5,1893.475,32.62,3751.0,1472 CPT,93750,PR INTERO VAD IN PERSON,324.0,288.36,36.21,324.0,508 CPT,93784,PR MONITOR AMBULATORY BP >=24HR,617.0,549.13,39.22,617.0,490 CPT,93786,PR AMBULATORY BP RECORDING 24 HR,308.0,274.12,19.71,308.0,482 CPT,93788,PR AMBULATORY BP ANALYSIS 24 HR,72.0,64.08,4.85,72.0,482 CPT,93790,PR REV/REPORT AMBULATORY BP>=24,237.0,210.93,14.66,237.0,485 CPT,93797,HC CARDIAC REHAB WO ECG EA SESN,318.0,283.02,7.49,318.0,742 CPT,93798,HC CARDIAC REHAB W CONT ECG MON,343.0,305.27,11.61,343.0,741 CPT,93799,HC CARDIONEURAL ABLATION,54003.0,48062.67,128.95,54003.0,738 CPT,93799,HC CORONARY ASPIRATION THROM,4371.0,3890.19,128.95,4371.0,738 CPT,93799,HC DRUG CHALLENGE STUDY,805.0,716.45,128.95,805.0,738 CPT,93799,HC INTRVAS DPLR ANGIO INIT IFR,3167.0,2818.63,128.95,3167.0,738 CPT,93799,PR AMBULATORY BP MONITORING 18 HR,463.0,412.07,46.3,463.0,491 CPT,93799,PR AMBULATORY BP MONITORING 6 HRS,383.0,340.87,38.3,383.0,968 CPT,93799,PR CARDIONEURAL ABLATION,9697.0,8630.33,969.7,9697.0,477 CPT,93799,PR DRUG CHALLENGE STUDY,589.0,524.21,58.9,589.0,477 CPT,93799,PR PULMONARY VENOUS PRESSURE (PVP) MEASUREMENT,117.0,104.13,11.7,117.0,477 CPT,93799,PR TRANS CATH HRT VLV RPLC TRICUSPID,16855.0,15000.95,1685.5,16855.0,491 CPT,93880,PR DUP SCAN EXTCR ARTY BI,972.0,865.08,29.39,1292.0,1446 CPT,93882,PR DUPLEX SCAN EXTRACRAN ARTY UNILAT,427.0,380.03000000000003,18.05,696.0,964 CPT,93886,HC TRCRAN DPLR INTRCR CMPLT,1820.0,1619.8,239.11,1820.0,736 CPT,93886,PR TRCRAN DPLR INTRCR CMPLT,755.5,672.3950000000001,36.25,1192.0,967 CPT,93888,PR TRCRAN DPLR INTRCR LTD,475.5,423.195,28.93,799.0,964 CPT,93892,PR TRCRAN EMBOLI DETECT WO IV INJ,504.5,449.005,46.8,757.0,967 CPT,93893,PR TRCRAN DPLR INTRCR EMBOLI W IV,811.5,722.2349999999999,47.64,1349.0,968 CPT,93895,PR EVAL CAROTID ATHEROMA BIL,483.5,430.31500000000005,302.72,623.0,955 CPT,93896,PR VSRCTV STD TCD ICR ART COMPL,479.0,426.31,155.11,479.0,485 CPT,93922,HC STUDY EXT ARTERY 1-2 LVLS BIL,804.0,715.56,84.12,804.0,736 CPT,93922,PR STUDY EXT ARTERY 1-2 LVLS BIL,298.5,265.66499999999996,9.02,497.0,967 CPT,93923,HC STUDY EXT ARTERY > 2 LVLS BIL,925.0,823.25,134.85,925.0,736 CPT,93923,PR STUDY EXT ARTERY > 2 LVLS BIL,760.0,676.4,16.4,916.0,1452 CPT,93924,PR STUDY EXT ARTERY W EXER,657.5,585.175,18.33,1149.0,970 CPT,93925,PR DUP SCAN LWR EXT ARTY BIL,1087.0,967.43,28.84,1275.0,1446 CPT,93926,PR DUP SCAN LWR EXT ARTY UNILAT/LTD,745.0,663.05,17.41,885.0,1446 CPT,93930,PR DUP SCAN UPR EXT ARTY BIL,659.5,586.955,29.11,1073.0,964 CPT,93931,PR DUP SCAN UPR EXT ARTY UNILAT/LTD,461.0,410.29,17.68,765.0,964 CPT,93970,PR DUP SCAN EXT VEIN BIL,1051.0,935.39,25.19,1262.0,1446 CPT,93971,PR DUP SCAN EXT VEIN UNILAT/LTD,770.0,685.3,16.16,921.0,1446 CPT,93975,PR DUP SCAN ABD PELV COMPLT,1397.0,1243.33,41.9,1740.0,1446 CPT,93976,PR DUP SCAN ABD PELV LTD,862.0,767.18,29.51,1152.0,1446 CPT,93978,PR DUP SCAN AORTA IVC COMPLT,881.0,784.09,28.6,1112.0,1446 CPT,93979,PR DUP SCAN AORTA IVC LTD,597.0,531.33,17.76,787.0,1446 CPT,93980,PR DUP SCAN PENILE VESSELS,546.0,485.94,48.24,1085.0,1449 CPT,93985,PR DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD,873.0,776.97,28.12,1196.0,1446 CPT,93986,PR DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD,930.0,827.7,106.71,930.0,482 CPT,93990,PR DUP SCAN HEMO ACCESS,569.0,506.41,17.01,748.0,1446 CPT,93998,PR ASSESS ENDOTHELIAL FCT NONINV,483.0,429.87,48.3,483.0,490 CPT,93998,PR NAILFOLD VIDEO CAPILLAROSCOPY,497.0,442.33,49.7,497.0,490 CPT,93998,PR US ARTERIOVENOUS MALFORMATION,461.0,410.29,46.1,461.0,490 CPT,93998,PR US NONIVAS XTR VEINS BIL STUDY,631.0,561.59,63.1,631.0,490 CPT,94002,HC VENTIL MGMT IP INIT DAY,2971.0,2644.19,82.0,2971.0,736 CPT,94002,PR VENTIL MGMT IP INIT DAY,760.5,676.845,66.91,845.0,964 CPT,94003,HC VENT MGMT INPT/OBS SUBSQ DAY,2720.0,2420.8,56.57,2720.0,736 CPT,94003,PR VENT MGMT INPT/OBS SUBSQ DAY,371.0,330.19,46.16,371.0,482 CPT,94010,HC SPIROMETRY,683.0,607.87,29.93,683.0,748 CPT,94010,PR SPIROMETRY,109.0,97.01,6.67,185.0,1456 CPT,94014,PR PAT INITIATED SPIRO COMPLETE,230.0,204.7,49.2,230.0,482 CPT,94060,HC BRONCHODILATION RESPONSIVENESS,1546.0,1375.94,43.99,1546.0,736 CPT,94060,PR BRONCHODILATION RESPONSIVENESS,197.0,175.33,8.33,295.0,1452 CPT,94070,PR EVAL BRONCHOSPASM PROVOCATION,267.0,237.63,23.05,350.0,974 CPT,94150,HC VITAL CAPACITY TOTAL,263.0,234.07,54.7,263.0,736 CPT,94150,PR VITAL CAPACITY TOTAL,73.0,64.97,3.47,86.0,857 CPT,94375,PR FLOW VOLUME LOOP,111.5,99.23500000000001,11.62,149.0,966 CPT,94452,PR HAST W I&R,204.5,182.005,11.91,295.0,965 CPT,94610,PR SURFACTANT ADMIN THRU TUBE,744.0,662.16,37.81,744.0,482 CPT,94617,PR EXERCISE TST BRNCSPSM,546.0,485.94,76.91,546.0,483 CPT,94618,HC PULMONARY STRESS TESTING,363.0,323.07,55.44,363.0,743 CPT,94618,PR PULMONARY STRESS TESTING,191.0,169.99,11.86,356.0,1458 CPT,94621,PR TEST PULM STRESS CMPLX,926.0,824.14,54.64,1188.0,964 CPT,94625,PR PULM REHAB WO CONT OXIMTRY MNTR PER SESS,259.0,230.51,71.91,259.0,482 CPT,94626,PR PULM REHAB W/CONT OXIMTRY MNTR PER SESS,381.0,339.09,89.87,381.0,482 CPT,94640,HC TX INHAL AERO SPUTUM,355.0,315.95000000000005,8.69,366.0,1488 CPT,94640,PR TX INHAL AERO SPUTUM,82.0,72.98,6.03,82.0,515 CPT,94642,HC PENTAMIDINE TX AERO INHAL,514.0,457.46,43.47,514.0,741 CPT,94644,HC TX CONT AERO AAO 1ST HR,472.0,420.08,424.8,424.8,2 CPT,94645,HC TX CONT AERO AAO EA ADD HR,347.0,308.83,16.94,347.0,1438 CPT,94660,HC CPAP INIT & MGMT,1195.0,1063.55,31.15,1195.0,739 CPT,94660,PR CPAP INIT & MGMT,216.0,192.24,56.27,216.0,482 CPT,94664,HC DEMO/EVAL PAT USE INHALE,231.0,205.59,20.13,290.54,736 CPT,94664,PR DEMO/EVAL PAT USE INHALE,95.0,84.55,16.43,95.0,484 CPT,94667,HC MANIP CHST WALL INIT,240.0,213.6,27.69,240.0,737 CPT,94668,HC MANIP CHST WALL SUBSQ,156.0,138.84,32.45,176.53,736 CPT,94669,HC MECH CHST WALL OSC LUNG FUNC,290.0,258.1,25.97,290.54,736 CPT,94681,HC O2 UPTAKE INCL CO2 OUTPUT,941.0,837.49,50.63,941.0,750 CPT,94681,PR O2 UPTAKE INCL CO2 OUTPUT,449.0,399.61,7.78,558.0,1452 CPT,94690,PR O2 UPTAKE EXHAL REST INDIRCT,197.0,175.33,2.83,229.0,1449 CPT,94726,HC PLETHYSMOGRAPHY,672.0,598.08,64.67,672.0,736 CPT,94726,PR PLETHYSMOGRAPHY,214.0,190.46,9.7,314.0,1454 CPT,94727,PR GAS DILUTION LUNG VOLUMES,183.0,162.87,9.7,264.0,1447 CPT,94728,PR IMPULSE OSCILLOMETRY,143.5,127.715,9.98,201.0,964 CPT,94729,HC DIFFUSING CAPACITY,703.0,625.67,64.63,703.0,719 CPT,94729,PR DIFFUSING CAPACITY,220.0,195.8,7.5,280.0,1459 CPT,94760,HC PULSE OX O2 SAT SNGL,197.0,175.33,3.88,197.0,720 CPT,94760,PR PULSE OX O2 SAT SNGL,46.0,40.94,3.17,46.0,485 CPT,94761,HC PULSE OX O2 SAT MULT,273.0,242.97,4.22,273.0,732 CPT,94761,PR PULSE OX O2 SAT MULT,75.0,66.75,3.44,75.0,487 CPT,94762,HC MEAS BLD O2 LVL OVNT MONITOR,609.0,542.01,24.5,609.0,738 CPT,94762,PR MEAS BLD O2 LVL OVNT MONITOR,154.0,137.06,19.99,162.0,977 CPT,94780,HC CAR SEAT/BED TESTING 60 MIN,254.0,226.06,19.77,254.0,736 CPT,94780,PR CAR SEAT/BED TEST 60MIN,251.0,223.39,38.5,251.0,507 CPT,94781,HC CAR SEAT/BED TEST ADD 30 MIN,127.0,113.03,6.81,127.0,719 CPT,94781,PR CAR SEAT/BED TEST EA ADD 30 MIN,89.0,79.21,15.45,89.0,507 CPT,94799,HC CO2 EXPIRED GAS DETRMN INFRARD,563.0,501.07,117.1,563.0,738 CPT,94799,HC RESP MUSCLE STRENGTH,157.0,139.73,32.66,170.72,738 CPT,94799,HC RESP THRPY ADMN/MONT NITRIC,700.0,623.0,128.95,700.0,738 CPT,94799,PR RESP MUSCLE STRENGTH,280.0,249.2,28.0,280.0,487 CPT,94799,PR SHUNT STUDY,106.0,94.34,10.6,106.0,487 CPT,95004,PR PERC TESTS ALLERGENIC EXTRACTS,29.0,25.81,2.88,29.0,491 CPT,95012,PR NITRIC OXIDE EXPIRED GAS,107.0,95.23,16.34,107.0,490 CPT,95017,PR PERC/INTDER ALRGY TST VENOM EA,83.0,73.87,6.48,83.0,485 CPT,95018,HC PERC/INTDER ALG TST DRG/BIO EA,233.0,207.37,5.81,233.0,736 CPT,95018,PR PERC/INTDER ALG TST DRG/BIO EA,233.0,207.37,13.32,233.0,512 CPT,95024,PR INTRADERM ALLERG EXTRACT-EA,31.0,27.59,6.24,31.0,482 CPT,95044,HC ALLERGY PATCH TESTS EA,52.0,46.28,4.91,1139.38,740 CPT,95052,HC PHOTO PATCH TEST(S),134.0,119.26,5.94,134.0,737 CPT,95056,HC PHOTO TEST(S),252.0,224.28,52.42,252.0,737 CPT,95070,PR INHALATION BRONCHIAL CHALLENGE,316.0,281.24,32.78,316.0,490 CPT,95076,PR INGEST CHALLENGE INIT 120 MIN,544.0,484.16,101.1,544.0,486 CPT,95079,PR INGEST CHALLENGE EA ADD 60 MIN,384.0,341.76,69.15,384.0,484 CPT,95115,PR ALLERGEN IMMUNOTHRPY 1 INJ,45.0,40.05,8.49,45.0,485 CPT,95117,PR ALLERGEN IMMUNOTHRPY 2+ INJ,63.0,56.07,10.18,63.0,488 CPT,95145,PR ANTIGN IMUNOTHRPY VENOM 1 STNG,99.0,88.11,24.1,99.0,507 CPT,95146,PR ANTIGN IMUNOTHRPY VENOM 2 STNG,176.0,156.64,44.37,176.0,508 CPT,95147,PR ANTIGN IMUNOTHRPY VENOM 3 STNG,169.0,150.41,42.7,169.0,507 CPT,95148,PR ANTIGN IMUNOTHRPY VENOM 4 STNG,283.0,251.87,63.44,283.0,509 CPT,95149,PR ANTIGN IMUNOTHRPY VENOM 5 STNG,312.0,277.68,84.42,312.0,508 CPT,95165,PR ALLRGN IMMUNTHRPY SNGL/MULT EA,57.0,50.73,12.19,57.0,513 CPT,95180,PR RAPID DESENSITIZATION EA HOUR,457.0,406.73,112.56,457.0,483 CPT,95199,PR ICE CUBE TEST,151.0,134.39,15.1,151.0,477 CPT,95199,PR SKIN PRESSURE TEST,151.0,134.39,15.1,151.0,477 CPT,95249,PR CONT GLUC MNTR PT PROV EQP,352.0,313.28,57.81,352.0,486 CPT,95250,PR GLUC CONT MONTR/PLCMNT >72HRS,660.0,587.4,127.17,660.0,484 CPT,95251,PR GLUC CONT MONTR >72HR INTRP&RPT,216.0,192.24,27.92,216.0,489 CPT,95700,HC LONG TERM EEG SET UP,903.0,803.67,187.82,903.0,739 CPT,95700,PR LONG TERM EEG SET UP,903.0,803.67,184.9,903.0,487 CPT,95705,HC EEG 2-12 HOURS WITHOUT VIDEO UNMONITORED,4018.0,3576.02,117.84,4018.0,736 CPT,95708,HC EEG 12-26 HOURS WITHOUT VIDEO UNMONITORED,3436.0,3058.04,174.34,3436.0,736 CPT,95708,PR EEG 12-26 HOURS W/OUT VIDEO UNMONITORED,1732.0,1541.48,142.26,1732.0,484 CPT,95711,PR VEEG BY TECH 2-12 HOURS UNMONITORED,1892.0,1683.88,124.35,1892.0,482 CPT,95712,HC VEEG BY TECH 2-12 HR INTERMITTENT MONITORING,5383.0,4790.87,373.96,5383.0,736 CPT,95713,HC VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING,5761.0,5127.29,373.96,5761.0,737 CPT,95714,HC VEEG 12-26 HOURS WITH VIDEO UNMONITORED,6182.0,5501.98,223.73,6182.0,736 CPT,95714,PR VEEG BY TECH EA INCR 12-26 HR UNMONITORED,2267.0,2017.63,182.56,2267.0,489 CPT,95715,HC VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR,6114.0,5441.46,373.96,6114.0,739 CPT,95715,PR VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR,6292.0,5599.88,665.03,6292.0,482 CPT,95716,HC VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR,10001.0,8900.89,860.58,10001.0,739 CPT,95717,PR EEG 2-12 HOURS CONTINUOUS WITHOUT VIDEO,956.0,850.84,87.53,956.0,482 CPT,95718,PR VEEG 2-12 HOURS CONTINUOUS WITH VIDEO,1035.0,921.15,109.91,1035.0,482 CPT,95719,PR EEG 12-26 HOURS CONTINUOUS WITHOUT VIDEO,1042.0,927.38,131.64,1042.0,484 CPT,95720,PR VEEG 12-26 HOURS CONTINUOUS WITH VIDEO,1553.0,1382.17,169.12,1553.0,489 CPT,95721,PR EEG 36-60 HOURS CONTINUOUS WITHOUT VIDEO,1421.0,1264.69,173.78,1421.0,482 CPT,95722,PR VEEG 36-60 HOURS CONTINUOUS WITH VIDEO,1670.0,1486.3,209.97,1670.0,483 CPT,95723,PR EEG 60-84 HOURS CONTINUOUS WITHOUT VIDEO,1588.0,1413.32,211.17,1588.0,482 CPT,95724,PR VEEG 60-84 HOURS CONTINUOUS WITH VIDEO,2104.0,1872.56,266.52,2104.0,483 CPT,95726,PR VEEG +84 HOURS CONTINUOUS WITH VIDEO,2545.0,2265.05,340.17,2545.0,482 CPT,95782,HC PSG <6YRS ATTENDED,7471.0,6649.19,860.58,7471.0,740 CPT,95782,PR PSG <6YRS ATTENDED,971.0,864.19,98.32,971.0,482 CPT,95783,PR PSG <6YRS W CPAP,1380.0,1228.2,106.64,1380.0,482 CPT,95800,HC SLP STDY UNATTND HRT RATE O2,785.0,698.65,163.28,785.0,732 CPT,95800,PR SLP STDY UNATTND HRT RATE O2,730.5,650.145,38.09,1052.0,964 CPT,95803,PR ACTIGRAPHY,777.0,691.53,111.89,777.0,482 CPT,95805,HC MULT SLEEP LATENCY/MAINT TEST,4978.0,4430.42,488.25,4978.0,737 CPT,95805,PR MULT SLEEP LATENCY/MAINT TEST,469.0,417.41,46.59,469.0,482 CPT,95806,PR SLEEP STUDY UNATTENDED,870.0,774.3,84.74,870.0,482 CPT,95808,PR POLYSOM ANY AGE 1-3 PARAMETERS,3191.0,2839.99,424.88,3191.0,482 CPT,95810,PR PSG >=6 YRS ATTND,1040.0,925.6,96.28,1040.0,482 CPT,95811,HC PSG >=6 YRS W CPAP,8329.0,7412.81,718.97,8329.0,744 CPT,95811,PR PSG >=6 YRS W CPAP,941.0,837.49,99.85,941.0,482 CPT,95812,PR EEG EXTEND MONITOR 41-60MIN,805.5,716.895,47.23,1268.0,973 CPT,95813,PR EEG EXTEND MONITOR >60MIN,1002.0,891.78,71.35,1434.0,964 CPT,95816,HC EEG INCL AWAKE & DROWSY,2069.0,1841.41,216.39,2069.0,737 CPT,95816,PR EEG INCL AWAKE & DROWSY,765.5,681.2950000000001,45.57,1260.0,965 CPT,95819,PR EEG INCL AWAKE & ASLEEP,907.5,807.6750000000001,45.85,1494.0,964 CPT,95822,PR EEG COMA/SLEEP,1427.5,1270.475,45.85,2097.0,964 CPT,95829,HC ELECTROCORTICOGRAM AT SURGERY,7014.0,6242.46,1458.91,7014.0,719 CPT,95829,PR ELECTROCORTICOGRAM AT SURGERY,5991.5,5332.4349999999995,271.88,10141.0,964 CPT,95836,PR ECOG IMPLTD BRN NPGT <30 DAYS,645.0,574.05,85.3,645.0,484 CPT,95860,PR EMG NEEDLE 1 EXT,432.0,384.48,41.65,553.0,966 CPT,95861,HC EMG NEEDLE 2 EXT,891.0,792.99,133.33,891.0,737 CPT,95861,PR EMG NEEDLE 2 EXT,1241.5,1104.935,65.57,1327.0,967 CPT,95863,PR EMG NEEDLE 3 EXT,1880.0,1673.2,181.86,1880.0,482 CPT,95865,PR EMG NEEDLE LARYNX,2048.5,1823.165,67.22,2623.0,964 CPT,95866,PR EMG NEEDLE HEMIDIAPHRAGM,601.5,535.335,54.04,743.0,966 CPT,95867,HC EMG NEEDLE CRANIAL NRV UNILAT,754.0,671.06,108.6,754.0,736 CPT,95867,PR EMG NEEDLE CRANIAL NRV UNILAT,641.0,570.49,33.28,706.0,965 CPT,95868,PR EMG NEEDLE CRANIAL NRV BIL,1393.5,1240.2150000000001,49.98,1593.0,964 CPT,95869,PR EMG NEEDLE THORACIC PARASPINAL,219.0,194.91000000000003,15.86,336.0,968 CPT,95870,HC EMG NEEDLE LIMITED,412.0,366.68,85.7,412.0,737 CPT,95870,PR EMG NEEDLE LIMITED,1002.0,891.78,15.86,1502.0,965 CPT,95872,PR EMG NEEDLE SINGLE FIBER QUANT,926.5,824.585,123.8,952.0,969 CPT,95873,HC ELEC STIM W CHEMODENERVATION,315.0,280.35,65.52,315.0,721 CPT,95873,PR ELEC STIM W CHEMODENERVATION,224.0,199.36,16.34,274.0,964 CPT,95874,HC EMG NEEDLE GUID CHEMODENERV,305.0,271.45,63.44,305.0,720 CPT,95874,PR EMG NEEDLE GUID CHEMODENERV,231.0,205.59,16.06,348.0,971 CPT,95885,HC EMG NDL EA EXT LTD NRV CONDCT,756.0,672.84,65.76,756.0,719 CPT,95885,PR EMG NDL EA EXT LTD NRV CONDCT,230.5,205.145,14.96,333.0,974 CPT,95886,HC EMG NDL EXT CMPLT W NRV CONDCT,855.0,760.95,101.22,855.0,720 CPT,95886,PR EMG NDL EXT CMPLT W NRV CONDCT,390.0,347.1,36.88,501.0,975 CPT,95887,HC EMG NDL NON-EXT W NRV CONDCT,829.0,737.81,89.33,829.0,719 CPT,95887,PR EMG NDL NON-EXT W NRV CONDCT,428.0,380.91999999999996,29.99,446.0,972 CPT,95907,PR NERVE CONDCT STUDIES 1-2,545.5,485.495,43.3,597.0,969 CPT,95908,HC NERVE CONDCT STUDIES 3-4,1514.0,1347.46,119.02,1514.0,736 CPT,95908,PR NERVE CONDCT STUDIES 3-4,695.5,618.995,54.41,725.0,974 CPT,95909,HC NERVE CONDCT STUDIES 5-6,1848.0,1644.72,142.94,1848.0,736 CPT,95909,PR NERVE CONDCT STUDIES 5-6,781.5,695.5350000000001,64.95,856.0,974 CPT,95910,HC NERVE CONDCT STUDIES 7-8,2314.0,2059.46,186.22,2314.0,737 CPT,95910,PR NERVE CONDCT STUDIES 7-8,1005.5,894.895,86.24,1077.0,973 CPT,95911,PR NERVE CONDCT STUDIES 9-10,1401.5,1247.335,107.61,1506.0,969 CPT,95912,HC NERVE CONDCT STUDIES 11-12,4664.0,4150.96,255.97,4664.0,736 CPT,95912,PR NERVE CONDCT STUDIES 11-12,1650.5,1468.945,128.23,1883.0,967 CPT,95913,PR NERVE CONDCT STUDIES >=13,1976.0,1758.64,152.08,2210.0,965 CPT,95921,PR AUTONOMIC NRV FUNCT INERVATN,328.0,291.92,35.72,357.0,964 CPT,95922,PR AUTONOMIC TEST SYMPATH ADRENERGIC,569.0,506.40999999999997,36.87,712.0,964 CPT,95923,PR AUTONOMIC TEST SUDOMOTOR,722.0,642.58,101.23,722.0,493 CPT,95924,PR TEST ANS PARASYM & SYMP W TILT,629.0,559.8100000000001,70.8,739.0,976 CPT,95925,PR SOMATOSENS TEST UPPER EXT,715.5,636.7950000000001,21.98,782.0,964 CPT,95926,PR SOMATOSENS TEST LOWER EXT,520.0,462.8,21.06,748.0,964 CPT,95928,PR CTR MOTOR STDY UPPER LIMBS,4204.5,3742.005,63.92,5673.0,964 CPT,95929,PR CTR MOTOR STDY LOWER LIMBS,3937.5,3504.375,63.35,5862.0,964 CPT,95930,HC VEP TEST CNS,2067.0,1839.63,68.95,2067.0,736 CPT,95930,PR VEP TEST CNS,261.0,232.29000000000002,14.68,365.0,965 CPT,95933,HC ORBICULARIS OCULI REFLEX TEST,666.0,592.74,59.12,666.0,736 CPT,95933,PR ORBICULARIS OCULI REFLEX TEST,494.5,440.105,25.58,707.0,970 CPT,95937,HC TEST NEURMUSC JUNC EA NRV,828.0,736.92,108.05,828.0,737 CPT,95937,PR TEST NEURMUSC JUNC EA NRV,675.0,600.75,27.51,851.0,971 CPT,95938,HC SOMATOSENS UPPR/LWR LIMBS,4063.0,3616.07,408.73,4063.0,737 CPT,95938,PR SOMATOSENS UPPR/LWR LIMBS,4164.5,3706.4049999999997,36.4,6375.0,964 CPT,95939,PR CTR MOTOR STDY UPPR/LWR LIMBS,6552.0,5831.28,95.19,9956.0,964 CPT,95940,PR IONM 1-1 ATTND EA 15 MIN,701.0,623.89,21.36,701.0,482 CPT,95941,HC IONM REMOTE >=1 PATIENT PER HR,2193.0,1951.77,456.14,2193.0,717 CPT,95941,PR IONM REMOTE >=1 PATIENT PER HR,1678.0,1493.42,167.8,1678.0,477 CPT,95955,PR EEG NONINTRACRANIAL SURG,4095.5,3644.995,43.02,6044.0,964 CPT,95957,HC DIGITAL ANALYSIS EEG,1928.0,1715.92,314.39,1928.0,719 CPT,95957,PR DIGITAL ANALYSIS EEG,802.0,713.78,82.33,877.0,964 CPT,95958,HC WADA ACTIVATION TEST W EEG,6515.0,5798.35,775.86,6515.0,736 CPT,95958,PR WADA ACTIVATION TEST W EEG,997.5,887.775,181.76,1309.0,964 CPT,95961,PR MAPPING CORTICAL INITIAL HR,1413.5,1258.0149999999999,133.13,1669.0,964 CPT,95962,PR MAPPING CORTICAL EA ADD HR,1517.5,1350.575,143.24,1701.0,964 CPT,95965,HC MAGNETOENCEPHALOGRAPHY SPON BRAIN ACTIVITY,50448.0,44898.72,860.58,50448.0,737 CPT,95965,PR MAGNETOENCEPHALOGRAPHY SPON BRAIN ACTIVITY,10115.5,9002.795,338.34,15293.0,964 CPT,95966,HC MAGNETOENCEPHALOGRAPHY EVOKED FIELDS 1 MODALITY,19498.0,17353.22,860.58,19498.0,737 CPT,95966,PR MAGNETOENCEPHALOGRAPHY EVOKED FIELDS 1 MODALITY,7058.5,6282.065,170.85,11448.0,964 CPT,95967,HC MAGNETOENCEPHALOGRAPHY EVOKED FIELDS EACH ADDL,17559.0,15627.51,614.13,17559.0,719 CPT,95967,PR MAGNETOENCEPHALOGRAPHY EVOKED FIELDS EACH ADDL,4829.0,4297.81,149.49,7212.0,964 CPT,95970,HC NEUROSTIM BRAIN WO REPROGRM,308.0,274.12,15.42,308.0,737 CPT,95970,PR NEUROSTIM BRAIN WO REPROGRM,298.0,265.22,13.32,298.0,510 CPT,95971,HC NEUROSTIM SPINAL SIMPLE W PROG,2306.0,2052.34,32.93,2306.0,736 CPT,95971,PR NEUROSTIM SPINAL SIMPLE W PROG,343.0,305.27,40.33,343.0,485 CPT,95972,PR NEUROSTIM ANLYS CMPLX,524.0,466.36,48.17,524.0,485 CPT,95976,HC ALYS SMPL CN NPGT PRGRMG,737.0,655.93,37.4,737.0,734 CPT,95976,PR ALYS SMPL CN NPGT PRGRMG,455.0,404.95,25.68,455.0,511 CPT,95977,PR ALYS CPLX CN NPGT PRGRMG,766.0,681.74,34.24,766.0,510 CPT,95983,HC ALYS BRN NPGT PRGRMG 15 MIN,751.0,668.39,75.65,751.0,734 CPT,95983,PR ALYS BRN NPGT PRGRMG 15 MIN,443.0,394.27,41.15,443.0,486 CPT,95984,HC ALYS BRN NPGT PRGRMG ADDL 15,381.0,339.09,65.87,381.0,717 CPT,95984,PR ALYS BRN NPGT PRGRMG ADDL 15,386.0,343.54,35.83,386.0,486 CPT,95990,HC REFIL&MAINT IMPL PUMP SPN/BRN,816.0,726.24,99.82,816.0,736 CPT,95990,PR REFIL&MAINT IMPL PUMP SPN/BRN,382.0,339.98,81.45,382.0,483 CPT,95991,PR REFIL&MAINT IMPL SPN/BRN MD/QHP,564.0,501.96,95.33,564.0,482 CPT,95992,HC CANALITH REPOSITIONING PROC OT,239.0,212.71,24.0,239.0,736 CPT,95992,HC CANALITH REPOSITIONING PROC PT,239.0,212.71,24.0,239.0,736 CPT,95992,PR CANALITH REPOSITIONING PROC,236.0,210.04,33.24,236.0,490 CPT,95992,PR CANALITH REPOSITIONING PROC OT,239.0,212.71,33.24,239.0,483 CPT,95992,PR CANALITH REPOSITIONING PROC PT,239.0,212.71,33.24,239.0,483 CPT,95999,PR NOVOTAL MAPPING,1577.0,1403.53,157.7,1577.0,485 CPT,95999,PR PHYSIOLOGIC RECORDING TREMOR,1800.0,1602.0,180.0,1800.0,485 CPT,96000,PR COMPUTER-BASED MOTION ANLYS,1800.0,1602.0,56.79,1800.0,485 CPT,96001,PR RSH MOTION TEST W VIDEO & FOOT PRESSURE,676.0,601.64,69.46,676.0,483 CPT,96002,PR DYNAMIC SURFACE EMG 1-12 MUS,258.0,229.62,14.23,258.0,488 CPT,96004,PR QHP R&I MOTION ANALYSIS,613.0,545.57,84.73,613.0,487 CPT,96020,HC NEUROFUNCTIONAL TEST,1644.0,1463.16,239.27,1644.0,719 CPT,96020,PR NEUROFUNCTIONAL TEST,975.0,867.75,195.24,975.0,482 CPT,96041,PR GENETIC COUNSELING SVC EA 30,472.0,420.08,55.73,472.0,482 CPT,96110,HC DEVELPMNTL SCREEN W SCORE OT,78.0,69.42,7.58,78.0,719 CPT,96110,HC DEVELPMNTL SCREEN W SCORE ST,78.0,69.42,7.58,78.0,719 CPT,96110,PR DEVELPMNTL SCREEN W SCORE,78.0,69.42,12.47,78.0,488 CPT,96112,PR DEVEL TST ADM & INTRP 1ST HR,668.0,594.52,100.35,668.0,488 CPT,96113,PR DEVEL TST ADM & INTRP EA ADDL 30 MIN,344.0,306.16,45.6,344.0,493 CPT,96116,HC NEUROBEHAVIORAL EXAM INIT HR,548.0,487.72,70.97,548.0,719 CPT,96116,PR NEUROBEHAVIORAL EXAM INIT HR,487.0,433.43,76.42,487.0,487 CPT,96121,PR NEUROBEHAVIORAL EXAM EA HR,431.0,383.59,61.83,431.0,484 CPT,96125,HC EVAL COGNITIVE TESTING OT,514.0,457.46,75.98,514.0,736 CPT,96125,HC EVAL COGNITIVE TESTING ST,501.0,445.89,75.98,501.0,736 CPT,96125,PR EVAL COGNITIVE TESTING OT,514.0,457.46,84.24,514.0,482 CPT,96125,PR EVAL COGNITIVE TESTING ST,514.0,457.46,84.24,514.0,482 CPT,96127,PR BRIEF EMOT/BEHAV ASSMT,37.0,32.93,3.41,37.0,488 CPT,96130,PR PSY TST INTERP & FEEDBACK INIT HR,408.0,363.12,100.23,408.0,483 CPT,96131,PR PSY TST INTERP & FEEDBACK EA HR,321.0,285.69,70.89,321.0,483 CPT,96132,PR NEUROPSY TST INTERP & FEEDBACK 1ST HR,608.0,541.12,99.23,608.0,487 CPT,96133,PR NEUROPSY TST INTERP & FEEDBACK EA HR,505.0,449.45,80.22,505.0,484 CPT,96136,PR PSY OR NSY TST ADMIN BY PHYS 1ST 30 MIN,195.0,173.55,35.9,195.0,483 CPT,96137,PR PSY OR NSY TST ADMIN BY PHYS EA 30 MIN,191.0,169.99,30.76,191.0,482 CPT,96138,PR PSY OR NSY TST ADMIN BY TECH 1ST 30 MIN,196.0,174.44,31.49,196.0,488 CPT,96139,PR PSY OR NSY TST ADMIN BY TECH EA 30 MIN,196.0,174.44,29.73,196.0,488 CPT,96156,HC HLTH BHV ASSMT/REASSESSMENT,479.0,426.31,86.55,479.0,720 CPT,96156,PR HLTH BHV ASSMT/REASSESSMENT,416.0,370.24,80.9,416.0,506 CPT,96158,HC HLTH BHV IVNTJ INDIV 1ST 30,298.0,265.22,61.98,298.0,720 CPT,96158,PR HLTH BHV IVNTJ INDIV 1ST 30,269.0,239.41,60.47,269.0,489 CPT,96159,HC HLTH BHV IVNTJ INDIV EA ADDL 15,130.0,115.7,27.04,130.0,719 CPT,96159,PR HLTH BHV IVNTJ INDIV EA ADDL 15,118.0,105.02,20.87,118.0,488 CPT,96161,PR CAREGIVER HEALTH RISK ASSMT,29.0,25.81,2.39,29.0,512 CPT,96164,HC HLTH BHV IVNTJ GRP 1ST 30,345.0,307.05,17.33,345.0,723 CPT,96164,HC PAIN REHAB CTR FULL DAY,1576.0,1402.64,17.33,1576.0,1446 CPT,96164,HC PAIN REHAB CTR HALF DAY,824.0,733.36,17.33,824.0,1446 CPT,96164,PR HLTH BHV IVNTJ GRP 1ST 30,149.0,132.61,9.42,149.0,483 CPT,96165,HC HLTH BHV IVNTJ GRP EA ADDL 15,160.0,142.4,7.58,160.0,717 CPT,96165,PR HLTH BHV IVNTJ GRP EA ADDL 15,73.0,64.97,4.12,73.0,483 CPT,96167,PR HLTH BHV IVNTJ FAM 1ST 30,329.0,292.81,58.85,329.0,501 CPT,96168,PR HLTH BHV IVNTJ FAM EA ADDL 15,119.0,105.91,21.27,119.0,500 CPT,96170,PR HLTH BHV IVNTJ FAM WO PT 1ST 30,351.0,312.39,73.58,351.0,481 CPT,96171,PR HLTH BHV IVNTJ FAM W/O PT EA 15,169.0,150.41,26.58,169.0,481 CPT,96202,PR MULT FAM GRP BHV TRAIN WO PT 1ST 60 MIN,169.0,150.41,16.29,169.0,482 CPT,96203,PR MULT FAM GRP BHV TRAIN WO PT 1ST EA 15 MIN,53.0,47.17,4.19,53.0,482 CPT,96360,HC IV INF HYDRAT INIT 31MIN-1HR,381.0,339.09000000000003,33.96,422.0,1490 CPT,96360,PR IV INF HYDRAT INIT 31MIN-1HR,340.0,302.6,27.71,340.0,486 CPT,96361,HC IV INF HYDRAT EA ADD HR,169.0,150.41000000000003,13.07,189.0,1494 CPT,96361,PR IV INF HYDRAT EA ADD HR,149.0,132.61,10.67,149.0,489 CPT,96365,HC IV INF THER INIT 1ST HR,468.5,416.96500000000003,67.9,549.0,1492 CPT,96365,PR IV INF THER INIT 1ST HR,388.0,345.32,47.1,388.0,516 CPT,96366,HC IV INF THER EA ADD HR,185.0,164.64999999999998,21.58,226.0,1486 CPT,96366,PR IV INF THER EA ADD HR,144.0,128.16,17.61,144.0,491 CPT,96367,HC IV INF THER ADD SEQ NEW 1ST HR,251.0,223.39,30.16,282.0,1486 CPT,96367,PR IV INF THER ADD SEQ NEW 1ST HR,220.0,195.8,24.61,220.0,490 CPT,96368,HC IV INF THER CONCURR (MAX 1),173.5,154.415,20.9,211.0,1446 CPT,96368,PR IV INF THER CONCURR (MAX 1),136.0,121.04,17.05,136.0,489 CPT,96369,HC SQ INF THER 1 DRUG 1ST HR,520.0,462.8,108.16,520.0,736 CPT,96369,PR SQ INF THER 1 DRUG 1ST HR,520.0,462.8,120.96,520.0,484 CPT,96370,HC SQ INF THER 1 DRUG ADDL HR,256.0,227.84,17.11,256.0,736 CPT,96372,HC INJ THER SUBQ/IM,142.0,126.38,15.4,160.0,2241 CPT,96372,PR INJ THER SUBQ/IM,124.0,110.36,10.68,124.0,515 CPT,96373,PR INJ THER INTRA ARTERIAL,97.0,86.33,16.21,97.0,482 CPT,96374,HC INJ THER IV PUSH SNGL INITIAL,282.0,250.98000000000002,38.17,321.0,1486 CPT,96374,PR INJ THER IV PUSH SNGL INITIAL,243.0,216.27,31.15,243.0,488 CPT,96375,HC IV PUSH EA ADD SEQ NEW DRUG,153.5,136.615,15.81,167.0,1494 CPT,96375,PR IV PUSH EA ADD SEQ NEW DRUG,119.0,105.91,12.9,119.0,494 CPT,96376,HC IV PUSH EA ADD SEQ DRUG,161.0,143.29,24.54,204.0,1448 CPT,96377,HC APPLICATION OF ON BODY INJECTOR,120.0,106.8,24.96,120.0,735 CPT,96377,PR APPLICATION OF ON BODY INJECTOR,120.0,106.8,15.65,120.0,482 CPT,96379,HC UNLISTED THER/PROP/DIAG INJ/INF,133.0,118.37,27.66,133.0,734 CPT,96380,PR ADMIN RSV MONOC ANTIB W COUNSEL,61.0,54.29,24.62,61.0,491 CPT,96381,HC ADMIN RSV MONOC ANTIB W/O COUNSEL,56.0,49.84,11.65,56.0,734 CPT,96381,PR ADMIN RSV MONOC ANTIB W/O COUNSEL,59.0,52.51,20.14,59.0,489 CPT,96401,HC CHEMO NON-HORM ANTI-NEO SQ/IM,356.0,316.84,72.16,356.0,739 CPT,96401,PR CHEMO NON-HORM ANTI-NEO SQ/IM,356.0,316.84,59.33,356.0,486 CPT,96402,HC CHEMO HORM ANTI-NEO SQ/IM,197.0,175.33,39.19,197.0,742 CPT,96402,PR CHEMO HORM ANTI-NEO SQ/IM,197.0,175.33,31.98,197.0,491 CPT,96405,HC CHEMO INTRALESNAL <=7 LESN,387.0,344.43,23.16,387.0,736 CPT,96405,PR CHEMO INTRALESNAL <=7 LESN,411.0,365.79,34.98,411.0,484 CPT,96406,HC CHEMO INTRALESIONAL >7,592.0,526.88,36.25,592.0,737 CPT,96406,HC CHEMO INTRALESIONAL>7,630.0,560.7,36.25,630.0,737 CPT,96406,PR CHEMO INTRALESIONAL >7,613.0,545.57,54.48,613.0,483 CPT,96409,HC CHEMO IV PUSH SNGL,653.0,581.17,105.88,653.0,737 CPT,96409,PR CHEMO IV PUSH SNGL,653.0,581.17,86.4,653.0,489 CPT,96411,HC CHEMO IV PUSH EA ADD,386.0,343.54,57.84,386.0,739 CPT,96411,PR CHEMO IV PUSH EA ADD,386.0,343.54,47.2,386.0,489 CPT,96413,HC CHEMO IV INF 1ST HR,903.0,803.67,135.15,903.0,747 CPT,96413,PR CHEMO IV INF 1ST HR,903.0,803.67,110.28,903.0,494 CPT,96415,HC CHEMO IV INF EA ADD HR,237.0,210.93,28.54,237.0,747 CPT,96415,PR CHEMO IV INF EA ADD HR,237.0,210.93,23.29,237.0,491 CPT,96416,HC CHEMO IV INF > 8HR W PUMP,870.0,774.3,180.96,870.0,734 CPT,96416,PR CHEMO IV INF > 8HR W PUMP,870.0,774.3,135.22,870.0,490 CPT,96417,HC CHEMO INF SEQ DIF DRUG 1ST HR,499.0,444.11,67.46,499.0,740 CPT,96417,PR CHEMO INF SEQ DIF DRUG 1ST HR,499.0,444.11,55.05,499.0,490 CPT,96420,PR ADMIN CHEMO ARTERY PUSH,587.0,522.43,87.01,587.0,482 CPT,96425,"PR CHEMOTHER,IA INFUSN TECH,>8 HR",2139.0,1903.71,143.79,2139.0,482 CPT,96446,PR CHEMO ADMIN PERIT CAV VIA CATH,1700.0,1513.0,129.12,1700.0,482 CPT,96450,HC CHEMO ADMIN CNS REQ SP PUNC,1455.0,1294.95,63.49,1455.0,739 CPT,96450,PR CHEMO ADMIN CNS REQ SP PUNC,1247.0,1109.83,111.5,1247.0,507 CPT,96521,HC REFILL/MAINT PORTABLE PUMP,1095.0,974.55,145.87,1095.0,736 CPT,96521,PR REFILL/MAINT PORTABLE PUMP,1095.0,974.55,119.03,1095.0,482 CPT,96522,HC REFILL/MAINTAIN IMPL PMP SYST,606.0,539.34,126.05,606.0,736 CPT,96522,PR REFILL/MAINTAIN IMPL PMP SYST,606.0,539.34,103.61,606.0,483 CPT,96523,HC IRRIG IMP VAD,269.0,239.41,26.52,269.0,741 CPT,96523,PR IRRIG IMP VAD,153.0,136.17,21.64,153.0,484 CPT,96542,HC CHEMOTX NJX SUBARACH/INTRAVENT,780.0,694.2,34.58,780.0,736 CPT,96542,PR CHEMOTX NJX SUBARACH/INTRAVENT,780.0,694.2,94.31,780.0,507 CPT,96547,PR HIPEC INCISION AND CLOSURE FIRST 60 MIN,5198.0,4626.22,241.28,5198.0,479 CPT,96548,PR HIPEC INCISION AND CLOSURE EACH ADTL 30 MIN,1915.0,1704.35,111.17,1915.0,479 CPT,96549,PR CHEMO PROC HIPEC,1492.0,1327.88,149.2,1492.0,477 CPT,96567,PR PHOTODYNAMIC THRPY SKIN DSTRCT,553.0,492.17,108.34,553.0,485 CPT,96573,HC PDT DSTR PRMLG LES PHYS/QHP,837.0,744.93,174.1,837.0,734 CPT,96573,PR PDT DSTR PRMLG LES PHYS/QHP,1076.0,957.64,181.8,1076.0,482 CPT,96900,PR ACTINOTHERAPY UV LIGHT,106.0,94.34,19.71,106.0,484 CPT,96902,PR EXAM HAIRS TELOGEN&ANAGEN COUNTS,180.0,160.2,21.81,180.0,428 CPT,96904,HC INTEGUMENTARY PHOTO WHOLE BDY HIGH RISK,911.0,810.79,67.81,911.0,719 CPT,96904,PR INTEGUMENTARY PHOTO WHOLE BDY HIGH RISK,417.0,371.13,55.33,417.0,482 CPT,96920,PR EXCIMER LASER PSRIASIS<250SQCM,635.0,565.15,57.2,635.0,482 CPT,96999,HC HAIR AND SCALP IMAGING,153.0,136.17,31.82,266.2,736 CPT,96999,HC UNLISTED SPECIAL DERMATOLOGICAL SERVICE/PX,276.0,245.64,57.41,276.0,736 CPT,96999,PR WOODS LIGHT EXAM,44.0,39.16,4.4,44.0,479 CPT,97007,PR SCALP COOLING INITIAL FITTING & CAP,3100.0,2759.0,1422.71,3100.0,482 CPT,97008,PR SCALP COOLING PRE-CHEMO,150.0,133.5,8.22,150.0,482 CPT,97009,PR SCALP COOLING POST-CHEMO ADDL 30 MINS EA,50.0,44.5,5.33,50.0,482 CPT,97010,PR HOT/COLD PACK,34.0,30.26,6.57,34.0,428 CPT,97012,PR PT TRACTION MECHANICAL,45.0,40.05,11.67,45.0,482 CPT,97014,PR ELECTRIC STIMULATION THERAPY PT,50.0,44.5,10.31,50.0,482 CPT,97016,HC VASOPNEUMATIC DEVICE OT,54.0,48.06,8.9,54.0,736 CPT,97016,HC VASOPNEUMATIC DEVICE PT,54.0,48.06,8.9,54.0,736 CPT,97016,PR VASOPNEUMATIC DEVICE PT,54.0,48.06,9.75,54.0,482 CPT,97018,PR PARAFFIN BATH OT,40.0,35.6,4.8,40.0,482 CPT,97018,PR PARAFFIN BATH PT,40.0,35.6,4.8,40.0,482 CPT,97022,HC WHIRLPOOL PT,65.0,57.85,11.95,65.0,735 CPT,97022,PR WHIRLPOOL OT,65.0,57.85,12.84,65.0,482 CPT,97022,PR WHIRLPOOL PT,65.0,57.85,12.84,65.0,482 CPT,97024,PR DIATHERMY,51.0,45.39,5.92,51.0,482 CPT,97026,PR INFRARED OT,40.0,35.6,5.36,40.0,482 CPT,97026,PR INFRARED PT,40.0,35.6,5.36,40.0,482 CPT,97028,PR ULTRAVIOLET,53.0,47.17,6.75,53.0,482 CPT,97032,HC E-STIM MANUAL EA 15MIN OT,48.0,42.72,9.98,48.0,735 CPT,97032,HC E-STIM MANUAL EA 15MIN PT,48.0,42.72,9.98,48.0,735 CPT,97032,PR E-STIM MANUAL EA 15MIN OT,48.0,42.72,11.95,48.0,482 CPT,97032,PR E-STIM MANUAL EA 15MIN PT,48.0,42.72,11.95,48.0,482 CPT,97033,PR IONTOPHORESIS EA 15MIN OT,82.0,72.98,15.58,82.0,482 CPT,97033,PR IONTOPHORESIS EA 15MIN PT,82.0,72.98,15.58,82.0,482 CPT,97035,HC ULTRASOUND EA 15MIN OT,61.0,54.29,10.68,61.0,735 CPT,97035,HC ULTRASOUND EA 15MIN PT,61.0,54.29,10.68,61.0,735 CPT,97035,PR ULTRASOUND EA 15MIN OT,61.0,54.29,11.69,61.0,482 CPT,97035,PR ULTRASOUND EA 15MIN PT,61.0,54.29,11.69,61.0,482 CPT,97036,HC HUBBARD TANK EA 15MIN PT,117.0,104.13,24.34,117.0,735 CPT,97110,HC THERAPEUTIC EXERC EA 15MIN OT,114.0,101.46,22.64,114.0,743 CPT,97110,HC THERAPEUTIC EXERC EA 15MIN PT,114.0,101.46,22.64,114.0,743 CPT,97110,PR THERAPEUTIC EXERC EA 15MIN,114.0,101.46,23.84,114.0,483 CPT,97110,PR THERAPEUTIC EXERC EA 15MIN OT,114.0,101.46,23.84,114.0,483 CPT,97110,PR THERAPEUTIC EXERC EA 15MIN PT,114.0,101.46,23.84,114.0,483 CPT,97112,HC NEUROMUSCULAR RE-ED EA15MIN OT,141.0,125.49,25.18,141.0,741 CPT,97112,HC NEUROMUSCULAR RE-ED EA15MIN PT,141.0,125.49,25.18,141.0,741 CPT,97112,PR NEUROMUSCULAR RE-ED EA 15MIN,141.0,125.49,26.89,141.0,482 CPT,97112,PR NEUROMUSCULAR RE-ED EA15MIN OT,141.0,125.49,26.89,141.0,482 CPT,97112,PR NEUROMUSCULAR RE-ED EA15MIN PT,141.0,125.49,26.89,141.0,482 CPT,97113,PR AQUATIC THRPY EA 15MIN,140.0,124.6,30.55,140.0,482 CPT,97116,HC GAIT TRAINING EA 15MIN OT,118.0,105.02,22.64,118.0,737 CPT,97116,HC GAIT TRAINING EA 15MIN PT,118.0,105.02,22.64,118.0,737 CPT,97116,PR PT GAIT TRAINING EA 15MIN,118.0,105.02,23.84,118.0,482 CPT,97124,HC THER MASSAGE EA 15MIN OT,64.0,56.96,13.31,64.0,735 CPT,97124,HC THER MASSAGE EA 15MIN PT,64.0,56.96,13.31,64.0,735 CPT,97124,PR THER MASSAGE EA 15MIN OT,64.0,56.96,24.49,64.0,482 CPT,97124,PR THER MASSAGE EA 15MIN PT,64.0,56.96,24.49,64.0,482 CPT,97129,HC THER INTV COG FUNC INITIAL 15MIN OT,131.0,116.59,16.53,131.0,735 CPT,97129,HC THER INTV COG FUNC INITIAL 15MIN PT,131.0,116.59,16.53,131.0,735 CPT,97129,HC THER INTV COG FUNC INITIAL 15MIN ST,131.0,116.59,16.53,131.0,735 CPT,97129,PR THER INTV COG FUNC INITIAL 15MIN OT,131.0,116.59,18.2,131.0,482 CPT,97129,PR THER INTV COG FUNC INITIAL 15MIN PT,131.0,116.59,18.2,131.0,482 CPT,97129,PR THER INTV COG FUNC INITIAL 15MIN ST,131.0,116.59,18.2,131.0,491 CPT,97129,PR VIDEO THER INTV COG FUNC INITIAL 15MIN ST,74.0,65.86,18.2,74.0,482 CPT,97130,HC THER INTV COG FUNC EA ADD15MIN OT,131.0,116.59,16.02,131.0,735 CPT,97130,HC THER INTV COG FUNC EA ADD15MIN PT,131.0,116.59,16.02,131.0,735 CPT,97130,HC THER INTV COG FUNC EA ADD15MIN ST,135.0,120.15,16.02,135.0,735 CPT,97130,PR THER INTV COG FUNC EA ADD15MIN OT,131.0,116.59,17.29,131.0,482 CPT,97130,PR THER INTV COG FUNC EA ADD15MIN PT,131.0,116.59,17.29,131.0,482 CPT,97130,PR THER INTV COG FUNC EA ADD15MIN ST,131.0,116.59,17.29,131.0,491 CPT,97130,PR VIDEO THER INTV COG FUNC EA ADD15MIN ST,74.0,65.86,17.29,74.0,482 CPT,97140,HC MANUAL THERAPY EA 15MIN OT,113.0,100.57,21.37,113.0,737 CPT,97140,HC MANUAL THERAPY EA 15MIN PT,113.0,100.57,21.37,113.0,737 CPT,97140,PR MANUAL THERAPY EA 15MIN CHIRO,113.0,100.57,22.74,113.0,491 CPT,97140,PR MANUAL THERAPY EA 15MIN OT,113.0,100.57,22.74,113.0,482 CPT,97140,PR MANUAL THERAPY EA 15MIN PT,113.0,100.57,22.74,113.0,482 CPT,97150,HC GROUP THERAPY OT,67.0,59.63,13.48,67.0,739 CPT,97150,HC GROUP THERAPY PT,67.0,59.63,13.48,67.0,739 CPT,97150,PR GROUP THERAPY OT,67.0,59.63,14.71,67.0,482 CPT,97151,PR BHV ID ASSMT BY PHYS PER 15 MIN,104.0,92.56,10.4,104.0,477 CPT,97156,PR FAM ADAPT BHV TX GDN PHY PER 15 MIN,71.0,63.19,7.1,71.0,477 CPT,97161,HC PT EVAL LOW COMPLEX,308.0,274.12,64.06,308.0,743 CPT,97161,PR PT EVAL LOW COMPLEX,308.0,274.12,80.76,308.0,482 CPT,97162,HC PT EVAL MOD COMPLEX,353.0,314.17,73.42,353.0,740 CPT,97162,PR PT EVAL MOD COMPLEX,353.0,314.17,80.76,353.0,482 CPT,97163,HC PT EVAL HIGH COMPLEX,370.0,329.3,76.96,370.0,735 CPT,97163,PR PT EVAL HIGH COMPLEX,370.0,329.3,80.76,370.0,482 CPT,97164,HC PT RE-EVAL EST PLAN CARE,188.0,167.32,39.1,188.0,737 CPT,97164,PR PT RE-EVAL EST PLAN CARE,188.0,167.32,55.69,188.0,482 CPT,97165,HC OT EVAL LOW COMPLEX,317.0,282.13,65.94,317.0,741 CPT,97165,PR OT EVAL LOW COMPLEX,317.0,282.13,83.0,317.0,482 CPT,97166,HC OT EVAL MOD COMPLEX,342.0,304.38,71.14,342.0,742 CPT,97166,PR OT EVAL MOD COMPLEX,342.0,304.38,83.0,342.0,482 CPT,97167,HC OT EVAL HIGH COMPLEX,370.0,329.3,76.96,370.0,736 CPT,97167,PR OT EVAL HIGH COMPLEX,370.0,329.3,83.0,370.0,482 CPT,97168,HC OT RE-EVAL EST PLAN CARE,256.0,227.84,53.25,256.0,736 CPT,97168,PR OT RE-EVAL EST PLAN CARE,256.0,227.84,56.53,256.0,482 CPT,97169,PR ATHLETIC TRAIN EVAL 15 MIN,191.0,169.99,168.08,191.0,478 CPT,97170,PR ATHLETIC TRAIN EVAL 30 MIN,197.0,175.33,173.36,197.0,477 CPT,97171,PR ATHLETIC TRAIN EVAL 45 MIN,319.0,283.91,280.72,319.0,477 CPT,97172,PR ATHLETIC TRAIN RE-EVAL,207.0,184.23,182.16,207.0,477 CPT,97530,HC THER FUNCT ACTVTY EA 15MIN OT,115.0,102.35,23.92,115.0,743 CPT,97530,HC THER FUNCT ACTVTY EA 15MIN PT,115.0,102.35,23.92,115.0,743 CPT,97530,PR THER FUNCT ACTVTY EA 15MIN OT,115.0,102.35,28.9,115.0,482 CPT,97530,PR THER FUNCT ACTVTY EA 15MIN PT,115.0,102.35,28.9,115.0,482 CPT,97533,HC SENSORY INTEG EA 15 MIN OT,120.0,106.8,24.96,120.0,735 CPT,97533,HC SENSORY INTEG EA 15 MIN PT,120.0,106.8,24.96,120.0,735 CPT,97533,PR SENSORY INTEG EA 15 MIN OT,120.0,106.8,50.46,120.0,482 CPT,97535,HC HOME MGMT TRAIN EA 15MIN OT,122.0,108.58,25.18,122.0,742 CPT,97535,HC HOME MGMT TRAIN EA 15MIN PT,122.0,108.58,25.18,122.0,742 CPT,97535,PR HOME MGMT TRAIN EA 15MIN OT,122.0,108.58,26.65,122.0,482 CPT,97535,PR HOME MGMT TRAIN EA 15MIN PT,122.0,108.58,26.65,122.0,482 CPT,97537,HC COMM/WORK REINTGRT EA 15MIN OT,90.0,80.1,18.72,90.0,735 CPT,97537,PR COMM/WORK REINTGRT EA 15MIN OT,90.0,80.1,26.34,90.0,482 CPT,97542,HC WHEELCHAIR MGMT EA 15MIN OT,73.0,64.97,15.18,73.0,737 CPT,97542,HC WHEELCHAIR MGMT EA 15MIN PT,73.0,64.97,15.18,73.0,737 CPT,97542,PR WHEELCHAIR MGMT EA 15MIN OT,73.0,64.97,25.5,73.0,482 CPT,97542,PR WHEELCHAIR MGMT EA 15MIN PT,73.0,64.97,25.5,73.0,482 CPT,97545,PR WORK HARD/COND INIT 2HRS OT,389.0,346.21,342.32,389.0,477 CPT,97545,PR WORK HARD/COND INIT 2HRS PT,389.0,346.21,342.32,389.0,477 CPT,97546,PR WORK HARD/COND EA ADD HR OT,176.0,156.64,154.88,176.0,477 CPT,97546,PR WORK HARD/COND EA ADD HR PT,176.0,156.64,154.88,176.0,477 CPT,97550,HC CAREGIVER TRAINING INITIAL 30 MINS OT,239.0,212.71,34.6,239.0,734 CPT,97550,HC CAREGIVER TRAINING INITIAL 30 MINS PT,239.0,212.71,34.6,239.0,734 CPT,97550,HC CAREGIVER TRAINING INITIAL 30 MINS ST,239.0,212.71,34.6,239.0,734 CPT,97550,PR CAREGIVER TRAINING INITIAL 30 MINS MD/DO/QHP,239.0,212.71,43.32,239.0,491 CPT,97550,PR CAREGIVER TRAINING INITIAL 30 MINS OT,239.0,212.71,43.32,239.0,482 CPT,97550,PR CAREGIVER TRAINING INITIAL 30 MINS PT,239.0,212.71,43.32,239.0,482 CPT,97550,PR CAREGIVER TRAINING INITIAL 30 MINS ST,239.0,212.71,43.32,239.0,482 CPT,97551,HC CAREGIVER TRAINING ADDL 15 MINS OT,119.0,105.91,18.56,119.0,734 CPT,97551,HC CAREGIVER TRAINING ADDL 15 MINS PT,119.0,105.91,18.56,119.0,734 CPT,97551,HC CAREGIVER TRAINING ADDL 15 MINS ST,119.0,105.91,18.56,119.0,734 CPT,97551,PR CAREGIVER TRAINING ADDL 15 MINS MD/DO/QHP,119.0,105.91,21.45,119.0,482 CPT,97551,PR CAREGIVER TRAINING ADDL 15 MINS OT,119.0,105.91,21.45,119.0,482 CPT,97551,PR CAREGIVER TRAINING ADDL 15 MINS PT,119.0,105.91,21.45,119.0,482 CPT,97551,PR CAREGIVER TRAINING ADDL 15 MINS ST,119.0,105.91,21.45,119.0,482 CPT,97552,PR GROUP CAREGIVER TRAINING OT,127.0,113.03,18.13,127.0,482 CPT,97552,PR GROUP CAREGIVER TRAINING PT,127.0,113.03,18.13,127.0,482 CPT,97552,PR GROUP CAREGIVER TRAINING ST,127.0,113.03,18.13,127.0,482 CPT,97597,HC DBRD SEL OPN WND<=20SCM,435.0,387.15,30.01,435.0,2223 CPT,97597,HC DBRD SEL OPN WND<=20SCM OT,311.0,276.79,30.01,311.0,741 CPT,97597,HC DBRD SEL OPN WND<=20SCM PT,311.0,276.79,30.01,311.0,741 CPT,97597,PR DBRD SEL OPN WND<=20SCM,311.0,276.79,71.11,311.0,486 CPT,97597,PR DBRD SEL OPN WND<=20SCM OT,311.0,276.79,83.66,311.0,486 CPT,97597,PR DBRD SEL OPN WND<=20SCM PT,311.0,276.79,83.66,311.0,486 CPT,97598,HC DBRD SEL OPN WND ADD 20SCM,363.0,323.07,20.4,363.0,1440 CPT,97598,HC DBRD SEL OPN WND ADD 20SCM OT,178.0,158.42,20.4,178.0,720 CPT,97598,HC DBRD SEL OPN WND ADD 20SCM PT,178.0,158.42,20.4,178.0,720 CPT,97598,PR DBRD SEL OPN WND ADD 20SCM,178.0,158.42,32.74,178.0,482 CPT,97598,PR DBRD SEL OPN WND ADD 20SCM PT,178.0,158.42,38.52,178.0,482 CPT,97602,HC DBRD WND RMVL TIS NON-SEL,433.0,385.37,90.06,433.0,1470 CPT,97602,HC DBRD WND RMVL TIS NON-SEL OT,433.0,385.37,90.06,433.0,735 CPT,97602,HC DBRD WND RMVL TIS NON-SEL PT,419.0,372.91,87.15,419.0,735 CPT,97602,PR DBRD WND RMVL TIS NON-SEL,149.0,132.61,131.12,149.0,424 CPT,97605,HC NEG PRESS WND THRPY <=50SCM,525.0,467.25,20.88,525.0,1476 CPT,97605,HC NEG PRESS WND THRPY <=50SCM PT,542.0,482.38,20.88,542.0,738 CPT,97605,PR NEG PRESS WND THRPY <=50SCM,180.0,160.2,29.51,180.0,512 CPT,97606,HC NEG PRESS WND THRPY >50SCM,1079.0,960.31,22.9,1079.0,736 CPT,97606,HC NEG PRESS WND THRPY >50SCM PT,1079.0,960.31,22.9,1079.0,736 CPT,97606,PR NEG PRESS WND THRPY >50SCM,330.0,293.7,35.43,330.0,512 CPT,97607,PR NPW THRPY NON DME <50SCM,360.0,320.4,306.99,360.0,482 CPT,97610,HC LOW FREQ/NO-CON/NON-THERM US,668.0,594.52,15.19,668.0,737 CPT,97610,HC LOW FREQ/NO-CON/NON-THERM US OT,690.0,614.1,15.19,690.0,737 CPT,97610,HC LOW FREQ/NO-CON/NON-THERM US PT,690.0,614.1,15.19,690.0,737 CPT,97610,PR LOW FREQ/NO-CON/NON-THERM US,690.0,614.1,283.25,690.0,507 CPT,97610,PR LOW FREQ/NO-CON/NON-THERM US OT,690.0,614.1,333.23,690.0,482 CPT,97610,PR LOW FREQ/NO-CON/NON-THERM US PT,690.0,614.1,333.23,690.0,482 CPT,97750,HC PHYSICAL PERF TEST EA 15MIN OT,169.0,150.41,26.21,169.0,739 CPT,97750,HC PHYSICAL PERF TEST EA 15MIN PT,169.0,150.41,26.21,169.0,739 CPT,97750,PR PHYSICAL PERF TEST EA 15MIN,169.0,150.41,27.77,169.0,485 CPT,97750,PR PHYSICAL PERF TEST EA 15MIN OT,169.0,150.41,27.77,169.0,485 CPT,97750,PR PHYSICAL PERF TEST EA 15MIN PT,169.0,150.41,27.77,169.0,485 CPT,97760,HC ORTH TRAIN INIT ENC EA 15MIN OT,160.0,142.4,33.28,160.0,736 CPT,97760,HC ORTH TRAIN INIT ENC EA 15MIN PT,160.0,142.4,33.28,160.0,736 CPT,97760,PR ORTH TRAIN INIT ENC EA 15MIN OT,160.0,142.4,38.11,160.0,482 CPT,97760,PR ORTH TRAIN INIT ENC EA 15MIN PT,160.0,142.4,38.11,160.0,482 CPT,97761,HC PROSTH TRAIN INIT ENC EA 15MIN PT,115.0,102.35,23.92,115.0,733 CPT,97761,PR PROSTH TRAIN INIT ENC EA 15MIN OT,115.0,102.35,33.34,115.0,482 CPT,97761,PR PROSTH TRAIN INIT ENC EA 15MIN PT,115.0,102.35,33.34,115.0,482 CPT,97763,HC ORTH/PROST TRAIN SBQ ENC EA 15MIN OT,191.0,169.99,39.69,191.0,733 CPT,97763,HC ORTH/PROST TRAIN SBQ ENC EA 15MIN PT,191.0,169.99,39.69,191.0,733 CPT,97763,PR ORTH/PROST TRAIN SBQ ENC EA 15MIN OT,191.0,169.99,41.49,191.0,482 CPT,97763,PR ORTH/PROST TRAIN SBQ ENC EA 15MIN PT,191.0,169.99,41.49,191.0,482 CPT,97802,PR MNT INIT INDV EA 15MIN,116.0,103.24,25.7,116.0,493 CPT,97803,PR MNT REASSESS INDV EA 15MIN,92.0,81.88,22.17,92.0,490 CPT,97804,PR MNT GROUP EA 30MIN,62.0,55.18,11.82,62.0,486 CPT,97810,HC ACUPUNC WO E-STIM INIT 15MIN,131.0,116.59,27.25,131.0,733 CPT,97810,PR ACUPUNC WO E-STIM INIT 15MIN,121.0,107.69,39.1,121.0,490 CPT,97811,HC ACUPUNC WO E-STIM EA ADD 15MIN,100.0,89.0,20.8,100.0,717 CPT,97811,PR ACUPUNC WO E-STIM EA ADD 15MIN,92.0,81.88,22.87,92.0,490 CPT,97813,HC ACUPUNC W E-STIM 1ST 15 MIN,169.0,150.41,28.99,169.0,734 CPT,97813,PR ACUPUNC W E-STIM 1ST 15 MIN,129.0,114.81,45.81,129.0,487 CPT,97814,HC ACUPUNC W E-STIM ADD 15MIN,114.0,101.46,23.71,114.0,717 CPT,97814,PR ACUPUNC W E-STIM ADD 15MIN,84.0,74.76,23.15,84.0,487 CPT,98000,PR SYNCH AUDIO-VIDEO NEW SF 15,260.0,231.4,45.62,260.0,485 CPT,98001,PR SYNCH AUDIO-VIDEO NEW LOW 30,353.0,314.17,74.52,353.0,485 CPT,98002,PR SYNCH AUDIO-VIDEO NEW MOD 45,527.0,469.03,137.23,527.0,482 CPT,98003,PR SYNCH AUDIO-VIDEO NEW HI 60,667.0,593.63,182.22,667.0,482 CPT,98004,PR SYNCH AUDIO-VIDEO EST SF 10,153.0,136.17,40.62,153.0,482 CPT,98005,PR SYNCH AUDIO-VIDEO EST LOW 20,89.0,79.21,61.19,89.0,469 CPT,98006,PR SYNCH AUDIO-VIDEO EST MOD 30,331.0,294.59,90.0,331.0,492 CPT,98007,PR SYNCH AUDIO-VIDEO EST HI 40,507.0,451.23,119.28,507.0,485 CPT,98008,PR SYNCH AUDIO-ONLY NEW SF 15,260.0,231.4,43.26,260.0,436 CPT,98009,PR SYNCH AUDIO-ONLY NEW LOW 30,353.0,314.17,82.56,353.0,482 CPT,98010,PR SYNCH AUDIO-ONLY NEW MOD 45,527.0,469.03,110.4,527.0,485 CPT,98011,PR SYNCH AUDIO-ONLY NEW HI 60,667.0,593.63,166.6,667.0,482 CPT,98012,PR SYNCH AUDIO-ONLY EST SF 10,153.0,136.17,37.23,153.0,482 CPT,98013,PR SYNCH AUDIO-ONLY EST LOW 20,256.0,227.84,64.83,256.0,482 CPT,98014,PR SYNCH AUDIO-ONLY EST MOD 30,331.0,294.59,81.42,331.0,485 CPT,98015,PR SYNCH AUDIO-ONLY EST HI 40,507.0,451.23,118.38,507.0,485 CPT,98925,PR OMT 1-2 BODY REGIONS,142.0,126.38,26.25,142.0,482 CPT,98926,PR OMT 3-4 BODY REGIONS,186.0,165.54,37.36,186.0,489 CPT,98927,PR OMT 5-6 BODY REGIONS,219.0,194.91,49.1,219.0,489 CPT,98940,PR CHIRO MANIP SPINE 1-2 REGIONS,73.0,64.97,21.88,73.0,492 CPT,98941,PR CHIRO MANIP SPINE 3-4 REGIONS,85.0,75.65,31.51,85.0,491 CPT,98942,"PR CHIROPRAC MANIP,SPINAL,5 REGIONS",97.0,86.33,40.85,97.0,491 CPT,98943,PR CHIRO MANIP EXTSPNAL 1> REGION,67.0,59.63,25.98,67.0,482 CPT,98960,HC SELF-MGMT EDUC & TRAIN 1 PT,152.0,135.28,31.62,152.0,717 CPT,98960,PR SELF-MGMT EDUC & TRAIN 1 PT,105.0,93.45,33.88,105.0,468 CPT,98961,PR SELF-MGMT EDUC & TRAIN 2-4 PT,78.0,69.42,13.79,78.0,467 CPT,98962,PR SELF-MGMT EDUC & TRAIN 5-8 PT,60.0,53.4,10.52,60.0,467 CPT,98966,PR PHONE ASSESS/MNGMT 5-10 MIN,57.0,50.73,10.2,57.0,499 CPT,98966,PR PHONE ASSESS/MNGMT 5-10 MIN - BH,57.0,50.73,11.1,57.0,482 CPT,98967,PR PHONE ASSESS/MNGMT 11-20 MIN,115.0,102.35,18.6,115.0,499 CPT,98967,PR PHONE ASSESS/MNGMT 11-20 MIN - BH,115.0,102.35,20.24,115.0,482 CPT,98968,PR PHONE ASSESS/MNGMT 21-30 MIN,169.0,150.41,25.9,169.0,499 CPT,98968,PR PHONE ASSESS/MNGMT 21-30 MIN - BH,169.0,150.41,28.18,169.0,482 CPT,98980,PR REMOTE THER MNTR TX MGMT PHYS/QHP 1ST 20 MIN,208.0,185.12,44.34,208.0,482 CPT,98981,PR REMOTE THER MNTR TX MGMT PHYS/QHP EA ADDL 20 MIN,195.0,173.55,33.69,195.0,482 CPT,99024,HC POSTOPERATIVE FOLLOW-UP VISIT,510.0,453.9,106.08,510.0,738 CPT,99070,HC EMST150 TRAINER,272.0,242.08,56.58,272.0,719 CPT,99070,HC EMST75LITE TRAINER,308.0,274.12,64.06,308.0,719 CPT,99070,HC PACK MINOR VAGINAL CUSTOM,297.0,264.33,61.78,297.0,719 CPT,99070,PR CATH-SUREVIEW TRANSFER 23 CM,113.0,100.57,99.44,113.0,462 CPT,99070,PR CATHETER SUREPRO ULTRA,132.0,117.48,116.16,132.0,462 CPT,99070,PR EMST150 TRAINER,272.0,242.08,239.36,272.0,462 CPT,99070,PR EMST75LITE TRAINER,308.0,274.12,271.04,308.0,462 CPT,99070,PR ESOPHAGEAL CYTOSPONGE,583.0,518.87,513.04,583.0,462 CPT,99070,PR JUVEDERM ULTRA PLUS XC RST,750.0,667.5,660.0,750.0,462 CPT,99070,PR PGAP WORKBOOK RST,95.0,84.55,83.6,95.0,462 CPT,99070,PR RESTYLANE 1 CC RST,750.0,667.5,660.0,750.0,462 CPT,99070,PR RESTYLANE EYELIGHT 1/2 CC,600.0,534.0,528.0,600.0,462 CPT,99078,HC PHYS/QHP EDUCATION SERVICES,197.0,175.33,40.98,197.0,717 CPT,99080,PR MED RECORD REV FAA PILOT 120MI,620.0,551.8,545.6,620.0,423 CPT,99080,PR MED RECORD REV FAA PILOT 150MI,775.0,689.75,682.0,775.0,423 CPT,99080,PR MED RECORD REV FAA PILOT 180MIN,930.0,827.7,818.4,930.0,423 CPT,99080,PR MED RECORD REV FAA PILOT 30MIN,155.0,137.95,136.4,155.0,423 CPT,99080,PR MED RECORD REV FAA PILOT 60MIN,310.0,275.9,272.8,310.0,423 CPT,99080,PR MED RECORD REV FAA PILOT 90MIN,465.0,413.85,409.2,465.0,423 CPT,99080,PR SPECIAL REPORT/WC FORM,59.0,52.51,51.92,59.0,423 CPT,99091,PR COLL AND INTERP PHYS DATA,207.0,184.23,44.28,207.0,482 CPT,99100,PR ANES PT EXTREME AGE <1YR/ >70,178.0,158.42,156.64,178.0,459 CPT,99116,PR ANES COMPL TOT BODY HYPOTHERM,1054.0,938.06,927.52,1054.0,459 CPT,99135,PR ANES COMPL CNTRLD HYPOTENSION,989.0,880.21,870.32,989.0,459 CPT,99140,PR ANES COMPL EMERG CONDITIONS,356.0,316.84,313.28,356.0,459 CPT,99151,PR MOD SED SAME PHYS/QHP INITIAL 15 UNDER 5,287.0,255.43,51.17,287.0,482 CPT,99152,PR MOD SED SAME PHYS/QHP INITIAL 15 5 YRS OR OLDER,149.0,132.61,42.39,149.0,483 CPT,99152,PR MOD SED SAME PHYS/QHP INITIAL 15 5 YRS OR OLDER-GI,149.0,132.61,51.95,149.0,483 CPT,99153,HC MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,94.0,83.66,19.55,94.0,717 CPT,99153,PR MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,67.0,59.63,9.98,67.0,482 CPT,99155,PR MOD SED OTH PHYS/QHP <5 YRS,509.0,453.01,62.14,509.0,482 CPT,99156,PR MOD SED OTH PHYS/QHP 5/>YRS,392.0,348.88,54.64,392.0,482 CPT,99157,PR MOD SED OTH PHYS/QHP 5/>YRS ADDL 15 MIN,260.0,231.4,41.65,260.0,482 CPT,99173,PR VISUAL ACUITY SCRN,30.0,26.7,2.77,30.0,493 CPT,99174,PR INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL & RPT,72.0,64.08,6.63,72.0,489 CPT,99177,PR INSTRUMENT BASED OCULAR SCR BY W/ONSITE ANALYSIS,50.0,44.5,4.56,50.0,494 CPT,99183,PR HYPERBARIC O2 THERAPY,869.0,773.41,72.39,869.0,507 CPT,99184,PR HYPOTHERMIA TOTAL BODY,1868.0,1662.52,145.07,1868.0,482 CPT,99188,PR TOPICAL FLUORIDE VARNISH-PRIMCARE,61.0,54.29,11.93,61.0,491 CPT,99195,HC PHLEBOTOMY THERAPEUTIC,518.0,461.02,99.82,518.0,741 CPT,99199,HC MASSAGE THERAPY 1-15 MINS,42.0,37.38,8.74,42.0,719 CPT,99199,HC MASSAGE THERAPY 16-30 MINS,84.0,74.76,17.47,84.0,719 CPT,99199,HC MASSAGE THERAPY 31-45 MINS,126.0,112.14,26.21,126.0,719 CPT,99199,HC MASSAGE THERAPY 46-60 MINS,168.0,149.52,34.94,168.0,719 CPT,99199,PR COMPLEX DOT EXAM,350.0,311.5,35.0,350.0,489 CPT,99199,PR COMPLEX PRE-PLACEMENT EXAM,400.0,356.0,40.0,400.0,489 CPT,99199,PR CUPPING,34.0,30.26,3.4,34.0,489 CPT,99199,PR DAILY NDC RES PROGRAM,1010.0,898.9,101.0,1010.0,489 CPT,99199,PR INTERNATIONAL MED AHP PER DAY,5000.0,4450.0,500.0,5000.0,489 CPT,99199,PR INTERNATIONAL MED APP PER DAY,7500.0,6675.0,750.0,7500.0,489 CPT,99199,PR INTERNATIONAL MED MD PER DAY,15000.0,13350.0,1500.0,15000.0,493 CPT,99199,PR INTERNATIONAL MED SURG/PROC PER DAY,25000.0,22250.0,2500.0,25000.0,489 CPT,99199,PR MASSAGE THERAPY 1-15 MINS,42.0,37.38,4.2,42.0,489 CPT,99199,PR MASSAGE THERAPY 16-30 MINS,84.0,74.76,8.4,84.0,489 CPT,99199,PR MASSAGE THERAPY 31-45 MINS,126.0,112.14,12.6,126.0,489 CPT,99199,PR MASSAGE THERAPY 46-60 MINS,168.0,149.52,16.8,168.0,489 CPT,99199,PR STANDARD DOT EXAM,150.0,133.5,15.0,150.0,489 CPT,99199,PR WORK COMP QUALIFIED REHAB CONS,203.0,180.67,20.3,203.0,489 CPT,99202,HC VISIT NEW PATIENT LEVEL 2,180.0,160.2,37.44,180.0,739 CPT,99202,PR TELEPHONE VISIT NEW PATIENT LEVEL 2,260.0,231.4,60.97,260.0,492 CPT,99202,PR VISIT NEW PATIENT LEVEL 2,260.0,231.4,60.97,260.0,516 CPT,99203,HC VISIT NEW PATIENT LEVEL 3,198.0,176.22,41.18,198.0,742 CPT,99203,PR VISIT NEW PATIENT LEVEL 3,353.0,314.17,94.26,353.0,507 CPT,99204,HC VISIT NEW PATIENT LEVEL 4,218.0,194.02,45.34,218.0,744 CPT,99204,PR VISIT NEW PATIENT LEVEL 4,527.0,469.03,142.07,527.0,497 CPT,99205,HC VISIT NEW PATIENT LEVEL 5,240.0,213.6,49.92,240.0,738 CPT,99205,PR VISIT NEW PATIENT LEVEL 5,667.0,593.63,188.89,667.0,497 CPT,99211,HC IP PICC REMOVAL,140.0,124.6,6.22,176.65,742 CPT,99211,HC MIDLINE REMOVAL,140.0,124.6,7.49,176.65,742 CPT,99211,HC OB TRIAGE LEVEL 1,265.0,235.85,6.22,265.0,744 CPT,99211,HC VISIT EST PATIENT LEVEL 1,140.0,124.6,7.49,176.65,1484 CPT,99211,PR SUTURE REMOVAL-RN,86.0,76.54,20.13,86.0,498 CPT,99211,PR TB READING ONLY,,,20.13,79.0,455 CPT,99211,PR VISIT EST PATIENT LEVEL 1,86.0,76.54,20.13,86.0,494 CPT,99212,HC OB TRIAGE LEVEL 2,399.0,355.11,22.21,399.0,745 CPT,99212,HC VISIT EST PATIENT LEVEL 2,140.0,124.6,29.12,176.65,2229 CPT,99212,PR TELEPHONE VISIT EST PATIENT LEVEL 2,153.0,136.17,48.17,153.0,499 CPT,99212,PR VISIT EST PATIENT LEVEL 2,153.0,136.17,40.94,153.0,524 CPT,99213,HC OB TRIAGE LEVEL 3,532.0,473.48,41.79,532.0,746 CPT,99213,HC VISIT EST PATIENT LEVEL 3,154.0,137.06,32.03,176.65,2232 CPT,99213,PR SPORTS EXAM EST PT - LVL 3,,,77.1,179.0,455 CPT,99213,PR TELEPHONE VISIT EST PATIENT LEVEL 3,256.0,227.84,65.54,256.0,523 CPT,99213,PR VISIT EST PATIENT LEVEL 3,89.0,79.21,65.54,89.0,484 CPT,99214,HC OB TRIAGE LEVEL 4,664.0,590.96,68.49,664.0,744 CPT,99214,HC VISIT EST PATIENT LEVEL 4,169.0,150.41,35.15,176.65,1484 CPT,99214,PR VISIT EST PATIENT LEVEL 4,331.0,294.59,93.12,331.0,526 CPT,99215,HC OB TRIAGE LEVEL 5,797.0,709.33,91.5,797.0,742 CPT,99215,HC VISIT EST PATIENT LEVEL 5,186.0,165.54,38.69,186.0,1480 CPT,99215,PR VISIT EST PATIENT LEVEL 5,507.0,451.23,131.86,507.0,498 CPT,99221,PR INIT HOSP IP/OBS SF/LOW,439.0,390.71,57.45,439.0,482 CPT,99222,PR INIT HOSP IP/OBS MODERATE,641.0,570.49,91.51,641.0,481 CPT,99223,PR INIT HOSP IP/OBS HIGH,834.0,742.26,122.89,834.0,482 CPT,99231,PR SBSQ HOSP IP/OBS SF/LOW,201.0,178.89,34.63,201.0,482 CPT,99232,PR SBSQ HOSP IP/OBS MODERATE,303.0,269.67,47.19,303.0,508 CPT,99233,PR SBSQ HOSP IP/OBS HIGH,400.0,356.0,84.25,400.0,482 CPT,99234,PR HOSP IP/OBS SM DT SF/LOW,581.0,517.09,68.86,581.0,482 CPT,99235,PR HOSP IP/OBS SAME DATE MODERATE,786.0,699.54,112.48,786.0,482 CPT,99236,PR HOSP IP/OBS SAME DATE HIGH,1070.0,952.3,126.4,1070.0,507 CPT,99238,PR HOSP D/C DAY MGMT <= 30 MIN,373.0,331.97,59.24,373.0,489 CPT,99239,PR HOSP D/C DAY MGMT > 30 MIN,420.0,373.8,84.57,420.0,482 CPT,99242,HC OFFICE CONSULT LEVEL 2,220.0,195.8,45.76,220.0,1472 CPT,99242,PR OFFICE CONSULT LEVEL 2,411.0,365.79,64.65,411.0,488 CPT,99243,HC OFFICE CONSULT LEVEL 3,242.0,215.38,50.34,242.0,1474 CPT,99243,PR OFFICE CONSULT LEVEL 3,515.0,458.35,96.57,515.0,496 CPT,99244,HC OFFICE CONSULT LEVEL 4,266.0,236.74,55.33,266.0,740 CPT,99244,PR OFFICE CONSULT LEVEL 4,742.0,660.38,137.76,742.0,497 CPT,99245,HC OFFICE CONSULT LEVEL 5,293.0,260.77,60.94,293.0,737 CPT,99245,PR OFFICE CONSULT LEVEL 5,993.0,883.77,179.02,993.0,499 CPT,99252,PR IP/OBS CONSULT SF,425.0,378.25,68.76,425.0,482 CPT,99253,PR IP/OBS CONSULT LOW,537.0,477.93,96.86,537.0,482 CPT,99254,PR IP/OBS CONSULT MODERATE,782.0,695.98,134.81,782.0,482 CPT,99255,PR IP/OBS CONSULT HIGH,866.0,770.74,180.69,866.0,482 CPT,99281,HC ED VISIT LEVEL 1,265.0,235.85,10.37,265.0,736 CPT,99281,PR ED VISIT LEVEL 1,162.0,144.18,8.46,162.0,482 CPT,99282,HC ED VISIT LEVEL 2,475.0,422.75,37.99,475.0,736 CPT,99282,PR ED VISIT LEVEL 2,266.0,236.74,26.35,266.0,507 CPT,99283,HC ED DAILY FACILITY VISIT,1013.0,901.57,65.04,1013.0,736 CPT,99283,HC ED VISIT LEVEL 3,1013.0,901.57,65.04,1013.0,736 CPT,99283,PR ED VISIT LEVEL 3,472.0,420.08,53.07,472.0,482 CPT,99284,HC ED VISIT LEVEL 4,1639.0,1458.71,110.45,1639.0,734 CPT,99284,PR ED VISIT LEVEL 4,771.0,686.19,90.13,771.0,482 CPT,99285,HC ED VISIT LEVEL 5,2389.0,2126.21,160.69,2389.0,745 CPT,99285,HC RED TRAUMA RESPONSE VISIT LEVEL 5,13773.0,12257.97,160.69,13773.0,745 CPT,99285,HC YELLOW TRAUMA RESPONSE VISIT LEVEL 5,12928.0,11505.92,160.69,12928.0,745 CPT,99285,PR ED VISIT LEVEL 5,1154.0,1027.06,131.12,1154.0,482 CPT,99291,HC CRITICAL CARE 30-74MIN,3669.0,3265.41,189.22,3669.0,737 CPT,99291,HC RED TRAUMA RESPONSE CC 30-74 MIN,15053.0,13397.17,189.22,15053.0,737 CPT,99291,HC YELLOW TRAUMA RESPONSE CC 30-74 MIN,14208.0,12645.12,189.22,14208.0,737 CPT,99291,PR CRITICAL CARE 30-74MIN,1392.0,1238.88,246.68,1392.0,482 CPT,99292,HC CRITICAL CARE ADD 30MIN,945.0,841.05,95.3,945.0,717 CPT,99292,PR CRITICAL CARE ADD 30MIN,679.0,604.31,106.09,679.0,482 CPT,99304,PR INIT NURSING CARE LEVEL 1,272.0,242.08,65.17,272.0,489 CPT,99305,PR INIT NURSING CARE LEVEL 2,441.0,392.49,112.78,441.0,485 CPT,99306,PR INIT NURSING CARE LEVEL 3,605.0,538.45,154.74,605.0,485 CPT,99307,PR SUBSQ NURSING CARE LEVEL 1,168.0,149.52,28.72,168.0,485 CPT,99308,PR SUBSQ NURSING CARE LEVEL 2,241.0,214.49,54.02,241.0,485 CPT,99309,PR SUBSQ NURSING CARE LEVEL 3,297.0,264.33,78.1,297.0,485 CPT,99310,PR SUBSQ NURSING CARE LEVEL 4,441.0,392.49,111.12,441.0,485 CPT,99315,PR NURSING FAC DSCHG DAY <=30 MIN,272.0,242.08,58.73,272.0,485 CPT,99316,PR NURSING FAC DSCHG DAY > 30 MIN,426.0,379.14,94.13,426.0,485 CPT,99341,PR IN-HOME VISIT NEW LEVEL 1,154.0,137.06,33.7,154.0,507 CPT,99342,PR IN-HOME VISIT NEW LEVEL 2,242.0,215.38,63.48,242.0,489 CPT,99344,PR IN-HOME VISIT NEW LEVEL 4,483.0,429.87,117.66,483.0,489 CPT,99345,PR IN-HOME VISIT NEW LEVEL 5,612.0,544.68,168.35,612.0,489 CPT,99347,PR IN-HOME VISIT EST LEVEL 1,155.0,137.95,31.61,155.0,514 CPT,99348,PR IN-HOME VISIT EST LEVEL 2,258.0,229.62,54.07,258.0,510 CPT,99349,PR IN-HOME VISIT EST LEVEL 3,388.0,345.32,90.04,388.0,515 CPT,99350,PR IN-HOME VISIT EST LEVEL 4,528.0,469.92,131.29,528.0,514 CPT,99360,PR PHYSICIAN STANDBY SRV 30 MIN,483.0,429.87,50.05,483.0,482 CPT,99366,HC MED TM CONF F2F PAT 30+MIN,246.0,218.94,221.4,221.4,1 CPT,99366,PR MED TM CONF F2F PAT 30+MIN,246.0,218.94,41.29,246.0,428 CPT,99368,HC TEAM CONF QHP NO MD/PAT 30 MIN,278.0,247.42,57.82,278.0,717 CPT,99368,PR TEAM CONF QHP NO MD/PAT 30 MIN,278.0,247.42,29.94,278.0,428 CPT,99375,PR HOME HEALTH SUPERVISN >=30MIN,448.0,398.72,88.5,448.0,482 CPT,99381,PR PREV MED NEW PAT INFANT,363.0,323.07,113.44,363.0,491 CPT,99382,PR PREV MED NEW PAT 1-4 YRS,358.0,318.62,118.26,358.0,490 CPT,99383,PR PREV MED NEW PAT 5-11 YRS,319.0,283.91,106.79,319.0,493 CPT,99384,PR PREV MED NEW PAT 12-17YRS,437.0,388.93,137.76,437.0,491 CPT,99385,PR PREV MED NEW PAT 18-39YRS,445.0,396.05,115.93,445.0,493 CPT,99386,PR PREV MED NEW PAT 40-64YRS,445.0,396.05,154.23,445.0,489 CPT,99387,PR PREV MED NEW PAT 65+ YRS,567.0,504.63,167.23,567.0,484 CPT,99391,PR PREV MED EST PAT INFANT,290.0,258.1,102.23,290.0,492 CPT,99392,PR PREV MED EST PAT 1-4 YR,340.0,302.6,108.63,340.0,492 CPT,99393,PR PREV MED EST PAT 5-11YR,296.0,263.44,93.89,296.0,494 CPT,99394,PR PREV MED EST PAT 12-17Y,325.0,289.25,102.62,325.0,497 CPT,99395,PR PREV MED EST PAT 18-39Y,357.0,317.73,104.66,357.0,496 CPT,99396,PR PREV MED EST PAT 40-64Y,357.0,317.73,127.89,357.0,493 CPT,99397,PR PREV MED EST PAT 65>=YR,521.0,463.69,138.1,521.0,489 CPT,99401,PR PREV MED INDV COUNSEL 15 MIN,131.0,116.59,34.42,131.0,486 CPT,99402,PR PREV MED INDV COUNSEL 30 MIN,204.0,181.56,55.71,204.0,487 CPT,99403,PR PREV MED INDV COUNSEL 45 MIN,256.0,227.84,75.74,256.0,485 CPT,99404,PR PREV MED INDV COUNSEL 60 MIN,312.0,277.68,96.83,312.0,485 CPT,99406,HC SMOKING CESSATN 3-10MIN,60.0,53.4,10.28,60.0,736 CPT,99406,PR SMOKING CESSATN 3-10MIN,74.0,65.86,11.32,74.0,484 CPT,99407,HC SMOKING CESSATN >10 MIN,89.0,79.21,18.51,89.0,736 CPT,99407,PR SMOKING CESSATN >10 MIN,130.0,115.7,23.21,130.0,489 CPT,99408,PR ALCOHOL/SUB ABUSE SCREEN 15-30,145.0,129.05,29.89,145.0,485 CPT,99412,PR PREVNT MED GRP COUNSEL 60 MIN,105.0,93.45,22.01,105.0,485 CPT,99417,PR PROLNG OP E/M EA 15 MIN,128.0,113.92,27.12,128.0,500 CPT,99418,PR PROLNG IP/OBS E/M EA 15 MIN,164.0,145.96,27.69,164.0,482 CPT,99421,PR MY CHART MESSAGING E&M PHYS/QHP 5-10MIN,25.0,22.25,12.58,25.0,495 CPT,99422,PR MY CHART MESSAGING E&M PHYS/QHP 11-20MIN,35.0,31.15,20.92,35.0,518 CPT,99422,PR ONLINE EXPRESS CARE E&M PHYS/QHP 11-20MIN,59.0,52.51,20.92,59.0,487 CPT,99423,PR MY CHART MESSAGING E&M PHYS/QHP 21+MIN,50.0,44.5,39.31,50.0,486 CPT,99423,PR ONLINE EXPRESS CARE E&M PHYS/QHP 21+MIN,59.0,52.51,33.42,59.0,486 CPT,99424,PR PRIN CARE MGMT MD/APP 1ST 30,360.0,320.4,70.14,360.0,487 CPT,99425,PR PRIN CARE MGMT MD/APP EA ADDL,296.0,263.44,49.42,296.0,482 CPT,99426,PR PRIN CARE MGMT CLINICAL STAFF 1ST 30,243.0,216.27,54.75,243.0,485 CPT,99427,PR PRIN CARE MGMT CLINICAL STAFF EA ADDL,186.0,165.54,43.88,186.0,485 CPT,99439,PR CHRNC CARE MGMT SVC EA ADDL,131.0,116.59,40.8,131.0,485 CPT,99445,HC REMOTE MONITORING DAILY RECORDING 2-15 DAYS,191.0,169.99,37.4,191.0,716 CPT,99445,PR REM MNTR PHYSIOL PARAM DEV SPLY W/REC 2-15 DAYS,191.0,169.99,43.55,191.0,482 CPT,99446,PR ECONSULT INTERNAL,125.0,111.25,14.91,125.0,482 CPT,99447,PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 11-20 MIN,200.0,178.0,30.02,200.0,482 CPT,99448,PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 21-30 MIN,303.0,269.67,45.05,303.0,482 CPT,99449,PR NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 31/> MIN,426.0,379.14,60.44,426.0,482 CPT,99451,HC ECONSULT INTERNAL,107.0,95.23,22.26,107.0,732 CPT,99451,PR ECONSULT INTERNAL,107.0,95.23,28.18,107.0,494 CPT,99452,PR NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN,249.0,221.61,29.58,249.0,482 CPT,99453,HC CONNECTED CARE- REMOTE MONITORING INITIAL SET UP EDUCATION,62.0,55.18,12.9,176.65,734 CPT,99453,PR CONNECTED CARE- REMOTE MONITORING INITIAL SET UP EDUCATION,62.0,55.18,17.83,62.0,488 CPT,99454,HC CONNECTED CARE- REMOTE MONITORING DAILY RECORDING,191.0,169.99,37.4,191.0,734 CPT,99454,PR CONNECTED CARE- REMOTE MONITORING DAILY RECORDING,191.0,169.99,43.55,191.0,489 CPT,99455,PR WORK RLTD/MED DISABILITY EXAM,520.0,462.8,457.6,520.0,477 CPT,99456,PR WORK RLTD/MED DISAB EXAM OTHR,1167.0,1038.63,1026.96,1167.0,477 CPT,99457,"HC CONNECTED CARE- REMOTE MONITORING INTERACTIVE COMMUNICATION, FIRST 20 MIN",154.0,137.06,18.91,154.0,732 CPT,99457,"PR CONNECTED CARE- REMOTE MONITORING INTERACTIVE COMMUNICATION, FIRST 20 MIN",154.0,137.06,42.19,154.0,489 CPT,99458,"HC CONNECTED CARE- REMOTE MONITORING INTRATV COMMUNICATION, ADDL 20 MIN",129.0,114.81,25.58,129.0,730 CPT,99458,"PR CONNECTED CARE- REMOTE MONITORING INTRATV COMMUNICATION, ADDL 20 MIN",129.0,114.81,33.5,129.0,489 CPT,99459,PR PELVIC EXAMINATION,80.0,71.2,12.39,80.0,513 CPT,99460,PR INIT NEWBORN CARE PER DAY,502.0,446.78,63.96,502.0,482 CPT,99462,PR SBSQ NEWBORN CARE PER DAY,222.0,197.58,28.06,222.0,482 CPT,99463,PR SAME DAY NEWBORN DISCHARGE,413.0,367.57,75.37,413.0,482 CPT,99464,PR ATTENDANCE AT DELIVERY,496.0,441.44,42.69,496.0,507 CPT,99465,PR NEWBORN RESUSCITATION,890.0,792.1,83.18,890.0,507 CPT,99468,PR NEONATE CRIT CARE INIT PER DAY,4641.0,4130.49,616.37,4641.0,482 CPT,99469,PR NEONATE CRIT CARE SBSQ PER DAY,2681.0,2386.09,266.79,2681.0,482 CPT,99470,"HC REMOTE MONITORING INTERACTIVE COMMUNICATION, FIRST 10 MIN",75.0,66.75,15.6,75.0,716 CPT,99470,PR RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 10 MIN,75.0,66.75,18.05,75.0,507 CPT,99471,PR PED CRITICAL CARE INIT,4090.0,3640.1,533.83,4090.0,482 CPT,99472,PR SUBSQ PED CRITICAL CARE,2555.0,2273.95,277.42,2555.0,482 CPT,99475,PR INIT PED CRIT CARE AGE 2-5,3015.0,2683.35,375.49,3015.0,482 CPT,99476,PR SUBSQ PED CRIT CARE AGE 2-5,2285.0,2033.65,240.85,2285.0,482 CPT,99477,PR HOSP NEONATE CARE INIT 28/= 1 MILLICURIE CAPSULE,76.0,67.64,15.81,76.0,717 HCPCS,A9509,SODIUM IODIDE-123 >/= 1 MILLICURIE ORAL SOLUTION,759.0,675.51,157.87,759.0,718 HCPCS,A9512,SODIUM PERTECHNETATE TC-99M INTRAVENOUS SOLUTION,26.0,23.14,5.41,26.0,723 HCPCS,A9513,INVESTIGATIONAL LUTETIUM DTPA-OMBURTAMAB (LU-177 DTPA-OMBURTAMAB) INTRAVENOUS SOLUTION,,,316.99,364.53,17 HCPCS,A9513,INVESTIGATIONAL LUTETIUM LU 177 DOTATATE INTRAVENOUS SOLUTION,,,316.99,364.53,17 HCPCS,A9513,LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION,197251.0,175553.39,316.99,197251.0,739 HCPCS,A9515,CHOLINE-11 (C-11) 33.1 MCI/ML INTRAVENOUS SOLUTION,6840.0,6087.6,1422.72,6840.0,744 HCPCS,A9516,SODIUM IODIDE-123 3.7 MBQ (100 MICROCI) CAPSULE,76.0,67.64,15.81,76.0,717 HCPCS,A9516,SODIUM IODIDE-123 7.4 MBQ (200 MICROCI) CAPSULE,76.0,67.64,15.81,76.0,717 HCPCS,A9516,SODIUM IODIDE-123 < 1 MILLICURIE CAPSULE,76.0,67.64,15.81,76.0,717 HCPCS,A9516,SODIUM IODIDE-123 < 1 MILLICURIE ORAL SOLUTION,76.0,67.64,15.81,76.0,724 HCPCS,A9517,SODIUM IODIDE-131 (I-131) THERAPY CAPSULE,47.0,41.83,9.78,47.0,734 HCPCS,A9520,KIT FOR THE PREP OF TC-99M-TILMANOCEPT 250 MCG SOLUTION FOR INJECTION,712.5,634.13,148.2,712.5,717 HCPCS,A9521,KIT FOR PREPARATION OF TC-99M-EXAMETAZIME 0.5 MG INTRAVENOUS KIT,225.0,200.25,46.8,1066.87,734 HCPCS,A9526,AMMONIA (N-13) 37.5 MCI/ML INTRAVENOUS SOLUTION,1327.5,1181.47,276.12,1327.5,723 HCPCS,A9528,SODIUM IODIDE-131 (I-131) > 100 MICROCURIE DIAGNOSTIC CAPSULE,42.5,37.83,8.84,42.5,717 HCPCS,A9529,SODIUM IODIDE-131 (I-131) > 100 MICROCURIE DIAGNOSTIC SOLUTION,42.5,37.83,8.84,42.5,717 HCPCS,A9530,SODIUM IODIDE-131 (I-131) THERAPY SOLUTION,47.0,41.83,9.78,47.0,734 HCPCS,A9531,SODIUM IODIDE-131 (I-131) =20 MEV COMPLEX,1095.0,974.55,454.71,1095.0,461 HCPCS,G8907,HC PATIENT DOC NOT EXP FALL,1.0,0.89,0.21,1.0,719 HCPCS,G8918,HC PATIENT WO IV ANTIBIO ORDER,1.0,0.89,0.21,1.0,719 HCPCS,H2035,HC ALC/DRG TX PRGRM PER HR LMTD,131.0,116.59,27.25,131.0,719 HCPCS,H2035,HC ETOH/DRUG TX PRG PER HR ALCOHOL,163.0,145.07,33.9,163.0,719 HCPCS,H2035,HC ETOH/DRUG TX PRG PER HR DRUG,169.0,150.41,35.15,169.0,719 HCPCS,H2035,HC ETOH/DRUG TX PRG PER HR GRP ALCOHOL,163.0,145.07,33.9,163.0,719 HCPCS,H2035,HC ETOH/DRUG TX PRG PER HR GRP DRUG,163.0,145.07,33.9,163.0,719 HCPCS,H2035,HC IAP PROGRAM PER HOUR,287.0,255.43,59.7,287.0,719 HCPCS,H2036,HC A/D TX PROGRAM PER DIEM ALCOHOL,1339.0,1191.71,278.51,1339.0,716 HCPCS,H2036,HC A/D TX PROGRAM PER DIEM DRUG,1339.0,1191.71,278.51,1339.0,716 HCPCS,J0121,OMADACYCLINE 100 MG INTRAVENOUS SOLUTION,1250.2,1112.68,4.02,1250.2,734 HCPCS,J0122,ERAVACYCLINE 50 MG INTRAVENOUS SOLUTION,285.7,254.27,1.3,285.7,736 HCPCS,J0129,ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION,4335.4,3858.51,44.11,4335.4,736 HCPCS,J0131,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION (WRAPPER)",56.6,50.37,11.77,56.6,717 HCPCS,J0131,ACETAMINOPHEN 10 MG/ML INTRAVENOUS SOLUTION (DRAWN FROM VIAL) (RESTRICTED),56.6,50.37,11.77,56.6,717 HCPCS,J0132,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,112.5,100.13,23.4,112.5,719 HCPCS,J0133,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,63.0,56.07,13.1,63.0,719 HCPCS,J0134,PR ACETAMINOPHEN -FRESENIUS INJ,57.4,51.09,5.6,57.4,481 HCPCS,J0153,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,112.3,99.95,23.36,112.3,725 HCPCS,J0153,ADENOSINE 0.3 MG/ML INTRAVENOUS DILUTION (NEONATE) CNR,39.9,35.51,1.83,39.9,719 HCPCS,J0153,ADENOSINE 3 MG/ML INTRAVENOUS (WRAPPER),42.1,37.47,3.65,42.1,722 HCPCS,J0153,ADENOSINE 6 MCG/ML INTRAVENOUS SOLUTION,35.2,31.33,0.61,35.2,719 HCPCS,J0163,EPINEPHRINE 4 MG/250 ML (16 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV SOLN,246.7,219.56,51.31,246.7,717 HCPCS,J0166,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,67.2,59.81,13.98,67.2,722 HCPCS,J0166,INJ EPINEPHRINE (BPI),44.7,39.78,3.32,44.7,481 HCPCS,J0168,EPINEPHRINE 0.1 MG/ML INJECTION ANES ONLY,87.3,77.7,18.16,87.3,717 HCPCS,J0168,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,87.3,77.7,18.16,87.3,722 HCPCS,J0168,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE (RST PED CV EMERGENCY),87.3,77.7,18.16,87.3,717 HCPCS,J0169,"EPINEPHRINE (ADRENACLICK) 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",407.9,363.03,84.84,407.9,717 HCPCS,J0169,"EPINEPHRINE (AUVI-Q) 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",441.4,392.85,91.81,441.4,717 HCPCS,J0169,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",455.2,405.13,94.68,455.2,717 HCPCS,J0169,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",455.2,405.13,94.68,455.2,717 HCPCS,J0169,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,64.7,57.58,13.46,64.7,721 HCPCS,J0169,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,339.1,301.8,70.53,339.1,723 HCPCS,J0169,EPINEPHRINE 10 MCG/ML DILUTION (1 ML) INJECTION SOLUTION OSM,64.7,57.58,13.46,64.7,717 HCPCS,J0169,INJ EPINEPHRINE (ADRENALIN),43.9,39.07,4.15,43.9,482 HCPCS,J0171,EPINEPHRINE 0.8 MG/50 ML (16 MCG/ML) NACL 0.45% SYRINGE (NEO/PEDS) CNR,195.5,174.0,40.66,195.5,721 HCPCS,J0171,"EPINEPHRINE 10 MCG/ML (1:100,000) IN NACL 0.9% DILUTION INJECTION (NEO/PEDS) CNR 10 ML VIAL STOCK VIAL FOR PATIENT-SPECIFIC DOSES",40.7,36.22,8.47,40.7,721 HCPCS,J0171,EPINEPHRINE 10 MCG/ML IN 0.9 % NACL INTRAFETAL IV SYRINGE (ANES),52.1,46.37,10.84,52.1,721 HCPCS,J0171,EPINEPHRINE HCL 100 MCG/10 ML(10 MCG/ML) IN 0.9 % SOD CHLOR IV SYRINGE,52.1,46.37,10.84,52.1,721 HCPCS,J0174,"INJECTION, LECANEMAB-IRMB, 1 MG",3572.2,3179.26,1263.5,3572.2,481 HCPCS,J0177,AFLIBERCEPT 8 MG/0.07 ML INTRAVITREAL SOLUTION FOR INJECTION,7418.8,6602.73,311.38,7418.8,735 HCPCS,J0178,AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL INJECTION (WRAPPER),5399.0,4805.11,771.56,5399.0,736 HCPCS,J0180,AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION,20580.8,18316.91,230.15,20580.8,736 HCPCS,J0180,AGALSIDASE BETA 5 MG INTRAVENOUS SOLUTION,3303.9,2940.47,230.15,3303.9,736 HCPCS,J0180,PR AGALSIDASE BETA INJECTION,,,230.32,5422.4,466 HCPCS,J0206,ALLOPURINOL 500 MG INTRAVENOUS SOLUTION,3803.2,3384.85,4.72,3803.2,734 HCPCS,J0207,AMIFOSTINE CRYSTALLINE 500 MG INTRAVENOUS SOLUTION,2907.5,2587.68,604.76,2907.5,721 HCPCS,J0207,AMIFOSTINE CRYSTALLINE 500 MG SOLUTION (SUBQ EQUIVALENCY),5389.9,4797.01,1121.1,5389.9,721 HCPCS,J0209,SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION,371.8,330.9,77.33,371.8,718 HCPCS,J0211,SODIUM NITRITE-SODIUM THIOSULFATE 300 MG/10 ML-12.5 GRAM/50 ML IV SOLN,617.5,549.58,2.23,617.5,734 HCPCS,J0219,PR INJ AVAL ALFA-NQPT 4MG,117959.7,104984.13,47151.68,117959.7,481 HCPCS,J0222,"PR INJ., PATISIRAN, 0.1 MG",64027.5,56984.48,25992.98,64027.5,481 HCPCS,J0223,PR INJ GIVOSIRAN 0.5 MG,165027.5,146874.48,68428.4,165027.5,481 HCPCS,J0248,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION,1986.9,1768.34,6.73,1986.9,734 HCPCS,J0256,ALPHA-1-PROTEINASE INHIBITOR (PROLASTIN C LIQUID)(BRAND SPLIT) 1000 MG +/-/20 ML,36.8,32.75,5.46,36.8,736 HCPCS,J0256,ALPHA-1-PROTEINASE INHIBITOR -- ARALAST (BRAND SPLIT),36.9,32.84,5.46,36.9,736 HCPCS,J0256,ALPHA-1-PROTEINASE INHIBITOR -- ZEMAIRA (BRAND SPLIT),37.1,33.02,5.46,37.1,736 HCPCS,J0270,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION,436.5,388.49,90.79,436.5,719 HCPCS,J0278,"AMIKACIN 1,000 MG/4 ML INJECTION SOLUTION",52.2,46.46,7.14,52.2,719 HCPCS,J0278,"AMIKACIN 1,000 MG/4 ML VIAL OSM",20.1,17.89,4.18,20.1,719 HCPCS,J0278,AMIKACIN 200 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),35.5,31.6,0.71,35.5,719 HCPCS,J0278,AMIKACIN 250 MG/ML INJECTION (NEO/PED) - RST ONLY,44.1,39.25,3.57,44.1,719 HCPCS,J0278,AMIKACIN 250 MG/ML SOLUTION FOR INHALATION,39.6,35.24,2.14,39.6,719 HCPCS,J0278,AMIKACIN 400 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),35.3,31.42,0.71,35.3,719 HCPCS,J0278,AMIKACIN 5 MG/ML LOCK SOLUTION (CNR),36.1,32.13,0.71,36.1,1438 HCPCS,J0278,AMIKACIN 500 MG/2 ML INJECTION SOLUTION,44.1,39.25,3.57,44.1,719 HCPCS,J0278,PR AMIKACIN SULFATE INJECTION,43.6,38.8,3.11,43.6,481 HCPCS,J0280,AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION,87.5,77.88,11.97,87.5,719 HCPCS,J0280,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION,64.8,57.67,13.48,64.8,719 HCPCS,J0280,AMINOPHYLLINE INFUSION 250 MG/250 ML NACL 0.9 % (CATH LAB ONLY),187.4,166.79,11.97,187.4,719 HCPCS,J0281,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,65.4,58.21,13.6,65.4,717 HCPCS,J0282,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,43.5,38.72,9.05,43.5,718 HCPCS,J0282,AMIODARONE 50 MG/ML IV SYRINGE (NEON/PED) - RST ONLY,91.5,81.44,19.03,91.5,717 HCPCS,J0283,AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE (PREMIX:ISO-OSMOTIC/CNR IN D5W),262.8,233.89,54.66,262.8,717 HCPCS,J0283,"AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",289.1,257.3,60.13,289.1,717 HCPCS,J0285,AMPHOTERICIN B 0.005 MG/ML INTRATHECAL/INTRAVENTRICULAR DILUTION INJECTION (CNR),63.3,56.34,13.17,63.3,719 HCPCS,J0285,AMPHOTERICIN B 0.025 MG/ML INTRATHECAL/INTRAVENTRICULAR DILUTION INJECTION (CNR),63.3,56.34,13.17,63.3,719 HCPCS,J0285,AMPHOTERICIN B 0.05 MG/ML INTRATHECAL/INTRAVENTRICULAR DILUTION INJECTION (CNR),63.3,56.34,13.17,63.3,719 HCPCS,J0285,AMPHOTERICIN B 0.1 MG/ML INTRATHECAL/INTRAVENTRICULAR DILUTION INJECTION (CNR),63.3,56.34,13.17,63.3,719 HCPCS,J0285,AMPHOTERICIN B 0.15 MG/ML INTRATHECAL/INTRAVENTRICULAR DILUTION INJECTION (CNR),63.3,56.34,13.17,63.3,719 HCPCS,J0285,AMPHOTERICIN B 0.2 MG/ML INTRATHECAL/INTRAVENTRICULAR DILUTION INJECTION (CNR),63.3,56.34,13.17,63.3,719 HCPCS,J0285,AMPHOTERICIN B 0.25 MG/ML INTRATHECAL/INTRAVENTRICULAR DILUTION INJECTION (CNR),63.3,56.34,13.17,63.3,719 HCPCS,J0285,AMPHOTERICIN B 0.5 MG/ML INJECTION DILUTION STOCK VIAL (INTRATHECAL INGREDIENT),164.9,146.76,34.3,164.9,719 HCPCS,J0285,AMPHOTERICIN B 100 MCG/ML MOUTHWASH,443.5,394.72,49.78,443.5,719 HCPCS,J0285,AMPHOTERICIN B 2.5 MG/ML LOCK SOLUTION (CNR) (RESTRICTED),49.8,44.32,10.36,49.8,1438 HCPCS,J0285,AMPHOTERICIN B 3.5 MG/ML RETROBULBAR INJECTION (CNR),164.5,146.41,34.22,164.5,719 HCPCS,J0285,AMPHOTERICIN B 5 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),164.5,146.41,34.22,164.5,719 HCPCS,J0285,AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION,164.4,146.32,34.2,164.4,720 HCPCS,J0285,AMPHOTERICIN B 50 MG VIAL USED IN INTRACAVITY/ENDOBRONCHIAL SOLUTION,164.4,146.32,34.2,164.4,719 HCPCS,J0289,AMPHOTERICIN B LIPOSOME 25 MG/6.3 ML (4 MG/ML) SUSPENSION FOR NEBULIZATION,379.1,337.4,21.48,379.1,736 HCPCS,J0289,AMPHOTERICIN B LIPOSOME 4 MG/ML STOCK SOLUTION FOR DESENSITIZATION,313.8,279.28,21.48,313.8,736 HCPCS,J0289,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,379.1,337.4,21.48,379.1,736 HCPCS,J0290,AMPICILLIN 1 G VIAL (100 MG/ML) (IV PUSH - PEDS OR) - RST ONLY,39.8,35.42,1.36,39.8,719 HCPCS,J0290,AMPICILLIN 1 G VIAL (100 MG/ML) (NEO/PED),39.8,35.42,1.36,39.8,719 HCPCS,J0290,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,39.8,35.42,1.36,39.8,719 HCPCS,J0290,AMPICILLIN 2 G VIAL (100 MG/ML) (NEO/PED),91.3,81.26,2.72,91.3,719 HCPCS,J0290,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,91.3,81.26,2.72,91.3,720 HCPCS,J0290,AMPICILLIN 250 MG SOLUTION FOR INJECTION,37.5,33.38,0.68,37.5,719 HCPCS,J0290,AMPICILLIN 250 MG VIAL (100 MG/ML) (IV PUSH - PEDS OR) - RST ONLY,37.5,33.38,0.68,37.5,719 HCPCS,J0290,AMPICILLIN 250 MG VIAL (100 MG/ML) (NEO/PED),37.5,33.38,0.68,37.5,719 HCPCS,J0290,AMPICILLIN 250 MG VIAL (100 MG/ML) (RN PREP) (NEO/PED),37.5,33.38,0.68,37.5,719 HCPCS,J0290,AMPICILLIN 250 MG/ML STOCK SOLUTION FOR DESENSITIZATION,105.8,94.16,2.72,105.8,719 HCPCS,J0290,AMPICILLIN 500 MG SOLUTION FOR INJECTION,38.0,33.82,0.68,38.0,719 HCPCS,J0290,AMPICILLIN 500 MG VIAL (100 MG/ML) (IV PUSH - PEDS OR) - RST ONLY,38.0,33.82,0.68,38.0,719 HCPCS,J0290,AMPICILLIN 500 MG VIAL (100 MG/ML) (NEO/PED),38.0,33.82,0.68,38.0,719 HCPCS,J0290,PR AMPICILLIN 500 MG INJ,61.2,54.47,1.18,61.2,481 HCPCS,J0295,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,43.6,38.8,1.53,43.6,720 HCPCS,J0295,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,49.0,43.61,3.06,49.0,723 HCPCS,J0295,AMPICILLIN-SULBACTAM IVPB 3 G/100 ML NACL 0.9% MINI-BAG PLUS (PRE-SNAPPED),100.2,89.18,3.06,100.2,719 HCPCS,J0348,ANIDULAFUNGIN 100 MG INTRAVENOUS SOLUTION,311.6,277.32,58.65,311.6,719 HCPCS,J0348,ANIDULAFUNGIN 50 MG INTRAVENOUS SOLUTION,180.8,160.91,29.33,180.8,719 HCPCS,J0360,HYDRALAZINE 10 MG/ML ORAL SOLUTION (CNR),23.4,20.83,4.87,23.4,719 HCPCS,J0360,HYDRALAZINE 2 MG/ML DILUTION INJECTION (PEDIATRICS),48.2,42.9,5.05,48.2,719 HCPCS,J0360,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,47.9,42.63,5.05,47.9,720 HCPCS,J0360,HYDRALAZINE 20 MG/ML INJECTION SOLUTION (PEDIATRICS),47.9,42.63,5.05,47.9,719 HCPCS,J0401,"ARIPIPRAZOLE ER 300 MG SUSPENSION, EXTENDED REL. INTRAMUSCULAR SYRINGE",5415.7,4819.97,7.28,5415.7,736 HCPCS,J0401,"ARIPIPRAZOLE ER 400 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",7079.3,6300.58,7.28,7079.3,736 HCPCS,J0401,"ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE",7079.3,6300.58,7.28,7079.3,736 HCPCS,J0402,"ARIPIPRAZOLE ER (2 MONTH) 960 MG/3.2 ML SUSP, EXTENDED REL IM SYRINGE",13733.4,12222.73,6.15,13733.4,731 HCPCS,J0456,AZITHROMYCIN 100 MG/ML INJECTION (NEO/PED) - RST ONLY,46.1,41.03,2.35,46.1,719 HCPCS,J0456,AZITHROMYCIN 100 MG/ML STOCK SOLUTION FOR IV DESENSITIZATION,45.1,40.14,2.35,45.1,719 HCPCS,J0456,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,46.1,41.03,2.35,46.1,720 HCPCS,J0456,AZITHROMYCIN 500 MG/250 ML IN 0.9% NACL (CNR),83.8,74.58,2.35,83.8,719 HCPCS,J0457,AZTREONAM 1 GRAM IM EQUIVALENCY,124.5,110.81,25.9,124.5,717 HCPCS,J0457,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,124.5,110.81,25.9,124.5,717 HCPCS,J0457,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,188.8,168.03,39.27,188.8,717 HCPCS,J0458,AZTREONAM-AVIBACTAM 2 GRAM (2 GRAM/11.8 ML) INTRAVENOUS SOLUTION (WETTED),983.4,875.23,1.68,983.4,734 HCPCS,J0458,AZTREONAM-AVIBACTAM 2 GRAM INTRAVENOUS SOLUTION,983.4,875.23,1.68,983.4,734 HCPCS,J0461,ATROPINE 0.04 MG/ML INTRAFETAL INJECTION SOLUTION (ANES),57.1,50.82,4.78,57.1,719 HCPCS,J0461,ATROPINE 0.1 MG/ML INJECTION SYRINGE,73.8,65.68,11.96,73.8,723 HCPCS,J0461,ATROPINE 0.1 MG/ML INJECTION SYRINGE (NEO/PED) RST ONLY,73.8,65.68,11.96,73.8,719 HCPCS,J0461,ATROPINE 0.1 MG/ML INJECTION SYRINGE (PEDIATRIC),73.8,65.68,11.96,73.8,719 HCPCS,J0461,ATROPINE 0.1 MG/ML INJECTION SYRINGE FOR ENTERAL USE,73.8,65.68,11.96,73.8,719 HCPCS,J0461,ATROPINE 0.4 MG/ML INJECTION SOLUTION,65.0,57.85,13.52,65.0,721 HCPCS,J0461,PR ATROPINE SULFATE INJECTION,36.0,32.04,2.7,36.0,481 HCPCS,J0462,ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION (WRAPPER),52.0,46.28,10.82,52.0,717 HCPCS,J0475,"BACLOFEN 10,000 MCG/20 ML (500 MCG/ML) INTRATHECAL SOLUTION",482.5,429.43,100.36,482.5,736 HCPCS,J0475,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION",2787.9,2481.23,181.22,2787.9,736 HCPCS,J0475,"BACLOFEN 20,000 MCG/20 ML (1,000 MCG/ML) INTRATHECAL SOLUTION",862.5,767.63,179.4,862.5,736 HCPCS,J0475,"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SOLUTION",1625.0,1446.25,181.22,1625.0,739 HCPCS,J0475,PR BACLOFEN 10 MG INJECTION,1695.0,1508.55,907.33,1695.0,481 HCPCS,J0476,BACLOFEN 50 MCG/ML (1 ML) INTRATHECAL SYRINGE,241.8,215.2,50.29,241.8,719 HCPCS,J0480,BASILIXIMAB 20 MG INTRAVENOUS SOLUTION,11415.4,10159.71,2374.4,11415.4,736 HCPCS,J0485,BELATACEPT 250 MG INTRAVENOUS SOLUTION,2715.8,2417.06,3.89,2715.8,736 HCPCS,J0485,PR BELATACEPT INJECTION,6381.1,5679.18,2529.8,6381.1,481 HCPCS,J0490,PR BELIMUMAB INJECTION,,,57.16,1594.0,466 HCPCS,J0491,ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION,14154.7,12597.68,18.08,14154.7,734 HCPCS,J0515,BENZTROPINE 1 MG/ML INJECTION SOLUTION,131.4,116.95,27.33,131.4,719 HCPCS,J0517,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE,13676.5,12172.09,164.59,13676.5,736 HCPCS,J0558,"PENICILLIN G BENZATHINE AND PROCAINE 1,200,000 UNIT/2 ML IM SYRINGE",688.3,612.59,19.52,688.3,736 HCPCS,J0558,"PENICILLIN G BENZATHINE,PROCAIN 900,000 UNIT-300K UNIT/2 ML IM SYRINGE",688.3,612.59,19.52,688.3,736 HCPCS,J0561,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE",1065.6,948.38,30.01,1065.6,736 HCPCS,J0561,"PENICILLIN G BENZATHINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE",668.1,594.61,30.01,668.1,736 HCPCS,J0561,PR PENICILLIN G BENZATHINE INJ,595.3,529.82,191.79,595.3,488 HCPCS,J0567,CERLIPONASE ALFA 150 MG/5 ML INTRAVENTRICULAR SOLUTION,90110.0,80197.9,120.36,90110.0,734 HCPCS,J0567,CERLIPONASE ALFA 300 MG/10 ML(150 MG/5ML X2) INTRAVENTRICULAR KIT,90110.0,80197.9,120.36,90110.0,734 HCPCS,J0571,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,16.6,14.77,2.6,16.6,719 HCPCS,J0571,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,21.3,18.96,4.43,21.3,719 HCPCS,J0572,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,16.5,14.69,3.43,16.5,729 HCPCS,J0574,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,15.1,13.44,3.14,15.1,729 HCPCS,J0577,"BUPRENORPHINE ER 16 MG/0.32 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",1524.7,1356.98,317.14,1524.7,734 HCPCS,J0577,"BUPRENORPHINE ER 24 MG/0.48 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",1524.7,1356.98,317.14,1524.7,734 HCPCS,J0577,"BUPRENORPHINE ER 32 MG/0.64 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",1524.7,1356.98,317.14,1524.7,734 HCPCS,J0577,"BUPRENORPHINE ER 8 MG/0.16 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",1524.7,1356.98,317.14,1524.7,734 HCPCS,J0578,"BUPRENORPHINE ER 128 MG/0.36 ML SOLUTION,EXT.REL.SUBCUTANEOUS SYRINGE",5498.7,4893.84,1143.73,5498.7,734 HCPCS,J0578,"BUPRENORPHINE ER 64 MG/0.18 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",5498.7,4893.84,1143.73,5498.7,734 HCPCS,J0578,"BUPRENORPHINE ER 96 MG/0.27 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",5498.7,4893.84,1143.73,5498.7,734 HCPCS,J0583,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,170.6,151.83,35.48,170.6,719 HCPCS,J0585,ONABOTULINUMTOXINA (BOTOX COSMETIC) 1 UNIT/0.01 ML INJ SYRINGE (0.16 ML CNR),272.0,242.08,6.5,272.0,736 HCPCS,J0585,ONABOTULINUMTOXINA (COSMETIC) 100 UNIT INTRAMUSCULAR SOLUTION,1700.0,1513.0,6.5,1700.0,736 HCPCS,J0585,ONABOTULINUMTOXINA (COSMETIC) 50 UNIT INTRAMUSCULAR SOLUTION,850.0,756.5,6.5,850.0,741 HCPCS,J0585,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION,1700.0,1513.0,6.5,1700.0,741 HCPCS,J0585,ONABOTULINUMTOXINA 11.25 UNITS/0.45 ML (2.5 UNITS/0.1 ML) CNR,191.3,170.26,6.5,191.3,736 HCPCS,J0585,"PR INJECTION,ONABOTULINUMTOXINA",850.0,756.5,325.5,850.0,488 HCPCS,J0586,ABOBOTULINUMTOXINA 300 UNIT INTRAMUSCULAR SOLUTION,1110.5,988.35,8.75,1110.5,736 HCPCS,J0586,ABOBOTULINUMTOXINA 500 UNIT INTRAMUSCULAR SOLUTION,1866.9,1661.54,8.75,1866.9,737 HCPCS,J0586,PR ABOBOTULINUMTOXINA,4367.0,3886.63,2111.76,4367.0,483 HCPCS,J0587,PR MYOBLOC (RIMABOT-B),132.6,118.01,26.58,132.6,483 HCPCS,J0588,INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION,1319.5,1174.36,5.57,1319.5,736 HCPCS,J0588,INCOBOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION,751.5,668.84,5.57,751.5,736 HCPCS,J0588,"PR XEOMIN, PER UNIT",1319.5,1174.36,525.4,1319.5,488 HCPCS,J0589,DAXIBOTULINUMTOXINA-LANM 100 UNIT INTRAMUSCULAR SOLUTION,1175.0,1045.75,3.15,1175.0,734 HCPCS,J0589,INJ DAXIBOTULINUMTOXINA-LANM,3575.0,3181.75,934.2,3575.0,482 HCPCS,J0592,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLUTION,48.2,42.9,4.84,48.2,719 HCPCS,J0594,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,301.3,268.16,0.88,301.3,737 HCPCS,J0596,"C1 ESTERASE INHIBITOR, RECOMBINANT 2,100 UNIT INTRAVENOUS SOLUTION",15337.5,13650.38,36.77,15337.5,736 HCPCS,J0597,C1 ESTERASE INHIBITOR 500 UNIT/10 ML INTRAVENOUS SOLUTION (WRAPPER),9875.0,8788.75,75.86,9875.0,736 HCPCS,J0600,EDETATE CALCIUM DISODIUM 200 MG/ML INJECTION SOLUTION,15964.1,14208.05,3320.53,15964.1,718 HCPCS,J0601,SEVELAMER CARBONATE 800 MG TABLET,8.8,7.83,1.83,8.8,716 HCPCS,J0602,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,11.2,9.97,2.33,11.2,716 HCPCS,J0602,SEVELAMER CARBONATE 0.8 GRAM POWDER PACKET (FOR TREATMENT OF INFANT FORMULA/BREAST MILK),11.2,9.97,2.33,11.2,716 HCPCS,J0602,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,11.2,9.97,2.33,11.2,716 HCPCS,J0602,SEVELAMER CARBONATE 2.4 GRAM POWDER PACKET (FOR TREATMENT OF INFANT FORMULA/BREAST MILK),11.2,9.97,2.33,11.2,716 HCPCS,J0604,CINACALCET 30 MG TABLET,76.6,68.17,15.93,76.6,714 HCPCS,J0604,CINACALCET 60 MG TABLET,7.6,6.76,1.58,7.6,714 HCPCS,J0604,CINACALCET 90 MG TABLET,9.2,8.19,1.91,9.2,714 HCPCS,J0606,ETELCALCETIDE 5 MG/ML INTRAVENOUS SOLUTION,620.9,552.6,2.29,620.9,1432 HCPCS,J0607,"LANTHANUM 1,000 MG CHEWABLE TABLET",22.4,19.94,20.2,20.2,1 HCPCS,J0607,LANTHANUM 250 MG PARTIAL (1/2) CHEWABLE TABLET,21.8,19.4,19.6,19.6,1 HCPCS,J0607,LANTHANUM 500 MG CHEWABLE TABLET,23.1,20.56,20.8,20.8,1 HCPCS,J0609,FERRIC CITRATE 210 MG IRON TABLET,27.9,24.83,25.2,25.2,1 HCPCS,J0612,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAFETAL INTRAVENOUS SOLUTION,109.55000000000001,97.5,13.46,154.4,1434 HCPCS,J0612,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,64.7,57.58,13.46,64.7,723 HCPCS,J0612,CALCIUM GLUCONATE 100 MG/ML (10 %) IV BOLUS (NEO/PED),64.7,57.58,13.46,64.7,717 HCPCS,J0612,CALCIUM GLUCONATE 100 MG/ML (10%) INJECTION FOR ORAL USE,72.7,64.705,6.45,114.4,1434 HCPCS,J0612,CALCIUM GLUCONATE 100 MG/ML STRAIGHT DRUG SYRINGE (NEO/PED),109.55000000000001,97.5,13.46,154.4,1434 HCPCS,J0612,CALCIUM GLUCONATE STRAIGHT DRUG INFUSION 100 ML,154.4,137.42,32.12,154.4,717 HCPCS,J0612,CALCIUM GLUCONATE STRAIGHT DRUG INFUSION SYRINGE 50 ML,154.4,137.42,32.12,154.4,717 HCPCS,J0613,"CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION",102.9,91.58,21.4,102.9,717 HCPCS,J0613,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",204.3,181.83,42.49,204.3,717 HCPCS,J0613,"PR CALCIUM GLUCONATE (WG CRITICAL), 10 MG",204.3,181.83,17.4,204.3,481 HCPCS,J0614,TREOSULFAN 1 GRAM/20 ML INTRAVENOUS SOLUTION (WETTED),2158.0,1920.62,32.33,2158.0,734 HCPCS,J0614,TREOSULFAN 5 GRAM/100 ML INTRAVENOUS SOLUTION (WETTED),8990.0,8001.1,32.33,8990.0,734 HCPCS,J0615,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,8.0,7.12,1.66,8.0,719 HCPCS,J0616,METOPROLOL 5 MG/5 ML INTRAVENOUS SOLUTION (WRAPPER),36.2,32.22,7.53,36.2,719 HCPCS,J0637,CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION,172.1,153.17,35.8,172.1,719 HCPCS,J0637,CASPOFUNGIN 70 MG INTRAVENOUS SOLUTION,159.8,142.22,33.24,159.8,719 HCPCS,J0638,CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION,56170.5,49991.75,141.6,56170.5,736 HCPCS,J0640,LEUCOVORIN CALCIUM 10 MG/ML INJECTION SYRINGE (NEO/PED),60.8,54.11,8.83,60.8,719 HCPCS,J0640,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION,60.8,54.11,8.83,60.8,720 HCPCS,J0640,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,71.4,63.55,14.85,71.4,720 HCPCS,J0640,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION,88.5,78.77,18.41,88.5,719 HCPCS,J0640,PR LEUCOVORIN CALCIUM INJECTION,48.6,43.25,7.68,48.6,483 HCPCS,J0651,LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION,265.0,235.85,6.83,265.0,734 HCPCS,J0654,LIOTHYRONINE 10 MCG/ML INTRAVENOUS SOLUTION,2655.2,2363.13,41.19,2655.2,734 HCPCS,J0665,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,36.1,32.13,7.51,36.1,722 HCPCS,J0665,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,36.0,32.04,7.49,36.0,727 HCPCS,J0665,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,38.3,34.09,7.97,38.3,717 HCPCS,J0665,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,37.0,32.93,7.7,37.0,726 HCPCS,J0665,BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (WRAPPER),36.1,32.13,7.51,36.1,717 HCPCS,J0665,BUPIVACAINE 0.5 % (5 MG/ML) INJECTION SOLUTION (WRAPPER),36.0,32.04,7.49,36.0,717 HCPCS,J0666,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,464.1,413.05,1.47,464.1,747 HCPCS,J0670,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,38.8,34.53,4.31,38.8,719 HCPCS,J0670,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,40.2,35.78,4.31,40.2,723 HCPCS,J0670,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,41.3,36.76,4.31,41.3,727 HCPCS,J0670,MEPIVACAINE 1 % (10 MG/ML) INJECTION SOLUTION,67.0,59.63,13.94,67.0,719 HCPCS,J0675,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,172.4,153.44,35.86,172.4,734 HCPCS,J0690,CEFAZOLIN 1 GRAM IM EQUIVALENCY,37.4,33.29,2.85,37.4,719 HCPCS,J0690,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,37.4,33.29,1.9,37.4,734 HCPCS,J0690,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION,51.7,46.01,3.8,51.7,733 HCPCS,J0690,CEFAZOLIN 20 MG/ML DILUTION INJECTION (NEONATE) CNR,40.2,35.78,0.95,40.2,719 HCPCS,J0690,CEFAZOLIN 200 MG/ML STOCK SOLUTION FOR DESENSITIZATION,48.5,43.17,1.9,48.5,719 HCPCS,J0690,CEFAZOLIN 200 MG/ML VIAL (IV PUSH - PEDS OR) - RST ONLY,37.4,33.29,1.9,37.4,719 HCPCS,J0690,CEFAZOLIN 25 MG/0.5 ML SUBCONJUNCTIVAL INJECTION (CNR),51.0,45.39,0.95,51.0,719 HCPCS,J0690,CEFAZOLIN 5 MG/ML IN NACL 0.9% INJECTION DILUTION (RADIANT MIXTURE INGREDIENT) CNR,36.2,32.22,0.95,36.2,719 HCPCS,J0690,CEFAZOLIN 5 MG/ML LOCK SOLUTION (CNR),35.2,31.33,0.95,35.2,1438 HCPCS,J0690,CEFAZOLIN 5 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),35.95,31.995,0.95,36.1,1438 HCPCS,J0690,CEFAZOLIN 5 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR),35.7,31.77,0.95,35.7,1438 HCPCS,J0690,CEFAZOLIN 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),36.3,32.31,0.95,36.3,1438 HCPCS,J0690,CEFAZOLIN 5 MG/ML-HEPARIN 50 UNITS/ML LOCK SOLUTION (CNR),36.1,32.13,0.95,36.1,719 HCPCS,J0690,CEFAZOLIN 500 MG SOLUTION FOR INJECTION,39.8,35.42,0.95,39.8,719 HCPCS,J0692,CEFEPIME 1 GRAM IM EQUIVALENCY,44.7,39.78,2.99,44.7,719 HCPCS,J0692,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,44.6,39.69,1.99,44.6,720 HCPCS,J0692,CEFEPIME 100 MG/ML INJECTION (NEO/PED) - RST ONLY,44.6,39.69,1.99,44.6,719 HCPCS,J0692,CEFEPIME 100 MG/ML INJECTION SYRINGES (CNR),60.7,54.02,1.99,60.7,719 HCPCS,J0692,CEFEPIME 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,56.4,50.2,3.98,56.4,719 HCPCS,J0692,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,53.0,47.17,3.98,53.0,719 HCPCS,J0692,CEFEPIME 5 MG/ML LOCK SOLUTION (CNR),35.8,31.86,1.0,35.8,1438 HCPCS,J0692,CEFEPIME 5 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),35.7,31.77,1.0,35.7,1438 HCPCS,J0692,CEFEPIME 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),37.25,33.155,1.0,37.4,1438 HCPCS,J0692,CEFEPIME 5 MG/ML-HEPARIN 50 UNITS/ML LOCK SOLUTION (CNR),35.4,31.51,1.0,35.4,719 HCPCS,J0694,CEFOXITIN 1 GRAM IM EQUIVALENCY,49.5,44.06,5.45,49.5,719 HCPCS,J0694,CEFOXITIN 1 GRAM INTRAVENOUS SOLUTION,46.2,41.12,5.45,46.2,719 HCPCS,J0694,CEFOXITIN 100 MG/ML INJECTION (PEDIATRIC),49.5,44.06,5.45,49.5,719 HCPCS,J0694,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,63.2,56.25,10.91,63.2,719 HCPCS,J0694,CEFOXITIN 2 GRAM POWDER VIAL OSM,29.7,26.43,6.18,29.7,719 HCPCS,J0695,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,569.0,506.41,9.07,569.0,736 HCPCS,J0696,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,38.8,34.53,2.13,38.8,720 HCPCS,J0696,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION (FOR IM USE ONLY),38.8,34.53,2.13,38.8,1438 HCPCS,J0696,CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) INTRAVENOUS PIGGYBACK,109.0,97.01,2.13,109.0,719 HCPCS,J0696,CEFTRIAXONE 10 GRAM SOLUTION FOR INJECTION,72.9,64.88,15.16,72.9,723 HCPCS,J0696,CEFTRIAXONE 100 MG/ML IN SWIFI SYRINGES (CNR),57.9,51.53,2.13,57.9,719 HCPCS,J0696,CEFTRIAXONE 100 MG/ML INJECTION (NEO/PED) - RST ONLY,38.8,34.53,2.13,38.8,719 HCPCS,J0696,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,42.2,37.56,4.25,42.2,723 HCPCS,J0696,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION (FOR IM USE ONLY),42.2,37.56,4.25,42.2,1438 HCPCS,J0696,CEFTRIAXONE 2 GRAM/50 ML IN DEXTROSE (ISO-OSM) INTRAVENOUS PIGGYBACK,211.0,187.79,4.25,211.0,721 HCPCS,J0696,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,37.6,33.46,1.06,37.6,719 HCPCS,J0696,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION (FOR IM USE ONLY),37.7,33.55,1.59,37.7,1438 HCPCS,J0696,CEFTRIAXONE FOR DESENSITIZATION 100 MG/ML STOCK SOLUTION,73.0,64.97,4.25,73.0,719 HCPCS,J0696,CEFTRIAXONE IM 1000 MG IN NACL RX COMPOUND,38.8,34.53,2.13,38.8,719 HCPCS,J0696,CEFTRIAXONE IM 2000 MG IN NACL RX COMPOUND,42.2,37.56,4.25,42.2,719 HCPCS,J0696,CEFTRIAXONE IM 500 MG IN NACL RX COMPOUND,37.7,33.55,1.59,37.7,719 HCPCS,J0696,PR CEFTRIAXONE SODIUM INJECTION,,,0.46,42.2,466 HCPCS,J0697,CEFUROXIME 1 MG/0.1 ML INTRAOCULAR SYRINGE (CNR),324.7,288.98,2.36,324.7,719 HCPCS,J0697,CEFUROXIME 100 MG/ML INJECTION (NEO/PED),36.2,32.22,4.72,36.2,719 HCPCS,J0697,CEFUROXIME 100 MG/ML PERIARTICULAR INJECTION (1.5 G VIAL),35.6,31.68,2.36,35.6,719 HCPCS,J0697,CEFUROXIME SODIUM 750 MG IM EQUIVALENCY,49.6,44.14,4.72,49.6,719 HCPCS,J0697,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,43.5,38.72,2.36,43.5,725 HCPCS,J0699,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION,696.9,620.24,2.42,696.9,734 HCPCS,J0701,CEFEPIME 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,183.5,163.32,38.17,183.5,717 HCPCS,J0701,CEFEPIME 2 GRAM/100 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,198.8,176.93,41.35,198.8,720 HCPCS,J0701,PR CEFEPIME HCL INJ (BAXTER),198.8,176.93,23.88,198.8,481 HCPCS,J0702,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,165.1,146.94,34.34,165.1,724 HCPCS,J0702,PR BETAMETHASONE ACET&SOD PHOSP,64.0,56.96,6.91,64.0,491 HCPCS,J0706,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,51.7,46.01,10.75,51.7,717 HCPCS,J0712,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION,619.9,551.71,4.23,619.9,736 HCPCS,J0712,CEFTAROLINE FOSAMIL 600 MG POWDER VIAL OSM,653.8,581.88,4.23,653.8,736 HCPCS,J0713,CEFTAZIDIME 1 GRAM IM EQUIVALENCY,46.0,40.94,5.06,46.0,719 HCPCS,J0713,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION,45.9,40.85,3.38,45.9,719 HCPCS,J0713,CEFTAZIDIME 1 MG/ML IN NACL 0.9% STERILE IRRIGATION (CNR/RST PRD LAB),65.8,58.56,1.69,65.8,719 HCPCS,J0713,CEFTAZIDIME 100 MG/ML INJECTION (NEO/PED),45.9,40.85,3.38,45.9,719 HCPCS,J0713,CEFTAZIDIME 100 MG/ML SOLUTION FOR INHALATION,14.5,12.91,3.02,14.5,719 HCPCS,J0713,CEFTAZIDIME 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,125.5,111.69,6.75,125.5,719 HCPCS,J0713,CEFTAZIDIME 2 GRAM POWDER VIAL OSM,24.1,21.45,5.01,24.1,719 HCPCS,J0713,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION,56.8,50.55,6.75,56.8,719 HCPCS,J0713,CEFTAZIDIME 2.25 MG/0.1 ML INTRAOCULAR INJECTION (CNR),36.5,32.49,1.69,36.5,719 HCPCS,J0713,INJ CEFTAZIDIME PER 500 MG,39.06,34.76,1.47,39.06,481 HCPCS,J0714,CEFTAZIDIME-AVIBACTAM 2.5 G VIAL (167 MG OF CEFTAZIDIME/ML) (NEO/PED) - RST ONLY,1085.0,965.65,104.73,1085.0,736 HCPCS,J0714,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION,1085.0,965.65,104.73,1085.0,736 HCPCS,J0717,PR CERTOLIZUMAB PEGOL INJ 1MG,3835.2,3413.33,1546.8,3835.2,481 HCPCS,J0720,CHLORAMPHENICOL 100 MG/ML INJECTION (NEO/PED) - RST ONLY,168.1,149.61,34.96,168.1,736 HCPCS,J0725,"CHORIONIC GONADOTROPIN, HUMAN 10,000 UNIT/ML IM POWDER FOR SOLUTION (WETTED)",658.0,585.62,136.86,658.0,719 HCPCS,J0735,CLONIDINE (PF) 100 MCG/ML EPIDURAL SOLUTION,41.7,37.11,8.67,41.7,720 HCPCS,J0736,CLINDAMYCIN 1 MG/0.1 ML INTRAOCULAR INJECTION (CNR),35.7,31.77,7.43,35.7,717 HCPCS,J0736,CLINDAMYCIN 12 MG/ML IVPB IN D5W - DRAWN UP FROM PREMIX BAG,101.0,89.89,21.01,101.0,717 HCPCS,J0736,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,41.0,36.49,8.53,41.0,721 HCPCS,J0736,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,92.4,82.24,19.22,92.4,717 HCPCS,J0736,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,109.2,97.19,22.71,109.2,717 HCPCS,J0740,CIDOFOVIR 5 MG/ML INJECTION DILUTION STOCK VIAL (NEONATE COMPOUNDING) CNR,216.1,192.33,44.95,628.24,736 HCPCS,J0740,CIDOFOVIR 5 MG/ML INTRALESIONAL INJECTION DILUTION (MAYO PROD LAB),256.3,228.11,53.31,628.24,736 HCPCS,J0740,CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION,1655.8,1473.66,344.41,1655.8,740 HCPCS,J0742,IMIPENEM-CILASTATIN-RELEBACTAM 1.25 GRAM INTRAVENOUS SOLUTION,934.6,831.79,194.4,934.6,719 HCPCS,J0742,IMIPENEM-CILASTATIN-RELEBACTAM 12.5 MG/ML IVPB IN D5W BAG (CNR FOR DOSES LESS THAN 1.25 GRAMS),941.6,838.02,195.85,941.6,719 HCPCS,J0742,IMIPENEM-CILASTATIN-RELEBACTAM 12.5 MG/ML IVPB IN NACL 0.9% BAG (CNR FOR DOSES LESS THAN 1.25 GRAMS),942.3,838.65,196.0,942.3,719 HCPCS,J0743,IMIPENEM-CILASTATIN 4 MG/ML IN D5W BAG (CNR FOR DOSES BETWEEN 500 & 1000 MG),224.8,200.07,32.66,224.8,719 HCPCS,J0743,IMIPENEM-CILASTATIN 4 MG/ML IN NACL 0.9% BAG (CNR FOR DOSES BETWEEN 500 MG-1000 MG),224.0,199.36,32.66,224.0,719 HCPCS,J0743,IMIPENEM-CILASTATIN 5 MG/ML IN D5W BAG (CNR FOR DOSES LESS THAN 500 MG),186.4,165.9,16.33,186.4,719 HCPCS,J0743,IMIPENEM-CILASTATIN 5 MG/ML IN D5W SYRINGE (PEDS DOSES 0-250 MG),186.4,165.9,16.33,186.4,719 HCPCS,J0743,IMIPENEM-CILASTATIN 5 MG/ML IN NACL 0.9% BAG (CNR FOR DOSES LESS THAN 500 MG),186.1,165.63,16.33,186.1,719 HCPCS,J0743,IMIPENEM-CILASTATIN 5 MG/ML IN NACL 0.9% SYRINGE (PEDS DOSES 0-250 MG),186.1,165.63,16.33,186.1,719 HCPCS,J0743,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION,82.9,73.78,16.33,82.9,719 HCPCS,J0743,IMIPENEM-CILASTATIN 500 MG POWDER VIAL OSM,42.9,38.18,8.92,42.9,719 HCPCS,J0744,CIPROFLOXACIN 200 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,82.4,73.34,2.3,82.4,719 HCPCS,J0744,CIPROFLOXACIN 400 MG/200 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,84.1,74.85,4.59,84.1,723 HCPCS,J0744,CIPROFLOXACIN IV SYRINGE 2 MG/ML (NEO/PED) - DRAWN UP FROM PREMIX BAG,82.4,73.34,2.3,82.4,719 HCPCS,J0744,CIPROFLOXACIN IVPB 2 MG/ML (NEO/PED) - DRAWN UP FROM PREMIX BAG,82.4,73.34,2.3,82.4,719 HCPCS,J0744,PR CIPROFLOXACIN IV,82.4,73.34,2.0,82.4,481 HCPCS,J0759,CLEVIDIPINE 25 MG/50 ML INTRAVENOUS EMULSION,347.0,308.83,2.85,347.0,735 HCPCS,J0759,CLEVIDIPINE 50 MG/100 ML INTRAVENOUS EMULSION,663.3,590.34,2.85,663.3,734 HCPCS,J0770,COLISTIN (COLISTIMETHATE SODIUM) 150 MG POWDER VIAL,73.0,64.97,13.89,73.0,719 HCPCS,J0770,COLISTIN (COLISTIMETHATE SODIUM) 150 MG/2 ML (75 MG/ML) VIAL RECONSTITUTED,73.0,64.97,13.89,73.0,719 HCPCS,J0770,COLISTIN (COLISTIMETHATE) INJECTION FOR INHALATION 25 MG/ML,73.0,64.97,13.89,73.0,719 HCPCS,J0770,PR COLISTIMETHATE SODIUM INJ,54.0,48.06,12.08,54.0,482 HCPCS,J0775,"PR COLLAGENASE, CLOST HIST INJ",12733.8,11333.08,4544.7,12733.8,481 HCPCS,J0780,PR PROCHLORPERAZINE INJECTION,41.3,36.76,2.52,41.3,487 HCPCS,J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,41.3,36.76,2.9,41.3,727 HCPCS,J0780,PROCHLORPERAZINE EDISYLATE 5 MG/ML INJECTION (NEO/PED) - RST ONLY,41.3,36.76,2.9,41.3,719 HCPCS,J0834,COSYNTROPIN 0.25 MG (0.25 MG/ML) (IM EQUIVALENCY),110.3,98.17,22.94,110.3,719 HCPCS,J0834,COSYNTROPIN 0.25 MG (50 MCG/ML) IV EQUIVALENCY,110.3,98.17,22.94,110.3,719 HCPCS,J0834,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,291.0,258.99,60.53,291.0,722 HCPCS,J0834,COSYNTROPIN 1 MCG/ML DILUTION INJECTION SOLUTION (CNR),35.4,31.51,7.36,35.4,719 HCPCS,J0840,CROTALIDAE POLYVAL IMMUNE FAB 1 GRAM SOLUTION FOR INJECTION,3607.1,3210.32,750.28,3607.1,736 HCPCS,J0850,CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION,4835.8,4303.86,1005.85,4835.8,736 HCPCS,J0870,IMETELSTAT 188 MG/6 ML INTRAVENOUS SOLUTION (WETTED),30088.8,26779.03,57.03,30088.8,734 HCPCS,J0870,IMETELSTAT 47 MG INTRAVENOUS SOLUTION,7859.7,6995.13,57.03,7859.7,734 HCPCS,J0870,IMETELSTAT 47 MG/1.5 ML INTRAVENOUS SOLUTION (WETTED),7859.7,6995.13,57.03,7859.7,734 HCPCS,J0870,"INJECTION, IMETELSTAT, 1 MG",58245.6,51838.58,21396.83,58245.6,481 HCPCS,J0875,DALBAVANCIN 500 MG INTRAVENOUS SOLUTION,4341.2,3863.67,15.61,4341.2,736 HCPCS,J0878,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION,98.1,87.31,11.27,98.1,719 HCPCS,J0878,DAPTOMYCIN 5 MG/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),36.3,32.31,0.32,36.3,1438 HCPCS,J0878,DAPTOMYCIN 5 MG/ML-HEPARIN 100 UNITS/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),49.75,44.28,0.32,50.1,1438 HCPCS,J0878,DAPTOMYCIN 5 MG/ML-HEPARIN 1000 UNITS/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),37.7,33.55,0.32,37.7,1438 HCPCS,J0878,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,90.1,80.19,16.1,90.1,719 HCPCS,J0878,DAPTOMYCIN 500 MG POWDER VIAL OSM,50.1,44.59,10.42,50.1,719 HCPCS,J0878,PR DAPTOMYCIN INJECTION,,,0.03,96.32,461 HCPCS,J0881,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE,783.2,697.05,2.93,783.2,734 HCPCS,J0881,DARBEPOETIN ALFA 100 MCG/ML IN POLYSORBATE INJECTION,783.2,697.05,2.93,783.2,734 HCPCS,J0881,DARBEPOETIN ALFA 150 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,1112.2,989.86,2.93,1112.2,734 HCPCS,J0881,DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,1541.3,1371.76,2.93,1541.3,734 HCPCS,J0881,DARBEPOETIN ALFA 200 MCG/ML IN POLYSORBATE INJECTION,519.9,462.71,2.93,519.9,734 HCPCS,J0881,DARBEPOETIN ALFA 25 MCG/0.42 ML IN POLYSORBATE INJECTION SYRINGE,263.9,234.87,2.93,263.9,734 HCPCS,J0881,DARBEPOETIN ALFA 25 MCG/ML IN POLYSORBATE INJECTION,263.9,234.87,2.93,263.9,734 HCPCS,J0881,DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,388.3,345.59,2.93,388.3,734 HCPCS,J0881,DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION,388.3,345.59,2.93,388.3,734 HCPCS,J0881,DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,519.9,462.71,2.93,519.9,734 HCPCS,J0881,DARBEPOETIN ALFA 60 MCG/ML IN POLYSORBATE INJECTION,519.9,462.71,2.93,519.9,734 HCPCS,J0883,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,308.6,274.65,0.8,308.6,734 HCPCS,J0883,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,425.4,378.61,0.8,425.4,734 HCPCS,J0894,DECITABINE 50 MG/10 ML INTRAVENOUS SOLUTION (WETTED),825.0,734.25,37.26,825.0,719 HCPCS,J0894,PR DECITABINE INJECTION,120.1,106.89,6.48,120.1,482 HCPCS,J0895,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,125.7,111.87,26.15,125.7,719 HCPCS,J0895,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,74.4,66.22,9.74,74.4,719 HCPCS,J0895,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION (IM EQUIVALENCY),74.1,65.95,9.74,74.1,719 HCPCS,J0895,PR DEFEOXAMINE MESYLATE INJ,113.6,101.1,16.94,113.6,481 HCPCS,J0896,LUSPATERCEPT-AAMT 75 MG/1.5 ML SUBCUTANEOUS SOLUTION (WETTED),31717.4,28228.49,41.98,31717.4,736 HCPCS,J0896,PR INJ LUSPATERCEPT-AAMT 0.25MG,24415.9,21730.15,9837.79,24415.9,481 HCPCS,J0897,DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION,8417.3,7491.4,29.38,8417.3,736 HCPCS,J0897,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE,4771.3,4246.46,29.38,4771.3,736 HCPCS,J0911,"TAUROLIDINE-HEPARIN 13.5 MG-1,000 UNITS/ML INTRA-CATHETER SOLUTION",528.5,470.37,109.93,528.5,717 HCPCS,J1000,ESTRADIOL CYPIONATE 5 MG/ML INTRAMUSCULAR OIL,72.5,64.53,15.08,72.5,719 HCPCS,J1010,"INJ, METHYLPRED ACETATE 1 MG",68.9,61.32,4.8,68.9,488 HCPCS,J1010,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,38.6,34.35,8.03,38.6,722 HCPCS,J1010,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,58.5,52.07,12.17,58.5,718 HCPCS,J1050,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR (WRAPPER),92.4,82.24,19.22,92.4,719 HCPCS,J1071,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,77.3,68.8,1.55,77.3,719 HCPCS,J1096,DEXAMETHASONE 0.4 MG INTRACANALICULAR INSERT,1089.7,969.83,102.94,1089.7,734 HCPCS,J1097,PHENYLEPHRINE 1 %-KETOROLAC 0.3 % INTRAOCULAR CONCENTRATE FOR IRRIG,1493.3,1329.04,96.91,1493.3,734 HCPCS,J1100,DEXAMETHASONE 0.1 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,40.4,35.96,0.12,40.4,719 HCPCS,J1100,DEXAMETHASONE 10 MG/ML INJECTION (NEO/PED) - RST ONLY,39.7,35.33,1.21,39.7,719 HCPCS,J1100,DEXAMETHASONE 10 MG/ML INJECTION SOLUTION (WRAPPER),39.7,35.33,1.21,39.7,719 HCPCS,J1100,DEXAMETHASONE 4 MG/ML INJECTION (NEO/PED) - RST ONLY,36.9,32.84,2.42,36.9,719 HCPCS,J1100,DEXAMETHASONE 4 MG/ML INJECTION OVER 15 MIN (NEO/PED),36.9,32.84,2.42,36.9,719 HCPCS,J1100,DEXAMETHASONE 4 MG/ML INJECTION SOLUTION ANES ONLY,36.9,32.84,2.42,36.9,719 HCPCS,J1100,DEXAMETHASONE 4 MG/ML INJECTION SYRINGE (NEO/PED),36.9,32.84,2.42,36.9,719 HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,39.7,35.33,1.21,39.7,724 HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,36.9,32.84,2.42,36.9,738 HCPCS,J1100,PR DEXAMETHASONE SODIUM PHOS,35.5,31.6,1.05,35.5,481 HCPCS,J1110,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,172.0,153.08,35.78,172.0,719 HCPCS,J1120,ACETAZOLAMIDE 10 MG/ML DILUTION INJECTION (NEO/PED) (CNR),49.5,44.06,10.3,49.5,719 HCPCS,J1120,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,127.0,113.03,26.42,127.0,719 HCPCS,J1160,DIGOXIN 25 MCG/ML DILUTION INJECTION (NEONATE)- RST ONLY,42.5,37.83,8.84,42.5,719 HCPCS,J1160,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,46.7,41.56,9.71,46.7,719 HCPCS,J1162,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION,11949.8,10635.32,2485.56,11949.8,736 HCPCS,J1163,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,36.7,32.66,7.63,36.7,718 HCPCS,J1171,HYDROMORPHONE (PF) 1 MG/ML INJECTION SOLUTION (WRAPPER),84.0,74.76,17.47,84.0,717 HCPCS,J1171,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,144.8,128.87,30.12,144.8,719 HCPCS,J1171,HYDROMORPHONE (PF) 100 MCG/1 ML INJECTION DILUTION (CNR),101.1,89.98,21.03,101.1,717 HCPCS,J1171,HYDROMORPHONE (PF) 2 MG/ML INJECTION (WRAPPER),79.8,71.02,16.6,79.8,717 HCPCS,J1171,HYDROMORPHONE (PF) 2 MG/ML INJECTION REGIONAL SOLUTION,72.4,64.44,15.06,72.4,717 HCPCS,J1171,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,76.1,67.73,15.83,76.1,724 HCPCS,J1171,HYDROMORPHONE 2 MG/ML INJECTION (WRAPPER),163.9,145.87,34.09,163.9,717 HCPCS,J1171,HYDROMORPHONE 2 MG/ML INJECTION SOLUTION ANES ONLY,163.9,145.87,34.09,163.9,717 HCPCS,J1171,HYDROMORPHONE 25 MG/50 ML (0.5 MG/ML) IN NACL 0.9% BAG (CNR),96.2,85.62,20.01,96.2,717 HCPCS,J1171,HYDROMORPHONE 4 MG/ML INJECTION (WRAPPER),76.1,67.73,15.83,76.1,717 HCPCS,J1171,"INJ, HYDROMORPHONE, 0.1 MG",72.0,64.08,0.56,72.0,482 HCPCS,J1190,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION (RECONSTITUTE WITH SUPPLIED SODIUM LACTATE),288.8,257.03,60.07,288.8,736 HCPCS,J1190,DEXRAZOXANE HCL 250 MG/25 ML INTRAVENOUS SOLUTION (WETTED) (RECONSTITUTE WITH SWFI),215.7,191.97,44.87,215.7,736 HCPCS,J1190,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION (RECONSTITUTE WITH SUPPLIED SODIUM LACTATE),348.2,309.9,63.06,348.2,736 HCPCS,J1190,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION (RECONSTITUTE WITH SWFI),391.5,348.44,63.06,391.5,736 HCPCS,J1190,DEXRAZOXANE HCL 500 MG/50 ML INTRAVENOUS SOLUTION (WETTED) (RECONSTITUTE WITH SWFI),412.7,367.3,63.06,412.7,736 HCPCS,J1190,PR DEXRAZOXANE HCL INJ 250 MG,556.6,495.37,174.04,556.6,481 HCPCS,J1200,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,37.0,32.93,0.82,37.0,724 HCPCS,J1200,DIPHENHYDRAMINE 50 MG/ML INJECTION SYRINGE,42.4,37.74,0.82,42.4,717 HCPCS,J1200,PR DIPHENHYDRAMINE HCL INJECTIO,,,0.71,42.4,468 HCPCS,J1205,CHLOROTHIAZIDE 25 MG/ML INJECTION (NEO/PED),147.3,131.1,30.64,147.3,719 HCPCS,J1205,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,147.3,131.1,30.64,147.3,719 HCPCS,J1212,PR DIMETHYL SULFOXIDE 50% 50 ML,2088.9,1859.12,749.23,2088.9,481 HCPCS,J1230,METHADONE 0.5 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY (RESTRICTED),103.7,92.29,20.36,103.7,719 HCPCS,J1230,METHADONE 10 MG/ML INJECTION SOLUTION,667.1,593.72,138.76,667.1,722 HCPCS,J1230,METHADONE 150 MG/30 ML (5 MG/ML) PCA (HOSPIRA) CNR,1091.9,971.79,227.12,1091.9,719 HCPCS,J1240,DIMENHYDRINATE 50 MG/ML INJECTION SOLUTION,56.6,50.37,1.05,56.6,719 HCPCS,J1245,DIPYRIDAMOLE 5 MG/ML INTRAVENOUS SOLUTION,106.7,94.96,22.19,106.7,719 HCPCS,J1246,DINUTUXIMAB 3.5 MG/ML INTRAVENOUS SOLUTION,53782.4,47866.34,11186.74,53782.4,719 HCPCS,J1250,"DOBUTAMINE 25 MG/25 ML (1,000 MCG/ML) IN D10W SYRINGE (NEO/PED) CNR",77.1,68.62,9.23,77.1,719 HCPCS,J1250,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,48.0,42.72,9.23,48.0,719 HCPCS,J1250,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS,98.7,87.84,9.23,98.7,725 HCPCS,J1250,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV",110.0,97.9,18.46,110.0,719 HCPCS,J1250,PR INJ DOBUTAMINE HCL/250 MG,98.7,87.84,8.02,98.7,481 HCPCS,J1265,DOPAMINE 200 MG/250 ML (800 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN,99.5,88.56,4.61,99.5,720 HCPCS,J1265,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,45.8,40.76,4.61,45.8,719 HCPCS,J1265,DOPAMINE 40 MG/50 ML (800 MCG/ML) IN NACL 0.45% SYRINGE (NEO/PED) CNR,82.2,73.16,0.92,82.2,719 HCPCS,J1265,DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION,43.0,38.27,8.94,43.0,719 HCPCS,J1265,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",106.5,94.79,9.22,106.5,719 HCPCS,J1271,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,84.2,74.94,17.51,84.2,717 HCPCS,J1271,INJ DOXYCYCLINE HYCLATE 1 MG,55.6,49.48,5.1,55.6,481 HCPCS,J1299,ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION,15591.0,13875.99,44.82,15591.0,734 HCPCS,J1301,EDARAVONE 30 MG/100 ML INTRAVENOUS SOLUTION,3507.5,3121.68,20.99,3507.5,736 HCPCS,J1302,"PR INJ, SUTIMLIMAB-JOME, 10 MG",30371.2,27030.37,12368.2,30371.2,481 HCPCS,J1303,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION,38528.8,34290.635,225.11,60302.4,1472 HCPCS,J1304,TOFERSEN 100 MG/15 ML (6.7 MG/ML) INTRATHECAL SOLUTION,39298.8,34975.93,159.4,39298.8,734 HCPCS,J1308,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),36.3,32.31,7.55,36.3,717 HCPCS,J1308,FAMOTIDINE 10 MG/ML IV SYRINGE (NEO/PED) - RST ONLY,37.6,33.46,7.82,37.6,717 HCPCS,J1323,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION,29051.300000000003,25855.660000000003,184.07,36798.4,1468 HCPCS,J1323,"INJ, ELRANATAMAB-BCMM, 1 MG",15616.7,13898.86,6032.64,15616.7,481 HCPCS,J1325,EPOPROSTENOL 1 MCG/ML CONT NEBULIZER 50 ML STERILE SYRINGE (CNR),28.1,25.01,5.84,28.1,719 HCPCS,J1325,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,116.8,103.95,24.29,116.8,719 HCPCS,J1325,EPOPROSTENOL 2 MCG/ML CONT NEBULIZER 50 ML STERILE SYRINGE (CNR),28.1,25.01,5.84,28.1,719 HCPCS,J1325,EPOPROSTENOL 4 MCG/ML CONT NEBULIZER 50 ML STERILE SYRINGE (CNR),28.1,25.01,5.84,28.1,719 HCPCS,J1327,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,344.1,306.25,2.99,344.1,734 HCPCS,J1327,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION,110.3,98.17,2.99,110.3,734 HCPCS,J1335,ERTAPENEM 1 GRAM IM EQUIVALENCY,82.7,73.6,17.2,82.7,719 HCPCS,J1335,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,82.7,73.6,17.2,82.7,720 HCPCS,J1335,ERTAPENEM 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,129.3,115.08,21.07,129.3,719 HCPCS,J1335,PR ERTAPENEM INJECTION,,,9.16,87.01,467 HCPCS,J1364,ERYTHROMYCIN 5 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,66.1,58.83,13.75,66.1,719 HCPCS,J1364,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,252.8,224.99,23.18,252.8,719 HCPCS,J1380,ESTRADIOL VALERATE 10 MG/ML INTRAMUSCULAR OIL,121.9,108.49,8.56,121.9,719 HCPCS,J1380,ESTRADIOL VALERATE 20 MG/ML INTRAMUSCULAR OIL,70.9,63.1,8.56,70.9,719 HCPCS,J1380,ESTRADIOL VALERATE 40 MG/ML INTRAMUSCULAR OIL,64.6,57.49,8.56,64.6,719 HCPCS,J1410,CONJUGATED ESTROGENS 25 MG/5 ML SOLUTION FOR INJECTION (WETTED),1021.9,909.49,212.56,1021.9,736 HCPCS,J1438,ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE,3034.9,2701.06,631.26,3034.9,717 HCPCS,J1438,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS SYRINGE,5644.6,5023.69,1174.08,5644.6,717 HCPCS,J1439,FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION,3003.5,2673.12,1.11,3003.5,736 HCPCS,J1439,PR INJ FERRIC CARBOXYMALTOS 1MG,3863.0,3438.07,1115.0,3863.0,481 HCPCS,J1440,FECAL MICROBIOTA JSLM 1 ML,28293.5,25181.22,9693.75,28293.5,481 HCPCS,J1442,FILGRASTIM 300 MCG/ML INJECTION SOLUTION,892.5,794.33,1.0,892.5,736 HCPCS,J1442,FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION,1347.0,1198.83,1.0,1347.0,736 HCPCS,J1442,"PR INJ, FILGRASTIM G-CSF 1MCG",639.2,568.89,200.4,639.2,481 HCPCS,J1448,TRILACICLIB 300 MG/20 ML INTRAVENOUS SOLUTION (WETTED),4435.4,3947.51,5.46,4435.4,734 HCPCS,J1450,FLUCONAZOLE 2 MG/ML IV SYRINGE (NEO/PED) - DRAWN UP FROM PREMIX BAG,89.7,79.83,10.3,89.7,719 HCPCS,J1450,FLUCONAZOLE 2 MG/ML-SODIUM CHLORIDE(ISO) IVPB DRAWN UP FROM PREMIX BAG,86.6,77.07,5.15,86.6,719 HCPCS,J1450,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,88.3,78.59,5.15,88.3,719 HCPCS,J1450,FLUCONAZOLE 400 MG/200 ML IN SOD. CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,89.7,79.83,10.3,89.7,721 HCPCS,J1451,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,1295.1,1152.64,6.28,1295.1,734 HCPCS,J1453,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,122.2,108.76,18.11,122.2,727 HCPCS,J1455,"FOSCARNET 2,400 MCG/0.1 ML INTRAOCULAR INJECTION (REPACKAGED)",1154.4,1027.42,240.12,1154.4,717 HCPCS,J1455,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION,897.5,798.78,186.68,897.5,717 HCPCS,J1455,FOSCARNET IV SYRINGE 24 MG/ML (NEO/PED) (CENTRAL LINE ONLY),897.5,798.78,186.68,897.5,717 HCPCS,J1455,PR FOSCARNET SODIUM INJECTION,35.5,31.6,6.71,35.5,481 HCPCS,J1458,GALSULFASE 5 MG/5 ML INTRAVENOUS SOLUTION,6797.5,6049.78,508.76,6797.5,736 HCPCS,J1460,"IMMUNE GLOB,GAMMA(IGG) 15 %-18 % RANGE-GLYCINE INTRAMUSCULAR SOLUTION",809.3000000000001,720.2800000000001,49.03,1252.4,1474 HCPCS,J1554,"IMMUNE GLOBULIN,GAMMA(IGG)-SLRA HUMAN 10 % INTRAVENOUS SOLUTION",12014.8,10693.17,496.74,12014.8,736 HCPCS,J1559,IMMUNE GLOB G 20%-PROL-IGA 0-50 MCG/ML SUBCUTANEOUS SOLN (WRAPPER),1252.4499999999998,1114.6799999999998,14.34,4016.4,2944 HCPCS,J1561,IMMUNE GLOB G 10 GRAM/100 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,3391.3,3018.26,48.96,3391.3,736 HCPCS,J1561,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,6357.5,5658.18,48.96,6357.5,736 HCPCS,J1561,IMMUNE GLOB G 40 GRAM/400 ML(10%)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,12290.0,10938.1,48.96,12290.0,736 HCPCS,J1561,IMMUNE GLOBU G 1 GRAM/10 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,421.7,375.31,48.96,421.7,736 HCPCS,J1561,IMMUNE GLOBU G 5 GRAM/50 ML(10 %)-GLY-IGA AVE 46 MCG/ML INJECTION SOLN,1708.2,1520.3,48.96,1708.2,736 HCPCS,J1566,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 10% IV SOLUTION (RESTRICTED)",4238.5,3772.27,78.8,4238.5,736 HCPCS,J1566,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION (RESTRICTED)",4238.5,3772.27,78.8,4238.5,736 HCPCS,J1566,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 10% IV SOLUTION (RESTRICTED)",2356.7,2097.46,78.8,2356.7,736 HCPCS,J1566,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION (RESTRICTED)",2356.7,2097.46,78.8,2356.7,736 HCPCS,J1569,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",2866.0,2550.7400000000002,45.31,5507.0,2952 HCPCS,J1569,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION (FOR ENTERAL USE) (NEO/PED) (RESTRICTED)",3109.2000000000003,2767.185,45.31,6158.4,2944 HCPCS,J1569,PR GAMMAGARD LIQUID INJ,8725.6,7765.78,4634.22,8725.6,481 HCPCS,J1570,GANCICLOVIR 2000 MCG/0.05 ML INTRAOCULAR INJECTION (CNR),200.9,178.8,38.55,200.9,719 HCPCS,J1570,GANCICLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,158.4,140.98,32.95,158.4,719 HCPCS,J1570,GANCICLOVIR SODIUM 500 MG/10 ML INTRAVENOUS SOLUTION (WETTED),145.1,129.14,30.18,145.1,719 HCPCS,J1570,PR GANCICLOVIR SODIUM INJECTION,224.1,199.45,33.52,224.1,481 HCPCS,J1571,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML INJECTION SOL (WRAPPER),224.8,200.07,46.76,224.8,736 HCPCS,J1571,PR HEPAGAM B IM INJECTION,1334.7,1187.88,626.27,1334.7,481 HCPCS,J1573,HEPATITIS B IMMUNE GLOBULIN > 312 UNITS/ML IVPB BAG OF STRAIGHT DRUG (WRAPPER),9858.4,8773.98,66.64,9858.4,734 HCPCS,J1580,GENTAMICIN 1 MG/ML DILUTION INJECTION (NEONATE) - RST,107.2,95.41,2.49,107.2,719 HCPCS,J1580,GENTAMICIN 1 MG/ML-HEPARIN 2500 UNITS/ML LOCK SOLUTION (CNR),39.0,34.71,2.49,39.0,719 HCPCS,J1580,GENTAMICIN 1 MG/ML-SODIUM CITRATE 3.9% LOCK SOLUTION (CNR),35.4,31.51,2.49,35.4,1438 HCPCS,J1580,GENTAMICIN 10 MG/ML INJECTION (NEO/PED) - RST ONLY,42.8,38.09,2.49,42.8,719 HCPCS,J1580,GENTAMICIN 100 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,83.3,74.14,4.98,83.3,721 HCPCS,J1580,GENTAMICIN 120 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,84.1,74.85,4.98,84.1,721 HCPCS,J1580,GENTAMICIN 20 MG/0.5 ML SUBCONJUNCTIVAL INJECTION (PF) (MAYO PRD LAB),58.1,51.71,2.49,58.1,719 HCPCS,J1580,GENTAMICIN 40 MG/ML (PF) SUBCONJUNCTIVAL INJECTION - RST ONLY,142.0,126.38,7.47,142.0,719 HCPCS,J1580,GENTAMICIN 40 MG/ML INJECTION (NEO/PED) - RST ONLY,40.6,36.13,2.49,40.6,719 HCPCS,J1580,GENTAMICIN 40 MG/ML INJECTION SOLUTION,40.6,36.13,2.49,40.6,726 HCPCS,J1580,GENTAMICIN 5 MG/ML LOCK SOLUTION (CNR),36.2,32.22,2.49,36.2,1438 HCPCS,J1580,GENTAMICIN 60 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,82.4,73.34,2.49,82.4,719 HCPCS,J1580,GENTAMICIN 8 MG/ML ORAL SUSPENSION,14.8,13.17,2.49,14.8,719 HCPCS,J1580,GENTAMICIN 80 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,82.6,73.51,2.49,82.6,722 HCPCS,J1580,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION,42.8,38.09,2.49,42.8,719 HCPCS,J1580,PR GARAMYCIN GENTAMICIN INJ,40.6,36.13,2.17,40.6,482 HCPCS,J1596,GLYCOPYRROLATE 0.2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),38.4,34.18,7.99,38.4,729 HCPCS,J1596,GLYCOPYRROLATE(PF) 0.4 MG/2 ML (0.2 MG/ML) IN STERILE WATER IV SYRINGE,41.9,37.29,8.72,41.9,717 HCPCS,J1602,GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION,5295.6,4713.08,11.04,5295.6,736 HCPCS,J1602,PR GOLIMUMAB FOR IV USE 1MG,12540.7,11161.22,1453.88,12540.7,485 HCPCS,J1611,GLUCAGON 1 MG/ML INJECTION (WRAPPER),417.1,371.22,86.76,417.1,734 HCPCS,J1626,GRANISETRON (PF) 1 MG/ML (1 ML) INTRAVENOUS SOLUTION,42.6,37.91,1.68,42.6,726 HCPCS,J1626,GRANISETRON 1 MG/ML INTRAVENOUS SOLUTION (PEDIATRIC),42.6,37.91,1.68,42.6,719 HCPCS,J1630,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,38.0,33.82,0.84,38.0,726 HCPCS,J1631,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,47.1,41.92,4.53,47.1,719 HCPCS,J1631,PR HALOPERIDOL DECANOATE INJ,62.9,55.98,3.94,62.9,481 HCPCS,J1640,HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION,28992.9,25803.68,34.18,28992.9,736 HCPCS,J1640,PR HEMIN 1MG INJ,14709.0,13091.01,6179.08,14709.0,481 HCPCS,J1644,DEXTROSE 10 % WITH HEPARIN 0.5 UNIT/ML INFUSION (NEONATAL CODE),36.4,32.4,0.21,36.4,717 HCPCS,J1644,DEXTROSE 12.5 % WITH HEPARIN 0.5 UNITS/ML INFUSION (NEONATAL CODE),75.0,66.75,0.21,75.0,717 HCPCS,J1644,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",85.5,76.1,0.21,85.5,717 HCPCS,J1644,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",42.5,37.83,2.06,42.5,728 HCPCS,J1644,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",41.4,36.85,2.06,41.4,717 HCPCS,J1644,"HEPARIN (PORCINE) 2,000 UNIT/1,000 ML IN 0.9% NACL (WRAPPER) FLUSH INFUSION",85.5,76.1,0.41,85.5,717 HCPCS,J1644,"HEPARIN (PORCINE) 20,000 UNIT/ML INJECTION SOLUTION",60.5,53.85,4.12,60.5,717 HCPCS,J1644,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",102.2,90.96,5.15,102.2,718 HCPCS,J1644,"HEPARIN (PORCINE) 5,000 UNIT/500 ML (10 UNIT/ML) IN 0.9 % NACL FLUSH SOLUTION",94.2,83.84,1.03,94.2,717 HCPCS,J1644,"HEPARIN (PORCINE) 5,000 UNITS/ML INJECTION SOLUTION (WRAPPER)",38.6,34.35,1.03,38.6,727 HCPCS,J1644,"HEPARIN (PORCINE) SET RATE 25,000 UNIT/250 ML IN 0.45 % NACL",102.2,90.96,5.15,102.2,717 HCPCS,J1644,PR INJ HEPARIN SODIUM PER 1000U,50.1,44.59,5.37,50.1,481 HCPCS,J1645,DALTEPARIN (FRAGMIN) 1000 UNITS/ML DILUTION SUBCUTANEOUS SYRINGE,70.6,62.83,14.68,70.6,719 HCPCS,J1645,"DALTEPARIN (PORCINE) 10,000 ANTI-XA UNIT/ML SUBCUTANEOUS SYRINGE",148.8,132.43,30.95,148.8,719 HCPCS,J1645,"DALTEPARIN (PORCINE) 2,500 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRINGE",72.6,64.61,15.1,72.6,719 HCPCS,J1645,"DALTEPARIN (PORCINE) 5,000 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRINGE",92.8,82.59,19.3,92.8,719 HCPCS,J1650,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,66.4,59.1,6.13,66.4,719 HCPCS,J1650,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,68.6,61.05,7.36,68.6,719 HCPCS,J1650,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,89.4,79.57,9.19,89.4,719 HCPCS,J1650,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,44.4,39.52,1.84,44.4,722 HCPCS,J1650,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION,112.2,99.86,18.39,112.2,720 HCPCS,J1650,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,46.3,41.21,2.45,46.3,725 HCPCS,J1650,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,51.9,46.19,3.68,51.9,720 HCPCS,J1650,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,60.0,53.4,4.9,60.0,719 HCPCS,J1650,ENOXAPARIN DILUTION INJECTION 20 MG/ML (NEO/PED),46.3,41.21,1.84,46.3,719 HCPCS,J1650,PR INJ ENOXAPARIN SODIUM,45.2,40.23,2.67,45.2,482 HCPCS,J1652,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,82.6,73.51,17.18,82.6,719 HCPCS,J1652,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,58.4,51.98,5.04,58.4,719 HCPCS,J1652,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,98.2,87.4,10.09,98.2,719 HCPCS,J1652,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,66.7,59.36,13.87,66.7,719 HCPCS,J1670,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE,1549.2,1378.79,322.23,1549.2,736 HCPCS,J1720,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML INJECTION (NEO/PED) - RST ONLY,125.4,111.61,25.37,125.4,719 HCPCS,J1720,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION,125.4,111.61,25.37,125.4,724 HCPCS,J1720,HYDROCORTISONE SOD SUCCINATE (PF) 500 MG/4 ML INJECTION (NEO/PED) - RST ONLY,352.2,313.46,73.26,352.2,719 HCPCS,J1720,HYDROCORTISONE SOD SUCCINATE (PF) 500 MG/4 ML SOLUTION FOR INJECTION,352.2,313.46,73.26,352.2,719 HCPCS,J1720,HYDROCORTISONE SOD SUCCINATE 1 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,45.0,40.05,9.36,45.0,719 HCPCS,J1720,HYDROCORTISONE SOD SUCCINATE 5 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,64.3,57.23,13.37,64.3,719 HCPCS,J1720,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION,109.9,97.81,22.86,109.9,719 HCPCS,J1740,IBANDRONATE 3 MG/3 ML INTRAVENOUS SOLUTION (WRAPPER),240.1,213.69,45.34,240.1,719 HCPCS,J1742,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION,325.2,289.43,67.64,325.2,736 HCPCS,J1744,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE,1633.2,1453.55,339.71,1633.2,727 HCPCS,J1745,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,1282.3,1141.25,31.09,1282.3,736 HCPCS,J1745,PR INFLIXIMAB INJECTION,3202.4,2850.14,778.15,3202.4,481 HCPCS,J1747,SPESOLIMAB-SBZO 60 MG/ML INTRAVENOUS SOLUTION,69799.6,62121.64,65.73,69799.6,734 HCPCS,J1750,IRON DEXTRAN 1 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,50.0,44.5,10.4,50.0,736 HCPCS,J1750,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION,71.3,63.46,14.83,71.3,737 HCPCS,J1750,PR INJ IRON DEXTRAN,71.3,63.46,18.08,71.3,481 HCPCS,J1756,IRON SUCROSE 20 MG/ML INJECTION WRAPPER,107.3,95.5,22.32,107.3,717 HCPCS,J1786,IMIGLUCERASE 400 UNIT INTRAVENOUS SOLUTION,4803.7,4275.29,43.19,4803.7,736 HCPCS,J1790,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,61.6,54.82,12.81,61.6,723 HCPCS,J1800,PROPRANOLOL 0.1 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,47.1,41.92,9.8,47.1,719 HCPCS,J1800,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,42.8,38.09,8.9,42.8,719 HCPCS,J1805,ESMOLOL 100 MG/10 ML INTRAVENOUS INJECTION (WRAPPER),59.7,53.13,12.42,59.7,720 HCPCS,J1805,"ESMOLOL 2,000 MG/100 ML (20 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",679.2,604.49,141.27,679.2,717 HCPCS,J1805,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",411.7,366.41,85.63,411.7,717 HCPCS,J1807,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION,1272.0,1132.08,20.97,1272.0,734 HCPCS,J1808,FOLIC ACID 5 MG/ML INJECTION SOLUTION,119.4,106.27,24.84,119.4,717 HCPCS,J1808,"INJ, FOLIC ACID, 0.1 MG",37.3,33.2,0.53,37.3,481 HCPCS,J1811,INSULIN ASPART (NIACINAMIDE) (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,267.9,238.43,55.72,267.9,727 HCPCS,J1815,INSULIN ASPART (NIACINAMIDE) SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,267.9,238.43,55.72,267.9,719 HCPCS,J1815,INSULIN ASPART (NIACINAMIDE) SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML BASAL,267.9,238.43,55.72,267.9,719 HCPCS,J1815,INSULIN ASPART (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,96.6,85.97,20.09,96.6,729 HCPCS,J1815,INSULIN ASPART SUBCUTANEOUS CARB CALCULATOR PRN SNACKS (WRAPPER),96.6,85.97,20.09,96.6,719 HCPCS,J1815,INSULIN ASPART SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),96.6,85.97,20.09,96.6,719 HCPCS,J1815,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS CARTRIDGE,116.7,103.86,24.27,116.7,729 HCPCS,J1815,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR PRN SNACKS),96.6,85.97,20.09,96.6,729 HCPCS,J1815,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR SCHEDULED),96.6,85.97,20.09,96.6,729 HCPCS,J1815,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION,170.5,151.75,35.46,170.5,729 HCPCS,J1815,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR PRN SNACKS),170.5,151.75,35.46,170.5,729 HCPCS,J1815,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),170.5,151.75,35.46,170.5,729 HCPCS,J1815,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS CARTRIDGE (CARB CALCULATOR PRN SNACKS),116.7,103.86,24.27,116.7,729 HCPCS,J1815,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS CARTRIDGE (CARB CALCULATOR SCHEDULED),116.7,103.86,24.27,116.7,729 HCPCS,J1815,INSULIN DEGLUDEC (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,145.3,129.32,30.22,145.3,729 HCPCS,J1815,INSULIN GLARGINE (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,105.5,93.9,21.94,105.5,729 HCPCS,J1815,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS PEN,148.2,131.9,30.83,148.2,729 HCPCS,J1815,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR PRN SNACKS),148.2,131.9,30.83,148.2,729 HCPCS,J1815,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR SCHEDULED),148.2,131.9,30.83,148.2,729 HCPCS,J1815,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,304.1,270.65,63.25,304.1,729 HCPCS,J1815,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR PRN SNACKS),304.1,270.65,63.25,304.1,719 HCPCS,J1815,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),304.1,270.65,63.25,304.1,719 HCPCS,J1815,INSULIN GLULISINE SUBCUTANEOUS CARB CALCULATOR PRN SNACKS (WRAPPER),148.2,131.9,30.83,148.2,719 HCPCS,J1815,INSULIN GLULISINE SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),148.2,131.9,30.83,148.2,719 HCPCS,J1815,INSULIN LISPRO (U-10) 10 UNIT/ML INJECTION DILUTION - RST ONLY,92.8,82.59,19.3,92.8,729 HCPCS,J1815,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS HALF-UNIT PEN,108.7,96.74,22.61,108.7,729 HCPCS,J1815,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN,108.7,96.74,22.61,108.7,729 HCPCS,J1815,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR PRN SNACKS),108.7,96.74,22.61,108.7,729 HCPCS,J1815,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR SCHEDULED),108.7,96.74,22.61,108.7,729 HCPCS,J1815,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,205.2,182.63,42.68,205.2,729 HCPCS,J1815,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR PRN SNACKS),205.2,182.63,42.68,205.2,729 HCPCS,J1815,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),205.2,182.63,42.68,205.2,729 HCPCS,J1815,INSULIN LISPRO (U-50) 50 UNIT/ML INJECTION DILUTION - RST ONLY,135.5,120.6,28.18,135.5,729 HCPCS,J1815,INSULIN LISPRO SUBCUTANEOUS CARB CALCULATOR PRN SNACKS (WRAPPER),108.7,96.74,22.61,108.7,719 HCPCS,J1815,INSULIN LISPRO SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),108.7,96.74,22.61,108.7,719 HCPCS,J1815,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,90.4,80.46,18.8,90.4,729 HCPCS,J1815,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,111.0,98.79,23.09,111.0,729 HCPCS,J1815,INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN,783.6,697.4,162.99,783.6,729 HCPCS,J1815,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,155.5,138.4,32.34,155.5,730 HCPCS,J1815,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION (PEDS HYPERKALEMIA),155.5,138.4,32.34,155.5,729 HCPCS,J1815,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION ARZ ANES,155.5,138.4,32.34,155.5,729 HCPCS,J1815,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML SUBCUTANEOUS INJECTION CARB CALCULATOR SCHEDULED,155.5,138.4,32.34,155.5,719 HCPCS,J1815,INSULIN U-50 REGULAR HUMAN 50 UNIT/ML DILUTION INJECTION - RST ONLY,63.0,56.07,13.1,63.0,729 HCPCS,J1817,INSULIN ASPART SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,170.5,151.75,35.46,170.5,719 HCPCS,J1817,INSULIN ASPART SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,170.5,151.75,35.46,170.5,719 HCPCS,J1817,INSULIN GLULISINE SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,304.1,270.65,63.25,304.1,719 HCPCS,J1817,INSULIN GLULISINE SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,304.1,270.65,63.25,304.1,719 HCPCS,J1817,INSULIN LISPRO SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML,205.2,182.63,42.68,205.2,719 HCPCS,J1817,INSULIN LISPRO SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,205.2,182.63,42.68,205.2,719 HCPCS,J1817,INSULIN REGULAR SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,155.5,138.4,32.34,155.5,719 HCPCS,J1817,INSULIN REGULAR SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML BASAL,155.5,138.4,32.34,155.5,719 HCPCS,J1830,INTERFERON BETA-1B 0.3 MG SUBCUTANEOUS KIT,2042.6,1817.91,249.94,2042.6,719 HCPCS,J1833,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION,878.0,781.42,1.01,878.0,734 HCPCS,J1834,ISONIAZID 100 MG/ML INJECTION SOLUTION,822.5,732.03,0.32,822.5,734 HCPCS,J1836,"INJ, METRONIDAZOLE, 10 MG",80.6,71.73,1.4,80.6,481 HCPCS,J1836,METRONIDAZOLE 5 MG/ML IV - DRAWN UP FROM PREMIX BAG,80.6,71.73,16.76,80.6,717 HCPCS,J1836,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,80.6,71.73,16.76,80.6,728 HCPCS,J1837,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION,302.0,268.78,0.21,302.0,734 HCPCS,J1885,KETOROLAC 15 MG/ML INJECTION SOLUTION,37.6,33.46,0.3,37.6,749 HCPCS,J1885,KETOROLAC 30 MG/ML INJECTION SOLUTION (INCLUDES REPACKAGED VOLUMES),37.7,33.55,0.3,37.7,749 HCPCS,J1885,PR KETOROLAC TROMETHAMINE INJ,36.4,32.4,0.33,36.4,489 HCPCS,J1920,LABETALOL 5 MG/ML INJECTION (WRAPPER),60.8,54.11,12.65,60.8,723 HCPCS,J1930,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE,25148.3,22381.99,34.05,25148.3,736 HCPCS,J1930,LANREOTIDE 60 MG/0.2 ML SUBCUTANEOUS SYRINGE,16168.0,14389.52,34.05,16168.0,736 HCPCS,J1931,LARONIDASE 2.9 MG/5 ML INTRAVENOUS SOLUTION,3319.8,2954.62,39.87,3319.8,736 HCPCS,J1932,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE (CIPLA),6948.1,6183.81,29.84,6948.1,734 HCPCS,J1938,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,36.4,32.4,7.57,36.4,722 HCPCS,J1938,"INJ, FUROSEMIDE, 1 MG",35.7,31.77,0.19,35.7,479 HCPCS,J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,42.8,38.09,8.9,42.8,717 HCPCS,J1940,FUROSEMIDE 1 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,40.8,36.31,8.49,40.8,721 HCPCS,J1940,FUROSEMIDE 10 MG/ML SYRINGE (PEDIATRIC) - RST ONLY,36.4,32.4,7.57,36.4,721 HCPCS,J1943,"ARIPIPRAZOLE LAUROXIL,SUBMIC. ER 675 MG/2.4 ML SUSP,EXT.REL.IM SYRINGE",6406.0,5701.34,3.25,6406.0,736 HCPCS,J1944,"ARIPIPRAZOLE LAUROXIL ER 1,064 MG/3.9 ML SUSPENSION,EXT.REL IM SYRINGE",9852.8,8768.99,3.35,9852.8,736 HCPCS,J1944,"ARIPIPRAZOLE LAUROXIL ER 441 MG/1.6 ML SUSPENSION, EXT.REL. IM SYRINGE",4332.6,3856.01,3.35,4332.6,736 HCPCS,J1944,"ARIPIPRAZOLE LAUROXIL ER 662 MG/2.4 ML SUSPENSION, EXT.REL. IM SYRINGE",6290.8,5598.81,3.35,6290.8,736 HCPCS,J1944,"ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2 ML SUSPENSION, EXT.REL. IM SYRINGE",8240.1,7333.69,3.35,8240.1,736 HCPCS,J1950,LEUPROLIDE 11.25 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT,29135.3,25930.42,1730.32,29135.3,736 HCPCS,J1950,LEUPROLIDE 11.25 MG INTRAMUSCULAR KIT,9995.1,8895.64,1730.32,9995.1,736 HCPCS,J1950,LEUPROLIDE 15 MG INTRAMUSCULAR KIT,10965.5,9759.3,1730.32,10965.5,736 HCPCS,J1950,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT,3141.8,2796.2,653.49,3141.8,736 HCPCS,J1950,LEUPROLIDE 30 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT,32046.5,28521.39,1730.32,32046.5,736 HCPCS,J1950,LEUPROLIDE 45 MG (PEDIATRIC 6 MONTH) INTRAMUSCULAR SYRINGE KIT,63667.9,56664.43,1730.32,63667.9,736 HCPCS,J1950,LEUPROLIDE 7.5 MG (PED) INTRAMUSCULAR KIT,5696.4,5069.8,1184.85,5696.4,736 HCPCS,J1950,LEUPROLIDE ACETATE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,8575.3,7632.02,1730.32,8575.3,736 HCPCS,J1953,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",88.2,78.5,2.24,88.2,720 HCPCS,J1953,"LEVETIRACETAM 1,500 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",87.4,77.79,2.29,87.4,719 HCPCS,J1953,LEVETIRACETAM 100 MG/ML IV SYRINGE (PEDIATRIC) - RST ONLY,40.1,35.69,2.24,40.1,719 HCPCS,J1953,LEVETIRACETAM 15 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY (CNR),38.3,34.09,0.67,38.3,719 HCPCS,J1953,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,95.7,85.17,2.24,95.7,719 HCPCS,J1953,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,40.1,35.69,2.24,40.1,719 HCPCS,J1953,LEVETIRACETAM IV SYRINGE 15 MG/ML (NEO/PED) - DRAWN UP FROM PREMIX BAG,183.8,163.58,6.73,183.8,719 HCPCS,J1955,LEVOCARNITINE 200 MG/ML INJECTION FOR ORAL USE,76.3,67.91,15.87,76.3,719 HCPCS,J1955,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,116.3,103.51,24.19,116.3,719 HCPCS,J1955,LEVOCARNITINE 200 MG/ML SYRINGE (PEDIATRIC),116.3,103.51,24.19,116.3,719 HCPCS,J1956,LEVOFLOXACIN 250 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,88.0,78.32,2.49,88.0,719 HCPCS,J1956,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,91.1,81.08,4.97,91.1,723 HCPCS,J1956,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,95.5,85.0,7.46,95.5,724 HCPCS,J1956,LEVOFLOXACIN IV SYRINGE 5 MG/ML (NEO/PED) - DRAWN UP FROM PREMIX BAG,88.0,78.32,2.49,88.0,719 HCPCS,J1956,LEVOFLOXACIN IVPB 5 MG/ML (NEO/PED) - DRAWN UP FROM PREMIX BAG,88.0,78.32,2.49,88.0,719 HCPCS,J1956,PR LEVOFLOXACIN INJECTION,94.1,83.75,2.16,94.1,481 HCPCS,J2002,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,87.3,77.7,18.16,87.3,718 HCPCS,J2002,LIDOCAINE (PF) 4 MG/ML IN 5 % DEXTROSE PAIN ANES ONLY,87.3,77.7,18.16,87.3,717 HCPCS,J2003,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE (RST PED CV EMERGENCY),62.1,55.27,12.92,62.1,715 HCPCS,J2020,LINEZOLID 1 MG/ML IN SODIUM CITRATE 2% LOCK SOLUTION (CNR) (RESTRICTED),36.7,32.665,3.15,37.0,1438 HCPCS,J2020,LINEZOLID 1.6 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR) (RESTRICTED),38.05,33.865,3.15,39.2,1438 HCPCS,J2020,LINEZOLID 2 MG/ML IV (NEO/PED) - DRAWN UP FROM PREMIX BAG,101.3,90.16,9.46,101.3,719 HCPCS,J2020,LINEZOLID 2 MG/ML LOCK SOLUTION (REPACKAGED BAG) IN 5% DEXTROSE (RESTRICTED),35.400000000000006,31.505,3.15,35.6,2157 HCPCS,J2020,LINEZOLID 2 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR) (RESTRICTED),37.5,33.38,3.15,37.5,719 HCPCS,J2020,LINEZOLID 2 MG/ML-HEPARIN 50 UNITS/ML LOCK SOLUTION (CNR) (RESTRICTED),35.8,31.86,3.15,35.8,719 HCPCS,J2020,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,101.3,90.16,9.46,101.3,719 HCPCS,J2060,LORAZEPAM 0.1 MG/ML DILUTION INJECTION (NEONATE) - RST,71.6,63.72,1.62,71.6,719 HCPCS,J2060,LORAZEPAM 2 MG/ML INJECTION SOLUTION (WRAPPER),76.2,67.82,1.62,76.2,723 HCPCS,J2060,LORAZEPAM 4 MG/ML INJECTION SOLUTION (WRAPPER),76.0,67.64,3.23,76.0,719 HCPCS,J2060,PR LORAZEPAM INJECTION,73.5,65.42,1.41,73.5,488 HCPCS,J2151,"INJ, MANNITOL, 250 MG",92.9,82.68,4.8,92.9,481 HCPCS,J2151,MANNITOL 25 % INTRAVENOUS SOLUTION,51.5,45.84,10.71,51.5,717 HCPCS,J2175,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION,76.7,68.26,9.37,76.7,720 HCPCS,J2175,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION,77.0,68.53,9.37,77.0,719 HCPCS,J2175,MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE,90.6,80.63,9.37,90.6,719 HCPCS,J2182,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION,8648.0,7696.72,31.27,8648.0,736 HCPCS,J2182,MEPOLIZUMAB 100 MG/ML SUBCUTANEOUS AUTO-INJECTOR,10347.6,9209.36,31.27,10347.6,736 HCPCS,J2183,MEROPENEM 2 GRAM INTRAVENOUS SOLUTION,124.6,110.89,25.92,124.6,717 HCPCS,J2185,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,52.1,46.37,4.4,52.1,719 HCPCS,J2185,MEROPENEM 1 GRAM POWDER VIAL OSM,20.0,17.8,4.16,20.0,719 HCPCS,J2185,MEROPENEM 50 MG/ML STOCK SOLUTION FOR DESENSITIZATION,82.6,73.51,2.2,82.6,719 HCPCS,J2185,MEROPENEM 500 MG INTRAVENOUS SOLUTION,44.7,39.78,2.2,44.7,719 HCPCS,J2185,PR MEROPENEM,35.2,31.33,0.38,35.2,481 HCPCS,J2186,MEROPENEM-VABORBACTAM 2 GRAM INTRAVENOUS SOLUTION,637.9,567.73,2.18,637.9,734 HCPCS,J2210,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,117.3,104.4,24.4,117.3,719 HCPCS,J2212,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION (WRAPPER),413.5,368.02,86.01,413.5,729 HCPCS,J2246,"INJ, MICAFUNGIN (BAXTER)",267.4,237.99,41.3,267.4,481 HCPCS,J2248,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,119.7,106.53,24.9,119.7,719 HCPCS,J2248,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,102.9,91.58,14.32,102.9,719 HCPCS,J2248,PR MICAFUNGIN SODIUM INJECTION,154.5,137.51,37.35,154.5,481 HCPCS,J2249,REMIMAZOLAM 20 MG INTRAVENOUS SOLUTION,136.3,121.31,28.35,136.3,725 HCPCS,J2250,MIDAZOLAM (PF) 0.15 MG/ML DILUTION INJECTION (NEONATE) CNR,71.6,63.72,0.16,71.6,719 HCPCS,J2250,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION (WRAPPER),80.3,71.47,0.32,80.3,741 HCPCS,J2250,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,70.2,62.48,0.16,70.2,727 HCPCS,J2250,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,74.1,65.95,1.62,74.1,719 HCPCS,J2250,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,75.7,67.37,8.11,75.7,720 HCPCS,J2251,MIDAZOLAM 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS INFUSION (WRAPPER),133.8,119.08,27.83,133.8,717 HCPCS,J2260,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,53.8,47.88,6.21,53.8,719 HCPCS,J2260,MILRINONE 10 MG/50 ML (200 MCG/ML) IN NACL 0.45% SYRINGE (NEO/PED) CNR,201.7,179.51,3.11,201.7,719 HCPCS,J2260,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,90.4,80.46,6.21,90.4,719 HCPCS,J2265,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION,786.0,699.54,2.67,786.0,734 HCPCS,J2267,MIRIKIZUMAB-MRKZ 300 MG/15 ML (20 MG/ML) INTRAVENOUS SOLUTION,24276.2,21605.82,43.05,24276.2,734 HCPCS,J2270,MORPHINE (PF) 10 MG/ML INJECTION (WRAPPER),78.3,69.69,3.49,78.3,719 HCPCS,J2270,MORPHINE (PF) 30 MG/30 ML (1 MG/ML) PCA INTRAVENOUS SOLUTION,91.4,81.35,10.47,91.4,719 HCPCS,J2270,MORPHINE 4 MG/ML INJECTION (WRAPPER),78.1,69.51,3.49,78.1,719 HCPCS,J2272,MORPHINE 2 MG/ML INJECTION (WRAPPER),78.3,69.69,16.29,78.3,719 HCPCS,J2274,MORPHINE (PF) 0.5 MG/ML INJECTION REGIONAL ANES ONLY,166.7,148.36,15.52,166.7,719 HCPCS,J2274,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION,166.7,148.36,15.52,166.7,719 HCPCS,J2274,MORPHINE (PF) 1 MG/ML INJECTION REGIONAL SOLUTION,233.3,207.64,15.52,233.3,719 HCPCS,J2274,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,155.4,138.31,15.52,155.4,719 HCPCS,J2274,MORPHINE (PF) 10 MG/ML INJECTION SOLUTION,772.6,687.61,160.7,772.6,719 HCPCS,J2274,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION,1117.3,994.4,232.4,1117.3,719 HCPCS,J2274,MORPHINE 0.1 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,78.6,69.95,15.52,78.6,719 HCPCS,J2274,MORPHINE 0.2 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,77.7,69.15,15.52,77.7,719 HCPCS,J2274,PR IN MORPHINE PRESERVATIV FREE,321.5,286.14,148.45,321.5,481 HCPCS,J2278,ZICONOTIDE 100 MCG/ML INTRATHECAL SOLUTION,3564.5,3172.41,10.14,3564.5,736 HCPCS,J2280,MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,282.5,251.43,42.12,282.5,719 HCPCS,J2280,"PR INJ, MOXIFLOXACIN 100 MG",282.5,251.43,36.62,282.5,481 HCPCS,J2290,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,47.4,42.19,9.86,47.4,717 HCPCS,J2290,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,52.2,46.46,10.86,52.2,717 HCPCS,J2291,NAFCILLIN 2 GRAM/100 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,99.5,88.56,20.7,99.5,717 HCPCS,J2300,NALBUPHINE 10 MG/ML INJECTION SOLUTION,48.0,42.72,3.96,48.0,721 HCPCS,J2305,NITROGLYCERIN 100 MG/250 ML (400 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,192.3,171.15,40.0,192.3,717 HCPCS,J2305,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,89.9,80.01,18.7,89.9,717 HCPCS,J2305,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,189.0,168.21,39.31,189.0,717 HCPCS,J2305,NITROGLYCERIN 50 MG/250 ML INJECTION ANES,189.0,168.21,39.31,189.0,717 HCPCS,J2312,NALOXONE 0.4 MG/ML INJECTION SOLUTION,123.5,109.92,25.69,123.5,719 HCPCS,J2312,NALOXONE 0.4 MG/ML INJECTION SOLUTION - RST ONLY,123.5,109.92,25.69,123.5,717 HCPCS,J2312,NALOXONE 1 MG/ML INJECTION SYRINGE,84.3,75.03,17.53,84.3,717 HCPCS,J2312,NALOXONE 10 MCG/ML DILUTION INJECTION (NEO/PED) - RST ONLY (CNR),87.9,78.23,18.28,87.9,717 HCPCS,J2315,"NALTREXONE ER 380 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",4576.5,4073.09,4.24,4576.5,737 HCPCS,J2326,NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION,366172.4,325893.44,1280.25,366172.4,734 HCPCS,J2327,RISANKIZUMAB-RZAA 360 MG/2.4 ML (150 MG/ML) SUBCUT WEARABLE INJECTOR,55658.7,49536.24,5634.0,55658.7,729 HCPCS,J2327,RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION,25675.3,22851.02,14.94,25675.3,734 HCPCS,J2350,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION,53872.3,47946.35,59.41,53872.3,736 HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",15160.1,13492.49,203.58,15160.1,736 HCPCS,J2357,OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE,4288.1,3816.41,44.6,4288.1,738 HCPCS,J2357,OMALIZUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,8151.1,7254.48,44.6,8151.1,737 HCPCS,J2357,OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE,1985.5,1767.1,44.6,1985.5,736 HCPCS,J2359,OLANZAPINE 10 MG INJECTION SOLUTION,89.7,79.83,18.66,89.7,717 HCPCS,J2370,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,38.7,34.44,8.05,38.7,717 HCPCS,J2370,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (CNR/ROBOT),225.6,200.78,46.92,225.6,717 HCPCS,J2371,INJ PHENYLEPHRINE HCL 20 MCG,42.1,37.47,0.1,42.1,480 HCPCS,J2371,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9% NACL SYRINGE (WRAPPER),36.8,32.75,7.65,36.8,722 HCPCS,J2371,PHENYLEPHRINE 10 MG/250 ML(40 MCG/ML)IN 0.9 % SOD.CHLORIDE INTRAVENOUS,226.4,201.5,47.09,226.4,718 HCPCS,J2371,PHENYLEPHRINE 500 MCG/ML DILUTION INJECTION (RST PROD LAB/CNR),36.7,32.66,7.63,36.7,717 HCPCS,J2401,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,42.2,37.56,8.78,42.2,717 HCPCS,J2401,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,42.5,37.83,8.84,42.5,719 HCPCS,J2404,NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,321.6,286.22,66.89,321.6,717 HCPCS,J2404,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,71.2,63.37,14.81,71.2,717 HCPCS,J2404,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,343.7,305.89,71.49,343.7,717 HCPCS,J2405,ONDANSETRON 2 MG/ML SYRINGE PUMP (PEDIATRIC) - RST ONLY,35.9,31.95,0.43,35.9,719 HCPCS,J2405,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,35.9,31.95,0.43,35.9,737 HCPCS,J2405,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,35.5,31.6,0.21,35.5,719 HCPCS,J2405,PR ONDANSETRON HCL INJECTION,38.4,34.18,1.49,38.4,481 HCPCS,J2426,PALIPERIDONE PALMITATE 117 MG/0.75 ML INTRAMUSCULAR SYRINGE,4574.4,4071.22,15.11,4574.4,736 HCPCS,J2426,PALIPERIDONE PALMITATE 156 MG/ML INTRAMUSCULAR SYRINGE,5957.7,5302.35,15.11,5957.7,737 HCPCS,J2426,PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE,8723.9,7764.27,15.11,8723.9,737 HCPCS,J2426,PALIPERIDONE PALMITATE 39 MG/0.25 ML INTRAMUSCULAR SYRINGE,1608.1,1431.21,15.11,1608.1,736 HCPCS,J2426,PALIPERIDONE PALMITATE 78 MG/0.5 ML INTRAMUSCULAR SYRINGE,3191.2,2840.17,15.11,3191.2,736 HCPCS,J2427,PALIPERIDONE PALMITATE (3 MONTH) 546 MG/1.75 ML INTRAMUSCULAR SYRINGE,17023.1,15150.56,13.0,17023.1,734 HCPCS,J2427,PALIPERIDONE PALMITATE (3-MONTH) 273 MG/0.88 ML INTRAMUSCULAR SYRINGE,8723.6,7764.0,13.0,8723.6,734 HCPCS,J2427,PALIPERIDONE PALMITATE (3-MONTH) 410 MG/1.32 ML INTRAMUSCULAR SYRINGE,12873.1,11457.06,13.0,12873.1,734 HCPCS,J2427,PALIPERIDONE PALMITATE (3-MONTH) 819 MG/2.63 ML INTRAMUSCULAR SYRINGE,25321.6,22536.22,13.0,25321.6,734 HCPCS,J2430,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION,69.2,61.59,12.98,69.2,720 HCPCS,J2430,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION,134.6,119.79,28.0,134.6,719 HCPCS,J2430,PR PAMIDRONATE DISODIUM /30 MG,106.7,94.96,33.87,106.7,481 HCPCS,J2469,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,63.2,56.25,4.06,63.2,725 HCPCS,J2470,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,39.3,34.98,8.17,39.3,720 HCPCS,J2501,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION,72.1,64.17,5.57,72.1,718 HCPCS,J2506,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR,11722.9,10433.38,89.34,11722.9,734 HCPCS,J2506,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,11722.9,10433.38,89.34,11722.9,734 HCPCS,J2507,PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION,79458.6,70718.15,3660.83,79458.6,736 HCPCS,J2515,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,2042.1,1817.47,27.99,2042.1,736 HCPCS,J2516,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,197.6,175.86,41.1,197.6,717 HCPCS,J2540,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,120.1,106.89,24.98,120.1,719 HCPCS,J2540,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,53.5,47.62,8.07,53.5,719 HCPCS,J2540,"PENICILLIN G POTASSIUM 500,000 UNITS/ML INJECTION (NEO/PED) - RST ONLY",53.5,47.62,8.07,53.5,719 HCPCS,J2540,PENICILLIN G POTASSIUM IVPB 5 MU/100 ML NACL 0.9% MINI-BAG PLUS (PRE-SNAPPED),96.0,85.44,8.07,96.0,719 HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,41.3,36.76,2.51,41.3,719 HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 200 MG OF PIPERACILLIN/ML INJECTION (NEO/PED) - RST ONLY,41.3,36.76,2.51,41.3,719 HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 225 MG/ML STOCK SOLUTION FOR DESENSITIZATION,219.6,195.44,3.76,219.6,719 HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,45.7,40.67,3.76,45.7,720 HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,50.4,44.86,5.02,50.4,719 HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 4.5 GRAM POWDER VIAL OSM,20.0,17.8,4.16,20.0,719 HCPCS,J2543,PR PIPERACILLIN/TAZOBACTAM,183.7,163.49,3.27,183.7,481 HCPCS,J2545,PENTAMIDINE 300 MG SOLUTION FOR INHALATION,206.5,183.79,42.95,206.5,717 HCPCS,J2545,PENTAMIDINE INHALATION SOLUTION 50 MG/ML (PHARMACY PREPARED CNR OR DISPENSE PREP),206.5,183.79,42.95,206.5,717 HCPCS,J2547,PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,1227.5,1092.47,1.68,1227.5,734 HCPCS,J2550,PR PROMETHAZINE HCL INJECTION,41.2,36.67,3.97,41.2,484 HCPCS,J2550,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,41.3,36.76,4.57,41.3,723 HCPCS,J2560,PHENOBARBITAL 10 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,191.8,170.7,33.44,191.8,719 HCPCS,J2560,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,186.1,165.63,38.71,186.1,719 HCPCS,J2560,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,133.9,119.17,27.85,133.9,719 HCPCS,J2562,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,586.1,521.63,25.33,586.1,737 HCPCS,J2562,PR PLERIXAFOR INJECTION,349.7,311.23,307.74,349.7,481 HCPCS,J2590,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,38.8,34.53,8.07,38.8,717 HCPCS,J2590,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,220.1,195.89,45.78,220.1,718 HCPCS,J2597,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,485.6,432.18,101.0,485.6,720 HCPCS,J2597,PR INJ DESMOPRESSIN ACETATE,304.7,271.18,78.52,304.7,481 HCPCS,J2598,"INJ, VASOPRESSIN, 1 UNIT",45.5,40.49,2.63,45.5,481 HCPCS,J2598,VASOPRESSIN 0.4 UNIT/ML INTRAVENOUS SOLUTION,283.9,252.67,59.05,283.9,717 HCPCS,J2598,VASOPRESSIN 2 UNITS/ML DILUTION STOCK VIAL (NEONATE COMPOUNDING) CNR,529.5,471.26,110.14,529.5,717 HCPCS,J2598,VASOPRESSIN 20 UNIT/100 ML (0.2 UNIT/ML) IN DEXTROSE 5 % INTRAVENOUS (WRAPPER),217.0,193.13,45.14,217.0,717 HCPCS,J2598,VASOPRESSIN 20 UNIT/ML INJ SOLN (WRAPPER),84.1,74.85,17.49,84.1,722 HCPCS,J2675,PR INJ PROGESTERONE PER 50 MG,38.8,34.53,0.72,38.8,481 HCPCS,J2679,FLUPHENAZINE 2.5 MG/ML INJECTION SOLUTION,55.4,49.31,11.52,55.4,717 HCPCS,J2680,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,49.7,44.23,7.13,49.7,719 HCPCS,J2680,PR FLUPHENAZINE DECANOATE 25 MG,144.2,128.34,18.59,144.2,481 HCPCS,J2690,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,1068.0,950.52,222.14,1068.0,736 HCPCS,J2690,PROCAINAMIDE 100 MG/ML INTRAVENOUS SYRINGE,207.8,184.94,43.22,338.89,736 HCPCS,J2690,PROCAINAMIDE 500 MG/ML INJECTION SOLUTION,1545.7,1375.67,294.69,1545.7,736 HCPCS,J2700,OXACILLIN 1 G POWDER VIAL OSM,23.3,20.74,2.62,23.3,719 HCPCS,J2700,OXACILLIN 10 GRAM SOLUTION FOR INJECTION,197.7,175.95,26.17,197.7,719 HCPCS,J2700,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,52.1,46.37,5.23,52.1,719 HCPCS,J2700,OXACILLIN 2 GRAM/62 ML IN NACL 0.9% (CNR),184.9,164.56,5.23,184.9,719 HCPCS,J2700,OXACILLIN 40 MG/ML DILUTION INJECTION (NEONATE),52.2,46.46,1.31,52.2,719 HCPCS,J2704,"PR INJ, PROPOFOL, 10 MG",38.4,34.18,0.8,38.4,485 HCPCS,J2704,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,73.0,64.97,10.24,73.0,741 HCPCS,J2704,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION INFUSION,73.0,64.97,10.24,73.0,719 HCPCS,J2704,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION INFUSION (BAG-HYPERBARIC USE),73.0,64.97,10.24,73.0,719 HCPCS,J2704,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION INFUSION (PEDIATRIC),73.0,64.97,10.24,73.0,719 HCPCS,J2704,PROPOFOL 10 MG/ML INTRAVENOUS SYRINGE (PEDIATRIC),42.7,38.0,2.05,42.7,719 HCPCS,J2710,NEOSTIGMINE METHYLSULFATE 1 MG/ML INJECTABLE SOLUTION,42.4,37.74,8.82,42.4,721 HCPCS,J2720,PROTAMINE 1 MG/ML DILUTION INJECTION,45.7,40.67,1.81,45.7,719 HCPCS,J2720,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,150.8,134.21,31.37,150.8,729 HCPCS,J2730,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION,311.2,276.97,64.73,311.2,717 HCPCS,J2730,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION (IM EQUIVALENCY),526.8,468.85,109.57,526.8,717 HCPCS,J2730,PRALIDOXIME 50 MG/ML INJECTION (PEDIATRIC) - RST ONLY,311.2,276.97,64.73,311.2,717 HCPCS,J2760,PHENTOLAMINE 5 MG INJECTION SOLUTION,820.1,729.89,170.58,820.1,731 HCPCS,J2760,PR PHENTOLAINE MESYLATE INJ,865.4,770.21,420.56,865.4,481 HCPCS,J2765,METOCLOPRAMIDE 0.5 MG/ML DILUTION INJECTION,41.6,37.02,1.25,41.6,719 HCPCS,J2765,METOCLOPRAMIDE 5 MG/ML INJECTION (NEO/PED) - RST ONLY,39.6,35.24,1.25,39.6,719 HCPCS,J2765,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,39.6,35.24,1.25,39.6,723 HCPCS,J2777,FARICIMAB-SVOA 6 MG/0.05 ML INTRAVITREAL SOLUTION (WRAPPER),6346.0,5647.94,33.88,6346.0,734 HCPCS,J2778,RANIBIZUMAB 0.3 MG/0.05 ML INTRAVITREAL SOLUTION (WRAPPER),3334.0,2967.26,86.38,3334.0,736 HCPCS,J2778,RANIBIZUMAB 0.5 MG/0.05 ML INTRAVITREAL SOLUTION (WRAPPER),5273.2,4693.15,86.38,5273.2,736 HCPCS,J2783,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,3065.8,2728.56,377.52,3065.8,736 HCPCS,J2783,RASBURICASE 7.5 MG INTRAVENOUS SOLUTION,13629.0,12129.81,377.52,13629.0,736 HCPCS,J2785,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,63.6,56.6,12.32,63.6,722 HCPCS,J2791,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE",256.0,227.84,53.25,256.0,722 HCPCS,J2792,"RHO(D) IMMUNE GLOBULIN-MALTOSE 1,500 UNIT (300 MCG)/1.3 ML INJECT.SOLN",1230.4,1095.06,25.46,1230.4,736 HCPCS,J2794,"RISPERIDONE MICROSPHERES ER 12.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS",879.7,782.93,10.98,879.7,736 HCPCS,J2794,"RISPERIDONE MICROSPHERES ER 25 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE",1190.3,1059.37,10.98,1190.3,736 HCPCS,J2794,"RISPERIDONE MICROSPHERES ER 37.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS",1823.0,1622.47,10.98,1823.0,736 HCPCS,J2794,"RISPERIDONE MICROSPHERES ER 50 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE",2555.7,2274.57,10.98,2555.7,736 HCPCS,J2795,PR ROPIVACAINE HCL INJECTION,37.6,33.46,0.5,37.6,481 HCPCS,J2795,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,49.65,44.19,5.75,49.9,1438 HCPCS,J2795,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,41.1,36.58,0.58,41.1,723 HCPCS,J2795,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,38.5,34.27,1.44,38.5,729 HCPCS,J2795,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION,39.7,35.33,2.19,39.7,719 HCPCS,J2796,ROMIPLOSTIM 125 MCG/ML DILUTION INJECTION (PEDS),4933.2,4390.55,1026.11,4933.2,721 HCPCS,J2800,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,50.6,45.03,5.22,50.6,721 HCPCS,J2802,"INJ, ROMIPLOSTIM 1 MICROGRAM",6174.0,5494.86,2209.6,6174.0,481 HCPCS,J2802,ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION,4018.2,3576.2,11.01,4018.2,734 HCPCS,J2802,ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION,7611.2,6773.97,11.01,7611.2,734 HCPCS,J2802,ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION,14797.4,13169.69,11.01,14797.4,734 HCPCS,J2804,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,272.9,242.88,56.76,272.9,718 HCPCS,J2805,SINCALIDE 5 MCG SOLUTION FOR INJECTION,300.1,267.09,62.42,300.1,722 HCPCS,J2820,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION,891.6,793.52,50.37,891.6,736 HCPCS,J2820,SARGRAMOSTIM 250 MCG/ML SOLUTION FOR INHALATION (USING INJECTION VIAL),980.0,872.2,50.37,980.0,736 HCPCS,J2840,SEBELIPASE ALFA 2 MG/ML INTRAVENOUS SOLUTION,25950.0,23095.5,539.91,25950.0,734 HCPCS,J2850,SECRETIN (HUMAN) 16 MCG INTRAVENOUS SOLUTION,1975.0,1757.75,40.52,1975.0,735 HCPCS,J2860,PR SILTUXIMAB INJ,13528.6,12040.45,4891.66,13528.6,482 HCPCS,J2865,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,58.4,51.98,12.15,58.4,717 HCPCS,J2916,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,68.0,60.52,12.73,68.0,716 HCPCS,J2919,"INJ, METHYLPRED SOD SUCC 5MG",59.2,52.69,5.28,59.2,490 HCPCS,J2919,"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION",234.4,208.62,48.76,234.4,717 HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,65.9,58.65,13.71,65.9,719 HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/ML INJECTION (NEO/PED) - RST ONLY,191.8,170.7,39.89,191.8,717 HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML INJECTION (NEO/PED) - RST ONLY,54.4,48.42,11.32,54.4,717 HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,54.4,48.42,11.32,54.4,719 HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 500 MG/4 ML INTRAVENOUS SOLUTION,191.8,170.7,39.89,191.8,717 HCPCS,J2919,"METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION",90.7,80.72,18.87,90.7,717 HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,85.2,75.83,17.72,85.2,717 HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 2 GRAM INTRAVENOUS SOLUTION,361.4,321.65,75.17,361.4,717 HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION,95.4,84.91,19.84,95.4,717 HCPCS,J2920,METHYLPREDNISOLONE SOD SUCC (PF) 4 MG/ML DILUTION INJECTION (NEO/PED),53.4,47.53,11.11,53.4,721 HCPCS,J2997,ALTEPLASE 1 MG/ML INTRAVENTRICULAR STERILE SYRINGE,575.5,512.2,94.45,575.5,733 HCPCS,J2997,ALTEPLASE 1 MG/ML IVPB FOR STROKE (NEO/PED),20815.5,18525.79,94.45,20815.5,733 HCPCS,J2997,ALTEPLASE 1 MG/ML SYRINGE FOR STROKE (NEO/PED),20815.5,18525.79,94.45,20815.5,733 HCPCS,J2997,ALTEPLASE 100 MG INTRAVENOUS SOLUTION,20815.5,18525.79,94.45,20815.5,733 HCPCS,J2997,ALTEPLASE 12.5 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),341.7,304.11,71.07,341.7,733 HCPCS,J2997,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION,575.5,512.2,94.45,575.5,735 HCPCS,J2997,ALTEPLASE 50 MG INTRAVENOUS SOLUTION,10620.3,9452.07,94.45,10620.3,733 HCPCS,J2997,PR ALTEPLASE RECOMBINANT,,,93.83,554.17,466 HCPCS,J3000,STREPTOMYCIN 1 GRAM INTRAMUSCULAR SOLUTION,276.3,245.91,38.96,276.3,719 HCPCS,J3010,"FENTANYL (PF) 1,500 MCG/30 ML (50 MCG/ML) CARTRIDGE FOR INFUSION TITRATION (WRAPPER)",309.4,275.37,20.49,309.4,719 HCPCS,J3010,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.1 %-NACL EPIDURAL (WRAPPER),257.3,229.0,1.37,257.3,719 HCPCS,J3010,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.1 %-NACL INJECTION SOLUTION (CONTINUOUS ONLY),257.3,229.0,1.37,257.3,719 HCPCS,J3010,FENTANYL (PF) 50 MCG/ML INJECTION REGIONAL (WRAPPER) ANES ONLY,74.5,66.31,4.1,74.5,719 HCPCS,J3010,FENTANYL (PF) 50 MCG/ML INTRAFETAL INJECTION (WRAPPER) (ANES),74.5,66.31,4.1,74.5,719 HCPCS,J3010,FENTANYL 5 MCG/ML DILUTION INJECTION (NEONATE) RST PROD LAB/CNR,85.0,75.65,1.37,85.0,719 HCPCS,J3010,FENTANYL 50 MCG/ML PCA BAG (PEDIATRIC) (WRAPPER),186.8,166.25,34.16,186.8,719 HCPCS,J3030,SUMATRIPTAN 4 MG/0.5 ML SUBCUTANEOUS CARTRIDGE (REFILL),508.8,452.83,101.68,508.8,719 HCPCS,J3030,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,50.0,44.5,10.4,55.45,719 HCPCS,J3031,FREMANEZUMAB-VFRM 225 MG/1.5 ML SUBCUTANEOUS SYRINGE,2062.2,1835.36,428.94,2062.2,717 HCPCS,J3055,INJ TALQUETAMAB-TGVS 0.25 MG,4015.9,3574.15,1423.39,4015.9,481 HCPCS,J3055,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION,2775.6,2470.28,72.62,2775.6,735 HCPCS,J3055,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION,29313.0,26088.57,72.62,29313.0,735 HCPCS,J3060,TALIGLUCERASE ALFA 200 UNIT INTRAVENOUS SOLUTION,2771.5,2466.64,41.11,2771.5,736 HCPCS,J3101,TENECTEPLASE 25 MG INTRAVENOUS SOLUTION,20226.5,18001.58,172.22,20226.5,736 HCPCS,J3101,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION,20226.5,18001.58,172.22,20226.5,736 HCPCS,J3101,TENECTEPLASE IV FOR STROKE (PEDIATRIC),20226.5,18001.58,172.22,20226.5,736 HCPCS,J3105,TERBUTALINE 1 MG/ML INJECTION SOLUTION,39.8,35.42,2.84,39.8,720 HCPCS,J3111,ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE,6650.0,5918.5,12.07,6650.0,736 HCPCS,J3121,PR INJ TESTOSTERO ENANTHATE 1MG,142.8,127.09,10.2,142.8,489 HCPCS,J3121,TESTOSTERONE ENANTHATE 200 MG/ML INTRAMUSCULAR OIL,81.6,72.62,2.93,81.6,719 HCPCS,J3230,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,119.9,106.71,24.94,119.9,719 HCPCS,J3240,THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION,5581.5,4967.54,1160.95,5581.5,738 HCPCS,J3243,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,86.0,76.54,17.89,86.0,719 HCPCS,J3243,TIGECYCLINE 50 MG POWDER VIAL OSM,46.0,40.94,9.57,46.0,719 HCPCS,J3246,TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,647.3,576.1,134.64,647.3,717 HCPCS,J3246,TIROFIBAN 5 MG/100 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS,245.7,218.67,51.11,245.7,717 HCPCS,J3247,INJ SECUKINUMAB INTRAV 1MG,9691.6,8625.52,3831.48,9691.6,481 HCPCS,J3260,PR TOBRAMYCIN SULFATE INJECTION,38.1,33.91,2.07,38.1,481 HCPCS,J3260,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,219.2,195.09,35.72,219.2,720 HCPCS,J3260,TOBRAMYCIN 40 MG/ML INJECTION (OVER 30 MIN) (NEO/PED) - RST ONLY,38.1,33.91,2.38,38.1,719 HCPCS,J3260,TOBRAMYCIN 40 MG/ML INJECTION (OVER 60 MIN) (NEO/PED) - RST ONLY,38.1,33.91,2.38,38.1,719 HCPCS,J3260,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,38.1,33.91,2.38,38.1,719 HCPCS,J3262,PR TOCILIZUMAB INJECTION,,,5.61,2923.97,466 HCPCS,J3262,TOCILIZUMAB 162 MG/0.9 ML SUBCUTANEOUS PEN INJECTOR,3288.6,2926.85,5.71,3288.6,736 HCPCS,J3262,TOCILIZUMAB 162 MG/0.9 ML SUBCUTANEOUS SYRINGE,3345.9,2977.85,5.71,3345.9,736 HCPCS,J3262,TOCILIZUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER) (RESTRICTED),3661.8,3259.0,5.71,6898.6,2208 HCPCS,J3263,TORIPALIMAB-TPZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION,27620.1,24581.89,39.41,27620.1,734 HCPCS,J3285,TREPROSTINIL STRAIGHT DRUG INFUSION 1 MG/ML,1133.7,1008.99,54.71,1133.7,736 HCPCS,J3299,PR INJ XIPERE 1 MG,35.5,31.6,31.24,35.5,481 HCPCS,J3300,PR TRIAMCINOLONE A INJ PRS-FREE,334.5,297.7,97.96,334.5,481 HCPCS,J3300,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR SUSPENSION,268.1,238.61,24.5,268.1,736 HCPCS,J3301,PR TRIAMCINOLONE ACETONIDE INJ,39.6,35.24,1.48,39.6,481 HCPCS,J3301,TRIAMCINOLONE ACETONIDE 10 MG/ML INTRAPLEURAL SUSPENSION (CATH TIP SYRINGE),195.8,174.26,17.04,195.8,719 HCPCS,J3301,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION,37.3,33.2,0.85,37.3,723 HCPCS,J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,43.9,39.07,3.41,43.9,728 HCPCS,J3316,TRIPTORELIN PAMOATE (PEDIATRIC) 22.5 MG IM SUSPENSION,57525.7,51197.87,3817.28,57525.7,734 HCPCS,J3357,USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRINGE,37729.8,33579.52,6874.31,37729.8,731 HCPCS,J3357,USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE,75034.5,66780.71,13748.62,75034.5,731 HCPCS,J3358,USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION,5955.8,5300.66,12.99,5955.8,736 HCPCS,J3360,DIAZEPAM 5 MG/ML INJECTION (WRAPPER),146.8,130.65,15.39,146.8,720 HCPCS,J3360,PR DIAZEPAM INJECTION,89.4,79.57,6.69,89.4,481 HCPCS,J3370,VANCOMYCIN 100 GRAM SOLUTION FOR INJECTION,1162.5,1034.63,241.8,1162.5,721 HCPCS,J3373,"INJ, VANCOMYCIN HCL, 10 MG",187.4,166.79,3.88,187.4,481 HCPCS,J3373,VANCOMYCIN 1 GRAM/200 ML IN 0.9 % SOD. CHLORIDE INTRAVENOUS PIGGYBACK,105.8,94.16,22.01,105.8,718 HCPCS,J3373,VANCOMYCIN 1 MG/ML INTRADISCAL INJECTION DILUTION (RADIANT),35.2,31.33,7.32,35.2,717 HCPCS,J3373,VANCOMYCIN 1.25 GRAM/250 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,187.4,166.79,38.98,187.4,720 HCPCS,J3373,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,88.0,78.32,18.3,88.0,717 HCPCS,J3373,VANCOMYCIN 1.5 GRAM/265 ML IN 0.9% NACL (CNR),199.4,177.47,41.48,199.4,717 HCPCS,J3373,VANCOMYCIN 1.75 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,237.0,210.93,49.3,237.0,717 HCPCS,J3373,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,618.6,550.55,128.67,618.6,717 HCPCS,J3373,VANCOMYCIN 10 MG/ML DILUTION INJECTION (NEONATE) - RST ONLY,41.5,36.94,8.63,41.5,717 HCPCS,J3373,VANCOMYCIN 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,110.8,98.61,23.05,110.8,717 HCPCS,J3373,VANCOMYCIN 1000 MCG/0.1 ML INTRAOCULAR SOLUTION (CNR),35.4,31.51,7.36,35.4,717 HCPCS,J3373,VANCOMYCIN 2 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),36.8,32.75,7.65,36.8,717 HCPCS,J3373,VANCOMYCIN 25 MG/0.5 ML (PF) SUBCONJUNCTIVAL INJECTION,544.8,484.87,113.32,544.8,717 HCPCS,J3373,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,103.9,92.47,21.61,103.9,722 HCPCS,J3373,VANCOMYCIN 5 MG/ML LOCK SOLUTION (CNR),36.099999999999994,32.13,7.47,36.3,1434 HCPCS,J3373,VANCOMYCIN 5 MG/ML SOAK SOLUTION FOR OR (CNR),145.6,129.58,30.28,145.6,717 HCPCS,J3373,VANCOMYCIN 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),37.6,33.465,7.7,38.2,1434 HCPCS,J3373,VANCOMYCIN 5 MG/ML-SODIUM CITRATE 3.8% LOCK SOLUTION (CNR),35.4,31.51,7.36,35.4,1434 HCPCS,J3373,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,43.8,38.98,9.11,43.8,721 HCPCS,J3373,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,70.2,62.48,14.6,70.2,717 HCPCS,J3373,VANCOMYCIN ENEMA 500 MG/100 ML NACL 0.9% (CNR),13.8,12.28,2.87,13.8,717 HCPCS,J3374,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,108.8,96.83,22.63,108.8,717 HCPCS,J3376,VANCOMYCIN 1 G POWDER VIAL OSM,10.6,9.43,2.2,10.6,717 HCPCS,J3376,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",41.4,36.85,8.61,41.4,717 HCPCS,J3376,VANCOMYCIN 100 MG/ML INJECTION (NEO/PED) - RST ONLY,41.4,36.85,8.61,41.4,717 HCPCS,J3379,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,44.1,39.25,9.17,44.1,717 HCPCS,J3380,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION,25557.8,22746.44,21.31,25557.8,738 HCPCS,J3385,PR VELAGLUCERASE ALFA,32707.8,29109.94,13138.55,32707.8,481 HCPCS,J3396,PR VERTEPORFIN INJECTION,4442.9,3954.18,1629.4,4442.9,481 HCPCS,J3396,VERTEPORFIN 15 MG INTRAVENOUS SOLUTION,4699.3,4182.38,11.54,4699.3,736 HCPCS,J3398,LUXTURNA,467500.0,456875.0,456875.0,456875.0,1 HCPCS,J3398,VORETIGENE NEPARVOVEC-RZYL 1.5X10EXP11 VG/0.3 ML(FINAL)SUBRETINAL SUSP,467500.0,416075.0,3002.58,488353.15,734 HCPCS,J3410,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,118.8,105.73,24.71,118.8,719 HCPCS,J3411,PR THIAMINE HCL 100 MG,41.4,36.85,1.81,41.4,481 HCPCS,J3411,THIAMINE 50 MG/ML IN NACL 0.9% DILUTION INJECTION (NEONATE) CNR,74.3,66.13,10.38,74.3,719 HCPCS,J3411,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,38.3,34.09,2.08,38.3,723 HCPCS,J3411,THIAMINE INJECTION 100 MG/ML INJECTION (NEO/PED) - RST ONLY,48.0,42.72,4.15,48.0,719 HCPCS,J3415,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION (NEO/PED) - RST ONLY,86.6,77.07,17.89,86.6,719 HCPCS,J3415,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION,86.6,77.07,17.89,86.6,719 HCPCS,J3420,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",38.7,34.44,0.73,38.7,722 HCPCS,J3420,CYANOCOBALAMIN (VIT B-12) 100 MCG/ML INJECTION DILUTION,279.9,249.11,0.73,279.9,719 HCPCS,J3420,"HYDROXOCOBALAMIN (VIT B-12) 5,000 MCG/ML INJECTION SOLUTION (RST PRD LAB) PEDS",254.7,226.68,3.67,254.7,719 HCPCS,J3420,PR VITAMIN B12 INJECTION,38.5,34.27,0.64,38.5,481 HCPCS,J3424,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION,2853.3,2539.44,5.19,2853.3,734 HCPCS,J3430,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION (WRAPPER),66.1,58.83,6.46,66.1,719 HCPCS,J3430,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,50.5,44.95,6.46,50.5,719 HCPCS,J3465,VORICONAZOLE 100 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),140.6,125.13,0.86,140.6,719 HCPCS,J3473,HYALURONIDASE 150 UNIT/ML INJECTION (WRAPPER),204.7,182.18,42.58,204.7,719 HCPCS,J3473,HYALURONIDASE 30 UNIT/0.2 ML SYRINGES (EXTRAVASATION) 150 UNIT VIAL,204.7,182.18,42.58,204.7,719 HCPCS,J3473,PR HYALURONIDASE RECOMBINANT,73.1,65.06,10.89,73.1,482 HCPCS,J3475,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,79.9,71.11,0.93,79.9,722 HCPCS,J3475,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,86.2,76.72,1.86,86.2,726 HCPCS,J3475,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION,87.3,77.7,18.16,87.3,719 HCPCS,J3475,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,82.7,73.6,3.73,82.7,720 HCPCS,J3475,MAGNESIUM SULFATE 50 MG/ML IN NACL 0.9% DILUTION INJECTION (NEONATE) CNR,39.1,34.8,0.47,39.1,719 HCPCS,J3475,MAGNESIUM SULFATE 500 MG/ML (49.3 MG/ML MAGNESIUM) INJECTION FOR ORAL USE,8.9,7.92,0.93,8.9,719 HCPCS,J3475,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,39.4,35.07,0.93,39.4,724 HCPCS,J3475,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SYRINGE,63.8,56.78,0.93,63.8,719 HCPCS,J3475,MAGNESIUM SULFATE 500 MG/ML IV SYRINGE (NEO/PED) - RST ONLY (1 HOUR INFUSION),39.4,35.07,0.93,39.4,719 HCPCS,J3475,MAGNESIUM SULFATE 500 MG/ML IV SYRINGE (NEO/PED) - RST ONLY (OVER 2 HOURS),39.4,35.07,0.93,39.4,719 HCPCS,J3475,PR INJ MAGNESIUM SULFATE,,,0.41,81.89,468 HCPCS,J3480,POTASSIUM CHLORIDE 10 MEQ/100 ML INTRAVENOUS PIGGYBACK,84.5,75.21,0.7,84.5,721 HCPCS,J3480,POTASSIUM CHLORIDE 10 MEQ/50 ML INTRAVENOUS PIGGYBACK,84.1,74.85,0.7,84.1,720 HCPCS,J3480,POTASSIUM CHLORIDE 2 MEQ/ML INTRALESIONAL SOLUTION,35.6,31.68,0.28,35.6,719 HCPCS,J3480,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,40.1,35.69,2.78,40.1,720 HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/50 ML INTRAVENOUS PIGGYBACK,83.3,74.14,1.39,83.3,719 HCPCS,J3480,POTASSIUM CHLORIDE IV SYRINGE 0.1 MEQ/ML (NEO/PED),84.5,75.21,0.7,84.5,719 HCPCS,J3480,POTASSIUM CHLORIDE IV SYRINGE 0.2 MEQ/ML (NEO/PED),84.1,74.85,0.7,84.1,719 HCPCS,J3480,POTASSIUM CHLORIDE IV SYRINGE 0.4 MEQ/ML (NEO/PED),83.3,74.14,1.39,83.3,719 HCPCS,J3480,PR INJ POTASSIUM CHLORIDE,40.8,36.31,0.61,40.8,483 HCPCS,J3485,ZIDOVUDINE 1 MG/ML DILUTION INJECTION (NEONATE),42.0,37.38,1.51,42.0,736 HCPCS,J3485,ZIDOVUDINE 10 MG/ML INJECTION (NEO/PED) - RST ONLY,142.5,126.83,1.51,142.5,736 HCPCS,J3486,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,84.8,75.47,17.64,84.8,719 HCPCS,J3489,PR ZOLEDRONIC ACID 1MG,52.6,46.81,15.25,52.6,484 HCPCS,J3489,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,58.4,51.98,12.15,58.4,721 HCPCS,J3489,ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL-WATER IV (WRAPPER),263.5,234.51,29.22,263.5,719 HCPCS,J3490,ANGIOTENSIN II 2.5 MG/ML INTRAVENOUS SOLUTION,5146.3,4580.21,1070.43,5146.3,717 HCPCS,J3490,ASCORBIC ACID (ASCORBATE SODIUM)(VITAMIN C) 500 MG/ML INJ SOLN (WRAPPER),39.1,34.8,8.13,39.1,717 HCPCS,J3490,AZATHIOPRINE (BULK) POWDER,206.3,183.61,42.91,206.3,717 HCPCS,J3490,BACLOFEN (BULK) 100 % POWDER,90.0,80.1,18.72,90.0,717 HCPCS,J3490,BUPIVACAINE (BULK) 100 % POWDER,108.8,96.83,22.63,108.8,717 HCPCS,J3490,CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN,105.7,94.07,21.99,105.7,717 HCPCS,J3490,CLINDAMYCIN IV SYRINGE 12 MG/ML IN D5W (NEO/PED) - DRAWN UP FROM PREMIX BAG,92.4,82.24,19.22,92.4,717 HCPCS,J3490,CLONIDINE HCL (BULK) POWDER,119.8,106.62,24.92,119.8,717 HCPCS,J3490,COPPER 0.4 MG/ML INJECTION (TPN)(WRAPPER),99.4,88.47,20.68,99.4,717 HCPCS,J3490,D5-NACL 0.2% KCL 20 MEQ/L IV SOLP,85.5,76.1,17.78,85.5,717 HCPCS,J3490,D5-NACL 0.45% KCL 20 MEQ/L IV SOLP,82.0,72.98,17.06,82.0,717 HCPCS,J3490,D5-NACL 0.9% KCL 20 MEQ/L IV SOLP,85.5,76.1,17.78,85.5,717 HCPCS,J3490,DIMETHYL SULFOXIDE (BULK) 99.99 % LIQUID,33.9,30.17,7.05,33.9,717 HCPCS,J3490,ELECTROLYTE INTRAVENOUS SOLUTION,87.3,77.7,18.16,87.3,717 HCPCS,J3490,ELECTROLYTE-A INTRAVENOUS SOLUTION (ANES PERFUSION/OR/IP BOLUS),87.3,77.7,18.16,87.3,717 HCPCS,J3490,FENTANYL 15 MCG/ML-BUPIVACAINE 1.75 MG/ML EPIDURAL LOAD/BOLUS (RST PROD LAB ONLY),135.8,120.86,28.25,135.8,717 HCPCS,J3490,FENTANYL CITRATE (BULK) 100 % POWDER,3204.9,2852.36,666.62,3204.9,717 HCPCS,J3490,FERUMOXYTOL IN NACL 0.9 % 30 ML DILUTION (3.0T),37.3,33.2,7.76,37.3,717 HCPCS,J3490,FERUMOXYTOL IN NACL 0.9 % 60 ML DILUTION (1.5T),39.5,35.16,8.22,39.5,717 HCPCS,J3490,FERUMOXYTOL IN NACL 0.9 % DILUTION (PEDIATRIC),38.3,34.09,7.97,38.3,717 HCPCS,J3490,FLUORESCEIN 10 % INTRAVENOUS SOLUTION FOR ORAL ADMINISTRATION AFTER DILUTION,148.6,132.25,30.91,148.6,717 HCPCS,J3490,FLUORESCEIN 100 MG/ML (10 %) INTRAVENOUS SOLUTION,188.6,167.85,39.23,188.6,717 HCPCS,J3490,GLYCERIN STERILE 99 % INJECTION (RST PROD LAB),130.0,115.7,27.04,130.0,717 HCPCS,J3490,HC NITRIC OXIDE PER HOUR,267.0,237.63,55.54,267.0,727 HCPCS,J3490,HYDROMORPHONE (BULK) 100 % POWDER,1903.7,1694.29,395.97,1903.7,717 HCPCS,J3490,INDOCYANINE GREEN 2.5 MG/ML SOLUTION FOR INJECTION,620.1,551.89,128.98,620.1,717 HCPCS,J3490,INSULIN REGULAR INFUSION 100 U/100 ML (1 UNIT/ML) IN NACL 0.9% (CNR/PREMIX) WRAPPER,202.0,179.78,42.02,202.0,717 HCPCS,J3490,INSULIN REGULAR IV SYRINGE 1 UNIT/ML IN NACL 0.9% (NEO/PED)-DRAWN UP FROM PREMIX BAG/CNR DURING SHORTAGE,202.0,179.78,42.02,202.0,717 HCPCS,J3490,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,37.3,33.2,7.76,37.3,723 HCPCS,J3490,KETAMINE 100 MG/ML INJECTION SOLUTION,91.1,81.08,18.95,91.1,720 HCPCS,J3490,LABETALOL 0.5 MG/ML DILUTION INJECTION (NEONATE) - RST,37.2,33.11,7.74,37.2,717 HCPCS,J3490,MORPHINE (BULK) 100 % POWDER,224.8,200.07,46.76,224.8,717 HCPCS,J3490,"MVI, ADULT INTRAVENOUS SOLUTION (WRAPPER)",68.4,60.88,14.08,73.5,2868 HCPCS,J3490,NACL 0.45% KCL 20 MEQ/L IV SOLP,85.5,76.1,17.78,85.5,717 HCPCS,J3490,NACL 0.9% KCL 20 MEQ/L IV SOLP,82.0,72.98,17.06,82.0,717 HCPCS,J3490,"PENICILLIN G 500,000 UNITS/ML STOCK SOLUTION FOR DESENSITIZATION",170.8,152.01,35.53,170.8,717 HCPCS,J3490,PENTAMIDINE 300 MG SOLUTION FOR INHALATION (USING INJECTION SOLN),157.6,140.26,32.78,157.6,717 HCPCS,J3490,POLIDOCANOL 1 % (20 MG/2 ML) INTRAVENOUS SOLUTION,39.2,34.89,8.15,39.2,719 HCPCS,J3490,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,84.4,75.12,17.56,84.4,717 HCPCS,J3490,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INJECTION (WRAPPER),103.8,92.38,21.59,103.8,717 HCPCS,J3490,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,60.9,54.2,12.67,60.9,717 HCPCS,J3490,SODIUM TETRADECYL SULFATE 1 % (10 MG/ML) INTRAVENOUS SOLUTION,144.0,128.16,29.95,144.0,717 HCPCS,J3490,SULFAMETHOXAZOLE-TRIMETHOPRIM 10 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (2 & 3 ML SYRINGES) (RESTRICTED),40.25,35.825,8.15,41.3,1434 HCPCS,J3490,SULFAMETHOXAZOLE-TRIMETHOPRIM 10 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (RESTRICTED),42.3,37.65,8.8,42.3,717 HCPCS,J3490,SULFAMETHOXAZOLE-TRIMETHOPRIM 16 MG/ML LOCK SOLUTION (REPACKAGED INJECTION VIAL) (RESTRICTED),46.7,41.565,9.24,49.0,1434 HCPCS,J3490,TESTOSTERONE ENANTHATE 75 MG/0.5 ML SUBCUTANEOUS AUTO-INJECTOR,513.2,456.75,106.75,513.2,717 HCPCS,J3490,VALPROATE SODIUM 100 MG/ML INJECTION (NEO/PED) - RST ONLY,44.1,39.25,9.17,44.1,717 HCPCS,J3490,VALPROATE SODIUM 100 MG/ML INJECTION FOR ORAL USE,13.0,11.57,2.7,13.0,717 HCPCS,J3490,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,44.1,39.25,9.17,44.1,721 HCPCS,J3490,"VITAMIN A PALMITATE 50,000 UNIT/ML INTRAMUSCULAR SOLUTION",158.3,140.89,32.93,158.3,717 HCPCS,J3590,CANDIDA ALBICANS SKIN TEST FDA STANDARD INTRADERMAL,155.5,138.4,32.34,155.5,717 HCPCS,J7030,NACL 0.9 % IV FREE DRIP,82.0,72.98,17.06,82.0,715 HCPCS,J7030,NACL 0.9% INTRAPLEURAL FLUSH,75.5,67.19,15.7,75.5,715 HCPCS,J7030,NACL 0.9% IR RAD VASC COOLING INFUSION,82.0,72.98,2.29,82.0,717 HCPCS,J7030,NACL 0.9% IV BOLUS,75.2,66.93,15.64,75.2,715 HCPCS,J7030,NACL 0.9% IV SOLP,82.0,72.98,17.06,82.0,718 HCPCS,J7030,NACL 0.9% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),85.5,76.1,2.29,85.5,723 HCPCS,J7030,NACL 0.9% IV SOLP (PERFUSION ONLY),82.0,72.98,17.06,82.0,715 HCPCS,J7030,NACL 0.9% IV SOLP CRRT (PEDIATRIC),82.0,72.98,17.06,82.0,715 HCPCS,J7030,"PR NORMAL SALINE SOLUTION INFUS, 1000 CC",82.0,72.98,1.99,82.0,490 HCPCS,J7030,SODIUM CHLORIDE 0.9 % FLUSH BAG,75.4,67.11,15.68,75.4,715 HCPCS,J7040,NACL 0.9 % IV FREE DRIP,80.3,71.47,16.7,80.3,717 HCPCS,J7040,NACL 0.9% INTRAPLEURAL FLUSH,75.7,67.37,15.75,75.7,717 HCPCS,J7040,NACL 0.9% IV BOLUS,75.3,67.02,15.66,75.3,717 HCPCS,J7040,NACL 0.9% IV SOLP,80.4,71.555,16.62,81.0,2892 HCPCS,J7040,NACL 0.9% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),82.05,73.025,1.48,83.8,2157 HCPCS,J7040,"PR NORMAL SALINE SOLUTION INFUS, 500 ML = 1 UNIT",80.3,71.47,1.29,80.3,486 HCPCS,J7040,SODIUM CHLORIDE 0.9 % FLUSH BAG,75.6,67.28,15.72,75.6,717 HCPCS,J7042,D5-NACL 0.9% IV BOLUS,82.0,72.98,3.01,82.0,719 HCPCS,J7042,D5-NACL 0.9% IV SOLP,82.0,72.98,1.51,82.0,1442 HCPCS,J7050,NACL 0.9 % IV FREE DRIP,80.3,71.47,16.7,80.3,717 HCPCS,J7050,NACL 0.9% INTRAPLEURAL FLUSH,76.3,67.91,15.87,76.3,717 HCPCS,J7050,NACL 0.9% IV BOLUS,77.05,68.57499999999999,15.72,81.0,2868 HCPCS,J7050,NACL 0.9% IV SOLP,80.3,71.47,16.7,80.3,723 HCPCS,J7050,NACL 0.9% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),80.3,71.47,0.76,80.3,725 HCPCS,J7050,"PR NORMAL SALINE SOLUTION INFUS, 250 CC",80.3,71.47,0.66,80.3,488 HCPCS,J7050,SODIUM CHLORIDE 0.9 % FLUSH BAG,76.1,67.73,15.83,76.1,717 HCPCS,J7060,D5W 500 ML FOR IMPELLA,85.5,76.1,2.01,85.5,719 HCPCS,J7060,D5W IV BOLUS,79.0,70.31,16.16,80.3,1434 HCPCS,J7060,D5W IV FIXED RATE (ANES ONLY),80.8,71.91,2.01,81.0,2876 HCPCS,J7060,D5W IV SOLP,80.8,71.91,16.7,81.0,2868 HCPCS,J7060,D5W IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),79.6,70.84,2.01,79.6,719 HCPCS,J7060,PR 5% DEXTROSE/WATER,80.3,71.47,1.75,80.3,481 HCPCS,J7070,D5W IV BOLUS,76.8,68.35,15.97,76.8,717 HCPCS,J7070,D5W IV FIXED RATE (ANES ONLY),82.0,72.98,3.38,82.0,719 HCPCS,J7070,D5W IV SOLP,82.0,72.98,17.06,82.0,717 HCPCS,J7070,D5W IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),82.0,72.98,3.38,82.0,719 HCPCS,J7070,PR D5W INFUSION,82.0,72.98,2.94,82.0,481 HCPCS,J7100,DEXTRAN 40 10 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,1201.3,1069.16,249.87,1201.3,717 HCPCS,J7100,DEXTRAN 40 10 % IN 5 % DEXTROSE INTRAVENOUS,1171.3,1042.46,243.63,1171.3,717 HCPCS,J7120,LACTATED RINGERS FIXED RATE,81.15,72.225,16.7,82.0,1434 HCPCS,J7120,LACTATED RINGERS INTRAVENOUS SOLUTION,80.3,71.47,16.33,82.0,2205 HCPCS,J7120,LACTATED RINGERS INTRAVENOUS SOLUTION (NON-PVC/NON-DEHP)(BRAND SPLIT),84.65,75.34,2.74,87.3,1438 HCPCS,J7120,LACTATED RINGERS INTRAVENOUS SOLUTION (PERFUSION ONLY),82.0,72.98,2.74,82.0,719 HCPCS,J7120,LACTATED RINGERS IV BOLUS,81.15,72.225,16.7,82.0,1434 HCPCS,J7120,PR RINGERS LACTATE INFUSION,82.0,72.98,2.38,82.0,486 HCPCS,J7121,D5LR BOLUS (ANES),75.4,67.11,15.68,75.4,717 HCPCS,J7121,D5LR FREE DRIP (ANES),82.0,72.98,17.06,82.0,717 HCPCS,J7121,D5LR IV BOLUS,81.15,72.225,16.7,82.0,1434 HCPCS,J7121,D5LR IV SOLP,81.15,72.225,16.7,82.0,1436 HCPCS,J7131,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION,83.8,74.58,17.43,83.8,717 HCPCS,J7131,SODIUM CHLORIDE 5 % HYPERTONIC INTRAVENOUS SOLUTION,85.5,76.1,17.78,85.5,717 HCPCS,J7168,HUM PROTHROMBIN CPLX (PCC) 4FACTOR (KCENTRA) (BRAND SPLIT) IV,41.8,37.2,2.14,41.8,735 HCPCS,J7168,HUM PROTHROMBIN CPLX (PCC) 4FACTOR (KCENTRA) (BRAND SPLIT) IV INFUSION,41.8,37.2,2.14,41.8,734 HCPCS,J7175,COAGULATION FACTOR X 250 (+/-) UNIT RANGE INTRAVENOUS SOLUTION,63.6,56.6,9.78,63.6,736 HCPCS,J7175,COAGULATION FACTOR X 500 (+/-) UNIT RANGE INTRAVENOUS SOLUTION,63.6,56.6,9.78,63.6,736 HCPCS,J7177,"FIBRINOGEN 1 GRAM (700 MG-1,300 MG) INTRAVENOUS SOLUTION",38.6,34.35,1.23,38.6,735 HCPCS,J7179,VON WILLEBRAND FACTOR (RECOMB) 650 (+/-) UNIT RANGE INTRAVENOUS SOLN,42.9,38.18,1.85,42.9,736 HCPCS,J7179,"VON WILLEBRAND FACTOR(RECOMB) 1,300 (+/-) UNIT RANGE INTRAVENOUS SOLN",42.9,38.18,1.85,42.9,736 HCPCS,J7180,"FACTOR XIII 1,000 UNIT-1,600 UNIT INTRAVENOUS SOLUTION",83.9,74.67,10.76,83.9,736 HCPCS,J7187,ANTIHEMOPHILIC FACTOR-VWF -- HUMATE-P (BRAND SPLIT) (RESTRICTED),39.9,35.51,1.49,39.9,736 HCPCS,J7188,"ANTIHEMOPHILIC FACTOR VIII,PORCINE REC 500(+/-) UNIT RANGE IV SOLUTION",47.0,41.83,3.23,47.0,736 HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION",6450.0,5740.5,2.66,6450.0,736 HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) INTRAVENOUS SOLUTION",12475.0,11102.75,2.66,12475.0,736 HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION",30550.0,27189.5,2.66,30550.0,736 HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 8 MG (8,000 MCG) INTRAVENOUS SOLUTION",48625.0,43276.25,2.66,48625.0,736 HCPCS,J7192,"ANTIHEMOPHILIC FVIII,FULL LENGTH (ALB-FREE) -- ADVATE (BRAND SPLIT) (RESTRICTED)",40.6,36.13,1.54,40.6,737 HCPCS,J7192,"ANTIHEMOPHILIC FVIII,FULL LENGTH (ALB-FREE) -- KOGENATE (BRAND SPLIT) (RESTRICTED)",39.2,34.89,1.54,39.2,736 HCPCS,J7195,COAGULATION FACTOR IX (RECOMB) -- BENEFIX (BRAND SPLIT) (RESTRICTED),39.1,34.8,1.85,39.1,736 HCPCS,J7195,PR FACTOR IX RECOMBINANT,2960.0,2634.4,1832.17,2960.0,481 HCPCS,J7197,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION,50.2,44.68,4.1,50.2,736 HCPCS,J7198,ANTI-INHIBITOR COAGULANT COMPLEX (FEIBA)(WRAPPER),43.3,38.54,2.41,43.3,735 HCPCS,J7200,COAGULATION FACTOR IX (RECOMB) -- RIXUBIS (BRAND SPLIT) (RESTRICTED),39.3,34.98,1.69,39.3,735 HCPCS,J7202,"FACTOR IX RECOMB, ALBUMIN FUSION PROTEIN 1,000 (+/-) UNIT IV SOLUTION",55.8,49.66,5.32,55.8,736 HCPCS,J7202,"FACTOR IX RECOMB, ALBUMIN FUSION PROTEIN 2,000 (+/-) UNIT IV SOLUTION",55.8,49.66,5.32,55.8,736 HCPCS,J7207,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 1,000(+/-) UNIT IV SOLUTION",43.0,38.27,2.1,43.0,736 HCPCS,J7207,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 3,000(+/-) UNIT IV SOLUTION",43.0,38.27,2.1,43.0,736 HCPCS,J7207,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 500 (+/-) UNIT IV SOLUTION",43.0,38.27,2.1,43.0,736 HCPCS,J7214,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 2,000 (+/-) UNIT IV SOLUTION",54.2,48.24,4.66,54.2,734 HCPCS,J7296,LEVONORGESTREL 17.5 MCG/24 HR (UP TO 5 YRS) 19.5MG INTRAUTERINE DEVICE,1676.2,1491.82,348.65,1676.2,720 HCPCS,J7298,LEVONORGESTREL 21 MCG/24 HR (UP TO 8 YEARS) 52 MG INTRAUTERINE DEVICE,1676.2,1491.82,348.65,1676.2,725 HCPCS,J7307,ETONOGESTREL 68 MG SUBDERMAL IMPLANT,1118.6,995.55,232.67,1321.1,719 HCPCS,J7308,PR AMINOLEVULINIC ACID HCL TOP,1239.7,1103.33,389.83,1239.7,485 HCPCS,J7311,FLUOCINOLONE 0.59 MG INTRAVITREAL IMPLANT,57135.0,50850.15,340.31,57135.0,736 HCPCS,J7312,DEXAMETHASONE 0.7 MG INTRAVITREAL IMPLANT,4260.0,3791.4,204.61,4260.0,739 HCPCS,J7312,PR DEXAMETHASONE INTRA IMPLANT,4260.0,3791.4,1431.77,4260.0,481 HCPCS,J7313,PR FLUOCINOL ACET INTRAVIT IMP,28779.6,25613.84,9641.28,28779.6,481 HCPCS,J7314,FLUOCINOLONE 0.18 MG INTRAVITREAL IMPLANT,28127.6,25033.56,529.89,28127.6,736 HCPCS,J7330,GRAFT CARTILAGE MEMBRANE COLLAGEN STERILE MACI 3X5CM,130672.41,116298.44,27179.86,130672.41,457 HCPCS,J7330,GRFT BN FEM CNDYL LAT LT,23586.3,20991.81,4905.95,23586.3,457 HCPCS,J7330,GRFT BN FEM CNDYL LAT RT,23586.3,20991.81,4905.95,23586.3,457 HCPCS,J7330,GRFT CARTILAGE MACI DBL,261344.82,232596.89,54359.72,261344.82,457 HCPCS,J7345,AMINOLEVULINIC ACID HCL 10 % TOPICAL GEL,837.6,745.46,1.79,837.6,736 HCPCS,J7354,"CANTHARIDIN TOP, APPLICATOR",2012.3,1790.95,656.5,2012.3,481 HCPCS,J7500,AZATHIOPRINE 25 MG PARTIAL (1/2) TABLET,5.8,5.16,0.07,5.8,719 HCPCS,J7500,AZATHIOPRINE 5 MG/ML ORAL SUSPENSION,458.3,407.89,0.98,458.3,719 HCPCS,J7500,AZATHIOPRINE 50 MG TABLET,7.3,6.5,0.07,7.3,719 HCPCS,J7501,AZATHIOPRINE 100 MG/10 ML SOLUTION FOR INJECTION (WETTED),646.4,575.3,134.45,646.4,734 HCPCS,J7502,CYCLOSPORINE 100 MG CAPSULE,64.6,57.49,2.08,64.6,719 HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG CAPSULE,9.3,8.28,1.93,9.3,729 HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION,515.6,458.88,104.08,515.6,729 HCPCS,J7503,"TACROLIMUS ER 0.75 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",20.0,17.8,4.16,20.0,729 HCPCS,J7503,"TACROLIMUS ER 1 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",24.9,22.16,5.18,24.9,729 HCPCS,J7503,"TACROLIMUS ER 4 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",83.9,74.67,17.45,83.9,729 HCPCS,J7504,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION",12738.3,11337.09,2649.57,12738.3,736 HCPCS,J7507,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",8.0,7.12,0.23,8.0,719 HCPCS,J7507,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",8.8,7.83,0.23,8.8,720 HCPCS,J7507,TACROLIMUS 1 MG ORAL GRANULES IN PACKET,30.2,26.88,0.23,30.2,719 HCPCS,J7507,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE",28.5,25.37,1.13,28.5,719 HCPCS,J7508,"TACROLIMUS ER 0.5 MG CAPSULE,EXTENDED RELEASE 24 HR (ASTAGRAF)",11.9,10.59,2.48,11.9,729 HCPCS,J7508,"TACROLIMUS ER 1 MG CAPSULE,EXTENDED RELEASE 24 HR (ASTAGRAF)",18.8,16.73,3.91,18.8,729 HCPCS,J7508,"TACROLIMUS ER 5 MG CAPSULE,EXTENDED RELEASE 24 HR (ASTAGRAF)",73.7,65.59,15.33,73.7,729 HCPCS,J7509,METHYLPREDNISOLONE 0.5 MG PARTIAL (1/4) TABLET,6.3,5.61,0.16,6.3,719 HCPCS,J7509,METHYLPREDNISOLONE 1 MG PARTIAL (1/2) TABLET,7.7,6.85,0.16,7.7,719 HCPCS,J7509,METHYLPREDNISOLONE 1 MG PARTIAL (1/4) TABLET,6.0,5.34,0.16,6.0,719 HCPCS,J7509,METHYLPREDNISOLONE 16 MG TABLET,13.4,11.93,0.64,13.4,719 HCPCS,J7509,METHYLPREDNISOLONE 2 MG PARTIAL (1/2) TABLET,7.0,6.23,0.16,7.0,719 HCPCS,J7509,METHYLPREDNISOLONE 32 MG TABLET,18.1,16.11,1.28,18.1,719 HCPCS,J7509,METHYLPREDNISOLONE 4 MG TABLET,9.7,8.63,0.16,9.7,719 HCPCS,J7509,METHYLPREDNISOLONE 4 MG TABLETS IN A DOSE PACK,60.5,53.85,3.36,60.5,719 HCPCS,J7509,METHYLPREDNISOLONE 8 MG TABLET,9.4,8.37,0.32,9.4,719 HCPCS,J7509,PR METHYLPREDNISOLONE ORAL,9.7,8.63,0.14,9.7,480 HCPCS,J7511,ANTI-THYMOCYTE GLOBULIN (RABBIT) 25 MG INTRAVENOUS SOLUTION,3293.7,2931.39,685.09,3293.7,736 HCPCS,J7512,PR PREDNISONE ORAL 1 MG,,,0.01,8.83,340 HCPCS,J7512,PREDNISONE 0.5 MG PARTIAL (1/2) TABLET,5.2,4.63,0.01,5.2,719 HCPCS,J7512,PREDNISONE 0.625 MG PO PARTIAL (1/4) TABLET,5.1,4.54,0.01,5.1,719 HCPCS,J7512,PREDNISONE 1 MG TABLET,5.4,4.81,0.01,5.4,720 HCPCS,J7512,PREDNISONE 1.25 MG PARTIAL (1/2) TABLET,5.2,4.63,0.01,5.2,719 HCPCS,J7512,PREDNISONE 10 MG TABLET,5.5,4.89,0.06,5.5,719 HCPCS,J7512,PREDNISONE 2.5 MG TABLET,5.5,4.89,0.02,5.5,720 HCPCS,J7512,PREDNISONE 20 MG TABLET,5.7,5.07,0.12,5.7,729 HCPCS,J7512,PREDNISONE 5 MG TABLET,5.6,4.98,0.03,5.6,721 HCPCS,J7512,PREDNISONE 5 MG/5 ML ORAL SOLUTION,922.5,821.03,2.88,922.5,719 HCPCS,J7512,PREDNISONE 5 MG/ML ORAL CONCENTRATE,441.1,392.58,0.86,441.1,719 HCPCS,J7512,PREDNISONE 50 MG TABLET,6.0,5.34,0.29,6.0,719 HCPCS,J7515,CYCLOSPORINE 25 MG CAPSULE,21.8,19.4,0.6,21.8,719 HCPCS,J7515,CYCLOSPORINE MODIFIED 25 MG CAPSULE,6.6,5.87,0.6,6.6,729 HCPCS,J7516,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION,268.7,239.14,55.89,268.7,719 HCPCS,J7517,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,6.5,5.79,0.17,6.5,719 HCPCS,J7517,MYCOPHENOLATE MOFETIL 500 MG TABLET,7.6,6.76,0.34,7.6,719 HCPCS,J7518,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",15.6,13.88,0.37,15.6,719 HCPCS,J7518,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",26.2,23.32,0.73,26.2,729 HCPCS,J7519,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,104.6,93.09,21.76,104.6,717 HCPCS,J7519,MYCOPHENOLATE 500 MG/15 ML INTRAVENOUS SOLUTION (WETTED),104.6,93.09,21.76,104.6,717 HCPCS,J7520,SIROLIMUS 0.5 MG TABLET,12.3,10.95,1.11,12.3,729 HCPCS,J7520,SIROLIMUS 1 MG TABLET,36.2,32.22,1.11,36.2,720 HCPCS,J7520,SIROLIMUS 1 MG/ML ORAL SOLUTION,15.1,13.44,1.11,15.1,719 HCPCS,J7520,SIROLIMUS 2 MG TABLET,20.7,18.42,2.23,20.7,719 HCPCS,J7521,TACROLIMUS 0.2 MG ORAL GRANULES IN PACKET,21.9,19.49,19.8,19.8,1 HCPCS,J7525,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION,733.7,652.99,152.61,733.7,736 HCPCS,J7525,TACROLIMUS DILUTION IV INTERMITTENT BMT SYRINGE 0.02 MG/ML (NEO/PED),623.2,554.65,129.63,623.2,736 HCPCS,J7525,TACROLIMUS DILUTION IVPB 0.02 MG/ML (NEO/PED),623.2,554.65,129.63,623.2,736 HCPCS,J7527,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET,18.6,16.55,1.35,18.6,729 HCPCS,J7527,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,21.0,18.69,2.7,21.0,729 HCPCS,J7527,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET,81.9,72.89,4.06,81.9,729 HCPCS,J7527,EVEROLIMUS (IMMUNOSUPPRESSIVE) 1 MG TABLET,34.7,30.88,5.41,34.7,729 HCPCS,J7528,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,8.5,7.57,1.77,8.5,717 HCPCS,J7605,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,12.6,11.21,0.73,12.6,731 HCPCS,J7611,ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION,10.8,9.61,0.5,10.8,731 HCPCS,J7611,ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION,67.5,60.08,4.19,67.5,731 HCPCS,J7613,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,6.0,5.34,0.22,6.0,731 HCPCS,J7614,LEVALBUTEROL 0.31 MG/3 ML SOLUTION FOR NEBULIZATION,10.3,9.17,0.09,10.3,731 HCPCS,J7614,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,11.6,10.32,0.19,11.6,731 HCPCS,J7614,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,10.3,9.17,0.28,10.3,731 HCPCS,J7620,IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML IN SOLN,6.3,5.61,0.2,6.3,731 HCPCS,J7626,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,12.0,10.68,1.21,12.0,731 HCPCS,J7626,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,16.6,14.77,1.21,16.6,731 HCPCS,J7626,BUDESONIDE 1 MG/2 ML SUSPENSION FOR NEBULIZATION,29.9,26.61,2.41,29.9,731 HCPCS,J7631,CROMOLYN 20 MG/2 ML SOLUTION FOR NEBULIZATION,21.6,19.22,0.9,21.6,731 HCPCS,J7639,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION,515.2,458.53,107.16,515.2,731 HCPCS,J7644,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,6.0,5.34,0.41,6.0,731 HCPCS,J7674,METHACHOLINE CHLORIDE 0.025 MG/ML SOLUTION FOR CHALLENGE,5.5,4.89,1.14,5.5,719 HCPCS,J7674,METHACHOLINE CHLORIDE 0.25 MG/ML SOLUTION FOR CHALLENGE,5.5,4.89,1.14,5.5,719 HCPCS,J7674,METHACHOLINE CHLORIDE 10 MG/ML SOLUTION FOR CHALLENGE,22.4,19.94,4.66,22.4,719 HCPCS,J7674,METHACHOLINE CHLORIDE 100 MG POWDER FOR INHALATION (NON-STERILE),284.1,252.85,59.09,284.1,719 HCPCS,J7674,METHACHOLINE CHLORIDE 2.5 MG/ML SOLUTION FOR CHALLENGE,9.0,8.01,1.87,9.0,719 HCPCS,J7674,METHACHOLINE CHLORIDE 25 MG/ML SOLUTION FOR CHALLENGE,216.3,192.51,44.99,216.3,719 HCPCS,J7674,METHACHOLINE CHLORIDE 5 MG/ML SOLUTION FOR CHALLENGE,167.6,149.16,10.91,167.6,719 HCPCS,J7674,"PR METHACHOLINE CHLORIDE, NEB",2312.2,2057.86,85.0,2312.2,477 HCPCS,J7677,REVEFENACIN 175 MCG/3 ML SOLUTION FOR NEBULIZATION,126.4,112.5,26.29,126.4,731 HCPCS,J7682,PR TOBRAMYCIN NON-COMPD U,,,12.47,250.03,345 HCPCS,J7682,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,45.4,40.41,9.44,45.4,731 HCPCS,J7686,TREPROSTINIL 1.74 MG/2.9 ML (0.6 MG/ML) SOLUTION FOR NEBULIZATION,4109.3,3657.28,833.92,4109.3,731 HCPCS,J7686,"TREPROSTINIL 1.74 MG/2.9 ML SOLN FOR INHALATION-NEBULIZER,ACCESSORIES",58416.2,51990.42,6671.37,58416.2,731 HCPCS,J7999,ARGININE 25 MG/ML-LYSINE 25 MG/ML INTRAVENOUS SOLUTION (WRAPPER),1187.5,1056.88,247.0,1187.5,717 HCPCS,J7999,"MITOMYCIN 200 MCG/ML SUBCONJUNCTIVAL SOLUTION (1,2,& 3 ML VIALS)",51.0,45.39,10.61,51.0,717 HCPCS,J7999,MITOMYCIN 400 MCG/ML SUBCONJUNTIVAL SOLUTION (1 OR 2 ML CNR),35.8,31.86,7.45,35.8,717 HCPCS,J7999,VANCOMYCIN 25 MCG-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),35.6,31.68,7.4,35.6,717 HCPCS,J8499,RUXOLITINIB 1.25 MG PO PARTIAL (1/4) TABLET,241.0,214.49,50.13,241.0,729 HCPCS,J8499,RUXOLITINIB 10 MG TABLET,964.5,858.41,200.62,964.5,729 HCPCS,J8499,RUXOLITINIB 2.5 MG PO PARTIAL (1/2) TABLET,486.4,432.9,101.17,486.4,729 HCPCS,J8501,APREPITANT 125 MG CAPSULE,576.4,513.0,79.64,576.4,719 HCPCS,J8501,APREPITANT 25 MG/ML ORAL SUSPENSION,1010.5,899.35,79.64,1010.5,719 HCPCS,J8501,APREPITANT 40 MG CAPSULE,164.2,146.14,25.48,164.2,725 HCPCS,J8501,APREPITANT 80 MG CAPSULE,503.2,447.85,50.97,503.2,719 HCPCS,J8510,BUSULFAN 2 MG TABLET,938.6,835.35,844.8,844.8,1 HCPCS,J8522,CAPECITABINE 500 MG TABLET,33.7,29.99,0.04,33.7,734 HCPCS,J8530,CYCLOPHOSPHAMIDE 25 MG CAPSULE,10.5,9.35,2.09,10.5,719 HCPCS,J8530,CYCLOPHOSPHAMIDE 50 MG CAPSULE,14.3,12.73,2.97,14.3,719 HCPCS,J8610,METHOTREXATE SODIUM 1.25 MG PARTIAL (1/2) TABLET,7.6,6.76,0.17,7.6,729 HCPCS,J8610,METHOTREXATE SODIUM 2.5 MG TABLET,12.9,11.48,0.17,12.9,729 HCPCS,J8612,METHOTREXATE 2.5 MG/ML ORAL SOLUTION,4017.2,3575.31,22.68,4017.2,729 HCPCS,J8700,TEMOZOLOMIDE 100 MG CAPSULE,85.3,75.92,12.47,85.3,729 HCPCS,J8700,TEMOZOLOMIDE 140 MG CAPSULE,34.4,30.62,7.16,34.4,729 HCPCS,J8700,TEMOZOLOMIDE 20 MG CAPSULE,24.9,22.16,2.49,24.9,729 HCPCS,J8700,TEMOZOLOMIDE 250 MG CAPSULE,164.1,146.05,31.17,164.1,729 HCPCS,J8700,TEMOZOLOMIDE 5 MG CAPSULE,12.7,11.3,0.62,12.7,729 HCPCS,J9000,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION (WETTED),318.5,283.46,3.2,318.5,719 HCPCS,J9000,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),139.2,123.89,6.4,139.2,720 HCPCS,J9000,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION (WETTED),754.2,671.24,16.0,754.2,719 HCPCS,J9000,PR DOXORUBIC HCL 10 MG VL CHEMO,242.9,216.18,30.61,242.9,481 HCPCS,J9011,"DATOPOTAMAB DERUXTECAN, 1 MG",31011.7,27600.41,11341.44,31011.7,482 HCPCS,J9011,DATOPOTAMAB DERUXTECAN-DLNK 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED),14341.7,12764.11,12907.6,12907.6,1 HCPCS,J9017,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION,1878.6,1671.95,101.95,1878.6,719 HCPCS,J9017,PR ARSENIC TRIOXIDE,241.0,214.49,103.43,241.0,481 HCPCS,J9021,ASPARAGINASE ERWINIA CHRYSANTHEMI-RYWN 10 MG/0.5 ML IM SOLUTION,15960.3,14204.67,55.47,15960.3,735 HCPCS,J9022,ATEZOLIZUMAB 60 MG/ML INTRAVENOUS SOLUTION (WRAPPER),23718.0,21109.02,91.34,23718.0,734 HCPCS,J9024,"ATEZOLIZUMAB 1,875 MG-HYALURONIDASE-TQJS 30,000 UNIT/15 ML SUBCUT SOLN",33689.9,29984.01,31.58,33689.9,734 HCPCS,J9025,AZACITIDINE 100 MG SOLUTION FOR INJECTION (SUBQ EQUIVALENCY),267.7,238.25,53.25,267.7,719 HCPCS,J9025,AZACITIDINE 100 MG/10 ML SOLUTION FOR INJECTION (WETTED),267.7,238.25,53.25,267.7,719 HCPCS,J9025,PR AZACITIDINE INJECTION,294.8,262.37,64.82,294.8,481 HCPCS,J9026,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION,4752.2,4229.46,988.46,4752.2,736 HCPCS,J9026,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION,43472.1,38690.17,1564.64,43472.1,736 HCPCS,J9027,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION,668.9,595.32,4.19,668.9,736 HCPCS,J9030,PR BCG LIVE INTRAVESICAL 1MG,,,3.28,783.14,466 HCPCS,J9032,PR BELINOSTAT INJ 10 MG,26195.4,23313.91,9559.98,26195.4,481 HCPCS,J9034,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,4367.1,3886.72,13.49,4367.1,736 HCPCS,J9034,PR BENDEKA 1MG INJ,5542.2,4932.56,1668.42,5542.2,484 HCPCS,J9035,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,2402.9,2138.58,73.2,2402.9,736 HCPCS,J9035,PR BEVACIZUMAB INJECTION,14120.1,12566.89,5154.24,14120.1,481 HCPCS,J9038,AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION,20965.2,18659.025,55.65,29578.8,1468 HCPCS,J9038,INJ AXATILIMAB-CSFR 0.1 MG,34216.9,30453.04,14190.75,34216.9,481 HCPCS,J9039,BLINATUMOMAB 35 MCG INTRAVENOUS (WRAPPER),16850.2,14996.68,164.25,16850.2,736 HCPCS,J9039,PR BLINATUMOMAB INJ,92290.9,82138.9,32081.87,92290.9,481 HCPCS,J9040,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION (IM/SUBQ EQUIVALENCY),251.4,223.75,26.47,251.4,719 HCPCS,J9040,BLEOMYCIN 15 UNIT/3 ML SOLUTION FOR INJECTION (WETTED),251.4,223.75,26.47,251.4,719 HCPCS,J9040,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,300.9,267.8,52.94,300.9,719 HCPCS,J9040,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION (IM/SUBQ EQUIVALENCY),300.9,267.8,52.94,300.9,719 HCPCS,J9040,BLEOMYCIN 30 UNITS/6 ML SOLUTION FOR INJECTION (WETTED),300.9,267.8,52.94,300.9,719 HCPCS,J9040,PR BLEOMYCIN SULFATE INJECTION,,,23.02,326.14,467 HCPCS,J9041,BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION,233.2,207.55,48.51,233.2,720 HCPCS,J9041,BORTEZOMIB 3.5 MG SOLUTION FOR INJECTION (SUBQ EQUIVALENCY),233.2,207.55,48.51,233.2,719 HCPCS,J9041,BORTEZOMIB 3.5 MG/3.5 ML INJECTION POWDER FOR SOLUTION (WETTED),233.2,207.55,48.51,233.2,719 HCPCS,J9041,PR BORTEZOMIB INJECTION,305.5,271.89,40.17,305.5,481 HCPCS,J9042,BRENTUXIMAB VEDOTIN 50 MG/10 ML INTRAVENOUS SOLUTION (WETTED),37123.7,33040.09,258.64,37123.7,736 HCPCS,J9042,PR BRENTUXIMAB VEDOTIN INJ,132475.1,117902.84,48321.18,132475.1,483 HCPCS,J9043,PR CABAZITAXEL INJECTION,31191.7,27760.61,10385.82,31191.7,481 HCPCS,J9045,CARBOPLATIN 0.1 MG INJECTION DESENSITIZATION,118.0,105.02,24.54,118.0,719 HCPCS,J9045,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,137.8,122.64,10.11,137.8,721 HCPCS,J9045,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION (FOR DESENSITIZATION),137.8,122.64,10.11,137.8,719 HCPCS,J9045,PR CARBOPLATIN INJECTION,277.8,247.24,32.22,277.8,487 HCPCS,J9047,CARFILZOMIB 10 MG/5 ML INTRAVENOUS SOLUTION (WETTED),2101.2,1870.07,55.65,2101.2,736 HCPCS,J9047,CARFILZOMIB 30 MG/15 ML INTRAVENOUS SOLUTION (WETTED),5403.5,4809.11,55.65,5403.5,736 HCPCS,J9047,CARFILZOMIB 60 MG/30 ML INTRAVENOUS SOLUTION (WETTED),10356.8,9217.55,55.65,10356.8,736 HCPCS,J9047,"PR INJECTION, CARFILZOMIB, 1 MG",18612.5,16565.13,6116.77,18612.5,481 HCPCS,J9050,CARMUSTINE 100 MG/30 ML INTRAVENOUS SOLUTION (WETTED),1380.6,1228.73,238.46,1380.6,736 HCPCS,J9055,PR CETUXIMAB INJECTION,1609.0,1432.01,401.72,1609.0,481 HCPCS,J9060,CISPLATIN 1 MG/ML INTRAPERITONEAL INJECTION (HIPEC),291.4,259.35,12.14,427.5,2157 HCPCS,J9060,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,256.9,228.64,12.14,256.9,721 HCPCS,J9060,PR CISPLATIN 10 MG INJECTION,125.0,111.25,10.56,125.0,487 HCPCS,J9061,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION,11050.1,9834.59,22.54,11050.1,735 HCPCS,J9063,"INJ, ELAHERE, 1 MG",67377.8,59966.24,24908.1,67377.8,481 HCPCS,J9063,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION,19572.3,17419.35,69.49,19572.3,734 HCPCS,J9065,PR INJ CLADRIBINE PER 1 MG,503.7,448.29,103.87,503.7,482 HCPCS,J9071,PR INJ CYCLOPHOSPHAMD AUROMEDIC,618.6,550.55,121.2,618.6,481 HCPCS,J9075,CYCLOPHOSPHAMIDE 1 GRAM/50 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),623.5,554.91,0.48,623.5,734 HCPCS,J9075,CYCLOPHOSPHAMIDE 2 GRAM/100 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),1324.9,1179.16,0.48,1324.9,734 HCPCS,J9075,CYCLOPHOSPHAMIDE 500 MG/25 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),384.7,342.38,0.48,384.7,734 HCPCS,J9075,"INJ, CYCLOPHOSPHAMIDE, NOS",462.8,411.89,81.9,462.8,487 HCPCS,J9100,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION,237.6,211.46,19.21,237.6,720 HCPCS,J9100,CYTARABINE (PF) 20 MG/ML INJECTION SOLUTION (WRAPPER),118.9,105.82,0.96,118.9,719 HCPCS,J9118,CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION,85816.3,76376.51,82.08,85816.3,734 HCPCS,J9120,DACTINOMYCIN 0.5 MG/ML INTRAVENOUS SOLUTION (WETTED),1452.1,1292.37,302.04,1452.1,736 HCPCS,J9130,DACARBAZINE 200 MG/20 ML INTRAVENOUS SOLUTION (WETTED),235.6,209.68,9.49,235.6,719 HCPCS,J9130,PR DACARBAZINE 100 MG INJ,289.7,257.83,28.87,289.7,483 HCPCS,J9144,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN",31586.6,28112.07,55.57,31586.6,738 HCPCS,J9145,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION,9587.6,8532.96,71.37,9587.6,736 HCPCS,J9150,DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION,369.9,329.21,60.55,369.9,719 HCPCS,J9155,DEGARELIX 120 MG/3 ML SUBCUTANEOUS SOLUTION (WETTED),1857.9,1653.53,4.45,1857.9,736 HCPCS,J9155,DEGARELIX 80 MG/4 ML SUBCUTANEOUS SOLUTION (WETTED),1355.7,1206.57,4.45,1355.7,736 HCPCS,J9171,DOCETAXEL 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),389.1,346.3,59.89,389.1,719 HCPCS,J9171,DOCETAXEL 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),801.3,713.16,119.78,801.3,719 HCPCS,J9171,PR DOCETAXEL INJECTION,295.9,263.35,91.14,295.9,481 HCPCS,J9173,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,12707.9,11310.03,85.12,12707.9,736 HCPCS,J9176,ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION,7042.8,6268.09,7.89,7042.8,736 HCPCS,J9176,PR INJ ELOTUZUMAB 1 MG,,,0.09,0.1,467 HCPCS,J9177,PR INJ ENFORT VEDO-EJFV 0.25MG,14138.4,12583.18,5140.52,14138.4,481 HCPCS,J9178,EPIRUBICIN 2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),349.4,310.97,56.72,349.4,719 HCPCS,J9179,PR ERIBULIN MESYLATE INJECTION,1344.0,1196.16,943.9,1344.0,481 HCPCS,J9181,ETOPOSIDE 0.5 MG/ML DILUTION INJECTION (PEDIATRIC) - RST ONLY,106.4,94.7,1.2,106.4,719 HCPCS,J9181,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,117.6,104.66,12.01,117.6,720 HCPCS,J9181,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION (FOR ORAL USE) (PEDIATRIC),117.6,104.66,12.01,117.6,719 HCPCS,J9181,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION,765.1,680.94,12.01,765.1,719 HCPCS,J9181,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION (PEDIATRIC),765.1,680.94,12.01,765.1,719 HCPCS,J9181,ETOPOSIDE PHOSPHATE 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED),765.1,680.94,12.01,765.1,719 HCPCS,J9181,PR ETOPOSIDE 10 MG INJ,123.2,109.65,16.7,123.2,487 HCPCS,J9185,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,1155.6,1028.48,93.62,1155.6,721 HCPCS,J9190,FLUOROURACIL 50 MG/ML INTRAVENOUS SOLUTION (WRAPPER),107.2,95.41,2.23,107.2,719 HCPCS,J9190,FLUOROURACIL 500 MG/10 ML INTRALESIONAL INJECTION,107.2,95.41,2.23,107.2,719 HCPCS,J9190,FLUOROURACIL CHEMO IVPB 50 MG/ML STRAIGHT DRUG (C-SERIES),258.15,229.75,2.23,379.1,2876 HCPCS,J9190,FLUOROURACIL INFUSION PUMP (COMPOUNDED BY NON-MAYO PHARMACY),109.4,97.37,2.23,109.4,719 HCPCS,J9190,PR FLUOROURACIL INJECTION,259.4,230.87,21.35,259.4,490 HCPCS,J9200,FLOXURIDINE 0.5 GRAM/5 ML SOLUTION FOR INJECTION (WETTED),12145.6,10809.58,2526.28,12145.6,736 HCPCS,J9200,PR FLOXURIDINE INJECTION,12145.6,10809.58,4254.92,12145.6,481 HCPCS,J9201,GEMCITABINE 38 MG/ML INTRAVENOUS SOLUTION (WRAPPER),234.9,209.06,24.77,234.9,720 HCPCS,J9201,GEMCITABINE 38 MG/ML IV SOLUTION FOR BLADDER INSTILLATION (WRAPPER),269.3,239.68,56.01,269.3,717 HCPCS,J9201,PR GEMCITABINE HCL,,,3.59,40.34,466 HCPCS,J9203,GEMTUZUMAB OZOGAMICIN 4.5 MG/4.5 ML (1 MG/ML INITIAL CONCENTRATION) IV SOLN (WETTED),29692.7,26426.5,236.62,29692.7,736 HCPCS,J9204,PR MOGAMULIZUMAB-KPKC 1 MG INJ,49620.7,44162.42,18249.62,49620.7,481 HCPCS,J9205,PR INJ IRINOTECAN LIPOSOME 1 MG,29354.8,26125.77,9695.53,29354.8,481 HCPCS,J9206,IRINOTECAN 20 MG/ML INTRAPERITONEAL INJECTION (HIPEC),120.69999999999999,107.425,4.13,122.3,1438 HCPCS,J9206,IRINOTECAN 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),184.45,164.16,4.13,242.2,1438 HCPCS,J9206,PR IRINOTECAN INJECTION,261.5,232.74,30.5,261.5,481 HCPCS,J9208,IFOSFAMIDE 1 GRAM/20 ML INTRAVENOUS SOLUTION (WETTED),299.5,266.56,28.57,299.5,719 HCPCS,J9208,IFOSFAMIDE 3 GRAM/60 ML INTRAVENOUS SOLUTION (WETTED),494.4,440.02,85.71,494.4,719 HCPCS,J9209,MESNA 100 MG/ML INJECTION FOR ORAL USE,32.5,28.93,6.76,32.5,719 HCPCS,J9209,MESNA 100 MG/ML INTRAVENOUS SOLUTION,66.4,59.1,9.78,66.4,719 HCPCS,J9209,MESNA 100 MG/ML SYRINGE (NEO/PED) - RST ONLY,66.4,59.1,9.78,66.4,719 HCPCS,J9209,PR MESNA INJECTION,60.1,53.49,6.8,60.1,483 HCPCS,J9210,EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION,45820.0,40779.8,384.85,91215.0,2208 HCPCS,J9211,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,608.3,541.39,126.53,608.3,719 HCPCS,J9217,LEUPROLIDE 30 MG (4 MONTH) INTRAMUSCULAR SYRINGE KIT,2379.9,2118.11,176.45,2379.9,736 HCPCS,J9217,LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT,3345.0,2977.05,176.45,3345.0,736 HCPCS,J9217,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,1897.5,1688.78,176.45,1897.5,736 HCPCS,J9217,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE,1235.3,1099.42,176.45,1235.3,736 HCPCS,J9220,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJECTION SOLUTION (WRAPPER),975.0,867.75,9.96,975.0,734 HCPCS,J9223,"PR INJ. LURBINECTEDIN, 0.1 MG",35577.8,31664.24,12647.04,35577.8,481 HCPCS,J9226,HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT,125879.1,112032.4,26182.85,125879.1,736 HCPCS,J9227,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,3029.8,2696.52,81.9,3029.8,736 HCPCS,J9227,PR INJ. ISATUXIMAB-IRFC 10 MG,23668.4,21064.88,7586.55,23668.4,481 HCPCS,J9228,IPILIMUMAB 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER),64745.2,57623.23,183.48,103322.3,1472 HCPCS,J9228,PR IPILIMUMAB INJ 1 MG,39027.2,34734.21,14018.55,39027.2,485 HCPCS,J9229,INOTUZUMAB OZOGAMICIN 0.9 MG/3.6 ML (0.25 MG/ML INITIAL CONCENTRATION) IV SOLN (WETTED),68378.3,60856.69,2698.05,68378.3,736 HCPCS,J9229,PR INOTUZUMAB OZOGAMICIN 0.1 MG INJ,38188.0,33987.32,14083.84,38188.0,481 HCPCS,J9245,MELPHALAN 20 MCG/0.1 ML INTRAVITREAL INJECTION (CNR),884.7,787.38,95.9,884.7,736 HCPCS,J9245,MELPHALAN HCL 50 MG/10 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),582.7,518.6,95.9,582.7,736 HCPCS,J9260,METHOTREXATE 400 MCG/0.05 ML INTRAOCULAR INJECTION (CNR),290.9,258.9,2.97,290.9,719 HCPCS,J9260,METHOTREXATE 400 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),290.9,258.9,2.97,290.9,719 HCPCS,J9260,METHOTREXATE SODIUM (PF) 1 GRAM/20 ML SOLUTION FOR INJECTION (WETTED),337.0,299.93,59.32,337.0,719 HCPCS,J9260,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,237.2,211.11,49.34,237.2,720 HCPCS,J9260,PR METHOTREXATE SODIUM INJ 50 MG,102.4,91.14,2.58,102.4,481 HCPCS,J9261,NELARABINE 5 MG/ML INTRAVENOUS SOLUTION,620.1,551.89,79.86,620.1,736 HCPCS,J9263,OXALIPLATIN 5 MG/ML INJECTION DESENSITIZATION,102.8,91.49,21.38,102.8,719 HCPCS,J9263,OXALIPLATIN 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER),120.4,107.16,5.41,120.4,720 HCPCS,J9263,OXALIPLATIN 50 MG INTRAVENOUS SOLUTION,650.0,578.5,5.41,650.0,719 HCPCS,J9263,OXALIPLATIN 50 MG/10 ML INTRAVENOUS SOLUTION (WETTED),650.0,578.5,5.41,650.0,719 HCPCS,J9263,PR OXALIPLATIN,112.3,99.95,2.82,112.3,481 HCPCS,J9264,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,4116.6,3663.77,10.54,4116.6,736 HCPCS,J9264,PR PACLITAXEL PROTEIN BOUND,3941.9,3508.29,1350.36,3941.9,482 HCPCS,J9266,PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION,79286.6,70565.07,16491.61,79286.6,736 HCPCS,J9267,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",350.7,312.12,34.16,350.7,720 HCPCS,J9267,PACLITAXEL 6 MG/ML INTRAPERITONEAL INJECTION (HIPEC),276.7,246.26,3.42,350.7,2157 HCPCS,J9267,PR PACLITAXEL INJECTION,329.6,293.34,25.54,329.6,481 HCPCS,J9269,"TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION",94968.7,84522.14,356.93,94968.7,736 HCPCS,J9271,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,17201.3,15309.16,60.29,17201.3,736 HCPCS,J9271,PR PEMBROLIZUMAB INJ,10500.8,9345.71,3583.56,10500.8,482 HCPCS,J9272,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION,34619.5,30811.36,243.71,34619.5,734 HCPCS,J9273,"PR INJ TISOTU VEDOTIN-TFTV, 1MG",51970.7,46253.92,19606.8,51970.7,481 HCPCS,J9273,TISOTUMAB VEDOTIN-TFTV 40 MG/4 ML INTRAVENOUS SOLUTION (WETTED),21058.3,18741.89,188.76,21058.3,734 HCPCS,J9274,"PR INJ, TEBENTAFUSP-TEBN, 1 MCG",41179.8,36650.02,15110.28,41179.8,482 HCPCS,J9276,"INJ ZANIDATAMAB-HRII, 2 MG",66695.7,59359.17,24373.05,66695.7,481 HCPCS,J9276,ZANIDATAMAB-HRII 300 MG/6 ML INTRAVENOUS SOLUTION (WETTED),10641.7,9471.11,25.05,10641.7,734 HCPCS,J9280,MITOMYCIN 0.5 MG/ML INTRAPERITONEAL INJECTION (HIPEC),348.5,310.17,20.35,348.5,736 HCPCS,J9280,MITOMYCIN 0.5 MG/ML SYRINGE (FOR OR USE ONLY),348.5,310.17,20.35,348.5,736 HCPCS,J9280,MITOMYCIN 0.5 MG/ML TOPICAL TRACHEAL SOLUTION (CNR),88.0,78.32,18.3,88.0,736 HCPCS,J9280,MITOMYCIN 20 MG INTRAVENOUS SOLUTION 2 MG/ML (BLADDER INSTILL EQUIVALENCY),369.3,328.68,20.35,369.3,736 HCPCS,J9280,MITOMYCIN 20 MG/40 ML INTRAVENOUS SOLUTION (WETTED),369.3,328.68,20.35,369.3,736 HCPCS,J9280,MITOMYCIN 40 MG INTRAVENOUS SOLUTION 2 MG/ML (BLADDER INSTILL EQUIVALENCY),591.7,526.61,20.35,591.7,736 HCPCS,J9280,MITOMYCIN 40 MG/80 ML INTRAVENOUS SOLUTION (WETTED),591.7,526.61,20.35,591.7,736 HCPCS,J9280,MITOMYCIN 5 MG/10 ML INTRAVENOUS SOLUTION (WETTED),348.5,310.17,20.35,348.5,736 HCPCS,J9280,MITOMYCIN 5 MG/5 ML (1 MG/ML) IN SWFI TOPICAL SOLUTION FOR ANAL STRICTURE TREATMENT (PEDS),348.5,310.17,20.35,348.5,736 HCPCS,J9280,PR MITOMYCIN INJECTION,343.9,306.07,104.42,343.9,481 HCPCS,J9281,PR MITOMYCIN INSTILLATION,51858.0,46153.62,19434.3,51858.0,482 HCPCS,J9286,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION,19601.0,17444.89,1686.96,31091.6,1468 HCPCS,J9289,"NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION",23010.7,20479.52,27.36,23010.7,734 HCPCS,J9293,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS",493.0,438.77,23.88,493.0,736 HCPCS,J9293,PR MITOXANTRON HCL INJ,602.9,536.58,154.39,602.9,481 HCPCS,J9299,NIVOLUMAB 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),9850.3,8766.77,32.96,23010.7,2208 HCPCS,J9299,PR NIVOLUMAB INJ,117013.4,104141.93,8057.52,117013.4,481 HCPCS,J9301,"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION",24133.8,21479.08,79.0,24133.8,737 HCPCS,J9303,PR PANITUMUMAB INJ 10 MG,6681.2,5946.27,2084.08,6681.2,481 HCPCS,J9305,PEMETREXED DISODIUM 100 MG/4 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),235.4,209.51,4.36,235.4,736 HCPCS,J9305,PEMETREXED DISODIUM 500 MG/20 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),352.5,313.73,4.36,352.5,736 HCPCS,J9305,PR PEMETREXED INJECTION,106.7,94.96,7.19,106.7,481 HCPCS,J9307,PR PRALATREXATE INJ,56807.2,50558.41,20421.39,56807.2,481 HCPCS,J9308,PR RAMUCIRUMAB INJ 5 MG,15296.3,13613.71,5290.81,15296.3,481 HCPCS,J9309,"PR INJ, POLATUZUMAB VEDOTIN 1MG",31056.7,27640.46,10668.22,31056.7,481 HCPCS,J9312,PR RITUXIMAB 10 MG INJ,,,0.09,2302.3,466 HCPCS,J9312,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",7356.799999999999,6547.555,75.22,11961.3,1474 HCPCS,J9312,RITUXIMAB 10 MG/ML INTRAOCULAR SYRINGE (FOR OR USE ONLY),132.9,118.28,27.64,132.9,1472 HCPCS,J9317,PR SACITUZUMAB GOVITECAN-HZIY,25933.9,23081.17,9319.46,25933.9,481 HCPCS,J9319,PR ROMIDEPSIN LYOPHIL 0.1MG INJ,21028.4,18715.28,8344.62,21028.4,481 HCPCS,J9319,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),9357.0,8327.73,30.78,9357.0,734 HCPCS,J9321,EPCORITAMAB-BYSP 0.16 MG/ML SUBCUTANEOUS DILUTION,4350.8,3872.21,55.84,4350.8,734 HCPCS,J9321,EPCORITAMAB-BYSP 0.8 MG/ML SUBCUTANEOUS DILUTION,4350.8,3872.21,55.84,4350.8,734 HCPCS,J9321,EPCORITAMAB-BYSP 3 MG/0.6 ML SUBCUTANEOUS SOLUTION,4350.8,3872.21,55.84,4350.8,734 HCPCS,J9321,EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION,47259.1,42060.6,55.84,47259.1,735 HCPCS,J9325,PR TALIMOGENE INJ,10718.1,9539.11,3696.95,10718.1,483 HCPCS,J9326,TELISOTUZUMAB VEDOTIN-TLLV 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),23807.300000000003,21188.495,7412.2,35441.0,2 HCPCS,J9328,TEMOZOLOMIDE 100 MG/40 ML INTRAVENOUS SOLUTION (WETTED),3188.5,2837.77,10.39,3188.5,736 HCPCS,J9329,"INJ, TISLELIZUMAB-JSGR",23732.1,21121.57,8755.65,23732.1,481 HCPCS,J9330,TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN (WETTED),1309.6,1165.54,26.71,1309.6,736 HCPCS,J9331,SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION,20018.0,17816.02,84.57,20018.0,734 HCPCS,J9332,EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION (RESTRICTED),16210.5,14427.35,32.15,16210.5,734 HCPCS,J9332,PR INJ EFGARTIGIMOD 2MG,40678.1,36203.51,16433.73,40678.1,482 HCPCS,J9342,THIOTEPA 100 MG/10 ML SOLUTION FOR INJECTION (WETTED),1196.3,1064.71,10.54,1196.3,734 HCPCS,J9342,THIOTEPA 15 MG/1.5 ML SOLUTION FOR INJECTION (WETTED),365.0,324.85,10.54,365.0,734 HCPCS,J9345,"INJ, RETIFANLIMAB-DLWR, 1 MG",31856.2,28352.02,11447.63,31856.2,481 HCPCS,J9347,"INJ, TREMELIMUMAB-ACTL, 1 MG",,,143.02,29002.74,466 HCPCS,J9347,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,64435.9,57347.950000000004,140.9,118577.8,1468 HCPCS,J9349,"INJECTION, TAFASITAMAB-CXIX, 2 MG",10759.8,9576.22,3702.92,10759.8,481 HCPCS,J9350,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION,28309.8,25195.725000000002,467.46,54372.2,1468 HCPCS,J9351,PR TOPOTECAN INJECTION,348.8,310.43,86.11,348.8,481 HCPCS,J9351,TOPOTECAN 20 MCG/0.1 ML INTRAVITREAL INJECTION (CNR),327.1,291.12,2.87,327.1,719 HCPCS,J9351,TOPOTECAN 4 MG INTRAVENOUS SOLUTION,286.3,254.81,57.41,286.3,720 HCPCS,J9351,TOPOTECAN 4 MG/4 ML INTRAVENOUS SOLUTION (WETTED),286.3,254.81,57.41,286.3,719 HCPCS,J9352,PR INJECTION TRABECTEDIN 0.1MG,19137.2,17032.11,6648.19,19137.2,481 HCPCS,J9352,TRABECTEDIN 1 MG/20 ML INTRAVENOUS SOLUTION (WETTED),11442.5,10183.83,391.07,11442.5,736 HCPCS,J9354,"PR INJ, ADO-TRASTUZUMAB EMT 1MG",21247.1,18909.92,7594.74,21247.1,482 HCPCS,J9355,PR TRASTUZUMAB,10073.5,8965.42,2792.35,10073.5,481 HCPCS,J9358,PR INJ FAM-TRASTU DERU-NXKI 1MG,30771.8,27386.9,10516.8,30771.8,485 HCPCS,J9359,LONCASTUXIMAB TESIRINE-LPYL 10 MG/2 ML INTRAVENOUS SOLUTION (WETTED),81733.4,72742.73,216.9,81733.4,734 HCPCS,J9359,PR INJ LON TESIRIN-LPYL 0.075MG,73605.1,65508.54,26546.64,73605.1,481 HCPCS,J9360,PR VINBLASTINE SULFATE INJ,408.4,363.48,67.38,408.4,484 HCPCS,J9360,VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION,360.3,320.67,59.6,360.3,720 HCPCS,J9370,VINCRISTINE 1 MG/ML PF INTRAVENOUS SOLUTION (WRAPPER),234.8,208.97,18.75,234.8,722 HCPCS,J9380,INJ TECLISTAMAB CQYV 0.5 MG,22740.9,20239.4,9335.25,22740.9,483 HCPCS,J9380,TECLISTAMAB-CQYV 10 MG/ML SUBCUTANEOUS SOLUTION,5403.6,4809.2,33.58,5403.6,735 HCPCS,J9380,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION,25713.0,22884.57,33.58,25713.0,735 HCPCS,J9381,TEPLIZUMAB-MZWV 1 MG/ML INTRAVENOUS SOLUTION,37701.8,33554.6,37.66,37701.8,734 HCPCS,J9381,TEPLIZUMAB-MZWV 100 MCG/ML DILUTION INJECTION (CNR STOCK INGREDIENT),34876.9,31040.44,37.66,34876.9,734 HCPCS,J9382,ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION,34446.6,30657.47,32.91,34446.6,734 HCPCS,J9390,PR VINORELBINE TARTRATE/10 MG,269.9,240.21,21.76,269.9,481 HCPCS,J9390,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),287.4,255.79,31.28,287.4,719 HCPCS,J9395,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,507.8,451.94,65.78,507.8,719 HCPCS,L0120,HC COLLAR CERVICAL FOAM NON-ADJ OTS,26.0,23.14,5.41,40.64,732 HCPCS,L0172,HC COLLAR FOAM SEMI RGD 2 PC OTS,120.0,106.8,24.96,217.56,732 HCPCS,L0810,GARMENT COMPRESSION VEST SEQUENTIAL DEVICE CHEST FOR GYNECOMASTIA PROCEDURE DOUBLE REINFORCED FRONT PANEL ELASTIC WAISTBAND SHOULDER STRAP BLACK BEIGE MALE NONSTERILE 42 44IN REUSABLE LG,112.0,99.68,23.3,4106.14,468 HCPCS,L0810,SYSTEM TRACTION L VEST GRAPHITE COMPOSITE NYLON SOFT FLEXIBLE TAPERED VEST DESIGN ANTERIOR POSTERIOR CERVICAL HEAD NECK FOR COMPRESSION,2596.0,2310.44,539.97,4106.14,468 HCPCS,L0810,VEST 5 MEDIUM CUSTOM,2288.0,2036.32,475.9,4106.14,468 HCPCS,L0810,VEST MD,2596.0,2310.44,539.97,4106.14,468 HCPCS,L0810,VEST SM,2402.0,2137.78,499.62,4106.14,468 HCPCS,L0810,VEST XL,2402.0,2137.78,499.62,4106.14,468 HCPCS,L1600,HC ORTHOSIS HIP FLEX CPF,85.0,75.65,17.68,197.96,731 HCPCS,L1686,HC ORTHOSIS HIP STABILIZER POST OP,26.0,23.14,5.41,1439.45,730 HCPCS,L1830,HC IMMOBILIZER KNEE LONG,26.0,23.14,5.41,88.44,732 HCPCS,L1832,BRACE KNEE L19-25IN BLACK GRAY ALUMINUM FOAM FOR 71CM THIGH HOOK LOOP CLOSURE X-ACT ROM,162.28,144.43,33.75,1058.14,468 HCPCS,L1832,BRACE ORTHOPEDIC KNEE POST-OPERATIVE COOL TELESCOPING QUICK-RELEASE BUCKLE LOCK FOAM TROM COOL BLACK TROM- 26-32IN,121.46,108.1,25.26,1058.14,468 HCPCS,L1832,HC BRACING DLX POST OP KNEE COOL,174.0,154.86,36.19,1058.14,730 HCPCS,L1832,HC SUP RC 274 L1832,424.0,377.36,88.19,1058.14,730 HCPCS,L1845,BRACE KNEE ADULT FOR 16-32IN THIGH POST OP COOL,201.4,179.25,41.89,1286.85,469 HCPCS,L1845,BRACE KNEE DLX POST OP COOL,254.0,226.06,52.83,1286.85,469 HCPCS,L1930,BRACE ANKLE L STANDARD TIBIAL MALLEABLE HOSPITAL GRADE ALLOY EF CUTOUTS RIGID STRONG DURABLE EXPANDED HEEL POCKET DEEP CROSS RIVETED STRAPS,238.6,212.35,49.63,387.0,468 HCPCS,L1930,BRACE ANKLE M STANDARD TIBIAL MALLEABLE HOSPITAL GRADE ALLOY EF CUTOUTS RIGID STRONG DURABLE EXPANDED HEEL POCKET DEEP CROSS RIVETED STRAPS,238.6,212.35,49.63,387.0,468 HCPCS,L1930,HC CAST ROOM PFS BOOT,542.0,482.38,112.74,542.0,730 HCPCS,L1930,SPLINT BRACE ANKLE LG STANDARD TIBIAL MALLEABLE HOSPITAL GRADE ALLOY RIGID STRONG DURABLE EXPANDED HEEL POCKET DEEP CROSS RIVETED STRAPS,172.9,153.88,35.96,387.0,468 HCPCS,L1930,SPLINT FT POSTROR SM CUT CROSS,238.6,212.35,49.63,387.0,468 HCPCS,L1930,SPLINT FT POSTROR XL CROSS,172.9,153.88,35.96,387.0,468 HCPCS,L1930,SPLINT FT POSTROR XL CUT CROSS,238.6,212.35,49.63,387.0,468 HCPCS,L1930,SPLNT ORTH FT POST SM,172.9,153.88,35.96,387.0,468 HCPCS,L2999,HC DJO ELEVATED LEG PILLOW,65.0,57.85,13.52,65.0,732 HCPCS,L2999,HC ORTHOSIS LWR EXTREMITY NOS,693.0,616.77,144.14,693.0,732 HCPCS,L2999,HC ROOKE BOOT UNIVERSAL,195.0,173.55,40.56,195.0,732 HCPCS,L2999,PR ORTHOSIS LWR EXTREMITY NOS,650.0,578.5,572.0,650.0,477 HCPCS,L3260,HC POST OP SHOE/BOOT EA,26.0,23.14,5.41,26.0,719 HCPCS,L3660,HC IMMOBILIZER SHLDR CAN&WEB,26.0,23.14,5.41,144.46,730 HCPCS,L3660,PR IMMOBILIZER SHLDR CAN&WEB,138.0,122.82,115.57,138.0,481 HCPCS,L3670,HC ORTHO SHLDR ACROMIO/CLAV OTS,86.0,76.54,17.89,158.94,736 HCPCS,L3670,PR ORTHO SHLDR ACROMIO/CLAV OTS,174.0,154.86,127.15,174.0,481 HCPCS,L3670,SLING ARM L ABOVE 13IN BLACK FOAM/ALUMINUM HOOK LOOP CLOSURE UNISEX ULTRASLING II,82.98,73.85,17.26,158.94,477 HCPCS,L3670,SLING ARM M FOR 11-13IN 30DEG RIGHT QUALITY BREATHABLE THERMOFORMED PADDING MESH FABRIC WITH DEROTATION STRAP FOR IMMOBILIZATION ULTRASLING III ER,110.02,97.92,22.88,158.94,477 HCPCS,L3670,SLING ARM SM UP TO 11IN BLACK UNISEX WITH PILLOW ULTRASLING II,82.98,73.85,17.26,158.94,477 HCPCS,L3670,SLING SHOULDER MD ULTRA II,82.98,73.85,17.26,158.94,477 HCPCS,L3670,SLING SHOULDER SIZE 3 MD FOR 11-13IN ELBOW CREASE TO OF INDEX FINGER 30DEG LEFT ARM MOISTURE WICKING MESH FABRIC FOAM PILLOW DEROTATIONAL STRAP QUICK RELEASE BUCKLE DONJOY ULTRASLING III ER,110.02,97.92,22.88,158.94,477 HCPCS,L3671,HC ORTHO SHLDR JT DESIGN CPF,1360.0,1210.4,282.88,1360.0,719 HCPCS,L3671,PR ORTHO SHLDR JT DESIGN CPF,1344.0,1196.16,1007.79,1344.0,481 HCPCS,L3702,HC ORTHO ELBOW WO JT CPF FIT&ADJUST,436.0,388.04,90.69,436.0,730 HCPCS,L3702,PR ORTHO ELBOW WO JT CPF FIT&ADJUST,431.0,383.59,322.97,431.0,481 HCPCS,L3760,BRACE ELBOW FOR 8-21IN BICEP 6-18.5IN FOREARM LEFT TELESCOPING TO FIT BUCKLE 4 CUFF DONJOY X ACT ROM,176.44,157.03,36.7,699.2,468 HCPCS,L3760,BRACE ELBOW FOR 8-21IN BICEP 6-18.5IN FOREARM RIGHT TELESCOPING TO FIT BUCKLE 4 CUFF DONJOY X ACT ROM,164.48,146.39,34.21,699.2,468 HCPCS,L3760,HC ORTHO ELBOW HINGED FIT&ADJUST,431.0,383.59,89.65,699.2,730 HCPCS,L3762,HC EO RIGID W/O JOINTS PRE OTS,103.0,91.67,21.42,150.31,728 HCPCS,L3762,PR EO RIGID W/O JOINTS PRE OTS,149.0,132.61,120.25,149.0,483 HCPCS,L3763,HC ORHTO EWH RIG WO JT CPF FIT&ADJUST,1271.0,1131.19,264.37,1271.0,731 HCPCS,L3763,PR ORHTO EWH RIG WO JT CPF FIT&ADJUST,1193.0,1061.77,836.99,1193.0,481 HCPCS,L3764,HC ORTHO EWH W JT CPF FIT&ADJUST,1182.0,1051.98,245.86,1182.0,730 HCPCS,L3764,PR ORTHO EWH W JT CPF FIT&ADJUST,1168.0,1039.52,875.94,1168.0,481 HCPCS,L3765,HC CUSTOM STATIC EWHFO,1935.0,1722.15,402.48,1935.0,730 HCPCS,L3765,PR ORTHO EWHF RIG WO JT,1912.0,1701.68,1434.15,1912.0,481 HCPCS,L3806,HC ORTHO WHF RIG W JT CPF,742.0,660.38,154.34,742.0,730 HCPCS,L3806,PR ORTHO WHF RIG W JT CPF,678.0,603.42,508.03,678.0,481 HCPCS,L3807,PR ORTHO WHF WO JT CPF FIT&ADJUST,374.0,332.86,279.67,374.0,481 HCPCS,L3808,HC ORTHO WHF RIG WO JT CPF FIT&ADJUST,605.0,538.45,125.84,605.0,732 HCPCS,L3808,PR ORTHO WHF RIG WO JT CPF FIT&ADJUST,567.0,504.63,398.43,567.0,481 HCPCS,L3809,HC WHFO W/O JOINTS PRE OTS,194.0,172.66,40.35,349.59,730 HCPCS,L3809,PR PREFAB STATIC WHFO,310.0,275.9,272.8,310.0,481 HCPCS,L3905,PR ORTHO WH NONTORSN JT CPF FIT&ADJUST,1479.0,1316.31,1109.16,1479.0,481 HCPCS,L3906,HC ORTHO WH SPRT WO JT CPF FIT&ADJUST,718.0,639.02,149.34,718.0,731 HCPCS,L3906,PR ORTHO WH SPRT WO JT CPF FIT&ADJUST,672.0,598.08,566.79,672.0,481 HCPCS,L3908,HC ORTHO WRST COCK-UP OTS,124.0,110.36,25.79,124.0,730 HCPCS,L3908,PR ORTHO WRST COCK-UP OTS,94.0,83.66,82.0,94.0,481 HCPCS,L3912,HC GLOVE FLEXION,159.0,141.51,33.07,159.0,730 HCPCS,L3912,PR GLOVE FLEXION,158.0,140.62,117.84,158.0,481 HCPCS,L3913,HC ORTHOSIS HAND/FNGR WO JTS CUSTOM,459.0,408.51,95.47,459.0,732 HCPCS,L3913,PR ORTHOSIS HAND/FNGR WO JTS CUSTOM,404.0,359.56,302.9,404.0,481 HCPCS,L3915,PR WHO NONTORSION JNTS PRE CST,865.0,769.85,594.54,865.0,481 HCPCS,L3919,HC ORTHOSIS HAND WO JTS CUSTOM,408.0,363.12,84.86,408.0,730 HCPCS,L3919,PR ORTHOSIS HAND WO JTS CUSTOM,404.0,359.56,302.9,404.0,481 HCPCS,L3921,HC ORTHOSIS HAND W JTS CUSTOM,485.0,431.65,100.88,485.0,731 HCPCS,L3921,PR ORTHOSIS HAND W JTS CUSTOM,479.0,426.31,359.28,479.0,481 HCPCS,L3923,HC HFO W/O JOINTS PRE CST,146.0,129.94,30.37,146.0,730 HCPCS,L3923,PR HFO W/O JOINTS PRE CST,144.0,128.16,108.04,144.0,481 HCPCS,L3923,PR HFO WITHOUT JOINTS PRE CST,144.0,128.16,108.04,144.0,481 HCPCS,L3924,HC SPLINT THUMB OTS,132.0,117.48,27.46,135.05,730 HCPCS,L3924,PR SPLINT THUMB OTS,121.0,107.69,106.48,121.0,481 HCPCS,L3925,HC ORTHOSIS FINGER SPRING PREFAB OTS,88.0,78.32,18.3,91.84,730 HCPCS,L3925,PR FO PIP DIP JNT/SPRNG PRE OTS,93.0,82.77,73.47,93.0,481 HCPCS,L3925,PR ORTHOSIS FINGER SPRING PREFAB OTS,84.0,74.76,73.47,84.0,481 HCPCS,L3927,HC ORTHOSIS FNGR WO SPRING PREFAB OTS,54.0,48.06,11.23,54.0,728 HCPCS,L3927,PR FO PIP DIP NO JT SPR PRE OTS,53.0,47.17,39.15,53.0,481 HCPCS,L3927,PR ORTHOSIS FNGR WO SPRING PREFAB OTS,53.0,47.17,39.15,53.0,481 HCPCS,L3929,HC ORTHOSIS HND/FNGR SPRING CPF,300.0,267.0,62.4,300.0,731 HCPCS,L3929,PR ORTHOSIS HND/FNGR SPRING CPF,154.0,137.06,102.16,154.0,481 HCPCS,L3933,HC ORTHOSIS FNGR WO JTS CUST FIT&ADJUST,361.0,321.29,75.09,361.0,731 HCPCS,L3933,PR ORTHOSIS FNGR WO JTS CUST FIT&ADJUST,281.0,250.09,238.64,281.0,481 HCPCS,L3935,PR ORTHOSIS FNGR JT CUST FIT&ADJUST,303.0,269.67,247.07,303.0,481 HCPCS,L3984,HC BRACE WRIST FRACTURE,26.0,23.14,5.41,483.79,730 HCPCS,L3984,PR BRACE WRIST FRACTURE,499.0,444.11,387.03,499.0,481 HCPCS,L4002,HC REPLACEMENT STRAP ORTHOSIS ANY,140.0,124.6,29.12,140.0,730 HCPCS,L4002,PR REPLACEMENT STRAP ORTHOSIS ANY,89.0,79.21,78.32,89.0,465 HCPCS,L4210,HC RPR ORTHOSIS DEVICE MINOR,36.0,32.04,7.49,36.0,731 HCPCS,L4210,PR RPR ORTHOSIS DEVICE MINOR,51.0,45.39,44.88,51.0,477 HCPCS,L4350,HC ORTHOSIS ANKLE CTRL PREFAB OTS,28.0,24.92,5.82,148.63,730 HCPCS,L4360,BOOT ORTHOPEDIC ANKLE FOOT FOAM MEDIUM LIGHT MALE 7 10 FEMALE 8 11 GRAY LATEX FREE NON STERILE AIRSELECT,80.8,71.91,16.81,397.73,468 HCPCS,L4360,BOOT ORTHOPEDIC ANKLE FOOT FOAM SMALL LIGHT MALE 4 7 FEMALE 5 8 GRAY NONSTERILE AIRSELECT,80.8,71.91,16.81,397.73,468 HCPCS,L4360,BOOT ORTHOPEDIC ANKLE FOOT FOAM XLG LIGHT MALE 13+ FEMALE 15+ GRAY AIRSELECT NONSTERILE,80.8,71.91,16.81,397.73,468 HCPCS,L4360,BOOT WALKING L MEN 10-13 WOMEN 11-15 H17.4IN STANDARD ANKLE FOOT POLYPROPYLENE SHELL HDPE FRONT PANEL NYLON STRAP DURABLE SEMI RIGID LOW SOLE SKID AIRSELECT,80.8,71.91,16.81,397.73,468 HCPCS,L4360,BRACE WALKING ALL ANKLE FOOT LOW SOLE AIRCELL SEMI RIGID SHELL XP WALKER MALE FEMALE XP-WALKER SM,140.68,125.21,29.26,397.73,468 HCPCS,L4360,BRACE WALKING IUM ANKLE FOOT EXTRA PNEUMATIC LOW SOLE ADJUSTABLE CELL WIDE FOOTBASE SEMIRIGID SHELL XP WALKER MALE FEMALE XP-WALKER MED,140.68,125.21,29.26,397.73,468 HCPCS,L4360,BRACE WALKING L SHOE MAN 10-13 WOMAN 11-15 EXTRA PNEUMATIC SEMI RIGID SHELL PROTECTION LIGHTWEIGHT TRIMMABLE OVERLAPPING WITH DUPLEX AIRCELL TECHNOLOGY XP WALKER,126.62,112.69,26.34,397.73,468 HCPCS,L4360,HC BOOT PNEUMATIC WALK CPF,85.0,75.65,17.68,397.73,730 HCPCS,L4360,WALKER FOAM AIRCAST PEDS,76.24,67.85,15.86,397.73,468 HCPCS,L4361,HC BOOT PNEUMATIC/VAC WALK OTS,85.0,75.65,17.68,397.73,730 HCPCS,L4386,HC BOOT NON-PNEUMATIC WALK CPF,110.0,97.9,22.88,243.58,730 HCPCS,L4387,HC NON-PNEUM WALK BOOT PRE OTS,110.0,97.9,22.88,243.58,730 HCPCS,L4396,HC ORTHOSIS ANKLE/FOOT CUSTOM,59.0,52.51,12.27,257.79,719 HCPCS,L4396,SPLINT W/KNEE POST ATTA CROSS,131.2,116.77,27.29,257.79,457 HCPCS,L4397,HC STATIC OR DYNAMIC AFO PRE OTS-BS,247.0,219.83,51.38,257.79,728 HCPCS,L4398,BRACE ANKLE M STANDARD TIBIAL MALLEABLE HOSPITAL GRADE ALLOY RIGID STRONG DURABLE EXPANDED HEEL POCKET DEEP CROSS RIVETED STRAPS,172.9,153.88,35.96,172.9,468 HCPCS,L8047,PR NASAL SEPTAL PROSTHESIS,681.0,606.09,599.28,681.0,445 HCPCS,L8499,PR SPLINT EAR BUDDIES,214.0,190.46,188.32,214.0,477 HCPCS,L8509,PR VOICE PROSTH TRACHEO-ESOPH,352.0,313.28,134.48,352.0,482 HCPCS,L8600,IMPLANT BREAST 200CC P3.2CM DIA10.5CM GEL FILLED MODERATE PLUS SMOOTH ROUND COHESIVE I,1500.0,1335.0,312.0,1500.0,455 HCPCS,L8600,IMPLANT BREAST 255CC DIA12.2CM P2.9CM SILICONE GEL SMOOTH ROUND MODERATE,1500.0,1335.0,312.0,1500.0,455 HCPCS,L8600,IMPLANT BREAST 275CC DIA12.5CM P3CM SILICONE GEL SMOOTH ROUND MODERATE,1500.0,1335.0,312.0,1500.0,455 HCPCS,L8600,IMPLANT BREAST 550CC DIA14.6CM P4.5CM SILICONE GEL SMOOTH ROUND MODERATE PLUS COHESIVE I,1500.0,1335.0,312.0,1500.0,455 HCPCS,L8600,IMPLANT BREAST 575CC DIA14.8CM P4.5CM SILICONE GEL SMOOTH ROUND MODERATE PLUS,1500.0,1335.0,312.0,1500.0,455 HCPCS,L8600,IMPLANT BREAST DIA11.8CM P2.9CM 235CC SILICONE ROUND SMOOTH MODERATE,1500.0,1335.0,312.0,1500.0,455 HCPCS,L8600,IMPLANT BREAST SILICONE GEL ROUND MODERATE PLUS SMOOTH STERILE 175CC,1500.0,1335.0,312.0,1500.0,455 HCPCS,L8604,DEFLUX IMPLANT UROLOGICAL PROSTHESIS BLADDER VESICOURETERAL REFLUX SILICONE GEL INJECTABLE PREFILLED STERILE DISPOSABLE PEDIATRIC 1CC,7270.0,6470.3,1512.16,7270.0,458 HCPCS,L8606,GRAFT UROLOGICAL SYRINGE SYNTHETIC INJECTABLE,945.62,841.6,196.69,945.62,456 HCPCS,L8606,IMPLANT UROLOGICAL PROSTHESIS TRANSURETHRAL URINARY INCONTINENCE SILICONE ELASTOMER PREFILLED INJECTABLE SYRINGE BULKING AGENT STERILE NON PYROGENIC 2.5CC,2038.0,1813.82,316.1,2038.0,456 HCPCS,L8606,KT BULKAMID URETHRAL,2600.0,2314.0,316.1,2600.0,456 HCPCS,L8610,CHAIN EYELID THK1.2MM 1.2GM PLATINUM TO CORRECT LAGOPHTHALMUS BERGHAUS SCHROM GR CHAIN,2378.0,2116.42,494.62,2378.0,457 HCPCS,L8610,EYE IMPLANT ALLEN SZ 17,598.0,532.22,124.38,1046.28,457 HCPCS,L8610,EYE IMPLANT ALLEN SZ 19,598.0,532.22,124.38,1046.28,457 HCPCS,L8610,EYE LID WEIGHTS 0.8GA GOLD,640.0,569.6,133.12,1046.28,457 HCPCS,L8610,EYE LID WEIGHTS 1.4GA GOLD,1400.0,1246.0,291.2,1400.0,457 HCPCS,L8610,EYE LID WEIGHTS 1.6GA GOLD,1650.0,1468.5,343.2,1650.0,457 HCPCS,L8610,EYE SPHERE SILICONE 14MM,110.0,97.9,22.88,1046.28,457 HCPCS,L8610,IMPLANT EYELID 1.2GM THK1MM 12.7MM PLATINUM 3D CURVATURE TAPERED LOWER ROUNDED LOWER CORNER SMOOTHLY BLENDED SURFACE,880.0,783.2,183.04,1046.28,457 HCPCS,L8610,IMPLANT EYELID 1.4GM THK1MM 12.7MM PLATINUM 3D CURVATURE TAPERED LOWER ROUNDED LOWER CORNER SMOOTHLY BLENDED SURFACE,970.0,863.3,201.76,1046.28,457 HCPCS,L8610,IMPLANT EYELID 1GM THK1MM 12.7MM PLATINUM 3D CURVATURE TAPERED LOWER ROUNDED LOWER CORNER SMOOTHLY BLENDED SURFACE,840.0,747.6,174.72,1046.28,457 HCPCS,L8610,IMPLANT GLAUCOMA GLOBAL BERVELDT PLANA,1400.0,1246.0,291.2,1400.0,457 HCPCS,L8610,IMPLANT OPHTHALMIC DIA2MM TRAN,110.0,97.9,22.88,1046.28,457 HCPCS,L8610,IMPLANT OPHTHALMIC DRAIN ANTERIOR CHAMBER GLAUCOMA STRAIGHT STERILE 250MM,1585.34,1410.95,329.75,1585.34,457 HCPCS,L8610,IMPLANT OPHTHALMIC DRAIN ANTERIOR CHAMBER GLAUCOMA STRAIGHT STERILE 350MM,1585.34,1410.95,329.75,1585.34,457 HCPCS,L8610,IMPLANT OPHTHALMIC SPHERE EYE INERT HARD LIGHTWEIGHT STERILE 10MM,128.0,113.92,26.62,1046.28,457 HCPCS,L8610,IMPLANT OPHTHALMIC SPHERE EYE INERT HARD LIGHTWEIGHT STERILE 16MM,128.0,113.92,26.62,1046.28,457 HCPCS,L8610,IMPLANT OPHTHALMIC SPHERE EYE INERT HARD LIGHTWEIGHT STERILE 18MM,128.0,113.92,26.62,1046.28,457 HCPCS,L8610,IMPLANT OPHTHALMIC SPHERE EYE INERT HARD LIGHTWEIGHT STERILE 20MM,128.0,113.92,26.62,1046.28,457 HCPCS,L8610,IMPLANT OPHTHALMIC SPHERE EYE INERT HARD LIGHTWEIGHT STERILE 22X22MM,128.0,113.92,26.62,1046.28,457 HCPCS,L8610,IMPLANT OPHTHALMIC SPHERE EYE ORBITAL LATEX FREE STERILE 20MM,1050.04,934.54,218.41,1050.04,457 HCPCS,L8610,IMPLANT OPHTHALMIC SPHERE LACRIMAL DUCT ORBITAL LIGHTWEIGHT LATEX FREE STERILE SILICONE 16MM,110.0,97.9,22.88,1046.28,457 HCPCS,L8610,IMPLANT OPHTHALMIC SPHERE LACRIMAL DUCT ORBITAL LIGHTWEIGHT LATEX FREE STERILE SILICONE 19MM,100.0,89.0,20.8,1046.28,457 HCPCS,L8610,IMPLANT OPHTHALMIC SPHERE LACRIMAL DUCT ORBITAL LIGHTWEIGHT LATEX FREE STERILE SILICONE 20MM,110.0,97.9,22.88,1046.28,457 HCPCS,L8610,IMPLANT OPHTHALMIC SPHERE LACRIMAL DUCT ORBITAL LIGHTWEIGHT STERILE SILICONE 18MM,110.0,97.9,22.88,1046.28,457 HCPCS,L8610,IMPLANT OPHTHALMIC STENT CATARACT INTRACOCULAR PRESSURE INJECT,3300.0,2937.0,686.4,3300.0,457 HCPCS,L8610,IMPLANT OPHTHALMIC STRIP EYE LID MUSCULUS ORBICULARIS OCULAR PTOSIS SLING STERILE 0.64X300MM,116.66,103.83,24.27,1046.28,457 HCPCS,L8610,IMPLANT TISSUE SYNTHETIC POLYETHYLENE CRANIOMAXILLOFACIAL ORBITAL FLOOR RIGHT REGULAR WEDGE ENOPHTHALMOS POROUS STERILE 7X22X31MM,1298.08,1155.29,270.0,1298.08,457 HCPCS,L8610,IMPLANT-TISSUE SYNTHETIC-POLYETHYLENE CRANIOMAXILLOFACIAL-ORBITAL BIOCOMPATIBLE-POROUS-SPHERE LATEX-FREE STERILE 18MM,1131.34,1006.89,235.32,1131.34,457 HCPCS,L8610,IMPLANT-TISSUE SYNTHETIC-POLYETHYLENE CRANIOMAXILLOFACIAL-ORBITAL-FLOOR LEFT-REGULAR WEDGE-ENOPHTHALMOS-POROUS LATEX-FREE STERILE 7X22X31MM,1298.08,1155.29,270.0,1298.08,457 HCPCS,L8610,LENS INTRAOCULAR +10.5 DIOPTER 5DEG L13M,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR +12.5 DIOPTER 5DEG,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR +13.5 DIOPTER L13MM,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +10.0D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +11.5D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +12.0D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +13.0D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +14.0D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +14.5D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +15.0D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +15.5D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +16.0D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +16.5D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +17.0D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +17.5D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +18.0D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +18.5D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +19.0D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +19.5D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +20.0D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +20.5D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +21.0D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +21.5D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +22.0D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +22.5D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +23.0D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +23.5D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +24.0D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +24.5D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +25.0D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +25.5D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +26.0D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +26.5D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +27.0D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +27.5D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +28.0D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +28.5D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +29.0D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +29.5D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +30.0D,140.0,124.6,29.12,1046.28,457 HCPCS,L8610,OCCLUDER EYE PUNCTAL LARGE ODYSSEY,207.24,184.44,43.11,1046.28,457 HCPCS,L8610,OCCLUDER EYE PUNCTAL MEDIUM ODYSSEY,205.28,182.7,42.7,1046.28,457 HCPCS,L8610,OCCLUDER EYE PUNCTAL SMALL ODYSSEY,226.32,201.42,47.07,1046.28,457 HCPCS,L8610,PLATE-BONE CRANIOMAXILLOFACIAL MESH-SHEET TITANIUM-POLYETHYLENE LATEX-FREE STERILE BTB 41X42X0.6MM,2044.8,1819.87,425.32,2044.8,457 HCPCS,L8610,PLATE-BONE CRANIOMAXILLOFACIAL MESH-SHEET TITANIUM-POLYETHYLENE LATEX-FREE STERILE MTB-RIGHT 41X42X1.0MM,2474.18,2202.02,514.63,2474.18,457 HCPCS,L8610,PLATINUM LID CHAIN 0.8GM,1983.0,1764.87,412.46,1983.0,457 HCPCS,L8610,PLATINUM LID CHAIN 1.0GM,2074.0,1845.86,431.39,2074.0,457 HCPCS,L8610,RING CATARACT PMMA TYPE 14A LENGTH GREAT THAN 28MM FOR HIGHLY MYOPIC EYE,358.0,318.62,74.46,1046.28,457 HCPCS,L8610,RING FIXATION L10.14MM DIA10MM PMMA PARTIAL TYPE 6E FOR ZONULAR WEAKNESS DISPOSABLE SEGMENT,390.0,347.1,81.12,1046.28,457 HCPCS,L8610,RNG OPT MORCHER CTR CIONN 11,498.0,443.22,103.58,1046.28,457 HCPCS,L8610,RNG OPT MORCHER TENS CIONN 11,498.0,443.22,103.58,1046.28,457 HCPCS,L8610,RNG OPT MORCHER TENS CTR 11,498.0,443.22,103.58,1046.28,457 HCPCS,L8610,SPHERE ORBITAL DIA14MM PMMA FOR RETAINING EYE SOCKET,128.0,113.92,26.62,1046.28,457 HCPCS,L8610,SPHR HD LTWT 14,108.0,96.12,22.46,1046.28,457 HCPCS,L8610,SYNTHETIC POLYETHYLENE IMPLANT TISSUE CRANIOMAXILLOFACIAL ORBITAL FLOOR LEFT LG WEDGE ENOPHTHALMOS POROUS STERILE 7.5X28X40MM,1298.08,1155.29,270.0,1298.08,457 HCPCS,L8610,SYNTHETIC POLYETHYLENE IMPLANT TISSUE CRANIOMAXILLOFACIAL ORBITAL FLOOR RIGHT LG WEDGE ENOPHTHALMOS POROUS STERILE 7.5X28X40MM,1298.08,1155.29,270.0,1298.08,457 HCPCS,L8610,TUBE OPHTHALMIC MODIFIED FOR DESCEMET MEMBRANE ENDOTHELIAL KERATOPLASTY,220.0,195.8,45.76,1046.28,457 HCPCS,L8610,WEIGHT EYELID 1.6GM THK1MM 12.7MM PLATINUM 3D CURVATURE TAPERED LOWER ROUNDED CORNER SMOOTHLY BLENDED SURFACE,1130.0,1005.7,235.04,1130.0,457 HCPCS,L8610,WEIGHT EYELID GOLD LAGOPHTHALMOS CORNEAL PROTECTION 1GM,700.0,623.0,145.6,1046.28,457 HCPCS,L8610,WEIGHT EYELID GOLD SUTURE GROOVE TAPERED ROUND 1.2GM,1420.0,1263.8,295.36,1420.0,457 HCPCS,L8610,WEIGHT THK1.4MM PLATINUM EYELID IMPLANT,2196.0,1954.44,456.77,2196.0,457 HCPCS,L8613,ABTMNT HD DRN TOTAL 4X3.25X3-7,948.0,843.72,197.18,948.0,458 HCPCS,L8613,ABTMNT HD RBN OSSCLR 0.4X4.50,516.0,459.24,107.33,523.08,458 HCPCS,L8613,IMPLANT L4.15MM PISTON DIA0.4MM WELL DIA1MM STAPE TITANIUM MODIFIED,394.32,350.94,82.02,523.08,458 HCPCS,L8613,IMPLANT L4.25MM STANDARD PISTON DIA0.6MM STANDARD WELL DIA0.9MM STAPE TITANIUM,390.56,347.6,81.24,523.08,458 HCPCS,L8613,IMPLANT OSSICULAR FUNCTIONAL L4MM NARROW PISTON DIA0.4MM STANDARD WELL DIA0.9MM STAPES TITANIUM,387.54,344.91,80.61,523.08,458 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY HEARING AID PROSTHESIS OSSICULAR ADJUSTABLE SIZER WILDCAT PRO TOTAL,910.0,809.9,189.28,910.0,458 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR CUP PISTON BONE ANCHORED TITANIUM BUCKET HANDLE LATEX FREE STERILE 0.4X4MM,516.0,459.24,107.33,523.08,458 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR CUP PISTON BONE ANCHORED TITANIUM BUCKET HANDLE STERILE 0.4X4.25MM,516.0,459.24,107.33,523.08,458 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR PROSTHESIS DISTAL END TITANIUM CENTERED BYTE PARTIAL LATEX FREE STERILE ADJUSTABLE 3.0MM,896.0,797.44,186.37,896.0,458 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR PROSTHESIS MYRINGOPEXY TITANIUM HEAD MALLEABLE CENTERED LATEX FREE STERILE PARTIAL 0.5X1.17X3MM,623.12,554.58,129.61,623.12,458 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY OSSICULAR PROSTHESIS TOTAL MIDDLE EAR TITANIUM HYDROXYAPATITE FOOTPLATE WITH WINDOW STERILE ADJUSTABLE 0.8X1.09X1.14X1.4MM,306.0,272.34,63.65,523.08,458 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY TOTAL OSSICULAR PROSTHESIS MIDDLE EAR TITANIUM HYDROXYAPATITE W/SHOE WINDOW ADJUSTABLE LATEX FREE STERILE CONDITIONAL 3X3-7MM,673.2,599.15,140.03,673.2,458 HCPCS,L8613,IMPLANT OTOLARYNGOLOGY VENTILATION TUBE EAR MYRINGOTOMY HYDROXYAPATITE STERILE BIOCOMPATIBLE 1.27X9.5MM,333.62,296.92,69.39,523.08,458 HCPCS,L8613,IMPLANT STAPES L4.5MM NARROW PISTON DIA0.4MM STANDARD WELL DIA0.9MM TITANIUM,390.56,347.6,81.24,523.08,458 HCPCS,L8613,OSSCLR STPS LPP FEN 0.6X1X4.5,379.9,338.11,79.02,523.08,458 HCPCS,L8613,OSSCLR STPS LPP FEN 0.6X1X5,379.9,338.11,79.02,523.08,458 HCPCS,L8613,OSSCLR STPS RBN 0.6X0.9X4.5,286.02,254.56,59.49,523.08,458 HCPCS,L8613,OSSCLR STPS RBN FEN 0.6X1X4,286.02,254.56,59.49,523.08,458 HCPCS,L8613,OSSCLR STPS RBN FEN 0.6X1X4.5,286.02,254.56,59.49,523.08,458 HCPCS,L8613,OSSCLR STPS RBN PROS 0.6X0.9X4,286.02,254.56,59.49,523.08,458 HCPCS,L8613,PROSTHESIS L2-5.6MM OD1.45MM TITANIUM HYDROXYLAPATITE MIDDLE EAR OSSICULAR PARTIAL WITH WINDOWS,948.0,843.72,197.18,948.0,458 HCPCS,L8613,PROSTHESIS L3-7MM SHAFT DIA0.2MM 3.6X2.6MM TITANIUM TOTAL ADJUSTABLE WITH SIZER DISK,974.0,866.86,202.59,974.0,458 HCPCS,L8613,PROSTHESIS L3.75MM SHAFT OD0.5MM NITINOL MIDDLE EAR STAPES PISTON FLUOROPLASTIC,672.2,598.26,139.82,672.2,458 HCPCS,L8613,PROSTHESIS L4.65MM SHAFT OD0.4MM TITANIUM MIDDLE EAR STAPES CUPPED PISTON,390.56,347.6,81.24,523.08,458 HCPCS,L8613,PROSTHESIS OSSICULAR COIL L2.75MM DISTAL END DIA1.45MM TITANIUM K CROWN,1026.0,913.14,213.41,1026.0,458 HCPCS,L8613,PROSTHESIS OSSICULAR L1MM HEAD 3MM DISTAL END DIA1.17MM TITANIUM PARTIAL,623.12,554.58,129.61,623.12,458 HCPCS,L8613,PROSTHESIS OSSICULAR L4.25MM SHAFT OD0.5MM NITINOL STAPES FLUOROPLASTIC PISTON,672.2,598.26,139.82,672.2,458 HCPCS,L8613,PROSTHESIS OSSICULAR L4.5MM SHAFT OD0.5MM NITINOL STAPES FLUOROPLASTIC PISTON,672.2,598.26,139.82,672.2,458 HCPCS,L8613,PROSTHESIS OSSICULAR L4.75MM SHAFT OD0.5MM NITINOL STAPES FLUOROPLASTIC PISTON,672.2,598.26,139.82,672.2,458 HCPCS,L8613,PROSTHESIS OSSICULAR L4MM SHAFT OD0.5MM NITINOL STAPES FLUOROPLASTIC PISTON,672.2,598.26,139.82,672.2,458 HCPCS,L8613,TTP VARIAC IMPLANT OTOLARYNGOLOGY OSSICULAR PROSTHESIS MID EAR TITANIUM PARTIAL PROSTHESIS STERILE 0.2X1.75 4.5MM,974.0,866.86,202.59,974.0,458 HCPCS,L8614,COCHLEAR IMPLANT HEARING DEVICE MAGNET COCHLEAR REPLACEMENT LATEX FREE NON STERILE FOR SCAN 90K,529.44,471.2,110.12,30137.26,457 HCPCS,L8614,IMPLANT BRAINSTEM ABI541,80400.0,71556.0,16723.2,80400.0,457 HCPCS,L8614,IMPLANT KIT OTOLARYNGOLOGY HEARING AID ABUTMENT BONE ANCHORED TITANIUM BONE CONDUCTION STERILE,9800.0,8722.0,2038.4,30137.26,457 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY ABUTMENT HEARING AID MAGNET BONE ANCHORED FOR STERILE,190.0,169.1,39.52,30137.26,457 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE COCHLEAR LATEX FREE STERILE 3D MID SCALA,29222.0,26007.58,6078.18,30137.26,457 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE COCHLEAR LATEX FREE STERILE 3D SLIMJ HI SLIM J,29222.0,26007.58,6078.18,30137.26,457 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE COCHLEAR PERIMODIOLAR STERILE,28000.0,24920.0,5824.0,30137.26,457 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE COCHLEAR SLIM STRAIGHT STERILE,28000.0,24920.0,5824.0,30137.26,457 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING AID ELECTRODE SCALA TYMPANI SLIM MODIOLAR STERILE,29000.0,25810.0,6032.0,30137.26,457 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING DEVICE ELECTRODE ARRAY COCHLEAR PLATINUM SOFT 2 FLEX 24,38000.0,33820.0,7904.0,38000.0,457 HCPCS,L8614,IMPLANT OTOLARYNGOLOGY HEARING DEVICE ELECTRODE ARRAY COCHLEAR PLATINUM SOFT 2 FLEX 28,38000.0,33820.0,7904.0,38000.0,457 HCPCS,L8614,MAGNET COCHLEAR IMPLANT REPLACEMENT FOR PLUS,500.0,445.0,104.0,30137.26,457 HCPCS,L8614,MAGNET HEARING AID TITANIUM CONICAL FOR 4 ATTRACT ONE STAGE SURGERY BIM400,3726.0,3316.14,775.01,30137.26,457 HCPCS,L8614,MAGNET REMOVABLE CI512 COCHLEAR IMPLANT,300.0,267.0,62.4,30137.26,457 HCPCS,L8614,NEXA WITH ELECTRODE (CI1012),29779.3,26503.58,6194.09,30137.26,457 HCPCS,L8614,NEXA WITH SLIM MODIOLAR ELECTRODE (CI1032),30816.76,27426.92,6409.89,30816.76,457 HCPCS,L8614,NEXA WITH SLIM STRAIGHT ELECTRODE (CI1022),29779.3,26503.58,6194.09,30137.26,457 HCPCS,L8614,RESEARCH IDE G140019 HC RSH COCHLEAR MID SCALA 14-002717,23056.8,20520.55,4795.81,30137.26,457 HCPCS,L8614,RESEARCH IDE G140019 HC RSH COCHLEARNAIDAIDE1PROC 14-002717,23053.8,20517.88,4795.19,30137.26,457 HCPCS,L8614,RESEARCH IDE G140019 HC RSH COCHLEARNAIDAIDE2PROC 14-002717,26117.82,23244.86,5432.51,30137.26,457 HCPCS,L8621,REPL ZINC AIR BATTERY,0.88,0.78,0.77,0.88,481 HCPCS,L8681,ACCESSORY PROGRAMMER NEUROSTIMULATOR PAIN MANAGEMENT SPINAL CORD ENTENDED LATEX FREE STERILE 74X79MM,589.0,524.21,122.51,1755.48,468 HCPCS,L8681,KIT-REMOTE-CONTROL-4-NEUROSTIMULATOR DEEP-BRAIN-STIMULATION SLLEVE-HOLDER-USB SKIP,1200.0,1068.0,249.6,1755.48,468 HCPCS,L8681,PROGRAMMER FOR PERCEPT PC NEUROSTIMULATOR,2995.74,2666.21,623.11,2995.74,468 HCPCS,L8681,REMOTE PATIENT IMPLANTABLE PULSE GENERATOR SAFE OMNIA,2000.0,1780.0,416.0,2000.0,468 HCPCS,L8689,ACCESSORY PROGRAMMER NEUROSTIMULATOR PAIN MANAGEMENT PERMANENT LEAD COMPATIBLE STERILE,2565.0,2282.85,533.52,2655.04,468 HCPCS,L8689,KIT NERVE STIMULATOR SPINAL,2000.0,1780.0,416.0,2655.04,468 HCPCS,L8689,TOOL NERVE STIMULATOR KIT SPINAL EXTERNAL,2000.0,1780.0,416.0,2655.04,468 HCPCS,L8690,IMPLANT 9MM ABUTMENT TITANIUM 3 BA300,3126.6,2782.67,650.33,7322.18,455 HCPCS,L8690,IMPLANT OTOLARYNGOLOGY HEARING AID FIXTURE AND ABUTMENT BONE ANCHORED TITANIUM AUDITORY OSSEO INTEGRATED STERILE BHX 3X9MM,7488.8,6665.03,1557.67,7488.8,455 HCPCS,L8690,KIT IMPLANT INCLUDES 4 BCI LIFT 10MM CORTICAL SCREW AND 10MM EMERGENCY SCREW,500.0,445.0,104.0,7322.18,455 HCPCS,L8690,KIT SIZER BCI 602,11400.0,10146.0,2371.2,11400.0,455 HCPCS,L8690,PROCESSOR HEARING DEVICE COCHLEAR IMPLANT STERILE OSI300,9318.88,8293.8,1938.33,9318.88,455 HCPCS,L8699,COIL EMBOLIZATION L8CM DIA3MM MICROCATHETER COMPATIBILITY 0.0165IN PERIPHERAL PGLA FIBERED 3D DETACHABLE,1060.0,943.4,220.48,1060.0,455 HCPCS,L8699,COIL EMBOLIZATION NON COATED LATEX FREE STERILE 3D DETACHABLE 2MMX6CM,1060.0,943.4,220.48,1060.0,455 HCPCS,L8699,COIL EMBOLIZATION NON COATED LATEX FREE STERILE 3D DETACHABLE 6MMX20CM,1060.0,943.4,220.48,1060.0,455 HCPCS,L8699,COIL EMBOLIZATION NON COATED PLATINUM PUSHABLE LATEX FREE STERILE COMPLEX 18 COIL 5MMX12CM,1534.0,1365.26,319.07,1534.0,455 HCPCS,L8699,COIL EMBOLIZATION NON COATED PLATINUM PUSHABLE LATEX FREE STERILE COMPLEX 18 COIL 8MMX20CM,1612.0,1434.68,335.3,1612.0,455 HCPCS,L8699,COIL EMBOLIZATION NON COATED PLATINUM PUSHABLE LATEX FREE STERILE SOFT 10 COIL 4MMX10CM,1092.0,971.88,227.14,1092.0,455 HCPCS,L8699,COIL EMBOLIZATION NON COATED PLATINUM PUSHABLE LATEX FREE STERILE SOFT 18 COIL 2MMX8CM,806.0,717.34,167.65,806.0,455 HCPCS,L8699,COIL EMBOLIZATION NON COATED PLATINUM PUSHABLE LATEX FREE STERILE SOFT 18 COIL 3MMX8CM,806.0,717.34,167.65,806.0,455 HCPCS,L8699,COIL EMBOLIZATION NON COATED PLATINUM PUSHABLE LATEX FREE STERILE STANDARD 18 COIL 5MMX20CM,884.0,786.76,183.87,884.0,455 HCPCS,L8699,COIL EMBOLIZATION NON COATED PLATINUM PUSHABLE LATEX FREE STERILE STANDARD 18 COIL 6MMX20CM,884.0,786.76,183.87,884.0,455 HCPCS,L8699,COIL EMBOLIZATION SIZE 10 L12CM LOOP DIA4MM ADVANCED RESISTANT FOR FRAMING/FILLING/FINISHING V-TRACK,1990.0,1771.1,413.92,1990.0,455 HCPCS,L8699,COIL FILLING 18 COIL SIZE REGULAR 12MM LOOP DIA 30MM WITH V TRAK DELIVERY,962.0,856.18,200.1,962.0,455 HCPCS,L8699,COIL VASCULAR 5MMX8CM ADVANCED,1550.0,1379.5,322.4,1550.0,455 HCPCS,L8699,COIL VASCULAR 6MMX8CM ADVANCED,1550.0,1379.5,322.4,1550.0,455 HCPCS,L8699,COIL VASCULAR REGULAR 10MM DIAMETER 30CM LENGTH V TRAK RESISTANT .018IN GUIDEWIRE,962.0,856.18,200.1,962.0,455 HCPCS,L8699,COIL VASCULAR REGULAR 8MM DIAMETER 30CM LENGTH V TRAK RESISTANT .018IN GUIDEWIRE,962.0,856.18,200.1,962.0,455 HCPCS,L8699,COIL VASCULAR REGULAR 9MM DIAMETER 30CM LENGTH V TRAK RESISTANT .018IN GUIDEWIRE,962.0,856.18,200.1,962.0,455 HCPCS,L8699,COIL VASCULAR SIZE 18 L10CM DIA4MM PLATINUM SOFT,806.0,717.34,167.65,806.0,455 HCPCS,L8699,COIL VASCULAR SIZE 18 L12CM DIA5MM PLATINUM SOFT,806.0,717.34,167.65,806.0,455 HCPCS,L8699,COIL VASCULAR SIZE 18 L30CM DIA7MM REGULAR PLATINUM STANDARD SOFTNESS,962.0,856.18,200.1,962.0,455 HCPCS,L8699,IMPLANT PROSTHESIS UROLOGICAL PROSTATE URETHRA CARTRIDGE STERILE UROLIFT2,2300.0,2047.0,478.4,2300.0,455 HCPCS,L8699,IMPLANT TISSUE L10.5 CM X W.1 CM .4 CM GENIOMANDIBULAR GROOVED IMPLANTABLE STERILE,370.8,330.01,77.13,370.8,455 HCPCS,L8699,IMPLANT TISSUE L10.5 CM X W.1 CM .6 CM GENIOMANDIBULAR GROOVED IMPLANTABLE STERILE,370.8,330.01,77.13,370.8,455 HCPCS,L8699,IMPLANT-JOWEL CRANIOMAXILLOFACIAL LATEX-FREE STERILE GROOVED SIZE-2,370.8,330.01,77.13,370.8,455 HCPCS,L8699,PR EAR TUBE (HUMMINGBIRD),1273.0,1132.97,127.3,1273.0,479 HCPCS,L8699,RESEARCH IDE G140084 HC RSH PIPELINE DEVICE 14-004896,10625.0,9456.25,2210.0,10625.0,455 HCPCS,L8699,SPINAL SM W16XH33-46MM 0DEG POSTERIOR THORACOLUMBAR VERTEBRAL BODY REPLACEMENT PARALLEL SELF EXPANDING,7850.0,6986.5,1632.8,7850.0,455 HCPCS,L8699,SYSTEM UROLOGICAL WITH IMPLANT DELIVERY DEVICE FOR TREATMENT OF URINARY OUTFLOW OBSTRUCTION,2150.0,1913.5,447.2,2150.0,455 HCPCS,M0076,PR PROLOTHERAPY,350.0,311.5,308.0,350.0,477 HCPCS,M0224,"PR IV INJ PEMIVIBART, INCL INJ AND POST ADMIN MONITORING",698.0,621.22,441.9,698.0,482 HCPCS,P3000,PR CYTO PAP SMEAR MANUAL SCREEN,70.0,62.3,18.54,70.0,481 HCPCS,P3001,PR SCREENING PAP SMEAR PHYS,130.0,115.7,19.8,130.0,489 HCPCS,P9010,HC BLOOD WHOLE EA UNIT,810.0,720.9,101.26,810.0,734 HCPCS,P9010,HC HEPARINIZED BLOOD WHOLE EA UNIT,15.0,13.35,3.12,233.82,734 HCPCS,P9010,HC IAT BLOOD WHOLE EA UNIT,1026.0,913.14,101.26,1026.0,734 HCPCS,P9011,HC FFP SNGL DONOR DIVIDED,520.0,462.8,108.16,520.0,735 HCPCS,P9011,HC PLT PHERESIS LR IRRAD EA UNIT DIV,560.0,498.4,116.48,560.0,735 HCPCS,P9011,HC PLT PHERESIS PATHOGEN REDUCED EA UNIT DIVIDED,648.0,576.72,134.78,648.0,735 HCPCS,P9011,HC RBC LR EA UNIT DIVIDED,427.0,380.03,88.82,427.0,735 HCPCS,P9011,HC RBC LR IRR RECON DIVIDED,916.0,815.24,155.84,916.0,735 HCPCS,P9011,HC RBC LR RECON DIVIDED,916.0,815.24,155.84,916.0,735 HCPCS,P9012,HC CRYOPRECIPITATE EA UNIT,675.0,600.75,34.01,675.0,736 HCPCS,P9016,HC RBC LR EA UNIT,786.0,699.54,137.54,786.0,735 HCPCS,P9017,HC CONVALESCENT FFP SNGL DONOR,1926.0,1714.14,92.08,1926.0,736 HCPCS,P9017,HC FFP SNGL DONOR,696.0,619.44,92.08,696.0,736 HCPCS,P9017,PR CONVALESCENT FFP SNGL DONOR,1926.0,1714.14,192.6,1926.0,482 HCPCS,P9022,HC IAT RBC WASHED EA UNIT ADDTL,325.0,289.25,67.6,453.96,736 HCPCS,P9022,HC IAT RBC WASHED INITIAL UNIT,647.0,575.83,134.58,647.0,736 HCPCS,P9022,HC RBC WASHED EA UNIT,1011.0,899.79,184.98,1011.0,736 HCPCS,P9037,HC PLT PHERESIS LR IRRAD EA UNIT,1718.0,1529.02,357.34,1718.0,736 HCPCS,P9040,HC RBC LR IRRAD EA UNIT,1128.0,1003.92,211.51,1128.0,739 HCPCS,P9041,"PR ALBUMIN (HUMAN),5%, 50ML",36.3,32.31,10.62,36.3,481 HCPCS,P9044,HC PLASMA CRYO REDUCED EA UNIT,770.0,685.3,41.9,770.0,734 HCPCS,P9045,"ALBUMIN, HUMAN 5 % INTRAFETAL INTRAVENOUS SOLUTION (ANES)",180.0,160.2,37.44,180.0,736 HCPCS,P9045,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",148.4,132.08,30.87,148.4,742 HCPCS,P9045,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION (PERFUSION ONLY)",148.4,132.08,30.87,148.4,736 HCPCS,P9046,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",133.3,118.64,21.23,133.3,736 HCPCS,P9046,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION (PERFUSION ONLY)",133.3,118.64,21.23,133.3,736 HCPCS,P9046,"ALBUMIN, HUMAN 25 % NON-INTRAVENOUS SOLUTION OSM",60.7,54.02,12.63,60.7,736 HCPCS,P9046,"PR ALBUMIN (HUMAN), 25%, 20 ML",35.6,31.68,21.23,35.6,481 HCPCS,P9047,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION (PERFUSION ONLY)",245.0,218.04999999999998,37.44,310.0,1472 HCPCS,P9047,"PR ALBUMIN (HUMAN), 25%, 50ML",246.7,219.56,106.15,246.7,481 HCPCS,P9050,HC GRANULOCYTES PHER PROC EA UNIT,5503.0,4897.67,1144.62,5503.0,719 HCPCS,P9052,HC PLT HLA MATCHED LR EA UNIT,2404.0,2139.56,500.03,2404.0,735 HCPCS,P9054,HC RED BLD CELLS DEGLYCEROLIZD LR,1064.0,946.96,221.31,1064.0,734 HCPCS,P9057,HC RBC DEGLYCEROLIZED LR/IR/E,1407.0,1252.23,292.66,1407.0,734 HCPCS,P9059,HC CONVALESCENT FROZEN PLASMA 8-24 HR EA UNIT,1890.0,1682.1,73.77,1890.0,734 HCPCS,P9059,HC FROZEN PLASMA 8-24 HR EA UNIT,310.0,275.9,64.48,310.0,734 HCPCS,P9059,PR CONVALESCENT FROZEN PLASMA 8-24 HR EA UNIT,1890.0,1682.1,189.0,1890.0,481 HCPCS,P9059,PR FROZEN PLASMA 8-24 HR EA UNIT,310.0,275.9,31.0,310.0,481 HCPCS,P9071,"HC CONVALESCENT FROZEN PLASMA, PATH RED, SD, EA UNIT",954.0,849.06,198.43,954.0,734 HCPCS,P9071,"HC FROZEN PLASMA, PATH RED, SD, EA UNIT",954.0,849.06,198.43,954.0,734 HCPCS,P9071,"PR CONVALESCENT FROZEN PLASMA, PATH RED, SD, EA UNIT",951.0,846.39,95.1,951.0,477 HCPCS,P9073,HC PLT PHERESIS PATHOGEN REDUCED EA UNIT,1630.0,1450.7,339.04,1630.0,739 HCPCS,P9612,HC CATH COLLECT URINE SPECIMEN,295.0,262.55,9.34,295.0,736 HCPCS,P9612,PR CATH COLLECT URINE SPECIMEN,39.0,34.71,9.34,39.0,485 HCPCS,Q0091,PR OBTAIN SCREEN PAP SMEAR,134.0,119.26,37.82,134.0,476 HCPCS,Q0111,PR WET MOUNTS VAG CERV/SKIN,33.0,29.37,5.82,33.0,488 HCPCS,Q0112,HC KOH PREP,27.0,24.03,5.62,27.0,736 HCPCS,Q0112,PR KOH PREP,27.0,24.03,5.82,27.0,482 HCPCS,Q0114,PR FERN TEST,43.0,38.27,9.74,43.0,481 HCPCS,Q0138,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION,466.1,414.83,0.32,466.1,736 HCPCS,Q0162,ONDANSETRON 4 MG DISINTEGRATING TABLET,6.5,5.79,0.06,6.5,729 HCPCS,Q0162,ONDANSETRON 8 MG DISINTEGRATING TABLET,5.7,5.07,0.13,5.7,729 HCPCS,Q0162,ONDANSETRON HCL 1 MG PARTIAL (1/4) TABLET,5.1,4.54,0.02,5.1,729 HCPCS,Q0162,ONDANSETRON HCL 2 MG PARTIAL (1/2) TABLET,5.2,4.63,0.03,5.2,729 HCPCS,Q0162,ONDANSETRON HCL 4 MG TABLET,6.1,5.43,0.06,6.1,729 HCPCS,Q0162,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,10.0,8.9,0.06,10.0,729 HCPCS,Q0162,ONDANSETRON HCL 8 MG TABLET,6.8,6.05,0.13,6.8,729 HCPCS,Q0164,PROCHLORPERAZINE MALEATE 10 MG TABLET,9.3,8.28,1.93,9.3,729 HCPCS,Q0164,PROCHLORPERAZINE MALEATE 5 MG TABLET,8.5,7.57,1.77,8.5,729 HCPCS,Q0166,GRANISETRON HCL 0.2 MG/ML ORAL SUSPENSION (CNR),59.2,52.69,12.31,59.2,729 HCPCS,Q0166,GRANISETRON HCL 0.5 MG PARTIAL (1/2) TABLET,8.5,7.57,1.77,8.5,729 HCPCS,Q0166,GRANISETRON HCL 1 MG TABLET,9.3,8.28,1.93,9.3,729 HCPCS,Q0167,DRONABINOL 2.5 MG CAPSULE,15.8,14.06,1.55,15.8,729 HCPCS,Q0167,DRONABINOL 5 MG CAPSULE,71.8,63.9,3.11,71.8,729 HCPCS,Q0224,"INJ, PEMIVIBART, 4500 MG",,,7239.0,16300.1,466 HCPCS,Q0224,PEMIVIBART 125 MG/ML INTRAVENOUS SOLUTION (EUA),1988.9,1770.12,413.69,1988.9,719 HCPCS,Q0479,"PR POWER MODULE COMBO VAD, REP",15584.0,13869.76,13713.92,15584.0,481 HCPCS,Q0479,UNIT VENTRICULAR ASSIST POWER MOBILE LEFT II,17280.0,15379.2,15552.0,15552.0,1 HCPCS,Q0481,CONTROLLER VENTRICULAR ASSIST WITH EMERGENCY BACK BATTERY FOR 3 SYSTEM,11880.0,10573.2,2471.04,22365.94,457 HCPCS,Q0481,PR VAD HMII POCKET CONTROLLER,17142.0,15256.38,15084.96,17142.0,482 HCPCS,Q0495,BATTERY FOR VENTRICULAR ASSIST DEVICE II,15552.0,13841.28,3234.82,15552.0,457 HCPCS,Q0497,CLIP BATTERY FOR 14V LITHIUM VENTRICULAR ASSIST DEVICE II,1188.0,1057.32,247.1,1188.0,457 HCPCS,Q0498,HOLSTER BATTERY LEFT VENTRICULAR ASSIST DEVICE POCKET CONTROLLER II GOGEAR,853.2,759.35,177.47,853.2,468 HCPCS,Q0498,PACK PATIENT VENTRICULAR ASSIST DEVICE CONTROLLER BATTERY,850.0,756.5,176.8,850.0,468 HCPCS,Q0498,PACK WAIST VENTRICULAR ASSIST DEVICE CONTROLLER,850.0,756.5,176.8,850.0,468 HCPCS,Q0499,BAG SHOWER RIGHT VENTRICULAR ASSIST DEVICE CONSOLIDATED II GOGEAR,702.0,624.78,146.02,702.0,457 HCPCS,Q0501,BAG SHOWER LEFT VENTRICULAR ASSIST II GOGEAR,486.0,432.54,101.09,786.05,457 HCPCS,Q0506,BATTERY REPLACEMENT LITHIUM-ION VENTRICULAR-ASSIST-DEVICE RECHARGEABLE,1500.0,1335.0,312.0,1500.0,457 HCPCS,Q0506,PR VAD RPLC LITHIUM BATTERY,1367.0,1216.63,1051.71,1367.0,482 HCPCS,Q0506,SET BATTERY VENTRICULAR ASSIST DEVICE LITHIUM PRODUCT SPECIFIC II,1350.0,1201.5,280.8,1350.0,457 HCPCS,Q0508,CAP LVAD MODULAR,331.74,295.25,69.0,331.74,468 HCPCS,Q0508,HEARTWARE ADAPTER DC FOR CNTLR,4000.0,3560.0,832.0,4000.0,468 HCPCS,Q0508,VENTRICULAR ASSIST DEVICE LEFT EXTENSION,5200.0,4628.0,1081.6,5200.0,468 HCPCS,Q0508,VENTRICULAR DEVICE MODULAR FOR 3 SYSTEM,10371.24,9230.4,2157.22,10371.24,468 HCPCS,Q2009,FOSPHENYTOIN 25 MG/ML PE/ML DILUTION INJECTION,111.0,98.79,1.47,111.0,734 HCPCS,Q2009,FOSPHENYTOIN 50 MG PE/ML INJECTION SOLUTION (WRAPPER),88.6,78.85,1.47,88.6,734 HCPCS,Q2041,YESCARTA,2480000.0,503580.0,503580.0,503580.0,13 HCPCS,Q2042,HC TISAGENLECLEUCEL CAR-POS T,2360000.0,2100400.0,410300.0,2360000.0,734 HCPCS,Q2042,KYMRIAH (LEUKEMIA),2730000.0,593533.34,593533.34,593533.34,2 HCPCS,Q2050,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",656.3,584.11,108.47,656.3,736 HCPCS,Q2050,PR DOXORUBICIN LIPOSOMAL INJ 10 MG,736.0,655.04,312.02,736.0,481 HCPCS,Q2053,TECARTUS (LEUKEMIA),2080000.0,462000.0,462000.0,462000.0,1 HCPCS,Q2053,TECARTUS (LYMPHOMA),2270000.0,462000.0,462000.0,462000.0,270 HCPCS,Q2054,BREYANZI,2520000.0,531350.4,531350.4,531350.4,12 HCPCS,Q2056,CARVYKTI,2500000.0,555310.44,555310.44,555310.44,319 HCPCS,Q3014,HC TELE ORIG SITE FEE,131.0,116.59,20.24,131.0,717 HCPCS,Q3014,PR TELE ORIG SITE FEE,86.0,76.54,8.6,86.0,268 HCPCS,Q3027,INTERFERON BETA-1A 30 MCG/0.5 ML INTRAMUSCULAR (WRAPPER),22532.4,20053.84,930.22,22532.4,731 HCPCS,Q4006,PR CAST LONG ARM ADULT FIBERGLASS,114.0,101.46,37.2,114.0,481 HCPCS,Q4010,PR CAST SHORT ARM ADULT FIBERGLASS,85.0,75.65,24.8,85.0,481 HCPCS,Q4100,GRAFT BIOLOGICAL SOFT TISSUE PORCINE STERILE BIO GIDE 40X50MM,932.25,829.7,193.91,932.25,458 HCPCS,Q4100,GRAFT DERMAL DERMIS 1MM 16X20CM CORTIVA,23316.48,20751.67,4849.83,23316.48,458 HCPCS,Q4100,GRAFT STRIP BIOLOGIC ABSORBABLE SCAFFOLD 30MMX20MM,3015.6,2683.88,627.24,3015.6,458 HCPCS,Q4100,GRAFT TISSUE STERILE 1.5X2CM,660.0,587.4,137.28,660.0,458 HCPCS,Q4100,GRAFT WOUND THIN 4X5IN BOVINE,5760.0,5126.4,1198.08,5760.0,458 HCPCS,Q4100,MESH SURGICAL 8MM ABSORBABLE SCAFFOLD DISPOSABLE,285.41,254.01,59.37,285.41,458 HCPCS,Q4100,MESH SURGICAL W20XL30MM ABSORBABLE SCAFFOLD DISPOSABLE,2692.5,2396.32,560.04,2692.5,458 HCPCS,Q4100,MESH SURGICAL W25XL50MM ABSORBABLE SCAFFOLD DISPOSABLE,3231.0,2875.59,672.05,3231.0,458 HCPCS,Q4101,GRFT APL 0.75X7.5,2789.43,2482.59,124.71,2789.43,471 HCPCS,Q4106,DERMAGRAFT GRAFT-TISSUE ACELLULAR DERMIS FREEZE-DRIED REGENERATIVE BREAST LATEX-FREE STERILE THICK 1.04MM 5CMX735CM,2994.06,2664.71,44.04,2994.06,918 HCPCS,Q4106,GRAFT HUMAN TISSUE W5XL7.5CM FIBROBLAST DERIVED DERMAL SUBSTITUTE BIOABSORBABLE,2994.06,2664.71,44.04,2994.06,459 HCPCS,Q4107,BONE JACKET MAX FORCE 2X4,4015.06,3573.4,124.71,4015.06,473 HCPCS,Q4107,GRAFT HUMAN TISSUE W4XL7CM THK2MM EXTREME HUMAN DERMIS REGENERATIVE TISSUE,5660.71,5038.03,124.71,5660.71,473 HCPCS,Q4108,DRESSING BIOLOGICAL W2XL2IN BOVINE TENDON COLLAGEN GLYCOSAMINOGLYCAN POROUS FIBER CROSSLINKED,3483.02,3099.89,124.71,3483.02,471 HCPCS,Q4108,DRESSING BIOLOGICAL W4XL10IN BOVINE TENDON COLLAGEN GLYCOSAMINOGLYCAN POROUS FIBER CROSSLINKED,14444.14,12855.28,124.71,14444.14,471 HCPCS,Q4108,DRESSING BIOLOGICAL W4XL5IN COLLAGEN GLYCOSAMINOGLYCAN WOUND 1 PER BOX,6321.06,5625.74,124.71,6321.06,471 HCPCS,Q4116,GRAFT TISSUE ACELLULAR DERMIS READY TO USE REGENERATIVE STERILE MEDIUM THICK 1.6 +/0.4MM 16X20CM,18710.0,16651.9,124.71,18710.0,475 HCPCS,Q4116,GRAFT TISSUE ACELLULAR DERMIS READY TO USE SPINE STERILE MEDIUM THICK 1.6+/0.4MM PERFORATED 16X20CM,19272.0,17152.08,124.71,19272.0,475 HCPCS,Q4116,GRAFT TISSUE ACELLULAR DERMIS REGENERATIVE STERILE THIN 0.53MM 3X7CM,3379.5,3007.76,124.71,3379.5,475 HCPCS,Q4116,GRAFT TISSUE SKIN DERMIS READY TO USE REGENERATIVE STERILE MEDIUM THICK 1.6+/ 0.4MM PERFORATED 10.7X21.5MM,9588.0,8533.32,124.71,9588.0,475 HCPCS,Q4118,DRESSING BIOLOGICAL 1000MG PORCINE EXTRACELLULAR MICRONIZED PARTICLE MICRO,7863.08,6998.14,1635.52,7863.08,455 HCPCS,Q4118,GRAFT BIOLOGICAL SOFT TISSUE PORCINE LATEX FREE STERILE URINARY BLADDER EXTRACELLULAR FENESTRATED SHEET WOUND CARE PRESSURE ULCERS PODIATRIC LACERATION 3X3.5CM,117.61,104.67,24.46,117.61,455 HCPCS,Q4118,IMPLANT BIOLOGICAL TISSUE 500MG PORCINE MICRONIZED PARTICLES MICRO,4295.56,3823.05,893.48,4295.56,455 HCPCS,Q4121,GRAFT TISSUE ACELLULAR DERMIS FROZEN REGENERATIVE STERILE THERASKIN 3X6IN,7743.63,6891.83,124.71,7743.63,473 HCPCS,Q4122,GRAFT TISSUE SKIN AWM DERMIS READY TO USE REGENERATIVE RECONSTRUCTIVE SURGERY STERILE UNMESHED THICK 0.2 1.00MM DERMACELL 4X8CM,4682.77,4167.67,124.71,4682.77,471 HCPCS,Q4125,ACELLULAR DERMAL,10749.86,9567.38,124.71,10749.86,472 HCPCS,Q4125,ARTHROFLEX GRAFT TENDON SKIN DERMIS STERILE 40X70MM THICK,7539.0,6709.71,124.71,7539.0,472 HCPCS,Q4125,GRAFT HUMAN TISSUE W35XL35MM THK2MM ACELLULAR DERMAL ROOM TEMPERATURE ARTHROFLEX,4544.66,4044.75,124.71,4544.66,472 HCPCS,Q4125,GRAFT TENDON DECELLULARIZED DERMIS ACHILLES STERILE THICK 0.9 1.99MM ARTHROFLEX 1.75X40X70MM,3984.9,3546.56,124.71,3984.9,472 HCPCS,Q4125,GRAFT TISSUE ACELLULAR DERMAL READY TO USE REGENERATIVE SOFT TISSUE REPAIR STERILE 1.76 2.25MM ARTHROFLEX 2.0X340X70MM,5442.15,4843.51,124.71,5442.15,472 HCPCS,Q4125,GRAFT TISSUE DECELLULARIZED DERMIS READY TO USE REGENERATIVE ACHILLES TENDON ROTATOR CUFF STERILE 1.26 1.74MM ARTHROFLEX 1.5X50X90MM,5277.3,4696.8,124.71,5277.3,472 HCPCS,Q4125,GRAFT TISSUE DECELLULARIZED DERMIS REGENERATIVE LATEX FREE STERILE ARTHROFLEX 4X40X70MM,9003.72,8013.31,124.71,9003.72,472 HCPCS,Q4125,GRAFT TISSUE DECELLULARIZED DERMIS STERILE 1.76 2.25MM ARTHROFLEX 2.0X25X30MM,3055.23,2719.15,124.71,3055.23,472 HCPCS,Q4125,GRAFT TISSUE PATCH DERMIS ROOM TEMPERATURE ACHILLES STERILE THICK 0.8 1.7MM ARTHROFLEX 1X40X70MM,3554.1,3163.15,124.71,3554.1,472 HCPCS,Q4125,GRAFT TISSUE PATCH DERMIS STERILE THICK 0.76 1.24MM ARTHROFLEX 1X40X40MM,3069.45,2731.81,124.71,3069.45,472 HCPCS,Q4130,GRAFT BIOLOGICAL SOFT TISSUE PORCINE STERILE RECONSTRUCTIVE 6X10CM,15390.0,13697.1,124.71,15390.0,471 HCPCS,Q4130,GRAFT BIOLOGICAL TISSUE W20XL20CM PORCINE REGENERATIVE TISSUE PLIABLE FIRM,19236.0,17120.04,124.71,19236.0,471 HCPCS,Q4131,GRAFT TISSUE AMNIOTIC MEMBRANE STEM CELL REGENERATIVE CHRONIC WOUND CARE STERILE 2X3CM,2664.5,2371.41,554.22,2664.5,459 HCPCS,Q4135,GRFT SKN PORC 8X10,94.78,84.35,19.71,165.11,471 HCPCS,Q4145,GRAFT HUMAN TISSUE 4X4.5CM,5923.5,5271.92,1232.09,5923.5,457 HCPCS,Q4166,BIOLOGICAL W7XL10CM 1 LAYER PREFENESTRATED FOR WOUND,465.96,414.7,96.92,465.96,471 HCPCS,Q4166,DRESSING GRAFT BIOLOGICAL SOFT TISSUE PORCINE FENESTRATED SHEET 6 LAYER RESORBABLE 5X5CM,4220.16,3755.94,124.71,4220.16,471 HCPCS,Q4166,DRESSING WOUND W10XL15CM 2 LAYER PORCINE EXTRACELLULAR FENESTRATED,6599.44,5873.5,124.71,6599.44,471 HCPCS,Q4166,GRAFT BIOLOGICAL SOFT TISSUE PORCINE LATEX FREE STERILE URNARY BLADDER EXTRACELLULAR FENESTRATED WOUND DRESSING DISPOSABLE 3X7CM,214.04,190.5,44.52,214.04,471 HCPCS,Q4186,GRAFT TISSUE AMNIOTIC MEMBRANE STEM CELL REGENERATIVE CHRONIC WOUND CARE STERILE 14MM,740.0,658.6,124.71,740.0,473 HCPCS,Q5100,USTEKINUMAB-KFCE 130 MG/26 ML INTRAVENOUS SOLUTION,1376.2,1224.82,24.98,3640.49,734 HCPCS,Q5101,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,616.9,549.04,0.46,616.9,736 HCPCS,Q5101,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,912.0,811.68,0.46,912.0,736 HCPCS,Q5103,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION,1207.9,1075.03,19.99,1207.9,736 HCPCS,Q5103,"INJECTION, INFLECTRA",4106.7,3654.96,823.48,4106.7,484 HCPCS,Q5104,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION,1085.4,966.01,27.0,1085.4,737 HCPCS,Q5104,"INJECTION, RENFLEXIS",3690.2,3284.28,943.64,3690.2,481 HCPCS,Q5106,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",344.0,306.16,7.85,344.0,736 HCPCS,Q5106,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION",108.8,96.83,7.85,108.8,736 HCPCS,Q5106,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION (NEO/PED) - RST ONLY",108.8,96.83,7.85,108.8,736 HCPCS,Q5106,"EPOETIN ALFA-EPBX 20,000 UNIT/2 ML INJECTION SOLUTION",577.3,513.8,7.85,577.3,736 HCPCS,Q5106,"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION",577.3,513.8,7.85,577.3,736 HCPCS,Q5106,"EPOETIN ALFA-EPBX 3,000 UNIT/ML INJECTION SOLUTION",138.2,123.0,7.85,138.2,736 HCPCS,Q5106,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION",167.6,149.16,7.85,167.6,736 HCPCS,Q5106,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION",1029.5,916.26,7.85,1029.5,736 HCPCS,Q5106,PR RETACRIT NON-ESRD 1000 UNITS INJ,344.0,306.16,75.67,344.0,481 HCPCS,Q5107,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,5151.0,4584.395,27.86,7971.5,1472 HCPCS,Q5107,PR BEVACIZUMAB-AWWB 10MG INJ,5151.1,4584.48,596.0,5151.1,481 HCPCS,Q5108,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,3459.1,3078.6,99.13,3459.1,737 HCPCS,Q5110,FILGRASTIM-AAFI 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,303.4,270.03,0.3,303.4,736 HCPCS,Q5110,FILGRASTIM-AAFI 300 MCG/ML INJECTION SOLUTION,303.4,270.03,0.3,303.4,736 HCPCS,Q5110,FILGRASTIM-AAFI 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,436.9,388.84,0.3,436.9,736 HCPCS,Q5110,FILGRASTIM-AAFI 480 MCG/1.6 ML INJECTION SOLUTION,436.9,388.84,0.3,436.9,736 HCPCS,Q5111,PEGFILGRASTIM-CBQV 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUT INJECTOR,10805.2,9616.63,106.33,10805.2,737 HCPCS,Q5111,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,8261.0,7352.29,106.33,8261.0,738 HCPCS,Q5111,PR UDENYCA 0.5MG INJ,,,161.99,8103.19,466 HCPCS,Q5114,PR OGIVRI 10MG INJ,7120.2,6336.98,2639.63,7120.2,484 HCPCS,Q5115,PR RITUXIMAB-ABBS 10MG INJ,11935.0,10622.15,2411.6,11935.0,481 HCPCS,Q5115,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,4756.900000000001,4233.64,29.38,7628.1,1474 HCPCS,Q5116,PR TRAZIMERA 10 MG INJ,7212.9,6419.48,344.61,7212.9,481 HCPCS,Q5117,PR KANJINTI 10 MG INJ,3529.0,3140.81,668.71,3529.0,481 HCPCS,Q5118,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,3425.65,3048.83,25.77,5211.0,1474 HCPCS,Q5118,PR ZIRABEV 10 MG INJ,895.2,796.73,129.0,895.2,484 HCPCS,Q5119,"PR RUXIENCE, 10MG INJ",,,13.27,3353.6,466 HCPCS,Q5119,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,4007.2000000000003,3566.4049999999997,27.85,6378.6,1472 HCPCS,Q5121,INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION,1051.4,935.75,20.41,1051.4,737 HCPCS,Q5121,"PR INJ. AVSOLA, 10 MG",3389.5,3016.66,761.95,3389.5,481 HCPCS,Q5122,"PR INJ, NYVEPRIA",3713.6,3305.1,1064.43,3713.6,481 HCPCS,Q5123,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,5086.35,4526.85,26.51,8177.2,1468 HCPCS,Q5125,FILGRASTIM-AYOW 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,258.9,230.42,0.38,258.9,736 HCPCS,Q5125,FILGRASTIM-AYOW 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,368.4,327.88,0.38,368.4,734 HCPCS,Q5125,"PR INJ, RELEUKO 1 MCG",213.0,189.57,79.09,213.0,482 HCPCS,Q5128,"INJ, CIMERLI, 0.1 MG",626.3,557.41,500.04,626.3,481 HCPCS,Q5129,BEVACIZUMAB-ADCD 25 MG/ML INTRAVENOUS SOLUTION,2823.3,2512.735,39.96,4283.8,1468 HCPCS,Q5129,"INJ, VEGZELMA, 10 MG",3804.6,3386.09,1335.53,3804.6,482 HCPCS,Q5135,"INJ, TYENNE, 1 MG",2270.5,2020.74,754.92,2270.5,481 HCPCS,Q5135,TOCILIZUMAB-AAZG 162 MG/0.9 ML SUBCUTANEOUS SYRINGE,2503.5,2228.11,4.42,2503.5,734 HCPCS,Q5135,TOCILIZUMAB-AAZG 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,2497.7,2222.95,4.42,2497.7,734 HCPCS,Q5135,TOCILIZUMAB-AAZG 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,4970.3,4423.57,4.42,4970.3,735 HCPCS,Q5135,TOCILIZUMAB-AAZG 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,1078.1,959.51,4.42,1078.1,734 HCPCS,Q5147,AFLIBERCEPT-AYYH 2 MG/0.05 ML INTRAVITREAL INJECTION (WRAPPER) (RESTRICTED),4543.8,4043.98,859.36,4543.8,734 HCPCS,Q5151,ECULIZUMAB-AAGH 300 MG/30 ML INTRAVENOUS SOLUTION,13938.7,12405.44,31.35,13938.7,734 HCPCS,Q9950,SULFUR HEXAFLUORIDE MICROSPHERES (DIAGNOSTIC) INTRAVENOUS SUSPENSION,454.3,404.33,94.49,454.3,719 HCPCS,Q9950,SULFUR HEXAFLUORIDE MICROSPHERES 25 MG INTRAVENOUS SUSPENSION,454.3,404.33,94.49,454.3,720 HCPCS,Q9956,PERFLUTREN PROTEIN-TYPE A MICROSPHERES (DIAGNOSTIC) 0.22 MG/ML IV SUSP,306.8,273.05,63.81,306.8,719 HCPCS,Q9956,"PR INJ OCTAFLUOROPROPANE MIC,ML",91.2,81.17,40.21,91.2,481 HCPCS,Q9957,CONTRAST MEDIA DEFINITY 1.1MG 2ML,429.0,381.81,46.24,429.0,473 HCPCS,Q9957,"PR INJ PERFLUTREN LIP MICROS,ML",382.5,340.43,80.41,382.5,484 HCPCS,Q9958,DIATRIZOATE MEGLUMINE 18 % URETHRAL SOLUTION,78.3,69.69,16.29,78.3,719 HCPCS,Q9958,DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION,37.6,33.46,7.82,37.6,720 HCPCS,Q9958,IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION,82.2,73.16,17.02,82.2,719 HCPCS,Q9960,IOTHALAMATE MEGLUMINE 43 % INTRAVENOUS SOLUTION,101.1,89.98,21.03,101.1,719 HCPCS,Q9961,IOTHALAMATE MEGLUMINE 30% INJECTION (WRAPPER) CNR/PROD LAB/COMMERCIAL,35.4,31.51,0.29,35.4,719 HCPCS,Q9961,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION,88.9,79.12,14.66,88.9,720 HCPCS,Q9961,"PR HOCM 250-299MG/ML IODINE,1ML",35.5,31.6,0.26,35.5,480 HCPCS,Q9963,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,22.0,19.58,4.58,22.0,720 HCPCS,Q9963,"DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 9,175 MG IODINE/1,000 ML WATER ORAL SOL",25.3,22.52,5.26,25.3,719 HCPCS,Q9963,"PR HOCM 350-399MG/ML IODINE,1ML",,,0.22,131.53,465 HCPCS,Q9965,IOHEXOL 140 MG IODINE/ML INTRAVENOUS SOLUTION,72.2,64.26,15.02,72.2,719 HCPCS,Q9965,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION,143.3,127.54,11.91,143.3,719 HCPCS,Q9965,"PR LOCM 100-199MG/ML IOSINW, 1ML",58.0,51.62,2.07,58.0,481 HCPCS,Q9966,IODIXANOL 270 MG IODINE/ML INTRAVENOUS SOLUTION,103.7,92.29,21.57,103.7,719 HCPCS,Q9966,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,41.8,37.2,4.61,41.8,719 HCPCS,Q9966,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION,109.0,97.01,2.31,109.0,719 HCPCS,Q9966,IOPAMIDOL 250 MG IODINE/ML (51 %) INTRAVENOUS SOLUTION,110.2,98.08,22.92,110.2,719 HCPCS,Q9966,IOVERSOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,100.1,89.09,20.82,100.1,719 HCPCS,Q9967,CST VISIPAQUE 320 100ML,195.12,173.66,0.17,195.12,488 HCPCS,Q9967,CST VISIPAQUE 320 150ML,292.08,259.95,0.17,292.08,488 HCPCS,Q9967,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,95.2,84.73,8.57,95.2,722 HCPCS,Q9967,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,47.0,41.83,1.71,47.0,729 HCPCS,Q9967,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,69.2,61.59,8.57,69.2,730 HCPCS,Q9967,"IOHEXOL 7,500 MG IODINE/275 ML NACL 0.9 % INTRAVENOUS SOLUTION (DILUTION)",51.7,46.01,4.28,284.1,5033 HCPCS,Q9967,IOHEXOL 9 MG IODINE/ML ORAL SOLUTION (DILUTION),6.8,6.05,0.17,6.8,719 HCPCS,Q9967,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRATHECAL SOLUTION,147.0,130.83,1.71,147.0,719 HCPCS,Q9967,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,104.3,92.83,8.57,104.3,719 HCPCS,Q9967,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,74.8,66.57,4.28,120.2,5033 HCPCS,Q9967,IOPROMIDE 300 MG IODINE/ML INJECTION SOLUTION,38.8,34.535,0.86,39.1,1440 HCPCS,Q9967,IOPROMIDE 370 MG IODINE/ML INJECTION SOLUTION,35.4,31.51,0.86,35.4,720 HCPCS,Q9967,IOVERSOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,102.7,91.4,8.57,102.7,719 HCPCS,Q9967,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,73.8,65.68,5.14,73.8,719 HCPCS,Q9967,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SYRINGE,85.4,76.01,5.14,85.4,719 HCPCS,Q9967,IOVERSOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,107.2,95.41,8.57,107.2,719 HCPCS,Q9967,IOVERSOL 350 MG IODINE/ML INTRAVENOUS SYRINGE,112.1,99.77,8.57,112.1,719 HCPCS,Q9967,"PR LOCM 300-399 MG/ML IODINE, 1ML",44.8,39.87,2.09,44.8,487 HCPCS,Q9968,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION,366.4,326.1,8.73,366.4,739 HCPCS,Q9968,METHYLENE BLUE (ANTIDOTE) 0.5 % (5 MG/ML) INTRAVENOUS SOLUTION,315.1,280.44,8.73,315.1,744 HCPCS,Q9982,FLUTEMETAMOL F-18 5 MCI (185 MBQ) INTRAVENOUS SOLUTION,22750.0,20247.5,1944.01,22750.0,734 HCPCS,Q9991,"BUPRENORPHINE ER 100 MG/0.5 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",5899.8,5250.82,1227.16,5899.8,736 HCPCS,Q9992,"BUPRENORPHINE ER 300 MG/1.5 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",5899.9,5250.91,1227.18,5899.9,736 HCPCS,S0265,PR GENETIC COUNSEL EA 15 MIN,236.0,210.04,207.68,236.0,489 HCPCS,S0302,PR COMPLETED EPSDT,77.0,68.53,67.76,77.0,466 HCPCS,S1040,PR CRNL REMOLD ORTHOSIS FIT/ADJ,5847.0,5203.83,5145.36,5847.0,477 HCPCS,S2083,PR ADJ GASTRIC BND INJ/ASP SALINE,425.0,378.25,42.5,425.0,478 HCPCS,S2401,PR FETAL SURG URIN TRAC OBSTR,24193.0,21531.77,21289.84,24193.0,477 HCPCS,S2404,PR IN UTERO MYELOMENINGOCELE RPR,15830.0,14088.7,1583.0,15830.0,477 HCPCS,S2411,PR FETSCPIC LASR ABL PLAC VAS ANO,19195.0,17083.55,16891.6,19195.0,477 HCPCS,S3620,HC NEWBORN METABOLIC SCREEN,235.0,209.15,48.88,237.5,719 HCPCS,S3620,PR NEWBORN METABOLIC SCREEN,235.0,209.15,206.8,235.0,477 HCPCS,S4042,PR MGMT OF ANON DONOR OOCYT PROG,825.0,734.25,726.0,825.0,463 HCPCS,S4042,PR MGMT OF EMBRYO CRYO PROG,575.0,511.75,506.0,575.0,463 HCPCS,S4042,PR MGMT OF FET PROGRAM,575.0,511.75,506.0,575.0,463 HCPCS,S4042,PR MGMT OF FET W/PGT PROG,575.0,511.75,506.0,575.0,463 HCPCS,S4042,PR MGMT OF GC PROG-SCREEN GC,825.0,734.25,726.0,825.0,463 HCPCS,S4042,PR MGMT OF GC PROG-SCRN OF COUPLE,825.0,734.25,726.0,825.0,463 HCPCS,S4042,PR MGMT OF IVF PROG,575.0,511.75,506.0,575.0,463 HCPCS,S4042,PR MGMT OF IVF W/PGT PROG,1000.0,890.0,880.0,1000.0,463 HCPCS,S4042,PR MGMT OF LONG DISTANCE FET,1000.0,890.0,880.0,1000.0,463 HCPCS,S4042,PR MGMT OF OOCYTE CRYO PROG,575.0,511.75,506.0,575.0,463 HCPCS,S4042,PR MGMT OI/SO W/GONADOTROPINS-PER CYCLE,275.0,244.75,242.0,275.0,463 HCPCS,S4042,PR MGMT ORAL,193.0,171.77,169.84,193.0,463 HCPCS,S4042,PR MGMT SATELLITE ENTIRE CYCLE,575.0,511.75,506.0,575.0,463 HCPCS,S4042,PR MGMT SATELLITE SNGL VST,100.0,89.0,88.0,100.0,463 HCPCS,S8427,PR READY GRADIENT GLOVE,46.0,40.94,40.48,46.0,480 HCPCS,S9453,PR SMOK CESSATN NON MD,175.0,155.75,154.0,175.0,477 HCPCS,S9454,PR STRESS MGMNT NON-PHYS,364.0,323.96,320.32,364.0,477 HCPCS,S9986,PR ASTIGMATISM IOL SURG,401.0,356.89,40.1,401.0,477 HCPCS,S9986,PR DELUXE IOL,743.0,661.27,74.3,743.0,477 HCPCS,S9986,PR EXEC RESCHEDULE/CANCEL/NO SHOW 0-14 DAYS,1000.0,890.0,880.0,1000.0,477 HCPCS,S9986,PR EXEC RESCHEDULE/CANCEL/NO SHOW 15-30 DAYS,500.0,445.0,440.0,500.0,477 HCPCS,S9986,PR EXECUTIVE SERVICES FEE,1620.0,1441.8,1425.6,1620.0,477 HCPCS,S9986,PR HEALTHY MENU PLANNING,93.0,82.77,81.84,93.0,477 HCPCS,S9986,PR INTL CARE COORDINATION - KUWAIT HEALTH,1560.0,1388.4,1372.8,1560.0,477 HCPCS,S9986,PR LIGHT ADJ LENS IOL SURGE,4282.0,3810.98,3768.16,4282.0,477 HCPCS,S9986,PR PLATINUM SERVICES FEE,9500.0,8455.0,8360.0,9500.0,477 HCPCS,S9986,PR PRIVATE COOKING LESSON,186.0,165.54,163.68,186.0,477 HCPCS,T1013,PR SIGN LANG SERV PER 15 MIN,36.0,32.04,31.68,36.0,477 HCPCS,T1016,PR CASE MGMT- COMM PARAMEDICS,69.0,61.41,60.72,69.0,477 HCPCS,V2623,IMPLANT TISSUE SYNTHETIC POLYETHYLENE CRANIOMAXILLOFACIAL ORBITAL BIOCOMPATIBLE POROUS SPHERE STERILE 16MM,1131.34,1006.89,235.32,1443.04,468 HCPCS,V2623,IMPLANT TISSUE SYNTHETIC POLYETHYLENE CRANIOMAXILLOFACIAL ORBITAL BIOCOMPATIBLE POROUS SPHERE STERILE 22MM,1050.04,934.54,218.41,1443.04,468 HCPCS,V2623,SPHERE OPHTHALMIC DIA20MM SMOOTH POROUS SUTURE SURFACE TUNNEL,1098.46,977.63,228.48,1443.04,468 HCPCS,V2623,SPHERE OPHTHALMIC DIA21MM BIOCOMPATIBLE WITH INSERTER,1092.0,971.88,227.14,1443.04,468 HCPCS,V2630,BRUSH CLEANING L18IN DIA15MM POLYPROPYLENE STIFFLINE,170.0,151.3,35.36,182.16,455 HCPCS,V2630,BRUSH CLEANING L24IN DIA7MM NYLON BRISTLE,170.0,151.3,35.36,182.16,455 HCPCS,V2630,EXPANDER BREAST 150 450CC W7XL12CM P3.2 7.2CM SILICONE SALINE ELLIPTICAL SMOOTH SHELL,170.0,151.3,35.36,182.16,455 HCPCS,V2630,EXPANDER BREAST GEL ROUND HIGH PROJECTION TEXTURED 650CC,170.0,151.3,35.36,182.16,455 HCPCS,V2630,EXPANDER BREAST GEL ROUND HIGH PROJECTION TEXTURED 850CC,170.0,151.3,35.36,182.16,455 HCPCS,V2630,EXPANDER BREAST SILICONE ELASTOMER STYLE 133S SXT ROUND SHORT HEIGHT EXTRA PROJECTION SMOOTH 350CC WITH,170.0,151.3,35.36,182.16,455 HCPCS,V2630,EXPANDER BREAST TISSUE LOW POLE PLUS TEXTURED FULL HEIGHT 360 430CC 13CMX11.9CMX5.4 6.3CM,170.0,151.3,35.36,182.16,455 HCPCS,V2630,EXPANDER BREAST W15.7XH11.2CM P7.9CM 650CC LOW HEIGHT BUFFERZONE PATCH STYLE 8100 CPX 4,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +12.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +16.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +21.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +22.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +22.5 DIOPTER L13MM DIA5.5MM 0.5MM VAULTED HAPTIC ANTERIOR CHAMBER SINGLE PIECE PLANOCONVEX III FOLDABLE PMMA UV ABSORBING,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +23.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +23.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +24.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +24.0 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +24.5 DIOPTER L13.5MM DIA5.5MM D3.39MM 0.5DEG HAPTIC ANGLE A CONSTANT 115.3 ANTERIOR CHAMBER PMMA PLANOCONVEX SINGLE PIECE FOLDABLE UV ABSORBING,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +24.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +25.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +25.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +26.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +26.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +27.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +27.5 DIOPTER L13MM DIA5.5MM 0.5MM VAULTED HAPTIC ANTERIOR CHAMBER SINGLE PIECE PLANOCONVEX III FOLDABLE PMMA UV ABSORBING,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +28.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +29.0 DIOPTER 5DEG L13MM DIA5.5MM ANTERIOR CHAMBER PMMA SINGLE PIECE CONVEXOPLANO UV ABSORBING,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +30.0 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +5.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +6.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +8.5 DIOPTER L13MM DIA5.5MM 0.5MM VAULTED HAPTIC ANTERIOR CHAMBER SINGLE PIECE PLANOCONVEX III FOLDABLE PMMA UV ABSORBING,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR +9.5 DIOPTER L13MM DIA5.5MM A CONSTANT 115.3 ANTERIOR CHAMBER SINGLE PIECE CONVEXOPLANO III PMMA UV ABSORBING,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +11.0D 23000C+11.00,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +23.0D 23000C+23.00,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +06.5D,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +21.0D,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC FOLDABLE UV ABSORBING CLAREON +16.5D CC60WF.165,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X11.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR EQUICONVEX OPTIC 5.5X12.25 SINGLE PIECE UV LIGHT ABSORBING EZE FIT +0.5D,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR EQUICONVEX OPTIC 6.0X12.75 SINGLE PIECE UV LIGHT ABSORBING EZE FIT +15.0D,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHILIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X10.5 SINGLE PIECE UV LIGHT ABSORBING +26.0D,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 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,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE MULTIPIECE UV LIGHT FILTERING +27.5D,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING NATURAL +30.0D,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL +3.25D TORIC2 IOL 09.5D CYL3.00,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL +3.25D TORIC2 IOL 12.0D CYL3.75,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.5D SND1T5U115,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.0D SND1T6U290,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 5.75X11.0 SINGLE PIECE UV LIGHT ABSORBING SBL 3 +21.5D,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D SND1T3U120,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.0D SV25T6U240,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.0D SV25T3U290,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.0D SV25T5U290,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +7.0D SND1T3U070,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.5D,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR MULTIFOCAL TORIC2 HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 UV BLOCKING +8.5D ZLU150U085,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR STERILE UV AND BLUE LIGHT FILTERING ACRYLIC FOLDABLE ASPHERIC WAVEFRONT SHAPING POSTERIOR CHAMBER INTRAOCULAR LENS DFT015.155,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.5D SN6AT7U105,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D SN6AT8.170,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.5D SN6AT5.215,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.0D SN6AT4.220,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.5D SN6AT6.225,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.5D SN6AT3.275,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +13.0D TFAT40.130,170.0,151.3,35.36,182.16,455 HCPCS,V2630,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +16.5D TFAT40.165,170.0,151.3,35.36,182.16,455 HCPCS,V2630,REAGENT CYTOLOGY 5GM 96PCT BOVINE SERUM ALBUMIN FOR CELL CULTURE DRY LYOPHILIZED POWDER AGAROSE GEL ELECTROPHORESIS LOW ENDOTOXIN,170.0,151.3,35.36,182.16,455 HCPCS,V2632,CLAREON IOL WITH AUTONOME DELIVERY SYSTEM (UVA),310.0,275.9,64.48,310.0,14322 HCPCS,V2632,EXPANDER BREAST 650CC 14X14.6CM 7.3CM PROJECTION TALL HEIGHT STYLE 9300 WITH SUTURE TAB CPX 4,268.0,238.52,55.74,268.0,462 HCPCS,V2632,EXPANDER BREAST SILICONE ELASTOMER STYLE 133S FXT ROUND FULL HEIGHT EXTRA PROJECTION SMOOTH 350CC WITH,268.0,238.52,55.74,268.0,462 HCPCS,V2632,EXPANDER BREAST SILICONE ELASTOMER STYLE 133S MVT ROUND MODERATE HEIGHT VARIABLE PROJECTION SMOOTH 250CC WITH,268.0,238.52,55.74,268.0,462 HCPCS,V2632,EXPANDER BREAST SILICONE ELASTOMER STYLE 133S MVT ROUND MODERATE HEIGHT VARIABLE PROJECTION SMOOTH 600CC WITH,268.0,238.52,55.74,268.0,462 HCPCS,V2632,GLOVE EXAM CHEMO SM TOUCH NITRILE DARK BLUE POWDER FREE,268.0,238.52,55.74,268.0,462 HCPCS,V2632,HEARING AID SET CROS PURE C 199418,268.0,238.52,55.74,268.0,462 HCPCS,V2632,INSULIN SOLUTION FROM BOVINE PANCREAS 1,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR +1.0 DIOPTER L13MM D5.2MM DIA6MM 5DEG M OPTIC BLUE POSTERIOR CHAMBER ACRYLIC BICONVEX MULTIPIECE MONOFOCAL ASYMMETRIC FOLDABLE,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR +10.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +10.0 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 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,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR +10.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +11.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +11.0 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 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,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR +11.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +11.5 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +12.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +12.0 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +12.5 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +13.0 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +13.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +13.5 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +14.0 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +14.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +14.5 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +15.0 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +15.5 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +16.0 DIOPTER CYLINDER DXW150U160,310.0,275.9,64.48,310.0,462 HCPCS,V2632,LENS INTRAOCULAR +16.0 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +16.5 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +17.0 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +17.5 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +18.0 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +18.5 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +19.0 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +19.5 DIOPTER L12.75MM 6MM 118.1 A CONSTANT 1 PIECE EQUICONVEX PMMA MORE FLEXIBLE MODIFIED C DOUBLE FLAT STEP VAULT 3DEG ANGLED HAPTIC,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +2.0 DIOPTER 5DEG L13MM DIA6MM A CONSTANT 118.9 POSTERIOR CHAMBER MULTIPIECE PMMA UV ABSORBING,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR +20.0 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +20.5 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +21.0 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +21.5 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +22.0 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +22.5 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +23.0 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +23.5 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +24.0 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +24.5 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +25.0 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +25.5 DIOPTER CYLINDER DXW225U255,310.0,275.9,64.48,310.0,462 HCPCS,V2632,LENS INTRAOCULAR +25.5 DIOPTER CYLINDER DXW300U255,310.0,275.9,64.48,310.0,462 HCPCS,V2632,LENS INTRAOCULAR +25.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +25.5 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +25.5 DIOPTER POSTERIOR ACRYLIC UV BLUE LIGHT FILTERING SINGLE PIECE FOLDABLE WITH PRELOADED DELIVERY SYSTEM,310.0,275.9,64.48,310.0,462 HCPCS,V2632,LENS INTRAOCULAR +26.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +26.0 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +26.5 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +27.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +27.0 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 HCPCS,V2632,LENS INTRAOCULAR +27.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +27.5 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 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,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR +28.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +28.0 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 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,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR +28.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +28.5 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 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,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR +29.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +29.0 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 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,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR +29.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +29.5 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 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,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR +3.0 DIOPTER 5DEG L13MM DIA6MM A CONSTANT 118.9 POSTERIOR CHAMBER MULTIPIECE PMMA UV ABSORBING,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR +30.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +30.0 DIOPTER L12.75MM DIA6MM 3DEG ANGLED HAPTIC POSTERIOR CHAMBER PMMA EQUICONVEX SINGLE PIECE EZE-60 0,300.0,267.0,62.4,300.0,462 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,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR +4.0 DIOPTER 5DEG L13MM DIA6MM A CONSTANT 118.9 POSTERIOR CHAMBER MULTIPIECE PMMA UV ABSORBING,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR +5.0 DIOPTER 5DEG L13MM DIA6MM A CONSTANT 118.9 POSTERIOR CHAMBER MULTIPIECE PMMA UV ABSORBING,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR +5.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL S,198.0,176.22,41.18,198.0,462 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,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR +5.5 DIOPTER CYLINDER DXW150U055,310.0,275.9,64.48,310.0,462 HCPCS,V2632,LENS INTRAOCULAR +5.5 DIOPTER CYLINDER DXW225U055,310.0,275.9,64.48,310.0,462 HCPCS,V2632,LENS INTRAOCULAR +5.5 DIOPTER CYLINDER DXW300U055,310.0,275.9,64.48,310.0,462 HCPCS,V2632,LENS INTRAOCULAR +5.5 DIOPTER CYLINDER DXW375U055,310.0,275.9,64.48,310.0,462 HCPCS,V2632,LENS INTRAOCULAR +5.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL S,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +6 TO +34 DIOPTER ASPHERIC UV ABSORBING POSTERIOR CHAMBER FOLDABLE TORIC,310.0,275.9,64.48,310.0,462 HCPCS,V2632,LENS INTRAOCULAR +6.0 DIOPTER 118.7 A CONSTANT 0DEG L13MM DIA6MM POSTERIOR CHAMBER MONOFOCAL SINGLE PIECE ASPHERIC FOLDABLE WITH SYSTEM UV BLUE LIGHT FILTERING ACRYLATE STABLEFORCE MODIFIED L,310.0,275.9,64.48,310.0,462 HCPCS,V2632,LENS INTRAOCULAR +6.0 DIOPTER DIA6MM POSTERIOR CHAMBER 1 PIECE BICONVEX MONOFOCAL ACRYLIC HYDROPHOBIC UV BLOCKING,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR +6.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL S,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +6.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL S,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +7.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL S,198.0,176.22,41.18,198.0,462 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,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR +7.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL S,198.0,176.22,41.18,198.0,462 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,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR +8.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL S,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +8.0 DIOPTER L13MM DIA6MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL ACRYLIC HYDROPHOBIC UV BLOCKING,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR +8.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL S,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +9.0 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL S,198.0,176.22,41.18,198.0,462 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,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR +9.5 DIOPTER HAPTIC DIA13MM OPTIC DIA6MM INCISION 2.2-2.4MM A CONSTANT 118.8/119.3 CLEAR UV BLOCKING HYDROPHOBIC ACRYLIC BICONVEX ANTERIOR ASPHERIC SURFACE 1 PIECE MONOFOCAL S,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR +9.5 DIOPTER L13MM DIA6MM A CONSTANT 118.8 POSTERIOR CHAMBER SINGLE PIECE BICONVEX MONOFOCAL ACRYLIC HYDROPHOBIC UV BLOCKING,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR -2.0 DIOPTER L13MM D5.2MM DIA6MM 5DEG M OPTIC BLUE POSTERIOR CHAMBER ACRYLIC BICONVEX MULTIPIECE MONOFOCAL ASYMMETRIC FOLDABLE,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR -3.0 DIOPTER L13MM D5.2MM DIA6MM 5DEG M OPTIC BLUE POSTERIOR CHAMBER ACRYLIC BICONVEX MULTIPIECE MONOFOCAL ASYMMETRIC FOLDABLE,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR 16.0 DIOPTER 118.7 A CONSTANT L13MM DIA6MM 0DEG ANGLED HAPTIC POSTERIOR CHAMBER MONOFOCAL SINGLE PIECE ASPHERIC FOLDABLE WITH SYSTEM UV BLUE LIGHT FILTER ACRYLATE STABLEFORCE,310.0,275.9,64.48,310.0,462 HCPCS,V2632,LENS INTRAOCULAR 6.5MM SINGLE PIECE L DIAMETER PMMA IOL-EZE-60 L12.75MM +10.5,300.0,267.0,62.4,300.0,462 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,170.0,151.3,35.36,182.16,462 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,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +10.5D 25000C+10.50,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X12.5 UV LIGHT FILTERING 118.4 A CONSTANT PRELOADED +22.0D 23000C+22.00,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC 6.0X13.0 SINGLE PIECE CLAREON +27.5D,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +10.5D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +11.0D,190.0,169.1,39.52,190.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +12.5D,190.0,169.1,39.52,190.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +14.0D,190.0,169.1,39.52,190.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +14.5D,190.0,169.1,39.52,190.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +27.0D,190.0,169.1,39.52,190.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERIC MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +8.0D,190.0,169.1,39.52,190.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +20.0D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +27.0D,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +30.5D,190.0,169.1,39.52,190.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +31.5D,190.0,169.1,39.52,190.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +32.5D,190.0,169.1,39.52,190.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +33.5D,190.0,169.1,39.52,190.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +6.5D,190.0,169.1,39.52,190.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +7.5D,190.0,169.1,39.52,190.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +8.5D,190.0,169.1,39.52,190.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X12.5 SINGLE PIECE UV LIGHT ABSORBING +9.5D,190.0,169.1,39.52,190.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +23.5D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING CLAREON +30.0D,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE UV LIGHT ABSORBING CLAREON +10.5D,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE UV LIGHT ABSORBING CLAREON +14.5D,310.0,275.9,64.48,310.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE UV LIGHT ABSORBING CLAREON +15.5D,310.0,275.9,64.48,310.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE UV LIGHT ABSORBING CLAREON +21.0D,310.0,275.9,64.48,310.0,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC FOLDABLE UV ABSORBING CLAREON +08.5D CC60WF.085,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR ASPHERICAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING ODYSSEY +14.0D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV ABSORBING +5.0D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +10.0D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +11.5D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +12.0D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +13.0D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +13.5D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +15.0D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +15.5D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +16.0D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +16.5D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +17.0D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +17.5D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +18.0D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +18.5D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +19.0D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +19.5D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +20.0D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +20.5D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +21.0D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +21.5D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +22.0D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +22.5D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +23.0D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +23.5D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +24.0D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +24.5D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +25.0D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +25.5D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +26.0D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +26.5D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +6.0D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING MX60E +9.0D,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR L13MM OD6MM +0.0 DIOPTER 5DEG MENISCUS 118.9 A CONSTANT MULTIPIECE UV ABSORBING FOLDABLE POSTERIOR CHAMBER ACRYLIC EXPAND,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR L13MM OD6MM +1.0 DIOPTER 5DEG MENISCUS 118.9 A CONSTANT MULTIPIECE UV ABSORBING FOLDABLE POSTERIOR CHAMBER ACRYLIC EXPAND,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR L13MM OD6MM +4.0 DIOPTER 5DEG MENISCUS 118.9 A CONSTANT MULTIPIECE UV ABSORBING FOLDABLE POSTERIOR CHAMBER ACRYLIC EXPAND,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR L13MM OD6MM +5.0 DIOPTER 5DEG 118.9 A CONSTANT MULTIPIECE UV ABSORBING FOLDABLE POSTERIOR CHAMBER ACRYLIC EXPAND,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +12.5D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +13.0D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +14.0D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +15.0D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +15.5D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +16.0D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +16.5D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +17.0D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +17.5D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +18.0D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +18.5D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +19.0D,250.0,222.5,52.0,250.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +19.5D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +20.0D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +20.5D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +21.0D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +21.5D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +22.0D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +22.5D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +23.0D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +23.5D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +24.0D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +24.5D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +25.0D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL 6.0X13.0 SINGLE PIECE +26.5D,198.0,176.22,41.18,198.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC ANTERIOR EQUICONVEX OPTIC 6.0X13.75 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.5D,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC ANTERIOR EQUICONVEX OPTIC 6.0X13.75 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +6.5D,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X10.7 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.0D,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +11.0D,140.0,124.6,29.12,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +6.0D,140.0,124.6,29.12,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +6.5D,140.0,124.6,29.12,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +7.0D,140.0,124.6,29.12,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +7.5D,140.0,124.6,29.12,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +8.0D,140.0,124.6,29.12,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +8.5D,140.0,124.6,29.12,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +9.0D,140.0,124.6,29.12,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +9.5D,140.0,124.6,29.12,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +10.0D,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +8.0D,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.5X13.4 SINGLE PIECE UV LIGHT ABSORBING +10.0D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR EQUICONVEX OPTIC 5.5X12.25 SINGLE PIECE UV LIGHT ABSORBING EZE FIT +17.5D,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR EQUICONVEX OPTIC 5.5X12.25 SINGLE PIECE UV LIGHT ABSORBING EZE FIT +25.0D,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL ACRYLIC POSTERIOR EQUICONVEX OPTIC 5.5X12.25 SINGLE PIECE UV LIGHT ABSORBING EZE FIT +30.0D,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHILIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X10.7 SINGLE PIECE UV LIGHT ABSORBING +16.5D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHILIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X10.7 SINGLE PIECE UV LIGHT ABSORBING +19.5D,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +11.5D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +12.0D ZCB0000120,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +12.0D ZCB0000130,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +14.5D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +15.0D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +15.5D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +16.0D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +16.5D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +17.5D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +22.5D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +24.0D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +24.5D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +25.5D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +26.5D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +27.0D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +6.5D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC ANTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV BLOCKING +8.5D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.0D SA60AT.100,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.5D SA60AT.105,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.0D,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.5D SA60AT.115,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D SA60AT.120,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.5D SA60AT.125,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.0D SA60AT.130,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.5D SA60AT.135,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.0D SA60AT.140,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.5D SA60AT.145,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.0D SA60AT.150,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.5D SA60AT.155,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.0D SA60AT.160,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.5D SA60AT.165,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D SA60AT.170,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.5D SA60AT.175,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.0D SA60AT.180,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.5D SA60AT.185,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.0D SA60AT.190,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.5D SA60AT.195,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.0D SA60AT.200,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.5D SA60AT.205,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.0D SA60AT.210,268.0,238.52,55.74,268.0,924 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.5D SA60AT.215,268.0,238.52,55.74,268.0,924 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.0D SA60AT.220,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.5D SA60AT.225,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.0D SA60AT.230,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.5D SA60AT.235,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.0D SA60AT.240,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.5D SA60AT.245,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.0D SA60AT.250,219.0,194.91000000000003,35.36,268.0,924 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.5D SA60AT.255,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.0D SA60AT.260,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.5D SA60AT.265,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.0D SA60AT.270,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.5D SA60AT.275,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.5D SN60WF.275,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.0D SA60AT.280,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.5D SA60AT.285,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.0D SA60AT.290,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.5D SA60AT.295,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +30.0D SA60AT.300,268.0,238.52,55.74,268.0,924 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +31.0D,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +32.0D,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +6.0D SA60AT.060,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +6.5D SA60AT.065,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +7.0D SA60AT.070,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +7.5D SA60AT.075,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +8.0D SA60AT.080,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +8.5D SA60AT.085,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +9.0D SA60AT.090,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +9.5D SA60AT.095,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 MULTIPIECE CT LUCIA +24.0D,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR BICONVEX OPTIC 6.5X13.0 FOLDABLE MULTIPIECE UV LIGHT ABSORBING NONTORIC +29.0D,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL HYDROPHOBIC ACRYLIC POSTERIOR MENISCUS OPTIC 6.0X13.5 FOLDABLE SINGLE PIECE UV BLOCKING 10.0D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.0D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.5D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.0D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +11.5D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.5D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.0D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +13.5D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.0D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +14.5D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.0D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +15.5D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.0D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +16.5D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.0D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.5D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.0D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.5D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.0D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.5D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.0D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.5D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.0D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +21.5D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.0D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +22.5D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.0D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +23.5D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.0D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +24.5D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.0D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +25.5D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.0D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.5D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.0D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.5D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.0D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +28.5D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.0D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +29.5D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MONOFOCAL PMMA POSTERIOR BICONVEX OPTIC 7.0X12.5 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +30.0D,100.0,89.0,20.8,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL ACRYLIC POSTERIOR BICONVEX OPTIC 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +27.0D SND1T5U270,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.0D SND1T3U100,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +10.5D SND1T3U105,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +17.5D,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +26.0D SV25T4U260,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL TORIC2 HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 UV BLOCKING +30.0D ZLU300U300,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL TORIC2 HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 UV BLOCKING +30.5D ZLU150U305,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL TORIC2 HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 UV BLOCKING +31.5D ZLU150U315,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR MULTIFOCAL TORIC2 PRESBYOPIA CORRECTION SINGLE PIECE +31.0D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET125 12.5MM +20.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET125 12.5MM +21.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET125 12.5MM +22.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET125 12.5MM +23.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET125 12.5MM +23.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET125 12.5MM +24.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET125 12.5MM +24.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET125 12.5MM +25.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET125 12.5MM +25.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET125 12.5MM +26.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET125 12.5MM +26.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET125 12.5MM +27.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET125 12.5MM +27.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET125 12.5MM +28.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET125 12.5MM +28.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET125 12.5MM +29.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET125 12.5MM +30.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +06.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +06.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +07.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +07.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +08.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +08.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +09.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +09.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +10.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +10.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +11.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +11.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +12.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +12.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +14.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +14.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +15.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +16.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +16.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +17.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +17.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +18.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +19.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +19.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +20.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +21.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +21.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +22.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +22.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +23.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +23.5,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR MX60UET200 12.5MM +24.0,238.0,211.82,49.5,238.0,462 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +20.5D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +24.0D,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING +28.5D,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +12.5D SA6AT5.125,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +13.5D SA6AT4.135,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +18.5D SA6AT4.185,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +22.0D SA6AT4.220,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +24.0D SA6AT3.240,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +26.5D SA6AT5.265,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +12.0D SN6AT5.120,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +18.5D SN6AT7U185,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +19.0D SN6AT7U190,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +20.0D SN6AT5.200,170.0,151.3,35.36,182.16,462 HCPCS,V2632,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING +8.5D SN6AT3.085,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC IOL NONPRELOADED +6.00D SE / +3.00D CYL,310.0,275.9,64.48,310.0,462 HCPCS,V2632,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC IOL NONPRELOADED +6.00D SE / +3.50D CYL,310.0,275.9,64.48,310.0,462 HCPCS,V2632,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC IOL NONPRELOADED +6.00D SE / +4.25D CYL,310.0,275.9,64.48,310.0,462 HCPCS,V2632,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC IOL NONPRELOADED +6.00D SE / +5.75D CYL,310.0,275.9,64.48,310.0,462 HCPCS,V2632,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +10.5D TFAT40.105,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +17.0D TFAT40.170,268.0,238.52,55.74,268.0,462 HCPCS,V2632,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +8.5D TFAT40.085,268.0,238.52,55.74,268.0,462 HCPCS,V2632,NEEDLE INTRODUCER 11G 5IN MATCH GROUND BEVEL TIP,268.0,238.52,55.74,268.0,462 HCPCS,V2632,NEO REUSABLE,170.0,151.3,35.36,182.16,462 HCPCS,V2632,OBTURATOR VISUAL CYSTOURETHROSCOPE RED 20FR,268.0,238.52,55.74,268.0,462 HCPCS,V2632,SPONGE SURGICAL MD W1IN TONSIL COTTON DOUBLE STRUNG RADIOPAQUE STERILE,268.0,238.52,55.74,268.0,462 HCPCS,V2718,PR FRESNEL PRISM PRESS ON LENS,68.0,60.52,38.11,68.0,481 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 15.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 15.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 16.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 16.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 17.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 17.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 18.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 18.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 19.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 19.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 20.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 20.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 21.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 21.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 22.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 22.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 23.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 23.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 24.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 24.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.00 CYLINDER 6MM 25.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 15.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 15.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 16.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 16.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 17.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 17.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 18.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 18.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 19.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 19.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 20.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 20.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 21.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 21.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 22.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 22.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 23.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 23.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 24.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 24.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 4.50 CYLINDER 6MM 25.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 15.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 15.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 16.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 16.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 17.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 17.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 18.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 18.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 19.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 20.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 20.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 21.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 21.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 22.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 22.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 23.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 23.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 24.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 24.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 5.25 CYLINDER 6MM 25.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 6.00 CYLINDER 6MM 15.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 6.00 CYLINDER 6MM 15.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 6.00 CYLINDER 6MM 16.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 6.00 CYLINDER 6MM 16.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 6.00 CYLINDER 6MM 17.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 6.00 CYLINDER 6MM 17.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 6.00 CYLINDER 6MM 18.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 6.00 CYLINDER 6MM 18.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 6.00 CYLINDER 6MM 19.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 6.00 CYLINDER 6MM 19.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 6.00 CYLINDER 6MM 20.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 6.00 CYLINDER 6MM 20.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 6.00 CYLINDER 6MM 21.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 6.00 CYLINDER 6MM 21.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 6.00 CYLINDER 6MM 22.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 6.00 CYLINDER 6MM 22.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 6.00 CYLINDER 6MM 23.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 6.00 CYLINDER 6MM 23.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 6.00 CYLINDER 6MM 24.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 6.00 CYLINDER 6MM 24.50 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,1 PIECE CLEAR TORIC 6.00 CYLINDER 6MM 25.00 DIOPTER,850.0,756.5,176.8,850.0,457 HCPCS,V2787,CCW0T3.060 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.065 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.080 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.085 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.090 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.095 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.100 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.105 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.110 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.115 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.120 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.125 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.130 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.135 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.140 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.145 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.155 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.180 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.185 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.190 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.205 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.210 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.220 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.225 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.230 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.235 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.240 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.245 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.250 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.255 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.265 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.270 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.275 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.280 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.285 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.290 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.295 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T3.300 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.060 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.065 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.070 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.075 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.080 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.085 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.090 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.095 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.100 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.105 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.110 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.115 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.120 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.125 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.130 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.135 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.140 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.145 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.150 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.155 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.160 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.170 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.175 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.180 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.185 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.195 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.200 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.205 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.215 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.220 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.225 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.235 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.240 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.245 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.250 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.255 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.260 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.265 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.270 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.275 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.280 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.285 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.290 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.295 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T4.300 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.060 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.065 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.070 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.075 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.080 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.085 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.090 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.095 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.100 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.105 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.110 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.115 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.120 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.125 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.130 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.135 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.140 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.145 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.150 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.155 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.160 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.165 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.170 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.180 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.190 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.195 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.210 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.215 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.220 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.240 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.245 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.255 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.260 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.270 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.275 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.280 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.285 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.290 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,CCW0T5.300 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR +16.5 DIOPTER CYLINDER POWER +1.50 DIOPTER L13MM DIA6MM A CONSTANT 119.3 POSTERIOR CHAMBER SINGLE PIECE BICONVEX ANTERIOR TORIC ASPHERIC TORIC II HYDROPHOBIC ACRYLIC UV BLOCKI,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR +19.0 DIOPTER CYLINDER POWER +1.50 DIOPTER L13MM DIA6MM A CONSTANT 119.3 POSTERIOR CHAMBER SINGLE PIECE BICONVEX ANTERIOR TORIC ASPHERIC TORIC II HYDROPHOBIC ACRYLIC UV BLOCKI,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR +21.5 DIOPTER CYLINDER POWER +1.50 DIOPTER L13MM DIA6MM A CONSTANT 119.3 POSTERIOR CHAMBER SINGLE PIECE BICONVEX ANTERIOR TORIC ASPHERIC TORIC II HYDROPHOBIC ACRYLIC UV BLOCKI,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR +28.0 DIOPTER CYLINDER POWER +2.25 DIOPTER DIA6MM A CONSTANT 119.3 SINGLE PIECE BICONVEX WAVEFRONT DESIGNED ANTERIOR TORIC II ASPHERIC POSTERIOR SURFACE ACRYLIC HYDROPHOBIC UV,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 10.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 10.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 10.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 10.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 10.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 10.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 11.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 11.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 11.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 11.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 11.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 11.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 12.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 12.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 12.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 12.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 12.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 13.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 13.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 13.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 13.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 13.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 14.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 14.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 14.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 14.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 14.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 14.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 15.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 15.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 15.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 15.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 15.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 15.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 16.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 16.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 16.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 16.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 17.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 17.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 17.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 17.5 DIOPTER 5.25 DIOPTER CYLINDER POWER MONOFOCAL FOLDABLE TORIC UV,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 17.5 DIOPTER 6.0 DIOPTER CYLINDER POWER MONOFOCAL FOLDABLE TORIC UV,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 17.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 17.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 17.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 17.50 DIOPTER 2.00 CYLINDRICAL TRULIGN,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 18.0 DIOPTER 5.25 DIOPTER CYLINDER POWER MONOFOCAL FOLDABLE TORIC UV,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 18.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 18.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 18.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 18.00 DIOPTER 1.25 CYLINDRICAL TRULIGN,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 18.00 DIOPTER 2.00 CYLINDRICAL TRULIGN,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 18.5 DIOPTER 5.25 DIOPTER CYLINDER POWER MONOFOCAL FOLDABLE TORIC UV,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 18.5 DIOPTER 6.0 DIOPTER CYLINDER POWER MONOFOCAL FOLDABLE TORIC UV,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 18.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 18.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 18.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 18.50 DIOPTER 1.25 CYLINDRICAL TRULIGN,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 19.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 19.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 19.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 20.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 20.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 20.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 20.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 20.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 21.0 DIOPTER 5.25 DIOPTER CYLINDER POWER MONOFOCAL FOLDABLE TORIC UV,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 21.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 21.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 21.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 21.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 22.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 22.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 22.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 22.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 22.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 22.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 23.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 23.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 23.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 23.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 23.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 23.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 24.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 24.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 24.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 24.00 DIOPTER 1.25 CYLINDRICAL TRULIGN,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 24.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 24.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 24.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 25.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 25.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 25.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 25.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 25.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 25.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 26.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 26.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 26.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 26.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 26.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 26.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 27.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 27.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 27.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 27.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 27.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 27.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 28.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 28.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 28.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 28.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 28.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 29.0 DIOPTER 6.0 DIOPTER CYLINDER POWER MONOFOCAL FOLDABLE TORIC UV,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 29.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 29.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 29.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 29.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 29.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 29.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 30.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 30.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 30.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 31.0 DIOPTER 5.25 DIOPTER CYLINDER POWER MONOFOCAL FOLDABLE TORIC UV,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 32.0 DIOPTER 1.5 DIOPTER CYLINDER POWER MONOFOCAL FOLDABLE TORIC UV,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 32.0 DIOPTER 5.25 DIOPTER CYLINDER POWER MONOFOCAL FOLDABLE TORIC UV,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 32.0 DIOPTER 6.0 DIOPTER,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 32.0 DIOPTER 6.0 DIOPTER CYLINDER POWER MONOFOCAL FOLDABLE TORIC UV,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 32.00 DIOPTER 2.00 CYLINDRICAL TORIC TRULIGN,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 32.00 DIOPTER 2.75 CYLINDRICAL TORIC TRULIGN,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 32.50 DIOPTER 1.25 CYLINDRICAL TORIC TRULIGN,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 33.0 DIOPTER 2.25 DIOPTER CYLINDER POWER MONOFOCAL FOLDABLE TORIC UV,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 33.0 DIOPTER 4.50 DIOPTER CYLINDER POWER MONOFOCAL FOLDABLE TORIC UV,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 34.0 DIOPTER 1.5 DIOPTER CYLINDER POWER MONOFOCAL FOLDABLE TORIC UV,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 34.0 DIOPTER 3.75 DIOPTER CYLINDER POWER MONOFOCAL FOLDABLE TORIC UV,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 34.0 DIOPTER 4.50 DIOPTER CYLINDER POWER MONOFOCAL FOLDABLE TORIC UV,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 4.0 DIOPTER L13MM DIA6,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 5.0 TO +5.0 DIOPTER 5D,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 5.0 TO 30.0 DIOPTER 115.3 A CONSTANT 0.5MM HAPTIC VAULT HEIGHT 0DEG ANGLED HAPTIC L12.5MM DIA5.5MM ANTERIOR CHAMBER MONOFOCAL SINGLE PIECE PLANOCONVEX NONFOLDABLE UV ABSORBING,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 5.00 DIOPTER 2.00 CYLINDRICAL TORIC TRULIGN,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 5.00 DIOPTER 2.75 CYLINDRICAL TORIC TRULIGN,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 6 30 DIOPTER 3.0 DIOPTER CYLINDER POWER 118.9 A CONSTANT 0DEG ANGLE L13MM DIA6MM POSTERIOR CHAMBER MULTIFOCAL TORIC SINGLE PIECE BICONVEX ASPHERIC APODIZED DIFFRACTIVE FOLDABL,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 6.0 DIOPTER 6.0 DIOPTER CYLINDER POWER MONOFOCAL FOLDABLE TORIC UV,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 6.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 6.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 6.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 6.0 TO 30.0 DIOPTER 118.4 A CONSTANT 10DEG ANGLED HAPTIC L13MM DIA6MM NATURAL ANTERIOR POSTERIOR CHAMBER ASYMMETRIC BICONVEX UV ABSORBING ACRYLIC FOLDABLE MULTIPIECE,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 6.00 DIOPTER 2.75 CYLINDRICAL TORIC TRULIGN,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 6.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 6.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 6.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 7.0 DIOPTER 5.25 DIOPTER CYLINDER POWER MONOFOCAL FOLDABLE TORIC UV,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 7.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 7.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 7.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 7.00 DIOPTER 2.00 CYLINDRICAL TORIC TRULIGN,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 7.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 7.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 7.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 8.0 DIOPTER 118.7 A CONSTANT L13MM DIA6MM 0DEG ANGLED HAPTIC POSTERIOR CHAMBER MONOFOCAL SINGLE PIECE ASPHERIC FOLDABLE WITH SYSTEM UV BLUE LIGHT FILTER ACRYLATE STABLEFORCE M,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 8.0 DIOPTER 5.25 DIOPTER,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 8.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 8.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 8.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 8.00 DIOPTER 1.25 CYLINDRICAL TORIC TRULIGN,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 8.00 DIOPTER 2.75 CYLINDRICAL TORIC TRULIGN,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 8.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 8.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 8.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 9.0 DIOPTER 118.7 A CONSTANT L13MM DIA6MM 0DEG ANGLED HAPTIC POSTERIOR CHAMBER MONOFOCAL SINGLE PIECE ASPHERIC FOLDABLE WITH SYSTEM UV BLUE LIGHT FILTER ACRYLATE STABLEFORCE M,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 9.0 DIOPTER 5.25 DIOPTER CYLINDER POWER MONOFOCAL FOLDABLE TORIC UV,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 9.0 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 9.0 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 9.0 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 9.5 DIOPTER 5.25 DIOPTER CYLINDER POWER MONOFOCAL FOLDABLE TORIC UV,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR 9.5 DIOPTER CYLINDRICAL POWER 1.5 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 9.5 DIOPTER CYLINDRICAL POWER 2.25 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR 9.5 DIOPTER CYLINDRICAL POWER 3.0 DIOPTER 1 PIECE TORIC II,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.060 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.065 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.070 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.075 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.080 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.085 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.090 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.095 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.100 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.105 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.110 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.115 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.120 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.125 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.130 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.135 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.140 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.145 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.150 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.155 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.160 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.165 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.170 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.175 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.180 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.185 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.190 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.195 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.200 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.205 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.210 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.215 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.220 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.225 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.230 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.235 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.240 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.245 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.250 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.255 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.260 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.265 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.270 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.275 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.280 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.285 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.290 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.295 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T7.300 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.060 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.065 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.070 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.075 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.080 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.085 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.090 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.095 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.100 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.105 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.110 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.115 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.120 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.125 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.130 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.135 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.140 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.145 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.150 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.155 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.160 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.165 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.170 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.175 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.180 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.185 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.190 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.195 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.200 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.205 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.210 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.215 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.220 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.225 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.230 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.235 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.240 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.245 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.250 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.255 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.260 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.265 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.27.0 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.275 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.280 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.285 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.290 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.295 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T8.300 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.060 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.065 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.070 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.075 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.080 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.085 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.090 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.095 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.100 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.105 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.110 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.115 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.120 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.125 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.130 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.135 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.140 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.145 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.150 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.155 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.160 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.165 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.170 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.175 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.180 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.185 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.190 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.195 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.200 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.205 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.210 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.215 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.220 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.225 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.230 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.235 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.240 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.245 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.250 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.255 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.260 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.265 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.270 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.275 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.280 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.285 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.290 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.295 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR CCW0T9.300 CLAREON TORIC UVA,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL ASTIGMATISM CORRECTION RXLAL 20.5D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS INTRAOCULAR MONOFOCAL ASTIGMATISM CORRECTION RXLAL 21.5D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC 6.0X1.50 SINGLE PIECE +19.5D,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC 6.0X1.50 SINGLE PIECE +21.0D,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC 6.0X2.25 SINGLE PIECE +12.0D,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC 6.0X2.25 SINGLE PIECE +16.5D,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC 6.0X2.25 SINGLE PIECE +20.0D,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC 6.0X3.00 SINGLE PIECE +19.0D,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +10.0D SA6AT3.100,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +10.0D SA6AT4.100,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +10.0D SA6AT5.100,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +10.0D SA6AT6.100,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +10.5D SA6AT3.105,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +10.5D SA6AT4.105,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +10.5D SA6AT5.105,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +10.5D SA6AT6.105,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +11.0D SA6AT3.110,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +11.0D SA6AT4.110,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +11.0D SA6AT5.110,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +11.0D SA6AT6.110,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +11.5D SA6AT3.115,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +11.5D SA6AT4.115,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +11.5D SA6AT5.115,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +11.5D SA6AT6.115,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +12.0D SA6AT3.120,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +12.0D SA6AT4.120,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +12.0D SA6AT5.120,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +12.0D SA6AT6.120,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +12.5D SA6AT3.125,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +12.5D SA6AT4.125,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +12.5D SA6AT5.125,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +12.5D SA6AT6.125,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +13.0D SA6AT3.130,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +13.0D SA6AT4.130,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +13.0D SA6AT5.130,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +13.0D SA6AT6.130,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +13.5D SA6AT3.135,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +13.5D SA6AT4.135,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +13.5D SA6AT5.135,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +13.5D SA6AT6.135,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +14.0D SA6AT3.140,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +14.0D SA6AT4.140,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +14.0D SA6AT5.140,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +14.0D SA6AT6.140,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +14.5D SA6AT3.145,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +14.5D SA6AT4.145,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +14.5D SA6AT5.145,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +14.5D SA6AT6.145,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +15.0D SA6AT3.150,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +15.0D SA6AT4.150,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +15.0D SA6AT5.150,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +15.0D SA6AT6.150,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +15.5D SA6AT3.155,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +15.5D SA6AT4.155,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +15.5D SA6AT5.155,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +15.5D SA6AT6.155,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +16.0D SA6AT3.160,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +16.0D SA6AT4.160,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +16.0D SA6AT5.160,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +16.0D SA6AT6.160,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +16.5D SA6AT3.165,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +16.5D SA6AT4.165,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +16.5D SA6AT5.165,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +16.5D SA6AT6.165,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +17.0D SA6AT3.170,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +17.0D SA6AT4.170,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +17.0D SA6AT5.170,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +17.0D SA6AT6.170,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +17.5D SA6AT3.175,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +17.5D SA6AT4.175,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +17.5D SA6AT5.175,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +17.5D SA6AT6.175,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +18.0D SA6AT3.180,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +18.0D SA6AT4.180,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +18.0D SA6AT5.180,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +18.0D SA6AT6.180,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +18.5D SA6AT3.185,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +18.5D SA6AT4.185,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +18.5D SA6AT5.185,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +18.5D SA6AT6.185,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +19.0D SA6AT3.190,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +19.0D SA6AT4.190,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +19.0D SA6AT5.190,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +19.0D SA6AT6.190,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +19.5D SA6AT3.195,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +19.5D SA6AT4.195,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +19.5D SA6AT5.195,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +19.5D SA6AT6.195,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +20.0D SA6AT3.200,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +20.0D SA6AT4.200,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +20.0D SA6AT5.200,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +20.0D SA6AT6.200,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +20.5D SA6AT3.205,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +20.5D SA6AT4.205,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +20.5D SA6AT5.205,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +20.5D SA6AT6.205,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +21.0D SA6AT3.210,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +21.0D SA6AT4.210,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +21.0D SA6AT5.210,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +21.0D SA6AT6.210,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +21.5D SA6AT3.215,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +21.5D SA6AT4.215,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +21.5D SA6AT5.215,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +21.5D SA6AT6.215,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +22.0D SA6AT3.220,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +22.0D SA6AT4.220,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +22.0D SA6AT5.220,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +22.0D SA6AT6.220,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +22.5D SA6AT3.225,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +22.5D SA6AT4.225,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +22.5D SA6AT5.225,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +22.5D SA6AT6.225,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +23.0D SA6AT3.230,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +23.0D SA6AT4.230,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +23.0D SA6AT5.230,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +23.0D SA6AT6.230,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +23.5D SA6AT3.235,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +23.5D SA6AT4.235,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +23.5D SA6AT5.235,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +23.5D SA6AT6.235,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +24.0D SA6AT3.240,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +24.0D SA6AT4.240,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +24.0D SA6AT5.240,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +24.0D SA6AT6.240,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +24.5D SA6AT3.245,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +24.5D SA6AT4.245,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +24.5D SA6AT5.245,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +24.5D SA6AT6.245,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +25.0D SA6AT3.250,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +25.0D SA6AT4.250,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +25.0D SA6AT5.250,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +25.0D SA6AT6.250,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +25.5D SA6AT3.255,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +25.5D SA6AT4.255,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +25.5D SA6AT5.255,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +25.5D SA6AT6.255,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +26.0D SA6AT3.260,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +26.0D SA6AT4.260,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +26.0D SA6AT5.260,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +26.0D SA6AT6.260,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +26.5D SA6AT3.265,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +26.5D SA6AT4.265,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +26.5D SA6AT5.265,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +26.5D SA6AT6.265,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +27.0D SA6AT3.270,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +27.0D SA6AT4.270,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +27.0D SA6AT5.270,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +27.0D SA6AT6.270,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +27.5D SA6AT3.275,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +27.5D SA6AT4.275,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +27.5D SA6AT5.275,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +27.5D SA6AT6.275,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +28.0D SA6AT3.280,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +28.0D SA6AT4.280,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +28.0D SA6AT5.280,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +28.0D SA6AT6.280,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +28.5D SA6AT3.285,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +28.5D SA6AT4.285,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +28.5D SA6AT5.285,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +28.5D SA6AT6.285,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +29.0D SA6AT3.290,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +29.0D SA6AT4.290,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +29.0D SA6AT5.290,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +29.0D SA6AT6.290,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +29.5D SA6AT3.295,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +29.5D SA6AT4.295,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +29.5D SA6AT5.295,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +29.5D SA6AT6.295,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +30.0D SA6AT3.300,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +30.0D SA6AT4.300,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +30.0D SA6AT5.300,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +30.0D SA6AT6.300,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +6.0D SA6AT3.060,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +6.0D SA6AT4.060,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +6.0D SA6AT5.060,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +6.0D SA6AT6.060,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +6.5D SA6AT3.065,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +6.5D SA6AT4.065,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +6.5D SA6AT5.065,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +6.5D SA6AT6.065,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +6.5D SA6AT6.080,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +7.0D SA6AT3.070,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +7.0D SA6AT4.070,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +7.0D SA6AT5.070,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +7.0D SA6AT6.070,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +7.5D SA6AT3.075,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +7.5D SA6AT4.075,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +7.5D SA6AT5.075,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +7.5D SA6AT6.075,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +8.0D SA6AT3.080,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +8.0D SA6AT4.080,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +8.0D SA6AT5.080,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +8.5D SA6AT3.085,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +8.5D SA6AT4.085,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +8.5D SA6AT5.085,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +8.5D SA6AT6.085,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +9.0D SA6AT3.090,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +9.0D SA6AT4.090,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +9.0D SA6AT5.090,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +9.0D SA6AT6.090,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +9.5D SA6AT3.095,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +9.5D SA6AT4.095,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +9.5D SA6AT5.095,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING TORIC +9.5D SA6AT6.095,990.0,881.1,205.92,990.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.0X13.0 SINGLE PIECE UV BLOCKING +19.0D ZCU525U190,850.0,756.5,176.8,850.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.5X13.0 SINGLE PIECE CLAREON +17.5D CCW0T5.175,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.5X13.0 SINGLE PIECE CLAREON +18.5D,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.5X13.0 SINGLE PIECE CLAREON +7.0D,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TORIC HYDROPHOBIC ACRYLIC ASTIGMATISM CORRECTION 6.5X13.0 SINGLE PIECE UV LIGHT ABSORBING CLAREON +7.5D,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +10.5D TFNT40.105,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +11.0D TFNT40.110,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +11.5D TFNT40.115,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +19.5D TFNT30.195,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +27.0D TFNT30.270,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +34.0D TFNT30.340,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +6.5D TFNT40.065,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +7.0D TFNT30.070,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +7.5D TFNT30.075,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +8.0D TFNT30.080,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT ABSORBING PANOPTIX +9.5D TFNT40.095,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING PANOPTIX +29.0D,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING PANOPTIX +29.5D,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL ACRYLATE MYTHACRYLATE COPOLYMER PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING PANOPTIX +34.0D,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL HYDROPHOBIC ACRYLIC PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE SINGLE PIECE UV LIGHT FILTERING PANOPTIX +13.5D,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +13.0D TFNT40.130,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +13.5D TFNT40.135,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +14.0D TFNT40.140,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +14.5D TFNT40.145,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +16.0D TFNT40.160,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +16.5D TFNT40.165,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS INTRAOCULAR TRIFOCAL PRESBYOPIA CORRECTION 6.0X13.0 FOLDABLE UV LIGHT ABSORBING PANOPTIX +17.5D TFNT40.175,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS IOL RXLAL MNFCL 60005 28.0D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 10.0D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 11.0D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 12.0D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 13.0D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 14.0D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 15.0D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 16.0D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 16.5D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 17.0D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 17.5D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 18.0D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 18.5D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 19.0D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 19.5D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 20.0D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 21.0D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 22.0D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 22.5D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 23.0D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 23.5D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 24.0D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 25.0D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 26.0D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 27.0D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 29.0D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS RXLAL MNFCL 60005 30.0D,2000.0,1780.0,416.0,2000.0,457 HCPCS,V2787,LENS TRC CCW0T5 +20.0D,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS TRC CCW0T5 +20.5D,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS TRC CCW0T5 +25.0D,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS TRC CCW0T5 +26.5D,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS TRC CCW0T5 +29.5D,1010.0,898.9,210.08,1010.0,457 HCPCS,V2787,LENS-INTRAOCULAR TORIC 6.0X2.25 SINGLE-PIECE +13.0D,850.0,756.5,176.8,850.0,457 HCPCS,V2790,GRAFT TISSUE OCULAR AMNIOTIC MEMBRANE FROZEN REGENERATIVE STERILE 3.5X3.5CM,2450.0,2180.5,509.6,2450.0,457 HCPCS,V2790,GRAFT TISSUE OCULAR AMNIOTIC MEMBRANE FROZEN REGENERATIVE STERILE 5.0X10.0CM,10000.0,8900.0,2080.0,10000.0,457 HCPCS,V2790,MEMBRN BARR CYT TI 25X30,315.0,280.35,65.52,315.0,457 HCPCS,V2790,TISSUE SCLERA IMPLANT 1/4,1200.0,1068.0,249.6,1200.0,457 HCPCS,V5014,PR REMAKE (IN WARRANTY),100.0,89.0,88.0,100.0,477 HCPCS,V5014,"PR REPAIR <5 YRS, 12 MO WARR",300.0,267.0,264.0,300.0,477 HCPCS,V5014,"PR REPAIR <5 YRS, 6 MO WARR",350.0,311.5,308.0,350.0,477 HCPCS,V5014,"PR REPAIR, RECEIVER WIRE",100.0,89.0,88.0,100.0,477 HCPCS,V5014,PR REPAIR/RECASE < 5 YEARS,400.0,356.0,352.0,400.0,477 HCPCS,V5014,PR REPAIR/RECASE > 5 YEARS,450.0,400.5,396.0,450.0,477 HCPCS,V5020,PR CONFORMITY EVAL,93.0,82.77,81.84,93.0,480 HCPCS,V5020,PR CONFORMITY EVALUATION,93.0,82.77,81.84,93.0,480 HCPCS,V5020,PR CONFORMITY EVALUATION BINAURAL,180.0,160.2,158.4,180.0,480 HCPCS,V5020,PR CONFORMITY EVALUATION MONAURAL,90.0,80.1,79.2,90.0,480 HCPCS,V5160,PR MA L&D (BIN),620.0,551.8,545.6,620.0,477 HCPCS,V5171,PR HEARING AID MONAURAL ITE - CROS ADVANCED,3380.0,3008.2,2974.4,3380.0,477 HCPCS,V5171,PR HEARING AID MONAURAL ITE - CROS PREMIUM,830.0,738.7,730.4,830.0,477 HCPCS,V5171,PR HEARING AID MONAURAL ITE - CROS STANDARD,2680.0,2385.2,2358.4,2680.0,477 HCPCS,V5172,PR HEARING AID MONAURAL ITC,830.0,738.7,730.4,830.0,477 HCPCS,V5181,PR HEARING AID MONAURAL BTE - CROS ADVANCED,3380.0,3008.2,2974.4,3380.0,477 HCPCS,V5181,PR HEARING AID MONAURAL BTE - CROS PREMIUM,830.0,738.7,730.4,830.0,477 HCPCS,V5181,PR HEARING AID MONAURAL BTE - CROS STANDARD,2680.0,2385.2,2358.4,2680.0,477 HCPCS,V5200,PR MA L&D CROS (MON),310.0,275.9,272.8,310.0,477 HCPCS,V5211,PR HEARING AID BINAURAL ITE/ITE - BICROS ADVANCED,3080.0,2741.2,2710.4,3080.0,477 HCPCS,V5211,PR HEARING AID BINAURAL ITE/ITE - BICROS PREMIUM,3880.0,3453.2,3414.4,3880.0,477 HCPCS,V5211,PR HEARING AID BINAURAL ITE/ITE - BICROS STANDARD,2380.0,2118.2,2094.4,2380.0,477 HCPCS,V5213,PR HEARING AID BINAURAL ITE/BTE - BICROS ADVANCED,3080.0,2741.2,2710.4,3080.0,477 HCPCS,V5213,PR HEARING AID BINAURAL ITE/BTE - BICROS PREMIUM,3880.0,3453.2,3414.4,3880.0,477 HCPCS,V5213,PR HEARING AID BINAURAL ITE/BTE - BICROS STANDARD,2380.0,2118.2,2094.4,2380.0,477 HCPCS,V5221,PR HEARING AID BINAURAL BTE/BTE - BICROS ADVANCED,3380.0,3008.2,2974.4,3380.0,477 HCPCS,V5221,PR HEARING AID BINAURAL BTE/BTE - BICROS PREMIUM,4180.0,3720.2,3678.4,4180.0,477 HCPCS,V5221,PR HEARING AID BINAURAL BTE/BTE - BICROS STANDARD,2680.0,2385.2,2358.4,2680.0,477 HCPCS,V5221,"PR HEARING AID CROS OR BICROS, BTE/BTE- ADVANCED",4180.0,3720.2,3678.4,4180.0,477 HCPCS,V5221,"PR HEARING AID CROS OR BICROS, BTE/BTE- PREMIUM",3380.0,3008.2,2974.4,3380.0,477 HCPCS,V5221,"PR HEARING AID CROS OR BICROS, BTE/BTE- STANDARD",2680.0,2385.2,2358.4,2680.0,477 HCPCS,V5240,PR MA L&D CROS/BICROS (MON),516.0,459.24,454.08,516.0,477 HCPCS,V5241,PR MA L&D (MON),310.0,275.9,272.8,310.0,477 HCPCS,V5254,"PR HEARING AID, DIGITAL, MONAURAL, CIC - ADVANCED",2550.0,2269.5,2244.0,2550.0,477 HCPCS,V5254,"PR HEARING AID, DIGITAL, MONAURAL, CIC - PREMIUM",3350.0,2981.5,2948.0,3350.0,477 HCPCS,V5254,"PR HEARING AID, DIGITAL, MONAURAL, CIC - STANDARD",1850.0,1646.5,1628.0,1850.0,477 HCPCS,V5255,"PR HEARING AID, DIGITAL, MONAURAL, ITC - ADVANCED",2550.0,2269.5,2244.0,2550.0,477 HCPCS,V5255,"PR HEARING AID, DIGITAL, MONAURAL, ITC - PREMIUM",3350.0,2981.5,2948.0,3350.0,477 HCPCS,V5255,"PR HEARING AID, DIGITAL, MONAURAL, ITC - STANDARD",1850.0,1646.5,1628.0,1850.0,477 HCPCS,V5256,PR HEARING AID DGTL MONAURAL ITE - ADVANCED,1850.0,1646.5,1628.0,1850.0,477 HCPCS,V5256,PR HEARING AID DGTL MONAURAL ITE - PREMIUM,3350.0,2981.5,2948.0,3350.0,477 HCPCS,V5256,PR HEARING AID DGTL MONAURAL ITE - STANDARD,2550.0,2269.5,2244.0,2550.0,477 HCPCS,V5257,PR HEARING AID DGTL MONAURAL BTE - ADVANCED,2550.0,2269.5,2244.0,2550.0,477 HCPCS,V5257,PR HEARING AID DGTL MONAURAL BTE - PREMIUM,3350.0,2981.5,2948.0,3350.0,477 HCPCS,V5257,PR HEARING AID DGTL MONAURAL BTE - STANDARD,1850.0,1646.5,1628.0,1850.0,477 HCPCS,V5258,"PR HEARING AID, DIGITAL, BINAURAL, CIC - ADVANCED",5100.0,4539.0,4488.0,5100.0,477 HCPCS,V5258,"PR HEARING AID, DIGITAL, BINAURAL, CIC - PREMIUM",6700.0,5963.0,5896.0,6700.0,477 HCPCS,V5258,"PR HEARING AID, DIGITAL, BINAURAL, CIC - STANDARD",3700.0,3293.0,3256.0,3700.0,477 HCPCS,V5259,"PR HEARING AID, DIGITAL, BINAURAL, ITC - ADVANCED",5100.0,4539.0,4488.0,5100.0,477 HCPCS,V5259,"PR HEARING AID, DIGITAL, BINAURAL, ITC - PREMIUM",6700.0,5963.0,5896.0,6700.0,477 HCPCS,V5259,"PR HEARING AID, DIGITAL, BINAURAL, ITC - STANDARD",3700.0,3293.0,3256.0,3700.0,477 HCPCS,V5260,PR HEARING AID DGTL BINAURAL ITE - ADVANCED,5100.0,4539.0,4488.0,5100.0,477 HCPCS,V5260,PR HEARING AID DGTL BINAURAL ITE - PREMUIM,6700.0,5963.0,5896.0,6700.0,477 HCPCS,V5260,PR HEARING AID DGTL BINAURAL ITE - STANDARD,3700.0,3293.0,3256.0,3700.0,477 HCPCS,V5261,PR HEARING AID DGTL BINAURAL BTE - ADVANCED,5100.0,4539.0,4488.0,5100.0,477 HCPCS,V5261,PR HEARING AID DGTL BINAURAL BTE - PREMIUM,6700.0,5963.0,5896.0,6700.0,477 HCPCS,V5261,PR HEARING AID DGTL BINAURAL BTE - STANDARD,3700.0,3293.0,3256.0,3700.0,477 HCPCS,V5264,"PR EARMOLD, ANESTHESIOLOGY EARPIECE",55.0,48.95,48.4,55.0,477 HCPCS,V5264,"PR EARMOLD, CUSTOM EARMOLD",90.0,80.1,79.2,90.0,477 HCPCS,V5264,"PR EARMOLD, HEARING PROTECTION",55.0,48.95,48.4,55.0,477 HCPCS,V5264,"PR EARMOLD, MUSICIAN'S EARPLUG (PER EAR)",90.0,80.1,79.2,90.0,477 HCPCS,V5264,"PR EARMOLD, PERSONAL LISTENING MOLD",60.0,53.4,52.8,60.0,477 HCPCS,V5264,"PR EARMOLD, SWIM MOLD",60.0,53.4,52.8,60.0,477 HCPCS,V5264,"PR EARMOLD, SWIM MOLD (PER EAR)",62.0,55.18,54.56,62.0,477 HCPCS,V5264,PR EARMOLD/INSERT MUSICIAN PLUG,90.0,80.1,79.2,90.0,477 HCPCS,V5266,"PR HEARING AID BATTERY, OTICON RECHG 312",40.0,35.6,35.2,40.0,477 HCPCS,V5266,"PR HEARING AID BATTERY, RECHARGEABLE (EA)",150.0,133.5,132.0,150.0,477 HCPCS,V5266,"PR HEARING AID BATTERY, SIZE 10, PKG OF 6",0.83,0.74,0.73,0.83,477 HCPCS,V5266,"PR HEARING AID BATTERY, SIZE 13, PKG OF 6",0.83,0.74,0.73,0.83,477 HCPCS,V5266,"PR HEARING AID BATTERY, SIZE 312, PKG OF 6",0.83,0.74,0.73,0.83,477 HCPCS,V5266,"PR HEARING AID BATTERY, SIZE 675 (1 BOX)",1.33,1.18,1.17,1.33,477 HCPCS,V5266,"PR HEARING AID BATTERY, SIZE 675, PKG OF 6",1.33,1.18,1.17,1.33,477 HCPCS,V5267,PR AD HEAR,8.0,7.12,7.04,8.0,477 HCPCS,V5267,PR CRITTER CLIP,15.0,13.35,13.2,15.0,477 HCPCS,V5267,PR DOC'S PRO PLUGS,8.0,7.12,7.04,8.0,477 HCPCS,V5267,PR DOMES (PKG),10.0,8.9,8.8,10.0,477 HCPCS,V5267,PR DRI AID JAR (LARGE),20.0,17.8,17.6,20.0,477 HCPCS,V5267,PR DRI AID JAR (SMALL),15.0,13.35,13.2,15.0,477 HCPCS,V5267,PR DRI AID KIT,10.0,8.9,8.8,10.0,477 HCPCS,V5267,PR DRY AID BRICK,11.0,9.79,9.68,11.0,477 HCPCS,V5267,PR EAR GEAR,41.0,36.49,36.08,41.0,477 HCPCS,V5267,PR EARGENE,6.0,5.34,5.28,6.0,477 HCPCS,V5267,PR EARMOLD BLOWER,10.0,8.9,8.8,10.0,477 HCPCS,V5267,PR EARMOLD TUBE CHANGE,5.0,4.45,4.4,5.0,477 HCPCS,V5267,PR HEARING AID CHARGER,300.0,267.0,264.0,300.0,477 HCPCS,V5267,PR LITTMAN STETHOMATE,33.0,29.37,29.04,33.0,477 HCPCS,V5267,PR MUSICIAN FILTERS,30.0,26.7,26.4,30.0,477 HCPCS,V5267,PR OTOCLIP,15.0,13.35,13.2,15.0,477 HCPCS,V5267,PR OTOEASE,7.0,6.23,6.16,7.0,477 HCPCS,V5267,PR PHONE CLIP,365.0,324.85,321.2,365.0,477 HCPCS,V5267,PR POCKET TALKER PRO,180.0,160.2,158.4,180.0,477 HCPCS,V5267,PR REMOTE MICROPHONE,345.0,307.05,303.6,345.0,477 HCPCS,V5267,PR THIN TUBES (PKG),10.0,8.9,8.8,10.0,477 HCPCS,V5267,PR TV STREAMER,380.0,338.2,334.4,380.0,477 HCPCS,V5267,PR WAX GUARD (PKG),10.0,8.9,8.8,10.0,477 HCPCS,V5274,"PR EARMOLD, ENCASED RECEIVER MOLD",190.0,169.1,167.2,190.0,477 HCPCS,V5275,PR EAR IMPRESSION BINAURAL,40.0,35.6,35.2,40.0,477 HCPCS,V5299,PR LOSS & DAMAGE FEE,300.0,267.0,264.0,300.0,477 LOCAL,CASE-0184T,0184T REMOVAL OF RECTAL TUMOR USING AN ENDOSCOPE,,,215.76,8054.9,20 LOCAL,CASE-0232T,0232T HARVEST AND INJECTIONS OF PLATELET RICH PLASMA USING IMAGING GUIDANCE FACILITY,,,47.09,407.26,19 LOCAL,CASE-10005,"FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE, FIRST GROWTH FACILITY",,,58.73,939.55,21 LOCAL,CASE-10006,"FINE NEEDLE ASPIRATION BIOPSY USING ULTRASOUND GUIDANCE, EACH ADDITIONAL GROWTH FACILITY",,,87.33,939.55,20 LOCAL,CASE-10021,"FINE NEEDLE ASPIRATION BIOPSY, FIRST GROWTH FACILITY",,,43.03,539.37,21 LOCAL,CASE-10030,DRAINAGE OF FLUID COLLECTION IN SOFT TISSUE USING IMAGING GUIDANCE FACILITY,,,110.5,939.55,21 LOCAL,CASE-10035,"PLACEMENT OF SOFT TISSUE LOCATING DEVICE USING X-RAY, FIRST GROWTH FACILITY",,,67.44,2191.35,20 LOCAL,CASE-10036,"PLACEMENT OF SOFT TISSUE LOCATING DEVICE USING X-RAY, EACH ADDITIONAL GROWTH FACILITY",,,68.62,2590.89,20 LOCAL,CASE-10040,ACNE SURGERY FACILITY,,,40.83,231.48,19 LOCAL,CASE-10060,SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS FACILITY,,,99.12,266.2,21 LOCAL,CASE-10061,COMPLICATED OR MULTIPLE DRAINAGE OF SKIN ABSCESS FACILITY,,,167.98,539.37,20 LOCAL,CASE-10080,SIMPLE DRAINAGE OF CYST OF TAILBONE FACILITY,,,102.21,939.55,20 LOCAL,CASE-10081,COMPLICATED DRAINAGE OF CYST OF TAILBONE FACILITY,,,159.45,939.55,20 LOCAL,CASE-10120,"REMOVAL OF FOREIGN BODY FROM TISSUE, ACCESSED BENEATH THE SKIN, SIMPLE FACILITY",,,407.39,905.31,20 LOCAL,CASE-10121,"REMOVAL OF FOREIGN BODY FROM TISSUE, ACCESSED BENEATH THE SKIN, COMPLEX FACILITY",,,164.77,2191.35,20 LOCAL,CASE-10140,DRAINAGE OF BLOOD OR FLUID ACCUMULATION FACILITY-EXPRESS CARE,,,112.29,2191.35,21 LOCAL,CASE-10160,"ASPIRATION OF ABSCESS, BLOOD, OR CYST FACILITY",,,89.07,539.37,21 LOCAL,CASE-10180,COMPLEX DRAINAGE OF WOUND INFECTION AFTER SURGERY FACILITY,,,166.37,3853.99,20 LOCAL,CASE-11010,REMOVAL OF FOREIGN MATERIAL FROM SKIN AND TISSUE AT OPEN BROKEN AND/OR DISLOCATED BONE FACILITY,,,234.42,4341.31,20 LOCAL,CASE-11012,"REMOVAL OF FOREIGN MATERIAL FROM SKIN, TISSUE, MUSCLE, AND BONE AT OPEN BROKEN AND/OR DISLOCATED BONE FACILITY",,,334.1,4341.31,20 LOCAL,CASE-11042,"REMOVAL OF SKIN AND TISSUE, 20.0 SQ CM OR LESS FACILITY",,,53.27,539.37,21 LOCAL,CASE-11043,"REMOVAL OF MUSCLE AND/OR TISSUE, 20.0 SQ CM OR LESS FACILITY",,,129.46,980.6,20 LOCAL,CASE-11044,"REMOVAL OF BONE, 20.0 SQ CM OR LESS FACILITY",,,187.36,2191.35,21 LOCAL,CASE-11045,"REMOVAL OF SKIN AND TISSUE, EACH ADDITIONAL 20.0 SQ CM OR LESS FACILITY",,,20.5,3682.76,20 LOCAL,CASE-11046,"REMOVAL OF MUSCLE AND/OR TISSUE, EACH ADDITIONAL 20.0 SQ CM OR LESS FACILITY",,,87.06,980.6,20 LOCAL,CASE-11047,"REMOVAL OF BONE, EACH ADDITIONAL 20.0 SQ CM OR LESS",,,541.59,2191.35,20 LOCAL,CASE-11055,"REMOVAL OF NONCANCER THICKENED SKIN GROWTH, 1 GROWTH FACILITY",,,13.03,231.48,19 LOCAL,CASE-11056,"REMOVAL OF NONCANCER THICKENED SKIN GROWTH, 2-4 GROWTHS FACILITY",,,18.82,231.48,19 LOCAL,CASE-11057,"REMOVAL OF NONCANCER THICKENED SKIN GROWTH, MORE THAN 4 GROWTHS FACILITY",,,24.29,266.2,20 LOCAL,CASE-11102,"BIOPSY OF RELATED SKIN GROWTH, FIRST GROWTH FACILITY",,,28.84,539.37,21 LOCAL,CASE-11103,"BIOPSY OF RELATED SKIN GROWTH, EACH ADDITIONAL GROWTH FACILITY",,,33.76,539.37,21 LOCAL,CASE-11104,"PUNCH BIOPSY, FIRST SKIN GROWTH FACILITY",,,36.19,539.37,21 LOCAL,CASE-11105,"PUNCH BIOPSY, EACH ADDITIONAL SKIN GROWTH FACILITY",,,19.86,539.37,20 LOCAL,CASE-11106,"INCISION BIOPSY, FIRST SKIN GROWTH FACILITY",,,43.89,980.6,21 LOCAL,CASE-11107,"INCISION BIOPSY, EACH ADDITIONAL SKIN GROWTH FACILITY",,,23.79,980.6,20 LOCAL,CASE-11200,"REMOVAL OF SKIN TAG, 1-15 SKIN TAGS FACILITY",,,68.41,231.48,19 LOCAL,CASE-11201,"REMOVAL OF SKIN TAG, EACH ADDITIONAL 10 SKIN TAGS FACILITY",,,24.8,539.37,20 LOCAL,CASE-11300,"SHAVING OF SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.5 CM OR LESS FACILITY",,,79.47,469.01,19 LOCAL,CASE-11301,"SHAVING OF SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,40.15,3853.99,20 LOCAL,CASE-11302,"SHAVING OF SKIN GROWTH OF BODY, ARMS, OR LEGS, 1.1-2.0 CM FACILITY",,,46.64,266.2,20 LOCAL,CASE-11303,"SHAVING OF SKIN GROWTH OF BODY, ARMS, OR LEGS, MORE THAN 2.0 CM FACILITY",,,55.09,539.37,21 LOCAL,CASE-11305,"SHAVING OF SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.5 CM OR LESS FACILITY",,,62.42,539.37,20 LOCAL,CASE-11306,"SHAVING OF SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.6-1.0 CM FACILITY",,,39.06,352.29,20 LOCAL,CASE-11307,"SHAVING OF SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 1.1-2.0 CM FACILITY",,,49.1,266.2,20 LOCAL,CASE-11310,"SHAVING OF SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.5 CM OR LESS FACILITY",,,34.99,266.2,20 LOCAL,CASE-11311,"SHAVING OF SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.6-1.0 CM FACILITY",,,48.51,266.2,20 LOCAL,CASE-11312,"SHAVING OF SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 1.1-2.0 CM FACILITY",,,57.8,539.37,20 LOCAL,CASE-11313,"SHAVING OF SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, MORE THAN 2.0 CM FACILITY",,,73.64,539.37,20 LOCAL,CASE-11400,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.5 CM OR LESS FACILITY",,,75.16,939.55,20 LOCAL,CASE-11401,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,92.14,539.37,20 LOCAL,CASE-11402,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 1.1-2.0 CM FACILITY",,,99.74,939.55,21 LOCAL,CASE-11403,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 2.1-3.0 CM FACILITY",,,131.69,939.55,21 LOCAL,CASE-11404,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 3.1-4.0 CM FACILITY",,,145.57,2191.35,21 LOCAL,CASE-11406,"REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, MORE THAN 4.0 CM FACILITY",,,215.41,2191.35,21 LOCAL,CASE-11420,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.5 CM OR LESS FACILITY",,,74.7,2191.35,20 LOCAL,CASE-11421,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.6-1.0 CM FACILITY",,,96.19,2191.35,20 LOCAL,CASE-11422,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 1.1-2.0 CM FACILITY",,,121.12,2191.35,20 LOCAL,CASE-11423,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 2.1-3.0 CM FACILITY",,,139.23,3853.99,21 LOCAL,CASE-11424,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 3.1-4.0 CM FACILITY",,,158.38,2191.35,20 LOCAL,CASE-11426,"REMOVAL OF NONCANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, MORE THAN 4.0 CM FACILITY",,,232.39,3853.99,20 LOCAL,CASE-11440,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.5 CM OR LESS FACILITY",,,97.02,939.55,21 LOCAL,CASE-11441,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.6-1.0 CM FACILITY",,,117.64,939.55,20 LOCAL,CASE-11442,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 1.1-2.0 CM FACILITY",,,128.7,939.55,20 LOCAL,CASE-11443,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.1-3.0 CM FACILITY",,,154.39,2191.35,20 LOCAL,CASE-11444,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 3.1-4.0 CM FACILITY",,,192.33,2191.35,20 LOCAL,CASE-11446,"REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, MORE THAN 4.0 CM FACILITY",,,269.58,3853.99,20 LOCAL,CASE-11450,REMOVAL OF SKIN AND TISSUE OF UNDERARMS FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR FACILITY,,,241.57,3853.99,20 LOCAL,CASE-11462,REMOVAL OF SKIN AND TISSUE OF GROIN FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR FACILITY,,,231.36,3853.99,20 LOCAL,CASE-11470,REMOVAL OF SKIN AND TISSUE OF ANUS OR NAVEL FOR INFLAMED SWEAT GLANDS WITH SIMPLE OR INTERMEDIATE REPAIR FACILITY,,,266.17,3853.99,20 LOCAL,CASE-11600,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.5 CM OR LESS FACILITY",,,210.04,939.55,20 LOCAL,CASE-11601,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,124.15,939.55,20 LOCAL,CASE-11602,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 1.1-2.0 CM FACILITY",,,132.8,539.37,21 LOCAL,CASE-11603,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 2.1-3.0 CM FACILITY",,,157.32,939.55,21 LOCAL,CASE-11604,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 3.1-4.0 CM FACILITY",,,173.5,939.55,21 LOCAL,CASE-11606,"REMOVAL OF CANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, MORE THAN 4.0 CM FACILITY",,,257.9,2191.35,21 LOCAL,CASE-11621,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.6-1.0 CM FACILITY",,,125.17,939.55,20 LOCAL,CASE-11622,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 1.1-2.0 CM FACILITY",,,139.49,939.55,20 LOCAL,CASE-11623,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 2.1-3.0 CM FACILITY",,,170.61,2191.35,21 LOCAL,CASE-11624,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 3.1-4.0 CM FACILITY",,,193.8,2191.35,21 LOCAL,CASE-11626,"REMOVAL OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, MORE THAN 4.0 CM FACILITY",,,238.6,3853.99,21 LOCAL,CASE-11640,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.5 CM OR LESS FACILITY",,,107.63,939.55,20 LOCAL,CASE-11641,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.6-1.0 CM FACILITY",,,130.09,939.55,21 LOCAL,CASE-11642,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 1.1-2.0 CM FACILITY",,,149.32,939.55,21 LOCAL,CASE-11643,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.1-3.0 CM FACILITY",,,185.25,2191.35,20 LOCAL,CASE-11644,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 3.1-4.0 CM FACILITY",,,228.23,5195.02,20 LOCAL,CASE-11646,"REMOVAL OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, MORE THAN 4.0 CM FACILITY",,,313.5,8810.21,20 LOCAL,CASE-11719,TRIMMING OF FINGERNAILS OR TOENAILS FACILITY,,,6.46,2191.35,20 LOCAL,CASE-11720,"REMOVAL OF FINGERNAILS OR TOENAILS, 1-5 NAILS FACILITY",,,12.03,231.48,19 LOCAL,CASE-11721,"REMOVAL OF FINGERNAILS OR TOENAILS, 6 OR MORE NAILS FACILITY",,,20.26,176.65,19 LOCAL,CASE-11730,"SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED, FIRST NAIL FACILITY",,,47.23,939.55,20 LOCAL,CASE-11732,"SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED, EACH ADDITIONAL NAIL FACILITY",,,14.37,266.2,20 LOCAL,CASE-11750,PERMANENT REMOVAL FINGERNAIL OR TOENAIL FACILITY,,,92.0,539.37,20 LOCAL,CASE-11755,BIOPSY OF FINGERNAIL OR TOENAIL FACILITY,,,52.15,939.55,20 LOCAL,CASE-11760,REPAIR OF FINGERNAIL OR TOENAIL BED FACILITY,,,100.7,4341.31,20 LOCAL,CASE-11762,REPAIR OF FINGERNAIL OR TOENAIL BED WITH GRAFT,,,168.99,2133.49,20 LOCAL,CASE-11770,SIMPLE REMOVAL OF CYST OF TAILBONE FACILITY,,,168.84,3853.99,20 LOCAL,CASE-11771,EXTENSIVE REMOVAL OF CYST OF TAILBONE PROFESSIONAL,,,413.94,3853.99,20 LOCAL,CASE-11772,COMPLICATED REMOVAL OF CYST OF TAILBONE PROFESSIONAL,,,541.56,3853.99,20 LOCAL,CASE-11900,"INJECTION INTO SKIN GROWTH, 1-7 GROWTHS FACILITY",,,23.03,231.48,19 LOCAL,CASE-11901,"INJECTION INTO SKIN GROWTH, MORE THAN 7 GROWTHS FACILITY",,,34.99,266.2,20 LOCAL,CASE-11950,"INJECTION OF FILLING MATERIAL UNDER SKIN, 1.0 CC OR LESS FACILITY",,,41.24,266.2,20 LOCAL,CASE-11960,INSERTION OF TISSUE EXPANDER,,,2749.29,4701.83,20 LOCAL,CASE-11970,REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT IMPLANT,,,492.26,9627.58,20 LOCAL,CASE-11971,REMOVAL OF TISSUE EXPANDER,,,492.7,8810.21,20 LOCAL,CASE-11976,REMOVAL OF IMPLANTABLE CONTRACEPTIVE CAPSULES FACILITY,,,73.46,4295.03,20 LOCAL,CASE-11980,PLACEMENT OF HORMONE PELLET UNDER SKIN FACILITY,,,45.13,4295.03,20 LOCAL,CASE-11981,INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE FACILITY,,,50.15,5195.02,20 LOCAL,CASE-11982,REMOVAL OF DRUG DELIVERY IMPLANT FROM TISSUE FACILITY,,,58.06,592.72,20 LOCAL,CASE-11983,REMOVAL WITH REINSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE FACILITY,,,81.3,592.72,20 LOCAL,CASE-12001,"SIMPLE REPAIR OF SURFACE WOUND OF SCALP, NECK, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.5 CM OR LESS FACILITY",,,40.17,980.6,20 LOCAL,CASE-12002,"SIMPLE REPAIR OF SURFACE WOUND OF SCALP, NECK, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.6-7.5 CM FACILITY",,,52.16,980.6,20 LOCAL,CASE-12004,"SIMPLE REPAIR OF SURFACE WOUND OF SCALP, NECK, UNDERARMS, TRUNK, ARMS, OR LEGS, 7.6-12.5 CM FACILITY",,,64.8,980.6,20 LOCAL,CASE-12006,"SIMPLE REPAIR OF SURFACE WOUND OF SCALP, NECK, UNDERARMS, TRUNK, ARMS, OR LEGS, 20.1-30.0 CM FACILITY",,,97.65,980.6,20 LOCAL,CASE-12007,"SIMPLE REPAIR OF SURFACE WOUND TO SCALP, NECK, UNDERARMS, TRUNK, ARMS, OR LEGS, MORE THAN 30.0 CM FACILITY",,,119.9,895.33,20 LOCAL,CASE-12011,"SIMPLE REPAIR OF SURFACE WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.5 CM OR LESS FACILITY",,,49.38,980.6,20 LOCAL,CASE-12013,"SIMPLE REPAIR OF SURFACE WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.6-5.0 CM FACILITY",,,49.63,980.6,20 LOCAL,CASE-12014,"SIMPLE REPAIR OF SURFACE WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 5.1-7.5 CM FACILITY",,,63.94,980.6,20 LOCAL,CASE-12015,"SIMPLE REPAIR OF SURFACE WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 7.6-12.5 CM FACILITY",,,80.16,980.6,20 LOCAL,CASE-12020,SIMPLE CLOSURE OF SURFACE WOUND REOPENING FACILITY,,,170.83,980.6,20 LOCAL,CASE-12031,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.5 CM OR LESS FACILITY",,,129.61,539.37,21 LOCAL,CASE-12032,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 2.6-7.5 CM FACILITY",,,161.04,539.37,21 LOCAL,CASE-12034,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 7.6-12.5 CM FACILITY",,,172.89,539.37,21 LOCAL,CASE-12035,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 12.6-20.0 CM FACILITY",,,212.48,2191.35,20 LOCAL,CASE-12036,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, 20.1-30.0 CM FACILITY",,,252.02,980.6,20 LOCAL,CASE-12037,"INTERMEDIATE REPAIR OF WOUND OF SCALP, UNDERARMS, TRUNK, ARMS, OR LEGS, MORE THAN 30.0 CM",,,285.62,10897.67,20 LOCAL,CASE-12041,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 2.5 CM OR LESS FACILITY",,,124.9,2191.35,20 LOCAL,CASE-12042,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 2.6-7.5 CM FACILITY",,,163.24,539.37,21 LOCAL,CASE-12044,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 7.6-12.5 CM FACILITY",,,182.47,980.6,21 LOCAL,CASE-12045,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 12.6-20.0 CM FACILITY",,,255.65,980.6,20 LOCAL,CASE-12046,"INTERMEDIATE REPAIR OF WOUND OF NECK, HANDS, FEET, OR GENITALS, 20.1-30.0 CM FACILITY",,,290.91,980.6,20 LOCAL,CASE-12051,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.5 CM OR LESS FACILITY",,,144.33,539.37,21 LOCAL,CASE-12052,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.6-5.0 CM FACILITY",,,166.65,539.37,21 LOCAL,CASE-12053,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 5.1-7.5 CM FACILITY",,,179.93,539.37,21 LOCAL,CASE-12054,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 7.6-12.5 CM FACILITY",,,186.99,980.6,20 LOCAL,CASE-12055,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 12.6-20.0 CM FACILITY",,,277.0,539.37,20 LOCAL,CASE-12056,"INTERMEDIATE REPAIR OF WOUND OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 20.1-30.0 CM FACILITY",,,330.31,980.6,20 LOCAL,CASE-13100,"COMPLICATED REPAIR OF WOUND OF TRUNK, 1.1-2.5 CM FACILITY",,,164.66,980.6,20 LOCAL,CASE-13101,"COMPLICATED REPAIR OF WOUND OF TRUNK, 2.6-7.5 CM FACILITY",,,203.09,2191.35,20 LOCAL,CASE-13102,"COMPLICATED REPAIR OF WOUND OF TRUNK, EACH ADDITIONAL 5.0 CM OR LESS FACILITY",,,277.25,2191.35,20 LOCAL,CASE-13120,"COMPLICATED REPAIR OF WOUND OF SCALP, ARMS, OR LEGS, 1.1-2.5 CM FACILITY",,,191.8,2361.58,20 LOCAL,CASE-13121,"COMPLICATED REPAIR OF WOUND OF SCALP, ARMS, OR LEGS, 2.6-7.5 CM FACILITY",,,207.13,4341.31,21 LOCAL,CASE-13122,"COMPLICATED REPAIR OF WOUND OF SCALP, ARMS, OR LEGS, EACH ADDITIONAL 5.0 CM OR LESS FACILITY",,,63.27,3853.99,20 LOCAL,CASE-13131,"COMPLICATED REPAIR OF WOUND OF FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, 1.1-2.5 CM FACILITY",,,195.94,539.37,20 LOCAL,CASE-13132,"COMPLICATED REPAIR OF WOUND OF FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET, 2.6-7.5 CM FACILITY",,,241.46,539.37,20 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",,,96.49,3853.99,20 LOCAL,CASE-13151,"COMPLICATED REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIP, 1.1-2.5 CM FACILITY",,,223.56,980.6,20 LOCAL,CASE-13152,"COMPLICATED REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIP, 2.6-7.5 CM FACILITY",,,266.66,980.6,21 LOCAL,CASE-13153,"COMPLICATED REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIP, EACH ADDITIONAL 5.0 CM OR LESS FACILITY",,,105.8,980.6,20 LOCAL,CASE-13160,EXTENSIVE OR COMPLICATED REPAIR OF SURFACE WOUND REOPENING FACILITY,,,699.53,4701.83,21 LOCAL,CASE-14000,"REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN, 10.0 SQ CM OR LESS",,,446.07,8810.21,20 LOCAL,CASE-14001,"REPAIR OF WOUND OF TRUNK BY TRANSFERRING SKIN, 10.1-30.0 SQ CM PROFESSIONAL",,,571.14,5195.02,20 LOCAL,CASE-14020,"REPAIR OF WOUND OF SCALP, ARMS, OR LEGS BY TRANSFERRING SKIN, 10.0 SQ CM OR LESS FACILITY",,,488.02,2737.57,20 LOCAL,CASE-14021,"REPAIR OF WOUND OF SCALP, ARMS, OR LEGS BY TRANSFERRING SKIN, 10.1-30.0 SQ CM FACILITY",,,596.99,5195.02,20 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",,,527.62,2737.57,21 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",,,630.01,2737.57,20 LOCAL,CASE-14060,"REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIPS BY TRANSFERRING SKIN, 10.0 SQ CM OR LESS FACILITY",,,555.21,2737.57,21 LOCAL,CASE-14061,"REPAIR OF WOUND OF EYELIDS, NOSE, EARS, OR LIPS BY TRANSFERRING SKIN, 10.1-30.0 SQ CM FACILITY",,,675.61,2737.57,21 LOCAL,CASE-14301,"REPAIR OF WOUND BY TRANSFERRING SKIN, 30.1-60.0 SQ CM FACILITY",,,728.61,8810.21,21 LOCAL,CASE-14302,"REPAIR OF WOUND BY TRANSFERRING SKIN, EACH ADDITIONAL 30.0 SQ CM FACILITY",,,504.96,8810.21,20 LOCAL,CASE-14350,REPAIR OF TISSUE LOSS OF FINGER OR TOE,,,595.13,4341.31,20 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",,,183.42,980.6,20 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",,,35.74,4701.83,20 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",,,215.92,539.37,21 LOCAL,CASE-15005,"PREPARATION OF SKIN GRAFT SITE OF FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, FEET, FINGERS, OR TOES, EACH ADDITIONAL 100.0 SQ CM OR 1% BODY AREA FOR INFANTS AND CHILDREN, O",,,70.59,980.6,20 LOCAL,CASE-15050,"SKIN GRAFT TO TIP OF FINGER OR TOE, 2.0 CM OR LESS FACILITY",,,413.18,980.6,20 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",,,623.38,2737.57,20 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",,,92.52,2737.57,20 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",,,583.25,4701.83,20 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",,,442.12,4701.83,20 LOCAL,CASE-15135,"DEEP LAYER SELF SKIN GRAFT OF FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, AROUND EYES, GENITALS, HANDS, FEET, FINGERS, OR TOES, 100.0 SQ CM OR 1% BODY AREA OF INFANTS AND CHILDREN, OR LESS FACILITY",,,643.75,4701.83,20 LOCAL,CASE-15200,"FULL THICKNESS SKIN GRAFT TO TRUNK, 20.0 SQ CM OR LESS",,,577.41,2737.57,20 LOCAL,CASE-15201,"FULL THICKNESS SKIN GRAFT TO TRUNK, EACH ADDITIONAL 20.0 SQ CM",,,657.8,2737.57,20 LOCAL,CASE-15220,"FULL THICKNESS SKIN GRAFT TO SCALP, ARMS, OR LEGS, 20.0 SQ CM OR LESS FACILITY",,,518.29,4341.31,20 LOCAL,CASE-15221,"FULL THICKNESS SKIN GRAFT TO SCALP, ARMS, OR LEGS, EACH ADDITIONAL 20.0 SQ CM FACILITY",,,53.44,2737.57,20 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",,,675.93,7114.06,21 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",,,83.26,2737.57,20 LOCAL,CASE-15260,"FULL THICKNESS SKIN GRAFT TO NOSE, EARS, EYELIDS, OR LIPS, 20.0 SQ CM OR LESS FACILITY",,,705.5,2737.57,20 LOCAL,CASE-15261,"FULL THICKNESS SKIN GRAFT TO NOSE, EARS, EYELIDS, OR LIPS, EACH ADDITIONAL 20.0 SQ CM FACILITY",,,106.38,3154.46,20 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",,,70.78,980.6,20 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",,,27.18,4295.03,20 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",,,158.18,2737.57,20 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",,,35.29,165.11,19 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",,,79.99,980.6,20 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 ",,,41.0,980.6,20 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",,,181.96,2737.57,20 LOCAL,CASE-15572,"CREATION OF FLAP GRAFT TO SCALP, ARMS, OR LEGS",,,636.8,5195.02,20 LOCAL,CASE-15574,"CREATION OF FLAP GRAFT TO FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, UNDERARMS, GENITALS, HANDS, OR FEET FACILITY",,,610.61,7854.46,20 LOCAL,CASE-15576,"CREATION OF FLAP GRAFT TO EYELIDS, NOSE, EARS, LIPS, OR MOUTH FACILITY",,,543.3,2737.57,20 LOCAL,CASE-15600,TRANSFER OF SKIN FLAP TO TRUNK,,,207.98,4701.83,21 LOCAL,CASE-15620,"TRANSFER OF SKIN FLAP TO FOREHEAD, CHEEKS, CHIN, NECK, UNDERARMS, GENITALS, HANDS, OR FEET FACILITY",,,295.7,2737.57,21 LOCAL,CASE-15630,"TRANSFER OF SKIN FLAP TO EYELIDS, NOSE, EARS, OR LIPS FACILITY",,,303.25,2737.57,20 LOCAL,CASE-15731,"CREATION OF FLAP GRAFT TO NOSE, FOREHEAD, TEMPLE, OR SCALP FACILITY",,,836.91,7854.46,21 LOCAL,CASE-15733,CREATION OF FLAP GRAFT TO HEAD AND/OR NECK,,,1284.8,7854.46,20 LOCAL,CASE-15734,CREATION OF MUSCLE GRAFT TO TRUNK,,,1283.37,8589.5,20 LOCAL,CASE-15736,CREATION OF MUSCLE GRAFT TO ARM,,,1046.35,3853.99,20 LOCAL,CASE-15738,CREATION OF MUSCLE GRAFT TO LEG,,,2150.04,4701.83,20 LOCAL,CASE-15740,CREATION OF SKIN AND TISSUE GRAFT FACILITY,,,716.77,4676.96,20 LOCAL,CASE-15750,CREATION OF NERVE AND BLOOD VESSEL SKIN GRAFT,,,793.05,2590.89,20 LOCAL,CASE-15757,SKIN GRAFT WITH REPAIR OF SMALL BLOOD VESSEL,,,1655.14,2740.71,20 LOCAL,CASE-15760,GRAFT WITH CLOSURE OF WOUND FACILITY,,,587.09,2737.57,20 LOCAL,CASE-15769,SELF SOFT TISSUE GRAFT,,,643.35,8021.24,21 LOCAL,CASE-15770,"CREATION OF SKIN, FAT AND MUSCLE GRAFT",,,580.82,3154.46,20 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",,,696.42,8810.21,21 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",,,595.02,10844.49,20 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",,,475.3,2737.57,21 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",,,687.86,9627.58,20 LOCAL,CASE-15777,IMPLANTATION OF BIOLOGIC IMPLANT TO SOFT TISSUE,,,167.81,18284.64,20 LOCAL,CASE-15778,IMPLANTATION OF ARTIFICIAL MATERIAL FOR DELAYED CLOSURE OF DEFECTS DUE TO SOFT TISSUE INFECTION OR TRAUMA,,,3.8,473.03,20 LOCAL,CASE-15781,SCRAPING OF SKIN OF FACE FACILITY,,,360.16,939.55,20 LOCAL,CASE-15783,DERMABRASION OF SUPERFICIAL SCARS OR TATTOOS FROM SKIN FACILITY,,,301.16,539.37,21 LOCAL,CASE-15786,"SCRAPING OF SKIN GROWTH, FIRST GROWTH FACILITY",,,115.49,266.2,21 LOCAL,CASE-15788,CHEMICAL PEEL OF OUTER LAYER OF SKIN OF FACE FACILITY,,,194.04,539.37,20 LOCAL,CASE-15820,REPAIR OF LOWER EYELID DEFECT FACILITY,,,445.97,3098.72,20 LOCAL,CASE-15821,REMOVAL OF EXCESSIVE SKIN OF LOWER EYELID AND FAT AROUND EYE FACILITY,,,475.3,3098.72,20 LOCAL,CASE-15822,REMOVAL OF EXCESSIVE SKIN OF UPPER EYELID FACILITY,,,349.68,3570.6,20 LOCAL,CASE-15823,REMOVAL OF EXCESSIVE SKIN AND FAT OF UPPER EYELID PROFESSIONAL,,,474.98,3098.72,20 LOCAL,CASE-15825,"INCISION, STRETCHING, AND SUTURE OF NECK SKIN FACILITY",,,3551.33,4701.83,17 LOCAL,CASE-15828,"REMOVAL OF WRINKLES AND EXTRA SKIN OF CHEEKS, CHIN, AND NECK",,,122.08,5322.11,19 LOCAL,CASE-15829,"REMOVAL OF WRINKLES AND EXTRA SKIN WITH GRAFTING OF CHEEKS, CHIN, AND NECK FACILITY",,,445.97,5322.11,19 LOCAL,CASE-15830,REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN,,,999.93,8810.21,20 LOCAL,CASE-15832,REMOVAL OF EXTRA SKIN AND TISSUE OF THIGH,,,796.88,3853.99,20 LOCAL,CASE-15833,REMOVAL OF EXTRA SKIN AND TISSUE OF LEG,,,757.21,3853.99,20 LOCAL,CASE-15834,REMOVAL OF EXTRA SKIN AND TISSUE OF HIP,,,770.06,8810.21,20 LOCAL,CASE-15836,REMOVAL OF EXTRA SKIN AND TISSUE OF ARM,,,692.92,4362.42,20 LOCAL,CASE-15837,REMOVAL OF EXTRA SKIN AND TISSUE OF FOREARM OR HAND,,,626.05,4341.31,20 LOCAL,CASE-15839,REMOVAL OF EXTRA SKIN AND TISSUE OF OTHER AREA PROFESSIONAL,,,1289.32,3853.99,21 LOCAL,CASE-15840,TISSUE GRAFT TO TREAT FACIAL PARALYSIS,,,842.43,3154.46,20 LOCAL,CASE-15841,MUSCLE GRAFT TO TREAT FACIAL PARALYSIS,,,1486.85,3154.46,20 LOCAL,CASE-15842,MICROSURGICAL MUSCLE GRAFT TO TREAT FACIAL PARALYSIS,,,2211.7,4398.97,20 LOCAL,CASE-15845,MUSCLE TRANSFER TO TREAT FACIAL PARALYSIS,,,918.75,2590.89,20 LOCAL,CASE-15847,EXTENSIVE REMOVAL OF EXTRA SKIN AND TISSUE OF ABDOMEN-EXPRESS CARE,,,497.82,8810.21,20 LOCAL,CASE-15850,REMOVAL OF SUTURES UNDER ANESTHESIA BY SAME SURGEON,,,83.63,3154.46,19 LOCAL,CASE-15851,REMOVAL OF SUTURES OR STAPLES UNDER ANESTHESIA,,,55.93,4341.31,20 LOCAL,CASE-15852,DRESSING CHANGE UNDER ANESTHESIA,,,36.12,2737.57,21 LOCAL,CASE-15860,INJECTION OF AGENT INTO VEIN TO ASSESS BLOOD FLOW OF SKIN GRAFT OR FLAP,,,84.99,20696.78,20 LOCAL,CASE-15876,SUCTION ASSISTED REMOVAL OF FAT OF HEAD AND NECK,,,3551.33,4701.83,17 LOCAL,CASE-15877,SUCTION ASSISTED REMOVAL OF FAT OF BODY,,,999.93,8810.21,19 LOCAL,CASE-15878,SUCTION ASSISTED REMOVAL OF FAT OF ARM,,,25.48,2737.57,19 LOCAL,CASE-15879,SUCTION ASSISTED REMOVAL OF FAT OF LEG,,,101.72,4701.83,19 LOCAL,CASE-17000,"DESTRUCTION OF PRECANCER SKIN GROWTH, 1 GROWTH FACILITY",,,47.11,231.48,20 LOCAL,CASE-17003,"DESTRUCTION OF PRECANCER SKIN GROWTH, 2-14 GROWTHS FACILITY",,,3.36,266.2,21 LOCAL,CASE-17004,"DESTRUCTION OF PRECANCER SKIN GROWTH, 15 OR MORE GROWTHS FACILITY",,,80.76,539.37,21 LOCAL,CASE-17106,"DESTRUCTION OF BIRTHMARK, LESS THAN 10.0 SQ CM FACILITY",,,232.66,539.37,21 LOCAL,CASE-17107,"DESTRUCTION OF BIRTHMARK, 10.0-50.0 SQ CM FACILITY",,,301.4,980.6,20 LOCAL,CASE-17108,"DESTRUCTION OF BIRTHMARK, MORE THAN 50.0 SQ CM FACILITY",,,437.39,2737.57,20 LOCAL,CASE-17110,"DESTRUCTION OF SKIN GROWTH, 1-14 GROWTHS FACILITY",,,61.9,231.48,20 LOCAL,CASE-17111,"DESTRUCTION OF SKIN GROWTH, 15 OR MORE GROWTHS FACILITY",,,73.08,231.48,19 LOCAL,CASE-17250,APPLICATION OF CHEMICAL TO STOP TISSUE REGROWTH IN WOUND FACILITY,,,34.24,724.99,20 LOCAL,CASE-17260,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 0.5 CM OR LESS FACILITY",,,57.96,266.2,20 LOCAL,CASE-17261,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 0.6-1.0 CM FACILITY",,,72.55,539.37,21 LOCAL,CASE-17262,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 1.1-2.0 CM FACILITY",,,90.43,539.37,21 LOCAL,CASE-17263,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 2.1-3.0 CM FACILITY",,,99.37,980.6,21 LOCAL,CASE-17264,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, 3.1-4.0 CM FACILITY",,,105.86,539.37,20 LOCAL,CASE-17266,"DESTRUCTION OF CANCER SKIN GROWTH OF TRUNK, ARMS, OR LEGS, MORE THAN 4.0 CM FACILITY",,,123.4,539.37,20 LOCAL,CASE-17270,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.5 CM OR LESS FACILITY",,,79.04,266.2,20 LOCAL,CASE-17271,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 0.6-1.0 CM FACILITY",,,86.64,266.2,21 LOCAL,CASE-17272,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 1.1-2.0 CM FACILITY",,,98.36,980.6,21 LOCAL,CASE-17273,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 2.1-3.0 CM FACILITY",,,111.01,539.37,21 LOCAL,CASE-17274,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, 3.1-4.0 CM FACILITY",,,134.37,539.37,20 LOCAL,CASE-17276,"DESTRUCTION OF CANCER SKIN GROWTH OF SCALP, NECK, HANDS, FEET, OR GENITALS, MORE THAN 4.0 CM FACILITY",,,161.14,539.37,20 LOCAL,CASE-17280,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.5 CM OR LESS FACILITY",,,72.55,266.2,20 LOCAL,CASE-17281,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.6-1.0 CM FACILITY",,,193.16,289.74,21 LOCAL,CASE-17282,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 1.1-2.0 CM FACILITY",,,110.33,266.2,21 LOCAL,CASE-17283,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 2.1-3.0 CM FACILITY",,,136.38,539.37,21 LOCAL,CASE-17284,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 3.1-4.0 CM FACILITY",,,159.03,980.6,20 LOCAL,CASE-17286,"DESTRUCTION OF CANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, MORE THAN 4.0 CM FACILITY",,,215.47,980.6,20 LOCAL,CASE-17311,"REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF HEAD, NECK, HANDS, FEET, OR GENITALS, 1-5 TISSUE BLOCKS FACILITY",,,274.93,980.6,21 LOCAL,CASE-17312,"REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF HEAD, NECK, HANDS, FEET, OR GENITALS, EACH ADDITIONAL STAGE, 1-5 TISSUE BLOCKS FACILITY",,,292.42,980.6,20 LOCAL,CASE-17313,"REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF TRUNK, ARMS, OR LEGS, 1-5 TISSUE BLOCKS FACILITY",,,246.76,980.6,21 LOCAL,CASE-17314,"REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF TRUNK, ARMS, OR LEGS, EACH ADDITIONAL STAGE, 1-5 TISSUE BLOCKS FACILITY",,,133.68,980.6,20 LOCAL,CASE-17315,"REMOVAL AND MICROSCOPIC EXAM OF GROWTH, EACH ADDITIONAL BLOCK AFTER 5 TISSUE BLOCKS FACILITY",,,193.55,980.6,20 LOCAL,CASE-17999,LASER DEST LESN <10 SQ CM - FACILITY,,,201.06,266.2,18 LOCAL,CASE-19000,"ASPIRATION OF CYST OF BREAST, FIRST CYST FACILITY",,,33.98,14103.72,20 LOCAL,CASE-19020,DRAINAGE OF ABSCESS OF BREAST FACILITY,,,299.34,5880.35,20 LOCAL,CASE-19083,"BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND, FIRST GROWTH FACILITY",,,123.14,2191.35,20 LOCAL,CASE-19084,"BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND, EACH ADDITIONAL GROWTH FACILITY",,,61.64,14103.72,20 LOCAL,CASE-19085,"BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI, FIRST GROWTH FACILITY",,,143.69,2191.35,20 LOCAL,CASE-19086,"BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING MRI, EACH ADDITIONAL GROWTH FACILITY",,,71.8,3853.99,20 LOCAL,CASE-19101,BIOPSY OF BREAST THROUGH INCISION,,,200.32,9627.58,20 LOCAL,CASE-19110,EXPLORATION OF BREAST NIPPLE PROFESSIONAL,,,334.18,5195.02,20 LOCAL,CASE-19120,"REMOVAL OF GROWTH AND TISSUE OF BREAST, DUCT, OR NIPPLE PROFESSIONAL",,,378.56,5195.02,20 LOCAL,CASE-19125,"REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER, FIRST GROWTH PROFESSIONAL",,,418.26,5195.02,20 LOCAL,CASE-19126,"REMOVAL OF GROWTH OF BREAST IDENTIFIED BY X-RAY MARKER, EACH ADDITIONAL GROWTH",,,127.49,5195.02,20 LOCAL,CASE-19281,"PLACEMENT OF LOCATING DEVICE IN BREAST USING IMAGING GUIDANCE, FIRST GROWTH FACILITY",,,79.04,5195.02,20 LOCAL,CASE-19282,"PLACEMENT OF LOCATING DEVICE IN BREAST USING IMAGING GUIDANCE, EACH ADDITIONAL GROWTH FACILITY",,,701.22,5195.02,19 LOCAL,CASE-19283,"PLACEMENT OF LOCATING DEVICE IN BREAST USING X-RAY WITH NEEDLE GUIDANCE, FIRST GROWTH FACILITY",,,79.58,5195.02,20 LOCAL,CASE-19285,"PLACEMENT OF LOCATING DEVICE IN BREAST USING ULTRASOUND GUIDANCE, FIRST GROWTH FACILITY",,,1696.44,5195.02,19 LOCAL,CASE-19286,"PLACEMENT OF LOCATING DEVICE IN BREAST USING ULTRASOUND GUIDANCE, EACH ADDITIONAL GROWTH FACILITY",,,848.22,8810.21,19 LOCAL,CASE-19287,"PLACEMENT OF LOCATING DEVICE IN BREAST USING MRI GUIDANCE, FIRST GROWTH FACILITY",,,100.91,2191.35,20 LOCAL,CASE-19297,PLACEMENT OF EXPANDABLE TUBE IN BREAST FOR RADIATION TREATMENT USING IMAGING GUIDANCE WITH PARTIAL REMOVAL OF BREAST,,,73.91,8810.21,20 LOCAL,CASE-19300,REMOVAL OF EXTRA BREAST TISSUE IN MALE,,,403.57,5629.04,20 LOCAL,CASE-19301,PARTIAL REMOVAL OF BREAST PROFESSIONAL,,,579.2,5195.02,20 LOCAL,CASE-19302,PARTIAL REMOVAL OF BREAST AND UNDERARM LYMPH NODES PROFESSIONAL,,,793.43,8810.21,20 LOCAL,CASE-19303,SIMPLE COMPLETE REMOVAL OF BREAST PROFESSIONAL,,,836.43,20696.78,20 LOCAL,CASE-19305,"EXTENSIVE REMOVAL OF BREAST, CHEST MUSCLE, AND UNDERARM LYMPH NODES",,,1004.39,8810.21,20 LOCAL,CASE-19307,REMOVAL OF BREAST AND UNDERARM LYMPH NODES,,,1031.39,8810.21,20 LOCAL,CASE-19316,REPAIR FOR SAGGING OF THE BREAST,,,687.67,9972.47,20 LOCAL,CASE-19318,BREAST REDUCTION PROFESSIONAL,,,921.14,9972.47,20 LOCAL,CASE-19325,INSERTION OF BREAST IMPLANT,,,538.66,9627.58,20 LOCAL,CASE-19328,REMOVAL OF INTACT BREAST IMPLANT,,,486.96,5880.35,20 LOCAL,CASE-19330,REMOVAL OF RUPTURED BREAST IMPLANT AND IMPLANT MATERIAL,,,559.83,12275.12,20 LOCAL,CASE-19340,PLACEMENT OF IMPLANT ON SAME DAY OF BREAST RECONSTRUCTION,,,662.31,20696.78,20 LOCAL,CASE-19342,PLACEMENT OF IMPLANT ON SEPARATE DAY OF BREAST RECONSTRUCTION,,,657.88,12275.12,20 LOCAL,CASE-19350,RECONSTRUCTION OF NIPPLE OR AREA AROUND NIPPLE,,,584.29,5195.02,20 LOCAL,CASE-19357,RECONSTRUCTION OF BREAST USING TISSUE EXPANDER,,,1023.34,20696.78,20 LOCAL,CASE-19364,RECONSTRUCTION OF BREAST WITH TISSUE GRAFT,,,3923.84,6611.43,20 LOCAL,CASE-19370,REVISION OF CAPSULE AROUND BREAST IMPLANT,,,583.98,9972.47,20 LOCAL,CASE-19371,REMOVAL OF CAPSULE AROUND BREAST IMPLANT,,,613.67,10897.67,20 LOCAL,CASE-19380,SURGICAL CHANGE TO RECONSTRUCTED BREAST,,,696.42,10844.49,20 LOCAL,CASE-19499,TOMO GUIDED BREAST BIOPSY - FACILITY,,,3923.84,5195.02,17 LOCAL,CASE-20103,EXPLORATION OF WOUND OF ARM OR LEG FACILITY,,,295.56,2191.35,20 LOCAL,CASE-20150,REMOVAL OF GROWTH PLATE,,,858.97,4341.31,20 LOCAL,CASE-20200,BIOPSY OF MUSCLE FACILITY,,,82.36,2191.35,21 LOCAL,CASE-20205,DEEP BIOPSY OF MUSCLE,,,133.09,3853.99,21 LOCAL,CASE-20206,NEEDLE BIOPSY OF MUSCLE FACILITY,,,48.95,2191.35,21 LOCAL,CASE-20220,BIOPSY OF BONE USING NEEDLE OR TROCAR FACILITY,,,72.98,2191.35,21 LOCAL,CASE-20225,DEEP BIOPSY OF BONE USING NEEDLE OR TROCAR FACILITY,,,107.83,2191.35,21 LOCAL,CASE-20240,BIOPSY OF SURFACE BONE,,,120.46,3853.99,20 LOCAL,CASE-20245,BIOPSY OF DEEP BONE,,,280.7,3853.99,20 LOCAL,CASE-20501,INJECTION OF ABNORMAL MUSCLE DRAINAGE TRACT FOR X-RAY STUDY FACILITY,,,29.53,724.99,20 LOCAL,CASE-20525,COMPLICATED REMOVAL OF FOREIGN BODY IN DEEP MUSCLE OR TENDON FACILITY,,,220.4,3853.99,20 LOCAL,CASE-20526,INJECTION OF CARPAL TUNNEL FACILITY,,,45.81,2590.89,20 LOCAL,CASE-20527,INJECTION OF MEDICATION INTO PALM FACILITY,,,54.55,407.26,20 LOCAL,CASE-20550,INJECTION INTO TENDON OR LIGAMENT FACILITY,,,31.46,460.99,20 LOCAL,CASE-20551,INJECTION INTO TENDON AT ATTACHMENT TO BONE OR MUSCLE FACILITY,,,31.36,407.26,20 LOCAL,CASE-20552,"INJECTION OF TRIGGER POINTS, 1-2 MUSCLES FACILITY",,,34.44,407.26,21 LOCAL,CASE-20553,"INJECTION OF TRIGGER POINTS, 3 OR MORE MUSCLES FACILITY",,,39.27,407.26,20 LOCAL,CASE-20600,ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT FACILITY,,,29.73,2191.35,20 LOCAL,CASE-20604,ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT USING ULTRASOUND GUIDANCE FACILITY,,,37.36,407.26,20 LOCAL,CASE-20605,ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT FACILITY,,,60.8,407.26,20 LOCAL,CASE-20606,ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT USING ULTRASOUND GUIDANCE FACILITY,,,42.17,936.57,20 LOCAL,CASE-20610,ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT FACILITY,,,36.97,460.99,20 LOCAL,CASE-20611,ASPIRATION AND/OR INJECTION OF FLUID LARGE JOINT USING ULTRASOUND GUIDANCE FACILITY,,,47.09,407.26,20 LOCAL,CASE-20612,ASPIRATION AND/OR INJECTION OF CYST OF TENDON FACILITY,,,34.94,407.26,20 LOCAL,CASE-20615,ASPIRATION AND INJECTION OF CYST OF BONE FACILITY,,,140.16,939.55,20 LOCAL,CASE-20670,REMOVAL OF SURFACE IMPLANT FROM BONE FACILITY,,,135.7,2191.35,21 LOCAL,CASE-20680,REMOVAL OF DEEP IMPLANT FROM BONE PROFESSIONAL,,,374.32,3853.99,21 LOCAL,CASE-20690,PLACEMENT OF SINGLE DIRECTION EXTERNAL BONE STABILIZING DEVICE TO ARM OR LEG,,,510.95,9627.58,20 LOCAL,CASE-20692,PLACEMENT OF MULTIPLE DIRECTION EXTERNAL BONE STABILIZING DEVICE TO ARM OR LEG,,,990.39,17034.43,20 LOCAL,CASE-20693,REVISION OF EXTERNAL BONE STABILIZING DEVICE UNDER ANESTHESIA,,,410.9,9627.58,20 LOCAL,CASE-20694,REMOVAL OF EXTERNAL BONE STABILIZING DEVICE UNDER ANESTHESIA,,,314.47,9627.58,20 LOCAL,CASE-20700,INSERTION OF DRUG-DELIVERY DEVICE IN DEEP TISSUE,,,119.28,3853.99,20 LOCAL,CASE-20701,REMOVAL OF DRUG-DELIVERY DEVICES FROM BENEATH FIBROUS COVERING OF MUSCLE,,,92.25,4701.83,20 LOCAL,CASE-20702,INSERTION OF DRUG-DELIVERY DEVICE IN BONE,,,206.85,3853.99,20 LOCAL,CASE-20703,REMOVAL OF DRUG-DELIVERY DEVICES FROM MARROW CAVITY OF BONE,,,151.04,9627.58,20 LOCAL,CASE-20704,INSERTION OF DRUG-DELIVERY DEVICE IN JOINT,,,217.83,4341.31,20 LOCAL,CASE-20705,REMOVAL OF DRUG-DELIVERY DEVICES INTO JOINT,,,179.13,4341.31,20 LOCAL,CASE-20900,HARVEST OF GRAFT FROM SMALL BONE PROFESSIONAL,,,150.73,9627.58,20 LOCAL,CASE-20902,HARVEST OF GRAFT FROM LARGE BONE,,,224.18,17034.43,20 LOCAL,CASE-20910,RIB CARTILAGE GRAFT,,,444.02,7854.46,20 LOCAL,CASE-20912,GRAFT OF NOSE CARTILAGE,,,417.17,7854.46,20 LOCAL,CASE-20920,REMOVAL OF DEEP THIGH TISSUE FOR GRAFT,,,343.55,3154.46,20 LOCAL,CASE-20922,INCISION OF DEEP THIGH TISSUE FOR GRAFT,,,440.75,7854.46,20 LOCAL,CASE-20924,TENDON GRAFT,,,447.16,9627.58,20 LOCAL,CASE-20930,PLACEMENT OF FRAGMENTED BONE GRAFT OR MATERIAL TO SPINE TO PROMOTE BONE GROWTH,,,1516.97,36001.56,20 LOCAL,CASE-20931,GRAFT OF DONOR BONE TO SPINE,,,84.9,17034.43,20 LOCAL,CASE-20936,HARVEST OF BONE FROM SAME SPINE INCISION FOR GRAFT,,,1325.9,23263.96,20 LOCAL,CASE-20937,HARVEST OF BONE FRAGMENT FOR SPINE BONE GRAFT,,,129.59,36001.56,20 LOCAL,CASE-20939,ASPIRATION OF BONE MARROW FOR SPINE BONE GRAFT,,,80.73,36001.56,20 LOCAL,CASE-20962,BONE GRAFT WITH MICROVASCULAR CONNECTION,,,2262.1,9627.58,20 LOCAL,CASE-20982,DESTRUCTION OF GROWTHS AND ADJACENT SOFT TISSUE FACILITY,,,297.91,23263.96,21 LOCAL,CASE-20983,FREEZING OF GROWTH OF BONE AND ADJACENT SOFT TISSUE FACILITY,,,284.57,9627.58,21 LOCAL,CASE-20999,UNLISTED PROC MUSCKELTAL SYS - FACILITY,,,583.98,5195.02,19 LOCAL,CASE-21010,INCISION OF JAW JOINT,,,643.59,4398.97,20 LOCAL,CASE-21011,"REMOVAL OF GROWTH UNDER SKIN OF FACE OR SCALP, LESS THAN 2.0 CM FACILITY",,,241.62,2191.35,20 LOCAL,CASE-21012,"REMOVAL OF GROWTH UNDER SKIN OF FACE OR SCALP, 2.0 CM OR MORE FACILITY",,,306.9,2191.35,20 LOCAL,CASE-21013,"REMOVAL OF GROWTH OF MUSCLE OF FACE OR SCALP, LESS THAN 2.0 CM PROFESSIONAL",,,353.43,3154.46,20 LOCAL,CASE-21014,"REMOVAL OF GROWTH OF MUSCLE OF FACE OR SCALP, 2.0 CM OR MORE FACILITY",,,455.18,4398.97,20 LOCAL,CASE-21025,REMOVAL OF LOWER JAW BONE,,,589.82,7854.46,21 LOCAL,CASE-21026,REMOVAL OF FACE BONE-EXPRESS CARE,,,401.75,7854.46,20 LOCAL,CASE-21029,REMOVAL OF GROWTH OF FACE BONE,,,546.74,4979.29,20 LOCAL,CASE-21030,REMOVAL OF GROWTH OR CYST OF JAW OR UPPER CHEEK,,,327.36,7854.46,20 LOCAL,CASE-21031,REMOVAL OF BONY GROWTH OF JAW BONE INSIDE MOUTH,,,246.87,8890.63,20 LOCAL,CASE-21032,REMOVAL OF BONY GROWTH OF UPPER JAW BONE INSIDE MOUTH,,,237.56,4398.97,20 LOCAL,CASE-21034,REMOVAL OF GROWTH OF UPPER JAW OR UPPER CHEEK BONE,,,939.03,7854.46,20 LOCAL,CASE-21040,REMOVAL OF GROWTH OR CYST OF LOWER JAW BONE,,,328.39,4398.97,20 LOCAL,CASE-21044,REMOVAL OF GROWTH OF LOWER JAW BONE,,,729.68,7854.46,21 LOCAL,CASE-21046,REMOVAL OF GROWTH OR CYST OF LOWER JAW BONE THROUGH MOUTH,,,869.07,7854.46,20 LOCAL,CASE-21047,REMOVAL OF GROWTH OR CYST OF PART OF LOWER JAW BONE,,,2049.74,7854.46,20 LOCAL,CASE-21048,REMOVAL OF GROWTH OR CYST OF UPPER JAW BONE THROUGH MOUTH,,,876.15,7854.46,20 LOCAL,CASE-21050,REMOVAL OF ROUNDED ENDS OF LOWER JAW JOINT BONE,,,767.27,7854.46,20 LOCAL,CASE-21060,REMOVAL OF LOWER JAW JOINT BONE TISSUE,,,689.61,7854.46,20 LOCAL,CASE-21070,PARTIAL REMOVAL OF LOWER JAW BONE,,,517.5,8890.63,20 LOCAL,CASE-21073,MANIPULATION OF HINGED JOINTS OF UPPER AND LOWER JAW BONES UNDER ANESTHESIA,,,214.93,4341.31,20 LOCAL,CASE-21076,PREPARATION OF TEMPORARY PROSTHESIS TO CLOSE AN OPENING IN MOUTH,,,592.94,7854.46,20 LOCAL,CASE-21079,IMPRESSION AND CUSTOM PREPARATION OF TEMPORARY ORAL PROSTHESIS,,,982.64,7854.46,20 LOCAL,CASE-21085,IMPRESSION AND CUSTOM PREPARATION OF ORAL SURGICAL SPLINT,,,407.64,7854.46,21 LOCAL,CASE-21089,UNLISTED PROC MAXILLOFAC PROSTH,,,8.09,314.25,19 LOCAL,CASE-21110,APPLICATION AND REMOVAL OF DENTAL FIXATION DEVICE,,,335.21,1006.83,20 LOCAL,CASE-21120,IMPLANTATION OF GRAFT TO ENLARGE CHIN BONE,,,475.49,7854.46,20 LOCAL,CASE-21121,ENLARGEMENT OF CHIN BY MOVEMENT OF BONE,,,472.44,7854.46,20 LOCAL,CASE-21122,ENLARGEMENT OF CHIN BY MOVEMENT OF MULTIPLE BONES,,,673.72,7854.46,20 LOCAL,CASE-21125,ENLARGEMENT OF LOWER JAW WITH IMPLANT,,,583.3,7854.46,20 LOCAL,CASE-21137,REPAIR OF BONY DEFECT OF FOREHEAD,,,649.96,8202.17,20 LOCAL,CASE-21139,REPAIR OF FRONTAL SINUS THROUGH FOREHEAD,,,1864.2,7854.46,20 LOCAL,CASE-21141,RECONSTRUCTION OF UPPER JAW AND MIDFACE BONES,,,1157.44,7854.46,20 LOCAL,CASE-21142,"REPAIR OF MIDFACE BONES, 2 BONES",,,1184.66,7854.46,20 LOCAL,CASE-21143,"REPAIR OF MIDFACE BONES, 3 OR MORE BONES",,,1217.67,7854.46,20 LOCAL,CASE-21145,"RECONSTRUCTION OF MIDFACE BONES WITH BONE GRAFT, SINGLE PIECE (LEFORT I)",,,1325.79,7854.46,20 LOCAL,CASE-21146,"REPAIR OF MIDFACE BONES WITH BONE GRAFT, 2 BONES",,,1385.65,7854.46,20 LOCAL,CASE-21147,"REPAIR OF MIDFACE BONES WITH BONE GRAFT, 3 OR MORE BONES",,,1452.85,7854.46,20 LOCAL,CASE-21196,RECONSTRUCTION OF JAW BONES WITH INSERTION OF HARDWARE,,,1242.33,7854.46,21 LOCAL,CASE-21198,INCISION OR PARTIAL REMOVAL OF LOWER JAW BONE,,,871.14,7854.46,20 LOCAL,CASE-21199,INCISION OR PARTIAL REMOVAL OF LOWER JAW BONE AND MOVEMENT OF TONGUE MUSCLE,,,858.62,7854.46,20 LOCAL,CASE-21208,INCISION AND REPAIR OF BONY DEFECT OF CHEEK BONE WITH REPOSITIONING OF BONY SEGMENT,,,647.29,7854.46,20 LOCAL,CASE-21209,INCISION AND REPAIR OF BONY DEFECT OF CHEEK BONE INCLUDING BONY SEGMENT REDUCTION,,,539.35,7854.46,20 LOCAL,CASE-21210,REPAIR OF NASAL OR CHEEK BONE WITH BONE GRAFT,,,669.32,7854.46,20 LOCAL,CASE-21215,REPAIR OF LOWER JAW BONE WITH BONE GRAFT,,,695.28,7854.46,20 LOCAL,CASE-21230,HARVEST OF RIB CARTILAGE FOR GRAFTING,,,625.4,7854.46,20 LOCAL,CASE-21235,OBTAINING EAR CARTILAGE FOR GRAFTING FACILITY,,,488.65,7854.46,21 LOCAL,CASE-21240,REPAIR OF HINGED JOINT OF UPPER AND LOWER JAW BONES,,,904.35,7854.46,20 LOCAL,CASE-21243,REPAIR OF HINGED JOINT OF UPPER AND LOWER JAW BONES WITH PROSTHESIS,,,1395.04,36001.56,20 LOCAL,CASE-21245,PARTIAL REPAIR OF LOWER JAW OR CHEEK BONE WITH IMPLANT,,,834.21,7854.46,20 LOCAL,CASE-21246,COMPLETE RECONSTRUCTION OF LOWER OR UPPER JAW BONE WITH JAW BONE IMPLANT (SUBPERIOSTEAL),,,733.15,7854.46,20 LOCAL,CASE-21248,RECONSTRUCTION OF PART OF LOWER OR UPPER JAW BONE WITH IMPLANT,,,697.51,7854.46,20 LOCAL,CASE-21249,COMPLETE RECONSTRUCTION OF LOWER OR UPPER JAW BONE WITH JAW BONE IMPLANT (ENDOSTEAL),,,965.4,7854.46,20 LOCAL,CASE-21256,RECONSTRUCTION OF EYE SOCKET BONE WITH BONE GRAFT,,,1052.47,7854.46,20 LOCAL,CASE-21270,INSERTION OF PROSTHETIC MATERIAL TO ENLARGE CHEEK BONE,,,637.91,7854.46,20 LOCAL,CASE-21280,TIGHTENING OF TENDON OF INNER PORT OF LOWER EYELID PROFESSIONAL,,,515.49,4398.97,20 LOCAL,CASE-21282,TIGHTENING OF TENDON OF OUTER EDGE OF LOWER EYELID,,,363.61,4398.97,20 LOCAL,CASE-21299,UNLISTED PROC CRANIO & MAXILLOFAC FACILITY,,,80.73,314.25,19 LOCAL,CASE-21320,CLOSED TREATMENT OF BROKEN NOSE BONE WITH PLACEMENT OF STABILIZING DEVICE,,,77.07,4398.97,20 LOCAL,CASE-21335,TREATMENT OF BROKEN NOSE BONE AND TISSUE SEPARATING NOSE AIRWAYS,,,626.72,4398.97,20 LOCAL,CASE-21337,CLOSED TREATMENT OF BROKEN BONE SEPARATING NOSE AIRWAYS,,,274.63,4398.97,20 LOCAL,CASE-21343,TREATMENT OF DEPRESSED BROKEN FRONT SINUS BONE,,,939.19,7854.46,20 LOCAL,CASE-21344,TREATMENT OF COMPLICATED BROKEN FRONT SINUS BONE,,,1155.66,7854.46,20 LOCAL,CASE-21346,TREATMENT OF BROKEN NOSE AND UPPER JAW BONES WITH PLACEMENT OF STABILIZING DEVICE,,,889.63,7854.46,20 LOCAL,CASE-21347,TREATMENT OF COMPLEX BROKEN NOSE AND UPPER JAW BONES THROUGH MULTIPLE OPENINGS,,,906.69,7854.46,20 LOCAL,CASE-21355,TREATMENT OF BROKEN CHEEK BONE ACCESSED THROUGH THE SKIN WITH MANIPULATION,,,283.41,4398.97,20 LOCAL,CASE-21356,TREATMENT OF DEPRESSED BROKEN UPPER PORTION OF CHEEK BONE,,,364.67,7854.46,20 LOCAL,CASE-21360,TREATMENT OF DEPRESSED BROKEN CHEEK BONE,,,449.95,7854.46,20 LOCAL,CASE-21365,TREATMENT OF COMPLICATED BROKEN CHEEK BONE WITH PLACEMENT OF INTERNAL STABILIZING DEVICE,,,911.28,7854.46,20 LOCAL,CASE-21386,TREATMENT OF BROKEN FLOOR OF EYE BONE THROUGH EYE AREA,,,597.85,7854.46,20 LOCAL,CASE-21390,TREATMENT OF BROKEN FLOOR OF EYE BONE THROUGH EYE AREA WITH IMPLANT,,,682.38,7854.46,20 LOCAL,CASE-21407,TREATMENT OF BROKEN EYE BONE WITH IMPLANT,,,556.11,7854.46,20 LOCAL,CASE-21422,TREATMENT OF BROKEN ROOF OF MOUTH OR UPPER JAW BONE,,,568.71,7854.46,20 LOCAL,CASE-21433,COMPLICATED REPAIR OF BROKEN FACE AND SKULL BONES,,,1429.32,7854.46,20 LOCAL,CASE-21453,CLOSED TREATMENT OF BROKEN LOWER JAW BONE WITH PLACEMENT OF STABILIZING DEVICE TO TEETH,,,887.41,7854.46,20 LOCAL,CASE-21461,TREATMENT OF BROKEN LOWER JAW BONE,,,957.57,7854.46,20 LOCAL,CASE-21462,TREATMENT OF BROKEN LOWER JAW BONE WITH PLACEMENT OF STABILIZING DEVICE TO TEETH,,,1088.85,7854.46,20 LOCAL,CASE-21465,TREATMENT OF BROKEN HINGED END OF LOWER JAW BONE,,,696.65,7854.46,20 LOCAL,CASE-21470,COMPLICATED TREATMENT OF BROKEN LOWER JAW BONE WITH PLACEMENT OF STABILIZING DEVICE TO TEETH,,,990.34,7854.46,20 LOCAL,CASE-21490,TREATMENT OF DISLOCATED JAW JOINT,,,686.64,7854.46,20 LOCAL,CASE-21499,UNLISTED PROC MUSSKL HEAD,,,11.46,314.25,20 LOCAL,CASE-21501,I&D DEEP ABSC/HEMATOMA NECK/CHEST - PROFESSIONAL,,,313.09,10844.49,20 LOCAL,CASE-21550,BIOPSY OF SOFT TISSUE OF NECK OR CHEST FACILITY,,,138.45,2191.35,20 LOCAL,CASE-21552,"REMOVAL OF GROWTH OF SOFT TISSUE UNDER SKIN OF NECK OR FRONT OF CHEST, 3.0 CM OR MORE FACILITY",,,398.79,3853.99,20 LOCAL,CASE-21554,"REMOVAL OF GROWTH OF MUSCLE OF NECK OR FRONT OF CHEST, 5.0 CM OR MORE",,,631.43,3853.99,20 LOCAL,CASE-21555,"REMOVAL OF GROWTH UNDER SKIN OF NECK OR FRONT OF CHEST, LESS THAN 3.0 CM FACILITY",,,282.42,2191.35,21 LOCAL,CASE-21556,"REMOVAL OF GROWTH OF MUSCLE OF NECK OR FRONT OF CHEST, LESS THAN 5.0 CM PROFESSIONAL",,,462.11,3853.99,20 LOCAL,CASE-21557,"EXTENSIVE REMOVAL OF GROWTH OF NECK OR FRONT OF CHEST, LESS THAN 5.0 CM",,,817.73,3853.99,20 LOCAL,CASE-21558,"EXTENSIVE REMOVAL OF GROWTH OF NECK OR FRONT OF CHEST, 5.0 CM OR MORE",,,1126.34,3853.99,20 LOCAL,CASE-21600,PARTIAL REMOVAL OF RIB,,,1072.58,9627.58,20 LOCAL,CASE-21601,REMOVAL OF GROWTH OF CHEST WALL AND RIB,,,1018.32,3853.99,20 LOCAL,CASE-21615,REMOVAL OF FIRST AND/OR EXTRA RIB AT NECK,,,527.35,9627.58,20 LOCAL,CASE-21685,REPOSITIONING OF BONE AND MUSCLES IN NECK,,,818.66,7854.46,20 LOCAL,CASE-21720,"RELEASE OF TENDONS OF NECK MUSCLE, OPEN PROCEDURE",,,527.4,4341.31,20 LOCAL,CASE-21740,REPAIR OF ABNORMAL POSITION OF CHEST BONE,,,896.26,9627.58,20 LOCAL,CASE-21742,MINIMALLY INVASIVE REPAIR OF ABNORMAL POSITION OF CHEST BONE,,,12.59,4341.31,20 LOCAL,CASE-21743,REPAIR OF BREAST BONE DEPRESSION USING AN ENDOSCOPE,,,10.34,4341.31,19 LOCAL,CASE-21750,TREATMENT OF BROKEN CHEST BONE FOLLOWING SURGERY,,,602.22,9627.58,20 LOCAL,CASE-21811,"TREATMENT OF BROKEN RIBS ON SIDE WITH PLACEMENT OF STABILIZING DEVICE, 1-3 RIBS",,,486.72,9627.58,20 LOCAL,CASE-21825,TREATMENT OF BROKEN CHEST BONE,,,527.04,9627.58,17 LOCAL,CASE-21899,UNLISTED PROC NK/THORAX - FACILITY,,,2444.7,4341.31,19 LOCAL,CASE-21920,BIOPSY OF SURFACE SOFT TISSUE TO BACK OR LOWER SIDES,,,137.07,2191.35,20 LOCAL,CASE-21925,DEEP BIOPSY OF SOFT TISSUE OF BACK OR LOWER SIDES,,,353.98,2191.35,20 LOCAL,CASE-21930,"REMOVAL OF GROWTH UNDER SKIN OF BACK OR LOWER SIDES, LESS THAN 3.0 CM FACILITY",,,330.7,2191.35,20 LOCAL,CASE-21931,"REMOVAL OF GROWTH UNDER SKIN OF BACK OR LOWER SIDES, 3.0 CM OR MORE FACILITY",,,419.6,2191.35,20 LOCAL,CASE-21932,"REMOVAL OF GROWTH OF MUSCLE OF BACK OR LOWER SIDES, LESS THAN 5.0 CM",,,581.1,3853.99,20 LOCAL,CASE-21933,"REMOVAL OF GROWTH OF MUSCLE OF BACK OR LOWER SIDES, 5.0 CM OR MORE PROFESSIONAL",,,645.24,3853.99,20 LOCAL,CASE-21935,"EXTENSIVE REMOVAL OF GROWTH OF BACK OR LOWER SIDE, LESS THAN 5.0 CM",,,880.42,3853.99,20 LOCAL,CASE-21936,"EXTENSIVE REMOVAL OF GROWTH OF BACK OR LOWER SIDE, 5.0 CM OR MORE",,,1196.57,3853.99,20 LOCAL,CASE-22110,PARTIAL REMOVAL OF UPPER SPINE BONE,,,1426.1,17034.43,19 LOCAL,CASE-22216,"INCISION OR REMOVAL OF SPINE BONE SEGMENT, EACH ADDITIONAL SEGMENT",,,561.84,36001.56,20 LOCAL,CASE-22310,CLOSED TREATMENT OF BROKEN SPINE BONE WITH CAST OR BRACE FACILITY,,,247.2,416.18,20 LOCAL,CASE-22510,STABILIZATION OF UPPER SPINE BONE FACILITY,,,358.36,4341.31,21 LOCAL,CASE-22511,STABILIZATION OF LOWER SPINE BONE FACILITY,,,338.76,9627.58,21 LOCAL,CASE-22512,"STABILIZATION OF SPINE BONE, EACH ADDITIONAL BONE FACILITY",,,330.44,9627.58,20 LOCAL,CASE-22513,TREATMENT OF BROKEN MIDDLE SPINE BONE WITH PLACEMENT OF STABILIZING DEVICE USING IMAGING GUIDANCE FACILITY,,,420.13,23263.96,21 LOCAL,CASE-22514,TREATMENT OF BROKEN LOWER SPINE BONE WITH PLACEMENT OF STABILIZING DEVICE FACILITY,,,393.69,23263.96,20 LOCAL,CASE-22515,"TREATMENT OF BROKEN SPINE BONE WITH STABILIZING DEVICE, EACH ADDITIONAL SEGMENT FACILITY",,,342.82,9627.58,20 LOCAL,CASE-22551,"FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE, 1 DISC",,,1426.1,17034.43,21 LOCAL,CASE-22552,"FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE, EACH ADDITIONAL DISC",,,611.46,17034.43,20 LOCAL,CASE-22554,FUSION OF UPPER SPINE BONES THROUGH FRONT OF NECK WITH PARTIAL REMOVAL OF DISC,,,1092.44,17034.43,20 LOCAL,CASE-22558,FUSION OF LOWER SPINE BONE THROUGH ABDOMEN WITH PARTIAL REMOVAL OF DISC,,,2568.12,36001.56,20 LOCAL,CASE-22585,"FUSION OF SPINE BONES THROUGH FRONT OF BODY WITH PARTIAL REMOVAL OF DISC, EACH ADDITIONAL DISC",,,251.29,17034.43,20 LOCAL,CASE-22600,FUSION OF SPINE IN NECK BY POSTERIOR APPROACH,,,1155.08,23263.96,20 LOCAL,CASE-22612,FUSION OF SPINE IN LOWER BACK,,,1325.9,23263.96,21 LOCAL,CASE-22614,FUSION OF ADDITIONAL SEGMENT OF SPINE,,,302.51,23263.96,20 LOCAL,CASE-22633,FUSION OF SPINE IN LOWER BACK WITH PARTIAL REMOVAL OF SPINE BONE AND DISC,,,1516.97,36001.56,20 LOCAL,CASE-22634,FUSION OF ADDITIONAL SEGMENT OF SPINE WITH PARTIAL REMOVAL OF SPINE BONE AND DISC,,,374.4,36001.56,20 LOCAL,CASE-22804,"FUSION TO REPAIR SPINE DEFORMITY THROUGH BACK, 13 OR MORE BONES",,,1997.89,23263.96,20 LOCAL,CASE-22840,PLACEMENT OF STABILIZING DEVICE TO BACK OF 1 SPINE BONE IN NECK,,,583.85,36001.56,20 LOCAL,CASE-22842,"PLACEMENT OF STABILIZING DEVICE TO BACK, 3-6 SPINE BONE SEGMENTS",,,589.72,23263.96,20 LOCAL,CASE-22845,"PLACEMENT OF STABILIZING DEVICE TO FRONT, 2-3 SPINE BONE SEGMENTS",,,560.89,17034.43,21 LOCAL,CASE-22846,"PLACEMENT OF STABILIZING DEVICE TO FRONT, 4-7 SPINE BONE SEGMENTS",,,583.0,17034.43,20 LOCAL,CASE-22848,INSERTION OF INSTRUMENTATION TO PELVIC BONES,,,278.6,36001.56,20 LOCAL,CASE-22849,REINSERTION OF SPINAL FIXATION DEVICE,,,2205.56,23263.96,20 LOCAL,CASE-22850,REMOVAL OF STABILIZING DEVICE FROM BACK OF SPINE,,,654.61,23263.96,20 LOCAL,CASE-22852,REMOVAL OF SEGMENTAL STABILIZING DEVICE FROM BACK OF SPINE,,,633.51,9627.58,20 LOCAL,CASE-22853,INSERTION OF CAGE OR MESH DEVICE TO SPINE BONE AND DISC SPACE DURING SPINE FUSION,,,894.87,17034.43,21 LOCAL,CASE-22854,INSERTION OF CAGE OR MESH DEVICE IN DISC SPACE DURING SPINE FUSION,,,388.64,17034.43,20 LOCAL,CASE-22855,REMOVAL OF STABILIZING DEVICE FROM FRONT OF SPINE,,,946.32,9627.58,20 LOCAL,CASE-22856,"INSERTION OF ARTIFICIAL UPPER SPINE DISC, ANTERIOR APPROACH",,,1362.33,23263.96,20 LOCAL,CASE-22869,PLACEMENT OF STABILIZING DEVICE TO LOWER SPINE LEVEL FACILITY,,,575.7,17034.43,18 LOCAL,CASE-22899,UNLISTED PROCEDURE SPINE - FACILITY,,,247.2,600.48,19 LOCAL,CASE-22900,"REMOVAL OF GROWTH OF MUSCLE OF ABDOMEN, LESS THAN 5.0 CM",,,506.98,3853.99,20 LOCAL,CASE-22901,"REMOVAL OF GROWTH OF MUSCLE OF ABDOMEN, 5.0 CM OR MORE FACILITY",,,590.22,3853.99,20 LOCAL,CASE-22902,"REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL, LESS THAN 3.0 CM FACILITY",,,931.71,3853.99,20 LOCAL,CASE-22903,"REMOVAL OF GROWTH OF SOFT TISSUE OF ABDOMINAL WALL, 3.0 CM OR MORE FACILITY",,,794.16,3853.99,21 LOCAL,CASE-22999,CRYOABLATION ABDOMINAL - FACILITY,,,247.2,642.38,19 LOCAL,CASE-23020,RELEASE OF TENDON OF SHOULDER JOINT,,,613.91,9627.58,20 LOCAL,CASE-23030,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF SHOULDER,,,230.49,3853.99,20 LOCAL,CASE-23040,"INCISION OF SHOULDER JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,635.35,4341.31,20 LOCAL,CASE-23044,"INCISION OF COLLAR BONE JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,511.53,4341.31,20 LOCAL,CASE-23071,"REMOVAL OF GROWTH UNDER SKIN OF SHOULDER AREA, 3.0 CM OR MORE PROFESSIONAL",,,379.84,2191.35,20 LOCAL,CASE-23073,"REMOVAL OF GROWTH OF MUSCLE OF SHOULDER, 5.0 CM OR MORE",,,612.62,3853.99,20 LOCAL,CASE-23075,"REMOVAL OF GROWTH UNDER SKIN OF SHOULDER AREA, LESS THAN 3.0 CM FACILITY",,,304.14,2191.35,20 LOCAL,CASE-23076,"REMOVAL OF GROWTH OF MUSCLE OF SHOULDER, LESS THAN 5.0 CM",,,491.67,3853.99,20 LOCAL,CASE-23077,"EXTENSIVE REMOVAL OF GROWTH OF SHOULDER, LESS THAN 5.0 CM",,,969.06,3853.99,20 LOCAL,CASE-23078,"EXTENSIVE REMOVAL OF GROWTH OF SHOULDER, 5.0 CM OR MORE",,,1219.92,3853.99,20 LOCAL,CASE-23101,"INCISION TO REPAIR JOINTS BETWEEN SHOULDER, CHEST AND COLLAR BONES",,,421.64,4341.31,20 LOCAL,CASE-23120,PARTIAL REMOVAL OF COLLAR BONE PROFESSIONAL,,,537.97,9627.58,20 LOCAL,CASE-23130,PARTIAL REMOVAL OR REPAIR OF SHOULDER BONE NEAR COLLAR BONE,,,561.73,9627.58,20 LOCAL,CASE-23140,REMOVAL OF CYST OR GROWTH OF COLLAR BONE OR SHOULDER BLADE,,,504.11,4341.31,20 LOCAL,CASE-23150,REMOVAL OF CYST OR GROWTH OF TOP PART OF UPPER ARM BONE,,,597.25,4341.31,20 LOCAL,CASE-23182,PARTIAL REMOVAL OF INFECTED SHOULDER BLADE,,,607.84,9627.58,20 LOCAL,CASE-23184,PARTIAL REMOVAL OF INFECTED TOP OF UPPER ARM BONE,,,657.31,9627.58,20 LOCAL,CASE-23190,PARTIAL REMOVAL OF SHOULDER BLADE,,,1039.18,4341.31,20 LOCAL,CASE-23333,"REMOVAL OF FOREIGN BODY OF SHOULDER JOINT, ACCESSED BENEATH THE TISSUE OR MUSCLE",,,436.65,17034.43,20 LOCAL,CASE-23334,REMOVAL OF BALL OR SOCKET PROSTHESIS FROM SHOULDER,,,914.72,9627.58,20 LOCAL,CASE-23335,REMOVAL OF BALL AND SOCKET PROSTHESIS FROM SHOULDER,,,914.72,9627.58,19 LOCAL,CASE-23350,INJECTION OF CONTRAST FOR IMAGING OF SHOULDER JOINT FACILITY,,,40.15,1040.11,20 LOCAL,CASE-23395,RELOCATION OF ONE MUSCLE OF SHOULDER OR UPPER ARM,,,1103.28,9627.58,20 LOCAL,CASE-23397,RELOCATION OF MULTIPLE MUSCLES OF SHOULDER OR UPPER ARM,,,971.99,9627.58,20 LOCAL,CASE-23405,INCISION OF SHOULDER TENDON FACILITY,,,544.89,9627.58,20 LOCAL,CASE-23406,INCISION OF SHOULDER MULTIPLE TENDONS THROUGH SAME INCISION,,,646.95,9627.58,20 LOCAL,CASE-23410,REPAIR OF ACUTE TORN SHOULDER ROTATOR CUFF PROFESSIONAL,,,719.99,9627.58,20 LOCAL,CASE-23412,REPAIR OF CHRONIC TORN SHOULDER ROTATOR CUFF PROFESSIONAL,,,744.29,9627.58,20 LOCAL,CASE-23415,RELEASE OF COLLAR BONE AND SHOULDER LIGAMENT,,,623.41,9627.58,20 LOCAL,CASE-23420,REPAIR OF COMPLETE TEAR OF SHOULDER ROTATOR CUFF WITH RELEASE OF PRESSURE ON COLLAR BONE,,,852.19,9627.58,20 LOCAL,CASE-23430,ANCHORING OF BICEPS TENDON PROFESSIONAL,,,658.27,9627.58,21 LOCAL,CASE-23450,REATTACHMENT OF SHOULDER JOINT CAPSULE WITHOUT BONE TRANSFER,,,814.33,9627.58,20 LOCAL,CASE-23460,REPAIR OF SHOULDER JOINT CAPSULE AND SHOULDER BLADE WITH BONE BLOCK,,,934.47,9627.58,20 LOCAL,CASE-23462,REATTACHMENT OF SHOULDER JOINT CAPSULE WITH BONE TRANSFER (CORACOID BONE),,,910.99,9627.58,20 LOCAL,CASE-23465,REPAIR OF SHOULDER JOINT CAPSULE IN THE BACK OF THE JOINT,,,956.31,9627.58,20 LOCAL,CASE-23466,REPAIR AND TIGHTENING OF SHOULDER JOINT CAPSULE,,,972.97,9627.58,20 LOCAL,CASE-23470,PARTIAL REPLACEMENT OF SHOULDER JOINT,,,1015.36,17034.43,20 LOCAL,CASE-23472,"PROSTHETIC REPAIR OF SHOULDER JOINT, TOTAL SHOULDER PROFESSIONAL",,,1210.36,23263.96,21 LOCAL,CASE-23473,REVISION OF TOTAL SHOULDER REPAIR,,,1338.68,17034.43,20 LOCAL,CASE-23474,"REVISION OF TOTAL SHOULDER REPAIR, TOTAL SHOULDER",,,1439.74,17034.43,20 LOCAL,CASE-23480,INCISION OR PARTIAL REMOVAL OF COLLAR BONE,,,716.38,9627.58,20 LOCAL,CASE-23485,INCISION OR PARTIAL REMOVAL OF COLLAR BONE WITH BONE GRAFT,,,815.99,17034.43,20 LOCAL,CASE-23491,STABILIZATION OF TOP OF UPPER ARM BONE WITH DEVICE,,,877.08,17034.43,20 LOCAL,CASE-23515,TREATMENT OF BROKEN COLLAR BONE PROFESSIONAL,,,642.08,9627.58,20 LOCAL,CASE-23530,TREATMENT OF DISLOCATED JOINT BETWEEN COLLAR AND CHEST BONES,,,520.27,9627.58,20 LOCAL,CASE-23532,TREATMENT OF DISLOCATED JOINT BETWEEN COLLAR AND CHEST BONES WITH TISSUE GRAFT,,,565.16,9627.58,20 LOCAL,CASE-23550,TREATMENT OF DISLOCATED JOINT BETWEEN COLLAR BONE AND SHOULDER,,,513.53,9627.58,20 LOCAL,CASE-23552,TREATMENT OF DISLOCATED JOINT BETWEEN COLLAR BONE AND SHOULDER WITH TISSUE GRAFT,,,580.29,9627.58,20 LOCAL,CASE-23585,TREATMENT OF BROKEN SHOULDER BLADE,,,838.97,9627.58,20 LOCAL,CASE-23615,TREATMENT OF BROKEN TOP OF UPPER ARM BONE,,,774.98,17034.43,20 LOCAL,CASE-23616,TREATMENT OF BROKEN UPPER ARM BONE WITH REPLACEMENT,,,1046.19,23263.96,20 LOCAL,CASE-23630,"TREATMENT OF UPPER ARM BONE, BROKEN AT SHOULDER JOINT PROFESSIONAL",,,693.8,23263.96,20 LOCAL,CASE-23700,MANIPULATION OF SHOULDER JOINT UNDER ANESTHESIA PROFESSIONAL,,,175.64,2133.49,20 LOCAL,CASE-23800,FUSION OF BONES OF SHOULDER JOINT,,,885.45,9627.58,20 LOCAL,CASE-23802,FUSION OF SHOULDER JOINT BONE WITH SELF BONE GRAFT,,,1105.52,17034.43,20 LOCAL,CASE-23929,TENOTOMY SHLDR TX1 PROCEDURE FACILITY,,,21.71,327.28,19 LOCAL,CASE-23930,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF UPPER ARM OR ELBOW,,,193.27,3853.99,20 LOCAL,CASE-23935,INCISION OF UPPER ARM OR ELBOW BONE,,,471.85,4341.31,20 LOCAL,CASE-24000,"INCISION OF ELBOW JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,439.03,4341.31,20 LOCAL,CASE-24006,INCISION OF ELBOW WITH RELEASE OF JOINT CAPSULE,,,627.16,4341.31,20 LOCAL,CASE-24066,BIOPSY OF DEEP TISSUE OF UPPER ARM OR ELBOW,,,393.46,3853.99,20 LOCAL,CASE-24071,"REMOVAL OF GROWTH UNDER SKIN OF UPPER ARM OR ELBOW, 3.0 CM OR MORE FACILITY",,,365.7,3853.99,20 LOCAL,CASE-24073,"REMOVAL OF GROWTH OF MUSCLE OF UPPER ARM OR ELBOW, 5.0 CM OR MORE PROFESSIONAL",,,607.61,3853.99,20 LOCAL,CASE-24075,"REMOVAL OF GROWTH UNDER SKIN OF UPPER ARM OR ELBOW, LESS THAN 3.0 CM FACILITY",,,303.91,2191.35,20 LOCAL,CASE-24076,"REMOVAL OF GROWTH OF MUSCLE OF UPPER ARM OR ELBOW, LESS THAN 5.0 CM",,,490.98,3853.99,20 LOCAL,CASE-24077,"EXTENSIVE REMOVAL OF GROWTH OF UPPER ARM OR ELBOW, LESS THAN 5.0 CM",,,884.44,3853.99,20 LOCAL,CASE-24079,"EXTENSIVE REMOVAL OF GROWTH OF UPPER ARM OR ELBOW, 5.0 CM OR MORE",,,1129.13,3853.99,20 LOCAL,CASE-24100,INCISION OF ELBOW WITH BIOPSY OF JOINT LINING,,,392.11,4341.31,20 LOCAL,CASE-24101,INCISION AND EXPLORATION OF ELBOW JOINT PROFESSIONAL,,,460.09,4341.31,20 LOCAL,CASE-24105,REMOVAL OF FLUID-FILLED SAC OF ELBOW,,,346.5,4341.31,20 LOCAL,CASE-24110,REMOVAL OF CYST OR GROWTH OF UPPER ARM BONE,,,536.97,4341.31,20 LOCAL,CASE-24115,REMOVAL OF CYST OR GROWTH OF UPPER ARM BONE AND SELF BONE GRAFT,,,652.19,9627.58,20 LOCAL,CASE-24120,REMOVAL OF CYST OR GROWTH OF ELBOW OR UPPER FOREARM BONE,,,482.82,4341.31,20 LOCAL,CASE-24125,REMOVAL OF CYST OR GROWTH OF ELBOW OR UPPER FOREARM BONE AND SELF BONE GRAFT,,,562.71,4341.31,20 LOCAL,CASE-24130,REMOVAL OF FOREARM BONE AT ELBOW JOINT,,,463.21,23263.96,20 LOCAL,CASE-24140,PARTIAL REMOVAL OF INFECTED UPPER ARM BONE,,,619.24,9627.58,20 LOCAL,CASE-24145,PARTIAL REMOVAL OF INFECTED FOREARM BONE AT ELBOW,,,535.29,9627.58,20 LOCAL,CASE-24147,PARTIAL REMOVAL OF INFECTED ELBOW BONE PROFESSIONAL,,,568.98,9627.58,20 LOCAL,CASE-24149,EXTENSIVE REMOVAL OF BONY GROWTH AND TISSUE FROM ELBOW TO INCREASE ELBOW MOTION,,,1028.65,9627.58,20 LOCAL,CASE-24150,EXTENSIVE REMOVAL OF GROWTH OF UPPER ARM BONE,,,1296.29,23263.96,20 LOCAL,CASE-24160,REMOVAL OF ELBOW JOINT PROSTHESIS,,,1069.04,4341.31,20 LOCAL,CASE-24164,REMOVAL OF FOREARM BONE PROSTHESIS AT ELBOW JOINT,,,641.8,9627.58,20 LOCAL,CASE-24201,"REMOVAL OF FOREIGN BODY, UPPER ARM OR ELBOW AREA PROFESSIONAL",,,375.17,3853.99,20 LOCAL,CASE-24220,INJECTION OF CONTRAST FOR IMAGING OF ELBOW JOINT FACILITY,,,53.32,9627.58,20 LOCAL,CASE-24300,MANIPULATION OF ELBOW UNDER ANESTHESIA,,,436.75,2133.49,20 LOCAL,CASE-24301,RELOCATION OF MUSCLE OR TENDON OF UPPER ARM OR ELBOW,,,659.61,9627.58,20 LOCAL,CASE-24305,LENGTHENING OF TENDON OF UPPER ARM OR ELBOW,,,514.72,9627.58,20 LOCAL,CASE-24310,"INCISION OF TENDON LOCATED FROM ELBOW TO SHOULDER, OPEN PROCEDURE",,,421.11,4341.31,20 LOCAL,CASE-24332,RELEASE OF UPPER ARM TENDON,,,559.35,4341.31,20 LOCAL,CASE-24341,REPAIR OF TENDON OR MUSCLE OF UPPER ARM OR ELBOW,,,1349.74,9627.58,20 LOCAL,CASE-24342,REINSERTION OF TORN UPPER ARM TENDON PROFESSIONAL,,,674.97,9627.58,20 LOCAL,CASE-24343,REPAIR OF LIGAMENT OF THUMB SIDE OF ELBOW,,,644.1,17034.43,20 LOCAL,CASE-24344,REPAIR OF LIGAMENT OF THUMB SIDE OF ELBOW WITH TENDON GRAFT,,,968.57,9627.58,20 LOCAL,CASE-24345,REPAIR OF LIGAMENT OF SMALL FINGER SIDE OF ELBOW,,,641.06,9627.58,20 LOCAL,CASE-24346,REPAIR OF LIGAMENT OF SMALL FINGER SIDE OF ELBOW WITH TENDON GRAFT,,,968.57,17034.43,20 LOCAL,CASE-24358,INCISION OF ELBOW TENDON WITH REMOVAL OF TISSUE PROFESSIONAL,,,476.89,4341.31,20 LOCAL,CASE-24359,INCISION AND REPAIR OF ELBOW TENDON WITH REMOVAL OF TISSUE OR BONE,,,583.72,4341.31,20 LOCAL,CASE-24360,REPAIR OF ELBOW JOINT WITH TISSUE GRAFT,,,785.88,9627.58,20 LOCAL,CASE-24363,PROSTHETIC REPAIR OF ELBOW JOINT,,,1211.56,23263.96,20 LOCAL,CASE-24365,JOINT REPAIR (ARTHROPLASTY) FOREARM BONE ON THE THUMB SIDE (RADIUS) AT THE ELBOW WITHOUT AN IMPLANT,,,571.4,17034.43,20 LOCAL,CASE-24366,JOINT REPAIR (ARTHROPLASTY) FOREARM BONE ON THE THUMB SIDE (RADIUS) AT THE ELBOW WITH AND IMPLANT,,,599.57,17034.43,20 LOCAL,CASE-24370,"REVISION OF TOTAL ELBOW REPAIR (ARTHROPLASTY), UPPER ARM OR FOREARM COMPONENTS",,,1281.61,17034.43,20 LOCAL,CASE-24371,"REVISION OF TOTAL ELBOW REPAIR (ARTHROPLASTY), UPPER ARM AND FOREARM COMPONENTS",,,1459.89,23263.96,20 LOCAL,CASE-24410,INCISION OR PARTIAL REMOVAL OF UPPER ARM BONE WITH INSERTION OF ROD,,,914.41,17034.43,20 LOCAL,CASE-24420,RECONSTRUCTION OF UPPER ARM BONE,,,948.0,17034.43,20 LOCAL,CASE-24430,REPAIR OF NONHEALED BROKEN UPPER ARM BONE,,,908.43,17034.43,20 LOCAL,CASE-24435,REPAIR OF NONHEALED BROKEN UPPER ARM BONE WITH SELF BONE GRAFT,,,944.31,17034.43,20 LOCAL,CASE-24515,TREATMENT OF BROKEN MIDDLE PART OF UPPER ARM BONE WITH PLACEMENT OF STABILIZING DEVICE (PLATE/SCREWS),,,774.26,17034.43,20 LOCAL,CASE-24516,TREATMENT OF BROKEN MIDDLE PART OF UPPER ARM BONE WITH PLACEMENT OF STABILIZING DEVICE (IMPLANT),,,748.02,17034.43,20 LOCAL,CASE-24530,CLOSED TREATMENT OF UPPER ARM BONE BROKEN AT ELBOW FACILITY,,,247.2,521.96,20 LOCAL,CASE-24538,PLACEMENT OF STABILIZING DEVICE TO UPPER ARM BROKEN AT ELBOW,,,714.48,9627.58,20 LOCAL,CASE-24545,TREATMENT OF UPPER ARM BONE BROKEN AT ELBOW,,,807.57,17034.43,20 LOCAL,CASE-24546,TREATMENT OF BROKEN UPPER ARM BONE AT ELBOW WITH EXTENSION,,,893.72,17034.43,20 LOCAL,CASE-24560,CLOSED TREATMENT OF BROKEN OUTER PART OF UPPER ARM BONE AT ELBOW FACILITY,,,247.2,466.89,20 LOCAL,CASE-24566,PLACEMENT OF STABILIZING DEVICE FOR BROKEN OUTER PART OF UPPER ARM AT ELBOW,,,656.18,2133.49,20 LOCAL,CASE-24575,TREATMENT OF BROKEN OUTER PART OF UPPER ARM BONE AT ELBOW,,,1316.44,17034.43,20 LOCAL,CASE-24576,CLOSED TREATMENT OF BROKEN ELBOW FACILITY,,,247.2,493.38,20 LOCAL,CASE-24579,TREATMENT OF BROKEN ELBOW,,,735.76,17034.43,20 LOCAL,CASE-24582,PLACEMENT OF STABILIZING DEVICE FOR BROKEN ELBOW WITH MANIPULATION,,,744.63,9627.58,20 LOCAL,CASE-24586,TREATMENT OF BROKEN OR DISLOCATED UPPER OR FOREARM BONES AT ELBOW,,,926.24,17034.43,20 LOCAL,CASE-24615,TREATMENT OF DISLOCATED ELBOW,,,626.69,9627.58,20 LOCAL,CASE-24635,TREATMENT OF BROKEN AND DISLOCATED FOREARM BONES AT ELBOW,,,607.61,9627.58,20 LOCAL,CASE-24650,CLOSED TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE AT ELBOW FACILITY,,,247.2,379.23,20 LOCAL,CASE-24665,TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE AT ELBOW,,,592.26,9627.58,20 LOCAL,CASE-24666,TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE AT ELBOW WITH PROSTHESIS,,,647.87,17034.43,20 LOCAL,CASE-24670,CLOSED TREATMENT OF BROKEN FOREARM BONE ON SMALL FINGER SIDE AT ELBOW FACILITY,,,247.2,410.97,20 LOCAL,CASE-24685,TREATMENT OF BROKEN FOREARM BONE ON SMALL FINGER SIDE AT ELBOW PROFESSIONAL,,,591.51,9627.58,20 LOCAL,CASE-24900,AMPUTATION OF ARM THROUGH UPPER ARM BONE WITH CLOSURE,,,679.73,17034.43,20 LOCAL,CASE-24925,SECONDARY CLOSURE OR REVISION OF SCAR OF PREVIOUS UPPER ARM BONE AMPUTATION,,,517.63,4341.31,20 LOCAL,CASE-24999,TX1 TENOTOMY ELBOW PERCUTANEOUS FACILITY,,,674.87,9627.58,19 LOCAL,CASE-25000,INCISION OR THE TENDON COVERING ON THE TOP SIDE OF THE WRIST FACILITY,,,330.72,2133.49,20 LOCAL,CASE-25001,INCISION OR THE TENDON COVERING ON THE PALM SIDE OF THE WRIST,,,330.78,9627.58,20 LOCAL,CASE-25024,"INCISION OF TISSUE OF FOREARM AND/OR WRIST MUSCLE COMPARTMENT ON BOTH SIDES OF THE FOREARM TO RELIEVE PRESSURE, WITHOUT REMOVAL OF TISSUE",,,684.07,4341.31,20 LOCAL,CASE-25025,INCISION TO RELIEVE PRESSURE IN TOP AND PALM SIDE OF WRIST COMPARTMENT WITH REMOVAL OF DAMAGED TISSUE,,,1048.86,4532.56,20 LOCAL,CASE-25065,BIOPSY OF SURFACE TISSUE OF FOREARM OR WRIST,,,141.41,3853.99,20 LOCAL,CASE-25066,BIOPSY OF DEEP TISSUE OF FOREARM AND/OR WRIST,,,344.68,3853.99,20 LOCAL,CASE-25071,"REMOVAL OF GROWTH UNDER SKIN OF FOREARM OR WRIST, 3.0 CM OR MORE FACILITY",,,379.3,3853.99,20 LOCAL,CASE-25073,"REMOVAL OF GROWTH OF MUSCLE OF FOREARM OR WRIST, 3.0 CM OR MORE",,,960.08,3853.99,20 LOCAL,CASE-25075,"REMOVAL OF GROWTH UNDER SKIN OF FOREARM OR WRIST, LESS THAN 3.0 CM FACILITY",,,291.94,2191.35,20 LOCAL,CASE-25076,"REMOVAL OF GROWTH OF MUSCLE OF FOREARM OR WRIST, LESS THAN 3.0 CM",,,467.04,2191.35,20 LOCAL,CASE-25077,"EXTENSIVE REMOVAL OF GROWTH OF FOREARM OR WRIST, LESS THAN 3.0 CM",,,760.29,5195.02,20 LOCAL,CASE-25078,"EXTENSIVE REMOVAL OF GROWTH OF FOREARM OR WRIST, 3.0 CM OR MORE",,,1001.63,3853.99,20 LOCAL,CASE-25085,INCISION TO REPAIR OR RELEASE CAPSULE OF WRIST JOINT,,,407.28,9627.58,20 LOCAL,CASE-25100,INCISION OF JOINT CAPSULE OF WRIST,,,332.74,4341.31,20 LOCAL,CASE-25101,INCISION AND EXPLORATION OF WRIST JOINT PROFESSIONAL,,,376.41,4341.31,20 LOCAL,CASE-25105,INCISION INTO WRIST JOINT WITH REMOVAL OF JOINT LINING TISSUE,,,444.14,4341.31,20 LOCAL,CASE-25107,INCISION TO REPAIR WRIST JOINT WITH REPAIR OF CARTILAGE,,,562.13,4341.31,20 LOCAL,CASE-25109,REMOVAL OF TENDON OF FOREARM AND/OR WRIST,,,482.56,4341.31,20 LOCAL,CASE-25110,REMOVAL OF GROWTH OF TENDON COVERING OF FOREARM OR WRIST,,,324.56,2133.49,20 LOCAL,CASE-25111,REMOVAL OF FIRST CYST OF WRIST PROFESSIONAL,,,310.8,2133.49,20 LOCAL,CASE-25112,REMOVAL OF RECURRENT CYST OF WRIST FACILITY,,,362.08,2133.49,20 LOCAL,CASE-25115,EXTENSIVE REMOVAL OF GROWTH OF SOFT TISSUE STRUCTURES IN PALM SIDE OF WRIST,,,668.26,2590.89,20 LOCAL,CASE-25116,EXTENSIVE REMOVAL OF GROWTH OF SOFT TISSUE STRUCTURES IN TOP SIDE OF WRIST,,,546.06,4341.31,20 LOCAL,CASE-25118,REMOVAL OF LINING OF TENDON COVERING OF WRIST FACILITY,,,355.64,2133.49,20 LOCAL,CASE-25119,REMOVAL OF TENDON LINING ON TOP SIDE OF WRIST AND END OF FOREARM BONE AT WRIST,,,463.08,4341.31,20 LOCAL,CASE-25120,REMOVAL OF CYST OR GROWTH OF LOWER FOREARM BONE,,,453.78,4341.31,20 LOCAL,CASE-25130,REMOVAL OF CYST OR GROWTH OF WRIST BONE,,,413.52,4341.31,20 LOCAL,CASE-25136,REMOVAL OF CYST OR GROWTH OF WRIST BONE WITH BONE GRAFT,,,460.19,9627.58,20 LOCAL,CASE-25150,REMOVAL OF DISEASED PART OF FOREARM BONE ON SMALL FINGER SIDE,,,508.03,9627.58,20 LOCAL,CASE-25151,REMOVAL OF DISEASED PART OF FOREARM BONE ON THUMB SIDE,,,518.84,9627.58,20 LOCAL,CASE-25210,REMOVAL OF WRIST BONE,,,446.89,4341.31,20 LOCAL,CASE-25215,REMOVAL OF MULTIPLE WRIST BONES,,,549.93,4341.31,20 LOCAL,CASE-25230,PARTIAL REMOVAL OF WRIST BONE NEAR THUMB,,,395.45,4341.31,20 LOCAL,CASE-25240,REMOVAL OR PARTIAL REMOVAL OF LOWER END OF FOREARM BONE ON SMALL FINGER SIDE AT WRIST,,,392.66,9627.58,20 LOCAL,CASE-25250,REMOVAL OF WRIST PROSTHESIS,,,487.93,2133.49,20 LOCAL,CASE-25251,"REMOVAL OF WRIST PROSTHESIS, COMPLICATED",,,637.9,4341.31,20 LOCAL,CASE-25259,MANIPULATION OF WRIST UNDER ANESTHESIA,,,426.74,9627.58,20 LOCAL,CASE-25260,PRIMARY REPAIR OF TENDON OR MUSCLE OF PALM SIDE OF FOREARM OR WRIST,,,572.03,4341.31,19 LOCAL,CASE-25265,REPAIR OF FOREARM AND/OR WRIST TENDON OR MUSCLE ON THE UNDERSIDE OF THE WRIST (FLEXOR) WITH GRAFT,,,653.42,4341.31,20 LOCAL,CASE-25270,REPAIR OF FOREARM AND/OR WRIST TENDON OR MUSCLE,,,1348.92,23263.96,20 LOCAL,CASE-25272,"REPAIR OF FOREARM AND/OR WRIST TENDON OR MUSCLE ON THE TOP OF THE WRIST (EXTENSOR), SECONDARY",,,2032.96,9627.58,20 LOCAL,CASE-25274,REPAIR OF TENDON OR MUSCLE ON TOP SIDE OF FOREARM OR WRIST WITH GRAFT,,,1170.36,11643.84,20 LOCAL,CASE-25275,REPAIR OF FOREARM AND/OR WRIST TENDON COVERING WITH GRAFT,,,592.92,9627.58,20 LOCAL,CASE-25280,LENGTHENING OR SHORTENING OF TENDON OF FOREARM AND/OR WRIST,,,3279.02,9627.58,17 LOCAL,CASE-25290,"INCISION OF TENDON OF FOREARM AND/OR WRIST, OPEN PROCEDURE",,,396.67,4341.31,20 LOCAL,CASE-25295,REMOVAL OF SCAR TISSUE TO RELEASE TENDON OF FOREARM OR WRIST,,,474.23,4341.31,20 LOCAL,CASE-25300,ANCHORING OF FLEXING TENDON OF FINGERS TO WRIST BONE,,,621.06,4341.31,20 LOCAL,CASE-25301,ANCHORING OF EXTENDING TENDON OF FINGERS TO WRIST BONE,,,568.57,4341.31,20 LOCAL,CASE-25310,RELOCATION OF TENDON OF FOREARM AND/OR WRIST PROFESSIONAL,,,638.34,9627.58,20 LOCAL,CASE-25312,RELOCATION OF TENDON OF FOREARM AND/OR WRIST WITH GRAFTS,,,627.97,4341.31,20 LOCAL,CASE-25315,REPAIR OF TENDON OF FOREARM AND/OR WRIST,,,677.5,9627.58,20 LOCAL,CASE-25316,RELEASE AND RELOCATION OF TENDONS OF FOREARM OR WRIST,,,797.59,9627.58,20 LOCAL,CASE-25320,RECONSTRUCTION OF WRIST JOINT,,,883.4,9627.58,20 LOCAL,CASE-25332,REPAIR OF WRIST JOINT,,,731.93,4341.31,20 LOCAL,CASE-25337,REPAIR OF TENDONS OF OUTER FOREARM AT WRIST JOINT,,,787.67,9627.58,20 LOCAL,CASE-25350,INCISION OR PARTIAL REMOVAL OF FOREARM BONE ON THUMB SIDE NEAR HAND,,,594.42,9627.58,20 LOCAL,CASE-25355,INCISION OR PARTIAL REMOVAL OF FOREARM BONE ON THUMB SIDE NEAR ELBOW OR IN MIDDLE,,,675.72,4341.31,20 LOCAL,CASE-25360,INCISION OR PARTIAL REMOVAL OF FOREARM BONE ON SMALL FINGER SIDE,,,578.45,9627.58,20 LOCAL,CASE-25365,INCISION OR PARTIAL REMOVAL OF BOTH FOREARM BONES,,,797.93,17034.43,20 LOCAL,CASE-25390,SHORTENING OF ONE OF THE FOREARM BONES,,,666.13,9627.58,20 LOCAL,CASE-25394,SHORTENING OF WRIST BONE,,,691.48,9627.58,20 LOCAL,CASE-25400,REPAIR NON-HEALED FRACTURE OF FOREARM BONE,,,695.0,9627.58,20 LOCAL,CASE-25405,REPAIR NON-HEALED FRACTURE OF FOREARM BONE WITH PATIENT-DERIVED BONE GRAFT,,,882.03,17034.43,20 LOCAL,CASE-25430,INSERTION OF VASCULAR BONE GRAFT INTO WRIST BONE,,,656.95,4341.31,20 LOCAL,CASE-25440,"REPAIR OF NON-HEALED WRIST BONE, SCAPHOID OR NAVICULAR AT THE BASE OF THE THUMB",,,666.15,9627.58,20 LOCAL,CASE-25442,ARTHROPLASTY OR REPLACEMENT OF THE END OF THE FOREARM BONE ON THE SMALL FINGER SIDE AT THE WRIST LEVEL,,,701.28,23263.96,20 LOCAL,CASE-25443,"ARTHROPLASTY OR REPLACEMENT OF WRIST BONE, ONE WRIST BONE (SCAPHOID OR NAVICULAR BONE)",,,694.95,9627.58,20 LOCAL,CASE-25444,"ARTHROPLASTY OR REPLACEMENT OF WRIST BONE, ONE WRIST BONE (LUNATE BONE)",,,718.14,17034.43,20 LOCAL,CASE-25445,"ARTHROPLASTY OR REPLACEMENT OF WRIST BONE, ONE WRIST BONE (TRAPEZIUM BONE)",,,628.4,9627.58,20 LOCAL,CASE-25446,ARTHROPLASTY OR REPLACEMENT OF THE ENTIRE WRIST JOINT,,,985.65,23263.96,20 LOCAL,CASE-25447,REMOVAL OF BONE JOINTS BETWEEN WRIST AND FINGERS PROFESSIONAL,,,707.5,4341.31,20 LOCAL,CASE-25448,REPLACEMENT OF JOINT BETWEEN WRIST AND FINGERS USING TENDON OR STITCHES PROFESSIONAL,,,446.89,4341.31,20 LOCAL,CASE-25449,REVISION OF WRIST JOINT REPLACEMENT WITH REMOVAL OF EXISTING PROSTHESIS,,,876.34,9627.58,20 LOCAL,CASE-25450,STAPLING OR REMOVAL OF GROWTH PLATE OF FOREARM BONE,,,558.81,9627.58,20 LOCAL,CASE-25490,STABILIZATION OF FOREARM BONE ON THUMB SIDE WITH DEVICE,,,639.74,9627.58,20 LOCAL,CASE-25500,CLOSED TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON THUMB SIDE FACILITY,,,247.2,398.78,20 LOCAL,CASE-25515,TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON THUMB SIDE,,,601.42,9627.58,20 LOCAL,CASE-25526,TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON THUMB SIDE AND DISLOCATED WRIST JOINT WITH REPAIR OF CARTILAGE,,,841.85,9627.58,20 LOCAL,CASE-25530,CLOSED TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON SMALL FINGER SIDE FACILITY,,,247.2,373.01,20 LOCAL,CASE-25535,CLOSED TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON SMALL FINGER SIDE WITH MANIPULATION FACILITY,,,434.89,4341.31,20 LOCAL,CASE-25545,TREATMENT OF BROKEN MIDPART OF FOREARM BONE ON SMALL FINGER SIDE,,,566.43,9627.58,20 LOCAL,CASE-25560,CLOSED TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES FACILITY,,,247.2,399.83,20 LOCAL,CASE-25565,CLOSED TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES WITH MANIPULATION FACILITY,,,486.89,2133.49,20 LOCAL,CASE-25575,TREATMENT OF BROKEN MIDPART OF BOTH FOREARM BONES WITH PLACEMENT OF STABILIZING DEVICE ON BOTH BONES,,,797.91,9627.58,20 LOCAL,CASE-25600,CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST AREA ON THE THUMB SIDE OF THE WRIST WITHOUT MANIPULATION FACILITY,,,247.2,503.78,20 LOCAL,CASE-25605,CLOSED TREATMENT OF BROKEN OR GROWTH PLATE SEPARATE OF FOREARM BONE AT WRIST WITH MANIPULATION FACILITY,,,525.94,2133.49,20 LOCAL,CASE-25606,PLACEMENT OF STABILIZING DEVICE FOR BROKEN FOREARM BONE ON THUMB SIDE AT WRIST,,,611.02,4341.31,20 LOCAL,CASE-25607,"TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST, ABOVE WRIST, WITH PLACEMENT OF STABILIZING DEVICE PROFESSIONAL",,,662.58,9627.58,20 LOCAL,CASE-25608,TREATMENT OF 2 BROKEN LOWER FOREARM BONE PIECES ON THUMB SIDE INSIDE WRIST JOINT WITH PLACEMENT OF STABILIZING DEVICE PROFESSIONAL,,,730.7,9627.58,20 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,,,915.46,9627.58,20 LOCAL,CASE-25622,CLOSED TREATMENT OF BROKEN WRIST BONE NEAR BASE OF THUMB FACILITY,,,247.2,432.99,20 LOCAL,CASE-25628,TREATMENT OF BROKEN WRIST BONE LOCATED NEAR BASE OF THUMB-EXPRESS CARE,,,635.22,9627.58,20 LOCAL,CASE-25630,CLOSED TREATMENT OF OTHER BROKEN WRIST BONE FACILITY,,,247.2,422.94,20 LOCAL,CASE-25645,TREATMENT OF OTHER BROKEN WRIST BONES FACILITY,,,517.48,4341.31,20 LOCAL,CASE-25650,CLOSED TREATMENT OF BROKEN BASE OF FOREARM BONE ON SMALL FINGER SIDE AT WRIST FACILITY,,,247.2,472.82,20 LOCAL,CASE-25651,PLACEMENT OF STABILIZING DEVICE FOR BROKEN BASE OF FOREARM BONE ON SMALL FINGER SIDE AT WRIST,,,454.2,4341.31,20 LOCAL,CASE-25652,TREATMENT OF BROKEN BASE OF FOREARM BONE ON SMALL FINGER SIDE AT WRIST,,,561.95,9627.58,20 LOCAL,CASE-25676,TREATMENT OF DISLOCATED FOREARM BONES AT WRIST,,,565.22,9627.58,20 LOCAL,CASE-25685,TREATMENT OF BROKEN AND DISLOCATED WRIST BONES,,,650.75,9627.58,20 LOCAL,CASE-25695,TREATMENT OF BROKEN WRIST (LUNATE) BONE,,,1134.36,17034.43,20 LOCAL,CASE-25800,COMPLETE FUSION OF WRIST JOINT,,,637.35,9627.58,20 LOCAL,CASE-25810,FUSION OF WRIST JOINT WITH GRAFT FROM HIP OR OTHER BONE,,,751.82,17034.43,20 LOCAL,CASE-25820,FUSION OF PART OF WRIST JOINT,,,590.37,9627.58,20 LOCAL,CASE-25825,FUSION OF PART OF WRIST JOINT WITH PATIENT-DERIVED BONE GRAFT,,,1424.86,9627.58,20 LOCAL,CASE-25830,FUSION OF BOTH FOREARM BONES AT WRIST,,,937.58,9627.58,20 LOCAL,CASE-25900,AMPUTATION OF ARM THROUGH FOREARM BONES,,,634.35,9627.58,20 LOCAL,CASE-25907,REVISION OF SCAR OR WOUND CLOSURE OF PREVIOUS AMPUTATION AT FOREARM BONES,,,553.72,4341.31,20 LOCAL,CASE-25999,UNLISTED PROC FOREARM/WRIST PROFESSIONAL,,,294.48,3853.99,19 LOCAL,CASE-26010,SIMPLE DRAINAGE OF ABSCESS OF FINGER FACILITY,,,140.81,266.2,20 LOCAL,CASE-26020,DRAINAGE OF TENDON OF FINGER AND/OR PALM,,,508.97,4341.31,20 LOCAL,CASE-26034,INCISION OF HAND OR FINGER BONE,,,504.21,2133.49,20 LOCAL,CASE-26040,RELEASE OF TISSUE OF PALM FACILITY,,,299.13,2133.49,20 LOCAL,CASE-26045,PARTIAL RELEASE OF CONNECTIVE TISSUE OF PALM,,,433.8,4341.31,20 LOCAL,CASE-26055,INCISION OF TENDON COVERING OF FINGER FACILITY,,,278.79,2133.49,20 LOCAL,CASE-26060,INCISION OF FINGER TENDON,,,236.79,4341.31,20 LOCAL,CASE-26070,"INCISION OF WRIST JOINT AT FINGER FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,301.8,2590.89,20 LOCAL,CASE-26075,"INCISION OF LOWER FINGER JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,318.01,4341.31,20 LOCAL,CASE-26080,"INCISION OF FINGER JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY FACILITY",,,374.24,2133.49,20 LOCAL,CASE-26100,INCISION OF WRIST JOINT AT FINGER WITH BIOPSY,,,325.58,4341.31,20 LOCAL,CASE-26105,INCISION OF JOINT AT BASE OF FINGER WITH BIOPSY,,,327.03,4341.31,20 LOCAL,CASE-26110,INCISION OF FINGER JOINT WITH BIOPSY,,,307.1,2133.49,20 LOCAL,CASE-26111,REMOVAL (1.5 CENTIMETERS OR GREATER) TISSUE BENEATH THE SKIN GROWTH OF HAND OR FINGER PROFESSIONAL,,,373.95,2191.35,20 LOCAL,CASE-26113,"REMOVAL OF GROWTH OF MUSCLE OF HAND OR FINGER, 1.5 CM OR MORE FACILITY",,,488.08,2191.35,20 LOCAL,CASE-26115,REMOVAL (LESS THAN 1.5 CENTIMETERS) TISSUE BENEATH THE SKIN GROWTH OF HAND OR FINGER PROFESSIONAL,,,308.53,2191.35,20 LOCAL,CASE-26116,"REMOVAL OF GROWTH OF MUSCLE OF HAND OR FINGER, LESS THAN 1.5 CM FACILITY",,,471.36,2191.35,20 LOCAL,CASE-26117,"EXTENSIVE REMOVAL OF GROWTH OF HAND OR FINGER, LESS THAN 3.0 CM",,,656.5,3853.99,20 LOCAL,CASE-26118,"EXTENSIVE REMOVAL OF GROWTH OF HAND OR FINGER, 3.0 CM OR MORE",,,916.98,5195.02,20 LOCAL,CASE-26121,REMOVAL OF CONNECTIVE TISSUE OF PALM FACILITY,,,535.54,4341.31,20 LOCAL,CASE-26123,"REMOVAL OF CONNECTIVE TISSUE OF PALM AND RELEASE OF FINGER, FIRST DIGIT PROFESSIONAL",,,744.17,4341.31,20 LOCAL,CASE-26125,"REMOVAL OF CONNECTIVE TISSUE OF PALM AND RELEASE OF FINGER, EACH ADDITIONAL DIGIT PROFESSIONAL",,,418.68,4341.31,20 LOCAL,CASE-26130,REMOVAL OF WRIST JOINT LINING,,,437.97,4341.31,20 LOCAL,CASE-26135,REPAIR OF HAND JOINT,,,495.4,9627.58,20 LOCAL,CASE-26140,REMOVAL OF JOINT LINING AND REPAIR OF TENDON ON THE TOPSIDE OF FINGER,,,459.46,2133.49,20 LOCAL,CASE-26145,"REPAIR OF TENDON, FINGER, AND/OR PALM OF HAND",,,465.35,2133.49,20 LOCAL,CASE-26160,REMOVAL OF GROWTH OF TENDON FINGER OR HAND PROFESSIONAL,,,298.04,2133.49,20 LOCAL,CASE-26170,REMOVAL OF TENDON OF PALM,,,375.99,2133.49,20 LOCAL,CASE-26180,REMOVAL OF TENDON OF FINGER,,,414.17,4341.31,20 LOCAL,CASE-26200,REMOVAL OF CYST OR GROWTH FROM HAND BONE,,,409.87,4341.31,20 LOCAL,CASE-26205,REMOVAL OF CYST OR GROWTH FROM HAND BONE WITH SELF BONE GRAFT,,,545.23,9627.58,20 LOCAL,CASE-26210,REMOVAL OF CYST OR GROWTH OF FINGER BONE,,,411.45,2133.49,20 LOCAL,CASE-26215,REMOVAL OF CYST OR GROWTH OF FINGER BONE WITH SELF BONE GRAFT,,,515.26,4341.31,20 LOCAL,CASE-26235,PARTIAL REMOVAL OF FINGER BONE NEAREST HAND OR MIDDLE OF FINGER FACILITY,,,442.97,2133.49,20 LOCAL,CASE-26236,PARTIAL REMOVAL OF FINGER BONE AT END OF FINGER FACILITY,,,403.82,4341.31,20 LOCAL,CASE-26250,EXTENSIVE REMOVAL OF GROWTH OF HAND BONE,,,922.86,4341.31,20 LOCAL,CASE-26260,EXTENSIVE REMOVAL OF GROWTH OF FINGER,,,699.89,4341.31,20 LOCAL,CASE-26320,REMOVAL OF IMPLANT FROM FINGER OR HAND,,,324.5,9627.58,20 LOCAL,CASE-26340,MANIPULATION OF FINGER JOINT UNDER ANESTHESIA FACILITY,,,1083.36,2133.49,20 LOCAL,CASE-26341,MANIPULATION OF FINGER FOR CONNECTIVE TISSUE RELEASE FOLLOWING ENZYME INJECTION FACILITY,,,70.25,327.28,20 LOCAL,CASE-26350,REPAIR OF FINGER TENDON OF UNDER SIDE OF HAND OTHER THAN UPPER MOST PART OF PALM AND FINGERS,,,725.26,4341.31,20 LOCAL,CASE-26352,REPAIR OF FINGER TENDON ON UNDER SIDE OF HAND WITH A GRAFT NOT IN ZONE 2,,,784.3,9627.58,20 LOCAL,CASE-26356,PRIMARY REPAIR OF FINGER TENDON ON UNDERSIDE OF THE HAND WITHOUT A GRAFT IN ZONE 2 FACILITY,,,722.52,4341.31,20 LOCAL,CASE-26357,SECONDARY REPAIR OF FINGER TENDON ON UNDERSIDE OF HAND WITHOUT A GRAFT IN ZONE 2,,,811.93,4341.31,20 LOCAL,CASE-26358,SECONDARY REPAIR OF FINGER TENDON ON UNDERSIDE OF HAND WITH A GRAFT IN ZONE 2,,,884.48,9627.58,20 LOCAL,CASE-26370,REPAIR OF TENDON DEEP IN UNDERSIDE OF FINGER,,,742.22,4341.31,20 LOCAL,CASE-26372,SECONDARY REPAIR OF TENDON DEEP IN UNDERSIDE OF FINGER WITH A GRAFT,,,869.57,9627.58,20 LOCAL,CASE-26373,SECONDARY REPAIR OF TENDON DEEP IN UNDERSIDE OF FINGER,,,843.06,4341.31,20 LOCAL,CASE-26410,REPAIR OF TENDON ON TOP OF HAND FACILITY,,,1178.72,4341.31,20 LOCAL,CASE-26412,REPAIR OF TENDON ON TOP OF HAND WITH GRAFT,,,679.83,9627.58,20 LOCAL,CASE-26415,REMOVAL OF TENDON FROM TOP OF HAND OR FINGER WITH ROD INSERTION,,,806.39,4341.31,20 LOCAL,CASE-26416,REMOVAL OF ROD WITH TENDON GRAFT AT TOP OF HAND OR FINGER,,,2596.98,4341.31,20 LOCAL,CASE-26418,REPAIR OF TENDON ON TOP SIDE OF FINGER FACILITY,,,620.77,2133.49,20 LOCAL,CASE-26426,SECONDARY REPAIR OF TENDON OF TOP OF FINGER USING TISSUE,,,455.15,4341.31,20 LOCAL,CASE-26432,CLOSED TREATMENT OF TENDON OF UPPER SIDE OF FINGER,,,535.23,2133.49,20 LOCAL,CASE-26433,REPAIR OF TENDON ON UPPER SIDE OF END OF FINGER,,,558.06,4341.31,20 LOCAL,CASE-26437,REPAIR OF TENDON ON UPPER SIDE OF HAND FACILITY,,,635.41,4341.31,20 LOCAL,CASE-26440,RELEASE OF TENDON OF PALM OR FINGER FACILITY,,,1265.78,2133.49,20 LOCAL,CASE-26445,RELEASE OF TENDON OF TOP OF HAND OR FINGER FACILITY,,,1195.82,4341.31,20 LOCAL,CASE-26449,RELEASE OF TENDON EXTENDING FROM FINGER TO FOREARM,,,2534.08,4341.31,20 LOCAL,CASE-26450,INCISION OF TENDON OF PALM,,,451.76,4341.31,20 LOCAL,CASE-26455,INCISION OF TENDON OF FINGER,,,451.79,4341.31,20 LOCAL,CASE-26460,INCISION OF TENDON AT TOP OF HAND OR FINGER,,,442.29,4341.31,20 LOCAL,CASE-26471,SUTURE OF TENDON TO FIRST JOINT OF FINGER,,,630.53,4341.31,20 LOCAL,CASE-26474,SUTURE OF TENDON TO JOINT OF FINGER NEAR TOP OF FINGER,,,640.89,9627.58,20 LOCAL,CASE-26476,LENGTHENING OF TENDON ON UPPER SIDE OF HAND OR FINGER,,,634.64,4341.31,20 LOCAL,CASE-26477,SHORTENING OF TENDON OF UPPER SIDE OF HAND OR FINGER,,,1204.9,4341.31,20 LOCAL,CASE-26478,LENGTHENING OF TENDON OF PALM SIDE OF FINGER OR HAND,,,1273.12,4341.31,20 LOCAL,CASE-26480,TRANSFER OF TENDON TO BACK OF HAND,,,638.24,9627.58,20 LOCAL,CASE-26483,TRANSFER OF TENDON TO BACK OF HAND WITH GRAFT,,,812.79,11643.84,20 LOCAL,CASE-26485,TRANSFER OF TENDON TO PALM,,,786.93,4341.31,20 LOCAL,CASE-26490,TRANSFER OF TENDON FROM RING FINGER TO THUMB,,,793.69,4341.31,20 LOCAL,CASE-26492,TRANSFER OF TENDON TO THUMB WITH GRAFT,,,869.19,9627.58,20 LOCAL,CASE-26494,TRANSFER OF TENDON IN PALM TO THUMB,,,795.9,4341.31,20 LOCAL,CASE-26496,"TRANSFER OF TENDON TO THUMB, PALM, OR WRIST",,,847.14,4341.31,20 LOCAL,CASE-26498,"TRANSFER OF TENDONS OF HAND, ALL 4 FINGERS",,,1066.77,4341.31,20 LOCAL,CASE-26499,CORRECTION CLAW FINGER,,,3278.52,11643.84,20 LOCAL,CASE-26502,REPAIR OF LIGAMENT SURROUNDING FINGER TENDON WITH GRAFT,,,723.15,4341.31,20 LOCAL,CASE-26508,RELEASE OF MUSCLES OF PALM NEAR THUMB,,,628.59,9627.58,20 LOCAL,CASE-26510,TRANSFER OF FINGER TENDON,,,614.81,9627.58,20 LOCAL,CASE-26516,"REPAIR OF JOINT CAPSULE OF HAND AND PALM, 1 FINGER",,,697.8,9627.58,20 LOCAL,CASE-26520,INCISION OR REMOVAL OF JOINT CAPSULE BETWEEN HAND AND FINGER FACILITY,,,660.0,9627.58,20 LOCAL,CASE-26525,REPAIR OF JOINT CAPSULE OF FINGER,,,666.02,2133.49,20 LOCAL,CASE-26530,REPAIR OF JOINT CONNECTING HAND AND FINGER BONES,,,486.64,9627.58,20 LOCAL,CASE-26531,REPAIR OF JOINT BETWEEN HAND AND FINGER BONES WITH PROSTHESIS,,,561.09,9627.58,20 LOCAL,CASE-26536,REPLACEMENT OF FINGER JOINT WITH PROSTHESIS PROFESSIONAL,,,716.28,9627.58,20 LOCAL,CASE-26540,REPAIR OF LIGAMENT OF FINGER OR HAND AND FINGER JOINT,,,662.48,4341.31,20 LOCAL,CASE-26541,REPAIR OF LIGAMENT OF FINGER OR HAND TO FINGER JOINT WITH GRAFT,,,774.09,4341.31,20 LOCAL,CASE-26542,REPAIR OF LIGAMENT OF HAND TO FINGER JOINT WITH LOCAL TISSUE,,,678.55,4341.31,20 LOCAL,CASE-26545,REPAIR OF LIGAMENT OF FINGER JOINT WITH GRAFT,,,689.16,4341.31,20 LOCAL,CASE-26546,REPAIR OF NONHEALED HAND OR FINGER BONE,,,962.47,9627.58,20 LOCAL,CASE-26548,REPAIR OF JOINT BETWEEN FINGER AND PALM,,,742.88,4341.31,20 LOCAL,CASE-26550,SURGICAL CREATION OF THUMB,,,1452.41,4341.31,20 LOCAL,CASE-26560,REPAIR OF WEBBED FINGER WITH SKIN FLAPS,,,623.09,3853.99,20 LOCAL,CASE-26561,REPAIR OF WEBBED FINGER WITH SKIN FLAPS AND GRAFTS,,,906.65,4341.31,20 LOCAL,CASE-26562,COMPLEX REPAIR OF EACH WEBBED FINGER,,,1247.27,4341.31,20 LOCAL,CASE-26565,INCISION OR REMOVAL OF HAND BONE,,,671.82,4341.31,20 LOCAL,CASE-26567,PARTIAL REMOVAL OF FINGER BONE,,,681.22,4341.31,20 LOCAL,CASE-26568,LENGTHENING OF HAND OR FINGER BONE,,,881.84,9627.58,20 LOCAL,CASE-26580,REPAIR OF DEFORMED HAND,,,1370.88,4341.31,19 LOCAL,CASE-26587,REMOVAL OF EXTRA FINGER,,,912.08,4341.31,20 LOCAL,CASE-26590,REPAIR OF ENLARGED FINGER,,,1265.94,2133.49,20 LOCAL,CASE-26591,REPAIR OF HAND MUSCLE,,,488.23,4341.31,20 LOCAL,CASE-26593,RELEASE OF HAND MUSCLE,,,623.4,9627.58,20 LOCAL,CASE-26600,CLOSED TREATMENT OF BROKEN HAND BONE FACILITY,,,247.2,442.31,20 LOCAL,CASE-26605,CLOSED TREATMENT OF BROKEN HAND BONE WITH MANIPULATION FACILITY,,,247.2,454.83,20 LOCAL,CASE-26608,TREATMENT OF BROKEN FINGER BONE WITH STABILIZING DEVICE ACCESSED THROUGH SKIN,,,446.3,4341.31,20 LOCAL,CASE-26615,TREATMENT OF BROKEN MIDHAND BONE,,,524.42,4341.31,20 LOCAL,CASE-26650,PLACEMENT OF STABILIZING DEVICE FOR BROKEN THUMB AT WRIST WITH MANIPULATION,,,453.75,4341.31,20 LOCAL,CASE-26665,TREATMENT OF BROKEN THUMB AT WRIST,,,554.78,4341.31,20 LOCAL,CASE-26676,PLACEMENT OF STABILIZING DEVICE FOR DISLOCATED HAND BONE AT WRIST JOINT WITH MANIPULATION,,,471.55,4341.31,20 LOCAL,CASE-26685,TREATMENT OF BROKEN HAND BONE AT WRIST,,,515.14,4341.31,20 LOCAL,CASE-26686,COMPLICATED TREATMENT OF DISLOCATED MIDHAND BONE AT WRIST,,,560.62,4341.31,20 LOCAL,CASE-26705,CLOSED TREATMENT OF DISLOCATED HAND JOINT AT BASE OF FINGER WITH MANIPULATION UNDER ANESTHESIA FACILITY,,,381.55,2133.49,20 LOCAL,CASE-26706,PLACEMENT OF STABILIZING DEVICE FOR DISLOCATED HAND JOINT AT BASE OF FINGER WITH MANIPULATION-EXPRESS CARE,,,403.5,4341.31,20 LOCAL,CASE-26720,CLOSED TREATMENT OF BROKEN FINGER OR THUMB AT MIDPORTION OR PART NEAR HAND FACILITY,,,200.55,327.28,20 LOCAL,CASE-26725,CLOSED TREATMENT OF BROKEN FINGER OR THUMB AT MIDPORTION OR PART NEAR HAND WITH MANIPULATION FACILITY,,,247.2,465.62,20 LOCAL,CASE-26727,PLACEMENT OF STABILIZING DEVICE FOR BROKEN FINGER OR THUMB AT MIDPORTION OR PART NEAR HAND WITH MANIPULATION PROFESSIONAL,,,439.6,4341.31,20 LOCAL,CASE-26735,TREATMENT OF BROKEN FINGER AT MIDPORTION OR PART NEAR HAND,,,539.57,4341.31,20 LOCAL,CASE-26740,CLOSED TREATMENT OF BROKEN FINGER OR HAND AT BASE OF FINGER FACILITY,,,221.18,331.77,20 LOCAL,CASE-26742,CLOSED TREATMENT OF BROKEN FINGER OR HAND AT BASE OF FINGER WITH MANIPULATION,,,327.21,9627.58,20 LOCAL,CASE-26746,TREATMENT OF BROKEN FINGER OR HAND AT BASE OF FINGER,,,654.54,4341.31,20 LOCAL,CASE-26750,CLOSED TREATMENT OF BROKEN END OF FINGER OR THUMB FACILITY,,,203.7,327.28,20 LOCAL,CASE-26756,PLACEMENT OF STABILIZING DEVICE FOR BROKEN END OF FINGER OR THUMB PROFESSIONAL,,,401.24,4341.31,20 LOCAL,CASE-26765,TREATMENT OF BROKEN END OF FINGER OR THUMB,,,467.81,4341.31,20 LOCAL,CASE-26770,CLOSED TREATMENT OF DISLOCATED FINGER JOINT WITH MANIPULATION FACILITY,,,247.2,445.02,20 LOCAL,CASE-26785,TREATMENT OF DISLOCATED FINGER JOINT,,,502.76,4341.31,20 LOCAL,CASE-26841,FUSION OF THUMB AT WRIST,,,731.5,9627.58,20 LOCAL,CASE-26842,FUSION OF THUMB AT WRIST WITH BONE GRAFT,,,788.54,9627.58,20 LOCAL,CASE-26850,FUSION OF JOINT BETWEEN FINGER AND HAND,,,687.86,9627.58,20 LOCAL,CASE-26852,FUSION OF FINGER JOINT AT HAND WITH SELF BONE GRAFT,,,770.7,9627.58,20 LOCAL,CASE-26860,"FUSION OF FINGER JOINT, INITIAL JOINT PROFESSIONAL",,,597.26,9627.58,20 LOCAL,CASE-26861,"FUSION OF FINGER JOINT, EACH ADDITIONAL JOINT",,,79.39,9627.58,20 LOCAL,CASE-26862,"FUSION OF FINGER JOINT WITH SELF BONE GRAFT, INITIAL JOINT",,,717.71,9627.58,20 LOCAL,CASE-26863,"FUSION OF FINGER JOINT WITH SELF BONE GRAFT, EACH ADDITIONAL JOINT",,,176.47,9627.58,20 LOCAL,CASE-26910,AMPUTATION OF FINGER OR THUMB,,,718.13,9627.58,20 LOCAL,CASE-26951,AMPUTATION OF FINGER OR THUMB WITH DIRECT CLOSURE FACILITY,,,685.35,4341.31,20 LOCAL,CASE-26952,AMPUTATION OF FINGER OR THUMB WITH TISSUE FLAP FACILITY,,,650.81,4341.31,20 LOCAL,CASE-26989,UNLISTED PROC HANDS/FINGERS PROFESSIONAL,,,141.96,327.28,19 LOCAL,CASE-26990,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF PELVIS OR HIP NEAR JOINT,,,1262.38,4341.31,20 LOCAL,CASE-26992,INCISION OF PELVIS AND/OR HIP JOINT BONE,,,889.32,4341.31,20 LOCAL,CASE-27000,INCISION OF HIP TENDON THROUGH SKIN,,,353.28,17034.43,20 LOCAL,CASE-27001,INCISION OF HIP TENDON,,,486.22,4914.02,20 LOCAL,CASE-27025,INCISION OF CONNECTIVE TISSUE OF HIP OR THIGH,,,827.55,4341.31,20 LOCAL,CASE-27030,INCISION AND DRAINAGE OF HIP JOINT,,,803.77,9627.58,20 LOCAL,CASE-27036,REPAIR OF HIP JOINT CAPSULE,,,883.96,9627.58,20 LOCAL,CASE-27040,BIOPSY OF SURFACE TISSUE OF PELVIS AND HIP,,,174.71,2191.35,20 LOCAL,CASE-27043,"REMOVAL OF GROWTH UNDER SKIN OF PELVIS AND HIP, 3.0 CM OR MORE PROFESSIONAL",,,420.19,3853.99,20 LOCAL,CASE-27045,"REMOVAL OF GROWTH OF MUSCLE OF PELVIS AND HIP, 5.0 CM OR MORE",,,641.79,3853.99,20 LOCAL,CASE-27047,"REMOVAL OF GROWTH UNDER SKIN OF PELVIS AND HIP, LESS THAN 3.0 CM FACILITY",,,659.16,3853.99,20 LOCAL,CASE-27049,"EXTENSIVE REMOVAL OF GROWTH OF PELVIS AND HIP, LESS THAN 5.0 CM",,,1199.62,3853.99,20 LOCAL,CASE-27059,"EXTENSIVE REMOVAL OF GROWTH OF PELVIS AND HIP, 5.0 CM OR MORE",,,1511.07,3853.99,20 LOCAL,CASE-27062,REMOVAL OF FLUID-FILLED SAC (BURSA) OR CALCIUM DEPOSIT OF PELVIS PROFESSIONAL,,,412.57,4341.31,20 LOCAL,CASE-27065,"REMOVAL OF CYST OR GROWTH OF HIP, PUBIC, OR HEAD OF THIGH BONE WITH SELF BONE GRAFT",,,483.86,9627.58,20 LOCAL,CASE-27066,"REMOVAL OF DEEP CYST OR GROWTH OF HIP, PUBIC, OR HEAD OF THIGH BONE WITH SELF BONE GRAFT",,,714.62,4341.31,20 LOCAL,CASE-27070,"PARTIAL REMOVAL OF SUPERFICIAL CYST OR GROWTH OF HIP, PUBIC, OR HEAD OF THIGH BONE WITH SELF BONE GRAFT",,,783.96,4341.31,20 LOCAL,CASE-27071,"PARTIAL REMOVAL OF DEEP CYST OR GROWTH OF HIP, PUBIC, OR HEAD OF THIGH BONE WITH SELF BONE GRAFT",,,868.62,4341.31,20 LOCAL,CASE-27080,REMOVAL OF TAILBONE,,,467.31,4341.31,20 LOCAL,CASE-27087,REMOVAL OF FOREIGN BODY IN TISSUE OR MUSCLE OF PELVIS OR HIP,,,556.78,4341.31,20 LOCAL,CASE-27093,INJECTION OF CONTRAST FOR IMAGING OF HIP JOINT FACILITY,,,54.56,1040.11,20 LOCAL,CASE-27095,INJECTION OF CONTRAST FOR IMAGING OF HIP UNDER ANESTHESIA FACILITY,,,65.03,3853.99,20 LOCAL,CASE-27096,INJECTION OF ANESTHETIC OR STEROID INTO JOINT BETWEEN LOWER SPINE AND HIP BONE USING IMAGING GUIDANCE FACILITY,,,4.31,1060.12,19 LOCAL,CASE-27122,REPAIR OF HIP SOCKET WITH REMOVAL OF HEAD OF THIGH BONE,,,943.3,10897.67,20 LOCAL,CASE-27130,REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS PROFESSIONAL,,,1078.05,17034.43,21 LOCAL,CASE-27132,TOTAL HIP REPLACEMENT AFTER PREVIOUS HIP SURGERY PROFESSIONAL,,,1393.39,17034.43,20 LOCAL,CASE-27134,REVISION OF THIGH BONE AND HIP JOINT PROSTHESIS,,,1562.25,17034.43,20 LOCAL,CASE-27137,REVISION OF HIP SOCKET PART OF HIP PROSTHESIS,,,1219.13,17034.43,20 LOCAL,CASE-27138,REVISION OF THIGH BONE PROSTHESIS,,,1264.39,17034.43,20 LOCAL,CASE-27140,REPOSITIONING OF PART OF HEAD OF THIGH BONE,,,777.48,9627.58,20 LOCAL,CASE-27146,INCISION OR PARTIAL REMOVAL OF HIP BONE,,,556.78,4341.31,19 LOCAL,CASE-27161,INCISION OR PARTIAL REMOVAL OF NECK OF THIGH BONE,,,1040.22,9627.58,20 LOCAL,CASE-27165,INCISION OR PARTIAL REMOVAL OF THIGH BONE BELOW NECK WITH PLACEMENT OF STABILIZING DEVICE OR CAST,,,1173.84,9627.58,20 LOCAL,CASE-27170,BONE GRAFT TO UPPER THIGH BONE,,,1980.1,9627.58,20 LOCAL,CASE-27176,TREATMENT OF GROWTH PLATE AT TOP OF THIGH WITH PINS INSERTED THROUGH SKIN',,,803.76,4341.31,20 LOCAL,CASE-27177,TREATMENT OF SLIPPED GROWTH PLATE AT UPPER END OF THIGH BONE WITH PINNING OR BONE GRAFT,,,959.21,4341.31,20 LOCAL,CASE-27181,REPAIR OF GROWTH PLATE IN HEAD OF THIGH BONE WITH PLACEMENT OF STABILIZING DEVICE,,,965.06,10897.67,20 LOCAL,CASE-27185,REMOVAL OF GROWTH PLATE OF UPPER THIGH BONE,,,637.47,9627.58,20 LOCAL,CASE-27187,STABILIZATION OF UPPER THIGH BONE WITH DEVICE,,,861.12,9627.58,20 LOCAL,CASE-27215,TREATMENT OF BROKEN BONES ON SIDE OF PELVIS,,,0.3,470.8,5 LOCAL,CASE-27216,PLACEMENT OF STABILIZING DEVICE FOR BROKEN AND/OR DISLOCATED BONE ON SIDE OF PELVIS,,,0.3,695.35,5 LOCAL,CASE-27235,PLACEMENT OF STABILIZING DEVICE FOR UPPER END OF BROKEN THIGH BONE,,,783.7,10897.67,20 LOCAL,CASE-27236,TREATMENT OF UPPER END OF BROKEN THIGH BONE WITH PLACEMENT OF STABILIZING DEVICE OR PROSTHETIC REPLACEMENT,,,1016.46,9627.58,20 LOCAL,CASE-27244,TREATMENT OF BROKEN NECK OF THIGH BONE WITH PLATE/SCREW IMPLANT,,,1044.8,9627.58,20 LOCAL,CASE-27245,TREATMENT OF BROKEN NECK OF THIGH BONE WITH BONE IMPLANT,,,1042.69,9627.58,20 LOCAL,CASE-27257,TREATMENT OF SPONTANEOUS DISLOCATED HIP UNDER ANESTHESIA,,,306.72,2133.49,20 LOCAL,CASE-27258,TREATMENT OF SPONTANEOUS DISLOCATED HIP,,,951.31,4341.31,20 LOCAL,CASE-27266,CLOSED TREATMENT OF DISLOCATED HIP PROSTHESIS UNDER ANESTHESIA FACILITY,,,526.96,2133.49,20 LOCAL,CASE-27279,FUSION OF PELVIC JOINT USING IMAGING GUIDANCE,,,704.93,23263.96,20 LOCAL,CASE-27280,"FUSION OF SACROILIAC JOINT BETWEEN SPINE AND PELVIS WITH BONE GRAFT, OPEN PROCEDURE",,,1154.06,23263.96,20 LOCAL,CASE-27282,FUSION OF JOINT BETWEEN PUBIC BONES,,,704.93,26332.98,19 LOCAL,CASE-27299,UNLISTED PROC PELVIS/HIP JOINT - FACILITY,,,98.97,327.28,19 LOCAL,CASE-27301,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF THIGH OR KNEE,,,457.39,4341.31,20 LOCAL,CASE-27303,INCISION OF BONE OF THIGH OR KNEE,,,570.65,4341.31,20 LOCAL,CASE-27305,INCISION OF CONNECTIVE TISSUE BETWEEN THIGH AND KNEE,,,441.29,4341.31,20 LOCAL,CASE-27310,"INCISION OF KNEE JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY PROFESSIONAL",,,649.41,4341.31,20 LOCAL,CASE-27324,BIOPSY OF DEEP TISSUE OF THIGH OR KNEE,,,381.73,3853.99,20 LOCAL,CASE-27325,REMOVAL OF NERVE OF HAMSTRING MUSCLE,,,1539.18,2590.89,20 LOCAL,CASE-27326,REMOVAL OF NERVE OF CALF MUSCLE,,,960.62,2590.89,20 LOCAL,CASE-27327,"REMOVAL OF GROWTH UNDER SKIN OF THIGH OR KNEE, 3.0 CM OR MORE FACILITY",,,292.88,2191.35,20 LOCAL,CASE-27328,"REMOVAL OF GROWTH OF MUSCLE OF THIGH OR KNEE, 5.0 CM OR LESS FACILITY",,,550.96,3853.99,20 LOCAL,CASE-27329,"EXTENSIVE REMOVAL OF GROWTH OF THIGH OR KNEE, LESS THAN 5.0 CM",,,893.92,3853.99,20 LOCAL,CASE-27331,"INCISION OF KNEE JOINT FOR EXPLORATION, BIOPSY, OR REMOVAL OF FOREIGN BODY",,,437.12,4341.31,20 LOCAL,CASE-27332,INCISION OF KNEE JOINT WITH REMOVAL OF CARTILAGE OF INNER OR OUTER SIDE OF KNEE,,,581.91,17034.43,20 LOCAL,CASE-27334,INCISION OF KNEE JOINT WITH REMOVAL OF CARTILAGE OF FRONT OR BACK OF KNEE,,,613.63,4341.31,20 LOCAL,CASE-27335,INCISION OF KNEE JOINT WITH REMOVAL OF CARTILAGE OF FRONT AND BACK OF KNEE,,,676.39,9627.58,20 LOCAL,CASE-27337,REMOVAL OF GROWTH UNDER SKIN THIGH OR KNEE 3 CM OR GREATER FACILITY,,,380.39,3853.99,20 LOCAL,CASE-27339,"REMOVAL OF GROWTH OF MUSCLE OF THIGH OR KNEE, 5.0 CM OR MORE PROFESSIONAL",,,662.96,3853.99,20 LOCAL,CASE-27340,REMOVAL OF FLUID-FILLED SAC FROM JOINT AT FRONT OF KNEE PROFESSIONAL,,,354.85,17034.43,20 LOCAL,CASE-27345,REMOVAL OF CYST OF BACK OF KNEE,,,445.26,4341.31,20 LOCAL,CASE-27347,REMOVAL OF GROWTH OF KNEE CARTILAGE OR CAPSULE,,,483.6,4341.31,20 LOCAL,CASE-27350,REMOVAL OF KNEECAP,,,586.98,9627.58,20 LOCAL,CASE-27355,REMOVAL OF CYST OR GROWTH OF THIGH BONE,,,546.54,4341.31,20 LOCAL,CASE-27356,REMOVAL OF CYST OR GROWTH OF THIGH BONE WITH DONOR BONE GRAFT,,,1312.5,17034.43,20 LOCAL,CASE-27358,REMOVAL OF CYST OR GROWTH OF THIGH BONE WITH PLACEMENT OF STABILIZING DEVICE,,,214.39,17034.43,20 LOCAL,CASE-27360,PARTIAL REMOVAL OF THIGH AND/OR LOWER LEG BONES,,,812.49,4341.31,20 LOCAL,CASE-27364,"EXTENSIVE REMOVAL OF GROWTH OF THIGH OR KNEE, 5.0 CM OR MORE",,,1318.18,3853.99,20 LOCAL,CASE-27365,EXTENSIVE REMOVAL OF GROWTH OF THIGH OR KNEE BONE,,,1695.63,4341.31,20 LOCAL,CASE-27369,INJECTION OF CONTRAST FOR IMAGING OF KNEE JOINT FACILITY,,,167.52,276.44,20 LOCAL,CASE-27372,REMOVAL OF FOREIGN BODY DEEP IN TISSUE OF THIGH OR KNEE,,,371.69,3853.99,20 LOCAL,CASE-27380,PRIMARY SUTURE OF TENDON BELOW KNEE PROFESSIONAL,,,571.46,9627.58,20 LOCAL,CASE-27381,SECONDARY SUTURE OF TENDON BELOW KNEE PROFESSIONAL,,,733.94,9627.58,20 LOCAL,CASE-27385,PRIMARY SUTURE OF RUPTURED MUSCLE OF THIGH PROFESSIONAL,,,565.5,9627.58,20 LOCAL,CASE-27386,SECONDARY SUTURE OF RUPTURED MUSCLE OF THIGH,,,765.85,9627.58,20 LOCAL,CASE-27390,REPAIR OF HAMSTRING TENDON,,,402.13,4914.02,20 LOCAL,CASE-27393,LENGTHENING OF HAMSTRING TENDON,,,453.48,10897.67,20 LOCAL,CASE-27394,LENGTHENING OF MULTIPLE HAMSTRING TENDONS IN LEG,,,584.35,9627.58,20 LOCAL,CASE-27395,LENGTHENING OF MULTIPLE HAMSTRING TENDONS IN BOTH LEGS,,,772.44,4341.31,20 LOCAL,CASE-27400,TRANSFER OF TENDON OR MUSCLE IN HAMSTRING TO FEMUR,,,621.8,17034.43,20 LOCAL,CASE-27403,INCISION AND REPAIR OF KNEE CARTILAGE,,,577.05,9627.58,20 LOCAL,CASE-27405,PRIMARY REPAIR OF TORN LIGAMENT OR JOINT CAPSULE AT OUTSIDE PART OF KNEE,,,603.13,9627.58,20 LOCAL,CASE-27412,IMPLANTATION OF SELF CARTILAGE INTO KNEE JOINT,,,1389.08,9627.58,20 LOCAL,CASE-27415,IMPLANTATION OF DONOR CARTILAGE CELLS INTO KNEE JOINT,,,1174.55,17034.43,20 LOCAL,CASE-27416,IMPLANTATION OF SELF CARTILAGE CELLS INTO KNEE BONE,,,843.31,9627.58,20 LOCAL,CASE-27418,REPAIR OF UPPER END OF SHIN BONE AT KNEE JOINT PROFESSIONAL,,,719.06,9627.58,20 LOCAL,CASE-27422,REPAIR OF DISLOCATING KNEECAP WITH REALIGNMENT PROFESSIONAL,,,658.45,9627.58,20 LOCAL,CASE-27425,RELEASE OF LIGAMENTS OF KNEE JOINT,,,423.47,4341.31,20 LOCAL,CASE-27427,RECONSTRUCTION OF LIGAMENTS OUTSIDE KNEE JOINT PROFESSIONAL,,,626.86,17034.43,20 LOCAL,CASE-27429,RECONSTRUCTION OF LIGAMENTS INSIDE AND OUTSIDE KNEE JOINT,,,1100.35,17034.43,20 LOCAL,CASE-27430,REPAIR OF MUSCLE GROUP ABOVE KNEE JOINT,,,658.34,9627.58,20 LOCAL,CASE-27435,INCISION OF BACK PORTION OF KNEE JOINT CAPSULE,,,718.21,4341.31,20 LOCAL,CASE-27438,REPAIR OF KNEECAP WITH PROSTHESIS PROFESSIONAL,,,733.87,17034.43,20 LOCAL,CASE-27442,REPAIR OF END OF THIGH OR LOWER LEG BONE AT KNEE JOINT WITH PROSTHESIS PROFESSIONAL,,,754.68,17034.43,20 LOCAL,CASE-27445,KNEE JOINT REPLACEMENT USING HINGED PROSTHESIS,,,100.4,956.31,17 LOCAL,CASE-27446,REPLACEMENT OF KNEE JOINT ON SIDE OF KNEE,,,975.23,17034.43,20 LOCAL,CASE-27447,"REPLACEMENT OF KNEE JOINT, BOTH SIDES OF KNEE PROFESSIONAL",,,1076.03,17034.43,21 LOCAL,CASE-27448,INCISION OR PARTIAL REMOVAL OF MIDDLE PORTION OF THIGH BONE,,,714.7,9627.58,20 LOCAL,CASE-27450,INCISION OR PARTIAL REMOVAL OF MIDDLE PORTION OF THIGH BONE WITH STABILIZING DEVICE,,,1739.88,17034.43,20 LOCAL,CASE-27455,"INCISION OR PARTIAL REMOVAL OF UPPER PORTION OF LOWER LEG BONE TO REPAIR DEFORMITY, BEFORE BONE GROWTH COMPLETED",,,838.26,9627.58,20 LOCAL,CASE-27457,"INCISION OR PARTIAL REMOVAL OF UPPER PORTION OF LOWER LEG BONE TO REPAIR DEFORMITY, AFTER BONE GROWTH COMPLETED",,,821.14,9627.58,20 LOCAL,CASE-27465,SHORTENING OF THIGH BONE,,,1203.7,9627.58,20 LOCAL,CASE-27466,LENGTHENING OF THIGH BONE,,,1272.45,9627.58,20 LOCAL,CASE-27470,REPAIR OF NONHEALED BROKEN THIGH BONE,,,1013.57,9627.58,20 LOCAL,CASE-27472,REPAIR OF NONHEALED BROKEN THIGH BONE WITH SELF BONE GRAFT,,,1076.86,9627.58,20 LOCAL,CASE-27475,REMOVAL OF GROWTH PLATE AT LOWER END OF THIGH BONE,,,591.73,9627.58,19 LOCAL,CASE-27477,REMOVAL OF GROWTH PLATE OF BOTH LOWER LEG BONES,,,646.33,9627.58,20 LOCAL,CASE-27479,REMOVAL OF GROWTH PLATE OF LEG AND THIGH BONES,,,794.75,9627.58,20 LOCAL,CASE-27485,REMOVAL OF GROWTH PLATE OF LEG OR THIGH BONES,,,596.51,10897.67,20 LOCAL,CASE-27486,REVISION OF COMPONENT OF TOTAL KNEE JOINT PROSTHESIS PROFESSIONAL,,,1185.44,17034.43,19 LOCAL,CASE-27487,REVISION OF THIGH AND LOWER LEG BONE COMPONENTS OF TOTAL KNEE JOINT PROSTHESIS PROFESSIONAL,,,1457.47,23263.96,20 LOCAL,CASE-27488,REMOVAL OF TOTAL KNEE JOINT PROSTHESIS,,,1026.29,17034.43,20 LOCAL,CASE-27495,STABILIZATION OF THIGH BONE WITH DEVICE,,,966.2,9627.58,20 LOCAL,CASE-27496,INCISION OF CONNECTIVE TISSUE OF THIGH AND/OR KNEE TO RELIEVE PRESSURE,,,505.8,9627.58,20 LOCAL,CASE-27500,CLOSED TREATMENT OF BROKEN THIGH BONE FACILITY,,,247.2,660.6,20 LOCAL,CASE-27501,CLOSED TREATMENT OF BROKEN THIGH BONE AT LOWER END FACILITY,,,247.2,682.71,20 LOCAL,CASE-27506,TREATMENT OF BROKEN SHAFT OF THIGH BONE WITH IMPLANT,,,1141.39,9627.58,20 LOCAL,CASE-27507,TREATMENT OF BROKEN MIDDLE OF THIGH BONE WITH PLACEMENT OF STABILIZING DEVICE,,,822.19,9627.58,20 LOCAL,CASE-27509,TREATMENT OF BROKEN THIGH BONE AT FAR END WITH PLACEMENT OF STABILIZING DEVICE,,,623.25,9627.58,20 LOCAL,CASE-27524,TREATMENT OF BROKEN KNEECAP WITH PLACEMENT OF STABILIZING DEVICE AND/OR REMOVAL OF KNEECAP PROFESSIONAL,,,664.09,9627.58,20 LOCAL,CASE-27530,CLOSED TREATMENT OF BROKEN SHIN BONE FACILITY,,,247.2,441.29,20 LOCAL,CASE-27535,TREATMENT OF BROKEN SIDE OF UPPER END OF SHIN BONE,,,758.97,9627.58,20 LOCAL,CASE-27536,TREATMENT OF BROKEN SHIN BONE ON BOTH SIDES OF UPPER END,,,1017.94,9627.58,20 LOCAL,CASE-27540,TREATMENT OF BROKEN SHIN BONE AT KNEE,,,716.94,9627.58,20 LOCAL,CASE-27552,CLOSED TREATMENT OF DISLOCATED KNEE UNDER ANESTHESIA FACILITY,,,574.95,2133.49,20 LOCAL,CASE-27570,MANIPULATION OF KNEE JOINT UNDER ANESTHESIA FACILITY,,,143.57,2133.49,20 LOCAL,CASE-27599,UNLISTED PROCEDURE FEMUR/KNEE - FACILITY,,,1076.03,17034.43,19 LOCAL,CASE-27600,INCISION OF CONNECTIVE TISSUE OF FRONT OR SIDE OF LOWER LEG TO RELIEVE PRESSURE,,,351.09,4341.31,20 LOCAL,CASE-27601,INCISION OF CONNECTIVE TISSUE OF BACK OF LOWER LEG TO RELIEVE PRESSURE,,,397.17,4341.31,20 LOCAL,CASE-27602,INCISION OF CONNECTIVE TISSUE OF FRONT AND/OR SIDE AND BACK OF LOWER LEG TO RELIEVE PRESSURE,,,403.36,4341.31,20 LOCAL,CASE-27603,DRAINAGE OF DEEP ABSCESS OR BLOOD ACCUMULATION OF LEG OR ANKLE FACILITY,,,354.72,3853.99,20 LOCAL,CASE-27605,INCISION OF ACHILLES TENDON USING LOCAL ANESTHETIC FACILITY,,,168.76,2133.49,20 LOCAL,CASE-27606,INCISION OF ACHILLES TENDON UNDER ANESTHESIA,,,242.37,9627.58,20 LOCAL,CASE-27610,"INCISION OF ANKLE JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,578.47,4341.31,20 LOCAL,CASE-27612,INCISION OF ANKLE JOINT WITH RELEASE OF JOINT LINING,,,518.83,4341.31,20 LOCAL,CASE-27613,BIOPSY OF SURFACE TISSUE OF LEG OR ANKLE FACILITY,,,145.18,2191.35,20 LOCAL,CASE-27614,BIOPSY OF DEEP TISSUE OF LEG OR ANKLE,,,375.15,3853.99,20 LOCAL,CASE-27615,"EXTENSIVE REMOVAL OF GROWTH OF LEG OR ANKLE, LESS THAN 5.0 CM",,,874.85,3853.99,20 LOCAL,CASE-27618,"REMOVAL OF GROWTH UNDER SKIN OF LEG OR ANKLE, LESS THAN 3.0 CM FACILITY",,,284.08,2191.35,20 LOCAL,CASE-27619,"REMOVAL OF GROWTH OF MUSCLE OF LEG OR ANKLE, LESS THAN 5.0 CM",,,414.67,5195.02,20 LOCAL,CASE-27620,INCISION AND EXPLORATION OF ANKLE JOINT,,,417.15,4341.31,20 LOCAL,CASE-27625,REMOVAL OF MEMBRANE COVERING OF ANKLE JOINT,,,523.18,17034.43,20 LOCAL,CASE-27626,REMOVAL OF MEMBRANE COVERING ANKLE JOINT AND TENDON,,,539.35,4341.31,20 LOCAL,CASE-27630,REMOVAL OF GROWTH OF LEG AND/OR ANKLE TENDON LINING OR CAPSULE PROFESSIONAL,,,334.46,4341.31,20 LOCAL,CASE-27632,"REMOVAL OF GROWTH UNDER SKIN OF LEG OR ANKLE, 3.0 CM OR MORE PROFESSIONAL",,,369.08,3853.99,20 LOCAL,CASE-27634,"REMOVAL OF GROWTH OF MUSCLE OF LEG OR ANKLE, 5.0 CM OR MORE",,,584.76,3853.99,20 LOCAL,CASE-27635,REMOVAL OF CYST OR GROWTH OF LOWER LEG BONE PROFESSIONAL,,,519.98,4341.31,20 LOCAL,CASE-27640,PARTIAL REMOVAL OF SHIN BONE,,,725.91,4341.31,20 LOCAL,CASE-27641,PARTIAL REMOVAL OF OUTER LOWER LEG BONE,,,580.59,4341.31,20 LOCAL,CASE-27645,EXTENSIVE REMOVAL OF GROWTH OF SHIN BONE,,,1471.52,4341.31,20 LOCAL,CASE-27648,INJECTION FOR X-RAY IMAGING OF ANKLE FACILITY,,,40.69,4341.31,20 LOCAL,CASE-27650,REPAIR OF RUPTURED ACHILLES TENDON PROFESSIONAL,,,598.17,9627.58,20 LOCAL,CASE-27654,SECONDARY REPAIR OF RUPTURED ACHILLES TENDON PROFESSIONAL,,,646.03,9627.58,20 LOCAL,CASE-27659,SECONDARY REPAIR OF TENDON ON BACK OF LEG,,,428.58,9627.58,20 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,,,449.75,4341.31,20 LOCAL,CASE-27676,REPAIR OF DISLOCATED LOWER LEG TENDONS BY INCISION OR PARTIAL REMOVAL OF LOWER LEG BONE PROFESSIONAL,,,546.33,9627.58,20 LOCAL,CASE-27680,RELEASE OF LEG AND/OR ANKLE TENDON PROFESSIONAL,,,391.29,9627.58,20 LOCAL,CASE-27685,LENGTHENING OR SHORTENING OF TENDON OF LEG OR ANKLE PROFESSIONAL,,,427.59,4341.31,20 LOCAL,CASE-27686,LENGTHENING OR SHORTENING OF MULTIPLE TENDONS OF LEG OR ANKLE,,,480.41,10897.67,20 LOCAL,CASE-27687,LENGTHENING OF CALF MUSCLE PROFESSIONAL,,,416.76,4914.02,20 LOCAL,CASE-27690,TRANSFER OF TENDON AND MUSCLE REROUTING AT LOWER LEG OR ANKLE PROFESSIONAL,,,583.91,9627.58,20 LOCAL,CASE-27691,TRANSFER OF DEEP TENDON OF FOOT WITH MUSCLE REROUTING PROFESSIONAL,,,669.79,9627.58,20 LOCAL,CASE-27692,"TRANSFER OF TENDON WITH MUSCLE REROUTING AT FOOT, EACH ADDITIONAL TENDON",,,81.78,9627.58,20 LOCAL,CASE-27695,PRIMARY REPAIR OF DISRUPTED ANKLE LIGAMENT PROFESSIONAL,,,446.59,9627.58,20 LOCAL,CASE-27698,SECONDARY REPAIR OF DISRUPTED COLLATERAL LIGAMENT OF ANKLE PROFESSIONAL,,,568.38,9627.58,20 LOCAL,CASE-27702,RECONSTRUCTION OF ANKLE JOINT WITH PROSTHESIS PROFESSIONAL,,,832.54,36001.56,20 LOCAL,CASE-27703,REPAIR OF ANKLE JOINT WITH REVISION OF PROSTHESIS,,,954.61,23263.96,20 LOCAL,CASE-27704,REMOVAL OF ANKLE IMPLANT,,,505.31,4341.31,20 LOCAL,CASE-27705,INCISION OR PARTIAL REMOVAL OF SHIN BONE,,,654.58,9627.58,20 LOCAL,CASE-27707,INCISION OR PARTIAL REMOVAL OF LOWER LEG BONE,,,377.54,9627.58,20 LOCAL,CASE-27709,INCISION OR PARTIAL REMOVAL OF SHIN AND OUTER LOWER LEG BONES,,,982.6,17034.43,20 LOCAL,CASE-27720,REPAIR OF NONHEALED BROKEN SHIN BONE,,,764.16,9627.58,20 LOCAL,CASE-27724,REPAIR OF NONHEALED BROKEN SHIN BONE WITH SELF GRAFT FROM HIP OR OTHER BONE,,,1052.34,9627.58,20 LOCAL,CASE-27726,REPAIR OF NONHEALED BROKEN OUTER LOWER LEG BONE WITH PLACEMENT OF STABILIZING DEVICE,,,819.37,9627.58,20 LOCAL,CASE-27730,SCRAPING OR STAPLING OF SHIN BONE GROWTH PLATE OF LOWER LEG BONE AT ANKLE,,,530.72,4341.31,20 LOCAL,CASE-27732,FUSION OF LOWER OUTER LEG BONE GROWTH PLATE,,,421.65,4341.31,20 LOCAL,CASE-27734,FUSION OF LOWER END OF GROWTH PLATE OF LOWER LEG BONE,,,587.16,4914.02,20 LOCAL,CASE-27742,FUSION OF LOWER AND UPPER ENDS OF GROWTH PLATES OF LOWER LEG AND THIGH BONES,,,687.76,4341.31,20 LOCAL,CASE-27745,PLACEMENT OF STABILIZING DEVICE FOR SHIN BONE,,,641.72,9627.58,20 LOCAL,CASE-27750,CLOSED TREATMENT OF BROKEN MIDDLE PART OF SHIN BONE FACILITY,,,247.2,485.28,20 LOCAL,CASE-27752,CLOSED TREATMENT OF MIDDLE PART OF BROKEN SHIN BONE WITH MANIPULATION FACILITY,,,476.47,2133.49,20 LOCAL,CASE-27756,PLACEMENT OF STABILIZING DEVICE FOR BROKEN MIDDLE PART OF SHIN BONE,,,536.35,9627.58,20 LOCAL,CASE-27758,TREATMENT BROKEN MIDDLE PART OF SHIN BONE WITH PLATE OR SCREWS,,,782.75,17034.43,20 LOCAL,CASE-27759,TREATMENT OF BROKEN PART OF SHIN BONE WITH ROD,,,858.46,17034.43,20 LOCAL,CASE-27766,TREATMENT OF INSIDE PORTION OF BROKEN SHIN BONE AT ANKLE PROFESSIONAL,,,552.73,9627.58,20 LOCAL,CASE-27784,TREATMENT OF BROKEN UPPER OR MIDDLE PART OF OUTER LOWER LEG BONE PROFESSIONAL,,,637.87,9627.58,20 LOCAL,CASE-27786,CLOSED TREATMENT OF BROKEN OUTSIDE LOWER LEG BONE AT ANKLE FACILITY,,,247.2,429.06,20 LOCAL,CASE-27792,TREATMENT OF BROKEN OUTER LOWER LEG BONE AT ANKLE PROFESSIONAL,,,577.85,9627.58,20 LOCAL,CASE-27810,CLOSED TREATMENT OF 2 BROKEN LOWER LEG BONES AT ANKLE WITH MANIPULATION FACILITY,,,444.06,17034.43,20 LOCAL,CASE-27814,TREATMENT OF BOTH BROKEN LOWER LEG BONES AT ANKLE PROFESSIONAL,,,675.19,9627.58,20 LOCAL,CASE-27818,CLOSED TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE WITH MANIPULATION FACILITY,,,454.13,17034.43,20 LOCAL,CASE-27822,TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE PROFESSIONAL,,,787.32,9627.58,20 LOCAL,CASE-27823,TREATMENT OF 3 BROKEN LOWER LEG BONES AT ANKLE WITH FIXATION OF POSTERIOR LIP PROFESSIONAL,,,875.6,9627.58,20 LOCAL,CASE-27824,CLOSED TREATMENT OF BROKEN SHIN BONE AT LOWER WEIGHT BEARING JOINT FACILITY,,,247.2,461.72,20 LOCAL,CASE-27825,CLOSED TREATMENT OF BROKEN SHIN BONE AT LOWER WEIGHT BEARING JOINT WITH MANIPULATION AND/OR TRACTION FACILITY,,,453.49,9627.58,20 LOCAL,CASE-27826,TREATMENT OF BROKEN OUTER LOWER LEG BONE AT LOWER WEIGHT BEARING JOINT,,,774.9,9627.58,20 LOCAL,CASE-27827,TREATMENT OF BROKEN SHIN BONE AT LOWER WEIGHT BEARING JOINT,,,997.72,17034.43,20 LOCAL,CASE-27828,TREATMENT OF BROKEN LOWER WEIGHT BEARING JOINT OF BOTH LOWER LEG BONES,,,1159.31,17034.43,20 LOCAL,CASE-27829,TREATMENT OF LIGAMENT TEAR AT ANKLE JOINT PROFESSIONAL,,,644.33,9627.58,20 LOCAL,CASE-27832,TREATMENT OF DISLOCATED KNEE JOINT,,,676.3,9627.58,20 LOCAL,CASE-27860,MANIPULATION OF ANKLE UNDER GENERAL ANESTHESIA,,,148.31,4914.02,20 LOCAL,CASE-27870,"FUSION OF ANKLE JOINT, OPEN PROCEDURE PROFESSIONAL",,,874.38,23263.96,20 LOCAL,CASE-27871,FUSION OF LOWER LEG BONE AT KNEE OR ANKLE JOINT,,,611.44,17034.43,20 LOCAL,CASE-27880,AMPUTATION OF BOTH LOWER LEG BONES,,,742.15,9627.58,20 LOCAL,CASE-27886,RE-AMPUTATION OF LOWER LEG,,,552.1,11643.84,20 LOCAL,CASE-27893,INCISION OF CONNECTIVE TISSUE AT BACK OF LOWER LEG TO RELIEVE PRESSURE WITH REMOVAL OF MUSCLE AND/OR NERVE,,,556.95,9627.58,20 LOCAL,CASE-27899,UNLISTED PROCEDURE LEG/ANKLE - FACILITY,,,4.09,327.28,19 LOCAL,CASE-28001,DRAINAGE OF FLUID FILLED SAC IN FOOT,,,83.07,9627.58,20 LOCAL,CASE-28008,INCISION OF CONNECTIVE TISSUE OF FOOT AND/OR TOE FACILITY,,,269.37,9627.58,20 LOCAL,CASE-28010,REPAIR OF TOE TENDON FACILITY,,,194.64,2133.49,20 LOCAL,CASE-28011,REPAIR OF MULTIPLE TOE TENDONS PROFESSIONAL,,,258.13,9627.58,20 LOCAL,CASE-28020,"INCISION OF FOOT AT ANKLE JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,339.22,9627.58,20 LOCAL,CASE-28024,"INCISION OF TOE JOINT FOR EXPLORATION, FLUID DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,290.31,2133.49,20 LOCAL,CASE-28035,RELEASE OF NERVE BETWEEN TISSUE AND ANKLE BONE,,,332.56,9627.58,20 LOCAL,CASE-28039,REMOVAL (1.5 CENTIMETERS OR GREATER) TISSUE GROWTH BENEATH THE SKIN OF FOOT OR TOE PROFESSIONAL,,,304.89,3853.99,20 LOCAL,CASE-28043,REMOVAL (LESS THAN 1.5 CENTIMETERS) TISSUE GROWTH BENEATH THE SKIN OF FOOT OR TOE PROFESSIONAL,,,241.15,23263.96,20 LOCAL,CASE-28045,"REMOVAL OF GROWTH OF MUSCLE OF FOOT OR TOE, LESS THAN 1.5 CM PROFESSIONAL",,,320.52,3853.99,20 LOCAL,CASE-28050,BIOPSY THROUGH A JOINT OPENING IN THE MIDFOOT,,,257.63,9627.58,20 LOCAL,CASE-28070,REMOVAL OF FOOT BONE JOINT LINING AT ANKLE,,,318.6,9627.58,20 LOCAL,CASE-28080,REMOVAL OF FIBROUS NERVE GROWTH FROM BETWEEN TOES PROFESSIONAL,,,362.41,2133.49,20 LOCAL,CASE-28086,REMOVAL OF LINING OF TENDON ON UNDER SURFACE OF FOOT PROFESSIONAL,,,324.85,17034.43,20 LOCAL,CASE-28090,REMOVAL OF GROWTH OF TENDON COVERING OR JOINT CAPSULE OF FOOT PROFESSIONAL,,,287.09,2133.49,20 LOCAL,CASE-28092,REMOVAL OF GROWTH OF TENDON COVERING OR JOINT CAPSULE OF TOES PROFESSIONAL,,,255.3,2133.49,20 LOCAL,CASE-28100,REMOVAL OF CYST OR GROWTH OF HEEL OR ANKLE BONE PROFESSIONAL,,,387.89,4341.31,20 LOCAL,CASE-28104,REMOVAL OF CYST OR GROWTH OF FOOT BONE,,,328.56,4341.31,20 LOCAL,CASE-28106,REMOVAL OF CYST OR GROWTH OF FOOT BONE WITH SELF BONE GRAFT,,,386.68,17034.43,20 LOCAL,CASE-28107,REMOVAL OF CYST OR GROWTH OF FOOT BONE WITH BONE GRAFT,,,317.49,9627.58,20 LOCAL,CASE-28108,REMOVAL OF CYST OR GROWTH OF TOE BONE,,,267.83,2133.49,20 LOCAL,CASE-28110,REMOVAL OF BUNION AT FIFTH TOE JOINT PROFESSIONAL,,,275.18,4341.31,20 LOCAL,CASE-28111,REMOVAL OF FOOT BONE AT GREAT TOE JOINT,,,292.72,4341.31,20 LOCAL,CASE-28112,"REMOVAL OF TOE BONE AT SECOND, THIRD, OR FOURTH JOINTS PROFESSIONAL",,,289.18,9627.58,20 LOCAL,CASE-28113,COMPLETE REMOVAL OF FOOT BONE AT FIFTH TOE JOINT PROFESSIONAL,,,397.81,4341.31,20 LOCAL,CASE-28116,REMOVAL OF ABNORMAL BONES AT ANKLE JOINT PROFESSIONAL,,,472.5,4341.31,20 LOCAL,CASE-28118,REMOVAL OF HEEL BONE PROFESSIONAL,,,390.74,9627.58,20 LOCAL,CASE-28119,REMOVAL OF HEEL BONE SPUR,,,336.37,4341.31,20 LOCAL,CASE-28120,PARTIAL REMOVAL OF INFECTED FOOT OR HEEL BONE PROFESSIONAL,,,451.79,4341.31,20 LOCAL,CASE-28122,PARTIAL REMOVAL OF FOOT OR HEEL BONE PROFESSIONAL,,,403.84,4341.31,20 LOCAL,CASE-28124,PARTIAL REMOVAL OF TOE BONE PROFESSIONAL,,,310.96,4341.31,20 LOCAL,CASE-28126,REMOVAL OF TOE BONE AT FOOT,,,232.31,4341.31,20 LOCAL,CASE-28153,REMOVAL OF END OF TOE AT JOINT PROFESSIONAL,,,245.71,4341.31,20 LOCAL,CASE-28190,"REMOVAL OF FOREIGN BODY OF FOOT TISSUE, ACCESSED BENEATH THE SKIN FACILITY",,,124.25,939.55,20 LOCAL,CASE-28192,"REMOVAL OF FOREIGN BODY OF FOOT TISSUE, DEEP",,,286.33,2191.35,20 LOCAL,CASE-28200,REPAIR OF TENDON ON SOLE OF FOOT PROFESSIONAL,,,303.86,4341.31,20 LOCAL,CASE-28202,SECONDARY REPAIR OF TENDON ON SOLE OF FOOT WITH GRAFT,,,393.58,9627.58,20 LOCAL,CASE-28208,REPAIR OF TENDON OF TOP SIDE OF FOOT,,,300.63,4341.31,20 LOCAL,CASE-28220,REMOVAL OF SCAR TISSUE OF TENDON ON BOTTOM SIDE OF FOOT PROFESSIONAL,,,281.77,17034.43,20 LOCAL,CASE-28230,INCISION TO LENGTHEN FOOT TENDON FACILITY,,,263.06,9627.58,20 LOCAL,CASE-28232,INCISION TO LENGTHEN TOE TENDON FACILITY,,,226.2,4341.31,20 LOCAL,CASE-28234,INCISION TO RELEASE FOOT TENDON PROFESSIONAL,,,1024.12,2133.49,20 LOCAL,CASE-28238,RECONSTRUCTION OF ANKLE TENDON WITH REMOVAL OF EXTRA ANKLE JOINT BONE PROFESSIONAL,,,441.81,9627.58,20 LOCAL,CASE-28240,RELEASE OR LENGTHENING OF TENDON IN FOOT,,,269.92,9627.58,20 LOCAL,CASE-28262,EXTENSIVE REPAIR OF FOOT DEFECT WITH TENDON LENGTHENING AND RELIEF OF TENSION IN FOOT,,,969.14,9627.58,20 LOCAL,CASE-28270,INCISION OF JOINT CAPSULE OF FOOT AND TOE PROFESSIONAL,,,310.3,9627.58,20 LOCAL,CASE-28272,INCISION OF TOE JOINT CAPSULE FACILITY,,,234.16,9627.58,20 LOCAL,CASE-28285,CORRECTION OF TOE JOINT DEFORMITY PROFESSIONAL,,,361.01,9627.58,20 LOCAL,CASE-28288,REMOVAL OF FOOT BONE SPUR PROFESSIONAL,,,406.25,4341.31,20 LOCAL,CASE-28289,CORRECTION OF RIGID DEFORMITY OF FIRST JOINT OF BIG TOE PROFESSIONAL,,,424.53,4341.31,20 LOCAL,CASE-28291,CORRECTION OF RIGID DEFORMITY OF FIRST JOINT OF BIG TOE USING IMPLANT,,,8.22,9627.58,20 LOCAL,CASE-28292,CORRECTION OF BUNION PROFESSIONAL,,,447.15,9627.58,20 LOCAL,CASE-28296,CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF MIDFOOT BONE TOWARD TOE AREA PROFESSIONAL,,,470.49,4341.31,20 LOCAL,CASE-28297,CORRECTION OF BUNION WITH FOREFOOT AND MIDFOOT BONE FUSION PROFESSIONAL,,,541.9,17034.43,20 LOCAL,CASE-28298,CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF BIG TOE PROFESSIONAL,,,465.77,9627.58,20 LOCAL,CASE-28299,CORR BUNION DOUBLE OSTEOTOMY - PROFESSIONAL,,,543.37,9627.58,20 LOCAL,CASE-28300,INCISION OR PARTIAL REMOVAL OF HEEL BONE PROFESSIONAL,,,580.35,9627.58,20 LOCAL,CASE-28302,INCISION OR PARTIAL REMOVAL OF ANKLE BONE,,,634.92,9627.58,20 LOCAL,CASE-28304,INCISION OR PARTIAL REMOVAL OF FOOT BONE PROFESSIONAL,,,553.75,9627.58,20 LOCAL,CASE-28305,INCISION OR PARTIAL REMOVAL OF FOOT BONE WITH BONE GRAFT,,,596.01,9627.58,20 LOCAL,CASE-28306,INCISION OR PARTIAL REMOVAL OF BIG TOE BONE TO STRAIGHTEN TOE,,,371.23,9627.58,20 LOCAL,CASE-28307,INCISION OR PARTIAL REMOVAL OF BIG TOE BONE WITH SELF BONE GRAFT TO STRAIGHTEN TOE,,,472.81,9627.58,20 LOCAL,CASE-28308,INCISION OR PARTIAL REMOVAL OF FOOT BONE (OTHER THAN BIG TOE) TO STRAIGHTEN TOE PROFESSIONAL,,,360.71,4341.31,20 LOCAL,CASE-28310,INCISION OR PARTIAL REMOVAL OF BIG TOE BONE AT FIRST TOE BONE LEVEL TO STRAIGHTEN TOE,,,338.19,9627.58,20 LOCAL,CASE-28312,INCISION OR PARTIAL REMOVAL OF TOE BONE TO STRAIGHTEN TOE,,,334.7,9627.58,20 LOCAL,CASE-28313,RECONSTRUCTION OF SOFT TISSUE ANGULAR DEFORMITY OF TOE,,,334.76,4341.31,20 LOCAL,CASE-28315,REMOVAL OF SMALL BONE UNDERLYING LONG BONE OF FOOT AT BIG TOE JOINT PROFESSIONAL,,,302.03,4341.31,20 LOCAL,CASE-28320,REPAIR OF NONHEALED BROKEN MIDFOOT BONE,,,551.71,17034.43,20 LOCAL,CASE-28322,REPAIR OF NONHEALED BROKEN FOREFOOT BONE PROFESSIONAL,,,515.97,9627.58,20 LOCAL,CASE-28344,REMOVAL OF EXTRA TOES WITH RECONSTRUCTION,,,258.31,4341.31,20 LOCAL,CASE-28345,REMOVAL OF CONGENITAL WEB SPACE DEFORMITY OF TOES,,,330.76,2133.49,20 LOCAL,CASE-28400,CLOSED TREATMENT OF BROKEN HEEL BONE FACILITY,,,229.69,344.54,20 LOCAL,CASE-28415,TREATMENT OF BROKEN HEEL BONE PROFESSIONAL,,,997.56,9627.58,20 LOCAL,CASE-28420,TREATMENT OF BROKEN HEEL BONE WITH GRAFT,,,1138.42,17034.43,20 LOCAL,CASE-28430,CLOSED TREATMENT OF BROKEN ANKLE JOINT BONE FACILITY,,,211.91,327.28,20 LOCAL,CASE-28436,PLACEMENT OF STABILIZING DEVICE FOR BROKEN ANKLE JOINT WITH MANIPULATION,,,481.57,9627.58,20 LOCAL,CASE-28445,TREATMENT OF BROKEN BONE BETWEEN FOOT AND ANKLE,,,921.67,9627.58,19 LOCAL,CASE-28446,IMPLANTATION OF SELF CARTILAGE CELLS INTO FOOT JOINT WITH GRAFT PROFESSIONAL,,,1051.67,9627.58,20 LOCAL,CASE-28465,TREATMENT OF BROKEN HIND PORTION OF FOOT PROFESSIONAL,,,595.95,9627.58,20 LOCAL,CASE-28470,CLOSED TREATMENT OF BROKEN BONE IN FOREFOOT OR MIDFOOT FACILITY,,,205.79,327.28,20 LOCAL,CASE-28476,PLACEMENT OF STABILIZING DEVICE FOR BROKEN FOOT BONE WITH MANIPULATION PROFESSIONAL,,,382.16,4341.31,20 LOCAL,CASE-28485,TREATMENT OF BROKEN MIDPORTION OF FOOT PROFESSIONAL,,,525.82,9627.58,20 LOCAL,CASE-28505,TREATMENT OF BROKEN GREAT TOE,,,453.99,4341.31,20 LOCAL,CASE-28555,TREATMENT OF DISLOCATED MIDFOOT OR HINDFOOT BONES,,,584.06,9627.58,20 LOCAL,CASE-28615,TREATMENT OF DISLOCATED MIDFOOT BONE PROFESSIONAL,,,761.13,9627.58,20 LOCAL,CASE-28636,PLACEMENT OF STABILIZING DEVICE FOR DISLOCATED JOINT BETWEEN TOE AND FOOT WITH MANIPULATION,,,414.36,4341.31,20 LOCAL,CASE-28715,FUSION OF 3 BONES OF ANKLE PROFESSIONAL,,,838.97,17034.43,20 LOCAL,CASE-28725,FUSION OF FOOT BELOW ANKLE PROFESSIONAL,,,694.4,17034.43,20 LOCAL,CASE-28730,FUSION OF MULTIPLE FOOT JOINTS PROFESSIONAL,,,648.28,17034.43,20 LOCAL,CASE-28737,FUSION OF UPPER PART OF FOOT AND LENGTHENING OF TENDON,,,607.05,17034.43,20 LOCAL,CASE-28740,FUSION OF FOOT IN MIDFOOT REGION PROFESSIONAL,,,553.89,17034.43,20 LOCAL,CASE-28750,FUSION OF BIG TOE AT JOINT WITH FOOT PROFESSIONAL,,,515.07,9627.58,20 LOCAL,CASE-28755,FUSION OF BIG TOE BETWEEN TOE JOINTS,,,451.47,9627.58,20 LOCAL,CASE-28760,FUSION OF BIG TOE BETWEEN TOE JOINTS WITH TENDON TRANSFER,,,517.98,9627.58,20 LOCAL,CASE-28805,AMPUTATION OF FOOT ACROSS INSTEP PROFESSIONAL,,,617.95,4341.31,20 LOCAL,CASE-28810,AMPUTATION OF TOE AND MIDFOOT BONE PROFESSIONAL,,,378.54,4341.31,20 LOCAL,CASE-28820,AMPUTATION OF TOE AT JOINT BETWEEN FOREFOOT AND TOES PROFESSIONAL,,,152.75,4341.31,20 LOCAL,CASE-28825,AMPUTATION OF TOE AT TOE JOINT PROFESSIONAL,,,148.09,4341.31,20 LOCAL,CASE-28899,TX1 PLANT FASC PROC W KIT FACILITY,,,669.79,9627.58,19 LOCAL,CASE-29000,APPLICATION OF HALO TYPE BODY CAST FACILITY,,,191.88,371.1,20 LOCAL,CASE-29010,APPLICATION OF JACKET TYPE BODY CAST,,,145.28,371.1,20 LOCAL,CASE-29035,APPLICATION OF SHOULDER TO HIP BODY CAST FACILITY,,,132.24,371.1,20 LOCAL,CASE-29055,APPLICATION OF SHOULDER SPICA CAST FACILITY,,,124.33,371.1,20 LOCAL,CASE-29065,APPLICATION OF SHOULDER TO HAND CAST FACILITY,,,61.35,371.1,20 LOCAL,CASE-29075,APPLICATION OF ELBOW TO FINGER CAST FACILITY,,,56.34,371.1,20 LOCAL,CASE-29085,APPLICATION OF HAND AND LOWER FOREARM CAST FACILITY,,,60.56,215.61,20 LOCAL,CASE-29105,APPLICATION OF LOWER AND UPPER ARM SPLINT FACILITY,,,33.92,215.61,20 LOCAL,CASE-29125,APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT FACILITY,,,39.6,176.53,20 LOCAL,CASE-29130,APPLICATION OF NONMOVEABLE FINGER SPLINT FACILITY,,,24.03,176.53,20 LOCAL,CASE-29240,PLACEMENT OF STRAPPING TO SHOULDER FACILITY,,,15.2,176.53,20 LOCAL,CASE-29280,PLACEMENT OF STRAPPING TO HAND OR FINGER FACILITY,,,16.18,78.27,20 LOCAL,CASE-29305,APPLICATION OF HIP SPICA CAST ON LEG FACILITY,,,143.84,371.1,20 LOCAL,CASE-29325,"APPLICATION OF HIP SPICA CAST ON BOTH LEGS, OR ON LEG AND PART OF OTHER LEG",,,159.53,371.1,20 LOCAL,CASE-29345,APPLICATION OF LONG LEG CAST FROM THIGH TO TOE FACILITY,,,86.48,371.1,20 LOCAL,CASE-29355,APPLICATION OF WALKING CAST COVERING THIGH TO TOE FACILITY,,,91.37,371.1,20 LOCAL,CASE-29365,APPLICATION OF THIGH TO LOWER LEG CYLINDER CAST FACILITY,,,77.8,371.1,21 LOCAL,CASE-29405,APPLICATION OF SHORT LEG CAST FACILITY,,,53.46,371.1,20 LOCAL,CASE-29425,APPLICATION OF WALKING CAST COVERING BELOW KNEE TO TOE FACILITY,,,49.63,371.1,20 LOCAL,CASE-29435,APPLICATION OF KNEECAP TENDON BEARING CAST FACILITY,,,76.53,371.1,20 LOCAL,CASE-29445,"APPLICATION OF WALKING CAST COVERING FOOT, ANKLE, AND LOWER LEG FACILITY",,,86.56,371.1,20 LOCAL,CASE-29450,APPLICATION OF LEG CAST AND MANIPULATION OF FOOT TO TREAT DEFORMITY FACILITY,,,95.66,215.61,20 LOCAL,CASE-29505,APPLICATION OF LONG LEG SPLINT FROM THIGH TO ANKLE OR TOE FACILITY,,,52.53,215.61,20 LOCAL,CASE-29515,APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT FACILITY,,,47.58,215.61,20 LOCAL,CASE-29580,"STRAPPING, UNNA BOOT FACILITY",,,21.82,244.05,20 LOCAL,CASE-29581,"APPLICATION OF VEIN WOUND COMPRESSION BANDAGES ON LOWER LEG, ANKLE, AND FOOT FACILITY",,,22.9,244.05,20 LOCAL,CASE-29700,"REMOVAL OR CUTTING OF GAUNTLET, BOOT, OR BODY CAST FACILITY",,,28.19,371.1,20 LOCAL,CASE-29705,REMOVAL OR CUTTING OF FULL ARM OR LEG CAST FACILITY,,,38.03,371.1,20 LOCAL,CASE-29710,"REMOVAL OR CUTTING OF SHOULDER, HIP SPICA, OR JACKET CAST",,,66.7,371.1,20 LOCAL,CASE-29730,EXAM OF SKIN SURFACE BY CREATION OF OPENING IN CAST FACILITY,,,36.22,215.61,20 LOCAL,CASE-29799,"UNLISTED PROC, CASTING OR STRAPPING",,,35.4,215.61,19 LOCAL,CASE-29800,DIAGNOSTIC EXAM OF JAW JOINT USING AN ENDOSCOPE,,,482.22,4914.02,20 LOCAL,CASE-29804,EXAM OF JAW JOINT USING AN ENDOSCOPE,,,521.18,4341.31,20 LOCAL,CASE-29806,REPAIR OF SHOULDER JOINT CAPSULE USING AN ENDOSCOPE PROFESSIONAL,,,912.95,9627.58,20 LOCAL,CASE-29807,REPAIR OF SHOULDER SOCKET USING AN ENDOSCOPE PROFESSIONAL,,,893.95,9627.58,20 LOCAL,CASE-29819,REMOVAL OF LOOSE OR FOREIGN BODY IN SHOULDER JOINT USING AN ENDOSCOPE,,,521.98,4341.31,20 LOCAL,CASE-29820,PARTIAL REMOVAL OF SHOULDER JOINT LINING USING AN ENDOSCOPE,,,476.37,9627.58,20 LOCAL,CASE-29821,REMOVAL OF ENTIRE SHOULDER JOINT LINING USING AN ENDOSCOPE,,,528.48,9627.58,20 LOCAL,CASE-29822,LIMITED REMOVAL OF ABNORMAL SHOULDER JOINT TISSUE USING ENDOSCOPE PROFESSIONAL,,,489.85,9627.58,20 LOCAL,CASE-29823,REMOVAL OF EXTENSIVE SHOULDER JOINT TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,529.27,9627.58,20 LOCAL,CASE-29824,PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE PROFESSIONAL,,,605.91,9627.58,20 LOCAL,CASE-29825,REMOVAL OF SHOULDER SCAR TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,524.93,4341.31,20 LOCAL,CASE-29826,SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE PROFESSIONAL,,,134.88,9627.58,20 LOCAL,CASE-29827,REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE PROFESSIONAL,,,915.23,9627.58,20 LOCAL,CASE-29828,RELEASE OF TENDON CONNECTING BICEPS MUSCLE AND SHOULDER USING AN ENDOSCOPE PROFESSIONAL,,,792.58,9627.58,20 LOCAL,CASE-29830,DIAGNOSTIC EXAM OF ELBOW JOINT USING AN ENDOSCOPE,,,416.3,4341.31,20 LOCAL,CASE-29834,REMOVAL OF LOOSE OR FOREIGN BODY IN ELBOW JOINT USING AN ENDOSCOPE PROFESSIONAL,,,445.29,4341.31,20 LOCAL,CASE-29835,PARTIAL REMOVAL OF ELBOW JOINT LINING USING AN ENDOSCOPE,,,461.56,4341.31,20 LOCAL,CASE-29836,REMOVAL OF ENTIRE ELBOW JOINT LINING USING AN ENDOSCOPE,,,521.21,9627.58,20 LOCAL,CASE-29837,REMOVAL OF ELBOW JOINT TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,479.27,4341.31,20 LOCAL,CASE-29838,REMOVAL OF EXTENSIVE DAMAGED TISSUE FROM ELBOW JOINT USING AN ENDOSCOPE,,,529.52,4341.31,20 LOCAL,CASE-29840,DIAGNOSTIC EXAM OF WRIST USING AN ENDOSCOPE,,,419.52,4341.31,20 LOCAL,CASE-29844,PARTIAL REMOVAL OF WRIST JOINT LINING USING AN ENDOSCOPE,,,447.86,4341.31,20 LOCAL,CASE-29845,REMOVAL OF ENTIRE WRIST JOINT LINING USING AN ENDOSCOPE,,,519.86,4341.31,20 LOCAL,CASE-29846,REMOVAL OR REPAIR OF WRIST CARTILAGE USING AN ENDOSCOPE,,,464.05,4341.31,20 LOCAL,CASE-29847,PLACEMENT OF INTERNAL STABILIZING DEVICE USING AN ENDOSCOPE TO TREAT BROKEN OR UNSTABLE WRIST,,,488.74,9627.58,20 LOCAL,CASE-29855,TREATMENT OF BROKEN UPPER PORTION OF LOWER LEG BONE ON SIDE USING AN ENDOSCOPE,,,687.93,9627.58,20 LOCAL,CASE-29861,REMOVAL OF LOOSE OR FOREIGN BODY IN HIP JOINT USING AN ENDOSCOPE,,,622.29,9627.58,20 LOCAL,CASE-29862,REMOVAL OR SHAVING OF HIP JOINT SOCKET CARTILAGE USING AN ENDOSCOPE,,,718.23,9627.58,20 LOCAL,CASE-29868,REPAIR OF KNEE CARTILAGE WITH DONOR CARTILAGE GRAFT USING AN ENDOSCOPE,,,1405.48,9627.58,20 LOCAL,CASE-29870,DIAGNOSTIC EXAM OF KNEE USING AN ENDOSCOPE,,,381.28,4341.31,20 LOCAL,CASE-29873,RELEASE OF LIGAMENTS AT OUTER SIDE OF KNEE JOINT USING AN ENDOSCOPE PROFESSIONAL,,,499.43,4341.31,20 LOCAL,CASE-29874,REMOVAL OF LOOSE OR FOREIGN BODY IN KNEE JOINT USING AN ENDOSCOPE PROFESSIONAL,,,479.14,9627.58,20 LOCAL,CASE-29875,PARTIAL REMOVAL OF KNEE JOINT LINING USING AN ENDOSCOPE PROFESSIONAL,,,449.88,4341.31,20 LOCAL,CASE-29876,REMOVAL OF JOINT LINING FROM MULTIPLE KNEE JOINT COMPARTMENTS USING AN ENDOSCOPE PROFESSIONAL,,,581.03,4341.31,20 LOCAL,CASE-29877,REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE PROFESSIONAL,,,555.39,4341.31,20 LOCAL,CASE-29879,REPAIR OF KNEE JOINT WITH DRILLING AND OR SCRAPING OF JOINT USING AN ENDOSCOPE PROFESSIONAL,,,588.28,4341.31,20 LOCAL,CASE-29880,REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE PROFESSIONAL,,,505.56,4341.31,20 LOCAL,CASE-29881,REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE PROFESSIONAL,,,489.75,4341.31,20 LOCAL,CASE-29882,REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE PROFESSIONAL,,,605.98,4341.31,20 LOCAL,CASE-29883,REPAIR OF INSIDE AND OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE,,,738.59,9627.58,20 LOCAL,CASE-29884,REMOVAL OF SCAR TISSUE FROM KNEE USING AN ENDOSCOPE PROFESSIONAL,,,554.73,4341.31,20 LOCAL,CASE-29886,REPAIR OF KNEE JOINT BY DRILLING CARTILAGE USING AN ENDOSCOPE,,,571.32,9627.58,20 LOCAL,CASE-29887,REPAIR OF KNEE JOINT WITH BONE GRAFT AND INTERNAL STABILIZING DEVICE USING AN ENDOSCOPE,,,669.78,9627.58,20 LOCAL,CASE-29888,REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE PROFESSIONAL,,,834.67,17034.43,20 LOCAL,CASE-29889,REPAIR OF POSTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE,,,1060.31,17034.43,20 LOCAL,CASE-29891,REMOVAL OF SHIN AND/OR ANKLE BONE DEFECT USING AN ENDOSCOPE PROFESSIONAL,,,604.76,4341.31,20 LOCAL,CASE-29895,PARTIAL REMOVAL OF ANKLE JOINT LINING USING AN ENDOSCOPE PROFESSIONAL,,,415.15,4341.31,20 LOCAL,CASE-29897,REMOVAL OF LIMITED DEAD OR INFECTED TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,443.11,4341.31,20 LOCAL,CASE-29898,REMOVAL OF EXTENSIVE DEAD OR INFECTED TISSUE USING AN ENDOSCOPE PROFESSIONAL,,,500.05,4341.31,20 LOCAL,CASE-29901,REMOVAL OF DEAD OR INFECTED FINGER JOINT TISSUE USING AN ENDOSCOPE,,,499.63,4341.31,20 LOCAL,CASE-29914,RESHAPING OF THIGH BONE AT HIP JOINT USING AN ENDOSCOPE,,,858.59,9627.58,20 LOCAL,CASE-29915,RESHAPING OF HIP SOCKET USING AN ENDOSCOPE,,,873.84,9627.58,20 LOCAL,CASE-29916,REPAIR OF HIP JOINT SOCKET CARTILAGE USING AN ENDOSCOPE,,,872.36,9627.58,20 LOCAL,CASE-29999,UNLISTED PROCEDURE ARTHROSCOPY - PROFESSIONAL,,,872.36,9627.58,19 LOCAL,CASE-30000,DRAINAGE OF ABSCESS OR BLOOD ACCUMULATION OF NOSE,,,107.23,314.25,20 LOCAL,CASE-30020,DRAINAGE OF ABSCESS OR BLOOD ACCUMULATION OF NASAL CARTILAGE FACILITY,,,108.26,715.58,20 LOCAL,CASE-30100,BIOPSY OF LINING OF NOSE FACILITY,,,58.82,2058.65,20 LOCAL,CASE-30115,EXTENSIVE REMOVAL OF NASAL POLYP,,,426.74,4946.79,20 LOCAL,CASE-30117,REMOVAL OR DESTRUCTION OF GROWTH OF NOSE THROUGH NOSE FACILITY,,,368.13,4398.97,20 LOCAL,CASE-30118,REMOVAL OR DESTRUCTION OF GROWTH OF NOSE,,,620.24,9627.58,20 LOCAL,CASE-30120,REMOVAL OR SCRAPING OF SKIN ON NOSE FACILITY,,,361.83,4398.97,21 LOCAL,CASE-30125,REMOVAL OF GROWTH UNDER NASAL BONE OR CARTILAGE,,,575.39,7854.46,20 LOCAL,CASE-30130,REMOVAL OF NASAL AIR PASSAGE,,,389.5,10599.17,20 LOCAL,CASE-30140,REMOVAL OF NASAL AIR PASSAGE UNDER LINING TISSUE PROFESSIONAL,,,144.39,4398.97,20 LOCAL,CASE-30160,REMOVAL OF NOSE,,,705.06,7854.46,20 LOCAL,CASE-30220,INSERTION OF IMPLANT TO CLOSE NASAL PASSAGE FACILITY,,,112.37,2058.65,20 LOCAL,CASE-30310,REMOVAL OF FOREIGN BODY IN NOSE UNDER ANESTHESIA,,,187.15,4398.97,20 LOCAL,CASE-30400,RESHAPING OF TIP OF NOSE,,,1172.53,7854.46,20 LOCAL,CASE-30410,"RESHAPING OF BONE, CARTILAGE, AND/OR TIP OF NOSE",,,1318.52,7854.46,20 LOCAL,CASE-30420,RESHAPING OF BONY CARTILAGE DIVIDING NASAL PASSAGES PROFESSIONAL,,,1273.21,7854.46,21 LOCAL,CASE-30430,REVISION TO RESHAPE NOSE OR SMALL AMOUNT OF TIP OF NOSE AFTER PREVIOUS REPAIR,,,1049.97,7854.46,20 LOCAL,CASE-30435,REVISION TO RESHAPE NASAL BONES AFTER PREVIOUS REPAIR,,,1259.46,7854.46,20 LOCAL,CASE-3044F,3044F MOST RECENT HEMOGLOBIN A1C LEVEL <7.0% PROFESSIONAL,,,18.11,569.55,20 LOCAL,CASE-30450,REVISION TO RESHAPE NASAL BONES AND TIP OF NOSE AFTER PREVIOUS REPAIR,,,1582.5,7854.46,20 LOCAL,CASE-30460,REVISION OF CONGENITAL NASAL DEFECT TO LENGTHEN TIP OF NOSE,,,734.28,7854.46,20 LOCAL,CASE-30462,REVISION OF CONGENITAL NASAL DEFECT WITH LENGTHENING OF TIP OF NOSE,,,1395.01,7854.46,20 LOCAL,CASE-30465,REPAIR OF NASAL PASSAGE PROFESSIONAL,,,894.13,7854.46,21 LOCAL,CASE-3046F,3046F MOST RECENT HEMOGLOBIN A1C LEVEL > 9.0% PROFESSIONAL,,,117.96,282.22,7 LOCAL,CASE-3051F,3051F MOST RECENT HG A1C>EQUAL TO 7.0%&<8.0% PROFESSIONAL,,,18.11,569.55,20 LOCAL,CASE-30520,RESHAPING OF NASAL CARTILAGE PROFESSIONAL,,,599.68,4398.97,21 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",,,172794.52,217407.96,16 MS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",,,112873.82,141996.79,16 MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,,,84099.89,105784.33,15 MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC,,,37996.11,47761.98,15 MS-DRG,007,LUNG TRANSPLANT,,,105550.53,132780.31,15 MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,,,45858.99,57657.53,15 MS-DRG,010,PANCREAS TRANSPLANT,,,58626.0,73725.03,15 MS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",,,44636.0,56118.38,16 MS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",,,34574.99,43456.45,16 MS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC",,,23733.07,29811.72,15 MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT,,,97974.51,123245.76,16 MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC,,,48500.81,60982.31,15 MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC,,,44458.84,55895.43,15 MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,351225.55,441966.31,16 MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS,,,58292.01,73304.69,15 MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC,,,64258.25,80813.3,16 MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC,,,43333.38,54479.02,16 MS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC,,,26135.17,32834.79,16 MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,,,46880.44,58943.06,16 MS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC,,,32103.84,40346.46,16 MS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC,,,37262.32,46838.5,16 MS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC,,,25580.96,32137.3,16 MS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,20816.59,26141.27,16 MS-DRG,028,SPINAL PROCEDURES WITH MCC,,,49139.52,61786.14,16 MS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS,,,28038.32,35229.93,16 MS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC,,,18153.65,22789.92,15 MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC,,,36724.37,46161.47,16 MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC,,,17631.94,22133.34,16 MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC,,,13828.1,17346.14,16 MS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC,,,31769.03,39925.09,16 MS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC,,,19740.69,24787.24,16 MS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC,,,16102.61,20208.65,15 MS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC,,,27067.23,34007.81,16 MS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC,,,13500.61,16933.99,16 MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,9867.4,12361.54,16 MS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC",,,31691.84,39827.95,15 MS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR",,,18182.08,22825.7,16 MS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC",,,14354.66,18008.84,15 MS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC,,,15034.01,18863.81,16 MS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC,,,8272.23,10353.99,15 MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC,,,12722.93,15955.27,16 MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC,,,8600.53,10767.16,16 MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,,,19192.98,24097.94,16 MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,,,10843.34,13589.79,16 MS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC,,,14206.76,17822.7,15 MS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC,,,10398.85,13030.38,15 MS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC,,,7789.55,9746.53,15 MS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC",,,22719.74,28536.41,15 MS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC",,,14594.39,18310.53,15 MS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC",,,11722.62,14696.35,15 MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,,,16656.81,20906.13,16 MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,,,8524.97,10672.07,16 MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC,,,5876.65,7339.11,15 MS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,,,12250.0,15360.07,15 MS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,,,7339.36,9179.96,16 MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,,,6806.28,8509.06,15 MS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC,,,13843.54,17365.58,16 MS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC,,,8652.54,10832.61,16 MS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,,,6460.11,8073.41,15 MS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC,,,13351.91,16746.85,15 MS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,,,8691.54,10881.71,16 MS-DRG,075,VIRAL MENINGITIS WITH CC/MCC,,,15897.01,19949.9,15 MS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC,,,7020.8,8779.06,15 MS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC,,,15023.46,18850.52,15 MS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC,,,7592.88,9499.02,15 MS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC,,,18888.25,23714.43,16 MS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC,,,11657.6,14614.53,16 MS-DRG,084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC,,,8082.08,10114.69,15 MS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC,,,18776.93,23574.32,15 MS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC,,,10901.06,13662.41,16 MS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC,,,7748.1,9694.37,16 MS-DRG,088,CONCUSSION WITH MCC,,,11300.05,14164.55,15 MS-DRG,089,CONCUSSION WITH CC,,,9242.51,11575.1,15 MS-DRG,090,CONCUSSION WITHOUT CC/MCC,,,7004.56,8758.61,15 MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,,,14586.27,18300.3,16 MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,,,8628.15,10801.92,16 MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,6785.96,8483.5,15 MS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC,,,28914.32,36332.4,16 MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,21274.1,26717.05,15 MS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC,,,29665.16,37277.34,15 MS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,,,18963.82,23809.53,15 MS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC,,,11386.19,14272.96,15 MS-DRG,100,SEIZURES WITH MCC,,,16053.85,20147.29,15 MS-DRG,101,SEIZURES WITHOUT MCC,,,7649.78,9570.63,16 MS-DRG,102,HEADACHES WITH MCC,,,9423.72,11803.15,15 MS-DRG,103,HEADACHES WITHOUT MCC,,,7111.0,8892.57,15 MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC,,,19420.51,24384.29,15 MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC,,,11309.81,14176.83,15 MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT,,,12787.94,16037.09,15 MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC,,,15008.0,18831.08,15 MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC,,,9768.26,12236.77,15 MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC,,,6700.65,8376.13,15 MS-DRG,123,NEUROLOGICAL EYE DISORDERS,,,6804.66,8507.04,15 MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT,,,11066.82,13871.02,15 MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC,,,6554.37,8192.03,15 MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC,,,17948.87,22532.2,15 MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC,,,8565.59,10723.2,15 MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC,,,12449.09,15610.64,15 MS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC,,,7516.51,9402.91,15 MS-DRG,139,SALIVARY GLAND PROCEDURES,,,10356.59,12977.2,15 MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC,,,34975.62,43960.64,16 MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC,,,18039.07,22645.71,16 MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,,,13287.7,16666.05,16 MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC",,,30760.59,38655.96,15 MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC",,,14396.93,18062.03,16 MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC",,,10085.19,12635.62,16 MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC",,,17521.44,21994.27,15 MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",,,10647.5,13343.32,15 MS-DRG,149,DYSEQUILIBRIUM,,,6422.73,8026.36,15 MS-DRG,150,EPISTAXIS WITH MCC,,,11135.1,13956.95,15 MS-DRG,151,EPISTAXIS WITHOUT MCC,,,6279.71,7846.38,15 MS-DRG,152,OTITIS MEDIA AND URI WITH MCC,,,9921.85,12430.06,15 MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC,,,6313.83,7889.31,16 MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC",,,13020.34,16329.57,16 MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC",,,7762.73,9712.78,15 MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC",,,5931.1,7407.63,15 MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC,,,14266.09,17897.36,16 MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC,,,7708.28,9644.25,15 MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC,,,6072.48,7585.57,15 MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC,,,36734.93,46174.77,16 MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC,,,20825.53,26152.52,16 MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC,,,15870.19,19916.15,16 MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,,,30688.25,38564.92,16 MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC,,,14969.83,18783.03,16 MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,11418.69,14313.86,15 MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM,,,24501.81,30779.18,15 MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,,,11477.2,14387.51,16 MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC,,,6856.65,8572.47,16 MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,,,13013.85,20642.89,16 MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC,,,8246.23,13613.17,16 MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC,,,6450.35,8061.12,16 MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC,,,14665.9,18400.53,16 MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC,,,9018.22,11292.83,15 MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC,,,12747.32,15985.96,16 MS-DRG,184,MAJOR CHEST TRAUMA WITH CC,,,8962.16,11222.28,15 MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC,,,6706.31,8383.25,16 MS-DRG,186,PLEURAL EFFUSION WITH MCC,,,12979.72,16278.45,15 MS-DRG,187,PLEURAL EFFUSION WITH CC,,,8352.7,10455.26,15 MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC,,,6143.16,7674.54,15 MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE,,,10354.16,12974.14,16 MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,,,9316.46,11668.16,16 MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,,,7165.45,8961.1,16 MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC,,,5532.09,6905.48,15 MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC,,,10996.12,13782.05,16 MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC,,,6863.98,8581.68,16 MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC,,,5422.38,6767.41,15 MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC,,,15650.79,19640.03,16 MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC,,,8027.63,10046.17,16 MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC,,,6135.05,7664.32,15 MS-DRG,199,PNEUMOTHORAX WITH MCC,,,14650.45,18381.09,16 MS-DRG,200,PNEUMOTHORAX WITH CC,,,9248.19,11582.25,16 MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC,,,6126.12,7653.07,15 MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC,,,8207.24,10272.2,15 MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC,,,5759.63,7191.84,15 MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS,,,6876.17,8597.02,16 MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,,,15194.09,19065.27,16 MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC,,,7962.64,9964.36,16 MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS,,,52604.52,66146.89,16 MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS,,,22651.49,28450.52,16 MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES,,,88679.8,111548.22,16 MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT,,,81227.29,102169.12,15 MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,,,79811.72,100387.6,16 MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC,,,53747.04,67584.78,16 MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,53747.04,67584.78,15 MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,62710.21,78865.07,16 MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC,,,43650.29,54877.86,16 MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,41272.58,51885.46,16 MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC,,,40518.47,50936.41,16 MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC,,,25908.45,32549.46,16 MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC,,,68817.85,86551.63,15 MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC,,,49580.77,62341.47,15 MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC,,,62441.23,78526.56,16 MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC,,,44705.88,56206.33,16 MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,48004.29,60357.44,16 MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,,,34353.97,43178.28,16 MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC,,,40309.64,50673.59,16 MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,,,23478.72,29491.61,16 MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC,,,26260.31,32992.28,16 MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC,,,17631.14,22132.33,16 MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC,,,15003.14,18824.95,16 MS-DRG,245,AICD GENERATOR PROCEDURES,,,37389.9,46999.05,15 MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC,,,18050.44,22660.03,16 MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC,,,12459.65,15623.93,15 MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC,,,28661.59,36014.33,16 MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC,,,21407.36,26884.77,16 MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC,,,14793.48,18561.09,16 MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC,,,22234.61,27925.88,15 MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,,,14112.51,17704.07,15 MS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC,,,9190.49,11509.63,15 MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,,,25848.32,32473.78,15 MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC,,,16747.01,21019.65,15 MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,,,26747.88,33605.89,16 MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,,,15677.61,19673.79,16 MS-DRG,263,VEIN LIGATION AND STRIPPING,,,25160.02,31607.55,16 MS-DRG,265,AICD LEAD PROCEDURES,,,29717.17,37342.8,15 MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC,,,50115.47,63014.38,16 MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC,,,39002.14,49028.08,16 MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,,,56206.03,70679.46,16 MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,,,34633.5,43530.08,16 MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,,,43191.17,54300.04,16 MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,,,29214.17,36709.76,16 MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC,,,21061.18,26449.1,16 MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC,,,33839.57,42530.91,16 MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC,,,27064.0,34003.73,16 MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,,,58257.88,73261.75,16 MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR,,,49125.7,61768.75,16 MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC,,,37845.77,47572.78,16 MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC,,,45546.95,57264.82,15 MS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC,,,29621.3,37222.14,15 MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC",,,13350.28,16744.79,16 MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC",,,7783.86,9739.38,16 MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC",,,6191.13,7734.9,15 MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC",,,16411.4,20597.27,15 MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC",,,5940.03,7418.88,15 MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC",,,18296.68,22969.93,16 MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC",,,9010.9,11283.62,16 MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC,,,22306.13,28015.88,15 MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC,,,14185.65,17796.13,15 MS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC,,,7869.99,9847.77,15 MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC,,,10747.46,13469.12,16 MS-DRG,292,HEART FAILURE AND SHOCK WITH CC,,,7214.21,9022.45,16 MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC,,,4914.5,6128.24,15 MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC",,,13007.35,16313.21,15 MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC,,,13582.69,17037.28,16 MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC,,,8989.77,11257.03,16 MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC,,,6163.49,7700.11,15 MS-DRG,302,ATHEROSCLEROSIS WITH MCC,,,10038.87,12577.33,16 MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC,,,5785.63,7224.57,16 MS-DRG,304,HYPERTENSION WITH MCC,,,9985.22,12509.82,16 MS-DRG,305,HYPERTENSION WITHOUT MCC,,,6451.17,8062.16,16 MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC,,,13120.32,16455.4,15 MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC,,,7735.91,9679.03,15 MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,,,10099.0,12653.01,16 MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,,,6293.51,7863.75,16 MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC,,,4915.32,6129.27,16 MS-DRG,311,ANGINA PECTORIS,,,6018.85,7518.07,15 MS-DRG,312,SYNCOPE AND COLLAPSE,,,7397.87,9253.59,16 MS-DRG,313,CHEST PAIN,,,6165.93,7703.18,16 MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,,,17259.78,21664.96,16 MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,,,8143.03,10191.39,16 MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC,,,5857.96,7315.59,16 MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION,,,54650.68,68722.03,16 MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC,,,36581.34,45981.46,16 MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC,,,19860.95,24938.58,16 MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES,,,22424.76,28165.18,16 MS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC,,,14641.51,18369.84,16 MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC,,,35480.26,44595.74,16 MS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,25920.65,32564.81,16 MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE,,,26403.33,33172.28,15 MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC",,,40843.53,51345.5,16 MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC",,,20177.06,25336.41,16 MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC",,,13335.65,16726.39,16 MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,37666.99,47347.77,16 MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,19795.14,24855.75,16 MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,13990.62,17550.68,16 MS-DRG,332,RECTAL RESECTION WITH MCC,,,29737.49,37368.36,15 MS-DRG,333,RECTAL RESECTION WITH CC,,,19348.2,24293.28,15 MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC,,,13624.94,17090.46,15 MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC,,,29332.8,36859.06,16 MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC,,,17450.74,21905.3,16 MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC,,,12788.76,16038.12,16 MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,21303.34,26753.86,15 MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,12542.54,15728.25,16 MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,9954.35,12470.98,15 MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC,,,18969.52,23816.71,15 MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC,,,10950.61,13724.78,15 MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC,,,7389.74,9243.36,15 MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC,,,20564.69,25824.25,15 MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC,,,12703.43,15930.73,15 MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC,,,9804.82,12282.79,15 MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC,,,23897.22,30018.3,16 MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC,,,13986.56,17545.56,16 MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC,,,11244.79,14095.0,16 MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,,,36011.7,45264.57,16 MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC,,,19212.49,24122.48,16 MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,11674.65,14636.0,15 MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC,,,13251.14,16620.02,16 MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC,,,8442.89,10568.77,15 MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC,,,6009.91,7506.83,15 MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,,,14723.59,18473.14,16 MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,,,8611.91,10781.49,16 MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC,,,6226.07,7778.87,15 MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC,,,17694.52,22212.1,16 MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC,,,10144.51,12710.29,16 MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC,,,7826.11,9792.54,16 MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC,,,15169.73,19034.6,16 MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC,,,8284.42,10369.34,16 MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC,,,5437.84,6786.87,16 MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC,,,16260.25,20407.05,16 MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC,,,9119.8,11420.67,15 MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC,,,6820.9,8527.48,15 MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC,,,11534.88,14460.09,15 MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC,,,7261.34,9081.77,15 MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC,,,13173.13,16521.85,15 MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC,,,8248.68,10324.35,15 MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC,,,5851.44,7307.4,15 MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC,,,12315.81,15442.9,16 MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC,,,6733.14,8417.02,16 MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC,,,4735.73,5903.25,16 MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC",,,10621.5,13310.59,16 MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC",,,6650.26,8312.71,16 MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC,,,13311.28,16695.71,16 MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC,,,7918.75,9909.13,16 MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,5588.99,6977.09,16 MS-DRG,397,APPENDIX PROCEDURES WITH MCC,,,19776.45,24832.25,15 MS-DRG,398,APPENDIX PROCEDURES WITH CC,,,12614.86,15819.27,16 MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC,,,9617.12,12046.56,15 MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,32986.34,41457.1,16 MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC",,,44769.26,56286.1,16 MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC",,,23882.59,29999.88,16 MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC",,,18351.92,23039.45,16 MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC,,,29289.75,41578.09,15 MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC,,,18008.19,22606.86,15 MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC,,,13217.02,16577.09,15 MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC,,,27158.23,34122.34,15 MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC,,,17400.34,21841.88,15 MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC,,,13808.58,17321.58,15 MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC,,,29265.36,36774.19,15 MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC,,,17109.43,21475.75,16 MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC,,,11393.49,14282.15,16 MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,,,19707.37,24745.3,15 MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,,,14061.31,17639.64,16 MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC,,,11413.81,14307.72,15 MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC,,,28001.75,35183.92,16 MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC,,,14434.31,18109.06,15 MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC,,,11687.66,14652.36,15 MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC,,,34063.04,42812.15,15 MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,,,18094.34,22715.28,15 MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC,,,12506.79,15683.25,15 MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,89875.16,113052.6,16 MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC,,,58974.62,74163.76,16 MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC,,,46000.38,57835.48,16 MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC,,,73528.58,92480.16,15 MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC,,,47179.48,59319.39,16 MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,,,16309.0,20468.4,16 MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,,,8897.94,11141.46,15 MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC,,,6104.99,7626.48,15 MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,,,15240.43,19123.59,16 MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC,,,9506.6,11907.47,16 MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC,,,7249.15,9066.43,15 MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,,,13562.37,17011.72,16 MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,,,7150.82,8942.68,15 MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC,,,5364.7,6694.82,15 MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC",,,14899.13,18694.05,16 MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC",,,8159.29,10211.85,16 MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC",,,6000.99,7495.59,15 MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC,,,13893.09,17427.94,16 MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC,,,9208.38,11532.15,16 MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC,,,7037.87,8800.53,16 MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,54610.86,68671.91,16 MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,34776.52,43710.07,16 MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,43624.3,54845.14,15 MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,26565.85,33376.81,16 MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC",,,68602.49,86280.6,15 MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC",,,48772.23,61323.89,16 MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC",,,34222.33,43012.61,15 MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC,,,45195.9,56823.03,15 MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC,,,21930.69,27543.38,15 MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,46630.16,58628.06,15 MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,,,25625.65,32193.56,16 MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,15134.79,18990.63,16 MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC,,,42615.02,53574.95,16 MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC-EXPRESS CARE,,,28972.81,36406.02,16 MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC,,,22645.79,28443.35,16 MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT,,,24963.38,31360.08,15 MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,,,15989.65,20066.5,16 MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC,,,39553.91,49722.49,15 MS-DRG,472,CERVICAL SPINAL FUSION WITH CC,,,24255.59,30469.31,16 MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,,,20153.51,25306.77,16 MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,35199.9,44242.9,15 MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC,,,18807.81,23613.19,16 MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,9905.59,12409.6,15 MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,28387.74,35669.69,15 MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,,,20298.96,25489.83,16 MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC,,,15420.82,19350.61,15 MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC,,,17335.35,21760.07,16 MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC,,,13568.88,17019.9,16 MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES,,,22840.0,28687.77,16 MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC,,,26539.03,33343.06,15 MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC,,,17307.73,21725.31,15 MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,13042.29,16357.19,15 MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC-EXPRESS CARE,,,14689.45,18430.17,15 MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,9390.39,11761.21,15 MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC",,,30151.11,37888.92,15 MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC",,,20923.85,26276.26,16 MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC",,,16620.24,20860.09,16 MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC,,,29778.12,37419.51,15 MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC,,,14973.88,18788.12,16 MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC,,,10133.94,12696.99,15 MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC,,,24830.12,31192.36,15 MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC,,,16687.69,20944.98,15 MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC,,,26032.78,32705.93,16 MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC,,,14520.43,18217.46,16 MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC,,,11252.09,14104.19,15 MS-DRG,503,FOOT PROCEDURES WITH MCC,,,22996.01,28884.11,15 MS-DRG,504,FOOT PROCEDURES WITH CC,,,15504.52,19455.94,16 MS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC,,,14883.68,18674.6,15 MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES,,,11278.92,14137.96,15 MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC,,,14994.19,18813.7,15 MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC",,,17212.64,21605.65,16 MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC",,,13767.14,17269.43,15 MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC",,,13108.11,16440.03,16 MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC",,,8622.48,10794.78,15 MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC,,,26212.38,32931.95,16 MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC,,,17202.09,21592.36,16 MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC,,,12802.58,16055.51,16 MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR,,,30685.02,38560.84,16 MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC,,,16569.05,20795.68,16 MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC,,,12454.78,15617.8,16 MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,,,23638.81,29693.08,16 MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC-EXPRESS CARE,,,17523.88,21997.34,16 MS-DRG,533,FRACTURES OF FEMUR WITH MCC,,,13054.48,16372.53,15 MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC,,,6865.6,8583.73,15 MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC,,,10732.84,13450.7,15 MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC,,,6877.79,8599.06,16 MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC",,,8069.89,10099.34,15 MS-DRG,539,OSTEOMYELITIS WITH MCC,,,16321.2,20483.76,16 MS-DRG,540,OSTEOMYELITIS WITH CC,,,10849.04,13596.95,15 MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC,,,6713.65,8392.49,15 MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC,,,14669.97,18405.65,16 MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,,,8668.81,10853.08,16 MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC,,,6447.09,8057.03,15 MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC,,,20481.79,25719.93,16 MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC,,,9687.81,12135.52,16 MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,7110.2,8891.55,15 MS-DRG,548,SEPTIC ARTHRITIS WITH MCC,,,16005.91,20086.96,15 MS-DRG,549,SEPTIC ARTHRITIS WITH CC,,,10125.0,12685.73,15 MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC,,,7418.17,9279.15,15 MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC,,,13935.35,17481.12,16 MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC,,,8126.78,10170.94,16 MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC,,,10849.04,13596.95,15 MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC,,,7060.63,8829.17,16 MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,11056.25,13857.72,15 MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,,,7064.69,8834.29,15 MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC",,,12397.89,15546.2,15 MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC",,,7573.38,9474.48,16 MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",,,1844.0,30315.18,16 MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",,,1844.0,29628.49,16 MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC",,,6847.72,8561.22,15 MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC",,,11893.27,14911.13,15 MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC",,,7592.08,9498.02,16 MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,,,12858.65,16126.08,15 MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,,,8233.24,10304.92,15 MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC,,,1844.0,25715.98,14 MS-DRG,570,SKIN DEBRIDEMENT WITH MCC,,,24214.96,30418.18,15 MS-DRG,571,SKIN DEBRIDEMENT WITH CC,,,14044.26,17618.18,16 MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC,,,9630.13,12062.92,15 MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,53552.86,67340.39,15 MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC,,,28524.26,35841.5,15 MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,14917.82,18717.57,15 MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,40143.04,50463.92,15 MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC,,,21855.11,27448.27,16 MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,13368.98,16768.32,15 MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC",,,26631.67,33459.65,16 MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC",,,14357.11,18011.92,16 MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC",,,12041.97,15098.27,16 MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC,,,15970.97,20042.98,15 MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC,,,14327.86,17975.1,15 MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC",,,17710.78,22232.56,15 MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC",,,15991.27,20068.53,15 MS-DRG,592,SKIN ULCERS WITH MCC,,,16041.66,20131.95,15 MS-DRG,593,SKIN ULCERS WITH CC,,,9955.16,12471.99,16 MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC,,,7358.85,9204.49,15 MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC,,,17548.25,22028.02,15 MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC,,,9111.66,11410.43,16 MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC,,,13862.24,17389.11,15 MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC,,,9508.24,11909.52,16 MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC,,,8779.3,10992.16,15 MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,5231.43,6527.09,16 MS-DRG,602,CELLULITIS WITH MCC,,,11864.81,14875.31,16 MS-DRG,603,CELLULITIS WITHOUT MCC,,,7392.17,9246.42,16 MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC",,,12277.63,15394.85,15 MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC",,,7758.66,9707.65,15 MS-DRG,606,MINOR SKIN DISORDERS WITH MCC,,,12611.6,15815.15,16 MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC,,,7680.65,9609.48,16 MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC,,,18126.03,22755.16,16 MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC,,,11686.03,14650.32,16 MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,28654.27,36005.12,15 MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,15513.47,19467.21,16 MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC,,,23778.58,29868.98,15 MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC,,,13319.39,16705.93,16 MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC,,,12572.6,15766.08,15 MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,29237.74,36739.43,15 MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,14892.62,18685.87,15 MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC",,,24856.91,31226.09,15 MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC",,,12499.47,15674.04,16 MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC",,,11109.08,13924.21,16 MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC",,,30599.68,38453.45,15 MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC",,,18020.38,22622.19,16 MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC",,,12175.23,15265.98,15 MS-DRG,637,DIABETES WITH MCC,,,11989.95,15032.8,16 MS-DRG,638,DIABETES WITH CC,,,7597.77,9505.17,16 MS-DRG,639,DIABETES WITHOUT CC/MCC,,,5363.07,6692.76,15 MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC",,,11168.41,13998.88,16 MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC",,,6638.87,8298.39,16 MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM,,,11871.31,14883.5,15 MS-DRG,643,ENDOCRINE DISORDERS WITH MCC,,,13691.58,17174.33,16 MS-DRG,644,ENDOCRINE DISORDERS WITH CC,,,8644.43,10822.41,16 MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC,,,6558.43,8197.15,15 MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,,,38519.44,48420.6,16 MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,,,30429.03,38238.68,15 MS-DRG,652,KIDNEY TRANSPLANT,,,26558.55,33367.62,16 MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC,,,42541.88,53482.91,16 MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC,,,23062.67,28967.99,16 MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC,,,17514.94,21986.1,16 MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC,,,26187.18,32900.25,16 MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,,,15185.97,19055.05,16 MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC,,,12925.29,16209.94,16 MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,,,20962.87,26325.37,16 MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,,,11055.45,13856.72,16 MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC,,,8728.93,10928.75,16 MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC,,,25193.35,31649.49,15 MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC,,,12668.48,15886.75,16 MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC,,,8822.38,11046.37,16 MS-DRG,665,PROSTATECTOMY WITH MCC,,,25678.47,41000.0,19 MS-DRG,666,PROSTATECTOMY WITH CC,,,14530.2,41000.0,19 MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC,,,9304.26,41000.0,19 MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC,,,24043.49,30202.38,16 MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC,,,12926.91,16211.98,16 MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC,,,8256.79,10334.56,15 MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC,,,14901.56,18697.11,16 MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC,,,9087.28,11379.75,16 MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,,,34458.0,43309.2,16 MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC,,,19318.94,24256.46,16 MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC,,,13653.39,17126.27,15 MS-DRG,682,RENAL FAILURE WITH MCC,,,12349.94,15485.86,16 MS-DRG,683,RENAL FAILURE WITH CC,,,7432.0,9296.54,16 MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC,,,5193.25,6479.04,16 MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC,,,14972.24,18786.06,15 MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC,,,8829.69,11055.56,16 MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,,,9743.89,12206.1,16 MS-DRG,693,URINARY STONES WITH MCC,,,11240.72,14089.88,16 MS-DRG,694,URINARY STONES WITHOUT MCC,,,6667.31,8334.17,16 MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC,,,9609.81,12037.36,15 MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC,,,5914.03,7386.16,16 MS-DRG,697,URETHRAL STRICTURE,,,9073.48,11362.37,15 MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC-EXPRESS CARE,,,13759.02,17259.21,16 MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC,,,8563.14,10720.12,16 MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC,,,5921.33,7395.36,15 MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC,,,16569.86,41000.0,20 MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC,,,12782.26,41000.0,20 MS-DRG,709,PENIS PROCEDURES WITH CC/MCC,,,19225.48,24138.84,15 MS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC,,,11701.49,14669.77,15 MS-DRG,711,TESTES PROCEDURES WITH CC/MCC,,,17248.39,21650.64,16 MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC,,,9251.43,11586.33,15 MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC,,,12531.96,15714.94,16 MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC,,,8907.7,11153.75,15 MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC,,,18495.77,23220.48,15 MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC,,,12268.68,15383.59,15 MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC,,,15677.61,19673.79,15 MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC,,,11229.34,14075.57,15 MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC",,,15021.02,18847.46,16 MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC",,,9600.86,12026.1,15 MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC,,,9824.33,12307.34,15 MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC,,,6182.19,7723.64,16 MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC,,,12365.4,15505.3,16 MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC,,,6907.03,8635.87,16 MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC,,,8918.26,11167.02,15 MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,5775.87,7212.28,15 MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC",,,17623.83,22123.12,16 MS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC",,,11248.86,14100.12,15 MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC,,,29362.06,36895.88,16 MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC,,,17059.87,21413.37,16 MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,12248.36,15358.02,15 MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC,,,29429.52,36980.78,16 MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC,,,15020.21,18846.43,16 MS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,11903.83,14924.42,15 MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC,,,15224.97,19104.13,16 MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,,,10397.23,13028.33,16 MS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC",,,16966.41,21295.77,15 MS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC",,,9558.61,11972.93,15 MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC",,,14431.05,18104.97,16 MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC",,,7301.16,9131.88,16 MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,11588.54,14527.61,16 MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC,,,21179.84,26598.43,15 MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,12307.69,15432.68,15 MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,9154.73,11464.64,15 MS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,8120.28,10162.76,15 MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,8270.62,10351.96,15 MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,5707.63,7126.41,15 MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC,,,8502.21,10643.42,15 MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC,,,4951.08,6174.27,15 MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C,,,9023.09,11298.97,15 MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES,,,14046.68,17621.23,15 MS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,8463.21,10594.33,15 MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,,,5635.3,7035.37,15 MS-DRG,779,ABORTION WITHOUT D&C,,,7151.64,8943.7,15 MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC,,,20265.64,25447.88,15 MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC,,,8929.63,11181.35,15 MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC,,,8098.35,10135.16,15 MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC,,,13719.2,17209.09,15 MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC,,,9390.39,11761.21,15 MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC,,,8106.46,10145.37,15 MS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY",,,14960.09,18770.76,15 MS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE",,,48612.95,61123.44,15 MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS,,,33299.19,41850.82,15 MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS,,,20217.7,25387.55,15 MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS,,,34197.94,42981.92,15 MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS,,,12308.49,15433.69,15 MS-DRG,795,NORMAL NEWBORN,,,1938.7,2383.15,15 MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC,,,9798.34,12274.63,15 MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC,,,8444.52,10570.81,15 MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC,,,8092.66,10128.0,15 MS-DRG,799,SPLENIC PROCEDURES WITH MCC,,,37117.68,46656.46,15 MS-DRG,800,SPLENIC PROCEDURES WITH CC,,,23144.74,29071.28,16 MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC,,,15827.12,19861.94,15 MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC,,,32690.53,41084.82,15 MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC,,,15420.82,19350.61,16 MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC,,,11334.18,14207.5,15 MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC,,,9084.86,11376.71,15 MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC,,,6442.23,8050.9,15 MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC,,,5793.75,7234.79,15 MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC,,,18256.85,22919.8,16 MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,,,10602.01,13286.06,16 MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC,,,8819.93,11043.29,15 MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC,,,11726.65,14701.45,16 MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC,,,7776.55,9730.17,16 MS-DRG,813,COAGULATION DISORDERS,,,12709.92,15938.9,16 MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC,,,17597.01,22089.38,16 MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC,,,8555.04,10709.91,16 MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC,,,5450.84,6803.23,15 MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC,,,18855.74,23673.52,15 MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC,,,9734.93,12194.83,15 MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,7302.78,9133.93,15 MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC,,,47973.41,60318.57,16 MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC,,,18506.33,23233.77,16 MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,10099.0,12653.01,16 MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC,,,37571.91,47228.13,16 MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC,,,18725.72,23509.88,15 MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC,,,11280.54,14139.99,15 MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC,,,38327.66,48179.24,15 MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC,,,19096.29,23976.24,16 MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,14160.45,17764.41,16 MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC,,,25993.78,32656.86,16 MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC,,,12544.98,15731.32,15 MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC,,,10086.8,12637.66,15 MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC,,,6178.94,7719.55,15 MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC,,,4564.27,5687.46,15 MS-DRG,834,ACUTE LEUKEMIA WITH MCC,,,44926.91,56484.51,16 MS-DRG,835,ACUTE LEUKEMIA WITH CC,,,17264.65,21671.1,16 MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC,,,10224.95,12811.52,15 MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,,,39355.62,49472.94,16 MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,,,17277.65,21687.46,16 MS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,12048.45,15106.43,15 MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC,,,26602.43,33422.84,16 MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC,,,13572.13,17024.0,16 MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC,,,8525.78,10673.09,15 MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC,,,16525.16,20740.45,15 MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC,,,10207.89,12790.05,15 MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC,,,7235.34,9049.05,15 MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC,,,21382.18,26853.07,16 MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC,,,10945.75,13718.66,16 MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,7217.47,9026.56,15 MS-DRG,849,RADIOTHERAPY,,,22332.93,28049.62,15 MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES,,,70683.6,88899.71,15 MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,,,40446.96,50846.41,16 MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,,,16551.98,20774.19,16 MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,12481.59,15651.54,15 MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC,,,37278.56,46858.93,16 MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC,,,17717.27,22240.72,16 MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC-EXPRESS CARE,,,11634.03,14584.87,16 MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,,,15134.79,18990.63,16 MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,,,8424.21,10545.26,16 MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS,,,7528.7,9418.24,15 MS-DRG,865,VIRAL ILLNESS WITH MCC,,,12490.52,15662.78,16 MS-DRG,866,VIRAL ILLNESS WITHOUT MCC,,,7381.61,9233.13,15 MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC,,,17324.79,21746.78,16 MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,,,8693.99,10884.79,15 MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC,,,6244.76,7802.39,15 MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS,,,56481.5,71026.14,15 MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC,,,16100.17,20205.58,16 MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC,,,8630.6,10805.0,16 MS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS,,,31721.91,39865.79,16 MS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION,,,295.66,8595.35,15 MS-DRG,881,DEPRESSIVE NEUROSES,,,290.19,8429.3,15 MS-DRG,882,NEUROSES EXCEPT DEPRESSIVE,,,279.24,9572.79,15 MS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,320.3,17252.01,16 MS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY,,,13389.27,16793.88,16 MS-DRG,885,PSYCHOSES,,,11665.73,14624.76,16 MS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS,,,292.92,18189.88,15 MS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES,,,273.76,9547.84,15 MS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA",,,5328.12,6648.79,15 MS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY",,,11818.49,14817.01,15 MS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC",,,14496.06,18186.78,16 MS-DRG,897,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC",,,7488.87,9368.12,16 MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC,,,34417.36,43258.06,15 MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC,,,15872.65,19919.24,15 MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC,,,9819.47,12301.21,15 MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC,,,30163.31,37904.26,15 MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC,,,12369.45,15510.41,15 MS-DRG,906,HAND PROCEDURES FOR INJURIES,,,16277.32,20428.53,15 MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,,,31513.87,39603.97,16 MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC,,,16528.43,20744.55,16 MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC,,,10982.31,13764.67,16 MS-DRG,913,TRAUMATIC INJURY WITH MCC,,,13598.12,17056.71,15 MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC,,,7510.82,9395.75,15 MS-DRG,915,ALLERGIC REACTIONS WITH MCC,,,13980.05,17537.38,15 MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC,,,5729.56,7154.0,15 MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC,,,13060.17,16379.69,15 MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC,,,7280.04,9105.29,15 MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC,,,15192.47,19063.23,16 MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC,,,8459.95,10590.24,16 MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC,,,5909.15,7380.01,15 MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC",,,14531.01,18230.77,15 MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC",,,8585.11,10747.75,15 MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC,,,58601.61,73694.34,15 MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY,,,18278.8,22947.42,15 MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC,,,29800.87,37448.14,16 MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC,,,19305.12,24239.06,16 MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC,,,16792.52,21076.91,15 MS-DRG,945,REHABILITATION WITH CC/MCC,,,12899.28,16177.21,15 MS-DRG,946,REHABILITATION WITHOUT CC/MCC,,,9634.19,12068.03,15 MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC,,,10630.45,13321.85,16 MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC,,,6820.09,8526.45,16 MS-DRG,949,AFTERCARE WITH CC/MCC,,,1844.0,21559.1,16 MS-DRG,950,AFTERCARE WITHOUT CC/MCC,,,1844.0,26106.99,14 MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS,,,4833.25,6025.98,15 MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,55013.11,69178.14,15 MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA",,,30893.85,38823.66,15 MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,62235.64,78267.82,16 MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,34557.93,43434.96,15 MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,24239.34,30448.86,15 MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,22530.4,28298.13,15 MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,12769.25,16013.56,16 MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,7957.74,9958.21,15 MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC,,,50057.76,62941.77,15 MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC,,,23767.2,29854.67,15 MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC,,,10838.47,13583.65,15 MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION,,,10860.41,13611.26,15 MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,38441.43,48322.42,16 MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,20293.28,25482.68,16 MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,14243.34,17868.73,16 MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,28174.83,35401.73,16 MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,13671.25,17148.75,16 MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,10059.99,12603.92,15 MS-DRG,998,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS,,,308.92,355.26,15 NDC,00002-1200-30,FLORBETAPIR F-18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION,13597.5,12101.78,1825.64,13597.5,740 NDC,00002-1220-01,FLORTAUCIPIR F-18 370 MBQ (10 MCI) INTRAVENOUS SOLUTION,9625.0,8566.25,2002.0,9625.0,735 NDC,00002-1433-80,DULAGLUTIDE 0.75 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,708.3,630.39,147.33,708.3,727 NDC,00002-1434-80,DULAGLUTIDE 1.5 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,708.3,630.39,147.33,708.3,727 NDC,00002-1506-80,TIRZEPATIDE (DIABETES) 2.5 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,769.3,684.68,160.01,769.3,727 NDC,00002-2236-80,DULAGLUTIDE 3 MG/0.5 ML SUBCUTANEOUS PEN INJECTOR,708.3,630.39,147.33,708.3,727 NDC,00002-2377-11,GALCANEZUMAB-GNLM 120 MG/ML SUBCUTANEOUS SYRINGE,1995.1,1775.64,414.98,1995.1,727 NDC,00002-4182-30,BARICITINIB 2 MG TABLET,306.6,272.87,63.77,306.6,727 NDC,00002-4463-30,TADALAFIL 10 MG TABLET,179.7,159.93,37.38,179.7,727 NDC,00002-4732-30,BARICITINIB 1 MG TABLET,306.6,272.87,63.77,306.6,727 NDC,00002-5340-60,SELPERCATINIB 40 MG TABLET,465.1,413.94,96.74,465.1,727 NDC,00002-7026-60,PIRTOBRUTINIB 100 MG TABLET,1240.2,1103.78,257.96,1240.2,727 NDC,00002-7510-01,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,205.2,182.63,42.68,205.2,729 NDC,00002-7510-01,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR PRN SNACKS),205.2,182.63,42.68,205.2,729 NDC,00002-7510-01,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),205.2,182.63,42.68,205.2,729 NDC,00002-7510-01,INSULIN LISPRO SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML,205.2,182.63,42.68,205.2,719 NDC,00002-7510-01,INSULIN LISPRO SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,205.2,182.63,42.68,205.2,719 NDC,00002-7575-01,MIRIKIZUMAB-MRKZ 300 MG/15 ML (20 MG/ML) INTRAVENOUS SOLUTION,24276.2,21605.82,43.05,24276.2,734 NDC,00002-7714-59,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS HALF-UNIT PEN,108.7,96.74,22.61,108.7,729 NDC,00002-7724-01,IXEKIZUMAB 80 MG/ML SUBCUTANEOUS SYRINGE,19010.0,16918.9,3954.08,19010.0,727 NDC,00002-8315-01,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,111.0,98.79,23.09,111.0,729 NDC,00002-8799-59,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN,108.7,96.74,22.61,108.7,729 NDC,00002-8799-59,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR PRN SNACKS),108.7,96.74,22.61,108.7,729 NDC,00002-8799-59,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR SCHEDULED),108.7,96.74,22.61,108.7,729 NDC,00002-8799-59,INSULIN LISPRO SUBCUTANEOUS CARB CALCULATOR PRN SNACKS (WRAPPER),108.7,96.74,22.61,108.7,719 NDC,00002-8799-59,INSULIN LISPRO SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),108.7,96.74,22.61,108.7,719 NDC,00002-8805-59,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,90.4,80.46,18.8,90.4,729 NDC,00002-8824-27,INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN,783.6,697.4,162.99,783.6,729 NDC,00003-0050-60,XANOMELINE 50 MG-TROSPIUM 20 MG CAPSULE,104.8,93.27,21.8,104.8,727 NDC,00003-0371-13,BELATACEPT 250 MG INTRAVENOUS SOLUTION,2715.8,2417.06,3.89,2715.8,736 NDC,00003-0494-20,TRIAMCINOLONE ACETONIDE 10 MG/ML INTRAPLEURAL SUSPENSION (CATH TIP SYRINGE),195.8,174.26,17.04,195.8,719 NDC,00003-0494-20,TRIAMCINOLONE ACETONIDE 10 MG/ML SUSPENSION FOR INJECTION,37.3,33.2,0.85,37.3,723 NDC,00003-0527-11,DASATINIB 20 MG TABLET,553.6,492.7,115.15,553.6,727 NDC,00003-0857-22,DASATINIB 140 MG TABLET,1839.1,1636.8,382.53,1839.1,727 NDC,00003-0893-31,APIXABAN 2.5 MG TABLET,23.5,20.92,4.89,23.5,727 NDC,00003-0894-31,APIXABAN 5 MG TABLET,23.5,20.92,4.89,23.5,727 NDC,00003-1612-12,ENTECAVIR 1 MG TABLET,148.1,131.81,30.8,148.1,727 NDC,00003-1614-12,ENTECAVIR 0.05 MG/ML ORAL SOLUTION,158.7,141.24,33.01,158.7,727 NDC,00003-2187-13,ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION,4335.4,3858.51,44.11,4335.4,736 NDC,00003-2291-11,ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION,7042.8,6268.09,7.89,7042.8,736 NDC,00003-2327-11,IPILIMUMAB 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER),26168.1,23289.61,183.48,26168.1,736 NDC,00003-2328-22,IPILIMUMAB 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER),103322.3,91956.85,183.48,103322.3,736 NDC,00003-3631-12,ATAZANAVIR 200 MG CAPSULE,87.3,77.7,18.16,87.3,727 NDC,00003-3638-10,ATAZANAVIR 50 MG ORAL POWDER PACKET,30.8,27.41,6.41,30.8,727 NDC,00003-3641-11,ATAZANAVIR 300 MG-COBICISTAT 150 MG TABLET,179.6,159.84,37.36,179.6,727 NDC,00003-3734-13,NIVOLUMAB 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),23010.7,20479.52,32.96,23010.7,736 NDC,00003-3772-11,NIVOLUMAB 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),4210.2,3747.08,32.96,4210.2,736 NDC,00003-3774-12,NIVOLUMAB 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),9850.3,8766.77,32.96,9850.3,736 NDC,00003-6120-01,"NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION",23010.7,20479.52,27.36,23010.7,734 NDC,00005-0100-05,"N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE",264.8,235.67,55.08,264.8,715 NDC,00005-2000-10,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,322.9,287.38,67.16,357.5,717 NDC,00005-4451-74,MULTIVITAMIN WITH MINERALS TABLET (WRAPPER),0.5,0.45,0.1,0.5,727 NDC,00006-0005-30,SUVOREXANT 5 MG TABLET,57.9,51.53,12.04,57.9,727 NDC,00006-0033-30,SUVOREXANT 10 MG TABLET,57.9,51.53,12.04,57.9,727 NDC,00006-0112-28,SITAGLIPTIN PHOSPHATE 50 MG TABLET,43.2,38.45,8.99,43.2,727 NDC,00006-0221-31,SITAGLIPTIN PHOSPHATE 25 MG TABLET,43.2,38.45,8.99,43.2,727 NDC,00006-0227-61,RALTEGRAVIR 400 MG TABLET,122.6,109.11,25.5,122.6,727 NDC,00006-0277-28,SITAGLIPTIN PHOSPHATE 100 MG TABLET,43.2,38.45,8.99,43.2,727 NDC,00006-0335-30,SUVOREXANT 20 MG TABLET,57.9,51.53,12.04,57.9,727 NDC,00006-0473-61,RALTEGRAVIR 25 MG CHEWABLE TABLET,12.6,11.21,2.62,12.6,727 NDC,00006-0477-61,RALTEGRAVIR 100 MG CHEWABLE TABLET,35.4,31.51,7.36,35.4,727 NDC,00006-0568-40,VORINOSTAT 100 MG CAPSULE,435.3,387.42,90.54,435.3,727 NDC,00006-3026-02,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,17201.3,15309.16,60.29,17201.3,736 NDC,00006-3066-03,APREPITANT 25 MG/ML ORAL SUSPENSION,1010.5,899.35,79.64,1010.5,719 NDC,00006-3069-01,DORAVIRINE 100 MG TABLET,208.8,185.83,43.43,208.8,727 NDC,00006-3075-04,LETERMOVIR 240 MG TABLET,903.8,804.38,187.99,903.8,727 NDC,00006-3076-04,LETERMOVIR 480 MG TABLET,903.8,804.38,187.99,903.8,727 NDC,00006-3603-61,RALTEGRAVIR 100 MG POWDER PACKET FOR ORAL SUSPENSION,35.4,31.51,7.36,35.4,727 NDC,00006-3856-02,IMIPENEM-CILASTATIN-RELEBACTAM 1.25 GRAM INTRAVENOUS SOLUTION,934.6,831.79,194.4,934.6,719 NDC,00006-4047-01,"ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION",143.6,127.8,29.87,143.6,717 NDC,00006-4093-02,HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML IM (WRAPPER),37.4,33.29,7.78,37.4,721 NDC,00006-4094-01,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/1 ML IM (WRAPPER),65.1,57.94,13.54,80.4,721 NDC,00006-4095-02,HEPATITIS A VIRUS VACCINE (PF) 0.5 ML IM (WRAPPER),48.5,43.17,10.09,48.5,717 NDC,00006-4096-01,HEPATITIS A VIRUS VACCINE (PF) 1 ML IM (WRAPPER),118.5,105.47,24.65,118.5,719 NDC,00006-4121-02,"HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM (WRAPPER)",453.1,403.26,94.24,453.1,719 NDC,00006-4171-00,"MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT",403.8,359.38,83.99,403.8,719 NDC,00006-4681-00,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT",151.5,134.84,31.51,151.5,717 NDC,00006-4827-00,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP",273.9,243.77,56.97,273.9,719 NDC,00006-4897-00,HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN,48.7,43.34,10.13,48.7,717 NDC,00006-4992-00,HEPATITIS B VIRUS VACCINE RECOMB (PF) 40 MCG/ML INTRAMUSCULAR SUSP,165.5,147.29,34.42,187.86,719 NDC,00006-5004-01,LETERMOVIR 480 MG/24 ML (20 MG/ML) INTRAVENOUS SOLUTION (RESTRICTED),1097.0,976.33,228.18,1097.0,719 NDC,00006-5029-01,VERICIGUAT 5 MG TABLET,70.7,62.92,14.71,70.7,727 NDC,00006-5085-01,LETERMOVIR 120 MG ORAL PELLETS IN PACKET,238.4,212.18,49.59,238.4,727 NDC,00006-5423-12,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,456.2,406.02,94.89,456.2,715 NDC,00006-5424-02,"ANTIVENIN LATRODECTUS MACTANS 6,000 UNIT SOLUTION FOR INJECTION",140.1,124.69,29.14,140.1,727 NDC,00008-0100-01,INOTUZUMAB OZOGAMICIN 0.9 MG/3.6 ML (0.25 MG/ML INITIAL CONCENTRATION) IV SOLN (WETTED),68378.3,60856.69,2698.05,68378.3,736 NDC,00008-4510-01,GEMTUZUMAB OZOGAMICIN 4.5 MG/4.5 ML (1 MG/ML INITIAL CONCENTRATION) IV SOLN (WETTED),29692.7,26426.5,236.62,29692.7,736 NDC,00009-0003-02,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/ML INJECTION (NEO/PED) - RST ONLY,191.8,170.7,39.89,191.8,717 NDC,00009-0003-02,METHYLPREDNISOLONE SOD SUCC (PF) 500 MG/4 ML INTRAVENOUS SOLUTION,191.8,170.7,39.89,191.8,717 NDC,00009-0011-03,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML INJECTION (NEO/PED) - RST ONLY,125.4,111.61,25.37,125.4,719 NDC,00009-0011-03,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION FOR INJECTION,125.4,111.61,25.37,125.4,724 NDC,00009-0016-12,HYDROCORTISONE SOD SUCCINATE (PF) 500 MG/4 ML INJECTION (NEO/PED) - RST ONLY,352.2,313.46,73.26,352.2,719 NDC,00009-0016-12,HYDROCORTISONE SOD SUCCINATE (PF) 500 MG/4 ML SOLUTION FOR INJECTION,352.2,313.46,73.26,352.2,719 NDC,00009-0018-20,"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION",234.4,208.62,48.76,234.4,717 NDC,00009-0039-32,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML INJECTION (NEO/PED) - RST ONLY,54.4,48.42,11.32,54.4,717 NDC,00009-0039-32,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,54.4,48.42,11.32,54.4,719 NDC,00009-0047-26,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,65.9,58.65,13.71,65.9,719 NDC,00009-0215-05,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION,436.5,388.49,90.79,436.5,719 NDC,00009-0271-01,ESTRADIOL CYPIONATE 5 MG/ML INTRAMUSCULAR OIL,72.5,64.53,15.08,72.5,719 NDC,00009-0331-02,CLINDAMYCIN HCL 75 MG CAPSULE,15.0,13.35,3.12,15.0,727 NDC,00009-0436-01,ARGININE HCL (L-ARGININE) 10 % INTRAVENOUS SOLUTION,275.8,245.46,57.37,275.8,715 NDC,00009-0436-01,ARGININE HCL (L-ARGININE) 10 % ORAL SOLUTION (PEDIATRIC),135.8,120.86,28.25,135.8,715 NDC,00009-0436-01,ARGININE HCL (L-ARGININE) 10% INFUSION (NEO/PED),275.8,245.46,57.37,275.8,715 NDC,00009-0728-09,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,41.0,36.49,8.53,41.0,721 NDC,00009-0825-01,HYDROCORTISONE SODIUM SUCCINATE 100 MG SOLUTION FOR INJECTION,109.9,97.81,22.86,109.9,719 NDC,00009-0850-01,METHYLPREDNISOLONE SODIUM SUCCINATE 2 GRAM INTRAVENOUS SOLUTION,361.4,321.65,75.17,361.4,717 NDC,00009-3073-22,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,38.6,34.35,8.03,38.6,722 NDC,00009-3794-22,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION,325.2,289.43,67.64,325.2,736 NDC,00009-5091-01,EPIRUBICIN 2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),349.4,310.97,56.72,349.4,719 NDC,00009-5401-01,NICOTINE 10 MG/ML NASAL SPRAY,462.0,411.18,96.1,462.0,715 NDC,00009-7224-02,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION",12738.3,11337.09,2649.57,12738.3,736 NDC,00013-2649-02,SOMATROPIN 0.2 MG/0.25 ML SUBCUTANEOUS SYRINGE,146.5,130.38,30.47,146.5,727 NDC,00019-0862-50,IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION,82.2,73.16,17.02,82.2,719 NDC,00019-0953-05,IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION,88.9,79.12,14.66,88.9,720 NDC,00019-1323-11,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,73.8,65.68,5.14,73.8,719 NDC,00019-1323-90,IOVERSOL 320 MG IODINE/ML INTRAVENOUS SYRINGE,85.4,76.01,5.14,85.4,719 NDC,00019-1324-06,IOVERSOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,100.1,89.09,20.82,100.1,719 NDC,00019-1332-16,IOVERSOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,102.7,91.4,8.57,102.7,719 NDC,00019-1333-06,IOVERSOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,107.2,95.41,8.57,107.2,719 NDC,00019-1333-90,IOVERSOL 350 MG IODINE/ML INTRAVENOUS SYRINGE,112.1,99.77,8.57,112.1,719 NDC,00019-3183-09,IOTHALAMATE MEGLUMINE 43 % INTRAVENOUS SOLUTION,101.1,89.98,21.03,101.1,719 NDC,00023-0312-04,WHITE PETROLATUM-MINERAL OIL EYE OINTMENT (WRAPPER),33.7,29.99,7.01,33.7,727 NDC,00023-0403-30,CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS IN A DROPPERETTE,3.0,2.67,0.62,3.0,727 NDC,00023-0506-01,POLYVINYL ALCOHOL-POVIDONE (PF) 1.4 %-0.6 % EYE DROPS IN A DROPPERETTE,3.0,2.67,0.62,3.0,727 NDC,00023-1145-01,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION,1700.0,1513.0,6.5,1700.0,741 NDC,00023-3205-03,BIMATOPROST 0.01 % EYE DROPS,834.0,742.26,173.47,834.0,727 NDC,00023-3240-15,CARBOXYMETHYLCELLULOSE 0.5 %-GLYCERIN 0.9 % EYE DROPS,82.1,73.07,17.08,82.1,727 NDC,00023-3348-07,DEXAMETHASONE 0.7 MG INTRAVITREAL IMPLANT,4260.0,3791.4,204.61,4260.0,739 NDC,00023-3919-50,ONABOTULINUMTOXINA (COSMETIC) 50 UNIT INTRAMUSCULAR SOLUTION,850.0,756.5,6.5,850.0,741 NDC,00023-4554-30,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE,3.2,2.85,0.67,3.2,727 NDC,00023-6082-10,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION,71.3,63.46,14.83,71.3,737 NDC,00023-6498-10,UBROGEPANT 50 MG TABLET,376.8,335.35,78.37,376.8,727 NDC,00023-6501-10,UBROGEPANT 100 MG TABLET,376.8,335.35,78.37,376.8,727 NDC,00023-9205-15,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE LIQUID GEL DROPS,78.2,69.6,16.27,78.2,727 NDC,00023-9232-01,ONABOTULINUMTOXINA (COSMETIC) 100 UNIT INTRAMUSCULAR SOLUTION,1700.0,1513.0,6.5,1700.0,736 NDC,00023-9637-08,OXYBUTYNIN 3.9 MG/24 HOUR TRANSDERMAL 4 DAY PATCH,14.8,13.17,3.08,14.8,727 NDC,00024-0654-01,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,3029.8,2696.52,81.9,3029.8,736 NDC,00024-1596-01,PRIMAQUINE 26.3 MG (15 MG BASE) TABLET,11.7,10.41,2.43,11.7,727 NDC,00024-4142-60,DRONEDARONE 400 MG TABLET,50.7,45.12,10.55,50.7,727 NDC,00024-5150-10,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,3065.8,2728.56,377.52,3065.8,736 NDC,00024-5151-75,RASBURICASE 7.5 MG INTRAVENOUS SOLUTION,13629.0,12129.81,377.52,13629.0,736 NDC,00024-5914-01,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,5282.7,4701.6,1098.8,5282.7,727 NDC,00024-5915-02,DUPILUMAB 300 MG/2 ML SUBCUTANEOUS PEN INJECTOR,5282.7,4701.6,1098.8,5282.7,727 NDC,00024-5918-01,DUPILUMAB 200 MG/1.14 ML SUBCUTANEOUS SYRINGE,5282.7,4701.6,1098.8,5282.7,727 NDC,00025-2732-31,"DISOPYRAMIDE PHOSPHATE ER 100 MG CAPSULE,EXTENDED RELEASE",18.7,16.64,3.89,18.7,727 NDC,00025-2742-31,"DISOPYRAMIDE PHOSPHATE ER 150 MG CAPSULE,EXTENDED RELEASE",20.5,18.25,4.26,20.5,727 NDC,00026-4786-01,"ANTIHEMOPHILIC FVIII,FULL LENGTH (ALB-FREE) -- KOGENATE (BRAND SPLIT) (RESTRICTED)",39.2,34.89,1.54,39.2,736 NDC,00032-0045-70,"LIPASE-PROTEASE-AMYLASE (PORK) 3,000-9,500-15,000 UNIT CAPSULE,DEL REL",11.1,9.88,2.31,11.1,727 NDC,00032-0046-70,"LIPASE-PROTEASE-AMYLASE (PORK)6,000-19,000-30,000 UNIT CAPSULE,DEL REL",12.2,10.86,2.54,12.2,727 NDC,00032-0047-70,"LIPASE-PROTEASE-AMYLASE(PORK)12,000-38,000-60,000 UNIT CAPSULE,DEL REL",19.3,17.18,4.01,19.3,727 NDC,00032-2636-01,"LIPASE-PROTEASE-AMYLAS(PORK)24,000-76,000-120,000 UNIT CAPSULE,DEL REL",33.4,29.73,6.95,33.4,727 NDC,00032-3016-13,"LIPASE-PROTEASE-AMYLASE (PORK)36,000-114,000-180K UNIT CAPSULE,DEL REL",50.0,44.5,10.4,50.0,727 NDC,00037-6822-10,HYDROCORTISONE 1 %-PRAMOXINE 1 % FOAM (WRAPPER),618.5,550.47,128.65,618.5,727 NDC,00037-6830-15,HYDROCORTISONE ACETATE 10 % (80 MG) RECTAL FOAM,1348.9,1200.52,280.57,1348.9,727 NDC,00046-0749-05,CONJUGATED ESTROGENS 25 MG/5 ML SOLUTION FOR INJECTION (WETTED),1021.9,909.49,212.56,1021.9,736 NDC,00046-0872-21,CONJUGATED ESTROGENS 0.625 MG/GRAM VAGINAL CREAM,1401.0,1246.89,291.41,1401.0,715 NDC,00046-1100-81,CONJUGATED ESTROGENS 0.3 MG TABLET,28.6,25.45,5.95,28.6,727 NDC,00046-1101-81,CONJUGATED ESTROGENS 0.45 MG TABLET,28.6,25.45,5.95,28.6,727 NDC,00046-1102-81,CONJUGATED ESTROGENS 0.625 MG TABLET,28.6,25.45,5.95,28.6,727 NDC,00046-1104-81,CONJUGATED ESTROGENS 1.25 MG TABLET,28.6,25.45,5.95,28.6,727 NDC,00046-1105-11,CONJ ESTROGEN-MEDROXYPROGESTERONE 0.3 MG-1.5 MG TABLET,34.5,30.7,7.18,34.5,727 NDC,00046-1106-11,CONJ ESTROGEN-MEDROXYPROGESTERONE 0.45 MG-1.5 MG TABLET,34.5,30.7,7.18,34.5,727 NDC,00046-1107-11,CONJ ESTROGEN-MEDROXYPROGESTERONE 0.625 MG-2.5 MG TABLET,34.5,30.7,7.18,34.5,727 NDC,00046-1108-11,CONJ ESTROGEN-MEDROXYPROGESTERONE 0.625 MG-5 MG TABLET,34.5,30.7,7.18,34.5,727 NDC,00049-0114-28,ANIDULAFUNGIN 50 MG INTRAVENOUS SOLUTION,180.8,160.91,29.33,180.8,719 NDC,00049-0116-28,ANIDULAFUNGIN 100 MG INTRAVENOUS SOLUTION,311.6,277.32,58.65,311.6,719 NDC,00049-0520-22,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,53.5,47.62,8.07,53.5,719 NDC,00049-0520-22,"PENICILLIN G POTASSIUM 500,000 UNITS/ML INJECTION (NEO/PED) - RST ONLY",53.5,47.62,8.07,53.5,719 NDC,00053-7201-02,ALPHA-1-PROTEINASE INHIBITOR -- ZEMAIRA (BRAND SPLIT),37.1,33.02,5.46,37.1,736 NDC,00054-0057-46,DIGOXIN 50 MCG/ML ORAL SOLUTION (WRAPPER),413.4,367.93,85.99,413.4,727 NDC,00054-0110-25,PERINDOPRIL ERBUMINE 2 MG TABLET,7.1,6.32,1.48,7.1,727 NDC,00054-0111-25,PERINDOPRIL ERBUMINE 4 MG TABLET,7.2,6.41,1.5,7.2,727 NDC,00054-0141-25,ACARBOSE 50 MG TABLET,6.7,5.96,1.39,6.7,727 NDC,00054-0210-25,PROTRIPTYLINE 5 MG TABLET,20.5,18.25,4.26,20.5,727 NDC,00054-0211-25,PROTRIPTYLINE 10 MG TABLET,20.5,18.25,4.26,20.5,727 NDC,00054-0235-25,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,11.1,9.88,2.31,11.1,727 NDC,00054-0236-25,MORPHINE 30 MG IMMEDIATE RELEASE TABLET,11.9,10.59,2.48,11.9,727 NDC,00054-0237-49,MORPHINE 10 MG/5 ML ORAL SOLUTION,42.6,37.91,8.86,42.6,727 NDC,00054-0237-63,MORPHINE 10 MG/5 ML ORAL SOLUTION,89.9,80.01,18.7,89.9,727 NDC,00054-0243-24,CODEINE SULFATE 15 MG TABLET,12.4,11.04,2.58,12.4,727 NDC,00054-0244-25,CODEINE SULFATE 30 MG TABLET,12.4,11.04,2.58,12.4,727 NDC,00054-0283-25,OXYMORPHONE 5 MG TABLET,18.5,16.47,3.85,18.5,727 NDC,00054-0472-21,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.75 MG TABLET,81.9,72.89,4.06,81.9,729 NDC,00054-0517-50,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,10.3,9.17,2.14,10.3,727 NDC,00054-0879-49,MERCAPTOPURINE 20 MG/ML ORAL SUSPENSION,3267.0,2907.63,679.54,3267.0,715 NDC,00054-2531-25,LITHIUM CARBONATE 600 MG CAPSULE,6.0,5.34,1.25,6.0,727 NDC,00054-3120-41,CALCITRIOL 1 MCG/ML ORAL SOLUTION,12.4,11.04,2.58,12.4,727 NDC,00054-3176-44,DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE),81.8,72.8,17.01,81.8,727 NDC,00054-3177-63,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,66.9,59.54,13.92,66.9,727 NDC,00054-3185-44,DIAZEPAM 5 MG/ML ORAL CONCENTRATE,116.2,103.42,24.17,116.2,727 NDC,00054-3188-63,DIAZEPAM 1 MG/ML ORAL SOLUTION (WRAPPER),193.9,172.57,40.33,193.9,727 NDC,00054-3294-46,FUROSEMIDE 10 MG/ML ORAL SOLUTION,27.1,24.12,5.64,27.1,727 NDC,00054-3532-44,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,77.8,69.24,16.18,77.8,727 NDC,00054-3545-63,MEPERIDINE 50 MG/5 ML ORAL SOLUTION,71.5,63.64,14.87,71.5,727 NDC,00054-3721-44,PREDNISONE 5 MG/ML ORAL CONCENTRATE,441.1,392.58,0.86,441.1,719 NDC,00054-3722-63,PREDNISONE 5 MG/5 ML ORAL SOLUTION,922.5,821.03,2.88,922.5,719 NDC,00054-3730-63,PROPRANOLOL 40 MG/5 ML (8 MG/ML) ORAL SOLUTION,222.9,198.38,46.36,222.9,727 NDC,00054-4179-25,DEXAMETHASONE 0.5 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,00054-4180-25,DEXAMETHASONE 0.75 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,00054-4181-25,DEXAMETHASONE 1 MG TABLET,5.8,5.16,1.21,5.8,727 NDC,00054-4182-25,DEXAMETHASONE 1.5 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,00054-4498-10,LEUCOVORIN CALCIUM 15 MG TABLET,22.2,19.76,4.62,22.2,727 NDC,00054-4581-11,MERCAPTOPURINE 50 MG TABLET,8.5,7.57,1.77,8.5,727 NDC,00054-8526-25,LITHIUM CARBONATE 150 MG CAPSULE,5.6,4.98,1.16,5.6,727 NDC,00054-8527-25,LITHIUM CARBONATE 300 MG CAPSULE,5.8,5.16,1.21,5.8,727 NDC,00054-8528-25,LITHIUM CARBONATE 300 MG TABLET,6.0,5.34,1.25,6.0,727 NDC,00065-0023-15,CARBACHOL 0.01 % INTRAOCULAR SOLUTION,54.0,48.06,11.23,54.0,715 NDC,00065-0359-02,CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS,166.4,148.1,34.61,166.4,715 NDC,00065-0395-15,CYCLOPENTOLATE 0.5 % EYE DROPS,351.1,312.48,73.03,351.1,715 NDC,00065-0397-02,CYCLOPENTOLATE 2 % EYE DROPS,193.3,172.04,40.21,193.3,715 NDC,00065-0397-05,CYCLOPENTOLATE 2 % EYE DROPS,274.8,244.57,57.16,274.8,715 NDC,00065-0408-72,ARTIFICIAL TEARS (HYPROMELLOSE) 0.5 % EYE DROPS,113.1,100.66,23.52,113.1,727 NDC,00065-0741-14,TETRACAINE HCL (PF) 0.5 % EYE DROPS,49.9,44.41,10.38,49.9,715 NDC,00065-0795-15,BALANCED SALT SOLUTION (BSS) INTRAOCULAR IRRIGATION,20.5,18.25,4.26,20.5,715 NDC,00065-0800-50,BALANCED SALT SOLUTION (BSS PLUS) INTRAOCULAR IRRIGATION,229.0,203.81,47.63,229.0,715 NDC,00065-0817-02,ATROPINE 1 % EYE DROPS,185.5,165.1,38.58,185.5,715 NDC,00065-8064-01,ARTIFICIAL TEARS (HYPROMELLOSE) 0.3 % EYE GEL,78.2,69.6,16.27,78.2,727 NDC,00068-0597-01,RIFAMPIN 60 MG/ML INJECTION (NEO/PED) - RST ONLY,272.9,242.88,56.76,272.9,715 NDC,00068-0597-01,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,272.9,242.88,56.76,272.9,718 NDC,00069-0106-01,TALIGLUCERASE ALFA 200 UNIT INTRAVENOUS SOLUTION,2771.5,2466.64,41.11,2771.5,736 NDC,00069-0135-01,BOSUTINIB 100 MG TABLET,559.0,497.51,116.27,559.0,727 NDC,00069-0145-01,AXITINIB 1 MG TABLET,271.5,241.64,56.47,271.5,727 NDC,00069-0151-11,AXITINIB 5 MG TABLET,417.7,371.75,86.88,417.7,727 NDC,00069-0195-02,"DALTEPARIN (PORCINE) 2,500 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRINGE",72.6,64.61,15.1,72.6,719 NDC,00069-0196-01,"DALTEPARIN (PORCINE) 5,000 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRINGE",92.8,82.59,19.3,92.8,719 NDC,00069-0217-02,"DALTEPARIN (PORCINE) 10,000 ANTI-XA UNIT/ML SUBCUTANEOUS SYRINGE",148.8,132.43,30.95,148.8,719 NDC,00069-0227-01,LORLATINIB 25 MG TABLET,768.3,683.79,159.81,768.3,727 NDC,00069-0231-01,LORLATINIB 100 MG TABLET,2067.8,1840.34,430.1,2067.8,727 NDC,00069-0238-01,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,1635.8,1455.86,27.85,1635.8,736 NDC,00069-0249-01,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,6378.6,5676.95,27.85,6378.6,736 NDC,00069-0291-10,FILGRASTIM-AAFI 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,303.4,270.03,0.3,303.4,736 NDC,00069-0292-10,FILGRASTIM-AAFI 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,436.9,388.84,0.3,436.9,736 NDC,00069-0293-10,FILGRASTIM-AAFI 300 MCG/ML INJECTION SOLUTION,303.4,270.03,0.3,303.4,736 NDC,00069-0294-10,FILGRASTIM-AAFI 480 MCG/1.6 ML INJECTION SOLUTION,436.9,388.84,0.3,436.9,736 NDC,00069-0315-01,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,1640.3,1459.87,25.77,1640.3,737 NDC,00069-0342-01,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,5211.0,4637.79,25.77,5211.0,737 NDC,00069-0501-30,"TOFACITINIB ER 11 MG TABLET,EXTENDED RELEASE 24 HR",684.7,609.38,142.42,684.7,727 NDC,00069-0809-01,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION,1207.9,1075.03,19.99,1207.9,736 NDC,00069-1001-01,TOFACITINIB 5 MG TABLET,250.6,223.03,52.12,250.6,727 NDC,00069-1305-10,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION",108.8,96.83,7.85,108.8,736 NDC,00069-1305-10,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION (NEO/PED) - RST ONLY",108.8,96.83,7.85,108.8,736 NDC,00069-1306-10,"EPOETIN ALFA-EPBX 3,000 UNIT/ML INJECTION SOLUTION",138.2,123.0,7.85,138.2,736 NDC,00069-1307-10,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION",167.6,149.16,7.85,167.6,736 NDC,00069-1308-10,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",344.0,306.16,7.85,344.0,736 NDC,00069-1309-04,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION",1029.5,916.26,7.85,1029.5,736 NDC,00069-1311-10,"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION",577.3,513.8,7.85,577.3,736 NDC,00069-1318-10,"EPOETIN ALFA-EPBX 20,000 UNIT/2 ML INJECTION SOLUTION",577.3,513.8,7.85,577.3,736 NDC,00069-2522-02,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION,21304.2,18960.74,184.07,21304.2,734 NDC,00069-4031-12,DOXORUBICIN 2 MG/ML INTRAVENOUS SOLUTION (WRAPPER),139.2,123.89,6.4,139.2,720 NDC,00069-4210-30,SILDENAFIL 50 MG TABLET,273.4,243.33,56.87,273.4,727 NDC,00069-4494-02,ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION,36798.4,32750.58,184.07,36798.4,734 NDC,00069-8140-20,CRIZOTINIB 250 MG CAPSULE,952.2,847.46,198.06,952.2,727 NDC,00069-8730-01,TAFAMIDIS 61 MG CAPSULE,2058.9,1832.42,428.25,2058.9,727 NDC,00074-0038-28,ELAGOLIX 150 MG TABLET,146.9,130.74,30.56,146.9,727 NDC,00074-0561-14,VENETOCLAX 10 MG TABLET,53.4,47.53,11.11,53.4,727 NDC,00074-0566-11,VENETOCLAX 50 MG TABLET,226.7,201.76,47.15,226.7,727 NDC,00074-0576-11,VENETOCLAX 100 MG TABLET,460.0,409.4,95.68,460.0,727 NDC,00074-1043-28,"UPADACITINIB ER 45 MG TABLET,EXTENDED RELEASE 24 HR",1442.7,1284.0,300.08,1442.7,727 NDC,00074-1044-01,TELISOTUZUMAB VEDOTIN-TLLV 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),8235.8,7329.86,7412.2,7412.2,1 NDC,00074-1055-01,TELISOTUZUMAB VEDOTIN-TLLV 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),39378.8,35047.13,35441.0,35441.0,1 NDC,00074-1070-01,RISANKIZUMAB-RZAA 360 MG/2.4 ML (150 MG/ML) SUBCUT WEARABLE INJECTOR,55658.7,49536.24,5634.0,55658.7,729 NDC,00074-1658-01,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION,72.1,64.17,5.57,72.1,718 NDC,00074-2108-03,LEUPROLIDE 7.5 MG (PED) INTRAMUSCULAR KIT,5696.4,5069.8,1184.85,5696.4,736 NDC,00074-2282-03,LEUPROLIDE 11.25 MG INTRAMUSCULAR KIT,9995.1,8895.64,1730.32,9995.1,736 NDC,00074-2306-30,"UPADACITINIB ER 15 MG TABLET,EXTENDED RELEASE 24 HR",751.4,668.75,156.29,751.4,727 NDC,00074-2310-30,"UPADACITINIB ER 30 MG TABLET,EXTENDED RELEASE 24 HR",751.4,668.75,156.29,751.4,727 NDC,00074-2440-03,LEUPROLIDE 15 MG INTRAMUSCULAR KIT,10965.5,9759.3,1730.32,10965.5,736 NDC,00074-2625-28,GLECAPREVIR 100 MG-PIBRENTASVIR 40 MG TABLET,519.7,462.53,108.1,519.7,727 NDC,00074-3346-03,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,1897.5,1688.78,176.45,1897.5,736 NDC,00074-3399-30,RITONAVIR 100 MG ORAL POWDER PACKET,34.3,30.53,7.13,34.3,727 NDC,00074-3473-03,LEUPROLIDE ACETATE (6 MONTH) 45 MG INTRAMUSCULAR SYRINGE KIT,3345.0,2977.05,176.45,3345.0,736 NDC,00074-3575-01,LEUPROLIDE 45 MG (PEDIATRIC 6 MONTH) INTRAMUSCULAR SYRINGE KIT,63667.9,56664.43,1730.32,63667.9,736 NDC,00074-3641-03,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT,3141.8,2796.2,653.49,3141.8,736 NDC,00074-3663-03,LEUPROLIDE ACETATE 11.25 MG (3 MONTH) INTRAMUSCULAR SYRINGE KIT,8575.3,7632.02,1730.32,8575.3,736 NDC,00074-3683-03,LEUPROLIDE 30 MG (4 MONTH) INTRAMUSCULAR SYRINGE KIT,2379.9,2118.11,176.45,2379.9,736 NDC,00074-3779-03,LEUPROLIDE 11.25 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT,29135.3,25930.42,1730.32,29135.3,736 NDC,00074-3878-10,AZTREONAM-AVIBACTAM 2 GRAM (2 GRAM/11.8 ML) INTRAVENOUS SOLUTION (WETTED),983.4,875.23,1.68,983.4,734 NDC,00074-3878-10,AZTREONAM-AVIBACTAM 2 GRAM INTRAVENOUS SOLUTION,983.4,875.23,1.68,983.4,734 NDC,00074-3956-46,LOPINAVIR-RITONAVIR 400 MG-100 MG/5 ML ORAL SOLUTION,60.7,54.02,12.63,60.7,727 NDC,00074-4456-51,SEVOFLURANE 99.97 % INHALATION LIQUID,263.2,234.25,54.75,263.2,715 NDC,00074-5015-01,RISANKIZUMAB-RZAA 60 MG/ML INTRAVENOUS SOLUTION,25675.3,22851.02,14.94,25675.3,734 NDC,00074-9037-30,PARICALCITOL 2 MCG CAPSULE,88.4,78.68,18.39,88.4,727 NDC,00074-9694-03,LEUPROLIDE 30 MG (PEDIATRIC 3 MONTH) INTRAMUSCULAR SYRINGE KIT,32046.5,28521.39,1730.32,32046.5,736 NDC,00078-0109-01,CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION,268.7,239.14,55.89,268.7,719 NDC,00078-0331-84,BASILIXIMAB 20 MG INTRAVENOUS SOLUTION,11415.4,10159.71,2374.4,11415.4,736 NDC,00078-0469-15,DEFERASIROX 250 MG DISPERSIBLE TABLET,376.2,334.82,78.25,376.2,727 NDC,00078-0526-51,NILOTINIB HCL 200 MG CAPSULE,653.9,581.97,136.01,653.9,727 NDC,00078-0568-45,ARTEMETHER-LUMEFANTRINE 20 MG-120 MG TABLET,23.3,20.74,4.85,23.3,727 NDC,00078-0592-51,NILOTINIB HCL 150 MG CAPSULE,362.0,322.18,75.3,362.0,727 NDC,00078-0627-51,EVEROLIMUS (ANTINEOPLASTIC) 3 MG TABLET FOR ORAL SUSPENSION,2077.8,1849.24,432.18,2077.8,727 NDC,00078-0681-66,DABRAFENIB 75 MG CAPSULE,478.6,425.95,99.55,478.6,727 NDC,00078-0696-20,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET,46.5,41.39,9.67,46.5,715 NDC,00078-0697-61,ELTROMBOPAG OLAMINE 25 MG ORAL POWDER PACKET,838.4,746.18,174.39,838.4,727 NDC,00078-0698-99,MIDOSTAURIN 25 MG CAPSULE,760.6,676.93,158.2,760.6,727 NDC,00078-0734-61,CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION,56170.5,49991.75,141.6,56170.5,736 NDC,00078-0825-81,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",15160.1,13492.49,203.58,15160.1,736 NDC,00078-0846-19,KYMRIAH (LEUKEMIA),2730000.0,593533.34,593533.34,593533.34,2 NDC,00078-0876-01,TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT,995.9,886.35,207.15,995.9,715 NDC,00078-0897-78,TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML INTRAOCULAR SUSPENSION,268.1,238.61,24.5,268.1,736 NDC,00078-1077-66,PAZOPANIB 200 MG TABLET,516.4,459.6,107.41,516.4,727 NDC,00078-1091-20,ASCIMINIB 20 MG TABLET,1172.2,1043.26,243.82,1172.2,727 NDC,00078-1098-20,ASCIMINIB 40 MG TABLET,1172.2,1043.26,243.82,1172.2,727 NDC,00078-1105-15,TRAMETINIB 0.5 MG TABLET,594.1,528.75,123.57,594.1,727 NDC,00078-1112-15,TRAMETINIB 2 MG TABLET,1877.7,1671.15,390.56,1877.7,727 NDC,00078-1154-21,DABRAFENIB 10 MG TABLET FOR ORAL SUSPENSION,80.4,71.56,16.72,80.4,727 NDC,00078-1161-47,TRAMETINIB 0.05 MG/ML ORAL SOLUTION,5827.8,5186.74,1212.18,5827.8,727 NDC,00078-1217-61,"LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN",161500.0,143735.0,255.84,161500.0,736 NDC,00085-1381-01,TEMOZOLOMIDE 100 MG/40 ML INTRAVENOUS SOLUTION (WETTED),3188.5,2837.77,10.39,3188.5,736 NDC,00085-2224-02,"POSACONAZOLE 300 MG ORAL SUSPENSION,DELAYED RELEASE IN A PACKET",676.8,602.35,140.77,676.8,727 NDC,00087-0402-03,PEDIATRIC MULTIVITAMIN NO.192 250 MCG-50 MG-10 MCG/ML ORAL DROPS,0.5,0.45,0.1,0.5,727 NDC,00087-0405-01,PEDIATRIC MULTIVITAMIN NO.189-FERROUS SULFATE 11 MG/ML ORAL DROPS,0.5,0.45,0.1,0.5,727 NDC,00088-2100-08,RIFAPENTINE 150 MG TABLET,5.5,4.89,1.14,5.5,727 NDC,00088-2219-05,INSULIN GLARGINE (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,105.5,93.9,21.94,105.5,729 NDC,00088-2500-33,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,304.1,270.65,63.25,304.1,729 NDC,00088-2500-33,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR PRN SNACKS),304.1,270.65,63.25,304.1,719 NDC,00088-2500-33,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),304.1,270.65,63.25,304.1,719 NDC,00088-2500-33,INSULIN GLULISINE SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,304.1,270.65,63.25,304.1,719 NDC,00088-2500-33,INSULIN GLULISINE SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,304.1,270.65,63.25,304.1,719 NDC,00088-2502-05,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS PEN,148.2,131.9,30.83,148.2,729 NDC,00088-2502-05,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR PRN SNACKS),148.2,131.9,30.83,148.2,729 NDC,00088-2502-05,INSULIN GLULISINE (U-100) 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR SCHEDULED),148.2,131.9,30.83,148.2,729 NDC,00088-2502-05,INSULIN GLULISINE SUBCUTANEOUS CARB CALCULATOR PRN SNACKS (WRAPPER),148.2,131.9,30.83,148.2,719 NDC,00088-2502-05,INSULIN GLULISINE SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),148.2,131.9,30.83,148.2,719 NDC,00093-0756-01,PIROXICAM 10 MG CAPSULE,8.7,7.74,1.81,8.7,727 NDC,00093-0810-01,NORTRIPTYLINE 10 MG CAPSULE,5.5,4.89,1.14,5.5,727 NDC,00093-0811-01,NORTRIPTYLINE 25 MG CAPSULE,5.6,4.98,1.16,5.6,727 NDC,00093-0812-01,NORTRIPTYLINE 50 MG CAPSULE,6.0,5.34,1.25,6.0,727 NDC,00093-0813-01,NORTRIPTYLINE 75 MG CAPSULE,6.0,5.34,1.25,6.0,727 NDC,00093-1024-06,NEFAZODONE 100 MG TABLET,9.8,8.72,2.04,9.8,727 NDC,00093-1025-06,NEFAZODONE 200 MG TABLET,10.4,9.26,2.16,10.4,727 NDC,00093-1026-06,NEFAZODONE 250 MG TABLET,10.5,9.35,2.18,10.5,727 NDC,00093-1177-01,NEOMYCIN 500 MG TABLET,8.5,7.57,1.77,8.5,727 NDC,00093-1712-01,WARFARIN 1 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,00093-1716-01,WARFARIN 4 MG TABLET,5.5,4.89,1.14,5.5,727 NDC,00093-1720-01,WARFARIN 10 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,00093-1723-01,WARFARIN 7.5 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,00093-2268-01,AMOXICILLIN 250 MG CHEWABLE TABLET,6.2,5.52,1.29,6.2,727 NDC,00093-3099-56,RISEDRONATE 5 MG TABLET,28.0,24.92,5.82,28.0,727 NDC,00093-3123-01,DICLOXACILLIN 250 MG CAPSULE,7.3,6.5,1.52,7.3,727 NDC,00093-3239-40,BUPRENORPHINE 7.5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,166.5,148.19,34.63,166.5,727 NDC,00093-3560-26,PEG3350 100 GRAM-SOD SULF 7.5 GRAM-NACL-KCL-ASCORBATE-C ORAL PWDR PACK,261.0,232.29,54.29,261.0,727 NDC,00093-3656-40,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,117.6,104.66,24.46,117.6,727 NDC,00093-3657-40,BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH,94.9,84.46,19.74,94.9,727 NDC,00093-3658-40,BUPRENORPHINE 15 MCG/HOUR WEEKLY TRANSDERMAL PATCH,258.9,230.42,53.85,258.9,727 NDC,00093-4059-53,CEFADROXIL 1 GRAM TABLET,17.5,15.58,3.64,17.5,727 NDC,00093-4127-74,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION,45.1,40.14,9.38,45.1,727 NDC,00093-5031-56,TIAGABINE 4 MG TABLET,14.9,13.26,3.1,14.9,727 NDC,00093-5341-56,SILDENAFIL 25 MG TABLET,10.4,9.26,2.16,10.4,727 NDC,00093-5377-84,CLOZAPINE 200 MG DISINTEGRATING TABLET,79.4,70.67,16.52,79.4,727 NDC,00093-5417-84,CLOZAPINE 25 MG DISINTEGRATING TABLET,11.7,10.41,2.43,11.7,727 NDC,00093-5419-84,CLOZAPINE 100 MG DISINTEGRATING TABLET,22.9,20.38,4.76,22.9,727 NDC,00093-6815-55,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,12.0,10.68,1.21,12.0,731 NDC,00093-6816-55,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,16.6,14.77,1.21,16.6,731 NDC,00093-6816-55,BUDESONIDE 1 MG ORAL VISCOUS SLURRY (PEDS ONLY) (USING 0.5 MG/2 ML NEB SUSP),28.2,25.1,5.87,28.2,727 NDC,00093-6817-73,BUDESONIDE 1 MG/2 ML SUSPENSION FOR NEBULIZATION,29.9,26.61,2.41,29.9,731 NDC,00093-6817-73,BUDESONIDE 2 MG ORAL VISCOUS SLURRY (PEDS ONLY) (USING 1 MG/2 ML NEB SUSP),29.9,26.61,6.22,29.9,727 NDC,00093-7113-06,NEFAZODONE 150 MG TABLET,10.3,9.17,2.14,10.3,727 NDC,00093-7178-01,NEFAZODONE 50 MG TABLET,9.3,8.28,1.93,9.3,727 NDC,00093-7442-01,FLUVASTATIN 20 MG CAPSULE,18.0,16.02,3.74,18.0,727 NDC,00093-7443-01,FLUVASTATIN 40 MG CAPSULE,18.0,16.02,3.74,18.0,727 NDC,00093-7767-24,EVEROLIMUS (ANTINEOPLASTIC) 5 MG TABLET,76.8,68.35,15.97,76.8,727 NDC,00093-8192-01,CIMETIDINE 300 MG TABLET,6.3,5.61,1.31,6.3,727 NDC,00093-9020-65,CYCLOSPORINE MODIFIED 100 MG CAPSULE,9.3,8.28,1.93,9.3,729 NDC,00093-9222-06,DIFLUNISAL 500 MG TABLET,9.0,8.01,1.87,9.0,727 NDC,00115-1490-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 25 MG 24HR CAPSULE,EXTEND RELEASE",13.8,12.28,2.87,13.8,727 NDC,00115-1491-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 30 MG 24HR CAPSULE,EXTEND RELEASE",13.8,12.28,2.87,13.8,727 NDC,00115-1694-30,"EPINEPHRINE (ADRENACLICK) 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",407.9,363.03,84.84,407.9,717 NDC,00115-1737-01,"METHYLPHENIDATE CD 20 MG BIPHASIC 30-70 CAPSULE,EXTENDED RELEASE",15.7,13.97,3.27,15.7,727 NDC,00115-1738-01,"METHYLPHENIDATE CD 30 MG BIPHASIC 30-70 CAPSULE,EXTENDED RELEASE",15.7,13.97,3.27,15.7,727 NDC,00115-1750-08,ACITRETIN 10 MG CAPSULE,22.1,19.67,4.6,22.1,727 NDC,00115-1753-08,ACITRETIN 25 MG CAPSULE,24.2,21.54,5.03,24.2,727 NDC,00115-1911-01,RIMANTADINE 100 MG TABLET,12.9,11.48,2.68,12.9,727 NDC,00115-2611-01,TERBUTALINE 2.5 MG TABLET,11.3,10.06,2.35,11.3,727 NDC,00115-2622-01,TERBUTALINE 5 MG TABLET,13.1,11.66,2.72,13.1,727 NDC,00115-2790-06,CHLOROQUINE 250 MG TABLET,15.2,13.53,3.16,15.2,727 NDC,00115-4433-01,DANTROLENE 100 MG CAPSULE,9.9,8.81,2.06,9.9,727 NDC,00115-7010-09,CHLOROQUINE 500 MG TABLET,31.3,27.86,6.51,31.3,727 NDC,00115-9918-01,"DEXMETHYLPHENIDATE ER 5 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",18.6,16.55,3.87,18.6,727 NDC,00116-4005-40,LACTULOSE 10 GRAM/15 ML ORAL SOLUTION,9.6,8.54,2.0,9.6,727 NDC,00121-0581-04,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,5.4,4.81,1.12,5.4,727 NDC,00121-0646-16,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,65.4,58.21,13.6,65.4,727 NDC,00121-0653-04,FLUPHENAZINE 5 MG/ML ORAL CONCENTRATE,12.8,11.39,2.66,12.8,727 NDC,00121-0654-16,FLUPHENAZINE 2.5 MG/5 ML ORAL ELIXIR,7.8,6.94,1.62,7.8,727 NDC,00121-0658-16,TRIHEXYPHENIDYL 0.4 MG/ML ORAL ELIXIR,5.6,4.98,1.16,5.6,727 NDC,00121-0670-16,ETHOSUXIMIDE 250 MG/5 ML ORAL SOLUTION,6.9,6.14,1.44,6.9,727 NDC,00121-0676-16,"POTASSIUM CITRATE-CITRIC ACID 1,100 MG-334 MG/5 ML ORAL SOLUTION",6.1,5.43,1.27,6.1,727 NDC,00121-0677-16,POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN,2.5,2.23,0.52,2.5,727 NDC,00121-0853-40,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,58.0,51.62,12.06,58.0,727 NDC,00121-0853-40,SULFAMETHOXAZOLE 40 MG-TRIMETHOPRIM 8 MG/ML STOCK SUSPENSION FOR DESENSITIZATION,58.0,51.62,12.06,58.0,727 NDC,00121-0885-08,PREDNISOLONE 15 MG/5 ML ORAL SOLUTION,550.4,489.86,114.48,550.4,727 NDC,00121-0914-00,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,0.5,0.45,0.1,0.5,727 NDC,00121-1350-00,VALPROIC ACID (AS SODIUM SALT) 50 MG/ML ORAL SOLUTION (WRAPPER),9.3,8.28,1.93,9.3,727 NDC,00121-1544-10,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,44.6,39.69,9.28,44.6,727 NDC,00121-1761-30,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,0.5,0.45,0.1,0.5,727 NDC,00121-1775-40,CODEINE 10 MG-GUAIFENESIN 100 MG/5 ML ORAL LIQUID,20.8,18.51,4.33,20.8,727 NDC,00121-1781-00,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.45,0.1,0.5,727 NDC,00121-2316-15,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,26.1,23.23,5.43,26.1,727 NDC,00121-2826-50,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,29.7,26.43,6.18,29.7,727 NDC,00121-4766-05,"CALCIUM CARBONATE 1,250 MG (500 MG CALCIUM)/5 ML ORAL SUSPENSION",0.5,0.45,0.1,0.5,727 NDC,00121-4772-05,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,43.4,38.63,9.03,43.4,727 NDC,00132-0185-82,GLYCERIN (LAXATIVE) 5.4 GRAM/5.4 ML RECTAL SOLUTION,4.2,3.74,0.87,4.2,727 NDC,00132-0190-12,GLYCERIN (LAXATIVE) 2.8 GRAM/2.7 ML RECTAL SOLUTION,4.6,4.09,0.96,4.6,727 NDC,00132-0201-40,SODIUM PHOSPHATES 19 GRAM-7 GRAM/118 ML ENEMA,5.3,4.72,1.1,5.3,727 NDC,00132-0202-20,SODIUM PHOSPHATES 9.5 GRAM-3.5 GRAM/59 ML ENEMA,6.2,5.52,1.29,6.2,727 NDC,00132-0301-40,MINERAL OIL ENEMA,8.1,7.21,1.68,8.1,727 NDC,00132-0703-36,BISACODYL 10 MG/30 ML ENEMA,11.4,10.15,2.37,11.4,727 NDC,00135-0199-02,METHYLCELLULOSE (LAXATIVE) 500 MG TABLET,2.6,2.31,0.54,2.6,727 NDC,00143-1455-05,PHENOBARBITAL 60 MG TABLET,10.8,9.61,2.25,10.8,727 NDC,00143-1458-01,PHENOBARBITAL 100 MG TABLET,10.8,9.61,2.25,10.8,727 NDC,00143-1495-05,PHENOBARBITAL 15 MG TABLET,10.5,9.35,2.18,10.5,727 NDC,00143-1500-01,PHENOBARBITAL 30 MG TABLET,5.5,4.89,1.14,5.5,727 NDC,00143-9006-01,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,127.0,113.03,26.42,127.0,719 NDC,00143-9092-01,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION (WETTED),318.5,283.46,3.2,318.5,719 NDC,00143-9135-01,MITOMYCIN 20 MG INTRAVENOUS SOLUTION 2 MG/ML (BLADDER INSTILL EQUIVALENCY),369.3,328.68,20.35,369.3,736 NDC,00143-9135-01,MITOMYCIN 20 MG/40 ML INTRAVENOUS SOLUTION (WETTED),369.3,328.68,20.35,369.3,736 NDC,00143-9136-01,MITOMYCIN 40 MG INTRAVENOUS SOLUTION 2 MG/ML (BLADDER INSTILL EQUIVALENCY),591.7,526.61,20.35,591.7,736 NDC,00143-9136-01,MITOMYCIN 40 MG/80 ML INTRAVENOUS SOLUTION (WETTED),591.7,526.61,20.35,591.7,736 NDC,00143-9141-10,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,48.0,42.72,9.23,48.0,719 NDC,00143-9162-10,VANCOMYCIN 1 G POWDER VIAL OSM,10.6,9.43,2.2,10.6,717 NDC,00143-9162-10,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",41.4,36.85,8.61,41.4,717 NDC,00143-9162-10,VANCOMYCIN 100 MG/ML INJECTION (NEO/PED) - RST ONLY,41.4,36.85,8.61,41.4,717 NDC,00143-9172-10,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION (NDCS CONTAIN PRESERVATIVES-FOR CNR COMPOUNDING),35.2,31.33,7.32,35.2,715 NDC,00143-9209-10,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,42.2,37.56,8.78,42.2,717 NDC,00143-9210-10,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,42.5,37.83,8.84,42.5,719 NDC,00143-9219-01,IDARUBICIN 1 MG/ML INTRAVENOUS SOLUTION,608.3,541.39,126.53,608.3,719 NDC,00143-9240-01,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION (IM/SUBQ EQUIVALENCY),251.4,223.75,26.47,251.4,719 NDC,00143-9240-01,BLEOMYCIN 15 UNIT/3 ML SOLUTION FOR INJECTION (WETTED),251.4,223.75,26.47,251.4,719 NDC,00143-9241-01,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,300.9,267.8,52.94,300.9,719 NDC,00143-9241-01,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION (IM/SUBQ EQUIVALENCY),300.9,267.8,52.94,300.9,719 NDC,00143-9241-01,BLEOMYCIN 30 UNITS/6 ML SOLUTION FOR INJECTION (WETTED),300.9,267.8,52.94,300.9,719 NDC,00143-9248-01,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION (RECONSTITUTE WITH SWFI),391.5,348.44,63.06,391.5,736 NDC,00143-9261-10,CEFAZOLIN 10 GRAM INTRAVENOUS SOLUTION,51.4,45.75,10.69,51.4,719 NDC,00143-9262-25,CEFAZOLIN 1 GRAM IM EQUIVALENCY,37.4,33.29,2.85,37.4,719 NDC,00143-9262-25,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,37.4,33.29,1.9,37.4,734 NDC,00143-9262-25,CEFAZOLIN 200 MG/ML VIAL (IV PUSH - PEDS OR) - RST ONLY,37.4,33.29,1.9,37.4,719 NDC,00143-9273-10,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,172.0,153.08,35.78,172.0,719 NDC,00143-9289-01,ESTRADIOL VALERATE 10 MG/ML INTRAMUSCULAR OIL,121.9,108.49,8.56,121.9,719 NDC,00143-9298-10,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,68.0,60.52,12.73,68.0,716 NDC,00143-9367-01,METHOTREXATE SODIUM (PF) 1 GRAM/20 ML SOLUTION FOR INJECTION (WETTED),337.0,299.93,59.32,337.0,719 NDC,00143-9368-01,LEUCOVORIN CALCIUM 200 MG SOLUTION FOR INJECTION,71.4,63.55,14.85,71.4,720 NDC,00143-9374-10,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,53.8,47.88,6.21,53.8,719 NDC,00143-9376-01,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,117.6,104.66,12.01,117.6,720 NDC,00143-9376-01,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION (FOR ORAL USE) (PEDIATRIC),117.6,104.66,12.01,117.6,719 NDC,00143-9392-10,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION,243.1,216.36,50.56,243.1,715 NDC,00143-9428-01,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,122.2,108.76,18.11,122.2,727 NDC,00143-9504-01,CISPLATIN 1 MG/ML INTRAPERITONEAL INJECTION (HIPEC),243.8,216.98,12.14,243.8,719 NDC,00143-9505-01,CISPLATIN 1 MG/ML INTRAPERITONEAL INJECTION (HIPEC),291.4,259.35,24.29,291.4,719 NDC,00143-9506-10,ETOMIDATE 2 MG/ML INTRAVENOUS INJECTION (WRAPPER),42.0,37.38,8.74,42.0,715 NDC,00143-9509-10,KETAMINE 100 MG/ML INJECTION SOLUTION,91.1,81.08,18.95,91.1,720 NDC,00143-9529-01,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLUTION,49.7,44.23,7.13,49.7,719 NDC,00143-9564-01,PHENTOLAMINE 5 MG INJECTION SOLUTION,820.1,729.89,170.58,820.1,731 NDC,00143-9566-01,AZATHIOPRINE 100 MG/10 ML SOLUTION FOR INJECTION (WETTED),646.4,575.3,134.45,646.4,734 NDC,00143-9568-01,CEFUROXIME SODIUM 750 MG IM EQUIVALENCY,49.6,44.14,4.72,49.6,719 NDC,00143-9634-01,NICARDIPINE 20 MG/200 ML(0.1 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,321.6,286.22,66.89,321.6,717 NDC,00143-9637-10,VALPROATE SODIUM 100 MG/ML INJECTION (NEO/PED) - RST ONLY,44.1,39.25,9.17,44.1,717 NDC,00143-9637-10,VALPROATE SODIUM 100 MG/ML INJECTION FOR ORAL USE,13.0,11.57,2.7,13.0,717 NDC,00143-9637-10,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,44.1,39.25,9.17,44.1,717 NDC,00143-9684-10,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,45.4,40.41,9.44,45.4,715 NDC,00143-9701-01,IRINOTECAN 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),242.2,215.56,10.32,242.2,719 NDC,00143-9702-01,IRINOTECAN 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER),126.7,112.76,4.13,126.7,719 NDC,00143-9719-10,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,90.4,80.46,6.21,90.4,719 NDC,00143-9746-10,TERBUTALINE 1 MG/ML INJECTION SOLUTION,39.8,35.42,2.84,39.8,720 NDC,00143-9750-01,TESTOSTERONE ENANTHATE 200 MG/ML INTRAMUSCULAR OIL,81.6,72.62,2.93,81.6,719 NDC,00143-9787-10,ENALAPRILAT 1.25 MG/ML INJECTION (NEO/PED),52.8,46.99,10.98,52.8,715 NDC,00143-9787-10,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,52.8,46.99,10.98,52.8,715 NDC,00143-9852-10,LEVOCARNITINE 200 MG/ML INJECTION FOR ORAL USE,76.3,67.91,15.87,76.3,719 NDC,00143-9852-10,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,116.3,103.51,24.19,116.3,719 NDC,00143-9852-10,LEVOCARNITINE 200 MG/ML SYRINGE (PEDIATRIC),116.3,103.51,24.19,116.3,719 NDC,00143-9923-90,CEFAZOLIN 500 MG SOLUTION FOR INJECTION,39.8,35.42,0.95,39.8,719 NDC,00168-0015-31,HYDROCORTISONE 1 % TOPICAL CREAM,20.2,17.98,4.2,20.2,727 NDC,00168-0080-31,HYDROCORTISONE 2.5 % TOPICAL CREAM,58.6,52.15,12.19,58.6,727 NDC,00168-0146-30,HYDROCORTISONE 2.5 % TOPICAL OINTMENT,62.6,55.71,13.02,62.6,727 NDC,00168-0258-46,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,104.2,92.74,21.67,104.2,727 NDC,00168-0277-40,CLINDAMYCIN 2 % VAGINAL CREAM,287.2,255.61,59.74,287.2,727 NDC,00168-0323-46,METRONIDAZOLE 0.75 % TOPICAL CREAM,150.1,133.59,31.22,150.1,727 NDC,00168-0357-30,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,81.0,72.09,16.85,81.0,715 NDC,00169-1833-11,INSULIN REGULAR SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,155.5,138.4,32.34,155.5,719 NDC,00169-1833-11,INSULIN REGULAR SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML BASAL,155.5,138.4,32.34,155.5,719 NDC,00169-1833-11,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,155.5,138.4,32.34,155.5,730 NDC,00169-1833-11,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION (PEDS HYPERKALEMIA),155.5,138.4,32.34,155.5,729 NDC,00169-1833-11,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION ARZ ANES,155.5,138.4,32.34,155.5,729 NDC,00169-1833-11,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML SUBCUTANEOUS INJECTION CARB CALCULATOR SCHEDULED,155.5,138.4,32.34,155.5,719 NDC,00169-2660-15,INSULIN DEGLUDEC (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,145.3,129.32,30.22,145.3,729 NDC,00169-3003-15,INSULIN REGULAR U-100 HUMAN 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,104.9,93.36,21.82,104.9,727 NDC,00169-3201-11,INSULIN ASPART (NIACINAMIDE) (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,267.9,238.43,55.72,267.9,727 NDC,00169-3201-11,INSULIN ASPART (NIACINAMIDE) SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,267.9,238.43,55.72,267.9,719 NDC,00169-3201-11,INSULIN ASPART (NIACINAMIDE) SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML BASAL,267.9,238.43,55.72,267.9,719 NDC,00169-3303-12,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS CARTRIDGE,116.7,103.86,24.27,116.7,729 NDC,00169-3303-12,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS CARTRIDGE (CARB CALCULATOR PRN SNACKS),116.7,103.86,24.27,116.7,729 NDC,00169-3303-12,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS CARTRIDGE (CARB CALCULATOR SCHEDULED),116.7,103.86,24.27,116.7,729 NDC,00169-4303-30,SEMAGLUTIDE 3 MG TABLET,113.2,100.75,23.55,113.2,727 NDC,00169-4307-30,SEMAGLUTIDE 7 MG TABLET,113.2,100.75,23.55,113.2,727 NDC,00169-4517-14,SEMAGLUTIDE (WEIGHT LOSS) 1.7 MG/0.75 ML SUBCUTANEOUS PEN INJECTOR,906.5,806.79,188.55,906.5,727 NDC,00169-4772-12,SEMAGLUTIDE (DIABETES) 2 MG/DOSE (8 MG/3 ML) SUBCUTANEOUS PEN INJECTOR,2805.8,2497.16,583.61,2805.8,727 NDC,00169-6339-10,INSULIN ASPART (U-100) 100 UNIT/ML (3 ML) SUBCUTANEOUS PEN,96.6,85.97,20.09,96.6,729 NDC,00169-6339-10,INSULIN ASPART SUBCUTANEOUS CARB CALCULATOR PRN SNACKS (WRAPPER),96.6,85.97,20.09,96.6,719 NDC,00169-6339-10,INSULIN ASPART SUBCUTANEOUS CARB CALCULATOR SCHEDULED (WRAPPER),96.6,85.97,20.09,96.6,719 NDC,00169-6339-10,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR PRN SNACKS),96.6,85.97,20.09,96.6,729 NDC,00169-6339-10,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS PEN (CARB CALCULATOR SCHEDULED),96.6,85.97,20.09,96.6,729 NDC,00169-7201-01,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION",6450.0,5740.5,2.66,6450.0,736 NDC,00169-7202-01,"COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) INTRAVENOUS SOLUTION",12475.0,11102.75,2.66,12475.0,736 NDC,00169-7205-01,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION",30550.0,27189.5,2.66,30550.0,736 NDC,00169-7208-01,"COAGULATION FACTOR VIIA RECOMB 8 MG (8,000 MCG) INTRAVENOUS SOLUTION",48625.0,43276.25,2.66,48625.0,736 NDC,00169-7501-11,INSULIN ASPART SUBCUTANEOUS PUMP INFUSION 100 UNIT/ML,170.5,151.75,35.46,170.5,719 NDC,00169-7501-11,INSULIN ASPART SUBCUTANEOUS PUMP INFUSION 100 UNITS/ML BASAL,170.5,151.75,35.46,170.5,719 NDC,00169-7501-11,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION,170.5,151.75,35.46,170.5,729 NDC,00169-7501-11,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR PRN SNACKS),170.5,151.75,35.46,170.5,729 NDC,00169-7501-11,INSULIN ASPART U-100 100 UNIT/ML SUBCUTANEOUS SOLUTION (CARB CALCULATOR SCHEDULED),170.5,151.75,35.46,170.5,729 NDC,00169-7704-21,SOMATROPIN 5 MG/1.5 ML (3.3 MG/ML) SUBCUTANEOUS PEN INJECTOR,2668.9,2375.32,555.13,2668.9,727 NDC,00169-7708-21,SOMATROPIN 15 MG/1.5 ML (10 MG/ML) SUBCUTANEOUS PEN INJECTOR,6597.2,5871.51,1372.22,6597.2,715 NDC,00172-6406-05,CROMOLYN 20 MG/2 ML SOLUTION FOR NEBULIZATION,21.6,19.22,0.9,21.6,731 NDC,00172-7313-20,CYCLOSPORINE MODIFIED 100 MG/ML ORAL SOLUTION,515.6,458.88,104.08,515.6,729 NDC,00173-0681-01,ZANAMIVIR 5 MG/ACTUATION BLISTER POWDER FOR INHALATION,236.0,210.04,49.09,236.0,727 NDC,00173-0682-24,ALBUTEROL SULFATE 90 MCG/ACTUATION AEROSOL HFA INHALER,127.8,113.74,26.58,127.8,727 NDC,00173-0859-14,FLUTICASONE FUROATE 100 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,362.4,322.54,75.38,362.4,727 NDC,00173-0869-06,UMECLIDINIUM 62.5 MCG-VILANTEROL 25 MCG/ACTUATION POWDR FOR INHALATION,261.4,232.65,54.37,261.4,727 NDC,00173-0873-06,UMECLIDINIUM 62.5 MCG/ACTUATION BLISTER POWDER FOR INHALATION,184.7,164.38,38.42,184.7,727 NDC,00173-0874-14,FLUTICASONE FUROATE 100 MCG/ACTUATION BLISTER POWDER FOR INHALATION,269.3,239.68,56.01,269.3,727 NDC,00173-0876-14,FLUTICASONE FUROATE 200 MCG/ACTUATION BLISTER POWDER FOR INHALATION,340.2,302.78,70.76,340.2,727 NDC,00173-0881-01,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION,8648.0,7696.72,31.27,8648.0,736 NDC,00173-0882-14,FLUTICASONE FUROATE 200 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,362.4,322.54,75.38,362.4,727 NDC,00173-0887-14,FLUTICASONE FUR. 100 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,584.6,520.29,121.6,584.6,727 NDC,00173-0892-01,MEPOLIZUMAB 100 MG/ML SUBCUTANEOUS AUTO-INJECTOR,10347.6,9209.36,31.27,10347.6,736 NDC,00173-0893-14,FLUTICASONE FUR. 200 MCG-UMECLID 62.5 MCG-VILANT 25 MCG INHALAT.POWDER,584.6,520.29,121.6,584.6,727 NDC,00173-0898-03,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION,34619.5,30811.36,243.71,34619.5,734 NDC,00173-0913-01,BELANTAMAB MAFODOTIN-BLMF 70 MG INTRAVENOUS SOLUTION,67280.4,59879.56,13994.32,67280.4,719 NDC,00173-0913-01,BELANTAMAB MAFODOTIN-BLMF 70 MG/1.4 ML INTRAVENOUS SOLUTION (WETTED),67280.4,59879.56,13994.32,67280.4,719 NDC,00178-0314-30,POTASSIUM IODIDE 65 MG/ML ORAL DROPS,3.7,3.29,0.77,3.7,715 NDC,00185-5600-01,METOLAZONE 10 MG TABLET,8.1,7.21,1.68,8.1,727 NDC,00186-0370-28,BUDESONIDE-FORMOTEROL HFA 160 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,243.8,216.98,50.71,243.8,727 NDC,00186-0372-28,BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,243.8,216.98,50.71,243.8,727 NDC,00186-0776-60,TICAGRELOR 60 MG TABLET,24.6,21.89,5.12,24.6,727 NDC,00186-0777-39,TICAGRELOR 90 MG TABLET,26.4,23.5,5.49,26.4,727 NDC,00187-2120-10,TRIENTINE 250 MG CAPSULE,651.6,579.92,135.53,651.6,727 NDC,00187-5600-15,VERTEPORFIN 15 MG INTRAVENOUS SOLUTION,4699.3,4182.38,11.54,4699.3,736 NDC,00187-5812-30,"BUPROPION HBR ER 522 MG TABLET,EXTENDED RELEASE 24 HR",739.3,657.98,153.77,739.3,727 NDC,00225-0525-47,SODIUM CHLORIDE-ALOE VERA NASAL GEL,13.0,11.57,2.7,13.0,727 NDC,00225-0800-47,PHENYLEPHRINE 0.25 % NASAL SPRAY,15.7,13.97,3.27,15.7,727 NDC,00225-0805-47,PHENYLEPHRINE 0.5 % NASAL SPRAY,15.7,13.97,3.27,15.7,715 NDC,00228-2837-11,PILOCARPINE 7.5 MG TABLET,7.4,6.59,1.54,7.4,727 NDC,00245-0360-30,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,8.0,7.12,1.66,8.0,727 NDC,00245-0860-70,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,173.1,154.06,36.0,173.1,727 NDC,00245-5317-01,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",6.1,5.43,1.27,6.1,727 NDC,00245-5319-01,"POTASSIUM CHLORIDE ER 20 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",6.3,5.61,1.31,6.3,727 NDC,00254-1010-19,DIAZOXIDE 50 MG/ML ORAL SUSPENSION,668.7,595.14,139.09,668.7,727 NDC,00254-1016-36,POSACONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,68.6,61.05,14.27,68.6,727 NDC,00259-1605-01,INCOBOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION,751.5,668.84,5.57,751.5,736 NDC,00259-1610-01,INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION,1319.5,1174.36,5.57,1319.5,736 NDC,00264-1510-32,D5W IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),79.6,70.84,2.01,79.6,719 NDC,00264-1800-31,NACL 0.9% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),83.8,74.58,1.48,83.8,719 NDC,00264-1800-32,NACL 0.9% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),83.8,74.58,1.48,83.8,719 NDC,00264-1933-10,PARENTERAL AMINO ACID 10 % INTRAVENOUS SOLUTION (TROPHAMINE),788.3,701.59,163.97,788.3,715 NDC,00264-2205-00,PHYSIOLOGICAL IRRIGATION NO.1 140 MEQ-5 MEQ-3 MEQ-98 MEQ/L SOLUTION,74.5,66.31,15.5,74.5,715 NDC,00264-7510-00,D5W IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),82.0,72.98,3.38,82.0,719 NDC,00264-7622-00,DEXTROSE 10 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,106.5,94.79,22.15,106.5,717 NDC,00264-7750-10,LACTATED RINGERS INTRAVENOUS SOLUTION (NON-PVC/NON-DEHP)(BRAND SPLIT),87.3,77.7,2.74,87.3,719 NDC,00264-7750-20,LACTATED RINGERS INTRAVENOUS SOLUTION (NON-PVC/NON-DEHP)(BRAND SPLIT),82.0,72.98,2.74,82.0,719 NDC,00264-7800-00,NACL 0.9% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),85.5,76.1,2.29,85.5,723 NDC,00270-0091-01,RUBIDIUM RB-82 CHLORIDE INTRAVENOUS SOLUTION,661.0,588.29,137.49,661.0,717 NDC,00270-0149-57,DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION,37.6,33.46,7.82,37.6,720 NDC,00270-0445-40,DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION,22.0,19.58,4.58,22.0,720 NDC,00270-1111-01,GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION,130.6,116.23,16.81,130.6,719 NDC,00270-1315-35,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION,104.3,92.83,8.57,104.3,719 NDC,00270-1316-04,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,120.2,106.98,4.28,120.2,719 NDC,00270-1316-30,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,82.9,73.78,4.28,82.9,719 NDC,00270-1316-35,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,73.9,65.77,4.28,73.9,719 NDC,00270-1316-37,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,118.5,105.47,4.28,118.5,719 NDC,00270-1316-45,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,71.0,63.19,4.28,71.0,719 NDC,00270-1316-52,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,74.7,66.48,4.28,74.7,719 NDC,00270-1316-95,IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION,74.8,66.57,4.28,74.8,719 NDC,00270-1317-05,IOPAMIDOL 250 MG IODINE/ML (51 %) INTRAVENOUS SOLUTION,110.2,98.08,22.92,110.2,719 NDC,00270-1410-30,DIATRIZOATE MEGLUMINE 18 % URETHRAL SOLUTION,78.3,69.69,16.29,78.3,719 NDC,00270-1411-11,IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION,109.0,97.01,2.31,109.0,719 NDC,00270-1412-15,IOPAMIDOL 300 MG IODINE/ML (61 %) INTRATHECAL SOLUTION,147.0,130.83,1.71,147.0,719 NDC,00270-5164-13,GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION,45.9,40.85,2.07,45.9,719 NDC,00270-7099-16,SULFUR HEXAFLUORIDE MICROSPHERES (DIAGNOSTIC) INTRAVENOUS SUSPENSION,454.3,404.33,94.49,454.3,719 NDC,00270-7099-16,SULFUR HEXAFLUORIDE MICROSPHERES 25 MG INTRAVENOUS SUSPENSION,454.3,404.33,94.49,454.3,720 NDC,00281-0326-08,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT,12.2,10.86,2.54,12.2,729 NDC,00283-0679-02,BENZOCAINE 20 % MUCOSAL AEROSOL SPRAY,151.9,135.19,31.6,151.9,715 NDC,00283-0871-31,BENZOCAINE 20% MUCOSAL ORAL (WRAPPER),27.1,24.12,5.64,27.1,727 NDC,00283-1185-20,MISCELLANEOUS MEDICAL SUPPLY MISC,5.3,4.72,1.1,5.3,715 NDC,00299-5950-30,FLUOCINOLONE-HYDROQUINONE-TRETINOIN 0.01 %-4 %-0.05 % TOPICAL CREAM,767.1,682.72,159.56,767.1,727 NDC,00310-0668-60,OLAPARIB 100 MG TABLET,504.6,449.09,104.96,504.6,727 NDC,00310-0679-60,OLAPARIB 150 MG TABLET,504.6,449.09,104.96,504.6,727 NDC,00310-1105-39,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET,80.4,71.56,16.72,80.4,727 NDC,00310-1110-39,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET,80.4,71.56,16.72,80.4,727 NDC,00310-1349-30,OSIMERTINIB 40 MG TABLET,1866.0,1660.74,388.13,1866.0,727 NDC,00310-1350-30,OSIMERTINIB 80 MG TABLET,1866.0,1660.74,388.13,1866.0,727 NDC,00310-1730-30,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE,13676.5,12172.09,164.59,13676.5,736 NDC,00310-3040-00,ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION,14154.7,12597.68,18.08,14154.7,734 NDC,00310-3512-60,ACALABRUTINIB MALEATE 100 MG TABLET,870.8,775.01,181.13,870.8,727 NDC,00310-4505-25,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,10294.0,9161.66,140.9,10294.0,734 NDC,00310-4535-30,TREMELIMUMAB-ACTL 20 MG/ML INTRAVENOUS SOLUTION,118577.8,105534.24,140.9,118577.8,734 NDC,00310-4611-50,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,12707.9,11310.03,85.12,12707.9,736 NDC,00310-6210-39,DAPAGLIFLOZIN PROPANEDIOL 10 MG TABLET,59.4,52.87,12.36,59.4,727 NDC,00316-0225-30,MICONAZOLE NITRATE 2 % TOPICAL POWDER,67.0,59.63,13.94,67.0,715 NDC,00338-0003-47,"WATER FOR IRRIGATION, STERILE SOLUTION",71.0,63.19,14.77,71.0,715 NDC,00338-0003-47,"WATER FOR IRRIGATION, STERILE SOLUTION (WRAPPER INCLUDES SWFI)",71.0,63.19,14.77,71.0,715 NDC,00338-0004-02,"WATER FOR IRRIGATION, STERILE SOLUTION",57.0,50.73,11.86,57.0,715 NDC,00338-0004-02,"WATER FOR IRRIGATION, STERILE SOLUTION (WRAPPER INCLUDES SWFI)",57.0,50.73,11.86,57.0,715 NDC,00338-0004-03,"WATER FOR IRRIGATION, STERILE SOLUTION",57.0,50.73,11.86,57.0,715 NDC,00338-0004-03,"WATER FOR IRRIGATION, STERILE SOLUTION (WRAPPER INCLUDES SWFI)",57.0,50.73,11.86,57.0,715 NDC,00338-0004-04,"WATER FOR IRRIGATION, STERILE SOLUTION",57.0,50.73,11.86,57.0,715 NDC,00338-0004-04,"WATER FOR IRRIGATION, STERILE SOLUTION (WRAPPER INCLUDES SWFI)",57.0,50.73,11.86,57.0,715 NDC,00338-0013-06,"WATER FOR IRRIGATION, STERILE SOLUTION (WRAPPER INCLUDES SWFI)",71.0,63.19,14.77,71.0,715 NDC,00338-0017-02,D5W 500 ML FOR IMPELLA,85.5,76.1,2.01,85.5,719 NDC,00338-0017-02,D5W IV BOLUS,80.3,71.47,16.7,80.3,717 NDC,00338-0017-02,D5W IV FIXED RATE (ANES ONLY),80.3,71.47,2.01,80.3,719 NDC,00338-0017-02,D5W IV SOLP,80.3,71.47,16.7,80.3,717 NDC,00338-0017-03,D5W IV BOLUS,77.7,69.15,16.16,77.7,717 NDC,00338-0017-03,D5W IV FIXED RATE (ANES ONLY),80.3,71.47,2.01,80.3,719 NDC,00338-0017-03,D5W IV SOLP,80.3,71.47,16.7,80.3,717 NDC,00338-0017-04,D5W IV BOLUS,76.8,68.35,15.97,76.8,717 NDC,00338-0017-04,D5W IV FIXED RATE (ANES ONLY),82.0,72.98,3.38,82.0,719 NDC,00338-0017-04,D5W IV SOLP,82.0,72.98,17.06,82.0,717 NDC,00338-0017-11,DEXTROSE 5% IN WATER FLUSH BAG,80.5,71.64,16.74,80.5,715 NDC,00338-0017-41,D5W 500 ML FOR IMPELLA,203.7,181.29,42.37,203.7,719 NDC,00338-0017-41,D5W IV BOLUS,103.9,92.47,21.61,103.9,715 NDC,00338-0017-41,D5W IV FIXED RATE (ANES ONLY),80.8,71.91,2.01,80.8,719 NDC,00338-0017-41,D5W IV SOLP,80.8,71.91,16.81,80.8,717 NDC,00338-0017-48,D5W 500 ML FOR IMPELLA,104.8,93.27,21.8,104.8,719 NDC,00338-0017-48,D5W IV BOLUS,89.9,80.01,18.7,89.9,715 NDC,00338-0017-48,D5W IV FIXED RATE (ANES ONLY),81.0,72.09,2.01,81.0,719 NDC,00338-0017-48,D5W IV SOLP,81.0,72.09,16.85,81.0,717 NDC,00338-0023-02,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION (G/KG/HR DOSING),82.9,73.78,17.24,82.9,717 NDC,00338-0023-02,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION (ML/HR DOSING),82.9,73.78,17.24,82.9,717 NDC,00338-0023-02,DEXTROSE 10 % IV BOLUS,82.9,73.78,17.24,82.9,717 NDC,00338-0023-03,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION (G/KG/HR DOSING),80.3,71.47,16.7,80.3,717 NDC,00338-0023-03,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION (ML/HR DOSING),80.3,71.47,16.7,80.3,717 NDC,00338-0023-04,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION (G/KG/HR DOSING),78.5,69.86,16.33,78.5,717 NDC,00338-0023-04,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION (ML/HR DOSING),78.5,69.86,16.33,78.5,717 NDC,00338-0043-03,NACL 0.45% FREE DRIP,82.0,72.98,17.06,82.0,717 NDC,00338-0043-03,NACL 0.45% IV BOLUS,82.0,72.98,17.06,82.0,717 NDC,00338-0043-03,NACL 0.45% IV SOLP,82.0,72.98,17.06,82.0,717 NDC,00338-0043-03,SODIUM CHLORIDE 0.45% FLUSH SYRINGE (NEO/PED),43.0,38.27,8.94,43.0,715 NDC,00338-0043-04,NACL 0.45% FREE DRIP,82.0,72.98,17.06,82.0,717 NDC,00338-0043-04,NACL 0.45% IV BOLUS,82.0,72.98,17.06,82.0,717 NDC,00338-0043-04,NACL 0.45% IV SOLP,82.0,72.98,17.06,82.0,717 NDC,00338-0043-04,NACL 0.45% IV SOLP CRRT,82.0,72.98,17.06,82.0,717 NDC,00338-0043-04,SODIUM CHLORIDE 0.45% FLUSH SYRINGE (NEO/PED),43.0,38.27,8.94,43.0,715 NDC,00338-0048-02,NACL 0.9% IRRIGATION SOLN,57.0,50.73,11.86,57.0,715 NDC,00338-0048-03,NACL 0.9% IRRIGATION SOLN,57.0,50.73,11.86,57.0,715 NDC,00338-0048-04,NACL 0.9% IRRIGATION SOLN,57.0,50.73,11.86,57.0,715 NDC,00338-0049-02,NACL 0.9 % IV FREE DRIP,80.3,71.47,16.7,80.3,717 NDC,00338-0049-02,NACL 0.9% INTRAPLEURAL FLUSH,76.3,67.91,15.87,76.3,717 NDC,00338-0049-02,NACL 0.9% IV BOLUS,75.6,67.28,15.72,75.6,717 NDC,00338-0049-02,NACL 0.9% IV SOLP,80.3,71.47,16.7,80.3,723 NDC,00338-0049-02,SODIUM CHLORIDE 0.9 % FLUSH BAG,76.1,67.73,15.83,76.1,717 NDC,00338-0049-03,NACL 0.9 % IV FREE DRIP,80.3,71.47,16.7,80.3,717 NDC,00338-0049-03,NACL 0.9% INTRAPLEURAL FLUSH,75.7,67.37,15.75,75.7,717 NDC,00338-0049-03,NACL 0.9% IV BOLUS,75.3,67.02,15.66,75.3,717 NDC,00338-0049-03,NACL 0.9% IV SOLP,80.3,71.47,16.7,80.3,723 NDC,00338-0049-03,SODIUM CHLORIDE 0.9 % FLUSH BAG,75.6,67.28,15.72,75.6,717 NDC,00338-0049-04,NACL 0.9 % IV FREE DRIP,82.0,72.98,17.06,82.0,715 NDC,00338-0049-04,NACL 0.9% INTRAPLEURAL FLUSH,75.5,67.19,15.7,75.5,715 NDC,00338-0049-04,NACL 0.9% IR RAD VASC COOLING INFUSION,82.0,72.98,2.29,82.0,717 NDC,00338-0049-04,NACL 0.9% IV BOLUS,75.2,66.93,15.64,75.2,715 NDC,00338-0049-04,NACL 0.9% IV SOLP,82.0,72.98,17.06,82.0,718 NDC,00338-0049-04,NACL 0.9% IV SOLP (PERFUSION ONLY),82.0,72.98,17.06,82.0,715 NDC,00338-0049-04,NACL 0.9% IV SOLP CRRT (PEDIATRIC),82.0,72.98,17.06,82.0,715 NDC,00338-0049-04,SODIUM CHLORIDE 0.9 % FLUSH BAG,75.4,67.11,15.68,75.4,715 NDC,00338-0049-10,NACL 0.9 % IV FREE DRIP,81.0,72.09,16.85,81.0,715 NDC,00338-0049-10,NACL 0.9% INTRAPLEURAL FLUSH,89.3,79.48,18.57,89.3,715 NDC,00338-0049-10,NACL 0.9% IV BOLUS,81.0,72.09,16.85,81.0,717 NDC,00338-0049-10,NACL 0.9% IV SOLP,81.0,72.09,16.85,81.0,723 NDC,00338-0049-10,SODIUM CHLORIDE 0.9 % FLUSH BAG,86.9,77.34,18.08,86.9,715 NDC,00338-0049-11,NACL 0.9 % IV FREE DRIP,80.5,71.64,16.74,80.5,715 NDC,00338-0049-11,NACL 0.9% INTRAPLEURAL FLUSH,81.6,72.62,16.97,81.6,715 NDC,00338-0049-11,NACL 0.9% IV BOLUS,77.8,69.24,16.18,77.8,717 NDC,00338-0049-11,NACL 0.9% IV SOLP,80.5,71.64,16.74,80.5,723 NDC,00338-0049-11,SODIUM CHLORIDE 0.9 % FLUSH BAG,80.5,71.64,16.74,80.5,715 NDC,00338-0049-38,NACL 0.9 % IV FREE DRIP,79.9,71.11,16.62,79.9,715 NDC,00338-0049-38,NACL 0.9% INTRAPLEURAL FLUSH,78.0,69.42,16.22,78.0,715 NDC,00338-0049-38,NACL 0.9% IV BOLUS,76.3,67.91,15.87,76.3,717 NDC,00338-0049-38,NACL 0.9% IV SOLP,79.9,71.11,16.62,79.9,723 NDC,00338-0049-38,SODIUM CHLORIDE 0.9 % FLUSH BAG,77.5,68.97,16.12,77.5,715 NDC,00338-0049-41,NACL 0.9% INTRAFETAL IV BOLUS (ANES),80.3,71.47,16.7,80.3,715 NDC,00338-0054-03,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION,83.8,74.58,17.43,83.8,717 NDC,00338-0054-03,SODIUM CHLORIDE 3 % INTRAVENOUS BOLUS SOLUTION,83.8,74.58,17.43,83.8,717 NDC,00338-0056-03,SODIUM CHLORIDE 5 % HYPERTONIC INTRAVENOUS SOLUTION,85.5,76.1,17.78,85.5,717 NDC,00338-0077-04,D5-NACL 0.2% IV SOLP,82.0,72.98,17.06,82.0,717 NDC,00338-0085-04,D5-NACL 0.45% IV BOLUS,82.0,72.98,17.06,82.0,717 NDC,00338-0085-04,D5-NACL 0.45% IV SOLP,82.0,72.98,17.06,82.0,717 NDC,00338-0089-03,D5-NACL 0.9% IV SOLP,82.0,72.98,1.51,82.0,721 NDC,00338-0089-04,D5-NACL 0.9% IV BOLUS,82.0,72.98,3.01,82.0,719 NDC,00338-0089-04,D5-NACL 0.9% IV SOLP,82.0,72.98,3.01,82.0,721 NDC,00338-0117-02,LACTATED RINGERS INTRAVENOUS SOLUTION,78.5,69.86,16.33,78.5,735 NDC,00338-0117-03,LACTATED RINGERS FIXED RATE,80.3,71.47,16.7,80.3,717 NDC,00338-0117-03,LACTATED RINGERS INTRAVENOUS SOLUTION,80.3,71.47,16.7,80.3,735 NDC,00338-0117-03,LACTATED RINGERS IV BOLUS,80.3,71.47,16.7,80.3,717 NDC,00338-0117-04,LACTATED RINGERS FIXED RATE,82.0,72.98,17.06,82.0,717 NDC,00338-0117-04,LACTATED RINGERS INTRAVENOUS SOLUTION,82.0,72.98,17.06,82.0,735 NDC,00338-0117-04,LACTATED RINGERS INTRAVENOUS SOLUTION (PERFUSION ONLY),82.0,72.98,2.74,82.0,719 NDC,00338-0117-04,LACTATED RINGERS IV BOLUS,82.0,72.98,17.06,82.0,717 NDC,00338-0122-04,VANCOMYCIN 1.25 GRAM/250 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,187.4,166.79,38.98,187.4,720 NDC,00338-0125-03,D5LR IV BOLUS,80.3,71.47,16.7,80.3,717 NDC,00338-0125-03,D5LR IV SOLP,80.3,71.47,16.7,80.3,718 NDC,00338-0125-04,D5LR BOLUS (ANES),75.4,67.11,15.68,75.4,717 NDC,00338-0125-04,D5LR FREE DRIP (ANES),82.0,72.98,17.06,82.0,717 NDC,00338-0125-04,D5LR IV BOLUS,82.0,72.98,17.06,82.0,717 NDC,00338-0125-04,D5LR IV SOLP,82.0,72.98,17.06,82.0,718 NDC,00338-0126-12,INSULIN REGULAR INFUSION 100 U/100 ML (1 UNIT/ML) IN NACL 0.9% (CNR/PREMIX) WRAPPER,202.0,179.78,42.02,202.0,717 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,202.0,179.78,42.02,202.0,717 NDC,00338-0289-47,GLYCINE 1.5 % UROLOGIC SOLUTION FOR IRRIGATION,81.5,72.53,16.95,81.5,715 NDC,00338-0322-01,"THROMBIN (RECOMBINANT) 5,000 UNIT TOPICAL SOLUTION",132.1,117.57,27.48,132.1,715 NDC,00338-0326-01,"THROMBIN (RECOMBINANT) 20,000 UNIT TOPICAL SOLUTION",510.5,454.35,106.18,510.5,715 NDC,00338-0357-02,MANNITOL 20 % INTRAVENOUS INJECTION PERFUSION ONLY,219.9,195.71,45.74,219.9,715 NDC,00338-0357-02,MANNITOL 20 % IV SYRINGE,119.9,106.71,24.94,119.9,715 NDC,00338-0357-03,MANNITOL 20 % INTRAVENOUS SOLUTION,223.2,198.65,46.43,223.2,715 NDC,00338-0409-03,LIDOCAINE (PF) 4 MG/ML (0.4 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,87.3,77.7,18.16,87.3,718 NDC,00338-0409-03,LIDOCAINE (PF) 4 MG/ML IN 5 % DEXTROSE PAIN ANES ONLY,87.3,77.7,18.16,87.3,717 NDC,00338-0431-03,"HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV",85.5,76.1,0.21,85.5,717 NDC,00338-0502-03,PARENTERAL AMINO ACID 15 % COMBINATION (CLINISOL SF) INTRAVENOUS SOLUTION,883.7,786.49,183.81,883.7,715 NDC,00338-0507-41,GENTAMICIN 60 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,82.4,73.34,2.49,82.4,719 NDC,00338-0507-48,GENTAMICIN 120 MG/100 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,84.1,74.85,4.98,84.1,721 NDC,00338-0509-41,GENTAMICIN 80 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,82.6,73.51,2.49,82.6,722 NDC,00338-0511-41,GENTAMICIN 100 MG/50 ML IN SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,83.3,74.14,4.98,83.3,721 NDC,00338-0553-11,NACL 0.9% IV PGBK (MINI-BAG PLUS)(BRAND SPLIT),85.0,75.65,17.68,85.0,715 NDC,00338-0553-18,NACL 0.9% IV PGBK (MINI-BAG PLUS)(BRAND SPLIT),85.2,75.83,17.72,85.2,715 NDC,00338-0656-04,ACETIC ACID 0.25 % IRRIGATION SOLUTION (STERILE),15.5,13.8,3.22,15.5,715 NDC,00338-0663-04,D5-NACL 0.2% KCL 20 MEQ/L IV SOLP,85.5,76.1,17.78,85.5,717 NDC,00338-0671-04,D5-NACL 0.45% KCL 20 MEQ/L IV SOLP,82.0,72.98,17.06,82.0,717 NDC,00338-0691-04,NACL 0.9% KCL 20 MEQ/L IV SOLP,82.0,72.98,17.06,82.0,717 NDC,00338-0703-41,POTASSIUM CHLORIDE 20 MEQ/50 ML INTRAVENOUS PIGGYBACK,83.3,74.14,1.39,83.3,719 NDC,00338-0703-41,POTASSIUM CHLORIDE IV SYRINGE 0.4 MEQ/ML (NEO/PED),83.3,74.14,1.39,83.3,719 NDC,00338-0704-34,NACL 0.45% KCL 20 MEQ/L IV SOLP,85.5,76.1,17.78,85.5,717 NDC,00338-0705-41,POTASSIUM CHLORIDE 10 MEQ/50 ML INTRAVENOUS PIGGYBACK,84.1,74.85,0.7,84.1,720 NDC,00338-0705-41,POTASSIUM CHLORIDE IV SYRINGE 0.2 MEQ/ML (NEO/PED),84.1,74.85,0.7,84.1,719 NDC,00338-0709-48,POTASSIUM CHLORIDE 10 MEQ/100 ML INTRAVENOUS PIGGYBACK,84.5,75.21,0.7,84.5,721 NDC,00338-0709-48,POTASSIUM CHLORIDE IV SYRINGE 0.1 MEQ/ML (NEO/PED),84.5,75.21,0.7,84.5,719 NDC,00338-0719-06,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION,189.0,168.21,39.31,189.0,715 NDC,00338-0803-04,D5-NACL 0.9% KCL 20 MEQ/L IV SOLP,85.5,76.1,17.78,85.5,717 NDC,00338-1005-02,DOPAMINE 200 MG/250 ML (800 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN,99.5,88.56,4.61,99.5,720 NDC,00338-1007-02,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",106.5,94.79,9.22,106.5,719 NDC,00338-1019-48,NAFCILLIN 2 GRAM/100 ML IN DEXTROSE(ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,99.5,88.56,20.7,99.5,717 NDC,00338-1049-02,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,189.0,168.21,39.31,189.0,717 NDC,00338-1049-02,NITROGLYCERIN 50 MG/250 ML INJECTION ANES,189.0,168.21,39.31,189.0,717 NDC,00338-1051-02,NITROGLYCERIN 100 MG/250 ML (400 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,192.3,171.15,40.0,192.3,717 NDC,00338-1073-02,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS,98.7,87.84,9.23,98.7,725 NDC,00338-1075-02,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV",110.0,97.9,18.46,110.0,719 NDC,00338-1130-03,PARENTERAL AMINO ACID 10 % COMBINATION (PREMASOL) INTRAVENOUS SOLUTION,727.0,647.03,151.22,727.0,715 NDC,00338-1301-41,CEFEPIME 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,183.5,163.32,38.17,183.5,717 NDC,00338-1301-48,CEFEPIME 2 GRAM/100 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,198.8,176.93,41.35,198.8,720 NDC,00338-1709-40,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,79.9,71.11,0.93,79.9,722 NDC,00338-3583-01,VANCOMYCIN 1 GRAM/200 ML IN 0.9 % SOD. CHLORIDE INTRAVENOUS PIGGYBACK,105.8,94.16,22.01,105.8,718 NDC,00338-3612-24,CLINDAMYCIN 12 MG/ML IVPB IN D5W - DRAWN UP FROM PREMIX BAG,101.0,89.89,21.01,101.0,717 NDC,00338-3612-24,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,92.4,82.24,19.22,92.4,717 NDC,00338-3612-24,CLINDAMYCIN IV SYRINGE 12 MG/ML IN D5W (NEO/PED) - DRAWN UP FROM PREMIX BAG,92.4,82.24,19.22,92.4,717 NDC,00338-5002-41,CEFTRIAXONE 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOT) INTRAVENOUS PIGGYBACK,109.0,97.01,2.13,109.0,719 NDC,00338-5003-41,CEFTRIAXONE 2 GRAM/50 ML IN DEXTROSE (ISO-OSM) INTRAVENOUS PIGGYBACK,211.0,187.79,4.25,211.0,721 NDC,00338-6045-37,FLUCONAZOLE 2 MG/ML-SODIUM CHLORIDE(ISO) IVPB DRAWN UP FROM PREMIX BAG,86.6,77.07,5.15,86.6,719 NDC,00338-9540-02,"FAT EMULSION OLIVE, SOYBEAN OIL 20 % INTRAVENOUS (CLINOLIPID)",189.9,169.01,39.5,189.9,715 NDC,00338-9540-02,FAT EMULSION-OLIVE OIL-SOYBEAN OIL 20 % IV PARTIAL BAG (CLINOLIPID) (NEONATE/PEDS),189.9,169.01,39.5,189.9,715 NDC,00338-9540-02,FAT EMULSION-OLIVE OIL-SOYBEAN OIL 20 % IV SYRINGE (NEONATE),189.9,169.01,39.5,189.9,715 NDC,00338-9540-03,"FAT EMULSION OLIVE, SOYBEAN OIL 20 % INTRAVENOUS (CLINOLIPID)",197.2,175.51,41.02,197.2,715 NDC,00338-9540-03,FAT EMULSION-OLIVE OIL-SOYBEAN OIL 20 % IV PARTIAL BAG (CLINOLIPID) (NEONATE/PEDS),197.2,175.51,41.02,197.2,715 NDC,00338-9540-03,FAT EMULSION-OLIVE OIL-SOYBEAN OIL 20 % IV SYRINGE (NEONATE),197.2,175.51,41.02,197.2,715 NDC,00338-9543-02,NACL 0.9% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),80.3,71.47,0.76,80.3,725 NDC,00338-9543-04,NACL 0.9% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),80.3,71.47,1.48,80.3,719 NDC,00338-9557-12,DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (ALSO CNR),232.6,207.01,48.38,232.6,715 NDC,00338-9667-01,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",656.3,584.11,108.47,656.3,736 NDC,00378-0372-01,CIMETIDINE 400 MG TABLET,7.0,6.23,1.46,7.0,727 NDC,00378-0612-01,THIORIDAZINE 10 MG TABLET,6.6,5.87,1.37,6.6,727 NDC,00378-2097-01,"NISOLDIPINE ER 17 MG TABLET,EXTENDED RELEASE 24 HR",23.8,21.18,4.95,23.8,727 NDC,00378-2401-01,TRIFLUOPERAZINE 1 MG TABLET,6.9,6.14,1.44,6.9,727 NDC,00378-2402-01,TRIFLUOPERAZINE 2 MG TABLET,7.6,6.76,1.58,7.6,727 NDC,00378-2410-01,TRIFLUOPERAZINE 10 MG TABLET,11.0,9.79,2.29,11.0,727 NDC,00378-2895-20,FERRIC CITRATE 210 MG IRON TABLET,27.9,24.83,25.2,25.2,1 NDC,00378-2920-93,TELMISARTAN 20 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,00378-2921-93,TELMISARTAN 40 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,00378-3340-53,NORELGESTROMIN 150 MCG-E.ESTRADIOL 35 MCG/24 HR WEEKLY TRANSDERM PATCH,136.2,121.22,28.33,136.2,727 NDC,00378-4070-01,KETOPROFEN 50 MG CAPSULE,5.8,5.16,1.21,5.8,727 NDC,00378-4593-01,METOPROLOL TARTRATE 37.5 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,00378-6233-01,CITALOPRAM 40 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,00378-6380-01,"VERAPAMIL ER 180 MG 24 HR CAPSULE,EXTENDED RELEASE",9.3,8.28,1.93,9.3,727 NDC,00378-6440-01,"VERAPAMIL ER 240 MG 24 HR CAPSULE,EXTENDED RELEASE",9.7,8.63,2.02,9.7,727 NDC,00378-6854-77,LISDEXAMFETAMINE 10 MG CAPSULE,26.9,23.94,5.6,26.9,727 NDC,00378-6860-77,LISDEXAMFETAMINE 70 MG CAPSULE,26.9,23.94,5.6,26.9,727 NDC,00378-6986-01,NACL 0.9% INHALATION SOLUTION,5.7,5.07,1.19,5.7,715 NDC,00378-6998-89,SODIUM CHLORIDE 10 % FOR NEBULIZATION,5.7,5.07,1.19,5.7,727 NDC,00378-8200-01,"KETOPROFEN ER 200 MG 24 HR CAPSULE,EXTENDED RELEASE",29.7,26.43,6.18,29.7,727 NDC,00378-8270-55,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,6.0,5.34,0.22,6.0,731 NDC,00378-8760-58,CYCLOSPORINE 0.05 % EYE DROPS IN A DROPPERETTE,12.8,11.39,2.66,12.8,727 NDC,00378-9102-93,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH,6.8,6.05,1.41,6.8,727 NDC,00378-9104-93,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH,7.3,6.5,1.52,7.3,727 NDC,00378-9112-93,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH,7.5,6.68,1.56,7.5,727 NDC,00378-9116-93,NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH,8.2,7.3,1.71,8.2,727 NDC,00378-9671-93,IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML IN SOLN,6.3,5.61,0.2,6.3,731 NDC,00395-1003-92,GENTIAN VIOLET 1 % TOPICAL SOLUTION,74.6,66.39,15.52,74.6,715 NDC,00395-1031-16,GLYCERIN 99.5 % TOPICAL SOLUTION,83.3,74.14,17.33,83.3,715 NDC,00406-0123-62,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,11.9,10.59,2.48,11.9,727 NDC,00406-0124-62,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,12.2,10.86,2.54,12.2,727 NDC,00406-0484-62,ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET,12.1,10.77,2.52,12.1,727 NDC,00406-0523-62,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,17.7,15.75,3.68,17.7,727 NDC,00406-0527-10,METHADONE 10 MG/ML ORAL CONCENTRATE,10.1,8.99,2.1,10.1,727 NDC,00406-0552-62,OXYCODONE 5 MG TABLET,11.6,10.32,2.41,11.6,727 NDC,00406-1130-52,FENTANYL CITRATE (BULK) 100 % POWDER,3204.9,2852.36,666.62,3204.9,717 NDC,00406-1521-53,MORPHINE (BULK) 100 % POWDER,224.8,200.07,46.76,224.8,717 NDC,00406-1810-01,"METHYLPHENIDATE CD 10 MG BIPHASIC 30-70 CAPSULE,EXTENDED RELEASE",19.3,17.18,4.01,19.3,727 NDC,00406-3249-01,HYDROMORPHONE 8 MG TABLET,12.1,10.77,2.52,12.1,727 NDC,00406-5755-62,METHADONE 5 MG TABLET,11.3,10.06,2.35,11.3,727 NDC,00406-8330-62,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",14.5,12.91,3.02,14.5,727 NDC,00406-8961-01,"DEXTROAMPHETAMINE SULFATE ER 10 MG CAPSULE,EXTENDED RELEASE",21.9,19.49,4.56,21.9,727 NDC,00406-8962-01,"DEXTROAMPHETAMINE SULFATE ER 15 MG CAPSULE,EXTENDED RELEASE",25.2,22.43,5.24,25.2,727 NDC,00407-0690-10,GADODIAMIDE 5 MMOL/10 ML (287 MG/ML) INTRAVENOUS SOLUTION,98.3,87.49,16.81,98.3,719 NDC,00407-0690-15,GADODIAMIDE 7.5 MMOL/15 ML (287 MG/ML) INTRAVENOUS SOLUTION,122.4,108.94,25.22,122.4,719 NDC,00407-0690-20,GADODIAMIDE 10 MMOL/20 ML (287 MG/ML) INTRAVENOUS SOLUTION,146.5,130.38,30.47,146.5,719 NDC,00407-1401-52,IOHEXOL 140 MG IODINE/ML INTRAVENOUS SOLUTION,72.2,64.26,15.02,72.2,719 NDC,00407-1411-10,IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION,143.3,127.54,11.91,143.3,719 NDC,00407-1412-30,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,41.8,37.2,4.61,41.8,719 NDC,00407-1413-10,"IOHEXOL 7,500 MG IODINE/275 ML NACL 0.9 % INTRAVENOUS SOLUTION (DILUTION)",284.1,252.85,4.28,284.1,719 NDC,00407-1413-59,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,47.0,41.83,1.71,47.0,729 NDC,00407-1413-59,"IOHEXOL 7,500 MG IODINE/275 ML NACL 0.9 % INTRAVENOUS SOLUTION (DILUTION)",64.8,57.67,4.28,64.8,719 NDC,00407-1413-59,IOHEXOL 9 MG IODINE/ML ORAL SOLUTION (DILUTION),6.8,6.05,0.17,6.8,719 NDC,00407-1413-61,"IOHEXOL 7,500 MG IODINE/275 ML NACL 0.9 % INTRAVENOUS SOLUTION (DILUTION)",52.5,46.73,4.28,52.5,719 NDC,00407-1413-63,"IOHEXOL 7,500 MG IODINE/275 ML NACL 0.9 % INTRAVENOUS SOLUTION (DILUTION)",51.7,46.01,4.28,51.7,719 NDC,00407-1413-65,"IOHEXOL 7,500 MG IODINE/275 ML NACL 0.9 % INTRAVENOUS SOLUTION (DILUTION)",51.2,45.57,4.28,51.2,719 NDC,00407-1413-72,"IOHEXOL 7,500 MG IODINE/275 ML NACL 0.9 % INTRAVENOUS SOLUTION (DILUTION)",51.0,45.39,4.28,51.0,719 NDC,00407-1414-93,IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION,69.2,61.59,8.57,69.2,730 NDC,00407-2222-17,IODIXANOL 270 MG IODINE/ML INTRAVENOUS SOLUTION,103.7,92.29,21.57,103.7,719 NDC,00407-2707-03,PERFLUTREN PROTEIN-TYPE A MICROSPHERES (DIAGNOSTIC) 0.22 MG/ML IV SUSP,306.8,273.05,63.81,306.8,719 NDC,00407-8787-01,"FLURPIRIDAZ F-18 190 MBQ/ML TO 2,050 MBQ/ML INTRAVENOUS SOLUTION",1250.0,1112.5,260.0,1250.0,735 NDC,00409-0007-10,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",36.3,32.31,7.55,36.3,715 NDC,00409-0147-10,"LIDOCAINE-EPINEPHRINE 2%-1:100,000 INJECTION SOLUTION",35.4,31.51,7.36,35.4,715 NDC,00409-0152-24,METRONIDAZOLE 5 MG/ML IV - DRAWN UP FROM PREMIX BAG,80.6,71.73,16.76,80.6,717 NDC,00409-0152-24,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,80.6,71.73,16.76,80.6,728 NDC,00409-0829-01,AZTREONAM 1 GRAM IM EQUIVALENCY,124.5,110.81,25.9,124.5,717 NDC,00409-0829-01,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,124.5,110.81,25.9,124.5,717 NDC,00409-0829-01,AZTREONAM 200 MG/ML INJECTION (NEO/PED) - RST ONLY,124.5,110.81,25.9,124.5,715 NDC,00409-1178-30,MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE,90.6,80.63,9.37,90.6,719 NDC,00409-1209-01,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",38.9,34.62,8.09,38.9,715 NDC,00409-1283-31,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,76.1,67.73,15.83,76.1,724 NDC,00409-1304-31,HYDROMORPHONE 4 MG/ML INJECTION (WRAPPER),76.1,67.73,15.83,76.1,717 NDC,00409-1463-49,NALBUPHINE 10 MG/ML INJECTION SOLUTION,48.0,42.72,3.96,48.0,721 NDC,00409-1541-10,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",38.3,34.09,7.97,38.3,715 NDC,00409-1754-10,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SYRINGE,63.8,56.78,0.93,63.8,719 NDC,00409-1775-10,DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE,115.1,102.44,23.94,115.1,715 NDC,00409-1902-01,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,1068.0,950.52,222.14,1068.0,736 NDC,00409-1966-01,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION",39.3,34.98,8.17,39.3,715 NDC,00409-1966-07,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION",39.0,34.71,8.11,39.0,715 NDC,00409-2011-25,LEVETIRACETAM 100 MG/ML IV SYRINGE (PEDIATRIC) - RST ONLY,40.1,35.69,2.24,40.1,719 NDC,00409-2011-25,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,40.1,35.69,2.24,40.1,719 NDC,00409-2016-10,METOPROLOL 1 MG/ML INJECTION (NEO/PED) - RST ONLY,37.4,33.29,7.78,37.4,715 NDC,00409-2016-10,METOPROLOL 5 MG/5 ML INTRAVENOUS SOLUTION (WRAPPER),36.2,32.22,7.53,36.2,719 NDC,00409-2308-50,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,70.2,62.48,0.16,70.2,727 NDC,00409-2339-34,LABETALOL 5 MG/ML INJECTION (WRAPPER),60.8,54.11,12.65,60.8,723 NDC,00409-2587-05,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,74.1,65.95,1.62,74.1,719 NDC,00409-2634-05,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,144.8,128.87,30.12,144.8,719 NDC,00409-3299-25,SODIUM ACETATE 16.4% (2 MEQ/ML) INTRAVENOUS SOLUTION,57.4,51.09,11.94,57.4,715 NDC,00409-3299-25,SODIUM ACETATE 2 MEQ/ML INJECTION FOR ORAL USE,24.6,21.89,5.12,24.6,715 NDC,00409-3301-10,DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,74.8,66.57,15.56,74.8,715 NDC,00409-3308-03,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,36.5,32.49,7.59,36.5,715 NDC,00409-3382-21,SUFENTANIL CITRATE 50 MCG/ML INTRAVENOUS SOLUTION,82.5,73.43,17.16,82.5,715 NDC,00409-3414-11,METOCLOPRAMIDE 5 MG/ML INJECTION (NEO/PED) - RST ONLY,39.6,35.24,1.25,39.6,719 NDC,00409-3414-11,METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTION,39.6,35.24,1.25,39.6,723 NDC,00409-3515-01,VANCOMYCIN 1.5 GRAM INTRAVENOUS SOLUTION,88.0,78.32,18.3,88.0,717 NDC,00409-3613-01,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,38.3,34.09,7.97,38.3,717 NDC,00409-3814-12,MORPHINE (PF) 0.5 MG/ML INJECTION REGIONAL ANES ONLY,166.7,148.36,15.52,166.7,719 NDC,00409-3814-12,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION,166.7,148.36,15.52,166.7,719 NDC,00409-3815-12,MORPHINE (PF) 1 MG/ML INJECTION REGIONAL SOLUTION,233.3,207.64,15.52,233.3,719 NDC,00409-4031-01,MANNITOL 25 % INTRAVENOUS SOLUTION,51.5,45.84,10.71,51.5,717 NDC,00409-4091-01,MANGANESE 0.1 MG/ML INJECTION (TPN)(WRAPPER),113.0,100.57,23.5,113.0,715 NDC,00409-4093-01,CHROMIUM CHLORIDE 4 MCG/ML INTRAVENOUS SOLUTION,107.9,96.03,22.44,107.9,715 NDC,00409-4208-10,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",38.1,33.91,7.92,38.1,715 NDC,00409-4276-01,LIDOCAINE 10 MG/ML (1 %) INJECTION SOLUTION (RST PEDIATRIC),35.2,31.33,7.32,35.2,715 NDC,00409-4276-01,LIDOCAINE 10 MG/ML (1 %) INJECTION SOLUTION (WRAPPER),35.2,31.33,7.32,35.2,715 NDC,00409-4276-01,LIDOCAINE 10 MG/ML (1%) STRAIGHT DRUG FOR INTRAPLEURAL USE (WRAPPER),35.9,31.95,7.47,35.9,715 NDC,00409-4278-01,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,35.9,31.95,7.47,35.9,715 NDC,00409-4283-01,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION ANES ONLY,37.3,33.2,7.76,37.3,715 NDC,00409-4283-01,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION,37.3,33.2,7.76,37.3,715 NDC,00409-4332-01,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,43.8,38.98,9.11,43.8,721 NDC,00409-4350-03,DILTIAZEM 100 MG INTRAVENOUS SOLUTION ADD-VANTAGE,70.7,62.92,14.71,70.7,715 NDC,00409-4755-03,ONDANSETRON 2 MG/ML SYRINGE PUMP (PEDIATRIC) - RST ONLY,35.9,31.95,0.43,35.9,719 NDC,00409-4755-03,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,35.9,31.95,0.43,35.9,737 NDC,00409-4776-01,LIDOCAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,36.6,32.57,7.61,36.6,715 NDC,00409-4887-50,"WATER FOR IRRIGATION, STERILE SOLUTION (WRAPPER INCLUDES SWFI)",67.0,59.63,13.94,67.0,715 NDC,00409-4887-99,"WATER FOR IRRIGATION, STERILE SOLUTION (WRAPPER INCLUDES SWFI)",73.1,65.06,15.2,73.1,715 NDC,00409-5160-10,ROCURONIUM 10 MG/ML INJECTION (WRAPPER),49.4,43.97,10.28,49.4,715 NDC,00409-5820-01,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,45.8,40.76,4.61,45.8,719 NDC,00409-5921-01,AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION,87.5,77.88,11.97,87.5,719 NDC,00409-5922-01,AMINOPHYLLINE 500 MG/20 ML INTRAVENOUS SOLUTION,64.8,57.67,13.48,64.8,719 NDC,00409-6482-01,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,252.8,224.99,23.18,252.8,719 NDC,00409-6509-49,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,103.9,92.47,21.61,103.9,722 NDC,00409-6648-02,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION,91.5,81.44,19.03,91.5,715 NDC,00409-6648-02,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION (MIXTURE RECORD USE ONLY),91.5,81.44,19.03,91.5,715 NDC,00409-7101-67,NACL 0.9% IV PGBK (ADD VANTAGE)(BRAND SPLIT),82.4,73.34,17.14,82.4,715 NDC,00409-7248-13,HETASTARCH 6 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,283.3,252.14,58.93,283.3,715 NDC,00409-7332-20,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION,38.8,34.53,2.13,38.8,720 NDC,00409-7332-20,CEFTRIAXONE 1 GRAM SOLUTION FOR INJECTION (FOR IM USE ONLY),38.8,34.53,2.13,38.8,1438 NDC,00409-7332-20,CEFTRIAXONE 100 MG/ML INJECTION (NEO/PED) - RST ONLY,38.8,34.53,2.13,38.8,719 NDC,00409-7332-20,CEFTRIAXONE IM 1000 MG IN NACL RX COMPOUND,38.8,34.53,2.13,38.8,719 NDC,00409-7334-20,CEFTRIAXONE 10 GRAM SOLUTION FOR INJECTION,72.9,64.88,15.16,72.9,723 NDC,00409-7335-20,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,42.2,37.56,4.25,42.2,723 NDC,00409-7335-20,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION (FOR IM USE ONLY),42.2,37.56,4.25,42.2,1438 NDC,00409-7335-20,CEFTRIAXONE IM 2000 MG IN NACL RX COMPOUND,42.2,37.56,4.25,42.2,719 NDC,00409-7338-20,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,37.6,33.46,1.06,37.6,719 NDC,00409-7338-20,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION (FOR IM USE ONLY),37.7,33.55,1.59,37.7,1438 NDC,00409-7338-20,CEFTRIAXONE IM 500 MG IN NACL RX COMPOUND,37.7,33.55,1.59,37.7,719 NDC,00409-7418-03,DEXTRAN 40 10 % IN 5 % DEXTROSE INTRAVENOUS,1171.3,1042.46,243.63,1171.3,717 NDC,00409-7419-03,DEXTRAN 40 10 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,1201.3,1069.16,249.87,1201.3,717 NDC,00409-9094-25,FENTANYL (PF) 50 MCG/ML INJECTION (WRAPPER),73.7,65.59,15.33,73.7,715 NDC,00409-9094-25,FENTANYL (PF) 50 MCG/ML INJECTION REGIONAL (WRAPPER) ANES ONLY,74.5,66.31,4.1,74.5,719 NDC,00409-9094-25,FENTANYL (PF) 50 MCG/ML INTRAFETAL INJECTION (WRAPPER) (ANES),74.5,66.31,4.1,74.5,719 NDC,00409-9104-20,DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION,43.0,38.27,8.94,43.0,719 NDC,00409-9157-01,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION (WRAPPER),66.1,58.83,6.46,66.1,719 NDC,00409-9158-01,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,50.5,44.95,6.46,50.5,719 NDC,00450-0122-30,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.45,0.1,0.5,727 NDC,00456-0462-01,THYROID (PORK) 180 MG TABLET,10.3,9.17,2.14,10.3,727 NDC,00456-0600-10,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION,619.9,551.71,4.23,619.9,736 NDC,00456-0600-10,CEFTAROLINE FOSAMIL 600 MG POWDER VIAL OSM,653.8,581.88,4.23,653.8,736 NDC,00456-1201-30,LINACLOTIDE 145 MCG CAPSULE,35.6,31.68,7.4,35.6,727 NDC,00456-1202-30,LINACLOTIDE 290 MCG CAPSULE,35.6,31.68,7.4,35.6,727 NDC,00456-1203-30,LINACLOTIDE 72 MCG CAPSULE,35.6,31.68,7.4,35.6,727 NDC,00456-1510-60,MILNACIPRAN 100 MG TABLET,32.7,29.1,6.8,32.7,727 NDC,00456-1512-60,MILNACIPRAN 12.5 MG TABLET,32.7,29.1,6.8,32.7,727 NDC,00456-1525-60,MILNACIPRAN 25 MG TABLET,32.7,29.1,6.8,32.7,727 NDC,00456-1550-60,MILNACIPRAN 50 MG TABLET,32.7,29.1,6.8,32.7,727 NDC,00456-2212-30,"LEVOMILNACIPRAN ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE",65.5,58.3,13.62,65.5,727 NDC,00456-2220-30,"LEVOMILNACIPRAN ER 20 MG CAPSULE,24 HR,EXTENDED RELEASE",65.5,58.3,13.62,65.5,727 NDC,00456-2240-30,"LEVOMILNACIPRAN ER 40 MG CAPSULE,24 HR,EXTENDED RELEASE",65.5,58.3,13.62,65.5,727 NDC,00456-2280-30,"LEVOMILNACIPRAN ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",65.5,58.3,13.62,65.5,727 NDC,00456-2402-60,ASENAPINE 2.5 MG SUBLINGUAL TABLET,70.3,62.57,14.62,70.3,727 NDC,00456-2700-10,CEFTAZIDIME-AVIBACTAM 2.5 G VIAL (167 MG OF CEFTAZIDIME/ML) (NEO/PED) - RST ONLY,1085.0,965.65,104.73,1085.0,736 NDC,00456-2700-10,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION,1085.0,965.65,104.73,1085.0,736 NDC,00469-0125-99,ENZALUTAMIDE 40 MG CAPSULE,441.8,393.2,91.89,441.8,727 NDC,00469-0420-01,ISAVUCONAZONIUM SULFATE 372 MG INTRAVENOUS SOLUTION,878.0,781.42,1.01,878.0,734 NDC,00469-0520-02,ISAVUCONAZONIUM SULFATE 186 MG CAPSULE,297.3,264.6,61.84,297.3,727 NDC,00469-0625-99,ENZALUTAMIDE 40 MG TABLET,441.8,393.2,91.89,441.8,727 NDC,00469-0647-73,"TACROLIMUS ER 0.5 MG CAPSULE,EXTENDED RELEASE 24 HR (ASTAGRAF)",11.9,10.59,2.48,11.9,729 NDC,00469-0677-73,"TACROLIMUS ER 1 MG CAPSULE,EXTENDED RELEASE 24 HR (ASTAGRAF)",18.8,16.73,3.91,18.8,729 NDC,00469-0687-73,"TACROLIMUS ER 5 MG CAPSULE,EXTENDED RELEASE 24 HR (ASTAGRAF)",73.7,65.59,15.33,73.7,729 NDC,00469-0725-60,ENZALUTAMIDE 80 MG TABLET,823.5,732.92,171.29,823.5,727 NDC,00469-1230-50,TACROLIMUS 0.2 MG ORAL GRANULES IN PACKET,21.9,19.49,19.8,19.8,1 NDC,00469-1330-50,TACROLIMUS 1 MG ORAL GRANULES IN PACKET,30.2,26.88,0.23,30.2,719 NDC,00469-1425-90,GILTERITINIB 40 MG TABLET,1039.9,925.51,216.3,1039.9,727 NDC,00469-2860-35,ISAVUCONAZONIUM SULFATE 74.5 MG CAPSULE,125.2,111.43,26.04,125.2,727 NDC,00469-3016-01,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION,733.7,652.99,152.61,733.7,736 NDC,00469-3051-30,AMPHOTERICIN B LIPOSOME 25 MG/6.3 ML (4 MG/ML) SUSPENSION FOR NEBULIZATION,379.1,337.4,21.48,379.1,736 NDC,00469-3051-30,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,379.1,337.4,21.48,379.1,736 NDC,00472-1738-03,MICONAZOLE NITRATE 200 MG VAGINAL SUPPOSITORY,153.9,136.97,32.01,153.9,715 NDC,00480-1232-08,"RISPERIDONE MICROSPHERES ER 25 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE",1190.3,1059.37,10.98,1190.3,736 NDC,00480-1342-08,"RISPERIDONE MICROSPHERES ER 37.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS",1823.0,1622.47,10.98,1823.0,736 NDC,00480-1453-08,"RISPERIDONE MICROSPHERES ER 50 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEASE",2555.7,2274.57,10.98,2555.7,736 NDC,00480-3667-20,LIRAGLUTIDE 0.6 MG/0.1 ML (18 MG/3 ML) SUBCUTANEOUS PEN INJECTOR,671.0,597.19,139.57,671.0,727 NDC,00480-7062-56,PERAMPANEL 2 MG TABLET,63.9,56.87,13.29,63.9,727 NDC,00480-7063-56,PERAMPANEL 4 MG TABLET,116.5,103.69,24.23,116.5,727 NDC,00480-7065-56,PERAMPANEL 6 MG TABLET,116.5,103.69,24.23,116.5,727 NDC,00485-0098-16,CHLORPHENIRAMINE 2 MG/5 ML ORAL SYRUP,91.0,80.99,18.93,91.0,727 NDC,00486-1134-01,POTASSIUM AND SODIUM MONOBASIC PHOSPHATE 305 MG-700 MG TABLET,8.7,7.74,1.81,8.7,727 NDC,00487-2784-01,RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION,10.6,9.43,2.2,10.6,727 NDC,00496-0882-06,LIDOCAINE 4 % TOPICAL CREAM,60.6,53.93,12.6,60.6,727 NDC,00517-0374-05,METHYLENE BLUE (ANTIDOTE) 0.5 % (5 MG/ML) INTRAVENOUS SOLUTION,315.1,280.44,8.73,315.1,744 NDC,00517-0420-01,ESTRADIOL VALERATE 20 MG/ML INTRAMUSCULAR OIL,70.9,63.1,8.56,70.9,719 NDC,00517-0440-01,ESTRADIOL VALERATE 40 MG/ML INTRAMUSCULAR OIL,64.6,57.49,8.56,64.6,719 NDC,00517-0650-01,FERRIC CARBOXYMALTOSE 50 MG IRON/ML INTRAVENOUS SOLUTION,3003.5,2673.12,1.11,3003.5,736 NDC,00517-0720-01,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,165.1,146.94,34.34,165.1,724 NDC,00517-0740-20,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,117.3,104.4,24.4,117.3,719 NDC,00517-1004-25,ATROPINE 0.4 MG/ML INTRAVENOUS SOLUTION (WRAPPER),52.0,46.28,10.82,52.0,717 NDC,00517-2340-25,IRON SUCROSE 20 MG/ML INJECTION WRAPPER,107.3,95.5,22.32,107.3,717 NDC,00517-2502-10,CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN,105.7,94.07,21.99,105.7,717 NDC,00517-4810-25,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,89.9,80.01,18.7,89.9,717 NDC,00517-5601-25,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,118.8,105.73,24.71,118.8,719 NDC,00517-6560-05,SELENIUM 60 MCG/ML INTRAVENOUS SOLUTION,706.5,628.78,146.95,706.5,715 NDC,00517-6710-10,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,65.2,58.03,13.56,65.2,715 NDC,00517-6710-10,CALCIUM CHLORIDE 100 MG/ML (10 %) IV BOLUS (NEO/PED),65.2,58.03,13.56,65.2,715 NDC,00517-6710-10,CALCIUM CHLORIDE 100 MG/ML (10%) INJECTION FOR ORAL USE,31.4,27.95,6.53,31.4,715 NDC,00517-6710-10,CALCIUM CHLORIDE STRAIGHT DRUG SYRINGE (NEO/PED),65.2,58.03,13.56,65.2,715 NDC,00517-7504-25,ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION,23.5,20.92,4.89,23.5,715 NDC,00517-9191-25,AMINOCAPROIC ACID 250 MG/ML INJECTION (NEO/PED) - RST ONLY,65.4,58.21,13.6,65.4,715 NDC,00517-9191-25,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,65.4,58.21,13.6,65.4,717 NDC,00517-9305-25,TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION,129.6,115.34,26.96,129.6,715 NDC,00517-9702-25,DROPERIDOL 2.5 MG/ML INJECTION (NEO/PED),61.6,54.82,12.81,61.6,715 NDC,00517-9702-25,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,61.6,54.82,12.81,61.6,723 NDC,00527-0764-37,DEXTROAMPHETAMINE-AMPHETAMINE 15 MG TABLET,11.7,10.41,2.43,11.7,727 NDC,00527-1368-01,DANAZOL 100 MG CAPSULE,16.0,14.24,3.33,16.0,727 NDC,00527-1394-01,LOXAPINE SUCCINATE 5 MG CAPSULE,6.7,5.96,1.39,6.7,727 NDC,00527-1395-01,LOXAPINE SUCCINATE 10 MG CAPSULE,6.9,6.14,1.44,6.9,727 NDC,00527-1396-01,LOXAPINE SUCCINATE 25 MG CAPSULE,6.6,5.87,1.37,6.6,727 NDC,00527-1632-01,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG CAPSULE,5.5,4.89,1.14,5.5,727 NDC,00527-1948-70,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION,2269.0,2019.41,471.95,2269.0,727 NDC,00527-4117-37,"PROPRANOLOL ER 80 MG CAPSULE,24 HR,EXTENDED RELEASE",5.8,5.16,1.21,5.8,727 NDC,00527-4118-37,"PROPRANOLOL ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE",5.9,5.25,1.23,5.9,727 NDC,00527-4119-37,"PROPRANOLOL ER 160 MG CAPSULE,24 HR,EXTENDED RELEASE",6.2,5.52,1.29,6.2,727 NDC,00527-5160-82,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,8.5,7.57,1.77,8.5,717 NDC,00527-6004-80,LIDOCAINE HCL 4 % (40 MG/ML) TOPICAL SOLUTION,124.2,110.54,25.83,124.2,715 NDC,00536-0091-85,ALUMINUM HYDROXIDE GEL 320 MG/5 ML ORAL SUSPENSION,20.3,18.07,4.22,20.3,727 NDC,00536-1046-10,SODIUM BICARBONATE 325 MG TABLET,2.1,1.87,0.44,2.1,727 NDC,00536-1050-22,CALCIUM 300 MG (AS CALCIUM CARBONATE 750 MG) CHEWABLE TABLET,0.5,0.45,0.1,0.5,727 NDC,00536-1052-24,POLYETHYLENE GLYCOL 3350 17 GRAM/DOSE ORAL POWDER,67.5,60.08,14.04,67.5,727 NDC,00536-1055-56,BENZOYL PEROXIDE 5 % TOPICAL GEL,61.7,54.91,12.83,61.7,727 NDC,00536-1109-45,UREA 20 % TOPICAL CREAM,73.6,65.5,15.31,73.6,727 NDC,00536-1143-98,WHITE PETROLATUM TOPICAL OINTMENT BULK (WRAPPER),94.0,83.66,19.55,94.0,727 NDC,00536-1211-95,DIBUCAINE 1 % OINTMENT (WRAPPER),64.0,56.96,13.31,64.0,727 NDC,00536-1223-08,SIMETHICONE 125 MG CHEWABLE TABLET,2.3,2.05,0.48,2.3,727 NDC,00536-1224-97,SODIUM BORATE-BORIC ACID-SODIUM CHLORIDE-WATER EYE WASH SOLN,64.1,57.05,13.33,64.1,727 NDC,00536-1232-01,"ASPIRIN 325 MG TABLET,DELAYED RELEASE",0.5,0.45,0.1,0.5,727 NDC,00536-1252-40,KETOTIFEN 0.025 % (0.035 %) EYE DROPS,73.9,65.77,15.37,73.9,727 NDC,00536-1253-91,SODIUM CHLORIDE 5 % EYE OINTMENT,35.3,31.42,7.34,35.3,727 NDC,00536-1254-94,SODIUM CHLORIDE 5 % EYE DROPS,15.9,14.15,3.31,15.9,727 NDC,00536-1256-28,BACITRACIN 500 UNIT/GRAM TOPICAL OINTMENT (WRAPPER),8.0,7.12,1.66,8.0,727 NDC,00536-1265-95,CLOTRIMAZOLE 1 % TOPICAL CREAM,57.2,50.91,11.9,57.2,727 NDC,00536-1268-12,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION,66.4,59.1,13.81,66.4,727 NDC,00536-1303-75,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",9.2,8.19,1.91,9.2,727 NDC,00536-1304-85,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID,35.2,31.33,7.32,35.2,727 NDC,00536-1315-43,TOLNAFTATE 1 % TOPICAL CREAM,7.3,6.5,1.52,7.3,727 NDC,00536-1316-28,ZINC OXIDE TOPICAL OINTMENT (WRAPPER),8.7,7.74,1.81,8.7,727 NDC,00536-1326-01,ASPIRIN-ACETAMINOPHEN-CAFFEINE 250 MG-250 MG-65 MG TABLET,2.2,1.96,0.46,2.2,727 NDC,00536-1334-34,DEXTROMETHORPHAN HBR 15 MG CAPSULE,5.5,4.89,1.14,5.5,727 NDC,00536-1337-09,NICOTINE (POLACRILEX) 2 MG BUCCAL LOZENGE,3.2,2.85,0.67,3.2,727 NDC,00536-1344-80,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,12.9,11.48,2.68,12.9,727 NDC,00536-1349-57,METHYL SALICYLATE 15 %-MENTHOL 10 % TOPICAL CREAM,11.3,10.06,2.35,11.3,727 NDC,00536-1366-01,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",2.2,1.96,0.46,2.2,727 NDC,00536-1367-07,LORATADINE 10 MG DISINTEGRATING TABLET,4.6,4.09,0.96,4.6,727 NDC,00536-1416-38,CYANOCOBALAMIN (VIT B-12) 250 MCG TABLET,2.1,1.87,0.44,2.1,727 NDC,00536-1434-07,COENZYME Q10 100 MG CAPSULE,3.2,2.85,0.67,3.2,727 NDC,00536-1435-07,COENZYME Q10 200 MG CAPSULE,3.1,2.76,0.64,3.1,727 NDC,00536-1436-07,COENZYME Q10 30 MG CAPSULE,2.6,2.31,0.54,2.6,727 NDC,00536-2525-25,CAPSAICIN 0.025 % TOPICAL CREAM,14.0,12.46,2.91,14.0,727 NDC,00536-3029-34,NICOTINE (POLACRILEX) 2 MG GUM,3.2,2.85,0.67,3.2,727 NDC,00536-3030-23,NICOTINE (POLACRILEX) 4 MG GUM,2.8,2.49,0.58,2.8,727 NDC,00536-4406-01,PYRIDOXINE (VITAMIN B6) 25 MG TABLET,2.1,1.87,0.44,2.1,727 NDC,00536-5894-88,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,6.7,5.96,1.39,6.7,727 NDC,00536-5895-88,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,6.7,5.96,1.39,6.7,727 NDC,00536-5896-88,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,6.5,5.79,1.35,6.5,727 NDC,00548-5900-00,COSYNTROPIN 0.25 MG (0.25 MG/ML) (IM EQUIVALENCY),110.3,98.17,22.94,110.3,719 NDC,00548-5900-00,COSYNTROPIN 0.25 MG (50 MCG/ML) IV EQUIVALENCY,110.3,98.17,22.94,110.3,719 NDC,00548-5900-00,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,291.0,258.99,60.53,291.0,722 NDC,00555-0158-02,CHLORDIAZEPOXIDE 5 MG CAPSULE,5.7,5.07,1.19,5.7,727 NDC,00555-0171-78,MEFLOQUINE 31.25 MG COMPOUNDED CAPSULE,23.8,21.18,4.95,23.8,727 NDC,00555-0171-78,MEFLOQUINE 36 MG COMPOUNDED CAPSULE,23.8,21.18,4.95,23.8,727 NDC,00555-0171-78,MEFLOQUINE 40 MG COMPOUNDED CAPSULE,23.8,21.18,4.95,23.8,727 NDC,00555-0171-78,MEFLOQUINE 45 MG COMPOUNDED CAPSULE,23.8,21.18,4.95,23.8,727 NDC,00555-0171-78,MEFLOQUINE 50 MG COMPOUNDED CAPSULE,23.8,21.18,4.95,23.8,727 NDC,00555-0606-02,MEGESTROL 20 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,00555-0635-09,DANAZOL 200 MG CAPSULE,28.4,25.28,5.91,28.4,727 NDC,00555-0776-02,DEXTROAMPHETAMINE-AMPHETAMINE 12.5 MG TABLET,11.1,9.88,2.31,11.1,727 NDC,00555-0872-02,MEDROXYPROGESTERONE 2.5 MG TABLET,5.5,4.89,1.14,5.5,727 NDC,00555-0973-02,DEXTROAMPHETAMINE-AMPHETAMINE 20 MG TABLET,11.1,9.88,2.31,11.1,727 NDC,00555-0974-02,DEXTROAMPHETAMINE-AMPHETAMINE 30 MG TABLET,11.3,10.06,2.35,11.3,727 NDC,00555-9064-79,ETHYNODIOL DIACETATE-ETHINYL ESTRADIOL 1 MG-35 MCG TABLET,51.4,45.75,10.69,51.4,727 NDC,00574-0069-45,DEXTROSE 40 % ORAL GEL,46.1,41.03,9.59,46.1,727 NDC,00574-0106-03,BROMOCRIPTINE 2.5 MG TABLET,9.6,8.54,2.0,9.6,727 NDC,00574-0107-70,CLOTRIMAZOLE 10 MG TROCHE,6.8,6.05,1.41,6.8,727 NDC,00574-0115-01,FLAVOXATE 100 MG TABLET,8.6,7.65,1.79,8.6,727 NDC,00574-0292-01,AMILORIDE 5 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,00574-0302-16,ORA-SWEET SF (SUGAR FREE),65.4,58.21,13.6,65.4,727 NDC,00574-0303-16,ORA-PLUS/FLAVOR PLUS (WRAPPED FOR CNR COMPOUNDING),66.9,59.54,13.92,66.9,715 NDC,00574-0304-16,ORA-SWEET SYRUP,66.9,59.54,13.92,66.9,727 NDC,00574-0311-16,ORA-BLEND,66.9,59.54,13.92,66.9,715 NDC,00574-0312-16,ORA-BLEND SF (SUGAR FREE),73.1,65.06,15.2,73.1,715 NDC,00574-0520-74,ACTIVATED CHARCOAL-SORBITOL 25 GRAM/120 ML ORAL SUSPENSION,59.0,52.51,12.27,59.0,727 NDC,00574-0521-74,ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION,55.9,49.75,11.63,55.9,727 NDC,00574-2301-15,TRETINOIN 0.01 % TOPICAL GEL,260.9,232.2,54.27,260.9,727 NDC,00574-4022-35,BACITRACIN 500 UNIT/GRAM EYE OINTMENT,385.7,343.27,80.23,385.7,727 NDC,00574-4031-25,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",133.5,118.82,27.77,133.5,715 NDC,00574-4190-35,SULFACETAMIDE SODIUM 10 % EYE OINTMENT,226.5,201.59,47.11,226.5,727 NDC,00574-7034-12,ASPIRIN 300 MG RECTAL SUPPOSITORY,0.5,0.45,0.1,0.5,727 NDC,00574-7040-12,BELLADONNA ALKALOIDS-OPIUM 16.2 MG-60 MG RECTAL SUPPOSITORY,100.7,89.62,20.95,100.7,715 NDC,00574-7045-12,BELLADONNA ALKALOIDS-OPIUM 16.2 MG-30 MG RECTAL SUPPOSITORY,86.4,76.9,17.97,86.4,715 NDC,00574-7050-50,BISACODYL 10 MG RECTAL SUPPOSITORY,2.7,2.4,0.56,2.7,727 NDC,00574-7110-12,MORPHINE 5 MG RECTAL SUPPOSITORY,25.3,22.52,5.26,25.3,727 NDC,00574-7112-12,MORPHINE 10 MG RECTAL SUPPOSITORY,29.9,26.61,6.22,29.9,727 NDC,00574-7114-12,MORPHINE 20 MG RECTAL SUPPOSITORY,32.9,29.28,6.84,32.9,727 NDC,00574-7116-12,MORPHINE 30 MG RECTAL SUPPOSITORY,39.6,35.24,8.24,39.6,727 NDC,00574-7224-06,HYDROMORPHONE 3 MG RECTAL SUPPOSITORY,41.9,37.29,8.72,41.9,727 NDC,00574-7226-12,PROCHLORPERAZINE 25 MG RECTAL SUPPOSITORY,31.4,27.95,6.53,31.4,727 NDC,00591-0395-01,PENTAZOCINE 50 MG-NALOXONE 0.5 MG TABLET,16.7,14.86,3.47,16.7,727 NDC,00591-2312-15,ALVIMOPAN 12 MG CAPSULE,423.1,376.56,88.0,423.1,727 NDC,00591-2472-60,TAMOXIFEN 10 MG TABLET,6.0,5.34,1.25,6.0,727 NDC,00591-2510-30,"BUDESONIDE DR-ER 9 MG TABLET,DELAYED AND EXTENDED RELEASE",101.6,90.42,21.13,101.6,727 NDC,00591-2712-02,ALBENDAZOLE 200 MG TABLET,53.5,47.62,11.13,53.5,727 NDC,00591-2944-30,PIMECROLIMUS 1 % TOPICAL CREAM,374.8,333.57,77.96,374.8,727 NDC,00591-3216-30,TESTOSTERONE 1 % (25 MG/2.5 GRAM) TRANSDERMAL GEL PACKET,56.8,50.55,11.81,56.8,727 NDC,00591-5715-01,AMOXAPINE 100 MG TABLET,10.3,9.17,2.14,10.3,727 NDC,00597-0035-10,SPESOLIMAB-SBZO 60 MG/ML INTRAVENOUS SOLUTION,69799.6,62121.64,65.73,69799.6,734 NDC,00597-0108-60,DABIGATRAN ETEXILATE 110 MG CAPSULE,15.2,13.53,3.16,15.2,727 NDC,00597-0140-30,LINAGLIPTIN 5 MG TABLET,57.5,51.18,11.96,57.5,727 NDC,00597-0143-60,NINTEDANIB 100 MG CAPSULE,732.2,651.66,152.3,732.2,727 NDC,00597-0145-60,NINTEDANIB 150 MG CAPSULE,727.3,647.3,151.28,727.3,727 NDC,00597-0152-37,EMPAGLIFLOZIN 10 MG TABLET,37.2,33.11,7.74,37.2,727 NDC,00597-0153-37,EMPAGLIFLOZIN 25 MG TABLET,37.2,33.11,7.74,37.2,727 NDC,00597-0192-61,OLODATEROL 2.5 MCG/ACTUATION MIST FOR INHALATION,660.6,587.93,137.4,660.6,727 NDC,00597-0197-05,IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,6890.7,6132.72,1433.27,6890.7,715 NDC,00597-0360-82,DABIGATRAN ETEXILATE 150 MG CAPSULE,15.2,13.53,3.16,15.2,727 NDC,00603-1880-16,LIDOCAINE 5 % TOPICAL PATCH,12.0,10.68,2.5,12.0,727 NDC,00603-5336-21,PREDNISONE 2.5 MG TABLET,5.5,4.89,0.02,5.5,720 NDC,00641-0376-25,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,37.0,32.93,0.82,37.0,724 NDC,00641-0948-35,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,41.3,36.76,4.57,41.3,723 NDC,00641-1398-35,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,119.9,106.71,24.94,119.9,719 NDC,00641-1410-35,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,46.7,41.56,9.71,46.7,719 NDC,00641-2341-41,HYDROMORPHONE 2 MG/ML INJECTION (WRAPPER),163.9,145.87,34.09,163.9,717 NDC,00641-2341-41,HYDROMORPHONE 2 MG/ML INJECTION SOLUTION ANES ONLY,163.9,145.87,34.09,163.9,717 NDC,00641-2569-44,DIPYRIDAMOLE 5 MG/ML INTRAVENOUS SOLUTION,106.7,94.96,22.19,106.7,719 NDC,00641-6007-10,BUMETANIDE 0.25 MG/ML INJECTION (NEO/PED) - RST ONLY,42.8,38.09,8.9,42.8,715 NDC,00641-6007-10,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,42.8,38.09,8.9,42.8,717 NDC,00641-6018-01,DOXAPRAM 20 MG/ML INTRAVENOUS SOLUTION (NEONATE) - RST ONLY,209.6,186.54,43.6,209.6,715 NDC,00641-6039-01,MORPHINE (PF) 10 MG/ML INJECTION SOLUTION,772.6,687.61,160.7,772.6,719 NDC,00641-6049-25,LORAZEPAM 4 MG/ML INJECTION SOLUTION (WRAPPER),76.0,67.64,3.23,76.0,719 NDC,00641-6052-25,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION,76.7,68.26,9.37,76.7,720 NDC,00641-6053-25,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION,77.0,68.53,9.37,77.0,719 NDC,00641-6079-01,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,35.5,31.6,0.21,35.5,719 NDC,00641-6125-25,MORPHINE 4 MG/ML INJECTION (WRAPPER),78.1,69.51,3.49,78.1,719 NDC,00641-6127-25,MORPHINE (PF) 10 MG/ML INJECTION (WRAPPER),78.3,69.69,3.49,78.3,719 NDC,00641-6149-10,NEOSTIGMINE METHYLSULFATE 1 MG/ML INJECTABLE SOLUTION,42.4,37.74,8.82,42.4,721 NDC,00641-6151-25,HYDROMORPHONE (PF) 2 MG/ML INJECTION REGIONAL SOLUTION,72.4,64.44,15.06,72.4,717 NDC,00641-6190-10,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,75.7,67.37,8.11,75.7,720 NDC,00641-6205-10,NALOXONE 1 MG/ML INJECTION FOR ORAL USE,44.3,39.43,9.21,44.3,727 NDC,00641-6205-10,NALOXONE 1 MG/ML INJECTION SYRINGE,84.3,75.03,17.53,84.3,717 NDC,00641-9217-10,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,36.7,32.66,7.63,36.7,718 NDC,00703-0666-01,TREPROSTINIL STRAIGHT DRUG INFUSION 1 MG/ML,1133.7,1008.99,54.71,1133.7,736 NDC,00703-3018-11,FLUOROURACIL CHEMO IVPB 50 MG/ML STRAIGHT DRUG (C-SERIES),137.8,122.64,11.16,137.8,719 NDC,00713-0318-53,CALCIPOTRIENE 0.005 % SCALP SOLUTION,741.9,660.29,154.32,741.9,727 NDC,00713-0526-12,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,12.1,10.77,2.52,12.1,727 NDC,00713-0536-12,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,17.5,15.58,3.64,17.5,727 NDC,00713-0682-15,GENTAMICIN 0.1 % TOPICAL OINTMENT,103.8,92.38,21.59,103.8,727 NDC,00713-0683-15,GENTAMICIN 0.1 % TOPICAL CREAM,98.4,87.58,20.47,98.4,727 NDC,00713-0686-31,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",93.8,83.48,19.51,93.8,727 NDC,00713-0709-15,FLUOCINOLONE 0.025 % TOPICAL CREAM,148.4,132.08,30.87,148.4,727 NDC,00713-0885-09,CLOMIPHENE CITRATE 50 MG TABLET,44.7,39.78,9.3,44.7,727 NDC,00781-1491-01,AMITRIPTYLINE 150 MG TABLET,6.2,5.52,1.29,6.2,727 NDC,00781-1943-82,"AMOXICILLIN-POTASSIUM CLAVULANATE 1,000 MG-62.5 MG TABLET,EXT.REL 12HR",26.9,23.94,5.6,26.9,727 NDC,00781-1961-60,CLARITHROMYCIN 250 MG TABLET,8.2,7.3,1.71,8.2,727 NDC,00781-2145-01,AMPICILLIN 500 MG CAPSULE,7.0,6.23,1.46,7.0,727 NDC,00781-2383-01,"METHYLPHENIDATE LA 10 MG BIPHASIC 50-50 CAPSULE,EXTENDED RELEASE",21.7,19.31,4.51,21.7,727 NDC,00781-3040-95,PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION,140.7,125.22,29.27,140.7,715 NDC,00781-3056-70,ISONIAZID 100 MG/ML INJECTION SOLUTION,822.5,732.03,0.32,822.5,734 NDC,00781-3234-34,GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE,181.1,161.18,37.67,181.1,727 NDC,00781-3250-89,GLATIRAMER 40 MG/ML SUBCUTANEOUS SYRINGE,377.0,335.53,78.42,377.0,727 NDC,00781-3269-71,EPHEDRINE SULFATE 50 MG/ML INJECTION (WRAPPER),48.1,42.81,10.0,48.1,715 NDC,00781-3290-09,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,109.2,97.19,22.71,109.2,717 NDC,00781-3402-95,AMPICILLIN 250 MG SOLUTION FOR INJECTION,37.5,33.38,0.68,37.5,719 NDC,00781-3402-95,AMPICILLIN 250 MG VIAL (100 MG/ML) (IV PUSH - PEDS OR) - RST ONLY,37.5,33.38,0.68,37.5,719 NDC,00781-3402-95,AMPICILLIN 250 MG VIAL (100 MG/ML) (NEO/PED),37.5,33.38,0.68,37.5,719 NDC,00781-3402-95,AMPICILLIN 250 MG VIAL (100 MG/ML) (RN PREP) (NEO/PED),37.5,33.38,0.68,37.5,719 NDC,00781-3407-95,AMPICILLIN 500 MG SOLUTION FOR INJECTION,38.0,33.82,0.68,38.0,719 NDC,00781-3407-95,AMPICILLIN 500 MG VIAL (100 MG/ML) (IV PUSH - PEDS OR) - RST ONLY,38.0,33.82,0.68,38.0,719 NDC,00781-3407-95,AMPICILLIN 500 MG VIAL (100 MG/ML) (NEO/PED),38.0,33.82,0.68,38.0,719 NDC,00781-3421-94,CASPOFUNGIN 50 MG INTRAVENOUS SOLUTION,172.1,153.17,35.8,172.1,719 NDC,00781-6023-46,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION,600.3,534.27,124.86,600.3,727 NDC,00781-6023-52,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION,261.4,232.65,54.37,261.4,727 NDC,00781-7133-54,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,46.8,41.65,9.73,46.8,727 NDC,00781-7172-50,AZELAIC ACID 15 % TOPICAL GEL,418.6,372.55,87.07,418.6,727 NDC,00781-9053-95,SUCCINYLCHOLINE INJECTION 20 MG/ML (WRAPPER),53.6,47.7,11.15,53.6,715 NDC,00781-9055-12,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,507.8,451.94,65.78,507.8,719 NDC,00781-9408-95,AMPICILLIN 2 G VIAL (100 MG/ML) (NEO/PED),91.3,81.26,2.72,91.3,719 NDC,00781-9408-95,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,91.3,81.26,2.72,91.3,720 NDC,00832-0285-00,BEXAROTENE 75 MG CAPSULE,101.0,89.89,21.01,101.0,727 NDC,00832-0512-01,BETHANECHOL CHLORIDE 25 MG TABLET,7.0,6.23,1.46,7.0,727 NDC,00832-0581-11,CLOBAZAM 20 MG TABLET,11.5,10.23,2.39,11.5,727 NDC,00832-0740-60,"PROPAFENONE ER 225 MG CAPSULE,EXTENDED RELEASE 12 HR",12.2,10.86,2.54,12.2,727 NDC,00832-0741-60,"PROPAFENONE ER 325 MG CAPSULE,EXTENDED RELEASE 12 HR",14.1,12.55,2.93,14.1,727 NDC,00832-0742-60,"PROPAFENONE ER 425 MG CAPSULE,EXTENDED RELEASE 12 HR",14.1,12.55,2.93,14.1,727 NDC,00832-1074-30,"TOPIRAMATE XR 100 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24 HR",52.7,46.9,10.96,52.7,727 NDC,00832-1120-65,TESTOSTERONE 50 MG/5 GRAM (1 %) TRANSDERMAL GEL,65.9,58.65,13.71,65.9,727 NDC,00832-1214-00,WARFARIN 3 MG TABLET,5.5,4.89,1.14,5.5,727 NDC,00851-0000-01,SODIUM-CL-POTASSIUM-CITRATE 70 MEQ-60 MEQ-20 MEQ-30 MEQ ORAL PACKET,9.4,8.37,1.96,9.4,727 NDC,00869-0810-43,ISOPROPYL ALCOHOL 70 % SOLUTION,55.0,48.95,11.44,55.0,727 NDC,00869-3851-10,IODINE-SODIUM IODIDE 2 % TOPICAL TINCTURE,59.2,52.69,12.31,59.2,715 NDC,00884-6297-30,PHENOL 89 % TOPICAL SWAB,22.9,20.38,4.76,22.9,715 NDC,00904-0012-59,CHLORPHENIRAMINE 4 MG TABLET,2.1,1.87,0.44,2.1,727 NDC,00904-0277-60,"VITAMIN E (DL, ACETATE) 450 MG (1,000 UNIT) CAPSULE",2.5,2.23,0.52,2.5,727 NDC,00904-0430-06,DOXYCYCLINE HYCLATE 100 MG TABLET,10.2,9.08,2.12,10.2,727 NDC,00904-0523-61,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,2.2,1.96,0.46,2.2,727 NDC,00904-1883-61,"CALCIUM CARBONATE 1,250 MG (500 MG CALCIUM) TABLET",0.5,0.45,0.1,0.5,727 NDC,00904-2051-59,DIMENHYDRINATE 50 MG TABLET,2.1,1.87,0.44,2.1,727 NDC,00904-2085-60,"VITAMIN A 3,000 MCG (10,000 UNIT) CAPSULE",2.2,1.96,0.46,2.2,727 NDC,00904-2533-21,CALAMINE 8 %-ZINC OXIDE 8 % LOTION,55.0,48.95,11.44,55.0,727 NDC,00904-3854-61,CARBAMAZEPINE 100 MG CHEWABLE TABLET,6.4,5.7,1.33,6.4,727 NDC,00904-3865-75,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL,5.6,4.98,1.16,5.6,715 NDC,00904-4215-51,ARGININE (L-ARGININE) 500 MG TABLET,2.3,2.05,0.48,2.3,727 NDC,00904-4239-60,MAGNESIUM 500 MG (AS MAGNESIUM OXIDE) TABLET,2.2,1.96,0.46,2.2,727 NDC,00904-5395-61,POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE,2.5,2.23,0.52,2.5,727 NDC,00904-5448-61,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE",5.9,5.25,1.23,5.9,727 NDC,00904-5463-35,"IBUPROFEN 50 MG/1.25 ML ORAL DROPS,SUSPENSION",0.5,0.45,0.1,0.5,727 NDC,00904-5486-52,MULTIVIT-MIN-FOLIC ACID 0.4 MG-LYCOPENE 300 MCG-LUTEIN 250 MCG TABLET,0.5,0.45,0.1,0.5,727 NDC,00904-5522-61,DOXAZOSIN 1 MG TABLET,7.1,6.32,1.48,7.1,727 NDC,00904-5523-61,DOXAZOSIN 2 MG TABLET,6.8,6.05,1.41,6.8,727 NDC,00904-5524-61,DOXAZOSIN 4 MG TABLET,7.2,6.41,1.5,7.2,727 NDC,00904-5529-52,FAMOTIDINE 10 MG TABLET,2.3,2.05,0.48,2.3,727 NDC,00904-5675-16,METHYLCELLULOSE (WITH SUGAR) 2 GRAM/19 GRAM ORAL POWDER,24.3,21.63,5.05,24.3,727 NDC,00904-5677-61,PAROXETINE 20 MG TABLET,5.7,5.07,1.19,5.7,727 NDC,00904-5731-82,WHITE PETROLATUM TOPICAL JELLY,60.4,53.76,12.56,60.4,727 NDC,00904-5833-15,"LORATADINE-PSEUDOEPHEDRINE ER 10 MG-240 MG TABLET,EXTENDED RELEASE24HR",4.5,4.01,0.94,4.5,727 NDC,00904-5855-61,IBUPROFEN 800 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,00904-5921-61,DIGOXIN 125 MCG (0.125 MG) TABLET,8.2,7.3,1.71,8.2,727 NDC,00904-5922-61,DIGOXIN 250 MCG (0.25 MG) TABLET,8.9,7.92,1.85,8.9,727 NDC,00904-5959-61,CLINDAMYCIN HCL 150 MG CAPSULE,5.8,5.16,1.21,5.8,727 NDC,00904-5983-48,AMMONIUM LACTATE 12 % TOPICAL CREAM,18.7,16.64,3.89,18.7,727 NDC,00904-5984-26,AMMONIUM LACTATE 12 % LOTION,17.9,15.93,3.72,17.9,727 NDC,00904-6082-61,ZOLPIDEM 5 MG TABLET,10.3,9.17,2.14,10.3,727 NDC,00904-6084-61,CITALOPRAM 10 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,00904-6085-61,CITALOPRAM 20 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,00904-6172-61,CARBAMAZEPINE 200 MG TABLET,6.9,6.14,1.44,6.9,727 NDC,00904-6221-06,URSODIOL 300 MG CAPSULE,11.3,10.06,2.35,11.3,727 NDC,00904-6269-08,ZIPRASIDONE 20 MG CAPSULE,12.5,11.13,2.6,12.5,727 NDC,00904-6270-08,ZIPRASIDONE 40 MG CAPSULE,8.8,7.83,1.83,8.8,727 NDC,00904-6271-08,ZIPRASIDONE 60 MG CAPSULE,15.8,14.06,3.29,15.8,727 NDC,00904-6272-08,ZIPRASIDONE 80 MG CAPSULE,15.7,13.97,3.27,15.7,727 NDC,00904-6286-61,OLANZAPINE 15 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,00904-6287-61,OLANZAPINE 20 MG TABLET,6.3,5.61,1.31,6.3,727 NDC,00904-6290-61,ATORVASTATIN 10 MG TABLET,5.8,5.16,1.21,5.8,727 NDC,00904-6291-06,ATORVASTATIN 20 MG TABLET,5.7,5.07,1.19,5.7,727 NDC,00904-6292-06,ATORVASTATIN 40 MG TABLET,5.8,5.16,1.21,5.8,727 NDC,00904-6293-04,ATORVASTATIN 80 MG TABLET,6.7,5.96,1.39,6.7,727 NDC,00904-6305-21,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,10.1,8.99,2.1,10.1,727 NDC,00904-6322-06,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",6.1,5.43,1.27,6.1,727 NDC,00904-6351-61,LEVOFLOXACIN 250 MG TABLET,5.8,5.16,1.21,5.8,727 NDC,00904-6352-61,LEVOFLOXACIN 500 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,00904-6353-61,LEVOFLOXACIN 750 MG TABLET,6.5,5.79,1.35,6.5,727 NDC,00904-6369-61,AMLODIPINE 2.5 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,00904-6370-61,AMLODIPINE 5 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,00904-6371-61,AMLODIPINE 10 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,00904-6376-61,OLANZAPINE 10 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,00904-6377-61,OLANZAPINE 5 MG TABLET,5.5,4.89,1.14,5.5,727 NDC,00904-6407-61,"BISACODYL 5 MG TABLET,DELAYED RELEASE",2.1,1.87,0.44,2.1,727 NDC,00904-6418-61,TIZANIDINE 4 MG TABLET,6.8,6.05,1.41,6.8,727 NDC,00904-6426-61,ESCITALOPRAM 10 MG TABLET,5.5,4.89,1.14,5.5,727 NDC,00904-6427-61,ESCITALOPRAM 20 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,00904-6436-04,TEMAZEPAM 7.5 MG CAPSULE,20.2,17.98,4.2,20.2,727 NDC,00904-6449-61,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",5.9,5.25,1.23,5.9,727 NDC,00904-6450-61,"ISOSORBIDE MONONITRATE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",6.1,5.43,1.27,6.1,727 NDC,00904-6467-10,CLOPIDOGREL 300 MG TABLET,23.1,20.56,4.8,23.1,727 NDC,00904-6477-61,DONEPEZIL 5 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,00904-6478-61,DONEPEZIL 10 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,00904-6500-06,FLUCONAZOLE 100 MG TABLET,8.8,7.83,1.83,8.8,727 NDC,00904-6501-06,FLUCONAZOLE 200 MG TABLET,8.8,7.83,1.83,8.8,727 NDC,00904-6505-61,MEMANTINE 5 MG TABLET,6.0,5.34,1.25,6.0,727 NDC,00904-6506-61,MEMANTINE 10 MG TABLET,6.1,5.43,1.27,6.1,727 NDC,00904-6519-61,MIRTAZAPINE 15 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,00904-6551-61,ONDANSETRON HCL 4 MG TABLET,6.1,5.43,0.06,6.1,729 NDC,00904-6552-61,ONDANSETRON HCL 8 MG TABLET,6.8,6.05,0.13,6.8,729 NDC,00904-6553-04,LINEZOLID 600 MG TABLET,15.7,13.97,3.27,15.7,727 NDC,00904-6557-61,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",12.7,11.3,2.64,12.7,727 NDC,00904-6560-61,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",21.3,18.96,4.43,21.3,727 NDC,00904-6565-61,VALACYCLOVIR 500 MG TABLET,9.6,8.54,2.0,9.6,727 NDC,00904-6572-61,ALLOPURINOL 300 MG TABLET,6.4,5.7,1.33,6.4,727 NDC,00904-6581-68,"ESOMEPRAZOLE MAGNESIUM 40 MG CAPSULE,DELAYED RELEASE",21.8,19.4,4.53,21.8,727 NDC,00904-6583-04,LAMIVUDINE 150 MG TABLET,24.2,21.54,5.03,24.2,727 NDC,00904-6596-04,VORICONAZOLE 50 MG TABLET,28.1,25.01,5.84,28.1,727 NDC,00904-6599-61,PERPHENAZINE 2 MG TABLET,7.7,6.85,1.6,7.7,727 NDC,00904-6600-61,PERPHENAZINE 4 MG TABLET,8.3,7.39,1.73,8.3,727 NDC,00904-6601-61,PERPHENAZINE 8 MG TABLET,8.9,7.92,1.85,8.9,727 NDC,00904-6615-61,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",8.0,7.12,1.66,8.0,727 NDC,00904-6619-61,ISOSORBIDE DINITRATE 10 MG TABLET,6.9,6.14,1.44,6.9,727 NDC,00904-6620-61,ISOSORBIDE DINITRATE 20 MG TABLET,7.4,6.59,1.54,7.4,727 NDC,00904-6621-04,IMATINIB 400 MG TABLET,49.4,43.97,10.28,49.4,727 NDC,00904-6622-61,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,8.6,7.65,1.79,8.6,727 NDC,00904-6623-61,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",8.0,7.12,0.23,8.0,719 NDC,00904-6624-61,"TACROLIMUS 5 MG CAPSULE, IMMEDIATE-RELEASE",28.5,25.37,1.13,28.5,719 NDC,00904-6637-61,GLIPIZIDE 5 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,00904-6638-61,QUETIAPINE 25 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,00904-6640-61,QUETIAPINE 100 MG TABLET,5.8,5.16,1.21,5.8,727 NDC,00904-6641-61,QUETIAPINE 200 MG TABLET,6.4,5.7,1.33,6.4,727 NDC,00904-6642-61,QUETIAPINE 300 MG TABLET,6.4,5.7,1.33,6.4,727 NDC,00904-6643-61,QUETIAPINE 400 MG TABLET,8.5,7.57,1.77,8.5,727 NDC,00904-6645-24,ACETAMINOPHEN 160 MG CHEWABLE TABLET,0.5,0.45,0.1,0.5,727 NDC,00904-6661-04,HALOPERIDOL 20 MG TABLET,17.7,15.75,3.68,17.7,727 NDC,00904-6665-61,GABAPENTIN 100 MG CAPSULE,5.4,4.81,1.12,5.4,727 NDC,00904-6666-61,GABAPENTIN 300 MG CAPSULE,5.5,4.89,1.14,5.5,727 NDC,00904-6667-61,GABAPENTIN 400 MG CAPSULE,5.6,4.98,1.16,5.6,727 NDC,00904-6671-04,SILDENAFIL 20 MG TABLET,7.2,6.41,1.5,7.2,727 NDC,00904-6704-61,PRAMIPEXOLE 0.25 MG TABLET,5.7,5.07,1.19,5.7,727 NDC,00904-6709-61,GLYCOPYRROLATE 1 MG TABLET,7.8,6.94,1.62,7.8,727 NDC,00904-6718-39,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",0.5,0.45,0.1,0.5,727 NDC,00904-6728-52,PSEUDOEPHEDRINE 60 MG TABLET,10.2,9.08,2.12,10.2,727 NDC,00904-6730-61,ACETAMINOPHEN 500 MG TABLET,0.5,0.45,0.1,0.5,727 NDC,00904-6733-61,HALOPERIDOL 10 MG TABLET,9.1,8.1,1.89,9.1,727 NDC,00904-6773-61,ACETAMINOPHEN 325 MG TABLET,0.5,0.45,0.1,0.5,727 NDC,00904-6782-61,HALOPERIDOL 5 MG TABLET,7.8,6.94,1.62,7.8,727 NDC,00904-6785-04,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",15.6,13.88,0.37,15.6,719 NDC,00904-6786-04,"MYCOPHENOLATE SODIUM 360 MG TABLET,DELAYED RELEASE",26.2,23.32,0.73,26.2,729 NDC,00904-6791-04,MODAFINIL 100 MG TABLET,26.1,23.23,5.43,26.1,727 NDC,00904-6792-04,MODAFINIL 200 MG TABLET,42.4,37.74,8.82,42.4,727 NDC,00904-6796-10,VALGANCICLOVIR 450 MG TABLET,35.9,31.95,7.47,35.9,727 NDC,00904-6797-61,LISINOPRIL 5 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,00904-6798-61,LISINOPRIL 10 MG TABLET,5.2,4.63,1.08,5.2,727 NDC,00904-6799-61,LISINOPRIL 20 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,00904-6808-61,MONTELUKAST 10 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,00904-6817-06,MIDODRINE 2.5 MG TABLET,6.7,5.96,1.39,6.7,727 NDC,00904-6818-61,MIDODRINE 5 MG TABLET,6.7,5.96,1.39,6.7,727 NDC,00904-6819-07,MIDODRINE 10 MG TABLET,7.8,6.94,1.62,7.8,727 NDC,00904-6822-07,ENTACAPONE 200 MG TABLET,17.3,15.4,3.6,17.3,727 NDC,00904-6823-61,GABAPENTIN 600 MG TABLET,6.0,5.34,1.25,6.0,727 NDC,00904-6828-94,OXYCODONE 5 MG/5 ML ORAL SOLUTION,24.4,21.72,5.08,24.4,727 NDC,00904-6829-60,WITCH HAZEL TOPICAL PADS (WRAPPER),18.5,16.47,3.85,18.5,727 NDC,00904-6830-06,FINASTERIDE 5 MG TABLET,6.5,5.79,1.35,6.5,727 NDC,00904-6832-04,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",43.8,38.98,9.11,43.8,727 NDC,00904-6835-07,FLUCYTOSINE 500 MG CAPSULE,404.8,360.27,84.2,404.8,727 NDC,00904-6860-61,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",5.5,4.89,1.14,5.5,727 NDC,00904-6861-61,"DIVALPROEX 500 MG TABLET,DELAYED RELEASE",5.6,4.98,1.16,5.6,727 NDC,00904-6868-61,TRAZODONE 50 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,00904-6869-61,TRAZODONE 100 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,00904-6872-04,CLARITHROMYCIN 500 MG TABLET,12.2,10.86,2.54,12.2,727 NDC,00904-6882-10,PHYTONADIONE (VITAMIN K1) 5 MG TABLET,218.7,194.64,45.49,218.7,727 NDC,00904-6885-04,"CARBAMAZEPINE ER 200 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",13.2,11.75,2.75,13.2,727 NDC,00904-6888-06,MINOCYCLINE 100 MG CAPSULE,8.0,7.12,1.66,8.0,727 NDC,00904-6890-04,URSODIOL 250 MG TABLET,12.3,10.95,2.56,12.3,727 NDC,00904-6899-61,BUSPIRONE 15 MG TABLET,6.4,5.7,1.33,6.4,727 NDC,00904-6901-04,IMATINIB 100 MG TABLET,15.2,13.53,3.16,15.2,727 NDC,00904-6908-04,ATOMOXETINE 40 MG CAPSULE,16.9,15.04,3.52,16.9,727 NDC,00904-6914-61,METHYLPREDNISOLONE 4 MG TABLET,9.7,8.63,0.16,9.7,719 NDC,00904-6917-61,"OMEPRAZOLE 20 MG CAPSULE,DELAYED RELEASE",5.6,4.98,1.16,5.6,727 NDC,00904-6923-61,PREDNISONE 10 MG TABLET,5.5,4.89,0.06,5.5,719 NDC,00904-6924-61,SERTRALINE 25 MG TABLET,6.0,5.34,1.25,6.0,727 NDC,00904-6925-61,SERTRALINE 50 MG TABLET,6.1,5.43,1.27,6.1,727 NDC,00904-6926-61,SERTRALINE 100 MG TABLET,6.2,5.52,1.29,6.2,727 NDC,00904-6927-61,SPIRONOLACTONE 25 MG TABLET,5.5,4.89,1.14,5.5,727 NDC,00904-6928-61,TOPIRAMATE 25 MG TABLET,5.8,5.16,1.21,5.8,727 NDC,00904-6929-61,TOPIRAMATE 100 MG TABLET,6.4,5.7,1.33,6.4,727 NDC,00904-6931-81,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,5.8,5.16,1.21,5.8,727 NDC,00904-6935-61,"PALIPERIDONE ER 3 MG TABLET,EXTENDED RELEASE 24 HR",46.7,41.56,9.71,46.7,727 NDC,00904-6936-61,"PALIPERIDONE ER 6 MG TABLET,EXTENDED RELEASE 24 HR",51.2,45.57,10.65,51.2,727 NDC,00904-6937-61,"PALIPERIDONE ER 9 MG TABLET,EXTENDED RELEASE 24 HR",61.9,55.09,12.88,61.9,727 NDC,00904-6939-61,HYDROXYUREA 500 MG CAPSULE,8.0,7.12,1.66,8.0,727 NDC,00904-6948-04,ABIRATERONE 250 MG TABLET,19.6,17.44,4.08,19.6,727 NDC,00904-6949-61,LEVOTHYROXINE 25 MCG TABLET,6.2,5.52,1.29,6.2,727 NDC,00904-6950-61,LEVOTHYROXINE 50 MCG TABLET,6.2,5.52,1.29,6.2,727 NDC,00904-6951-61,LEVOTHYROXINE 75 MCG TABLET,6.6,5.87,1.37,6.6,727 NDC,00904-6952-61,LEVOTHYROXINE 88 MCG TABLET,6.5,5.79,1.35,6.5,727 NDC,00904-6953-61,LEVOTHYROXINE 100 MCG TABLET,6.6,5.87,1.37,6.6,727 NDC,00904-6954-61,LEVOTHYROXINE 112 MCG TABLET,6.8,6.05,1.41,6.8,727 NDC,00904-6955-61,LEVOTHYROXINE 125 MCG TABLET,6.8,6.05,1.41,6.8,727 NDC,00904-6956-61,LEVOTHYROXINE 150 MCG TABLET,6.9,6.14,1.44,6.9,727 NDC,00904-6957-61,LEVOTHYROXINE 175 MCG TABLET,7.2,6.41,1.5,7.2,727 NDC,00904-6987-61,DICYCLOMINE 10 MG CAPSULE,6.6,5.87,1.37,6.6,727 NDC,00904-6988-61,DICYCLOMINE 20 MG TABLET,6.5,5.79,1.35,6.5,727 NDC,00904-6990-61,PSEUDOEPHEDRINE 30 MG TABLET,2.2,1.96,0.46,2.2,727 NDC,00904-6991-61,PREGABALIN 25 MG CAPSULE,12.3,10.95,2.56,12.3,727 NDC,00904-6992-61,PREGABALIN 50 MG CAPSULE,11.9,10.59,2.48,11.9,727 NDC,00904-7000-61,PREGABALIN 75 MG CAPSULE,11.9,10.59,2.48,11.9,727 NDC,00904-7001-61,PREGABALIN 100 MG CAPSULE,12.0,10.68,2.5,12.0,727 NDC,00904-7002-61,PREGABALIN 150 MG CAPSULE,11.7,10.41,2.43,11.7,727 NDC,00904-7003-04,PREGABALIN 200 MG CAPSULE,13.6,12.1,2.83,13.6,727 NDC,00904-7004-04,PREGABALIN 225 MG CAPSULE,14.0,12.46,2.91,14.0,727 NDC,00904-7005-04,PREGABALIN 300 MG CAPSULE,13.8,12.28,2.87,13.8,727 NDC,00904-7007-61,LAMOTRIGINE 25 MG TABLET,5.5,4.89,1.14,5.5,727 NDC,00904-7008-61,LAMOTRIGINE 100 MG TABLET,5.5,4.89,1.14,5.5,727 NDC,00904-7016-06,BUMETANIDE 1 MG TABLET,7.7,6.85,1.6,7.7,727 NDC,00904-7020-61,PRAZOSIN 1 MG CAPSULE,8.6,7.65,1.79,8.6,727 NDC,00904-7021-61,PRAZOSIN 2 MG CAPSULE,10.6,9.43,2.2,10.6,727 NDC,00904-7023-67,BACITRACIN 500 UNIT/GRAM TOPICAL PACKET (WRAPPER),2.4,2.14,0.5,2.4,727 NDC,00904-7027-61,OXYBUTYNIN CHLORIDE 5 MG TABLET,6.2,5.52,1.29,6.2,727 NDC,00904-7035-87,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,7.9,7.03,1.64,7.9,727 NDC,00904-7039-07,CLOMIPRAMINE 50 MG CAPSULE,47.9,42.63,9.96,47.9,727 NDC,00904-7041-61,ALLOPURINOL 100 MG TABLET,5.8,5.16,1.21,5.8,727 NDC,00904-7042-06,AMANTADINE HCL 100 MG CAPSULE,8.8,7.83,1.83,8.8,727 NDC,00904-7046-06,HYDROXYCHLOROQUINE 200 MG TABLET,7.8,6.94,1.62,7.8,727 NDC,00904-7052-61,DOXEPIN 10 MG CAPSULE,6.8,6.05,1.41,6.8,727 NDC,00904-7053-61,DOXEPIN 25 MG CAPSULE,7.3,6.5,1.52,7.3,727 NDC,00904-7054-61,DOXEPIN 50 MG CAPSULE,8.0,7.12,1.66,8.0,727 NDC,00904-7055-61,DOXEPIN 100 MG CAPSULE,10.5,9.35,2.18,10.5,727 NDC,00904-7056-99,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",35.4,31.51,7.36,35.4,727 NDC,00904-7057-61,METHOCARBAMOL 500 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,00904-7058-61,METHOCARBAMOL 750 MG TABLET,6.1,5.43,1.27,6.1,727 NDC,00904-7081-06,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",9.8,8.72,2.04,9.8,727 NDC,00904-7082-06,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE 24 HR",7.9,7.03,1.64,7.9,727 NDC,00904-7087-61,CLOZAPINE 100 MG TABLET,7.4,6.59,1.54,7.4,727 NDC,00904-7088-61,CLOZAPINE 200 MG TABLET,10.2,9.08,2.12,10.2,727 NDC,00904-7089-61,CLOZAPINE 25 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,00904-7093-61,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,11.0,9.79,2.29,11.0,727 NDC,00904-7097-61,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",8.8,7.83,0.23,8.8,720 NDC,00904-7103-10,EZETIMIBE 10 MG TABLET,17.9,15.93,3.72,17.9,727 NDC,00904-7107-61,RIVASTIGMINE 1.5 MG CAPSULE,14.2,12.64,2.95,14.2,727 NDC,00904-7108-61,GABAPENTIN 800 MG TABLET,6.3,5.61,1.31,6.3,727 NDC,00904-7119-06,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,8.0,7.12,1.66,8.0,719 NDC,00904-7121-61,BUSPIRONE 10 MG TABLET,5.5,4.89,1.14,5.5,727 NDC,00904-7122-61,BUSPIRONE 5 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,00904-7123-61,LEVETIRACETAM 250 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,00904-7124-61,LEVETIRACETAM 500 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,00904-7125-61,LEVETIRACETAM 750 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,00904-7140-04,GUANFACINE 1 MG TABLET,10.2,9.08,2.12,10.2,727 NDC,00904-7141-10,METHOTREXATE SODIUM 2.5 MG TABLET,12.9,11.48,0.17,12.9,729 NDC,00904-7145-04,DRONABINOL 5 MG CAPSULE,71.8,63.9,3.11,71.8,729 NDC,00904-7153-61,BENZONATATE 100 MG CAPSULE,6.3,5.61,1.31,6.3,727 NDC,00904-7154-04,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,16.6,14.77,2.6,16.6,719 NDC,00904-7155-04,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,21.3,18.96,4.43,21.3,719 NDC,00904-7158-61,FLUPHENAZINE 2.5 MG TABLET,18.5,16.47,3.85,18.5,727 NDC,00904-7159-61,FLUPHENAZINE 5 MG TABLET,16.2,14.42,3.37,16.2,727 NDC,00904-7160-61,FLUPHENAZINE 10 MG TABLET,24.7,21.98,5.14,24.7,727 NDC,00904-7162-61,METFORMIN 500 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,00904-7163-61,METFORMIN 850 MG TABLET,5.7,5.07,1.19,5.7,727 NDC,00904-7164-61,"METFORMIN 1,000 MG TABLET",5.4,4.81,1.12,5.4,727 NDC,00904-7165-07,AMINOCAPROIC ACID 500 MG TABLET,85.7,76.27,17.83,85.7,727 NDC,00904-7172-07,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,10.5,9.35,2.18,10.5,727 NDC,00904-7177-61,FUROSEMIDE 20 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,00904-7178-61,FUROSEMIDE 40 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,00904-7183-61,DOCUSATE SODIUM 100 MG CAPSULE,2.2,1.96,0.46,2.2,727 NDC,00904-7188-61,HYDROCORTISONE 10 MG TABLET,10.2,9.08,2.12,10.2,727 NDC,00904-7193-61,FAMOTIDINE 20 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,00904-7194-61,CLINDAMYCIN HCL 300 MG CAPSULE,8.2,7.3,1.71,8.2,727 NDC,00904-7199-07,PHENYTOIN 50 MG CHEWABLE TABLET,8.7,7.74,1.81,8.7,727 NDC,00904-7200-61,LISINOPRIL 40 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,00904-7205-46,BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET,0.5,0.45,0.1,0.5,727 NDC,00904-7211-04,DANTROLENE 25 MG CAPSULE,9.7,8.63,2.02,9.7,727 NDC,00904-7217-61,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",6.3,5.61,1.31,6.3,727 NDC,00904-7218-61,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",6.2,5.52,1.29,6.2,727 NDC,00904-7219-61,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",6.4,5.7,1.33,6.4,727 NDC,00904-7220-61,"DILTIAZEM CD 300 MG CAPSULE,EXTENDED RELEASE 24 HR",9.9,8.81,2.06,9.9,727 NDC,00904-7224-61,FOLIC ACID 1 MG TABLET,5.5,4.89,1.14,5.5,727 NDC,00904-7227-61,CLONAZEPAM 0.5 MG TABLET,11.4,10.15,2.37,11.4,727 NDC,00904-7230-06,SACCHAROMYCES BOULARDII 250 MG CAPSULE,4.3,3.83,0.89,4.3,727 NDC,00904-7236-61,MEGESTROL 40 MG TABLET,5.8,5.16,1.21,5.8,727 NDC,00904-7243-61,CIPROFLOXACIN 500 MG TABLET,6.0,5.34,1.25,6.0,727 NDC,00904-7244-68,LACOSAMIDE 50 MG TABLET,13.6,12.1,2.83,13.6,727 NDC,00904-7245-68,LACOSAMIDE 100 MG TABLET,16.7,14.86,3.47,16.7,727 NDC,00904-7246-68,LACOSAMIDE 150 MG TABLET,18.0,16.02,3.74,18.0,727 NDC,00904-7247-68,LACOSAMIDE 200 MG TABLET,13.0,11.57,2.7,13.0,727 NDC,00904-7252-61,SENNOSIDES 8.6 MG TABLET,2.2,1.96,0.46,2.2,727 NDC,00904-7253-68,DABIGATRAN ETEXILATE 75 MG CAPSULE,13.7,12.19,2.85,13.7,727 NDC,00904-7261-61,SODIUM BICARBONATE 650 MG TABLET,2.5,2.23,0.52,2.5,727 NDC,00904-7262-61,OXCARBAZEPINE 150 MG TABLET,6.7,5.96,1.39,6.7,727 NDC,00904-7263-61,OXCARBAZEPINE 300 MG TABLET,7.7,6.85,1.6,7.7,727 NDC,00904-7265-94,LEVETIRACETAM 100 MG/ML ORAL SOLUTION (WRAPPER),7.9,7.03,1.64,7.9,727 NDC,00904-7266-61,DEXAMETHASONE 4 MG TABLET,8.1,7.21,1.68,8.1,727 NDC,00904-7267-61,DEXAMETHASONE 6 MG TABLET,10.4,9.26,2.16,10.4,727 NDC,00904-7276-70,"NYSTATIN 100,000 UNIT/ML ORAL SUSPENSION",6.7,5.96,1.39,6.7,727 NDC,00904-7283-06,TORSEMIDE 20 MG TABLET,6.0,5.34,1.25,6.0,727 NDC,00904-7288-61,BENZTROPINE 0.5 MG TABLET,6.3,5.61,1.31,6.3,727 NDC,00904-7289-61,BENZTROPINE 1 MG TABLET,6.4,5.7,1.33,6.4,727 NDC,00904-7290-61,BENZTROPINE 2 MG TABLET,6.7,5.96,1.39,6.7,727 NDC,00904-7304-61,PROMETHAZINE 25 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,00904-7305-61,CARVEDILOL 3.125 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,00904-7306-61,CARVEDILOL 6.25 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,00904-7307-61,CARVEDILOL 12.5 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,00904-7308-61,CARVEDILOL 25 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,00904-7313-10,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",49.9,44.41,10.38,49.9,727 NDC,00904-7315-61,RIFAMPIN 300 MG CAPSULE,9.1,8.1,1.89,9.1,727 NDC,00904-7317-06,FLUDROCORTISONE 0.1 MG TABLET,6.6,5.87,1.37,6.6,727 NDC,00904-7346-61,FLUOXETINE 20 MG CAPSULE,5.4,4.81,1.12,5.4,727 NDC,00904-7349-20,PYRETHRINS 0.33 %-PIPERONYL BUTOXIDE 4 % SHAMPOO,28.9,25.72,6.01,28.9,727 NDC,00904-7350-06,AZITHROMYCIN 250 MG TABLET,7.3,6.5,1.52,7.3,727 NDC,00904-7351-04,AZITHROMYCIN 500 MG TABLET,12.8,11.39,2.66,12.8,727 NDC,00904-7355-04,LURASIDONE 20 MG TABLET,7.3,6.5,1.52,7.3,727 NDC,00904-7356-61,LURASIDONE 40 MG TABLET,8.1,7.21,1.68,8.1,727 NDC,00904-7358-61,LURASIDONE 80 MG TABLET,10.4,9.26,2.16,10.4,727 NDC,00904-7360-61,RISPERIDONE 0.25 MG TABLET,5.7,5.07,1.19,5.7,727 NDC,00904-7361-61,RISPERIDONE 0.5 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,00904-7362-61,RISPERIDONE 1 MG TABLET,6.1,5.43,1.27,6.1,727 NDC,00904-7363-61,RISPERIDONE 2 MG TABLET,6.2,5.52,1.29,6.2,727 NDC,00904-7364-61,RISPERIDONE 3 MG TABLET,6.4,5.7,1.33,6.4,727 NDC,00904-7365-61,RISPERIDONE 4 MG TABLET,6.3,5.61,1.31,6.3,727 NDC,00904-7367-06,ARIPIPRAZOLE 5 MG TABLET,6.6,5.87,1.37,6.6,727 NDC,00904-7368-06,ARIPIPRAZOLE 10 MG TABLET,6.7,5.96,1.39,6.7,727 NDC,00904-7376-61,MECLIZINE 25 MG TABLET,6.5,5.79,1.35,6.5,727 NDC,00904-7381-06,PROCHLORPERAZINE MALEATE 5 MG TABLET,8.5,7.57,1.77,8.5,729 NDC,00904-7382-06,PROCHLORPERAZINE MALEATE 10 MG TABLET,9.3,8.28,1.93,9.3,729 NDC,00904-7383-61,TAMSULOSIN 0.4 MG CAPSULE,5.9,5.25,1.23,5.9,727 NDC,00904-7407-04,MOXIFLOXACIN 400 MG TABLET,24.3,21.63,5.05,24.3,727 NDC,00904-7409-15,"PSEUDOEPHEDRINE ER 120 MG TABLET,EXTENDED RELEASE",3.3,2.94,0.69,3.3,727 NDC,00904-7410-61,AMITRIPTYLINE 25 MG TABLET,6.2,5.52,1.29,6.2,727 NDC,00904-7411-61,AMITRIPTYLINE 50 MG TABLET,6.7,5.96,1.39,6.7,727 NDC,00904-7417-61,METHADONE 10 MG TABLET,10.9,9.7,2.27,10.9,727 NDC,00904-7418-44,MAGNESIUM CITRATE ORAL SOLUTION,0.5,0.45,0.1,0.5,727 NDC,00904-7435-35,OXYMETAZOLINE 0.05 % NASAL SPRAY,8.2,7.3,1.71,8.2,727 NDC,00904-7440-61,SENNOSIDES 8.6 MG-DOCUSATE SODIUM 50 MG TABLET,2.5,2.23,0.52,2.5,727 NDC,00904-7442-61,CLONIDINE HCL 0.1 MG TABLET,6.0,5.34,1.25,6.0,727 NDC,00904-7444-61,DEXAMETHASONE 2 MG TABLET,7.0,6.23,1.46,7.0,727 NDC,00904-7447-61,HYDRALAZINE 10 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,00904-7448-61,HYDRALAZINE 25 MG TABLET,5.7,5.07,1.19,5.7,727 NDC,00904-7449-61,HYDRALAZINE 50 MG TABLET,5.8,5.16,1.21,5.8,727 NDC,00904-7450-61,HYDRALAZINE 100 MG TABLET,6.0,5.34,1.25,6.0,727 NDC,00904-7451-61,LABETALOL 100 MG TABLET,6.3,5.61,1.31,6.3,727 NDC,00904-7452-61,LABETALOL 200 MG TABLET,6.8,6.05,1.41,6.8,727 NDC,00904-7453-61,LABETALOL 300 MG TABLET,7.6,6.76,1.58,7.6,727 NDC,00904-7458-61,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",5.7,5.07,1.19,5.7,727 NDC,00904-7459-53,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,55.3,49.22,11.5,55.3,727 NDC,00904-7464-64,LACOSAMIDE 10 MG/ML ORAL SOLUTION,125.5,111.69,26.1,125.5,715 NDC,00904-7478-35,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,55.9,49.75,11.63,55.9,727 NDC,00904-7480-04,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,10.1,8.99,2.1,10.1,727 NDC,00904-7494-06,RAMELTEON 8 MG TABLET,15.9,14.15,3.31,15.9,727 NDC,00904-7496-61,TRAMADOL 50 MG TABLET,10.5,9.35,2.18,10.5,727 NDC,00904-7497-04,NEBIVOLOL 2.5 MG TABLET,11.9,10.59,2.48,11.9,727 NDC,00904-7501-61,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,5.7,5.07,1.19,5.7,727 NDC,00904-7502-04,CINACALCET 30 MG TABLET,76.6,68.17,15.93,76.6,714 NDC,00904-7503-13,OMEGA 3-DHA-EPA-FISH OIL 60 MG-90 MG-500 MG CAPSULE,2.2,1.96,0.46,2.2,727 NDC,00904-7505-04,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",8.5,7.57,1.77,8.5,727 NDC,00904-7506-04,"RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR",8.9,7.92,1.85,8.9,727 NDC,00904-7509-30,ASPIRIN 81 MG CHEWABLE TABLET,0.5,0.45,0.1,0.5,727 NDC,00904-7511-61,LORATADINE 10 MG TABLET,2.8,2.49,0.58,2.8,727 NDC,00904-7512-70,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,0.5,0.45,0.1,0.5,727 NDC,00904-7522-08,DOFETILIDE 125 MCG CAPSULE,14.4,12.82,3.0,14.4,727 NDC,00904-7523-08,DOFETILIDE 250 MCG CAPSULE,17.6,15.66,3.66,17.6,727 NDC,00904-7524-08,DOFETILIDE 500 MCG CAPSULE,19.2,17.09,3.99,19.2,727 NDC,00904-7591-61,FERROUS SULFATE 325 MG (65 MG IRON) TABLET (WRAPPER),2.2,1.96,0.46,2.2,727 NDC,00904-7728-61,CLONAZEPAM 1 MG TABLET,11.4,10.15,2.37,11.4,727 NDC,00904-7914-61,IBUPROFEN 200 MG TABLET,0.5,0.45,0.1,0.5,727 NDC,00904-8805-31,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",8.9,7.92,1.85,8.9,727 NDC,00904-8805-67,"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT",2.5,2.23,0.52,2.5,727 NDC,00941-0409-01,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,89.0,79.21,18.51,89.0,715 NDC,00941-0409-05,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,96.0,85.44,19.97,96.0,715 NDC,00941-0411-05,PERITONEAL DIALYSIS SOLN 4-1.5 % DEXTR CA+ 3.5 MEQ/L-LOW MAG 0.5 MEQ/L,106.5,94.79,22.15,106.5,715 NDC,00941-0424-53,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,96.0,85.44,19.97,96.0,715 NDC,00941-0430-53,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,96.0,85.44,19.97,96.0,715 NDC,00941-0433-53,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,96.0,85.44,19.97,96.0,715 NDC,00941-0457-01,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,89.0,79.21,18.51,89.0,715 NDC,00941-0457-02,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,89.0,79.21,18.51,89.0,715 NDC,00941-0459-01,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,89.0,79.21,18.51,89.0,715 NDC,00941-0459-02,PERITON. DIALYSIS SOLN 8-4.25 % DEXTROSE CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,96.0,85.44,19.97,96.0,715 NDC,00941-0679-06,PERITONEAL DIALYSIS 28 AND ICODEXTRIN 7.5 % CA 3.5 MEQ/L-MAG 0.5 MEQ/L,85.0,75.65,17.68,85.0,715 NDC,00942-0641-04,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 730 MG/100 ML SOLN,96.0,85.44,19.97,96.0,715 NDC,00942-0641-04,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 730 MG/100 ML SOLN (CRRT WITH INTAKE),96.0,85.44,19.97,96.0,715 NDC,00942-9504-10,SODIUM CITRATE 4 % INTRAVENOUS SOLUTION,198.8,176.93,41.35,198.8,715 NDC,00944-0495-05,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",148.4,132.08,30.87,148.4,742 NDC,00944-0495-05,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION (PERFUSION ONLY)",148.4,132.08,30.87,148.4,736 NDC,00944-2656-03,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 10% IV SOLUTION (RESTRICTED)",2356.7,2097.46,78.8,2356.7,736 NDC,00944-2656-03,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION (RESTRICTED)",2356.7,2097.46,78.8,2356.7,736 NDC,00944-2658-04,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 10% IV SOLUTION (RESTRICTED)",4238.5,3772.27,78.8,4238.5,736 NDC,00944-2658-04,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML 5% IV SOLUTION (RESTRICTED)",4238.5,3772.27,78.8,4238.5,736 NDC,00944-2700-04,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION (FOR ENTERAL USE) (NEO/PED) (RESTRICTED)",1076.4,958.0,45.31,1076.4,736 NDC,00944-2700-05,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION (FOR ENTERAL USE) (NEO/PED) (RESTRICTED)",2092.8,1862.59,45.31,2092.8,736 NDC,00944-2700-06,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION (FOR ENTERAL USE) (NEO/PED) (RESTRICTED)",4125.6,3671.78,45.31,4125.6,736 NDC,00944-2700-10,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",972.0,865.08,45.31,972.0,738 NDC,00944-2700-11,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",1919.0,1707.91,45.31,1919.0,738 NDC,00944-2700-12,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",3813.0,3393.57,45.31,3813.0,738 NDC,00944-2700-13,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION",5507.0,4901.23,45.31,5507.0,738 NDC,00944-2700-13,"IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION (FOR ENTERAL USE) (NEO/PED) (RESTRICTED)",6158.4,5480.98,45.31,6158.4,736 NDC,00944-2814-01,ALPHA-1-PROTEINASE INHIBITOR -- ARALAST (BRAND SPLIT),36.9,32.84,5.46,36.9,736 NDC,00944-3026-02,COAGULATION FACTOR IX (RECOMB) -- RIXUBIS (BRAND SPLIT) (RESTRICTED),39.3,34.98,1.69,39.3,735 NDC,00944-3045-10,"ANTIHEMOPHILIC FVIII,FULL LENGTH (ALB-FREE) -- ADVATE (BRAND SPLIT) (RESTRICTED)",40.6,36.13,1.54,40.6,737 NDC,00944-4623-01,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 500 (+/-) UNIT IV SOLUTION",43.0,38.27,2.1,43.0,736 NDC,00944-4624-01,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 1,000(+/-) UNIT IV SOLUTION",43.0,38.27,2.1,43.0,736 NDC,00944-4628-01,"ANTIHEMOPHILIC FVIII,FULL LENGTH,PEGYLATED 3,000(+/-) UNIT IV SOLUTION",43.0,38.27,2.1,43.0,736 NDC,00944-5001-01,"ANTIHEMOPHILIC FACTOR VIII,PORCINE REC 500(+/-) UNIT RANGE IV SOLUTION",47.0,41.83,3.23,47.0,736 NDC,00944-7551-02,VON WILLEBRAND FACTOR (RECOMB) 650 (+/-) UNIT RANGE INTRAVENOUS SOLN,42.9,38.18,1.85,42.9,736 NDC,00944-7553-02,"VON WILLEBRAND FACTOR(RECOMB) 1,300 (+/-) UNIT RANGE INTRAVENOUS SOLN",42.9,38.18,1.85,42.9,736 NDC,00990-7670-09,ELECTROLYTE-R (PH 7.4) INTRAVENOUS SOLUTION,83.8,74.58,17.43,83.8,715 NDC,00990-7918-19,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION,218.3,194.29,45.41,218.3,715 NDC,00990-7935-19,DEXTROSE 20 % IN WATER (D20W) INTRAVENOUS SOLUTION,192.3,171.15,40.0,192.3,715 NDC,00990-7935-19,DEXTROSE 20 % IN WATER (D20W) IV BOLUS (NEO/PED),192.3,171.15,40.0,192.3,715 NDC,00990-7936-19,DEXTROSE 50 % IN WATER (D50W) INFUSION BAG,215.0,191.35,44.72,215.0,715 NDC,00990-7985-02,NACL 0.45% IV SOLP,91.7,81.61,19.07,91.7,717 NDC,01490-0039-42,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,0.5,0.45,0.1,0.5,727 NDC,02359-0460-10,"CHOLECALCIFEROL (VITAMIN D3) 1,250 MCG (50,000 UNIT) ORAL WAFER",15.1,13.44,3.14,15.1,727 NDC,05105-0105-00,"PHYTONADIONE (VITAMIN K1) 1,000 MCG CAPSULE",2.5,2.23,0.52,2.5,727 NDC,05928-0001-00,"SODIUM CHLORIDE, SODIUM BICARB-NASAL RINSE SQUEEZE BOTTLE WITH PACKET",92.9,82.68,19.32,92.9,727 NDC,07139-4415-01,LUXTURNA,467500.0,456875.0,456875.0,456875.0,1 NDC,07350-0695-20,PHYSIOLOGICAL IRRIGATION SOLUTION (PERFADEX),787.0,700.43,163.7,787.0,715 NDC,07610-0021-20,SELENIUM 50 MCG TABLET,2.2,1.96,0.46,2.2,727 NDC,07610-0305-20,"VITAMIN E 450 MG (1,000 UNIT) CAPSULE",2.5,2.23,0.52,2.5,727 NDC,08290-3065-44,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,36.4,32.4,7.57,36.4,715 NDC,08290-3065-47,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,35.4,31.51,7.36,35.4,715 NDC,08880-1504-01,INVESTIGATIONAL FLUOROESTRADIOL F 18 INJECTION USP,,,460.42,529.48,17 NDC,08880-1615-01,INVESTIGATIONAL FLORBETAPIR F-18 INJECTION,,,1825.64,2099.49,17 NDC,08880-1723-01,INVESTIGATIONAL LUTETIUM LU 177 DOTATATE INTRAVENOUS SOLUTION,,,316.99,364.53,17 NDC,08880-2618-01,INVESTIGATIONAL FLUCICLOVINE F18 INTRAVENOUS SOLUTION,,,322.27,370.61,17 NDC,08880-2929-01,INVESTIGATIONAL RADIUM RA 223 INJECTION,,,172.22,198.05,9 NDC,08880-3419-01,INVESTIGATIONAL LUTETIUM DTPA-OMBURTAMAB (LU-177 DTPA-OMBURTAMAB) INTRAVENOUS SOLUTION,,,316.99,364.53,17 NDC,08880-4431-01,INVESTIGATIONAL IOBENGUANE I-123 INJECTION,,,2317.5,2665.13,17 NDC,08880-4501-01,INVESTIGATIONAL IOFLUPANE I 123 INJECTION,,,1387.74,1595.9,17 NDC,08881-5703-00,SODIUM CHLORIDE 0.9 % (FLUSH) INJECTION SYRINGE,36.4,32.4,7.57,36.4,715 NDC,08888-0000-46,ALLOPURINOL 150 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0000-47,ALLOPURINOL 50 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0000-48,ALPRAZOLAM 0.125 MG PARTIAL (1/2) TABLET,10.1,8.99,2.1,10.1,727 NDC,08888-0000-49,AMILORIDE 2.5 MG PARTIAL (1/2) TABLET,6.0,5.34,1.25,6.0,727 NDC,08888-0000-52,AMITRIPTYLINE 12.5 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0000-53,AMITRIPTYLINE 5 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0000-54,AMLODIPINE 1.25 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0000-56,ARIPIPRAZOLE 1 MG PARTIAL (1/2) TABLET,5.9,5.25,1.23,5.9,727 NDC,08888-0000-57,ARIPIPRAZOLE 10 MG PARTIAL (1/2) TABLET,7.3,6.5,1.52,7.3,727 NDC,08888-0000-58,ARIPIPRAZOLE 15 MG PARTIAL (1/2) TABLET,8.0,7.12,1.66,8.0,727 NDC,08888-0000-59,ARIPIPRAZOLE 2.5 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0000-60,ARIPIPRAZOLE 5 MG PARTIAL (1/2) TABLET,5.9,5.25,1.23,5.9,727 NDC,08888-0000-61,ARIPIPRAZOLE 7.5 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0000-62,ATENOLOL 12.5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0000-65,ATORVASTATIN 5 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0000-66,AZATHIOPRINE 25 MG PARTIAL (1/2) TABLET,5.8,5.16,0.07,5.8,719 NDC,08888-0000-67,AZITHROMYCIN 125 MG PARTIAL (1/2) TABLET,6.2,5.52,1.29,6.2,727 NDC,08888-0000-73,BETHANECHOL CHLORIDE 2.5 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0000-74,BISOPROLOL FUMARATE 2.5 MG PARTIAL (1/2) TABLET,6.3,5.61,1.31,6.3,727 NDC,08888-0000-77,BOSENTAN 31.25 MG PARTIAL (1/2) TABLET,386.5,343.99,80.39,386.5,727 NDC,08888-0000-78,BROMOCRIPTINE 1.25 MG PARTIAL (1/2) TABLET,7.5,6.68,1.56,7.5,727 NDC,08888-0000-79,BUMETANIDE 0.25 MG PARTIAL (1/2) TABLET,5.9,5.25,1.23,5.9,727 NDC,08888-0000-80,BUMETANIDE 0.5 MG PARTIAL (1/2) TABLET,6.2,5.52,1.29,6.2,727 NDC,08888-0000-81,BUPROPION HCL 37.5 MG PARTIAL (1/2) TABLET,6.7,5.96,1.39,6.7,727 NDC,08888-0000-82,BUPROPION HCL 50 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0000-83,BUSPIRONE 2.5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0000-84,CABERGOLINE 0.25 MG PARTIAL (1/2) TABLET,18.2,16.2,3.79,18.2,727 NDC,08888-0000-88,CAPTOPRIL 6.25 MG PARTIAL (1/2) TABLET,6.5,5.79,1.35,6.5,727 NDC,08888-0000-89,CARBAMAZEPINE 100 MG PARTIAL (1/2) TABLET,8.8,7.83,1.83,8.8,727 NDC,08888-0000-90,CARBAMAZEPINE 50 MG PARTIAL (1/2) CHEWABLE TABLET,5.9,5.25,1.23,5.9,727 NDC,08888-0000-91,CARBIDOPA 12.5 MG PARTIAL (1/2) TABLET,6.4,5.7,1.33,6.4,727 NDC,08888-0000-92,CARBIDOPA 5 MG-LEVODOPA 50 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0000-93,CARBIDOPA 12.5 MG-LEVODOPA 125 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0000-94,CARBIDOPA 12.5 MG-LEVODOPA 50 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0000-96,CARVEDILOL 1.5625 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0000-97,CEFUROXIME AXETIL 125 MG PARTIAL (1/2) TABLET,11.2,9.97,2.33,11.2,727 NDC,08888-0000-98,CETIRIZINE 2.5 MG PARTIAL (1/2) TABLET,2.1,1.87,0.44,2.1,727 NDC,08888-0001-00,CHLORPROMAZINE 12.5 MG PARTIAL (1/2) TABLET,12.3,10.95,2.56,12.3,727 NDC,08888-0001-02,CHLORTHALIDONE 12.5 MG PARTIAL (1/2) TABLET,6.6,5.87,1.37,6.6,727 NDC,08888-0001-03,CILOSTAZOL 25 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0001-04,CINACALCET 15 MG PARTIAL (1/2) TABLET,50.8,45.21,10.57,50.8,727 NDC,08888-0001-05,CIPROFLOXACIN 125 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0001-06,CITALOPRAM 5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0001-07,CLARITHROMYCIN 125 MG PARTIAL (1/2) TABLET,6.6,5.87,1.37,6.6,727 NDC,08888-0001-08,CLONAZEPAM 0.25 MG PARTIAL (1/2) TABLET,10.7,9.52,2.23,10.7,727 NDC,08888-0001-09,CLONIDINE HCL 0.05 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0001-10,CLOPIDOGREL 37.5 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0001-11,CLOZAPINE 12.5 MG PARTIAL (1/2) TABLET,5.9,5.25,1.23,5.9,727 NDC,08888-0001-12,COLCHICINE 0.3 MG PARTIAL (1/2) TABLET,12.1,10.77,2.52,12.1,727 NDC,08888-0001-13,COLESEVELAM 312.5 MG PARTIAL (1/2) TABLET,10.5,9.35,2.18,10.5,727 NDC,08888-0001-14,CORTISONE 12.5 MG PARTIAL (1/2) TABLET,29.4,26.17,6.12,29.4,727 NDC,08888-0001-15,CYCLOBENZAPRINE 2.5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0001-18,CYPROHEPTADINE 2 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0001-19,DAPSONE 12.5 MG PARTIAL (1/2) TABLET,8.0,7.12,1.66,8.0,727 NDC,08888-0001-20,DESMOPRESSIN 0.05 MG PARTIAL (1/2) TABLET,7.9,7.03,1.64,7.9,727 NDC,08888-0001-21,DEXAMETHASONE 0.25 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0001-22,DIAZEPAM 2.5 MG PARTIAL (1/2) TABLET,10.1,8.99,2.1,10.1,727 NDC,08888-0001-23,DIFLUNISAL 250 MG PARTIAL (1/2) TABLET,7.2,6.41,1.5,7.2,727 NDC,08888-0001-24,DIGOXIN 62.5 MCG PARTIAL (1/2) TABLET,6.5,5.79,1.35,6.5,727 NDC,08888-0001-25,DILTIAZEM 15 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0001-26,DILTIAZEM 45 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0001-27,DIMENHYDRINATE 25 MG PARTIAL (1/2) TABLET,2.1,1.87,0.44,2.1,727 NDC,08888-0001-28,DIPYRIDAMOLE 12.5 MG PARTIAL (1/2) TABLET,5.7,5.07,1.19,5.7,727 NDC,08888-0001-29,DISULFIRAM 125 MG PARTIAL (1/2) TABLET,7.8,6.94,1.62,7.8,727 NDC,08888-0001-31,DONEPEZIL 2.5 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0001-32,DOXAZOSIN 0.5 MG PARTIAL (1/2) TABLET,6.4,5.7,1.33,6.4,727 NDC,08888-0001-33,DRONEDARONE 200 MG PARTIAL (1/2) TABLET,21.9,19.49,4.56,21.9,727 NDC,08888-0001-35,ENALAPRIL MALEATE 1.25 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0001-36,ENTACAPONE 100 MG PARTIAL (1/2) TABLET,11.8,10.5,2.45,11.8,727 NDC,08888-0001-37,EPLERENONE 12.5 MG PARTIAL (1/2) TABLET,23.7,21.09,4.93,23.7,727 NDC,08888-0001-41,ESCITALOPRAM 2.5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0001-42,ESTRADIOL 0.25 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0001-43,CONJUGATED ESTROGENS 0.15 MG PARTIAL (1/2) TABLET,13.6,12.1,2.83,13.6,727 NDC,08888-0001-45,ETHACRYNIC ACID 12.5 MG PARTIAL (1/2) TABLET,36.0,32.04,7.49,36.0,727 NDC,08888-0001-46,ETHAMBUTOL 50 MG PARTIAL (1/2) TABLET,5.8,5.16,1.21,5.8,727 NDC,08888-0001-48,EZETIMIBE 5 MG PARTIAL (1/2) TABLET,15.9,14.15,3.31,15.9,727 NDC,08888-0001-53,FAMOTIDINE 5 MG PARTIAL (1/2) TABLET,2.2,1.96,0.46,2.2,727 NDC,08888-0001-54,FEBUXOSTAT 20 MG PARTIAL (1/2) TABLET,22.0,19.58,4.58,22.0,727 NDC,08888-0001-55,FELBAMATE 200 MG PARTIAL (1/2) TABLET,10.8,9.61,2.25,10.8,727 NDC,08888-0001-56,FELBAMATE 300 MG PARTIAL (1/2) TABLET,8.8,7.83,1.83,8.8,727 NDC,08888-0001-58,FENOFIBRATE NANOCRYSTALLIZED 72.5 MG PARTIAL (1/2) TABLET,7.6,6.76,1.58,7.6,727 NDC,08888-0001-61,FINASTERIDE 2.5 MG PARTIAL (1/2) TABLET,6.0,5.34,1.25,6.0,727 NDC,08888-0001-62,FLECAINIDE 25 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0001-63,FLUCONAZOLE 25 MG PARTIAL (1/2) TABLET,6.0,5.34,1.25,6.0,727 NDC,08888-0001-64,FLUDROCORTISONE 0.05 MG PARTIAL (1/2) TABLET,5.7,5.07,1.19,5.7,727 NDC,08888-0001-65,FLUOXETINE 5 MG PARTIAL (1/2) TABLET,6.6,5.87,1.37,6.6,727 NDC,08888-0001-66,FLUVOXAMINE 12.5 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0001-67,FOLIC ACID 0.5 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0001-69,FUROSEMIDE 10 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0001-70,GALANTAMINE 2 MG PARTIAL (1/2) TABLET,10.7,9.52,2.23,10.7,727 NDC,08888-0001-71,GEMFIBROZIL 300 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0001-72,GLIMEPIRIDE 0.5 MG PARTIAL (1/2) TABLET,6.4,5.7,1.33,6.4,727 NDC,08888-0001-73,GLIPIZIDE 2.5 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0001-76,GLYCOPYRROLATE 0.5 MG PARTIAL (1/2) TABLET,6.6,5.87,1.37,6.6,727 NDC,08888-0001-77,GRANISETRON HCL 0.5 MG PARTIAL (1/2) TABLET,8.5,7.57,1.77,8.5,729 NDC,08888-0001-78,GUANFACINE 0.5 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0001-79,HALOPERIDOL 0.25 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0001-80,HALOPERIDOL 2.5 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0001-81,HYDRALAZINE 12.5 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0001-82,HYDRALAZINE 5 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0001-83,HYDROCHLOROTHIAZIDE 6.25 MG PARTIAL (1/2) TABLET,6.0,5.34,1.25,6.0,727 NDC,08888-0001-84,HYDROCORTISONE 2.5 MG PARTIAL (1/2) TABLET,6.5,5.79,1.35,6.5,727 NDC,08888-0001-85,HYDROMORPHONE 1 MG PARTIAL (1/2) TABLET,10.2,9.08,2.12,10.2,727 NDC,08888-0001-86,HYDROXYCHLOROQUINE 100 MG PARTIAL (1/2) TABLET,7.4,6.59,1.54,7.4,727 NDC,08888-0001-87,HYDROXYZINE HCL 12.5 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0001-88,HYDROXYZINE HCL 5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0001-89,HYOSCYAMINE 0.0625 MG PARTIAL (1/2) SUBLINGUAL TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0001-91,IBUPROFEN 50 MG PARTIAL (1/2) CHEWABLE TABLET,0.5,0.45,0.1,0.5,727 NDC,08888-0001-92,IMIPRAMINE 5 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0001-93,INDAPAMIDE 0.625 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0001-97,ISOSORBIDE DINITRATE 2.5 MG PARTIAL (1/2) TABLET,6.4,5.7,1.33,6.4,727 NDC,08888-0001-98,"ISOSORBIDE MONONITRATE ER 15 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE 24 HR",5.3,4.72,1.1,5.3,727 NDC,08888-0001-99,ISOSORBIDE MONONITRATE 5 MG PARTIAL (1/2) TABLET,9.9,8.81,2.06,9.9,727 NDC,08888-0002-00,KETOCONAZOLE 100 MG PARTIAL (1/2) TABLET,7.5,6.68,1.56,7.5,727 NDC,08888-0002-02,LABETALOL 150 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0002-03,LABETALOL 50 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0002-04,LAMIVUDINE 50 MG PARTIAL (1/2) TABLET,12.6,11.21,2.62,12.6,727 NDC,08888-0002-05,LAMOTRIGINE 12.5 MG PARTIAL (1/2) CHEWABLE DISPERSIBLE TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0002-06,LAMOTRIGINE 12.5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0002-07,LAMOTRIGINE 2.5 MG PARTIAL (1/2) CHEWABLE DISPERSIBLE TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0002-08,LAMOTRIGINE 75 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0002-10,LANTHANUM 250 MG PARTIAL (1/2) CHEWABLE TABLET,21.8,19.4,19.6,19.6,1 NDC,08888-0002-12,LEUCOVORIN CALCIUM 2.5 MG PARTIAL (1/2) TABLET,7.1,6.32,1.48,7.1,727 NDC,08888-0002-13,LEVETIRACETAM 125 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0002-14,LEVETIRACETAM 375 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0002-16,LEVOFLOXACIN 125 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0002-17,LEVOTHYROXINE 12.5 MCG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0002-18,LEVOTHYROXINE 37.5 MCG PARTIAL (1/2) TABLET,5.6,4.98,1.16,5.6,727 NDC,08888-0002-19,LEVOTHYROXINE 44 MCG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0002-20,LEVOTHYROXINE 56 MCG PARTIAL (1/2) TABLET,5.9,5.25,1.23,5.9,727 NDC,08888-0002-21,LEVOTHYROXINE 62.5 MCG PARTIAL (1/2) TABLET,5.7,5.07,1.19,5.7,727 NDC,08888-0002-22,LIOTHYRONINE 12.5 MCG PARTIAL (1/2) TABLET,6.2,5.52,1.29,6.2,727 NDC,08888-0002-24,LISINOPRIL 1.25 MG PARTIAL (1/2) TABLET,6.0,5.34,1.25,6.0,727 NDC,08888-0002-25,LISINOPRIL 10 MG-HYDROCHLOROTHIAZIDE 6.25 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0002-27,LITHIUM CARBONATE 150 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0002-28,"LITHIUM CARBONATE ER 225 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE",6.0,5.34,1.25,6.0,727 NDC,08888-0002-29,LORATADINE 5 MG PARTIAL (1/2) TABLET,2.4,2.14,0.5,2.4,727 NDC,08888-0002-30,LORAZEPAM 0.25 MG PARTIAL (1/2) TABLET,10.1,8.99,2.1,10.1,727 NDC,08888-0002-31,LOSARTAN 12.5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0002-34,LURASIDONE 10 MG PARTIAL (1/2) TABLET,62.6,55.71,13.02,62.6,727 NDC,08888-0002-35,LURASIDONE 20 MG PARTIAL (1/2) TABLET,58.0,51.62,12.06,58.0,727 NDC,08888-0002-36,LURASIDONE 40 MG PARTIAL (1/2) TABLET,62.6,55.71,13.02,62.6,727 NDC,08888-0002-39,MECLIZINE 6.25 MG PARTIAL (1/2) TABLET,5.8,5.16,1.21,5.8,727 NDC,08888-0002-40,MEDROXYPROGESTERONE 1.25 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0002-44,MEMANTINE 2.5 MG PARTIAL (1/2) TABLET,5.7,5.07,1.19,5.7,727 NDC,08888-0002-45,MERCAPTOPURINE 25 MG PARTIAL (1/2) TABLET,7.0,6.23,1.46,7.0,727 NDC,08888-0002-46,MESALAMINE 500 MG PARTIAL (1/2) RECTAL SUPPOSITORY,63.7,56.69,13.25,63.7,727 NDC,08888-0002-47,MESNA 200 MG PARTIAL (1/2) TABLET,125.8,111.96,26.17,125.8,727 NDC,08888-0002-49,METFORMIN 250 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0002-50,METFORMIN 425 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0002-52,METHENAMINE HIPPURATE 0.5 GRAM PARTIAL (1/2) TABLET,8.8,7.83,1.83,8.8,727 NDC,08888-0002-53,METHIMAZOLE 2.5 MG PARTIAL (1/2) TABLET,5.6,4.98,1.16,5.6,727 NDC,08888-0002-54,METHOCARBAMOL 250 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0002-55,METHOTREXATE SODIUM 1.25 MG PARTIAL (1/2) TABLET,7.6,6.76,0.17,7.6,729 NDC,08888-0002-57,METHYLPREDNISOLONE 1 MG PARTIAL (1/2) TABLET,7.7,6.85,0.16,7.7,719 NDC,08888-0002-58,METOCLOPRAMIDE 2.5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0002-59,METOLAZONE 1.25 MG PARTIAL (1/2) TABLET,6.7,5.96,1.39,6.7,727 NDC,08888-0002-60,METOPROLOL TARTRATE 12.5 MG PO PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0002-61,"METOPROLOL SUCCINATE ER 12.5 MG PARTIAL (1/2) TABLET, EXTENDED RELEASE",5.9,5.25,1.23,5.9,727 NDC,08888-0002-63,METRONIDAZOLE 125 MG PARTIAL (1/2) TABLET,5.6,4.98,1.16,5.6,727 NDC,08888-0002-64,MIDODRINE 1.25 MG PARTIAL (1/2) TABLET,5.6,4.98,1.16,5.6,727 NDC,08888-0002-66,MINOXIDIL 1.25 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0002-67,MIRTAZAPINE 22.5 MG PARTIAL (1/2) TABLET,5.6,4.98,1.16,5.6,727 NDC,08888-0002-69,MISOPROSTOL 50 MCG PARTIAL (1/2) TABLET,5.9,5.25,1.23,5.9,727 NDC,08888-0002-72,MOXIFLOXACIN 200 MG PARTIAL (1/2) TABLET,7.9,7.03,1.64,7.9,727 NDC,08888-0002-74,NADOLOL 10 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0002-75,NALTREXONE 25 MG PARTIAL (1/2) TABLET,8.3,7.39,1.73,8.3,727 NDC,08888-0002-76,NAPROXEN 125 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0002-77,NAPROXEN 187.5 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0002-83,NEOMYCIN 250 MG PARTIAL (1/2) TABLET,6.3,5.61,1.31,6.3,727 NDC,08888-0002-85,NORETHINDRONE ACETATE 2.5 MG PARTIAL (1/2) TABLET,7.9,7.03,1.64,7.9,727 NDC,08888-0002-87,OLANZAPINE 1.25 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0002-89,ONDANSETRON HCL 2 MG PARTIAL (1/2) TABLET,5.2,4.63,0.03,5.2,729 NDC,08888-0002-91,OXCARBAZEPINE 75 MG PARTIAL (1/2) TABLET,5.8,5.16,1.21,5.8,727 NDC,08888-0002-92,OXYBUTYNIN CHLORIDE 2.5 MG PARTIAL (1/2) TABLET,5.6,4.98,1.16,5.6,727 NDC,08888-0002-93,OXYCODONE 2.5 MG PARTIAL (1/2) TABLET,10.4,9.26,2.16,10.4,727 NDC,08888-0002-95,PAROXETINE 5 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0002-96,PENICILLIN V POTASSIUM 125 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0002-98,PERPHENAZINE 1 MG PARTIAL (1/2) TABLET,6.9,6.14,1.44,6.9,727 NDC,08888-0003-00,PHENAZOPYRIDINE 50 MG PARTIAL (1/2) TABLET,7.9,7.03,1.64,7.9,727 NDC,08888-0003-01,PHENELZINE 7.5 MG PO PARTIAL (1/2) TABLET,5.9,5.25,1.23,5.9,727 NDC,08888-0003-02,PHENOBARBITAL 7.5 MG PARTIAL (1/2) TABLET,10.3,9.17,2.14,10.3,727 NDC,08888-0003-03,PHENYTOIN 25 MG PARTIAL (1/2) CHEWABLE TABLET,6.1,5.43,1.27,6.1,727 NDC,08888-0003-04,PHYTONADIONE (VITAMIN K1) 2.5 MG PARTIAL (1/2) TABLET,91.3,81.26,18.99,91.3,727 NDC,08888-0003-05,PILOCARPINE 2.5 MG PARTIAL (1/2) TABLET,8.8,7.83,1.83,8.8,727 NDC,08888-0003-07,PINDOLOL 2.5 MG PARTIAL (1/2) TABLET,5.9,5.25,1.23,5.9,727 NDC,08888-0003-08,PIOGLITAZONE 22.5 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0003-10,"POTASSIUM CHLORIDE ER 5 MEQ PARTIAL (1/2) TABLET,EXTENDED RELEASE(PART/CRYST)",5.6,4.98,1.16,5.6,727 NDC,08888-0003-11,PRAMIPEXOLE 0.0625 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0003-12,PRAVASTATIN 5 MG PARTIAL (1/2) TABLET,5.7,5.07,1.19,5.7,727 NDC,08888-0003-14,PREDNISOLONE 2.5 MG PARTIAL (1/2) TABLET,25.1,22.34,5.22,25.1,727 NDC,08888-0003-15,PREDNISONE 0.5 MG PARTIAL (1/2) TABLET,5.2,4.63,0.01,5.2,719 NDC,08888-0003-16,PREDNISONE 1.25 MG PARTIAL (1/2) TABLET,5.2,4.63,0.01,5.2,719 NDC,08888-0003-18,PRIMIDONE 125 MG PARTIAL (1/2) TABLET,6.0,5.34,1.25,6.0,727 NDC,08888-0003-19,PRIMIDONE 25 MG PARTIAL (1/2) TABLET,5.8,5.16,1.21,5.8,727 NDC,08888-0003-20,PROBENECID 250 MG PARTIAL (1/2) TABLET,7.3,6.5,1.52,7.3,727 NDC,08888-0003-22,PROCHLORPERAZINE MALEATE 2.5 MG PARTIAL (1/2) TABLET,5.6,4.98,1.16,5.6,727 NDC,08888-0003-24,PROMETHAZINE 6.25 MG PARTIAL (1/2) RECTAL SUPPOSITORY,16.6,14.77,3.45,16.6,727 NDC,08888-0003-25,PROMETHAZINE 6.25 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0003-26,PROPAFENONE 112.5 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0003-27,PROPAFENONE 75 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0003-28,PROPRANOLOL 5 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0003-29,PROPYLTHIOURACIL 25 MG PARTIAL (1/2) TABLET,8.9,7.92,1.85,8.9,727 NDC,08888-0003-30,PROTRIPTYLINE 2.5 MG PARTIAL (1/2) TABLET,6.9,6.14,1.44,6.9,727 NDC,08888-0003-31,PYRAZINAMIDE 250 MG PARTIAL (1/2) TABLET,11.8,10.5,2.45,11.8,727 NDC,08888-0003-32,PYRIDOSTIGMINE BROMIDE 30 MG PARTIAL (1/2) TABLET,6.0,5.34,1.25,6.0,727 NDC,08888-0003-33,"PYRIDOSTIGMINE BROMIDE ER 90 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE",21.2,18.87,4.41,21.2,727 NDC,08888-0003-34,QUETIAPINE 12.5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0003-35,QUETIAPINE 150 MG PARTIAL (1/2) TABLET,5.6,4.98,1.16,5.6,727 NDC,08888-0003-39,RAMELTEON 4 MG PARTIAL (1/2) TABLET,25.4,22.61,5.28,25.4,727 NDC,08888-0003-44,RIFAXIMIN 100 MG PARTIAL (1/2) TABLET,33.6,29.9,6.99,33.6,727 NDC,08888-0003-47,RISPERIDONE 0.125 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0003-49,ROPINIROLE 0.125 MG PARTIAL (1/2) TABLET,5.7,5.07,1.19,5.7,727 NDC,08888-0003-51,ROSUVASTATIN 2.5 MG PARTIAL (1/2) TABLET,6.7,5.96,1.39,6.7,727 NDC,08888-0003-52,RUFINAMIDE 100 MG PARTIAL (1/2) TABLET,21.3,18.96,4.43,21.3,727 NDC,08888-0003-55,SERTRALINE 12.5 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0003-57,SILDENAFIL 10 MG PARTIAL (1/2) TABLET,5.7,5.07,1.19,5.7,727 NDC,08888-0003-59,SIMVASTATIN 2.5 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0003-61,SOLIFENACIN 2.5 MG PARTIAL (1/2) TABLET,24.9,22.16,5.18,24.9,727 NDC,08888-0003-62,SOTALOL 40 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0003-63,SOTALOL 60 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0003-65,SPIRONOLACTONE 12.5 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0003-66,SUCRALFATE 0.5 GRAM PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0003-67,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0003-68,SULFASALAZINE 250 MG PARTIAL (1/2) TABLET,5.7,5.07,1.19,5.7,727 NDC,08888-0003-70,TAMOXIFEN 5 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0003-72,TENOFOVIR DISOPROXIL FUMARATE 150 MG PARTIAL (1/2) TABLET,9.9,8.81,2.06,9.9,727 NDC,08888-0003-73,TERBINAFINE HCL 125 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0003-74,"THEOPHYLLINE ER 150 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE,12 HR",10.7,9.52,2.23,10.7,727 NDC,08888-0003-75,THIOGUANINE 20 MG PARTIAL (1/2) TABLET,820.3,730.07,170.62,820.3,727 NDC,08888-0003-78,TIZANIDINE 1 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0003-81,TOLTERODINE 0.5 MG PARTIAL (1/2) TABLET,7.2,6.41,1.5,7.2,727 NDC,08888-0003-82,TOPIRAMATE 12.5 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0003-83,TORSEMIDE 2.5 MG PARTIAL (1/2) TABLET,5.8,5.16,1.21,5.8,727 NDC,08888-0003-84,TORSEMIDE 50 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0003-87,TRAZODONE 25 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0003-88,TRAZODONE 75 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0003-89,TRIAMTERENE 18.75 MG-HYDROCHLOROTHIAZIDE 12.5 MG PARTIAL (1/2) TABLET,6.1,5.43,1.27,6.1,727 NDC,08888-0003-90,TRIHEXYPHENIDYL 1 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0003-91,TRIHEXYPHENIDYL 2.5 MG PARTIAL (1/2) TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0003-92,TRIMETHOPRIM 50 MG PARTIAL (1/2) TABLET,7.2,6.41,1.5,7.2,727 NDC,08888-0003-93,TROSPIUM 10 MG PARTIAL (1/2) TABLET (RESTRICTED),6.1,5.43,1.27,6.1,727 NDC,08888-0003-94,URSODIOL 125 MG PARTIAL (1/2) TABLET,8.6,7.65,1.79,8.6,727 NDC,08888-0003-95,VALACYCLOVIR 250 MG PARTIAL (1/2) TABLET,5.6,4.98,1.16,5.6,727 NDC,08888-0003-96,VALGANCICLOVIR 225 MG PARTIAL (1/2) TABLET,22.1,19.67,4.6,22.1,727 NDC,08888-0003-97,VALSARTAN 20 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0004-00,VENLAFAXINE 12.5 MG PARTIAL (1/2) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0004-01,VENLAFAXINE 18.75 MG PARTIAL (1/2) TABLET,5.8,5.16,1.21,5.8,727 NDC,08888-0004-02,VERAPAMIL 20 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0004-03,VERAPAMIL 60 MG PARTIAL (1/2) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0004-04,"VERAPAMIL ER (SR) 60 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE",5.4,4.81,1.12,5.4,727 NDC,08888-0004-05,"VERAPAMIL ER (SR) 90 MG PARTIAL (1/2) TABLET,EXTENDED RELEASE",5.3,4.72,1.1,5.3,727 NDC,08888-0004-06,WARFARIN 0.5 MG PARTIAL (1/2) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0004-08,WARFARIN 1.25 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0004-09,WARFARIN 1.5 MG PARTIAL (1/2) TABLET,8.7,7.74,1.81,8.7,727 NDC,08888-0004-11,WARFARIN 3.75 MG PARTIAL (1/2) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0004-12,ZOLPIDEM 2.5 MG PARTIAL (1/2) TABLET,10.1,8.99,2.1,10.1,727 NDC,08888-0004-13,ALLOPURINOL 25 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0004-14,ALLOPURINOL 75 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0004-17,AMITRIPTYLINE 2.5 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0004-18,ARIPIPRAZOLE 0.5 MG PARTIAL (1/4) TABLET,5.8,5.16,1.21,5.8,727 NDC,08888-0004-21,ATENOLOL 6.25 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0004-23,ATORVASTATIN 2.5 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0004-25,BISOPROLOL FUMARATE 1.25 MG PARTIAL (1/4) TABLET,5.7,5.07,1.19,5.7,727 NDC,08888-0004-26,BOSENTAN 15.625 MG PARTIAL (1/4) TABLET,186.9,166.34,38.88,186.9,727 NDC,08888-0004-27,BUMETANIDE 0.125 MG PARTIAL (1/4) TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0004-28,CAPTOPRIL 3.125 MG PARTIAL (1/4) TABLET,5.8,5.16,1.21,5.8,727 NDC,08888-0004-29,CARBAMAZEPINE 25 MG CHEWABLE PARTIAL (1/4) TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0004-30,CARBIDOPA 6.25 MG-LEVODOPA 25 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0004-33,CIPROFLOXACIN 62.5 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0004-34,CITALOPRAM 2.5 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0004-35,CLONIDINE HCL 0.025 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0004-36,CLOZAPINE 6.25 MG PARTIAL (1/4) TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0004-37,CYCLOBENZAPRINE 1.25 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0004-39,DESMOPRESSIN 0.025 MG PARTIAL (1/4) TABLET,6.5,5.79,1.35,6.5,727 NDC,08888-0004-40,DIGOXIN 31.25 MCG PARTIAL (1/4) TABLET,5.8,5.16,1.21,5.8,727 NDC,08888-0004-41,DILTIAZEM 7.5 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0004-44,EZETIMIBE 2.5 MG PARTIAL (1/4) TABLET,10.5,9.35,2.18,10.5,727 NDC,08888-0004-45,FELBAMATE 100 MG PARTIAL (1/4) TABLET,7.9,7.03,1.64,7.9,727 NDC,08888-0004-46,FELBAMATE 150 MG PARTIAL (1/4) TABLET,6.9,6.14,1.44,6.9,727 NDC,08888-0004-47,FINASTERIDE 1.25 MG PARTIAL (1/4) TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0004-50,FLUDROCORTISONE 0.025 MG PARTIAL (1/4) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0004-51,FOLIC ACID 0.25 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0004-53,FUROSEMIDE 5 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0004-54,GABAPENTIN 150 MG PARTIAL (1/4) TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0004-56,GLIPIZIDE 1.25 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0004-57,GLYCOPYRROLATE 0.25 MG PARTIAL (1/4) TABLET,5.8,5.16,1.21,5.8,727 NDC,08888-0004-58,GUANFACINE 0.25 MG PARTIAL (1/4) TABLET,6.3,5.61,1.31,6.3,727 NDC,08888-0004-59,HALOPERIDOL 0.125 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0004-60,HYDRALAZINE 2.5 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0004-61,HYDROCORTISONE 1.25 MG PARTIAL (1/4) TABLET,5.8,5.16,1.21,5.8,727 NDC,08888-0004-62,HYDROXYCHLOROQUINE 50 MG PARTIAL (1/4) TABLET,5.8,5.16,1.21,5.8,727 NDC,08888-0004-63,ISONIAZID 25 MG PARTIAL (1/4) TABLET,6.5,5.79,1.35,6.5,727 NDC,08888-0004-65,LABETALOL 25 MG PARTIAL (1/4) TABLET TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0004-66,LAMIVUDINE 25 MG PARTIAL (1/4) TABLET TABLET,14.6,12.99,3.04,14.6,727 NDC,08888-0004-72,LOSARTAN 6.25 MG PARTIAL (1/4) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0004-77,METHYLPREDNISOLONE 0.5 MG PARTIAL (1/4) TABLET,6.3,5.61,0.16,6.3,719 NDC,08888-0004-78,METOCLOPRAMIDE 1.25 MG PARTIAL (1/4) TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0004-79,METOLAZONE 0.625 MG PARTIAL (1/4) TABLET,5.9,5.25,1.23,5.9,727 NDC,08888-0004-80,METOPROLOL TARTRATE 6.25 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0004-81,"METOPROLOL SUCCINATE ER 6.25 MG EXTENDED RELEASE 24 HR, PARTIAL (1/4) TABLET",5.2,4.63,1.08,5.2,727 NDC,08888-0004-84,MISOPROSTOL 25 MCG PARTIAL (1/4) TABLET,5.5,4.89,1.14,5.5,727 NDC,08888-0004-87,NALTREXONE 12.5 MG PARTIAL (1/4) TABLET,6.7,5.96,1.39,6.7,727 NDC,08888-0004-91,OLANZAPINE 0.625 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0004-92,ONDANSETRON HCL 1 MG PARTIAL (1/4) TABLET,5.1,4.54,0.02,5.1,729 NDC,08888-0004-93,OXYBUTYNIN CHLORIDE 1.25 MG PARTIAL (1/4) TABLET,5.3,4.72,1.1,5.3,727 NDC,08888-0004-95,PHENAZOPYRIDINE 25 MG PARTIAL (1/4) TABLET,6.5,5.79,1.35,6.5,727 NDC,08888-0004-96,PHENOBARBITAL 3.75 MG PARTIAL (1/4) TABLET,10.2,9.08,2.12,10.2,727 NDC,08888-0004-97,PHENYTOIN 12.5 MG CHEWABLE PARTIAL (1/4) TABLET,5.6,4.98,1.16,5.6,727 NDC,08888-0004-98,PHYTONADIONE (VITAMIN K1) 1.25 MG PARTIAL (1/4) TABLET,54.6,48.59,11.36,54.6,727 NDC,08888-0005-02,PYRIDOSTIGMINE BROMIDE 15 MG PARTIAL (1/4) TABLET,5.6,4.98,1.16,5.6,727 NDC,08888-0005-03,QUETIAPINE 6.25 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0005-07,SILDENAFIL 5 MG PARTIAL (1/4) TABLET,5.4,4.81,1.12,5.4,727 NDC,08888-0005-09,SOTALOL 20 MG PARTIAL (1/4) TABLET,5.6,4.98,1.16,5.6,727 NDC,08888-0005-10,SPIRONOLACTONE 6.25 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0005-11,TIZANIDINE 0.5 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0005-13,TRAZODONE 12.5 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0005-15,TRIHEXYPHENIDYL 0.5 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0005-16,VALSARTAN 10 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0005-18,VERAPAMIL 10 MG PARTIAL (1/4) TABLET,5.2,4.63,1.08,5.2,727 NDC,08888-0005-19,VERAPAMIL 30 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0005-20,WARFARIN 0.25 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0005-21,WARFARIN 0.625 MG PARTIAL (1/4) TABLET,5.1,4.54,1.06,5.1,727 NDC,08888-0005-22,VANCOMYCIN 1 MG/ML INTRADISCAL INJECTION DILUTION (RADIANT),35.2,31.33,7.32,35.2,717 NDC,08888-0005-23,CEFAZOLIN 5 MG/ML IN NACL 0.9% INJECTION DILUTION (RADIANT MIXTURE INGREDIENT) CNR,36.2,32.22,0.95,36.2,719 NDC,08888-0005-24,CLINDAMYCIN 5 MG/ML INJECTION SOLUTION DILUTION (RADIANT),43.7,38.89,9.09,43.7,715 NDC,08888-0005-44,PRISMASATE 2/0 DIALYSIS SOLUTION (HIGH BICARBONATE),280.0,249.2,58.24,280.0,715 NDC,08888-0006-21,CHROMIUM CHLORIDE 1 MCG/ML PEDS DILUTION (TPN),53.3,47.44,11.09,53.3,715 NDC,08888-0006-24,RIBAVIRIN CONTINUOUS INHALATION SOLUTION 6 GRAMS/300 ML (RESTRICTED),58807.5,52338.68,12231.96,58807.5,715 NDC,08888-0006-27,ALTEPLASE 12.5 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),341.7,304.11,71.07,341.7,733 NDC,08888-0006-28,CEFTAZIDIME 2.25 MG/0.1 ML INTRAOCULAR INJECTION (CNR),36.5,32.49,1.69,36.5,719 NDC,08888-0006-32,SODIUM ACETATE 0.28% (0.034 MEQ/ML) INJ VIAL 100 ML,74.6,66.39,15.52,74.6,715 NDC,08888-0006-36,MINERAL OIL,2.3,2.05,0.48,2.3,727 NDC,08888-0006-37,IODINE-POTASSIUM IODIDE 5 %-10 % ORAL SOLUTION (PEDIATRIC),50.2,44.68,10.44,50.2,715 NDC,08888-0006-37,IODINE-POTASSIUM IODIDE 5 %-10 % TOPICAL SOLUTION,73.8,65.68,15.35,73.8,715 NDC,08888-0006-39,"BUPIVACAINE PNC 0.2% IN 0.9% NACL, 341 ML (MAYO PROD LAB OR CNR)",201.0,178.89,41.81,201.0,715 NDC,08888-0006-42,ACETAMINOPHEN 20 MG RECTAL SUPPOSITORY,0.5,0.45,0.1,0.5,727 NDC,08888-0006-43,AMIODARONE 5 MG/ML ORAL SUSPENSION,416.4,370.6,86.61,416.4,727 NDC,08888-0006-44,AMITRIPTYLINE 10 MG/ML ORAL SUSPENSION,242.9,216.18,50.52,242.9,727 NDC,08888-0006-46,ETHANOL (ETHYL ALCOHOL) 70% LOCK SOLUTION (CNR),1013.9,902.37,210.89,1013.9,715 NDC,08888-0006-47,AMITRIPTYLINE 20 MG/G (2%) IN LIPODERM CREAM,15.6,13.88,3.24,15.6,727 NDC,08888-0006-48,AMITRIPTYLINE 2%-KETAMINE 0.5% IN LIPODERM CREAM,15.9,14.15,3.31,15.9,727 NDC,08888-0006-51,AMITRIPTYLINE 2%-KETAMINE 5%-CLONIDINE 0.2% IN LIPODERM CREAM,22.6,20.11,4.7,22.6,727 NDC,08888-0006-52,AMITRIPTYLINE 2%-GABAPENTIN 5%-KETAMINE 5% IN LIPODERM CREAM,16.8,14.95,3.49,16.8,727 NDC,08888-0006-53,AMITRIPTYLINE 2 %-KETAMINE 5 %-LIDOCAINE 5 % IN LIPODERM CREAM,16.8,14.95,3.49,16.8,727 NDC,08888-0006-55,AMITRIPTYLINE 4%-BACLOFEN 2%-KETAMINE 2% IN LIPODERM,21.2,18.87,4.41,21.2,727 NDC,08888-0006-56,AMITRIPTYLINE 2%-KETAMINE 5% IN PROPYLENE GLYCOL,104.3,92.83,21.69,104.3,727 NDC,08888-0006-57,AMITRIPTYLINE 2%-KETAMINE 5%-LIDOCAINE 2% IN VANICREAM,16.7,14.86,3.47,16.7,727 NDC,08888-0006-58,AMMONIUM CHLORIDE 500 MG CAPSULES,18.7,16.64,3.89,18.7,727 NDC,08888-0006-77,ASPIRIN DESENSITIZATION 325 MG CAPSULE,0.5,0.45,0.1,0.5,727 NDC,08888-0006-79,BECLOMETHASONE 1 MG/ML IN CORN OIL ORAL SOLUTION,11.2,9.97,2.33,11.2,727 NDC,08888-0006-85,BISMUTH SUBGALLATE (BULK) POWDER,36.6,32.57,7.61,36.6,727 NDC,08888-0006-86,BUDESONIDE 3 MG/10 ML (0.03%) ORAL SUSPENSION (CNR),36.0,32.04,7.49,36.0,727 NDC,08888-0006-87,"BUPIVACAINE PNC (PIB) 0.1% IN NACL 0.9%, 289 ML (MAYO PROD LAB OR CNR)",190.4,169.46,39.6,190.4,715 NDC,08888-0006-87,"BUPIVACAINE PNC (PIB) 0.1% IN NACL 0.9%, 289 ML SERRATUS ANT. PLANE BLOCK B/L (MAYO PROD LAB OR CNR)",190.4,169.46,39.6,190.4,715 NDC,08888-0006-87,"BUPIVACAINE PNC (PIB) 0.1% IN NACL 0.9%, 289 ML SERRATUS ANT. PLANE BLOCK U/L (MAYO PROD LAB OR CNR)",190.4,169.46,39.6,190.4,715 NDC,08888-0006-87,"BUPIVACAINE PNC 0.1% IN 0.9% NACL, 289 ML (MAYO PROD LAB OR CNR)",190.4,169.46,39.6,190.4,715 NDC,08888-0006-88,"BUPIVACAINE PNC (PIB) 0.2% IN NACL 0.9%, 341 ML (MAYO PROD LAB OR CNR)",201.0,178.89,41.81,201.0,715 NDC,08888-0006-88,"BUPIVACAINE PNC (PIB) 0.2% IN NACL 0.9%, 341 ML SERRATUS ANT. PLANE BLOCK B/L (MAYO PROD LAB OR CNR)",201.0,178.89,41.81,201.0,715 NDC,08888-0006-88,"BUPIVACAINE PNC (PIB) 0.2% IN NACL 0.9%, 341 ML SERRATUS ANT. PLANE BLOCK U/L (MAYO PROD LAB OR CNR)",201.0,178.89,41.81,201.0,715 NDC,08888-0006-89,BUTYLATED HYDROXYANISOLE (BHA) CAPSULE 50 MG,70.7,62.92,14.71,70.7,727 NDC,08888-0006-90,BUTYLATED HYDROXYANISOLE (BHA) CAPSULE 250 MG,71.7,63.81,14.91,71.7,727 NDC,08888-0006-91,BUTYLATED HYDROXYTOLUENE (BHT) CAPSULE 50 MG,70.5,62.75,14.66,70.5,727 NDC,08888-0006-92,BUTYLATED HYDROXYTOLUENE (BHT) CAPSULE 250 MG,70.9,63.1,14.75,70.9,727 NDC,08888-0006-95,CARBAMAZEPINE 200 MG SUPPOSITORY,19.6,17.44,4.08,19.6,727 NDC,08888-0006-96,CARBAMAZEPINE 300 MG SUPPOSITORY,20.7,18.42,4.31,20.7,727 NDC,08888-0006-97,CARBAMAZEPINE 400 MG SUPPOSITORY,20.7,18.42,4.31,20.7,727 NDC,08888-0006-99,CEFUROXIME 1 MG/0.1 ML INTRAOCULAR SYRINGE (CNR),324.7,288.98,2.36,324.7,719 NDC,08888-0007-00,CHLORAL HYDRATE 325 MG SUPPOSITORY,37.9,33.73,7.88,37.9,727 NDC,08888-0007-01,CHOLESTYRAMINE 5%-MINERAL OIL 5% IN TRIPLE PASTE,276.1,245.73,57.43,276.1,727 NDC,08888-0007-03,CIDOFOVIR 1% IN VANICREAM,2242.3,1995.65,466.4,2242.3,727 NDC,08888-0007-08,CLONIDINE HCL 0.1 MG SUPPOSITORY,139.7,124.33,29.06,139.7,727 NDC,08888-0007-11,COAL TAR 2% IN PETROLATUM,80.7,71.82,16.79,80.7,727 NDC,08888-0007-15,FLEXIBLE COLLODION (BULK) LIQUID,39.6,35.24,8.24,39.6,727 NDC,08888-0007-17,CROMOLYN SODIUM 1% IN VANICREAM,272.2,242.26,56.62,272.2,727 NDC,08888-0007-18,CROMOLYN SODIUM 5% IN VANICREAM,349.4,310.97,72.68,349.4,727 NDC,08888-0007-20,CYCLOPENTOLATE 0.125%-PHENYLEPHRINE 1.25% OPHTHALMIC SOLN (DILATING DROPS) IN HYPROMELLOSE,107.7,95.85,22.4,107.7,715 NDC,08888-0007-22,GENTAMICIN 20 MCG/ML-POLYMYXIN B 500 UNITS/ML IN NACL 0.9% (DABS MODIFIED) IRRIGATION (CNR BOTTLES),115.3,102.62,23.98,115.3,715 NDC,08888-0007-25,DEXAMETHASONE 0.4 MG/ML ORAL RINSE,12.6,11.21,2.62,12.6,727 NDC,08888-0007-26,DIAZEPAM 5 MG SUPPOSITORY,23.6,21.0,4.91,23.6,727 NDC,08888-0007-36,DIMETHYL SULFOXIDE (BULK) 99.99 % LIQUID,33.9,30.17,7.05,33.9,717 NDC,08888-0007-52,FAMOTIDINE 1 MG/ML DILUTION INJECTION (NEONATE),104.9,93.36,21.82,104.9,715 NDC,08888-0007-62,GUAIACOL-CHLOROBUTANOL-BALSAM PERU-EUGENOL (DRY SOCKET PASTE),128.2,114.1,26.67,128.2,727 NDC,08888-0007-63,EDTA DISODIUM 0.25 MOLAR OPHTHALMIC SOLUTION (RST PROD LAB),157.0,139.73,32.66,157.0,727 NDC,08888-0007-86,HYDROCORTISONE 1 % IN PLASTICIZED BASE,176.4,157.0,36.69,176.4,727 NDC,08888-0007-94,HYDROCORTISONE 2.5% IN PLASTICIZED BASE,216.2,192.42,44.97,216.2,727 NDC,08888-0007-98,HYDROCORTISONE 2.5% IN VANICREAM,91.4,81.35,19.01,91.4,727 NDC,08888-0008-02,IBUPROFEN 50 MG SUPPOSITORY,0.5,0.45,0.1,0.5,727 NDC,08888-0008-03,IBUPROFEN 200 MG SUPPOSITORY,0.5,0.45,0.1,0.5,727 NDC,08888-0008-06,ICHTHAMMOL 3% IN ZINC OXIDE OINTMENT,122.8,109.29,25.54,122.8,727 NDC,08888-0008-07,ICHTHAMMOL 3% IN ZINC OXIDE PASTE,119.7,106.53,24.9,119.7,727 NDC,08888-0008-09,LCD 10% IN AQUAPHOR,280.8,249.91,58.41,280.8,727 NDC,08888-0008-10,LCD 20% IN AQUAPHOR,292.5,260.33,60.84,292.5,727 NDC,08888-0008-11,LCD 10% IN VANICREAM LITE LOTION,280.0,249.2,58.24,280.0,727 NDC,08888-0008-12,LCD 20% IN VANICREAM LITE LOTION,232.4,206.84,48.34,232.4,727 NDC,08888-0008-14,LORAZEPAM 1 MG SUPPOSITORY,22.8,20.29,4.74,22.8,727 NDC,08888-0008-15,MAGNESIUM DISIMPACTION ENEMA 120 ML,55.1,49.04,11.46,55.1,715 NDC,08888-0008-17,MENTHOL 1% IN VANICREAM (INPT),127.1,113.12,26.44,127.1,727 NDC,08888-0008-19,METOPROLOL TARTRATE 12.5 MG SUPPOSITORY,11.6,10.32,2.41,11.6,727 NDC,08888-0008-20,METOPROLOL TARTRATE 25 MG SUPPOSITORY,11.7,10.41,2.43,11.7,727 NDC,08888-0008-22,MINERAL OIL USP OTIC DROPS,24.6,21.89,5.12,24.6,727 NDC,08888-0008-23,MINERAL OIL-GLYCERIN ENEMA-NACL 1:1:2,259.7,231.13,54.02,259.7,715 NDC,08888-0008-24,MINOCYCLINE 10 MG/ML ORAL SUSPENSION,24.2,21.54,5.03,24.2,727 NDC,08888-0008-34,MORPHINE 3 MG/G (0.3%) IN LIPODERM CREAM,27.9,24.83,5.8,27.9,727 NDC,08888-0008-35,MORPHINE 6 MG/G (0.6%) IN LIPODERM CREAM,28.2,25.1,5.87,28.2,727 NDC,08888-0008-36,MORPHINE 9 MG/G (0.9%) IN LIPODERM CREAM,28.6,25.45,5.95,28.6,727 NDC,08888-0008-37,MORPHINE 0.5 MG/0.2 ML IN AQUAPHOR,25.9,23.05,5.39,25.9,727 NDC,08888-0008-40,NIFEDIPINE 0.1% IN PLASTICIZED PF BASE,96.3,85.71,20.03,96.3,727 NDC,08888-0008-41,NITROFURAZONE 0.2% IN MIXED PEG BASE,100.5,89.45,20.9,100.5,727 NDC,08888-0008-44,NITROGLYCERIN IN D5W 100 MCG/ML INTRA-ARTERIAL SYRINGE,44.1,39.25,9.17,44.1,715 NDC,08888-0008-45,RESORCINOL-CALAMINE LOTION (MAYO PROD FOR NOMLANDS),454.4,404.42,94.52,454.4,727 NDC,08888-0008-47,PHENYLEPHRINE 500 MCG/ML DILUTION INJECTION (RST PROD LAB/CNR),36.7,32.66,7.63,36.7,717 NDC,08888-0008-57,PROMETHAZINE 12.5 MG/G IN LIPODERM CREAM,20.0,17.8,4.16,20.0,727 NDC,08888-0008-58,PROMETHAZINE 25 MG/G IN LIPODERM CREAM,20.0,17.8,4.16,20.0,715 NDC,08888-0008-59,PROMETHAZINE 7.5 MG/0.1 ML IN LIPODERM CREAM,5.9,5.25,1.23,5.9,727 NDC,08888-0008-60,QUETIAPINE 25 MG SUPPOSITORY,12.7,11.3,2.64,12.7,727 NDC,08888-0008-61,QUETIAPINE 100 MG SUPPOSITORY,6.2,5.52,1.29,6.2,727 NDC,08888-0008-62,ROSE-GERANIUM IN SESAME OIL NASAL SPRAY,76.0,67.64,15.81,76.0,727 NDC,08888-0008-65,SALICYLIC ACID 3% IN PLASTICIZED BASE,171.6,152.72,35.69,171.6,727 NDC,08888-0008-75,SALICYLIC ACID 10% IN VANICREAM,157.9,140.53,32.84,157.9,727 NDC,08888-0008-79,SALICYLIC ACID 20%-5-FLUOROURACIL 5% IN PLASTICIZED BASE,342.0,304.38,71.14,342.0,727 NDC,08888-0008-83,SODIUM BENZOATE 250 MG CAPSULE,63.2,56.25,13.15,63.2,727 NDC,08888-0008-90,SODIUM THIOSULFATE 25% IN ZINC OXIDE OINTMENT,262.1,233.27,54.52,262.1,727 NDC,08888-0008-91,SODIUM THIOSULFATE (BULK) 100 % CRYSTALS,158.2,140.8,32.91,158.2,715 NDC,08888-0008-99,TEMOZOLOMIDE 10 MG/ML ORAL SUSPENSION,16.1,14.33,3.35,16.1,727 NDC,08888-0009-01,TRETINOIN 10 MG/ML ORAL SUSPENSION,558.9,497.42,116.25,558.9,727 NDC,08888-0009-02,TRIAMCINOLONE ACETONIDE 0.01 % IN VANICREAM,154.4,137.42,32.12,154.4,727 NDC,08888-0009-05,TRIAMCINOLONE ACETONIDE 0.025% IN VANICREAM,262.8,233.89,54.66,262.8,727 NDC,08888-0009-07,TRIAMCINOLONE ACETONIDE 0.05% IN PLASTICIZED BASE,172.4,153.44,35.86,172.4,727 NDC,08888-0009-09,TRIAMCINOLONE ACETONIDE 0.05% IN VANICREAM,346.3,308.21,72.03,346.3,727 NDC,08888-0009-11,TRIAMCINOLONE ACETONIDE 0.1% IN PLASTICIZED BASE,195.8,174.26,40.73,195.8,727 NDC,08888-0009-12,TRIAMCINOLONE ACETONIDE 0.1% IN VANICREAM,96.7,86.06,20.11,96.7,727 NDC,08888-0009-14,TRIAMCINOLONE ACETONIDE 0.5% IN VANICREAM,249.6,222.14,51.92,249.6,727 NDC,08888-0009-18,POLYMYXIN B-BACITRACIN-ZINC OXIDE (WAITES ANTIBIOTIC DRESSING),110.1,97.99,22.9,110.1,727 NDC,08888-0009-25,SIROLIMUS 1% IN PETROLATUM,433.6,385.9,90.19,433.6,727 NDC,08888-0009-29,ASPIRIN 40.5 MG PARTIAL (1/2) CHEWABLE TABLET,0.5,0.45,0.1,0.5,727 NDC,08888-0009-30,ASPIRIN 20.25 MG PARTIAL (1/4) CHEWABLE TABLET,0.5,0.45,0.1,0.5,727 NDC,08888-0009-31,CEFEPIME 5 MG/ML LOCK SOLUTION (CNR),35.8,31.86,1.0,35.8,719 NDC,08888-0009-32,CEFEPIME 5 MG/ML LOCK SOLUTION (CNR),35.8,31.86,1.0,35.8,719 NDC,08888-0009-34,AMPICILLIN 250 MG/ML STOCK SOLUTION FOR DESENSITIZATION,105.8,94.16,2.72,105.8,719 NDC,08888-0009-44,ACETIC ACID (BULK) 5 % LIQUID (NON-STERILE),20.1,17.89,4.18,20.1,727 NDC,08888-0009-48,P-HYDROXYBENZOIC ACID 250 MG CAPSULE,72.6,64.61,15.1,72.6,727 NDC,08888-0009-49,P-HYDROXYBENZOIC ACID 50 MG CAPSULE,70.6,62.83,14.68,70.6,727 NDC,08888-0009-69,ATENOLOL 2 MG/ML SF ORAL SUSPENSION,5.1,4.54,1.06,5.1,727 NDC,08888-0009-70,AZATHIOPRINE 5 MG/ML ORAL SUSPENSION,458.3,407.89,0.98,458.3,719 NDC,08888-0009-72,BETHANECHOL CHLORIDE 5 MG/ML ORAL SUPENSION (CNR),286.9,255.34,59.68,286.9,727 NDC,08888-0009-73,BIOTIN 10 MG/ML ORAL SUSPENSION (CNR),272.7,242.7,56.72,272.7,727 NDC,08888-0009-74,CAPTOPRIL 1 MG/ML ORAL SUSPENSION (CNR),20.7,18.42,4.31,20.7,727 NDC,08888-0009-75,CARBIDOPA-LEVODOPA 2.5 MG-10 MG/ML ORAL SUSPENSION (CNR),13.1,11.66,2.72,13.1,727 NDC,08888-0009-76,CARVEDILOL 1.67 MG/ML ORAL SUSPENSION (CNR),14.2,12.64,2.95,14.2,727 NDC,08888-0009-79,CLONIDINE 5 MCG/ML ORAL SUSPENSION,669.5,595.86,139.26,669.5,727 NDC,08888-0009-81,CLOPIDOGREL 5 MG/ML ORAL SUSPENSION,292.8,260.59,60.9,292.8,727 NDC,08888-0009-83,DIAZOXIDE 10 MG/ML ORAL SUSPENSION (DILUTION),70.1,62.39,14.58,70.1,727 NDC,08888-0009-84,DILTIAZEM 12 MG/ML ORAL SUSPENSION,31.1,27.68,6.47,31.1,727 NDC,08888-0009-85,"DIPHENHYDRAMINE 0.83 MG-NYSTATIN 33,333 U-LIDOCAINE 6.7 MG/ML SUSP",7.0,6.23,1.46,7.0,715 NDC,08888-0009-87,DIPYRIDAMOLE 10 MG/ML ORAL SUSPENSION,244.0,217.16,50.75,244.0,727 NDC,08888-0009-90,DOXAPRAM 2 MG/ML ORAL DILUTION SOLUTION,181.0,161.09,37.65,181.0,715 NDC,08888-0009-91,FLECAINIDE 20 MG/ML ORAL SUSPENSION (CNR),389.8,346.92,81.08,389.8,727 NDC,08888-0009-92,FLUCYTOSINE 50 MG/ML ORAL SUSPENSION (CNR) (RESTRICTED),6691.2,5955.17,1391.77,6691.2,727 NDC,08888-0009-96,GLUTAMINE 500 MG/ML ORAL SUSPENSION,4.7,4.18,0.98,4.7,727 NDC,08888-0009-97,HYDROCHLOROTHIAZIDE 5 MG/ML ORAL SUSPENSION,288.1,256.41,59.92,288.1,727 NDC,08888-0009-99,HYDROXYCHLOROQUINE 25 MG/ML ORAL SUSPENSION,9.0,8.01,1.87,9.0,727 NDC,08888-0010-01,ISRADIPINE 1 MG/ML ORAL SUSPENSION,50.7,45.12,10.55,50.7,727 NDC,08888-0010-02,LABETALOL 40 MG/ML ORAL SUSPENSION (CNR),60.4,53.76,12.56,60.4,727 NDC,08888-0010-04,LAMOTRIGINE 1 MG/ML ORAL SUSPENSION,284.7,253.38,59.22,284.7,727 NDC,08888-0010-09,METOLAZONE 1 MG/ML ORAL SUSPENSION,9.0,8.01,1.87,9.0,727 NDC,08888-0010-10,METOLAZONE 1 MG/ML SUGAR-FREE ORAL SUSPENSION,9.0,8.01,1.87,9.0,727 NDC,08888-0010-11,METOPROLOL TARTRATE 10 MG/ML ORAL SUSP,80.2,71.38,16.68,80.2,727 NDC,08888-0010-14,MEXILETINE 10 MG/ML ORAL SUSPENSION,291.2,259.17,60.57,291.2,727 NDC,08888-0010-16,MOXIFLOXACIN 20 MG/ML ORAL SUSPENSION,28.2,25.1,5.87,28.2,727 NDC,08888-0010-17,MOXIFLOXACIN 20 MG/ML SUGAR-FREE ORAL SUSPENSION,28.2,25.1,5.87,28.2,727 NDC,08888-0010-18,NADOLOL 10 MG/ML ORAL SUSPENSION,305.9,272.25,63.63,305.9,727 NDC,08888-0010-19,NADOLOL 10 MG/ML SUGAR-FREE ORAL SUSPENSION,305.9,272.25,63.63,305.9,727 NDC,08888-0010-20,NEOMYCIN 25 MG/ML ORAL SOLUTION,288.5,256.76,60.01,288.5,727 NDC,08888-0010-21,NIFEDIPINE 4 MG/ML ORAL SUSPENSION,93.7,83.39,19.49,93.7,727 NDC,08888-0010-24,POTASSIUM ACETATE 1 MEQ/ML ORAL SOLUTION,255.1,227.04,53.06,255.1,715 NDC,08888-0010-25,PRAZOSIN 100 MCG/ML ORAL SUSPENSION,18.9,16.82,3.93,18.9,727 NDC,08888-0010-30,RIFAMPIN 25 MG/ML SUGAR-FREE ORAL SUSPENSION,329.5,293.26,68.54,329.5,727 NDC,08888-0010-34,SILDENAFIL 2.5 MG/ML ORAL SUSPENSION (CNR),401.8,357.6,83.57,401.8,727 NDC,08888-0010-41,TRAMADOL 5 MG/ML SUGAR-FREE ORAL SUSPENSION (CNR) (RESTRICTED),12.8,11.39,2.66,12.8,727 NDC,08888-0010-42,TRANEXAMIC ACID 5% ORAL RINSE,23.5,20.92,4.89,23.5,715 NDC,08888-0010-43,URSODIOL 20 MG/ML ORAL SUSPENSION (CNR),219.7,195.53,45.7,219.7,727 NDC,08888-0010-44,VALACYCLOVIR 50 MG/ML ORAL SUSPENSION,419.1,373.0,87.17,419.1,727 NDC,08888-0010-52,DILTIAZEM 12 MG/ML SUGAR-FREE ORAL SUSPENSION,1119.2,996.09,232.79,1119.2,727 NDC,08888-0010-62,POTASSIUM PERCHLORATE 200 MG/30 ML SOLUTION,20.0,17.8,4.16,20.0,715 NDC,08888-0010-66,LIDOCAINE 2%-PHENYLEPHRINE 0.5% NASAL SPRAY (NON-STERILE),62.8,55.89,13.06,62.8,715 NDC,08888-0010-67,LIDOCAINE 2.5 %-PRILOCAINE 2.5 % DENTAL CARTRIDGE,27.1,24.12,5.64,27.1,727 NDC,08888-0010-71,ADENOSINE 6 MCG/ML INTRAVENOUS SOLUTION,35.2,31.33,0.61,35.2,719 NDC,08888-0010-74,YTTRIUM-90 MICROSPHERES 3 GBQ/5 ML FOR INTRAVENOUS SOLUTION,41487.5,36923.88,8629.4,41487.5,734 NDC,08888-0010-75,YTTRIUM-90 MICROSPHERES 3-20 GBQ/0.6 ML FOR INTRAVENOUS SOLUTION,42870.0,38154.3,8916.96,42870.0,734 NDC,08888-0010-76,IODINE-125 (I-125) SEED,495.0,440.55,102.96,495.0,718 NDC,08888-0010-77,SODIUM IODIDE-131 (I-131) > 100 MICROCURIE DIAGNOSTIC CAPSULE,42.5,37.83,8.84,42.5,717 NDC,08888-0010-78,INDIUM-111 CHARCOAL CAPSULE,506.0,450.34,105.25,506.0,728 NDC,08888-0010-81,KETOTIFEN FUMARATE 1 MG E4M CAPSULE,5.1,4.54,1.06,5.1,727 NDC,08888-0010-85,ELASTOMERIC PUMP RESERVOIR 100 ML (100 ML/HR),20.3,18.07,4.22,20.3,717 NDC,08888-0010-86,ELASTOMERIC PUMP RESERVOIR 250 ML (175 ML/HR),37.5,33.38,7.8,37.5,717 NDC,08888-0010-87,ELASTOMERIC PUMP RESERVOIR 400 ML (100 ML/HR),57.1,50.82,11.88,57.1,715 NDC,08888-0011-01,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,0.5,0.45,0.1,0.5,727 NDC,08888-0011-17,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION,25.8,22.96,5.37,25.8,727 NDC,08888-0011-37,LITHIUM CITRATE 8 MEQ/5 ML ORAL SOLUTION (WRAPPER),42.8,38.09,8.9,42.8,727 NDC,08888-0011-47,PHENYTOIN 25 MG/ML ORAL SUSPENSION (WRAPPER),6.2,5.52,1.29,6.2,727 NDC,08888-0011-48,POTAS AND SOD CITRATE-CITRIC ACID 550 MG-500 MG-334 MG/5 ML ORAL SOLN,2.5,2.23,0.52,2.5,727 NDC,08888-0011-76,MORPHINE CONCENTRATE 20 MG/ML ORAL SOLUTION (WRAPPER),10.2,9.08,2.12,10.2,727 NDC,08888-0011-81,IODINE-POTASSIUM IODIDE 5 %-10 % ORAL SOLUTION (PEDIATRIC),50.2,44.68,10.44,50.2,715 NDC,08888-0011-81,IODINE-POTASSIUM IODIDE 5 %-10 % TOPICAL SOLUTION,97.4,86.69,20.26,97.4,715 NDC,08888-0011-84,PROPARACAINE 0.5 % EYE DROPS,23.2,20.65,4.83,23.2,715 NDC,08888-0011-92,NITROGLYCERIN 100 MCG/1 ML IN NACL 0.9% DILUTION INJECTION,49.2,43.79,10.23,49.2,715 NDC,08888-0011-97,HYDROCODONE 10 MG-CHLORPHENIRAMINE 8 MG/5 ML ORAL SUSP EXTEND.REL 12HR,14.1,12.55,2.93,14.1,727 NDC,08888-0012-03,LEECH (MEDICINAL),98.3,87.49,20.45,98.3,715 NDC,08888-0012-18,LIDOCAINE 0.9 %-SODIUM BICARBONATE 0.84% BUFFERED (WRAPPER),35.2,31.33,7.32,35.2,715 NDC,08888-0012-23,DEXTROSE 10 % WITH HEPARIN 0.5 UNIT/ML INFUSION (NEONATAL CODE),36.4,32.4,0.21,36.4,717 NDC,08888-0012-24,NEONATAL STD BASE SOLUTION - SODIUM ACETATE 0.28% WITH HEPARIN 1 UNIT/ML INFUSION (CNR),58.0,51.62,12.06,58.0,715 NDC,08888-0012-28,DEXTROSE 2.5 % IN 0.9 % NACL BOLUS (ANES),83.4,74.23,17.35,83.4,715 NDC,08888-0012-28,DEXTROSE 2.5 % IN 0.9 % NACL FIXED RATE (ANES),83.4,74.23,17.35,83.4,715 NDC,08888-0012-28,DEXTROSE 2.5 % IN 0.9 % NACL FREE DRIP (ANES),83.4,74.23,17.35,83.4,715 NDC,08888-0012-28,DEXTROSE 2.5 % IN LR BOLUS (ANES),79.2,70.49,16.47,79.2,715 NDC,08888-0012-28,DEXTROSE 2.5 % IN LR FIXED RATE (ANES),83.4,74.23,17.35,83.4,715 NDC,08888-0012-28,DEXTROSE 2.5 % IN LR FREE DRIP (ANES),83.4,74.23,17.35,83.4,715 NDC,08888-0012-46,IMATINIB 50 MG PARTIAL (1/2) TABLET,84.6,75.29,17.6,84.6,727 NDC,08888-0012-52,ENOXAPARIN DILUTION INJECTION 20 MG/ML (NEO/PED),46.3,41.21,1.84,46.3,719 NDC,08888-0012-60,NXSTAGE PUREFLOW 0K RFP-402 DIALYSATE,231.3,205.86,48.11,231.3,715 NDC,08888-0012-61,NXSTAGE PUREFLOW 2K RFP-400 DIALYSATE,231.3,205.86,48.11,231.3,715 NDC,08888-0012-62,NXSTAGE PUREFLOW 4K RFP-401 DIALYSATE,231.3,205.86,48.11,231.3,715 NDC,08888-0012-67,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML SYRUP (WRAPPER),29.8,26.52,6.2,29.8,727 NDC,08888-0012-68,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.45,0.1,0.5,727 NDC,08888-0012-76,TOPIRAMATE 6 MG/ML ORAL SUSPENSION,423.3,376.74,88.05,423.3,727 NDC,08888-0012-93,MORPHINE (PF) 30 MG/30 ML (1 MG/ML) PCA INTRAVENOUS SOLUTION,91.4,81.35,10.47,91.4,719 NDC,08888-0012-96,AMIKACIN 200 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),35.5,31.6,0.71,35.5,719 NDC,08888-0012-97,AMPHOTERICIN B 5 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),164.5,146.41,34.22,164.5,719 NDC,08888-0012-99,CLINDAMYCIN 1 MG/0.1 ML INTRAOCULAR INJECTION (CNR),35.7,31.77,7.43,35.7,717 NDC,08888-0013-03,TRANEXAMIC ACID 40 MG/10 ML SYRINGE PUMP PRIME (CNR),40.8,36.31,8.49,40.8,715 NDC,08888-0013-05,VANCOMYCIN 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),37.0,32.93,7.7,37.0,717 NDC,08888-0013-06,VANCOMYCIN 5 MG/ML-SODIUM CITRATE 3.8% LOCK SOLUTION (CNR),35.4,31.51,7.36,35.4,717 NDC,08888-0013-07,VANCOMYCIN 5 MG/ML-SODIUM CITRATE 3.8% LOCK SOLUTION (CNR),35.4,31.51,7.36,35.4,717 NDC,08888-0013-21,METHOTREXATE 400 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),290.9,258.9,2.97,290.9,719 NDC,08888-0013-22,VANCOMYCIN 1000 MCG/0.1 ML INTRAOCULAR SOLUTION (CNR),35.4,31.51,7.36,35.4,717 NDC,08888-0013-24,VORICONAZOLE 100 MCG/0.1 ML INTRAOCULAR INJECTION (CNR),140.6,125.13,0.86,140.6,719 NDC,08888-0013-48,VANCOMYCIN 5 MG/ML LOCK SOLUTION (CNR),35.9,31.95,7.47,35.9,717 NDC,08888-0013-49,VANCOMYCIN 5 MG/ML LOCK SOLUTION (CNR),36.3,32.31,7.55,36.3,717 NDC,08888-0013-50,"FOSCARNET 2,400 MCG/0.1 ML INTRAOCULAR INJECTION (REPACKAGED)",1154.4,1027.42,240.12,1154.4,717 NDC,08888-0013-64,VANCOMYCIN 1.5 GRAM/265 ML IN 0.9% NACL (CNR),199.4,177.47,41.48,199.4,717 NDC,08888-0013-69,MITOMYCIN 0.2 MG/ML (0.02 %) OPHTHALMIC SOLUTION (CNR),211.2,187.97,43.93,211.2,715 NDC,08888-0014-02,AMOXICILLIN 5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.2,4.63,1.08,5.2,727 NDC,08888-0014-04,AMPHOTERICIN B LIPOSOME 4 MG/ML STOCK SOLUTION FOR DESENSITIZATION,313.8,279.28,21.48,313.8,736 NDC,08888-0014-13,AZITHROMYCIN 100 MG/ML STOCK SOLUTION FOR IV DESENSITIZATION,45.1,40.14,2.35,45.1,719 NDC,08888-0014-14,AZITHROMYCIN 2 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,8.2,7.3,1.71,8.2,727 NDC,08888-0014-19,AZTREONAM 250 MG/ML STOCK SOLUTION FOR DESENSITIZATION,396.1,352.53,82.39,396.1,715 NDC,08888-0014-22,CEFAZOLIN 200 MG/ML STOCK SOLUTION FOR DESENSITIZATION,48.5,43.17,1.9,48.5,719 NDC,08888-0014-25,CEFEPIME 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,56.4,50.2,3.98,56.4,719 NDC,08888-0014-31,CEFPODOXIME 5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,7.1,6.32,1.48,7.1,727 NDC,08888-0014-34,CEFTAZIDIME 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,125.5,111.69,6.75,125.5,719 NDC,08888-0014-37,CEFTRIAXONE FOR DESENSITIZATION 100 MG/ML STOCK SOLUTION,73.0,64.97,4.25,73.0,719 NDC,08888-0014-43,CEPHALEXIN 5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.1,4.54,1.06,5.1,727 NDC,08888-0014-47,CIPROFLOXACIN 10 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.8,5.16,1.21,5.8,727 NDC,08888-0014-52,CLARITHROMYCIN 50 MG/ML ORAL SOLUTION FOR DESENSITIZATION,5.1,4.54,1.06,5.1,727 NDC,08888-0014-55,CLOPIDOGREL 0.5 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.6,4.98,1.16,5.6,727 NDC,08888-0014-60,ERTAPENEM 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,129.3,115.08,21.07,129.3,719 NDC,08888-0014-65,MEROPENEM 50 MG/ML STOCK SOLUTION FOR DESENSITIZATION,82.6,73.51,2.2,82.6,719 NDC,08888-0014-70,NAFCILLIN 250 MG/ML STOCK SOLUTION FOR DESENSITIZATION,65.1,57.94,13.54,65.1,715 NDC,08888-0014-74,"PENICILLIN G 500,000 UNITS/ML STOCK SOLUTION FOR DESENSITIZATION",170.8,152.01,35.53,170.8,717 NDC,08888-0014-77,PENICILLIN V POTASSIUM 5 MG/ML STOCK SOLUTION FOR ORAL DESENSITIZATION,5.1,4.54,1.06,5.1,727 NDC,08888-0014-82,PIPERACILLIN-TAZOBACTAM 225 MG/ML STOCK SOLUTION FOR DESENSITIZATION,219.6,195.44,3.76,219.6,719 NDC,08888-0014-86,SULFAMETHOXAZOLE 10 MG-TRIMETHOPRIM 2 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.5,4.89,1.14,5.5,727 NDC,08888-0014-91,VANCOMYCIN 100 MG/ML STOCK SOLUTION FOR DESENSITIZATION,110.8,98.61,23.05,110.8,717 NDC,08888-0018-80,TRANEXAMIC ACID 1 G/60 ML 0.9% NACL (CNR),193.5,172.22,40.25,193.5,715 NDC,08888-0018-86,NEONATAL PARENTERAL STARTER FLUID - PERIPHERAL LINE,684.2,608.94,142.31,684.2,715 NDC,08888-0018-87,NEONATAL PARENTERAL STARTER FLUID - CENTRAL LINE,694.7,618.28,144.5,694.7,715 NDC,08888-0018-98,LACTULOSE 200 G/1000 ML IN STERILE WATER ENEMA (CNR),254.8,226.77,53.0,254.8,715 NDC,08888-0019-27,ELASTOMERIC PUMP RESERVOIR (CB6007) 600 ML/750 ML (1 ML/HR),1582.5,1408.43,329.16,1582.5,717 NDC,08888-0019-30,AZITHROMYCIN 500 MG/250 ML IN 0.9% NACL (CNR),83.8,74.58,2.35,83.8,719 NDC,08888-0019-43,DAPTOMYCIN 5 MG/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),36.3,32.31,0.32,36.3,719 NDC,08888-0019-44,DAPTOMYCIN 5 MG/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),36.3,32.31,0.32,36.3,719 NDC,08888-0019-47,POVIDONE-IODINE 5 % EYE SOLUTION,14.6,12.99,3.04,14.6,715 NDC,08888-0019-49,METHACHOLINE CHLORIDE 10 MG/ML SOLUTION FOR CHALLENGE,22.4,19.94,4.66,22.4,719 NDC,08888-0019-50,METHACHOLINE CHLORIDE 2.5 MG/ML SOLUTION FOR CHALLENGE,9.0,8.01,1.87,9.0,719 NDC,08888-0019-51,METHACHOLINE CHLORIDE 0.25 MG/ML SOLUTION FOR CHALLENGE,5.5,4.89,1.14,5.5,719 NDC,08888-0019-52,METHACHOLINE CHLORIDE 0.025 MG/ML SOLUTION FOR CHALLENGE,5.5,4.89,1.14,5.5,719 NDC,08888-0019-54,VANCOMYCIN 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),38.2,34.0,7.95,38.2,717 NDC,08888-0019-58,LANSOPRAZOLE 3 MG/ML ORAL SUSPENSION,13.4,11.93,2.79,13.4,715 NDC,08888-0019-63,DEXTROSE 40 % ORAL GEL (NEONATE),4.6,4.09,0.96,4.6,727 NDC,08888-0019-66,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.45,0.1,0.5,727 NDC,08888-0019-71,FD&C BLUE DYE NO.2 8 MG/ML (0.8 %) SOLUTION,5.2,4.63,1.08,5.2,715 NDC,08888-0019-79,DEXTROSE 40 % ORAL GEL (NEONATE),3.0,2.67,0.62,3.0,727 NDC,08888-0019-84,AMIKACIN 5 MG/ML LOCK SOLUTION (CNR),36.1,32.13,0.71,36.1,719 NDC,08888-0019-85,AMIKACIN 5 MG/ML LOCK SOLUTION (CNR),36.1,32.13,0.71,36.1,719 NDC,08888-0019-94,METHOHEXITAL 100 MG/10 ML (10 MG/ML) IN STERILE WATER (PF) IV SYRINGE,86.3,76.81,17.95,86.3,715 NDC,08888-0019-96,GENTAMICIN 1 MG/ML-HEPARIN 2500 UNITS/ML LOCK SOLUTION (CNR),39.0,34.71,2.49,39.0,719 NDC,08888-0020-05,SODIUM IODIDE-123 >/= 1 MILLICURIE CAPSULE,76.0,67.64,15.81,76.0,717 NDC,08888-0020-11,SULFAMETHOXAZOLE 40 MG-TRIMETHOPRIM 8 MG/ML STOCK SUSPENSION FOR DESENSITIZATION,8.0,7.12,1.66,8.0,727 NDC,08888-0020-12,PHENOBARB-HYOSCYAMN-ATROPINE-SCOP 16.2 MG-0.1037 MG/5 ML (5 ML) ELIXIR,29.7,26.43,6.18,29.7,727 NDC,08888-0020-16,"HEPARIN (PORCINE) 2,000 UNIT/1,000 ML IN 0.9% NACL (WRAPPER) FLUSH INFUSION",85.5,76.1,0.41,85.5,717 NDC,08888-0020-18,SITAGLIPTIN 25 MG PARTIAL (1/2) TABLET,28.4,25.28,5.91,28.4,727 NDC,08888-0020-22,TRANEXAMIC ACID 8 MG/ML INFUSION IN 0.9% NACL 250 ML (CNR),237.8,211.64,49.46,237.8,715 NDC,08888-0020-41,AMPHOTERICIN B 2.5 MG/ML LOCK SOLUTION (CNR) (RESTRICTED),49.8,44.32,10.36,49.8,719 NDC,08888-0020-42,AMPHOTERICIN B 2.5 MG/ML LOCK SOLUTION (CNR) (RESTRICTED),49.8,44.32,10.36,49.8,719 NDC,08888-0020-43,CARBOPLATIN 0.1 MG INJECTION DESENSITIZATION,118.0,105.02,24.54,118.0,719 NDC,08888-0020-46,CEFAZOLIN 5 MG/ML LOCK SOLUTION (CNR),35.2,31.33,0.95,35.2,719 NDC,08888-0020-47,CEFAZOLIN 5 MG/ML LOCK SOLUTION (CNR),35.2,31.33,0.95,35.2,719 NDC,08888-0020-48,CEFAZOLIN 5 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),35.8,31.86,0.95,35.8,719 NDC,08888-0020-49,CEFAZOLIN 5 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR),35.7,31.77,0.95,35.7,719 NDC,08888-0020-50,CEFAZOLIN 5 MG/ML-HEPARIN 100 UNITS/ML LOCK SOLUTION (CNR),35.7,31.77,0.95,35.7,719 NDC,08888-0020-51,CEFAZOLIN 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),36.3,32.31,0.95,36.3,719 NDC,08888-0020-52,CEFEPIME 5 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),35.7,31.77,1.0,35.7,719 NDC,08888-0020-53,CEFEPIME 5 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),35.7,31.77,1.0,35.7,719 NDC,08888-0020-54,CEFEPIME 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),37.4,33.29,1.0,37.4,719 NDC,08888-0020-55,CEFEPIME 5 MG/ML-HEPARIN 1000 UNITS/ML LOCK SOLUTION (CNR),37.1,33.02,1.0,37.1,719 NDC,08888-0020-57,CEFUROXIME 100 MG/ML INJECTION (NEO/PED),36.2,32.22,4.72,36.2,719 NDC,08888-0020-57,CEFUROXIME 100 MG/ML PERIARTICULAR INJECTION (1.5 G VIAL),35.6,31.68,2.36,35.6,719 NDC,08888-0020-58,CEFUROXIME 50 MG/ML ORAL SUSPENSION FOR DESENSITIZATION,5.2,4.63,1.08,5.2,727 NDC,08888-0020-64,DAPTOMYCIN 5 MG/ML-HEPARIN 100 UNITS/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),49.4,43.97,0.32,49.4,719 NDC,08888-0020-65,DAPTOMYCIN 5 MG/ML-HEPARIN 1000 UNITS/ML IN LR LOCK SOLUTION (CNR) (RESTRICTED),37.7,33.55,0.32,37.7,719 NDC,08888-0020-70,GANCICLOVIR 2000 MCG/0.05 ML INTRAOCULAR INJECTION (CNR),200.9,178.8,38.55,200.9,719 NDC,08888-0020-71,GENTAMICIN 1 MG/ML DILUTION INJECTION (NEONATE) - RST,107.2,95.41,2.49,107.2,719 NDC,08888-0020-72,GENTAMICIN 1 MG/ML-SODIUM CITRATE 3.9% LOCK SOLUTION (CNR),35.4,31.51,2.49,35.4,719 NDC,08888-0020-73,GENTAMICIN 1 MG/ML-SODIUM CITRATE 3.9% LOCK SOLUTION (CNR),35.4,31.51,2.49,35.4,719 NDC,08888-0020-74,GENTAMICIN 1.2 G POWDER VIAL OSM,62.8,55.89,13.06,62.8,715 NDC,08888-0020-74,GENTAMICIN SULFATE (BULK) POWDER,62.8,55.89,13.06,62.8,715 NDC,08888-0020-76,GENTAMICIN 5 MG/ML LOCK SOLUTION (CNR),36.2,32.22,2.49,36.2,719 NDC,08888-0020-77,GENTAMICIN 5 MG/ML LOCK SOLUTION (CNR),36.2,32.22,2.49,36.2,719 NDC,08888-0020-80,LINEZOLID 1 MG/ML IN SODIUM CITRATE 2% LOCK SOLUTION (CNR) (RESTRICTED),36.4,32.4,3.15,36.4,719 NDC,08888-0020-81,LINEZOLID 2 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR) (RESTRICTED),37.5,33.38,3.15,37.5,719 NDC,08888-0020-86,METHYLPREDNISOLONE SOD SUCC (PF) 4 MG/ML DILUTION INJECTION (NEO/PED),53.4,47.53,11.11,53.4,721 NDC,08888-0020-88,NALOXONE 10 MCG/ML DILUTION INJECTION (NEO/PED) - RST ONLY (CNR),87.9,78.23,18.28,87.9,717 NDC,08888-0020-89,OXALIPLATIN 5 MG/ML INJECTION DESENSITIZATION,102.8,91.49,21.38,102.8,719 NDC,08888-0020-97,SODIUM BICARBONATE 0.25 MEQ/ML INTRAFETAL INTRAVENOUS DILUTION (ANES),38.9,34.62,8.09,38.9,715 NDC,08888-0021-05,VANCOMYCIN 2 MG/ML-HEPARIN 10 UNITS/ML LOCK SOLUTION (CNR),36.8,32.75,7.65,36.8,717 NDC,08888-0021-06,VANCOMYCIN 2.5 MG/ML-GENTAMICIN 1 MG/ML LOCK SOLUTION (CNR),35.6,31.68,7.4,35.6,715 NDC,08888-0021-07,VANCOMYCIN 2.5 MG/ML-GENTAMICIN 1 MG/ML LOCK SOLUTION (CNR),35.7,31.77,7.43,35.7,715 NDC,08888-0021-08,VANCOMYCIN 2.5 MG/ML-GENTAMICIN 1 MG/ML-SODIUM CITRATE 3.8% LOCK SOLN (CNR),35.4,31.51,7.36,35.4,715 NDC,08888-0021-09,VANCOMYCIN 2.5 MG/ML-GENTAMICIN 1 MG/ML-SODIUM CITRATE 3.8% LOCK SOLN (CNR),35.4,31.51,7.36,35.4,715 NDC,08888-0021-10,VANCOMYCIN 25 MG/0.5 ML (PF) SUBCONJUNCTIVAL INJECTION,544.8,484.87,113.32,544.8,717 NDC,08888-0021-11,VANCOMYCIN 250 MG/5 ML (50 MG/ML) INHALATION SOLUTION (CNR),8.9,7.92,1.85,8.9,715 NDC,08888-0021-12,ZIDOVUDINE 1 MG/ML DILUTION INJECTION (NEONATE),42.0,37.38,1.51,42.0,736 NDC,08888-0021-28,HYDROMORPHONE (PF) 100 MCG/1 ML INJECTION DILUTION (CNR),101.1,89.98,21.03,101.1,717 NDC,08888-0021-37,DOXYLAMINE SUCCINATE 12.5 MG PARTIAL (1/2) TABLET,2.4,2.14,0.5,2.4,727 NDC,08888-0021-41,KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION (MIBI),145.0,129.05,30.16,145.0,717 NDC,08888-0021-50,EPINEPHRINE-LIDOCAINE 0.025%-0.75% IN BSS PLUS INTRAOCULAR INJECTION/SOLUTION (CNR),57.1,50.82,11.88,57.1,715 NDC,08888-0021-51,LIDOCAINE-HYALURONIDASE (OPHTHALMIC BLOCK SOLUTION #1) CNR,172.4,153.44,35.86,172.4,715 NDC,08888-0021-54,FLUOROURACIL INFUSION PUMP (COMPOUNDED BY NON-MAYO PHARMACY),109.4,97.37,2.23,109.4,719 NDC,08888-0021-66,ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP,5.8,5.16,1.21,5.8,727 NDC,08888-0021-91,RX AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION - 15 ML,68.7,61.14,14.29,68.7,719 NDC,08888-0022-19,RX OSELTAMIVIR 6 MG/ML ORAL SUSPENSION - 60 ML,511.1,454.88,106.31,511.1,719 NDC,08888-0022-37,GLUCOSE 4 GRAM CHEWABLE TABLET,2.7,2.4,0.56,2.7,727 NDC,08888-0022-43,GENTAMICIN 80 MG/1000 ML STERILE IRRIGATION (WILSON'S SOLUTION) (CNR),346.0,307.94,71.97,346.0,715 NDC,08888-0022-46,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.45,0.1,0.5,727 NDC,08888-0022-47,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.45,0.1,0.5,727 NDC,08888-0022-48,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.45,0.1,0.5,727 NDC,08888-0022-49,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.45,0.1,0.5,727 NDC,08888-0022-50,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.45,0.1,0.5,727 NDC,08888-0022-51,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.45,0.1,0.5,727 NDC,08888-0022-52,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.45,0.1,0.5,727 NDC,08888-0022-53,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.45,0.1,0.5,727 NDC,08888-0022-54,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.45,0.1,0.5,727 NDC,08888-0022-55,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.45,0.1,0.5,727 NDC,08888-0022-56,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.45,0.1,0.5,727 NDC,08888-0022-57,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.45,0.1,0.5,727 NDC,08888-0022-67,METHACHOLINE CHLORIDE 25 MG/ML SOLUTION FOR CHALLENGE,216.3,192.51,44.99,216.3,719 NDC,08888-0022-68,METHACHOLINE CHLORIDE 5 MG/ML SOLUTION FOR CHALLENGE,167.6,149.16,10.91,167.6,719 NDC,08888-0022-76,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION ANES ONLY,70.6,62.83,14.68,70.6,715 NDC,08888-0022-76,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 NACL INJECTION ANES ONLY,81.9,72.89,17.04,81.9,715 NDC,08888-0022-93,CALCIUM CHLORIDE 100 MG/ML STRAIGHT DRUG INFUSION 100 ML (CNR/REPACKAGING) WRAPPER,220.9,196.6,45.95,220.9,715 NDC,08888-0022-97,ETHANOL (ETHYL ALCOHOL) 30%-SODIUM CITRATE 2.8% LOCK SOLUTION (CNR)(RESTRICTED),391.7,348.61,81.47,391.7,715 NDC,08888-0022-98,ETHANOL (ETHYL ALCOHOL) 30%-SODIUM CITRATE 2.8% LOCK SOLUTION (CNR)(RESTRICTED),525.0,467.25,109.2,525.0,715 NDC,08888-0023-00,GLUTAMINE (BULK) POWDER,326.4,290.5,67.89,326.4,715 NDC,08888-0023-05,"LIDOCAINE 1 %-EPINEPHRINE 1:200,000 INJECTION SOLUTION (CNR)",43.1,38.36,8.96,43.1,715 NDC,08888-0023-06,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,155.4,138.31,15.52,155.4,719 NDC,08888-0023-07,NEOMYCIN SULFATE (BULK) POWDER,107.5,95.68,22.36,107.5,727 NDC,08888-0023-08,ACETAZOLAMIDE 25 MG/ML ORAL SUSPENSION (CNR),22.5,20.02,4.68,22.5,727 NDC,08888-0023-09,ALLOPURINOL 20 MG/ML ORAL SUSPENSION (CNR),164.5,146.41,34.22,164.5,727 NDC,08888-0023-10,AMLODIPINE BENZOATE 1 MG/ML ORAL SUSPENSION,7.8,6.94,1.62,7.8,727 NDC,08888-0023-11,BACLOFEN 5 MG/ML ORAL SUSPENSION,5.6,4.98,1.16,5.6,727 NDC,08888-0023-16,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,0.5,0.45,0.1,0.5,727 NDC,08888-0023-38,CLONAZEPAM 0.1 MG/ML ORAL SUSPENSION (SUGAR FREE),643.1,572.36,133.76,643.1,727 NDC,08888-0023-39,CEFTRIAXONE 100 MG/ML IN SWIFI SYRINGES (CNR),57.9,51.53,2.13,57.9,719 NDC,08888-0024-10,LIDOCAINE VISCOUS 2 % MUCOSAL SOLUTION,6.7,5.96,1.39,6.7,727 NDC,08888-0024-24,METHADONE 5 MG/5 ML ORAL SOLUTION,10.9,9.7,2.27,10.9,727 NDC,08888-0024-40,MORPHINE 10 MG/5 ML ORAL SOLUTION,10.2,9.08,2.12,10.2,727 NDC,08888-0024-41,MORPHINE 10 MG/5 ML ORAL SOLUTION,10.4,9.26,2.16,10.4,727 NDC,08888-0024-42,MORPHINE 0.1 MG/ML ORAL SUSPENSION DILUTION (NEONATE),103.5,92.12,21.53,103.5,727 NDC,08888-0024-70,PHENYTOIN 25 MG/ML ORAL SUSPENSION (WRAPPER),6.3,5.61,1.31,6.3,727 NDC,08888-0024-71,PHENYTOIN 25 MG/ML ORAL SUSPENSION (WRAPPER),6.3,5.61,1.31,6.3,727 NDC,08888-0024-72,PHENYTOIN 25 MG/ML ORAL SUSPENSION (WRAPPER),6.3,5.61,1.31,6.3,727 NDC,08888-0024-73,PHENYTOIN 25 MG/ML ORAL SUSPENSION (WRAPPER),6.3,5.61,1.31,6.3,727 NDC,08888-0024-85,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,44.5,39.6,9.26,44.5,727 NDC,08888-0024-86,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,44.5,39.6,9.26,44.5,727 NDC,08888-0025-05,SULFAMETHOXAZOLE 40 MG-TRIMETHOPRIM 8 MG/ML STOCK SUSPENSION FOR DESENSITIZATION,5.3,4.72,1.1,5.3,727 NDC,08888-0025-06,SULFAMETHOXAZOLE 40 MG-TRIMETHOPRIM 8 MG/ML STOCK SUSPENSION FOR DESENSITIZATION,5.6,4.98,1.16,5.6,727 NDC,08888-0025-07,SULFAMETHOXAZOLE 40 MG-TRIMETHOPRIM 8 MG/ML STOCK SUSPENSION FOR DESENSITIZATION,6.2,5.52,1.29,6.2,727 NDC,08888-0025-08,SULFAMETHOXAZOLE 40 MG-TRIMETHOPRIM 8 MG/ML STOCK SUSPENSION FOR DESENSITIZATION,7.4,6.59,1.54,7.4,727 NDC,08888-0025-09,SULFAMETHOXAZOLE 40 MG-TRIMETHOPRIM 8 MG/ML STOCK SUSPENSION FOR DESENSITIZATION,6.5,5.79,1.35,6.5,727 NDC,08888-0025-20,ELASTOMERIC PUMP RESERVOIR (CB002) 400 ML/550 ML (10 ML/HR),624.0,555.36,129.79,624.0,717 NDC,08888-0025-21,TRAMADOL 5 MG/ML SUGAR-FREE ORAL SUSPENSION (CNR) (RESTRICTED),10.6,9.43,2.2,10.6,727 NDC,08888-0025-22,URSODIOL 20 MG/ML ORAL SUSPENSION (CNR),22.1,19.67,4.6,22.1,727 NDC,08888-0025-23,URSODIOL 20 MG/ML ORAL SUSPENSION (CNR),645.0,574.05,134.16,645.0,727 NDC,08888-0025-29,ZINC SULFATE 44 MG/ML (10 MG/ML ELEMENTAL) ORAL SUSPENSION,8.1,7.21,1.68,8.1,727 NDC,08888-0025-34,HYDROMORPHONE 10 MG/ML CONCENTRATED ORAL DROPS,10.9,9.7,2.27,10.9,727 NDC,08888-0025-35,DEXAMETHASONE PHOSPHATE 24 MG/ML TRANSTYMPANIC INJECTION (RST PRD LAB),126.1,112.23,26.23,126.1,715 NDC,08888-0025-43,ELASTOMERIC PUMP RESERVOIR (CB004) 400 ML/550 ML (2-14 ML/HR),843.6,750.8,175.47,843.6,717 NDC,08888-0025-53,FOSPHENYTOIN 25 MG/ML PE/ML DILUTION INJECTION,111.0,98.79,1.47,111.0,734 NDC,08888-0025-56,GENTAMICIN 20 MG/0.5 ML SUBCONJUNCTIVAL INJECTION (PF) (MAYO PRD LAB),58.1,51.71,2.49,58.1,719 NDC,08888-0025-60,POTASSIUM PERMANGANATE 5% CONCENTRATED IRRIGATION (MAYO PROD LAB),102.2,90.96,21.26,102.2,715 NDC,08888-0025-64,TETRACAINE 0.5% LOLLIPOP (ADULT),93.3,83.04,19.41,93.3,715 NDC,08888-0025-65,ZINC SULFATE 44 MG/ML (10 MG/ML ELEMENTAL) ORAL SUSPENSION,290.5,258.55,60.42,290.5,727 NDC,08888-0025-66,SODIUM IODIDE-123 < 1 MILLICURIE CAPSULE,76.0,67.64,15.81,76.0,717 NDC,08888-0025-67,SODIUM IODIDE-123 < 1 MILLICURIE ORAL SOLUTION,76.0,67.64,15.81,76.0,724 NDC,08888-0025-68,SODIUM IODIDE-123 >/= 1 MILLICURIE ORAL SOLUTION,759.0,675.51,157.87,759.0,718 NDC,08888-0025-69,SODIUM IODIDE-131 (I-131) 100 MICROCURIE DIAGNOSTIC SOLUTION,42.5,37.83,8.84,42.5,717 NDC,08888-0025-71,SODIUM IODIDE-131 (I-131) 312 UNITS/ML IVPB BAG OF STRAIGHT DRUG (WRAPPER),9858.4,8773.98,66.64,9858.4,734 NDC,49591-0051-51,HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML INJECTION SOL (WRAPPER),224.8,200.07,46.76,224.8,736 NDC,49591-0330-51,"RHO(D) IMMUNE GLOBULIN-MALTOSE 1,500 UNIT (300 MCG)/1.3 ML INJECT.SOLN",1230.4,1095.06,25.46,1230.4,736 NDC,49591-0532-51,CYTOMEGALOVIRUS IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION,4835.8,4303.86,1005.85,4835.8,736 NDC,49702-0213-26,ZIDOVUDINE 10 MG/ML INJECTION (NEO/PED) - RST ONLY,142.5,126.83,1.51,142.5,736 NDC,49702-0223-18,MARAVIROC 150 MG TABLET,101.4,90.25,21.09,101.4,727 NDC,49702-0228-13,DOLUTEGRAVIR 50 MG TABLET,263.0,234.07,54.7,263.0,727 NDC,49702-0231-13,ABACAVIR 600 MG-DOLUTEGRAVIR 50 MG-LAMIVUDINE 300 MG TABLET,451.4,401.75,93.89,451.4,727 NDC,49702-0242-13,DOLUTEGRAVIR 50 MG-RILPIVIRINE 25 MG TABLET,426.9,379.94,88.8,426.9,727 NDC,49702-0246-13,DOLUTEGRAVIR 50 MG-LAMIVUDINE 300 MG TABLET,377.0,335.53,78.42,377.0,727 NDC,49702-0255-37,DOLUTEGRAVIR 5 MG TABLET FOR ORAL SUSPENSION,32.3,28.75,6.72,32.3,727 NDC,49884-0006-04,SODIUM PHENYLBUTYRATE 0.94 GRAM/GRAM ORAL POWDER,12236.2,10890.22,2545.13,12236.2,727 NDC,49884-0009-01,ISOSORBIDE DINITRATE 30 MG TABLET,6.2,5.52,1.29,6.2,727 NDC,49884-0110-74,ALPRAZOLAM 0.25 MG DISINTEGRATING TABLET,8.5,7.57,1.77,8.5,727 NDC,49884-0146-01,PENICILLAMINE 250 MG CAPSULE,37.5,33.38,7.8,37.5,727 NDC,49884-0147-11,"DEXLANSOPRAZOLE 30 MG CAPSULE,BIPHASE DELAYED RELEASE",19.2,17.09,3.99,19.2,727 NDC,49884-0161-11,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY,208.0,185.12,43.26,208.0,727 NDC,49884-0170-04,SODIUM PHENYLBUTYRATE 500 MG TABLET,70.0,62.3,14.56,70.0,727 NDC,49884-0222-03,DOXEPIN 150 MG CAPSULE,7.3,6.5,1.52,7.3,727 NDC,49884-0231-83,PRAZIQUANTEL 600 MG TABLET,207.1,184.32,43.08,207.1,727 NDC,49884-0308-02,CLONAZEPAM 0.5 MG DISINTEGRATING TABLET,13.1,11.66,2.72,13.1,727 NDC,49884-0309-02,CLONAZEPAM 1 MG DISINTEGRATING TABLET,8.5,7.57,1.77,8.5,727 NDC,49884-0310-52,CLONAZEPAM 2 MG DISINTEGRATING TABLET,14.8,13.17,3.08,14.8,727 NDC,49884-0347-01,PIMOZIDE 1 MG TABLET,10.2,9.08,2.12,10.2,727 NDC,49884-0348-01,PIMOZIDE 2 MG TABLET,11.0,9.79,2.29,11.0,727 NDC,49884-0424-11,ALISKIREN 150 MG TABLET,16.4,14.6,3.41,16.4,727 NDC,49884-0898-11,ZOLPIDEM 1.75 MG SUBLINGUAL TABLET,35.0,31.15,7.28,35.0,727 NDC,50111-0450-01,TRAZODONE 150 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,50227-1040-05,"ARTICAINE 4 %-EPINEPHRINE BITARTRATE 1:100,000 DENTAL CARTRIDGE",41.7,37.11,8.67,41.7,715 NDC,50227-1080-05,MEPIVACAINE 30 MG/ML (3 %) INJECTION DENTAL CARTRIDGE,39.7,35.33,8.26,39.7,715 NDC,50228-0109-01,CARISOPRODOL 350 MG TABLET,10.3,9.17,2.14,10.3,727 NDC,50228-0175-01,"BUPROPION HCL SR 150 MG TABLET,12 HR SUSTAINED-RELEASE",5.2,4.63,1.08,5.2,727 NDC,50228-0176-01,"BUPROPION HCL SR 200 MG TABLET,12 HR SUSTAINED-RELEASE",5.3,4.72,1.1,5.3,727 NDC,50228-0457-01,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET,5.2,4.63,1.08,5.2,727 NDC,50228-0466-01,NABUMETONE 750 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,50228-0483-01,DILTIAZEM 90 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,50228-0484-01,DILTIAZEM 120 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,50242-0014-03,TENECTEPLASE 25 MG INTRAVENOUS SOLUTION,20226.5,18001.58,172.22,20226.5,736 NDC,50242-0041-64,ALTEPLASE 1 MG/ML INTRAVENTRICULAR STERILE SYRINGE,575.5,512.2,94.45,575.5,733 NDC,50242-0041-64,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION,575.5,512.2,94.45,575.5,735 NDC,50242-0044-13,ALTEPLASE 50 MG INTRAVENOUS SOLUTION,10620.3,9452.07,94.45,10620.3,733 NDC,50242-0051-21,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",2752.3,2449.55,75.22,2752.3,737 NDC,50242-0051-21,RITUXIMAB 10 MG/ML INTRAOCULAR SYRINGE (FOR OR USE ONLY),132.9,118.28,27.64,132.9,736 NDC,50242-0053-06,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",11961.3,10645.56,75.22,11961.3,737 NDC,50242-0053-06,RITUXIMAB 10 MG/ML INTRAOCULAR SYRINGE (FOR OR USE ONLY),132.9,118.28,27.64,132.9,736 NDC,50242-0060-01,BEVACIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,2402.9,2138.58,73.2,2402.9,736 NDC,50242-0070-01,"OBINUTUZUMAB 1,000 MG/40 ML INTRAVENOUS SOLUTION",24133.8,21479.08,79.0,24133.8,737 NDC,50242-0080-03,RANIBIZUMAB 0.5 MG/0.05 ML INTRAVITREAL SOLUTION (WRAPPER),5273.2,4693.15,86.38,5273.2,736 NDC,50242-0082-03,RANIBIZUMAB 0.3 MG/0.05 ML INTRAVITREAL SOLUTION (WRAPPER),3334.0,2967.26,86.38,3334.0,736 NDC,50242-0085-27,ALTEPLASE 1 MG/ML IVPB FOR STROKE (NEO/PED),20815.5,18525.79,94.45,20815.5,733 NDC,50242-0085-27,ALTEPLASE 1 MG/ML SYRINGE FOR STROKE (NEO/PED),20815.5,18525.79,94.45,20815.5,733 NDC,50242-0085-27,ALTEPLASE 100 MG INTRAVENOUS SOLUTION,20815.5,18525.79,94.45,20815.5,733 NDC,50242-0090-02,VEMURAFENIB 240 MG TABLET,185.3,164.92,38.54,185.3,727 NDC,50242-0096-06,FARICIMAB-SVOA 6 MG/0.05 ML INTRAVITREAL SOLUTION (WRAPPER),6346.0,5647.94,33.88,6346.0,734 NDC,50242-0100-40,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION,515.2,458.53,107.16,515.2,731 NDC,50242-0125-01,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION,8110.4,7218.26,1686.96,8110.4,734 NDC,50242-0127-01,GLOFITAMAB-GXBM 1 MG/ML INTRAVENOUS SOLUTION,31091.6,27671.52,2767.88,31091.6,734 NDC,50242-0130-01,ALECTINIB 150 MG CAPSULE,285.3,253.92,59.34,285.3,727 NDC,50242-0135-01,TOCILIZUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER) (RESTRICTED),1519.7,1352.53,5.71,1519.7,736 NDC,50242-0136-01,TOCILIZUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER) (RESTRICTED),3661.8,3259.0,5.71,3661.8,736 NDC,50242-0137-01,TOCILIZUMAB 20 MG/ML INTRAVENOUS SOLUTION (WRAPPER) (RESTRICTED),6898.6,6139.75,5.71,6898.6,736 NDC,50242-0138-01,TOCILIZUMAB 162 MG/0.9 ML SUBCUTANEOUS SYRINGE,3345.9,2977.85,5.71,3345.9,736 NDC,50242-0142-01,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION,54372.2,48391.26,654.63,54372.2,734 NDC,50242-0143-01,TOCILIZUMAB 162 MG/0.9 ML SUBCUTANEOUS PEN INJECTOR,3288.6,2926.85,5.71,3288.6,736 NDC,50242-0150-01,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION,53872.3,47946.35,59.41,53872.3,736 NDC,50242-0159-01,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION,2247.4,2000.19,467.46,2247.4,734 NDC,50242-0176-01,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION,20226.5,18001.58,172.22,20226.5,736 NDC,50242-0176-01,TENECTEPLASE IV FOR STROKE (PEDIATRIC),20226.5,18001.58,172.22,20226.5,736 NDC,50242-0214-01,OMALIZUMAB 75 MG/0.5 ML SUBCUTANEOUS SYRINGE,1985.5,1767.1,44.6,1985.5,736 NDC,50242-0215-01,OMALIZUMAB 150 MG/ML SUBCUTANEOUS SYRINGE,4288.1,3816.41,44.6,4288.1,738 NDC,50242-0227-01,OMALIZUMAB 300 MG/2 ML SUBCUTANEOUS SYRINGE,8151.1,7254.48,44.6,8151.1,737 NDC,50242-0717-01,COBIMETINIB 20 MG TABLET,457.8,407.44,95.22,457.8,727 NDC,50242-0860-01,BALOXAVIR MARBOXIL 40 MG TABLET,529.5,471.26,110.14,529.5,727 NDC,50242-0918-01,ATEZOLIZUMAB 60 MG/ML INTRAVENOUS SOLUTION (WRAPPER),23718.0,21109.02,91.34,23718.0,734 NDC,50242-0933-01,"ATEZOLIZUMAB 1,875 MG-HYALURONIDASE-TQJS 30,000 UNIT/15 ML SUBCUT SOLN",33689.9,29984.01,31.58,33689.9,734 NDC,50268-0037-15,AMITRIPTYLINE 10 MG TABLET,6.3,5.61,1.31,6.3,727 NDC,50268-0040-15,AMITRIPTYLINE 75 MG TABLET,7.1,6.32,1.48,7.1,727 NDC,50268-0041-15,AMITRIPTYLINE 100 MG TABLET,7.3,6.5,1.52,7.3,727 NDC,50268-0042-12,"ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE",18.9,16.82,3.93,18.9,727 NDC,50268-0049-12,ABACAVIR 300 MG TABLET,27.6,24.56,5.74,27.6,727 NDC,50268-0050-15,ACEBUTOLOL 200 MG CAPSULE,9.6,8.54,2.0,9.6,727 NDC,50268-0054-15,ACETAZOLAMIDE 250 MG TABLET,12.4,11.04,2.58,12.4,727 NDC,50268-0057-13,ATOMOXETINE 25 MG CAPSULE,14.0,12.46,2.91,14.0,727 NDC,50268-0059-13,ATOMOXETINE 60 MG CAPSULE,16.9,15.04,3.52,16.9,727 NDC,50268-0061-15,ACYCLOVIR 400 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,50268-0062-15,ACYCLOVIR 800 MG TABLET,7.0,6.23,1.46,7.0,727 NDC,50268-0075-15,ANASTROZOLE 1 MG TABLET,7.0,6.23,1.46,7.0,727 NDC,50268-0087-12,ARIPIPRAZOLE 2 MG TABLET,8.1,7.21,1.68,8.1,727 NDC,50268-0090-12,ARIPIPRAZOLE 15 MG TABLET,9.1,8.1,1.89,9.1,727 NDC,50268-0091-12,ARIPIPRAZOLE 20 MG TABLET,9.7,8.63,2.02,9.7,727 NDC,50268-0092-12,ARIPIPRAZOLE 30 MG TABLET,11.3,10.06,2.35,11.3,727 NDC,50268-0102-13,BALSALAZIDE 750 MG CAPSULE,10.0,8.9,2.08,10.0,727 NDC,50268-0105-15,BACLOFEN 5 MG TABLET,9.9,8.81,2.06,9.9,727 NDC,50268-0106-15,BACLOFEN 10 MG TABLET,6.3,5.61,1.31,6.3,727 NDC,50268-0127-15,BISOPROLOL FUMARATE 5 MG TABLET,8.4,7.48,1.75,8.4,727 NDC,50268-0130-15,BUMETANIDE 0.5 MG TABLET,9.3,8.28,1.93,9.3,727 NDC,50268-0132-15,BUMETANIDE 2 MG TABLET,9.9,8.81,2.06,9.9,727 NDC,50268-0142-15,BUPROPION HCL 75 MG TABLET,8.0,7.12,1.66,8.0,727 NDC,50268-0143-15,BUPROPION HCL 100 MG TABLET,8.9,7.92,1.85,8.9,727 NDC,50268-0151-15,CEPHALEXIN 250 MG CAPSULE,6.1,5.43,1.27,6.1,727 NDC,50268-0152-15,CEPHALEXIN 500 MG CAPSULE,6.0,5.34,1.25,6.0,727 NDC,50268-0162-15,CHLORPROMAZINE 10 MG TABLET,10.5,9.35,2.18,10.5,727 NDC,50268-0164-15,CHLORPROMAZINE 50 MG TABLET,15.2,13.53,3.16,15.2,727 NDC,50268-0165-15,CHLORPROMAZINE 100 MG TABLET,19.0,16.91,3.95,19.0,727 NDC,50268-0167-15,CHLORTHALIDONE 25 MG TABLET,7.5,6.68,1.56,7.5,727 NDC,50268-0168-15,CELECOXIB 100 MG CAPSULE,7.3,6.5,1.52,7.3,727 NDC,50268-0169-15,CELECOXIB 200 MG CAPSULE,8.4,7.48,1.75,8.4,727 NDC,50268-0175-15,CLONAZEPAM 2 MG TABLET,11.6,10.32,2.41,11.6,727 NDC,50268-0176-15,CILOSTAZOL 50 MG TABLET,7.7,6.85,1.6,7.7,727 NDC,50268-0177-15,CILOSTAZOL 100 MG TABLET,7.6,6.76,1.58,7.6,727 NDC,50268-0187-15,COLCHICINE 0.6 MG TABLET,16.3,14.51,3.39,16.3,727 NDC,50268-0191-15,CYCLOBENZAPRINE 10 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,50268-0259-15,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",6.2,5.52,1.29,6.2,727 NDC,50268-0260-13,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",8.5,7.57,1.77,8.5,727 NDC,50268-0280-15,DOXYCYCLINE MONOHYDRATE 50 MG CAPSULE,6.6,5.87,1.37,6.6,727 NDC,50268-0281-15,DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE,7.2,6.41,1.5,7.2,727 NDC,50268-0297-15,"ERGOCALCIFEROL (VITAMIN D2) 1,250 MCG (50,000 UNIT) CAPSULE",9.4,8.37,1.96,9.4,727 NDC,50268-0304-15,FAMOTIDINE 40 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,50268-0312-15,FENOFIBRATE 54 MG TABLET,9.1,8.1,1.89,9.1,727 NDC,50268-0313-15,FENOFIBRATE 160 MG TABLET,9.9,8.81,2.06,9.9,727 NDC,50268-0320-15,FLECAINIDE 50 MG TABLET,8.1,7.21,1.68,8.1,727 NDC,50268-0321-15,FLECAINIDE 100 MG TABLET,7.5,6.68,1.56,7.5,727 NDC,50268-0346-15,FOLIC ACID 400 MCG TABLET,2.7,2.4,0.56,2.7,727 NDC,50268-0358-15,GLIMEPIRIDE 1 MG TABLET,6.6,5.87,1.37,6.6,727 NDC,50268-0359-15,GLIMEPIRIDE 2 MG TABLET,6.2,5.52,1.29,6.2,727 NDC,50268-0362-15,GLIPIZIDE 10 MG TABLET,6.8,6.05,1.41,6.8,727 NDC,50268-0366-15,FLUPHENAZINE 1 MG TABLET,14.2,12.64,2.95,14.2,727 NDC,50268-0374-15,GUANFACINE 2 MG TABLET,10.5,9.35,2.18,10.5,727 NDC,50268-0405-15,HYDROCORTISONE 5 MG TABLET,10.0,8.9,2.08,10.0,727 NDC,50268-0407-15,HYDROCORTISONE 20 MG TABLET,10.9,9.7,2.27,10.9,727 NDC,50268-0430-15,INDOMETHACIN 25 MG CAPSULE,6.0,5.34,1.25,6.0,727 NDC,50268-0431-15,INDOMETHACIN 50 MG CAPSULE,5.9,5.25,1.23,5.9,727 NDC,50268-0447-15,ISOSORBIDE DINITRATE 5 MG TABLET,7.2,6.41,1.5,7.2,727 NDC,50268-0450-12,ITRACONAZOLE 100 MG CAPSULE,13.8,12.28,2.87,13.8,727 NDC,50268-0476-15,LETROZOLE 2.5 MG TABLET,6.5,5.79,1.35,6.5,727 NDC,50268-0477-15,LEFLUNOMIDE 10 MG TABLET,12.5,11.13,2.6,12.5,727 NDC,50268-0478-15,LEFLUNOMIDE 20 MG TABLET,11.3,10.06,2.35,11.3,727 NDC,50268-0504-15,LOSARTAN 25 MG TABLET,6.0,5.34,1.25,6.0,727 NDC,50268-0505-15,LOSARTAN 50 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,50268-0506-15,LOSARTAN 100 MG TABLET,6.4,5.7,1.33,6.4,727 NDC,50268-0522-15,MECLIZINE 12.5 MG TABLET,6.3,5.61,1.31,6.3,727 NDC,50268-0525-15,MELOXICAM 7.5 MG TABLET,5.5,4.89,1.14,5.5,727 NDC,50268-0526-15,MELOXICAM 15 MG TABLET,5.5,4.89,1.14,5.5,727 NDC,50268-0534-15,METRONIDAZOLE 250 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,50268-0535-15,METRONIDAZOLE 500 MG TABLET,6.7,5.96,1.39,6.7,727 NDC,50268-0535-15,METRONIDAZOLE 500 MG TABLET (TOPICAL),6.7,5.96,1.39,6.7,727 NDC,50268-0543-15,"METOPROLOL SUCCINATE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",8.0,7.12,1.66,8.0,727 NDC,50268-0550-15,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",6.6,5.87,1.37,6.6,727 NDC,50268-0551-15,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",6.4,5.7,1.33,6.4,727 NDC,50268-0557-15,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,6.5,5.79,0.17,6.5,719 NDC,50268-0558-15,MYCOPHENOLATE MOFETIL 500 MG TABLET,7.6,6.76,0.34,7.6,719 NDC,50268-0573-15,MONTELUKAST 4 MG CHEWABLE TABLET,7.7,6.85,1.6,7.7,727 NDC,50268-0574-15,MONTELUKAST 5 MG CHEWABLE TABLET,7.7,6.85,1.6,7.7,727 NDC,50268-0577-15,"MESALAMINE ER 0.375 GRAM CAPSULE,EXTENDED RELEASE 24 HR",15.6,13.88,3.24,15.6,727 NDC,50268-0584-13,"NIACIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",9.9,8.81,2.06,9.9,727 NDC,50268-0594-15,NAPROXEN 250 MG TABLET,5.7,5.07,1.19,5.7,727 NDC,50268-0595-15,NAPROXEN 375 MG TABLET,5.8,5.16,1.21,5.8,727 NDC,50268-0597-15,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",7.8,6.94,1.62,7.8,727 NDC,50268-0623-15,NITROFURANTOIN MACROCRYSTAL 50 MG CAPSULE,10.1,8.99,2.1,10.1,727 NDC,50268-0624-15,NITROFURANTOIN MACROCRYSTAL 100 MG CAPSULE,13.6,12.1,2.83,13.6,727 NDC,50268-0627-15,"OXYBUTYNIN CHLORIDE ER 5 MG TABLET,EXTENDED RELEASE 24 HR",9.6,8.54,2.0,9.6,727 NDC,50268-0628-15,"OXYBUTYNIN CHLORIDE ER 10 MG TABLET,EXTENDED RELEASE 24 HR",14.4,12.82,3.0,14.4,727 NDC,50268-0629-13,"OXYBUTYNIN CHLORIDE ER 15 MG TABLET,EXTENDED RELEASE 24 HR",8.3,7.39,1.73,8.3,727 NDC,50268-0631-15,QUETIAPINE 50 MG TABLET,5.7,5.07,1.19,5.7,727 NDC,50268-0639-15,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",5.6,4.98,1.16,5.6,727 NDC,50268-0640-15,PAROXETINE 10 MG TABLET,6.4,5.7,1.33,6.4,727 NDC,50268-0642-15,PAROXETINE 30 MG TABLET,6.3,5.61,1.31,6.3,727 NDC,50268-0643-15,PAROXETINE 40 MG TABLET,6.4,5.7,1.33,6.4,727 NDC,50268-0652-12,PILOCARPINE 5 MG TABLET,12.5,11.13,2.6,12.5,727 NDC,50268-0662-15,PROPRANOLOL 10 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,50268-0663-15,PROPRANOLOL 20 MG TABLET,6.5,5.79,1.35,6.5,727 NDC,50268-0665-15,PRAVASTATIN 10 MG TABLET,6.3,5.61,1.31,6.3,727 NDC,50268-0666-15,PRAVASTATIN 20 MG TABLET,6.7,5.96,1.39,6.7,727 NDC,50268-0667-15,PRAVASTATIN 40 MG TABLET,7.1,6.32,1.48,7.1,727 NDC,50268-0668-12,PRAVASTATIN 80 MG TABLET,7.5,6.68,1.56,7.5,727 NDC,50268-0671-13,"POTASSIUM CHLORIDE ER 10 MEQ CAPSULE,EXTENDED RELEASE",7.0,6.23,1.46,7.0,727 NDC,50268-0686-15,PRIMIDONE 50 MG TABLET,6.4,5.7,1.33,6.4,727 NDC,50268-0687-15,PRIMIDONE 250 MG TABLET,6.8,6.05,1.41,6.8,727 NDC,50268-0694-15,RALOXIFENE 60 MG TABLET,14.3,12.73,2.97,14.3,727 NDC,50268-0710-15,ROSUVASTATIN 20 MG TABLET,7.3,6.5,1.52,7.3,727 NDC,50268-0711-15,ROSUVASTATIN 40 MG TABLET,7.7,6.85,1.6,7.7,727 NDC,50268-0718-13,SIROLIMUS 1 MG TABLET,36.2,32.22,1.11,36.2,720 NDC,50268-0720-15,SEVELAMER CARBONATE 800 MG TABLET,8.8,7.83,1.83,8.8,716 NDC,50268-0724-15,SOTALOL 80 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,50268-0725-15,SOTALOL 120 MG TABLET,6.0,5.34,1.25,6.0,727 NDC,50268-0728-15,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,50268-0741-15,ROPINIROLE 0.25 MG TABLET,6.4,5.7,1.33,6.4,727 NDC,50268-0743-15,ROPINIROLE 1 MG TABLET,6.3,5.61,1.31,6.3,727 NDC,50268-0744-15,ROPINIROLE 2 MG TABLET,6.4,5.7,1.33,6.4,727 NDC,50268-0745-14,SUCRALFATE 100 MG/ML ORAL SUSPENSION,17.1,15.22,3.56,17.1,727 NDC,50268-0754-15,TORSEMIDE 5 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,50268-0755-15,TORSEMIDE 10 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,50268-0757-15,TORSEMIDE 100 MG TABLET,6.2,5.52,1.29,6.2,727 NDC,50268-0758-12,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,12.9,11.48,2.68,12.9,727 NDC,50268-0764-15,TERAZOSIN 1 MG CAPSULE,7.8,6.94,1.62,7.8,727 NDC,50268-0765-15,TERAZOSIN 2 MG CAPSULE,7.3,6.5,1.52,7.3,727 NDC,50268-0766-15,TERAZOSIN 5 MG CAPSULE,7.2,6.41,1.5,7.2,727 NDC,50268-0772-13,TRANEXAMIC ACID 650 MG TABLET,18.0,16.02,3.74,18.0,727 NDC,50268-0779-15,TEMAZEPAM 15 MG CAPSULE,12.6,11.21,2.62,12.6,727 NDC,50268-0780-13,TEMAZEPAM 30 MG CAPSULE,13.1,11.66,2.72,13.1,727 NDC,50268-0789-15,VALACYCLOVIR 1 GRAM TABLET,10.6,9.43,2.2,10.6,727 NDC,50268-0803-12,VORICONAZOLE 200 MG TABLET,64.6,57.49,13.44,64.6,727 NDC,50268-0816-15,ZONISAMIDE 100 MG CAPSULE,6.8,6.05,1.41,6.8,727 NDC,50268-0860-15,ASCORBIC ACID (VITAMIN C) 250 MG TABLET,2.7,2.4,0.56,2.7,727 NDC,50268-0868-15,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) CAPSULE",3.0,2.67,0.62,3.0,727 NDC,50419-0188-38,GADOPENTETATE DIMEGLUMINE 10 MMOL/20 ML (469.01 MG/ML) IV SYRINGE,188.1,167.41,33.63,188.1,719 NDC,50419-0188-58,GADOPENTETATE DIMEGLUMINE 469.01 MG/ML (46.9 %) INTRAVENOUS SOLUTION,643.8,572.98,84.07,643.8,719 NDC,50419-0188-81,GADOPENTETATE DIMEGLUMINE 2.5 MMOL/5 ML(469.01 MG/ML) INTRAVENOUS SOLN,91.8,81.7,8.41,91.8,719 NDC,50419-0188-82,GADOPENTETATE DIMEGLUMINE 5 MMOL/10 ML (469.01 MG/ML) INTRAVENOUS SOLN,101.6,90.42,16.81,101.6,719 NDC,50419-0188-84,GADOPENTETATE DIMEGLUMINE 10 MMOL/20 ML(469.01 MG/ML) INTRAVENOUS SOLN,153.2,136.35,31.87,153.2,719 NDC,50419-0208-01,"RADIUM RA 223 DICHLOR 1,100 KBQ/ML (30 MICROCURIE/ML) INTRAVENOUS SOLN",10470.0,9318.3,172.22,10470.0,737 NDC,50419-0250-01,RIOCIGUAT 0.5 MG TABLET,495.1,440.64,102.98,495.1,727 NDC,50419-0251-01,RIOCIGUAT 1 MG TABLET,565.9,503.65,117.71,565.9,727 NDC,50419-0254-01,RIOCIGUAT 2.5 MG TABLET,530.4,472.06,110.32,530.4,727 NDC,50419-0320-05,GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION,40.7,36.22,8.47,40.7,725 NDC,50419-0320-15,GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION,41.8,37.2,8.69,41.8,725 NDC,50419-0325-11,GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) INTRAVENOUS SOLUTION (WRAPPER),36.7,32.66,0.63,36.7,719 NDC,50419-0325-12,GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) INTRAVENOUS SOLUTION (WRAPPER),36.7,32.66,0.63,36.7,719 NDC,50419-0325-13,GADOBUTROL 15 MMOL/15 ML (1 MMOL/ML) INTRAVENOUS SOLUTION (WRAPPER),36.7,32.66,0.63,36.7,719 NDC,50419-0325-14,GADOBUTROL 1 MMOL/ML (604.72 MG/ML) INTRAVENOUS SOLUTION,37.7,33.55,0.63,37.7,719 NDC,50419-0344-05,IOPROMIDE 300 MG IODINE/ML INJECTION SOLUTION,39.1,34.8,0.86,39.1,720 NDC,50419-0344-10,IOPROMIDE 300 MG IODINE/ML INJECTION SOLUTION,38.5,34.27,0.86,38.5,720 NDC,50419-0346-15,IOPROMIDE 370 MG IODINE/ML INJECTION SOLUTION,35.4,31.51,0.86,35.4,720 NDC,50419-0395-01,DAROLUTAMIDE 300 MG TABLET,366.5,326.19,76.23,366.5,727 NDC,50419-0423-01,LEVONORGESTREL 21 MCG/24 HR (UP TO 8 YEARS) 52 MG INTRAUTERINE DEVICE,1676.2,1491.82,348.65,1676.2,725 NDC,50419-0424-01,LEVONORGESTREL 17.5 MCG/24 HR (UP TO 5 YRS) 19.5MG INTRAUTERINE DEVICE,1676.2,1491.82,348.65,1676.2,720 NDC,50419-0524-35,INTERFERON BETA-1B 0.3 MG SUBCUTANEOUS KIT,2042.6,1817.91,249.94,2042.6,719 NDC,50419-0540-01,FINERENONE 10 MG TABLET,60.3,53.67,12.54,60.3,727 NDC,50425-0011-98,POVIDONE-IODINE 10 % TOPICAL SOLUTION (NON-STERILE),7.0,6.23,1.46,7.0,715 NDC,50458-0098-01,PENTOSAN POLYSULFATE SODIUM 100 MG CAPSULE,48.1,42.81,10.0,48.1,727 NDC,50458-0140-30,CANAGLIFLOZIN 100 MG TABLET,70.1,62.39,14.58,70.1,727 NDC,50458-0141-30,CANAGLIFLOZIN 300 MG TABLET,70.1,62.39,14.58,70.1,727 NDC,50458-0309-11,"RISPERIDONE MICROSPHERES ER 12.5 MG/2 ML INTRAMUSCULAR SUSP,EXT RELEAS",879.7,782.93,10.98,879.7,736 NDC,50458-0560-01,PALIPERIDONE PALMITATE 39 MG/0.25 ML INTRAMUSCULAR SYRINGE,1608.1,1431.21,15.11,1608.1,736 NDC,50458-0561-01,PALIPERIDONE PALMITATE 78 MG/0.5 ML INTRAMUSCULAR SYRINGE,3191.2,2840.17,15.11,3191.2,736 NDC,50458-0562-01,PALIPERIDONE PALMITATE 117 MG/0.75 ML INTRAMUSCULAR SYRINGE,4574.4,4071.22,15.11,4574.4,736 NDC,50458-0563-01,PALIPERIDONE PALMITATE 156 MG/ML INTRAMUSCULAR SYRINGE,5957.7,5302.35,15.11,5957.7,737 NDC,50458-0564-01,PALIPERIDONE PALMITATE 234 MG/1.5 ML INTRAMUSCULAR SYRINGE,8723.9,7764.27,15.11,8723.9,737 NDC,50458-0575-01,RIVAROXABAN 1 MG/ML ORAL SUSPENSION,27.0,24.03,5.62,27.0,727 NDC,50458-0577-10,RIVAROXABAN 2.5 MG TABLET,27.7,24.65,5.76,27.7,727 NDC,50458-0578-10,RIVAROXABAN 15 MG TABLET,52.1,46.37,10.84,52.1,727 NDC,50458-0579-10,RIVAROXABAN 20 MG TABLET,52.1,46.37,10.84,52.1,727 NDC,50458-0580-10,RIVAROXABAN 10 MG TABLET,52.1,46.37,10.84,52.1,727 NDC,50458-0606-01,PALIPERIDONE PALMITATE (3-MONTH) 273 MG/0.88 ML INTRAMUSCULAR SYRINGE,8723.6,7764.0,13.0,8723.6,734 NDC,50458-0607-01,PALIPERIDONE PALMITATE (3-MONTH) 410 MG/1.32 ML INTRAMUSCULAR SYRINGE,12873.1,11457.06,13.0,12873.1,734 NDC,50458-0608-01,PALIPERIDONE PALMITATE (3 MONTH) 546 MG/1.75 ML INTRAMUSCULAR SYRINGE,17023.1,15150.56,13.0,17023.1,734 NDC,50458-0609-01,PALIPERIDONE PALMITATE (3-MONTH) 819 MG/2.63 ML INTRAMUSCULAR SYRINGE,25321.6,22536.22,13.0,25321.6,734 NDC,50474-0470-66,BRIVARACETAM 25 MG TABLET,95.9,85.35,19.95,95.9,727 NDC,50474-0570-09,BRIVARACETAM 50 MG TABLET,95.9,85.35,19.95,95.9,727 NDC,50474-0801-03,ROTIGOTINE 1 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,99.0,88.11,20.59,99.0,727 NDC,50474-0802-03,ROTIGOTINE 2 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,99.0,88.11,20.59,99.0,727 NDC,50474-0803-03,ROTIGOTINE 3 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,99.0,88.11,20.59,99.0,727 NDC,50474-0804-03,ROTIGOTINE 4 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,99.0,88.11,20.59,99.0,727 NDC,50474-0805-03,ROTIGOTINE 6 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,99.0,88.11,20.59,99.0,727 NDC,50474-0806-03,ROTIGOTINE 8 MG/24 HOUR TRANSDERMAL 24 HOUR PATCH,99.0,88.11,20.59,99.0,727 NDC,50474-0870-15,BRIVARACETAM 10 MG/ML ORAL SOLUTION,95.9,85.35,19.95,95.9,727 NDC,50474-0970-75,BRIVARACETAM 50 MG/5 ML INTRAVENOUS SOLUTION,54.3,48.33,11.29,54.3,719 NDC,50484-0010-30,COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 250 UNIT/GRAM TOPICAL OINTMENT,1011.9,900.59,210.48,1011.9,715 NDC,50580-0536-04,PSEUDOEPHEDRINE 15 MG/5 ML ORAL LIQUID,24.8,22.07,5.16,24.8,727 NDC,50580-0579-02,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.45,0.1,0.5,727 NDC,50633-0110-12,CROTALIDAE POLYVAL IMMUNE FAB 1 GRAM SOLUTION FOR INJECTION,3607.1,3210.32,750.28,3607.1,736 NDC,50633-0120-11,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION,11949.8,10635.32,2485.56,11949.8,736 NDC,50633-0210-11,"GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION",108507.5,96571.68,427.72,108507.5,734 NDC,50633-0220-04,URIDINE TRIACETATE 10 GRAM ORAL GRANULES IN PACKET,13921.4,12390.05,2895.65,13921.4,727 NDC,50633-0310-11,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION,2853.3,2539.44,5.19,2853.3,734 NDC,50742-0118-08,CABERGOLINE 0.5 MG TABLET,14.5,12.91,3.02,14.5,727 NDC,50742-0240-01,MEXILETINE 200 MG CAPSULE,6.9,6.14,1.44,6.9,727 NDC,50742-0241-01,MEXILETINE 250 MG CAPSULE,7.3,6.5,1.52,7.3,727 NDC,50742-0252-90,"DILTIAZEM CD 360 MG CAPSULE,EXTENDED RELEASE 24 HR",6.6,5.87,1.37,6.6,727 NDC,50742-0257-01,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",5.9,5.25,1.23,5.9,727 NDC,50742-0354-01,MESNA 400 MG TABLET,187.0,166.43,38.9,187.0,727 NDC,50742-0505-24,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,28.3,25.19,5.89,28.3,727 NDC,50742-0549-05,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,24.3,21.63,5.05,24.3,727 NDC,50742-0550-05,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,27.1,24.12,5.64,27.1,727 NDC,50742-0552-05,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,38.4,34.18,7.99,38.4,727 NDC,50742-0554-05,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,43.8,38.98,9.11,43.8,727 NDC,50742-0556-05,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,66.1,58.83,13.75,66.1,727 NDC,50881-0005-60,RUXOLITINIB 5 MG TABLET,964.5,858.41,200.62,964.5,727 NDC,50881-0010-60,RUXOLITINIB 10 MG TABLET,964.5,858.41,200.62,964.5,729 NDC,50881-0023-11,AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION,29578.8,26325.13,55.65,29578.8,734 NDC,50881-0034-12,AXATILIMAB-CSFR 50 MG/ML INTRAVENOUS SOLUTION,12351.6,10992.92,55.65,12351.6,734 NDC,50914-7720-08,"ALBUMIN, IODINATED I-131 0.025 MCI/ML INTRAVENOUS SYRINGE",509.0,453.01,105.87,509.0,717 NDC,51079-0255-20,METOPROLOL TARTRATE 25 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,51079-0284-20,DIAZEPAM 2 MG TABLET,10.3,9.17,2.14,10.3,727 NDC,51079-0285-20,DIAZEPAM 5 MG TABLET,10.3,9.17,2.14,10.3,727 NDC,51079-0286-20,DIAZEPAM 10 MG TABLET,10.3,9.17,2.14,10.3,727 NDC,51079-0375-20,CHLORDIAZEPOXIDE 10 MG CAPSULE,6.6,5.87,1.37,6.6,727 NDC,51079-0566-01,THIORIDAZINE 25 MG TABLET,7.0,6.23,1.46,7.0,727 NDC,51079-0567-20,THIORIDAZINE 50 MG TABLET,7.5,6.68,1.56,7.5,727 NDC,51079-0574-20,TRIFLUOPERAZINE 5 MG TABLET,13.0,11.57,2.7,13.0,727 NDC,51079-0597-20,CETIRIZINE 10 MG TABLET,2.6,2.31,0.54,2.6,727 NDC,51079-0684-20,ATENOLOL 50 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,51079-0685-20,ATENOLOL 100 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,51079-0753-20,SUCRALFATE 1 GRAM TABLET,6.3,5.61,1.31,6.3,727 NDC,51079-0801-20,METOPROLOL TARTRATE 50 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,51079-0853-01,GALANTAMINE 8 MG TABLET,14.2,12.64,2.95,14.2,727 NDC,51079-0923-20,"CARBIDOPA ER 50 MG-LEVODOPA 200 MG TABLET,EXTENDED RELEASE",7.8,6.94,1.62,7.8,727 NDC,51079-0924-20,"DILTIAZEM ER 60 MG CAPSULE,EXTENDED RELEASE 12 HR",17.0,15.13,3.54,17.0,727 NDC,51079-0925-20,"DILTIAZEM ER 90 MG CAPSULE,EXTENDED RELEASE 12 HR",19.1,17.0,3.97,19.1,727 NDC,51079-0926-20,"DILTIAZEM ER 120 MG CAPSULE,EXTENDED RELEASE 12 HR",24.6,21.89,5.12,24.6,727 NDC,51079-0978-20,"CARBIDOPA ER 25 MG-LEVODOPA 100 MG TABLET,EXTENDED RELEASE",6.2,5.52,1.29,6.2,727 NDC,51079-0994-20,BUSPIRONE 30 MG TABLET,8.7,7.74,1.81,8.7,727 NDC,51144-0003-01,TISOTUMAB VEDOTIN-TFTV 40 MG/4 ML INTRAVENOUS SOLUTION (WETTED),21058.3,18741.89,188.76,21058.3,734 NDC,51144-0050-01,BRENTUXIMAB VEDOTIN 50 MG/10 ML INTRAVENOUS SOLUTION (WETTED),37123.7,33040.09,258.64,37123.7,736 NDC,51167-0331-01,ELEXACAFTOR 100 MG-TEZACAF 50MG-IVACAF 75MG(D)/IVACAF 150MG(N) TABLETS,71773.5,63878.42,14928.89,71773.5,727 NDC,51167-0548-34,SUZETRIGINE 50 MG TABLET,56.7,50.46,11.79,56.7,727 NDC,51293-0803-01,SALSALATE 500 MG TABLET,6.0,5.34,1.25,6.0,727 NDC,51525-0115-01,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR",5.9,5.25,1.23,5.9,727 NDC,51552-0610-05,METHIONINE (BULK) POWDER,110.8,98.61,23.05,110.8,715 NDC,51552-0654-01,BIOTIN (BULK) 100 % POWDER,131.5,117.04,27.35,131.5,727 NDC,51552-0876-05,PRESERVATIVE FREE CREAM BASE (BULK),70.2,62.48,14.6,70.2,727 NDC,51672-1259-02,CLOBETASOL 0.05 % TOPICAL OINTMENT,71.5,63.64,14.87,71.5,727 NDC,51672-1264-02,FLUOCINONIDE 0.05 % TOPICAL OINTMENT,104.6,93.09,21.76,104.6,727 NDC,51672-1273-04,FLUOCINONIDE 0.05 % TOPICAL SOLUTION,109.0,97.01,22.67,109.0,727 NDC,51672-1279-01,FLUOCINONIDE 0.05 % TOPICAL GEL,150.4,133.86,31.28,150.4,727 NDC,51672-1292-03,HYDROCORTISONE VALERATE 0.2 % TOPICAL OINTMENT,352.5,313.73,73.32,352.5,727 NDC,51672-1293-03,CLOBETASOL 0.05 % SCALP SOLUTION,186.6,166.07,38.81,186.6,727 NDC,51672-1304-06,TERCONAZOLE 0.4 % VAGINAL CREAM,140.8,125.31,29.29,140.8,727 NDC,51672-1318-01,CICLOPIROX 0.77 % TOPICAL CREAM,60.1,53.49,12.5,60.1,727 NDC,51672-1386-01,FLUOCINONIDE 0.05 % TOPICAL CREAM,84.9,75.56,17.66,84.9,727 NDC,51672-1394-00,TRETINOIN 0.05 % TOPICAL CREAM,157.2,139.91,32.7,157.2,727 NDC,51672-1395-00,TRETINOIN 0.1 % TOPICAL CREAM,162.6,144.71,33.82,162.6,727 NDC,51672-1407-09,TRETINOIN 0.025 % TOPICAL CREAM,525.4,467.61,109.28,525.4,727 NDC,51672-2010-02,HYDROCORTISONE 0.5 % TOPICAL CREAM,63.1,56.16,13.12,63.1,727 NDC,51672-2080-01,TERBINAFINE HCL 1 % TOPICAL CREAM,70.2,62.48,14.6,70.2,727 NDC,51672-2114-02,ACETAMINOPHEN 80 MG RECTAL SUPPOSITORY,0.5,0.45,0.1,0.5,727 NDC,51672-2115-02,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,0.5,0.45,0.1,0.5,727 NDC,51672-2116-02,ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY,0.5,0.45,0.1,0.5,727 NDC,51672-2131-08,LORATADINE 5 MG/5 ML ORAL SOLUTION,2.6,2.31,0.54,2.6,727 NDC,51672-4017-01,ETODOLAC 300 MG CAPSULE,9.3,8.28,1.93,9.3,727 NDC,51672-4045-01,ENALAPRIL 5 MG-HYDROCHLOROTHIAZIDE 12.5 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,51672-4046-01,ENALAPRIL 10 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,5.7,5.07,1.19,5.7,727 NDC,51672-4118-06,FLUOROURACIL 5 % TOPICAL CREAM,200.6,178.53,41.72,200.6,727 NDC,51672-4215-03,METRONIDAZOLE 1 % TOPICAL GEL,256.2,228.02,53.29,256.2,727 NDC,51672-4230-08,IVERMECTIN 0.5 % LOTION,524.9,467.16,109.18,524.9,727 NDC,51672-5294-04,MALATHION 0.5 % LOTION,685.3,609.92,142.54,685.3,727 NDC,51672-5316-09,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION,499.9,444.91,103.98,499.9,727 NDC,51754-1007-03,CYSTEINE (L-CYSTEINE) 50 MG/ML INTRAVENOUS SOLUTION,325.4,289.61,67.68,325.4,715 NDC,51754-2004-04,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,133.6,118.9,27.79,133.6,715 NDC,51754-4250-03,EPHEDRINE (PF) 5 MG/ML INTRAVENOUS INJECTION (WRAPPER),42.3,37.65,8.8,42.3,715 NDC,51754-5012-04,SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INJECTION (WRAPPER),57.4,51.09,11.94,57.4,715 NDC,51759-0204-10,FREMANEZUMAB-VFRM 225 MG/1.5 ML SUBCUTANEOUS SYRINGE,2062.2,1835.36,428.94,2062.2,717 NDC,51759-0208-13,ECULIZUMAB-AAGH 300 MG/30 ML INTRAVENOUS SOLUTION,13938.7,12405.44,31.35,13938.7,734 NDC,51801-0012-30,POTASSIUM BICARBONATE-CITRIC ACID 20 MEQ EFFERVESCENT TABLET,6.8,6.05,1.41,6.8,727 NDC,51801-0014-30,POTASSIUM BICARBONATE-CITRIC ACID 10 MEQ EFFERVESCENT TABLET,6.6,5.87,1.37,6.6,727 NDC,51803-0001-01,POTASSIUM IODIDE 130 MG TABLET,4.5,4.01,0.94,4.5,727 NDC,51808-0127-01,CHROMIC PHOSPHATE P-32 45 MCI/3 ML INJECTION SUSPENSION,1100.0,979.0,228.8,1100.0,719 NDC,51808-0128-01,SODIUM PHOSPHATE P-32 10 MCI/4 ML INTRAVENOUS SOLUTION,1080.0,961.2,224.64,1080.0,734 NDC,51927-2258-00,AZATHIOPRINE (BULK) POWDER,206.3,183.61,42.91,206.3,717 NDC,51991-0002-98,METHADONE 10 MG/ML INJECTION SOLUTION,667.1,593.72,138.76,667.1,722 NDC,51991-0006-33,"DESVENLAFAXINE SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",6.8,6.05,1.41,6.8,727 NDC,51991-0312-90,"DESVENLAFAXINE SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",6.9,6.14,1.44,6.9,727 NDC,51991-0358-60,ASENAPINE 5 MG SUBLINGUAL TABLET,21.7,19.31,4.51,21.7,727 NDC,51991-0360-60,ASENAPINE 10 MG SUBLINGUAL TABLET,21.7,19.31,4.51,21.7,727 NDC,51991-0384-90,FOLIC ACID-VIT B6-VIT B12 2.5 MG-25 MG-2 MG TABLET,7.6,6.76,1.58,7.6,727 NDC,51991-0945-01,TRIMIPRAMINE 50 MG CAPSULE,20.8,18.51,4.33,20.8,727 NDC,52015-0080-01,FIDAXOMICIN 200 MG TABLET,414.6,368.99,86.24,414.6,727 NDC,52244-0100-10,"THEOPHYLLINE ER 100 MG CAPSULE,EXTENDED RELEASE 24 HR",18.0,16.02,3.74,18.0,727 NDC,52244-0200-10,"THEOPHYLLINE ER 200 MG CAPSULE,EXTENDED RELEASE 24 HR",24.3,21.63,5.05,24.3,727 NDC,52244-0300-10,"THEOPHYLLINE ER 300 MG CAPSULE,EXTENDED RELEASE 24 HR",28.7,25.54,5.97,28.7,727 NDC,52244-0400-10,"THEOPHYLLINE ER 400 MG CAPSULE,EXTENDED RELEASE 24 HR",38.3,34.09,7.97,38.3,727 NDC,52246-0929-04,SPINOSAD 0.9 % TOPICAL SUSPENSION,853.6,759.7,177.55,853.6,727 NDC,52276-0400-01,BETAINE 1 GRAM/SCOOP ORAL POWDER,5064.2,4507.14,1053.35,5064.2,727 NDC,52380-1721-01,POVIDONE-IODINE 10 % TOPICAL SWAB,5.7,5.07,1.19,5.7,715 NDC,52536-0183-03,"ERYTHROMYCIN 333 MG TABLET,DELAYED RELEASE",25.4,22.61,5.28,25.4,727 NDC,52536-0485-37,"VERAPAMIL ER (PM) 100 MG CAPSULE 24HR PELLET CT,EXT.RELEASE",18.8,16.73,3.91,18.8,727 NDC,52536-0487-37,"VERAPAMIL ER (PM) 300 MG CAPSULE 24HR PELLET CT,EXT.RELEASE",30.2,26.88,6.28,30.2,727 NDC,52536-0600-12,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION,19.4,17.27,4.04,19.4,727 NDC,52536-0880-01,"VERAPAMIL ER 120 MG 24 HR CAPSULE,EXTENDED RELEASE",11.2,9.97,2.33,11.2,727 NDC,52652-2001-06,METHOTREXATE 2.5 MG/ML ORAL SOLUTION,4017.2,3575.31,22.68,4017.2,729 NDC,52652-3001-01,LISINOPRIL 1 MG/ML ORAL SOLUTION,2015.3,1793.62,419.18,2015.3,727 NDC,52652-5001-01,AMLODIPINE BENZOATE 1 MG/ML ORAL SUSPENSION,43.1,38.36,8.96,43.1,727 NDC,52652-8001-01,ZONISAMIDE 100 MG/5 ML ORAL SUSPENSION,16.7,14.86,3.47,16.7,727 NDC,52670-0550-30,SODIUM FLUORIDE F-18 (F-18) 91.5 MCI/ML INTRAVENOUS SOLUTION,375.0,333.75,78.0,375.0,717 NDC,52670-0551-30,FLUDEOXYGLUCOSE F-18 INTRAVENOUS SOLUTION,840.0,747.6,174.72,840.0,732 NDC,52670-0552-30,AMMONIA (N-13) 37.5 MCI/ML INTRAVENOUS SOLUTION,1327.5,1181.47,276.12,1327.5,723 NDC,52670-0556-30,CHOLINE-11 (C-11) 33.1 MCI/ML INTRAVENOUS SOLUTION,6840.0,6087.6,1422.72,6840.0,744 NDC,52817-0601-38,CLOZAPINE 50 MG/ML ORAL SUSPENSION,18.1,16.11,3.76,18.1,727 NDC,52817-0800-30,CLOTRIMAZOLE 1 % TOPICAL SOLUTION,204.6,182.09,42.56,204.6,727 NDC,52817-0816-15,ACETIC ACID 2 % EAR SOLUTION,123.7,110.09,25.73,123.7,727 NDC,53191-0218-01,"VITAMIN A PALMITATE 7,500 MCG (25,000 UNIT) CAPSULE",2.3,2.05,0.48,2.3,727 NDC,53276-1010-02,MICROFIBRILLAR COLLAGEN HEMOSTAT POWDER,516.3,459.51,107.39,516.3,715 NDC,53436-0084-30,PATIROMER CALCIUM SORBITEX 8.4 GRAM ORAL POWDER PACKET,88.1,78.41,18.32,88.1,727 NDC,53451-0101-01,"GABAPENTIN ENACARBIL ER 600 MG TABLET,EXTENDED RELEASE",64.8,57.67,13.48,64.8,727 NDC,53451-0103-01,"GABAPENTIN ENACARBIL ER 300 MG TABLET,EXTENDED RELEASE",64.8,57.67,13.48,64.8,727 NDC,53746-0643-01,FLECAINIDE 150 MG TABLET,6.2,5.52,1.29,6.2,727 NDC,53746-0734-90,FELBAMATE 400 MG TABLET,11.2,9.97,2.33,11.2,727 NDC,53746-0735-90,FELBAMATE 600 MG TABLET,11.4,10.15,2.37,11.4,727 NDC,54022-8002-01,UBIQUINONE (COENZYME Q10) 200 MG TABLET,5.1,4.54,1.06,5.1,727 NDC,54092-0189-81,"MESALAMINE ER 250 MG CAPSULE,EXTENDED RELEASE",14.9,13.26,3.1,14.9,727 NDC,54092-0191-12,"MESALAMINE ER 500 MG CAPSULE,EXTENDED RELEASE",24.7,21.98,5.14,24.7,727 NDC,54092-0387-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 20 MG 24HR CAPSULE,EXTEND RELEASE",33.2,29.55,6.91,33.2,727 NDC,54092-0468-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 12.5 MG CAPSULE, 3 BEAD, EXT REL 24HR",54.1,48.15,11.25,54.1,727 NDC,54092-0471-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 25 MG CAPSULE,3 BEAD,EXT RELEASE 24HR",54.1,48.15,11.25,54.1,727 NDC,54288-0103-10,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,67.2,59.81,13.98,67.2,722 NDC,54288-0105-15,ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION,272.9,242.88,56.76,272.9,715 NDC,54288-0142-10,PAPAVERINE 30 MG/ML INJECTION SOLUTION,102.8,91.49,21.38,102.8,727 NDC,54436-0275-02,TESTOSTERONE ENANTHATE 75 MG/0.5 ML SUBCUTANEOUS AUTO-INJECTOR,513.2,456.75,106.75,513.2,717 NDC,54482-0054-01,PROCARBAZINE 50 MG CAPSULE,364.4,324.32,75.8,364.4,727 NDC,54629-0110-76,ALPHA LIPOIC ACID 100 MG CAPSULE,2.4,2.14,0.5,2.4,727 NDC,54643-5647-00,"MVI, PEDIATRIC INTRAVENOUS SOLUTION (WRAPPER)",94.3,83.93,19.61,94.3,715 NDC,54643-5650-02,"MVI, ADULT INTRAVENOUS SOLUTION (WRAPPER)",67.7,60.25,14.08,67.7,717 NDC,54643-9007-01,"MVI, ADULT INTRAVENOUS SOLUTION (WRAPPER)",73.5,65.42,15.29,73.5,717 NDC,54643-9007-08,"MVI, ADULT INTRAVENOUS SOLUTION (WRAPPER)",73.5,65.42,15.29,73.5,717 NDC,54643-9015-08,"MVI, ADULT INTRAVENOUS SOLUTION (WRAPPER)",68.4,60.88,14.23,68.4,717 NDC,54766-0093-06,AURANOFIN 3 MG CAPSULE,76.5,68.08,15.91,76.5,727 NDC,54838-0006-50,CHOLECALCIFEROL (VITAMIN D3) 10 MCG/ML (400 UNIT/ML) ORAL DROPS,2.3,2.05,0.48,2.3,727 NDC,54838-0502-80,HYDROXYZINE HCL 10 MG/5 ML ORAL SOLUTION,252.9,225.08,52.6,252.9,727 NDC,54838-0510-80,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP,5.3,4.72,1.1,5.3,727 NDC,54838-0512-40,DOXEPIN 10 MG/ML ORAL CONCENTRATE,6.9,6.14,1.44,6.9,727 NDC,54859-0516-08,VITAMIN B COMPLEX AND C NO.10-FOLIC ACID 900 MCG/5 ML ORAL LIQUID,3.1,2.76,0.64,3.1,727 NDC,54861-1300-00,PHYSIOLOGICAL IRRIGATION SOLUTION (PERFADEX PLUS),3118.0,2775.02,648.54,3118.0,715 NDC,55111-0157-01,"OMEPRAZOLE 10 MG CAPSULE,DELAYED RELEASE",5.4,4.81,1.12,5.4,727 NDC,55111-0262-81,OLANZAPINE 5 MG DISINTEGRATING TABLET,10.1,8.99,2.1,10.1,727 NDC,55111-0265-81,OLANZAPINE 20 MG DISINTEGRATING TABLET,19.5,17.36,4.06,19.5,727 NDC,55111-0284-48,"FLUOXETINE 90 MG CAPSULE,DELAYED RELEASE",108.2,96.3,22.51,108.2,727 NDC,55111-0322-01,GLIMEPIRIDE 4 MG TABLET,5.2,4.63,1.08,5.2,727 NDC,55111-0428-30,"LAMOTRIGINE ER 300 MG TABLET,EXTENDED RELEASE 24 HR",12.9,11.48,2.68,12.9,727 NDC,55111-0612-30,"PRAMIPEXOLE ER 0.75 MG TABLET,EXTENDED RELEASE 24 HR",13.1,11.66,2.72,13.1,727 NDC,55111-0678-10,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,58.4,51.98,5.04,58.4,719 NDC,55111-0679-10,FONDAPARINUX 5 MG/0.4 ML SUBCUTANEOUS SOLUTION SYRINGE,98.2,87.4,10.09,98.2,719 NDC,55111-0685-07,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,58.4,51.98,12.15,58.4,721 NDC,55111-0694-07,PALONOSETRON 0.25 MG/5 ML INTRAVENOUS SOLUTION,63.2,56.25,4.06,63.2,725 NDC,55111-0717-30,"LAMOTRIGINE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",7.3,6.5,1.52,7.3,727 NDC,55111-0718-30,"LAMOTRIGINE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",8.4,7.48,1.75,8.4,727 NDC,55111-0719-30,"LAMOTRIGINE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",8.6,7.65,1.79,8.6,727 NDC,55111-0720-30,"LAMOTRIGINE ER 200 MG TABLET,EXTENDED RELEASE 24 HR",8.7,7.74,1.81,8.7,727 NDC,55111-0784-01,FEXOFENADINE 180 MG TABLET,5.7,5.07,1.19,5.7,727 NDC,55150-0113-10,AMPICILLIN 1 G VIAL (100 MG/ML) (IV PUSH - PEDS OR) - RST ONLY,39.8,35.42,1.36,39.8,719 NDC,55150-0113-10,AMPICILLIN 1 G VIAL (100 MG/ML) (NEO/PED),39.8,35.42,1.36,39.8,719 NDC,55150-0113-10,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,39.8,35.42,1.36,39.8,719 NDC,55150-0119-30,PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION,41.3,36.76,2.51,41.3,719 NDC,55150-0119-30,PIPERACILLIN-TAZOBACTAM 200 MG OF PIPERACILLIN/ML INJECTION (NEO/PED) - RST ONLY,41.3,36.76,2.51,41.3,719 NDC,55150-0122-15,NAFCILLIN 1 GRAM SOLUTION FOR INJECTION,47.4,42.19,9.86,47.4,717 NDC,55150-0122-15,NAFCILLIN 250 MG/ML INJECTION (NEO/PED) - RST ONLY,47.4,42.19,9.86,47.4,715 NDC,55150-0123-16,NAFCILLIN 2 GRAM SOLUTION FOR INJECTION,52.2,46.46,10.86,52.2,717 NDC,55150-0155-20,ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION,63.0,56.07,13.1,63.0,719 NDC,55150-0163-30,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,35.2,31.33,7.32,35.2,715 NDC,55150-0163-30,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION (RST PEDIATRIC),35.2,31.33,7.32,35.2,715 NDC,55150-0163-30,LIDOCAINE 10 MG/ML (1%) INJECTION FOR INHALATION USE,35.2,31.33,7.32,35.2,715 NDC,55150-0165-05,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,35.8,31.86,7.45,35.8,715 NDC,55150-0165-05,LIDOCAINE 20 MG/ML (2 %) INJECTION SOLUTION (WRAPPER),35.8,31.86,7.45,35.8,715 NDC,55150-0166-13,SILDENAFIL 10 MG/12.5 ML INTRAVENOUS SOLUTION,144.9,128.96,30.14,144.9,715 NDC,55150-0168-30,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,36.1,32.13,7.51,36.1,722 NDC,55150-0168-30,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INTRAPLEURAL CATHETER TIP SYRINGE,8.6,7.65,1.79,8.6,715 NDC,55150-0168-30,BUPIVACAINE 0.25 % (2.5 MG/ML) INJECTION SOLUTION (WRAPPER),36.1,32.13,7.51,36.1,717 NDC,55150-0170-30,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,36.0,32.04,7.49,36.0,727 NDC,55150-0170-30,BUPIVACAINE 0.5 % (5 MG/ML) INJECTION SOLUTION (WRAPPER),36.0,32.04,7.49,36.0,717 NDC,55150-0171-10,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,37.0,32.93,7.7,37.0,726 NDC,55150-0173-05,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,50.0,44.5,10.4,55.45,719 NDC,55150-0183-11,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,71.2,63.37,14.81,71.2,717 NDC,55150-0232-10,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,66.7,59.36,13.87,66.7,719 NDC,55150-0233-10,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,82.6,73.51,17.18,82.6,719 NDC,55150-0235-10,VECURONIUM BROMIDE 10 MG INTRAFETAL INTRAVENOUS SOLUTION (ANES),44.3,39.43,9.21,44.3,715 NDC,55150-0235-10,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,44.3,39.43,9.21,44.3,715 NDC,55150-0235-10,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION (NEO/PED) RST ONLY,44.3,39.43,9.21,44.3,715 NDC,55150-0236-21,VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION,53.8,47.88,11.19,53.8,715 NDC,55150-0282-09,ERTAPENEM 1 GRAM IM EQUIVALENCY,82.7,73.6,17.2,82.7,719 NDC,55150-0282-09,ERTAPENEM 1 GRAM SOLUTION FOR INJECTION,82.7,73.6,17.2,82.7,720 NDC,55150-0328-10,NALOXONE 0.4 MG/ML INJECTION SOLUTION,123.5,109.92,25.69,123.5,719 NDC,55150-0328-10,NALOXONE 0.4 MG/ML INJECTION SOLUTION - RST ONLY,123.5,109.92,25.69,123.5,717 NDC,55150-0330-01,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR (WRAPPER),92.4,82.24,19.22,92.4,719 NDC,55150-0351-01,ICATIBANT 30 MG/3 ML SUBCUTANEOUS SYRINGE,1633.2,1453.55,339.71,1633.2,727 NDC,55150-0370-24,VASOPRESSIN 20 UNIT/ML INJ SOLN (WRAPPER),84.1,74.85,17.49,84.1,722 NDC,55150-0434-02,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION (RECONSTITUTE WITH SUPPLIED SODIUM LACTATE),288.8,257.03,60.07,288.8,736 NDC,55150-0435-01,DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLUTION (RECONSTITUTE WITH SUPPLIED SODIUM LACTATE),348.2,309.9,63.06,348.2,736 NDC,55150-0928-02,DACTINOMYCIN 0.5 MG/ML INTRAVENOUS SOLUTION (WETTED),1452.1,1292.37,302.04,1452.1,736 NDC,55292-0131-06,PASIREOTIDE 0.3 MG/ML (1 ML) SUBCUTANEOUS SOLUTION,1043.4,928.63,217.03,1043.4,727 NDC,55292-0201-11,SUCCIMER 100 MG CAPSULE,81.7,72.71,16.99,81.7,727 NDC,55292-0702-55,HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION,28992.9,25803.68,34.18,28992.9,736 NDC,55505-0192-40,KETOCONAZOLE 1 % SHAMPOO,110.1,97.99,22.9,110.1,715 NDC,55513-0002-04,DARBEPOETIN ALFA 25 MCG/ML IN POLYSORBATE INJECTION,263.9,234.87,2.93,263.9,734 NDC,55513-0003-04,DARBEPOETIN ALFA 40 MCG/ML IN POLYSORBATE INJECTION,388.3,345.59,2.93,388.3,734 NDC,55513-0004-04,DARBEPOETIN ALFA 60 MCG/ML IN POLYSORBATE INJECTION,519.9,462.71,2.93,519.9,734 NDC,55513-0005-04,DARBEPOETIN ALFA 100 MCG/ML IN POLYSORBATE INJECTION,783.2,697.05,2.93,783.2,734 NDC,55513-0006-01,DARBEPOETIN ALFA 200 MCG/ML IN POLYSORBATE INJECTION,519.9,462.71,2.93,519.9,734 NDC,55513-0021-04,DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,388.3,345.59,2.93,388.3,734 NDC,55513-0023-04,DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,519.9,462.71,2.93,519.9,734 NDC,55513-0025-04,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE,783.2,697.05,2.93,783.2,734 NDC,55513-0027-04,DARBEPOETIN ALFA 150 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,1112.2,989.86,2.93,1112.2,734 NDC,55513-0028-01,DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,1541.3,1371.76,2.93,1541.3,734 NDC,55513-0056-01,AFLIBERCEPT-AYYH 2 MG/0.05 ML INTRAVITREAL INJECTION (WRAPPER) (RESTRICTED),4543.8,4043.98,859.36,4543.8,734 NDC,55513-0057-04,DARBEPOETIN ALFA 25 MCG/0.42 ML IN POLYSORBATE INJECTION SYRINGE,263.9,234.87,2.93,263.9,734 NDC,55513-0059-01,TARLATAMAB-DLLE 1 MG INTRAVENOUS SOLUTION,4752.2,4229.46,988.46,4752.2,736 NDC,55513-0069-01,TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION,43472.1,38690.17,1564.64,43472.1,736 NDC,55513-0137-60,APREMILAST 30 MG TABLET,305.3,271.72,63.5,305.3,727 NDC,55513-0150-01,BLINATUMOMAB 35 MCG INTRAVENOUS (WRAPPER),16850.2,14996.68,164.25,16850.2,736 NDC,55513-0190-01,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,11722.9,10433.38,89.34,11722.9,734 NDC,55513-0192-01,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR,11722.9,10433.38,89.34,11722.9,734 NDC,55513-0206-01,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,2330.5,2074.15,27.86,2330.5,736 NDC,55513-0207-01,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,7971.5,7094.64,27.86,7971.5,736 NDC,55513-0221-01,ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION,7611.2,6773.97,11.01,7611.2,734 NDC,55513-0222-01,ROMIPLOSTIM 500 MCG SUBCUTANEOUS SOLUTION,14797.4,13169.69,11.01,14797.4,734 NDC,55513-0223-01,ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION,4018.2,3576.2,11.01,4018.2,734 NDC,55513-0224-01,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,1995.5,1775.99,26.51,1995.5,734 NDC,55513-0326-01,RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION,8177.2,7277.71,26.51,8177.2,734 NDC,55513-0488-24,SOTORASIB 120 MG TABLET,293.0,260.77,60.94,293.0,727 NDC,55513-0530-10,FILGRASTIM 300 MCG/ML INJECTION SOLUTION,892.5,794.33,1.0,892.5,736 NDC,55513-0546-01,FILGRASTIM 480 MCG/1.6 ML INJECTION SOLUTION,1347.0,1198.83,1.0,1347.0,736 NDC,55513-0670-01,INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION,1051.4,935.75,20.41,1051.4,737 NDC,55513-0710-01,DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE,4771.3,4246.46,29.38,4771.3,736 NDC,55513-0730-01,DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION,8417.3,7491.4,29.38,8417.3,736 NDC,55513-0741-01,ETELCALCETIDE 5 MG/ML INTRAVENOUS SOLUTION,620.9,552.6,2.29,620.9,716 NDC,55513-0742-01,ETELCALCETIDE 5 MG/ML INTRAVENOUS SOLUTION,620.9,552.6,2.29,620.9,716 NDC,55513-0841-01,ERENUMAB-AOOE 70 MG/ML SUBCUTANEOUS AUTO-INJECTOR,2039.3,1814.98,424.17,2039.3,727 NDC,55513-0843-01,ERENUMAB-AOOE 140 MG/ML SUBCUTANEOUS AUTO-INJECTOR,2039.3,1814.98,424.17,2039.3,727 NDC,55513-0880-02,ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE,6650.0,5918.5,12.07,6650.0,736 NDC,55566-8303-01,DEGARELIX 80 MG/4 ML SUBCUTANEOUS SOLUTION (WETTED),1355.7,1206.57,4.45,1355.7,736 NDC,55566-8403-01,DEGARELIX 120 MG/3 ML SUBCUTANEOUS SOLUTION (WETTED),1857.9,1653.53,4.45,1857.9,736 NDC,56151-1610-51,GLUCOSE 3.75 GRAM CHEWABLE TABLET,2.3,2.05,0.48,2.3,727 NDC,57005-0004-03,HYPOCHLOROUS ACID 0.01 %-SODIUM CHLORIDE TOPICAL SPRAY,910.9,810.7,189.47,910.9,727 NDC,57141-0004-97,"CALCIUM CARBONATE-VITAMIN D3-VITAMIN K 1,625 MG (650 MG CALCIUM)-12.5 MCG (500 UNIT)-40 MCG CHEWABLE TABLET",0.5,0.45,0.1,0.5,727 NDC,57237-0005-11,FLUCONAZOLE 150 MG TABLET,7.2,6.41,1.5,7.2,727 NDC,57237-0106-01,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",5.3,4.72,1.1,5.3,727 NDC,57237-0114-90,"ALFUZOSIN ER 10 MG TABLET,EXTENDED RELEASE 24 HR",5.4,4.81,1.12,5.4,727 NDC,57237-0157-01,REPAGLINIDE 0.5 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,57237-0173-01,VENLAFAXINE 37.5 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,57237-0174-01,VENLAFAXINE 50 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,57237-0176-01,VENLAFAXINE 100 MG TABLET,5.5,4.89,1.14,5.5,727 NDC,57237-0219-30,PIOGLITAZONE 15 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,57237-0220-30,PIOGLITAZONE 30 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,57237-0221-30,PIOGLITAZONE 45 MG TABLET,5.5,4.89,1.14,5.5,727 NDC,57237-0310-54,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,7.6,6.76,1.58,7.6,727 NDC,57237-0314-31,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,0.5,0.45,0.1,0.5,727 NDC,57237-0319-52,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,20.2,17.98,4.2,20.2,727 NDC,57237-0339-21,GLYCERIN (ADULT) RECTAL SUPPOSITORY,3.5,3.12,0.73,3.5,727 NDC,57664-0051-88,LISDEXAMFETAMINE 60 MG CAPSULE,15.0,13.35,3.12,15.0,727 NDC,57770-0055-00,HYPROMELLOSE 2 % INTRAOCULAR SYRINGE,131.3,116.86,27.31,131.3,715 NDC,57782-0397-26,CROMOLYN 5.2 MG/SPRAY (4 %) NASAL SPRAY,73.8,65.68,15.35,73.8,727 NDC,57894-0054-27,USTEKINUMAB 130 MG/26 ML INTRAVENOUS SOLUTION,5955.8,5300.66,12.99,5955.8,736 NDC,57894-0060-03,USTEKINUMAB 45 MG/0.5 ML SUBCUTANEOUS SYRINGE,37729.8,33579.52,6874.31,37729.8,731 NDC,57894-0061-03,USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE,75034.5,66780.71,13748.62,75034.5,731 NDC,57894-0111-01,CARVYKTI,2500000.0,555310.44,555310.44,555310.44,309 NDC,57894-0111-02,CARVYKTI,2500000.0,555310.44,555310.44,555310.44,10 NDC,57894-0160-01,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,1282.3,1141.25,31.09,1282.3,736 NDC,57894-0350-01,GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION,5295.6,4713.08,11.04,5295.6,736 NDC,57894-0449-01,TECLISTAMAB-CQYV 10 MG/ML SUBCUTANEOUS SOLUTION,5403.6,4809.2,33.58,5403.6,735 NDC,57894-0450-01,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION,25713.0,22884.57,33.58,25713.0,735 NDC,57894-0469-01,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION,2775.6,2470.28,72.62,2775.6,735 NDC,57894-0470-01,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION,29313.0,26088.57,72.62,29313.0,735 NDC,57894-0501-00,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION,11050.1,9834.59,22.54,11050.1,735 NDC,57894-0503-01,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN",31586.6,28112.07,55.57,31586.6,738 NDC,57894-0505-20,DARATUMUMAB 20 MG/ML INTRAVENOUS SOLUTION,9587.6,8532.96,71.37,9587.6,736 NDC,57896-0501-01,MULTIVITAMIN TABLET,0.5,0.45,0.1,0.5,727 NDC,57962-0014-28,IBRUTINIB 140 MG TABLET,1116.0,993.24,232.13,1116.0,727 NDC,57962-0070-28,IBRUTINIB 70 MG CAPSULE,1116.2,993.42,232.17,1116.2,727 NDC,57962-0140-09,IBRUTINIB 140 MG CAPSULE,412.1,366.77,85.72,412.1,727 NDC,57970-0100-01,DALBAVANCIN 500 MG INTRAVENOUS SOLUTION,4341.2,3863.67,15.61,4341.2,736 NDC,58151-0118-01,PHENYTOIN SODIUM EXTENDED 30 MG CAPSULE,10.1,8.99,2.1,10.1,727 NDC,58160-0820-52,HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM (WRAPPER),48.9,43.52,10.17,48.9,721 NDC,58160-0823-11,"VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT",225.4,200.61,46.88,246.23,719 NDC,58160-0828-03,VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50 MCG IM SUSPENSION,225.4,200.61,46.88,246.23,719 NDC,58160-0848-11,"RSVPREF3 ANTIGEN-AS01E ADJUVANT(PF) 120 MCG/0.5 ML IM SUSPENSION, KIT",417.4,371.49,86.82,417.4,719 NDC,58160-0849-52,VARICELLA-ZOSTER GLYCOE VACCINE-AS01B ADJ(PF) 50 MCG/0.5 ML IM SYRINGE,337.1,300.02,70.12,337.1,719 NDC,58160-0955-09,"MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)",243.3,216.54,50.61,243.3,719 NDC,58160-0976-20,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE",251.2,223.57,52.25,270.93,719 NDC,58181-3040-05,LOMUSTINE 10 MG CAPSULE,415.4,369.71,86.4,415.4,727 NDC,58181-3041-05,LOMUSTINE 40 MG CAPSULE,1481.4,1318.45,308.13,1481.4,727 NDC,58181-3042-05,LOMUSTINE 100 MG CAPSULE,3983.8,3545.58,828.63,3983.8,727 NDC,58204-0004-01,"PEDI MULTIVIT NO.22-VIT D3 37.5 MCG-VIT K 1,000 MCG CHEWABLE TABLET",0.5,0.45,0.1,0.5,727 NDC,58284-0208-01,"BUPRENORPHINE ER 8 MG/0.16 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",1524.7,1356.98,317.14,1524.7,734 NDC,58284-0216-01,"BUPRENORPHINE ER 16 MG/0.32 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",1524.7,1356.98,317.14,1524.7,734 NDC,58284-0224-01,"BUPRENORPHINE ER 24 MG/0.48 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",1524.7,1356.98,317.14,1524.7,734 NDC,58284-0228-01,"BUPRENORPHINE ER 128 MG/0.36 ML SOLUTION,EXT.REL.SUBCUTANEOUS SYRINGE",5498.7,4893.84,1143.73,5498.7,734 NDC,58284-0232-01,"BUPRENORPHINE ER 32 MG/0.64 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",1524.7,1356.98,317.14,1524.7,734 NDC,58284-0264-01,"BUPRENORPHINE ER 64 MG/0.18 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",5498.7,4893.84,1143.73,5498.7,734 NDC,58284-0296-01,"BUPRENORPHINE ER 96 MG/0.27 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE",5498.7,4893.84,1143.73,5498.7,734 NDC,58394-0637-03,COAGULATION FACTOR IX (RECOMB) -- BENEFIX (BRAND SPLIT) (RESTRICTED),39.1,34.8,1.85,39.1,736 NDC,58406-0010-04,ETANERCEPT 25 MG/0.5 ML (0.5 ML) SUBCUTANEOUS SYRINGE,3034.9,2701.06,631.26,3034.9,717 NDC,58406-0021-04,ETANERCEPT 50 MG/ML (1 ML) SUBCUTANEOUS SYRINGE,5644.6,5023.69,1174.08,5644.6,717 NDC,58468-0030-02,THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION,5581.5,4967.54,1160.95,5581.5,738 NDC,58468-0040-01,AGALSIDASE BETA 35 MG INTRAVENOUS SOLUTION,20580.8,18316.91,230.15,20580.8,736 NDC,58468-0041-01,AGALSIDASE BETA 5 MG INTRAVENOUS SOLUTION,3303.9,2940.47,230.15,3303.9,736 NDC,58468-0070-01,LARONIDASE 2.9 MG/5 ML INTRAVENOUS SOLUTION,3319.8,2954.62,39.87,3319.8,736 NDC,58468-0080-01,ANTI-THYMOCYTE GLOBULIN (RABBIT) 25 MG INTRAVENOUS SOLUTION,3293.7,2931.39,685.09,3293.7,736 NDC,58468-0210-04,TERIFLUNOMIDE 14 MG TABLET,1008.1,897.21,209.68,1008.1,727 NDC,58468-0225-01,CAPLACIZUMAB-YHDP 11 MG INJECTION KIT,18156.1,16158.93,802.49,18156.1,734 NDC,58468-4663-01,IMIGLUCERASE 400 UNIT INTRAVENOUS SOLUTION,4803.7,4275.29,43.19,4803.7,736 NDC,58657-0900-01,HALOPERIDOL 0.5 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,58657-0902-01,HALOPERIDOL 2 MG TABLET,6.7,5.96,1.39,6.7,727 NDC,58980-0012-05,"BACITRACIN ZINC 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT",15.8,14.06,3.29,15.8,727 NDC,58980-0820-10,PHENOL 1.5 % TOPICAL LIQUID,115.3,102.62,23.98,115.3,715 NDC,59011-0410-20,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",26.8,23.85,5.57,26.8,727 NDC,59011-0415-20,"OXYCODONE ER 15 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",34.7,30.88,7.22,34.7,727 NDC,59011-0420-20,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",41.3,36.76,8.59,41.3,727 NDC,59011-0430-20,"OXYCODONE ER 30 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",60.5,53.85,12.58,60.5,727 NDC,59011-0440-20,"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",69.8,62.12,14.52,69.8,727 NDC,59011-0460-10,"OXYCODONE ER 60 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",88.7,78.94,18.45,88.7,727 NDC,59011-0480-10,"OXYCODONE ER 80 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",104.7,93.18,21.78,104.7,727 NDC,59137-0335-00,TREOSULFAN 1 GRAM/20 ML INTRAVENOUS SOLUTION (WETTED),2158.0,1920.62,32.33,2158.0,734 NDC,59137-0365-00,TREOSULFAN 5 GRAM/100 ML INTRAVENOUS SOLUTION (WETTED),8990.0,8001.1,32.33,8990.0,734 NDC,59148-0035-13,BREXPIPRAZOLE 0.25 MG TABLET,166.3,148.01,34.59,166.3,727 NDC,59148-0036-13,BREXPIPRAZOLE 0.5 MG TABLET,166.3,148.01,34.59,166.3,727 NDC,59148-0037-13,BREXPIPRAZOLE 1 MG TABLET,166.3,148.01,34.59,166.3,727 NDC,59148-0038-13,BREXPIPRAZOLE 2 MG TABLET,166.3,148.01,34.59,166.3,727 NDC,59148-0039-13,BREXPIPRAZOLE 3 MG TABLET,166.3,148.01,34.59,166.3,727 NDC,59148-0045-80,"ARIPIPRAZOLE ER 300 MG SUSPENSION, EXTENDED REL. INTRAMUSCULAR SYRINGE",5415.7,4819.97,7.28,5415.7,736 NDC,59148-0053-16,DEXTROMETHORPHAN 20 MG-QUINIDINE 10 MG CAPSULE,93.9,83.57,19.53,93.9,727 NDC,59148-0072-80,"ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE",7079.3,6300.58,7.28,7079.3,736 NDC,59148-0114-80,"ARIPIPRAZOLE ER (2 MONTH) 960 MG/3.2 ML SUSP, EXTENDED REL IM SYRINGE",13733.4,12222.73,6.15,13733.4,731 NDC,59148-0245-12,"ARIPIPRAZOLE ER 400 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",7079.3,6300.58,7.28,7079.3,736 NDC,59338-0775-01,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION,466.1,414.83,0.32,466.1,736 NDC,59338-0775-01,FERUMOXYTOL IN NACL 0.9 % 30 ML DILUTION (3.0T),37.3,33.2,7.76,37.3,717 NDC,59338-0775-01,FERUMOXYTOL IN NACL 0.9 % 60 ML DILUTION (1.5T),39.5,35.16,8.22,39.5,717 NDC,59338-0775-01,FERUMOXYTOL IN NACL 0.9 % DILUTION (PEDIATRIC),38.3,34.09,7.97,38.3,717 NDC,59385-0021-60,BUPRENORPHINE HCL 75 MCG BUCCAL FILM,35.7,31.77,7.43,35.7,727 NDC,59385-0022-60,BUPRENORPHINE HCL 150 MCG BUCCAL FILM,35.7,31.77,7.43,35.7,727 NDC,59385-0023-60,BUPRENORPHINE HCL 300 MCG BUCCAL FILM,57.4,51.09,11.94,57.4,727 NDC,59390-0218-05,FLUORESCEIN 0.25 %-BENOXINATE 0.4 % EYE DROPS,126.3,112.41,26.27,126.3,715 NDC,59417-0120-01,LISDEXAMFETAMINE 60 MG CHEWABLE TABLET,49.0,43.61,10.19,49.0,727 NDC,59572-0705-30,ENASIDENIB 50 MG TABLET,3643.6,3242.8,757.87,3643.6,727 NDC,59572-0710-30,ENASIDENIB 100 MG TABLET,3643.6,3242.8,757.87,3643.6,727 NDC,59572-0775-01,LUSPATERCEPT-AAMT 75 MG/1.5 ML SUBCUTANEOUS SOLUTION (WETTED),31717.4,28228.49,41.98,31717.4,736 NDC,59572-0962-10,ROMIDEPSIN 10 MG/2 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),9357.0,8327.73,30.78,9357.0,734 NDC,59584-0138-01,CANDIDA ALBICANS SKIN TEST FDA STANDARD INTRADERMAL,155.5,138.4,32.34,155.5,717 NDC,59627-0222-05,INTERFERON BETA-1A 30 MCG/0.5 ML INTRAMUSCULAR (WRAPPER),22532.4,20053.84,930.22,22532.4,731 NDC,59630-0266-10,CEFIDEROCOL 1 GRAM INTRAVENOUS SOLUTION,696.9,620.24,2.42,696.9,734 NDC,59651-0026-55,AMOXICILLIN (4:1) 250 MG-POTASSIUM CLAVULANATE 62.5 MG/5 ML ORAL SUSPENSION,221.1,196.78,45.99,221.1,727 NDC,59651-0214-30,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,74.2,66.04,15.43,74.2,727 NDC,59651-0257-01,PROPAFENONE 225 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,59651-0295-01,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE",5.4,4.81,1.12,5.4,727 NDC,59651-0296-01,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE",5.6,4.98,1.16,5.6,727 NDC,59651-0297-01,"NIFEDIPINE ER 90 MG TABLET,EXTENDED RELEASE",5.8,5.16,1.21,5.8,727 NDC,59651-0306-01,CHLORZOXAZONE 500 MG TABLET,6.0,5.34,1.25,6.0,727 NDC,59651-0308-30,FLUOXETINE 10 MG TABLET,5.7,5.07,1.19,5.7,727 NDC,59651-0420-11,SILDENAFIL 10 MG/ML ORAL SUSPENSION,115.6,102.88,24.04,115.6,727 NDC,59651-0422-01,CEVIMELINE 30 MG CAPSULE,8.2,7.3,1.71,8.2,727 NDC,59651-0452-60,TOPIRAMATE 15 MG SPRINKLE CAPSULE,8.6,7.65,1.79,8.6,727 NDC,59651-0484-01,PREDNISONE 1 MG TABLET,5.4,4.81,0.01,5.4,720 NDC,59651-0491-01,PREDNISOLONE 5 MG TABLET,47.7,42.45,9.92,47.7,727 NDC,59651-0541-01,"ISOSORBIDE MONONITRATE ER 120 MG TABLET,EXTENDED RELEASE 24 HR",5.7,5.07,1.19,5.7,727 NDC,59651-0566-01,DICLOXACILLIN 500 MG CAPSULE,7.7,6.85,1.6,7.7,727 NDC,59651-0616-08,RUFINAMIDE 200 MG TABLET,10.9,9.7,2.27,10.9,727 NDC,59651-0617-08,RUFINAMIDE 400 MG TABLET,16.0,14.24,3.33,16.0,727 NDC,59651-0782-01,"GLIPIZIDE ER 10 MG TABLET, EXTENDED RELEASE 24 HR",5.6,4.98,1.16,5.6,727 NDC,59651-0866-01,CIPROFLOXACIN 250 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,59651-0873-50,CIPROFLOXACIN 750 MG TABLET,6.4,5.7,1.33,6.4,727 NDC,59676-0278-01,RILPIVIRINE HCL 25 MG TABLET,166.7,148.36,34.67,166.7,727 NDC,59676-0566-30,DARUNAVIR 800 MG TABLET,238.0,211.82,49.5,238.0,727 NDC,59676-0570-01,ETRAVIRINE 100 MG TABLET,34.8,30.97,7.24,34.8,727 NDC,59676-0571-01,ETRAVIRINE 200 MG TABLET,89.2,79.39,18.55,89.2,727 NDC,59676-0575-30,DARUNAVIR 800 MG-COBICISTAT 150 MG TABLET,270.6,240.83,56.28,270.6,727 NDC,59676-0600-12,APALUTAMIDE 60 MG TABLET,450.7,401.12,93.75,450.7,727 NDC,59676-0604-30,APALUTAMIDE 240 MG TABLET,1622.8,1444.29,337.54,1622.8,727 NDC,59676-0610-01,TRABECTEDIN 1 MG/20 ML INTRAVENOUS SOLUTION (WETTED),11442.5,10183.83,391.07,11442.5,736 NDC,59676-0701-01,BEDAQUILINE 100 MG TABLET,538.8,479.53,112.07,538.8,727 NDC,59676-0800-30,DARUNAVIR 800 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFEN 10 MG TABLET,519.9,462.71,108.14,519.9,727 NDC,59746-0010-32,RISPERIDONE 0.5 MG DISINTEGRATING TABLET,7.1,6.32,1.48,7.1,727 NDC,59746-0020-22,RISPERIDONE 1 MG DISINTEGRATING TABLET,8.1,7.21,1.68,8.1,727 NDC,59746-0030-22,RISPERIDONE 2 MG DISINTEGRATING TABLET,8.2,7.3,1.71,8.2,727 NDC,59746-0040-22,RISPERIDONE 3 MG DISINTEGRATING TABLET,10.0,8.9,2.08,10.0,727 NDC,59746-0050-22,RISPERIDONE 4 MG DISINTEGRATING TABLET,11.7,10.41,2.43,11.7,727 NDC,59762-0049-01,METHYLPREDNISOLONE 8 MG TABLET,9.4,8.37,0.32,9.4,719 NDC,59762-0050-01,METHYLPREDNISOLONE 16 MG TABLET,13.4,11.93,0.64,13.4,719 NDC,59762-0051-01,METHYLPREDNISOLONE 32 MG TABLET,18.1,16.11,1.28,18.1,719 NDC,59762-0104-05,"SULFASALAZINE 500 MG TABLET,DELAYED RELEASE",6.0,5.34,1.25,6.0,727 NDC,59762-0119-01,PHENELZINE 15 MG TABLET,6.9,6.14,1.44,6.9,727 NDC,59762-0531-02,PHENYTOIN 25 MG/ML ORAL SUSPENSION (WRAPPER),6.7,5.96,1.39,6.7,727 NDC,59762-1308-04,LINEZOLID 100 MG/5 ML ORAL SUSPENSION,1320.9,1175.6,274.75,1320.9,727 NDC,59762-1350-01,RIFABUTIN 150 MG CAPSULE,43.9,39.07,9.13,43.9,727 NDC,59762-5000-05,SULFASALAZINE 500 MG TABLET,5.8,5.16,1.21,5.8,727 NDC,59762-5007-01,MISOPROSTOL 100 MCG TABLET,7.2,6.41,1.5,7.2,727 NDC,60219-1503-01,ERYTHROMYCIN ETHYLSUCCINATE 200 MG/5 ML ORAL POWDER FOR SUSPENSION,426.3,379.41,88.67,426.3,727 NDC,60258-0172-01,MAGNESIUM GLUCONATE 500 MG (27 MG MAGNESIUM) TABLET,2.3,2.05,0.48,2.3,727 NDC,60267-0311-10,SODIUM NITRITE 30 MG/ML INTRAVENOUS SOLUTION,371.8,330.9,77.33,371.8,715 NDC,60267-0705-50,SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION,371.8,330.9,77.33,371.8,718 NDC,60267-0705-50,SODIUM THIOSULFATE 250 MG/ML IVPB STRAIGHT DRUG IN A BAG,620.0,551.8,128.96,620.0,717 NDC,60267-0812-00,SODIUM NITRITE-SODIUM THIOSULFATE 300 MG/10 ML-12.5 GRAM/50 ML IV SOLN,617.5,549.58,2.23,617.5,734 NDC,60505-0014-06,"DILTIAZEM ER (XR/XT) 120 MG CAPSULE,EXTENDED RELEASE 24 HR, CONTROLLED",6.6,5.87,1.37,6.6,727 NDC,60505-0015-06,"DILTIAZEM ER (XR/XT) 180 MG CAPSULE,EXTENDED RELEASE 24 HR, CONTROLLED",7.0,6.23,1.46,7.0,727 NDC,60505-0016-06,"DILTIAZEM ER (XR/XT) 240 MG CAPSULE,EXTENDED RELEASE 24 HR, CONTROLLED",7.5,6.68,1.56,7.5,727 NDC,60505-0039-01,ETODOLAC 200 MG CAPSULE,6.9,6.14,1.44,6.9,727 NDC,60505-0081-00,SOTALOL 160 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,60505-0815-00,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY (NON-REFRIGERATED),128.7,114.54,26.77,128.7,727 NDC,60505-0829-01,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION",70.3,62.57,14.62,70.3,727 NDC,60505-2805-07,"CARBAMAZEPINE ER 100 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",9.9,8.81,2.06,9.9,727 NDC,60505-2807-07,"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE MPHASE12HR",8.3,7.39,1.73,8.3,727 NDC,60505-3110-00,OLANZAPINE 2.5 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,60505-3112-00,OLANZAPINE 7.5 MG TABLET,5.8,5.16,1.21,5.8,727 NDC,60505-3165-00,RISEDRONATE 35 MG TABLET,10.2,9.08,2.12,10.2,727 NDC,60505-3250-06,LAMIVUDINE 100 MG TABLET,38.1,33.91,7.92,38.1,727 NDC,60505-3276-00,OLANZAPINE 10 MG DISINTEGRATING TABLET,13.6,12.1,2.83,13.6,727 NDC,60505-3438-03,SELEGILINE 5 MG TABLET,8.0,7.12,1.66,8.0,727 NDC,60505-4372-03,VILAZODONE 10 MG TABLET,9.0,8.01,1.87,9.0,727 NDC,60505-4373-03,VILAZODONE 20 MG TABLET,9.1,8.1,1.89,9.1,727 NDC,60505-4374-03,VILAZODONE 40 MG TABLET,8.2,7.3,1.71,8.2,727 NDC,60505-4642-03,PRASUGREL HCL 5 MG TABLET,6.0,5.34,1.25,6.0,727 NDC,60505-4643-03,PRASUGREL HCL 10 MG TABLET,6.4,5.7,1.33,6.4,727 NDC,60505-4741-01,LISDEXAMFETAMINE 30 MG CAPSULE,30.2,26.88,6.28,30.2,727 NDC,60505-4754-01,CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET,13.7,12.19,2.85,13.7,727 NDC,60505-6097-00,IBANDRONATE 3 MG/3 ML INTRAVENOUS SOLUTION (WRAPPER),240.1,213.69,45.34,240.1,719 NDC,60505-6116-00,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,63.6,56.6,12.32,63.6,722 NDC,60505-6128-01,IRINOTECAN 20 MG/ML INTRAPERITONEAL INJECTION (HIPEC),122.3,108.85,10.32,122.3,719 NDC,60505-6144-04,CEFEPIME 1 GRAM IM EQUIVALENCY,44.7,39.78,2.99,44.7,719 NDC,60505-6144-04,CEFEPIME 1 GRAM SOLUTION FOR INJECTION,44.6,39.69,1.99,44.6,720 NDC,60505-6144-04,CEFEPIME 100 MG/ML INJECTION (NEO/PED) - RST ONLY,44.6,39.69,1.99,44.6,719 NDC,60505-6145-04,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,53.0,47.17,3.98,53.0,719 NDC,60505-6157-04,PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION,45.7,40.67,3.76,45.7,720 NDC,60505-6159-04,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,50.4,44.86,5.02,50.4,719 NDC,60505-6159-04,PIPERACILLIN-TAZOBACTAM 4.5 GRAM POWDER VIAL OSM,20.0,17.8,4.16,20.0,719 NDC,60505-6188-00,TERIPARATIDE 20 MCG/DOSE (560 MCG/2.24 ML) SUBCUTANEOUS PEN INJECTOR,2437.4,2169.29,506.98,2437.4,727 NDC,60505-6197-02,SIROLIMUS 1 MG/ML ORAL SOLUTION,15.1,13.44,1.11,15.1,719 NDC,60505-6231-05,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION,51.7,46.01,3.8,51.7,733 NDC,60505-6236-06,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,74.4,66.22,9.74,74.4,719 NDC,60505-6236-06,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION (IM EQUIVALENCY),74.1,65.95,9.74,74.1,719 NDC,60505-6287-02,OXALIPLATIN 5 MG/ML INTRAVENOUS SOLUTION (WRAPPER),120.4,107.16,5.41,120.4,720 NDC,60635-0118-01,POLIDOCANOL 1 % INTRAVENOUS FOAM,66.1,58.83,13.75,66.1,715 NDC,60687-0105-21,MEDROXYPROGESTERONE 10 MG TABLET,9.9,8.81,2.06,9.9,727 NDC,60687-0122-01,PREDNISONE 5 MG TABLET,5.6,4.98,0.03,5.6,721 NDC,60687-0124-01,CLONIDINE HCL 0.2 MG TABLET,6.1,5.43,1.27,6.1,727 NDC,60687-0145-01,PREDNISONE 20 MG TABLET,5.7,5.07,0.12,5.7,729 NDC,60687-0149-94,CAPECITABINE 500 MG TABLET,33.7,29.99,0.04,33.7,734 NDC,60687-0210-01,SIMVASTATIN 40 MG TABLET,5.8,5.16,1.21,5.8,727 NDC,60687-0215-01,"PROPRANOLOL ER 60 MG CAPSULE,24 HR,EXTENDED RELEASE",11.8,10.5,2.45,11.8,727 NDC,60687-0216-25,ENTECAVIR 0.5 MG TABLET,72.0,64.08,14.98,72.0,727 NDC,60687-0224-01,GEMFIBROZIL 600 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,60687-0227-94,LEUCOVORIN CALCIUM 25 MG TABLET,32.4,28.84,6.74,32.4,727 NDC,60687-0229-01,LOPERAMIDE 2 MG CAPSULE,7.4,6.59,1.54,7.4,727 NDC,60687-0234-01,ROSUVASTATIN 5 MG TABLET,9.9,8.81,2.06,9.9,727 NDC,60687-0245-65,ROSUVASTATIN 10 MG TABLET,6.8,6.05,1.41,6.8,727 NDC,60687-0272-94,CEFUROXIME AXETIL 250 MG TABLET,20.4,18.16,4.24,20.4,727 NDC,60687-0275-66,PHENYTOIN 100 MG/4 ML ORAL SUSPENSION,33.6,29.9,6.99,33.6,715 NDC,60687-0315-21,CAPTOPRIL 25 MG TABLET,9.9,8.81,2.06,9.9,727 NDC,60687-0344-25,DOXYCYCLINE MONOHYDRATE 100 MG TABLET,13.2,11.75,2.75,13.2,727 NDC,60687-0345-01,CALCITRIOL 0.25 MCG CAPSULE,7.9,7.03,1.64,7.9,727 NDC,60687-0388-01,ALPRAZOLAM 0.5 MG TABLET,11.4,10.15,2.37,11.4,727 NDC,60687-0394-83,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,6.0,5.34,0.41,6.0,731 NDC,60687-0402-65,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",6.4,5.7,1.33,6.4,727 NDC,60687-0408-25,"MESALAMINE 800 MG TABLET,DELAYED RELEASE",55.9,49.75,11.63,55.9,727 NDC,60687-0413-65,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",6.7,5.96,1.39,6.7,727 NDC,60687-0418-01,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,12.1,10.77,2.52,12.1,727 NDC,60687-0420-25,RITONAVIR 100 MG TABLET,35.8,31.86,7.45,35.8,727 NDC,60687-0423-21,CLOBAZAM 10 MG TABLET,20.1,17.89,4.18,20.1,727 NDC,60687-0437-01,AMIODARONE 200 MG TABLET,6.1,5.43,1.27,6.1,727 NDC,60687-0446-01,IBUPROFEN 400 MG TABLET,5.5,4.89,1.14,5.5,727 NDC,60687-0451-21,EPLERENONE 25 MG TABLET,20.1,17.89,4.18,20.1,727 NDC,60687-0457-01,IBUPROFEN 600 MG TABLET,5.7,5.07,1.19,5.7,727 NDC,60687-0462-21,"CLONIDINE HCL ER 0.1 MG TABLET,EXTENDED RELEASE,12 HR",25.5,22.7,5.3,25.5,727 NDC,60687-0476-01,SPIRONOLACTONE 50 MG TABLET,6.0,5.34,1.25,6.0,727 NDC,60687-0487-01,SPIRONOLACTONE 100 MG TABLET,7.2,6.41,1.5,7.2,727 NDC,60687-0491-01,NAPROXEN 500 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,60687-0532-21,"METHYLPHENIDATE ER 18 MG TABLET,EXTENDED RELEASE 24 HR",24.4,21.72,5.08,24.4,727 NDC,60687-0538-21,FEBUXOSTAT 40 MG TABLET,12.3,10.95,2.56,12.3,727 NDC,60687-0543-21,"METHYLPHENIDATE ER 27 MG TABLET,EXTENDED RELEASE 24 HR",24.5,21.81,5.1,24.5,727 NDC,60687-0552-01,LEVOTHYROXINE 200 MCG TABLET,8.1,7.21,1.68,8.1,727 NDC,60687-0554-21,"METHYLPHENIDATE ER 36 MG TABLET,EXTENDED RELEASE 24 HR",23.9,21.27,4.97,23.9,727 NDC,60687-0556-32,"MESALAMINE 400 MG CAPSULE, DELAYED RELEASE (WRAPPER)",30.1,26.79,6.26,30.1,727 NDC,60687-0563-01,LEVOTHYROXINE 137 MCG TABLET,6.9,6.14,1.44,6.9,727 NDC,60687-0572-32,PRAZOSIN 5 MG CAPSULE,15.3,13.62,3.18,15.3,727 NDC,60687-0575-21,RIFAMPIN 150 MG CAPSULE,16.4,14.6,3.41,16.4,727 NDC,60687-0576-86,MIDAZOLAM 2 MG/ML SYRUP (WRAPPER),29.3,26.08,6.09,29.3,727 NDC,60687-0579-01,HYDROMORPHONE 2 MG TABLET,11.3,10.06,2.35,11.3,727 NDC,60687-0581-21,PRAMIPEXOLE 0.5 MG TABLET,7.7,6.85,1.6,7.7,727 NDC,60687-0583-21,"CARBAMAZEPINE ER 200 MG TABLET,EXTENDED RELEASE,12 HR",17.4,15.49,3.62,17.4,727 NDC,60687-0584-21,MIRTAZAPINE 7.5 MG TABLET,15.3,13.62,3.18,15.3,727 NDC,60687-0590-01,HYDROMORPHONE 4 MG TABLET,11.6,10.32,2.41,11.6,727 NDC,60687-0592-21,PRAMIPEXOLE 1 MG TABLET,8.8,7.83,1.83,8.8,727 NDC,60687-0593-01,HYDROCHLOROTHIAZIDE 25 MG TABLET,5.8,5.16,1.21,5.8,727 NDC,60687-0594-21,"CARBAMAZEPINE ER 400 MG TABLET,EXTENDED RELEASE,12 HR",25.3,22.52,5.26,25.3,727 NDC,60687-0606-01,"DICLOFENAC SODIUM 50 MG TABLET,DELAYED RELEASE",6.8,6.05,1.41,6.8,727 NDC,60687-0607-21,"DESVENLAFAXINE ER 50 MG TABLET,EXTENDED RELEASE 24 HOUR (WRAPPER)",12.8,11.39,2.66,12.8,727 NDC,60687-0608-01,"OMEPRAZOLE 40 MG CAPSULE,DELAYED RELEASE",6.1,5.43,1.27,6.1,727 NDC,60687-0609-01,PROPRANOLOL 40 MG TABLET,7.0,6.23,1.46,7.0,727 NDC,60687-0612-21,VALSARTAN 40 MG TABLET,7.9,7.03,1.64,7.9,727 NDC,60687-0614-01,SULFAMETHOXAZOLE 800 MG-TRIMETHOPRIM 160 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,60687-0618-21,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,8.0,7.12,1.66,8.0,727 NDC,60687-0620-01,METOCLOPRAMIDE 5 MG TABLET,6.9,6.14,1.44,6.9,727 NDC,60687-0623-01,VALSARTAN 80 MG TABLET,8.8,7.83,1.83,8.8,727 NDC,60687-0624-01,METOLAZONE 2.5 MG TABLET,14.8,13.17,3.08,14.8,727 NDC,60687-0631-01,METOCLOPRAMIDE 10 MG TABLET,7.0,6.23,1.46,7.0,727 NDC,60687-0634-01,VALSARTAN 160 MG TABLET,9.3,8.28,1.93,9.3,727 NDC,60687-0635-01,METOLAZONE 5 MG TABLET,16.0,14.24,3.33,16.0,727 NDC,60687-0641-21,NEBIVOLOL 5 MG TABLET,11.8,10.5,2.45,11.8,727 NDC,60687-0652-21,NEBIVOLOL 10 MG TABLET,15.1,13.44,3.14,15.1,727 NDC,60687-0656-21,LISINOPRIL 2.5 MG TABLET,6.8,6.05,1.41,6.8,727 NDC,60687-0658-01,"DICLOFENAC SODIUM 75 MG TABLET,DELAYED RELEASE",7.1,6.32,1.48,7.1,727 NDC,60687-0659-01,FLUOXETINE 40 MG CAPSULE,6.9,6.14,1.44,6.9,727 NDC,60687-0660-01,PROMETHAZINE 12.5 MG TABLET,6.7,5.96,1.39,6.7,727 NDC,60687-0664-01,HYDROXYZINE HCL 10 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,60687-0668-01,"LEVETIRACETAM 1,000 MG TABLET",7.7,6.85,1.6,7.7,727 NDC,60687-0669-01,METHIMAZOLE 5 MG TABLET,7.1,6.32,1.48,7.1,727 NDC,60687-0675-01,HYDROXYZINE HCL 25 MG TABLET,5.8,5.16,1.21,5.8,727 NDC,60687-0680-01,METHIMAZOLE 10 MG TABLET,8.0,7.12,1.66,8.0,727 NDC,60687-0693-01,LAMOTRIGINE 150 MG TABLET,6.5,5.79,1.35,6.5,727 NDC,60687-0694-21,METHENAMINE HIPPURATE 1 GRAM TABLET,12.5,11.13,2.6,12.5,727 NDC,60687-0699-21,CEFDINIR 300 MG CAPSULE,18.2,16.2,3.79,18.2,727 NDC,60687-0705-65,DEMECLOCYCLINE 300 MG TABLET,52.2,46.46,10.86,52.2,727 NDC,60687-0715-21,COLESTIPOL 1 GRAM TABLET,18.3,16.29,3.81,18.3,727 NDC,60687-0717-01,DILTIAZEM 30 MG TABLET,6.6,5.87,1.37,6.6,727 NDC,60687-0721-21,DESMOPRESSIN 0.1 MG TABLET,10.6,9.43,2.2,10.6,727 NDC,60687-0728-01,DILTIAZEM 60 MG TABLET,6.8,6.05,1.41,6.8,727 NDC,60687-0732-21,DESMOPRESSIN 0.2 MG TABLET,14.0,12.46,2.91,14.0,727 NDC,60687-0746-01,MISOPROSTOL 200 MCG TABLET,12.6,11.21,2.62,12.6,727 NDC,60687-0768-21,"GLIPIZIDE ER 2.5 MG TABLET, EXTENDED RELEASE 24 HR",9.7,8.63,2.02,9.7,727 NDC,60687-0776-01,AMOXICILLIN 250 MG CAPSULE,7.9,7.03,1.64,7.9,727 NDC,60687-0778-21,MEXILETINE 150 MG CAPSULE,11.0,9.79,2.29,11.0,727 NDC,60687-0781-94,AMOXICILLIN 250 MG-POTASSIUM CLAVULANATE 125 MG TABLET,18.8,16.73,3.91,18.8,727 NDC,60687-0787-01,AMOXICILLIN 500 MG CAPSULE,7.9,7.03,1.64,7.9,727 NDC,60687-0789-01,PYRAZINAMIDE 500 MG TABLET,26.2,23.32,5.45,26.2,727 NDC,60687-0792-01,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,9.2,8.19,1.91,9.2,727 NDC,60687-0793-21,"BUPROPION HCL XL 300 MG 24 HR TABLET, EXTENDED RELEASE",10.2,9.08,2.12,10.2,727 NDC,60687-0801-21,BUSPIRONE 7.5 MG TABLET,10.5,9.35,2.18,10.5,727 NDC,60687-0803-01,AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET,9.6,8.54,2.0,9.6,727 NDC,60687-0807-01,CHLORDIAZEPOXIDE 25 MG CAPSULE,7.4,6.59,1.54,7.4,727 NDC,60687-0829-86,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,6.0,5.34,1.25,6.0,727 NDC,60687-0836-01,CARBIDOPA 25 MG-LEVODOPA 250 MG TABLET,6.4,5.7,1.33,6.4,727 NDC,60687-0841-01,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,10.0,8.9,2.08,10.0,727 NDC,60687-0862-21,IVABRADINE 5 MG TABLET,39.2,34.89,8.15,39.2,727 NDC,60687-0881-01,"GLIPIZIDE ER 5 MG TABLET, EXTENDED RELEASE 24 HR",7.5,6.68,1.56,7.5,727 NDC,60687-0898-21,NADOLOL 40 MG TABLET,21.0,18.69,4.37,21.0,727 NDC,60758-0561-30,TAZAROTENE 0.1 % TOPICAL CREAM,688.1,612.41,143.12,688.1,727 NDC,60758-0773-05,KETOROLAC 0.4 % EYE DROPS,261.2,232.47,54.33,261.2,727 NDC,60758-0880-05,"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION",297.6,264.86,61.9,297.6,727 NDC,60793-0600-10,"PENICILLIN G BENZATHINE AND PROCAINE 1,200,000 UNIT/2 ML IM SYRINGE",688.3,612.59,19.52,688.3,736 NDC,60793-0602-10,"PENICILLIN G BENZATHINE,PROCAIN 900,000 UNIT-300K UNIT/2 ML IM SYRINGE",688.3,612.59,19.52,688.3,736 NDC,60793-0700-01,"PENICILLIN G BENZATHINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE",668.1,594.61,30.01,668.1,736 NDC,60793-0701-10,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE",1065.6,948.38,30.01,1065.6,736 NDC,60842-0023-01,"EPINEPHRINE (AUVI-Q) 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",441.4,392.85,91.81,441.4,717 NDC,60977-0141-01,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION,311.2,276.97,64.73,311.2,717 NDC,60977-0141-01,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION (IM EQUIVALENCY),526.8,468.85,109.57,526.8,717 NDC,60977-0141-01,PRALIDOXIME 50 MG/ML INJECTION (PEDIATRIC) - RST ONLY,311.2,276.97,64.73,311.2,717 NDC,61269-0410-20,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION,765.1,680.94,12.01,765.1,719 NDC,61269-0410-20,ETOPOSIDE PHOSPHATE 100 MG INTRAVENOUS SOLUTION (PEDIATRIC),765.1,680.94,12.01,765.1,719 NDC,61269-0410-20,ETOPOSIDE PHOSPHATE 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED),765.1,680.94,12.01,765.1,719 NDC,61269-0527-94,FEXOFENADINE 30 MG/5 ML ORAL SUSPENSION,58.6,52.15,12.19,58.6,727 NDC,61269-0730-41,MICONAZOLE NITRATE 2 % VAGINAL CREAM,18.7,16.64,3.89,18.7,727 NDC,61269-0989-37,DOCOSANOL 10 % TOPICAL CREAM,51.3,45.66,10.67,51.3,727 NDC,61314-0044-75,TRIFLURIDINE 1 % EYE DROPS,678.8,604.13,141.19,678.8,727 NDC,61314-0143-05,BRIMONIDINE 0.2 % EYE DROPS,69.6,61.94,14.48,69.6,727 NDC,61314-0203-15,PILOCARPINE 1 % EYE DROPS,182.7,162.6,38.0,182.7,727 NDC,61314-0204-15,PILOCARPINE 2 % EYE DROPS,181.0,161.09,37.65,181.0,727 NDC,61314-0206-15,PILOCARPINE 4 % EYE DROPS,253.7,225.79,52.77,253.7,727 NDC,61314-0226-05,TIMOLOL MALEATE 0.25 % EYE DROPS,63.6,56.6,13.23,63.6,727 NDC,61314-0227-05,TIMOLOL MALEATE 0.5 % EYE DROPS,66.0,58.74,13.73,66.0,727 NDC,61314-0237-10,CROMOLYN 4 % EYE DROPS,68.9,61.32,14.33,68.9,727 NDC,61314-0318-10,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,616.9,549.04,0.46,616.9,736 NDC,61314-0326-10,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,912.0,811.68,0.46,912.0,736 NDC,61314-0396-01,CYCLOPENTOLATE 1 % EYE DROPS,63.2,56.25,13.15,63.2,727 NDC,61314-0547-01,LATANOPROST 0.005 % EYE DROPS,63.5,56.52,13.21,63.5,727 NDC,61314-0628-10,"POLYMYXIN B SULFATE 10,000 UNIT-TRIMETHOPRIM 1 MG/ML EYE DROPS",70.3,62.57,14.62,70.3,727 NDC,61314-0633-05,GENTAMICIN 0.3 % EYE DROPS,63.9,56.87,13.29,63.9,727 NDC,61314-0637-05,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",154.4,137.42,32.12,154.4,727 NDC,61314-0641-75,"NEOMYCIN 3.5 MG-POLYMYXIN 10,000 UNIT-HYDROCORT 10 MG/ML EYE DROP,SUSP",468.3,416.79,97.41,468.3,727 NDC,61314-0665-05,APRACLONIDINE 0.5 % EYE DROPS,197.7,175.95,41.12,197.7,727 NDC,61364-0181-01,PERAMIVIR (PF) 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,1227.5,1092.47,1.68,1227.5,734 NDC,61703-0150-05,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,137.8,122.64,10.11,137.8,721 NDC,61703-0150-05,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION (FOR DESENSITIZATION),137.8,122.64,10.11,137.8,719 NDC,61703-0305-38,CYTARABINE (PF) 20 MG/ML INJECTION SOLUTION (WRAPPER),118.9,105.82,0.96,118.9,719 NDC,61703-0309-26,VINCRISTINE 1 MG/ML PF INTRAVENOUS SOLUTION (WRAPPER),234.8,208.97,18.75,234.8,722 NDC,61703-0408-25,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,237.2,211.11,49.34,237.2,720 NDC,61755-0005-02,AFLIBERCEPT 2 MG/0.05 ML INTRAVITREAL INJECTION (WRAPPER),5399.0,4805.11,771.56,5399.0,736 NDC,61755-0050-00,AFLIBERCEPT 8 MG/0.07 ML INTRAVITREAL SOLUTION FOR INJECTION,7418.8,6602.73,311.38,7418.8,735 NDC,61874-0075-60,ELUXADOLINE 75 MG TABLET,98.6,87.75,20.51,98.6,727 NDC,61874-0115-20,CARIPRAZINE 1.5 MG CAPSULE,170.1,151.39,35.38,170.1,727 NDC,61874-0130-20,CARIPRAZINE 3 MG CAPSULE,170.1,151.39,35.38,170.1,727 NDC,61874-0160-30,CARIPRAZINE 6 MG CAPSULE,170.1,151.39,35.38,170.1,727 NDC,61958-0403-01,TENOFOVIR DISOPROXIL FUMARATE 40 MG/SCOOP (40 MG/GRAM) ORAL POWDER,2084.3,1855.03,433.53,2084.3,727 NDC,61958-0602-01,EMTRICITABINE 10 MG/ML ORAL SOLUTION,430.8,383.41,89.61,430.8,727 NDC,61958-0801-05,AMBRISENTAN 5 MG TABLET,1339.5,1192.16,278.62,1339.5,727 NDC,61958-0802-05,AMBRISENTAN 10 MG TABLET,1339.5,1192.16,278.62,1339.5,727 NDC,61958-1101-01,EMTRICITABINE 200 MG-RILPIVIRINE 25 MG-TENOFOVIR DISPROX 300 MG TABLET,452.5,402.73,94.12,452.5,727 NDC,61958-1201-01,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO DISOPRO 300 MG TABLET,512.4,456.04,106.58,512.4,727 NDC,61958-1401-01,COBICISTAT 150 MG TABLET,26.0,23.14,5.41,26.0,727 NDC,61958-1801-01,LEDIPASVIR 90 MG-SOFOSBUVIR 400 MG TABLET,3350.7,2982.12,696.95,3350.7,727 NDC,61958-1901-01,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFENAM 10 MG TABLET,491.3,437.26,102.19,491.3,727 NDC,61958-2002-01,EMTRICITABINE 200 MG-TENOFOVIR ALAFENAMIDE FUMARATE 25 MG TABLET,242.7,216.0,50.48,242.7,727 NDC,61958-2101-01,EMTRICITABINE 200 MG-RILPIVIRINE 25 MG-TENOFOVIR ALAFENAM 25 MG TABLET,452.5,402.73,94.12,452.5,727 NDC,61958-2301-01,TENOFOVIR ALAFENAMIDE 25 MG TABLET,172.4,153.44,35.86,172.4,727 NDC,61958-2501-01,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET,471.1,419.28,97.99,471.1,727 NDC,61958-2505-01,BICTEGRAVIR 30 MG-EMTRICITABINE 120 MG-TENOFOVIR ALAFENAM 15 MG TABLET,471.1,419.28,97.99,471.1,727 NDC,61958-2901-02,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION,1986.9,1768.34,6.73,1986.9,734 NDC,62135-0712-42,LIDOCAINE VISCOUS 2 % MUCOSAL SOLUTION,20.9,18.6,4.35,20.9,727 NDC,62135-0736-90,FLURAZEPAM 15 MG CAPSULE,55.8,49.66,11.61,55.8,727 NDC,62144-5510-05,ARTIFICIAL TEARS (HYPROMELLOSE) (PF) 1.7 % EYE DROPS WITH APPLICATOR,168.4,149.88,35.03,168.4,727 NDC,62175-0302-32,"RABEPRAZOLE 20 MG TABLET,DELAYED RELEASE",6.4,5.7,1.33,6.4,727 NDC,62327-0444-44,STERILE TALC 4 GRAM INTRAPLEURAL SUSPENSION,646.5,575.39,134.47,646.5,715 NDC,62332-0025-31,"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR",8.2,7.3,1.71,8.2,727 NDC,62332-0026-31,"THEOPHYLLINE ER 450 MG TABLET,EXTENDED RELEASE,12 HR",11.3,10.06,2.35,11.3,727 NDC,62332-0084-31,FENOFIBRATE MICRONIZED 67 MG CAPSULE,5.4,4.81,1.12,5.4,727 NDC,62332-0103-30,ARIPIPRAZOLE 10 MG DISINTEGRATING TABLET,24.0,21.36,4.99,24.0,727 NDC,62332-0107-30,"ROPINIROLE ER 2 MG TABLET,EXTENDED RELEASE 24 HR",7.7,6.85,1.6,7.7,727 NDC,62332-0114-31,METOPROLOL TARTRATE 100 MG TABLET,5.2,4.63,1.08,5.2,727 NDC,62332-0244-90,"FENOFIBRIC ACID (CHOLINE) 45 MG CAPSULE,DELAYED RELEASE",5.8,5.16,1.21,5.8,727 NDC,62332-0253-30,AZITHROMYCIN 600 MG TABLET,9.6,8.54,2.0,9.6,727 NDC,62332-0364-06,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET,13.8,12.28,2.87,13.8,727 NDC,62332-0365-06,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET,8.0,7.12,1.66,8.0,727 NDC,62332-0402-31,NADOLOL 20 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,62332-0518-05,TOBRAMYCIN 0.3 % EYE DROPS,69.7,62.03,14.5,69.7,727 NDC,62332-0585-15,"NYSTATIN-TRIAMCINOLONE 100,000 UNIT/GRAM-0.1 % TOPICAL OINTMENT",67.0,59.63,13.94,67.0,727 NDC,62332-0618-31,CYCLOPHOSPHAMIDE 25 MG CAPSULE,10.5,9.35,2.09,10.5,719 NDC,62332-0619-31,CYCLOPHOSPHAMIDE 50 MG CAPSULE,14.3,12.73,2.97,14.3,719 NDC,62332-0639-31,DOXEPIN 75 MG CAPSULE,8.0,7.12,1.66,8.0,727 NDC,62332-0745-31,"GUANFACINE ER 1 MG TABLET,EXTENDED RELEASE 24 HR",5.9,5.25,1.23,5.9,727 NDC,62332-0746-31,"GUANFACINE ER 2 MG TABLET,EXTENDED RELEASE 24 HR",5.4,4.81,1.12,5.4,727 NDC,62484-0015-05,HYDROXYUREA (SICKLE CELL) 100 MG/ML ORAL SOLUTION,2283.2,2032.05,474.91,2283.2,727 NDC,62530-0000-11,UREA 15 GRAM ORAL POWDER PACKET,16.3,14.51,3.39,16.3,727 NDC,62541-0403-10,"LIPASE-PROTEASE-AMYLASE(PORK)10,500-35,500-61,500 UNIT CAPSULE,DEL REL",16.4,14.6,3.41,16.4,727 NDC,62541-0405-10,"LIPASE-PROTEASE-AMYLASE(PORK)21,000-54,700-83,900 UNIT CAPSULE,DEL REL",27.8,24.74,5.78,27.8,727 NDC,62559-0138-07,HYDROCORTISONE 100 MG/60 ML ENEMA,29.4,26.17,6.12,29.4,727 NDC,62559-0149-01,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 1.25 MG-2.5 MG TABLET,14.8,13.17,3.08,14.8,727 NDC,62559-0150-01,ESTERIFIED ESTROGENS-METHYLTESTOSTERONE 0.625 MG-1.25 MG TABLET,14.8,13.17,3.08,14.8,727 NDC,62559-0153-04,OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL,16.6,14.77,3.45,16.6,715 NDC,62559-0158-01,FLUVOXAMINE 25 MG TABLET,5.8,5.16,1.21,5.8,727 NDC,62559-0159-01,FLUVOXAMINE 50 MG TABLET,5.8,5.16,1.21,5.8,727 NDC,62559-0160-01,FLUVOXAMINE 100 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,62559-0190-16,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,220.7,196.42,45.91,220.7,727 NDC,62559-0232-01,PROPAFENONE 300 MG TABLET,6.8,6.05,1.41,6.8,727 NDC,62559-0240-01,METHAZOLAMIDE 25 MG TABLET,10.2,9.08,2.12,10.2,727 NDC,62559-0278-30,NEBIVOLOL 20 MG TABLET,14.2,12.64,2.95,14.2,727 NDC,62559-0421-01,HYOSCYAMINE SULFATE 0.125 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,62559-0424-01,HYOSCYAMINE 0.125 MG SUBLINGUAL TABLET,5.6,4.98,1.16,5.6,727 NDC,62559-0510-01,INDAPAMIDE 1.25 MG TABLET,5.5,4.89,1.14,5.5,727 NDC,62559-0511-01,INDAPAMIDE 2.5 MG TABLET,5.5,4.89,1.14,5.5,727 NDC,62559-0740-01,THYROID (PORK) 15 MG TABLET,7.0,6.23,1.46,7.0,727 NDC,62559-0741-01,THYROID (PORK) 30 MG TABLET,7.0,6.23,1.46,7.0,727 NDC,62559-0742-01,THYROID (PORK) 60 MG TABLET,7.6,6.76,1.58,7.6,727 NDC,62559-0744-01,THYROID (PORK) 120 MG TABLET,9.2,8.19,1.91,9.2,727 NDC,62584-0813-01,OXAZEPAM 15 MG CAPSULE,19.3,17.18,4.01,19.3,727 NDC,62584-0814-01,OXAZEPAM 30 MG CAPSULE,20.4,18.16,4.24,20.4,727 NDC,62584-0984-01,WARFARIN 2 MG TABLET,6.1,5.43,1.27,6.1,727 NDC,62584-0994-01,WARFARIN 5 MG TABLET,6.2,5.52,1.29,6.2,727 NDC,62756-0060-40,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,116.8,103.95,24.29,116.8,719 NDC,62756-0200-83,TIAGABINE 2 MG TABLET,25.6,22.78,5.32,25.6,727 NDC,62756-0568-83,DEFERASIROX 125 MG DISPERSIBLE TABLET,10.1,8.99,2.1,10.1,727 NDC,62856-0405-30,LEMBOREXANT 5 MG TABLET,56.5,50.29,11.75,56.5,727 NDC,62856-0410-30,LEMBOREXANT 10 MG TABLET,56.5,50.29,11.75,56.5,727 NDC,62856-0714-05,LENVATINIB 14 MG/DAY (10 MG X 1 AND 4 MG X 1) CAPSULE,1339.6,1192.24,278.64,1339.6,727 NDC,62935-0227-10,LEUPROLIDE ACETATE 22.5 MG (3 MONTH) SUBCUTANEOUS SYRINGE,1235.3,1099.42,176.45,1235.3,736 NDC,62991-1335-02,CITRIC ACID (BULK) POWDER,115.3,102.62,23.98,115.3,727 NDC,62991-1424-02,GRAPE FLAVOR (BULK) LIQUID,141.2,125.67,29.37,141.2,727 NDC,62991-1467-02,RASPBERRY FLAVOR (BULK) LIQUID,105.7,94.07,21.99,105.7,727 NDC,62991-2400-03,OMEPRAZOLE (BULK) 100 % POWDER,289.5,257.65,60.22,289.5,715 NDC,62991-2715-02,GLYCERIN (BULK) 100 % LIQUID,298.1,265.31,62.0,298.1,727 NDC,62991-2897-03,METOPROLOL TARTRATE (BULK) 100 % POWDER,531.0,472.59,110.45,531.0,727 NDC,63010-0027-70,NELFINAVIR 625 MG TABLET,39.6,35.24,8.24,39.6,727 NDC,63020-0534-30,PONATINIB 45 MG TABLET,2072.7,1844.7,431.12,2072.7,727 NDC,63020-0535-30,PONATINIB 15 MG TABLET,2392.0,2128.88,497.54,2392.0,727 NDC,63090-0340-30,PIMAVANSERIN 34 MG CAPSULE,569.2,506.59,118.39,569.2,727 NDC,63323-0010-02,GENTAMICIN 40 MG/ML INJECTION (NEO/PED) - RST ONLY,40.6,36.13,2.49,40.6,719 NDC,63323-0010-02,GENTAMICIN 40 MG/ML INJECTION SOLUTION,40.6,36.13,2.49,40.6,726 NDC,63323-0011-15,CHLORAMPHENICOL 100 MG/ML INJECTION (NEO/PED) - RST ONLY,168.1,149.61,34.96,168.1,736 NDC,63323-0012-07,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,38.8,34.53,8.07,38.8,717 NDC,63323-0013-09,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,38.3,34.09,2.08,38.3,723 NDC,63323-0013-09,THIAMINE INJECTION 100 MG/ML INJECTION (NEO/PED) - RST ONLY,48.0,42.72,4.15,48.0,719 NDC,63323-0030-11,"CHORIONIC GONADOTROPIN, HUMAN 10,000 UNIT/ML IM POWDER FOR SOLUTION (WETTED)",658.0,585.62,136.86,658.0,719 NDC,63323-0064-23,MAGNESIUM SULFATE 500 MG/ML (49.3 MG/ML MAGNESIUM) INJECTION FOR ORAL USE,8.9,7.92,0.93,8.9,719 NDC,63323-0064-23,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,39.4,35.07,0.93,39.4,724 NDC,63323-0064-23,MAGNESIUM SULFATE 500 MG/ML IV SYRINGE (NEO/PED) - RST ONLY (1 HOUR INFUSION),39.4,35.07,0.93,39.4,719 NDC,63323-0064-23,MAGNESIUM SULFATE 500 MG/ML IV SYRINGE (NEO/PED) - RST ONLY (OVER 2 HOURS),39.4,35.07,0.93,39.4,719 NDC,63323-0095-61,SODIUM CHLORIDE 23.4 % (4 MEQ/ML) INTRAVENOUS SOLUTION,90.7,80.72,18.87,90.7,715 NDC,63323-0103-51,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,256.9,228.64,12.14,256.9,721 NDC,63323-0103-64,CISPLATIN 1 MG/ML INTRAPERITONEAL INJECTION (HIPEC),427.5,380.48,48.58,427.5,719 NDC,63323-0106-01,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,82.7,73.6,3.73,82.7,720 NDC,63323-0106-05,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,86.2,76.72,1.86,86.2,726 NDC,63323-0106-15,MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) IN WATER INTRAVENOUS SOLUTION,87.3,77.7,18.16,87.3,719 NDC,63323-0113-10,PENTAMIDINE 300 MG SOLUTION FOR INHALATION (USING INJECTION SOLN),157.6,140.26,32.78,157.6,717 NDC,63323-0113-10,PENTAMIDINE 300 MG SOLUTION FOR INJECTION,197.6,175.86,41.1,197.6,717 NDC,63323-0117-10,FLUOROURACIL 50 MG/ML INTRAVENOUS SOLUTION (WRAPPER),107.2,95.41,2.23,107.2,719 NDC,63323-0117-10,FLUOROURACIL 500 MG/10 ML INTRALESIONAL INJECTION,107.2,95.41,2.23,107.2,719 NDC,63323-0120-20,CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) INJECTION SOLUTION,237.6,211.46,19.21,237.6,720 NDC,63323-0128-20,DACARBAZINE 200 MG/20 ML INTRAVENOUS SOLUTION (WETTED),235.6,209.68,9.49,235.6,719 NDC,63323-0130-13,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,84.2,74.94,17.51,84.2,717 NDC,63323-0130-13,DOXYCYCLINE HYCLATE 100 MG POWDER FOR SOLN (SCLEROSING),84.2,74.94,17.51,84.2,715 NDC,63323-0130-13,DOXYCYCLINE HYCLATE 100 MG/2.5 ML RECON SOLUTION (SCLEROSING) OSM,84.2,74.94,17.51,84.2,715 NDC,63323-0132-10,"MITOXANTRONE 2 MG/ML CONCENTRATE,INTRAVENOUS",493.0,438.77,23.88,493.0,736 NDC,63323-0161-12,KETOROLAC 15 MG/ML INJECTION SOLUTION,37.6,33.46,0.3,37.6,749 NDC,63323-0162-12,KETOROLAC 30 MG/ML INJECTION SOLUTION (INCLUDES REPACKAGED VOLUMES),37.7,33.55,0.3,37.7,749 NDC,63323-0173-02,GENTAMICIN 10 MG/ML INJECTION (NEO/PED) - RST ONLY,42.8,38.09,2.49,42.8,719 NDC,63323-0173-02,GENTAMICIN SULFATE (PEDIATRIC) (PF) 20 MG/2 ML INJECTION SOLUTION,42.8,38.09,2.49,42.8,719 NDC,63323-0180-01,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION (NEO/PED) - RST ONLY,86.6,77.07,17.89,86.6,719 NDC,63323-0180-01,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION,86.6,77.07,17.89,86.6,719 NDC,63323-0184-10,FOLIC ACID 5 MG/ML INJECTION SOLUTION,119.4,106.27,24.84,119.4,717 NDC,63323-0185-04,"WATER FOR IRRIGATION, STERILE SOLUTION (WRAPPER INCLUDES SWFI)",60.9,54.2,12.67,60.9,715 NDC,63323-0186-10,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,37.3,33.2,7.76,37.3,715 NDC,63323-0186-10,SODIUM CHLORIDE INTRATHECAL PUMP INFUSION,39.8,35.42,8.28,39.8,715 NDC,63323-0192-02,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,1155.6,1028.48,93.62,1155.6,721 NDC,63323-0203-20,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,70.2,62.48,14.6,70.2,717 NDC,63323-0205-00,FATTY ACID NO.6-FISH OIL-GLYCERIN 10 % IV EMULSION,408.4,363.48,84.95,408.4,715 NDC,63323-0205-00,"FATTY ACID NO.6-FISH OIL-GLYCERIN-PHOSPHOLIPIDS, EGG 10 % IV EMULSION PARTIAL BAG (NEONATE/PEDS)",408.4,363.48,84.95,408.4,715 NDC,63323-0205-00,"FATTY ACID NO.6-FISH OIL-GLYCERIN-PHOSPHOLIPIDS, EGG 10 % IV EMULSION SYRINGE (NEONATE)",408.4,363.48,84.95,408.4,715 NDC,63323-0229-35,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,150.8,134.21,31.37,150.8,729 NDC,63323-0254-10,"MINERAL OIL, LIGHT STERILE",19.8,17.62,4.12,19.8,727 NDC,63323-0258-03,METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION,85.2,75.83,17.72,85.2,717 NDC,63323-0260-37,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,38.8,34.53,4.31,38.8,719 NDC,63323-0262-26,"HEPARIN (PORCINE) 5,000 UNITS/ML INJECTION SOLUTION (WRAPPER)",38.6,34.35,1.03,38.6,727 NDC,63323-0269-37,PROPOFOL 10 MG/ML INTRAVENOUS SYRINGE (PEDIATRIC),42.7,38.0,2.05,42.7,719 NDC,63323-0269-67,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,73.0,64.97,10.24,73.0,741 NDC,63323-0269-67,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION INFUSION,73.0,64.97,10.24,73.0,719 NDC,63323-0269-67,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION INFUSION (BAG-HYPERBARIC USE),73.0,64.97,10.24,73.0,719 NDC,63323-0269-67,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION INFUSION (PEDIATRIC),73.0,64.97,10.24,73.0,719 NDC,63323-0278-10,VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION,360.3,320.67,59.6,360.3,720 NDC,63323-0281-10,FLUPHENAZINE 2.5 MG/ML INJECTION SOLUTION,55.4,49.31,11.52,55.4,717 NDC,63323-0283-57,MEPIVACAINE 1 % (10 MG/ML) INJECTION SOLUTION,67.0,59.63,13.94,67.0,719 NDC,63323-0285-23,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,41.1,36.58,0.58,41.1,723 NDC,63323-0286-23,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,38.5,34.27,1.44,38.5,729 NDC,63323-0287-21,ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION,39.7,35.33,2.19,39.7,719 NDC,63323-0288-11,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,49.4,43.97,5.75,49.4,719 NDC,63323-0288-29,ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,49.9,44.41,5.75,49.9,719 NDC,63323-0293-37,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,40.2,35.78,4.31,40.2,723 NDC,63323-0294-27,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,41.3,36.76,4.31,41.3,727 NDC,63323-0303-51,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,219.2,195.09,35.72,219.2,720 NDC,63323-0322-93,IMIPENEM-CILASTATIN 500 MG INTRAVENOUS SOLUTION,82.9,73.78,16.33,82.9,719 NDC,63323-0322-93,IMIPENEM-CILASTATIN 500 MG POWDER VIAL OSM,42.9,38.18,8.92,42.9,719 NDC,63323-0360-01,CALCIUM GLUCONATE 100 MG/ML (10%) INJECTION FOR ORAL USE,31.0,27.59,6.45,31.0,717 NDC,63323-0360-01,CALCIUM GLUCONATE 100 MG/ML STRAIGHT DRUG SYRINGE (NEO/PED),64.7,57.58,13.46,64.7,717 NDC,63323-0360-05,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAFETAL INTRAVENOUS SOLUTION,154.4,137.42,32.12,154.4,717 NDC,63323-0360-05,CALCIUM GLUCONATE 100 MG/ML (10%) INJECTION FOR ORAL USE,114.4,101.82,23.8,114.4,717 NDC,63323-0360-05,CALCIUM GLUCONATE 100 MG/ML STRAIGHT DRUG SYRINGE (NEO/PED),154.4,137.42,32.12,154.4,717 NDC,63323-0360-19,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAFETAL INTRAVENOUS SOLUTION,64.7,57.58,13.46,64.7,717 NDC,63323-0360-19,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,64.7,57.58,13.46,64.7,723 NDC,63323-0360-19,CALCIUM GLUCONATE 100 MG/ML (10 %) IV BOLUS (NEO/PED),64.7,57.58,13.46,64.7,717 NDC,63323-0360-61,CALCIUM GLUCONATE STRAIGHT DRUG INFUSION 100 ML,154.4,137.42,32.12,154.4,717 NDC,63323-0360-61,CALCIUM GLUCONATE STRAIGHT DRUG INFUSION SYRINGE 50 ML,154.4,137.42,32.12,154.4,717 NDC,63323-0366-01,DIMENHYDRINATE 50 MG/ML INJECTION SOLUTION,56.6,50.37,1.05,56.6,719 NDC,63323-0376-01,OCTREOTIDE ACETATE 100 MCG/ML INJECTION (WRAPPER),42.0,37.38,8.74,42.0,727 NDC,63323-0377-01,OCTREOTIDE ACETATE 500 MCG/ML INJECTION (WRAPPER),85.4,76.01,17.76,85.4,727 NDC,63323-0378-05,OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLUTION,44.0,39.16,9.15,44.0,727 NDC,63323-0379-05,"OCTREOTIDE ACETATE 1,000 MCG/ML INJECTION SOLUTION",372.8,331.79,77.54,372.8,727 NDC,63323-0385-01,CEFOTETAN 1 GRAM SOLUTION FOR IV INJECTION,73.9,65.77,15.37,73.9,715 NDC,63323-0386-20,CEFOTETAN 2 GRAM SOLUTION FOR IV INJECTION,111.8,99.5,23.25,111.8,715 NDC,63323-0402-30,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,188.8,168.03,39.27,188.8,717 NDC,63323-0417-10,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,49.7,44.23,10.34,49.7,715 NDC,63323-0418-20,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,205.7,183.07,42.79,205.7,715 NDC,63323-0461-57,"BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION",42.2,37.56,8.78,42.2,715 NDC,63323-0463-57,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",42.7,38.0,8.88,42.7,715 NDC,63323-0474-01,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,38.0,33.82,0.84,38.0,726 NDC,63323-0481-57,"LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",37.9,33.73,7.88,37.9,715 NDC,63323-0487-37,"LIDOCAINE-EPINEPHRINE (PF) 1 %-1:200,000 INJECTION SOLUTION",36.6,32.57,7.61,36.6,715 NDC,63323-0489-21,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",44.0,39.16,9.15,44.0,715 NDC,63323-0506-01,DEXAMETHASONE 10 MG/ML INJECTION (NEO/PED) - RST ONLY,39.7,35.33,1.21,39.7,719 NDC,63323-0506-01,DEXAMETHASONE 10 MG/ML INJECTION SOLUTION (WRAPPER),39.7,35.33,1.21,39.7,719 NDC,63323-0506-01,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,39.7,35.33,1.21,39.7,724 NDC,63323-0507-21,MEROPENEM 500 MG INTRAVENOUS SOLUTION,44.7,39.78,2.2,44.7,719 NDC,63323-0508-31,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,52.1,46.37,4.4,52.1,719 NDC,63323-0508-31,MEROPENEM 1 GRAM POWDER VIAL OSM,20.0,17.8,4.16,20.0,719 NDC,63323-0517-74,"HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN",102.2,90.96,5.15,102.2,718 NDC,63323-0517-74,"HEPARIN (PORCINE) SET RATE 25,000 UNIT/250 ML IN 0.45 % NACL",102.2,90.96,5.15,102.2,717 NDC,63323-0540-67,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",42.5,37.83,2.06,42.5,728 NDC,63323-0542-13,"HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION",41.4,36.85,2.06,41.4,717 NDC,63323-0559-65,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,44.4,39.52,1.84,44.4,722 NDC,63323-0564-65,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,46.3,41.21,2.45,46.3,725 NDC,63323-0566-98,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,51.9,46.19,3.68,51.9,720 NDC,63323-0580-20,ATROPINE 0.4 MG/ML INJECTION SOLUTION,65.0,57.85,13.52,65.0,721 NDC,63323-0584-99,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,60.0,53.4,4.9,60.0,719 NDC,63323-0586-96,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,66.4,59.1,6.13,66.4,719 NDC,63323-0589-94,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,89.4,79.57,9.19,89.4,719 NDC,63323-0594-03,GLUCAGON 1 MG/ML INJECTION (WRAPPER),417.1,371.22,86.76,417.1,734 NDC,63323-0599-30,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,125.7,111.87,26.15,125.7,719 NDC,63323-0604-01,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,42.8,38.09,8.9,42.8,719 NDC,63323-0614-55,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,47.9,42.63,5.05,47.9,720 NDC,63323-0614-55,HYDRALAZINE 20 MG/ML INJECTION SOLUTION (PEDIATRICS),47.9,42.63,5.05,47.9,719 NDC,63323-0626-02,NACL 0.45% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),80.3,71.47,16.7,80.3,717 NDC,63323-0626-03,NACL 0.45% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),81.2,72.27,16.89,81.2,717 NDC,63323-0626-04,NACL 0.45% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),82.0,72.98,17.06,82.0,717 NDC,63323-0626-10,NACL 0.45% IV SOLP (NON-PVC/NON-DEHP)(BRAND SPLIT),82.0,72.98,17.06,82.0,717 NDC,63323-0651-30,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,112.3,99.95,23.36,112.3,725 NDC,63323-0655-99,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,68.6,61.05,7.36,68.6,719 NDC,63323-0659-03,INDOMETHACIN 0.5 MG/ML INJECTION,797.0,709.33,165.78,797.0,715 NDC,63323-0659-03,INDOMETHACIN 1 MG INTRAVENOUS SOLUTION,797.0,709.33,165.78,797.0,715 NDC,63323-0728-10,MICAFUNGIN 50 MG INTRAVENOUS SOLUTION,102.9,91.58,14.32,102.9,719 NDC,63323-0729-10,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,119.7,106.53,24.9,119.7,719 NDC,63323-0739-12,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),36.3,32.31,7.55,36.3,717 NDC,63323-0739-12,FAMOTIDINE 10 MG/ML IV SYRINGE (NEO/PED) - RST ONLY,37.6,33.46,7.82,37.6,717 NDC,63323-0751-13,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,38.7,34.44,8.05,38.7,717 NDC,63323-0762-10,TOPOTECAN 4 MG INTRAVENOUS SOLUTION,286.3,254.81,57.41,286.3,720 NDC,63323-0762-10,TOPOTECAN 4 MG/4 ML INTRAVENOUS SOLUTION (WETTED),286.3,254.81,57.41,286.3,719 NDC,63323-0812-20,OXACILLIN 2 GRAM SOLUTION FOR INJECTION,52.1,46.37,5.23,52.1,719 NDC,63323-0820-74,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS,228.0,202.92,47.42,228.0,715 NDC,63323-0820-74,FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % IV SYRINGE (NEONATE),228.0,202.92,47.42,228.0,715 NDC,63323-0852-25,HYDROMORPHONE (PF) 1 MG/ML INJECTION SOLUTION (WRAPPER),84.0,74.76,17.47,84.0,717 NDC,63323-0884-06,SODIUM PHOSPHATE 3 MMOL/ML INJECTION FOR ORAL USE,27.7,24.65,5.76,27.7,715 NDC,63323-0884-06,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,60.9,54.2,12.67,60.9,717 NDC,63323-0885-10,LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION,265.0,235.85,6.83,265.0,734 NDC,63323-0915-13,"HEPARIN (PORCINE) 20,000 UNIT/ML INJECTION SOLUTION",60.5,53.85,4.12,60.5,717 NDC,63323-0924-10,"SODIUM CHLORIDE 0.9 %, BACTERIOSTATIC INJECTION SOLUTION",39.2,34.89,8.15,39.2,715 NDC,63323-0965-20,POTASSIUM CHLORIDE 2 MEQ/ML INTRALESIONAL SOLUTION,35.6,31.68,0.28,35.6,719 NDC,63323-0965-20,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,40.1,35.69,2.78,40.1,720 NDC,63361-0243-88,"DIP,PERT(A)TET-HEPB-POLIO-HIB PED(PF) 15-5 UNIT-10 MCG/0.5 ML IM SYRNG",156.2,139.02,32.49,167.49,719 NDC,63459-0103-10,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,1885.7,1678.27,29.38,1885.7,737 NDC,63459-0104-50,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,7628.1,6789.01,29.38,7628.1,737 NDC,63459-0348-04,BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION,4367.1,3886.72,13.49,4367.1,736 NDC,63736-0015-18,MICONAZOLE NITRATE 200 MG/5 GRAM (4 %) VAGINAL CREAM,21.0,18.69,4.37,21.0,727 NDC,63736-0037-51,BENZOCAINE 20 % TOPICAL OINTMENT,62.1,55.27,12.92,62.1,727 NDC,63736-0120-02,PERMETHRIN 1 % TOPICAL LIQUID,77.5,68.97,16.12,77.5,727 NDC,63736-0123-01,"IRON,CARBONYL 65 MG-VITAMIN C 125 MG TABLET,DELAYED RELEASE",2.6,2.31,0.54,2.6,727 NDC,63736-0200-45,ASPIRIN-CAFFEINE 400 MG-32 MG TABLET,2.3,2.05,0.48,2.3,727 NDC,63736-0339-42,HYDROCORTISONE 1 % LOTION,68.2,60.7,14.19,68.2,727 NDC,63736-0378-82,BENZOCAINE 20 % TOPICAL AEROSOL,62.0,55.18,12.9,62.0,727 NDC,63824-0713-16,BENZOCAINE 15 MG-MENTHOL 3.6 MG LOZENGES,2.5,2.23,0.52,2.5,727 NDC,63833-0386-02,HUM PROTHROMBIN CPLX (PCC) 4FACTOR (KCENTRA) (BRAND SPLIT) IV,41.8,37.2,2.14,41.8,735 NDC,63833-0386-02,HUM PROTHROMBIN CPLX (PCC) 4FACTOR (KCENTRA) (BRAND SPLIT) IV INFUSION,41.8,37.2,2.14,41.8,734 NDC,63833-0518-02,"FACTOR XIII 1,000 UNIT-1,600 UNIT INTRAVENOUS SOLUTION",83.9,74.67,10.76,83.9,736 NDC,63833-0615-02,ANTIHEMOPHILIC FACTOR-VWF -- HUMATE-P (BRAND SPLIT) (RESTRICTED),39.9,35.51,1.49,39.9,736 NDC,63833-0825-02,C1 ESTERASE INHIBITOR 500 UNIT/10 ML INTRAVENOUS SOLUTION (WRAPPER),9875.0,8788.75,75.86,9875.0,736 NDC,64067-0216-01,METHOXSALEN 20 MCG/ML INJECTION SOLUTION,2303.4,2050.03,479.11,2303.4,715 NDC,64193-0426-02,ANTI-INHIBITOR COAGULANT COMPLEX (FEIBA)(WRAPPER),43.3,38.54,2.41,43.3,735 NDC,64208-7752-01,COAGULATION FACTOR X 250 (+/-) UNIT RANGE INTRAVENOUS SOLUTION,63.6,56.6,9.78,63.6,736 NDC,64208-7753-01,COAGULATION FACTOR X 500 (+/-) UNIT RANGE INTRAVENOUS SOLUTION,63.6,56.6,9.78,63.6,736 NDC,64281-0100-00,METHACHOLINE CHLORIDE 100 MG POWDER FOR INHALATION (NON-STERILE),284.1,252.85,59.09,284.1,719 NDC,64380-0160-01,MEGESTROL 40 MG/ML ORAL SUSPENSION (WRAPPER),107.5,95.68,22.36,107.5,727 NDC,64380-0203-01,DOXEPIN 3 MG TABLET,15.6,13.88,3.24,15.6,727 NDC,64380-0447-01,ACETAMINOPHEN 300 MG-CODEINE 60 MG TABLET,11.6,10.32,2.41,11.6,727 NDC,64380-0448-01,ACETAMINOPHEN 300 MG-CODEINE 15 MG TABLET,11.0,9.79,2.29,11.0,727 NDC,64380-0758-06,ACARBOSE 25 MG TABLET,6.0,5.34,1.25,6.0,727 NDC,64380-0843-06,PIROXICAM 20 MG CAPSULE,6.2,5.52,1.29,6.2,727 NDC,64380-0878-06,ETHOSUXIMIDE 250 MG CAPSULE,6.0,5.34,1.25,6.0,727 NDC,64380-0880-80,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,11.2,9.97,2.33,11.2,716 NDC,64380-0880-80,SEVELAMER CARBONATE 0.8 GRAM POWDER PACKET (FOR TREATMENT OF INFANT FORMULA/BREAST MILK),11.2,9.97,2.33,11.2,716 NDC,64380-0881-80,SEVELAMER CARBONATE 2.4 GRAM ORAL POWDER PACKET,11.2,9.97,2.33,11.2,716 NDC,64380-0881-80,SEVELAMER CARBONATE 2.4 GRAM POWDER PACKET (FOR TREATMENT OF INFANT FORMULA/BREAST MILK),11.2,9.97,2.33,11.2,716 NDC,64380-0884-04,CINACALCET 60 MG TABLET,7.6,6.76,1.58,7.6,714 NDC,64380-0885-04,CINACALCET 90 MG TABLET,9.2,8.19,1.91,9.2,714 NDC,64380-0919-06,URSODIOL 500 MG TABLET,8.1,7.21,1.68,8.1,727 NDC,64380-0949-06,PREDNISONE 50 MG TABLET,6.0,5.34,0.29,6.0,719 NDC,64406-0058-01,NUSINERSEN (PF) 12 MG/5 ML INTRATHECAL SOLUTION,366172.4,325893.44,1280.25,366172.4,734 NDC,64406-0109-01,TOFERSEN 100 MG/15 ML (6.7 MG/ML) INTRATHECAL SOLUTION,39298.8,34975.93,159.4,39298.8,734 NDC,64679-0698-02,OXACILLIN 1 G POWDER VIAL OSM,23.3,20.74,2.62,23.3,719 NDC,64679-0700-03,OXACILLIN 10 GRAM SOLUTION FOR INJECTION,197.7,175.95,26.17,197.7,719 NDC,64764-0300-20,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION,25557.8,22746.44,21.31,25557.8,738 NDC,64764-0720-30,VORTIOXETINE 5 MG TABLET,64.3,57.23,13.37,64.3,727 NDC,64764-0730-30,VORTIOXETINE 10 MG TABLET,64.3,57.23,13.37,64.3,727 NDC,64764-0750-30,VORTIOXETINE 20 MG TABLET,64.3,57.23,13.37,64.3,727 NDC,64764-0800-56,MARIBAVIR 200 MG TABLET,760.3,676.67,158.14,760.3,727 NDC,64850-0501-01,DEXTROAMPHETAMINE-AMPHETAMINE 7.5 MG TABLET,10.8,9.61,2.25,10.8,727 NDC,64896-0661-01,"CARBIDOPA ER 23.75 MG-LEVODOPA 95 MG CAPSULE,EXTENDED RELEASE",18.5,16.47,3.85,18.5,727 NDC,64896-0662-01,"CARBIDOPA ER 36.25 MG-LEVODOPA 145 MG CAPSULE,EXTENDED RELEASE",18.5,16.47,3.85,18.5,727 NDC,64896-0663-01,"CARBIDOPA ER 48.75 MG-LEVODOPA 195 MG CAPSULE,EXTENDED RELEASE",18.5,16.47,3.85,18.5,727 NDC,64896-0664-01,"CARBIDOPA ER 61.25 MG-LEVODOPA 245 MG CAPSULE,EXTENDED RELEASE",22.0,19.58,4.58,22.0,727 NDC,64896-0669-30,MEBENDAZOLE 100 MG CHEWABLE TABLET,2134.2,1899.44,443.91,2134.2,727 NDC,64896-0697-13,"OXYMORPHONE ER 10 MG TABLET,EXTENDED RELEASE,12 HR",53.6,47.7,11.15,53.6,727 NDC,64896-0699-01,"OXYMORPHONE ER 20 MG TABLET,EXTENDED RELEASE,12 HR",79.8,71.02,16.6,79.8,727 NDC,64896-0700-01,"OXYMORPHONE ER 30 MG TABLET,EXTENDED RELEASE,12 HR",105.6,93.98,21.96,105.6,727 NDC,64950-0343-16,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,554.3,493.33,115.29,554.3,727 NDC,64980-0146-12,"LACTOBACILLUS ACIDOPHILUS, BULGARICUS 100 MILLION CELL GRANULES PACKET",6.3,5.61,1.31,6.3,727 NDC,64980-0164-01,L.ACIDOPHILUS-L.BULGAR-B.BIFID-S.THERMOPH 1 BILLION CELL-250 MG TABLET,2.7,2.4,0.56,2.7,727 NDC,64980-0320-05,TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE,121.1,107.78,25.19,121.1,727 NDC,64980-0328-01,ERYTHROMYCIN-BENZOYL PEROXIDE 3 %-5 % TOPICAL GEL,184.5,164.21,38.38,184.5,727 NDC,64980-0340-01,ALENDRONATE 10 MG TABLET,5.5,4.89,1.14,5.5,727 NDC,64980-0373-03,ATOMOXETINE 10 MG CAPSULE,9.2,8.19,1.91,9.2,727 NDC,64980-0374-03,ATOMOXETINE 18 MG CAPSULE,6.8,6.05,1.41,6.8,727 NDC,64980-0378-03,ATOMOXETINE 80 MG CAPSULE,7.6,6.76,1.58,7.6,727 NDC,64980-0379-03,ATOMOXETINE 100 MG CAPSULE,7.9,7.03,1.64,7.9,727 NDC,64980-0403-50,CEFPODOXIME 100 MG/5 ML ORAL SUSPENSION,191.2,170.17,39.77,191.2,727 NDC,64980-0409-06,SERTRALINE 20 MG/ML ORAL CONCENTRATE,7.9,7.03,1.64,7.9,727 NDC,64980-0427-12,TINIDAZOLE 500 MG TABLET,16.5,14.69,3.43,16.5,727 NDC,64980-0443-01,ALBUTEROL SULFATE 4 MG TABLET,7.1,6.32,1.48,7.1,727 NDC,64980-0504-48,CYPROHEPTADINE 2 MG/5 ML ORAL SYRUP,88.4,78.68,18.39,88.4,727 NDC,64980-0526-60,NITAZOXANIDE 500 MG TABLET,284.3,253.03,59.13,284.3,727 NDC,64980-0571-01,METHYLDOPA 250 MG TABLET,24.3,21.63,5.05,24.3,727 NDC,64980-0588-51,EDETATE CALCIUM DISODIUM 200 MG/ML INJECTION SOLUTION,15964.1,14208.05,3320.53,15964.1,718 NDC,64980-0642-03,ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION,10.8,9.61,0.5,10.8,731 NDC,65162-0280-03,"PALIPERIDONE ER 1.5 MG TABLET,EXTENDED RELEASE 24 HR",12.1,10.77,2.52,12.1,727 NDC,65162-0681-10,PHENAZOPYRIDINE 100 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,65162-0682-10,PHENAZOPYRIDINE 200 MG TABLET,6.6,5.87,1.37,6.6,727 NDC,65162-0691-79,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,10.0,8.9,0.06,10.0,729 NDC,65162-0749-34,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,11.9,10.59,2.48,11.9,727 NDC,65162-0804-14,TEMOZOLOMIDE 140 MG CAPSULE,34.4,30.62,7.16,34.4,729 NDC,65162-0825-34,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,12.9,11.48,2.68,12.9,727 NDC,65162-0826-34,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,11.3,10.06,2.35,11.3,727 NDC,65162-0835-94,ACYCLOVIR 5 % TOPICAL OINTMENT,97.8,87.04,20.34,97.8,727 NDC,65162-0918-53,LIDOCAINE 5 % TOPICAL OINTMENT,92.7,82.5,19.28,92.7,715 NDC,65162-0989-08,ESTRADIOL 0.025 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,36.1,32.13,7.51,36.1,727 NDC,65162-0995-08,ESTRADIOL 0.075 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,34.7,30.88,7.22,34.7,727 NDC,65162-0997-08,ESTRADIOL 0.1 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,33.8,30.08,7.03,33.8,727 NDC,65174-0288-30,KIT FOR PREPARATION OF TC 99M-PENTETIC ACID 20 MG IV SOLUTION,1484.0,1320.76,308.67,1484.0,717 NDC,65174-0288-30,TECHNETIUM TC 99M PENTETATE UP TO 75 MILLICURIE,1484.0,1320.76,308.67,1484.0,717 NDC,65174-0660-30,KIT FOR PREPARATION OF TC-99M-MEDRONATE SODIUM IV SOLUTION,547.0,486.83,113.78,547.0,723 NDC,65174-0880-00,SODIUM IODIDE-131 (I-131) THERAPY SOLUTION,47.0,41.83,9.78,47.0,734 NDC,65219-0052-29,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION,84.4,75.12,17.56,84.4,717 NDC,65219-0368-02,LORAZEPAM 2 MG/ML INJECTION SOLUTION (WRAPPER),76.2,67.82,1.62,76.2,723 NDC,65219-0380-30,ALLOPURINOL 500 MG INTRAVENOUS SOLUTION,3803.2,3384.85,4.72,3803.2,734 NDC,65219-0383-50,IODIXANOL 320 MG IODINE/ML INTRAVENOUS SOLUTION,95.2,84.73,8.57,95.2,722 NDC,65219-0389-05,ELECTROLYTE INTRAVENOUS SOLUTION,87.3,77.7,18.16,87.3,717 NDC,65219-0389-05,ELECTROLYTE-A INTRAVENOUS SOLUTION (ANES PERFUSION/OR/IP BOLUS),87.3,77.7,18.16,87.3,717 NDC,65219-0535-50,FAT EMULSION 20 % INTRAVENOUS,216.7,192.86,45.07,216.7,715 NDC,65219-0535-50,FAT EMULSION 20 % INTRAVENOUS PARTIAL BAG (NEONATE/PEDS)(RESTRICTED),216.7,192.86,45.07,216.7,715 NDC,65219-0535-50,FAT EMULSION 20 % INTRAVENOUS SYRINGE (NEONATE)(RESTRICTED),216.7,192.86,45.07,216.7,715 NDC,65219-0535-50,FAT EMULSION 20 % IV INJECTION (ANESTHESIA TOXICITY),216.7,192.86,45.07,216.7,715 NDC,65219-0535-50,FAT EMULSION 20 % IV RATE BASED (TOXICITY USE ONLY),216.7,192.86,45.07,216.7,715 NDC,65219-0564-20,MITOMYCIN 0.5 MG/ML INTRAPERITONEAL INJECTION (HIPEC),348.5,310.17,20.35,348.5,736 NDC,65219-0564-20,MITOMYCIN 0.5 MG/ML SYRINGE (FOR OR USE ONLY),348.5,310.17,20.35,348.5,736 NDC,65219-0564-20,MITOMYCIN 5 MG/10 ML INTRAVENOUS SOLUTION (WETTED),348.5,310.17,20.35,348.5,736 NDC,65219-0564-20,MITOMYCIN 5 MG/5 ML (1 MG/ML) IN SWFI TOPICAL SOLUTION FOR ANAL STRICTURE TREATMENT (PEDS),348.5,310.17,20.35,348.5,736 NDC,65219-0590-04,TOCILIZUMAB-AAZG 80 MG/4 ML (20 MG/ML) INTRAVENOUS SOLUTION,1078.1,959.51,4.42,1078.1,734 NDC,65219-0592-10,TOCILIZUMAB-AAZG 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,2497.7,2222.95,4.42,2497.7,734 NDC,65219-0594-20,TOCILIZUMAB-AAZG 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,4970.3,4423.57,4.42,4970.3,735 NDC,65219-0598-10,TOCILIZUMAB-AAZG 162 MG/0.9 ML SUBCUTANEOUS SYRINGE,2503.5,2228.11,4.42,2503.5,734 NDC,65219-0656-10,POTASSIUM PHOSPHATE 15 MMOL/100 ML IN 0.9 % SOD. CHLORIDE IV PIGGYBACK (CENTRAL LINE ONLY),206.3,183.61,42.91,206.3,715 NDC,65250-0266-09,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,464.1,413.05,1.47,464.1,747 NDC,65597-0203-30,EDOXABAN 60 MG TABLET,56.2,50.02,11.69,56.2,727 NDC,65597-0504-28,QUIZARTINIB 17.7 MG TABLET,1807.7,1608.85,376.0,1807.7,727 NDC,65597-0511-04,QUIZARTINIB 26.5 MG TABLET,1776.0,1580.64,369.41,1776.0,727 NDC,65597-0801-01,DATOPOTAMAB DERUXTECAN-DLNK 100 MG/5 ML INTRAVENOUS SOLUTION (WETTED),14341.7,12764.11,12907.6,12907.6,1 NDC,65628-0050-01,DIPHENHYDRAMINE-LIDO-ALUM-MAG HYDROX-SIMETH 25-200-400-400-40 MG/30 ML (CNR),407.7,362.85,84.8,407.7,715 NDC,65628-0053-01,NYSTATIN-TRIAMCINOLONE-DIPHENHYDRAMINE-HYDROCORTISONE MOUTHWASH,177.9,158.33,37.0,177.9,715 NDC,65628-0062-01,PROGESTERONE VAGINAL SUPPOSITORY 100 MG (FIRST-PROGESTERONE),24.1,21.45,5.01,24.1,715 NDC,65628-0208-10,VANCOMYCIN 50 MG/ML ORAL SOLUTION,785.4,699.01,163.36,785.4,727 NDC,65628-0272-10,OMEPRAZOLE 2 MG-SODIUM BICARBONATE 84 MG/ML ORAL SUSPENSION (WRAPPER),1097.7,976.95,228.32,1097.7,727 NDC,65649-0150-90,METHYLNALTREXONE 150 MG TABLET,102.9,91.58,21.4,102.9,727 NDC,65649-0301-03,RIFAXIMIN 200 MG TABLET,45.9,40.85,9.55,45.9,727 NDC,65649-0303-03,RIFAXIMIN 550 MG TABLET,194.3,172.93,40.41,194.3,727 NDC,65649-0311-12,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,238.0,211.82,49.5,238.0,727 NDC,65649-0551-07,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION (WRAPPER),413.5,368.02,86.01,413.5,729 NDC,65757-0300-01,"NALTREXONE ER 380 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE",4576.5,4073.09,4.24,4576.5,737 NDC,65757-0401-03,"ARIPIPRAZOLE LAUROXIL ER 441 MG/1.6 ML SUSPENSION, EXT.REL. IM SYRINGE",4332.6,3856.01,3.35,4332.6,736 NDC,65757-0402-03,"ARIPIPRAZOLE LAUROXIL ER 662 MG/2.4 ML SUSPENSION, EXT.REL. IM SYRINGE",6290.8,5598.81,3.35,6290.8,736 NDC,65757-0403-03,"ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2 ML SUSPENSION, EXT.REL. IM SYRINGE",8240.1,7333.69,3.35,8240.1,736 NDC,65757-0404-03,"ARIPIPRAZOLE LAUROXIL ER 1,064 MG/3.9 ML SUSPENSION,EXT.REL IM SYRINGE",9852.8,8768.99,3.35,9852.8,736 NDC,65757-0500-03,"ARIPIPRAZOLE LAUROXIL,SUBMIC. ER 675 MG/2.4 ML SUSP,EXT.REL.IM SYRINGE",6406.0,5701.34,3.25,6406.0,736 NDC,65857-0450-05,KIT FOR THE PREP OF TC-99M-TILMANOCEPT 250 MCG SOLUTION FOR INJECTION,712.5,634.13,148.2,712.5,717 NDC,65862-0015-01,AMOXICILLIN 875 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,65862-0021-06,MIRTAZAPINE 15 MG DISINTEGRATING TABLET,6.3,5.61,1.31,6.3,727 NDC,65862-0022-06,MIRTAZAPINE 30 MG DISINTEGRATING TABLET,6.7,5.96,1.39,6.7,727 NDC,65862-0048-24,ZIDOVUDINE 10 MG/ML ORAL SYRUP,10.5,9.35,2.18,10.5,727 NDC,65862-0050-90,SIMVASTATIN 5 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,65862-0055-24,LAMIVUDINE 10 MG/ML ORAL SOLUTION,169.9,151.21,35.34,169.9,727 NDC,65862-0057-24,NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION,481.2,428.27,100.09,481.2,727 NDC,65862-0071-01,AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION,16.2,14.42,3.37,16.2,727 NDC,65862-0095-20,CEFPODOXIME 100 MG TABLET,13.0,11.57,2.7,13.0,727 NDC,65862-0096-20,CEFPODOXIME 200 MG TABLET,14.1,12.55,2.93,14.1,727 NDC,65862-0100-01,CEFPROZIL 250 MG/5 ML ORAL SUSPENSION,80.9,72.0,16.83,80.9,727 NDC,65862-0107-01,ZIDOVUDINE 100 MG CAPSULE,10.0,8.9,2.08,10.0,727 NDC,65862-0146-36,SUMATRIPTAN 25 MG TABLET,6.1,5.43,1.27,6.1,727 NDC,65862-0147-36,SUMATRIPTAN 50 MG TABLET,6.5,5.79,1.35,6.5,727 NDC,65862-0148-36,SUMATRIPTAN 100 MG TABLET,7.2,6.41,1.5,7.2,727 NDC,65862-0168-01,ATENOLOL 25 MG TABLET,5.1,4.54,1.06,5.1,727 NDC,65862-0175-01,PENICILLIN V POTASSIUM 250 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,65862-0176-01,PENICILLIN V POTASSIUM 500 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,65862-0207-68,RIBAVIRIN 200 MG TABLET,6.7,5.96,1.39,6.7,727 NDC,65862-0230-60,LAMOTRIGINE 200 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,65862-0290-84,RIBAVIRIN 200 MG CAPSULE,9.5,8.46,1.98,9.5,727 NDC,65862-0361-01,LAMOTRIGINE 5 MG CHEWABLE DISPERSIBLE TABLET,5.8,5.16,1.21,5.8,727 NDC,65862-0362-01,LAMOTRIGINE 25 MG CHEWABLE DISPERSIBLE TABLET,5.8,5.16,1.21,5.8,727 NDC,65862-0391-10,ONDANSETRON 8 MG DISINTEGRATING TABLET,5.7,5.07,0.13,5.7,729 NDC,65862-0496-47,SULFAMETHOXAZOLE 40 MG-TRIMETHOPRIM 8 MG/ML STOCK SUSPENSION FOR DESENSITIZATION,139.2,123.89,28.95,139.2,727 NDC,65862-0497-30,EFAVIRENZ 600 MG-EMTRICITABINE 200 MG-TENOFOVIR DISOPROX 300 MG TABLET,14.0,12.46,2.91,14.0,727 NDC,65862-0516-01,NAPROXEN SODIUM 550 MG TABLET,6.3,5.61,1.31,6.3,727 NDC,65862-0533-01,AMOXICILLIN (7:1) 200 MG-POTASSIUM CLAVULANATE 28.5 MG/5 ML ORAL SUSPENSION,19.0,16.91,3.95,19.0,727 NDC,65862-0534-01,AMOXICILLIN (7:1) 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,32.7,29.1,6.8,32.7,727 NDC,65862-0535-75,AMOXICILLIN (14:1) 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,27.4,24.39,5.7,27.4,727 NDC,65862-0676-01,ALPRAZOLAM 0.25 MG TABLET,10.2,9.08,2.12,10.2,727 NDC,65862-0678-01,ALPRAZOLAM 1 MG TABLET,10.2,9.08,2.12,10.2,727 NDC,65862-0700-60,CEFUROXIME AXETIL 500 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,65862-0711-60,ATAZANAVIR 150 MG CAPSULE,14.7,13.08,3.06,14.7,727 NDC,65862-0751-50,CEFIXIME 100 MG/5 ML ORAL SUSPENSION,278.8,248.13,57.99,278.8,727 NDC,65862-0805-30,ARMODAFINIL 50 MG TABLET,6.0,5.34,1.25,6.0,727 NDC,65862-0806-30,ARMODAFINIL 150 MG TABLET,13.6,12.1,2.83,13.6,727 NDC,65862-0880-60,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),6.9,6.14,1.44,6.9,727 NDC,65862-0947-15,DORZOLAMIDE-TIMOLOL (PF) 2 %-0.5 % EYE DROPS IN A DROPPERETTE,12.4,11.04,2.58,12.4,727 NDC,65862-0998-30,ARMODAFINIL 200 MG TABLET,7.5,6.68,1.56,7.5,727 NDC,66215-0501-15,MACITENTAN 10 MG TABLET,1551.6,1380.92,322.73,1551.6,727 NDC,66215-0602-06,SELEXIPAG 200 MCG TABLET,904.2,804.74,188.07,904.2,727 NDC,66215-0608-06,SELEXIPAG 800 MCG TABLET,1372.9,1221.88,285.56,1372.9,727 NDC,66220-0160-10,CONIVAPTAN 20 MG/100 ML IN 5 % DEXTROSE IV,2365.5,2105.3,492.02,2365.5,719 NDC,66220-0719-30,LACTULOSE 10 GRAM ORAL PACKET,37.6,33.46,7.82,37.6,727 NDC,66220-0729-30,LACTULOSE 20 GRAM ORAL PACKET,38.8,34.53,8.07,38.8,727 NDC,66288-1100-01,CEFAZOLIN 100 GRAM SOLUTION FOR INJECTION,342.5,304.83,71.24,342.5,715 NDC,66288-1300-01,CEFAZOLIN 300 GRAM SOLUTION FOR INJECTION,762.5,678.63,158.6,762.5,715 NDC,66288-6100-01,CEFTRIAXONE 100 GRAM SOLUTION FOR INJECTION,562.5,500.63,117.0,562.5,715 NDC,66288-7100-01,VANCOMYCIN 100 GRAM SOLUTION FOR INJECTION,1162.5,1034.63,241.8,1162.5,721 NDC,66288-8100-01,CEFEPIME 100 GRAM INTRAVENOUS SOLUTION,962.5,856.63,200.2,962.5,719 NDC,66302-0014-01,DINUTUXIMAB 3.5 MG/ML INTRAVENOUS SOLUTION,53782.4,47866.34,11186.74,53782.4,719 NDC,66302-0206-03,TREPROSTINIL 1.74 MG/2.9 ML (0.6 MG/ML) SOLUTION FOR NEBULIZATION,4109.3,3657.28,833.92,4109.3,731 NDC,66302-0206-04,"TREPROSTINIL 1.74 MG/2.9 ML SOLN FOR INHALATION-NEBULIZER,ACCESSORIES",58416.2,51990.42,6671.37,58416.2,731 NDC,66302-0300-02,"TREPROSTINIL DIOLAMINE ER 0.125 MG TABLET,EXTENDED RELEASE",36.1,32.13,7.51,36.1,727 NDC,66302-0302-01,"TREPROSTINIL DIOLAMINE ER 0.25 MG TABLET,EXTENDED RELEASE",58.3,51.89,12.13,58.3,727 NDC,66302-0310-01,"TREPROSTINIL DIOLAMINE ER 1 MG TABLET,EXTENDED RELEASE",221.3,196.96,46.03,221.3,727 NDC,66302-0616-01,TREPROSTINIL 16 MCG CARTRIDGE,3337.5,2970.38,694.2,3337.5,727 NDC,66302-0632-01,TREPROSTINIL 32 MCG CARTRIDGE,3280.0,2919.2,682.24,3280.0,727 NDC,66302-0648-01,TREPROSTINIL 48 MCG CARTRIDGE,3200.1,2848.09,665.62,3200.1,727 NDC,66302-0664-01,TREPROSTINIL 64 MCG CARTRIDGE,3200.1,2848.09,665.62,3200.1,727 NDC,66312-0176-16,"LIDOCAINE 2 %-EPINEPHRINE BITARTRATE 1:100,000 DENTAL CARTRIDGE",41.2,36.67,8.57,41.2,715 NDC,66553-0001-01,ASPIRIN 325 MG TABLET,0.5,0.45,0.1,0.5,727 NDC,66553-0004-01,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,0.5,0.45,0.1,0.5,727 NDC,66658-0234-07,ANAKINRA 100 MG/0.67 ML IV SYRINGE,685.5,610.1,142.58,685.5,727 NDC,66658-0234-07,ANAKINRA 100 MG/0.67 ML SUBCUTANEOUS SYRINGE,685.5,610.1,142.58,685.5,727 NDC,66658-0501-01,EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION,9504.0,8458.56,384.85,9504.0,736 NDC,66658-0505-01,EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION,45820.0,40779.8,384.85,45820.0,736 NDC,66658-0510-01,EMAPALUMAB-LZSG 5 MG/ML INTRAVENOUS SOLUTION,91215.0,81181.35,384.85,91215.0,736 NDC,66689-0735-05,ARIPIPRAZOLE 1 MG/ML ORAL SOLUTION,37.6,33.46,7.82,37.6,727 NDC,66758-0087-70,"CIPROFLOXACIN 0.2 %-HYDROCORTISONE 1 % EAR DROPS,SUSPENSION",997.1,887.42,207.4,997.1,715 NDC,66758-0146-83,ESTRADIOL 0.0375 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,67.9,60.43,14.12,67.9,727 NDC,66758-0147-83,ESTRADIOL 0.05 MG/24 HR SEMIWEEKLY TRANSDERMAL PATCH,66.2,58.92,13.77,66.2,727 NDC,66794-0019-10,ISOFLURANE 99.9 % INHALATION LIQUID,107.5,95.68,22.36,107.5,715 NDC,66794-0151-01,BACLOFEN 50 MCG/ML (1 ML) INTRATHECAL SYRINGE,241.8,215.2,50.29,241.8,719 NDC,66794-0155-02,"BACLOFEN 10,000 MCG/20 ML (500 MCG/ML) INTRATHECAL SOLUTION",482.5,429.43,100.36,482.5,736 NDC,66794-0156-02,"BACLOFEN 20,000 MCG/20 ML (1,000 MCG/ML) INTRATHECAL SOLUTION",862.5,767.63,179.4,862.5,736 NDC,66794-0157-02,"BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SOLUTION",1625.0,1446.25,181.22,1625.0,739 NDC,66794-0162-02,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION,1117.3,994.4,232.4,1117.3,719 NDC,66794-0219-43,LINEZOLID 2 MG/ML IV (NEO/PED) - DRAWN UP FROM PREMIX BAG,101.3,90.16,9.46,101.3,719 NDC,66794-0219-43,LINEZOLID 2 MG/ML LOCK SOLUTION (REPACKAGED BAG) IN 5% DEXTROSE (RESTRICTED),35.2,31.33,3.15,35.2,719 NDC,66794-0219-43,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,101.3,90.16,9.46,101.3,719 NDC,66794-0233-42,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,43.5,38.72,9.05,43.5,715 NDC,66794-0233-42,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION ANES ONLY,43.5,38.72,9.05,43.5,715 NDC,66983-0350-20,POTASSIUM IODIDE 65 MG TABLET,2.0,1.78,0.42,2.0,727 NDC,66993-0002-10,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,137.3,122.2,28.56,137.3,727 NDC,66993-0060-02,ATOVAQUONE 250 MG-PROGUANIL 100 MG TABLET,24.7,21.98,5.14,24.7,727 NDC,66993-0066-02,PHENOXYBENZAMINE 10 MG CAPSULE,92.9,82.68,19.32,92.9,727 NDC,66993-0078-96,FLUTICASONE PROPIONATE 44 MCG/ACTUATION HFA AEROSOL INHALER,463.9,412.87,96.49,463.9,727 NDC,66993-0079-96,FLUTICASONE PROPIONATE 110 MCG/ACTUATION HFA AEROSOL INHALER,592.5,527.33,123.24,592.5,727 NDC,66993-0081-69,SUMATRIPTAN 5 MG/ACTUATION NASAL SPRAY,158.2,140.8,32.91,158.2,727 NDC,66993-0083-79,SUMATRIPTAN 4 MG/0.5 ML SUBCUTANEOUS CARTRIDGE (REFILL),508.8,452.83,101.68,508.8,719 NDC,66993-0241-41,NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL,598.0,532.22,124.38,598.0,715 NDC,66993-0456-30,DAPAGLIFLOZIN PROPANEDIOL 5 MG TABLET,49.0,43.61,10.19,49.0,727 NDC,66993-0490-36,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,762.2,678.36,158.54,762.2,715 NDC,66993-0877-61,CALCIPOTRIENE 0.005 % TOPICAL CREAM,302.2,268.96,62.86,302.2,727 NDC,67066-0005-01,SECRETIN (HUMAN) 16 MCG INTRAVENOUS SOLUTION,1975.0,1757.75,40.52,1975.0,735 NDC,67157-0101-50,ASCORBIC ACID (ASCORBATE SODIUM)(VITAMIN C) 500 MG/ML INJ SOLN (WRAPPER),39.1,34.8,8.13,39.1,717 NDC,67386-0111-01,VIGABATRIN 500 MG TABLET,404.7,360.18,84.18,404.7,727 NDC,67457-0162-02,SODIUM TETRADECYL SULFATE 1 % (10 MG/ML) INTRAVENOUS SOLUTION,144.0,128.16,29.95,144.0,717 NDC,67457-0182-10,ESMOLOL 100 MG/10 ML INTRAVENOUS INJECTION (WRAPPER),59.7,53.13,12.42,59.7,720 NDC,67457-0212-02,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,425.4,378.61,0.8,425.4,734 NDC,67457-0218-10,CLONIDINE (PF) 100 MCG/ML EPIDURAL SOLUTION,41.7,37.11,8.67,41.7,720 NDC,67457-0220-05,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION,366.4,326.1,8.73,366.4,739 NDC,67457-0323-25,MOXIFLOXACIN 400 MG/250 ML-SODIUM CHLORIDE(ISO) INTRAVENOUS PIGGYBACK,282.5,251.43,42.12,282.5,719 NDC,67457-0342-10,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,618.6,550.55,128.67,618.6,717 NDC,67457-0418-05,DEXAMETHASONE 4 MG/ML INJECTION (NEO/PED) - RST ONLY,36.9,32.84,2.42,36.9,719 NDC,67457-0418-05,DEXAMETHASONE 4 MG/ML INJECTION OVER 15 MIN (NEO/PED),36.9,32.84,2.42,36.9,719 NDC,67457-0422-54,DEXAMETHASONE 4 MG/ML INJECTION SOLUTION ANES ONLY,36.9,32.84,2.42,36.9,719 NDC,67457-0422-54,DEXAMETHASONE 4 MG/ML INJECTION SYRINGE (NEO/PED),36.9,32.84,2.42,36.9,719 NDC,67457-0422-54,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,36.9,32.84,2.42,36.9,738 NDC,67457-0430-10,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION,69.2,61.59,12.98,69.2,720 NDC,67457-0436-50,DOXORUBICIN 50 MG/25 ML INTRAVENOUS SOLUTION (WETTED),754.2,671.24,16.0,754.2,719 NDC,67457-0446-10,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION,134.6,119.79,28.0,134.6,719 NDC,67457-0473-22,TOBRAMYCIN 40 MG/ML INJECTION (OVER 30 MIN) (NEO/PED) - RST ONLY,38.1,33.91,2.38,38.1,719 NDC,67457-0473-22,TOBRAMYCIN 40 MG/ML INJECTION (OVER 60 MIN) (NEO/PED) - RST ONLY,38.1,33.91,2.38,38.1,719 NDC,67457-0473-22,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,38.1,33.91,2.38,38.1,719 NDC,67457-0532-08,DOCETAXEL 10 MG/ML INTRAVENOUS SOLUTION (WRAPPER),389.1,346.3,59.89,389.1,719 NDC,67457-0629-10,EPTIFIBATIDE 2 MG/ML INTRAVENOUS SOLUTION,110.3,98.17,2.99,110.3,734 NDC,67457-0675-02,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,1254.7,1116.68,260.98,1254.7,727 NDC,67457-0823-99,VANCOMYCIN 1.25 GRAM INTRAVENOUS SOLUTION,108.8,96.83,22.63,108.8,717 NDC,67457-0863-01,GRANISETRON (PF) 1 MG/ML (1 ML) INTRAVENOUS SOLUTION,42.6,37.91,1.68,42.6,726 NDC,67457-0863-01,GRANISETRON 1 MG/ML INTRAVENOUS SOLUTION (PEDIATRIC),42.6,37.91,1.68,42.6,719 NDC,67546-0212-21,NITAZOXANIDE 100 MG/5 ML ORAL SUSPENSION,1512.1,1345.77,314.52,1512.1,727 NDC,67618-0111-28,DOCUSATE SODIUM 50 MG CAPSULE,3.1,2.76,0.64,3.1,727 NDC,67618-0150-05,POVIDONE-IODINE 10 % TOPICAL SOLUTION (NON-STERILE),6.4,5.7,1.33,6.4,715 NDC,67684-1901-02,ETHIODIZED OIL 480 MG IODINE/ML FOR INJECTION,841.0,748.49,174.93,841.0,717 NDC,67684-2000-01,GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION,39.1,34.8,1.18,39.1,721 NDC,67684-2000-05,GADOTERATE MEGLUMINE 0.5 MMOL/ML INTRAVENOUS SYRINGE,41.4,36.85,1.18,41.4,719 NDC,67684-4232-01,GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION (WRAPPER),119.3,106.18,24.81,119.3,717 NDC,67684-4241-01,GADOPICLENOL 5 MMOL/10 ML (0.5 MMOL/ML) INTRAVENOUS SYRINGE,238.4,212.18,49.59,238.4,717 NDC,67850-0141-05,POLIDOCANOL 1 % (20 MG/2 ML) INTRAVENOUS SOLUTION,39.2,34.89,8.15,39.2,719 NDC,67857-0806-19,TRIAMCINOLONE ACETONIDE 0.05 % TOPICAL OINTMENT,2600.5,2314.45,540.9,2600.5,727 NDC,67877-0124-25,SILVER SULFADIAZINE 1 % TOPICAL CREAM,72.4,64.44,15.06,72.4,727 NDC,67877-0258-90,"LANTHANUM 1,000 MG CHEWABLE TABLET",22.4,19.94,20.2,20.2,1 NDC,67877-0259-30,RASAGILINE 0.5 MG TABLET,10.0,8.9,2.08,10.0,727 NDC,67877-0260-30,RASAGILINE 1 MG TABLET,10.3,9.17,2.14,10.3,727 NDC,67877-0286-60,RILUZOLE 50 MG TABLET,7.2,6.41,1.5,7.2,727 NDC,67877-0455-90,FINASTERIDE 1 MG TABLET,5.2,4.63,1.08,5.2,727 NDC,67877-0532-58,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,202.6,180.31,42.14,202.6,727 NDC,67877-0548-88,CEFDINIR 250 MG/5 ML ORAL SUSPENSION,55.9,49.75,11.63,55.9,727 NDC,67877-0635-33,TOLVAPTAN 15 MG TABLET,194.6,173.19,40.48,194.6,727 NDC,67877-0636-02,TOLVAPTAN 30 MG TABLET,303.0,269.67,63.02,303.0,727 NDC,67877-0673-62,RUFINAMIDE 40 MG/ML ORAL SUSPENSION,12.0,10.68,2.5,12.0,715 NDC,67877-0704-90,DROXIDOPA 100 MG CAPSULE,9.2,8.19,1.91,9.2,727 NDC,67877-0705-90,DROXIDOPA 200 MG CAPSULE,11.0,9.79,2.29,11.0,727 NDC,67877-0706-90,DROXIDOPA 300 MG CAPSULE,18.0,16.02,3.74,18.0,727 NDC,67877-0718-31,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.25 MG TABLET,18.6,16.55,1.35,18.6,729 NDC,67877-0719-31,EVEROLIMUS (IMMUNOSUPPRESSIVE) 0.5 MG TABLET,21.0,18.69,2.7,21.0,729 NDC,67877-0721-31,EVEROLIMUS (IMMUNOSUPPRESSIVE) 1 MG TABLET,34.7,30.88,5.41,34.7,729 NDC,67877-0729-30,"VENLAFAXINE ER 225 MG TABLET,EXTENDED RELEASE 24 HR",8.0,7.12,1.66,8.0,727 NDC,67877-0753-60,DRONABINOL 2.5 MG CAPSULE,15.8,14.06,1.55,15.8,729 NDC,67877-0833-47,TOPIRAMATE 25 MG/ML ORAL SOLUTION,1789.8,1592.92,372.28,1789.8,727 NDC,67919-0030-01,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,569.0,506.41,9.07,569.0,736 NDC,67919-0041-05,TEDIZOLID 200 MG TABLET,1430.8,1273.41,297.61,1430.8,727 NDC,67979-0002-01,HISTRELIN 50 MG (65 MCG/DAY) IMPLANT KIT,125879.1,112032.4,26182.85,125879.1,736 NDC,68025-0067-01,ESTRADIOL 1 MG/GRAM (0.1 %) TRANSDERMAL GEL PACKET,20.5,18.25,4.26,20.5,727 NDC,68084-0027-01,WARFARIN 2.5 MG TABLET,6.1,5.43,1.27,6.1,727 NDC,68084-0059-21,ZAFIRLUKAST 20 MG TABLET,15.0,13.35,3.12,15.0,727 NDC,68084-0120-01,MIRTAZAPINE 30 MG TABLET,5.7,5.07,1.19,5.7,727 NDC,68084-0204-01,MINOXIDIL 2.5 MG TABLET,7.0,6.23,1.46,7.0,727 NDC,68084-0205-01,MINOXIDIL 10 MG TABLET,7.1,6.32,1.48,7.1,727 NDC,68084-0229-01,AZATHIOPRINE 50 MG TABLET,7.3,6.5,0.07,7.3,719 NDC,68084-0280-01,ETHAMBUTOL 400 MG TABLET,9.4,8.37,1.96,9.4,727 NDC,68084-0291-21,NALTREXONE 50 MG TABLET,14.0,12.46,2.91,14.0,727 NDC,68084-0343-01,TOPIRAMATE 50 MG TABLET,6.5,5.79,1.35,6.5,727 NDC,68084-0345-21,TOPIRAMATE 200 MG TABLET,7.7,6.85,1.6,7.7,727 NDC,68084-0511-01,SIMVASTATIN 10 MG TABLET,5.7,5.07,1.19,5.7,727 NDC,68084-0512-01,SIMVASTATIN 20 MG TABLET,5.7,5.07,1.19,5.7,727 NDC,68084-0536-01,CLOPIDOGREL 75 MG TABLET,6.0,5.34,1.25,6.0,727 NDC,68084-0640-01,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",6.5,5.79,1.35,6.5,727 NDC,68084-0655-01,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",7.1,6.32,1.48,7.1,727 NDC,68084-0697-01,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",7.6,6.76,1.58,7.6,727 NDC,68084-0698-01,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",7.0,6.23,1.46,7.0,727 NDC,68084-0709-01,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",7.1,6.32,1.48,7.1,727 NDC,68084-0713-01,"VENLAFAXINE ER 150 MG CAPSULE,EXTENDED RELEASE 24 HR",7.2,6.41,1.5,7.2,727 NDC,68084-0729-21,GALANTAMINE 4 MG TABLET,19.4,17.27,4.04,19.4,727 NDC,68084-0750-25,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,8.0,7.12,1.66,8.0,727 NDC,68084-0775-25,TIZANIDINE 2 MG TABLET,7.6,6.76,1.58,7.6,727 NDC,68084-0790-25,CLOMIPRAMINE 25 MG CAPSULE,44.9,39.96,9.34,44.9,727 NDC,68084-0805-21,METHYLPHENIDATE 5 MG TABLET,18.9,16.82,3.93,18.9,727 NDC,68084-0823-21,METHYLPHENIDATE 10 MG TABLET,15.8,14.06,3.29,15.8,727 NDC,68084-0850-32,"POTASSIUM CITRATE ER 10 MEQ (1,080 MG) TABLET,EXTENDED RELEASE",13.7,12.19,2.85,13.7,727 NDC,68084-0856-01,VENLAFAXINE 75 MG TABLET,8.2,7.3,1.71,8.2,727 NDC,68084-0879-25,CYCLOSPORINE 25 MG CAPSULE,21.8,19.4,0.6,21.8,719 NDC,68084-0896-25,VENLAFAXINE 25 MG TABLET,8.5,7.57,1.77,8.5,727 NDC,68084-0921-25,CYCLOSPORINE 100 MG CAPSULE,64.6,57.49,2.08,64.6,719 NDC,68084-0949-25,ALBUTEROL SULFATE 2 MG TABLET,26.0,23.14,5.41,26.0,727 NDC,68084-0964-25,PROPYLTHIOURACIL 50 MG TABLET,15.2,13.53,3.16,15.2,727 NDC,68084-0975-01,OXYCODONE 15 MG TABLET,13.4,11.93,2.79,13.4,727 NDC,68084-0983-01,OXYCODONE 30 MG TABLET,15.0,13.35,3.12,15.0,727 NDC,68094-0001-59,MORPHINE 10 MG/5 ML ORAL SOLUTION,15.1,13.44,3.14,15.1,727 NDC,68094-0004-62,CETIRIZINE 5 MG/5 ML ORAL SOLUTION,11.5,10.23,2.39,11.5,727 NDC,68094-0120-61,MULTIVIT AND MINERALS-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQUID (WRAPPER),0.5,0.45,0.1,0.5,727 NDC,68094-0129-62,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,12.4,11.04,2.58,12.4,727 NDC,68135-0020-01,GALSULFASE 5 MG/5 ML INTRAVENOUS SOLUTION,6797.5,6049.78,508.76,6797.5,736 NDC,68135-0500-00,CERLIPONASE ALFA 150 MG/5 ML INTRAVENTRICULAR SOLUTION,90110.0,80197.9,120.36,90110.0,734 NDC,68135-0811-02,CERLIPONASE ALFA 300 MG/10 ML(150 MG/5ML X2) INTRAVENTRICULAR KIT,90110.0,80197.9,120.36,90110.0,734 NDC,68176-0000-10,PEDIATRIC MULTIVITAMIN NO.128-VITAMIN K 500 MCG/ML ORAL LIQUID,0.5,0.45,0.1,0.5,727 NDC,68180-0153-01,DESLORATADINE 5 MG TABLET,6.6,5.87,1.37,6.6,727 NDC,68180-0159-01,ETHACRYNIC ACID 25 MG TABLET,11.4,10.15,2.37,11.4,727 NDC,68180-0180-01,CEFADROXIL 500 MG CAPSULE,5.8,5.16,1.21,5.8,727 NDC,68180-0182-03,CEFADROXIL 500 MG/5 ML ORAL SUSPENSION,213.5,190.02,44.41,213.5,727 NDC,68180-0280-01,ETHAMBUTOL 100 MG TABLET,6.1,5.43,1.27,6.1,727 NDC,68180-0294-07,"DULOXETINE 20 MG CAPSULE,DELAYED RELEASE",5.3,4.72,1.1,5.3,727 NDC,68180-0295-03,"DULOXETINE 30 MG CAPSULE,DELAYED RELEASE",5.3,4.72,1.1,5.3,727 NDC,68180-0296-06,"DULOXETINE 60 MG CAPSULE,DELAYED RELEASE",5.6,4.98,1.16,5.6,727 NDC,68180-0345-07,DARUNAVIR 600 MG TABLET,10.4,9.26,2.16,10.4,727 NDC,68180-0422-01,MOXIFLOXACIN 0.5 % EYE DROPS,81.4,72.45,16.93,81.4,715 NDC,68180-0441-02,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,68.5,60.97,14.25,68.5,727 NDC,68180-0465-09,SIMVASTATIN 80 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,68180-0566-01,TRANDOLAPRIL 1 MG TABLET,5.8,5.16,1.21,5.8,727 NDC,68180-0567-01,TRANDOLAPRIL 2 MG TABLET,5.8,5.16,1.21,5.8,727 NDC,68180-0657-01,DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION,11.9,10.59,2.48,11.9,727 NDC,68180-0675-11,OSELTAMIVIR 30 MG CAPSULE,9.7,8.63,2.02,9.7,727 NDC,68180-0676-11,OSELTAMIVIR 45 MG CAPSULE,9.6,8.54,2.0,9.6,727 NDC,68180-0677-11,OSELTAMIVIR 75 MG CAPSULE,7.6,6.76,1.58,7.6,727 NDC,68180-0678-01,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,6.9,6.14,1.44,6.9,727 NDC,68180-0852-11,LEVONORGESTREL 1.5 MG TABLET,45.8,40.76,9.53,45.8,727 NDC,68180-0976-01,LEVOTHYROXINE 300 MCG TABLET,6.0,5.34,1.25,6.0,727 NDC,68180-0982-01,LISINOPRIL 30 MG TABLET,5.2,4.63,1.08,5.2,727 NDC,68308-0115-01,METHAMPHETAMINE 5 MG TABLET,31.1,27.68,6.47,31.1,727 NDC,68382-0187-01,DIPYRIDAMOLE 25 MG TABLET,6.6,5.87,1.37,6.6,727 NDC,68382-0188-01,DIPYRIDAMOLE 50 MG TABLET,7.2,6.41,1.5,7.2,727 NDC,68382-0189-01,DIPYRIDAMOLE 75 MG TABLET,8.3,7.39,1.73,8.3,727 NDC,68382-0316-01,MINOCYCLINE 50 MG CAPSULE,5.7,5.07,1.19,5.7,727 NDC,68382-0317-01,MINOCYCLINE 75 MG CAPSULE,6.2,5.52,1.29,6.2,727 NDC,68382-0383-06,EXEMESTANE 25 MG TABLET,8.4,7.48,1.75,8.4,727 NDC,68382-0529-60,CHOLESTYRAMINE-ASPARTAME 4 GRAM ORAL POWDER FOR SUSP IN A PACKET,7.9,7.03,1.64,7.9,715 NDC,68382-0607-16,"GABAPENTIN ER 600 MG TABLET,EXTENDED RELEASE 24 HR",14.7,13.08,3.06,14.7,727 NDC,68382-0721-16,NATEGLINIDE 60 MG TABLET,6.7,5.96,1.39,6.7,727 NDC,68382-0750-16,"DILTIAZEM ER 420 MG CAPSULE,24 HR,EXTENDED RELEASE",8.2,7.3,1.71,8.2,727 NDC,68382-0848-94,ESOMEPRAZOLE MAGNESIUM DR 20 MG GRANULES DELAYED RELEASE FOR SUSP,25.4,22.61,5.28,25.4,727 NDC,68382-0860-10,BENZTROPINE 1 MG/ML INJECTION SOLUTION,131.4,116.95,27.33,131.4,719 NDC,68462-0101-30,FLUCONAZOLE 50 MG TABLET,7.2,6.41,1.5,7.2,727 NDC,68462-0157-13,ONDANSETRON 4 MG DISINTEGRATING TABLET,6.5,5.79,0.06,6.5,729 NDC,68462-0208-01,MOEXIPRIL 15 MG TABLET,8.2,7.3,1.71,8.2,727 NDC,68462-0260-01,"VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE",5.5,4.89,1.14,5.5,727 NDC,68462-0292-01,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",5.8,5.16,1.21,5.8,727 NDC,68462-0304-50,NORETHINDRONE ACETATE 5 MG TABLET,6.3,5.61,1.31,6.3,727 NDC,68462-0310-65,CALCIPOTRIENE 0.005 % TOPICAL OINTMENT,488.8,435.03,101.67,488.8,727 NDC,68462-0386-30,SOLIFENACIN 5 MG TABLET,5.9,5.25,1.23,5.9,727 NDC,68462-0387-30,SOLIFENACIN 10 MG TABLET,5.7,5.07,1.19,5.7,727 NDC,68462-0435-18,"ACAMPROSATE 333 MG TABLET,DELAYED RELEASE",8.6,7.65,1.79,8.6,727 NDC,68462-0620-30,COLESEVELAM 3.75 GRAM ORAL POWDER PACKET,24.7,21.98,5.14,24.7,727 NDC,68462-0622-64,FOSPHENYTOIN 50 MG PE/ML INJECTION SOLUTION (WRAPPER),88.6,78.85,1.47,88.6,734 NDC,68462-0682-01,SIROLIMUS 0.5 MG TABLET,12.3,10.95,1.11,12.3,729 NDC,68462-0684-01,SIROLIMUS 2 MG TABLET,20.7,18.42,2.23,20.7,719 NDC,68462-0694-97,FROVATRIPTAN 2.5 MG TABLET,95.8,85.26,19.93,95.8,727 NDC,68462-0711-88,ESTRADIOL 10 MCG VAGINAL TABLET,68.5,60.97,14.25,68.5,727 NDC,68462-0792-01,TRETINOIN 10 MG CAPSULE,45.0,40.05,9.36,45.0,727 NDC,68462-0911-01,POSACONAZOLE 300 MG/16.7 ML INTRAVENOUS SOLUTION,302.0,268.78,0.21,302.0,734 NDC,68516-5214-03,"ALBUMIN, HUMAN 5 % INTRAFETAL INTRAVENOUS SOLUTION (ANES)",180.0,160.2,37.44,180.0,736 NDC,68516-5216-01,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION (PERFUSION ONLY)",180.0,160.2,37.44,180.0,736 NDC,68516-5216-02,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION (PERFUSION ONLY)",310.0,275.9,53.08,310.0,736 NDC,68516-5216-05,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",133.3,118.64,21.23,133.3,736 NDC,68516-5216-05,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION (PERFUSION ONLY)",133.3,118.64,21.23,133.3,736 NDC,68516-5216-05,"ALBUMIN, HUMAN 25 % NON-INTRAVENOUS SOLUTION OSM",60.7,54.02,12.63,60.7,736 NDC,68546-0170-60,DEUTETRABENAZINE 6 MG TABLET,275.0,244.75,57.2,275.0,727 NDC,68547-0111-10,SULBACTAM 1 GRAM-DURLOBACTAM 1 GRAM (0.5 GRAM X2) INTRAVENOUS SOLUTION,559.6,498.04,116.4,559.6,719 NDC,68547-0211-20,SULBACTAM SODIUM 1 GRAM INTRAVENOUS SOLUTION,557.5,496.18,115.96,557.5,719 NDC,68547-0501-02,ANGIOTENSIN II 2.5 MG/ML INTRAVENOUS SOLUTION,5146.3,4580.21,1070.43,5146.3,717 NDC,68585-0005-75,"MAGNESIUM 64 MG (MAGNESIUM CHLORIDE) TABLET,DELAYED RELEASE",2.3,2.05,0.48,2.3,727 NDC,68682-0200-25,CARBIDOPA 25 MG TABLET,7.3,6.5,1.52,7.3,727 NDC,68682-0367-90,"DILTIAZEM ER 120 MG CAPSULE,24 HR,EXTENDED RELEASE",5.6,4.98,1.16,5.6,727 NDC,68682-0368-90,"DILTIAZEM ER 180 MG CAPSULE,24 HR,EXTENDED RELEASE",5.9,5.25,1.23,5.9,727 NDC,68682-0369-90,"DILTIAZEM ER 240 MG CAPSULE,24 HR,EXTENDED RELEASE",6.3,5.61,1.31,6.3,727 NDC,68682-0370-90,"DILTIAZEM ER 300 MG CAPSULE,24 HR,EXTENDED RELEASE",6.4,5.7,1.33,6.4,727 NDC,68682-0371-90,"DILTIAZEM ER 360 MG CAPSULE,24 HR,EXTENDED RELEASE",6.8,6.05,1.41,6.8,727 NDC,68682-0650-20,DIAZEPAM 2.5 MG RECTAL KIT,831.3,739.86,172.91,831.3,727 NDC,68682-0652-20,DIAZEPAM 5 MG-7.5 MG-10 MG RECTAL KIT,963.7,857.69,200.45,963.7,727 NDC,68682-0655-20,DIAZEPAM 12.5 MG-15 MG-17.5 MG-20 MG RECTAL KIT,799.6,711.64,166.32,799.6,727 NDC,68682-0706-90,"DILTIAZEM ER 240 MG TABLET,EXTENDED RELEASE 24 HR",11.6,10.32,2.41,11.6,727 NDC,68727-0800-02,DEFIBROTIDE 80 MG/ML INTRAVENOUS SOLUTION,3981.3,3543.36,828.11,3981.3,715 NDC,68727-0900-03,ASPARAGINASE ERWINIA CHRYSANTHEMI-RYWN 10 MG/0.5 ML IM SOLUTION,15960.3,14204.67,55.47,15960.3,735 NDC,68727-0950-01,ZANIDATAMAB-HRII 300 MG/6 ML INTRAVENOUS SOLUTION (WETTED),10641.7,9471.11,25.05,10641.7,734 NDC,68803-0612-10,TRYPAN BLUE 0.06 % INTRAOCULAR SYRINGE,319.5,284.36,66.46,319.5,715 NDC,68803-0722-05,BRILLIANT BLUE 0.025% OPHTHALMIC SOLUTION,530.5,472.15,110.34,530.5,715 NDC,68817-0134-50,PACLITAXEL PROTEIN-BOUND 100 MG INTRAVENOUS SUSPENSION,4116.6,3663.77,10.54,4116.6,736 NDC,68968-0514-01,ESTRADIOL 0.05 MG-NORETHINDRONE 0.14 MG/24 HR SEMIWKLY TRANSDERM PATCH,110.2,98.08,22.92,110.2,727 NDC,68968-5552-01,METHYLPHENIDATE 10 MG/9 HR DAILY TRANSDERMAL PATCH,29.6,26.34,6.16,29.6,727 NDC,68982-0349-01,"FIBRINOGEN 1 GRAM (700 MG-1,300 MG) INTRAVENOUS SOLUTION",38.6,34.35,1.23,38.6,735 NDC,68992-3010-03,"TACROLIMUS ER 1 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",24.9,22.16,5.18,24.9,729 NDC,68992-3040-03,"TACROLIMUS ER 4 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",83.9,74.67,17.45,83.9,729 NDC,68992-3075-03,"TACROLIMUS ER 0.75 MG TABLET,EXTENDED RELEASE 24 HR (ENVARSUS)",20.0,17.8,4.16,20.0,729 NDC,69097-0218-02,PRUCALOPRIDE 1 MG TABLET,8.0,7.12,1.66,8.0,727 NDC,69097-0223-16,ALENDRONATE 35 MG TABLET,6.1,5.43,1.27,6.1,727 NDC,69097-0224-76,ALENDRONATE 70 MG TABLET,6.1,5.43,1.27,6.1,727 NDC,69097-0301-02,EFAVIRENZ 600 MG TABLET,13.0,11.57,2.7,13.0,727 NDC,69097-0362-02,ABACAVIR 600 MG-LAMIVUDINE 300 MG TABLET,11.4,10.15,2.37,11.4,727 NDC,69097-0423-03,CELECOXIB 50 MG CAPSULE,5.5,4.89,1.14,5.5,727 NDC,69097-0527-34,ESOMEPRAZOLE MAGNESIUM DR 10 MG GRANULES DELAYED RELEASE FOR SUSP,24.5,21.81,5.1,24.5,727 NDC,69097-0642-02,EMTRICITABINE 200 MG CAPSULE,38.9,34.62,8.09,38.9,727 NDC,69097-0859-07,TERBINAFINE HCL 250 MG TABLET,5.5,4.89,1.14,5.5,727 NDC,69097-0870-67,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE (CIPLA),6948.1,6183.81,29.84,6948.1,734 NDC,69097-0934-98,LANTHANUM 500 MG CHEWABLE TABLET,23.1,20.56,20.8,20.8,1 NDC,69097-0940-93,PIRFENIDONE 267 MG CAPSULE,10.8,9.61,2.25,10.8,727 NDC,69097-0965-07,NABUMETONE 500 MG TABLET,5.7,5.07,1.19,5.7,727 NDC,69238-1205-02,BUPRENORPHINE 20 MCG/HOUR WEEKLY TRANSDERMAL PATCH,512.4,456.04,106.58,512.4,727 NDC,69238-1522-01,TETRACYCLINE 250 MG CAPSULE,9.1,8.1,1.89,9.1,727 NDC,69238-1535-02,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION (WRAPPER),10.7,9.52,2.23,10.7,715 NDC,69238-1615-03,OFLOXACIN 0.3 % EAR DROPS,98.3,87.49,20.45,98.3,727 NDC,69238-1729-07,ENALAPRIL MALEATE 1 MG/ML ORAL SOLUTION,777.3,691.8,161.68,777.3,715 NDC,69238-1730-02,NAPROXEN 25 MG/ML ORAL SUSPENSION,1033.5,919.82,214.97,1033.5,727 NDC,69238-1733-06,DOXEPIN 5 % TOPICAL CREAM,1035.9,921.95,215.47,1035.9,727 NDC,69238-2081-01,PROPRANOLOL 80 MG TABLET,5.8,5.16,1.21,5.8,727 NDC,69292-0722-25,FLURBIPROFEN 0.03 % EYE DROPS,168.7,150.14,35.09,168.7,727 NDC,69315-0306-15,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",67.5,60.08,14.04,67.5,727 NDC,69315-0308-02,CIPROFLOXACIN 0.3 % EYE DROPS,67.2,59.81,13.98,67.2,727 NDC,69315-0312-28,HYDROCORTISONE 2.5 % TOPICAL CREAM WITH PERINEAL APPLICATOR,75.9,67.55,15.79,75.9,727 NDC,69315-0701-50,ETHACRYNATE 5 MG/ML INJECTION (NEO/PED) - RST ONLY,1272.0,1132.08,264.58,1272.0,715 NDC,69315-0701-50,ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION,1272.0,1132.08,20.97,1272.0,734 NDC,69315-0904-01,LORAZEPAM 0.5 MG TABLET,10.2,9.08,2.12,10.2,727 NDC,69315-0905-01,LORAZEPAM 1 MG TABLET,10.3,9.17,2.14,10.3,727 NDC,69315-0906-01,LORAZEPAM 2 MG TABLET,10.3,9.17,2.14,10.3,727 NDC,69315-0910-01,DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG TABLET,6.2,5.52,1.29,6.2,727 NDC,69315-0911-01,OXAZEPAM 10 MG CAPSULE,13.1,11.66,2.72,13.1,727 NDC,69339-0162-17,LUBIPROSTONE 8 MCG CAPSULE,49.8,44.32,10.36,49.8,727 NDC,69339-0163-17,LUBIPROSTONE 24 MCG CAPSULE,49.8,44.32,10.36,49.8,727 NDC,69367-0222-09,FOLIC ACID-VIT B6-VIT B12 2.5 MG-25 MG-1 MG TABLET,2.5,2.23,0.52,2.5,727 NDC,69367-0616-01,SALSALATE 750 MG TABLET,6.3,5.61,1.31,6.3,727 NDC,69374-0330-05,ALBUTEROL SULFATE CONCENTRATE 5 MG/ML(0.5 %) SOLUTION FOR NEBULIZATION,67.5,60.08,4.19,67.5,731 NDC,69374-0984-10,CARDIOPLEGIC SOLUTION (DEL NIDO) FOR PERFUSION (PREMIX/CNR),458.8,408.33,95.43,458.8,715 NDC,69448-0027-63,PEGFILGRASTIM-CBQV 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUT INJECTOR,10805.2,9616.63,106.33,10805.2,737 NDC,69452-0150-20,VALPROIC ACID 250 MG CAPSULE,5.7,5.07,1.19,5.7,727 NDC,69452-0208-20,CALCITRIOL 0.5 MCG CAPSULE,5.9,5.25,1.23,5.9,727 NDC,69452-0209-20,NIMODIPINE 30 MG CAPSULE,8.7,7.74,1.81,8.7,727 NDC,69452-0233-20,PROGESTERONE MICRONIZED 100 MG CAPSULE,5.9,5.25,1.23,5.9,727 NDC,69452-0350-92,GRANISETRON HCL 1 MG TABLET,9.3,8.28,1.93,9.3,729 NDC,69452-0364-20,ZALEPLON 5 MG CAPSULE,5.7,5.07,1.19,5.7,727 NDC,69452-0365-20,ZALEPLON 10 MG CAPSULE,5.5,4.89,1.14,5.5,727 NDC,69488-0001-40,KIT FOR THE PREPARATION OF GA-68-DOTATATE 40 MCG INTRAVENOUS SOLN,197.5,175.78,41.08,197.5,743 NDC,69488-0003-01,LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION,197251.0,175553.39,316.99,197251.0,739 NDC,69488-0017-61,KIT FOR PREPARATION OF GA-68-GOZETOTIDE 25 MCG INTRAVENOUS SOLUTION,10000.0,8900.0,362.5,10000.0,747 NDC,69584-0425-10,IMIPRAMINE 10 MG TABLET,5.2,4.63,1.08,5.2,727 NDC,69584-0426-10,IMIPRAMINE 25 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,69584-0427-10,IMIPRAMINE 50 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,69616-0211-03,AMIFAMPRIDINE PHOSPHATE 10 MG TABLET,602.4,536.14,125.3,602.4,727 NDC,69724-0112-10,SOTALOL 15 MG/ML INJECTION (NEO/PED) - RST ONLY,10380.0,9238.2,25.05,10380.0,734 NDC,69724-0112-10,SOTALOL 150 MG/10 ML (15 MG/ML) INTRAVENOUS SOLUTION,10380.0,9238.2,25.05,10380.0,735 NDC,69800-0250-01,"IMMUNE GLOBULIN,GAMMA(IGG)-SLRA HUMAN 10 % INTRAVENOUS SOLUTION",12014.8,10693.17,496.74,12014.8,736 NDC,69911-0866-02,"FACTOR IX RECOMB, ALBUMIN FUSION PROTEIN 1,000 (+/-) UNIT IV SOLUTION",55.8,49.66,5.32,55.8,736 NDC,69911-0867-02,"FACTOR IX RECOMB, ALBUMIN FUSION PROTEIN 2,000 (+/-) UNIT IV SOLUTION",55.8,49.66,5.32,55.8,736 NDC,69918-0735-10,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,37.3,33.2,7.76,37.3,723 NDC,69918-0901-11,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,485.6,432.18,101.0,485.6,720 NDC,69932-0001-30,FLUCICLOVINE F18 10 MCI (370 MBQ) INTRAVENOUS SOLUTION,12387.6,11024.96,322.27,12387.6,734 NDC,69932-0002-01,"FLOTUFOLASTAT F 18 296-5,846 MBQ/ML (8-158 MCI/ML) IV SOLUTION",12295.6,10943.08,671.22,12295.6,740 NDC,69945-0050-40,INDIUM 111-PENTETREOTIDE 3 MCI/ML-10 MCG INTRAVENOUS KIT,11901.0,10591.89,2000.94,11901.0,734 NDC,69945-0064-01,COPPER CU-64 DOTATATE 148 MBQ/4 ML (4 MCI/4 ML) INTRAVENOUS SOLUTION,8500.0,7565.0,594.28,8500.0,734 NDC,69945-0068-20,KIT FOR TC 99M-LABELED RED BLOOD CELLS INTRAVENOUS SOLUTION,854.0,760.06,159.92,854.0,718 NDC,69945-0075-11,SODIUM PERTECHNETATE TC-99M INTRAVENOUS SOLUTION,26.0,23.14,5.41,26.0,723 NDC,69945-0091-20,KIT FOR PREPARATION OF TC-99M-SODIUM OXIDRONATE 3.15 MG IV SOLUTION,192.0,170.88,39.94,192.0,719 NDC,69945-0092-40,KIT PREPARATION OF TC 99M-SESTAMIBI COMBO NO.1 IV SOLUTION,531.0,472.59,110.45,531.0,728 NDC,69945-0094-20,KIT PREPARATION OF TC-99M-SODIUM PYROPHOSPHATE IV SOLUTION (WRAPPER),581.0,517.09,109.53,581.0,717 NDC,69945-0096-20,KIT FOR PREP TC-99M-MERTIATIDE (BETIATIDE) 1 MG INTRAVENOUS SOLUTION,1235.0,1099.15,256.88,1235.0,723 NDC,69945-0098-25,XENON-133 IN AIR GAS FOR INHALATION (WRAPPER),492.0,437.88,102.34,492.0,717 NDC,69945-0120-99,THALLOUS CHLORIDE TL-201 37 MBQ/ML (1 MCI/ML) INTRAVENOUS SOLUTION,305.0,271.45,54.63,305.0,717 NDC,69945-0139-40,KIT FOR PREPARATION OF TC 99M-ALBUMIN INTRAVENOUS SOLUTION (WRAPPER),850.0,756.5,176.8,850.0,717 NDC,69945-0180-12,GALLIUM-67 CITRATE 74 MBQ/ML (2 MCI/ML) INTRAVENOUS SOLUTION,284.0,252.76,59.07,284.0,717 NDC,69945-0601-10,SODIUM IODIDE-123 3.7 MBQ (100 MICROCI) CAPSULE,76.0,67.64,15.81,76.0,717 NDC,69945-0602-20,SODIUM IODIDE-123 7.4 MBQ (200 MICROCI) CAPSULE,76.0,67.64,15.81,76.0,717 NDC,70000-0021-01,MAGNESIUM SULFATE (LAXATIVE) 495 MG/5 GRAM ORAL GRANULES,8.4,7.48,1.75,8.4,727 NDC,70000-0028-01,ACETAMINOPHEN 32 MG/ML ORAL SUSPENSION (WRAPPER),0.5,0.45,0.1,0.5,727 NDC,70000-0044-02,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,0.5,0.45,0.1,0.5,727 NDC,70000-0239-01,IBUPROFEN 100 MG CHEWABLE TABLET,0.5,0.45,0.1,0.5,727 NDC,70000-0409-01,CAFFEINE 200 MG TABLET,2.4,2.14,0.5,2.4,727 NDC,70000-0480-01,CAMPHOR-EUCALYPTUS OIL-MENTHOL 4.8 %-1.2 %-2.6 % TOPICAL OINTMENT,8.9,7.92,1.85,8.9,727 NDC,70000-0498-01,ISOPROPYL ALCOHOL 91 % SOLUTION,60.0,53.4,12.48,60.0,727 NDC,70000-0567-01,DOXYLAMINE SUCCINATE 25 MG TABLET,2.4,2.14,0.5,2.4,727 NDC,70000-0585-01,DIPHENHYDRAMINE 25 MG CAPSULE,2.4,2.14,0.5,2.4,727 NDC,70000-0616-01,DIPHENHYDRAMINE 50 MG CAPSULE,2.3,2.05,0.48,2.3,727 NDC,70000-0663-01,MINERAL OIL ORAL,2.3,2.05,0.48,2.3,727 NDC,70000-0666-02,ADAPALENE 0.1 % TOPICAL GEL,114.7,102.08,23.86,114.7,727 NDC,70010-0005-01,"DEXMETHYLPHENIDATE ER 10 MG CAPSULE,EXTENDED RELEASE BIPHASIC50-50",14.3,12.73,2.97,14.3,727 NDC,70010-0013-01,"METHYLPHENIDATE LA 20 MG BIPHASIC 50-50 CAPSULE,EXTENDED RELEASE",15.8,14.06,3.29,15.8,727 NDC,70010-0014-01,"METHYLPHENIDATE LA 30 MG BIPHASIC 50-50 CAPSULE,EXTENDED RELEASE",17.5,15.58,3.64,17.5,727 NDC,70010-0029-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",12.0,10.68,2.5,12.0,727 NDC,70010-0030-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 10 MG 24HR CAPSULE,EXTEND RELEASE",12.0,10.68,2.5,12.0,727 NDC,70010-0031-01,"DEXTROAMPHETAMINE-AMPHETAMINE ER 15 MG 24HR CAPSULE,EXTEND RELEASE",12.0,10.68,2.5,12.0,727 NDC,70010-0149-01,BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET,5.7,5.07,1.19,5.7,727 NDC,70010-0209-01,LISDEXAMFETAMINE 40 MG CAPSULE,22.2,19.76,4.62,22.2,727 NDC,70010-0210-01,LISDEXAMFETAMINE 50 MG CAPSULE,22.7,20.2,4.72,22.7,727 NDC,70069-0101-25,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,50.6,45.03,5.22,50.6,721 NDC,70069-0121-01,TROPICAMIDE 1 % EYE DROPS,77.6,69.06,16.14,77.6,715 NDC,70069-0362-10,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,58.4,51.98,12.15,58.4,717 NDC,70069-0501-01,DORZOLAMIDE 2 % EYE DROPS,77.6,69.06,16.14,77.6,727 NDC,70092-1068-07,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,220.1,195.89,45.78,220.1,718 NDC,70092-1080-46,EPINEPHRINE 10 MCG/ML IN 0.9 % NACL INTRAFETAL IV SYRINGE (ANES),52.1,46.37,10.84,52.1,721 NDC,70092-1080-46,EPINEPHRINE HCL 100 MCG/10 ML(10 MCG/ML) IN 0.9 % SOD CHLOR IV SYRINGE,52.1,46.37,10.84,52.1,721 NDC,70092-1160-37,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.1 %-NACL EPIDURAL (WRAPPER),257.3,229.0,1.37,257.3,719 NDC,70092-1160-37,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.1 %-NACL EPIDURAL INJECTION ANES ONLY,257.3,229.0,53.52,257.3,715 NDC,70092-1160-37,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.1 %-NACL INJECTION SOLUTION (CONTINUOUS ONLY),257.3,229.0,1.37,257.3,719 NDC,70092-1180-79,"FENTANYL (PF) 1,500 MCG/30 ML (50 MCG/ML) CARTRIDGE FOR INFUSION TITRATION (WRAPPER)",309.4,275.37,20.49,309.4,719 NDC,70092-1191-46,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9% NACL SYRINGE (WRAPPER),36.8,32.75,7.65,36.8,722 NDC,70092-1192-05,"FENTANYL (PF) 10 MCG/ML IN NACL 0.9%, 250 ML",144.7,128.78,30.1,144.7,715 NDC,70092-1259-75,FENTANYL (PF) 2 MCG/ML-ROPIVACAINE 0.2%-NACL EPIDURAL (WRAPPER) ANES ONLY,284.3,253.03,59.13,284.3,715 NDC,70092-1259-75,FENTANYL-ROPIVACAINE-NACL (PF) 2 MCG/ML-0.2 % INJECTION (WRAPPER) ANES ONLY,284.3,253.03,59.13,284.3,715 NDC,70092-1445-05,PHENYLEPHRINE 10 MG/250 ML(40 MCG/ML)IN 0.9 % SOD.CHLORIDE INTRAVENOUS,226.4,201.5,47.09,226.4,718 NDC,70092-1470-43,DROPERIDOL 0.625 MG/ML DILUTION INJECTION (NEO/PED),64.4,57.32,13.4,64.4,1430 NDC,70092-1509-35,FENTANYL (PF) 50 MCG/ML BAG FOR INFUSION TITRATION (PREMIX/CNR),236.8,210.75,49.25,236.8,719 NDC,70092-1509-35,FENTANYL (PF) 50 MCG/ML PCA BAG (WRAPPER),186.8,166.25,38.85,186.8,719 NDC,70092-1509-35,FENTANYL 50 MCG/ML PCA BAG (PEDIATRIC) (WRAPPER),186.8,166.25,34.16,186.8,719 NDC,70092-1546-35,HYDROMORPHONE 1 MG/ML IN 0.9 % NACL PCA BAG (WRAPPER),181.9,161.89,37.84,181.9,715 NDC,70092-1546-35,HYDROMORPHONE 1 MG/ML IN NACL 0.9% BAG FOR INFUSION TITRATION (WRAPPER)(PREMIX/CNR),181.9,161.89,37.84,181.9,715 NDC,70092-1546-35,HYDROMORPHONE 1 MG/ML PCA BAG (PEDIATRIC) (WRAPPER),181.9,161.89,37.84,181.9,715 NDC,70092-1611-44,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL GEL,105.0,93.45,21.84,105.0,715 NDC,70092-1617-46,EPINEPHRINE HCL 100 MCG/10 ML (10 MCG/ML) IN D5W INTRAVENOUS SYRINGE,64.7,57.58,13.46,64.7,719 NDC,70092-1693-39,CARDIOPLEGIC SOLUTION (DEL NIDO) FOR PERFUSION (PREMIX/CNR),430.7,383.32,89.59,430.7,715 NDC,70092-9042-05,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV (CNR/ROBOT),225.6,200.78,46.92,225.6,717 NDC,70092-9117-79,HYDROMORPHONE 30 MG/30 ML IN 0.9 % NACL SYRINGE FOR INFUSION TITRATION (WRAPPER),216.4,192.6,45.01,216.4,715 NDC,70092-9174-05,VANCOMYCIN 1.75 GRAM/250 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,237.0,210.93,49.3,237.0,717 NDC,70100-0825-02,INDOCYANINE GREEN 2.5 MG/ML SOLUTION FOR INJECTION,620.1,551.89,128.98,620.1,717 NDC,70100-0825-02,INDOCYANINE GREEN 25 MG SOLUTION FOR INJECTION,620.1,551.89,128.98,620.1,717 NDC,70114-0101-01,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,8261.0,7352.29,106.33,8261.0,738 NDC,70114-0340-01,TORIPALIMAB-TPZI 240 MG/6 ML (40 MG/ML) INTRAVENOUS SOLUTION,27620.1,24581.89,39.41,27620.1,734 NDC,70121-1049-02,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,43.9,39.07,3.41,43.9,728 NDC,70121-1568-07,FILGRASTIM-AYOW 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,258.9,230.42,0.38,258.9,736 NDC,70121-1570-01,FILGRASTIM-AYOW 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,368.4,327.88,0.38,368.4,734 NDC,70121-1574-01,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,58.5,52.07,12.17,58.5,718 NDC,70121-1694-02,PLERIXAFOR 24 MG/1.2 ML (20 MG/ML) SUBCUTANEOUS SOLUTION,586.1,521.63,25.33,586.1,737 NDC,70121-1699-01,GLYCOPYRROLATE(PF) 0.4 MG/2 ML (0.2 MG/ML) IN STERILE WATER IV SYRINGE,41.9,37.29,8.72,41.9,717 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),203.7,181.29,42.37,203.7,715 NDC,70127-0100-10,CANNABIDIOL 100 MG/ML ORAL SOLUTION,5430.6,4833.23,1129.56,5430.6,727 NDC,70255-0010-02,BINIMETINIB 15 MG TABLET,282.9,251.78,58.84,282.9,727 NDC,70255-0025-01,ENCORAFENIB 75 MG CAPSULE,288.2,256.5,59.95,288.2,727 NDC,70257-0563-01,"BACLOFEN 2,000 MCG/ML INTRATHECAL SOLUTION",2787.9,2481.23,181.22,2787.9,736 NDC,70370-1060-01,VALBENAZINE 60 MG CAPSULE,936.0,833.04,194.69,936.0,727 NDC,70370-1080-01,VALBENAZINE 80 MG CAPSULE,936.0,833.04,194.69,936.0,727 NDC,70370-2040-01,VALBENAZINE 40 MG CAPSULE,860.6,765.93,179.0,860.6,727 NDC,70370-4080-01,VALBENAZINE 80 MG SPRINKLE CAPSULE,936.0,833.04,194.69,936.0,727 NDC,70377-0114-12,LIOTHYRONINE 5 MCG TABLET,6.1,5.43,1.27,6.1,727 NDC,70377-0115-12,LIOTHYRONINE 25 MCG TABLET,7.0,6.23,1.46,7.0,727 NDC,70382-0204-01,DEXAMETHASONE 0.4 MG INTRACANALICULAR INSERT,1089.7,969.83,102.94,1089.7,734 NDC,70436-0054-04,"MEMANTINE 7 MG CAPSULE SPRINKLE,EXTENDED RELEASE 24HR",8.5,7.57,1.77,8.5,727 NDC,70436-0089-55,GANCICLOVIR SODIUM 500 MG/10 ML INTRAVENOUS SOLUTION (WETTED),145.1,129.14,30.18,145.1,719 NDC,70510-2171-02,EDARAVONE 30 MG/100 ML INTRAVENOUS SOLUTION,3507.5,3121.68,20.99,3507.5,736 NDC,70539-0001-01,"ABALOPARATIDE 80 MCG/DOSE(3,120 MCG/1.56 ML) SUBCUTANEOUS PEN INJECTOR",7875.5,7009.2,1638.1,7875.5,727 NDC,70564-0802-60,"CROFELEMER 125 MG TABLET,DELAYED RELEASE",121.0,107.69,25.17,121.0,727 NDC,70594-0023-01,COLISTIN (COLISTIMETHATE SODIUM) 150 MG POWDER VIAL,73.0,64.97,13.89,73.0,719 NDC,70594-0023-01,COLISTIN (COLISTIMETHATE SODIUM) 150 MG/2 ML (75 MG/ML) VIAL RECONSTITUTED,73.0,64.97,13.89,73.0,719 NDC,70594-0023-01,COLISTIN (COLISTIMETHATE) INJECTION FOR INHALATION 25 MG/ML,73.0,64.97,13.89,73.0,719 NDC,70594-0049-02,"POLYMYXIN B SULFATE 500,000 UNIT SOLN FOR INJ (IM EQUIVALENCY)",53.6,47.7,11.15,53.6,715 NDC,70594-0049-02,"POLYMYXIN B SULFATE 500,000 UNIT SOLUTION FOR INJECTION",53.6,47.7,11.15,53.6,715 NDC,70621-0101-01,AMINOLEVULINIC ACID HCL 10 % TOPICAL GEL,837.6,745.46,1.79,837.6,736 NDC,70700-0169-22,IRINOTECAN 20 MG/ML INTRAPERITONEAL INJECTION (HIPEC),119.1,106.0,4.13,119.1,719 NDC,70700-0268-94,FOSFOMYCIN TROMETHAMINE 3 GRAM ORAL PACKET,180.5,160.65,37.54,180.5,727 NDC,70700-0289-22,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,77.3,68.8,1.55,77.3,719 NDC,70710-1159-03,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",45.7,40.67,9.51,45.7,727 NDC,70710-1160-03,"MIRABEGRON ER 50 MG TABLET,EXTENDED RELEASE 24 HR",39.0,34.71,8.11,39.0,727 NDC,70710-1168-01,ATENOLOL 100 MG-CHLORTHALIDONE 25 MG TABLET,6.1,5.43,1.27,6.1,727 NDC,70710-1289-01,TRIAZOLAM 0.25 MG TABLET,13.0,11.57,2.7,13.0,727 NDC,70710-1478-01,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,1295.1,1152.64,6.28,1295.1,734 NDC,70710-1521-01,TRIAZOLAM 0.125 MG TABLET,11.9,10.59,2.48,11.9,727 NDC,70710-1742-06,DASATINIB 50 MG TABLET,69.8,62.12,14.52,69.8,727 NDC,70710-1743-06,DASATINIB 70 MG TABLET,72.0,64.08,14.98,72.0,727 NDC,70710-1745-03,DASATINIB 100 MG TABLET,117.7,104.75,24.48,117.7,727 NDC,70710-1839-01,NELARABINE 5 MG/ML INTRAVENOUS SOLUTION,620.1,551.89,79.86,620.1,736 NDC,70710-1877-07,ZINC SULFATE 3 MG/ML INTRAVENOUS SOLUTION,106.7,94.96,22.19,106.7,715 NDC,70710-1886-06,LACOSAMIDE 10 MG/ML SYRINGE PUMP (PEDIATRIC),133.9,119.17,27.85,133.9,717 NDC,70710-1886-06,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,45.5,40.49,9.46,45.5,718 NDC,70710-1896-06,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION,1878.6,1671.95,101.95,1878.6,719 NDC,70710-1937-07,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,44.1,39.25,9.17,44.1,721 NDC,70710-1958-07,INDOMETHACIN 50 MG RECTAL SUPPOSITORY,561.9,500.09,116.88,561.9,715 NDC,70720-0125-85,TELOTRISTAT ETHYL 250 MG TABLET,491.2,437.17,102.17,491.2,727 NDC,70720-0720-10,ZICONOTIDE 100 MCG/ML INTRATHECAL SOLUTION,3564.5,3172.41,10.14,3564.5,736 NDC,70727-0497-25,NETARSUDIL 0.02 % EYE DROPS,1281.3,1140.36,266.51,1281.3,727 NDC,70727-0529-25,NETARSUDIL 0.02 %-LATANOPROST 0.005 % EYE DROPS,1097.7,976.95,228.32,1097.7,727 NDC,70748-0258-07,"POSACONAZOLE 100 MG TABLET,DELAYED RELEASE",29.4,26.17,6.12,29.4,727 NDC,70752-0102-12,ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP,93.1,82.86,19.36,93.1,727 NDC,70752-0104-06,CETIRIZINE 1 MG/ML ORAL SOLUTION,17.9,15.93,3.72,17.9,727 NDC,70752-0107-10,CYPROHEPTADINE 4 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,70752-0130-05,TRIAMCINOLONE ACETONIDE 0.1 % LOTION,104.9,93.36,21.82,104.9,727 NDC,70752-0138-12,PROMETHAZINE 6.25 MG/5 ML ORAL SYRUP,68.5,60.97,14.25,68.5,727 NDC,70752-0158-06,FLUOCINOLONE 0.01 % SCALP OIL AND SHOWER CAP,123.1,109.56,25.6,123.1,727 NDC,70756-0014-02,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,16.2,14.42,3.37,16.2,715 NDC,70756-0020-11,CHLORTHALIDONE 50 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,70756-0404-11,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,6.2,5.52,1.29,6.2,727 NDC,70756-0607-30,OFLOXACIN 0.3 % EYE DROPS,81.2,72.27,16.89,81.2,727 NDC,70756-0612-70,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,12.6,11.21,0.73,12.6,731 NDC,70756-0614-30,PHENYLEPHRINE 10 % EYE DROPS,115.7,102.97,24.07,115.7,715 NDC,70756-0629-25,PHENYLEPHRINE 2.5 % EYE DROPS,102.2,90.96,21.26,102.2,715 NDC,70756-0663-60,SODIUM CHLORIDE 3 % FOR NEBULIZATION,6.3,5.61,1.31,6.3,715 NDC,70756-0702-30,ALOSETRON 0.5 MG TABLET,21.8,19.4,4.53,21.8,727 NDC,70842-0102-01,DELAFLOXACIN 300 MG INTRAVENOUS SOLUTION,251.0,223.39,52.21,251.0,719 NDC,70842-0120-06,MEROPENEM-VABORBACTAM 2 GRAM INTRAVENOUS SOLUTION,637.9,567.73,2.18,637.9,734 NDC,70842-0160-10,MINOCYCLINE 100 MG INTRAVENOUS SOLUTION,786.0,699.54,2.67,786.0,734 NDC,70942-0302-41,HYALUR-PVP-ENOX-ALOE-PG-MALTO-HYDROXYETHYLCEL-CASTOR OIL MOUTHWASH,73.1,65.06,15.2,73.1,727 NDC,70954-0014-10,THIOTHIXENE 1 MG CAPSULE,7.3,6.5,1.52,7.3,727 NDC,70954-0015-10,THIOTHIXENE 2 MG CAPSULE,8.1,7.21,1.68,8.1,727 NDC,70954-0016-10,THIOTHIXENE 5 MG CAPSULE,10.2,9.08,2.12,10.2,727 NDC,70954-0017-10,THIOTHIXENE 10 MG CAPSULE,12.5,11.13,2.6,12.5,727 NDC,70954-0051-10,FELBAMATE 600 MG/5 ML ORAL SUSPENSION,321.2,285.87,66.81,321.2,727 NDC,70954-0135-10,DAPSONE 25 MG TABLET,7.0,6.23,1.46,7.0,727 NDC,70954-0136-10,DAPSONE 100 MG TABLET,8.3,7.39,1.73,8.3,727 NDC,70954-0139-10,LEVOCARNITINE (WITH SUGAR) 100 MG/ML ORAL SOLUTION,90.6,80.63,18.84,90.6,727 NDC,70954-0148-10,PYRIDOSTIGMINE BROMIDE 60 MG/5 ML ORAL SYRUP,25.7,22.87,5.35,25.7,727 NDC,70954-0211-10,TRIHEXYPHENIDYL 5 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,70954-0212-10,TRIHEXYPHENIDYL 2 MG TABLET,5.2,4.63,1.08,5.2,727 NDC,70954-0228-10,METHSUXIMIDE 300 MG CAPSULE,18.1,16.11,3.76,18.1,727 NDC,70954-0261-10,DICYCLOMINE 10 MG/5 ML ORAL SOLUTION,8.3,7.39,1.73,8.3,727 NDC,70954-0316-10,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,87.2,77.61,18.14,87.2,727 NDC,70954-0319-10,PAROXETINE 10 MG/5 ML ORAL SUSPENSION,31.9,28.39,6.64,31.9,727 NDC,70954-0456-20,BISOPROLOL FUMARATE 10 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,70954-0496-10,NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION,3367.2,2996.81,700.38,3367.2,727 NDC,70954-0559-10,LEVOMEFOLATE CALCIUM 7.5 MG TABLET,6.6,5.87,1.37,6.6,727 NDC,70954-0564-10,ESTRADIOL 0.5 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,70954-0565-10,ESTRADIOL 1 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,70954-0566-10,ESTRADIOL 2 MG TABLET,5.4,4.81,1.12,5.4,727 NDC,70954-0600-10,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,7.5,6.68,1.56,7.5,727 NDC,70954-0637-10,INDOMETHACIN 25 MG/5 ML ORAL SUSPENSION,5983.4,5325.23,1244.55,5983.4,715 NDC,70954-0662-10,KETOCONAZOLE 2 % SHAMPOO,83.2,74.05,17.31,83.2,727 NDC,71083-0020-05,KIT FOR PREPARATION TC-99M-SUCCIMER 1 MG INTRAVENOUS SOLUTION,2490.0,2216.1,517.92,2490.0,736 NDC,71104-0982-01,"ANTIHEMOPHIL RFVIII FC-VWF-XTEN,BDD-EHTL 2,000 (+/-) UNIT IV SOLUTION",54.2,48.24,4.66,54.2,734 NDC,71258-0022-00,PIFLUFOLASTAT F 18 296 MBQ TO 370 MBQ (8 MCI TO 10 MCI) IV SYRINGE,11500.0,10235.0,346.49,11500.0,738 NDC,71258-0022-01,"PIFLUFOLASTAT F 18 37 MBQ/ML TO 2,960 MBQ/ML (1-80 MCI/ML) IV SOLUTION",11500.0,10235.0,346.49,11500.0,734 NDC,71266-8020-01,ARGININE 25 MG/ML-LYSINE 25 MG/ML INTRAVENOUS SOLUTION (WRAPPER),1187.5,1056.88,247.0,1187.5,717 NDC,71274-0350-02,"C1 ESTERASE INHIBITOR, RECOMBINANT 2,100 UNIT INTRAVENOUS SOLUTION",15337.5,13650.38,36.77,15337.5,736 NDC,71287-0119-01,TECARTUS (LYMPHOMA),2270000.0,462000.0,462000.0,462000.0,263 NDC,71287-0119-01,YESCARTA,2480000.0,503580.0,503580.0,503580.0,13 NDC,71287-0219-01,TECARTUS (LYMPHOMA),2270000.0,462000.0,462000.0,462000.0,5 NDC,71287-0220-01,TECARTUS (LEUKEMIA),2080000.0,462000.0,462000.0,462000.0,1 NDC,71287-0220-01,TECARTUS (LYMPHOMA),2270000.0,462000.0,462000.0,462000.0,2 NDC,71288-0016-95,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,90.1,80.19,16.1,90.1,719 NDC,71288-0016-95,DAPTOMYCIN 500 MG POWDER VIAL OSM,50.1,44.59,10.42,50.1,719 NDC,71288-0017-15,DAPTOMYCIN 350 MG INTRAVENOUS SOLUTION,98.1,87.31,11.27,98.1,719 NDC,71288-0019-11,TIGECYCLINE 50 MG INTRAVENOUS SOLUTION,86.0,76.54,17.89,86.0,719 NDC,71288-0019-11,TIGECYCLINE 50 MG POWDER VIAL OSM,46.0,40.94,9.57,46.0,719 NDC,71288-0031-92,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,43.6,38.8,1.53,43.6,720 NDC,71288-0032-92,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,49.0,43.61,3.06,49.0,723 NDC,71288-0116-11,BUSULFAN 60 MG/10 ML INTRAVENOUS SOLUTION,301.3,268.16,0.88,301.3,737 NDC,71288-0117-28,GEMCITABINE 38 MG/ML INTRAVENOUS SOLUTION (WRAPPER),234.9,209.06,24.77,234.9,720 NDC,71288-0117-28,GEMCITABINE 38 MG/ML IV SOLUTION FOR BLADDER INSTILLATION (WRAPPER),269.3,239.68,56.01,269.3,717 NDC,71288-0128-20,CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION,668.9,595.32,4.19,668.9,736 NDC,71288-0132-90,MELPHALAN HCL 50 MG/10 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),582.7,518.6,95.9,582.7,736 NDC,71288-0153-95,AZACITIDINE 100 MG SOLUTION FOR INJECTION (SUBQ EQUIVALENCY),267.7,238.25,53.25,267.7,719 NDC,71288-0153-95,AZACITIDINE 100 MG/10 ML SOLUTION FOR INJECTION (WETTED),267.7,238.25,53.25,267.7,719 NDC,71288-0166-10,PEMETREXED DISODIUM 100 MG/4 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),235.4,209.51,4.36,235.4,736 NDC,71288-0167-50,PEMETREXED DISODIUM 500 MG/20 ML INTRAVENOUS POWDER FOR SOLUTION (WETTED),352.5,313.73,4.36,352.5,736 NDC,71288-0203-03,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,36.4,32.4,7.57,36.4,722 NDC,71288-0203-03,FUROSEMIDE 10 MG/ML SYRINGE (PEDIATRIC) - RST ONLY,36.4,32.4,7.57,36.4,721 NDC,71288-0303-92,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",38.7,34.44,0.73,38.7,722 NDC,71288-0426-03,ENOXAPARIN 300 MG/3 ML SUBCUTANEOUS SOLUTION,112.2,99.86,18.39,112.2,720 NDC,71288-0427-92,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,170.6,151.83,35.48,170.6,719 NDC,71288-0503-02,HALOPERIDOL DECANOATE 100 MG/ML INTRAMUSCULAR SOLUTION,47.1,41.92,4.53,47.1,719 NDC,71288-0554-80,GANIRELIX 250 MCG/0.5 ML SUBCUTANEOUS SYRINGE,194.6,173.19,40.48,194.6,715 NDC,71288-0600-11,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,39.3,34.98,8.17,39.3,720 NDC,71288-0702-10,ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION,52.7,46.9,10.96,52.7,715 NDC,71288-0803-21,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,104.6,93.09,21.76,104.6,717 NDC,71288-0803-21,MYCOPHENOLATE 500 MG/15 ML INTRAVENOUS SOLUTION (WETTED),104.6,93.09,21.76,104.6,717 NDC,71321-0802-30,"VITAMIN E (DL, ACETATE) 22.5 MG (50 UNIT)/ML ORAL DROPS",81.0,72.09,16.85,81.0,727 NDC,71332-0001-01,FOSTAMATINIB 100 MG TABLET,853.7,759.79,177.57,853.7,727 NDC,71332-0002-01,FOSTAMATINIB 150 MG TABLET,853.7,759.79,177.57,853.7,727 NDC,71357-0001-06,TROMETHAMINE 36 MG/ML (0.3 M) INTRAVENOUS SOLUTION,1137.5,1012.38,236.6,1137.5,715 NDC,71369-0020-30,AVATROMBOPAG 20 MG TABLET,1371.7,1220.81,285.31,1371.7,727 NDC,71390-0011-11,REMIMAZOLAM 20 MG INTRAVENOUS SOLUTION,136.3,121.31,28.35,136.3,725 NDC,71394-0065-01,VORETIGENE NEPARVOVEC-RZYL 1.5X10EXP11 VG/0.3 ML(FINAL)SUBRETINAL SUSP,467500.0,416075.0,3002.58,488353.15,734 NDC,71449-0091-90,BEVACIZUMAB 1.25 MG/0.05 ML INTRAOCULAR SYRINGE (WRAPPER),429.2,381.99,1.83,429.2,734 NDC,71469-0231-01,AMINOLEVULINIC ACID HCL 30 MG/ML ORAL SOLUTION,9648.0,8586.72,2006.78,9648.0,727 NDC,71656-0064-10,HYDROCORTISONE-ACETIC ACID 1 %-2 % EAR DROPS,408.5,363.57,84.97,408.5,727 NDC,71699-0025-30,CENOBAMATE 25 MG TABLET,145.7,129.67,30.31,145.7,727 NDC,71699-0050-30,CENOBAMATE 50 MG TABLET,145.7,129.67,30.31,145.7,727 NDC,71699-0100-30,CENOBAMATE 100 MG TABLET,145.7,129.67,30.31,145.7,727 NDC,71699-0150-30,CENOBAMATE 150 MG TABLET,145.7,129.67,30.31,145.7,727 NDC,71699-0200-30,CENOBAMATE 200 MG TABLET,145.7,129.67,30.31,145.7,727 NDC,71699-0201-28,CENOBAMATE 12.5 MG (14)-25 MG (14) TABLETS IN A DOSE PACK,378.1,336.51,78.64,378.1,727 NDC,71715-0001-02,OMADACYCLINE 100 MG INTRAVENOUS SOLUTION,1250.2,1112.68,4.02,1250.2,734 NDC,71715-0002-27,OMADACYCLINE 150 MG TABLET,804.0,715.56,167.23,804.0,727 NDC,71773-0050-12,ERAVACYCLINE 50 MG INTRAVENOUS SOLUTION,285.7,254.27,1.3,285.7,736 NDC,71779-0125-02,DUVELISIB 25 MG CAPSULE,1028.3,915.19,213.89,1028.3,727 NDC,71837-1000-01,ZENOCUTUZUMAB-ZBCO 375 MG/18.75 ML (20 MG/ML) INTRAVENOUS SOLUTION,34446.6,30657.47,32.91,34446.6,734 NDC,71837-5843-05,SARGRAMOSTIM 250 MCG SOLUTION FOR INJECTION,891.6,793.52,50.37,891.6,736 NDC,71837-5843-05,SARGRAMOSTIM 250 MCG/ML SOLUTION FOR INHALATION (USING INJECTION VIAL),980.0,872.2,50.37,980.0,736 NDC,71858-0010-04,LEVOTHYROXINE 25 MCG CAPSULE,21.7,19.31,4.51,21.7,727 NDC,71858-0015-04,LEVOTHYROXINE 50 MCG CAPSULE,21.7,19.31,4.51,21.7,727 NDC,71858-0020-04,LEVOTHYROXINE 75 MCG CAPSULE,21.7,19.31,4.51,21.7,727 NDC,71858-0030-04,LEVOTHYROXINE 100 MCG CAPSULE,21.7,19.31,4.51,21.7,727 NDC,71858-0035-04,LEVOTHYROXINE 112 MCG CAPSULE,21.7,19.31,4.51,21.7,727 NDC,71858-0040-04,LEVOTHYROXINE 125 MCG CAPSULE,21.7,19.31,4.51,21.7,727 NDC,71858-0045-04,LEVOTHYROXINE 137 MCG CAPSULE,21.7,19.31,4.51,21.7,727 NDC,71858-0060-04,LEVOTHYROXINE 200 MCG CAPSULE,21.7,19.31,4.51,21.7,727 NDC,71858-0130-05,LEVOTHYROXINE 100 MCG/ML ORAL SOLUTION,22.0,19.58,4.58,22.0,727 NDC,71858-0150-04,LEVOTHYROXINE 150 MCG/ML ORAL SOLUTION,21.4,19.05,4.45,21.4,727 NDC,71879-0136-01,FLUOCINOLONE 0.18 MG INTRAVITREAL IMPLANT,28127.6,25033.56,529.89,28127.6,736 NDC,71930-0016-12,"QUINIDINE GLUCONATE ER 324 MG TABLET,EXTENDED RELEASE",28.5,25.37,5.93,28.5,727 NDC,71930-0023-30,OXYCODONE 20 MG/ML ORAL CONCENTRATE (WRAPPER),13.0,11.57,2.7,13.0,727 NDC,72060-0110-40,LUMATEPERONE 10.5 MG CAPSULE,190.3,169.37,39.58,190.3,727 NDC,72060-0121-40,LUMATEPERONE 21 MG CAPSULE,190.3,169.37,39.58,190.3,727 NDC,72060-0142-40,LUMATEPERONE 42 MG CAPSULE,190.3,169.37,39.58,190.3,727 NDC,72064-0125-30,AVAPRITINIB 25 MG TABLET,3952.9,3518.08,822.2,3952.9,727 NDC,72078-0002-04,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,43.3,38.54,9.01,43.3,715 NDC,72078-0026-10,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,344.1,306.25,2.99,344.1,734 NDC,72078-0033-02,ADENOSINE 3 MG/ML INTRAVENOUS (WRAPPER),42.1,37.47,3.65,42.1,722 NDC,72078-0034-01,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,170.3,151.57,35.42,170.3,715 NDC,72078-0046-18,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,43.5,38.72,9.05,43.5,718 NDC,72078-0046-18,AMIODARONE 50 MG/ML IV SYRINGE (NEON/PED) - RST ONLY,91.5,81.44,19.03,91.5,717 NDC,72187-0401-01,"TAGRAXOFUSP-ERZS 1,000 MCG/ML INTRAVENOUS SOLUTION",94968.7,84522.14,356.93,94968.7,736 NDC,72205-0019-01,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,1509.1,1343.1,313.89,1509.1,727 NDC,72205-0036-01,DECITABINE 50 MG/10 ML INTRAVENOUS SOLUTION (WETTED),825.0,734.25,37.26,825.0,719 NDC,72205-0045-01,THIOTEPA 15 MG/1.5 ML SOLUTION FOR INJECTION (WETTED),365.0,324.85,10.54,365.0,734 NDC,72205-0046-01,THIOTEPA 100 MG/10 ML SOLUTION FOR INJECTION (WETTED),1196.3,1064.71,10.54,1196.3,734 NDC,72205-0170-72,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,171.5,152.63,35.67,171.5,727 NDC,72205-0201-24,ROFLUMILAST 250 MCG TABLET,15.7,13.97,3.27,15.7,727 NDC,72252-0520-02,DIAZEPAM 20 MG/2 SPRAY (10 MG/0.1 ML X 2) NASAL SPRAY,1137.7,1012.55,236.64,1137.7,727 NDC,72266-0160-10,ZIPRASIDONE 20 MG/ML (FINAL CONCENTRATION) INTRAMUSCULAR SOLUTION,84.8,75.47,17.64,84.8,719 NDC,72266-0235-01,DEXRAZOXANE HCL 250 MG/25 ML INTRAVENOUS SOLUTION (WETTED) (RECONSTITUTE WITH SWFI),215.7,191.97,44.87,215.7,736 NDC,72266-0248-05,SINCALIDE 5 MCG SOLUTION FOR INJECTION,300.1,267.09,62.42,300.1,722 NDC,72485-0105-01,NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,86.2,76.72,17.93,86.2,715 NDC,72511-0501-01,EVOLOCUMAB 140 MG/ML SUBCUTANEOUS SYRINGE,801.8,713.6,166.77,801.8,727 NDC,72572-0747-10,"WATER FOR IRRIGATION, STERILE SOLUTION (WRAPPER INCLUDES SWFI)",54.0,48.06,11.23,54.0,715 NDC,72578-0002-01,ACYCLOVIR 200 MG CAPSULE,5.5,4.89,1.14,5.5,727 NDC,72578-0040-01,ZONISAMIDE 25 MG CAPSULE,5.3,4.72,1.1,5.3,727 NDC,72578-0041-01,ZONISAMIDE 50 MG CAPSULE,5.5,4.89,1.14,5.5,727 NDC,72578-0149-01,ACETAZOLAMIDE 125 MG TABLET,5.6,4.98,1.16,5.6,727 NDC,72606-0011-01,BEVACIZUMAB-ADCD 25 MG/ML INTRAVENOUS SOLUTION,1362.8,1212.89,39.96,1362.8,734 NDC,72606-0012-01,BEVACIZUMAB-ADCD 25 MG/ML INTRAVENOUS SOLUTION,4283.8,3812.58,39.96,4283.8,734 NDC,72611-0716-72,DEXRAZOXANE HCL 500 MG/50 ML INTRAVENOUS SOLUTION (WETTED) (RECONSTITUTE WITH SWFI),412.7,367.3,63.06,412.7,736 NDC,72611-0785-02,TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN (WETTED),1309.6,1165.54,26.71,1309.6,736 NDC,72618-3000-02,RIMEGEPANT 75 MG DISINTEGRATING TABLET,433.8,386.08,90.23,433.8,727 NDC,72626-2701-01,SOFOSBUVIR 400 MG-VELPATASVIR 100 MG TABLET,895.8,797.26,186.33,895.8,727 NDC,72694-0515-01,CALASPARGASE PEGOL-MKNL 750 UNIT/ML INTRAVENOUS SOLUTION,85816.3,76376.51,82.08,85816.3,734 NDC,72694-0617-60,IVOSIDENIB 250 MG TABLET,1819.2,1619.09,378.39,1819.2,727 NDC,72694-0954-01,PEGASPARGASE 750 UNIT/ML INJECTION SOLUTION,79286.6,70565.07,16491.61,79286.6,736 NDC,72819-0234-16,COPPER 0.4 MG/ML INJECTION (TPN)(WRAPPER),99.4,88.47,20.68,99.4,717 NDC,72874-0001-01,"FLUOROESTRADIOL F-18 148 MBQ/ML TO 3,700 MBQ/ML INTRAVENOUS SOLUTION",1612.1,1434.77,335.32,1612.1,736 NDC,72888-0041-13,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,100.7,89.62,20.95,100.7,727 NDC,72888-0060-30,AMIODARONE 100 MG TABLET,7.0,6.23,1.46,7.0,727 NDC,72888-0095-01,TRIAMTERENE 75 MG-HYDROCHLOROTHIAZIDE 50 MG TABLET,5.3,4.72,1.1,5.3,727 NDC,72888-0148-37,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,117.1,104.22,24.36,117.1,715 NDC,72888-0149-38,IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY,124.2,110.54,25.83,124.2,715 NDC,72888-0157-39,NORTRIPTYLINE 10 MG/5 ML ORAL SOLUTION,519.8,462.62,108.12,519.8,727 NDC,72888-0162-30,TRAMADOL 25 MG TABLET,20.1,17.89,4.18,20.1,727 NDC,72888-0172-46,LITHIUM CITRATE 8 MEQ/5 ML ORAL SOLUTION (WRAPPER),837.0,744.93,174.1,837.0,727 NDC,72893-0007-04,KIT FOR YTTRIUM-90-IBRITUMOMAB 3.2 MG/2 ML INTRAVENOUS,137256.0,122157.84,28549.25,137256.0,734 NDC,72903-0853-01,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION,19572.3,17419.35,69.49,19572.3,734 NDC,72928-0089-01,STRONTIUM-89 CHLORIDE 1 MCI/ML INTRAVENOUS SOLUTION,7128.0,6343.92,1482.62,7128.0,734 NDC,72960-0112-01,DAXIBOTULINUMTOXINA-LANM 100 UNIT INTRAMUSCULAR SOLUTION,1175.0,1045.75,3.15,1175.0,734 NDC,72990-0103-03,"TAUROLIDINE-HEPARIN 13.5 MG-1,000 UNITS/ML INTRA-CATHETER SOLUTION",528.5,470.37,109.93,528.5,717 NDC,73153-0900-01,BREYANZI,2520000.0,531350.4,531350.4,531350.4,12 NDC,73177-0102-01,FENTANYL (PF) 20 MCG/2 ML (10 MCG/ML) IN 0.9 % SOD CHLORIDE IV SYRINGE,91.0,80.99,18.93,91.0,715 NDC,73254-0310-01,HYDROXYETHYLCELLULOSE-GLYCERIN IN WATER INTRAUTERINE INFUSION FOAM SYR,12060.0,10733.4,2508.48,12060.0,715 NDC,73302-0456-01,ULIPRISTAL 30 MG TABLET,126.8,112.85,26.37,126.8,715 NDC,73336-0075-30,VIBEGRON 75 MG TABLET,56.7,50.46,11.79,56.7,727 NDC,73462-0101-01,TRILACICLIB 300 MG/20 ML INTRAVENOUS SOLUTION (WETTED),4435.4,3947.51,5.46,4435.4,734 NDC,73475-3041-05,EFGARTIGIMOD ALFA-FCAB 20 MG/ML INTRAVENOUS SOLUTION (RESTRICTED),16210.5,14427.35,32.15,16210.5,734 NDC,73555-0501-00,REVUMENIB 110 MG TABLET,2097.8,1867.04,436.34,2097.8,727 NDC,73555-0502-00,REVUMENIB 160 MG TABLET,2024.2,1801.54,421.03,2024.2,727 NDC,73556-0168-02,AVACOPAN 10 MG CAPSULE,371.2,330.37,77.21,371.2,727 NDC,73562-0104-10,"LIPASE-PROTEASE-AMYLASE (PORCINE) 10,440-39,150-39,150 UNIT TABLET",19.2,17.09,3.99,19.2,727 NDC,73562-0110-01,"LIPASE-PROTEASE-AMYLASE(PORK)10,000-32,000-42,000 UNIT CAPSULE,DEL REL",19.2,17.09,3.99,19.2,727 NDC,73562-0111-01,"LIPASE-PROTEASE-AMYLASE (PORK) 15,000-47,000-63K UNIT CAPSULE,DEL REL",25.5,22.7,5.3,25.5,727 NDC,73562-0112-01,"LIPASE-PROTEASE-AMYLASE (PORK) 20,000-63,000-84K UNIT CAPSULE, DEL REL",32.9,29.28,6.84,32.9,727 NDC,73562-0114-01,"LIPASE-PROTEASE-AMYLASE(PORK) 40,000-126,000-168K UNIT CAPSULE,DEL REL",61.1,54.38,12.71,61.1,727 NDC,73562-0115-01,"LIPASE-PROTEASE-AMYLASE(PORK)5,000-17,000-24,000 UNIT CAPSULE, DEL REL",12.2,10.86,2.54,12.2,727 NDC,73562-0116-01,"LIPASE-PROTEASE-AMYLASE (PORK) 25,000-79,000-105K UNIT CAPSULE,DEL REL",39.5,35.16,8.22,39.5,727 NDC,73562-0208-10,"LIPASE-PROTEASE-AMYLASE (PORCINE) 20,880-78,300-78,300 UNIT TABLET",32.9,29.28,6.84,32.9,727 NDC,73607-0011-11,ARTESUNATE 110 MG/11 ML INTRAVENOUS SOLUTION (WETTED) (RESTRICTED),13797.3,12279.6,2869.84,13797.3,719 NDC,73650-0316-01,TEPLIZUMAB-MZWV 1 MG/ML INTRAVENOUS SOLUTION,37701.8,33554.6,37.66,37701.8,734 NDC,73776-0001-11,AMONTANAAGVI,2530000.0,562000.0,562000.0,562000.0,8 NDC,73814-0986-20,KIT FOR THE PREPARATION OF TECHNETIUM TC 99M-LABELED CARBON INHALATION AEROSOL,949.5,845.06,197.5,949.5,734 NDC,74300-0000-70,ZINC OXIDE-COD LIVER OIL 40 % TOPICAL PASTE,67.0,59.63,13.94,67.0,727 NDC,74300-0004-01,TETRAHYDROZOLINE 0.05 %-ZINC 0.25 % EYE DROPS,66.6,59.27,13.85,66.6,727 NDC,74312-0016-83,LEVOCARNITINE 500 MG TABLET,3.6,3.2,0.75,3.6,727 NDC,74312-0134-30,BIOTIN 5 MG CAPSULE,2.5,2.23,0.52,2.5,727 NDC,75826-0118-10,PHENOBARB-HYOSCYAMN-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG TABLET,21.3,18.96,4.43,21.3,727 NDC,75826-0123-10,DEXTROAMPHETAMINE SULFATE 10 MG TABLET,11.6,10.32,2.41,11.6,727 NDC,75826-0128-04,PHENOBARB-HYOSCY-ATROPINE-SCOP 16.2 MG-0.1037 MG-0.0194 MG/5 ML ELIXIR,22.8,20.29,4.74,22.8,727 NDC,75826-0131-01,MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION,10.3,9.17,2.14,10.3,727 NDC,75834-0010-60,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS",2.5,2.23,0.52,2.5,727 NDC,75834-0158-01,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",5.8,5.16,1.21,5.8,727 NDC,75834-0280-08,POTASSIUM IODIDE 1 GRAM/ML ORAL SOLUTION,50.4,44.86,10.48,50.4,727 NDC,75907-0023-48,CLONIDINE 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,34.0,30.26,7.07,34.0,727 NDC,75907-0024-48,CLONIDINE 0.2 MG/24 HR WEEKLY TRANSDERMAL PATCH,52.3,46.55,10.88,52.3,727 NDC,75907-0025-48,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,65.3,58.12,13.58,65.3,727 NDC,75907-0026-01,DISOPYRAMIDE PHOSPHATE 150 MG CAPSULE,9.4,8.37,1.96,9.4,727 NDC,75907-0027-01,DISOPYRAMIDE PHOSPHATE 100 MG CAPSULE,8.3,7.39,1.73,8.3,727 NDC,75907-0043-01,TRIMETHOPRIM 100 MG TABLET,9.6,8.54,2.0,9.6,727 NDC,75907-0166-30,METYROSINE 250 MG CAPSULE,303.7,270.29,63.17,303.7,727 NDC,75907-0167-21,IVERMECTIN 3 MG TABLET,15.5,13.8,3.22,15.5,727 NDC,75987-0050-06,GLYCEROL PHENYLBUTYRATE 1.1 GRAM/ML ORAL LIQUID,17802.0,15843.78,3702.82,17802.0,727 NDC,75987-0080-10,PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION,79458.6,70718.15,3660.83,79458.6,736 NDC,75987-0111-11,INTERFERON GAMMA-1B 100 MCG (2 MILLION UNIT)/0.5 ML SUBCUTANEOUS SOLN,14529.1,12930.9,3022.05,14529.1,727 NDC,76045-0004-11,MORPHINE 2 MG/ML INJECTION (WRAPPER),78.3,69.69,16.29,78.3,719 NDC,76045-0010-11,HYDROMORPHONE (PF) 2 MG/ML INJECTION (WRAPPER),79.8,71.02,16.6,79.8,717 NDC,76045-0102-10,DIPHENHYDRAMINE 50 MG/ML INJECTION SYRINGE,42.4,37.74,0.82,42.4,717 NDC,76045-0203-20,GLYCOPYRROLATE (PF) 0.4 MG/2 ML (0.2 MG/ML) INJECTION SYRINGE,58.9,52.42,12.25,58.9,715 NDC,76045-0204-20,DIAZEPAM 5 MG/ML INJECTION (WRAPPER),146.8,130.65,15.39,146.8,720 NDC,76045-0211-20,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION (WRAPPER),80.3,71.47,0.32,80.3,741 NDC,76075-0101-01,CARFILZOMIB 60 MG/30 ML INTRAVENOUS SOLUTION (WETTED),10356.8,9217.55,55.65,10356.8,736 NDC,76075-0102-01,CARFILZOMIB 30 MG/15 ML INTRAVENOUS SOLUTION (WETTED),5403.5,4809.11,55.65,5403.5,736 NDC,76075-0103-01,CARFILZOMIB 10 MG/5 ML INTRAVENOUS SOLUTION (WETTED),2101.2,1870.07,55.65,2101.2,736 NDC,76204-0700-01,LEVALBUTEROL 0.31 MG/3 ML SOLUTION FOR NEBULIZATION,10.3,9.17,0.09,10.3,731 NDC,76204-0800-01,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,11.6,10.32,0.19,11.6,731 NDC,76204-0900-01,LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,10.3,9.17,0.28,10.3,731 NDC,76299-0430-04,NITROGLYCERIN 400 MCG/SPRAY TRANSLINGUAL AEROSOL,565.9,503.65,117.71,565.9,715 NDC,76310-0017-01,AMIFOSTINE CRYSTALLINE 500 MG INTRAVENOUS SOLUTION,2907.5,2587.68,604.76,2907.5,721 NDC,76310-0017-01,AMIFOSTINE CRYSTALLINE 500 MG SOLUTION (SUBQ EQUIVALENCY),5389.9,4797.01,1121.1,5389.9,721 NDC,76310-0024-01,FOSCARNET 24 MG/ML INTRAVENOUS SOLUTION,897.5,798.78,186.68,897.5,717 NDC,76310-0024-01,FOSCARNET IV SYRINGE 24 MG/ML (NEO/PED) (CENTRAL LINE ONLY),897.5,798.78,186.68,897.5,717 NDC,76329-3302-01,DEXTROSE 50 % IN WATER (D50W) INTRALESIONAL SOLUTION,48.2,42.9,10.03,48.2,715 NDC,76329-3302-01,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,103.3,91.94,21.49,103.3,715 NDC,76329-3304-01,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,52.7,46.9,10.96,52.7,715 NDC,76329-3318-01,EPINEPHRINE 0.1 MG/ML INJECTION ANES ONLY,87.3,77.7,18.16,87.3,717 NDC,76329-3318-01,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE,87.3,77.7,18.16,87.3,722 NDC,76329-3318-01,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE (RST PED CV EMERGENCY),87.3,77.7,18.16,87.3,717 NDC,76329-3340-01,ATROPINE 0.1 MG/ML INJECTION SYRINGE,73.8,65.68,11.96,73.8,723 NDC,76329-3340-01,ATROPINE 0.1 MG/ML INJECTION SYRINGE (NEO/PED) RST ONLY,73.8,65.68,11.96,73.8,719 NDC,76329-3340-01,ATROPINE 0.1 MG/ML INJECTION SYRINGE (PEDIATRIC),73.8,65.68,11.96,73.8,719 NDC,76329-3340-01,ATROPINE 0.1 MG/ML INJECTION SYRINGE FOR ENTERAL USE,73.8,65.68,11.96,73.8,719 NDC,76329-3352-01,SODIUM BICARBONATE 1 MEQ/ML ORAL SOLUTION,63.8,56.78,13.27,63.8,715 NDC,76329-3352-01,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) ANES ONLY,103.8,92.38,21.59,103.8,715 NDC,76329-3352-01,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INJECTION (WRAPPER),103.8,92.38,21.59,103.8,717 NDC,76329-3390-01,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,62.1,55.27,12.92,62.1,715 NDC,76329-3390-01,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE (RST PED CV EMERGENCY),62.1,55.27,12.92,62.1,715 NDC,76329-3399-05,PROCAINAMIDE 100 MG/ML INTRAVENOUS SYRINGE,207.8,184.94,43.22,338.89,736 NDC,76329-6300-05,LIDOCAINE HCL 4 % LARYNGOTRACHEAL SOLUTION,34.5,30.7,7.18,34.5,715 NDC,76336-0455-18,METYRAPONE 250 MG CAPSULE,219.4,195.27,45.64,219.4,727 NDC,76385-0131-01,PINDOLOL 5 MG TABLET,7.0,6.23,1.46,7.0,727 NDC,76385-0135-01,NADOLOL 80 MG TABLET,6.5,5.79,1.35,6.5,727 NDC,76394-2642-03,GALLIUM GA-68 GOZETOTIDE 18.5 MBQ TO 185 MBQ/ML (0.5-5 MCI/ML) IV SOLN,591.6,526.52,123.05,591.6,734 NDC,77333-0031-20,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",0.5,0.45,0.1,0.5,727 NDC,77333-0120-50,CALCIUM POLYCARBOPHIL 625 MG TABLET,0.5,0.45,0.1,0.5,727 NDC,77333-0308-10,"OMEGA 3-DHA-EPA-FISH OIL 1,000 MG CAPSULE (WRAPPER)",2.7,2.4,0.56,2.7,727 NDC,77333-0430-50,"LACTASE 3,000 UNIT TABLET",3.4,3.03,0.71,3.4,727 NDC,77333-0441-10,LACTOBACILLUS ACIDOPH-L.BULGARICUS 1 MILLION CELL TABLET,2.8,2.49,0.58,2.8,727 NDC,77333-0715-10,MULTIVITAMIN/MINERAL-PRENATAL (WRAPPER),5.6,4.98,1.16,5.6,727 NDC,77333-0812-10,SIMETHICONE 80 MG CHEWABLE TABLET,2.7,2.4,0.56,2.7,727 NDC,77333-0844-10,SODIUM CHLORIDE 1 GRAM TABLET (WRAPPER),2.8,2.49,0.58,2.8,727 NDC,77333-0861-10,MULTIVITAMIN-IRON-FOLIC ACID 400 MCG-CALCIUM AND MINERALS TABLET,0.5,0.45,0.1,0.5,727 NDC,77333-0934-10,THIAMINE (VITAMIN B1) 100 MG TABLET (WRAPPER),2.6,2.31,0.54,2.6,727 NDC,77333-0940-10,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,2.5,2.23,0.52,2.5,727 NDC,77333-0948-10,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,2.6,2.31,0.54,2.6,727 NDC,77333-0951-10,VITAMIN E 180 MG (400 UNIT) CAPSULE (WRAPPER),2.7,2.4,0.56,2.7,727 NDC,77790-0022-15,HYPROMELLOSE 2.5 % EYE DROPS,118.7,105.64,24.69,118.7,715 NDC,78206-0145-01,ETONOGESTREL 68 MG SUBDERMAL IMPLANT,1118.6,995.55,232.67,1321.1,719 NDC,78206-0162-01,INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION,1085.4,966.01,27.0,1085.4,737 NDC,78670-0003-67,DANTROLENE 20 MG INTRAVENOUS SOLUTION,250.5,222.95,52.1,250.5,715 NDC,79802-0200-30,BELUMOSUDIL 200 MG TABLET,1953.9,1738.97,406.41,1953.9,727 NDC,79854-0080-09,PEDIATRIC MULTIVITAMIN NO.118 ORAL LIQUID,0.5,0.45,0.1,0.5,727 NDC,79952-0110-01,LONCASTUXIMAB TESIRINE-LPYL 10 MG/2 ML INTRAVENOUS SOLUTION (WETTED),81733.4,72742.73,216.9,81733.4,734 NDC,80681-0019-00,NIACINAMIDE 500 MG TABLET,2.1,1.87,0.44,2.1,727 NDC,80681-0041-00,MELATONIN 1 MG TABLET,2.1,1.87,0.44,2.1,727 NDC,80681-0057-00,NIACIN 100 MG TABLET,2.1,1.87,0.44,2.1,727 NDC,80681-0071-00,CYANOCOBALAMIN (VIT B-12) 100 MCG TABLET,2.1,1.87,0.44,2.1,727 NDC,80681-0097-00,THIAMINE HCL (VITAMIN B1) 50 MG TABLET,2.1,1.87,0.44,2.1,727 NDC,80681-0115-00,CALCIUM 315 MG (AS CITRATE)-VITAMIN D3 5 MCG (200 UNIT) TABLET,0.5,0.45,0.1,0.5,727 NDC,80681-0126-00,B-COMPLEX WITH VITAMIN C TABLET,2.1,1.87,0.44,2.1,727 NDC,80681-0128-00,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,2.1,1.87,0.44,2.1,727 NDC,80681-0134-00,VITAMIN E 45 MG (100 UNIT) CAPSULE (WRAPPER),2.1,1.87,0.44,2.1,727 NDC,80681-0140-00,CALCIUM 200 MG (AS CALCIUM CITRATE 950 MG) TABLET,0.5,0.45,0.1,0.5,727 NDC,80681-0172-00,"POTASSIUM, SODIUM PHOSPHATES 280 MG-160 MG-250 MG ORAL POWDER PACKET",3.1,2.76,0.64,3.1,727 NDC,80681-0174-00,"CHOLECALCIFEROL (VITAMIN D3) 1,250 MCG (50,000 UNIT) CAPSULE",2.6,2.31,0.54,2.6,727 NDC,80725-0250-01,PAROMOMYCIN 250 MG CAPSULE,406.3,361.61,84.51,406.3,727 NDC,80725-0610-25,CHLORAMBUCIL 2 MG TABLET,1749.4,1556.97,363.88,1749.4,727 NDC,80725-0620-25,BUSULFAN 2 MG TABLET,938.6,835.35,844.8,844.8,1 NDC,80725-0630-25,THIOGUANINE 40 MG TABLET,1641.4,1460.85,341.41,1641.4,727 NDC,80739-0812-18,ADAGRASIB 200 MG TABLET,410.6,365.43,85.4,410.6,727 NDC,80777-0112-01,COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE,158.6,141.15,32.99,184.69,717 NDC,80777-0113-09,COVID VAC 2025-26 (6MO-11YR)(MODERNA) (PF) 25 MCG/0.25 ML IM SYRINGE,144.3,128.43,30.01,168.02,719 NDC,80803-0153-50,SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION,20018.0,17816.02,84.57,20018.0,734 NDC,80830-1691-02,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INJECTION FOR ORAL USE,44.6,39.69,9.28,44.6,715 NDC,80830-2329-02,"TRANEXAMIC ACID 1,000 MG/100 ML(10 MG/ML)IN SOD CHLOR,ISO IV PIGGYBACK",96.0,85.44,19.97,96.0,715 NDC,81033-0032-50,MUPIROCIN 2 % TOPICAL OINTMENT,58.2,51.8,12.11,58.2,727 NDC,81033-0102-52,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,0.5,0.45,0.1,0.5,727 NDC,81052-0138-10,PAFOLACIANINE 3.2 MG/1.6 ML INTRAVENOUS SOLUTION,11050.0,9834.5,2298.4,11050.0,717 NDC,81284-0315-05,INDIGOTINDISULFONATE SODIUM 8 MG/ML (0.8 %) INJECTION SOLUTION (WRAPPER),975.0,867.75,9.96,975.0,734 NDC,81284-0612-10,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",43.8,38.98,9.11,43.8,715 NDC,81284-0612-10,TRANEXAMIC ACID 100 MG/ML INHALATION SOLUTION (VIAL & REPACKAGED INJ),39.4,35.07,8.2,39.4,715 NDC,81284-0612-10,TRANEXAMIC ACID 500 MG/5 ML (100 MG/ML) ENDOBRONCHIAL SOLUTION (CATH TIP SYRINGE),39.4,35.07,8.2,39.4,715 NDC,81284-0831-05,PHYSOSTIGMINE 0.4 MG/ML INTRAVENOUS SOLUTION,151.6,134.92,31.53,151.6,715 NDC,81520-0100-30,VONOPRAZAN 10 MG TABLET,80.6,71.73,16.76,80.6,727 NDC,81520-0200-30,VONOPRAZAN 20 MG TABLET,80.6,71.73,16.76,80.6,727 NDC,81643-9270-01,FLOXURIDINE 0.5 GRAM/5 ML SOLUTION FOR INJECTION (WETTED),12145.6,10809.58,2526.28,12145.6,736 NDC,81665-0102-10,ISOSORBIDE MONONITRATE 10 MG TABLET,15.0,13.35,3.12,15.0,727 NDC,81665-0104-96,CROMOLYN 100 MG/5 ML ORAL CONCENTRATE,18.6,16.55,3.87,18.6,727 NDC,81665-0107-10,ISONIAZID 100 MG TABLET,11.5,10.23,2.39,11.5,727 NDC,81665-0301-02,COCAINE 4 % NASAL SOLUTION,1088.8,969.03,226.47,1088.8,720 NDC,81960-0031-03,PEMIVIBART 125 MG/ML INTRAVENOUS SOLUTION (EUA),1988.9,1770.12,413.69,1988.9,719 NDC,81968-0045-30,DEXTROMETHORPHAN IR 45 MG-BUPROPION ER 105 MG BIPHASIC TABLET,69.2,61.59,14.39,69.2,727 NDC,82182-0321-05,BRIMONIDINE 0.1 % EYE DROPS,303.2,269.85,63.07,303.2,715 NDC,82182-0773-05,BRIMONIDINE 0.15 % EYE DROPS,322.7,287.2,67.12,322.7,727 NDC,82584-0792-25,LIDOCAINE (PF) 3.5 % EYE GEL,18.1,16.11,3.76,18.1,715 NDC,82604-0600-00,PHENYLEPHRINE 1 %-KETOROLAC 0.3 % INTRAOCULAR CONCENTRATE FOR IRRIG,1493.3,1329.04,96.91,1493.3,734 NDC,82625-8801-01,NALOXEGOL 12.5 MG TABLET,56.1,49.93,11.67,56.1,727 NDC,82625-8802-03,NALOXEGOL 25 MG TABLET,56.1,49.93,11.67,56.1,727 NDC,82667-0200-01,APRACLONIDINE 1 % EYE DROPS IN A DROPPERETTE,93.6,83.3,19.47,93.6,727 NDC,82667-0500-03,"NEPAFENAC 0.1 % EYE DROPS,SUSPENSION",1000.1,890.09,208.02,1000.1,727 NDC,82705-0002-01,EPCORITAMAB-BYSP 0.16 MG/ML SUBCUTANEOUS DILUTION,4350.8,3872.21,55.84,4350.8,734 NDC,82705-0002-01,EPCORITAMAB-BYSP 0.8 MG/ML SUBCUTANEOUS DILUTION,4350.8,3872.21,55.84,4350.8,734 NDC,82705-0002-01,EPCORITAMAB-BYSP 3 MG/0.6 ML SUBCUTANEOUS SOLUTION,4350.8,3872.21,55.84,4350.8,734 NDC,82705-0010-01,EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION,47259.1,42060.6,55.84,47259.1,735 NDC,82959-0111-01,IMETELSTAT 188 MG/6 ML INTRAVENOUS SOLUTION (WETTED),30088.8,26779.03,57.03,30088.8,734 NDC,82959-0112-01,IMETELSTAT 47 MG INTRAVENOUS SOLUTION,7859.7,6995.13,57.03,7859.7,734 NDC,82959-0112-01,IMETELSTAT 47 MG/1.5 ML INTRAVENOUS SOLUTION (WETTED),7859.7,6995.13,57.03,7859.7,734 NDC,83257-0005-41,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,3459.1,3078.6,99.13,3459.1,737 NDC,83257-0026-11,USTEKINUMAB-KFCE 130 MG/26 ML INTRAVENOUS SOLUTION,1376.2,1224.82,24.98,3640.49,734 NDC,83490-0307-60,SODIUM CHLORIDE 7 % FOR NEBULIZATION,6.0,5.34,1.25,6.0,715 NDC,96295-0135-33,PSYLLIUM HUSK (ASPARTAME) 3 GRAM/5.8 GRAMS ORAL POWDER PACKET,2.7,2.4,0.56,2.7,727 NDC,96295-0140-38,ACETYLCYSTEINE 600 MG CAPSULE,2.3,2.05,0.48,2.3,727