TABL|CODE|MODIFIER|REIMBURSEMENT|STAT (%)|DESCRIPTION DEFAULT|||40|%| 60001|10021||101.86||FNA W/O IMAGE 60001|10022||93.94||FNA W/IMAGE 60001|10030||231.5||GUIDE CATHET FLUID DRAINAGE 60001|10035||129.97||PERQ DEV SOFT TISS 1ST IMAG 60001|10036||65.47||PERQ DEV SOFT TISS ADD IMAG 60001|10040||126.24||ACNE SURGERY 60001|10060||158.75||DRAINAGE OF SKIN ABSCESS 60001|10061||279.6||DRAINAGE OF SKIN ABSCESS 60001|10080||142.83||DRAINAGE OF PILONIDAL CYST 60001|10081||243.87||DRAINAGE OF PILONIDAL CYST 60001|10120||131.46||REMOVE FOREIGN BODY 60001|10121||264.31||REMOVE FOREIGN BODY 60001|10140||166.71||DRAINAGE OF HEMATOMA/FLUID 60001|10160||135.13||PUNCTURE DRAINAGE OF LESION 60001|10180||253.42||COMPLEX DRAINAGE - WOUND 60001|11000||42.17||DEBRIDE INFECTED SKIN 60001|11001||20.86||DEBRIDE INFECTED SKIN ADD-ON 60001|11004||842.69||DEBRIDE GENITALIA & PERINEUM 60001|11005||1134.14||DEBRIDE ABDOM WALL 60001|11006||1026.37||DEBRIDE GENIT/PER/ABDOM WALL 60001|11008||398.1||REMOVE MESH FROM ABD WALL 60001|11010||403.07||DEBRIDE SKIN - FX 60001|11011||433.45||DEBRIDE SKIN/MUSCLE - FX 60001|11012||614.1||DEBRIDE SKIN/MUSCLE/BONE - FX 60001|11042||85.69||DEBRIDE SKIN/TISSUE 60001|11043||227.95||DEBRIDE TISSUE/MUSCLE 60001|11044||341.1||DEBRIDE TISSUE/MUSCLE/BONE 60001|11045||38.99||DEB SUBQ TISSUE ADD-ON 60001|11046||79.91||DEB MUSC/FASCIA ADD-ON 60001|11047||141.47||DEB BONE ADD-ON 60001|11055||29.34||TRIM SKIN LESION 60001|11056||33.83||TRIM SKIN LESIONS - 2 TO 4 60001|11057||53.25||TRIM SKIN LESIONS - OVER 4 60001|11100||70.87||BIOPSY - SKIN LESION 60001|11101||35.68||BIOPSY - SKIN ADD-ON 60001|11200||101.64||REMOVAL OF SKIN TAGS 60001|11201||24.04||REMOVE SKIN TAGS ADD-ON 60001|11300||43.11||SHAVE SKIN LESION 60001|11301||72.91||SHAVE SKIN LESION 60001|11302||90.5||SHAVE SKIN LESION 60001|11303||107.14||SHAVE SKIN LESION 60001|11305||48.04||SHAVE SKIN LESION 60001|11306||77.31||SHAVE SKIN LESION 60001|11307||92.35||SHAVE SKIN LESION 60001|11308||106.59||SHAVE SKIN LESION 60001|11310||62.18||SHAVE SKIN LESION 60001|11311||90.96||SHAVE SKIN LESION 60001|11312||105.1||SHAVE SKIN LESION 60001|11313||140.39||SHAVE SKIN LESION 60001|11400||111.24||EXC TR-EXT B9+MARG 0.5 < CM 60001|11401||205.5||EXC TR-EXT B9+MARG 0.6-1 CM 60001|11402||228.91||EXC TR-EXT B9+MARG 1.1-2 CM 60001|11403||264.52||EXC TR-EXT B9+MARG 2.1-3 CM 60001|11404||227.96||EXC TR-EXT B9+MARG 3.1-4 CM 60001|11406||346.26||EXC TR-EXT B9+MARG > 4.0 CM 60001|11420||115.13||EXC H-F-NK-SP B9+MARG 0.5 < 60001|11421||157||EXC H-F-NK-SP B9+MARG 0.6-1 60001|11422||190.71||EXC H-F-NK-SP B9+MARG 1.1-2 60001|11423||222.6||EXC H-F-NK-SP B9+MARG 2.1-3 60001|11424||254.25||EXC H-F-NK-SP B9+MARG 3.1-4 60001|11426||389.18||EXC H-F-NK-SP B9+MARG > 4 CM 60001|11440||143.72||EXC FACE-MM B9+MARG 0.5 < CM 60001|11441||185.31||EXC FACE-MM B9+MARG 0.6-1 CM 60001|11442||262.29||EXC FACE-MM B9+MARG 1.1-2 CM 60001|11443||253.47||EXC FACE-MM B9+MARG 2.1-3 CM 60001|11444||323.68||EXC FACE-MM B9+MARG 3.1-4 CM 60001|11446||461.78||EXC FACE-MM B9+MARG > 4 CM 60001|11450||351.08||REMOVAL - SWEAT GLAND LESION 60001|11451||455.43||REMOVAL - SWEAT GLAND LESION 60001|11462||338.86||REMOVAL - SWEAT GLAND LESION 60001|11463||459.06||REMOVAL - SWEAT GLAND LESION 60001|11470||394.69||REMOVAL - SWEAT GLAND LESION 60001|11471||492.22||REMOVAL - SWEAT GLAND LESION 60001|11600||168.44||EXC TR-EXT MLG+MARG 0.5 < CM 60001|11601||212.07||EXC TR-EXT MLG+MARG 0.6-1 CM 60001|11602||233.33||EXC TR-EXT MLG+MARG 1.1-2 CM 60001|11603||278.04||EXC TR-EXT MLG+MARG 2.1-3 CM 60001|11604||306.61||EXC TR-EXT MLG+MARG 3.1-4 CM 60001|11606||455.26||EXC TR-EXT MLG+MARG > 4 CM 60001|11620||170.78||EXC H-F-NK-SP MLG+MARG 0.5 < 60001|11621||213.96||EXC H-F-NK-SP MLG+MARG 0.6-1 60001|11622||245.57||EXC H-F-NK-SP MLG+MARG 1.1-2 60001|11623||303.5||EXC H-F-NK-SP MLG+MARG 2.1-3 60001|11624||344.38||EXC H-F-NK-SP MLG+MARG 3.1-4 60001|11626||424.12||EXC H-F-NK-SP MLG+MAR > 4 CM 60001|11640||177.82||EXC FACE-MM MALIG+MARG 0.5 < 60001|11641||224.54||EXC FACE-MM MALIG+MARG 0.6-1 60001|11642||264.12||EXC FACE-MM MALIG+MARG 1.1-2 60001|11643||331.78||EXC FACE-MM MALIG+MARG 2.1-3 60001|11644||412.03||EXC FACE-MM MALIG+MARG 3.1-4 60001|11646||572.93||EXC FACE-MM MLG+MARG > 4 CM 60001|11719||11.45||TRIM NAIL(S) 60001|11720||21.89||DEBRIDE NAIL - 1-5 60001|11721||36.8||DEBRIDE NAIL - 6 OR MORE 60001|11730||74.62||REMOVAL OF NAIL PLATE 60001|11732||30.31||REMOVE NAIL PLATE - ADD-ON 60001|11740||45.07||DRAIN BLOOD FROM UNDER NAIL 60001|11750||306.79||REMOVAL OF NAIL BED 60001|11755||113.82||BIOPSY - NAIL UNIT 60001|11760||189.53||REPAIR OF NAIL BED 60001|11762||267.04||RECONSTRUCTION OF NAIL BED 60001|11765||127.97||EXCISION OF NAIL FOLD - TOE 60001|11770||259.48||REMOVAL OF PILONIDAL LESION 60001|11771||610.39||REMOVAL OF PILONIDAL LESION 60001|11772||804.83||REMOVAL OF PILONIDAL LESION 60001|11900||45.45||INJECTION INTO SKIN LESIONS 60001|11901||70.36||ADDED SKIN LESIONS INJECTION 60001|11920||167.04||CORRECT SKIN COLOR DEFECTS 60001|11921||195.85||CORRECT SKIN COLOR DEFECTS 60001|11922||43.02||CORRECT SKIN COLOR DEFECTS 60001|11950||70.09||THERAPY FOR CONTOUR DEFECTS 60001|11951||108.81||THERAPY FOR CONTOUR DEFECTS 60001|11952||149.47||THERAPY FOR CONTOUR DEFECTS 60001|11954||168.35||THERAPY FOR CONTOUR DEFECTS 60001|11960||1283.15||INSERT TISSUE EXPANDER(S) 60001|11970||878.56||REPLACE TISSUE EXPANDER 60001|11971||450.63||REMOVE TISSUE EXPANDER(S) 60001|11975||204.47||INSERT CONTRACEPTIVE CAP 60001|11976||139.94||REMOVAL OF CONTRACEPTIVE CAP 60001|11980||117.18||IMPLANT HORMONE PELLET(S) 60001|11981||118.57||INSERT DRUG IMPLANT DEVICE 60001|11982||141.22||REMOVE DRUG IMPLANT DEVICE 60001|11983||248.8||REMOVE/INSERT DRUG IMPLANT 60001|12001||71.53||REPAIR SUPERFICIAL WOUND(S) 60001|12002||93.34||REPAIR SUPERFICIAL WOUND(S) 60001|12004||115.15||REPAIR SUPERFICIAL WOUND(S) 60001|12005||153.81||REPAIR SUPERFICIAL WOUND(S) 60001|12006||187.76||REPAIR SUPERFICIAL WOUND(S) 60001|12007||229.06||REPAIR SUPERFICIAL WOUND(S) 60001|12011||87.93||REPAIR SUPERFICIAL WOUND(S) 60001|12013||98.82||REPAIR SUPERFICIAL WOUND(S) 60001|12014||124.11||REPAIR SUPERFICIAL WOUND(S) 60001|12015||153.41||REPAIR SUPERFICIAL WOUND(S) 60001|12016||206.31||REPAIR SUPERFICIAL WOUND(S) 60001|12017||237.03||REPAIR SUPERFICIAL WOUND(S) 60001|12018||274.7||REPAIR SUPERFICIAL WOUND(S) 60001|12020||266.26||CLOSURE OF SPLIT WOUND 60001|12021||199.67||CLOSURE OF SPLIT WOUND 60001|12031||217.22||LAYER CLOSURE OF WOUND(S) 60001|12032||278.25||LAYER CLOSURE OF WOUND(S) 60001|12034||294.08||LAYER CLOSURE OF WOUND(S) 60001|12035||342.46||LAYER CLOSURE OF WOUND(S) 60001|12036||401.98||LAYER CLOSURE OF WOUND(S) 60001|12037||469.49||LAYER CLOSURE OF WOUND(S) 60001|12041||222.79||LAYER CLOSURE OF WOUND(S) 60001|12042||404.41||LAYER CLOSURE OF WOUND(S) 60001|12044||306.26||LAYER CLOSURE OF WOUND(S) 60001|12045||376.75||LAYER CLOSURE OF WOUND(S) 60001|12046||430.82||LAYER CLOSURE OF WOUND(S) 60001|12047||484.82||LAYER CLOSURE OF WOUND(S) 60001|12051||362.05||LAYER CLOSURE OF WOUND(S) 60001|12052||295.27||LAYER CLOSURE OF WOUND(S) 60001|12053||311.16||LAYER CLOSURE OF WOUND(S) 60001|12054||328.15||LAYER CLOSURE OF WOUND(S) 60001|12055||424.35||LAYER CLOSURE OF WOUND(S) 60001|12056||527.92||LAYER CLOSURE OF WOUND(S) 60001|12057||574.34||LAYER CLOSURE OF WOUND(S) 60001|13100||334.09||REPAIR OF WOUND OR LESION 60001|13101||406.23||REPAIR OF WOUND OR LESION 60001|13102||108.59||REPAIR WOUND/LESION ADD-ON 60001|13120||350.19||REPAIR OF WOUND OR LESION 60001|13121||467.4||REPAIR OF WOUND OR LESION 60001|13122||124.35||REPAIR WOUND/LESION ADD-ON 60001|13131||393.6||REPAIR OF WOUND OR LESION 60001|13132||817.49||REPAIR OF WOUND OR LESION 60001|13133||191.19||REPAIR WOUND/LESION ADD-ON 60001|13151||419.76||REPAIR OF WOUND OR LESION 60001|13152||509.37||REPAIR OF WOUND OR LESION 60001|13153||209.85||REPAIR WOUND/LESION ADD-ON 60001|13160||1158.23||LATE CLOSURE OF WOUND 60001|14000||722.18||SKIN TISSUE REARRANGEMENT 60001|14001||944.42||SKIN TISSUE REARRANGEMENT 60001|14020||819.8||SKIN TISSUE REARRANGEMENT 60001|14021||1041.95||SKIN TISSUE REARRANGEMENT 60001|14040||918.85||SKIN TISSUE REARRANGEMENT 60001|14041||1128.99||SKIN TISSUE REARRANGEMENT 60001|14060||974.09||SKIN TISSUE REARRANGEMENT 60001|14061||1204.95||SKIN TISSUE REARRANGEMENT 60001|14301||1290.11||SKIN TISSUE REARRANGEMENT 60001|14302||325.28||SKIN TISSUE REARRANGE ADD-ON 60001|14350||1033.75||SKIN TISSUE REARRANGEMENT 60001|15002||327.19||WND PREP - CH/INF - TRK/ARM/LG 60001|15003||66.31||WND PREP - CH/INF ADDL 100 CM 60001|15004||391.21||WND PREP CH/INF - F/N/HF/G 60001|15005||132.6||WND PREP - F/N/HF/G - ADDL CM 60001|15040||182.91||HARVEST CULTURED SKIN GRAFT 60001|15050||637.88||SKIN PINCH GRAFT 60001|15100||1032.04||SKIN SPLT GRFT - TRNK/ARM/LEG 60001|15101||159.86||SKIN SPLT GRFT T/A/L - ADD-ON 60001|15110||1076.89||EPIDRM AUTOGRFT TRNK/ARM/LEG 60001|15111||148.22||EPIDRM AUTOGRFT T/A/L ADD-ON 60001|15115||1091.34||EPIDRM A-GRFT FACE/NCK/HF/G 60001|15116||223.3||EPIDRM A-GRFT F/N/HF/G ADDL 60001|15120||1022.04||SKN SPLT A-GRFT FAC/NCK/HF/G 60001|15121||194.38||SKN SPLT A-GRFT F/N/HF/G ADD 60001|15130||810.82||DERM AUTOGRAFT - TRNK/ARM/LEG 60001|15131||133.91||DERM AUTOGRAFT T/A/L ADD-ON 60001|15135||1100.63||DERM AUTOGRAFT FACE/NCK/HF/G 60001|15136||116.17||DERM AUTOGRAFT - F/N/HF/G ADD 60001|15150||905.19||CULT EPIDERM GRFT T/ARM/LEG 60001|15151||160.53||CULT EPIDERM GRFT T/A/L ADDL 60001|15152||224.67||CULT EPIDERM GRAFT T/A/L +% 60001|15155||901.71||CULT EPIDERM GRAFT - F/N/HF/G 60001|15156||244.47||CULT EPIDRM GRFT F/N/HFG ADD 60001|15157||242.45||CULT EPIDERM GRFT F/N/HFG +% 60001|15200||959.82||SKIN FULL GRAFT - TRUNK 60001|15201||116.39||SKIN FULL GRAFT TRUNK ADD-ON 60001|15220||886.96||SKIN FULL GRAFT SCLP/ARM/LEG 60001|15221||105.12||SKIN FULL GRAFT ADD-ON 60001|15240||1150.77||SKIN FULL GRFT FACE/GENIT/HF 60001|15241||163.33||SKIN FULL GRAFT ADD-ON 60001|15260||1238.43||SKIN FULL GRAFT EEN & LIPS 60001|15261||206.12||SKIN FULL GRAFT ADD-ON 60001|15271||126.48||SKIN SUB GRAFT TRNK/ARM/LEG 60001|15272||25.16||SKIN SUB GRAFT T/A/L ADD-ON 60001|15273||301.15||SKIN SUB GRFT T/ARM/LG CHILD 60001|15274||63.92||SKN SUB GRFT T/A/L CHILD ADD 60001|15275||147.09||SKIN SUB GRAFT FACE/NK/HF/G 60001|15276||36.17||SKIN SUB GRAFT F/N/HF/G ADDL 60001|15277||312.87||SKN SUB GRFT F/N/HF/G CHILD 60001|15278||79.22||SKN SUB GRFT F/N/HF/G CH ADD 60001|15570||1053.55||FORM SKIN PEDICLE FLAP 60001|15572||1064.16||FORM SKIN PEDICLE FLAP 60001|15574||1102.03||FORM SKIN PEDICLE FLAP 60001|15576||969.05||FORM SKIN PEDICLE FLAP 60001|15600||295.31||SKIN GRAFT 60001|15610||343.92||SKIN GRAFT 60001|15620||463.36||SKIN GRAFT 60001|15630||497.24||SKIN GRAFT 60001|15650||553.3||TRANSFER SKIN PEDICLE FLAP 60001|15730||2238.38||MDFC FLAP W/PRSRV VASC PEDCL 60001|15731||1472.38||FOREHEAD FLAP W/VASC PEDICLE 60001|15732||1648.61||MUSCLE-SKIN GRAFT - HEAD/NECK 60001|15733||1570.24||MUSC MYOQ/FSCQ FLP H&N PEDCL 60001|15734||1931.56||MUSCLE-SKIN GRAFT - TRUNK 60001|15736||1671.54||MUSCLE-SKIN GRAFT - ARM 60001|15738||1811.94||MUSCLE-SKIN GRAFT - LEG 60001|15740||1235.14||ISLAND PEDICLE FLAP GRAFT 60001|15750||1316.71||NEUROVASCULAR PEDICLE GRAFT 60001|15756||3423.44||FREE MYO/SKIN FLAP MICROVASC 60001|15757||3366.09||FREE SKIN FLAP - MICROVASC 60001|15758||3371.21||FREE FASCIAL FLAP - MICROVASC 60001|15760||1024.38||COMPOSITE SKIN GRAFT 60001|15769||713.33|| 60001|15770||964.3||DERMA-FAT-FASCIA GRAFT 60001|15771||708.87|| 60001|15772||213.23|| 60001|15773||716.69|| 60001|15774||204.83|| 60001|15775||308.03||HAIR TRANSPLANT PUNCH GRAFTS 60001|15776||426.43||HAIR TRANSPLANT PUNCH GRAFTS 60001|15777||316.13||ACELLULAR DERM MATRIX IMPLT 60001|15780||902.84||ABRASION TREATMENT OF SKIN 60001|15781||613.71||ABRASION TREATMENT OF SKIN 60001|15782||604.99||ABRASION TREATMENT OF SKIN 60001|15783||532.39||ABRASION TREATMENT OF SKIN 60001|15786||198.4||ABRASION - LESION - SINGLE 60001|15787||25.62||ABRASION - LESIONS - ADD-ON 60001|15788||349.78||CHEMICAL PEEL - FACE - EPIDERM 60001|15789||600.18||CHEMICAL PEEL - FACE - DERMAL 60001|15792||368.68||CHEMICAL PEEL - NONFACIAL 60001|15793||516.19||CHEMICAL PEEL - NONFACIAL 60001|15819||1084.77||PLASTIC SURGERY - NECK 60001|15820||730.99||REVISION OF LOWER EYELID 60001|15821||778.11||REVISION OF LOWER EYELID 60001|15822||553.49||REVISION OF UPPER EYELID 60001|15823||788.41||REVISION OF UPPER EYELID 60001|15824||1636.99||REMOVAL OF FOREHEAD WRINKLES 60001|15825||1841.92||REMOVAL OF NECK WRINKLES 60001|15826||1330.34||REMOVAL OF BROW WRINKLES 60001|15828||3479.37||REMOVAL OF FACE WRINKLES 60001|15829||3888.26||REMOVAL OF SKIN WRINKLES 60001|15830||1682.49||EXC SKIN ABD 60001|15832||1300.52||EXCISE EXCESSIVE SKIN TISSUE 60001|15833||1256.69||EXCISE EXCESSIVE SKIN TISSUE 60001|15834||1274.25||EXCISE EXCESSIVE SKIN TISSUE 60001|15835||1226.04||EXCISE EXCESSIVE SKIN TISSUE 60001|15836||1078.57||EXCISE EXCESSIVE SKIN TISSUE 60001|15837||1013.8||EXCISE EXCESSIVE SKIN TISSUE 60001|15838||826.31||EXCISE EXCESSIVE SKIN TISSUE 60001|15839||1052.55||EXCISE EXCESSIVE SKIN TISSUE 60001|15840||1471.87||GRAFT FOR FACE NERVE PALSY 60001|15841||2344.9||GRAFT FOR FACE NERVE PALSY 60001|15842||3601.16||FLAP FOR FACE NERVE PALSY 60001|15845||1413.42||SKIN AND MUSCLE REPAIR - FACE 60001|15847||716.5||EXC SKIN ABD ADD-ON 60001|15850||56.86||REMOVAL OF SUTURES 60001|15851||67.02||REMOVAL OF SUTURES 60001|15852||67.96||DRESSING CHANGE NOT FOR BURN 60001|15860||160.66||TEST FOR BLOOD FLOW IN GRAFT 60001|15876||0||SUCTION ASSISTED LIPECTOMY 60001|15877||0||SUCTION ASSISTED LIPECTOMY 60001|15878||0||SUCTION ASSISTED LIPECTOMY 60001|15879||0||SUCTION ASSISTED LIPECTOMY 60001|15920||871.07||REMOVAL OF TAIL BONE ULCER 60001|15922||1119.48||REMOVAL OF TAIL BONE ULCER 60001|15931||970.75||REMOVE SACRUM PRESSURE SORE 60001|15933||1200.2||REMOVE SACRUM PRESSURE SORE 60001|15934||1323.5||REMOVE SACRUM PRESSURE SORE 60001|15935||1588.13||REMOVE SACRUM PRESSURE SORE 60001|15936||1286.7||REMOVE SACRUM PRESSURE SORE 60001|15937||1497.5||REMOVE SACRUM PRESSURE SORE 60001|15940||994.35||REMOVE HIP PRESSURE SORE 60001|15941||1286.63||REMOVE HIP PRESSURE SORE 60001|15944||1287.73||REMOVE HIP PRESSURE SORE 60001|15945||1425.13||REMOVE HIP PRESSURE SORE 60001|15946||2367.66||REMOVE HIP PRESSURE SORE 60001|15950||830.56||REMOVE THIGH PRESSURE SORE 60001|15951||1250.8||REMOVE THIGH PRESSURE SORE 60001|15952||1304.67||REMOVE THIGH PRESSURE SORE 60001|15953||1428.21||REMOVE THIGH PRESSURE SORE 60001|15956||1663.45||REMOVE THIGH PRESSURE SORE 60001|15958||1695.75||REMOVE THIGH PRESSURE SORE 60001|15999||0||REMOVAL OF PRESSURE SORE 60001|16000||66.71||INITIAL TREATMENT OF BURN(S) 60001|16020||76.29||DRESS/DEBRID P-THICK BURN - S 60001|16025||160.35||DRESS/DEBRID P-THICK BURN - M 60001|16030||190.21||DRESS/DEBRID P-THICK BURN - L 60001|16035||290.95||INCISION OF BURN SCAB - INITI 60001|16036||121.01||ESCHAROTOMY; ADD'L INCISION 60001|17000||79.16||DESTROY BENIGN/PREMLG LESION 60001|17003||6.34||DESTROY LESIONS - 2-14 60001|17004||188.86||DESTROY LESIONS - 15 OR MORE 60001|17106||392.32||DESTRUCTION OF SKIN LESIONS 60001|17107||503.35||DESTRUCTION OF SKIN LESIONS 60001|17108||753.5||DESTRUCTION OF SKIN LESIONS 60001|17110||97.76||DESTRUCT LESION - 1-14 60001|17111||182.21||DESTRUCT LESION - 15 OR MORE 60001|17250||51.77||CHEMICAL CAUTERY - TISSUE 60001|17260||98.71||DESTRUCTION OF SKIN LESIONS 60001|17261||131.34||DESTRUCTION OF SKIN LESIONS 60001|17262||167.02||DESTRUCTION OF SKIN LESIONS 60001|17263||185.58||DESTRUCTION OF SKIN LESIONS 60001|17264||198.33||DESTRUCTION OF SKIN LESIONS 60001|17266||231.21||DESTRUCTION OF SKIN LESIONS 60001|17270||143.15||DESTRUCTION OF SKIN LESIONS 60001|17271||159.67||DESTRUCTION OF SKIN LESIONS 60001|17272||184.1||DESTRUCTION OF SKIN LESIONS 60001|17273||208.09||DESTRUCTION OF SKIN LESIONS 60001|17274||254.56||DESTRUCTION OF SKIN LESIONS 60001|17276||306.51||DESTRUCTION OF SKIN LESIONS 60001|17280||129.96||DESTRUCTION OF SKIN LESIONS 60001|17281||179.71||DESTRUCTION OF SKIN LESIONS 60001|17282||207.58||DESTRUCTION OF SKIN LESIONS 60001|17283||259.42||DESTRUCTION OF SKIN LESIONS 60001|17284||302.06||DESTRUCTION OF SKIN LESIONS 60001|17286||414.07||DESTRUCTION OF SKIN LESIONS 60001|17311||548.96||MOHS - 1 STAGE - H/N/HF/G 60001|17312||291.59||MOHS ADDL STAGE 60001|17313||492.3||MOHS - 1 STAGE - T/A/L 60001|17314||270.58||MOHS - ADDL STAGE - T/A/L 60001|17315||76.68||MOHS SURG - ADDL BLOCK 60001|17340||68.81||CRYOTHERAPY OF SKIN 60001|17360||141.82||SKIN PEEL THERAPY 60001|17380||108.05||HAIR REMOVAL BY ELECTROLYSIS 60001|17999||0||SKIN TISSUE PROCEDURE 60001|19000||63.23||DRAINAGE OF BREAST LESION 60001|19001||31.15||DRAIN BREAST LESION ADD-ON 60001|19020||426.9||INCISION OF BREAST LESION 60001|19030||111.34||INJECTION FOR BREAST X-RAY 60001|19081||271.17||BX BREAST 1ST LESION STRTCTC 60001|19082||129.47||BX BREAST ADD LESION STRTCTC 60001|19083||254.13||BX BREAST 1ST LESION US IMAG 60001|19084||121.65||BX BREAST ADD LESION US IMAG 60001|19085||296.76||BX BREAST 1ST LESION MR IMAG 60001|19086||133.11||BX BREAST ADD LESION MR IMAG 60001|19100||100.08||BX BREAST PERCUT W/O IMAGE 60001|19101||313.11||BIOPSY OF BREAST - OPEN 60001|19105||285.74||CRYOSURG ABLATE FA - EACH 60001|19110||477.99||NIPPLE EXPLORATION 60001|19112||435.08||EXCISE BREAST DUCT FISTULA 60001|19120||580.18||REMOVAL OF BREAST LESION 60001|19125||644.97||EXCISION - BREAST LESION 60001|19126||231.71||EXCISION - ADDL BREAST LESION 60001|19260||1724.91||REMOVAL OF CHEST WALL LESION 60001|19271||2340.99||REVISION OF CHEST WALL 60001|19272||2584.86||EXTENSIVE CHEST WALL SURGERY 60001|19281||152.57||PERQ DEVICE BREAST 1ST IMAG 60001|19282||73.08||PERQ DEVICE BREAST EA IMAG 60001|19283||154.02||PERQ DEV BREAST 1ST STRTCTC 60001|19284||73.56||PERQ DEV BREAST ADD STRTCTC 60001|19285||130.62||PERQ DEV BREAST 1ST US IMAG 60001|19286||63.09||PERQ DEV BREAST ADD US IMAG 60001|19287||211.44||PERQ DEV BREAST 1ST MR GUIDE 60001|19288||94.43||PERQ DEV BREAST ADD MR GUIDE 60001|19294||250.76||PREP TUM CAV IORT PRTL MAST 60001|19296||300.62||PLACE PO BREAST CATH FOR RAD 60001|19297||135.58||PLACE BREAST CATH FOR RAD 60001|19298||462.47||PLACE BREAST RAD TUBE/CATHS 60001|19300||573.61||REMOVAL OF BREAST TISSUE 60001|19301||918.46||PARTICAL MASTECTOMY 60001|19302||1269.94||P-MASTECTOMY W/LN REMOVAL 60001|19303||1423.75||MAST - SIMPLE - COMPLETE 60001|19304||806.88||MAST - SUBQ 60001|19305||1601.85||MAST - RADICAL 60001|19306||1693.13||MAST - RAD - URBAN TYPE 60001|19307||1688.6||MAST - MOD RAD 60001|19316||1115.17||SUSPENSION OF BREAST 60001|19318||1611.87||REDUCTION OF LARGE BREAST 60001|19324||693.74||ENLARGE BREAST 60001|19325||932.92||ENLARGE BREAST WITH IMPLANT 60001|19328||713.35||REMOVAL OF BREAST IMPLANT 60001|19330||912.18||REMOVAL OF IMPLANT MATERIAL 60001|19340||1365.42||IMMEDIATE BREAST PROSTHESIS 60001|19342||1336.31||DELAYED BREAST PROSTHESIS 60001|19350||974.94||BREAST RECONSTRUCTION 60001|19355||812.37||CORRECT INVERTED NIPPLE(S) 60001|19357||2155.45||BREAST RECONSTRUCTION 60001|19361||2326.68||BREAST RECONSTRUCTION 60001|19364||4036.15||BREAST RECONSTRUCTION 60001|19366||1993.49||BREAST RECONSTRUCTION 60001|19367||2616.59||BREAST RECONSTRUCTION 60001|19368||3231.57||BREAST RECONSTRUCTION 60001|19369||2991.25||BREAST RECONSTRUCTION 60001|19370||990.87||SURGERY OF BREAST CAPSULE 60001|19371||1134.54||REMOVAL OF BREAST CAPSULE 60001|19380||1117.8||REVISE BREAST RECONSTRUCTION 60001|19396||210.06||DESIGN CUSTOM BREAST IMPLANT 60001|19499||0||BREAST SURGERY PROCEDURE 60001|20005||330.86||INCISION OF DEEP ABSCESS 60001|20100||865.83||EXPLORE WOUND - NECK 60001|20101||296.64||EXPLORE WOUND - CHEST 60001|20102||360.77||EXPLORE WOUND - ABDOMEN 60001|20103||504.32||EXPLORE WOUND - EXTREMITY 60001|20150||1424.67||EXCISE EPIPHYSEAL BAR 60001|20200||136.03||MUSCLE BIOPSY 60001|20205||218.96||DEEP MUSCLE BIOPSY 60001|20206||85.09||NEEDLE BIOPSY - MUSCLE 60001|20220||104.9||BONE BIOPSY - TROCAR/NEEDLE 60001|20225||160.02||BONE BIOPSY - TROCAR/NEEDLE 60001|20240||316.81||BONE BIOPSY - EXCISIONAL 60001|20245||895.96||BONE BIOPSY - EXCISIONAL 60001|20250||544.69||OPEN BONE BIOPSY 60001|20251||591.16||OPEN BONE BIOPSY 60001|20500||124.68||INJECTION OF SINUS TRACT 60001|20501||55.42||INJECT SINUS TRACT FOR X-RAY 60001|20520||207.04||REMOVAL OF FOREIGN BODY 60001|20525||356.4||REMOVAL OF FOREIGN BODY 60001|20526||81.22||THER INJECTION - CARP TUNNEL 60001|20527||85.67||INJ DUPUYTREN CORD W/ENZYME 60001|20550||59.05||INJ TENDON SHEATH/LIGAMENT 60001|20551||60.88||INJ TENDON ORIGIN/INSERTION 60001|20552||53.52||INJ TRIGGER POINT - 1/2 MUSCL 60001|20553||60.41||INJECT TRIGGER POINTS - =/> 3 60001|20555||476.84||PLACE NDL MUSC/TIS FOR RT 60001|20560||25.44|| 60001|20561||38.43|| 60001|20600||55.35||DRAIN/INJECT - JOINT/BURSA 60001|20604||68.62||DRAIN/INJ JOINT/BURSA W/US 60001|20605||58.22||DRAIN/INJECT - JOINT/BURSA 60001|20606||78.4||DRAIN/INJ JOINT/BURSA W/US 60001|20610||98.29||DRAIN/INJECT - JOINT/BURSA 60001|20611||92||DRAIN/INJ JOINT/BURSA W/US 60001|20612||83.09||ASPIRATE/INJ GANGLION CYST 60001|20615||227.15||TREATMENT OF BONE CYST 60001|20650||217.26||INSERT AND REMOVE BONE PIN 60001|20660||350.79||APPLY - REM FIXATION DEVICE 60001|20661||707.56||APPLICATION OF HEAD BRACE 60001|20662||620.11||APPLICATION OF PELVIS BRACE 60001|20663||580.91||APPLICATION OF THIGH BRACE 60001|20664||1221.1||HALO BRACE APPLICATION 60001|20665||127.37||REMOVAL OF FIXATION DEVICE 60001|20670||209.68||REMOVAL OF SUPPORT IMPLANT 60001|20680||605.31||REMOVAL OF SUPPORT IMPLANT 60001|20690||830.38||APPLY BONE FIXATION DEVICE 60001|20692||1569.01||APPLY BONE FIXATION DEVICE 60001|20693||645.29||ADJUST BONE FIXATION DEVICE 60001|20694||477.35||REMOVE BONE FIXATION DEVICE 60001|20696||1577.02||COMP MULTIPLANE EXT FIXATION 60001|20697||2623.02||COMP EXT FIXATE STRUT CHANGE 60001|20700||127.91|| 60001|20701||95.4|| 60001|20702||212.9|| 60001|20703||152.54|| 60001|20704||221.79|| 60001|20705||182.46|| 60001|20802||3319.12||REPLANTATION - ARM - COMPLETE 60001|20805||4169.65||REPLANT FOREARM - COMPLETE 60001|20808||5754.07||REPLANTATION HAND - COMPLETE 60001|20816||3035.75||REPLANTATION DIGIT - COMPLETE 60001|20822||2588.35||REPLANTATION DIGIT - COMPLETE 60001|20824||3144.26||REPLANTATION THUMB - COMPLETE 60001|20827||2673.09||REPLANTATION THUMB - COMPLETE 60001|20838||3680.4||REPLANTATION FOOT - COMPLETE 60001|20900||314.5||REMOVAL OF BONE FOR GRAFT 60001|20902||452.03||REMOVAL OF BONE FOR GRAFT 60001|20910||638.76||REMOVE CARTILAGE FOR GRAFT 60001|20912||695.34||REMOVE CARTILAGE FOR GRAFT 60001|20920||572.6||REMOVAL OF FASCIA FOR GRAFT 60001|20922||706.98||REMOVAL OF FASCIA FOR GRAFT 60001|20924||719.31||REMOVAL OF TENDON FOR GRAFT 60001|20926||622.93||REMOVAL OF TISSUE FOR GRAFT 60001|20930||171.5||SPINAL BONE ALLOGRAFT 60001|20931||162.96||SPINAL BONE ALLOGRAFT 60001|20936||179.26||SPINAL BONE AUTOGRAFT 60001|20937||243.9||SPINAL BONE AUTOGRAFT 60001|20938||267.79||SPINAL BONE AUTOGRAFT 60001|20939||102.29||BONE MARROW ASPIR BONE GRFG 60001|20950||129.33||FLUID PRESSURE - MUSCLE 60001|20955||3660.82||FIBULA BONE GRAFT - MICROVASC 60001|20956||3795.77||ILIAC BONE GRAFT - MICROVASC 60001|20957||3867.83||MT BONE GRAFT - MICROVASC 60001|20962||3280.1||OTHER BONE GRAFT - MICROVASC 60001|20969||4058.2||BONE/SKIN GRAFT - MICROVASC 60001|20970||4025.42||BONE/SKIN GRAFT - ILIAC CREST 60001|20972||3247.47||BONE/SKIN GRAFT - METATARSAL 60001|20973||3958.21||BONE/SKIN GRAFT - GREAT TOE 60001|20974||69.89||ELECTRICAL BONE STIMULATION 60001|20975||253.32||ELECTRICAL BONE STIMULATION 60001|20979||48.28||US BONE STIMULATION 60001|20982||552.59||ABLATE - BONE TUMOR(S) PERQ 60001|20983||589.62||ABLATE BONE TUMOR(S) PERQ 60001|20985||213.21||CPTR-ASST DIR MS PX 60001|20999||0||MUSCULOSKELETAL SURGERY 60001|21010||1054.13||INCISION OF JAW JOINT 60001|21011||370.21||EXC FACE LES SC < 2 CM 60001|21012||483.22||EXC FACE LES SC = 2 CM 60001|21013||581.04||EXC FACE TUM DEEP < 2 CM 60001|21014||750.02||EXC FACE TUM DEEP = 2 CM 60001|21015||1038.35||RESECTION OF FACIAL TUMOR 60001|21016||1518.63||RESECT FACE TUM = 2 CM 60001|21025||1064.49||EXCISION OF BONE - LOWER JAW 60001|21026||702.64||EXCISION OF FACIAL BONE(S) 60001|21029||925.14||CONTOUR OF FACE BONE LESION 60001|21030||586.55||EXCISE MAX/ZYGOMA B9 TUMOR 60001|21031||408.9||REMOVE EXOSTOSIS - MANDIBLE 60001|21032||405||REMOVE EXOSTOSIS - MAXILLA 60001|21034||1683.82||EXCISE MAX/ZYGOMA MLG TUMOR 60001|21040||586.53||EXCISE MANDIBLE LESION 60001|21044||1270.16||REMOVAL OF JAW BONE LESION 60001|21045||1774.84||EXTENSIVE JAW SURGERY 60001|21046||1559.99||REMOVE MANDIBLE CYST COMPLEX 60001|21047||1868.16||EXCISE LWR JAW CYST W/REPAIR 60001|21048||1598.01||REMOVE MAXILLA CYST COMPLEX 60001|21049||1781.07||EXCIS UPPR JAW CYST W/REPAIR 60001|21050||1254.54||REMOVAL OF JAW JOINT 60001|21060||1184.07||REMOVE JAW JOINT CARTILAGE 60001|21070||892.02||REMOVE CORONOID PROCESS 60001|21073||363.33||MNPJ OF TMJ W/ANESTH 60001|21076||1182.38||PREPARE FACE/ORAL PROSTHESIS 60001|21077||2984.86||PREPARE FACE/ORAL PROSTHESIS 60001|21079||1984.33||PREPARE FACE/ORAL PROSTHESIS 60001|21080||2211.02||PREPARE FACE/ORAL PROSTHESIS 60001|21081||2023.48||PREPARE FACE/ORAL PROSTHESIS 60001|21082||1892.46||PREPARE FACE/ORAL PROSTHESIS 60001|21083||1703.95||PREPARE FACE/ORAL PROSTHESIS 60001|21084||2038.9||PREPARE FACE/ORAL PROSTHESIS 60001|21085||907.94||PREPARE FACE/ORAL PROSTHESIS 60001|21086||2194.91||PREPARE FACE/ORAL PROSTHESIS 60001|21087||2178.4||PREPARE FACE/ORAL PROSTHESIS 60001|21088||2374.28||PREPARE FACE/ORAL PROSTHESIS 60001|21089||0||PREPARE FACE/ORAL PROSTHESIS 60001|21100||550.12||MAXILLOFACIAL FIXATION 60001|21110||925.03||INTERDENTAL FIXATION 60001|21116||60.69||INJECTION - JAW JOINT X-RAY 60001|21120||766.27||RECONSTRUCTION OF CHIN 60001|21121||894.74||RECONSTRUCTION OF CHIN 60001|21122||918.79||RECONSTRUCTION OF CHIN 60001|21123||1197.79||RECONSTRUCTION OF CHIN 60001|21125||1130.09||AUGMENTATION - LOWER JAW BONE 60001|21127||1222.61||AUGMENTATION - LOWER JAW BONE 60001|21137||1086.15||REDUCTION OF FOREHEAD 60001|21138||1276.55||REDUCTION OF FOREHEAD 60001|21139||1519.03||REDUCTION OF FOREHEAD 60001|21141||1991.28||RECONSTRUCT MIDFACE - LEFORT 60001|21142||2031.42||RECONSTRUCT MIDFACE - LEFORT 60001|21143||2107.71||RECONSTRUCT MIDFACE - LEFORT 60001|21145||2198.25||RECONSTRUCT MIDFACE - LEFORT 60001|21146||2505.1||RECONSTRUCT MIDFACE - LEFORT 60001|21147||2368.06||RECONSTRUCT MIDFACE - LEFORT 60001|21150||2370.38||RECONSTRUCT MIDFACE - LEFORT 60001|21151||2756.02||RECONSTRUCT MIDFACE - LEFORT 60001|21154||3104.78||RECONSTRUCT MIDFACE - LEFORT 60001|21155||3121.1||RECONSTRUCT MIDFACE - LEFORT 60001|21159||3623.64||RECONSTRUCT MIDFACE - LEFORT 60001|21160||3793.17||RECONSTRUCT MIDFACE - LEFORT 60001|21172||2603.93||RECONSTRUCT ORBIT/FOREHEAD 60001|21175||3295.78||RECONSTRUCT ORBIT/FOREHEAD 60001|21179||2087.57||RECONSTRUCT ENTIRE FOREHEAD 60001|21180||2264.26||RECONSTRUCT ENTIRE FOREHEAD 60001|21181||1016.07||CONTOUR CRANIAL BONE LESION 60001|21182||2827.04||RECONSTRUCT CRANIAL BONE 60001|21183||3356.1||RECONSTRUCT CRANIAL BONE 60001|21184||3438.71||RECONSTRUCT CRANIAL BONE 60001|21188||2297.43||RECONSTRUCTION OF MIDFACE 60001|21193||1885.83||RECONST LWR JAW W/O GRAFT 60001|21194||1998.17||RECONST LWR JAW W/GRAFT 60001|21195||1933.35||RECONST LWR JAW W/O FIXATION 60001|21196||2115.69||RECONST LWR JAW W/FIXATION 60001|21198||1661.43||RECONSTR LWR JAW SEGMENT 60001|21199||1470.92||RECONSTR LWR JAW W/ADVANCE 60001|21206||1709.42||RECONSTRUCT UPPER JAW BONE 60001|21208||1215.55||AUGMENTATION OF FACIAL BONES 60001|21209||936.22||REDUCTION OF FACIAL BONES 60001|21210||1207.12||FACE BONE GRAFT 60001|21215||1292.9||LOWER JAW BONE GRAFT 60001|21230||1116.96||RIB CARTILAGE GRAFT 60001|21235||820.17||EAR CARTILAGE GRAFT 60001|21240||1567.27||RECONSTRUCTION OF JAW JOINT 60001|21242||1437.81||RECONSTRUCTION OF JAW JOINT 60001|21243||2387.88||RECONSTRUCTION OF JAW JOINT 60001|21244||1520.41||RECONSTRUCTION OF LOWER JAW 60001|21245||1295.04||RECONSTRUCTION OF JAW 60001|21246||1199.06||RECONSTRUCTION OF JAW 60001|21247||2411.6||RECONSTRUCT LOWER JAW BONE 60001|21248||1267.79||RECONSTRUCTION OF JAW 60001|21249||1759.31||RECONSTRUCTION OF JAW 60001|21255||1992.37||RECONSTRUCT LOWER JAW BONE 60001|21256||1714.35||RECONSTRUCTION OF ORBIT 60001|21260||1760.39||REVISE EYE SOCKETS 60001|21261||3139||REVISE EYE SOCKETS 60001|21263||2697.08||REVISE EYE SOCKETS 60001|21267||2227.62||REVISE EYE SOCKETS 60001|21268||2594.26||REVISE EYE SOCKETS 60001|21270||1052.13||AUGMENTATION - CHEEK BONE 60001|21275||1214.19||REVISION - ORBITOFACIAL BONES 60001|21280||818.24||REVISION OF EYELID 60001|21282||537.4||REVISION OF EYELID 60001|21295||260.34||REVISION OF JAW MUSCLE/BONE 60001|21296||607.65||REVISION OF JAW MUSCLE/BONE 60001|21299||0||CRANIO/MAXILLOFACIAL SURGERY 60001|21310||40.77||TREATMENT OF NOSE FRACTURE 60001|21315||219.04||TREATMENT OF NOSE FRACTURE 60001|21320||196.35||TREATMENT OF NOSE FRACTURE 60001|21325||669.72||TREATMENT OF NOSE FRACTURE 60001|21330||813.45||TREATMENT OF NOSE FRACTURE 60001|21335||1049.72||TREATMENT OF NOSE FRACTURE 60001|21336||926.11||TREAT NASAL SEPTAL FRACTURE 60001|21337||422.38||TREAT NASAL SEPTAL FRACTURE 60001|21338||1074.04||TREAT NASOETHMOID FRACTURE 60001|21339||1132.96||TREAT NASOETHMOID FRACTURE 60001|21340||1174.85||TREATMENT OF NOSE FRACTURE 60001|21343||1745.51||TREATMENT OF SINUS FRACTURE 60001|21344||2281.82||TREATMENT OF SINUS FRACTURE 60001|21345||918.72||TREAT NOSE/JAW FRACTURE 60001|21346||1322.73||TREAT NOSE/JAW FRACTURE 60001|21347||1593.42||TREAT NOSE/JAW FRACTURE 60001|21348||1592.56||TREAT NOSE/JAW FRACTURE 60001|21355||466.01||TREAT CHEEK BONE FRACTURE 60001|21356||540.66||TREAT CHEEK BONE FRACTURE 60001|21360||762.33||TREAT CHEEK BONE FRACTURE 60001|21365||1610.13||TREAT CHEEK BONE FRACTURE 60001|21366||1741.12||TREAT CHEEK BONE FRACTURE 60001|21385||995.73||TREAT EYE SOCKET FRACTURE 60001|21386||947.68||TREAT EYE SOCKET FRACTURE 60001|21387||1070.3||TREAT EYE SOCKET FRACTURE 60001|21390||1147.07||TREAT EYE SOCKET FRACTURE 60001|21395||1416.84||TREAT EYE SOCKET FRACTURE 60001|21400||218.21||TREAT EYE SOCKET FRACTURE 60001|21401||435.2||TREAT EYE SOCKET FRACTURE 60001|21406||800.27||TREAT EYE SOCKET FRACTURE 60001|21407||934.75||TREAT EYE SOCKET FRACTURE 60001|21408||1308.79||TREAT EYE SOCKET FRACTURE 60001|21421||927.67||TREAT MOUTH ROOF FRACTURE 60001|21422||953.62||TREAT MOUTH ROOF FRACTURE 60001|21423||1150.06||TREAT MOUTH ROOF FRACTURE 60001|21431||967.82||TREAT CRANIOFACIAL FRACTURE 60001|21432||1023.29||TREAT CRANIOFACIAL FRACTURE 60001|21433||2401.07||TREAT CRANIOFACIAL FRACTURE 60001|21435||1975.53||TREAT CRANIOFACIAL FRACTURE 60001|21436||2978.84||TREAT CRANIOFACIAL FRACTURE 60001|21440||650.74||TREAT DENTAL RIDGE FRACTURE 60001|21445||871.48||TREAT DENTAL RIDGE FRACTURE 60001|21450||681.91||TREAT LOWER JAW FRACTURE 60001|21451||884.23||TREAT LOWER JAW FRACTURE 60001|21452||493.73||TREAT LOWER JAW FRACTURE 60001|21453||1092.08||TREAT LOWER JAW FRACTURE 60001|21454||835.23||TREAT LOWER JAW FRACTURE 60001|21461||1333.93||TREAT LOWER JAW FRACTURE 60001|21462||1459.27||TREAT LOWER JAW FRACTURE 60001|21465||1362.93||TREAT LOWER JAW FRACTURE 60001|21470||1733.96||TREAT LOWER JAW FRACTURE 60001|21480||46.89||RESET DISLOCATED JAW 60001|21485||805.66||RESET DISLOCATED JAW 60001|21490||1329.91||REPAIR DISLOCATED JAW 60001|21497||850.36||INTERDENTAL WIRING 60001|21499||0||HEAD SURGERY PROCEDURE 60001|21501||457.44||DRAIN NECK/CHEST LESION 60001|21502||761.15||DRAIN CHEST LESION 60001|21510||734.17||DRAINAGE OF BONE LESION 60001|21550||225.1||BIOPSY OF NECK/CHEST 60001|21552||640.5||EXC NECK LES SC = 3 CM 60001|21554||1050.56||EXC NECK TUM DEEP = 5 CM 60001|21555||439.5||REMOVE LESION - NECK/CHEST 60001|21556||754.59||REMOVE LESION - NECK/CHEST 60001|21557||1410.45||REMOVE TUMOR - NECK/CHEST 60001|21558||1980.99||RESECT NECK TUM = 5 CM 60001|21600||814.14||PARTIAL REMOVAL OF RIB 60001|21601||1773.75||EXCISION OF CHEST WALL TUMOR INCL (RIBS) 60001|21602||2366.21||EXCISION OF CHEST WALL TUMOR INCL (RIBS) - W/ PLASTIC RECON; W/O MEDIASTINAL LYMPHADENECTOMY 60001|21603||2623.79||EXCISION OF CHEST WALL TUMOR INCL (RIBS) - W/ PLASTIC RECON; W/ MEDIASTINAL LYMPHADENECTOMY 60001|21610||1695.86||PARTIAL REMOVAL OF RIB 60001|21615||943.53||REMOVAL OF RIB 60001|21616||1219.25||REMOVAL OF RIB AND NERVES 60001|21620||744.63||PARTIAL REMOVAL OF STERNUM 60001|21627||790.17||STERNAL DEBRIDEMENT 60001|21630||1810.27||EXTENSIVE STERNUM SURGERY 60001|21632||1788.57||EXTENSIVE STERNUM SURGERY 60001|21685||1445.55||HYOID MYOTOMY & SUSPENSION 60001|21700||565.63||REVISION OF NECK MUSCLE 60001|21705||903.45||REVISION OF NECK MUSCLE/RIB 60001|21720||716.98||REVISION OF NECK MUSCLE 60001|21725||686.08||REVISION OF NECK MUSCLE 60001|21740||1719.4||RECONSTRUCTION OF STERNUM 60001|21742||2153.41||REPAIR STERN/NUSS W/O SCOPE 60001|21743||2834.08||REPAIR STERNUM/NUSS W/SCOPE 60001|21750||1016.71||REPAIR OF STERNUM SEPARATION 60001|21811||904.08||OPTX OF RIB FX W/FIXJ SCOPE 60001|21812||1084.31||TREATMENT OF RIB FRACTURE 60001|21813||1475.28||TREATMENT OF RIB FRACTURE 60001|21820||199.13||TREAT STERNUM FRACTURE 60001|21825||797.87||TREAT STERNUM FRACTURE 60001|21899||0||NECK/CHEST SURGERY PROCEDURE 60001|21920||231.12||BIOPSY SOFT TISSUE OF BACK 60001|21925||497.78||BIOPSY SOFT TISSUE OF BACK 60001|21930||520.62||REMOVE LESION - BACK OR FLANK 60001|21931||674.84||EXC BACK LES SC = 3 CM 60001|21932||949.29||EXC BACK TUM DEEP < 5 CM 60001|21933||1063.35||EXC BACK TUM DEEP = 5 CM 60001|21935||1503.51||REMOVE TUMOR - BACK 60001|21936||2071.25||RESECT BACK TUM = 5 CM 60001|22010||1343.74||I&D - P-SPINE - C/T/CERV-THOR 60001|22015||1320.38||I&D - P-SPINE - L/S/LS 60001|22100||1299.89||REMOVE PART OF NECK VERTEBRA 60001|22101||1305.82||REMOVE PART - THORAX VERTEBRA 60001|22102||1164.91||REMOVE PART - LUMBAR VERTEBRA 60001|22103||206.65||REMOVE EXTRA SPINE SEGMENT 60001|22110||1541.37||REMOVE PART OF NECK VERTEBRA 60001|22112||1515.15||REMOVE PART - THORAX VERTEBRA 60001|22114||1420.44||REMOVE PART - LUMBAR VERTEBRA 60001|22116||203.73||REMOVE EXTRA SPINE SEGMENT 60001|22206||3383.52||CUT SPINE 3 COL - THOR 60001|22207||3434.23||CUT SPINE 3 COL - LUMB 60001|22208||852.5||CUT SPINE 3 COL - ADDL SEG 60001|22210||2533.98||REVISION OF NECK SPINE 60001|22212||2100.34||REVISION OF THORAX SPINE 60001|22214||2115.85||REVISION OF LUMBAR SPINE 60001|22216||529.34||REVISE - EXTRA SPINE SEGMENT 60001|22220||2315.82||REVISION OF NECK SPINE 60001|22222||2184.45||REVISION OF THORAX SPINE 60001|22224||2261.37||REVISION OF LUMBAR SPINE 60001|22226||530.82||REVISE - EXTRA SPINE SEGMENT 60001|22305||243.71||TREAT SPINE PROCESS FRACTURE 60001|22310||397.87||TREAT SPINE FRACTURE 60001|22315||1096.86||TREAT SPINE FRACTURE 60001|22318||2340.91||TREAT ODONTOID FX W/O GRAFT 60001|22319||2614.36||TREAT ODONTOID FX W/GRAFT 60001|22325||2054.34||TREAT SPINE FRACTURE 60001|22326||2127.73||TREAT NECK SPINE FRACTURE 60001|22327||2116.69||TREAT THORAX SPINE FRACTURE 60001|22328||412.08||TREAT EACH ADD SPINE FX 60001|22505||170.65||MANIPULATION OF SPINE 60001|22510||678.3||PERQ CERVICOTHORACIC INJECT 60001|22511||636.55||PERQ LUMBOSACRAL INJECTION 60001|22512||317.51||VERTEBROPLASTY ADDL INJECT 60001|22513||805.75||PERQ VERTEBRAL AUGMENTATION 60001|22514||750.45||PERQ VERTEBRAL AUGMENTATION 60001|22515||341.25||PERQ VERTEBRAL AUGMENTATION 60001|22526||479.16||IDET - SINGLE LEVEL 60001|22527||216.51||IDET - 1 OR MORE LEVELS 60001|22532||2559.5||LAT THORAX SPINE FUSION 60001|22533||2411.13||LAT LUMBAR SPINE FUSION 60001|22534||527.88||LAT THOR/LUMB - ADD'L SEG 60001|22548||2805.86||NECK SPINE FUSION 60001|22551||2481.45||NECK SPINE FUSE&REMOVE ADDL 60001|22552||572.55||ADDL NECK SPINE FUSION 60001|22554||1830.83||NECK SPINE FUSION 60001|22556||2392.25||THORAX SPINE FUSION 60001|22558||2216.4||LUMBAR SPINE FUSION 60001|22585||490.13||ADDITIONAL SPINAL FUSION 60001|22586||2230.49||PRESCRL FUSE W/ INSTR L5/S1 60001|22590||2261.12||SPINE & SKULL SPINAL FUSION 60001|22595||2152.77||NECK SPINAL FUSION 60001|22600||1841.01||NECK SPINE FUSION 60001|22610||1799.34||THORAX SPINE FUSION 60001|22612||2293.39||LUMBAR SPINE FUSION 60001|22614||570.33||SPINE FUSION - EXTRA SEGMENT 60001|22630||2216.26||LUMBAR SPINE FUSION 60001|22632||465.5||SPINE FUSION - EXTRA SEGMENT 60001|22633||2667.82||LUMBAR SPINE FUSION COMBINED 60001|22634||723.58||SPINE FUSION EXTRA SEGMENT 60001|22800||1941.17||FUSION OF SPINE 60001|22802||3024.55||FUSION OF SPINE 60001|22804||3481.03||FUSION OF SPINE 60001|22808||2622.89||FUSION OF SPINE 60001|22810||2928.48||FUSION OF SPINE 60001|22812||3169.78||FUSION OF SPINE 60001|22818||3122.53||KYPHECTOMY - 1-2 SEGMENTS 60001|22819||3940.04||KYPHECTOMY - 3 OR MORE 60001|22830||1159.57||EXPLORATION OF SPINAL FUSION 60001|22840||1111.3||INSERT SPINE FIXATION DEVICE 60001|22841||549.87||INSERT SPINE FIXATION DEVICE 60001|22842||1112.82||INSERT SPINE FIXATION DEVICE 60001|22843||1182.6||INSERT SPINE FIXATION DEVICE 60001|22844||1424.9||INSERT SPINE FIXATION DEVICE 60001|22845||1073.25||INSERT SPINE FIXATION DEVICE 60001|22846||1113.41||INSERT SPINE FIXATION DEVICE 60001|22847||1282.41||INSERT SPINE FIXATION DEVICE 60001|22848||521.61||INSERT PELV FIXATION DEVICE 60001|22849||1871.5||REINSERT SPINAL FIXATION 60001|22850||1031.71||REMOVE SPINE FIXATION DEVICE 60001|22852||985.97||REMOVE SPINE FIXATION DEVICE 60001|22853||411.28||INSJ BIOMECHANICAL DEVICE 60001|22854||532.41||INSJ BIOMECHANICAL DEVICE 60001|22855||1607.46||REMOVE SPINE FIXATION DEVICE 60001|22856||2392.15||CERV ARTIFIC DISKECTOMY 60001|22857||2392.14||LUMBAR ARTIF DISKECTOMY 60001|22858||747.68||SECOND LEVEL CER DISKECTOMY 60001|22859||532.41||INSJ BIOMECHANICAL DEVICE 60001|22861||2894.15||REVISE CERV ARTIFIC DISC 60001|22862||3017.34||REVISE LUMBAR ARTIF DISC 60001|22864||2765.96||REMOVE CERV ARTIF DISC 60001|22865||2956.1||REMOVE LUMB ARTIF DISC 60001|22867||1536.93||INSJ STABLJ DEV W/DCMPRN 60001|22868||384.37||INSJ STABLJ DEV W/DCMPRN 60001|22869||845.18||INSJ STABLJ DEV W/O DCMPRN 60001|22870||223.95||INSJ STABLJ DEV W/O DCMPRN 60001|22899||0||SPINE SURGERY PROCEDURE 60001|22900||784.11||REMOVE ABDOMINAL WALL LESION 60001|22901||957.25||EXC BACK TUM DEEP = 5 CM 60001|22902||464.25||EXC ABD LES SC < 3 CM 60001|22903||624.29||EXC ABD LES SC > 3 CM 60001|22904||1535.64||RESECT ABD TUM < 5 CM 60001|22905||1958.25||RESECT ABD TUM > 5 CM 60001|22999||0||ABDOMEN SURGERY PROCEDURE 60001|23000||517.06||REMOVAL OF CALCIUM DEPOSITS 60001|23020||979.48||RELEASE SHOULDER JOINT 60001|23030||362.06||DRAIN SHOULDER LESION 60001|23031||306.48||DRAIN SHOULDER BURSA 60001|23035||967.43||DRAIN SHOULDER BONE LESION 60001|23040||1021.11||EXPLORATORY SHOULDER SURGERY 60001|23044||813.46||EXPLORATORY SHOULDER SURGERY 60001|23065||242.26||BIOPSY SHOULDER TISSUES 60001|23066||492.71||BIOPSY SHOULDER TISSUES 60001|23071||598.86||EXC SHOULDER LES SC > 3 CM 60001|23073||993.48||EXC SHOULDER TUM DEEP > 5 CM 60001|23075||440.92||REMOVAL OF SHOULDER LESION 60001|23076||770.35||REMOVAL OF SHOULDER LESION 60001|23077||1675.73||REMOVE TUMOR OF SHOULDER 60001|23078||2117.33||RESECT SHOULDER TUM > 5 CM 60001|23100||701.71||BIOPSY OF SHOULDER JOINT 60001|23101||640.85||SHOULDER JOINT SURGERY 60001|23105||903.62||REMOVE SHOULDER JOINT LINING 60001|23106||693.54||INCISION OF COLLARBONE JOINT 60001|23107||935.98||EXPLORE TREAT SHOULDER JOINT 60001|23120||826.11||PARTIAL REMOVAL - COLLAR BONE 60001|23125||1001.71||REMOVAL OF COLLAR BONE 60001|23130||859.36||REMOVE SHOULDER BONE - PART 60001|23140||749.91||REMOVAL OF BONE LESION 60001|23145||983.43||REMOVAL OF BONE LESION 60001|23146||871.17||REMOVAL OF BONE LESION 60001|23150||933.9||REMOVAL OF HUMERUS LESION 60001|23155||1123.52||REMOVAL OF HUMERUS LESION 60001|23156||958.46||REMOVAL OF HUMERUS LESION 60001|23170||782.01||REMOVE COLLAR BONE LESION 60001|23172||794.97||REMOVE SHOULDER BLADE LESION 60001|23174||1071.36||REMOVE HUMERUS LESION 60001|23180||956.93||REMOVE COLLAR BONE LESION 60001|23182||932.31||REMOVE SHOULDER BLADE LESION 60001|23184||1045.27||REMOVE HUMERUS LESION 60001|23190||801.8||PARTIAL REMOVAL OF SCAPULA 60001|23195||1069.4||REMOVAL OF HEAD OF HUMERUS 60001|23200||2095.7||REMOVAL OF COLLAR BONE 60001|23210||2459.77||REMOVAL OF SHOULDER BLADE 60001|23220||2699.13||PARTIAL REMOVAL OF HUMERUS 60001|23330||214.92||REMOVE SHOULDER FOREIGN BODY 60001|23333||662.06||REMOVE SHOULDER FB DEEP 60001|23334||1570.28||SHOULDER PROSTHESIS REMOVAL 60001|23335||1875.36||SHOULDER PROSTHESIS REMOVAL 60001|23350||73.68||INJECTION FOR SHOULDER X-RAY 60001|23395||1836.5||MUSCLE TRANSFER - SHOULDER/ARM 60001|23397||1628.74||MUSCLE TRANSFERS 60001|23400||1382.66||FIXATION OF SHOULDER BLADE 60001|23405||892.92||INCISION OF TENDON & MUSCLE 60001|23406||1107.83||INCISE TENDON(S) & MUSCLE(S) 60001|23410||1170.88||REPAIR ROTATOR CUFF - ACUTE 60001|23412||1216.93||REPAIR ROTATOR CUFF - CHRONIC 60001|23415||985.69||RELEASE OF SHOULDER LIGAMENT 60001|23420||1381.26||REPAIR OF SHOULDER 60001|23430||1060.98||REPAIR BICEPS TENDON 60001|23440||1077.34||REMOVE/TRANSPLANT TENDON 60001|23450||1351.46||REPAIR SHOULDER CAPSULE 60001|23455||1433.31||REPAIR SHOULDER CAPSULE 60001|23460||1555.25||REPAIR SHOULDER CAPSULE 60001|23462||1530.88||REPAIR SHOULDER CAPSULE 60001|23465||1598.68||REPAIR SHOULDER CAPSULE 60001|23466||1599.61||REPAIR SHOULDER CAPSULE 60001|23470||1728.92||RECONSTRUCT SHOULDER JOINT 60001|23472||2143.9||RECONSTRUCT SHOULDER JOINT 60001|23473||2467.36||REVIS RECONST SHOULDER JOINT 60001|23474||2539.83||REVIS RECONST SHOULDER JOINT 60001|23480||1165.76||REVISION OF COLLAR BONE 60001|23485||1370||REVISION OF COLLAR BONE 60001|23490||1261.36||REINFORCE CLAVICLE 60001|23491||1444.57||REINFORCE SHOULDER BONES 60001|23500||306.49||TREAT CLAVICLE FRACTURE 60001|23505||459.82||TREAT CLAVICLE FRACTURE 60001|23515||1020.76||TREAT CLAVICLE FRACTURE 60001|23520||321.16||TREAT CLAVICLE DISLOCATION 60001|23525||483.93||TREAT CLAVICLE DISLOCATION 60001|23530||798.64||TREAT CLAVICLE DISLOCATION 60001|23532||880.99||TREAT CLAVICLE DISLOCATION 60001|23540||313.7||TREAT CLAVICLE DISLOCATION 60001|23545||426.38||TREAT CLAVICLE DISLOCATION 60001|23550||807.45||TREAT CLAVICLE DISLOCATION 60001|23552||932.96||TREAT CLAVICLE DISLOCATION 60001|23570||329.32||TREAT SHOULDER BLADE FX 60001|23575||520.3||TREAT SHOULDER BLADE FX 60001|23585||1398.32||TREAT SCAPULA FRACTURE 60001|23600||420.58||TREAT HUMERUS FRACTURE 60001|23605||598.21||TREAT HUMERUS FRACTURE 60001|23615||1258.42||TREAT HUMERUS FRACTURE 60001|23616||1784.71||TREAT HUMERUS FRACTURE 60001|23620||354.69||TREAT HUMERUS FRACTURE 60001|23625||492.04||TREAT HUMERUS FRACTURE 60001|23630||1105.86||TREAT HUMERUS FRACTURE 60001|23650||395.74||TREAT SHOULDER DISLOCATION 60001|23655||554.31||TREAT SHOULDER DISLOCATION 60001|23660||825.74||TREAT SHOULDER DISLOCATION 60001|23665||552.42||TREAT DISLOCATION/FRACTURE 60001|23670||1237.68||TREAT DISLOCATION/FRACTURE 60001|23675||702.51||TREAT DISLOCATION/FRACTURE 60001|23680||1319.04||TREAT DISLOCATION/FRACTURE 60001|23700||275.93||FIXATION OF SHOULDER 60001|23800||1461.24||FUSION OF SHOULDER JOINT 60001|23802||1818.5||FUSION OF SHOULDER JOINT 60001|23900||1960.97||AMPUTATION OF ARM & GIRDLE 60001|23920||1590.05||AMPUTATION AT SHOULDER JOINT 60001|23921||604.52||AMPUTATION FOLLOW-UP SURGERY 60001|23929||0||SHOULDER SURGERY PROCEDURE 60001|23930||307.19||DRAINAGE OF ARM LESION 60001|23931||224.67||DRAINAGE OF ARM BURSA 60001|23935||712.77||DRAIN ARM/ELBOW BONE LESION 60001|24000||673.5||EXPLORATORY ELBOW SURGERY 60001|24006||1011.75||RELEASE ELBOW JOINT 60001|24065||239.48||BIOPSY ARM/ELBOW SOFT TISSUE 60001|24066||579.7||BIOPSY ARM/ELBOW SOFT TISSUE 60001|24071||582.1||EXC ARM/ELBOW LES SC = 3 CM 60001|24073||994.36||EX ARM/ELBOW TUM DEEP > 5 CM 60001|24075||465.81||REMOVE ARM/ELBOW LESION 60001|24076||766.18||REMOVE ARM/ELBOW LESION 60001|24077||1516.53||REMOVE TUMOR OF ARM/ELBOW 60001|24079||1945.07||RESECT ARM/ELBOW TUM > 5 CM 60001|24100||584.09||BIOPSY ELBOW JOINT LINING 60001|24101||704.51||EXPLORE/TREAT ELBOW JOINT 60001|24102||872.04||REMOVE ELBOW JOINT LINING 60001|24105||487.07||REMOVAL OF ELBOW BURSA 60001|24110||828.08||REMOVE HUMERUS LESION 60001|24115||1042.87||REMOVE/GRAFT BONE LESION 60001|24116||1225.06||REMOVE/GRAFT BONE LESION 60001|24120||745.85||REMOVE ELBOW LESION 60001|24125||872.85||REMOVE/GRAFT BONE LESION 60001|24126||916.31||REMOVE/GRAFT BONE LESION 60001|24130||717.04||REMOVAL OF HEAD OF RADIUS 60001|24134||1060.83||REMOVAL OF ARM BONE LESION 60001|24136||880.26||REMOVE RADIUS BONE LESION 60001|24138||948.65||REMOVE ELBOW BONE LESION 60001|24140||1002.44||PARTIAL REMOVAL OF ARM BONE 60001|24145||841.26||PARTIAL REMOVAL OF RADIUS 60001|24147||882.17||PARTIAL REMOVAL OF ELBOW 60001|24149||1665.77||RADICAL RESECTION OF ELBOW 60001|24150||2165.4||EXTENSIVE HUMERUS SURGERY 60001|24152||1861.08||EXTENSIVE RADIUS SURGERY 60001|24155||1211.45||REMOVAL OF ELBOW JOINT 60001|24160||1842.71||REMOVE ELBOW JOINT IMPLANT 60001|24164||1058.82||REMOVE RADIUS HEAD IMPLANT 60001|24200||196.5||REMOVAL OF ARM FOREIGN BODY 60001|24201||516.48||REMOVAL OF ARM FOREIGN BODY 60001|24220||97.79||INJECTION FOR ELBOW X-RAY 60001|24300||570.03||MANIPULATE ELBOW W/ANESTH 60001|24301||1069.96||MUSCLE/TENDON TRANSFER 60001|24305||820.28||ARM TENDON LENGTHENING 60001|24310||674.18||REVISION OF ARM TENDON 60001|24320||1106.56||REPAIR OF ARM TENDON 60001|24330||1016.29||REVISION OF ARM MUSCLES 60001|24331||1051.12||REVISION OF ARM MUSCLES 60001|24332||862.88||TENOLYSIS - TRICEPS 60001|24340||870.23||REPAIR OF BICEPS TENDON 60001|24341||1054.97||REPAIR ARM TENDON/MUSCLE 60001|24342||1107.37||REPAIR OF RUPTURED TENDON 60001|24343||997.49||REPR ELBOW LAT LIGMNT W/TISS 60001|24344||1565.65||RECONSTRUCT ELBOW LAT LIGMNT 60001|24345||991.99||REPR ELBW MED LIGMNT W/TISSU 60001|24346||1559.23||RECONSTRUCT ELBOW MED LIGMNT 60001|24357||625.48||REPAIR ELBOW - PERC 60001|24358||739.46||REPAIR ELBOW W/DEB - OPEN 60001|24359||934.2||REPAIR ELBOW DEB/ATTCH OPEN 60001|24360||1277.89||RECONSTRUCT ELBOW JOINT 60001|24361||1433.3||RECONSTRUCT ELBOW JOINT 60001|24362||1510.33||RECONSTRUCT ELBOW JOINT 60001|24363||2142.66||REPLACE ELBOW JOINT 60001|24365||904.85||RECONSTRUCT HEAD OF RADIUS 60001|24366||967.97||RECONSTRUCT HEAD OF RADIUS 60001|24370||2220.01||REVISE RECONST ELBOW JOINT 60001|24371||2559.75||REVISE RECONST ELBOW JOINT 60001|24400||1167.77||REVISION OF HUMERUS 60001|24410||1367.95||REVISION OF HUMERUS 60001|24420||1407.1||REVISION OF HUMERUS 60001|24430||1508.91||REPAIR OF HUMERUS 60001|24435||1533.2||REPAIR HUMERUS WITH GRAFT 60001|24470||936.39||REVISION OF ELBOW JOINT 60001|24495||932.35||DECOMPRESSION OF FOREARM 60001|24498||1234.49||REINFORCE HUMERUS 60001|24500||449.72||TREAT HUMERUS FRACTURE 60001|24505||635.8||TREAT HUMERUS FRACTURE 60001|24515||1245.93||TREAT HUMERUS FRACTURE 60001|24516||1225.72||TREAT HUMERUS FRACTURE 60001|24530||477.84||TREAT HUMERUS FRACTURE 60001|24535||800.21||TREAT HUMERUS FRACTURE 60001|24538||1052.4||TREAT HUMERUS FRACTURE 60001|24545||1321.32||TREAT HUMERUS FRACTURE 60001|24546||1485.98||TREAT HUMERUS FRACTURE 60001|24560||397.38||TREAT HUMERUS FRACTURE 60001|24565||678.77||TREAT HUMERUS FRACTURE 60001|24566||1010.01||TREAT HUMERUS FRACTURE 60001|24575||1040.11||TREAT HUMERUS FRACTURE 60001|24576||421.22||TREAT HUMERUS FRACTURE 60001|24577||699.29||TREAT HUMERUS FRACTURE 60001|24579||1186.24||TREAT HUMERUS FRACTURE 60001|24582||1134.67||TREAT HUMERUS FRACTURE 60001|24586||1551.71||TREAT ELBOW FRACTURE 60001|24587||1544.71||TREAT ELBOW FRACTURE 60001|24600||467.28||TREAT ELBOW DISLOCATION 60001|24605||657.33||TREAT ELBOW DISLOCATION 60001|24615||1009.5||TREAT ELBOW DISLOCATION 60001|24620||778.76||TREAT ELBOW FRACTURE 60001|24635||974.07||TREAT ELBOW FRACTURE 60001|24640||130.65||TREAT ELBOW DISLOCATION 60001|24650||330.4||TREAT RADIUS FRACTURE 60001|24655||560.89||TREAT RADIUS FRACTURE 60001|24665||920.31||TREAT RADIUS FRACTURE 60001|24666||1039.03||TREAT RADIUS FRACTURE 60001|24670||363.22||TREAT ULNAR FRACTURE 60001|24675||585.43||TREAT ULNAR FRACTURE 60001|24685||924.07||TREAT ULNAR FRACTURE 60001|24800||1166.9||FUSION OF ELBOW JOINT 60001|24802||1424.11||FUSION/GRAFT OF ELBOW JOINT 60001|24900||1033.13||AMPUTATION OF UPPER ARM 60001|24920||965.9||AMPUTATION OF UPPER ARM 60001|24925||796.72||AMPUTATION FOLLOW-UP SURGERY 60001|24930||1093.11||AMPUTATION FOLLOW-UP SURGERY 60001|24931||1102.12||AMPUTATE UPPER ARM & IMPLANT 60001|24935||1452.79||REVISION OF AMPUTATION 60001|24940||1523.62||REVISION OF UPPER ARM 60001|24999||0||UPPER ARM/ELBOW SURGERY 60001|25000||477.04||INCISION OF TENDON SHEATH 60001|25001||479.25||INCISE FLEXOR CARPI RADIALIS 60001|25020||813.07||DECOMPRESS FOREARM 1 SPACE 60001|25023||1568.14||DECOMPRESS FOREARM 1 SPACE 60001|25024||1113.04||DECOMPRESS FOREARM 2 SPACES 60001|25025||1737.48||DECOMPRESS FOREARM 2 SPACES 60001|25028||732.05||DRAINAGE OF FOREARM LESION 60001|25031||517.25||DRAINAGE OF FOREARM BURSA 60001|25035||849.04||TREAT FOREARM BONE LESION 60001|25040||801.77||EXPLORE/TREAT WRIST JOINT 60001|25065||234.41||BIOPSY FOREARM SOFT TISSUES 60001|25066||512.67||BIOPSY FOREARM SOFT TISSUES 60001|25071||610.26||EXC FOREARM LES SC > 3 CM 60001|25073||761.33||EXC FOREARM TUM DEEP = 3 CM 60001|25075||455.51||REMOVAL FOREARM LESION SUBCU 60001|25076||734.88||REMOVAL FOREARM LESION DEEP 60001|25077||1289.79||REMOVE TUMOR - FOREARM/WRIST 60001|25078||1711.31||RESECT FOREARM/WRIST TUM=3CM 60001|25085||641.76||INCISION OF WRIST CAPSULE 60001|25100||486.12||BIOPSY OF WRIST JOINT 60001|25101||569.38||EXPLORE/TREAT WRIST JOINT 60001|25105||684.54||REMOVE WRIST JOINT LINING 60001|25107||872.5||REMOVE WRIST JOINT CARTILAGE 60001|25109||756.49||EXCISE TENDON FOREARM/WRIST 60001|25110||487.09||REMOVE WRIST TENDON LESION 60001|25111||449.01||REMOVE WRIST TENDON LESION 60001|25112||546.03||REREMOVE WRIST TENDON LESION 60001|25115||1096.53||REMOVE WRIST/FOREARM LESION 60001|25116||868.52||REMOVE WRIST/FOREARM LESION 60001|25118||539.13||EXCISE WRIST TENDON SHEATH 60001|25119||710.93||PARTIAL REMOVAL OF ULNA 60001|25120||724.01||REMOVAL OF FOREARM LESION 60001|25125||874.87||REMOVE/GRAFT FOREARM LESION 60001|25126||862.41||REMOVE/GRAFT FOREARM LESION 60001|25130||633.16||REMOVAL OF WRIST LESION 60001|25135||804.67||REMOVE & GRAFT WRIST LESION 60001|25136||695.88||REMOVE & GRAFT WRIST LESION 60001|25145||748.05||REMOVE FOREARM BONE LESION 60001|25150||805.73||PARTIAL REMOVAL OF ULNA 60001|25151||850.16||PARTIAL REMOVAL OF RADIUS 60001|25170||2067.72||EXTENSIVE FOREARM SURGERY 60001|25210||693.29||REMOVAL OF WRIST BONE 60001|25215||878.98||REMOVAL OF WRIST BONES 60001|25230||610.25||PARTIAL REMOVAL OF RADIUS 60001|25240||609.49||PARTIAL REMOVAL OF ULNA 60001|25246||107.72||INJECTION FOR WRIST X-RAY 60001|25248||600.08||REMOVE FOREARM FOREIGN BODY 60001|25250||746.1||REMOVAL OF WRIST PROSTHESIS 60001|25251||1018.75||REMOVAL OF WRIST PROSTHESIS 60001|25259||573.7||MANIPULATE WRIST W/ANESTHES 60001|25260||912.97||REPAIR FOREARM TENDON/MUSCLE 60001|25263||904.87||REPAIR FOREARM TENDON/MUSCLE 60001|25265||1079.87||REPAIR FOREARM TENDON/MUSCLE 60001|25270||718.43||REPAIR FOREARM TENDON/MUSCLE 60001|25272||807.99||REPAIR FOREARM TENDON/MUSCLE 60001|25274||974.95||REPAIR FOREARM TENDON/MUSCLE 60001|25275||962.22||REPAIR FOREARM TENDON SHEATH 60001|25280||819.41||REVISE WRIST/FOREARM TENDON 60001|25290||649.19||INCISE WRIST/FOREARM TENDON 60001|25295||760.3||RELEASE WRIST/FOREARM TENDON 60001|25300||990.51||FUSION OF TENDONS AT WRIST 60001|25301||915.51||FUSION OF TENDONS AT WRIST 60001|25310||896.53||TRANSPLANT FOREARM TENDON 60001|25312||1042.82||TRANSPLANT FOREARM TENDON 60001|25315||1115.19||REVISE PALSY HAND TENDON(S) 60001|25316||1272.71||REVISE PALSY HAND TENDON(S) 60001|25320||1399.47||REPAIR/REVISE WRIST JOINT 60001|25332||1204.28||REVISE WRIST JOINT 60001|25335||1266.46||REALIGNMENT OF HAND 60001|25337||1262.19||RECONSTRUCT ULNA/RADIOULNAR 60001|25350||977.78||REVISION OF RADIUS 60001|25355||1107.94||REVISION OF RADIUS 60001|25360||949.89||REVISION OF ULNA 60001|25365||1318.68||REVISE RADIUS & ULNA 60001|25370||1320.64||REVISE RADIUS OR ULNA 60001|25375||1141.67||REVISE RADIUS & ULNA 60001|25390||1114.96||SHORTEN RADIUS OR ULNA 60001|25391||1438.11||LENGTHEN RADIUS OR ULNA 60001|25392||1465||SHORTEN RADIUS & ULNA 60001|25393||1634.07||LENGTHEN RADIUS & ULNA 60001|25394||1110.63||REPAIR CARPAL BONE - SHORTEN 60001|25400||1167.32||REPAIR RADIUS OR ULNA 60001|25405||1499.09||REPAIR/GRAFT RADIUS OR ULNA 60001|25415||1401.06||REPAIR RADIUS & ULNA 60001|25420||1688.99||REPAIR/GRAFT RADIUS & ULNA 60001|25425||1407.5||REPAIR/GRAFT RADIUS OR ULNA 60001|25426||1599.51||REPAIR/GRAFT RADIUS & ULNA 60001|25430||997.36||VASC GRAFT INTO CARPAL BONE 60001|25431||1116.36||REPAIR NONUNION CARPAL BONE 60001|25440||1096.99||REPAIR/GRAFT WRIST BONE 60001|25441||1287.19||RECONSTRUCT WRIST JOINT 60001|25442||1119.6||RECONSTRUCT WRIST JOINT 60001|25443||1107.75||RECONSTRUCT WRIST JOINT 60001|25444||1131.26||RECONSTRUCT WRIST JOINT 60001|25445||1023.45||RECONSTRUCT WRIST JOINT 60001|25446||1671.81||WRIST REPLACEMENT 60001|25447||1171.93||REPAIR WRIST JOINT(S) 60001|25449||1486.21||REMOVE WRIST JOINT IMPLANT 60001|25450||866.92||REVISION OF WRIST JOINT 60001|25455||962.62||REVISION OF WRIST JOINT 60001|25490||965.43||REINFORCE RADIUS 60001|25491||1070.08||REINFORCE ULNA 60001|25492||1302.6||REINFORCE RADIUS AND ULNA 60001|25500||343.42||TREAT FRACTURE OF RADIUS 60001|25505||646.17||TREAT FRACTURE OF RADIUS 60001|25515||946.1||TREAT FRACTURE OF RADIUS 60001|25520||748.3||TREAT FRACTURE OF RADIUS 60001|25525||1116.21||TREAT FRACTURE OF RADIUS 60001|25526||1365.85||TREAT FRACTURE OF RADIUS 60001|25530||325.44||TREAT FRACTURE OF ULNA 60001|25535||636.05||TREAT FRACTURE OF ULNA 60001|25545||881.32||TREAT FRACTURE OF ULNA 60001|25560||342.96||TREAT FRACTURE RADIUS & ULNA 60001|25565||665.32||TREAT FRACTURE RADIUS & ULNA 60001|25574||948.9||TREAT FRACTURE RADIUS & ULNA 60001|25575||1275.24||TREAT FRACTURE RADIUS/ULNA 60001|25600||414.16||TREAT FRACTURE RADIUS/ULNA 60001|25605||734.95||TREAT FRACTURE RADIUS/ULNA 60001|25606||936.58||TREAT FX DISTAL RADIAL 60001|25607||1036.03||TREAT FX RAD EXTRA-ARTICUL 60001|25608||1163.94||TREAT FX RAD INTRA-ARTICUL 60001|25609||1482.89||TREAT FX RADIAL 3+ FRAG 60001|25622||382.57||TREAT WRIST BONE FRACTURE 60001|25624||599.76||TREAT WRIST BONE FRACTURE 60001|25628||1020.43||TREAT WRIST BONE FRACTURE 60001|25630||389.39||TREAT WRIST BONE FRACTURE 60001|25635||570.53||TREAT WRIST BONE FRACTURE 60001|25645||802.44||TREAT WRIST BONE FRACTURE 60001|25650||416.62||TREAT WRIST BONE FRACTURE 60001|25651||682.13||PIN ULNAR STYLOID FRACTURE 60001|25652||879.13||TREAT FRACTURE ULNAR STYLOID 60001|25660||572.45||TREAT WRIST DISLOCATION 60001|25670||855.95||TREAT WRIST DISLOCATION 60001|25671||743.95||PIN RADIOULNAR DISLOCATION 60001|25675||561.39||TREAT WRIST DISLOCATION 60001|25676||890.52||TREAT WRIST DISLOCATION 60001|25680||666.81||TREAT WRIST FRACTURE 60001|25685||1040.39||TREAT WRIST FRACTURE 60001|25690||670.21||TREAT WRIST DISLOCATION 60001|25695||895.06||TREAT WRIST DISLOCATION 60001|25800||1042.34||FUSION OF WRIST JOINT 60001|25805||1203.03||FUSION/GRAFT OF WRIST JOINT 60001|25810||1235.54||FUSION/GRAFT OF WRIST JOINT 60001|25820||869.91||FUSION OF HAND BONES 60001|25825||1072.27||FUSE HAND BONES WITH GRAFT 60001|25830||1342.34||FUSION - RADIOULNAR JNT/ULNA 60001|25900||1024.83||AMPUTATION OF FOREARM 60001|25905||1008.32||AMPUTATION OF FOREARM 60001|25907||823.99||AMPUTATION FOLLOW-UP SURGERY 60001|25909||985.7||AMPUTATION FOLLOW-UP SURGERY 60001|25915||1522.8||AMPUTATION OF FOREARM 60001|25920||981.86||AMPUTATE HAND AT WRIST 60001|25922||806.78||AMPUTATE HAND AT WRIST 60001|25924||893.95||AMPUTATION FOLLOW-UP SURGERY 60001|25927||1132.12||AMPUTATION OF HAND 60001|25929||849.56||AMPUTATION FOLLOW-UP SURGERY 60001|25931||969.7||AMPUTATION FOLLOW-UP SURGERY 60001|25999||0||FOREARM OR WRIST SURGERY 60001|26010||192.55||DRAINAGE OF FINGER ABSCESS 60001|26011||260.76||DRAINAGE OF FINGER ABSCESS 60001|26020||609.7||DRAIN HAND TENDON SHEATH 60001|26025||593.16||DRAINAGE OF PALM BURSA 60001|26030||698.21||DRAINAGE OF PALM BURSA(S) 60001|26034||758.05||TREAT HAND BONE LESION 60001|26035||1204.26||DECOMPRESS FINGERS/HAND 60001|26037||810.05||DECOMPRESS FINGERS/HAND 60001|26040||435.18||RELEASE PALM CONTRACTURE 60001|26045||657.8||RELEASE PALM CONTRACTURE 60001|26055||430.61||INCISE FINGER TENDON SHEATH 60001|26060||373.6||INCISION OF FINGER TENDON 60001|26070||438.06||EXPLORE/TREAT HAND JOINT 60001|26075||456.95||EXPLORE/TREAT FINGER JOINT 60001|26080||545.31||EXPLORE/TREAT FINGER JOINT 60001|26100||464.67||BIOPSY HAND JOINT LINING 60001|26105||470.87||BIOPSY FINGER JOINT LINING 60001|26110||450.05||BIOPSY FINGER JOINT LINING 60001|26111||598.27||EXC HAND LES SC > 1.5 CM 60001|26113||784.54||EXC HAND TUM DEEP > 1.5 CM 60001|26115||476.53||REMOVAL HAND LESION SUBCUT 60001|26116||743.92||REMOVAL HAND LESION - DEEP 60001|26117||1081.19||REMOVE TUMOR - HAND/FINGER 60001|26118||1533.6||EXC HAND TUM RA > 3 CM 60001|26121||845.21||RELEASE PALM CONTRACTURE 60001|26123||1177.39||RELEASE PALM CONTRACTURE 60001|26125||397.96||RELEASE PALM CONTRACTURE 60001|26130||648.77||REMOVE WRIST JOINT LINING 60001|26135||779.07||REVISE FINGER JOINT - EACH 60001|26140||712.86||REVISE FINGER JOINT - EACH 60001|26145||723.79||TENDON EXCISION - PALM/FINGER 60001|26160||465.69||REMOVE TENDON SHEATH LESION 60001|26170||572.03||REMOVAL OF PALM TENDON - EACH 60001|26180||624.36||REMOVAL OF FINGER TENDON 60001|26185||780.96||REMOVE FINGER BONE 60001|26200||636.66||REMOVE HAND BONE LESION 60001|26205||850.64||REMOVE/GRAFT BONE LESION 60001|26210||621.98||REMOVAL OF FINGER LESION 60001|26215||792.44||REMOVE/GRAFT FINGER LESION 60001|26230||705.73||PARTIAL REMOVAL OF HAND BONE 60001|26235||697.16||PARTIAL REMOVAL - FINGER BONE 60001|26236||621.84||PARTIAL REMOVAL - FINGER BONE 60001|26250||1467.99||EXTENSIVE HAND SURGERY 60001|26260||1111.41||EXTENSIVE FINGER SURGERY 60001|26262||891.1||PARTIAL REMOVAL OF FINGER 60001|26320||487.34||REMOVAL OF IMPLANT FROM HAND 60001|26340||459.65||MANIPULATE FINGER W/ANESTH 60001|26341||105.36||MANIPULAT PALM CORD POST INJ 60001|26350||988.64||REPAIR FINGER/HAND TENDON 60001|26352||1130.89||REPAIR/GRAFT HAND TENDON 60001|26356||1522.65||REPAIR FINGER/HAND TENDON 60001|26357||1207.34||REPAIR FINGER/HAND TENDON 60001|26358||1276.2||REPAIR/GRAFT HAND TENDON 60001|26370||1061.5||REPAIR FINGER/HAND TENDON 60001|26372||1231.63||REPAIR/GRAFT HAND TENDON 60001|26373||1178.33||REPAIR FINGER/HAND TENDON 60001|26390||1164.25||REVISE HAND/FINGER TENDON 60001|26392||1371.42||REPAIR/GRAFT HAND TENDON 60001|26410||783.59||REPAIR HAND TENDON 60001|26412||951.12||REPAIR/GRAFT HAND TENDON 60001|26415||959.87||EXCISION - HAND/FINGER TENDON 60001|26416||1200.26||GRAFT HAND OR FINGER TENDON 60001|26418||798.46||REPAIR FINGER TENDON 60001|26420||996.02||REPAIR/GRAFT FINGER TENDON 60001|26426||732.48||REPAIR FINGER/HAND TENDON 60001|26428||1048.54||REPAIR/GRAFT FINGER TENDON 60001|26432||689.42||REPAIR FINGER TENDON 60001|26433||738.28||REPAIR FINGER TENDON 60001|26434||894.62||REPAIR/GRAFT FINGER TENDON 60001|26437||863.55||REALIGNMENT OF TENDONS 60001|26440||861.78||RELEASE PALM/FINGER TENDON 60001|26442||1344.54||RELEASE PALM & FINGER TENDON 60001|26445||799.67||RELEASE HAND/FINGER TENDON 60001|26449||1008.04||RELEASE FOREARM/HAND TENDON 60001|26450||560.88||INCISION OF PALM TENDON 60001|26455||560.28||INCISION OF FINGER TENDON 60001|26460||544.58||INCISE HAND/FINGER TENDON 60001|26471||853.91||FUSION OF FINGER TENDONS 60001|26474||669.83||FUSION OF FINGER TENDONS 60001|26476||813.96||TENDON LENGTHENING 60001|26477||811.45||TENDON SHORTENING 60001|26478||867.21||LENGTHENING OF HAND TENDON 60001|26479||865.18||SHORTENING OF HAND TENDON 60001|26480||1047.37||TRANSPLANT HAND TENDON 60001|26483||1181.78||TRANSPLANT/GRAFT HAND TENDON 60001|26485||1127.1||TRANSPLANT PALM TENDON 60001|26489||1283.97||TRANSPLANT/GRAFT PALM TENDON 60001|26490||1105.1||REVISE THUMB TENDON 60001|26492||1227.47||TENDON TRANSFER WITH GRAFT 60001|26494||1110.92||HAND TENDON/MUSCLE TRANSFER 60001|26496||1199.68||REVISE THUMB TENDON 60001|26497||1205.49||FINGER TENDON TRANSFER 60001|26498||1602.3||FINGER TENDON TRANSFER 60001|26499||1155.02||REVISION OF FINGER 60001|26500||874.53||HAND TENDON RECONSTRUCTION 60001|26502||985.25||HAND TENDON RECONSTRUCTION 60001|26508||865.56||RELEASE THUMB CONTRACTURE 60001|26510||828.89||THUMB TENDON TRANSFER 60001|26516||979.54||FUSION OF KNUCKLE JOINT 60001|26517||1164.17||FUSION OF KNUCKLE JOINTS 60001|26518||1164.27||FUSION OF KNUCKLE JOINTS 60001|26520||903.42||RELEASE KNUCKLE CONTRACTURE 60001|26525||904.89||RELEASE FINGER CONTRACTURE 60001|26530||757.98||REVISE KNUCKLE JOINT 60001|26531||881.21||REVISE KNUCKLE WITH IMPLANT 60001|26535||581||REVISE FINGER JOINT 60001|26536||974.87||REVISE/IMPLANT FINGER JOINT 60001|26540||916.93||REPAIR HAND JOINT 60001|26541||1118.32||REPAIR HAND JOINT WITH GRAFT 60001|26542||947.75||REPAIR HAND JOINT WITH GRAFT 60001|26545||968.32||RECONSTRUCT FINGER JOINT 60001|26546||1384.72||REPAIR NONUNION HAND 60001|26548||1066.61||RECONSTRUCT FINGER JOINT 60001|26550||2266.98||CONSTRUCT THUMB REPLACEMENT 60001|26551||4259.6||GREAT TOE-HAND TRANSFER 60001|26553||3863.02||SINGLE TRANSFER - TOE-HAND 60001|26554||4595.92||DOUBLE TRANSFER - TOE-HAND 60001|26555||1924.4||POSITIONAL CHANGE OF FINGER 60001|26556||4126.52||TOE JOINT TRANSFER 60001|26560||810.76||REPAIR OF WEB FINGER 60001|26561||1331.41||REPAIR OF WEB FINGER 60001|26562||1813.04||REPAIR OF WEB FINGER 60001|26565||950.46||CORRECT METACARPAL FLAW 60001|26567||947.48||CORRECT FINGER DEFORMITY 60001|26568||1249.55||LENGTHEN METACARPAL/FINGER 60001|26580||2138.99||REPAIR HAND DEFORMITY 60001|26587||1325.97||RECONSTRUCT EXTRA FINGER 60001|26590||1806.17||REPAIR FINGER DEFORMITY 60001|26591||606.32||REPAIR MUSCLES OF HAND 60001|26593||831.5||RELEASE MUSCLES OF HAND 60001|26596||1056.75||EXCISION CONSTRICTING TISSUE 60001|26600||378.31||TREAT METACARPAL FRACTURE 60001|26605||407.27||TREAT METACARPAL FRACTURE 60001|26607||639.95||TREAT METACARPAL FRACTURE 60001|26608||670.99||TREAT METACARPAL FRACTURE 60001|26615||805.84||TREAT METACARPAL FRACTURE 60001|26641||465.05||TREAT THUMB DISLOCATION 60001|26645||542.83||TREAT THUMB FRACTURE 60001|26650||670.85||TREAT THUMB FRACTURE 60001|26665||883.09||TREAT THUMB FRACTURE 60001|26670||421.69||TREAT HAND DISLOCATION 60001|26675||578.63||TREAT HAND DISLOCATION 60001|26676||704.12||PIN HAND DISLOCATION 60001|26685||811.04||TREAT HAND DISLOCATION 60001|26686||879.46||TREAT HAND DISLOCATION 60001|26700||419.37||TREAT KNUCKLE DISLOCATION 60001|26705||525.65||TREAT KNUCKLE DISLOCATION 60001|26706||619.18||PIN KNUCKLE DISLOCATION 60001|26715||805.66||TREAT KNUCKLE DISLOCATION 60001|26720||253.59||TREAT FINGER FRACTURE - EACH 60001|26725||426.24||TREAT FINGER FRACTURE - EACH 60001|26727||659.7||TREAT FINGER FRACTURE - EACH 60001|26735||838.05||TREAT FINGER FRACTURE - EACH 60001|26740||296.04||TREAT FINGER FRACTURE - EACH 60001|26742||469.36||TREAT FINGER FRACTURE - EACH 60001|26746||1043.63||TREAT FINGER FRACTURE - EACH 60001|26750||253.34||TREAT FINGER FRACTURE - EACH 60001|26755||383.14||TREAT FINGER FRACTURE - EACH 60001|26756||586.31||PIN FINGER FRACTURE - EACH 60001|26765||698.37||TREAT FINGER FRACTURE - EACH 60001|26770||352.84||TREAT FINGER DISLOCATION 60001|26775||483.06||TREAT FINGER DISLOCATION 60001|26776||620.66||PIN FINGER DISLOCATION 60001|26785||760.63||TREAT FINGER DISLOCATION 60001|26820||1095.11||THUMB FUSION WITH GRAFT 60001|26841||1012.86||FUSION OF THUMB 60001|26842||1101.28||THUMB FUSION WITH GRAFT 60001|26843||1024.95||FUSION OF HAND JOINT 60001|26844||1155.36||FUSION/GRAFT OF HAND JOINT 60001|26850||964.31||FUSION OF KNUCKLE 60001|26852||1108.55||FUSION OF KNUCKLE WITH GRAFT 60001|26860||779.54||FUSION OF FINGER JOINT 60001|26861||149.83||FUSION OF FINGER JNT - ADD-ON 60001|26862||1012.91||FUSION/GRAFT OF FINGER JOINT 60001|26863||332.72||FUSE/GRAFT ADDED JOINT 60001|26910||1004.77||AMPUTATE METACARPAL BONE 60001|26951||899.28||AMPUTATION OF FINGER/THUMB 60001|26952||902.14||AMPUTATION OF FINGER/THUMB 60001|26989||0||HAND/FINGER SURGERY 60001|26990||881.48||DRAINAGE OF PELVIS LESION 60001|26991||744.96||DRAINAGE OF PELVIS BURSA 60001|26992||1362.64||DRAINAGE OF BONE LESION 60001|27000||618.41||INCISION OF HIP TENDON 60001|27001||766.95||INCISION OF HIP TENDON 60001|27003||838.96||INCISION OF HIP TENDON 60001|27005||1033.41||INCISION OF HIP TENDON 60001|27006||1046.9||INCISION OF HIP TENDONS 60001|27025||1308.06||INCISION OF HIP/THIGH FASCIA 60001|27027||1197.64||BUTTOCK FASCIOTOMY 60001|27030||1333.72||DRAINAGE OF HIP JOINT 60001|27033||1389.93||EXPLORATION OF HIP JOINT 60001|27035||1481.72||DENERVATION OF HIP JOINT 60001|27036||1436.74||EXCISION OF HIP JOINT/MUSCLE 60001|27040||285.53||BIOPSY OF SOFT TISSUES 60001|27041||968.63||BIOPSY OF SOFT TISSUES 60001|27043||675.3||EXC HIP PELVIS LES SC > 3 CM 60001|27045||1076.51||EXC HIP/PELV TUM DEEP > 5 CM 60001|27047||531.17||REMOVE HIP/PELVIS LESION 60001|27048||859.92||REMOVE HIP/PELVIS LESION 60001|27049||2004.23||REMOVE TUMOR - HIP/PELVIS 60001|27050||549.7||BIOPSY OF SACROILIAC JOINT 60001|27052||812.98||BIOPSY OF HIP JOINT 60001|27054||970||REMOVAL OF HIP JOINT LINING 60001|27057||1346.07||BUTTOCK FASCIOTOMY W/DBRDMT 60001|27059||2657.96||RESECT HIP/PELV TUM > 5 CM 60001|27060||646.73||REMOVAL OF ISCHIAL BURSA 60001|27062||642.84||REMOVE FEMUR LESION/BURSA 60001|27065||720.13||REMOVAL OF HIP BONE LESION 60001|27066||1152.89||REMOVAL OF HIP BONE LESION 60001|27067||1471.7||REMOVE/GRAFT HIP BONE LESION 60001|27070||1210.81||PARTIAL REMOVAL OF HIP BONE 60001|27071||1300.21||PARTIAL REMOVAL OF HIP BONE 60001|27075||3019.16||EXTENSIVE HIP SURGERY 60001|27076||3557.04||EXTENSIVE HIP SURGERY 60001|27077||4053.61||EXTENSIVE HIP SURGERY 60001|27078||2864.18||EXTENSIVE HIP SURGERY 60001|27080||718.45||REMOVAL OF TAIL BONE 60001|27086||210.83||REMOVE HIP FOREIGN BODY 60001|27087||898.62||REMOVE HIP FOREIGN BODY 60001|27090||1181.72||REMOVAL OF HIP PROSTHESIS 60001|27091||2291.34||REMOVAL OF HIP PROSTHESIS 60001|27093||101.43||INJECTION FOR HIP X-RAY 60001|27095||118.12||INJECTION FOR HIP X-RAY 60001|27096||118.4||INJECT SACROILIAC JOINT 60001|27097||960.7||REVISION OF HIP TENDON 60001|27098||964.2||TRANSFER TENDON TO PELVIS 60001|27100||1169.77||TRANSFER OF ABDOMINAL MUSCLE 60001|27105||1229.02||TRANSFER OF SPINAL MUSCLE 60001|27110||1374.31||TRANSFER OF ILIOPSOAS MUSCLE 60001|27111||1181.22||TRANSFER OF ILIOPSOAS MUSCLE 60001|27120||1846.48||RECONSTRUCTION OF HIP SOCKET 60001|27122||1574.13||RECONSTRUCTION OF HIP SOCKET 60001|27125||1617.98||PARTIAL HIP REPLACEMENT 60001|27130||2067.24||TOTAL HIP ARTHROPLASTY 60001|27132||2409.67||TOTAL HIP ARTHROPLASTY 60001|27134||2766.9||REVISE HIP JOINT REPLACEMENT 60001|27137||2119.92||REVISE HIP JOINT REPLACEMENT 60001|27138||2206.15||REVISE HIP JOINT REPLACEMENT 60001|27140||1276.23||TRANSPLANT FEMUR RIDGE 60001|27146||1828.63||INCISION OF HIP BONE 60001|27147||2101.79||REVISION OF HIP BONE 60001|27151||2255.24||INCISION OF HIP BONES 60001|27156||2453.9||REVISION OF HIP BONES 60001|27158||1997.1||REVISION OF PELVIS 60001|27161||1737.63||INCISION OF NECK OF FEMUR 60001|27165||1963.6||INCISION/FIXATION OF FEMUR 60001|27170||1684.76||REPAIR/GRAFT FEMUR HEAD/NECK 60001|27175||946.65||TREAT SLIPPED EPIPHYSIS 60001|27176||1304.08||TREAT SLIPPED EPIPHYSIS 60001|27177||1586.52||TREAT SLIPPED EPIPHYSIS 60001|27178||1301.78||TREAT SLIPPED EPIPHYSIS 60001|27179||1388.24||REVISE HEAD/NECK OF FEMUR 60001|27181||1597.58||TREAT SLIPPED EPIPHYSIS 60001|27185||942.88||REVISION OF FEMUR EPIPHYSIS 60001|27187||1414.88||REINFORCE HIP BONES 60001|27197||180.34||CLSD TX PELVIC RING FX 60001|27198||459.73||CLSD TX PELVIC RING FX 60001|27200||258.12||TREAT TAIL BONE FRACTURE 60001|27202||793.14||TREAT TAIL BONE FRACTURE 60001|27215||881.27||TREAT PELVIC FRACTURE(S) 60001|27216||1305.97||TREAT PELVIC RING FRACTURE 60001|27217||1228.7||TREAT PELVIC RING FRACTURE 60001|27218||1691.7||TREAT PELVIC RING FRACTURE 60001|27220||741.38||TREAT HIP SOCKET FRACTURE 60001|27222||1394.48||TREAT HIP SOCKET FRACTURE 60001|27226||1506.19||TREAT HIP WALL FRACTURE 60001|27227||2382.92||TREAT HIP FRACTURE(S) 60001|27228||2722.7||TREAT HIP FRACTURE(S) 60001|27230||662.42||TREAT THIGH FRACTURE 60001|27232||1094.24||TREAT THIGH FRACTURE 60001|27235||1296.7||TREAT THIGH FRACTURE 60001|27236||1709.98||TREAT THIGH FRACTURE 60001|27238||646.96||TREAT THIGH FRACTURE 60001|27240||1367.14||TREAT THIGH FRACTURE 60001|27244||1758.95||TREAT THIGH FRACTURE 60001|27245||1768.12||TREAT THIGH FRACTURE 60001|27246||544.21||TREAT THIGH FRACTURE 60001|27248||1063.93||TREAT THIGH FRACTURE 60001|27250||281.34||TREAT HIP DISLOCATION 60001|27252||1081.77||TREAT HIP DISLOCATION 60001|27253||1343.9||TREAT HIP DISLOCATION 60001|27254||1817.71||TREAT HIP DISLOCATION 60001|27256||341.63||TREAT HIP DISLOCATION 60001|27257||479.29||TREAT HIP DISLOCATION 60001|27258||1582.45||TREAT HIP DISLOCATION 60001|27259||2218.37||TREAT HIP DISLOCATION 60001|27265||564.23||TREAT HIP DISLOCATION 60001|27266||822.73||TREAT HIP DISLOCATION 60001|27267||610.76||CLTX THIGH FX 60001|27268||753.09||CLTX THIGH FX W/MNPJ 60001|27269||1768.81||OPTX THIGH FX 60001|27275||253.84||MANIPULATION OF HIP JOINT 60001|27279||824.64||ARTHRODESIS SACROILIAC JOINT 60001|27280||1472.86||FUSION OF SACROILIAC JOINT 60001|27282||1198.17||FUSION OF PUBIC BONES 60001|27284||2296.64||FUSION OF HIP JOINT 60001|27286||2370.6||FUSION OF HIP JOINT 60001|27290||2308.96||AMPUTATION OF LEG AT HIP 60001|27295||1808.59||AMPUTATION OF LEG AT HIP 60001|27299||0||PELVIS/HIP JOINT SURGERY 60001|27301||710.92||DRAIN THIGH/KNEE LESION 60001|27303||906.28||DRAINAGE OF BONE LESION 60001|27305||675.48||INCISE THIGH TENDON & FASCIA 60001|27306||505.23||INCISION OF THIGH TENDON 60001|27307||672.53||INCISION OF THIGH TENDONS 60001|27310||1037.62||EXPLORATION OF KNEE JOINT 60001|27323||253.93||BIOPSY - THIGH SOFT TISSUES 60001|27324||553.28||BIOPSY - THIGH SOFT TISSUES 60001|27325||726.48||NEURECTOMY - HAMSTRING 60001|27326||716.03||NEURECTOMY - POPLITEAL 60001|27327||446.87||REMOVAL OF THIGH LESION 60001|27328||867.26||REMOVAL OF THIGH LESION 60001|27329||1520.4||REMOVE TUMOR - THIGH/KNEE 60001|27330||577.33||BIOPSY - KNEE JOINT LINING 60001|27331||671.37||EXPLORE/TREAT KNEE JOINT 60001|27332||906.25||REMOVAL OF KNEE CARTILAGE 60001|27333||826.09||REMOVAL OF KNEE CARTILAGE 60001|27334||968.98||REMOVE KNEE JOINT LINING 60001|27335||1086.5||REMOVE KNEE JOINT LINING 60001|27337||602.07||EXC THIGH/KNEE LES SC > 3 CM 60001|27339||1076.97||EXC THIGH/KNEE TUM DEEP >5CM 60001|27340||520.32||REMOVAL OF KNEECAP BURSA 60001|27345||680.94||REMOVAL OF KNEE CYST 60001|27347||745.43||REMOVE KNEE CYST 60001|27350||923.4||REMOVAL OF KNEECAP 60001|27355||854.23||REMOVE FEMUR LESION 60001|27356||1046.35||REMOVE FEMUR LESION/GRAFT 60001|27357||1154.98||REMOVE FEMUR LESION/GRAFT 60001|27358||404.28||REMOVE FEMUR LESION/FIXATION 60001|27360||1211.19||PARTIAL REMOVAL - LEG BONE(S) 60001|27364||2296.58||RESECT THIGH/KNEE TUM >5 CM 60001|27365||2885.76||EXTENSIVE LEG SURGERY 60001|27370||75.79||INJECTION FOR KNEE X-RAY 60001|27372||572.02||REMOVAL OF FOREIGN BODY 60001|27380||839.73||REPAIR OF KNEECAP TENDON 60001|27381||1134.89||REPAIR/GRAFT KNEECAP TENDON 60001|27385||815.31||REPAIR OF THIGH MUSCLE 60001|27386||1179.57||REPAIR/GRAFT OF THIGH MUSCLE 60001|27390||629.25||INCISION OF THIGH TENDON 60001|27391||813.36||INCISION OF THIGH TENDONS 60001|27392||1005.32||INCISION OF THIGH TENDONS 60001|27393||719.44||LENGTHENING OF THIGH TENDON 60001|27394||923.17||LENGTHENING OF THIGH TENDONS 60001|27395||1247.12||LENGTHENING OF THIGH TENDONS 60001|27396||870.64||TRANSPLANT OF THIGH TENDON 60001|27397||1297.56||TRANSPLANTS OF THIGH TENDONS 60001|27400||981.68||REVISE THIGH MUSCLES/TENDONS 60001|27403||908.94||REPAIR OF KNEE CARTILAGE 60001|27405||960.6||REPAIR OF KNEE LIGAMENT 60001|27407||1116.59||REPAIR OF KNEE LIGAMENT 60001|27409||1372.61||REPAIR OF KNEE LIGAMENTS 60001|27412||2363.2||AUTOCHONDROCYTE IMPLANT KNEE 60001|27415||1956.96||OSTEOCHONDRAL KNEE ALLOGRAFT 60001|27416||1391.12||OSTEOCHONDRAL KNEE AUTOGRAFT 60001|27418||1185.33||REPAIR DEGENERATED KNEECAP 60001|27420||1056||REVISION OF UNSTABLE KNEECAP 60001|27422||1056.64||REVISION OF UNSTABLE KNEECAP 60001|27424||1060.02||REVISION/REMOVAL OF KNEECAP 60001|27425||628.48||LAT RETINACULAR RELEASE OPEN 60001|27427||1020.87||RECONSTRUCTION - KNEE 60001|27428||1585.12||RECONSTRUCTION - KNEE 60001|27429||1778.85||RECONSTRUCTION - KNEE 60001|27430||1051.79||REVISION OF THIGH MUSCLES 60001|27435||1146.11||INCISION OF KNEE JOINT 60001|27437||936.85||REVISE KNEECAP 60001|27438||1197.95||REVISE KNEECAP WITH IMPLANT 60001|27440||1122.95||REVISION OF KNEE JOINT 60001|27441||1160.26||REVISION OF KNEE JOINT 60001|27442||1238.18||REVISION OF KNEE JOINT 60001|27443||1160.02||REVISION OF KNEE JOINT 60001|27445||1792.83||REVISION OF KNEE JOINT 60001|27446||1584.46||REVISION OF KNEE JOINT 60001|27447||2208.23||TOTAL KNEE ARTHROPLASTY 60001|27448||1167.04||INCISION OF THIGH 60001|27450||1450.94||INCISION OF THIGH 60001|27454||1850.16||REALIGNMENT OF THIGH BONE 60001|27455||1340.4||REALIGNMENT OF KNEE 60001|27457||1373.43||REALIGNMENT OF KNEE 60001|27465||1780.12||SHORTENING OF THIGH BONE 60001|27466||1687.55||LENGTHENING OF THIGH BONE 60001|27468||1915.54||SHORTEN/LENGTHEN THIGHS 60001|27470||1684.94||REPAIR OF THIGH 60001|27472||1813.31||REPAIR/GRAFT OF THIGH 60001|27475||936.85||SURGERY TO STOP LEG GROWTH 60001|27477||1039.31||SURGERY TO STOP LEG GROWTH 60001|27479||1231.76||SURGERY TO STOP LEG GROWTH 60001|27485||950.79||SURGERY TO STOP LEG GROWTH 60001|27486||2018.6||REVISE/REPLACE KNEE JOINT 60001|27487||2531.2||REVISE/REPLACE KNEE JOINT 60001|27488||1718.64||REMOVAL OF KNEE PROSTHESIS 60001|27495||1613.75||REINFORCE THIGH 60001|27496||754.88||DECOMPRESSION OF THIGH/KNEE 60001|27497||812.73||DECOMPRESSION OF THIGH/KNEE 60001|27498||906.89||DECOMPRESSION OF THIGH/KNEE 60001|27499||914.37||DECOMPRESSION OF THIGH/KNEE 60001|27500||675.18||TREATMENT OF THIGH FRACTURE 60001|27501||704.47||TREATMENT OF THIGH FRACTURE 60001|27502||1110.16||TREATMENT OF THIGH FRACTURE 60001|27503||1139.5||TREATMENT OF THIGH FRACTURE 60001|27506||1913.78||TREATMENT OF THIGH FRACTURE 60001|27507||1395.65||TREATMENT OF THIGH FRACTURE 60001|27508||695.26||TREATMENT OF THIGH FRACTURE 60001|27509||910.91||TREATMENT OF THIGH FRACTURE 60001|27510||987.85||TREATMENT OF THIGH FRACTURE 60001|27511||1437.16||TREATMENT OF THIGH FRACTURE 60001|27513||1793.76||TREATMENT OF THIGH FRACTURE 60001|27514||1400.87||TREATMENT OF THIGH FRACTURE 60001|27516||664.88||TREAT THIGH FX GROWTH PLATE 60001|27517||969.52||TREAT THIGH FX GROWTH PLATE 60001|27519||1283.86||TREAT THIGH FX GROWTH PLATE 60001|27520||409.2||TREAT KNEECAP FRACTURE 60001|27524||1070.83||TREAT KNEECAP FRACTURE 60001|27530||397.42||TREAT KNEE FRACTURE 60001|27532||816.89||TREAT KNEE FRACTURE 60001|27535||1290.23||TREAT KNEE FRACTURE 60001|27536||1701.89||TREAT KNEE FRACTURE 60001|27538||620.39||TREAT KNEE FRACTURE(S) 60001|27540||1161.24||TREAT KNEE FRACTURE 60001|27550||648.12||TREAT KNEE DISLOCATION 60001|27552||885.47||TREAT KNEE DISLOCATION 60001|27556||1262.79||TREAT KNEE DISLOCATION 60001|27557||1511.67||TREAT KNEE DISLOCATION 60001|27558||1720.23||TREAT KNEE DISLOCATION 60001|27560||488.68||TREAT KNEECAP DISLOCATION 60001|27562||674.37||TREAT KNEECAP DISLOCATION 60001|27566||1270.8||TREAT KNEECAP DISLOCATION 60001|27570||211.12||FIXATION OF KNEE JOINT 60001|27580||2058.85||FUSION OF KNEE 60001|27590||1193.37||AMPUTATE LEG AT THIGH 60001|27591||1266.83||AMPUTATE LEG AT THIGH 60001|27592||1008.92||AMPUTATE LEG AT THIGH 60001|27594||743.2||AMPUTATION FOLLOW-UP SURGERY 60001|27596||1057.39||AMPUTATION FOLLOW-UP SURGERY 60001|27598||1073.42||AMPUTATE LOWER LEG AT KNEE 60001|27599||0||LEG SURGERY PROCEDURE 60001|27600||603.25||DECOMPRESSION OF LOWER LEG 60001|27601||628.11||DECOMPRESSION OF LOWER LEG 60001|27602||733.87||DECOMPRESSION OF LOWER LEG 60001|27603||559.25||DRAIN LOWER LEG LESION 60001|27604||479.46||DRAIN LOWER LEG BURSA 60001|27605||268.35||INCISION OF ACHILLES TENDON 60001|27606||410.75||INCISION OF ACHILLES TENDON 60001|27607||875.34||TREAT LOWER LEG BONE LESION 60001|27610||929.88||EXPLORE/TREAT ANKLE JOINT 60001|27612||797.05||EXPLORATION OF ANKLE JOINT 60001|27613||235.32||BIOPSY LOWER LEG SOFT TISSUE 60001|27614||583.8||BIOPSY LOWER LEG SOFT TISSUE 60001|27615||1501.52||REMOVE TUMOR - LOWER LEG 60001|27616||1858.67||RESECT LEG/ANKLE TUM > 5 CM 60001|27618||440.8||REMOVE LOWER LEG LESION 60001|27619||695.32||REMOVE LOWER LEG LESION 60001|27620||648.92||EXPLORE/TREAT ANKLE JOINT 60001|27625||820.08||REMOVE ANKLE JOINT LINING 60001|27626||905.25||REMOVE ANKLE JOINT LINING 60001|27630||524.84||REMOVAL OF TENDON LESION 60001|27632||599.2||EXC LEG/ANKLE LES SC > 3 CM 60001|27634||988.53||EXC LEG/ANKLE TUM DEEP >5 CM 60001|27635||842.34||REMOVE LOWER LEG BONE LESION 60001|27637||1080.11||REMOVE/GRAFT LEG BONE LESION 60001|27638||1104.06||REMOVE/GRAFT LEG BONE LESION 60001|27640||1202.33||PARTIAL REMOVAL OF TIBIA 60001|27641||961.61||PARTIAL REMOVAL OF FIBULA 60001|27645||2479.02||EXTENSIVE LOWER LEG SURGERY 60001|27646||2144.3||EXTENSIVE LOWER LEG SURGERY 60001|27647||1508.84||EXTENSIVE ANKLE/HEEL SURGERY 60001|27648||74.87||INJECTION FOR ANKLE X-RAY 60001|27650||950.29||REPAIR ACHILLES TENDON 60001|27652||1000.18||REPAIR/GRAFT ACHILLES TENDON 60001|27654||1013.55||REPAIR OF ACHILLES TENDON 60001|27656||545.39||REPAIR LEG FASCIA DEFECT 60001|27658||533.11||REPAIR OF LEG TENDON - EACH 60001|27659||700.09||REPAIR OF LEG TENDON - EACH 60001|27664||515.9||REPAIR OF LEG TENDON - EACH 60001|27665||591.08||REPAIR OF LEG TENDON - EACH 60001|27675||701.44||REPAIR LOWER LEG TENDONS 60001|27676||882.97||REPAIR LOWER LEG TENDONS 60001|27680||614.86||RELEASE OF LOWER LEG TENDON 60001|27681||765.09||RELEASE OF LOWER LEG TENDONS 60001|27685||662.98||REVISION OF LOWER LEG TENDON 60001|27686||794.25||REVISE LOWER LEG TENDONS 60001|27687||651.56||REVISION OF CALF TENDON 60001|27690||902.56||REVISE LOWER LEG TENDON 60001|27691||1071.13||REVISE LOWER LEG TENDON 60001|27692||155.6||REVISE ADDITIONAL LEG TENDON 60001|27695||689.43||REPAIR OF ANKLE LIGAMENT 60001|27696||806.63||REPAIR OF ANKLE LIGAMENTS 60001|27698||921.65||REPAIR OF ANKLE LIGAMENT 60001|27700||853.12||REVISION OF ANKLE JOINT 60001|27702||1395.47||RECONSTRUCT ANKLE JOINT 60001|27703||1629.48||RECONSTRUCTION - ANKLE JOINT 60001|27704||819.98||REMOVAL OF ANKLE IMPLANT 60001|27705||1088.94||INCISION OF TIBIA 60001|27707||568.66||INCISION OF FIBULA 60001|27709||1675.69||INCISION OF TIBIA & FIBULA 60001|27712||1574.33||REALIGNMENT OF LOWER LEG 60001|27715||1518.67||REVISION OF LOWER LEG 60001|27720||1251.4||REPAIR OF TIBIA 60001|27722||1262.01||REPAIR/GRAFT OF TIBIA 60001|27724||1823.41||REPAIR/GRAFT OF TIBIA 60001|27725||1735.48||REPAIR OF LOWER LEG 60001|27726||1376.45||REPAIR FIBULA NONUNION 60001|27727||1456.33||REPAIR OF LOWER LEG 60001|27730||827.36||REPAIR OF TIBIA EPIPHYSIS 60001|27732||546.8||REPAIR OF FIBULA EPIPHYSIS 60001|27734||859.39||REPAIR LOWER LEG EPIPHYSES 60001|27740||892.89||REPAIR OF LEG EPIPHYSES 60001|27742||1077.76||REPAIR OF LEG EPIPHYSES 60001|27745||1077.43||REINFORCE TIBIA 60001|27750||441.71||TREATMENT OF TIBIA FRACTURE 60001|27752||702.52||TREATMENT OF TIBIA FRACTURE 60001|27756||816.33||TREATMENT OF TIBIA FRACTURE 60001|27758||1269.38||TREATMENT OF TIBIA FRACTURE 60001|27759||1428.47||TREATMENT OF TIBIA FRACTURE 60001|27760||424.3||TREATMENT OF ANKLE FRACTURE 60001|27762||621.02||TREATMENT OF ANKLE FRACTURE 60001|27766||864.55||TREATMENT OF ANKLE FRACTURE 60001|27767||390.47||CLTX POST ANKLE FX 60001|27768||608.77||CLTX POST ANKLE FX W/MNPJ 60001|27769||1033.81||OPTX POST ANKLE FX 60001|27780||385.55||TREATMENT OF FIBULA FRACTURE 60001|27781||554.33||TREATMENT OF FIBULA FRACTURE 60001|27784||1016.06||TREATMENT OF FIBULA FRACTURE 60001|27786||398.02||TREATMENT OF ANKLE FRACTURE 60001|27788||544.92||TREATMENT OF ANKLE FRACTURE 60001|27792||932.53||TREATMENT OF ANKLE FRACTURE 60001|27808||416.9||TREATMENT OF ANKLE FRACTURE 60001|27810||606.49||TREATMENT OF ANKLE FRACTURE 60001|27814||1101.49||TREATMENT OF ANKLE FRACTURE 60001|27816||397.36||TREATMENT OF ANKLE FRACTURE 60001|27818||618.1||TREATMENT OF ANKLE FRACTURE 60001|27822||1201.48||TREATMENT OF ANKLE FRACTURE 60001|27823||1364.91||TREATMENT OF ANKLE FRACTURE 60001|27824||423.02||TREAT LOWER LEG FRACTURE 60001|27825||703.9||TREAT LOWER LEG FRACTURE 60001|27826||1183.46||TREAT LOWER LEG FRACTURE 60001|27827||1546.33||TREAT LOWER LEG FRACTURE 60001|27828||1853.81||TREAT LOWER LEG FRACTURE 60001|27829||969.52||TREAT LOWER LEG JOINT 60001|27830||488.98||TREAT LOWER LEG DISLOCATION 60001|27831||555.58||TREAT LOWER LEG DISLOCATION 60001|27832||1061.01||TREAT LOWER LEG DISLOCATION 60001|27840||516.23||TREAT ANKLE DISLOCATION 60001|27842||698.47||TREAT ANKLE DISLOCATION 60001|27846||1048.23||TREAT ANKLE DISLOCATION 60001|27848||1168.77||TREAT ANKLE DISLOCATION 60001|27860||251.46||FIXATION OF ANKLE JOINT 60001|27870||1488.88||FUSION OF ANKLE JOINT - OPEN 60001|27871||988.29||FUSION OF TIBIOFIBULAR JOINT 60001|27880||1349.63||AMPUTATION OF LOWER LEG 60001|27881||1274.75||AMPUTATION OF LOWER LEG 60001|27882||895.6||AMPUTATION OF LOWER LEG 60001|27884||843.94||AMPUTATION FOLLOW-UP SURGERY 60001|27886||969.22||AMPUTATION FOLLOW-UP SURGERY 60001|27888||988.61||AMPUTATION OF FOOT AT ANKLE 60001|27889||976.3||AMPUTATION OF FOOT AT ANKLE 60001|27892||800.35||DECOMPRESSION OF LEG 60001|27893||852.47||DECOMPRESSION OF LEG 60001|27894||1242.42||DECOMPRESSION OF LEG 60001|27899||0||LEG/ANKLE SURGERY PROCEDURE 60001|28001||243.16||DRAINAGE OF BURSA OF FOOT 60001|28002||473.46||TREATMENT OF FOOT INFECTION 60001|28003||810.35||TREATMENT OF FOOT INFECTION 60001|28005||842.53||TREAT FOOT BONE LESION 60001|28008||421.58||INCISION OF FOOT FASCIA 60001|28010||299.23||INCISION OF TOE TENDON 60001|28011||421.46||INCISION OF TOE TENDONS 60001|28020||507.88||EXPLORATION OF FOOT JOINT 60001|28022||460.44||EXPLORATION OF FOOT JOINT 60001|28024||431.78||EXPLORATION OF TOE JOINT 60001|28035||509.64||DECOMPRESSION OF TIBIA NERVE 60001|28039||513.67||EXC FOOT/TOE TUM SC > 1.5 CM 60001|28041||676||EXC FOOT/TOE TUM DEEP >1.5CM 60001|28043||378.38||EXCISION OF FOOT LESION 60001|28045||504.23||EXCISION OF FOOT LESION 60001|28046||1089.38||RESECTION OF TUMOR - FOOT 60001|28047||1519.95||RESECT FOOT/TOE TUMOR > 3 CM 60001|28050||433.35||BIOPSY OF FOOT JOINT LINING 60001|28052||399.69||BIOPSY OF FOOT JOINT LINING 60001|28054||341.32||BIOPSY OF TOE JOINT LINING 60001|28055||542.03||NEURECTOMY - FOOT 60001|28060||506.23||PARTIAL REMOVAL - FOOT FASCIA 60001|28062||585.03||REMOVAL OF FOOT FASCIA 60001|28070||504.97||REMOVAL OF FOOT JOINT LINING 60001|28072||484.96||REMOVAL OF FOOT JOINT LINING 60001|28080||514.79||REMOVAL OF FOOT LESION 60001|28086||511.35||EXCISE FOOT TENDON SHEATH 60001|28088||423.65||EXCISE FOOT TENDON SHEATH 60001|28090||439.82||REMOVAL OF FOOT LESION 60001|28092||385.24||REMOVAL OF TOE LESIONS 60001|28100||578.96||REMOVAL OF ANKLE/HEEL LESION 60001|28102||680.39||REMOVE/GRAFT FOOT LESION 60001|28103||574.68||REMOVE/GRAFT FOOT LESION 60001|28104||495.42||REMOVAL OF FOOT LESION 60001|28106||624.16||REMOVE/GRAFT FOOT LESION 60001|28107||507.77||REMOVE/GRAFT FOOT LESION 60001|28108||408.1||REMOVAL OF TOE LESIONS 60001|28110||412.32||PART REMOVAL OF METATARSAL 60001|28111||477.51||PART REMOVAL OF METATARSAL 60001|28112||449.93||PART REMOVAL OF METATARSAL 60001|28113||608.18||PART REMOVAL OF METATARSAL 60001|28114||1194.73||REMOVAL OF METATARSAL HEADS 60001|28116||821.15||REVISION OF FOOT 60001|28118||588.76||REMOVAL OF HEEL BONE 60001|28119||516.68||REMOVAL OF HEEL SPUR 60001|28120||700.29||PART REMOVAL OF ANKLE/HEEL 60001|28122||640.13||PARTIAL REMOVAL OF FOOT BONE 60001|28124||471.41||PARTIAL REMOVAL OF TOE 60001|28126||356.01||PARTIAL REMOVAL OF TOE 60001|28130||944.54||REMOVAL OF ANKLE BONE 60001|28140||641.93||REMOVAL OF METATARSAL 60001|28150||405.97||REMOVAL OF TOE 60001|28153||377.98||PARTIAL REMOVAL OF TOE 60001|28160||387.58||PARTIAL REMOVAL OF TOE 60001|28171||1220.75||EXTENSIVE FOOT SURGERY 60001|28173||1106.37||EXTENSIVE FOOT SURGERY 60001|28175||695.45||EXTENSIVE FOOT SURGERY 60001|28190||191.42||REMOVAL OF FOOT FOREIGN BODY 60001|28192||452.49||REMOVAL OF FOOT FOREIGN BODY 60001|28193||535||REMOVAL OF FOOT FOREIGN BODY 60001|28200||451.77||REPAIR OF FOOT TENDON 60001|28202||609.07||REPAIR/GRAFT OF FOOT TENDON 60001|28208||438.71||REPAIR OF FOOT TENDON 60001|28210||583.74||REPAIR/GRAFT OF FOOT TENDON 60001|28220||432.54||RELEASE OF FOOT TENDON 60001|28222||505.75||RELEASE OF FOOT TENDONS 60001|28225||368.67||RELEASE OF FOOT TENDON 60001|28226||443.91||RELEASE OF FOOT TENDONS 60001|28230||405.68||INCISION OF FOOT TENDON(S) 60001|28232||353.04||INCISION OF TOE TENDON 60001|28234||378.42||INCISION OF FOOT TENDON 60001|28238||708.95||REVISION OF FOOT TENDON 60001|28240||417.39||RELEASE OF BIG TOE 60001|28250||571.9||REVISION OF FOOT FASCIA 60001|28260||745.71||RELEASE OF MIDFOOT JOINT 60001|28261||1110.08||REVISION OF FOOT TENDON 60001|28262||1659.97||REVISION OF FOOT AND ANKLE 60001|28264||1019.08||RELEASE OF MIDFOOT JOINT 60001|28270||478.05||RELEASE OF FOOT CONTRACTURE 60001|28272||363.84||RELEASE OF TOE JOINT - EACH 60001|28280||512.38||FUSION OF TOES 60001|28285||528.91||REPAIR OF HAMMERTOE 60001|28286||431.75||REPAIR OF HAMMERTOE 60001|28288||615.57||PARTIAL REMOVAL OF FOOT BONE 60001|28289||787.11||REPAIR HALLUX RIGIDUS 60001|28291||1138.03||CORRJ HALUX RIGDUS W/IMPLT 60001|28292||857.69||CORRECTION OF BUNION 60001|28295||1458.88||CORRECTION HALLUX VALGUS 60001|28296||749.34||CORRECTION OF BUNION 60001|28297||847.77||CORRECTION OF BUNION 60001|28298||723.61||CORRECTION OF BUNION 60001|28299||973.93||CORRECTION OF BUNION 60001|28300||943.52||INCISION OF HEEL BONE 60001|28302||1003.65||INCISION OF ANKLE BONE 60001|28304||854.13||INCISION OF MIDFOOT BONES 60001|28305||927.09||INCISE/GRAFT MIDFOOT BONES 60001|28306||581.33||INCISION OF METATARSAL 60001|28307||662.1||INCISION OF METATARSAL 60001|28308||533.81||INCISION OF METATARSAL 60001|28309||1272.69||INCISION OF METATARSALS 60001|28310||506.2||REVISION OF BIG TOE 60001|28312||456.17||REVISION OF TOE 60001|28313||512.04||REPAIR DEFORMITY OF TOE 60001|28315||464.19||REMOVAL OF SESAMOID BONE 60001|28320||884||REPAIR OF FOOT BONES 60001|28322||826.77||REPAIR OF METATARSALS 60001|28340||600.17||RESECT ENLARGED TOE TISSUE 60001|28341||713.99||RESECT ENLARGED TOE 60001|28344||447.08||REPAIR EXTRA TOE(S) 60001|28345||533.99||REPAIR WEBBED TOE(S) 60001|28360||1523.59||RECONSTRUCT CLEFT FOOT 60001|28400||317.03||TREATMENT OF HEEL FRACTURE 60001|28405||496.09||TREATMENT OF HEEL FRACTURE 60001|28406||750.28||TREATMENT OF HEEL FRACTURE 60001|28415||1595.69||TREAT HEEL FRACTURE 60001|28420||1771.85||TREAT/GRAFT HEEL FRACTURE 60001|28430||291.32||TREATMENT OF ANKLE FRACTURE 60001|28435||370.23||TREATMENT OF ANKLE FRACTURE 60001|28436||625.8||TREATMENT OF ANKLE FRACTURE 60001|28445||1531.94||TREAT ANKLE FRACTURE 60001|28446||1737.6||OSTEOCHONDRAL TALUS AUTOGRFT 60001|28450||269.16||TREAT MIDFOOT FRACTURE - EACH 60001|28455||368.75||TREAT MIDFOOT FRACTURE - EACH 60001|28456||432.97||TREAT MIDFOOT FRACTURE 60001|28465||881.76||TREAT MIDFOOT FRACTURE - EACH 60001|28470||267.37||TREAT METATARSAL FRACTURE 60001|28475||326.65||TREAT METATARSAL FRACTURE 60001|28476||487.67||TREAT METATARSAL FRACTURE 60001|28485||751.77||TREAT METATARSAL FRACTURE 60001|28490||172.77||TREAT BIG TOE FRACTURE 60001|28495||211.71||TREAT BIG TOE FRACTURE 60001|28496||322.01||TREAT BIG TOE FRACTURE 60001|28505||710.48||TREAT BIG TOE FRACTURE 60001|28510||165.4||TREATMENT OF TOE FRACTURE 60001|28515||198.21||TREATMENT OF TOE FRACTURE 60001|28525||569.99||TREAT TOE FRACTURE 60001|28530||142.12||TREAT SESAMOID BONE FRACTURE 60001|28531||274.11||TREAT SESAMOID BONE FRACTURE 60001|28540||258.41||TREAT FOOT DISLOCATION 60001|28545||355.42||TREAT FOOT DISLOCATION 60001|28546||465.3||TREAT FOOT DISLOCATION 60001|28555||960.98||REPAIR FOOT DISLOCATION 60001|28570||198.25||TREAT FOOT DISLOCATION 60001|28575||455.7||TREAT FOOT DISLOCATION 60001|28576||545.72||TREAT FOOT DISLOCATION 60001|28585||1006.81||REPAIR FOOT DISLOCATION 60001|28600||262.21||TREAT FOOT DISLOCATION 60001|28605||398.74||TREAT FOOT DISLOCATION 60001|28606||557.8||TREAT FOOT DISLOCATION 60001|28615||1128.54||REPAIR FOOT DISLOCATION 60001|28630||156.64||TREAT TOE DISLOCATION 60001|28635||193.48||TREAT TOE DISLOCATION 60001|28636||280.49||TREAT TOE DISLOCATION 60001|28645||687.35||REPAIR TOE DISLOCATION 60001|28660||125.72||TREAT TOE DISLOCATION 60001|28665||188.98||TREAT TOE DISLOCATION 60001|28666||271.86||TREAT TOE DISLOCATION 60001|28675||584.27||REPAIR OF TOE DISLOCATION 60001|28705||1848.84||FUSION OF FOOT BONES 60001|28715||1339.26||FUSION OF FOOT BONES 60001|28725||1099.55||FUSION OF FOOT BONES 60001|28730||1060.96||FUSION OF FOOT BONES 60001|28735||1135.61||FUSION OF FOOT BONES 60001|28737||980.5||REVISION OF FOOT BONES 60001|28740||899.12||FUSION OF FOOT BONES 60001|28750||856.78||FUSION OF BIG TOE JOINT 60001|28755||470.94||FUSION OF BIG TOE JOINT 60001|28760||827.26||FUSION OF BIG TOE JOINT 60001|28800||797.87||AMPUTATION OF MIDFOOT 60001|28805||1089.6||AMPUTATION THRU METATARSAL 60001|28810||636.09||AMPUTATION TOE & METATARSAL 60001|28820||568.5||AMPUTATION OF TOE 60001|28825||538.95||PARTIAL AMPUTATION OF TOE 60001|28890||322.48||HIGH ENERGY ESWT - PLANTAR F 60001|28899||0||FOOT/TOES SURGERY PROCEDURE 60001|29000||247.2||APPLICATION OF BODY CAST 60001|29010||201.6||APPLICATION OF BODY CAST 60001|29015||249.3||APPLICATION OF BODY CAST 60001|29035||202.76||APPLICATION OF BODY CAST 60001|29040||213.94||APPLICATION OF BODY CAST 60001|29044||236.33||APPLICATION OF BODY CAST 60001|29046||256.28||APPLICATION OF BODY CAST 60001|29049||96.61||APPLICATION OF FIGURE EIGHT 60001|29055||195.03||APPLICATION OF SHOULDER CAST 60001|29058||113.54||APPLICATION OF SHOULDER CAST 60001|29065||96.93||APPLICATION OF LONG ARM CAST 60001|29075||88.13||APPLICATION OF FOREARM CAST 60001|29085||94.61||APPLY HAND/WRIST CAST 60001|29086||71.67||APPLY FINGER CAST 60001|29105||84.52||APPLY LONG ARM SPLINT 60001|29125||55.45||APPLY FOREARM SPLINT 60001|29126||69.26||APPLY FOREARM SPLINT 60001|29130||40.77||APPLICATION OF FINGER SPLINT 60001|29131||48.38||APPLICATION OF FINGER SPLINT 60001|29200||56.19||STRAPPING OF CHEST 60001|29240||61.54||STRAPPING OF SHOULDER 60001|29260||52.92||STRAPPING OF ELBOW OR WRIST 60001|29280||50.86||STRAPPING OF HAND OR FINGER 60001|29305||224.82||APPLICATION OF HIP CAST 60001|29325||253.02||APPLICATION OF HIP CASTS 60001|29345||144.33||APPLICATION OF LONG LEG CAST 60001|29355||153.75||APPLICATION OF LONG LEG CAST 60001|29358||147.73||APPLY LONG LEG CAST BRACE 60001|29365||125.25||APPLICATION OF LONG LEG CAST 60001|29405||85.03||APPLY SHORT LEG CAST 60001|29425||81.8||APPLY SHORT LEG CAST 60001|29435||122.04||APPLY SHORT LEG CAST 60001|29440||51.23||ADDITION OF WALKER TO CAST 60001|29445||153.14||APPLY RIGID LEG CAST 60001|29450||165.68||APPLICATION OF LEG CAST 60001|29505||69.33||APPLICATION - LONG LEG SPLINT 60001|29515||98.86||APPLICATION LOWER LEG SPLINT 60001|29520||51.01||STRAPPING OF HIP 60001|29530||53.48||STRAPPING OF KNEE 60001|29540||37.38||STRAPPING OF ANKLE AND/OR FT 60001|29550||27.91||STRAPPING OF TOES 60001|29580||51.11||APPLICATION OF PASTE BOOT 60001|29581||18.28||APPLY MULTLAY COMPRS LWR LEG 60001|29582||22.47||APPLY MULTLAY COMPRS UPR LEG 60001|29583||16.45||APPLY MULTLAY COMPRS UPR ARM 60001|29584||22.47||APPL MULTLAY COMPRS ARM/HAND 60001|29700||49.43||REMOVAL/REVISION OF CAST 60001|29705||67.41||REMOVAL/REVISION OF CAST 60001|29710||113.76||REMOVAL/REVISION OF CAST 60001|29720||62.41||REPAIR OF BODY CAST 60001|29730||64.59||WINDOWING OF CAST 60001|29740||93.68||WEDGING OF CAST 60001|29750||111.04||WEDGING OF CLUBFOOT CAST 60001|29799||0||CASTING/STRAPPING PROCEDURE 60001|29800||732.72||JAW ARTHROSCOPY/SURGERY 60001|29804||923.65||JAW ARTHROSCOPY/SURGERY 60001|29805||667.76||SHOULDER ARTHROSCOPY - DX 60001|29806||1516.18||SHOULDER ARTHROSCOPY/SURGERY 60001|29807||1476.43||SHOULDER ARTHROSCOPY/SURGERY 60001|29819||832.87||SHOULDER ARTHROSCOPY/SURGERY 60001|29820||767.31||SHOULDER ARTHROSCOPY/SURGERY 60001|29821||841.23||SHOULDER ARTHROSCOPY/SURGERY 60001|29822||817.64||SHOULDER ARTHROSCOPY/SURGERY 60001|29823||893.32||SHOULDER ARTHROSCOPY/SURGERY 60001|29824||962.32||SHOULDER ARTHROSCOPY/SURGERY 60001|29825||832.41||SHOULDER ARTHROSCOPY/SURGERY 60001|29826||256.77||SHOULDER ARTHROSCOPY/SURGERY 60001|29827||1540.68||ARTHROSCOP ROTATOR CUFF REPR 60001|29828||1316.37||ARTHROSCOPY BICEPS TENODESIS 60001|29830||644.03||ELBOW ARTHROSCOPY 60001|29834||699.19||ELBOW ARTHROSCOPY/SURGERY 60001|29835||717.76||ELBOW ARTHROSCOPY/SURGERY 60001|29836||828.38||ELBOW ARTHROSCOPY/SURGERY 60001|29837||752.45||ELBOW ARTHROSCOPY/SURGERY 60001|29838||840.18||ELBOW ARTHROSCOPY/SURGERY 60001|29840||643.85||WRIST ARTHROSCOPY 60001|29843||683.56||WRIST ARTHROSCOPY/SURGERY 60001|29844||708.77||WRIST ARTHROSCOPY/SURGERY 60001|29845||817.91||WRIST ARTHROSCOPY/SURGERY 60001|29846||741.07||WRIST ARTHROSCOPY/SURGERY 60001|29847||770.14||WRIST ARTHROSCOPY/SURGERY 60001|29848||721.42||WRIST ENDOSCOPY/SURGERY 60001|29850||797.01||KNEE ARTHROSCOPY/SURGERY 60001|29851||1328.39||KNEE ARTHROSCOPY/SURGERY 60001|29855||1118.84||TIBIAL ARTHROSCOPY/SURGERY 60001|29856||1422.53||TIBIAL ARTHROSCOPY/SURGERY 60001|29860||943.19||HIP ARTHROSCOPY - DX 60001|29861||1033.57||HIP ARTHROSCOPY/SURGERY 60001|29862||1163.27||HIP ARTHROSCOPY/SURGERY 60001|29863||1163.28||HIP ARTHROSCOPY/SURGERY 60001|29866||1493.45||AUTGRFT IMPLNT - KNEE W/SCOPE 60001|29867||1820.18||ALLGRFT IMPLNT - KNEE W/SCOPE 60001|29868||2394.51||MENISCAL TRNSPL - KNEE W/SCPE 60001|29870||582.9||KNEE ARTHROSCOPY - DX 60001|29871||728.24||KNEE ARTHROSCOPY/DRAINAGE 60001|29873||737.68||KNEE ARTHROSCOPY/SURGERY 60001|29874||764.46||KNEE ARTHROSCOPY/SURGERY 60001|29875||703.09||KNEE ARTHROSCOPY/SURGERY 60001|29876||932.36||KNEE ARTHROSCOPY/SURGERY 60001|29877||884.28||KNEE ARTHROSCOPY/SURGERY 60001|29879||942.66||KNEE ARTHROSCOPY/SURGERY 60001|29880||813.26||KNEE ARTHROSCOPY/SURGERY 60001|29881||779.62||KNEE ARTHROSCOPY/SURGERY 60001|29882||994.16||KNEE ARTHROSCOPY/SURGERY 60001|29883||1199.57||KNEE ARTHROSCOPY/SURGERY 60001|29884||882.34||KNEE ARTHROSCOPY/SURGERY 60001|29885||1067.2||KNEE ARTHROSCOPY/SURGERY 60001|29886||900.92||KNEE ARTHROSCOPY/SURGERY 60001|29887||1062.34||KNEE ARTHROSCOPY/SURGERY 60001|29888||1414.33||KNEE ARTHROSCOPY/SURGERY 60001|29889||1729.49||KNEE ARTHROSCOPY/SURGERY 60001|29891||980.4||ANKLE ARTHROSCOPY/SURGERY 60001|29892||918.52||ANKLE ARTHROSCOPY/SURGERY 60001|29893||607.25||SCOPE - PLANTAR FASCIOTOMY 60001|29894||732.92||ANKLE ARTHROSCOPY/SURGERY 60001|29895||697.25||ANKLE ARTHROSCOPY/SURGERY 60001|29897||737.38||ANKLE ARTHROSCOPY/SURGERY 60001|29898||816.91||ANKLE ARTHROSCOPY/SURGERY 60001|29899||1491.28||ANKLE ARTHROSCOPY/SURGERY 60001|29900||663.04||MCP JOINT ARTHROSCOPY - DX 60001|29901||757.04||MCP JOINT ARTHROSCOPY - SURG 60001|29902||847.24||MCP JOINT ARTHROSCOPY - SURG 60001|29904||900.88||SUBTALAR ARTHRO W/FB RMVL 60001|29905||973.97||SUBTALAR ARTHRO W/EXC 60001|29906||1025.14||SUBTALAR ARTHRO W/DEB 60001|29907||1241.29||SUBTALAR ARTHRO W/FUSION 60001|29914||1459.52||HIP ARTHRO W/FEMOROPLASTY 60001|29915||1486.98||HIP ARTHRO ACETABULOPLASTY 60001|29916||1486.98||HIP ARTHRO W/LABRAL REPAIR 60001|29999||0||ARTHROSCOPY OF JOINT 60001|30000||171.27||DRAINAGE OF NOSE LESION 60001|30020||171.23||DRAINAGE OF NOSE LESION 60001|30100||99.51||INTRANASAL BIOPSY 60001|30110||187.91||REMOVAL OF NOSE POLYP(S) 60001|30115||614.97||REMOVAL OF NOSE POLYP(S) 60001|30117||480.68||REMOVAL OF INTRANASAL LESION 60001|30118||1102.68||REMOVAL OF INTRANASAL LESION 60001|30120||630.89||REVISION OF NOSE 60001|30124||404.71||REMOVAL OF NOSE LESION 60001|30125||874.34||REMOVAL OF NOSE LESION 60001|30130||540.04||EXCISE INFERIOR TURBINATE 60001|30140||623.57||RESECT INFERIOR TURBINATE 60001|30150||1110.1||PARTIAL REMOVAL OF NOSE 60001|30160||1117.22||REMOVAL OF NOSE 60001|30200||86.28||INJECTION TREATMENT OF NOSE 60001|30210||142.73||NASAL SINUS THERAPY 60001|30220||181.01||INSERT NASAL SEPTAL BUTTON 60001|30300||178.74||REMOVE NASAL FOREIGN BODY 60001|30310||294.21||REMOVE NASAL FOREIGN BODY 60001|30320||645.87||REMOVE NASAL FOREIGN BODY 60001|30400||1452.94||RECONSTRUCTION OF NOSE 60001|30410||1833.5||RECONSTRUCTION OF NOSE 60001|30420||1968.27||RECONSTRUCTION OF NOSE 60001|30430||1325.49||REVISION OF NOSE 60001|30435||1621.23||REVISION OF NOSE 60001|30450||2176.77||REVISION OF NOSE 60001|30460||1091.63||REVISION OF NOSE 60001|30462||2255.62||REVISION OF NOSE 60001|30465||1410.86||REPAIR NASAL STENOSIS 60001|30520||888.84||REPAIR OF NASAL SEPTUM 60001|30540||979.95||REPAIR NASAL DEFECT 60001|30545||1321.23||REPAIR NASAL DEFECT 60001|30560||197.83||RELEASE OF NASAL ADHESIONS 60001|30580||712.97||REPAIR UPPER JAW FISTULA 60001|30600||621.05||REPAIR MOUTH/NOSE FISTULA 60001|30620||887.59||INTRANASAL RECONSTRUCTION 60001|30630||895.48||REPAIR NASAL SEPTUM DEFECT 60001|30801||193.67||ABLATE INF TURBINATE - SUPERF 60001|30802||272.12||CAUTERIZATION - INNER NOSE 60001|30901||83||CONTROL OF NOSEBLEED 60001|30903||117.49||CONTROL OF NOSEBLEED 60001|30905||148.72||CONTROL OF NOSEBLEED 60001|30906||193.45||REPEAT CONTROL OF NOSEBLEED 60001|30915||829.78||LIGATION - NASAL SINUS ARTERY 60001|30920||1200.05||LIGATION - UPPER JAW ARTERY 60001|30930||176.74||THER FX - NASAL INF TURBINATE 60001|30999||0||NASAL SURGERY PROCEDURE 60001|31000||149.05||IRRIGATION - MAXILLARY SINUS 60001|31002||285.24||IRRIGATION - SPHENOID SINUS 60001|31020||507.17||EXPLORATION - MAXILLARY SINUS 60001|31030||743.56||EXPLORATION - MAXILLARY SINUS 60001|31032||817.43||EXPLORE SINUS - REMOVE POLYPS 60001|31040||1090.11||EXPLORATION BEHIND UPPER JAW 60001|31050||694.73||EXPLORATION - SPHENOID SINUS 60001|31051||922.19||SPHENOID SINUS SURGERY 60001|31070||625.81||EXPLORATION OF FRONTAL SINUS 60001|31075||1121.5||EXPLORATION OF FRONTAL SINUS 60001|31080||1470.9||REMOVAL OF FRONTAL SINUS 60001|31081||2058.69||REMOVAL OF FRONTAL SINUS 60001|31084||1666.24||REMOVAL OF FRONTAL SINUS 60001|31085||1898.33||REMOVAL OF FRONTAL SINUS 60001|31086||1609.42||REMOVAL OF FRONTAL SINUS 60001|31087||1559.64||REMOVAL OF FRONTAL SINUS 60001|31090||1455.14||EXPLORATION OF SINUSES 60001|31200||786.22||REMOVAL OF ETHMOID SINUS 60001|31201||1056.12||REMOVAL OF ETHMOID SINUS 60001|31205||1267.48||REMOVAL OF ETHMOID SINUS 60001|31225||2683.12||REMOVAL OF UPPER JAW 60001|31230||2993.6||REMOVAL OF UPPER JAW 60001|31231||271.38||NASAL ENDOSCOPY - DX 60001|31233||200.24||NASAL/SINUS ENDOSCOPY - DX 60001|31235||235.7||NASAL/SINUS ENDOSCOPY - DX 60001|31237||264.6||NASAL/SINUS ENDOSCOPY - SURG 60001|31238||287.2||NASAL/SINUS ENDOSCOPY - SURG 60001|31239||976.63||NASAL/SINUS ENDOSCOPY - SURG 60001|31240||235.1||NASAL/SINUS ENDOSCOPY - SURG 60001|31241||677.93||NSL/SINS NDSC W/ARTERY LIG 60001|31253||759.38||NSL/SINS NDSC TOTAL 60001|31254||400.12||REVISION OF ETHMOID SINUS 60001|31255||586.81||REMOVAL OF ETHMOID SINUS 60001|31256||289.19||EXPLORATION MAXILLARY SINUS 60001|31257||675.72||NSL/SINS NDSC TOT W/SPHENDT 60001|31259||716.47||NSL/SINS NDSC SPHN TISS RMVL 60001|31267||465||ENDOSCOPY - MAXILLARY SINUS 60001|31276||741.01||SINUS ENDOSCOPY - SURGICAL 60001|31287||340.23||NASAL/SINUS ENDOSCOPY - SURG 60001|31288||394.72||NASAL/SINUS ENDOSCOPY - SURG 60001|31290||1687.32||NASAL/SINUS ENDOSCOPY - SURG 60001|31291||1792.53||NASAL/SINUS ENDOSCOPY - SURG 60001|31292||1457.26||NASAL/SINUS ENDOSCOPY - SURG 60001|31293||1582.18||NASAL/SINUS ENDOSCOPY - SURG 60001|31294||1813.5||NASAL/SINUS ENDOSCOPY - SURG 60001|31295||1950.96||SINUS ENDO W/BALLOON DIL 60001|31296||1979.37||SINUS ENDO W/BALLOON DIL 60001|31297||1944.33||SINUS ENDO W/BALLOON DIL 60001|31298||386.39||NSL/SINS NDSC W/SINS DILAT 60001|31299||0||SINUS SURGERY PROCEDURE 60001|31300||1814.92||REMOVAL OF LARYNX LESION 60001|31320||935.08||DIAGNOSTIC INCISION - LARYNX 60001|31360||2991.55||REMOVAL OF LARYNX 60001|31365||3707.23||REMOVAL OF LARYNX 60001|31367||3173.87||PARTIAL REMOVAL OF LARYNX 60001|31368||3521.17||PARTIAL REMOVAL OF LARYNX 60001|31370||2978.78||PARTIAL REMOVAL OF LARYNX 60001|31375||2825.81||PARTIAL REMOVAL OF LARYNX 60001|31380||2784.13||PARTIAL REMOVAL OF LARYNX 60001|31382||3056.66||PARTIAL REMOVAL OF LARYNX 60001|31390||4130.67||REMOVAL OF LARYNX & PHARYNX 60001|31395||4334.22||RECONSTRUCT LARYNX & PHARYNX 60001|31400||1436.33||REVISION OF LARYNX 60001|31420||1206.16||REMOVAL OF EPIGLOTTIS 60001|31500||161.16||INSERT EMERGENCY AIRWAY 60001|31502||50.72||CHANGE OF WINDPIPE AIRWAY 60001|31505||70.68||DIAGNOSTIC LARYNGOSCOPY 60001|31510||176.83||LARYNGOSCOPY WITH BIOPSY 60001|31511||189.16||REMOVE FOREIGN BODY - LARYNX 60001|31512||190.92||REMOVAL OF LARYNX LESION 60001|31513||193.37||INJECTION INTO VOCAL CORD 60001|31515||161.04||LARYNGOSCOPY FOR ASPIRATION 60001|31520||229.33||DX LARYNGOSCOPY - NEWBORN 60001|31525||233.83||DX LARYNGOSCOPY EXCL NB 60001|31526||231.21||DX LARYNGOSCOPY W/OPER SCOPE 60001|31527||286.33||LARYNGOSCOPY FOR TREATMENT 60001|31528||212.72||LARYNGOSCOPY AND DILATION 60001|31529||237.76||LARYNGOSCOPY AND DILATION 60001|31530||291.53||LARYNGOSCOPY W/FB REMOVAL 60001|31531||312.76||LARYNGOSCOPY W/FB & OP SCOPE 60001|31535||278.88||LARYNGOSCOPY W/BIOPSY 60001|31536||310.77||LARYNGOSCOPY W/BX & OP SCOPE 60001|31540||356.96||LARYNGOSCOPY W/EXC OF TUMOR 60001|31541||390.31||LARYNSCOP W/TUMR EXC + SCOPE 60001|31545||534.7||REMOVE VC LESION W/SCOPE 60001|31546||811.84||REMOVE VC LESION SCOPE/GRAFT 60001|31551||2193.16||LARYNGOPLASTY LARYNGEAL STEN 60001|31552||2217.38||LARYNGOPLASTY LARYNGEAL STEN 60001|31553||2417.64||LARYNGOPLASTY LARYNGEAL STEN 60001|31554||2545.76||LARYNGOPLASTY LARYNGEAL STEN 60001|31560||462.71||LARYNGOSCOP W/ARYTENOIDECTOM 60001|31561||505.52||LARYNSCOP - REMVE CART + SCOP 60001|31570||336.35||LARYNGOSCOPE W/VC INJ 60001|31571||367.79||LARYNGOSCOP W/VC INJ + SCOPE 60001|31572||761.74||LARGSC W/LASER DSTRJ LES 60001|31573||405.36||LARGSC W/THER INJECTION 60001|31574||1569.77||LARGSC W/NJX AUGMENTATION 60001|31575||110.45||DIAGNOSTIC LARYNGOSCOPY 60001|31576||180.27||LARYNGOSCOPY WITH BIOPSY 60001|31577||217.4||REMOVE FOREIGN BODY - LARYNX 60001|31578||250.99||REMOVAL OF LARYNX LESION 60001|31579||206.63||DIAGNOSTIC LARYNGOSCOPY 60001|31580||1753.16||REVISION OF LARYNX 60001|31584||2179.78||TREAT LARYNX FRACTURE 60001|31587||1449.72||REVISION OF LARYNX 60001|31590||1275.31||REINNERVATE LARYNX 60001|31591||1606.92||LARYNGOPLASTY MEDIALIZATION 60001|31592||2600.14||CRICOTRACHEAL RESECTION 60001|31595||1100.01||LARYNX NERVE SURGERY 60001|31599||0||LARYNX SURGERY PROCEDURE 60001|31600||580.76||INCISION OF WINDPIPE 60001|31601||380.68||INCISION OF WINDPIPE 60001|31603||326.59||INCISION OF WINDPIPE 60001|31605||267.14||INCISION OF WINDPIPE 60001|31610||1028.36||INCISION OF WINDPIPE 60001|31611||775.62||SURGERY/SPEECH PROSTHESIS 60001|31612||69.55||PUNCTURE/CLEAR WINDPIPE 60001|31613||647.34||REPAIR WINDPIPE OPENING 60001|31614||1081.1||REPAIR WINDPIPE OPENING 60001|31615||186.88||VISUALIZATION OF WINDPIPE 60001|31622||213.98||DX BRONCHOSCOPE/WASH 60001|31623||213.92||DX BRONCHOSCOPE/BRUSH 60001|31624||214.84||DX BRONCHOSCOPE/LAVAGE 60001|31625||249.05||BRONCHOSCOPY W/BIOPSY(S) 60001|31626||300.9||BRONCHOSCOPY W/MARKERS 60001|31627||139.01||NAVIGATIONAL BRONCHOSCOPY 60001|31628||276.54||BRONCHOSCOPY/LUNG BX - EACH 60001|31629||297.83||BRONCHOSCOPY/NEEDLE BX - EACH 60001|31630||296.6||BRONCHOSCOPY DILATE/FX REPR 60001|31631||336.77||BRONCHOSCOPY - DILATE W/STENT 60001|31632||71.95||BRONCHOSCOPY/LUNG BX - ADD'L 60001|31633||92.31||BRONCHOSCOPY/NEEDLE BX ADD'L 60001|31634||311.56||BRONCH W/BALLOON OCCLUSION 60001|31635||276||BRONCHOSCOPY W/FB REMOVAL 60001|31636||328.14||BRONCHOSCOPY - BRONCH STENTS 60001|31637||111.56||BRONCHOSCOPY - STENT ADD-ON 60001|31638||377.15||BRONCHOSCOPY - REVISE STENT 60001|31640||378.31||BRONCHOSCOPY W/TUMOR EXCISE 60001|31641||378.25||BRONCHOSCOPY - TREAT BLOCKAGE 60001|31643||257.49||DIAG BRONCHOSCOPE/CATHETER 60001|31645||234.68||BRONCHOSCOPY - CLEAR AIRWAYS 60001|31646||203.92||BRONCHOSCOPY - RECLEAR AIRWAY 60001|31647||328.08||BRONCHIAL VALVE INIT INSERT 60001|31648||340.77||BRONCHIAL VALVE REMOV INIT 60001|31649||107.55||BRONCHIAL VALVE REMOV ADDL 60001|31651||114.25||BRONCHIAL VALVE ADDL INSERT 60001|31652||351.57||BRONCH EBUS SAMPLNG 1/2 NODE 60001|31653||388.09||BRONCH EBUS SAMPLNG 3/> NODE 60001|31654||101.78||BRONCH EBUS IVNTJ PERPH LES 60001|31660||328.19||BRONCH THERMOPLSTY 1 LOBE 60001|31661||346.51||BRONCH THERMOPLSTY 2/> LOBES 60001|31717||159.38||BRONCHIAL BRUSH BIOPSY 60001|31720||74.87||CLEARANCE OF AIRWAYS 60001|31725||137.97||CLEARANCE OF AIRWAYS 60001|31730||214.97||INTRO - WINDPIPE WIRE/TUBE 60001|31750||1955.17||REPAIR OF WINDPIPE 60001|31755||2473.42||REPAIR OF WINDPIPE 60001|31760||2027.43||REPAIR OF WINDPIPE 60001|31766||2727.28||RECONSTRUCTION OF WINDPIPE 60001|31770||1970||REPAIR/GRAFT OF BRONCHUS 60001|31775||2057.94||RECONSTRUCT BRONCHUS 60001|31780||1737.73||RECONSTRUCT WINDPIPE 60001|31781||2066.25||RECONSTRUCT WINDPIPE 60001|31785||1571.3||REMOVE WINDPIPE LESION 60001|31786||2146.93||REMOVE WINDPIPE LESION 60001|31800||1021.7||REPAIR OF WINDPIPE INJURY 60001|31805||1202.6||REPAIR OF WINDPIPE INJURY 60001|31820||477.26||CLOSURE OF WINDPIPE LESION 60001|31825||699.93||REPAIR OF WINDPIPE DEFECT 60001|31830||494.64||REVISE WINDPIPE SCAR 60001|31899||0||AIRWAYS SURGICAL PROCEDURE 60001|32035||1053.52||EXPLORATION OF CHEST 60001|32036||1141.36||EXPLORATION OF CHEST 60001|32096||1188.37||OPEN WEDGE/BX LUNG INFILTR 60001|32097||1188.37||OPEN WEDGE/BX LUNG NODULE 60001|32098||1116.73||OPEN BIOPSY OF LUNG PLEURA 60001|32100||1221.26||EXPLORATION/BIOPSY OF CHEST 60001|32110||2155.95||EXPLORE/REPAIR CHEST 60001|32120||1287.8||RE-EXPLORATION OF CHEST 60001|32124||1370.76||EXPLORE CHEST FREE ADHESIONS 60001|32141||2258.55||REMOVE/TREAT LUNG LESIONS 60001|32150||1478.7||REMOVAL OF LUNG LESION(S) 60001|32151||1488.56||REMOVE LUNG FOREIGN BODY 60001|32160||1148.41||OPEN CHEST HEART MASSAGE 60001|32200||1672.33||DRAIN - OPEN - LUNG LESION 60001|32215||1175.29||TREAT CHEST LINING 60001|32220||2345.96||RELEASE OF LUNG 60001|32225||1470.07||PARTIAL RELEASE OF LUNG 60001|32310||1357.88||REMOVAL OF CHEST LINING 60001|32320||2358.3||FREE/REMOVE CHEST LINING 60001|32400||127.73||NEEDLE BIOPSY CHEST LINING 60001|32405||147.87||BIOPSY - LUNG OR MEDIASTINUM 60001|32440||2321.37||REMOVAL OF LUNG 60001|32442||4527.35||SLEEVE PNEUMONECTOMY 60001|32445||5206.59||REMOVAL OF LUNG 60001|32480||2195.47||PARTIAL REMOVAL OF LUNG 60001|32482||2347.97||BILOBECTOMY 60001|32484||2131.06||SEGMENTECTOMY 60001|32486||3495.01||SLEEVE LOBECTOMY 60001|32488||3534.97||COMPLETION PNEUMONECTOMY 60001|32491||2182.09||LUNG VOLUME REDUCTION 60001|32501||366.24||REPAIR BRONCHUS ADD-ON 60001|32503||2697.08||RESECT APICAL LUNG TUMOR 60001|32504||3044.12||RESECT APICAL LUNG TUM/CHEST 60001|32505||1369.94||WEDGE RESECT OF LUNG INITIAL 60001|32506||233.12||WEDGE RESECT OF LUNG ADD-ON 60001|32507||233.12||WEDGE RESECT OF LUNG DIAG 60001|32540||2544.35||REMOVAL OF LUNG LESION 60001|32550||329.04||INSERT PLEURAL CATH 60001|32551||249.92||INSERTION OF CHEST TUBE 60001|32552||240.59||REMOVE LUNG CATHETER 60001|32553||303.11||INS MARK THOR FOR RT PERQ 60001|32554||130.72||ASPIRATE PLEURA W/O IMAGING 60001|32555||163.41||ASPIRATE PLEURA W/ IMAGING 60001|32556||179.29||INSERT CATH PLEURA W/O IMAGE 60001|32557||240.79||INSERT CATH PLEURA W/ IMAGE 60001|32560||118.93||TREAT LUNG LINING CHEMICALLY 60001|32561||103.89||LYSE CHEST FIBRIN INIT DAY 60001|32562||93.01||LYSE CHEST FIBRIN SUBQ DAY 60001|32601||459.29||THORACOSCOPY - DIAGNOSTIC 60001|32604||716.35||THORACOSCOPY - DIAGNOSTIC 60001|32606||686.7||THORACOSCOPY - DIAGNOSTIC 60001|32607||456.54||THORACOSCOPY W/BX INFILTRATE 60001|32608||561.2||THORACOSCOPY W/BX NODULE 60001|32609||387.3||THORACOSCOPY W/BX PLEURA 60001|32650||983.13||THORACOSCOPY - SURGICAL 60001|32651||1607.32||THORACOSCOPY - SURGICAL 60001|32652||2443.42||THORACOSCOPY - SURGICAL 60001|32653||1553.42||THORACOSCOPY - SURGICAL 60001|32654||1733.36||THORACOSCOPY - SURGICAL 60001|32655||1408.59||THORACOSCOPY - SURGICAL 60001|32656||1177.24||THORACOSCOPY - SURGICAL 60001|32658||1055.98||THORACOSCOPY - SURGICAL 60001|32659||1080.64||THORACOSCOPY - SURGICAL 60001|32661||1181.46||THORACOSCOPY - SURGICAL 60001|32662||1321.8||THORACOSCOPY - SURGICAL 60001|32663||2075.59||THORACOSCOPY - SURGICAL 60001|32664||1253.7||THORACOSCOPY - SURGICAL 60001|32665||1799.52||THORACOSCOPY - SURGICAL 60001|32666||1280.11||THORACOSCOPY W/WEDGE RESECT 60001|32667||233.12||THORACOSCOPY W/W RESECT ADDL 60001|32668||234.52||THORACOSCOPY W/W RESECT DIAG 60001|32669||1978.63||THORACOSCOPY REMOVE SEGMENT 60001|32670||2363.47||THORACOSCOPY BILOBECTOMY 60001|32671||2625.64||THORACOSCOPY PNEUMONECTOMY 60001|32672||2244.26||THORACOSCOPY FOR LVRS 60001|32673||1767.04||THORACOSCOPY W/THYMUS RESECT 60001|32674||319.57||THORACOSCOPY LYMPH NODE EXC 60001|32701||323.55||THORAX STEREO RAD TARGETW/TX 60001|32800||1388.19||REPAIR LUNG HERNIA 60001|32810||1329.86||CLOSE CHEST AFTER DRAINAGE 60001|32815||4129.6||CLOSE BRONCHIAL FISTULA 60001|32820||1972.1||RECONSTRUCT INJURED CHEST 60001|32850||0||DONOR PNEUMONECTOMY 60001|32851||4895.43||LUNG TRANSPLANT - SINGLE 60001|32852||5366.25||LUNG TRANSPLANT WITH BYPASS 60001|32853||6777.07||LUNG TRANSPLANT - DOUBLE 60001|32854||7218.47||LUNG TRANSPLANT WITH BYPASS 60001|32855||0||PREPARE DONOR LUNG - SINGLE 60001|32856||0||PREPARE DONOR LUNG - DOUBLE 60001|32900||2048.86||REMOVAL OF RIB(S) 60001|32905||1977.78||REVISE & REPAIR CHEST WALL 60001|32906||2448.21||REVISE & REPAIR CHEST WALL 60001|32940||1823||REVISION OF LUNG 60001|32960||151.44||THERAPEUTIC PNEUMOTHORAX 60001|32994||741.32||ABLATE PULM TUMOR PERQ CRYBL 60001|32997||520.41||TOTAL LUNG LAVAGE 60001|32998||422.96||PERQ RF ABLATE TX - PUL TUMOR 60001|32999||0||CHEST SURGERY PROCEDURE 60001|33010||176.95||DRAINAGE OF HEART SAC 60001|33011||178.39||REPEAT DRAINAGE OF HEART SAC 60001|33015||750.7||INCISION OF HEART SAC 60001|33016||361.08|| 60001|33017||374.33|| 60001|33018||426.77|| 60001|33019||346.35|| 60001|33020||1296.85||INCISION OF HEART SAC 60001|33025||1185.86||INCISION OF HEART SAC 60001|33030||2927.65||PARTIAL REMOVAL OF HEART SAC 60001|33031||3604.77||PARTIAL REMOVAL OF HEART SAC 60001|33050||1485.5||REMOVAL OF HEART SAC LESION 60001|33120||3100.5||REMOVAL OF HEART LESION 60001|33130||2065.35||REMOVAL OF HEART LESION 60001|33140||2362.84||HEART REVASCULARIZE (TMR) 60001|33141||201.68||HEART TMR W/OTHER PROCEDURE 60001|33202||1151.03||INSERT EPICARD ELTRD - OPEN 60001|33203||1197.4||INSERT EPICARD ELTRD - ENDO 60001|33206||670.93||INSERTION OF HEART PACEMAKER 60001|33207||713.57||INSERTION OF HEART PACEMAKER 60001|33208||771.19||INSERTION OF HEART PACEMAKER 60001|33210||265.4||INSERTION OF HEART ELECTRODE 60001|33211||270.97||INSERTION OF HEART ELECTRODE 60001|33212||486.27||INSERTION OF PULSE GENERATOR 60001|33213||512.54||INSERTION OF PULSE GENERATOR 60001|33214||707.32||UPGRADE OF PACEMAKER SYSTEM 60001|33215||446.79||REPOSITION PACING-DEFIB LEAD 60001|33216||549.7||INSERT LEAD PACE-DEFIB - ONE 60001|33217||547.25||INSERT LEAD PACE-DEFIB - DUAL 60001|33218||574.19||REPAIR LEAD PACE-DEFIB - ONE 60001|33220||579.21||REPAIR LEAD PACE-DEFIB - DUAL 60001|33221||514.51||INSERT PULSE GEN MULT LEADS 60001|33222||509.81||REVISE POCKET - PACEMAKER 60001|33223||616.52||REVISE POCKET - PACING-DEFIB 60001|33224||748.4||INSERT PACING LEAD & CONNECT 60001|33225||673.84||L VENTRIC PACING LEAD ADD-ON 60001|33226||720.27||REPOSITION L VENTRIC LEAD 60001|33227||490.85||REMOVE&REPLACE PM GEN SINGL 60001|33228||512.06||REMV PERM PACEMKR GEN & REPLAC 60001|33229||533.27||REMV&REPLC PM GEN MULT LEADS 60001|33230||554.08||INSRT PULSE GEN W/DUAL LEADS 60001|33231||575.29||INSRT PULSE GEN W/MULT LEADS 60001|33233||346.59||REMOVAL OF PACEMAKER SYSTEM 60001|33234||713.71||REMOVAL OF PACEMAKER SYSTEM 60001|33235||931.56||REMOVAL PACEMAKER ELECTRODE 60001|33236||1169.24||REMOVE ELECTRODE/THORACOTOMY 60001|33237||1226.92||REMOVE ELECTRODE/THORACOTOMY 60001|33238||1393.45||REMOVE ELECTRODE/THORACOTOMY 60001|33240||564.04||INSERT PULSE GENERATOR 60001|33241||325.87||REMOVE PULSE GENERATOR 60001|33243||2030.33||REMOVE ELTRD/THORACOTOMY 60001|33244||1252.71||REMOVE ELTRD - TRANSVEN 60001|33249||1330.71||ELTRD/INSERT PACE-DEFIB 60001|33250||2185.04||ABLATE HEART DYSRHYTHM FOCUS 60001|33251||2427.64||ABLATE HEART DYSRHYTHM FOCUS 60001|33254||2040.31||ABLATE ATRIA - LMTD 60001|33255||2458.44||ABLATE ATRIA W/O BYPASS - EXT 60001|33256||2935.53||ABLATE ATRIA W/BYPASS - EXTEN 60001|33257||867.96||ABLATE ATRIA - LMTD - ADD-ON 60001|33258||975.08||ABLATE ATRIA - X10SV - ADD-ON 60001|33259||1261.33||ABLATE ATRIA W/BYPASS ADD-ON 60001|33261||2438.07||ABLATE HEART DYSRHYTHM FOCUS 60001|33262||533.84||REMV&REPLC CVD GEN SING LEAD 60001|33263||555.05||REMV&REPLC CVD GEN DUAL LEAD 60001|33264||576.26||REMV&REPLC CVD GEN MULT LEAD 60001|33265||2019.26||ABLATE ATRIA W/BYPASS - ENDO 60001|33266||2760.52||ABLATE ATRIA W/O BYPASS ENDO 60001|33270||874.06||INS/REP SUBQ DEFIBRILLATOR 60001|33271||734.37||INSJ SUBQ IMPLTBL DFB ELCTRD 60001|33272||539.87||RMVL OF SUBQ DEFIBRILLATOR 60001|33273||597||REPOS PREV IMPLTBL SUBQ DFB 60001|33282||347.67||IMPLANT PAT-ACTIVE HT RECORD 60001|33284||306.21||REMOVE PAT-ACTIVE HT RECORD 60001|33300||3636.57||REPAIR OF HEART WOUND 60001|33305||6109.97||REPAIR OF HEART WOUND 60001|33310||1732.18||EXPLORATORY HEART SURGERY 60001|33315||2841.08||EXPLORATORY HEART SURGERY 60001|33320||1584.05||REPAIR MAJOR BLOOD VESSEL(S) 60001|33321||1776.47||REPAIR MAJOR VESSEL 60001|33322||2072.81||REPAIR MAJOR BLOOD VESSEL(S) 60001|33330||2128.02||INSERT MAJOR VESSEL GRAFT 60001|33335||2818.54||INSERT MAJOR VESSEL GRAFT 60001|33340||1250||PERQ CLSR TCAT L ATR APNDGE 60001|33361||1961.1||REPLACE AORTIC VALVE PERQ 60001|33362||2145.76||REPLACE AORTIC VALVE OPEN 60001|33363||2221.77||REPLACE AORTIC VALVE OPEN 60001|33364||2362.09||REPLACE AORTIC VALVE OPEN 60001|33365||2592.41||REPLACE AORTIC VALVE OPEN 60001|33366||2892.45||TRCATH REPLACE AORTIC VALVE 60001|33367||911.73||REPLACE AORTIC VALVE W/BYP 60001|33368||1104.93||REPLACE AORTIC VALVE W/BYP 60001|33369||1458.75||REPLACE AORTIC VALVE W/BYP 60001|33390||2980.74||VALVULOPLASTY AORTIC VALVE 60001|33391||3531.99||VALVULOPLASTY AORTIC VALVE 60001|33404||2626.6||PREPARE HEART-AORTA CONDUIT 60001|33405||3426.49||REPLACEMENT OF AORTIC VALVE 60001|33406||4306.58||REPLACEMENT OF AORTIC VALVE 60001|33410||3807||REPLACEMENT OF AORTIC VALVE 60001|33411||5030.47||REPLACEMENT OF AORTIC VALVE 60001|33412||4756.57||REPLACEMENT OF AORTIC VALVE 60001|33413||4848.9||REPLACEMENT OF AORTIC VALVE 60001|33414||3236.94||REPAIR OF AORTIC VALVE 60001|33415||3066.72||REVISION - SUBVALVULAR TISSUE 60001|33416||3038.71||REVISE VENTRICLE MUSCLE 60001|33417||2485.76||REPAIR OF AORTIC VALVE 60001|33418||2785.51||REPAIR TCAT MITRAL VALVE 60001|33419||656.52||REPAIR TCAT MITRAL VALVE 60001|33420||2151.11||REVISION OF MITRAL VALVE 60001|33422||2520.06||REVISION OF MITRAL VALVE 60001|33425||4074.81||REPAIR OF MITRAL VALVE 60001|33426||3575.45||REPAIR OF MITRAL VALVE 60001|33427||3678.08||REPAIR OF MITRAL VALVE 60001|33430||4202.23||REPLACEMENT OF MITRAL VALVE 60001|33460||3633.53||REVISION OF TRICUSPID VALVE 60001|33463||4614.4||VALVULOPLASTY - TRICUSPID 60001|33464||3655.37||VALVULOPLASTY - TRICUSPID 60001|33465||4122.33||REPLACE TRICUSPID VALVE 60001|33468||3663.47||REVISION OF TRICUSPID VALVE 60001|33470||1837.4||REVISION OF PULMONARY VALVE 60001|33471||1980.68||VALVOTOMY - PULMONARY VALVE 60001|33474||3210.03||REVISION OF PULMONARY VALVE 60001|33475||3502.84||REPLACEMENT - PULMONARY VALVE 60001|33476||2269.04||REVISION OF HEART CHAMBER 60001|33477||1950.58||IMPLANT TCAT PULM VLV PERQ 60001|33478||2355.17||REVISION OF HEART CHAMBER 60001|33496||2495.66||REPAIR - PROSTH VALVE CLOT 60001|33500||2360.6||REPAIR HEART VESSEL FISTULA 60001|33501||1681.24||REPAIR HEART VESSEL FISTULA 60001|33502||1903.83||CORONARY ARTERY CORRECTION 60001|33503||1944.51||CORONARY ARTERY GRAFT 60001|33504||2192.22||CORONARY ARTERY GRAFT 60001|33505||3097.64||REPAIR ARTERY W/TUNNEL 60001|33506||3066.61||REPAIR ARTERY - TRANSLOCATION 60001|33507||2571.29||REPAIR ART - INTRAMURAL 60001|33508||24.19||ENDOSCOPIC VEIN HARVEST 60001|33510||2908.83||CABG - VEIN - SINGLE 60001|33511||3193.19||CABG - VEIN - TWO 60001|33512||3626.61||CABG - VEIN - THREE 60001|33513||3725.2||CABG - VEIN - FOUR 60001|33514||3938.25||CABG - VEIN - FIVE 60001|33516||4104.7||CABG - VEIN - SIX OR MORE 60001|33517||281.45||CABG - ARTERY-VEIN - SINGLE 60001|33518||618.71||CABG - ARTERY-VEIN - TWO 60001|33519||819.12||CABG - ARTERY-VEIN - THREE 60001|33521||984.92||CABG - ARTERY-VEIN - FOUR 60001|33522||1107.73||CABG - ARTERY-VEIN - FIVE 60001|33523||1258.35||CABG - ART-VEIN - SIX OR MORE 60001|33530||788.66||CORONARY ARTERY - BYPASS/REOP 60001|33533||2815.34||CABG - ARTERIAL - SINGLE 60001|33534||3305.68||CABG - ARTERIAL - TWO 60001|33535||3684.49||CABG - ARTERIAL - THREE 60001|33536||3971.04||CABG - ARTERIAL - FOUR OR MORE 60001|33542||3928.99||REMOVAL OF HEART LESION 60001|33545||4625.13||REPAIR OF HEART DAMAGE 60001|33548||4460.5||RESTORE/REMODEL - VENTRICLE 60001|33572||348.47||OPEN CORONARY ENDARTERECTOMY 60001|33600||2550.53||CLOSURE OF VALVE 60001|33602||2439.67||CLOSURE OF VALVE 60001|33606||2709.01||ANASTOMOSIS/ARTERY-AORTA 60001|33608||2679.41||REPAIR ANOMALY W/CONDUIT 60001|33610||2640.52||REPAIR BY ENLARGEMENT 60001|33611||3014.44||REPAIR DOUBLE VENTRICLE 60001|33612||2954.96||REPAIR DOUBLE VENTRICLE 60001|33615||2983.72||REPAIR - MODIFIED FONTAN 60001|33617||3216.1||REPAIR SINGLE VENTRICLE 60001|33619||4022.3||REPAIR SINGLE VENTRICLE 60001|33620||2461.53||APPLY R&L PULM ART BANDS 60001|33621||1321.97||TRANSTHOR CATH FOR STENT 60001|33622||5183.64||REDO COMPL CARDIAC ANOMALY 60001|33641||2445||REPAIR HEART SEPTUM DEFECT 60001|33645||2591.2||REVISION OF HEART VEINS 60001|33647||2738.72||REPAIR HEART SEPTUM DEFECTS 60001|33660||2637.28||REPAIR OF HEART DEFECTS 60001|33665||2878.86||REPAIR OF HEART DEFECTS 60001|33670||2975.9||REPAIR OF HEART CHAMBERS 60001|33675||2962.9||CLOSE MULT VSD 60001|33676||3137.87||CLOSE MULT VSD W/RESECTION 60001|33677||3260.9||CL MULT VSD W/REM PUL BAND 60001|33681||2738.72||REPAIR HEART SEPTUM DEFECT 60001|33684||2844.51||REPAIR HEART SEPTUM DEFECT 60001|33688||2831.97||REPAIR HEART SEPTUM DEFECT 60001|33690||1771.21||REINFORCE PULMONARY ARTERY 60001|33692||2945.8||REPAIR OF HEART DEFECTS 60001|33694||2940.16||REPAIR OF HEART DEFECTS 60001|33697||3080.16||REPAIR OF HEART DEFECTS 60001|33702||2316.8||REPAIR OF HEART DEFECTS 60001|33710||3086.2||REPAIR OF HEART DEFECTS 60001|33720||2303.41||REPAIR OF HEART DEFECT 60001|33722||2494.69||REPAIR OF HEART DEFECT 60001|33724||2303.15||REPAIR VENOUS ANOMALY 60001|33726||3070.32||REPAIR PUL VENOUS STENOSIS 60001|33730||3103.83||REPAIR HEART-VEIN DEFECT(S) 60001|33732||2473.14||REPAIR HEART-VEIN DEFECT 60001|33735||1908.11||REVISION OF HEART CHAMBER 60001|33736||2102.86||REVISION OF HEART CHAMBER 60001|33737||1963.62||REVISION OF HEART CHAMBER 60001|33750||2039.83||MAJOR VESSEL SHUNT 60001|33755||1962.88||MAJOR VESSEL SHUNT 60001|33762||2000.76||MAJOR VESSEL SHUNT 60001|33764||1919.61||MAJOR VESSEL SHUNT & GRAFT 60001|33766||2026.9||MAJOR VESSEL SHUNT 60001|33767||2130.37||MAJOR VESSEL SHUNT 60001|33768||652.66||CAVOPULMONARY SHUNTING 60001|33770||3250.39||REPAIR GREAT VESSELS DEFECT 60001|33771||3314.39||REPAIR GREAT VESSELS DEFECT 60001|33774||2702.27||REPAIR GREAT VESSELS DEFECT 60001|33775||2854.27||REPAIR GREAT VESSELS DEFECT 60001|33776||3013.56||REPAIR GREAT VESSELS DEFECT 60001|33777||2926.93||REPAIR GREAT VESSELS DEFECT 60001|33778||3544.02||REPAIR GREAT VESSELS DEFECT 60001|33779||3621.47||REPAIR GREAT VESSELS DEFECT 60001|33780||3696.25||REPAIR GREAT VESSELS DEFECT 60001|33781||3492.53||REPAIR GREAT VESSELS DEFECT 60001|33782||4775.33||NIKAIDOH PROC 60001|33783||5171.33||NIKAIDOH PROC W/OSTIA IMPLT 60001|33786||3433.14||REPAIR ARTERIAL TRUNK 60001|33788||2305||REVISION OF PULMONARY ARTERY 60001|33800||1397.78||AORTIC SUSPENSION 60001|33802||1614.8||REPAIR VESSEL DEFECT 60001|33803||1776.02||REPAIR VESSEL DEFECT 60001|33813||1862.54||REPAIR SEPTAL DEFECT 60001|33814||2368.99||REPAIR SEPTAL DEFECT 60001|33820||1453.65||REVISE MAJOR VESSEL 60001|33822||1564.83||REVISE MAJOR VESSEL 60001|33824||1747.12||REVISE MAJOR VESSEL 60001|33840||1876.69||REMOVE AORTA CONSTRICTION 60001|33845||2012.57||REMOVE AORTA CONSTRICTION 60001|33851||1971.48||REMOVE AORTA CONSTRICTION 60001|33852||2075.4||REPAIR SEPTAL DEFECT 60001|33853||2766.72||REPAIR SEPTAL DEFECT 60001|33858||5201.64|| 60001|33859||3731.12|| 60001|33860||4803.56||ASCENDING AORTIC GRAFT 60001|33863||4725.52||ASCENDING AORTIC GRAFT 60001|33864||4834.4||ASCENDING AORTIC GRAFT 60001|33870||3779.27||TRANSVERSE AORTIC ARCH GRAFT 60001|33871||5001.29|| 60001|33875||4099.14||THORACIC AORTIC GRAFT 60001|33877||5431.09||THORACOABDOMINAL GRAFT 60001|33880||2734.22||ENDOVASC TAA REPR INCL SUBCL 60001|33881||2352.97||ENDOVASC TAA REPR W/O SUBCL 60001|33883||1703.39||INSERT ENDOVASC PROSTH - TAA 60001|33884||623.67||ENDOVASC PROSTH - TAA - ADD-ON 60001|33886||1478.09||ENDOVASC PROSTH - DELAYED 60001|33889||1217.03||ARTERY TRANSPOSE/ENDOVAS TAA 60001|33891||1500.19||CAR-CAR BP GRFT/ENDOVAS TAA 60001|33910||3882.38||REMOVE LUNG ARTERY EMBOLI 60001|33915||2044.19||REMOVE LUNG ARTERY EMBOLI 60001|33916||6121.75||SURGERY OF GREAT VESSEL 60001|33917||2179.71||REPAIR PULMONARY ARTERY 60001|33920||2718.92||REPAIR PULMONARY ATRESIA 60001|33922||2157.8||TRANSECT PULMONARY ARTERY 60001|33924||427.14||REMOVE PULMONARY SHUNT 60001|33925||2569.81||RPR PUL ART UNIFOCAL W/O CPB 60001|33926||3626.35||REPR PUL ART - UNIFOCAL W/CPB 60001|33927||3958.28||IMPLTJ TOT RPLCMT HRT SYS 60001|33930||0||REMOVAL OF DONOR HEART/LUNG 60001|33933||0||PREPARE DONOR HEART/LUNG 60001|33935||7368.85||TRANSPLANTATION - HEART/LUNG 60001|33940||0||REMOVAL OF DONOR HEART 60001|33944||0||PREPARE DONOR HEART 60001|33945||7237.61||TRANSPLANTATION OF HEART 60001|33946||467.15||ECMO/ECLS INITIATION VENOUS 60001|33947||516.01||ECMO/ECLS INITIATION ARTERY 60001|33948||368.88||ECMO/ECLS DAILY MGMT-VENOUS 60001|33949||358.99||ECMO/ECLS DAILY MGMT ARTERY 60001|33951||667.92||ECMO/ECLS INSJ PRPH CANNULA 60001|33952||650.51||ECMO/ECLS INSJ PRPH CANNULA 60001|33953||745.16||ECMO/ECLS INSJ PRPH CANNULA 60001|33954||726.79||ECMO/ECLS INSJ PRPH CANNULA 60001|33955||1342.87||ECMO/ECLS INSJ CTR CANNULA 60001|33956||1275.24||ECMO/ECLS INSJ CTR CANNULA 60001|33957||298||ECMO/ECLS REPOS PERPH CNULA 60001|33958||288.83||ECMO/ECLS REPOS PERPH CNULA 60001|33959||378.63||ECMO/ECLS REPOS PERPH CNULA 60001|33962||356.9||ECMO/ECLS REPOS PERPH CNULA 60001|33963||756.63||ECMO/ECLS REPOS PERPH CNULA 60001|33964||776.29||ECMO/ECLS REPOS PERPH CNULA 60001|33965||298||ECMO/ECLS RMVL PERPH CANNULA 60001|33966||359.48||ECMO/ECLS RMVL PRPH CANNULA 60001|33967||390.9||INSERT IA PERCUT DEVICE 60001|33968||50.77||REMOVE AORTIC ASSIST DEVICE 60001|33969||439.26||ECMO/ECLS RMVL PERPH CANNULA 60001|33970||535.42||AORTIC CIRCULATION ASSIST 60001|33971||1059.81||AORTIC CIRCULATION ASSIST 60001|33973||776.81||INSERT BALLOON DEVICE 60001|33974||1324.71||REMOVE INTRA-AORTIC BALLOON 60001|33975||1956.75||IMPLANT VENTRICULAR DEVICE 60001|33976||2396.02||IMPLANT VENTRICULAR DEVICE 60001|33977||1727.35||REMOVE VENTRICULAR DEVICE 60001|33978||2048.46||REMOVE VENTRICULAR DEVICE 60001|33979||2975.55||INSERT INTRACORPOREAL DEVICE 60001|33980||2875.86||REMOVE INTRACORPOREAL DEVICE 60001|33981||1254.15||REPLACE VAD PUMP EXT 60001|33982||2934.93||REPLACE VAD INTRA W/O BP 60001|33983||3446.24||REPLACE VAD INTRA W/BP 60001|33984||432.85||ECMO/ECLS RMVL PRPH CANNULA 60001|33985||827.68||ECMO/ECLS RMVL CTR CANNULA 60001|33986||789.64||ECMO/ECLS RMVL CTR CANNULA 60001|33987||316.85||ARTERY EXPOS/GRAFT ARTERY 60001|33988||1177.93||INSERTION OF LEFT HEART VENT 60001|33989||748.73||REMOVAL OF LEFT HEART VENT 60001|33990||637.78||INSERT VAD ARTERY ACCESS 60001|33991||929.31||INSERT VAD ART&VEIN ACCESS 60001|33992||304.04||REMOVE VAD DIFFERENT SESSION 60001|33993||266.94||REPOSITION VAD DIFF SESSION 60001|33999||0||CARDIAC SURGERY PROCEDURE 60001|34001||1475.27||REMOVAL OF ARTERY CLOT 60001|34051||1400.76||REMOVAL OF ARTERY CLOT 60001|34101||922.18||REMOVAL OF ARTERY CLOT 60001|34111||923.07||REMOVAL OF ARM ARTERY CLOT 60001|34151||2136.17||REMOVAL OF ARTERY CLOT 60001|34201||1574.55||REMOVAL OF ARTERY CLOT 60001|34203||1469.72||REMOVAL OF LEG ARTERY CLOT 60001|34401||2182.92||REMOVAL OF VEIN CLOT 60001|34421||1117.69||REMOVAL OF VEIN CLOT 60001|34451||2236.77||REMOVAL OF VEIN CLOT 60001|34471||1797.18||REMOVAL OF VEIN CLOT 60001|34490||938.07||REMOVAL OF VEIN CLOT 60001|34501||1389.1||REPAIR VALVE - FEMORAL VEIN 60001|34502||2300.92||RECONSTRUCT VENA CAVA 60001|34510||1717.62||TRANSPOSITION OF VEIN VALVE 60001|34520||1537.33||CROSS-OVER VEIN GRAFT 60001|34530||1438.47||LEG VEIN FUSION 60001|34701||1909.49||EVASC RPR A-AO NDGFT 60001|34702||2854.85||EVASC RPR A-AO NDGFT RPT 60001|34703||2154.5||EVASC RPR A-UNILAC NDGFT 60001|34704||3586.87||EVASC RPR A-UNILAC NDGFT RPT 60001|34705||2372.09||EVAC RPR A-BIILIAC NDGFT 60001|34706||3573.67||EVASC RPR A-BIILIAC RPT 60001|34707||1781.88||EVASC RPR ILIO-ILIAC NDGFT 60001|34708||2871.31||EVASC RPR ILIO-ILIAC RPT 60001|34709||503.87||PLMT XTN PROSTH EVASC RPR 60001|34710||1240.28||DLYD PLMT XTN PROSTH 1ST VSL 60001|34711||465.25||DLYD PLMT XTN PROSTH EA ADDL 60001|34712||1052.41||TCAT DLVR ENHNCD FIXJ DEV 60001|34713||199.99||PERQ ACCESS & CLSR FEM ART 60001|34714||419.39||OPN FEM ART EXPOS CNDT CRTJ 60001|34715||468.99||OPN AX/SUBCLA ART EXPOS 60001|34716||581.03||OPN AX/SUBCLA ART EXPOS CNDT 60001|34717||688.08|| 60001|34718||1910.73|| 60001|34800||1719.29||ENDOVAS AAA REPR W/SM TUBE 60001|34802||1900.53||ENDOVAS AAA REPR W/2-P PART 60001|34803||1960.38||ENDOVAS AAA REPR W/3-P PART 60001|34804||1901.06||ENDOVAS AAA REPR W/1-P PART 60001|34805||1817.14||ENDOVAS AAA REPR W/LONG TUBE 60001|34806||156.76||ANEURYSM PRESS SENSOR ADD-ON 60001|34808||313.51||ENDOVAS ILIAC A DEVICE ADDON 60001|34812||514.76||XPOSE FOR ENDOPROSTH - FEMORL 60001|34813||362.7||FEMORAL ENDOVAS GRAFT ADD-ON 60001|34820||741.33||XPOSE FOR ENDOPROSTH - ILIAC 60001|34825||1062.12||ENDOVASC EXTEND PROSTH - INIT 60001|34826||313.48||ENDOVASC EXTEN PROSTH - ADD'L 60001|34830||2740.87||OPEN AORTIC TUBE PROSTH REPR 60001|34831||2936.85||OPEN AORTOILIAC PROSTH REPR 60001|34832||2947.4||OPEN AORTOFEMOR PROSTH REPR 60001|34833||930.91||XPOSE FOR ENDOPROSTH - ILIAC 60001|34834||419.42||XPOSE - ENDOPROSTH - BRACHIAL 60001|34839||65|%|PLNNING PT SPEC FENEST GRAFT 60001|34900||1360.03||ENDOVASC ILIAC REPR W/GRAFT 60001|35001||1730.55||REPAIR DEFECT OF ARTERY 60001|35002||1908.85||REPAIR ARTERY RUPTURE - NECK 60001|35005||1624.13||REPAIR DEFECT OF ARTERY 60001|35011||1525.91||REPAIR DEFECT OF ARTERY 60001|35013||1891.94||REPAIR ARTERY RUPTURE - ARM 60001|35021||1854.21||REPAIR DEFECT OF ARTERY 60001|35022||2144.81||REPAIR ARTERY RUPTURE - CHEST 60001|35045||1490.51||REPAIR DEFECT OF ARM ARTERY 60001|35081||2685.27||REPAIR DEFECT OF ARTERY 60001|35082||3351.7||REPAIR ARTERY RUPTURE - AORTA 60001|35091||2760.49||REPAIR DEFECT OF ARTERY 60001|35092||3995.4||REPAIR ARTERY RUPTURE - AORTA 60001|35102||2899.08||REPAIR DEFECT OF ARTERY 60001|35103||3437.66||REPAIR ARTERY RUPTURE - GROIN 60001|35111||2037.17||REPAIR DEFECT OF ARTERY 60001|35112||2723.47||REPAIR ARTERY RUPTURE - SPLEEN 60001|35121||2504.82||REPAIR DEFECT OF ARTERY 60001|35122||3146.76||REPAIR ARTERY RUPTURE - BELLY 60001|35131||2136.66||REPAIR DEFECT OF ARTERY 60001|35132||2612.37||REPAIR ARTERY RUPTURE - GROIN 60001|35141||1698.99||REPAIR DEFECT OF ARTERY 60001|35142||2037.56||REPAIR ARTERY RUPTURE - THIGH 60001|35151||1917.25||REPAIR DEFECT OF ARTERY 60001|35152||2175.58||REPAIR ARTERY RUPTURE - KNEE 60001|35180||1355.05||REPAIR BLOOD VESSEL LESION 60001|35182||2616.47||REPAIR BLOOD VESSEL LESION 60001|35184||1560.76||REPAIR BLOOD VESSEL LESION 60001|35188||1610.35||REPAIR BLOOD VESSEL LESION 60001|35189||2369.73||REPAIR BLOOD VESSEL LESION 60001|35190||1146.52||REPAIR BLOOD VESSEL LESION 60001|35201||1419.41||REPAIR BLOOD VESSEL LESION 60001|35206||1170.25||REPAIR BLOOD VESSEL LESION 60001|35207||1079.14||REPAIR BLOOD VESSEL LESION 60001|35211||2073.71||REPAIR BLOOD VESSEL LESION 60001|35216||3029.08||REPAIR BLOOD VESSEL LESION 60001|35221||2159.86||REPAIR BLOOD VESSEL LESION 60001|35226||1273.47||REPAIR BLOOD VESSEL LESION 60001|35231||1828.56||REPAIR BLOOD VESSEL LESION 60001|35236||1491||REPAIR BLOOD VESSEL LESION 60001|35241||2168.92||REPAIR BLOOD VESSEL LESION 60001|35246||2236.51||REPAIR BLOOD VESSEL LESION 60001|35251||2552.78||REPAIR BLOOD VESSEL LESION 60001|35256||1554.3||REPAIR BLOOD VESSEL LESION 60001|35261||1601.89||REPAIR BLOOD VESSEL LESION 60001|35266||1316.27||REPAIR BLOOD VESSEL LESION 60001|35271||2080.94||REPAIR BLOOD VESSEL LESION 60001|35276||2172.57||REPAIR BLOOD VESSEL LESION 60001|35281||2441.04||REPAIR BLOOD VESSEL LESION 60001|35286||1428.87||REPAIR BLOOD VESSEL LESION 60001|35301||1607.44||RECHANNELING OF ARTERY 60001|35302||1724.81||RECHANNELING OF ARTERY 60001|35303||1898.69||RECHANNELING OF ARTERY 60001|35304||1958.33||RECHANNELING OF ARTERY 60001|35305||1888.6||RECHANNELING OF ARTERY 60001|35306||691.57||RECHANNELING OF ARTERY 60001|35311||2334.72||RECHANNELING OF ARTERY 60001|35321||1366.76||RECHANNELING OF ARTERY 60001|35331||2235.75||RECHANNELING OF ARTERY 60001|35341||2109.02||RECHANNELING OF ARTERY 60001|35351||1968.01||RECHANNELING OF ARTERY 60001|35355||1598.2||RECHANNELING OF ARTERY 60001|35361||2367.85||RECHANNELING OF ARTERY 60001|35363||2655.89||RECHANNELING OF ARTERY 60001|35371||1258.85||RECHANNELING OF ARTERY 60001|35372||1505.8||RECHANNELING OF ARTERY 60001|35390||244.22||REOPERATION - CAROTID ADD-ON 60001|35400||228.94||ANGIOSCOPY 60001|35460||477.24||REPAIR VENOUS BLOCKAGE 60001|35472||548.43||REPAIR ARTERIAL BLOCKAGE 60001|35500||491.11||HARVEST VEIN FOR BYPASS 60001|35501||2335.9||ARTERY BYPASS GRAFT 60001|35506||2051.65||ARTERY BYPASS GRAFT 60001|35508||2085.25||ARTERY BYPASS GRAFT 60001|35509||2210.52||ARTERY BYPASS GRAFT 60001|35510||1916.63||ARTERY BYPASS GRAFT 60001|35511||1905.38||ARTERY BYPASS GRAFT 60001|35512||1877.2||ARTERY BYPASS GRAFT 60001|35515||2051.28||ARTERY BYPASS GRAFT 60001|35516||1885.83||ARTERY BYPASS GRAFT 60001|35518||1784.08||ARTERY BYPASS GRAFT 60001|35521||1906.49||ARTERY BYPASS GRAFT 60001|35522||1822.6||ARTERY BYPASS GRAFT 60001|35523||1963.42||ARTERY BYPASS GRAFT 60001|35525||1752.11||ARTERY BYPASS GRAFT 60001|35526||2610.95||ARTERY BYPASS GRAFT 60001|35531||3088.82||ARTERY BYPASS GRAFT 60001|35533||2345.42||ARTERY BYPASS GRAFT 60001|35535||2672.13||ARTERY BYPASS GRAFT 60001|35536||2624.8||ARTERY BYPASS GRAFT 60001|35537||3243.29||ARTERY BYPASS GRAFT 60001|35538||3635.1||ARTERY BYPASS GRAFT 60001|35539||3402.45||ARTERY BYPASS GRAFT 60001|35540||3915.12||ARTERY BYPASS GRAFT 60001|35556||2152.3||ARTERY BYPASS GRAFT 60001|35558||1897.93||ARTERY BYPASS GRAFT 60001|35560||2654.42||ARTERY BYPASS GRAFT 60001|35563||2238.04||ARTERY BYPASS GRAFT 60001|35565||2031.84||ARTERY BYPASS GRAFT 60001|35566||2573.72||ARTERY BYPASS GRAFT 60001|35570||2131.51||ARTERY BYPASS GRAFT 60001|35571||2051.98||ARTERY BYPASS GRAFT 60001|35572||529.4||HARVEST FEMOROPOPLITEAL VEIN 60001|35583||2216.07||VEIN BYPASS GRAFT 60001|35585||2583.19||VEIN BYPASS GRAFT 60001|35587||2115.4||VEIN BYPASS GRAFT 60001|35600||388.39||HARVEST ARTERY FOR CABG 60001|35601||2175.47||ARTERY BYPASS GRAFT 60001|35606||1806.28||ARTERY BYPASS GRAFT 60001|35612||1616.31||ARTERY BYPASS GRAFT 60001|35616||1687.86||ARTERY BYPASS GRAFT 60001|35621||1695.55||ARTERY BYPASS GRAFT 60001|35623||2041.15||BYPASS GRAFT - NOT VEIN 60001|35626||2379.23||ARTERY BYPASS GRAFT 60001|35631||2839.12||ARTERY BYPASS GRAFT 60001|35632||2537.25||ARTERY BYPASS GRAFT 60001|35633||2786.46||ARTERY BYPASS GRAFT 60001|35634||2536.65||ARTERY BYPASS GRAFT 60001|35636||2480.79||ARTERY BYPASS GRAFT 60001|35637||2653.7||ARTERY BYPASS GRAFT 60001|35638||2706.36||ARTERY BYPASS GRAFT 60001|35642||1694.17||ARTERY BYPASS GRAFT 60001|35645||1481.25||ARTERY BYPASS GRAFT 60001|35646||2643.16||ARTERY BYPASS GRAFT 60001|35647||2382.64||ARTERY BYPASS GRAFT 60001|35650||1641.54||ARTERY BYPASS GRAFT 60001|35654||2108.02||ARTERY BYPASS GRAFT 60001|35656||1664.42||ARTERY BYPASS GRAFT 60001|35661||1671.11||ARTERY BYPASS GRAFT 60001|35663||1938.06||ARTERY BYPASS GRAFT 60001|35665||1807.8||ARTERY BYPASS GRAFT 60001|35666||1954.95||ARTERY BYPASS GRAFT 60001|35671||1723.4||ARTERY BYPASS GRAFT 60001|35681||122.6||COMPOSITE BYPASS GRAFT 60001|35682||546.61||COMPOSITE BYPASS GRAFT 60001|35683||635.97||COMPOSITE BYPASS GRAFT 60001|35685||306.73||BYPASS GRAFT PATENCY/PATCH 60001|35686||254.66||BYPASS GRAFT/AV FIST PATENCY 60001|35691||1471.15||ARTERIAL TRANSPOSITION 60001|35693||1439.72||ARTERIAL TRANSPOSITION 60001|35694||1532.38||ARTERIAL TRANSPOSITION 60001|35695||1593.13||ARTERIAL TRANSPOSITION 60001|35697||228.04||REIMPLANT ARTERY EACH 60001|35700||235.37||REOPERATION - BYPASS GRAFT 60001|35701||843.34||EXPLORATION - CAROTID ARTERY 60001|35702||623.87|| 60001|35703||635.63|| 60001|35721||687.96||EXPLORATION - FEMORAL ARTERY 60001|35741||774.45||EXPLORATION POPLITEAL ARTERY 60001|35761||577.54||EXPLORATION OF ARTERY/VEIN 60001|35800||1037.9||EXPLORE NECK VESSELS 60001|35820||2991.86||EXPLORE CHEST VESSELS 60001|35840||1698.49||EXPLORE ABDOMINAL VESSELS 60001|35860||1244.26||EXPLORE LIMB VESSELS 60001|35870||1933.3||REPAIR VESSEL GRAFT DEFECT 60001|35875||911.89||REMOVAL OF CLOT IN GRAFT 60001|35876||1455.25||REMOVAL OF CLOT IN GRAFT 60001|35879||1425.04||REVISE GRAFT W/VEIN 60001|35881||1575.26||REVISE GRAFT W/VEIN 60001|35883||1852.65||REVISE GRAFT W/NONAUTO GRAFT 60001|35884||1919.91||REVISE GRAFT W/VEIN 60001|35901||759.51||EXCISION - GRAFT - NECK 60001|35903||861.23||EXCISION - GRAFT - EXTREMITY 60001|35905||2613.07||EXCISION - GRAFT - THORAX 60001|35907||2940.29||EXCISION - GRAFT - ABDOMEN 60001|36000||14.28||PLACE NEEDLE IN VEIN 60001|36002||158.3||PSEUDOANEURYSM INJECTION TRT 60001|36005||71.64||INJECTION EXT VENOGRAPHY 60001|36010||180.54||PLACE CATHETER IN VEIN 60001|36011||233.89||PLACE CATHETER IN VEIN 60001|36012||263.45||PLACE CATHETER IN VEIN 60001|36013||193.08||PLACE CATHETER IN ARTERY 60001|36014||222.09||PLACE CATHETER IN ARTERY 60001|36015||256.8||PLACE CATHETER IN ARTERY 60001|36100||240.04||ESTABLISH ACCESS TO ARTERY 60001|36120||149.89||ESTABLISH ACCESS TO ARTERY 60001|36140||154.11||ESTABLISH ACCESS TO ARTERY 60001|36160||191.14||ESTABLISH ACCESS TO AORTA 60001|36200||230.76||PLACE CATHETER IN AORTA 60001|36215||361.65||PLACE CATHETER IN ARTERY 60001|36216||410.33||PLACE CATHETER IN ARTERY 60001|36217||488.28||PLACE CATHETER IN ARTERY 60001|36218||77.95||PLACE CATHETER IN ARTERY 60001|36221||325.44||PLACE CATH THORACIC AORTA 60001|36222||315.82||PLACE CATH CAROTID/INOM ART 60001|36223||440.58||PLACE CATH CAROTID/INOM ART 60001|36224||426.25||PLACE CATH CAROTD ART 60001|36225||476.26||PLACE CATH SUBCLAVIAN ART 60001|36226||460.9||PLACE CATH VERTEBRAL ART 60001|36227||158.96||PLACE CATH XTRNL CAROTID 60001|36228||323.79||PLACE CATH INTRACRANIAL ART 60001|36245||365.39||PLACE CATHETER IN ARTERY 60001|36246||404.9||PLACE CATHETER IN ARTERY 60001|36247||482.51||PLACE CATHETER IN ARTERY 60001|36248||76.11||PLACE CATHETER IN ARTERY 60001|36251||409.94||INS CATH REN ART 1ST UNILAT 60001|36252||534.02||INS CATH REN ART 1ST BILAT 60001|36253||571.03||INS CATH REN ART 2ND+ UNILAT 60001|36254||616.05||INS CATH REN ART 2ND+ BILAT 60001|36260||919.1||INSERTION OF INFUSION PUMP 60001|36261||572.37||REVISION OF INFUSION PUMP 60001|36262||434.46||REMOVAL OF INFUSION PUMP 60001|36299||0||VESSEL INJECTION PROCEDURE 60001|36400||28.19||BL DRAW < 3 YRS FEM/JUGULAR 60001|36405||24.16||BL DRAW < 3 YRS SCALP VEIN 60001|36406||12.9||BL DRAW < 3 YRS OTHER VEIN 60001|36410||13.82||NON-ROUTINE BL DRAW > 3 YRS 60001|36415||4.5||ROUTINE VENIPUNCTURE 60001|36416||4.5||CAPILLARY BLOOD DRAW 60001|36420||75.13||VEIN ACCESS CUTDOWN < 1 YR 60001|36425||58.23||VEIN ACCESS CUTDOWN > 1 YR 60001|36430||46.32||BLOOD TRANSFUSION SERVICE 60001|36440||82.3||BL PUSH TRANSFUSE - 2 YR OR < 60001|36450||158.5||BL EXCHANGE/TRANSFUSE - NB 60001|36455||171.05||BL EXCHANGE/TRANSFUSE NON-NB 60001|36456||166.34||PRTL EXCHANGE TRANSFUSE NB 60001|36460||521.03||TRANSFUSION SERVICE - FETAL 60001|36465||185.29||NJX NONCMPND SCLRSNT 1 VEIN 60001|36466||235.6||NJX NONCMPND SCLRSNT MLT VN 60001|36468||0||INJECTION(S) - SPIDER VEINS 60001|36470||118.39||INJECTION THERAPY OF VEIN 60001|36471||148.02||INJECTION THERAPY OF VEINS 60001|36473||2283.6||ENDOVENOUS MCHNCHEM 1ST VEIN 60001|36474||418.28||ENDOVENOUS MCHNCHEM ADD-ON 60001|36475||2118.46||ENDOVENOUS RF - 1ST VEIN 60001|36476||259.41||ENDOVENOUS RF - VEIN ADD-ON 60001|36478||525.31||ENDOVENOUS LASER - 1ST VEIN 60001|36479||259.3||ENDOVENOUS LASER VEIN ADDON 60001|36481||526.44||INSERTION OF CATHETER - VEIN 60001|36482||274.7||ENDOVEN THER CHEM ADHES 1ST 60001|36483||137.02||ENDOVEN THER CHEM ADHES SBSQ 60001|36500||266.22||INSERTION OF CATHETER - VEIN 60001|36510||89.03||INSERTION OF CATHETER - VEIN 60001|36511||138.31||APHERESIS WBC 60001|36512||133.56||APHERESIS RBC 60001|36513||145.29||APHERESIS PLATELETS 60001|36514||135.56||APHERESIS PLASMA 60001|36515||135.97||APHERESIS - ADSORP/REINFUSE 60001|36516||102.25||APHERESIS - SELECTIVE 60001|36522||146.49||PHOTOPHERESIS 60001|36555||179.35||INSERT NON-TUNNEL CV CATH 60001|36556||178.55||INSERT NON-TUNNEL CV CATH 60001|36557||472.25||INSERT TUNNELED CV CATH 60001|36558||409.14||INSERT TUNNELED CV CATH 60001|36560||527.45||INSERT TUNNELED CV CATH 60001|36561||519.59||INSERT TUNNELED CV CATH 60001|36563||551.68||INSERT TUNNELED CV CATH 60001|36565||518.51||INSERT TUNNELED CV CATH 60001|36566||558.22||INSERT TUNNELED CV CATH 60001|36568||140.03||INSERT PICC CATH 60001|36569||134||INSERT PICC CATH 60001|36570||449.1||INSERT PICVAD CATH 60001|36571||469.52||INSERT PICVAD CATH 60001|36575||52.24||REPAIR TUNNELED CV CATH 60001|36576||284.57||REPAIR TUNNELED CV CATH 60001|36578||316.35||REPLACE TUNNELED CV CATH 60001|36580||97.85||REPLACE CVAD CATH 60001|36581||289.76||REPLACE TUNNELED CV CATH 60001|36582||449.99||REPLACE TUNNELED CV CATH 60001|36583||471.28||REPLACE TUNNELED CV CATH 60001|36584||96.28||REPLACE PICC CATH 60001|36585||410.44||REPLACE PICVAD CATH 60001|36589||204.09||REMOVAL TUNNELED CV CATH 60001|36590||299||REMOVAL TUNNELED CV CATH 60001|36591||31.19||DRAW BLOOD OFF VENOUS DEVICE 60001|36592||35.32||COLLECT BLOOD FROM PICC 60001|36593||40.36||DECLOT VASCULAR DEVICE 60001|36595||272.84||MECH REMOV TUNNELED CV CATH 60001|36596||65.95||MECH REMOV TUNNELED CV CATH 60001|36597||89.46||REPOSITION VENOUS CATHETER 60001|36598||61.73||INJ W/FLUOR - EVAL CV DEVICE 60001|36600||22.34||WITHDRAWAL OF ARTERIAL BLOOD 60001|36620||75.37||INSERTION CATHETER - ARTERY 60001|36625||158.35||INSERTION CATHETER - ARTERY 60001|36640||188.1||INSERTION CATHETER - ARTERY 60001|36660||111.43||INSERTION CATHETER - ARTERY 60001|36680||87.74||INSERT NEEDLE - BONE CAVITY 60001|36800||236.58||INSERTION OF CANNULA 60001|36810||315.63||INSERTION OF CANNULA 60001|36815||223.11||INSERTION OF CANNULA 60001|36818||1009.09||AV FUSE - UPPR ARM - CEPHALIC 60001|36819||1116.37||AV FUSE - UPPR ARM - BASILIC 60001|36820||1212.32||AV FUSION/FOREARM VEIN 60001|36821||1038.75||AV FUSION DIRECT ANY SITE 60001|36823||1952.58||INSERTION OF CANNULA(S) 60001|36825||1179.93||ARTERY-VEIN AUTOGRAFT 60001|36830||992.48||ARTERY-VEIN NONAUTOGRAFT 60001|36831||688.34||OPEN THROMBECT AV FISTULA 60001|36832||874.99||AV FISTULA REVISION - OPEN 60001|36833||989.44||AV FISTULA REVISION 60001|36835||730.02||ARTERY TO VEIN SHUNT 60001|36838||1749.53||DIST REVAS LIGATION - HEMO 60001|36860||159.42||EXTERNAL CANNULA DECLOTTING 60001|36861||226.6||CANNULA DECLOTTING 60001|36901||871.02||INTRO CATH DIALYSIS CIRCUIT 60001|36902||1852.4||INTRO CATH DIALYSIS CIRCUIT 60001|36903||8494.86||INTRO CATH DIALYSIS CIRCUIT 60001|36904||2700.8||THRMBC/NFS DIALYSIS CIRCUIT 60001|36905||3456.08||THRMBC/NFS DIALYSIS CIRCUIT 60001|36906||10300.95||THRMBC/NFS DIALYSIS CIRCUIT 60001|36907||1108.42||BALO ANGIOP CTR DIALYSIS SEG 60001|36908||4082.7||STENT PLMT CTR DIALYSIS SEG 60001|36909||2978.04||DIALYSIS CIRCUIT EMBOLJ 60001|37140||3264.35||REVISION OF CIRCULATION 60001|37145||3057.75||REVISION OF CIRCULATION 60001|37160||3105.23||REVISION OF CIRCULATION 60001|37180||2999.71||REVISION OF CIRCULATION 60001|37181||3275.8||SPLICE SPLEEN/KIDNEY VEINS 60001|37182||1241.2||INSERT HEPATIC SHUNT (TIPS) 60001|37183||586.03||REMOVE HEPATIC SHUNT (TIPS) 60001|37184||676.46||PRIM ART MECH THROMBECTOMY 60001|37185||250.47||PRIM ART M-THROMBECT ADD-ON 60001|37186||381.03||SEC ART M-THROMBECT ADD-ON 60001|37187||609.78||VENOUS MECH THROMBECTOMY 60001|37188||433.8||VENOUS M-THROMBECTOMY ADD-ON 60001|37191||350.19||INS ENDOVAS VENA CAVA FILTR 60001|37192||542.43||REDO ENDOVAS VENA CAVA FILTR 60001|37193||541.97||REM ENDOVAS VENA CAVA FILTER 60001|37195||1424.79||THROMBOLYTIC THERAPY - STROKE 60001|37197||447||REMOVE INTRVAS FOREIGN BODY 60001|37200||329.23||TRANSCATHETER BIOPSY 60001|37202||488.9||TRANSCATHETER THERAPY INFUSE 60001|37211||591.43||THROMBOLYTIC ART THERAPY 60001|37212||522.13||THROMBOLYTIC VENOUS THERAPY 60001|37213||365.12||THROMBLYTIC ART/VEN THERAPY 60001|37214||213.44||CESSJ THERAPY CATH REMOVAL 60001|37215||1630.62||TRANSCATH STENT - CCA W/EPS 60001|37216||1474.81||TRANSCATH STENT - CCA W/O EPS 60001|37217||1684.38||STENT PLACEMT RETRO CAROTID 60001|37218||1244.51||STENT PLACEMT ANTE CAROTID 60001|37220||621.32||ILIAC REVASC 60001|37221||756.92||ILIAC REVASC W/STENT 60001|37222||281.93||ILIAC REVASC ADD-ON 60001|37223||320.06||ILIAC REVASC W/STENT ADD-ON 60001|37224||684.19||FEM/POPL REVAS W/TLA 60001|37225||923.72||FEM/POPL REVAS W/ATHER 60001|37226||761.3||FEM/POPL REVASC W/STENT 60001|37227||1115.45||FEM/POPL REVASC STNT & ATHER 60001|37228||836.96||TIB/PER REVASC W/TLA 60001|37229||1080.9||TIB/PER REVASC W/ATHER 60001|37230||1043.27||TIB/PER REVASC W/STENT 60001|37231||1133.78||TIB/PER REVASC STENT & ATHER 60001|37232||302.68||TIB/PER REVASC ADD-ON 60001|37233||497.64||TIBPER REVASC W/ATHER ADD-ON 60001|37234||414.52||REVSC OPN/PRQ TIB/PERO STENT 60001|37235||588.14||TIB/PER REVASC STNT & ATHER 60001|37236||700.53||OPEN/PERQ PLACE STENT 1ST 60001|37237||327.65||OPEN/PERQ PLACE STENT EA ADD 60001|37238||490.71||OPEN/PERQ PLACE STENT SAME 60001|37239||228.71||OPEN/PERQ PLACE STENT EA ADD 60001|37241||675.38||VASC EMBOLIZE/OCCLUDE VENOUS 60001|37242||754.14||VASC EMBOLIZE/OCCLUDE ARTERY 60001|37243||899.18||VASC EMBOLIZE/OCCLUDE ORGAN 60001|37244||1048.94||VASC EMBOLIZE/OCCLUDE BLEED 60001|37246||3262.28||TRLUML BALO ANGIOP 1ST ART 60001|37247||1319.99||TRLUML BALO ANGIOP ADDL ART 60001|37248||2259.91||TRLUML BALO ANGIOP 1ST VEIN 60001|37249||968.46||TRLUML BALO ANGIOP ADDL VEIN 60001|37252||140.23||INTRVASC US NONCORONARY 1ST 60001|37253||112.19||INTRVASC US NONCORONARY ADDL 60001|37500||1037.25||ENDOSCOPY LIGATE PERF VEINS 60001|37501||0||VASCULAR ENDOSCOPY PROCEDURE 60001|37565||1075.36||LIGATION OF NECK VEIN 60001|37600||1055.71||LIGATION OF NECK ARTERY 60001|37605||1211.56||LIGATION OF NECK ARTERY 60001|37606||827.27||LIGATION OF NECK ARTERY 60001|37607||565.12||LIGATION OF A-V FISTULA 60001|37609||303.42||TEMPORAL ARTERY PROCEDURE 60001|37615||742.8||LIGATION OF NECK ARTERY 60001|37616||1618.02||LIGATION OF CHEST ARTERY 60001|37617||1959.57||LIGATION OF ABDOMEN ARTERY 60001|37618||570.77||LIGATION OF EXTREMITY ARTERY 60001|37619||2403.74||LIGATION OF INF VENA CAVA 60001|37650||796.72||REVISION OF MAJOR VEIN 60001|37660||1882.52||REVISION OF MAJOR VEIN 60001|37700||376.97||REVISE LEG VEIN 60001|37718||653.91||LIGATE/STRIP SHORT LEG VEIN 60001|37722||726.12||LIGATE/STRIP LONG LEG VEIN 60001|37735||944.4||REMOVAL OF LEG VEINS/LESION 60001|37760||939.02||LIGATION - LEG VEINS - OPEN 60001|37761||824.47||LIGATE LEG VEINS OPEN 60001|37765||678.94||PHLEB VEINS - EXTREM - TO 20 60001|37766||830.52||PHLEB VEINS - EXTREM 20+ 60001|37780||384.45||REVISION OF LEG VEIN 60001|37785||389.49||LIGATE/DIVIDE/EXCISE VEIN 60001|37788||2015.8||REVASCULARIZATION - PENIS 60001|37790||699.88||PENILE VENOUS OCCLUSION 60001|37799||0||VASCULAR SURGERY PROCEDURE 60001|38100||1646.74||REMOVAL OF SPLEEN - TOTAL 60001|38101||1661.08||REMOVAL OF SPLEEN - PARTIAL 60001|38102||378.12||REMOVAL OF SPLEEN - TOTAL 60001|38115||1817.83||REPAIR OF RUPTURED SPLEEN 60001|38120||1504.27||LAPAROSCOPY - SPLENECTOMY 60001|38129||0||LAPAROSCOPE PROC - SPLEEN 60001|38200||211.4||INJECTION FOR SPLEEN X-RAY 60001|38204||146.34||BL DONOR SEARCH MANAGEMENT 60001|38205||113.84||HARVEST ALLOGENIC STEM CELLS 60001|38206||116.18||HARVEST AUTO STEM CELLS 60001|38207||66.61||CRYOPRESERVE STEM CELLS 60001|38208||42.41||THAW PRESERVED STEM CELLS 60001|38209||17.77||WASH HARVEST STEM CELLS 60001|38210||117.91||T-CELL DEPLETION OF HARVEST 60001|38211||107.04||TUMOR CELL DEPLETE OF HARVST 60001|38212||70.08||RBC DEPLETION OF HARVEST 60001|38213||17.77||PLATELET DEPLETE OF HARVEST 60001|38214||60.69||VOLUME DEPLETE OF HARVEST 60001|38215||70.08||HARVEST STEM CELL CONCENTRTE 60001|38220||87.4||BONE MARROW ASPIRATION 60001|38221||107.67||BONE MARROW BIOPSY 60001|38222||242.2||DX BONE MARROW BX & ASPIR 60001|38230||267.04||BONE MARROW COLLECTION 60001|38232||267.04||BONE MARROW HARVEST AUTOLOG 60001|38240||178.8||BONE MARROW/STEM TRANSPLANT 60001|38241||178.31||BONE MARROW/STEM TRANSPLANT 60001|38242||136.06||LYMPHOCYTE INFUSE TRANSPLANT 60001|38243||168||TRANSPLJ HEMATOPOIETIC BOOST 60001|38300||264.63||DRAINAGE - LYMPH NODE LESION 60001|38305||657.62||DRAINAGE - LYMPH NODE LESION 60001|38308||641.99||INCISION OF LYMPH CHANNELS 60001|38380||826.53||THORACIC DUCT PROCEDURE 60001|38381||1179.44||THORACIC DUCT PROCEDURE 60001|38382||1013.49||THORACIC DUCT PROCEDURE 60001|38500||361.13||BIOPSY/REMOVAL - LYMPH NODES 60001|38505||102.86||NEEDLE BIOPSY - LYMPH NODES 60001|38510||606.39||BIOPSY/REMOVAL - LYMPH NODES 60001|38520||667.37||BIOPSY/REMOVAL - LYMPH NODES 60001|38525||616.93||BIOPSY/REMOVAL - LYMPH NODES 60001|38530||785.76||BIOPSY/REMOVAL - LYMPH NODES 60001|38542||748.13||EXPLORE DEEP NODE(S) - NECK 60001|38550||716.08||REMOVAL - NECK/ARMPIT LESION 60001|38555||1433.35||REMOVAL - NECK/ARMPIT LESION 60001|38562||1002.79||REMOVAL - PELVIC LYMPH NODES 60001|38564||1006.28||REMOVAL - ABDOMEN LYMPH NODES 60001|38570||770.56||LAPAROSCOPY - LYMPH NODE BIOP 60001|38571||1151.53||LAPAROSCOPY - LYMPHADENECTOMY 60001|38572||1370.16||LAPAROSCOPY - LYMPHADENECTOMY 60001|38573||1772.32||LAPS PELVIC LYMPHADEC 60001|38589||0||LAPAROSCOPE PROC - LYMPHATIC 60001|38700||1167.5||REMOVAL OF LYMPH NODES - NECK 60001|38720||1953.45||REMOVAL OF LYMPH NODES - NECK 60001|38724||2111.44||REMOVAL OF LYMPH NODES - NECK 60001|38740||981.2||REMOVE ARMPIT LYMPH NODES 60001|38745||1244.97||REMOVE ARMPIT LYMPH NODES 60001|38746||325.99||REMOVE THORACIC LYMPH NODES 60001|38747||384.15||REMOVE ABDOMINAL LYMPH NODES 60001|38760||1205.37||REMOVE GROIN LYMPH NODES 60001|38765||1847.24||REMOVE GROIN LYMPH NODES 60001|38770||1157.5||REMOVE PELVIS LYMPH NODES 60001|38780||1483.94||REMOVE ABDOMEN LYMPH NODES 60001|38790||120.33||INJECT FOR LYMPHATIC X-RAY 60001|38792||57.85||IDENTIFY SENTINEL NODE 60001|38794||421.75||ACCESS THORACIC LYMPH DUCT 60001|38900||195.85||IO MAP OF SENT LYMPH NODE 60001|38999||0||BLOOD/LYMPH SYSTEM PROCEDURE 60001|39000||729.25||EXPLORATION OF CHEST 60001|39010||1172.48||EXPLORATION OF CHEST 60001|39200||1301.75||REMOVAL CHEST LESION 60001|39220||1679.85||REMOVAL CHEST LESION 60001|39401||466.81||MEDIASTINOSCPY W/MEDSTNL BX 60001|39402||610.48||MEDIASTINOSCPY W/LMPH NOD BX 60001|39499||0||CHEST PROCEDURE 60001|39501||1226.75||REPAIR DIAPHRAGM LACERATION 60001|39503||8808.29||REPAIR OF DIAPHRAGM HERNIA 60001|39540||1253.92||REPAIR OF DIAPHRAGM HERNIA 60001|39541||1362.28||REPAIR OF DIAPHRAGM HERNIA 60001|39545||1317.72||REVISION OF DIAPHRAGM 60001|39560||1142.39||RESECT DIAPHRAGM - SIMPLE 60001|39561||1799.88||RESECT DIAPHRAGM - COMPLEX 60001|39599||0||DIAPHRAGM SURGERY PROCEDURE 60001|40490||107.5||BIOPSY OF LIP 60001|40500||524.97||PARTIAL EXCISION OF LIP 60001|40510||514.48||PARTIAL EXCISION OF LIP 60001|40520||520.34||PARTIAL EXCISION OF LIP 60001|40525||808.74||RECONSTRUCT LIP WITH FLAP 60001|40527||912.33||RECONSTRUCT LIP WITH FLAP 60001|40530||587.69||PARTIAL REMOVAL OF LIP 60001|40650||425.07||REPAIR LIP 60001|40652||512.52||REPAIR LIP 60001|40654||615.91||REPAIR LIP 60001|40700||1378.22||REPAIR CLEFT LIP/NASAL 60001|40701||1690.01||REPAIR CLEFT LIP/NASAL 60001|40702||1187.25||REPAIR CLEFT LIP/NASAL 60001|40720||1499.67||REPAIR CLEFT LIP/NASAL 60001|40761||1500.8||REPAIR CLEFT LIP/NASAL 60001|40799||0||LIP SURGERY PROCEDURE 60001|40800||185.95||DRAINAGE OF MOUTH LESION 60001|40801||315.95||DRAINAGE OF MOUTH LESION 60001|40804||190.41||REMOVAL - FOREIGN BODY - MOUTH 60001|40805||322.71||REMOVAL - FOREIGN BODY - MOUTH 60001|40806||53.48||INCISION OF LIP FOLD 60001|40808||153.99||BIOPSY OF MOUTH LESION 60001|40810||183.42||EXCISION OF MOUTH LESION 60001|40812||281.03||EXCISE/REPAIR MOUTH LESION 60001|40814||435.37||EXCISE/REPAIR MOUTH LESION 60001|40816||455.99||EXCISION OF MOUTH LESION 60001|40818||386.22||EXCISE ORAL MUCOSA FOR GRAFT 60001|40819||334.98||EXCISE LIP OR CHEEK FOLD 60001|40820||246.13||TREATMENT OF MOUTH LESION 60001|40830||236.9||REPAIR MOUTH LACERATION 60001|40831||322.59||REPAIR MOUTH LACERATION 60001|40840||886.2||RECONSTRUCTION OF MOUTH 60001|40842||910.95||RECONSTRUCTION OF MOUTH 60001|40843||1241.44||RECONSTRUCTION OF MOUTH 60001|40844||1615.21||RECONSTRUCTION OF MOUTH 60001|40845||1784.97||RECONSTRUCTION OF MOUTH 60001|40899||0||MOUTH SURGERY PROCEDURE 60001|41000||160.9||DRAINAGE OF MOUTH LESION 60001|41005||181.75||DRAINAGE OF MOUTH LESION 60001|41006||375.2||DRAINAGE OF MOUTH LESION 60001|41007||358.87||DRAINAGE OF MOUTH LESION 60001|41008||384.11||DRAINAGE OF MOUTH LESION 60001|41009||417.56||DRAINAGE OF MOUTH LESION 60001|41010||158.67||INCISION OF TONGUE FOLD 60001|41015||485.57||DRAINAGE OF MOUTH LESION 60001|41016||499||DRAINAGE OF MOUTH LESION 60001|41017||500.38||DRAINAGE OF MOUTH LESION 60001|41018||587.56||DRAINAGE OF MOUTH LESION 60001|41019||664.26||PLACE NEEDLES H&N FOR RT 60001|41100||157.17||BIOPSY OF TONGUE 60001|41105||161.55||BIOPSY OF TONGUE 60001|41108||130.65||BIOPSY OF FLOOR OF MOUTH 60001|41110||191.86||EXCISION OF TONGUE LESION 60001|41112||362.84||EXCISION OF TONGUE LESION 60001|41113||401.07||EXCISION OF TONGUE LESION 60001|41114||918.85||EXCISION OF TONGUE LESION 60001|41115||213.24||EXCISION OF TONGUE FOLD 60001|41116||317.62||EXCISION OF MOUTH LESION 60001|41120||1517.35||PARTIAL REMOVAL OF TONGUE 60001|41130||1886.09||PARTIAL REMOVAL OF TONGUE 60001|41135||3117.18||TONGUE AND NECK SURGERY 60001|41140||3172.57||REMOVAL OF TONGUE 60001|41145||4005.84||TONGUE REMOVAL - NECK SURGERY 60001|41150||3179.33||TONGUE - MOUTH - JAW SURGERY 60001|41153||3446.11||TONGUE - MOUTH - NECK SURGERY 60001|41155||4332.68||TONGUE - JAW - & NECK SURGERY 60001|41250||217.49||REPAIR TONGUE LACERATION 60001|41251||252.79||REPAIR TONGUE LACERATION 60001|41252||308.06||REPAIR TONGUE LACERATION 60001|41500||658.29||FIXATION OF TONGUE 60001|41510||592.52||TONGUE TO LIP SURGERY 60001|41512||900.26||TONGUE SUSPENSION 60001|41520||363.27||RECONSTRUCTION - TONGUE FOLD 60001|41530||4768.17||TONGUE BASE VOL REDUCTION 60001|41599||0||TONGUE AND MOUTH SURGERY 60001|41800||204.1||DRAINAGE OF GUM LESION 60001|41805||238.79||REMOVAL FOREIGN BODY - GUM 60001|41806||375.73||REMOVAL FOREIGN BODY - JAWBONE 60001|41820||367.23||EXCISION - GUM - EACH QUADRANT 60001|41821||82.83||EXCISION OF GUM FLAP 60001|41822||258.32||EXCISION OF GUM LESION 60001|41823||458.22||EXCISION OF GUM LESION 60001|41825||176.83||EXCISION OF GUM LESION 60001|41826||299.12||EXCISION OF GUM LESION 60001|41827||439.75||EXCISION OF GUM LESION 60001|41828||304.88||EXCISION OF GUM LESION 60001|41830||401.48||REMOVAL OF GUM TISSUE 60001|41850||183.62||TREATMENT OF GUM LESION 60001|41870||459.25||GUM GRAFT 60001|41872||415.48||REPAIR GUM 60001|41874||361.53||REPAIR TOOTH SOCKET 60001|41899||0||DENTAL SURGERY PROCEDURE 60001|42000||150.42||DRAINAGE MOUTH ROOF LESION 60001|42100||158.2||BIOPSY ROOF OF MOUTH 60001|42104||201.26||EXCISION LESION - MOUTH ROOF 60001|42106||256.01||EXCISION LESION - MOUTH ROOF 60001|42107||500.56||EXCISION LESION - MOUTH ROOF 60001|42120||1439.17||REMOVE PALATE/LESION 60001|42140||226.53||EXCISION OF UVULA 60001|42145||1028.05||REPAIR PALATE - PHARYNX/UVULA 60001|42160||215.4||TREATMENT MOUTH ROOF LESION 60001|42180||268.7||REPAIR PALATE 60001|42182||377.61||REPAIR PALATE 60001|42200||1252.45||RECONSTRUCT CLEFT PALATE 60001|42205||1271.87||RECONSTRUCT CLEFT PALATE 60001|42210||1606.83||RECONSTRUCT CLEFT PALATE 60001|42215||984.86||RECONSTRUCT CLEFT PALATE 60001|42220||758.79||RECONSTRUCT CLEFT PALATE 60001|42225||1297.13||RECONSTRUCT CLEFT PALATE 60001|42226||1311.26||LENGTHENING OF PALATE 60001|42227||1240.98||LENGTHENING OF PALATE 60001|42235||1069.38||REPAIR PALATE 60001|42260||968.99||REPAIR NOSE TO LIP FISTULA 60001|42280||160.56||PREPARATION - PALATE MOLD 60001|42281||221.61||INSERTION - PALATE PROSTHESIS 60001|42299||0||PALATE/UVULA SURGERY 60001|42300||223||DRAINAGE OF SALIVARY GLAND 60001|42305||626.08||DRAINAGE OF SALIVARY GLAND 60001|42310||182.49||DRAINAGE OF SALIVARY GLAND 60001|42320||257.35||DRAINAGE OF SALIVARY GLAND 60001|42330||240.56||REMOVAL OF SALIVARY STONE 60001|42335||375.1||REMOVAL OF SALIVARY STONE 60001|42340||492.71||REMOVAL OF SALIVARY STONE 60001|42400||80.75||BIOPSY OF SALIVARY GLAND 60001|42405||328.89||BIOPSY OF SALIVARY GLAND 60001|42408||477.71||EXCISION OF SALIVARY CYST 60001|42409||325.2||DRAINAGE OF SALIVARY CYST 60001|42410||908.96||EXCISE PAROTID GLAND/LESION 60001|42415||1554.53||EXCISE PAROTID GLAND/LESION 60001|42420||1750.33||EXCISE PAROTID GLAND/LESION 60001|42425||1227.18||EXCISE PAROTID GLAND/LESION 60001|42426||1985.62||EXCISE PAROTID GLAND/LESION 60001|42440||607.26||EXCISE SUBMAXILLARY GLAND 60001|42450||522.66||EXCISE SUBLINGUAL GLAND 60001|42500||497.55||REPAIR SALIVARY DUCT 60001|42505||659.51||REPAIR SALIVARY DUCT 60001|42507||749.01||PAROTID DUCT DIVERSION 60001|42509||1269.21||PAROTID DUCT DIVERSION 60001|42510||919.01||PAROTID DUCT DIVERSION 60001|42550||91.04||INJECTION FOR SALIVARY X-RAY 60001|42600||511.79||CLOSURE OF SALIVARY FISTULA 60001|42650||85.32||DILATION OF SALIVARY DUCT 60001|42660||112.47||DILATION OF SALIVARY DUCT 60001|42665||302.61||LIGATION OF SALIVARY DUCT 60001|42699||0||SALIVARY SURGERY PROCEDURE 60001|42700||198.86||DRAINAGE OF TONSIL ABSCESS 60001|42720||575.6||DRAINAGE OF THROAT ABSCESS 60001|42725||1182.56||DRAINAGE OF THROAT ABSCESS 60001|42800||164.15||BIOPSY OF THROAT 60001|42804||166.06||BIOPSY OF UPPER NOSE/THROAT 60001|42806||194.51||BIOPSY OF UPPER NOSE/THROAT 60001|42808||237.81||EXCISE PHARYNX LESION 60001|42809||191.66||REMOVE PHARYNX FOREIGN BODY 60001|42810||420.8||EXCISION OF NECK CYST 60001|42815||813.54||EXCISION OF NECK CYST 60001|42820||424.88||REMOVE TONSILS AND ADENOIDS 60001|42821||441.24||REMOVE TONSILS AND ADENOIDS 60001|42825||355.02||REMOVAL OF TONSILS 60001|42826||368.01||REMOVAL OF TONSILS 60001|42830||303.17||REMOVAL OF ADENOIDS 60001|42831||326.02||REMOVAL OF ADENOIDS 60001|42835||278.78||REMOVAL OF ADENOIDS 60001|42836||352.3||REMOVAL OF ADENOIDS 60001|42842||1440.19||EXTENSIVE SURGERY OF THROAT 60001|42844||1989.16||EXTENSIVE SURGERY OF THROAT 60001|42845||3236.82||EXTENSIVE SURGERY OF THROAT 60001|42860||275.15||EXCISION OF TONSIL TAGS 60001|42870||838.15||EXCISION OF LINGUAL TONSIL 60001|42890||2053.43||PARTIAL REMOVAL OF PHARYNX 60001|42892||2727.58||REVISION OF PHARYNGEAL WALLS 60001|42894||3441.88||REVISION OF PHARYNGEAL WALLS 60001|42900||498.08||REPAIR THROAT WOUND 60001|42950||1150.23||RECONSTRUCTION OF THROAT 60001|42953||1390.92||REPAIR THROAT - ESOPHAGUS 60001|42955||1089.56||SURGICAL OPENING OF THROAT 60001|42960||246.7||CONTROL THROAT BLEEDING 60001|42961||613.9||CONTROL THROAT BLEEDING 60001|42962||758.44||CONTROL THROAT BLEEDING 60001|42970||586.36||CONTROL NOSE/THROAT BLEEDING 60001|42971||669.29||CONTROL NOSE/THROAT BLEEDING 60001|42972||749.85||CONTROL NOSE/THROAT BLEEDING 60001|42999||0||THROAT SURGERY PROCEDURE 60001|43020||784.02||INCISION OF ESOPHAGUS 60001|43030||759.1||THROAT MUSCLE SURGERY 60001|43045||1919.51||INCISION OF ESOPHAGUS 60001|43100||915.54||EXCISION OF ESOPHAGUS LESION 60001|43101||1485.15||EXCISION OF ESOPHAGUS LESION 60001|43107||3715.02||REMOVAL OF ESOPHAGUS 60001|43108||6478.1||REMOVAL OF ESOPHAGUS 60001|43112||3954.12||REMOVAL OF ESOPHAGUS 60001|43113||6593.69||REMOVAL OF ESOPHAGUS 60001|43116||7578.38||PARTIAL REMOVAL OF ESOPHAGUS 60001|43117||3615.06||PARTIAL REMOVAL OF ESOPHAGUS 60001|43118||5481.48||PARTIAL REMOVAL OF ESOPHAGUS 60001|43121||4215.49||PARTIAL REMOVAL OF ESOPHAGUS 60001|43122||3709.63||PARTIAL REMOVAL OF ESOPHAGUS 60001|43123||6792.15||PARTIAL REMOVAL OF ESOPHAGUS 60001|43124||5615||REMOVAL OF ESOPHAGUS 60001|43130||1152.16||REMOVAL OF ESOPHAGUS POUCH 60001|43135||2178.82||REMOVAL OF ESOPHAGUS POUCH 60001|43180||831.03||ESOPHAGOSCOPY RIGID TRNSO 60001|43191||186.89||ESOPHAGOSCOPY RIGID TRNSO DX 60001|43192||223.19||ESOPHAGOSCP RIG TRNSO INJECT 60001|43193||266.33||ESOPHAGOSCP RIG TRNSO BIOPSY 60001|43194||243.14||ESOPHAGOSCP RIG TRNSO REM FB 60001|43195||266.81||ESOPHAGOSCOPY RIGID BALLOON 60001|43196||292.68||ESOPHAGOSCP GUIDE WIRE DILAT 60001|43197||119.76||ESOPHAGOSCOPY FLEX DX BRUSH 60001|43198||142.67||ESOPHAGOSC FLEX TRNSN BIOPSY 60001|43200||139.25||ESOPHAGUS ENDOSCOPY 60001|43201||163.62||ESOPH SCOPE W/SUBMUCOUS INJ 60001|43202||164.12||ESOPHAGUS ENDOSCOPY - BIOPSY 60001|43204||216.24||ESOPH SCOPE W/SCLEROSIS INJ 60001|43205||223.59||ESOPHAGUS ENDOSCOPY/LIGATION 60001|43206||213.75||ESOPH OPTICAL ENDOMICROSCOPY 60001|43210||641||EGD ESOPHAGOGASTRC FNDOPLSTY 60001|43211||364.41||ESOPHAGOSCOP MUCOSAL RESECT 60001|43212||287.91||ESOPHAGOSCOP STENT PLACEMENT 60001|43213||405.5||ESOPHAGOSCOPY RETRO BALLOON 60001|43214||293.16||ESOPHAGOSC DILATE BALLOON 30 60001|43215||221.21||ESOPHAGUS ENDOSCOPY 60001|43216||214.77||ESOPHAGUS ENDOSCOPY/LESION 60001|43217||256.26||ESOPHAGUS ENDOSCOPY 60001|43220||188.48||ESOPH ENDOSCOPY - DILATION 60001|43226||207.69||ESOPH ENDOSCOPY - DILATION 60001|43227||262.98||ESOPH ENDOSCOPY - REPAIR 60001|43229||309.56||ESOPHAGOSCOPY LESION ABLATE 60001|43231||256.22||ESOPH ENDOSCOPY W/US EXAM 60001|43232||305.67||ESOPH ENDOSCOPY W/US FN BX 60001|43235||195.65||UPPR GI ENDOSCOPY - DIAGNOSIS 60001|43236||219.99||UPPR GI SCOPE W/SUBMUC INJ 60001|43237||310.17||ENDOSCOPIC US EXAM - ESOPH 60001|43238||354.23||UPPR GI ENDOSCOPY W/US FN BX 60001|43239||219.02||UPPER GI ENDOSCOPY - BIOPSY 60001|43240||617.09||ESOPH ENDOSCOPE W/DRAIN CYST 60001|43241||226.95||UPPER GI ENDOSCOPY WITH TUBE 60001|43242||401.49||UPPR GI ENDOSCOPY W/US FN BX 60001|43243||374.51||UPPER GI ENDOSCOPY & INJECT 60001|43244||387.78||UPPER GI ENDOSCOPY/LIGATION 60001|43245||277.59||UPPR GI SCOPE DILATE STRICTR 60001|43246||318.5||PLACE GASTROSTOMY TUBE 60001|43247||278.07||OPERATIVE UPPER GI ENDOSCOPY 60001|43248||264.53||UPPR GI ENDOSCOPY/GUIDE WIRE 60001|43249||243.87||ESOPH ENDOSCOPY - DILATION 60001|43250||268.79||UPPER GI ENDOSCOPY/TUMOR 60001|43251||311.15||OPERATIVE UPPER GI ENDOSCOPY 60001|43252||267.71||UPPR GI OPTICL ENDOMICRSCOPY 60001|43253||403.77||EGD US TRANSMURAL INJXN/MARK 60001|43254||419.39||EGD ENDO MUCOSAL RESECTION 60001|43255||318.87||OPERATIVE UPPER GI ENDOSCOPY 60001|43256||371.63||UPPR GI ENDOSCOPY W/STENT 60001|43257||356.63||UPPR GI SCOPE W/THRML TXMNT 60001|43259||358.25||ENDOSCOPIC ULTRASOUND EXAM 60001|43260||508.4||ENDO CHOLANGIOPANCREATOGRAPH 60001|43261||531.91||ENDO CHOLANGIOPANCREATOGRAPH 60001|43262||625.13||ENDO CHOLANGIOPANCREATOGRAPH 60001|43263||563.22||ENDO CHOLANGIOPANCREATOGRAPH 60001|43264||906.15||ENDO CHOLANGIOPANCREATOGRAPH 60001|43265||573.6||ENDO CHOLANGIOPANCREATOGRAPH 60001|43266||347.15||EGD ENDOSCOPIC STENT PLACE 60001|43268||633.38||ENDO CHOLANGIOPANCREATOGRAPH 60001|43270||364.44||EGD LESION ABLATION 60001|43273||681.32||ENDOSCOPIC PANCREATOSCOPY 60001|43274||719.07||ERCP DUCT STENT PLACEMENT 60001|43275||592.76||ERCP REMOVE FORGN BODY DUCT 60001|43276||748.11||ERCP STENT EXCHANGE W/DILATE 60001|43277||596.36||ERCP EA DUCT/AMPULLA DILATE 60001|43278||678.18||ERCP LESION ABLATE W/DILATE 60001|43279||1860.43||LAP MYOTOMY - HELLER 60001|43280||1552.64||LAPAROSCOPY - FUNDOPLASTY 60001|43281||2241.56||LAP PARAESOPHAG HERN REPAIR 60001|43282||2521.31||LAP PARAESOPH HER RPR W/MESH 60001|43283||233.6||LAP ESOPH LENGTHENING 60001|43284||1011.52||LAPS ESOPHGL SPHNCTR AGMNTJ 60001|43285||1023.37||RMVL ESOPHGL SPHNCTR DEV 60001|43286||4821.43||ESPHG TOT W/LAPS MOBLJ 60001|43287||5513.06||ESPHG DSTL 2/3 W/LAPS MOBLJ 60001|43288||5749.53||ESPHG THRSC MOBLJ 60001|43289||0||LAPAROSCOPE PROC - ESOPH 60001|43300||899.54||REPAIR OF ESOPHAGUS 60001|43305||1603.47||REPAIR ESOPHAGUS AND FISTULA 60001|43310||2199.72||REPAIR OF ESOPHAGUS 60001|43312||2386.04||REPAIR ESOPHAGUS AND FISTULA 60001|43313||4168.67||ESOPHAGOPLASTY CONGENITAL 60001|43314||4236.8||TRACHEO-ESOPHAGOPLASTY CONG 60001|43320||1996.44||FUSE ESOPHAGUS & STOMACH 60001|43325||1941.62||REVISE ESOPHAGUS & STOMACH 60001|43327||1182.04||ESOPH FUNDOPLASTY LAP 60001|43328||1733.44||ESOPH FUNDOPLASTY THOR 60001|43330||1884.39||REPAIR OF ESOPHAGUS 60001|43331||1983.4||REPAIR OF ESOPHAGUS 60001|43332||1686.23||TRANSAB ESOPH HIAT HERN RPR 60001|43333||1830.72||TRANSAB ESOPH HIAT HERN RPR 60001|43334||1848.61||TRANSTHOR DIAPHRAG HERN RPR 60001|43335||1991.31||TRANSTHOR DIAPHRAG HERN RPR 60001|43336||2183.18||THORABD DIAPHR HERN REPAIR 60001|43337||2386.43||THORABD DIAPHR HERN REPAIR 60001|43338||190.63||ESOPH LENGTHENING 60001|43340||1974.93||FUSE ESOPHAGUS & INTESTINE 60001|43341||2080.24||FUSE ESOPHAGUS & INTESTINE 60001|43351||1937.88||SURGICAL OPENING - ESOPHAGUS 60001|43352||1573.16||SURGICAL OPENING - ESOPHAGUS 60001|43360||3462.03||GASTROINTESTINAL REPAIR 60001|43361||3866.14||GASTROINTESTINAL REPAIR 60001|43400||2156.43||LIGATE ESOPHAGUS VEINS 60001|43401||2219.88||ESOPHAGUS SURGERY FOR VEINS 60001|43405||2118.91||LIGATE/STAPLE ESOPHAGUS 60001|43410||1575.92||REPAIR ESOPHAGUS WOUND 60001|43415||3698.62||REPAIR ESOPHAGUS WOUND 60001|43420||1484.48||REPAIR ESOPHAGUS OPENING 60001|43425||2117.42||REPAIR ESOPHAGUS OPENING 60001|43450||129.94||DILATE ESOPHAGUS 60001|43453||140.26||DILATE ESOPHAGUS 60001|43460||325.46||PRESSURE TREATMENT ESOPHAGUS 60001|43496||7131.85||FREE JEJUNUM FLAP - MICROVASC 60001|43499||0||ESOPHAGUS SURGERY PROCEDURE 60001|43500||1122.53||SURGICAL OPENING OF STOMACH 60001|43501||1928.24||SURGICAL REPAIR OF STOMACH 60001|43502||2179.68||SURGICAL REPAIR OF STOMACH 60001|43510||1371.05||SURGICAL OPENING OF STOMACH 60001|43520||993.81||INCISION OF PYLORIC MUSCLE 60001|43605||1194.55||BIOPSY OF STOMACH 60001|43610||1401.67||EXCISION OF STOMACH LESION 60001|43611||1740.35||EXCISION OF STOMACH LESION 60001|43620||2821.01||REMOVAL OF STOMACH 60001|43621||3244.3||REMOVAL OF STOMACH 60001|43622||3295.26||REMOVAL OF STOMACH 60001|43631||2076.84||REMOVAL OF STOMACH - PARTIAL 60001|43632||2899.44||REMOVAL OF STOMACH - PARTIAL 60001|43633||2744.41||REMOVAL OF STOMACH - PARTIAL 60001|43634||3038.97||REMOVAL OF STOMACH - PARTIAL 60001|43635||161.75||REMOVAL OF STOMACH - PARTIAL 60001|43640||1683.08||VAGOTOMY & PYLORUS REPAIR 60001|43641||1712.5||VAGOTOMY & PYLORUS REPAIR 60001|43644||2482.58||LAP GASTRIC BYPASS/ROUX-EN-Y 60001|43645||2656.77||LAP GASTR BYPASS INCL SMLL I 60001|43647||1021.61||LAP IMPL ELECTRODE - ANTRUM 60001|43648||0||LAP REVISE/REMV ELTRD ANTRUM 60001|43651||931.31||LAPAROSCOPY - VAGUS NERVE 60001|43652||1089.56||LAPAROSCOPY - VAGUS NERVE 60001|43653||811.69||LAPAROSCOPY - GASTROSTOMY 60001|43659||0||LAPAROSCOPE PROC - STOM 60001|43752||58.9||NASAL/OROGASTRIC W/STENT 60001|43753||29.9||TX GASTRO INTUB W/ASP 60001|43754||45.5||DX GASTR INTUB W/ASP SPEC 60001|43755||82.96||DX GASTR INTUB W/ASP SPECS 60001|43756||74.23||DX DUOD INTUB W/ASP SPEC 60001|43757||113.05||DX DUOD INTUB W/ASP SPECS 60001|43760||71.38||CHANGE GASTROSTOMY TUBE 60001|43761||150.67||REPOSITION GASTROSTOMY TUBE 60001|43770||1595.62||LAP - PLACE GASTR ADJUST BAND 60001|43771||1815.6||LAP - REVISE ADJUST GAST BAND 60001|43772||1365.63||LAP - REMOVE ADJUST GAST BAND 60001|43773||1814.68||LAP - CHANGE ADJUST GAST BAND 60001|43774||1374.19||LAP REMOV ADJ GAST BAND/PORT 60001|43775||1850.11||LAP SLEEVE GASTRECTOMY 60001|43800||1329.76||RECONSTRUCTION OF PYLORUS 60001|43810||1451.9||FUSION OF STOMACH AND BOWEL 60001|43820||1909.51||FUSION OF STOMACH AND BOWEL 60001|43825||1863.59||FUSION OF STOMACH AND BOWEL 60001|43830||994.77||PLACE GASTROSTOMY TUBE 60001|43831||842.46||PLACE GASTROSTOMY TUBE 60001|43832||1506.55||PLACE GASTROSTOMY TUBE 60001|43840||1938.21||REPAIR OF STOMACH LESION 60001|43842||1652.33||V-BAND GASTROPLASTY 60001|43843||1826.16||GASTROPLASTY W/O V-BAND 60001|43845||2799.44||GASTROPLASTY DUODENAL SWITCH 60001|43846||2329.44||GASTRIC BYPASS FOR OBESITY 60001|43847||2571.87||GASTRIC BYPASS INCL SMALL I 60001|43848||2761.55||REVISION GASTROPLASTY 60001|43850||2326.78||REVISE STOMACH-BOWEL FUSION 60001|43855||2417.27||REVISE STOMACH-BOWEL FUSION 60001|43860||2338.02||REVISE STOMACH-BOWEL FUSION 60001|43865||2445.4||REVISE STOMACH-BOWEL FUSION 60001|43870||1015.45||REPAIR STOMACH OPENING 60001|43880||2284.53||REPAIR STOMACH-BOWEL FISTULA 60001|43881||1021.61||IMPL/REDO ELECTRD - ANTRUM 60001|43882||0||REVISE/REMOVE ELECTRD ANTRUM 60001|43886||508.01||REVISE GASTRIC PORT - OPEN 60001|43887||460.83||REMOVE GASTRIC PORT - OPEN 60001|43888||648.63||CHANGE GASTRIC PORT - OPEN 60001|43999||0||STOMACH SURGERY PROCEDURE 60001|44005||1565.96||FREEING OF BOWEL ADHESION 60001|44010||1237.93||INCISION OF SMALL BOWEL 60001|44015||206.15||INSERT NEEDLE CATH BOWEL 60001|44020||1392.24||EXPLORE SMALL INTESTINE 60001|44021||1403.77||DECOMPRESS SMALL BOWEL 60001|44025||1414.43||INCISION OF LARGE BOWEL 60001|44050||1337||REDUCE BOWEL OBSTRUCTION 60001|44055||2144.9||CORRECT MALROTATION OF BOWEL 60001|44100||165.91||BIOPSY OF BOWEL 60001|44110||1214.15||EXCISE INTESTINE LESION(S) 60001|44111||1407.62||EXCISION OF BOWEL LESION(S) 60001|44120||1750.48||REMOVAL OF SMALL INTESTINE 60001|44121||349.11||REMOVAL OF SMALL INTESTINE 60001|44125||1691.41||REMOVAL OF SMALL INTESTINE 60001|44126||3526.56||ENTERECTOMY W/O TAPER - CONG 60001|44127||4081.95||ENTERECTOMY W/TAPER - CONG 60001|44128||350.99||ENTERECTOMY CONG - ADD-ON 60001|44130||1871.71||BOWEL TO BOWEL FUSION 60001|44132||0||ENTERECTOMY - CADAVER DONOR 60001|44133||0||ENTERECTOMY - LIVE DONOR 60001|44135||0||INTESTINE TRANSPLNT - CADAVER 60001|44136||0||INTESTINE TRANSPLANT - LIVE 60001|44137||0||REMOVE INTESTINAL ALLOGRAFT 60001|44139||174.59||MOBILIZATION OF COLON 60001|44140||1921.1||PARTIAL REMOVAL OF COLON 60001|44141||2603.46||PARTIAL REMOVAL OF COLON 60001|44143||2384.05||PARTIAL REMOVAL OF COLON 60001|44144||2532.85||PARTIAL REMOVAL OF COLON 60001|44145||2383||PARTIAL REMOVAL OF COLON 60001|44146||3030.55||PARTIAL REMOVAL OF COLON 60001|44147||2773.99||PARTIAL REMOVAL OF COLON 60001|44150||2672.63||REMOVAL OF COLON 60001|44151||3057.87||REMOVAL OF COLON/ILEOSTOMY 60001|44155||2981.33||REMOVAL OF COLON/ILEOSTOMY 60001|44156||3298.23||REMOVAL OF COLON/ILEOSTOMY 60001|44157||3112.65||COLECTOMY W/ILEOANAL ANAST 60001|44158||3192.45||COLECTOMY W/NEO-RECTUM POUCH 60001|44160||1778.25||REMOVAL OF COLON 60001|44180||1317.25||LAP - ENTEROLYSIS 60001|44186||932.71||LAP - JEJUNOSTOMY 60001|44187||1580.72||LAP - ILEO/JEJUNO-STOMY 60001|44188||1750.78||LAP - COLOSTOMY 60001|44202||1987.94||LAP - ENTERECTOMY 60001|44203||350.07||LAP RESECT S/INTESTINE - ADDL 60001|44204||2211.54||LAPARO PARTIAL COLECTOMY 60001|44205||1923.68||LAP COLECTOMY PART W/ILEUM 60001|44206||2521.5||LAP PART COLECTOMY W/STOMA 60001|44207||2629.98||L COLECTOMY/COLOPROCTOSTOMY 60001|44208||2857.5||L COLECTOMY/COLOPROCTOSTOMY 60001|44210||2576.78||LAPARO TOTAL PROCTOCOLECTOMY 60001|44211||3219.78||LAPARO TOTAL PROCTOCOLECTOMY 60001|44212||2962.31||LAPARO TOTAL PROCTOCOLECTOMY 60001|44213||273.25||LAP - MOBIL SPLENIC FL ADD-ON 60001|44227||2398.61||LAP - CLOSE ENTEROSTOMY 60001|44300||1204.86||OPEN BOWEL TO SKIN 60001|44310||1496.2||ILEOSTOMY/JEJUNOSTOMY 60001|44312||846.29||REVISION OF ILEOSTOMY 60001|44314||1444.55||REVISION OF ILEOSTOMY 60001|44316||2019.53||DEVISE BOWEL POUCH 60001|44320||1720.58||COLOSTOMY 60001|44322||1411.58||COLOSTOMY WITH BIOPSIES 60001|44340||884.28||REVISION OF COLOSTOMY 60001|44345||1505.71||REVISION OF COLOSTOMY 60001|44346||1692.24||REVISION OF COLOSTOMY 60001|44360||229.56||SMALL BOWEL ENDOSCOPY 60001|44361||252.61||SMALL BOWEL ENDOSCOPY/BIOPSY 60001|44363||302.32||SMALL BOWEL ENDOSCOPY 60001|44364||322.85||SMALL BOWEL ENDOSCOPY 60001|44365||288.95||SMALL BOWEL ENDOSCOPY 60001|44366||379.22||SMALL BOWEL ENDOSCOPY 60001|44369||388.06||SMALL BOWEL ENDOSCOPY 60001|44370||418.01||SMALL BOWEL ENDOSCOPY/STENT 60001|44372||374.25||SMALL BOWEL ENDOSCOPY 60001|44373||300.96||SMALL BOWEL ENDOSCOPY 60001|44376||444.44||SMALL BOWEL ENDOSCOPY 60001|44377||469.69||SMALL BOWEL ENDOSCOPY/BIOPSY 60001|44378||602.63||SMALL BOWEL ENDOSCOPY 60001|44379||640.22||S BOWEL ENDOSCOPE W/STENT 60001|44380||99.21||SMALL BOWEL ENDOSCOPY 60001|44381||65|%|SMALL BOWEL ENDOSCOPY BR/WA 60001|44382||119.71||SMALL BOWEL ENDOSCOPY 60001|44384||65|%|SMALL BOWEL ENDOSCOPY 60001|44385||154.76||ENDOSCOPY OF BOWEL POUCH 60001|44386||184.85||ENDOSCOPY - BOWEL POUCH/BIOP 60001|44388||242.78||COLONOSCOPY 60001|44389||270.59||COLONOSCOPY WITH BIOPSY 60001|44390||319.23||COLONOSCOPY FOR FOREIGN BODY 60001|44391||366.85||COLONOSCOPY FOR BLEEDING 60001|44392||321.12||COLONOSCOPY & POLYPECTOMY 60001|44393||406.4||COLONOSCOPY - LESION REMOVAL 60001|44394||374.36||COLONOSCOPY W/SNARE 60001|44401||65|%|COLONOSCOPY WITH ABLATION 60001|44402||65|%|COLONOSCOPY W/STENT PLCMT 60001|44403||65|%|COLONOSCOPY W/RESECTION 60001|44404||65|%|COLONOSCOPY W/INJECTION 60001|44405||65|%|COLONOSCOPY W/DILATION 60001|44406||65|%|COLONOSCOPY W/ULTRASOUND 60001|44407||65|%|COLONOSCOPY W/NDL ASPIR/BX 60001|44408||65|%|COLONOSCOPY W/DECOMPRESSION 60001|44500||35.62||INTRO - GASTROINTESTINAL TUBE 60001|44602||2016.8||SUTURE - SMALL INTESTINE 60001|44603||2315.4||SUTURE - SMALL INTESTINE 60001|44604||1515.62||SUTURE - LARGE INTESTINE 60001|44605||1877.52||REPAIR OF BOWEL LESION 60001|44615||1542.23||INTESTINAL STRICTUROPLASTY 60001|44620||1241.29||REPAIR BOWEL OPENING 60001|44625||1463.26||REPAIR BOWEL OPENING 60001|44626||2306.62||REPAIR BOWEL OPENING 60001|44640||2014.69||REPAIR BOWEL-SKIN FISTULA 60001|44650||2084.39||REPAIR BOWEL FISTULA 60001|44660||1929.52||REPAIR BOWEL-BLADDER FISTULA 60001|44661||2235.9||REPAIR BOWEL-BLADDER FISTULA 60001|44680||1539.98||SURGICAL REVISION - INTESTINE 60001|44700||1461.98||SUSPEND BOWEL W/PROSTHESIS 60001|44701||242.16||INTRAOP COLON LAVAGE ADD-ON 60001|44705||0||PREPARE FECAL MICROBIOTA 60001|44715||0||PREPARE DONOR INTESTINE 60001|44720||358.06||PREP DONOR INTESTINE/VENOUS 60001|44721||555.92||PREP DONOR INTESTINE/ARTERY 60001|44799||0||UNLISTED PROCEDURE INTESTINE 60001|44800||1089.37||EXCISION OF BOWEL POUCH 60001|44820||1200.5||EXCISION OF MESENTERY LESION 60001|44850||1070.55||REPAIR OF MESENTERY 60001|44899||0||BOWEL SURGERY PROCEDURE 60001|44900||1103.39||DRAIN APP ABSCESS - OPEN 60001|44950||918.28||APPENDECTOMY 60001|44955||121.23||APPENDECTOMY ADD-ON 60001|44960||1249.37||APPENDECTOMY 60001|44970||853.67||LAPAROSCOPY - APPENDECTOMY 60001|44979||0||LAPAROSCOPE PROC - APP 60001|45000||600.25||DRAINAGE OF PELVIC ABSCESS 60001|45005||223.84||DRAINAGE OF RECTAL ABSCESS 60001|45020||807.23||DRAINAGE OF RECTAL ABSCESS 60001|45100||421.94||BIOPSY OF RECTUM 60001|45108||519.83||REMOVAL OF ANORECTAL LESION 60001|45110||2654.12||REMOVAL OF RECTUM 60001|45111||1560.43||PARTIAL REMOVAL OF RECTUM 60001|45112||2711.58||REMOVAL OF RECTUM 60001|45113||2842.15||PARTIAL PROCTECTOMY 60001|45114||2595.34||PARTIAL REMOVAL OF RECTUM 60001|45116||2257.17||PARTIAL REMOVAL OF RECTUM 60001|45119||2800.39||REMOVE RECTUM W/RESERVOIR 60001|45120||2261.56||REMOVAL OF RECTUM 60001|45121||2481.32||REMOVAL OF RECTUM AND COLON 60001|45123||1598.66||PARTIAL PROCTECTOMY 60001|45126||4125.32||PELVIC EXENTERATION 60001|45130||1563.25||EXCISION OF RECTAL PROLAPSE 60001|45135||1947.6||EXCISION OF RECTAL PROLAPSE 60001|45136||2603.2||EXCISE ILEOANAL RESERVIOR 60001|45150||559||EXCISION OF RECTAL STRICTURE 60001|45160||1447.49||EXCISION OF RECTAL LESION 60001|45171||863.05||EXC RECT TUM TRANSANAL PART 60001|45172||1172.91||EXC RECT TUM TRANSANAL FULL 60001|45190||980.05||DESTRUCTION - RECTAL TUMOR 60001|45300||76.33||PROCTOSIGMOIDOSCOPY DX 60001|45303||131.08||PROCTOSIGMOIDOSCOPY DILATE 60001|45305||113.69||PROCTOSIGMOIDOSCOPY W/BX 60001|45307||148.74||PROCTOSIGMOIDOSCOPY FB 60001|45308||125.06||PROCTOSIGMOIDOSCOPY REMOVAL 60001|45309||133.85||PROCTOSIGMOIDOSCOPY REMOVAL 60001|45315||158.43||PROCTOSIGMOIDOSCOPY REMOVAL 60001|45317||170.02||PROCTOSIGMOIDOSCOPY BLEED 60001|45320||155.54||PROCTOSIGMOIDOSCOPY ABLATE 60001|45321||155.42||PROCTOSIGMOIDOSCOPY VOLVUL 60001|45327||176.57||PROCTOSIGMOIDOSCOPY W/STENT 60001|45330||91.87||DIAGNOSTIC SIGMOIDOSCOPY 60001|45331||110.34||SIGMOIDOSCOPY AND BIOPSY 60001|45332||161.98||SIGMOIDOSCOPY W/FB REMOVAL 60001|45333||160.61||SIGMOIDOSCOPY & POLYPECTOMY 60001|45334||239.01||SIGMOIDOSCOPY FOR BLEEDING 60001|45335||134.5||SIGMOIDOSCOPY W/SUBMUC INJ 60001|45337||207.27||SIGMOIDOSCOPY & DECOMPRESS 60001|45338||206.2||SIGMOIDOSCOPY W/TUMR REMOVE 60001|45340||169.4||SIG W/BALLOON DILATION 60001|45341||228.69||SIGMOIDOSCOPY W/ULTRASOUND 60001|45342||349.83||SIGMOIDOSCOPY W/US GUIDE BX 60001|45346||65|%|SIGMOIDOSCOPY W/ABLATION 60001|45347||65|%|SIGMOIDOSCOPY W/PLCMT STENT 60001|45349||65|%|SIGMOIDOSCOPY W/RESECTION 60001|45350||65|%|SGMDSC W/BAND LIGATION 60001|45378||317.22||DIAGNOSTIC COLONOSCOPY 60001|45379||396.85||COLONOSCOPY W/FB REMOVAL 60001|45380||379.42||COLONOSCOPY AND BIOPSY 60001|45381||359.77||COLONOSCOPY - SUBMUCOUS INJ 60001|45382||483.39||COLONOSCOPY/CONTROL BLEEDING 60001|45384||396||LESION REMOVE COLONOSCOPY 60001|45385||450.18||LESION REMOVAL COLONOSCOPY 60001|45386||388.94||COLONOSCOPY DILATE STRICTURE 60001|45388||65|%|COLONOSCOPY W/ABLATION 60001|45389||65|%|COLONOSCOPY W/STENT PLCMT 60001|45390||65|%|COLONOSCOPY W/RESECTION 60001|45391||431.55||COLONOSCOPY W/ENDOSCOPE US 60001|45392||555.54||COLONOSCOPY W/ENDOSCOPIC FNB 60001|45393||65|%|COLONOSCOPY W/DECOMPRESSION 60001|45395||2851.71||LAP - REMOVAL OF RECTUM 60001|45397||3081.35||LAP - REMOVE RECTUM W/POUCH 60001|45398||65|%|COLONOSCOPY W/BAND LIGATION 60001|45399||0||UNLISTED PROCEDURE COLON 60001|45400||1655.02||LAPAROSCOPIC PROCTOPEXY 60001|45402||2199||LAP PROCTOPEXY W/SIG RESECT 60001|45499||0||LAPAROSCOPE PROC - RECTUM 60001|45500||743.59||REPAIR OF RECTUM 60001|45505||832.61||REPAIR OF RECTUM 60001|45520||56.61||TREATMENT OF RECTAL PROLAPSE 60001|45540||1519.08||CORRECT RECTAL PROLAPSE 60001|45541||1322.88||CORRECT RECTAL PROLAPSE 60001|45550||2099.71||REPAIR RECTUM/REMOVE SIGMOID 60001|45560||1005.29||REPAIR OF RECTOCELE 60001|45562||1586.6||EXPLORATION/REPAIR OF RECTUM 60001|45563||2342.61||EXPLORATION/REPAIR OF RECTUM 60001|45800||1721.62||REPAIR RECT/BLADDER FISTULA 60001|45805||2078.56||REPAIR FISTULA W/COLOSTOMY 60001|45820||1681.23||REPAIR RECTOURETHRAL FISTULA 60001|45825||2094.41||REPAIR FISTULA W/COLOSTOMY 60001|45900||286.94||REDUCTION OF RECTAL PROLAPSE 60001|45905||239.36||DILATION OF ANAL SPHINCTER 60001|45910||278.75||DILATION OF RECTAL NARROWING 60001|45915||319.09||REMOVE RECTAL OBSTRUCTION 60001|45990||153.81||SURG DX EXAM - ANORECTAL 60001|45999||0||RECTUM SURGERY PROCEDURE 60001|46020||328.22||PLACEMENT OF SETON 60001|46030||127.95||REMOVAL OF RECTAL MARKER 60001|46040||580.22||INCISION OF RECTAL ABSCESS 60001|46045||605.93||INCISION OF RECTAL ABSCESS 60001|46050||137.49||INCISION OF ANAL ABSCESS 60001|46060||666.78||INCISION OF RECTAL ABSCESS 60001|46070||333.48||INCISION OF ANAL SEPTUM 60001|46080||227.53||INCISION OF ANAL SPHINCTER 60001|46083||151.43||INCISE EXTERNAL HEMORRHOID 60001|46200||450.18||REMOVAL OF ANAL FISSURE 60001|46220||167.94||REMOVAL OF ANAL TAG 60001|46221||268.3||LIGATION OF HEMORRHOID(S) 60001|46230||245.92||REMOVAL OF ANAL TAGS 60001|46250||441.53||HEMORRHOIDECTOMY 60001|46255||498.61||HEMORRHOIDECTOMY 60001|46257||591.92||REMOVE HEMORRHOIDS & FISSURE 60001|46258||654.9||REMOVE HEMORRHOIDS & FISTULA 60001|46260||667.87||HEMORRHOIDECTOMY 60001|46261||741.73||REMOVE HEMORRHOIDS & FISSURE 60001|46262||780.19||REMOVE HEMORRHOIDS & FISTULA 60001|46270||546.13||REMOVAL OF ANAL FISTULA 60001|46275||578.99||REMOVAL OF ANAL FISTULA 60001|46280||658.09||REMOVAL OF ANAL FISTULA 60001|46285||575.68||REMOVAL OF ANAL FISTULA 60001|46288||770.33||REPAIR ANAL FISTULA 60001|46320||157.55||REMOVAL OF HEMORRHOID CLOT 60001|46500||182.09||INJECTION INTO HEMORRHOID(S) 60001|46505||338.4||CHEMODENERVATION ANAL MUSC 60001|46600||57.09||DIAGNOSTIC ANOSCOPY 60001|46601||65|%|DIAGNOSTIC ANOSCOPY 60001|46604||94.56||ANOSCOPY AND DILATION 60001|46606||109.76||ANOSCOPY AND BIOPSY 60001|46607||65|%|DIAGNOSTIC ANOSCOPY & BIOPSY 60001|46608||115.34||ANOSCOPY - REMOVE FOR BODY 60001|46610||116.15||ANOSCOPY - REMOVE LESION 60001|46611||118.08||ANOSCOPY 60001|46612||135.75||ANOSCOPY - REMOVE LESIONS 60001|46614||92.99||ANOSCOPY - CONTROL BLEEDING 60001|46615||135.26||ANOSCOPY 60001|46700||923.33||REPAIR OF ANAL STRICTURE 60001|46705||721.26||REPAIR OF ANAL STRICTURE 60001|46706||236.17||REPR OF ANAL FISTULA W/GLUE 60001|46707||662.78||REPAIR ANORECTAL FIST W/PLUG 60001|46710||1560.2||REPR PER/VAG POUCH SNGL PROC 60001|46712||2914.45||REPR PER/VAG POUCH DBL PROC 60001|46715||697.51||REP PERF ANOPER FISTU 60001|46716||1624.59||REP PERF ANOPER/VESTIB FISTU 60001|46730||2565.43||CONSTRUCTION OF ABSENT ANUS 60001|46735||2912.8||CONSTRUCTION OF ABSENT ANUS 60001|46740||3042.15||CONSTRUCTION OF ABSENT ANUS 60001|46742||3465.94||REPAIR OF IMPERFORATED ANUS 60001|46744||4797.42||REPAIR OF CLOACAL ANOMALY 60001|46746||5067.56||REPAIR OF CLOACAL ANOMALY 60001|46748||5493.68||REPAIR OF CLOACAL ANOMALY 60001|46750||1089.17||REPAIR OF ANAL SPHINCTER 60001|46751||863.73||REPAIR OF ANAL SPHINCTER 60001|46753||830.79||RECONSTRUCTION OF ANUS 60001|46754||324.88||REMOVAL OF SUTURE FROM ANUS 60001|46760||1551.74||REPAIR OF ANAL SPHINCTER 60001|46761||1332.25||REPAIR OF ANAL SPHINCTER 60001|46762||1313.75||IMPLANT ARTIFICIAL SPHINCTER 60001|46900||196.09||DESTRUCTION - ANAL LESION(S) 60001|46910||191.57||DESTRUCTION - ANAL LESION(S) 60001|46916||206.13||CRYOSURGERY - ANAL LESION(S) 60001|46917||190.18||LASER SURGERY - ANAL LESIONS 60001|46922||191.59||EXCISION OF ANAL LESION(S) 60001|46924||263.36||DESTRUCTION - ANAL LESION(S) 60001|46930||210.52||DESTROY INTERNAL HEMORRHOIDS 60001|46940||209.5||TREATMENT OF ANAL FISSURE 60001|46942||187.34||TREATMENT OF ANAL FISSURE 60001|46945||313.32||LIGATION OF HEMORRHOIDS 60001|46946||316.05||LIGATION OF HEMORRHOIDS 60001|46947||540.97||HEMORRHOIDOPEXY BY STAPLING 60001|46948||651.05|| 60001|46999||65|%|ANUS SURGERY PROCEDURE 60001|47000||148.21||NEEDLE BIOPSY OF LIVER 60001|47001||148.94||NEEDLE BIOPSY - LIVER ADD-ON 60001|47010||1709.05||OPEN DRAINAGE - LIVER LESION 60001|47015||1653.42||INJECT/ASPIRATE LIVER CYST 60001|47100||1197.85||WEDGE BIOPSY OF LIVER 60001|47120||3318.38||PARTIAL REMOVAL OF LIVER 60001|47122||4901.14||EXTENSIVE REMOVAL OF LIVER 60001|47125||4386.74||PARTIAL REMOVAL OF LIVER 60001|47130||4716.37||PARTIAL REMOVAL OF LIVER 60001|47135||7011.26||TRANSPLANTATION OF LIVER 60001|47140||5016.77||PARTIAL REMOVAL - DONOR LIVER 60001|47141||5613.76||PARTIAL REMOVAL - DONOR LIVER 60001|47142||6723.65||PARTIAL REMOVAL - DONOR LIVER 60001|47146||475.19||PREP DONOR LIVER/VENOUS 60001|47147||554.06||PREP DONOR LIVER/ARTERIAL 60001|47300||1613.81||SURGERY FOR LIVER LESION 60001|47350||1959.18||REPAIR LIVER WOUND 60001|47360||2661.94||REPAIR LIVER WOUND 60001|47361||4318.58||REPAIR LIVER WOUND 60001|47362||2060.39||REPAIR LIVER WOUND 60001|47370||1763.5||LAPARO ABLATE LIVER TUMOR RF 60001|47371||1800.98||LAPARO ABLATE LIVER CRYOSURG 60001|47380||2048.29||OPEN ABLATE LIVER TUMOR RF 60001|47381||2122.03||OPEN ABLATE LIVER TUMOR CRYO 60001|47382||1140.63||PERCUT ABLATE LIVER RF 60001|47383||719.82||PERQ ABLTJ LVR CRYOABLATION 60001|47400||3080.96||INCISION OF LIVER DUCT 60001|47420||1915.48||INCISION OF BILE DUCT 60001|47425||1948.71||INCISION OF BILE DUCT 60001|47460||1816.83||INCISE BILE DUCT SPHINCTER 60001|47480||1238.69||INCISION OF GALLBLADDER 60001|47490||491.74||INCISION OF GALLBLADDER 60001|47531||144.03||INJECTION FOR CHOLANGIOGRAM 60001|47532||325.9||INJECTION FOR CHOLANGIOGRAM 60001|47533||461.48||PLMT BILIARY DRAINAGE CATH 60001|47534||612.57||PLMT BILIARY DRAINAGE CATH 60001|47535||351.92||CONVERSION EXT BIL DRG CATH 60001|47536||222.34||EXCHANGE BILIARY DRG CATH 60001|47537||149.53||REMOVAL BILIARY DRG CATH 60001|47538||497.05||PERQ PLMT BILE DUCT STENT 60001|47539||672.35||PERQ PLMT BILE DUCT STENT 60001|47540||802.59||PERQ PLMT BILE DUCT STENT 60001|47541||426.98||PLMT ACCESS BIL TREE SM BWL 60001|47542||201.05||DILATE BILIARY DUCT/AMPULLA 60001|47544||325.18||REMOVAL DUCT GLBLDR CALCULI 60001|47550||238.6||BILE DUCT ENDOSCOPY ADD-ON 60001|47552||185.87||BILIARY ENDOSCOPY THRU SKIN 60001|47553||461.75||BILIARY ENDOSCOPY THRU SKIN 60001|47554||712.41||BILIARY ENDOSCOPY THRU SKIN 60001|47555||547.03||BILIARY ENDOSCOPY THRU SKIN 60001|47556||619.78||BILIARY ENDOSCOPY THRU SKIN 60001|47562||1066.83||LAPAROSCOPIC CHOLECYSTECTOMY 60001|47563||1023.07||LAPARO CHOLECYSTECTOMY/GRAPH 60001|47564||1562.19||LAPARO CHOLECYSTECTOMY/EXPLR 60001|47570||1105.68||LAPARO CHOLECYSTOENTEROSTOMY 60001|47579||0||LAPAROSCOPE PROC - BILIARY 60001|47600||1542.77||REMOVAL OF GALLBLADDER 60001|47605||1401.53||REMOVAL OF GALLBLADDER 60001|47610||1792.91||REMOVAL OF GALLBLADDER 60001|47612||1811.92||REMOVAL OF GALLBLADDER 60001|47620||1959.82||REMOVAL OF GALLBLADDER 60001|47700||1498.87||EXPLORATION OF BILE DUCTS 60001|47701||2496.8||BILE DUCT REVISION 60001|47711||2223.43||EXCISION OF BILE DUCT TUMOR 60001|47712||2858.69||EXCISION OF BILE DUCT TUMOR 60001|47715||1894.53||EXCISION OF BILE DUCT CYST 60001|47720||1639.68||FUSE GALLBLADDER & BOWEL 60001|47721||1929.99||FUSE UPPER GI STRUCTURES 60001|47740||1868.44||FUSE GALLBLADDER & BOWEL 60001|47741||2105.48||FUSE GALLBLADDER & BOWEL 60001|47760||3209.11||FUSE BILE DUCTS AND BOWEL 60001|47765||4329.48||FUSE LIVER DUCTS & BOWEL 60001|47780||3520.58||FUSE BILE DUCTS AND BOWEL 60001|47785||4625.35||FUSE BILE DUCTS AND BOWEL 60001|47800||2256.64||RECONSTRUCTION OF BILE DUCTS 60001|47801||1472.23||PLACEMENT - BILE DUCT SUPPORT 60001|47802||2176.87||FUSE LIVER DUCT & INTESTINE 60001|47900||1944.28||SUTURE BILE DUCT INJURY 60001|47999||0||BILE TRACT SURGERY PROCEDURE 60001|48000||2648.01||DRAINAGE OF ABDOMEN 60001|48001||3308.05||PLACEMENT OF DRAIN - PANCREAS 60001|48020||1679.65||REMOVAL OF PANCREATIC STONE 60001|48100||1264.61||BIOPSY OF PANCREAS - OPEN 60001|48102||353.89||NEEDLE BIOPSY - PANCREAS 60001|48105||4086.92||RESECT/DEBRIDE PANCREAS 60001|48120||1574.98||REMOVAL OF PANCREAS LESION 60001|48140||2227.6||PARTIAL REMOVAL OF PANCREAS 60001|48145||2332.13||PARTIAL REMOVAL OF PANCREAS 60001|48146||2677.72||PANCREATECTOMY 60001|48148||1778.97||REMOVAL OF PANCREATIC DUCT 60001|48150||4429.3||PARTIAL REMOVAL OF PANCREAS 60001|48152||4129.25||PANCREATECTOMY 60001|48153||4423.05||PANCREATECTOMY 60001|48154||4145.66||PANCREATECTOMY 60001|48155||2586.07||REMOVAL OF PANCREAS 60001|48160||4479.29||PANCREAS REMOVAL/TRANSPLANT 60001|48400||159.15||INJECTION - INTRAOP ADD-ON 60001|48500||1636.43||SURGERY OF PANCREATIC CYST 60001|48510||1540.17||DRAIN PANCREATIC PSEUDOCYST 60001|48520||1564.81||FUSE PANCREAS CYST AND BOWEL 60001|48540||1871||FUSE PANCREAS CYST AND BOWEL 60001|48545||1917.56||PANCREATORRHAPHY 60001|48547||2561.41||DUODENAL EXCLUSION 60001|48548||2380.01||FUSE PANCREAS AND BOWEL 60001|48550||0||DONOR PANCREATECTOMY 60001|48551||0||PREP DONOR PANCREAS 60001|48552||340.13||PREP DONOR PANCREAS/VENOUS 60001|48554||3628.79||TRANSPL ALLOGRAFT PANCREAS 60001|48556||1808.74||REMOVAL - ALLOGRAFT PANCREAS 60001|48999||0||PANCREAS SURGERY PROCEDURE 60001|49000||1101.29||EXPLORATION OF ABDOMEN 60001|49002||1492.59||REOPENING OF ABDOMEN 60001|49010||1353.5||EXPLORATION BEHIND ABDOMEN 60001|49013||669.59|| 60001|49014||552.53|| 60001|49020||2274.11||DRAIN ABDOMINAL ABSCESS 60001|49040||1433.21||DRAIN - OPEN - ABDOM ABSCESS 60001|49060||1579.85||DRAIN - OPEN - RETROP ABSCESS 60001|49062||1065.53||DRAIN TO PERITONEAL CAVITY 60001|49082||100.62||ABD PARACENTESIS 60001|49083||155.57||ABD PARACENTESIS W/IMAGING 60001|49084||143.19||PERITONEAL LAVAGE 60001|49180||125.71||BIOPSY - ABDOMINAL MASS 60001|49185||185.18||SCLEROTX FLUID COLLECTION 60001|49203||1710.97||EXC ABD TUM 5 CM OR LESS 60001|49204||2181.83||EXC ABD TUM OVER 5 CM 60001|49205||2504.89||EXC ABD TUM OVER 10 CM 60001|49215||3156.52||EXCISE SACRAL SPINE TUMOR 60001|49220||1387.69||MULTIPLE SURGERY - ABDOMEN 60001|49250||830.54||EXCISION OF UMBILICUS 60001|49255||1128.88||REMOVAL OF OMENTUM 60001|49320||468.03||DIAG LAPARO SEPARATE PROC 60001|49321||495.42||LAPAROSCOPY - BIOPSY 60001|49322||532.37||LAPAROSCOPY - ASPIRATION 60001|49323||923.55||LAPARO DRAIN LYMPHOCELE 60001|49324||564.5||LAP INSERTION PERM IP CATH 60001|49325||603.08||LAP REVISION PERM IP CATH 60001|49326||272.89||LAP W/OMENTOPEXY ADD-ON 60001|49327||188.73||LAP INS DEVICE FOR RT 60001|49329||482.5||LAPARO PROC - ABDM/PER/OMENT 60001|49400||139.45||AIR INJECTION INTO ABDOMEN 60001|49402||1220.83||REMOVE FOREIGN BODY - ADBOMEN 60001|49405||320.49||IMAGE CATH FLUID COLXN VISC 60001|49406||320.97||IMAGE CATH FLUID PERI/RETRO 60001|49407||341.69||IMAGE CATH FLUID TRNS/VGNL 60001|49411||281.77||INS MARK ABD/PEL FOR RT PERQ 60001|49412||117.39||INS DEVICE FOR RT GUIDE OPEN 60001|49418||333.28||INSERT TUN IP CATH PERC 60001|49419||632.94||INSRT ABDOM CATH FOR CHEMOTX 60001|49421||359.73||INSERT ABDOM DRAIN - PERM 60001|49422||549.61||REMOVE PERM CANNULA/CATHETER 60001|49423||106.82||EXCHANGE DRAINAGE CATHETER 60001|49424||56.79||ASSESS CYST - CONTRAST INJECT 60001|49425||1081.9||INSERT ABDOMEN-VENOUS DRAIN 60001|49426||909.71||REVISE ABDOMEN-VENOUS SHUNT 60001|49427||65.77||INJECTION - ABDOMINAL SHUNT 60001|49428||684.95||LIGATION OF SHUNT 60001|49429||640.42||REMOVAL OF SHUNT 60001|49435||174.25||INSERT SUBQ EXTEN TO IP CATH 60001|49436||264.49||EMBEDDED IP CATH EXIT-SITE 60001|49440||328.31||PLACE GASTROSTOMY TUBE PERC 60001|49441||373.66||PLACE DUOD/JEJ TUBE PERC 60001|49442||313.45||PLACE CECOSTOMY TUBE PERC 60001|49446||240.54||CHANGE G-TUBE TO G-J PERC 60001|49450||98.05||REPLACE G/C TUBE PERC 60001|49451||135.06||REPLACE DUOD/JEJ TUBE PERC 60001|49452||207.87||REPLACE G-J TUBE PERC 60001|49460||70.72||FIX G/COLON TUBE W/DEVICE 60001|49465||44.57||FLUORO EXAM OF G/COLON TUBE 60001|49491||1099.1||RPR HERN PREEMIE REDUC 60001|49492||1362.28||RPR ING HERN PREMIE - BLOCKED 60001|49495||578.99||RPR ING HERNIA BABY - REDUC 60001|49496||854.32||RPR ING HERNIA BABY - BLOCKED 60001|49500||579.29||RPR ING HERNIA - INIT - REDUCE 60001|49501||859.19||RPR ING HERNIA - INIT BLOCKED 60001|49505||738.6||PRP I/HERN INIT REDUC >5 YR 60001|49507||836.13||PRP I/HERN INIT BLOCK >5 YR 60001|49520||899.32||REREPAIR ING HERNIA - REDUCE 60001|49521||1022.63||REREPAIR ING HERNIA - BLOCKED 60001|49525||815.03||REPAIR ING HERNIA - SLIDING 60001|49540||957.57||REPAIR LUMBAR HERNIA 60001|49550||819.05||RPR REM HERNIA - INIT - REDUCE 60001|49553||898.49||RPR FEM HERNIA - INIT BLOCKED 60001|49555||852.44||REREPAIR FEM HERNIA - REDUCE 60001|49557||1030.76||REREPAIR FEM HERNIA - BLOCKED 60001|49560||1051.16||RPR VENTRAL HERN INIT - REDUC 60001|49561||1328.01||RPR VENTRAL HERN INIT - BLOCK 60001|49565||1095.41||REREPAIR VENTRL HERN - REDUCE 60001|49566||1343.09||REREPAIR VENTRL HERN - BLOCK 60001|49568||385.99||HERNIA REPAIR W/MESH 60001|49570||589.61||RPR EPIGASTRIC HERN - REDUCE 60001|49572||730.78||RPR EPIGASTRIC HERN - BLOCKED 60001|49580||467.63||RPR UMBIL HERN - REDUC < 5 YR 60001|49582||682.72||RPR UMBIL HERN - BLOCK < 5 YR 60001|49585||629.7||RPR UMBIL HERN - REDUC > 5 YR 60001|49587||676.45||RPR UMBIL HERN - BLOCK > 5 YR 60001|49590||813.07||REPAIR SPIGELIAN HERNIA 60001|49600||1042.31||REPAIR UMBILICAL LESION 60001|49605||7110.34||REPAIR UMBILICAL LESION 60001|49606||1620.01||REPAIR UMBILICAL LESION 60001|49610||979.62||REPAIR UMBILICAL LESION 60001|49611||780.46||REPAIR UMBILICAL LESION 60001|49650||606.43||LAPARO HERNIA REPAIR INITIAL 60001|49651||790.03||LAPARO HERNIA REPAIR RECUR 60001|49652||984.45||LAP VENT/ABD HERNIA REPAIR 60001|49653||1229.79||LAP VENT/ABD HERN PROC COMP 60001|49654||1119.41||LAP INC HERNIA REPAIR 60001|49655||1366.86||LAP INC HERN REPAIR COMP 60001|49656||1211.27||LAP INC HERNIA REPAIR RECUR 60001|49657||1741.97||LAP INC HERN RECUR COMP 60001|49659||0||LAPARO PROC - HERNIA REPAIR 60001|49900||1159.27||REPAIR OF ABDOMINAL WALL 60001|49904||2094.24||OMENTAL FLAP - EXTRA-ABDOM 60001|49905||509.57||OMENTAL FLAP - INTRA-ABDOM 60001|49906||6013.99||FREE OMENTAL FLAP - MICROVASC 60001|49999||0||ABDOMEN SURGERY PROCEDURE 60001|50010||1060.25||EXPLORATION OF KIDNEY 60001|50020||1516.86||RENAL ABSCESS - OPEN DRAIN 60001|50040||1345.71||DRAINAGE OF KIDNEY 60001|50045||1351.83||EXPLORATION OF KIDNEY 60001|50060||1658.2||REMOVAL OF KIDNEY STONE 60001|50065||1754.51||INCISION OF KIDNEY 60001|50070||1769.42||INCISION OF KIDNEY 60001|50075||2124.85||REMOVAL OF KIDNEY STONE 60001|50080||1266.32||REMOVAL OF KIDNEY STONE 60001|50081||1860.83||REMOVAL OF KIDNEY STONE 60001|50100||1311.12||REVISE KIDNEY BLOOD VESSELS 60001|50120||1377.76||EXPLORATION OF KIDNEY 60001|50125||1490.14||EXPLORE AND DRAIN KIDNEY 60001|50130||1502.85||REMOVAL OF KIDNEY STONE 60001|50135||1631.53||EXPLORATION OF KIDNEY 60001|50200||209.49||BIOPSY OF KIDNEY 60001|50205||1077.27||BIOPSY OF KIDNEY 60001|50220||1516.99||REMOVE KIDNEY - OPEN 60001|50225||1739.72||REMOVAL KIDNEY OPEN - COMPLEX 60001|50230||1866.33||REMOVAL KIDNEY OPEN - RADICAL 60001|50234||1894.16||REMOVAL OF KIDNEY & URETER 60001|50236||2134.63||REMOVAL OF KIDNEY & URETER 60001|50240||1926.59||PARTIAL REMOVAL OF KIDNEY 60001|50250||1777.4||CRYOABLATE RENAL MASS OPEN 60001|50280||1387.99||REMOVAL OF KIDNEY LESION 60001|50290||1291.41||REMOVAL OF KIDNEY LESION 60001|50300||0||REMOVE CADAVER DONOR KIDNEY 60001|50320||2049.77||REMOVE KIDNEY - LIVING DONOR 60001|50323||268.27||PREP CADAVER RENAL ALLOGRAFT 60001|50325||389.4||PREP DONOR RENAL GRAFT 60001|50327||312.71||PREP RENAL GRAFT/VENOUS 60001|50328||273.25||PREP RENAL GRAFT/ARTERIAL 60001|50329||254.25||PREP RENAL GRAFT/URETERAL 60001|50340||1343.15||REMOVAL OF KIDNEY 60001|50360||3658.86||TRANSPLANTATION OF KIDNEY 60001|50365||4106.59||TRANSPLANTATION OF KIDNEY 60001|50370||1704.2||REMOVE TRANSPLANTED KIDNEY 60001|50380||2864.82||REIMPLANTATION OF KIDNEY 60001|50382||401.27||CHANGE URETER STENT - PERCUT 60001|50384||365.14||REMOVE URETER STENT - PERCUT 60001|50385||341.04||CHANGE STENT VIA TRANSURETH 60001|50386||257.45||REMOVE STENT VIA TRANSURETH 60001|50387||145.52||CHANGE EXT/INT URETER STENT 60001|50389||79.7||REMOVE RENAL TUBE W/FLUORO 60001|50390||142.07||DRAINAGE OF KIDNEY LESION 60001|50391||144.85||INSTLL RX AGNT INTO RNAL TUB 60001|50395||262.89||CREATE PASSAGE TO KIDNEY 60001|50396||169.37||MEASURE KIDNEY PRESSURE 60001|50400||1684.3||REVISION OF KIDNEY/URETER 60001|50405||2033.88||REVISION OF KIDNEY/URETER 60001|50430||250.85||NJX PX NFROSGRM &/URTRGRM 60001|50431||98.7||NJX PX NFROSGRM &/URTRGRM 60001|50432||332.16||PLMT NEPHROSTOMY CATHETER 60001|50433||409.82||PLMT NEPHROURETERAL CATHETER 60001|50434||313.9||CONVERT NEPHROSTOMY CATHETER 60001|50435||151.86||EXCHANGE NEPHROSTOMY CATH 60001|50500||1835.38||REPAIR OF KIDNEY WOUND 60001|50520||1504.11||CLOSE KIDNEY-SKIN FISTULA 60001|50525||2041.37||REPAIR RENAL-ABDOMEN FISTULA 60001|50526||2049.92||REPAIR RENAL-ABDOMEN FISTULA 60001|50540||1661.76||REVISION OF HORSESHOE KIDNEY 60001|50541||1339.32||LAPARO ABLATE RENAL CYST 60001|50542||1698.52||LAPARO ABLATE RENAL MASS 60001|50543||2169.75||LAPARO PARTIAL NEPHRECTOMY 60001|50544||1819.81||LAPAROSCOPY - PYELOPLASTY 60001|50545||1957.81||LAPARO RADICAL NEPHRECTOMY 60001|50546||1748.71||LAPAROSCOPIC NEPHRECTOMY 60001|50547||2303.12||LAPARO REMOVAL DONOR KIDNEY 60001|50548||1965.72||LAPARO REMOVE W/URETER 60001|50549||0||LAPAROSCOPE PROC - RENAL 60001|50551||430.66||KIDNEY ENDOSCOPY 60001|50553||461.28||KIDNEY ENDOSCOPY 60001|50555||499.37||KIDNEY ENDOSCOPY & BIOPSY 60001|50557||506.27||KIDNEY ENDOSCOPY & TREATMENT 60001|50561||577.97||KIDNEY ENDOSCOPY & TREATMENT 60001|50562||850.19||RENAL SCOPE W/TUMOR RESECT 60001|50570||719.5||KIDNEY ENDOSCOPY 60001|50572||779.75||KIDNEY ENDOSCOPY 60001|50574||829.2||KIDNEY ENDOSCOPY & BIOPSY 60001|50575||1047.69||KIDNEY ENDOSCOPY 60001|50576||826.26||KIDNEY ENDOSCOPY & TREATMENT 60001|50580||890.09||KIDNEY ENDOSCOPY & TREATMENT 60001|50590||819.84||FRAGMENTING OF KIDNEY STONE 60001|50592||526.97||PERC RF ABLATE RENAL TUMOR 60001|50593||695.33||PERC CRYO ABLATE RENAL TUM 60001|50600||1363.8||EXPLORATION OF URETER 60001|50605||1408.73||INSERT URETERAL SUPPORT 60001|50606||237.4||ENDOLUMINAL BX URTR RNL PLVS 60001|50610||1374.76||REMOVAL OF URETER STONE 60001|50620||1314.91||REMOVAL OF URETER STONE 60001|50630||1294.02||REMOVAL OF URETER STONE 60001|50650||1506.62||REMOVAL OF URETER 60001|50660||1661.8||REMOVAL OF URETER 60001|50684||71.92||INJECTION FOR URETER X-RAY 60001|50686||132.45||MEASURE URETER PRESSURE 60001|50688||114.62||CHANGE OF URETER TUBE/STENT 60001|50690||100.64||INJECTION FOR URETER X-RAY 60001|50693||328.56||PLMT URETERAL STENT PRQ 60001|50694||424.91||PLMT URETERAL STENT PRQ 60001|50695||1556.9||PLMT URETERAL STENT PRQ 60001|50700||1344.28||REVISION OF URETER 60001|50705||303.95||URETERAL EMBOLIZATION/OCCL 60001|50706||282.88||BALLOON DILATE URTRL STRIX 60001|50715||1714.51||RELEASE OF URETER 60001|50722||1524.5||RELEASE OF URETER 60001|50725||1594.6||RELEASE/REVISE URETER 60001|50727||732.6||REVISE URETER 60001|50728||1008.34||REVISE URETER 60001|50740||1758.43||FUSION OF URETER & KIDNEY 60001|50750||1680.28||FUSION OF URETER & KIDNEY 60001|50760||1636.74||FUSION OF URETERS 60001|50770||1665.15||SPLICING OF URETERS 60001|50780||1608.06||REIMPLANT URETER IN BLADDER 60001|50782||1665.36||REIMPLANT URETER IN BLADDER 60001|50783||1625.7||REIMPLANT URETER IN BLADDER 60001|50785||1761.05||REIMPLANT URETER IN BLADDER 60001|50800||1344.38||IMPLANT URETER IN BOWEL 60001|50810||2001.27||FUSION OF URETER & BOWEL 60001|50815||1776.66||URINE SHUNT TO INTESTINE 60001|50820||1915.21||CONSTRUCT BOWEL BLADDER 60001|50825||2415.34||CONSTRUCT BOWEL BLADDER 60001|50830||2618.22||REVISE URINE FLOW 60001|50840||1787.91||REPLACE URETER BY BOWEL 60001|50845||1815.79||APPENDICO-VESICOSTOMY 60001|50860||1372.03||TRANSPLANT URETER TO SKIN 60001|50900||1227.71||REPAIR OF URETER 60001|50920||1280.43||CLOSURE URETER/SKIN FISTULA 60001|50930||1769.16||CLOSURE URETER/BOWEL FISTULA 60001|50940||1286.57||RELEASE OF URETER 60001|50945||1416.69||LAPAROSCOPY URETEROLITHOTOMY 60001|50947||2011.46||LAPARO NEW URETER/BLADDER 60001|50948||1860.19||LAPARO NEW URETER/BLADDER 60001|50949||0||LAPAROSCOPE PROC - URETER 60001|50951||448.9||ENDOSCOPY OF URETER 60001|50953||495.53||ENDOSCOPY OF URETER 60001|50955||533.55||URETER ENDOSCOPY & BIOPSY 60001|50957||518.17||URETER ENDOSCOPY & TREATMENT 60001|50961||464.71||URETER ENDOSCOPY & TREATMENT 60001|50970||542.51||URETER ENDOSCOPY 60001|50972||524.23||URETER ENDOSCOPY & CATHETER 60001|50974||692.77||URETER ENDOSCOPY & BIOPSY 60001|50976||682.45||URETER ENDOSCOPY & TREATMENT 60001|50980||521.24||URETER ENDOSCOPY & TREATMENT 60001|51020||679.46||INCISE & TREAT BLADDER 60001|51030||672.24||INCISE & TREAT BLADDER 60001|51040||418.36||INCISE & DRAIN BLADDER 60001|51045||707.1||INCISE BLADDER/DRAIN URETER 60001|51050||684.58||REMOVAL OF BLADDER STONE 60001|51060||843.29||REMOVAL OF URETER STONE 60001|51065||838.71||REMOVE URETER CALCULUS 60001|51080||589.79||DRAINAGE OF BLADDER ABSCESS 60001|51100||56.91||DRAIN BLADDER BY NEEDLE 60001|51101||77.02||DRAIN BLADDER BY TROCAR/CATH 60001|51102||213.49||DRAIN BL W/CATH INSERTION 60001|51500||968.84||REMOVAL OF BLADDER CYST 60001|51520||857.5||REMOVAL OF BLADDER LESION 60001|51525||1250.93||REMOVAL OF BLADDER LESION 60001|51530||1139.91||REMOVAL OF BLADDER LESION 60001|51535||1127.11||REPAIR OF URETER LESION 60001|51550||1405.2||PARTIAL REMOVAL OF BLADDER 60001|51555||1848.15||PARTIAL REMOVAL OF BLADDER 60001|51565||1883.95||REVISE BLADDER & URETER(S) 60001|51570||2149.5||REMOVAL OF BLADDER 60001|51575||2654.83||REMOVAL OF BLADDER & NODES 60001|51580||2763.87||REMOVE BLADDER/REVISE TRACT 60001|51585||3078.33||REMOVAL OF BLADDER & NODES 60001|51590||2818.28||REMOVE BLADDER/REVISE TRACT 60001|51595||3194.76||REMOVE BLADDER/REVISE TRACT 60001|51596||3430.5||REMOVE BLADDER/CREATE POUCH 60001|51597||3343.72||REMOVAL OF PELVIC STRUCTURES 60001|51600||64.31||INJECTION FOR BLADDER X-RAY 60001|51605||55.22||PREPARATION FOR BLADDER XRAY 60001|51610||92.28||INJECTION FOR BLADDER X-RAY 60001|51700||64.77||IRRIGATION OF BLADDER 60001|51701||39.82||INSERT BLADDER CATHETER 60001|51702||43.49||INSERT TEMP BLADDER CATH 60001|51703||118.37||INSERT BLADDER CATH - COMPLEX 60001|51705||74.06||CHANGE OF BLADDER TUBE 60001|51710||113.12||CHANGE OF BLADDER TUBE 60001|51715||291.9||ENDOSCOPIC INJECTION/IMPLANT 60001|51720||117.15||TREATMENT OF BLADDER LESION 60001|51725||277.19||SIMPLE CYSTOMETROGRAM 60001|51725|26|122.33||SIMPLE CYSTOMETROGRAM 60001|51725|TC|182.59||SIMPLE CYSTOMETROGRAM 60001|51726||403.92||COMPLEX CYSTOMETROGRAM 60001|51726|26|138.13||COMPLEX CYSTOMETROGRAM 60001|51726|TC|306.18||COMPLEX CYSTOMETROGRAM 60001|51727||436.82||CYSTOMETROGRAM W/UP 60001|51727|26|173.34||CYSTOMETROGRAM W/UP 60001|51727|TC|307.16||CYSTOMETROGRAM W/UP 60001|51728||434.92||CYSTOMETROGRAM W/VP 60001|51728|26|167.22||CYSTOMETROGRAM W/VP 60001|51728|TC|311.19||CYSTOMETROGRAM W/VP 60001|51729||475.61||CYSTOMETROGRAM W/VP&UP 60001|51729|26|203.4||CYSTOMETROGRAM W/VP&UP 60001|51729|TC|319.77||CYSTOMETROGRAM W/VP&UP 60001|51736||30.26||URINE FLOW MEASUREMENT 60001|51736|26|16.12||URINE FLOW MEASUREMENT 60001|51736|TC|17.16||URINE FLOW MEASUREMENT 60001|51741||34.84||ELECTRO-UROFLOWMETRY - FIRST 60001|51741|26|19.15||ELECTRO-UROFLOWMETRY - FIRST 60001|51741|TC|19.18||ELECTRO-UROFLOWMETRY - FIRST 60001|51784||279.59||ANAL/URINARY MUSCLE STUDY 60001|51784|26|123.45||ANAL/URINARY MUSCLE STUDY 60001|51784|TC|184.1||ANAL/URINARY MUSCLE STUDY 60001|51785||329.57||ANAL/URINARY MUSCLE STUDY 60001|51785|26|124.96||ANAL/URINARY MUSCLE STUDY 60001|51785|TC|237.56||ANAL/URINARY MUSCLE STUDY 60001|51792||308.5||URINARY REFLEX STUDY 60001|51792|26|89.69||URINARY REFLEX STUDY 60001|51792|TC|249.66||URINARY REFLEX STUDY 60001|51797||170.69||INTRAABDOMINAL PRESSURE TEST 60001|51797|26|64.68||INTRAABDOMINAL PRESSURE TEST 60001|51797|TC|123.07||INTRAABDOMINAL PRESSURE TEST 60001|51798||26.15||US URINE CAPACITY MEASURE 60001|51800||1519.46||REVISION OF BLADDER/URETHRA 60001|51820||1561.53||REVISION OF URINARY TRACT 60001|51840||963.3||ATTACH BLADDER/URETHRA 60001|51841||1145.54||ATTACH BLADDER/URETHRA 60001|51845||857.05||REPAIR BLADDER NECK 60001|51860||1084.46||REPAIR OF BLADDER WOUND 60001|51865||1302.5||REPAIR OF BLADDER WOUND 60001|51880||680.71||REPAIR OF BLADDER OPENING 60001|51900||1202.11||REPAIR BLADDER/VAGINA LESION 60001|51920||1100.2||CLOSE BLADDER-UTERUS FISTULA 60001|51925||1481.39||HYSTERECTOMY/BLADDER REPAIR 60001|51940||2372.3||CORRECTION OF BLADDER DEFECT 60001|51960||2025.3||REVISION OF BLADDER & BOWEL 60001|51980||1033.82||CONSTRUCT BLADDER OPENING 60001|51990||1103.88||LAPARO URETHRAL SUSPENSION 60001|51992||1244.95||LAPARO SLING OPERATION 60001|51999||0||LAPAROSCOPE PROC - BLADDER 60001|52000||291.18||CYSTOSCOPY 60001|52001||419.77||CYSTOSCOPY - REMOVAL OF CLOTS 60001|52005||193.81||CYSTOSCOPY & URETER CATHETER 60001|52007||241.76||CYSTOSCOPY AND BIOPSY 60001|52010||239.93||CYSTOSCOPY & DUCT CATHETER 60001|52204||206.45||CYSTOSCOPY 60001|52214||295.36||CYSTOSCOPY AND TREATMENT 60001|52224||246.99||CYSTOSCOPY AND TREATMENT 60001|52234||359.43||CYSTOSCOPY AND TREATMENT 60001|52235||421.61||CYSTOSCOPY AND TREATMENT 60001|52240||737.46||CYSTOSCOPY AND TREATMENT 60001|52250||354.18||CYSTOSCOPY AND RADIOTRACER 60001|52260||307.06||CYSTOSCOPY AND TREATMENT 60001|52265||238.67||CYSTOSCOPY AND TREATMENT 60001|52270||265.59||CYSTOSCOPY & REVISE URETHRA 60001|52275||363.02||CYSTOSCOPY & REVISE URETHRA 60001|52276||388.48||CYSTOSCOPY AND TREATMENT 60001|52277||476.36||CYSTOSCOPY AND TREATMENT 60001|52281||222.92||CYSTOSCOPY AND TREATMENT 60001|52282||494.14||CYSTOSCOPY - IMPLANT STENT 60001|52283||293.71||CYSTOSCOPY AND TREATMENT 60001|52285||286.15||CYSTOSCOPY AND TREATMENT 60001|52287||240.81||CYSTOSCOPY CHEMODENERVATION 60001|52290||356.93||CYSTOSCOPY AND TREATMENT 60001|52300||415.88||CYSTOSCOPY AND TREATMENT 60001|52301||427.88||CYSTOSCOPY AND TREATMENT 60001|52305||408.02||CYSTOSCOPY AND TREATMENT 60001|52310||221.86||CYSTOSCOPY AND TREATMENT 60001|52315||401.05||CYSTOSCOPY AND TREATMENT 60001|52317||508.64||REMOVE BLADDER STONE 60001|52318||693.33||REMOVE BLADDER STONE 60001|52320||360.27||CYSTOSCOPY AND TREATMENT 60001|52325||469.88||CYSTOSCOPY - STONE REMOVAL 60001|52327||385.39||CYSTOSCOPY - INJECT MATERIAL 60001|52330||385.94||CYSTOSCOPY AND TREATMENT 60001|52332||226.94||CYSTOSCOPY AND TREATMENT 60001|52334||375.2||CREATE PASSAGE TO KIDNEY 60001|52341||422.5||CYSTO W/URETER STRICTURE TX 60001|52342||459.09||CYSTO W/UP STRICTURE TX 60001|52343||511.46||CYSTO W/RENAL STRICTURE TX 60001|52344||555.39||CYSTO/URETERO - STRICTURE TX 60001|52345||591.98||CYSTO/URETERO W/UP STRICTURE 60001|52346||669.5||CYSTOURETERO W/RENAL STRICT 60001|52351||458.63||CYSTOURETERO & OR PYELOSCOPE 60001|52352||538.85||CYSTOURETERO W/STONE REMOVE 60001|52353||618.48||CYSTOURETERO W/LITHOTRIPSY 60001|52354||572.48||CYSTOURETERO W/BIOPSY 60001|52355||682.2||CYSTOURETERO W/EXCISE TUMOR 60001|52356||615.57||CYSTO/URETERO W/LITHOTRIPSY 60001|52400||697.59||CYSTOURETERO W/CONGEN REPR 60001|52402||390.87||CYSTOURETHRO CUT EJACUL DUCT 60001|52441||340.49||CYSTOURETHRO W/IMPLANT 60001|52442||91.09||CYSTOURETHRO W/ADDL IMPLANT 60001|52450||679.88||INCISION OF PROSTATE 60001|52500||707.02||REVISION OF BLADDER NECK 60001|52601||1223.4||PROSTATECTOMY (TURP) 60001|52630||579.31||REMOVE PROSTATE REGROWTH 60001|52640||448.36||RELIEVE BLADDER CONTRACTURE 60001|52647||938.99||LASER SURGERY OF PROSTATE 60001|52648||1002.72||LASER SURGERY OF PROSTATE 60001|52649||1210.45||PROSTATE LASER ENUCLEATION 60001|52700||641.64||DRAINAGE OF PROSTATE ABSCESS 60001|53000||214.69||INCISION OF URETHRA 60001|53010||424.08||INCISION OF URETHRA 60001|53020||141.54||INCISION OF URETHRA 60001|53025||98.15||INCISION OF URETHRA 60001|53040||567.85||DRAINAGE OF URETHRA ABSCESS 60001|53060||243.42||DRAINAGE OF URETHRA ABSCESS 60001|53080||613.38||DRAINAGE OF URINARY LEAKAGE 60001|53085||943.96||DRAINAGE OF URINARY LEAKAGE 60001|53200||206.47||BIOPSY OF URETHRA 60001|53210||1124.32||REMOVAL OF URETHRA 60001|53215||1350.63||REMOVAL OF URETHRA 60001|53220||659.35||TREATMENT OF URETHRA LESION 60001|53230||885.1||REMOVAL OF URETHRA LESION 60001|53235||919.44||REMOVAL OF URETHRA LESION 60001|53240||616.06||SURGERY FOR URETHRA POUCH 60001|53250||610.61||REMOVAL OF URETHRA GLAND 60001|53260||262.06||TREATMENT OF URETHRA LESION 60001|53265||270.11||TREATMENT OF URETHRA LESION 60001|53270||274.38||REMOVAL OF URETHRA GLAND 60001|53275||382.11||REPAIR OF URETHRA DEFECT 60001|53400||1167.42||REVISE URETHRA - STAGE 1 60001|53405||1271.36||REVISE URETHRA - STAGE 2 60001|53410||1422.47||RECONSTRUCTION OF URETHRA 60001|53415||1646.85||RECONSTRUCTION OF URETHRA 60001|53420||1208.69||RECONSTRUCT URETHRA - STAGE 1 60001|53425||1365.1||RECONSTRUCT URETHRA - STAGE 2 60001|53430||1406.89||RECONSTRUCTION OF URETHRA 60001|53431||1678.7||RECONSTRUCT URETHRA/BLADDER 60001|53440||1112.35||MALE SLING PROCEDURE 60001|53442||1132.74||REMOVE/REVISE MALE SLING 60001|53444||1153.44||INSERT TANDEM CUFF 60001|53445||1109.05||INSERT URO/VES NCK SPHINCTER 60001|53446||932.93||REMOVE URO SPHINCTER 60001|53447||1176.42||REMOVE/REPLACE UR SPHINCTER 60001|53448||1863.65||REMOV/REPLC UR SPHINCTR COMP 60001|53449||888.76||REPAIR URO SPHINCTER 60001|53450||591.94||REVISION OF URETHRA 60001|53460||662.73||REVISION OF URETHRA 60001|53500||1092.42||URETHRLYS - TRANSVAG W/ SCOPE 60001|53502||703.54||REPAIR OF URETHRA INJURY 60001|53505||704.92||REPAIR OF URETHRA INJURY 60001|53510||916.07||REPAIR OF URETHRA INJURY 60001|53515||1154.51||REPAIR OF URETHRA INJURY 60001|53520||806.35||REPAIR OF URETHRA DEFECT 60001|53600||93.12||DILATE URETHRA STRICTURE 60001|53601||77.21||DILATE URETHRA STRICTURE 60001|53605||93.96||DILATE URETHRA STRICTURE 60001|53620||127.43||DILATE URETHRA STRICTURE 60001|53621||104.87||DILATE URETHRA STRICTURE 60001|53660||60.2||DILATION OF URETHRA 60001|53661||58.88||DILATION OF URETHRA 60001|53665||56.35||DILATION OF URETHRA 60001|53850||826.1||PROSTATIC MICROWAVE THERMOTX 60001|53852||903.01||PROSTATIC RF THERMOTX 60001|53855||118.36||INSERT PROST URETHRAL STENT 60001|53860||337.16||TRANSURETHRAL RF TREATMENT 60001|53899||0||UROLOGY SURGERY PROCEDURE 60001|54000||154.75||SLITTING OF PREPUCE 60001|54001||200.91||SLITTING OF PREPUCE 60001|54015||446.91||DRAIN PENIS LESION 60001|54050||148.18||DESTRUCTION - PENIS LESION(S) 60001|54055||131.43||DESTRUCTION - PENIS LESION(S) 60001|54056||157.38||CRYOSURGERY - PENIS LESION(S) 60001|54057||134.36||LASER SURG - PENIS LESION(S) 60001|54060||188.08||EXCISION OF PENIS LESION(S) 60001|54065||246.71||DESTRUCTION - PENIS LESION(S) 60001|54100||181.74||BIOPSY OF PENIS 60001|54105||308.28||BIOPSY OF PENIS 60001|54110||905.78||TREATMENT OF PENIS LESION 60001|54111||1164.77||TREAT PENIS LESION - GRAFT 60001|54112||1365.06||TREAT PENIS LESION - GRAFT 60001|54115||613.08||TREATMENT OF PENIS LESION 60001|54120||917.75||PARTIAL REMOVAL OF PENIS 60001|54125||1182.59||REMOVAL OF PENIS 60001|54130||1737.73||REMOVE PENIS & NODES 60001|54135||2257.19||REMOVE PENIS & NODES 60001|54150||144.13||CIRCUMCISION 60001|54160||208.86||CIRCUMCISION 60001|54161||286.03||CIRCUMCISION 60001|54162||287.84||LYSIS PENIL CIRCUMIC LESION 60001|54163||315.81||REPAIR OF CIRCUMCISION 60001|54164||278.3||FRENULOTOMY OF PENIS 60001|54200||120.56||TREATMENT OF PENIS LESION 60001|54205||773.36||TREATMENT OF PENIS LESION 60001|54220||196.4||TREATMENT OF PENIS LESION 60001|54230||115.36||PREPARE PENIS STUDY 60001|54231||169.57||DYNAMIC CAVERNOSOMETRY 60001|54235||106.32||PENILE INJECTION 60001|54240||141.76||PENIS STUDY 60001|54240|26|103.46||PENIS STUDY 60001|54240|TC|52.47||PENIS STUDY 60001|54250||175.93||PENIS STUDY 60001|54250|26|176.36||PENIS STUDY 60001|54250|TC|17.16||PENIS STUDY 60001|54300||934.33||REVISION OF PENIS 60001|54304||1092.63||REVISION OF PENIS 60001|54308||1068.47||RECONSTRUCTION OF URETHRA 60001|54312||1192.75||RECONSTRUCTION OF URETHRA 60001|54316||1491.38||RECONSTRUCTION OF URETHRA 60001|54318||1018.8||RECONSTRUCTION OF URETHRA 60001|54322||1139.03||RECONSTRUCTION OF URETHRA 60001|54324||1413.51||RECONSTRUCTION OF URETHRA 60001|54326||1366.21||RECONSTRUCTION OF URETHRA 60001|54328||1365.51||REVISE PENIS/URETHRA 60001|54332||1478.44||REVISE PENIS/URETHRA 60001|54336||1711.8||REVISE PENIS/URETHRA 60001|54340||824.08||SECONDARY URETHRAL SURGERY 60001|54344||1382.47||SECONDARY URETHRAL SURGERY 60001|54348||1457.25||SECONDARY URETHRAL SURGERY 60001|54352||2070.67||RECONSTRUCT URETHRA/PENIS 60001|54360||1050.99||PENIS PLASTIC SURGERY 60001|54380||1279.01||REPAIR PENIS 60001|54385||1442.94||REPAIR PENIS 60001|54390||1826.14||REPAIR PENIS AND BLADDER 60001|54400||769.84||INSERT SEMI-RIGID PROSTHESIS 60001|54401||949.54||INSERT SELF-CONTD PROSTHESIS 60001|54405||1176.78||INSERT MULTI-COMP PENIS PROS 60001|54406||1061.21||REMOVE MUTI-COMP PENIS PROS 60001|54408||1148.31||REPAIR MULTI-COMP PENIS PROS 60001|54410||1250||REMOVE/REPLACE PENIS PROSTH 60001|54411||1490.25||REMOV/REPLC PENIS PROS - COMP 60001|54415||766.01||REMOVE SELF-CONTD PENIS PROS 60001|54416||1030.29||REMV/REPL PENIS CONTAIN PROS 60001|54417||1306.74||REMV/REPLC PENIS PROS - COMPL 60001|54420||1025.99||REVISION OF PENIS 60001|54430||930.83||REVISION OF PENIS 60001|54435||603.61||REVISION OF PENIS 60001|54437||1008.13||REPAIR CORPOREAL TEAR 60001|54438||2039.49||REPLANTATION OF PENIS 60001|54440||792.09||REPAIR OF PENIS 60001|54450||83.93||PREPUTIAL STRETCHING 60001|54500||108.33||BIOPSY OF TESTIS 60001|54505||304.84||BIOPSY OF TESTIS 60001|54512||783.13||EXCISE LESION TESTIS 60001|54520||473.73||REMOVAL OF TESTIS 60001|54522||851.32||ORCHIECTOMY - PARTIAL 60001|54530||733.58||REMOVAL OF TESTIS 60001|54535||1076.57||EXTENSIVE TESTIS SURGERY 60001|54550||712.15||EXPLORATION FOR TESTIS 60001|54560||1042.77||EXPLORATION FOR TESTIS 60001|54600||655.74||REDUCE TESTIS TORSION 60001|54620||435.95||SUSPENSION OF TESTIS 60001|54640||691.26||SUSPENSION OF TESTIS 60001|54650||1029.66||ORCHIOPEXY (FOWLER-STEPHENS) 60001|54660||514.88||REVISION OF TESTIS 60001|54670||585.8||REPAIR TESTIS INJURY 60001|54680||1139.81||RELOCATION OF TESTIS(ES) 60001|54690||1056.44||LAPAROSCOPY - ORCHIECTOMY 60001|54692||1104.71||LAPAROSCOPY - ORCHIOPEXY 60001|54699||0||LAPAROSCOPE PROC - TESTIS 60001|54700||309.35||DRAINAGE OF SCROTUM 60001|54800||190.07||BIOPSY OF EPIDIDYMIS 60001|54830||539.35||REMOVE EPIDIDYMIS LESION 60001|54840||465.64||REMOVE EPIDIDYMIS LESION 60001|54860||606.22||REMOVAL OF EPIDIDYMIS 60001|54861||819.9||REMOVAL OF EPIDIDYMIS 60001|54865||517.82||EXPLORE EPIDIDYMIS 60001|54900||1127.74||FUSION OF SPERMATIC DUCTS 60001|54901||1514.15||FUSION OF SPERMATIC DUCTS 60001|55000||122.74||DRAINAGE OF HYDROCELE 60001|55040||490.55||REMOVAL OF HYDROCELE 60001|55041||739.54||REMOVAL OF HYDROCELES 60001|55060||550.69||REPAIR OF HYDROCELE 60001|55100||239.71||DRAINAGE OF SCROTUM ABSCESS 60001|55110||562.18||EXPLORE SCROTUM 60001|55120||519.47||REMOVAL OF SCROTUM LESION 60001|55150||711.72||REMOVAL OF SCROTUM 60001|55175||525.74||REVISION OF SCROTUM 60001|55180||1006.89||REVISION OF SCROTUM 60001|55200||401.25||INCISION OF SPERM DUCT 60001|55250||327.08||REMOVAL OF SPERM DUCT(S) 60001|55300||270||PREPARE - SPERM DUCT X-RAY 60001|55400||724.21||REPAIR OF SPERM DUCT 60001|55450||371.7||LIGATION OF SPERM DUCT 60001|55500||571.54||REMOVAL OF HYDROCELE 60001|55520||642.43||REMOVAL OF SPERM CORD LESION 60001|55530||512.78||REVISE SPERMATIC CORD VEINS 60001|55535||621.7||REVISE SPERMATIC CORD VEINS 60001|55540||767.41||REVISE HERNIA & SPERM VEINS 60001|55550||617.16||LAPARO LIGATE SPERMATIC VEIN 60001|55559||0||LAPARO PROC - SPERMATIC CORD 60001|55600||610.66||INCISE SPERM DUCT POUCH 60001|55605||747.02||INCISE SPERM DUCT POUCH 60001|55650||1039.74||REMOVE SPERM DUCT POUCH 60001|55680||497.09||REMOVE SPERM POUCH LESION 60001|55700||202.73||BIOPSY OF PROSTATE 60001|55705||387.36||BIOPSY OF PROSTATE 60001|55706||536.8||PROSTATE SATURATION SAMPLING 60001|55720||654.37||DRAINAGE OF PROSTATE ABSCESS 60001|55725||858.02||DRAINAGE OF PROSTATE ABSCESS 60001|55801||1587.42||REMOVAL OF PROSTATE 60001|55810||1918.39||EXTENSIVE PROSTATE SURGERY 60001|55812||2344.35||EXTENSIVE PROSTATE SURGERY 60001|55815||2570.71||EXTENSIVE PROSTATE SURGERY 60001|55821||1271.93||REMOVAL OF PROSTATE 60001|55831||1375.83||REMOVAL OF PROSTATE 60001|55840||1948.48||EXTENSIVE PROSTATE SURGERY 60001|55842||2088.21||EXTENSIVE PROSTATE SURGERY 60001|55845||2385.75||EXTENSIVE PROSTATE SURGERY 60001|55860||1271.84||SURGICAL EXPOSURE - PROSTATE 60001|55862||1597.86||EXTENSIVE PROSTATE SURGERY 60001|55865||1944.46||EXTENSIVE PROSTATE SURGERY 60001|55866||2527.08||LAPARO RADICAL PROSTATECTOMY 60001|55870||208.23||ELECTROEJACULATION 60001|55873||1162.73||CRYOABLATE PROSTATE 60001|55874||253.69||TPRNL PLMT BIODEGRDABL MATRL 60001|55875||1106.42||TRANSPERI NEEDLE PLACE - PROS 60001|55876||145.88||PLACE RT DEVICE/MARKER - PROS 60001|55899||0||GENITAL SURGERY PROCEDURE 60001|55920||631.82||PLACE NEEDLES PELVIC FOR RT 60001|55970||0||SEX TRANSFORMATION - M TO F 60001|55980||0||SEX TRANSFORMATION - F TO M 60001|56405||156.25||I & D OF VULVA/PERINEUM 60001|56420||133.03||DRAINAGE OF GLAND ABSCESS 60001|56440||266.13||SURGERY FOR VULVA LESION 60001|56441||199.86||LYSIS OF LABIAL LESION(S) 60001|56442||69.73||HYMENOTOMY 60001|56501||165.44||DESTROY - VULVA LESIONS - SIM 60001|56515||288.69||DESTROY VULVA LESION/S COMPL 60001|56605||88.53||BIOPSY OF VULVA/PERINEUM 60001|56606||42.88||BIOPSY OF VULVA/PERINEUM 60001|56620||730.72||PARTIAL REMOVAL OF VULVA 60001|56625||877.71||COMPLETE REMOVAL OF VULVA 60001|56630||1295.53||EXTENSIVE VULVA SURGERY 60001|56631||1643.87||EXTENSIVE VULVA SURGERY 60001|56632||1909.44||EXTENSIVE VULVA SURGERY 60001|56633||1685.37||EXTENSIVE VULVA SURGERY 60001|56634||1786.89||EXTENSIVE VULVA SURGERY 60001|56637||2096.7||EXTENSIVE VULVA SURGERY 60001|56640||2091.35||EXTENSIVE VULVA SURGERY 60001|56700||272.28||PARTIAL REMOVAL OF HYMEN 60001|56740||433.82||REMOVE VAGINA GLAND LESION 60001|56800||350.64||REPAIR OF VAGINA 60001|56805||1680.4||REPAIR CLITORIS 60001|56810||378.27||REPAIR OF PERINEUM 60001|56820||125.12||EXAM OF VULVA W/SCOPE 60001|56821||168||EXAM/BIOPSY OF VULVA W/SCOPE 60001|57000||269.12||EXPLORATION OF VAGINA 60001|57010||632.05||DRAINAGE OF PELVIC ABSCESS 60001|57020||120.08||DRAINAGE OF PELVIC FLUID 60001|57022||244.61||I & D VAGINAL HEMATOMA - PP 60001|57023||454.24||I & D VAG HEMATOMA - NON-OB 60001|57061||141.44||DESTROY VAG LESIONS - SIMPLE 60001|57065||248.81||DESTROY VAG LESIONS - COMPLEX 60001|57100||96.42||BIOPSY OF VAGINA 60001|57105||180.52||BIOPSY OF VAGINA 60001|57106||699.76||REMOVE VAGINA WALL - PARTIAL 60001|57107||2053.94||REMOVE VAGINA TISSUE - PART 60001|57109||2350.49||VAGINECTOMY PARTIAL W/NODES 60001|57110||1312.87||REMOVE VAGINA WALL - COMPLETE 60001|57111||2356.9||REMOVE VAGINA TISSUE - COMPL 60001|57112||2391.81||VAGINECTOMY W/NODES - COMPL 60001|57120||743.94||CLOSURE OF VAGINA 60001|57130||232.14||REMOVE VAGINA LESION 60001|57135||250.4||REMOVE VAGINA LESION 60001|57150||42.88||TREAT VAGINA INFECTION 60001|57155||404.82||INSERT UTERI TANDEMS/OVOIDS 60001|57156||205.09||INS VAG BRACHYTX DEVICE 60001|57160||69.5||INSERT PESSARY/OTHER DEVICE 60001|57170||70.98||FITTING OF DIAPHRAGM/CAP 60001|57180||153.78||TREAT VAGINAL BLEEDING 60001|57200||431.24||REPAIR OF VAGINA 60001|57210||531.34||REPAIR VAGINA/PERINEUM 60001|57220||463.42||REVISION OF URETHRA 60001|57230||579.11||REPAIR OF URETHRAL LESION 60001|57240||970.19||REPAIR BLADDER & VAGINA 60001|57250||982||REPAIR RECTUM & VAGINA 60001|57260||1212.16||REPAIR OF VAGINA 60001|57265||1331.74||EXTENSIVE REPAIR OF VAGINA 60001|57267||378.18||INSERT MESH/PELVIC FLR ADDON 60001|57268||700.59||REPAIR OF BOWEL BULGE 60001|57270||1165.83||REPAIR OF BOWEL POUCH 60001|57280||1394.53||SUSPENSION OF VAGINA 60001|57282||727.93||COLPOPEXY - EXTRAPERITONEAL 60001|57283||1007.69||COLPOPEXY - INTRAPERITONEAL 60001|57284||1194.35||REPAIR PARAVAGINAL DEFECT 60001|57285||983.81||REPAIR PARAVAG DEFECT - VAG 60001|57287||987.84||REVISE/REMOVE SLING REPAIR 60001|57288||1035.76||REPAIR BLADDER DEFECT 60001|57289||1047.89||REPAIR BLADDER & VAGINA 60001|57291||886.28||CONSTRUCTION OF VAGINA 60001|57292||1199.38||CONSTRUCT VAGINA WITH GRAFT 60001|57295||697.74||CHANGE VAGINAL GRAFT 60001|57296||1392.16||REVISE VAG GRAFT - OPEN ABD 60001|57300||801.44||REPAIR RECTUM-VAGINA FISTULA 60001|57305||1336.61||REPAIR RECTUM-VAGINA FISTULA 60001|57307||1523.22||FISTULA REPAIR & COLOSTOMY 60001|57308||933.62||FISTULA REPAIR - TRANSPERINE 60001|57310||663.12||REPAIR URETHROVAGINAL LESION 60001|57311||755.62||REPAIR URETHROVAGINAL LESION 60001|57320||771.34||REPAIR BLADDER-VAGINA LESION 60001|57330||1067.5||REPAIR BLADDER-VAGINA LESION 60001|57335||1648.59||REPAIR VAGINA 60001|57400||194.88||DILATION OF VAGINA 60001|57410||155.81||PELVIC EXAMINATION 60001|57415||231.32||REMOVE VAGINAL FOREIGN BODY 60001|57420||131.61||EXAM OF VAGINA W/SCOPE 60001|57421||179.83||EXAM/BIOPSY OF VAG W/SCOPE 60001|57423||1346.91||REPAIR PARAVAG DEFECT - LAP 60001|57425||1418.26||LAPAROSCOPY - SURG - COLPOPEXY 60001|57426||1244.55||REVISE PROSTH VAG GRAFT LAP 60001|57452||133.35||EXAM OF CERVIX W/SCOPE 60001|57454||198.86||BX/CURETT OF CERVIX W/SCOPE 60001|57455||162.63||BIOPSY OF CERVIX W/SCOPE 60001|57456||151.78||ENDOCERV CURETTAGE W/SCOPE 60001|57460||239.21||BX OF CERVIX W/SCOPE - LEEP 60001|57461||276.89||CONZ OF CERVIX W/SCOPE - LEEP 60001|57500||110.17||BIOPSY OF CERVIX 60001|57505||132.13||ENDOCERVICAL CURETTAGE 60001|57510||168.09||CAUTERIZATION OF CERVIX 60001|57511||191.76||CRYOCAUTERY OF CERVIX 60001|57513||192.68||LASER SURGERY OF CERVIX 60001|57520||395.19||CONIZATION OF CERVIX 60001|57522||353.4||CONIZATION OF CERVIX 60001|57530||500.1||REMOVAL OF CERVIX 60001|57531||2528.14||REMOVAL OF CERVIX - RADICAL 60001|57540||1139.07||REMOVAL OF RESIDUAL CERVIX 60001|57545||1202.15||REMOVE CERVIX/REPAIR PELVIS 60001|57550||594.02||REMOVAL OF RESIDUAL CERVIX 60001|57555||876.83||REMOVE CERVIX/REPAIR VAGINA 60001|57556||823.99||REMOVE CERVIX - REPAIR BOWEL 60001|57558||165.29||D&C OF CERVICAL STUMP 60001|57700||449.69||REVISION OF CERVIX 60001|57720||446.06||REVISION OF CERVIX 60001|57800||70.22||DILATION OF CERVICAL CANAL 60001|58100||128.49||BIOPSY OF UTERUS LINING 60001|58110||60.13||BX DONE W/COLPOSCOPY ADD-ON 60001|58120||317.65||DILATION AND CURETTAGE 60001|58140||1343.69||MYOMECTOMY ABDOM METHOD 60001|58145||793.28||MYOMECTOMY VAG METHOD 60001|58146||1692.97||MYOMECTOMY ABDOM COMPLEX 60001|58150||1457.73||TOTAL HYSTERECTOMY 60001|58152||1826.52||TOTAL HYSTERECTOMY 60001|58180||1399.72||PARTIAL HYSTERECTOMY 60001|58200||1924.9||EXTENSIVE HYSTERECTOMY 60001|58210||2578.39||EXTENSIVE HYSTERECTOMY 60001|58240||4092.06||REMOVAL OF PELVIS CONTENTS 60001|58260||1209.34||VAGINAL HYSTERECTOMY 60001|58262||1349.8||VAG HYST INCLUDING T/O 60001|58263||1451.77||VAG HYST W/T/O & VAG REPAIR 60001|58267||1546.92||VAG HYST W/URINARY REPAIR 60001|58270||1290.35||VAG HYST W/ENTEROCELE REPAIR 60001|58275||1441.08||HYSTERECTOMY/REVISE VAGINA 60001|58280||1542.12||HYSTERECTOMY/REVISE VAGINA 60001|58285||1923.67||EXTENSIVE HYSTERECTOMY 60001|58290||1686.17||VAG HYST COMPLEX 60001|58291||1827.54||VAG HYST INCL T/O - COMPLEX 60001|58292||1929.01||VAG HYST T/O & REPAIR - COMPL 60001|58293||2005.92||VAG HYST W/URO REPAIR - COMPL 60001|58294||1787.64||VAG HYST W/ENTEROCELE - COMPL 60001|58300||100.73||INSERT INTRAUTERINE DEVICE 60001|58301||100.02||REMOVE INTRAUTERINE DEVICE 60001|58321||67.68||ARTIFICIAL INSEMINATION 60001|58322||86.24||ARTIFICIAL INSEMINATION 60001|58323||18.22||SPERM WASHING 60001|58340||83.63||CATHETER FOR HYSTEROGRAPHY 60001|58345||408.51||REOPEN FALLOPIAN TUBE 60001|58346||646||INSERT HEYMAN UTERI CAPSULE 60001|58350||114||REOPEN FALLOPIAN TUBE 60001|58353||1446.95||ENDOMETR ABLATE - THERMAL 60001|58356||510.03||ENDOMETRIAL CRYOABLATION 60001|58400||639||SUSPENSION OF UTERUS 60001|58410||1175.77||SUSPENSION OF UTERUS 60001|58520||1180.05||REPAIR OF RUPTURED UTERUS 60001|58540||1329.75||REVISION OF UTERUS 60001|58541||1260.47||LSH - UTERUS 250 G OR LESS 60001|58542||1408.68||LSH W/T/O UT 250 G OR LESS 60001|58543||1432.39||LSH UTERUS ABOVE 250 G 60001|58544||1551.1||LSH W/T/O UTERUS ABOVE 250 G 60001|58545||1309.69||LAPAROSCOPIC MYOMECTOMY 60001|58546||1652.76||LAPARO-MYOMECTOMY - COMPLEX 60001|58548||2639.53||LAP RADICAL HYST 60001|58550||1291.13||LAPARO-ASST VAG HYSTERECTOMY 60001|58552||1434.91||LAPARO-VAG HYST INCL T/O 60001|58553||1663.94||LAPARO-VAG HYST - COMPLEX 60001|58554||1924.1||LAPARO-VAG HYST W/T/O - COMPL 60001|58555||278.16||HYSTEROSCOPY - DX - SEP PROC 60001|58558||391.32||HYSTEROSCOPY - BIOPSY 60001|58559||504.1||HYSTEROSCOPY - LYSIS 60001|58560||568.68||HYSTEROSCOPY - RESECT SEPTUM 60001|58561||804.67||HYSTEROSCOPY - REMOVE MYOMA 60001|58562||425.46||HYSTEROSCOPY - REMOVE FB 60001|58563||503.64||HYSTEROSCOPY - ABLATION 60001|58565||633.12||HYSTEROSCOPY - STERILIZATION 60001|58570||1355.91||TLH - UTERUS 250 G OR LESS 60001|58571||1507.5||TLH W/T/O 250 G OR LESS 60001|58572||1689.78||TLH - UTERUS OVER 250 G 60001|58573||1932.75||TLH W/T/O UTERUS OVER 250 G 60001|58575||2827.97||LAPS TOT HYST RESJ MAL 60001|58578||0||LAPARO PROC - UTERUS 60001|58579||0||HYSTEROSCOPE PROCEDURE 60001|58600||531.62||DIVISION OF FALLOPIAN TUBE 60001|58605||479.54||DIVISION OF FALLOPIAN TUBE 60001|58611||113.83||LIGATE OVIDUCT(S) ADD-ON 60001|58615||357.62||OCCLUDE FALLOPIAN TUBE(S) 60001|58660||983.21||LAPAROSCOPY - LYSIS 60001|58661||942.36||LAPAROSCOPY - REMOVE ADNEXA 60001|58662||1031.1||LAPAROSCOPY - EXCISE LESIONS 60001|58670||532.99||LAPAROSCOPY - TUBAL CAUTERY 60001|58671||532.53||LAPAROSCOPY - TUBAL BLOCK 60001|58672||1078.32||LAPAROSCOPY - FIMBRIOPLASTY 60001|58673||1172.04||LAPAROSCOPY - SALPINGOSTOMY 60001|58674||1250.54||LAPS ABLTJ UTERINE FIBROIDS 60001|58679||0||LAPARO PROC - OVIDUCT-OVARY 60001|58700||1130.24||REMOVAL OF FALLOPIAN TUBE 60001|58720||1053.74||REMOVAL OF OVARY/TUBE(S) 60001|58740||1280.12||REVISE FALLOPIAN TUBE(S) 60001|58750||1320.66||REPAIR OVIDUCT 60001|58752||1248.15||REVISE OVARIAN TUBE(S) 60001|58760||1186.58||REMOVE TUBAL OBSTRUCTION 60001|58770||1242.98||CREATE NEW TUBAL OPENING 60001|58800||434.19||DRAINAGE OF OVARIAN CYST(S) 60001|58805||586.2||DRAINAGE OF OVARIAN CYST(S) 60001|58820||453.9||DRAIN OVARY ABSCESS - OPEN 60001|58822||1074.03||DRAIN OVARY ABSCESS - PERCUT 60001|58825||1033.15||TRANSPOSITION - OVARY(S) 60001|58900||641.67||BIOPSY OF OVARY(S) 60001|58920||1022.62||PARTIAL REMOVAL OF OVARY(S) 60001|58925||1079.11||REMOVAL OF OVARIAN CYST(S) 60001|58940||752.15||REMOVAL OF OVARY(S) 60001|58943||1654.44||REMOVAL OF OVARY(S) 60001|58950||1580.64||RESECT OVARIAN MALIGNANCY 60001|58951||2033.17||RESECT OVARIAN MALIGNANCY 60001|58952||2296.93||RESECT OVARIAN MALIGNANCY 60001|58953||2842.76||TAH - RAD DISSECT FOR DEBULK 60001|58954||3081.48||TAH RAD DEBULK/LYMPH REMOVE 60001|58956||1939.54||BSO - OMENTECTOMY W/TAH 60001|58957||2217.18||RESECT RECURRENT GYN MAL 60001|58958||2437.96||RESECT RECUR GYN MAL W/LYM 60001|58960||1355.55||EXPLORATION OF ABDOMEN 60001|58970||277.77||RETRIEVAL OF OOCYTE 60001|58974||211.69||TRANSFER OF EMBRYO 60001|58976||299.53||TRANSFER OF EMBRYO 60001|58999||0||GENITAL SURGERY PROCEDURE 60001|59000||119.21||AMNIOCENTESIS - DIAGNOSTIC 60001|59001||267.27||AMNIOCENTESIS - THERAPEUTIC 60001|59012||296.82||FETAL CORD PUNCTURE - PRENATAL 60001|59015||195.36||CHORION BIOPSY 60001|59020||99.98||FETAL CONTRACT STRESS TEST 60001|59020|26|59.53||FETAL CONTRACT STRESS TEST 60001|59020|TC|50.45||FETAL CONTRACT STRESS TEST 60001|59025||68.06||FETAL NON-STRESS TEST 60001|59025|26|47.62||FETAL NON-STRESS TEST 60001|59025|TC|27.25||FETAL NON-STRESS TEST 60001|59030||143.97||FETAL SCALP BLOOD SAMPLE 60001|59050||75.18||FETAL MONITOR W/REPORT 60001|59051||62.42||FETAL MONITOR/INTERPRET ONLY 60001|59070||461.5||TRANSABDOM AMNIOINFUS W/US 60001|59072||768.77||UMBILICAL CORD OCCLUD W/US 60001|59074||468.83||FETAL FLUID DRAINAGE W/US 60001|59076||765.11||FETAL SHUNT PLACEMENT - W/US 60001|59100||1224.48||REMOVE UTERUS LESION 60001|59120||1168.29||TREAT ECTOPIC PREGNANCY 60001|59121||1169.58||TREAT ECTOPIC PREGNANCY 60001|59130||1201.65||TREAT ECTOPIC PREGNANCY 60001|59135||1219.58||TREAT ECTOPIC PREGNANCY 60001|59136||1284.48||TREAT ECTOPIC PREGNANCY 60001|59140||523.06||TREAT ECTOPIC PREGNANCY 60001|59150||1130.82||TREAT ECTOPIC PREGNANCY 60001|59151||1101.37||TREAT ECTOPIC PREGNANCY 60001|59160||256.73||D & C AFTER DELIVERY 60001|59200||66.82||INSERT CERVICAL DILATOR 60001|59300||217.62||EPISIOTOMY OR VAGINAL REPAIR 60001|59320||224.42||REVISION OF CERVIX 60001|59325||317.31||REVISION OF CERVIX 60001|59350||415.32||REPAIR OF UTERUS 60001|59400||3037.58||OBSTETRICAL CARE 60001|59409||1204.22||OBSTETRICAL CARE 60001|59410||1529.16||OBSTETRICAL CARE 60001|59412||152.7||ANTEPARTUM MANIPULATION 60001|59414||135.63||DELIVER PLACENTA 60001|59425||526.57||ANTEPARTUM CARE ONLY 60001|59426||928.81||ANTEPARTUM CARE ONLY 60001|59430||206.91||CARE AFTER DELIVERY 60001|59510||3368.38||CESAREAN DELIVERY 60001|59514||1359.63||CESAREAN DELIVERY ONLY 60001|59515||1850.55||CESAREAN DELIVERY 60001|59525||719.38||REMOVE UTERUS AFTER CESAREAN 60001|59610||3192.57||VBAC DELIVERY 60001|59612||1354.92||VBAC DELIVERY ONLY 60001|59614||1675.32||VBAC CARE AFTER DELIVERY 60001|59618||3422.36||ATTEMPTED VBAC DELIVERY 60001|59620||1410.87||ATTEMPTED VBAC DELIVERY ONLY 60001|59622||1907.78||ATTEMPTED VBAC AFTER CARE 60001|59812||431.26||TREATMENT OF MISCARRIAGE 60001|59820||517.92||CARE OF MISCARRIAGE 60001|59821||521.17||TREATMENT OF MISCARRIAGE 60001|59830||639.21||TREAT UTERUS INFECTION 60001|59840||301.62||ABORTION 60001|59841||528.9||ABORTION 60001|59850||498.55||ABORTION 60001|59851||584.06||ABORTION 60001|59852||720.49||ABORTION 60001|59855||608.97||ABORTION 60001|59856||717.04||ABORTION 60001|59857||744.65||ABORTION 60001|59866||310.99||ABORTION (MPR) 60001|59870||689.08||EVACUATE MOLE OF UTERUS 60001|59871||197.26||REMOVE CERCLAGE SUTURE 60001|59897||0||FETAL INVAS PX W/US 60001|59898||0||LAPARO PROC - OB CARE/DELIVER 60001|59899||0||MATERNITY CARE PROCEDURE 60001|60000||209.69||DRAIN THYROID/TONGUE CYST 60001|60100||114.74||BIOPSY OF THYROID 60001|60200||950.67||REMOVE THYROID LESION 60001|60210||1020.35||PARTIAL THYROID EXCISION 60001|60212||1460.21||PARTIAL THYROID EXCISION 60001|60220||1024.98||PARTIAL REMOVAL OF THYROID 60001|60225||1339.61||PARTIAL REMOVAL OF THYROID 60001|60240||1328.69||REMOVAL OF THYROID 60001|60252||1902.7||REMOVAL OF THYROID 60001|60254||2421.24||EXTENSIVE THYROID SURGERY 60001|60260||1584.93||REPEAT THYROID SURGERY 60001|60270||1982.56||REMOVAL OF THYROID 60001|60271||1528.68||REMOVAL OF THYROID 60001|60280||639.94||REMOVE THYROID DUCT LESION 60001|60281||854.16||REMOVE THYROID DUCT LESION 60001|60300||71.7||ASPIR/INJ THYROID CYST 60001|60500||1387.95||EXPLORE PARATHYROID GLANDS 60001|60502||1842.24||RE-EXPLORE PARATHYROIDS 60001|60505||2021.65||EXPLORE PARATHYROID GLANDS 60001|60512||352.21||AUTOTRANSPLANT PARATHYROID 60001|60520||1490.77||REMOVAL OF THYMUS GLAND 60001|60521||1661.55||REMOVAL OF THYMUS GLAND 60001|60522||2020.98||REMOVAL OF THYMUS GLAND 60001|60540||1522.56||EXPLORE ADRENAL GLAND 60001|60545||1748.7||EXPLORE ADRENAL GLAND 60001|60600||2085.53||REMOVE CAROTID BODY LESION 60001|60605||2382.64||REMOVE CAROTID BODY LESION 60001|60650||1717.93||LAPAROSCOPY ADRENALECTOMY 60001|60659||0||LAPARO PROC - ENDOCRINE 60001|60699||0||ENDOCRINE SURGERY PROCEDURE 60001|61000||156.53||REMOVE CRANIAL CAVITY FLUID 60001|61001||166.29||REMOVE CRANIAL CAVITY FLUID 60001|61020||195.23||REMOVE BRAIN CAVITY FLUID 60001|61026||184.07||INJECTION INTO BRAIN CANAL 60001|61050||148.8||REMOVE BRAIN CANAL FLUID 60001|61055||194.78||INJECTION INTO BRAIN CANAL 60001|61070||120.94||BRAIN CANAL SHUNT PROCEDURE 60001|61105||656.7||TWIST DRILL HOLE 60001|61107||458.31||DRILL SKULL FOR IMPLANTATION 60001|61108||1293.41||DRILL SKULL FOR DRAINAGE 60001|61120||1063.96||BURR HOLE FOR PUNCTURE 60001|61140||1809.24||PIERCE SKULL FOR BIOPSY 60001|61150||1945.97||PIERCE SKULL FOR DRAINAGE 60001|61151||1424.26||PIERCE SKULL FOR DRAINAGE 60001|61154||1820.31||PIERCE SKULL & REMOVE CLOT 60001|61156||1789.53||PIERCE SKULL FOR DRAINAGE 60001|61210||535.59||PIERCE SKULL - IMPLANT DEVICE 60001|61215||719.99||INSERT BRAIN-FLUID DEVICE 60001|61250||1238.96||PIERCE SKULL & EXPLORE 60001|61253||1201.67||PIERCE SKULL & EXPLORE 60001|61304||2361.72||OPEN SKULL FOR EXPLORATION 60001|61305||2892.89||OPEN SKULL FOR EXPLORATION 60001|61312||2997||OPEN SKULL FOR DRAINAGE 60001|61313||2855.26||OPEN SKULL FOR DRAINAGE 60001|61314||2629.03||OPEN SKULL FOR DRAINAGE 60001|61315||2981.26||OPEN SKULL FOR DRAINAGE 60001|61316||127.2||IMPLT CRAN BONE FLAP TO ABDO 60001|61320||2742.13||OPEN SKULL FOR DRAINAGE 60001|61321||3060.13||OPEN SKULL FOR DRAINAGE 60001|61322||3412.99||DECOMPRESSIVE CRANIOTOMY 60001|61323||3437.19||DECOMPRESSIVE LOBECTOMY 60001|61330||2584.37||DECOMPRESS EYE SOCKET 60001|61332||2888.98||EXPLORE/BIOPSY EYE SOCKET 60001|61333||2956.13||EXPLORE ORBIT/REMOVE LESION 60001|61340||2075.37||SUBTEMPORAL DECOMPRESSION 60001|61343||3162.55||INCISE SKULL (PRESS RELIEF) 60001|61345||2938.47||RELIEVE CRANIAL PRESSURE 60001|61450||2767.3||INCISE SKULL FOR SURGERY 60001|61458||2890.22||INCISE SKULL FOR BRAIN WOUND 60001|61460||3022.22||INCISE SKULL FOR SURGERY 60001|61470||2578.45||INCISE SKULL FOR SURGERY 60001|61480||2379.17||INCISE SKULL FOR SURGERY 60001|61500||1922.97||REMOVAL OF SKULL LESION 60001|61501||1662.16||REMOVE INFECTED SKULL BONE 60001|61510||3144.74||REMOVAL OF BRAIN LESION 60001|61512||3680.37||REMOVE BRAIN LINING LESION 60001|61514||2743.93||REMOVAL OF BRAIN ABSCESS 60001|61516||2672.4||REMOVAL OF BRAIN LESION 60001|61517||126.69||IMPLT BRAIN CHEMOTX ADD-ON 60001|61518||3977.31||REMOVAL OF BRAIN LESION 60001|61519||4254.78||REMOVE BRAIN LINING LESION 60001|61520||5423.66||REMOVAL OF BRAIN LESION 60001|61521||4592.23||REMOVAL OF BRAIN LESION 60001|61522||3152.13||REMOVAL OF BRAIN ABSCESS 60001|61524||2995.93||REMOVAL OF BRAIN LESION 60001|61526||5249.72||REMOVAL OF BRAIN LESION 60001|61530||4351.58||REMOVAL OF BRAIN LESION 60001|61531||1752.83||IMPLANT BRAIN ELECTRODES 60001|61533||2190.85||IMPLANT BRAIN ELECTRODES 60001|61534||2365.31||REMOVAL OF BRAIN LESION 60001|61535||1431.46||REMOVE BRAIN ELECTRODES 60001|61536||3722.76||REMOVAL OF BRAIN LESION 60001|61537||3541.57||REMOVAL OF BRAIN TISSUE 60001|61538||3838.2||REMOVAL OF BRAIN TISSUE 60001|61539||3398.51||REMOVAL OF BRAIN TISSUE 60001|61540||3146.91||REMOVAL OF BRAIN TISSUE 60001|61541||3094.12||INCISION OF BRAIN TISSUE 60001|61543||3120.99||REMOVAL OF BRAIN TISSUE 60001|61544||2703.06||REMOVE & TREAT BRAIN LESION 60001|61545||4588.09||EXCISION OF BRAIN TUMOR 60001|61546||3323.06||REMOVAL OF PITUITARY GLAND 60001|61548||2248.3||REMOVAL OF PITUITARY GLAND 60001|61550||1462.46||RELEASE OF SKULL SEAMS 60001|61552||1841.09||RELEASE OF SKULL SEAMS 60001|61556||2441.7||INCISE SKULL/SUTURES 60001|61557||2419.77||INCISE SKULL/SUTURES 60001|61558||2702.67||EXCISION OF SKULL/SUTURES 60001|61559||2706.66||EXCISION OF SKULL/SUTURES 60001|61563||2852.77||EXCISION OF SKULL TUMOR 60001|61564||3469||EXCISION OF SKULL TUMOR 60001|61566||3243.09||REMOVAL OF BRAIN TISSUE 60001|61567||3700.31||INCISION OF BRAIN TISSUE 60001|61570||2682.09||REMOVE FOREIGN BODY - BRAIN 60001|61571||2865.01||INCISE SKULL FOR BRAIN WOUND 60001|61575||3596.87||SKULL BASE/BRAINSTEM SURGERY 60001|61576||5369.32||SKULL BASE/BRAINSTEM SURGERY 60001|61580||3563.2||CRANIOFACIAL APPROACH - SKULL 60001|61581||3894.52||CRANIOFACIAL APPROACH - SKULL 60001|61582||4332.38||CRANIOFACIAL APPROACH - SKULL 60001|61583||4160.09||CRANIOFACIAL APPROACH - SKULL 60001|61584||4096.41||ORBITOCRANIAL APPROACH/SKULL 60001|61585||4607.6||ORBITOCRANIAL APPROACH/SKULL 60001|61586||3440.99||RESECT NASOPHARYNX - SKULL 60001|61590||4429.23||INFRATEMPORAL APPROACH/SKULL 60001|61591||4488.65||INFRATEMPORAL APPROACH/SKULL 60001|61592||4554.06||ORBITOCRANIAL APPROACH/SKULL 60001|61595||3408.9||TRANSTEMPORAL APPROACH/SKULL 60001|61596||3598.1||TRANSCOCHLEAR APPROACH/SKULL 60001|61597||4185.35||TRANSCONDYLAR APPROACH/SKULL 60001|61598||4012.09||TRANSPETROSAL APPROACH/SKULL 60001|61600||3079.03||RESECT/EXCISE CRANIAL LESION 60001|61601||3437.59||RESECT/EXCISE CRANIAL LESION 60001|61605||3168.82||RESECT/EXCISE CRANIAL LESION 60001|61606||4316.34||RESECT/EXCISE CRANIAL LESION 60001|61607||4152.96||RESECT/EXCISE CRANIAL LESION 60001|61608||4667.23||RESECT/EXCISE CRANIAL LESION 60001|61610||2601.5||TRANSECT ARTERY - SINUS 60001|61611||551.06||TRANSECT ARTERY - SINUS 60001|61612||2057.58||TRANSECT ARTERY - SINUS 60001|61613||4709.8||REMOVE ANEURYSM - SINUS 60001|61615||3323.41||RESECT/EXCISE LESION - SKULL 60001|61616||4779.28||RESECT/EXCISE LESION - SKULL 60001|61618||1873.62||REPAIR DURA 60001|61619||2138.92||REPAIR DURA 60001|61623||807.03||ENDOVASC TEMPORY VESSEL OCCL 60001|61624||1601.55||TRANSCATH OCCLUSION - CNS 60001|61626||1244.65||TRANSCATH OCCLUSION - NON-CNS 60001|61630||1819.57||INTRACRANIAL ANGIOPLASTY 60001|61635||1993.22||INTRACRAN ANGIOPLSTY W/STENT 60001|61640||900.85||DILATE IC VASOSPASM - INIT 60001|61641||316.91||DILATE IC VASOSPASM ADD-ON 60001|61642||633.35||DILATE IC VASOSPASM ADD-ON 60001|61645||1172.87||PERQ ART M-THROMBECT &/NFS 60001|61650||782.34||EVASC PRLNG ADMN RX AGNT 1ST 60001|61651||332.27||EVASC PRLNG ADMN RX AGNT ADD 60001|61680||3259.26||INTRACRANIAL VESSEL SURGERY 60001|61682||6060.86||INTRACRANIAL VESSEL SURGERY 60001|61684||4095.15||INTRACRANIAL VESSEL SURGERY 60001|61686||6509.9||INTRACRANIAL VESSEL SURGERY 60001|61690||3146.87||INTRACRANIAL VESSEL SURGERY 60001|61692||5286.6||INTRACRANIAL VESSEL SURGERY 60001|61697||6094.83||BRAIN ANEURYSM REPR - COMPLX 60001|61698||6676.2||BRAIN ANEURYSM REPR - COMPLX 60001|61700||4940.33||BRAIN ANEURYSM REPR - SIMPLE 60001|61702||5800.74||INNER SKULL VESSEL SURGERY 60001|61703||1953.65||CLAMP NECK ARTERY 60001|61705||3742.84||REVISE CIRCULATION TO HEAD 60001|61708||2996.59||REVISE CIRCULATION TO HEAD 60001|61710||2861.04||REVISE CIRCULATION TO HEAD 60001|61711||3761.92||FUSION OF SKULL ARTERIES 60001|61720||1807.94||INCISE SKULL/BRAIN SURGERY 60001|61735||2262.01||INCISE SKULL/BRAIN SURGERY 60001|61750||2020.93||INCISE SKULL/BRAIN BIOPSY 60001|61751||1973.7||BRAIN BIOPSY W/CT/MR GUIDE 60001|61760||2262.7||IMPLANT BRAIN ELECTRODES 60001|61770||2316.62||INCISE SKULL FOR TREATMENT 60001|61781||341.47||SCAN PROC CRANIAL INTRA 60001|61782||280.61||SCAN PROC CRANIAL EXTRA 60001|61783||341.47||SCAN PROC SPINAL 60001|61790||1245.87||TREAT TRIGEMINAL NERVE 60001|61791||1596.64||TREAT TRIGEMINAL TRACT 60001|61796||1420.71||SRS - CRANIAL LESION SIMPLE 60001|61797||314.71||SRS - CRAN LES SIMPLE - ADDL 60001|61798||1921.3||SRS - CRANIAL LESION COMPLEX 60001|61799||434.62||SRS - CRAN LES COMPLEX - ADDL 60001|61800||218.7||APPLY SRS HEADFRAME ADD-ON 60001|61850||1410.56||IMPLANT NEUROELECTRODES 60001|61860||2253.25||IMPLANT NEUROELECTRODES 60001|61863||2160.37||IMPLANT NEUROELECTRODE 60001|61864||413.73||IMPLANT NEUROELECTRDE - ADDL 60001|61867||3292.25||IMPLANT NEUROELECTRODE 60001|61868||728.23||IMPLANT NEUROELECTRDE - ADD'L 60001|61870||1703.37||IMPLANT NEUROELECTRODES 60001|61880||810.68||REVISE/REMOVE NEUROELECTRODE 60001|61885||754.04||INSRT/REDO NEUROSTIM 1 ARRAY 60001|61886||1203.32||IMPLANT NEUROSTIM ARRAYS 60001|61888||557.57||REVISE/REMOVE NEURORECEIVER 60001|62000||1282.37||TREAT SKULL FRACTURE 60001|62005||1821.29||TREAT SKULL FRACTURE 60001|62010||2198.03||TREATMENT OF HEAD INJURY 60001|62100||2313.69||REPAIR BRAIN FLUID LEAKAGE 60001|62115||1791.6||REDUCTION OF SKULL DEFECT 60001|62117||2309.05||REDUCTION OF SKULL DEFECT 60001|62120||2445.06||REPAIR SKULL CAVITY LESION 60001|62121||2416.32||INCISE SKULL REPAIR 60001|62140||1498.4||REPAIR OF SKULL DEFECT 60001|62141||1644.26||REPAIR OF SKULL DEFECT 60001|62142||1275.05||REMOVE SKULL PLATE/FLAP 60001|62143||1495.79||REPLACE SKULL PLATE/FLAP 60001|62145||2035.81||REPAIR OF SKULL & BRAIN 60001|62146||1788.11||REPAIR OF SKULL WITH GRAFT 60001|62147||2101.93||REPAIR OF SKULL WITH GRAFT 60001|62148||183.44||RETR BONE FLAP TO FIX SKULL 60001|62160||275.86||NEUROENDOSCOPY ADD-ON 60001|62161||2178.54||DISSECT BRAIN W/SCOPE 60001|62162||2722.73||REMOVE COLLOID CYST W/SCOPE 60001|62163||1758.54||NEUROENDOSCOPY W/FB REMOVAL 60001|62164||2996.02||REMOVE BRAIN TUMOR W/SCOPE 60001|62165||2240.23||REMOVE PITUIT TUMOR W/SCOPE 60001|62180||2303.7||ESTABLISH BRAIN CAVITY SHUNT 60001|62190||1322.66||ESTABLISH BRAIN CAVITY SHUNT 60001|62192||1401.18||ESTABLISH BRAIN CAVITY SHUNT 60001|62194||594.73||REPLACE/IRRIGATE CATHETER 60001|62200||1979.4||ESTABLISH BRAIN CAVITY SHUNT 60001|62201||1723.6||BRAIN CAVITY SHUNT W/SCOPE 60001|62220||1467.29||ESTABLISH BRAIN CAVITY SHUNT 60001|62223||1513.83||ESTABLISH BRAIN CAVITY SHUNT 60001|62225||742.59||REPLACE/IRRIGATE CATHETER 60001|62230||1209.07||REPLACE/REVISE BRAIN SHUNT 60001|62252||126.19||CSF SHUNT REPROGRAM 60001|62252|26|73.23||CSF SHUNT REPROGRAM 60001|62252|TC|65.58||CSF SHUNT REPROGRAM 60001|62256||854.44||REMOVE BRAIN CAVITY SHUNT 60001|62258||1617.9||REPLACE BRAIN CAVITY SHUNT 60001|62263||485.6||EPIDURAL LYSIS MULT SESSIONS 60001|62264||345.41||EPIDURAL LYSIS ON SINGLE DAY 60001|62267||228.82||INTERDISCAL PERQ ASPIR - DX 60001|62268||375.61||DRAIN SPINAL CORD CYST 60001|62269||383.65||NEEDLE BIOPSY - SPINAL CORD 60001|62270||112.94||SPINAL FLUID TAP - DIAGNOSTIC 60001|62272||122.16||DRAIN CEREBRO SPINAL FLUID 60001|62273||164.18||INJECT EPIDURAL PATCH 60001|62280||240.5||TREAT SPINAL CORD LESION 60001|62281||220.13||TREAT SPINAL CORD LESION 60001|62282||204.23||TREAT SPINAL CANAL LESION 60001|62284||123.83||INJECTION FOR MYELOGRAM 60001|62287||802.95||PERCUTANEOUS DISKECTOMY 60001|62290||248.99||INJECT FOR SPINE DISK X-RAY 60001|62291||239.77||INJECT FOR SPINE DISK X-RAY 60001|62292||820.44||INJECTION INTO DISK LESION 60001|62294||1160.7||INJECTION INTO SPINAL ARTERY 60001|62302||186.89||MYELOGRAPHY LUMBAR INJECTION 60001|62303||189.3||MYELOGRAPHY LUMBAR INJECTION 60001|62304||183.77||MYELOGRAPHY LUMBAR INJECTION 60001|62305||192.53||MYELOGRAPHY LUMBAR INJECTION 60001|62320||255.71||NJX INTERLAMINAR CRV/THRC 60001|62321||380.06||NJX INTERLAMINAR CRV/THRC 60001|62322||238.48||NJX INTERLAMINAR LMBR/SAC 60001|62323||373.06||NJX INTERLAMINAR LMBR/SAC 60001|62324||223.41||NJX INTERLAMINAR CRV/THRC 60001|62325||336.99||NJX INTERLAMINAR CRV/THRC 60001|62326||234.71||NJX INTERLAMINAR LMBR/SAC 60001|62327||343.45||NJX INTERLAMINAR LMBR/SAC 60001|62328||136.34|| 60001|62329||171.42|| 60001|62350||570.92||IMPLANT SPINAL CANAL CATH 60001|62351||1247.89||IMPLANT SPINAL CANAL CATH 60001|62355||371.07||REMOVE SPINAL CANAL CATHETER 60001|62360||440.65||INSERT SPINE INFUSION DEVICE 60001|62361||499.31||IMPLANT SPINE INFUSION PUMP 60001|62362||555.39||IMPLANT SPINE INFUSION PUMP 60001|62365||418.19||REMOVE SPINE INFUSION DEVICE 60001|62367||36.05||ANALYZE SPINE INFUSION PUMP 60001|62368||49.4||ANALYZE SPINE INFUSION PUMP 60001|62369||50.77||ANAL SP INF PMP W/REPRG&FILL 60001|62370||68.05||ANL SP INF PMP W/MDREPRG&FIL 60001|63001||1777.57||REMOVAL OF SPINAL LAMINA 60001|63003||1780.44||REMOVAL OF SPINAL LAMINA 60001|63005||1690.25||REMOVAL OF SPINAL LAMINA 60001|63011||1557.99||REMOVAL OF SPINAL LAMINA 60001|63012||1711.73||REMOVAL OF SPINAL LAMINA 60001|63015||2133.45||REMOVAL OF SPINAL LAMINA 60001|63016||2180.51||REMOVAL OF SPINAL LAMINA 60001|63017||1792.89||REMOVAL OF SPINAL LAMINA 60001|63020||1678.94||NECK SPINE DISK SURGERY 60001|63030||1387.21||LOW BACK DISK SURGERY 60001|63035||279.55||SPINAL DISK SURGERY ADD-ON 60001|63040||2023.59||LAMINOTOMY - SINGLE CERVICAL 60001|63042||1869.92||LAMINOTOMY - SINGLE LUMBAR 60001|63043||848.28||LAMINOTOMY - ADD'L CERVICAL 60001|63044||805.17||LAMINOTOMY - ADD'L LUMBAR 60001|63045||1830.29||REMOVAL OF SPINAL LAMINA 60001|63046||1739.55||REMOVAL OF SPINAL LAMINA 60001|63047||1581.92||REMOVAL OF SPINAL LAMINA 60001|63048||309.38||REMOVE SPINAL LAMINA ADD-ON 60001|63050||2232.57||CERVICAL LAMINOPLASTY 60001|63051||2467.55||C-LAMINOPLASTY W/GRAFT/PLATE 60001|63055||2341.07||DECOMPRESS SPINAL CORD 60001|63056||2131.49||DECOMPRESS SPINAL CORD 60001|63057||467.97||DECOMPRESS SPINE CORD ADD-ON 60001|63064||2548.9||DECOMPRESS SPINAL CORD 60001|63066||300.74||DECOMPRESS SPINE CORD ADD-ON 60001|63075||1978.85||NECK SPINE DISK SURGERY 60001|63076||363.61||NECK SPINE DISK SURGERY 60001|63077||2156.03||SPINE DISK SURGERY - THORAX 60001|63078||281.86||SPINE DISK SURGERY - THORAX 60001|63081||2550.93||REMOVAL OF VERTEBRAL BODY 60001|63082||391.04||REMOVE VERTEBRAL BODY ADD-ON 60001|63085||2736.81||REMOVAL OF VERTEBRAL BODY 60001|63086||278.82||REMOVE VERTEBRAL BODY ADD-ON 60001|63087||3445.43||REMOVAL OF VERTEBRAL BODY 60001|63088||374.86||REMOVE VERTEBRAL BODY ADD-ON 60001|63090||2832.7||REMOVAL OF VERTEBRAL BODY 60001|63091||259.36||REMOVE VERTEBRAL BODY ADD-ON 60001|63101||3343.21||REMOVAL OF VERTEBRAL BODY 60001|63102||3226.4||REMOVAL OF VERTEBRAL BODY 60001|63103||424.13||REMOVE VERTEBRAL BODY ADD-ON 60001|63170||2281.86||INCISE SPINAL CORD TRACT(S) 60001|63172||2024.72||DRAINAGE OF SPINAL CYST 60001|63173||2484.24||DRAINAGE OF SPINAL CYST 60001|63180||2118.11||REVISE SPINAL CORD LIGAMENTS 60001|63182||2305.53||REVISE SPINAL CORD LIGAMENTS 60001|63185||1704.69||INCISE SPINAL COLUMN/NERVES 60001|63190||1816.48||INCISE SPINAL COLUMN/NERVES 60001|63191||1778.65||INCISE SPINAL COLUMN/NERVES 60001|63194||1834.64||INCISE SPINAL COLUMN & CORD 60001|63195||2205.21||INCISE SPINAL COLUMN & CORD 60001|63196||2011.4||INCISE SPINAL COLUMN & CORD 60001|63197||2460.9||INCISE SPINAL COLUMN & CORD 60001|63198||2300.09||INCISE SPINAL COLUMN & CORD 60001|63199||2715.11||INCISE SPINAL COLUMN & CORD 60001|63200||2196.08||RELEASE OF SPINAL CORD 60001|63250||4279.42||REVISE SPINAL CORD VESSELS 60001|63251||4377.9||REVISE SPINAL CORD VESSELS 60001|63252||4376.02||REVISE SPINAL CORD VESSELS 60001|63265||2402.72||EXCISE INTRASPINAL LESION 60001|63266||2477.38||EXCISE INTRASPINAL LESION 60001|63267||1981.05||EXCISE INTRASPINAL LESION 60001|63268||2083.55||EXCISE INTRASPINAL LESION 60001|63270||2988.08||EXCISE INTRASPINAL LESION 60001|63271||2981.61||EXCISE INTRASPINAL LESION 60001|63272||2743.58||EXCISE INTRASPINAL LESION 60001|63273||2669.49||EXCISE INTRASPINAL LESION 60001|63275||2588.71||BIOPSY/EXCISE SPINAL TUMOR 60001|63276||2569.77||BIOPSY/EXCISE SPINAL TUMOR 60001|63277||2234.99||BIOPSY/EXCISE SPINAL TUMOR 60001|63278||2277.22||BIOPSY/EXCISE SPINAL TUMOR 60001|63280||3042.16||BIOPSY/EXCISE SPINAL TUMOR 60001|63281||3018.35||BIOPSY/EXCISE SPINAL TUMOR 60001|63282||2839.86||BIOPSY/EXCISE SPINAL TUMOR 60001|63283||2729.38||BIOPSY/EXCISE SPINAL TUMOR 60001|63285||3765.93||BIOPSY/EXCISE SPINAL TUMOR 60001|63286||3698.34||BIOPSY/EXCISE SPINAL TUMOR 60001|63287||3956.44||BIOPSY/EXCISE SPINAL TUMOR 60001|63290||4024.43||BIOPSY/EXCISE SPINAL TUMOR 60001|63295||481.83||REPAIR OF LAMINECTOMY DEFECT 60001|63300||2645.2||REMOVAL OF VERTEBRAL BODY 60001|63301||3153.69||REMOVAL OF VERTEBRAL BODY 60001|63302||3116.39||REMOVAL OF VERTEBRAL BODY 60001|63303||3201.73||REMOVAL OF VERTEBRAL BODY 60001|63304||3380.44||REMOVAL OF VERTEBRAL BODY 60001|63305||3576.24||REMOVAL OF VERTEBRAL BODY 60001|63306||3199.99||REMOVAL OF VERTEBRAL BODY 60001|63307||3459.76||REMOVAL OF VERTEBRAL BODY 60001|63308||466.17||REMOVE VERTEBRAL BODY ADD-ON 60001|63600||1327.79||REMOVE SPINAL CORD LESION 60001|63610||631.94||STIMULATION OF SPINAL CORD 60001|63615||1765.39||REMOVE LESION OF SPINAL CORD 60001|63620||1561.39||SRS - SPINAL LESION 60001|63621||361.22||SRS - SPINAL LESION - ADDL 60001|63650||613.62||IMPLANT NEUROELECTRODES 60001|63655||1184.94||IMPLANT NEUROELECTRODES 60001|63661||465.86||REMOVE SPINE ELTRD PERQ ARAY 60001|63662||1119.68||REMOVE SPINE ELTRD PLATE 60001|63663||681.62||REVISE SPINE ELTRD PERQ ARAY 60001|63664||1147.7||REVISE SPINE ELTRD PLATE 60001|63685||517.67||INSRT/REDO SPINE N GENERATOR 60001|63688||525.23||REVISE/REMOVE NEURORECEIVER 60001|63700||1852.44||REPAIR OF SPINAL HERNIATION 60001|63702||2040.15||REPAIR OF SPINAL HERNIATION 60001|63704||2346.37||REPAIR OF SPINAL HERNIATION 60001|63706||2630.07||REPAIR OF SPINAL HERNIATION 60001|63707||1307.32||REPAIR SPINAL FLUID LEAKAGE 60001|63709||1579.39||REPAIR SPINAL FLUID LEAKAGE 60001|63710||1586.89||GRAFT REPAIR OF SPINE DEFECT 60001|63740||1355.14||INSTALL SPINAL SHUNT 60001|63741||905.47||INSTALL SPINAL SHUNT 60001|63744||965.47||REVISION OF SPINAL SHUNT 60001|63746||850.51||REMOVAL OF SPINAL SHUNT 60001|64400||97.75||N BLOCK INJ - TRIGEMINAL 60001|64402||107.65||N BLOCK INJ - FACIAL 60001|64405||135.85||N BLOCK INJ - OCCIPITAL 60001|64408||113.5||N BLOCK INJ - VAGUS 60001|64410||125.78||N BLOCK INJ - PHRENIC 60001|64413||115.8||N BLOCK INJ - CERVICAL PLEXUS 60001|64415||97.74||N BLOCK INJ - BRACHIAL PLEXUS 60001|64416||118.76||N BLOCK CONT INFUSE - B PLEX 60001|64417||103.49||N BLOCK INJ - AXILLARY 60001|64418||107.01||N BLOCK INJ - SUPRASCAPULAR 60001|64420||98.03||N BLOCK INJ - INTERCOST - SNG 60001|64421||136.06||N BLOCK INJ - INTERCOST - MLT 60001|64425||137.8||N BLOCK INJ - ILIO-ING/HYPOGI 60001|64430||119.23||N BLOCK INJ - PUDENDAL 60001|64435||121.17||N BLOCK INJ - PARACERVICAL 60001|64445||107.9||N BLOCK INJ - SCIATIC - SNG 60001|64446||119.68||N BLK INJ - SCIATIC - CONT INF 60001|64447||97.38||N BLOCK INJ FEM - SINGLE 60001|64448||106.79||N BLOCK INJ FEM - CONT INF 60001|64449||123.35||N BLOCK INJ - LUMBAR PLEXUS 60001|64450||148.91||N BLOCK - OTHER PERIPHERAL 60001|64451||120.15|| 60001|64454||123.53|| 60001|64455||52.63||N BLOCK INJ - PLANTAR DIGIT 60001|64461||129.76||PVB THORACIC SINGLE INJ SITE 60001|64462||81.8||PVB THORACIC 2ND+ INJ SITE 60001|64463||126.22||PVB THORACIC CONT INFUSION 60001|64479||192.98||INJ FORAMEN EPIDURAL C/T 60001|64480||96.39||INJ FORAMEN EPIDURAL ADD-ON 60001|64483||336.12||INJ FORAMEN EPIDURAL L/S 60001|64484||76.4||INJ FORAMEN EPIDURAL ADD-ON 60001|64486||94.36||TAP BLOCK UNIL BY INJECTION 60001|64487||108.54||TAP BLOCK UNI BY INFUSION 60001|64488||118.37||TAP BLOCK BI INJECTION 60001|64489||132.99||TAP BLOCK BI BY INFUSION 60001|64490||159.25||INJ PARAVERT F JNT C/T 1 LEV 60001|64491||89.65||INJ PARAVERT F JNT C/T 2 LEV 60001|64492||90.57||INJ PARAVERT F JNT C/T 3 LEV 60001|64493||133.76||INJ PARAVERT F JNT L/S 1 LEV 60001|64494||75.94||INJ PARAVERT F JNT L/S 2 LEV 60001|64495||77.31||INJ PARAVERT F JNT L/S 3 LEV 60001|64505||120.02||N BLOCK - SPENOPALATINE GANGL 60001|64508||109.82||N BLOCK - CAROTID SINUS S/P 60001|64510||104.16||N BLOCK - STELLATE GANGLION 60001|64517||180.91||N BLOCK INJ - HYPOGAS PLXS 60001|64520||115.4||N BLOCK - LUMBAR/THORACIC 60001|64530||133.61||N BLOCK INJ - CELIAC PELUS 60001|64550||12.87||APPLY NEUROSTIMULATOR 60001|64553||237.53||IMPLANT NEUROELECTRODES 60001|64555||211||IMPLANT NEUROELECTRODES 60001|64561||580.82||IMPLANT NEUROELECTRODES 60001|64565||180.35||IMPLANT NEUROELECTRODES 60001|64566||43.09||NEUROELTRD STIM POST TIBIAL 60001|64568||908.45||INC FOR VAGUS N ELECT IMPL 60001|64569||1004.77||REVISE/REPL VAGUS N ELTRD 60001|64570||813.03||REMOVE VAGUS N ELTRD 60001|64575||427.62||IMPLANT NEUROELECTRODES 60001|64580||434.43||IMPLANT NEUROELECTRODES 60001|64581||987.51||IMPLANT NEUROELECTRODES 60001|64585||211.76||REVISE/REMOVE NEUROELECTRODE 60001|64590||234.65||INSRT/REDO PERPH N GENERATOR 60001|64595||185.21||REVISE/REMOVE NEURORECEIVER 60001|64600||315.17||INJECTION TREATMENT OF NERVE 60001|64605||483.54||INJECTION TREATMENT OF NERVE 60001|64610||699.63||INJECTION TREATMENT OF NERVE 60001|64611||128.68||CHEMODENERV SALIV GLANDS 60001|64612||227.41||DESTROY NERVE - FACE MUSCLE 60001|64615||185.16||CHEMODENERV MUSC MIGRAINE 60001|64616||157.01||CHEMODENERV MUSC NECK DYSTON 60001|64617||168||CHEMODENER MUSCLE LARYNX EMG 60001|64620||248.86||INJECTION TREATMENT OF NERVE 60001|64624||219.89|| 60001|64625||291.12|| 60001|64630||273.16||INJECTION TREATMENT OF NERVE 60001|64632||100.09||N BLOCK INJ - COMMON DIGIT 60001|64633||337.78||DESTROY CERV/THOR FACET JNT 60001|64634||101.95||DESTROY C/TH FACET JNT ADDL 60001|64635||331.03||DESTROY LUMB/SAC FACET JNT 60001|64636||88.71||DESTROY L/S FACET JNT ADDL 60001|64640||243.79||INJECTION TREATMENT OF NERVE 60001|64642||157.07||CHEMODENERV 1 EXTREMITY 1-4 60001|64643||105.86||CHEMODENERV 1 EXTREM 1-4 EA 60001|64644||171.53||CHEMODENERV 1 EXTREM 5/> MUS 60001|64645||121.31||CHEMODENERV 1 EXTREM 5/> EA 60001|64646||169.97||CHEMODENERV TRUNK MUSC 1-5 60001|64647||196.34||CHEMODENERV TRUNK MUSC 6/> 60001|64650||57.92||CHEMODENERV ECCRINE GLANDS 60001|64653||76.02||CHEMODENERV ECCRINE GLANDS 60001|64680||238.56||INJECTION TREATMENT OF NERVE 60001|64681||288.82||INJECTION TREATMENT OF NERVE 60001|64702||704.07||REVISE FINGER/TOE NERVE 60001|64704||451.19||REVISE HAND/FOOT NERVE 60001|64708||701.54||REVISE ARM/LEG NERVE 60001|64712||795.52||REVISION OF SCIATIC NERVE 60001|64713||1089.96||REVISION OF ARM NERVE(S) 60001|64714||957.11||REVISE LOW BACK NERVE(S) 60001|64716||765.75||REVISION OF CRANIAL NERVE 60001|64718||836.01||REVISE ULNAR NERVE AT ELBOW 60001|64719||563.74||REVISE ULNAR NERVE AT WRIST 60001|64721||600.03||CARPAL TUNNEL SURGERY 60001|64722||508.26||RELIEVE PRESSURE ON NERVE(S) 60001|64726||388.25||RELEASE FOOT/TOE NERVE 60001|64727||267.4||INTERNAL NERVE REVISION 60001|64732||616.87||INCISION OF BROW NERVE 60001|64734||632.44||INCISION OF CHEEK NERVE 60001|64736||666.04||INCISION OF CHIN NERVE 60001|64738||716.53||INCISION OF JAW NERVE 60001|64740||659.91||INCISION OF TONGUE NERVE 60001|64742||665.13||INCISION OF FACIAL NERVE 60001|64744||684.88||INCISE NERVE - BACK OF HEAD 60001|64746||630.72||INCISE DIAPHRAGM NERVE 60001|64755||1310.66||INCISION OF STOMACH NERVES 60001|64760||723.76||INCISION OF VAGUS NERVE 60001|64763||741.03||INCISE HIP/THIGH NERVE 60001|64766||846.64||INCISE HIP/THIGH NERVE 60001|64771||850.07||SEVER CRANIAL NERVE 60001|64772||827.61||INCISION OF SPINAL NERVE 60001|64774||594.38||REMOVE SKIN NERVE LESION 60001|64776||557.71||REMOVE DIGIT NERVE LESION 60001|64778||264.71||DIGIT NERVE SURGERY ADD-ON 60001|64782||645.99||REMOVE LIMB NERVE LESION 60001|64783||314.82||LIMB NERVE SURGERY ADD-ON 60001|64784||1049.16||REMOVE NERVE LESION 60001|64786||1540.19||REMOVE SCIATIC NERVE LESION 60001|64787||354.41||IMPLANT NERVE END 60001|64788||564||REMOVE SKIN NERVE LESION 60001|64790||1189.14||REMOVAL OF NERVE LESION 60001|64792||1690.97||REMOVAL OF NERVE LESION 60001|64795||279.19||BIOPSY OF NERVE 60001|64802||785.63||REMOVE SYMPATHETIC NERVES 60001|64804||1158.58||REMOVE SYMPATHETIC NERVES 60001|64809||1077.9||REMOVE SYMPATHETIC NERVES 60001|64818||970.03||REMOVE SYMPATHETIC NERVES 60001|64820||1083.57||REMOVE SYMPATHETIC NERVES 60001|64821||1003.22||REMOVE SYMPATHETIC NERVES 60001|64822||977.55||REMOVE SYMPATHETIC NERVES 60001|64823||1112.03||REMOVE SYMPATHETIC NERVES 60001|64831||974.05||REPAIR OF DIGIT NERVE 60001|64832||494.04||REPAIR NERVE ADD-ON 60001|64834||1058.17||REPAIR OF HAND OR FOOT NERVE 60001|64835||1157.64||REPAIR OF HAND OR FOOT NERVE 60001|64836||1157.64||REPAIR OF HAND OR FOOT NERVE 60001|64837||513.29||REPAIR NERVE ADD-ON 60001|64840||1259.4||REPAIR OF LEG NERVE 60001|64856||1455.54||REPAIR/TRANSPOSE NERVE 60001|64857||1514.11||REPAIR ARM/LEG NERVE 60001|64858||1569.46||REPAIR SCIATIC NERVE 60001|64859||381.94||NERVE SURGERY 60001|64861||1909.62||REPAIR OF ARM NERVES 60001|64862||2184.62||REPAIR OF LOW BACK NERVES 60001|64864||1263.13||REPAIR OF FACIAL NERVE 60001|64865||1625.6||REPAIR OF FACIAL NERVE 60001|64866||1640.64||FUSION OF FACIAL/OTHER NERVE 60001|64868||1486.7||FUSION OF FACIAL/OTHER NERVE 60001|64872||170.77||SUBSEQUENT REPAIR OF NERVE 60001|64874||244.41||REPAIR & REVISE NERVE ADD-ON 60001|64876||267.96||REPAIR NERVE/SHORTEN BONE 60001|64885||1597.56||NERVE GRAFT - HEAD OR NECK 60001|64886||1868.06||NERVE GRAFT - HEAD OR NECK 60001|64890||1602.48||NERVE GRAFT - HAND OR FOOT 60001|64891||1605.4||NERVE GRAFT - HAND OR FOOT 60001|64892||1556.2||NERVE GRAFT - ARM OR LEG 60001|64893||1657.34||NERVE GRAFT - ARM OR LEG 60001|64895||1968.74||NERVE GRAFT - HAND OR FOOT 60001|64896||2300.13||NERVE GRAFT - HAND OR FOOT 60001|64897||1884.33||NERVE GRAFT - ARM OR LEG 60001|64898||2044.86||NERVE GRAFT - ARM OR LEG 60001|64901||914.01||NERVE GRAFT ADD-ON 60001|64902||1056.75||NERVE GRAFT ADD-ON 60001|64905||1490.81||NERVE PEDICLE TRANSFER 60001|64907||1609.4||NERVE PEDICLE TRANSFER 60001|64910||1181.5||NERVE REPAIR W/ALLOGRAFT 60001|64911||1477.21||NEURORRAPHY W/VEIN AUTOGRAFT 60001|64912||1168.92||NRV RPR W/NRV ALGRFT 1ST 60001|64913||241.08||NRV RPR W/NRV ALGRFT EA ADDL 60001|64999||0||NERVOUS SYSTEM SURGERY 60001|65091||750.49||REVISE EYE 60001|65093||744.51||REVISE EYE WITH IMPLANT 60001|65101||872.55||REMOVAL OF EYE 60001|65103||911.71||REMOVE EYE/INSERT IMPLANT 60001|65105||1006.88||REMOVE EYE/ATTACH IMPLANT 60001|65110||1415.58||REMOVAL OF EYE 60001|65112||1650.59||REMOVE EYE/REVISE SOCKET 60001|65114||1731.79||REMOVE EYE/REVISE SOCKET 60001|65125||345.5||REVISE OCULAR IMPLANT 60001|65130||866.22||INSERT OCULAR IMPLANT 60001|65135||879.25||INSERT OCULAR IMPLANT 60001|65140||933.22||ATTACH OCULAR IMPLANT 60001|65150||651.64||REVISE OCULAR IMPLANT 60001|65155||1005.73||REINSERT OCULAR IMPLANT 60001|65175||757.35||REMOVAL OF OCULAR IMPLANT 60001|65205||51.73||REMOVE FOREIGN BODY FROM EYE 60001|65210||63.78||REMOVE FOREIGN BODY FROM EYE 60001|65220||50.6||REMOVE FOREIGN BODY FROM EYE 60001|65222||69.55||REMOVE FOREIGN BODY FROM EYE 60001|65235||825.46||REMOVE FOREIGN BODY FROM EYE 60001|65260||1085.23||REMOVE FOREIGN BODY FROM EYE 60001|65265||1305.22||REMOVE FOREIGN BODY FROM EYE 60001|65270||165.46||REPAIR OF EYE WOUND 60001|65272||397.96||REPAIR OF EYE WOUND 60001|65273||432.83||REPAIR OF EYE WOUND 60001|65275||539.23||REPAIR OF EYE WOUND 60001|65280||805.93||REPAIR OF EYE WOUND 60001|65285||1313.76||REPAIR OF EYE WOUND 60001|65286||579.34||REPAIR OF EYE WOUND 60001|65290||589.33||REPAIR OF EYE SOCKET WOUND 60001|65400||701.34||REMOVAL OF EYE LESION 60001|65410||126.75||BIOPSY OF CORNEA 60001|65420||434.95||REMOVAL OF EYE LESION 60001|65426||557.63||REMOVAL OF EYE LESION 60001|65430||122.81||CORNEAL SMEAR 60001|65435||82.9||CURETTE/TREAT CORNEA 60001|65436||440.74||CURETTE/TREAT CORNEA 60001|65450||370.62||TREATMENT OF CORNEAL LESION 60001|65600||400.3||REVISION OF CORNEA 60001|65710||1293.2||CORNEAL TRANSPLANT 60001|65730||1436.27||CORNEAL TRANSPLANT 60001|65750||1442.01||CORNEAL TRANSPLANT 60001|65755||1440.17||CORNEAL TRANSPLANT 60001|65756||1347.68||CORNEAL TRNSPL - ENDOTHELIAL 60001|65757||171.19||PREP CORNEAL ENDO ALLOGRAFT 60001|65760||1456.61||REVISION OF CORNEA 60001|65765||2112.25||REVISION OF CORNEA 60001|65767||1966.49||CORNEAL TISSUE TRANSPLANT 60001|65770||1825.49||REVISE CORNEA WITH IMPLANT 60001|65771||800.98||RADIAL KERATOTOMY 60001|65772||470.71||CORRECTION OF ASTIGMATISM 60001|65775||624.74||CORRECTION OF ASTIGMATISM 60001|65778||90.45||COVER EYE W/MEMBRANE 60001|65779||352.66||COVER EYE W/MEMBRANE STENT 60001|65780||1030.65||OCULAR RECONST - TRANSPLANT 60001|65781||1518.09||OCULAR RECONST - TRANSPLANT 60001|65782||1386.73||OCULAR RECONST - TRANSPLANT 60001|65785||561.99||IMPLTJ NTRSTRML CRNL RNG SEG 60001|65800||154.59||DRAINAGE OF EYE 60001|65810||543.66||DRAINAGE OF EYE 60001|65815||564.97||DRAINAGE OF EYE 60001|65820||845.64||RELIEVE INNER EYE PRESSURE 60001|65850||1001.42||INCISION OF EYE 60001|65855||352.05||LASER SURGERY OF EYE 60001|65860||331.33||INCISE INNER EYE ADHESIONS 60001|65865||534.84||INCISE INNER EYE ADHESIONS 60001|65870||699.29||INCISE INNER EYE ADHESIONS 60001|65875||733.32||INCISE INNER EYE ADHESIONS 60001|65880||750.76||INCISE INNER EYE ADHESIONS 60001|65900||1093.12||REMOVE EYE LESION 60001|65920||914.98||REMOVE IMPLANT OF EYE 60001|65930||758.89||REMOVE BLOOD CLOT FROM EYE 60001|66020||148.62||INJECTION TREATMENT OF EYE 60001|66030||128.52||INJECTION TREATMENT OF EYE 60001|66130||691.35||REMOVE EYE LESION 60001|66150||988.06||GLAUCOMA SURGERY 60001|66155||987.25||GLAUCOMA SURGERY 60001|66160||1116.66||GLAUCOMA SURGERY 60001|66170||1390.75||GLAUCOMA SURGERY 60001|66172||1753.43||INCISION OF EYE 60001|66174||1155.59||TRANSLUM DIL EYE CANAL 60001|66175||1309.26||TRNSLUM DIL EYE CANAL W/STNT 60001|66179||1548.66||AQUEOUS SHUNT EYE W/O GRAFT 60001|66180||1363.7||IMPLANT EYE SHUNT 60001|66183||1285.96||INSERT ANT DRAINAGE DEVICE 60001|66184||1124.12||REVISION OF AQUEOUS SHUNT 60001|66185||887.32||REVISE EYE SHUNT 60001|66220||861.9||REPAIR EYE LESION 60001|66225||1120.52||REPAIR/GRAFT EYE LESION 60001|66250||665.31||FOLLOW-UP SURGERY OF EYE 60001|66500||397.89||INCISION OF IRIS 60001|66505||436.3||INCISION OF IRIS 60001|66600||938.94||REMOVE IRIS AND LESION 60001|66605||1198.91||REMOVAL OF IRIS 60001|66625||499.22||REMOVAL OF IRIS 60001|66630||672.36||REMOVAL OF IRIS 60001|66635||650.08||REMOVAL OF IRIS 60001|66680||619.77||REPAIR IRIS & CILIARY BODY 60001|66682||752.35||REPAIR IRIS & CILIARY BODY 60001|66700||450.85||DESTRUCTION - CILIARY BODY 60001|66710||471.4||CILIARY TRANSSLERAL THERAPY 60001|66711||720.95||CILIARY ENDOSCOPIC ABLATION 60001|66720||488.69||DESTRUCTION - CILIARY BODY 60001|66740||445.32||DESTRUCTION - CILIARY BODY 60001|66761||299.38||REVISION OF IRIS 60001|66762||493.78||REVISION OF IRIS 60001|66770||545.61||REMOVAL OF INNER EYE LESION 60001|66820||457.64||INCISION - SECONDARY CATARACT 60001|66821||360.91||AFTER CATARACT LASER SURGERY 60001|66825||879.24||REPOSITION INTRAOCULAR LENS 60001|66830||808.39||REMOVAL OF LENS LESION 60001|66840||834.95||REMOVAL OF LENS MATERIAL 60001|66850||927.18||REMOVAL OF LENS MATERIAL 60001|66852||1006.1||REMOVAL OF LENS MATERIAL 60001|66920||855.63||EXTRACTION OF LENS 60001|66930||972.99||EXTRACTION OF LENS 60001|66940||926.37||EXTRACTION OF LENS 60001|66982||1251.82||CATARACT SURGERY - COMPLEX 60001|66983||850.97||CATARACT SURG W/IOL - 1 STAGE 60001|66984||901.69||CATARACT SURG W/IOL - 1 STAGE 60001|66985||895.83||INSERT LENS PROSTHESIS 60001|66986||1061.59||EXCHANGE LENS PROSTHESIS 60001|66990||104.11||OPHTHALMIC ENDOSCOPE ADD-ON 60001|66999||0||EYE SURGERY PROCEDURE 60001|67005||566.64||PARTIAL REMOVAL OF EYE FLUID 60001|67010||633.65||PARTIAL REMOVAL OF EYE FLUID 60001|67015||675.28||RELEASE OF EYE FLUID 60001|67025||749.6||REPLACE EYE FLUID 60001|67027||1015.08||IMPLANT EYE DRUG SYSTEM 60001|67028||123.42||INJECTION EYE DRUG 60001|67030||597.87||INCISE INNER EYE STRANDS 60001|67031||414.07||LASER SURGERY - EYE STRANDS 60001|67036||1125.35||REMOVAL OF INNER EYE FLUID 60001|67039||1472.53||LASER TREATMENT OF RETINA 60001|67040||1666.11||LASER TREATMENT OF RETINA 60001|67041||1558.27||VIT FOR MACULAR PUCKER 60001|67042||1782.95||VIT FOR MACULAR HOLE 60001|67043||1907.94||VIT FOR MEMBRANE DISSECT 60001|67101||800.11||REPAIR DETACHED RETINA 60001|67105||752.6||REPAIR DETACHED RETINA 60001|67107||1450.6||REPAIR DETACHED RETINA 60001|67108||1887.62||REPAIR DETACHED RETINA 60001|67110||901.23||REPAIR DETACHED RETINA 60001|67113||2052.71||REPAIR RETINAL DETACH - CPLX 60001|67115||577.31||RELEASE ENCIRCLING MATERIAL 60001|67120||666.84||REMOVE EYE IMPLANT MATERIAL 60001|67121||1081.78||REMOVE EYE IMPLANT MATERIAL 60001|67141||577.12||TREATMENT OF RETINA 60001|67145||579.09||TREATMENT OF RETINA 60001|67208||654.74||TREATMENT OF RETINAL LESION 60001|67210||594.65||TREATMENT OF RETINAL LESION 60001|67218||1577.63||TREATMENT OF RETINAL LESION 60001|67220||636.16||TREATMENT OF CHOROID LESION 60001|67221||255.14||OCULAR PHOTODYNAMIC THER 60001|67225||32.26||EYE PHOTODYNAMIC THER ADD-ON 60001|67227||646.58||TREATMENT OF RETINAL LESION 60001|67228||1148.89||TREATMENT OF RETINAL LESION 60001|67229||1276.91||TR RETINAL LES PRETERM INF 60001|67250||920.63||REINFORCE EYE WALL 60001|67255||1001.09||REINFORCE/GRAFT EYE WALL 60001|67299||0||EYE SURGERY PROCEDURE 60001|67311||707.46||REVISE EYE MUSCLE 60001|67312||857.03||REVISE TWO EYE MUSCLES 60001|67314||796.54||REVISE EYE MUSCLE 60001|67316||964.48||REVISE TWO EYE MUSCLES 60001|67318||797.28||REVISE EYE MUSCLE(S) 60001|67320||371.22||REVISE EYE MUSCLE(S) ADD-ON 60001|67331||371.05||EYE SURGERY FOLLOW-UP ADD-ON 60001|67332||403.19||REREVISE EYE MUSCLES ADD-ON 60001|67334||346.74||REVISE EYE MUSCLE W/SUTURE 60001|67335||180.97||EYE SUTURE DURING SURGERY 60001|67340||412.47||REVISE EYE MUSCLE ADD-ON 60001|67343||780.86||RELEASE EYE TISSUE 60001|67345||263.58||DESTROY NERVE OF EYE MUSCLE 60001|67346||244.77||BIOPSY - EYE MUSCLE 60001|67399||0||EYE MUSCLE SURGERY PROCEDURE 60001|67400||1103.09||EXPLORE/BIOPSY EYE SOCKET 60001|67405||917.91||EXPLORE/DRAIN EYE SOCKET 60001|67412||1009.13||EXPLORE/TREAT EYE SOCKET 60001|67413||1018.98||EXPLORE/TREAT EYE SOCKET 60001|67414||1542.2||EXPLR/DECOMPRESS EYE SOCKET 60001|67415||125.62||ASPIRATION - ORBITAL CONTENTS 60001|67420||1944.29||EXPLORE/TREAT EYE SOCKET 60001|67430||1411.49||EXPLORE/TREAT EYE SOCKET 60001|67440||1398.74||EXPLORE/DRAIN EYE SOCKET 60001|67445||1685.61||EXPLR/DECOMPRESS EYE SOCKET 60001|67450||1453.64||EXPLORE/BIOPSY EYE SOCKET 60001|67500||89.68||INJECT/TREAT EYE SOCKET 60001|67505||99.07||INJECT/TREAT EYE SOCKET 60001|67515||107.66||INJECT/TREAT EYE SOCKET 60001|67550||1151.71||INSERT EYE SOCKET IMPLANT 60001|67560||1145.68||REVISE EYE SOCKET IMPLANT 60001|67570||1456.38||DECOMPRESS OPTIC NERVE 60001|67599||0||ORBIT SURGERY PROCEDURE 60001|67700||136.27||DRAINAGE OF EYELID ABSCESS 60001|67710||115.34||INCISION OF EYELID 60001|67715||130.02||INCISION OF EYELID FOLD 60001|67800||123.34||REMOVE EYELID LESION 60001|67801||161.59||REMOVE EYELID LESIONS 60001|67805||198.77||REMOVE EYELID LESIONS 60001|67808||438.72||REMOVE EYELID LESION(S) 60001|67810||108.72||BIOPSY OF EYELID 60001|67820||63.21||REVISE EYELASHES 60001|67825||144.1||REVISE EYELASHES 60001|67830||165.06||REVISE EYELASHES 60001|67835||526.69||REVISE EYELASHES 60001|67840||187.55||REMOVE EYELID LESION 60001|67850||161.07||TREAT EYELID LESION 60001|67875||116.58||CLOSURE OF EYELID BY SUTURE 60001|67880||436.32||REVISION OF EYELID 60001|67882||564.44||REVISION OF EYELID 60001|67900||608.47||REPAIR BROW DEFECT 60001|67901||690.87||REPAIR EYELID DEFECT 60001|67902||867.68||REPAIR EYELID DEFECT 60001|67903||583.88||REPAIR EYELID DEFECT 60001|67904||714.32||REPAIR EYELID DEFECT 60001|67906||578.59||REPAIR EYELID DEFECT 60001|67908||509.57||REPAIR EYELID DEFECT 60001|67909||525.71||REVISE EYELID DEFECT 60001|67911||670.87||REVISE EYELID DEFECT 60001|67912||578.97||CORRECTION EYELID W/IMPLANT 60001|67914||343.81||REPAIR EYELID DEFECT 60001|67915||298.22||REPAIR EYELID DEFECT 60001|67916||512.52||REPAIR EYELID DEFECT 60001|67917||567.83||REPAIR EYELID DEFECT 60001|67921||324.64||REPAIR EYELID DEFECT 60001|67922||286.58||REPAIR EYELID DEFECT 60001|67923||556.87||REPAIR EYELID DEFECT 60001|67924||537.63||REPAIR EYELID DEFECT 60001|67930||294.13||REPAIR EYELID WOUND 60001|67935||537.35||REPAIR EYELID WOUND 60001|67938||136.17||REMOVE EYELID FOREIGN BODY 60001|67950||553.89||REVISION OF EYELID 60001|67961||544.16||REVISION OF EYELID 60001|67966||787.67||REVISION OF EYELID 60001|67971||874.28||RECONSTRUCTION OF EYELID 60001|67973||1128.94||RECONSTRUCTION OF EYELID 60001|67974||1126.14||RECONSTRUCTION OF EYELID 60001|67975||826.56||RECONSTRUCTION OF EYELID 60001|67999||0||REVISION OF EYELID 60001|68020||129.83||INCISE/DRAIN EYELID LINING 60001|68040||64.64||TREATMENT OF EYELID LESIONS 60001|68100||115.77||BIOPSY OF EYELID LINING 60001|68110||176.84||REMOVE EYELID LINING LESION 60001|68115||214.12||REMOVE EYELID LINING LESION 60001|68130||466.17||REMOVE EYELID LINING LESION 60001|68135||176.26||REMOVE EYELID LINING LESION 60001|68200||41.58||TREAT EYELID BY INJECTION 60001|68320||641.4||REVISE/GRAFT EYELID LINING 60001|68325||790.38||REVISE/GRAFT EYELID LINING 60001|68326||773.75||REVISE/GRAFT EYELID LINING 60001|68328||853.76||REVISE/GRAFT EYELID LINING 60001|68330||550.36||REVISE EYELID LINING 60001|68335||776.23||REVISE/GRAFT EYELID LINING 60001|68340||476.35||SEPARATE EYELID ADHESIONS 60001|68360||491.39||REVISE EYELID LINING 60001|68362||786.86||REVISE EYELID LINING 60001|68371||467.65||HARVEST EYE TISSUE - ALOGRAFT 60001|68399||0||EYELID LINING SURGERY 60001|68400||159.29||INCISE/DRAIN TEAR GLAND 60001|68420||198.56||INCISE/DRAIN TEAR SAC 60001|68440||116.12||INCISE TEAR DUCT OPENING 60001|68500||1187.88||REMOVAL OF TEAR GLAND 60001|68505||1165.48||PARTIAL REMOVAL - TEAR GLAND 60001|68510||358.1||BIOPSY OF TEAR GLAND 60001|68520||802.56||REMOVAL OF TEAR SAC 60001|68525||326.32||BIOPSY OF TEAR SAC 60001|68530||312.32||CLEARANCE OF TEAR DUCT 60001|68540||1081.87||REMOVE TEAR GLAND LESION 60001|68550||1144.17||REMOVE TEAR GLAND LESION 60001|68700||723.85||REPAIR TEAR DUCTS 60001|68705||198.42||REVISE TEAR DUCT OPENING 60001|68720||896.6||CREATE TEAR SAC DRAIN 60001|68745||911.61||CREATE TEAR DUCT DRAIN 60001|68750||942.31||CREATE TEAR DUCT DRAIN 60001|68760||173.6||CLOSE TEAR DUCT OPENING 60001|68761||139.74||CLOSE TEAR DUCT OPENING 60001|68770||745.64||CLOSE TEAR SYSTEM FISTULA 60001|68801||124.51||DILATE TEAR DUCT OPENING 60001|68810||222.26||PROBE NASOLACRIMAL DUCT 60001|68811||245.84||PROBE NASOLACRIMAL DUCT 60001|68815||306.21||PROBE NASOLACRIMAL DUCT 60001|68816||299.07||PROBE NL DUCT W/BALLOON 60001|68840||136.62||EXPLORE/IRRIGATE TEAR DUCTS 60001|68850||63.93||INJECTION FOR TEAR SAC X-RAY 60001|68899||0||TEAR DUCT SYSTEM SURGERY 60001|69000||171.83||DRAIN EXTERNAL EAR LESION 60001|69005||228.1||DRAIN EXTERNAL EAR LESION 60001|69020||206.34||DRAIN OUTER EAR CANAL LESION 60001|69090||46.53||PIERCE EARLOBES 60001|69100||71.33||BIOPSY OF EXTERNAL EAR 60001|69105||92.15||BIOPSY OF EXTERNAL EAR CANAL 60001|69110||467.59||REMOVE EXTERNAL EAR - PARTIAL 60001|69120||577.71||REMOVAL OF EXTERNAL EAR 60001|69140||1260.82||REMOVE EAR CANAL LESION(S) 60001|69145||359.84||REMOVE EAR CANAL LESION(S) 60001|69150||1517.18||EXTENSIVE EAR CANAL SURGERY 60001|69155||2428.27||EXTENSIVE EAR/NECK SURGERY 60001|69200||83.02||CLEAR OUTER EAR CANAL 60001|69205||145.93||CLEAR OUTER EAR CANAL 60001|69209||17.38||REMOVE IMPACTED EAR WAX UNI 60001|69210||49.26||REMOVE IMPACTED EAR WAX 60001|69220||89.75||CLEAN OUT MASTOID CAVITY 60001|69222||198.1||CLEAN OUT MASTOID CAVITY 60001|69300||689.96||REVISE EXTERNAL EAR 60001|69310||1564.55||REBUILD OUTER EAR CANAL 60001|69320||2211.96||REBUILD OUTER EAR CANAL 60001|69399||0||OUTER EAR SURGERY PROCEDURE 60001|69420||174.35||INCISION OF EARDRUM 60001|69421||216.86||INCISION OF EARDRUM 60001|69424||90.32||REMOVE VENTILATING TUBE 60001|69433||189.16||CREATE EARDRUM OPENING 60001|69436||234.15||CREATE EARDRUM OPENING 60001|69440||995.32||EXPLORATION OF MIDDLE EAR 60001|69450||784.95||EARDRUM REVISION 60001|69501||1060.73||MASTOIDECTOMY 60001|69502||1409.07||MASTOIDECTOMY 60001|69505||1739.16||REMOVE MASTOID STRUCTURES 60001|69511||1783.29||EXTENSIVE MASTOID SURGERY 60001|69530||2396.15||EXTENSIVE MASTOID SURGERY 60001|69535||3880.4||REMOVE PART OF TEMPORAL BONE 60001|69540||184.19||REMOVE EAR LESION 60001|69550||1504.05||REMOVE EAR LESION 60001|69552||2277.09||REMOVE EAR LESION 60001|69554||3654.12||REMOVE EAR LESION 60001|69601||1518.27||MASTOID SURGERY REVISION 60001|69602||1579.58||MASTOID SURGERY REVISION 60001|69603||1825.41||MASTOID SURGERY REVISION 60001|69604||1617.71||MASTOID SURGERY REVISION 60001|69605||2260.02||MASTOID SURGERY REVISION 60001|69610||426.73||REPAIR OF EARDRUM 60001|69620||707||REPAIR OF EARDRUM 60001|69631||1278.01||REPAIR EARDRUM STRUCTURES 60001|69632||1561.49||REBUILD EARDRUM STRUCTURES 60001|69633||1508.48||REBUILD EARDRUM STRUCTURES 60001|69635||1765.3||REPAIR EARDRUM STRUCTURES 60001|69636||1994.8||REBUILD EARDRUM STRUCTURES 60001|69637||1988.32||REBUILD EARDRUM STRUCTURES 60001|69641||1510.25||REVISE MIDDLE EAR & MASTOID 60001|69642||1939.9||REVISE MIDDLE EAR & MASTOID 60001|69643||1774.23||REVISE MIDDLE EAR & MASTOID 60001|69644||2141.65||REVISE MIDDLE EAR & MASTOID 60001|69645||2101.74||REVISE MIDDLE EAR & MASTOID 60001|69646||2231.69||REVISE MIDDLE EAR & MASTOID 60001|69650||1161.57||RELEASE MIDDLE EAR BONE 60001|69660||1346.49||REVISE MIDDLE EAR BONE 60001|69661||1753.49||REVISE MIDDLE EAR BONE 60001|69662||1680.75||REVISE MIDDLE EAR BONE 60001|69666||1166.67||REPAIR MIDDLE EAR STRUCTURES 60001|69667||1169.47||REPAIR MIDDLE EAR STRUCTURES 60001|69670||1368.25||REMOVE MASTOID AIR CELLS 60001|69676||1204.08||REMOVE MIDDLE EAR NERVE 60001|69700||996.6||CLOSE MASTOID FISTULA 60001|69710||0||IMPLANT/REPLACE HEARING AID 60001|69711||1252.21||REMOVE/REPAIR HEARING AID 60001|69714||1561.76||IMPLANT TEMPLE BONE W/STIMUL 60001|69715||1936.39||TEMPLE BNE IMPLNT W/STIMULAT 60001|69717||1647.73||TEMPLE BONE IMPLANT REVISION 60001|69718||1957.45||REVISE TEMPLE BONE IMPLANT 60001|69720||1718.13||RELEASE FACIAL NERVE 60001|69725||2742.58||RELEASE FACIAL NERVE 60001|69740||1699.95||REPAIR FACIAL NERVE 60001|69745||1809.92||REPAIR FACIAL NERVE 60001|69799||0||MIDDLE EAR SURGERY PROCEDURE 60001|69801||301.36||INCISE INNER EAR 60001|69805||1534.28||EXPLORE INNER EAR 60001|69806||1373.12||EXPLORE INNER EAR 60001|69820||1245.27||ESTABLISH INNER EAR WINDOW 60001|69840||1284.69||REVISE INNER EAR WINDOW 60001|69905||1332.72||REMOVE INNER EAR 60001|69910||1481.83||REMOVE INNER EAR & MASTOID 60001|69915||2245.46||INCISE INNER EAR NERVE 60001|69930||1788.08||IMPLANT COCHLEAR DEVICE 60001|69949||0||INNER EAR SURGERY PROCEDURE 60001|69950||2613.23||INCISE INNER EAR NERVE 60001|69955||2888.83||RELEASE FACIAL NERVE 60001|69960||2811.8||RELEASE INNER EAR CANAL 60001|69970||3131.02||REMOVE INNER EAR LESION 60001|69979||0||TEMPORAL BONE SURGERY 60001|69990||315.06||MICROSURGERY ADD-ON 60001|70010||147.39||CONTRAST X-RAY OF BRAIN 60001|70015||238.95||CONTRAST X-RAY OF BRAIN 60001|70015|26|94.69||CONTRAST X-RAY OF BRAIN 60001|70015|TC|144.26||CONTRAST X-RAY OF BRAIN 60001|70030||44.38||X-RAY EYE FOR FOREIGN BODY 60001|70030|26|13.09||X-RAY EYE FOR FOREIGN BODY 60001|70030|TC|31.29||X-RAY EYE FOR FOREIGN BODY 60001|70100||53.01||X-RAY EXAM OF JAW 60001|70100|26|14.16||X-RAY EXAM OF JAW 60001|70100|TC|38.85||X-RAY EXAM OF JAW 60001|70110||61.48||X-RAY EXAM OF JAW 60001|70110|26|19.61||X-RAY EXAM OF JAW 60001|70110|TC|41.88||X-RAY EXAM OF JAW 60001|70120||56.04||X-RAY EXAM OF MASTOIDS 60001|70120|26|14.67||X-RAY EXAM OF MASTOIDS 60001|70120|TC|41.37||X-RAY EXAM OF MASTOIDS 60001|70130||88.22||X-RAY EXAM OF MASTOIDS 60001|70130|26|26.68||X-RAY EXAM OF MASTOIDS 60001|70130|TC|61.55||X-RAY EXAM OF MASTOIDS 60001|70134||86.71||X-RAY EXAM OF MIDDLE EAR 60001|70134|26|28.19||X-RAY EXAM OF MIDDLE EAR 60001|70134|TC|58.52||X-RAY EXAM OF MIDDLE EAR 60001|70140||47.02||X-RAY EXAM OF FACIAL BONES 60001|70140|26|15.73||X-RAY EXAM OF FACIAL BONES 60001|70140|TC|31.29||X-RAY EXAM OF FACIAL BONES 60001|70150||66.08||X-RAY EXAM OF FACIAL BONES 60001|70150|26|20.17||X-RAY EXAM OF FACIAL BONES 60001|70150|TC|45.91||X-RAY EXAM OF FACIAL BONES 60001|70160||51.44||X-RAY EXAM OF NASAL BONES 60001|70160|26|13.6||X-RAY EXAM OF NASAL BONES 60001|70160|TC|37.84||X-RAY EXAM OF NASAL BONES 60001|70170||78.47||X-RAY EXAM OF TEAR DUCT 60001|70170|26|23.96||X-RAY EXAM OF TEAR DUCT 60001|70170|TC|54.53||X-RAY EXAM OF TEAR DUCT 60001|70190||55.7||X-RAY EXAM OF EYE SOCKETS 60001|70190|26|16.85||X-RAY EXAM OF EYE SOCKETS 60001|70190|TC|38.85||X-RAY EXAM OF EYE SOCKETS 60001|70200||67.71||X-RAY EXAM OF EYE SOCKETS 60001|70200|26|21.79||X-RAY EXAM OF EYE SOCKETS 60001|70200|TC|45.91||X-RAY EXAM OF EYE SOCKETS 60001|70210||48.42||X-RAY EXAM OF SINUSES 60001|70210|26|13.6||X-RAY EXAM OF SINUSES 60001|70210|TC|34.82||X-RAY EXAM OF SINUSES 60001|70220||60.98||X-RAY EXAM OF SINUSES 60001|70220|26|19.61||X-RAY EXAM OF SINUSES 60001|70220|TC|41.37||X-RAY EXAM OF SINUSES 60001|70240||46.51||X-RAY EXAM - PITUITARY SADDLE 60001|70240|26|15.23||X-RAY EXAM - PITUITARY SADDLE 60001|70240|TC|31.29||X-RAY EXAM - PITUITARY SADDLE 60001|70250||57.39||X-RAY EXAM OF SKULL 60001|70250|26|19.04||X-RAY EXAM OF SKULL 60001|70250|TC|38.35||X-RAY EXAM OF SKULL 60001|70260||73.6||X-RAY EXAM OF SKULL 60001|70260|26|26.68||X-RAY EXAM OF SKULL 60001|70260|TC|46.92||X-RAY EXAM OF SKULL 60001|70300||22.8||X-RAY EXAM OF TEETH 60001|70300|26|9.16||X-RAY EXAM OF TEETH 60001|70300|TC|13.63||X-RAY EXAM OF TEETH 60001|70310||57.94||X-RAY EXAM OF TEETH 60001|70310|26|13.04||X-RAY EXAM OF TEETH 60001|70310|TC|44.9||X-RAY EXAM OF TEETH 60001|70320||78.96||FULL MOUTH X-RAY OF TEETH 60001|70320|26|18.42||FULL MOUTH X-RAY OF TEETH 60001|70320|TC|60.54||FULL MOUTH X-RAY OF TEETH 60001|70328||47.97||X-RAY EXAM OF JAW JOINT 60001|70328|26|14.16||X-RAY EXAM OF JAW JOINT 60001|70328|TC|33.81||X-RAY EXAM OF JAW JOINT 60001|70330||75.04||X-RAY EXAM OF JAW JOINTS 60001|70330|26|19.55||X-RAY EXAM OF JAW JOINTS 60001|70330|TC|55.49||X-RAY EXAM OF JAW JOINTS 60001|70332||116.64||X-RAY EXAM OF JAW JOINT 60001|70332|26|41.98||X-RAY EXAM OF JAW JOINT 60001|70332|TC|74.66||X-RAY EXAM OF JAW JOINT 60001|70336||623.41||MAGNETIC IMAGE - JAW JOINT 60001|70336|26|114.52||MAGNETIC IMAGE - JAW JOINT 60001|70336|TC|508.89||MAGNETIC IMAGE - JAW JOINT 60001|70350||33.28||X-RAY HEAD FOR ORTHODONTIA 60001|70350|26|15.11||X-RAY HEAD FOR ORTHODONTIA 60001|70350|TC|18.17||X-RAY HEAD FOR ORTHODONTIA 60001|70355||32.95||PANORAMIC X-RAY OF JAWS 60001|70355|26|16.8||PANORAMIC X-RAY OF JAWS 60001|70355|TC|16.16||PANORAMIC X-RAY OF JAWS 60001|70360||41.86||X-RAY EXAM OF NECK 60001|70360|26|13.09||X-RAY EXAM OF NECK 60001|70360|TC|28.76||X-RAY EXAM OF NECK 60001|70370||131.99||THROAT X-RAY & FLUOROSCOPY 60001|70370|26|25.05||THROAT X-RAY & FLUOROSCOPY 60001|70370|TC|106.94||THROAT X-RAY & FLUOROSCOPY 60001|70371||146.09||SPEECH EVALUATION - COMPLEX 60001|70371|26|65.38||SPEECH EVALUATION - COMPLEX 60001|70371|TC|80.71||SPEECH EVALUATION - COMPLEX 60001|70380||62.03||X-RAY EXAM OF SALIVARY GLAND 60001|70380|26|14.61||X-RAY EXAM OF SALIVARY GLAND 60001|70380|TC|47.42||X-RAY EXAM OF SALIVARY GLAND 60001|70390||157.08||X-RAY EXAM OF SALIVARY DUCT 60001|70390|26|29.97||X-RAY EXAM OF SALIVARY DUCT 60001|70390|TC|127.11||X-RAY EXAM OF SALIVARY DUCT 60001|70450||278.3||CT HEAD/BRAIN W/O DYE 60001|70450|26|65.96||CT HEAD/BRAIN W/O DYE 60001|70450|TC|212.34||CT HEAD/BRAIN W/O DYE 60001|70460||363.64||CT HEAD/BRAIN W/DYE 60001|70460|26|87.76||CT HEAD/BRAIN W/DYE 60001|70460|TC|275.89||CT HEAD/BRAIN W/DYE 60001|70470||389.19||CT HEAD/BRAIN W/O & W/DYE 60001|70470|26|99.18||CT HEAD/BRAIN W/O & W/DYE 60001|70470|TC|290.01||CT HEAD/BRAIN W/O & W/DYE 60001|70480||456.33||CT ORBIT/EAR/FOSSA W/O DYE 60001|70480|26|100.25||CT ORBIT/EAR/FOSSA W/O DYE 60001|70480|TC|356.08||CT ORBIT/EAR/FOSSA W/O DYE 60001|70481||528.53||CT ORBIT/EAR/FOSSA W/DYE 60001|70481|26|107.9||CT ORBIT/EAR/FOSSA W/DYE 60001|70481|TC|420.63||CT ORBIT/EAR/FOSSA W/DYE 60001|70482||590.97||CT ORBIT/EAR/FOSSA W/O&W/DYE 60001|70482|26|112.84||CT ORBIT/EAR/FOSSA W/O&W/DYE 60001|70482|TC|478.13||CT ORBIT/EAR/FOSSA W/O&W/DYE 60001|70486||378.33||CT MAXILLOFACIAL W/O DYE 60001|70486|26|88.82||CT MAXILLOFACIAL W/O DYE 60001|70486|TC|289.51||CT MAXILLOFACIAL W/O DYE 60001|70487||454.93||CT MAXILLOFACIAL W/DYE 60001|70487|26|101.37||CT MAXILLOFACIAL W/DYE 60001|70487|TC|353.56||CT MAXILLOFACIAL W/DYE 60001|70488||549.44||CT MAXILLOFACIAL W/O & W/DYE 60001|70488|26|110.65||CT MAXILLOFACIAL W/O & W/DYE 60001|70488|TC|438.79||CT MAXILLOFACIAL W/O & W/DYE 60001|70490||370.08||CT SOFT TISSUE NECK W/O DYE 60001|70490|26|100.25||CT SOFT TISSUE NECK W/O DYE 60001|70490|TC|269.84||CT SOFT TISSUE NECK W/O DYE 60001|70491||445.3||CT SOFT TISSUE NECK W/DYE 60001|70491|26|107.88||CT SOFT TISSUE NECK W/DYE 60001|70491|TC|337.42||CT SOFT TISSUE NECK W/DYE 60001|70492||533.98||CT SFT TSUE NCK W/O & W/DYE 60001|70492|26|112.84||CT SFT TSUE NCK W/O & W/DYE 60001|70492|TC|421.14||CT SFT TSUE NCK W/O & W/DYE 60001|70496||842.87||CT ANGIOGRAPHY - HEAD 60001|70496|26|136.78||CT ANGIOGRAPHY - HEAD 60001|70496|TC|706.09||CT ANGIOGRAPHY - HEAD 60001|70498||865.06||CT ANGIOGRAPHY - NECK 60001|70498|26|136.78||CT ANGIOGRAPHY - NECK 60001|70498|TC|728.28||CT ANGIOGRAPHY - NECK 60001|70540||696.81||MRI ORBIT/FACE/NECK W/O DYE 60001|70540|26|105.2||MRI ORBIT/FACE/NECK W/O DYE 60001|70540|TC|591.6||MRI ORBIT/FACE/NECK W/O DYE 60001|70542||783.12||MRI ORBIT/FACE/NECK W/DYE 60001|70542|26|126.45||MRI ORBIT/FACE/NECK W/DYE 60001|70542|TC|656.66||MRI ORBIT/FACE/NECK W/DYE 60001|70543||990.95||MRI ORBT/FAC/NCK W/O & W/DYE 60001|70543|26|166.85||MRI ORBT/FAC/NCK W/O & W/DYE 60001|70543|TC|824.1||MRI ORBT/FAC/NCK W/O & W/DYE 60001|70544||773.6||MR ANGIOGRAPHY HEAD W/O DYE 60001|70544|26|93.74||MR ANGIOGRAPHY HEAD W/O DYE 60001|70544|TC|679.86||MR ANGIOGRAPHY HEAD W/O DYE 60001|70545||760.49||MR ANGIOGRAPHY HEAD W/DYE 60001|70545|26|93.23||MR ANGIOGRAPHY HEAD W/DYE 60001|70545|TC|667.25||MR ANGIOGRAPHY HEAD W/DYE 60001|70546||1187.63||MR ANGIOGRAPH HEAD W/O&W/DYE 60001|70546|26|140.62||MR ANGIOGRAPH HEAD W/O&W/DYE 60001|70546|TC|1047.02||MR ANGIOGRAPH HEAD W/O&W/DYE 60001|70547||772.09||MR ANGIOGRAPHY NECK W/O DYE 60001|70547|26|93.74||MR ANGIOGRAPHY NECK W/O DYE 60001|70547|TC|678.35||MR ANGIOGRAPHY NECK W/O DYE 60001|70548||815.46||MR ANGIOGRAPHY NECK W/DYE 60001|70548|26|93.74||MR ANGIOGRAPHY NECK W/DYE 60001|70548|TC|721.72||MR ANGIOGRAPHY NECK W/DYE 60001|70549||1190.64||MR ANGIOGRAPH NECK W/O&W/DYE 60001|70549|26|140.09||MR ANGIOGRAPH NECK W/O&W/DYE 60001|70549|TC|1050.55||MR ANGIOGRAPH NECK W/O&W/DYE 60001|70551||727.31||MRI BRAIN W/O DYE 60001|70551|26|115.03||MRI BRAIN W/O DYE 60001|70551|TC|612.28||MRI BRAIN W/O DYE 60001|70552||813.3||MRI BRAIN W/DYE 60001|70552|26|139.49||MRI BRAIN W/DYE 60001|70552|TC|673.81||MRI BRAIN W/DYE 60001|70553||989.16||MRI BRAIN W/O & W/DYE 60001|70553|26|184.22||MRI BRAIN W/O & W/DYE 60001|70553|TC|804.94||MRI BRAIN W/O & W/DYE 60001|70554||814.7||FMRI BRAIN BY TECH 60001|70554|26|165.61||FMRI BRAIN BY TECH 60001|70554|TC|649.1||FMRI BRAIN BY TECH 60001|70555||1116.47||FMRI BRAIN BY PHYS/PSYCH 60001|70555|26|204.58||FMRI BRAIN BY PHYS/PSYCH 60001|70555|TC|914.5||FMRI BRAIN BY PHYS/PSYCH 60001|70557||2313||MRI BRAIN W/O DYE 60001|70557|26|274.08||MRI BRAIN W/O DYE 60001|70557|TC|2042.57||MRI BRAIN W/O DYE 60001|70558||2161.99||MRI BRAIN W/DYE 60001|70558|26|256.38||MRI BRAIN W/DYE 60001|70558|TC|1907.75||MRI BRAIN W/DYE 60001|70559||2167.04||MRI BRAIN W/O & W/DYE 60001|70559|26|258.4||MRI BRAIN W/O & W/DYE 60001|70559|TC|1912.28||MRI BRAIN W/O & W/DYE 60001|71010||36.37||CHEST X-RAY 60001|71010|26|14.16||CHEST X-RAY 60001|71010|TC|22.21||CHEST X-RAY 60001|71015||47.13||CHEST X-RAY 60001|71015|26|16.35||CHEST X-RAY 60001|71015|TC|30.78||CHEST X-RAY 60001|71020||47.19||CHEST X-RAY 60001|71020|26|16.91||CHEST X-RAY 60001|71020|TC|30.28||CHEST X-RAY 60001|71021||58.57||CHEST X-RAY 60001|71021|26|21.23||CHEST X-RAY 60001|71021|TC|37.34||CHEST X-RAY 60001|71022||73.43||CHEST X-RAY 60001|71022|26|24.49||CHEST X-RAY 60001|71022|TC|48.94||CHEST X-RAY 60001|71023||104.59||CHEST X-RAY AND FLUOROSCOPY 60001|71023|26|29.43||CHEST X-RAY AND FLUOROSCOPY 60001|71023|TC|75.16||CHEST X-RAY AND FLUOROSCOPY 60001|71030||71.41||CHEST X-RAY 60001|71030|26|23.98||CHEST X-RAY 60001|71030|TC|47.42||CHEST X-RAY 60001|71034||134.3||CHEST X-RAY AND FLUOROSCOPY 60001|71034|26|35.94||CHEST X-RAY AND FLUOROSCOPY 60001|71034|TC|98.36||CHEST X-RAY AND FLUOROSCOPY 60001|71035||55.03||CHEST X-RAY 60001|71035|26|14.16||CHEST X-RAY 60001|71035|TC|40.87||CHEST X-RAY 60001|71040|26|43.69||CONTRAST X-RAY OF BRONCHI 60001|71040|TC|104.92||CONTRAST X-RAY OF BRONCHI 60001|71045||30.98|| 60001|71045|26|14.85|| 60001|71045|TC|16.12|| 60001|71046||47.19|| 60001|71046|26|17.72|| 60001|71046|TC|29.47|| 60001|71047||60.57||X-RAY EXAM CHEST 3 VIEWS 60001|71047|26|23.08||X-RAY EXAM CHEST 3 VIEWS 60001|71047|TC|37.48||X-RAY EXAM CHEST 3 VIEWS 60001|71048||65.08||X-RAY EXAM CHEST 4+ VIEWS 60001|71048|26|26.53||X-RAY EXAM CHEST 4+ VIEWS 60001|71048|TC|38.55||X-RAY EXAM CHEST 4+ VIEWS 60001|71060|26|57.77||CONTRAST X-RAY OF BRONCHI 60001|71060|TC|160.9||CONTRAST X-RAY OF BRONCHI 60001|71100||50.72||X-RAY EXAM OF RIBS 60001|71100|26|17.42||X-RAY EXAM OF RIBS 60001|71100|TC|33.3||X-RAY EXAM OF RIBS 60001|71101||61.09||X-RAY EXAM OF RIBS/CHEST 60001|71101|26|20.73||X-RAY EXAM OF RIBS/CHEST 60001|71101|TC|40.36||X-RAY EXAM OF RIBS/CHEST 60001|71110||63.11||X-RAY EXAM OF RIBS 60001|71110|26|21.23||X-RAY EXAM OF RIBS 60001|71110|TC|41.88||X-RAY EXAM OF RIBS 60001|71111||82.06||X-RAY EXAM OF RIBS/CHEST 60001|71111|26|25.05||X-RAY EXAM OF RIBS/CHEST 60001|71111|TC|57.01||X-RAY EXAM OF RIBS/CHEST 60001|71120||49.09||X-RAY EXAM OF BREASTBONE 60001|71120|26|15.79||X-RAY EXAM OF BREASTBONE 60001|71120|TC|33.3||X-RAY EXAM OF BREASTBONE 60001|71130||57.78||X-RAY EXAM OF BREASTBONE 60001|71130|26|17.42||X-RAY EXAM OF BREASTBONE 60001|71130|TC|40.36||X-RAY EXAM OF BREASTBONE 60001|71250||355.45||CT THORAX W/O DYE 60001|71250|26|80.06||CT THORAX W/O DYE 60001|71250|TC|275.38||CT THORAX W/O DYE 60001|71260||440.97||CT THORAX W/DYE 60001|71260|26|96.99||CT THORAX W/DYE 60001|71260|TC|343.97||CT THORAX W/DYE 60001|71270||538.6||CT THORAX W/O & W/DYE 60001|71270|26|107.38||CT THORAX W/O & W/DYE 60001|71270|TC|431.22||CT THORAX W/O & W/DYE 60001|71275||672.89||CT ANGIOGRAPHY - CHEST 60001|71275|26|149.88||CT ANGIOGRAPHY - CHEST 60001|71275|TC|523.01||CT ANGIOGRAPHY - CHEST 60001|71550||799.82||MRI CHEST W/O DYE 60001|71550|26|113.4||MRI CHEST W/O DYE 60001|71550|TC|686.42||MRI CHEST W/O DYE 60001|71551||895.71||MRI CHEST W/DYE 60001|71551|26|135.15||MRI CHEST W/DYE 60001|71551|TC|760.55||MRI CHEST W/DYE 60001|71552||1150.44||MRI CHEST W/O & W/DYE 60001|71552|26|176.05||MRI CHEST W/O & W/DYE 60001|71552|TC|974.39||MRI CHEST W/O & W/DYE 60001|71555||784.2||MRI ANGIO CHEST W OR W/O DYE 60001|71555|26|141.66||MRI ANGIO CHEST W OR W/O DYE 60001|71555|TC|642.54||MRI ANGIO CHEST W OR W/O DYE 60001|72020||36.7||X-RAY EXAM OF SPINE 60001|72020|26|11.97||X-RAY EXAM OF SPINE 60001|72020|TC|24.73||X-RAY EXAM OF SPINE 60001|72040||56.08||X-RAY EXAM OF NECK SPINE 60001|72040|26|19.4||X-RAY EXAM OF NECK SPINE 60001|72040|TC|36.68||X-RAY EXAM OF NECK SPINE 60001|72050||82.54||X-RAY EXAM OF NECK SPINE 60001|72050|26|25.03||X-RAY EXAM OF NECK SPINE 60001|72050|TC|57.51||X-RAY EXAM OF NECK SPINE 60001|72052||105.52||X-RAY EXAM OF NECK SPINE 60001|72052|26|29.35||X-RAY EXAM OF NECK SPINE 60001|72052|TC|76.17||X-RAY EXAM OF NECK SPINE 60001|72070||52.23||X-RAY EXAM OF THORACIC SPINE 60001|72070|26|17.42||X-RAY EXAM OF THORACIC SPINE 60001|72070|TC|34.82||X-RAY EXAM OF THORACIC SPINE 60001|72072||57.78||X-RAY EXAM OF THORACIC SPINE 60001|72072|26|16.91||X-RAY EXAM OF THORACIC SPINE 60001|72072|TC|40.87||X-RAY EXAM OF THORACIC SPINE 60001|72074||68.37||X-RAY EXAM OF THORACIC SPINE 60001|72074|26|16.91||X-RAY EXAM OF THORACIC SPINE 60001|72074|TC|51.46||X-RAY EXAM OF THORACIC SPINE 60001|72080||56.8||X-RAY EXAM OF TRUNK SPINE 60001|72080|26|18.46||X-RAY EXAM OF TRUNK SPINE 60001|72080|TC|38.35||X-RAY EXAM OF TRUNK SPINE 60001|72081||59.45||X-RAY EXAM ENTIRE SPI 1 VW 60001|72081|26|21.74||X-RAY EXAM ENTIRE SPI 1 VW 60001|72081|TC|37.71||X-RAY EXAM ENTIRE SPI 1 VW 60001|72082||94.8||X-RAY EXAM ENTIRE SPI 2/3 VW 60001|72082|26|26.29||X-RAY EXAM ENTIRE SPI 2/3 VW 60001|72082|TC|68.52||X-RAY EXAM ENTIRE SPI 2/3 VW 60001|72083||103.01||X-RAY EXAM ENTIRE SPI 4/5 VW 60001|72083|26|28.65||X-RAY EXAM ENTIRE SPI 4/5 VW 60001|72083|TC|74.36||X-RAY EXAM ENTIRE SPI 4/5 VW 60001|72084||123.02||X-RAY EXAM ENTIRE SPI 6/> VW 60001|72084|26|33.26||X-RAY EXAM ENTIRE SPI 6/> VW 60001|72084|TC|89.76||X-RAY EXAM ENTIRE SPI 6/> VW 60001|72100||57.31||X-RAY EXAM OF LOWER SPINE 60001|72100|26|18.46||X-RAY EXAM OF LOWER SPINE 60001|72100|TC|38.85||X-RAY EXAM OF LOWER SPINE 60001|72110||78||X-RAY EXAM OF LOWER SPINE 60001|72110|26|25.03||X-RAY EXAM OF LOWER SPINE 60001|72110|TC|52.97||X-RAY EXAM OF LOWER SPINE 60001|72114||101.78||X-RAY EXAM OF LOWER SPINE 60001|72114|26|27.12||X-RAY EXAM OF LOWER SPINE 60001|72114|TC|74.66||X-RAY EXAM OF LOWER SPINE 60001|72120||67.9||X-RAY EXAM OF LOWER SPINE 60001|72120|26|18.96||X-RAY EXAM OF LOWER SPINE 60001|72120|TC|48.94||X-RAY EXAM OF LOWER SPINE 60001|72125||361.28||CT NECK SPINE W/O DYE 60001|72125|26|83.38||CT NECK SPINE W/O DYE 60001|72125|TC|277.91||CT NECK SPINE W/O DYE 60001|72126||441.36||CT NECK SPINE W/DYE 60001|72126|26|95.37||CT NECK SPINE W/DYE 60001|72126|TC|345.99||CT NECK SPINE W/DYE 60001|72127||528.39||CT NECK SPINE W/O & W/DYE 60001|72127|26|98.68||CT NECK SPINE W/O & W/DYE 60001|72127|TC|429.71||CT NECK SPINE W/O & W/DYE 60001|72128||355.33||CT CHEST SPINE W/O DYE 60001|72128|26|78.44||CT CHEST SPINE W/O DYE 60001|72128|TC|276.9||CT CHEST SPINE W/O DYE 60001|72129||441.36||CT CHEST SPINE W/DYE 60001|72129|26|95.37||CT CHEST SPINE W/DYE 60001|72129|TC|345.99||CT CHEST SPINE W/DYE 60001|72130||532.42||CT CHEST SPINE W/O & W/DYE 60001|72130|26|99.18||CT CHEST SPINE W/O & W/DYE 60001|72130|TC|433.24||CT CHEST SPINE W/O & W/DYE 60001|72131||354.33||CT LUMBAR SPINE W/O DYE 60001|72131|26|78.44||CT LUMBAR SPINE W/O DYE 60001|72131|TC|275.89||CT LUMBAR SPINE W/O DYE 60001|72132||440.35||CT LUMBAR SPINE W/DYE 60001|72132|26|95.37||CT LUMBAR SPINE W/DYE 60001|72132|TC|344.98||CT LUMBAR SPINE W/DYE 60001|72133||531.41||CT LUMBAR SPINE W/O & W/DYE 60001|72133|26|99.18||CT LUMBAR SPINE W/O & W/DYE 60001|72133|TC|432.23||CT LUMBAR SPINE W/O & W/DYE 60001|72141||652.88||MRI NECK SPINE W/O DYE 60001|72141|26|125.33||MRI NECK SPINE W/O DYE 60001|72141|TC|527.55||MRI NECK SPINE W/O DYE 60001|72142||826.71||MRI NECK SPINE W/DYE 60001|72142|26|150.38||MRI NECK SPINE W/DYE 60001|72142|TC|676.33||MRI NECK SPINE W/DYE 60001|72146||657.93||MRI CHEST SPINE W/O DYE 60001|72146|26|125.33||MRI CHEST SPINE W/O DYE 60001|72146|TC|532.59||MRI CHEST SPINE W/O DYE 60001|72147||738.96||MRI CHEST SPINE W/DYE 60001|72147|26|150.38||MRI CHEST SPINE W/DYE 60001|72147|TC|588.58||MRI CHEST SPINE W/DYE 60001|72148||648.66||MRI LUMBAR SPINE W/O DYE 60001|72148|26|116.57||MRI LUMBAR SPINE W/O DYE 60001|72148|TC|532.09||MRI LUMBAR SPINE W/O DYE 60001|72149||806.24||MRI LUMBAR SPINE W/DYE 60001|72149|26|140||MRI LUMBAR SPINE W/DYE 60001|72149|TC|666.24||MRI LUMBAR SPINE W/DYE 60001|72156||989.38||MRI NECK SPINE W/O & W/DYE 60001|72156|26|201.09||MRI NECK SPINE W/O & W/DYE 60001|72156|TC|788.29||MRI NECK SPINE W/O & W/DYE 60001|72157||927.86||MRI CHEST SPINE W/O & W/DYE 60001|72157|26|201.09||MRI CHEST SPINE W/O & W/DYE 60001|72157|TC|726.76||MRI CHEST SPINE W/O & W/DYE 60001|72158||972.55||MRI LUMBAR SPINE W/O & W/DYE 60001|72158|26|185.77||MRI LUMBAR SPINE W/O & W/DYE 60001|72158|TC|786.78||MRI LUMBAR SPINE W/O & W/DYE 60001|72159||814.86||MR ANGIO SPINE W/O&W/DYE 60001|72159|26|138.53||MR ANGIO SPINE W/O&W/DYE 60001|72159|TC|676.33||MR ANGIO SPINE W/O&W/DYE 60001|72170||41.39||X-RAY EXAM OF PELVIS 60001|72170|26|14.64||X-RAY EXAM OF PELVIS 60001|72170|TC|26.75||X-RAY EXAM OF PELVIS 60001|72190||66.33||X-RAY EXAM OF PELVIS 60001|72190|26|17.9||X-RAY EXAM OF PELVIS 60001|72190|TC|48.43||X-RAY EXAM OF PELVIS 60001|72191||691.94||CT ANGIOGRAPH PELV W/O&W/DYE 60001|72191|26|142.2||CT ANGIOGRAPH PELV W/O&W/DYE 60001|72191|TC|549.74||CT ANGIOGRAPH PELV W/O&W/DYE 60001|72192||343.75||CT PELVIS W/O DYE 60001|72192|26|84.5||CT PELVIS W/O DYE 60001|72192|TC|259.25||CT PELVIS W/O DYE 60001|72193||417.31||CT PELVIS W/DYE 60001|72193|26|90.99||CT PELVIS W/DYE 60001|72193|TC|326.32||CT PELVIS W/DYE 60001|72194||533.65||CT PELVIS W/O & W/DYE 60001|72194|26|95.37||CT PELVIS W/O & W/DYE 60001|72194|TC|438.28||CT PELVIS W/O & W/DYE 60001|72195||722.69||MRI PELVIS W/O DYE 60001|72195|26|114.95||MRI PELVIS W/O DYE 60001|72195|TC|607.74||MRI PELVIS W/O DYE 60001|72196||803.41||MRI PELVIS W/DYE 60001|72196|26|135.66||MRI PELVIS W/DYE 60001|72196|TC|667.76||MRI PELVIS W/DYE 60001|72197||1012.76||MRI PELVIS W/O & W/DYE 60001|72197|26|175.54||MRI PELVIS W/O & W/DYE 60001|72197|TC|837.21||MRI PELVIS W/O & W/DYE 60001|72198||784.65||MR ANGIO PELVIS W/O & W/DYE 60001|72198|26|140.09||MR ANGIO PELVIS W/O & W/DYE 60001|72198|TC|644.56||MR ANGIO PELVIS W/O & W/DYE 60001|72200||46.4||X-RAY EXAM SACROILIAC JOINTS 60001|72200|26|13.6||X-RAY EXAM SACROILIAC JOINTS 60001|72200|TC|32.8||X-RAY EXAM SACROILIAC JOINTS 60001|72202||53.57||X-RAY EXAM SACROILIAC JOINTS 60001|72202|26|14.72||X-RAY EXAM SACROILIAC JOINTS 60001|72202|TC|38.85||X-RAY EXAM SACROILIAC JOINTS 60001|72220||44.88||X-RAY EXAM OF TAILBONE 60001|72220|26|13.6||X-RAY EXAM OF TAILBONE 60001|72220|TC|31.29||X-RAY EXAM OF TAILBONE 60001|72240||212.6||CONTRAST X-RAY OF NECK SPINE 60001|72240|26|71.37||CONTRAST X-RAY OF NECK SPINE 60001|72240|TC|141.23||CONTRAST X-RAY OF NECK SPINE 60001|72255||201.99||CONTRAST X-RAY - THORAX SPINE 60001|72255|26|70.84||CONTRAST X-RAY - THORAX SPINE 60001|72255|TC|131.14||CONTRAST X-RAY - THORAX SPINE 60001|72265||204.05||CONTRAST X-RAY - LOWER SPINE 60001|72265|26|64.84||CONTRAST X-RAY - LOWER SPINE 60001|72265|TC|139.21||CONTRAST X-RAY - LOWER SPINE 60001|72270||319.43||CONTRAST X-RAY - SPINE 60001|72270|26|104.06||CONTRAST X-RAY - SPINE 60001|72270|TC|215.37||CONTRAST X-RAY - SPINE 60001|72275||182.97||EPIDUROGRAPHY 60001|72275|26|61.41||EPIDUROGRAPHY 60001|72275|TC|121.56||EPIDUROGRAPHY 60001|72285||206.97||X-RAY C/T SPINE DISK 60001|72285|26|93.47||X-RAY C/T SPINE DISK 60001|72285|TC|113.49||X-RAY C/T SPINE DISK 60001|72295||181.86||X-RAY OF LOWER SPINE DISK 60001|72295|26|67.86||X-RAY OF LOWER SPINE DISK 60001|72295|TC|114||X-RAY OF LOWER SPINE DISK 60001|73000||44.83||X-RAY EXAM OF COLLAR BONE 60001|73000|26|13.04||X-RAY EXAM OF COLLAR BONE 60001|73000|TC|31.79||X-RAY EXAM OF COLLAR BONE 60001|73010||48.95||X-RAY EXAM OF SHOULDER BLADE 60001|73010|26|15.15||X-RAY EXAM OF SHOULDER BLADE 60001|73010|TC|33.81||X-RAY EXAM OF SHOULDER BLADE 60001|73020||37.21||X-RAY EXAM OF SHOULDER 60001|73020|26|11.97||X-RAY EXAM OF SHOULDER 60001|73020|TC|25.23||X-RAY EXAM OF SHOULDER 60001|73030||48||X-RAY EXAM OF SHOULDER 60001|73030|26|15.71||X-RAY EXAM OF SHOULDER 60001|73030|TC|32.29||X-RAY EXAM OF SHOULDER 60001|73040||167.09||CONTRAST X-RAY OF SHOULDER 60001|73040|26|43.51||CONTRAST X-RAY OF SHOULDER 60001|73040|TC|123.58||CONTRAST X-RAY OF SHOULDER 60001|73050||62.24||X-RAY EXAM OF SHOULDERS 60001|73050|26|17.84||X-RAY EXAM OF SHOULDERS 60001|73050|TC|44.4||X-RAY EXAM OF SHOULDERS 60001|73060||45.39||X-RAY EXAM OF HUMERUS 60001|73060|26|13.6||X-RAY EXAM OF HUMERUS 60001|73060|TC|31.79||X-RAY EXAM OF HUMERUS 60001|73070||44.27||X-RAY EXAM OF ELBOW 60001|73070|26|12.48||X-RAY EXAM OF ELBOW 60001|73070|TC|31.79||X-RAY EXAM OF ELBOW 60001|73080||52.45||X-RAY EXAM OF ELBOW 60001|73080|26|13.6||X-RAY EXAM OF ELBOW 60001|73080|TC|38.85||X-RAY EXAM OF ELBOW 60001|73085||155.97||CONTRAST X-RAY OF ELBOW 60001|73085|26|44||CONTRAST X-RAY OF ELBOW 60001|73085|TC|111.98||CONTRAST X-RAY OF ELBOW 60001|73090||42.81||X-RAY EXAM OF FOREARM 60001|73090|26|12.53||X-RAY EXAM OF FOREARM 60001|73090|TC|30.28||X-RAY EXAM OF FOREARM 60001|73092||43.31||X-RAY EXAM OF ARM - INFANT 60001|73092|26|12.53||X-RAY EXAM OF ARM - INFANT 60001|73092|TC|30.78||X-RAY EXAM OF ARM - INFANT 60001|73100||49.4||X-RAY EXAM OF WRIST 60001|73100|26|14.58||X-RAY EXAM OF WRIST 60001|73100|TC|34.82||X-RAY EXAM OF WRIST 60001|73110||57.49||X-RAY EXAM OF WRIST 60001|73110|26|13.6||X-RAY EXAM OF WRIST 60001|73110|TC|43.89||X-RAY EXAM OF WRIST 60001|73115||174.65||CONTRAST X-RAY OF WRIST 60001|73115|26|44.52||CONTRAST X-RAY OF WRIST 60001|73115|TC|130.14||CONTRAST X-RAY OF WRIST 60001|73120||43.31||X-RAY EXAM OF HAND 60001|73120|26|13.04||X-RAY EXAM OF HAND 60001|73120|TC|30.28||X-RAY EXAM OF HAND 60001|73130||49.93||X-RAY EXAM OF HAND 60001|73130|26|13.6||X-RAY EXAM OF HAND 60001|73130|TC|36.33||X-RAY EXAM OF HAND 60001|73140||50.71||X-RAY EXAM OF FINGER(S) 60001|73140|26|10.85||X-RAY EXAM OF FINGER(S) 60001|73140|TC|39.86||X-RAY EXAM OF FINGER(S) 60001|73200||349.82||CT UPPER EXTREMITY W/O DYE 60001|73200|26|79.48||CT UPPER EXTREMITY W/O DYE 60001|73200|TC|270.34||CT UPPER EXTREMITY W/O DYE 60001|73201||428.4||CT UPPER EXTREMITY W/DYE 60001|73201|26|90.99||CT UPPER EXTREMITY W/DYE 60001|73201|TC|337.42||CT UPPER EXTREMITY W/DYE 60001|73202||548.28||CT UPPR EXTREMITY W/O&W/DYE 60001|73202|26|95.37||CT UPPR EXTREMITY W/O&W/DYE 60001|73202|TC|452.91||CT UPPR EXTREMITY W/O&W/DYE 60001|73206||613.2||CT ANGIO UPR EXTRM W/O&W/DYE 60001|73206|26|140.62||CT ANGIO UPR EXTRM W/O&W/DYE 60001|73206|TC|472.58||CT ANGIO UPR EXTRM W/O&W/DYE 60001|73218||715.95||MRI UPPER EXTREMITY W/O DYE 60001|73218|26|105.19||MRI UPPER EXTREMITY W/O DYE 60001|73218|TC|610.77||MRI UPPER EXTREMITY W/O DYE 60001|73219||790.68||MRI UPPER EXTREMITY W/DYE 60001|73219|26|126.96||MRI UPPER EXTREMITY W/DYE 60001|73219|TC|663.72||MRI UPPER EXTREMITY W/DYE 60001|73220||1006.58||MRI UPPR EXTREMITY W/O&W/DYE 60001|73220|26|167.85||MRI UPPR EXTREMITY W/O&W/DYE 60001|73220|TC|838.73||MRI UPPR EXTREMITY W/O&W/DYE 60001|73221||682.72||MRI JOINT UPR EXTREM W/O DYE 60001|73221|26|107.26||MRI JOINT UPR EXTREM W/O DYE 60001|73221|TC|575.46||MRI JOINT UPR EXTREM W/O DYE 60001|73222||741.26||MRI JOINT UPR EXTREM W/DYE 60001|73222|26|126.96||MRI JOINT UPR EXTREM W/DYE 60001|73222|TC|614.3||MRI JOINT UPR EXTREM W/DYE 60001|73223||951.1||MRI JOINT UPR EXTR W/O&W/DYE 60001|73223|26|167.85||MRI JOINT UPR EXTR W/O&W/DYE 60001|73223|TC|783.25||MRI JOINT UPR EXTR W/O&W/DYE 60001|73225||783.7||MR ANGIO UPR EXTR W/O&W/DYE 60001|73225|26|132.58||MR ANGIO UPR EXTR W/O&W/DYE 60001|73225|TC|651.11||MR ANGIO UPR EXTR W/O&W/DYE 60001|73501||45.16||X-RAY EXAM HIP UNI 1 VIEW 60001|73501|26|15.42||X-RAY EXAM HIP UNI 1 VIEW 60001|73501|TC|29.74||X-RAY EXAM HIP UNI 1 VIEW 60001|73502||62.93||X-RAY EXAM HIP UNI 2-3 VIEWS 60001|73502|26|18.31||X-RAY EXAM HIP UNI 2-3 VIEWS 60001|73502|TC|44.62||X-RAY EXAM HIP UNI 2-3 VIEWS 60001|73503||78.63||X-RAY EXAM HIP UNI 4/> VIEWS 60001|73503|26|23.39||X-RAY EXAM HIP UNI 4/> VIEWS 60001|73503|TC|55.24||X-RAY EXAM HIP UNI 4/> VIEWS 60001|73521||60.27||X-RAY EXAM HIPS BI 2 VIEWS 60001|73521|26|18.84||X-RAY EXAM HIPS BI 2 VIEWS 60001|73521|TC|41.43||X-RAY EXAM HIPS BI 2 VIEWS 60001|73522||74.5||X-RAY EXAM HIPS BI 3-4 VIEWS 60001|73522|26|24.57||X-RAY EXAM HIPS BI 3-4 VIEWS 60001|73522|TC|49.93||X-RAY EXAM HIPS BI 3-4 VIEWS 60001|73523||86.3||X-RAY EXAM HIPS BI 5/> VIEWS 60001|73523|26|26.29||X-RAY EXAM HIPS BI 5/> VIEWS 60001|73523|TC|60.02||X-RAY EXAM HIPS BI 5/> VIEWS 60001|73525||161.03||CONTRAST X-RAY OF HIP 60001|73525|26|45.02||CONTRAST X-RAY OF HIP 60001|73525|TC|116.01||CONTRAST X-RAY OF HIP 60001|73551||42.39||X-RAY EXAM OF FEMUR 1 60001|73551|26|13.7||X-RAY EXAM OF FEMUR 1 60001|73551|TC|28.68||X-RAY EXAM OF FEMUR 1 60001|73552||49.41||X-RAY EXAM OF FEMUR 2/> 60001|73552|26|15.42||X-RAY EXAM OF FEMUR 2/> 60001|73552|TC|33.99||X-RAY EXAM OF FEMUR 2/> 60001|73560||48.45||X-RAY EXAM OF KNEE - 1 OR 2 60001|73560|26|15.15||X-RAY EXAM OF KNEE - 1 OR 2 60001|73560|TC|33.3||X-RAY EXAM OF KNEE - 1 OR 2 60001|73562||57.58||X-RAY EXAM OF KNEE - 3 60001|73562|26|15.71||X-RAY EXAM OF KNEE - 3 60001|73562|TC|41.88||X-RAY EXAM OF KNEE - 3 60001|73564||67.4||X-RAY EXAM - KNEE - 4 OR MORE 60001|73564|26|18.96||X-RAY EXAM - KNEE - 4 OR MORE 60001|73564|TC|48.43||X-RAY EXAM - KNEE - 4 OR MORE 60001|73565||55.01||X-RAY EXAM OF KNEES 60001|73565|26|15.65||X-RAY EXAM OF KNEES 60001|73565|TC|39.35||X-RAY EXAM OF KNEES 60001|73580||208.46||CONTRAST X-RAY OF KNEE JOINT 60001|73580|26|46.05||CONTRAST X-RAY OF KNEE JOINT 60001|73580|TC|162.41||CONTRAST X-RAY OF KNEE JOINT 60001|73590||42.87||X-RAY EXAM OF LOWER LEG 60001|73590|26|13.6||X-RAY EXAM OF LOWER LEG 60001|73590|TC|29.27||X-RAY EXAM OF LOWER LEG 60001|73592||49.87||X-RAY EXAM OF LEG - INFANT 60001|73592|26|13.04||X-RAY EXAM OF LEG - INFANT 60001|73592|TC|36.83||X-RAY EXAM OF LEG - INFANT 60001|73600||44.83||X-RAY EXAM OF ANKLE 60001|73600|26|13.04||X-RAY EXAM OF ANKLE 60001|73600|TC|31.79||X-RAY EXAM OF ANKLE 60001|73610||51.44||X-RAY EXAM OF ANKLE 60001|73610|26|13.6||X-RAY EXAM OF ANKLE 60001|73610|TC|37.84||X-RAY EXAM OF ANKLE 60001|73615||167.59||CONTRAST X-RAY OF ANKLE 60001|73615|26|45.02||CONTRAST X-RAY OF ANKLE 60001|73615|TC|122.57||CONTRAST X-RAY OF ANKLE 60001|73620||42.31||X-RAY EXAM OF FOOT 60001|73620|26|12.03||X-RAY EXAM OF FOOT 60001|73620|TC|30.28||X-RAY EXAM OF FOOT 60001|73630||48.92||X-RAY EXAM OF FOOT 60001|73630|26|13.09||X-RAY EXAM OF FOOT 60001|73630|TC|35.82||X-RAY EXAM OF FOOT 60001|73650||43.82||X-RAY EXAM OF HEEL 60001|73650|26|12.53||X-RAY EXAM OF HEEL 60001|73650|TC|31.29||X-RAY EXAM OF HEEL 60001|73660||46.17||X-RAY EXAM OF TOE(S) 60001|73660|26|10.34||X-RAY EXAM OF TOE(S) 60001|73660|TC|35.82||X-RAY EXAM OF TOE(S) 60001|73700||350.32||CT LOWER EXTREMITY W/O DYE 60001|73700|26|78.98||CT LOWER EXTREMITY W/O DYE 60001|73700|TC|271.35||CT LOWER EXTREMITY W/O DYE 60001|73701||432.94||CT LOWER EXTREMITY W/DYE 60001|73701|26|90.99||CT LOWER EXTREMITY W/DYE 60001|73701|TC|341.96||CT LOWER EXTREMITY W/DYE 60001|73702||548.28||CT LWR EXTREMITY W/O&W/DYE 60001|73702|26|95.37||CT LWR EXTREMITY W/O&W/DYE 60001|73702|TC|452.91||CT LWR EXTREMITY W/O&W/DYE 60001|73706||678.83||CT ANGIO LWR EXTR W/O&W/DYE 60001|73706|26|148.75||CT ANGIO LWR EXTR W/O&W/DYE 60001|73706|TC|530.07||CT ANGIO LWR EXTR W/O&W/DYE 60001|73718||706.89||MRI LOWER EXTREMITY W/O DYE 60001|73718|26|105.2||MRI LOWER EXTREMITY W/O DYE 60001|73718|TC|601.69||MRI LOWER EXTREMITY W/O DYE 60001|73719||792.7||MRI LOWER EXTREMITY W/DYE 60001|73719|26|126.96||MRI LOWER EXTREMITY W/DYE 60001|73719|TC|665.74||MRI LOWER EXTREMITY W/DYE 60001|73720||1011.12||MRI LWR EXTREMITY W/O&W/DYE 60001|73720|26|167.35||MRI LWR EXTREMITY W/O&W/DYE 60001|73720|TC|843.77||MRI LWR EXTREMITY W/O&W/DYE 60001|73721||697.85||MRI JNT OF LWR EXTRE W/O DYE 60001|73721|26|107.26||MRI JNT OF LWR EXTRE W/O DYE 60001|73721|TC|590.59||MRI JNT OF LWR EXTRE W/O DYE 60001|73722||757.92||MRI JOINT OF LWR EXTR W/DYE 60001|73722|26|127.98||MRI JOINT OF LWR EXTR W/DYE 60001|73722|TC|629.93||MRI JOINT OF LWR EXTR W/DYE 60001|73723||952.11||MRI JOINT LWR EXTR W/O&W/DYE 60001|73723|26|167.35||MRI JOINT LWR EXTR W/O&W/DYE 60001|73723|TC|784.76||MRI JOINT LWR EXTR W/O&W/DYE 60001|73725||786.78||MR ANG LWR EXT W OR W/O DYE 60001|73725|26|141.72||MR ANG LWR EXT W OR W/O DYE 60001|73725|TC|645.06||MR ANG LWR EXT W OR W/O DYE 60001|74000||38.39||X-RAY EXAM OF ABDOMEN 60001|74000|26|14.16||X-RAY EXAM OF ABDOMEN 60001|74000|TC|24.22||X-RAY EXAM OF ABDOMEN 60001|74010||59.35||X-RAY EXAM OF ABDOMEN 60001|74010|26|17.98||X-RAY EXAM OF ABDOMEN 60001|74010|TC|41.37||X-RAY EXAM OF ABDOMEN 60001|74018||42.19||X-RAY EXAM ABDOMEN 1 VIEW 60001|74018|26|14.85||X-RAY EXAM ABDOMEN 1 VIEW 60001|74018|TC|27.34||X-RAY EXAM ABDOMEN 1 VIEW 60001|74019||51.51|| 60001|74019|26|18.83|| 60001|74019|TC|32.68|| 60001|74020||62.1||X-RAY EXAM OF ABDOMEN 60001|74020|26|20.73||X-RAY EXAM OF ABDOMEN 60001|74020|TC|41.37||X-RAY EXAM OF ABDOMEN 60001|74021||60.35||X-RAY EXAM ABDOMEN 3+ VIEWS 60001|74021|26|23.33||X-RAY EXAM ABDOMEN 3+ VIEWS 60001|74021|TC|38.02||X-RAY EXAM ABDOMEN 3+ VIEWS 60001|74022||74.49||X-RAY EXAM SERIES - ABDOMEN 60001|74022|26|24.55||X-RAY EXAM SERIES - ABDOMEN 60001|74022|TC|49.95||X-RAY EXAM SERIES - ABDOMEN 60001|74150||351.41||CT ABDOMEN W/O DYE 60001|74150|26|93.18||CT ABDOMEN W/O DYE 60001|74150|TC|258.24||CT ABDOMEN W/O DYE 60001|74160||476.44||CT ABDOMEN W/DYE 60001|74160|26|99.18||CT ABDOMEN W/DYE 60001|74160|TC|377.26||CT ABDOMEN W/DYE 60001|74170||629.51||CT ABDOMEN W/O & W/DYE 60001|74170|26|109.53||CT ABDOMEN W/O & W/DYE 60001|74170|TC|519.99||CT ABDOMEN W/O & W/DYE 60001|74174||846.02||CT ANGIO ABD&PELV W/O&W/DYE 60001|74174|26|169.18||CT ANGIO ABD&PELV W/O&W/DYE 60001|74174|TC|676.83||CT ANGIO ABD&PELV W/O&W/DYE 60001|74175||735.33||CT ANGIO ABDOM W/O & W/DYE 60001|74175|26|148.77||CT ANGIO ABDOM W/O & W/DYE 60001|74175|TC|586.56||CT ANGIO ABDOM W/O & W/DYE 60001|74176||345.54||CT ANGIO ABD & PELVIS 60001|74176|26|133.7||CT ANGIO ABD & PELVIS 60001|74176|TC|211.84||CT ANGIO ABD & PELVIS 60001|74177||540.67||CT ANGIO ABD&PELV W/CONTRAST 60001|74177|26|139.7||CT ANGIO ABD&PELV W/CONTRAST 60001|74177|TC|400.96||CT ANGIO ABD&PELV W/CONTRAST 60001|74178||685.02||CT ANGIO ABD & PELV 1+ REGNS 60001|74178|26|154.95||CT ANGIO ABD & PELV 1+ REGNS 60001|74178|TC|530.07||CT ANGIO ABD & PELV 1+ REGNS 60001|74181||644.48||MRI ABDOMEN W/O DYE 60001|74181|26|113.9||MRI ABDOMEN W/O DYE 60001|74181|TC|530.58||MRI ABDOMEN W/O DYE 60001|74182||876.54||MRI ABDOMEN W/DYE 60001|74182|26|135.15||MRI ABDOMEN W/DYE 60001|74182|TC|741.39||MRI ABDOMEN W/DYE 60001|74183||1015.28||MRI ABDOMEN W/O & W/DYE 60001|74183|26|175.54||MRI ABDOMEN W/O & W/DYE 60001|74183|TC|839.73||MRI ABDOMEN W/O & W/DYE 60001|74185||783.64||MRI ANGIO - ABDOM W ORW/O DYE 60001|74185|26|140.09||MRI ANGIO - ABDOM W ORW/O DYE 60001|74185|TC|643.55||MRI ANGIO - ABDOM W ORW/O DYE 60001|74190||90.11||X-RAY EXAM OF PERITONEUM 60001|74190|26|38.12||X-RAY EXAM OF PERITONEUM 60001|74190|TC|52.51||X-RAY EXAM OF PERITONEUM 60001|74210||121.62||CONTRST X-RAY EXAM OF THROAT 60001|74210|26|27.8||CONTRST X-RAY EXAM OF THROAT 60001|74210|TC|93.82||CONTRST X-RAY EXAM OF THROAT 60001|74220||139.88||CONTRAST X-RAY - ESOPHAGUS 60001|74220|26|35.97||CONTRAST X-RAY - ESOPHAGUS 60001|74220|TC|103.91||CONTRAST X-RAY - ESOPHAGUS 60001|74221||166.85|| 60001|74221|26|57.22|| 60001|74221|TC|109.64|| 60001|74230||142.3||CINE/VID X-RAY - THROAT/ESOPH 60001|74230|26|41.42||CINE/VID X-RAY - THROAT/ESOPH 60001|74230|TC|100.88||CINE/VID X-RAY - THROAT/ESOPH 60001|74235||284.05||REMOVE ESOPHAGUS OBSTRUCTION 60001|74235|26|103.31||REMOVE ESOPHAGUS OBSTRUCTION 60001|74235|TC|52.51||REMOVE ESOPHAGUS OBSTRUCTION 60001|74240||177.02||X-RAY EXAM - UPPER GI TRACT 60001|74240|26|54.45||X-RAY EXAM - UPPER GI TRACT 60001|74240|TC|122.57||X-RAY EXAM - UPPER GI TRACT 60001|74241||185.08||X-RAY EXAM - UPPER GI TRACT 60001|74241|26|53.43||X-RAY EXAM - UPPER GI TRACT 60001|74241|TC|131.65||X-RAY EXAM - UPPER GI TRACT 60001|74245||275.13||X-RAY EXAM - UPPER GI TRACT 60001|74245|26|70.86||X-RAY EXAM - UPPER GI TRACT 60001|74245|TC|204.27||X-RAY EXAM - UPPER GI TRACT 60001|74246||198.21||CONTRST X-RAY UPPR GI TRACT 60001|74246|26|53.95||CONTRST X-RAY UPPR GI TRACT 60001|74246|TC|144.26||CONTRST X-RAY UPPR GI TRACT 60001|74247||219.89||CONTRST X-RAY UPPR GI TRACT 60001|74247|26|53.95||CONTRST X-RAY UPPR GI TRACT 60001|74247|TC|165.94||CONTRST X-RAY UPPR GI TRACT 60001|74248||127.63|| 60001|74248|26|57.22|| 60001|74248|TC|70.41|| 60001|74249||296.82||CONTRST X-RAY UPPR GI TRACT 60001|74249|26|70.86||CONTRST X-RAY UPPR GI TRACT 60001|74249|TC|225.96||CONTRST X-RAY UPPR GI TRACT 60001|74250||166.67||X-RAY EXAM OF SMALL BOWEL 60001|74250|26|37.04||X-RAY EXAM OF SMALL BOWEL 60001|74250|TC|129.63||X-RAY EXAM OF SMALL BOWEL 60001|74251||588.56||X-RAY EXAM OF SMALL BOWEL 60001|74251|26|53.95||X-RAY EXAM OF SMALL BOWEL 60001|74251|TC|534.61||X-RAY EXAM OF SMALL BOWEL 60001|74260||489.11||X-RAY EXAM OF SMALL BOWEL 60001|74260|26|39.23||X-RAY EXAM OF SMALL BOWEL 60001|74260|TC|449.88||X-RAY EXAM OF SMALL BOWEL 60001|74261||815.86||CT COLONOGRAPHY - W/O DYE 60001|74261|26|183.91||CT COLONOGRAPHY - W/O DYE 60001|74261|TC|631.95||CT COLONOGRAPHY - W/O DYE 60001|74262||950.12||CT COLONOGRAPHY - W/DYE 60001|74262|26|195.11||CT COLONOGRAPHY - W/DYE 60001|74262|TC|755.01||CT COLONOGRAPHY - W/DYE 60001|74263||1212.08||CT COLONOGRAPHY - SCREEN 60001|74263|26|181.21||CT COLONOGRAPHY - SCREEN 60001|74263|TC|1030.88||CT COLONOGRAPHY - SCREEN 60001|74270||240.07||CONTRAST X-RAY EXAM OF COLON 60001|74270|26|53.95||CONTRAST X-RAY EXAM OF COLON 60001|74270|TC|186.12||CONTRAST X-RAY EXAM OF COLON 60001|74280||332.58||CONTRAST X-RAY EXAM OF COLON 60001|74280|26|76.87||CONTRAST X-RAY EXAM OF COLON 60001|74280|TC|255.71||CONTRAST X-RAY EXAM OF COLON 60001|74283||318.31||CONTRAST X-RAY EXAM OF COLON 60001|74283|26|154.89||CONTRAST X-RAY EXAM OF COLON 60001|74283|TC|163.42||CONTRAST X-RAY EXAM OF COLON 60001|74290||107.27||CONTRAST X-RAY - GALLBLADDER 60001|74290|26|24.55||CONTRAST X-RAY - GALLBLADDER 60001|74290|TC|82.73||CONTRAST X-RAY - GALLBLADDER 60001|74300||28.33||X-RAY BILE DUCTS/PANCREAS 60001|74300|26|28.84||X-RAY BILE DUCTS/PANCREAS 60001|74300|TC|48.99||X-RAY BILE DUCTS/PANCREAS 60001|74301||46.17||X-RAYS AT SURGERY ADD-ON 60001|74301|26|17.39||X-RAYS AT SURGERY ADD-ON 60001|74301|TC|29.29||X-RAYS AT SURGERY ADD-ON 60001|74328||177.21||X-RAY BILE DUCT ENDOSCOPY 60001|74328|26|56.55||X-RAY BILE DUCT ENDOSCOPY 60001|74328|TC|121.19||X-RAY BILE DUCT ENDOSCOPY 60001|74329||153.98||X-RAY FOR PANCREAS ENDOSCOPY 60001|74329|26|56.55||X-RAY FOR PANCREAS ENDOSCOPY 60001|74329|TC|97.47||X-RAY FOR PANCREAS ENDOSCOPY 60001|74330||180.28||X-RAY BILE/PANC ENDOSCOPY 60001|74330|26|72.35||X-RAY BILE/PANC ENDOSCOPY 60001|74330|TC|180.28||X-RAY BILE/PANC ENDOSCOPY 60001|74340||160.64||X-RAY GUIDE FOR GI TUBE 60001|74340|26|42.5||X-RAY GUIDE FOR GI TUBE 60001|74340|TC|118.17||X-RAY GUIDE FOR GI TUBE 60001|74355||211.91||X-RAY GUIDE - INTESTINAL TUBE 60001|74355|26|62.47||X-RAY GUIDE - INTESTINAL TUBE 60001|74355|TC|151.49||X-RAY GUIDE - INTESTINAL TUBE 60001|74360||177.8||X-RAY GUIDE - GI DILATION 60001|74360|26|46.03||X-RAY GUIDE - GI DILATION 60001|74360|TC|132.81||X-RAY GUIDE - GI DILATION 60001|74363||186.86||X-RAY - BILE DUCT DILATION 60001|74363|26|70.24||X-RAY - BILE DUCT DILATION 60001|74363|TC|118.17||X-RAY - BILE DUCT DILATION 60001|74400||172.84||CONTRST X-RAY - URINARY TRACT 60001|74400|26|38.16||CONTRST X-RAY - URINARY TRACT 60001|74400|TC|134.67||CONTRST X-RAY - URINARY TRACT 60001|74410||174.85||CONTRST X-RAY - URINARY TRACT 60001|74410|26|38.67||CONTRST X-RAY - URINARY TRACT 60001|74410|TC|136.19||CONTRST X-RAY - URINARY TRACT 60001|74415||210.66||CONTRST X-RAY - URINARY TRACT 60001|74415|26|38.16||CONTRST X-RAY - URINARY TRACT 60001|74415|TC|172.5||CONTRST X-RAY - URINARY TRACT 60001|74420||177.29||CONTRST X-RAY - URINARY TRACT 60001|74420|26|28.84||CONTRST X-RAY - URINARY TRACT 60001|74420|TC|148.96||CONTRST X-RAY - URINARY TRACT 60001|74425||97.52||CONTRST X-RAY - URINARY TRACT 60001|74425|26|28.34||CONTRST X-RAY - URINARY TRACT 60001|74425|TC|69.68||CONTRST X-RAY - URINARY TRACT 60001|74430||78.02||CONTRAST X-RAY - BLADDER 60001|74430|26|24.55||CONTRAST X-RAY - BLADDER 60001|74430|TC|53.48||CONTRAST X-RAY - BLADDER 60001|74440||127.82||X-RAY - MALE GENITAL TRACT 60001|74440|26|29.97||X-RAY - MALE GENITAL TRACT 60001|74440|TC|97.86||X-RAY - MALE GENITAL TRACT 60001|74445||151.98||X-RAY EXAM OF PENIS 60001|74445|26|91.93||X-RAY EXAM OF PENIS 60001|74445|TC|62.61||X-RAY EXAM OF PENIS 60001|74450||107.44||X-RAY - URETHRA/BLADDER 60001|74450|26|26.65||X-RAY - URETHRA/BLADDER 60001|74450|TC|81.3||X-RAY - URETHRA/BLADDER 60001|74455||135.57||X-RAY - URETHRA/BLADDER 60001|74455|26|25.61||X-RAY - URETHRA/BLADDER 60001|74455|TC|109.96||X-RAY - URETHRA/BLADDER 60001|74470||111.16||X-RAY EXAM OF KIDNEY LESION 60001|74470|26|42.5||X-RAY EXAM OF KIDNEY LESION 60001|74470|TC|69.18||X-RAY EXAM OF KIDNEY LESION 60001|74485||162.03||X-RAY GUIDE - GU DILATION 60001|74485|26|41.98||X-RAY GUIDE - GU DILATION 60001|74485|TC|120.05||X-RAY GUIDE - GU DILATION 60001|74710||58.97||X-RAY MEASUREMENT OF PELVIS 60001|74710|26|26.17||X-RAY MEASUREMENT OF PELVIS 60001|74710|TC|32.8||X-RAY MEASUREMENT OF PELVIS 60001|74712||650.5||MRI FETAL SNGL/1ST GESTATION 60001|74712|26|245.79||MRI FETAL SNGL/1ST GESTATION 60001|74712|TC|404.71||MRI FETAL SNGL/1ST GESTATION 60001|74713||356.93||MRI FETAL EA ADDL GESTATION 60001|74713|26|146.08||MRI FETAL EA ADDL GESTATION 60001|74713|TC|210.85||MRI FETAL EA ADDL GESTATION 60001|74740||122.24||X-RAY - FEMALE GENITAL TRACT 60001|74740|26|29.43||X-RAY - FEMALE GENITAL TRACT 60001|74740|TC|92.81||X-RAY - FEMALE GENITAL TRACT 60001|74742||131.76||X-RAY - FALLOPIAN TUBE 60001|74742|26|48.97||X-RAY - FALLOPIAN TUBE 60001|74742|TC|83.31||X-RAY - FALLOPIAN TUBE 60001|74775||129.8||X-RAY EXAM OF PERINEUM 60001|74775|26|49.03||X-RAY EXAM OF PERINEUM 60001|74775|TC|80.79||X-RAY EXAM OF PERINEUM 60001|75557||628.43||CARDIAC MRI FOR MORPH 60001|75557|26|184.6||CARDIAC MRI FOR MORPH 60001|75557|TC|443.83||CARDIAC MRI FOR MORPH 60001|75559||888.1||CARDIAC MRI W/STRESS IMG 60001|75559|26|232.45||CARDIAC MRI W/STRESS IMG 60001|75559|TC|655.65||CARDIAC MRI W/STRESS IMG 60001|75561||843.72||CARDIAC MRI FOR MORPH W/DYE 60001|75561|26|204.21||CARDIAC MRI FOR MORPH W/DYE 60001|75561|TC|639.51||CARDIAC MRI FOR MORPH W/DYE 60001|75563||1013.45||CARD MRI W/STRESS IMG & DYE 60001|75563|26|237.77||CARD MRI W/STRESS IMG & DYE 60001|75563|TC|775.68||CARD MRI W/STRESS IMG & DYE 60001|75565||99.31||CARD MRI VEL FLW MAP ADD-ON 60001|75565|26|19.1||CARD MRI VEL FLW MAP ADD-ON 60001|75565|TC|80.21||CARD MRI VEL FLW MAP ADD-ON 60001|75571||172.81||CT HRT W/O DYE W/CA TEST 60001|75571|26|43.69||CT HRT W/O DYE W/CA TEST 60001|75571|TC|129.13||CT HRT W/O DYE W/CA TEST 60001|75572||474.62||CT HRT W/3D IMAGE 60001|75572|26|132.66||CT HRT W/3D IMAGE 60001|75572|TC|341.96||CT HRT W/3D IMAGE 60001|75573||652.24||CT HRT W/3D IMAGE - CONGEN 60001|75573|26|193.78||CT HRT W/3D IMAGE - CONGEN 60001|75573|TC|458.46||CT HRT W/3D IMAGE - CONGEN 60001|75574||701.81||CT ANGIO HRT W/3D IMAGE 60001|75574|26|182.33||CT ANGIO HRT W/3D IMAGE 60001|75574|TC|519.48||CT ANGIO HRT W/3D IMAGE 60001|75600||366.5||CONTRAST X-RAY EXAM OF AORTA 60001|75600|26|39.17||CONTRAST X-RAY EXAM OF AORTA 60001|75600|TC|327.33||CONTRAST X-RAY EXAM OF AORTA 60001|75605||283.04||CONTRAST X-RAY EXAM OF AORTA 60001|75605|26|89.86||CONTRAST X-RAY EXAM OF AORTA 60001|75605|TC|193.18||CONTRAST X-RAY EXAM OF AORTA 60001|75625||285.61||CONTRAST X-RAY EXAM OF AORTA 60001|75625|26|89.91||CONTRAST X-RAY EXAM OF AORTA 60001|75625|TC|195.7||CONTRAST X-RAY EXAM OF AORTA 60001|75630||337.75||X-RAY AORTA - LEG ARTERIES 60001|75630|26|139.53||X-RAY AORTA - LEG ARTERIES 60001|75630|TC|198.22||X-RAY AORTA - LEG ARTERIES 60001|75635||758.9||CT ANGIO ABDOMINAL ARTERIES 60001|75635|26|187.44||CT ANGIO ABDOMINAL ARTERIES 60001|75635|TC|571.46||CT ANGIO ABDOMINAL ARTERIES 60001|75650|26|117.14||ARTERY X-RAYS - HEAD & NECK 60001|75650|TC|198.72||ARTERY X-RAYS - HEAD & NECK 60001|75658||323.87||ARTERY X-RAYS - ARM 60001|75658|26|100.44||ARTERY X-RAYS - ARM 60001|75658|TC|223.44||ARTERY X-RAYS - ARM 60001|75660|26|102.39||ARTERY X-RAYS - HEAD & NECK 60001|75660|TC|242.1||ARTERY X-RAYS - HEAD & NECK 60001|75662|26|131.17||ARTERY X-RAYS - HEAD & NECK 60001|75662|TC|277.94||ARTERY X-RAYS - HEAD & NECK 60001|75665|26|105.53||ARTERY X-RAYS - HEAD & NECK 60001|75665|TC|251.18||ARTERY X-RAYS - HEAD & NECK 60001|75671|26|131.22||ARTERY X-RAYS - HEAD & NECK 60001|75671|TC|290.04||ARTERY X-RAYS - HEAD & NECK 60001|75676|26|105.03||ARTERY X-RAYS - NECK 60001|75676|TC|232.01||ARTERY X-RAYS - NECK 60001|75680|26|131.22||ARTERY X-RAYS - NECK 60001|75680|TC|254.71||ARTERY X-RAYS - NECK 60001|75685|26|104.47||ARTERY X-RAYS - SPINE 60001|75685|TC|237.56||ARTERY X-RAYS - SPINE 60001|75705||414.07||ARTERY X-RAYS - SPINE 60001|75705|26|170.46||ARTERY X-RAYS - SPINE 60001|75705|TC|243.61||ARTERY X-RAYS - SPINE 60001|75710||315.79||ARTERY X-RAYS - ARM/LEG 60001|75710|26|87.81||ARTERY X-RAYS - ARM/LEG 60001|75710|TC|227.98||ARTERY X-RAYS - ARM/LEG 60001|75716||371.85||ARTERY X-RAYS - ARMS/LEGS 60001|75716|26|102.99||ARTERY X-RAYS - ARMS/LEGS 60001|75716|TC|268.86||ARTERY X-RAYS - ARMS/LEGS 60001|75726||314.83||ARTERY X-RAYS - ABDOMEN 60001|75726|26|89.38||ARTERY X-RAYS - ABDOMEN 60001|75726|TC|225.45||ARTERY X-RAYS - ABDOMEN 60001|75731||304.17||ARTERY X-RAYS - ADRENAL GLAND 60001|75731|26|89.81||ARTERY X-RAYS - ADRENAL GLAND 60001|75731|TC|214.36||ARTERY X-RAYS - ADRENAL GLAND 60001|75733||364.69||ARTERY X-RAYS - ADRENALS 60001|75733|26|103.4||ARTERY X-RAYS - ADRENALS 60001|75733|TC|261.3||ARTERY X-RAYS - ADRENALS 60001|75736||310.24||ARTERY X-RAYS - PELVIS 60001|75736|26|87.81||ARTERY X-RAYS - PELVIS 60001|75736|TC|222.43||ARTERY X-RAYS - PELVIS 60001|75741||293.11||ARTERY X-RAYS - LUNG 60001|75741|26|101.95||ARTERY X-RAYS - LUNG 60001|75741|TC|191.16||ARTERY X-RAYS - LUNG 60001|75743||334.99||ARTERY X-RAYS - LUNGS 60001|75743|26|129.71||ARTERY X-RAYS - LUNGS 60001|75743|TC|205.28||ARTERY X-RAYS - LUNGS 60001|75746||303.72||ARTERY X-RAYS - LUNG 60001|75746|26|89.36||ARTERY X-RAYS - LUNG 60001|75746|TC|214.36||ARTERY X-RAYS - LUNG 60001|75756||332.72||ARTERY X-RAYS - CHEST 60001|75756|26|98.19||ARTERY X-RAYS - CHEST 60001|75756|TC|234.53||ARTERY X-RAYS - CHEST 60001|75774||198.32||ARTERY X-RAY - EACH VESSEL 60001|75774|26|28.34||ARTERY X-RAY - EACH VESSEL 60001|75774|TC|169.98||ARTERY X-RAY - EACH VESSEL 60001|75801||394.15||LYMPH VESSEL X-RAY - ARM/LEG 60001|75801|26|71.01||LYMPH VESSEL X-RAY - ARM/LEG 60001|75801|TC|323.17||LYMPH VESSEL X-RAY - ARM/LEG 60001|75803||397.06||LYMPH VESSEL X-RAY - ARMS/LEGS 60001|75803|26|93.62||LYMPH VESSEL X-RAY - ARMS/LEGS 60001|75803|TC|304.49||LYMPH VESSEL X-RAY - ARMS/LEGS 60001|75805||402.06||LYMPH VESSEL X-RAY - TRUNK 60001|75805|26|64.77||LYMPH VESSEL X-RAY - TRUNK 60001|75805|TC|337.8||LYMPH VESSEL X-RAY - TRUNK 60001|75807||435.95||LYMPH VESSEL X-RAY - TRUNK 60001|75807|26|93.62||LYMPH VESSEL X-RAY - TRUNK 60001|75807|TC|343.38||LYMPH VESSEL X-RAY - TRUNK 60001|75809||158.6||NONVASCULAR SHUNT - X-RAY 60001|75809|26|37.54||NONVASCULAR SHUNT - X-RAY 60001|75809|TC|121.06||NONVASCULAR SHUNT - X-RAY 60001|75810||764||VEIN X-RAY - SPLEEN/LIVER 60001|75810|26|91.43||VEIN X-RAY - SPLEEN/LIVER 60001|75810|TC|674.12||VEIN X-RAY - SPLEEN/LIVER 60001|75820||194.73||VEIN X-RAY - ARM/LEG 60001|75820|26|55.02||VEIN X-RAY - ARM/LEG 60001|75820|TC|139.72||VEIN X-RAY - ARM/LEG 60001|75822||240.72||VEIN X-RAY - ARMS/LEGS 60001|75822|26|82.85||VEIN X-RAY - ARMS/LEGS 60001|75822|TC|157.87||VEIN X-RAY - ARMS/LEGS 60001|75825||274.48||VEIN X-RAY - TRUNK 60001|75825|26|88.87||VEIN X-RAY - TRUNK 60001|75825|TC|185.61||VEIN X-RAY - TRUNK 60001|75827||279.51||VEIN X-RAY - CHEST 60001|75827|26|87.85||VEIN X-RAY - CHEST 60001|75827|TC|191.66||VEIN X-RAY - CHEST 60001|75831||288.88||VEIN X-RAY - KIDNEY 60001|75831|26|97.21||VEIN X-RAY - KIDNEY 60001|75831|TC|191.66||VEIN X-RAY - KIDNEY 60001|75833||329.44||VEIN X-RAY - KIDNEYS 60001|75833|26|113.57||VEIN X-RAY - KIDNEYS 60001|75833|TC|215.87||VEIN X-RAY - KIDNEYS 60001|75840||286.86||VEIN X-RAY - ADRENAL GLAND 60001|75840|26|97.72||VEIN X-RAY - ADRENAL GLAND 60001|75840|TC|189.14||VEIN X-RAY - ADRENAL GLAND 60001|75842||333.98||VEIN X-RAY - ADRENAL GLANDS 60001|75842|26|116.6||VEIN X-RAY - ADRENAL GLANDS 60001|75842|TC|217.39||VEIN X-RAY - ADRENAL GLANDS 60001|75860||283.06||VEIN X-RAY - NECK 60001|75860|26|90.38||VEIN X-RAY - NECK 60001|75860|TC|192.67||VEIN X-RAY - NECK 60001|75870||280.01||VEIN X-RAY - SKULL 60001|75870|26|89.36||VEIN X-RAY - SKULL 60001|75870|TC|190.66||VEIN X-RAY - SKULL 60001|75872||419.72||VEIN X-RAY - SKULL 60001|75872|26|96.42||VEIN X-RAY - SKULL 60001|75872|TC|323.3||VEIN X-RAY - SKULL 60001|75880||202.8||VEIN X-RAY - EYE SOCKET 60001|75880|26|54.51||VEIN X-RAY - EYE SOCKET 60001|75880|TC|148.29||VEIN X-RAY - EYE SOCKET 60001|75885||302.93||VEIN X-RAY - LIVER 60001|75885|26|112.28||VEIN X-RAY - LIVER 60001|75885|TC|190.66||VEIN X-RAY - LIVER 60001|75887||302.88||VEIN X-RAY - LIVER 60001|75887|26|110.21||VEIN X-RAY - LIVER 60001|75887|TC|192.67||VEIN X-RAY - LIVER 60001|75889||280.52||VEIN X-RAY - LIVER 60001|75889|26|88.86||VEIN X-RAY - LIVER 60001|75889|TC|191.66||VEIN X-RAY - LIVER 60001|75891||281.02||VEIN X-RAY - LIVER 60001|75891|26|88.86||VEIN X-RAY - LIVER 60001|75891|TC|192.17||VEIN X-RAY - LIVER 60001|75893||231.59||VENOUS SAMPLING BY CATHETER 60001|75893|26|40.94||VENOUS SAMPLING BY CATHETER 60001|75893|TC|190.66||VENOUS SAMPLING BY CATHETER 60001|75894||1392.73||X-RAYS - TRANSCATH THERAPY 60001|75894|26|106.12||X-RAYS - TRANSCATH THERAPY 60001|75894|TC|1288.15||X-RAYS - TRANSCATH THERAPY 60001|75898||193.38||FOLLOW-UP ANGIOGRAPHY 60001|75898|26|134.86||FOLLOW-UP ANGIOGRAPHY 60001|75898|TC|60.59||FOLLOW-UP ANGIOGRAPHY 60001|75900|26|38.7||INTRAVASCULAR CATH EXCHANGE 60001|75900|TC|60.59||INTRAVASCULAR CATH EXCHANGE 60001|75901||264.12||REMOVE CVA DEVICE OBSTRUCT 60001|75901|26|38.16||REMOVE CVA DEVICE OBSTRUCT 60001|75901|TC|225.96||REMOVE CVA DEVICE OBSTRUCT 60001|75902||118.82||REMOVE CVA LUMEN OBSTRUCT 60001|75902|26|31.05||REMOVE CVA LUMEN OBSTRUCT 60001|75902|TC|87.77||REMOVE CVA LUMEN OBSTRUCT 60001|75952||363.41||ENDOVASC REPAIR ABDOM AORTA 60001|75952|26|371.13||ENDOVASC REPAIR ABDOM AORTA 60001|75952|TC|363.41||ENDOVASC REPAIR ABDOM AORTA 60001|75953||110.58||ABDOM ANEURYSM ENDOVAS RPR 60001|75953|26|113.15||ABDOM ANEURYSM ENDOVAS RPR 60001|75953|TC|110.58||ABDOM ANEURYSM ENDOVAS RPR 60001|75954||181.45||ILIAC ANEURYSM ENDOVAS RPR 60001|75954|26|185.05||ILIAC ANEURYSM ENDOVAS RPR 60001|75954|TC|181.45||ILIAC ANEURYSM ENDOVAS RPR 60001|75956||570.82||XRAY - ENDOVASC THOR AO REPR 60001|75956|26|582.16||XRAY - ENDOVASC THOR AO REPR 60001|75956|TC|570.82||XRAY - ENDOVASC THOR AO REPR 60001|75957||487.08||XRAY - ENDOVASC THOR AO REPR 60001|75957|26|498.38||XRAY - ENDOVASC THOR AO REPR 60001|75957|TC|487.08||XRAY - ENDOVASC THOR AO REPR 60001|75958||324.74||XRAY - PLACE PROX EXT THOR AO 60001|75958|26|331.94||XRAY - PLACE PROX EXT THOR AO 60001|75958|TC|324.74||XRAY - PLACE PROX EXT THOR AO 60001|75959||282.58||XRAY - PLACE DIST EXT THOR AO 60001|75959|26|290.76||XRAY - PLACE DIST EXT THOR AO 60001|75959|TC|282.58||XRAY - PLACE DIST EXT THOR AO 60001|75960|26|63.79||TRANSCATH IV STENT RS&I 60001|75960|TC|179.56||TRANSCATH IV STENT RS&I 60001|75961|26|329.36||RETRIEVAL - BROKEN CATHETER 60001|75961|TC|207.3||RETRIEVAL - BROKEN CATHETER 60001|75970||666.78||VASCULAR BIOPSY 60001|75970|26|65.9||VASCULAR BIOPSY 60001|75970|TC|602.43||VASCULAR BIOPSY 60001|75984||175.68||XRAY CONTROL CATHETER CHANGE 60001|75984|26|56.14||XRAY CONTROL CATHETER CHANGE 60001|75984|TC|119.54||XRAY CONTROL CATHETER CHANGE 60001|75989||203.1||ABSCESS DRAINAGE UNDER X-RAY 60001|75989|26|91.63||ABSCESS DRAINAGE UNDER X-RAY 60001|75989|TC|111.47||ABSCESS DRAINAGE UNDER X-RAY 60001|76000||98.34||FLUOROSCOPE EXAMINATION 60001|76000|26|13.6||FLUOROSCOPE EXAMINATION 60001|76000|TC|84.75||FLUOROSCOPE EXAMINATION 60001|76001||211.93||FLUOROSCOPE EXAM - EXTENSIVE 60001|76001|26|55.92||FLUOROSCOPE EXAM - EXTENSIVE 60001|76001|TC|156.02||FLUOROSCOPE EXAM - EXTENSIVE 60001|76010||41.92||X-RAY - NOSE TO RECTUM 60001|76010|26|14.16||X-RAY - NOSE TO RECTUM 60001|76010|TC|27.76||X-RAY - NOSE TO RECTUM 60001|76080||94.95||X-RAY EXAM OF FISTULA 60001|76080|26|41.98||X-RAY EXAM OF FISTULA 60001|76080|TC|52.97||X-RAY EXAM OF FISTULA 60001|76098||28.69||X-RAY EXAM - BREAST SPECIMEN 60001|76098|26|12.53||X-RAY EXAM - BREAST SPECIMEN 60001|76098|TC|16.16||X-RAY EXAM - BREAST SPECIMEN 60001|76100||172.38||X-RAY EXAM OF BODY SECTION 60001|76100|26|49.3||X-RAY EXAM OF BODY SECTION 60001|76100|TC|123.07||X-RAY EXAM OF BODY SECTION 60001|76101||251.61||COMPLEX BODY SECTION X-RAY 60001|76101|26|54.4||COMPLEX BODY SECTION X-RAY 60001|76101|TC|197.21||COMPLEX BODY SECTION X-RAY 60001|76102||338.39||COMPLEX BODY SECTION X-RAYS 60001|76102|26|54.93||COMPLEX BODY SECTION X-RAYS 60001|76102|TC|283.45||COMPLEX BODY SECTION X-RAYS 60001|76120||117.74||CINE/VIDEO X-RAYS 60001|76120|26|29.97||CINE/VIDEO X-RAYS 60001|76120|TC|87.77||CINE/VIDEO X-RAYS 60001|76125||68.23||CINE/VIDEO X-RAYS ADD-ON 60001|76125|26|22.78||CINE/VIDEO X-RAYS ADD-ON 60001|76125|TC|45.95||CINE/VIDEO X-RAYS ADD-ON 60001|76140||90.4||X-RAY CONSULTATION 60001|76376||100.03||3D RENDER W/O POSTPROCESS 60001|76376|26|15.79||3D RENDER W/O POSTPROCESS 60001|76376|TC|84.24||3D RENDER W/O POSTPROCESS 60001|76377||134.22||3D RENDERING W/POSTPROCESS 60001|76377|26|61.58||3D RENDERING W/POSTPROCESS 60001|76377|TC|72.64||3D RENDERING W/POSTPROCESS 60001|76380||274||CAT SCAN FOLLOW-UP STUDY 60001|76380|26|76.29||CAT SCAN FOLLOW-UP STUDY 60001|76380|TC|197.72||CAT SCAN FOLLOW-UP STUDY 60001|76390||726.8||MR SPECTROSCOPY 60001|76390|26|109.98||MR SPECTROSCOPY 60001|76390|TC|616.82||MR SPECTROSCOPY 60001|76496|26|81.96||FLUOROSCOPIC PROCEDURE 60001|76496|TC|122.92||FLUOROSCOPIC PROCEDURE 60001|76497|26|103.69||CT PROCEDURE 60001|76497|TC|155.53||CT PROCEDURE 60001|76498|26|343.81||MRI PROCEDURE 60001|76498|TC|515.71||MRI PROCEDURE 60001|76499||0||RADIOGRAPHIC PROCEDURE 60001|76499|26|0||RADIOGRAPHIC PROCEDURE 60001|76499|TC|0||RADIOGRAPHIC PROCEDURE 60001|76506||190.8||ECHO EXAM OF HEAD 60001|76506|26|49.57||ECHO EXAM OF HEAD 60001|76506|TC|141.23||ECHO EXAM OF HEAD 60001|76510||265.03||OPHTH US - B & QUANT A 60001|76510|26|148.01||OPHTH US - B & QUANT A 60001|76510|TC|117.02||OPHTH US - B & QUANT A 60001|76511||155.21||OPHTH US - QUANT A ONLY 60001|76511|26|81.56||OPHTH US - QUANT A ONLY 60001|76511|TC|73.65||OPHTH US - QUANT A ONLY 60001|76512||143.15||OPHTH US - B W/NON-QUANT A 60001|76512|26|83.12||OPHTH US - B W/NON-QUANT A 60001|76512|TC|60.03||OPHTH US - B W/NON-QUANT A 60001|76513||139.99||ECHO EXAM OF EYE - WATER BATH 60001|76513|26|54.74||ECHO EXAM OF EYE - WATER BATH 60001|76513|TC|85.25||ECHO EXAM OF EYE - WATER BATH 60001|76514||22.69||ECHO EXAM OF EYE - THICKNESS 60001|76514|26|15.11||ECHO EXAM OF EYE - THICKNESS 60001|76514|TC|7.58||ECHO EXAM OF EYE - THICKNESS 60001|76516||115.09||ECHO EXAM OF EYE 60001|76516|26|46.99||ECHO EXAM OF EYE 60001|76516|TC|68.1||ECHO EXAM OF EYE 60001|76519||124.2||ECHO EXAM OF EYE 60001|76519|26|48.53||ECHO EXAM OF EYE 60001|76519|TC|75.67||ECHO EXAM OF EYE 60001|76529||117.82||ECHO EXAM OF EYE 60001|76529|26|51.23||ECHO EXAM OF EYE 60001|76529|TC|66.59||ECHO EXAM OF EYE 60001|76536||185.84||US EXAM OF HEAD AND NECK 60001|76536|26|43.61||US EXAM OF HEAD AND NECK 60001|76536|TC|142.24||US EXAM OF HEAD AND NECK 60001|76604||135.86||US EXAM - CHEST - B-SCAN 60001|76604|26|42.54||US EXAM - CHEST - B-SCAN 60001|76604|TC|93.32||US EXAM - CHEST - B-SCAN 60001|76641|26|60.17||ULTRASOUND BREAST COMPLETE 60001|76641|TC|106.81||ULTRASOUND BREAST COMPLETE 60001|76641||166.98||ULTRASOUND BREAST COMPLETE 60001|76642||137.98||ULTRASOUND BREAST LIMITED 60001|76642|26|56.15||ULTRASOUND BREAST LIMITED 60001|76642|TC|81.84||ULTRASOUND BREAST LIMITED 60001|76700||217.55||US EXAM - ABDOM - COMPLETE 60001|76700|26|63.21||US EXAM - ABDOM - COMPLETE 60001|76700|TC|154.34||US EXAM - ABDOM - COMPLETE 60001|76705||166.35||ECHO EXAM OF ABDOMEN 60001|76705|26|45.79||ECHO EXAM OF ABDOMEN 60001|76705|TC|120.55||ECHO EXAM OF ABDOMEN 60001|76706||157.52||US ABDL AORTA SCREEN AAA 60001|76706|26|46.78||US ABDL AORTA SCREEN AAA 60001|76706|TC|110.73||US ABDL AORTA SCREEN AAA 60001|76770||206.06||US EXAM ABDO BACK WALL - COMP 60001|76770|26|57.77||US EXAM ABDO BACK WALL - COMP 60001|76770|TC|148.29||US EXAM ABDO BACK WALL - COMP 60001|76775||169.82||US EXAM ABDO BACK WALL - LIM 60001|76775|26|45.23||US EXAM ABDO BACK WALL - LIM 60001|76775|TC|124.59||US EXAM ABDO BACK WALL - LIM 60001|76776||235.93||US EXAM K TRANSPL W/DOPPLER 60001|76776|26|58.89||US EXAM K TRANSPL W/DOPPLER 60001|76776|TC|177.04||US EXAM K TRANSPL W/DOPPLER 60001|76800||205.27||US EXAM - SPINAL CANAL 60001|76800|26|86.73||US EXAM - SPINAL CANAL 60001|76800|TC|118.54||US EXAM - SPINAL CANAL 60001|76801||200.92||OB US < 14 WKS - SINGLE FETUS 60001|76801|26|77.34||OB US < 14 WKS - SINGLE FETUS 60001|76801|TC|123.58||OB US < 14 WKS - SINGLE FETUS 60001|76802||107.71||OB US < 14 WKS - ADD'L FETUS 60001|76802|26|64.82||OB US < 14 WKS - ADD'L FETUS 60001|76802|TC|42.89||OB US < 14 WKS - ADD'L FETUS 60001|76805||231.68||OB US >/= 14 WKS - SNGL FETUS 60001|76805|26|77.34||OB US >/= 14 WKS - SNGL FETUS 60001|76805|TC|154.34||OB US >/= 14 WKS - SNGL FETUS 60001|76810||153.45||OB US >/= 14 WKS - ADDL FETUS 60001|76810|26|76.78||OB US >/= 14 WKS - ADDL FETUS 60001|76810|TC|76.68||OB US >/= 14 WKS - ADDL FETUS 60001|76811||297.45||OB US - DETAILED - SNGL FETUS 60001|76811|26|150.16||OB US - DETAILED - SNGL FETUS 60001|76811|TC|147.28||OB US - DETAILED - SNGL FETUS 60001|76812||326.01||OB US - DETAILED - ADDL FETUS 60001|76812|26|140.4||OB US - DETAILED - ADDL FETUS 60001|76812|TC|185.61||OB US - DETAILED - ADDL FETUS 60001|76813||196.47||OB US NUCHAL MEAS - 1 GEST 60001|76813|26|93.07||OB US NUCHAL MEAS - 1 GEST 60001|76813|TC|103.41||OB US NUCHAL MEAS - 1 GEST 60001|76814||127.79||OB US NUCHAL MEAS - ADD-ON 60001|76814|26|78.35||OB US NUCHAL MEAS - ADD-ON 60001|76814|TC|49.44||OB US NUCHAL MEAS - ADD-ON 60001|76815||141.95||OB US - LIMITED - FETUS(S) 60001|76815|26|50.14||OB US - LIMITED - FETUS(S) 60001|76815|TC|91.81||OB US - LIMITED - FETUS(S) 60001|76816||185.49||OB US - FOLLOW-UP - PER FETUS 60001|76816|26|67.46||OB US - FOLLOW-UP - PER FETUS 60001|76816|TC|118.03||OB US - FOLLOW-UP - PER FETUS 60001|76817||160.2||TRANSVAGINAL US - OBSTETRIC 60001|76817|26|58.82||TRANSVAGINAL US - OBSTETRIC 60001|76817|TC|101.39||TRANSVAGINAL US - OBSTETRIC 60001|76818||192.18||FETAL BIOPHYS PROFILE W/NST 60001|76818|26|83.23||FETAL BIOPHYS PROFILE W/NST 60001|76818|TC|108.95||FETAL BIOPHYS PROFILE W/NST 60001|76819||142.16||FETAL BIOPHYS PROFIL W/O NST 60001|76819|26|60.95||FETAL BIOPHYS PROFIL W/O NST 60001|76819|TC|81.21||FETAL BIOPHYS PROFIL W/O NST 60001|76820||68.46||UMBILICAL ARTERY ECHO 60001|76820|26|39.19||UMBILICAL ARTERY ECHO 60001|76820|TC|29.27||UMBILICAL ARTERY ECHO 60001|76821||151.34||MIDDLE CEREBRAL ARTERY ECHO 60001|76821|26|56.01||MIDDLE CEREBRAL ARTERY ECHO 60001|76821|TC|95.34||MIDDLE CEREBRAL ARTERY ECHO 60001|76825||341.5||ECHO EXAM OF FETAL HEART 60001|76825|26|130.67||ECHO EXAM OF FETAL HEART 60001|76825|TC|210.83||ECHO EXAM OF FETAL HEART 60001|76826||200||ECHO EXAM OF FETAL HEART 60001|76826|26|65.33||ECHO EXAM OF FETAL HEART 60001|76826|TC|134.67||ECHO EXAM OF FETAL HEART 60001|76827||99.68||ECHO EXAM OF FETAL HEART 60001|76827|26|45.2||ECHO EXAM OF FETAL HEART 60001|76827|TC|54.49||ECHO EXAM OF FETAL HEART 60001|76828||73.34||ECHO EXAM OF FETAL HEART 60001|76828|26|43.57||ECHO EXAM OF FETAL HEART 60001|76828|TC|29.77||ECHO EXAM OF FETAL HEART 60001|76830||195.16||TRANSVAGINAL US - NON-OB 60001|76830|26|53.93||TRANSVAGINAL US - NON-OB 60001|76830|TC|141.23||TRANSVAGINAL US - NON-OB 60001|76831||197.35||ECHO EXAM - UTERUS 60001|76831|26|57.13||ECHO EXAM - UTERUS 60001|76831|TC|140.22||ECHO EXAM - UTERUS 60001|76856||193.15||US EXAM - PELVIC - COMPLETE 60001|76856|26|53.43||US EXAM - PELVIC - COMPLETE 60001|76856|TC|139.72||US EXAM - PELVIC - COMPLETE 60001|76857||152.03||US EXAM - PELVIC - LIMITED 60001|76857|26|30.47||US EXAM - PELVIC - LIMITED 60001|76857|TC|121.56||US EXAM - PELVIC - LIMITED 60001|76870||191.87||US EXAM - SCROTUM 60001|76870|26|50.13||US EXAM - SCROTUM 60001|76870|TC|141.74||US EXAM - SCROTUM 60001|76872||210.31||US - TRANSRECTAL 60001|76872|26|54.45||US - TRANSRECTAL 60001|76872|TC|155.86||US - TRANSRECTAL 60001|76873||270.78||ECHOGRAP TRANS R - PROS STUDY 60001|76873|26|121.99||ECHOGRAP TRANS R - PROS STUDY 60001|76873|TC|148.8||ECHOGRAP TRANS R - PROS STUDY 60001|76881||186.26||US XTR NON-VASC COMPLETE 60001|76881|26|48.56||US XTR NON-VASC COMPLETE 60001|76881|TC|137.7||US XTR NON-VASC COMPLETE 60001|76882||54.33||US XTR NON-VASC LMTD 60001|76882|26|38.18||US XTR NON-VASC LMTD 60001|76882|TC|16.16||US XTR NON-VASC LMTD 60001|76885||229.26||US EXAM INFANT HIPS - DYNAMIC 60001|76885|26|58.27||US EXAM INFANT HIPS - DYNAMIC 60001|76885|TC|170.99||US EXAM INFANT HIPS - DYNAMIC 60001|76886||160.94||US EXAM INFANT HIPS - STATIC 60001|76886|26|46.94||US EXAM INFANT HIPS - STATIC 60001|76886|TC|114||US EXAM INFANT HIPS - STATIC 60001|76930||133.49||ECHO GUIDE - CARDIOCENTESIS 60001|76930|26|52.27||ECHO GUIDE - CARDIOCENTESIS 60001|76930|TC|81.21||ECHO GUIDE - CARDIOCENTESIS 60001|76932||133.6||ECHO GUIDE FOR HEART BIOPSY 60001|76932|26|53.83||ECHO GUIDE FOR HEART BIOPSY 60001|76932|TC|81.81||ECHO GUIDE FOR HEART BIOPSY 60001|76936||461.67||ECHO GUIDE FOR ARTERY REPAIR 60001|76936|26|159.05||ECHO GUIDE FOR ARTERY REPAIR 60001|76936|TC|302.62||ECHO GUIDE FOR ARTERY REPAIR 60001|76937||54.24||US GUIDE - VASCULAR ACCESS 60001|76937|26|23.96||US GUIDE - VASCULAR ACCESS 60001|76937|TC|30.28||US GUIDE - VASCULAR ACCESS 60001|76940||257.6||US GUIDE - TISSUE ABLATION 60001|76940|26|165.77||US GUIDE - TISSUE ABLATION 60001|76940|TC|93.41||US GUIDE - TISSUE ABLATION 60001|76941||196.55||ECHO GUIDE FOR TRANSFUSION 60001|76941|26|106.21||ECHO GUIDE FOR TRANSFUSION 60001|76941|TC|86.86||ECHO GUIDE FOR TRANSFUSION 60001|76942||310.05||ECHO GUIDE FOR BIOPSY 60001|76942|26|52.83||ECHO GUIDE FOR BIOPSY 60001|76942|TC|257.23||ECHO GUIDE FOR BIOPSY 60001|76945||144.19||ECHO GUIDE - VILLUS SAMPLING 60001|76945|26|54.34||ECHO GUIDE - VILLUS SAMPLING 60001|76945|TC|89.89||ECHO GUIDE - VILLUS SAMPLING 60001|76946||54.66||ECHO GUIDE FOR AMNIOCENTESIS 60001|76946|26|29.93||ECHO GUIDE FOR AMNIOCENTESIS 60001|76946|TC|24.73||ECHO GUIDE FOR AMNIOCENTESIS 60001|76948||55.7||ECHO GUIDE - OVA ASPIRATION 60001|76948|26|30.97||ECHO GUIDE - OVA ASPIRATION 60001|76948|TC|24.73||ECHO GUIDE - OVA ASPIRATION 60001|76965||161.15||ECHO GUIDANCE RADIOTHERAPY 60001|76965|26|106.16||ECHO GUIDANCE RADIOTHERAPY 60001|76965|TC|54.99||ECHO GUIDANCE RADIOTHERAPY 60001|76970||155.19||ULTRASOUND EXAM FOLLOW-UP 60001|76970|26|32.11||ULTRASOUND EXAM FOLLOW-UP 60001|76970|TC|123.07||ULTRASOUND EXAM FOLLOW-UP 60001|76975||161.21||GI ENDOSCOPIC ULTRASOUND 60001|76975|26|68.83||GI ENDOSCOPIC ULTRASOUND 60001|76975|TC|92.4||GI ENDOSCOPIC ULTRASOUND 60001|76977||13.43||US BONE DENSITY MEASURE 60001|76977|26|4.34||US BONE DENSITY MEASURE 60001|76977|TC|9.09||US BONE DENSITY MEASURE 60001|76998||102.09||US GUIDE - INTRAOP 60001|76998|26|103.64||US GUIDE - INTRAOP 60001|76998|TC|157.71||US GUIDE - INTRAOP 60001|76999||0||ECHO EXAMINATION PROCEDURE 60001|76999|26|0||ECHO EXAMINATION PROCEDURE 60001|76999|TC|0||ECHO EXAMINATION PROCEDURE 60001|77001||179.27||FLUOROGUIDE FOR VEIN DEVICE 60001|77001|26|29.97||FLUOROGUIDE FOR VEIN DEVICE 60001|77001|TC|149.3||FLUOROGUIDE FOR VEIN DEVICE 60001|77002||119.16||NEEDLE LOCALIZATION BY XRAY 60001|77002|26|43.49||NEEDLE LOCALIZATION BY XRAY 60001|77002|TC|75.67||NEEDLE LOCALIZATION BY XRAY 60001|77003||99.33||FLUOROGUIDE FOR SPINE INJECT 60001|77003|26|47.87||FLUOROGUIDE FOR SPINE INJECT 60001|77003|TC|51.46||FLUOROGUIDE FOR SPINE INJECT 60001|77011||542.12||CT SCAN FOR LOCALIZATION 60001|77011|26|95.76||CT SCAN FOR LOCALIZATION 60001|77011|TC|446.35||CT SCAN FOR LOCALIZATION 60001|77012||224.6||CT SCAN FOR NEEDLE BIOPSY 60001|77012|26|88.92||CT SCAN FOR NEEDLE BIOPSY 60001|77012|TC|135.68||CT SCAN FOR NEEDLE BIOPSY 60001|77013||827.89||CT GUIDE FOR TISSUE ABLATION 60001|77013|26|318.01||CT GUIDE FOR TISSUE ABLATION 60001|77013|TC|515.06||CT GUIDE FOR TISSUE ABLATION 60001|77014||217.78||CT SCAN FOR THERAPY GUIDE 60001|77014|26|66.97||CT SCAN FOR THERAPY GUIDE 60001|77014|TC|150.81||CT SCAN FOR THERAPY GUIDE 60001|77021||626.62||MR GUIDANCE FOR NEEDLE PLACE 60001|77021|26|118.74||MR GUIDANCE FOR NEEDLE PLACE 60001|77021|TC|507.88||MR GUIDANCE FOR NEEDLE PLACE 60001|77022||1013.13||MRI FOR TISSUE ABLATION 60001|77022|26|334.59||MRI FOR TISSUE ABLATION 60001|77022|TC|682.21||MRI FOR TISSUE ABLATION 60001|77031|26|125.81||STEREOTACT GUIDE FOR BRST BX 60001|77031|TC|99.88||STEREOTACT GUIDE FOR BRST BX 60001|77032|26|43.61||GUIDANCE FOR NEEDLE - BREAST 60001|77032|TC|39.86||GUIDANCE FOR NEEDLE - BREAST 60001|77053||96.41||X-RAY OF MAMMARY DUCT 60001|77053|26|27.3||X-RAY OF MAMMARY DUCT 60001|77053|TC|69.11||X-RAY OF MAMMARY DUCT 60001|77054||131.25||X-RAY OF MAMMARY DUCTS 60001|77054|26|35.41||X-RAY OF MAMMARY DUCTS 60001|77054|TC|95.84||X-RAY OF MAMMARY DUCTS 60001|77058||1051.98||MRI - ONE BREAST 60001|77058|26|127.52||MRI - ONE BREAST 60001|77058|TC|924.46||MRI - ONE BREAST 60001|77059||1071.65||MRI - BOTH BREASTS 60001|77059|26|127.02||MRI - BOTH BREASTS 60001|77059|TC|944.64||MRI - BOTH BREASTS 60001|77061||65|%|BREAST TOMOSYNTHESIS UNI 60001|77061|26|65|%|BREAST TOMOSYNTHESIS UNI 60001|77061|TC|65|%|BREAST TOMOSYNTHESIS UNI 60001|77062||65|%|BREAST TOMOSYNTHESIS BI 60001|77062|26|65|%|BREAST TOMOSYNTHESIS BI 60001|77062|TC|65|%|BREAST TOMOSYNTHESIS BI 60001|77063||87.02||BREAST TOMOSYNTHESIS BI 60001|77063|26|48.76||BREAST TOMOSYNTHESIS BI 60001|77063|TC|38.26||BREAST TOMOSYNTHESIS BI 60001|77065||222.67||DX MAMMO INCL CAD UNI 60001|77065|26|65.74||DX MAMMO INCL CAD UNI 60001|77065|TC|156.93||DX MAMMO INCL CAD UNI 60001|77066||282.46||DX MAMMO INCL CAD BI 60001|77066|26|81.72||DX MAMMO INCL CAD BI 60001|77066|TC|200.74||DX MAMMO INCL CAD BI 60001|77067||227.98||SCR MAMMO BI INCL CAD 60001|77067|26|62.17||SCR MAMMO BI INCL CAD 60001|77067|TC|165.81||SCR MAMMO BI INCL CAD 60001|77071||77.11||X-RAY STRESS VIEW 60001|77072||35.92||X-RAYS FOR BONE AGE 60001|77072|26|14.72||X-RAYS FOR BONE AGE 60001|77072|TC|21.2||X-RAYS FOR BONE AGE 60001|77073||60.13||X-RAYS - BONE LENGTH STUDIES 60001|77073|26|23.3||X-RAYS - BONE LENGTH STUDIES 60001|77073|TC|36.83||X-RAYS - BONE LENGTH STUDIES 60001|77074||107.55||X-RAYS - BONE SURVEY - LIMITED 60001|77074|26|35.41||X-RAYS - BONE SURVEY - LIMITED 60001|77074|TC|72.14||X-RAYS - BONE SURVEY - LIMITED 60001|77075||160.01||X-RAYS - BONE SURVEY COMPLETE 60001|77075|26|42.48||X-RAYS - BONE SURVEY COMPLETE 60001|77075|TC|117.53||X-RAYS - BONE SURVEY COMPLETE 60001|77076||166.49||X-RAYS - BONE SURVEY - INFANT 60001|77076|26|55.02||X-RAYS - BONE SURVEY - INFANT 60001|77076|TC|111.47||X-RAYS - BONE SURVEY - INFANT 60001|77077||64.9||JOINT SURVEY - SINGLE VIEW 60001|77077|26|26.56||JOINT SURVEY - SINGLE VIEW 60001|77077|TC|38.35||JOINT SURVEY - SINGLE VIEW 60001|77078||222.87||CT BONE DENSITY - AXIAL 60001|77078|26|19.1||CT BONE DENSITY - AXIAL 60001|77078|TC|203.77||CT BONE DENSITY - AXIAL 60001|77080||146.3||DXA BONE DENSITY - AXIAL 60001|77080|26|17.47||DXA BONE DENSITY - AXIAL 60001|77080|TC|128.82||DXA BONE DENSITY - AXIAL 60001|77081||44.16||DXA BONE DENSITY/PERIPHERAL 60001|77081|26|17.42||DXA BONE DENSITY/PERIPHERAL 60001|77081|TC|26.75||DXA BONE DENSITY/PERIPHERAL 60001|77084||738.12||MAGNETIC IMAGE - BONE MARROW 60001|77084|26|125.33||MAGNETIC IMAGE - BONE MARROW 60001|77084|TC|612.78||MAGNETIC IMAGE - BONE MARROW 60001|77085||85.75||DXA BONE DENSITY STUDY 60001|77085|26|24.64||DXA BONE DENSITY STUDY 60001|77085|TC|61.11||DXA BONE DENSITY STUDY 60001|77086||54.16||FRACTURE ASSESSMENT VIA DXA 60001|77086|26|14.3||FRACTURE ASSESSMENT VIA DXA 60001|77086|TC|39.86||FRACTURE ASSESSMENT VIA DXA 60001|77261||113.54||RADIATION THERAPY PLANNING 60001|77262||170.75||RADIATION THERAPY PLANNING 60001|77263||252.94||RADIATION THERAPY PLANNING 60001|77280||281.97||SET RADIATION THERAPY FIELD 60001|77280|26|55||SET RADIATION THERAPY FIELD 60001|77280|TC|226.97||SET RADIATION THERAPY FIELD 60001|77285||496.83||SET RADIATION THERAPY FIELD 60001|77285|26|82.76||SET RADIATION THERAPY FIELD 60001|77285|TC|414.08||SET RADIATION THERAPY FIELD 60001|77290||803.4||SET RADIATION THERAPY FIELD 60001|77290|26|122.53||SET RADIATION THERAPY FIELD 60001|77290|TC|680.87||SET RADIATION THERAPY FIELD 60001|77293||653.42||RESPIRATOR MOTION MGMT SIMUL 60001|77293|26|166.14||RESPIRATOR MOTION MGMT SIMUL 60001|77293|TC|487.28||RESPIRATOR MOTION MGMT SIMUL 60001|77295||745.35||SET RADIATION THERAPY FIELD 60001|77295|26|356.33||SET RADIATION THERAPY FIELD 60001|77295|TC|389||SET RADIATION THERAPY FIELD 60001|77299||0||RADIATION THERAPY PLANNING 60001|77299|26|0||RADIATION THERAPY PLANNING 60001|77299|TC|0||RADIATION THERAPY PLANNING 60001|77300||103.98||RADIATION THERAPY DOSE PLAN 60001|77300|26|48.99||RADIATION THERAPY DOSE PLAN 60001|77300|TC|54.99||RADIATION THERAPY DOSE PLAN 60001|77301||2987.61||RADIOTHERAPY DOSE PLAN - IMRT 60001|77301|26|629.98||RADIOTHERAPY DOSE PLAN - IMRT 60001|77301|TC|2357.63||RADIOTHERAPY DOSE PLAN - IMRT 60001|77306||224.65||TELETHX ISODOSE PLAN SIMPLE 60001|77306|26|115.71||TELETHX ISODOSE PLAN SIMPLE 60001|77306|TC|108.94||TELETHX ISODOSE PLAN SIMPLE 60001|77307||440.87||TELETHX ISODOSE PLAN CPLX 60001|77307|26|241.06||TELETHX ISODOSE PLAN CPLX 60001|77307|TC|199.81||TELETHX ISODOSE PLAN CPLX 60001|77316||285.76||BRACHYTX ISODOSE PLAN SIMPLE 60001|77316|26|115.71||BRACHYTX ISODOSE PLAN SIMPLE 60001|77316|TC|170.05||BRACHYTX ISODOSE PLAN SIMPLE 60001|77317||373.89||BRACHYTX ISODOSE INTERMED 60001|77317|26|152.3||BRACHYTX ISODOSE INTERMED 60001|77317|TC|221.6||BRACHYTX ISODOSE INTERMED 60001|77318||541.84||BRACHYTX ISODOSE COMPLEX 60001|77318|26|241.06||BRACHYTX ISODOSE COMPLEX 60001|77318|TC|300.77||BRACHYTX ISODOSE COMPLEX 60001|77321||151.28||SPECIAL TELETX PORT PLAN 60001|77321|26|74.6||SPECIAL TELETX PORT PLAN 60001|77321|TC|76.68||SPECIAL TELETX PORT PLAN 60001|77331||96.86||SPECIAL RADIATION DOSIMETRY 60001|77331|26|68.6||SPECIAL RADIATION DOSIMETRY 60001|77331|TC|28.26||SPECIAL RADIATION DOSIMETRY 60001|77332||117.64||RADIATION TREATMENT AID(S) 60001|77332|26|42.48||RADIATION TREATMENT AID(S) 60001|77332|TC|75.16||RADIATION TREATMENT AID(S) 60001|77333||85.59||RADIATION TREATMENT AID(S) 60001|77333|26|65.9||RADIATION TREATMENT AID(S) 60001|77333|TC|19.69||RADIATION TREATMENT AID(S) 60001|77334||227.09||RADIATION TREATMENT AID(S) 60001|77334|26|96.96||RADIATION TREATMENT AID(S) 60001|77334|TC|130.14||RADIATION TREATMENT AID(S) 60001|77336||69.11||RADIATION PHYSICS CONSULT 60001|77338||753.29||DESIGN MLC DEVICE FOR IMRT 60001|77338|26|337.15||DESIGN MLC DEVICE FOR IMRT 60001|77338|TC|416.14||DESIGN MLC DEVICE FOR IMRT 60001|77370||168.01||RADIATION PHYSICS CONSULT 60001|77371||1991.34||SRS - MULTISOURCE 60001|77372||1241.25||SRS - LINEAR BASED 60001|77373||2364.95||SBRT DELIVERY 60001|77385||65|%|NTSTY MODUL RAD TX DLVR SMPL 60001|77386||65|%|NTSTY MODUL RAD TX DLVR CPLX 60001|77387||65|%|GUIDANCE FOR RADIAJ TX DLVR 60001|77399||0||EXTERNAL RADIATION DOSIMETRY 60001|77399|26|0||EXTERNAL RADIATION DOSIMETRY 60001|77399|TC|0||EXTERNAL RADIATION DOSIMETRY 60001|77401||32.8||RADIATION TREATMENT DELIVERY 60001|77402||271.35||RADIATION TREATMENT DELIVERY 60001|77407||374.74||RADIATION TREATMENT DELIVERY 60001|77412||360.62||RADIATION TREATMENT DELIVERY 60001|77417||21.2||RADIOLOGY PORT FILM(S) 60001|77422||374.74||NEUTRON BEAM TX - SIMPLE 60001|77423||387.85||NEUTRON BEAM TX - COMPLEX 60001|77424||0||IO RAD TX DELIVERY BY X-RAY 60001|77425||0||WEEKLY RADIATION THERAPY 60001|77427||282.01||RADIATION TX MANAGEMENT - X5 60001|77431||154.84||RADIATION THERAPY MANAGEMENT 60001|77432||639.06||STEREOTACTIC RADIATION TRMT 60001|77435||958.3||SBRT MANAGEMENT 60001|77469||474.52||IO RADIATION TX MANAGEMENT 60001|77470||269.37||SPECIAL RADIATION TREATMENT 60001|77470|26|164.45||SPECIAL RADIATION TREATMENT 60001|77470|TC|104.92||SPECIAL RADIATION TREATMENT 60001|77499||0||RADIATION THERAPY MANAGEMENT 60001|77499|26|0||RADIATION THERAPY MANAGEMENT 60001|77499|TC|0||RADIATION THERAPY MANAGEMENT 60001|77520||0||PROTON TRMT - SIMPLE W/O COMP 60001|77522||0||PROTON TRMT - SIMPLE W/COMP 60001|77523||0||PROTON TRMT - INTERMEDIATE 60001|77525||0||PROTON TREATMENT - COMPLEX 60001|77600||626.41||HYPERTHERMIA TREATMENT 60001|77600|26|122.53||HYPERTHERMIA TREATMENT 60001|77600|TC|503.88||HYPERTHERMIA TREATMENT 60001|77605||1057.14||HYPERTHERMIA TREATMENT 60001|77605|26|177.53||HYPERTHERMIA TREATMENT 60001|77605|TC|879.61||HYPERTHERMIA TREATMENT 60001|77610||991.55||HYPERTHERMIA TREATMENT 60001|77610|26|121.52||HYPERTHERMIA TREATMENT 60001|77610|TC|870.03||HYPERTHERMIA TREATMENT 60001|77615||1479.37||HYPERTHERMIA TREATMENT 60001|77615|26|164.45||HYPERTHERMIA TREATMENT 60001|77615|TC|1314.92||HYPERTHERMIA TREATMENT 60001|77620||821.05||HYPERTHERMIA TREATMENT 60001|77620|26|120.97||HYPERTHERMIA TREATMENT 60001|77620|TC|700.08||HYPERTHERMIA TREATMENT 60001|77750||548.09||INFUSE RADIOACTIVE MATERIALS 60001|77750|26|394.22||INFUSE RADIOACTIVE MATERIALS 60001|77750|TC|153.87||INFUSE RADIOACTIVE MATERIALS 60001|77761||568.15||APPLY INTRCAV RADIAT SIMPLE 60001|77761|26|302.3||APPLY INTRCAV RADIAT SIMPLE 60001|77761|TC|265.85||APPLY INTRCAV RADIAT SIMPLE 60001|77762||760.84||APPLY INTRCAV RADIAT INTERM 60001|77762|26|454.12||APPLY INTRCAV RADIAT INTERM 60001|77762|TC|306.72||APPLY INTRCAV RADIAT INTERM 60001|77763||1080.32||APPLY INTRCAV RADIAT COMPL 60001|77763|26|681.78||APPLY INTRCAV RADIAT COMPL 60001|77763|TC|398.54||APPLY INTRCAV RADIAT COMPL 60001|77767||343.54||HDR RDNCL SKN SURF BRACHYTX 60001|77767|26|88.07||HDR RDNCL SKN SURF BRACHYTX 60001|77767|TC|255.47||HDR RDNCL SKN SURF BRACHYTX 60001|77768||536.83||HDR RDNCL SKN SURF BRACHYTX 60001|77768|26|116.72||HDR RDNCL SKN SURF BRACHYTX 60001|77768|TC|420.12||HDR RDNCL SKN SURF BRACHYTX 60001|77770||492.85||HDR RDNCL NTRSTL/ICAV BRCHTX 60001|77770|26|163.02||HDR RDNCL NTRSTL/ICAV BRCHTX 60001|77770|TC|329.83||HDR RDNCL NTRSTL/ICAV BRCHTX 60001|77771||918.18||HDR RDNCL NTRSTL/ICAV BRCHTX 60001|77771|26|317.48||HDR RDNCL NTRSTL/ICAV BRCHTX 60001|77771|TC|600.7||HDR RDNCL NTRSTL/ICAV BRCHTX 60001|77772||1400.45||HDR RDNCL NTRSTL/ICAV BRCHTX 60001|77772|26|450.8||HDR RDNCL NTRSTL/ICAV BRCHTX 60001|77772|TC|949.65||HDR RDNCL NTRSTL/ICAV BRCHTX 60001|77778||1299.6||APPLY INTERSTIT RADIAT COMPL 60001|77778|26|891.45||APPLY INTERSTIT RADIAT COMPL 60001|77778|TC|408.14||APPLY INTERSTIT RADIAT COMPL 60001|77789||172.05||APPLY SURFACE RADIATION 60001|77789|26|89.83||APPLY SURFACE RADIATION 60001|77789|TC|82.22||APPLY SURFACE RADIATION 60001|77790||140.76||RADIATION HANDLING 60001|77790|26|81.73||RADIATION HANDLING 60001|77790|TC|59.02||RADIATION HANDLING 60001|77799||0||RADIUM/RADIOISOTOPE THERAPY 60001|77799|26|0||RADIUM/RADIOISOTOPE THERAPY 60001|77799|TC|0||RADIUM/RADIOISOTOPE THERAPY 60001|78000|26|14.72||THYROID - SINGLE UPTAKE 60001|78000|TC|96.85||THYROID - SINGLE UPTAKE 60001|78001|26|20.17||THYROID - MULTIPLE UPTAKES 60001|78001|TC|122.1||THYROID - MULTIPLE UPTAKES 60001|78003|26|25.61||THYROID SUPPRESS/STIMUL 60001|78003|TC|99.88||THYROID SUPPRESS/STIMUL 60001|78006|26|38.16||THYROID IMAGING WITH UPTAKE 60001|78006|TC|329.89||THYROID IMAGING WITH UPTAKE 60001|78007|26|38.72||THYROID IMAGE - MULT UPTAKES 60001|78007|TC|311.23||THYROID IMAGE - MULT UPTAKES 60001|78010|26|29.49||THYROID IMAGING 60001|78010|TC|225.99||THYROID IMAGING 60001|78011|26|35.41||THYROID IMAGING WITH FLOW 60001|78011|TC|238.1||THYROID IMAGING WITH FLOW 60001|78012||93.41||THYROID UPTAKE MEASUREMENT 60001|78012|26|11.72||THYROID UPTAKE MEASUREMENT 60001|78012|TC|81.68||THYROID UPTAKE MEASUREMENT 60001|78013||313.22||THYROID IMAGING W/BLOOD FLOW 60001|78014||362.41||THYROID IMAGING W/BLOOD FLOW 60001|78014|26|38.2||THYROID IMAGING W/BLOOD FLOW 60001|78014|TC|324.19||THYROID IMAGING W/BLOOD FLOW 60001|78015||332.28||THYROID MET IMAGING 60001|78015|26|51.31||THYROID MET IMAGING 60001|78015|TC|280.97||THYROID MET IMAGING 60001|78016||454.16||THYROID MET IMAGING/STUDIES 60001|78016|26|57.7||THYROID MET IMAGING/STUDIES 60001|78016|TC|396.46||THYROID MET IMAGING/STUDIES 60001|78018||483.66||THYROID MET IMAGING - BODY 60001|78018|26|65.01||THYROID MET IMAGING - BODY 60001|78018|TC|418.65||THYROID MET IMAGING - BODY 60001|78020||129.59||THYROID MET UPTAKE 60001|78020|26|44.84||THYROID MET UPTAKE 60001|78020|TC|84.75||THYROID MET UPTAKE 60001|78070||243.87||PARATHYROID NUCLEAR IMAGING 60001|78070|26|62.76||PARATHYROID NUCLEAR IMAGING 60001|78070|TC|181.11||PARATHYROID NUCLEAR IMAGING 60001|78071||678.63||PARATHYRD PLANAR W/WO SUBTRJ 60001|78071|26|125.19||PARATHYRD PLANAR W/WO SUBTRJ 60001|78072|26|125.19||PARATHYRD PLANAR W/SPECT&CT 60001|78075||646.9||ADRENAL NUCLEAR IMAGING 60001|78075|26|55.75||ADRENAL NUCLEAR IMAGING 60001|78075|TC|591.15||ADRENAL NUCLEAR IMAGING 60001|78099||0||ENDOCRINE NUCLEAR PROCEDURE 60001|78099|26|0||ENDOCRINE NUCLEAR PROCEDURE 60001|78099|TC|0||ENDOCRINE NUCLEAR PROCEDURE 60001|78102||256.43||BONE MARROW IMAGING - LTD 60001|78102|26|42.04||BONE MARROW IMAGING - LTD 60001|78102|TC|214.39||BONE MARROW IMAGING - LTD 60001|78103||338.28||BONE MARROW IMAGING - MULT 60001|78103|26|56.81||BONE MARROW IMAGING - MULT 60001|78103|TC|281.47||BONE MARROW IMAGING - MULT 60001|78104||378.41||BONE MARROW IMAGING - BODY 60001|78104|26|61.14||BONE MARROW IMAGING - BODY 60001|78104|TC|317.28||BONE MARROW IMAGING - BODY 60001|78110||128.75||PLASMA VOLUME - SINGLE 60001|78110|26|14.72||PLASMA VOLUME - SINGLE 60001|78110|TC|114.03||PLASMA VOLUME - SINGLE 60001|78111||126.4||PLASMA VOLUME - MULTIPLE 60001|78111|26|15.9||PLASMA VOLUME - MULTIPLE 60001|78111|TC|110.5||PLASMA VOLUME - MULTIPLE 60001|78120||133.52||RED CELL MASS - SINGLE 60001|78120|26|17.98||RED CELL MASS - SINGLE 60001|78120|TC|115.54||RED CELL MASS - SINGLE 60001|78121||149.17||RED CELL MASS - MULTIPLE 60001|78121|26|24.55||RED CELL MASS - MULTIPLE 60001|78121|TC|124.62||RED CELL MASS - MULTIPLE 60001|78122||156.47||BLOOD VOLUME 60001|78122|26|33.36||BLOOD VOLUME 60001|78122|TC|123.11||BLOOD VOLUME 60001|78130||237.14||RED CELL SURVIVAL STUDY 60001|78130|26|48.45||RED CELL SURVIVAL STUDY 60001|78130|TC|188.69||RED CELL SURVIVAL STUDY 60001|78135||546.45||RED CELL SURVIVAL KINETICS 60001|78135|26|50.64||RED CELL SURVIVAL KINETICS 60001|78135|TC|495.81||RED CELL SURVIVAL KINETICS 60001|78140||206.86||RED CELL SEQUESTRATION 60001|78140|26|47.94||RED CELL SEQUESTRATION 60001|78140|TC|158.92||RED CELL SEQUESTRATION 60001|78185||316.06||SPLEEN IMAGING 60001|78185|26|30.55||SPLEEN IMAGING 60001|78185|TC|285.5||SPLEEN IMAGING 60001|78190||624.17||PLATELET SURVIVAL - KINETICS 60001|78190|26|86||PLATELET SURVIVAL - KINETICS 60001|78190|TC|538.18||PLATELET SURVIVAL - KINETICS 60001|78191||253.28||PLATELET SURVIVAL 60001|78191|26|47.94||PLATELET SURVIVAL 60001|78191|TC|205.33||PLATELET SURVIVAL 60001|78195||546.68||LYMPH SYSTEM IMAGING 60001|78195|26|92.73||LYMPH SYSTEM IMAGING 60001|78195|TC|453.95||LYMPH SYSTEM IMAGING 60001|78199||0||BLOOD/LYMPH NUCLEAR EXAM 60001|78199|26|0||BLOOD/LYMPH NUCLEAR EXAM 60001|78199|TC|0||BLOOD/LYMPH NUCLEAR EXAM 60001|78201||282.04||LIVER IMAGING 60001|78201|26|33.86||LIVER IMAGING 60001|78201|TC|248.18||LIVER IMAGING 60001|78202||313.66||LIVER IMAGING WITH FLOW 60001|78202|26|37.23||LIVER IMAGING WITH FLOW 60001|78202|TC|276.43||LIVER IMAGING WITH FLOW 60001|78205||336.04||LIVER IMAGING (3D) 60001|78205|26|54.06||LIVER IMAGING (3D) 60001|78205|TC|281.97||LIVER IMAGING (3D) 60001|78206||529.12||LIVER IMAGE (3D) WITH FLOW 60001|78206|26|73.15||LIVER IMAGE (3D) WITH FLOW 60001|78206|TC|455.97||LIVER IMAGE (3D) WITH FLOW 60001|78215||295.42||LIVER AND SPLEEN IMAGING 60001|78215|26|38.16||LIVER AND SPLEEN IMAGING 60001|78215|TC|257.26||LIVER AND SPLEEN IMAGING 60001|78216||191.48||LIVER & SPLEEN IMAGE/FLOW 60001|78216|26|43.16||LIVER & SPLEEN IMAGE/FLOW 60001|78216|TC|148.33||LIVER & SPLEEN IMAGE/FLOW 60001|78226||491.04||HEPATOBILIARY SYSTEM IMAGING 60001|78226|26|56.25||HEPATOBILIARY SYSTEM IMAGING 60001|78226|TC|434.79||HEPATOBILIARY SYSTEM IMAGING 60001|78227||671.52||HEPATOBIL SYST IMAGE W/DRUG 60001|78227|26|67.76||HEPATOBIL SYST IMAGE W/DRUG 60001|78227|TC|603.76||HEPATOBIL SYST IMAGE W/DRUG 60001|78230||259.39||SALIVARY GLAND IMAGING 60001|78230|26|35.41||SALIVARY GLAND IMAGING 60001|78230|TC|223.98||SALIVARY GLAND IMAGING 60001|78231||192.68||SERIAL SALIVARY IMAGING 60001|78231|26|39.81||SERIAL SALIVARY IMAGING 60001|78231|TC|152.86||SERIAL SALIVARY IMAGING 60001|78232||162.67||SALIVARY GLAND FUNCTION EXAM 60001|78232|26|33.51||SALIVARY GLAND FUNCTION EXAM 60001|78232|TC|129.16||SALIVARY GLAND FUNCTION EXAM 60001|78258||354.85||ESOPHAGEAL MOTILITY STUDY 60001|78258|26|57.24||ESOPHAGEAL MOTILITY STUDY 60001|78258|TC|297.61||ESOPHAGEAL MOTILITY STUDY 60001|78261||384.84||GASTRIC MUCOSA IMAGING 60001|78261|26|53.95||GASTRIC MUCOSA IMAGING 60001|78261|TC|330.89||GASTRIC MUCOSA IMAGING 60001|78262||381.71||GASTROESOPHAGEAL REFLUX EXAM 60001|78262|26|51.32||GASTROESOPHAGEAL REFLUX EXAM 60001|78262|TC|330.39||GASTROESOPHAGEAL REFLUX EXAM 60001|78264||441.96||GASTRIC EMPTYING STUDY 60001|78264|26|61.64||GASTRIC EMPTYING STUDY 60001|78264|TC|380.32||GASTRIC EMPTYING STUDY 60001|78265||570.97||GASTRIC EMPTYING IMAG STUDY 60001|78265|26|78.62||GASTRIC EMPTYING IMAG STUDY 60001|78265|TC|492.34||GASTRIC EMPTYING IMAG STUDY 60001|78266||739.4||GASTRIC EMPTYING IMAG STUDY 60001|78266|26|87.19||GASTRIC EMPTYING IMAG STUDY 60001|78266|TC|652.21||GASTRIC EMPTYING IMAG STUDY 60001|78267||18.38||BREATH TST ATTAIN/ANAL C-14 60001|78267|TC|16.14||BREATH TST ATTAIN/ANAL C-14 60001|78268||31.6||BREATH TEST ANALYSIS - C-14 60001|78270||125.25||VIT B-12 ABSORPTION EXAM 60001|78270|26|15.79||VIT B-12 ABSORPTION EXAM 60001|78270|TC|109.46||VIT B-12 ABSORPTION EXAM 60001|78271||134.32||VIT B-12 ABSRP EXAM - INT FAC 60001|78271|26|15.79||VIT B-12 ABSRP EXAM - INT FAC 60001|78271|TC|118.54||VIT B-12 ABSRP EXAM - INT FAC 60001|78272||136.78||VIT B-12 ABSORP - COMBINED 60001|78272|26|20.73||VIT B-12 ABSORP - COMBINED 60001|78272|TC|116.05||VIT B-12 ABSORP - COMBINED 60001|78278||532.84||ACUTE GI BLOOD LOSS IMAGING 60001|78278|26|76.36||ACUTE GI BLOOD LOSS IMAGING 60001|78278|TC|456.47||ACUTE GI BLOOD LOSS IMAGING 60001|78282||113.27||GI PROTEIN LOSS EXAM 60001|78282|26|29.97||GI PROTEIN LOSS EXAM 60001|78282|TC|83.31||GI PROTEIN LOSS EXAM 60001|78290||503.31||MECKEL'S DIVERT EXAM 60001|78290|26|52.88||MECKEL'S DIVERT EXAM 60001|78290|TC|450.42||MECKEL'S DIVERT EXAM 60001|78291||388.97||LEVEEN/SHUNT PATENCY EXAM 60001|78291|26|67.66||LEVEEN/SHUNT PATENCY EXAM 60001|78291|TC|321.31||LEVEEN/SHUNT PATENCY EXAM 60001|78299||0||GI NUCLEAR PROCEDURE 60001|78299|26|0||GI NUCLEAR PROCEDURE 60001|78299|TC|0||GI NUCLEAR PROCEDURE 60001|78300||272.46||BONE IMAGING - LIMITED AREA 60001|78300|26|47.98||BONE IMAGING - LIMITED AREA 60001|78300|TC|224.48||BONE IMAGING - LIMITED AREA 60001|78305||359.42||BONE IMAGING - MULTIPLE AREAS 60001|78305|26|63.83||BONE IMAGING - MULTIPLE AREAS 60001|78305|TC|295.59||BONE IMAGING - MULTIPLE AREAS 60001|78306||386.83||BONE IMAGING - WHOLE BODY 60001|78306|26|66.02||BONE IMAGING - WHOLE BODY 60001|78306|TC|320.81||BONE IMAGING - WHOLE BODY 60001|78315||532.5||BONE IMAGING - 3 PHASE 60001|78315|26|78.55||BONE IMAGING - 3 PHASE 60001|78315|TC|453.95||BONE IMAGING - 3 PHASE 60001|78320||361.14||BONE IMAGING (3D) 60001|78320|26|79.17||BONE IMAGING (3D) 60001|78320|TC|281.97||BONE IMAGING (3D) 60001|78350||50.72||BONE MINERAL - SINGLE PHOTON 60001|78350|26|17.42||BONE MINERAL - SINGLE PHOTON 60001|78350|TC|33.3||BONE MINERAL - SINGLE PHOTON 60001|78351||23.93||BONE MINERAL - DUAL PHOTON 60001|78399||0||MUSCULOSKELETAL NUCLEAR EXAM 60001|78399|26|0||MUSCULOSKELETAL NUCLEAR EXAM 60001|78399|TC|0||MUSCULOSKELETAL NUCLEAR EXAM 60001|78414||113.67||NON-IMAGING HEART FUNCTION 60001|78414|26|36.42||NON-IMAGING HEART FUNCTION 60001|78414|TC|77.76||NON-IMAGING HEART FUNCTION 60001|78428||289.52||CARDIAC SHUNT IMAGING 60001|78428|26|60.5||CARDIAC SHUNT IMAGING 60001|78428|TC|229.02||CARDIAC SHUNT IMAGING 60001|78429|26|137.46|| 60001|78430|26|130.5|| 60001|78431|26|151.73|| 60001|78432|26|161.85|| 60001|78433|26|176.93|| 60001|78434|26|50.87|| 60001|78445||264.62||VASCULAR FLOW IMAGING 60001|78445|26|36.11||VASCULAR FLOW IMAGING 60001|78445|TC|228.51||VASCULAR FLOW IMAGING 60001|78451||542.64||HT MUSCLE IMAGE SPECT - SING 60001|78451|26|104.82||HT MUSCLE IMAGE SPECT - SING 60001|78451|TC|437.81||HT MUSCLE IMAGE SPECT - SING 60001|78452||755.34||HT MUSCLE IMAGE SPECT - MULT 60001|78452|26|122.84||HT MUSCLE IMAGE SPECT - MULT 60001|78452|TC|632.5||HT MUSCLE IMAGE SPECT - MULT 60001|78453||466.83||HT MUSCLE IMAGE - PLANAR - SING 60001|78453|26|75.92||HT MUSCLE IMAGE - PLANAR - SING 60001|78453|TC|390.91||HT MUSCLE IMAGE - PLANAR - SING 60001|78454||666.49||HT MUSC IMAGE - PLANAR - MULT 60001|78454|26|101.06||HT MUSC IMAGE - PLANAR - MULT 60001|78454|TC|565.43||HT MUSC IMAGE - PLANAR - MULT 60001|78456||577.24||ACUTE VENOUS THROMBUS IMAGE 60001|78456|26|79.41||ACUTE VENOUS THROMBUS IMAGE 60001|78456|TC|497.83||ACUTE VENOUS THROMBUS IMAGE 60001|78457||310.66||VENOUS THROMBOSIS IMAGING 60001|78457|26|59.45||VENOUS THROMBOSIS IMAGING 60001|78457|TC|251.21||VENOUS THROMBOSIS IMAGING 60001|78458||291.25||VEN THROMBOSIS IMAGES - BILAT 60001|78458|26|66.26||VEN THROMBOSIS IMAGES - BILAT 60001|78458|TC|224.98||VEN THROMBOSIS IMAGES - BILAT 60001|78459||620.6||HEART MUSCLE IMAGING (PET) 60001|78459|26|116.18||HEART MUSCLE IMAGING (PET) 60001|78459|TC|507.99||HEART MUSCLE IMAGING (PET) 60001|78466||269.33||HEART INFARCT IMAGE 60001|78466|26|53.93||HEART INFARCT IMAGE 60001|78466|TC|215.4||HEART INFARCT IMAGE 60001|78468||326.45||HEART INFARCT IMAGE (EF) 60001|78468|26|63.14||HEART INFARCT IMAGE (EF) 60001|78468|TC|263.31||HEART INFARCT IMAGE (EF) 60001|78469||370.51||HEART INFARCT IMAGE (3D) 60001|78469|26|71.89||HEART INFARCT IMAGE (3D) 60001|78469|TC|298.62||HEART INFARCT IMAGE (3D) 60001|78472||373.39||GATED HEART - PLANAR - SINGLE 60001|78472|26|76.29||GATED HEART - PLANAR - SINGLE 60001|78472|TC|297.1||GATED HEART - PLANAR - SINGLE 60001|78473||483.14||GATED HEART - MULTIPLE 60001|78473|26|114.92||GATED HEART - MULTIPLE 60001|78473|TC|368.22||GATED HEART - MULTIPLE 60001|78481||305.26||HEART FIRST PASS - SINGLE 60001|78481|26|77.28||HEART FIRST PASS - SINGLE 60001|78481|TC|227.98||HEART FIRST PASS - SINGLE 60001|78483||416.56||HEART FIRST PASS - MULTIPLE 60001|78483|26|115.93||HEART FIRST PASS - MULTIPLE 60001|78483|TC|300.63||HEART FIRST PASS - MULTIPLE 60001|78491||671.6||HEART IMAGE (PET) - SINGLE 60001|78491|26|117.7||HEART IMAGE (PET) - SINGLE 60001|78491|TC|556.97||HEART IMAGE (PET) - SINGLE 60001|78492||834.8||HEART IMAGE (PET) - MULTIPLE 60001|78492|26|148.6||HEART IMAGE (PET) - MULTIPLE 60001|78492|TC|692.31||HEART IMAGE (PET) - MULTIPLE 60001|78494||379.13||HEART IMAGE - SPECT 60001|78494|26|92.62||HEART IMAGE - SPECT 60001|78494|TC|286.51||HEART IMAGE - SPECT 60001|78496||97.21||HEART FIRST PASS ADD-ON 60001|78496|26|39.19||HEART FIRST PASS ADD-ON 60001|78496|TC|58.02||HEART FIRST PASS ADD-ON 60001|78499||0||CARDIOVASCULAR NUCLEAR EXAM 60001|78499|26|0||CARDIOVASCULAR NUCLEAR EXAM 60001|78499|TC|0||CARDIOVASCULAR NUCLEAR EXAM 60001|78579||261.62||LUNG VENTILATION IMAGING 60001|78579|26|37.15||LUNG VENTILATION IMAGING 60001|78579|TC|224.46||LUNG VENTILATION IMAGING 60001|78580||338.21||LUNG PERFUSION IMAGING 60001|78580|26|56.74||LUNG PERFUSION IMAGING 60001|78580|TC|281.47||LUNG PERFUSION IMAGING 60001|78582||483.37||LUNG VENTILAT&PERFUS IMAGING 60001|78582|26|80.35||LUNG VENTILAT&PERFUS IMAGING 60001|78582|TC|403.01||LUNG VENTILAT&PERFUS IMAGING 60001|78597||295.87||LUNG PERFUSION DIFFERENTIAL 60001|78597|26|55.27||LUNG PERFUSION DIFFERENTIAL 60001|78597|TC|240.6||LUNG PERFUSION DIFFERENTIAL 60001|78598||452.82||LUNG PERF&VENTILAT DIFERENTL 60001|78598|26|62.92||LUNG PERF&VENTILAT DIFERENTL 60001|78598|TC|389.9||LUNG PERF&VENTILAT DIFERENTL 60001|78599||0||RESPIRATORY NUCLEAR EXAM 60001|78599|26|0||RESPIRATORY NUCLEAR EXAM 60001|78599|TC|0||RESPIRATORY NUCLEAR EXAM 60001|78600||276.44||BRAIN IMAGING - LTD STATIC 60001|78600|26|33.81||BRAIN IMAGING - LTD STATIC 60001|78600|TC|242.64||BRAIN IMAGING - LTD STATIC 60001|78601||326.3||BRAIN IMAGING - LTD W/FLOW 60001|78601|26|39.28||BRAIN IMAGING - LTD W/FLOW 60001|78601|TC|287.02||BRAIN IMAGING - LTD W/FLOW 60001|78605||302.71||BRAIN IMAGING - COMPLETE 60001|78605|26|41.42||BRAIN IMAGING - COMPLETE 60001|78605|TC|261.3||BRAIN IMAGING - COMPLETE 60001|78606||506.56||BRAIN IMAGING - COMPL W/FLOW 60001|78606|26|48.57||BRAIN IMAGING - COMPL W/FLOW 60001|78606|TC|457.99||BRAIN IMAGING - COMPL W/FLOW 60001|78607||557.41||BRAIN IMAGING (3D) 60001|78607|26|92.87||BRAIN IMAGING (3D) 60001|78607|TC|464.54||BRAIN IMAGING (3D) 60001|78608||879.66||BRAIN IMAGING (PET) 60001|78608|26|115.19||BRAIN IMAGING (PET) 60001|78608|TC|766.53||BRAIN IMAGING (PET) 60001|78609||120.22||BRAIN IMAGING (PET) 60001|78609|26|120.22||BRAIN IMAGING (PET) 60001|78609|TC|120.17||BRAIN IMAGING (PET) 60001|78610||269.59||BRAIN FLOW IMAGING ONLY 60001|78610|26|23.42||BRAIN FLOW IMAGING ONLY 60001|78610|TC|246.17||BRAIN FLOW IMAGING ONLY 60001|78630||521.95||CEREBROSPINAL FLUID SCAN 60001|78630|26|52.36||CEREBROSPINAL FLUID SCAN 60001|78630|TC|469.59||CEREBROSPINAL FLUID SCAN 60001|78635||506.89||CSF VENTRICULOGRAPHY 60001|78635|26|46.88||CSF VENTRICULOGRAPHY 60001|78635|TC|460||CSF VENTRICULOGRAPHY 60001|78645||489.55||CSF SHUNT EVALUATION 60001|78645|26|43.66||CSF SHUNT EVALUATION 60001|78645|TC|445.88||CSF SHUNT EVALUATION 60001|78647||525.26||CEREBROSPINAL FLUID SCAN 60001|78647|26|68.28||CEREBROSPINAL FLUID SCAN 60001|78647|TC|456.98||CEREBROSPINAL FLUID SCAN 60001|78650||505.93||CSF LEAKAGE IMAGING 60001|78650|26|46.93||CSF LEAKAGE IMAGING 60001|78650|TC|459||CSF LEAKAGE IMAGING 60001|78660||283.55||NUCLEAR EXAM OF TEAR FLOW 60001|78660|26|42.93||NUCLEAR EXAM OF TEAR FLOW 60001|78660|TC|240.62||NUCLEAR EXAM OF TEAR FLOW 60001|78699||0||NERVOUS SYSTEM NUCLEAR EXAM 60001|78699|26|0||NERVOUS SYSTEM NUCLEAR EXAM 60001|78699|TC|0||NERVOUS SYSTEM NUCLEAR EXAM 60001|78700||269.98||KIDNEY IMAGING - STATIC 60001|78700|26|35.41||KIDNEY IMAGING - STATIC 60001|78700|TC|234.57||KIDNEY IMAGING - STATIC 60001|78701||326.69||KIDNEY IMAGING WITH FLOW 60001|78701|26|38.16||KIDNEY IMAGING WITH FLOW 60001|78701|TC|288.53||KIDNEY IMAGING WITH FLOW 60001|78707||360.67||KIDNEY FLOW/FUNCTION IMAGE 60001|78707|26|73.15||KIDNEY FLOW/FUNCTION IMAGE 60001|78707|TC|287.52||KIDNEY FLOW/FUNCTION IMAGE 60001|78708||266.29||KIDNEY FLOW/FUNCTION IMAGE 60001|78708|26|92.25||KIDNEY FLOW/FUNCTION IMAGE 60001|78708|TC|174.05||KIDNEY FLOW/FUNCTION IMAGE 60001|78709||565.54||KIDNEY FLOW/FUNCTION IMAGE 60001|78709|26|108.05||KIDNEY FLOW/FUNCTION IMAGE 60001|78709|TC|457.48||KIDNEY FLOW/FUNCTION IMAGE 60001|78710||325.11||KIDNEY IMAGING (3D) 60001|78710|26|48.18||KIDNEY IMAGING (3D) 60001|78710|TC|276.93||KIDNEY IMAGING (3D) 60001|78725||159.6||KIDNEY FUNCTION STUDY 60001|78725|26|28.42||KIDNEY FUNCTION STUDY 60001|78725|TC|131.18||KIDNEY FUNCTION STUDY 60001|78730||116.39||URINARY BLADDER RETENTION 60001|78730|26|12.48||URINARY BLADDER RETENTION 60001|78730|TC|103.91||URINARY BLADDER RETENTION 60001|78740||351.36||URETERAL REFLUX STUDY 60001|78740|26|45.18||URETERAL REFLUX STUDY 60001|78740|TC|306.18||URETERAL REFLUX STUDY 60001|78761||325.95||TESTICULAR IMAGING/FLOW 60001|78761|26|55.58||TESTICULAR IMAGING/FLOW 60001|78761|TC|270.37||TESTICULAR IMAGING/FLOW 60001|78799||0||GENITOURINARY NUCLEAR EXAM 60001|78799|26|0||GENITOURINARY NUCLEAR EXAM 60001|78799|TC|0||GENITOURINARY NUCLEAR EXAM 60001|78800||289.86||TUMOR IMAGING - LIMITED AREA 60001|78800|26|51.76||TUMOR IMAGING - LIMITED AREA 60001|78800|TC|238.1||TUMOR IMAGING - LIMITED AREA 60001|78801||377.35||TUMOR IMAGING - MULT AREAS 60001|78801|26|61.08||TUMOR IMAGING - MULT AREAS 60001|78801|TC|316.27||TUMOR IMAGING - MULT AREAS 60001|78802||497.28||TUMOR IMAGING - WHOLE BODY 60001|78802|26|65.51||TUMOR IMAGING - WHOLE BODY 60001|78802|TC|431.76||TUMOR IMAGING - WHOLE BODY 60001|78803||530.38||TUMOR IMAGING (3D) 60001|78803|26|81.98||TUMOR IMAGING (3D) 60001|78803|TC|448.4||TUMOR IMAGING (3D) 60001|78804||880.82||TUMOR IMAGING - WHOLE BODY 60001|78804|26|81.36||TUMOR IMAGING - WHOLE BODY 60001|78804|TC|799.46||TUMOR IMAGING - WHOLE BODY 60001|78805||280.68||ABSCESS IMAGING - LTD AREA 60001|78805|26|56.2||ABSCESS IMAGING - LTD AREA 60001|78805|TC|224.48||ABSCESS IMAGING - LTD AREA 60001|78806||513.92||ABSCESS IMAGING - WHOLE BODY 60001|78806|26|65.51||ABSCESS IMAGING - WHOLE BODY 60001|78806|TC|448.4||ABSCESS IMAGING - WHOLE BODY 60001|78807||531.88||NUCLEAR LOCALIZATION/ABSCESS 60001|78807|26|81.46||NUCLEAR LOCALIZATION/ABSCESS 60001|78807|TC|450.42||NUCLEAR LOCALIZATION/ABSCESS 60001|78808||64.63||IV INJ RA DRUG DX STUDY 60001|78811||956.24||TUMOR IMAGING (PET) - LIMITED 60001|78811|26|124.11||TUMOR IMAGING (PET) - LIMITED 60001|78811|TC|833.7||TUMOR IMAGING (PET) - LIMITED 60001|78812||1159.87||TUMOR IMAGE (PET)/SKUL-THIGH 60001|78812|26|151.53||TUMOR IMAGE (PET)/SKUL-THIGH 60001|78812|TC|1010.92||TUMOR IMAGE (PET)/SKUL-THIGH 60001|78813||1206.76||TUMOR IMAGE (PET) FULL BODY 60001|78813|26|158.52||TUMOR IMAGE (PET) FULL BODY 60001|78813|TC|1051.83||TUMOR IMAGE (PET) FULL BODY 60001|78814||1334.16||TUMOR IMAGE PET/CT - LIMITED 60001|78814|26|173.82||TUMOR IMAGE PET/CT - LIMITED 60001|78814|TC|1162.92||TUMOR IMAGE PET/CT - LIMITED 60001|78815||1474.39||TUMORIMAGE PET/CT SKUL-THIGH 60001|78815|26|192.38||TUMORIMAGE PET/CT SKUL-THIGH 60001|78815|TC|1285.12||TUMORIMAGE PET/CT SKUL-THIGH 60001|78816||1487.36||TUMOR IMAGE PET/CT FULL BODY 60001|78816|26|194.24||TUMOR IMAGE PET/CT FULL BODY 60001|78816|TC|1296.22||TUMOR IMAGE PET/CT FULL BODY 60001|78830||755.34|| 60001|78830|26|118.21|| 60001|78830|TC|637.15|| 60001|78831||1090.34|| 60001|78831|26|144.33|| 60001|78831|TC|946.01|| 60001|78832||1416.89|| 60001|78832|26|168.07|| 60001|78832|TC|1248.82|| 60001|78835||159.46|| 60001|78835|26|37.11|| 60001|78835|TC|122.35|| 60001|78999||0||NUCLEAR DIAGNOSTIC EXAM 60001|78999|26|0||NUCLEAR DIAGNOSTIC EXAM 60001|78999|TC|0||NUCLEAR DIAGNOSTIC EXAM 60001|79005||213.69||NUCLEAR RX - ORAL ADMIN 60001|79005|26|137.52||NUCLEAR RX - ORAL ADMIN 60001|79005|TC|76.17||NUCLEAR RX - ORAL ADMIN 60001|79101||241.34||NUCLEAR RX - IV ADMIN 60001|79101|26|159.12||NUCLEAR RX - IV ADMIN 60001|79101|TC|82.22||NUCLEAR RX - IV ADMIN 60001|79200||255.2||NUCLEAR RX - INTRACAV ADMIN 60001|79200|26|156.33||NUCLEAR RX - INTRACAV ADMIN 60001|79200|TC|98.87||NUCLEAR RX - INTRACAV ADMIN 60001|79300||205.13||NUCLR RX - INTERSTIT COLLOID 60001|79300|26|133.97||NUCLR RX - INTERSTIT COLLOID 60001|79300|TC|78.28||NUCLR RX - INTERSTIT COLLOID 60001|79403||299.08||HEMATOPOIETIC NUCLEAR TX 60001|79403|26|172.95||HEMATOPOIETIC NUCLEAR TX 60001|79403|TC|126.13||HEMATOPOIETIC NUCLEAR TX 60001|79440||243.5||NUCLEAR RX - INTRA-ARTICULAR 60001|79440|26|158.75||NUCLEAR RX - INTRA-ARTICULAR 60001|79440|TC|84.75||NUCLEAR RX - INTRA-ARTICULAR 60001|79445||318.8||NUCLEAR RX - INTRA-ARTERIAL 60001|79445|26|186.57||NUCLEAR RX - INTRA-ARTERIAL 60001|79445|TC|137.36||NUCLEAR RX - INTRA-ARTERIAL 60001|79999||0||NUCLEAR MEDICINE THERAPY 60001|79999|26|0||NUCLEAR MEDICINE THERAPY 60001|79999|TC|0||NUCLEAR MEDICINE THERAPY 60001|80047||15.57||METABOLIC PANEL IONIZED CA 60001|80048||15.57||BASIC METABOLIC PANEL 60001|80050||52.1||GENERAL HEALTH PANEL 60001|80051||12.92||ELECTROLYTE PANEL 60001|80053|26|19.46||COMPREHEN METABOLIC PANEL 60001|80053||19.46||COMPREHEN METABOLIC PANEL 60001|80055||75.91||OBSTETRIC PANEL 60001|80061|26|24.66||LIPID PANEL 60001|80061||24.66||LIPID PANEL 60001|80069||15.99||RENAL FUNCTION PANEL 60001|80074||87.71||ACUTE HEPATITIS PANEL 60001|80076||15.04||HEPATIC FUNCTION PANEL 60001|80081||132.56||OBSTETRIC PANEL 60001|80145||63.64|| 60001|80150||27.76||ASSAY OF AMIKACIN 60001|80155||25.09||DRUG SCREEN QUANT CAFFEINE 60001|80156||26.81||ASSAY - CARBAMAZEPINE - TOTAL 60001|80157||24.4||ASSAY - CARBAMAZEPINE - FREE 60001|80158||10.96||ASSAY OF CYCLOSPORINE 60001|80159||32.8||DRUG SCREEN QUANT CLOZAPINE 60001|80162||24.44||ASSAY OF DIGOXIN 60001|80163||23.49||ASSAY OF DIGOXIN FREE 60001|80164||20.9||ASSAY - DIPROPYLACETIC ACID 60001|80165||20.08||DIPROPYLACETIC ACID FREE 60001|80168||30.09||ASSAY OF ETHOSUXIMIDE 60001|80169||24.35||DRUG SCREEN QUANT EVEROLIMUS 60001|80170||30.17||ASSAY OF GENTAMICIN 60001|80171||23.52||DRUG SCREEN QUANT GABAPENTIN 60001|80173||26.81||ASSAY OF HALOPERIDOL 60001|80175||23.52||DRUG SCREEN QUAN LAMOTRIGINE 60001|80176||27.04||ASSAY OF LIDOCAINE 60001|80177||23.52||DRUG SCRN QUAN LEVETIRACETAM 60001|80178||12.17||ASSAY OF LITHIUM 60001|80180||10.56||DRUG SCRN QUAN MYCOPHENOLATE 60001|80182||20.9||ASSAY OF NORTRIPTYLINE 60001|80183||25.83||DRUG SCRN QUANT OXCARBAZEPIN 60001|80184||21.09||ASSAY OF PHENOBARBITAL 60001|80185||24.4||ASSAY OF PHENYTOIN - TOTAL 60001|80186||25.35||ASSAY OF PHENYTOIN - FREE 60001|80187||44.73|| 60001|80188||30.56||ASSAY OF PRIMIDONE 60001|80190||30.84||ASSAY OF PROCAINAMIDE 60001|80192||30.84||ASSAY OF PROCAINAMIDE 60001|80194||26.88||ASSAY OF QUINIDINE 60001|80195||25.29||ASSAY OF SIROLIMUS 60001|80197||25.29||ASSAY OF TACROLIMUS 60001|80198||26.05||ASSAY OF THEOPHYLLINE 60001|80199||10.65||DRUG SCREEN QUANT TIAGABINE 60001|80200||27.57||ASSAY OF TOBRAMYCIN 60001|80201||21.96||ASSAY OF TOPIRAMATE 60001|80202||20.9||ASSAY OF VANCOMYCIN 60001|80203||23.52||DRUG SCREEN QUANT ZONISAMIDE 60001|80230||63.64|| 60001|80235||44.73|| 60001|80280||63.64|| 60001|80285||44.73|| 60001|80299||22.18||QUANTITATIVE ASSAY - DRUG 60001|80303||65|%|DRUG SCREEN ONE/MULT CLASS 60001|80305||18.64||DRUG TEST PRSMV DIR OPT OBS 60001|80306||24.84||DRUG TEST PRSMV INSTRMNT 60001|80307||99.38||DRUG TEST PRSMV CHEM ANLYZR 60001|80320||65|%|DRUG SCREEN QUANTALCOHOLS 60001|80321||65|%|ALCOHOLS BIOMARKERS 1OR 2 60001|80322||65|%|ALCOHOLS BIOMARKERS 3/MORE 60001|80323||65|%|ALKALOIDS NOS 60001|80324||65|%|DRUG SCREEN AMPHETAMINES 1/2 60001|80325||65|%|AMPHETAMINES 3OR 4 60001|80326||65|%|AMPHETAMINES 5 OR MORE 60001|80327||65|%|ANABOLIC STEROID 1 OR 2 60001|80328||65|%|ANABOLIC STEROID 3 OR MORE 60001|80329||65|%|ANALGESICS NON-OPIOID 1 OR 2 60001|80330||65|%|ANALGESICS NON-OPIOID 3-5 60001|80331||65|%|ANALGESICS NON-OPIOID 6/MORE 60001|80332||65|%|ANTIDEPRESSANTS CLASS 1 OR 2 60001|80333||65|%|ANTIDEPRESSANTS CLASS 3-5 60001|80334||65|%|ANTIDEPRESSANTS CLASS 6/MORE 60001|80335||65|%|ANTIDEPRESSANT TRICYCLIC 1/2 60001|80336||65|%|ANTIDEPRESSANT TRICYCLIC 3-5 60001|80337||65|%|TRICYCLIC & CYCLICALS 6/MORE 60001|80338||65|%|ANTIDEPRESSANT NOT SPECIFIED 60001|80339||65|%|ANTIEPILEPTICS NOS 1-3 60001|80340||65|%|ANTIEPILEPTICS NOS 4-6 60001|80341||65|%|ANTIEPILEPTICS NOS 7/MORE 60001|80342||65|%|ANTIPSYCHOTICS NOS 1-3 60001|80343||65|%|ANTIPSYCHOTICS NOS 4-6 60001|80344||65|%|ANTIPSYCHOTICS NOS 7/MORE 60001|80345||65|%|DRUG SCREENING BARBITURATES 60001|80346||65|%|BENZODIAZEPINES1-12 60001|80347||65|%|BENZODIAZEPINES 13 OR MORE 60001|80348||65|%|DRUG SCREENING BUPRENORPHINE 60001|80349||65|%|CANNABINOIDS NATURAL 60001|80350||65|%|CANNABINOIDS SYNTHETIC 1-3 60001|80351||65|%|CANNABINOIDS SYNTHETIC 4-6 60001|80352||65|%|CANNABINOID SYNTHETIC 7/MORE 60001|80353||65|%|DRUG SCREENING COCAINE 60001|80354||65|%|DRUG SCREENING FENTANYL 60001|80355||65|%|GABAPENTIN NON-BLOOD 60001|80356||65|%|HEROIN METABOLITE 60001|80357||65|%|KETAMINE AND NORKETAMINE 60001|80358||65|%|DRUG SCREENING METHADONE 60001|80359||65|%|METHYLENEDIOXYAMPHETAMINES 60001|80360||65|%|METHYLPHENIDATE 60001|80361||65|%|OPIATES 1 OR MORE 60001|80362||65|%|OPIOIDS & OPIATE ANALOGS 1/2 60001|80363||65|%|OPIOIDS & OPIATE ANALOGS 3/4 60001|80364||65|%|OPIOID &OPIATE ANALOG 5/MORE 60001|80365||65|%|DRUG SCREENING OXYCODONE 60001|80366||65|%|DRUG SCREENING PREGABALIN 60001|80367||65|%|DRUG SCREENING PROPOXYPHENE 60001|80368||65|%|SEDATIVE HYPNOTICS 60001|80369||65|%|SKELETAL MUSCLE RELAXANT 1/2 60001|80370||65|%|SKEL MUSC RELAXANT 3 OR MORE 60001|80371||65|%|STIMULANTS SYNTHETIC 60001|80372||65|%|DRUG SCREENING TAPENTADOL 60001|80373||65|%|DRUG SCREENING TRAMADOL 60001|80374||65|%|STEREOISOMER ANALYSIS 60001|80375||65|%|DRUG/SUBSTANCE NOS 1-3 60001|80376||65|%|DRUG/SUBSTANCE NOS 4-6 60001|80377||65|%|DRUG/SUBSTANCE NOS 7/MORE 60001|80400||60.06||ACTH STIMULATION PANEL 60001|80402||160.11||ACTH STIMULATION PANEL 60001|80406||144.09||ACTH STIMULATION PANEL 60001|80408||231.06||ALDOSTERONE SUPPRESSION EVAL 60001|80410||147.93||CALCITONIN STIMUL PANEL 60001|80412||606.92||CRH STIMULATION PANEL 60001|80414||95.08||TESTOSTERONE RESPONSE 60001|80415||102.91||ESTRADIOL RESPONSE PANEL 60001|80416||242.97||RENIN STIMULATION PANEL 60001|80417||80.99||RENIN STIMULATION PANEL 60001|80418||1049.2||PITUITARY EVALUATION PANEL 60001|80420||132.65||DEXAMETHASONE PANEL 60001|80422||84.83||GLUCAGON TOLERANCE PANEL 60001|80424||92.98||GLUCAGON TOLERANCE PANEL 60001|80426||273.26||GONADOTROPIN HORMONE PANEL 60001|80428||104.83||GROWTH HORMONE PANEL 60001|80430||126.52||GROWTH HORMONE PANEL 60001|80432||203.5||INSULIN SUPPRESSION PANEL 60001|80434||186.29||INSULIN TOLERANCE PANEL 60001|80435||167.18||INSULIN TOLERANCE PANEL 60001|80436||167.86||METYRAPONE PANEL 60001|80438||92.82||TRH STIMULATION PANEL 60001|80439||123.76||TRH STIMULATION PANEL 60001|80500||22.37||LAB PATHOLOGY CONSULTATION 60001|80502||77.62||LAB PATHOLOGY CONSULTATION 60001|81000||5.82||URINALYSIS - NONAUTO W/SCOPE 60001|81001||5.82||URINALYSIS - AUTO W/SCOPE 60001|81002||4.71||URINALYSIS NONAUTO W/O SCOPE 60001|81003||4.13||URINALYSIS - AUTO - W/O SCOPE 60001|81005||3.99||URINALYSIS 60001|81007||4.72||URINE SCREEN FOR BACTERIA 60001|81015||5.6||MICROSCOPIC EXAM OF URINE 60001|81020||6.79||URINALYSIS - GLASS TEST 60001|81025||11.65||URINE PREGNANCY TEST 60001|81050||5.53||URINALYSIS - VOLUME MEASURE 60001|81099||0||URINALYSIS TEST PROCEDURE 60001|81105||248.97||HPA-1 GENOTYPING 60001|81106||248.97||HPA-2 GENOTYPING 60001|81107||248.97||HPA-3 GENOTYPING 60001|81108||248.97||HPA-4 GENOTYPING 60001|81109||248.97||HPA-5 GENOTYPING 60001|81110||248.97||HPA-6 GENOTYPING 60001|81111||248.97||HPA-9 GENOTYPING 60001|81112||248.97||HPA-15 GENOTYPING 60001|81120||318.86||IDH1 COMMON VARIANTS 60001|81121||488.05||IDH2 COMMON VARIANTS 60001|81162||158.46||BRCA1&2 SEQ & FULL DUP/DEL 60001|81170||3231.62||ABL1 GENE 60001|81175||1166.58||ASXL1 FULL GENE SEQUENCE 60001|81176||492.76||ASXL1 GENE TARGET SEQ ALYS 60001|81200||159.9||ASPA GENE 60001|81201||159.9||APC GENE FULL SEQUENCE 60001|81202||159.9||APC GENE KNOWN FAM VARIANTS 60001|81203||159.9||APC GENE DUP/DELET VARIANTS 60001|81218||158.46||CEBPA GENE FULL SEQUENCE 60001|81219||158.46||CALR GENE COM VARIANTS 60001|81220||600||CFTR GENE COM VARIANTS 60001|81230||288.44||CYP3A4 GENE COMMON VARIANTS 60001|81231||288.44||CYP3A5 GENE COMMON VARIANTS 60001|81232||288.44||DPYD GENE COMMON VARIANTS 60001|81235||159.9||EGFR GENE COM VARIANTS 60001|81238||990||F9 FULL GENE SEQUENCE 60001|81246||65|%|FLT3 GENE ANALYSIS 60001|81247||288.44||G6PD GENE ALYS CMN VARIANT 60001|81248||619.16||G6PD KNOWN FAMILIAL VARIANT 60001|81249||990||G6PD FULL GENE SEQUENCE 60001|81252||159.9||GJB2 GENE FULL SEQUENCE 60001|81253||159.9||GJB2 GENE KNOWN FAM VARIANTS 60001|81254||159.9||GJB6 GENE COM VARIANTS 60001|81258||619.16||HBA1/HBA2 GENE FAM VRNT 60001|81259||990||HBA1/HBA2 FULL GENE SEQUENCE 60001|81269||333.96||HBA1/HBA2 GENE DUP/DEL VRNTS 60001|81272||158.46||KIT GENE TARGETED SEQ ANALYS 60001|81273||115.96||KIT GENE ANALYS D816 VARIANT 60001|81276||256.35||KRAS GENE ADDL VARIANTS 60001|81277||1914|| 60001|81283||124.48||IFNL3 GENE 60001|81287||78||MGMT GENE METHYLATION ANAL 60001|81288||65|%|MLH1 GENE 60001|81307||466.75|| 60001|81308||497.23|| 60001|81309||453.47|| 60001|81311||384.53||NRAS GENE VARIANTS EXON 2&3 60001|81313||65|%|PCA3/KLK3 ANTIGEN 60001|81314||158.46||PDGFRA GENE 60001|81321||159.9||PTEN GENE FULL SEQUENCE 60001|81322||159.9||PTEN GENE KNOWN FAM VARIANT 60001|81327||108.77||SEPT9 METHYLATION ANALYSIS 60001|81328||288.44||SLCO1B1 GENE COM VARIANTS 60001|81334||543.69||RUNX1 GENE TARGETED SEQ ALYS 60001|81335||288.44||TPMT GENE COM VARIANTS 60001|81346||288.44||TYMS GENE COM VARIANTS 60001|81361||288.44||HBB GENE COM VARIANTS 60001|81362||619.16||HBB GENE KNOWN FAM VARIANT 60001|81363||333.96||HBB GENE DUP/DEL VARIANTS 60001|81364||535.56||HBB FULL GENE SEQUENCE 60001|81371||426.87||HLA I & II TYPE VERIFY LR 60001|81376||216.76||HLA II TYPING 1 LOCUS LR 60001|81382||219.35||HLA II TYPING 1 LOC HR 60001|81400||159.9||MOPATH PROCEDURE LEVEL 1 60001|81401||182||MOPATH PROCEDURE LEVEL 2 60001|81402||266.5||MOPATH PROCEDURE LEVEL 3 60001|81403||305.5||MOPATH PROCEDURE LEVEL 4 60001|81405||585||MOPATH PROCEDURE LEVEL 6 60001|81406||845||MOPATH PROCEDURE LEVEL 7 60001|81407||1235||MOPATH PROCEDURE LEVEL 8 60001|81408||2145||MOPATH PROCEDURE LEVEL 9 60001|81410||65|%|AORTIC DYSFUNCTION/DILATION 60001|81411||65|%|AORTIC DYSFUNCTION/DILATION 60001|81412||0||ASHKENAZI JEWISH ASSOC DIS 60001|81413||1043.03||CAR ION CHNNLPATH INC 10 GNS 60001|81414||1043.03||CAR ION CHNNLPATH INC 2 GNS 60001|81415||65|%|EXOME SEQUENCE ANALYSIS 60001|81416||65|%|EXOME SEQUENCE ANALYSIS 60001|81417||65|%|EXOME RE-EVALUATION 60001|81420||65|%|FETAL CHRMOML ANEUPLOIDY 60001|81422||1043.03||FETAL CHRMOML MICRODELTJ 60001|81425||65|%|GENOME SEQUENCE ANALYSIS 60001|81426||65|%|GENOME SEQUENCE ANALYSIS 60001|81427||65|%|GENOME RE-EVALUATION 60001|81430||65|%|HEARING LOSS SEQUENCE ANALYS 60001|81431||65|%|HEARING LOSS DUP/DEL ANALYS 60001|81432||0||HRDTRY BRST CA-RLATD DSORDRS 60001|81433||0||HRDTRY BRST CA-RLATD DSORDRS 60001|81434||0||HEREDITARY RETINAL DISORDERS 60001|81435||65|%|HEREDITARY COLON CANCER 60001|81436||65|%|HEREDITARY COLON CA SYND 60001|81437||0||HEREDTRY NURONDCRN TUM DSRDR 60001|81438||0||HEREDTRY NURONDCRN TUM DSRDR 60001|81439||1043.03||INHERITED CARDMYPTHY 5 GNS 60001|81440||65|%|MITOCHONDRIAL GENE 60001|81442||0||NOONAN SPECTRUM DISORDERS 60001|81445||65|%|TARGETED GENOMIC SEQ ANALYS 60001|81448||1191.47||HRDTRY PERPH NEURPHY PANEL 60001|81450||65|%|TARGETED GENOMIC SEQ ANALYS 60001|81455||65|%|TARGETED GENOMIC SEQ ANALYS 60001|81460||65|%|WHOLE MITOCHONDRIAL GENOME 60001|81465||65|%|WHOLE MITOCHONDRIAL GENOME 60001|81470||65|%|X-LINKED INTELLECTUAL DBLT 60001|81471||65|%|X-LINKED INTELLECTUAL DBLT 60001|81490||0||AUTOIMMUNE RHEUMATOID ARTHR 60001|81493||0||COR ARTERY DISEASE MRNA 60001|81519||65|%|ONCOLOGY BREAST MRNA 60001|81520||5113.38||ONC BREAST MRNA 58 GENES 60001|81521||6390.45||ONC BREAST MRNA 70 GENES 60001|81522||6390.45|| 60001|81525||0||ONCOLOGY COLON MRNA 60001|81528||499.28||ONCOLOGY COLORECTAL SCR 60001|81535||753.3||ONCOLOGY GYNECOLOGIC 60001|81536||195.75||ONCOLOGY GYNECOLOGIC 60001|81538||0||ONCOLOGY LUNG 60001|81539||782.73||ONCOLOGY PROSTATE PROB SCORE 60001|81540||0||ONCOLOGY TUM UNKNOWN ORIGIN 60001|81541||6390.45||ONC PROSTATE MRNA 46 GENES 60001|81545||0||ONCOLOGY THYROID 60001|81595||0||CARDIOLOGY HRT TRNSPL MRNA 60001|82009||6.06||TEST FOR ACETONE/KETONES 60001|82010||15.04||ACETONE ASSAY 60001|82013||20.57||ACETYLCHOLINESTERASE ASSAY 60001|82016||25.52||ACYLCARNITINES - QUAL 60001|82017||31.06||ACYLCARNITINES - QUANT 60001|82024||71.12||ASSAY OF ACTH 60001|82030||47.5||ASSAY OF ADP & AMP 60001|82040||5.3||ASSAY OF SERUM ALBUMIN 60001|82042||9.53||ASSAY OF URINE ALBUMIN 60001|82043||10.65||MICROALBUMIN - QUANTITATIVE 60001|82044||8.42||MICROALBUMIN - SEMIQUANT 60001|82045||62.5||ALBUMIN - ISCHEMIA MODIFIED 60001|82075||22.19||ASSAY OF BREATH ETHANOL 60001|82085||17.88||ASSAY OF ALDOLASE 60001|82088||75.04||ASSAY OF ALDOSTERONE 60001|82103||24.74||ALPHA-1-ANTITRYPSIN - TOTAL 60001|82104||26.62||ALPHA-1-ANTITRYPSIN - PHENO 60001|82105||30.89||ALPHA-FETOPROTEIN - SERUM 60001|82106||30.89||ALPHA-FETOPROTEIN - AMNIOTIC 60001|82107||118.6||ALPHA-FETOPROTEIN L3 60001|82108||31.03||ASSAY OF ALUMINUM 60001|82120||4.45||AMINES - VAGINAL FLUID QUAL 60001|82127||25.52||AMINO ACID - SINGLE QUAL 60001|82128||25.52||AMINO ACIDS - MULT QUAL 60001|82131||31.06||AMINO ACIDS - SINGLE QUANT 60001|82135||30.3||ASSAY - AMINOLEVULINIC ACID 60001|82136||31.06||AMINO ACIDS - QUANT - 2-5 60001|82139||31.06||AMINO ACIDS - QUAN - 6 OR MORE 60001|82140||18.21||ASSAY OF AMMONIA 60001|82143||12.65||AMNIOTIC FLUID SCAN 60001|82150||11.93||ASSAY OF AMYLASE 60001|82154||53.09||ANDROSTANEDIOL GLUCURONIDE 60001|82157||53.9||ASSAY OF ANDROSTENEDIONE 60001|82160||46.05||ASSAY OF ANDROSTERONE 60001|82163||37.79||ASSAY OF ANGIOTENSIN II 60001|82164||26.88||ANGIOTENSIN I ENZYME TEST 60001|82172||28.54||ASSAY OF APOLIPOPROTEIN 60001|82175||34.93||ASSAY OF ARSENIC 60001|82180||16.26||ASSAY OF ASCORBIC ACID 60001|82190||27.44||ATOMIC ABSORPTION 60001|82232||29.78||ASSAY OF BETA-2 PROTEIN 60001|82239||31.54||BILE ACIDS - TOTAL 60001|82240||48.93||BILE ACIDS - CHOLYLGLYCINE 60001|82247||9.23||BILIRUBIN - TOTAL 60001|82248||9.23||BILIRUBIN - DIRECT 60001|82252||8.38||FECAL BILIRUBIN TEST 60001|82261||31.06||ASSAY OF BIOTINIDASE 60001|82270||5.92||OCCULT BLOOD - OTHER SOURCES 60001|82271||5.92||OCCULT BLOOD - FECES - SINGLE 60001|82272||5.92||BLOOD OCCULT PEROXIDASE 60001|82274||29.29||ASSAY TEST FOR BLOOD - FECAL 60001|82286||12.69||ASSAY OF BRADYKININ 60001|82300||42.61||ASSAY OF CADMIUM 60001|82306||54.52||ASSAY OF VITAMIN D 60001|82308||49.31||ASSAY OF CALCITONIN 60001|82310||9.49||ASSAY OF CALCIUM 60001|82330||25.17||ASSAY OF CALCIUM 60001|82331||9.53||CALCIUM INFUSION TEST 60001|82340||11.1||ASSAY OF CALCIUM IN URINE 60001|82355||21.31||CALCULUS ANALYSIS - QUAL 60001|82360||23.7||CALCULUS ASSAY - QUANT 60001|82365||23.74||CALCULUS SPECTROSCOPY 60001|82370||23.07||X-RAY ASSAY - CALCULUS 60001|82373||11.05||ASSAY - C-D TRANSFER MEASURE 60001|82374||9.01||ASSAY - BLOOD CARBON DIOXIDE 60001|82375||5.3||ASSAY - BLOOD CARBON MONOXIDE 60001|82376||11.04||TEST FOR CARBON MONOXIDE 60001|82378||34.93||CARCINOEMBRYONIC ANTIGEN 60001|82379||31.06||ASSAY OF CARNITINE 60001|82380||16.98||ASSAY OF CAROTENE 60001|82382||31.66||ASSAY - URINE CATECHOLAMINES 60001|82383||46.14||ASSAY - BLOOD CATECHOLAMINES 60001|82384||46.49||ASSAY - THREE CATECHOLAMINES 60001|82387||38.31||ASSAY OF CATHEPSIN-D 60001|82390||19.77||ASSAY OF CERULOPLASMIN 60001|82397||26.01||CHEMILUMINESCENT ASSAY 60001|82415||23.34||ASSAY OF CHLORAMPHENICOL 60001|82435||8.46||ASSAY OF BLOOD CHLORIDE 60001|82436||9.26||ASSAY OF URINE CHLORIDE 60001|82438||9.01||ASSAY - OTHER FLUID CHLORIDES 60001|82441||11.05||TEST FOR CHLOROHYDROCARBONS 60001|82465||8.01||ASSAY - BLD/SERUM CHOLESTEROL 60001|82480||14.51||ASSAY - SERUM CHOLINESTERASE 60001|82482||14.14||ASSAY - RBC CHOLINESTERASE 60001|82485||38.02||ASSAY - CHONDROITIN SULFATE 60001|82495||37.35||ASSAY OF CHROMIUM 60001|82507||51.19||ASSAY OF CITRATE 60001|82523||34.42||COLLAGEN CROSSLINKS 60001|82525||22.85||ASSAY OF COPPER 60001|82528||41.46||ASSAY OF CORTICOSTERONE 60001|82530||30.77||CORTISOL - FREE 60001|82533||30.03||TOTAL CORTISOL 60001|82540||8.53||ASSAY OF CREATINE 60001|82542||11.05||COLUMN CHROMOTOGRAPHY - QUANT 60001|82550||12||ASSAY OF CK (CPK) 60001|82552||24.67||ASSAY OF CPK IN BLOOD 60001|82553||21.26||CREATINE - MB FRACTION 60001|82554||21.85||CREATINE - ISOFORMS 60001|82565||9.44||ASSAY OF CREATININE 60001|82570||9.53||ASSAY OF URINE CREATININE 60001|82575||17.41||CREATININE CLEARANCE TEST 60001|82585||15.79||ASSAY OF CRYOFIBRINOGEN 60001|82595||11.92||ASSAY OF CRYOGLOBULIN 60001|82600||35.72||ASSAY OF CYANIDE 60001|82607||27.76||VITAMIN B-12 60001|82608||26.36||B-12 BINDING CAPACITY 60001|82610||25.02||CYSTATIN C 60001|82615||15.03||TEST FOR URINE CYSTINES 60001|82626||46.53||DEHYDROEPIANDROSTERONE 60001|82627||40.94||DEHYDROEPIANDROSTERONE 60001|82633||57.03||DESOXYCORTICOSTERONE 60001|82634||53.9||DEOXYCORTISOL 60001|82638||22.56||ASSAY OF DIBUCAINE NUMBER 60001|82652||70.89||ASSAY OF DIHYDROXYVITAMIN D 60001|82656||19.68||PANCREATIC ELASTASE - FECAL 60001|82657||11.05||ENZYME CELL ACTIVITY 60001|82658||11.05||ENZYME CELL ACTIVITY - RA 60001|82664||63.26||ELECTROPHORETIC TEST 60001|82668||34.62||ASSAY OF ERYTHROPOIETIN 60001|82670||51.45||ASSAY OF ESTRADIOL 60001|82671||59.48||ASSAY OF ESTROGENS 60001|82672||30.67||ASSAY OF ESTROGEN 60001|82677||44.52||ASSAY OF ESTRIOL 60001|82679||45.95||ASSAY OF ESTRONE 60001|82693||27.43||ASSAY OF ETHYLENE GLYCOL 60001|82696||43.42||ASSAY OF ETIOCHOLANOLONE 60001|82705||9.37||FATS/LIPIDS - FECES - QUAL 60001|82710||30.94||FATS/LIPIDS - FECES - QUANT 60001|82715||31.69||ASSAY OF FECAL FAT 60001|82725||24.52||ASSAY OF BLOOD FATTY ACIDS 60001|82726||11.05||LONG CHAIN FATTY ACIDS 60001|82728||25.09||ASSAY OF FERRITIN 60001|82731||118.6||ASSAY OF FETAL FIBRONECTIN 60001|82735||34.14||ASSAY OF FLUORIDE 60001|82746||27.07||BLOOD FOLIC ACID SERUM 60001|82747||31.89||ASSAY OF FOLIC ACID - RBC 60001|82757||31.93||ASSAY OF SEMEN FRUCTOSE 60001|82759||39.56||ASSAY OF RBC GALACTOKINASE 60001|82760||20.62||ASSAY OF GALACTOSE 60001|82775||38.79||ASSAY GALACTOSE TRANSFERASE 60001|82776||15.44||GALACTOSE TRANSFERASE TEST 60001|82777||23.14||GALECTIN 3 60001|82784||17.12||ASSAY OF GAMMAGLOBULIN IGM 60001|82785||30.32||ASSAY OF GAMMAGLOBULIN IGE 60001|82787||14.78||IGG 1 - 2 - 3 OR 4 - EACH 60001|82800||15.59||BLOOD PH 60001|82803||35.62||BLOOD GASES: PH - PO2 & PCO2 60001|82805||52.26||BLOOD GASES W/02 SATURATION 60001|82810||16.07||BLOOD GASES - O2 SAT ONLY 60001|82820||18.41||HEMOGLOBIN-OXYGEN AFFINITY 60001|82930||10.05||GASTRIC ANALY W/PH EA SPEC 60001|82938||32.58||GASTRIN TEST 60001|82941||32.47||ASSAY OF GASTRIN 60001|82943||26.31||ASSAY OF GLUCAGON 60001|82945||7.23||GLUCOSE OTHER FLUID 60001|82946||27.76||GLUCAGON TOLERANCE TEST 60001|82947||7.23||ASSAY - GLUCOSE - BLOOD QUANT 60001|82948||5.82||REAGENT STRIP/BLOOD GLUCOSE 60001|82950||8.75||GLUCOSE TEST 60001|82951||23.7||GLUCOSE TOLERANCE TEST (GTT) 60001|82952||7.22||GTT-ADDED SAMPLES 60001|82955||14.37||ASSAY OF G6PD ENZYME 60001|82960||11.14||TEST FOR G6PD ENZYME 60001|82962||4.32||GLUCOSE BLOOD TEST 60001|82963||39.56||ASSAY OF GLUCOSIDASE 60001|82965||14.23||ASSAY OF GDH ENZYME 60001|82977||13.26||ASSAY OF GGT 60001|82978||26.25||ASSAY OF GLUTATHIONE 60001|82979||12.69||ASSAY - RBC GLUTATHIONE 60001|82985||27.76||GLYCATED PROTEIN 60001|83001||34.22||GONADOTROPIN (FSH) 60001|83002||34.1||GONADOTROPIN (LH) 60001|83003||26.21||ASSAY - GROWTH HORMONE (HGH) 60001|83006||38.91||GROWTH STIMULATION GENE 2 60001|83009||24.89||H PYLORI (C-13) - BLOOD 60001|83010||6.86||ASSAY OF HAPTOGLOBIN - QUANT 60001|83012||31.66||ASSAY OF HAPTOGLOBINS 60001|83013||124.02||H PYLORI (C-13) - BREATH 60001|83014||14.48||H PYLORI DRUG ADMIN 60001|83015||34.67||HEAVY METAL SCREEN 60001|83018||40.44||QUANTITATIVE SCREEN - METALS 60001|83020||18.01||HEMOGLOBIN ELECTROPHORESIS 60001|83020|26|30.92||HEMOGLOBIN ELECTROPHORESIS 60001|83021||11.05||HEMOGLOBIN CHROMOTOGRAPHY 60001|83026||4.34||HEMOGLOBIN - COPPER SULFATE 60001|83030||15.22||FETAL HEMOGLOBIN - CHEMICAL 60001|83033||10.97||FETAL HEMOGLOBIN ASSAY - QUAL 60001|83036|26|17.88||GLYCOSYLATED HEMOGLOBIN TEST 60001|83036||17.88||GLYCOSYLATED HEMOGLOBIN TEST 60001|83037||17.88||GLYCOSYLATED HB - HOME DEVICE 60001|83045||7.57||BLOOD METHEMOGLOBIN TEST 60001|83050||13.48||BLOOD METHEMOGLOBIN ASSAY 60001|83051||13.46||ASSAY OF PLASMA HEMOGLOBIN 60001|83060||15.22||BLOOD SULFHEMOGLOBIN ASSAY 60001|83065||12.69||ASSAY OF HEMOGLOBIN HEAT 60001|83068||15.59||HEMOGLOBIN STABILITY SCREEN 60001|83069||7.27||ASSAY OF URINE HEMOGLOBIN 60001|83070||8.75||ASSAY OF HEMOSIDERIN - QUAL 60001|83080||31.06||ASSAY OF B HEXOSAMINIDASE 60001|83088||54.38||ASSAY OF HISTAMINE 60001|83090||31.06||ASSAY OF HOMOCYSTINE 60001|83150||35.62||ASSAY OF FOR HVA 60001|83491||32.25||ASSAY OF CORTICOSTEROIDS 60001|83497||23.74||ASSAY OF 5-HIAA 60001|83498||50.02||ASSAY OF PROGESTERONE 60001|83499||46.42||ASSAY OF PROGESTERONE 60001|83500||41.7||ASSAY - FREE HYDROXYPROLINE 60001|83505||44.76||ASSAY - TOTAL HYDROXYPROLINE 60001|83516||19.68||IMMUNOASSAY - NONANTIBODY 60001|83518||15.6||IMMUNOASSAY - DIPSTICK 60001|83519||24.88||IMMUNOASSAY - NONANTIBODY 60001|83520||23.84||IMMUNOASSAY - RIA 60001|83525||21.05||ASSAY OF INSULIN 60001|83527||23.84||ASSAY OF INSULIN 60001|83528||29.29||ASSAY OF INTRINSIC FACTOR 60001|83540||11.93||ASSAY OF IRON 60001|83550||16.09||IRON BINDING TEST 60001|83570||16.29||ASSAY OF IDH ENZYME 60001|83582||26.1||ASSAY OF KETOGENIC STEROIDS 60001|83586||23.13||ASSAY 17- KETOSTEROIDS 60001|83593||48.42||FRACTIONATION - KETOSTEROIDS 60001|83605||19.67||ASSAY OF LACTIC ACID 60001|83615||11.12||LACTATE (LD) (LDH) ENZYME 60001|83625||21.32||ASSAY OF LDH ENZYMES 60001|83630||36.14||LACTOFERRIN - FECAL (QUAL) 60001|83631||36.14||LACTOFERRIN - FECAL (QUANT) 60001|83632||37.22||PLACENTAL LACTOGEN 60001|83633||10.13||TEST URINE FOR LACTOSE 60001|83655||22.29||ASSAY OF LEAD 60001|83661||40.48||L/S RATIO - FETAL LUNG 60001|83662||34.84||FOAM STABILITY - FETAL LUNG 60001|83663||34.84||FLUORO POLARIZE - FETAL LUNG 60001|83664||34.84||LAMELLAR BDY - FETAL LUNG 60001|83670||16.87||ASSAY OF LAP ENZYME 60001|83690||12.69||ASSAY OF LIPASE 60001|83695||23.84||ASSAY OF LIPOPROTEIN(A) 60001|83698||62.5||ASSAY LIPOPROTEIN PLA2 60001|83700||16.11||LIPOPRO BLD - ELECTROPHORETIC 60001|83701||45.71||LIPOPROTEIN BLD - HR FRACTION 60001|83704||58.1||LIPOPROTEIN - BLD - BY NMR 60001|83718||15.08||ASSAY OF LIPOPROTEIN 60001|83719||21.42||ASSAY OF BLOOD LIPOPROTEIN 60001|83721||17.56||ASSAY OF BLOOD LIPOPROTEIN 60001|83727||31.66||ASSAY OF LRH HORMONE 60001|83735||12.34||ASSAY OF MAGNESIUM 60001|83775||13.57||ASSAY OF MD ENZYME 60001|83785||45.28||ASSAY OF MANGANESE 60001|83789||11.05||MASS SPECTROMETRY QUANT 60001|83825||29.94||ASSAY OF MERCURY 60001|83835||31.2||ASSAY OF METANEPHRINES 60001|83857||19.77||ASSAY OF METHEMALBUMIN 60001|83861||30.42||MICROFLUID ANALY TEARS 60001|83864||36.66||MUCOPOLYSACCHARIDES 60001|83872||10.79||ASSAY SYNOVIAL FLUID MUCIN 60001|83873||31.68||ASSAY OF CSF PROTEIN 60001|83874||23.78||ASSAY OF MYOGLOBIN 60001|83876||62.5||ASSAY - MYELOPEROXIDASE 60001|83880||62.5||NATRIURETIC PEPTIDE 60001|83883||25.02||ASSAY - NEPHELOMETRY NOT SPEC 60001|83885||45.11||ASSAY OF NICKEL 60001|83912|26|29.4||GENETIC EXAMINATION 60001|83915||20.54||ASSAY OF NUCLEOTIDASE 60001|83916||37.02||OLIGOCLONAL BANDS 60001|83918||30.3||ORGANIC ACIDS - TOTAL - QUANT 60001|83919||30.3||ORGANIC ACIDS - QUAL - EACH 60001|83921||30.3||ORGANIC ACID - SINGLE - QUANT 60001|83930||12.17||ASSAY OF BLOOD OSMOLALITY 60001|83935||12.54||ASSAY OF URINE OSMOLALITY 60001|83937||54.96||ASSAY OF OSTEOCALCIN 60001|83945||23.7||ASSAY OF OXALATE 60001|83950||118.6||ONCOPROTEIN - HER-2/NEU 60001|83951||118.6||ONCOPROTEIN - DCP 60001|83970||76||ASSAY OF PARATHORMONE 60001|83986||6.59||ASSAY OF BODY FLUID ACIDITY 60001|83987||29.24||EXHALED BREATH CONDENSATE 60001|83992||27.07||ASSAY FOR PHENCYCLIDINE 60001|83993||36.14||ASSAY FOR CALPROTECTIN FECAL 60001|84030||10.13||ASSAY OF BLOOD PKU 60001|84035||6.75||ASSAY OF PHENYLKETONES 60001|84060||13.6||ASSAY ACID PHOSPHATASE 60001|84061||14.56||PHOSPHATASE - FORENSIC EXAM 60001|84066||17.78||ASSAY PROSTATE PHOSPHATASE 60001|84075||9.53||ASSAY ALKALINE PHOSPHATASE 60001|84078||13.44||ASSAY ALKALINE PHOSPHATASE 60001|84080||27.24||ASSAY ALKALINE PHOSPHATASES 60001|84081||30.42||AMNIOTIC FLUID ENZYME TEST 60001|84085||12.42||ASSAY OF RBC PG6D ENZYME 60001|84087||19.01||ASSAY PHOSPHOHEXOSE ENZYMES 60001|84100||8.74||ASSAY OF PHOSPHORUS 60001|84105||9.53||ASSAY OF URINE PHOSPHORUS 60001|84106||7.88||TEST FOR PORPHOBILINOGEN 60001|84110||15.55||ASSAY OF PORPHOBILINOGEN 60001|84112||114.24||PLACENTA ALPHA MICRO IG C/V 60001|84119||15.86||TEST URINE FOR PORPHYRINS 60001|84120||27.08||ASSAY OF URINE PORPHYRINS 60001|84126||46.9||ASSAY OF FECES PORPHYRINS 60001|84132||8.46||ASSAY OF SERUM POTASSIUM 60001|84133||7.92||ASSAY OF URINE POTASSIUM 60001|84134||26.84||ASSAY OF PREALBUMIN 60001|84135||35.23||ASSAY OF PREGNANEDIOL 60001|84138||34.87||ASSAY OF PREGNANETRIOL 60001|84140||38.08||ASSAY OF PREGNENOLONE 60001|84143||42.02||ASSAY OF 17-HYDROXYPREGNENO 60001|84144||37.51||ASSAY OF PROGESTERONE 60001|84145||49.31||PROCALCITONIN (PCT) 60001|84146||35.69||ASSAY OF PROLACTIN 60001|84150||45.95||ASSAY OF PROSTAGLANDIN 60001|84152||33.88||ASSAY OF PSA - COMPLEXED 60001|84153||33.88||ASSAY OF PSA - TOTAL 60001|84154||33.88||ASSAY OF PSA - FREE 60001|84155||6.75||ASSAY OF PROTEIN - SERUM 60001|84156||6.75||ASSAY OF PROTEIN - URINE 60001|84157||6.75||ASSAY OF PROTEIN - OTHER 60001|84160||9.53||ASSAY OF PROTEIN - ANY SOURCE 60001|84163||11.82||PAPPA - SERUM 60001|84165||19.77||PROTEIN E-PHORESIS - SERUM 60001|84165|26|30.41||PROTEIN E-PHORESIS - SERUM 60001|84166||32.84||PROTEIN E-PHORESIS/URINE/CSF 60001|84166|26|30.41||PROTEIN E-PHORESIS/URINE/CSF 60001|84181||31.36||WESTERN BLOT TEST 60001|84181|26|30.41||WESTERN BLOT TEST 60001|84182||33.14||PROTEIN - WESTERN BLOT TEST 60001|84182|26|28.9||PROTEIN - WESTERN BLOT TEST 60001|84202||26.42||ASSAY RBC PROTOPORPHYRIN 60001|84203||15.86||TEST RBC PROTOPORPHYRIN 60001|84206||32.8||ASSAY OF PROINSULIN 60001|84207||51.74||ASSAY OF VITAMIN B-6 60001|84210||19.98||ASSAY OF PYRUVATE 60001|84220||17.37||ASSAY OF PYRUVATE KINASE 60001|84228||21.42||ASSAY OF QUININE 60001|84233||118.6||ASSAY OF ESTROGEN 60001|84234||119.46||ASSAY OF PROGESTERONE 60001|84235||96.37||ASSAY OF ENDOCRINE HORMONE 60001|84238||67.33||ASSAY - NONENDOCRINE RECEPTOR 60001|84244||40.49||ASSAY OF RENIN 60001|84252||37.26||ASSAY OF VITAMIN B-2 60001|84255||47.01||ASSAY OF SELENIUM 60001|84260||57.03||ASSAY OF SEROTONIN 60001|84270||40.01||ASSAY OF SEX HORMONE GLOBUL 60001|84275||24.74||ASSAY OF SIALIC ACID 60001|84285||43.35||ASSAY OF SILICA 60001|84295||8.87||ASSAY OF SERUM SODIUM 60001|84300||6.36||ASSAY OF URINE SODIUM 60001|84302||6.36||ASSAY OF SWEAT SODIUM 60001|84305||39.14||ASSAY OF SOMATOMEDIN 60001|84307||33.67||ASSAY OF SOMATOSTATIN 60001|84311||12.87||SPECTROPHOTOMETRY 60001|84315||4.61||BODY FLUID SPECIFIC GRAVITY 60001|84375||36.1||CHROMATOGRAM ASSAY - SUGARS 60001|84376||10.13||SUGARS - SINGLE - QUAL 60001|84377||10.13||SUGARS - MULTIPLE - QUAL 60001|84378||21.22||SUGARS - SINGLE - QUANT 60001|84379||21.22||SUGARS MULTIPLE QUANT 60001|84392||8.75||ASSAY OF URINE SULFATE 60001|84402||46.89||ASSAY OF TESTOSTERONE 60001|84403||47.54||ASSAY OF TOTAL TESTOSTERONE 60001|84410||94.32||TESTOSTERONE BIOAVAILABLE 60001|84425||39.09||ASSAY OF VITAMIN B-1 60001|84430||10.62||ASSAY OF THIOCYANATE 60001|84431||30.94||THROMBOXANE - URINE 60001|84432||29.59||ASSAY OF THYROGLOBULIN 60001|84436||12.65||ASSAY OF TOTAL THYROXINE 60001|84437||11.92||ASSAY OF NEONATAL THYROXINE 60001|84439||16.6||ASSAY OF FREE THYROXINE 60001|84442||21.44||ASSAY OF THYROID ACTIVITY 60001|84443||30.94||ASSAY THYROID STIM HORMONE 60001|84445||15.6||ASSAY OF TSI 60001|84446||26.1||ASSAY OF VITAMIN E 60001|84449||33.14||ASSAY OF TRANSCORTIN 60001|84450||9.53||TRANSFERASE (AST) (SGOT) 60001|84460||9.75||ALANINE AMINO (ALT) (SGPT) 60001|84466||23.52||ASSAY OF TRANSFERRIN 60001|84478||10.59||ASSAY OF TRIGLYCERIDES 60001|84479||11.92||ASSAY OF THYROID (T3 OR T4) 60001|84480||23.48||ASSAY - TRIIODOTHYRONINE (T3) 60001|84481||31.2||FREE ASSAY (FT-3) 60001|84482||29.03||T3 REVERSE 60001|84484||18.12||ASSAY OF TROPONIN - QUANT 60001|84485||13.82||ASSAY DUODENAL FLUID TRYPSIN 60001|84488||13.44||TEST FECES FOR TRYPSIN 60001|84490||14||ASSAY OF FECES FOR TRYPSIN 60001|84510||19.15||ASSAY OF TYROSINE 60001|84512||13.6||ASSAY OF TROPONIN - QUAL 60001|84520||7.27||ASSAY OF UREA NITROGEN 60001|84525||4.45||UREA NITROGEN SEMI-QUANT 60001|84540||8.75||ASSAY OF URINE/UREA-N 60001|84545||12.16||UREA-N CLEARANCE TEST 60001|84550||8.32||ASSAY OF BLOOD/URIC ACID 60001|84560||8.75||ASSAY OF URINE/URIC ACID 60001|84577||12.87||ASSAY OF FECES/UROBILINOGEN 60001|84578||5.98||TEST URINE UROBILINOGEN 60001|84580||13.07||ASSAY OF URINE UROBILINOGEN 60001|84583||9.26||ASSAY OF URINE UROBILINOGEN 60001|84585||28.55||ASSAY OF URINE VMA 60001|84586||65.06||ASSAY OF VIP 60001|84588||62.5||ASSAY OF VASOPRESSIN 60001|84590||21.36||ASSAY OF VITAMIN A 60001|84591||21.36||ASSAY OF NOS VITAMIN 60001|84597||25.25||ASSAY OF VITAMIN K 60001|84600||29.6||ASSAY OF VOLATILES 60001|84620||21.81||XYLOSE TOLERANCE TEST 60001|84630||20.96||ASSAY OF ZINC 60001|84681||29.26||ASSAY OF C-PEPTIDE 60001|84702||11.82||CHORIONIC GONADOTROPIN TEST 60001|84703||11.82||CHORIONIC GONADOTROPIN ASSAY 60001|84704||11.82||HCG - FREE BETACHAIN TEST 60001|84830||18.47||OVULATION TESTS 60001|85002||8.29||BLEEDING TIME TEST 60001|85004||11.92||AUTOMATED DIFF WBC COUNT 60001|85007||6.33||BL SMEAR W/DIFF WBC COUNT 60001|85008||6.33||BL SMEAR W/O DIFF WBC COUNT 60001|85009||6.85||MANUAL DIFF WBC COUNT B-COAT 60001|85013||4.35||SPUN MICROHEMATOCRIT 60001|85014||4.35||HEMATOCRIT 60001|85018||4.35||HEMOGLOBIN 60001|85025||14.33||COMPLETE CBC W/AUTO DIFF WBC 60001|85027||11.92||COMPLETE CBC - AUTOMATED 60001|85032||7.92||MANUAL CELL COUNT - EACH 60001|85041||5.55||AUTOMATED RBC COUNT 60001|85044||7.92||MANUAL RETICULOCYTE COUNT 60001|85045||7.37||AUTOMATED RETICULOCYTE COUNT 60001|85046||10.27||RETICYTE/HGB CONCENTRATE 60001|85048||4.68||AUTOMATED LEUKOCYTE COUNT 60001|85049||8.23||AUTOMATED PLATELET COUNT 60001|85055||48.07||RETICULATED PLATELET ASSAY 60001|85060||29.09||BLOOD SMEAR INTERPRETATION 60001|85097||58.35||BONE MARROW INTERPRETATION 60001|85130||21.91||CHROMOGENIC SUBSTRATE ASSAY 60001|85170||6.66||BLOOD CLOT RETRACTION 60001|85175||8.38||BLOOD CLOT LYSIS TIME 60001|85210||23.91||BLOOD CLOT FACTOR II TEST 60001|85220||32.5||BLOOD CLOT FACTOR V TEST 60001|85230||32.97||BLOOD CLOT FACTOR VII TEST 60001|85240||32.97||BLOOD CLOT FACTOR VIII TEST 60001|85244||37.58||BLOOD CLOT FACTOR VIII TEST 60001|85245||42.25||BLOOD CLOT FACTOR VIII TEST 60001|85246||42.25||BLOOD CLOT FACTOR VIII TEST 60001|85247||42.25||BLOOD CLOT FACTOR VIII TEST 60001|85250||35.06||BLOOD CLOT FACTOR IX TEST 60001|85260||32.97||BLOOD CLOT FACTOR X TEST 60001|85270||32.97||BLOOD CLOT FACTOR XI TEST 60001|85280||35.62||BLOOD CLOT FACTOR XII TEST 60001|85290||30.09||BLOOD CLOT FACTOR XIII TEST 60001|85291||16.37||BLOOD CLOT FACTOR XIII TEST 60001|85292||34.88||BLOOD CLOT FACTOR ASSAY 60001|85293||34.88||BLOOD CLOT FACTOR ASSAY 60001|85300||21.83||ANTITHROMBIN III TEST 60001|85301||19.9||ANTITHROMBIN III TEST 60001|85302||22.14||BLOOD CLOT INHIBITOR ANTIGEN 60001|85303||25.47||BLOOD CLOT INHIBITOR TEST 60001|85305||21.36||BLOOD CLOT INHIBITOR ASSAY 60001|85306||28.21||BLOOD CLOT INHIBITOR TEST 60001|85307||28.21||ASSAY ACTIVATED PROTEIN C 60001|85335||23.7||FACTOR INHIBITOR TEST 60001|85337||19.2||THROMBOMODULIN 60001|85345||6.36||COAGULATION TIME 60001|85347||7.84||COAGULATION TIME 60001|85348||6.36||COAGULATION TIME 60001|85360||15.47||EUGLOBULIN LYSIS 60001|85362||12.69||FIBRIN DEGRADATION PRODUCTS 60001|85366||15.86||FIBRINOGEN TEST 60001|85370||20.9||FIBRINOGEN TEST 60001|85378||13.13||FIBRIN DEGRADE - SEMIQUANT 60001|85379||18.75||FIBRIN DEGRADATION - QUANT 60001|85380||18.75||FIBRIN DEGRADATION - VTE 60001|85384||15.64||FIBRINOGEN 60001|85385||15.64||FIBRINOGEN 60001|85390||9.52||FIBRINOLYSINS SCREEN 60001|85390|26|30.92||FIBRINOLYSINS SCREEN 60001|85396||23.96||CLOTTING ASSAY - WHOLE BLOOD 60001|85397||42.25||CLOTTING FUNCT ACTIVITY 60001|85400||16.29||FIBRINOLYTIC PLASMIN 60001|85410||14.21||FIBRINOLYTIC ANTIPLASMIN 60001|85415||31.66||FIBRINOLYTIC PLASMINOGEN 60001|85420||12.04||FIBRINOLYTIC PLASMINOGEN 60001|85421||18.76||FIBRINOLYTIC PLASMINOGEN 60001|85441||7.75||HEINZ BODIES - DIRECT 60001|85445||12.54||HEINZ BODIES - INDUCED 60001|85460||4.45||HEMOGLOBIN - FETAL 60001|85461||12.22||HEMOGLOBIN - FETAL 60001|85475||9.61||HEMOLYSIN 60001|85520||24.1||HEPARIN ASSAY 60001|85525||21.81||HEPARIN NEUTRALIZATION 60001|85530||26.1||HEPARIN-PROTAMINE TOLERANCE 60001|85536||11.92||IRON STAIN PERIPHERAL BLOOD 60001|85540||11.13||WBC ALKALINE PHOSPHATASE 60001|85547||11.13||RBC MECHANICAL FRAGILITY 60001|85549||34.54||MURAMIDASE 60001|85555||12.3||RBC OSMOTIC FRAGILITY 60001|85557||24.6||RBC OSMOTIC FRAGILITY 60001|85576||39.56||BLOOD PLATELET AGGREGATION 60001|85576|26|30.92||BLOOD PLATELET AGGREGATION 60001|85597||33.1||PLATELET NEUTRALIZATION 60001|85598||33.1||HEXAGNAL PHOSPH PLTLT NEUTRL 60001|85610||7.23||PROTHROMBIN TIME 60001|85611||7.25||PROTHROMBIN TEST 60001|85612||17.63||VIPER VENOM PROTHROMBIN TIME 60001|85613||17.63||RUSSELL VIPER VENOM - DILUTED 60001|85635||18.13||REPTILASE TEST 60001|85651||6.53||RBC SED RATE - NONAUTOMATED 60001|85652||4.98||RBC SED RATE - AUTOMATED 60001|85660||10.15||RBC SICKLE CELL TEST 60001|85670||10.63||THROMBIN TIME - PLASMA 60001|85675||11.13||THROMBIN TIME - TITER 60001|85705||17.73||THROMBOPLASTIN INHIBITION 60001|85730||11.05||THROMBOPLASTIN TIME - PARTIAL 60001|85732||11.92||THROMBOPLASTIN TIME - PARTIAL 60001|85810||21.49||BLOOD VISCOSITY EXAMINATION 60001|86000||12.86||AGGLUTININS - FEBRILE 60001|86001||9.61||ALLERGEN SPECIFIC IGG 60001|86003||9.61||ALLERGEN SPECIFIC IGE 60001|86005||10.14||ALLERGEN SPECIFIC IGE 60001|86008||36.53||ALLG SPEC IGE RECOMB EA 60001|86021||27.73||WBC ANTIBODY IDENTIFICATION 60001|86022||33.83||PLATELET ANTIBODIES 60001|86023||22.93||IMMUNOGLOBULIN ASSAY 60001|86038||22.26||ANTINUCLEAR ANTIBODIES 60001|86039||20.55||ANTINUCLEAR ANTIBODIES (ANA) 60001|86060||12.87||ANTISTREPTOLYSIN O - TITER 60001|86063||10.63||ANTISTREPTOLYSIN O - SCREEN 60001|86077||59.94||PHYSICIAN BLOOD BANK SERVICE 60001|86078||60.34||PHYSICIAN BLOOD BANK SERVICE 60001|86079||60.34||PHYSICIAN BLOOD BANK SERVICE 60001|86140||9.53||C-REACTIVE PROTEIN 60001|86141||23.84||C-REACTIVE PROTEIN - HS 60001|86146||46.85||GLYCOPROTEIN ANTIBODY 60001|86147||46.85||CARDIOLIPIN ANTIBODY 60001|86148||29.59||PHOSPHOLIPID ANTIBODY 60001|86152||42.46||CELL ENUMERATION & ID 60001|86153||42.46||CELL ENUMERATION PHYS INTERP 60001|86155||29.43||CHEMOTAXIS ASSAY 60001|86156||12.34||COLD AGGLUTININ - SCREEN 60001|86157||14.86||COLD AGGLUTININ - TITER 60001|86160||22.11||COMPLEMENT - ANTIGEN 60001|86161||22.11||COMPLEMENT/FUNCTION ACTIVITY 60001|86162||37.41||COMPLEMENT - TOTAL (CH50) 60001|86171||12.87||COMPLEMENT FIXATION - EACH 60001|86185||16.47||COUNTERIMMUNOELECTROPHORESIS 60001|86200||23.84||CCP ANTIBODY 60001|86215||24.4||DEOXYRIBONUCLEASE - ANTIBODY 60001|86225||25.29||DNA ANTIBODY 60001|86226||22.29||DNA ANTIBODY - SINGLE STRAND 60001|86235||33.02||NUCLEAR ANTIGEN ANTIBODY 60001|86243||37.78||FC RECEPTOR 60001|86255||22.19||FLUORESCENT ANTIBODY - SCREEN 60001|86255|26|30.92||FLUORESCENT ANTIBODY - SCREEN 60001|86256||22.19||FLUORESCENT ANTIBODY - TITER 60001|86256|26|29.37||FLUORESCENT ANTIBODY - TITER 60001|86277||28.98||GROWTH HORMONE ANTIBODY 60001|86280||15.08||HEMAGGLUTINATION INHIBITION 60001|86294||21.33||IMMUNOASSAY - TUMOR - QUAL 60001|86300||38.32||IMMUNOASSAY - TUMOR - CA 15-3 60001|86301||38.32||IMMUNOASSAY - TUMOR - CA 19-9 60001|86304||38.32||IMMUNOASSAY - TUMOR - CA 125 60001|86305||38.32||HUMAN EPIDIDYMIS PROTEIN 4 60001|86308||9.53||HETEROPHILE ANTIBODIES 60001|86309||11.92||HETEROPHILE ANTIBODIES 60001|86310||13.56||HETEROPHILE ANTIBODIES 60001|86316||38.32||IMMUNOASSAY - TUMOR OTHER 60001|86317||22.1||IMMUNOASSAY - INFECTIOUS AGENT 60001|86318||23.84||IMMUNOASSAY - INFECTIOUS AGENT 60001|86320||41.27||SERUM IMMUNOELECTROPHORESIS 60001|86320|26|29.37||SERUM IMMUNOELECTROPHORESIS 60001|86325||41.17||OTHER IMMUNOELECTROPHORESIS 60001|86325|26|29.37||OTHER IMMUNOELECTROPHORESIS 60001|86327||41.78||IMMUNOELECTROPHORESIS ASSAY 60001|86327|26|34.73||IMMUNOELECTROPHORESIS ASSAY 60001|86328||36|| 60001|86329||25.86||IMMUNODIFFUSION 60001|86331||22.07||IMMUNODIFFUSION OUCHTERLONY 60001|86332||44.88||IMMUNE COMPLEX ASSAY 60001|86334||41.13||IMMUNOFIX E-PHORESIS - SERUM 60001|86334|26|30.41||IMMUNOFIX E-PHORESIS - SERUM 60001|86335||54.04||IMMUNFIX E-PHORSIS/URINE/CSF 60001|86335|26|30.41||IMMUNFIX E-PHORSIS/URINE/CSF 60001|86336||23.84||INHIBIN A 60001|86337||39.43||INSULIN ANTIBODIES 60001|86340||27.76||INTRINSIC FACTOR ANTIBODY 60001|86341||36.43||ISLET CELL ANTIBODY 60001|86343||22.94||LEUKOCYTE HISTAMINE RELEASE 60001|86344||14.7||LEUKOCYTE PHAGOCYTOSIS 60001|86352||250.16||CELL FUNCTION ASSAY W/STIM 60001|86353||90.27||LYMPHOCYTE TRANSFORMATION 60001|86355||43.38||B CELLS - TOTAL COUNT 60001|86356||48.07||MONONUCLEAR CELL ANTIGEN 60001|86357||43.38||NK CELLS - TOTAL COUNT 60001|86359||43.38||T CELLS - TOTAL COUNT 60001|86360||86.52||T CELL - ABSOLUTE COUNT/RATIO 60001|86361||48.07||T CELL - ABSOLUTE COUNT 60001|86367||43.38||STEM CELLS - TOTAL COUNT 60001|86376||26.79||MICROSOMAL ANTIBODY 60001|86378||36.24||MIGRATION INHIBITORY FACTOR 60001|86382||31.14||NEUTRALIZATION TEST - VIRAL 60001|86384||20.96||NITROBLUE TETRAZOLIUM DYE 60001|86386||29.39||NUCLEAR MATRIX PROTEIN 22 60001|86403||18.77||PARTICLE AGGLUTINATION TEST 60001|86406||19.59||PARTICLE AGGLUTINATION TEST 60001|86430||10.45||RHEUMATOID FACTOR TEST 60001|86431||10.45||RHEUMATOID FACTOR - QUANT 60001|86480||114.13||TB TEST - CELL IMMUN MEASURE 60001|86481||137.96||TB AG RESPONSE T-CELL SUSP 60001|86486||6.37||SKIN TEST - NOS ANTIGEN 60001|86490||7.56||COCCIDIOIDOMYCOSIS SKIN TEST 60001|86510||7.56||HISTOPLASMOSIS SKIN TEST 60001|86580||9.15||TB INTRADERMAL TEST 60001|86590||20.33||STREPTOKINASE - ANTIBODY 60001|86592||7.87||BLOOD SEROLOGY - QUALITATIVE 60001|86593||8.1||BLOOD SEROLOGY - QUANTITATIVE 60001|86602||18.75||ANTINOMYCES ANTIBODY 60001|86603||23.7||ADENOVIRUS ANTIBODY 60001|86606||27.73||ASPERGILLUS ANTIBODY 60001|86609||23.73||BACTERIUM ANTIBODY 60001|86611||18.75||BARTONELLA ANTIBODY 60001|86612||23.76||BLASTOMYCES ANTIBODY 60001|86615||24.28||BORDETELLA ANTIBODY 60001|86617||28.52||LYME DISEASE ANTIBODY 60001|86618||31.36||LYME DISEASE ANTIBODY 60001|86619||24.64||BORRELIA ANTIBODY 60001|86622||16.44||BRUCELLA ANTIBODY 60001|86625||24.15||CAMPYLOBACTER ANTIBODY 60001|86628||22.11||CANDIDA ANTIBODY 60001|86631||21.77||CHLAMYDIA ANTIBODY 60001|86632||23.36||CHLAMYDIA IGM ANTIBODY 60001|86635||21.12||COCCIDIOIDES ANTIBODY 60001|86638||22.33||Q FEVER ANTIBODY 60001|86641||26.55||CRYPTOCOCCUS ANTIBODY 60001|86644||21.44||CMV ANTIBODY 60001|86645||31.02||CMV ANTIBODY - IGM 60001|86648||28||DIPHTHERIA ANTIBODY 60001|86651||24.28||ENCEPHALITIS ANTIBODY 60001|86652||24.28||ENCEPHALITIS ANTIBODY 60001|86653||24.28||ENCEPHALITIS ANTIBODY 60001|86654||24.28||ENCEPHALITIS ANTIBODY 60001|86658||24||ENTEROVIRUS ANTIBODY 60001|86663||24.15||EPSTEIN-BARR ANTIBODY 60001|86664||28.17||EPSTEIN-BARR ANTIBODY 60001|86665||33.4||EPSTEIN-BARR ANTIBODY 60001|86666||18.75||EHRLICHIA ANTIBODY 60001|86668||19.15||FRANCISELLA TULARENSIS 60001|86671||22.57||FUNGUS ANTIBODY 60001|86674||27.11||GIARDIA LAMBLIA ANTIBODY 60001|86677||26.73||HELICOBACTER PYLORI 60001|86682||23.96||HELMINTH ANTIBODY 60001|86684||29.17||HEMOPHILUS INFLUENZA 60001|86687||15.44||HTLV-I ANTIBODY 60001|86688||25.79||HTLV-II ANTIBODY 60001|86689||35.63||HTLV/HIV CONFIRMATORY TEST 60001|86692||31.6||HEPATITIS - DELTA AGENT 60001|86694||21.44||HERPES SIMPLEX TEST 60001|86695||24.28||HERPES SIMPLEX TEST 60001|86696||35.63||HERPES SIMPLEX TYPE 2 60001|86698||23.02||HISTOPLASMA 60001|86701||16.35||HIV-1 60001|86702||24.88||HIV-2 60001|86703||25.26||HIV-1/HIV-2 - SINGLE ASSAY 60001|86704||22.19||HEP B CORE ANTIBODY - TOTAL 60001|86705||21.67||HEP B CORE ANTIBODY - IGM 60001|86706||19.77||HEP B SURFACE ANTIBODY 60001|86707||21.29||HEP BE ANTIBODY 60001|86708||22.81||HEP A ANTIBODY - TOTAL 60001|86709||20.73||HEP A ANTIBODY - IGM 60001|86710||24.96||INFLUENZA VIRUS ANTIBODY 60001|86711||25.73||JOHN CUNNINGHAM ANTIBODY 60001|86713||28.17||LEGIONELLA ANTIBODY 60001|86717||22.56||LEISHMANIA ANTIBODY 60001|86720||24.28||LEPTOSPIRA ANTIBODY 60001|86723||24.28||LISTERIA MONOCYTOGENES AB 60001|86727||23.7||LYMPH CHORIOMENINGITIS AB 60001|86729||22||LYMPHO VENEREUM ANTIBODY 60001|86732||24.28||MUCORMYCOSIS ANTIBODY 60001|86735||24.04||MUMPS ANTIBODY 60001|86738||24.39||MYCOPLASMA ANTIBODY 60001|86741||24.28||NEISSERIA MENINGITIDIS 60001|86744||24.28||NOCARDIA ANTIBODY 60001|86747||27.69||PARVOVIRUS ANTIBODY 60001|86750||24.28||MALARIA ANTIBODY 60001|86753||22.81||PROTOZOA ANTIBODY NOS 60001|86756||23.74||RESPIRATORY VIRUS ANTIBODY 60001|86757||35.63||RICKETTSIA ANTIBODY 60001|86759||24.28||ROTAVIRUS ANTIBODY 60001|86762||21.44||RUBELLA ANTIBODY 60001|86765||23.73||RUBEOLA ANTIBODY 60001|86768||24.28||SALMONELLA ANTIBODY 60001|86769||51|| 60001|86771||24.28||SHIGELLA ANTIBODY 60001|86774||27.25||TETANUS ANTIBODY 60001|86777||21.44||TOXOPLASMA ANTIBODY 60001|86778||26.52||TOXOPLASMA ANTIBODY - IGM 60001|86780||24.38||TREPONEMA PALLIDUM 60001|86784||23.14||TRICHINELLA ANTIBODY 60001|86787||23.73||VARICELLA-ZOSTER ANTIBODY 60001|86788||31.02||WEST NILE VIRUS AB - IGM 60001|86789||21.44||WEST NILE VIRUS ANTIBODY 60001|86790||23.73||VIRUS ANTIBODY NOS 60001|86793||24.28||YERSINIA ANTIBODY 60001|86794||34.32||ZIKA VIRUS IGM ANTIBODY 60001|86800||29.29||THYROGLOBULIN ANTIBODY 60001|86803||26.29||HEPATITIS C AB TEST 60001|86804||28.52||HEP C AB TEST - CONFIRM 60001|86805||96.28||LYMPHOCYTOTOXICITY ASSAY 60001|86806||87.63||LYMPHOCYTOTOXICITY ASSAY 60001|86807||72.86||CYTOTOXIC ANTIBODY SCREENING 60001|86808||54.65||CYTOTOXIC ANTIBODY SCREENING 60001|86812||47.53||HLA TYPING - A - B - OR C 60001|86813||106.78||HLA TYPING - A - B - OR C 60001|86816||51.3||HLA TYPING - DR/DQ 60001|86817||118.56||HLA TYPING - DR/DQ 60001|86821||103.96||LYMPHOCYTE CULTURE - MIXED 60001|86822||67.31||LYMPHOCYTE CULTURE - PRIMED 60001|86825||144.21||HLA X-MATCH - NON-CYTOTOXIC 60001|86826||48.07||HLA X-MATCH - NON-CYT ADD-ON 60001|86828||57.1||HLA CLASS I&II ANTIBODY QUAL 60001|86829||51.88||HLA CLASS I/II ANTIBODY QUAL 60001|86830||144.29||HLA CLASS I PHENOTYPE QUAL 60001|86831||123.67||HLA CLASS II PHENOTYPE QUAL 60001|86832||226.72||HLA CLASS I HIGH DEFIN QUAL 60001|86833||206.12||HLA CLASS II HIGH DEFIN QUAL 60001|86834||638.94||HLA CLASS I SEMIQUANT PANEL 60001|86835||577.11||HLA CLASS II SEMIQUANT PANEL 60001|86850||21.55||RBC ANTIBODY SCREEN 60001|86880||9.89||COOMBS TEST - DIRECT 60001|86885||10.54||COOMBS TEST - INDIRECT - QUAL 60001|86886||8.55||COOMBS TEST - INDIRECT - TITER 60001|86900||5.5||BLOOD TYPING - ABO 60001|86901||5.5||BLOOD TYPING - RH (D) 60001|86902||7.05||BLOOD TYPE ANTIGEN DONOR EA 60001|86904||17.51||BLOOD TYPING - PATIENT SERUM 60001|86905||7.05||BLOOD TYPING - RBC ANTIGENS 60001|86906||14.27||BLOOD TYPING - RH PHENOTYPE 60001|86940||15.09||HEMOLYSINS/AGGLUTININS - AUTO 60001|86941||22.29||HEMOLYSINS/AGGLUTININS 60001|87003||30.99||SMALL ANIMAL INOCULATION 60001|87015||12.3||SPECIMEN CONCENTRATION 60001|87040||19.01||BLOOD CULTURE FOR BACTERIA 60001|87045||17.37||FECES CULTURE - BACTERIA 60001|87046||17.37||STOOL CULTR - BACTERIA - EACH 60001|87070||15.86||CULTURE - BACTERIA - OTHER 60001|87071||17.37||CULTURE BACTERI AEROBIC OTHR 60001|87073||17.37||CULTURE BACTERIA ANAEROBIC 60001|87075||17.42||CULTR BACTERIA - EXCEPT BLOOD 60001|87076||14.88||CULTURE ANAEROBE IDENT - EACH 60001|87077||14.88||CULTURE AEROBIC IDENTIFY 60001|87081||12.21||CULTURE SCREEN ONLY 60001|87084||15.86||CULTURE OF SPECIMEN BY KIT 60001|87085||20||CULTURE OF SPECIMEN BY KIT 60001|87086||14.86||URINE CULTURE/COLONY COUNT 60001|87088||14.91||URINE BACTERIA CULTURE 60001|87101||14.21||SKIN FUNGI CULTURE 60001|87102||15.47||FUNGUS ISOLATION CULTURE 60001|87103||16.6||BLOOD FUNGUS CULTURE 60001|87106||19.01||FUNGI IDENTIFICATION - YEAST 60001|87107||19.01||FUNGI IDENTIFICATION - MOLD 60001|87109||28.33||MYCOPLASMA 60001|87110||36.08||CHLAMYDIA CULTURE 60001|87116||13.38||MYCOBACTERIA CULTURE 60001|87118||20.15||MYCOBACTERIC IDENTIFICATION 60001|87140||10.27||CULTURE TYPE IMMUNOFLUORESC 60001|87143||23.07||CULTURE TYPING - GLC/HPLC 60001|87147||8.22||CULTURE TYPE - IMMUNOLOGIC 60001|87149||36.31||CULTURE TYPE - NUCLEIC ACID 60001|87150||36.13||DNA/RNA - AMPLIFIED PROBE 60001|87152||9.62||CULTURE TYPE PULSE FIELD GEL 60001|87153||130.44||DNA/RNA SEQUENCING 60001|87158||9.62||CULTURE TYPING - ADDED METHOD 60001|87164||16.11||DARK FIELD EXAMINATION 60001|87164|26|30.41||DARK FIELD EXAMINATION 60001|87166||20.8||DARK FIELD EXAMINATION 60001|87168||7.87||MACROSCOPIC EXAM ARTHROPOD 60001|87169||7.87||MACROSCOPIC EXAM PARASITE 60001|87172||7.87||PINWORM EXAM 60001|87176||10.83||TISSUE HOMOGENIZATION - CULTR 60001|87177||16.38||OVA AND PARASITES SMEARS 60001|87181||8.75||MICROBE SUSCEPTIBLE - DIFFUSE 60001|87184||12.71||MICROBE SUSCEPTIBLE - DISK 60001|87185||8.75||MICROBE SUSCEPTIBLE - ENZYME 60001|87186||15.93||MICROBE SUSCEPTIBLE - MIC 60001|87187||19.08||MICROBE SUSCEPTIBLE - MLC 60001|87188||12.22||MICROBE SUSCEPT - MACROBROTH 60001|87190||10.41||MICROBE SUSCEPT - MYCOBACTERI 60001|87197||27.66||BACTERICIDAL LEVEL - SERUM 60001|87205||4.32||SMEAR - GRAM STAIN 60001|87206||9.89||SMEAR - FLUORESCENT/ACID STAI 60001|87207||11.04||SMEAR - SPECIAL STAIN 60001|87207|26|30.92||SMEAR - SPECIAL STAIN 60001|87209||33.1||SMEAR - COMPLEX STAIN 60001|87210||7.87||SMEAR - WET MOUNT - SALINE/INK 60001|87220||7.87||TISSUE EXAM FOR FUNGI 60001|87230||36.35||ASSAY - TOXIN OR ANTITOXIN 60001|87250||36.01||VIRUS INOCULATE - EGGS/ANIMAL 60001|87252||40.72||VIRUS INOCULATION - TISSUE 60001|87253||29.99||VIRUS INOCULATE TISSUE - ADDL 60001|87254||36.01||VIRUS INOCULATION - SHELL VIA 60001|87255||55.7||GENET VIRUS ISOLATE - HSV 60001|87260||22.09||ADENOVIRUS AG - IF 60001|87265||22.09||PERTUSSIS AG - IF 60001|87267||22.09||ENTEROVIRUS ANTIBODY - DFA 60001|87269||22.09||GIARDIA AG - IF 60001|87270||22.09||CHLAMYDIA TRACHOMATIS AG - IF 60001|87271||22.09||CRYPTOSPORIDUM/GARDIA AG - IF 60001|87272||22.09||CRYPTOSPORIDIUM AG - IF 60001|87273||22.09||HERPES SIMPLEX 2 - AG - IF 60001|87274||22.09||HERPES SIMPLEX 1 - AG - IF 60001|87275||22.09||INFLUENZA B - AG - IF 60001|87276||22.09||INFLUENZA A - AG - IF 60001|87277||22.09||LEGIONELLA MICDADEI - AG - IF 60001|87278||22.09||LEGION PNEUMOPHILIA AG - IF 60001|87279||22.09||PARAINFLUENZA - AG - IF 60001|87280||22.09||RESPIRATORY SYNCYTIAL AG - IF 60001|87281||22.09||PNEUMOCYSTIS CARINII - AG - IF 60001|87283||22.09||RUBEOLA - AG - IF 60001|87285||22.09||TREPONEMA PALLIDUM - AG - IF 60001|87290||22.09||VARICELLA ZOSTER - AG - IF 60001|87299||22.09||ANTIBODY DETECTION - NOS - IF 60001|87300||22.09||AG DETECTION - POLYVAL - IF 60001|87301||22.09||ADENOVIRUS AG - EIA 60001|87305||22.09||ASPERGILLUS AG - EIA 60001|87320||22.09||CHYLMD TRACH AG - EIA 60001|87324||22.09||CLOSTRIDIUM AG - EIA 60001|87327||22.09||CRYPTOCOCCUS NEOFORM AG - EIA 60001|87328||22.09||CRYPTOSPORIDIUM AG - EIA 60001|87329||22.09||GIARDIA AG - EIA 60001|87332||22.09||CYTOMEGALOVIRUS AG - EIA 60001|87335||22.09||E COLI 0157 AG - EIA 60001|87336||22.09||ENTAMOEB HIST DISPR - AG - EIA 60001|87337||22.09||ENTAMOEB HIST GROUP - AG - EIA 60001|87338||26.48||HPYLORI - STOOL - EIA 60001|87339||22.09||H PYLORI AG - EIA 60001|87340||19.02||HEPATITIS B SURFACE AG - EIA 60001|87341||19.02||HEPATITIS B SURFACE - AG - EIA 60001|87350||21.22||HEPATITIS BE AG - EIA 60001|87380||30.23||HEPATITIS DELTA AG - EIA 60001|87385||22.09||HISTOPLASMA CAPSUL AG - EIA 60001|87389||44.36||HIV-1 AG W/HIV-1 & HIV-2 AB 60001|87390||32.49||HIV-1 AG - EIA 60001|87391||32.49||HIV-2 AG - EIA 60001|87400||22.09||INFLUENZA A/B - AG - EIA 60001|87420||22.09||RESP SYNCYTIAL AG - EIA 60001|87425||22.09||ROTAVIRUS AG - EIA 60001|87427||22.09||SHIGA-LIKE TOXIN AG - EIA 60001|87430||22.09||STREP A AG - EIA 60001|87449||22.09||AG DETECT NOS - EIA - MULT 60001|87450||17.65||AG DETECT NOS - EIA - SINGLE 60001|87451||17.65||AG DETECT POLYVAL - EIA - MULT 60001|87470||36.31||BARTONELLA - DNA - DIR PROBE 60001|87471||36.13||BARTONELLA - DNA - AMP PROBE 60001|87472||78.87||BARTONELLA - DNA - QUANT 60001|87475||36.31||LYME DIS - DNA - DIR PROBE 60001|87476||36.13||LYME DIS - DNA - AMP PROBE 60001|87477||78.87||LYME DIS - DNA - QUANT 60001|87480||36.31||CANDIDA - DNA - DIR PROBE 60001|87481||36.13||CANDIDA - DNA - AMP PROBE 60001|87482||76.87||CANDIDA - DNA - QUANT 60001|87483||314.44||CNS DNA AMP PROBE TYPE 12-25 60001|87485||36.31||CHYLMD PNEUM - DNA - DIR PROBE 60001|87486||36.13||CHYLMD PNEUM - DNA - AMP PROBE 60001|87487||78.87||CHYLMD PNEUM - DNA - QUANT 60001|87490||36.31||CHYLMD TRACH - DNA - DIR PROBE 60001|87491||36.13||CHYLMD TRACH - DNA - AMP PROBE 60001|87492||64.36||CHYLMD TRACH - DNA - QUANT 60001|87493||36.13||C DIFF AMPLIFIED PROBE 60001|87495||36.31||CYTOMEG - DNA - DIR PROBE 60001|87496||36.13||CYTOMEG - DNA - AMP PROBE 60001|87497||78.87||CYTOMEG - DNA - QUANT 60001|87498||34.8||ENTEROVIRUS - DNA - AMP PROBE 60001|87500||36.13||VANOMYCIN - DNA - AMP PROBE 60001|87501||59.45||INFLUENZA DNA AMP PROB 1+ 60001|87502||95.56||INFLUENZA DNA AMP PROBE 60001|87503||14.33||INFLUENZA DNA AMP PROB ADDL 60001|87505||119.33||NFCT AGENT DETECTION GI 60001|87506||174.36||IADNA-DNA/RNA PROBE TQ 6-11 60001|87507||311.95||IADNA-DNA/RNA PROBE TQ 12-25 60001|87510||36.31||GARDNER VAG - DNA - DIR PROBE 60001|87511||36.13||GARDNER VAG - DNA - AMP PROBE 60001|87512||76.87||GARDNER VAG - DNA - QUANT 60001|87515||36.31||HEPATITIS B - DNA - DIR PROBE 60001|87516||36.13||HEPATITIS B - DNA - AMP PROBE 60001|87517||78.87||HEPATITIS B - DNA - QUANT 60001|87520||36.31||HEPATITIS C - RNA - DIR PROBE 60001|87521||34.8||HEPATITIS C - RNA - AMP PROBE 60001|87522||75.97||HEPATITIS C - RNA - QUANT 60001|87525||36.31||HEPATITIS G - DNA - DIR PROBE 60001|87526||36.13||HEPATITIS G - DNA - AMP PROBE 60001|87527||76.87||HEPATITIS G - DNA - QUANT 60001|87528||36.31||HSV - DNA - DIR PROBE 60001|87529||36.13||HSV - DNA - AMP PROBE 60001|87530||78.87||HSV - DNA - QUANT 60001|87531||36.31||HHV-6 - DNA - DIR PROBE 60001|87532||36.13||HHV-6 - DNA - AMP PROBE 60001|87533||76.87||HHV-6 - DNA - QUANT 60001|87534||36.31||HIV-1 - DNA - DIR PROBE 60001|87535||34.8||HIV-1 - DNA - AMP PROBE 60001|87536||92.04||HIV-1 - DNA - QUANT 60001|87537||36.31||HIV-2 - DNA - DIR PROBE 60001|87538||34.8||HIV-2 - DNA - AMP PROBE 60001|87539||75.97||HIV-2 - DNA - QUANT 60001|87540||36.31||LEGION PNEUMO - DNA - DIR PROB 60001|87541||36.13||LEGION PNEUMO - DNA - AMP PROB 60001|87542||76.87||LEGION PNEUMO - DNA - QUANT 60001|87550||36.31||MYCOBACTERIA - DNA - DIR PROBE 60001|87551||36.13||MYCOBACTERIA - DNA - AMP PROBE 60001|87552||78.87||MYCOBACTERIA - DNA - QUANT 60001|87555||36.31||M.TUBERCULO - DNA - DIR PROBE 60001|87556||36.13||M.TUBERCULO - DNA - AMP PROBE 60001|87557||78.87||M.TUBERCULO - DNA - QUANT 60001|87560||36.31||M.AVIUM-INTRA - DNA - DIR PROB 60001|87561||36.13||M.AVIUM-INTRA - DNA - AMP PROB 60001|87562||78.87||M.AVIUM-INTRA - DNA - QUANT 60001|87563||57.9|| 60001|87580||36.31||M.PNEUMON - DNA - DIR PROBE 60001|87581||36.13||M.PNEUMON - DNA - AMP PROBE 60001|87582||76.87||M.PNEUMON - DNA - QUANT 60001|87590||36.31||N.GONORRHOEAE - DNA - DIR PROB 60001|87591||36.13||N.GONORRHOEAE - DNA - AMP PROB 60001|87592||78.87||N.GONORRHOEAE - DNA - QUANT 60001|87621||36.13||HPV - DNA - AMP PROBE 60001|87623||34.71||HPV LOW-RISK TYPES 60001|87624||34.71||HPV HIGH-RISK TYPES 60001|87625||34.71||HPV TYPES 16 & 18 ONLY 60001|87631||189.88||RESP VIRUS 3-5 TARGETS 60001|87632||319.05||RESP VIRUS 6-11 TARGETS 60001|87633||641.97||RESP VIRUS 12-25 TARGETS 60001|87634||142.99||RSV DNA/RNA AMP PROBE 60001|87635||51.31|| 60001|87640||36.13||STAPH A - DNA - AMP PROBE 60001|87641||36.13||MR-STAPH - DNA - AMP PROBE 60001|87650||36.31||STREP A - DNA - DIR PROBE 60001|87651||36.13||STREP A - DNA - AMP PROBE 60001|87652||76.87||STREP A - DNA - QUANT 60001|87653||36.13||STREP B - DNA - AMP PROBE 60001|87660||36.31||TRICHOMONAS VAGIN - DIR PROBE 60001|87661||142.5||TRICHOMONAS VAGINALIS AMPLIF 60001|87662||104.53||ZIKA VIRUS DNA/RNA AMP PROBE 60001|87797||36.31||DETECT AGENT NOS - DNA - DIR 60001|87798||36.13||DETECT AGENT NOS - DNA - AMP 60001|87799||78.87||DETECT AGENT NOS - DNA - QUANT 60001|87800||72.62||DETECT AGNT MULT - DNA - DIREC 60001|87801||72.25||DETECT AGNT MULT - DNA - AMPLI 60001|87802||22.09||STREP B ASSAY W/OPTIC 60001|87803||22.09||CLOSTRIDIUM TOXIN A W/OPTIC 60001|87804||22.09||INFLUENZA ASSAY W/OPTIC 60001|87806||42.6||HIV ANTIGEN W/HIV ANTIBODIES 60001|87807||22.09||RSV ASSAY W/OPTIC 60001|87808||22.09||TRICHOMONAS ASSAY W/OPTIC 60001|87809||22.09||ADENOVIRUS ASSAY W/OPTIC 60001|87810||22.09||CHYLMD TRACH ASSAY W/OPTIC 60001|87850||22.09||N. GONORRHOEAE ASSAY W/OPTIC 60001|87880||22.09||STREP A ASSAY W/OPTIC 60001|87899||22.09||AGENT NOS ASSAY W/OPTIC 60001|87900||203.54||PHENOTYPE - INFECT AGENT DRUG 60001|87901||160.58||GENOTYPE - DNA - HIV REVERSE T 60001|87902||160.58||GENOTYPE - DNA - HEPATITIS C 60001|87903||622.78||PHENOTYPE - DNA HIV W/CULTURE 60001|87904||40.72||PHENOTYPE - DNA HIV W/CLT ADD 60001|87905||22.5||SIALIDASE ENZYME ASSAY 60001|87906||80.29||GENOTYPE DNA HIV REVERSE T 60001|87910||394.97||GENOTYPE CYTOMEGALOVIRUS 60001|87912||394.97||GENOTYPE DNA HEPATITIS B 60001|88104||103.6||CYTOPATHOLOGY - FLUIDS 60001|88104|26|43.57||CYTOPATHOLOGY - FLUIDS 60001|88104|TC|60.03||CYTOPATHOLOGY - FLUIDS 60001|88106||110.08||CYTOPATHOLOGY - FLUIDS 60001|88106|26|29.87||CYTOPATHOLOGY - FLUIDS 60001|88106|TC|80.21||CYTOPATHOLOGY - FLUIDS 60001|88108||107.46||CYTOPATH - CONCENTRATE TECH 60001|88108|26|34.31||CYTOPATH - CONCENTRATE TECH 60001|88108|TC|73.15||CYTOPATH - CONCENTRATE TECH 60001|88112||158.65||CYTOPATH - CELL ENHANCE TECH 60001|88112|26|90.04||CYTOPATH - CELL ENHANCE TECH 60001|88112|TC|68.61||CYTOPATH - CELL ENHANCE TECH 60001|88120||708.51||CYTP URNE 3-5 PROBES EA SPEC 60001|88120|26|83.58||CYTP URNE 3-5 PROBES EA SPEC 60001|88120|TC|624.92||CYTP URNE 3-5 PROBES EA SPEC 60001|88121||610.49||CYTP URINE 3-5 PROBES CMPTR 60001|88121|26|73.86||CYTP URINE 3-5 PROBES CMPTR 60001|88121|TC|536.63||CYTP URINE 3-5 PROBES CMPTR 60001|88125||34.3||FORENSIC CYTOPATHOLOGY 60001|88125|26|20.67||FORENSIC CYTOPATHOLOGY 60001|88125|TC|13.63||FORENSIC CYTOPATHOLOGY 60001|88130||35.18||SEX CHROMATIN IDENTIFICATION 60001|88140||18.68||SEX CHROMATIN IDENTIFICATION 60001|88141||45.83||CYTOPATH - C/V - INTERPRET 60001|88142||47.36||CYTOPATH - C/V - THIN LAYER 60001|88143||47.36||CYTOPATH C/V THIN LAYER REDO 60001|88147||24.7||CYTOPATH - C/V - AUTOMATED 60001|88148||24.7||CYTOPATH - C/V - AUTO RESCREEN 60001|88150||24.7||CYTOPATH - C/V - MANUAL 60001|88150|26|14.34||CYTOPATH - C/V - MANUAL 60001|88152||24.7||CYTOPATH - C/V - AUTO REDO 60001|88153||24.7||CYTOPATH - C/V - REDO 60001|88154||24.7||CYTOPATH - C/V - SELECT 60001|88155||14.01||CYTOPATH - C/V - INDEX ADD-ON 60001|88160||85.61||CYTOPATH SMEAR - OTHER SOURCE 60001|88160|26|38.69||CYTOPATH SMEAR - OTHER SOURCE 60001|88160|TC|46.92||CYTOPATH SMEAR - OTHER SOURCE 60001|88161||87.63||CYTOPATH SMEAR - OTHER SOURCE 60001|88161|26|38.18||CYTOPATH SMEAR - OTHER SOURCE 60001|88161|TC|49.44||CYTOPATH SMEAR - OTHER SOURCE 60001|88162||131.51||CYTOPATH SMEAR - OTHER SOURCE 60001|88162|26|60.39||CYTOPATH SMEAR - OTHER SOURCE 60001|88162|TC|71.13||CYTOPATH SMEAR - OTHER SOURCE 60001|88164||24.7||CYTOPATH TBS - C/V - MANUAL 60001|88165||24.7||CYTOPATH TBS - C/V - REDO 60001|88166||24.7||CYTOPATH TBS - C/V - AUTO REDO 60001|88167||24.7||CYTOPATH TBS - C/V - SELECT 60001|88172||82.16||CYTOPATHOLOGY EVAL OF FNA 60001|88172|26|53.9||CYTOPATHOLOGY EVAL OF FNA 60001|88172|TC|28.26||CYTOPATHOLOGY EVAL OF FNA 60001|88173||213.82||CYTOPATH EVAL - FNA - REPORT 60001|88173|26|108.39||CYTOPATH EVAL - FNA - REPORT 60001|88173|TC|105.42||CYTOPATH EVAL - FNA - REPORT 60001|88174||49.93||CYTOPATH - C/V AUTO - IN FLUID 60001|88175||61.86||CYTOPATH C/V AUTO FLUID REDO 60001|88177||43.29||CYTP C/V AUTO THIN LYR ADDL 60001|88177|26|33.19||CYTP C/V AUTO THIN LYR ADDL 60001|88177|TC|10.1||CYTP C/V AUTO THIN LYR ADDL 60001|88182||155.81||CELL MARKER STUDY 60001|88182|26|54.9||CELL MARKER STUDY 60001|88182|TC|100.92||CELL MARKER STUDY 60001|88184||122.57||FLOWCYTOMETRY/ TC - 1 MARKER 60001|88185||74.15||FLOWCYTOMETRY/TC - ADD-ON 60001|88187||106.78||FLOWCYTOMETRY/READ - 2-8 60001|88188||133.92||FLOWCYTOMETRY/READ - 9-15 60001|88189||164.78||FLOWCYTOMETRY/READ - 16 & > 60001|88199|26|0||CYTOPATHOLOGY PROCEDURE 60001|88199|TC|0||CYTOPATHOLOGY PROCEDURE 60001|88230||272.27||TISSUE CULTURE - LYMPHOCYTE 60001|88233||328.89||TISSUE CULTURE - SKIN/BIOPSY 60001|88235||344.14||TISSUE CULTURE - PLACENTA 60001|88237||206.33||TISSUE CULTURE - BONE MARROW 60001|88239||344.77||TISSUE CULTURE - TUMOR 60001|88240||19.02||CELL CRYOPRESERVE/STORAGE 60001|88241||19.02||FROZEN CELL PREPARATION 60001|88245||347.9||CHROMOSOME ANALYSIS - 20-25 60001|88248||404.71||CHROMOSOME ANALYSIS - 50-100 60001|88249||404.71||CHROMOSOME ANALYSIS - 100 60001|88261||413.03||CHROMOSOME ANALYSIS - 5 60001|88262||291.29||CHROMOSOME ANALYSIS - 15-20 60001|88263||351.22||CHROMOSOME ANALYSIS - 45 60001|88264||291.29||CHROMOSOME ANALYSIS - 20-25 60001|88267||420.12||CHROMOSOME ANALYS - PLACENTA 60001|88269||388.71||CHROMOSOME ANALYS - AMNIOTIC 60001|88271||50.04||CYTOGENETICS - DNA PROBE 60001|88272||62.57||CYTOGENETICS - 3-5 60001|88273||75.09||CYTOGENETICS - 10-30 60001|88274||81.36||CYTOGENETICS - 25-99 60001|88275||93.85||CYTOGENETICS - 100-300 60001|88280||58.66||CHROMOSOME KARYOTYPE STUDY 60001|88283||83.34||CHROMOSOME BANDING STUDY 60001|88285||44.4||CHROMOSOME COUNT - ADDITIONAL 60001|88289||80.47||CHROMOSOME STUDY - ADDITIONAL 60001|88291||46.4||CYTO/MOLECULAR REPORT 60001|88300||42.35||SURGICAL PATH - GROSS 60001|88300|26|7.03||SURGICAL PATH - GROSS 60001|88300|TC|35.32||SURGICAL PATH - GROSS 60001|88302||83.49||TISSUE EXAM BY PATHOLOGIST 60001|88302|26|10.34||TISSUE EXAM BY PATHOLOGIST 60001|88302|TC|73.15||TISSUE EXAM BY PATHOLOGIST 60001|88304||93.08||TISSUE EXAM BY PATHOLOGIST 60001|88304|26|17.42||TISSUE EXAM BY PATHOLOGIST 60001|88304|TC|75.67||TISSUE EXAM BY PATHOLOGIST 60001|88305||161.18||TISSUE EXAM BY PATHOLOGIST 60001|88305|26|57.77||TISSUE EXAM BY PATHOLOGIST 60001|88305|TC|103.41||TISSUE EXAM BY PATHOLOGIST 60001|88307||356.68||TISSUE EXAM BY PATHOLOGIST 60001|88307|26|126.18||TISSUE EXAM BY PATHOLOGIST 60001|88307|TC|230.5||TISSUE EXAM BY PATHOLOGIST 60001|88309||542.75||TISSUE EXAM BY PATHOLOGIST 60001|88309|26|221.94||TISSUE EXAM BY PATHOLOGIST 60001|88309|TC|320.81||TISSUE EXAM BY PATHOLOGIST 60001|88311||29.65||DECALCIFY TISSUE 60001|88311|26|19.04||DECALCIFY TISSUE 60001|88311|TC|10.61||DECALCIFY TISSUE 60001|88312||141.82||SPECIAL STAINS 60001|88312|26|41.44||SPECIAL STAINS 60001|88312|TC|100.38||SPECIAL STAINS 60001|88313||98.75||SPECIAL STAINS 60001|88313|26|18.54||SPECIAL STAINS 60001|88313|TC|80.21||SPECIAL STAINS 60001|88314||121.13||HISTOCHEMICAL STAIN 60001|88314|26|34.87||HISTOCHEMICAL STAIN 60001|88314|TC|86.26||HISTOCHEMICAL STAIN 60001|88319||148.35||ENZYME HISTOCHEMISTRY 60001|88319|26|41.92||ENZYME HISTOCHEMISTRY 60001|88319|TC|106.43||ENZYME HISTOCHEMISTRY 60001|88321||129.03||MICROSLIDE CONSULTATION 60001|88323||213.81||MICROSLIDE CONSULTATION 60001|88323|26|131.09||MICROSLIDE CONSULTATION 60001|88323|TC|82.73||MICROSLIDE CONSULTATION 60001|88325||199.11||COMPREHENSIVE REVIEW OF DATA 60001|88329||54.84||PATH CONSULT INTROP 60001|88331||144.03||PATH CONSULT INTRAOP - 1 BLOC 60001|88331|26|94.08||PATH CONSULT INTRAOP - 1 BLOC 60001|88331|TC|49.95||PATH CONSULT INTRAOP - 1 BLOC 60001|88332||63.93||PATH CONSULT INTRAOP - ADD'L 60001|88332|26|46.77||PATH CONSULT INTRAOP - ADD'L 60001|88332|TC|17.16||PATH CONSULT INTRAOP - ADD'L 60001|88333||150.69||INTRAOP CYTO PATH CONSULT - 1 60001|88333|26|95.7||INTRAOP CYTO PATH CONSULT - 1 60001|88333|TC|54.99||INTRAOP CYTO PATH CONSULT - 1 60001|88334||93.52||INTRAOP CYTO PATH CONSULT - 2 60001|88334|26|58.7||INTRAOP CYTO PATH CONSULT - 2 60001|88334|TC|34.82||INTRAOP CYTO PATH CONSULT - 2 60001|88341||80.95||IMMUNOHISTO ANTIBODY SLIDE 60001|88341|26|27.46||IMMUNOHISTO ANTIBODY SLIDE 60001|88341|TC|53.49||IMMUNOHISTO ANTIBODY SLIDE 60001|88342||161.28||IMMUNOHISTOCHEMISTRY 60001|88342|26|65.44||IMMUNOHISTOCHEMISTRY 60001|88342|TC|95.84||IMMUNOHISTOCHEMISTRY 60001|88344||140.26||IMMUNOHISTO ANTIBODY SLIDE 60001|88344|26|50.42||IMMUNOHISTO ANTIBODY SLIDE 60001|88344|TC|89.84||IMMUNOHISTO ANTIBODY SLIDE 60001|88346||158.28||IMMUNOFLUORESCENT STUDY 60001|88346|26|65.97||IMMUNOFLUORESCENT STUDY 60001|88346|TC|92.31||IMMUNOFLUORESCENT STUDY 60001|88347||114.4||IMMUNOFLUORESCENT STUDY 60001|88347|26|59.41||IMMUNOFLUORESCENT STUDY 60001|88347|TC|54.99||IMMUNOFLUORESCENT STUDY 60001|88348||1050.81||ELECTRON MICROSCOPY 60001|88348|26|115.64||ELECTRON MICROSCOPY 60001|88348|TC|935.17||ELECTRON MICROSCOPY 60001|88349||586.47||SCANNING ELECTRON MICROSCOPY 60001|88349|26|61.39||SCANNING ELECTRON MICROSCOPY 60001|88349|TC|525.08||SCANNING ELECTRON MICROSCOPY 60001|88350||87.16||IMMUNOFLUOR ANTB ADDL STAIN 60001|88350|26|36.11||IMMUNOFLUOR ANTB ADDL STAIN 60001|88350|TC|51.05||IMMUNOFLUOR ANTB ADDL STAIN 60001|88355||298.17||ANALYSIS - SKELETAL MUSCLE 60001|88355|26|132.23||ANALYSIS - SKELETAL MUSCLE 60001|88355|TC|165.94||ANALYSIS - SKELETAL MUSCLE 60001|88356||421.58||ANALYSIS - NERVE 60001|88356|26|205.65||ANALYSIS - NERVE 60001|88356|TC|215.92||ANALYSIS - NERVE 60001|88358||117.47||ANALYSIS - TUMOR 60001|88358|26|67.53||ANALYSIS - TUMOR 60001|88358|TC|49.95||ANALYSIS - TUMOR 60001|88360||184.9||TUMOR IMMUNOHISTOCHEM/MANUAL 60001|88360|26|82||TUMOR IMMUNOHISTOCHEM/MANUAL 60001|88360|TC|102.9||TUMOR IMMUNOHISTOCHEM/MANUAL 60001|88361||231.27||TUMOR IMMUNOHISTOCHEM/COMPUT 60001|88361|26|89.54||TUMOR IMMUNOHISTOCHEM/COMPUT 60001|88361|TC|141.74||TUMOR IMMUNOHISTOCHEM/COMPUT 60001|88362||460.52||NERVE TEASING PREPARATIONS 60001|88362|26|171.46||NERVE TEASING PREPARATIONS 60001|88362|TC|289.05||NERVE TEASING PREPARATIONS 60001|88363||25.37||XM ARCHIVE TISSUE MOLEC ANAL 60001|88364||116.15||INSITU HYBRIDIZATION (FISH) 60001|88364|26|34.25||INSITU HYBRIDIZATION (FISH) 60001|88364|TC|81.9||INSITU HYBRIDIZATION (FISH) 60001|88365||252.55||INSITU HYBRIDIZATION (FISH) 60001|88365|26|90.64||INSITU HYBRIDIZATION (FISH) 60001|88365|TC|161.91||INSITU HYBRIDIZATION (FISH) 60001|88366||180.49||INSITU HYBRIDIZATION (FISH) 60001|88366|26|79.37||INSITU HYBRIDIZATION (FISH) 60001|88366|TC|101.13||INSITU HYBRIDIZATION (FISH) 60001|88367||398.91||INSITU HYBRIDIZATION - AUTO 60001|88367|26|96.8||INSITU HYBRIDIZATION - AUTO 60001|88367|TC|302.11||INSITU HYBRIDIZATION - AUTO 60001|88368||335.92||INSITU HYBRIDIZATION - MANUAL 60001|88368|26|98.87||INSITU HYBRIDIZATION - MANUAL 60001|88368|TC|237.05||INSITU HYBRIDIZATION - MANUAL 60001|88369||88.57||M/PHMTRC ALYSISHQUANT/SEMIQ 60001|88369|26|31.74||M/PHMTRC ALYSISHQUANT/SEMIQ 60001|88369|TC|56.83||M/PHMTRC ALYSISHQUANT/SEMIQ 60001|88371||51.94||PROTEIN - WESTERN BLOT TISSUE 60001|88371|26|29.91||PROTEIN - WESTERN BLOT TISSUE 60001|88372||53.16||PROTEIN ANALYSIS W/PROBE 60001|88372|26|26.38||PROTEIN ANALYSIS W/PROBE 60001|88373||72.64||M/PHMTRC ALYS ISHQUANT/SEMIQ 60001|88373|26|26.68||M/PHMTRC ALYS ISHQUANT/SEMIQ 60001|88373|TC|45.97||M/PHMTRC ALYS ISHQUANT/SEMIQ 60001|88374||243.39||M/PHMTRC ALYS ISHQUANT/SEMIQ 60001|88374|26|57.02||M/PHMTRC ALYS ISHQUANT/SEMIQ 60001|88374|TC|186.37||M/PHMTRC ALYS ISHQUANT/SEMIQ 60001|88375||0||OPTICAL ENDOMICROSCPY INTERP 60001|88377||256.46||M/PHMTRC ALYS ISHQUANT/SEMIQ 60001|88377|26|83.04||M/PHMTRC ALYS ISHQUANT/SEMIQ 60001|88377|TC|173.42||M/PHMTRC ALYS ISHQUANT/SEMIQ 60001|88380||279.34||MICRODISSECTION 60001|88380|26|119.45||MICRODISSECTION 60001|88380|TC|159.89||MICRODISSECTION 60001|88381||245.88||MICRODISSECTION - MANUAL 60001|88381|26|81.96||MICRODISSECTION - MANUAL 60001|88381|TC|163.93||MICRODISSECTION - MANUAL 60001|88384|TC|178.46||EVAL MOLECULAR PROBES - 11-50 60001|88385|26|100.95||EVAL MOLECUL PROBES - 51-250 60001|88385|TC|723.27||EVAL MOLECUL PROBES - 51-250 60001|88386|26|134.42||EVAL MOLECUL PROBES - 251-500 60001|88386|TC|799.93||EVAL MOLECUL PROBES - 251-500 60001|88387||55.03||TISS EXAM MOLECULAR STUDY 60001|88387|26|45.43||TISS EXAM MOLECULAR STUDY 60001|88387|TC|9.6||TISS EXAM MOLECULAR STUDY 60001|88388||48||TISS EX MOLECUL STUDY ADD-ON 60001|88388|26|35.88||TISS EX MOLECUL STUDY ADD-ON 60001|88388|TC|12.12||TISS EX MOLECUL STUDY ADD-ON 60001|88399|26|0||SURGICAL PATHOLOGY PROCEDURE 60001|88399|TC|0||SURGICAL PATHOLOGY PROCEDURE 60001|88720||11.71||BILIRUBIN TOTAL TRANSCUT 60001|88738||11.71||HGB QUANT TRANSCUTANEOUS 60001|88740||11.71||TRANSCUTANEOUS CARBOXYHB 60001|88741||11.71||TRANSCUTANEOUS METHB 60001|89049||104.52||CHCT FOR MAL HYPERTHERMIA 60001|89050||11.05||BODY FLUID CELL COUNT 60001|89051||4.12||BODY FLUID CELL COUNT 60001|89055||5.48||LEUKOCYTE ASSESSMENT - FECAL 60001|89060||16.71||EXAM - SYNOVIAL FLUID CRYSTALS 60001|89060|26|30.41||EXAM - SYNOVIAL FLUID CRYSTALS 60001|89125||10.08||SPECIMEN FAT STAIN 60001|89160||8.61||EXAM FECES FOR MEAT FIBERS 60001|89190||11.1||NASAL SMEAR FOR EOSINOPHILS 60001|89220||24.22||SPUTUM SPECIMEN COLLECTION 60001|89230||4.05||COLLECT SWEAT FOR TEST 60001|89300||20.84||SEMEN ANALYSIS W/HUHNER 60001|89310||20.13||SEMEN ANALYSIS W/COUNT 60001|89320||13.48||SEMEN ANALYSIS - COMPLETE 60001|89321||13.48||SEMEN ANALYSIS & MOTILITY 60001|89322||26.98||SEMEN ANAL - STRICT CRITERIA 60001|89325||24.95||SPERM ANTIBODY TEST 60001|89329||49.01||SPERM EVALUATION TEST 60001|89330||23.13||EVALUATION - CERVICAL MUCUS 60001|89331||36.53||RETROGRADE EJACULATION ANAL 60001|89337||65|%|CRYOPRESERVATION OOCYTE(S) 60001|90281||0||HUMAN IG - IM 60001|90283||0||HUMAN IG - IV 60001|90284||0||HUMAN IG - SC 60001|90287||0||BOTULINUM ANTITOXIN 60001|90288||0||BOTULISM IG - IV 60001|90291||0||CMV IG - IV 60001|90296||0||DIPHTHERIA ANTITOXIN 60001|90378||1720.85||RSV IG - IM - 50MG 60001|90384||103.21||RH IG - FULL-DOSE - IM 60001|90385||34.66||RH IG - MINIDOSE - IM 60001|90386||38.45||RH IG - IV 60001|90389||157.06||TETANUS IG - IM 60001|90396||173.76||VARICELLA-ZOSTER IG - IM 60001|90460||28.26||IMADM ANY ROUTE 1ST VAC/TOX 60001|90461||14.8||INADM ANY ROUTE ADDL VAC/TOX 60001|90465||30.98||IMMUNE ADMIN 1 INJ - < 8 YRS 60001|90466||32.23||IMMUNE ADMIN ADDL INJ - < 8 Y 60001|90467||33.48||IMMUNE ADMIN O OR N - < 8 YRS 60001|90468||34.73||IMMUNE ADMIN O/N - ADDL < 8 Y 60001|90471||27.88||IMMUNIZATION ADMIN 60001|90472||14.04||IMMUNIZATION ADMIN - EACH ADD 60001|90473||25.59||IMMUNE ADMIN ORAL/NASAL 60001|90474||13.65||IMMUNE ADMIN ORAL/NASAL ADDL 60001|90581||160.79||ANTHRAX VACCINE - SC 60001|90620||190.2||MENB RP W/OMV VACCINE IM 60001|90621||163.4||MENB RLP VACCINE IM 60001|90625||0||CHOLERA VACCINE LIVE ORAL 60001|90633||29.36||HEP A VACC - PED/ADOL - 2 DOSE 60001|90634||40.48||HEP A VACC - PED/ADOL - 3 DOSE 60001|90636||137.05||HEP A/HEP B VACC - ADULT IM 60001|90644||30.93||HIB/MEN/TT VACCINE - IM 60001|90645||30.93||HIB VACCINE - HBOC - IM 60001|90646||30.93||HIB VACCINE - PRP-D - IM 60001|90647||25.05||HIB VACCINE - PRP-OMP - IM 60001|90648||23.75||HIB VACCINE - PRP-T - IM 60001|90649||111.85||H PAPILLOMA VACC 3 DOSE IM 60001|90651||270||HPV VACCINE NON VALENT IM 60001|90654||23.65||FLU VACCINE NO PRESERV - ID 60001|90655||17.24||FLU VACCINE NO PRESERV 6-35M 60001|90657||7.53||FLU VACCINE - 6-35 MO - IM 60001|90658||13.82||FLU VACCINE AGE 3 & OVER - IM 60001|90660||29.32||FLU VACCINE - NASAL 60001|90661||27.86||FLU VACC CELL CULT PRSV FREE 60001|90669||119.36||PNEUMOCOCCAL VACC - PED <5 60001|90680||66.08||ROTOVIRUS VACC 3 DOSE - ORAL 60001|90681||119.73||ROTAVIRUS VACC 2 DOSE ORAL 60001|90690||83||TYPHOID VACCINE - ORAL 60001|90696||66.08||DTAP-IPV VACC 4-6 YR IM 60001|90697||0||DTAP-IPV-HIB-HEPB VACCINE IM 60001|90698||66.08||DTAP-HIB-IP VACCINE - IM 60001|90700||22.02||DTAP VACCINE - < 7 YRS - IM 60001|90702||55||DT VACCINE < 7 - IM 60001|90707||84||MMR VACCINE - SC 60001|90710||247.13||MMRV VACCINE - SC 60001|90713||25.05||POLIOVIRUS - IPV - SC/IM 60001|90716||155||CHICKEN POX VACCINE - SC 60001|90717||93.83||YELLOW FEVER VACCINE - SC 60001|90723||64.78||DTAP-HEP B-IPV VACCINE - IM 60001|90733||106.49||MENINGOCOCCAL VACCINE - SC 60001|90734||83.78||MENINGOCOCCAL VACCINE - IM 60001|90736||244.85||ZOSTER VACC - SC 60001|90738||76.76||INACTIVATED JE VACC IM 60001|90739||0||HEP B VACC ADULT 2 DOSE IM 60001|90741||12||PASSIVE IMMUNIZATION - ISG 60001|90748||65.34||HEP B/HIB VACCINE - IM 60001|90750||244.85||HZV VACC RECOMBINANT IM NJX 60001|90785||5.6||INTERACTIVE COMPLEXITY 60001|90791||137.92||PSYCHIATRIC DIAGNOSTIC EVAL 60001|90792||142.62||PSYCHIATRIC DIAG EVAL W/MED SV 60001|90808||266.16||PSYTX - OFFICE - 75-80 MIN 60001|90832||58.06||PSYTX PT&/FAMILY 30 MINUTES 60001|90833||48.49||PSYTX PT&/FAM W/E&M 30 MIN 60001|90834||87.14||PSYTX PT&/FAMILY 45 MINUTES 60001|90835||176||NARCOSYNTHESIS-PSYCH DX & THER 60001|90836||79.33||PSYTX PT&/FAM W/E&M 45 MIN 60001|90837||131.45||PSYTX PT&/FAMILY 60 MINUTES 60001|90838||127.37||PSYTX PT&/FAM W/E&M 60 MIN 60001|90839||158.59||PSYTX CRISIS INITIAL 60 MIN 60001|90840||76.12||PSYTX CRISIS EA ADDL 30 MIN 60001|90845||88.97||PSYCHOANALYSIS 60001|90846||92.44||FAMILY PSYTX W/O PATIENT 60001|90847||110.17||FAMILY PSYTX W/PATIENT 60001|90849||32.57||MULTIPLE FAMILY GROUP PSYTX 60001|90853||33.31||GROUP PSYCHOTHERAPY 60001|90863||0||PHARMACOLOGIC MANAGEMENT 60001|90865||145.84||NARCOSYNTHESIS 60001|90867||201.91||TCRANIAL MAGN STIM TX PLAN 60001|90868||27.7||TCRANIAL MAGN STIM TX DELI 60001|90869||137.37||TCRAN MAGN STIM REDETEMINE 60001|90870||125.36||ELECTROCONVULSIVE THERAPY 60001|90875||70.39||PSYCHOPHYSIOLOGICAL THERAPY 60001|90876||110.76||PSYCHOPHYSIOLOGICAL THERAPY 60001|90880||106.42||HYPNOTHERAPY 60001|90885||56.94||PSY EVALUATION OF RECORDS 60001|90887||86.62||CONSULTATION WITH FAMILY 60001|90889||75.79||PREPARATION OF REPORT 60001|90899||0||PSYCHIATRIC SERVICE/THERAPY 60001|90901||24.72||BIOFEEDBACK TRAIN - ANY METH 60001|90911||54||BIOFEEDBACK PERI/URO/RECTAL 60001|90912||57.47|| 60001|90913||31.94|| 60001|90935||105.95||HEMODIALYSIS - ONE EVALUATION 60001|90937||151||HEMODIALYSIS - REPEATED EVAL 60001|90940||31.73||HEMODIALYSIS ACCESS STUDY 60001|90945||120.58||DIALYSIS - ONE EVALUATION 60001|90947||178.87||DIALYSIS - REPEATED EVAL 60001|90951||1351.66||ESRD SERV - 4 VISITS P MO - <2 60001|90952||1000.3||ESRD SERV - 2-3 VSTS P MO - <2 60001|90953||666.4||ESRD SERV - 1 VISIT P MO - <2 60001|90954||1154.25||ESRD SERV - 4 VSTS P MO - 2-11 60001|90955||651.27||ESRD SRV 2-3 VSTS P MO - 2-11 60001|90956||449.65||ESRD SRV - 1 VISIT P MO - 2-11 60001|90957||921.38||ESRD SRV - 4 VSTS P MO - 12-19 60001|90958||623.69||ESRD SRV 2-3 VSTS P MO 12-19 60001|90959||418.37||ESRD SERV - 1 VST P MO - 12-19 60001|90960||407.54||ESRD SRV - 4 VISITS P MO - 20+ 60001|90961||338.94||ESRD SRV - 2-3 VSTS P MO - 20+ 60001|90962||257.42||ESRD SERV - 1 VISIT P MO - 20+ 60001|90963||781.24||ESRD HOME PT - SERV P MO - <2 60001|90964||672.4||ESRD HOME PT SERV P MO - 2-11 60001|90965||640.66||ESRD HOME PT SERV P MO 12-19 60001|90966||337.56||ESRD HOME PT - SERV P MO - 20+ 60001|90967||26.14||ESRD HOME PT SERV P DAY - <2 60001|90968||21.75||ESRD HOME PT SRV P DAY - 2-11 60001|90969||21.24||ESRD HOME PT SRV P DAY 12-19 60001|90970||11.29||ESRD HOME PT SERV P DAY - 20+ 60001|90989||500.15||DIALYSIS TRAINING - COMPLETE 60001|90993||108.45||DIALYSIS TRAINING - INCOMPL 60001|90997||128.48||HEMOPERFUSION 60001|90999||0||DIALYSIS PROCEDURE 60001|91010||215.8||ESOPHAGUS MOTILITY STUDY 60001|91010|26|108.82||ESOPHAGUS MOTILITY STUDY 60001|91010|TC|176.03||ESOPHAGUS MOTILITY STUDY 60001|91013||27.93||ESOPHGL MOTIL W/STIM/PERFUS 60001|91013|26|15.17||ESOPHGL MOTIL W/STIM/PERFUS 60001|91013|TC|21.7||ESOPHGL MOTIL W/STIM/PERFUS 60001|91020||281.83||GASTRIC MOTILITY STUDIES 60001|91020|26|122.35||GASTRIC MOTILITY STUDIES 60001|91020|TC|249.66||GASTRIC MOTILITY STUDIES 60001|91022||211.12||DUODENAL MOTILITY STUDY 60001|91022|26|122.82||DUODENAL MOTILITY STUDY 60001|91022|TC|155.86||DUODENAL MOTILITY STUDY 60001|91030||165.63||ACID PERFUSION OF ESOPHAGUS 60001|91030|26|77.9||ACID PERFUSION OF ESOPHAGUS 60001|91030|TC|140.73||ACID PERFUSION OF ESOPHAGUS 60001|91034||228.55||GASTROESOPHAGEAL REFLUX TEST 60001|91034|26|81.78||GASTROESOPHAGEAL REFLUX TEST 60001|91034|TC|219.91||GASTROESOPHAGEAL REFLUX TEST 60001|91035||572.09||G-ESOPH REFLX TST W/ELECTROD 60001|91035|26|134.3||G-ESOPH REFLX TST W/ELECTROD 60001|91035|TC|620.85||G-ESOPH REFLX TST W/ELECTROD 60001|91037||193.06||ESOPH IMPED FUNCTION TEST 60001|91037|26|83.85||ESOPH IMPED FUNCTION TEST 60001|91037|TC|170.99||ESOPH IMPED FUNCTION TEST 60001|91038||454.93||ESOPH IMPED FUNCT TEST > 1H 60001|91038|26|93.64||ESOPH IMPED FUNCT TEST > 1H 60001|91038|TC|506.87||ESOPH IMPED FUNCT TEST > 1H 60001|91040||363.41||ESOPH BALLOON DISTENSION TST 60001|91040|26|76.72||ESOPH BALLOON DISTENSION TST 60001|91040|TC|402.98||ESOPH BALLOON DISTENSION TST 60001|91065||94.31||BREATH HYDROGEN TEST 60001|91065|TC|107.35||BREATH HYDROGEN TEST 60001|91065|26|16.8||BREATH HYDROGEN TEST 60001|91110||1071.3||GI TRACT CAPSULE ENDOSCOPY 60001|91110|26|310.61||GI TRACT CAPSULE ENDOSCOPY 60001|91110|TC|1103.5||GI TRACT CAPSULE ENDOSCOPY 60001|91111||864.07||ESOPHAGEAL CAPSULE ENDOSCOPY 60001|91111|26|85.48||ESOPHAGEAL CAPSULE ENDOSCOPY 60001|91111|TC|1055.09||ESOPHAGEAL CAPSULE ENDOSCOPY 60001|91112||1341.71||GI WIRELESS CAPSULE MEASURE 60001|91117||180.76||COLON MOTILITY 6 HR STUDY 60001|91120||462.81||RECTAL SENSATION TEST 60001|91120|26|80.33||RECTAL SENSATION TEST 60001|91120|TC|530.58||RECTAL SENSATION TEST 60001|91122||262.28||ANAL PRESSURE RECORD 60001|91122|26|141.94||ANAL PRESSURE RECORD 60001|91122|TC|204.27||ANAL PRESSURE RECORD 60001|91132||181.88||ELECTROGASTROGRAPHY 60001|91132|26|44.89||ELECTROGASTROGRAPHY 60001|91132|TC|195.19||ELECTROGASTROGRAPHY 60001|91133||211.54||ELECTROGASTROGRAPHY W/TEST 60001|91133|26|57.31||ELECTROGASTROGRAPHY W/TEST 60001|91133|TC|221.92||ELECTROGASTROGRAPHY W/TEST 60001|91200||41.94||LIVER ELASTOGRAPHY 60001|91200|26|17.83||LIVER ELASTOGRAPHY 60001|91200|TC|24.11||LIVER ELASTOGRAPHY 60001|91299||0||GASTROENTEROLOGY PROCEDURE 60001|91299|26|0||GASTROENTEROLOGY PROCEDURE 60001|91299|TC|0||GASTROENTEROLOGY PROCEDURE 60001|92002||59.3||EYE EXAM - NEW PATIENT 60001|92004||122.81||EYE EXAM - NEW PATIENT 60001|92012||105.59||EYE EXAM ESTABLISHED PAT 60001|92014||97.93||EYE EXAM & TREATMENT 60001|92015||25.36||REFRACTION 60001|92018||174.41||NEW EYE EXAM & TREATMENT 60001|92019||84.28||EYE EXAM & TREATMENT 60001|92020||25.95||SPECIAL EYE EVALUATION 60001|92025||44.12||CORNEAL TOPOGRAPHY 60001|92025|26|30.26||CORNEAL TOPOGRAPHY 60001|92025|TC|25.74||CORNEAL TOPOGRAPHY 60001|92060||76.28||SPECIAL EYE EVALUATION 60001|92060|26|59.48||SPECIAL EYE EVALUATION 60001|92060|TC|37.34||SPECIAL EYE EVALUATION 60001|92065||62.09||ORTHOPTIC/PLEOPTIC TRAINING 60001|92065|26|28.36||ORTHOPTIC/PLEOPTIC TRAINING 60001|92065|TC|50.45||ORTHOPTIC/PLEOPTIC TRAINING 60001|92070||48.97||FITTING OF CONTACT LENS 60001|92071||41.73||CONTACT LENS FITTING FOR TX 60001|92072||120.69||FIT CONTAC LENS FOR MANAGMNT 60001|92081||58.63||VISUAL FIELD EXAMINATION(S) 60001|92081|26|26.48||VISUAL FIELD EXAMINATION(S) 60001|92081|TC|47.93||VISUAL FIELD EXAMINATION(S) 60001|92082||83.33||VISUAL FIELD EXAMINATION(S) 60001|92082|26|35.14||VISUAL FIELD EXAMINATION(S) 60001|92082|TC|70.62||VISUAL FIELD EXAMINATION(S) 60001|92083||106.81||VISUAL FIELD EXAMINATION(S) 60001|92083|26|43.77||VISUAL FIELD EXAMINATION(S) 60001|92083|TC|91.81||VISUAL FIELD EXAMINATION(S) 60001|92100||61.84||SERIAL TONOMETRY EXAM(S) 60001|92132||44.94||CMPTR OPHTH DX IMG ANT SEGMT 60001|92132|26|32.32||CMPTR OPHTH DX IMG ANT SEGMT 60001|92132|TC|24.73||CMPTR OPHTH DX IMG ANT SEGMT 60001|92133||54.76||CMPTR OPHTH IMG OPTIC NERVE 60001|92133|26|45.28||CMPTR OPHTH IMG OPTIC NERVE 60001|92133|TC|24.22||CMPTR OPHTH IMG OPTIC NERVE 60001|92134||54.76||CPTR OPHTH DX IMG POST SEGMT 60001|92134|26|45.28||CPTR OPHTH DX IMG POST SEGMT 60001|92134|TC|24.22||CPTR OPHTH DX IMG POST SEGMT 60001|92136||104.19||OPHTHALMIC BIOMETRY 60001|92136|26|47.49||OPHTHALMIC BIOMETRY 60001|92136|TC|84.75||OPHTHALMIC BIOMETRY 60001|92145||19.19||CORNEAL HYSTERESIS DETER 60001|92145|26|11.25||CORNEAL HYSTERESIS DETER 60001|92145|TC|7.94||CORNEAL HYSTERESIS DETER 60001|92201||29.29|| 60001|92202||18.92|| 60001|92225||26.39||SPECIAL EYE EXAM - INITIAL 60001|92226||22.96||SPECIAL EYE EXAM - SUBSEQUENT 60001|92227||14.32||REMOTE DX RETINAL IMAGING 60001|92228||41.83||REMOTE RETINAL IMAGING MGMT 60001|92228|26|32.9||REMOTE RETINAL IMAGING MGMT 60001|92228|TC|20.19||REMOTE RETINAL IMAGING MGMT 60001|92230||40.51||EYE EXAM WITH PHOTOS 60001|92235||163.84||EYE EXAM WITH PHOTOS 60001|92235|26|72.27||EYE EXAM WITH PHOTOS 60001|92235|TC|135.68||EYE EXAM WITH PHOTOS 60001|92240||295.09||ICG ANGIOGRAPHY 60001|92240|26|97.64||ICG ANGIOGRAPHY 60001|92240|TC|276.9||ICG ANGIOGRAPHY 60001|92242||298.59||FLUORESCEIN ICG ANGIOGRAPHY 60001|92242|26|225.35||FLUORESCEIN ICG ANGIOGRAPHY 60001|92242|TC|73.25||FLUORESCEIN ICG ANGIOGRAPHY 60001|92250||91.42||EYE EXAM WITH PHOTOS 60001|92250|26|36.83||EYE EXAM WITH PHOTOS 60001|92250|TC|79.2||EYE EXAM WITH PHOTOS 60001|92260||13.63||OPHTHALMOSCOPY/DYNAMOMETRY 60001|92265||99.44||EYE MUSCLE EVALUATION 60001|92265|26|70.22||EYE MUSCLE EVALUATION 60001|92265|TC|56||EYE MUSCLE EVALUATION 60001|92270||110.99||ELECTRO-OCULOGRAPHY 60001|92270|26|65.21||ELECTRO-OCULOGRAPHY 60001|92270|TC|75.67||ELECTRO-OCULOGRAPHY 60001|92275||181.45||ELECTRORETINOGRAPHY 60001|92275|26|89.57||ELECTRORETINOGRAPHY 60001|92275|TC|140.73||ELECTRORETINOGRAPHY 60001|92283||61.99||COLOR VISION EXAMINATION 60001|92283|26|14.1||COLOR VISION EXAMINATION 60001|92283|TC|64.57||COLOR VISION EXAMINATION 60001|92284||72.24||DARK ADAPTATION EYE EXAM 60001|92284|26|19.04||DARK ADAPTATION EYE EXAM 60001|92284|TC|72.64||DARK ADAPTATION EYE EXAM 60001|92285||28.86||EYE PHOTOGRAPHY 60001|92285|26|5.85||EYE PHOTOGRAPHY 60001|92285|TC|30.78||EYE PHOTOGRAPHY 60001|92286||146.05||INTERNAL EYE PHOTOGRAPHY 60001|92286|26|55.74||INTERNAL EYE PHOTOGRAPHY 60001|92286|TC|129.63||INTERNAL EYE PHOTOGRAPHY 60001|92287||56.95||INTERNAL EYE PHOTOGRAPHY 60001|92310||74.13||CONTACT LENS FITTING 60001|92311||70.54||CONTACT LENS FITTING 60001|92312||80.06||CONTACT LENS FITTING 60001|92313||62.63||CONTACT LENS FITTING 60001|92314||43.3||PRESCRIPTION OF CONTACT LENS 60001|92315||29.5||PRESCRIPTION OF CONTACT LENS 60001|92316||48.02||PRESCRIPTION OF CONTACT LENS 60001|92317||26.68||PRESCRIPTION OF CONTACT LENS 60001|92325||43.72||MODIFICATION OF CONTACT LENS 60001|92326||41.74||REPLACEMENT OF CONTACT LENS 60001|92340||23.56||FITTING OF SPECTACLES 60001|92341||29.58||FITTING OF SPECTACLES 60001|92342||33.84||FITTING OF SPECTACLES 60001|92352||23.56||SPECIAL SPECTACLES FITTING 60001|92353||31.3||SPECIAL SPECTACLES FITTING 60001|92354||40.94||SPECIAL SPECTACLES FITTING 60001|92355||35.78||SPECIAL SPECTACLES FITTING 60001|92358||15.11||EYE PROSTHESIS SERVICE 60001|92370||20.56||REPAIR & ADJUST SPECTACLES 60001|92371||14.32||REPAIR & ADJUST SPECTACLES 60001|92499||0||EYE SERVICE OR PROCEDURE 60001|92499|26|0||EYE SERVICE OR PROCEDURE 60001|92499|TC|0||EYE SERVICE OR PROCEDURE 60001|92502||120.55||EAR AND THROAT EXAMINATION 60001|92504||11.95||EAR MICROSCOPY EXAMINATION 60001|92507||93.38||SPEECH/HEARING THERAPY 60001|92508||27.73||SPEECH/HEARING THERAPY 60001|92511||60.81||NASOPHARYNGOSCOPY 60001|92512||35.5||NASAL FUNCTION STUDIES 60001|92516||29||FACIAL NERVE FUNCTION TEST 60001|92520||50.72||LARYNGEAL FUNCTION STUDIES 60001|92521||141.82||EVALUATION OF SPEECH FLUENCY 60001|92522||115.52||EVALUATE SPEECH PRODUCTION 60001|92523||239.41||SPEECH SOUND LANG COMPREHEN 60001|92524||120.16||BEHAVRAL QUALIT ANALYS VOICE 60001|92526||103.1||ORAL FUNCTION THERAPY 60001|92531||20.12||SPONTANEOUS NYSTAGMUS STUDY 60001|92532||22.59||POSITIONAL NYSTAGMUS TEST 60001|92533||32.41||CALORIC VESTIBULAR TEST 60001|92534||24.62||OPTOKINETIC NYSTAGMUS TEST 60001|92537||46.64||CALORIC VSTBLR TEST W/REC 60001|92537|26|37.37||CALORIC VSTBLR TEST W/REC 60001|92537|TC|9.27||CALORIC VSTBLR TEST W/REC 60001|92538||23.71||CALORIC VSTBLR TEST W/REC 60001|92538|26|18.69||CALORIC VSTBLR TEST W/REC 60001|92538|TC|5.02||CALORIC VSTBLR TEST W/REC 60001|92540||123.66||BASIC VESTIBULAR EVALUATION 60001|92540|26|124.15||BASIC VESTIBULAR EVALUATION 60001|92540|TC|32.8||BASIC VESTIBULAR EVALUATION 60001|92541||45.54||SPONTANEOUS NYSTAGMUS TEST 60001|92541|26|32.06||SPONTANEOUS NYSTAGMUS TEST 60001|92541|TC|25.74||SPONTANEOUS NYSTAGMUS TEST 60001|92542||43.64||POSITIONAL NYSTAGMUS TEST 60001|92542|26|27.12||POSITIONAL NYSTAGMUS TEST 60001|92542|TC|28.26||POSITIONAL NYSTAGMUS TEST 60001|92543||23.13||CALORIC VESTIBULAR TEST 60001|92543|26|8.66||CALORIC VESTIBULAR TEST 60001|92543|TC|20.69||CALORIC VESTIBULAR TEST 60001|92544||36.17||OPTOKINETIC NYSTAGMUS TEST 60001|92544|26|21.18||OPTOKINETIC NYSTAGMUS TEST 60001|92544|TC|24.73||OPTOKINETIC NYSTAGMUS TEST 60001|92545||33.65||OSCILLATING TRACKING TEST 60001|92545|26|18.99||OSCILLATING TRACKING TEST 60001|92545|TC|23.72||OSCILLATING TRACKING TEST 60001|92546||119.75||SINUSOIDAL ROTATIONAL TEST 60001|92546|26|23.36||SINUSOIDAL ROTATIONAL TEST 60001|92546|TC|128.62||SINUSOIDAL ROTATIONAL TEST 60001|92547||6.77||SUPPLEMENTAL ELECTRICAL TEST 60001|92548||125.46||POSTUROGRAPHY 60001|92548|26|40.2||POSTUROGRAPHY 60001|92548|TC|119.04||POSTUROGRAPHY 60001|92549||79.74|| 60001|92549|26|58.01|| 60001|92549|TC|21.74|| 60001|92550||25.83||TYMPANOMETRY & REFLEX THRESH 60001|92551||13.92||PURE TONE HEARING TEST - AIR 60001|92552||34.58||PURE TONE AUDIOMETRY - AIR 60001|92553||42.13||AUDIOMETRY - AIR & BONE 60001|92555||25.44||SPEECH THRESHOLD AUDIOMETRY 60001|92556||39.75||SPEECH AUDIOMETRY - COMPLETE 60001|92557||42.88||COMPREHENSIVE HEARING TEST 60001|92558||11.53||EVOKED AUDITORY TEST QUAL 60001|92559||34.88||GROUP AUDIOMETRIC TESTING 60001|92560||24.62||BEKESY AUDIOMETRY - SCREEN 60001|92561||42.13||BEKESY AUDIOMETRY - DIAGNOSIS 60001|92562||45.31||LOUDNESS BALANCE TEST 60001|92563||34.58||TONE DECAY HEARING TEST 60001|92564||29.81||SISI HEARING TEST 60001|92565||18.29||STENGER TEST - PURE TONE 60001|92567||14.43||TYMPANOMETRY 60001|92568||20||ACOUSTIC REFL THRESHOLD TST 60001|92570||37.09||ACOUSTIC IMMITTANCE TESTING 60001|92571||28.62||FILTERED SPEECH HEARING TEST 60001|92572||36.97||STAGGERED SPONDAIC WORD TEST 60001|92575||76.31||SENSORINEURAL ACUITY TEST 60001|92576||39.75||SYNTHETIC SENTENCE TEST 60001|92577||20.68||STENGER TEST - SPEECH 60001|92579||47.7||VISUAL AUDIOMETRY (VRA) 60001|92582||74.32||CONDITIONING PLAY AUDIOMETRY 60001|92583||54.45||SELECT PICTURE AUDIOMETRY 60001|92584||83.06||ELECTROCOCHLEOGRAPHY 60001|92585||147.32||AUDITOR EVOKE POTENT - COMPRE 60001|92585|26|40.71||AUDITOR EVOKE POTENT - COMPRE 60001|92585|TC|146.27||AUDITOR EVOKE POTENT - COMPRE 60001|92586||93.79||AUDITOR EVOKE POTENT - LIMIT 60001|92587||34.61||EVOKED AUDITORY TEST 60001|92587|26|28.79||EVOKED AUDITORY TEST 60001|92587|TC|15.15||EVOKED AUDITORY TEST 60001|92588||52.59||EVOKED AUDITORY TEST 60001|92588|26|45.04||EVOKED AUDITORY TEST 60001|92588|TC|21.7||EVOKED AUDITORY TEST 60001|92590||64.86||HEARING AID EXAM - ONE EAR 60001|92591||82.5||HEARING AID EXAM - BOTH EARS 60001|92592||25.86||HEARING AID CHECK - ONE EAR 60001|92593||43.11||HEARING AID CHECK - BOTH EARS 60001|92594||24.62||ELECTRO HEARNG AID TEST - ONE 60001|92595||53.37||ELECTRO HEARNG AID TST - BOTH 60001|92596||50.48||EAR PROTECTOR EVALUATION 60001|92597||102.73||ORAL SPEECH DEVICE EVAL 60001|92601||156.36||COCHLEAR IMPLT F/UP EXAM < 7 60001|92602||89.8||REPROGRAM COCHLEAR IMPLT < 7 60001|92603||153.75||COCHLEAR IMPLT F/UP EXAM 7 > 60001|92604||85.18||REPROGRAM COCHLEAR IMPLT 7 > 60001|92605||109.34||EVAL FOR NONSPEECH DEVICE RX 60001|92606||87.47||NON-SPEECH DEVICE SERVICE 60001|92607||174.97||EX FOR SPEECH DEVICE RX - 1HR 60001|92608||56.86||EX FOR SPEECH DEVICE RX ADDL 60001|92609||124.88||USE OF SPEECH DEVICE SERVICE 60001|92610||84.24||EVALUATE SWALLOWING FUNCTION 60001|92611||120.99||MOTION FLUOROSCOPY/SWALLOW 60001|92612||84.5||ENDOSCOPY SWALLOW TST (FEES) 60001|92613||47.36||ENDOSCOPY SWALLOW TST (FEES) 60001|92614||85.3||LARYNGOSCOPIC SENSORY TEST 60001|92615||42.22||EVAL LARYNGOSCOPY SENSE TST 60001|92616||124.65||FEES W/LARYNGEAL SENSE TEST 60001|92617||52.1||INTERPRT FEES/LARYNGEAL TEST 60001|92618||40.32||EX FOR NONSPEECH DEV RX ADD 60001|92620||99.84||AUDITORY FUNCTION - 60 MIN 60001|92621||22.65||AUDITORY FUNCTION - + 15 MIN 60001|92625||75.99||TINNITUS ASSESSMENT 60001|92626||95.82||EVAL AUD REHAB STATUS 60001|92627||22.56||EVAL AUD STATUS REHAB ADD-ON 60001|92630||0||AUD REHAB PRE-LING HEAR LOSS 60001|92633||0||AUD REHAB POSTLING HEAR LOSS 60001|92640||124.07||AUD BRAINSTEM IMPLT PROGRAMG 60001|92700||0||ENT PROCEDURE/SERVICE 60001|92920||683.57||PRQ CARDIAC ANGIOPLAST 1 ART 60001|92924||812.6||PRQ CARD ANGIO/ATHRECT 1 ART 60001|92928||759.22||PRQ CARD STENT W/ANGIO 1 VSL 60001|92933||849.02||PRQ CARD STENT/ATH/ANGIO 60001|92937||758.38||PRQ REVASC BYP GRAFT 1 VSL 60001|92941||850.71||PRQ CARD REVASC MI 1 VSL 60001|92943||850.71||PRQ CARD REVASC CHRONIC 1VSL 60001|92950||536.89||HEART/LUNG RESUSCITATION CPR 60001|92953||31.77||TEMPORARY EXTERNAL PACING 60001|92960||356.72||CARDIOVERSION ELECTRIC - EXT 60001|92961||712.13||CARDIOVERSION - ELECTRIC - INT 60001|92970||513.2||CARDIOASSIST - INTERNAL 60001|92971||274.61||CARDIOASSIST - EXTERNAL 60001|92973||530.59||PERCUT CORONARY THROMBECTOMY 60001|92974||485.31||CATH PLACE - CARDIO BRACHYTX 60001|92975||1173.28||DISSOLVE CLOT - HEART VESSEL 60001|92977||329.29||DISSOLVE CLOT - HEART VESSEL 60001|92978||695.36||INTRAVASC US - HEART ADD-ON 60001|92978|26|146.18||INTRAVASC US - HEART ADD-ON 60001|92978|TC|241.87||INTRAVASC US - HEART ADD-ON 60001|92979||428.13||INTRAVASC US - HEART ADD-ON 60001|92979|26|117.35||INTRAVASC US - HEART ADD-ON 60001|92979|TC|122.71||INTRAVASC US - HEART ADD-ON 60001|92986||3989||REVISION OF AORTIC VALVE 60001|92987||4111.32||REVISION OF MITRAL VALVE 60001|92990||3212.94||REVISION OF PULMONARY VALVE 60001|92992||2999.97||REVISION OF HEART CHAMBER 60001|92993||2372.91||REVISION OF HEART CHAMBER 60001|92995||1975.05||CORONARY ATHERECTOMY 60001|92997||1930.04||PUL ART BALLOON REPR - PERCUT 60001|92998||963.2||PUL ART BALLOON REPR - PERCUT 60001|93000||53.18||ELECTROCARDIOGRAM - COMPLETE 60001|93005||28.46||ELECTROCARDIOGRAM - TRACING 60001|93010||24.73||ELECTROCARDIOGRAM REPORT 60001|93015||246.32||CARDIOVASCULAR STRESS TEST 60001|93016||64.32||CARDIOVASCULAR STRESS TEST 60001|93016|26|38.59||CARDIOVASCULAR STRESS TEST 60001|93017||138.49||CARDIOVASCULAR STRESS TEST 60001|93018||43.5||CARDIOVASCULAR STRESS TEST 60001|93024||320.44||CARDIAC DRUG STRESS TEST 60001|93024|26|92.51||CARDIAC DRUG STRESS TEST 60001|93024|TC|83.74||CARDIAC DRUG STRESS TEST 60001|93025||494.85||MICROVOLT T-WAVE ASSESS 60001|93025|26|59.82||MICROVOLT T-WAVE ASSESS 60001|93025|TC|212.34||MICROVOLT T-WAVE ASSESS 60001|93040||36.47||RHYTHM ECG WITH REPORT 60001|93041||15.62||RHYTHM ECG - TRACING 60001|93042||20.85||RHYTHM ECG - REPORT 60001|93050||19.67||ART PRESSURE WAVEFORM ANALYS 60001|93050|26|10.01||ART PRESSURE WAVEFORM ANALYS 60001|93050|TC|9.66||ART PRESSURE WAVEFORM ANALYS 60001|93224||272.35||ECG MONITOR/REPORT - 24 HRS 60001|93225||78.89||ECG MONITOR/RECORD - 24 HRS 60001|93226||116.49||ECG MONITOR/REPORT - 24 HRS 60001|93227||76.97||ECG MONITOR/REVIEW - 24 HRS 60001|93227|26|30.78||ECG MONITOR/REVIEW - 24 HRS 60001|93228||74.28||REMOTE 30 DAY ECG REV/REPORT 60001|93229||1869.74||REMOTE 30 DAY ECG TECH SUPP 60001|93230||300.72||ECG MONITOR/REPORT - 24 HRS 60001|93260||82.98||PRGRMG DEV EVAL IMPLTBL SYS 60001|93260|26|56.65||PRGRMG DEV EVAL IMPLTBL SYS 60001|93260|TC|26.33||PRGRMG DEV EVAL IMPLTBL SYS 60001|93261||67.98||INTERROGATE SUBQ DEFIB 60001|93261|26|49.45||INTERROGATE SUBQ DEFIB 60001|93261|TC|26.33||INTERROGATE SUBQ DEFIB 60001|93268||647.39||ECG RECORD/REVIEW 60001|93270||33.04||ECG RECORDING 60001|93271||541.96||ECG/MONITORING AND ANALYSIS 60001|93272||72.39||ECG/REVIEW - INTERPRET ONLY 60001|93272|26|43.43||ECG/REVIEW - INTERPRET ONLY 60001|93278||91.61||ECG/SIGNAL-AVERAGED 60001|93278|26|20.11||ECG/SIGNAL-AVERAGED 60001|93278|TC|30.28||ECG/SIGNAL-AVERAGED 60001|93279||143.52||PM DEVICE PROGR EVAL - SNGL 60001|93279|26|52.19||PM DEVICE PROGR EVAL - SNGL 60001|93279|TC|26.75||PM DEVICE PROGR EVAL - SNGL 60001|93280||167.7||PM DEVICE PROGR EVAL - DUAL 60001|93280|26|61.96||PM DEVICE PROGR EVAL - DUAL 60001|93280|TC|30.28||PM DEVICE PROGR EVAL - DUAL 60001|93281||193.81||PM DEVICE PROGR EVAL - MULTI 60001|93281|26|71.78||PM DEVICE PROGR EVAL - MULTI 60001|93281|TC|34.82||PM DEVICE PROGR EVAL - MULTI 60001|93282||179.53||ICD DEVICE PROG EVAL - 1 SNGL 60001|93282|26|67.46||ICD DEVICE PROG EVAL - 1 SNGL 60001|93282|TC|31.29||ICD DEVICE PROG EVAL - 1 SNGL 60001|93283||231.29||ICD DEVICE PROGR EVAL - DUAL 60001|93283|26|91.38||ICD DEVICE PROGR EVAL - DUAL 60001|93283|TC|35.82||ICD DEVICE PROGR EVAL - DUAL 60001|93284||256.17||ICD DEVICE PROGR EVAL - MULT 60001|93284|26|100.03||ICD DEVICE PROGR EVAL - MULT 60001|93284|TC|40.87||ICD DEVICE PROGR EVAL - MULT 60001|93285||119.18||ILR DEVICE EVAL PROGR 60001|93285|26|41.33||ILR DEVICE EVAL PROGR 60001|93285|TC|24.22||ILR DEVICE EVAL PROGR 60001|93286||72.88||PRE-OP PM DEVICE EVAL 60001|93286|26|22.92||PRE-OP PM DEVICE EVAL 60001|93286|TC|17.16||PRE-OP PM DEVICE EVAL 60001|93287||97.36||PRE-OP ICD DEVICE EVAL 60001|93287|26|34.37||PRE-OP ICD DEVICE EVAL 60001|93287|TC|19.18||PRE-OP ICD DEVICE EVAL 60001|93288||107.24||PM DEVICE EVAL IN PERSON 60001|93288|26|34.25||PM DEVICE EVAL IN PERSON 60001|93288|TC|24.73||PM DEVICE EVAL IN PERSON 60001|93289||186.68||ICD DEVICE INTERROGATE 60001|93289|26|72.4||ICD DEVICE INTERROGATE 60001|93289|TC|30.28||ICD DEVICE INTERROGATE 60001|93290||85.23||ICM DEVICE EVAL 60001|93290|26|32.74||ICM DEVICE EVAL 60001|93290|TC|14.14||ICM DEVICE EVAL 60001|93291||102.66||ILR DEVICE INTERROGATE 60001|93291|26|34.25||ILR DEVICE INTERROGATE 60001|93291|TC|22.21||ILR DEVICE INTERROGATE 60001|93292||92.57||WCD DEVICE INTERROGATE 60001|93292|26|34.25||WCD DEVICE INTERROGATE 60001|93292|TC|16.66||WCD DEVICE INTERROGATE 60001|93293||150.11||PM PHONE R-STRIP DEVICE EVAL 60001|93293|26|24.55||PM PHONE R-STRIP DEVICE EVAL 60001|93293|TC|58.02||PM PHONE R-STRIP DEVICE EVAL 60001|93294||95.84||PM DEVICE INTERROGATE REMOTE 60001|93295||189.74||ICD DEVICE INTERROGAT REMOTE 60001|93296||79.81||PM/ICD REMOTE TECH SERV 60001|93297||73.36||ICM DEVICE INTERROGAT REMOTE 60001|93298||77.03||ILR DEVICE INTERROGAT REMOTE 60001|93299||0||ICM/ILR REMOTE TECH SERV 60001|93303||573.96||ECHO TRANSTHORACIC 60001|93303|26|102.83||ECHO TRANSTHORACIC 60001|93303|TC|212.85||ECHO TRANSTHORACIC 60001|93304||371.06||ECHO TRANSTHORACIC 60001|93304|26|58.82||ECHO TRANSTHORACIC 60001|93304|TC|145.27||ECHO TRANSTHORACIC 60001|93306||587.72||TTE W/DOPPLER - COMPLETE 60001|93306|26|103.34||TTE W/DOPPLER - COMPLETE 60001|93306|TC|219.91||TTE W/DOPPLER - COMPLETE 60001|93307||366.41||ECHO EXAM OF HEART 60001|93307|26|73.41||ECHO EXAM OF HEART 60001|93307|TC|128.12||ECHO EXAM OF HEART 60001|93308||279.76||ECHO EXAM OF HEART 60001|93308|26|41.38||ECHO EXAM OF HEART 60001|93308|TC|112.48||ECHO EXAM OF HEART 60001|93312||873.25||ECHO TRANSESOPHAGEAL 60001|93312|26|170.07||ECHO TRANSESOPHAGEAL 60001|93312|TC|310.22||ECHO TRANSESOPHAGEAL 60001|93313||122.9||ECHO TRANSESOPHAGEAL 60001|93314||785.33||ECHO TRANSESOPHAGEAL 60001|93314|26|97||ECHO TRANSESOPHAGEAL 60001|93314|TC|334.93||ECHO TRANSESOPHAGEAL 60001|93315||761.69||ECHO TRANSESOPHAGEAL 60001|93315|26|225.11||ECHO TRANSESOPHAGEAL 60001|93315|TC|201.48||ECHO TRANSESOPHAGEAL 60001|93316||128.4||ECHO TRANSESOPHAGEAL 60001|93317||513.27||ECHO TRANSESOPHAGEAL 60001|93317|26|148.05||ECHO TRANSESOPHAGEAL 60001|93317|TC|135.83||ECHO TRANSESOPHAGEAL 60001|93318||318.99||ECHO TRANSESOPHAGEAL INTRAOP 60001|93318|26|179.05||ECHO TRANSESOPHAGEAL INTRAOP 60001|93318|TC|162.59||ECHO TRANSESOPHAGEAL INTRAOP 60001|93320||149.82||DOPPLER ECHO EXAM - HEART 60001|93320|26|29.93||DOPPLER ECHO EXAM - HEART 60001|93320|TC|52.47||DOPPLER ECHO EXAM - HEART 60001|93321||74.06||DOPPLER ECHO EXAM - HEART 60001|93321|26|11.97||DOPPLER ECHO EXAM - HEART 60001|93321|TC|28.76||DOPPLER ECHO EXAM - HEART 60001|93325||76.9||DOPPLER COLOR FLOW ADD-ON 60001|93325|26|5.97||DOPPLER COLOR FLOW ADD-ON 60001|93325|TC|36.33||DOPPLER COLOR FLOW ADD-ON 60001|93350||574.74||ECHO TRANSTHORACIC 60001|93350|26|116.38||ECHO TRANSTHORACIC 60001|93350|TC|199.73||ECHO TRANSTHORACIC 60001|93351||672.27||STRESS TTE COMPLETE 60001|93351|26|139.72||STRESS TTE COMPLETE 60001|93351|TC|230.03||STRESS TTE COMPLETE 60001|93352||96.46||ADMIN ECG CONTRAST AGENT 60001|93355||290.64||ECHO TRANSESOPHAGEAL (TEE) 60001|93356||15.52|| 60001|93451||2190.62||RIGHT HEART CATH 60001|93451|26|233.94||RIGHT HEART CATH 60001|93451|TC|970.9||RIGHT HEART CATH 60001|93452||2430.52||LEFT HRT CATH W/VENTRCLGRPHY 60001|93452|26|409.77||LEFT HRT CATH W/VENTRCLGRPHY 60001|93452|TC|927.02||LEFT HRT CATH W/VENTRCLGRPHY 60001|93453||3182.44||R&L HRT CATH W/VENTRICLGRPHY 60001|93453|26|536.84||R&L HRT CATH W/VENTRICLGRPHY 60001|93453|TC|1213.5||R&L HRT CATH W/VENTRICLGRPHY 60001|93454||2504.3||CORONARY ARTERY ANGIO S&I 60001|93454|26|412.52||CORONARY ARTERY ANGIO S&I 60001|93454|TC|964.84||CORONARY ARTERY ANGIO S&I 60001|93455||2923.4||CORONARY ART/GRFT ANGIO S&I 60001|93455|26|476.58||CORONARY ART/GRFT ANGIO S&I 60001|93455|TC|1131.29||CORONARY ART/GRFT ANGIO S&I 60001|93456||3134.61||R HRT CORONARY ARTERY ANGIO 60001|93456|26|528.19||R HRT CORONARY ARTERY ANGIO 60001|93456|TC|1195.85||R HRT CORONARY ARTERY ANGIO 60001|93457||3552.72||R HRT ART/GRFT ANGIO 60001|93457|26|592.23||R HRT ART/GRFT ANGIO 60001|93457|TC|1361.77||R HRT ART/GRFT ANGIO 60001|93458||3023.16||L HRT ARTERY/VENTRICLE ANGIO 60001|93458|26|503.71||L HRT ARTERY/VENTRICLE ANGIO 60001|93458|TC|1159.03||L HRT ARTERY/VENTRICLE ANGIO 60001|93459||3339.5||L HRT ART/GRFT ANGIO 60001|93459|26|567.25||L HRT ART/GRFT ANGIO 60001|93459|TC|1269.48||L HRT ART/GRFT ANGIO 60001|93460||3573.38||R&L HRT ART/VENTRICLE ANGIO 60001|93460|26|631.33||R&L HRT ART/VENTRICLE ANGIO 60001|93460|TC|1334.03||R&L HRT ART/VENTRICLE ANGIO 60001|93461||4095.28||R&L HRT ART/VENTRICLE ANGIO 60001|93461|26|696.95||R&L HRT ART/VENTRICLE ANGIO 60001|93461|TC|1555.45||R&L HRT ART/VENTRICLE ANGIO 60001|93462||584.15||L HRT CATH TRNSPTL PUNCTURE 60001|93463||309.04||DRUG ADMIN & HEMODYNMIC MEAS 60001|93464||738.76||EXERCISE W/HEMODYNAMIC MEAS 60001|93464|26|149.59||EXERCISE W/HEMODYNAMIC MEAS 60001|93464|TC|256.72||EXERCISE W/HEMODYNAMIC MEAS 60001|93503||392.42||INSERT/PLACE HEART CATHETER 60001|93505||2226.88||BIOPSY OF HEART LINING 60001|93505|26|381.99||BIOPSY OF HEART LINING 60001|93505|TC|842.79||BIOPSY OF HEART LINING 60001|93530||2400.66||RT HEART CATH - CONGENITAL 60001|93530|26|374.2||RT HEART CATH - CONGENITAL 60001|93530|TC|958.42||RT HEART CATH - CONGENITAL 60001|93531||4938||R & L HEART CATH - CONGENITAL 60001|93531|26|736.74||R & L HEART CATH - CONGENITAL 60001|93531|TC|1999.65||R & L HEART CATH - CONGENITAL 60001|93532||5910.72||R & L HEART CATH - CONGENITAL 60001|93532|26|880.45||R & L HEART CATH - CONGENITAL 60001|93532|TC|2393.51||R & L HEART CATH - CONGENITAL 60001|93533||4933.92||R & L HEART CATH - CONGENITAL 60001|93533|26|590.53||R & L HEART CATH - CONGENITAL 60001|93533|TC|2139.01||R & L HEART CATH - CONGENITAL 60001|93561||124.59||CARDIAC OUTPUT MEASUREMENT 60001|93561|26|39.75||CARDIAC OUTPUT MEASUREMENT 60001|93561|TC|30.29||CARDIAC OUTPUT MEASUREMENT 60001|93562||54.93||CARDIAC OUTPUT MEASUREMENT 60001|93562|26|12.03||CARDIAC OUTPUT MEASUREMENT 60001|93562|TC|18.18||CARDIAC OUTPUT MEASUREMENT 60001|93563||160.42||INJECT CONGENITAL CARD CATH 60001|93564||164.32||INJECT HRT CONGNTL ART/GRFT 60001|93565||124.74||INJECT L VENTR/ATRIAL ANGIO 60001|93566||123.82||INJECT R VENTR/ATRIAL ANGIO 60001|93567||139.64||INJECT SUPRVLV AORTOGRAPHY 60001|93568||127.7||INJECT PULM ART HRT CATH 60001|93571||692.58||HEART FLOW RESERVE MEASURE 60001|93571|26|145.66||HEART FLOW RESERVE MEASURE 60001|93571|TC|240.87||HEART FLOW RESERVE MEASURE 60001|93572||421.74||HEART FLOW RESERVE MEASURE 60001|93572|26|116.87||HEART FLOW RESERVE MEASURE 60001|93572|TC|118.67||HEART FLOW RESERVE MEASURE 60001|93580||2939.09||TRANSCATH CLOSURE OF ASD 60001|93581||3935.47||TRANSCATH CLOSURE OF VSD 60001|93582||2022.18||PERQ TRANSCATH CLOSURE PDA 60001|93583||2250.93||PERQ TRANSCATH SEPTAL REDUXN 60001|93590||1618.94||PERQ TRANSCATH CLS MITRAL 60001|93591||1343.67||PERQ TRANSCATH CLS AORTIC 60001|93592||592.06||PERQ TRANSCATH CLOSURE EACH 60001|93600||544.41||BUNDLE OF HIS RECORDING 60001|93600|26|187.4||BUNDLE OF HIS RECORDING 60001|93600|TC|114.63||BUNDLE OF HIS RECORDING 60001|93602||456.3||INTRA-ATRIAL RECORDING 60001|93602|26|187.4||INTRA-ATRIAL RECORDING 60001|93602|TC|66.66||INTRA-ATRIAL RECORDING 60001|93603||516.87||RIGHT VENTRICULAR RECORDING 60001|93603|26|187.4||RIGHT VENTRICULAR RECORDING 60001|93603|TC|100.48||RIGHT VENTRICULAR RECORDING 60001|93609||1077.75||MAP TACHYCARDIA - ADD-ON 60001|93609|26|443.98||MAP TACHYCARDIA - ADD-ON 60001|93609|TC|157.56||MAP TACHYCARDIA - ADD-ON 60001|93610||623.94||INTRA-ATRIAL PACING 60001|93610|26|267.03||INTRA-ATRIAL PACING 60001|93610|TC|81.3||INTRA-ATRIAL PACING 60001|93612||645.06||INTRAVENTRICULAR PACING 60001|93612|26|266.02||INTRAVENTRICULAR PACING 60001|93612|TC|94.43||INTRAVENTRICULAR PACING 60001|93613||1131.06||ELECTROPHYS MAP 3D - ADD-ON 60001|93615||172.77||ESOPHAGEAL RECORDING 60001|93615|26|78.88||ESOPHAGEAL RECORDING 60001|93615|TC|171.75||ESOPHAGEAL RECORDING 60001|93616||246.93||ESOPHAGEAL RECORDING 60001|93616|26|107.57||ESOPHAGEAL RECORDING 60001|93616|TC|31.81||ESOPHAGEAL RECORDING 60001|93618||1092.63||HEART RHYTHM PACING 60001|93618|26|377.91||HEART RHYTHM PACING 60001|93618|TC|230.26||HEART RHYTHM PACING 60001|93619||1971.39||ELECTROPHYSIOLOGY EVALUATION 60001|93619|26|652.78||ELECTROPHYSIOLOGY EVALUATION 60001|93619|TC|447.4||ELECTROPHYSIOLOGY EVALUATION 60001|93620||2405.91||ELECTROPHYSIOLOGY EVALUATION 60001|93620|26|1030.78||ELECTROPHYSIOLOGY EVALUATION 60001|93620|TC|313.58||ELECTROPHYSIOLOGY EVALUATION 60001|93621||436.8||ELECTROPHYSIOLOGY EVALUATION 60001|93621|26|186.28||ELECTROPHYSIOLOGY EVALUATION 60001|93621|TC|57.07||ELECTROPHYSIOLOGY EVALUATION 60001|93622||644.1||ELECTROPHYSIOLOGY EVALUATION 60001|93622|26|275.09||ELECTROPHYSIOLOGY EVALUATION 60001|93622|TC|83.82||ELECTROPHYSIOLOGY EVALUATION 60001|93623||593.7||STIMULATION - PACING HEART 60001|93623|26|253.92||STIMULATION - PACING HEART 60001|93623|TC|77.27||STIMULATION - PACING HEART 60001|93624||954.51||ELECTROPHYSIOLOGIC STUDY 60001|93624|26|428.2||ELECTROPHYSIOLOGIC STUDY 60001|93624|TC|109.08||ELECTROPHYSIOLOGIC STUDY 60001|93631||1537.05||HEART PACING - MAPPING 60001|93631|26|660.3||HEART PACING - MAPPING 60001|93631|TC|199.96||HEART PACING - MAPPING 60001|93640||1323.36||EVALUATION HEART DEVICE 60001|93640|26|311.88||EVALUATION HEART DEVICE 60001|93640|TC|424.17||EVALUATION HEART DEVICE 60001|93641||1709.37||ELECTROPHYSIOLOGY EVALUATION 60001|93641|26|526.8||ELECTROPHYSIOLOGY EVALUATION 60001|93641|TC|425.17||ELECTROPHYSIOLOGY EVALUATION 60001|93642||1134.42||ELECTROPHYSIOLOGY EVALUATION 60001|93642|26|389.87||ELECTROPHYSIOLOGY EVALUATION 60001|93642|TC|234.06||ELECTROPHYSIOLOGY EVALUATION 60001|93644||369.95||ELECTROPHYSIOLOGY EVALUATION 60001|93644|26|245.01||ELECTROPHYSIOLOGY EVALUATION 60001|93644|TC|124.94||ELECTROPHYSIOLOGY EVALUATION 60001|93650||1722.75||ABLATE HEART DYSRHYTHM FOCUS 60001|93651||2625.45||ABLATE HEART DYSRHYTHM FOCUS 60001|93653||2501.76||EP & ABLATE SUPRAVENT ARRHYT 60001|93654||3331.8||EP & ABLATE VENTRIC TACHY 60001|93655||1489.02||ABLATE ARRHYTHMIA ADD ON 60001|93656||3335.91||TX ATRIAL FIB PULM VEIN ISOL 60001|93657||1191.21||TX L/R ATRIAL FIB ADDL 60001|93660||445.41||TILT TABLE EVALUATION 60001|93660|26|150.65||TILT TABLE EVALUATION 60001|93660|TC|94.33||TILT TABLE EVALUATION 60001|93662|26|227.69||INTRACARDIAC ECG (ICE) 60001|93662|TC|69.18||INTRACARDIAC ECG (ICE) 60001|93668||51.38||PERIPHERAL VASCULAR REHAB 60001|93701||69.72||BIOIMPEDANCE - THORACIC 60001|93702||133.72||BIS XTRACELL FLUID ANALYSIS 60001|93724||806.08||ANALYZE PACEMAKER SYSTEM 60001|93724|26|388.35||ANALYZE PACEMAKER SYSTEM 60001|93724|TC|54.99||ANALYZE PACEMAKER SYSTEM 60001|93740||26.52||TEMPERATURE GRADIENT STUDIES 60001|93745||0||SET-UP CARDIOVERT-DEFIBRILL 60001|93745|26|0||SET-UP CARDIOVERT-DEFIBRILL 60001|93745|TC|0||SET-UP CARDIOVERT-DEFIBRILL 60001|93750||128.94||INTERROGATION VAD - IN PERSON 60001|93770||25.6||MEASURE VENOUS PRESSURE 60001|93784||162.69||AMBULATORY BP MONITORING 60001|93786||84.39||AMBULATORY BP RECORDING 60001|93788||23.87||AMBULATORY BP ANALYSIS 60001|93790||54.42||REVIEW/REPORT BP RECORDING 60001|93792||62.05||PT/CAREGIVER TRAINJ HOME INR 60001|93793||14.65||ANTICOAG MGMT PT WARFARIN 60001|93797||26.66||CARDIAC REHAB 60001|93798||40.54||CARDIAC REHAB/MONITOR 60001|93799||0||CARDIOVASCULAR PROCEDURE 60001|93799|26|0||CARDIOVASCULAR PROCEDURE 60001|93799|TC|0||CARDIOVASCULAR PROCEDURE 60001|93880||377.23||EXTRACRANIAL STUDY 60001|93880|26|47.38||EXTRACRANIAL STUDY 60001|93880|TC|329.85||EXTRACRANIAL STUDY 60001|93882||267.17||EXTRACRANIAL STUDY 60001|93882|26|32.13||EXTRACRANIAL STUDY 60001|93882|TC|235.04||EXTRACRANIAL STUDY 60001|93886||533.51||INTRACRANIAL STUDY 60001|93886|26|74.04||INTRACRANIAL STUDY 60001|93886|TC|459.47||INTRACRANIAL STUDY 60001|93888||326.41||INTRACRANIAL STUDY 60001|93888|26|49.51||INTRACRANIAL STUDY 60001|93888|TC|276.9||INTRACRANIAL STUDY 60001|93890||427.94||TCD - VASOREACTIVITY STUDY 60001|93890|26|78.42||TCD - VASOREACTIVITY STUDY 60001|93890|TC|349.52||TCD - VASOREACTIVITY STUDY 60001|93892||491.35||TCD - EMBOLI DETECT W/O INJ 60001|93892|26|90.39||TCD - EMBOLI DETECT W/O INJ 60001|93892|TC|400.96||TCD - EMBOLI DETECT W/O INJ 60001|93893||495.89||TCD - EMBOLI DETECT W/INJ 60001|93893|26|90.9||TCD - EMBOLI DETECT W/INJ 60001|93893|TC|405||TCD - EMBOLI DETECT W/INJ 60001|93895||65|%|CAROTID INTIMA ATHEROMA EVAL 60001|93895|26|65|%|CAROTID INTIMA ATHEROMA EVAL 60001|93895|TC|65|%|CAROTID INTIMA ATHEROMA EVAL 60001|93922||155.79||EXTREMITY STUDY 60001|93922|26|19.1||EXTREMITY STUDY 60001|93922|TC|136.69||EXTREMITY STUDY 60001|93923||241.72||EXTREMITY STUDY 60001|93923|26|35.43||EXTREMITY STUDY 60001|93923|TC|206.29||EXTREMITY STUDY 60001|93924||304.04||EXTREMITY STUDY 60001|93924|26|39.75||EXTREMITY STUDY 60001|93924|TC|264.29||EXTREMITY STUDY 60001|93925||473.99||LOWER EXTREMITY STUDY 60001|93925|26|45.25||LOWER EXTREMITY STUDY 60001|93925|TC|428.74||LOWER EXTREMITY STUDY 60001|93926||309.48||LOWER EXTREMITY STUDY 60001|93926|26|31.07||LOWER EXTREMITY STUDY 60001|93926|TC|278.41||LOWER EXTREMITY STUDY 60001|93930||378.45||UPPER EXTREMITY STUDY 60001|93930|26|36.49||UPPER EXTREMITY STUDY 60001|93930|TC|341.96||UPPER EXTREMITY STUDY 60001|93931||251.49||UPPER EXTREMITY STUDY 60001|93931|26|24.52||UPPER EXTREMITY STUDY 60001|93931|TC|226.97||UPPER EXTREMITY STUDY 60001|93970||390.86||EXTREMITY STUDY 60001|93970|26|53.94||EXTREMITY STUDY 60001|93970|TC|336.91||EXTREMITY STUDY 60001|93971||232.64||EXTREMITY STUDY 60001|93971|26|35.43||EXTREMITY STUDY 60001|93971|TC|197.21||EXTREMITY STUDY 60001|93975||575.45||VASCULAR STUDY 60001|93975|26|142.18||VASCULAR STUDY 60001|93975|TC|433.27||VASCULAR STUDY 60001|93976||330.36||VASCULAR STUDY 60001|93976|26|94.82||VASCULAR STUDY 60001|93976|TC|235.54||VASCULAR STUDY 60001|93978||365.47||VASCULAR STUDY 60001|93978|26|51.75||VASCULAR STUDY 60001|93978|TC|313.71||VASCULAR STUDY 60001|93979||254.77||VASCULAR STUDY 60001|93979|26|34.87||VASCULAR STUDY 60001|93979|TC|219.91||VASCULAR STUDY 60001|93980||264.51||PENILE VASCULAR STUDY 60001|93980|26|98.56||PENILE VASCULAR STUDY 60001|93980|TC|165.94||PENILE VASCULAR STUDY 60001|93981||176.58||PENILE VASCULAR STUDY 60001|93981|26|34.85||PENILE VASCULAR STUDY 60001|93981|TC|141.74||PENILE VASCULAR STUDY 60001|93982||66.36||ANEURYSM PRESSURE SENS STUDY 60001|93985||318.8|| 60001|93985|26|50.47|| 60001|93985|TC|268.33|| 60001|93986||162.4|| 60001|93986|26|32.59|| 60001|93986|TC|129.81|| 60001|93990||322.27||DOPPLER FLOW TESTING 60001|93990|26|20.16||DOPPLER FLOW TESTING 60001|93990|TC|302.11||DOPPLER FLOW TESTING 60001|93998||0||NONINVAS VASC DX STUDY PROC 60001|94002||116.08||VENT MGMT INPAT - INIT DAY 60001|94003||83.01||VENT MGMT INPAT - SUBQ DAY 60001|94004||60.63||VENT MGMT NF PER DAY 60001|94005||113.39||HOME VENT MGMT SUPERVISION 60001|94010||42.91||BREATHING CAPACITY TEST 60001|94010|26|13.09||BREATHING CAPACITY TEST 60001|94010|TC|41.37||BREATHING CAPACITY TEST 60001|94011||126.43||UP TO 2 YRS OLD - SPIROMETRY 60001|94012||199.86||"= 2 YRS| SPIROMTRY W/DILATOR" 60001|94013||41.58||"= 2 YRS| LUNG VOLUMES" 60001|94014||57.61||PATIENT RECORDED SPIROMETRY 60001|94015||27.43||PATIENT RECORDED SPIROMETRY 60001|94016||30.18||REVIEW PATIENT SPIROMETRY 60001|94016|26|30.18||REVIEW PATIENT SPIROMETRY 60001|94060||72.33||EVALUATION OF WHEEZING 60001|94060|26|20.17||EVALUATION OF WHEEZING 60001|94060|TC|71.63||EVALUATION OF WHEEZING 60001|94070||73.89||EVALUATION OF WHEEZING 60001|94070|26|45.85||EVALUATION OF WHEEZING 60001|94070|TC|47.93||EVALUATION OF WHEEZING 60001|94150||29.75||VITAL CAPACITY TEST 60001|94150|26|5.97||VITAL CAPACITY TEST 60001|94150|TC|31.79||VITAL CAPACITY TEST 60001|94200||29.93||LUNG FUNCTION TEST (MBC/MVV) 60001|94200|26|8.72||LUNG FUNCTION TEST (MBC/MVV) 60001|94200|TC|29.27||LUNG FUNCTION TEST (MBC/MVV) 60001|94240||70.72||RESIDUAL LUNG CAPACITY 60001|94250||31.52||EXPIRED GAS COLLECTION 60001|94250|26|8.72||EXPIRED GAS COLLECTION 60001|94250|TC|31.29||EXPIRED GAS COLLECTION 60001|94260||72.02||THORACIC GAS VOLUME 60001|94350||73.32||LUNG NITROGEN WASHOUT CURVE 60001|94360||73.32||MEASURE AIRFLOW RESISTANCE 60001|94370||73.32||BREATH AIRWAY CLOSING VOLUME 60001|94375||47.12||RESPIRATORY FLOW VOLUME LOOP 60001|94375|26|23.48||RESPIRATORY FLOW VOLUME LOOP 60001|94375|TC|36.33||RESPIRATORY FLOW VOLUME LOOP 60001|94400||68.19||CO2 BREATHING RESPONSE CURVE 60001|94400|26|30.05||CO2 BREATHING RESPONSE CURVE 60001|94400|TC|56.5||CO2 BREATHING RESPONSE CURVE 60001|94450||76.53||HYPOXIA RESPONSE CURVE 60001|94450|26|30.55||HYPOXIA RESPONSE CURVE 60001|94450|TC|66.59||HYPOXIA RESPONSE CURVE 60001|94452||69.37||HAST W/REPORT 60001|94452|26|22.97||HAST W/REPORT 60001|94452|TC|65.08||HAST W/REPORT 60001|94453||94.42||HAST W/OXYGEN TITRATE 60001|94453|26|29.54||HAST W/OXYGEN TITRATE 60001|94453|TC|90.29||HAST W/OXYGEN TITRATE 60001|94610||74.87||SURFACTANT ADMIN THRU TUBE 60001|94617||117.31||EXERCISE TST BRNCSPSM 60001|94617|26|55.24||EXERCISE TST BRNCSPSM 60001|94617|TC|93.66||EXERCISE TST BRNCSPSM 60001|94618||43.32||PULMONARY STRESS TESTING 60001|94618|26|37.8||PULMONARY STRESS TESTING 60001|94618|TC|17.19||PULMONARY STRESS TESTING 60001|94620||72.88||PULMONARY STRESS TEST/SIMPLE 60001|94620|26|48.6||PULMONARY STRESS TEST/SIMPLE 60001|94620|TC|43.89||PULMONARY STRESS TEST/SIMPLE 60001|94621||197.62||PULM STRESS TEST/COMPLEX 60001|94621|26|109.09||PULM STRESS TEST/COMPLEX 60001|94621|TC|141.74||PULM STRESS TEST/COMPLEX 60001|94640||20.68||AIRWAY INHALATION TREATMENT 60001|94642||54.61||AEROSOL INHALATION TREATMENT 60001|94644||50.87||"CBT| 1ST HOUR" 60001|94645||16.7||"CBT| EACH ADDL HOUR" 60001|94660||46.81||"POS AIRWAY PRESSURE| CPAP" 60001|94662||45.62||"NEG PRESS VENTILATION| CNP" 60001|94664||19.88||EVALUATE PT USE OF INHALER 60001|94667||28.23||CHEST WALL MANIPULATION 60001|94668||27.83||CHEST WALL MANIPULATION 60001|94669||41.46||MECHANICAL CHEST WALL OSCILL 60001|94680||70.74||"EXHALED AIR ANALYSIS| O2" 60001|94680|26|20.17||"EXHALED AIR ANALYSIS| O2" 60001|94680|TC|69.62||"EXHALED AIR ANALYSIS| O2" 60001|94681||64.11||"EXHALED AIR ANALYSIS| O2/CO2" 60001|94681|26|15.28||"EXHALED AIR ANALYSIS| O2/CO2" 60001|94681|TC|66.08||"EXHALED AIR ANALYSIS| O2/CO2" 60001|94690||61.14||EXHALED AIR ANALYSIS 60001|94690|26|5.97||EXHALED AIR ANALYSIS 60001|94690|TC|71.63||EXHALED AIR ANALYSIS 60001|94720||70.36||MONOXIDE DIFFUSING CAPACITY 60001|94726||64||PULM FUNCT TST PLETHYSMOGRAP 60001|94726|26|19.66||PULM FUNCT TST PLETHYSMOGRAP 60001|94726|TC|61.56||PULM FUNCT TST PLETHYSMOGRAP 60001|94727||50.47||PULM FUNCTION TEST BY GAS 60001|94727|26|19.66||PULM FUNCTION TEST BY GAS 60001|94727|TC|44.4||PULM FUNCTION TEST BY GAS 60001|94728||50.47||PULM FUNCT TEST OSCILLOMETRY 60001|94728|26|19.66||PULM FUNCT TEST OSCILLOMETRY 60001|94728|TC|44.4||PULM FUNCT TEST OSCILLOMETRY 60001|94729||63.18||C0/MEMBANE DIFFUSE CAPACITY 60001|94729|26|13.09||C0/MEMBANE DIFFUSE CAPACITY 60001|94729|TC|67.09||C0/MEMBANE DIFFUSE CAPACITY 60001|94750||94.44||PULMONARY COMPLIANCE STUDY 60001|94750|26|17.47||PULMONARY COMPLIANCE STUDY 60001|94750|TC|102.4||PULMONARY COMPLIANCE STUDY 60001|94760||3.59||MEASURE BLOOD OXYGEN LEVEL 60001|94760|26|3.59||MEASURE BLOOD OXYGEN LEVEL 60001|94761||5.58||MEASURE BLOOD OXYGEN LEVEL 60001|94762||17.89||MEASURE BLOOD OXYGEN LEVEL 60001|94770||19||EXHALED CARBON DIOXIDE TEST 60001|94772||0||"BREATH RECORDING| INFANT" 60001|94772|26|0||"BREATH RECORDING| INFANT" 60001|94772|TC|0||"BREATH RECORDING| INFANT" 60001|94774||0||"PED HOME APNEA REC| COMPL" 60001|94775||0||"PED HOME APNEA REC| HK-UP" 60001|94776||0||"PED HOME APNEA REC| DOWNLD" 60001|94777||0||"PED HOME APNEA REC| REPORT" 60001|94780||29.62||CAR SEAT/BED TEST 60 MIN 60001|94781||10.32||CAR SEAT/BED TEST + 30 MIN 60001|94799||0||PULMONARY SERVICE/PROCEDURE 60001|94799|26|0||PULMONARY SERVICE/PROCEDURE 60001|94799|TC|0||PULMONARY SERVICE/PROCEDURE 60001|95004||7.61||PERCUT ALLERGY SKIN TESTS 60001|95012||23.85||EXHALED NITRIC OXIDE MEAS 60001|95018||24.12||PERQ&IC ALLG TEST DRUGS/BIOL 60001|95024||1.25||"ID ALLERGY TEST| DRUG/BUG" 60001|95027||6.02||ID ALLERGY TITRATE-AIRBORNE 60001|95028||15.91||ID ALLERGY TEST-DELAYED TYPE 60001|95044||7.17||ALLERGY PATCH TESTS 60001|95052||7.96||PHOTO PATCH TEST 60001|95056||51.27||PHOTOSENSITIVITY TESTS 60001|95060||37.36||EYE ALLERGY TESTS 60001|95065||29.42||NOSE ALLERGY TEST 60001|95070||40.15||BRONCHIAL ALLERGY TESTS 60001|95071||79.48||BRONCHIAL ALLERGY TESTS 60001|95076||90.64||INGEST CHALLENGE INI 120 MIN 60001|95079||83.35||INGEST CHALLENGE ADDL 60 MIN 60001|95115||11.54||"IMMUNOTHERAPY| ONE INJECTION" 60001|95117||13.92||IMMUNOTHERAPY INJECTIONS 60001|95144||3.86||ANTIGEN THERAPY SERVICES 60001|95145||3.86||ANTIGEN THERAPY SERVICES 60001|95146||3.86||ANTIGEN THERAPY SERVICES 60001|95147||3.86||ANTIGEN THERAPY SERVICES 60001|95148||3.86||ANTIGEN THERAPY SERVICES 60001|95149||3.86||ANTIGEN THERAPY SERVICES 60001|95165||4.26||ANTIGEN THERAPY SERVICES 60001|95170||3.86||ANTIGEN THERAPY SERVICES 60001|95180||127.97||RAPID DESENSITIZATION 60001|95199||0||ALLERGY IMMUNOLOGY SERVICES 60001|95249||65.88||CONT GLUC MNTR PT PROV EQP 60001|95250||184.39||"GLUCOSE MONITORING| CONT" 60001|95251||52.76||"GLUC MONITOR| CONT| PHYS I&R" 60001|95717||131.94|| 60001|95718||172.77|| 60001|95719||204.3|| 60001|95720||267.5|| 60001|95721||268.33|| 60001|95722||326.42|| 60001|95723||332.2|| 60001|95724||416.2|| 60001|95725||377.95|| 60001|95726||525.93|| 60001|95782||160.81||POLYSOM <6 YRS 4/> PARAMTRS 60001|95783||175.77||POLYSOM <6 YRS CPAP/BILVL 60001|95800||192.75||SLP STDY UNATTENDED 60001|95800|26|80.72||SLP STDY UNATTENDED 60001|95800|TC|163.93||SLP STDY UNATTENDED 60001|95801||105.51||SLP STDY UNATND W/ANAL 60001|95801|26|76.91||SLP STDY UNATND W/ANAL 60001|95801|TC|57.01||SLP STDY UNATND W/ANAL 60001|95803||197.24||ACTIGRAPHY TESTING 60001|95803|26|70.28||ACTIGRAPHY TESTING 60001|95803|TC|180.06||ACTIGRAPHY TESTING 60001|95805||493.08||MULTIPLE SLEEP LATENCY TEST 60001|95805|26|94.7||MULTIPLE SLEEP LATENCY TEST 60001|95805|TC|531.13||MULTIPLE SLEEP LATENCY TEST 60001|95806||220.32||"SLEEP STUDY| UNATTENDED" 60001|95806|26|99.03||"SLEEP STUDY| UNATTENDED" 60001|95806|TC|180.6||"SLEEP STUDY| UNATTENDED" 60001|95807||587.7||"SLEEP STUDY| ATTENDED" 60001|95807|26|99.21||"SLEEP STUDY| ATTENDED" 60001|95807|TC|646.73||"SLEEP STUDY| ATTENDED" 60001|95808||792.06||"POLYSOMNOGRAPHY| 1-3" 60001|95808|26|139.2||"POLYSOMNOGRAPHY| 1-3" 60001|95808|TC|866.11||"POLYSOMNOGRAPHY| 1-3" 60001|95810||785.21||"POLYSOMNOGRAPHY| 4 OR MORE" 60001|95810|26|194.54||"POLYSOMNOGRAPHY| 4 OR MORE" 60001|95810|TC|802.08||"POLYSOMNOGRAPHY| 4 OR MORE" 60001|95811||836.95||POLYSOMNOGRAPHY W/CPAP 60001|95811|26|202.69||POLYSOMNOGRAPHY W/CPAP 60001|95811|TC|859.59||POLYSOMNOGRAPHY W/CPAP 60001|95812||433.32||"EEG| 41-60 MINUTES" 60001|95812|26|86.44||"EEG| 41-60 MINUTES" 60001|95812|TC|463.53||"EEG| 41-60 MINUTES" 60001|95813||504.25||"EEG| OVER 1 HOUR" 60001|95813|26|138.13||"EEG| OVER 1 HOUR" 60001|95813|TC|501.88||"EEG| OVER 1 HOUR" 60001|95816||398.36||"EEG| AWAKE AND DROWSY" 60001|95816|26|86.96||"EEG| AWAKE AND DROWSY" 60001|95816|TC|418.65||"EEG| AWAKE AND DROWSY" 60001|95819||451.59||"EEG| AWAKE AND ASLEEP" 60001|95819|26|86.44||"EEG| AWAKE AND ASLEEP" 60001|95819|TC|486.73||"EEG| AWAKE AND ASLEEP" 60001|95822||412.26||"EEG| COMA OR SLEEP ONLY" 60001|95822|26|86.44||"EEG| COMA OR SLEEP ONLY" 60001|95822|TC|436.8||"EEG| COMA OR SLEEP ONLY" 60001|95824||120.69||"EEG| CEREBRAL DEATH ONLY" 60001|95824|26|60.3||"EEG| CEREBRAL DEATH ONLY" 60001|95824|TC|153.19||"EEG| CEREBRAL DEATH ONLY" 60001|95827||788.63||"EEG| ALL NIGHT RECORDING" 60001|95827|26|86.96||"EEG| ALL NIGHT RECORDING" 60001|95827|TC|913.99||"EEG| ALL NIGHT RECORDING" 60001|95829||1981.26||SURGERY ELECTROCORTICOGRAM 60001|95829|26|493.72||SURGERY ELECTROCORTICOGRAM 60001|95829|TC|2020.96||SURGERY ELECTROCORTICOGRAM 60001|95830||108.79||INSERT ELECTRODES FOR EEG 60001|95831||18.39||"LIMB MUSCLE TESTING| MANUAL" 60001|95832||19.23||"HAND MUSCLE TESTING| MANUAL" 60001|95833||27.17||"BODY MUSCLE TESTING| MANUAL" 60001|95834||37.32||"BODY MUSCLE TESTING| MANUAL" 60001|95851||9.48||RANGE OF MOTION MEASUREMENTS 60001|95852||7.26||RANGE OF MOTION MEASUREMENTS 60001|95857||35.43||TENSILON TEST 60001|95860||116.44||"MUSCLE TEST| ONE LIMB" 60001|95860|26|78.68||"MUSCLE TEST| ONE LIMB" 60001|95860|TC|69.11||"MUSCLE TEST| ONE LIMB" 60001|95861||169.95||"MUSCLE TEST| 2 LIMBS" 60001|95861|26|125.41||"MUSCLE TEST| 2 LIMBS" 60001|95861|TC|90.29||"MUSCLE TEST| 2 LIMBS" 60001|95863||205.63||"MUSCLE TEST| 3 LIMBS" 60001|95863|26|151.54||"MUSCLE TEST| 3 LIMBS" 60001|95863|TC|109.46||"MUSCLE TEST| 3 LIMBS" 60001|95864||222.47||"MUSCLE TEST| 4 LIMBS" 60001|95864|26|161.31||"MUSCLE TEST| 4 LIMBS" 60001|95864|TC|121.06||"MUSCLE TEST| 4 LIMBS" 60001|95865||152.19||"MUSCLE TEST| LARYNX" 60001|95865|26|128.08||"MUSCLE TEST| LARYNX" 60001|95865|TC|65.08||"MUSCLE TEST| LARYNX" 60001|95866||135.66||"MUSCLE TEST| HEMIDIAPHRAGM" 60001|95866|26|101.05||"MUSCLE TEST| HEMIDIAPHRAGM" 60001|95866|TC|71.13||"MUSCLE TEST| HEMIDIAPHRAGM" 60001|95867||110.51||MUSCLE TEST CRAN NERV UNILAT 60001|95867|26|63.58||MUSCLE TEST CRAN NERV UNILAT 60001|95867|TC|76.68||MUSCLE TEST CRAN NERV UNILAT 60001|95868||148.44||MUSCLE TEST CRAN NERVE BILAT 60001|95868|26|94.58||MUSCLE TEST CRAN NERVE BILAT 60001|95868|TC|93.82||MUSCLE TEST CRAN NERVE BILAT 60001|95869||81.17||"MUSCLE TEST| THOR PARASPINAL" 60001|95869|26|29.37||"MUSCLE TEST| THOR PARASPINAL" 60001|95869|TC|73.65||"MUSCLE TEST| THOR PARASPINAL" 60001|95870||77.99||"MUSCLE TEST| NONPARASPINAL" 60001|95870|26|29.87||"MUSCLE TEST| NONPARASPINAL" 60001|95870|TC|69.11||"MUSCLE TEST| NONPARASPINAL" 60001|95872||229.32||"MUSCLE TEST| ONE FIBER" 60001|95872|26|229.51||"MUSCLE TEST| ONE FIBER" 60001|95872|TC|61.55||"MUSCLE TEST| ONE FIBER" 60001|95873||79.58||"GUIDE NERV DESTR| ELEC STIM" 60001|95873|26|31.39||"GUIDE NERV DESTR| ELEC STIM" 60001|95873|TC|69.62||"GUIDE NERV DESTR| ELEC STIM" 60001|95874||75.6||"GUIDE NERV DESTR| NEEDLE EMG" 60001|95874|26|30.38||"GUIDE NERV DESTR| NEEDLE EMG" 60001|95874|TC|65.58||"GUIDE NERV DESTR| NEEDLE EMG" 60001|95875||135.38||LIMB EXERCISE TEST 60001|95875|26|88.59||LIMB EXERCISE TEST 60001|95875|TC|83.23||LIMB EXERCISE TEST 60001|95885||66.77||MUSC TST DONE W/NERV TST LIM 60001|95885|26|28.25||MUSC TST DONE W/NERV TST LIM 60001|95885|TC|56.5||MUSC TST DONE W/NERV TST LIM 60001|95886||106.33||MUSC TEST DONE W/N TEST COMP 60001|95886|26|75.42||MUSC TEST DONE W/N TEST COMP 60001|95886|TC|59.53||MUSC TEST DONE W/N TEST COMP 60001|95887||94.33||MUSC TST DONE W/N TST NONEXT 60001|95887|26|59.19||MUSC TST DONE W/N TST NONEXT 60001|95887|TC|60.54||MUSC TST DONE W/N TST NONEXT 60001|95900|26|34.2||MOTOR NERVE CONDUCTION TEST 60001|95900|TC|63.56||MOTOR NERVE CONDUCTION TEST 60001|95903|26|48.88||MOTOR NERVE CONDUCTION TEST 60001|95903|TC|66.08||MOTOR NERVE CONDUCTION TEST 60001|95904|26|27.69||SENSE NERVE CONDUCTION TEST 60001|95904|TC|58.52||SENSE NERVE CONDUCTION TEST 60001|95905||78.93||MOTOR/SENS NRVE CONDUCT TEST 60001|95905|26|4.34||MOTOR/SENS NRVE CONDUCT TEST 60001|95905|TC|95.84||MOTOR/SENS NRVE CONDUCT TEST 60001|95907||115.01||NVR CNDJ TST 1-2 STUDIES 60001|95908||141.96||NVR CNDJ TST 3-4 STUDIES 60001|95909||170.13||NVR CNDJ TST 5-6 STUDIES 60001|95910||224.06||NVR CNDJ TST 7-8 STUDIES 60001|95911||271.63||NVR CNDJ TST 9-10 STUDIES 60001|95912||318.41||NVR CNDJ TST 11-12 STUDIES 60001|95913||369.43||NVR CNDJ TST 13/> STUDIES 60001|95920|26|170.08||INTRAOP NERVE TEST ADD-ON 60001|95920|TC|88.78||INTRAOP NERVE TEST ADD-ON 60001|95921||102.26||AUTONOMIC NERV FUNCTION TEST 60001|95921|26|71.27||AUTONOMIC NERV FUNCTION TEST 60001|95921|TC|58.52||AUTONOMIC NERV FUNCTION TEST 60001|95922||127.57||AUTONOMIC NERV FUNCTION TEST 60001|95922|26|76.16||AUTONOMIC NERV FUNCTION TEST 60001|95922|TC|85.75||AUTONOMIC NERV FUNCTION TEST 60001|95923||188.5||AUTONOMIC NERV FUNCTION TEST 60001|95923|26|72.8||AUTONOMIC NERV FUNCTION TEST 60001|95923|TC|166.45||AUTONOMIC NERV FUNCTION TEST 60001|95925||196.77||SOMATOSENSORY TESTING 60001|95925|26|42.95||SOMATOSENSORY TESTING 60001|95925|TC|206.79||SOMATOSENSORY TESTING 60001|95926||190.84||SOMATOSENSORY TESTING 60001|95926|26|43.49||SOMATOSENSORY TESTING 60001|95926|TC|198.72||SOMATOSENSORY TESTING 60001|95927||193.19||SOMATOSENSORY TESTING 60001|95927|26|42.95||SOMATOSENSORY TESTING 60001|95927|TC|202.26||SOMATOSENSORY TESTING 60001|95928||304.52||"C MOTOR EVOKED| UPPR LIMBS" 60001|95928|26|121.18||"C MOTOR EVOKED| UPPR LIMBS" 60001|95928|TC|265.33||"C MOTOR EVOKED| UPPR LIMBS" 60001|95929||309.29||"C MOTOR EVOKED| LWR LIMBS" 60001|95929|26|121.18||"C MOTOR EVOKED| LWR LIMBS" 60001|95929|TC|271.38||"C MOTOR EVOKED| LWR LIMBS" 60001|95930||178.03||VISUAL EVOKED POTENTIAL TEST 60001|95930|26|28.25||VISUAL EVOKED POTENTIAL TEST 60001|95930|TC|197.72||VISUAL EVOKED POTENTIAL TEST 60001|95933||97.29||BLINK REFLEX TEST 60001|95933|26|47.81||BLINK REFLEX TEST 60001|95933|TC|75.67||BLINK REFLEX TEST 60001|95934|26|40.76||H-REFLEX TEST 60001|95934|TC|53.48||H-REFLEX TEST 60001|95936|26|44.02||H-REFLEX TEST 60001|95936|TC|32.8||H-REFLEX TEST 60001|95937||84.06||NEUROMUSCULAR JUNCTION TEST 60001|95937|26|52.71||NEUROMUSCULAR JUNCTION TEST 60001|95937|TC|53.98||NEUROMUSCULAR JUNCTION TEST 60001|95938||349.28||SOMATOSENSORY TESTING 60001|95938|26|69.55||SOMATOSENSORY TESTING 60001|95938|TC|373.76||SOMATOSENSORY TESTING 60001|95939||550.76||C MOTOR EVOKED UPR&LWR LIMBS 60001|95939|26|183.04||C MOTOR EVOKED UPR&LWR LIMBS 60001|95939|TC|516||C MOTOR EVOKED UPR&LWR LIMBS 60001|95940||50.1||IONM IN OPERATNG ROOM 15 MIN 60001|95943||134||PARASYMP&SYMP HRT RATE TEST 60001|95950||355.03||AMBULATORY EEG MONITORING 60001|95950|26|121.23||AMBULATORY EEG MONITORING 60001|95950|TC|329.38||AMBULATORY EEG MONITORING 60001|95951|26|493.06||EEG MONITORING/VIDEORECORD 60001|95951|TC|713.01||EEG MONITORING/VIDEORECORD 60001|95953||515.6||EEG MONITORING/COMPUTER 60001|95953|26|248.88||EEG MONITORING/COMPUTER 60001|95953|TC|405.54||EEG MONITORING/COMPUTER 60001|95954||484.9||EEG MONITORING/GIVING DRUGS 60001|95954|26|188.72||EEG MONITORING/GIVING DRUGS 60001|95954|TC|426.73||EEG MONITORING/GIVING DRUGS 60001|95955||231.12||EEG DURING SURGERY 60001|95955|26|81||EEG DURING SURGERY 60001|95955|TC|212.34||EEG DURING SURGERY 60001|95956||1393.16||"EEG MONITORING| CABLE/RADIO" 60001|95956|26|283.71||"EEG MONITORING| CABLE/RADIO" 60001|95956|TC|1484.53||"EEG MONITORING| CABLE/RADIO" 60001|95957||460.48||EEG DIGITAL ANALYSIS 60001|95957|26|159.28||EEG DIGITAL ANALYSIS 60001|95957|TC|425.17||EEG DIGITAL ANALYSIS 60001|95958||597.63||EEG MONITORING/FUNCTION TEST 60001|95958|26|340.88||EEG MONITORING/FUNCTION TEST 60001|95958|TC|417.66||EEG MONITORING/FUNCTION TEST 60001|95961||329.9||"ELECTRODE STIMULATION| BRAIN" 60001|95961|26|241.17||"ELECTRODE STIMULATION| BRAIN" 60001|95961|TC|177.54||"ELECTRODE STIMULATION| BRAIN" 60001|95962||290.45||"ELECTRODE STIM| BRAIN ADD-ON" 60001|95962|26|258.18||"ELECTRODE STIM| BRAIN ADD-ON" 60001|95962|TC|110.47||"ELECTRODE STIM| BRAIN ADD-ON" 60001|95965||2536.53||"MEG| SPONTANEOUS" 60001|95965|26|661.13||"MEG| SPONTANEOUS" 60001|95965|TC|2538.94||"MEG| SPONTANEOUS" 60001|95966||1161.85||"MEG| EVOKED| SINGLE" 60001|95966|26|330.01||"MEG| EVOKED| SINGLE" 60001|95966|TC|1161.4||"MEG| EVOKED| SINGLE" 60001|95967||1020.36||"MEG| EVOKED| EACH ADD'L" 60001|95967|26|287.78||"MEG| EVOKED| EACH ADD'L" 60001|95967|TC|1020.01||"MEG| EVOKED| EACH ADD'L" 60001|95970||29.1||"ANALYZE NEUROSTIM| NO PROG" 60001|95971||50.1||"ANALYZE NEUROSTIM| SIMPLE" 60001|95972||97.55||"ANALYZE NEUROSTIM| COMPLEX" 60001|95973||60.29||"ANALYZE NEUROSTIM| COMPLEX" 60001|95974||193.49||"CRANIAL NEUROSTIM| COMPLEX" 60001|95975||109.55||"CRANIAL NEUROSTIM| COMPLEX" 60001|95978||231.27||ANALYZE NEUROSTIM BRAIN/1H 60001|95979||106.93||ANALYZ NEUROSTIM BRAIN ADDON 60001|95980||57.07||IO ANAL GAST N-STIM INIT 60001|95981||21.66||IO ANAL GAST N-STIM SUBSQ 60001|95982||43.93||IO GA N-STIM SUBSQ W/REPROG 60001|95990||100.17||SPIN/BRAIN PUMP REFIL & MAIN 60001|95991||48.84||SPIN/BRAIN PUMP REFIL & MAIN 60001|95992||47.56||CANALITH REPOSITIONING PROC 60001|95999||0||NEUROLOGICAL PROCEDURE 60001|96000||119.53||"MOTION ANALYSIS| VIDEO/3D" 60001|96001||125.1||MOTION TEST W/FT PRESS MEAS 60001|96002||26.53||DYNAMIC SURFACE EMG 60001|96003||23.56||DYNAMIC FINE WIRE EMG 60001|96004||139.78||PHYS REVIEW OF MOTION TESTS 60001|96020|26|274.86||FUNCTIONAL BRAIN MAPPING 60001|96020|TC|263.65||FUNCTIONAL BRAIN MAPPING 60001|96040||52||"GENETIC COUNSELING| 30 MIN" 60001|96101||93.75||PSYCHO TESTING BY PSYCH/PHYS 60001|96102||27.42||PSYCHO TESTING BY TECHNICIAN 60001|96103||29.38||PSYCHO TESTING ADMIN BY COMP 60001|96105||121.89||ASSESSMENT OF APHASIA 60001|96110||11.09||"DEVELOPMENTAL TEST| LIM" 60001|96111||144.83||"DEVELOPMENTAL TEST| EXTEND" 60001|96116||101.81||NEUROBEHAVIORAL STATUS EXAM 60001|96118||92.98||NEUROPSYCH TST BY PSYCH/PHYS 60001|96119||27.62||NEUROPSYCH TESTING BY TECH 60001|96120||29.38||NEUROPSYCH TST ADMIN W/COMP 60001|96125||118.65||COGNITIVE TEST BY HC PRO 60001|96127||6.03||BRIEF EMOTIONAL/BEHAV ASSMT 60001|96150||24.72||"ASSESS HLTH/BEHAVE| INIT" 60001|96151||23.87||"ASSESS HLTH/BEHAVE| SUBSEQ" 60001|96152||22.64||"INTERVENE HLTH/BEHAVE| INDIV" 60001|96153||5.41||"INTERVENE HLTH/BEHAVE| GROUP" 60001|96154||22.22||"INTERV HLTH/BEHAV| FAM W/PT" 60001|96155||26.78||INTERV HLTH/BEHAV FAM NO PT 60001|96156||111.59|| 60001|96158||76.06|| 60001|96159||26.25|| 60001|96160||6.07||PT-FOCUSED HLTH RISK ASSMT 60001|96161||6.07||CAREGIVER HEALTH RISK ASSMT 60001|96164||11.13|| 60001|96165||4.91|| 60001|96167||81.43|| 60001|96168||28.91|| 60001|96170||18.19|| 60001|96171||71.79|| 60001|96360||64.96||"HYDRATION IV INFUSION| INIT" 60001|96361||17.6||"HYDRATE IV INFUSION| ADD-ON" 60001|96365||82.33||"THER/PROPH/DIAG IV INF| INIT" 60001|96366||24.86||THER/PROPH/DIAG IV INF ADDON 60001|96367||37.13||TX/PROPH/DG ADDL SEQ IV INF 60001|96368||22.15||THER/DIAG CONCURRENT INF 60001|96369||211.09||"SC THER INFUSION| UP TO 1 HR" 60001|96370||18.37||"SC THER INFUSION| ADDL HR" 60001|96371||96.68||"SC THER INFUSION| RESET PUMP" 60001|96372||27.88||"THER/PROPH/DIAG INJ| SC/IM" 60001|96373||22.91||"THER/PROPH/DIAG INJ| IA" 60001|96374||63.48||"THER/PROPH/DIAG INJ| IV PUSH" 60001|96375||25.66||TX/PRO/DX INJ NEW DRUG ADDON 60001|96376||16.96||TX/PRO/DX INJ NEW DRUG ADON 60001|96377||59.5||APPLICATON ON-BODY INJECTOR 60001|96379||0||THER/PROP/DIAG INJ/INF PROC 60001|96401||83.11||"CHEMO| ANTI-NEOPL| SQ/IM" 60001|96402||38.66||CHEMO HORMON ANTINEOPL SQ/IM 60001|96405||36.3||"CHEMO INTRALESIONAL| UP TO 7" 60001|96406||53.19||CHEMO INTRALESIONAL OVER 7 60001|96409||125.66||"CHEMO| IV PUSH| SNGL DRUG" 60001|96411||70.83||"CHEMO| IV PUSH| ADDL DRUG" 60001|96413||156.78||"CHEMO| IV INFUSION| 1 HR" 60001|96415||35.22||"CHEMO| IV INFUSION| ADDL HR" 60001|96416||156.12||CHEMO PROLONG INFUSE W/PUMP 60001|96417||80.8||CHEMO IV INFUS EACH ADDL SEQ 60001|96420||121.19||"CHEMO| IA| PUSH TECNIQUE" 60001|96422||193.79||CHEMO IA INFUSION UP TO 1 HR 60001|96423||89.43||CHEMO IA INFUSE EACH ADDL HR 60001|96425||203.36||"CHEMOTHERAPY|INFUSION METHOD" 60001|96440||169.53||"CHEMOTHERAPY| INTRACAVITARY" 60001|96446||25.38||CHEMOTX ADMN PRTL CAVITY 60001|96450||98.48||"CHEMOTHERAPY| INTO CNS" 60001|96521||154.57||"REFILL/MAINT| PORTABLE PUMP" 60001|96522||125.53||REFILL/MAINT PUMP/RESVR SYST 60001|96523||28.46||IRRIG DRUG DELIVERY DEVICE 60001|96542||50.3||CHEMOTHERAPY INJECTION 60001|96549||6||"CHEMOTHERAPY| UNSPECIFIED" 60001|96567||153.22||"PHOTODYNAMIC TX| SKIN" 60001|96570||69.96||"PHOTODYNAMIC TX| 30 MIN" 60001|96571||32.24||"PHOTODYNAMIC TX| ADDL 15 MIN" 60001|96573||219.66||PDT DSTR PRMLG LES PHYS/QHP 60001|96574||284.93||DBRDMT PRMLG LES W/PDT 60001|96900||24.08||ULTRAVIOLET LIGHT THERAPY 60001|96902||25.12||TRICHOGRAM 60001|96904||79.87||WHOLE BODY PHOTOGRAPHY 60001|96910||81.01||PHOTOCHEMOTHERAPY WITH UV-B 60001|96912||103.94||PHOTOCHEMOTHERAPY WITH UV-A 60001|96913||144.82||"PHOTOCHEMOTHERAPY| UV-A OR B" 60001|96920||79.93||"LASER TX| SKIN < 250 SQ CM" 60001|96921||80.4||"LASER TX| SKIN 250-500 SQ CM" 60001|96922||144.47||"LASER TX| SKIN > 500 SQ CM" 60001|96931||0||RCM CELULR SUBCELULR IMG SKN 60001|96932||0||RCM CELULR SUBCELULR IMG SKN 60001|96933||0||RCM CELULR SUBCELULR IMG SKN 60001|96934||0||RCM CELULR SUBCELULR IMG SKN 60001|96935||0||RCM CELULR SUBCELULR IMG SKN 60001|96936||0||RCM CELULR SUBCELULR IMG SKN 60001|96999||0||DERMATOLOGICAL PROCEDURE 60001|97003||101.64||OT EVALUATION 60001|97010||7.04||HOT OR COLD PACKS THERAPY 60001|97012||19.42||MECHANICAL TRACTION THERAPY 60001|97014||18.71||ELECTRIC STIMULATION THERAPY 60001|97016||22.28||VASOPNEUMATIC DEVICE THERAPY 60001|97018||12.2||PARAFFIN BATH THERAPY 60001|97022||26.61||WHIRLPOOL THERAPY 60001|97024||7.83||"DIATHERMY EG| MICROWAVE" 60001|97026||7.04||INFRARED THERAPY 60001|97028||8.72||ULTRAVIOLET THERAPY 60001|97032||22.6||ELECTRICAL STIMULATION 60001|97033||36.95||ELECTRIC CURRENT THERAPY 60001|97034||20.83||CONTRAST BATH THERAPY 60001|97035||15.27||ULTRASOUND THERAPY 60001|97036||37.44||HYDROTHERAPY 60001|97039||0||PHYSICAL THERAPY TREATMENT 60001|97110||37.81||THERAPEUTIC EXERCISES 60001|97112||39.4||NEUROMUSCULAR REEDUCATION 60001|97113||49.68||AQUATIC THERAPY/EXERCISES 60001|97116||33.61||GAIT TRAINING THERAPY 60001|97124||52||MASSAGE THERAPY 60001|97129||30.64|| 60001|97130||29.71|| 60001|97139||0||PHYSICAL MEDICINE PROCEDURE 60001|97140||35.33||MANUAL THERAPY 60001|97150||24.28||GROUP THERAPEUTIC PROCEDURES 60001|97161||106.37||PT EVAL LOW COMPLEX 20 MIN 60001|97162||106.37||PT EVAL MOD COMPLEX 30 MIN 60001|97163||106.37||PT EVAL HIGH COMPLEX 45 MIN 60001|97164||72.32||PT RE-EVAL EST PLAN CARE 60001|97165||103.11||OT EVAL LOW COMPLEX 30 MIN 60001|97166||103.11||OT EVAL MOD COMPLEX 45 MIN 60001|97167||103.11||OT EVAL HIGH COMPLEX 60 MIN 60001|97168||68.12||OT RE-EVAL EST PLAN CARE 60001|97530||41.34||THERAPEUTIC ACTIVITIES 60001|97532||31.8||COGNITIVE SKILLS DEVELOPMENT 60001|97533||34.98||SENSORY INTEGRATION 60001|97535||40.99||SELF CARE MNGMENT TRAINING 60001|97537||35.82||COMMUNITY/WORK REINTEGRATION 60001|97542||36.61||WHEELCHAIR MNGMENT TRAINING 60001|97597||30.18||ACTIVE WOUND CARE/20 CM OR < 60001|97598||14.24||ACTIVE WOUND CARE > 20 CM 60001|97602||65|%|WOUND(S) CARE NON-SELECTIVE 60001|97605||33.98||"NEG PRESS WOUND TX| < 50 CM" 60001|97606||37.41||"NEG PRESS WOUND TX| > 50 CM" 60001|97607||65|%|NEG PRESS WND TX 50 CM 60001|97750||39.82||PHYSICAL PERFORMANCE TEST 60001|97755||43.77||ASSISTIVE TECHNOLOGY ASSESS 60001|97760||44.99||ORTHOTIC MGMT AND TRAINING 60001|97761||39.42||PROSTHETIC TRAINING 60001|97762||52.8||C/O FOR ORTHOTIC/PROSTH USE 60001|97763||60.07||ORTHC/PROSTC MGMT SBSQ ENC 60001|97802||39.39||"MEDICAL NUTRITION| INDIV| IN" 60001|97803||33.86||"MED NUTRITION| INDIV| SUBSEQ" 60001|97804||18.23||"MEDICAL NUTRITION| GROUP" 60001|97810||42.77||ACUPUNCT W/O STIMUL 15 MIN 60001|97811||32.39||ACUPUNCT W/O STIMUL ADDL 15M 60001|97813||45.66||ACUPUNCT W/STIMUL 15 MIN 60001|97814||36.82||ACUPUNCT W/STIMUL ADDL 15M 60001|98925||36.42||OSTEOPATHIC MANIPULATION 60001|98926||52.02||OSTEOPATHIC MANIPULATION 60001|98927||68.41||OSTEOPATHIC MANIPULATION 60001|98928||84.03||OSTEOPATHIC MANIPULATION 60001|98929||100.44||OSTEOPATHIC MANIPULATION 60001|98940||31||CHIROPRACTIC MANIPULATION 60001|98941||43.36||CHIROPRACTIC MANIPULATION 60001|98942||55.39||CHIROPRACTIC MANIPULATION 60001|98943||28.52||CHIROPRACTIC MANIPULATION 60001|98960||30.58||"SELF-MGMT EDUC & TRAIN| 1 PT" 60001|98961||14.91||"SELF-MGMT EDUC/TRAIN| 2-4 PT" 60001|98962||11.09||"SELF-MGMT EDUC/TRAIN| 5-8 PT" 60001|98966||26.67||HC PRO PHONE CALL 5-10 MIN 60001|98967||44.35||HC PRO PHONE CALL 11-20 MIN 60001|98968||64.87||HC PRO PHONE CALL 21-30 MIN 60001|98969||51.09|| 60001|99002||23.89||DEVICE HANDLING 60001|99024||24||POSTOP FOLLOW-UP VISIT 60001|99050||20||MEDICAL SERVICES AFTER HRS 60001|99051||20.2||"MED SERV| EVE/WKEND/HOLIDAY" 60001|99058||54||OFFICE EMERGENCY CARE 60001|99080||20||SPECIAL REPORTS OR FORMS 60001|99091||66.76||COLLECT/REVIEW DATA FROM PT 60001|99151||101.71||MODERATE SEDATION SERVICES 60001|99152||67.65||MODERATE SEDATION SERVICES 60001|99153||14.46||MOD SED SAME PHYS/QHP EA 60001|99155||122.7||MOD SED OTH PHYS/QHP <5 YRS 60001|99156||100.31||MOD SED OTH PHYS/QHP 5/>YRS 60001|99157||76.05||MOD SED OTHER PHYS/QHP EA 60001|99170||109.85||"ANOGENITAL EXAM| CHILD" 60001|99173||3.45||VISUAL ACUITY SCREEN 60001|99174||32.49||OCULAR PHOTOSCREENING 60001|99175||21.41||INDUCTION OF VOMITING 60001|99177||32.49||OCULAR INSTRUMNT SCREEN BIL 60001|99183||144.59||HYPERBARIC OXYGEN THERAPY 60001|99184||286.39||HYPOTHERMIA ILL NEONATE 60001|99188||65|%|APP TOPICAL FLUORIDE VARNISH 60001|99195||104.75||PHLEBOTOMY 60001|99201||47.9||"OFFICE/OUTPATIENT VISIT| NEW" 60001|99202||82.09||"OFFICE/OUTPATIENT VISIT| NEW" 60001|99203||119.43||"OFFICE/OUTPATIENT VISIT| NEW" 60001|99204||183.53||"OFFICE/OUTPATIENT VISIT| NEW" 60001|99205||228.48||"OFFICE/OUTPATIENT VISIT| NEW" 60001|99211||22.04||"OFFICE/OUTPATIENT VISIT| EST" 60001|99211|25|22.04||"OFFICE/OUTPATIENT VISIT| EST" 60001|99212||47.9||"OFFICE/OUTPATIENT VISIT| EST" 60001|99213||80.05||"OFFICE/OUTPATIENT VISIT| EST" 60001|99213|25|80.05||"OFFICE/OUTPATIENT VISIT| EST" 60001|99213|26|80.05||"OFFICE/OUTPATIENT VISIT| EST" 60001|99214||118.61||"OFFICE/OUTPATIENT VISIT| EST" 60001|99215||159.71||"OFFICE/OUTPATIENT VISIT| EST" 60001|99217||80.99||OBSERVATION CARE DISCHARGE 60001|99218||109.75||OBSERVATION CARE 60001|99219||150.79||OBSERVATION CARE 60001|99220||206.96||OBSERVATION CARE 60001|99221||114.22||INITIAL HOSPITAL CARE 60001|99222||154.56||INITIAL HOSPITAL CARE 60001|99223||226.97||INITIAL HOSPITAL CARE 60001|99224||45.05||SUBSEQUENT OBSERVATION CARE 60001|99225||81.44||SUBSEQUENT OBSERVATION CARE 60001|99226||117.04||SUBSEQUENT OBSERVATION CARE 60001|99231||44.31||SUBSEQUENT HOSPITAL CARE 60001|99232||81.08||SUBSEQUENT HOSPITAL CARE 60001|99233||116.32||SUBSEQUENT HOSPITAL CARE 60001|99234||152.52||OBSERV/HOSP SAME DATE 60001|99235||191.29||OBSERV/HOSP SAME DATE 60001|99236||246.36||OBSERV/HOSP SAME DATE 60001|99238||80.61||HOSPITAL DISCHARGE DAY 60001|99239||119.19||HOSPITAL DISCHARGE DAY 60001|99241||53||OFFICE CONSULTATION 60001|99242||100.39||OFFICE CONSULTATION 60001|99243||137.16||OFFICE CONSULTATION 60001|99244||203.58||OFFICE CONSULTATION 60001|99245||249.34||OFFICE CONSULTATION 60001|99251||55.24||INITIAL INPATIENT CONSULT 60001|99252||84.89||INITIAL INPATIENT CONSULT 60001|99253||129.21||INITIAL INPATIENT CONSULT 60001|99254||186.32||INITIAL INPATIENT CONSULT 60001|99255||225.3||INITIAL INPATIENT CONSULT 60001|99281||39.86||EMERGENCY DEPT VISIT 60001|99282||78.39||EMERGENCY DEPT VISIT 60001|99283||117.71||EMERGENCY DEPT VISIT 60001|99284||224.24||EMERGENCY DEPT VISIT 60001|99285||328.99||EMERGENCY DEPT VISIT 60001|99288||0||DIRECT ADVANCED LIFE SUPPORT 60001|99291||253.18||"CRITICAL CARE| FIRST HOUR" 60001|99292||126.97||"CRITICAL CARE| ADD'L 30 MIN" 60001|99304||103.84||"NURSING FACILITY CARE| INIT" 60001|99305||146.85||"NURSING FACILITY CARE| INIT" 60001|99306||186.52||"NURSING FACILITY CARE| INIT" 60001|99307||49.06||"NURSING FAC CARE| SUBSEQ" 60001|99308||76.08||"NURSING FAC CARE| SUBSEQ" 60001|99309||100.09||"NURSING FAC CARE| SUBSEQ" 60001|99310||148.98||"NURSING FAC CARE| SUBSEQ" 60001|99315||80.62||NURSING FAC DISCHARGE DAY 60001|99316||115.87||NURSING FAC DISCHARGE DAY 60001|99318||106.28||ANNUAL NURSING FAC ASSESSMNT 60001|99324||63.35||DOMICIL/R-HOME VISIT NEW PAT 60001|99325||91.55||DOMICIL/R-HOME VISIT NEW PAT 60001|99326||156.77||DOMICIL/R-HOME VISIT NEW PAT 60001|99327||207.98||DOMICIL/R-HOME VISIT NEW PAT 60001|99328||241.81||DOMICIL/R-HOME VISIT NEW PAT 60001|99334||67.63||DOMICIL/R-HOME VISIT EST PAT 60001|99335||105.59||DOMICIL/R-HOME VISIT EST PAT 60001|99336||149.43||DOMICIL/R-HOME VISIT EST PAT 60001|99337||215.1||DOMICIL/R-HOME VISIT EST PAT 60001|99339||87.1||DOMICIL/R-HOME CARE SUPERVIS 60001|99340||122.08||DOMICIL/R-HOME CARE SUPERVIS 60001|99341||62.61||"HOME VISIT| NEW PATIENT" 60001|99342||91.2||"HOME VISIT| NEW PATIENT" 60001|99343||149.41||"HOME VISIT| NEW PATIENT" 60001|99344||204.35||"HOME VISIT| NEW PATIENT" 60001|99345||244.4||"HOME VISIT| NEW PATIENT" 60001|99347||62.94||"HOME VISIT| EST PATIENT" 60001|99348||95.02||"HOME VISIT| EST PATIENT" 60001|99349||142.66||"HOME VISIT| EST PATIENT" 60001|99350||198.43||"HOME VISIT| EST PATIENT" 60001|99354||111.31||"PROLONGED SERVICE| OFFICE" 60001|99355||109.48||"PROLONGED SERVICE| OFFICE" 60001|99356||102.62||"PROLONGED SERVICE| INPATIENT" 60001|99357||102.26||"PROLONGED SERVICE| INPATIENT" 60001|99358||124.09||"PROLONGED SERV| W/O CONTACT" 60001|99359||60||"PROLONGED SERV| W/O CONTACT" 60001|99360||70.02||PHYSICIAN STANDBY SERVICES 60001|99363||96.14||"ANTICOAG MGMT| INIT" 60001|99364||36.79||"ANTICOAG MGMT| SUBSEQ" 60001|99366||47.49||TEAM CONF W/PAT BY HC PRO 60001|99367||64.09||TEAM CONF W/O PAT BY PHYS 60001|99368||41.56||TEAM CONF W/O PAT BY HC PRO 60001|99374||78.39||HOME HEALTH CARE SUPERVISION 60001|99375||119.58||HOME HEALTH CARE SUPERVISION 60001|99377||78.39||HOSPICE CARE SUPERVISION 60001|99378||120.68||HOSPICE CARE SUPERVISION 60001|99379||78.39||NURSING FAC CARE SUPERVISION 60001|99380||118.11||NURSING FAC CARE SUPERVISION 60001|99381||122.64||"PREV VISIT| NEW| INFANT" 60001|99382||128.18||"PREV VISIT| NEW| AGE 1-4" 60001|99383||133.01||"PREV VISIT| NEW| AGE 5-11" 60001|99384||150.44||"PREV VISIT| NEW| AGE 12-17" 60001|99385||146.44||"PREV VISIT| NEW| AGE 18-39" 60001|99386||170.18||"PREV VISIT| NEW| AGE 40-64" 60001|99387||184.48||"PREV VISIT| NEW| 65 & OVER" 60001|99391||109.25||"PREV VISIT| EST| INFANT" 60001|99392||117.14||"PREV VISIT| EST| AGE 1-4" 60001|99393||116.78||"PREV VISIT| EST| AGE 5-11" 60001|99394||127.88||"PREV VISIT| EST| AGE 12-17" 60001|99395||130.65||"PREV VISIT| EST| AGE 18-39" 60001|99396||139.74||"PREV VISIT| EST| AGE 40-64" 60001|99397||150.81||"PREV VISIT| EST| 65 & OVER" 60001|99401||40.55||"PREVENTIVE COUNSELING| INDIV" 60001|99402||70.19||"PREVENTIVE COUNSELING| INDIV" 60001|99403||98.64||"PREVENTIVE COUNSELING| INDIV" 60001|99404||126.74||"PREVENTIVE COUNSELING| INDIV" 60001|99406||15.68||BEHAV CHNG SMOKING 3-10 MIN 60001|99407||30.73||BEHAV CHNG SMOKING < 10 MIN 60001|99408||39.8||"AUDIT/DAST| 15-30 MIN" 60001|99409||77.77||"AUDIT/DAST| OVER 30 MIN" 60001|99411||17.88||"PREVENTIVE COUNSELING| GROUP" 60001|99412||23.43||"PREVENTIVE COUNSELING| GROUP" 60001|99415||9.66||PROLONG CLINCL STAFF SVC 60001|99416||5.41||PROLONG CLINCL STAFF SVC ADD 60001|99420||11.38||HEALTH RISK ASSESSMENT TEST 60001|99421||24.24|| 60001|99422||48.53|| 60001|99423||78.39|| 60001|99429||0||UNLISTED PREVENTIVE SERVICE 60001|99441||22.67||PHONE E/M BY PHYS 5-10 MIN 60001|99442||44.35||PHONE E/M BY PHYS 11-20 MIN 60001|99443||64.87||PHONE E/M BY PHYS 21-30 MIN 60001|99444||148.02|| 60001|99449||86.14|| 60001|99458||65.46|| 60001|99460||108.6||"INIT NB EM PER DAY| HOSP" 60001|99461||106.21||"INIT NB EM PER DAY| NON-FAC" 60001|99462||48.68||"SBSQ NB EM PER DAY| HOSP" 60001|99463||127.85||SAME DAY NB DISCHARGE 60001|99464||83.73||ATTENDANCE AT DELIVERY 60001|99465||168.36||NB RESUSCITATION 60001|99466||308.04||PED CRIT CARE TRANSPORT 60001|99467||138.18||PED CRIT CARE TRANSPORT ADDL 60001|99468||1048.19||"NEONATE CRIT CARE| INITIAL" 60001|99469||470.28||"NEONATE CRIT CARE| SUBSQ" 60001|99471||896.59||"PED CRITICAL CARE| INITIAL" 60001|99472||455.32||"PED CRITICAL CARE| SUBSQ" 60001|99473||11.98|| 60001|99474||10.54|| 60001|99475||637.35||"PED CRIT CARE AGE 2-5| INIT" 60001|99476||386.38||"PED CRIT CARE AGE 2-5| SUBSQ" 60001|99477||393.85||INIT DAY HOSP NEONATE CARE 60001|99478||156.93||"IC| LBW INF < 1500 GM SUBSQ" 60001|99479||144.12||IC LBW INF 1500-2500 G SUBSQ 60001|99480||136||IC INF PBW 2501-5000 G SUBSQ 60001|99483||277.49||ASSMT & CARE PLN PT COG IMP 60001|99484||55.39||CARE MGMT SVC BHVL HLTH COND 60001|99487||140.77|| 60001|99489||68.3|| 60001|99490||38.14||CHRON CARE MGMT SRVC 20 MIN 60001|99492||182.23||1ST PSYC COLLAB CARE MGMT 60001|99493||146.46||SBSQ PSYC COLLAB CARE MGMT 60001|99494||75.8||1ST/SBSQ PSYC COLLAB CARE 60001|99495||192.67||TRANS CARE MGMT 14 DAY DISCH 60001|99496||282.46||TRANS CARE MGMT 7 DAY DISCH 60001|99497||65|%|ADVNCD CARE PLAN 30 MIN 60001|99498||65|%|ADVNCD CARE PLAN ADDL 30 MIN 60001|0064U||51.69|| 60001|0065U||29.85|| 60001|0066U||25.23|| 60001|0068U||235.34|| 60001|0069U||627|| 60001|0070U||1116.01|| 60001|0071U||497.23|| 60001|0072U||744|| 60001|0073T||534.15||"DELIVERY| COMP IMRT" 60001|0073U||744|| 60001|0074U||744|| 60001|0075U||744|| 60001|0076U||744|| 60001|0078U||744|| 60001|0080U||5808|| 60001|0082U||407.42|| 60001|0084U||1188|| 60001|0089U||1254|| 60001|0090U||3217.5|| 60001|0093U||102.53|| 60001|0096U||57.9|| 60001|0101U||1930.17|| 60001|0102U||1844.67|| 60001|0103U||1844.67|| 60001|0105U||1564.5|| 60001|0107U||26.4|| 60001|0109U||235.34|| 60001|0110U||44.73|| 60001|0111U||1125.78|| 60001|0113U||1254|| 60001|0116U||407.42|| 60001|0120U||4141.85|| 60001|0124U||91.64|| 60001|0125U||114.71|| 60001|0126U||114.71|| 60001|0127U||91.64|| 60001|0128U||91.64|| 60001|0129U||1844.67|| 60001|0130U||965.09|| 60001|0291T||0|| 60001|0292T||0|| 60001|0293T||0|| 60001|0294T||0|| 60001|0295T||0|| 60001|0296T||0|| 60001|0297T||0|| 60001|0298T||0|| 60001|0299T||0|| 60001|0300T||0|| 60001|0301T||0|| 60001|0302T||0|| 60001|0303T||0|| 60001|0304T||0|| 60001|0305T||0|| 60001|0306T||0|| 60001|0307T||0|| 60001|0308T||0|| 60001|0309T||0|| 60001|0310T||0|| 60001|0311T||0|| 60001|0312T||0|| 60001|0313T||0|| 60001|0314T||0|| 60001|0315T||0|| 60001|0316T||0|| 60001|0317T||0|| 60001|1003F||0||LEVEL OF ACTIVITY ASSESS 60001|1004F||0||CLIN SYMP VOL OVRLD ASSESS 60001|1005F||0||ASTHMA SYMPTOMS EVALUATE 60001|1006F||0||OSTEOARTHRITIS ASSESS 60001|1007F||0||ANTI-INFLM/ANLGSC OTC ASSESS 60001|1008F||0||GI/RENAL RISK ASSESS 60001|1010F||0|| 60001|1011F||0|| 60001|1012F||0|| 60001|1015F||0||COPD SYMPTOMS ASSESS 60001|1018F||0||ASSESS DYSPNEA NOT PRESENT 60001|1040F||0||DSM-IV(TM) INFO MDD DOC'D 60001|1101F||0||PT FALLS ASSESSED-DOC'D<=1/YR 60001|1110F||0||PT LFT INPT FAC W/IN 60 DAYS 60001|1111F||0||DSCHRG MED/CURRENT MED MERGE 60001|1116F||0||AURIC/PERI PAIN ASSESSED 60001|1118F||0||GERD SYMPS ASSESSED 12 MONTH 60001|1119F||0||INIT. EVAL FOR CONDITION 60001|1121F||0||SUBS. EVAL FOR CONDITION 60001|1123F||0||ACP DISCUSS/DSCN MKR DOC'D 60001|1124F||0||ACP DISCUSS-NO DSCNMKR DOC'D 60001|1125F||0||AMNT PAIN NOTED; PAIN PRSNT 60001|1126F||0||AMNT PAIN NOTED; NONE PRSNT 60001|1127F||0||NEW EPISODE FOR CONDITION 60001|1128F||0||SUBS. EPISODE FOR CONDITION 60001|1130F||0||BK PAIN + FXN ASSESSED 60001|1134F||0||EPSD BK PAIN FOR =< 6 WKS 60001|1135F||0||EPSD BK PAIN FOR > 6 WKS 60001|1136F||0||EPSD BK PAIN FOR <= 12 WKS 60001|1137F||0||EPSD BK PAIN FOR > 12 WKS 60001|1150F||0||DOC PT RSK DEATH W/IN 1YR 60001|1151F||0||DOC NO PT RSK DEATH W/IN 1YR 60001|1152F||0||DOC ADVNCD DIS COMFORT 1ST 60001|1153F||0||DOC ADVNCD DIS CMFRT NOT 1ST 60001|1157F||0||ADVNC CARE PLAN IN RCRD 60001|1158F||0||ADVNC CARE PLAN TLK DOCD 60001|1159F||0||MED LIST DOCD IN RCRD 60001|1160F||0||RVW MEDS BY RX/DR IN RCRD 60001|1170F||0||FXNL STATUS ASSESSED 60001|1175F||0|| 60001|1180F||0||THROMBOEMB RISK ASSESSED 60001|1181F||0|| 60001|1182F||0|| 60001|1183F||0|| 60001|1200F||0||SEIZURE TYPE& FREQU DOCD 60001|1205F||0||EPI ETIOL SYND RVWD AND DOCD 60001|1220F||0||PT SCREENED FOR DEPRESSION 60001|1400F||0||PRKNS DIAG RVIEWED 60001|1450F||0|| 60001|1451F||0|| 60001|1460F||0|| 60001|1461F||0|| 60001|1490F||0|| 60001|1491F||0|| 60001|1493F||0|| 60001|1494F||0|| 60001|2000F||0||BLOOD PRESSURE MEASURE 60001|2001F||0||WEIGHT RECORD 60001|2002F||0||CLIN SIGN VOL OVRLD ASSESS 60001|2004F||0||INITIAL EXAM INVOLVED JOINTS 60001|2010F||0||VITAL SIGNS RECORDED 60001|2014F||0||MENTAL STATUS ASSESS 60001|2015F||0|| 60001|2016F||0|| 60001|2018F||0||HYDRATION STATUS ASSESS 60001|2019F||0||DILATED MACUL EXAM DONE 60001|2020F||0||DILATED FUNDUS EVAL DONE 60001|2021F||0||DILAT MACUL+ EXAM DONE 60001|2022F||0||DIL RETINA EXAM INTERP REV 60001|2024F||0||7 FIELD PHOTO INTERP DOC REV 60001|2026F||0||EYE IMAGE VALID TO DX REV 60001|2027F||0||OPTIC NERVE HEAD EVAL DONE 60001|2028F||0||FOOT EXAM PERFORMED 60001|2029F||0||COMPLETE PHYS SKIN EXAM DONE 60001|2030F||0||"H20 STAT DOC'D| NORMAL" 60001|2031F||0||"H2O STAT DOC'D| DEHYDRATED" 60001|2035F||0||TYMP MEMB MOTION EXAM'D 60001|2040F||0||BK PN XM ON INIT VISIT DATE 60001|2044F||0||DOC MNTL TST B/4 BK TRXMNT 60001|2050F||0||WOUND CHAR SIZE ETC DOCD 60001|2060F||0||PT TALK EVAL HLTHWKR RE MDD 60001|3006F||0||CXR DOC REV 60001|3008F||0||BODY MASS INDEX DOCD 60001|3011F||0||LIPID PANEL DOC REV 60001|3014F||0||SCREEN MAMMO DOC REV 60001|3015F||0||CERV CANCER SCREEN DOCD 60001|3016F||0||PT SCRND UNHLTHY OH USE 60001|3017F||0||COLORECTAL CA SCREEN DOC REV 60001|3018F||0||PRE-PRXD RSK ET AL DOCD 60001|3019F||0|| 60001|3020F||0||LVF ASSESS 60001|3021F||0||LVEF MOD/SEVER DEPRS SYST 60001|3022F||0||LVEF =40% SYSTOLIC 60001|3023F||0||SPIROM DOC REV 60001|3025F||0||SPIROM FEV/FVC<70% W COPD 60001|3027F||0||SPIROM FEV/FVC=70%/ W/O COPD 60001|3028F||0||O2 SATURATION DOC REV 60001|3035F||0||O2 SATURATION =88% /PA0 =55 60001|3037F||0||O2 SATURATION> 88% /PAO>55 60001|3038F||0||PULM FX W/IN 12 MON B/4 SURG 60001|3040F||0||FEV<40% PREDICTED VALUE 60001|3042F||0||FEV= 40% PREDICTED VALUE 60001|3044F||0||HG A1C LEVEL < 7.0% 60001|3045F||0||HG A1C LEVEL 7.0-9.0% 60001|3046F||0||HEMOGLOBIN A1C LEVEL > 9.0% 60001|3048F||0||LDL-C <100 MG/DL 60001|3049F||0||LDL-C 100-129 MG/DL 60001|3050F||0||LDL-C = 130 MG/DL 60001|3055F||0|| 60001|3056F||0|| 60001|3060F||0||POS MICROALBUMINURIA REV 60001|3061F||0||NEG MICROALBUMINURIA REV 60001|3062F||0||POS MACROALBUMINURIA REV 60001|3066F||0||NEPHROPATHY DOC TX 60001|3072F||0||LOW RISK FOR RETINOPATHY 60001|3073F||0||PRE-SURG EYE MEASURES DOC'D 60001|3074F||0||SYST BP < 130 MM HG 60001|3075F||0||SYST BP >= 130 - 139MM HG 60001|3077F||0||SYST BP = 140 MM HG6 IT 60001|3078F||0||DIAST BP < 80 MM HG 60001|3079F||0||DIAST BP 80-89 MM HG 60001|3080F||0||DIAST BP = 90 MM HG 60001|3082F||0||KT/V <1.2 60001|3083F||0||KT/V >= 1.2 AND <1.7 60001|3084F||0||KT/V >= 1.7 60001|3085F||0||SUICIDE RISK ASSESSED 60001|3088F||0||"MDD| MILD" 60001|3089F||0||"MDD| MODERATE" 60001|3090F||0||"MDD| SEVERE; W/O PSYCH" 60001|3091F||0||"MDD| SEVERE; W/ PSYCH" 60001|3092F||0||"MDD| IN REMISSION" 60001|3093F||0||DOC NEW DIAG 1ST/ADDL. MDD 60001|3095F||0||CENTRAL DEXA RESULTS DOC'D 60001|3096F||0||CENTRAL DEXA ORDERED 60001|3100F||0||CAROT BLK DOC'D W/ CAROT REF 60001|3110F||0||PRES/ABSN HMRHG/LESION DOC'D 60001|3111F||0||CT/MRI BRAIN DONE W/IN 24 HRS 60001|3112F||0||CT/MRI BRAIN DONE > 24 HRS 60001|3115F||0|| 60001|3117F||0|| 60001|3118F||0|| 60001|3119F||0|| 60001|3120F||0||12-LEAD ECG PERFORMED 60001|3126F||0|| 60001|3130F||0||UPPER GI ENDOSCOPY PERFORMED 60001|3132F||0||DOC REF. UPPER GI ENDOSCOPY 60001|3140F||0||FORCEPS ESOPH BIOPSY DONE 60001|3141F||0||UPPER GI ENDO SHOWS BARRTT'S 60001|3142F||0||UPPER GI ENDO NOT BARRTT'S 60001|3150F||0||FORCEPS ESOPH BIOPSY DONE 60001|3155F||0||CYTOGEN TEST MARROW B/4 TX 60001|3160F||0||DOC FE+ STORES B/4 EPO THX 60001|3170F||0||FLOW CYTO DONE B/4 TX 60001|3200F||0||BARIUM SWALLOW TEST NOT REQ 60001|3210F||0||GRP A STREP TEST PERFORMED 60001|3215F||0||PT IMMUNITY TO HEP A DOC'D 60001|3216F||0||PT IMMUNITY TO HEP B DOC'D 60001|3218F||0||RNA TSTNG HEP C DOC'D-DONE 60001|3220F||0||HEP C QUANT RNA TSTNG DOC'D 60001|3230F||0||NOTE HRING TST W/IN 6 MON 60001|3250F||0||NONPRIM LOC ANAT BX SITE TUM 60001|3260F||0||PT CAT/PN CAT/HIST GRD DOC'D 60001|3265F||0||RNA TSTNG HEPC VIR ORD/DOC'D 60001|3266F||0||HEPC GN TSTNG DOC'D B/4TXMNT 60001|3267F||0|| 60001|3268F||0||PSA/T/GLSC DOC'D B/4 TXMNT 60001|3269F||0||BONE SCN B/4 TXMNT/AFTR DX 60001|3270F||0||NO BONE SCN B/4 TXMNT/AFTRDX 60001|3271F||0||"LOW RISK| PROSTATE CANCER" 60001|3272F||0||"MED. RISK| PROSTATE CANCER" 60001|3273F||0||"HIGH RISK| PROSTATE CANCER" 60001|3274F||0||PROST CNCR RSK NOT LW/MD/HGH 60001|3278F||0||SERUM LVLS CA/IPTH/LPD ORD 60001|3279F||0||HGB LVL >/= 13 G/DL 60001|3280F||0||HGB LVL 11-12.9 G/DL 60001|3281F||0||HGB LVL < 11 G/DL 60001|3284F||0||IOP DOWN >15% OF PRE-SVC LVL 60001|3285F||0||IOP DOWN <15% OF PRE-SVC LVL 60001|3288F||0||FALL RISK ASSESSMENT DOC'D 60001|3290F||0||PT=D(RH)- AND UNSENSITIZED 60001|3291F||0||PT=D(RH)+ OR SENSITIZED 60001|3292F||0||HIV TSTNG ASKED/DOC'D/REVW'D 60001|3293F||0||ABO RH BLOOD TYPING DOCD 60001|3294F||0||GRP B STREP SCREENING DOCD 60001|3300F||0||AJCC STAGE DOC'D B/4 THXPY 60001|3301F||0||"CANCER STAGE DOC'D| METAST" 60001|3315F||0||ER+ OR PR+ BREAST CANCER 60001|3316F||0||ER_ OR PR_ BREAST CANCER 60001|3317F||0||PATH RPT MALIG CANCER DOC'D 60001|3318F||0||PATH RPT MALIG CANCER DOC'D 60001|3319F||0||X-RAY/CT/ULTRSND ET AL ORD'D 60001|3320F||0||NO XRAY/CT/ ET AL ORD'D 60001|3321F||0||AJCC CNCR 0/IA MELAN DOCD 60001|3322F||0||MELAN>AJCC STAGE 0 OR IA 60001|3323F||0||CLIN NODE STGNG DOCDB/4 SURG 60001|3324F||0||MRI CT SCAN ORD RVWD RQSTD 60001|3325F||0||PREOP ASSES 4 CATARACT SURG 60001|3328F||0||PRFRMNC DOCD 2 WKS B/4 SURG 60001|3330F||0||IMAGING STUDY ORDERED (BKP) 60001|3331F||0||BK IMAGING TST NOT ORDERED 60001|3340F||0||BRST IMAG-RPT/DATACAT 0 DOCD 60001|3341F||0||BRST IMAG-RPT/DATACAT 1 DOCD 60001|3342F||0||BRST IMAG-RPT/DATACAT 2 DOCD 60001|3343F||0||BRST IMAG-RPT/DATACAT 3 DOCD 60001|3344F||0||BRST IMAG-RPT/DATACAT 4 DOCD 60001|3345F||0||BRST IMAG-RPT/DATACAT 5 DOCD 60001|3350F||0||MAMM ASS CAT BIOPSY PRO MALIGN 60001|3351F||0||NEG SCRN DEP SYMP BY DEPTOOL 60001|3352F||0||NO SIG DEP SYMP BY DEP TOOL 60001|3353F||0||MILD-MOD DEP SYMP BY DEPTOOL 60001|3354F||0||CLIN SIG DEP SYM BY DEP TOOL 60001|3370F||0||AJCC BRST CNCR STAGE 0 DOCD 60001|3372F||0||AJCC BRST CNCR STAGE 1+DOCD 60001|3374F||0||AJCC BRST CNCR STAGE 1+DOCD 60001|3376F||0||AJCC BRSTCNCR STAGE 2 DOCD 60001|3378F||0||AJCC BRSTCNCR STAGE 3 DOCD 60001|3380F||0||AJCC BRSTCNCR STAGE 4 DOCD 60001|3382F||0||AJCC CLN CNCR STAGE 0 DOCD 60001|3384F||0||AJCC CLN CNCR STAGE 1 DOCD 60001|3386F||0||AJCC CLN CNCR STAGE 2 DOCD 60001|3388F||0||AJCC CLN CNCR STAGE 3 DOCD 60001|3390F||0||AJCC CLN CNCR STAGE 4 DOCD 60001|3394F||0|| 60001|3395F||0|| 60001|3450F||0||DYSPNEA SCRND NO-MILD DYSP 60001|3451F||0||DYSPNEA SCRND MOD-HIGH DYSP 60001|3452F||0||DYSPNEA NOT SCREENED 60001|3455F||0||TB SCRNG DONE-INTERPD 6MON 60001|3470F||0||RA DISEASE ACTIVITY LOW 60001|3471F||0||RA DISEASE ACTIVITY MOD 60001|3472F||0||RA DISEASE ACTIVITY HIGH 60001|3475F||0||DISEASE PROGN RA POOR DOCD 60001|3476F||0||DISEASE PROGN RA GOOD DOCD 60001|3490F||0||HISTORY AIDS-DEFINING COND 60001|3491F||0||HIV UNSURE BABY OF HIV+MOMS 60001|3492F||0||HISTORY CD4+ CELL COUNT <350 60001|3493F||0||NO HIST CD4+ CELL COUNT<350 60001|3494F||0||CD4+CELL COUNT <200CELLS/MM3 60001|3495F||0||CD4+CELL CNT 200-499 CELLS 60001|3496F||0||CD4+ CELL COUNT + 500 CELLS 60001|3497F||0||CD4+ CELL PERCENTAGE <15% 60001|3498F||0||CD4+ CELL % >=15% (HIV) 60001|3500F||0||CD4+CELL CNT/% DOCD AS DONE 60001|3502F||0||HIV RNA VRL LD= 20/40 W/IN 90 DAYS 60001|4176F||0||"TALK RE UV LIGHT| PT/CRGVR" 60001|4177F||0||"TALK PT/CRGVR RE: AREDS|PREV" 60001|4178F||0||ANTID GLBLN RCV'D W/IN 26WKS 60001|4179F||0||TAMOXIFEN/AI PRESCRIBED 60001|4180F||0||ADJV THXPYRX'D/RCV'D STG3A-C 60001|4181F||0||CONFORMAL RAD'N THXPY RCV'D 60001|4182F||0||NO CONFORMAL RAD'N THXPY 60001|4185F||0||CONTINUOUS PPI OR H2RA RCV'D 60001|4186F||0||NO CONT. PPI OR H2RA RCV'D 60001|4187F||0||ANTI RHEUM DRUGTHXPYRX'D/GVN 60001|4188F||0||APPROP ACE/ARB TSTNG DONE 60001|4189F||0||APPROP DIGOXIN TSTNG DONE 60001|4190F||0||APPROP DIURETIC TSTNG DONE 60001|4191F||0||APPROP ANTICONVULS TSTNG 60001|4192F||0||PT NOT RCVNG GLUCOCO THXPY 60001|4193F||0||PT RCVNG<10MG DAILY PREDNISO 60001|4194F||0||PT RCVNG>10MG DAILY PREDNISO 60001|4195F||0||PT RCVNG ANTI-RHEUM THXPY RA 60001|4196F||0||PTNOT RCVNG ANTI-RHM THXPYRA 60001|4200F||0||EXTERNAL BEAM TO PROST ONLY 60001|4201F||0||EXTRNL BEAM OTHER THAN PROST 60001|4210F||0||ACE/ARB THXPY FOR >= 6 MONS 60001|4220F||0||DIGOXIN THXPY FOR >= 6 MONS 60001|4221F||0||DIURETIC THXPY FOR >= 6 MONS 60001|4230F||0||ANTICONV THXPY FOR >= 6 MONS 60001|4240F||0||INSTR XRCZ 4BK PN >12 WEEKS 60001|4242F||0||SPRVSD XRCZ BK PN >12 WEEKS 60001|4245F||0||"PT INSTR| RESUME NRML LIFEST" 60001|4248F||0||PT INSTR-NO BD REST>= 4 DAYS 60001|4250F||0||WRMNG 4 SURG - NORMOTHERMIA 60001|4255F||0||ANESTH 60+ MIN AS DOCD 60001|4256F||0||ANESTHE <60 MIN AS DOCD 60001|4260F||0||WOUND SRFC CULTURETECH USED 60001|4261F||0||TECH OTHER THAN SURFC CULTR 60001|4265F||0||WET-DRY DRESSINGS RX RECMD 60001|4266F||0||NO WET-DRY DRSSINGS RX RECMD 60001|4267F||0||COMPRSSION THXPY PRESCRIBED 60001|4268F||0||PT ED RE COMP THXPY RCVD 60001|4269F||0||APPROPOS MTHD OFFLOADING RXD 60001|4270F||0||PT RCVNG ANTI R-VIRAL THXPY 60001|4271F||0||PT RCVNG ANTI R-VIRAL THXPY 60001|4274F||0||FLU IMMUNO ADMIN'D RCVD 60001|4276F||0||POTENT ANTIVIR THXPY RXD 60001|4279F||0||PCP PROPHYLAXIS RXD 60001|4280F||0||PCP PROPHYLAX RXD 3MON LOW % 60001|4290F||0||PT SCRNED FOR INJ DRUG USE 60001|4293F||0||PT SCRND - HIGH-RSK SEX BEHAV 60001|4300F||0||PT RCVNG WARF THXPY 60001|4301F||0||PT NOT RCVNG WARF THXPY 60001|4305F||0||PT ED RE FT CARE INSPCT RCVD 60001|4306F||0||PT TLK PSYCH & RX OPD ADDIC 60001|4320F||0||PT TALK PSYCHSOC+RX OH DPND 60001|4322F||0|| 60001|4324F||0||PT QUERIED PRKNS COMPLIC 60001|4325F||0||MED TXMNT OPTIONS RVWD W/PT 60001|4326F||0||PT ASKED RE SYMP AUTO DYSFXN 60001|4328F||0||PT ASKED RE SLEEP DISTURB 60001|4330F||0||CNSLNG EPI SPEC SFTY ISSUES 60001|4340F||0||CNSLNG CHLDBRNG WOMEN EPI 60001|4350F||0|| 60001|4400F||0||REHAB THXPY OPTIONS W/PT 60001|4450F||0|| 60001|4470F||0|| 60001|4480F||0|| 60001|4481F||0|| 60001|4500F||0|| 60001|4510F||0|| 60001|4525F||0|| 60001|4526F||0|| 60001|5005F||0||PT COUNSLD ON EXAM FOR MOLES 60001|5010F||0||MACUL+ FNDNGS TO DR MNG DM 60001|5015F||0||DOC FX & TEST/TXMNT FOR OP 60001|5020F||0||TXMNTS 2 MAIN DR BY 1 MON 60001|5050F||0||PLAN 2 MAIN DR. BY 1 MONTH 60001|5060F||0||FNDNGS MAMMO 2PT W/IN 3 DAYS 60001|5062F||0||DOC F2FMAMMO FNDNG IN 3 DAYS 60001|5100F||0||RSK FX REF W/N 24 HRS XRAY 60001|5200F||0||EVAL APPROS SURG THXPY EPI 60001|5250F||0|| 60001|6005F||0||CARE LEVEL RATIONALE DOC 60001|6010F||0||DYSPHAG TEST DONE B/4 EATING 60001|6015F||0||PT RECVNG/OK FOR EATING/SWALLO 60001|6020F||0||NPO (NOTHING-MOUTH) ORDERED 60001|6030F||0||MAX STERILE BARRIERS FOLLW'D 60001|6040F||0||APPRO RAD DS DVCS TECHS DOCD 60001|6045F||0||RADXPS IN END RPRT4FLURO PXD 60001|6070F||0||PT ASKED/CNSLD AED EFFECTS 60001|6080F||0||PT/CAREGIVER QUERIED FALLS 60001|6090F||0||PT/CAREGIVER COUNSEL SAFETY 60001|6100F||0|| 60001|6101F||0|| 60001|6102F||0|| 60001|6110F||0|| 60001|6150F||0|| 60001|7010F||0||PT INFO INTO RECALL SYSTEM 60001|7020F||0||BRST IMAG-RPT/DATACAT DOCD 60001|7025F||0||PT INFOSYS ALARM 4 NXT MAMMO 60001|A1390|NU|1625|| 60001|A4208||0.44||3 CC STERILE SYRINGE&NEEDLE 60001|A4212||12||NON CORING NEEDLE OR STYLET 60001|A4216||0.6||"STERILE WATER/SALINE| 10 ML" 60001|A4217||4.21||"STERILE WATER/SALINE| 500 ML" 60001|A4221||30.4||MAINT DRUG INFUS CATH PER WK 60001|A4222||62.75||INFUSION SUPPLIES WITH PUMP 60001|A4223||124.87||INFUSION SUPPLIES W/O PUMP 60001|A4233|NU|0.93||ALKALIN BATT FOR GLUCOSE MON 60001|A4234|NU|4.21||J-CELL BATT FOR GLUCOSE MON 60001|A4235|NU|2.71||LITHIUM BATT FOR GLUCOSE MON 60001|A4236|NU|1.95||SILVR OXIDE BATT GLUCOSE MON 60001|A4253|NU|41.09||BLOOD GLUCOSE/REAGENT STRIPS 60001|A4255||5.44||GLUCOSE MONITOR PLATFORMS 60001|A4256|NU|11.25||CALIBRATOR SOLUTION/CHIPS 60001|A4257||17.12||REPLACE LENSSHIELD CARTRIDGE 60001|A4258|NU|20.89||LANCET DEVICE EACH 60001|A4259|NU|13.95||LANCETS PER BOX 60001|A4265||4.56||PARAFFIN 60001|A4280||7.15||BRST PRSTHS ADHSV ATTCHMNT 60001|A4281|NU|12||REPLACEMENT BREASTPUMP TUBE 60001|A4282||23.1||REPLACEMENT BREASTPUMP ADPT 60001|A4282|NU|23.1||REPLACEMENT BREASTPUMP ADPT 60001|A4283||3.5||REPLACEMENT BREASTPUMP CAP 60001|A4283|NU|3.5||REPLACEMENT BREASTPUMP CAP 60001|A4284||7||REPLCMNT BREAST PUMP SHIELD 60001|A4284|NU|7||REPLCMNT BREAST PUMP SHIELD 60001|A4285|NU|36||REPLCMNT BREAST PUMP BOTTLE 60001|A4286|NU|9||REPLCMNT BREASTPUMP LOK RING 60001|A4310||9.31||INSERT TRAY W/O BAG/CATH 60001|A4311||19.91||CATHETER W/O BAG 2-WAY LATEX 60001|A4312||20.57||CATH W/O BAG 2-WAY SILICONE 60001|A4313||21.15||CATHETER W/BAG 3-WAY 60001|A4314||31.34||CATH W/DRAINAGE 2-WAY LATEX 60001|A4315||30.11||CATH W/DRAINAGE 2-WAY SILCNE 60001|A4316||38.12||CATH W/DRAINAGE 3-WAY 60001|A4320||6.34||IRRIGATION TRAY 60001|A4321||0||CATH THERAPEUTIC IRRIG AGENT 60001|A4322||3.98||IRRIGATION SYRINGE 60001|A4326||14.49||MALE EXTERNAL CATHETER 60001|A4327||59.9||FEM URINARY COLLECT DEV CUP 60001|A4328||13.74||FEM URINARY COLLECT POUCH 60001|A4330||9.6||STOOL COLLECTION POUCH 60001|A4331||4.28||EXTENSION DRAINAGE TUBING 60001|A4332||0.16||LUBE STERILE PACKET 60001|A4333||2.96||URINARY CATH ANCHOR DEVICE 60001|A4334||6.61||URINARY CATH LEG STRAP 60001|A4336||1.94||URETHRAL INSERT 60001|A4338||13.99||INDWELLING CATHETER LATEX 60001|A4340||36.41||INDWELLING CATHETER SPECIAL 60001|A4344||18.27||CATH INDW FOLEY 2 WAY SILICN 60001|A4346||22.35||CATH INDW FOLEY 3 WAY 60001|A4349||2.71||DISPOSABLE MALE EXTERNAL CAT 60001|A4351||2.43||STRAIGHT TIP URINE CATHETER 60001|A4352||8.48||COUDE TIP URINARY CATHETER 60001|A4353||9.4||INTERMITTENT URINARY CATH 60001|A4354||13.47||CATH INSERTION TRAY W/BAG 60001|A4355||10.91||BLADDER IRRIGATION TUBING 60001|A4356||61.26||EXT URETH CLMP OR COMPR DVC 60001|A4357||11.07||BEDSIDE DRAINAGE BAG 60001|A4358||8.7||URINARY LEG OR ABDOMEN BAG 60001|A4360||0.65||"ADULT INCONTINENCE GARMENT | E" 60001|A4361||21.66||OSTOMY FACE PLATE 60001|A4362||3.95||SOLID SKIN BARRIER 60001|A4363||2.7||"OSTOMY CLAMP| REPLACEMENT" 60001|A4364||3.35||"ADHESIVE| LIQUID OR EQUAL" 60001|A4366||1.75||OSTOMY VENT 60001|A4367||9.05||OSTOMY BELT 60001|A4368||0.35||OSTOMY FILTER 60001|A4369||3.25||SKIN BARRIER LIQUID PER OZ 60001|A4371||4.9||SKIN BARRIER POWDER PER OZ 60001|A4372||5.62||SKIN BARRIER SOLID 4X4 EQUIV 60001|A4373||8.42||SKIN BARRIER WITH FLANGE 60001|A4375||23.06||DRAINABLE PLASTIC PCH W FCPL 60001|A4376||63.89||DRAINABLE RUBBER PCH W FCPLT 60001|A4377||5.76||DRAINABLE PLSTIC PCH W/O FP 60001|A4378||41.29||DRAINABLE RUBBER PCH W/O FP 60001|A4379||20.16||URINARY PLASTIC POUCH W FCPL 60001|A4380||50.12||URINARY RUBBER POUCH W FCPLT 60001|A4381||6.2||URINARY PLASTIC POUCH W/O FP 60001|A4382||33.05||URINARY HVY PLSTC PCH W/O FP 60001|A4383||37.85||URINARY RUBBER POUCH W/O FP 60001|A4384||12.91||OSTOMY FACEPLT/SILICONE RING 60001|A4385||6.85||OST SKN BARRIER SLD EXT WEAR 60001|A4387||0||OST CLSD POUCH W ATT ST BARR 60001|A4388||5.86||DRAINABLE PCH W EX WEAR BARR 60001|A4389||8.35||DRAINABLE PCH W ST WEAR BARR 60001|A4390||12.9||DRAINABLE PCH EX WEAR CONVEX 60001|A4391||9.49||URINARY POUCH W EX WEAR BARR 60001|A4392||10.99||URINARY POUCH W ST WEAR BARR 60001|A4393||12.14||URINE PCH W EX WEAR BAR CONV 60001|A4394||3.47||OSTOMY POUCH LIQ DEODORANT 60001|A4395||0.06||OSTOMY POUCH SOLID DEODORANT 60001|A4396||54.35||PERISTOMAL HERNIA SUPPRT BLT 60001|A4397||5.92||IRRIGATION SUPPLY SLEEVE 60001|A4398||17||OSTOMY IRRIGATION BAG 60001|A4399||14.3||OSTOMY IRRIG CONE/CATH W BRS 60001|A4400||55.77||OSTOMY IRRIGATION SET 60001|A4402||1.83||LUBRICANT PER OUNCE 60001|A4404||2.26||OSTOMY RING EACH 60001|A4405||4.58||NONPECTIN BASED OSTOMY PASTE 60001|A4406||7.7||PECTIN BASED OSTOMY PASTE 60001|A4407||11.76||"EXT WEAR OST SKN BARR <=4SQ""" 60001|A4408||13.25||"EXT WEAR OST SKN BARR >4SQ""" 60001|A4409||8.35||OST SKN BARR CONVEX <=4 SQ I 60001|A4410||12.14||OST SKN BARR EXTND >4 SQ 60001|A4411||6.85||OST SKN BARR EXTND =4SQ 60001|A4412||3.64||OST POUCH DRAIN HIGH OUTPUT 60001|A4413||7.39||2 PC DRAINABLE OST POUCH 60001|A4414||6.61||OST SKNBAR W/O CONV<=4 SQ IN 60001|A4415||8.05||OST SKN BARR W/O CONV >4 SQI 60001|A4416||3.7||OST PCH CLSD W BARRIER/FILTR 60001|A4417||5||OST PCH W BAR/BLTINCONV/FLTR 60001|A4418||2.44||OST PCH CLSD W/O BAR W FILTR 60001|A4419||2.34||OST PCH FOR BAR W FLANGE/FLT 60001|A4420||0||OST PCH CLSD FOR BAR W LK FL 60001|A4422||0.16||OST POUCH ABSORBENT MATERIAL 60001|A4423||2.5||OST PCH FOR BAR W LK FL/FLTR 60001|A4424||6.39||OST PCH DRAIN W BAR & FILTER 60001|A4425||4.81||OST PCH DRAIN FOR BARRIER FL 60001|A4426||3.68||OST PCH DRAIN 2 PIECE SYSTEM 60001|A4427||3.74||OST PCH DRAIN/BARR LK FLNG/F 60001|A4428||8.74||URINE OST POUCH W FAUCET/TAP 60001|A4429||11.07||URINE OST POUCH W BLTINCONV 60001|A4430||11.44||OST URINE PCH W B/BLTIN CONV 60001|A4431||8.35||OST PCH URINE W BARRIER/TAPV 60001|A4432||4.82||OS PCH URINE W BAR/FANGE/TAP 60001|A4433||4.49||URINE OST PCH BAR W LOCK FLN 60001|A4434||5.05||OST PCH URINE W LOCK FLNG/FT 60001|A4450|NU|0.15||NON-WATERPROOF TAPE 60001|A4450|RR|0.11||NON-WATERPROOF TAPE 60001|A4450|UE|0.11||NON-WATERPROOF TAPE 60001|A4452|NU|0.54||WATERPROOF TAPE 60001|A4452|RR|0.49||WATERPROOF TAPE 60001|A4452|UE|0.49||WATERPROOF TAPE 60001|A4455||1.92||ADHESIVE REMOVER PER OUNCE 60001|A4456||0.34||"ADHESIVE REMOVER| WIPES" 60001|A4461||4.41||SURGICL DRESS HOLD NON-REUSE 60001|A4463||17.89||SURGICAL DRESS HOLDER REUSE 60001|A4466||0||ELASTIC GARMENT/COVERING 60001|A4481||0.51||TRACHEOSTOMA FILTER 60001|A4483||0||MOISTURE EXCHANGER 60001|A4550||25.48||SURGICAL TRAYS 60001|A4556||16.31||"ELECTRODES| PAIR" 60001|A4557||28.34||"LEAD WIRES| PAIR" 60001|A4558||7.31||CONDUCTIVE PASTE OR GEL 60001|A4559||0.14||COUPLING GEL OR PASTE 60001|A4561||27.65||"PESSARY RUBBER| ANY TYPE" 60001|A4562||68.72||"PESSARY| NON RUBBER|ANY TYPE" 60001|A4565||6.05||SLINGS 60001|A4565|NU|6.05||SLINGS 60001|A4570||15.11||SPLINT 60001|A4590||33.69||SPECIAL CASTING MATERIAL 60001|A4595||38.69||TENS SUPPL 2 LEAD PER MONTH 60001|A4604||77.31||TUBING WITH HEATING ELEMENT 60001|A4604|NU|77.31||TUBING WITH HEATING ELEMENT 60001|A4605||22.01||TRACH SUCTION CATH CLOSE SYS 60001|A4608||67.3||TRANSTRACHEAL OXYGEN CATH 60001|A4611|NU|224.2||HEAVY DUTY BATTERY 60001|A4611|RR|23.25||HEAVY DUTY BATTERY 60001|A4611|UE|168.16||HEAVY DUTY BATTERY 60001|A4612|NU|102.69||BATTERY CABLES 60001|A4612|RR|10.28||BATTERY CABLES 60001|A4612|UE|76.99||BATTERY CABLES 60001|A4613|NU|164.59||BATTERY CHARGER 60001|A4613|RR|16.46||BATTERY CHARGER 60001|A4613|UE|119.03||BATTERY CHARGER 60001|A4614||31.94||HAND-HELD PEFR METER 60001|A4615||0.96||CANNULA NASAL 60001|A4616||0.09||TUBING (OXYGEN) PER FOOT 60001|A4617||4.16||MOUTH PIECE 60001|A4618|NU|10.99||BREATHING CIRCUITS 60001|A4618|RR|1.17||BREATHING CIRCUITS 60001|A4618|UE|8.29||BREATHING CIRCUITS 60001|A4619||2.49||FACE TENT 60001|A4620||0.84||VARIABLE CONCENTRATION MASK 60001|A4623||8.41||TRACHEOSTOMY INNER CANNULA 60001|A4625||9.3||TRACH CARE KIT FOR NEW TRACH 60001|A4626||4.29||TRACHEOSTOMY CLEANING BRUSH 60001|A4628||5.02||OROPHARYNGEAL SUCTION CATH 60001|A4629||6.23||TRACHEOSTOMY CARE KIT 60001|A4630||7.12||REPL BAT T.E.N.S. OWN BY PT 60001|A4633||55.1||UVL REPLACEMENT BULB 60001|A4635|NU|5.85||UNDERARM CRUTCH PAD 60001|A4635|RR|0.79||UNDERARM CRUTCH PAD 60001|A4635|UE|3.87||UNDERARM CRUTCH PAD 60001|A4636|NU|4.15||HANDGRIP FOR CANE ETC 60001|A4636|RR|0.43||HANDGRIP FOR CANE ETC 60001|A4636|UE|3.03||HANDGRIP FOR CANE ETC 60001|A4637|NU|2.1||REPL TIP CANE/CRUTCH/WALKER 60001|A4637|RR|0.3||REPL TIP CANE/CRUTCH/WALKER 60001|A4637|UE|1.6||REPL TIP CANE/CRUTCH/WALKER 60001|A4638||0||REPL BATT PULSE GEN SYS 60001|A4639||385.62||INFRARED HT SYS REPLCMNT PAD 60001|A4640|NU|85.01||ALTERNATING PRESSURE PAD 60001|A4640|RR|8.65||ALTERNATING PRESSURE PAD 60001|A4640|UE|60.23||ALTERNATING PRESSURE PAD 60001|A4649||2.26||SURGICAL SUPPLIES 60001|A4927||3.45||NON-STERILE GLOVES 60001|A5051||2.78||POUCH CLSD W BARR ATTACHED 60001|A5052||2||CLSD OSTOMY POUCH W/O BARR 60001|A5053||2||CLSD OSTOMY POUCH FACEPLATE 60001|A5054||2.41||CLSD OSTOMY POUCH W/FLANGE 60001|A5055||1.94||STOMA CAP 60001|A5056||6.26||1 PC OST POUCH W FILTER 60001|A5057||12.9||1 PC OST POU W BUILT-IN CONV 60001|A5061||4.74||POUCH DRAINABLE W BARRIER AT 60001|A5062||2.99||DRNBLE OSTOMY POUCH W/O BARR 60001|A5063||3.64||DRAIN OSTOMY POUCH W/FLANGE 60001|A5071||8.06||URINARY POUCH W/BARRIER 60001|A5072||4.74||URINARY POUCH W/O BARRIER 60001|A5073||4.28||URINARY POUCH ON BARR W/FLNG 60001|A5081||3.77||CONTINENT STOMA PLUG 60001|A5082||15.96||CONTINENT STOMA CATHETER 60001|A5083||0.85||STOMA ABSORPTIVE COVER 60001|A5093||2.62||OSTOMY ACCESSORY CONVEX INSE 60001|A5102||30.33||BEDSIDE DRAIN BTL W/WO TUBE 60001|A5105||54.74||URINARY SUSPENSORY 60001|A5112||46.48||URINARY LEG BAG 60001|A5113||6.32||LATEX LEG STRAP 60001|A5114||10.21||FOAM/FABRIC LEG STRAP 60001|A5120||0.32||"SKIN BARRIER| WIPE OR SWAB" 60001|A5121||8.51||SOLID SKIN BARRIER 6X6 60001|A5122||17.25||SOLID SKIN BARRIER 8X8 60001|A5126||1.77||DISK/FOAM PAD +OR- ADHESIVE 60001|A5131||21.29||APPLIANCE CLEANER 60001|A5200||15.18||PERCUTANEOUS CATHETER ANCHOR 60001|A5500||85.36||DIAB SHOE FOR DENSITY INSERT 60001|A5500|NU|85.36||DIAB SHOE FOR DENSITY INSERT 60001|A5501||256.06||DIABETIC CUSTOM MOLDED SHOE 60001|A5503||41.91||DIABETIC SHOE W/ROLLER/ROCKR 60001|A5504||41.91||DIABETIC SHOE WITH WEDGE 60001|A5505||41.91||DIAB SHOE W/METATARSAL BAR 60001|A5506||41.91||DIABETIC SHOE W/OFF SET HEEL 60001|A5507||41.91||MODIFICATION DIABETIC SHOE 60001|A5512||34.83||MULTI DEN INSERT DIRECT FORM 60001|A5512|NU|34.83||MULTI DEN INSERT DIRECT FORM 60001|A5513||51.98||MULTI DEN INSERT CUSTOM MOLD 60001|A6010||41.57||COLLAGEN BASED WOUND FILLER 60001|A6011||3.06||COLLAGEN GEL/PASTE WOUND FIL 60001|A6021||28.22||COLLAGEN DRESSING <=16 SQ IN 60001|A6022||28.22||COLLAGEN DRSG>6<=48 SQ IN 60001|A6023||255.51||COLLAGEN DRESSING >48 SQ IN 60001|A6024||8.31||COLLAGEN DSG WOUND FILLER 60001|A6154||19.3||WOUND POUCH EACH 60001|A6196||9.88||ALGINATE DRESSING <=16 SQ IN 60001|A6197||22.06||ALGINATE DRSG >16 <=48 SQ IN 60001|A6199||7.09||ALGINATE DRSG WOUND FILLER 60001|A6203||4.5||COMPOSITE DRSG <= 16 SQ IN 60001|A6204||8.36||COMPOSITE DRSG >16<=48 SQ IN 60001|A6207||9.85||CONTACT LAYER >16<= 48 SQ IN 60001|A6209||10.04||FOAM DRSG <=16 SQ IN W/O BDR 60001|A6210||26.75||FOAM DRG >16<=48 SQ IN W/O B 60001|A6211||39.44||FOAM DRG > 48 SQ IN W/O BRDR 60001|A6212||13.03||FOAM DRG <=16 SQ IN W/BORDER 60001|A6214||13.81||FOAM DRG > 48 SQ IN W/BORDER 60001|A6216||0.06||NON-STERILE GAUZE<=16 SQ IN 60001|A6217||0||NON-STERILE GAUZE>16<=48 SQ 60001|A6219||1.27||GAUZE <= 16 SQ IN W/BORDER 60001|A6220||3.47||GAUZE >16 <=48 SQ IN W/BORDR 60001|A6222||2.86||GAUZE <=16 IN NO W/SAL W/O B 60001|A6223||3.25||GAUZE >16<=48 NO W/SAL W/O B 60001|A6224||4.85||GAUZE > 48 IN NO W/SAL W/O B 60001|A6229||4.85||GAUZE >16<=48 SQ IN WATR/SAL 60001|A6231||6.29||HYDROGEL DSG<=16 SQ IN 60001|A6232||9.23||HYDROGEL DSG>16<=48 SQ IN 60001|A6233||25.76||HYDROGEL DRESSING >48 SQ IN 60001|A6234||8.77||HYDROCOLLD DRG <=16 W/O BDR 60001|A6235||22.57||HYDROCOLLD DRG >16<=48 W/O B 60001|A6236||36.59||HYDROCOLLD DRG > 48 IN W/O B 60001|A6237||10.62||HYDROCOLLD DRG <=16 IN W/BDR 60001|A6238||30.6||HYDROCOLLD DRG >16<=48 W/BDR 60001|A6240||16.44||HYDROCOLLD DRG FILLER PASTE 60001|A6241||3.45||HYDROCOLLOID DRG FILLER DRY 60001|A6242||8.14||HYDROGEL DRG <=16 IN W/O BDR 60001|A6243||16.54||HYDROGEL DRG >16<=48 W/O BDR 60001|A6244||52.74||HYDROGEL DRG >48 IN W/O BDR 60001|A6245||9.75||HYDROGEL DRG <= 16 IN W/BDR 60001|A6246||13.32||HYDROGEL DRG >16<=48 IN W/B 60001|A6247||31.94||HYDROGEL DRG > 48 SQ IN W/B 60001|A6248||21.8||HYDROGEL DRSG GEL FILLER 60001|A6251||2.68||ABSORPT DRG <=16 SQ IN W/O B 60001|A6252||4.36||ABSORPT DRG >16 <=48 W/O BDR 60001|A6253||8.51||ABSORPT DRG > 48 SQ IN W/O B 60001|A6254||1.62||ABSORPT DRG <=16 SQ IN W/BDR 60001|A6255||4.07||ABSORPT DRG >16<=48 IN W/BDR 60001|A6257||2.06||TRANSPARENT FILM <= 16 SQ IN 60001|A6258||5.79||TRANSPARENT FILM >16<=48 IN 60001|A6259||14.7||TRANSPARENT FILM > 48 SQ IN 60001|A6266||2.59||IMPREG GAUZE NO H20/SAL/YARD 60001|A6402||0.16||STERILE GAUZE <= 16 SQ IN 60001|A6403||0.58||STERILE GAUZE>16 <= 48 SQ IN 60001|A6407||2.52||"PACKING STRIPS| NON-IMPREG" 60001|A6410||0.52||STERILE EYE PAD 60001|A6411||0||NON-STERILE EYE PAD 60001|A6441||0.9||PAD BAND W>=3 IN <5 IN /YD 60001|A6442||0.23||CONFORM BAND N/S W<3 IN/YD 60001|A6443||0.39||"CONFORM BAND N/S W>=3""<5""/YD" 60001|A6444||0.75||CONFORM BAND N/S W>=5 IN/YD 60001|A6445||0.44||CONFORM BAND S W <3 IN/YD 60001|A6446||0.55||"CONFORM BAND S W>=3"" <5""/YD" 60001|A6447||0.9||CONFORM BAND S W >=5 IN/YD 60001|A6448||1.56||LT COMPRES BAND <3 IN/YD 60001|A6449||2.35||"LT COMPRES BAND >=3"" <5""/YD" 60001|A6450||0||LT COMPRES BAND >=5 IN/YD 60001|A6451||0||"MOD COMPRES BAND W>=3""<5""/YD" 60001|A6452||7.94||"HIGH COMPRES BAND W>=3""<5""YD" 60001|A6453||0.83||SELF-ADHER BAND W <3 IN/YD 60001|A6454||1.04||"SELF-ADHER BAND W>=3"" <5""/YD" 60001|A6455||1.88||SELF-ADHER BAND >=5 IN/YD 60001|A6456||1.71||"ZINC PASTE BAND W >=3""<5""/YD" 60001|A6457||1.54||TUBULAR DRESSING 60001|A6501||0||COMPRES BURNGARMENT BODYSUIT 60001|A6502||0||COMPRES BURNGARMENT CHINSTRP 60001|A6503||0||COMPRES BURNGARMENT FACEHOOD 60001|A6504||0||CMPRSBURNGARMENT GLOVE-WRIST 60001|A6505||0||CMPRSBURNGARMENT GLOVE-ELBOW 60001|A6506||0||CMPRSBURNGRMNT GLOVE-AXILLA 60001|A6507||0||CMPRS BURNGARMENT FOOT-KNEE 60001|A6508||0||CMPRS BURNGARMENT FOOT-THIGH 60001|A6509||0||COMPRES BURN GARMENT JACKET 60001|A6510||0||COMPRES BURN GARMENT LEOTARD 60001|A6511||0||COMPRES BURN GARMENT PANTY 60001|A6513||0||COMPRESS BURN MASK FACE/NECK 60001|A6530||51.25||COMPRESSION STOCKING BK18-30 60001|A6530|NU|51.25||COMPRESSION STOCKING BK18-30 60001|A6531||58.09||COMPRESSION STOCKING BK30-40 60001|A6532||81.85||COMPRESSION STOCKING BK40-50 60001|A6533||86.1||GC STOCKING THIGHLNGTH 18-30 60001|A6534||52||GC STOCKING THIGHLNGTH 30-40 60001|A6535||48.3||GC STOCKING THIGHLNGTH 40-50 60001|A6536||59.5||GC STOCKING FULL LNGTH 18-30 60001|A6537||61.25||GC STOCKING FULL LNGTH 30-40 60001|A6538||70||GC STOCKING FULL LNGTH 40-50 60001|A6539||96.88||GC STOCKING WAISTLNGTH 18-30 60001|A6540||95.9||GC STOCKING WAISTLNGTH 30-40 60001|A6541||2.8||GC STOCKING WAISTLNGTH 40-50 60001|A6545||114.38||GRAD COMP NON-ELASTIC BK 60001|A6550||31.75||NEG PRES WOUND THER DRSG SET 60001|A7000|NU|10.95||DISPOSABLE CANISTER FOR PUMP 60001|A7001||38.85||NONDISPOSABLE PUMP CANISTER 60001|A7002||4.38||TUBING USED W SUCTION PUMP 60001|A7003||3.64||NEBULIZER ADMINISTRATION SET 60001|A7003|NU|3.64||NEBULIZER ADMINISTRATION SET 60001|A7004||2.06||DISPOSABLE NEBULIZER SML VOL 60001|A7005||35.19||NONDISPOSABLE NEBULIZER SET 60001|A7005|NU|35.19||NONDISPOSABLE NEBULIZER SET 60001|A7006||12.81||FILTERED NEBULIZER ADMIN SET 60001|A7007||5.8||LG VOL NEBULIZER DISPOSABLE 60001|A7008||12.56||DISPOSABLE NEBULIZER PREFILL 60001|A7009||54.52||NEBULIZER RESERVOIR BOTTLE 60001|A7010||26.93||DISPOSABLE CORRUGATED TUBING 60001|A7012||5.04||NEBULIZER WATER COLLEC DEVIC 60001|A7013||0.95||DISPOSABLE COMPRESSOR FILTER 60001|A7014||6.03||COMPRESSOR NONDISPOS FILTER 60001|A7015||2.52||AEROSOL MASK USED W NEBULIZE 60001|A7015|NU|2.52||AEROSOL MASK USED W NEBULIZE 60001|A7016||9.08||NEBULIZER DOME & MOUTHPIECE 60001|A7017|NU|179.96||NEBULIZER NOT USED W OXYGEN 60001|A7017|RR|18||NEBULIZER NOT USED W OXYGEN 60001|A7017|UE|134.96||NEBULIZER NOT USED W OXYGEN 60001|A7018||0.44||WATER DISTILLED W/NEBULIZER 60001|A7020||19.44||STERL WATR/SALINE 1000 ML W/LG 60001|A7025||583.97||REPLACE CHEST COMPRESS VEST 60001|A7026||38.6||REPLACE CHST CMPRSS SYS HOSE 60001|A7027||250.44||COMBINATION ORAL/NASAL MASK 60001|A7028||66.53||REPL ORAL CUSHION COMBO MASK 60001|A7029||27.17||REPL NASAL PILLOW COMB MASK 60001|A7030||218.3||CPAP FULL FACE MASK 60001|A7030|NU|218.3||CPAP FULL FACE MASK 60001|A7031||80.74||REPLACEMENT FACEMASK INTERFA 60001|A7031|NU|80.74||REPLACEMENT FACEMASK INTERFA 60001|A7032||46.9||REPLACEMENT NASAL CUSHION 60001|A7032|NU|46.9||REPLACEMENT NASAL CUSHION 60001|A7033||32.87||REPLACEMENT NASAL PILLOWS 60001|A7033|NU|32.87||REPLACEMENT NASAL PILLOWS 60001|A7034||136.13||NASAL APPLICATION DEVICE 60001|A7034|NU|136.13||NASAL APPLICATION DEVICE 60001|A7035||41.76||POS AIRWAY PRESS HEADGEAR 60001|A7035|NU|41.76||POS AIRWAY PRESS HEADGEAR 60001|A7036||17.9||POS AIRWAY PRESS CHINSTRAP 60001|A7036|NU|17.9||POS AIRWAY PRESS CHINSTRAP 60001|A7037||46.15||POS AIRWAY PRESSURE TUBING 60001|A7037|NU|46.15||POS AIRWAY PRESSURE TUBING 60001|A7038||6.19||POS AIRWAY PRESSURE FILTER 60001|A7038|NU|6.19||POS AIRWAY PRESSURE FILTER 60001|A7039||15.08||"FILTER| NON DISPOSABLE W PAP" 60001|A7039|NU|15.08||"FILTER| NON DISPOSABLE W PAP" 60001|A7040||54.61||ONE WAY CHEST DRAIN VALVE 60001|A7041||102.61||WATER SEAL DRAIN CONTAINER 60001|A7042||243.8||IMPLANTED PLEURAL CATHETER 60001|A7043||38.84||VACUUM DRAINAGEBOTTLE/TUBING 60001|A7044||139.91||PAP ORAL INTERFACE 60001|A7045|NU|22.53||REPL EXHALATION PORT FOR PAP 60001|A7045|RR|2.25||REPL EXHALATION PORT FOR PAP 60001|A7045|UE|16.9||REPL EXHALATION PORT FOR PAP 60001|A7046||22.57||"REPL WATER CHAMBER| PAP DEV" 60001|A7046|NU|22.57||"REPL WATER CHAMBER| PAP DEV" 60001|A7501||141.01||TRACHEOSTOMA VALVE W DIAPHRA 60001|A7502||67.02||REPLACEMENT DIAPHRAGM/FPLATE 60001|A7503||15.23||HMES FILTER HOLDER OR CAP 60001|A7504||0.9||TRACHEOSTOMA HMES FILTER 60001|A7505||6.29||HMES OR TRACH VALVE HOUSING 60001|A7506||0.45||HMES/TRACHVALVE ADHESIVEDISK 60001|A7507||3.34||INTEGRATED FILTER & HOLDER 60001|A7508||3.85||HOUSING & INTEGRATED ADHESIV 60001|A7509||1.9||HEAT & MOISTURE EXCHANGE SYS 60001|A7520||63.75||TRACH/LARYN TUBE NON-CUFFED 60001|A7521||63.16||TRACH/LARYN TUBE CUFFED 60001|A7522||60.64||TRACH/LARYN TUBE STAINLESS 60001|A7524||103.92||TRACHEOSTOMA STENT/STUD/BTTN 60001|A7525||2.78||TRACHEOSTOMY MASK 60001|A7526||4.52||TRACHEOSTOMY TUBE COLLAR 60001|A7527||4.81||TRACH/LARYN TUBE PLUG/STOP 60001|A8000|NU|205.9||SOFT PROTECT HELMET PREFAB 60001|A8000|RR|20.59||SOFT PROTECT HELMET PREFAB 60001|A8000|UE|154.45||SOFT PROTECT HELMET PREFAB 60001|A8001|NU|205.9||HARD PROTECT HELMET PREFAB 60001|A8001|RR|20.59||HARD PROTECT HELMET PREFAB 60001|A8001|UE|154.45||HARD PROTECT HELMET PREFAB 60001|A8002||0||SOFT PROTECT HELMET CUSTOM 60001|A8003||0||HARD PROTECT HELMET CUSTOM 60001|A8004||0||"REPL SOFT INTERFACE| HELMET" 60001|A9150||0||MISC/EXPER NON-PRESCRIPT DRU 60001|A9282||280||WIG ANY TYPE 60001|A9500||152.12||TC99M SESTAMIBI 60001|A9502||144.11||TC99M TETROFOSMIN 60001|A9503||22.09||TC99M MEDRONATE 60001|A9505||114.11||TL201 THALLIUM 60001|A9560||127.8||TC99M LABELED RBC 60001|ATP02||9.21|| 60001|ATP03||11.76|| 60001|ATP04||12.42|| 60001|ATP05||13.86|| 60001|ATP06||13.89|| 60001|ATP07||14.46|| 60001|ATP08||14.97|| 60001|ATP09||15.38|| 60001|ATP10||15.38|| 60001|ATP11||15.64|| 60001|ATP12||15.99|| 60001|ATP16||18.71|| 60001|ATP18||18.84|| 60001|ATP19||19.59|| 60001|ATP20||20.2|| 60001|ATP21||20.85|| 60001|ATP22||21.49|| 60001|ATP23||21.49|| 60001|B1460|NU|1.75|| 60001|B4034|NU|8.45||ENTER FEED SUPKIT SYR BY DAY 60001|B4035|NU|16.25||ENTERAL FEED SUPP PUMP PER D 60001|B4160|NU|1.75||EF PED CALORIC DENSE>/=0.7KC 60001|B4161|NU|3.96||EF PED HYDROLYZED/AMINO ACID 60001|B9002|RR|289.09||ENTERAL INFUSION PUMP W/ ALA 60001|E0100|NU|29.65||CANE ADJUST/FIXED WITH TIP 60001|E0100|RR|7.1||CANE ADJUST/FIXED WITH TIP 60001|E0100|UE|22.44||CANE ADJUST/FIXED WITH TIP 60001|E0105|NU|69.1||CANE ADJUST/FIXED QUAD/3 PRO 60001|E0105|RR|10.6||CANE ADJUST/FIXED QUAD/3 PRO 60001|E0105|UE|50.82||CANE ADJUST/FIXED QUAD/3 PRO 60001|E0110|NU|88.55||CRUTCH FOREARM PAIR 60001|E0110|RR|18.24||CRUTCH FOREARM PAIR 60001|E0110|UE|66.4||CRUTCH FOREARM PAIR 60001|E0111|NU|66.05||CRUTCH FOREARM EACH 60001|E0111|RR|9.61||CRUTCH FOREARM EACH 60001|E0111|UE|49.52||CRUTCH FOREARM EACH 60001|E0112|NU|42.22||CRUTCH UNDERARM PAIR WOOD 60001|E0112|RR|11.34||CRUTCH UNDERARM PAIR WOOD 60001|E0112|UE|32.21||CRUTCH UNDERARM PAIR WOOD 60001|E0113|NU|24.12||CRUTCH UNDERARM EACH WOOD 60001|E0113|RR|5.87||CRUTCH UNDERARM EACH WOOD 60001|E0113|UE|18.1||CRUTCH UNDERARM EACH WOOD 60001|E0114||53.86||CRUTCH UNDERARM PAIR NO WOOD 60001|E0114|KX|53.86||CRUTCH UNDERARM PAIR NO WOOD 60001|E0114|NU|53.86||CRUTCH UNDERARM PAIR NO WOOD 60001|E0114|RR|9.79||CRUTCH UNDERARM PAIR NO WOOD 60001|E0114|UE|40.7||CRUTCH UNDERARM PAIR NO WOOD 60001|E0116|NU|31.66||CRUTCH UNDERARM EACH NO WOOD 60001|E0116|RR|6.16||CRUTCH UNDERARM EACH NO WOOD 60001|E0116|UE|23.84||CRUTCH UNDERARM EACH NO WOOD 60001|E0117|NU|258.75||UNDERARM SPRINGASSIST CRUTCH 60001|E0117|RR|25.85||UNDERARM SPRINGASSIST CRUTCH 60001|E0117|UE|194.09||UNDERARM SPRINGASSIST CRUTCH 60001|E0118|NU|490||CRUTCH SUBSTITUTE 60001|E0118|RR|21.06||CRUTCH SUBSTITUTE 60001|E0130|NU|81.27||WALKER RIGID ADJUST/FIXED HT 60001|E0130|RR|19.45||WALKER RIGID ADJUST/FIXED HT 60001|E0130|UE|63.34||WALKER RIGID ADJUST/FIXED HT 60001|E0135|NU|87.45||WALKER FOLDING ADJUST/FIXED 60001|E0135|RR|19.96||WALKER FOLDING ADJUST/FIXED 60001|E0135|UE|68.7||WALKER FOLDING ADJUST/FIXED 60001|E0140|NU|417.43||WALKER W TRUNK SUPPORT 60001|E0140|RR|41.75||WALKER W TRUNK SUPPORT 60001|E0140|UE|313.09||WALKER W TRUNK SUPPORT 60001|E0141|NU|128.94||RIGID WHEELED WALKER ADJ/FIX 60001|E0141|RR|22||RIGID WHEELED WALKER ADJ/FIX 60001|E0141|UE|96.7||RIGID WHEELED WALKER ADJ/FIX 60001|E0143|NU|59.44||WALKER FOLDING WHEELED W/O S 60001|E0143|RR|5.95||WALKER FOLDING WHEELED W/O S 60001|E0143|UE|96.7||WALKER FOLDING WHEELED W/O S 60001|E0144|NU|368.53||ENCLOSED WALKER W REAR SEAT 60001|E0144|RR|36.86||ENCLOSED WALKER W REAR SEAT 60001|E0144|UE|276.38||ENCLOSED WALKER W REAR SEAT 60001|E0147|NU|665.19||WALKER VARIABLE WHEEL RESIST 60001|E0147|RR|66.53||WALKER VARIABLE WHEEL RESIST 60001|E0147|UE|498.91||WALKER VARIABLE WHEEL RESIST 60001|E0148|NU|147.04||HEAVYDUTY WALKER NO WHEELS 60001|E0148|RR|14.72||HEAVYDUTY WALKER NO WHEELS 60001|E0148|UE|110.26||HEAVYDUTY WALKER NO WHEELS 60001|E0149|NU|258.3||HEAVY DUTY WHEELED WALKER 60001|E0149|RR|25.82||HEAVY DUTY WHEELED WALKER 60001|E0149|UE|193.71||HEAVY DUTY WHEELED WALKER 60001|E0153|NU|81.06||FOREARM CRUTCH PLATFORM ATTA 60001|E0153|RR|8.95||FOREARM CRUTCH PLATFORM ATTA 60001|E0153|UE|60.76||FOREARM CRUTCH PLATFORM ATTA 60001|E0154|NU|81.6||WALKER PLATFORM ATTACHMENT 60001|E0154|RR|8.42||WALKER PLATFORM ATTACHMENT 60001|E0154|UE|61.2||WALKER PLATFORM ATTACHMENT 60001|E0155|NU|35.41||"WALKER WHEEL ATTACHMENT|PAIR" 60001|E0155|RR|3.79||"WALKER WHEEL ATTACHMENT|PAIR" 60001|E0155|UE|26.54||"WALKER WHEEL ATTACHMENT|PAIR" 60001|E0156|NU|19.6||WALKER SEAT ATTACHMENT 60001|E0156|RR|1.96||WALKER SEAT ATTACHMENT 60001|E0156|UE|22.96||WALKER SEAT ATTACHMENT 60001|E0157|NU|83.74||WALKER CRUTCH ATTACHMENT 60001|E0157|RR|8.85||WALKER CRUTCH ATTACHMENT 60001|E0157|UE|62.8||WALKER CRUTCH ATTACHMENT 60001|E0158|NU|37.24||WALKER LEG EXTENDERS SET OF4 60001|E0158|RR|4.11||WALKER LEG EXTENDERS SET OF4 60001|E0158|UE|28.11||WALKER LEG EXTENDERS SET OF4 60001|E0159|NU|20.68||BRAKE FOR WHEELED WALKER 60001|E0159|RR|2.14||BRAKE FOR WHEELED WALKER 60001|E0159|UE|15.51||BRAKE FOR WHEELED WALKER 60001|E0160|NU|37.73||SITZ TYPE BATH OR EQUIPMENT 60001|E0160|RR|4.95||SITZ TYPE BATH OR EQUIPMENT 60001|E0160|UE|28.26||SITZ TYPE BATH OR EQUIPMENT 60001|E0161|NU|35.21||SITZ BATH/EQUIPMENT W/FAUCET 60001|E0161|RR|4.07||SITZ BATH/EQUIPMENT W/FAUCET 60001|E0161|UE|26.36||SITZ BATH/EQUIPMENT W/FAUCET 60001|E0162|NU|166.29||SITZ BATH CHAIR 60001|E0162|RR|17.44||SITZ BATH CHAIR 60001|E0162|UE|128.95||SITZ BATH CHAIR 60001|E0163|NU|66.61||COMMODE CHAIR STATIONRY FXD 60001|E0163|RR|6.66||COMMODE CHAIR STATIONRY FXD 60001|E0163|UE|107.79||COMMODE CHAIR STATIONRY FXD 60001|E0165|RR|15.34||COMMODE CHAIR STATIONRY DET 60001|E0167|NU|13.7||COMMODE CHAIR PAIL OR PAN 60001|E0167|RR|1.44||COMMODE CHAIR PAIL OR PAN 60001|E0167|UE|11.33||COMMODE CHAIR PAIL OR PAN 60001|E0168|NU|146.91||HEAVYDUTY/WIDE COMMODE CHAIR 60001|E0168|RR|14.69||HEAVYDUTY/WIDE COMMODE CHAIR 60001|E0168|UE|151.96||HEAVYDUTY/WIDE COMMODE CHAIR 60001|E0170||215.8||COMMODE CHAIR ELECTRIC 60001|E0171||38.84||COMMODE CHAIR NON-ELECTRIC 60001|E0175|NU|88.92||COMMODE CHAIR FOOT REST 60001|E0175|RR|8.89||COMMODE CHAIR FOOT REST 60001|E0175|UE|65.45||COMMODE CHAIR FOOT REST 60001|E0181||34.99||PRESS PAD ALTERNATING W/ PUM 60001|E0182||29.87||PRESSURE PAD ALTERNATING PUM 60001|E0184|NU|261.42||DRY PRESSURE MATTRESS 60001|E0184|RR|30.35||DRY PRESSURE MATTRESS 60001|E0184|UE|200.49||DRY PRESSURE MATTRESS 60001|E0185|NU|389.76||GEL PRESSURE MATTRESS PAD 60001|E0185|RR|51.29||GEL PRESSURE MATTRESS PAD 60001|E0185|UE|292.31||GEL PRESSURE MATTRESS PAD 60001|E0186||23.18||AIR PRESSURE MATTRESS 60001|E0187||26.49||WATER PRESSURE MATTRESS 60001|E0188|NU|35.49||SYNTHETIC SHEEPSKIN PAD 60001|E0188|RR|4.17||SYNTHETIC SHEEPSKIN PAD 60001|E0188|UE|26.65||SYNTHETIC SHEEPSKIN PAD 60001|E0189|NU|69.77||LAMBSWOOL SHEEPSKIN PAD 60001|E0189|RR|7.55||LAMBSWOOL SHEEPSKIN PAD 60001|E0189|UE|52.34||LAMBSWOOL SHEEPSKIN PAD 60001|E0191|NU|11.4||PROTECTOR HEEL OR ELBOW 60001|E0191|RR|1.17||PROTECTOR HEEL OR ELBOW 60001|E0191|UE|8.51||PROTECTOR HEEL OR ELBOW 60001|E0193||986.59||POWERED AIR FLOTATION BED 60001|E0194||3714.04||AIR FLUIDIZED BED 60001|E0196||37.09||GEL PRESSURE MATTRESS 60001|E0197|NU|252.89||AIR PRESSURE PAD FOR MATTRES 60001|E0197|RR|34.89||AIR PRESSURE PAD FOR MATTRES 60001|E0197|UE|222.14||AIR PRESSURE PAD FOR MATTRES 60001|E0198|NU|252.89||WATER PRESSURE PAD FOR MATTR 60001|E0198|RR|26.2||WATER PRESSURE PAD FOR MATTR 60001|E0198|UE|191.89||WATER PRESSURE PAD FOR MATTR 60001|E0199|NU|43.04||DRY PRESSURE PAD FOR MATTRES 60001|E0199|RR|4.29||DRY PRESSURE PAD FOR MATTRES 60001|E0199|UE|32.27||DRY PRESSURE PAD FOR MATTRES 60001|E0200|NU|106.45||HEAT LAMP WITHOUT STAND 60001|E0200|RR|14.45||HEAT LAMP WITHOUT STAND 60001|E0200|UE|79.88||HEAT LAMP WITHOUT STAND 60001|E0202||71.45||PHOTOTHERAPY LIGHT W/ PHOTOM 60001|E0205|NU|260.56||HEAT LAMP WITH STAND 60001|E0205|RR|28.66||HEAT LAMP WITH STAND 60001|E0205|UE|195.41||HEAT LAMP WITH STAND 60001|E0210|NU|39.11||ELECTRIC HEAT PAD STANDARD 60001|E0210|RR|3.9||ELECTRIC HEAT PAD STANDARD 60001|E0210|UE|29.31||ELECTRIC HEAT PAD STANDARD 60001|E0215|NU|80.85||ELECTRIC HEAT PAD MOIST 60001|E0215|RR|8.46||ELECTRIC HEAT PAD MOIST 60001|E0215|UE|60.65||ELECTRIC HEAT PAD MOIST 60001|E0217|NU|662.95||WATER CIRC HEAT PAD W PUMP 60001|E0217|RR|66.28||WATER CIRC HEAT PAD W PUMP 60001|E0217|UE|497.2||WATER CIRC HEAT PAD W PUMP 60001|E0225|NU|521.81||HYDROCOLLATOR UNIT 60001|E0225|RR|51.44||HYDROCOLLATOR UNIT 60001|E0225|UE|391.35||HYDROCOLLATOR UNIT 60001|E0235||23.16||PARAFFIN BATH UNIT PORTABLE 60001|E0236||52.89||PUMP FOR WATER CIRCULATING P 60001|E0239|NU|603.96||HYDROCOLLATOR UNIT PORTABLE 60001|E0239|RR|60.4||HYDROCOLLATOR UNIT PORTABLE 60001|E0239|UE|453||HYDROCOLLATOR UNIT PORTABLE 60001|E0249|NU|133.74||PAD WATER CIRCULATING HEAT U 60001|E0249|RR|14.71||PAD WATER CIRCULATING HEAT U 60001|E0249|UE|100.3||PAD WATER CIRCULATING HEAT U 60001|E0250||98.49||HOSP BED FIXED HT W/ MATTRES 60001|E0251||73.83||HOSP BED FIXD HT W/O MATTRES 60001|E0255||116.53||HOSPITAL BED VAR HT W/ MATTR 60001|E0256||81.99||HOSPITAL BED VAR HT W/O MATT 60001|E0260||162.55||HOSP BED SEMI-ELECTR W/ MATT 60001|E0261||134.7||HOSP BED SEMI-ELECTR W/O MAT 60001|E0265||196.61||HOSP BED TOTAL ELECTR W/ MAT 60001|E0266||174.69||HOSP BED TOTAL ELEC W/O MATT 60001|E0271|NU|234.97||MATTRESS INNERSPRING 60001|E0271|RR|23.51||MATTRESS INNERSPRING 60001|E0271|UE|176.24||MATTRESS INNERSPRING 60001|E0272|NU|234.19||MATTRESS FOAM RUBBER 60001|E0272|RR|24.45||MATTRESS FOAM RUBBER 60001|E0272|UE|174.8||MATTRESS FOAM RUBBER 60001|E0275|NU|20.56||BED PAN STANDARD 60001|E0275|RR|2.15||BED PAN STANDARD 60001|E0275|UE|15.41||BED PAN STANDARD 60001|E0276|NU|17.88||BED PAN FRACTURE 60001|E0276|RR|2.11||BED PAN FRACTURE 60001|E0276|UE|14.13||BED PAN FRACTURE 60001|E0277||814.09||POWERED PRES-REDU AIR MATTRS 60001|E0280|NU|44.21||BED CRADLE 60001|E0280|RR|4.76||BED CRADLE 60001|E0280|UE|33.15||BED CRADLE 60001|E0290||73.51||HOSP BED FX HT W/O RAILS W/M 60001|E0291||53.41||HOSP BED FX HT W/O RAIL W/O 60001|E0292||82.66||HOSP BED VAR HT W/O RAIL W/O 60001|E0293||70.35||HOSP BED VAR HT W/O RAIL W/ 60001|E0294||128.51||HOSP BED SEMI-ELECT W/ MATTR 60001|E0295||125.26||HOSP BED SEMI-ELECT W/O MATT 60001|E0296||161.51||HOSP BED TOTAL ELECT W/ MATT 60001|E0297||138.37||HOSP BED TOTAL ELECT W/O MAT 60001|E0300|NU|3284.96||ENCLOSED PED CRIB HOSP GRADE 60001|E0300|RR|328.49||ENCLOSED PED CRIB HOSP GRADE 60001|E0300|UE|2463.71||ENCLOSED PED CRIB HOSP GRADE 60001|E0301||303.43||"HD HOSP BED| 350-600 LBS" 60001|E0302||827.93||EX HD HOSP BED > 600 LBS 60001|E0303||341.89||HOSP BED HVY DTY XTRA WIDE 60001|E0304||891.85||HOSP BED XTRA HVY DTY X WIDE 60001|E0305||17.5||RAILS BED SIDE HALF LENGTH 60001|E0310|NU|224.66||RAILS BED SIDE FULL LENGTH 60001|E0310|RR|25.15||RAILS BED SIDE FULL LENGTH 60001|E0310|UE|168.54||RAILS BED SIDE FULL LENGTH 60001|E0316||244.5||BED SAFETY ENCLOSURE 60001|E0325|NU|11.54||URINAL MALE JUG-TYPE 60001|E0325|RR|1.74||URINAL MALE JUG-TYPE 60001|E0325|UE|7.62||URINAL MALE JUG-TYPE 60001|E0326|NU|12.37||URINAL FEMALE JUG-TYPE 60001|E0326|RR|1.36||URINAL FEMALE JUG-TYPE 60001|E0326|UE|9.29||URINAL FEMALE JUG-TYPE 60001|E0371||498.91||NONPOWER MATTRESS OVERLAY 60001|E0372||605.39||POWERED AIR MATTRESS OVERLAY 60001|E0373||693.46||NONPOWERED PRESSURE MATTRESS 60001|E0424||220.07||STATIONARY COMPRESSED GAS 02 60001|E0431||36.79||PORTABLE GASEOUS 02 60001|E0433||64.54||PORTABLE LIQUID OXYGEN SYS 60001|E0434||36.79||PORTABLE LIQUID 02 60001|E0439||220.07||STATIONARY LIQUID 02 60001|E0441||96.81||"OXYGEN CONTENTS| GASEOUS" 60001|E0442||96.81||"OXYGEN CONTENTS| LIQUID" 60001|E0443||96.81||"PORTABLE 02 CONTENTS| GAS" 60001|E0444||96.81||"PORTABLE 02 CONTENTS| LIQUID" 60001|E0450||1281.6||VOL CONTROL VENT INVASIV INT 60001|E0457|NU|825.07||CHEST SHELL 60001|E0457|RR|82.51||CHEST SHELL 60001|E0457|UE|618.76||CHEST SHELL 60001|E0459||64.25||CHEST WRAP 60001|E0460||984.94||NEG PRESS VENT PORTABL/STATN 60001|E0461||1281.6||VOL CONTROL VENT NONINV INT 60001|E0462||391.25||ROCKING BED W/ OR W/O SIDE R 60001|E0463||1888.29||PRESS SUPP VENT INVASIVE INT 60001|E0464||1888.29||PRESS SUPP VENT NONINV INT 60001|E0470|RR|130.75||RAD W/O BACKUP NON-INV INTFC 60001|E0470|NU|2145.23||RAD W/O BACKUP NON-INV INTFC 60001|E0471|NU|4803.06||RAD W/BACKUP NON INV INTRFC 60001|E0471|RR|743.14||RAD W/BACKUP NON INV INTRFC 60001|E0472||743.14||RAD W BACKUP INVASIVE INTRFC 60001|E0480||58||PERCUSSOR ELECT/PNEUM HOME M 60001|E0482||560.04||COUGH STIMULATING DEVICE 60001|E0483||1427.41||CHEST COMPRESSION GEN SYSTEM 60001|E0484|NU|49.57||NON-ELEC OSCILLATORY PEP DVC 60001|E0484|RR|4.95||NON-ELEC OSCILLATORY PEP DVC 60001|E0484|UE|37.2||NON-ELEC OSCILLATORY PEP DVC 60001|E0485||0||ORAL DEVICE/APPLIANCE PREFAB 60001|E0486||0||ORAL DEVICE/APPLIANCE CUSFAB 60001|E0500||125.28||IPPB ALL TYPES 60001|E0550||67.31||HUMIDIF EXTENS SUPPLE W IPPB 60001|E0560|NU|168.71||HUMIDIFIER SUPPLEMENTAL W/ I 60001|E0560|RR|21.3||HUMIDIFIER SUPPLEMENTAL W/ I 60001|E0560|UE|126.54||HUMIDIFIER SUPPLEMENTAL W/ I 60001|E0561|NU|123.82||HUMIDIFIER NONHEATED W PAP 60001|E0561|RR|12.36||HUMIDIFIER NONHEATED W PAP 60001|E0561|UE|92.86||HUMIDIFIER NONHEATED W PAP 60001|E0562|NU|169.68||HUMIDIFIER HEATED USED W PAP 60001|E0562|RR|16.96||HUMIDIFIER HEATED USED W PAP 60001|E0562|UE|261.44||HUMIDIFIER HEATED USED W PAP 60001|E0565||81.93||COMPRESSOR AIR POWER SOURCE 60001|E0570|RR|7.19||NEBULIZER WITH COMPRESSION 60001|E0570|NU|147.77||NEBULIZER WITH COMPRESSION 60001|E0572||49.89||AEROSOL COMPRESSOR ADJUST PR 60001|E0574||52.74||ULTRASONIC GENERATOR W SVNEB 60001|E0575||135.31||NEBULIZER ULTRASONIC 60001|E0580|NU|155.12||NEBULIZER FOR USE W/ REGULAT 60001|E0580|RR|15.51||NEBULIZER FOR USE W/ REGULAT 60001|E0580|UE|116.32||NEBULIZER FOR USE W/ REGULAT 60001|E0585||40.01||NEBULIZER W/ COMPRESSOR & HE 60001|E0600||54.68||SUCTION PUMP PORTAB HOM MODL 60001|E0601|RR|50.7||CONT AIRWAY PRESSURE DEVICE 60001|E0601|NU|1124.56||CONT AIRWAY PRESSURE DEVICE 60001|E0602|NU|39.64||MANUAL BREAST PUMP 60001|E0602|RR|3.98||MANUAL BREAST PUMP 60001|E0602|UE|29.74||MANUAL BREAST PUMP 60001|E0603|NU|310||ELECTRIC BREAST PUMP 60001|E0605|NU|30.16||VAPORIZER ROOM TYPE 60001|E0605|RR|3.51||VAPORIZER ROOM TYPE 60001|E0605|UE|24.85||VAPORIZER ROOM TYPE 60001|E0606||30.81||DRAINAGE BOARD POSTURAL 60001|E0607|NU|89.71||BLOOD GLUCOSE MONITOR HOME 60001|E0607|RR|8.96||BLOOD GLUCOSE MONITOR HOME 60001|E0607|UE|67.27||BLOOD GLUCOSE MONITOR HOME 60001|E0610|NU|282.5||PACEMAKER MONITR AUDIBLE/VIS 60001|E0610|RR|28.62||PACEMAKER MONITR AUDIBLE/VIS 60001|E0610|UE|211.85||PACEMAKER MONITR AUDIBLE/VIS 60001|E0615|NU|642.89||PACEMAKER MONITR DIGITAL/VIS 60001|E0615|RR|78.55||PACEMAKER MONITR DIGITAL/VIS 60001|E0615|UE|482.17||PACEMAKER MONITR DIGITAL/VIS 60001|E0617|RR|408.22||AUTOMATIC EXT DEFIBRILLATOR 60001|E0618||376.43||APNEA MONITOR 60001|E0619||0||APNEA MONITOR W RECORDER 60001|E0620|NU|1174||CAP BLD SKIN PIERCING LASER 60001|E0620|RR|117.39||CAP BLD SKIN PIERCING LASER 60001|E0620|UE|880.5||CAP BLD SKIN PIERCING LASER 60001|E0621|NU|109.55||PATIENT LIFT SLING OR SEAT 60001|E0621|RR|10.55||PATIENT LIFT SLING OR SEAT 60001|E0621|UE|82.57||PATIENT LIFT SLING OR SEAT 60001|E0627|NU|316.41||SEAT LIFT INCORP LIFT-CHAIR 60001|E0627|RR|31.64||SEAT LIFT INCORP LIFT-CHAIR 60001|E0627|UE|339.69||SEAT LIFT INCORP LIFT-CHAIR 60001|E0628|NU|452.91||SEAT LIFT FOR PT FURN-ELECTR 60001|E0628|RR|45.3||SEAT LIFT FOR PT FURN-ELECTR 60001|E0628|UE|339.69||SEAT LIFT FOR PT FURN-ELECTR 60001|E0629|NU|444.04||SEAT LIFT FOR PT FURN-NON-EL 60001|E0629|RR|44.41||SEAT LIFT FOR PT FURN-NON-EL 60001|E0629|UE|332.99||SEAT LIFT FOR PT FURN-NON-EL 60001|E0630||123.29||PATIENT LIFT HYDRAULIC 60001|E0635|NU|65|%|PATIENT LIFT ELECTRIC 60001|E0635|RR|164.29||PATIENT LIFT ELECTRIC 60001|E0636||1415.91||PT SUPPORT & POSITIONING SYS 60001|E0650|NU|821.95||PNEUMA COMPRESOR NON-SEGMENT 60001|E0650|RR|107.21||PNEUMA COMPRESOR NON-SEGMENT 60001|E0650|UE|616.46||PNEUMA COMPRESOR NON-SEGMENT 60001|E0651|NU|1233.12||PNEUM COMPRESSOR SEGMENTAL 60001|E0651|RR|125.96||PNEUM COMPRESSOR SEGMENTAL 60001|E0651|UE|924.85||PNEUM COMPRESSOR SEGMENTAL 60001|E0652|NU|7118.01||PNEUM COMPRES W/CAL PRESSURE 60001|E0652|RR|703.49||PNEUM COMPRES W/CAL PRESSURE 60001|E0652|UE|5333.75||PNEUM COMPRES W/CAL PRESSURE 60001|E0655|NU|126.75||PNEUMATIC APPLIANCE HALF ARM 60001|E0655|RR|14.47||PNEUMATIC APPLIANCE HALF ARM 60001|E0655|UE|108.81||PNEUMATIC APPLIANCE HALF ARM 60001|E0656|NU|775.66||SEGMENTAL PNEUMATIC TRUNK 60001|E0656|RR|77.47||SEGMENTAL PNEUMATIC TRUNK 60001|E0656|UE|581.82||SEGMENTAL PNEUMATIC TRUNK 60001|E0657|NU|728.71||SEGMENTAL PNEUMATIC CHEST 60001|E0657|RR|72.74||SEGMENTAL PNEUMATIC CHEST 60001|E0657|UE|546.58||SEGMENTAL PNEUMATIC CHEST 60001|E0660|NU|214.49||PNEUMATIC APPLIANCE FULL LEG 60001|E0660|RR|21.86||PNEUMATIC APPLIANCE FULL LEG 60001|E0660|UE|160.85||PNEUMATIC APPLIANCE FULL LEG 60001|E0665|NU|179.97||PNEUMATIC APPLIANCE FULL ARM 60001|E0665|RR|18||PNEUMATIC APPLIANCE FULL ARM 60001|E0665|UE|138.12||PNEUMATIC APPLIANCE FULL ARM 60001|E0666|NU|185.4||PNEUMATIC APPLIANCE HALF LEG 60001|E0666|RR|19.11||PNEUMATIC APPLIANCE HALF LEG 60001|E0666|UE|139.09||PNEUMATIC APPLIANCE HALF LEG 60001|E0667|NU|434.71||SEG PNEUMATIC APPL FULL LEG 60001|E0667|RR|49.09||SEG PNEUMATIC APPL FULL LEG 60001|E0667|UE|326.04||SEG PNEUMATIC APPL FULL LEG 60001|E0668|NU|593.29||SEG PNEUMATIC APPL FULL ARM 60001|E0668|RR|58.55||SEG PNEUMATIC APPL FULL ARM 60001|E0668|UE|444.98||SEG PNEUMATIC APPL FULL ARM 60001|E0669|NU|243.05||SEG PNEUMATIC APPLI HALF LEG 60001|E0669|RR|24.31||SEG PNEUMATIC APPLI HALF LEG 60001|E0669|UE|182.31||SEG PNEUMATIC APPLI HALF LEG 60001|E0670|NU|557.68||SEG PNEUM INT LEGS/TRUNK 60001|E0670|RR|55.79||SEG PNEUM INT LEGS/TRUNK 60001|E0670|UE|418.24||SEG PNEUM INT LEGS/TRUNK 60001|E0671|NU|433.31||PRESSURE PNEUM APPL FULL LEG 60001|E0671|RR|43.34||PRESSURE PNEUM APPL FULL LEG 60001|E0671|UE|325||PRESSURE PNEUM APPL FULL LEG 60001|E0672|NU|360.06||PRESSURE PNEUM APPL FULL ARM 60001|E0672|RR|36.01||PRESSURE PNEUM APPL FULL ARM 60001|E0672|UE|270.07||PRESSURE PNEUM APPL FULL ARM 60001|E0673|NU|1206.5||PRESSURE PNEUM APPL HALF LEG 60001|E0673|RR|120.65||PRESSURE PNEUM APPL HALF LEG 60001|E0673|UE|516.32||PRESSURE PNEUM APPL HALF LEG 60001|E0675|RR|904.88||PNEUMATIC COMPRESSION DEVICE 60001|E0691|NU|1515.03||UVL PNL 2 SQ FT OR LESS 60001|E0691|RR|151.49||UVL PNL 2 SQ FT OR LESS 60001|E0691|UE|1136.28||UVL PNL 2 SQ FT OR LESS 60001|E0692|NU|1867.61||UVL SYS PANEL 4 FT 60001|E0692|RR|186.76||UVL SYS PANEL 4 FT 60001|E0692|UE|1400.7||UVL SYS PANEL 4 FT 60001|E0693|NU|5944.4||UVL SYS PANEL 6 FT 60001|E0693|RR|594.45||UVL SYS PANEL 6 FT 60001|E0693|UE|4458.32||UVL SYS PANEL 6 FT 60001|E0694|NU|74.01||UVL MD CABINET SYS 6 FT 60001|E0694|RR|7.52||UVL MD CABINET SYS 6 FT 60001|E0694|UE|54.2||UVL MD CABINET SYS 6 FT 60001|E0705|NU|497.54||TRANSFER BOARD OR DEVICE 60001|E0705|RR|478.91||TRANSFER BOARD OR DEVICE 60001|E0705|UE|493.53||TRANSFER BOARD OR DEVICE 60001|E0720||702.02||TENS TWO LEAD 60001|E0730||70.21||TENS FOUR LEAD 60001|E0730|NU|70.21||TENS FOUR LEAD 60001|E0731||526.56||CONDUCTIVE GARMENT FOR TENS/ 60001|E0740|NU|5257.94||INCONTINENCE TREATMENT SYSTM 60001|E0740|RR|120.19||INCONTINENCE TREATMENT SYSTM 60001|E0740|UE|122.95||INCONTINENCE TREATMENT SYSTM 60001|E0744||522.5||NEUROMUSCULAR STIM FOR SCOLI 60001|E0745||3906.55||NEUROMUSCULAR STIM FOR SHOCK 60001|E0747|NU|5223.88||ELEC OSTEOGEN STIM NOT SPINE 60001|E0747|RR|522.37||ELEC OSTEOGEN STIM NOT SPINE 60001|E0747|UE|3917.93||ELEC OSTEOGEN STIM NOT SPINE 60001|E0748|NU|4340.95||ELEC OSTEOGEN STIM SPINAL 60001|E0748|RR|324.54||ELEC OSTEOGEN STIM SPINAL 60001|E0748|UE|434.11||ELEC OSTEOGEN STIM SPINAL 60001|E0749||3255.7||ELEC OSTEOGEN STIM IMPLANTED 60001|E0760|NU|1476.34||OSTEOGEN ULTRASOUND STIMLTOR 60001|E0760|RR|147.64||OSTEOGEN ULTRASOUND STIMLTOR 60001|E0760|UE|1107.21||OSTEOGEN ULTRASOUND STIMLTOR 60001|E0762|NU|14858.92||TRANS ELEC JT STIM DEV SYS 60001|E0762|RR|1485.87||TRANS ELEC JT STIM DEV SYS 60001|E0762|UE|11144.2||TRANS ELEC JT STIM DEV SYS 60001|E0764|NU|112.96||FUNCTIONAL NEUROMUSCULARSTIM 60001|E0764|RR|11.31||FUNCTIONAL NEUROMUSCULARSTIM 60001|E0764|UE|84.75||FUNCTIONAL NEUROMUSCULARSTIM 60001|E0765|NU|163.37||NERVE STIMULATOR FOR TX N&V 60001|E0765|RR|21.29||NERVE STIMULATOR FOR TX N&V 60001|E0765|UE|120.21||NERVE STIMULATOR FOR TX N&V 60001|E0776|NU|344.98||IV POLE 60001|E0776|RR|13.93||IV POLE 60001|E0776|UE|21.91||IV POLE 60001|E0779||5764.58||AMB INFUSION PUMP MECHANICAL 60001|E0780||576.49||MECH AMB INFUSION PUMP <8HRS 60001|E0781|NU|4323.44||EXTERNAL AMBULATORY INFUS PU 60001|E0781|RR|434.68||EXTERNAL AMBULATORY INFUS PU 60001|E0782|NU|10992.2||NON-PROGRAMBLE INFUSION PUMP 60001|E0782|RR|1099.24||NON-PROGRAMBLE INFUSION PUMP 60001|E0782|UE|8244.16||NON-PROGRAMBLE INFUSION PUMP 60001|E0783|NU|10722.23||PROGRAMMABLE INFUSION PUMP 60001|E0783|RR|560.65||PROGRAMMABLE INFUSION PUMP 60001|E0783|UE|634.41||PROGRAMMABLE INFUSION PUMP 60001|E0784||1072.2||EXT AMB INFUSN PUMP INSULIN 60001|E0785||8041.66||REPLACEMENT IMPL PUMP CATHET 60001|E0786||360.86||IMPLANTABLE PUMP REPLACEMENT 60001|E0786|RR|21.91||IMPLANTABLE PUMP REPLACEMENT 60001|E0786|UE|95.4||IMPLANTABLE PUMP REPLACEMENT 60001|E0791||71.53||PARENTERAL INFUSION PUMP STA 60001|E0840|NU|691.89||TRACT FRAME ATTACH HEADBOARD 60001|E0840|RR|69.2||TRACT FRAME ATTACH HEADBOARD 60001|E0840|UE|518.88||TRACT FRAME ATTACH HEADBOARD 60001|E0849|NU|119.89||CERVICAL PNEUM TRAC EQUIP 60001|E0849|RR|16.46||CERVICAL PNEUM TRAC EQUIP 60001|E0849|UE|89.93||CERVICAL PNEUM TRAC EQUIP 60001|E0850|NU|674.85||TRACTION STAND FREE STANDING 60001|E0850|RR|67.49||TRACTION STAND FREE STANDING 60001|E0850|UE|506.12||TRACTION STAND FREE STANDING 60001|E0855|NU|206.81||CERVICAL TRACTION EQUIPMENT 60001|E0855|RR|20.7||CERVICAL TRACTION EQUIPMENT 60001|E0855|UE|155.12||CERVICAL TRACTION EQUIPMENT 60001|E0856|NU|48.59||CERVIC COLLAR W AIR BLADDER 60001|E0856|RR|7.43||CERVIC COLLAR W AIR BLADDER 60001|E0856|UE|36.42||CERVIC COLLAR W AIR BLADDER 60001|E0860|NU|132.75||TRACT EQUIP CERVICAL TRACT 60001|E0860|RR|15.3||TRACT EQUIP CERVICAL TRACT 60001|E0860|UE|100||TRACT EQUIP CERVICAL TRACT 60001|E0870|NU|143.28||TRACT FRAME ATTACH FOOTBOARD 60001|E0870|RR|22.5||TRACT FRAME ATTACH FOOTBOARD 60001|E0870|UE|108.44||TRACT FRAME ATTACH FOOTBOARD 60001|E0880|NU|137.41||TRAC STAND FREE STAND EXTREM 60001|E0880|RR|43.84||TRAC STAND FREE STAND EXTREM 60001|E0880|UE|110.69||TRAC STAND FREE STAND EXTREM 60001|E0890|NU|146.24||TRACTION FRAME ATTACH PELVIC 60001|E0890|RR|31.52||TRACTION FRAME ATTACH PELVIC 60001|E0890|UE|109.7||TRACTION FRAME ATTACH PELVIC 60001|E0900|NU|132.48||TRAC STAND FREE STAND PELVIC 60001|E0900|RR|21.75||TRAC STAND FREE STAND PELVIC 60001|E0900|UE|57.67||TRAC STAND FREE STAND PELVIC 60001|E0910|RR|55.06||TRAPEZE BAR ATTACHED TO BED 60001|E0911||52.14||HD TRAPEZE BAR ATTACH TO BED 60001|E0912||25.95||HD TRAPEZE BAR FREE STANDING 60001|E0920||34.2||FRACTURE FRAME ATTACHED TO B 60001|E0930||58.27||FRACTURE FRAME FREE STANDING 60001|E0935||23.09||CONT PAS MOTION EXERCISE DEV 60001|E0940||2.68||TRAPEZE BAR FREE STANDING 60001|E0941||17.29||GRAVITY ASSISTED TRACTION DE 60001|E0942|NU|60.16||CERVICAL HEAD HARNESS/HALTER 60001|E0942|RR|6.03||CERVICAL HEAD HARNESS/HALTER 60001|E0942|UE|45.14||CERVICAL HEAD HARNESS/HALTER 60001|E0944|NU|50.59||PELVIC BELT/HARNESS/BOOT 60001|E0944|RR|5.06||PELVIC BELT/HARNESS/BOOT 60001|E0944|UE|39.15||PELVIC BELT/HARNESS/BOOT 60001|E0945|NU|721.35||BELT/HARNESS EXTREMITY 60001|E0945|RR|67.53||BELT/HARNESS EXTREMITY 60001|E0945|UE|73.02||BELT/HARNESS EXTREMITY 60001|E0946|RR|541||FRACTURE FRAME DUAL W CROSS 60001|E0947|NU|721.35||FRACTURE FRAME ATTACHMNTS PE 60001|E0947|RR|72.15||FRACTURE FRAME ATTACHMNTS PE 60001|E0947|UE|541||FRACTURE FRAME ATTACHMNTS PE 60001|E0948|NU|118.64||FRACTURE FRAME ATTACHMNTS CE 60001|E0948|RR|10.24||FRACTURE FRAME ATTACHMNTS CE 60001|E0948|UE|102.25||FRACTURE FRAME ATTACHMNTS CE 60001|E0950|NU|76.69||TRAY 60001|E0950|RR|2.26||TRAY 60001|E0950|UE|21.96||TRAY 60001|E0951|NU|19.1||LOOP HEEL 60001|E0951|RR|1.92||LOOP HEEL 60001|E0951|UE|16.46||LOOP HEEL 60001|E0952|NU|233.97||"TOE LOOP/HOLDER| EACH" 60001|E0952|RR|2.24||"TOE LOOP/HOLDER| EACH" 60001|E0952|UE|16.14||"TOE LOOP/HOLDER| EACH" 60001|E0953|NU|91.12||PNEUMATIC TIRE EACH 60001|E0953|RR|9.11||PNEUMATIC TIRE EACH 60001|E0954|NU|63.35||SEMI-PNEUMATIC CASTER EACH 60001|E0954|RR|6.36||SEMI-PNEUMATIC CASTER EACH 60001|E0955|NU|175.48||CUSHIONED HEADREST 60001|E0955|RR|11.41||CUSHIONED HEADREST 60001|E0955|UE|114.08||CUSHIONED HEADREST 60001|E0956|NU|159.62||W/C LATERAL TRUNK/HIP SUPPOR 60001|E0956|RR|13.25||W/C LATERAL TRUNK/HIP SUPPOR 60001|E0956|UE|85.55||W/C LATERAL TRUNK/HIP SUPPOR 60001|E0957|NU|119.71||W/C MEDIAL THIGH SUPPORT 60001|E0957|RR|5.16||W/C MEDIAL THIGH SUPPORT 60001|E0957|UE|51.7||W/C MEDIAL THIGH SUPPORT 60001|E0958|RR|38.74||WHLCHR ATT- CONV 1 ARM DRIVE 60001|E0959|NU|122.15||AMPUTEE ADAPTER 60001|E0959|RR|10.54||AMPUTEE ADAPTER 60001|E0959|UE|105.29||AMPUTEE ADAPTER 60001|E0960|NU|78.98||W/C SHOULDER HARNESS/STRAPS 60001|E0960|RR|3.55||W/C SHOULDER HARNESS/STRAPS 60001|E0960|UE|19.94||W/C SHOULDER HARNESS/STRAPS 60001|E0961|NU|88.02||WHEELCHAIR BRAKE EXTENSION 60001|E0961|RR|8.79||WHEELCHAIR BRAKE EXTENSION 60001|E0961|UE|66.05||WHEELCHAIR BRAKE EXTENSION 60001|E0966|NU|88.19||WHEELCHAIR HEAD REST EXTENSI 60001|E0966|RR|8.82||WHEELCHAIR HEAD REST EXTENSI 60001|E0966|UE|66.13||WHEELCHAIR HEAD REST EXTENSI 60001|E0967|NU|210.3||WHEELCHAIR HAND RIMS 60001|E0967|RR|20.82||WHEELCHAIR HAND RIMS 60001|E0967|UE|23.14||WHEELCHAIR HAND RIMS 60001|E0968||157.74||WHEELCHAIR COMMODE SEAT 60001|E0969|NU|58.25||WHEELCHAIR NARROWING DEVICE 60001|E0969|RR|5.84||WHEELCHAIR NARROWING DEVICE 60001|E0969|UE|43.72||WHEELCHAIR NARROWING DEVICE 60001|E0971|NU|154.36||WHEELCHAIR ANTI-TIPPING DEVI 60001|E0971|RR|12.68||WHEELCHAIR ANTI-TIPPING DEVI 60001|E0971|UE|133.05||WHEELCHAIR ANTI-TIPPING DEVI 60001|E0973|NU|105.28||W/CH ACCESS DET ADJ ARMREST 60001|E0973|RR|11.16||W/CH ACCESS DET ADJ ARMREST 60001|E0973|UE|79.55||W/CH ACCESS DET ADJ ARMREST 60001|E0974|NU|57.35||W/CH ACCESS ANTI-ROLLBACK 60001|E0974|RR|4.95||W/CH ACCESS ANTI-ROLLBACK 60001|E0974|UE|49.41||W/CH ACCESS ANTI-ROLLBACK 60001|E0978|NU|37.73||"W/C ACC|SAF BELT PELV STRAP" 60001|E0978|RR|3.77||"W/C ACC|SAF BELT PELV STRAP" 60001|E0978|UE|28.14||"W/C ACC|SAF BELT PELV STRAP" 60001|E0980|NU|61.21||WHEELCHAIR SAFETY VEST 60001|E0980|RR|5.29||WHEELCHAIR SAFETY VEST 60001|E0980|UE|52.76||WHEELCHAIR SAFETY VEST 60001|E0981|NU|59.63||"SEAT UPHOLSTERY| REPLACEMENT" 60001|E0981|RR|5.96||"SEAT UPHOLSTERY| REPLACEMENT" 60001|E0981|UE|41.19||"SEAT UPHOLSTERY| REPLACEMENT" 60001|E0982|NU|326.15||"BACK UPHOLSTERY| REPLACEMENT" 60001|E0982|RR|6.91||"BACK UPHOLSTERY| REPLACEMENT" 60001|E0982|UE|51.88||"BACK UPHOLSTERY| REPLACEMENT" 60001|E0983|RR|1979.43||ADD PWR JOYSTICK 60001|E0984|NU|272.36||ADD PWR TILLER 60001|E0984|RR|27.26||ADD PWR TILLER 60001|E0984|UE|204.25||ADD PWR TILLER 60001|E0985|NU|6531||W/C SEAT LIFT MECHANISM 60001|E0985|RR|653.11||W/C SEAT LIFT MECHANISM 60001|E0985|UE|4898.28||W/C SEAT LIFT MECHANISM 60001|E0986|NU|5915.36||MAN W/C PUSH-RIM POW ASSIST 60001|E0986|RR|591.54||MAN W/C PUSH-RIM POW ASSIST 60001|E0986|UE|4436.52||MAN W/C PUSH-RIM POW ASSIST 60001|E0988||13.59||LEVER-ACTIVATED WHEEL DRIVE 60001|E0990|NU|108.6||WHELLCHAIR ELEVATING LEG RES 60001|E0990|RR|10.75||WHELLCHAIR ELEVATING LEG RES 60001|E0990|UE|81.46||WHELLCHAIR ELEVATING LEG RES 60001|E0992|NU|20.11||WHEELCHAIR SOLID SEAT INSERT 60001|E0992|RR|2.03||WHEELCHAIR SOLID SEAT INSERT 60001|E0992|UE|15.1||WHEELCHAIR SOLID SEAT INSERT 60001|E0994|NU|40.82||WHEELCHAIR ARM REST 60001|E0994|RR|3.54||WHEELCHAIR ARM REST 60001|E0994|UE|35.17||WHEELCHAIR ARM REST 60001|E0995|NU|4690.55||WHEELCHAIR CALF REST 60001|E0995|RR|4.1||WHEELCHAIR CALF REST 60001|E0995|UE|30.59||WHEELCHAIR CALF REST 60001|E1002|NU|5081.8||PWR SEAT TILT 60001|E1002|RR|508.19||PWR SEAT TILT 60001|E1002|UE|3517.9||PWR SEAT TILT 60001|E1003|NU|5634.66||PWR SEAT RECLINE 60001|E1003|RR|563.45||PWR SEAT RECLINE 60001|E1003|UE|3811.35||PWR SEAT RECLINE 60001|E1004|NU|6099.09||PWR SEAT RECLINE MECH 60001|E1004|RR|609.9||PWR SEAT RECLINE MECH 60001|E1004|UE|4225.99||PWR SEAT RECLINE MECH 60001|E1005|NU|7470.81||PWR SEAT RECLINE PWR 60001|E1005|RR|707.62||PWR SEAT RECLINE PWR 60001|E1005|UE|4574.32||PWR SEAT RECLINE PWR 60001|E1006|NU|10115.76||PWR SEAT COMBO W/O SHEAR 60001|E1006|RR|866.75||PWR SEAT COMBO W/O SHEAR 60001|E1006|UE|5603.11||PWR SEAT COMBO W/O SHEAR 60001|E1007|NU|10116.67||PWR SEAT COMBO W/SHEAR 60001|E1007|RR|1011.66||PWR SEAT COMBO W/SHEAR 60001|E1007|UE|7586.81||PWR SEAT COMBO W/SHEAR 60001|E1008|NU|9560.28||PWR SEAT COMBO PWR SHEAR 60001|E1008|RR|1173.75||PWR SEAT COMBO PWR SHEAR 60001|E1008|UE|7587.53||PWR SEAT COMBO PWR SHEAR 60001|E1009|NU|1535.71||ADD MECH LEG ELEVATION 60001|E1009|RR|132.36||ADD MECH LEG ELEVATION 60001|E1009|UE|1323.64||ADD MECH LEG ELEVATION 60001|E1010|NU|1250.84||ADD PWR LEG ELEVATION 60001|E1010|RR|153.58||ADD PWR LEG ELEVATION 60001|E1010|UE|992.74||ADD PWR LEG ELEVATION 60001|E1011|NU|490.26||PED WC MODIFY WIDTH ADJUSTM 60001|E1011|RR|49.04||PED WC MODIFY WIDTH ADJUSTM 60001|E1011|UE|367.68||PED WC MODIFY WIDTH ADJUSTM 60001|E1014|NU|154.01||RECLINING BACK ADD PED W/C 60001|E1014|RR|15.39||RECLINING BACK ADD PED W/C 60001|E1014|UE|115.5||RECLINING BACK ADD PED W/C 60001|E1015|NU|176.31||SHOCK ABSORBER FOR MAN W/C 60001|E1015|RR|15.21||SHOCK ABSORBER FOR MAN W/C 60001|E1015|UE|151.96||SHOCK ABSORBER FOR MAN W/C 60001|E1016|NU|143.59||SHOCK ABSORBER FOR POWER W/C 60001|E1016|RR|17.65||SHOCK ABSORBER FOR POWER W/C 60001|E1016|UE|113.96||SHOCK ABSORBER FOR POWER W/C 60001|E1017||0||HD SHCK ABSRBR FOR HD MAN WC 60001|E1018|NU|326.81||HD SHCK ABSRBER FOR HD POWWC 60001|E1018|RR|28.15||HD SHCK ABSRBER FOR HD POWWC 60001|E1018|UE|281.69||HD SHCK ABSRBER FOR HD POWWC 60001|E1020|NU|245.11||RESIDUAL LIMB SUPPORT SYSTEM 60001|E1020|RR|23.9||RESIDUAL LIMB SUPPORT SYSTEM 60001|E1020|UE|211.25||RESIDUAL LIMB SUPPORT SYSTEM 60001|E1028|NU|427.65||W/C MANUAL SWINGAWAY 60001|E1028|RR|27.73||W/C MANUAL SWINGAWAY 60001|E1028|UE|179.25||W/C MANUAL SWINGAWAY 60001|E1029|NU|1348.5||W/C VENT TRAY FIXED 60001|E1029|RR|49.61||W/C VENT TRAY FIXED 60001|E1029|UE|320.72||W/C VENT TRAY FIXED 60001|E1030|NU|1154.21||W/C VENT TRAY GIMBALED 60001|E1030|RR|57.65||W/C VENT TRAY GIMBALED 60001|E1030|UE|823.32||W/C VENT TRAY GIMBALED 60001|E1031||145.66||ROLLABOUT CHAIR WITH CASTERS 60001|E1035||24.2||PATIENT TRANSFER SYSTEM 60001|E1036||45.91||PATIENT TRANSFER SYSTEM >300 60001|E1037||116.21||"TRANSPORT CHAIR| PED SIZE" 60001|E1038||143.87||TRANSPORT CHAIR PT WT<=300LB 60001|E1039||125||TRANSPORT CHAIR PT WT >300LB 60001|E1050||89.86||WHELCHR FXD FULL LENGTH ARMS 60001|E1060||131.72||WHEELCHAIR DETACHABLE ARMS 60001|E1070||144.4||WHEELCHAIR DETACHABLE FOOT R 60001|E1083||184.85||HEMI-WHEELCHAIR FIXED ARMS 60001|E1084||172.56||HEMI-WHEELCHAIR DETACHABLE A 60001|E1087||126.13||WHEELCHAIR LIGHTWT FIXED ARM 60001|E1088||118.47||WHEELCHAIR LIGHTWEIGHT DET A 60001|E1092||116.01||WHEELCHAIR WIDE W/ LEG RESTS 60001|E1093||100.46||WHEELCHAIR WIDE W/ FOOT REST 60001|E1100||71.33||WHCHR S-RECL FXD ARM LEG RES 60001|E1110||3176.85||WHEELCHAIR SEMI-RECL DETACH 60001|E1150||317.69||WHEELCHAIR STANDARD W/ LEG R 60001|E1160||2382.68||WHEELCHAIR FIXED ARMS 60001|E1161|NU|131.53||MANUAL ADULT WC W TILTINSPAC 60001|E1161|RR|95.17||MANUAL ADULT WC W TILTINSPAC 60001|E1161|UE|101.94||MANUAL ADULT WC W TILTINSPAC 60001|E1170||115.65||WHLCHR AMPU FXD ARM LEG REST 60001|E1171||133.61||WHEELCHAIR AMPUTEE W/O LEG R 60001|E1172||143.37||WHEELCHAIR AMPUTEE DETACH AR 60001|E1180||99.3||WHEELCHAIR AMPUTEE W/ FOOT R 60001|E1190||63.8||WHEELCHAIR AMPUTEE W/ LEG RE 60001|E1195||90.23||WHEELCHAIR AMPUTEE HEAVY DUT 60001|E1200||99.38||WHEELCHAIR AMPUTEE FIXED ARM 60001|E1221||108.95||WHEELCHAIR SPEC SIZE W FOOT 60001|E1222||54.52||WHEELCHAIR SPEC SIZE W/ LEG 60001|E1223||732.62||WHEELCHAIR SPEC SIZE W FOOT 60001|E1224||75.4||WHEELCHAIR SPEC SIZE W/ LEG 60001|E1225||549.41||MANUAL SEMI-RECLINING BACK 60001|E1226|NU|372.6||MANUAL FULLY RECLINING BACK 60001|E1226|RR|37.26||MANUAL FULLY RECLINING BACK 60001|E1226|UE|279.48||MANUAL FULLY RECLINING BACK 60001|E1227|NU|3036.81||WHEELCHAIR SPEC SZ SPEC HT A 60001|E1227|RR|31.99||WHEELCHAIR SPEC SZ SPEC HT A 60001|E1227|UE|298.68||WHEELCHAIR SPEC SZ SPEC HT A 60001|E1228||2299.7||WHEELCHAIR SPEC SZ SPEC HT B 60001|E1230|NU|3826.39||POWER OPERATED VEHICLE 60001|E1230|RR|376.33||POWER OPERATED VEHICLE 60001|E1230|UE|2897.62||POWER OPERATED VEHICLE 60001|E1231|NU|2871.14||RIGID PED W/C TILT-IN-SPACE 60001|E1231|RR|287.12||RIGID PED W/C TILT-IN-SPACE 60001|E1231|UE|2153.39||RIGID PED W/C TILT-IN-SPACE 60001|E1232|NU|2974.96||FOLDING PED WC TILT-IN-SPACE 60001|E1232|RR|297.5||FOLDING PED WC TILT-IN-SPACE 60001|E1232|UE|2231.22||FOLDING PED WC TILT-IN-SPACE 60001|E1233|NU|2589.91||RIG PED WC TLTNSPC W/O SEAT 60001|E1233|RR|259.03||RIG PED WC TLTNSPC W/O SEAT 60001|E1233|UE|1942.42||RIG PED WC TLTNSPC W/O SEAT 60001|E1234|NU|2493.89||FLD PED WC TLTNSPC W/O SEAT 60001|E1234|RR|249.4||FLD PED WC TLTNSPC W/O SEAT 60001|E1234|UE|1870.41||FLD PED WC TLTNSPC W/O SEAT 60001|E1235|NU|2200.25||RIGID PED WC ADJUSTABLE 60001|E1235|RR|220.03||RIGID PED WC ADJUSTABLE 60001|E1235|UE|1650.19||RIGID PED WC ADJUSTABLE 60001|E1236|NU|2219.47||FOLDING PED WC ADJUSTABLE 60001|E1236|RR|221.95||FOLDING PED WC ADJUSTABLE 60001|E1236|UE|1664.62||FOLDING PED WC ADJUSTABLE 60001|E1237|NU|2200.25||RGD PED WC ADJSTABL W/O SEAT 60001|E1237|RR|220.03||RGD PED WC ADJSTABL W/O SEAT 60001|E1237|UE|1650.19||RGD PED WC ADJSTABL W/O SEAT 60001|E1238|NU|153.5||FLD PED WC ADJSTABL W/O SEAT 60001|E1238|RR|106||FLD PED WC ADJSTABL W/O SEAT 60001|E1238|UE|138.31||FLD PED WC ADJSTABL W/O SEAT 60001|E1240||163.09||WHCHR LITWT DET ARM LEG REST 60001|E1270||660.14||WHEELCHAIR LIGHTWEIGHT LEG R 60001|E1280||67.06||WHCHR H-DUTY DET ARM LEG RES 60001|E1295||495.1||WHEELCHAIR HEAVY DUTY FIXED 60001|E1296|NU|140.45||WHEELCHAIR SPECIAL SEAT HEIG 60001|E1296|RR|15.6||WHEELCHAIR SPECIAL SEAT HEIG 60001|E1296|UE|105.33||WHEELCHAIR SPECIAL SEAT HEIG 60001|E1297|NU|568.82||WHEELCHAIR SPECIAL SEAT DEPT 60001|E1297|RR|58.2||WHEELCHAIR SPECIAL SEAT DEPT 60001|E1297|UE|426.61||WHEELCHAIR SPECIAL SEAT DEPT 60001|E1298|NU|2883.23||WHEELCHAIR SPEC SEAT DEPTH/W 60001|E1298|RR|246.6||WHEELCHAIR SPEC SEAT DEPTH/W 60001|E1298|UE|2162.42||WHEELCHAIR SPEC SEAT DEPTH/W 60001|E1310|NU|186.05||WHIRLPOOL NON-PORTABLE 60001|E1310|RR|28.65||WHIRLPOOL NON-PORTABLE 60001|E1310|UE|38.04||WHIRLPOOL NON-PORTABLE 60001|E1353||27.04||OXYGEN SUPPLIES REGULATOR 60001|E1355||137.73||OXYGEN SUPPLIES STAND/RACK 60001|E1372|NU|220.07||OXY SUPPL HEATER FOR NEBULIZ 60001|E1372|RR|64.54||OXY SUPPL HEATER FOR NEBULIZ 60001|E1372|UE|220.07||OXY SUPPL HEATER FOR NEBULIZ 60001|E1390|RR|87.79||OXYGEN CONCENTRATOR 60001|E1390|NU|1625||OXYGEN CONCENTRATOR 60001|E1391||241.7||"OXYGEN CONCENTRATOR| DUAL" 60001|E1392||463||PORTABLE OXYGEN CONCENTRATOR 60001|E1405||45.4||O2/WATER VAPOR ENRICH W/HEAT 60001|E1406||347.25||O2/WATER VAPOR ENRICH W/O HE 60001|E1700|NU|139.8||JAW MOTION REHAB SYSTEM 60001|E1700|RR|13.51||JAW MOTION REHAB SYSTEM 60001|E1700|UE|27.16||JAW MOTION REHAB SYSTEM 60001|E1701||168.02||REPL CUSHIONS FOR JAW MOTION 60001|E1702||438.79||REPL MEASR SCALES JAW MOTION 60001|E1800||144.19||ADJUST ELBOW EXT/FLEX DEVICE 60001|E1801||137.94||SPS ELBOW DEVICE 60001|E1802||142.19||ADJST FOREARM PRO/SUP DEVICE 60001|E1805||174.7||ADJUST WRIST EXT/FLEX DEVICE 60001|E1806||115.45||SPS WRIST DEVICE 60001|E1810||144.19||ADJUST KNEE EXT/FLEX DEVICE 60001|E1811||177.41||SPS KNEE DEVICE 60001|E1812||181.11||KNEE EXT/FLEX W ACT RES CTRL 60001|E1815||109.75||ADJUST ANKLE EXT/FLEX DEVICE 60001|E1816||10.97||SPS ANKLE DEVICE 60001|E1818||82.33||SPS FOREARM DEVICE 60001|E1820|NU|141.31||SOFT INTERFACE MATERIAL 60001|E1820|RR|14.11||SOFT INTERFACE MATERIAL 60001|E1820|UE|106.01||SOFT INTERFACE MATERIAL 60001|E1821|NU|144.19||REPLACEMENT INTERFACE SPSD 60001|E1821|RR|88.71||REPLACEMENT INTERFACE SPSD 60001|E1821|UE|144.19||REPLACEMENT INTERFACE SPSD 60001|E1825||496.85||ADJUST FINGER EXT/FLEX DEVC 60001|E1830||608.21||ADJUST TOE EXT/FLEX DEVICE 60001|E1831||67.49||STATIC STR TOE DEV EXT/FLEX 60001|E1840||734.04||ADJ SHOULDER EXT/FLEX DEVICE 60001|E1841||73.41||STATIC STR SHLDR DEV ROM ADJ 60001|E2000||550.54||GASTRIC SUCTION PUMP HME MDL 60001|E2100|NU|253.17||BLD GLUCOSE MONITOR W VOICE 60001|E2100|RR|25.31||BLD GLUCOSE MONITOR W VOICE 60001|E2100|UE|189.87||BLD GLUCOSE MONITOR W VOICE 60001|E2101|NU|500.95||BLD GLUCOSE MONITOR W LANCE 60001|E2101|RR|50.1||BLD GLUCOSE MONITOR W LANCE 60001|E2101|UE|380.68||BLD GLUCOSE MONITOR W LANCE 60001|E2120||375.71||PULSE GEN SYS TX ENDOLYMP FL 60001|E2201|NU|636.39||"MAN W/CH ACC SEAT W>=20""<24""" 60001|E2201|RR|63.64||"MAN W/CH ACC SEAT W>=20""<24""" 60001|E2201|UE|477.32||"MAN W/CH ACC SEAT W>=20""<24""" 60001|E2202|NU|643.2||SEAT WIDTH 24-27 IN 60001|E2202|RR|64.3||SEAT WIDTH 24-27 IN 60001|E2202|UE|482.37||SEAT WIDTH 24-27 IN 60001|E2203|NU|1092.13||FRAME DEPTH LESS THAN 22 IN 60001|E2203|RR|109.22||FRAME DEPTH LESS THAN 22 IN 60001|E2203|UE|819.09||FRAME DEPTH LESS THAN 22 IN 60001|E2204|NU|43.86||FRAME DEPTH 22 TO 25 IN 60001|E2204|RR|4.36||FRAME DEPTH 22 TO 25 IN 60001|E2204|UE|32.93||FRAME DEPTH 22 TO 25 IN 60001|E2205|NU|54.61||"MANUAL WC ACCESSORY| HANDRIM" 60001|E2205|RR|5.45||"MANUAL WC ACCESSORY| HANDRIM" 60001|E2205|UE|40.96||"MANUAL WC ACCESSORY| HANDRIM" 60001|E2206|NU|58.2||COMPLETE WHEEL LOCK ASSEMBLY 60001|E2206|RR|5.84||COMPLETE WHEEL LOCK ASSEMBLY 60001|E2206|UE|43.66||COMPLETE WHEEL LOCK ASSEMBLY 60001|E2207|NU|159.49||CRUTCH AND CANE HOLDER 60001|E2207|RR|13.74||CRUTCH AND CANE HOLDER 60001|E2207|UE|137.46||CRUTCH AND CANE HOLDER 60001|E2208|NU|124.01||CYLINDER TANK CARRIER 60001|E2208|RR|12.42||CYLINDER TANK CARRIER 60001|E2208|UE|103.1||CYLINDER TANK CARRIER 60001|E2209|NU|93.01||ARM TROUGH EACH 60001|E2209|RR|0.76||ARM TROUGH EACH 60001|E2209|UE|8.79||ARM TROUGH EACH 60001|E2210|NU|34.56||WHEELCHAIR BEARINGS 60001|E2210|RR|0.89||WHEELCHAIR BEARINGS 60001|E2210|UE|5.7||WHEELCHAIR BEARINGS 60001|E2211|NU|7.89||PNEUMATIC PROPULSION TIRE 60001|E2211|RR|0.83||PNEUMATIC PROPULSION TIRE 60001|E2211|UE|5.94||PNEUMATIC PROPULSION TIRE 60001|E2212|NU|40.84||PNEUMATIC PROP TIRE TUBE 60001|E2212|RR|4.1||PNEUMATIC PROP TIRE TUBE 60001|E2212|UE|30.6||PNEUMATIC PROP TIRE TUBE 60001|E2213|NU|41.09||PNEUMATIC PROP TIRE INSERT 60001|E2213|RR|4.52||PNEUMATIC PROP TIRE INSERT 60001|E2213|UE|30.8||PNEUMATIC PROP TIRE INSERT 60001|E2214|NU|12.89||PNEUMATIC CASTER TIRE EACH 60001|E2214|RR|1.27||PNEUMATIC CASTER TIRE EACH 60001|E2214|UE|9.64||PNEUMATIC CASTER TIRE EACH 60001|E2215|NU|16.23||PNEUMATIC CASTER TIRE TUBE 60001|E2215|RR|1.61||PNEUMATIC CASTER TIRE TUBE 60001|E2215|UE|12.14||PNEUMATIC CASTER TIRE TUBE 60001|E2216||0||FOAM FILLED PROPULSION TIRE 60001|E2217||0||FOAM FILLED CASTER TIRE EACH 60001|E2218|NU|56.19||FOAM PROPULSION TIRE EACH 60001|E2218|RR|6.35||FOAM PROPULSION TIRE EACH 60001|E2218|UE|42.15||FOAM PROPULSION TIRE EACH 60001|E2219|NU|38.3||FOAM CASTER TIRE ANY SIZE EA 60001|E2219|RR|3.7||FOAM CASTER TIRE ANY SIZE EA 60001|E2219|UE|29.29||FOAM CASTER TIRE ANY SIZE EA 60001|E2220|NU|34.3||SOLID PROPULSION TIRE EACH 60001|E2220|RR|3.47||SOLID PROPULSION TIRE EACH 60001|E2220|UE|25.75||SOLID PROPULSION TIRE EACH 60001|E2221|NU|28.28||SOLID CASTER TIRE EACH 60001|E2221|RR|2.8||SOLID CASTER TIRE EACH 60001|E2221|UE|21.22||SOLID CASTER TIRE EACH 60001|E2222|NU|111.91||SOLID CASTER INTEGRATED WHL 60001|E2222|RR|11.74||SOLID CASTER INTEGRATED WHL 60001|E2222|UE|83.94||SOLID CASTER INTEGRATED WHL 60001|E2224|NU|23.36||PROPULSION WHL EXCLUDES TIRE 60001|E2224|RR|2.34||PROPULSION WHL EXCLUDES TIRE 60001|E2224|UE|17.51||PROPULSION WHL EXCLUDES TIRE 60001|E2225|NU|50.95||CASTER WHEEL EXCLUDES TIRE 60001|E2225|RR|5.1||CASTER WHEEL EXCLUDES TIRE 60001|E2225|UE|38.21||CASTER WHEEL EXCLUDES TIRE 60001|E2226|NU|2511.64||CASTER FORK REPLACEMENT ONLY 60001|E2226|RR|251.18||CASTER FORK REPLACEMENT ONLY 60001|E2226|UE|1883.75||CASTER FORK REPLACEMENT ONLY 60001|E2227|NU|1257.07||GEAR REDUCTION DRIVE WHEEL 60001|E2227|RR|125.7||GEAR REDUCTION DRIVE WHEEL 60001|E2227|UE|942.84||GEAR REDUCTION DRIVE WHEEL 60001|E2228|NU|206.34||"MWC ACC| WHEELCHAIR BRAKE" 60001|E2228|RR|20.64||"MWC ACC| WHEELCHAIR BRAKE" 60001|E2228|UE|154.74||"MWC ACC| WHEELCHAIR BRAKE" 60001|E2231|NU|1571.22||SOLID SEAT SUPPORT BASE 60001|E2231|RR|135.41||SOLID SEAT SUPPORT BASE 60001|E2231|UE|1354.25||SOLID SEAT SUPPORT BASE 60001|E2293|NU|399.36||CONTOUR BACK FOR PED SIZE WC 60001|E2294|NU|345.8||CONTOUR SEAT FOR PED SIZE WC 60001|E2300|NU|2011||PWR SEAT ELEVATION SYS 60001|E2300|RR|201.1||PWR SEAT ELEVATION SYS 60001|E2300|UE|1508.25||PWR SEAT ELEVATION SYS 60001|E2310|NU|2741.75||ELECTRO CONNECT BTW CONTROL 60001|E2310|RR|157.12||ELECTRO CONNECT BTW CONTROL 60001|E2310|UE|1015.69||ELECTRO CONNECT BTW CONTROL 60001|E2311|NU|2707.75||ELECTRO CONNECT BTW 2 SYS 60001|E2311|RR|270.77||ELECTRO CONNECT BTW 2 SYS 60001|E2311|UE|2056.3||ELECTRO CONNECT BTW 2 SYS 60001|E2312|NU|2030.85||MINI-PROP REMOTE JOYSTICK 60001|E2312|RR|43.01||MINI-PROP REMOTE JOYSTICK 60001|E2312|UE|345.33||MINI-PROP REMOTE JOYSTICK 60001|E2313|NU|2995.47||"PWC HARNESS| EXPAND CONTROL" 60001|E2313|RR|1838.98||"PWC HARNESS| EXPAND CONTROL" 60001|E2313|UE|2133.63||"PWC HARNESS| EXPAND CONTROL" 60001|E2321|NU|1893.64||HAND INTERFACE JOYSTICK 60001|E2321|RR|183.91||HAND INTERFACE JOYSTICK 60001|E2321|UE|1379.25||HAND INTERFACE JOYSTICK 60001|E2322|NU|1224.1||MULT MECH SWITCHES 60001|E2322|RR|8||MULT MECH SWITCHES 60001|E2322|UE|163.2||MULT MECH SWITCHES 60001|E2323|NU|60.03||SPECIAL JOYSTICK HANDLE 60001|E2323|RR|5.05||SPECIAL JOYSTICK HANDLE 60001|E2323|UE|50.71||SPECIAL JOYSTICK HANDLE 60001|E2324|NU|1558.6||CHIN CUP INTERFACE 60001|E2324|RR|5.87||CHIN CUP INTERFACE 60001|E2324|UE|44.14||CHIN CUP INTERFACE 60001|E2325|NU|1168.97||SIP AND PUFF INTERFACE 60001|E2325|RR|40.19||SIP AND PUFF INTERFACE 60001|E2325|UE|401.73||SIP AND PUFF INTERFACE 60001|E2326|NU|3507.54||BREATH TUBE KIT 60001|E2326|RR|46.62||BREATH TUBE KIT 60001|E2326|UE|349.55||BREATH TUBE KIT 60001|E2327|NU|3444.69||HEAD CONTROL INTERFACE MECH 60001|E2327|RR|302.31||HEAD CONTROL INTERFACE MECH 60001|E2327|UE|573.44||HEAD CONTROL INTERFACE MECH 60001|E2328|NU|4300.89||HEAD/EXTREMITY CONTROL INTER 60001|E2328|RR|204.38||HEAD/EXTREMITY CONTROL INTER 60001|E2328|UE|2043.84||HEAD/EXTREMITY CONTROL INTER 60001|E2329|NU|3960.17||HEAD CONTROL NONPROPORTIONAL 60001|E2329|RR|237.12||HEAD CONTROL NONPROPORTIONAL 60001|E2329|UE|1532.88||HEAD CONTROL NONPROPORTIONAL 60001|E2330|NU|2970.15||HEAD CONTROL PROXIMITY SWITC 60001|E2330|RR|48.12||HEAD CONTROL PROXIMITY SWITC 60001|E2330|UE|459.45||HEAD CONTROL PROXIMITY SWITC 60001|E2340|NU|721.79||W/C WDTH 20-23 IN SEAT FRAME 60001|E2340|RR|72.18||W/C WDTH 20-23 IN SEAT FRAME 60001|E2340|UE|541.35||W/C WDTH 20-23 IN SEAT FRAME 60001|E2341|NU|601.49||W/C WDTH 24-27 IN SEAT FRAME 60001|E2341|RR|60.15||W/C WDTH 24-27 IN SEAT FRAME 60001|E2341|UE|451.12||W/C WDTH 24-27 IN SEAT FRAME 60001|E2342|NU|962.39||W/C DPTH 20-21 IN SEAT FRAME 60001|E2342|RR|96.21||W/C DPTH 20-21 IN SEAT FRAME 60001|E2342|UE|721.79||W/C DPTH 20-21 IN SEAT FRAME 60001|E2343|NU|938.02||W/C DPTH 22-25 IN SEAT FRAME 60001|E2343|RR|80.87||W/C DPTH 22-25 IN SEAT FRAME 60001|E2343|UE|808.49||W/C DPTH 22-25 IN SEAT FRAME 60001|E2351|NU|606.35||ELECTRONIC SGD INTERFACE 60001|E2351|RR|23.39||ELECTRONIC SGD INTERFACE 60001|E2351|UE|175.35||ELECTRONIC SGD INTERFACE 60001|E2359|NU|128.21||GR34 SEALED LEADACID BATTERY 60001|E2359|RR|12.88||GR34 SEALED LEADACID BATTERY 60001|E2359|UE|96.16||GR34 SEALED LEADACID BATTERY 60001|E2360|NU|187.25||22NF NONSEALED LEADACID 60001|E2360|RR|16.14||22NF NONSEALED LEADACID 60001|E2360|UE|161.4||22NF NONSEALED LEADACID 60001|E2361|NU|123.5||22NF SEALED LEADACID BATTERY 60001|E2361|RR|12.35||22NF SEALED LEADACID BATTERY 60001|E2361|UE|92.62||22NF SEALED LEADACID BATTERY 60001|E2362|NU|249.72||GR24 NONSEALED LEADACID 60001|E2362|RR|21.52||GR24 NONSEALED LEADACID 60001|E2362|UE|215.25||GR24 NONSEALED LEADACID 60001|E2363|NU|161.44||GR24 SEALED LEADACID BATTERY 60001|E2363|RR|12.88||GR24 SEALED LEADACID BATTERY 60001|E2363|UE|96.16||GR24 SEALED LEADACID BATTERY 60001|E2364|NU|150.6||U1NONSEALED LEADACID BATTERY 60001|E2364|RR|12.98||U1NONSEALED LEADACID BATTERY 60001|E2364|UE|129.8||U1NONSEALED LEADACID BATTERY 60001|E2365|NU|259.31||U1 SEALED LEADACID BATTERY 60001|E2365|RR|15.06||U1 SEALED LEADACID BATTERY 60001|E2365|UE|97.39||U1 SEALED LEADACID BATTERY 60001|E2366|NU|484.98||"BATTERY CHARGER| SINGLE MODE" 60001|E2366|RR|30.16||"BATTERY CHARGER| SINGLE MODE" 60001|E2366|UE|194.49||"BATTERY CHARGER| SINGLE MODE" 60001|E2367|NU|597.8||"BATTERY CHARGER| DUAL MODE" 60001|E2367|RR|56.29||"BATTERY CHARGER| DUAL MODE" 60001|E2367|UE|363.74||"BATTERY CHARGER| DUAL MODE" 60001|E2368|NU|520.69||POWER WC MOTOR REPLACEMENT 60001|E2368|RR|52.09||POWER WC MOTOR REPLACEMENT 60001|E2368|UE|448.36||POWER WC MOTOR REPLACEMENT 60001|E2369|NU|929.08||PWR WC GEAR BOX REPLACEMENT 60001|E2369|RR|60.41||PWR WC GEAR BOX REPLACEMENT 60001|E2369|UE|390.5||PWR WC GEAR BOX REPLACEMENT 60001|E2370|NU|696.81||PWR WC MOTOR/GEAR BOX COMBO 60001|E2370|RR|17.46||PWR WC MOTOR/GEAR BOX COMBO 60001|E2370|UE|174.44||PWR WC MOTOR/GEAR BOX COMBO 60001|E2371|NU|164.86||GR27 SEALED LEADACID BATTERY 60001|E2371|RR|20.24||GR27 SEALED LEADACID BATTERY 60001|E2371|UE|130.84||GR27 SEALED LEADACID BATTERY 60001|E2372|NU|1456.21||GR27 NON-SEALED LEADACID 60001|E2372|RR|943.86||GR27 NON-SEALED LEADACID 60001|E2372|UE|943.86||GR27 NON-SEALED LEADACID 60001|E2373|NU|707.9||HAND/CHIN CTRL SPEC JOYSTICK 60001|E2373|RR|61.8||HAND/CHIN CTRL SPEC JOYSTICK 60001|E2373|UE|145.62||HAND/CHIN CTRL SPEC JOYSTICK 60001|E2374|NU|991.25||HAND/CHIN CTRL STD JOYSTICK 60001|E2374|RR|71.69||HAND/CHIN CTRL STD JOYSTICK 60001|E2374|UE|463.51||HAND/CHIN CTRL STD JOYSTICK 60001|E2375|NU|1553.33||NON-EXPANDABLE CONTROLLER 60001|E2375|RR|115||NON-EXPANDABLE CONTROLLER 60001|E2375|UE|743.41||NON-EXPANDABLE CONTROLLER 60001|E2376|NU|1165.01||"EXPANDABLE CONTROLLER| REPL" 60001|E2376|RR|56.2||"EXPANDABLE CONTROLLER| REPL" 60001|E2376|UE|562.09||"EXPANDABLE CONTROLLER| REPL" 60001|E2377|NU|421.58||"EXPANDABLE CONTROLLER| INITL" 60001|E2377|RR|8.84||"EXPANDABLE CONTROLLER| INITL" 60001|E2377|UE|88.15||"EXPANDABLE CONTROLLER| INITL" 60001|E2378|NU|76.73||PW ACTUATOR REPLACEMENT 60001|E2378|RR|10.24||PW ACTUATOR REPLACEMENT 60001|E2378|UE|66.13||PW ACTUATOR REPLACEMENT 60001|E2381|NU|24.04||PNEUM DRIVE WHEEL TIRE 60001|E2381|RR|2.39||PNEUM DRIVE WHEEL TIRE 60001|E2381|UE|18.03||PNEUM DRIVE WHEEL TIRE 60001|E2382|NU|175.76||"TUBE| PNEUM WHEEL DRIVE TIRE" 60001|E2382|RR|17.59||"TUBE| PNEUM WHEEL DRIVE TIRE" 60001|E2382|UE|131.82||"TUBE| PNEUM WHEEL DRIVE TIRE" 60001|E2383|NU|93.64||"INSERT| PNEUM WHEEL DRIVE" 60001|E2383|RR|9.39||"INSERT| PNEUM WHEEL DRIVE" 60001|E2383|UE|70.24||"INSERT| PNEUM WHEEL DRIVE" 60001|E2384|NU|57.29||PNEUMATIC CASTER TIRE 60001|E2384|RR|5.75||PNEUMATIC CASTER TIRE 60001|E2384|UE|42.95||PNEUMATIC CASTER TIRE 60001|E2385|NU|174.17||"TUBE| PNEUMATIC CASTER TIRE" 60001|E2385|RR|17.42||"TUBE| PNEUMATIC CASTER TIRE" 60001|E2385|UE|130.62||"TUBE| PNEUMATIC CASTER TIRE" 60001|E2386|NU|78.1||FOAM FILLED DRIVE WHEEL TIRE 60001|E2386|RR|7.81||FOAM FILLED DRIVE WHEEL TIRE 60001|E2386|UE|58.61||FOAM FILLED DRIVE WHEEL TIRE 60001|E2387|NU|58.3||FOAM FILLED CASTER TIRE 60001|E2387|RR|5.84||FOAM FILLED CASTER TIRE 60001|E2387|UE|43.75||FOAM FILLED CASTER TIRE 60001|E2388|NU|31.66||FOAM DRIVE WHEEL TIRE 60001|E2388|RR|3.17||FOAM DRIVE WHEEL TIRE 60001|E2388|UE|23.72||FOAM DRIVE WHEEL TIRE 60001|E2389|NU|49.51||FOAM CASTER TIRE 60001|E2389|RR|4.95||FOAM CASTER TIRE 60001|E2389|UE|37.11||FOAM CASTER TIRE 60001|E2390|NU|23.71||SOLID DRIVE WHEEL TIRE 60001|E2390|RR|2.37||SOLID DRIVE WHEEL TIRE 60001|E2390|UE|17.8||SOLID DRIVE WHEEL TIRE 60001|E2391|NU|62.35||SOLID CASTER TIRE 60001|E2391|RR|6.26||SOLID CASTER TIRE 60001|E2391|UE|46.76||SOLID CASTER TIRE 60001|E2392|NU|88.82||"SOLID CASTER TIRE| INTEGRATE" 60001|E2392|RR|8.9||"SOLID CASTER TIRE| INTEGRATE" 60001|E2392|UE|66.62||"SOLID CASTER TIRE| INTEGRATE" 60001|E2394|NU|63.12||DRIVE WHEEL EXCLUDES TIRE 60001|E2394|RR|6.32||DRIVE WHEEL EXCLUDES TIRE 60001|E2394|UE|47.36||DRIVE WHEEL EXCLUDES TIRE 60001|E2395|NU|76.96||CASTER WHEEL EXCLUDES TIRE 60001|E2395|RR|8.16||CASTER WHEEL EXCLUDES TIRE 60001|E2395|UE|57.73||CASTER WHEEL EXCLUDES TIRE 60001|E2396|NU|556.05||CASTER FORK 60001|E2396|RR|52.51||CASTER FORK 60001|E2396|UE|417.01||CASTER FORK 60001|E2397|NU|1605.54||"PWC ACC| LITH-BASED BATTERY" 60001|E2397|RR|160.56||"PWC ACC| LITH-BASED BATTERY" 60001|E2397|UE|393.77||"PWC ACC| LITH-BASED BATTERY" 60001|E2402|RR|1204.18||NEG PRESS WOUND THERAPY PUMP 60001|E2500|NU|2117.92||SGD DIGITIZED PRE-REC <=8MIN 60001|E2500|RR|211.81||SGD DIGITIZED PRE-REC <=8MIN 60001|E2500|UE|1588.42||SGD DIGITIZED PRE-REC <=8MIN 60001|E2502|NU|3105.51||SGD PREREC MSG >8MIN <=20MIN 60001|E2502|RR|310.54||SGD PREREC MSG >8MIN <=20MIN 60001|E2502|UE|2329.09||SGD PREREC MSG >8MIN <=20MIN 60001|E2504|NU|4802.15||SGD PREREC MSG>20MIN <=40MIN 60001|E2504|RR|480.21||SGD PREREC MSG>20MIN <=40MIN 60001|E2504|UE|3601.63||SGD PREREC MSG>20MIN <=40MIN 60001|E2506|NU|9087.42||SGD PREREC MSG > 40 MIN 60001|E2506|RR|908.74||SGD PREREC MSG > 40 MIN 60001|E2506|UE|6815.56||SGD PREREC MSG > 40 MIN 60001|E2508|NU|6050.7||SGD SPELLING PHYS CONTACT 60001|E2508|RR|605.06||SGD SPELLING PHYS CONTACT 60001|E2508|UE|4538.05||SGD SPELLING PHYS CONTACT 60001|E2510|NU|11450.16||SGD W MULTI METHODS MSG/ACCS 60001|E2510|RR|1145.02||SGD W MULTI METHODS MSG/ACCS 60001|E2510|UE|8587.61||SGD W MULTI METHODS MSG/ACCS 60001|E2511|NU|82.12||SGD SFTWRE PRGRM FOR PC/PDA 60001|E2511|RR|7.09||SGD SFTWRE PRGRM FOR PC/PDA 60001|E2511|UE|70.77||SGD SFTWRE PRGRM FOR PC/PDA 60001|E2512|NU|61.57||"SGD ACCESSORY| MOUNTING SYS" 60001|E2512|RR|8.22||"SGD ACCESSORY| MOUNTING SYS" 60001|E2512|UE|53.09||"SGD ACCESSORY| MOUNTING SYS" 60001|E2601|NU|138.18||GEN W/C CUSHION WDTH < 22 IN 60001|E2601|RR|13.83||GEN W/C CUSHION WDTH < 22 IN 60001|E2601|UE|103.63||GEN W/C CUSHION WDTH < 22 IN 60001|E2602|NU|175.42||GEN W/C CUSHION WDTH >=22 IN 60001|E2602|RR|17.56||GEN W/C CUSHION WDTH >=22 IN 60001|E2602|UE|131.58||GEN W/C CUSHION WDTH >=22 IN 60001|E2603|NU|218.04||SKIN PROTECT WC CUS WD <22IN 60001|E2603|RR|21.79||SKIN PROTECT WC CUS WD <22IN 60001|E2603|UE|163.55||SKIN PROTECT WC CUS WD <22IN 60001|E2604|NU|311.5||SKIN PROTECT WC CUS WD>=22IN 60001|E2604|RR|31.16||SKIN PROTECT WC CUS WD>=22IN 60001|E2604|UE|233.66||SKIN PROTECT WC CUS WD>=22IN 60001|E2605|NU|485.96||POSITION WC CUSH WDTH <22 IN 60001|E2605|RR|48.61||POSITION WC CUSH WDTH <22 IN 60001|E2605|UE|364.45||POSITION WC CUSH WDTH <22 IN 60001|E2606|NU|335.42||POSITION WC CUSH WDTH>=22 IN 60001|E2606|RR|33.55||POSITION WC CUSH WDTH>=22 IN 60001|E2606|UE|251.57||POSITION WC CUSH WDTH>=22 IN 60001|E2607|NU|402.81||SKIN PRO/POS WC CUS WD <22IN 60001|E2607|RR|40.28||SKIN PRO/POS WC CUS WD <22IN 60001|E2607|UE|302.11||SKIN PRO/POS WC CUS WD <22IN 60001|E2608|NU|361.47||SKIN PRO/POS WC CUS WD>=22IN 60001|E2608|RR|36.14||SKIN PRO/POS WC CUS WD>=22IN 60001|E2608|UE|271.12||SKIN PRO/POS WC CUS WD>=22IN 60001|E2609|NU|65|%|CUSTOM FABRICATE W/C CUSHION 60001|E2611|NU|488.99||GEN USE BACK CUSH WDTH <22IN 60001|E2611|RR|48.9||GEN USE BACK CUSH WDTH <22IN 60001|E2611|UE|366.73||GEN USE BACK CUSH WDTH <22IN 60001|E2612|NU|454.84||GEN USE BACK CUSH WDTH>=22IN 60001|E2612|RR|45.49||GEN USE BACK CUSH WDTH>=22IN 60001|E2612|UE|341.14||GEN USE BACK CUSH WDTH>=22IN 60001|E2613|NU|629.46||POSITION BACK CUSH WD <22IN 60001|E2613|RR|62.95||POSITION BACK CUSH WD <22IN 60001|E2613|UE|472.11||POSITION BACK CUSH WD <22IN 60001|E2614|NU|523.44||POSITION BACK CUSH WD>=22IN 60001|E2614|RR|52.35||POSITION BACK CUSH WD>=22IN 60001|E2614|UE|392.56||POSITION BACK CUSH WD>=22IN 60001|E2615|NU|704.27||POS BACK POST/LAT WDTH <22IN 60001|E2615|RR|70.43||POS BACK POST/LAT WDTH <22IN 60001|E2615|UE|528.22||POS BACK POST/LAT WDTH <22IN 60001|E2616|NU|59.38||POS BACK POST/LAT WDTH>=22IN 60001|E2616|RR|5.94||POS BACK POST/LAT WDTH>=22IN 60001|E2616|UE|44.57||POS BACK POST/LAT WDTH>=22IN 60001|E2617|NU|65|%|CUSTOM FAB W/C BACK CUSHION 60001|E2619|NU|633.81||REPLACE COVER W/C SEAT CUSH 60001|E2619|RR|63.39||REPLACE COVER W/C SEAT CUSH 60001|E2619|UE|475.37||REPLACE COVER W/C SEAT CUSH 60001|E2620|NU|665.14||WC PLANAR BACK CUSH WD <22IN 60001|E2620|RR|66.51||WC PLANAR BACK CUSH WD <22IN 60001|E2620|UE|498.86||WC PLANAR BACK CUSH WD <22IN 60001|E2621|NU|383.59||WC PLANAR BACK CUSH WD>=22IN 60001|E2621|RR|38.36||WC PLANAR BACK CUSH WD>=22IN 60001|E2621|UE|287.69||WC PLANAR BACK CUSH WD>=22IN 60001|E2622|NU|488.1||ADJ SKIN PRO W/C CUS WD<22IN 60001|E2622|RR|48.83||ADJ SKIN PRO W/C CUS WD<22IN 60001|E2622|UE|366.06||ADJ SKIN PRO W/C CUS WD<22IN 60001|E2623|NU|386.74||ADJ SKIN PRO WC CUS WD>=22IN 60001|E2623|RR|38.69||ADJ SKIN PRO WC CUS WD>=22IN 60001|E2623|UE|290.07||ADJ SKIN PRO WC CUS WD>=22IN 60001|E2624|NU|489.59||ADJ SKIN PRO/POS CUS<22IN 60001|E2624|RR|48.95||ADJ SKIN PRO/POS CUS<22IN 60001|E2624|UE|367.17||ADJ SKIN PRO/POS CUS<22IN 60001|E2625|NU|998.04||ADJ SKIN PRO/POS WC CUS>=22 60001|E2625|RR|83.37||ADJ SKIN PRO/POS WC CUS>=22 60001|E2625|UE|625.41||ADJ SKIN PRO/POS WC CUS>=22 60001|E2626|NU|1002.49||SEO MOBILE ARM SUP ATT TO WC 60001|E2626|RR|100.25||SEO MOBILE ARM SUP ATT TO WC 60001|E2626|UE|751.86||SEO MOBILE ARM SUP ATT TO WC 60001|E2627|NU|1268.63||ARM SUPP ATT TO WC RANCHO TY 60001|E2627|RR|126.85||ARM SUPP ATT TO WC RANCHO TY 60001|E2627|UE|951.47||ARM SUPP ATT TO WC RANCHO TY 60001|E2628|NU|887.15||MOBILE ARM SUPPORTS RECLININ 60001|E2628|RR|88.71||MOBILE ARM SUPPORTS RECLININ 60001|E2628|UE|665.35||MOBILE ARM SUPPORTS RECLININ 60001|E2629|NU|354.87||FRICTION DAMPENING ARM SUPP 60001|E2629|RR|35.49||FRICTION DAMPENING ARM SUPP 60001|E2629|UE|266.15||FRICTION DAMPENING ARM SUPP 60001|E2630|NU|225.65||MONOSUSPENSION ARM/HAND SUPP 60001|E2630|RR|22.56||MONOSUSPENSION ARM/HAND SUPP 60001|E2630|UE|169.24||MONOSUSPENSION ARM/HAND SUPP 60001|E2631|NU|191.4||ELEVAT PROXIMAL ARM SUPPORT 60001|E2631|RR|19.16||ELEVAT PROXIMAL ARM SUPPORT 60001|E2631|UE|143.55||ELEVAT PROXIMAL ARM SUPPORT 60001|E2632|NU|30.54||OFFSET/LAT ROCKER ARM W/ELA 60001|E2632|RR|30.54||OFFSET/LAT ROCKER ARM W/ELA 60001|E2632|UE|30.54||OFFSET/LAT ROCKER ARM W/ELA 60001|E2633|NU|192.93||MOBILE ARM SUPPORT SUPINATOR 60001|E2633|RR|11.51||MOBILE ARM SUPPORT SUPINATOR 60001|E2633|UE|44.02||MOBILE ARM SUPPORT SUPINATOR 60001|G0008||28||ADMIN INFLUENZA VIRUS VAC 60001|G0009||28||ADMIN PNEUMOCOCCAL VACCINE 60001|G0101||49.2||CA SCREEN;PELVIC/BREAST EXAM 60001|G0102||22.53||PROSTATE CA SCREENING; DRE 60001|G0103||33.25||"PSA| TOTAL SCREENING" 60001|G0104||76.56||CA SCREEN;FLEXI SIGMOIDSCOPE 60001|G0105||264.35||COLORECTAL SCRN; HI RISK IND 60001|G0106||251.17||COLON CA SCREEN;BARIUM ENEMA 60001|G0106|26|75.82||COLON CA SCREEN;BARIUM ENEMA 60001|G0106|TC|255.71||COLON CA SCREEN;BARIUM ENEMA 60001|G0108||63.95||DIAB MANAGE TRN PER INDIV 60001|G0109||19.44||DIAB MANAGE TRN IND/GROUP 60001|G0117||60.07||GLAUCOMA SCRN HGH RISK DIREC 60001|G0118||41.63||GLAUCOMA SCRN HGH RISK DIREC 60001|G0120||251.17||COLON CA SCRN; BARIUM ENEMA 60001|G0120|26|75.82||COLON CA SCRN; BARIUM ENEMA 60001|G0120|TC|255.71||COLON CA SCRN; BARIUM ENEMA 60001|G0121||264.35||COLON CA SCRN NOT HI RSK IND 60001|G0122||325.3||COLON CA SCRN; BARIUM ENEMA 60001|G0122|26|78.36||COLON CA SCRN; BARIUM ENEMA 60001|G0122|TC|351.03||COLON CA SCRN; BARIUM ENEMA 60001|G0123||33.76||SCREEN CERV/VAG THIN LAYER 60001|G0124||34.72||SCREEN C/V THIN LAYER BY MD 60001|G0127||9.54||TRIM NAIL(S) 60001|G0128||11.44||CORF SKILLED NURSING SERVICE 60001|G0130||39.19||SINGLE ENERGY X-RAY STUDY 60001|G0130|26|17.42||SINGLE ENERGY X-RAY STUDY 60001|G0130|TC|34.31||SINGLE ENERGY X-RAY STUDY 60001|G0141||34.72||"SCR C/V CYTO|AUTOSYS AND MD" 60001|G0143||36.28||"SCR C/V CYTO|THINLAYER|RESCR" 60001|G0144||38.43||"SCR C/V CYTO|THINLAYER|RESCR" 60001|G0145||47.5||"SCR C/V CYTO|THINLAYER|RESCR" 60001|G0147||20.3||"SCR C/V CYTO| AUTOMATED SYS" 60001|G0148||27.21||"SCR C/V CYTO| AUTOSYS| RESCR" 60001|G0155||0||"HHCP-SVS OF CSW|EA 15 MIN" 60001|G0157||0||HHC PT ASSISTANT EA 15 60001|G0158||0||HHC OT ASSISTANT EA 15 60001|G0159||0||HHC PT MAINT EA 15 MIN 60001|G0160||0||HHC OCCUP THERAPY EA 15 60001|G0161||0||HHC SLP EA 15 MIN 60001|G0162||0||"HHC RN E&M PLAN SVS| 15 MIN" 60001|G0163||0||PET FOR REC OF COLORECTAL CA 60001|G0164||0||PET FOR LYMPHOMA STAGING 60001|G0166||191.19||"EXTRNL COUNTERPULSE| PER TX" 60001|G0168||31.79||WOUND CLOSURE BY ADHESIVE 60001|G0173||0||LINEAR ACC STEREO RADSUR COM 60001|G0175||0||"OPPS SERVICE|SCHED TEAM CONF" 60001|G0176||0||OPPS/PHP;ACTIVITY THERAPY 60001|G0177||0||OPPS/PHP; TRAIN & EDUC SERV 60001|G0179||47.84||MD RECERTIFICATION HHA PT 60001|G0180||62.18||MD CERTIFICATION HHA PATIENT 60001|G0181||125.31||HOME HEALTH CARE SUPERVISION 60001|G0182||126.84||HOSPICE CARE SUPERVISION 60001|G0186||0||"DSTRY EYE LESN|FDR VSSL TECH" 60001|G0202||160.13||SCREENINGMAMMOGRAPHYDIGITAL 60001|G0202|26|55.52||SCREENINGMAMMOGRAPHYDIGITAL 60001|G0202|TC|155.86||SCREENINGMAMMOGRAPHYDIGITAL 60001|G0204||193.36||DIAGNOSTICMAMMOGRAPHYDIGITAL 60001|G0204|26|69.12||DIAGNOSTICMAMMOGRAPHYDIGITAL 60001|G0204|TC|186.12||DIAGNOSTICMAMMOGRAPHYDIGITAL 60001|G0206||152.87||DIAGNOSTICMAMMOGRAPHYDIGITAL 60001|G0206|26|55.52||DIAGNOSTICMAMMOGRAPHYDIGITAL 60001|G0206|TC|146.27||DIAGNOSTICMAMMOGRAPHYDIGITAL 60001|G0219||0||PET IMG WHOLBOD MELANO NONCO 60001|G0219|26|0||PET IMG WHOLBOD MELANO NONCO 60001|G0219|TC|0||PET IMG WHOLBOD MELANO NONCO 60001|G0235||0||PET NOT OTHERWISE SPECIFIED 60001|G0235|26|0||PET NOT OTHERWISE SPECIFIED 60001|G0235|TC|0||PET NOT OTHERWISE SPECIFIED 60001|G0237||11.47||THERAPEUTIC PROCD STRG ENDUR 60001|G0238||12.24||"OTH RESP PROC| INDIV" 60001|G0239||14.15||"OTH RESP PROC| GROUP" 60001|G0245||51.26||INITIAL FOOT EXAM PT LOPS 60001|G0246||25.68||FOLLOWUP EVAL OF FOOT PT LOP 60001|G0247||28.97||ROUTINE FOOTCARE PT W LOPS 60001|G0248||139.85||DEMONSTRATE USE HOME INR MON 60001|G0249||128.77||"PROVIDE TEST MATERIAL|EQUIPM" 60001|G0250||11.11||MD REVIEW INTERPRET OF TEST 60001|G0251||0||LINEAR ACC BASED STERO RADIO 60001|G0252||95.62||PET IMAGING INITIAL DX 60001|G0252|26|121.73||PET IMAGING INITIAL DX 60001|G0252|TC|0||PET IMAGING INITIAL DX 60001|G0255||0||CURRENT PERCEP THRESHOLD TST 60001|G0255|26|0||CURRENT PERCEP THRESHOLD TST 60001|G0255|TC|0||CURRENT PERCEP THRESHOLD TST 60001|G0257||0||UNSCHED DIALYSIS ESRD PT HOS 60001|G0259||0||INJECT FOR SACROILIAC JOINT 60001|G0260||0||INJ FOR SACROILIAC JT ANESTH 60001|G0268||38.98||REMOVAL OF IMPACTED WAX MD 60001|G0269||0||OCCLUSIVE DEVICE IN VEIN ART 60001|G0270||32.56||MNT SUBS TX FOR CHANGE DX 60001|G0271||17.53||GROUP MNT 2 OR MORE 30 MINS 60001|G0275||15.23||"RENAL ANGIO| CARDIAC CATH" 60001|G0278||15.23||"ILIAC ART ANGIO|CARDIAC CATH" 60001|G0279||63.51||DIAG DIGITAL BREAST TOMOSYNTHE 60001|G0279|26|36.02||DIAG DIGITAL BREAST TOMOSYNTHE 60001|G0279|TC|27.49||DIAG DIGITAL BREAST TOMOSYNTHE 60001|G0281||15.69||ELEC STIM UNATTEND FOR PRESS 60001|G0282||0||ELECT STIM WOUND CARE NOT PD 60001|G0283||15.69||ELEC STIM OTHER THAN WOUND 60001|G0288||70.31||"RECON| CTA FOR SURG PLAN" 60001|G0289||105.37||"ARTHRO| LOOSE BODY + CHONDRO" 60001|G0290||0||"DRUG-ELUTING STENTS| SINGLE" 60001|G0291||0||"DRUG-ELUTING STENTS|EACH ADD" 60001|G0293||0||"NON-COV SURG PROC|CLIN TRIAL" 60001|G0294||0||"NON-COV PROC| CLINICAL TRIAL" 60001|G0295||0||ELECTROMAGNETIC THERAPY ONC 60001|G0296||34.55||PET IMAG RESTAG PREV TX THYROI 60001|G0297||291.09||INSERT SINGLE CHAMBER/CD 60001|G0297|26|62.56||INSERT SINGLE CHAMBER/CD 60001|G0297|TC|228.54||INSERT SINGLE CHAMBER/CD 60001|G0302||0||PRE-OP SERVICE LVRS COMPLETE 60001|G0303||0||PRE-OP SERVICE LVRS 10-15DOS 60001|G0304||0||PRE-OP SERVICE LVRS 1-9 DOS 60001|G0305||0||POST OP SERVICE LVRS MIN 6 60001|G0306||13.82||CBC/DIFFWBC W/O PLATELET 60001|G0307||11.66||CBC WITHOUT PLATELET 60001|G0328||28.5||FECAL BLOOD SCRN IMMUNOASSAY 60001|G0329||11.35||ELECTROMAGNTIC TX FOR ULCERS 60001|G0333||0||DISPENSE FEE INITIAL 30 DAY 60001|G0337||86.53||HOSPICE EVALUATION PREELECTI 60001|G0339||0||"ROBOT LIN-RADSURG COM| FIRST" 60001|G0340||0||ROBT LIN-RADSURG FRACTX 2-5 60001|G0341||393.89||PERCUTANEOUS ISLET CELLTRANS 60001|G0342||786||LAPAROSCOPY ISLET CELL TRANS 60001|G0343||1358.7||LAPAROTOMY ISLET CELL TRANSP 60001|G0364||10.64||BONE MARROW ASPIRATE &BIOPSY 60001|G0365||249.86||VESSEL MAPPING HEMO ACCESS 60001|G0365|26|19.64||VESSEL MAPPING HEMO ACCESS 60001|G0365|TC|310.18||VESSEL MAPPING HEMO ACCESS 60001|G0372||10.3||MD SERVICE REQUIRED FOR PMD 60001|G0378||0||HOSPITAL OBSERVATION PER HR 60001|G0379||0||DIRECT ADMIT HOSPITAL OBSERV 60001|G0389||128.65||ULTRASOUND EXAM AAA SCREEN 60001|G0389|26|45.23||ULTRASOUND EXAM AAA SCREEN 60001|G0389|TC|124.59||ULTRASOUND EXAM AAA SCREEN 60001|G0396||41.46||ALCOHOL/SUBS INTERV 15-30MN 60001|G0397||81.78||ALCOHOL/SUBS INTERV >30 MIN 60001|G0398||189.05||HOME SLEEP TEST/TYPE II PORTA 60001|G0398|26|99.71||HOME SLEEP TEST/TYPE II PORTA 60001|G0398|TC|149.84||HOME SLEEP TEST/TYPE II PORTA 60001|G0399||189.05||HOME SLEEP TEST/TYPE III PORTA 60001|G0399|26|99.71||HOME SLEEP TEST/TYPE III PORTA 60001|G0399|TC|149.84||HOME SLEEP TEST/TYPE III PORTA 60001|G0400||189.05||HOME SLEEP TEST/TYPE IV PORTA 60001|G0400|26|99.71||HOME SLEEP TEST/TYPE IV PORTA 60001|G0400|TC|149.84||HOME SLEEP TEST/TYPE IV PORTA 60001|G0402||185.69||INITIAL PREVENTIVE EXAM 60001|G0403||22.16||EKG FOR INITIAL PREVENT EXAM 60001|G0404||11.86||EKG TRACING FOR INITIAL PREV 60001|G0405||10.3||EKG INTERPRET & REPORT PREVE 60001|G0406||62.78||TELHEALTH INPT CONSULT 15MIN 60001|G0407||115.71||TELHEATH INPT CONSULT 25MIN 60001|G0408||166.41||TELHEALTH INPT CONSULT 35MIN 60001|G0409||11.09||CORF RELATED SERV 15 MINS EA 60001|G0410||0||GRP PSYCH PARTIAL HOSP 45-50 60001|G0411||0||INTER ACTIVE GRP PSYCH PARTI 60001|G0412||861.39||OPEN TX ILIAC SPINE UNI/BIL 60001|G0413||1262.71||PELVIC RING FRACTURE UNI/BIL 60001|G0414||1197.4||PELVIC RING FX TREAT INT FIX 60001|G0415||1641.69||OPEN TX POST PELVIC FXCTURE 60001|G0416||766.63||SAT BIOPSY PROSTATE 1-20 SPC 60001|G0416|26|287.71||SAT BIOPSY PROSTATE 1-20 SPC 60001|G0416|TC|724.24||SAT BIOPSY PROSTATE 1-20 SPC 60001|G0417||1490.61||SAT BIOPSY PROSTATE 21-40 60001|G0417|26|553.44||SAT BIOPSY PROSTATE 21-40 60001|G0417|TC|1414.17||SAT BIOPSY PROSTATE 21-40 60001|G0418||2557.36||SAT BIOPSY PROSTATE 41-60 60001|G0418|26|960.94||SAT BIOPSY PROSTATE 41-60 60001|G0418|TC|2414.77||SAT BIOPSY PROSTATE 41-60 60001|G0419||3034.95||SAT BIOPSY PROSTATE: >60 60001|G0419|26|1108.21||SAT BIOPSY PROSTATE: >60 60001|G0419|TC|2897.93||SAT BIOPSY PROSTATE: >60 60001|G0420||128.17||ED SVC CKD IND PER SESSION 60001|G0421||29.72||ED SVC CKD GRP PER SESSION 60001|G0422||83||INTENS CARDIAC REHAB W/EXERC 60001|G0423||83||INTENS CARDIAC REHAB NO EXER 60001|G0424||17.3||PULMONARY REHAB W EXER 60001|G0425||160.78||INPT TELEHEALTH CONSULT 30M 60001|G0426||218.28||INPT TELEHEALTH CONSULT 50M 60001|G0427||323.72||INPT TELEHEALTH CON 70/>M 60001|G0428||0||COLLAGEN MENISCUS IMPLANT 60001|G0429||89.53||DERMAL FILLER INJECTION(S) 60001|G0431||123.3||DRUG SCREEN SINGLE CLASS 60001|G0432||24.62||"EIA| HIV-1/HIV-2 SCREEN" 60001|G0433||24.62||ELISA HIV-1/HIV-2 SCREEN 60001|G0434||26.34||DRUG SCREEN MULTI DRUG CLASS 60001|G0435||21.59||"RAPID IMMUNOASSAY HIV-1|2" 60001|G0436||16.34||TOBACCO-USE COUNSEL 3-10 MIN 60001|G0437||33.92||TOBACCO-USE COUNSEL>10MIN 60001|G0438||197.53||"PPPS| INITIAL VISIT" 60001|G0439||131.1||"PPPS| SUBSEQ VISIT" 60001|G0442||20.28||ANNUAL ALCOHOL SCREEN 15 MIN 60001|G0443||30.26||BRIEF ALCOHOL MISUSE COUNSEL 60001|G0444||20.28||DEPRESSION SCREEN ANNUAL 60001|G0445||30.26||HIGH INTEN BEH COUNS STD 30M 60001|G0446||30.26||INTENS BEHAVE THER CARDIO DX 60001|G0447||30.26||BEHAVIOR COUNSEL OBESITY 15M 60001|G0448||0||PLACE PERM PACING CARDIOVERT 60001|G0451||11.09||DEVLOPMENT TEST INTERPT&REP 60001|G0452||65|%|MOLECULAR PATHOLOGY INTERPR 60001|G0452|26|65|%|MOLECULAR PATHOLOGY INTERPR 60001|G0453||31.61||CONT INTRAOP NEURO MONITOR 60001|G0453|26|65|%|CONT INTRAOP NEURO MONITOR 60001|G0454||10.72||MD DOCUMENT VISIT BY NPP 60001|G0455||130.37||FECAL MICROBIOTA PREP INSTIL 60001|G0459||68.2|| 60001|G0463||118.61||HOSPITAL OUTPT CLINIC VISIT 60001|G0467||103.8||"FQHC VISIT| ESTAB PT" 60001|G0477||18.51||DRUG TEST PRESUMP OPTICAL 60001|G0479||12.6||DRUG TEST(S) PRESUMPTIVE ANY # 60001|G0479|GW|12.6||DRUG TEST(S) PRESUMPTIVE ANY # 60001|G0481||52.91||DRUG TEST DEF 8-14 CLASSES 60001|G0506||60.78||COMP ASSES CARE PLAN CCM SERVI 60001|G0631||32.72|| 60001|G0642||27.5|| 60001|G0643||20.25|| 60001|G0653||28.89|| 60001|G0908||0||HGB > 12 G/DL 60001|G0909||0||HBG NOT DOC 60001|G0910||0||HGB <= 12 G/DL 60001|G0911||0||ASSESS ACTIVITY SYMPTOMS 60001|G0912||0||NO ASSESS ACTIVITY SYMPTOMS 60001|G0913||0||IMPROVE VISUAL FUNCT 60001|G0914||0||SURVEY NOT COMPLETE 60001|G0915||0||NO IMPROVE VISUAL FUNCT 60001|G0916||0||SATISFY WITH CARE 60001|G0917||0||SATISFY SURVEY NOT COMPLETE 60001|G0918||0||NO SATISFY WITH CARE 60001|G0919||0||FLU IMMUNIZE NOT AVAIL 60001|G0920||0||TYPE LOC ACT DOC 60001|G0921||0||DOC PT REAS NO ASSESS 60001|G0922||0||TYPE LOC ACT NOT DOC 60001|G2010||19.02|| 60001|G2012||23.19|| 60001|G3001||0||"ADMIN + SUPPLY| TOSITUMOMAB" 60001|G6002||340.26||STEREOSCOPIC X-RAY GUIDANCE 60001|G6012||360.62||RADIATION TREATMENT DELIVERY 60001|G6013||380.28||RADIATION TREATMENT DELIVERY 60001|G6013|76|380.28||RADIATION TREATMENT DELIVERY 60001|G6014||298.95||RADIATION TREATMENT DELIVERY 60001|G6015||451.86||RADIATION TX DELIVERY IMRT 60001|G6031||32.72||ASSAY OF BENZODIAZEPINES 60001|G6042||27.5||ASSAY OF AMPHETAMINES 60001|G6043||20.25||ASSAY OF BARBITURATES 60001|G6053||28.89||ASSAY OF METHADONE 60001|G6058||24.39|| 60001|G8126||0||PT DCMT TX ANTIDEPRES 12 WK 60001|G8127||0||PT NOTDCMT TX ANTIDEPRES 12W 60001|G8128||0||PT NOT ELIG ANTIDEPRES 12 WK 60001|G8395||0||LVEF>=40% DOC NORMAL OR MILD 60001|G8396||0||LVEF NOT PERFORMED 60001|G8397||0||DIL MACULA/FUNDUS EXAM/W DOC 60001|G8398||0||DIL MACULAR/FUNDUS NOT PERFO 60001|G8399||0||PT W/DXA DOCUMENT OR ORDER 60001|G8400||0||PT W/DXA NO DOCUMENT OR ORDE 60001|G8401||0||PT INELIG OSTEO SCREEN MEASU 60001|G8404||0||LOW EXTEMITY NEUR EXAM DOCUM 60001|G8405||0||LOW EXTEMITY NEUR NOT PERFOR 60001|G8406||0||PT INELIG LOWER EXTREM NEURO 60001|G8410||0||EVAL ON FOOT DOCUMENTED 60001|G8415||0||EVAL ON FOOT NOT PERFORMED 60001|G8416||0||PT INELIG FOOTWEAR EVALUATIO 60001|G8417||0||BMI >=30 CALCUATE W/FOLLOWUP 60001|G8418||0||BMI < 22 CALCUATE W/FOLLOWUP 60001|G8419||0||BMI>=30OR<22 CAL NO FOLLOWUP 60001|G8420||0||BMI<30 AND >=22 CALC & DOCU 60001|G8421||0||BMI NOT CALCULATED 60001|G8422||0||PT INELIG BMI CALCULATION 60001|G8427||0||DOC MEDS VERIFIED W/PT OR RE 60001|G8428||0||MEDS DOCUMENT W/O VERIFICA 60001|G8430||0||PT INELIG MED CHECK 60001|G8431||0||CLIN DEPRESSION SCREEN DOC 60001|G8432||0||CLIN DEPRESSION SCREEN NOT D 60001|G8433||0||PT INELIG FOR DEPRESSION SCR 60001|G8442||0||PT INELIG PAIN ASSESSMENT 60001|G8447||0||PT VISIT DOC USING CCHIT CER 60001|G8448||0||PT VISIT DOCUM W/NON-CCHIT C 60001|G8450||0||BETA-BLOC RX PT W/ABN LVEF 60001|G8451||0||PT W/ABN LVEF INELIG B-BLOC 60001|G8452||0||PT W/ABN LVEF B-BLOC NO RX 60001|G8458||0||PT INELIG GENO NO ANTVIR TX 60001|G8459||0||DOC PT REC ANTIVIR TREAT 60001|G8460||0||PT INELIG RNA NO ANTVIR TX 60001|G8461||0||PT REC ANTIVIR TREAT HEP C 60001|G8462||0||PT INELIG COUNS NO ANTVIR TX 60001|G8463||0||PT REC ANTIVIRAL TREAT DOC 60001|G8464||0||PT INELIG; LO TO NO DTER RSK 60001|G8465||0||HIGH RISK RECURRENCE PRO CA 60001|G8468||0||ACE/ARB RX PT W/ABN LVEF 60001|G8469||0||PT W/ABN LVEF INELIG ACE/ARB 60001|G8470||0||PT W/ NORMAL LVEF 60001|G8471||0||LVEF NOT PERFORMED/DOC 60001|G8472||0||ACE/ARB NO RX PT W/ABN LVEF 60001|G8473||0||ACE/ARB THXPY RX'D 60001|G8474||0||ACE/ARB NOT RX'D; DOC REAS 60001|G8475||0||ACE/ARB THXPY NOT RX'D 60001|G8476||0||BP SYS <130 AND DIAS <80 60001|G8477||0||BP SYS>=130 AND/OR DIAS >=80 60001|G8478||0||BP NOT PERFORMED/DOC 60001|G8482||0||FLU IMMUNIZE ORDER/ADMIN 60001|G8483||0||FLU IMM NO ORD/ADMIN DOC REA 60001|G8484||0||FLU IMMUNIZE NO ORDER/ADMIN 60001|G8485||0||"REPORT| DIABETES MEASURES" 60001|G8486||0||"REPORT| PREV CARE MEASURES" 60001|G8487||0||REPORT CKD MEASURES 60001|G8489||0||CAD MEASURES GRP 60001|G8490||0||RA MEASURES GRP 60001|G8491||0||HIV/AIDS MEASURES GRP 60001|G8492||0||PREV CARE MEASURES GRP 60001|G8493||0||BACK PAIN MEASURES GRP 60001|G8494||0||DM MEAS QUAL ACT PERFORM 60001|G8495||0||CKD MEAS QUAL ACT PERFORM 60001|G8496||0||PC MEAS QUAL ACT PERFORM 60001|G8497||0||CABG MEAS QUAL ACT PERFORM 60001|G8498||0||CAD MEAS QUAL ACT PERFORM 60001|G8499||0||RA MEAS QUAL ACT PERFORM 60001|G8500||0||HIV MEAS QUAL ACT PERFORM 60001|G8501||0||PERIO MEAS QUAL ACT PERFORM 60001|G8502||0||BP MEAS QUAL ACT PERFORM 60001|G8506||0||PT REC ACE/ARB 60001|G8509||0||PAIN ASSESS NO F/U PLN DOC 60001|G8510||0||PT INELIG NEG SCRN DEPRES 60001|G8511||0||CLIN DEPRES SCRN NO F/U DOC 60001|G8524||0||PATCH CLOSURE CONV CEA 60001|G8525||0||NO PATCH CLOSURE CEA 60001|G8526||0||NO PATCH CLOSURE CONV CEA 60001|G8530||0||AUTO AV FISTULA RECD 60001|G8531||0||PT INELIG; AUTO AV FISTULA 60001|G8532||0||NO AUTO AV FISTULA; NO REAS 60001|G8535||0||PT INELIG NO ELD MAL SCRN 60001|G8536||0||NO DOC ELDER MAL SCRN 60001|G8539||0||CUR FUNCT ASSESS & CARE PLN 60001|G8540||0||PT INELIG FUNCT ASSESS 60001|G8541||0||NO DOC CUR FUNCT ASSESS 60001|G8542||0||PT INELIG FUNC ASSES NO PLN 60001|G8543||0||CUR FUNCT ASSES; NO CARE PLN 60001|G8544||0||CABG MEASURES GRP 60001|G8545||0||HEPC MEASURES GRP 60001|G8546||0||CAP MEASURES GRP 60001|G8547||0||IVD MEASURES GRP 60001|G8548||0||HF MEASURES GRP 60001|G8549||0||HEPC MG QUAL ACT PERFORM 60001|G8550||0||CAP MG QUAL ACT PERFORM 60001|G8551||0||HF MG QUAL ACT PERFORM 60001|G8552||0||IVD MG QUAL ACT PERFORM 60001|G8553||0||1 RX VIA QUALIFIED ERX SYS 60001|G8556||0||REF TO DOC OTOLOG EVAL 60001|G8557||0||PT INELIG REF OTOLOG EVAL 60001|G8558||0||NO REF TO DOC OTOLOG EVAL 60001|G8559||0||PT REF DOC OTO EVAL 60001|G8560||0||PT HX ACT DRAIN PREV 90 DAYS 60001|G8561||0||PT INELIG FOR REF OTO EVAL 60001|G8562||0||PT NO HX ACT DRAIN 90 D 60001|G8563||0||PT NO REF OTO REAS NO SPEC 60001|G8564||0||PT REF OTO EVAL 60001|G8565||0||VER DOC HEAR LOSS 60001|G8566||0||PT INELIG REF OTO EVAL 60001|G8567||0||PT NO DOC HEAR LOSS 60001|G8568||0||PT NO REF OTOLO NO SPEC 60001|G8569||0||PROL INTUBATION REQ 60001|G8570||0||NO PROL INTUB REQ 60001|G8571||0||STER WD IFX 30 D POSTOP 60001|G8572||0||NO STER WD IFX 60001|G8573||0||STK/CVA CABG 60001|G8574||0||NO STRK/CVA CABG 60001|G8575||0||POSTOP REN INSUF 60001|G8576||0||NO POSTOP REN INSUF 60001|G8577||0||REOP REQ BLD GRFT OTH 60001|G8578||0||NO REOP REQ BLD GRFT OTH 60001|G8579||0||ANTPLT MED DISCH 60001|G8580||0||ANTPLT MED CONTRAIND 60001|G8581||0||NO ANTPLT MED DISCH 60001|G8582||0||BBLOCK DISCH 60001|G8583||0||BBLOCK CONTRAIND 60001|G8584||0||NO BBLOCK DISCH 60001|G8585||0||ANTILIPID TREAT DISCH 60001|G8586||0||ANTLIP DISCH CONTRA 60001|G8587||0||NO ANTLIPID TREAT DISCH 60001|G8588||0||SYS BP <140 60001|G8589||0||SYS BP >= 140 60001|G8590||0||DIA BP < 90 60001|G8591||0||DIA BP >= 90 60001|G8592||0||NO BP MEASURE 60001|G8593||0||LIPID PN RESULTS 60001|G8594||0||NO LIPID PROF PERF 60001|G8595||0||LDL < 100 60001|G8596||0||NO LDL PERF 60001|G8597||0||LDL >= 100 60001|G8598||0||ASP THERP USED 60001|G8599||0||NO ASP THERP USED 60001|G8600||0||TPA INITI W/IN 3 HRS 60001|G8601||0||NO ELIG TPA INIT W/IN 3 HRS 60001|G8602||0||NO TPA INIT W/IN 3 HRS 60001|G8603||0||SPOK LANG COMP SCORE 60001|G8604||0||NO HIGH SCORE SPOK LANG 60001|G8605||0||NO SPOK LANG COMP SCORE 60001|G8606||0||ATTENTION SCORE 60001|G8607||0||NO HIGH SCORE ATTENTION 60001|G8608||0||NO ATTENTION SCORE 60001|G8609||0||MEMORY SCORE 60001|G8610||0||NO HIGH SCORE MEMORY 60001|G8611||0||NO MEMORY SCORE 60001|G8612||0||MOTO SPEECH SCORE 60001|G8613||0||NO HIGH SCORE MOTO SPEECH 60001|G8614||0||NO MOTO SPEECH SCORE 60001|G8615||0||READING SCORE 60001|G8616||0||NO HIGH SCORE READING 60001|G8617||0||NO READING SCORE 60001|G8618||0||SPOK LANG EXP SCORE 60001|G8619||0||NO HIGH SCORE SPOK LANG EXP 60001|G8620||0||NO SPOK LANG EXP SCORE 60001|G8621||0||WRITING SCORE 60001|G8622||0||NO HIGH SCORE WRITING 60001|G8623||0||NO WRITING SCORE 60001|G8624||0||SWALLOWING SCORE 60001|G8625||0||NO HIGH SCORE SWALLOWING 60001|G8626||0||NO SWALLOWING SCORE 60001|G8627||0||SURG PROC W/IN 30 DAYS 60001|G8628||0||NO SURG PROC W/IN 30 DAYS 60001|G8629||0||DOC ANTIBIO ORDER B/4 SURG 60001|G8630||0||DOC ANTIBIO GIVEN B/4 SURG 60001|G8631||0||PT NO ELG 4 ORDER ANTBI GIVE 60001|G8632||0||DOC NO ANTIBI ORDER B/4 SURG 60001|G8633||0||PHARM THER OSTEO RX 60001|G8634||0||PT NO ELG PHAR THER OSTEO 60001|G8635||0||NO PHARM THER OSTEO RX 60001|G8642||0||HRDSHP RURAL W/O INTERNET 60001|G8643||0||HRDSHP W/O SUFF PHARM W/ERX 60001|G8644||0||EP NO PRESCRIBE PRIV 60001|G8645||0||ASTHMA MEASURES GRP 60001|G8646||0||ASTHMA MG QUAL ACT PERFORM 60001|G8647||0||FUN STAT SCORE KNEE >= 0 60001|G8648||0||FUN STAT SCORE KNEE < 0 60001|G8649||0||FUN STAT SCORE KNEE PT NOELG 60001|G8650||0||FUN STAT SCORE KNEE NOT DONE 60001|G8651||0||FUN STAT SCORE HIP >= 0 60001|G8652||0||FUN STAT SCORE HIP < 0 60001|G8653||0||FUN STAT SCORE HIP PT NO ELG 60001|G8654||0||FUN STAT SCORE HIP NOT DONE 60001|G8655||0||FUN STAT SCORE LE >= 0 60001|G8656||0||FUN STAT SCORE LE < 0 60001|G8657||0||FUN STAT SCORE LE PT NO ELG 60001|G8658||0||FUN STAT SCORE LE NOT DONE 60001|G8659||0||FUN STAT SCORE LS >= 0 60001|G8660||0||FUN STAT SCORE LS < 0 60001|G8661||0||FUN STAT SCORE LS PT NO ELG 60001|G8662||0||FUN STAT SCORE LS NOT DONE 60001|G8663||0||FUN STAT SCORE SHDL >=0 60001|G8664||0||FUN STAT SCORE SHDL < 0 60001|G8665||0||FUN STAT SCORE SHDL PT NO EL 60001|G8666||0||FUN STAT SCORE SHDL NOT DONE 60001|G8667||0||FUN STAT SCORE UE >=0 60001|G8668||0||FUN STAT SCORE UE < 0 60001|G8669||0||FUN STAT SCORE UE PT NO ELG 60001|G8670||0||FUN STAT SCORE UE NOT DONE 60001|G8671||0||FUN STAT SCORE NECK/TS >=0 60001|G8672||0||FUN STAT SCORE NECK/TS < 0 60001|G8673||0||FUN STAT SCOR NEK/TS PT NO E 60001|G8674||0||FUN STAT SCOR NEK/TS NOT DON 60001|G8682||0||LVG TEST PERF 60001|G8683||0||PT NOT ELIG FOR LVF TEST 60001|G8685||0||LVF TEST NOT PERF 60001|G8694||0||LVEF <40% 60001|G8695||0||LVEF >=40% 60001|G8696||0||ANTITHROMB THX PRESC 60001|G8697||0||ANTITHROMB NO PRESC DOC REAS 60001|G8698||0||ANTITHROMB NO PRESC NO REAS 60001|G8699||0||REHAB ORDERED DISCH 60001|G8700||0||REHAB NOT INDICATED DISCH 60001|G8701||0||REHAB NOT ORDERED 60001|G8702||0||ANTIOBIOTICS 4 HR PRIOR SURG 60001|G8703||0||ANTIBIOTICS NOT PRIOR SURG 60001|G8704||0||ECG PERFORMED 60001|G8705||0||MED REAS NO ECG 60001|G8706||0||PT REAS NO ECG 60001|G8707||0||ECG NOT PERFORMED 60001|G8708||0||ANTIBIOTIC NOT PRES 60001|G8709||0||MED REAS ANTIBIOTIC PRES 60001|G8710||0||PT PRES ANTIBIOTIC 60001|G8711||0||PRES ANTIBIOTIC 60001|G8712||0||NOT PRES ANTIBIOTIC 60001|G8713||0||SPKT/V GREAT 1.2 KT/V 60001|G8714||0||HEMODIALYSIS 3 TIMES WEEK 60001|G8715||0||HEMODIALYSIS NOT 3 TIMES WK 60001|G8716||0||PT REAS NOT GREAT 1.2KT/V 60001|G8717||0||LESS 1.2 KT/V 60001|G8718||0||GREAT 1.7 KT/V PER WEEK 60001|G8720||0||LESS 1.7 KT/V PER WEEK 60001|G8721||0||"PT| PN| HIST GRADE DOC" 60001|G8722||0||"MED REAS PT| PN| NOT DOC" 60001|G8723||0||SPEC SIT NOT PRIM TUMOR 60001|G8724||0||"PT| PN| HIST GRADE NOT DOC" 60001|G8725||0||LIPID PROFILE PERF DOC 60001|G8726||0||DOC REAS NO LIPID PROFILE 60001|G8727||0||"HEMO| PERIT| OR KIDNEY TRANS" 60001|G8728||0||LIPID PROFILE NOT PERF 60001|G8730||0||PAIN DOC POS AND PLAN 60001|G8731||0||PAIN NEG NO PLAN 60001|G8732||0||NO DOC OF PAIN 60001|G8733||0||DOC POS ELDER MAL SCRN PLAN 60001|G8734||0||DOC NEG ELDER MAL NO PLAN 60001|G8735||0||ELD MAL SCRN POS NO PLAN 60001|G8736||0||LDL-C <100MG/DL 60001|G8737||0||LDL-C >=100MG/DL 60001|G8738||0||LVEF < 40% 60001|G8739||0||LVEF >= 40% 60001|G8740||0||LVEF NOT PERFRMD 60001|G8741||0||NOT TX SPOKEN LANG 60001|G8742||0||NOT TX ATTENTION 60001|G8743||0||NOT TX MEMORY 60001|G8744||0||NOT TX MOTOR SPEECH 60001|G8745||0||NOT TX READING 60001|G8746||0||NOT TX SPOKEN LANG EXPRESS 60001|G8747||0||NOT TX WRITING 60001|G8748||0||NOT TX SWALLOWING 60001|G8749||0||SIGNS OF MELANOMA ABSENT 60001|G8750||0||SIGNS OF MELANOMA PRESENT 60001|G8751||0||SMKG STATUS NOT ASSESS 60001|G8752||0||SYS BP LESS 140 60001|G8753||0||SYS BP > OR = 140 60001|G8754||0||DIAS BP LESS 90 60001|G8755||0||DIAS BP > OR = 90 60001|G8756||0||NO BP MEASURE DOC 60001|G8757||0||COPD MG QUAL ACT PERFORM 60001|G8758||0||IBD MG QUAL ACT PERFORM 60001|G8759||0||OSA MG QUAL ACT PERFORM 60001|G8760||0||EPILEPSY MG QUAL ACT PERFORM 60001|G8761||0||DEMENTIA MG QUAL ACT PERFORM 60001|G8762||0||PD MG QUAL ACT PERFORM 60001|G8763||0||HYPERTEN MG QUAL ACT PERFORM 60001|G8764||0||CAR PREV MG QUAL ACT PERFORM 60001|G8765||0||CATARACT MG QUAL ACT PERFORM 60001|G8767||0||LIPID PANEL RES DOC REV 60001|G8768||0||DOC MED REAS NO LIPID PROFLE 60001|G8769||0||LIPID PROFILE NOT PERFORM 60001|G8770||0||URINE PROTEIN TEST DOC REV 60001|G8771||0||DOC DX CKD 60001|G8772||0||DOC MED REAS NO URINE PROTN 60001|G8773||0||NO URINE PROTEIN TEST 60001|G8774||0||SERUM CREATININE DOC REV 60001|G8775||0||DOC MED REAS NO SERUM CRTN 60001|G8776||0||NO SERUM CREATININE TEST 60001|G8777||0||DIABETES SCREEN 60001|G8778||0||DOC MED REAS NO DIABETE SCRN 60001|G8779||0||NO DIABETES SCREEN 60001|G8780||0||COUNSEL DIET PHYS ACTIVITY 60001|G8781||0||DOC MED REAS NO COUNSEL DIET 60001|G8782||0||NO COUNSEL DIET PHYS ACT 60001|G8783||0||BP SCRN PERF REC INTERVAL 60001|G8784||0||PT NO ELIG FOR BP ASSESS 60001|G8785||0||BP SCRN NO PERF AT INTERVAL 60001|G8786||0||SEVERITY OF ANGINA ASSESS 60001|G8787||0||ANGINA PRESENT 60001|G8788||0||ANGINA ABSENT 60001|G8789||0||SEVERITY ANGINA NOT ASSESS 60001|G8790||0||SYSTOLIC <130MMHG 60001|G8791||0||SYSTOLIC 130-139MMHG 60001|G8792||0||SYSTOLIC >=140MMHG 60001|G8793||0||DIASTOLIC <80MMHG 60001|G8794||0||DIASTOLIC 80-89MMHG 60001|G8795||0||DIASTOLIC >=90MMHG 60001|G8796||0||BP NOT DOC 60001|G8797||0||SPECIMEN SITE NOT ESOPHAGUS 60001|G8798||0||SPECIMEN SITE NOT PROSTATE 60001|G8799||0||ANTICOAG ORDERED 60001|G8800||0||DOC REAS ANTICOAG NOT ORDER 60001|G8801||0||ANTICOAG NOT ORDERED 60001|G8802||0||PREGNANCY TEST ORDER 60001|G8803||0||DOC REAS NO PREGNANCY TEST 60001|G8805||0||PREGNANCY TEST NOT ORDER 60001|G8806||0||TRANSAB OR TRANSVAG US 60001|G8807||0||DOC REAS NO US 60001|G8808||0||NO TRANSAB OR TRANSVAG US 60001|G8809||0||RH-IMMUNOGLOBULIN ORDER 60001|G8810||0||DOC REAS NO RH-IMMUNO 60001|G8811||0||NO RH-IMMUNOGLOBULIN ORDER 60001|G8812||0||"PT NOT ELIG CTA| DUPLEX| MRA" 60001|G8813||0||"CTA| DUPLEX| MRA PERFORMED" 60001|G8814||0||"NO CTA| DUPLEX| MRA" 60001|G8815||0||DOC REAS NO STATIN THERAPY 60001|G8816||0||STATIN MED PRES AT DISCH 60001|G8817||0||DOC REAS NO STATIN MED DISCH 60001|G8818||0||PT DISCH TO HOME BY DAY#7 60001|G8819||0||ANEURYSM <= 5.5 CM 60001|G8820||0||ANEURYSM 5.6-6.0 CM 60001|G8821||0||ANEURYSM NOT INFARENAL 60001|G8822||0||MALE ANEURYSMS >6CM 60001|G8823||0||FEMALE ANEURYSM >6CM 60001|G8824||0||FEMALE ANEURYSM 5.6-6.0 CM 60001|G8825||0||PT NOT DISCH TO HOME DAY#7 60001|G8826||0||PT DISCH HOME DAY #2 EVAR 60001|G8827||0||ANEURYSM <= 5.5CM FOR WOMEN 60001|G8828||0||ANEURYSM <= 5.5CM FOR MEN 60001|G8829||0||ANEURYSM 5.6-6.0 CM FOR MEN 60001|G8830||0||ANEURYSM >6CM FOR MEN 60001|G8831||0||ANEURYSM >-6CM FOR WOMEN 60001|G8832||0||ANEURYSM 5.6-6.0 WOMEN 60001|G8833||0||PT NOT DISCH HOME DAY#2 EVAR 60001|G8834||0||PT DISCH HOME DAY #2 CEA 60001|G8835||0||ASYMPTOM NO TRANS 60001|G8836||0||STROKE OR TIA <120 DAYS CEA 60001|G8837||0||STROKE OR TIA >120 DAYS CEA 60001|G8838||0||NOT DISCH HOME BY DAY #2 60001|G8839||0||SLEEP APNEA ASSESS 60001|G8840||0||DOC REAS NO SLEEP APNEA 60001|G8841||0||NO SLEEP APNEA ASSESS 60001|G8842||0||AHI OR RDI INITIAL DX 60001|G8843||0||DOC REAS NO AHI OR RDI 60001|G8844||0||NO AHI OR RDI INITIAL DX 60001|G8845||0||POS AIRWAY PRESS PRESCRIBED 60001|G8846||0||MOD OR SEVERE OSA 60001|G8847||0||POS AIR PRESS NOT PRESCRIBED 60001|G8848||0||MILD OSA 60001|G8849||0||DOC REAS NO POS AIR PRESS 60001|G8850||0||NO PAP PRESCRIBED 60001|G8851||0||ADHERE POS AIR PRESS THERAPY 60001|G8852||0||POS AIR PRESS PRESCRIBE 60001|G8853||0||POS AIR PRESS NOT PRESCRIBE 60001|G8854||0||REAS NO ADHERE POS AIR PRES 60001|G8855||0||POS AIR PRESS ADHERE NO PERF 60001|G8856||0||REF FOR OTO EVAL 60001|G8857||0||NO ELIG REF FOR OTO EVAL 60001|G8858||0||NOT REF FOR OTO EVAL 60001|G8859||0||CORTICOSTEROIDS 10MG 60 DAYS 60001|G8860||0||CORTICOSTEROID 10 MG 60 DAYS 60001|G8861||0||DXA ORDERED FOR OSTEO 60001|G8862||0||NO CORTICOSTRD 10MG 60 DAYS 60001|G8863||0||NO ASSESS BONE LOSS 60001|G8864||0||PNEUMOCOCCAL VACCINE ADMIN 60001|G8865||0||DOC MED REAS NO PNEUMOCOCCAL 60001|G8866||0||DOC PT REAS NO PNEUMOCOCCAL 60001|G8867||0||NO PNEUMOCOCCAL ADMIN 60001|G8868||0||1ST COURSE ANTITNF 60001|G8869||0||DOC IMMUN HEP B 1ST ANTITNF 60001|G8870||0||HEPB ADMIN 1ST ANTITNF 60001|G8871||0||NO 1ST ANTITNF 60001|G8872||0||INTRAOP IMAGE CONFIRM EXCISE 60001|G8873||0||SPECIMEN NOT INTRAOP IMAGE 60001|G8874||0||TISSUE NOT IMAGE INTRAOP 60001|G8875||0||BREAST CANCER DX MIN INVSIVE 60001|G8876||0||DOC REAS NO MIN INV DX 60001|G8877||0||NO BRST CNCR DX MIN INVASIVE 60001|G8878||0||SENT LYMPH NODE BIOPSY 60001|G8879||0||NODE NEG INV BRST CNCR 60001|G8880||0||DOC REAS NO LYMPH NODE BIOP 60001|G8881||0||BRST CNCR STAGE > T1N0M0 60001|G8882||0||NO SENT LYMPH NODE BIOPSY 60001|G8883||0||"REV| COMM| TRACK| DOC BIOPSY" 60001|G8884||0||DOC REAS BIOPSY NOT REVIEW 60001|G8885||0||"NO REV| COMM| TRACK BIOPSY" 60001|G8886||0||BP UNDER CONTROL 60001|G8887||0||DOC MED REAS BP NOT CONTROL 60001|G8888||0||BP NOT UNDER CONTROL 60001|G8889||0||NO DOC BP 60001|G8890||0||LDL-C UNDER CONTROL 60001|G8891||0||DOC MED REAS NO LDL-C CONTRL 60001|G8892||0||DOC MED REAS NO LDL-C TEST 60001|G8893||0||LDL-C NOT UNDER CONTROL 60001|G8894||0||LDL-C NOT PERFORMED 60001|G8895||0||ANTICOAG PRESCRIBE 60001|G8896||0||DOC MED REAS NO ANTICOAG 60001|G8897||0||ANTICOAG NOT PRESCRIBE 60001|G8898||0||COPD MEASURES GROUP 60001|G8899||0||INFLAMMATORY BOWEL DIS MG 60001|G8900||0||OBSTRUCTIVE SLEEP APNEA MG 60001|G8901||0||EPILEPSY MEASURES GROUP 60001|G8902||0||DEMENTIA MEASURES GROUP 60001|G8903||0||PARKINSON'S DISEASE MG 60001|G8904||0||HYPERTENSION MG 60001|G8905||0||CARDIOVASCULAR PREVENTION MG 60001|G8906||0||CATARACT MEASURES GROUP 60001|G9001||0||"MCCD| INITIAL RATE" 60001|G9002||0||"MCCD|MAINTENANCE RATE" 60001|G9003||0||"MCCD| RISK ADJ HI| INITIAL" 60001|G9004||0||"MCCD| RISK ADJ LO| INITIAL" 60001|G9005||0||"MCCD| RISK ADJ| MAINTENANCE" 60001|G9006||0||"MCCD| HOME MONITORING" 60001|G9007||0||"MCCD| SCH TEAM CONF" 60001|G9008||0||"MCCD|PHYS COOR-CARE OVRSGHT" 60001|G9009||0||"MCCD| RISK ADJ| LEVEL 3" 60001|G9010||0||"MCCD| RISK ADJ| LEVEL 4" 60001|G9011||0||"MCCD| RISK ADJ| LEVEL 5" 60001|G9012||0||OTHER SPECIFIED CASE MGMT 60001|G9013||0||ESRD DEMO BUNDLE LEVEL I 60001|G9014||0||ESRD DEMO BUNDLE-LEVEL II 60001|G9016||0||DEMO-SMOKING CESSATION COUN 60001|G9017||1.3||AMANTADINE HCL 100MG ORAL 60001|G9018||6.91||"ZANAMIVIR|INHALATION PWD 10M" 60001|G9019||7.34||OSELTAMIVIR PHOSPHATE 75MG 60001|G9020||2.16||RIMANTADINE HCL 100MG ORAL 60001|G9033||0||AMANTADINE HCL ORAL BRAND 60001|G9034||0||"ZANAMIVIR| INH PWDR| BRAND" 60001|G9035||0||"OSELTAMIVIR PHOSP| BRAND" 60001|G9036||0||"RIMANTADINE HCL| BRAND" 60001|G9050||0||ONCOLOGY WORK-UP EVALUATION 60001|G9051||0||ONCOLOGY TX DECISION-MGMT 60001|G9052||0||ONC SURVEILLANCE FOR DISEASE 60001|G9053||0||ONC EXPECTANT MANAGEMENT PT 60001|G9054||0||ONC SUPERVISION PALLIATIVE 60001|G9055||0||ONC VISIT UNSPECIFIED NOS 60001|G9056||0||ONC PRAC MGMT ADHERES GUIDE 60001|G9057||0||ONC PRACT MGMT DIFFERS GUIDE 60001|G9058||0||ONC PRAC MGMT DISAGREE W/GUI 60001|G9059||0||ONC PRAC MGMT PT OPT ALTERNA 60001|G9060||0||ONC PRAC MGMT DIF PT COMORB 60001|G9061||0||ONC PRAC COND NOADD BY GUIDE 60001|G9062||0||ONC PRAC GUIDE DIFFERS NOS 60001|G9063||0||ONC DX NSCLC STGI NO DX PROG 60001|G9064||0||ONC DX NSCLC STG2 NO DX PROG 60001|G9065||0||ONC DX NSCLC STG3A NODX PROG 60001|G9066||0||ONC DX NSCLC STG3B-4 METASTA 60001|G9067||0||ONC DX NSCLC DX UNKNOWN NOS 60001|G9068||0||ONC DX SCLC/NSCLC LIMITED 60001|G9069||0||ONC DX SCLC/NSCLC EXT AT DX 60001|G9070||0||ONC DX SCLC/NSCLC EXT UNKNWN 60001|G9071||0||ONC DX BRST STG1 2B NO DX PR 60001|G9072||0||ONC DX BRST STG1-2 NOPROGRES 60001|G9073||0||"ONC DX BRST STG3-HR| NO PRO" 60001|G9074||0||ONC DX BRST STG3-NO PROGRESS 60001|G9075||0||ONC DX BRST METASTIC/ RECUR 60001|G9077||0||ONC DX PROSTATE T1NO PROGRES 60001|G9078||0||ONC DX PROSTATE T2NO PROGRES 60001|G9079||0||ONC DX PROSTATE T3B-T4NOPROG 60001|G9080||0||ONC DX PROSTATE W/RISE PSA 60001|G9083||0||ONC DX PROSTATE UNKNOWN NOS 60001|G9084||0||"ONC DX COLON T1-3|N1-2|NO PR" 60001|G9085||0||"ONC DX COLON T4| N0 W/O PROG" 60001|G9086||0||ONC DX COLON T1-4 NO DX PROG 60001|G9087||0||ONC DX COLON METAS EVID DX 60001|G9088||0||ONC DX COLON M1/METS W/O RAD 60001|G9089||0||ONC DX COLON EXTENT UNKNOWN 60001|G9090||0||ONC DX RECTAL T1-2 NO PROGR 60001|G9091||0||ONC DX RECTAL T3 N0 NO PROG 60001|G9092||0||"ONC DX RECTAL T1-3|N1-2NOPRG" 60001|G9093||0||"ONC DX RECTAL T4|N|M0 NO PRG" 60001|G9094||0||ONC DX RECTAL M1 W/METS PROG 60001|G9095||0||ONC DX RECTAL EXTENT UNKNWN 60001|G9096||0||ONC DX ESOPHAG T1-T3 NOPROG 60001|G9097||0||ONC DX ESOPHAGEAL T4 NO PROG 60001|G9098||0||ONC DX ESOPHAGEAL METS RECUR 60001|G9099||0||ONC DX ESOPHAGEAL UNKNOWN 60001|G9100||0||ONC DX GASTRIC NO RECURRENCE 60001|G9101||0||ONC DX GASTRIC P R1-R2NOPROG 60001|G9102||0||ONC DX GASTRIC UNRESECTABLE 60001|G9103||0||ONC DX GASTRIC RECURRENT 60001|G9104||0||ONC DX GASTRIC UNKNOWN NOS 60001|G9105||0||ONC DX PANCREATC P R0 RES NO 60001|G9106||0||ONC DX PANCREATC P R1/R2 NO 60001|G9107||0||ONC DX PANCREATIC UNRESECTAB 60001|G9108||0||ONC DX PANCREATIC UNKNWN NOS 60001|G9109||0||ONC DX HEAD/NECK T1-T2NO PRG 60001|G9110||0||ONC DX HEAD/NECK T3-4 NOPROG 60001|G9111||0||ONC DX HEAD/NECK M1 METS REC 60001|G9112||0||ONC DX HEAD/NECK EXT UNKNOWN 60001|G9113||0||ONC DX OVARIAN STG1A-B NO PR 60001|G9114||0||ONC DX OVARIAN STG1A-B OR 2 60001|G9115||0||ONC DX OVARIAN STG3/4 NOPROG 60001|G9116||0||ONC DX OVARIAN RECURRENCE 60001|G9117||0||ONC DX OVARIAN UNKNOWN NOS 60001|G9123||0||ONC DX CML CHRONIC PHASE 60001|G9124||0||ONC DX CML ACCELER PHASE 60001|G9125||0||ONC DX CML BLAST PHASE 60001|G9126||0||ONC DX CML REMISSION 60001|G9128||0||ONC DX MULTI MYELOMA STAGE I 60001|G9129||0||ONC DX MULT MYELOMA STG2 HIG 60001|G9130||0||ONC DX MULTI MYELOMA UNKNOWN 60001|G9131||0||ONC DX BRST UNKNOWN NOS 60001|G9132||0||ONC DX PROSTATE METS NO CAST 60001|G9133||0||ONC DX PROSTATE CLINICAL MET 60001|G9134||0||ONC NHLSTG 1-2 NO RELAP NO 60001|G9135||0||ONC DX NHL STG 3-4 NOT RELAP 60001|G9136||0||ONC DX NHL TRANS TO LG BCELL 60001|G9137||0||ONC DX NHL RELAPSE/REFRACTOR 60001|G9138||0||ONC DX NHL STG UNKNOWN 60001|G9139||0||ONC DX CML DX STATUS UNKNOWN 60001|G9140||0||FRONTIER EXTENDED STAY DEMO 60001|G9141||30.54||"INFLUENZA A H1N1| ADMIN W COUN" 60001|G9142||30.54||"INFLUENZA A H1N1| ANY ADMIN RO" 60001|G9143||216.79||WARFARIN RESPON GENETIC TEST 60001|G9147||0||OUTP IV INSULIN TX ANY MEAS 60001|G9156||0||EVALUATION FOR WHEELCHAIR 60001|G9226||7.5||3 COMP FOOT EXAM COMPLETED 60001|H0001||0||ALCOHOL AND/OR DRUG ASSESS 60001|H0002||0||ALCOHOL AND/OR DRUG SCREENIN 60001|H0003||0||ALCOHOL AND/OR DRUG SCREENIN 60001|H0004||0||ALCOHOL AND/OR DRUG SERVICES 60001|H0005||0||ALCOHOL AND/OR DRUG SERVICES 60001|H0006||0||ALCOHOL AND/OR DRUG SERVICES 60001|H0007||0||ALCOHOL AND/OR DRUG SERVICES 60001|H0008||0||ALCOHOL AND/OR DRUG SERVICES 60001|H0009||0||ALCOHOL AND/OR DRUG SERVICES 60001|H0010||0||ALCOHOL AND/OR DRUG SERVICES 60001|H0011||0||ALCOHOL AND/OR DRUG SERVICES 60001|H0012||0||ALCOHOL AND/OR DRUG SERVICES 60001|H0013||0||ALCOHOL AND/OR DRUG SERVICES 60001|H0014||0||ALCOHOL AND/OR DRUG SERVICES 60001|H0015||0||ALCOHOL AND/OR DRUG SERVICES 60001|H0016||0||ALCOHOL AND/OR DRUG SERVICES 60001|H0017||0||ALCOHOL AND/OR DRUG SERVICES 60001|H0018||0||ALCOHOL AND/OR DRUG SERVICES 60001|H0019||0||ALCOHOL AND/OR DRUG SERVICES 60001|H0020||0||ALCOHOL AND/OR DRUG SERVICES 60001|H0021||0||ALCOHOL AND/OR DRUG TRAINING 60001|H0022||0||ALCOHOL AND/OR DRUG INTERVEN 60001|H0023||0||ALCOHOL AND/OR DRUG OUTREACH 60001|H0024||0||ALCOHOL AND/OR DRUG PREVENTI 60001|H0025||0||ALCOHOL AND/OR DRUG PREVENTI 60001|H0026||0||ALCOHOL AND/OR DRUG PREVENTI 60001|H0027||0||ALCOHOL AND/OR DRUG PREVENTI 60001|H0028||0||ALCOHOL AND/OR DRUG PREVENTI 60001|H0029||0||ALCOHOL AND/OR DRUG PREVENTI 60001|H0030||0||ALCOHOL AND/OR DRUG HOTLINE 60001|H0031||0||MH HEALTH ASSESS BY NON-MD 60001|H0032||0||MH SVC PLAN DEV BY NON-MD 60001|H0033||0||ORAL MED ADM DIRECT OBSERVE 60001|H0034||0||MED TRNG & SUPPORT PER 15MIN 60001|H0035||0||MH PARTIAL HOSP TX UNDER 24H 60001|H0036||0||COMM PSY FACE-FACE PER 15MIN 60001|H0037||0||COMM PSY SUP TX PGM PER DIEM 60001|H0038||0||SELF-HELP/PEER SVC PER 15MIN 60001|H0039||0||ASSER COM TX FACE-FACE/15MIN 60001|H0040||0||ASSERT COMM TX PGM PER DIEM 60001|H0041||0||FOS C CHLD NON-THER PER DIEM 60001|H0042||0||FOS C CHLD NON-THER PER MON 60001|H0043||0||"SUPPORTED HOUSING| PER DIEM" 60001|H0044||0||"SUPPORTED HOUSING| PER MONTH" 60001|H0045||0||RESPITE NOT-IN-HOME PER DIEM 60001|H0046||0||"MENTAL HEALTH SERVICE| NOS" 60001|H0047||0||ALCOHOL/DRUG ABUSE SVC NOS 60001|H0048||0||SPEC COLL NON-BLOOD:A/D TEST 60001|H0049||0||ALCOHOL/DRUG SCREENING 60001|H0050||0||ALCOHOL/DRUG SERVICE 15 MIN 60001|H1000||0||PRENATAL CARE ATRISK ASSESSM 60001|H1001||0||ANTEPARTUM MANAGEMENT 60001|H1002||0||CARECOORDINATION PRENATAL 60001|H1003||0||PRENATAL AT RISK EDUCATION 60001|H1004||0||FOLLOW UP HOME VISIT/PRENTAL 60001|H1005||0||PRENATALCARE ENHANCED SRV PK 60001|H1010||0||NONMED FAMILY PLANNING ED 60001|H1011||0||FAMILY ASSESSMENT 60001|H2000||0||COMP MULTIDISIPLN EVALUATION 60001|H2001||0||REHABILITATION PROGRAM 1/2 D 60001|H2010||0||COMPREHENSIVE MED SVC 15 MIN 60001|H2011||0||"CRISIS INTERVEN SVC| 15 MIN" 60001|H2012||0||"BEHAV HLTH DAY TREAT| PER HR" 60001|H2013||0||"PSYCH HLTH FAC SVC| PER DIEM" 60001|H2014||0||"SKILLS TRAIN AND DEV| 15 MIN" 60001|H2015||0||"COMP COMM SUPP SVC| 15 MIN" 60001|H2016||0||"COMP COMM SUPP SVC| PER DIEM" 60001|H2017||0||"PSYSOC REHAB SVC| PER 15 MIN" 60001|H2018||0||"PSYSOC REHAB SVC| PER DIEM" 60001|H2019||0||"THER BEHAV SVC| PER 15 MIN" 60001|H2020||0||"THER BEHAV SVC| PER DIEM" 60001|H2021||0||"COM WRAP-AROUND SV| 15 MIN" 60001|H2022||0||"COM WRAP-AROUND SV| PER DIEM" 60001|H2023||0||"SUPPORTED EMPLOY| PER 15 MIN" 60001|H2024||0||"SUPPORTED EMPLOY| PER DIEM" 60001|H2025||0||"SUPP MAINT EMPLOY| 15 MIN" 60001|H2026||0||"SUPP MAINT EMPLOY| PER DIEM" 60001|H2027||0||"PSYCHOED SVC| PER 15 MIN" 60001|H2028||0||"SEX OFFEND TX SVC| 15 MIN" 60001|H2029||0||"SEX OFFEND TX SVC| PER DIEM" 60001|H2030||0||"MH CLUBHOUSE SVC| PER 15 MIN" 60001|H2031||0||"MH CLUBHOUSE SVC| PER DIEM" 60001|H2032||0||"ACTIVITY THERAPY| PER 15 MIN" 60001|H2033||0||MULTISYS THER/JUVENILE 15MIN 60001|H2034||0||"A/D HALFWAY HOUSE| PER DIEM" 60001|H2035||0||"A/D TX PROGRAM| PER HOUR" 60001|H2036||0||"A/D TX PROGRAM| PER DIEM" 60001|H2037||0||"DEV DELAY PREV DP CH| 15 MIN" 60001|J0120||0||TETRACYCLIN INJECTION 60001|J0150||6.01||INJECTION ADENOSINE 6 MG 60001|J0151||2.65||INJECTION ADENOSINE 90 MG 60001|J0152||136.43||ADENOSINE INJECTION 60001|J0210||53||METHYLDOPATE HCL INJECTION 60001|J0215||41.64||ALEFACEPT 60001|J0288||17.5||AMPHO B CHOLESTERYL SULFATE 60001|J0364||41.02||APOMORPHINE HYDROCHLORIDE 60001|J0365||3.31||"APROTONIN| 10|000 KIU" 60001|J0706||0.55||CAFFEINE CITRATE INJECTION 60001|J0718||6.27||CERTOLIZUMAB PEGOL INJ 60001|J0886||15.18||"EPOETIN ALFA| ESRD" 60001|J0890||10.25||PEGINESATIDE INJECTION 60001|J1070||5.58||TESTOSTERONE CYPIONAT 100 MG 60001|J1080||5.76||TESTOSTERONE CYPIONAT 200 MG 60001|J1094||4.38||INJ DEXAMETHASONE ACETATE 60001|J1327||32.65||EPTIFIBATIDE INJECTION 60001|J1440||356.75||FILGRASTIM 300 MCG INJECTION 60001|J1441||565.33||FILGRASTIM 480 MCG INJECTION 60001|J1446||4.92||"INJ| TBO-FILGRASTIM| 5 MCG" 60001|J1451||8.07||"FOMEPIZOLE| 15 MG" 60001|J1573||64.66||"HEPAGAM B INTRAVENOUS| INJ" 60001|J1600||30.15||GOLD SODIUM THIOMALEATE INJ 60001|J1790||2.68||DROPERIDOL INJECTION 60001|J1840||9.61||KANAMYCIN SULFATE 500 MG INJ 60001|J1850||1.44||KANAMYCIN SULFATE 75 MG INJ 60001|J1945||713.18||LEPIRUDIN 60001|J2260||3.88||INJ MILRINONE LACTATE / 5 MG 60001|J2271||0.92||MORPHINE SO4 INJECTION 100MG 60001|J2275||4.09||MORPHINE SULFATE INJECTION 60001|J2325||74.65||NESIRITIDE INJECTION 60001|J2370||2.94||PHENYLEPHRINE HCL INJECTION 60001|J2590||0.64||OXYTOCIN INJECTION 60001|J2730||114.88||PRALIDOXIME CHLORIDE INJ 60001|J2760||198.75||PHENTOLAINE MESYLATE INJ 60001|J2993||2877.38||RETEPLASE INJECTION 60001|J3120||7.2||TESTOSTERONE ENANTHATE INJ 60001|J3130||9.51||TESTOSTERONE ENANTHATE INJ 60001|J3246||10.05||TIROFIBAN HCL 60001|J3302||0.35||TRIAMCINOLONE DIACETATE INJ 60001|J3355||80.52||"UROFOLLITROPIN| 75 IU" 60001|J3470||26.5||HYALURONIDASE INJECTION 60001|J7100||23.65||DEXTRAN 40 INFUSION 60001|J7297||65|%|LEVONORGESTREL IU 52 MG 3 YR D 60001|J7298||65|%|LEVONORGESTREL IU 52 MG 5 YR D 60001|J7300||616||INTRAUT COPPER CONTRACEPTIVE 60001|J7301||65|%|SKYLA 13.5 MG 60001|J7302||850||LEVONORGESTREL IU CONTRACEPT 60001|J7307||887.25||ETONOGESTREL IMPLANT SYSTEM 60001|J7309||83.69||"METHYL AMINOLEVULINATE| TOP" 60001|J7310||21200||GANCICLOVIR LONG ACT IMPLANT 60001|J7330||37490.35||CULTURED CHONDROCYTES IMPLNT 60001|J7335||26.51||CAPSAICIN 8% PATCH 60001|J7501||271.63||AZATHIOPRINE PARENTERAL 60001|J7505||1445.1||MONOCLONAL ANTIBODIES 60001|J7506||0.09||PREDNISONE ORAL 60001|J7513||657.93||"DACLIZUMAB| PARENTERAL" 60001|J7638||19.37||DEXAMETHASONE INHAL SOL U D 60001|J7645||0.27||IPRATROPIUM BROM 0.02% PER ML\ 60001|J7665||0.84||"ISOPROTERENOL HYDROCHLORIDE| 1" 60001|J7669||0.55||METAPROTERENOL INH SOL U D 60001|J8562||102.22||ORAL FLUDARABINE PHOSPHATE 60001|J9010||779.55||ALEMTUZUMAB INJECTION 60001|J9015||1828.73||ALDESLEUKIN/SINGLE USE VIAL 60001|J9020||80.71||ASPARAGINASE INJECTION 60001|J9160||2057.73||"DENILEUKIN DIFTITOX| 300 MCG" 60001|J9175||5.1||ELLIOTTS B SOLUTION PER ML 60001|J9265||4.29||PACLITAXEL INJECTION 60001|J9300||3428.24||GEMTUZUMAB OZOGAMICIN 60001|J9340||331.25||THIOTEPA INJECTION 60001|K0001||63.14||STANDARD WHEELCHAIR 60001|K0001|RR|63.14||STANDARD WHEELCHAIR 60001|K0002||93.39||STND HEMI (LOW SEAT) WHLCHR 60001|K0003||118.77||LIGHTWEIGHT WHEELCHAIR 60001|K0003|RR|118.77||LIGHTWEIGHT WHEELCHAIR 60001|K0004||152.51||HIGH STRENGTH LTWT WHLCHR 60001|K0005|NU|2600.98||ULTRALIGHTWEIGHT WHEELCHAIR 60001|K0005|RR|260.06||ULTRALIGHTWEIGHT WHEELCHAIR 60001|K0005|UE|1861.69||ULTRALIGHTWEIGHT WHEELCHAIR 60001|K0006||168.39||HEAVY DUTY WHEELCHAIR 60001|K0007|NU|959.75||EXTRA HEAVY DUTY WHEELCHAIR 60001|K0007|RR|95.98||EXTRA HEAVY DUTY WHEELCHAIR 60001|K0007|UE|639.82||EXTRA HEAVY DUTY WHEELCHAIR 60001|K0010||486.16||STND WT FRAME POWER WHLCHR 60001|K0011|RR|687.79||STND WT PWR WHLCHR W CONTROL 60001|K0012||423.15||LTWT PORTBL POWER WHLCHR 60001|K0015|NU|210.28||DETACH NON-ADJUS HGHT ARMRST 60001|K0015|RR|21.02||DETACH NON-ADJUS HGHT ARMRST 60001|K0015|UE|157.7||DETACH NON-ADJUS HGHT ARMRST 60001|K0017|NU|59.14||DETACH ADJUST ARMREST BASE 60001|K0017|RR|5.91||DETACH ADJUST ARMREST BASE 60001|K0017|UE|44.36||DETACH ADJUST ARMREST BASE 60001|K0018|NU|33.04||DETACH ADJUST ARMRST UPPER 60001|K0018|RR|3.29||DETACH ADJUST ARMRST UPPER 60001|K0018|UE|24.79||DETACH ADJUST ARMRST UPPER 60001|K0019|NU|19.66||ARM PAD EACH 60001|K0019|RR|1.98||ARM PAD EACH 60001|K0019|UE|14.76||ARM PAD EACH 60001|K0020|NU|53.78||FIXED ADJUST ARMREST PAIR 60001|K0020|RR|5.39||FIXED ADJUST ARMREST PAIR 60001|K0020|UE|40.31||FIXED ADJUST ARMREST PAIR 60001|K0037|NU|55.73||HIGH MOUNT FLIP-UP FOOTREST 60001|K0037|RR|4.98||HIGH MOUNT FLIP-UP FOOTREST 60001|K0037|UE|41.81||HIGH MOUNT FLIP-UP FOOTREST 60001|K0038|NU|28.09||LEG STRAP EACH 60001|K0038|RR|2.81||LEG STRAP EACH 60001|K0038|UE|21.05||LEG STRAP EACH 60001|K0039|NU|62.35||LEG STRAP H STYLE EACH 60001|K0039|RR|6.26||LEG STRAP H STYLE EACH 60001|K0039|UE|46.76||LEG STRAP H STYLE EACH 60001|K0040|NU|86.41||ADJUSTABLE ANGLE FOOTPLATE 60001|K0040|RR|8.61||ADJUSTABLE ANGLE FOOTPLATE 60001|K0040|UE|64.79||ADJUSTABLE ANGLE FOOTPLATE 60001|K0041|NU|61.24||LARGE SIZE FOOTPLATE EACH 60001|K0041|RR|6.16||LARGE SIZE FOOTPLATE EACH 60001|K0041|UE|45.93||LARGE SIZE FOOTPLATE EACH 60001|K0042|NU|42.16||STANDARD SIZE FOOTPLATE EACH 60001|K0042|RR|4.21||STANDARD SIZE FOOTPLATE EACH 60001|K0042|UE|31.61||STANDARD SIZE FOOTPLATE EACH 60001|K0043|NU|22.59||FTRST LOWER EXTENSION TUBE 60001|K0043|RR|2.25||FTRST LOWER EXTENSION TUBE 60001|K0043|UE|16.97||FTRST LOWER EXTENSION TUBE 60001|K0044|NU|19.25||FTRST UPPER HANGER BRACKET 60001|K0044|RR|1.94||FTRST UPPER HANGER BRACKET 60001|K0044|UE|14.44||FTRST UPPER HANGER BRACKET 60001|K0045|NU|65.52||FOOTREST COMPLETE ASSEMBLY 60001|K0045|RR|6.76||FOOTREST COMPLETE ASSEMBLY 60001|K0045|UE|49.15||FOOTREST COMPLETE ASSEMBLY 60001|K0046|NU|22.59||ELEVAT LEGRST LOW EXTENSION 60001|K0046|RR|2.25||ELEVAT LEGRST LOW EXTENSION 60001|K0046|UE|16.97||ELEVAT LEGRST LOW EXTENSION 60001|K0047|NU|88.5||ELEVAT LEGRST UP HANGR BRACK 60001|K0047|RR|8.87||ELEVAT LEGRST UP HANGR BRACK 60001|K0047|UE|66.35||ELEVAT LEGRST UP HANGR BRACK 60001|K0050|NU|37.61||RATCHET ASSEMBLY 60001|K0050|RR|3.75||RATCHET ASSEMBLY 60001|K0050|UE|28.22||RATCHET ASSEMBLY 60001|K0051|NU|60.88||CAM RELESE ASSEM FTRST/LGRST 60001|K0051|RR|6.13||CAM RELESE ASSEM FTRST/LGRST 60001|K0051|UE|45.64||CAM RELESE ASSEM FTRST/LGRST 60001|K0052|NU|106.99||SWINGAWAY DETACH FOOTREST 60001|K0052|RR|10.69||SWINGAWAY DETACH FOOTREST 60001|K0052|UE|80.21||SWINGAWAY DETACH FOOTREST 60001|K0053|NU|118.05||ELEVATE FOOTREST ARTICULATE 60001|K0053|RR|11.79||ELEVATE FOOTREST ARTICULATE 60001|K0053|UE|88.54||ELEVATE FOOTREST ARTICULATE 60001|K0056|NU|127.69||SEAT HT <17 OR >=21 LTWT WC 60001|K0056|RR|12.78||SEAT HT <17 OR >=21 LTWT WC 60001|K0056|UE|95.8||SEAT HT <17 OR >=21 LTWT WC 60001|K0065|NU|59.69||SPOKE PROTECTORS 60001|K0065|RR|5.98||SPOKE PROTECTORS 60001|K0065|UE|44.76||SPOKE PROTECTORS 60001|K0069|NU|134.17||REAR WHL COMPLETE SOLID TIRE 60001|K0069|RR|13.98||REAR WHL COMPLETE SOLID TIRE 60001|K0069|UE|100.62||REAR WHL COMPLETE SOLID TIRE 60001|K0070|NU|245.93||REAR WHL COMPL PNEUM TIRE 60001|K0070|RR|24.61||REAR WHL COMPL PNEUM TIRE 60001|K0070|UE|184.45||REAR WHL COMPL PNEUM TIRE 60001|K0071|NU|146.69||FRONT CASTR COMPL PNEUM TIRE 60001|K0071|RR|14.69||FRONT CASTR COMPL PNEUM TIRE 60001|K0071|UE|109.99||FRONT CASTR COMPL PNEUM TIRE 60001|K0072|NU|88.3||FRNT CSTR CMPL SEM-PNEUM TIR 60001|K0072|RR|8.82||FRNT CSTR CMPL SEM-PNEUM TIR 60001|K0072|UE|66.22||FRNT CSTR CMPL SEM-PNEUM TIR 60001|K0073|NU|46.73||CASTER PIN LOCK EACH 60001|K0073|RR|4.68||CASTER PIN LOCK EACH 60001|K0073|UE|35.05||CASTER PIN LOCK EACH 60001|K0077|NU|79.01||FRONT CASTER ASSEM COMPLETE 60001|K0077|RR|7.89||FRONT CASTER ASSEM COMPLETE 60001|K0077|UE|59.25||FRONT CASTER ASSEM COMPLETE 60001|K0098|NU|31.5||DRIVE BELT POWER WHEELCHAIR 60001|K0098|RR|3.15||DRIVE BELT POWER WHEELCHAIR 60001|K0098|UE|23.59||DRIVE BELT POWER WHEELCHAIR 60001|K0105|NU|133.5||IV HANGER 60001|K0105|RR|13.34||IV HANGER 60001|K0105|UE|100.12||IV HANGER 60001|K0108|NU|115||W/C COMPONENT-ACCESSORY NOS 60001|K0195|RR|13.28||ELEVATING WHLCHAIR LEG RESTS 60001|K0455||344.98||PUMP UNINTERRUPTED INFUSION 60001|K0552||3.56||SUPPLY/EXT INF PUMP SYR TYPE 60001|K0553||313.89||COMBINATION ORAL/NASAL MASK 60001|K0554|NU|311.21||REPL ORAL CUSHION COMBO MASK 60001|K0554|RR|31.12||REPL ORAL CUSHION COMBO MASK 60001|K0601||1.49||REPL BATT SILVER OXIDE 1.5 V 60001|K0602||8.54||REPL BATT SILVER OXIDE 3 V 60001|K0603||0.76||REPL BATT ALKALINE 1.5 V 60001|K0604||8.16||REPL BATT LITHIUM 3.6 V 60001|K0605||19.6||REPL BATT LITHIUM 4.5 V 60001|K0606||3381.17||AED GARMENT W ELEC ANALYSIS 60001|K0607|NU|260.79||REPL BATT FOR AED 60001|K0607|RR|26.09||REPL BATT FOR AED 60001|K0607|UE|195.59||REPL BATT FOR AED 60001|K0608|NU|162.74||REPL GARMENT FOR AED 60001|K0608|RR|16.31||REPL GARMENT FOR AED 60001|K0608|UE|122.06||REPL GARMENT FOR AED 60001|K0609||1082.29||REPL ELECTRODE FOR AED 60001|K0609|KF|1201.62||REPL ELECTRODE FOR AED 60001|K0672||98.71||"REMOVE SOFT INTERFACE| REPL" 60001|K0730|NU|2314.76||CTRL DOSE INH DRUG DELIV SYS 60001|K0730|RR|231.47||CTRL DOSE INH DRUG DELIV SYS 60001|K0730|UE|1736.06||CTRL DOSE INH DRUG DELIV SYS 60001|K0733|NU|34.96||12-24HR SEALED LEAD ACID 60001|K0733|RR|3.52||12-24HR SEALED LEAD ACID 60001|K0733|UE|26.24||12-24HR SEALED LEAD ACID 60001|K0738||64.54||PORTABLE GAS OXYGEN SYSTEM 60001|K0739|NU|13.6||REPAIR/SVC DME NON-OXYGEN EQ 60001|K0800|NU|1032.99||POV GROUP 1 STD UP TO 300 LBS 60001|K0800|RR|103.3||POV GROUP 1 STD UP TO 300 LBS 60001|K0800|UE|1122.04||POV GROUP 1 STD UP TO 300 LBS 60001|K0801|NU|1856.6||POV GROUP 1 HD 301-450 LBS 60001|K0801|RR|185.66||POV GROUP 1 HD 301-450 LBS 60001|K0801|UE|1808.95||POV GROUP 1 HD 301-450 LBS 60001|K0802|NU|2729.55||POV GROUP 1 VHD 451-600 LBS 60001|K0802|RR|272.95||POV GROUP 1 VHD 451-600 LBS 60001|K0802|UE|2047.16||POV GROUP 1 VHD 451-600 LBS 60001|K0806|NU|1809.81||POV GROUP 2 STD UP TO 300LBS 60001|K0806|RR|180.97||POV GROUP 2 STD UP TO 300LBS 60001|K0806|UE|1357.36||POV GROUP 2 STD UP TO 300LBS 60001|K0807|NU|2746.19||POV GROUP 2 HD 301-450 LBS 60001|K0807|RR|274.62||POV GROUP 2 HD 301-450 LBS 60001|K0807|UE|2059.66||POV GROUP 2 HD 301-450 LBS 60001|K0808|NU|4248.94||POV GROUP 2 VHD 451-600 LBS 60001|K0808|RR|424.89||POV GROUP 2 VHD 451-600 LBS 60001|K0808|UE|3186.69||POV GROUP 2 VHD 451-600 LBS 60001|K0813||418.75||PWC GP 1 STD PORT SEAT/BACK 60001|K0814||536.05||PWC GP 1 STD PORT CAP CHAIR 60001|K0815||610.35||PWC GP 1 STD SEAT/BACK 60001|K0816||584.55||PWC GP 1 STD CAP CHAIR 60001|K0820||447.29||PWC GP 2 STD PORT SEAT/BACK 60001|K0821||574.17||PWC GP 2 STD PORT CAP CHAIR 60001|K0822|RR|366||PWC GP 2 STD SEAT/BACK 60001|K0822|NU|7463.75||PWC GP 2 STD SEAT/BACK 60001|K0822|UE|5597.81||PWC GP 2 STD SEAT/BACK 60001|K0823|RR|341.95||PWC GP 2 STD CAP CHAIR 60001|K0823|NU|7463.75||PWC GP 2 STD CAP CHAIR 60001|K0823|UE|5597.81||PWC GP 2 STD CAP CHAIR 60001|K0824|NU|7562.5||PWC GP 2 HD SEAT/BACK 60001|K0824|RR|756.25||PWC GP 2 HD SEAT/BACK 60001|K0824|UE|5671.87||PWC GP 2 HD SEAT/BACK 60001|K0825|NU|7562.5||PWC GP 2 HD CAP CHAIR 60001|K0825|RR|756.25||PWC GP 2 HD CAP CHAIR 60001|K0825|UE|5671.87||PWC GP 2 HD CAP CHAIR 60001|K0826||1088.29||PWC GP2 VHD SEAT/BACK 60001|K0827||925.36||PWC GP VHD CAP CHAIR 60001|K0828||1199.18||PWC GP 2 XTRA HD SEAT/BACK 60001|K0829||1101.2||PWC GP 2 XTRA HD CAP CHAIR 60001|K0835||704.31||PWC GP2 STD SING POW OPT S/B 60001|K0836||730.41||PWC GP2 STD SING POW OPT CAP 60001|K0837||840.61||PWC GP 2 HD SING POW OPT S/B 60001|K0838||752.01||PWC GP 2 HD SING POW OPT CAP 60001|K0839||1088.29||PWC GP2 VHD SING POW OPT S/B 60001|K0840||1648.74||PWC GP2 XHD SING POW OPT S/B 60001|K0841||749.66||PWC GP2 STD MULT POW OPT S/B 60001|K0842||749.66||PWC GP2 STD MULT POW OPT CAP 60001|K0843||902.57||PWC GP2 HD MULT POW OPT S/B 60001|K0848|NU|9493.75||PWC GP 3 STD SEAT/BACK 60001|K0848|RR|949.38||PWC GP 3 STD SEAT/BACK 60001|K0848|UE|7120.31||PWC GP 3 STD SEAT/BACK 60001|K0849|NU|9493.75||PWC GP 3 STD CAP CHAIR 60001|K0849|RR|949.38||PWC GP 3 STD CAP CHAIR 60001|K0849|UE|7120.31||PWC GP 3 STD CAP CHAIR 60001|K0850||1064.04||PWC GP 3 HD SEAT/BACK 60001|K0851||1023.06||PWC GP 3 HD CAP CHAIR 60001|K0852||1229.42||PWC GP 3 VHD SEAT/BACK 60001|K0853||1262.94||PWC GP 3 VHD CAP CHAIR 60001|K0854||1673.1||PWC GP 3 XHD SEAT/BACK 60001|K0855||1580.49||PWC GP 3 XHD CAP CHAIR 60001|K0856|NU|9493.75||PWC GP3 STD SING POW OPT S/B 60001|K0856|RR|949.38||PWC GP3 STD SING POW OPT S/B 60001|K0856|UE|7120.31||PWC GP3 STD SING POW OPT S/B 60001|K0857||1004.35||PWC GP3 STD SING POW OPT CAP 60001|K0858||1221.64||PWC GP3 HD SING POW OPT S/B 60001|K0859||1165.05||PWC GP3 HD SING POW OPT CAP 60001|K0860||1745.25||PWC GP3 VHD SING POW OPT S/B 60001|K0861|RR|127.04||PWC GP3 STD MULT POW OPT S/B 60001|K0861|UE|952.77||PWC GP3 STD MULT POW OPT S/B 60001|K0861|NU|1270.36||PWC GP3 STD MULT POW OPT S/B 60001|K0862||1221.64||PWC GP3 HD MULT POW OPT S/B 60001|K0863||1745.25||PWC GP3 VHD MULT POW OPT S/B 60001|K0864||2076.86||PWC GP3 XHD MULT POW OPT S/B 60001|K0901||1079.33||KNEE ORTHOSIS SNGL THIGH/CALF 60001|L0112||1629.3||CRANIAL CERVICAL ORTHOSIS 60001|L0113||331.99||CRANIAL CERVICAL TORTICOLLIS 60001|L0120||32.56||CERV FLEXIBLE NON-ADJUSTABLE 60001|L0120|NU|32.56||CERV FLEXIBLE NON-ADJUSTABLE 60001|L0130||235.5||FLEX THERMOPLASTIC COLLAR MO 60001|L0140||81.26||CERVICAL SEMI-RIGID ADJUSTAB 60001|L0150||135.51||CERV SEMI-RIG ADJ MOLDED CHN 60001|L0160||192.95||CERV SEMI-RIG WIRE OCC/MAND 60001|L0170||816.49||CERVICAL COLLAR MOLDED TO PT 60001|L0172||165.55||CERV COL THERMPLAS FOAM 2 PI 60001|L0172|NU|165.55||CERV COL THERMPLAS FOAM 2 PI 60001|L0174||297.4||CERV COL FOAM 2 PIECE W THOR 60001|L0180||404.46||CER POST COL OCC/MAN SUP ADJ 60001|L0180|NU|404.46||CER POST COL OCC/MAN SUP ADJ 60001|L0190||608.85||CERV COLLAR SUPP ADJ CERV BA 60001|L0200||559.06||CERV COL SUPP ADJ BAR & THOR 60001|L0220||132.59||THOR RIB BELT CUSTOM FABRICA 60001|L0430||1619.24||DEWALL POSTURE PROTECTOR 60001|L0450||218.89||TLSO FLEX PREFAB THORACIC 60001|L0452||0||TLSO FLEX CUSTOM FAB THORACI 60001|L0454||403.74||TLSO FLEX PREFAB SACROCOC-T9 60001|L0456||1157.8||TLSO FLEX PREFAB 60001|L0458||1038.2||TLSO 2MOD SYMPHIS-XIPHO PRE 60001|L0460||1168.57||TLSO2MOD SYMPHYSIS-STERN PRE 60001|L0462||1453.5||TLSO 3MOD SACRO-SCAP PRE 60001|L0464||1730.38||TLSO 4MOD SACRO-SCAP PRE 60001|L0466||444.94||TLSO RIGID FRAME PRE SOFT AP 60001|L0468||557.84||TLSO RIGID FRAME PREFAB PELV 60001|L0470||794.24||TLSO RIGID FRAME PRE SUBCLAV 60001|L0472||498.54||TLSO RIGID FRAME HYPEREX PRE 60001|L0480||1541.58||TLSO RIGID PLASTIC CUSTOM FA 60001|L0482||1767.21||TLSO RIGID LINED CUSTOM FAB 60001|L0484||2060.53||TLSO RIGID PLASTIC CUST FAB 60001|L0486||2041.2||TLSO RIGIDLINED CUST FAB TWO 60001|L0488||1168.57||TLSO RIGID LINED PRE ONE PIE 60001|L0490||329.29||TLSO RIGID PLASTIC PRE ONE 60001|L0491||894.01||TLSO 2 PIECE RIGID SHELL 60001|L0492||579.41||TLSO 3 PIECE RIGID SHELL 60001|L0621||103.8||SIO FLEX PELVISACRAL PREFAB 60001|L0622||281.46||SIO FLEX PELVISACRAL CUSTOM 60001|L0623||0||SIO PANEL PREFAB 60001|L0624||0||SIO PANEL CUSTOM 60001|L0625||64.15||LO FLEXIBL L1-BELOW L5 PRE 60001|L0625|NU|64.15||LO FLEXIBL L1-BELOW L5 PRE 60001|L0626||90.75||LO SAG STAYS/PANELS PRE-FAB 60001|L0626|NU|90.75||LO SAG STAYS/PANELS PRE-FAB 60001|L0627||478.53||LO SAGITT RIGID PANEL PREFAB 60001|L0627|NU|478.53||LO SAGITT RIGID PANEL PREFAB 60001|L0628||97.64||LO FLEX W/O RIGID STAYS PRE 60001|L0629||0||LSO FLEX W/RIGID STAYS CUST 60001|L0630||188.5||LSO POST RIGID PANEL PRE 60001|L0631||1195.04||LSO SAG-CORO RIGID FRAME PRE 60001|L0632||0||LSO SAG RIGID FRAME CUST 60001|L0633||333.81||LSO FLEXION CONTROL PREFAB 60001|L0634||0||LSO FLEXION CONTROL CUSTOM 60001|L0635||1237.87||LSO SAGIT RIGID PANEL PREFAB 60001|L0636||1826.55||LSO SAGITTAL RIGID PANEL CUS 60001|L0637||1584.77||LSO SAG-CORONAL PANEL PREFAB 60001|L0637|NU|1584.77||LSO SAG-CORONAL PANEL PREFAB 60001|L0638||1535.35||LSO SAG-CORONAL PANEL CUSTOM 60001|L0639||1584.77||LSO S/C SHELL/PANEL PREFAB 60001|L0640||1218.12||LSO S/C SHELL/PANEL CUSTOM 60001|L0642||352.61||LO SAG RI AN/POS PNL PRE OTS 60001|L0650||1660.55||LSO SC R ANT/POS PNL PRE OTS 60001|L0700||2506.35||CTLSO A-P-L CONTROL MOLDED 60001|L0710||2735.85||CTLSO A-P-L CONTROL W/ INTER 60001|L0810||2906.42||HALO CERVICAL INTO JCKT VEST 60001|L0820||2351.17||HALO CERVICAL INTO BODY JACK 60001|L0830||3394.85||HALO CERV INTO MILWAUKEE TYP 60001|L0859||1318.87||MRI COMPATIBLE SYSTEM 60001|L0861||250.9||HALO REPL LINER/INTERFACE 60001|L0970||123.74||TLSO CORSET FRONT 60001|L0972||126.48||LSO CORSET FRONT 60001|L0974||258.44||TLSO FULL CORSET 60001|L0976||230.81||LSO FULL CORSET 60001|L0978||208.4||AXILLARY CRUTCH EXTENSION 60001|L0980||18.9||PERONEAL STRAPS PAIR 60001|L0982||20.6||STOCKING SUPP GRIPS SET OF F 60001|L0984||65.74||PROTECTIVE BODY SOCK EACH 60001|L1000||2197.96||CTLSO MILWAUKE INITIAL MODEL 60001|L1001||0||CTLSO INFANT IMMOBILIZER 60001|L1005||3725.9||TENSION BASED SCOLIOSIS ORTH 60001|L1010||88.51||CTLSO AXILLA SLING 60001|L1020||120.94||KYPHOSIS PAD 60001|L1025||137.45||KYPHOSIS PAD FLOATING 60001|L1030||91.82||LUMBAR BOLSTER PAD 60001|L1040||110.52||LUMBAR OR LUMBAR RIB PAD 60001|L1050||95.7||STERNAL PAD 60001|L1060||107.95||THORACIC PAD 60001|L1070||110.35||TRAPEZIUS SLING 60001|L1080||76.48||OUTRIGGER 60001|L1085||212.44||OUTRIGGER BIL W/ VERT EXTENS 60001|L1090||99.24||LUMBAR SLING 60001|L1100||175.17||RING FLANGE PLASTIC/LEATHER 60001|L1110||296.71||RING FLANGE PLAS/LEATHER MOL 60001|L1120||47.27||COVERS FOR UPRIGHT EACH 60001|L1200||1881.45||FURNSH INITIAL ORTHOSIS ONLY 60001|L1210||283.27||LATERAL THORACIC EXTENSION 60001|L1220||239.85||ANTERIOR THORACIC EXTENSION 60001|L1230||615.41||MILWAUKEE TYPE SUPERSTRUCTUR 60001|L1240||105.91||LUMBAR DEROTATION PAD 60001|L1250||104.29||ANTERIOR ASIS PAD 60001|L1260||107.16||ANTERIOR THORACIC DEROTATION 60001|L1270||107.04||ABDOMINAL PAD 60001|L1280||95.41||RIB GUSSET (ELASTIC) EACH 60001|L1290||108.19||LATERAL TROCHANTERIC PAD 60001|L1300||1808.44||BODY JACKET MOLD TO PATIENT 60001|L1310||1860.87||POST-OPERATIVE BODY JACKET 60001|L1600||139.51||ABDUCT HIP FLEX FREJKA W CVR 60001|L1610||47.53||ABDUCT HIP FLEX FREJKA COVR 60001|L1620||156.51||ABDUCT HIP FLEX PAVLIK HARNE 60001|L1630||186.76||ABDUCT CONTROL HIP SEMI-FLEX 60001|L1640||499.55||PELV BAND/SPREAD BAR THIGH C 60001|L1650||264.91||HO ABDUCTION HIP ADJUSTABLE 60001|L1652||414.98||HO BI THIGHCUFFS W SPRDR BAR 60001|L1660||185.28||HO ABDUCTION STATIC PLASTIC 60001|L1680||1523.22||PELVIC & HIP CONTROL THIGH C 60001|L1685||1607.25||POST-OP HIP ABDUCT CUSTOM FA 60001|L1686||1078.26||HO POST-OP HIP ABDUCTION 60001|L1690||2251.1||COMBINATION BILATERAL HO 60001|L1700||1872.76||LEG PERTHES ORTH TORONTO TYP 60001|L1710||2201.33||LEGG PERTHES ORTH NEWINGTON 60001|L1720||1626.13||LEGG PERTHES ORTHOSIS TRILAT 60001|L1730||1226.88||LEGG PERTHES ORTH SCOTTISH R 60001|L1755||1785.72||LEGG PERTHES PATTEN BOTTOM T 60001|L1810||140.94||KO ELASTIC WITH JOINTS 60001|L1810|NU|140.94||KO ELASTIC WITH JOINTS 60001|L1812||140.94||KO ELASTIC W/JOINTS PRE OTS 60001|L1812|KX|140.94||KO ELASTIC W/JOINTS PRE OTS 60001|L1812|NU|140.94||KO ELASTIC W/JOINTS PRE OTS 60001|L1820||140.38||KO ELAS W/ CONDYLE PADS & JO 60001|L1830||117.43||KO IMMOBILIZER CANVAS LONGIT 60001|L1831||342.6||KNEE ORTH POS LOCKING JOINT 60001|L1832||877.6||KO ADJ JNT POS RIGID SUPPORT 60001|L1832|NU|877.6||KO ADJ JNT POS RIGID SUPPORT 60001|L1833||714.77||KO ADJ JNT POS R SUP PRE OTS 60001|L1833|NU|714.77||KO ADJ JNT POS R SUP PRE OTS 60001|L1834||1032.46||KO W/0 JOINT RIGID MOLDED TO 60001|L1836||155.31||RIGID KO WO JOINTS 60001|L1840||1085.3||KO DEROT ANT CRUCIATE CUSTOM 60001|L1843||1044.5||KO SINGLE UPRIGHT CUSTOM FIT 60001|L1844||1809.89||KO W/ADJ JT ROT CNTRL MOLDED 60001|L1845||1090.37||KO W/ ADJ FLEX/EXT ROTAT CUS 60001|L1846||1383.49||KO W ADJ FLEX/EXT ROTAT MOLD 60001|L1847||669.56||KO ADJUSTABLE W AIR CHAMBERS 60001|L1850||311.63||KO SWEDISH TYPE 60001|L1860||1208.65||KO SUPRACONDYLAR SOCKET MOLD 60001|L1900||327.43||AFO SPRNG WIR DRSFLX CALF BD 60001|L1902||88.92||AFO ANKLE GAUNTLET 60001|L1902|NU|88.92||AFO ANKLE GAUNTLET 60001|L1904||509.1||AFO MOLDED ANKLE GAUNTLET 60001|L1906||148.76||AFO MULTILIGAMENTUS ANKLE SU 60001|L1907||655.04||AFO SUPRAMALLEOLAR CUSTOM 60001|L1910||289.51||AFO SING BAR CLASP ATTACH SH 60001|L1920||378.47||AFO SING UPRIGHT W/ ADJUST S 60001|L1930||256.11||AFO PLASTIC 60001|L1932||1038.79||AFO RIG ANT TIB PREFAB TCF/= 60001|L1940||578.76||AFO MOLDED TO PATIENT PLASTI 60001|L1945||1062.86||AFO MOLDED PLAS RIG ANT TIB 60001|L1950||806.37||AFO SPIRAL MOLDED TO PT PLAS 60001|L1951||977.65||AFO SPIRAL PREFABRICATED 60001|L1960||600.07||AFO POS SOLID ANK PLASTIC MO 60001|L1970||887.55||AFO PLASTIC MOLDED W/ANKLE J 60001|L1971||545.64||"AFO W/ANKLE JOINT| PREFAB" 60001|L1980||397.32||AFO SING SOLID STIRRUP CALF 60001|L1990||510.5||AFO DOUB SOLID STIRRUP CALF 60001|L2000||1098.09||KAFO SING FRE STIRR THI/CALF 60001|L2005||4770.19||KAFO SNG/DBL MECHANICAL ACT 60001|L2010||1001||KAFO SNG SOLID STIRRUP W/O J 60001|L2020||1264.11||KAFO DBL SOLID STIRRUP BAND/ 60001|L2030||1096.74||KAFO DBL SOLID STIRRUP W/O J 60001|L2034||2390.26||KAFO PLA SIN UP W/WO K/A CUS 60001|L2035||201.66||KAFO PLASTIC PEDIATRIC SIZE 60001|L2036||2008.6||KAFO PLAS DOUB FREE KNEE MOL 60001|L2037||1851.04||KAFO PLAS SING FREE KNEE MOL 60001|L2038||1547.85||KAFO W/O JOINT MULTI-AXIS AN 60001|L2040||197.71||HKAFO TORSION BIL ROT STRAPS 60001|L2050||526.54||HKAFO TORSION CABLE HIP PELV 60001|L2060||675.77||HKAFO TORSION BALL BEARING J 60001|L2070||194.13||HKAFO TORSION UNILAT ROT STR 60001|L2080||413.99||HKAFO UNILAT TORSION CABLE 60001|L2090||510.29||HKAFO UNILAT TORSION BALL BR 60001|L2106||736.09||AFO TIB FX CAST PLASTER MOLD 60001|L2108||1156.73||AFO TIB FX CAST MOLDED TO PT 60001|L2112||549.23||AFO TIBIAL FRACTURE SOFT 60001|L2114||628.39||AFO TIB FX SEMI-RIGID 60001|L2116||827.91||AFO TIBIAL FRACTURE RIGID 60001|L2126||1473.06||KAFO FEM FX CAST THERMOPLAS 60001|L2128||1856.39||KAFO FEM FX CAST MOLDED TO P 60001|L2132||873.32||KAFO FEMORAL FX CAST SOFT 60001|L2134||1047.07||KAFO FEM FX CAST SEMI-RIGID 60001|L2136||1280.3||KAFO FEMORAL FX CAST RIGID 60001|L2180||126.79||PLAS SHOE INSERT W ANK JOINT 60001|L2182||99.22||DROP LOCK KNEE 60001|L2184||178.81||LIMITED MOTION KNEE JOINT 60001|L2186||198.15||ADJ MOTION KNEE JNT LERMAN T 60001|L2188||432.31||QUADRILATERAL BRIM 60001|L2190||112.29||WAIST BELT 60001|L2192||386.01||PELVIC BAND & BELT THIGH FLA 60001|L2200||51.48||LIMITED ANKLE MOTION EA JNT 60001|L2210||83.54||DORSIFLEXION ASSIST EACH JOI 60001|L2220||95.91||DORSI & PLANTAR FLEX ASS/RES 60001|L2230||83.07||SPLIT FLAT CALIPER STIRR & P 60001|L2232||112.46||"ROCKER BOTTOM| CONTACT AFO" 60001|L2240||90.54||ROUND CALIPER AND PLATE ATTA 60001|L2250||384.69||FOOT PLATE MOLDED STIRRUP AT 60001|L2260||217.02||REINFORCED SOLID STIRRUP 60001|L2265||127.5||LONG TONGUE STIRRUP 60001|L2270||58.14||VARUS/VALGUS STRAP PADDED/LI 60001|L2275||141.46||PLASTIC MOD LOW EXT PAD/LINE 60001|L2280||525.55||MOLDED INNER BOOT 60001|L2300||296.66||ABDUCTION BAR JOINTED ADJUST 60001|L2310||133.19||ABDUCTION BAR-STRAIGHT 60001|L2320||222.75||NON-MOLDED LACER 60001|L2330||425.1||LACER MOLDED TO PATIENT MODE 60001|L2335||250.07||ANTERIOR SWING BAND 60001|L2340||590.11||PRE-TIBIAL SHELL MOLDED TO P 60001|L2350||964.66||PROSTHETIC TYPE SOCKET MOLDE 60001|L2360||56.01||EXTENDED STEEL SHANK 60001|L2370||277.91||PATTEN BOTTOM 60001|L2375||122.33||TORSION ANK & HALF SOLID STI 60001|L2380||133.28||TORSION STRAIGHT KNEE JOINT 60001|L2385||145.01||STRAIGHT KNEE JOINT HEAVY DU 60001|L2387||196.8||ADD LE POLY KNEE CUSTOM KAFO 60001|L2390||118.51||OFFSET KNEE JOINT EACH 60001|L2395||180.94||OFFSET KNEE JOINT HEAVY DUTY 60001|L2397||126.89||SUSPENSION SLEEVE LOWER EXT 60001|L2405||101.5||KNEE JOINT DROP LOCK EA JNT 60001|L2415||141.41||KNEE JOINT CAM LOCK EACH JOI 60001|L2425||166.85||KNEE DISC/DIAL LOCK/ADJ FLEX 60001|L2430||166.85||KNEE JNT RATCHET LOCK EA JNT 60001|L2492||110.4||KNEE LIFT LOOP DROP LOCK RIN 60001|L2500||341.54||THI/GLUT/ISCHIA WGT BEARING 60001|L2510||914.44||TH/WGHT BEAR QUAD-LAT BRIM M 60001|L2520||498.74||TH/WGHT BEAR QUAD-LAT BRIM C 60001|L2525||1711.06||TH/WGHT BEAR NAR M-L BRIM MO 60001|L2526||922.28||TH/WGHT BEAR NAR M-L BRIM CU 60001|L2530||254.38||THIGH/WGHT BEAR LACER NON-MO 60001|L2540||457.71||THIGH/WGHT BEAR LACER MOLDED 60001|L2550||310.93||THIGH/WGHT BEAR HIGH ROLL CU 60001|L2570||687.55||HIP CLEVIS TYPE 2 POSIT JNT 60001|L2580||651.75||PELVIC CONTROL PELVIC SLING 60001|L2600||222.34||HIP CLEVIS/THRUST BEARING FR 60001|L2610||262.91||HIP CLEVIS/THRUST BEARING LO 60001|L2620||289.46||PELVIC CONTROL HIP HEAVY DUT 60001|L2622||332||HIP JOINT ADJUSTABLE FLEXION 60001|L2624||451.34||HIP ADJ FLEX EXT ABDUCT CONT 60001|L2627||1859.49||PLASTIC MOLD RECIPRO HIP & C 60001|L2628||2184.3||METAL FRAME RECIPRO HIP & CA 60001|L2630||268.08||PELVIC CONTROL BAND & BELT U 60001|L2640||363.81||PELVIC CONTROL BAND & BELT B 60001|L2650||129.91||PELV & THOR CONTROL GLUTEAL 60001|L2660||201.77||THORACIC CONTROL THORACIC BA 60001|L2670||184.68||THORAC CONT PARASPINAL UPRIG 60001|L2680||169.41||THORAC CONT LAT SUPPORT UPRI 60001|L2750||90.49||PLATING CHROME/NICKEL PR BAR 60001|L2755||152.14||CARBON GRAPHITE LAMINATION 60001|L2760||65.77||EXTENSION PER EXTENSION PER 60001|L2768||151.7||ORTHO SIDEBAR DISCONNECT 60001|L2780||77.81||NON-CORROSIVE FINISH 60001|L2785||45.75||DROP LOCK RETAINER EACH 60001|L2795||91.99||KNEE CONTROL FULL KNEECAP 60001|L2800||115.47||KNEE CAP MEDIAL OR LATERAL P 60001|L2810||84.56||KNEE CONTROL CONDYLAR PAD 60001|L2820||94.01||SOFT INTERFACE BELOW KNEE SE 60001|L2830||105.73||SOFT INTERFACE ABOVE KNEE SE 60001|L2840||59||TIBIAL LENGTH SOCK FX OR EQU 60001|L2850||67.04||FEMORAL LGTH SOCK FX OR EQUA 60001|L3000||365.69||FT INSERT UCB BERKELEY SHELL 60001|L3001||153.95||FOOT INSERT REMOV MOLDED SPE 60001|L3002||188.01||FOOT INSERT PLASTAZOTE OR EQ 60001|L3003||202.81||FOOT INSERT SILICONE GEL EAC 60001|L3010||202.81||FOOT LONGITUDINAL ARCH SUPPO 60001|L3020||230.96||FOOT LONGITUD/METATARSAL SUP 60001|L3030||88.84||FOOT ARCH SUPPORT REMOV PREM 60001|L3031||0||FOOT LAMIN/PREPREG COMPOSITE 60001|L3040||54.79||FT ARCH SUPRT PREMOLD LONGIT 60001|L3050||54.79||FOOT ARCH SUPP PREMOLD METAT 60001|L3060||85.86||FOOT ARCH SUPP LONGITUD/META 60001|L3070||37.01||ARCH SUPRT ATT TO SHO LONGIT 60001|L3080||37.01||ARCH SUPP ATT TO SHOE METATA 60001|L3090||47.4||ARCH SUPP ATT TO SHOE LONG/M 60001|L3100||50.31||HALLUS-VALGUS NGHT DYNAMIC S 60001|L3140||103.64||ABDUCTION ROTATION BAR SHOE 60001|L3150||94.76||ABDUCT ROTATION BAR W/O SHOE 60001|L3170||59.24||FOOT PLASTIC HEEL STABILIZER 60001|L3203||31.63||OXFORD W/ SUPINATOR/PRONATOR 60001|L3224||63.66||WOMAN'S SHOE OXFORD BRACE 60001|L3225||73.24||MAN'S SHOE OXFORD BRACE 60001|L3260||15.97||AMBULATORY SURGICAL BOOT EAC 60001|L3300||60.69||SHO LIFT TAPER TO METATARSAL 60001|L3310||94.76||SHOE LIFT ELEV HEEL/SOLE NEO 60001|L3330||658.8||LIFTS ELEVATION METAL EXTENS 60001|L3332||85.86||SHOE LIFTS TAPERED TO ONE-HA 60001|L3334||44.41||SHOE LIFTS ELEVATION HEEL /I 60001|L3334|NU|44.41||SHOE LIFTS ELEVATION HEEL /I 60001|L3340||99.22||SHOE WEDGE SACH 60001|L3350||26.62||SHOE HEEL WEDGE 60001|L3360||41.45||SHOE SOLE WEDGE OUTSIDE SOLE 60001|L3370||57.74||SHOE SOLE WEDGE BETWEEN SOLE 60001|L3380||57.74||SHOE CLUBFOOT WEDGE 60001|L3390||57.74||SHOE OUTFLARE WEDGE 60001|L3400||47.4||SHOE METATARSAL BAR WEDGE RO 60001|L3410||108.11||SHOE METATARSAL BAR BETWEEN 60001|L3420||63.64||FULL SOLE/HEEL WEDGE BTWEEN 60001|L3430||186.55||SHO HEEL COUNT PLAST REINFOR 60001|L3440||88.84||HEEL LEATHER REINFORCED 60001|L3450||122.85||SHOE HEEL SACH CUSHION TYPE 60001|L3455||47.4||SHOE HEEL NEW LEATHER STANDA 60001|L3460||39.95||SHOE HEEL NEW RUBBER STANDAR 60001|L3465||68.1||SHOE HEEL THOMAS WITH WEDGE 60001|L3470||72.53||SHOE HEEL THOMAS EXTEND TO B 60001|L3480||72.53||SHOE HEEL PAD & DEPRESS FOR 60001|L3500||34.08||ORTHO SHOE ADD LEATHER INSOL 60001|L3510||34.08||ORTHOPEDIC SHOE ADD RUB INSL 60001|L3520||37.01||O SHOE ADD FELT W LEATH INSL 60001|L3530||37.01||ORTHO SHOE ADD HALF SOLE 60001|L3540||59.24||ORTHO SHOE ADD FULL SOLE 60001|L3550||10.38||O SHOE ADD STANDARD TOE TAP 60001|L3560||26.62||O SHOE ADD HORSESHOE TOE TAP 60001|L3570||99.22||O SHOE ADD INSTEP EXTENSION 60001|L3580||75.5||O SHOE ADD INSTEP VELCRO CLO 60001|L3590||62.19||O SHOE CONVERT TO SOF COUNTE 60001|L3595||48.85||ORTHO SHOE ADD MARCH BAR 60001|L3600||88.84||TRANS SHOE CALIP PLATE EXIST 60001|L3610||116.96||TRANS SHOE CALIPER PLATE NEW 60001|L3620||88.84||TRANS SHOE SOLID STIRRUP EXI 60001|L3630||116.96||TRANS SHOE SOLID STIRRUP NEW 60001|L3640||50.31||SHOE DENNIS BROWNE SPLINT BO 60001|L3650||63.41||SHLDER FIG 8 ABDUCT RESTRAIN 60001|L3650|NU|50.31||SHLDER FIG 8 ABDUCT RESTRAIN 60001|L3660||108.89||ABDUCT RESTRAINER CANVAS&WEB 60001|L3670||151.77||ACROMIO/CLAVICULAR CANVAS&WE 60001|L3670|NU|151.77||ACROMIO/CLAVICULAR CANVAS&WE 60001|L3671||954.6||SO CAP DESIGN W/O JNTS CF 60001|L3674||1252.3||SO AIRPLANE W/WO JOINT CF 60001|L3675||185.93||CANVAS VEST SO 60001|L3702||305.91||EO W/O JOINTS CF 60001|L3702|NU|305.91||EO W/O JOINTS CF 60001|L3710||153.6||ELBOW ELASTIC WITH METAL JOI 60001|L3720||766.34||FOREARM/ARM CUFFS FREE MOTIO 60001|L3730||1008.79||FOREARM/ARM CUFFS EXT/FLEX A 60001|L3740||1133.71||CUFFS ADJ LOCK W/ ACTIVE CON 60001|L3760||529.81||"EO WITHJOINT| PREFABRICATED" 60001|L3761||555.14||"EO| ADJ LOCK JOINT PREFAB OFF" 60001|L3762||113.92||RIGID EO WO JOINTS 60001|L3762|NU|113.92||RIGID EO WO JOINTS 60001|L3763||841.14||EWHO RIGID W/O JNTS CF 60001|L3764||838.86||EWHO W/JOINT(S) CF 60001|L3765||1358.46||EWHFO RIGID W/O JNTS CF 60001|L3766||1438.52||EWHFO W/JOINT(S) CF 60001|L3806||481.24||WHFO W/JOINT(S) CUSTOM FAB 60001|L3807||264.91||"WHFO|NO JOINT| PREFABRICATED" 60001|L3807|NU|264.91||"WHFO|NO JOINT| PREFABRICATED" 60001|L3808||353.88||"WHFO| RIGID W/O JOINTS" 60001|L3809||219.01||WHFO W/O JOINTS PRE OTS 60001|L3900||1655.03||HINGE EXTENSION/FLEX WRIST/F 60001|L3901||1855.72||HINGE EXT/FLEX WRIST FINGER 60001|L3904||3777.74||WHFO ELECTRIC CUSTOM FITTED 60001|L3905||1050.64||WHO W/NONTORSION JNT(S) CF 60001|L3906||446.93||WHO W/O JOINTS CF 60001|L3908||63.5||WRIST COCK-UP NON-MOLDED 60001|L3908|NU|63.5||WRIST COCK-UP NON-MOLDED 60001|L3912||101.82||FLEX GLOVE W/ELASTIC FINGER 60001|L3913||286.95||HFO W/O JOINTS CF 60001|L3915||563.18||WHO W NONTOR JNT(S) PREFAB 60001|L3917||111.91||PREFAB METACARPL FX ORTHOSIS 60001|L3919||286.95||HO W/O JOINTS CF 60001|L3921||340.28||HFO W/JOINT(S) CF 60001|L3923||92.15||HFO W/O JOINTS PF 60001|L3923|NU|92.15||HFO W/O JOINTS PF 60001|L3924|NU|76.18||OPPENHEIMER 60001|L3925||55.97||FO PIP/DIP WITH JOINT/SPRING 60001|L3927||37.07||FO PIP/DIP W/O JOINT/SPRING 60001|L3929||89.19||"HFO NONTORSION JOINT| PREFAB" 60001|L3931||215.75||WHFO NONTORSION JOINT PREFAB 60001|L3933||226.06||FO W/O JOINTS CF 60001|L3935||234.07||FO NONTORSION JOINT CF 60001|L3956||0||ADD JOINT UPPER EXT ORTHOSIS 60001|L3960||873.27||SEWHO AIRPLAN DESIG ABDU POS 60001|L3961||1779.99||SEWHO CAP DESIGN W/O JNTS CF 60001|L3962||909.27||SEWHO ERBS PALSEY DESIGN ABD 60001|L3967||2101.55||SEWHO AIRPLANE W/O JNTS CF 60001|L3971||1994.82||SEWHO CAP DESIGN W/JNT(S) CF 60001|L3973||2101.55||SEWHO AIRPLANE W/JNT(S) CF 60001|L3975||1779.99||SEWHFO CAP DESIGN W/O JNT CF 60001|L3976||1779.99||SEWHFO AIRPLANE W/O JNTS CF 60001|L3977||1994.82||SEWHFO CAP DESGN W/JNT(S) CF 60001|L3978||2101.55||SEWHFO AIRPLANE W/JNT(S) CF 60001|L3980||327.5||UPP EXT FX ORTHOSIS HUMERAL 60001|L3980|NU|327.5||UPP EXT FX ORTHOSIS HUMERAL 60001|L3982||404.64||UPPER EXT FX ORTHOSIS RAD/UL 60001|L3984||431.91||UPPER EXT FX ORTHOSIS WRIST 60001|L3995||36.25||SOCK FRACTURE OR EQUAL EACH 60001|L3995|NU|36.25||SOCK FRACTURE OR EQUAL EACH 60001|L4000||1412.31||REPL GIRDLE MILWAUKEE ORTH 60001|L4002||0||"REPLACE STRAP| ANY ORTHOSIS" 60001|L4010||794.76||REPLACE TRILATERAL SOCKET BR 60001|L4020||992.72||REPLACE QUADLAT SOCKET BRIM 60001|L4030||546.6||REPLACE SOCKET BRIM CUST FIT 60001|L4040||441.91||REPLACE MOLDED THIGH LACER 60001|L4045||355.13||REPLACE NON-MOLDED THIGH LAC 60001|L4050||446.95||REPLACE MOLDED CALF LACER 60001|L4055||289.41||REPLACE NON-MOLDED CALF LACE 60001|L4060||344.05||REPLACE HIGH ROLL CUFF 60001|L4070||328.25||REPLACE PROX & DIST UPRIGHT 60001|L4080||115.73||REPL MET BAND KAFO-AFO PROX 60001|L4090||102.43||REPL MET BAND KAFO-AFO CALF/ 60001|L4100||115.52||REPL LEATH CUFF KAFO PROX TH 60001|L4110||91.8||REPL LEATH CUFF KAFO-AFO CAL 60001|L4130||631.88||REPLACE PRETIBIAL SHELL 60001|L4350||113.84||ANKLE CONTROL ORTHOSI PREFAB 60001|L4350|NU|113.84||ANKLE CONTROL ORTHOSI PREFAB 60001|L4360||318.49||PNEUMATI WALKING BOOT PREFAB 60001|L4360|NU|318.49||PNEUMATI WALKING BOOT PREFAB 60001|L4361||318.49||PNEUMA/VAC WALK BOOT PRE OTS 60001|L4361|NU|318.49||PNEUMA/VAC WALK BOOT PRE OTS 60001|L4370||204.39||PNEUMATIC FULL LEG SPLINT 60001|L4386||184.58||NON-PNEUM WALK BOOT PREFAB 60001|L4386|NU|184.58||NON-PNEUM WALK BOOT PREFAB 60001|L4387||151.97||NON-PNEUM WALK BOOT PRE OTS 60001|L4392||27.41||REPLACE AFO SOFT INTERFACE 60001|L4394||20.01||REPLACE FOOT DROP SPINT 60001|L4396||195.39||STATIC AFO 60001|L4396|NU|195.39||STATIC AFO 60001|L4397||161.53||STATIC OR DYNAMI AFO PRE OTS 60001|L4397|NU|161.53||STATIC OR DYNAMI AFO PRE OTS 60001|L4398||89.91||FOOT DROP SPLINT RECUMBENT 60001|L4631||1737.21||"AFO| WALK BOOT TYPE| CUS FAB" 60001|L5000||610.39||SHO INSERT W ARCH TOE FILLER 60001|L5010||1474.24||MOLD SOCKET ANK HGT W/ TOE F 60001|L5020||2503.61||TIBIAL TUBERCLE HGT W/ TOE F 60001|L5050||2769.46||ANK SYMES MOLD SCKT SACH FT 60001|L5060||3185.68||SYMES MET FR LEATH SOCKET AR 60001|L5100||2775.57||MOLDED SOCKET SHIN SACH FOOT 60001|L5105||4006.82||PLAST SOCKET JTS/THGH LACER 60001|L5150||4050.35||MOLD SCKT EXT KNEE SHIN SACH 60001|L5160||4405.49||MOLD SOCKET BENT KNEE SHIN S 60001|L5200||4218.88||KNE SING AXIS FRIC SHIN SACH 60001|L5210||2798.8||NO KNEE/ANKLE JOINTS W/ FT B 60001|L5220||3181.35||NO KNEE JOINT WITH ARTIC ALI 60001|L5230||4387.7||FEM FOCAL DEFIC CONSTANT FRI 60001|L5250||5984.43||HIP CANAD SING AXI CONS FRIC 60001|L5270||5957.87||TILT TABLE LOCKING HIP SING 60001|L5280||5912.25||HEMIPELVECT CANAD SING AXIS 60001|L5301||3172.65||BK MOLD SOCKET SACH FT ENDO 60001|L5312||4541.42||"KNEE DISART| SACH FT| ENDO" 60001|L5321||4598.84||AK OPEN END SACH 60001|L5331||5859.85||HIP DISART CANADIAN SACH FT 60001|L5341||6100.13||HEMIPELVECTOMY CANADIAN SACH 60001|L5400||1570.72||POSTOP DRESS & 1 CAST CHG BK 60001|L5410||481.9||POSTOP DSG BK EA ADD CAST CH 60001|L5420||1924.88||POSTOP DSG & 1 CAST CHG AK/D 60001|L5430||580.4||POSTOP DSG AK EA ADD CAST CH 60001|L5450||472.17||POSTOP APP NON-WGT BEAR DSG 60001|L5460||629.09||POSTOP APP NON-WGT BEAR DSG 60001|L5500||1481.34||INIT BK PTB PLASTER DIRECT 60001|L5505||2048.72||INIT AK ISCHAL PLSTR DIRECT 60001|L5510||1679.19||PREP BK PTB PLASTER MOLDED 60001|L5520||1658.64||PERP BK PTB THERMOPLS DIRECT 60001|L5530||1992.19||PREP BK PTB THERMOPLS MOLDED 60001|L5535||1955.92||PREP BK PTB OPEN END SOCKET 60001|L5540||2087.6||PREP BK PTB LAMINATED SOCKET 60001|L5560||2241.71||PREP AK ISCHIAL PLAST MOLDED 60001|L5570||2330.59||PREP AK ISCHIAL DIRECT FORM 60001|L5580||2720.8||PREP AK ISCHIAL THERMO MOLD 60001|L5585||3348.37||PREP AK ISCHIAL OPEN END 60001|L5590||2772.67||PREP AK ISCHIAL LAMINATED 60001|L5595||4898.31||HIP DISARTIC SACH THERMOPLS 60001|L5600||5265.45||HIP DISART SACH LAMINAT MOLD 60001|L5610||2387.96||ABOVE KNEE HYDRACADENCE 60001|L5611||1858.31||AK 4 BAR LINK W/FRIC SWING 60001|L5613||2905.41||AK 4 BAR LING W/HYDRAUL SWIG 60001|L5614||1968.21||4-BAR LINK ABOVE KNEE W/SWNG 60001|L5616||1570.06||AK UNIV MULTIPLEX SYS FRICT 60001|L5617||652.6||AK/BK SELF-ALIGNING UNIT EA 60001|L5618||345.24||TEST SOCKET SYMES 60001|L5620||320.66||TEST SOCKET BELOW KNEE 60001|L5622||418.14||TEST SOCKET KNEE DISARTICULA 60001|L5624||419.32||TEST SOCKET ABOVE KNEE 60001|L5626||549.91||TEST SOCKET HIP DISARTICULAT 60001|L5628||588.01||TEST SOCKET HEMIPELVECTOMY 60001|L5629||366.54||BELOW KNEE ACRYLIC SOCKET 60001|L5630||517.64||SYME TYP EXPANDABL WALL SCKT 60001|L5631||506.78||AK/KNEE DISARTIC ACRYLIC SOC 60001|L5632||282.84||SYMES TYPE PTB BRIM DESIGN S 60001|L5634||350.85||SYMES TYPE POSTER OPENING SO 60001|L5636||293.89||SYMES TYPE MEDIAL OPENING SO 60001|L5637||333.2||BELOW KNEE TOTAL CONTACT 60001|L5638||580.44||BELOW KNEE LEATHER SOCKET 60001|L5639||1293.16||BELOW KNEE WOOD SOCKET 60001|L5640||737.51||KNEE DISARTICULAT LEATHER SO 60001|L5642||714.6||ABOVE KNEE LEATHER SOCKET 60001|L5643||1795.19||HIP FLEX INNER SOCKET EXT FR 60001|L5644||681.24||ABOVE KNEE WOOD SOCKET 60001|L5645||920.29||BK FLEX INNER SOCKET EXT FRA 60001|L5646||631.95||BELOW KNEE CUSHION SOCKET 60001|L5647||917.47||BELOW KNEE SUCTION SOCKET 60001|L5648||759.36||ABOVE KNEE CUSHION SOCKET 60001|L5649||2751.6||ISCH CONTAINMT/NARROW M-L SO 60001|L5650||563.06||TOT CONTACT AK/KNEE DISART S 60001|L5651||1385.12||AK FLEX INNER SOCKET EXT FRA 60001|L5652||502.85||SUCTION SUSP AK/KNEE DISART 60001|L5653||671.26||KNEE DISART EXPAND WALL SOCK 60001|L5654||382.51||SOCKET INSERT SYMES 60001|L5655||324.16||SOCKET INSERT BELOW KNEE 60001|L5656||434.85||SOCKET INSERT KNEE ARTICULAT 60001|L5658||419.38||SOCKET INSERT ABOVE KNEE 60001|L5661||701.89||MULTI-DUROMETER SYMES 60001|L5665||590.56||MULTI-DUROMETER BELOW KNEE 60001|L5666||80.74||BELOW KNEE CUFF SUSPENSION 60001|L5668||130.23||SOCKET INSERT W/O LOCK LOWER 60001|L5670||312.98||BK MOLDED SUPRACONDYLAR SUSP 60001|L5671||663.23||BK/AK LOCKING MECHANISM 60001|L5672||343.93||BK REMOVABLE MEDIAL BRIM SUS 60001|L5673||820.12||SOCKET INSERT W LOCK MECH 60001|L5676||417.96||BK KNEE JOINTS SINGLE AXIS P 60001|L5677||568.69||BK KNEE JOINTS POLYCENTRIC P 60001|L5678||45.8||BK JOINT COVERS PAIR 60001|L5679||683.41||SOCKET INSERT W/O LOCK MECH 60001|L5680||382.29||BK THIGH LACER NON-MOLDED 60001|L5681||1534.26||INTL CUSTM CONG/LATYP INSERT 60001|L5682||721.31||BK THIGH LACER GLUT/ISCHIA M 60001|L5683||1534.26||INITIAL CUSTOM SOCKET INSERT 60001|L5684||55.51||BK FORK STRAP 60001|L5685||149.39||BELOW KNEE SUS/SEAL SLEEVE 60001|L5686||58.92||BK BACK CHECK 60001|L5688||70.45||BK WAIST BELT WEBBING 60001|L5690||112.86||BK WAIST BELT PADDED AND LIN 60001|L5692||153.26||AK PELVIC CONTROL BELT LIGHT 60001|L5694||209.24||AK PELVIC CONTROL BELT PAD/L 60001|L5695||193.16||AK SLEEVE SUSP NEOPRENE/EQUA 60001|L5696||213.4||AK/KNEE DISARTIC PELVIC JOIN 60001|L5697||92.59||AK/KNEE DISARTIC PELVIC BAND 60001|L5698||151.41||AK/KNEE DISARTIC SILESIAN BA 60001|L5699||272.75||SHOULDER HARNESS 60001|L5700||3304.69||REPLACE SOCKET BELOW KNEE 60001|L5701||3968.67||REPLACE SOCKET ABOVE KNEE 60001|L5702||5020.96||REPLACE SOCKET HIP 60001|L5703||2598.4||SYMES ANKLE W/O (SACH) FOOT 60001|L5704||618.22||CUSTOM SHAPE COVER BK 60001|L5705||1104.66||CUSTOM SHAPE COVER AK 60001|L5706||1082.86||CUSTOM SHAPE CVR KNEE DISART 60001|L5707||1427.59||CUSTOM SHAPE CVR HIP DISART 60001|L5710||431.35||KNE-SHIN EXO SNG AXI MNL LOC 60001|L5711||602.85||KNEE-SHIN EXO MNL LOCK ULTRA 60001|L5712||505.14||KNEE-SHIN EXO FRICT SWG & ST 60001|L5714||518.86||KNEE-SHIN EXO VARIABLE FRICT 60001|L5716||840.64||KNEE-SHIN EXO MECH STANCE PH 60001|L5718||1050.71||KNEE-SHIN EXO FRCT SWG & STA 60001|L5722||1110.04||KNEE-SHIN PNEUM SWG FRCT EXO 60001|L5724||1740.94||KNEE-SHIN EXO FLUID SWING PH 60001|L5726||2006.4||KNEE-SHIN EXT JNTS FLD SWG E 60001|L5728||2744.49||KNEE-SHIN FLUID SWG & STANCE 60001|L5780||1320.53||KNEE-SHIN PNEUM/HYDRA PNEUM 60001|L5781||4666.88||LOWER LIMB PROS VACUUM PUMP 60001|L5782||4919.96||HD LOW LIMB PROS VACUUM PUMP 60001|L5785||742.29||EXOSKELETAL BK ULTRALT MATER 60001|L5790||829.31||EXOSKELETAL AK ULTRA-LIGHT M 60001|L5795||1651.19||EXOSKEL HIP ULTRA-LIGHT MATE 60001|L5810||561.55||ENDOSKEL KNEE-SHIN MNL LOCK 60001|L5811||841.19||ENDO KNEE-SHIN MNL LCK ULTRA 60001|L5812||652.01||ENDO KNEE-SHIN FRCT SWG & ST 60001|L5814||4331.77||ENDO KNEE-SHIN HYDRAL SWG PH 60001|L5816||986.79||ENDO KNEE-SHIN POLYC MCH STA 60001|L5818||1107.62||ENDO KNEE-SHIN FRCT SWG & ST 60001|L5822||1964.11||ENDO KNEE-SHIN PNEUM SWG FRC 60001|L5824||1768.8||ENDO KNEE-SHIN FLUID SWING P 60001|L5826||3642.46||MINIATURE KNEE JOINT 60001|L5828||3257.1||ENDO KNEE-SHIN FLUID SWG/STA 60001|L5830||2188.6||ENDO KNEE-SHIN PNEUM/SWG PHA 60001|L5840||4046.74||MULTI-AXIAL KNEE/SHIN SYSTEM 60001|L5845||2090.6||KNEE-SHIN SYS STANCE FLEXION 60001|L5848||1254.21||KNEE-SHIN SYS HYDRAUL STANCE 60001|L5850||147.55||ENDO AK/HIP KNEE EXTENS ASSI 60001|L5855||396.46||MECH HIP EXTENSION ASSIST 60001|L5856||27999.9||ELEC KNEE-SHIN SWING/STANCE 60001|L5857||9935.37||ELEC KNEE-SHIN SWING ONLY 60001|L5858||21677.36||STANCE PHASE ONLY 60001|L5910||417.74||ENDO BELOW KNEE ALIGNABLE SY 60001|L5920||611.97||ENDO AK/HIP ALIGNABLE SYSTEM 60001|L5925||516.73||ABOVE KNEE MANUAL LOCK 60001|L5930||3925.89||HIGH ACTIVITY KNEE FRAME 60001|L5940||578.55||ENDO BK ULTRA-LIGHT MATERIAL 60001|L5950||904.61||ENDO AK ULTRA-LIGHT MATERIAL 60001|L5960||1111.91||ENDO HIP ULTRA-LIGHT MATERIA 60001|L5961||5302.06||"ENDO POLY HIP| PNEU/HYD/ROT" 60001|L5962||731.76||BELOW KNEE FLEX COVER SYSTEM 60001|L5964||1080.18||ABOVE KNEE FLEX COVER SYSTEM 60001|L5966||1376.41||HIP FLEXIBLE COVER SYSTEM 60001|L5968||4238.54||MULTIAXIAL ANKLE W DORSIFLEX 60001|L5970||234.25||FOOT EXTERNAL KEEL SACH FOOT 60001|L5971||234.25||"SACH FOOT| REPLACEMENT" 60001|L5972||437.54||FLEXIBLE KEEL FOOT 60001|L5973||20067.16||ANK-FOOT SYS DORS-PLANT FLEX 60001|L5974||268.78||FOOT SINGLE AXIS ANKLE/FOOT 60001|L5975||540.75||COMBO ANKLE/FOOT PROSTHESIS 60001|L5976||645.92||ENERGY STORING FOOT 60001|L5978||336.6||FT PROSTH MULTIAXIAL ANKL/FT 60001|L5979||2631.76||MULTI-AXIAL ANKLE/FT PROSTH 60001|L5980||4276.44||FLEX FOOT SYSTEM 60001|L5981||3454.78||FLEX-WALK SYS LOW EXT PROSTH 60001|L5982||666.79||EXOSKELETAL AXIAL ROTATION U 60001|L5984||657.06||ENDOSKELETAL AXIAL ROTATION 60001|L5985||329.36||LWR EXT DYNAMIC PROSTH PYLON 60001|L5986||730.89||MULTI-AXIAL ROTATION UNIT 60001|L5987||8390.62||SHANK FT W VERT LOAD PYLON 60001|L5988||2330.06||VERTICAL SHOCK REDUCING PYLO 60001|L5990||2116.06||USER ADJUSTABLE HEEL HEIGHT 60001|L6000||1532.5||PAR HAND ROBIN-AIDS THUM REM 60001|L6010||1705.42||HAND ROBIN-AIDS LITTLE/RING 60001|L6020||1590.04||PART HAND ROBIN-AIDS NO FING 60001|L6025||9333.79||PART HAND DISART MYOELECTRIC 60001|L6050||2191||WRST MLD SCK FLX HNG TRI PAD 60001|L6055||3053.7||WRST MOLD SOCK W/EXP INTERFA 60001|L6100||2219.82||ELB MOLD SOCK FLEX HINGE PAD 60001|L6110||2354.5||ELBOW MOLD SOCK SUSPENSION T 60001|L6120||2743.84||ELBOW MOLD DOUB SPLT SOC STE 60001|L6130||2985.8||ELBOW STUMP ACTIVATED LOCK H 60001|L6200||3146.55||ELBOW MOLD OUTSID LOCK HINGE 60001|L6205||4200.15||ELBOW MOLDED W/ EXPAND INTER 60001|L6250||3296.85||ELBOW INTER LOC ELBOW FORARM 60001|L6300||4297.1||SHLDER DISART INT LOCK ELBOW 60001|L6310||3710.35||SHOULDER PASSIVE RESTOR COMP 60001|L6320||2026.89||SHOULDER PASSIVE RESTOR CAP 60001|L6350||4517.75||THORACIC INTERN LOCK ELBOW 60001|L6360||4063.01||THORACIC PASSIVE RESTOR COMP 60001|L6370||2431.17||THORACIC PASSIVE RESTOR CAP 60001|L6380||1408.81||POSTOP DSG CAST CHG WRST/ELB 60001|L6382||2119.5||POSTOP DSG CAST CHG ELB DIS/ 60001|L6384||2932.09||POSTOP DSG CAST CHG SHLDER/T 60001|L6386||463.19||POSTOP EA CAST CHG & REALIGN 60001|L6388||507.05||POSTOP APPLICAT RIGID DSG ON 60001|L6400||2676.33||BELOW ELBOW PROSTH TISS SHAP 60001|L6450||3575.5||ELB DISART PROSTH TISS SHAP 60001|L6500||3740.71||ABOVE ELBOW PROSTH TISS SHAP 60001|L6550||4496.4||SHLDR DISAR PROSTH TISS SHAP 60001|L6570||5048.25||SCAP THORAC PROSTH TISS SHAP 60001|L6580||1927.31||WRIST/ELBOW BOWDEN CABLE MOL 60001|L6582||1745.62||WRIST/ELBOW BOWDEN CBL DIR F 60001|L6584||2737.59||ELBOW FAIR LEAD CABLE MOLDED 60001|L6586||2561.95||ELBOW FAIR LEAD CABLE DIR FO 60001|L6588||3366.35||SHDR FAIR LEAD CABLE MOLDED 60001|L6590||3197.51||SHDR FAIR LEAD CABLE DIRECT 60001|L6600||216.35||POLYCENTRIC HINGE PAIR 60001|L6605||213.62||SINGLE PIVOT HINGE PAIR 60001|L6610||205.15||FLEXIBLE METAL HINGE PAIR 60001|L6611||480.2||"ADDITIONAL SWITCH| EXT POWER" 60001|L6615||221.05||DISCONNECT LOCKING WRIST UNI 60001|L6616||81.91||DISCONNECT INSERT LOCKING WR 60001|L6620||353.65||FLEXION/EXTENSION WRIST UNIT 60001|L6621||2667.83||FLEX/EXT WRIST W/WO FRICTION 60001|L6623||986.47||SPRING-ASS ROT WRST W/ LATCH 60001|L6624||4392.66||FLEX/EXT/ROTATION WRIST UNIT 60001|L6625||700.91||ROTATION WRST W/ CABLE LOCK 60001|L6628||552.52||QUICK DISCONN HOOK ADAPTER O 60001|L6629||168.75||LAMINATION COLLAR W/ COUPLIN 60001|L6630||248.58||STAINLESS STEEL ANY WRIST 60001|L6632||86.34||LATEX SUSPENSION SLEEVE EACH 60001|L6635||203.15||LIFT ASSIST FOR ELBOW 60001|L6637||433.31||NUDGE CONTROL ELBOW LOCK 60001|L6638||2916.8||ELEC LOCK ON MANUAL PW ELBOW 60001|L6640||384.95||SHOULDER ABDUCTION JOINT PAI 60001|L6641||185.04||EXCURSION AMPLIFIER PULLEY T 60001|L6642||250.8||EXCURSION AMPLIFIER LEVER TY 60001|L6645||462.94||SHOULDER FLEXION-ABDUCTION J 60001|L6646||3678.75||MULTIPO LOCKING SHOULDER JNT 60001|L6647||605.62||SHOULDER LOCK ACTUATOR 60001|L6648||3794.09||EXT PWRD SHLDER LOCK/UNLOCK 60001|L6650||480.64||SHOULDER UNIVERSAL JOINT 60001|L6655||94.48||STANDARD CONTROL CABLE EXTRA 60001|L6660||105.87||HEAVY DUTY CONTROL CABLE 60001|L6665||53.12||TEFLON OR EQUAL CABLE LINING 60001|L6670||58.72||HOOK TO HAND CABLE ADAPTER 60001|L6672||233.08||HARNESS CHEST/SHLDER SADDLE 60001|L6675||138.51||HARNESS FIGURE OF 8 SING CON 60001|L6676||160.11||HARNESS FIGURE OF 8 DUAL CON 60001|L6677||346.05||UE TRIPLE CONTROL HARNESS 60001|L6680||267.6||TEST SOCK WRIST DISART/BEL E 60001|L6682||295.86||TEST SOCK ELBW DISART/ABOVE 60001|L6684||402.04||TEST SOCKET SHLDR DISART/THO 60001|L6686||907.9||SUCTION SOCKET 60001|L6687||665.29||FRAME TYP SOCKET BEL ELBOW/W 60001|L6688||661.29||FRAME TYP SOCK ABOVE ELB/DIS 60001|L6689||792.29||FRAME TYP SOCKET SHOULDER DI 60001|L6690||863.36||FRAME TYP SOCK INTERSCAP-THO 60001|L6691||399.61||REMOVABLE INSERT EACH 60001|L6692||645.01||SILICONE GEL INSERT OR EQUAL 60001|L6693||3311.33||LOCKINGELBOW FOREARM CNTRBAL 60001|L6694||820.12||ELBOW SOCKET INS USE W/LOCK 60001|L6695||683.41||ELBOW SOCKET INS USE W/O LCK 60001|L6696||1534.26||CUS ELBO SKT IN FOR CON/ATYP 60001|L6697||1534.26||CUS ELBO SKT IN NOT CON/ATYP 60001|L6698||663.23||BELOW/ABOVE ELBOW LOCK MECH 60001|L6703||419.31||"TERM DEV| PASSIVE HAND MITT" 60001|L6704||675.46||"TERM DEV| SPORT/REC/WORK ATT" 60001|L6706||402.45||TERM DEV MECH HOOK VOL OPEN 60001|L6707||1483.34||TERM DEV MECH HOOK VOL CLOSE 60001|L6708||969.7||TERM DEV MECH HAND VOL OPEN 60001|L6709||1397.38||TERM DEV MECH HAND VOL CLOSE 60001|L6711||784.16||"PED TERM DEV| HOOK| VOL OPEN" 60001|L6712||1443.83||"PED TERM DEV| HOOK| VOL CLOS" 60001|L6713||1822.23||"PED TERM DEV| HAND| VOL OPEN" 60001|L6714||1543.42||"PED TERM DEV| HAND| VOL CLOS" 60001|L6715||3711.89||TERMINAL DEVICE MODEL #5XA 60001|L6721||2743.3||"HOOK/HAND| HVY DTY| VOL OPEN" 60001|L6722||2364.9||"HOOK/HAND| HVY DTY| VOL CLOS" 60001|L6805||392.43||MODIFIER WRIST FLEXION UNIT 60001|L6810||222.44||PINCHER TOOL OTTO BOCK OR EQ 60001|L6880||28090.62||HAND BOCK VO 60001|L6881||4768.41||AUTOGRASP FEATURE UL TERM DV 60001|L6882||3617.1||MICROPROCESSOR CONTROL UPLMB 60001|L6883||1830.3||REPLC SOCKT BELOW E/W DISA 60001|L6884||2716.52||REPLC SOCKT ABOVE ELBOW DISA 60001|L6885||4063.01||REPLC SOCKT SHLDR DIS/INTERC 60001|L6890||196.18||PREFAB GLOVE FOR TERM DEVICE 60001|L6895||721.69||CUSTOM GLOVE FOR TERM DEVICE 60001|L6900||2059.51||HAND RESTORAT THUMB/1 FINGER 60001|L6905||2047.8||HAND RESTORATION MULTIPLE FI 60001|L6910||1751.07||HAND RESTORATION NO FINGERS 60001|L6915||882.86||HAND RESTORATION REPLACMNT G 60001|L6920||7697.42||WRIST DISARTICUL SWITCH CTRL 60001|L6925||10362.06||WRIST DISART MYOELECTRONIC C 60001|L6930||7745.15||BELOW ELBOW SWITCH CONTROL 60001|L6935||10522.86||BELOW ELBOW MYOELECTRONIC CT 60001|L6940||10119.55||ELBOW DISARTICULATION SWITCH 60001|L6945||12364.88||ELBOW DISART MYOELECTRONIC C 60001|L6950||11502.29||ABOVE ELBOW SWITCH CONTROL 60001|L6955||13775.56||ABOVE ELBOW MYOELECTRONIC CT 60001|L6960||15604.27||SHLDR DISARTIC SWITCH CONTRO 60001|L6965||16642.52||SHLDR DISARTIC MYOELECTRONIC 60001|L6970||17341.79||INTERSCAPULAR-THOR SWITCH CT 60001|L6975||18966.34||INTERSCAP-THOR MYOELECTRONIC 60001|L7007||3968.9||ADULT ELECTRIC HAND 60001|L7008||6246.62||PEDIATRIC ELECTRIC HAND 60001|L7009||4049.53||ADULT ELECTRIC HOOK 60001|L7040||3251.61||PREHENSILE ACTUATOR HOSMER S 60001|L7045||1864.26||ELECTRON HOOK CHILD MICHIGAN 60001|L7170||8583.76||ELECTRONIC ELBOW HOSMER SWIT 60001|L7180||37677.96||ELECTRONIC ELBOW SEQUENTIAL 60001|L7181||46734.45||ELECTRONIC ELBO SIMULTANEOUS 60001|L7185||8476.57||ELECTRON ELBOW ADOLESCENT SW 60001|L7186||10202.39||ELECTRON ELBOW CHILD SWITCH 60001|L7190||8903.3||ELBOW ADOLESCENT MYOELECTRON 60001|L7191||10660.89||ELBOW CHILD MYOELECTRONIC CT 60001|L7260||2269.9||ELECTRON WRIST ROTATOR OTTO 60001|L7261||4132.1||ELECTRON WRIST ROTATOR UTAH 60001|L7360||275.21||SIX VOLT BAT OTTO BOCK/EQ EA 60001|L7362||288.97||BATTERY CHRGR SIX VOLT OTTO 60001|L7364||459.6||TWELVE VOLT BATTERY UTAH/EQU 60001|L7366||619.1||BATTERY CHRGR 12 VOLT UTAH/E 60001|L7367||454.08||REPLACEMNT LITHIUM IONBATTER 60001|L7368||588.66||LITHIUM ION BATTERY CHARGER 60001|L7400||357.49||"ADD UE PROST BE/WD| ULTLITE" 60001|L7401||400.2||ADD UE PROST A/E ULTLITE MAT 60001|L7402||432.15||ADD UE PROST S/D ULTLITE MAT 60001|L7403||429.55||ADD UE PROST B/E ACRYLIC 60001|L7404||648.25||ADD UE PROST A/E ACRYLIC 60001|L7405||847.84||ADD UE PROST S/D ACRYLIC 60001|L7700||136.4||PROS SOCKET INSERT GASKET/SEAL 60001|L7900||631.26||MALE VACUUM ERECTION SYSTEM 60001|L8000||50.74||MASTECTOMY BRA 60001|L8001||146.29||BREAST PROSTHESIS BRA & FORM 60001|L8002||192.45||BRST PRSTH BRA & BILAT FORM 60001|L8010||63||MASTECTOMY SLEEVE 60001|L8015||69.91||EXT BREASTPROSTHESIS GARMENT 60001|L8020||262.95||MASTECTOMY FORM 60001|L8030||380.35||BREAST PROSTHESIS SILICONE/E 60001|L8031||380.35||BREAST PROSTHESIS W ADHESIVE 60001|L8032||45.69||REUSABLE NIPPLE PROSTHESIS 60001|L8035||4273.16||CUSTOM BREAST PROSTHESIS 60001|L8040||2819.34||NASAL PROSTHESIS 60001|L8040|KM|2678.37||NASAL PROSTHESIS 60001|L8040|KN|1127.75||NASAL PROSTHESIS 60001|L8041||3398.18||MIDFACIAL PROSTHESIS 60001|L8041|KM|3228.25||MIDFACIAL PROSTHESIS 60001|L8041|KN|1359.28||MIDFACIAL PROSTHESIS 60001|L8042||3818.15||ORBITAL PROSTHESIS 60001|L8042|KM|3627.25||ORBITAL PROSTHESIS 60001|L8042|KN|1527.25||ORBITAL PROSTHESIS 60001|L8043||4276.35||UPPER FACIAL PROSTHESIS 60001|L8043|KM|4062.5||UPPER FACIAL PROSTHESIS 60001|L8043|KN|1710.53||UPPER FACIAL PROSTHESIS 60001|L8044||4734.51||HEMI-FACIAL PROSTHESIS 60001|L8044|KM|4497.8||HEMI-FACIAL PROSTHESIS 60001|L8044|KN|1893.83||HEMI-FACIAL PROSTHESIS 60001|L8045||2964.87||AURICULAR PROSTHESIS 60001|L8045|KM|2816.63||AURICULAR PROSTHESIS 60001|L8045|KN|1185.95||AURICULAR PROSTHESIS 60001|L8046||3054.53||PARTIAL FACIAL PROSTHESIS 60001|L8046|KM|2901.8||PARTIAL FACIAL PROSTHESIS 60001|L8046|KN|1221.79||PARTIAL FACIAL PROSTHESIS 60001|L8047||1565.44||NASAL SEPTAL PROSTHESIS 60001|L8047|KM|1487.16||NASAL SEPTAL PROSTHESIS 60001|L8047|KN|626.18||NASAL SEPTAL PROSTHESIS 60001|L8300||112.33||TRUSS SINGLE W/ STANDARD PAD 60001|L8310||172.71||TRUSS DOUBLE W/ STANDARD PAD 60001|L8320||75.45||TRUSS ADDITION TO STD PAD WA 60001|L8330||74.79||TRUSS ADD TO STD PAD SCROTAL 60001|L8400||21.85||SHEATH BELOW KNEE 60001|L8410||24.87||SHEATH ABOVE KNEE 60001|L8415||24.73||SHEATH UPPER LIMB 60001|L8417||87.7||PROS SHEATH/SOCK W GEL CUSHN 60001|L8420||28.91||PROSTHETIC SOCK MULTI PLY BK 60001|L8430||31.79||PROSTHETIC SOCK MULTI PLY AK 60001|L8435||28.52||PROS SOCK MULTI PLY UPPER LM 60001|L8440||60.46||SHRINKER BELOW KNEE 60001|L8460||84.15||SHRINKER ABOVE KNEE 60001|L8465||75.01||SHRINKER UPPER LIMB 60001|L8470||7.7||PROS SOCK SINGLE PLY BK 60001|L8480||10.61||PROS SOCK SINGLE PLY AK 60001|L8485||12.83||PROS SOCK SINGLE PLY UPPER L 60001|L8500||761.19||ARTIFICIAL LARYNX 60001|L8501||169.06||TRACHEOSTOMY SPEAKING VALVE 60001|L8507||48.86||TRACH-ESOPH VOICE PROS PT IN 60001|L8509||127.39||TRACH-ESOPH VOICE PROS MD IN 60001|L8510||294.75||VOICE AMPLIFIER 60001|L8511||84.84||INDWELLING TRACH INSERT 60001|L8512||2.56||GEL CAP FOR TRACH VOICE PROS 60001|L8513||6.08||TRACH PROS CLEANING DEVICE 60001|L8514||110||REPL TRACH PUNCTURE DILATOR 60001|L8515||73.61||GEL CAP APP DEVICE FOR TRACH 60001|L8600||720.22||IMPLANT BREAST SILICONE/EQ 60001|L8603||505.81||COLLAGEN IMP URINARY 2.5 ML 60001|L8606||265.52||SYNTHETIC IMPLNT URINARY 1ML 60001|L8609||7599.48||ARTIFICIAL CORNEA 60001|L8610||738.78||OCULAR IMPLANT 60001|L8612||779.2||AQUEOUS SHUNT PROSTHESIS 60001|L8613||348.86||OSSICULAR IMPLANT 60001|L8614||22081.37||COCHLEAR DEVICE/SYSTEM 60001|L8615||526.05||COCH IMPLANT HEADSET REPLACE 60001|L8616||122.52||COCH IMPLANT MICROPHONE REPL 60001|L8617||107.04||COCH IMPLANT TRANS COIL REPL 60001|L8618||30.56||COCH IMPLANT TRAN CABLE REPL 60001|L8619||9472.09||REPLACE COCHLEAR PROCESSOR 60001|L8621||0.71||REPL ZINC AIR BATTERY 60001|L8622||0.39||REPL ALKALINE BATTERY 60001|L8623||75.45||"LITH ION BATT CID|NON-EARLVL" 60001|L8624||188.05||"LITH ION BATT CID| EAR LEVEL" 60001|L8625||230.82||TRAPEZIUM IMPLANT 60001|L8627||8029.17||LUNATE IMPLANT 60001|L8628||1442.91||CARPUS IMPLANT 60001|L8629||208.85||SCAPHOID IMPLANT 60001|L8630||388.57||METACARPOPHALANGEAL IMPLANT 60001|L8631||2607.81||MCP JOINT REPL 2 PC OR MORE 60001|L8641||421.75||METATARSAL JOINT IMPLANT 60001|L8642||346.19||HALLUX IMPLANT 60001|L8658||361.8||INTERPHALANGEAL JOINT SPACER 60001|L8659||2250.72||INTERPHALANGEAL JOINT REPL 60001|L8670||642.04||"VASCULAR GRAFT| SYNTHETIC" 60001|L8680||535.76||IMPLT NEUROSTIM ELCTR EACH 60001|L8681||1317.4||PT PRGRM FOR IMPLT NEUROSTIM 60001|L8682||6953.56||IMPLT NEUROSTIM RADIOFQ REC 60001|L8683||6120.69||RADIOFQ TRSMTR FOR IMPLT NEU 60001|L8684||803.78||RADIOF TRSMTR IMPLT SCRL NEU 60001|L8685||15252.46||IMPLT NROSTM PLS GEN SNG REC 60001|L8686||9732.32||IMPLT NROSTM PLS GEN SNG NON 60001|L8687||19849.56||IMPLT NROSTM PLS GEN DUA REC 60001|L8688||12665.64||IMPLT NROSTM PLS GEN DUA NON 60001|L8689||2011.91||EXTERNAL RECHARGING SYSTEM 60001|L8690||5548.65||"AUD OSSEO DEV|INT/EXT COMP" 60001|L8691||3110.2||AUD OSSEO DEV EXT SND PROCES 60001|L8693||1768.61||"AUD OSSEO DEV| ABUTMENT" 60001|L8694||1154.2||AOI TRANSDUCER/CCTUATOR REPL E 60001|L8695||19.42||EXTERNAL RECHARG SYS EXTERN 60001|P2038||8.9||BLOOD MUCOPROTEIN 60001|P3000||18.71||SCREEN PAP BY TECH W MD SUPV 60001|P3001||34.72||SCREENING PAP SMEAR BY PHYS 60001|P7001||8.5||CULTURE BACTERIAL URINE 60001|P9043||10.42||"PLASMA PROTEIN FRACT|5%|50ML" 60001|P9048||52.08||"PLASMAPROTEIN FRACT|5%|250ML" 60001|P9612||3.75||CATHETERIZE FOR URINE SPEC 60001|P9615||3.75||URINE SPECIMEN COLLECT MULT 60001|Q0035||21.4||CARDIOKYMOGRAPHY 60001|Q0035|26|13.09||CARDIOKYMOGRAPHY 60001|Q0035|TC|15.15||CARDIOKYMOGRAPHY 60001|Q0091||51.7||OBTAINING SCREEN PAP SMEAR 60001|Q0111||7.56||WET MOUNTS/ W PREPARATIONS 60001|Q0112||7.56||POTASSIUM HYDROXIDE PREPS 60001|Q0113||9.59||PINWORM EXAMINATIONS 60001|Q0114||12.66||FERN TEST 60001|Q0115||17.53||POST-COITAL MUCOUS EXAM 60001|Q0165||0.07||PROCHLORPERAZINE MALEATE10MG 60001|Q0168||8.92||DRONABINOL 5MG ORAL 60001|Q0170||0.04||PROMETHAZINE HCL 25 MG ORAL 60001|Q0478||214.34||"POWER ADAPTER| COMBO VAD" 60001|Q0479||14087.18||"POWER MODULE COMBO VAD| REP" 60001|Q0480||105049.24||"DRIVER PNEUMATIC VAD| REP" 60001|Q0481||16948.49||"MICROPRCSR CU ELEC VAD| REP" 60001|Q0482||5308.59||"MICROPRCSR CU COMBO VAD| REP" 60001|Q0483||21868.96||"MONITOR ELEC VAD| REP" 60001|Q0484||4246.89||MONITOR ELEC OR COMB VAD REP 60001|Q0485||410.04||"MONITOR CABLE ELEC VAD| REP" 60001|Q0486||341.26||MON CABLE ELEC/PNEUM VAD REP 60001|Q0487||398.16||"LEADS ANY TYPE VAD| REP ONLY" 60001|Q0489||18959.19||"PWR PCK BASE COMBO VAD| REP" 60001|Q0490||820.09||"EMR PWR SOURCE ELEC VAD| REP" 60001|Q0491||1289.23||EMR PWR SOURCE COMBO VAD REP 60001|Q0492||103.9||"EMR PWR CBL ELEC VAD| REP" 60001|Q0493||295.73||"EMR PWR CBL COMBO VAD| REP" 60001|Q0494||250.25||"EMR HD PMP ELEC/COMBO| REP" 60001|Q0495||4872.07||"CHARGER ELEC/COMBO VAD| REP" 60001|Q0496||1748.67||"BATTERY ELEC/COMBO VAD| REP" 60001|Q0497||546.03||"BAT CLPS ELEC/COMB VAD| REP" 60001|Q0498||599.11||"HOLSTER ELEC/COMBO VAD| REP" 60001|Q0499||194.65||BELT/VEST ELEC/COMBO VAD REP 60001|Q0500||35.61||"FILTERS ELEC/COMBO VAD| REP" 60001|Q0501||595.66||"SHWR COV ELEC/COMBO VAD| REP" 60001|Q0502||758.35||"MOBILITY CART PNEUM VAD| REP" 60001|Q0503||1516.73||BATTERY PNEUM VAD REPLACEMNT 60001|Q0504||800.33||"PWR ADPT PNEUM VAD| REP VEH" 60001|Q0506||996.22||LITH-ION BATT ELEC/PNEUM VAD 60001|Q0515||2.25||SERMORELIN ACETATE INJECTION 60001|Q2009||1.37||"FOSPHENYTOIN| 50 MG" 60001|Q2017||401.31||"TENIPOSIDE| 50 MG" 60001|Q2036||10.72||"FLULAVAL VACC| 3 YRS & >| IM" 60001|Q2046||1225.62||AFLIBERCEPT INJECTION 60001|Q2047||14.32||PEGINESATIDE INJECTION 60001|Q2048||671.51||DOXIL INJECTION 60001|Q2049||635.54||IMPORTED LIPODOX INJ 60001|Q2051||245.53||ZOLDEDRONIC ACID 1MG 60001|Q3014||43.44|| 60001|Q3025||389.14||IM INJ INTERFERON BETA 1-A 60001|Q4006||35.69||CAST SUP LONG ARM ADULT FBRG 60001|Q4008||54.75||CAST SUP LONG ARM PED FBRGLS 60001|Q4010||58.74||CAST SUP SHT ARM ADULT FBRGL 60001|Q4011||126.75||CAST SUP SHT ARM PED PLASTER 60001|Q4012||12.09||CAST SUP SHT ARM PED FBRGLAS 60001|Q4014||33.75||CAST SUP GAUNTLET FIBERGLASS 60001|Q4017||11.3||CAST SUP LNG ARM SPLINT PLST 60001|Q4018||35.69||CAST SUP LNG ARM SPLINT FBRG 60001|Q4019||65|%|CAST SUP LNG ARM SPLNT PED P 60001|Q4020||65|%|CAST SUP LNG ARM SPLNT PED F 60001|Q4021||112.5||CAST SUP SHT ARM SPLINT PLST 60001|Q4022||112.5||CAST SUP SHT ARM SPLINT FBRG 60001|Q4023||4.21||CAST SUP SHT ARM SPLNT PED P 60001|Q4024||7.55||CAST SUP SHT ARM SPLNT PED F 60001|Q4030||104.94||CAST SUP LONG LEG FIBERGLASS 60001|Q4032||52.69||CAST SUP LNG LEG PED FBRGLS 60001|Q4037||48.74||CAST SUP SHRT LEG PLASTER 60001|Q4038||120.49||CAST SUP SHRT LEG FIBERGLASS 60001|Q4039||10.66||CAST SUP SHRT LEG PED PLSTER 60001|Q4040||66||CAST SUP SHRT LEG PED FBRGLS 60001|Q4041||24.88||CAST SUP LNG LEG SPLNT PLSTR 60001|Q4045||39.2||CAST SUP SHT LEG SPLNT PLSTR 60001|Q4046||18.25||CAST SUP SHT LEG SPLNT FBRGL 60001|Q4047||7.2||CAST SUP SHT LEG SPLNT PED P 60001|Q4049||2.59||"FINGER SPLINT| STATIC" 60001|Q4103||10.21||OASIS BURN MATRIX SKIN SUB 60001|Q4114||1890.22||INTEGRA FLOWABLE WOUND MATRI 60001|Q5001||125||HOSPICE IN PATIENT HOME 60001|Q5006||65|%|HOSPICE IN HOSPICE FACILITY 60001|Q5107||78.33|| 60001|Q9953||0||"INJ FE-BASED MR CONTRAST|1ML" 60001|Q9954||11.03||"ORAL MR CONTRAST| 100 ML" 60001|Q9970||0.28||INJ FERRIC CARBOXYMALTOS 1MG 60001|Q9975||2.37|| 60001|S0012||73.85||"BUTORPHANOL TARTRATE| NASAL" 60001|S0014||2.59||"TACRINE HYDROCHLORIDE| 10 MG" 60001|S0017||6.05||"INJECTION| AMINOCAPROIC ACID" 60001|S0020||9.66||"INJECTION| BUPIVICAINE HYDRO" 60001|S0021||0||"INJECTION| CEFOPERAZONE SOD" 60001|S0023||2.59||"INJECTION| CIMETIDINE HYDROC" 60001|S0028||2.16||"INJECTION| FAMOTIDINE| 20 MG" 60001|S0030||9.93||"INJECTION| METRONIDAZOLE" 60001|S0032||21.16||"INJECTION| NAFCILLIN SODIUM" 60001|S0034||0||"INJECTION| OFLOXACIN| 400 MG" 60001|S0039||0||"INJECTION| SULFAMETHOXAZOLE" 60001|S0040||13.82||"INJECTION| TICARCILLIN DISOD" 60001|S0073||17.27||"INJECTION| AZTREONAM| 500 MG" 60001|S0074||0||"INJECTION| CEFOTETAN DISODIU" 60001|S0077||3.45||"INJECTION| CLINDAMYCIN PHOSP" 60001|S0078||169.72||"INJECTION| FOSPHENYTOIN SODI" 60001|S0080||66.07||"INJECTION| PENTAMIDINE ISETH" 60001|S0081||1.73||"INJECTION| PIPERACILLIN SODI" 60001|S0088||0||IMATINIB 100 MG 60001|S0090||16.41||"SILDENAFIL CITRATE| 25 MG" 60001|S0091||78.6||GRANISETRON 1MG 60001|S0092||99.76||HYDROMORPHONE 250 MG 60001|S0093||229.31||MORPHINE 500 MG 60001|S0104||1.73||"ZIDOVUDINE| ORAL| 100 MG" 60001|S0106||105.37||BUPROPION HCL SR 60 TABLETS 60001|S0108||3.45||MERCAPTOPURINE 50 MG 60001|S0109||0.43||METHADONE ORAL 5MG 60001|S0117||0||TRETINOIN TOPICAL 5 G 60001|S0119||19||ONDANSETRON 4 MG 60001|S0122||67.8||INJ MENOTROPINS 75 IU 60001|S0126||77.3||INJ FOLLITROPIN ALFA 75 IU 60001|S0128||73.41||INJ FOLLITROPIN BETA 75 IU 60001|S0132||101.92||INJ GANIRELIX ACETAT 250 MCG 60001|S0136||1.3||"CLOZAPINE| 25 MG" 60001|S0137||0||"DIDANOSINE| 25 MG" 60001|S0138||2.59||"FINASTERIDE| 5 MG" 60001|S0139||0.86||"MINOXIDIL| 10 MG" 60001|S0140||1.73||"SAQUINAVIR| 200 MG" 60001|S0142||0||COLISTIMETHATE INH SOL MG 60001|S0145||962.35||PEG INTERFERON ALFA-2A/180 60001|S0148||0||PEG INTERFERON ALFA-2B/10 60001|S0155||16.86||EPOPROSTENOL DILUTANT 60001|S0156||8.21||"EXEMESTANE| 25 MG" 60001|S0157||16.84||"BECAPLERMIN GEL 1%| 0.5 GM" 60001|S0160||0.43||DEXTROAMPHETAMINE 60001|S0164||12.52||INJECTION PANTROPRAZOLE 60001|S0166||5.61||INJ OLANZAPINE 2.5MG 60001|S0169||1.3||CALCITROL 60001|S0170||7.77||ANASTROZOLE 1 MG 60001|S0171||1.3||BUMETANIDE 0.5 MG 60001|S0172||2.16||CHLORAMBUCIL 2 MG 60001|S0174||50.09||DOLASETRON 50 MG 60001|S0175||2.16||FLUTAMIDE 125 MG 60001|S0176||1.3||HYDROXYUREA 500 MG 60001|S0177||4.75||LEVAMISOLE 50 MG 60001|S0178||24.62||LOMUSTINE 10 MG 60001|S0179||0.43||MEGESTROL 20 MG 60001|S0182||49.66||PROCARBAZINE 5 MG 60001|S0183||0.43||PROCHLORPERAZINE 5 MG 60001|S0187||2.16||TAMOXIFEN 10 MG 60001|S0189||120.31||TESTOSTERONE PELLET 75 MG 60001|S0190||78.17||"MIFEPRISTONE| ORAL| 200 MG" 60001|S0191||2.16||"MISOPROSTOL| ORAL| 200 MCG" 60001|S0194||0||VITAMIN SUPPL 100 CAPS 60001|S0195||95.91||PNEUMO VACCINE 5-9 YRS 60001|S0197||0||PRENATAL VITAMINS 30 DAY 60001|S0199||0||MED ABORTION INC ALL EX DRUG 60001|S0201||0||PARTIAL HOSPITALIZATION SERV 60001|S0207||0||PARAMEDICINTERCEP NONHOSPALS 60001|S0208||0||PARAMED INTRCEPT NONVOL 60001|S0209||0||WC VAN MILEAGE PER MI 60001|S0215||0||NONEMERG TRANSP MILEAGE 60001|S0220||0||MEDICAL CONFERENCE BY PHYSIC 60001|S0221||0||"MEDICAL CONFERENCE| 60 MIN" 60001|S0250||0||COMP GERIATR ASSMT TEAM 60001|S0255||0||HOSPICE REFER VISIT NONMD 60001|S0257||0||END OF LIFE COUNSELING 60001|S0260||0||H&P FOR SURGERY 60001|S0265||0||GENETIC COUNSEL 15 MINS 60001|S0270||0||HOME STD CASE RATE 30 DAYS 60001|S0271||0||HOME HOSPICE CASE 30 DAYS 60001|S0272||0||HOME EPISODIC CASE 30 DAYS 60001|S0273||0||MD HOME VISIT OUTSIDE CAP 60001|S0274||0||NURSE PRACTR VISIT OUTS CAP 60001|S0280||0||"MEDICAL HOME| INITIAL PLAN" 60001|S0281||0||"MEDICAL HOME| MAINTENANCE" 60001|S0285||123||CONSULT BEFORE SCREEN COLONOSC 60001|S0302||0||COMPLETED EPSDT 60001|S0310||0||HOSPITALIST VISIT 60001|S0315||0||DISEASE MANAGEMENT PROGRAM 60001|S0316||0||FOLLOW-UP/REASSESSMENT 60001|S0317||0||DISEASE MGMT PER DIEM 60001|S0320||0||RN TELEPHONE CALLS TO DMP 60001|S0340||0||LIFESTYLE MOD 1ST STAGE 60001|S0341||0||LIFESTYLE MOD 2 OR 3 STAGE 60001|S0342||0||LIFESTYLE MOD 4TH STAGE 60001|S0390||0||ROUT FOOT CARE PER VISIT 60001|S0395||0||IMPRESSION CASTING FT 60001|S0400||0||GLOBAL ESWL KIDNEY 60001|S0500||0||DISPOS CONT LENS 60001|S0504||0||SINGL PRSCRP LENS 60001|S0506||0||BIFOC PRSCP LENS 60001|S0508||0||TRIFOC PRSCRP LENS 60001|S0510||0||NON-PRSCRP LENS 60001|S0512||0||DAILY CONT LENS 60001|S0514||0||COLOR CONT LENS 60001|S0515||0||SCLERAL LENS LIQUID BANDAGE 60001|S0516||0||SAFETY FRAMES 60001|S0518||0||SUNGLASS FRAMES 60001|S0580||0||POLYCARB LENS 60001|S0581||0||NONSTND LENS 60001|S0590||0||MISC INTEGRAL LENS SERV 60001|S0592||0||COMP CONT LENS EVAL 60001|S0595||0||NEW LENSES IN PTS OLD FRAME 60001|S0601||0||SCREENING PROCTOSCOPY 60001|S0610||0||ANNUAL GYNECOLOGICAL EXAMINA 60001|S0612||0||ANNUAL GYNECOLOGICAL EXAMINA 60001|S0613||0||ANN BREAST EXAM 60001|S0618||0||AUDIOMETRY FOR HEARING AID 60001|S0620||0||ROUTINE OPHTHALMOLOGICAL EXA 60001|S0621||0||ROUTINE OPHTHALMOLOGICAL EXA 60001|S0622||0||PHYS EXAM FOR COLLEGE 60001|S0625||0||DIGITAL SCREENING RETINA 60001|S0630||0||REMOVAL OF SUTURES 60001|S0800||0||LASER IN SITU KERATOMILEUSIS 60001|S0810||0||PHOTOREFRACTIVE KERATECTOMY 60001|S0812||0||PHOTOTHERAP KERATECT 60001|S1001||0||DELUXE ITEM 60001|S1002||0||CUSTOM ITEM 60001|S1015||0||IV TUBING EXTENSION SET 60001|S1016||0||NON-PVC INTRAVENOUS ADMINIST 60001|S1030||0||GLUC MONITOR PURCHASE 60001|S1031||0||GLUC MONITOR RENTAL 60001|S1040||0||CRANIAL REMOLDING ORTHOSIS 60001|S2053||0||TRANSPLANTATION OF SMALL INT 60001|S2054||0||TRANSPLANTATION OF MULTIVISC 60001|S2055||0||HARVESTING OF DONOR MULTIVIS 60001|S2060||0||LOBAR LUNG TRANSPLANTATION 60001|S2061||0||DONOR LOBECTOMY (LUNG) 60001|S2065||0||SIMULT PANC KIDN TRANS 60001|S2066||0||BREAST GAP FLAP RECONST 60001|S2067||0||BREAST 'STACKED' DIEP/GAP 60001|S2068||0||BREAST DIEP FLAP RECONSTRUCT 60001|S2070||0||CYSTO LASER TX URETERAL CALC 60001|S2079||0||LAP ESOPHAGOMYOTOMY 60001|S2080||0||LAUP 60001|S2083||0||ADJUSTMENT GASTRIC BAND 60001|S2095||0||TRANSCATH EMBOLIZ MICROSPHER 60001|S2102||0||ISLET CELL TISSUE TRANSPLANT 60001|S2103||0||ADRENAL TISSUE TRANSPLANT 60001|S2107||0||ADOPTIVE IMMUNOTHERAPY 60001|S2112||0||KNEE ARTHROSCP HARV 60001|S2115||0||PERIACETABULAR OSTEOTOMY 60001|S2117||0||"ARTHROEREISIS| SUBTALAR" 60001|S2118||0||TOTAL HIP RESURFACING 60001|S2120||0||LOW DENSITY LIPOPROTEIN(LDL) 60001|S2140||0||CORD BLOOD HARVESTING 60001|S2142||0||CORD BLOOD-DERIVED STEM-CELL 60001|S2150||0||BMT HARV/TRANSPL 28D PKG 60001|S2152||0||SOLID ORGAN TRANSPL PKG 60001|S2202||0||ECHOSCLEROTHERAPY 60001|S2205||0||MINIMALLY INVASIVE DIRECT CO 60001|S2206||0||MINIMALLY INVASIVE DIRECT CO 60001|S2207||0||MINIMALLY INVASIVE DIRECT CO 60001|S2208||0||MINIMALLY INVASIVE DIRECT CO 60001|S2209||0||MINIMALLY INVASIVE DIRECT CO 60001|S2225||0||MYRINGOTOMY LASER-ASSIST 60001|S2230||0||IMPLANT SEMI-IMP HEAR 60001|S2235||0||IMPLANT AUDITORY BRAIN IMP 60001|S2260||0||INDUCED ABORTION 17-24 WEEKS 60001|S2265||0||ABORTION 25-28WKS FETAL INDI 60001|S2266||0||ABORTION 29-31WKS FETAL INDI 60001|S2267||0||ABORTION >=32WKS FETAL INDIC 60001|S2300||0||"ARTHROSCOPY| SHOULDER| SURGI" 60001|S2325||0||HIP CORE DECOMPRESSION 60001|S2340||0||CHEMODENERVATION OF ABDUCTOR 60001|S2341||0||CHEMODENERV ADDUCT VOCAL 60001|S2342||0||NASAL ENDOSCOP PO DEBRID 60001|S2348||0||DECOMPRESS DISC RF LUMBAR 60001|S2350||0||"DISKECTOMY| ANTERIOR| WITH D" 60001|S2351||0||"DISKECTOMY| ANTERIOR| WITH D" 60001|S2360||0||VERTEBROPLAST CERV 1ST 60001|S2361||0||VERTEBROPLAST CERV ADDL 60001|S2400||0||FETAL SURG CONGEN HERNIA 60001|S2401||0||FETAL SURG URIN TRAC OBSTR 60001|S2402||0||FETAL SURG CONG CYST MALF 60001|S2403||0||FETAL SURG PULMON SEQUEST 60001|S2404||0||FETAL SURG MYELOMENINGO 60001|S2405||0||FETAL SURG SACROCOC TERATOMA 60001|S2409||0||FETAL SURG NOC 60001|S2411||0||FETOSCOP LASER THER TTTS 60001|S2900||0||ROBOTIC SURGICAL SYSTEM 60001|S3000||0||BILAT DIL RETINAL EXAM 60001|S3005||0||EVAL SELF-ASSESS DEPRESSION 60001|S3600||0||STAT LAB 60001|S3601||0||STAT LAB HOME/NF 60001|S3620||0||NEWBORN METABOLIC SCREENING 60001|S3625||0||MATERNAL TRIPLE SCREEN TEST 60001|S3626||0||MATERNAL SERUM QUAD SCREEN 60001|S3630||0||EOSINOPHIL BLOOD COUNT 60001|S3645||0||HIV-1 ANTIBODY TESTING OF OR 60001|S3650||0||"SALIVA TEST| HORMONE LEVEL;" 60001|S3652||0||"SALIVA TEST| HORMONE LEVEL;" 60001|S3655||0||ANTISPERM ANTIBODIES TEST 60001|S3708||0||GASTROINTESTINAL FAT ABSORPT 60001|S3711||0||CIRCULATING TUMOR CELL TEST 60001|S3713||0||KRAS MUTATION ANALYSIS TESTING 60001|S3722||0||DOSE OPTIMIZATION AUC - 5FU 60001|S3800||0||GENETIC TESTING ALS 60001|S3818||0||BRCA1 GENE ANAL 60001|S3819||0||BRCA2 GENE ANAL 60001|S3820||0||COMP BRCA1/BRCA2 60001|S3822||0||SING MUTATION BRST/OVAR 60001|S3823||0||3 MUTATION BRST/OVAR 60001|S3828||0||COMP MLH1 GENE 60001|S3829||0||COMP MLH2 GENE 60001|S3830||0||GENE TEST HNPCC COMP 60001|S3831||0||GENE TEST HNPCC SINGLE 60001|S3833||0||COMP APC SEQUENCE 60001|S3834||0||SING MUTATION APC 60001|S3835||0||GENE TEST CYSTIC FIBROSIS 60001|S3837||0||GENE TEST HEMOCHROMATO 60001|S3840||0||DNA ANALYSIS RET-ONCOGENE 60001|S3841||0||GENE TEST RETINOBLASTOMA 60001|S3842||0||GENE TEST HIPPEL-LINDAU 60001|S3843||0||DNA ANALYSIS FACTOR V 60001|S3844||0||DNA ANALYSIS DEAFNESS 60001|S3845||0||GENE TEST ALPHA-THALASSEMIA 60001|S3846||0||GENE TEST BETA-THALASSEMIA 60001|S3847||0||GENE TEST TAY-SACHS 60001|S3848||0||GENE TEST GAUCHER 60001|S3849||0||GENE TEST NIEMANN-PICK 60001|S3850||0||GENE TEST SICKLE CELL 60001|S3851||0||GENE TEST CANAVAN 60001|S3852||0||DNA ANALYSIS APOE ALZHEIMER 60001|S3853||0||GENE TEST MYO MUSCLR DYST 60001|S3854||0||GENE PROFILE PANEL BREAST 60001|S3855||0||GENE TEST PRESENILIN-1 GENE 60001|S3860||0||GENET TEST CARDIAC ION-COMP 60001|S3861||0||GENETIC TEST BRUGADA 60001|S3862||0||GENET TEST CARDIAC ION-SPEC 60001|S3865||0||COMP GENET TEST HYP CARDIOMY 60001|S3866||0||SPEC GENE TEST HYP CARDIOMY 60001|S3870||0||CGH TEST DEVELOPMENTAL DELAY 60001|S3890||0||FECAL DNA ANALYSIS 60001|S3900||0||SURFACE EMG 60001|S3902||0||BALLISTOCARDIOGRAM 60001|S3904||0||MASTERS TWO STEP 60001|S4005||0||INTERIM LABOR FACILITY GLOBA 60001|S4011||0||IVF PACKAGE 60001|S4013||0||COMPL GIFT CASE RATE 60001|S4014||0||COMPL ZIFT CASE RATE 60001|S4015||0||COMPLETE IVF NOS CASE RATE 60001|S4016||0||FROZEN IVF CASE RATE 60001|S4017||0||IVF CANC A STIM CASE RATE 60001|S4018||0||F EMB TRNS CANC CASE RATE 60001|S4020||0||IVF CANC A ASPIR CASE RATE 60001|S4021||0||IVF CANC P ASPIR CASE RATE 60001|S4022||0||ASST OOCYTE FERT CASE RATE 60001|S4023||0||INCOMPL DONOR EGG CASE RATE 60001|S4025||0||DONOR SERV IVF CASE RATE 60001|S4026||0||PROCURE DONOR SPERM 60001|S4027||0||STORE PREV FROZ EMBRYOS 60001|S4028||0||MICROSURG EPI SPERM ASP 60001|S4030||0||SPERM PROCURE INIT VISIT 60001|S4031||0||SPERM PROCURE SUBS VISIT 60001|S4035||0||STIMULATED IUI CASE RATE 60001|S4037||0||CRYO EMBRYO TRANSF CASE RATE 60001|S4040||0||MONIT STORE CRYO EMBRYO 30 D 60001|S4042||0||OVULATION MGMT PER CYCLE 60001|S4981||0||INSERT LEVONORGESTREL IUS 60001|S4989||0||CONTRACEPT IUD 60001|S4990||0||NICOTINE PATCH LEGEND 60001|S4991||0||NICOTINE PATCH NONLEGEND 60001|S4993||0||CONTRACEPTIVE PILLS FOR BC 60001|S4995||0||SMOKING CESSATION GUM 60001|S5000||0||"PRESCRIPTION DRUG| GENERIC" 60001|S5001||0||"PRESCRIPTION DRUG|BRAND NAME" 60001|S5010||0||5% DEXTROSE AND 0.45% SALINE 60001|S5011||0||5% DEXTROSE IN LACTATED RING 60001|S5012||0||5% DEXTROSE WITH POTASSIUM 60001|S5013||0||5%DEXTROSE/0.45%SALINE1000ML 60001|S5014||0||D5W/0.45NS W KCL AND MGS04 60001|S5035||0||HIT ROUTINE DEVICE MAINT 60001|S5036||0||HIT DEVICE REPAIR 60001|S5100||0||ADULT DAYCARE SERVICES 15MIN 60001|S5101||0||ADULT DAY CARE PER HALF DAY 60001|S5102||0||ADULT DAY CARE PER DIEM 60001|S5105||0||CENTERBASED DAY CARE PERDIEM 60001|S5108||0||HOMECARE TRAIN PT 15 MIN 60001|S5109||0||HOMECARE TRAIN PT SESSION 60001|S5110||0||FAMILY HOMECARE TRAINING 15M 60001|S5111||0||FAMILY HOMECARE TRAIN/SESSIO 60001|S5115||0||NONFAMILY HOMECARE TRAIN/15M 60001|S5116||0||NONFAMILY HC TRAIN/SESSION 60001|S5120||0||CHORE SERVICES PER 15 MIN 60001|S5121||0||CHORE SERVICES PER DIEM 60001|S5125||0||ATTENDANT CARE SERVICE /15M 60001|S5126||0||ATTENDANT CARE SERVICE /DIEM 60001|S5130||0||HOMAKER SERVICE NOS PER 15M 60001|S5131||0||HOMEMAKER SERVICE NOS /DIEM 60001|S5135||0||ADULT COMPANIONCARE PER 15M 60001|S5136||0||ADULT COMPANIONCARE PER DIEM 60001|S5140||0||ADULT FOSTER CARE PER DIEM 60001|S5141||0||ADULT FOSTER CARE PER MONTH 60001|S5145||0||CHILD FOSTERCARE TH PER DIEM 60001|S5146||0||THER FOSTERCARE CHILD /MONTH 60001|S5150||0||UNSKILLED RESPITE CARE /15M 60001|S5151||0||UNSKILLED RESPITECARE /DIEM 60001|S5160||0||EMER RESPONSE SYS INSTAL&TST 60001|S5161||0||EMER RSPNS SYS SERV PERMONTH 60001|S5162||0||EMER RSPNS SYSTEM PURCHASE 60001|S5165||0||HOME MODIFICATIONS PER SERV 60001|S5170||0||HOMEDELIVERED PREPARED MEAL 60001|S5175||0||"LAUNDRY SERV|EXT|PROF|/ORDER" 60001|S5180||0||HH RESPIRATORY THRPY IN EVAL 60001|S5181||0||HH RESPIRATORY THRPY NOS/DAY 60001|S5185||0||MED REMINDER SERV PER MONTH 60001|S5190||0||WELLNESS ASSESSMENT BY NONPH 60001|S5199||0||PERSONAL CARE ITEM NOS EACH 60001|S5497||0||HIT CATH CARE NOC 60001|S5498||0||HIT SIMPLE CATH CARE 60001|S5501||0||HIT COMPLEX CATH CARE 60001|S5502||0||HIT INTERIM CATH CARE 60001|S5517||0||HIT DECLOTTING KIT 60001|S5518||0||HIT CATH REPAIR KIT 60001|S5520||0||HIT PICC INSERT KIT 60001|S5521||0||HIT MIDLINE CATH INSERT KIT 60001|S5522||0||HIT PICC INSERT NO SUPP 60001|S5523||0||HIP MIDLINE CATH INSERT KIT 60001|S5550||0.54||INSULIN RAPID 5 U 60001|S5551||1.04||INSULIN MOST RAPID 5 U 60001|S5552||0.55||INSULIN INTERMED 5 U 60001|S5553||1.05||INSULIN LONG ACTING 5 U 60001|S5560||0||INSULIN REUSE PEN 1.5 ML 60001|S5561||75.16||INSULIN REUSE PEN 3 ML 60001|S5565||0||INSULIN CARTRIDGE 150 U 60001|S5566||0||INSULIN CARTRIDGE 300 U 60001|S5570||0||INSULIN DISPOS PEN 1.5 ML 60001|S5571||66.95||INSULIN DISPOS PEN 3 ML 60001|S8030||0||TANTALUM RING APPLICATION 60001|S8032||65|%|LOW DOSE CT LUNG SCREENING 60001|S8035||0||MAGNETIC SOURCE IMAGING 60001|S8037||0||MRCP 60001|S8040||0||TOPOGRAPHIC BRAIN MAPPING 60001|S8042||0||MRI LOW FIELD 60001|S8049||0||INTRAOPERATIVE RADIATION THE 60001|S8055||0||US GUIDANCE FETAL REDUCT 60001|S8080||0||SCINTIMAMMOGRAPHY 60001|S8085||0||FLUORINE-18 FLUORODEOXYGLUCO 60001|S8092||0||ELECTRON BEAM COMPUTED TOMOG 60001|S8096||0||PORTABLE PEAK FLOW METER 60001|S8097||0||ASTHMA KIT 60001|S8100||0||SPACER WITHOUT MASK 60001|S8101||0||SPACER WITH MASK 60001|S8110||0||PEAK EXPIRATORY FLOW RATE (P 60001|S8120||0||O2 CONTENTS GAS CUBIC FT 60001|S8121||0||O2 CONTENTS LIQUID LB 60001|S8130||0||INTERFERENTIAL STIM 2 CHAN 60001|S8131||0||INTERFERENTIAL STIM 4 CHAN 60001|S8185||0||FLUTTER DEVICE 60001|S8186||0||SWIVEL ADAPTOR 60001|S8189||0||TRACH SUPPLY NOC 60001|S8210||0||MUCUS TRAP 60001|S8262||0||MANDIB ORTHO REPOS DEVICE 60001|S8265||0||HABERMAN FEEDER 60001|S8270||0||ENURESIS ALARM 60001|S8301||0||INFECT CONTROL SUPPLIES NOS 60001|S8415||0||SUPPLIES FOR HOME DELIVERY 60001|S8420||0||CUSTOM GRADIENT SLEEV/GLOV 60001|S8421||0||READY GRADIENT SLEEV/GLOV 60001|S8422||0||CUSTOM GRAD SLEEVE MED 60001|S8423||0||CUSTOM GRAD SLEEVE HEAVY 60001|S8424||0||READY GRADIENT SLEEVE 60001|S8425||0||CUSTOM GRAD GLOVE MED 60001|S8426||0||CUSTOM GRAD GLOVE HEAVY 60001|S8427||0||READY GRADIENT GLOVE 60001|S8428||0||READY GRADIENT GAUNTLET 60001|S8429||0||GRADIENT PRESSURE WRAP 60001|S8430||0||PADDING FOR COMPRSSN BDG 60001|S8431||0||COMPRESSION BANDAGE 60001|S8450||0||SPLINT DIGIT 60001|S8451||0||SPLINT WRIST OR ANKLE 60001|S8452||0||SPLINT ELBOW 60001|S8460||0||CAMISOLE POST-MAST 60001|S8490||0||100 INSULIN SYRINGES 60001|S8940||0||HIPPOTHERAPY PER SESSION 60001|S8948||0||LOW-LEVEL LASER TRMT 15 MIN 60001|S8950||0||"COMPLEX LYMPHEDEMA THERAPY|" 60001|S8990||0||PT OR MANIP FOR MAINT 60001|S8999||0||RESUSCITATION BAG 60001|S9001||0||HOME UTERINE MONITOR WITH OR 60001|S9007||0||ULTRAFILTRATION MONITOR 60001|S9015||0||AUTOMATED EEG MONITORING 60001|S9024||0||PARANASAL SINUS ULTRASOUND 60001|S9025||0||OMNICARDIOGRAM/CARDIOINTEGRA 60001|S9034||0||ESWL FOR GALLSTONES 60001|S9055||0||PROCUREN OR OTHER GROWTH FAC 60001|S9056||0||COMA STIMULATION PER DIEM 60001|S9061||0||MEDICAL SUPPLIES AND EQUIPME 60001|S9083||0||URGENT CARE CENTER GLOBAL 60001|S9088||0||SERVICES PROVIDED IN URGENT 60001|S9090||0||VERTEBRAL AXIAL DECOMPRESSIO 60001|S9097||0||HOME VISIT WOUND CARE 60001|S9098||0||HOME PHOTOTHERAPY VISIT 60001|S9109||0||CHF TELEMONITORING MONTH 60001|S9117||0||BACK SCHOOL VISIT 60001|S9122||0||HOME HEALTH AIDE OR CERTIFIE 60001|S9123||0||NURSING CARE IN HOME RN 60001|S9124||0||"NURSING CARE| IN THE HOME; B" 60001|S9125||0||"RESPITE CARE| IN THE HOME| P" 60001|S9126||0||"HOSPICE CARE| IN THE HOME| P" 60001|S9127||0||"SOCIAL WORK VISIT| IN THE HO" 60001|S9128||0||"SPEECH THERAPY| IN THE HOME|" 60001|S9129||0||"OCCUPATIONAL THERAPY| IN THE" 60001|S9131||0||PT IN THE HOME PER DIEM 60001|S9140||0||"DIABETIC MANAGEMENT PROGRAM|" 60001|S9141||0||"DIABETIC MANAGEMENT PROGRAM|" 60001|S9145||0||INSULIN PUMP INITIATION 60001|S9150||0||EVALUATION BY OCULARIST 60001|S9152||0||"SPEECH THERAPY| RE-EVAL" 60001|S9208||0||HOME MGMT PRETERM LABOR 60001|S9209||0||HOME MGMT PPROM 60001|S9211||0||HOME MGMT GEST HYPERTENSION 60001|S9212||0||HM POSTPAR HYPER PER DIEM 60001|S9213||0||HM PREECLAMP PER DIEM 60001|S9214||0||HM GEST DM PER DIEM 60001|S9325||0||HIT PAIN MGMT PER DIEM 60001|S9326||0||HIT CONT PAIN PER DIEM 60001|S9327||0||HIT INT PAIN PER DIEM 60001|S9328||0||HIT PAIN IMP PUMP DIEM 60001|S9329||0||HIT CHEMO PER DIEM 60001|S9330||0||HIT CONT CHEM DIEM 60001|S9331||0||HIT INTERMIT CHEMO DIEM 60001|S9335||0||HT HEMODIALYSIS DIEM 60001|S9336||0||HIT CONT ANTICOAG DIEM 60001|S9338||0||HIT IMMUNOTHERAPY DIEM 60001|S9339||0||HIT PERITON DIALYSIS DIEM 60001|S9340||0||HIT ENTERAL PER DIEM 60001|S9341||0||HIT ENTERAL GRAV DIEM 60001|S9342||0||HIT ENTERAL PUMP DIEM 60001|S9343||0||HIT ENTERAL BOLUS NURS 60001|S9345||0||HIT ANTI-HEMOPHIL DIEM 60001|S9346||0||HIT ALPHA-1-PROTEINAS DIEM 60001|S9347||0||HIT LONGTERM INFUSION DIEM 60001|S9348||0||HIT SYMPATHOMIM DIEM 60001|S9349||0||HIT TOCOLYSIS DIEM 60001|S9351||0||HIT CONT ANTIEMETIC DIEM 60001|S9353||0||HIT CONT INSULIN DIEM 60001|S9355||0||HIT CHELATION DIEM 60001|S9357||0||HIT ENZYME REPLACE DIEM 60001|S9359||0||HIT ANTI-TNF PER DIEM 60001|S9361||0||HIT DIURETIC INFUS DIEM 60001|S9363||0||HIT ANTI-SPASMOTIC DIEM 60001|S9364||0||HIT TPN TOTAL DIEM 60001|S9365||0||HIT TPN 1 LITER DIEM 60001|S9366||0||HIT TPN 2 LITER DIEM 60001|S9367||0||HIT TPN 3 LITER DIEM 60001|S9368||0||HIT TPN OVER 3L DIEM 60001|S9370||0||HT INJ ANTIEMETIC DIEM 60001|S9372||0||HT INJ ANTICOAG DIEM 60001|S9373||0||HIT HYDRA TOTAL DIEM 60001|S9374||0||HIT HYDRA 1 LITER DIEM 60001|S9375||0||HIT HYDRA 2 LITER DIEM 60001|S9376||0||HIT HYDRA 3 LITER DIEM 60001|S9377||0||HIT HYDRA OVER 3L DIEM 60001|S9379||0||HIT NOC PER DIEM 60001|S9381||0||HIT HIGH RISK/ESCORT 60001|S9401||0||ANTICOAG CLINIC PER SESSION 60001|S9430||0||PHARMACY COMP/DISP SERV 60001|S9433||0||MEDICAL FOOD ORAL 100% NUTR 60001|S9434||0||MOD SOLID FOOD SUPPL 60001|S9435||0||MEDICAL FOODS FOR INBORN ERR 60001|S9436||0||LAMAZE CLASS 60001|S9437||0||CHILDBIRTH REFRESHER CLASS 60001|S9438||0||CESAREAN BIRTH CLASS 60001|S9439||0||VBAC CLASS 60001|S9441||0||ASTHMA EDUCATION 60001|S9442||0||BIRTHING CLASS 60001|S9443||0||LACTATION CLASS 60001|S9444||0||PARENTING CLASS 60001|S9445||0||PT EDUCATION NOC INDIVID 60001|S9446||0||PT EDUCATION NOC GROUP 60001|S9447||0||INFANT SAFETY CLASS 60001|S9449||0||WEIGHT MGMT CLASS 60001|S9451||0||EXERCISE CLASS 60001|S9452||0||NUTRITION CLASS 60001|S9453||0||SMOKING CESSATION CLASS 60001|S9454||0||STRESS MGMT CLASS 60001|S9455||0||"DIABETIC MANAGEMENT PROGRAM|" 60001|S9460||0||"DIABETIC MANAGEMENT PROGRAM|" 60001|S9465||0||"DIABETIC MANAGEMENT PROGRAM|" 60001|S9470||0||"NUTRITIONAL COUNSELING| DIET" 60001|S9472||0||CARDIAC REHABILITATION PROGR 60001|S9473||0||PULMONARY REHABILITATION PRO 60001|S9474||0||ENTEROSTOMAL THERAPY BY A RE 60001|S9475||0||AMBULATORY SETTING SUBSTANCE 60001|S9476||0||VESTIBULAR REHAB PER DIEM 60001|S9480||0||INTENSIVE OUTPATIENT PSYCHIA 60001|S9482||0||FAMILY STABILIZATION 15 MIN 60001|S9484||0||CRISIS INTERVENTION PER HOUR 60001|S9485||0||CRISIS INTERVENTION MENTAL H 60001|S9490||0||HIT CORTICOSTEROID/DIEM 60001|S9494||0||HIT ANTIBIOTIC TOTAL DIEM 60001|S9497||0||HIT ANTIBIOTIC Q3H DIEM 60001|S9500||143.65||HIT ANTIBIOTIC Q24H DIEM 60001|S9501||0||HIT ANTIBIOTIC Q12H DIEM 60001|S9502||0||HIT ANTIBIOTIC Q8H DIEM 60001|S9503||0||HIT ANTIBIOTIC Q6H DIEM 60001|S9504||0||HIT ANTIBIOTIC Q4H DIEM 60001|S9529||0||VENIPUNCTURE HOME/SNF 60001|S9537||0||HT HEM HORM INJ DIEM 60001|S9538||0||HIT BLOOD PRODUCTS DIEM 60001|S9542||0||HT INJ NOC PER DIEM 60001|S9558||0||HT INJ GROWTH HORM DIEM 60001|S9559||0||HIT INJ INTERFERON DIEM 60001|S9560||0||HT INJ HORMONE DIEM 60001|S9562||0||HT INJ PALIVIZUMAB DIEM 60001|S9590||0||HT IRRIGATION DIEM 60001|S9810||0||HT PHARM PER HOUR 60001|S9900||0||CHRISTIAN SCI PRACT VISIT 60001|S9970||0||HEALTH CLUB MEMBERSHIP YR 60001|S9975||0||TRANSPLANT RELATED PER DIEM 60001|S9976||0||LODGING PER DIEM 60001|S9977||0||MEALS PER DIEM 60001|S9981||0||MED RECORD COPY ADMIN 60001|S9982||0||MED RECORD COPY PER PAGE 60001|S9986||0||NOT MEDICALLY NECESSARY SVC 60001|S9988||0||SERV PART OF PHASE I TRIAL 60001|S9989||0||SERVICES OUTSIDE US 60001|S9990||0||SERVICES PROVIDED AS PART OF 60001|S9991||0||SERVICES PROVIDED AS PART OF 60001|S9992||0||TRANSPORTATION COSTS TO AND 60001|S9994||0||LODGING COSTS (E.G. HOTEL CH 60001|S9996||0||MEALS FOR CLINICAL TRIAL PAR 60001|S9999||0||SALES TAX 60001|T1014||0.01|| 60001|V2020||92.96||VISION SVCS FRAMES PURCHASES 60001|V2025||0||EYEGLASSES DELUX FRAMES 60001|V2100||45.17||LENS SPHER SINGLE PLANO 4.00 60001|V2101||47.6||SINGLE VISN SPHERE 4.12-7.00 60001|V2102||67.53||SINGL VISN SPHERE 7.12-20.00 60001|V2103||39.22||SPHEROCYLINDR 4.00D/12-2.00D 60001|V2104||43.44||SPHEROCYLINDR 4.00D/2.12-4D 60001|V2105||53.19||SPHEROCYLINDER 4.00D/4.25-6D 60001|V2106||53.98||SPHEROCYLINDER 4.00D/>6.00D 60001|V2107||56.74||SPHEROCYLINDER 4.25D/12-2D 60001|V2108||55.04||SPHEROCYLINDER 4.25D/2.12-4D 60001|V2109||63.26||SPHEROCYLINDER 4.25D/4.25-6D 60001|V2110||73.83||SPHEROCYLINDER 4.25D/OVER 6D 60001|V2111||65.08||SPHEROCYLINDR 7.25D/.25-2.25 60001|V2112||64.21||SPHEROCYLINDR 7.25D/2.25-4D 60001|V2113||88.71||SPHEROCYLINDR 7.25D/4.25-6D 60001|V2114||78.47||SPHEROCYLINDER OVER 12.00D 60001|V2115||85.33||"LENS LENTICULAR| SINGLE VISION" 60001|V2118||84.59||LENS ANISEIKONIC SINGLE 60001|V2121||87.33||"LENTICULAR LENS| SINGLE" 60001|V2200||59.14||LENS SPHER BIFOC PLANO 4.00D 60001|V2201||64.45||LENS SPHERE BIFOCAL 4.12-7.0 60001|V2202||75.84||LENS SPHERE BIFOCAL 7.12-20. 60001|V2203||59.65||LENS SPHCYL BIFOCAL 4.00D/.1 60001|V2204||64.69||LENS SPHCY BIFOCAL 4.00D/2.1 60001|V2205||70.96||LENS SPHCY BIFOCAL 4.00D/4.2 60001|V2206||86.4||LENS SPHCY BIFOCAL 4.00D/OVE 60001|V2207||72.13||LENS SPHCY BIFOCAL 4.25-7D/. 60001|V2208||73||LENS SPHCY BIFOCAL 4.25-7/2. 60001|V2209||80.31||LENS SPHCY BIFOCAL 4.25-7/4. 60001|V2210||103.33||LENS SPHCY BIFOCAL 4.25-7/OV 60001|V2211||88.1||LENS SPHCY BIFO 7.25-12/.25- 60001|V2212||95.89||LENS SPHCYL BIFO 7.25-12/2.2 60001|V2213||98.31||LENS SPHCYL BIFO 7.25-12/4.2 60001|V2214||105.39||LENS SPHCYL BIFOCAL OVER 12. 60001|V2215||114.04||LENS LENTICULAR BIFOCAL 60001|V2218||116.66||LENS ANISEIKONIC BIFOCAL 60001|V2219||51.36||LENS BIFOCAL SEG WIDTH OVER 60001|V2220||41.65||LENS BIFOCAL ADD OVER 3.25D 60001|V2221||111.27||"LENTICULAR LENS| BIFOCAL" 60001|V2300||76.79||LENS SPHERE TRIFOCAL 4.00D 60001|V2301||89.05||LENS SPHERE TRIFOCAL 4.12-7. 60001|V2302||97.56||LENS SPHERE TRIFOCAL 7.12-20 60001|V2303||80.83||LENS SPHCY TRIFOCAL 4.0/.12- 60001|V2304||84.59||LENS SPHCY TRIFOCAL 4.0/2.25 60001|V2305||103.71||LENS SPHCY TRIFOCAL 4.0/4.25 60001|V2306||96.71||LENS SPHCYL TRIFOCAL 4.00/>6 60001|V2307||95.91||LENS SPHCY TRIFOCAL 4.25-7/. 60001|V2308||102.34||LENS SPHC TRIFOCAL 4.25-7/2. 60001|V2309||119.71||LENS SPHC TRIFOCAL 4.25-7/4. 60001|V2310||131.67||LENS SPHC TRIFOCAL 4.25-7/>6 60001|V2311||125.41||LENS SPHC TRIFO 7.25-12/.25- 60001|V2312||110.55||LENS SPHC TRIFO 7.25-12/2.25 60001|V2313||150.89||LENS SPHC TRIFO 7.25-12/4.25 60001|V2314||165.29||LENS SPHCYL TRIFOCAL OVER 12 60001|V2315||183.5||LENS LENTICULAR TRIFOCAL 60001|V2318||169.19||LENS ANISEIKONIC TRIFOCAL 60001|V2319||57.27||LENS TRIFOCAL SEG WIDTH > 28 60001|V2320||60.43||LENS TRIFOCAL ADD OVER 3.25D 60001|V2321||180.87||"LENTICULAR LENS| TRIFOCAL" 60001|V2410||103.42||LENS VARIAB ASPHERICITY SING 60001|V2430||134.64||LENS VARIABLE ASPHERICITY BI 60001|V2500||93.75||CONTACT LENS PMMA SPHERICAL 60001|V2501||142.8||CNTCT LENS PMMA-TORIC/PRISM 60001|V2502||175.91||CONTACT LENS PMMA BIFOCAL 60001|V2503||168.31||CNTCT LENS PMMA COLOR VISION 60001|V2510||127.97||CNTCT GAS PERMEABLE SPHERICL 60001|V2511||183.88||CNTCT TORIC PRISM BALLAST 60001|V2512||217.28||CNTCT LENS GAS PERMBL BIFOCL 60001|V2513||182.41||CONTACT LENS EXTENDED WEAR 60001|V2520||120.29||CONTACT LENS HYDROPHILIC 60001|V2521||209.42||CNTCT LENS HYDROPHILIC TORIC 60001|V2522||203.8||CNTCT LENS HYDROPHIL BIFOCL 60001|V2523||173.68||CNTCT LENS HYDROPHIL EXTEND 60001|V2530||257.25||CONTACT LENS GAS IMPERMEABLE 60001|V2531||631.54||CONTACT LENS GAS PERMEABLE 60001|V2623||1035.33||PLASTIC EYE PROSTH CUSTOM 60001|V2624||70.21||POLISHING ARTIFICAL EYE 60001|V2625||454.8||ENLARGEMNT OF EYE PROSTHESIS 60001|V2626||288.54||REDUCTION OF EYE PROSTHESIS 60001|V2627||1651.96||SCLERAL COVER SHELL 60001|V2628||377.7||FABRICATION & FITTING 60001|V2700||50.52||BALANCE LENS 60001|V2702||0||DELUXE LENS FEATURE 60001|V2710||73.95||GLASS/PLASTIC SLAB OFF PRISM 60001|V2715||13.41||PRISM LENS/ES 60001|V2718||32.93||FRESNELL PRISM PRESS-ON LENS 60001|V2730||24.32||SPECIAL BASE CURVE 60001|V2744||25.24||TINT PHOTOCHROMATIC LENS/ES 60001|V2745||14.31||"TINT| ANY COLOR/SOLID/GRAD" 60001|V2750||29.35||ANTI-REFLECTIVE COATING 60001|V2755||21.21||UV LENS/ES 60001|V2760||18.47||SCRATCH RESISTANT COATING 60001|V2762||69.54||"POLARIZATION| ANY LENS" 60001|V2770||23.86||OCCLUDER LENS/ES 60001|V2780||19.28||OVERSIZE LENS/ES 60001|V2781||0||PROGRESSIVE LENS PER LENS 60001|V2782||75.08||"LENS| 1.54-1.65 P/1.60-1.79G" 60001|V2783||84.67||"LENS| >= 1.66 P/>=1.80 G" 60001|V2784||55.06||LENS POLYCARB OR EQUAL 60001|V2786||0||OCCUPATIONAL MULTIFOCAL LENS 60001|V5257||937.5||"HEARING AID| DIGIT| MON| BTE"